Alex wheels Nicole into the elevator as she asks what he did to get stuck with her. Alex tries to deny that he's stuck, but finally admits that he was late for rounds. Nicole asks why. Alex says he had things to do, and catches sight of Izzie rounding a corner down the hall. He and Nicole give chase, and Izzie turns around when he yells, "Hey, dollface!" She is not pleased to see him, especially when he tries to pass Nicole off to her. Izzie tells him he's like a broken record, and is only nice or friendly when it's convenient for him. "So no to your favor. No to you. NO." Alex is like, "What's UP with you?" Nicole watches this exchange with interest. Izzie says she did her hair; she had one night off in two weeks, and she can't believe she used it on him. "You couldn't even have bothered to kiss me goodnight," Izzie continues. "You're a coward, and you're just as shallow as you seem." She shoves her hand in his face, tells him she's over it, turns on her heel, and stalks off. Nicole: "She's really mad at you." Alex, for once, is speechless.

Room of Hysterical Pregnancy. Mr. Herman's wife, who is also pregnant, has arrived. Mr. Herman exits the bathroom with a urine sample. Mere asks him what precipitated the psychotic episode that got him admitted to the hospital. Mr. Herman says there was no episode. "And I'm not psychotic. I. Am. Pregnant." He asks his wife if she brought "it," and says he'll prove to everyone that he's not crazy. Before he can, though, all hell breaks loose. Mr. Herman's admitting physician busts into the room and demands his patient back. Cristina says it's clearly a surgical case, and it's theirs now. Bailey then walks in and wants to know what the hell is going on. Cristina tells Bailey to just look at the patient. Admitting Physician insists it's a male hysterical pregnancy. While all this is going on, Mr. Herman is dipping a pregnancy test into his urine sample. AP keeps screeching that it's hysterical. Well, someone is. Cristina tells Bailey there's a mass, so...surgical. Everyone continues to argue until Izzie holds up the pregnancy test and yells at everyone to shut up and listen to her. "Guys. Guys. GUYS! Shane took a pregnancy test. It's positive." Bailey: "Well, he's definitely a surgical patient now." Commercials.