A rich suitor brings excitement into Kayo's social life; Margolist is upset when a psychiatrist shows special interest in his genes.

Kayo fights to perform heart surgery on a patient (Miriam Colon) who's not insured. Her son challenges Dr Doyle to a fistfight after the physician insults the lady.

The ER is quarantined, which prevents Kayo from going to her sister's wedding, detains Doyle's accountant and jeopardizes a sick runaway.