When Archer discovers that the chemotherapy drugs he has been taking are phony, he goes on a rampage against the Irish gangsters behind the scheme. He also makes friends with a fellow marijuana-toking cancer patient (voice of Joan Van Ark). Meanwhile, Cyril learns why Krieger is fluent in Portuguese.
Jeff incorporates Abed's love of cinema and pop culture, into a specially themed "Pulp Fiction" surprise birthday for him. But the tables are turned as Abed arranges another dinner with an unsuspecting Jeff at another eating establishment.
Richard is desperate for Derek and Meredith to accept Adele into their Alzheimer's trial, but will Adele stand in her own way? Meanwhile Mark and Arizona have conflicting ideas of the kind of baby shower Callie wants, Teddy is freaked out when Henry has another health complication—leaving them both a little exposed—and the competitiveness amongst the residents for the Chief Resident position is amplified when Richard receives the green light for his diabetes clinical trial.
Leslie takes the whole department camping in order to brainstorm new ideas. Meanwhile, Andy attempts a romantic gesture for April, while Ann gets nervous when Chris returns to Pawnee as the new city manager.