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Michael's birthday arrives, but everyone ignores his special day because they're more concerned about poor Kevin, who's anxiously awaitin...
The aftermath of the school shooting and the death of Jimmy Edwards forces everyone in Tree Hill to examine their lives. Nathan reassess...
J.D. and Turk finds out Carla is pregnant before she does. J.D. convinces Turk to tell everyone in the hospital to surprise Carla.
When Peter gets a vasectomy, he loses his sex drive, causing Lois to get depressed and gain weight. Meanwhile, Stewie's half-brother Bertram returns to confront him and they have a battle for control of the playground.
Dr. Ron breaks up with Susan after her anesthesia confessions; Gay and Carlos find an attractive mother to adopt from; Andrew tells Bree he'll tell the judge she sexually abused him.
Bill gets a new security system at home, Nicki's extravagant birthday party for Wayne is forced to be at home, Margene meets her mother-in-law, and there's a break in at the hardware store.
J.D. encourages his patients to go the extra mile with their patients; Turk and Carla finds out they're having problems conceiving because of their stress.
Alan is having financial troubles trying to pay Judith's alimony and his girlfriend Kandi's bills. Charlie tries to convince him to dump Kandi.
Marshall takes a job where Barney works and tries his best to fit into the corporate world.
Bill has over his business partner, Don Embry, and Don's three wives for a dinner party. Bill turns to viagra to deal with pressure from work affecting his home life.