Amanda Lee's obsession with Dr. Greene comes to a head when Mark inadvertantly digs up old med school records damaging to her career. Carter tries to save Lucy from Edson's advances. Peter treats Dr. Parks' grandchild, who interprets for her deaf mother and grandmother. Police officer Reggie Moore asks Jeanie out. Kerry receives a call from someone claiming to be her mother. Doug receives a job offer from Portland.

Peter accepts Romano's suggestion and takes a two-week job in Minnesota to earn some extra money. Unfortunately, before he gets a chance to leave, he's transferred to backwoods Mississippi, where the hospital is only a two-room building. Peter battles local racism, delivers a difficult infant while battling the grandfather's concerns that the child might be black, and uses unorthodox methods to save two shrimp boat workers. Meanwhile, back in Chicago, Jeanie's condition worsens.

Greene tries to help Mobalage when he's about to be deported. Kerry tries to save a woman she believes is her birth mother. Hathaway decides to have Doug's child. Benton and Corday clash over an ER fellowship. Carter is in charge for the day, part of a requirement for applying for chief resident.

The hospital suffers through a series of power outages. Carol's decision to send Doug a fax about her pregnancy is thwarted by the power outages. The staff is on alert after a raped and beaten patient is found in a hallway. Romano begs Corday to stay in trauma. Carter and Roxanne break up. Carter and Lucy treat a pheromone saleswoman.

Carol's pregnancy becomes public knowledge as she learns that she's having twins. Lucy has problems trying to go off Ritalin. Peter learns Carla plans to move to Germany. Kerry finds an abandoned youngster and brings him to the ER. Mark and Elizabeth discuss their relationship. Jeanie and Reggie draw closer again.

After his mother's funeral, Dr. Greene comforts his father in San Diego. In Chicago, Romano surprises Corday by appointing her associate chief of surgery. Corday treats Elaine, Carter's lover, for breast cancer.

A recommendation from Weaver allows Jeanie to have temporary approval as a foster parent for baby Carlos. Reggie and Jeanie get married. Lucy and Kovac talk with a young woman whose husband they believe is very dangerous.

Benton struggles with the idea of taking a DNA test to determine whether or not Reese is actually his son. As the signs continue to pile up, Kerry and Mark use a fake patient to convince Dr. Lawrence of his Alzheimer's. Carter has trouble persuading a woman from a nursing home fire to sign a DNR for her husband and later is asked to forge charts for a family with no insurance. Carol continues to meddle in Meg's life, having her arrested so that she can be detoxed. Cleo is blamed for an explosion in the suture room but it may actually be Dr. Dave's fault.

Kovac and Haleh take care of Hathaway's twins so the new mother can finally get some rest. The job transfer for Carla's husband does not get approved allowing Reese to stay in Chicago. Lucy endeavors to get a heart transplant for a young woman and goes to Romano's house begging him to perform the surgery.

Carter seeks psychiatric help because he can't sleep. He then visits the wife of his attacker. Weaver returns to work after her suspension. Hathaway and Kovac share a kiss.