Chapter Summaries

Adam rushed to treat Dr. Bailey’s son, Georgie Jr., after a bookshelf crushed him, and discovered severe internal injuries. He took over the surgery so Dr. Bailey could stay beside her son, and the operation neared completion with Georgie Jr.’s stomach repaired.

• Adam left Little Adam with Nurse Carla and hurried to the ER when Georgie Jr. arrived with injuries from a fallen bookshelf.
• Adam examined Georgie Jr. and ordered a full trauma workup after finding signs of possible internal injuries.
• Shorty read the scans and identified a displaced diaphragm, a damaged thoracic aorta, and a ruptured colon.
• The Chief of Surgery assigned Burke to lead the operation, but Dr. Bailey entered the operating room and insisted on staying with her son.
• Adam took over the surgery and explained each decision to Dr. Bailey while repairing Georgie Jr.’s injuries.
• Adam repaired Georgie Jr.’s stomach, found no tear in his spleen, and prepared to insert a chest tube as Dr. Bailey thanked him.

At the Medical Center, Elizabeth Ache used her supposed Chakra Mystical Palm Technique on Georgie Jr. while Adam and Dr. Bailey hoped it might help him recover. The chapter ended with the family and doctors joining hands and praying as Elizabeth began her treatment.

• Adam prepared to leave the Pediatric Intensive Care Unit after Georgie Jr.'s successful surgery, though the boy still depended on being weaned from the ventilator.
• Meredith brought Elizabeth Ache to Georgie Jr.'s bedside, and Dr. Bailey agreed to let the faith healer try her treatment.
• Elizabeth explained her belief in Chakra and the Mystical Palm Technique, while Adam recognized the terms from Naruto but let her proceed.
• Adam described Georgie Jr.'s surgery to Elizabeth, who then asked Dr. Bailey and Tucker to hold hands and forgive each other.
• Elizabeth extended her hands toward Georgie Jr. as Dr. Bailey, Tucker, Meredith, and Cristina prayed, and Adam closed his eyes too.

Adam saw Elizabeth Ache’s recovery after his Mystical Palm Technique and hoped to involve her in his cancer research. Her surgery with Dr. Burke went disastrously, and Elizabeth died on the operating table.

• Georgie Jr. began breathing on his own after Adam’s Mystical Palm Technique, confirming his recovery.
• Adam asked Elizabeth to help with his research, and she explained that she had once been a pediatrician before becoming a faith healer.
• Cristina agreed to lead a cardiac procedure after Adam promised her a surgery, while Adam offered to assist Dr. Burke with Elizabeth’s operation.
• Adam and Dr. Burke encountered repeated complications during the surgery and failed to save Elizabeth.
• Dr. Burke said Elizabeth had returned to heaven, while Adam suspected Cristina’s jinx had doomed the operation.

Adam tried to keep Dr. Bailey from giving up on her marriage, then confronted Cristina about her treatment of interns after a young intern’s suicide sparked turmoil in the medical community. The chapter ended with the dead intern’s fellow interns attacking his mentor, who let them beat him.

• Dr. Bailey told Adam that Mr. Tucker had moved out and said she would rather raise George alone than accept her husband’s complaints and blame.
• Adam cautioned Dr. Bailey to consider the effect of a broken home on George, and she fell silent while looking at her sleeping son.
• Cristina asked Adam for the names of her four interns, and Adam criticized her dismissive attitude toward trainees.
• Meredith and Adam discussed a talented African American intern who had died by suicide after enduring crushing workloads and repeated public scoldings from his mentor.
• After the intern died despite resuscitation efforts, his fellow interns attacked the mentor, who covered his head and did not fight back.

Adam urged Cristina to be more considerate as a mentor, then accepted Dr. Bailey’s keys and responsibility for the Free Clinic. Meanwhile, Mark Sloan was barred from surgery by the nurses’ alliance, and Dr. Bailey told him to ask Adam for help.

