Cassie finds Sam starting his morning with a guitar and coffee. A perfect breakfast, although Sam notes the only thing missing is a blueberry muffin. Cassie smiles as the oven dings. Muffins are ready! As Cassie brings out the muffins, Sam is uneasy about performing surgery today even though he has been doing this forever. Cassie feels it is natural for him to be uneasy because his patient is Adam.
Elizabeth has finished her manuscript. A visitor causes trouble for Nathan and Allie. Rosemary and Lee cut their trip short. Faith arrives back from medical school. Clara and Jesse haven't been getting along.
