The former Big Apple neurosurgeon, Dr.Andrew Brown, puts on his scrubs for the first time since he relocated his family to Colorado to operate on Amy's comatose boyfriend, Colin (Mike Erwin), with the help of his friend and surgery partner from New York, Dr. Brian Holderman (guest star Lamont Thompson). Adding to his performance anxiety is the identity of the patient---Colin Hart, the boy who was dating Amy before she stole Ephram's heart.

It also doesn't help that the tricky procedure he plans to perform has never been attempted before. Amy leans on Ephram for support as she awaits the outcome. Meanwhile, an emotional Bright breaks down and admits what actually happened the day of the car accident as Colin's former life in Everwood is also revisited as flashbacks reveal some startling secrets about the teen's last days before the accident that put him in the hospital.

Horrified to discover that Ephram and Madison are involved, Dr. Brown stops short of firing her, but Madison decides to quit leaving the Browns to a very unhappy holiday, especially when Delia discovers another troubling relationship - between her father and Linda Abbott. Stressed by Thanksgiving with his cantankerous mother-in-law (guest star Betty White), Dr. Abbott reacts badly when Amy brings Tommy (Paul Wasilewski) to Thanksgiving dinner. Finally pushed to the breaking point, Amy runs away from home.

When Jake surreptitiously informs Andy that Ephram came to him for a STD test, Andy and Harold decide the best plan of action is to convince Ephram and Amy to hold off on sex. Of course, when Ephram realizes it's no coincidence that he and Amy both had a heart-to-heart with their fathers on the same day and informs her of his suspicions, Amy feels betrayed that Ephram didn't tell her about the test beforehand.

In another part of town, Nina finally decides it's time to tell Andy how she feels about him and asks him out to dinner, and Bright invites a lovestruck Hannah to go with him to a movie, but the night takes a turn for the worst when Hannah misinterprets his interest.