Mr. Rubadoux, whose wife was a patient of Carter's ten years ago, comes into the ER with heart problems, wanting nothing to do with Carter. Anspaugh and Kayson advise Ruby to have surgery, but Abby tries to get him to consider the risks. Finally, Carter apologizes to Ruby for lying to him about his wife. Pratt asks Olivia from Ceasefire out. When he shows up at her office to pick her up, he's ambushed into speaking at an anti-violence meeting. Lewis does her presentation for tenure, and Sam takes a home pregnancy test. Ray tries to stop the Chadwick sisters from leaving without having been seen by social services. Also, Morris may end up with the chief resident job despite a disastrous presentation.