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Previously on Emily Owens M.D.: Hey. Hey. Don't you recognize me? I'm so bad with names. Cassandra Kopelson. From high school. It's about Cassandra. I just wanted to make sure you'd be okay if I asked her out. Yeah. Totally. The woman in 501 is my mom. She has pancreatic cancer. Oh, my God. I'm so sorry. I need to ask if you have a thing for Emily Owens. You're acting different. I realize that being friendly with you is getting in the way of being an objective and a fair mentor to the other interns. It's better if we keep it professional. Okay. In high school, there was this moment-- this seminal moment-- when I realized I was in a rut. I studied, I practiced cello, I debated. I had the same hairstyle I'd had since seventh grade. I needed to shake things up. Unfortunately, I'm in a rut again now. I've got a nemesis. A crush. A mean teacher. Something's got to change. Maybe I should get a short haircut. You don't need a short haircut. You need to get laid. No, this is about me, not about a guy. I agree. Have you ever had a one-night stand? Yes, of course. It turned into an but it started out that way. I don't want to know about that. No, you probably don't. Has it been a while? Since I talked about Kevin? Since you got laid? Um no. Liar. Liar. That'll get you out of that rut. Hit that reset switch. Yeah. I'll just walk into a bar and seduce someone. Who? No one specific. Oh, come on, Owens. We all know you need to get laid. It's no secret. Might as well be tattooed on your forehead. Roger, stop. Listen to me. The tender offer stands. It's a cash for stock deal. They accept the terms or I'm done. admitted Shut up, Roger! No, I could give a flying We didn't come out here to negotiate. Ma'am You know what? Let's just forget about it. I've got other investors. You go your way, and I'll go mine. He'll call back. What can you tell me? with chest pain Yes, yes, I know all that. It's stress. Look, who's in charge here? Is that you? Where are we at? Can I go? No. You have demonstrated evidence of cardiac ischemia and myocardial injury. Hold on. Roger I hope you're calling to tell me Mrs. Calder, hang up that phone. Let me call you back. Just try to hurry up. Take your time. We have to run some more tests before we can attribute your symptoms to stress. We're going to need to monitor your heart and we're going to have to draw blood every six hours and get EKGs. Fine. I authorize it. Is that all? In my life-- my life-- I have never met a more obnoxious woman. I'm not overreacting. She was insufferable, right? Totally. Yes. If you laugh, she will fire you. Think of sad things, sad things. Dead puppies. Oh! No, way too sad. All right, I'll call him. Ten minutes, Nurses' Station. You were this close to laughing. Dead puppies. Literally. Dead puppies. Will, walk with me. Oh, and that thing? I'll take care of it. What thing? The "getting you laid" thing. That's not a thing. Remember that teacher that toured the lab last week with his class, Scott something? Yeah. Nice guy. Right? He Facebooked me. Yeah. Wait. This isn't a whole "I've been cheating on you" talk, is it? No. Okay. Good to know you think we're exclusive, though. I thought I should set him up with Emily. She told me she's looking. Let's go back up to this whole exclusive thing. You brought up cheating. Can't cheat if you're not exclusive. She'd never go on a blind date. Why not? Trust me. Oh, right, I forgot. You're the Emily expert. No. It's just, you know, I've known her for a long time. All right, we'll talk about this whole exclusive thing later. Um, you sleep in my house every night, Dr. Collins. We're exclusive. Get over it. It's crazy. I mean, we came in here for a stomachache, now you're saying it's ovarian cancer? I understand how shocking this is. Trust me. These things, they just come up out of the blue with no warning. He must be thinking about his mother. No, stop. Professional, he wants to keep things professional. After we do the hysterectomy, you'll start the chemo and When will I lose my hair? Good wigs take time. I really should plan in advance. Mom, you're about to have major surgery. Who cares about your hair? I do. I care. I would say a month. But some people shave it earlier. That's not much time. While I'm in surgery, can you make some phone calls to get things started? Yes, sure. You guys can go. You don't need to hear the logistics of the wig. Do you have any other questions, Mrs. Parks? Nope. Just do a good job, okay? Absolutely. I'll see you in there. You have beautiful hair, by the way. Thank you. You need more mascara, though. Got to pop those eyes. It'll change everything. I have been thinking about making some