Greene returns to work but confuses words and displays uncharacteristic anger. Eager to get out of his per diem situation, Benton agrees to a full time position. Carter visits his cousin, who became paralyzed after a drug overdose. A workplace disaster results in numerous injuries and fatalities among illegal immigrants.

Abby helps a distraught boy whose mother died of a stroke; a man with schizophrenia, who once stabbed Carter and killed a doctor checks into the ER.