Chris and Brendan's activities upset Junior Soprano, who is actually being paid to protect the Comley Trucking vehicles. After Uncle Junior has a sit-down with acting boss, Jackie Aprile, Sr., and Tony Soprano, he complains about the loose-cannon behavior of Brendan and Chris and their hijacking shenanigans. It is revealed that Jackie is suffering from cancer and is musing over naming his successor. When Tony leaves, Junior complains to Jackie about Tony's treatment of his mother, Livia. Tony later relays Junior's message to Chris at Satriale's. Chris complains to Tony that he is due his button after his work on the Tri Borough towers garbage disputes. Brendan offends Tony by insulting Jackie and this prompts Tony to literally throw him out. Tony takes Chris's $15,000 tribute and pockets $5,000, only giving Junior $10,000 while not telling Chris and Brendan.
Brendan and Chris, both high on crystal meth, are negligent of the demands made to them and plan another hijacking on a delivery of Italian suits departing that night at a club. However, when Brendan arrives to pick his partner-in-crime up, a sober and reflective Christopher decides to sit this one out. However, Brendan, who is apparently high on crystal meth, pulls off another hijacking on his own. This time, he is accompanied by two cohorts, Antjuan and Special K. When the truck driver is threatened, he steps out of the truck. Special K accidentally drops his gun which fires and the driver is killed from the ricochet bullet. The two associates flee from the scene and Brendan is left cursing and fearful of what might happen.
After Tony learns of this from Chris, he tells his nephew and Brendan that they must return the truck to Comley and restitution must be made but not before his crew help themselves to a small number of suits.
Pussy and Paulie are sent to find out who stole Anthony Junior's science teacher's car. They are able to find the perpetrators but not the car and force them to steal a new one in its place. After the teacher receives a brand new vehicle, thinking it's the same one, AJ mentions that his father is a hero. The teacher, however, is confused as to why the paint is still wet, the interior is a different color, and the key is different despite the presence of identical plates.
After a fire in Livia's kitchen, caused by her failing to pay attention to her cooking and not being able to call for help, Carmela suggests that she needs to live with others and even offers to have Livia come live with her family. Livia rejects both offers and becomes distraught about the loss of her husband, a "saint." Tony hires a Trinidadian nurse to take care of her. Livia complains to Tony that the nurse has been stealing, which causes the nurse to quit. Livia drives her friend Fanny home and accidentally knocks her over while attempting to back out of the driveway. Her doctors say she can't live alone any more and Tony places Livia in the Green Grove retirement community. While visiting her house to pack up her things, Tony has another panic attack.
Tony's therapy continues and he discusses his mother with Dr. Melfi. He is feeling guilty about not being able to have his mother live with them. Melfi tries to show him that his mother is a difficult person, using Livia's relationship with Tony's siblings and lack of happy childhood memories. We learn that Tony blames Carmela for preventing his mother living with them. Tony refuses to shift his blame for the situation onto his mother. In another session, Melfi pushes Tony to admit he has feelings of anger towards his mother and he storms out.
Georgie the barman at the Bada Bing is confused about the operation of the telephone system, in the same way as Livia. Tony becomes frustrated and beats him with a telephone handset, showing the displacement of anger Dr. Melfi warned him would occur if he did not accept his feelings of anger towards his mother.