changes, so I will take that under advisement. Apparently, if I use mascara, my life will change. Listen, they're shorthanded in the E.R. Why don't you help out. Okay. See you guys later. What happened, you and your protégé have a fight or something? Just realized I'd be a more effective teacher with some distance. So, listen, I got the time off. We're going skiing. Our first weekend away. I told you I'm a really good skier, right? Once or twice. Really good. Not a joke. And I don't like to do a whole bunch of "let's stop in the middle and discuss the scenery" stuff. Just want go down, fast, hard, meet you at the bottom of the run. You're too slow, I'll meet you at lunch. Yeah, funny. Are you serious? I'm a good skier. You're not gonna have to meet me at lunch. Hey, I heard you were shorthanded. They sent him. Oh, guess I'll No way. If you're down, you stay. I'm not giving up extra hands. Bay two, both of you. He's a live one. I sort of despise him. Albagetti? Eh, he's not bad. We can't let that happen. If they betray us, our kingdom will fall. Greetings. I'm King Paravell. I will be with you posthaste. This is ***nge, to be sure, but you'll arise to it, Astral. Retreat into formation into the valley. Prepare to launch a sneak attack against the Druids. Sir, without you? There are no other options. As you wish. A thousand apologies, but we are currently engaged in the fight of our lives. I should be on the battlefield, but my first lieutenant insisted I be seen by a physician of the court. Why did your first lieutenant insist that you be seen? I was injured trying to escape an ambush set by the Rondivers. Should have seen it coming. Let me take a look. Your kindness will be rewarded. So is this some kind of a role-playing thing? You mean, you're not a real doctor? That's funny. No, I mean your costume. My costume, much like your costume, denotes my status. Within the Elvish Nation of Gryphon Hollow. Elvish Nation? Right. Yeah, I think I've heard of that. So what is your name? Outside the Elvish Nation? King Paravell. Like, in real life, what's your name? That is my sole identity. Are you a shape-shifter? What? You've revealed yourself. Blech norish, moteka lorita. Blech norish, moteka lorita. What are you doing? Stop that! I was casting a spell. You've lost your voice. No, I didn't. I can't hear you. Yeah, you can. Okay, this looks pretty deep. Let's go get a suture kit. Be right back. Guy's a wack job. You insulted him. And he was just staying in character. Is that right? I forgot. You dated Weird Kevin. You know, I think, technically, you still don't have a voice. Oh! Oh! King Paravell! What's happening? What's going on? Why can't I see? Why can't I see? This part of your game? No, no, ear. I'm blind. You have to help me. Please, help me. Okay, try to relax. We're gonna figure out what's going on. So that's it. You were in the woods for the battle. You tripped, cut your arm. There. No other symptoms? No, nothing. What about something small you didn't think much of at the time? Uh, no. I-I mean, I haven't slept a lot. I've been preparing for the battle, but other than that You guys are gonna figure this out, right? We're gonna do our best. You ever have a seizure? Uh, no. Not that you know of. I guess that's true. You exposed to any heavy metals at work? No. I do data entry. I sit at a desk all day. This is temporary, right? The fact that I can't see? This is just temporary, right? We hope so, but we don't know yet. Conversion disorder. Just because he has a colorful hobby doesn't mean he's having a psychotic episode. He dresses up like an elf and spends his days preparing for fake battles. Yeah, but he doesn't think he's an elf. If he thought he was an elf, then it would be be a different story. Who cares? There's something off about a guy who role-plays like that so intensely. I assume you're talking about 562? Conversion disorder. He shrieked, I'm guessing from a brief pseudo seizure, factor in the vision loss, coupled with the fact that he thinks he's an elf king, problem is clearly psychiatric. No, you can't jump straight to crazy. We have to make sure there's nothing neurological. Agreed. Dr. Collins, get a CT. Dr. Owens, follow me. And keep in mind I'd prefer not to interact with the patient. Hi. I'm John Calder, Diana's husband. Totally unnecessary that he flew in, but sweet. He's sweet. Oh, this is my doctor. Dr. Ben Bin Bandari. Yes, right. Dr. Bandari. Can I go? I've got a million things going on at the office. Unfortunately, your stress echo showed reduced movement in one of the walls of your heart, and your blood tests are showing signs of myocardial injury. So we're gonna have to do a cardiac cath to see how blocked your