Carter flies to Paris to see Kem when he learns that her mother in the hospital. Desperate to get back together with her, he offers to move back to Africa to start over again, and she doesn't really answer. Birdie and Rebecca are back; Rebecca was strangled by their niece Shelley, so Birdie stabbed Shelley. Neela, Abby and Ray all make rookie mistakes with various patients. In therapy, Sam announces that she doesn't think she and Luka should be together. Jake indirectly tries to find out where his relationship with Abby is heading.