Romano returns! Well, actually it's really Paul McCrane who directed this episode. Highlights: 1. Susan gets hit on by a creepy dude who likes hitting on pregnant women (it would seem) at a nearby pub after her shift and being picked up by Chuck. Chuck sees what the creep to doing to Susan and punches him out. Later they bring the creepy guy into the ER for treatment and Chuck gets into it with the guy again and they flair around while another patient enjoys the sprawling fight on the floor of their room. Susan finally lets the creepy guy snuggle next to her belly so he can derive some weird form of pleasure from it, and mouths to Chuck through the window that "he owes her big time" for putting up with it in order to get the guy to not press charges on Chuck for assualt. 2. Luka and Sam try to come up with ideas for her son's birthday. After a lot of standard suggestions (clowns, paintball, etc), Luke pulls into the ER driveway with a big ol' winnebago for a weekend getaway on some lodge/camp/lake. Sam is duly impressed. 3. Luka's main patient case was about a father finding out that his son has sickle cell anemia, but the father does not, so it's pretty obvious that his son isn't biologically his son, and he acknowledges that he and his wife were separate near the time of conception. Both Luka and the father keep this secret to themselves as the father will claim that he also has the gene for sickle cell anemia (to explain the situation to his wife). 4. Frank shows up to pick up his checks and to admit that he misses the ER. Aw.... 5. Neela takes a break outside the ER with Gallant, and she talks about how she doesn't think she's cut out for medicine given her recent rotations. Gallant tries to assuage her fears about medicine. Some minor romantic undertones are present. 6. Carter discusses Neela with the higher-ups (like Weaver) w/r/t the match program (when hospitals make offers to med school candidates they want to retain), the consensus is that she's strong on the medical knowledge, but lacking in decision making and assertiveness. Carter has confidence in Neela, and tells her to be more assertive in her decisions. Of course this results in Neela pulling some hasty decisions that impacts her and Gallant, who was the one supervising her on her shift. Neela didn't do the due diligence in getting a meds history on a patient, and she administered demerol to the patient and it caused a reaction with the new current meds the patient was on, which resulted in complications, and Gallant tried to take the fall for Neela. As the patient's complication gets worse, Weaver has to deal with the legal issues, and is confronted with 3 different stories by Carter, Neela and Gallant (Abby was there in a nurse capacity). Neela tells Carter what she knows of the situation. Neela also tells Gallant that she told Carter, which produces a lot of anxiety on Gallant's part. Whatever hint of a romantic connection between them is all but on hold as this situation quickly escalated into something that will be reviewed and careers will be impacted. Both Neela and Gallant are emotionally crushed by this situation. Gallant keeps trying to cover things up on the med chart for the patient. This wasn't the thing to do as Carter confronts Gallant at the end of his shift. It got a little confusing as to what Gallant's fate is because Carter told Gallant that he (Gallant) should have told him about the lack of patient history workup and administering meds without utilizing a nurse to push the meds. Then Carters tells him that falsifying a med chart is a felony and that the chart has already made its way into the legal department. Gallant's sort of screwed by this point. I'm guessing he'll get reprimanded and punishment doled out in some form or another, but Neela's career will remain on track for now. (It's one of those bittersweet "No good deed goes unpunished" situations). 7. Corday has become somewhat promiscuous by dating and jumping the 2 men she's been seeing (the doctor, and the guy who picks up Ella from school/daycare). Abby keeps her opinion of Corday to herself, but it's readily apparent. 8. In a lighter moment, a catholic school girl has some injuries treated, and they came from when she beat up a flasher who was flashing her and her schoolmates at school. The flasher shows up at the ER with injuries consistent with the injuries that the schoolgirl inflicted on someone (including a tennis racket welt on the face). The flasher sees the girl who hit him, and decides to try and sneak out of the ER, but another schoolgirl, waiting in the wait room with her classmates and a nun, spots the flasher. The next thing you see is the flasher sneaking out of the ER ambulance entrance and all the schoolgirls come running after him, and they trip him up and proceed to beat him up with their tennis rackets. It was a funny gag in light of the rest of the episode.