It’s Zoey’s first night shift and a 10-year-old girl brings her mother, who suffers from Lupus, into the ER. Jackie realizes that the girl is her mother’s primary caregiver. She breaks hospital policy to keep the girl in the loop, and sends her home with meds that the mother’s HMO won’t pay for. O’Hara treats Zoey to a four-star restaurant. Mrs. Akalitus accidentally suffers a self-inflicted tasering.