Abby scolds Carter for blabbing about her brother's problems to the med students. "Gallant is in the Army," Carter defends himself. He's interrupted by an older Asian couple claiming to be the parents of the little moppet that came in with the young girl on pills. "She's the nanny," the woman says stiffly. "I'm Aidan's mother." She goes off to see the kid, while Carter talks to Sketchy Dad. "Is [Nanny] a drug user?" he asks. "Has she been depressed?" Sketchy Dad pleads ignorance. "Can you think of a reason why she'd want to hurt herself?" he presses. Sketchy Dad cannot. Carter reveals that she tested positive for pills, and Sketchy Dad easily barfs up the explanation that she'd had a stressful week with the baby and probably took sleeping pills with a glass of wine. In the middle of the day? Whatever, Sketchy Dad. You are indeed an aptly named rascal. "Does she have a boyfriend?" Carter asks casually. "I don't think so, why?" Sketchy Dad asks. Carter brushes it off and wonders if she has problems with her personal life. "We'd know -- she lives with us. Has been for four years now," Sketchy Dad says. Then, narrowing his eyes, he asks to see Nanny.

Nathan meets Elizabeth in the OR, where she's scrubbing up. Shirley pokes her head into the room and says, "Are we really doing a whipple on this guy? He's a little old, isn't he?" Then she retreats. Nathan feels really whippled about this whole crazy whipple. "Thanks to you, [Spittle] and his family seem to think the operation is worth the risk," Elizabeth snaps at Nathan. "But they may have second thoughts after we resect his pancreas, duodenum, gallbladder, and a large portion of his stomach." Um, well, they probably won't notice that you did all that, unless the object of the whipple is to resect it all and move it to the outside. Nathan haughtily points out that Spittle has daughters and grandchildren who will benefit from the extra year this will give them with granddaddy. "Perhaps, with a small miracle, which may be in order seeing as you seem to have become the Patron Saint of the Terminally Ill," Elizabeth spits. Nice one. Nathan tenses. Elizabeth asks him to assist. "You got us into this," she says darkly. Alone, as Nathan reaches out for the soap, his hand trembles. Nervously, he looks around, then pops a pill. We fade to black certain that Nathan's about to whipple the whipple out of this whipple.