Last week on Grey’s Anatomy, we got a preview of some of the major changes that Dr. Cahill (Constance Zimmer) was threatening for the Seattle Grace-Mercy West docs. And this week, Season 9, Episode 13: “Bad Blood” opened with showing fans another of Dr. Cahill’s brilliant ideas: big brother-esque cameras in the critical care unit and on-call rooms with a remote physician (“Dr. Richardson”) on the other end to catch any mistakes. It only takes about 10 minutes before Cristina (Sandra Oh) yells at “Bob” to tell him to butt out of her medical decisions. Yeah, we can already tell this isn’t gonna be good...

And while Dr. Cahill (Constance Zimmer) re-organizes the hospital for maximum efficiency, nurses and interns alike — specifically Jo — begin worrying that her next cost-cutting measure will be to cut them.

Meanwhile, Derek (Patrick Dempsey) and April (Sarah Drew) have sprung into problem-solving mode, coming up with a laundry list of proposed budget cuts to keep the ER open. But unfortunately, their proposals aren’t too appealing to the rest of the attendings who need to agree to it, at least when these proposals come from Kepner. So, Shepherd takes matters into his own hands and barters with his fellow attendings to get their signatures.

And with one day to save it, Chief Hunt (Kevin McKidd), likewise, tries to show Dr. Cahill firsthand exactly what the ER does and why it’s so important. But when a chainsaw injury comes in (sans nose, might I add), Cahill becomes uncharacteristically jumpy — before being forced to block his carotid artery once it (literally) explodes in her face.

That causes the warring docs to put their differences aside and work together in the OR to save this extremely complex patient. After several passive aggressive encounters with Shepherd and Avery in the OR, Dr. Cahill eventually divulges to Chief Hunt hat she knows that no one likes her, and that while she’s never been thanked for the hospitals she’s saved, she’s okay with that. Turns out she’s not made of steel after all...

Bailey (Chandra Wilson), on the other hand, continues to suck up to the new doc, and happily adopts her new measures — after all, she points out, the last few hospitals Dr. Cahill reorganized cut their staff by 30%. And when the attendings are taught a new method of hernia repair and then challenged to see who can do 20 of them the fastest, the docs realize that these new measures are here to make them “fight to survive.” (Throw in a well-timed Hunger Games reference here.) Chief Weber, however, prefers to try to convince the skills lab of his method instead of adopting the new one. Watch out Weber, you were warned about this...

But when Meredith (Ellen Pompeo) (who’s winning the challenge, I might add) walks out halfway through, Bailey immediately follows, worried that something might be wrong with her baby. Turns out Mer’s “flutter” that she’s freaking out over is really just McBaby kicking for the first time. Awwww!

Back in pediatrics, Arizona (Jessica Capshaw), Arizona, and Karev (Justin Chambers) find themselves faced with an angry teenage patient, who has recently undergone a double hip replacement. She’s a former gymnast whose career is all but over — and she’s not happy about it. Each of the docs try their hand at getting her up and walking, but it’s only once Arizona shows her her prosthetic and plays bad cop is the young girl inspired enough to fight for her dreams.

Down in the ER, Cristina has her work cut out for her with a teenage patient who desperately needs blood, but whose religion which prevents him from receiving blood transfusions. (This means, Cristina has to perform the heart surgery without cutting into the patient.) But when her intern, Leah (Tessa Ferrer), talks to the patient’s friend in waiting room, questions start to arise about whether or not this patient really believes in his religion enough to die for it. 

Dr. Murphy decides to take matters into her own hands and attempts to give a blood transfusion against his religious wishes — only to be caught via video surveillance by Cristina’s nemesis: the phantom “Doctor Bob.” Cue a major Cristina bitch-out, before kicking her intern off her service. And when the patient dies before the end of the episode, the doctors are left questioning whether or not the young man’s tragic end was ultimately unnecessary.

The episode closes with Kepner and Shepherd excitedly presenting their ideas to a high-off-performing-her-first-surgery-in-years Dr. Cahill — only to be shot down. Turns out, the hospital is looking for a buyer to save them from financial ruin, and no amount of budget cuts will do the trick.

And now it’s time to look to next week. Will Weber get the axe since he’s unwilling to change his ways? Will Owen and Cristina continue to stay strong, despite a closed ER? (They were looking mighty cute at the end of this episode!) Will the ER actuallystay closed? When will we finally see McBaby?

For answers to those questions and a whole lot more drama, tune in to the next new episode of Grey’s Anatomy on Thursday, February 7, 2013, at 9 p.m. ET/PT on ABC.

Katie Amey is a contributing writer to Wetpaint Entertainment. Follow her on Twitter at @katieamey.