George is taking Marina's blood as the boyfriend tells the story of their relationship. In an absolutely astonishing parallel, they met and their relationship took off really fast until they got engaged. The boyfriend is realizing a few steps they missed along the way when he doesn't even know her middle name to fill out the medical forms. (That, and the whole having cancer in the first place detail.) George tells him that it's "Rose" as he hands over her driver's license with a terribly shaky hand, a la Burke's tremors. The boyfriend looks a bit quizzical but doesn't ask what the doctor is doing by shaking like a leaf when he's holding a needle into his fiancÃ©e's arm.
Meredith has apparently escaped her mother and is prepping Derek for meeting her. She tells him that Ellis seems charming but is really the enemy, but Derek doesn't seem to be taking the advice as seriously as he should. He assures Mere it will be fine. Really, Mere, he's McDreamy! If anything goes wrong just run your mom's fingers through his luscious hair, and I'm sure everything will right itself.
Olivia runs into George in the hallway and points out the obvious -- that he's shaky, sweaty, and pale. She asks if he's regretting it, which I feel is a question she best keep to herself considering, after all, she once gave him syphilis and therefore lost her "witty insult" card with him. George just shoves the blood he just took from Marina into Olivia's hands and asks her to take it to the lab; he then tosses all of the leftover detritus from the tests into a biohazard bin and sits down before he falls. Callie finds him and asks if he's okay, but instead of answering, he asks her middle name. She jokes that it's bad and she tells no one. He tries to sweet-talk her by pointing out that they're now married, but she goes off the deep end and flips out on him. She can tell he's got a reason for knowing but instead of asking what it is assumes that his "weird and judgy" friends (fine, so that's not wrong) got to him. He's struggling and says he can barely breathe but she just snarks that last week he didn't know her middle name and could breathe just fine, and leaves him confused. I totally get that she's been put through a lot of shit at the hands of Izzie, but I think she might understand that her husband would want to know her full name. And wouldn't it have been on some form they'd have to fill out, anyway? Or are full names optional for Vegas marriages?