Mickey learns that Tommy is drinking again; Sheila discovers that Tommy has been sleeping with Janet again; Sean tells Needles about his upcoming cancer surgery; Franco meets a gal in the gym; and Lou has another encounter with Candy.

After dealing with a particularly horrific accident on the job, Tommy questions his feelings in a dream sequence with his dead father, brother and son, and Jimmy Keefe. Meanwhile, Sean has an unwanted visitor at the hospital; and Lou has a very-much-wanted visitor to his apartment.