Bartlet ponders the potential consequences of ordering a strike force to overtake a barricaded gang of domestic terrorists in Iowa, one of whom is a noncombatant requiring medical attention.
Tension arises between Derek and Meredith's mother; Cristina is mesmerized by the lifestyle of working in the dermatology wing.
The team discovers striking similarities between themselves and their CGIS (Coast Guard Investigative Services) counterparts when a Navy diver seeking sunken treasure is found dead.
A former college professor, Roy Minard, asks Rush to reopen a murder case. Minard's career ended in disgrace when he became the prime suspect in the violent murder of his student Holly Rickter. Although Minard admits to a love affair with Holly, he maintains his innocence and hoping to finally clear his name and return to academia.
It is the birth day of Carla and Peter's son when she goes into early labor. A battered and bruised Greene returns to the ER, but settling in proves difficult.