Chapter Summaries

After George reported that Tony had died, Adam warned him about becoming emotionally involved with patients and the risk of being sued. During rounds, Richard exposed Alex's lack of knowledge, while Meredith and Cristina answered questions about postoperative fever and pulmonary embolism, leaving Meredith welcomed into the Arena.

• George told Adam and the others that Tony had died and that Gloria had sent him away.
• Cristina warned George that Tony's family might sue him, and Adam advised him to prepare for that possibility.
• Richard questioned Alex about a patient with rapid breathing and postoperative fever, but Alex could not answer.
• Adam and Cristina listed causes of postoperative fever, and Meredith identified pulmonary embolism as the likely cause of the patient in bed 4-B's symptoms.
• Richard ordered Alex to run the suggested tests and give up responsibility for the patient, then welcomed Meredith to the Arena.
• Cristina and Adam each repeated Richard's welcome to Meredith.

After finishing a forty-eight-hour shift, Adam declined Olivia’s invitation and advised Bianca to avoid getting involved with hospital colleagues. He later joined his friends at MacLaren’s Pub, where he approved Marshall and Lily’s engagement as the self-appointed king of men.

• Meredith hurried after Cristina, while Olivia watched Adam leave and the old nurse warned her that he was out of her league.
• After the shift, Adam politely turned down Olivia’s offer of coffee and told Bianca he would not date hospital colleagues.
• Adam and Bianca returned to his apartment, and Adam later left while Bianca slept to meet his friends at MacLaren’s Pub.
• Marshall and Lily revealed their matching engagement rings, and Barney urged Adam to talk them out of getting married before thirty.
• Adam wore the crown he had won from Barney and declared that Marshall and Lily had his approval.

At MacLaren's Pub, Ted impulsively decided to pursue true love after Marshall and Lily got engaged, but Adam warned him that he might hurt good women by acting on the romantic mood. Ted reconsidered and joined the others in a toast to the engaged couple.

• Ted announced that he was tired of his life and wanted to look for the love of his life.
• Adam and Barney rejected Ted's idea, and Adam compared his romantic impulse to Barney's wedding-crashing behavior.
• Marshall reassured Ted that their friendship would remain the same, while Adam urged him to keep dating casually until he was genuinely ready for love.
• Adam warned Ted that pursuing good women in search of true love and then losing interest would make him worse than Barney.
• Ted lost his resolve, and the group raised their glasses to Marshall and Lily.

Adam began his second hospital rotation and saved a man in cardiac arrest during his emergency-room shift. The rescue earned him a small Lifespan increase, while the rest of the day offered few comparable opportunities.

• Adam woke Bianca, who refused to miss work despite her soreness, and drove her to the Medical Center.
• Cristina told Adam and Bianca that she and Meredith had made up, and Meredith rejected George, Liz, and Alex as potential roommates.
• Sheran assigned Adam to the emergency room, Chris to Trauma, Bianca to inform a patient of test results, and Stu to suture.
• Adam rushed to a cardiac-arrest patient and restored his heartbeat with a defibrillator shock.
• Adam gained 0.01 Lifespan for the rescue, but most of his other emergency cases yielded only tiny gains.

Meredith showed Adam and the others the severed body part recovered from a badly injured girl who had bitten off her rapist’s penis. As the doctors feared the girl might face injustice despite their efforts to save her, Adam rebuked Liz for pressuring him to help and insisted that his choices were his own.

• Meredith brought the cooler to the cafeteria, where Adam identified its contents as the severed fifth limb the girl had bitten off.
• Meredith explained that she had treated the girl and felt a special connection because they wore the same shoes; Dr. Burke had removed the severed limb during surgery, and Meredith had to preserve it as evidence.
• Cristina explained that the bite would likely leave the rapist unable to use his penis normally, while Adam warned that wealth could let him escape serious punishment and even turn the case against the girl.
• Meredith and Fierce Liz worried that the girl might be imprisoned after surviving her injuries, and Adam said they could only do what they could.
• Liz urged Adam to use his wealth and fame to help the girl, but Adam angrily told Izzie Stevens that she had no right to demand anything from him.

