Carter returns to County General to hearty welcomes. Although Abby is shocked to learn that Carter's beautiful African girlfriend, Kem, is already pregnant with Carter's child, Abby has moved on with her life as well, going back to medical school.
Carter misses his pregnant girlfriend who has returned to Africa. A family of four is rushed to the emergency room after suffering carbon monoxide poisoning from their faulty furnace--forcing the claustrophobic Neela to accompany a newborn baby into an extremely uncomfortable hyperbaric chamber.
Dr Morris agitates a patient who then leaves, steals a tank, and rampages through Chicago on his way to County General. He makes it all the way to the ambulance bay before the CPD finally stops him. Sam tries to figure out her relationship with Kovac while Gillian shows up at the ER to cement plans for dinner with Carter, Kem & Kovac - making things that much more difficult. Neela confronts Frank about his arrogant bigotry, bluntly telling him she wants nothing from him but silence from this point forward. During the initial onrush of patients due to the tank rampage,...
Carter defends his protégé Neela when Weaver and other doctors rate the residents. Carter urges his student to be more proactive in the emergency room, but Neela goes too far in treating a patient with a brain injury--and sympathetic Gallant errs further by falsifying a medical report. Meanwhile, Chuck protects pregnant Lewis from a pervert who is harassing her. Kovac treats a disoriented young boy whose dad fears that tests will reveal he is not the boy's biological father. Chen is unable to find a caretaker for her combative father. And Corday is uneasy about dating...
Weaver rushes to the aid of her female life partner, Sandy Lopez, when the firefighter is severely injured while working and must now battle for her life. Frightened Weaver whispers hope to Sandy by reminding the victim of their newborn child.
Pratt struggles to diagnose a woman who suffers mysterious chronic seizures. An attractive woman, Campbell (ASHLEY LAURENCE), informally accuses flirtatious Pratt of sexual harassment. Abby ponders how to get her contentious patients' attention during her psychiatric department rotation.
A panic-stricken Weaver is ordered to give her son to the Lopez family. Carter greets the returning Kem, but their meeting with his father, Jack, gets tense after Carter announces plans for his grandmother's estate.
Kovacs stops to help a woman and her son whose car broke down. Steve is getting close to Alex, and Sam panics. Abby is looking for her letter whether to see she passed her boards. Pratt shows off his new Chrysler. Elgin tries to build a connection between him and Pratt. Jing-Mei might be battered by her senile father.
After being shot at, Pratt, Jing-Mei and Elgin are trying to get of their sinking car. Sam took Alex with her while fleeing for Steve, Kovac is considering to go after them. Abby wants to go to bed since tomorrow is her first day as a doctor, but is thwarted by Weaver, whose custody battle might take a dramatic turn. A young drug-dealer is brought in with "a foreign object" in her tunnel of life.
Neela is still struggling with her decision not to continue becoming a doctor. We discover that Ray is in a band. Kovac and Sam are amoureux, but where does that leave them? Carter takes Abby to dinner in a restaurant he hired off for the evening.
Carter, Pratt, Kovac and Abby are dealing with a woman and her three children who've jumped from a three floor apartment trying to escape from the father. Meanwhile Dr. Lewis becomes Chief of Emergency Medicine, Howard quits his internship and Dr. Corday is facing dismissal.
Neela starts a new job in the emergency room after working at the convenience store near the hospital. On Neela's first day, Pratt expects the interns, Abby, Ray and Neela, to take on a large patient load during their shifts. Pratt turns processing the patients into a competition, in which Ray is clearly going to be the winner.
From 11:22 to 12:06 we can follow everything that happens to Charlie Metcalf (played by Ray Liotta), a patient who is at death's door. We are shown the minutiae of a treatment which are usually glossed over in the "regular" episodes, interlaced with images from Charlie's delusions which give an insight into the regrets he has about his wasted life.
A wounded police officer's teenage son must make a life or death decision. Abby tries to convince a girl needing appendicitis surgery to stay at County, but her fathers wants her transferred to another hospital.