Up on a very pretty palm-studded plain, Sawyer and Sayid are bickering about whether to try the radio when a sudden roar shuts them up good. Something big's coming right at them. Most of the party takes off running -- Shannon hilariously screaming, "I shouldn't have come on this!" -- but Sawyer stands his ground and, as the thing comes close, whips out a pistol and lets loose a volley of shots. Something white and furry comes crashing down at his feet. The group returns and Boone, God's Friggin' Gift to Humanity asks, "Is that what killed the pilot?" Kate looks askance, presumably because Boone, God's Friggin' Gift to Humanity shouldn't know that anything killed the pilot. Or at least that's what I thought at first. But the fact that no one else -- not Sayid, not Shannon, not even Sawyer, who really likes to talk -- says, like, "Killed the what now?" makes me think this is just an editing error and we're supposed to assume for some reason that Jack changed his mind and told people what he, Kate, and Charlie saw on their expedition to the cockpit. Anyways, Charlie notes that what killed the pilot was much bigger than a bear. Kate realizes that the bear, in fact, is a polar bear. This is the exact moment that this damn show got its claws into me.
Back to Jack's operating theater. A nervous Hurley has come to help Jack with Shrapnel Guy. He asks if Jack is sure that the man won't wake up when Jack yanks out the metal chunk; Jack says he doesn't know. To thoroughly test the man's unconsciousness, Hurley yells, "There's a rescue plane! We're saved! Yaaaaaay!" When there's no response, Hurley says, "Yeah, he's out." Jack tells Hurley that if the man wakes up mid-hunkectomy, he'll need Hurley to hold him down. "Uh, I'm not so good around blood," Hurley says, assuming a position at the man's head. "So don't look," Jack replies. Hurley obligingly looks away while Jack -- in an extremely grody shot -- jerks the shrapnel out of Shrapnel Guy's stomach. I curse at the screen, because now I need to think of a new name for Shrapnel Guy. Open Wound Guy? Nah, Shrapnel Guy is catchier. Sars tells us at the beginning of the season that we need to immediately coin catchy nicknames, because those ensure repeat viewership and are the easiest things for Lorne Michaels to spin off into movie projects. As Jack tries to stanch the flow of blood, Hurley ventures a peek and is soon dude-ing his way into unconsciousness. At least he didn't, you know, render the operating table unsanitary, which is what I thought was going to happen.