Sean experiences a moral and ethical dilemma when asked to perform surgery on a prison inmate; Kimber questions how far she will go to keep Christian when they receive life-changing news.
Christian's debt leads him to deception; an unexpected visitor stirs different emotions for Christian and Sean; Christian bonds with a patient who was adopted.
When Sean and Christian win an award from their alma mater, Sean recalls their college years; a new patient who self-mutilates comes to McNamara/Troy for reconstructive surgery.
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