Carter is back in Chicago and has brought Kem with him. His return to the hospital is uneventful, although there is an awkward moment when Kem meets Abby. Sam gets called to Alex's school as it seems that he was suturing his own cut. She asks Abby whether the nurses' insurance covers family therapy. Gallant discovers that his sister has been getting it on with Pratt, although she later dumps him. Pratt accidentally breaks a patient's neck while doing an unsupervised intubation. Missing Valium is found in Weaver's labcoat, although it's implied that Morris took it. Luka informs Weaver that he's leaving for the Congo in two weeks. However, he later decides to stay in Chicago indefinitely.

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.