Best Medicine Episode 4 is titled All the World’s Ablaze. It aired on FOX on January 27, 2026.
This episode picks up with Dr. Martin Best (Josh Charles) still ruffling feathers in Port Wenn, Maine. His no-nonsense style and strict rules keep rubbing people the wrong way.
But things take a turn in Best Medicine Episode 4. Martin has already managed to cancel the town’s famous baked bean supper and accidentally break the arm of their star baseball player. This time, though, it’s worse. An outbreak of food poisoning at The Salty Breeze shakes the whole town. It’s not just about hurt feelings or missed events; it’s about people’s jobs and the place everyone counts on. When the health inspector shows up, Martin isn’t just the outsider with a bad attitude anymore. He is the guy everyone blames.
Best Medicine Episode 4: The Salty Breeze scandal

In Best Medicine Episode 4, Martin found something wrong: a few patients had been appearing at his office with the same symptoms. Being the meticulous physician he is, he did not treat them and discharge them. He was doing what any responsible physician would have done: linking the dots. These were all individuals who had been dining at The Salty Breeze, the local eatery owned and operated by Greg Garrison and George Brady.
This was not a complex choice for Martin. People started falling ill; they were all united by one factor, and food poisoning appeared to be the evident suspect. Therefore, he summoned the health inspector.
If this were happening in Boston or any major city, it would be a matter of routine to call a health inspector. Nobody would bat an eye. But Port Wenn is not a big city where people have dozens of places to dine. It is a small fishing community; its people not only eat at The Salty Breeze but also socialize, party, and grieve together in the restaurant, and this is where they create their own society.
So, the health inspector came and began to poke around. The inspector found one thing that doomed the restaurant: Greg and George had a pet pig. Not outside. Not in a proper enclosure. Inside the restaurant.
The health codes were broken by the presence of the pig. The inspector was forced to close The Salty Breeze down at that moment. And just like that, Martin was no longer the clumsy, socially unfit doctor that the town had put up with, but the man who had ruined one of the most important institutions they had. The whole town turned on him. All the inhabitants, including his own aunt Sarah and those he was treating, blamed him for the closure. To them, Martin was not defending the health of the people; he was destroying lives.
What makes this case aggravating to the townspeople is the fact that Martin did not even bother to handle it calmly. He directly approached the authorities in Best Medicine Episode 4. That is how Martin functions. He identifies an issue, and he goes about it using official means. He is not aware of the unwritten rules of a small town, where you could afford to give people the benefit of the doubt or resolve issues internally before introducing an outsider.
The food poisoning incident is the ideal representation of the essential conflict of Best Medicine. Martin is technically correct, since there is no way that a pig can live in a restaurant. That is a valid health risk. Medically, Martin did the right thing. However, Port Wenn folks are not about technicalities. They are concerned that The Salty Breeze has been their place of gathering over the years. Greg and George are their neighbors, and this Boston outsider has just torn down an institution in the community.
This is not the first time Martin estranged the town. In Best Medicine Episode 2, he cancelled the monthly baked bean supper of Port Wenn. In Episode 3, he accidentally broke the arm of the star athlete on the high school baseball team just before the playoffs. However, the incident at the restaurant seems different. This one comes with actual economic consequences.
The most unfortunate thing about this entire scenario in Best Medicine Episode 4 is the fact that Martin thinks that he did something good. In his mind, he kept the people safe from food-borne illness. He followed proper protocol. He was acting in the best interest of the community’s health. Technically, he is not mistaken.
However, he has failed miserably to realize that in a community such as Port Wenn, relationships are more important than rules. And providing human beings with an opportunity to correct their errors is more important than being technically right.
Best Medicine Episode 4 also reveals to us that Martin has more serious issues than weak social skills. His style depicts a person who is not aware of what to do to fit into society. He is accustomed to the anonymity of big city medicine, where you make a decision and do not see the patient again. In that environment, professional relationships are not intertwined with personal relationships, and decisions are based purely on medical merit rather than on human cost.
Port Wenn does not do it like that. In this case, it is the same individual who owns a restaurant you closed who will be present at the grocery store, town meetings, and all social events. It feels bad for Martin to learn that you cannot simply become a good doctor in a small town. You must make a fine neighbor as well.