Meredith is on the phone, clearly going through preparations to sign the paperwork with her mother later that day and says she'll be there at 6:30. McDreamy joins her and says that he overheard. She panics and abysmally covers with, "It's a notary thing! Some thing to get...notarized!" The only reason he doesn't notice her lie is that he's had a lobotomy. Oh, actually not -- it's because he's talking about the heart situation and it's serious enough to distract him. When he asks if she wants to talk about, it she just says, "We're adults! When did that happen? And how do we make it stop?" He looks contemplative. And honestly, I'd love to see the script for every episode and start doing a count of how many times a scene ends with that direction for Patrick Dempsey.
Burke and Cristina see each other and avoid each other's eyes as they greet each other formally. When she makes a comment about the surgery getting complicated he suavely says, "Nothing I couldn't handle." "Good," she says, and we really start to see the infinitesimal cracks in her faÃ§ade as she hopes he really can handle anything.
Mr. Patterson is on the phone outside, and Meredith approaches. He was talking to his lawyer, and as he says he's been advised to not speak to her, she ploughs ahead and persists that they need more information about his wife. When she continues that her heart walls were weak, he explodes. He yells at her to not blame his wife, who was in the best shape of her life, having lost 100 pounds the previous year. He finally cuts off her pleas and leaves.