Tim suddenly starts shaking while examining a patient and can hardly hold on to his balance. Suzanne and Evan are worried about him but Tim just brushes it off. Roger is surprised when he bumps into and old acquaintance at the hospital; Eleanor Riggs, who is an old college girlfriend that he once loved passionately. Roger is excited about seeing her again but then he finds out from Eleanor's former doctor that she suffers from a terminal, inoperable tumor. Trying to compensate as he's probably losing the twin girls, Tim goes to donate his bone marrow to a very sick young boy. However, the kid's doctor, Dr. Grant, refuses to let him go through with it because Tim's blood pressure is way too high. Roger confronts Eleanor about not telling him of her illness. He insists on trying to help her but Eleanor has come to terms with the fact the's going to die and just wants to spend time with Roger instead. Meanwhile, Tom Arnold drops by the clinic and Felicity scares him with her depressing Y2

Sarah's patient Patricia Kingsley is close to dying from cancer when Sarah discovers she has a husband, Hugo. Sarah locates Hugo to convince him to be at his wife's deathbed and soon discovers why he has stayed away; Hugo is horribly disfigured (looking a lot like the Elephant Man). Roger is happily surprised when Eleanor unexpectedly reappears. She is getting sicker, though, and Tom Florin says she needs to have the tumor removed right away. To Roger's great relief, Eleanor agrees to the operation; she wants to live so she can be with him. Evan finds Patrick's behavior towards a patient, opera singer Francesca Lucchesi, inappropriate. Francesca has problems with her voice, and Patrick (who seems to have a crush on her) suggests to Evan that she may have tuberculosis like the character she is to play in the LA Opera. Evan gets her to take a test to find out, and Francesca worries. Everyone looks strangely at Hugo but he gets to be with his wife as she dies. Afterwards, he collapses due

Eleanor is feeling dizzy and nauseous, so Roger takes her to see Dr. Florin. It turns out there's nothing wrong - the tumor is completely gone. In fact, Eleanor is pregnant! Roger and Eleanor are both surprised (she's 42 after all) but Eleanor is depressed because she think Roger doesn't want a baby. However, she is wrong as Roger is in fact extremely happy. Another surprise pregnancy is one the way too, as Sarah informs her patients Kate and Andy Markin that they're expecting. The couple is ecstatic as they thought they couldn't have children. Roger is impressed by the efforts of talented and dedicated intern Dennis DiMayo. Dennis wants a surgery performed on patient Maria Sandoval but she turns out to be an illegal immigrant and the hospital is eager to release her. Roger gives Maria's chart and tells him to hide it so she can't be discharged. Eleanor asks Sarah for advice. She's wondering whether or not to stop taking her medicine as she fears it could hurt the fetus. Dennis tells R

Roger must treat his old patient Vince Duralde, who is soon to be executed for murdering his pregnant wife as he though someone else was the baby's father. But now Vince has changed drastically: he has trouble speaking, suffers from blackouts and doesn't remember killing his wife. Tests reveal he has changed due to a brain tumor and he's no longer mentally competent. Therefore he can't be executed unless the tumor is surgically removed. Martial arts star Sammo Hung comes by the practice and melts Felicity's heart. Sammo has problems performing his demanding stunts but Tim discovers he's injured his wrists after answering too much fan mail. Less typing and he'll be fine. Nick injures his leg rollerblading and needs surgery. Evan asks Sarah if she can get her renowned surgeon father, Dr. Edmund Church, to do the operation. However, Edmund's hand starts shaking during the operation and a nervous Evan commands him out of the OR. Edmund is furious. Sarah is also outraged when Evan accuses h