Fractured Holby City


Fractured

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-Had to let you go.

-"Let me go." I was your daughter.

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Been here so many times.

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But we've never actually got to the end.

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The bit where you tell me about my sister.

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You didn't let her go.

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Miss Naylor? Heard a lot of horror stories.

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Yep. They're all true.

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She's a genius though.

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I meant to ask, how was Berlin?

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You couldn't stab me in the front so you had to go the long way around.

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Paranoia is not a good colour on you, Jac.

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Are we not trying for a baby?

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Trying for a baby. How desperate does that sound?

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You pushed your sister down the stairs?!

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It was an accident.

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Oh, hello, Guy.

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Long time no see.

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Come on, you two, look lively.

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That's it, nice clean floors she can see her face in.

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If she had a soul.

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OK, team, let's get ship-shape.

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It's not worth the pain and torture if we're not.

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Hey.

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Hey. We're nearly all set.

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Good.

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Hi, Miss Naylor.

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Hi, Jac. Hi.

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Hi.

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SHE SIGHS

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Hi, Jac!

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Morning, everyone.

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Rachel, love that hairband.

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My name's Rosie.

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Hey, guys!

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She's smiling. Why is she smiling?

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Hey, how are you?

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Flip a coin who's asking where she's been the past six weeks.

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No, seriously, why's she smiling?

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Arranged a hit on Selfie?

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Nah, wouldn't have taken her that long.

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Do you reckon she's on something?

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OK.

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SHE EXHALES

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Thank you, boys.

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Morning, all.

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Morning!

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Oh, Miss Campbell, HR called and they want

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-to do a HOD meeting tomorrow.

-Oh, dear.

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I'll be spending some quality time with my daughter at a spa...

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on the Amalfi Coast. Shame.

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Ooh, lovely Italy, eh.

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Oh, and, um, sorry to heap loads of things on you before your holiday,

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but the morbidity audit needs signing off and Evie's ready

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-to be cleared for discharge.

-Well, that's good.

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Right, well, if I'm going to get out of here on time, I better crack on.

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Oh, and, um, Miss Campbell, um,

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just to warn you, Fletch is being quite an involved parent.

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I see.

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Serena, Evie's waiting to be signed off for discharge.

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See what I mean?

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KNOCK AT DOOR

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Welcome back.

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So, where you been?

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What you smiling at?

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Managed to find Jeremy Hunt's off switch?

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Just some R&R but I'm back now.

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Fully charged, big plans for Darwin,

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including a culture of honesty.

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Have you told the rest of the team that you're pregnant yet?

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I don't think you can pass that off as a pasta lunch any more.

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Yay, culture of honesty.

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Also, can you liaise with the Director of Nursing about

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starting up one of those 360 feedback forums for the nurses?

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Please.

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Sorry. What?

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A 360 feedback forum for the nurses.

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The one I suggested and you said you'd rather burn yourself alive than read?

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Oh, and wasn't there something about nurses not being able to,

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"Write big words"?

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Yes...that one.

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But it was office banter.

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OK, now you're freaking me out.

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Seriously, start the forum.

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I would really love to know what the nurses about the way I run

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this department and ways in which I can instil a blame-free culture.

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Yeah.

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Ah, Mr Self.

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I thought you'd been given leave to cancel your electives while

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your mother is recuperating,

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and I gather you haven't had the chance to see her at all over the past week?

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Well, I trust our wonderful cardiothoracics team to handle

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my mother's care.

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Your mother's retirement home has felt the need to contact

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me directly. Despite several attempts, they still have

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no answers to your mother's new health needs.

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I've been very busy.

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By all means, remove my name as next of kin

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if that helps oil the wheels.

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Hi.

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Jac. You're back.

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Yes, raring to go.

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I just want you to know that any professional disputes we've

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had in the past, I've put them behind me.

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I've moved on.

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Well, I have a Head of Department debrief to get to

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so I better crack on.

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Obviously, it's up to you if you want to do the diet with me,

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but I totally understand if you've had your fill of plans.

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Nope, nope, I'm happy to.

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If we're going to go down the IVF route then we should get healthy.

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Are you sure?

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Of course I'm sure.

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Thank you very much, sir.

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Barney! It's Sacha.

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I'll see you upstairs for your usual, all right?

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Right you are, Mr Levy.

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Forward.

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Barney and Sparkle.

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What a twosome. Made for each other.

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BARNEY FALLS

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No fracture, but maintain no weight bearing if the pain doesn't subside.

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-Miss Campbell, some files for you.

-Oh, yes, good. Thank you.

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Uh, Serena? Evie seems a bit upset and I think it's cos she thought

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she'd probably be at home by now. So, is there anything I could be

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-doing that would make this hurry up?

-Oh, Fletch, come on.

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Between working, looking after your other children and being here

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for Evie, when have you had the chance to get a proper sleep, hm?

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Raf's got the children, hasn't he?

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Morven's on the case and I'm here. Evie's in good hands.

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Go and get some rest.

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No, I can't leave her.

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Fletch, look at me.

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Look at me!

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You trust me, don't you?

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Yeah, of course I do.

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We'll take good care of her. I promise.

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Now, go.

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Go on, go!

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OK, Barney, I think there's nothing serious.

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So, we're just going to check you over before we take you for

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your blood transfusion. OK?

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Um, has Sparkle ever done anything like this before?

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Done what?

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Led you into things?

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Has she had her own eyesight tested recently?

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Oh, her vision's 20/20. She's just a bit of a trickster.

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You and your tricks, eh?

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THEY LAUGH

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Awww, she's gorgeous, isn't she?

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She's gorgeous.

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Well, Miss Naylor, you seem raring to go.

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Would you like to tell me what you did with your extended leave?

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Just a course thing.

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I have a clinic to arrange, so, if we're done...

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You and Mr Self...

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Would it be naive of me to hope that, refreshed and renewed,

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you and he will be able to share Darwin more amicably?

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As difficult as it is to believe,

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I...I don't have a vendetta against Guy Self.

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Well, in that case, Mr Self's mother is a patient on Darwin.

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It seems that the various consultants she's gone

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through this week have exhausted all the apparent options to

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improve her cardiac function.

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Would you like to take on the case?

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Sure.

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Oh, eh...

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Hello, darling, it's your mother.

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I've just been trying to find a second to call you all morning.

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I just wanted to make sure that you're OK to meet at the airport at five.

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Just, I haven't heard anything from you so, if you could give

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me a bell as soon as you get this. Thanks, love. OK, bye.

