The hospital new management causes a physician to question her future at Seattle Grace. The doctors and interns juggle transplant patients, each of them come with their own obstacles.
Castle and Beckett investigate the murder of Miss Illinois, a contestant in a beauty pageant, who was found strangled during the rehearsal for "Baron's All-American Beauty Pageant." As the investigation goes on, they find out that several people had motive to kill the victim.moreless
Nate is exposed to a friendly female rabbi at a funeral they have. Claire visits her Aunt Sarah's place and meets a boy that she isn't immediately disgusted by. Keith starts to get less icy towards David.moreless
Mitzi Hutley comes back into David and Nate's lives, bringing with her yet another offer from Kroehner. Ruth's estranged sister Sarah arrives for an unexpected visit, David considers giving his relationship with Keith another shot, and Brenda's feelings about her situation with Nate grow more muddled. A family dinner meant to announce some happy news about Nate and Brenda goes awry thanks, in part, to Nikolai's vodka pouring influence.moreless
Claire gets extremely upset when her friend gets another girl to take her SATs for her. Ruth takes an odd interest in the death of a single woman that has no family. Keith needs temporary attention from David, which causes issues in his current relationship. Brenda gets particularly wrapped up with one of her clients who happens to be a prostitute.moreless
Rico and Vanessa finally have their new son. Brenda tries to handle her brother's obsessiveness and suggests he give her back her house key and start back on his medication. Billy does not react too well to this. David's feelings about his secret come closer to the surface due to a hate crime against a gay man, that the funeral home now must deal with. Ruth tries to get her son to bring up the subject, but has a very difficult time. Nate has a freakish encounter with Billy. Claire and Gabe continue their odd-ish relationship.moreless
Tracy Montrose Blair is back but for very different reasons this time. Her Aunt Lillian has passed away and David is the only one that can help her. While David is trying to deal with Tracy's outrageous demands and cope with her ever-changing ideas, Nate is trying to deal with Brenda and her family. Interrupted from his funeral director's exam, Nate scurries over to Brenda's so he can take her to visit Billy. Ruth finally decides she doesn't want to be involved with Nikolai and gets fired because of it.moreless
Claire runs into Gabe again, but not under the best circumstances. His brother died and his mother and he have come to Fisher & Sons for the services. Brenda and Nate visit several different local funeral homes posing as mourning relatives in order to help Nate improve upon his salesmanship.moreless