April and Matthew are at brunch with her sisters, who are in town to throw her a bridal shower. They make a toast to their little "Ducky" finally getting married and when Matthew asks about the nickname she tells him to forget it. The girls are all fawning over Matthew and can't stop talking about how delighted and shocked they are at April finally getting hitched as if it's an actual miracle of God. They then notice a hunk looking in the window and waving -- that hunk turns out to be Jackson, who I guess is there to get a coffee before work. April introduces everyone and the girls fall all over themselves, with one telling April they totally get why she named a pig after him. A pig name is the highest form of flattery. April puts on her coat to go to work and wants Matthew to take the girls to her apartment but they want to go see the hospital and check out the room where the shower will be held, because no other sizable room was available in the entire city of Seattle for the day.
Back at the hospital, Princess responds to a page and is dismayed to see James back and clearly in terrible shape. He claims he's trying to get clean, but she tries to order him away, saying she already tried to help him but he refused and her offer is now gone. Are you allowed to do that when you are a doctor and you're standing inside a hospital in front of someone in distress? It doesn't really matter because James then collapses and has a seizure, and Princess has to drop down and help him out then.
Once the girls have left, Jackson and Matthew leave the restaurant and say goodbye, but then have that awkward moment where they realize that they have to walk in the same direction, made all the more awkward by that age-old situation when one guy has had sex with the other (virgin) guy's fiancée. As they walk a dude in a suit shoves Matthew out of the way to steal a cab from another guy with long hair, calling him a dirty hippie. He's actually not that at all and is even wearing a tie, which is where the trouble starts since the asshole slams the door in his face and Long Hair's tie gets caught. The cabbie doesn't notice and the asshole ignores Long Hair's screams, so the cab takes off, dragging poor Long Hair by his neck down the street.
A crowd has quickly gathered while the boys try to take care of Long Hair, who is, unsurprisingly, not breathing. Matthew comments that they have to get an airway just as the asshole runs up to ask what's going on, surely only worried about his own skin. Jackson has to shove him away so Matthew takes things into his own hands and uses a pocketknife and Jackson's straw to do a makeshift tracheotomy. Jackson turns around and shouts, aghast, but Matthew is pleased that Long Hair is breathing again.