In an effort to save their long-dead fellow crew members, Chakotay and Harry steal a ship and travel to the wreck of the Voyager.
The emergency department is swamped by a huge number of food poisoning victims; an elderly man is determined to keep his wife on life support.
Dr Ross is left in charge of the emergency department, when Dr Greene takes a day off, supposedly sick. Brenton is troubled with family problems and Lewis tries to explain Cvetic's recent behaviour.
A patient may not survive the night if they do not receive a heart transplant in time. Ross is critical of woman who did not buy her daughter asthma medicine.
Nurse Hathaway tells Dr Ross about her future plans. Dr Brenton discovers something important about his fellowship rival and Dr Lewis has a surprise birthday party.