A famous cardiothoracic surgeon - who happens to be Dr. Yamada's mentor - comes into Chastain after experiencing heart pain. Meanwhile, Kit breaks the news that the ER will no longer be accepting trauma patients due to budget cuts, and Devon and Conrad help treat a confused woman.

Conrad is pulled away from celebrating Gigi's 6th birthday when Sammie comes into Chastain with a 104-degree fever, and Kit must call in a favor for treatment. Meanwhile, a heart arrives for Governor Betz's transplant surgery.