Contains spoilers for this episode and earlier episodes.
Ralph attempts to repair his relationship with Tony after Tracee's death and their confrontation. Johnny Sack mediates, giving each man a softened account of the other's position. Ralph apologizes and blames cocaine for his behavior, but Tony does not restore their friendship. When Gigi dies of a heart attack on the toilet, Tony needs another captain and promotes Ralph. Even after granting him the position, Tony refuses his invitation to share a drink.
Tony meets Gloria Trillo when Melfi accidentally schedules their appointments at the same time. Their flirtation continues at the Mercedes dealership, where Gloria works, and on a test drive. They begin an affair and have sex aboard Tony's boat. Melfi realizes that her two patients are seeing one another after hearing Tony's voice when Gloria calls to cancel a session, while Tony and Gloria try to keep their meetings outside the doctor's office.
Meadow and Jackie become increasingly interested in each other. After she takes Ecstasy at a fraternity party, Jackie brings her somewhere to sleep and partially undresses her while she is unconscious. Their relationship continues, although Meadow initially says a romance between them is unlikely. On another evening, she crashes his car, escaping injury. Jackie's concern after the accident reassures her, and she asks to spend the night with him rather than be driven home.