• Madchen Amick - Wendall Meade

• Leland Orser - Dr. Dubenko

• Sara Gilbert - Jane Figler

• Mark Elliott Silverberg - Urbanus

• Scott Grimes - Dr. Archie Morris

• Laura   Cerón  - Chuny Marquez

• Kyle Richards - Dori

• Michelle Bonilla - Paramedic Harms

• Brian Lester - Paramedic Dumar

Jane keeps questioning Neela's decision to leave medicine, "Eight years of school, most people would just suck it up. What did your parents say? My dad would've ripped my head off".  Neela replies, "Why don't you start the history and I'll catch up" ignoring what she had asked.  Knowing that her parents were upset and that her dad had pretty much disowned her.  Pratt is still tracking the interns who are doing the most and Ray's team is winning so far.  Ray has seen eleven, Abby has seen seven, and Neela has seen four.  Neela is upset that Ray is getting credit for what his students are doing.  Pratt asks Neela if she can handle two students instead of her one, but her answer is made when her student shows up needing her help yet again.  Abby is still fighting for control of her trauma, but Ray keeps trying to take charge.  Sam tells them that they are losing his pulse.  Dubenko questions Abby why that is.  She  tells him that it is because of spinal shock.  He wants to know what they need to do about it and she tells him that he needs an epi drip to get the BP up and increase cerebral oxygen activity..  Carter explains to the man's wife what is going on.  He tells her that her husband's body is shutting down.  Dubenko continues to question Abby and she gets tired and replies, "Can we take a break from chemistry class while we code him please?"  Ray continues to try and run the code so Abby gives in to Ray and hands him the paddles as Dubenko watches on.

Jane continues to question Neela over and over again about why she left medicine.  Chuny gives them another chart.  Neela is concerned that she made a mistake on someone's meds., but is relieved to know that it was not her mistake.  Back in the trauma, Abby tells the woman that she should sit down.  Things are a lot calmer now and the patient is pretty much brain dead.  All they can do is wait.  Abby goes over to help Luka on his trauma.  His patient has overdosed on prescription medicine.  They are not sure if it was accidental or intentional.  Luka asks the patient and she tells them that she does not know.  Neela looks into the trauma room where Ray and Abby's patient is and she asks Ray what is going on in there.  Ray tells her that the man is brain dead.  Neela asks him if they have any kids and Ray tells her that they have three.  She wonders if the kids are coming and Ray tells her that they are too young.  She asks him if he is okay and he tells her that it is part of the job.  Neela learns that her bruised patient has leukemia.  Ray asks her if she has ever told a patient that they had leukemia before and she replies, "It's part of the job".  Ray goes over to speak with Carter.  He tells Carter that ICU does not have a bed for the guy who is brain dead.  Carter tells him that they should call social services for the wife.  Ray sees the young boy is back from earlier that had the lead poisoning.  Sam explains that they could not leave until an attending signed off the chart.  Carter looks at the chart and sees that it is incomplete.  The lab results are not complete and Carter will not sing off on it.  Carter gets on to Ray for taking shortcuts.  Carter, "You've been a doctor for a month. You cant dispo a patient unless an attending signs for it. Get a repeat level then Ill sign the chart".  Ray's students watch on.  

Neela's patient is ready to leave.  He tells her that he has to get to church.  He feels as if he is being punished for an accident that he had yesterday.  He had hit a man with his car.  Neela tells him that he needs to rest.  His blood pressure is still too low and he needs to be in bed.  She is unable to break the news to him.  Jane is upset with Neela for not telling him.  Abby's student tell her what medicines were found in her patient's home.  Abby's other patient comes up and is mad about how long he has been there.  Abby tells him that they do not know what is wrong with him and he needs to stay for observation.  He tells her that he wants a second opinion.  Her wants to see a better doctor.  Pratt walks up and asks if he can help him.  He tells Pratt that he has been there all day and nobody can tell him if he has TB or not.  Pratt is only able to reiterate what Abby has already told him.  The man goes to sit in chairs and wait.  Neela and Jane are researching treatments for Leukemia at the admit. desk.  Chuny asks them how he took the news and is surprised to find out that they have not told him yet.  Pratt tells them that the half time score is Ray has fourteen and Neela has seven.  Neela can't understand how he gets the patients with athletes foot and lice and she ends up with the ones with Leukemia and syphilis.  Ray responds, "Wow, you get the cool cases".  Neela is upset and Ray tries to make her feel better by putting Abby down.  Abby walks up behind him and he calls her the "Teacher's Pet".  Abby doesn't like the comment.  Dr. Dubenko walks up and is glad to find they are still there.  He wasn't able to finish his discussion earlier and wants to.  He pulls out a marker and starts to write on the x-ray light box.  He gets caught up in his discussion and draws over on to the wall with what seems to be a permanent marker.  Abby says that she has patients to see and walks off.

