In a trauma, Pratt, Neela, and Chuny are working on a guy that won’t sit still.  Carter comes in and asks what happened. Neela tells him that Mr. Lillion was checking radiator leaks with the engine on when he caught his hair in a fan belt, and it torn out his hair when he tried to pull it out of the fan and cut his hand open.  Pratt asks Neela if she wants antibiotics.  She says a gram of ancef IV piggyback.  Pratt asks, “Anything else?”  She pauses.  Pratt jump up and says, “100 Gentemician. Why?”  She again pauses.  Then Carter tells her open fractures are susceptible to gram negative organisms.  Frank come in and tells Pratt that Darnell is outside.  Carter tells him to go and Pratt leaves.  He shakes hands with Darnell, meets a kid named K.C., and Darnell wants to know if there is a place they can talk in privately.  Luka and Sam are now talking about each other in counseling.  Sam tells her that she doesn’t think Luka is happy.  That he is closed off and never talks or shows his emotions.  He denies this, gets mad, and tells Sam that he guessed he should break a dish to show his emotions.  Then the counselor asks Luka what he is thinking.  He tells her that he is happy and Sam is not, they work together, and they have a good like.  This makes Sam want to hit Luka in the head with a hammer. The counselor asks what made them come today.  Sam tells her that she might have been pregnant and he didn’t seem to care.  In the ER, sewage is falling to a patient, literally.  Abby and Neela move the man and she tells Frank to call housekeeping about the leak.  Frank asks where Carter is and is told that he took the lost hair victim up to the OR.  Frank then tells Kem to leave a message for Carter. Susan walks up and wants to talk to Ray.  Darnell explains to Pratt that K.J. got busted by the police and wants him to do his community service hours at County.  It’s not his decision, but he will ask.  Sam and Luka are now talking about the no pregnancy.  Sam doesn’t think it would be fair to Alex, but Luka thinks he would like a little brother or sister to play with.  Sam then tells him that she didn’t even want a kid the first time, and after what happened to his wife and kids, does he really want to bring another kid into the world.  He wants to know how that is relevant to the situation.  She replies, “It is a huge part of what you are, and you won’t let me in.”  At the ER, Abby asks Carter how names like: Destiny, Miracle, or Faith ends up with leukemia.  Frank then tells Carter that Kem called and she sounded upset.  Maintenance places a bucket under the sewage to collect it, and everyone wants to know how long they will have raw sewage leaking from the ceiling.  Abby gets mad and asks what happens when the bucket fills up.  Carter is on the phone as Morris tells Frank to move boxes out of the Chief Residence office.  All of a sudden Carter gets serious and asks, “What happened.”  Susan and Ray are talking in a room.  She tells him that his was lucky to get into County and all he seems to clock, but has the ability to be a great doctor.  She then tells him not to sign the contract unless he is 100% sure of what he wants to do.  Carter is getting his things together and Abby walks in wondering if something happened to Kem.  He tells her that it is her mother in Paris.  He walks out telling Frank that he has to go and will call Susan from O’Hare.  Sam and Luka are leaving the counselor and he asks if she needs anything from the bank or Home Depot.  She gives him the look and walks off.