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