S4, E13: Ephram convinces Kyle (recurring guest star STEVEN R. McQUEEN) to accept the invitation of a pretty classmate to go to a school dance, but when Kyle has a terrible evening, Ephram finally faces his suspicions that Kyle may be gay. Feeling that he has made things worse for Kyle, Ephram turns to Amy and Dr. Brown for advice. Meanwhile, Ellie (BROOKE NEVIN), an 18-year-old girl with a family history of breast cancer, asks Dr. Brown to perform a preventative mastectomy, and Dr. Abbott is appalled by Dr. Brown's decision. And in an attempt to put the excitement back into her relationship with Bright, Hannah (recurring guest star SARAH DREW) hosts a Hawaiian luau for two.