Present: Rene becomes the guardian ad litem for a young teenager whose mother is being investigated for abuse after allowing her daughter to undergo multiple cosmetic surgeries; M.E. and Colliar confront Kelly after a condom drops out of her boyfriend's jacket; realizing she's not over Bill yet, Rene decides to break up with Clay. Past: M.E. and Rene give Tully's cousin Agnes a makeover to help her fit in with the other kids.