A woman on a hunger strike refuses treatment until the INS give her son another deportation hearing. Abby searches for proof when she suspects a patient is the victim of elder abuse.

Jules 'Ruby' Rubadoux is back in the ER. He's still angry with Carter about the death of his wife.

After Carter finds out Kem's mother is hospitalized in Paris he decides to go there to tell Kem how he feels about her. Meanwhile, Ray makes a fatal error.