Holmes and Watson investigate the poisoning of a relocation expert who had a secret career; Watson's path to adopting a child suffers a setback.
While Elizabeth is in Libya to help negotiate an end to its civil war, a tragic accident with her chauffeured car embroils her in an urgent situation to secure medical care for a gravely wounded local girl.
Vice President Hurst attempts to set Elizabeth up for failure by promising that Americans will continue to be able to adopt Russian orphans; Elizabeth and Henry find out Stevie is dating Dmitri.
McCord and her staff work to extradite a Mexican cartel leader to a U.S. prison to diminish the opioid crisis; the cartel leader escapes and an urgent search is undertaken.
As the doctors continue to weather the storm without power, Max relies on an unlikely source to get the lights back on; Reynolds must get creative as he continues to work to save Hugh with very few resources.