Tim is sad to inform his long-term patient and friend, Nate Bergold, that he is dying from cancer. Frustrated that there's nothing he can do for Nate, Tim suggests alternative treatment and they agree on a clinic in Mexico. However, Nates' wife Phyllis and their daughter Melanie dislike the idea and think the clinic is bogus. Nick is living with Evan while Kelly is out of town with Winnie. Evan is busy right now with many patients and Nick is getting bored. He announces that he certainly doesn't want to become a doctor, and Evan feels like a lousy dad. However, Nick reassures him he's a good father. Sarah's 42-year-old patient, Louise Gorman, has four sons and is desperately trying to get a girl. She and her husband are sort of disappointed to learn that Louise is carrying a boy. Roger agrees to temporarily take over for a ""hotel doctor"" at a fancy hotel where several models hang out. Despite objections from Phyllis and Melanie, Nate and Tim go to Mexico, and Nate seems better than eve