It's Jackie's one-year anniversary of sobriety; Jackie and Frank fight, He feels he took a big unreciprocated step forward in their relationship, and now he's taking one backward; Wally, an 80 year old gay man with advanced liver cancer is admitted into the hospital. Thor instantly gravitates toward him; Zoey acts very professionally and rigid around Prentiss after their intimate evening; Carrie is notified there will be a peer review of her first few months of residency, Coop pleads for her to stay but Akalitus, Prentiss and Jackie vote against; Wally asks Jackie to administer his last rites; When Zoey learns that Grace isn't going to Jackie's anniversary celebration she rents a car and kidnaps Grace from school, Grace has a breakdown; Jackie nonchalantly takes the pill from her ring box and swallows it, she arrives at her celebration stoned in front of everyone including surprise guest O'Hara who has flown in for the special day.