• Adam explained that Dr. House’s skill had earned the loyalty of the doctors under him, and he encouraged Cristina to treat her interns with more humanity.
• Adam invited Cristina and Meredith’s interns to gather that evening, and Cristina thanked him for pushing her to change.
• Dr. Bailey gave Adam the Free Clinic keys and said she was stepping down from the Chief Resident role to focus on surgery and her family.
• The nurses united against Mark Sloan and refused to work with him, leaving him unable to perform surgery.
• Dr. Bailey told Mark to seek Adam’s help, saying Adam would not be his enemy if Mark admitted his mistakes and changed.

Mark Sloan asked Adam to end the nurses’ boycott, and Adam’s intervention restored Sloan’s ability to operate. The hospital then ordered employees to disclose intimate relationships, prompting teasing and leaving Dr. Bailey insulted by the Chief’s decision to exempt her.

• Mark Sloan asked Adam for help ending the nurses’ boycott, and Adam agreed.
• Adam contacted Nurse Know-It-All, whose speech persuaded the nurses to cancel their boycott and let Sloan operate again.
• The hospital board ordered employees to register intimate relationships, and Chief Resident Kelly told staff to complete disclosure forms.
• Adam teased Meredith about needing multiple forms while Cristina wrote Dr. Burke’s name on hers.
• Dr. Bailey confronted Chief Resident Kelly after learning the Chief had specifically exempted her from filing a form.

Monica, Chandler, and Little Adam left the hospital and prepared to move into their suburban home, while their friends gathered to say goodbye to Monica’s apartment. Adam renewed the leases so the group and their children could keep returning to the apartments and make them a family heirloom.

• Monica and Chandler brought Little Adam home from the hospital and prepared to leave Monica’s apartment for their suburban house.
• Joey protested the move, and Adam persuaded him to buy the neighboring house, which Janice had already held for him.
• Rachel and Ross chose not to live in Monica’s apartment, while Adam let the friends keep their keys and stay there whenever they wanted.
• The friends reminisced about their time in the apartment, including Ross’s embarrassing dreams of becoming a dancer, singer, or comic-book science kid.
• Adam explained that he had renewed the leases so the apartments could become a home for Little Adam, Little Emma, and the other children.

Adam and the hospital team worked to free Owen from a massive concrete block after his classmates delayed calling for help. As they fought to save him, Owen’s brother Deckard Shaw learned about the accident and said he was on his way.

• Monica left the hospital with Little Adam, and Adam celebrated their move to a new suburban home with friends.
• Adam and Cristina received Owen, who was trapped in several tons of concrete after jumping into a concrete mixer to impress Lola.
• Adam directed the firefighters and medical staff to break apart the concrete while treating Owen’s chemical burns, dehydration, and pressure injuries.
• Lexie learned that Lola refused to comfort Owen because she feared mockery from her friends, so the team focused on saving him without her help.
• The hospital called Owen’s family, and his brother Deckard Shaw said he would come immediately.

After Adam saved Owen Shaw from a cement accident, his brother Deckard Shaw arrived and threatened the hospital staff while announcing that four more patients would soon need treatment. Adam went to the ER, expecting the four high school students responsible for Owen’s condition to face the consequences of their actions.

• Adam and his team rescued Owen from the cement and saved him after he went into shock during the operation.
• Deckard Shaw arrived at the hospital, learned that Owen was out of danger, and went to his bedside.
• Deckard scolded Owen for nearly dying in a foolish stunt, then vowed to take charge of his life and threatened George if anything happened to him.
• Deckard told George that four patients would arrive and demanded that Adam save every one of them.
• Adam reassigned Owen’s care to Melendez, reassured George, and headed to the ER to treat the four high school students.

The Medical Center prepared to treat four high school students who had been trapped in cement in retaliation for what they had done to Owen Shaw. Owen learned his brother Deckard Shaw had punished them, while Kate admitted the NYPD could not effectively intervene against him.

• Chief Resident Kelly learned that four patients with injuries matching Owen Shaw's were on their way, and the Chief of Surgery mobilized the Medical Center staff.
• Adam briefed the doctors on treating people trapped in cement, then led the team assigned to the most seriously injured patient as the four arrived.
• The staff saw the four cement-covered students, including Lola, and rushed them into separate treatment groups.
• Owen called Deckard Shaw after learning what he had done to Lola and the others, and he protested his brother's revenge.
• Deckard told Owen to train and defeat him if he wanted to retaliate, then warned the Medical Center to protect Owen.
• Kate challenged Deckard over the phone, but fell silent when he said the NYPD could not interfere.

