Kem accompanies Carter to work and manages to annoy about half the hospital over the course of the day. Weaver has used the money that Romano left to the hospital and unveils the Robert Romano Center for Gay, Lesbian, Bi and Transgendered Health Care. Gallant is doing a ride-along with Morales and Bardelli. Weaver offers Lewis the acting ER chief job, but Susan refuses because she's pregnant. Pratt is questioning his abilities as a doctor. Chen calls the ER to tell Pratt that her mom has died in China. Sam finds out about Luka's reputation as the ER bed hopper, but finds herself making out with him by the end of the day.

An entire family suffering from carbon monoxide poisoning is brought to the ER. Claustrophobic Neela must spend a couple of hours in a hyperbaric chamber with the family's newborn baby. Carter misses Kem, who's been gone for a month now, so Jerry arranges a webcam chat for them. Luka and Sam have been keeping their relationship a secret from Alex, although he finds out and isn't too thrilled about it. After Sam suggests they take their relationship slower, Luka isn't too thrilled either. Dr. Lawson asks Elizabeth out. Sandy's mom brings Weaver's son Henry in. Chen returns from China: her dad needs 24 hour nursing care and she's having trouble getting adjusted to that idea. Susan and Chuck visit her dad and tell him about the pregnancy.