Luka walks in while Neela examines Amy. Neela can't even remember Amy's name. Luka tells Neela to present to him when she's done. Neela thinks she's in trouble, but Luka assures her that she's not. Luka keeps walking and finds Pratt taking a history for Bad Joker at high speed without even looking at the guy. Bad Joker claims that he used to work as a lumberjack, but he couldn't hack it, so they gave him the ax. Groan. Pratt doesn't react, and keeps running through his list of questions. He spots Luka hovering and asks if he needs something. Luka says he's just observing. Luka asks Sam to do something, and she bitches about all the work she already has to do, like isn't he her boss, sort of? I get that she's pissed at him, but she could at least pretend to be professional about it.

Sam walks in with Neela's equipment, and then informs Amy that her mom is coming in from work. Amy clarifies that it's her foster mom, and that Rat Face is the foster mom's real son. Neela just sticks Amy with a syringe with no warning and Sam drawls, "Uh, that was lidocaine to numb up your cut." Neela doesn't notice Sam's correction, and Rat Face continues to play his GameBoy in the corner. Amy says that Rat Face needs his ADHD meds adjusted, so he has temper tantrums. She adds that he's on Adderall and Depakote. Man, that's hardcore. My friend who is bipolar couldn't take Depakote because it fucked her up too much. Sam and Neela exchange a look like, "Damn."

As they walk out, Neela asks if it seems like every young boy they see lately has ADHD. Sam wryly comments, "ADHD, a GameBoy, and an iPod." That sounds like a recipe for hijinks! Neela runs down the facts of the case and suggests that they call a social worker.

Neela heads over to present to Luka, who is having an argument with Pratt over his bedside manner. Luka asks how long Pratt let the patient talk. Pratt thinks it was twenty or thirty seconds, but Luka says it was four. Luka asks what color the patient's eyes were, and Pratt jokes that they weren't on a date. Luka asks if he listened to the patient's heart, and Pratt protests that the guy had a twisted knee. Luka says that listening to the patient's heart makes them feel like you care and are paying attention. If I came in with a twisted knee, and the doctor started listening to my heart, I'd think the doctor was high. Neela listens in and glances over at Amy's room. Pratt thinks he doesn't have time to do everything Luka suggests, and Luka thinks he needs to make time so that patients don't feel ignored. Pratt says that there are patients waiting nine hours, and that they already feel ignored. Luka has no comeback.