Will Syd get to spend her wedding night Owen? She almost gets to unill a patient enters the ER with a bullet wound and the patient's dad takes the ER hostage. Also Owen and Syd may leave Providence.

Syd must face the challenge of working with a new boss Dr. Bil Augustine at an acute care clinc while trying to rasie money to rebuild St. Clare's. Owen asks Syd an important question.

The Hansen's gather for Thanksgiving to show Owen how Thaksgiving is done in the Hansen family. Also Syd misses her wedding shower because of working all weekend.

Syd must deal with two bomb shells She loes the engagment ring! Later she must a double shift on Halloween night and not being with Owen for there own fright night.

An anguished Syd is forced to recall a repressed childhood memory of her late mother Lynda's flirtation with a neighbor while she nurses a dying elderly woman who struggles to remain alive long enough to reconciliate with her arriving daughter. Elsewhere: Joanie poses as Syd at a pharmaceutical convention in order to get her sister some much-needed drug samples but winds up in jail with a gaggle of hookers; Robbie mistakenly ends up playing a serious game of cards with some mob wiseguys; and Jim turns the house upside down when he becomes obsessed with ousting a playful but evasive mouse.

Syd and Qwen go to their marriage license, Syd's guilt about kissing Dr.Baylor gets to her.

Syd gets cold feet before marrying Owen, When she sees Dr. David Baylor who is everywhere. Jim tries to stop a brother and sister from putting horses to sleep on their father's estate which they are selling.

Heather asks for a off for Earth Day, Syd treats a mom to be but gives up a trip to New York but needs to help a mom to be have her baby and hope the dad will donate blood to help save the baby's life. Doug gets a new job in Ohio and asks Joanie to go with him. Syd is unable to go to New York for a reunion and the person she hasn't seen in 10 years drops by.

After Syd greets her old medical school pal on leave from a rural African hospital, he shows frightening symptoms of the super-deadly Ebola virus, forcing the health department to clamp a quarantine around her clinic -- as well as the Hansen household where Joanie is hosting a chaotic children's birthday party. In the meantime, while a desperate Robbie spots his family on the TV news and heads home hoping to help, Joanie discovers that his girlfriend -- who's also trapped inside the house -- was the same girl who tormented her at summer camp years before. Elsewhere, Jim busies himself treating a bulky bulldog suffering from serious anemia.

Syd tries to compel a grieving recluse (guest star Alastair Duncan) to allow plastic surgery to correct his facial deformities when she learns that he will soon be evicted from his roost while Joanie withdraws from her family -- especially from her protective older sister -- in the wake of her recent miscarriage. Elsewhere, Robbie resorts to desperate measures in order to cozy up to the beautiful mother (guest star Maria Pitillo) of one of his adolescent hockey players (guest star Mickey Toft) while Jim struggles to coax his young granddaughter Hannah to take her medicine.

Syd's lovelorn life gets a needed lift when she meets a hunky young single father but their relationship is jolted when she learns that he has a congenital heart condition that causes him to suffer blackouts -- and one day soon will end in sudden death. Elsewhere, an uncertain Joanie poses as the happy girlfriend of her gay assistant Elliot in order to secure a building expansion loan from a bank officer while Robbie's newfound romance with the unpredictable Tina proves to be a roller-coaster ride.

Hansen loyalties by the suprise vist of a family patriarch a rich, alling crumudgeon who has lucrative propositions-with strings attached.

Dr. Sidney Hansen returns home to Rhode Island From Los Angeles after tragedy strikes.

Syd meets a young man with a talent for drawing things. She also learns that the artist has been hidden away for fear of deportation back to Russia by his grandmother. Leo tells Doctor Hansen why he never spoke a word to anyone. He felt that if he spoke to anyone he would be sent back to Russia. Leo tells Syd that he can't remember what his grandmother looked like and that he was never loved by anyone. Joanie begins her quest to find love at a masquerade party where he dresses up as Zorro. Leo doesn't want an operation that could cause him to lose his sight do to a brain tumor that is inoperable because he figures that no one would miss him.

Syd is getting ready for her 15th high school reunion Syd is getting ready for her 15th high school reunion she runs into Kerry Kane her best friend in high school voted most likely to succeed. Syd begins to notice odd things about her friend who begins to show signs of Obsessive compulsive disorder. Syd learns the real secret to why Kerry actually came to Providence for the reunion.

