When Derek goes to pull meds from a supply cabinet, Alana passes by with her tour and he overhears her announcing that they are about to go visit the new hernia clinic, which used to be that superfluous ER. He sends Princess down to warn the others and then runs over, cheerful as a rainbow, and introduces himself. She's suspicious of why he's playing so nice and he does lay it on a little too thick when he enthuses that Seattle Grace is more than a hospital -- it's a family. He then offers to show them a real human brain by way of the coffee cart for some refreshments. Alana heaves an annoyed sigh, but follows them.
Jackson realizes that his and Alex's surgery is in 20 minutes and they have to go but just as they are about to leave, Princess runs in and warns them that the tour is coming and everyone has to clear out. Alex and Jackson realize they can't bail just yet.
Alana finally tires of Derek's game and tells him they are on a tight schedule and have to get to the hernia clinic. He thinks a moment, and then says he'll join them. But while they are in the elevator, he almost starts shaking, he's so nervous. And Alana may be kind of a bitch, but she seems to be one of the only people who actually picks up on things like that so he might try to relax his quivering a little bit more.
Matthew and Nicole finally run out to move the ambulance but as the doctors try to move the kid, he crashes. April can't stand it anymore and shrilly starts freaking out, wondering what will happen if this kid dies after she insisted they bring him there. My guess is she'd get herself fired for a third time, which seems to just have a poetic sort of ring to it and feels like it might be the last time.
We finally learn a little about why the hospital would even want a hernia clinic -- especially over an ER -- when Alana explains to the suits that it's one of the most common general surgery procedures and for some reason one of the most lucrative.