New nurse Claire is tested on her first day, full time, in the ED. Gabrielle puts Claire to work with a desperately ill, and very difficult patient. Dan prickles against Claire, seeing her as Erica's replacement. With grief from her patient, and from a colleague, it's a tough start. Bart is annoyed when his patient, Roz, admits that she is faking symptoms. But Roz does have a real problem; her husband. She is deeply concerned about her husband, Ken, and his recent very odd behaviour. Ken refuses to admit to a problem. Roz felt this was the only way to get a Doctor to examine him. Bart and Gabrielle soon realise that Ken's behaviour is erratic and that his wife's concerns are well founded. Bart takes his concerns to Frank, who puts the pieces together, and comes up with an appalling and tragic diagnosis. Adam has finished his stint as a locum, and is crashing on Von's couch, not knowing, or caring, where he will go from here, content for the winds to guide him. Von's patience with his attitude has worn paper thin. Dan obsesses over discovering the identity of an anonymous trauma patient. Dealing with a critical patient that has no identity stirs up Dan's anxieties, but also offers him some hope. After turning up in the ED, Juliet asks Mike to accept her as she is. Jack makes a decision about his future, handing in his resignation.