Edith Kirky is the 4th patient of the year to be brought to Fisher and Sons from Bay Breeze Hospital where Vanessa works, so David predicts Rico's usual pride over the fact...but no one predicts him, suspicious about her neck-markings, to discover a whole hot dog wedged down her esophagus. When informing the authorities, Fisher and Sons is forced to allow them to bring Vanessa and her partner to be examined since they failed to find the hot dog themselves. Rabbi Ari encourages Nate and Brenda to be honest with each other, but Brenda reacts badly when Nate informs her he's going to be a father (though fails to mention she's unfaithful to him) and he later talks about it with Rabbi Ari, who introduces him to a Jewish client, Aaron Buchbinder, who needs a pre-meet since he has pancreatic cancer. Brenda's reaction after criticizing Nate is to get high and sleep with a pair. At Brenda's bridal shower, Bernard Chenowith asks Ruth what she's done as far as Claire's depression, but when Ruth visits Gray Deitman to see if she is depressed, the answer comes as a different sort of shock. David encourages Keith to stand up to his father when he and his mother ask that Taylor come to San Diego to live with them, and David himself is forced to find some inner strength of his own to get Catherine Collins, supported by Mitzi Dalton-Huntley, not to sue them for "emotional distress" after Nate's showing her husband's mutilated body at her request. He doesn't have any qualms about becoming angry with Ruth, though, after she pays all of Nikolai's debt to Yuri just before David and Nate have need of the money themselves.

Jeanette Louise Bradford has an allergic reaction to a bee-sting in Balboa Park, causing Keith to go to San Diego for his aunt's funeral and David to join him, encouraging him to discuss sleeping with a third man with him and to confront his father on his abusive childhood after the funeral. Russell admits he was sleeping with Olivier and an angry, betrayed Claire demands he leave her alone from now on. She and Ruth talk with each other about their relationship problems when Ruth learns Arthur is a virgin so there's nothing new to be gained from spending time with him. Vanessa is now again living life to the fullest, taking dance classes with Rico, but then collapses one night from too many medications. Billy, remarkably depressed after watching a poor video version of his and Brenda's beloved childhood book "Nathaniel and Isabel", kisses Brenda, who goes to visit Nate. Alone with Maya while Lisa goes to visit her sister's family in Santa Cruz, Nate consoles Benda until she begins to appear to want to become closer to him, and she quickly stops herself and departs. Keith and David are relieved to hear that Taylor is doing fine with Lucille and Roderick, but when Keith finally chooses to tell his father he's willing to forgive him for beating him and his sister, it's met with denial and quickly becomes a fight...and when David tries to calm both of them down for Keith's sake he's insulted by Roderick and unappreciated in his efforts by Keith, so leaves. When Nate calls Lisa's sister's, he learns Lisa hasn't yet made it to her place as expected, and isn't worried when he can't get through to her phone the first time...but he does start to be when he continues to call with no response.