Over on obstetrics and gynaecology, Osama seeks advice from some more experienced obs and gynae staff as to what he can expect ahead of his first c-section delivery. The following day, Osama arrives on shift early to prep for his big day. After a successful delivery, Osama wastes no time calling his mum - also a gynaecologist - to tell her the news. On a natural high from a successful day in surgery, Osama meets up with fellow junior doctor Emeka for a game of basketball to let off some steam.

In this episode we see all the junior doctors learn something new, with Jo taking on her first leg fracture pull. Confident Emeka is experiencing nerves for the first time and wants to impress his senior consultant as he assists him in surgery on a patient with stomach cancer. Jess learns the hard way that night shifts bring a lot of responsibilities when she is left alone to deal with a 90-year-old woman who is struggling to breathe, while Jin Ha treats a homeless man.

It is pay day - the first since the government changed junior doctors' wages and working hours, and the pressures of working as junior doctors in the NHS are starting to show. In the ED, newlywed Omar treats a bride who has had a fall on her big day.