Dubenko presents the results of the biopsy to Carter -- Angela has kidney failure due to drug toxicity, and she needs a new kidney. Dubenko asks Carter if he's really been posting shit about Zorictal on the internet; Carter says he was just trying to be thorough. Dubenko advises Carter, "Don't piss off the money people."
Carter and Dubenko enter Trauma Yellow and deliver the bad news to the Chase family. Graham makes sure he understands that it's not rejection. Henry says that the kidney is irreversibly damaged. Graham asks if it's because of the Zorictal. Henry suggests that it could be another drug she's been taking, but Dubenko shoots him down. Graham really wants to drive home how badly this sucks: "So this drug that I've been working two jobs to pay for, just to make her life better, has ruined her donated kidney." Yep, now we're all caught up. Patty cries silently next to him. Graham wonders why Henry didn't warn them about this, and Henry insists that it couldn't have been anticipated. Patty asks if they're back to waiting for a donor, and Carter says that UNOS will prioritize Angela. Graham shouts that it will take three or four years to find a kidney donor. Henry, the master of poor timing, recommends that they have a surgeon down to install a forearm shunt to make dialysis easier. Yeah, that's just what her parents want to decide right now. Graham yells that Angela will be on dialysis all through high school and college. Carter tries to suggest that they could get lucky with a kidney donor. Graham reminds him that they never found one the first time, because Graham donated his kidney. Everyone is silent. Graham stares at Henry and says, "We have given up a lot. Made a lot of sacrifices. You told me this drug was worth it." Henry looks like he's going to start sobbing like his wife just won a Golden Globe or something.
Jake, Abby, and Sam are putting in a chest tube. Abby supervises while Jake inserts. And if you think that was a double entendre, wait until the rest of the scene. The whole thing somehow turns into some sort of sexy-sexy thing with fingers being inserted and whatnot. It's gross, and poor Sam has to witness the whole thing. Sam spots Neela talking to Luka and asks, "Somebody put something in the water today?"
Luka corrects Neela's trauma report, and then returns it to her. As she starts to leave, he says awkwardly, "I hope I didn't give you the wrong impression. You're a resident and I'm an Attending." Neela tries to shut him up quickly and end this nightmare by stuttering that she understands. She runs out. Luka turns and sees Sam glaring at him from the next room. Shut up, Sam.