After confronting Liz over her attempt to dictate his choices, Adam treated an unresponsive infant in the emergency room and saved her by removing an earring from her airway and restoring her blood sugar. Dr. Susan Lewis and the nurses applauded him, leaving Adam exhilarated by the rescue and their admiration.

• Adam told Liz that outsiders had no right to interfere in his life, then left for an emergency assignment.
• In the emergency room, Adam questioned the infant's parents and examined the child as she struggled to breathe and her pulse weakened.
• Adam removed an earring from the infant's airway, ordered ventilation and glucose, and revived her.
• Adam ordered further tests, reassured the parents, and reported the case to Dr. Susan Lewis.
• Susan and the nurses applauded Adam, and he relished their praise and the system's reward.

Adam declined Susan's invitation to work in the emergency room and was refused a place in Bailey's surgery for the suspected rapist. He then examined a shy young man who had injured himself trying to imitate circumcision to please his girlfriend, and arranged to contact a plastic surgeon.

• Adam thanked Susan for inviting him to work in the emergency room but said he preferred surgery.
• Meredith asked Adam not to stay angry at Liz, and Adam said Liz's intentions did not matter as long as he was not her target.
• Meredith spotted a bloodied man arriving at the hospital, and Adam helped bring him in as a suspected rapist.
• Bailey took charge of the surgery and refused Adam's request to join, so he left while Meredith prepared to assist.
• A shy young man told Adam he had cut himself while trying to imitate circumcision for his girlfriend, and Adam said he would contact a plastic surgeon.

Adam helped Susan arrange a plastic surgeon for a shy young man who had injured himself, then assisted her with an elderly patient experiencing temporary double vision. Susan recommended saving the uninsured man the cost of a neurology consultation, but after he accused her of racial discrimination, Adam arranged the consultation; Susan admitted she often struggled to change her compassionate approach.

• Adam closed the ward door after speaking with the shy young man and kept quiet about his amusing thoughts regarding Howard.
• Susan arranged for a plastic surgeon to examine the young man who had injured himself while attempting surgery on his own.
• Adam examined Mr. Erwin, an elderly African American man who had briefly experienced double vision, and suggested a neurology consultation.
• Susan initially recommended that Mr. Erwin go home to avoid spending two hundred dollars, but he accused her of discriminating against him.
• Adam asked Susan to arrange the consultation, reminded the nurse to bill Mr. Erwin, and later praised Susan as a good doctor.
• Susan told Adam she knew what she should do but had repeatedly failed to change her ways.

Adam and Susan briefly felt a spark, but Adam chose not to pursue it. Meanwhile, Stu celebrated his chance to work in plastic surgery, and George was left handling a German tour group’s food poisoning cases, where he overheard nurses comparing him unfavorably with Adam.

• Susan thanked Adam, felt drawn to him, then left to check on another patient, while Adam resolved to avoid romances with attractive colleagues.
• Stu told Adam he had joined the Plastic Surgery Department and planned to specialize in plastic surgery.
• A nurse assigned George to treat a German tour group suffering from food poisoning at the Palace Hotel.
• George was ordered to perform rectal exams and collect stool samples from the patients, then asked the nurse to get Adam to help.
• George overheard nurses praising Adam and joking that George was the one stuck handling the stool samples.

Cristina and the other interns complained about their exhausting shifts and resented how much more opportunity Adam received. Adam shared an upscale seafood meal with them but refused Alex, who left after Adam explained that he neither liked nor trusted him.

• Cristina complained to Alex about her lack of surgical opportunities while he had to help train under her.
• Meredith and George arrived with food, and George vented that he had handled a German tour group's food poisoning while Adam was considered too important to help.
• The interns mocked Adam until he appeared carrying a delivery meal from Le Bernardin.
• Adam shared the seafood feast with Cristina, Meredith, George, and Liz, while turning away Alex's attempt to take some.
• Meredith questioned Adam's treatment of Alex, and Adam said he disliked Alex's disregard for human life and doubted Alex would become his colleague.

