The lives of several people, including some who share the same birthday, prove to be connected in surprising ways.
Rebecca and Jack suffer the stresses of raising a family. Beth takes action to find out if William is using drugs again. Kate struggles with her goal of losing weight.
As Jack, Rebecca and the three kids make their way to Rebecca's parents' house for their traditional Thanksgiving holiday, an unforeseen detour occurs.
The Big Three of the Pearsons reflect on their life and attempt to create a new perspective.
Kate surprises Toby at work. Kevin and Randall attend a charity fundraiser for Sophie's hospital. Jack takes the boys on a camping trip, leaving Rebecca to deal with some unexpected news.