Season 4

Nate drives everybody crazy with pictures of the baby, while Nancy, Clint, & Derek try to find away to get Westbury back from Richard Black. Dr. Crane, Clint, & Donna DeWitt meet with Richard Black and learn they can't come back to the clinic. Irene gives Clint an idea as to how patients can be treated. Clint uses his home as a clinic. After looking at Irene's chart Clint thinks Irene may have a tumor. Donna, Nancy & Tippy think Richard is cooking the books and making him rich. Richard learns Westbury isn't his hospital anymore.

Tippy's friend Marcia hides a secret. Raul has to put something in time capsule that will be opened in 60 years (2063) Marcia ends up in the hospital. Tippy is asked to say with her and learns the secret. Marcia asks Tippy for sleeping pills, Tippy thinks 10 pills is too much. Tippy learns of Marcia's other job as a news photographer in which she photographed the death of a little girl. Raul asks his friends to help him make a video about what has changed & what might change 60 years later.

When Clint learns Tom Bailey stopped taking Oxycodone (used for pain relief) "Cold turkey" Clint decides to put him back on the drug to ease him off the drug. Clint finds out Politics can be a problem when Tom's patient file is leaked to the press. Beverly learns her parents are getting a divorce she learns that her family will always be there no matter what happens.

Clint treats a baby that has PCBs in her system. Clint tells the Barnes family that all have PCB in their bodies to the fish they ate. Clint decides to talk to the CEO of BND manufacturing, Clint only gives himself and Westbury trouble.

Captain Steven Doss launches operation Rules Of Engagement as a way of asking Tippy to marry him. Clint treats a young boy named Jordan for ADD. Clint notices something else is wrong when Jordan doesn't hear Clint calling his name. Jordan gets hearing aids, Clint tells Jordan's parents that he has auto immune inner ear disease.

Nancy finds love letters in an old desk, she then finds that the husband died of a disease. Meanwhile Raul gets to play Romeo but soon finds he wants to quit the play because Kiley didn't get the part of Juliet.

Donny suddenly learns he has an inheritance, Clint tries to advise Donny on how to handle the money. Clint learns Ray (Donny's Cousin may try to keep Donny from getting the money. Raul learns how to handle an allowance.

Dr. Crane & Clint Cassidy train Kyle, a medical student, to help treat patients at Westbury. After Kyle misdiagnoses a patient, Clint wonders if there is something much worse going on with Kyle. Kyle tells Dr Crane & Clint he has Peripheral Neuropathy.

Clint treats Heidi for pain he feels will go away with rest, but when the pain continues Heidi's Coach all think her pain isn't real. Meanwhile the staff at Westbury must pass a test to get an a+ rating. Clint asks to look at Heidi's medical records. Clint learns not to judge his patients so quickly and listen more.

Clint wonders if Colleen may be going too far when she gives him a Porsche! Colleen's son sues Clint for inappropriate doctor-patient conduct, suspecting that Clint just wants Colleen's money. Clint learns Colleen is dying of a Cerebral Aneurysm. Kevin learns that to fit in all he needs to do is be himself, even in a wheelchair.

Derek learns his daughter gets a modeling contract. Nancy tries to help catch the thief who stole her purse, but when Nancy show up at the apartment of suspected thief she learns she may have picked the wrong guy. The guy doesn't recall taking Nancy's purse because he has Diabetes.

Shannon a college roommate comes by the clinic feeling tired all the time, Nancy isn't happy to see her because Shannon dated all the boys. Clint runs tests on Shannon come back negative, that is until Clint runs a heavy metal toxicology screen to find out if Arsenic is making her sick.

Joe comes to town and tells Clint about his dad who died when Clint was 10. When Clint tries to find Joe he learns that Joe was let go from his Job. Joe learns he has Alzheimer's. Now Joe must use what time he has left to get close to daughter & also help Clint understand who his dad was.

Donna DeWitt has a new beau named Brian who has secret he has been hiding for 3months. Donna shocks everybody with an engagement ring from Brian. Everyone at the clinic wonders why everything happened so fast. Brian falls in love with Donna over lunch and wonders if Emma (Brian's daughter) would be ok if she were to marry Brian. While at lunch Brian is rushed to Westbury where Clint learns Brian has Cancer. Brian asks Clint not to tell Donna.

A dellusional teenage girl thinks she is Bonnie Fisher, author of "Cusp of the Day." But the only way Lacey Sanders will come to terms with who she really is, is if Bonnie Fisher herself helps her.

In this episode Dr. Oliver Crane tries to reconnect with his father who hasn't seen his son in 30 years. Dr. Crane senior unexpectedly drops by Westbury clinic where his son is caught trying to keep the clinic clean before his father arrives. Oliver has a hard time getting close to his father while he is trying to figure out how to treat his patient, Dr. Crane 's father immediately feels that the patient needs surgery and then tells his son he will do the operation. Beverly is bothered by the new partner her husband Nate is getting Nate doesn't seem bothered by the new partner he is getting because Nate thinks this partner he is getting is a guy but is shocked when he learns that his partner is a girl. Dr. Crane Dr. Crane is waiting for his wife to return from a shopping trip and join him for lunch. Mrs. Crane can't wait to show her husband the necklace she purchased. She hands him the necklace so he can fasten the necklace for his wife, but as he does Oliver notices his father's hands began to shake.

Clint treats a man with Aperger's Syndrome named John He wants to lead a normal life but John's Mom is afraid that a normal life would only cause her son heartbreak. Clint and Nancy try to teach John how to overcome his fear of not having his mom to help him. Raul thinks he is ready to be his own man after becoming interested in New York City messengers. Raul then decides to take the test to become a New York City messenger in hopes of not being told what to do by his parents.

Nancy tries to save her father's store from being condemned. Nate learns that he needs to give a speech to new police officers. Derek tells Nate that a joke might be the best way to get over being nervous, later he learns that telling jokes doesn't seem to work very well. As Nancy & Clint look through the city ordinance they find something odd in the ordinance that states that buildings must be 7 stories from top to bottom. The building that the city wants to build is 11 stories from top to bottom that means that the city can't build the building because it would break a water main.

Clint treats a young boy for exhaustion but learns that the boy wants to be just like his father. The young man has trouble meeting his father 's expectations. Clint learns that his patient has Dyslexia and ends up in the hospital after taking some pills. Clint learns that his patient was taking pills to help him think better. His father decides to send his son back to China because he is slower then most people with Dyslexia. Derek is jealous that his wife spends more time with Dan who takes his daughter to modeling shoots. Derek is worried about the crash Dan seems to have on Nellie. When Derek 's wife tries to explain that they are nothing more than friends Derek doesn't by the explanation.

Friends of Nancy come to the clinic to meet Clint later they have to make a decision that will affect their twins. They will need to decide whether to terminate one twin's life to save the other. Clint tells Jerry and Dana that she has twin to twin transfusion that means that one baby is stealing nutrients from the other Baby. Clint goes to Jerry and Dana's regular doctor to see if the couple has another option to take so both babies might live.

Tippy's cousin Twyla and her boyfriend have broken up because he didn't like the way Twyla wore in a certain way. Nancy devices a plan to get Tippy's cousin back together with her boyfriend. Clint and Nancy's plan doesn't go as expected Twyla falls in love with Clint while junior falls in love with Nancy.