Cute Paramedic Matthew is back in the ER, and despite his longing glances at April she still doesn't notice him at all, though to be fair, she is totally focused on teaching Stephanie. She keeps shooting things at her, rapid-fire, but Stephanie is finally managing to keep up a little and seems happy to be getting things right. Once they have the patient in a room Matthew hangs around for a few moments but finally offers to see himself out; April still doesn't even notice he's there, but Stephanie finally picks up on what might be going on. Come on, April, you're Christian, not blind.
Meredith and Smash are in the OR, removing the liver for transport, and Mere is talking Smash through the steps to disconnect it. But as he makes a cut, blood begins to spurt everywhere and Mere starts to wail. The local doctors are watching from afar at the train wreck in front of them while Mere screams at Smash that he just cut the artery that was absolutely not supposed to be cut. The surgeon observing turns to his own intern and tells him never to do what Smash just did, while Mere whimpers and tries to save the liver. I get it, Smash is a screw-up and Mere is emotionally fragile... but to be fair, she said cut, and he cut and followed her instructions. He did screw up, but it wasn't like he did something totally out of the question, willy-nilly dicing up the organ while disregarding his boss just for fun.
Arizona heads up to the ICU to see her patient and finds Alex and Alana outside the room, discussing the surgery. Alana manages to act human enough to act if she is okay and Arizona apologizes for her having to see her upset like that. Alana just replies that she was having a moment, everyone has them and it just sucks when they are at work. I would have thought Alana would also have seen that Arizona had her scrubs rolled up in there and was clearly going through a pain issue to do with her amputated leg, but I guess she couldn't see past the pastries. Alex thanks Arizona for letting him finish up the surgery, and Alana rather pointedly says it was impressive for her to let a fellow do that. Arizona says that he's qualified, and Alana asks about their surgery the next day since she'll be observing. Arizona immediately assures her that she'll be in charge and working with Cristina. Once Alana leaves, Alex asks what's going on but Arizona insists everything is fine. She tries to leave but Alex offers, kind of self-consciously, to do the surgery if she wants to sit it out. He's sincere, but she's taken aback by the suggestion. He continues that he's worried about the program since Cristina keeps making cracks, and so he wants to make sure everything goes perfectly for Alana. She refuses to even engage him on the subject and just tells him that she'll see him there in the morning.