In the opener, Kellerman and Dalgety rope intern Maggie Yang into helping them treat an uninsured patient. Meanwhile, Mission's new administrator gets off to a rough start; and a heart patient refuses to undergo surgery that could save his life.

When Pangborn allows an ER-set TV show to film at Mission, Kellerman gets in on the act to snag some much-needed medical equipment being used as props. Meanwhile, Quinn and Maggie square off over the treatment of a stroke patient; and Dalgety's fling with a staffer lands him in hot water after it begins to look like a case of sexual harassment.

A car crashes into a group of people at a bus stop outside Mission General. Kellerman has problems with his superstitions while doing open-heart surgery on a Buddhist dignitary. Gina places a sacred charm in the hands of a patient recently pulled off life support.

Kellerman and Dalgety are flown to Vegas by Dr. (Wiseguy) Wiseman in hazardous weather as they try to get a heart to a transplant recipient before the heart 'expires'. Maggie Yang faces the consequenses when she rejects the advances of Dr. Posner. Donge reveals amorous feelings for Nurse Poole.

Dalgety and Maggie Yang try to sabotage Donge's latest moneymaking scheme which involves a ""virtual doctor"" who prescribes treatments for patients via email only. And two transplant candidates -- a death row prisoner and a private citizen -- both need the same heart to survive