“Carnage” might’ve been the right term….
We start with “the morning after”, on the couch in Vivian’s office. Vivian wakes up first, and immediately panics, springing up from an “embrace”…

She tries to straighten up her outfit, imploring Griff to get up, and hitting him with his jacket. When she says she thinks she lost her mind, Griff responds, “I think I lost my pants.”
(I loved Jason’s delivery of that line! He’s not completely shirtless—just not buttoned back up yet…
—and we see him struggling to put his pants back on.) In the meantime, Sam is arriving with coffee for herself and her parents. As Sam tries to enter Vivian’s office, her mother is trying to hide a bottle and two glasses.
The entire opening segment was whimsical…but you know there will be
serious fallout…on several fronts.
First up, a call to Griff, from the Board of Directors: He’s not facing any actions, since he was off-duty at the time of The Accident. Vivian’s not as lucky: Since she was
on-duty, her actions—of intercepting the paramedics’ report—violated her terms of employment; she’s removed as CMO.
Griff is ready to reclaim his office and position…even though the official vote hasn’t taken place yet. When he realizes that Isan Shah is not there, he’s told by Caleb that Isan’s taking a “personal day”. Sam knows he’s still mad at her, for lying about the proposed sale of the hospital, and calls to leave a voicemail. Griff grabs the phone, and leaves the message that Isan had better show up.
The fallout begins when Lex confronts Griff, and tells him what she saw…then breaks up with him. Asher soon confronts Vivian…and spots the bottle and glasses. Needless to say, he doesn’t buy anything she says.
Two patients are brought in: a vineyard worker whose initial symptoms are quickly discussed, with an EKG being ordered; however, when Sam admires the patient’s fingernail polish, the patient reveals she has dirty nails, and cracked nails. These symptoms alert Griff to another possibility, and he orders an MRI. What he sees is a rare type of tumor; the expression on his face suggests he’s encountered a condition he’s wanted to tackle his entire career…in fact, he’s imagined a technique
(The Griffith Technique) for potentially dealing with it…safely. He orders the tumor information be sent to the SIM Lab, so he can try his method.
The other patient is a young boy brought to the ER with blunt chest trauma. His older brother gives two versions of what happened; we later learn their father is recently deceased.
~~~~~
Sam tries to get signatures, so that Vivian’s hearing (originally planned for several months out) can be expedited. She runs into Malcolm, and learns he’s just been given the seat on the Board that was previously his mother’s. Now, all she needs is help from the interim CMO…Dr. Rhonda Glass.
(Say what you want about some of the other characters—“professionally” or “personally”—but Rhonda & Tina are at the bottom of my list!)
Down in the ER, doctors are struggling to help the young boy; however, it’s Lex who has the answer that leads to temporarily stabilizing his condition. Surgery appears imminent.
Sam is so stressed, she skips the piano, and tries to encourage Caleb to join her for a “dip”; however, he’s going to interview for a position in Boston.
Sam then lets Malcom take her bowling, of all things. He equates his past position as being one of the bowling pins, waiting for something to happen. Now that he’s on the Board, he’s the bowling ball, and (more) in control. When Sam repeats Malcom’s words of wisdom to Caleb, he basically breaks up with Sam.
~~~~~
Meanwhile, the husband of heart/tumor patient mentions that the press had asked for an interview. It turns out that Griff had reported the rare tumor to a medical journal, and a domino effect took place. Sam confronts Griff who’s trying his “technique”—unsuccessfully 18 times—with the Simulator, and tells him all of the things that have deteriorated in such a short time…because of him.
The patient in the ER needs a C/T Consultation, so Griff heads down that way. Things get ugly when Lex confronts Griff, and Dr. Costa confronts Dr. Kace. (Joey’s found out that’s who Tim cheated with.) the Head of ER, Dr. Vega, has to restore order. Later, he changes Lex’s schedule to Day shifts; Dr. Kace will be on Nights.
Lex has been asking questions about the young boy, and rushes to the OR where Griff is ready to begin one procedure…but has to stop when it’s evident that another approach is needed.
Griff rushes to the room of the woman he’s anxious to try his “technique” on…only to find that Sam already has her in surgery, with some
(successful) adaptations to Griff’s proposed procedure.
He’s understandably upset that she’s taking full Medical Journal credit for his idea. The added news that Sam’s taking back the C/T Department (again, the final vote is still forthcoming) drives him to the whiskey bottle. He rages, and throws the glass.
Another confrontation happens…this one between Griff & Asher. Later that night, Asher takes his pillow off the bed he and Vivian had shared; obviously moving to the couch.
Sam and Lex seem to have resumed their friendship, and Joey & Tim may be reconciling….