Jeffrey runs afoul of the trustees when a grieving husband has second thoughts after allowing him to test an artificial heart on the body of the man's newly deceased wife; Alan comes to the rescue when a patient's HMO refuses to cover Aaron's operating on her very complicated and potentially fatal brain tumor; Jeffrey visits his wife Laurie, a straitjacketed patient in a mental hospital who apologizes for drowning their son Joey; Arthur's refusal to remove his wagging finger from Jeffrey's face during an argument leaves him with a bitten digit, and enables Jeffrey to diagnose the curable medical condition that's causing Arthur's resting tremor.

The staff has its hands full when a man suffering from the after-effects of taking amyl nitrite suffers one complication after another, thereby necessitating multiple surgeries, and Alan takes one for the team right on the nose when he strains credulity in attempting to put the patient's situation in the best possible light; Geri and Jeffrey make peace; Camille contemplates having some plastic surgery after Aaron suffers from performance anxiety on their first post-reconciliation date; Jeffrey agrees to help Laurie put on the Institute's Christmas concert, but the preparations for the event begin to overwhelm her and put additional strain on her already fragile state; Danny and Maggie can't keep their hands off each other; Jeffrey confesses his despair about Laurie's condition and its effect on his life to Camille.

Dr. Kronk makes a rushed decision to rescue a man by amputating his leg with a chainsaw, only to discover later that the man is a place kicker. A friend of Aaron's with Parkinson's disease comes to him for an operation...bringing his own donor material. A ex-nurse is admitted into the hospital and is given special treatment by Dr. Nyland, whom she used to date.

Following Dr. Joseph's witnessing of Dr. Geiger's actions, the medical board suspends him until his case can be reviewed. However, there is some disagreement among the hospital's staff as to whether or not the suspension is in their best interests.

Dr. Nyland pulls a switch with Dr. Kronk in order to avoid a charity function, but they have to face the consequences over somecmisunderstandings. Misunderstanding fills Aaron's life when his father barges into the hospital with a patient who is also his fiancee. Geiger finally understands that he may be causing more ripples than he thought.

Watters steps in and asks Geiger to take on Austin's transplant patient as she struggles with her ex husband for custody of their daughter. Sutton brings a brain-dead woman into the hospital to deliver her baby.