After much thought about how his lifestyle is affecting Sean, Christian makes the decision to dissolve the partnership between them. He tells Sean that he knows he is miserable at McNamara/Troy and that there is no reason for him to stay since Julia has taken the children to England. Sean has become attached to Raphael, the orphan that former patient Ava Moore (Famke Janssen) left at the practice, and knowing that Sean does not want to give the baby up, Christian gets him a plane ticket to leave the country with Raphael. Sean reluctantly agrees, and walks out of the office to see a new sign up in the foyer..."Troy/Cruz".