Rebecca pops up looking for Sloan but Izzie finds her first. Izzie informs her patient she isn’t pregnant but Rebecca insists she is. When Rebecca asks Sloan for a breast enhancement, Mark and Izzie agree she needs a psych consult. Alex sees the ultrasound and knows that Rebecca was never pregnant. Rebecca refuses to believe it. She insists she had a miscarriage. Izzie is stunned when Alex still chooses to take care of her, when clearly she needs more substantial help.
The Chief has Adele on his mind after having spent the night with her. He has George draft a suggestive email. Remember, George is the Chief’s intern now. But he’s also doing a little marriage counseling for Bailey. He offers to take baby Tuck for the night so she can hash things out with her hubby. Dr. O’Malley works pretty hard at his medical duties, too. George tells Tuck he’s exhausted but he’s turning things around.