The Chief grabs Derek and continues to explain his hiring Mark, and Derek only answers, "You did what you thought was best for this hospital." "I did." He finally asks Derek if he's okay, and McDreamy responds by asking him a personal question -- why he left Ellis. Chief says that he could have left his wife to be with her, but that he would have had so much baggage that he would have been no good to her. "I never would have made her happy. Not like she deserved to be happy. I was a better man for walking away. I loved her enough to walk away." Those Grey women and their married doctors are just a recipe for heartache.
George is pushing Meredith towards surgery as she shouts instructions to keep her covered on the table. "Too many people have seen me naked already. I'd like to keep whatever dignity I have left." Girl power! Or something. She sees Mark then, and delightedly calls out, "McSteamy! Woohoo!" George drops his head in defeat. She wipes her nose ungracefully and unselfconsciously as he saunters over. He asks her with a smile, "Is that what you're calling me now, McSteamy?" "Yeah," she admits, "But I don't think you're supposed to know that." "How's my favorite dirty mistress?" he asks. She's wheeled away and yells out gleefully, "Haven't you heard? Now I'm an adulterous whore!" He laughs, and it's the most genuine he's looked all hour, without his assy doctor-face on.
In an OR, Alex hands a newborn baby to Ms. Natural Birth. Both are alive, and the mother thanks Addison. Disgusted, Alex leaves the room. Meredith, meanwhile, is covered up in another room and they take out her appendix with no problems. Bailey has George finish up the procedure and he comes through with flying colors. Alex walks into Mark's OR with his coffee -- hang on, do they really allow coffee in an operating room during a procedure? You can already leave towels in people, I know I wouldn't want to give someone the opportunity for something non-medical to accidentally end up as part of my insides. Since it took him so long to deliver the beverage, what with the emergency c-section on the way, Mark doesn't let Alex scrub in for the "real" surgery.