On "Hawthorne," Christina leaves Bobby in charge of the entire hospital staff while she goes into budget battles with Morrisey, who gives Christina until the end of the day to lay off six nurses. The order couldn't come at worse time for Kelly, who gets into trouble when she refutes Dr. Marshall's treatment for a stroke patient. Nor could it come at a worse time for the ER, which becomes the scene of a devastating tragedy.
On "Saving Grace,"the squad investigates the death of a parole officer with secrets, while Grace and her brother Johnny finally track down Neely, the young addict who shares visions of Earl. Meanwhile, Rhetta decides to make some personal changes in the wake of her troubles at home.

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