 Matt and his Jewish schoolmate enjoy training him how to live as devout Jew without truly believing and use heroine, but accidentally hit a 16-year old girl which was tying her shoelaces and just stood up unnoticed while Matt was driving. They thought it was just an animal and left, but Sean reads in the paper about the Cara Fitzgerald case. Miss Devon Greco wants her nose changed because it reminds her of her abusive real father, Christian refuses the case as unrealistic expectations. Michael Shannon insists Dr. Troy (literally) handles the embarrassing birthmark-removal from his ball-sack  in time for his expensive honeymoon  within two weeks. The boys learn Cara is a model student; Matt visits her in hospital, as coma patient, where he meets her mother Kate, pretending to be a member of the prayer club she founded and learns her family are Christian Scientists, hence refuse drugs. Seans lover Megan O Hara insists on breast implants after cancer and a divorce. Psychiatrist Grace Santiago s indiscretion makes both partners want to fire her, and find out about each-others unprofessional relationships. Matt tells Sean only that he cares for Cara ands asks him to do her plastic surgery. Christian is shocked to hear on TV his  about to marry  patient Michael Shannon is a Catholic priest who just escaped trial for sexual abuse of several young boys and realizes they helped the monster hiding his intimate identity. Henry wants to confess for religious reasons, Sean tries to convince Cara s mother not to refuse  sinfully unnatural  plastic surgery and gets a court order so he and Troy can do an urgent operation to save her eyesight. Christian changes his mind about florist Devon Greco who admits she lacked the courage to press charges till her abusive father became terminal. Seeing father Shannon still seems to crave boys Christian goes to confession with him for the first time in 22 years, only to insist he confesses to the police under threat of scalpel and photos- it works. Now he tells Sean about his own abusive foster father Mr. Troy who bribed him to  sell his body  as a boy.