This is an ongoing feature recapping episodes of the Greatest Show Ever, ITV’s “Doc Martin.” Please watch the episodes before reading if you don’t want spoilers.

Doctor Martin Ellingham’s surgery has opened for its first patients. Unfortunately, Martin has a very particular idea of the way medicine should work, and the rest of the town doesn’t understand the rules he expects.

On day one, his waiting room is filled with people who don’t have actual issues, but simply want to visit. Visiting with the former doctor seems to be something that the town used as social time. With a lot of lonely older people around, including one adorable widower, they certainly need a listening ear — but it’s not coming from Martin.

His new assistant Elaine is also not behaving the ways he expects, so he fires her. And the town does not like it. Firing Elaine makes all of Portwenn immediately turn on their unfriendly doctor. Even a young patient he helped (and Martin says “I like you” to him!) utterly rejects Martin for this sin.

In order for Martin to be a good doctor here, he must learn a whole set of new skills. It’s simply not the same as being a good doctor in London.

He can’t be a doctor in London anymore, though, and this is the first time we get a glimpse at why. A bit of blood on his jacket sends him running for a bathroom. Oh no! Our not-so-beloved doctor has bloodphobia! This is a defining characteristic for Martin, and it’s so serious he throws out an entire perfectly good jacket just for getting a little blood on it. His little speech to a patient about the bloodphobia is extremely endearing.

The medical mystery: What’s causing the raspy voice of former teacher Roger Fenn? There’s a lump in his throat, but he initially won’t accept a referral onward to a specialist.

Fenn’s got a chip on his shoulder, which isn’t too different from Martin himself. Fenn felt like he was kicked out of his job, lost to Louisa Glasson, and he’s carried this anger through his life. Even to the point he’s trying to ignore cancer of the larynx.

How can Martin get through to Fenn? His brusque personality isn’t working here either, at first, but frankly informing Fenn of his possible diagnosis does make an impact. Fenn goes on to become Martin’s first ally in the town. Martin changes, sure, but his competency is hard for anyone to ignore.

The Assistant: Elaine’s not good at her job. A mother calls in because her child, Bobby, has stomach pain and vomiting, but Elaine fails to take down the actual name and number. Since she’s also showing up late to work and doesn’t double-check prescriptions, Martin fires her for the incompetence.

Apparently this is the wrong thing to do because even Bobby’s mother is angry at him for firing Elaine. A local restaurant refuses to serve him for firing Elaine as well. She might be terrible at her job, but she’s still much better-liked than Martin.

The Auntie: Ultimately, it’s Aunt Joan who talks sense into Martin…or something like that. Joan helped raise Martin; she knows he’s a pain in the ass. But she’s not on his side with the firing of Elaine, either. Her argument is the most sensible. To paraphrase the wisdom of Aunt Joan: “You suck too, Martin. Be forgiving.” Except imagine I said that with an English accent.

The perspective she gives Martin is enough to get him growing, and he reaches out to be kind toward Elaine. The fact Elaine initially can’t accept that is not his fault, for once; however, his personal growth permits Elaine to close the gap between the two of them and regain her job. At least for the rest of the season.

Louisa & Martin: Again, Louisa can’t stand Martin’s abrasive personality, but Roger Fenn is the one who can’t stand Louisa’s shallow kindness. Fenn actually needs Martin’s bad attitude in order to listen to medical advice. Louisa isn’t perfect, even when she fakes it. Although Louisa’s characterization isn’t wholly consistent throughout the show, one thing remains true: as critical as she can be of Martin, she also fails to see where she can be the problem.

As usual, Martin proves that he’s better than everyone expects by showing up for Roger Fenn, and he and Louisa form a sort of three-person family of people who aren’t good at being liked.

Favorite Quote: From Martin to his very first patient: “Collect a thousand loyalty points and you get a free coffin.”

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Louisa’s Hair Rating: 10/10. Rather than her later-standard ponytail, she’s got this half up, half down thing going on that looks extremely lush and fancy. I like her wispy bangs. This is a quality hairstyle, especially for 2004. She’s so pretty!!

Infuriating Level: 10/10. Elaine is so! bad! at! her! job! Martin was correct to fire her, and the whole town turning on him is nuts. These people would die without a doctor, but it’s amazing nobody dies from Elaine’s general incompetency.

Episode Greatness Level: 8/10. This is a pretty normal outing for the show, setting up a lot of the comfortable formula we enjoy through most of the seasons.

Doc Martin is the greatest TV show ever made. I can’t tell you exactly why this is true. I can list things that I love about the show, but what about these things makes it “the greatest”? I’m not entirely sure. But I love Doc Martin in a way that I have never loved a show on my first watch-through.

I adore the titular character, Martin Ellingham, though I initially found him off-putting. You need a keen eye to see actor Martin Clunes’s comic chops through his dour, neurotic, wooden-faced performance as Dr Ellingham. After a time, it becomes clear the only reason this character (who is incredibly autism-coded) works is because Clunes is a genius of physical comedy. He delivers the driest English humor and most restrained-yet-cartoony gesture work.

Martin is wish fulfillment in a character. He says what’s on his mind and tells people to shut up, go away, etc without a hint of shame. His incredibly logical approach to this batty small town feels a lot like being an autistic person in real life. It’s never quite clear why we’ve left someone miffed when we’re just speaking the unfiltered truth. Martin speaks with thorough medical confidence, which makes it all the more frustrating when he offends an entire village with his frankness.

