Jimmy says no other doctors were willing to go near his brain tumor once they heard Derek's hand is better. Derek comes to see his patient, Jimmy, whom he's been meaning to operate on for a while. Outside the room, Meredith tells Shane not to say anything to her and not to come back to her until he has a liver for their patient.

She should be moved to the top of the donor list because of her situation. Bailey explains to the woman's partner that the liver problem seems unrelated to the baby. Shane walks back into the room, followed by the woman's partner.

The pregnant patient is unconscious as Meredith and Bailey try to revive her. After they leave the room, Cristina tells Alex that the consultant is likely going to cut the program.

Alex, Arizona and Cristina are treating a young girl who is there as part of their program to treat kids from Africa. Shane has test results for the patient, but he ordered the wrong tests. Meredith is checking her pregnant patient, who is experiencing pain, but it isn't labor and the baby appears to be fine. Alana Cahill, who waited 45 minutes and thinks she would have died if she was a real patient. There's a patient with shortness of breath and Stephanie needs April to do a consult.

Stephanie is drowning in the pit and April takes her under her wing. Meredith pulls Derek into an on-call room to have sex, saying it's 'the stupid hormones.' She can't go through with it, though, because she has a consult. Hunt calls a quick staff gathering to explain that because the hospital is facing a financial crisis, there will be a 'physician advisor' who will be helping make decisions that will cut some costs. At the hospital, Callie questions Derek's decision to try a very complicated surgery as his first one back with his new hand, which she's calling 'my' hand. She tells Callie she's fine, then she looks under the covers to be sure her missing limb is, in fact, still missing. Arizona gets to the hospital and her leg shatters to pieces and she falls over. Arizona is out for a run, apparently, while Voiceover Meredith tells us about 'phantom limb' syndrome.

Colossal is crazy twitch