His restless bookie now threatens his loved ones. Wyatt hopes to pay off his gambling bets, but a signed baseball a patient offered him is fake. The absurdity of Wyatt's jobs fits his own life again, but contrasts with 'perfect' brother Robert 'Robbie', to whom ma transferred preparations for dad Martin's birthday. Wyatt's attempts to teach Sack poker result in a bad bet, dense fog engulfs the city causing delays, Angela and Kroll's feud rises to a new level, and Wyatt goes behind Sack's back to get help for his son.
Wyatt and Sack deal with strange calls on a night with a full moon, and Wyatt is forced to deal with his father when he covers a shift in the ER. To make up for lacking quality time together, Sack takes young son Cam along and learns about his worries. Daniel Lanier demands a clear choice from Alice. Harper remains tortured by Angela's bitching and shocking patient problems. But a grim diagnose switches their focus to the value of life. Rescuing college mate Tim Reston, whose life is equally screwed-up, as a painter with some money, sort of makes Wyatt face his own future. Wyatt wrestles with his painfully impatient bookie and failure to use pa's money to sign up for college. Little Quentin whom they presume abused resorts to a tragic cry for help. His ambulance partners either wrestle with absentee fatherhood or cruel hazing.
He needs money to pay his bookie urgently, but dad will only give him a loan if he signs up for med school. His sudden hope to get his girl friend back is cruelly crushed. Talented but unruly pre-med school drop out Wyatt is an excellent paramedic.