Iris, a commercial director and former patient of Greene's, returns. Morgenstern asks her to record the emergency room activity for efficiency evaluations. Later, Greene, whose ex-wife is the only woman he has ever made love to, has sex with Iris.

Carter competes with new surgical intern Dale Edson (MATTHEW GLAVE), from Harvard University. Not only has Dale performed many small surgical operations that Carter has not, Dale is also Harper's former lover. Carter manipulates Benton and Hicks to let him perform surgeries, but one patient is already dead, and the other only needs a toothpick removed. Finally, Carter aggressively replaces Dale and solves a mysterious problem with a young beating victim. Disgusted with Carter's behavior, Harper ends their relationship.

When Ross' father learns about Ross' offer of financial assistance to a boy whose cancer he did not notice, he sends Ross a large amount of cash. At first, Ross wants to send it back, but he has trouble getting his own money out of the bank and reconsiders. Then he goes to visit his father at the hotel. Instead, he finds his father's attractive business associate, Karen, and has a few drinks with her.

Lewis goes to court to gain custody of Susie, and the judge informs her that there is no chance of her succeeding now that Chloe is behaving responsibly again. Lewis must allow Chloe to visit the baby three nights a week. Reluctantly, she brings Susie to Chloe, who is living with their parents.

Hathaway worries when Shep's anger over Raul's death manifests itself in disturbing ways. Shep wants to avoid coming to work at all. He also remarks that he doesn't want his own children to live in the city and responds to two situations with excessive violence.