Marissa awakened J.R., and he said that he surprisingly felt good that morning. He told her that he usually woke up, immediately thinking of his illness; however, that day had been different. Marissa remarked that everything had changed because the cancer was in remission. J.R. wondered why she didn't seem happy about it.

Marissa said that the cancer had been prevalent throughout their relationship. It had forced him to live in the moment, and make many choices quickly, like the one to get married. "Now you're wondering if I made a mistake," J.R. assumed.

Marissa offered to give J.R. time to return to himself, and figure out if he actually wanted the marriage. J.R. said that he didn't want to be the man he'd been before the cancer. He was thankful for the cancer, because it had forced him to go after what he'd wanted. He reasoned that the cancer had made his life better, because it led him to Marissa. The couple made love.

At the Chandler Estate, Scott disconnected Annie's call with her wedding planner. He said she ought to be worrying about Adam confessing while alone at the hospital. Annie replied that Adam was too worried about her pregnancy to confess. "This is wrong," Scott responded.

Annie claimed that she hadn't known how else to keep Adam quiet. She figured that Adam valued family above all, and she'd given him the hope that the family would continue. She'd also given him a reason to bury the truth. Scott retorted that Adam would expect that reason to show up in nine months. "Not a problem," Annie stated.

Annie whipped out a note pad, and showed Scott her plan to get pregnant. "That's not a plan, Annie. That's math," Scott replied. Figuring that she'd be sunk if she didn't get pregnant right away, he suggested that she'd be better off faking a miscarriage. Annie said she'd miscarried before, and needn't fake that kind of pain.

Later, Annie called Lucretia in to pick up her uniform for the wedding. "This isn't a uniform," Lucretia responded, staring at the bridesmaid dress. "Congratulations! You're my maid of honor!" Annie beamed. Lucretia felt uncomfortable with the idea. Annie offered Lucretia 10% raise, and Lucretia bargained for 20%. Annie rolled her eyes, and agreed.

At the hospital, Jesse questioned Adam about the night at the cemetery. Adam insisted that he'd been grieving that night. Adam said that Kendall had confessed, and a closed case would make a nice wedding gift for him. Adam suggested that Ryan and Jesse get a hobby.

Jesse exited to the corridor as Adam signed himself out of the hospital. Jesse said that none of the evidence pointed to Adam, and Ryan realized that they must get Adam to confess. Jesse said that Erica and he had already tried, but insinuated that Ryan might try once Jesse left.

When Ryan entered Adam's room, Adam assumed that Ryan wasn't there to help write Adam's vows. Ryan said it sickened him that Stuart's murderer would get married in a day. Adam asserted that Annie hadn't killed Stuart. "Who's talking about Annie?" Ryan asked.

Adam cynically figured that he'd become the target simply because he made Annie happy. Ryan told Adam that stuffing his guilt into a tuxedo might stifle the pain for his wedding day, but it would never completely go away. Ryan, who'd shot his own brother, figured that he could give Adam insight into life after shooting one's sibling. Adam replied that Jonathan hadn't died. Ryan was grateful for that, but figured that Adam's guilt was worse, because Stuart really had died. Ryan encouraged Adam to admit his guilt, so that Kendall could be free.

Scott entered, wondering what happening. Ryan claimed to be just visiting. A nurse wheeled a visibly shaken Adam out, and Ryan warned Scott that no one could protect Adam from his own inner turmoil. Ryan wished Scott wanted justice for his father as much as everyone else did. Scott wordlessly left.

Back at the mansion, Lucretia complained that her dress didn't fit, but Annie stuffed her into it anyway. Adam and Scott entered. Adam said Lucretia looked lovely. Annie wrapped Lucretia in a shawl to hide the dress's busted zipper. "25%," Lucretia murmured, striding out.

Scott suggested that they postpone the wedding to give Adam more time to recover. Adam insisted that the wedding go on as planned. Annie placed Adam's hand on her stomach, and said she'd told Scott the news. Scott congratulated the couple, and Annie hugged Adam.

