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A college football player collapses in the heat of practice, and his death haunts Nate and his AVM secret. With Matt Gilardi failing to buy out the "resilient" Fishers, Kroehner's regional director, Mitzi Huntley, decides to take matters into her own hands. Federico asks Nate and David for a down-payment loan for his house, but learns they're buying a "casket wall" display instead. Desperate, his wife Vanessa turns to her sister, Angelica, for help. Brenda invites the man who deflowered her over to dinner; Claire learns that Gabe is carrying some serious excess baggage; Keith frets that his drug-troubled sister Karla is neglecting her daughter, Taylor; and Robbie, Ruth's flower-store co-worker, asks Ruth to witness his graduation from a self-help seminar.