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Miss Campbell, um, there's a bit of a problem with Evie.

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You've recovered well from last week's events but your left

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ventricular function is still concerning.

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I'm 76. What did you expect?

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Right, well, we could perhaps put in a balloon pump.

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-That would help that...

-It's not a permanent solution, is it?

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I've had a week of doctors prodding me and all saying the same thing.

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Unless you've got something new to say,

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do you think you could let me read my book in peace?

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So, uh,

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is Guy going to be your nurse before you go back to the retirement home?

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I think I'd end up having an unexplained accident if Guy

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was my nurse.

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I didn't realise you had a difficult relationship.

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Sorry, it's none of my business.

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VALERIE CRIES OUT IN PAIN

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Valerie?

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Valerie?

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MACHINES BEEP

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You, get in here.

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Uh, I'm...I'm Jasmine.

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Rachel, call the crash team and tell Mr Self that his mother's in arrest.

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What's the problem, Evie?

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I've just had an operation. I don't want another procedure.

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Right, but if we wait, the wound could get infected and then

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we'd have to go back into theatre.

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Or...you might get gangrene. Ugh!

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-You really don't want that, do you?

-No.

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No, so, can Morven do it now, please?

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Good girl.

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All right, then.

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Uh, Miss Campbell.

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I'm afraid it's infected already.

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Ah, right, yes. Seems the delay's had an impact.

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OK, well, we'll have to start on antibiotics then.

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Sorry for being a pain.

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What? Now, I thought you were meant to be a clever girl.

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Why on Earth are you sorry for needing help, hm?

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Do you know what? I think I'm going to take this case from now.

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But aren't you up to your eyes?

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-It's fine, honestly.

-OK.

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Right, let's keep going. Charge to 150 again.

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Charging to 200.

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No, 150.

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150.

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-Charged.

-Clear.

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And there's rhythm.

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OK, let's get her into HDU. Continuous observation please.

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I need to go and work on something.

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Miss Naylor, would the Herzig not be an option?

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Yes, thank you. Given the decline, I did actually think of that.

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I've been following it since first year medical school.

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I think it's the best cardiothoracic medical innovation in a decade.

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Well, I really should get on and investigate whether it's

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actually a viable option for this patient.

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All done. Just read my patient history.

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I spotted the potential for the Herzig when Ms Sturgeon arrived.

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Obviously her age is a factor but in all non-CT respects,

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she's as fit as a 60-year-old.

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There is absolutely no reason why she won't make

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a full recovery and have many years of good health.

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Here are the results for the equivalent liver function

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innovation case study test in patients over the age of 80.

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Stop talking!

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Sorry.

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This is quite good.

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You can go.

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Is Sparkle OK? Maybe I should bring her out here with me.

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Well, you're very welcome but she's, uh, she seems to be happy in the

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staffroom, being fussed over by all the nurses.

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Barney, how long have you had Sparkle now?

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Six years this June.

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From that first time she sat at my feet,

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I knew we'd be best pals forever.

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It's a magical feeling when you find that special someone.

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You sound like you've been struck by Cupid's arrow.

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Good for you, Doctor Copeland!

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And good for all you gays and all!

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Excellent.

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Good. Right, um, Essie's going to set your transfusion up.

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(A blind guide dog?)

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Well, maybe a problem's developed since Sparkle's last check-up.

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She's more use to Barney stuffed.

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At least that way she'd make a great doorstop.

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-Dominic!

-Too far!

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Oh, please!

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Sometimes couples need to admit defeat, for their own sakes.

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I mean, no-one likes a messy break-up but you know it's true.

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Oh, oh.

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Valerie?

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There we go.

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You're in Holby City Hospital.

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You had heart failure but Miss Naylor brought you round.

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Am I dying?

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Your condition is slightly more serious than we first thought,

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but Miss Naylor's looking into some things that I'm sure she'll

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discus with you.

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Does Guy know?

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I believe your son was informed you were in cardiac arrest but

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he was very busy.

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You're being a lot braver than my daughter was when she had her tonsils out.

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Tell me, um,

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what's this about you thinking you were being a pain, hm?

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-Just...if I let Morven do the re-packing earlier...

-Mm?

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..it wouldn't have caused all this fuss.

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And why didn't you let her, really?

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After what happened with your brother,

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I suppose going back home must feel like a bit of a big step, hm?

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A bit.

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Did you want this to get just a little bit worse

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so you could maybe stay in hospital a tad longer?

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Right. How does that feel? Better?

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-Yeah.

-Do you know what? I think you and I deserve a break from this

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room. What do you say?

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Mm. JAC TAPS HER PEN

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No sign of calcification.

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So, if we enter here,

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we could reduce any additional strain on her pulmonary artery.

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But if we enter here she will have a quicker recovery time.

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A 76-year-old doesn't have a job to rush back to,

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and don't ever take my pen.

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What's all this about my mother being your guinea pig for the Herzig?

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I assumed you'd seen her latest heart function tests.

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I've seen the results, yes.

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The fact that she's as good as dead isn't the point.

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It is as far as your mother's concerned.

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I've spoken with her. She's not ready to die.

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And to reassure you, take a look at the research.

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If I can convince the commissioners to fund this procedure,

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then there's a good chance we can give your mother five,

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maybe ten years of good health.

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Sometimes it's just best to let nature take its course.

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BOTH: It's our job to fight nature.

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I bet you're loving this. Playing God with my family.

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You're using my mother to punish me, aren't you?

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Your mother is my patient and I have a duty to try and extend her life.

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Regardless of how inconvenient her continued living appears to

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be for you.

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If he added a chapter called Mummy Issues,

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his biography might have at least been entertaining.

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Watch your mouth. He's your senior.

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There you are. I've been waiting all week!

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No sign of you or Zosia.

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I thought you'd given up on me.

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You are not the victim.

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I don't know what sob story you've been spinning Jac Naylor, but you

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will not manipulate me into spending any more of my life with you.

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Do you understand? The mind games, they will not work any more.

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You have no power over me.

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I thought I was dying.

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Good.

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Do you expect me to feel pity for you because you're decrepit and alone?

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You know, I hope you don't get this operation because you don't deserve it.

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I'm sorry about what I did to you.

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HE HUFFS

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Thanks for this.

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A week of hospital food, are you kidding? You deserve a treat.

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Dad works so hard to keep us all fed.

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I know he's got uncle Raf.

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But he can barely keep his eyes open when he's off work.

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The kids are too young to help...

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so, I do it.

