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.

Neela, worn out after her final ortho shift, has to stay on duty when a scheduling mistake has her surgical trauma shift starting immediately. Sarah's grandparents are in town, and Hank is taken to the ER after collapsing during an outing. Gates tries to convey to Sam that his feelings for her are serious. Pratt and Sam treat a father who shows signs of having been physically abused by his son.