At the medical center, Kate questioned Owen while Adam dealt with the threat from Owen’s brother and checked on the rescued patients. Adam left the hospital staff under his protection and prepared to speak with Kate, while Owen remained hospitalized and his brother’s next move was uncertain.

• Kate questioned Owen about his brother until George reminded her that Owen needed rest, then she left to check on the resuscitation efforts.
• Lexie declared one patient dead at 23:33, while Adam reassured the medical staff and promised to contact Owen’s brother himself.
• Kate worried that Owen’s brother, an elite from the British Special Department, might hurt people, but Adam said he would handle the conversation and protect his colleagues.
• Kate agreed to meet Adam in his office after taking care of a few things, and Adam went to check on the three patients sent to surgery.
• Adam found that the three surgeries were proceeding well and received a system reward for helping rescue the high school students.
• Adam checked on Owen and reflected on whether having a brother like Owen’s was a blessing or a curse.

After a student died, Adam confronted Bald Deck over his threats against medical staff and arranged to settle the dispute with a fight. At the Boxing Club, Adam stunned Bald Deck by leaping over the entire ring with seemingly superhuman ease.

• Adam told Bald Deck that a high school student had died and warned him to stop threatening medical personnel and involving innocent people.
• Adam offered Bald Deck a soft option of calling powerful people or a hard option of fighting, and Bald Deck chose the fight.
• Adam told Kate not to come because her NYPD identity would complicate the private matter, and she agreed to wait for news.
• Adam went to a nearby Boxing Club, booked a room, and met Bald Deck there.
• Bald Deck entered the ring and challenged Adam, who leapt over the ring platform and all four ropes in one jump, leaving Bald Deck stunned.

Adam decisively defeated Deckard Shaw in the Boxing Club, then made peace with him after the fight. Deckard accepted Adam’s goodwill but warned that he would want a rematch someday.

• Deckard Shaw accused Adam of using drugs after watching him leap far beyond normal human limits, and the two exchanged taunts before fighting.
• Adam used Bullet Time to dodge Deckard’s punches and repeatedly rapped him on the head, then struck his left eye when Deckard tried to escape the ring.
• Deckard charged Adam with broken chair legs, but Adam avoided every attack and tapped a rhythm on his head before punching his right eye as well.
• Deckard asked how Adam had moved so quickly, and Adam offered a simple explanation before asking whether they could put the fight behind them.
• Deckard shook Adam’s hand and agreed they were even, but said he would pay Adam back if they met again; Adam welcomed a fair rematch.

Adam and Deckard settled their dispute and agreed to race, with the winner earning two favors from the loser. Adam took a different route and reached the finish first, then warned Deckard not to test him again.

• Adam asked Deckard to reassure the hospital that he would not pursue further action over Owen's care.
• Deckard challenged Adam to a race and offered two favors if Adam won, while Adam warned him not to use the wager to recruit him.
• Adam and Deckard raced through New York, with Deckard confident that his driving skills and modified BMW would secure victory.
• Deckard reached the finish line and found Adam already waiting there in his Porsche.
• Adam reminded Deckard that this had to be their first and last test, then drove away eating ice cream.

After settling the confrontation with Deckard, Adam returned to the Medical Center and discovered that Jenny Bray had AIDS and was hiding her diagnosis. He asked her to voluntarily transfer, but she insisted that precautions would let her keep working.

• Adam dismissed Deckard’s promised favors as dangerous leverage and returned to the Medical Center.
• Adam told Kate how he had tricked Deckard with the Panda Buddha story, then checked on Owen and learned that Owen’s brother would not pursue the matter.
• Adam reviewed the day’s events and noticed that Jenny had avoided sharp objects and wounds and had silenced a medication alarm.
• Adam questioned Jenny about her diagnosis and viral load, and she confirmed that she had AIDS and was taking Cocktail Therapy.
• Adam asked Jenny to apply for a transfer, but she refused and said she could safely continue treating patients with proper precautions.

