At an outward bound centre, a man, Bryan, walks into the women's changing room despite his wife Aileen trying to point out his mistake, catching several women in a state of undress. Aileen later falls off a rope traverse and is taken to hospital. She is uncomfortable with Charlie's ministrations, especially when he attaches ECG wires to her chest, and later tells Kate she wants to report him for sexual harassment. Jack meets with Jayne Bazeley, an artist hired to paint a mural above reception. A man, Leicester, comes in with a rash on his genitals; it eventually turns out his wife put itching powder in his underpants to punish him for his infidelity. Josh and Liz are called out to see a well-off man, Martin, who has chest pains. He claims the pain is from his twin brother Reg, from whom he has been estranged for some years. Reg is later found in a bad way and dies in hospital. Martin's pain stops but Richard warns him the condition is hereditary and as he is leaving the hospital he collapses. Margaret brings in Louis again. She is left to take a urine sample which is full of blood and he later stops breathing while she is alone with him. Jack realises she filled the urine sample with chicken's blood and attempted to smother Louis: She has Munchausen's Syndrome and is admitted for psychiatric care.