Morganstern invites Mark to join the staff as an attending physician. Mark treats an woman with breast cancer, who begs him to kill her. Deb "wows" Benton with her amazing presentation, leaving Carter in the rear again. Benton offends Haleh, who spends her day making his job extremely more difficult. The ER gets new crash carts, which are promptly stolen by cardiology.

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.

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.