Ricky Abbott returns to the ER. Doug forges papers to allow Joi to treat Ricky at home. Corday decides to back out of the Romano sexual harassment investigation after he threatens to expose her relationship with Benton. Romano is later named Acting Chief of the ER. Dr. Greene treats a Nigerian janitor for back pain and impotency. Carol and the nurses watch a bunch of dogs when their owner is hospitalized. Carter diagnoses a med student with Hodgkin's disease. Kerry initiates a search for her biological parents.

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.

Carter is overwhelmed by patients from a rock concert riot. Benton's former girlfriend is killed in a car accident. Newly promoted to chief resident, Chen panics and misdiagnoses a patient. Kovac angers Abby by flirting with a waitress.