On the day of her "Sympoosium," Dr. James is plagued by unexpected complications. Patsy embraces his truth, and Didi finds herself caught between work and family. Dawn and Dr. James see uncanny visions of themselves in two British visitors, Dr. Pippa Moore and Sister Den Flixter.

Didi takes to the picket lines in a last ditch effort to save Billy Barnes; Jenna tries to get out of a hastily made offer; Patsy and Marguerite share secrets; Dawn inadvertently sets a chain of events in motion that seals the fate of the ward.