After the commercial break, we're back at the hospital. Dr. Draper enters an examination room, where Dr. Hook and Mrs. D are waiting. Dr. Hook asks Dr. Draper if she wants to get involved, and she shoots back, "After what Steg did, yes." Dr. Hook announces, "I'll get James." He assures her it's necessary. As Dr. Hook leaves, Dr. Draper picks up a syringe and turns to Mrs. D. Mrs. D asks, "What's that, dear?" Dr. Draper tells her it's Novocain.

Meanwhile, the unrestrained spree killer Rolf is wheeling into the hospital, accompanied only by the two ambulance guys and not, say, any armed guards. The EMT gives the rundown: "Airway's shut tight. Is 'B' for breathing or barf? Circulation, probably not. So I'll guess 'D' --none of the above. Remember that raver kid we had last year, had the LSD cut with strychnine? This guy could be his big brother." A-ha! So those stickers or stamps that both Harriet and Rolf were licking weren't just there for decoration. As Dr. Whatsername prepares to save Rolf's life, Dr. Hook comes over, correctly pegs Rolf as "public enemy number one," and says darkly, "Do everyone a favor -- let him die."

Elsewhere, Dr. Jesse James is holding forth to his right hand about the exciting potential of Project Morning Air. But he's going to keep his left hand in the dark on this one, because the left hand doesn't need to know what the right hand is doing. Dr. Hook comes on in, and the camera goes into a crazy 45-degree angle so we can see his deadly serious expression as he sticks his thumb in his mouth and mimes inflating his pinky. Dr. James does the same in response. He then pulls one over on Dr. James by telling him Mrs. D may have suffered a small stroke since one side of her face is numb.

Dr. Whatsername is staring down at Rolf and saying they'll put him on Versed if the Valium doesn't calm him down, and the gruff mean nurse decides now would be a good time for Carrie to give everyone a demo on intubation. She turns around and pleads, "Not this one. Please?" The two women just stare at her like they're the rush sisters evaluating a would-be sorority pledge. Carrie comes over, shaking, and tries to do it. Rolf gags, and the brusque nurse says with sadistic glee, "That would be the trachea." Well, Carrie's a little preoccupied with shrieking, "His eyeballs are bleeding!" She'll have to bone up on everything below the nostrils later. Everyone leans in to check it out, and then Rolf's eyes snap open. They all pull back in unison. Rolf looks to the left, then to the right, then sits up stiffly. The sounds of the staging area recede, he's put under a spotlight, and then he pulls out the tube and looks at it before singing in the key of spooky, "Na-na-na-na, na-na-na-na, hey, hey, hey, goodbye!" Everyone looks a little nonplussed. Then Elmer holds up his stethoscope and starts, "He'll never love you / the way that I love you…" The women kick in with, "'Cause if he did, he wouldn't / make you cry…" Rolf looks around and thinks, "HA! I have infected them with the same spirit that killed the last season of Twin Peaks! Soon, this show will collapse under the weight of its repeated, heavy-handed attempts to unsettle viewers through quirky and foreboding scenarios!"