For years, Ollie has illicitly helped the struggling residents of her North Dakota oil boomtown access Canadian health care and medication. When the authorities catch on, she plans to abandon her crusade, only to be dragged in even deeper after a desperate plea for help from her sister.

Dr. Kelson finds himself in a shocking new relationship — with consequences that could change the world as they know it — and Spike's encounter with Jimmy Crystal becomes a nightmare he can't escape.