Chapter Summaries

After baby Emily died, Adam confronted Liz over her emotional approach to medicine and explained why Dr. Montgomery had kept the prognosis secret as a harsh lesson. Liz was left to reconsider her future as a doctor, while Dr. Montgomery thanked Adam and believed Liz was beginning to understand.

• Liz learned that baby Emily had died and blamed herself for falling asleep instead of staying beside her.
• Adam explained to Liz that Dr. Montgomery had hidden Emily’s prognosis to teach her to control her emotions and make rational medical decisions.
• Adam warned Liz that emotional judgment could endanger patients and urged her to learn from Dr. Montgomery or reconsider becoming a doctor.
• Adam told Liz that experienced doctors had also lost patients through their own mistakes, and that she should thank Dr. Montgomery if she could accept the lesson.
• Dr. Montgomery thanked Adam in the corridor and said Liz seemed less angry and more thoughtful after his words.

Adam warned Cristina about a dangerous inmate who had swallowed razor blades, then discussed with Cristina and George how prisoners could consume public funds and medical resources. The conversation left George questioning his pride in becoming a doctor, while Cristina imagined becoming a surgery fanatic.

• Cristina offered Adam an intestinal foreign body removal surgery to repay a favor, but Adam refused and offered to assist her for free.
• Adam warned Cristina to stay away from the inmate, who had killed three people and swallowed razor blades to get out of prison.
• George told Adam and Cristina that his patient with multiple cutaneous melanoma wanted to keep the leeches used in his biotherapy.
• Adam explained that prisoners cost taxpayers about sixty thousand dollars a year, and Cristina argued that interns had less freedom than prisoners.
• George felt discouraged after comparing his hard work as an intern with prisoners' publicly funded lives.
• Cristina fantasized about becoming a surgeon who wore diapers during long operations, and Adam said he could control his bladder.

Adam learned that Paige had punched her sister's boyfriend after he hit her sister and made inappropriate remarks about Paige. He planned to have an old cop handle the man and said he would speak with Paige's sister that night.

• Cristina joked with Adam in the cafeteria about wearing adult diapers before Lisa called him about Paige.
• Lisa told Adam that Paige's sister's boyfriend had made crude remarks about Paige and hit her sister, so Paige punched him twice.
• Adam learned Paige was unharmed and had the boyfriend held by the bodyguards.
• Adam told Lisa to keep Paige out of the matter and said he would have an old cop handle the boyfriend, treat his injuries, and investigate his background.
• Adam said he would visit that evening to talk with Paige's sister, recalling how she had once run off with a punk boyfriend while her parents were focused on their divorce.

Adam treated Mr. Martin’s delirium and extreme thirst caused by a Rathke's Cleft Cyst, carefully ordering a controlled saline infusion. After Dr. Shepherd scheduled surgery for the next day, Adam arranged for Cristina to monitor Mr. Martin overnight and then left for New Jersey.

• Adam broke into the bathroom and found Mr. Martin drinking from the toilet while delirious and desperately thirsty.
• Adam restrained Mr. Martin and explained that his Rathke's Cleft Cyst had caused hyponatremia and delirium.
• Adam ordered Nurse Know-It-All to administer 500 milliliters of 3% hypertonic saline over four hours and stressed that the dose must not be exceeded.
• Dr. Shepherd told Adam to monitor Mr. Martin overnight and operate the next day.
• Adam asked Cristina to repay her favor by watching Mr. Martin overnight, then left for New Jersey.

Adam arrived at Paige’s apartment after arranging for Erica’s abusive boyfriend to be taken away, and recalled how Paige once knocked Sheldon out after he provoked her about her parents’ divorce. He met Erica, who was supposed to ask him to release her boyfriend, but her attraction to Adam made her reconsider.

• Lisa told Adam that Erica’s boyfriend had been taken away by the professionals he sent, and Adam said he trusted Kate’s police contact to handle the matter.
• On the way to Paige’s apartment, Adam recalled how Paige punched Sheldon after he taunted her about her parents’ divorce, while Missy laughed and later received a warning not to teach Paige more violent methods.
• Lisa unlocked the apartment, and Adam greeted Erica, who had grown into a beautiful young woman since he last saw her.
• Erica hid the still-healing injury on her cheek and smiled at Adam, putting off her plan to ask him to release her boyfriend.

