Addison flirts with a colleague at St. Ambrose Hospital; Sheldon and Pete try to convince Violet to take a paternity test; Sam accidentally calls Sonya by the wrong name.

A disturbed pregnant patient has lost her baby, and Violet must convince her that her baby needs surgery. Meanwhile, Cooper must tell a patient he needs part of his jaw removed due to a fast-growing cancer. Dell must cope with his daughter's absence when his ex has to move for a new job Sam and Addison must hold back their feelings for two unattainable people.

Cooper struggles with the mother of a patient after learning she allows the 12-year old to be sexually active. Violet is jealous after Pete begins dating a patient's mom. Meanwhile, Sam is scheduled to testify at a colleagues trial for malpractice; and Addison continues to fight her romantic feelings for Noah.

Addison sends a pregnant woman to St. Ambrose for help from Noah after she experiences heart complications. Meanwhile, Sam begins to rethink his friendship with Naomi; Pete and Lisa's relationship becomes increasingly complex; and Sheldon takes a stand.

As Violoet chooses between Pete and Sheldon, she must also deal wtih a grief-stricken patient. Meanwhile, Dell worries about his daughter when Heather returns to town and Naomi debates moving to Pacific Wellcare.