Karen and Frank, a thirty-something couple are preparing their nursery for the baby they're adopting from Russia; they've been through a lot to have a child including a domestic adoption that didn't work out at the last minute. Frank starts to have an asthma attack, but when they go out to the balcony of their apartment to get some fresh air, it immediately gives way and collapses sending them both to the trauma ward. Proctor treats Karen, whose seemingly contained injuries get complicated when she has a crush injury on her leg, which they're able to repair, however, her kidneys stop functioning as an indirect result of the injury. She refuses dialysis because she's afraid it will affect their impending adoption, so Proctor comes up with an alternative to buy her time until the adoption goes through. Zambrano treats a man who was under the balcony when it collapsed. Mysteriously, he has a bag full of cash and seems to have a brain injury causing spasms in his hands. Zambrano finally realizes the man is deaf and is trying to sign and when she gets him to communicate, he tells her the cash was from a theatre fundraisers. Dr. C talks Warren through another victim of the balcony collapse; however, Warren makes a mistake. Dr. C covers for her with Proctor and ultimately gets sent home because Proctor can't tolerate his staff lying to him. Also Zambrano tries to figure out how she ended up naked in Proctor's bed. Turns out he was driving her home and she fell asleep, so he put her to bed at his place, nothing happened, but it's an intriguing situation for both of them.