A baby's life is endangered when the surrogate mother refuses a C-section. The biological parents, Ray, and Dr. Coburn disagree over the surrogate mother's treatment. Abby makes a difficult diagnosis on a young boy with a rare illness. Pratt is reunited with his father and his family. Sam tells Luka she's moving out, and Luka discusses the move with Alex.

Luka treats a woman who awakens after a six-year coma. Kerry returns to the ER, and clashes with Luka over the treatment of a baby injured in a car crash, while Neela treats the mother, who may have caused the accident deliberately. Abby learns about Dr. Dubenko's condition, and we learn his first name. Eve continues to challenge the nursing staff. Jerry gets struck by lightning.