Fletch is shocked when someone from his past walks back into his life. Hanssen attempts to express his feelings to Roxanna. Serena and Ric decide to teach Nicky and Meena a little humility.

Roxanna questions Gaskell's leadership when his focus seems off. Can they work together to save a patient's life, or is the the trust between them fractured forever?

Troubled Fletch throws himself into work as a distraction. When his micro-managing of Nicky puts a scared patient at risk, can Fletch find a way to forgive himself in time to put things right?

Overworked and underappreciated, Serena is in no mood for games when a porters' prank goes awry. But is her short fuse making Serena too quick to judge?