Maxine's first day back on the job finds her removing a boy from the custody of his mother, who was one of Maxine's clients for a short time eight years earlier; although Amy is worried about Maxine's bottling up her grief, she becomes unsettled when Kyle tells her that Maxine has been talking to Charles instead of her own children; Kyle does an end-run around Lily to get an indigent patient the reconstructive surgery she desperately needs after an accident; Amy hears the custody case of a teenager whose divorced parents disagree about sending her to a school for overweight children.