The staff of the underfunded Oregon hospital get a lesson in human nature when a patient’s act of generosity leads to chaos and cringe-worthy moments. The seventh episode of the season, titled “No Wonder His Kidney Wants Out,” aired on Monday, December 8, 2025, at 8/7c on NBC. Available to stream on Peacock, the installment mixed the show’s signature mockumentary humor with plotlines about selfishness, friendship, and awkward reunions.
Episode 7 Recap: “No Wonder His Kidney Wants Out”
The central story involves a patient whose seemingly selfless act causes a major stir. Two brothers, played by guest stars Paul Scheer and David Hornsby, are at the center of a family dispute over a kidney donation. What appears to be a generous sacrifice quickly spirals into “chaotic” family drama, making the hospital staff witnesses to a complicated and messy situation. The episode uses this scenario to explore how people react to perceived altruism and the hidden motivations that often surface.
For charge nurse Alex (Allison Tolman), the theme of selfishness hits closer to home. She becomes entangled in a difficult subplot involving a GoFundMe campaign. Colleagues Ron (David Alan Grier) and Serena (Kahyun Kim) pressure Alex to contribute to a fund for a coworker’s blind dog surgery. The plot takes a cringe-worthy turn when it is revealed the money was not used for veterinary care. Alex discovers the funds were instead spent on a new television, a callous act that challenges her generally trusting and hardworking nature. As a form of quiet justice, Serena devises a plan to turn the tables by convincing the staff to start constantly asking Ron for money.
Meanwhile, surgeon Bruce (Josh Lawson) continues his quest to overcome loneliness. After finding a friend in Chaplain Steve in the previous episode, Bruce now tries to bond with nurse Matt (Mekki Leeper) outside of work. Their dynamic provides consistent laughs, with Bruce’s large ego and obliviousness clashing with Matt’s innocent eagerness to please. In a lighter, purely comedic storyline, hospital administrator Joyce (Wendi McLendon-Covey) is determined to prove she is “unforgettable.” Her efforts lead her to an awkward reunion with a state health inspector, who she eventually remembers from a past Hinge date. Joyce’s attempts to impress, including an impromptu a cappella performance of “No Scrubs” in a hospital hallway, are met with perfect indifference from nurse Val (Kaliko Kauahi).
Key Character Reactions and Dynamics
The episode succeeded in putting its characters in situations that tested their personalities. Alex’s story was noted as being particularly tough to watch, as her inherent desire to see the good in people was exploited. Her reaction, however, was restrained, focusing on professional consequences rather than personal outburst.
“It’s impressive that Alex didn’t flip out in front of him for being so callous,” noted one review, highlighting her professional composure despite the personal betrayal.
Bruce and Matt’s growing friendship served as a positive counterbalance. Their pairing works because of the contrast between Bruce’s self-absorption and Matt’s genuine kindness. Fans of the show expressed hope that this friendship would continue to develop in future episodes. Joyce’s plot provided straightforward comedic relief, with Wendi McLendon-Covey’s performance winning over viewers who enjoyed the sheer awkwardness of her character’s desperate attempts to be memorable.
Release and Streaming Information
“No Wonder His Kidney Wants Out” premiered on NBC on December 8, 2025. For viewers who missed the live broadcast, the episode is available for on-demand streaming on Peacock. The show follows a regular schedule, airing new episodes on Monday nights. Season 2 of St. Denis Medical premiered with two episodes on November 3, 2025, and is currently airing its first half. The season will return after a break with new episodes starting Monday, January 5, 2026.
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