Garrity has to deal with having released a patient who went on to shoot five people in Times Square. She must decide whether or not to continue her pregnancy after the developing fetus suffers an accidental head trauma. Banger battles his ex-wife in a competency hearing for custody of his two sons. Matthews, whose own marriage is troubled, must counsel a man who has become suicidal because his wife is leaving him.

As Garrity is hounded by the media, a peer review panel censures her for misdiagnosing Rickle, the Times Square gunman. Banger fights to put the man in treatment rather than in prison.

In the ER, Hatcher tries to save the lives of two stockbroker brothers who were almost beaten to death. Garrity tries to help a disturbed man who jumps off a bridge every year on his birthday. Banger discovers that his ex-wife wants sole custody of their children.

Abe takes a patient's pills and finds himself in an altered state. A new patient is admitted after he convinces his wife to cut off his foot in order to look like a war hero. Banger and Tammy go out to dinner to discuss their impending divorce.