Shane bursts into the exam room and finds Birdie and Rebecca preparing to leave. He begs them to wait and see Social Services. Birdie promises that they're grateful, and Rebecca adds that they can't miss rush hour at the El. Shane physically tries to block their exit as they apologize for possibly getting him in trouble. Shane uses their guilt to his advantage as he explains that he had two other patients leave last week, and that his boss said they'll give him a demotion to the morgue if any other patients leave on him. Birdie and Rebecca laugh and agree that Shane is clever.

Luka's luge patient is wheeled out. This leaves Luka alone with Sam, and he asks her what's going on. Sam denies that anything is. She then says that she can't believe Luka was encouraging the patient. Luka says he wasn't, and that she's overreacting. Well, that'll make her less defensive. Sam turns and throws some scrubs at Luka's chest. They stare at each other and they both start cracking up. I really liked that scene because it seemed realistic, and they could have gone a much more melodramatic route. Sam rushes over and hugs Luka, and moans that she's having a bad day, and that she had a headache. Luka urges her to go home early, and Sam agrees. Luka kisses her forehead and they touch noses. Sam assures him that she's okay, but after Luka leaves, the look on her face says otherwise.

Pratt helps Abby to put in a central line. Everything seems to be going fine, but then alarms start beeping. Pratt tells Abby to pull back on the wire she inserted, and Abby protests that she's nowhere near the myocardium. More alarms start beeping. Ruby says he doesn't feel right, and asks what's happening. Abby removes the wire and they prepare to move Ruby into a trauma room. Pratt is unable to get a response from Ruby.

Morris is unveiling his scheduling system, which is basically that you work three days, two off, three evenings, two off, three nights, two off. Carter's pager goes off, and he says that it's 911 to the ER. Susan accuses him of lying. Carter apologizes to Morris, who promises to put a hard copy of the presentation in Carter's box. Weaver yells at Morris to get on with it as Carter rushes out.

Shane walks into Birdie and Rebecca's room and finds a younger woman in there with them. They introduce her as their niece, Shelly. They seem anxious and want Shane to confirm that they tried to leave, but that Shane made them stay. Shane confirms that. Now that their niece is there, Birdie and Rebecca want to leave. Shelly asks to talk to Shane outside. Once they're in the hallway, Shane tries to explain that they're waiting for Social Services. Shelly says that she's sure they'll be helpful, but that her aunts are tired and want to get home. Shane doesn't give in. Shelly chuckles to herself and says that her aunts are really stubborn. She's been trying to get them to move in with her, but they want their independence. Shelly gives more details about how she has the room, but she doesn't know how to make them accept family support. Shane agrees to talk to them.