We leap 5 years into the future in this episode which was directed by Jennifer Love Hewitt. While all of the characters have developed over the years, we see Ned in college studying the occult and Delia involved in a booming real estate business. Melinda has her own business and is a mother while Jim is a doctor.
Prior to the jump into the future, Melinda goes through a difficult child birth. And at Aiden's birthday, it's explained that something bad will happen every year on his birthday. Sure enough he ends up in the hospital with difficulty breathing.
Later, we find out that when Melinda was giving birth, another woman named Amber died during child birth. Amber is thought to be the ghost who claims Aiden is hers. But as it runs out, her son was adopted by his biological father after she died.
All ends well when Melinda reunites the parents and they talk about the adoption which was supposed to be closed to protect the father's wife from the truth. She finds out the truth and is fine with it.