Alana busts in on Alex and Jackson only to find that they are operating on their transgender patient. Frustrated, she heads off to another OR to ultimately find the secret patient. Alana and Owen want the 411 on whoever is on the operating table. That's tough to say, as Meredith claims to have blown away all info due to the problems she been having with the hospital's electronic records system. Oops!
Alex and Jackson come clean about what they did to save a kid's life. Alana realizes that it was Derek who used his code to get meds for the patient. She's trying to help, so she wants him to stop undermining her and get onboard with the program. It looks like Derek is doing just that. His portrait now adorns the inside of the elevator doors. In other news, the Alex and Jackson's transgender patient is going to be fine, but his dad just can't deal with such a big change.
Speaking of change, Meredith thinks Alex should consider getting romantic with Jo. Maybe he will. Matthew the paramedic finally gets the courage to tell April he likes her. They share a long kiss as Jackson walks by with Stephanie. Owen lets Cristina know that she and the other docs are making things rough for him just before they start sucking face. Richard is considering cashing in on his early retirement package. Callie lets Derek, Meredith and Arizona that they can't let Pegasus take over. That's why she thinks they should be the ones to buy the hospital.