When a GP is caught having sex with a beautiful blonde patient in his surgery, Ella must make a decision about whether MDA should fight to save his practice. He claims it was a one-off but his devastated wife is sure he's been having an affair.

As Ella battles to keep her own emotions out of the case, Nick surprises her with his decision about the job offer in Philadelphia in an emotional showdown at the MDA office.

Meanwhile Happy and Jamie attempt to out-manoeuvre Richard in the case of a vain but popular gym complex owner whose cosmetic surgery resulted in some unusual complications.

And Caitlin unravels the mystery of a woman who claims her doctor gave her unwanted tattoos.