After his shock collapse, Josh is disoriented and his family's confused about the cause. While being checked out in hospital, Doug and Pam stay with Imogen and try to help her enjoy her birthday. Later, Josh is dejected to learn he might be alcohol intolerant. The next day, while the family waits for his test results, Doug and Pam shock them with an announcement.

Brennan continues to struggle in the aftermath of Kate's death, but Susan urges him to take his recovery one day at a time, and to do whatever helps in the moment. Sienna continues to try and cheer him up as well as remain supportive, but she crosses the line when she initiates a kiss…