Long-time patient Rusty the dog visits Dr. Regan Williams with an elevated heart rate, Dr. Williams gives spaniel Begley an ultrasound and discovers a heart murmur and Chelsea, a young Whippet, comes in for a follow-up appointment for her heart murmur.

Dr. Debbie James performs surgery on Burger the dachshund to prevent paralysis in his hind legs, Dr. Sharon French finds multiple issues with collie Abbie's gums and Dr. Barbara Bryer uses a nebulizer to help an older ferret named Jet with influenza.

French bulldog Spartacus needs Dr. Devon Boyd's help with a broken leg, Dr. Sharon French uses anesthesia to address poodle Timmy's gum disease and aging chihuahua Peewee needs clearance from Dr. Regan Williams to fly to his owner's destination wedding.