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Julia visits Sean and Christian to share life-changing news, and rejects the advances of both. Meanwhile, a great love from Matt’s past turns up as Matt prepares to make a commitment to someone else; and Liz happily reveals that she’s pregnant. Guest starring Famke Janssen and Melonie Diaz.

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As Christian’s existential crisis surfaces, he and Sean do something unusual to boost their sagging practice. Meanwhile, Liz dates a drug-company saleswoman who is separated from her husband. Joan Rivers has a cameo as herself. Annette Wainwright: Joan Van Ark. Lulu Grandiron: Donna Mills. Christian’s Dad: Robert Davi.

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Sean and Christian reveal secrets and lay bare past pains as they begin psychotherapy together. Liz and Matt take part as well, and divulge secrets of their own

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Escobar Gallardo’s teen daughter shows up with questions for Sean and Christian about her father, stirring guilty feelings in Sean. Meanwhile, a common cosmetic procedure on an actress goes awry.

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Kimber’s mother visits, prompting Christian to suffer a crisis of conscience; complications arise as Sean prepares to travel to Africa; and a patient who had been attacked by a wild animal requires numerous operations.

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Following a failed suicide attempt, a new patient seeks facial reconstructive surgery. Meanwhile, Christian and Kimber try something new in bed; and Sean attempts to ease his guilty conscience by performing pro-bono surgery with his humanitarian college friend, Curtis Ryerson (George Newbern). Joel Seabrook: Tim Guinee.