Rukia's left arm - the one attached to the armpit the nurse had jabbed - was almost immobile from the pain. Added to the lingering effects of the scorpion's poison, it made the arm almost useless. Still, she tried to put as much of her weight as possible on the nurse's throat.

Recovering from the blow to her head, the nurse rolled them both over, unintentionally putting pressure on Rukia's injured knee. Rukia cried out in pain and anger, still trying to keep the syringe at bay.

She heard Renji calling her name; so he was getting in on the fight, too? Unable to catch sight of him, she could only hope that he was able to do damage worthy of a shinigami. He was strong.

Catching sight of Tyler being borne to the ground, Rukia yelled his name, but could do nothing to help the kid. This was a losing battle, and she knew it, but that didn't stop her from fighting like a cornered animal. She thrashed about and tried to head butt the nurse, but the other woman weighed more and wasn't injured.

Finally, the nurse wrenched her wrist from Rukia's grip and plunged the syringe into her neck. Rukia screamed - not in pain, but in frustration - "Why are you doing this?? Just let us go, dammit!!"

As everything turned fuzzy and faraway, Rukia's head lolled to the side. She looked at Tyler, mumbling, "Sorry I gotcha... in tr'ble."