When Roy and his wife, Joanne, have a fight, John helps them out, which makes the situation worse. During the rescue of a man whose car is hanging over a bridge, the erratic instructions and behavior of a new doctor, Dr. Varner concern Dixie. Dr. Varner later catches an atrial myxoma, that Drs. Early and Brackett had both missed, but she then is found asleep in her car, and Dixie learns the reason for her behavior. The firefighters assist a man who had fallen off a roof trying to get his dog down (then they rescue the dog), and two children lost in a rapidly flooding storm drain.

John and Roy are breaking in a new trainee who lacks self-confidence in tight situations, including assisting an elderly man who was injured by a falling bookcase, an ambulance broadsided by a car, a boy injured in a chemistry lab accident at his home, a sleeping man with a "snake" on his chest, and a man injured and trapped in a junkyard. A man says to Dixie that the boy's mother was separating; she asks them to find his mother. Dixie talks to the mother, whose own son is suffering from brain hemorrhage. Doctors treat a baseball player beaned in a game while not wearing a batting helmet.