When Will and Grace meet Jack's mother and learn that not only is she unaware that her son is gay, but she also believes that he has had a romantic relationship with Grace, they invite her to Thanksgiving dinner with Jack hoping to force the issue into the open. But nobody is prepared for the holiday surprise that she has for them.
Carol goes into labor on the El train. Luka finds her and helps her to the ER. She delivers one twin there and is then taken up to Maternity, where she is cared for by OB nurse Abby Lockhart. Dr. Coburn delivers the second twin by emergency c-section. Mark abandons his Thanksgiving dinner at Elizabeth's to be Carol's birthing coach, leaving Elizabeth with his grumpy father and a rather sullen Rachel, who unexpectedly experiences her first menses. in the ER, Luka cares for an old woman who is dying on what happens to be her birthday. Dr. Dave helps Carter with a diagnosis of a very rare disease, and reveals that he went to medical school in Grenada.
Despite Marcela's fury, Armando asks Betty to stay and join them for lunch with the executives of RAG-TELA, a textile company, and again Betty saves the business. Armando appoints her as assistant to the president. Betty cries with emotion.
