George is wheeling Mrs. Kimberly Griswold down a hall, while the wretched woman yells at her husband to stop hitting her chair. Al says he's sorry. "And hold on to my bag." Al says he will. "And don't rummage through it." Al kills himself. George hands Mrs. Griswold off to another doctor. Al confides in George that pleases and thank-yous were never her strong suit. George diplomatically tells Al that he's a very patient person. Al says he just tries to keep her calm; they didn't think she was going to survive her first surgery, much less three more, but here it is ten years later, and she's still here. Al adds with no small amount of regret in his voice, "It's a...it's a miracle. That's what everyone says." Ha! George asks Al what he says. "Sickness, health. It's right there in the vows." I'm pretty sure the vows didn't also say "verbal abuse" and "being evil incarnate," but then I got married in the South. We're just concerned with whether your reception is at the country club and that no one wears black to the wedding. George hands Al the important bag that shouldn't get rummaged through, and Al goes off to ponder his sad fate.

Lunchtime! Fool and the Gang all converge on a table. George stabs at his salad violently, and also hilariously: "A pregnant guy? You got a pregnant guy and didn't tell me?" Izzie tells him they can get him floor space in the OR for fifty bucks. Cristina giggles insanely. The explosive diarrhea has driven her mad, folks. Meredith can't believe their insensitivity. Cristina says whatever is inside him has got to come out, and they're just brokering a few deals. I find this deplorable, yet awesome. When Alex wheels Nicole up to the table, the rest of the gang (I'm sorry: "the Gang," as in "Fool and") stares until Nicole pipes up, "Hi. I'm Alex's charity case." Cristina: "I like her already." Alex tells them not to ask. Izzie says they should, because it's not like they can read his mind, or "have any idea what's going on in your tiny, tiny, tiny little brain." Cristina's pager suddenly goes off, and she rages, "I am HUNGRY!!!" but goes off to deal with Nurse Vengeful. Nicole says it's really cool having a real lunchtime, in a real cafeteria, which she can't do because she's home-schooled. Alex: "That explains a lot." Nicole ignores this, and asks if they're the cool kids or something, because it sure does seem like everyone's talking about them. Meredith looks out at the people at the surrounding tables, who are all pointing and staring and gossiping about her. She tries to ignore this, but cannot.