George sees Jill as a threat to his standing at the hospital, so he tries to damage her reputation by sabotaging one of her operations. Meanwhile, Dorothy tries to remain impartial when she judges the facility's annual Halloween contest for pet costumes.

When a Saint Bernard's weight problem and overeating mirror its owner's, George's solution involves shaming the man into more healthful habits, but Dorothy tries a kinder approach. Meanwhile, Dorothy starts a weekly social event for the staff, but it's on the same night that the guys play poker.