In a classic parental nightmare, Elizabeth goes from being cranky to vomiting blood. As they rush to the ER, I can't help but think that not only is this awful for parents to watch, it is awfully horrible for us hypochondriacs, too. My train of thought goes something like this: "I should never have given the subway driver the finger for not opening the doors for me. Man, I am cranky today. I must have kidney failure!" See how easy that is? No thank you, writers, no thank you. In the hospital waiting room, the doctor gives Tommy and Julia an update. Elizabeth's liver function tests show that her liver is failing. Since Elizabeth was delivered prematurely she was given a lot of drugs and anyone of them could have caused liver damage. As Tommy and Julia try not to vomit and faint at the thought of their daughter's liver failing, the doctor reassures them that pediatric liver transplants are extremely successful. They just take a slice of liver off their parent's liver, serve it with fava beans and a nice chianti, and it grows back. They are going to test both of them to see who is a match. At Julia's insistence Tommy admits that Elizabeth isn't his biological daughter, but one of his brothers is. The doctor tells him to find out which one so they don't run into delays later. I know this was a big deal for Tommy, but I really don't get it. Besides, your daughter's life is at stake, who the fuck cares which brother donated his DNA? Maybe I'll go back and read Joe R's recaps to try and recapture the drama.

Kevin and Scotty are just back from a run. It's nice to see that Scotty is well on the road to recovering from whatever ailment it was that kept him on the couch for five episodes. As Kevin and Scotty tease each other, Kevin's phone rings. It's Tommy and he doesn't want to answer it, but Scotty mocks him into it. Kevin's face falls as Tommy talks. At Walker Manor, Nora and Justin squabble over the Thanksgiving groceries that Nora is still unpacking. Wow it takes two days to unpack? She really over shops. Nora wants Justin to take some of the food to Holly's so it doesn't go to waste, but Justin points out the psychological cooties that go along with her offer and Nora desists. When Tommy calls, he tries to get Justin well away from Nora before breaking the news to him about Elizabeth. It doesn't work out very well since Justin blurts, "Why are you in the hospital?" He cringes as Nora perks up and grabs the phone out of Justin's hands. Tommy claims nothing is wrong, but after Nora's badgering he gives in and tells her that Elizabeth is having some tests done. He doesn't want Nora at the hospital, but nothing short of a metal suit and an oversized super magnet would stop her. Justin apologizes to Tommy as he and Nora head out the door.