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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.
The Johnstons look back at their first year on television, reliving the scary surgeries, surprising behavior issues, challenging home projects, colossal kid chaos, and other memorable moments; with cast commentary.
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.