Old Man Reefer shows back up and complains that someone stole his home medicine. "Talk to the hand," Romano snaps, whirring Go-Go-Gadget Cliché up and down in front of OMR's face. Neela stops long enough to ask which doctor he had. "Young guy. Red hair, goatee," Old Man Reefer pouts. Susan wheels in a gunshot wound to the face and yells for Malarkey.
Cut to Malarkey outside the hospital, sitting in what he fancies is a hidden alcove. He's rolling a joint, because he's just really, really stupid, dumber than you'd ever think a person could be.
Luka and Sam are doing some pointless adventuring, at which time he decides it's convenient to ask her if it's okay if he comes for Thanksgiving dinner, because he couldn't have asked her about this in the week or so since Alex invited him. Sam, of course, is shocked because Alex didn't tell her whom he had invited, and Lame and Contrivance do the happy tango. Luka rolls his eyes. They're actually escorting Judy up to the ICU, where Kit is annoyed to see them because they don't have any beds. Perhaps if Judy clicks his heels three times he'll wake up in one. Luka smiles and cuffs Judy's gurney to the wall using the hard restraints. "He's a troublemaker," Luka says. Sam thinks this is asinine, and Kit wants to open up a cold can of whoop-ass on his smoldering Croatian behind. "We can't take extra patients," Kit complains. "Why not? We do it all the time," Luka says smoothly. "And now you can't send him back."
Romano and Neela are standing in the elevator, facing forward. She's got on safety goggles, and he rubs his bald pate as some syrupy Muzak hangs heavily in the air. If they'd been in there half a second longer I'd have expected him to hit "stop" and throw her against the wall for some passionate but vaguely logistically uncomfortable sex.
Ding! The elevator doors slide open, and Romano comes face to face with the whirring rotor of his old and aptly named nemesis, Chopper. Of course, he looks a lot less imposing when there's a really fake green screen in the background and some manufactured wind, but nonetheless, Chopper's back and he's still a carnivore. "WE MEET AGAIN, MY OLD FRIEND," it sneers. Romano stares at it. "I REALLY LIKE WHAT YOU'VE DONE WITH YOUR STUMP, BUT THE FACIAL HAIR HAS GOT TO GO -- PERHAPS I COULD GIVE YOU A SHAVE?" Chopper whirs. Romano starts to sweat a little. "YOU'RE AWFULLY QUIET TODAY. ROTOR GOT YOUR TONGUE?" Chopper cackles. "Dr. Romano?" Neela asks, having dashed out onto the roof. Romano has a flashback to the night the Chop-o-dile ripped off his arm and made him Dr. Hook. "I DIDN'T EVEN GET A CLOCK OUT OF IT, YOU RUDE BASTARD," Chopper intones, ripping Romano out of his frightened reverie. "Here, take it," Romano trembles, throwing Neela the Rolex and frantically trying to close the elevator doors. "YOU MAY HAVE BESTED ME WITH SILENCE AND A DIFFERENT SCRIPT THIS TIME, ROMANO, BUT YOU HAVE NOT SEEN THE LAST OF ME," Chopper sneers.