Barb and Kacie receive the results of their cancer tests. Jamie & Blair's possible new life plan leaves her feeling more torn than ever. Jen finds strength through Billy's love to open up about a painful issue. The family celebrates Kacie's 30th birthday.

Excitement builds for the new house as the Putman women dig in to decor with the interior designer. The family celebrates Blake becoming the first Dr. Putman. Kacie is ready to make a crucial health decision. And Blair & Jamie share monumental news.