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The ER is upended this week no thanks to Cruz's recent staff cuts. The staff look to Jackie whose hands are tied because of the watchful eye of her boss. When Cruz suffers a pulmonary episode though Jackie steps in and does things her way. At home Grace argues with Jackie about switching schools while downstairs Zoey serves breakfast to Eddie and Gloria. O'Hara experiences serious discomfort from the pregnancy this week but the news that her donor and Coop share something in common really sets her spinning.