Though Tommy's pacts with Sheila and Janet have begun to unravel, there is one Gavin who remains sexually adventurous much to Tommy's chagrin. Garrity divulges his medical secret, Tommy proclaims he's been drinking at AA, but its Mickey who will offer the final surprise.

After dealing with a particularly horrific accident on the job, Tommy questions his feelings in a dream sequence with his dead father, brother and son, and Jimmy Keefe. Meanwhile, Sean has an unwanted visitor at the hospital; and Lou has a very-much-wanted visitor to his apartment.

Franco has his first FDNY-tournament fight, and he and Carla (Tawny Cypress) have an encounter outside the gym; Candy cooks dinner for Lou; the guys have a surprise for Sean when they visit him in the hospital, and he has one for them. The guys also plan an outing for the kids in the cancer ward.

As Damien joins 62 Truck, Sheila reminds Tommy of his promise to watch out for him. Meanwhile, Janet gives Tommy guidelines for their relationship; the guys attend a memorial dedication for a firefighter who died on 9/11; and Sean is released from the hospital, vowing to live life "to the fullest."

An outburst lands Tommy cleaning duty as a mysterious woman strolls through the firehouse; the Gavins confront Tommy about his alcoholism, but their plan does not unfold as expected.