Greene struggles to juggle the demands of the ER and his increasingly problematic daughter, Rachel. Nonetheless, he agrees to write an article for a medical journal in order to better his chances for a teaching position at the hospital. When Anspaugh refuses to perform a complicated surgery on a "lost cause," Carter goes behind his back and gets Hicks to do it. While the patient survives, Carter is placed on probation. Benton tells Carla he wants to accept financial responsibility for her and his baby. Hathaway awaits the results of the MCAT.