Toby later comes round in hospital, where his father tells him not to throw away all his years of training. But Toby is adamant, and tells his dad he's gay.
Elsewhere, as a car heads towards a level crossing, the driver, David, realises the brakes don't work. Unable to stop, however, he throws himself from the car – causing an accident in the process.
Jordan, meanwhile, tells Toby he can't leave immediately as they are stretched to the limit. Where Toby struggles with the pressure, Ruth methodically deals with her patients one by one. Toby is put under more stress when the driver who caused the accident asks him to lie. His day goes from bad to worse when he misses a crucial scan and Jordan agrees he should leave immediately.
Katie, a little girl cut badly from the train crash, causes havoc and violently lashes out. Finally, Ruth turns to Toby and asks him not to leave because she needs his help. Toby succeeds where everyone else has failed, and gets the little girl to open up.
Ruth and Toby share a moment together at the end of the frenetic day – they have been through so much together. Ruth is sad to see him leave, but Toby encourages her to stick with it, and he tells her she's cut out to be a surgeon.