- There is no interim medical director right now so Floyd is running things in surgeries and Lauren is running the ED.
- New Amsterdam gets flooded with a series of senior aged patients because no other hospitals would take them because of ageism.
- Lauren realizes that there is a gonorrhea outbreak among the senior citizens.
- Helen is checking out wedding venues, specifically a casle Her niece cant' make it so she invites her other Serwa to come with her instead.
- The seniors are defensive when Lauren and the others ask them about their sexual habits but people are having sex unprotected.
- Wilder is aggravated when Floyd has them doing a bunch of surgeries that are risky and impossible on patients and it all gets overwhelming.
- Martin gives Iggy a new sweater and talks about how well things are going between them.
- Things are a bit awkward for Lauren and Leyla as they navigate living together again without getting into each other's way
- Max helps a patient Vick who has dozens of doctors who give him all types of pills and rheumatoid arthritis.
- He wants his hands to stop swelling because he's a pianist who played at Carnegie Hall.
- Iggy treats one of the workers, Gene, who has panic attacks. He tells Gene to quit his job
- Lauren is annoyed because no one wants to talk about sex with elders or at all and that's why they have this outbreak.
- Floyd is realizing that the other surgeons are going along with his suggestions because he's chair even when they don't agree, and now his overly ambitious plans for doing a bunch of surgeries are backfireding.
- Serwa finally explains why she's not enamored by the castle that was built on the backs of slavery, Helen's ancestors.
- Max finds a solution for Vick that may help him play again.
- Serwa talks to Helen and Helen realizes that she doesn't want a wedding at all.
- Vick dies from a brain aneurysm.
- paitnes are coding on tables.
- Floyd apologizes for pushing t hings too far but everyone says they're grateful because they never would've saved so many people.
- Floyd goes looking at the lead he got and finds his father.
- Lauren and Leyla have sex when they get home.
- Iggy talks to Martin and determines that Martin is the problem.
- Helen calsl Max to tell him she's not sure he wants a wedding and he tells her they should get married the next day in New York with their friends and she agrees.
