Mere goes to see Bailey and Richard in the conference room and tell them that UNOS does not have a match. Richard drops his head into his hand while Bailey stutters and tries to come up with a solution, saying she'll talk to Mrs. Brian. Richard tells her that she absolutely can't do anything that can be seen as coercion, that the rules are clear and that they can't risk losing their status as a transplant center. Oh come on, after Izzie's shenanigans -- if they didn't lose it then, I can't imagine them losing it now. But it's good to see him thinking about actual rules and regulations and not just how to make themselves look good. Quietly he tells Bailey to let the patients go. "It's over." (In my head I added, "Sooooo over," because it was the exact same delivery.) Poor Bailey looks like she's just been punched in the gut.
Hahn finds Callie looking at an x-ray and asks if she wants to get coffee, while sliding her hand familiarly onto Callie's waist. But instead of agreeing, Callie whips around at her touch and blurts out that she's not cut out for this. "For coffee?" If by "coffee" she means, "sex with women," then yes. Callie sounds genuinely regretful as she says that she thought she could do it but she can't. Hahn's confused since Callie did do it the night before, but after a beat she realizes, "It wasn't good for you." Callie looks tortured, and Hahn just turns and leaves.
Izzie and Alex are back in with Dixon, who can't believe he got so close. But when Izzie consoles him that he still is high on the list and has a really good chance at another kidney, Dixon says that's not what is upsetting him. Izzie realizes, "Oh. Your son." What a professional. Dixon tells her it was his chance to get P.J. back, and despite Izzie's dismissive responses he tells her that he knows P.J. can be a jerk but that he was a bad father. P.J.'s mom died and Dixon worked too much and made a lot of mistakes. Izzie, having already made up her mind about the situation, jumps in to assure him to not blame himself. "Some people are just broken." Alex finally looks up and Izzie continues, "I guess you just try not to care too much. Then you can't be disappointed." Dixon nods through his tears, and as Alex hands him his discharge papers to sign Dixon starts pleading, "I'm sorry. I'm so sorry." Izzie just takes his hand.