Matt begins to go crazy over a psychological evaluation that he is required to take for his medical-school application. Matt also notices the strange demeanor of his psychologist, which leads to a surprising twist. Meanwhile, after Ruthie gets into trouble at school for missing homeroom classes daily, she tricks Robbie into coming to talk to her principal. Simon decides he no longer wants to be together with Sasha since they have nothing in common and that she is not that intelligent, but the plan backfires on Simon. Also, Mike wants to try to be in a relationship with Lucy again, but unfortunately she turns him down since they are both on the rebound from Jeremy and Elaine. Lastly, Eric must convince a terminally ill patient to embrace life no matter what the doctors tell him.

The onset of junior prom stirs up emotional tumult as Liz tempts fate by asking Max to be her date, Isabel decides Alex is the man she's been searching for, and Michael tells Maria he won't take her to prom.

The crew once again responds to a plea for help from one of Rev. Bems Wayist friends. Upon arrival on the planet Dylan and Bem meet the people of Serendipity. They are being plagued by slavers wanting to enslave the people of the planet.

John is crankier than normal when he suffers a bout of insomnia, which he believes can be cured by watching mindless TV shows. Unfortunately, his TV set is broken and he refuses to buy a new one.

Cassandra surprises John when she suddenly shows up at the office. She wants to continue the relationship they started in LA, but John doesn't want to go on seeing her, because they're 3.000 miles away and he's not completely over Melanie yet. Ally takes the case of a man who's being sued because he didn't reveal to his internet date that he was a dwarf. Larry is representing the woman suing, and the case ends up reflecting on their own relationship as Ally questions Larry if they would be together if she was 3 feet tall. Ling and Jackson take a case of a woman who's suing her old boyfriend for interrupting her wedding ceremony. Jackson reveals his true feelings towards Ling, who is confused and torn between him and Richard. Caught in the middle of this is Renee, who feels used by Jackson.

Sean, J.D. and Kekoa have arrived on the Big Island to help with the extra work caused by the Ironman Triathlon. They are met at the airport by Russ, a native Hawaiian with a good sense of island lore and humor. Unbeknownst to them, also on the Big Island is Jessie. Determined to win the Triathlon this time, Jessie has brought her newborn son, Luke, with her. As she is practicing, she hears a woman, Sarah, screaming because her husband, John, a body boarder, has disappeared. Jessie immediately springs into action and, with the help of Kekoa (who is naturally surprised to see her) helps rescue John and bring him to shore. Unfortunately, it looks as if he broke his neck and might be paralyzed for good. Over the next few days, this diagnosis is con-firmed and John will probably remain a quadriplegic for the rest of his life. Rather than face that fate, John refuses to have a life saving operation done. Kekoa and Jessie are at a loss at how they can convince him to go on. This takes on par

During the Palmer's separation, Doug and Carrie go to the movies with Kelly while Deacon takes the kids. While there, Carrie runs into a co-worker who seems interested in Kelly. The two end up going on a date, and when Deacon finds out he is ready to patch things up with her.

Anton Meyer's absence leaves laid-back Professor Alan Fletcher in charge.