Sheldon isn't a fan of the new ER doc when he tries to shuffle the patient we met in "Mourning Sickness," out the door. James believes Nick, who has urges for young girls, is a sexual deviant who can't be saved. Sheldon feels his patient is making progress, but can't help panicking when he hears that a little girl has gone missing. He realizes his sense of dread was quite noticeable to his troubled patient.
More time passes and Sarah is still missing. A full search of the entire hospital comes up empty. The little girl's raincoat is discovered outside on a bench, but she's nowhere to be found. The case has been turned over to the police. Sarah's parents are devastated upon realizing that their little girl is now a missing person. They don't want to leave the hospital in case Sarah comes back through the front door. Violet is forced to make them face the heartbreaking reality that something like that is not going to happen.