David wakes up in the emergency ward. While Claire frantically searches for her missing boss, David bonds with Nathan, a chatty patient in the last stages of sexual reassignment surgery. For Michael, the successful elder abuse ad campaign means a promotion, more responsibility and more anxiety. David emerges from the hospital inspired to change his life, but Sammy is reluctant to go along for the ride. At least he can finally tell Michael what their relationship really means to him. Or can he? Michael has some news that changes everything.