Pratt's car crashes into the river. He, Chen, and Elgin are severely injured. Abby begins her internship at County, as do Ray Barnett and Howard Ritzke, while Neela returns to Chicago after giving hers up in Michigan. Alex and Sam crash at a motel, where Alex secretly places a collect call to Luka. Luka comes to find them and asks Sam to return to Chicago with him. The Lopez family gives Weaver full custody of Henry, and will take care of him while she is at work. Carter and Kem scatter their son's ashes, and Carter asks her to marry him.

Sporting a large scar on his head, Pratt is back at work, but ends up being sent home early. Neela spends the day looking for a job. The new OR attending declines to perform an illegal organ donation procedure between two HIV positive people, but Carter convinces Corday to do it. Abby irks Ray by ordering a drug test on one of his patients. Luka takes Alex to his soccer game, and Susan and her family pay a visit to the ER.