Season 4 | Episode 401 | Aired 09/22/2010
Charlotte’s patient, Ryan, is a successful, self-centered man who needs a kidney transplant pronto. The only match is his mentally-challenged brother, Kevin, who Ryan shuffled into a home after their folks died. Charlotte worries that Ryan will take what he needs from the brother who idolizes him and then cast him aside again.
After the operation, Ryan promises he’ll change his ways regarding Kevin. Unfortunately, he won’t get the chance, as his body rejects Kevin’s kidney. He’s going to die. Kevin is devastated by the news but Ryan promises to tell their mom and dad what Kevin did for him when he gets to heaven. He says they’ll be so proud. This seems to comfort Kevin. Guess Ryan did have enough time to change.