Plot summary
Frank (William H. Macy) awakens, recovered from his post-operative delirium. The doctor reveals that he will experience many side effects due to the transplant, and Frank is disappointed to learn that he cannot drink alcohol. Meanwhile, Sheila (Joan Cusack) clashes with Sammi (Emily Bergl) over their treatment of Frank, and warns Sammi she will have to leave her house due to the lack of space.
Svetlana (Isidora Goreshter) and Mickey (Noel Fisher) come to an understanding about their child and how to raise him; Svetlana is also willing to let Ian (Cameron Monaghan) be a part of Mickey's life if Mickey agrees to help take care of their baby. Mickey is worried when he finds Ian in a depressed state, unwilling to leave his bed nor answer to him. Fiona struggles to fit into prison and is also forced to take drug tests. Later, she is surprised when she is allowed to leave, and Gail (Regina King) picks her up.
Gail reveals that she was released due to over-crowding, and that the level of severity in her crime compared to the other inmates is the reason why she was chosen to leave. She also gets Fiona a job as a waitress at the Golden House Restaurant, a diner managed by Charlie Peters (Jeffrey Dean Morgan), who will accompany her to her Narcotics Anonymous meetings.
Sheila visits the reservation to formally adopt Roger's children, but is shocked to discover that her petition has been denied; their great-grandfather will ultimately take care of the children. Carl (Ethan Cutkosky) grows attached to Bonnie (Morgan Lily), but she reiterates she does not want him to fall in love with her. Later, Carl is saddened to discover that she and her family have left. Following an initiation at Amanda's sorority, Lip (Jeremy Allen White) and Mandy (Emma Greenwell) run into each other at a restaurant, and Lip considers if he wasted an opportunity with her.
Fiona returns home and tearfully reunites with Debbie (Emma Kenney) and Carl, who urge her to check up on Ian. After noticing Ian's depressed state, Fiona concludes that he may be bipolar like Monica. She wants to get him checked into a hospital, but Mickey refuses and states he will take care of him. Later, Fiona reunites with Lip and apologizes for her actions, having accepted that she cannot blame her decisions on her poor upbringing.
At the hospital, Sammi discovers that Sheila is preventing her from visiting Frank and initiates a fight with her. During this, Carl sneaks in and decides to get Frank checked out. They reach the edge of Lake Michigan; Frank drinks some alcohol and emotionally proclaims he is still alive. He then shares the bottle with Carl as they stare at the lake. That night, a car pulls up in front of the Gallagher house, and a woman (Dichen Lachman) asks the man if he wants to enter. The man, revealed to be Jimmy (Justin Chatwin), decides to wait before driving off.
Credits
Adapted from Wikipedia contributors, Lazarus (Shameless). Paragraphs and formatting adjusted; illustrations, reference markers, block quotations and non-story material omitted.