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Down in the hatch, Dr. Jack is tending to a still-unconscious Sawyer. Sawyer's kind of tossing and groaning a little, while Dr. Jack makes cheery banter about how impressed he is that Sawyer pulled the bullet out of his shoulder himself. Sawyer mutters something, eyes still closed. Jack can't quite make it out, and Sawyer repeats it: "Where is she?" Jack deduces that Sawyer means Kate, so he cheerfully says Kate's been looking after him for the past 24 hours, and the only way Jack could get rid of her was to send her out for food for Sawyer. Sawyer mutters something again. Again, Jack can't quite catch it, and the still-mostly-out-of-it Sawyer says it again: "I love her." Jack looks slightly chagrined, and sits down, probably trying to think of a loophole in the Hippocratic Oath that will allow him to let Sawyer die.
Kate is, as usual, up in a tree, because the only good fruit on the island is the stuff thirty feet off the ground. As she climbs down, half-sliding, she drops some from her pack. On the ground, she squats to pick it up -- and there, in the jungle, is a beautiful black horse. Kate's shocked, although after the polar bear, very little would surprise me (although, as will be revealed later, her shock at seeing the horse has a little more behind it than just its incongruity here on the island). She takes a step towards the horse, which whinnies and canters off, and is gone within seconds. The unmistakable sound of the impending flashback ratchets up on the soundtrack.
And now Kate is but a lass of -- well, she looks exactly the same, but it's safe to say this didn't happen yesterday. She's sitting on a porch, wearing a Janis Joplin T-shirt and playing with a lighter (the Zippo-brand Foreshadower model). Headlights splash against the side of the house, illuminating our apple-cheeked heroine, who looks up at the pickup jerkily making its way up to the house, country music a-blarin'. Her expression doesn't change, and she puts the lighter back in her pocket.