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I know it's really selfish of me to complain.

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It's not selfish at all.

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I can't claim to have faced all the challenges that you have.

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When I was your age, being caught smoking by the hockey teacher

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was the closest I came to a personal crisis.

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But I do remember what it felt like to be 12 and bursting at

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the seams to get out of the house and have some fun.

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I found having a goal and aiming towards it helped.

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I think it might help you too.

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Mum used to say,

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"You've got to have a dream for your dream to come true."

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You must miss her.

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So...what's your dream?

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A job to pay the bills so we can all stop living off jacket potatoes.

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Evie, you're female.

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The world is going to throw plenty of obstacles in your career

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path so you have to leap over them and aim high.

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Now, what would you really, really like to do?

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I'd like to be a surgeon...

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..like you.

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Hmm.

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Ooh, Barney, you've got some nasty bruising on your knees.

0:19:200:19:24

I must have knocked it when I took a tumble earlier.

0:19:240:19:26

Barney, are these tumbles a regular occurrence?

0:19:290:19:32

Please, Mr Levy, don't say 'owt.

0:19:350:19:38

She's my only pal in all the world.

0:19:380:19:41

Barney, I understand.

0:19:430:19:45

I'll just...

0:19:470:19:48

Yeah, yeah. I'll see you later, OK?

0:19:490:19:51

I think we're going to have to tell someone about Sparkle's blindness.

0:20:010:20:05

I know.

0:20:050:20:06

Maybe splitting them up would be the kindest thing to do.

0:20:060:20:10

Can we at least wait until Barney's got through his transfusion

0:20:130:20:16

today and then make the call?

0:20:160:20:18

I'm due in theatre. Who's going to look after her?

0:20:200:20:23

Well, I've got an admin afternoon so I can work from the staffroom.

0:20:230:20:27

Thank you.

0:20:270:20:29

Is that chocolate?

0:20:310:20:33

A kid dropped it outside Pulses.

0:20:370:20:39

And, you know, I forgot I had it.

0:20:410:20:42

It's fine. Have it.

0:20:420:20:44

I wasn't planning on eating it.

0:20:460:20:48

It's fine.

0:20:480:20:49

-Uh, Miss Naylor?

-Yes, Janine.

0:20:540:20:56

Erm, I've got that paper on geriatric risk assessment you were talking about.

0:20:560:21:00

No, you haven't. It's not being published till next week.

0:21:000:21:03

I did some digging and then called the lead researcher to

0:21:030:21:05

tell him I was a tiny bit confused about how his funding from

0:21:050:21:08

a soft drinks company wasn't a declared conflict of interest

0:21:080:21:11

in his 2012 diabetes paper.

0:21:110:21:13

Oh! Science to order kind of guy, is he? Hate those parasites.

0:21:130:21:18

BOTH: Should work in politics.

0:21:180:21:21

I just thought it might help.

0:21:210:21:23

-Have you ever pitched to the commissioners?

-No.

0:21:230:21:27

If you ever do, act like getting their funding is just a formality.

0:21:300:21:34

Don't be thrown if some non-medic pipes up with a concern.

0:21:360:21:40

The laypeople have to say something, cretinous as it always is,

0:21:400:21:44

to earn their free lunch.

0:21:440:21:46

Yeah, I heard most of the nominated experts haven't even worked

0:21:460:21:49

since the '70s.

0:21:490:21:50

You will have to have a proposal twice as good as

0:21:520:21:55

a man's to get their backing.

0:21:550:21:57

And today is even more important.

0:21:570:22:00

Putting a Herzig in a 76-year-old is unheard of,

0:22:000:22:03

but don't be emotionally led.

0:22:030:22:05

I'm never emotionally led when it comes to medicine.

0:22:050:22:07

I'm not a do-gooder, I just follow science.

0:22:070:22:10

You can observe.

0:22:100:22:12

Thank you.

0:22:120:22:14

And get out of the habit of saying, "Thank you."

0:22:140:22:16

You've earned this opportunity, Janine.

0:22:180:22:20

It's actually, uh, Jasmine.

0:22:220:22:23

I'm Jasmine Burrows.

0:22:270:22:28

Hi, sis.

0:22:350:22:37

Well, half-sis.

0:22:380:22:39

Miss Naylor, are you ready?

0:22:440:22:46

Mr Levy.

0:23:030:23:05

Mel!

0:23:050:23:07

I was plucking up the courage to come upstairs and find you

0:23:070:23:10

-and Essie.

-What's wrong?

0:23:100:23:11

Did I put my foot in it with you two?

0:23:120:23:14

You know in the meeting about Ivor? The blame game.

0:23:140:23:18

No, no, not at all.

0:23:180:23:19

No, we're fine.

0:23:210:23:22

I've got a few boxes need lifting.

0:23:230:23:25

You couldn't be my knight in shining armour again, could you?

0:23:250:23:28

But, of course.

0:23:280:23:30

So, to recap, Annie arrives with low BP and a pain in her side.

0:23:300:23:34

So, an internal bleed.

0:23:340:23:36

Yes, and her CT scan shows a perforated liver.

0:23:360:23:39

Where's the liver?

0:23:410:23:42

That's it.

0:23:430:23:44

And do you know what's remarkable about this particular organ?

0:23:440:23:47

Well, besides its ability to hang on in there in the face of my

0:23:470:23:50

enthusiasm for red wine.

0:23:500:23:51

It can regenerate itself.

0:23:510:23:54

Good.

0:23:540:23:55

When it's damaged, it doesn't become scar tissue like the other organs,

0:23:550:23:59

it grows new cells.

0:23:590:24:01

Well, I think you've earned the right to hold a proper scalpel.

0:24:010:24:04

Can't quite believe I'm going to do this but there we are.

0:24:040:24:08

Right.

0:24:080:24:09

Whip it out.

0:24:090:24:10

How does it feel?

0:24:150:24:17

Feels amazing.

0:24:170:24:18

Excellent. Very good, pop it in there.

0:24:210:24:24

Good!

0:24:240:24:25

Well... Well done, you.

0:24:250:24:27

-Serena?

-Yes, sweetheart?

0:24:280:24:31

I think having one less kid to look after would help Dad out.

0:24:310:24:34

Can I move in with you?

0:24:370:24:38

-Sorry.

-No, no, it's all right. But you know

0:24:400:24:43

you don't want to do that.

0:24:430:24:45

You belong with your dad.

0:24:450:24:47

TEXT MESSAGE ALERT Ah, good.

