Jed weighs his options for responding to the bombing as Israeli and Palestinian forces face off against each other; Josh has an interesting reaction when Colin arrives at the hospital to visit Donna; Kate and Leo clash over the advice she's giving Jed; Josh assumes a diplomatic role when the Palestinians approach him to initiate settlement discussions; Toby and Charlie prepare a reluctant Jed for throwing out the first ball at Camden Yards; Donna's life is threatened when she develops a pulmonary embolism; Jed reflects on the days prior to his first inauguration.

As they remain at Donna's bedside while she recuperates from surgery to remove a pulmonary embolism, Colin questions Josh about his personal relationship with Donna. When Bartlet and Leo clash over the appropriate response to the Gaza attack, Kate makes the case for a summit meeting, and provides Bartlet with the hook he needs to get the Israelis and Palestinians to sit down together at Camp David.

Bartlet orders a strike on the terrorist training camp as he and his staff broker a peace settlement between the Israelis and the Palestinians, but Bartlet and Leo realize that their differences over the peace settlement are irreconcilable, warranting a change in Leo's responsibilities. Having returned from Germany, Josh expresses concern about Leo's well-being, and his observations turn out to be well founded.