...while Casey is whispering to himself ("Moron Grimes," I believe he said) when Alex enters the room. He's conscious enough to murmur that she came back, and she points out that she brought his bonsai tree before telling him that she likes having her dad around, and doesn't want that to change. He reaches out an unsteady hand to her...
...while Ellie is timing her own contractions and ordering her own drug dosages, like, I know she's a doctor but maybe she should chill out and let someone else do the driving. However, her husband would not currently be an ideal choice for that someone, as he's being an OCD mess about putting clothes and crap away in just the right spot to the point where the attending physician is like, "So, what's it like being married to a lunatic?" Ellie assures her he'll be fine, but her eyes are like, "Get it together, dude!"
HA! The Fortress Of Solitude theme music from Superman II, I believe, plays as Volkoff arrives at the cabin, loads his gun, and tells his goons to stay put, as he's going to take care of this errand himself. He enters and sees a male figure sitting in the darkened room, and tells "Orion" that they're finally meeting, but when the figure stands... it's Chuck. Rock. He takes advantage of Volkoff's shock by decking him, and it's nice that we got to commercial so he has a chance to recover.
When we return, Volkoff comes to and finds himself slumped in a chair, hands tied behind his back, with Chuck facing him. After opining that Chuck must be proud of his use of his father's "toys" to lure him in, he notes that his continued existence must mean that Chuck wants something, and Chuck agrees... and produces Volkoff's gun and levels it at his forehead. Volkoff coolly replies that he didn't figure Chuck for the vengeful type, and disparages him for holding grudges while surreptitiously working on the ropes that bind his hands. Volkoff then leans his head onto the gun's muzzle and tells Chuck that if he kills him, his loved ones will pay. "I have access to everyone." If that's true, can you tell Ryan Gosling I'm sorry about the Oscar snub? As if to emphasize the kind of access Volkoff has, we cut to Mary, still in the Hydra room, surrounded by armed goons, and then we see Russian Guy enter the hospital and put on a pair of black gloves, which is a really casual, non-threatening thing to do in Southern California. Ellie does her Lamaze breathing and Awesome keeps acting like a really hot version of Howard Hughes, and then Russian Guy passes through a door somewhere. Volkoff frees his hands, and he knocks the gun away, slugs Chuck in the face, and then walks over to where he's fallen and boots him in the cheek for good measure. He at least admits that it was a good plan to use his jealousy against him, but it had its problems, which isn't surprising, given Chuck's paternity. "Just know this: If it wasn't for you, everyone could have gotten out of this alive." It says something for his survival instinct that he didn't, but I would have loved Chuck even more if he'd pointed out Volkoff's neglect of the subjunctive there. We see Russian Dude enter a patient's room, and after a close shot of him holding a pillow, we see he's come for Casey, and he holds the pillow over his face. Casey starts to twitch and choke as his monitor goes bazoo; he tries to reach for the bonsai tree and the heavy clay pot housing it, but he can't quite reach it, and suddenly he flatlines and goes still. Russian Guy then breathes, "And now for the sister," and I don't usually mind when TV characters unrealistically talk to themselves, but I think I could have guessed that one on my own.