Bailey is just out of surgery when the Chief's wife, Adele, stops her in the waiting room. It's never good when Adele shows up at the hospital. Never ever. In her sing-song voice she tells Bailey that the Chief never came home last night and he didn't call. She wants to know if he is like dead or something. Bailey doesn't know, but she saw him last night in his office. He was working on the budget. Lexie interrupts the Great Chief Hunt because she is looking for... the Chief. One of his patients needs emergency surgery. Bailey sighs, tells Lexie to prep the patient, and tells Adele to chillax. Adele does not chillax and does not appreciate being told to chillax even if it is kind of funny in a '90s way. Adele does not abide '90s retroism. Too soon!

Derek Shepherd examines Dr. Singer and I can't help but wonder if medical doctors get pissy about having to call PhDs "doctors" when we all know the only real docs are the ones with scalpels. Dr. Singer was an evolutionary biologist on his way to the Galapagos Islands (um... Darwin already covered that territory, doc) when his dad got sick and he had to go back to Chehalis. Chehalis's town motto is actually, "You Try to Get Out and We Pull You Back In!" but it always has a smiley face over the "I" so it looks friendly. Shepherd finishes his examination and concludes that they need to run some tests. Outside the room Shepherd asks Izzie more questions about Singer's condition. Izzie explains that she saw him over Christmas and he was fine and still teaching at the high school. Six months ago the school let him go. He's currently on every medication the nursing home could throw at him because the only diagnosis they made was old age. Cristina chooses that moment to assail Izzie for missing her cancer treatment and Dr. Percy, who is on Shepherd's service, shows up too and gets assigned to give Dr. Singer a full dementia work up. Izzie explains that she got her IL2 treatment at a different hospital and Cristina can just suck it. Just then Alex walks in. He sees Izzie and looks completely rattled. He just walks away. Can't really blame him either. And he probably has a preemie to suckle.