There is so much in this episode it's hard to quantify it. We have the beginnings of Louisa's practice where she meets a girl with anger issues and her supervisor who has horrible back pain. Penhale meets a surfing instructor with whom he went to high school. He is quite hippy-like He has a pregnant wife and seems out to lunch but is excited about the world. He talks Penhale into taking a surfing lesson. The Large's pub has been bought by a lady and they have been give jobs which tax them. Morwenna becomes a first responder. There is also the case of a young painter who smells bad.