We return to Bailey asking Rosanna if she's feeling any discomfort. Rosanna, who is chained to the bed, replies, "You mean besides these snazzy handcuffs pinching my wrists?" Bailey sighs. "Did you at least put tape on the blade?" Rosanna says she's not an idiot. Bailey points out that she swallowed a razor blade, then asks Rosanna to tell her what hurts. Rosanna says she'll do no such thing, as that would shorten her delightful vacation, only less articulate and more heavy New York accent, with a little dash of...I'm not quite sure, but I want to say Sarah Michelle Gellar? Okay, with a smidge of Smidge thrown in. The effect is certainly bizarre, I can tell you that. Anyway, Rosanna tells Cristina to get her some chocolate pudding, since she's just standing there doing nothing. Bailey tells Cristina to get an X-ray, but make sure it's portable. "To minimize flight risk," she directs at Rosanna. Cristina's like, "But...but I have to check on Julia!" Bailey says she's got it covered. Cristina: "Are you sure you can't do it?" Bailey: "I can. I choose not to." Rosanna tells Cristina to come on, she's not gonna hurt her. "I only murdered three people, and none of them were doctors." Jesus.

Over in Carl's room, Nurse Olivia is having trouble getting the leeches to bite. George says sometimes they get a little anxious. "Bright lights, thunderstorms." Olivia flinches and drops the leech. "Nervous handlers." Olivia tells Carl she's sorry, she's just a little squeamish around leeches. George says dryly, "That is not what I have heard." Ooh, face hard! A chill falls over the room as Olivia tells Carl that Dr. O'Malley can take over from here. George tries his hand with the leeches as Carl asks what that was all about. George unconvincingly says it was nothing, and succeeds in getting a leech to bite Carl's nose. Carl and his sweet leech-face look up at George, and we cut to...

…Olivia, getting into the elevator with Izzie. Girl fight! Olivia tries to apologize, saying she had no idea that Alex and Izzie were seeing each other, but Izzie just stands there stone-faced. Olivia blathers on about how she was having a bad day, it was good to have someone there, and Alex really is good, like, a good person, not just good "that kind of good," which he is, as Izzie obviously knows, and someone please shut this girl up. Izzie exits the elevator without a word. Poor Olivia, who should bear none of the responsibility for this, is like, "Okay. Bye?"