Neela watches the jet-ski man through the Trauma Yellow door, and then turns away. "Looks pretty rough in there," she commiserates with Ray. "The guy is brain-dead," Ray says. "Three [kids]." Neela sucks wind. "You okay?" she asks. "Just part of the job," he says frankly. Darlene drifts past with Juan's CBC results, and Neela studies them with shock. Which is good, since she was rehearsing all those kinds of shock this morning. This one is, "You have to tell a patient he has leukemia" shock. Ray asks if she's ever had to deliver that news before. "Part of the job," she parrots him.
Carter comes out of Trauma Yellow, and Ray tells him that ICU can't find a bed for the jet-ski guy. Carter wants him to call Social Services so that the wife can get some help. Just then, Lead Kid and his father appear with Sam, who needs Carter's signature on the chart in order to discharge them to the lead clinic. Ray presents the case to Carter half-heartedly. "Did you get a repeat level?" Carter asks, furrowing his brow as he flips through the chart. Ray shrugs that he figured the lead clinic would take care of that. There is silence. Sam senses that this is not one of those times when it's okay for the staff to air its dirty laundry in front of the patients, so she carts the father and son away. "Is that cool?" Ray asks, confidence fading a tad. "No, it is not cool," Carter lectures. "You've been a doctor for a month. You can't sign off on a patient unless you run it past an Attending, so get a repeat level and then I'll sign off on the chart." Carter leaves an embarrassed Ray, whose students are watching and thinking they've never seem a man undress another man so adeptly. Oh, and if Ray's only been a doctor for a month and he was a doctor on July 4th, that would make this...August 4th, or thereabouts. Meaning that we're still way back in summer. And yet, how much do you want to bet that the Thanksgiving episode will air in a few weeks without much notable passage of time?
Neela and Darlene enter Juan's room just as he's trying to get himself up to go to church. Neela guides him back to the bed and tells him that he's too ill for this. As he mumbles in Spanish, Neela and her short fuse try to explain to him -- with lots of jargon -- that he's got low platelets and a problem with his white-cell count. He dreamily tells her that he's got one in his..."toe." I will be so thrilled when I am free from this ocular tyranny. He ignores her until she entreats him to listen so that she can help him. "No one can," he says. "Yesterday I hit a man with my car. It was an accident. Today, I wake up like this." Ah, so he thinks he's being punished by God. Better by divine law than by prison law, I guess. How did he hit a guy and walk away from it? Neela tells him with zero reassurance that she'll check his smear, check his labs, and come back to talk to him. As they exit, Darlene wonders why Neela didn't tell him that he has leukemia. Neela chucks the script at Darlene's head and bolts.