Austin and NcNeil fly to London for a conference and are forced to perform lifesaving surgery with only an airline medical kit. Shutt begins his psychiatric residency.

A cardiologist in NASA's Doctors in space program has a heart attack and Kate takes the doctors place in the program. Dr. Shutt has a patient who needs to tell his father, an Orthodox Rabbi, that he is gay.

Hancock accuses Watters and Austin of racism when they refuse to operate on a black patient. One of Shutt's patients commits suicide when the medicine needed isn't covered by insurance.