After dealing with a particularly horrific accident on the job, Tommy questions his feelings in a dream sequence with his dead father, brother and son, and Jimmy Keefe. Meanwhile, Sean has an unwanted visitor at the hospital; and Lou has a very-much-wanted visitor to his apartment.

As Damien joins 62 Truck, Sheila reminds Tommy of his promise to watch out for him. Meanwhile, Janet gives Tommy guidelines for their relationship; the guys attend a memorial dedication for a firefighter who died on 9/11; and Sean is released from the hospital, vowing to live life "to the fullest."