In another OR, Derek notes that it's the moment of truth and injects the virus into Phil's tumor. At the same time, Mark lays the skin flap on the baby's chest to cover the tiny heart, mostly back inside. Phil flat-lines, and Derek begs for him to respond as the alarms clang. In Nikki's OR, Bailey gets everything under control and sends Addie to the baby.

Once there, she admires the little tiny heartbeat and Mark announces, "And God admired his amazing skin flap. And he saw that it was good." He's such a pig -- I just can't help but love him. They update Addie that there were no intestinal or diaphragm problems, and Alex has a Moment while he watches the heart beat.

Sadly, the other surgery doesn't have its own miracle outcome; Phil has flat-lined. Derek announces somewhat angrily, "Patient #1, treatment failed. Call it, Dr. Grey."

Addison joins Bailey, who is scrubbing out, and gives her the update on the surgery. Bailey tells her that Nikki is okay too, and calls it a good day. But Addison can't ignore her tone and observes that she seems sad. Bailey looks up and her face is both pleading and scared. She sighs and says that they aren't going to do "this," and that she can't share or catch up with Addison because if she admitted that Tucker left, that she's sleeping alone for the first time in 12 years, or that she hurts so much she wants to rip out her own heart, she would fall apart. And, gathering herself back together, she announces that she has no time for that. She's happy to see Addison but admits she wishes she would leave so that the option of talking and falling apart would be removed. She gazes into the sink, and Addison sits quietly next to her. Where is the California hugging now, Addison? Good grief.

Through a window, Mere watches Derek break the news about Phil to Jennifer, who breaks down. Once they're walking down the hall together, she admits that she got her hopes up, and he admits that he did as well. She then asks, "Dr. Shepherd?" He turns to her and she tells him, "It was a pleasure working with you today." She sticks out her hands and they shake, with him taking an extra moment to caress her hand with his thumb. It's a tiny but very telling gesture. He acknowledges, "Dr. Grey," and they go their separate ways.

Addison is kicking back with Richard and admits that she misses some parts about being there. Richard jumps on the opening and tells her he'll do the paperwork that night so that she can start tomorrow. But she tells him it was good to come back to see that leaving was the right choice, and tells him he has to fill her position. Izzie runs by and yells, "I was Gandhi. I was so freaking Gandhi, I kicked Gandhi's ass!" Addie laughs while Richard looks confused and she just tells him it's an L.A. thing. He really should be used to much weirder stuff than that by now.