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Father Mulcahy fights bureaucracy to get the V.A. to pay for his ear surgery and another patient's transportation, Klinger helps out a paralyzed patient, and the hospital scrambles to find a missing patient.
As Klinger plans a special surprise for Col. Potter's birthday, Mr. D' Angelo finds out he needs prostate surgery, and a Southern African-American nurse finds it hard to adjust to an integrated hospital.
Klinger writes Radar a letter about recent events in his life, including Soon-Lee being pregnant with his child, his struggle to sell frozen beef to make a little extra money, and a troublesome new surgeon, Dr. Boyer. This episode is the last appearance of Jay O. Sanders as Dr. Gene Pfeiffer, the first appearance of David Ackroyd as Dr. Boyer, and features a guest appearance by Gary Burghoff reprising his role as Radar O'Reilly.