Drs. Benton and Langworthy are unsuccessful in reviving a teen-aged boy involved in a traffic accident and it's left to Carter to determine the boy's identity and notify the parents. Unfortunately, he tells the wrong parents that their son is dead. Doug Ross tells a young patient that he will not be separated from his schizophrenic mother knowing that she will likely be hospitalized for a long time. Susan Lewis tells Mark that she is dating the psychiatric attending physician Div Cvetic. She also treats a salesman whose cell phone is having an odd effect on hospital equipment. Benton forgets that he was supposed to sit with his mother while his sister and brother-in-law were to go out for their tenth anniversary dinner.

Susan Lewis' boyfriend Div Cvetic, a psychiatric resident at County General, seems to be under a great deal of stress regularly lashing out at everyone. Doug Ross takes over for Mark Greene who takes a day off to be with his wife. He has a hard time keeping up with all the paperwork. John Carter is increasingly frustrated with Peter Benton who never seems to invite him to participate in surgeries. Benton learns the result of the fellowship he applied for and his mother shows up in the ER with a sprained ankle. Carol Hathaway treats a patient who was raped. A new ER aide, Bob, start work.

Benton is called out of surgery to find his senile mother.

It's a day of birthdays. Peter Benton's mother is celebrating a birthday and he tries desperately to find someone to cover his shift. He makes a choice however when Dr. Hicks suggests that he's been absent too often and may wish to consider a leave of absence until his mother's situation is resolved. Carter thinks it's Benton birthday and has a surprise for him. Mark Greene's daughter is also having a birthday but he misses that due to an emergency at the hospital. An elderly, solitary man in the final stages of cancer arrives in the ER on his birthday. Carol Hathaway suggests to her fiancé that they adopt little Tatiana, the AIDS patient abandoned in the ER. Ross has to deal with a young child who was kicked out of a window.

Carol Hathaway goes ahead with her plans to adopt Tatiana, but her past history makes her ineligible. Benton continues to trade shifts so he can spend time with his mother but it all catches up with him and he has a run-in with Dr. Hicks. Doug Ross treats an abused child. Green, Benton and Carter take extraordinary measures to save a man they later learned had signed a DNR. A consultant arrives to study procedures in the ER, but all is not quite what it seems. Mark Green's wife Jen has an important announcement. Benton's mother has a serious accident when he falls asleep on the couch.

Doug Ross and Nurse Hathaway treat a girls' basketball team from a local catholic school for meningitis. Their teachers also need to be tested but one of them confides in Hathaway that she may have a particular problem. Green and the Chief of Staff have a disagreement in the middle of a procedure. With the wedding only two weeks away, Tag and Carol Hathaway have to deal with all of the final preparations, not the least of which is writing their own marriage vows. Susan deals with a suicide victim who is using emotional blackmail to keep his girlfriend from leaving him. Susan reaches the breaking point with her sister Chloe and tells her she has to move out.

Rumour has it there's something going on between Mark and Susan while Benton questions Vucelich's study and confronts him.

It's the first day of Carter's internship. He has a 36 hour shift and overnight he has to cover the ER, the ICU as well as the surgical patients.