With his marriage in trouble, the chief turns to his fellow male surgeons for a "gentleman's evening." Cristina and Izzie heatedly compete for the same surgeries. The doctors treat two injured finalists from a promotional competition.
A feverish night in Las Vegas results in one dead male in an alien suit, one more dead male in a bathtub, one dead female with two suspicous men at the scene, and another dead male with a polaroid of yet another dead male.
Sheldon falls for the critic who panned Violet's book; a patient is caught in a love triangle with her brother-in-law and sister; Cooper and Sam try to convince a family to put a boy's health above his wrestling career.
When a young Army vet dies of Gulf War Syndrome, his brother opts for a cremation and disposal of the body; Ruth has Hiram over to cook dinner and then takes a job with Nikolai; David's church involvement results in his casting a very important vote; and Billy interferes with Nate and Brenda's vacation plans.
In an effort to raise income, Nate and David decide to rent out a room in the funeral home; Claire struggles to grasp the lessons of her outreach hike in the mountains; Ruth attempts to reconcile her feelings about Hiram; Brenda's Aussie friend gets under Nate's skin; and David is buoyed by the news of extra funeral business.
