Deb shows up at Keith's body shop, where he's just going about his business fixing cars. Heh. I wonder if he's fixing up his own car and the other guy's car -- I guess that's one way to keep yourself in business. She says, "I just wanted to see how you were doing. I left a couple messages about Lucas." Keith stops turning his ratchet for a minute (I still can't believe that I even know what a ratchet is!) and looks at Deb: "Is there any change?" Has he talked to Karen today? Keith answers, "She doesn't want me at the hospital. And I can't blame her." Deb says, "She's just in shock, Keith. Once Lucas gets better, things will go back to normal." Keith sighs: "I'm not so sure about that, Deb. Karen isn't speaking to me, Lucas is unconscious, and I'm to blame -- that's a tough one to bounce back from." He's awfully calm about the whole thing, and thank goodness we haven't been treated to a Keith-drowning-his-sorrows-in-alcohol moment. Deb says sweetly, "Just give it some time." He scoffs, "It's funny, you know? I wasted all those years being too afraid to tell Karen how I felt, and then she kissed me at the airport." He looks off into the distance. "And suddenly everything I hoped for seemed possible. And all I had to do was wait six weeks." He snort-scoffs again: "Just six weeks, yesterday should have been the best day of my life. Now it's all gone." With that, he walks away, leaving Deb with the scent of sorrow and motor oil. Holy crap, every single person on this show has some aspect of their life falling apart. How much of it can we take? Yawn.

Back at the hospital room of impending doom, Brooke asks Karen if she follows astrology. Honestly, if the girl wants to make a good impression on the mom, this is not the way to do it. Karen doesn't -- follow astrology, that is -- so Brooke closes the magazine and says, "Me neither. It's actually not as accurate as numerology anyway." Karen looks over at Brooke and asks, "You two been dating a long time?" Brooke says, "A little over a month now." An Amy Quinn from the billing department takes this opportune moment to drop by and let Karen know that there's a problem with her insurance. Yup. You heard me right: on top of everything else, Karen's coverage won't even begin to take care of Luke's medical bills. And yes, that's me in the corner, losing my religion, trying hard not to roll my eyes back as lyrics to songs from my misspent youth start popping up into my head. Anything to avoid the tragedy at every turn that this episode seems to be delivering. Anyway, Karen wants to set up a payment plan. Of course she does, because she's poor, in case anyone in the last fourteen episodes hadn't noticed yet. Yawn.