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- The firemen assist a woman thrown from her motorcycle onto a cactus patch. John and Roy (along with the Rampart doctors) plan a surprise birthday party for Dixie; when she breaks her ankle while shopping the party plans and the ER begins to fall apart. Dixie is forced to turn over the run of the ER to an inexperienced nurse, while she recuperates from a concussion and broken ankle. Things do not run as smoothly without Dixie. Rescues include two men trapped on the side of a building with a 1/2 ton sign hanging near them, a man's life is saved when his wife finds him unconscious in his new sauna and the doctors discover he's suffering from Addison's Disease, and a terrified old woman whose apartment building explodes during a gas leak--with John inside, he then suffers a broken foot. While recovering, Dr. Brackett brought along his first surprise for John, the recuperating Dixie, who brought John a cake, while Dr. Early gave John a tape recorder, in honor of (and Roy's) Dixie's birthday.
- Some men go into a radio station and plant explosives. The team arrives and when every access is taken out they have to find some way to get in.