Syd's latest patient Mr. Ellison come to the clinic for treatment for advanced cancer and won't live along. Syd is asked to keep Mr. Ellison alive for three days so he can get money for his family to do that he must out live the statute of limitations so the money will go to his family. Syd finds the money gives it to her patient. Heather is getting married to Charlie who has a prison record, Dr Hansen is worried that she may be moving to fast. Heather's mom Donna doesn't like Charlie. Who has been married twice. Mrs. Tupperman tells Robbie of Charlie's past. Syd runs into Daniel Hartman who says Mr. Ellison sold trust deeds and was convicted and sentenced to 25 years in prison and now Mr. Hartman wants the money to go to the families. Heather wants to get married to Charlie and may find that hard to do because of her love for Robbie. Heather's mom tries to Robbie to stop Heather's wedding but won't do it because feels Heather would be happy. Mr. Hartman go to Syd's house to ask for

A city inspector comes by to check the clinic that Syd was raising money for but learns the clinic will be shut down. Robbie and Heather are ready to marry but have problems Heather can't find a dress. Syd has trouble getting her patient to the hospital because streets are blocked. Syd has trouble getting medicine to her patient who is ill, Jim is looking for Sam the blood hound. As Joanie calls for help to find her father Joanie is trapped after a window breaks and has Hannah try to through her the phone & finds the lines are dead. Robbie who along with Heather in Las Vages has lost $10,000 tries to get the money back.

Syd meets John Hemming's mom and later learns Mrs. Hemming doesn't like Syd. Syd takes in a little girl who leaves the hospital to find her parents. Robbie gives a homeless man a chance to money. Mrs. Hemming doesn't like Syd's way of helping people. Jim takes care of a monkey who scratches his head and uses sign language to talk. Joanie wonders if she is pregnant again. Jim buys a sign language dictionary and learns that Rocket (the monkey) is ill & asks for help. Susan Fuller comes by to help Jim & Heather to understand why he scratches his head. Susan Fuller tells them Rocket is homesick.

Syd initially believes her troubled teenaged paper boy when he is seriously shot and hospitalized but he tells her that the wound is self-inflicted -- even though his older brother's behavior indicates otherwise -- and she's unaware that one of them has hidden a gun in a box of toys at the Hansens. Elsewhere, a fed-up Joanie hires an industrious clutter cleaner who systematically relieves the Hansens of their useless but memorable bric-a-brac and organizes a yard sale while Robbie meets an infomercial wizard and is inspired to create something that everyone needs.

When Syd applies for a grant for her clinic from a prestigious medical foundation, she meets a mysterious man who claims to be her father -- and as she gets to know him, his story about his relationship with her late mother begins to make more and more sense. Meanwhile, as Jim senses that Syd and Joanie are snooping around about the circumstances of Syd's birth, he treats a Lhasa apso dog that refuses to eat. Elsewhere, Robbie gets heat from the ex-husband just when it seems his romance seems to be blossoming with the attractive mother of one of his pee-wee hockey players and Joanie reluctantly hires a sensitive, temperamental baker.

Disclosures about politician Joe Connelly disillusion Syd, who's still battling a duplictious drug company; the Robbie-Tina romace runs a rocky road.

AS the big day draws near for Sid and Owen, Syd dreams she is on The Newlywed Game and does badly.

Syd comes down with a little cold butthe cold gets worse and Owen must take her to the emergency room. Can Joanie get Leo's trust back after telling a secret about his girlfriend on the radio?

Syd helps Joanie's friend whose health is as bad as her reputation: Jim and Robbie bust a sick chimp out of the zoo.

Syd is staggered by the indecent proposal of an eccentric, elderly but lustful millionaire who offers her cash-starved medical clinic a fortune if she'll spend 48 hours traveling with him; a debt-ridden Robbie gets in deeper when he urges his injured girlfriend not to play in a key college basketball game while he secretly bets against her team; Joanie begins cooking school and falls for a mysterious fellow student who admires her ""aphrodisiacal"" clam chowder; Jim hires a klutzy veterinary assistant at the clinic.