As Dr. Wilkes takes his son to school gunfire errupts. The victims are brought to Chicago Hope and Wilkes finds himself having to deal with his sons post-tramatic distress. Kronk also finds himself viewing the situation in a new light, due to the recent arrival of his daughter. The situation also brings back memories of his son to Dr. Watters. Catera had to operate on the shooter, and feels conflicting emotions. Dr. McNeil pops the question to Dr. Catera. Austin is still turmoiled over the incident at the cabin.
Dr. Watters' son is found dead in his apartment and Phillip must except the fact that he committed suicide. Dr. Austin brings her daughter to the hospital and she becomes fascinated with the blood and guts aspects of her mother's work. Dr. Catera becomes uncomfortable with Dr. McNeil's romantic pursuits, until she watches one of her patients (who is in much the same situation.)
Diane goes into labor unexpectedly and when no one can find Billy she reluctantly asks Kate to be her coach. Wilkes must get a family to safety from an abusive husband/father. McNeil and Catera take dance lessons (with special guest star Kenny Ortega, who choreographed ""Brain Salad Surgery."" Billy arrives at the hospital and discovers that Diane is having a c-section after her and the baby have gone into distress during the labor.
A family eats poisonous mushrooms and the mother and two sons must receive a liver transplant. A donor is found for the mother and the father is a match for the two sons. The father decides to have a live donor transplant, but is told by Kronk that only one of his children can receive the organ. Austin and Cacaci have to attend a sensitivity seminar, which only makes Austin worse. With Shutt's help a patient remembers a sexual abuse that happened during childhood, but the parent vehemently deny it ever happening. Drs. Grad and Kronk get kicked out of lamaze class.
Catera and McNeil cross roads when her facination with his brother becomes personal. Billy begins to feel ""in over his head"" with the impending birth of his child, so at a desperate attempt at freedom he becomes involved in a bar fight. Austin introduces Danny to her daughter. Watters moonlights as a stand-up comic.
Catera must operate on a 5-year-old who is suddenly stricken with seizures. An HIV-postive friend of Dr. Grad's talks to Diane about getting pregnant (she wants advice) and Diane (who discovered a lump in her breast) is afraid that neither of them will see their children grow up. A mother and daughter come into the ER handcuffed together.
After a little too much holiday cheer Wilkes is charged with a DUI and must serve a community service in Dr. Hancock's clinic. Watters discovers that his accountant has left the country with Watters money. Shutt turns over a patient to Catera, and the two clash over whether she should perform a dangerous surgery on the patient. Dr. McNeil is elected to play Santa and is a huge hit in the childrens ward. Grad receives her Christmas present a little early.