Angela is still in the chair in the lobby, frozen with grief, when Izzie finds her. In a rush, she tells her to open the mouth guard case at home, then apologizes for her loss and flees. Mere VO's: "We take one little oath, and suddenly we're drowning in obligations.
"To our patients, to our colleagues, to medicine itself." Callie is looking at Richard in the conference room, who is in his usual pose of staring blankly out the window. She asks him if he's okay, and he tells her what he clearly wants to shout at all of his employees: That it's his responsibility to make the hospital the best medical facility it can be, and to repair what he's broken, even if that was 20 years ago. Wait, is that responsibility taking I hear? It can't be. "If I am now the bad guy, if I am now the villain here, well... so be it." Callie tells him sincerely that it must be really hard for him, and that makes him turn and finally notice her. He thanks her, and she starts to ask but changes her mind and turns to leave, telling him to take care. But since she offered him some sympathy, he repays her with a job. He tells her to go down to HR and tell them she's an attending surgeon who needs a new badge. He then also tells her to take some Danish home, as they'll just go to waste. He shuffles out, and Callie smiles to herself at her luck.
"So we do what any sane person would do. We run like hell from our promises, hoping they'll be forgotten." Mere probably doesn't mean "run" literally, but that's just what Izzie does when she walks out the door the next day to go to work and encounters the bear. Alex, still in bed, looks incredibly pleased and asks her if it was a deer. She declares that they have to move -- because, you know, if it's a problem for Alex it's stupid but if it affects Izzie, it's life.
"But sooner or later, they always catch up." Derek looks into Mere's room, where she's sleeping while Lexie dozes in a chair next to her, with her head on Mere's bed. When she wakes up, Lexie does too and she immediately asks how she's doing and if she needs anything. Mere asks if she slept there all night, and Lexie admits she went back and forth between her room and Thatcher's, and that he's doing well too. She then says Lexie's name, and when Lexie hopefully asks what, Mere points out that she's on her IV. It's silly, but really quite sweet, actually. Mere wraps us up: "And sometimes, you find the obligation you dread the most isn't worth running from at all."