0:24:470:24:50

OK, I've been trying to get hold of my daughter all day.

0:24:500:24:52

Right, let's get you back to your room. We can talk there.

0:24:520:24:55

Come on, hop off.

0:24:550:24:57

That's it, well done.

0:24:570:24:58

There is no reason not to try and extend the life of a

0:24:580:25:01

76-year-old patient, other than making an arbitrary decision not to.

0:25:010:25:05

That's not good science.

0:25:050:25:07

And what is the good science in the case of Mrs Sturgeon?

0:25:070:25:10

Mrs Sturgeon is healthy in all respects other than heart function.

0:25:100:25:14

Mm, that is a problem that would make her unlikely to survive

0:25:140:25:17

invasive, experimental surgery.

0:25:170:25:18

I wouldn't put her on the table if that was the case.

0:25:180:25:22

With all due respect, I think Professor Hope and I are

0:25:220:25:24

qualified to weigh up the risks of operating.

0:25:240:25:27

Furthermore, an advanced study from the Smyth institute...

0:25:290:25:34

-Miss Naylor?

-Bear with me, I have some statistics here.

0:25:340:25:38

Don't.

0:25:390:25:40

Well, don't worry, I think we've heard enough, Miss Naylor. Thank you.

0:25:500:25:53

Hfff.

0:25:560:25:57

What did you mean by that?

0:26:250:26:27

You said you were sorry.

0:26:330:26:35

Wha...what did you mean by that?

0:26:350:26:37

Tell me why you are apologising.

0:26:400:26:42

Everything you said last week was true.

0:26:440:26:47

Say it.

0:26:530:26:54

-Say it.

-I treated you badly.

0:26:550:26:58

Very badly.

0:26:590:27:00

Miss Naylor secured funding for the Herzig.

0:27:030:27:06

We're on.

0:27:060:27:08

Strange being back here.

0:27:110:27:14

I had a few sessions with the workplace counsellor...

0:27:140:27:18

about what happened.

0:27:180:27:19

I'm not usually into all that "tell me your feelings"

0:27:190:27:21

stuff but it helped.

0:27:210:27:23

I've got the number if you or Essie...

0:27:240:27:27

That's very kind of you, Mel, but we're fine.

0:27:270:27:30

100%.

0:27:300:27:32

And you have got each other to talk to about what happened now.

0:27:320:27:35

The truth is, Mel...

0:27:380:27:39

..I can't remember the last time

0:27:460:27:48

Essie and I talked properly about anything.

0:27:480:27:51

She's always been my best mate.

0:27:520:27:55

Shock can play havoc with people.

0:27:550:27:57

It's not just the shock.

0:27:570:27:58

We're trying for a baby.

0:28:010:28:03

Which is great, because I love kids. It's just...

0:28:030:28:06

Just what?

0:28:070:28:09

It just never stops.

0:28:100:28:12

We say it will, but it doesn't.

0:28:120:28:14

Feels relentless.

0:28:140:28:16

Bit of a whirlwind?

0:28:160:28:18

Yeah, yeah. Just a bit of a whirlwind.

0:28:180:28:21

I miss the way we used to be.

0:28:250:28:26

We never seem to have any fun any more, you know?

0:28:310:28:34

You've helped me so much, with the boxes, the operation.

0:28:360:28:40

Let me buy you lunch.

0:28:400:28:42

Well, that's very kind of you but I can't.

0:28:420:28:45

We're on a couples' diet.

0:28:450:28:47

I've got a superfood salad with my name on it upstairs.

0:28:470:28:49

It's fajita Tuesday in the canteen.

0:28:490:28:52

Fajita Tuesday?

0:28:520:28:53

Ah, finally, we got each other!

0:28:550:28:57

What do you mean you can't come?

0:29:000:29:02

Right, OK. No, no.

0:29:080:29:10

Don't worry, I'll go by myself.

0:29:100:29:12

SHE SIGHS

0:29:140:29:15

Mr Hanssen, I need to talk to you.

0:29:200:29:22

-Yes?

-I want that new F1 off my ward.

0:29:220:29:25

I can't work with her. She's not a good fit.

0:29:250:29:27

Send her somewhere else.

0:29:270:29:28

Her dean arranged the rotation. If you have a concern about her

0:29:280:29:30

suitability, raise it with them, please.

0:29:300:29:32

I'm the head of the department.

0:29:320:29:34

I thought you'd moved beyond this attitude, Miss Naylor.

0:29:340:29:37

No, no, no, no, no, no, no! Mel, Mel, Mel.

0:29:400:29:43

Tch-ssh ssh! It's a surprise.

0:29:430:29:45

-This isn't the canteen.

-Tch-tch!

0:29:450:29:46

What's going on, Mel?

0:29:520:29:54

OK, look.

0:29:540:29:55

I know I overstepped the mark last time we saw each other.

0:29:550:29:58

I just thought you guys could talk...

0:29:580:30:00

and...

0:30:000:30:01

eat.

0:30:010:30:02

Mel, look...

0:30:020:30:03

Enjoy.

0:30:050:30:06

Listen, I had absolutely no idea about this.

0:30:090:30:12

And she knows we're on a...

0:30:140:30:16

diet.

0:30:160:30:17

Smells amazing.

0:30:190:30:21

Yeah.

0:30:220:30:23

I didn't mean it to come out like that.

0:30:320:30:34

I got excited.

0:30:340:30:35

We're here to work.

0:30:350:30:36

Can we talk after work maybe?

0:30:380:30:40

I could cook us dinner or something.

0:30:420:30:44

I wouldn't have brought it up like that if I'd known it'd upset you.

0:30:470:30:50

I'm not upset. I'm about to operate on the mother of a colleague.

0:30:500:30:54

Just go and get the equipment.

0:30:540:30:56

We've got a lot in common.

0:31:010:31:02

I didn't have it easy with Mum either.

0:31:030:31:06

They wouldn't do this operation if it wasn't safe, would they?

0:31:170:31:20

Jac Naylor is a great surgeon.

0:31:200:31:21

So...

0:31:230:31:25

this could be it.

0:31:250:31:26

Mum...

0:31:380:31:40

..have you ever loved me?

0:31:420:31:43

Of course I loved you.

0:31:440:31:45

It would have been so much easier if I didn't.

0:31:460:31:49

I just don't understand how you can lock a child in

0:31:510:31:53

a cupboard and then say you loved them.

0:31:530:31:56

Your father had just died. I couldn't cope.

0:31:560:31:59

Since when have you not been able to cope?

