In new images released for Red Band Society season 1, episode 3, we learn that Kara has been doing drugs since coming to the hospital.

Wednesday brings another episode of Red Band Society, titled “Liar, Liar Pants on Fire.” We’ll flash back to Jordi (Nolan Sotillo)’s past, and learn why his family doesn’t believe in doctors.

We’ll also find out that while Kara (Zoe Levin) began to show some heart (we really hate making that pun) in last week’s episode, she’s seemingly doing everything she can to sabotage herself:

Really, Kara, we know you’re playing the bitch card to its fullest, but this is just plain stupid: knowing that she is at the bottom of the heart transplant waiting list because her system is full of drugs and alcohol, she still finds a way to continue doing drugs while in the hospital!

And poor Nurse Jackson (Octavia Spencer) – not only does she have to see Kara being an idiot, but she also catches her in the act of, er, lovemaking. Is that the same guy she got the drugs from?

Related: Octavia Spencer to have bigger role in future Red Band Society episodes

But let’s not judge Kara too harshly – maybe she is really that self-destructive, and somewhere inside of her believes that she doesn’t deserve a new heart.

The official description for the episode reads:

“Someone from Jordi’s past shows up out of the blue and sends the hospital into chaos, while Dr. McAndrews unknowingly betrays a patient. Kara continues to test Nurse Jackson.”

Jaret Sears guest stars as Kara’s orderly friend Carl, and we have Nicolas Bechtel appearing as Young Jordi. Wilson Cruz returns as Nurse Kenji Gomez-Rejon, with Catalina Sandino Moreno as Eva, Edgar Arreola as a faith healer, Christian James as Brady, and Paisley Dickey as Simmi.

Red Band Society season 1, episode 3, “Liar, Liar Pants on Fire,” airs Wednesday at 9/8c on Fox.