After being passed over for ER Chief, Pratt makes plans to leave County and go to a hospital that will appreciate his talents and take him more seriously. A woman comes in with a severely injured ankle and a terrible secret, and Sam finds herself closely identifying with her. A former ER staff member rushes in to be with her son, who was brought in after a fall during gym class. Neela's cousin is in town, and Morris and Harold vie for her attention.