Jerry feels he is getting out of shape and starts a purification program to improve his diet. His parents buy him sessions with a personal trainer, Izzy Mandelbaum. Meanwhile, Elaine is offended when her friend Vivian implies that Elaine is not responsible enough to babysit her son Jimmy and asks Kramer to babysit him. Elaine follows Kramer to Vivian's house, pushes him into the bushes and takes over. Jimmy turns out to be badly behaved, but wanting to thoroughly erase her irresponsible image, she tells Vivian she had no trouble. This prompts Vivian to have her babysit more often and even suggest that she will leave Jimmy in Elaine's care if her ongoing health problems flare up.
George decides to add food to his sex life after his girlfriend Tara's vanilla-scented incense makes him hungry. Although Tara is disgusted when he suggests integrating a pastrami sandwich into their lovemaking, he is so delighted at combining sex and food that he begins covertly eating food from the nightstand drawer during sex. However, when he starts to eat a sandwich and watch TV during a sexual encounter, she breaks up with him. By this point, George's carnal and culinary desires have become intertwined. Elaine brings George to Vivian's house to make up an excuse to get her out of taking care of Jimmy. When George finds Vivian shares his pastrami and TV fetish, they have sex on the kitchen floor. This leaves George saddled with babysitting Jimmy.
Kramer is upset at rising fees at the blood bank and stores his own blood at home. Jerry accidentally launches a knife into his own jugular, and Kramer donates three pints of his at-hand blood to save his life. Kramer guilt-trips Jerry into letting him and Newman make sausages in Jerry's kitchen. When Izzy sees the sausages, he thinks Jerry is eating unhealthily and confiscates them. Irate at this, Newman stops allowing Kramer to store blood in his refrigerator. Kramer takes it back to the blood bank, using Jerry's car since his own lacks working air conditioning. The car overheats, so Kramer puts some blood in the radiator. For a workout, Izzy ties Jerry to the car and makes him run behind it. The blood leaks onto the driver’s feet, causing him to panic and accelerate. Jerry is dragged down the street and requires another blood transfusion, this time from Newman.