Bailey is aware of Meredith and Sheppard’s relationship, making things a bit tense and awkward in the hospital. To keep the other interns from thinking that he gives Meredith special concessions, he behaves extra harsh towards her in public. Meanwhile, Alex is treating a woman with a 70-pound tumor, who accidentally heard him making bad comments about her during an MRI. When she dies on the operating table, Alex regrets his attitude towards her.