Derek is tasked with performing a risky surgical procedure in order to remove a spinal tumor from a patient. He and Meredith discuss the problem and potential solutions. During the discussion, Derek draws a diagram of the spine that illustrates the issue the patient is facing. Derek faces a dilemma: if he cuts the cord, he will kill the tumor, but the patient will lose function in both of his legs. Derek tries to find a way to cure the tumor without cutting the cord.
Doctors question a patient on her injuries before being taken into surgery. The patient doesn't want to explain but the doctor expresses she's afraid they came from her husband and they need to preserve the evidence before her surgery. The patient shares her fears of not being believed.
A medical student treats patients, illegally, using humor and gets accosted by his peer who reminds him the seriousness of his occupation. His roommate encourages him to the situation from another perspective- as a patient- would he really want to be treated by a doctor who barely skimmed his textbooks? The root of this discussion comes from the roommate's pressure from himself and his family to become the best doctor possible.