Alex must become the unlikely advocate for a violent young prisoner brought in to Hope Zion, while Joel connects with a disfigured refugee and tries to convince Dana Kinney to come back to operate on him. Meanwhile, a Spirit who is familiar to many Hope Zee doctors shows up in the Morgue when Charlie is about to do routine procedure.

When a heat wave hits the city, Alex is appointed Trauma Team Leader as the hospital is faced with an influx of patients during a blackout. With no back-up power available, Dawn and Charlie must figure out a way to continue their surgery as Joel and Maggie attempt to keep a patient alive while stuck in an elevator.