Frances Sternhagen makes her first appearance as Carter's enormously wealthy grandmother, Millicent, whom Carol (Julianna Margulies) approaches for a contribution toward her new free clinic. Meanwhile, Carter (Noah Wyle) tries to hide his silver-spoon upbringing from class-envious Del Amico (Maria Bello). Back at the ER, budget cuts imposed by the management group Syngergix force Weaver (Laura Innes) to lay off several staffers -- including Jeanie (Gloria Reuben). Benton (Eriq La Salle) and Corday (Alex Kingston) have a tense argument over procedure. And Ross (George Clooney) gets some very bad news. ~ Hal Erickson, Rovi