Talk of killing patients throws the staff into a frenzy; Carla tries to get rid of Turk's stuffed dog; Molly interferes with Elliot's efforts to get a patient a heart valve.
Claiming to be a long-dead crew member, an alien requests asylum on Voyager.
Harm is distraught when his newly discovered half-brother, Sergei, is framed for a crime punishable by death, while Mac arrives in Russia to prevent a presidential assassination.