The hospital is in disarray when the janitors go on strike. Crockett treats a young girl injured on her family's farm. Charles and Nellie's schizophrenic patient returns to Med. Archer encounters a patient with foreign material in her stomach.

A documentary crew visits Med to film Crockett and Abrams' groundbreaking surgery. Archer refuses to ask for help for his kidney issues despite the staff's unrelenting kindness. Will starts to develop feelings for a co-worker.