Benton pulls a 48-hour shift and refuses to sleep, despite Hicks's orders, which later proves disastrous for his mother. A doctor spends the entire day studying the ER as a model for a new hospital, and offers Susan a job; he turns out to be a psych patient who wandered downstairs. Jenn tells Mark she wants a separation. Doug treats an abused young girl, and Carol receives bad news about her attempt to foster Tatiana.