Now's where things get more serious. It's the final month before the big day, which is the ultimate test for if a couple will make it, or crack under the pressure. All the excitement has worn off, and it finally starts to hit them; their day is almost here.

With some couples, it's the kiss of death. It's when the bride or groom starts having second thoughts, and begin to wonder if all the wedding hoopla is really worth all the trouble.

But with others, the incredibly lucky ones, it brings them closer than ever. No matter how crazy it gets, they both know without a doubt, that the wedding is worth it.

But even the luckiest bride ever needs something to help her calm down.

As luck would have it, another treat, courtesy of Harry David, arrives for Jess right as she gets to the nurse's station for her shift.

Jess grabs it straight away, telling Kevin, "Ooh, a cheesecake factory party wheel. Is Sam a keeper or what?"

Kevin tries to caution her, "Just be careful. Vera Wang is quite stern about her brides."

But Jess is already moving back to Pamela and Dean's photo montage, "It's even worse than I thought. Not just photos, full on videos of them out doing stuff. Wonder if she'll remember that I'm in almost all of them."

Kevin hands her an envelope, "This came for you."

Jess is temporarily distracted by the cheesecake wheel, "Can't wait to shove these babies in my mouth."

Kevin looks down at the charts, "Mr. Simmons still needs a checkup."

Jess is opening the envelope, to discover it's a newspaper. One she recognizes. "Stanford Daily? That's my old college newspaper."

Kevin tries to steer her towards the patient, "Should I tell another doctor to check up on him?"

But Jess isn't thinking about Mr. Simmons or any other patient as she gasps. "Looks like someone told them about my engagement! Must be exciting, seeing a success story in the where are they now section."

But her happiness is cut short when she sees what's used as her picture, as well as who's pictured directly next to her.

"What. The. Hell." is all she says, seething.

"That can't be you. Can it?" Kevin treads carefully, looking at a picture of Jess taken on one of her worst days as an intern, sweaty and scrubs covered in who knows what. "But Pamela, wow. She looks amazing."

At the dirty look from Jess, Kevin covers, "You know. For someone hell bent on ruining your wedding."

Jess just rolls,her eyes, stuffing a big bite of cheesecake into her mouth. "Pathetic. She wants a fight? I'll give her a fight."

Kevin encourages her, "You can fight. I've seen you do it."

"I went to med school, people."

Jess starts dialing, punching in the number for one of their mutual friends.

Later, during lunch.

Jess is sitting across from their friend Jo, who's going on and on about the cut-off age.

"I'm starting to think that 30 is the cutoff." Jo says now.

Jess says nothing, other than, "Mmm."

Jo keeps going, "Because it's the last time men want to date women their age. A 30-year-old guy will date a 30-year-old girl. But a 35-year-old guy wants someone 30. A 40-year-old guy wants someone 30, too, or 28."

Jess nods along, "Mm-hmm."

Jo finishes by saying, "It just sucks."

Jess finally sees her opening, "I know, hon. But you know what I'm wondering? What's the real reason Pamela doesn't want to move her wedding date?"

Jo looks confused, not quite getting it, so Jess gives her a little nudge.

"Think about it." She says, making a round gesture in front of her.

That's when it finally clicks. "Oh my God. She's pregnant? Pamela's pregnant!"

Later, for a size check.

"Oh no. Oh no!" Jess wails, at the discovery she can't close up her dress.

Jess hears footsteps approaching the door, then Sam's voice, "Jess?"

At hearing more groaning, Sam begs, knocking on the door and trying the knob, "Jess what's going on? Let me in."

But Jess, ever the traditional bride, opens the door with herself hidden, so as not to show Sam the dress before the big day.

"I've gained weight! And as you know with me, I gain even a little, I actually gain a lot!" Jess exclaims, slamming the door shut and going to put the dress away, while wailing,

"My dress doesn't fit! And if I don't look perfect on my special day, my wedding is gonna be an embarrassment to my family, your family, and the entire history of the Bowery!"

When Sam finally responds, it's as sweet as can be, "Well, first, Jess, it's our wedding. And second, so what if you can't fit into your dress? Just let it out!"

But Jess can't truly appreciate it, because she's too busy getting a bathrobe on, shouting, "I am not walking down the aisle in an altered wedding dress by Vera Wang! Don't you men know anything?"

This time when Sam says something, he's all about trying to help her calm down, "I'm sorry, Jess. It's not really that big a deal. Honest. What-What can I do to help?"

When the door finally opens, Jess says, "More like what you can stop doing. This is all your fault, you know." She moves to their bed, plopping down. "I mean, don't get me wrong, every one of those treats were delicious, but i-."

But this is where Sam has to cut her off, "Whoa whoa. What treats?" he asks, utterly confused.

Jess, also confused, reminds him, "You know the treats. Harry and David's Deluxe signature chocolate truffles."

At Sam's blank stare, Jess clarifies, "The truffle box."

Jess is starting to smell a rat, so she asks, "The cheesecake factory party wheel?"

At another blank stare, she goes for one last one,

"International Pizza Factory?"

Finally, Sam finds his voice, "The wh- Jess, honey, none of that came from me."

And that's when Jess finally gets what's been going on. "Oh my God, Pamela!"

At Sam's stunned look, she goes on, "She's fattening me up so I can't fit into my dress, knowing I can't resist junk food under stress! What the hell is that?" She gets up, going to the fridge for a celery stick.

When she turns back around, celery stick in hand, she sees Sam still in the bedroom doorway, question in his eyes asks, "The International Pizza Factory? You mean you've been eating pizzas from all over the world?"

Jess just takes a bite of her celery, and says nothing. Looks like it's time to step up her game.