A makeshift surgical area is set up in the middle of an isolated building. One patient is dead, but Karl is still alive. Megan works to keep it that way as Tommy and Adam chase after a fleeing Dr. Wallace. The chase ends when the surgeon gets the drop on Adam. He holds a gun to his head. Wallace says he had no choice regarding the surgeries. Others made him do it. Tommy looks as though he’s about to lower his weapon. Then… BANG! He shoots Wallace dead. No one notices a figure watching the aftermath of the shooting from afar. This mystery person has a skeleton keychain that matches the one that was seen earlier.

Kate lets District Attorney Dan Russell know that she has political aspirations. She’s advised to take the next six months to look good in the eyes of the voters. That’s why she ignores Megan’s plea to hold off on a press conference announcing they’ve caught the killer. Surgeries like the ones that were performed required more than one person. Megan believes the spleens were being removed so something else could be put in their place. Kate can’t be swayed. She makes her speech shortly after hinting her political agenda to Megan.

The suspect with the skeleton keychain is still out there. This mystery figure has a new agenda. It involves the kidnapping of a young girl. It’s Lacey. Her abductor is Dr. Wallace’s nurse, Yvonne. Back at the medical examiner’s office, Megan continues to dig for clues in the corpse they found at the crime scene. She makes a harrowing discovery. There’s a bomb inside the body. RING! Megan receives a phone call. A disguised voice wants her to do exactly as she says or her daughter dies.