Due to a hospital mix-up, Hilton gets the colonoscopy that was meant for his cousin. When Hilton's cousin, Earl Lucas, goes to the hospital for a colonoscopy, Hilton decides to be at his side for support. But when the nurses confuse the two men, Hilton ends up in a most uncompromising position in full view of medical students and an internet audience. Meanwhile, back at the Lucas house, Erica finds her childhood set of jacks in an old box and she, Ruth and Pauline keep Earl's wife, Lillian, busy with some rather fierce competition.