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|Season 10, Episode 4|
|Air date||October 23, 2003|
|Written by||Dee Johnson|
|Directed by||Julie Hebert|
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"Out of Africa"
Shifts Happen is the 4th episode of the 10th season of "E.R."
Pratt is left in charge of a busy night shift with only Coop and a few med students to help. 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 it. Romano gets his prosthetic arm.
Abby visits Luka and finds him in the middle of saying goodbye to Gillian. Corday and Dorset are still involved, although she wonders if it's too soon after Mark's death.
- Although in the opening credits, Noah Wyle does not appear in this episode.
- Kristin Minter makes her final appearance as desk clerk Miranda "Randi" Fronczak in this episode.
- The episode is dedicated to Mitch Hébert.
- Cooper (to Pratt): I like your style, man.
- Pratt: Oh yeah? Get your own.
- Romano: You are a screw-up, Pratt and just to make myself clear, I didn't like you before I knew that.
- Abby (to Richard): I need a favor.
- Richard: Abby, it's 8:00 in the morning.
- Abby: Yeah, I know. I don't have a lot of time. I need you to co-sign a loan.
- Richard: Why don't you just declare bankruptcy?
- Abby: Look, I'm not in trouble, OK? I just need you...
- Richard: You want me to support you?
- Abby: No. I never asked for alimony, I didn't contest anything in court, I didn't take the damned furniture.
- Richard: You could have if you wanted to.
- Abby: Look, you must know how much I hate to do this. I wouldn't do it unless it was absolutely necessary. I don't want your money, I just want your signature.