Devon is approached by a documentary producer as he prepares to perform the first titanium rib cage implant surgery in the country with Raptor, who must scramble to find a babysitter before the procedure. Meanwhile, Conrad tends to an unhelpful patient who claims to have been mauled by a large cat, and Dr. Bell faces negative press.

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.