Despite the fact that Derek left the house extra early to speak with Richard, they're just now talking in Richard's office. The gist of the conversation is that while Derek knows that Richard needs to appear as though he's considering all the candidates for his job, he really wants him to live up to his original promise and make Derek the new Chief. Richard deflects him, and Derek asks him to at least support him with the board. Richard doesn't make any promises, and points out that he only has one vote.
In the clinic, Izzie walks past Bailey and tearfully tells her that she's not feeling well. Bailey asks George what's wrong with her, but he doesn't know. So Bailey follows Izzie into the loo. There's some sobbing coming out of one of the stalls. Bailey looks under the stall doors (presumably to be certain she's not about to embarrass Izzie in front of a patient or coworker), and then says, "I can't talk to you when you're making all that noise, so pull it together and get out here." Lest you think she's gone soft, she adds a firm "now!" to that sentence. So Izzie comes out of the stall and tells Bailey the story: eleven-year-old daughter, leukemia, bone marrow transplant. She also asks Bailey not to tell anybody about these things. Izzie: "She's here. My kid. And I'm supposed to go up to pediatrics and meet her, right now. And I've thought about this moment. What I would look like, what I would say. But I thought I would be older. More together, more mature. And I thought she would be older, and I never thought that she would be sick. Oh, God, I don't know what to do. I don't know what to do. What do I do?" Really nice work from Katherine Heigl. We leave the scene before Bailey can tell Izzie what to do.
And now that we've met the parents of Izzie's baby, it's time to meet Crush's parents, Mr. and Mrs. Waring. They're in a conference room, speaking with Alex and Addison. They say that her name is Shannon, and that one day her husband packed up and left because he didn't want a baby. And even though she was pregnant, she chased after him. Her parents hadn't heard from her in months, and then they saw her picture on the news. In fact, they have a picture with them, and the young woman in it does resemble Crush to some degree. Alex starts to fish for confirmatory details, asking if they know Shannon's blood type. They do. (Or at least, the mother does.) And Addison asks about any other significant medical history. It turns out she had her tonsils out at age 12. The father wants Alex to confirm that Crush is their daughter. Alex looks pensive, and then we cut to commercials.