Aaron reunites with an old friend, David, who has only a few months left to live. His friend suggests Aaron marry his wife, who married David over Aaron, after David dies. Aaron gets drunk and runs into (imagines?) Jeffrey. Wilkes doubts his wife when she claims to have had a miscarriage. Wilkes and Nyland's feud escalates after a patient dies. Jack refuses to listen to Phillip when he offers to help Jack overcome his gambling problem, but later asks Karen Wilder to help him. Aaron tries to figure out what to do about Maricela.