A depressed Carter has difficulty coping in the wake of Kem's decision to leave the country. Luka invites Sam to move in with him. Neela's parents visit, confused by her decision to drop out of Michigan. The nurses freeze out Abby after a slip of the tongue to Haleh. Weaver advises Barnett to change his appearance. Abby treats a young woman kidnapped from her home country and forced into sexual slavery.

A woman who threw her children out a third-floor window to escape their abusive father is discovered to have done it while going through Valium withdrawal. Susan becomes Chief of Emergency Medicine and learns what it's like to be in management. Plagued by his OCD, Howard abruptly quits his internship, leaving a slot open. Susan can't find anybody to fill it, then discovers Neela working across the street at the Jumbo Mart. Corday is in trouble after her illegal organ donation procedure, facing dismissal and the loss of her license to practice medicine. Weaver offers her a non-tenured position as a clinical instructor, and Corday must decide whether to accept the demotion.