Temptation arrives for Lilly in the form of a wild young man from her troubled past; Kyle returns to see Syd---for medical reasons.

Syd's troubles come in threes, as a car crashes into the clinic, Helen is shot by a grief-stricken patient and Kyle refuses chemo. Meanwhile, Joanie lucks out in her hunt for an assistant but flips out when Hannah refuses to start walking; and Jim tries to help a feuding family reunite for the sake of their sick pet.

A year after Lynda's death, the Hansens discover a lost letter that may have hastened the matriarch's demise. Meanwhile, Doug takes a bite out of Joanie's profits with his dog-food fixation; and Syd stands by Kyle as he undergoes surgery to save his arm.