Romano bolts through the ER and bursts outside, panting. He gasps for breath, rattled and desperate and pained. Ominous music plays. He stares hollowly at the activity around him -- a woman limping toward the ER doors, an ambulance unloading people -- and tries to orient himself and find his breath after being confronted with his demon. Then he rubs his face and does a double take.

Cut to Malarkey savoring his doob. "Hey!" Romano shouts, stalking over to him. Malarkey coughs tries to cover up his joint, but Romano snatches it and angrily crushes it out. "Get your ass inside and do not move until I come get you," he hisses. Malarkey scrambles out of there.

Neela waves Chopper up into the sky. As she and Expendable Nurse go to load Westbrook's gurney back into the elevator, we see a shot of the windsock and understand that the winds of change, they are a-blowin'. "THESE JACKHOLES THINK I'M GOING TO FLY ON AN EMPTY STOMACH," Chopper cackles, beginning to pitch and roll as he bides his time until Romano is back in plain view and ripe for the snacking. A strap on the gurney gets stuck in the elevator, so Mighty Doomed Nurse fumbles with it as Neela peers up at the out-of-control helicopter. Chopper smashes down against the helipad, breaking both his legs and effectively ending his water-skiing career. "DAMMIT, THIS IS NOT HOW THIS WAS SUPPOSED TO GO -- I WAS GOING TO DO A REALLY AWESOME TRIPLE-AXEL. BOITANO WILL BE SO PISSED," Chopper moans, flipping on his side and skidding across the helipad, spinning willy-nilly and shooting pieces of broken metal in a bunch of different directions. GodDAMN, people, cover your eyes! Sweet Jesus, I can't look. A barrage of shards hits the wall above Neela's head as she ducks from the madness that's unfolding nowhere near her because it's on a distractingly obvious green-screen. Startled, Neela turns around in time to see Told You She Was Toast Nurse take a piece of Chopper right in the back. She keels over onto the gurney. Neela looks terrified.

Chopper gets sick of flailing around on the roof and decides to heave himself off the roof in a convulsive fit of obvious and painful CGI. Inside the ICU, Sam and Luka are arguing about the merits of cuffing Judy to a support beam; Chopper chooses this moment to explode with wrath, which blows in the windows. Luka, Sam, and everyone but the incapacitated duck for cover.