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Three emergency admissions upset Lydia and Greg's wedding plans; Greg wonders if Lydia's frequent departures to help patients actually covers for her cold feet.

The Good Karma Hospital

Ruby feels shocked by the unexpected arrival of someone from her past who insists on helping care for her father; a misstep teaches Niki the dangers of overconfidence; Lydia confronts her past in the form of her first husband.

A tragic case leads Samir and Mari to grow even closer; Lydia and Niki receive a reminder on how life tests them as Good Karma Hospital doctors; a familiar face returns to Good Karma.

The happy news of Karishma's awakening gets offset by her loneliness, and Samir realizes she needs more than medicine to fix her and arranges a little magic; Lydia discovers only one proper answer to Greg's visa problem.

Ruby faces difficult questions when her actions have devastating consequences; Greg keeps a troubling secret from Lydia and The Good Karma Hospital receives a new doctor.

Lydia reluctantly admits a highly contagious Nipah patient into her hospital when Ruby and new British Asian doctor Samir break protocol in the fight to save the girl's life.

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The story of Ruby Walker, a junior doctor who is looking to begin a new chapter of her life following a heartbreaking end to her relationship. The UK resident heads over to a new Indian community, where she does her best to blend in.

S4 E4 | The Good Karma Hospital