The Machine leads Finch and Reese to a surgeon who is pressured into making a fatal mistake on a patient who is the CEO of a major energy company.
Piper says goodbye to her fiance and surrenders herself at the prison, but once inside quickly makes enemies.
Piper struggles with an acceptable apology to give the kitchen staff after she insults the prison chef and suffers the consequences.
Piper's correction officer wants something in exchange for reopening the prison's outdoor running track.
Due to inappropriate behaviour, Piper spends Thanksgiving in solitary confinement instead of having a visit with Larry.