Bailey is shocked that Aaron took so long to have his bump looked at, but he just tells her that Karevs are tough, which will happen after five years in foster care. Bailey and Mere are both incredibly surprised to hear that, and even more so when they hear that Alex was in approximately 17 different foster homes over the course of five years, on account of his mom having serious issues and no meds to help her, and his dad being a monster. As is still the case, Alex could be hard to deal with if you didn't know him, so no one wanted to keep him. The surprise doesn't end there, but grows even more when Aaron mentions that Alex was sent to Juvenile Hall around age 11 for stealing food when their mom forgot to buy it for them. [He's just like Jean Valjean -- Angel]The man himself walks in with a question for Bailey and they fall silent, and between that and their faces Alex realizes Aaron has been talking about him and orders him to stop. Bailey just sends him back to work and then, over Mere's light protest, asks Aaron to go on enlightening them, as everything about Alex's tough personality is now falling into place.
Gina is talking to a police investigator to give her version of the events when Callie comes in to take her to surgery. Gina wants to wait so that she can give the guy some more details, but her husband cuts her off and reminds her that for the past seven years she's been saying that as soon as she makes detective they will buy a house and have kids, but then each time she gets close to a promotion she does something stupid. Whether conscious or not, it's clear where her feelings lie on that issue. He tells her that that he's not going to stand there and watch her die while she tries to put off the doctors, and Callie watches this exchange with a somber expression on her face as she realizes she could be facing a very similar conversation in her own life (most likely minus the gunshot wounds).
Richard and April are in Mrs. Clark's room and he demands that April tell him whatever she just did in a voice that tells her and us that something is Very Wrong. It seems she was weaning Mrs. C off of the ventilator but saw she wasn't breathing, so she reset the machine. She starts to sound panicky as she asks what happened and Richard tells her that the woman might have had a stroke. He orders her to get various scans and tests done immediately, but cuts himself off when Lexie and Mr. Clark walk in, both beaming. Mr. Clark cries and tells his supposedly sleeping wife that she looks great, they got the tumor, and honey, are you still sleeping? It's laid on a little thick -- wouldn't she still be sleeping at this point anyway? But we know that this is probably more than sleep and that Mr. Clark is about to have the worst day ever. April runs out, and Lexie looks at Richard, realizing something isn't right.