|Season 9, Episode 19|
|Air date||April 24, 2003|
|Written by||R. Scott Gemmill|
|Directed by||Richard Thorpe|
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Things Change is the 19th episode of the 9th season of "E.R."
PSYCHOTIC PATIENT ENDANGERS ABBY WHILE ROMANO WREAKS HAVOC IN THE E.R.: Abby (Maura Tierney) is threatened by an over-medicated psychotic patient (guest star Johnny Sneed) and gets an update regarding her missing brother (guest star Thomas Everett Scott).
Elsewhere, Dr. Romano (Paul McCrane) continues to make rash judgments and enemies when he orders a man with a severe sore throat to be released and then tries to perform surgery in the emergency room.
Dr. Kovac (Goran Visnjic) welcomes a old friend (guest star Nina Sablich), a fellow Croatian doctor to observe the chaos of an American inner-city hospital.
Carter also receives some emotional news from home as he guides a group of eager medical students who witness him refuse to give up trying to save a cardiac-arrested patient.
Laura Innes, Alex Kingston, Ming-Na, Sherry Stringfield, Sharif Atkins and Mekhi Phifer also star. TV-14