Blake recalls childhood traumas that made him who he is. A competing clown doctor arrives to threaten Blakes position. A visiting doctor experiences the hospital in a whole new way in this very special episode introduced by executive producer David Wain.

Jealous Glenn gives Cats new boyfriend an unscheduled operation. Osama bin Laden is captured! Blake operates on Lolas non-existent brain tumor while the Chief undergoes major surgery. Will they make it? Probably not. But maybe. OK, one of them dies.