After being pushed out of his job as Chief of Staff by Kerry, Romano takes control of the ER and wreaks havoc and manages to get himself beaten up in a bar after work. Luka tries to convince Kerry to put him on the case of a Croatian child desperately in need of heart surgery, to no avail. A young woman with terminal cancer must make a choice between life-prolonging chemotherapy and the life of her unborn child. Pratt buys a birthday gift for Chen from a street vendor whose foot was run over by Elizabeth's nanny; Susan's husband (who she married the same week she met him) unexpectedly shows up from Las Vegas.
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