arteries are. Book us on the next flight to New York. I want to see my doctor. No, I wouldn't fly. It's not even a four-hour flight. I'll be fine. All the best doctors are in New York, everyone knows that. No offense. Okay, we'll get your discharge papers ready. But you will be leaving against medical advice. Not a problem. We're done here. Maybe you have to be like that as a woman to get to the top. I mean, the way that she was talking to people, like they work for her but also disgust her simultaneously, it's just like Dr. Bandari. Who? That CEO lady? Yeah, exactly. And she obviously has no life, just like Dr. Bandari. I mean, how depressing is that, that as a woman to stay on top, you have no life? That's why I'm shooting for the middle. I'll get the coffees. I want the top. Well, what about kids? No kids. Such an annoying, clichéd response, Pits. Big deal. I don't want kids. It doesn't make me a monster. It makes me a responsible adult who's aware of where her priorities will lie. You have names picked out already, don't you? No. I'm still between a few. Well, you're gonna need a boyfriend first, and I have just the guy. What? He's a science teacher, cute enough that you'll think you're lucky, not so cute that he's out of your league. We'll all meet at a bar after work, super cazh. What's the catch? No catch. One eyed? ***-kneed? A regular guy. Why the sudden interest in my personal life? I don't know. Things are going great with me and Will, and I'm feeling generous. Come on, don't you want someone to hold hands with? That's not what she needs. She needs to get laid. Tyra, come on. Hey, no judgment. That works, too. Sorry, guys, I'm not the blind date type, but I thank you both for your concern. Oh, hi. I wasn't expecting you. Oh, I'm glad to see you're awake. Honey, can you hand me my lipstick? So, the surgery went great. Preliminary staging indicates that the cancer hasn't spread Just one minute. I just want to get my face on. I at least need to keep my face on. Sorry, I must have left your lipstick at home. What? I left it at home. Just focus on the good news. The surgery went well. Yes, I heard. Thank you. Can you go back and get it? I'm not driving home for lipstick. It's only five minutes away. Mom, stop. I'm sorry. We can come back at a better time. No, you stay. I just need some air. I'm gonna take a walk, but I'll be back. She'll get my lipstick. She always gets my lipstick. I just have to take your phone. Wait, um, what if First Lieutenant Astral calls? I need to be available. I'm leading this army. People are counting on me. I can answer it. You will? Absolutely. Yes. Okay. He wouldn't take off the paint. That's 'cause it took hours to apply, and he's hoping to get back to the battle. Oh, by the way, prepare yourself. Cassandra, for some reason, is bound and determined to set you up. Yeah, I'm well aware. Well, that was quick. Sorry. I told her in a million years, you'd never go for it. You know me well. You are predictable. What? Like, in a good way. You know, like, relia you know what I mean, right? Hello? No, um, this is Dr. Owens. King Paravell is currently having a medical procedure. Is there a message that I can relay? Okay. To cross the enchanted river, they have to strike a deal with Lord Mobius. If that's okay, wiggle your right toe. It's a no-go on Mobius. Okay. Astral says the troops are regrouping. Unofficially, I'm not seeing anything. Let's wait for the official results. And tell Cassandra I will go on that date. I'm not that predictable. What happened? V fib. Got several rounds of meds already. I'm getting an airway. Tube is in. Charging 200 joules. Are we clear? V tach, Dr. Hamata? Not getting a carotid pulse. All right, resume compressions. Get me amiodarone 300, another amp of epi and another amp of bicarb. Charge me up again? Charging 300 joules. Hold compressions. Clear. Another round of epi, another round of bicarb. Resume compressions. Dr. Barnes, we're at the sixth round of meds already. Pulse ox is 60. All right, charge me to 360. Clear. There's no pulse. We have a systole. Call it. What happened? Cardiac arrest. She died. I cooled off. Sorry about that. I'm so sorry. There was an event, a cardiac event. Your mother passed away. I just don't understand. I don't understand how this happened. I know. The risk is always there, but then when it actually happens, it's shocking. It's awful. We tried everything, we tried medications, compression, we tried to shock her out of the rhythm, get her heart started again. I'm so sorry this happened. Would you like to be alone? Yeah. Okay. Professional. Keep things professional. Micah. Good, he has Kelly. That's good. I'll get started on the paperwork. Hey, you okay? I've