A frightened Jo is forced to fly solo in a 15-year-old girl's complicated baby delivery. She then gets to assist Alex
as he pulls the baby through a difficult procedure. Now if she could just get him to stop calling her "princess." As for the patient, Jo is shocked at how indifferent the 15-year-old and her mother are about the baby. She tries to forcibly stop them from abandoning the newborn. Alex
later learns that Jo was also an abandoned baby who had a rough childhood. She's no princess, but she is a survivor.
The interns are shocked to see Mr. Crossley holding his wife upside down by her ankles. It's the only way he can keep her conscious. That's because a coughing fit damaged the pacemaker. They need to fix the problem by opening her up again. Stephanie and Leah race to prep the patient, but end up almost killing her instead. Cristina
boots them off her rotation. Owen
does her one better by suspending them both from the OR until further notice.
lectures Shane on the importance of putting patients at ease even when you may want to hurl because of the disgusting things you're extracting from their bodies. This actually helps the young intern later on when Callie
announces that an intern will be assisting in her surgery on Derek's
hand. Shane wins the day when he turns out to be the only one who actually treats the patient with concern and compassion. He then returns to help April
with more "lumps and bumps" much to her surprise.
Heather is caught in the middle of a feud between Meredith
about the "sisters" situation. She's in the middle of a rant about the two of them when an unfamiliar face steps up to them. It's one of Derek's
sisters, Lizzie (guest star Neve Campbell). She wants to see some pictures of Zola before anyone there hacks her hand into hamburger meat to help her brother. As for the interns, some of them had rough day, but they made it through. They'll be back again tomorrow though because that's just what doctors do.