A 44-year-old male comes in, having swallowed around thirty time-release Xanax tabs. Eleanor spots his face as Jackie's coming in, and makes them flip him over for the pump, and starts trying to get Jackie out of the room, but of course Jackie doesn't pay any attention and just jokes around while she's getting the patient ready for the pump... And then sees his face: It's Eddie. Suicidal fucking fired useless stalker Eddie.
Jackie wanders out in a daze and sends old Sam in to assist Eleanor, and then wanders around the hospital worrying about Eddie and thinking about the vial of Ativan in her pocket and when a little boy in triage asks, "Are you sick?" she lies and says she's not. Kevin calls and she walks him through lunch, and when Eleanor comes out from pumping Eddie's stomach and sits quietly with her, all Jackie can say is, "I am not responsible for that."
Sam and Thor discuss Eddie's many fuckups, which Zoey ignores until she sees Jackie coming, and then tells them to shut up. Inside the room, Eddie goes, "Hey, look who's talking to me!" He's all quiet and shitty and sick and hollowed out and he says he did the whole suicide thing to get her attention -- just says it! -- and that she looks great and that he knew "how much not to take." Which nobody knows, but it's like cake: You could have it for dinner if you want. But when you start looking at it as a negative quantity, then it's got control of you in a whole new, way worse way. And now she's looking in his eyes and seeing a look in them which she recognizes from the mirror, which is that she is now his cake. "You are fucking psychotic," she says, and leaves for the day.
At home, with that song from Annie playing, Kevin and the kids are discussing the solar system, and Fiona's being adorable and guess what, Grace is being a drag: "It doesn't matter. The sun's going to explode and eat up all the other planets anyways." Jackie brings home cake for dinner, and Grace finally smiles. And while the girls are cutting the cake, and cheering for their mom, she's in the bathroom cutting out a huge rail. Cake is good.