This show is quite thematic in nature. This episode focuses in on how we, as human beings, seem stay inward, failing to take chances. Everyone is flitting around, not showing true feelings. The major plot element involves Martin's aunt, who is visited by a man who was a lover years ago. We find out quickly, he is ill and that sets certain factors in motion. Doc Martin relocates a fifteen year old's shoulder and she falls in love with him. She has true feelings, but, of course, he has none (other than fear of misunderstanding). Elaine, the most distasteful character in the series, decides to manipulate Al, who is intellectual and lonely. She has him jumping through hoops. She is such an ugly person (and I don't mean physically). So far, I can see no redeeming characteristics in her. When Martin tried to fire her in an early episode, the whole town turned against him. What does she offer to the town, other than a bunch of giggly teens who seem frightened of her. I can't imaging a medical office depending on the likes of her. This episode ends with an extremely touching scene and gives us more of a portrait of the aunt.