Dr. Hicks berates Benton when he tries to switch shifts to attend his mother's birthday party. A teenage girl, a frequent patient of the ER, is brought in for a drug overdose. Carol decides she wants to adopt Tatiana while Tag isn't so sure. Dr. Ross slugs an abusive father in the lobby. Jen accepts a job offer in Milwaukee despite Mark's offer from Morganstern. Deb and Carter await the arrival of sub-internship applications.

A busy Dr. Greene goes all day in solving his patients' problems until he encounters the case of a pregnant woman suffering from complications that threaten both her life and her unborn baby's.

Susan is forced into the role of parent when Chloe gives birth and both Chloe and her mother, Cookie, shirk responsibility. Doug is surprised and a bit frightened when Diane suggests they move in together. Unfortunately, Linda Farrell happens to be around to take advantage of his nervousness. Carter is offered the ER sub-I but turns it down in anticipation of receiving a surgical position. Peter receives unpleasant news; his mother has died.

A 31-year-old security guard is brought in suffering from severe chemical burns, and a 21-year-old man is wheeled in after falling 75 feet into a river. Meanwhile, Benton is upset that Carla's boyfriend is part of Reese's baptism.