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Charlie sits beside a drowsy Alex in the lecture hall, willing her to see him again. Instead, Alex's eyes close, while on the dais, Kinney reviews a tricky, high-profile surgery. Migrant worker Ysidro Pineda has had both hands amputated at a chicken processing plant, and two teams of surgeons, handpicked by Kinney and led by herself and Joel, will reattach them. The surgery must be completed within the next 12 hours or the hands will die, and Ysidro is en route. Kinney calls out Alex for napping, then goes on to say that a successful double hand replantation has never been achieved in the city of Toronto, so this one's a biggie. After the lecture, Alex apologizes for falling asleep and is somewhat thrown when Kinney sends her home to get some rest. Back at home, Alex finds a note on the fridge, from Charlie on their wedding day. Where are his cufflinks? Now Alex feels even more sad, tired and lonely... is there no rest for the weary?