Abby and Neela discuss what just happened with Dr. Dubenko.  They get disgusted at seeing Ray drinking baby formula.  He tells them not to knock it.  It is high in protein and it is free.  Pratt runs off the totals so far.  Abby has seen seventeen patients, Neela has seen twelve,  and Ray has seen twenty-one.  It is only four 'o'clock he tells them.  Ray asks if he hits twenty-five can he go home early.  Pratt raises the goal to thirty.  Neela is not happy.  A woman from social services comes down to see Ray.  Her name is Wendall Meade.  Ray tells her that he has paged her four times.  She tells him that if she doesn't answer right away there is a reason.  He tells her that she needs to talk to trauma one's wife.  She doesn't like the fact that he has called the patient trauma one.  Carter tells her that his name is Ben Coleman and his wife is Stacy.  He explains that Ray is an intern.  "So referring to a patient by name is a second year's job", she asks.  She asks Ray if he has gone over the packet.  He has no clue what she is asking.  "The checklist that covers all sorts of issues with the patient's family", she explains.  He has not and she tells him to call her when he has done so.

Abby and her student are told that there OD patient is waking up.  Abby's student has noticed that she has not had anything to eat or drink, so he hands her a cola.  Neela and Jane are still working on listing Leukemia protocols.  Jane isn't too happy to be working on that and would rather be cracking chests or doing something else.  The paramedics bring in a fifteen-year-old skateboarder who hit a fire truck ladder with his leg.  Abby and Neela take him.  They can't remember being that annoying as med. students.  Ray goes in to question the brain-dead patient's wife.  She is glad that he is there because she wants to talk to him.  Ray doesn't really feel comfortable talking with her and just wants to run through the questions that he has to get answered.  He tells her that the social worker can answer her questions when she asks how she is going to tell their children.  Ray asks her about organ donation and the woman answers, but is not really listening to what Ray is asking.  Ray marks the answer as being yes, when in reality she did not answer.  Abby goes in to see her OD patient and tells her that she is looking better.  The woman tells Abby that she doesn't want to drink anymore of that mud.  Abby tells her that her tox screen was negative and her EKG is normal.  Abby tells her that she will have to talk to psych. before she can be discharged.  Chuny comes in to ask Abby about an infant patient and Abby tells her that she has not presented the infant yet.  Sam then comes in to ask Abby a question, but Abby will have to look the answer up for her.  Abby's patient says, "The condom broke".  Pratt comes in and tells Abby that one of her patients is threatening to leave AMA and Abby tells him that she is waiting for a surgical consult.  Pratt tells her that she will have to see three patients an hour to meet her goal.  Abby asks her patient about the condom breaking.  She admits to having slept with a worker who she later learned had HIV.  She was worried about getting sick after being clean from using needles for five years.  Pratt taps on the window and points to his watch.  Abby knows that her patient needs to talk, so she takes time with her patient instead of rushing to get to another one.

