Izzie pages George so that he can go home and sign for the beer, and a passing Alex snarks at her to have her boyfriend take care of it. They snap at each other some more, and he tells her he never would be interested in going to the party anyway, since she thinks it's all about him not being invited. Which on the one hand, it probably is, but on the other, it's Alex being Alex, so who knows? She just makes a fourth-grade mad face at him as George asks again about letting Meredith know about the party. When Izzie says she's going to tell her at that very moment, Cristina reports that she's gone. Suddenly, Izzie's confidence is gone and she is getting worried, and George disavows all responsibility for what's going to happen when Meredith finds out.
Meredith, meanwhile, is late but makes it to the meeting she organized to take care of signing everything over. The same bitchy lady from that morning, however, is upset with Meredith and reports that everyone is there except her mother, who is yelling at everyone that she needs to leave to take care of a cranial reconstruction. Meredith tries her best to talk to her mother and bring her back to reality, and is stuck having to use almost a baby voice and soothing tones like she's trying to reason with a toddler. It's heartbreaking. Her mother doesn't respond, and the bitchy overseer continues to gripe at Meredith about how they should have taken care of this earlier. Meredith finally snaps, and rightfully so. She yells that she couldn't do it earlier that day and asks how she, or her mother's lawyer, allowed her mother to put this meeting off until now in the first place. Since it did seem as if no one had warned her this day would come where everything would need to be signed over to Meredith, I'm on her side here, as any of the healthcare professionals she's entrusted or her lawyer should have given her more warning than just that morning. When she's done yelling she leaves, and her mother continues to sulk about being kept from her mind's hospital duties. Kate Burton, as Ellis Grey, is really an actress who I think gets overlooked since there are so many other great performances on this show, but she's alternately so aggravating and heartbreaking, and kudos to her for how well she plays these scenes.
Back at Seattle Grace, Cristina sees Bailey telling Burke about the towel. Through the window where she's watching, he appears to ask for and receive the file. Cristina just looks back with a worried face.