Kate returns to Chicago to face possible arrest and her ex-husband, as well as suspension at work. Aaron ponders Philip's bitterness over Aaron's apparent support of Tommy Wilmette. Dennis struggles to regain his health. Dr. Nyland returns to find a new doctor in charge of the trauma service. Kronk and Grad continue to quarrel as he prepares to leave Africa.

Kate cares for her dying father and gets some words of wisdom from Tommy when he brings Sara for a visit; Philip recruits Dr. Jack McNeil to head up orthopedics; Diane returns, only to find that Billy has remained in Africa and that her lab has turned into a storage room; Keith places himself in legal jeopardy when he decides to help an injured drug courier evade arrest; Aaron persuades Tommy to give the hospital six months to turn itself around with Philip at the helm.

Dennis and Jack clash over the best mode of treating the arthritic knee of a world class cyclist; Aaron makes a new friend when he takes on a new research assistant; Kate and Danny have their suspensions reviewed by the board; Phillip plunges back into patient care by performing an experimental procedure on a woman who exhibits unusual complications from a liver tumor; Caroline discovers that orthopedics are not for her; Dennis faces an emotional struggle in the aftermath of his shooting.

Kate returns to duty and finds that her reinstatement comes with a cut in title, salary, staff, and office; Jack replaces the hip of an older man who has opinions on everything, including how Jack should live his life; Aaron has mixed emotions when Grace comes up with a much-needed improvement for a surgical shunt he's been developing; Kate is humbled when a young couple whose daughter needs a heart transplant chooses another doctor after they discover her change in status; Tommy thinks it would be a good idea for the hospital to advertise, and hires a publicist who manages to get under everyone's skin as she creates a commercial that ends up looking strangely familiar.