Susan tells Darlene that she's applying for a completely different grant than the one she was talking about either. Susan needs someone to take an inventory of all their educational materials and record them on some forms, and she thought it would be a perfect job for Darlene. Darlene looks less than thrilled. Shane comes up and accuses Susan of "poaching [his] student." Darlene tells him, "Attending scut comes before Intern scut. Sorry."

Wendall talks to a patient who has a sad story about how her life fell apart due to chronic pain. She missed so much work that she got fired, and her boyfriend bailed on her. Wendall starts to suggest counseling, but the patient has already tried it. Shane waltzes up and gives the patient a note to excuse her from work, as well as her discharge papers. I thought she lost her job? The woman says she doesn't know why she bothers seeing doctors. Wendall tries to sell her on the idea of a pain clinic or a support group. The patient says she always gets the same useless advice, and that she's tried everything and nothing works. She reminds Shane that she told him she didn't need social work. Shane's great advice is "Hang in there. We're all done here." In other words, go buy that poster with the kitten on it, but make sure you leave the ER to do it. Wendall wishes her luck and then, once they are out of the patient's earshot, asks Shane why he called her out of the NICU to see a patient that didn't want her help. Shane says he knew he couldn't do anything for the patient's back pain, and the patient just needed someone to hear her complaints. Wendall protests that she's not a babysitter. Pratt walks up and asks Wendall to see Thomas, and Wendall tells Shane that a possibly abused child is a situation that warrants calling her.