Adam teased Meredith after realizing she and Dr. Shepherd were growing close, then gave George blunt advice about pursuing Meredith. The chapter ended when the emergency room doors burst open and Adam hurried toward them.

• Adam encountered Dr. Shepherd and Meredith gathering records in the elevator and suspected their relationship had turned intimate.
• Adam teased Meredith about losing a bet over how long she could resist Dr. Shepherd, and Meredith fled when the elevator reached another floor.
• George asked Adam for help pursuing Meredith, and Adam said she was attracted to Dr. Shepherd rather than George.
• Adam advised George to get drunk alone with Meredith if he only wanted a physical encounter, warning him not to mistake it for a relationship.
• The emergency room doors burst open, and Adam strode toward them.

After stitching up Jill's injuries from a car accident, Adam refused to help her hide the wrecked car from Leonard, instead offering her a new car if she went a year without being scolded. Leonard arrived furious just as Jill agreed to the challenge.

• Adam examined Jill after she and Louise arrived at the emergency room following a car accident, and he found that Jill's injuries were minor.
• Adam skillfully stitched Jill's wound, reassuring her that it would not leave a scar.
• Jill and Louise asked Adam to buy a replacement car so Leonard would not discover the accident, but Adam refused to help them deceive him.
• Adam offered Jill a car for her next birthday if Leonard did not scold her once during the coming year, and Jill accepted.
• Leonard arrived at the treatment room furious and called out to Jill, who answered weakly.

After Jill crashed Leonard’s new car while drag racing, she charmed her way back into his favor, and Leonard invited Rachel to dinner. Adam suspected Rachel wanted to discuss her pregnancy and feared Leonard would retaliate against Ross for refusing to marry her.

• Leonard scolded Jill for drag racing his car, but Jill said Rachel had taught her.
• Leonard urged Jill to learn from Rachel’s independence, while Jill argued that working hard had not made Rachel as wealthy as she was.
• Leonard invited Adam to dinner with Rachel, but Adam declined because he suspected Rachel wanted to discuss her pregnancy.
• Adam thought Ross had rejected Rachel’s hopes of remarrying because he was pursuing someone else, and feared Leonard’s reaction.
• Leonard took Jill home, while Louise gave Adam her business card and invited him to call her.

Adam and Bianca reached the hospital as casualties from the illegal Death Race for Babies flooded the emergency room. While the interns competed for severe cases and surgery opportunities, Adam treated injured bystanders, and the hospital braced for more patients.

• Adam drove Bianca to work and braked to avoid cyclists recklessly racing through traffic in the Death Race for Babies.
• Adam refused to stop for the fallen racers, and he and Bianca continued to the hospital, hoping bystanders had not been hurt.
• Sheran warned Adam and Bianca that casualties were on the way and assigned them to the emergency room.
• The surgical interns rushed to claim patients as ambulances brought in the injured, with Meredith and Alex competing over a badly wounded patient.
• Adam treated an injured office worker and chose other apparent bystanders for care while the interns pursued severe cases.
• A familiar, theatrical voice called out to Adam.

Adam treated casualties from the Death Race for Babies, including Barney, and described how the reckless event killed two innocent bystanders. He left his friends shaken by the victims’ suffering and the callous behavior of the race participants.

• Adam examined Barney and found that he had fractured his left fibula while taking part in the Death Race for Babies.
• Adam and the medical staff treated a flood of injured riders and bystanders, but one innocent victim died despite resuscitation efforts.
• Ted, Lily, and Marshall visited Barney, and Adam told them that two bystanders had died because of the race.
• Adam explained that the family of a brain-dead victim agreed through tears to donate his organs and skin after Adam spoke with them.
• Adam said the injured riders continued to act recklessly and harass hospital staff, leaving Ted, Lily, and Marshall disgusted with Barney and the race.

