The next scenes artfully cut between the three simultaneous surgeries. First, Hunt looks right at Izzie as he starts to take out Randy's staples. Once they are wrist-deep in him, though, alarms start to ring and they try desperately to save him. They can't, though, and over the single note of his flatline, Hunt glares at a shocked Izzie before pulling off his mask and storming out.
Next door, they are nearly done with the penis surgery and Mark tells Cristina that as senior resident, she gets to test the apparatus but he'll understand if she wants to pass. Cristina sucks it up and tells him she doesn't pass, and even though it might be a joke to them she does her job. She then announces, "Squeezing the scrotum." As the other attendings did before, the men all properly appreciate this most sacred of actions with breathless awe.
Bailey takes out a piece of Mere's liver with no drama or complications, but there's drama enough in the next room when Thatcher seems to crash during surgery. Richard is performing the surgery himself, and doesn't appreciate it when Alex reminds him that he can't let this particular man die. Bailey then goes out to the lobby, where Lexie is asleep in Mark's arms. He says he doesn't want to wake her if it's bad news, but Bailey tells him to wake her up. So Richard was able to come through after all.
Hunt and Izzie are in the elevator on the way to let Angela know the results. Izzie is sad, while Hunt is angry that Randy had a couple of months and that they just took it away. Izzie tries to take the blame but Hunt won't let her, he says he made the wrong call, he should have known better, and he should have taught better. He does tell her that she wasn't ready to be put on this case, and that even though she beat the odds, she was the one in a million. He warns her that she can't be both a doctor and patient; she has to choose. He then gets out and goes to Angela, and as Izzie watches Angela sinks sadly into a chair before the elevator doors close.
Irving wakes up to find Mark in the room, and when he asks how it went Mark tells him he doesn't think he'll be disappointed. Just then, Doc comes to the door along with an older woman, and Irving happily introduces Mark to Marian. Everyone is beaming that it all worked out well, but I think Irving and Marian are happiest of all, clearly.
Richard is splashing water on his face after the surgery when Cristina comes in to confront him. Despite his warning her that it's not the time -- it's "not the time" all the time these days, and it's old -- she announces that she has good hands, made to do complex surgeries, and she should have been working on a heart saving a life rather than removing a tick and putting a pump in a penis today. Richard wearily asks for her point. She's surprised by the question, and then announces that he should just cut her from the program, because if he can't provide a cardiothoracic surgeon that can teach her, then she can't get what she needs here. It's like the penis pump flipped a maturity switch in Cristina, and instead of just being twitchy and angry, she finally is rational and well-spoken about her situation. She tells him that she's scared of losing her job but she's more scared of not learning and not using her "gift." (Gag.) "That's my point sir." He just watches her then leave, seemingly unaffected by her speech.