George, along with his parents, is invited for dinner at his girlfriend's parent's house. They bring along a marble rye bread to give to her parents. But as they leave, George accidentally grabs the bread on the way out, causing a stir. Now, George, with the help of Kramer and Jerry, try to get a loaf of marble rye back into the house. Meanwhile, Elaine dates a jazz saxophonist.
Shep and Raul bring a dozen malnourished and abandoned children into the ER, keeping everyone very busy. Shep has a run-in with Malik and Benton when he makes an off-handed racially insensitive remark. Carter's high from the admission of Mrs. Rubadoux to the study ends when she shows no signs of recovery. Jeanie and Carol clash when Jeanie receives a poor evaluation. Al asks Jeanie to give him another chance. Mark is served with divorce papers.
Whilst Mary is eagerly anticipating the Nesbitts' twentieth wedding anniversary Rab is tempted into an affair with Susan, the leader of his AA group. When Susan discovers that Rab is married she throws him over. Will Mary have him back in time for the anniversary celebrations?