As the triplets birth approaches, Rebecca forgets Jack's birthday; Dr. K tries to carry on without his wife; The firefighter who delivered Randall to the hospital, fights to save his marriage.

Toby throws a wrench in Kate's weight loss journey. Randall struggles to accept his father's deteriorating health. Miguel and Shelly break some devastating news to Jack and Rebecca, which makes them worry about their own relationship. Rebecca receives an amazing work opportunity. Kevin examines his romantic past.