Evan has a bizarre sexual fantasy about Kelly. Roger thinks it has to do with the fact that Evan hasn't had sex since the divorce. Kelly brings Tim bad news: the twins' alcoholic mother has cleaned up her act and may get the parental right back. Tim is frustrated but Kelly reminds him he knew this could happen when he agreed to be foster parent. Roger's stepmother Mildred is hospitalized with some gall bladder problem. However, Roger soon clashes with the obnoxious second year resident that treats her as he finds evidence that Mildred's real problem is a cardiac infarction. Roger has never really gotten along with his stepmother, and his dad, Vincent, is no man of emotions and dislikes it when Roger announces that Mildred needs surgery. A depressed Tim loses it when Nina tells him the insurance company SteadyCare refuses to cover the medical bills for one of their patients so they must send the patient a bill. Despite submitting a claim form several times, it has been declined each tim

Roger's patient Rebecca Williams has agreed to undergo a fat suction. Dr. Keith Burke, the chief of plastic surgery and also an old colleague and friend of Roger, performs the surgery on Rebecca and everything seems to go smooth. But shortly after, complications arrive and Rebecca almost dies. Her worried father, Corbin, asks Roger to find out if Keith screwed up? Rosie keeps spending time with the twin girls but she's unable to stay clear of the drugs and nearly ODs. Tim saves her life and later, Rosie asks him if he can get her into one of those detoxication programs. Tim agrees to help but only if she waves her parental rights. Rosie is devastated but has to accept the deal. Suzanne goes through an old issue of 'Playgirl' and is suddenly alarmed: one of the impressively ""equipped"" models bears an uncanny resemblance to Patrick. Suzanne bets with Nina and Felicity and reluctantly they ask Evan if he can settle the bet by peeking at Patrick in the lavatory. Evan absolutely refuses and