Jeff and Alexis create havoc during Fallon and Liam's important interview which spurs a "brilliant idea" for Fallon. Culhane is given a high honor, and some major complications come to light so he turns to Adam and Kirby for help. Meanwhile, Sam enlists Brian Littrell as an extreme measure to impress Ryan, with unexpected results. Lastly, Anders and Blake work together.

With Blake and Fallon's new agreement in place, Fallon sets out to make sure everyone knows who's the boss. Adam heads back to the hospital to undo the damage done by Fallon as competition sparks between the siblings as to who has the bigger job. Sam complains to Culhane about his relationship and Culhane admits he's uncomfortable with his new status. Cristal and Blake make headway towards reconciling but Blake realizes it's going to take more than a happy hour to win her back. Liam experiences writer's block. With Kirby feeling Adam has grown distant, she shows up at the hospital unannounced and is met with quite a surprise.