Doogie is shadowed by a self-centered actor looking to give more realism to his performance on a TV show.
Vinnie's sure that even working in a busy ER can't prepare Doogie for work in a burger joint.
The Eastman staff is on edge for fear the examination of a mummy will bring about a curse. Meanwhile, Doogie ponders on how much modern medicine still can't accomplish.
Katherine and Ray have their pasts come back as a temptation, which creates problems for Doogie in how to deal with his Mother's first love and Ray's old gang. A high intelligence doesn't always have the solution, especially for emotional issues; sometimes someone only needs the maturity that comes from experience.
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A spat with Vinnie allows Doogie to learn about the power of laughter when he runs into a patient with serious kidney disease and a boss who works for stooges.
Vinnie says Doogie is a bigger pig than him after Doogie talks up a girl but won't ask her out to a New Year Eve Concert. Doogie gets to evaluate Vinnie's opinion first hand after the girl decides to get plastic surgery and Doogie see the end results in advance of the surgery. Meanwhile, Ray's youth councilor turns out to have two major secrets that can cost him his life different ways.
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While home sick, Doogie finds remaining friends with Wanda is more difficult than he imagined when she calls for relationship advice.
Katherine and David want Doogie to start paying for his room and board, but at the same time continue to treat him like a "pre-adult." Meanwhile, Curly doesn't understand why her father is resistant to getting a pacemaker.
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Doogie and Vinnie have a series of negative events leading them both to view aspects of their lives to be over. With Wanda's birthday the next day, Vinnie suggests a 2,000 mile road trip to Chicago. The leads Doogie and Vinnie to their own adventures and epiphanies after their car breaks down. Doogie meets a girl who like him is a genesis. Meanwhile Vinnie meets a man whose views on careers brings out the artistic side of Vinnie.
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Doogie and Vinnie work on a screenplay, where Doogie is a Civil War doctor. Meanwhile Doogie learns an important lesson at the hospital that the old pedestrian ways has advantages over a new Top Gun method.
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When Janine seems to be distancing herself from Vinnie, he struggles with his desire for a classmate.
The parents of a disabled child stymie Doogie, when they choose their religion and community beliefs over allowing him to walk through an operation. Meanwhile Janine comes up with a solution to her father's rejection of Vinnie; they're going to follow the example of Doogie's parents. She proposes they elope to Vinnie.
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Doogie and Vinnie's place is raucous and fun-filled, but Doogie really just needs someone to talk to.
Doogie struggles making a decision on how to care for a young patient.
Doogie takes a still-grieving Wanda to the prom, then introduces her to a young heart patient to rekindle her spirit for living.
A kiss between Doogie and Janine becomes problematic. Raymond's estranged father shows up in the ER.
Doogie wants a premature baby to have a chance to live. Meanwhile, Vinnie awaits word of whether he's accepted to film school.
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