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Martin and Louisa have an unfortunate first meeting on a flight to Cornwall.
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Martin appears before the hiring panel for a GP to replace the late Dr Sim in Portwenn, but Louisa, the lay member, is not impressed.
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Martin finds the surgery lacking in modern equipment and the inherited practice receptionist, Elaine, less than capable.
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Martin's first patient (days before official opening), Gilbert Spencer, is suffering from gynecomastia from an unknown source.
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Martin visits his Aunt Joan who lives on a local farm - a farm he apparently visited as a lad, but hasn't returned since.
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Local handymen, Bert Large and his son Al, are brought in to fix the plumbing in the surgery but end up flooding the building.
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Martin gives patient Susan Brading a refill for her HRT cream but then discovers that she has been receiving refills for an excessive amount.
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Another patient, a surfer named Ross, shows up at the surgery also suffering from gynecomastia.
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At the village fair, Louisa seems to be warming up to Martin but she is annoyed when he leaves in the middle of their conversation to talk to Gilbert.
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Martin and Gilbert step into the Lifeboat Station to discuss his diagnosis and discover Susan and Ross in a compromising position.
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Martin receives misleading directions from a group of surfers and is run off the road on the moor and forced to spend the night in his car.
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After his rough start in Portwenn and then returning to a flooded surgery, Martin tells Chris Parsons that he will try to set things right but he is moving on.
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Martin tries to get Susan, Gilbert and Ross to meeet in the pub to sort out their problems, but when he tries to stop the men from fighting he takes a punch to the nose.
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Bert tries to guilt Martin into seeing some patients before leaving town and gives him some food for thought.
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As Martin is packing his belongings, a combination of Bert's words and the view of the school across the harbour (where Louisa is a teacher) seem to change his mind.
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