When Carol learns about Lexie's secret hobby, she also finds out an even bigger secret…that everyone knew except her. Also, Caleb goes to battle with an insurance company for his patient.

When Carol’s patient finally makes the liver donation list, she is upset by the lack of emotion from his transplant surgeon, Dr. Lewis. Also, Lexie, Daniel and Caleb try to decipher why Dr. Jacobs has a tattoo of a duck.

After Carol’s patient’s transplant surgery is deemed a success, the interns tease her mercilessly about her obvious crush on the surgeon, Dr. Lewis.