It's a busy 4th of July. Sporting a large scar on his head, Pratt is back at work, although Carter sends him home early. Neela looks for employment without much success before taking a job far below her expectations. Abby and Ray argue on the course of treatment of an altered bicycle messenger. The new OR attending, Dr. Dubenko, declines to perform an illegal organ donation procedure between two HIV+ people. However, Carter convinces Corday to perform the operation. Luka takes Alex to his soccer game, although Alex isn't looking for a replacement for Steve. Susan, Chuck and baby Cosmo visit. New resident Howard may be obsessive compulsive.