Emily's surgery. Burke explains to Izzie that the baby's aorta is narrower than they thought, and there's just not much they can do. He tells Addison he wanted her to see this before he closed the baby up, and Izzie starts freaking out. "Closing up?! You didn't do anything! No, we just started!" Addison says this is as much as Burke can do for now, so unless she can fix it, it's time to close this baby's chest. As well as Izzie's mouth, I'd add. Addison's pager goes off, and she leaves the room. Izzie asks Burke if she can go, too. Burke nods yes.

Addison rushes into the NICU and asks what happened. Mere says Charlotte had an apneic episode, and is still not breathing on her own. Addison intubates the baby as Dory watches, mortified. Mere tells Addison she was doing fine, and Addison says preemies are like that -- just when you think they're doing better, they slip backwards. Mere finally realizes that Dory has witnessed this whole thing, and gasps, "Mrs. Russell." But when she looks over, there's just an empty wheelchair. I sure hope Dory knows how to crawl, because I can't imagine she's walking very well with that giant incision across her midsection.

Rosanna's in surgery. Heartless Cristina asks Bailey who would do this to themselves. Bailey, who actually does understand human feeling, says the woman wasn't just in prison, she was in solitary. Cristina says she's deranged. Bailey: "You try spending a month locked in a room with no windows, no one to talk to twenty-three hours a day. See how deranged she is then." Cristina argues that she's a murderer. Bailey's like, "I didn't say she wasn't. I said, try having no one to make your snarky comments to for a solid month. My guess is, you'd swallow the entire razor." Bravo!

George checks in on Carl and the leeches. He looks much better, and George says so. Carl asks George if he made up with that cute little girlfriend of his yet. George says Olivia's hardly his girlfriend, and retrieves a bloated leech that has leapt from Carl's ear. EW. Carl asks if "she" is okay. George: "'She'?" Carl says he's named her Isabella, and the one on his finger is Darcy. "And that little guy on my nose? Named 'O'Malley.'" George doesn't know whether to be flattered or insulted. Carl laughs and says that's right, he named him O'Malley, since George was the one who got him to bite. George says Isabella's fine, she's just full. He goes to dispose of her, but Carl asks if he can take her home.