Once alone with Scott, Annie berated him for suggesting a postponement. Scott said that Ryan had been grilling Adam about murdering Stuart. Annie reasoned that gave her even more reason to push ahead with the ceremony. Scott worried that the pressure would kill Adam.

Adam visited Stuart's grave to tell Stuart about the wedding and the new baby. Adam said it killed him that he couldn't confess, but he had to stay silent for the family. "So my secret is buried with you," Adam told Stuart.

Ryan went home to relive the babysitter. He discovered Emma drawing wedding pictures. When Ryan said he wanted to see Emma as a flower girl, Emma wondered if he were okay with Annie marrying Adam. Ryan explained that, though Emma's parents weren't married, they still loved her. Emma wondered if he hated Annie, but he assured her that he didn't.

Ryan said that he knew that Annie hadn't shot Stuart, and he understood why Emma couldn't discuss it before. Emma replied that she never wanted to discuss it again. Ryan said that she didn't have to, and he assured her that he'd always look out for her.

In a hospital corridor, David and Angie called a press conference to announce that David had relinquished his chief of staff position to Angie. As Jake looked on, David explained that he wanted to devote more time to his family. Angie stated that she planned to run the hospital in the spirit of Joe Martin, who'd once operated it with dignity and strength.

Jake met Amanda and Trevor in a waiting area, and said that David had given up his position so that he could spend more time ripping their marriage apart. David approached, and Jake ribbed him for demoting himself. David stated that he wanted to help out more at home. Jake thought David would have waited until Amanda was a few months along before he gave up his power over Jake. "Is that what I'm doing?" David asked, walking way.

Later, Jake and Amanda congratulated Angie on her new position. Jake pressed Angie for the real reason that David had stepped down. Jesse arrived just in time to hear Angie say that she'd made a deal with the devil, something that Jake and Jesse knew all about. Angie strode off, but Jesse pulled her aside, guessing that she'd threatened to bust David about Adam's pills.

Angie explained that David had threatened to drag Jesse, Zach, and Ryan into the pill scandal. Jesse figured that instead of giving into David's threats, she'd turned the tables to get what she wanted out of the deal. Angie said it was the first time she'd benefited from Jesse's mess. Jesse didn't know what to say. "How about congratulations?" Angie replied.

Angie picked up some files that David had left her at the nurse's station. An assistant also handed her a stack of congratulatory messages. A guilt ridden Angie sighed, and went home, where she found a trail of rose pedals leading to the fire escape. Jesse waited there with wine to celebrate her new position. He said that he hadn't gotten the chance to say that he was proud of her. "For threatening David to hand over his job?" Angie asked.

Jesse felt that she'd deserved the promotion no matter how she'd gotten it. Angie said that it mattered to her. She'd wanted the job, so that she could change the hospital for the better; however, she'd turned herself into David in order to get what she wanted. Angie had thought she was rising above David's treachery, but instead, she'd just sunk into it.

Amanda paced the waiting room, figuring that they could use what Angie had on David to get out of the pregnancy deal. Jake doubted Angie had anything, but Amanda reasoned that Angie didn't coincidentally wind up with David's job. Amanda explained that she was freaking out, because the baby deal was becoming a reality. She didn't know how to get through the next nine months under David's rule. Jake said that he really needed Amanda to believe in them.

A nurse called Amanda into the exam room, and after a checkup, a fertility specialist told Amanda that she was in good shape to get pregnant. The doctor said that if everything went well, Amanda would have a baby by fall. Amanda wondered why the doctor had said "if." The doctor explained that the procedure didn't always work on the first try, and it could be a long process.

As Jake and Trevor waited for Amanda, David arrived to see Trevor. Two men exchanged barbs. Jake said that he wanted to be Trevor's real father, but he could wait nine months to have his own children with Amanda. David figured that a lot could happen in nine months. David referred to Jake as Trevor's nanny, and handed Trevor over for a diaper change.

After her exam, Amanda told Jake that the insemination process could take a long time. Jake said he'd wait for her. Meanwhile, Amanda's doctor told David that she could inseminate Amanda mid-month. David said that it was just in time to give thanks for his new family.