James and Katie disagree about their relationship. James wants to tell everyone and Katie thinks they should keep it to themselves. Duncan has problems with Terrence, the new Chairman of the Board at Rveal, when they disagree about a PR problem. Brody must choose between working with a baseball star's crisis and what Janelle wants him to do. Tragedy strikes as someone will die in this episode.
The ortho docs face off in a hockey game against the trauma docs, who have enlisted the aid of a ringer. Bettina wants to take her relationship with Pratt to the next level, but Pratt is hesitant. Gates and Sam disagree over how to treat a young patient. Julia's attempt to provide spiritual guidance to a prison doctor and help ease his conscience leaves her devastated.
Wilhelmina enlists Christina's help in her latest mischievous deed through very dirty tricks and manipulation. Meanwhile, Betty falls victim of a poisoned perfume that Fey Sommers had prepared for Claire, and Amanda is faced with a major decision that could result in the indefinite incarceration or freedom of Claire Meade.
