The Craigs face a tremendous loss as their first grandchild is born; a newly inspired Dr. Westphall returns to work full of ideas; and Fiscus invites himself up to Dr. Caldwell's Cape Cod retreat, where he sees a different side to the surgeon. Elliot and Marcy discover a common interest in food.

Dr. Westphall drives himself too hard and is hospitalized; Yvonne's parents arrive to see their daughter and to claim their grandchild; Terri has in-vitro fertilization; Fiscus makes a donation; and Dr. Caldwell picks up the wrong woman. Helen goes back to work on the floor. Dr. Westphall's insightful moving man checks into the hospital.

Dr. Craig behaves boorishly to his replacement, Dr. Paulette Kiem; Birch finds a radioactive patient; Papandrao claims Ehrlich as an escort to a family birthday party; a friend of Fiscus' is admitted with a major stroke; and a hospital neighbor becomes very upset when she observes Dr. Craig's imminent departure.