Adam joined Paige and Erica for dinner and used affectionate behavior toward Paige to show Erica that he was not interested in pursuing her. After Erica invited Paige to be a bridesmaid at their mother’s wedding, Adam agreed to accompany Paige as a groomsman, leaving Erica reluctant to attend.

• Adam took Paige’s hand and acted affectionately in front of Erica, who recognized his intention and felt dejected.
• Adam asked Erica about her mother and David, then discussed the bruise on Erica’s face and Dick, whom Adam had sent away with a police officer to frighten him.
• Erica said that their mother and David would marry in two weeks near Washington and invited Paige to be a bridesmaid.
• Erica told Adam that Paige wanted him to be a groomsman, and Adam agreed to go with her on November 18.
• Paige accepted Adam’s offer, while Erica suddenly no longer wanted to attend the wedding.

Adam arranged for Erica to meet Ted Mosby in New York and get help planning her mother’s wedding, hoping Ted’s romantic nature would change how she felt about her abusive boyfriend, Dick. After Erica left, Adam reflected on Paige’s shift toward extreme intelligence and low emotional intelligence, and on his wish to help her regain some warmth.

• Adam offered to have Lisa help Erica plan the wedding and arranged for her to meet his friend Ted Mosby in New York.
• Adam explained that Dick’s injuries would heal before he was released, and that the police would deal with any future misconduct through proper channels.
• Erica agreed to travel to New York the next evening and meet Ted for wedding-planning advice.
• Lisa took Erica to her room and tried to persuade her to stay the night, eventually revealing the real reason for the invitation.
• Erica returned to collect her clothes and gave Adam a strange look before leaving, while Adam reflected on Paige’s emotional change and his desire to restore some of her warmth.

Adam performed a successful operation on Mr. Martin and learned that George had narrowly avoided being struck by a window washer who fell from the fifth floor. George initially believed a pigeon had miraculously saved him, but Adam realized the window washer had deliberately jumped and nearly killed George.

• Adam checked Mr. Martin and assisted Dr. Shepherd with a minimally invasive operation to remove a Rathke's Cleft Cyst tumor.
• George cheerfully told Adam to live for today after bird droppings landed on his doughnut and led him to move away just before a window washer fell onto the spot.
• George kept a bird claw as a lucky charm, while Cristina dismissed his story as dumb luck and bird-shit luck.
• Adam pointed out that the window washer might have jumped, and George rushed to confront the patient.
• George returned angry after the patient tacitly confirmed he had jumped, and Adam advised him to get the patient a psychiatrist.

Adam gathered Ted, Lily, and Marshall at Lindsay's Bar to ask Ted for advice for Erica, his friend's mother, and revealed that he planned to buy the bar and rename it Friends Bar. His friends agreed to keep the gathering and his plans from Barney, and Adam left them considering the new place as a possible weekend hangout.

• Adam told Ted, Lily, and Marshall about Erica's situation and asked Ted to offer her advice, while Lily insisted that she could help too.
• Adam reminded his friends not to tell Barney about the gathering and discussed Barney's reckless behavior and the risks he had taken with Marshall's future.
• Adam asked his friends what they thought of the bar's name and announced that he planned to buy it and rename it Friends Bar.
• Adam offered Ted, Lily, and Marshall VIP cards and reserved booths, and they said they would likely visit on weekends because MacLaren's Pub was closer to home.
• Adam considered the purchase a way to spend time with his friends, draw hospital customers away from Joe's Bar, and build connections at the Medical Center.

Adam, Lily, and Marshall left Ted alone with Erica at Friends Bar, where the two quickly grew flirtatious. After joking about Ted’s love life and cancerous mole, Adam teased Lily and Marshall about their college romance, then avoided Lily’s questions about his relationships with Robin and Paige when the hospital got busy.

• Erica arrived at Friends Bar, and Ted immediately focused on her, charming her while Adam, Lily, and Marshall left them alone.
• Adam sent Erica’s bodyguard away to wait nearby, predicting Erica might not return that night.
• Lily recalled Ted’s failed match with a bride-to-be and how the female doctor discovered his cancerous mole, while Adam and Marshall reassured her about the rarity of such cancer.
• Adam teased Lily and Marshall about their rapid college romance and the time Ted had been forced to listen to them from the bunk above.
• Lily pressed Adam about his relationships with Robin and Paige, and he said they were all good friends before leaving for a sudden rush at the hospital.

