Elizabeth barks out a few preliminary orders. Abby, already in the trauma room, welcomes Elizabeth back and gets nothing in return except a request for specifics on the case. "Sixteen-year-old girl, motorcycle versus utility pole, no helmet," Abby rattles off. Elizabeth follows this up with another list of orders, never looking at either Abby or Malik. They exchange unnerved glances. Elizabeth whips her head around, perhaps sensing something, and Abby manages a slight smile. "It's...like you never left," she says politely. Elizabeth resumes staring stiffly into space, waiting coldly for the trauma to arrive. Amazing how such a flaming bitch can be so chilly.

Carter and Chen burst in with the girl, Sasha, who's losing blood fast. "Didn't know you were back yet," Chen tells Elizabeth, who doesn't answer. "First day," Carter says in her stead. Sasha hits asystole just as Elizabeth establishes that they've not yet been able to establish a pulse; the girl abruptly coughs up two liters of blood. Carter calls out treatments, but Elizabeth -- who's been groping Sasha's back and neck area -- pulls away a bloodied hand. "Don't bother," she says. "Obvious c-spine fracture. She's not even a good organ donor now." Brusquely, she asks whether the family has arrived; no one has. Carter offers to handle alerting the family. "No, fine, just let me know when they arrive," she interrupts, trucking out of the trauma room. Motionless, they watch her leave, drowning in the wake of the S.S. Raging Wench.

Tearing off her ER smock, Elizabeth throws it violently into the trash can. It clearly offended her. Perhaps she feels yellow washes her out. "I could pull the trigger right now if I wanted to, because it's all right here," delights a nerdy-looking guy called Milo being wheeled around by Gallant. Susan follows, and taps Elizabeth for a consult, but not without a polite welcome. "What's he have? Belly pain?" Elizabeth asks, flipping distractedly through the chart. "Only because he swallowed a small handful of nitroglycerine," Susan replies. Milo is edgy, but happily so. He revels in his tummy full of TNT. "No sudden moves, unless you want me to blow," Milo cautions. "I'm a human time bomb!" Elizabeth takes one look at him and diagnoses him as having upper right-quadrant tenderness caused by the presence of anvils in his stomach. "I could go off at any minute!" he screams. Yeah, we get it, Elizabeth's a time bomb, she's gonna blow, she could go off at any minute. At least this guy's an amusing, if heavy-handed, plot tool. Elizabeth prescribes saline plus a few hours of monitoring his symptoms. She then leaves to go quaff some nitro of her own and put herself out of the misery. It's weird -- she's acting like she didn't choose to come back here, which she completely did. Unless she tried getting a job at another hospital and failed, which would be really interesting, so of course that's not part of the story.