0:31:590:32:01

You weren't an easy child.

0:32:010:32:03

Too clever by half. Everything was a battle.

0:32:030:32:05

I-I'm not using that as an excuse.

0:32:060:32:09

I want you to understand.

0:32:090:32:12

I thought, with your father gone, it was my duty to be hard on you.

0:32:120:32:17

I'd seen boys without their dads lose their way.

0:32:170:32:20

I wanted you to work and achieve something.

0:32:210:32:25

And look at you. You have.

0:32:270:32:29

What?

0:32:310:32:32

So my career makes what you did worthwhile?

0:32:320:32:37

No.

0:32:370:32:38

No, I...I didn't understand how much damage I was causing you.

0:32:380:32:43

I'd seen wicked boys raised by weak mums and I thought I was

0:32:430:32:47

saving you from that.

0:32:470:32:50

How could you possibly think that beating me,

0:32:500:32:53

scaring me half to death, was saving me?

0:32:530:32:56

Well, because that's how your grandma raised me.

0:32:560:33:00

A night or two in the cellar never did me any harm.

0:33:000:33:03

So...Grandma did the same to you?

0:33:060:33:09

Well, I was a very difficult child.

0:33:090:33:12

She didn't have any choice.

0:33:120:33:13

But I didn't want it to be like that between us.

0:33:140:33:17

And it wasn't, was it?

0:33:190:33:20

Not at the start. We had fun.

0:33:200:33:23

I just didn't know...

0:33:270:33:28

..how else to keep you a good boy.

0:33:290:33:32

I'm sorry.

0:33:320:33:34

I'm so sorry.

0:33:340:33:35

I suppose it's too late to say that now, isn't it?

0:33:370:33:40

I just wish we could start over.

0:33:410:33:44

SHE GROANS

0:33:440:33:45

Mum? I need some help here.

0:33:450:33:48

Mum!

0:33:480:33:50

Stay with me now. Mum!

0:33:500:33:52

-HE HITS THE ALARM

-Hurry, please!

0:33:520:33:55

There are over 100 teaching hospitals in the UK.

0:34:020:34:05

-Why are you here?

-Why are you being like this?

0:34:050:34:08

Being pushed out of the same uterus doesn't give us a connection.

0:34:080:34:10

-So, I'll ask you again, why are you here?

-I'm your sister.

0:34:100:34:13

Are you not curious about me? I'm curious about you.

0:34:130:34:16

Don't you ever tell me how hard you had it with Paula.

0:34:160:34:20

Do you not think it's odd that Mum spent weeks here dying and I

0:34:200:34:23

didn't even get a phone call?

0:34:230:34:25

I didn't even know she was sick.

0:34:250:34:27

Unlike you, I didn't get a chance to say goodbye.

0:34:270:34:29

I didn't give it a thought.

0:34:290:34:31

Jac.

0:34:310:34:32

Clotting results for Mrs Sturgeon you need to be aware of.

0:34:320:34:35

They're a little bit low.

0:34:350:34:36

Wow, is snatching part of the culture of happy clappy?

0:34:360:34:39

Right.

0:34:440:34:46

Her platelet count's way too low. Herzig's off.

0:34:460:34:48

Evie, I'm...

0:34:550:34:56

-Morven, have you seen Evie?

-No.

0:34:590:35:01

-Lou, have you seen Evie?

-No.

0:35:010:35:03

Her bags have gone.

0:35:030:35:04

Oh, right. OK, well could you both go and have a look for her, please?

0:35:040:35:07

I think I might have upset her.

0:35:070:35:09

Rested and recharged.

0:35:110:35:12

Ah, now, Fletch, we seem to have misplaced Evie for the moment,

0:35:120:35:15

but not to worry, she won't have gone far.

0:35:150:35:17

I thought you were looking after her?

0:35:170:35:19

You promised me.

0:35:190:35:20

Charge to 150.

0:35:240:35:26

MACHINES BEEP

0:35:260:35:27

Charged.

0:35:270:35:28

-Clear.

-Come on, come on.

0:35:280:35:31

Charge it to 200.

0:35:320:35:34

Nope. We've got a rhythm.

0:35:350:35:37

OK, tell Jac to get her to theatre and get the Herzig in.

0:35:370:35:39

I'm afraid the operation's off. Didn't Jac say?

0:35:390:35:42

What?!

0:35:420:35:43

MUSIC: Come and Get Your Love by Redbone

0:35:440:35:46

We haven't done that for a while.

0:35:480:35:50

Oh, my God, that was amazing.

0:35:520:35:56

I miss cheese so much.

0:35:580:36:00

We've been pretty...

0:36:080:36:09

..distant?

0:36:110:36:13

..with each other.

0:36:130:36:14

Whatever's thrown at us.

0:36:170:36:19

..Ivor...

0:36:200:36:22

babies...

0:36:220:36:23

We're a unit.

0:36:260:36:27

You know I love you?

0:36:300:36:31

Best mates?

0:36:380:36:39

Always.

0:36:400:36:41

KNOCK AT DOOR

0:36:480:36:49

DOOR OPENS

0:36:490:36:51

I cannot accept your decision not to give my mother the Herzig.

0:36:510:36:54

Borderline clotting results. This is a dealbreaker for you?

0:36:540:36:57

OK, well, you don't understand the procedure.

0:36:570:37:00

I understand medicine.

0:37:000:37:02

Then convince another heart surgeon to do the op.

0:37:020:37:04

Jac, you are the only heart surgeon who can perform the Herzig.

0:37:040:37:07

Yes, I am.

0:37:070:37:09

So, maybe I know what I'm talking about when I say that it's

0:37:090:37:11

unsuitable for her.

0:37:110:37:13

She is my mother. Stop playing games.

0:37:130:37:15

I've realised I need more time with her.

0:37:150:37:17

Yeah, well, you've had a lifetime to wheel her around the park,

0:37:170:37:20

-getting ice cream.

-We have some issues to iron out.

0:37:200:37:22

What would you have given for more time with your mum?

0:37:220:37:25

Let's not make this personal.

0:37:250:37:26

But it is personal, she is my mother. I know you can save her.

0:37:260:37:29

I know you're finding an excuse not to.

0:37:290:37:32

That's quite an accusation, Guy.

0:37:320:37:33

Look, these results are not a dealbreaker to you.

0:37:330:37:36

You're a risk taker. I know you, Jac.

0:37:360:37:37

-You don't know me.

-Yes, I do.

