Nate's high-school friend Samuel Wayne Hoviak falls from his truck while trying to reach the paper, but manages to activate it while falling so is run over after he lands. Nate reunites with the third member of their trio and wonders why he's changed so much since then while Tom hasn't. Ruth grows weary of dealing with George and he feels guilty in response, and the help that his daughter Maggie's visit brings is only temporary. Brenda rejects her mother's offer to quickly get a free psychiatric internship but has a difficult time there. Claire's latest experimentation with art isn't as popular as her old one, and David is uncomfortable when Keith asks him if he'll consider using her as a surrogate mother with him so that their child will be like both him and David. Sharon doesn't answer Rico's calls, and things turn out differently than expected when he goes to visit her apartment, worried about her. Billy notices he's changed since the same things don't inspire him at his artwork anymore, so goes off his medication again.