Martin's surgery officially opens for business, but patients continue to treat it as a drop-in cafe. Former teacher Roger Fenn is hoarse and has a lump on his neck, so Martin refers him to a specialist for a biopsy. He is diagnosed with cancer and must have surgery which may cost the former singer his voice. Martin also sacks Elaine as his receptionist for her general attitude and incompetence after she inaccurately takes down the name or phone number of a boy with suspected appendicitis.