0:37:370:37:40

If you knew me, you wouldn't have sold me out to Berlin!

0:37:400:37:44

What did you think I was going to do, Guy?

0:37:440:37:46

Just roll over and take it?

0:37:460:37:47

Did you think that you could outsmart me?

0:37:470:37:51

Look, let's not get my mother caught up in this.

0:37:510:37:53

I thought we'd put that behind us.

0:37:530:37:54

-You said you'd moved on.

-You don't believe that any more than I do.

0:37:540:37:57

Can we at least try?

0:37:570:37:59

Where do you think Emma and I have been for the past month and a half?

0:37:590:38:03

On a retreat,

0:38:030:38:04

with the feeble minded, having to listen to some smoked out old git

0:38:040:38:08

telling me that I need to let go of you and your lies.

0:38:080:38:14

I really have tried to do that...

0:38:140:38:17

..but it's just not that simple.

0:38:180:38:20

OK, I admit it.

0:38:230:38:24

I gave Berlin your idea for the stent.

0:38:260:38:28

I'll go and tell Hanssen. Is...is that what you want?

0:38:310:38:34

Jac...

0:38:380:38:39

she's my mother.

0:38:390:38:41

And yet we hardly know each other.

0:38:420:38:44

I need more time.

0:38:450:38:46

She wants to be my mother. I know she does and...

0:38:470:38:51

..I need that.

0:38:520:38:53

Just need more time.

0:38:530:38:55

I'm begging you.

0:38:590:39:00

Then beg.

0:39:040:39:05

Beg for Mummy's life.

0:39:100:39:12

Please.

0:39:190:39:20

Please do this operation.

0:39:230:39:26

I didn't get a chance to make things right with my father.

0:39:300:39:35

Mum and I can help each other.

0:39:350:39:38

We just need more time.

0:39:410:39:42

I'm sorry...

0:39:460:39:48

for everything.

0:39:480:39:49

I'll perform the Herzig if you slither away from my ward,

0:39:530:39:56

like the greasy little weasel you are.

0:39:560:39:59

I want you gone for good.

0:39:590:40:01

It's not like you to hide out down here.

0:40:110:40:14

You been Naylored?

0:40:140:40:15

Yeah, a bit.

0:40:150:40:16

It's a rite of passage.

0:40:180:40:19

A sign of affection, they say.

0:40:190:40:22

How about I buy you a drink tonight? In Alby's.

0:40:220:40:26

Better get back up there, Ollie. Looks like the Herzig's back on.

0:40:260:40:30

You too, squirt.

0:40:310:40:32

Oh.

0:40:350:40:36

Ohhh, Sparkle.

0:40:380:40:40

Oh, she must be hungry. I feel guilty.

0:40:400:40:42

What's she going to do without Barney?

0:40:420:40:45

There you are.

0:40:470:40:48

It's Barney.

0:40:480:40:49

He's developed a rash and a pyrexia of 38.5.

0:40:510:40:54

It's got to be something to do with the blood.

0:40:540:40:55

-He's going to end up going into anaphylactic shock.

-Just leave me.

0:40:550:40:58

The bloods are labelled correctly, there's no mistakes.

0:40:580:41:01

There's a fresh bag of cross match and some samples just to be on the safe side.

0:41:010:41:04

OK? Now everything's going to be fine, Barney,

0:41:040:41:06

you're just suffering a reaction.

0:41:060:41:08

You're not listening to me.

0:41:080:41:09

Why are you saying that to me?

0:41:090:41:11

Because they're going to take Sparkle away from me, aren't they?

0:41:110:41:16

The problem is, it's a patient safety issue.

0:41:160:41:20

OK? And it's not fair on Sparkle to keep her working when she

0:41:200:41:22

needs to be seen by a vet.

0:41:220:41:24

So I simply have no choice.

0:41:250:41:27

Ah, it's all right, lad, I know you don't.

0:41:280:41:33

Evie?

0:41:330:41:34

She's a 12-year-old girl. Unpredictable is what they do.

0:41:340:41:37

I think I know my own daughter, thanks.

0:41:370:41:39

She's 12 going on 25. She's not just going to walk out of a hospital.

0:41:390:41:41

Maybe she's more of a child than you realise. Evie?

0:41:410:41:44

And what's that supposed to mean?

0:41:440:41:45

-Nothing.

-You know what,

0:41:450:41:46

I've been pulling my hair out all week over what happened.

0:41:460:41:49

I'm worrying whether Evie's coping, whether Mikey's coping.

0:41:490:41:52

My little one is barely sleeping through the night.

0:41:520:41:54

I can't ask Raf to do any more than he is.

0:41:540:41:55

So, if there is another problem that you want to add to my list,

0:41:550:41:58

then just get it off your chest.

0:41:580:42:00

There's no problem, really.

0:42:000:42:01

Miss Campbell? Your cab's arrived.

0:42:010:42:04

-Thank you.

-See ya.

0:42:040:42:06

No, I'm not leaving until I know Evie's safe.

0:42:060:42:08

Well, you haven't been much help to me so far.

0:42:080:42:10

Because you sent me home.

0:42:100:42:12

You told me you'd keep an eye on her and you clearly haven't given

0:42:120:42:14

her a second thought. So, please, go on your holiday.

0:42:140:42:17

OK, X-ray looking good.

0:42:290:42:31

Well, you should be awake in time for dinner.

0:42:320:42:35

OK, we're good to go under.

0:42:350:42:37

OK, let the theatre manager know.

0:42:370:42:38

Oliver? Um,

0:42:380:42:40

could I just spend a couple of minutes with my mum, please?

0:42:400:42:43

We'll be scrubbing in.

0:42:430:42:44

I don't want this operation. I'm scared.

0:43:030:43:06

There's nothing to be scared about.

0:43:080:43:10

If the worst happens...

0:43:150:43:16

..am I forgiven?

0:43:180:43:19

Ready, Mrs Self?

0:43:240:43:26

Yes.

0:43:260:43:27

You'll be fine.

0:43:330:43:34

You'll be fine.

0:43:350:43:37

We've made the charity aware of the care issues that

0:43:400:43:43

Sparkle's visual impairment is causing you both.

0:43:430:43:46

I know we're not an ideal pair in other people's eyes but we muddle along.

0:43:460:43:52

We love each other.

0:43:520:43:53

Hello, Barney.

0:43:550:43:57

They're not going to take Sparkle.

0:43:580:44:00

They're going to talk to you about retraining with a new dog,

0:44:000:44:03

and, as long as you're well enough to look after Sparkle,

0:44:030:44:06

then you can keep her too.

