With Shane Walsh (Jon Bernthal) and Otis (Pruitt Taylor Vince) missing for hours, Hershel Greene (Scott Wilson) informs Rick Grimes (Andrew Lincoln) and his wife Lori (Sarah Wayne Callies) that he must perform the surgery on their son Carl (Chandler Riggs) without the necessary equipment.
Andrea (Laurie Holden) and Daryl Dixon (Norman Reedus) go out in search of Sophia Peletier (Madison Lintz), following her mother Carol (Melissa McBride) weeping for her loss. Daryl tells Andrea about his childhood, and expresses hope that they will successfully locate Sophia. They stumble upon an abandoned campsite, encountering an undead walker in the process. Daryl insists that they leave the walker alone, but Andrea firmly refuses. He asks her if she wants to continue living, to which she exclaims uncertainty. Before returning to the camp, Daryl euthanizes the walker. Upon returning to the camp, Dale Horvath (Jeffrey DeMunn) attempts to reconcile with Andrea by returning her handgun.
Glenn (Steven Yeun) and T-Dog (IronE Singleton) journey to the Greene home. Upon arrival, Glenn begins to pray for the well-being of his fellow survivors, while T-Dog receives medical treatment for blood poisoning. Meanwhile Carl goes in and out of consciousness, and briefly recalls his encounter with a deer before going into a seizure. A distraught Lori opines to Rick about ending Carl's suffering, but Rick insists on keeping him alive.
At the high school, Shane and Otis split up after struggling against a horde of walkers. Shane injures his leg while attempting to jump out of a second-story window and Otis hurts his leg after jumping from some retracted bleachers. Upon regrouping, Shane and Otis seemingly are out of options for survival. They begin to limp back to their truck, eventually running low on ammo.
Rick and Lori decide to do the operation without the necessary equipment. As they prepare for the operation, Shane arrives with the medical supplies, but without Otis. He claims that Otis sacrificed himself in order to save Carl. But it is later revealed that Shane actually betrayed Otis, shooting him in the leg and leaving him for bait for the walkers. The episode ends with Shane shaving his head, wiping out evidence of scuffling with Otis.
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