Duncan threatens Ellen that she must convince the President to keep her on as his surgeon after he decides to go with another doctor, or there will be consequences. Also, Ellen meets Duncan's daughter and gains insight into his life.

Ellen and Brian devise a plan with their kids to escape from Duncan. Meanwhile, Duncan's wife tells him that she wants to discontinue her treatment and spend her time with her husband and daughter.

Ellen has to make another life-changing choice when she performs emergency surgery in her own home. Meanwhile, Duncan demands answers when Archer tells him that an innocent person in their plan has become a victim.