The residents scatter as vacation begins; Morrison meets a charming young woman; the E.R. faces major structural repairs; Steven Craig returns home after licking his drug problem; and Luther tries to find a Cheshire cat for a skeptical little girl. Dr. Auschlander collapses in an elevator. Elliot Axelrod has an interview for a position as a resident.

Westphall places a new doctor in charge of the E.R., and she immediately clashes with Fiscus; Axelrod's visit to Mrs. Hufnagel's apartment sends her back to the hospital; Rosenthal and Clarendon reconcile; Dr. Craig celebrates his 30th wedding anniversary with a visit from his estranged brother; Dr. Caldwell begins treatment of a disfigured girl suffering from a massive facial fibromatosis; and a junkie admits his very pregnant, 14-year-old girl friend.