Arizona and Alex have one of their African patients in for an operation, and Cristina is helping out since the little girl needs heart surgery. The girl's guardian tells them how relieved she was to find out that the program wasn't moving to UCLA after all, since Alex and Arizona are so good with the kids. Arizona assures her that she had been gone but now she's back, and the program isn't going anywhere now -- this feels awfully heavy-handed and like the program will wind up in Alana's sights soon enough.

That's exactly what Cristina thinks, at least, and when she and Alex are out in the hall she tells him as much. She figures that flying kids halfway around the world for pro bono surgery isn't the kind of expense that will be deemed acceptable. Alex gets defensive about it but Cristina is unmoved and she seems to have hit quite a nerve, putting Alex on edge. Hitting nerves really is her second specialty, after cardio.

When Smash gets back to Brie's room he's horrified to see that she's unconscious and intubated, and Bailey and Mere are working on her frantically. He hands over the test results which show that she's in liver failure to the point where she won't live more than a week with her bum organ. Heidi walks in with balloons and is panicked to see what happened just in the time she took to run to the gift shop.

Outside, Bailey explains to her that Brie's liver has stopped working, and she needs a transplant pretty much immediately. The good news is that the baby is totally fine for now, and that because she's an emergent case her name is on the top of UNOS's list for a new liver. She then takes Heidi in to see her wife, leaving Mere to freak out on Smash. She growls at him not to say a word but he can't help himself and begins to apologize profusely. She tries to control her lunatic pregnancy angry tears as she yells at him to leave and not come back until he has a liver for her. Her level of crazy gets ratcheted so high that Smash finally turns and runs off to Liver Duty.