You know that movie The Hangover? Well, Dr. Alex Karev may have lived it. He’s feeling the effects of a wild weekend in Vegas, but gains no sympathy from the new Pediatrics Attending, Dr. Phil Stark (guest star Peter MacNicol). Stark’s cavalier attitude during liver transplant surgery on an infant is surprising. Alex and April are truly stunned by Stark’s decision to leave the baby opened up with a sponge in her until the swelling of the new liver goes down. April wonders how this is a solution. Alex says, “It’s not.”

Alex comes up with a viable alternative to help the baby, but Stark’s not having any of it. Well, he’s not having any of it as far as Alex knows. Stark operates while implementing Alex’s concept. The Chief congratulates Stark on the great idea, but April asks just who came up with the solution first. Glad to see she has Alex’s back.

Later, April finds the recently-dissed doc and things take a passionate turn. Alex loses it when April asks to slow down. He says she’s a big girl and he’s not going to hold her virgin hand through all this. Alex storms off, leaving April alone and stunned. It’s all pretty harsh.

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