Part of Mere's duties include checking in on a teenaged girl with abdominal issues. The girl looks a mess, but her mother looks atrocious; she has a raging queen bitch expression on her face, ruby red perma-lipstick, and she keeps going on and on about how she thinks her daughter caught a bug in the third-world country she told her not to visit. The father, who seems moderately nicer, if not just totally cowed by his bitch of a wife, just keeps talking about how the girl's been weak and losing weight ever since she returned from Mexico. The girl just chews her nails and generally looks miserable. Mere asks her to lie back for an exam, but the girl resists and begins to look really nervous. Mere just tries to put her at ease, saying that it's probably nothing, but she can't be allowed to leave until Mere checks her out. The girl insists that she's fine and just needs some antibiotics. "For god's sake, Claire," says her bitch of a mother, "I don't want to spend my entire day here." It's clear from Claire's face that this woman has more in common with a fire-breathing dragon than a mother. Meredith wisely asks the parents to leave the room and, thankfully, they do.
It's time to check in with Alex, who seems to be admitting a man named "Digby" who has an appointment. He approaches Digby and notices that he's bleeding profusely from his arm. He takes a look and it appears that Digby's been shot. Alex goes into doctor mode and calls Cristina over, and they scramble to get Digby into the pit. Digby seems more than obliging, but he informs them that this isn't an emergency because his buddy shot him on purpose. "Why?" asks Cristina. "I like the scars," says Digby.
"Nobody knows where they might end up...nobody knows!" Sing it to me, you naughty interns on gurneys!
After the credits, we discover that Digby considers his gunshot wounds his "art" and that he doesn't mind that this last bullet went all the way through his arm and into his rib. Cristina's completely disgusted with him. Digby has an ethos: "Why do anything unless you're willing to go one step further than everybody else?" Alex and Digby chat with each other about pain and sports and they realize that they were both on wrestling teams in Iowa ages ago. Cristina grimaces that thinking of them in tights makes her want to puke, so she leaves to...go puke, I guess. Meanwhile, Mere is checking out Claire's abdomen and the girl seems to have a lot of sensitivity and pain. Mere asks her to lift her shirt so that she can examine her stomach and Claire reluctantly does so. She has four raised pink scars on her belly. Mere determines that Claire has had surgery recently and Claire begs her not to tell her parents.