Carter finds himself struggling with County's new technology and procedures. After becoming frustrated with the in vitro-fertilization, Banfield and her husband discuss adoption as an option. Sam's mother arrives in an altered state of mind.

A camera crew interviews the staff at County General for a documentary on emergency medicine. Morris’ cop girlfriend gets injured on the job and is rushed into the ER with gunshot wounds. Neela wonders why her relationship with Brenner lacks so much communication. Sam struggles to make amends with her mother.