Evan has a bizarre sexual fantasy about Kelly. Roger thinks it has to do with the fact that Evan hasn't had sex since the divorce. Kelly brings Tim bad news: the twins' alcoholic mother has cleaned up her act and may get the parental right back. Tim is frustrated but Kelly reminds him he knew this could happen when he agreed to be foster parent. Roger's stepmother Mildred is hospitalized with some gall bladder problem. However, Roger soon clashes with the obnoxious second year resident that treats her as he finds evidence that Mildred's real problem is a cardiac infarction. Roger has never really gotten along with his stepmother, and his dad, Vincent, is no man of emotions and dislikes it when Roger announces that Mildred needs surgery. A depressed Tim loses it when Nina tells him the insurance company SteadyCare refuses to cover the medical bills for one of their patients so they must send the patient a bill. Despite submitting a claim form several times, it has been declined each tim

Roger is very happy with his sexy date Autumn but out of the blue she tells him she's getting married! An elderly black man named Bob arrives at the practice. He doesn't sign in; just sits there. Nina starts asking him question and Bob tells her there's nothing wrong with him. He's just come there to die! Don Claybourne arrives at the practice for treatment but his hateful attitude and racist remarks towards Nina make him an unpopular guy. In fact, Tim is so provoked by Don's racist attitude that he has troubles treating him at all. Bob is spreading his words of wisdom to Roger and the others. It turns out that Bob used to live in this very building when he was a kid back when it was an apartment building. Now he's come back to die. Sarah is filling in for another doctor and has to deal with a couple of childbirths. One of her patients, the very young Courtney Wilkes, is about to give birth and she is not very cooperative. However, Sarah is worried about Courtney and orders some tests.

Roger, Tim, Evan and Sarah are on their way to a medical conference in Palm Springs when they are suddenly involved in a serious road accident on a bridge. An ambulance, an empty bus and some other cars are also involved. Everyone seems to be alright but Sarah, who was driving, is stuck behind the wheel. While Evan attends to her, Roger and Tim look after the other injured victims. Vinny, a guy from the ambulance, is getting much worse. Roger tries to get one of the less injured crash victims, Burt, to help out but Burt is not the helpful type. Instead he lights a cigarette - causing the ambulance to go up in the air in a giant explosion. Vinny suffers cardiac arrest and thanks to traffic jam, it's impossible to get him to a hospital. Roger rushes to pharmacy to get some adrenalin but gets into major problems when he is unable to pay. Meanwhile, Sarah starts to get weaker. She can't feel her legs and she has internal bleedings. Roger finally manages to get the supplies he need and retu