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Alex is getting ready to undergo brain surgery, and Amber decides to give him a new haircut, which has disastrous results; while Alex is in the hospital, Trent takes the other Johnston children to see the Harlem Globetrotters.
Jonah and Anna are both put to the test- Jonah with his driver's license and Anna with her learner's permit; Alex is diagnosed with central apnea and undergoes an MRI to find out whether he needs brain surgery.
In preparation for his 40th birthday, Trent decides to shed some weight, but the process isn't as much fun as he expected; Amber plans a surprise birthday party for Trent that he will never forget.