Cut to a hospital corridor, where Karen's on a gurney, being wheeled into an operating room. Doctors slap on rubber gloves and mutter stats in the background, while a tranquil Soliloquy Karen slurs, "Is it all right if I rest now? Would that be okay?" Her eyelids slide shut.
The camera pans up Karen's shattered, braced leg to tubes crisscrossing her chest, to her face, still bloodied. Her breath is raspy as she stares, unseeing, at the ceiling. A pair of hands slips an oxygen mask over her face. Darth Vader breathing. In. Out. In. Out. The ghostlike breath carries through a black screen to commercials.
When we return, Karen's still with us. A doctor opens her eyes and shines a light in each one, noting that her "pupils are round and reactive. That's good." Karen's eyes follow his movements through the slits of her eyelids.
Soliloquy Karen stretches languorously and smiles, rolling over onto her back. "We're at the house," she sighs. "In case it rains." Oookay. Must be the morphine drip.
Back in Karen's room, the camera slips in and out of focus, mimicking Karen's reality. We see fuzzy blue shapes as personnel shuffle around her, and we hear snippets of their observations between Karen's breaths.
"My cat has a collar like that!" Soliloquy Karen slurs, delighted. She finds this very funny, and laughs for the first time in a very long time.
The camera flashes to the broken Karen again, struggling to open her eyes. She only gets them half-open before Soliloquy Karen takes over, though, still laughing and murmuring, "That's so funny!"
Jessie paces in the hallway while Rick and Lily sit helplessly. Jessie asks if they want anything to eat. They thank her but decline. She strides off around the corner, where Eli's holding up the pop machine and trying not to cry. He lifts his head when she arrives but can't quite look at her. "I know," she says. "It's okay. I know." He turns his head away, and they stand there, arms folded, trying to be strong.