When a gambling addict is brought into the ER following a failed suicide attempt, Evie encourages him to turn his life around, which he does, but only to have his hopes for the future dashed when he is diagnosed with terminal kidney failure that leaves him with less than a day to live. Marina is unsure about how to proceed with her budding relationship with Arch and when her emotional turmoil finally becomes too much for her, she resigns from the hospital. Julia and Tom are married. Meanwhile Tom and Julia are dealt a blow when Peter Michaels reveals that the early stages of Tom's new radical cancer therapy has not worked. With Tom facing death and Julia, the loss of her lover, the pair decide to get married.