Let's see if I can remember the last 2 episodes since Julia's accident.
Julia wanted Sean to fix her face. Sean refused to at first, but ended up working on Julia. Christian had to lie about Julia's next choice having 'botched' a procedure or something to that effect.
Julia also asked Sean/Christian to take out her implants from last episode.
While Julia was under, she had an alternate reality/dream sequence with Ava as her 'life coach.' This was Julia's 'what-could've been life' if she stayed with Christian (after they slept together) instead of going back to Sean after. Julia and Christian were the partners, had a gorgeous mansion, 'sex and drugs' lifestyle but Julia couldn't have kids.
They ask Sean if he would like to take over for Christian. Sean was with doctors without borders and to Megan and their son was a 'nerdy' Matt. Sean tried it out, Julia made a pass at him, and Sean turned her down. In the end, Julia was still miserable and Ava turned out to be the angel of death. Julia refused to die so she awoke and Sean was there.
Whew!
As for last night's episode, where to begin. Christian tries to save Merrill Bobolit and takes him to drug counseling but when Christian didn't show up, Merrill breaks down, kills a J-LO wanna be patient (at the back of a nail salon) during a lipo, and tries to cut off Christian's face to exchange for his but ends up passing out.
Ava goes nuts re. Adrien and their no-no relationship is shown. Sean takes back control of raising/disciplining Matt. There was a very good scene at the principal's office where Sean tells Ava off. This is all I can remember. Hope this helps.
Lyn-CA