Ellen reveals to Duncan that she will not kill the President but will help him get what he needs, as long as he gives her something in return. Meanwhile, Nina finds out about Duncan's plan and flees the hospital.

After Duncan discovers Sandrine's betrayal, he decides to use her to save Nina and Sawyer. Also, just before Ellen is to operate on the President, the First Lady confronts her and forces Ellen to tell the truth about the assassination plot.