As Dr. Wilkes takes his son to school gunfire errupts. The victims are brought to Chicago Hope and Wilkes finds himself having to deal with his sons post-tramatic distress. Kronk also finds himself viewing the situation in a new light, due to the recent arrival of his daughter. The situation also brings back memories of his son to Dr. Watters. Catera had to operate on the shooter, and feels conflicting emotions. Dr. McNeil pops the question to Dr. Catera. Austin is still turmoiled over the incident at the cabin.

Wilkes emmène son fils Raymond à l'école primaire où il croise Debbie Cooper, une femme déboussolée. Quelques temps après, cette dernière met le feu à la cours de récréation où se trouvent tous les enfants. Les premiers blessés arrivent au Chicago Hope.