At Krystal's, Kendall made a call about the Miranda Center. Madison arrived and offered to help a harried Kendall by babysitting. "Why would you do that?" a surprised Kendall asked, but gratefully accepted. Later, Randi called Madison and reminded her that she was supposed to be at Fusion. Madison shared that she'd quit and Randi concluded that Mad was trying to avoid Greenlee. After, Madison mentioned Greenlee's meeting to Kendall and Kendall was annoyed that she hadn't been included. Kendall stormed out and asked Madison to watch her kids for a little longer.

Meanwhile, Greenlee confided to Ryan how she wished she could be there for Kendall, but Kendall wouldn't let her in. Ryan advised her to be patient and wait until Kendall is ready. Greens told Ryan how happy she is to have him in her life and they embraced. After, Ryan went to see Bianca and asked if she could help him resolve things between Kendall and Greenlee. Bianca thought that the ladies should work things out themselves, but agreed that Kendall needs her friends.

Jake and Amanda dined out. She wondered why he seemed to be distracted and suspected that Cara had something to do with it. He revealed that Griffin and Cara were never lovers and are brother and sister. He also told Amanda that Cara asked him to join Doctors Without Borders, but assured Amanda that he's not going to leave his family. Amanda pressed him and asked why Cara walked out of their marriage; Jake replied that Cara had said that she was too young..... Cara lamented to Griffin that there was a problem with her passport and she couldn't get on a plane until it was cleared up. She planned to drive to New York, but Griffin insisted that she stay with him for the holidays. When Griffin went to go check on a patient at the hospital, Cara asked if she could tag along so she'd have something to do.

At the Fusion meeting, Greenlee announced that she's back and in charge and ready to make some changes. "Is getting rid of me on of those changes?" asked Kendall, as she barged into the room. Greenlee explained that she didn't think Kendall was ready to deal with work and invited her to sit in on the meeting. This further angered Kendall and she accused Greens of not really wanting her there. Greenlee admitted that she doesn't want Kendall there because Kendall hasn't been acting like herself. Madison arrived and railed at Greenlee for attacking Kendall. Mad assured Kendall that the boys were being watched; Kendall then left. Madison and Greens faced off. "When the hell are you going to get out of my life?" Greenlee asked, reminding Madison that she'd quit. Mad headed out of the office and ran into Ryan. Ryan asked what was going on and Greenlee filled him in on her arguments with Madison and Kendall. She asked Randi if they could postpone the meeting. After, Greens found an old photo of her and Kendall and eyed it sadly. Later, one of the employees reported that Mad was in the bathroom vomiting.

At the hospital, Angie lamented to Tad and Opal that at this time of year there are usually too many patients and not enough doctors. Just then, Griffin and Cara entered and Griffin introduced his sister to everyone. Opal was cold to her, stating that Jake has moved on with his new wife. However, Tad shared that Cara had been the one to fix his hand. She then checked out Opal's medication and suspected that she was suffering from bad side effects. Cara suggested a different course of treatment, calling Opal "young" in the process and Opal softened toward her. Cara then asked Angie if she knew of a job opening outside of the hospital. Jake and Amanda arrived and realized that Cara hadn't left town. Cara apologized if her presence made things awkward. Jake told Angie to give Cara a job, insisting that he didn't want everyone going out of their way to make sure he isn't uncomfortable. Amanda was clearly not pleased, but Cara agreed to accept a position. Amanda insisted she was okay with Cara being at the hospital. "I trust you," she assured her hubby.... Angie and Cara informed Griffin that his sister is joining the team on a temporary basis. Griffin wasn't sure that it was a good idea, but Cara wanted to have something to do while she waited for the issue with her passport to clear up. Amanda later congratulated Cara and asked if they could be friends. Cara was touched when Amanda invited her out for a girls' lunch.... Tad asked Jake for the real reason why Jake encouraged Angie to hire Cara. Jake explained that he wanted Cara to be working in a safe environment. Griffin also accused Jake of having a hidden agenda when it came to Cara, but Jake denied it.

Kendall went to the hospital, looking for Griffin and asked if she could do more work with the Miranda Center to honor Zach's memory. "You and I are going to be joined at the hip," she announced. He argued that this was bigger than her trying to prove herself to other people and didn't want her getting in the way of his mission. "I am Zach's wife," she spat, demanding that Griffin answer to her from now on. Later, Madison returned to Kendall's place, where Kendall offered her new friend a job as the boys' nanny. Madison turned her down and Kendall felt badly for asking her to take care of Ryan's child. Madison squirmed and explained that things with Ryan are "complicated." Madison planned to leave Pine Valley -- indefinitely.

Greenlee and Ryan went to the hospital to visit David. Greenlee took a look at his chart, but Liza stopped her and announced that she's Hayward's new advocate.