After her open-ended escape to Costa Rica, Violet has finally returned home and to the practice. Everyone treads a little lightly around her, especially Pete and Addison who have mixed feelings about Violet's desire to reconnect with Lucas. Meanwhile Amelia butts into Sam's personal life, pointing out that he can mend hearts in the OR but can't seem to do that for himself; and Sheldon encourages Charlotte to reconcile with Cooper, while Cooper deals with a young patient who eats everything in sight.

Charlotte's painful memories of a horrible tragedy are triggered as Amelia continues her downward spiral; Addison takes one step closer to motherhood when she finally chooses a sperm donor; Cooper faces a difficult decision when he realizes his patient's parents have been drugging their son in an effort to control his supposed ADHD; and Pete's trust issues prevent him from repairing his fragile relationship with Violet.