Phillip travels to Wyoming to recruit Jack McNeil, an orthopedic surgeon. McNeil refuses, for reasons unknown. McNeil is haunted from memories of the Oklahoma City bombing. New Trauma chief Keith Wilkes is in hot water after he removes narcotics from a patient's intestine and flushes them. Grad returns from Africa and is offered a general practitioner position. Dr. Austin cares for her dying father. Ron Silver continues to appear.