Mere, understandably livid, storms up to Derek to accuse him of stealing her surgery out from under her. Rather than admitting he did it or showing even a shred of remorse, he points out that it was Nelson's surgery, not hers, and then April jumps in to chirp that he said this was below Nelson's skill level, right? She's almost psychotically eager, but also seems to realize that she might have been sent for the scans under false pretenses and doesn't want to believe that her gloriously-coiffed boss would do that to her. Mere just yells back that it was her diagnosis and therefore her surgery, and asks to scrub in at the very least. Derek won't even let her do that, though, lest it look like favoritism. Isn't their tangled romantic history and post-it marriage enough evidence of that already? April tries to jump in but Meredith shoots her down, and Derek tries to get her to be quiet and not make a scene. Instead, she marches off screaming, "He stole my surgery!" repeatedly, just so everyone hears it. Richard has watched all of this and with a drop of amusement in his voice asks Derek if everything is okay. Derek's calm has been seriously ruffled but he lies that everything is fine, though turns down Richard's offer to eat lunch because Derek gets mobbed by people who need things urgently every time he tries to eat in the cafeteria. On cue, Hunt runs up with an urgent matter. Seriously, though, did he really not expect that kind of thing when he took the Chief position?
Richard then heads down to the cafeteria alone. Arizona, Callie, Mark and Hunt are all at the same table, and Mark keeps telling Callie to "say it." Callie tries to get him to be quiet, while Arizona asks what on earth is going on and Callie tries to tell her it's nothing. Richard comes up and says hello, and they all smile back at him, but because they are self-absorbed jackasses no one offers him a seat and he eventually says, "Okay, then," and walks off with his tray. Then lather, rinse, repeat with the Callie/Mark/Arizona bickering. They are interrupted, mercifully, by an incredibly angry Teddy who marches up and demands to know what Hunt's problem is. The cafeteria goes silent for the show as Teddy yells that he has no idea what her patient has been through, and that her pain is only going to be worse when she shoves a tube down her throat for the test Hunt wants them to redo just because, she says, he has a problem with her exercising her legal right to die. He says nothing but just glares down at the table as Teddy again demands to know his problem and finally, he gets up and leaves without a word.