What clearly is going to be "the night" for Jackie and Frank is interrupted by Kevin, figuring she was at work. Kevin is apologetic, but Jackie is angry; Akalitus's blood results are in; Zoey helps Prentiss organize his disaster of an office; In a moment of panic, Carrie makes the right diagnosis on a patient who cannot breathe; Jackie attends an AA meeting; Jackie and Grace get into a fight after Jackie discovers Grace left campus for lunch. Jackie is convinced that Grace is sneaking behind her back to see Danny, but Grace assures her they broke up.

It's Jackie's one-year anniversary of sobriety; Jackie and Frank fight, He feels he took a big unreciprocated step forward in their relationship, and now he's taking one backward; Wally, an 80 year old gay man with advanced liver cancer is admitted into the hospital. Thor instantly gravitates toward him; Zoey acts very professionally and rigid around Prentiss after their intimate evening; Carrie is notified there will be a peer review of her first few months of residency, Coop pleads for her to stay but Akalitus, Prentiss and Jackie vote against; Wally asks Jackie to administer his last rites; When Zoey learns that Grace isn't going to Jackie's anniversary celebration she rents a car and kidnaps Grace from school, Grace has a breakdown; Jackie nonchalantly takes the pill from her ring box and swallows it, she arrives at her celebration stoned in front of everyone including surprise guest O'Hara who has flown in for the special day.