After a fatal crash, Adam helped the Davidson family mourn and secretly arranged charity assistance for them through Caroline Ellis. He ended the chapter with Caroline inviting him to Ellis Manor, whose gates would always be open to him.

• Nazui Dr. Bailey angrily confronted the Death Race for Babies racers over the deaths and injuries caused by their reckless driving.
• Dr. Burke removed the brain-dead man's organs, and Adam stitched him back together for his family.
• Adam brought Mrs. Davidson and her daughter to see the body, and Mrs. Davidson wept over her husband's death and worried about their future.
• The Ellis Charity Foundation offered Mrs. Davidson fifty thousand dollars and help finding work, leaving her overwhelmed with relief.
• Adam thanked Caroline Ellis for arranging the assistance, and Caroline invited him to visit Ellis Manor.

Adam treated Jimmy after he swallowed a key and examined Ms. Murphy, who admitted to sexual experience after Adam warned her she might have an ectopic pregnancy. Leonard then called Adam to arrange a wedding banquet for Rachel, revealing that she was pregnant and getting married.

• Adam learned that Jimmy swallowed a key after imitating something he saw on TV, and an X-ray confirmed the key was in his abdomen.
• Adam warned Jimmy's mother, Ms. Edmonds, to supervise him and keep him away from dangerous imitations.
• Adam suspected Ms. Murphy was pregnant and explained that an ectopic pregnancy could be life-threatening; she agreed to an ultrasound.
• Leonard asked Adam to book a wedding banquet venue at The Plaza Hotel for August 12 and told him Rachel was pregnant and getting married.

Rachel admitted to Leonard that her claim she was marrying Ross was a lie, and Leonard stormed off to confront him. The next morning, Adam and Bianca began their early hospital rounds, where Adam received breakfast from Lisa, the cook he had hired to prepare it before dawn.

• Phoebe suggested Rachel tell Leonard the truth about her pregnancy through Adam, but Rachel told Leonard directly that she was not marrying Ross.
• Leonard blamed Ross for Rachel's pregnancy and left to confront him while Rachel and Phoebe joked about his reaction.
• Adam woke Bianca at four thirty so they could arrive at the hospital before their five-to-seven patient rounds.
• Adam explained that interns arrived early to gather patient updates before the residents' rounds and improve their chances of joining procedures in the Operating Room.
• Lisa brought Adam breakfast, and he told Bianca that he had hired her, Ada's assistant, as a cook because she made excellent food.

Bianca and Adam joked with George about his living arrangement and discussed his crush on Meredith. Cristina prepared for a pancreatectomy, then realized Dr. Burke and the others knew the patient was unlikely to survive the operation while she had been left in the dark.

• Adam and Bianca teased George about living with Meredith and Liz, and Bianca deduced that George had a crush on Meredith.
• Adam praised Cristina for memorizing Dr. Burke’s patient chart, while Cristina refused to tell Meredith, Liz, and George about her surgery.
• Adam assisted Leonard with his scheduled coronary bypass surgery, while Meredith later described a successful operation to remove nails from a patient’s skull.
• Adam asked Cristina about her preparations for the pancreatectomy, and Cristina realized the patient had come to the Medical Center expecting to die and that Dr. Burke and others had known.

Cristina learned that the elderly nurse with pancreatic cancer had come to the hospital to wait for death, and Adam explained why the staff quietly honored her choice. At lunch, Liz joined the group after confronting Alex over the magazine photos he had plastered around the hospital, but Adam noticed people whispering about both of them.

• Cristina realized that the elderly nurse had never intended to undergo a pancreatectomy, and she asked Meredith whether she had known.
• Meredith said she had not known, and Cristina told her the nurse had served Meredith’s mother for eighteen years and thought she was arrogant.
• Adam explained that the staff were letting the elderly nurse spend her final days at the hospital out of compassion, and Cristina reluctantly accepted his reasoning.
• Liz sat with Adam, Cristina, Meredith, and George, and George praised her for standing up to Alex after he spread her magazine photos around the hospital.
• Adam noticed people pointing and whispering about Liz and, unexpectedly, about him.