Joel performs surgery on Karn , whose self-implanted horns have become infected. The medical team decides to remove the horns, against Karn’s vehement wishes, which leads to a psychiatric consultation.
Scott has been in a coma for 27 years and does not quite have the same view as Charlie does regarding his situation, although he harbours abandonment issues with his wife.
Dr. Reid returns to work, arriving at Hope with a car crash victim what she encountered en route, and she’s forced to play nice with Dr. Patrick Curtis.