Izzie is in bed and honestly, I don't know why she bothers to wear clothes to work anymore with the amount of time she spends naked in the on-call room. She puts Mark well to shame. Denny admits that he's jealous, and Izzie is sorry but begs him not to make her choose, because she can't. He tells her that she knows he can't do anything that would make her unhappy, and she sits up and tells him she loves him. "That's what you tell all the guys." Ha! She doesn't respond to the dig and instead says that it's her birthday and asks if he's going to get her a present. He tells her sadly, "I think I just did," while Melancholy Izzie music plays behind them.
Alex and his intern are watching Arizona as she makes a note in Jackson's chart. Bailey walks up as Arizona shakes her head. His test results are bad, and he needs to be put on the transplant list immediately for both an intestine and a liver. Bailey jumps in to ask for a second opinion, so Arizona pulls out a paper and stonily writes a name on it. She hands Bailey the name of someone at Johns Hopkins and says when he tells Bailey that Jackson needs a transplant, she needs to do it. Bailey gets defensive and says there's no need to snap, but Arizona (rightly) tells her that there is. She calls Bailey on second guessing everything Arizona has done and said, and reminds her that this is about Jackson and that if they waste any more time he won't live. I'll give her this -- Bailey takes it like a man and everything she's just been told clearly sinks in.