Riding on a bus, Jerry and George meet a friend, Al Netche, who tells them another friend, Fulton, is in the hospital, and has asked Jerry to visit him as he "needs a good laugh." Jerry visits Fulton and tells a story about a guy named "Pachyderm" juggling hot pizza slices, but Fulton never laughs. George has nothing to talk about with his girlfriend, Daphne, and wants to break up. Daphne tells George that Al advised her to end the relationship as George does not commit and will end up hurting her. George postpones the breakup in order to prove Al wrong. Kramer has a job as a stand-in in the series All My Children, along with his friend Mickey Abbott, a little person. Mickey is worried about keeping his job as the child actor he stands in for is going through a growth spurt. Kramer suggests Mickey use lifts to increase his height. Mickey reluctantly agrees. Jerry sets up a date for Elaine with his friend, Phil Totola. The date is ruined when Phil abruptly flashes his genitals. When he bumps into Phil at the hospital, Jerry drops hints that such exposure is offensive, but they seemingly go over Phil's head. Mickey plans to date Tammy, a little woman. Johnny Bigiano, another little person stand-in who envies Mickey, breaks into Mickey's locker and finds the lifts. Mickey is ostracized by the other little people. As Tammy leaves with Johnny, Mickey angrily attacks Kramer. Jerry feels added pressure to be funny after his visit to the hospital coincides with a deterioration in Fulton's condition. He offers to do his act with new material, saying "it killed" when he tested it. Jerry is so funny that Fulton dies from laughter. To George's relief, Daphne says that she met another person: Jerry Persach, nicknamed "Pachyderm".