Cameras have been installed in various parts of the hospital. It's all part of a plan initiated by Dr. Alana Cahill (guest star Constance Zimmer) to have a remote physician oversee things to improve efficiency. Big Doctor is watching, though Cristina simply refers to him Bob. Alana also brings in an outside doc to teach everyone how to standardize a medical procedure. The man eats, sleeps and breathes hernias. The first doc who completes his procedure 20 times wins a swell Seattle Grace Mercy West sweatshirt. It's the Hunger Games of hernias!
Richard is perfectly happy with his personal hernia procedure, so he's not thrilled about learning a new way. Bailey, on the other hand, is all about toeing the company line if it means keeping her job. Too bad she can't keep up with one of her former charges. Meredith is a hernia hero until she steps away fearing something is wrong with the baby. Bailey lets her know that everything is cool. That fluttering she feels in her belly is just her baby kicking. Whew!
Cristina works on a kid in critical condition after a skateboarding accident. Leah finds an ID tag listing him as a Jehovah's Witness. That means they can't give him any blood. They need to attempt the extremely difficult challenge of saving his life without a transfusion. The family is adamant that the patient is not to receive blood. That's not good enough for Leah. She tries to sneak the patient a pint, but forgets about the cameras. Dr. Bob busts her, but won't rat her out. As for the patient, despite their best efforts, he can't be saved.