Life is tough for the senior doctors, with Shutt being treated like a second class citizen in the hospital and Austin learning she's been reinstated but with a substantial pay cut, a different title, and a much smaller office. Aaron tries to develop his shunt, with input from new resident Dr. Carr. Jack treats an elderly man who tries to set McNeil's priorities straight. The hospital hires a publicist to create a promotional video, which in the end, seems vaguely familiar.