A former FBI Academy classmate of Scully's asks her for help on a case: Several murders have occurred where the victim's liver has been ripped out, yet there is no indication of an entry point to the place where the person had been murdered. Scully asks Mulder to assist them on the case and, despite his reputation in the Bureau, he agrees.

An enthusiastic student joins the staff, armed with textbooks and lots of questions and her name is Helen Chatsworth. A violent storm sweeps through Holby and a baby is orphaned when her parents are killed in a car crash. Mark Calder is giving Mike and Charlie a hard time, as they fight the cut backs and Mie replaces Norma who has been sent home for drinking on duty. Other casualties include a policeman hit by flying debris, a father stab by his young son, who was defending his mother and two cowboy builders who fell off a roof. Mike has a chat to Karen about her attitude towards the paramedics.