Martin and Penhale arrive at the Airport and Martin gets Louisa off the plane. Louisa leaves for the airport but while checking her brain scan, Martin notices there is a tumour that if Louisa gets a headache in the plane, the pressure from the cabin could cause an aneurysm. As a result, she gets taken to a hospital where she seems fine but she tells Martin that she is leaving to be with her mom in Spain, stating that she and Martin need time apart from each other. Angry, Louisa goes after him and in the process gets hit by a car. When Louisa wants Martin to present medals to the children of Portwenn, Martin acted as his usual self. They hire a new babysitter to look after James. Bert decided to give them a honeymoon where everything goes awry. Martin "confesses" his love for Mrs Tishell when in reality it is to Louisa. Eventually, Martin finds out about Mrs Tishell's obsession and he and Louisa go to rescue their baby. What Martin doesn't know is that she has developed an obsession with him and takes James. In the season 5 finale, "Ever After", Louisa leaves the baby with Martin who in turn asks Mrs Tishell to look after James Henry. However, Martin makes it up to her by operating on her mother when she gets an umbilical hernia. Louisa's mother arrives in Portwenn and eventually her relationship with Martin takes a turn and she leaves with the baby. For example, telling Louisa that she needs to lose weight. Their relationship is still in limbo as Martin's insensitive comments come to light. Louisa and Martin begin their new life as parents and name their son James Henry. The season ends with Martin and Louisa and their newborn child. She tells him to go but later tells him she loves him and wants to be with him. They go to a pub where she goes in labour. Louisa gets into an accident and Martin goes to rescue her. When Martin decided to accept a job in London, Louisa (now heavily pregnant) is upset with Martin and he tells her that she said she didn't need him. She tells Martin that she doesn't need him and that she is going to raise the baby all by herself. However, just as her and him are having dinner, there's a knock on the door and it is Louisa with a surprise: she's pregnant with his child. He encounters an old friend who wants him to return to the surgery. It has been 6 months since Martin last saw Louisa. However, the day of the wedding, bad omens start happening and they decide to call off the wedding. After her friend suffers a fall and Martin has to help, he asks her to marry her and tells her that he cannot live without her and she accepts. With her ex gone, Louisa is single and waiting for Martin. Louisa and Martin's relationship starts to develop this season. In season 2 Louisa and Martin are apart, an old boyfriend from her past arrives and he begins courting her, eventually she notices that he is very controlling and when he wants her to leave with him she decides to stay in Portwenn. Their first kiss was in the back of the taxi where he screwed up and told her that she needed mouthwash. At the end of season 1, she finds out about his haemophobia, but he eventually proves himself when he saves Peter's life. Martin and Louisa first meet on a plane when Martin could not stop staring at her, she thought he was being rude, but instead he noticed she had glaucoma.
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