In which the distinguished Dr Fillgrave makes a reluctant yet earnest visit to the troubled Sir Louis Scatcherd at Boxall Hill, marking a turning point in the medical attentions surrounding the Scatcherd family, whilst tensions continue to simmer between rival physicians in the village. Meanwhile, Lady Arabella’s subdued overtures to Dr Thorne reflect the precarious alliances and underlying anxieties that attend the care of her son and the future fortunes of Greshamsbury, revealing a landscape as fraught with social and familial complexities as any ailment.