After Addison discovers that a mentally unbalanced pregnant patient has lost her baby, Violet must convince her that the baby has died and that surgery is necessary, while Cooper must tell a longtime patient he must remove part of his jaw due to a fast-growing cancer. Meanwhile, Dell copes with the absence of his daughter after his ex moves for a new job, and Sam and Addison find themselves suppressing their feelings for two very unattainable people.

When a pregnant woman starts to show signs of heart complications, Addison rushes her St. Ambrose where Noah is standing by to help. Meanwhile at Oceanside Wellness, Sam notices Naomi frequently sneaking away from the clinic, and her elusiveness causes him to rethink their friendship; Pete's relationship with Lisa becomes complicated by Violet's ever-present pregnancy; and Sheldon decides it's time to take a stand.