Although he still hates his job, Paul settles into life at the electronics store. He bonds with a fellow employee, a young Ukrainian immigrant named Mykail, who in turn bonds with one of his customers. While Paul still struggles with his job situation, that struggle which includes reporting to a barely of age weaselly assistant manager, Cathy aims for an extra job at the school with more pay as the girl's swim coach. She is able to convince the principal to give her the job at least temporarily until the principal can find or wants to find a more permanent coach. Cathy believes she is both well suited to the job, and something she needs in her life right now. The only aspect she doesn't like is dealing with "stage" parents, one in particular who thinks he can do the job better than her. Meanwhile, Adam brings something into the house that threatens both his relationship with Mia as well as Cathy's position as swim coach.

Cathy receives two minor pieces of bad news on her latest check up. The first is that none of the drugs' listed negative side effects have afflicted her, which to her means that the drugs aren't working. The second is that she has high blood pressure. Despite Cathy disregarding it upon Sean's suggestion, Cathy takes Lee's advice to visit an acupuncturist - his acupuncturist - to treat the high blood pressure. The acupuncturist has slightly better news: she immediately relaxed, which means a drop in blood pressure, when Lee entered the room. The acupuncturist attributes that relaxation to her and Lee being soul mates, which to Cathy can only mean in the spiritual but non-sexual sense seeing as to Lee's homosexual orientation. But those homo/heterosexual boundaries between Lee, Cathy and Paul are tested, as are Cathy's notions of what it means truly to be one's soul mate. Meanwhile, Mykail is anticipating his first date with Andrea and what he hopes will happen.

It's Thanksgiving, and Cathy and Paul are hosting their first ever Thanksgiving dinner with their new extended family, which includes not only Adam and Sean, but also Rebecca, Andrea, Mykail and if he accepts Lee, which he does. Cathy wants it to be a non-traditional meal in that besides the free-range, organic turkey Sean is in charge of getting, the rest of the meal will consist of whatever she feels like making, which includes a special dessert from Lee's childhood. The dinner has the potential to be marred in many ways, which includes Paul contemplating confronting Mykail about what he saw Mykail do at the store. But many of the dinner attendees truly do have something to be thankful for, which is for Cathy the fact that the drugs seem to be working, which she hesitates to tell Lee if only because the same has yet to happen for him. Some of those other thankful items will be truly more so if the reaction from a significant other matches. But some unexpected things happen over the course of the day, both good and bad.

Rebecca and Sean both have less than traditional ways to deal with Rebecca's miscarriage. Partly because Sean decides to go off his meds so that he can feel the true pain associated with it, Sean and Rebecca's methods of mourning end up being somewhat incompatible. Something that Rebecca and Sean do in combination about the miscarriage directly affects Cathy. In addition, it also makes Cathy realize that she has been so busy dealing with the life part of her illness that she totally forgot about the death part, namely making arrangements for what will happen to her body post-mortem. Meanwhile, Adam has joined an on-line support group called Kids of Cancer. After several on-line discussions with fellow kid of cancer "Poppy K", he suggests they meet to which Poppy wholeheartedly agrees. Poppy ends up being nothing like Adam imagined, which may not be a totally bad thing. And even though Paul asked for a part of the cut Mykail gets from lifting and selling items from the store, he begins to feel more uncomfortable about it when he sees the extent of Mykail's thefts.

In her day life, Cathy runs into Dr. Sherman and his much younger second wife, Gia, who invites Cathy and Paul over for dinner. Not wanting to offend the person who is potentially saving her life, Cathy accepts. From dinner, Cathy learns a little bit about how to live in the face of death. It is difficult for Cathy to watch Lee give up on life as he decides to drop out of this trial, the latest failure of many in terms of trials. Based on what Cathy finds hidden in her kitchen, she tries to convince Lee to fight for his life. Cathy and Adam lead a campaign to find a missing Sean, who they are more concerned about now that winter has arrived. Adam learns the God that is Sean among the homeless. Based on Paul's assertion that Mykail is losing his freedom because of his obsession with Andrea, Mykail decides on his future. And one of Mykail and Paul's "under the counter" customers pays them in something besides cash, which adds some spice to stodgy Paul's life.

Cathy, Paul and Adam are getting ready to head to Italy for the Christmas holidays using Paul's cut from the electronics store thefts. They still haven't found Sean, but they feel they need to focus on themselves as a family. They are also leaving behind Andrea who is in engaged bliss to Mykail, with who she will spend the holidays. Owen tells Paul about the imbalance in store inventory, which leads to a revelation from Mykail which could affect his relationship with Andrea. Adam spends time with Poppy before he leaves. But he also finds out some information about Poppy's reality, which ultimately makes him understand why she acts the way she does. And Dr. Sherman asks Cathy to be "show and tell" to one of his classes. She tries to make her reality and the students' reality a little closer together. And just before the Jamisons are ready to head to the airport, Cathy receives a telephone call from Lee, who has an important pre-Christmas request from her.