Russell meets with Mr. Lovell - chief council for MedCam – to discuss the future of the hospital amidst the recent unforeseen accidents. Russell tries to brush it off saying the hospital has hit a "rocky patch." Russell strives to keep his and his staff's reputation afloat. Unfortunately, this is complicated by Kelly's inability to keep her clothes on.
Maxie suffers a set back when it is revealed she has an abscess on her heart. This drums up memories of a past unsuccessful surgery for Dr. Leo and he initially refuses to perform the operation on Maxie. Harsh words from Mac and Regina change his mind and he agrees to operate.
When someone ups the dosage on Andy's "chemically-induced nap," Jolene shakes him awake moments before he has to assist in Maxie's surgery. His inability to focus almost suffocates Maxie after he mistakenly intubates her esophagus. This shakes Leo from his frozen state to step in and save the day.
Robin verges on being obsessed with Stacey's baby. Patrick warns Robin of making Stacey's case too personal and stresses his concern over the situation. They ague once again and Robin drops the bombshell that she has named the baby Anna and wants to adopt her. Patrick can do nothing but walk away. Leyla later sees him on the hospital roof and offers him comfort.
Lainey brings her father in who is in one of his "states" and is refusing treatment. She asks Stan to impersonate her former doctor boyfriend because her father keeps asking for him. After Stan gets him to calm down, Patrick informs Lainey that her father desperately needs an operation not related to his Alzheimer's disease. Dr. Ford sympathizes, but reminds her that the operation cannot be performed at General Hospital. He warns Patrick that if he didn't take such measures, they'd be in a worse situation.
Spinelli decides to put his heart on the line and ask Jolene out. He seeks advice from Toussaint. Once Toussaint is alone, Epiphany finally seizes her moment and gives Toussaint a gift – a plaque as Employee of the Month. Meanwhile, Jolene is completely rude to Spinelli and crushes his hopes of a future for the two of them.
In a surprising turn of events, the person responsible for all of the "accidents" inside the hospital is finally revealed to be the seemingly angelic Jolene. She has teamed up with Mr. Lovell to help make a MedCam take over possible. She is still bitter and vengeful because of the way her father was treated when he died.
Sneak Peak – Toussaint's mysterious past comes to light.