Our story opens with the Oceanside elevator's very first makeout session -- but it turns out to be a dream, the latest of many recent dreams about Pete, from which Addison wakes with a start. Naomi warns her not to follow through; Violet thinks Addy should find another way to "scratch the itch," and she's flabbergasted when Addison says solo sex is not for her. Both ladies try to convince her it's worth pursuing, at least as an alternative to sex with Pete.

At Oceanside, Dell is excited about doing a solo pap smear, but his patients make it difficult. Addison is busy in her office with Naomi and Sam's 13-year-old daughter, Maya, who thinks she has gonorrhea. She doesn't, but Addy wonders how she can help, and whether she should tell Naomi.

A track coach asks Pete to check out a runner, Nicole, who's having respiratory problems. They go to St. Ambrose, where Pete determines Nicole will need more than just herbs to get better. She's prepping for a big race and doesn't want to use inhaled steroids, but Pete and Charlotte warn her she could die if she runs in her current condition. She does, of course, because she's so hardcore, and Pete gets to the track in time to see her collapse. When she wakes up at St. Ambrose, her running career potentially over for good, she admits she obtained some sketchy remedy with the help of her coach and father-figure. Pete finds the coach in the hall and punches him out.

Sam's patient Beth was attacked in her home while her husband was away. Beth wants to take a drug that will help her forget the whole thing, so she won't worry about being left alone. Sam refers her to Violet, who does some master shrink-ing and discovers that Beth, who fought off her attacker, is really worried about her husband, who feels guilty he couldn't protect her. All of this is background for Violet's personal drama, which starts when Allan shows up at the clinic claiming he misses their friendship, continues through a couple of flirty non-dates, and ends with her storming away from him in the mistaken belief that some of her dignity is still intact. Cooper fumes throughout, first complaining he doesn't want to pick up the pieces when Allan breaks Violet's heart, then jealous her heart is not broken as quickly as he expected, and finally taking her in and suppressing his feelings for her yet again.

As for Maya, it turns out she lied, and it's really her friend Ruby who has gonorrhea -- as well as an ectopic pregnancy, for which she is rushed to St. Ambrose for emergency surgery (performed by Addison). Naomi's furious that Addy didn't tell her what was going on; she's also mad at herself, and Sam, for failing to give Maya the sexual education she obviously needs. They discuss and agree to worry less about being model parents and exes, and more about healing themselves and caring for their daughter.

By the end of the episode, Pete has heard about Addy's fantasies, of course, and he tells her he's "not above" a fantasy of his own. She's turned on by his split knuckles, evidence of his manly gladiatorial tendencies, and she tells him so -- then hurries home to enjoy her new fantasy in private. Sorry, Pete.