When a medical emergency sends one Survivor off for treatment, the others are left wondering what will happen next. Will this Survivor be forced to leave the game for good? Honesty isn't always the best policy, but in the Reward Challenge it's the key to winning. Can the Survivors get along afterwards, or are some too bitter to forgive and forget? As the lone La Mina, Terry is without allies at camp. His only hope is that the bickering amongst the Casayas continues. Will the old Casaya tribe self-destruct, or will they set their emotions aside and stay focused on the game? Tensions run high when Shane questions the strength of his alliance and threatens to turn the game.