Paris successfully breaks the Warp 10 barrier with the Cochrane, rapidly disappearing from Voyager 's sensors. The crew begins to try to track the shuttle, but soon the Cochrane reappears, Paris unconscious at the controls. Once awake, Paris explains that he had seen everything at every point in space, and the shuttle's database similarly contains a massive amount of information about the Delta Quadrant. However, Paris starts to suffer allergic reactions, and he is raced to Sickbay, where the Doctor determines that Paris is now allergic to common water. Paris's body soon changes again, and no longer can process oxygen, forcing the Doctor to create a special environment that Paris can exist in.
Paris's body continues its strange transformations, the Doctor postulating that he is becoming a new form of life. Before the Doctor can use an "anti-proton" treatment to return Paris to his human form, Paris escapes from Sickbay, disrupts Voyager 's internal systems, and kidnaps Janeway on the Cochrane. By the time the crew restore the damage Paris had done, the Cochrane has taken off to Warp 10. Voyager follows the shuttle's trail, eventually coming to a planet covered with swamps. Near the shuttle, they discover two amphibian beings, with trace DNA of Paris and Janeway. The two have mated and have had three offspring. The crew recover their transformed crew-members to be returned to human by the Doctor, and leave the offspring behind.
The writing staff were dissatisfied with the quality of the episode, to the point that Brannon Braga called it a "royal, steaming stinker":1, 7
Jeri Taylor commented that the fans were appalled at the episode, mainly centred on the implausible idea that the two stars were turned into salamanders.
"It is not one that took with the audience. The fact that we were turning people into salamanders was offensive to a lot of people and just stupid to others."[this quote needs a citation]
Many events and lines in the episode are tongue in cheek references to Doctor Who, including Tom Paris developing a second heart, the EMH stating that Tom Paris recognizes everything and knows who he is but his personality is erratic, unpredictable, and changes between lucidity and deranged states of mind, and finally Tom Paris ranting "The present, the past, they're both in the future. The future is in the past."