Shane and Carter examine Stair Fall Lady's x-rays and determine that her hip is fine, and that her lung is expanding. Pratt walks up and shows them Stair Fall Lady's labs, which indicate that she may have cancer. It is not her day. Carter points out lesions on her ribs, and orders Shane to go back and find the primary tumor. Shane sighs that it sucks, because she's a nice lady. So only mean people should get cancer? Pratt agrees, "I hear that's a risk factor for cancer."
Abby tells Birdie that she's only got bruises, and no broken bones. Wendall points out that Birdie and Rebecca have been mugged several times in the past year, and Birdie says that it's an occupational hazard. I'm glad it's not an occupational hazard for recapping. Ours are something like carpal tunnel syndrome and the annoying habit of recapping every television show you watch in your head. Abby asks why they have to panhandle, and Rebecca wisecracks, "Because they aren't hiring at Hooter's." Abby says she's serious, and asks about Social Security. Birdie points out all their expenses, and Abby suggests having Adult Services make a home visit. Wendall says that they did last summer, and that the place was pretty messy, with no food in the cabinets. Birdie says that they like to eat out. Abby shakes her head and asks if there's anything they can do to help. Birdie says they do fine. Wendall says she'll request another home visit. Abby and Wendall are both clearly reluctant just to end things this way, but they've run out of suggestions, so Abby says she'll be back with their discharge instructions. Wendall and Abby leave, and Rebecca and Birdie just sort of pull faces for, like, ten minutes, which was weird.
Susan and Sam stand outside Elena's room and discuss how much the whole situation sucks. Shane walks up to get Susan's signature on a chart, and says that there has to be a better way for Elena. Susan says that she has no money or political influence, so this is it. Sam thinks Elena should get to see her son, since she's dying. Susan warms to the idea, saying that her son might be able to get her to eat. Sam takes off to make the call.
Shane and Pratt examine Stair Fall Lady, looking for the primary tumor. She can't believe that she has holes in her bones, and thinks that she should drink more milk. Pratt tells her that he needs to do a breast exam, because the bone lesions could have been caused by a tumor. The woman asks if he means cancer, and Pratt says it's possible. Pratt begins the exam and almost immediately gets a puzzled look on his face. He asks the patient if she's felt "this" before, and she nods. Shane asks if he found a mass, and Pratt says that it's about five centimeters, which is huge. Pratt asks when she first noticed it, and she says that it was a few years ago, and that she didn't see a doctor because she felt fine. Shane is upset, and says that she could have caught this before it spread. Pratt motions to him to chill out, and explains calmly that surgery might not be effective at this advanced stage. The woman says she doesn't want to be cut, and starts looking around for her clothes. Shane and Pratt move to restrain her as she yells that she doesn't want them to cut her. She concludes, "You don't cut into cancer. I know what happens. You cut into cancer, and it spreads. It spreads, and you die!" She sobs us into the commercial break.