This is one of the best episodes I have seen in a long time. I loved that it opened again with a "Dear Lucas." I really hope they can work something out to bring back Lucas and Peyton sometime this season. I loved all the references to 4.09 and 4.10. I didn't need the references to be reminded of those moments while watching this episode because it's all I could think about before Nathan brought it up. I spent the episode just waiting for Clay to either wake up or die because I don't know if I could take waiting another week to find out. I strongly believed that Clay would survive, but in that moment when Quinn was reading the paper and I saw his legs move just a bit, I couldn't take it anymore. By the time we some him laying there awake I could barely see the screen. I haven't felt a moment like that since 4.10 when Nathan and Haley heard Jamie's heartbeat at the end of the episode. I am sort of glad Nathan didn't donate his kidney because now he can still play basketball. And I can honestly say I really didn't see it coming that Will would end up giving Clay his kidney. I can't believe I missed that.
I really loved Mouth's podcasts. They went so well with the moments of the episode. However, Mouth and Millie in bed together was just unnecessary. I was glad to have an episode that was free of Chase, Mia, and Alex. This really felt like an early episode of One Tree Hill. It had that same quality and feel that episodes from the first four season had. Great writing Mark Schwahn!!