It's a day of birthdays. Peter Benton's mother is celebrating a birthday and he tries desperately to find someone to cover his shift. He makes a choice however when Dr. Hicks suggests that he's been absent too often and may wish to consider a leave of absence until his mother's situation is resolved. Carter thinks it's Benton birthday and has a surprise for him. Mark Greene's daughter is also having a birthday but he misses that due to an emergency at the hospital. An elderly, solitary man in the final stages of cancer arrives in the ER on his birthday. Carol Hathaway suggests to her fiancé that they adopt little Tatiana, the AIDS patient abandoned in the ER. Ross has to deal with a young child who was kicked out of a window.

A new medical student, Michael Gallant, arrives in the ER. He's supposed to be working under Dr. Carter's supervision but John's grandmother is unwell. Elizabeth Corday is convinced that other doctors are refusing to work with her as a result of the mysterious deaths. Mark Green thinks she's overreacting but she's determined to find out what happened to her patients. Abby and Luka argue over the attention he is paying to a trainee nurse's aide. Dr. Benton finds himself in court to retain custody of his son, Reese. Carter and Susan Lewis treat a young woman who is both a law and a medical student. Green has to collect his daughter at school when she is suspended.