Finding out Alex has not been talking to the psychologist that Sam set him up with, she confronts him and learns that Alex witnessed the shooting. Pratt's joy to be promoted attending is cut short, having to teach the new interns and supervise the residents. Gates and Pratt's fight over Gates' failure to keep his charts current and the treatment of a gay heart patient results in his partner fighting his family over keeping him alive. Against Pratt's orders, Gates saves the patient's life, but he is brain dead, which ultimately is worse for all, especially Pratt. Gates has sex with what appears to be his roommate. After visiting Abby and baby Joe, Neela meets the new chief resident of surgery, Dr. Dustin Crenshaw, whose personality and scarce hair recall the hated late Dr. Romano.
—KGF Vissers