Abby finds out for a grieving Kathy that the daughter got taken to Mercy and is being treated there, though they're pushing for a transfer. She begins walking Kathy to Ethan, but Miguel's nightmarishly boring story interferes. It's kind of the feeling you get when Pratt walks into a scene: "Damn, this day was going pretty well until now."
Miguel has tuberculosis, Abby learns, and had been in treatment fifteen months ago, but stopped showing up at the clinic. She frantically informs Pratt, who sheepishly admits that he discharged Miguel, because he is a jackass. They run through the hospital and finally yank Miguel off a crowded elevator, in which he has been coughing. Abby stares at the people inside, yet does nothing, because she apparently doesn't care if any of them got TB from her annoying and tedious patient.
Sam calls Alex and tries to play it cool as she leaves a message suggesting that he doesn't have to go to the sleepover, if he'd prefer to hang out with her. But then she realizes he doesn't know how to check the voicemail, because she was too busy showing him how to stitch his own skin together to give the kid a telephone lesson. Priorities. She hangs up and puts her head in her hands, unsettled because of Ethan and simply wanting to talk to her son. Out of the corner of her eye, though, she suddenly notices a guy harassing Layla.
"You're getting RID of it!" shouts Dean. "How do you even know it's mine?" Layla mostly wails and whines and blubbers that she loves him. Sam bursts in and kicks him out of the room. "What's going on?" a similarly seedy teen asks Dean. "Oh, who's this, one of your buddies from the gang-bang squad?" Sam spits. The friend rather cleverly admits guilt by ranting against Layla for not keeping her mouth shut, whereas Dean prefers the "If I'd done anything wrong she wouldn't still love me" approach. Sam hightails it to the telephone to call the cops, but Dean seizes her wrist and squeezes it menacingly, whispering that Layla's nothing but a stupid little slut. By now, one of the really weak kids in the gym class is dangling off the end of her frayed nerve and whining about being plucky and continuing to try, and this misguided moxie really, really peeves her and causes Sam and her last nerve to snap. She kicks into self-defense mode, cranking Dean's arm behind his back and abusing his shoulder before punching him in the nose with the heel of her hand. Dean drops to the floor. Sam nonchalantly cracks her neck and then picks up the telephone. Arnie gawks from across the room. Were he wearing a bow tie, it would be spinning. He turns slowly to Luka, who clamps his mouth shut and shrugs innocently, smiling as if to say, "Well, why not?" We fade to black on a shot of Sam stealing a glance in Luka's direction, clearly hoping he likes it a little rough.