Cut to McDreamy, asking a young patient named Nicole if she's been having problems with "spasticity." I'd say your ex-girlfriend is the one with that particular ailment, Dr. McDreamy, but who am I to judge? Nicole's overbearing parents answer for her that they just wanted to make things a little easier for her, since she starts college soon. Nicole, who is in a wheelchair, sits quietly and makes bedroom eyes across the room at Alex. Nicole's parents start babbling about how Nicole is going to school locally, not that she wouldn't have her pick of any school she wanted, but she's not ready for it yet, blah blah. Alex gives Nicole the cutest wink ever perpetrated on another human being, while McDreamy confers with her parents. He tells them that the operation he'd like to perform will enlarge Nicole's bladder, and greatly improve her quality of life, as she won't be so dependent on a catheter. Nicole's mother, who is the real problem here, immediately nixes the idea. Her dad suggests that maybe they should think about it. McDreamy finally asks Nicole herself what she thinks. He tells her that she would be more like kids her own age -- in control of her bladder, and with a more normal sex life. At this, Nicole's parents recoil as if he's said "more normal WORSHIPPER OF THE DARK LORD," and McDreamy adds, "When that becomes an issue, of course." Heh. Nicole's mom says they're here for the pain procedure, and that's it. Nicole looks at McDreamy in resignation.