.C. Joe Penhale's older brother Sam arrives and Martin employs him to paint the waiting room and surgery, but his lack of coordination leads the doctor to believe he is not well. Joe panics, believing the brothers have an hereditary disease but Sam's illness is actually caused by lead poisoning, as a result of his illegal side-line. Louisa gets nearer to renting a house in town, owned by an old hypochondriac whilst Martin is strangely touched when he sees her X-ray photo of the baby.

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