Morgenstein le ofrece a Greene un trabajo como doctor al terminar su residencia. Nuevos carros de uso para la sala de emergencia son robados por cardiología. Deb sobrepasa a Carter frente al Dr. Benton. Ross comienza a interesarse en la empleada del hospital, Diane Leeds.

Carol quiere adoptar a Tatiana, pero Taglieri no. Un confilcto se inicia entre Mark y su esposa cuando ella acepta un trabajo en Milwaukee después de que Morganstern le ha ofrecido un trabajo permanente. Benton siente que sus responsabilidades familiares y las del hospital lo están rebasando cuando le pide a alguien que lo cubra durante su turno, para poder ir al cumpleaños de su madre.

Susan has her hands full with a pregnant Chloe. Benton goes to dinner with Jeanie. Greene further alienates Swift when he decides to honor a family commitment rather than stay longer at the ER to help him. Carter makes a good impression on Dr. Swift. Doug turns down an offer to "celebrate" with Linda Farrell, instead getting more serious with Diane as he agrees to coach Jake's Little League team.

Carter faces his last day in the hospital with aplomb, harshly grading Benton on an evaluation report. He later rescinds the report after finding out that the surgical sub-I is his. Carol faces wedding day jitters, culminating in Tag's deciding to call off the wedding. Chloe disappears again, abandoning little Susie with Susan. Dr. Swift changes his mind and decides to support Mark. Jake visits Doug.

Shep and Raul bring a dozen malnourished and abandoned children into the ER, keeping everyone very busy. Shep has a run-in with Malik and Benton when he makes an off-handed racially insensitive remark. Carter's high from the admission of Mrs. Rubadoux to the study ends when she shows no signs of recovery. Jeanie and Carol clash when Jeanie receives a poor evaluation. Al asks Jeanie to give him another chance. Mark is served with divorce papers.