Plucky Jake's OR. Derek saws through Jake's skullcap as Bailey watches with her humongous baby in her arms. "Noooowww, Dr. Shepherd is sawing through the skullcap," she says in a singsong voice. "Dat's what he's doing! Ches he isss." Hee. Derek's not laughing, however, because Jake's starting to bleed. He tries to save him, but there's too much blood. Mark steps in with the paddles, but it's too late. Jake's gone. Bailey smartly removes her baby from the observation room, and Cristina looks crestfallen. After the OR is cleared, she and Alex are closing up the stitches and cleaning up the body when Alex muses, "Shame he never had his face fixed." They both have the same thought, and we rush off to see Dr. McSteamy.
Boy howdy DO WE. Because, and I don't want to take up too much of your time here, but: Dr. McSteamy is without a shirt. And lo, it is good. Huh? What? Oh, I'm sorry. I just had to rewind that scene a few thousand times. Talk about spontaneous orgasms! Oh. I…I think I've said too much. Excuse me. Moving on. McSteamy, Alex, and Cristina gather over Jake's dead body and get ready to perform the facial reconstruction. Alex and Cristina move to put their masks on and McSteamy says, "You don't…you don't really need those." Alex kind of casually takes his off with a roll of the eyes, but Cristina seems more bothered by this, and Mark for some reason focuses on her for a second. I have no idea why this might be significant, but I just liked that McSteamy and Cristina seemed to be much more sensitive to Jake's death than Alex. Finally, he asks Alex for the scalpel and the surgery that Jake so desperately wanted begins.
BDG's Room of Eternal Ire. Burke wakes up BDG and informs him that they removed the entire tumor. He's stunned that he's even alive. He asks about his tapes, and Mere pulls them up. "Would you like me to throw them away?" she asks. "No," he rasps. "I'd like you to mail them. I-I have to say my piece. Sometimes a man has to say his piece." Burke and Meredith take their Lesson Du Jour and run with it. Mere goes to the nearest nurse's station and thumbs through the phone book. George appears and announces that he wants to take her out for a drink tonight, maybe someplace other than Joe's, because there's something he needs to talk to her about. Meredith thinks she hears something buzzing around her, but deems it a tsetse fly and ignores it. George doesn't seem to understand this, so he keeps talking until finally Meredith rips a page out of the phone book and says to him because he just happens to be there, "I don't want to make videotapes on my deathbed, George." And then she…just walks away from him while he looks like a tractor just ate his kitten. George? SHE DOESN'T LIKE YOU AND NEVER WILL. MOVE ON. You just asked her out and she IGNORED YOU. God. GOD.