Susan visits a psychiatrist to cope with the loss of Little Susie. Jeanie's estranged husband Al checks in the ER complaining of flu-like symptoms, which turn out to be caused by HIV. Shep expects Carol to back his version of events during an official investigation of his behavior. Loretta takes a turn for the worse. Doug discovers that his father has disappeared with a LOT of Karen's money.

Carol is pushed to the breaking point after another day when politics triumph over health care, and she quits. Dr. Greene "trades his soul" when he agrees to back Weaver for ER attending, in exchange for her support of Susan for chief resident. Jeanie takes an HIV test and informs Peter he should get himself tested as well. Carter invites Benton to his med school graduation, which he himself misses. Shep's refusal to see a psychiatrist risks his relationship with Carol.