Sam rushes along and Pratt asks why his lymphoma patient hadn’t been up to CT. Sam tells him she must have spaced out and would take him right away. Jerry tells her not to bother that there was a long wait time and as she turns to grab her charts, she spills a cup of coffee all over the floor. Pratt starts handing out cases, giving Ray a patient that he would like to trade with Abby. She tells him no, while Pratt hands Neela, Mr. Rubadoux’s chart. Neela looks at Abby and tells her she’s done her shift and gives her Ruby’s chart. Susan is in with the hospital board. They go over her credentials but stumble on how she is not bringing in grant money. Abby examines Ruby who is quite vocal about not wanting any of the doctors. He tells her to contact his own doctor. She tells him that she can’t hear anything and he states that she has been listening for five minutes. Abby tells him he’s been talking for five minutes, which silences him because of the tone of voice, she uses. Abby asks him if he was ever told he had a heart murmur. Ruby looks at her confused as she explains to him what it is. He questions if she thinks that is what he has and Abby replies that she is pretty sure. Ruby sarcastically emphasizes ‘Oh you’re pretty sure’ while Abby states that she wants to run some tests. Ruby scoffs that he doesn’t want some nurse calling the shots when it comes to his health. Abby tells him that she is not a nurse and listens to him continue to be ornery. Pratt and Sam bring in a battered woman who is asking if ‘he is dead; Sam tells her that he is right behind them and assures her that he will be in good hands. As the gurney behind them passes she tries to jump off the gurney to attack a male that is being wheeled into the next trauma room by Chuny and Luka. Sam questions the female if her husband was the one that stabbed her and she replies that he cornered her in the kitchen and held the knife to her throat. Sam pays notice to the fact that she smells of alcohol. She continues to say that she didn’t know what to do so she grabbed her husband’s gun from the kitchen drawer. Pratt tells her that she has a collapsed lung, while Chuny comes in from the other room and tells Sam that she missed restocking supplies. Sam tells her that it was Malik’s turn. Chuny replies that according to the nurse’s schedule it was her turn and they were all out of 8-0 ET tubes. Ray asks Chuny if she took a vacation and she tells him that it’s not her fault that Sam forgot to restock the shelves. Luka looks at her from across the two trauma rooms and moves to get something from the cupboards. Pratt gets on Sam’s case about a medication for a procedure. Luka tells her he was right there but she gets upset saying that she will get it. Pratt asks the female to answer some questions, while Luka gloves up to help. Abby presents Ruby’s case to John but he tells her to get Luka to sign as the attending. Abby tells him he is caught up in a trauma and tells him that the only way she could get Ruby to calm down was to tell him she would get an experience doctor to see him. He reviews the results, and walks in to see Ruby. John introduces himself and Ruby tells him that he remembers him. Ruby asks him if he remembers him, and John plays stupid. Ruby carries on to explain what happened 10 years ago. Haleh looks on while John sits awkwardly listening to the old man express his love for his deceased wife, whom John treated all those years back. John tries to take a listen to Ruby’s heart but the old man pushes him away repeating that he wants his own doctor. Abby tells him that John has to examine him and Ruby surrenders. Abby and Carter walk out. Haleh follows and grins, saying that he is as much of a handful now then he was years ago. John asks her if she remembers him and she nods telling him not to let Ruby get to him. Susan passes through admit. Ray sees her and asks her what she is doing there and she tells him not to ask. Jerry tells her he tried to page her while Luka states that they got slammed with a double trauma and could use the help. Jerry tells her the residents meeting had been changed to later in the afternoon. Susan scoffs that she just worked all night and can’t stay until then and walks off displeased. Carter goes to records to pull Ruby’s wife’s charts. He takes a seat and waits. Kaysen does a sonogram on Ruby’s heart while the old man explains that his doctor thinks very highly of the cardiologist. Abby speaks up and gets silenced by Ruby. Kaysen tells Ruby in medical terms what is wrong, while Abby translates into easier English. Kaysen continues to go through the treatment options and leaves to tend to other matters while the tests are being done. Abby pulls up a stool while Ruby chats about having a little more faith in Kaysen. Abby asks Ruby if he understood everything Kaysen said. Ruby hesitantly tells her he did. She explains that with the heart surgery there is risks, and that because of his age there might be complications. Ruby asks her if she can fix his heart, to which Abby tells him no. Ruby states that he will go with the guy that can and abruptly tells her ‘bye’.