Back in the therapist's office, Sam is saying she doesn't think having another kid would be fair to Alex. Luka thinks Alex would like to have a family. Since we last saw them, Sam and Luka have moved about two more feet apart, and are now sitting as far from each other as they can while still being on the same couch. The therapist tries to bring up how complex it can be adding a child to a blended family. Sam bitches that she didn't even want to have Alex. I'm sure that attitude has nothing to do with Alex's problems or anything. Sam tells the therapist that she was fifteen. Luka says she's not anymore. Sam goes for the low blow and asks, "After what happened to your wife and kids, you really want to bring another baby into this world?" Luka shoots her a look like, "Back off the dead family, sister." The therapist asks what they're talking about, and Luka won't speak. Sam points out that if Luka were happy, he could talk about it. Luka says quickly that he had a wife and kids, but that they were killed years ago, and he doesn't see the point in talking about it. Sam says it's a huge part of who Luka is, and he won't let her in. Maybe it's because I'm a talker, but I'm starting to take Sam's side in this.

In the hospital, Abby asks why every kid named Destiny, Miracle, or Faith ends up with leukemia. Carter checks a chart and gives instructions. Frank tells Carter that he got a call from his "Kenyan love nest." Carter says that it's the Congo, and that he knows Frank knows that. Frank jokes that it's all "mosquitoes the size of toasters." He adds that Kem sounded kind of upset. A janitor puts a bucket on the floor to catch the raw sewage dripping from the ceiling, and says it'll only be another hour or so. Abby jokes that when the bucket's full, they can just toss it out in the street "like [they] do the chamber pots." It was mostly the delivery, but that was a funny line. Then again, I'm five so I think poop is always funny. Carter calls Kem and gets Charles. Morris walks by and tells Frank to move some boxes out of his new office. Carter is apparently getting bad news from Charles, as he asks worriedly, "What happened?"

Susan asks Shane why he's still working there, taking up a slot someone else could have. Shane asks if Susan thinks he's a bad doctor. Susan says Shane could be good, but that he's a clock-watcher. She suggests that he take his degree and go work somewhere else, since he's just doing it to make a living and support his music. Shane doesn't answer. Susan tells him not to sign the contract unless he's sure this is what he wants to do. Shane sighs.