0:44:060:44:08

Sparkle, did you hear that?

0:44:080:44:09

We're staying together.

0:44:110:44:13

Deep down I knew it were a possibility,

0:44:130:44:16

but I just got into a panic. Thank you so much.

0:44:160:44:21

Pleasure.

0:44:210:44:22

Ooh.

0:44:310:44:32

SHE LAUGHS SOFTLY

0:44:320:44:34

You're amazing.

0:44:340:44:35

Ah, it was only a phone call.

0:44:350:44:38

No, no. You kept them together.

0:44:380:44:40

You are amazing.

0:44:400:44:42

-Can you put me down now?

-Yes, OK, sorry.

0:44:460:44:48

SHE LAUGHS

0:44:480:44:50

OK, Herzig is in place.

0:44:570:44:59

Thanks for letting me scrub in.

0:45:040:45:06

It's not personal.

0:45:070:45:09

You were the junior across the case.

0:45:090:45:12

OK, decanulating.

0:45:120:45:13

How's it looking?

0:45:150:45:16

ALARM SOUNDS

0:45:180:45:19

OK, suction, platelets, FFP.

0:45:190:45:21

What's happening?

0:45:230:45:24

She's not clotting.

0:45:240:45:25

Uh, can you just give me a second?

0:45:310:45:33

Evie, what are you doing out here?

0:45:370:45:39

We've all been looking for you. Dad's worried sick.

0:45:390:45:43

My boyfriend's going to pick me up.

0:45:430:45:44

On his space hopper?

0:45:440:45:45

His mountain bike, actually.

0:45:450:45:47

He's going to take me to my mate's.

0:45:470:45:49

Her mum will let me stay a few nights, I reckon.

0:45:490:45:51

Nope, you've got to go back in right now and get that infection treated.

0:45:510:45:55

I can't go back home any more.

0:45:550:45:56

I didn't mean to put you on the spot about me moving in.

0:45:570:46:00

I just thought we had a bond.

0:46:000:46:02

And we do.

0:46:020:46:03

Any girl that's going to be a surgeon is a friend of mine.

0:46:050:46:08

TAXI HONKS All right!

0:46:080:46:11

You've got to go. You'll miss your flight.

0:46:110:46:13

No, I'm not going on holiday. I'm going to get you treated.

0:46:130:46:17

You can't cancel your holiday.

0:46:170:46:18

No arguments. Come on.

0:46:180:46:20

Let's get you in.

0:46:200:46:22

All right.

0:46:220:46:24

More platelets.

0:46:240:46:25

Mean pressure is 30. She's lost too much.

0:46:250:46:27

-We don't have much reserve in her group.

-Get some O-neg then.

0:46:270:46:30

She's still bleeding from the surgical line.

0:46:300:46:32

Right, let's pack.

0:46:320:46:33

Shall we give her factor seven?

0:46:330:46:35

Yeah. Somebody, go now.

0:46:350:46:37

Where is my blood?!

0:46:370:46:38

Don't blame yourself. The clotting was always a risk.

0:46:410:46:44

Get out of my theatre.

0:46:440:46:46

-What have I done?

-GET OUT!

0:46:460:46:48

Jac...

0:46:510:46:52

And this boyfriend with the mountain bike...?

0:46:560:46:59

It's nothing serious.

0:46:590:47:00

Your choice or his?

0:47:000:47:02

-Mine.

-Good. Keep it that way.

0:47:020:47:04

Don't get serious with anyone until you can pay your own rent and

0:47:040:47:06

have your own independence. You don't want some snotty-nosed

0:47:060:47:09

boy thinking he can tell you how to run your life.

0:47:090:47:12

You won't tell Dad about him, will you?

0:47:120:47:15

I shall add it to the list of secrets I will not tell your father.

0:47:150:47:18

Look, you know, maybe you should be honest with him about feeling

0:47:200:47:24

like you have to help out all the time.

0:47:240:47:26

He'd be so upset.

0:47:260:47:28

Obviously I don't want to leave home.

0:47:280:47:30

I just want things to change.

0:47:300:47:32

All the more reason to tell him, don't you think?

0:47:320:47:35

Where is Dad anyway?

0:47:370:47:38

Usually I can't blow my nose without him being here.

0:47:380:47:41

He knows we're here. I must admit, it's not like him.

0:47:410:47:45

Um, sorry, Miss Campbell, um,

0:47:450:47:47

-Hanssen's PA says you're to go up once you're done.

-Right.

0:47:470:47:50

ALARM SOUNDS

0:47:520:47:54

-Charge to 20.

-20?

0:47:570:47:59

40.

0:48:000:48:01

Charging at 40.

0:48:030:48:04

Shocking.

0:48:060:48:07

No, nothing.

0:48:140:48:15

It's been 45 minutes.

0:48:150:48:17

Jac...

0:48:190:48:20

Let's keep going.

0:48:220:48:23

Eyes fixed and dilated.

0:48:290:48:31

Charge to 40.

0:48:310:48:32

Jac, she's gone.

0:48:320:48:33

KNOCK AT DOOR

0:48:480:48:49

Come in.

0:48:490:48:51

Please, sit down.

0:48:570:48:58

I take it this is about Evie.

0:49:060:49:08

You promised me she'd be fine.

0:49:080:49:10

Yes, I admit, it was a failure of care on my part.

0:49:100:49:13

However, short of putting guards on her door...

0:49:130:49:16

This isn't about her going missing.

0:49:160:49:18

It's the fact that you couldn't even give me an explanation.

0:49:180:49:21

"She's a 12-year-old girl, that's what they do." No, they don't!

0:49:210:49:24

Um, Mr Hannsen, could Fletch and I have a minute privately please?

0:49:280:49:32

Yes, indeed.

0:49:320:49:33

I'll go polish my sousaphone.

0:49:330:49:35

Evie asked to move in with me.

0:49:460:49:47

I said no, of course, and it must have upset her.

0:49:490:49:52

I should never have made the complaint.

0:49:550:49:57

I knew that this was all my fault.

0:49:580:50:00

No, Fletch, it's nobody's fault.

0:50:000:50:04

She's a 12-year-old girl with no mum...

0:50:040:50:08

and now she doesn't want to live with the family that she's got.

0:50:080:50:11

Of course she does. She just wants things to change.

0:50:110:50:13

She sees how hard you work to keep the wolf from the door,

0:50:130:50:17

and when things go wrong, like they did with Mikey,

0:50:170:50:20

she blames herself.

