Security has been called to deal with Brian's father but the man has calmed down and apologizes to Alex, admitting he lost it because he only learned about the surgery the night before from an email. Alex dismisses the security guards and then turns to the man and tells him he knows this is a big adjustment for any parent, especially the first time they hear about it. But before either of them can say anymore, Brian shows up in the hall and sounds very surprised to see his father.

Richard and Callie head down to Portland and then try to get Richard seen as a patient. Callie forgot about actually setting up a backstory so on the spur of the moment she introduces herself as Calliope Plantain and Richard is her husband, Julio. When the woman asks to see ID Callie utters the magic words that will get them whisked immediately to an exam: chest pain.

Jackson is teaching a seminar so the interns can learn some particular method of closing wounds. His photographer Larry is in the back of the room to witness the whole thing and Princess is well aware of this, so she starts asking Jackson pointed questions about his work to highlight the cosmetic aspects of his job. Stephanie catches on immediately and counters with questions about amazing procedures like face transplants -- she doesn't give Jackson the chance to say he's never actually done one of those, even though he tries. He meanders over to Stephanie to ask what is going on and she warns him that she's saving him because things are looking bad for him right now. He catches Larry fiddling with his Blackberry and so runs back and offers him the chance to try out the procedure himself for fun. But he has to excuse himself to answer his phone.

The call is from April, who is working with Matthew and Nicole on a ten-year-old kid who is lying in the street after a hit and run. She explains that Seattle Presbyterian was slammed and diverted them instead to a hospital an hour away. She yells out a list of all of the horrible things wrong with the boy and finishes by asserting that he'll die on the way if they try to go there. Jackson realizes what's happening but asks, "Are you asking what I think you're asking?" Matthew is doing his best Smell the Fart acting as he stares intently at April but Nicole looks incredibly skeptical about it all. April just answers, "If I am, will you do it?"