Once they get their voices back, they discuss the idea and Arizona wonders if they should just call and have a social worker say a quick hello to placate Stark. I'm amazed that as a pediatric surgeon Mere seems more familiar with the system then Arizona, and Mere points out that once they are in the system it will only get worse. They all agree that the family is doing the best they can and that when Nancy is facing losing her memory they can't also take away her son for the last bit of lucid time she has left. Arizona really doesn't want to stand up to Stark, so April finally pipes up and says she'll do it, figuring it can't hurt to try. Arizona clearly thinks that this can hurt an awful lot, which I guess is why she's not trying herself, but doesn't say anything.
She at least goes with April to confront Stark but before they can say anything he cuts them off to say he'll take Arizona's surgery and to work out the schedule with his assistant. He has an assistant? I don't think any doctor we've met yet has had that perk. That was one successful contract negotiation on his part, it seems. April then tells him they don't want to call protective services because they don't want to pull the family apart when Nancy has little lucid time remaining. But Stark is ready for them and points out that they only take the child away when said child is in danger. April makes the mistake of saying that a social worker could have a kneejerk reaction to the situation so Stark does what he does best, which is hoist himself up on his high horse where he can proclaim that he knows better than anyone else. He trips up April by asking her if she thinks these people are idiots and then gives a lecture on how being a social worker is a thankless job because they are branded as heartless for only trying to do what is best. When Arizona says that Kyle isn't being harmed Stark just asks if she's sure beyond a shadow of a doubt, and when she has no answer to this he tells her to be a good example to her residents and make the call. She just swallows a response that would probably only have gotten them all in deeper.
Bailey is making notes in Adele's chart while Adele interrogates her about what she's writing. All of the tests so far have come back negative, but despite Adele's wishes Bailey refuses to let her go home. As Adele natters on about how it was the shoes' fault she fell at the pharmacy, Bailey pulls something out of a drawer and points out that earlier, Adele said she fell at the supermarket. Adele again brushes off the confusion but Bailey pulls out the big guns and stands in front of Adele with a breathalyzer. Adele knows exactly what the contraption is based on her long marriage to an alcoholic and confusion or not, doesn't take kindly to the suggestion that she's got her own substance issues. Bailey obviously doesn't like it any more than she does but points out that she's at a bit of a loss, and since she's having accidents and her stories are inconsistent she has to now rule out substance abuse. If looks could turn someone to stone, the glare that Adele fixes on Bailey would have frozen her on the spot for the rest of time.