Kronk puts himself and Grad into a difficult position when he treats an old hockey pal who turns up after just being released from jail with a bullet in him. Wilkes and his wife face some basic decisions about their lives when they must decide what sort of neighborhood to move to.

Wilkes saves a motorist who was attempting suicide. Austin falls for a politician.

Aaron's practical joker college roommate arrives for a visit and announces that he wants Aaron to marry his widow, Aaron's former girlfriend, when the malignant and inoperable tumor in his brain finally takes his life in a few weeks; Keith and Danny continue to clash; Aaron runs into an old friend as he stumbles home after a night of drinking with his college roommate; Gina has a miscarriage, but a grieving Keith wonders if it wasn't deliberate; Karen suspects that Jack's gambling again, an accusation which he denies; Maricela puts the moves on Aaron; Karen is wary when Jack finally comes to her for help.

After a gang member dies in the ER, the boy's mother claims that one of the doctors suggested they ""Let him die"" so a prosecutor calls in Wilkes, Nyland, McNeil and Watters for widely varying statements about what actually happened during the crucial time period.

Jeffrey Geiger drops by Chicago Hope to announce that he has bought a controlling interest in the hospital, and to perform a deicate heart operation on one of Kate's patients. Kronk is forced to take over caring for his father, who's afflicted with Alzheimers. Aaron and Jack ponder the meaning of religion and God when several people claim to be seeing an image of the Virgin Mary in the hospital lobby. Wilkes takes action concerning his future.

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.