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Wilma must take a break from her croft to undergo a serious operation to remove a kidney at the Gilbert Bain.
The coastguard rescue a six-foot-nine-inch Norwegian nicknamed Tiny from a ship bound to the Shetland Folk Festival, and junior doctor Freddie treats an Indonesian fisherman in A&E.
A patient makes a 450-mile round trip for a hospital appointment that takes just 20 minutes, and the emergency services join forces to raise money for an MRI scanner for Shetland.