Shetland's above-average birth rate gets a further boost with the arrival of the latest islander. A patient with several complex medical problems faces a serious operation. The prognosis is very poor, but the team do everything they can to make him comfortable, knowing that he may not survive. The island of Yell gets a visit from popular locum GP Dr Gardner. He's ready to treat and care for anything and everything but also hopes he gets a chance to do some fly fishing while he's here.