lost patients before. I know, it's just with your mom sick I'm okay. Tom, it's Dr. Owens. Yeah, I'm not crazy. I don't think that you are. The fact that I'm having a psych consult suggests you do. I asked to be notified before you came so that I could speak to the patient. We just have to rule everything out, and one condition that can cause transient blindness and seizures is a common psychiatric My name is Tom Mendolson. I'm 38 years old. The woman that I was talking to is named Lynn, not Astral, and she's a coworker, not my first lieutenant. I am not crazy. I just I like to LARP, otherwise known as live-action role play. Though I know the LARP world is not real, as real is typically defined. We don't need an eval. I'm not coming back. That's fine. It's not conversion disorder. I'm sorry. I don't think that you have a psychiatric condition, but there is something going on here that we need to get to the bottom of. Can you think of any-anything, any recent symptoms, anything small or strange that you didn't think to mention? He was limping. What? Sorry, hi. We haven't officially met. Thank you for relaying Paravell's message earlier. Crossing the enchanted river would've been a disaster. Not a problem. Hi. He was limping? That's why he fell. It's not a big deal. I just I pulled a muscle a few days ago prepping for battle. Can I see which leg you hurt? Okay, hang on just a second. What is that? An edema. It indicates an accumulation of fluid under the skin. Could be deep vein thrombosis or a clot, which forms when you sit for a long period of time. Which he does at work. We need to do an ultrasound. There's the clot. I'm guessing the first of many. Two, certainly, in your eyes. That's why I can't see? Yeah, not a psychological issue. Your blood is hypercoagulable, which basically means you're prone to clots. You've probably had them all your life, small ones that resolved on their own, but these are larger. So we're gonna start you on heparin to break up the ones in your legs, and then put you in a hyperbaric chamber to see if we can dissolve the ones in your eyes. If? There are no, um, guarantees. It's going to be okay. We were leaving! She collapsed. My wife collapsed. Dr. Barnes, have a seat. What's going on? I took an angry call from the daughter of a woman who died a couple of hours ago. She says that she's suing you for medical malpractice. What? Well, she's claiming that if her mother was such a high risk for cardiac arrest, you shouldn't have operated. Ah! Now, I have looked it over and I'm not concerned. Well, I'm glad you're not. Well, this is why you have insurance. It's just, we went over all the risks. There were no major contraindications. That is why I'm not concerned. I'm only letting you know because I have to let you know. Can I talk to Stacey Parks and just try to explain? No. Just let us handle it. I just can't bel A heart attack? Yes, a small one, but the next one could be massive. We found 90% stenosis in your left anterior descending artery and significant clots in two of your other arteries, which means we need to do a bypass right away. Okay, yes. Yes. I had a heart attack. It's okay. It's not. It's not okay. I need to slow down. Now after this, I need to slow down. Honey, don't worry. No, this is my warning sign. I need to make changes. I'm 41. I can't die at 41. We haven't even gone to Tuscany yet. We will. When? We keep saying that we will, but when? Look, when I'm all better from this, let's just pick up and go. Sounds good. King Paravell was kept in a chamber just like this for 61 years during the Maldividan Resurgency. Really? A hyperbaric chamber? Yeah, well, we called it a "Truth Diviner," but same idea. This must seem really strange, right? LARPing? Uh, a little bit, but who am I to judge? In my real life, I sit in front of a computer all day, entering numbers. I get overlooked a lot. I keep waiting for something to happen, something to change, but nothing happens, nothing changes. Sounds like a rut. Well, my whole life's a rut. But when I put that costume on, I feel different. You know, powerful, strong, confident. Really? All that from the clothes? When I dress like a king, I feel like a king. And yes, I know that Tom is real and King Paravell is not, but that doesn't change the fact that I wish it was the other way around. It's not likely I'm gonna get to the battle tonight, is it? No, probably not. Astral's laying in wait; she's stalking me. She wants the kingdom, that's why she's here. You sure? 