Corday rushes through a surgical procedure in order to take off on a romantic weekend with Greene. She is later called back to the hospital after her patient suffers complications. Abby's mother, Maggie, who suffers from bipolar disorder (manic-depressive) and refuses to take her medication, unexpectedly visits Abby at the hospital and wreaks havoc on Abby's life.

Tests reveal that Greene has a brain tumor, but he hides the news from Corday. Corday finds out that she is being sued for malpractice. She also reveals to Greene that she is pregnant. Abby's mother refuses to leave. Abby expresses resentment over her difficult childhood to her mother but resignedly brings her home for Thanksgiving dinner.

Maggie's emotional instability worsens. She refuses her medication, becomes combative and flees the hospital. Abby finds solace with Kovac. The gang member girlfriend of Benton's deceased nephew knows who killed him and that he was hated for his antigang stance.

Abby and Carter travel to Oklahoma to rescue Abby's mentally ill mother and bring her back to Chicago. In Chicago, Maggie suffers from a sleeping pills overdose. At County General, Kovac frantically revives her. Benton treats a college student injured in a fraternity prank.

Maggie contests Abby's attempt to institutionalize her. Weaver treats a few bizarre patients. When Legaspi returns to work after being exonerated of sexual harassment, Weaver tries to reconcile with her. Benton injures his hand while transporting his former teacher to the hospital and must contend with the teacher's wisecracking elderly buddies.

Cleo and Carla clash after Reese gets hurt while in Cleo's care. Weaver and Kovac cannot save the life of a developmentally challenged woman's only caregiver. Abby goes to a therapy session with Maggie. Later, Abby confesses to Maggie that she is afraid to bear children because they might be bipolar like her mother.

Abby's family nightmare continues as she and her mother Maggie search for Abby's missing brother Eric, who Abby suspects is suffering from serious mental problems. Meanwhile, Corday treats a family of patients who, while building a snowman, were severely injured after being struck by a truck driver.

Abby is distressed when her mother interferes with Eric's treatment at a psychiatric hospital. Pratt treats a frightened young girl who has been injured in an auto accident and desperately wants to hide a secret. An unhappy Luka forms an unlikely bond with a lonely elderly woman who makes him a surprising offer. Chen is overcome with upsetting memories when a baby is abandoned in the emergency room. Pratt takes action after Leon is fired from his menial job.

Abby comes close to breaking down trying to deal with her mother. Dr. Pratt goes for his required paramedic ride-along. Dr. Weaver confronts the man who stole her purse. Dr. Lewis has a teen admirer.

The police question Drs. Pratt and Gallant about a rampage at the diner across from the ER. Dr. Lewis befriends her teen admirer, a cancer patient.

As Abby and Luka cope with their newborn's life and death struggle, the couple is shocked to receive a surprise visitor: Abby's mother Maggie. Meanwhile, Sam fears the prospect of criminal charges; Neela discovers that Tony Gates will be joining the ER team as an intern and Morris gets his job back while Weaver gets demoted.