In "Buffalo Bruce and Matty the Kid," an emotional support animal wreaks havoc in the hospital, leading to comedic chaos. Alex goes all out for Serena's birthday, which ends with mixed results. Meanwhile, Bruce and Matt find themselves in an unlikely partnership when they have to deal with a patient who has a rather peculiar request. This episode highlights the quirky camaraderie among the staff, offering both humor and heart as they navigate through the day's challenges, reinforcing the theme of found family amidst the absurdity of their underfunded medical environment.