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.

Dr. Woodley tries to help Maddy decide what to do after her baby is born while Dean sets up a disastrous drug deal; Ehrlich offends a disabled cafeteria worker with his `Health Spot' segment; and Lizzie runs away from pressures at college and tries to reunite her family.

Dean takes off for Florida, leaving Maddy alone to face the future; Myra gives birth to a son, Peter; Hufnagel haggles over her latest bill; Rosenthal struggles with life in the ER; the phone repairman is electrocuted; Dr. Auschlander, angry about his portrait, cancels the dedication ceremony; and Martin returns to medical practice.