Speaking of weird pregnant ladies, T.T.T.S. Woman is still on Mere's ass about McDreamy. She says when she found out about her husband's little friend, she called her up and took her out to lunch. "I really just wanted to put a face on the bitch that got my husband to throw away fifteen years of marriage." Wow, somebody has issues. Mere can't be concerned about that right now, because she's found something crazy on the ultrasound. Like, perhaps, the undigested remains of her husband's mistress.
Burke leans hotly over the reception desk and asks Bailey if she knows who "McDreamy" is. Bailey looks over at Addison and McDreamy talking, and says, "Me. I'm Dr. McDreamy. I'm tall, and handsome, and I like to lean against things, and ponder the difficulties of dating beautiful women. I'm trying to be a surgeon here!" Meanwhile, McDreamy tells Addison she has a lot of nerve requesting Meredith. Addison says she came highly recommended, so she doesn't know what he's crying about. Just then, Mere comes over to tell Addison there's something she should see on the ultrasound. Addison gives McDreamy a look all, "Okay, then!" and he tries to talk to Meredith after she leaves. Mere: "DON'T." She leaves too. Burke and George look on with interest, and McDreamy takes off the other way.
George reports once again to Webber that there's nothing to report. He says he should go, then remembers that there is one thing. "It's about Joe, the Bartender? Our standstill patient."
Back to T.T.T.S. Woman's room, where Addison is explaining that they've found what looks like beginning heart failure in the twins. They're going to go ahead with surgery right now. The mom asks if her babies are going to be okay, and Addison tells Mere to hurry and prep the OR.
As Joe is wheeled into surgery, he gives Alex a bunch of last-minute orders about the bar. We then cut to Webber telling George he's sorry, but there's nothing they can do -- they operate on patients, then release them, and it's not their job to help them pay their bills. Aw, Joe!
Surgery. Joe has been anesthetized, and ice packs are placed on and around his body. Up in the observation room, Bailey tells George he won't be able to see anything from way back where he's sitting. George says he knows; he's trying to find some kind of a loophole to help Joe with his medical bills. Bailey says she was the only intern her first year. "I didn't know anybody, and nobody knew me except Joe. He knew me." George gets the wrong idea, all, "Oh, really? You and Joe?" Bailey says all he ever thinks about is how to get into somebody's pants, then hits him upside the head. "You nasty. That's how you got syphilis." Heeeee. Alex walks in and slags on Izzie for bringing snacks to watch Joe die. Izzie says it's just a granola bar, and it's not like Joe is going to die-die, it's just for a few minutes. George jumps up and yells, "Dead! That's it!" He runs out of the room excitedly.