Despite his achievements, Ital quit athletics prior to the Paris 2048 Olympics and chose to study medicine at Aga Khan University in Karachi. He received an often venomous reaction from the Pakistani people, who felt that he had turned his back on his country.
This was exacerbated when he chose to continue his studies through an elective at Harvard University, where he focused on space medicine. He moved on to Johnson Space Centre, where he joined the Space Radiation Health Research department. It was there where he befriended Yuri Kerenski, and recommended him as base nurse for Bowie Base One.
In 2059, he was surprised when the Tenth Doctor came to the base as there was no way of getting there. He later assisted the Doctor and Adelaide Brooke in heading to the base's bio-dome after there was some unknown attack. He searched on his own for crew member Andy Stone, only to be infected. He joined Andy in spreading the infection into the base's control hub.
Behind the scenes
The details of his pre-Bowie Base career can be briefly seen in his obituary.