Lonnie Colón

Nothing is too big when Phil and Claire decide to throw Luke the biggest and best birthday party a boy could ever want. But when Cameron shows up as Fizbo, the Clown, it sets of a chain of events that ends with someone in the hospital.

The doctors try to cope with heartache and injuries caused by the plane crash; everyone at Seattle Grace struggles to return to normalcy amid the chaos.

The largest garbage strike in San Francisco history has just begun. Trash is piling up everywhere, and the sanitation union's boss, Jimmy Cusack, is promising a prolonged work stoppage. It's a nightmare scenario for Monk, and it's only made worse when Jimmy Cusack is found dead in his office of an apparent suicide. Suspecting foul play, the sanitation union suspends all negotiations with the city, and hires Monk to look into Cusack's death. If Monk agrees with the police that Cusack's death was a suicide, the union promises to return to the bargaining table.

After a sniper's bullet kills a tow truck driver, the truck careens into Karen Stottlemeyer's car as she is making her way to work, sending her to the hospital. As Captain Stottlemeyer grapples with the possibility of losing his wife, Lieutenant Disher speculates that an ongoing local union dispute may be behind the shooting. Eager to find the person responsible for nearly killing his wife, Stottlemeyer confronts union leader Harry Bolston at a union rally. Bolston denies any wrongdoing, and Monk believes him, suspecting something just isn't right. But Stottlemeyer's clouded judgment has made him obsessed with nailing Bolston and the union.

A concert gets out of Moesha's control and Hakeem takes a beating.