0:50:200:50:22

The kids have been through so much.

0:50:270:50:29

I just want them to be happy.

0:50:300:50:32

And you're doing such a fantastic job. But...

0:50:320:50:36

..you can try to ensure that she doesn't feel too responsible.

0:50:390:50:45

Fletch...

0:50:480:50:49

..she's going to be fine.

0:50:500:50:52

Really.

0:50:530:50:54

When I saw you this morning, I had this naive idea we could...

0:51:090:51:13

Bond?

0:51:130:51:14

If being good at my job's all you want from me, then that's cool.

0:51:150:51:19

And it was presumptuous of me to be overfamiliar in theatre.

0:51:190:51:23

I really enjoyed working together earlier.

0:51:280:51:31

I think you did too.

0:51:310:51:32

It was Mum's.

0:51:420:51:44

She got it on a whim. She'd go through these phases of caring.

0:51:450:51:48

I looked at your photo so much I...

0:51:520:51:54

think I thought I knew you.

0:51:540:51:56

That's not creepy.

0:51:560:51:57

Look, can we just forget I told you about the sisters

0:51:590:52:01

thing and try find a way to work together as doctors?

0:52:010:52:04

No.

0:52:040:52:05

And if anyone finds out we're related...

0:52:070:52:10

you'll never work in medicine again.

0:52:100:52:13

Thank heavens you saved Barney and Sparkle.

0:52:170:52:19

You know, some couples are just meant to be together.

0:52:190:52:23

They certainly are.

0:52:230:52:24

Right, would you think I'm disgusting if I ordered

0:52:280:52:31

something with chips?

0:52:310:52:32

-Absolutely disgusting.

-Really, really disgusting. Really?

0:52:320:52:36

-Filthy.

-What if I smeared it with ketchup?

0:52:360:52:38

I'm in.

0:52:400:52:41

-Good.

-Yes.

0:52:420:52:44

Ketchup.

0:52:440:52:45

Hi, could I please get a large glass of white wine?

0:52:470:52:50

Thank you.

0:52:500:52:52

Hey.

0:52:520:52:53

Hi.

0:52:530:52:54

Look, don't let Naylor chucking you out of theatre bring you down.

0:52:570:53:00

She's really not a...

0:53:000:53:01

..a nurture and supportive kind of surgeon.

0:53:030:53:05

-Can I have another one please, mate? Cheers.

-Yeah, sure.

0:53:050:53:08

Can we just get really, really drunk?

0:53:080:53:12

Not that you don't look hot sober.

0:53:120:53:14

Uh, so, the prescription's on the back

0:53:170:53:20

and obviously, if there's any sign of reinfection, just bring her

0:53:200:53:23

straight back in.

0:53:230:53:25

I told Hanssen that I completely jumped the gun on that complaint.

0:53:250:53:29

-I'm so, so sorry.

-Oh, don't worry about it.

0:53:290:53:31

And, Evie, if you ever need me for girlie chats, you know,

0:53:310:53:34

like boys, biology or how to sneak into a nightclub,

0:53:340:53:38

you know where I am.

0:53:380:53:39

You, um, you haven't missed your holiday, have you?

0:53:410:53:44

A week in my back garden beats the Amalfi coast any day.

0:53:440:53:47

And Jason will be thrilled. He's really not very happy when

0:53:470:53:49

the carer has to stay over.

0:53:490:53:52

Look, Dad, I really can walk.

0:53:520:53:54

Nope. This is your ride and I am your chauffeur. All right, kiddo?

0:53:540:53:57

You're so cringe, Dad.

0:53:570:53:58

THEY LAUGH

0:53:580:54:00

Thanks, Serena.

0:54:000:54:01

Oh, you're welcome, darling. Hey, and when you're feeling better,

0:54:010:54:04

come back for some more surgery school.

0:54:040:54:06

I'm teaching your daughter how to wield a knife.

0:54:060:54:09

Listen, I better get on.

0:54:090:54:10

I'll see you soon, darling, all right?

0:54:100:54:12

Bye-bye, take care.

0:54:120:54:13

Mmm, well, what you've got to understand is that Jac...

0:54:180:54:23

..sh-she's not human.

0:54:250:54:27

THEY LAUGH

0:54:270:54:29

Oh, what is wrong with her?!

0:54:290:54:31

She's such a ridiculous person.

0:54:310:54:33

Never meet your heroes, eh?

0:54:350:54:37

Boop!

0:54:410:54:42

IN ROBOT VOICE: Naylorbot...

0:54:440:54:46

..compute, cannot compute feelings. Must destroy feelings.

0:54:490:54:53

Must destroy feelings. Must...

0:54:530:54:55

Yeah.

0:54:580:55:00

I shouldn't have attempted the procedure.

0:55:100:55:13

I knew it wasn't the right call.

0:55:130:55:14

I shouldn't have pushed you to do it.

0:55:160:55:18

You couldn't push me into anything.

0:55:180:55:20

I've cleared my desk.

0:55:200:55:22

I'll let Hanssen know that I'm going to move my unit elsewhere.

0:55:220:55:25

You don't have to go.

0:55:250:55:26

A deal's a deal.

0:55:260:55:28

I'm not letting you stay out of compassion.

0:55:280:55:31

This is not the way I'm going to get rid of you.

0:55:310:55:34

She didn't want the operation.

0:55:400:55:42

I was the one who pushed for it.

0:55:420:55:45

She was...

0:55:450:55:46

..so scared.

0:55:470:55:48

What was it with you two?

0:55:490:55:51

She abused me.

0:55:580:55:59

The scars on your back.

0:56:030:56:04

Some mothers should have been neutered.

0:56:080:56:10

Yes.

0:56:120:56:13

Yours made you damaged goods as well, didn't she?

0:56:170:56:20

She said she was sorry.

0:56:280:56:30

She's never said that before.

0:56:310:56:33

And if the op had gone well,

0:56:370:56:38

how long before she decided she couldn't be bothered with you again?

0:56:380:56:42

It's amazing what some people will say

0:56:430:56:46

when they're a bit scared and lonely.

0:56:460:56:49

You don't think she meant it?

0:56:500:56:52

Mothers like her never mean it.

0:56:520:56:54

Look, we're not going to stay here all night.

0:56:580:57:01

-Can I buy you a drink? We could at least try...

-No.

0:57:010:57:03

I will get rid of you.

0:57:090:57:11

And it will be painful.

0:57:110:57:13

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