A reference to an issue of a webcomic called Ctrl+Alt+Del, written by Tim Buckley. In this issue, called "Loss", the main character, Ethan, walks through hospital doors, talks to a receptionist, talks to a doctor, and sees his girlfriend lying on a hospital bed after having a miscarriage. Each of the lines are supposed to represent a character. This meme has lasted since its start in 2008, and is still relevant. It is usually accompanied by the phrase "Is this loss?"