The OR. The transplant team begins shutting down Valerie's old heart; Lucy looks on. A woman arrives with a cooler and asks, "Anyone lookin' for a heart?" One of the other surgeons, Dr. Hanover, busts on her for "making [him] look bad," and the woman tells him to take it up with the FAA; Lucy worries, "Is it too early?" and Peter reassures her that no, "it can wait on ice for a while." The woman takes the plastic-bagged heart out of the cooler. Lucy oohs and ahhs at it.

Cut to Mark asking Adele The Social Worker about her session with Michael. It didn't go too well, apparently: "He denied everything?" Adele confirms that Michael "claimed the boyfriend never even touched him." Mark sighs that he "thought [Michael] was ready to talk." Adele says it's not uncommon for victims to change their minds: "He probably loves the guy and wants to protect him." Thanks for the PSA, Adele, but here's a tip for next time -- grip the skillet firmly in your right hand and swing it upwards in an uppercut motion. Mark asks if Adele will be around all day; she says she will, and asks if Mark plans to "take another run at" Michael. Mark says yes. Adele tells him to call her and grabs the elevator, and Mark spots Carol and asks how she's doing. "Four hours and forty-three minutes to go," Carol sighs, and Mark observes that counting the minutes probably isn't a good sign. Enter Amira with a chart, calling a patient a "real bitch." I don't know where Amira came from, but I hope she stays.

Chen and Carter argue about Ruth Ann and Louise. Carter says of Louise, "The woman is exhausted." "I know that, John," Chen drones defensively. "So she needs a break, a couple of days," Carter says, and Chen shakes her head firmly and says, "I can't." "You can't, or you won't?" Carter asks, and Chen snaps, "Both." Carter tells her in a patronizing tone just to say she's ruling out a stroke, and Chen says incredulously that she can't lie about a diagnosis, and Carter starts talking down to Chen blah blah blah making "what's called a judgment call" blah blah blah "rules need bending, we bend 'em" blah blah blah voice-of-wisdomcakes. Chen reminds him that she bent the rules before and got into big trouble for it, and Carter says condescendingly, "Well, if you're afraid of getting yelled at then maybe you're in the wrong department," and puts his hand on her shoulder all Dawson-Leery-"buck up little camper"-style and says, "Look, everybody does soft admits, it's just part of the drill."