Keita shows more and more interest in Kotoko and gets upset seeing the way Irie acts towards her.
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Considering that Kotoko and Naoki got married about half a dozen episodes ago, it seems a little late to be introducing a full-on love triangle to proceedings, but that's exactly what has happened here. As ever, Kotoko is completely useless at being a nurse, and Naoki is similarly useless at being anything approaching a decent human being. But what's this, a nice character in Itazura na Kiss?
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