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The ER staff differ on how to proceed when a patient comes in with a bullet in him needed as evidence. Neela finds herself the object of more attention than she wants, or needs. Abby has passport woes, and struggles with the changes being made. Pratt and Morris find themselves forced to defend their actions, while Hope prepares for a new mission.
Abigail Marjorie "Abby" Lockhart, M.D. (née Wyczenski) is a fictional character from the NBC medical drama series ER, portrayed by Maura Tierney.She first appears as a guest star in the first half of the sixth season, before becoming a main character later that season, appearing until the beginning of the fifteenth season.
Pratt becomes an ER attending. Kovač and Abby clash about trying a risky experimental treatment for Joe; eventually Abby agrees and Joe improves, but develops complications that are noticed at first by Maggie, who insists that the Attending, Dr Rabb, be paged, saving baby Joe's life. He requires surgery, but finally recovers.
Pratt gets a visit from his estranged father Charlie (Danny Glover). A depressed Kovač copes with another failed relationship when Sam announces she's moving out, but he gets emotional support from Abby, who joins forces with Neela to put a spoiled, rude patient in her place.
Lawyer Herb Spivak shows up at the ER and tries to generate lawsuits against County until he ends up a patient himself. Pratt continues to dazzle everyone with his medical skills but struggles with his teaching role. Abby returns to work while still recovering from her post-abduction trauma, but med student Jake helps her overcome it.
Sam gets personally involved in the case of an abused and newly pregnant teen. The ER deals with victims of a multi-vehicle accident caused when a man with heart troubles passes out and hits two other cars. Abby and Pratt disagree about a patient with a badly swollen knee; Pratt wants to just treat and release him while Abby wants to run tests.
The final season opens up revealing Gregory Pratt is the victim of the ambulance explosion. Despite the rallying efforts of his workplace colleagues, he succumbs to his injuries and dies. The season introduces Cate Banfield as new ER chief, a woman with a seemingly mysterious past with County General.
Numerous college students come into the ER, victims of fraternity/sorority pledging pranks and hazing rituals. Carter and Abby take a road trip to Oklahoma to pick up Maggie, who has locked herself in a motel room; then she steals sleeping pills from a convenience store and attempts suicide. Rena dumps Carter over the phone.