Some guy comes in, screaming Spanish at Frank, who desperately asks where Chuny is. Abby walks over and manages to understand that the guy's wife is in labor. Pratt totally didn't get that, even though the guy said mi esposa and trabajo, and again, I've never taken Spanish and I understood. Pratt and Abby run out to the guy's car and Pratt begins an examination. Abby asks if she should get a gurney, and Pratt says that she's crowning, so it's a little late for that. Pratt tries to tell her to push, but comes up with puta, and I hate to belabor the point, but seriously. The wife starts crying, and the husband gets all pissed off, and Pratt is confused as the husband starts trying to beat him up. As she calmly prepares to deliver the baby, Abby explains that Pratt just called the guy's wife a whore.

Susan and Benjamin walk down the hallway. Frank calls out and says that Chuck is on the phone, and Cosmo is sick, but that he doesn't have any further details. Benjamin is talking to INS on his cell phone, trying to get them to let Susan discuss Elena's deteriorating condition. Morris (Mr. Bad Timing) runs up and tries to get Susan to examine some charts he made, but Susan asks him one question which makes him realize that he's screwed up yet again. Susan takes the phone in the lounge to talk to Chuck. She quickly ascertains that Cosmo's illness isn't life-threatening, and hangs up. Benjamin hands Susan his cell phone, and she says simply that Elena is dying, and that they can give her son a new hearing, because she may not make it another day. Benjamin thanks her and leaves. Susan walks over to get some coffee, and finds Neela standing there. Neela makes the excuse that she gave Ativan, which doesn't have any calories. Susan asks if she would shock an end-stage cancer patient with a DNR. Neela says that she couldn't just watch Elena die, and Susan says that she should have left the room. Neela's final protest is that didn't seem right. Susan sighs deeply and says that it's not right, but that those are the rules.