Christina and the crew are hit with an onrush of new patients when another Richmond emergency room shuts down. One patient is recognized by Camille as an old friend from school who appears to have a drug problem. And a reporter wants to use Ray as an inside source for a revealing article she wants to write concerning the ER.

Christina battles Morrissey after he asks her to lay off nurses due to budget cuts. Therefore, Kelly's job is on the line and she also encounters some problems with a doctor. This episode also features a terrible tragedy inside the ER.