Andy and Ephram are still trying to figure out how their lives will function without Julia. It's hard for Andy to not revert back to his old ways of putting his patients before his family, skipping dinner on his children in order to take care of the Dudleys, a family living in unfortunate circumstances. Ephram takes Andy to task, knowing how unfair it is to Delia that she will have to grow up without a mother. Both of them realize that they are all Delia has now.
Amy continues to befriend Ephram; however, Bright warns Ephram that she won't give him the time of day as soon as Andy helps Colin recover from his coma. Confirming his fears, when he lies to Amy and says that Andy won't help Colin, Amy gives him the brush off. Ephram feels like a giant douche for lying to Amy and squashing her hopes of helping someone she cares about, as he should.
We also get a glimpse into Harold and Edna's frosty relationship. Harold himself is a product of grief, holding a grudge against his mother for remarrying so quickly after his father died. He admires and loves his father so much that he wants to be just like him -- a beloved town doctor. Unfortunately, warm and friendly is not in Harold's nature, and he's got to reconcile his love for his father with his acceptance of who he can and cannot be.