Neela goes in to speak with her Leukemia patient, but she tells Jane that she prefers to speak with him alone.  Jane is offended and walks away.  Neela goes in to find that he has left.  She asks Chuny if she knows where he may have went.  Chuny tells her that he went to the bathroom, but will be back.  Nobody would have discharged him Chuny tells her.  Ray sees her and assures her that there wasn't anything she could have done.  Neela comments that she shouldn't have left him alone.  Abby is working with Luka on the skateboarding kid.  They are getting x-rays of his leg.  Abby asks Luka his opinion on the use of the HIV triple cocktail after a known HIV exposure.  She tells him about her patient  and he tells her that it is mostly used for medical personnel who have been exposed and that the hospital can't afford to give it to everyone after a one night stand.  Abby tells him that she is only talking about giving it to one patient.  Luka tells her to splint the boy's leg and to stay with him until he regains consciousness.  Pratt gets on to Neela for not telling her patient about his Leukemia.  She tells him that oncology couldn't get down there.  Pratt tells her to find him before he bleeds out and dies.  Neela needs to speak with Abby, but she is busy on the phone trying to come up with some meds. for her HIV exposed patient.  Carter asks Abby about a patient, but gets distracted when Wendall shows up.  Carter sees that she is going to speak with the brain-dead patient's wife.  Ray is still peddling his doughnuts to get on the good side of the nurses.  It makes Neela and Abby angry to see that he does that.  Pratt tells Abby that she is lagging behind and taking up the rooms.  She tells him that she has most of the patients that are on the board.  All of her patients are needing consults and she has not had one with a simple problem that she can help.  Pratt walks away and leaves her to her patients.  Abby asks Sam why one of her patients has not been taken upstairs yet and she tells her that CT is backed up.  Ray suggests ways of getting around it.  Ray is willing to wheel and deal to get his patients seen.  Sam tends to agree with Ray on his techniques.  Pratt goes over the tally count again.  Ray has seen twenty-five, Abby has seen nineteen and Neela brings up the rear with only sixteen.  Ray offers to help Neela out by giving her one of his patients to dispo.  A security guard comes up and tells them that there is a patient with an ER wristband on in the chapel.  Neela runs to the chapel.  Pratt yells to her where she is going?  She has only seen sixteen patients.  Abby makes a call and tells them that she has been stuck with a needle.  Carter asks Ray about the questionnaire he filled out with his patient's wife.  He asks him if he actually spoke with the wife or if he just filled it out on his own to save time.  He points out that he had organ donation checked off, but the wife never consented.  Ray assures him that she had consented.  Carter tells him that the wife walked in as the transplant team were prepping the heart and the wife thought that maybe they were helping him.  Ray wants to speak with Carter privately, so that Ray's students cannot see or hear the discussion.  Carter continues to get on to him without moving.  He wants to know if Ray even went over everything with the wife in detail.  Ray tells him that all he did was go over the questions.  Carter tells him that when he takes shortcuts, people get hurt.

Abby is getting her blood drawn and a nurse tells her about the medications that she will need to take.  He tells her about the precautions she needs to take before sticking her hand into the sharps container.  She will need to come back in two weeks to take the test again and he will have the results of her test tomorrow.  Neela finds her patient in the chapel.  He is praying.  She tells him that she knows he thinks this is happening because of what had happened, but that he has Leukemia.  She tells him that it can be treated successfully.  Carter sees Abby and tells her that he heard about her needle stick.  He asks her if she needs to go home.  Abby sees Wendall and asks her if she has seen her patient.  She tells her that she is comfortable in discharging her without any follow-up.  Wendall also asks her about her needle stick, but Abby brushes it off.  Abby's student is also worried and offers to get her an iced tea from across the street.  Sam hands Ray a message to give to the brain-dead patient's wife.  Ray sees her and she tells him that they have taken him to the morgue.  He tells her that her sister has called and she has the kids at her house.  Ray tries to apologize, but it doesn't seem to do any good so he leaves her alone in the room.  Abby sees him and tells him that she needs a favor.  She wants to know if he knows anyone in the pharmacy who can fix a prescription label for her.  He seems to be pleased that she asked him and he tells her that he can help.  Neela is asked how her first day back went.  She admits that it was hard, but she will be back tomorrow.  Carter sees Wendall and thanks her for her help.  She offers to walk out with Carter.  Abby sees her patient and gives her the HIV meds. that were given to her.  The woman thanks Abby for her help.  Abby's med. student asks her out to dinner, but Abby tells him no.  Morris comes back in for the start of his shift.  Ray is happy that he met his quota of patients.  Pratt tells him that he missed his quota by one.  Sam tells them that she met her quota also and writes the number seventy-five beside her name.  Ray gets out more baby formula and offers Abby and Neela a drink.  Neela tells him that it is gross and he offers to take them out for real drinks, but they decline.  They can't understand how he is not tired and how he doesn't have any charts to finish up.  Susan and Luka are coming back in also as the shift changes.