The ER is on guard as Gates gathers the new interns to treat a terrorist, but it's the new doctor and her tough disposition that has everyone on the defensive.

When a thirteen-year-old gymnast is brought into the hospital after having supposedly fallen off a wall, Dr. Banfield and Dr. Gates must sort out whether abuse is involved.

Patients include an 18-year-old who was stabbed with a fork at his school, and a man shot by a cop at a Halloween party. Meanwhile Sam is annoyed by Gates and Daria.

Both Morris and Neela have authority issues with Dr. Banfield and Gates upsets Sam.

Trying to rescue a three-year-old girl from drowning in a nearby lake, Banfield is reminded of her own experience at County with Dr. Greene caring for her son.

A woman who broke her leg while trying to escape a house fire is brought in with her husband. The husband, Mr. Lotery did not let the paramedics to check him over. Then his brother-in-law arrives, saying that he predicted that something like the house fire would happen - it was actually an arson. Mr. Lotery's brother-in-law becomes aggressive and accuses him of being a pervert, specifically a pedophile. Mr. Lotery denies the accusations. He was sued but found not guilty. When Mr. Lotery is waiting for his wife who's in line for X-ray, he has the chance to calm down a young girl who is afraid of needles. When his brother-in-law sees this, he brutally assaults him, while Dr. Brenner calmly watches nearby... Meanwhile, Neela gets sued for malpractice.

On Neela's last day at County, she has doubts as to whether she is making the right decision.