we enter an office where dr. larch shows couple #1 their newly adopted son, homer, an infant who lies smiling in dr. larch's arms. larch instructs an older homer from "gray's anatomy." homer is bored and looks out the window. homer is in the corridor outside the office, overhearing larch's lecture to the couple adopting hazel. homer is seated in the desk chair. the impressive couple sit in front of him. as homer stands guiltily, larch rifles through an x-ray file, holding various x rays up to the lit screen. he quickly finds the one he's looking for, attaching it briefly to the screen for a confirming look--a heart x ray, which larch waves at homer as he talks. larch is doing something at his desk when angela comes in.