Life goes on as the generator fails during a city-wide blackout; Caldwell takes leave to visit a dying friend; Westphall shares a stuck elevator with an Irishman; Dr. Craig and Wade perform emergency surgery; Pru returns to the hospital, as do the Valeres; Rosenthal is subpoenaed; Fiscus finds the emergency romantic; and a man who believes he's a vampire appeals to Morrison and Axelrod for help.

An anti-abortionist targets the hospital for bomb threats and Chandler is involved in trouble at the Boston Women's Clinic; Rosenthal decides what she must do with her youngest son; Luther loses his favorite racing pigeon, whom he left in Axelrod's care; and Morrison tries to explain abortion to Pru. Dr. Westphall's housekeeper has her INS hearing. Mona and Wayne quarrel.

Dr. Auschlander resents the wealth and influence of the matriarch of an old Massachusetts family admitted for tests; Morrison feels his impending knee surgery; Axelrod tries to get to know an animal researcher; the Valeres make a decision about surrogacy; Fiscus meets the woman who will unknowingly bear his child, and regrets his impulsive proposal to Mona as he realizes their diverging ideas of married life.

The Endicotts learn that their family's medical problems are hereditary; Dr. Caldwell prepares for surgery to eliminate his facial scar, but learns that he carries a more permanent reminder of his carelessness; and Fiscus and Morrison play romantic games with Clancy and Mona.