After Rachel's surgery, Derek gives Smash the post-op instructions and then tells Heather to think fast before tossing something at her. She catches it perfectly; as he talks to Smash he keeps tossing things over his shoulder and she catches them all. Smash, feeling left out, calls that he's open but when Derek tosses him Heather's phone, he totally drops it.
Jackson is putting ointment on Matthew's burns which is not necessarily the situation either of them wants to be in as many of the burns are on Matthew's ass. He apologizes, but Jackson assures him that he's a plastic surgeon and that he's seen worse. Matthew asks that they not talk during this procedure but then April walks in and when she sees the intimate situation, gets totally flustered and takes off. Jackson points out, "Like that! That was worse!" Matthew drops his head to the pillow, mortified.
They have Parker back in a bed and Princess brings another doctor over to talk to Casey. After asking about her son he starts to ask questions about how she is doing and pretty quickly she realizes that he is a psychiatrist there to question HER. She starts to freak out, yelling at them that she's not crazy and that her son is listless and never wants to get out of bed anymore, and Mere overhears and comes over. And while it looks like this could be a storyline about Münchausen by proxy, we know from earlier that Mere's Mommy ESP is on high alert so she assures Casey that she believes her and they are going to admit Parker to try and get to the bottom of this.
Owen goes to check on Ethan and is supremely pissed to realize that not only has he gone missing, but he's been gone for 30 minutes. The social worker is on the phone trying to locate him, but Owen runs out into the hall to go look himself.
Ethan has just slipped to another part of the hospital and is quietly wandering around, presumably looking for his parents. From another room we hear Heather and Smash talking over Rachel's bed -- Heather thinks Derek still hates her and just finds her skills amusing and Smash doesn't feel like admitting that Derek might possibly actually like her. So he just replies of smugly that more than just good instincts (aka circus tricks), Derek needs his people to always be prepared. Just then, Ethan comes to the door and when he recognizes his mom, excitedly runs in and calls to her. This wakes Rachel up but horrifyingly, she starts to panic and scream, demanding to know where she is and who this kid is. Owen gets to the door during her meltdown and quickly escorts out a terrified Ethan.
April finally goes to see Matthew, and apologizes to him for not coming earlier. She's still pretty distraught, and Matthew is the only one who doesn't realize that she's having some Deep Thoughts about relationships right now, that could eventually directly affect their relationship. April quietly tells him that her patient died, and then asks him if he believes that God plans for two people to be together. He does. She still can't fathom why He would bring two people together and then pull them apart. The whole time, she hasn't been able to look at Matthew, but when she does he smiles at her and tells her that he knows today scared her but he's here, and he's fine. She seems just the tiniest bit confused, as if she didn't realize he'd assume she was talking about them. He promises her he's not going anywhere, "And... I love you too." I think he's supposed to come off as sweet but it somehow has just a twinge of a patronizing tone to it. April is shocked, but manages a wee bit of a smile.
Owen joins Cristina outside of Paul's room and admits that he talked to Jeff, and Jeff agreed with Cristina's course of action even though Owen suspects it might be because he's afraid of her. Cristina just asks him what on earth is going on, because she realizes that he's ridiculously overinvested in the case. When Owen mentions that Paul has a son (who Cristina saw earlier, so she already knows this) Cristina cuts him off to exclaim that gosh, if she'd known that, she'd actually tried to SAVE his life! She reminds Owen that she actually does always do what she thinks is best for a patient, while Owen sadly admits he just really wants Ethan to see his dad again. They lean in and cuddle up to one another as a sign starts flashing behind them that reads, "UNRESOLVED CHILD-WANTING AHEAD!" She gets ready to go but he tells her he has some things to finish up first. Appropriately, Mere starts to VO about little nagging feelings that won't go away.
Jackson is deep in thought at Joe's, probably about a certain someone that isn't Stephanie, when Stephanie excitedly bounds up to him and thanks him for not being a douche [like Alex]. The douche himself then sits down, pissed that Princess is probably off with Jason. Heather is also having a drink at the bar when Smash walks in and right up to her. She says hello but he just furrows his brow to try and make his best Angry Face and warns her that he gets the game she is playing, and he's not going to let her take neuro away from him. Yes, because it's not like two interns could decide on the same specialty, or anything. Heather seems genuinely confused but when she tries to point out that she's not personally gunning for him, he cuts her off.