'Cause from where I sit maybe I shouldn't say this, but looks like she kind of has a thing for you. Wish that were true. That she felt the same way about me that I feel about her. Tom, you're breathing kind of heavy. Is this part of the game or? What? No. Tom? We need a CT scan now. Just try and stay calm. I think the clot has moved to your lung. Once we confirm, you may need surgery to remove it. Tell her you have to tell her. Tell who what? Astral, I abdicate. Tell her I abdicate. The kingdom is in your hands. He abdicates to you. What? He's got a clot in his lung, he needs surgery, so he abdicates his kingdom to you. But I don't care about the kingdom. I care about Tom. You should tell him that. When he's out-- I think he'd really like to hear it. Dr. Owens, it seems, was correct. It wasn't a psychiatric condition. I'm at the thrombus, fragmenting. Just because it wasn't conversion disorder doesn't mean he's not crazy. I mean, the whole dressing up like an elf thing? In his normal life, he feels powerless, inconsequential; when he puts on the costume, he feels confident, like the person he wants to be, and, I, for one, can understand that. You make a good point, Dr. Owens. Thank you, Dr. Bandari. Tomorrow I want you at rounds dressed like an elf. Huh, I am not getting it this way. Adjust laterally. I need a better look at the clot. Okay, apparently it's extended into the right atrium. He's getting tachy. Needs to come out. You need to hurry this up-- pressure's dropping. Pull the catheter out. Prep his chest. emergent median sternotomy and surgical embolectomy. Saw. Retractor? He's getting tachy again. I need aortic cannulation-- retract it medially for exposure. Sinus tach at 150. Okay, forget the bypass, we need to get this clot out now. Scalpel. Tension on that suture. He. He's crashing. Suction-- I see it. Dr. Bandari, there's no time. Just a few more seconds. All right. Let's get this atrium closed up before he decides to arrest on us again. He's a little out of it, so Hi, Tom. How are you feeling? Okay, yeah. The vision? Sort of blurry. It's actually a good sign. Hi, hey. I'm here, too. Uh, Astral why are you not on the battlefield? Because, Tom, you're the whole reason I do this whole LARP thing. What? I like you, Tom. Not just Paravell, but you. I'm gonna leave you guys alone. Thank you, Dr. Owens. You never, you know, judged. Believe me, if putting on a costume could get me out of my rut, I would dress up, too. You never know. It's hard to explain, but really you feel different. I'm going in on a bypass. Do me a favor, have Sandra cancel my dinner reservations. Two steps ahead-- she never made them. You always cancel. Sorry I'm late. But no fear. We are going to get you laid tonight. It's not about getting laid, it's about, it's about whether a change on the outside can provoke a change on the inside. Right, so on a scale of hoochie to debutante, what are we thinking? Um, maybe somewhere slightly closer to hoochie. She might not show. There she is. Remember, you are a foreign enchantress. Men look at you all day long, you pay them no mind. You're used to it. Don't worry, that was a sexy stumble. Sexy girls, they stumble all the time. Scott, this is Emily. Hi. Hi. Can I get you something to drink? The quicker, the better. You're not a blind date person? Um, no, not usually. But I'm trying to change. I hear you-- I'm all about change. Just switched out my FreeRide for an Alpine board. Oh, you snow board? Hefeweizen okay? That's my favorite. Give it a chance. You're giving it a chance; this is the new you. Stop eating peanuts; you're a foreign enchantress. Foreign enchantresses don't pig out on peanuts. You look nice. Thank you. Cassandra went to go get a shot. She wants everybody to do shots. I don't do shots. I that's what I told her. Mm, right. Predictable. So, is that why you agreed to come here? Is that why you're doing this? Because I said that? No. Okay, 'cause it wasn't an insult. No, it's a hot, sexy trait. I hear guys all the time, "I got dibs on that one. She looks predictable." We don't call dibs. You know what I mean. I know you're not a blind date person. Shots. Beer. All right, to, uh to luck. Your wife's fine. Textbook procedure. Great, that's great, thank you. So, how long a recovery period is she looking at? Before Tuscany? Four to six weeks. No, uh before she can get bad news that might stress her heart. Well, I guess it would depend on how bad the news was. Yeah, right, um Look, uh, I'm leaving her. I flew out when she was admitted. But, um, I'm still leaving. So Four to six weeks. I'm sorry for your loss. Miss Parks? I need you to know that your mother, she received the exact same care that I would want for my own mother. These things they happen. No, they don't. They don't happen; you don't go for a walk and everything's fine and you come back and your mother is dead. That doesn't happen. I need to go-- I need to Her lipstick. I had her lipstick. I had her damn lipstick. We fought. That was the last thing I Do you know what she said, though, after you left? She said that you would get the lipstick. She said you always did. She knew what you did for her. I shouldn't be talking to you. Yeah, I I'm just not sure he's the right guy for her. Who cares? They're having fun. Yeah, she's drunk. She's got her drunk smile on. She'd dance with a coatrack right now. You're acting like you're jealous. I'm not jealous, just protective. 