Blake, Lola and Glenn are excited to be attending this year's Doctor of the Year Convention (or DOY) in Vegas. Even though Blake has won six years in a row, Glenn and Lola are determined to win. Owen tags along to visit his mom, with surprising consequences.

After discovering that Childrens Hospital is out of tongue depressors, Owen finds himself embroiled in a dangerous hospital-wide conspiracy that reaches all the way up to Governor Jasper Ruth, the Boss Tweed of Sao Paulo, Brazil.