Derek is examining Burke and manhandling his arm, presumably to test his range of motion, but instead of paying attention to the task at hand is blathering on about Mark and his lack of ethics, etc. I think he's just worried about someone prettier working at the hospital. Burke is looking annoyed, which of course Derek doesn't notice. Watch out, Derek -- you don't want him testing out his dexterity by wrapping his fingers around your throat and shoving you into a wall! Hypothetically, of course. When he realizes Burke is trying to talk about the matter at hand, he comes back to earth and clears him for surgery. It's all kind of worrisome -- first that Burke doesn't speak up, and second that Derek somehow hasn't ever noticed his tremor and can clear someone who is clearly unfit for surgery. Burke asks if he's sure just as Cristina walks in. She's all fake pep, jumping over his words to assure Derek he's absolutely fine and having no problems, not giving Burke a chance to admit it if he were. "He's perfect. He's Burke." On this last bit, her voice softens. But he stares incredulously at her. He asks about Meredith and Cristina tells him, "She's not pregnant, with anyone's baby." This causes more stares from the guys and she realizes that's her cue and leaves. Burke sighs.

Izzie walks into Joe's and tells him she's meeting someone there, but doesn't know who. Joe guesses it's the older man who just came in -- none other than Roone! The actor is Fred Ward, who I will forever know and love as Roone, country Lily Tomlin's professional miniature golfer fiancée in the fine cinematic masterpiece, Big Business. She turns and he asks, "Dr. Stevens?" She puts out her hand and greets him, "Mr. Duquette." He answers, "Please. Call me Denny." With that, her eyes fill up as she tries to keep her cool.

Their conversation starts off on an incredibly friendly note as he notes how pretty she is, "Not Denny's type at all." Fathers will always know how to put their child's new significant other on edge, even after death. She coolly asks what his type was. "Dark-haired girls, smart... " He catches himself and backtracks that being a surgeon, she's obviously smart. She corrects him that she was a doctor, and he remarks that Dr. Webber had told him that she quit. She's surprised that he spoke to the chief, and there's a twinge of worry in her voice, made worse when he next tells her that Dr. Webber said she'd be able to tell him the whole story of what happened when Denny died. When he asks for her own version, she downgrades her title and has him call her Izzie. He demands, "I need to hear the whole story."