Ignoring Casey’s wishes, Elsa throws her a big birthday party, while Sam insists on following a decade-old birthday ritual. The bartender haunts Doug.
Cruel yearbook comments show Sam who’s got his back, a favor he repays at graduation. Feelings for Izzie confuse Casey. Elsa asks Doug a key question.
Paige proposes having an autism-friendly school dance to the PTA. Sam makes preparations for losing his virginity. Doug and Julia help each other.
When Sam learns his crush is already taken, dad Doug helps him woo her. A lost credit card sends Elsa back to the bar. Casey hears rumors about Evan.