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Otto Powell is summoned to the hospital's theatre where Richard Truscott, is about to make a rather serious mistake. Otto and his ever-faithful anaesthetist Charlie Enderbury have been called out for a private operation.

Richard discovers Jean's deception over the miscarriage. Otto's fascination for Angela continues, but she is uncomfortable about being pursued by a married man.

Charlie is anxious and distracted after a brush with the law which could have serious consequences. Elizabeth attempts to reason with Mulligan.

The the death of a patient, Charlie is scared that he will be found responsible for the death and being struck off. Otto attends a complicated birth at a hospital in Dorset. Mulligan makes it very clear that he wants is Elizabeth and if she agrees to sleep with him he will give her the incriminating files he has on Otto.

Elizabeth continues to try and deal with the the situation involving Mulligan on her won but it soon becomes obvious that it has spiralled out of control. Angela ends up giving into her feelings for Otto but before anything happens between them, Elizabeth and Thomas show up at the hospital giving Angela a humiliating reminder that he is married.

After meeting him, Otto realises the extent of Mulligan's obsession and determination. Elizabeth confesses what has been going on and they hatch a plan.