Dubenko joins Elizabeth in Trauma Green, where she dissolves into being an immature bitch again. "The rib sliced up her spleen," Dubenko says, analyzing the ultrasound or whatever it is they're seeing on a screen. "The large amount of free fluid in the subdiaphragmatic is rather obvious," sneers Elizabeth. Burn! I'm totally using that the next time somebody upstages me. Something starts beeping -- it's all a little unclear to me what happens, but basically, something goes wrong with Tamira's lung and Elizabeth calls for one course of action but Dubenko realizes that something else will work perfectly. It does. Elizabeth is pretty rude and stubborn about it and everyone looks around kind of awkwardly. When they get ready to send Tamira up to the OR, Sam asks whose name she should put on the chart. "Mine," both Elizabeth and Dubenko say. Everyone wants to drop through the floor.

Manic Mom stares straight into the camera and rocks back and forth. It's a little unsettling, like this is some kind of reality show called Psych Ward and the premise is a bunch of disheveled crazy people shouting things at the audience. Although sometimes that's what The Real World feels like. Abby and the social worker are sitting with her. Mädchen Amick looks jarringly like Aimee Mann sometimes, and I never thought I'd say this, but she's even more duck-lipped than Abby is. Manic Mom starts saying that she needs to pray for her kids, and pray that her husband dies because he's evil. This devolves into cackling. "But he gave me my children. Now, he's gonna take them away," she says, now fully in the throes of The Crazy. She sobs and laughs and laughs and sobs, and Abby purses her lips. She's clearly feeling threatened by the new chick, who is all but quacking over there on the sofa.