A very sad episode as we learn that Dr. Christian Troy's cancer has come back with a vengeance. He is given six months to a year to live. He turns down any treatment, not wanting to spend his last days in hospitals. He shows up in Miami, where Liz relocated to and asked her to marry him; she accepted. When she finds out that he is dying, she calls off the wedding, but in the end of the episode she decides to go through with it.
Teddy get mad at Sean for being so boring and threatens to end it. They start pushing the limits by having sex in someone else's house and taking powerful hallucinogenic drugs. Sean comes to his senses and Teddy leaves again. Sean takes her back to pitch black restaurant and from the sounds, it appears they are having sex.
Dr. Troy and Dr. McNamara are working on a boy with warts and scales. They start performing surgeries on him and things are looking good until new warts start showing up. Dr. Troy bonds with him because of the effect the disease is having on the boy's feelings; Dr. Troy understands because of the feelings he is having with his own battle with cancer.