While preparing for an upcoming conference, Dr. James is caught off guard by workplace politics. A felon with cancer - and a history of daring escapes - arrives at the ward. When his mother pays a visit, Patsy asks Dawn to pose as someone she's not. DiDi's mother-in-law comes to Billy Barnes for treatment, sparking a family feud.

On the day of her "Sympoosium," Dr. James is plagued by unexpected complications. Patsy embraces his truth, and DiDi finds herself caught between her work and family. Dawn and Dr. James see uncanny visions of themselves in two British visitors, Dr. Pippa Moore and Sister Den Flixter.