'Cause she's my friend and I'm not sure he's the right guy for her. She's she doesn't want to marry him. She just wants to get laid, so relax. Wow, I'm-gonna-kiss-you eyes. Okay not bad. Close your eyes. That was nice. Yeah, it was. It, uh Are you okay? Um, I don't know. Did you? P-Peanuts! Are you allergic? Mm-hmm. Okay, uh, just relax. Try to stay calm. Does anybody have an epi pen?! Yeah, so stupid. I usually have my pen on me, but I left it in my other jacket. No, it happens. I'm sorry about the, uh, the peanut thing. Yeah. Everything looks good. We'll just get your discharge papers ready. You look really nice, Dr. Owens. Thank you. Are you supposed to stay with him? You are. You're supposed to stay with him. Whew! I haven't been in the hospital since '06. Snowboarding accident? You know it. Insane. I bet. Anyway, as soon as I get out of here, how about we head to my place, pick up where we left off? Just brush your teeth, stay away from nuts, I'm good to go. Right. No, I think we're better off as friends. Oh. I don't think we'd make good friends. We don't really have that much in common. Well no. Agreed. I guess we have that in common. Wow! You look really pretty. Thanks. Wish you sounded a little less surprised, but, um I had to come in for something else, but I wanted to see how my LARPer was doing. Much better. Seeing shadows. And the other elf hasn't left his side. Great. Wow, Emily, you look really nice. Okay, I get it! Normally, I don't. Sorry. It's a tonnage thing. Can I just say? What? I know you want to keep things professional, but I've been thinking about you and your mom a lot today. And I wanted you to know that just in case it means anything. It does. Mean something. I'm being sued! She is upset about her mom, and she's just, she's looking for someone to blame. I get that. Trust me, I get that. I've considered suing the company that makes my mother's wood floors. Formaldehyde emissions. Cancer-causing. But, you know, what good is that gonna do? It's not gonna make her better. I can't make her better. So, to Stacey, you're the wood floor company. Thanks. It's been really annoying. I've missed you. It's been annoying. Legal. Guess I shouldn't have talked to Stacey Parks. Oh, my God. Everything looks good. You should make a full recovery. Great. How soon till I can travel? We're, uh, we're planning a trip, right, honey? Recovery time varies. I wouldn't make any plans until you get a clean bill of health. Hey. Hey. I heard the lawsuit was dropped. Wow, word gets around fast. Now you really have something to celebrate this weekend. I wanted to talk to you about that, actually. Oh, I don't like that look. No Vail? You're a great girl Oh, this is not about Vail. No. I don't think we should continue this. Us. Wow. I'm just, I'm not where I think I should be. Look, I know there's a lot going on with your mom It's not just my mom. I'm just not there with you. I'm sorry. Yeah. Me, too. Hey! Hey. Crazy night, huh? Yeah. You gonna see that Scott guy again? He just, he didn't seem like he's your type. He's acting a little I don't see you with him. jealous. He's acting jealous. He seemed nice, though. Nice? Come on. Guys like that, they'll take advantage. And if he's jealous, that means deep down, somewhere he's not even aware of he likes me. You can't force your way out of a rut. Change comes when it comes. Sometimes a result of careful planning. Other times, when we least expect it. I'm sorry. There was an emergency. There are always emergencies. I actually called you today just to confirm. I tried to make it home. It shouldn't be this hard, Gina. To have dinner with my wife, it should not be this hard. I know. I agree. We should take a vacation. Let's go on a vacation. Yeah, sure. Sounds great. And you are never prepared for the moment when everything suddenly changes. You can't be. It's awful. Goodwill. Okay! I can't believe you're letting me do this. And in such a good mood. Wait. Did you get laid? No. Kind of. Emotionally laid. That doesn't count. Yes, it does! No! Emily Owens? What? No, that's special. What have you done? That's a special one. A special piece of garbage. Come on. Here, how about this? What is this?
