Kyle's mother berates him for eight childless years, demanding a grandchild this year and ratcheting up pressure. At the hospital, Ms. Quinn, director of Obstetrics, is told by Dr. Lester that her heart condition makes pregnancy dangerous and that corrective surgery is also high risk. Despite the medical warning and family pressure, Ms. Quinn insists Kyle will perform the operation so they can try for a child. The episode closes on their decision to proceed with the perilous surgery, leaving the couple's safety and chance at parenthood unresolved.