Syd must face the challenge of working with a new boss Dr. Bil Augustine at an acute care clinc while trying to rasie money to rebuild St. Clare's.

Owen asks Syd an important question.

Syd gets cold feet before marrying Owen, When she sees Dr. David Baylor who is everywhere. Jim tries to stop a brother and sister from putting horses to sleep on their father's estate which they are selling.

Syd must deal with two bomb shells She loes the engagment ring! Later she must a double shift on Halloween night and not being with Owen for there own fright night.

Things aren't always what they seem Syd finds out. Syd is assigned a rotation at a prision where she meets Darla Rosario. Who is pregnant.

Also Tina is gone Pete blames himself for what happened.

Syd and Qwen go to their marriage license, Syd's guilt about kissing Dr.Baylor gets to her.

The Hansen's gather for Thanksgiving to show Owen how Thaksgiving is done in the Hansen family. Also Syd misses her wedding shower because of working all weekend.

Syd comes down with a little cold butthe cold gets worse and Owen must take her to the emergency room. Can Joanie get Leo's trust back after telling a secret about his girlfriend on the radio?

Will Syd get to spend her wedding night Owen? She almost gets to unill a patient enters the ER with a bullet wound and the patient's dad takes the ER hostage. Also Owen and Syd may leave Providence.