Elizabeth passes Spittle's open door and pauses when she sees Nathan and an older man inside. "It's not unusual to see these feelings when you're dealing with chronic illness," the man is saying. Coldly, Elizabeth summons Nathan to the hall to join her. Looking as busted as an issue of Playboy, Nathan skulks outside. "What's he doing in there?" Elizabeth hisses. Nathan obtusely introduces the man as Dr. Harvey, whom Nathan called on a Psych consult, to which Elizabeth retorts that she's well aware of his identity but can't fathom why he's in Spittle's chamber of death. "He was down here on a consult with another patient and I asked him to speak with [Spittle]," Nathan says innocently. "Did you run it past Dr. Lewis?" Elizabeth asks in clipped tones. "No," Nathan says casually, adding that the good doctor agrees that Spittle was too depressed to make sensible treatment decisions. "He's willing to consider other options, such as...a whipple," Nathan says with some hesitation. "A whipple," fumes Elizabeth. This is where I'd be unable to complete the scene without giggling, because really, "whipple" is a hilarious word. Smoke emits from Elizabeth's fast-flaring nostrils. She's irate that someone whipped out the whipple. "Uh, I'm not sure who brought it up," lies Nathan, trying to be all ignorant and innocent. "Well, whoever did must be literally insane," Elizabeth says, and thank God she differentiated between that and "figuratively insane," because I think a lot of us were going to be really confused. Literally. Elizabeth points out that the six-hour operation will be capped by months of recovery, if Spittle even lives through the whipple, and is it really worth it? "He's dead in two months if we do nothing," Nathan argues. "That's right, but only you seem unable to accept that," spits Elizabeth. And she's kind of right -- again, I fall somewhere in the middle here. I think it's really annoying of Nathan to presume he knows best and is the champion of all the lowly sick and weak peasants of the world, but also it does seem weird that they didn't at least delineate the options and all the risks and advantages each one entails. But actually, I'm glad they didn't, because wow, that would be some boring recapping there. Nathan insists that they should at least give Spittle the whipple bullet and let him decide if he wants to embrace the whipple or live a whipple-free life. Elizabeth charges into the room. Nathan moves to follow her. "You've done enough, thank you," she snaps. Nathan lingers outside the room, looking wounded that she's all whippled about the whipple.