Fitz and Ming talk about their imminent insemination plans. Fitz tells her that since he's decided to stay in Toronto and work at Mercy, he'll understand if she changes her mind. But she still wants to go forward even though she knows it will be uncomfortable for everyone. Their plans incite the doctors to reflect back on their early days as residents in the hospital and and the professional and romantic rivalries that took root.

The present. Jealous and sensing ulterior motives in Fitz's return to Toronto, Chen confronts him with a stash of love letters he wrote to Ming. The two come to blows then reflect back on a time during their residency when they helped each other out during a Code Blue. At the ensuring peer assessment review, Fitz takes stock of his mettle as a doctor, his motives as a friend and his true feelings for Ming.