"Private Thomas Perry, sir!" We're back in Iraq, and Gallant is helping a victim of an explosion. He's got shrapnel and some AK-47 rounds in him. "I thank God for my years at County," Gallant VOs. "They prepared me for this, as much as anyone can be prepared." Considering he survived a crazed loon hijacking a tank and driving it through Chicago, I'd say he got some unexpectedly apt training.

We go from Perry's mangled leg to a shot of Neela's patient's wrist, which is spurting blood as realistically as the dismembered Black Knight did in Monty Python's Search for the Holy Grail. Oh my God, I wish he were here. Even without limbs, he'd be better than Malarkey. Susan and Sam are tending to the woman -- Doris -- as Neela applies pressure to the wound. Can you really call it a wound when it's a severed hand? I feel like "wound" sounds so small-scale compared to that horror. Doris tells them that she was inside a bookbinding machine trying to unjam it, and someone turned it on while she was there. Books: They kill. Pratt calmly tells her that it was a clean slice, so there's a great chance they can put her hands back on, which...thank God for medical science, you know? Or super glue, depending on how stretched County's budget is.

A new kid enters Trauma Yellow to join the fray. His name is Rosales, and he's Neela's med student. Neela VO: "I'm not even confident in my own decisions half the time. Now I'm supposed to help orient students?" Sam pops up to call Neela the resident brainiac, which prompts her to write to Gallant that it kills her that everyone thinks she knows all the answers, when she in fact doesn't. Susan basically assumes control of things and keeps Neela in a smaller role because she's never seen this procedure done -- the reattachment? The prep for the reattachment? The reawakening of her soul? Not sure -- and Susan doesn't think it's a good idea to let her participate. So Neela sticks with tying tourniquets around the woman's biceps. Neela VO: "Still, I feel like after all this time, the people I work with should have more confidence in me, but how can they, if I don't?" Rosales is all excited and eager to see how this case plays out, but Neela confesses to Gallant that she feels like she's been sleepwalking through all of it since med school. And nothing is more interesting to watch than a bored, jaded girl. "Woo" and "hoo."