Luka and Gates finds themselves at moral odds when treating a woman suffering liver failure. Abby cares for a couple with injuries resulting from an unusual ceremony as well as a fortune-teller with a prediction for her future. Neela prepares for another kidney transplant, but something seems amiss to her, leading to a confrontation with Dubenko. Ray treats the victim of an unusual fall, and Alex's troubles continue to intrude on Sam's work life.