The episode opens with a flashback to Ken's botched marriage proposal on Halloween. Now 20 years later, Ken tries to arrange the perfect re-proposal for Allison. Meanwhile at the office, which is decorated for Halloween, Damona and Julie accidentally drug Pat and then take advantage of their boss' suddenly giving mood.
Dr. Ken is a brilliant physician with no bedside manner. He is always trying to be a good doctor, as well as a good husband and dad to his two kids. However, these good intentions have a way of driving everyone crazy at both work and at home. Luckily, his therapist wife Allison is just the right partner to keep things sane.