Hopelessly in love with Kylie and concerned that she will lose her Filipina heritage if she is adopted by a white couple, Carlos considers raising her until he realizes that the couple can give her the sister, the grandparents, and the extended family that he cannot. Kim's preoccupation with her new PDA drives Alex crazy until they are able to use it to save a very sick man, thus redeeming themselves in the eyes of a hypercritical Dr. Peterson. Faith and Fred are still on uneven ground about the Sergeant's exam. In an effort to shake Chevchenko's tree, Faith and Sully execute a clever plan to disrupt the Russian's bookmaking operation which also opens the door to the possibility of the still-missing Tatiana's return. Bosco is cleared for duty, and he and Faith agree to be partners again as soon as he returns.

Doc is demoted back to the streets and continues his downward spiral, presenting Kim with no end of problems as he lies about his demotion, resists her orders as the supervising paramedic, and deliberately runs down a perp with the bus; Barnes is shanked at Riker's for doing a flip on Buford; Carlos is devastated when Kylie is diagnosed with aplastic anemia and he's not a match for a bone marrow donation; Sully tries to deflect Ty's teasing about his relationship with Barbara by getting him to focus on their LSAT prep; after a horrific gunfight, Maritza finally captures Lettie's killer and decides to spare him so that he can suffer for the rest of his life in prison.