The ER is flooded with injured children following a school bus accident. Mark turns surly when Jenn refuses to let Rachel visit until he cleans up his act. Jeanie faces a crisis when she's forced to use her hand to stop a patient from bleeding. Carter demands that Benton stop treating him like a student, and start treating him as an equal. Carter and Anna get new students, with Carter getting the short shrift once again. A junkie mother claims that Carol dropped her newborn child. Al Boulet loses his job. Reese is discharged from the hospital.

Kerry investigates Synergix, an ER management group specializing in balancing budgets. She is later forced to fire Jeanie, who is then asked by Al to move to Atlanta with him. Mark is still suffering from the after effects of his attack, snapping at patients and staff alike. Doug is stunned by a collect phone call from California informing him of his father's death. Benton clashes with Corday after she apparently "steals" a rare procedure out from under his nose. Carol meets with Carter's grandmother to pitch her idea for a free health clinic. Anna is perturbed when she discovers Carter's wealthy background.