That night, Ed is lying in a bed at the clinic as Ben and Lily use an ultrasound machine to check for internal injuries. Ben says he does seem to have ruptured his spleen, which may end up healing itself. Otherwise, it's looking like surgery. Ed is, understandably, un-psyched about the prospect of going under the knife in the middle of the jungle. Ben heads off as Lily asks Ed if there's anyone she can call for him. He explains that his wife is dead; he'd been putting off their return trip for thirty years, until it was too late. Outside, Lily pesters Ben to find a way to airlift Ben to a real hospital, but he says it'll take too long.
Mina's still trying to make it back to her room with her suitcase when she comes across the same old lady she treated for a cold earlier. Frustrated, Mina -- in English -- tries to explain that it's just chest congestion and she can go home. "Ho-o-o-o-ome? Or not." The lady stares back at her, impassive, and Mina gives up and trudges off.
Speaking of trudging, Tommy makes it back to the clinic under serious nightfall, and he finds Otis lounging on a bench by the stairs. He asks "Plastics" how his field trip was today, and Tommy bluntly replies that Otis's patient is dead. This is not good news to Otis, as he had her on a prescription regimen and she was improving. Tommy explains that the husband refused treatment and that now the whole family is sick. Tommy then produces a note -- for purposes of AMA ass-covering -- in which the husband signed that he was refusing care against doctor's advice. I think the note is written on his luggage tag. Otis thinks this is a joke -- that Tommy himself is a joke. Tommy's all, "You don't know me!" At which point we shift hardcore into "Time to Learn About Tommy's Damage." See, Otis did his homework and learned that Tommy drank his way through med school and partied just hard enough they he could get by and get himself a nice job doing boob jobs in a strip mall. "You're not stupid," he sums up, "you're lazy." Tommy starts to ask what he was supposed to do, at which point Otis yells the promo-friendly "YOU WERE SUPPOSED TO BE A DOCTOR!" He orders Tommy back to the village at first light tomorrow, at which point he will treat his patients. One would assume with blow-darts filled with medicine.