Out in the waiting area, Lexie gives Lucas' parents an update on his surgery, but as she turns to go back they call after her to ask if she knows anything about Reilly. Lexie is stunned to realize that they have no idea he's dead, and they pick up on her reaction right away. (I love that this is finally becoming more prevalent on the show -- that when the doctors have really obvious reactions to something, people actually notice rather than all of us pretending that they are doing a good job of hiding their emotions.) She carefully asks if anyone has talked to them and they both grab onto their chairs like they are life rafts -- which answers that question. Lexie takes a moment and then starts into her usual death notification, and the parents realize what's coming and scream and beg for her not to say it. She's left telling them how sorry she is as they wail and hold each other, and it's all she can do to keep it together.
Lexie comes back to the surgery rather depressed after having to go through that, and she chatters that she hopes they can keep Lucas alive, mentioning how guilty he's going to feel when he wakes up. That of course pushes a button in Jackson who hollers at her to shut up. Seriously, bringing the hot therapist in for three weeks to help counsel the doctors did just about nothing other than be soothing to our eyes, seeing as how some of our docs are still so deeply screwed up but yet are still allowed to work. Jackson apologizes but keeps operating with such a vengeance that it looks like he's stabbing some tool straight through Lucas' innards to get his aggression out. Owen is clearly worried, but Jackson does actually have his surgical wits about him, if nothing else. He manages to fix a bleeder that crops up and Owen compliments his work, managing to conceal most of his surprise that Jackson is able to do a good job in his current state.