While coping with work demands, a recovering alcholic husband and a disturbing visit with her parents, Yokas confronts her long held beliefs and emotions.

A group of prisoners escape from a delivery truck. Yokas and Fred have another big fight in which she accuses him of drinking again. She tells him that she had an abortion. He wants her to leave the house, this makes her stay over at her parents home. However, by the end of the episode, they are back together, she realises that she can't live without him and that she is sorry for accusing him of still drinking.

Meanwhile, Bosco gets a bunch of flowers from a former lover. He smells the flowers which turn out to be poison Ivy. Bosco and Yokas also have a fight when she tells him that she had an abortion. He accuses her of lying to him and he refuses to speak to her, until she forces him to go the hospital to sort out the poison Ivy problem. She regrets lying to him.

Doc is thrilled when Sarah accepts his proposal, but is stunned when she informs him that she's accepting a job offer in Philadelphia and wants him to relocate.

Even though his co-workers want to nominate him for the "Paramedic of the Year" award, a pensive Doc is disheartened as he considers his unfulfilled life. He later teams with Kim as they try to save a heart-attack victim while fending off a woman wielding a meat cleaver. In addition, Doc tries to minister to a chronic old drunk and a teenaged girl who attempts suicide in her bathtub. Meanwhile, Faith secretly undergoes a procedure to determine if the lump in her breast is cancerous, leaving an unsuspecting Bosco assigned to a nervous rookie cop; Kim reluctantly consults a lawyer about Jimmy's intention to claim custody of Joey.