A few months ago, I wrote about my experience at a Canadian hospital emergency department following my disastrous encounter with a patch of gravel while cycling in Quebec in July. My impression of emergency care across the border: mostly positive, despite a conspicuous lack of high-tech diagnostic equipment or physician specialists. When I wrote that story, though, I had just returned home to New York and hadn't yet organized follow-up care for a broken right thumb, broken left shoulder and very painful pelvis/left hip. I thought a few weeks of bed rest would get me back to some semblance of normal, but the reality was more complicated. What follows is the second and (I hope) final chapter in my tale of two healthcare systems.