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Margaret contemplates changes both at home and at the hospital. Nucky sends Owen to New York to deal with Masseria. Means extorts money from Nucky and Harry to deal with their Jess Smith problem. Chalky approaches Nucky about a new business idea. Lucky and Meyer approach Masseria about the heroin deal when Rothstein turns them down. Van Alden is picked up by Capone's men and questioned. Gyp oversees a big shipment and gets some unsolicited advice. Margaret is pregnant but gets a disturbing delivery in the middle of the night.