ER/Shifts Happen

Shifts Happen
Season 10, Episode 4
Airdate	October 23, 2003
Written by	Dee Johnson
Directed by	Julie Hébert
← 10x03 Dear Abby	10x05 → Out of Africa
ER — Season Ten

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Shifts Happen is the fourth episode of the tenth season of ER, and the two hundred fifth episode overall.

Starring: Noah Wyle (Dr. John Carter) (credit only), Laura Innes (Dr. Kerry Weaver), Mekhi Phifer (Dr. Gregory Pratt), Alex Kingston (Dr. Elizabeth Corday), Goran Visnjic (Dr. Luka Kovac), Maura Tierney (Nurse Abby Lockhart), Sherry Stringfield (Dr. Susan Lewis), Ming-Na (Dr. Jing-Mei Chen), Sharif Atkins (Dr. Michael Gallant), Parminder Nagra (Dr. Neela Rasgotra)

and Paul McCrane (Dr. Robert Romano)

Guest Starring: Bruno Campos (Dr. Eddie Dorset), Richard Cox (Rick Mathers), Simone-Élise Girard (Gillian), Scott Grimes (Dr. Archie Morris), Mark Valley (Richard Lockhart), Abraham Benrubi (Jerry Markovic), Deezer D. (Malik McGrath), Troy Evans (Frank), Kristin Minter (Randi Fronczak), Monté Russell (Zadro), Rhyon Nicole Brown (Erika Crawford), Nicholas D'Agosto (Andy), Rossif Sutherland (Lester), Paul Cassell (Ed Gamble), Cameron Dye (Damian's Dad), Maureen Flannigan (Mrs. Gamble), Jennifer Jostyn (Prosthetist), Frank McRae (Freddie), Valerie Perri-Lipson (Damian's Mom)

Special Guest Star: Glenn Howerton (Dr. Nick Cooper)

Guest Starring (end credits): Lynn A. Henderson (Pamela Olbes)

Co-Starring: Kirk Anderson (Vendor), Michelle C. Bonilla (Harms), Joshua Boyd (Harlin), Kylee Cochran (Terri), Andres Delgado (Zeke), Liza Del Mundo (Severa), Carla Jimenez (Eloise), Chane't Johnson (Betsy), Robin Karfo (Dr. Hampton), Alex Kubik (Kurt Vangoss), Beth Lacke (Cheryl), Brian Lester (Dumar), Sumalee Montano (Duvata Mahal), Richard Narita (Ortho #1), Shi Ne Nielson (Med Student Sheila), Lee Ryan (Ortho #2), Kendall Schmidt (Damian), Jimmy Walker Jr. (Jay Jay), Craig Watkinson (Russell)