This week's episode of St. Denis Medical struck a perfect balance between laugh-out-loud antics and unexpectedly emotional moments- the kind of episode that reminds you why this ensemble comedy works so well.
The episode explores a long-time patient nearing the final stages of their journey. As the staff comes together with deep compassion, it inspires a moment of reflection for Joyce, who starts to rethink her end-of-life plans. True to her character, Joyce confronts the idea of mortality directly and confidently asks Alex to be her executor. Understandably, Alex feels a bit overwhelmed and gently encourages Joyce to consider Ron instead.
Ron unexpectedly accepts the job but attempts to pass it back to Alex. Chaos ensues when Joyce names Ron executor, and Alex discovers a fee, making her want to participate again. Just as resolution seems near, Joyce's boyfriend, Sanderson, also a notary, reappears and takes over as executor. Ron and Alex leave empty-handed, but Alex learns the fee is old bonds and valuable coupons. One lesson: never underestimate Joyce...or Sears.
Meanwhile, Bruce is high on optimism and 30+ medications, enjoying his "freezer sauna" and embracing every health trend. But when a DNA test reveals a genetic predisposition for Hollins diseases, he reflects. His bravado falters when he calls time of death for an elderly patient—shifting the room's energy. What begins as a distracted family quickly transforms into a united front of quiet grief. Bruce, the showman, steps back and lets the moment settle.
Matt and Sernea continue to be one of the show's quietly impactful duos. They help the patient's family navigate the emotional burden of saying goodbye while discovering new lessons from each other. Their scenes, blending sincere empathy with humor (like Matt getting hit in the face with a can of tea), highlight the show's signature mix of sincerity and absurdity.
"You Gotta Have a Plan" offers one of the most balanced episodes of the season so far, filled with hilarious moments, heartfelt scenes, and quietly profound insights. From Joyce's back-and-forth about her list of executors to Bruce's health journey, which shifts from unstoppable to scared, and the subtle friendship between Matt and Sernea amidst a family transitioning from fighting to grieving, this episode beautifully captures the complexity of life. It's a wonderful reminder that St. Denis Medical can make you laugh out loud, then suddenly leave you feeling misty-eyed, seamlessly blending humor with humanity. Overall, I give this episode 9.5/10.
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You can catch St. Denis Medical Tuesdays at 8/7c on NBC and streaming the next day on Peacock.
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