The main appeal of Martin, for me, is competency porn. He’s really good at his job, usually. Mistakes can be made, but it’s seldom because he doesn’t care enough. If he realizes someone is in real danger, he cares deeply, and he won’t let go of the case until everything has been handled. Some have said medical shows are the hospital version of copaganda; it gives an unfairly glowing idea of a system that is incapable of producing sleuths who care so much and commit so many resources to any individual case. As someone medically complicated, I like dreaming of a doctor who could fix me.

Martin alone isn’t enough to make this show The Greatest. It’s a lot of things, big and small, that make Portwenn feel real and keep me returning to its Cornish shore.

The closest comparison I can make to an American TV show (at least, one that I’ve watched) is Elementary, another 1/3 of my all-time favorite TV shows, along with Bryan Fuller’s Hannibal. Elementary also stars an English lead who is autistic-coded with terrible social skills. They’re both shows oriented mostly toward mysteries, too. They’re procedurals where the central detective isn’t a cop. There’s also a female lead who I find extremely appealing: Lucy Liu in the case of Elementary, and Caroline Catz in the case of Doc Martin.

Doc Martin is funnier, though, and often less reassuringly predictable than Elementary; some of the episodes sincerely stress me out. But that excitement is part of the appeal too. Hence why I want to review THE GREATEST TV SHOW EVER MADE, episode by episode (if it suits me). I am obsessed, it itches my brain, and I have mentally moved to Portwenn. I’ll send you a post card.

Please note: All of these posts will have spoilers. I highly recommend watching the episodes before my recaps because the guessing is part of the fun.

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Episode Recap

Doc Martin flies into the small Cornish town of Portwenn to accept a new job as the general practitioner (GP). Before his surgery has been prepared, he’s already facing his first medical mystery.

It’s called “Going Bodmin” in reference to an asylum in Bodmin. The giggling girl chorus that remains *delightfully* consistent throughout the TV show calls Martin Bodmin from the get-go. They’re right, but can you blame him? You can imagine why when he’s losing his cool over the dog in the surgery, the narrow roads, and a town that wants to do everything but allow him to work peacefully.

The real story here is that Martin hates small-town life, but he doesn’t have any choices. He’s gotten himself driven away from his fabulous London job. The problems from London will follow him everywhere because the problem is Martin. He has to make this terrible town work, because he’s terrible at being human. And Portwenn desperately needs a doctor. The GP preceding him, Dr Sim, left behind a complete mess.

The medical mystery: Why does an older gentleman have gynecomastia?

Martin thinks it’s because enboobied Colonel Gilbert Spencer’s wife, Susan, is using way too much oestrogen cream, but when a surfer also shows up with gynecomastia, Martin loses confidence in that theory. There’s some question whether the water in Portwenn might be contaminated–which comes up again later.

It’s easy to predict the reveal yourself before Martin figures it out because the answer is unspooled from the very beginning. You can see Susan bustling away from her affair as soon as Martin arrives, and her distracted surfer paramour loses his car to high tide.

You already know the affair is coming long before it’s discovered at the worst possible moment. People love spoilers, especially when they spoil themselves. But you can easily understand why Martin, who is terrible at predicting human behavior, would not understand the mystery sooner.

Louisa & Martin: Martin and Louisa meet for the first time on the plane into town. Martin does the thing where he stares intensely at a woman until she thinks he’s a pervert, but he whips out a diagnosis that defuses the situation…kinda.

Louisa Glasson isn’t convinced that Martin is cut out for the village. He’s spent 12 years as a surgeon, who see people as bodies rather than people. And oh *boy* are the residents of Portwenn “people,” not bodies.

But Louisa begins respecting him when she realizes that Martin was correct diagnosing her with glaucoma. Much like myself, Louisa loves a competent man. She’s soft and generous and expansive this early in the show. She goes from angry to friendly in a snap. Martin’s attraction toward Louisa is subtler, aside from a couple darling moments where he gazes at her through a school window and sees she’s wearing an eye patch. Hey, it’s someone who actually took his medical advice! What’s not to love?

Worth noting that Martin Clunes has a great pining-face. You can trust me on this one, I’m an expert.

Also, it might look like Martin is too old for Louisa, but the actors are only eight years apart in age. Caroline Catz is just very beautiful and Martin Clunes is very square-headed.

The Larges: If you get competency porn feelings from Martin as a great doctor, you will not from the Larges. Bert and his son Al (presumably Albert and Albert Jr) are plumbers who show their dreadful skills in this episode by busting a pipe and flooding Martin’s surgery. It’s hard to believe these two doofy dudes will persist throughout the show, but they do!

Plumbing is their first of many failed ventures, and you can’t blame Martin for going Bodmin about it. But Bert Large also quickly becomes one of Martin’s access points to the town. Bert entreats Martin to care for the humans who have always been his neighbors, and his working class sensibility is exactly what Martin needs to concede his pride.

The Assistant: We meet Elaine in this episode, played by legendary evil step-sister actress Lucy Punch. (You might know her from one of my favorite movies, Ella Enchanted.) Elaine is unprofessionalism wearing white girl dreads. She won’t take notes he requests, uses his phone for personal calls, and wants to be paid even when she doesn’t actually do anything.

Elaine has been foisted upon Martin by the town in much the same way as the dog. He is surrounded by things he doesn’t want. But maybe there’s something here he needs?

The Auntie: Aunt Joan is introduced in a chicken coop. This is a woman who helped raise Martin when he visited her farm in summertime, and when we see her practical personality (including a quick chicken neck snapping) it quickly begins to contextualize Martin’s personality too.

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Louisa’s Hair Rating: 7/10. It’s a little flat. Her fringe isn’t at it’s fringiest, either.

Infuriating Level: 5/10. Martin’s more annoying than the town at this point, but don’t worry, things swing around quickly.

Episode Greatness Level: 10/10. I just love the Old Man Boobies episode, I won’t lie.