Romano enters the Monica Treatment Room with three medical students he's supervising. See, he's been busted down to teaching, on account of the Bob Dole Arm. He butts in a little, helps out a little, and gives a few orders, and then he herds the students back out again. Just as he goes, Abby wonders to Chen who should sign Monica's chart on the surgical consult. Romano angrily insists that he's perfectly within his authority to sign it, so he does. There is totally nothing more fascinating than a really aggressive prick.

Gallant and Kerry are looking over Helen, who is protesting that she doesn't like to be touched. When Kerry gets around to getting up close and personal with Helen's eyeballs, she notices something, and tells Gallant to get Susan. When he's gone, she quizzes Helen about whether she has rigid or jerky muscles, and Helen allows as how she can be a "spaz." Man, me too. When Susan breezes in with Gallant, Kerry points out that Helen has gold-colored deposits in her eyes, which, as the doctors discuss, are a sign of Wilson's disease, in which the body has trouble excreting copper, so it builds up in places like your liver (which is why Susan thought Helen had hepatitis) and your brain (which is why she's weird, maybe). As Susan and Kerry leave Helen's room, Kerry gives Susan some crap about how she saw this girl a week ago and missed it. Hassling ensues.

Just as Susan finishes getting chewed out by Weaver, Chuny calls her in to check on Mama, who's having some trouble breathing. In her room, Daughter is fretting over what all the trouble is about. Susan points out, not to put too fine a point on it, that Mama is ninety-four, and pretty much dying of old age, so it might be a good time to consider easing up and letting her go. Daughter: "I need her!" Susan: "[sympathetically] Of course you need her." Daughter: "No, I need her Social Security checks." And if you didn't know Daughter was going to say that from the minute she said "I need her," you have never watched this show, because I certainly knew that was what she was going to say. At any rate, Susan looks shocked, because she apparently hasn't ever seen the show.