As Mark finishes up the baby's surgery he can't help but rub salt in Jackson's wounded ego. Jackson is still holding on to the fact that he's the Gunther but any points he earned with Mark for that have all been lost today.
He may try to act like he doesn't care, but Alex seems rather despondent that if he just closes up his patient now, that basically means leaving him to die of sepsis. He turns and starts asking Richard questions, but Richard stays silent and eventually goes back to his book. You know he's reading the same paragraph over and over, though. April tells him she is sorry and he finally calms down and says sadly to just go ahead and close Sam back up.
We get artsy now as the music starts and a hand erases Jackson's name from the board. He glowers as the baby's mom gives Mark a big hug, and Mark, ever the very picture of maturity, gives Jackson a very pointed look over her shoulder.
The hand then erases Cristina's name as she and Teddy walk out of the OR and the disgraced surgeons agree in as few words as possible never to speak of this again. However, the nurse doesn't make any of her own promises as she shakes her head at them while walking out.
Alex's name is erased as he stares at Jason in the waiting room. April offers to go talk to him but Alex agrees to do it. Before he goes, April gently tells him that while Jason won't understand it, Alex did everything he could and needs to remember that. The fact that he doesn't make a snide comment back to her seems to say that he appreciates it. He then sucks it up and goes out to the waiting area.
Mere is almost done -- she just needs to finish STAPLING THE GUY'S SCALP BACK IN PLACE OMG NO. I'd like to thank the show for giving me a visual of that, as well, because the sound of the stapler and the knowledge that it's being used on someone's head wasn't enough. I'm going to crawl out of my own skin. And I've HAD staples! Loads of them! But I never had to HEAR any of them going in! (Nor, full disclosure, did I ever have to look directly at them since they were in my back.) One of the people in the room -- I think the anesthesiologist? -- looks at Derek rather pointedly but when Derek does nothing, he starts a hearty round of slow-clapping for Meredith's job well done. She's happy until she turns and sees Derek; he finally joins in halfheartedly to not look like an asshole, but he's glaring at her and the smile drops right off of her face. Finally, her name is artfully erased from the board.