Though I haven't seen this episode yet; based on the description and other info this almost seems like the final episode of Julianne Margulies who played Carol. In the that episode she went off to see her true love Doug Ross and when she saw him, he only uttered 4 words and it wasn't anything like "I love you" or "I miss you". In this one Abby leaves the hospital and goes off to start a new life with her husband Luka. At least she got a happy ending; unlike other characters like Mark Greene, Greg Pratt and Romano who died. Or Malucci who was fired.
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