Dr. Duncan treated five-year-old Kalisa Freeman for a cocaine overdose and reported the case to Child Protective Services. Kalisa’s father denied knowing how she got the drugs, and CPS planned follow-up visits as Adam reflected on the risks children faced in a society where drugs were legal.

• Dr. Duncan treated Kalisa’s breathing distress and heart arrhythmia, then ordered a toxicology screen after suspecting poisoning.
• The test showed that Kalisa had overdosed on cocaine, so Dr. Duncan notified Child Protective Services.
• Dr. Duncan and Ms. McGillis questioned Kalisa’s father, Tim Morgan Freeman, who gave his details and denied knowing where she got the cocaine.
• Ms. McGillis believed Mr. Freeman and said CPS would conduct follow-up home visits, explaining that the family had a job and a home.
• Adam reflected that legalized drugs made children like Kalisa more likely to encounter or ingest them.

Adam treated Kalisa after she nearly died from cocaine exposure and warned Mr. Freeman that his eldest daughter Sandra’s drug use threatened the whole family. Later, he ran into Amy Green, who complained about Rachel and tried to charm her into sharing a store discount.

• Adam told Mr. Freeman that Kalisa needed several hours of observation and urged him to keep her away from Sandra’s cocaine.
• Mr. Freeman explained that Sandra had struggled since their mother died, while Adam worried that her addiction could endanger Kalisa as well.
• Adam encountered Amy Green at the medical center and learned she had attended Rachel’s baby shower.
• Amy recounted mistaking Rachel’s high-school ex-boyfriend for a new boyfriend and complained that Rachel would not lend her a Ralph Lauren discount card.
• After Adam revealed Rachel’s discount had risen to fifty percent, Amy called Rachel and sweet-talked her.

At the medical center, Adam witnessed Amy’s latest family drama and learned more about her plan to marry a wealthy older man. He also met Susan Lewis’s intrusive sister Chloe and decided to keep his distance from Susan’s troubles.

• Amy argued with Rachel over the phone, then invited Adam for a drink, but he declined because he was on duty.
• Adam reflected on Amy’s plan to marry a wealthy older man and decided he could not warn Leonard about her.
• Adam went to the break room to speak with Susan Lewis and found Chloe eating the staff’s donuts and harassing her.
• Adam left while the nurses discussed Chloe’s dependence on Susan, including the money Susan sent her and the strain Chloe had caused in Susan’s former relationship.
• Adam decided to keep his distance from Susan after hearing the nurses’ gossip.

At the Medical Center, Susan’s distress over her sister Chloe’s theft left her unable to handle an emergency patient, and Adam stepped in to save the patient. After Susan told him what had happened at home, Adam urged her to rest and suggested calling the police, but she could not bring herself to turn her sister in.

• Susan came to work with swollen eyes, then struggled during an emergency treatment until Adam took over and stabilized the patient.
• Adam found Susan waiting for him after surgery and urged her to go home and rest.
• Susan told Adam that Chloe had persuaded her to lend her the apartment key, then ransacked the apartment and took her belongings, including treasured gifts from Susan’s ex-boyfriend.
• Adam suggested that Susan call the police, but she refused because Chloe was her sister.
• Susan said she felt better after confiding in Adam, then left while remembering how Chloe had cared for her when they were children.

Rachel checked into a VIP delivery suite on her due date, eager to give birth and return to work, while Adam reassured her and arranged for Liz to monitor her. When Rachel asked Adam to perform a C-section, he explained the risks and suggested ways to induce labor, including a method involving Ross, leaving Rachel surprised that Ross had to be involved.

• Adam arranged a VIP delivery suite for Rachel and introduced her to Liz, who agreed to keep a close eye on her.
• Rachel asked Adam to perform a C-section because she was impatient to give birth, but he explained why natural delivery was preferable when possible.
• Adam told Rachel about several ways to encourage labor and said the most effective method required the baby's father.
• Rachel asked Adam to explain the method, then reacted with surprise when he said Ross had to be involved.

