Andy, our Meningitis Boy, is deteriorating. The telltale marks dot his face now, and Abby holds up his blackened, infected hand and announces that there's no place to put the pulse ox. "God, this kills fast," Susan freaks, bolting into Fraulein's room. Carter seizes the crash cart and charges it to 300. No dice. He ups the charge to 360 and cheers him on, but to no avail.
Fraulein gets fluid drawn from her spine, wincing at the pain. She wants to call her mother in Omaha, which Susan promises to do as soon as they're done. "Is he going to be okay?" Fraulein asks of Andy. She reveals that he's a major soccer star and stud, known campus-wide as the king of the in-crowd. They hooked up at a party last night. "Did you kiss anyone else?" worries Susan, explaining that Andy contracted a very serious bacterial infection. Fraulein sasses that she prefers to kiss one guy per night. "Do you think Andy shares the same policy?" Susan asks urgently. In a word, no. In two words, yeah RIGHT. And in three words, is she serious? Susan peers through the door-glass at Carter, who meets her eye and shakes his head in frustration and hopelessness. But she's distracted by Stanley, who shows Susan that the meningococcus marks have manifested themselves on Fraulein's feet. Susan holds her forehead in anxiety.
Kirk complains that he absolutely can't pay the medical bill; Luka reassures him that half his patients can't pay, either, which absolutely makes it okay for the youth of today to scam hospitals for free treatment. Go now, and get free morphine! Kirk flatly insists he doesn't know where he'll be or whether he'll be able to get a follow-up checkup. Luka busts him for drugs, announcing that Kirk tested positive for opiates. "My joints bleed, and it hurts," Kirk says defensively. Luka wants to know what he does. "Demerol, if I can get it," admits Kirk. "And if not, heroin?" Luka quizzes harshly. He deduces that Kirk abuses the implanted catheter, using it to dump heroin into his bloodstream. "That's not what a porta-cath is for," he notes helpfully. Well, fuck. There's no point to it, then. Luka wants to discuss rehab, but Kirk bristles and rips out all the tubes, prepared to leave. To make him stay, Luka begs him just to stick around long enough to get his hand sutured. Neecole enters with a ham-and-cheese sandwich and some fruit, which thrills Kirk. "Wait here," Luka instructs. "I need another suture kit." Neecole, as is her wont, obediently follows him out.
Curiously, Neecole presses Luka for information about Kirk's case, then balks when he admits he's planning to remove the implanted catheter. Luka changes the subject by apologizing for Carter's behavior in the trauma room, which is bullshit because Carter was justifiably upset that the equipment shelves were in shambles and under the administration of a doofus. Neecole argues that Kirk will obviously find another way to do drugs if he's so intent on getting high, but Luka insists he can't allow it to stay if it's being abused. Neecole stops walking and gazes at Luka's back, mischief and misdeeds percolating in her boring blonde head.