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Sean is touched by his consult with Megan O'Hara(Julie Warner), a cancer patient who, after having had a mastectomy, wants reconstructive breast surgery. Still deeply upset about Julia's miscarriage, Sean decides to get a vasectomy in order to prevent another accidental pregnancy from occurring. Meanwhile, Christian and Grace fluctuate from furious shouting matches to passionate sexual romps, and Christian mistakenly believes a former patient of his is responsible for vandalizing his car. Christian decides to get back together with Kimber(Kelly Carlson), his ex-girlfriend, and Matt engages in an awkward threesome with his girlfriend and one of her fellow cheerleaders.