Toby is struggling to cope with the job and writes a resignation letter addressed to Harry. While Mac is mopping the floor he carelessly leaves wet patches around, one of which Adam slips on. Big Mac then once again goes on about how he can't clean it because of his back and how he can not push patients over 15 stone. Maggie desperately pleads to Toby that he is making a mistake but Toby tells her to stop interfering. A majorly obese man collapses in his house and is brought in via ambulance. Adam makes his feelings over the patient known to Harry and tells him that they should stop treating overweight patients who are just killing themselves anyway. Meanwhile in an out of the way farm a man slips into a machine and mutilates his foot, Ruth decides to use this as her chance to impress Marilyn in order to rotate over to surgery. Yet Adam decides to let Toby deal with him much to Ruth's disgust as he is resigning so has no real benefit for him.
Louis ransacks Charlie's Locker after he takes his phone to punish him. Tensions come to head in resus as Harry and Adam fight after a death to find ways to blame each other for who was the cause of the man's death. Louis then storms in to argue with Charlie to get his phone back. Maggie loses her temper and tells everyone to sort it out. She then forcibly removes Louis from the hospital for lying to her. She then tries to assure Toby to stay after he succeeds in doing a textbook manoeuvre. After he decides to withdraw his resignation he decides to skip out on the pub and sleep in the on call room after moving out of his parents' house, as he begins to undress he finds Ruth already sleeping there as there is still a loud party outside her house. As Toby falls asleep on the chair Ruth asks him if everyone hates her but he doesn't hear her and her cries for help one again go on unnoticed.