Kerry and Pratt treat a little girl hit by a stray bullet. Luka and Ray treat a woman with cancer who makes a difficult choice. Clemente's former flame shows up. Eve's extreme response to a rude patient forces Luka to bring in the nursing supervisor. Haleh auditions singers for the Christmas party. Sam discovers the impact Steve's imprisonment has had on Alex, and takes him to visit his father. Abby shares some big news with Luka.

With Luka eager to get home, Clemente AWOL and Kerry temporarily off her feet, Dubenko volunteers to cover the ER briefly, but quickly becomes involved with a septic patient and her husband, who is unwilling to accept she will not improve. He soon finds himself at odds with both the ER and ICU staff over an appropriate course of treatment. Abby's excitement over her pregnancy means no sleep for Luka, and they head out for a bit of early shopping, and some dressing-room fun. Neela gets surgery as an elective, but is shocked to learn that rather that finishing his training in the US, Michael plans to return to Iraq. Ray helps Zoe escape to live with her sister when she arrives in the ER after a beating by her father, and Pratt fakes a blood test to help Darnell avoid arrest.