Robbie offers Andi a place to stay with Heather. Burt goes to the hospital for surgery for his problem, As Syd tries to help sew up a laceration she has trouble closing the cut up, due to a seizure. She sees Carlos who has cleft palate (meaning people who have this can't smile.)

Syd asks another doctor to the surgery for free. Syd tries to find her patient to let him know about the surgery, she learns that INS took her patient and his son. Jim works on trying to get Howard the bird quiet. Syd will need to do the surgery herself because the doctor who offered to do it had an emergency.