Max starts his first day as Medical Director of New Amsterdam. He wanders into the locker room where the nurses and janitors are. They speculate about what will happen when the new guy takes over. After the woman comes to give him his tour, Max reassures everyone he will keep in tune with their needs.

Max speaks to the staff and asks what they need from him. When no one answers he fires the cardio unit because they have been doing unnecessary surgeries to rack up expenses. Doctors are outraged.

Lauren talks max into looking into Floyd again. Max rehires him.

Floyd and Lauren have a relationship but he tells her he doesn't want to go out again because of her race. She doesn't react well.

The UN ambassadors are at the hospital. A young boy comes in and it is believed that he has an airborne disease and may be a terrorist. Max convinces Homeland Security to back off.

Lauren goes in to help him but ends up exposed so she's stuck in quarantine.

Iggy tries to accommodate his patient jemma. He doesn't want to put her back into the system. He puts her in touch with the daughter of her favorite foster parent.

The Ebola patient elan doesn't have Ebola and they prove he didn't knowingly try to orchestrate an attack. He identifies the people who sent him with what he thought was a traveler vaccination.

Kapoor treats a woman who was misdiagnosed and is dying. Max arranges for her to go back home to be with her family without risk of being deported and not able to come back in.

Max gives Helen an ultimatum. He wants her to work at the hospital instead of only doing the media circuit.

Max's estranged wife comes in fearing that she's losing their baby. After the scare everything is fine.

Max asks Lauren to do a biopsy on him. Helen tells him the results. He has cancer.