Sure, Clay and Gemma are back together, but let's break down the plotlines one-by-one for the sake of filling y'all in on what happened.

"We're the good guys." Happy's mom is in hospice, and while he's able to keep up with the cost of her care, the meds are killing him. So Piney offers to hook Piney up with a lady he knows in Oregon who traffics in black-market prescription meds. But she supplies clinics, hospices, widows and orphans, so she's a good drug dealer. Sensing an opportunity to appease Precious with burnt offerings and cases of Albuterol for their kid's inhaler, Bobby Elvis rides along with Happy and Piney to the lady's house, where they discover her being terrorized by a gang of meth-addled hill people who want her drugs for their own profit. After Happy calls for backup, the SAMCRO boys manage to shoot up the place, save the drug inventory and teach us all an important lesson about distinguishing between people who deal drugs for profit and those who do so as some sort guerilla action against insurance companies. Or something. The point is, we're supposed to be rooting for this lady and her cases of Oxycontin.

"You two are killing me." SAMCRO rides up to reunite with Gemma. While Clay and Gemma's reunion is very sweet, Jax and Tara's is less so, and he succeeds in getting on Tara's last, fragile nerve. That's when she reveals the whole murdering-the-caretaker thing (at the top of her lungs). Neither Jax nor Clay are too thrilled with their old ladies -- and they're not too happy with Tig, either.

"A child is not a bargaining chip." Despite Father Ashby's pious insistence on this sentiment, we find out he has no problem using Abel as a bargaining chip at all -- and he's using Abel to keep Jimmy O in a state of simmering, impotent fury, as opposed to letting Jimmy O make nice with the SAMCRO boys and consolidate a stronger power base in America. Abel's been packed off to the Irish Catholic black market, where he's hanging out with a lot of adorable babies until Father Ashby decides to deploy him strategically to make nice with SAMCRO. Jimmy O, however, is still lying to Jax about where Abel is, and he's conscripted the VP of the Belfast chapter to help corroborate the lie. He is, however, also searching for Abel on his own.

"Don't let your family slip away." However, that lie is blown right open when Maureen finally succeeds in contacting Gemma and telling her of the baby's whereabouts. Gemma, who was already in a fraught state over having to drop off her father at the long-term care facility, and who was already panicking over not being able find Abel anywhere in Charming, responds to the phone call by clutching her chest and keeling over. Man, if she pulls through this cardiac event, something tells me she'll be taking one well-manicured hand and inserting it into someone's chest cavity to pull out their still-beating heart. I look forward to seeing whom she goes after first.

The exchange of the evening:

GEMMA: [Looking at her wanted poster.] Bitch aged me two years. What's that going to look like? Me, in Canada?
CLAY: We get you settled up in Canada, someplace off the grid. Get you good papers.
TIG: Maybe you go redhead for a bit …
GEMMA: Oh, Christ! I'd rather shave my head.