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Watch ER online: Episode 4 Shifts Happen

Pratt is left in charge of a busy night shift, with only a few med students and fellow 2nd year Dr. Coop. Both Neela and Pratt make mistakes with their patients. Abby is looking for a loan for a secret endeavor; she finally gives in and begs her ex-husband to co-sign. Romano gets his Utah arm. Abby visits Luka, finding Gillian in the middle of saying goodbye. Corday and Dorset are still doing it, although Corday wonders if it's too soon after Mark's death.

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