An old friend of Dr. Auschlander returns from Africa to locate a kidney donor for a young African; Helen celebrates her birthday; removing a bullet in E.R. proves risky to both the patient and the doctor; and Mrs. Hufnagle returns to the hospital.

A donor is found for Tshalla but Ehrlich misses out on the operation; Chandler tries to juggle the multiple wives of a bigamist patient; and Morrison faces a personal problem when Luther is recruited by a Caribbean medical school with doubtful credentials.

Westphall's old friend, Capt. Gloria Neal, arrives to make sure everything is prepared for an emergency as the First Lady passes through the area; Ehrlich creates anguish for a mother and child when he casually reports suspected child abuse; Clarendon faces Rosenthal's children when he decides to move in; and Shirley, out on bail and awaiting trial, returns to St. Eligius.