Kate is stricken when she realizes that her negligence due to exhaustion caused the death of a young woman during surgery, and considers assuaging her guilt by informing the woman's parents of her error; Billy and Danny decide to help a teenager running a unlicensed clinic for indigent patients; Judge Aldrich retires from the bench and comes to work at the hospital as Alan's replacement; Camille's drug seeking behaviors continue; Diane has second thoughts about her research project when she realizes that she's become attached to the orangutan that she's successfully infected with AIDS.

Aaron and Jack join forces in operating on a man who sustained multiple fractures in a parachute jumping accident; Diane rejoins the staff as a teaching attending in internal medicine, and quickly draws a demanding and manipulative patient who's making the staff miserable; Kate's grief over her father's death is compounded when she's carjacked on her way home from his funeral and his ashes are not recovered with the car; Diane unsuccessfully seeks some moral support from Dennis and Philip; after Tommy tells her some hard truths about creating her own misery, Kate decides to take responsibility for the choices she's made, and starts by telling Peggy Harrod the truth about her daughter's death; Jack takes one on the chin when he gives the parachutist's would-be bride some bad news; Kate returns home to find the carjacker has returned her father's ashes while burglarizing her home; Philip has it out with Aaron and reaffirms his intention to keep Tommy from closing the hospital.