Karen is telling Frank and Courtney about the bone marrow procedure that will be performed this afternoon. Joe comes up and once again told them Neil should have the transfusion as soon as possible. Frank told him "Enough!!" Frank and Courtney leave, Joe and Karen argue. Karen leaves and Joe calls the lab to give them his pager number.
Eve opens her locker to a blizzard of white carnations and a note "I knew I loved you when I lost you in the snow." She went out to Kevin who is looking at the shrunken head. They kiss and then Eve notices that he's holding something - she takes it from him, thinking it's another Valentine's Day surprise. They discuss the head from the General Homicide book, Eve thinks Julie is playing with their minds. Kevin says there are more Valentine's Day surprises for her. He brings her home and blindfolds her, she tries to guess. After some hints, she guesses - the race car bed where they first made love! She feels bad - he did all these romantic things and she hasn't given him anything. He says she has - herself. They start kissing and undressing and fall down on the bed. Lucy and Scott wonder why Julie is in with Christina. Julie says she heard her crying and came in. Chris told them he left her with the nurse, and tells them he'll get to the bottom of why she was left alone. Julie told Lucy and Scott how brave they are, letting Christina go through this ordeal. Lucy, somewhat defensively, told her it's the right thing to do - it could save Neil's life. Later, Lucy is worrying to Scott about Christina and the procedure. Chris comes in and told them that it went perfectly, Christina is coming out of anesthesia as they speak. A nurse arrives with a package - it's a light from Christina's room to brighten up her hospital room. Lucy tells him this isn't how she planned for them to spend Valentine's Day, he told her he has everything he wants.
Chris told Julie (in the break room) that everything went fine, and he even managed to tell Christina that Julie loved her before Dr. Perez came in. Julie feels odd being there. Chris told her that he's been pulled into a surgery and will be late getting home. He feels bad about not doing something for Valentine's Day - she told him that holding Christina was all the gift she needed.
Courtney and Frank are at Neil's bedside. Frank tries to get Courtney to take a break, she refuses. He told her he's going to take her away from the walls, they head to the roof. Courtney teases Frank about being up there before - he admits he has. She's thinking of bringing nurses up there, he's thinking of plunging off the roof. He says that his surviving the fall is proof that miracles happen.
Karen gives Joe a small package - she told him it's something she and Serena came across looking for childhood pictures of Karen (Serena wanted to see them.) She wanted to give it to him long ago, but didn't. She walks off. Joe gets paged - it's the lab telling him about the marrow extraction. He tells them to hold it until he's ready for it. He stands looking at the box (soap people have the highest curiosity level when it comes to gifts.)
Savage Garden sings "I Knew I Loved You" and we get a montage of Julie and Chris kissing on the break room couch, Scott and Lucy kissing in Christina's room, Eve and Kevin making love, and Courtney and Frank on the roof. Karen peeks through the door at Joe as he finally opens the box. It's a handmade card from Karen with hearts, To Joe, and the year 1980 - inside it says "I Love You - Karen". He just looks out into space.
In the kitchen at the Firehouse, Lucy and Scott are talking about Neil and hoping he'll go into remission soon. Scott asks if Lucy is sure Christina is okay; she is. Scott hints that, since Serena is in school and Christina asleep, they might have some time alone. Lucy told him he's right! They have mail to go through! He asks is she's expecting something and she says yes and here it is. A letter from Rev. Campbell! Scott seems to think it's about the wedding but she really wants to start planning Christina's christening!. She told him that all that's happened with Neil and the adoption has made her realize how things can change so fast.
At the hospital, Karen is giving Courtney and Frank an update on Neil's condition; there is improvement - nothing dramatic - but still his bloodwork is better. Karen explains that she doesn't believe they've seen the full benefit of the xylestine (Hey, I guessed!) yet but Courtney is second guessing their decision. Frank told her they can't do that; they'll go crazy. They need to stick to what they decided. Karen assures them that Neil's whole medical team agrees that this is the best course of action. Karen went to scrub for surgery assuring them that, if Neil needs her, they'll pull her right out. Frank talks Courtney into leaving for a shower and a change of clothes and maybe some food.
Joe is checking to see where Karen and Frank and Courtney are. When told they are all otherwise occupied, he does into Neil's room, told the nurse Neil's chemo has been discontinued and that he'll take over. He then springs into action, readying Neil for the transplant. Joe talks to a sleeping Neil and then sets up for the transplant .
Scott and Lucy are chatting and Lucy says it's all set for next Friday at Rev. Campbell's church. Scott says the cannon is working at the Veteran's Lodge. He then says why not take her to Kevin's pond and dunk her? Lucy says no, this church will be perfect and she has permission to personalize it. Lucy can't find her notes so she decides to start from scratch. They toss ideas around, with Lucy babbling happily, until Scott says he's hungry and is making a sandwich. Lucy says to make her one too but *wait*! What about God Parents? Joe and Karen don't seem too good any more but Karen will still be the girls' legal guardian. Scott says she's going to be surprised but he's thinking Kevin.
Back in Neil's room, Joe continues his dangerous project, setting up the isolation panel. The lab pages him to tell him the bone marrow is ready and he told them to send it up.
Lucy is listening to Scott's reasons for thinking of Kevin. Lucy asks if her past relationship with Kevin wouldn't make it weird but Scott says no. He and Kevin get along and he admires may of Kevin's traits. He just thinks Kevin would be right. Lucy says okay, well, there's one more thing to decide - what will she wear? She suggests they head upstairs and Scott says he's been waiting for her to say that!
Frank is sitting in the cafeteria and Courtney joins him. She refuses to sit down and eat, insisting they get back to Neil's room. Franks asks her to please eat it's been 36 hours. She sits nervously and says as a single mom she used to look forward to Neil sleeping so she could get a break but now, she doesn't like it so much. Frank orders them each a cheeseburger and a shake. The waitress asks if she's Neil's mom and she says yes. The waitress says she liked seeing Neil come in for slushies and was sorry to hear about him and departs. Courtney comments that she acted like Neil was already gone. Frank says she didn't mean it but Courtney says it's like the waitress knows something they don't; maybe Neil is as good as dead. Frank tries to talk to her but she says they have to face it. She says they should have taken Joe's advice. Frank says no. They know Neil and what he needs better than anyone else including Joe.
Back at Neil's room, Joe starts the transplant. Upstairs now, Lucy is trying on dresses for Scott, who likes them all - for the wrong reasons according to Lucy. He told her it doesn't matter what she wears; what's important is how she holds her child. He says it's the things she does every day, checking temps, singing to her - those are things. She's doing this right so it doesn't matter what color dress she wears. She already is the perfect mother. They hug.
Courtney and Frank are still at the cafeteria and Frank asks her to tell him something about Neil he doesn't know. She told him that when Neil was about 5, he wanted to be both a fireman and ice cream man. Frank says that's exactly what he wanted to be when he was 5 but he couldn't figure out how to put out the fires without the ice cream melting. After a year or so, Neil decided to be a mutant ninja turtle instead which was a problem because they only eat pizza. Frank says he'll wait and ask Neil for his version. Courtney smiles and thanks him.
In Neil's room, Joe watches the IV bags empty. Karen, in the hall, runs into the lab guy and asks what brought him up there. He asks why Joe had him bring up Christina's marrow if she wasn't doing the transplant? Karen looks horrified as reality dawns. She does quickly to Neil's room, sees Joe and asks "what have you done?" His response - "I saved his life." (Hope it was worth your career.)