Carol returns after her eight week absence, finding Doug holding himself responsible. Carter finds himself watching over a mysterious, mentally ill singing woman. Susan clashes with Dr. Kayson over a diagnosis. Dr. Greene treats a domestic violence victim.

Carter fumbles his way through his first look at surgery. Dr. Lewis' nemesis, Dr. Kayson, makes her New Year's Day decidedly unpleasant. Chloe announces she's moving to Texas with her boyfriend.

Morganstern invites Mark to join the staff as an attending physician. Mark treats an woman with breast cancer, who begs him to kill her. Deb "wows" Benton with her amazing presentation, leaving Carter in the rear again. Benton offends Haleh, who spends her day making his job extremely more difficult. The ER gets new crash carts, which are promptly stolen by cardiology.

Carol worries about a Russian girl with AIDS who's brought in and then abandoned by her foster mother. Kayson asks Susan to be his Valentine. Deb accidentally consumes LSD-laced chocolates.

The ER treats victims of a gang shootout. Carter arrives late and unprepared for his new position. Mark learns all about being an attending, including senior staff's habit of bad-mouthing the residents, particularly Doug Ross. Mark hires a new chief resident, Kerry Weaver. New third year med students arrive to complete their ER rotation.