Frantic with worry, the Gray siblings quarrel like two year olds, and Sean is wracked with guilt, as Maxine lies in an ICU bed recovering from a heart attack; Amy finally gets a new clerk, whose ability to speak Spanish is an invaluable aid in the sentencing hearing of a teenager charged with burglary and assault; Ignacio gives Vincent some wise insight into Maxine; reminiscing about the beginning of their relationship brings Gillian and Peter back together; after Maxine hallucinates about her mother's death in the same hospital, she checks herself out and returns home despite her doctor's recommendation that she undergo bypass surgery.

High-school student Graciela Reyes is brought to Amy's courtroom for violating her parole, but it is soon uncovered that the reason for this is that her mother has moved to Gautamala along with her two brothers, leaving Graciela behind; Meanwhile, the Gray family rallies around Maxine after she is forced to have open-heart surgery after she suffers a second heart attack during a visit to the cardiologist; Sean locates Anthony Bird, who is living with a family who had recently adopted him.

Unaware that he is hiding his true feelings and pretending to be happy for her, Amy is annoyed by Bruce's casual response to news of her engagement. Amy is also annoyed that her relationship with Bruce has evolved to the point where he knows all of her idiosyncrasies, including, he asserts, how she'll rule in the heartrending case of a teenage girl with epilepsy whose parents disagree about whether or not she should have risky brain surgery that may stop her seizures; Elsewhere, Maxine has issues with an affluent, mostly white prep school after a student there is severely beaten; a publisher takes an interest in Vincent's new book; Lauren lashes out at Amy for being pregnant.

Amy oversees an emotional case involving a 13-year-old boy with a history of violent behavior who shot and killed his grandfather who was suffering from terminal lung cancer; Maxine uncovers a human smuggling operation while following up on a report of a young boy being beaten numerous times; Vincent witnesses the gunning down of a prostitute by her pimp; Meanwhile, Amy and David search for the perfect house to start their life together in.

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Amy says her final goodbyes to Graciela. Maxine realizes that she made a mistake in pushing Ignacio away and tries to reach out to him but Ignacio rebuffs her because he doesn't want to be her yo-yo, jerked around on Maxine's whims. Bruce is still absent on Amy's last day in the courtroom. Holbrook tries to raise awareness about the bill before Congress that will effectively kill the juvenille justice system. Donna is amazed that Amy refuses to support the cause and brings several of the kids whose lives Amy has changed during her time on the bench in an effort to change her mind. Amy, frustrated by her limitations as a judge, runs into Marty Levine, who again tries to convince her to give the speech in Washington and run for Senate. Amy runs the idea by Lauren who at first refuses to give a straight answer but later supports her mom when Maxine attacks the decision. That same night, Maxine must rush to save a young girl from being pimped out by her prostitute mother. Amy receive