Pamela fears couple therapy could cause more problems than it solves. Cheddar is out of control, and when Jay and Pamela struggle to train him, Raphael steps in. Raphael and Rene start to wonder if Jay and Pamela are ready for parenthood.

Jay and Pamela come to a big decision on the future of their family and work to rekindle their romance. Jay is rushed to the hospital with a health scare that requires immediate attention.

When Jay checks into the hospital for an urgent surgery, complications leave the whole family fearing for his future. Pamela struggles to focus during driving lessons, worried about Jay who despite everything wants to make her birthday unforgettable.