Mrs. Banks is awake after her scare and asks about her husband; Mere answers that there were complications but that Bailey is doing all she can to fix him. She then asks about Emile, and Meredith has to admit that he is in surgery for bleeding in his brain. Mrs. Banks is horrified, and after a moment she tells Mere that Emile didn't say a word to her for 15 years. Mere asks if she knew, and she did, which is why she kept going back. Instead she met her husband, Emile never made a move, and so she made her choice. Mere can't quite get a grip on things and prods gently that she kept going back to the restaurant, but Mrs. B. says sincerely that Bob liked it and she loved Bob, so it became their place. She then says with a fond smile that he orders for her because he knows what she likes, and that they have reached the point where it's comfortable to not talk sometimes. She seems utterly at ease with her choice, which she says she keeps making every day. Mere is left to some serious thinking about relationships and what she perceived earlier as Mrs. B. tells her that's what marriage is.
While she's calm, though, her two men are not faring well in surgery -- Bailey can't get Bob's bleeding under control, while Derek is cursing at the discovery of a severed artery in Emile's brain. Alex is beating himself up, wondering what he missed, but Derek assures him that this kind of thing has no symptoms and the CT was negative, so it's the kind of thing that you don't find until it's too late. He asks if it's too late and Derek admits he doesn't know. Both Bailey and Derek beg their respective patients to stay alive.
Emile did not listen to Derek's begging, and April watches in tears as they zip him into a body bag. She tries to cry quietly and not give away that she's falling apart, but Alex knows she's upset and says harshly that Emile watched his life happen without him and is probably better off. His tone is very obviously trying to cover up that he had gotten fond of the guy over the course of the night. April can't take it and lets out a sob as Derek comes in, and she cries that she can't be a surgeon and watch people die. He practices yet another Chiefly role -- comforting an upset employee -- and pats her on the shoulder as she sobs that she should never have come back. He admits to making his own mistake last year and almost walking away, but assures her that if you don't feel the losses you aren't cut out to be a surgeon. Wait a second; aren't you supposed to not feel for your patients so that you can work more efficiently? I'm confused. But Derek assures her that he hired her back because he knows she can be a good surgeon, and she fights to get a hold of herself.