A huge gang fight lands several nasty characters in the emergency room. A police officer brings in a suspect, Jorge (GUILLERMO DIAZ), who was bitten by a police dog. While Jeanie and Weaver try to treat him, Jorge becomes violent and the new admissions clerk, Randi (recurring guest star KRISTIN MINTER), smashes him over the head with Weaver's metal cane. Later, the staff places bets on why Randi once served time in prison.

Jeanie transfers to the emergency room as a physician assistant. When Weaver's earlobe gets cut in the fight with Jorge, Benton is displeased to have to show Jeanie the stitching procedure.

Lewis gets upset with Benton for bringing in a domineering heart specialist, Dr. Vucelich (recurring guest star RON RIFKIN), on one of her cases. An unidentified girl is brought in suffering from epileptic seizures. Weaver discovers she is deaf and communicates via sign language.

Hathaway buys a house, and a notary public, Abraham Zimble (ROBERT PICARDO), brings the paperwork to the hospital for her to sign. Zimble loses consciousness, and Hathaway gets him to stamp the documents moments before he dies.

Ross wants to keep a 10-year-old boy under 24-hour observation for a concussion, but Bernstein orders the boy sent home. Ross angrily disobeys and admits the boy, angering Bernstein so much that he informs Ross that his fellowship is over at the end of the year. Greene confronts Ross about his recent reckless personal behavior and professional misconduct. Ross has no explanation and doesn't seem to care that he lost the fellowship.