Domestic troubles cause problems for Greene and Corday. Later in the day, however, Mark shows Elizabeth their spacious new digs and proposes to her. Chen tells Weaver about her pregnancy; she is 22 weeks along. Carter sees Abby at an AA meeting. Afterwards, he asks her to be his sponsor. He also meets with Greene and Weaver about coming back to work. Abby, down from OB, helps a young couple whose baby was born much too early. Benton and Romano clash over an obnoxious homeless man who once again requires extensive treatment resulting from his chronic disdain for maintaining his dialysis appointments. Weaver and Kovac are helpless to assist a severely comatose woman whose longtime life partner is not legally empowered to make decisions about her care.

Benton encounters trouble finding a new job after Romano blacklists him across town. He considers taking a job in Philadelphia, but decides to stay with County in a no-benefits job after Carla won't agree to a visitation schedule. Benton's nephew Jesse comes to the ER after getting in a fight at school. A shooting in the ER interrupts Carter's first day of treating trauma patients. Chen treats a dying young boy whose mother wants surgery for him, no matter what the outcome. Kovac and Abby go on a date, which is interrupted when they are mugged. Luka then beats the mugger to death. Greene treats beauty pageant contestants and is also enlisted by Malucci for a hockey game. Weaver treats a dementia patient who has been AWOL for 50 years.