Doug's heroics earn him a second chance as Bernstein and Morganstern ask him to stay on. Doug and Mark clash when each treats a seriously injured patient and want to use the same equipment. Benton learns that Jeanie has separated from Al. After missing an earlier diagnosis, Carter overcompensates on his next patient and catches a break when the test results reveal something. Shep gets on Carol's bad side when he makes disparaging remarks about the people who make botched suicide attempts. Doug gets a phone call from his estranged father.

Susan institutes extra precautions in case Chloe tries to reclaim Little Susie. Mark changes his look, growing a goatee and wearing contact lenses. Carol and Jeanie square off over the care of a transient. Carter celebrates when he receives his residency match, putting his patient and his job at risk. Shep, still suffering from Raul's death, is surly with new parter Reilly. Benton and Ross have differences when Peter discloses a critical mistake made by Doug, raising animosity between the two.

While a film crew is filming in the ER, it's Elizabeth Corday's first day.