Christopher screens Cleaver for cast and crew (and investors), and the whole gang attends. Tony (and everyone else) notices that the mob boss in the movie (played by Daniel Baldwin) bears a striking resemblance to Tony, right down to his affair with the protagonist's fiancée. Carmela gets pissed off at the intimation that Tony had an affair with Adriana. Carm confronts Christopher about the movie, and Christopher tells her she's crazy, insists that Tony didn't sleep with Adriana, and reminds Carmela that Adriana left Christopher for another man. Christopher convinces Tim "J.T." Daly (via a clunk to the side of the head with a Humanitas Award) to pretend he came up with the whole boss/fiancée subplot. J.T. finds Tony and claims that he based the plot on an old movie, not on any real-life events. Tony talks to Melfi about his feelings of betrayal and hurt over the fact that he treated Christopher like a son, and Christopher seems to hate him. The episode ends in Godfather-like fashion, with Carmela and Tony serving as godparents to Christopher and Kelly's baby, even though Tony and Christopher are clearly still wary with one another.
At the after-party, Tony tries to find out from Phil who the next New York boss will be. Phil sort of endorses Gerry the Hairdo, but Tony hears that Doc Santoro (the one from last week whom no one likes) is next in line. Gerry gets whacked by one of Doc Santoro's goons while eating dinner with Silvio. Tony talks to Little Carmine about the lack of leadership and tries to convince Little Carmine to go for boss. Little Carmine isn't interested and relates that his wife actually convinced him to quit the Family business, and now he's happy. Phil Leotardo celebrates his late brother's birthday and gets pissed off over his whacking all over again, as well as over the many recent deaths in the New York family. Phil decides there can't be any more deaths.
Johnny Sack is suffering from lung cancer, which has spread, and his doctor gives him three months to live. An orderly, who is also an oncologist when not serving time for killing his wife and a few others who got in the way, starts advising Johnny on his treatment, and he thinks Johnny could have a lot longer to live. Johnny starts telling mob tales in prison, and also takes up smoking again. Ginny gets pissed and blames his cancer on his negative attitude. Later, Doc Orderly admits that Johnny is dying, and John dies surrounded by Ginny and his daughters. Ginny's brother informs Tony and the crew, and they raise a toast to Johnny Sack. RIP, Mr. Sacramoni.
The latest trend in television seems to be opening the episode by showing a "show within a show" but trying to fake out the audience. Like in that recent episode of Lost where Nikki was a stripper who could save the world, but it turned out to be a TV show? And now we're opening this show with Daniel Baldwin, armed, creeping around an automotive repair place looking for someone named Frankie. He comes upon a very dead guy hanging from the rafters, dripping blood. As he stares, a hydraulic lift behind him lowers, and a zombie-looking dude gets out of the trunk of a car and intones, "Welcome to the chop shop, cugine." Daniel Baldwin shoots the zombie, but that doesn't have any effect, and we finally cut to Christopher, Little Carmine, and three other guys (including the director of the movie within a movie, played by John Woo) watching this movie in an editing suite. The film ends with Daniel Baldwin getting a cleaver to the head, the blood spattering on a windshield, behind which hangs a crucifix. Artsy.
Christopher stops the tape and says, "Fuck Ben Kingsley!" Yeah! Fuck him. Wait, was he supposed to play the Daniel Baldwin part? Because they seem like very different types to me. The investors debate whether or not to film one more scene to up the gore quotient. The director comes up with a suggested murder scene, and Christopher says that he'll have to get more money from Tony in order to film it. Christopher's phone rings, and it's Tony in his robe in the basement! I think we've seen more Tony in his robe in the last two episodes than in the rest of the last two seasons combined. Anyway, Tony is nagging Christopher about some business he was supposed to handle, and Christopher is spewing movie language back at him. Christopher promises to handle it, and he hangs up as he explains that Tony doesn't "give two shits about production."
Johnny Sack, with a shaved head and an oxygen tube in his nose, sits in a waiting room, um, waiting. He meets with a doctor and is told that his lung cancer has metastasized into his kidneys and his brain. Yikes. Johnny asks why he bothered having surgery, radiation, and chemo. The doctor explains that those were the only options they had at the time, but now Johnny's at stage four. Johnny confirms that there's no stage five. Johnny asks how long he has to live, and the doctor tries to hem and haw before finally spitting it out: "Three months." Johnny takes this news stoically and announces that he and the accompanying prison guards need to fly back to the prison in Springfield. In the car, one of the guards asks Johnny how he's doing, and Johnny says that it's ironic, because he finally quit smoking when he got to prison, and now it turns out that it didn't matter. They return to the prison, where Ginny and Allegra visit. Johnny's looking quite ashen. Ginny asks what the doctor said, and Johnny tries to avoid her question for as long as possible. Finally, he starts crying and admits that he's very sick. Ginny starts crying, and they hug until the guard tells them that they can't have physical contact. Allegra tries to hug her father and the guard yells at them again. Jesus, it's not like the contact is sexual, although I guess she could be passing him a weapon or something. Johnny asks them to come back and see him the next day, and they leave. He stands in his hospital gown and pajamas and wheels his oxygen tank over to another patient, where he bums a cigarette and lights it up. Do they allow smoking indoors anywhere anymore? Especially so close to oxygen tanks? I really thought there was going to be an explosion.