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Kovač's story in the Congo after Carter's departure is told in flashbacks as he battles debilitating malaria while delaying evacuation and is captured by the rebels, who murder a number of Westerners and un-affiliated Congo citizens.
Carter, however, learns that the rebels mistook Kovač for a priest and left him alive, and he arranges for Kovač's return to Chicago while volunteering to stay himself.
When Neela informs the ER of Luka's supposed death in Africa, Carter returns to Africa in the hope of finding Luka's body.
Carter returns to the Congo to search for Kovač's body and reunites with several associates.
On Christmas Eve, a chilled emergency room staff do their best to observe the holiday while a crusading Carter does the same half a world away as his friendship and romantic relationship with Makemba, an Anglo-Congolese AIDS worker, is revealed.
Carter returns from Africa full of surprises including a pregnant new love, Makemba ("Kem").
I have many trustworthy and hardworking individuals that are Gay and Lesbians. #Teen Mom OG #LGBT — Simon (@Simon Saran) February 19, 2018 Disgusting.
New characters arrive in the form of medical student Neela Rasgotra, hapless Resident Archie Morris, and Nurse Samantha Taggart filling the void left by Abby who returns to medical school.
In addition, three new second-year residents join the staff - including bumbling Archie Morris and the self-assured Dr. Pratt and Weaver wind up on the wrong side of two judgment calls during a hellacious night shift that also finds Abby secretly seeking funds to return to medical school, leading to a frosty meeting with her ex-husband. A spirited new nurse, Samantha "Sam" Taggart, replaces Abby - who returns to medical school but also continues to work as a nurse to afford the tuition.
Luka weighs his plans for the future: Chicago or the Congo.