Adam confronted Jenny about continuing to work in emergency trauma care after learning she had AIDS, arguing that accidental exposure could endanger patients. Jenny feared losing the career that gave her purpose and threatened to sue Adam for discrimination, but she broke down and ran from his office after he refused to stay silent.

• Adam explained that sharp injuries and medical procedures could expose patients to Jenny’s blood despite her promises to be careful.
• Jenny begged Adam to keep her diagnosis private, describing how her ex-husband infected her and how another hospital had pushed an infected surgeon out of his job.
• Adam acknowledged that hospitals could discriminate against Jenny but insisted that protecting innocent patients mattered more than preserving her current role.
• Jenny argued that no official case showed an AIDS-infected doctor harming a patient through dementia, but Adam warned that she could not control her future symptoms and barred her from the emergency trauma unit.
• Jenny threatened to sue Adam for discrimination, and he said he would not spread her private information but would accept being sued if necessary.
• Adam asked Jenny to consider the injured children she might expose to risk, and she covered her mouth and ran out of his office.

Adam helped Jenny find a way to continue her medical career without exposing trauma patients to risk, and she agreed to consider treating children with AIDS at Sunshine Home. He then approached the ward, where a woman with a British accent was speaking inside.

• Adam told Owen that the other patients had transferred to another hospital, and Owen fell silent.
• Adam learned that Jenny had taken the morning off and later heard that her viral load was undetectable after Cocktail Therapy.
• Jenny apologized to Adam and asked whether he could help her balance her career with protecting patients.
• Adam suggested that Jenny treat children with AIDS at Sunshine Home, and she became excited about the possibility.
• Adam reached the ward and found George and Shorty outside as a British-accented woman spoke inside.

Adam encountered Hattie Shaw, Deckard Shaw’s younger sister, while visiting Owen in the hospital, and fought off her sudden attack. Hattie flirted with Adam before leaving, then caught the attention of a short doctor in the corridor.

• Hattie Shaw mocked Owen in his hospital room and introduced herself to Adam as Deckard Shaw’s younger sister.
• Hattie tried to twist Adam’s arm and lock her legs around his neck, but Adam overpowered her and pinned her against the wall.
• Hattie told Adam that she and Deckard had fallen out, then invited Adam to visit her hotel room before leaving.
• Adam handed Hattie’s card to Owen and told him to focus on recovering.
• In the corridor, Hattie exchanged smiles with a beautiful woman and drew the attention of a short doctor.

After Owen refused an interview, Adam teased reporter Sandra and offered to train her in self-defense. Later, William asked Adam for Hattie’s contact information, but Adam warned him that Hattie was underage and refused.

• Owen refused Sandra’s request for an interview, and Adam led her out of his hospital room.
• Sandra asked Adam about the blonde woman, and he called Hattie a little brat while George hurried away to avoid revealing what he knew.
• Adam offered to teach Sandra special moves to protect herself, and she left the Medical Center without getting a story.
• William asked Adam who the blonde woman was and admitted he was interested in her.
• Adam refused to give William Hattie’s contact information, explaining that she was underage, and William left in disbelief.

Adam visited Leonard at the Medical Center to discuss a heart surgery case and listened as Leonard talked about his daughters, especially Jill’s progress at college. Leonard worried about Jill’s boyfriend, Warner Huntington, while Adam reassured him and agreed to meet Warner at Emma’s first birthday party.

• After William left, Leonard called Adam to join him in reviewing a heart surgery case.
• Amy collected a check from Leonard and left, prompting Leonard to complain that she still had not found a job.
• Leonard praised Jill’s success in fashion merchandising and her leadership at the University of Los Angeles Tri-Delta Sorority.
• Leonard thanked Adam for giving Jill Bruiser, the Chihuahua she treasured and took everywhere.
• Leonard worried that Warner Huntington might be playing with Jill, and Adam said Jill would recover if the relationship ended.
• Leonard asked Adam to meet Warner with him, and Adam agreed to attend Emma’s first birthday party.