Rachel, nearing delivery, asked Adam to find someone she knew to help, while complaining that Ross had been distracted by a saleswoman. As the group gathered that night, Rachel demanded Ross help her give birth, and he refused even after Adam arrived.

• Rachel told Adam that Ross had nearly accepted a saleswoman’s invitation and asked him to find a familiar person to help with the delivery.
• Adam arranged for an experienced orderly to care for Rachel and explained that he was also helping Ellis Grey.
• That night, Ross and the others visited Rachel, who grew angry when Ross tried to comfort her about the lack of labor.
• Rachel revealed Adam’s suggested way for Ross to help her give birth, but Ross refused and appealed to Monica, Phoebe, Chandler, and Joey for support.
• The others sided with Rachel, and when Adam arrived, Rachel said Ross could consider it exceeding his assignment if Adam agreed; Ross emphatically refused.

Janice arrived at the medical center pregnant and announced that Chandler was the father, prompting the group to joke about whose babies Rachel and Janice were carrying. Janice clarified that she and Chandler had not been together in years, but Ross still doubted his own memory before Rachel scolded him.

• Adam insisted that Ross stay overnight with Rachel, then Janice arrived at the hospital and discovered she would be in the next room.
• Chandler asked Janice who had fathered her baby, and she pointed at him, making him deny it to Monica.
• Janice teased Chandler about their past and proposed a betrothal by fetal arrangement, prompting Adam to joke that both babies might be Ross's.
• Ross grew unsure whether he had been with Janice ten months earlier, and Rachel angrily accused him of choosing Janice over helping her.
• Janice assured Ross that the baby was not his, and Rachel lamented that Emma might inherit neither her nose nor Ross's intelligence.

Adam treated a divorced couple who became stuck together when the woman’s IUD caught on her ex-husband’s piercing, and he took them for an X-ray with several colleagues assisting. Their daughter arrived and angrily demanded compensation for witnessing the scene.

• Adam answered a pager and went to Exam Room 6, where he found a woman and her ex-husband stuck together.
• Adam learned the woman had an IUD and suspected it had caught on Mr. Morse’s piercing, so he arranged an X-ray.
• Cristina, Liz, and Meredith joined Adam as he wheeled the couple to the X-ray Room.
• The ex-husband confessed that he still loved the woman, but she rejected him and said she loved Tom.
• The couple’s daughter walked in, saw them, and demanded payment for therapy, rent, and a new car.

At the Medical Center, Adam discovered that Plump Woman’s dislodged IUD had caught on her ex-husband Mr. Morse’s piercing ring, while their daughter used the crisis to demand gifts. Adam and the medical team began carefully separating the rings, leaving the procedure underway as an accidental double meaning made the staff laugh.

• Filial Daughter scolded Plump Woman and Mr. Morse for their affair, then pressured them for a luxury bag and heated car seats.
• Adam showed them the X-ray, which revealed that Plump Woman’s IUD had hooked onto Mr. Morse’s piercing ring and become embedded in her birth canal.
• Adam instructed Cristina, Liz, and Meredith to position the patients so he could separate the rings safely.
• As Adam rotated Plump Woman and Cristina watched the screen, Plump Woman warned Mr. Morse not to do anything more embarrassing in front of Filial Daughter.
• Liz and the others laughed at Plump Woman calling out “Adam,” and Adam ordered Liz to hold her position and stop talking.

Adam led the team through an emergency operation on a man with an aortic dissection while Cristina assisted. During surgery, Adam persuaded Leonard that Ross and Rachel should remarry before Emma was born, and Leonard agreed to help make it happen.

• Adam directed the team to take the bald man into emergency surgery and sent Liz and Meredith to bring the Plump Woman to Dr. Montgomery.
• Leonard made Cristina the first assistant and took the second assistant position as Adam began the operation.
• Leonard complained about Ross and Rachel staying close after their divorce, and Adam said he would explain Mr. Morse's story to Ross.
• Adam predicted that Ross might propose to Rachel that night, and Leonard insisted they should remarry before Emma was born.
• Adam offered to have City Hall staff expedite the marriage registration at the hospital, and Leonard approved the plan.