Carter needles Ray about not clearing beds with sufficient speed. "I'm taking them through like fast-food orders!" Ray insists. "It's the back door plugging us up." Oh, so Shane West can get off that double entendre without snickering like a ten-year-old, but medical jargon is beyond him? Right. Carter shrugs that he was able to get the old man up to MRI fast enough -- maybe he should show some more initiative. Ray does this by whining to Sam that Funky Monk is still around, which she claims is because they're still waiting for his tox screen. "I didn't order one," Ray says. "Abby did," Sam replies. Ray cocks his eyebrow and flares his nostrils. Shut up, Ray's nostrils. For one thing, Carter's nostrils might think you're stealing their move.

Carter heads out to triage to get a Cold Drink, and he lets his head rest momentarily against the machine. Pain and fatigue wash across his face as he closes his eyes and tries to shut out the world, but the noise of kids and sirens wailing in unison won't let him escape. He sees GSW Guy's girlfriend on the phone crying, then looks over his shoulder and jerks back into action. "What are you doing?" he shrieks at Urbanus, who is about to give...something...to someone. Carter finds out that the guy is giving nitro to a teenager who has chest pain, which -- with a little examination -- could be traced to lifting weights too vigorously. Carter stomps off and finds Pratt, who is again sitting down and furrowing his brow as he fills out paperwork. "Comfortable?" Carter sneers. "I just prevented one of your med students from giving nitro to a seventeen-year-old on your recommendation." Pratt shrugs that he never said that. Carter corrects him that lack of specificity is tantamount to a recommendation when you're dealing with med students, who tend to think too literally at first. Pratt apologizes. "You all right?" Carter asks, softening a bit. Pratt says he has a slight headache. Carter thought Pratt wasn't experiencing any headaches or dizziness, and Pratt retorts, "Only from working here." So Carter gets crabby again and orders him to leave. "You've been dragging ass all day," he says. Pratt claims he has time-consuming patients. Carter tells him to get himself into shape before he shows up trying to fix other people. "You can't afford to lose me [today] -- I'm worth two other doctors and three interns," Pratt says arrogantly. "Not today, you're not," Carter snaps.