Mere is scheduling Happy for surgery. She smiles a lot, again, and tells Mere what a gorgeous young woman she is. "Look at you!" She tells Mere she should smile more. Uh huh. Mere finds Happy's husband, Mr. Kline, outside the room and they make a little small talk. Mr. Kline finally confesses that Happy's, er, happiness really freaks him out. He thought at first it was just falling in love, and the wedding and everything, but he was kind of hoping the honeymoon would be over by now. Mere agrees that it's not normal. Mr. Kline whispers conspiratorially in Mere's ear, "NOBODY'S that HAPPY." Mere walks over and asks a nurse to run another tox screen on Happy. The nurse asks on whose orders. Mere: "Dr. Burke's, of course." Cut to Mere forging the order, and also Burke's signature. Good going, Little Miss "Everybody Lies."

Izzie awakens Bailey, who's napping in the on-call room, to tell her that Yumi is on her way back in: she collapsed at the competition, and is vomiting blood. Bailey sits upright. "Dayum fool. Probably tore her esophagus in two by now." She gets up, but nearly has to sit back down. Izzie asks if she's okay, and Bailey ignores this, and barks, "Complications of Boerhaave's Syndrome. Go!" Izzie reels off the list as they rush off to meet Yumi. Alex is already there, and tells them she's cyanotic and tachycardic, and he's given her saline. Bailey says they need to get her to the OR, and as they start wheeling her, Yumi grabs Alex's hand. Alex glares at Coach through the window, and says he should be the one on this freaking gurney. Bailey tells him to keep his eyes on the prize, which is saving Yumi's life. Alex and Izzie hang back, because Alex would like to kick a little Coach-y ass. Izzie tells him he's an idiot if he's going to get in a fight and get himself kicked out of the program before he's even opened his board scores. Well, there is a 50\% chance it won't matter anyway.

In surgery, Bailey quizzes Alex on what she's doing, and has to stop and take a deep breath. She throws her head back in anguish, and Izzie tells her that those are not Braxton-Hicks contractions. "I believe you're in pre-term labor." Bailey gives Izzie a look that says she might, kind of, maybe agree this time, and Izzie pages Webber.