Doug faces possible criminal charges after Ricky Abbott dies when Ross shows Joi how to give Ricky a lethal dosage of medication. Doug is delegated to desk duty, Carol's clinic is shut down for acquiring the P.C.A. machine for Ricky, and Greene and Weaver face future disciplinary action for not reporting Doug's earlier mistakes. Meanwhile, Carter and Lucy discover a mutual attraction, Benton studies with a sign language instructor, and Romano begins his first day as acting ER chief.