Feeling like she's falling behind in her career, Alex (Erica Durance) buys into the Reycraft-you-need-a-specialty approach and vows to find her niche.
But when a woman with a stabbing trauma comes into the ER, Alex must work with the patient's husband (an immigrant doctor) to save her life. Alex quickly learns that the gadgets and the fellowships are never more important than the people you save.
Meanwhile, Charlie (Michael Shanks) is dealing with a patient who also has a secret, which he reveals to Charlie in the liminal space - the secret: he's got two wives. Charlie convinces the patient to come clean to his families, even if the results are disastrous.
But the fallout of his patient's lies can't help but act as a cautionary tale to Charlie when it comes to revealing his own secret to Alex.
On the admin front, Joel (Daniel Gillies) proves himself as Chief of Surgery at Hope Zion Hospital.