Rachel & Monica enter the ER after Rachel falls from the balcony while taking down the Christmas lights. They go over to the nurse and Monica explains what happened to Rachel. The nurse can't believe they still had their Christmas lights up. Rachel glares at the nurse who gives Monica a clipboard of forms. She asks Rachel who to put for emergency contact. Rachel says "you," which makes Monica happy. Monica asks about her insurance. Rachel doesn't have any, but she persuades Monica to let her switch identities with her so she can use her insurance coverage.
At Central Perk, Chandler, Joey, and Ross hang out. Joey reads the comics as Ross talks about his dream last night where he is playing football and uses his baby as the ball. Which proves to Ross that he is not ready for father-hood.
Joey asks the guys if either have ever been to the Rainbow Room, a very expensive restaurant that he is taking Ursula to for her birthday. Ross asks Joey what he is going to do about Phoebe's birthday. Joey didn't know it was on the same day. He sticks to his original plan, hoping Phoebe will understand that he won't be with her on her birthday.
Monica & Rachel wait for the doctor. When the doctor arrives, it is Noah Wyle & George Clooney. Dr. Rosen & Dr. Mitchell respectively. Dr. Mitchell looks over Rachel's forms. Rachel pretends to be Monica and Monica pretends to be Rachel. They smile at the handsome doctors.
At Monica & Rachel's, all are present except Joey. They are waiting for Phoebe to arrive for her surprise birthday party. Rachel & Monica tell Chandler about the hospital. She had a sprained ankle & the two doctors asked them out. Monica is worried that the doctors will find out they switched identities and charge the girls with insurance fraud.