On the morning of his Julliard audition in New York, Ephram makes plans to meet up with Madison (guest star Sarah Lancaster) for coffee where he finds out that she was pregnant with his child. This devastating revelation causes Ephram to make decisions that will alter the course of his life. Amy tries to figure out what this will do to her and Emphram's relationship. Meanwhile, Dr. Abbott counsels a man (guest star Chris Penn) whose son may die as a result of a hunting accident.
Elenco: Vivien Cardone , Tom Amandes , Treat Williams , Stephanie Niznik , Gregory Smith , Merrilyn Gann , Debra Mooney , Chris Pratt , Emily VanCamp , John Beasley , Sarah Drew , Scott Wolf , Marcia Cross , Paul Wesley .