In some room somewhere in the hospital, a doctor gives Izzie a shot in the ass (okay, the spine) with a huge needle while Bailey stands by and supports her. Izzie babbles nervously, and Bailey asks if Izzie's sure that she can't call someone or tell one of her friends what's going on: "You're gonna need somebody to hold your hand." Little martyr Izzie declines, but she gladly takes Bailey's hand when she offers it.
In the ambulance bay, George ambushes Meredith and demands to know where Izzie is. Meredith doesn't have nearly a good a response as Bailey -- she squirms around for a bit and then gives George the location. Meredith would make a terrible spy.
We see Crush animatedly chatting with Mr. Waring while Mrs. Waring watches from outside the room. Alex walks up to Mrs. Waring and tells her that Addison has agreed that Crush can go home provided Addison has the chance to make arrangements with a local doctor. Mrs. Waring: "I can't." There's some typical miscommunication until Mrs. Waring clarifies, "I can't take her home. That girl is not my daughter." Commercials.
We return to Mrs. Waring telling Alex that while Crush looks and sounds an awful lot like Shannon, Mrs. Waring is just certain it's not her. Alex tries to explain about the whole plastic surgery and amnesia thing, but Mrs. Waring cuts him off: "A mother knows her own child, Dr. Karev. And that is not my child." Well, that's conclusive. I don't know why Maury Povich just doesn't use this method for his "who's your daddy" shows. It's too bad there's not some kind of blood test that could be used to determine paternity. Even if there were, I guess you'd need some kind of medical professionals to administer it. By the Hammer of Thor, these people are stupid! Mrs. Waring worries about how she'll tell Mr. Waring that he's completely wrong, and she asks Alex to have Mr. Waring meet her in the lobby. She asks Alex to give her apologies to Crush. I wonder if Hallmark makes a card for that?
Derek is back in Richard's office. Richard tells him that things have changed since Derek came to Seattle Grace. Derek disagrees and demands that Richard support him in his quest to become Chief. And then it comes out that Richard thinks that making Derek Chief would ruin his relationship with Meredith. Richard promised Ellis that he would look after Meredith, so he's decided not to promote Derek in order to preserve her somewhat fucked up relationship. So, on Richard's theory, only sad, friendless, loveless losers should get to be Chief. I guess Mark gets the job, then.