Cristina returns with the bag that contains a white powder. Hunt tells George to pour the powder over the bleeders. It's not an FDA-approved substance, but it replicates the blood clotting process and buys them more time. All during this scene, Cristina runs around the operating table trying to see what's going.
Izzie's mom is still perpetually chipper, reading Izzie's palms and inferring things about her and Alex's sex life. Izzie begs Alex to take her to get CT scan so that she can get some kind of respite from her mother, so leaves to see what he can do. Alone, Izzie tells her mother that she doesn't just have a cancerous mole, she has stage 4 melanoma. Robbie realizes that Izzie might die, and starts weeping inconsolably.
Before the scan, Bailey optimistically says that if Izzie's mets have shrunk down, she'll just go in and remove it. Izzie says that the scan has to give good news, otherwise her mother won't leave. Bailey confesses that she was the one who called her. She would want to know if her child was dying of cancer. But she realizes that the reason why Izzie didn't want her mother to know was because she was protecting herself, not protecting her mother.
When the results of the scan are back, Bailey lies to Robbie and says that all of the mets have shrunk and that she is cured or something. Robbie rejoices, but Izzie knows that it's bad. With her mother out of the room, Izzie asks for the bad news, which is that although the mets have shrunk slightly, there are new ones that have just formed in her small bowel. Bailey still insists on going through with the surgery and promises that she will take everything out.
Arizona pops in on Callie's surgery. She admires how caring Callie is and she loves how much she cares about her patients. She says that she'll keep on loving her, even if she decides to lie to her parents about it.
Derek tries to talk to Richard about how Meredith is doing her best. Richard says angrily that his friendship with Derek is the only reason why he hasn't fired her yet. He tries to claim the he doesn't look at Meredith like a daughter, but Derek calls him on his father-figure shit, saying that Richard always behaves in a super professional manner except with Meredith. Meredith approaches the battered woman and her daughter in the waiting room to apologize about mouthing off earlier, but she wants to say once more that she has to do something to protect her daughter and be her advocate. She can't let this be Maddie's story. Richard tries to stop Meredith, but instead, he listens to her whole speech and something inside his heart is moved.
After surgery, Callie tells Julie that Willow lost a lot of blood but she's stable. Julie says sadly that the bulldozing company weighed the cost of killing Willow versus letting her stay in the tree. Obviously, they didn't think much of the value of her life, since they got into a bulldozer and knocked her down. When Willow wakes up, Julie tells her that she filed a lawsuit against the company for $10 million, which could plant a lot of trees. This inspires Callie to stay true to herself and not lie to her parents in exchange for a trust fund. (Also, Jesus Christ, Callie is an orthopedic surgeon. She really doesn't need to worry about money, especially since she doesn't have any student loans to worry about. Unless her father is making her pay him back for her educational costs, but that wasn't stated explicitly in the episode.)
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