Rush convinces Sarah to come away with him on a spontaneous romantic getaway. Just after she agrees, he receives shocking news from Eve. She shot J.P. Before they can decide what to do, J.P. calls and tells Rush that if he doesn’t treat his wound, he’ll go to the police. The doctor attends to J.P. but leaves him with a serious threat.
Rush lends Alex $5k to cover what was lost keeping Steffi quiet, and discusses his interest in a job at the hospital. Back at the hotel, Rush receives a frantic call from his friend Max Zarella. The actor fearfully admits he may have killed his drug addict girlfriend Marika. After Rush revives her, Max helps the doctor find the perfect engagement ring for Sarah. Max considers marrying Marika, but Rush insists that he should be with someone who makes him better.
Rush learns that his father vetoed his return to the hospital. Angry but determined, he arranges to meet Warren at Lily’s soccer game. He vows that he is sober and deserves a chance. Seeing Rush’s sincerity, Warren changes his mind. All seems well until an excited Lily announces that she has a sibling on the way. Corrine later confirms Rush’s worst fear: the baby is his.
Alex comes clean to Laurel about his encounter with Steffi. Unable to trust him anymore, Laurel kicks him out. Meanwhile, Rush discovers that J.P. has been trying to contact Eve. He visits J.P. and ensures that he will never hurt anyone ever again.
Observing the chaos of his life, Rush realizes he can never be the man Sarah deserves, and makes an enormously painful decision.