Susan's last day in the ER finds Mark unsure of himself. Despite Doug's urgings, Mark still finds himself afraid to admit his feelings for her. He chases her all over the city until he finds her at the train station. He declares his love for her, but she decides to leave for Phoenix anyway. Grabarsky and Lydia finally get married. Carol agrees to become "management" in exchange for an end to the policy of floating ER nurses elsewhere. Al Boulet delivers divorce papers to Jeanie. Doyle calls the cops on a pregnant woman who is piss drunk, trying to kill her unborn baby. On Healthmobile duty again, Doug meets a young girl named Charlie.