A woman on the brink of marriage is revealed to have a shocking legacy from the past when her x-rays reveal not one but a number of needles embedded into her bowels and other organs. Von helps an elderly man make a decision about his future after his wife is admitted to the ED suffering from Alzheimer's and advanced pneumonia. Jack and Bart try to help a previous patient [ep 10.23] but it soon becomes apparent that their original treatment might be the cause of her current pain and nothing they can do now will take that pain away. At day's end, Frank pays Charlotte a visit, determined to motivate her to fight Rhiannon's accusation but instead finding her ready to give up and walk away.