Richard wanders over to where Alex is scrubbing in and admits that Alex has every reason to be angry with him, that Richard played him like a fiddle because he wanted in and looked for the weakest link, which turned out to be Alex. Alex is riding high on his transplant idea and graciously tells Richard it's fine, and he'll know better next time. But WILL HE? Because Richard then goes into a sad tale about how he's, "and old man acting out of fear," because he realizes he doesn't have much time left in the game. He then weaves a tale of woe that in a year or two he'll be shoved off into an office out of the way and will be given a couple of appendectomies every so often so that he can pretend he's still a surgeon. Alex assures him he doesn't have to worry but Richard just continues that this is the way of the world, and at a certain age this is just what happens. He says that he can't think of anything more humiliating... can Alex? Alex mulls this over, and then graciously asks Richard if he wants to go ahead and scrub in on this one. Richard is all wide-eyed and asks if Alex is sure, and Alex tells him to go do it before he changes his mind. Richard thanks him and pats him on the back slowly, like he really is getting to be a slow old man.
Mere and the nurses are counting bloody sponges, but are still coming up short. Bailey walks over to look at the patient's x-rays while Mere frets that he has been under too long and they have to close. Bailey just lectures her, asking if she really wants this kind of thing on her record, but Mere just stares at her in response. Bailey is fed up and somehow still very comfortable on her high horse, lecturing Meredith about not giving up, until Meredith finally points out what she and Ben just noticed: the sponge is on the bottom of Bailey's shoe. As she looks down at it, Ben can't help but laugh about her laser-like focus.
As Richard and Arizona are working, she asks why he is there instead of Alex and boldly he answers that he picked Alex's pocket. This is not Alex's day -- he doesn't seem to get it at first and Richard just turns to incredulously ask if this is really twice in one day. He then tells Arizona that it was like taking candy from a baby, but quickly revises that because a baby at least puts up a bit of a fight. While Alex tries to figure out what is going on, the docs see a splash of urine that tells them that the transplant was a success and they all cheer.