Owen wants to have sex with Lola, but he thinks she is a ghost so he asks Dr. Flame to stop his heart to send him to the spirit world to find her. The hospital takes in overflow patients dressed in sexy costumes on Halloween while Chet shows Chief his sexy costume.

The hospital accepts an emergency case of two adult men impaled by a pole, but they soon realize they cannot save both and must choose who lives and who dies. In addition, two Trekkies get involved as well as insult comic Jeffrey Ross.