Patrick rushes back to GH to operate on Sam but Noah objects. {OK Noah has some points, all Patrick has done is taken a call from Elizabeth and glanced at Sam's chart. Granted he should already know she was shot – but he's been gone a day or two and doesn't know the latest. Either that or he's a speed reader.} Noah believes Patrick is just operating on Sam to redeem himself. {First off, wow with the big long medical terms. Now I’m learning new words as I watch GH. I’ve deduced that 'intracranial' means inside her head . Anyway Noah is fuming mad that Patrick is risking his career. And he's convinced Sam will die. The two of them shouting at each other was quite the show. I guess they cannot discuss their different viewpoints in 'library' voices.}

Noah explains his diagnosis to Alexis, Patrick rebuts it with his own interpretation and then Jason interrupts them all. {OK here’s my zero-medical-school take, the surgery is very risky. It appears she could die either way. So it's likely not unusual that you could find two doctors with different opinions ~ isn't that why they always recommend you get two opinions? But Jason is right, Patrick hasn’t yet examined Sam so perhaps this is all happening a little too quick – putting the cart before the horse.}

Patrick examines Sam and Jason signs off on the surgery. While Patrick is getting ready for the surgery Noah watches him through the door. Just as Patrick is going to make the incision Alexis barges in with a court order. {Noah looks anxious as he looks through the window, but apparently chooses not to have one last scream fest. But how does Alexis get an injunction that fast? Wouldn’t she have to prove that Sam is really her daughter before getting that approved?}- Jen H.

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Rick must have gotten his scripts mixed up and thought he was back in the coma, because he forgot to shave......Not complaining, I don't mind that look, but this is the first time I've seen him with that stubble as an on-duty doctor.

He's getting way too angry at everything. I think he needs to start playing some of the anger with more of a slow burn. This yelling pointing the finger is starting to get a little over done.
I also didn't like the way he treated Elizabeth (although maybe as a doctor, he was in the right, not real sure about that). Back in the day, Noah was basically a good, kind person, and I'd like to see him return more to the core of who he was, with more compassion.

I'm not sure how this is actually going to play out, but I'm not liking the way this is all shaping up. Dr. Noah Drake is supposed to be a brilliant surgeon, and he does have several years of experience. So even if he got to the point where he wasn't physically able to perform surgeries, his opinion and diagnosis should still be pretty solid, and if Patrick actually does finally do the surgery, I'm assuming Sam isn't going to die, which will make Noah wrong, and Patrick right, and I'm not loving that scenario.

It seems as if Rick wasn't expecting Patrick to start talking before he was finished in that one scene (when he said "I  can save her" ). But I wish that would happen more often because when you're in a heated argument, you don't necessarily wait for the other person to finish talking before you start making your point. I just think on the Soaps, they don't talk over each other much because then you miss what's being said. 

Also, we seem to have another "missing scene" today. When Jason asks Noah how he would know that Sam's condition was inoperable when Patrick hadn't even had a chance to exam her yet, I think that question required some kind of an answer. - rlh