Sean experiences an ethical and moral dilemma when McNamara/Troy is requested to perform a surgical procedure on a prison inmate. Kimber questions how far she will go to keep Christian when they receive life-changing news.

Christian's colossal financial debt leads him to deception. An unexpected visitor stirs insecurity within Christian and brings joy to Sean. Christian bonds with a young patient when he learns about his adoption.

Both Matt and Alexis Stone request unusual surgical procedures from Christian. Erica discovers the horrible truth about her new husband. After a lifetime of torment from her mother, Julia seeks revenge upon her.

When a newly married Erica threatens to take custody of Annie and Connor, Sean and Julia present a happy and united front to thwart her efforts. Christian bonds with a new patient as Mike reveals his future plans with Kimber.

As Matt's crime spree catches up with him, Julia returns from New York to help in his recovery from surgery. Sean discovers devastating details about his marriage to Teddy. A new patient suffers from extreme separation anxiety.

Christian's patient is dealing with anger management issues. Sean and Christian discover how Matt earns an income. Teddy arranges a camping trip with Sean, Annie and Conor.

Sean doesn't consult family or friends before making an impulsive life change. A morose Annie makes a stop in New York with a disturbing medical condition. Mike is offered advice from Christian on how to satisfy Kimber and a new patient recognizes Teddy from her past.

Sean tries curing his insomnia using unusual methods. Meanwhile, Liz confronts Christian, and hands some unsolicited advice to Kimber.

Sean and Christian are in a struggle keeping McNamara/Troy thriving. Matt and Kimber find their career paths to have mixed results. Sean remains distant from Teddy.