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After 11 heavenly seasons in Glenoak, the longest-running family drama in television history bids us farewell as Eric and Annie decide to celebrate Eric's clean bill of health in a spontaneous way. Meanwhile, Kevin and Lucy make some final decisions about their future; Ruthie addresses Martin's proposition to her in the previous episode; and as the lives of the Camden family members start changing dramatically, their most recent live-in houseguests must determine where their own lives are headed.
Annie rushes her husband to the hospital when he wakes up with a certain hunch about his heart condition. The kids are a bundle of nerves--especially Lucy--since they don't know whether the news is good or bad. While sitting around in the waiting room, Ruthie and T-Bone decide to get back together, but an unexpected twist of events brings back unresolved issues with the guy who broke Ruthie's heart a year ago.
With plans for a second baby, Kevin tells Lucy that moving their family to Crossroads might not be such a good idea for the time being. T-Bone confides to Eric that he's having second thoughts about breaking up with Ruthie, who is spending all of her free time lately with her former crush, Martin. Sandy's boyfriend, Jonathan surprises her with a marriage proposal and T-Bone's estranged father shows up on the Camdens' doorstep.
Ruthie gets a text message from what she thinks is T-Bone breaking up with her. But the truth behind the matter is a bit different. Meanwhile, Lucy and Kevin try to decide whether or not they will relocate to Crossroads.
After Lucy gets an invitation to take a job as a new minister from the people from a town called Crossroads, she and Kevin decide to go and see the city, to see if it may be a good place for them. When they arrive, they learn that the small town is no ordinary place, and the residents have strict guidelines of residency that are not normal either. Meanwhile back in Glenoak, Ruthie visits the doctor and finds out how much it would cost to get her tattoo removed. When she realizes that there is no way she could afford that amount, she tries to guilt T-Bone to pay it for her and goes to Eric as well.
When small things happen, some Camdens see them as signs. Lucy and Eric both cross paths with a black bird. They both come to the conclusion that this is a sign, and a bad one at that. Meanwhile, Ruthie gets a sign on her own. When she loses a diamond in the ring that T-Bone gave her as a promise to get engaged someday, she thinks that this is her sign that maybe being with T-Bone is not the best choice.
Ruthie tries to hide her tattoo from her parents, not realizing that they already know something's up with her. Lucy knows about the tattoo, but she has a very specific reason for keeping it to herself. As it turns out, most of the Camdens have dirty little secrets that they'd rather not reveal...
Sandy starts falling for someone else. Will Martin be able to handle this? Dr. Sanders seems to be quite the match for Martin, and even makes some moves on Sandy. T-Bone and Ruthie wanting to do something romantic for Valentine's Day, decide to get tattoos, to show their love for each other. The Colonel and Ruth drop by for a surprise visit on their family, making Eric suspect they know about his heart problems and wondering who told them. Lucy finds out her grandparents are in town so she and Kevin leave town, so she's not around in case they mention that she was one the told them about Eric.
Ruthie insists that T-Bone get his driver's license so they can go away for privacy; unfortunately, T-Bone makes the mistake of asking Kevin to help him get ready for the test. Lou informs a stunned Eric that the church deacons feel he and Lucy are no longer appealing to the younger church members, so it is suggested that Sandy deliver the next sermon. Mac gets a job at the movie theater so he can afford an apartment with Jane and Margaret.
Eric and Lucy take the day off from church to go fishing, telling everyone they're going out of town on "official" church business, while both Annie and Kevin figure for different reasons behind their spouses' white lies, with Sandy taking over Lucy's teen class for the day.
Ruthie, tired of being everyone not seeing her for the woman she is, decides to do something about it with T-Bone.
When Ruthie and T-Bone work on a school assignment about the genocide in Darfur, they get the whole Camden family, and the community involved in the cause.
Eric suddenly finds himself in heaven, quite literally, when he runs into several people who have gone before him, particularly Annie's late mother. Meanwhile, the family becomes nervous when Eric doesn't come home from work, and Annie tries to hold everyone together. Could he soon be headed to the pearly gates himself?
Eric takes a new approach to counseling members of the church. T-Bone stuns Ruthie by telling her what he really thinks of her selfish and obnoxious attitude, then ending their argument with a kiss.
Eric, Annie and Ruthie are held for questioning at the airport after Ruthie says something. Mac tries to find out if Sandy has feelings for Simon as a favor to Martin. Lucy tries to be strong and positve about Eric's condition for the rest of the family.
Ruthie is informed of her father's health prognosis when her parents show up in Scotland, but she shocks them by reacting with very little sympathy or understanding. Sandy calls off her marriage plans with Martin after his best friend questions why they are in such a rush. Back at home, Lucy steps up as a much-needed source of stability for her younger siblings, as well as T-Bone, who needs help making a dramatic decision.
Ruthie is nervous when she finds out that Eric and Annie are heading to Scotland. She reveals a very unattractive side of herself when she openly admits that she's not about to sacrifice her own freedom and happiness to come home and be with her sick father. Kevin has a difficult time helping Lucy come to grips with Eric's illness; Sandy accepts Martin's marriage proposal just to get rid of her clingy boyfriend; and Kevin finds out a secret about Jane.
Annie realizes that Eric has been hiding the truth from her about his health, after the paramedics are called to the house. And, Lucy reconsiders having more children when she pays a surprise visit to Sandy, who can't make up her mind between Martin and her boyfriend Daniel.
While Annie is out of town, Eric finds himself looking after three teenagers, T-Bone, Jane and Margaret, who are homeless and hoping the Camdens will find it in their hearts to take them in. After Annie comes home to the chaos and new faces, Eric also realizes it's time to tell Annie what he's been hiding from her for weeks. Meanwhile, Sandy finds herself in a romantic triangle with Martin and the guy she's been seeing from school, Daniel.
Eric continues to hold down the Camden household while Annie is still in New York helping Mary with her new babies. Without Annie's approval, Eric decides to homeschool Sam and David after their teacher makes a pass at him. Meanwhile, Kevin and Lucy begin to suspect Eric is not being truthful based on his odd behavior recently. Kevin goes to hospital to investigate on some clues while Lucy talks to her father over the matter.
Mary has recently given birth to twin daughters, so Annie heads off to Buffalo to help her out. Eric is left to take care of things at home. A difficult issue with the boys' teacher prompts him to pull them out of school without consulting Annie, and an excruciating physical pain in his neck isn't helping matters. Kevin's brother arrives for a visit, but there's only one way they can convince a emotionally unstable Lucy to let him stay with them for a little while.
Tension mounts in Kevin and Lucy's marriage as Lucy pulls away from him emotionally, spends increasing amounts of time at the movie theater, and even starts pouring her heart out to a teenage boy who works there. Back at home, Annie encourages Kevin to not give up on Lucy. Eric is less than thrilled with the new name that his twin sons have given him, but it is nothing compared to a little run-in that he has with their very young third grade teacher.
Strenuous events impact all the Camdens as Kevin and Lucy cope with an unexpected tragedy in their young marriage. Martin frustrates Sandy by suggesting that they get married and build a family for their infant son, then becomes angry when he realizes why Sandy is really holding back. Ruthie is away and studying in Scotland for the time being, and Annie can't shake the feeling that something is terribly wrong with Eric.
