Other People's Dreams Holby City

-You told me I had it in the bag.

-Rossini came with something we couldn't ignore.

-Not the point!

-A genuine game-changer...

-What about our idea?

What about the weeks of work we put in?

Alex Lambert? Wasn't he the one who leaked Zosia's name to the papers?

Raf ended it with me. I've just lost the best thing I ever had.

The best thing you ever had, and still have, is Parker.

-BOTH:

-Left!

Ted's nice!

And Michael!

Michael's just a random guy.

But that's the point - they're random guys

and then you meet them and they become a bit less random.

Don't be blinded by detail, see the bigger picture.

Perhaps you might consider opening the chest.

I could clamp the chest drain.

Is that going to help?

MUSIC: If You Were A Sailboat by Katie Melua

PHONE BEEPS

That was awesome!

That was a carotid endarterectomy.

And I smashed it.

Yeah, well, remember, surgery on a mannequin

is never the same as the real thing.

I get it - don't run before I can walk.

Well, actually next week, AAU and Darwin are pooling

their skills to perform a thoracoabdominal aneurysm repair.

And you want me to observe?

I want you in the room.

If you feel up to it.

Are you kidding? Of course.

There will be some important surgeons involved.

I won't have you embarrassing yourself.

Or me, for that matter, so you'll need to know the procedure

inside and out.

When do we start?

Tomorrow.

Jasmine, you've done 16 hours a day, four days straight.

I applaud the dedication, but now it's time to go home

and get some sleep.

You look tired.

I know I am.

PHONE BEEPS

No, please!

Ah, good morning.

Good? This is a great morning.

-It is?

-I've just been in an immersion ice spa.

Well, how very metrosexual of you. Listen, there's something I need...

While I was lying there, just floating in this bath

of imported Icelandic glacial melt, they told me,

I had this...well, epiphany,

and I just thought...

I'm letting go.

-Of what?

-Hmm?

Anger. Resentment. Petty grievances.

Obsessing over thwarted career ambitions.

Negative influences. I just thought, well, I'm setting aside

these childish things and I am going to focus on the positive.

Well, that's a relief.

I was worried about how you'd react.

To what?

To that.

What are we celebrating?

Jac and I have received approval and funding for the first phase

of our stent project.

That is...

..fantastic news.

Well done, both of you. Really.

You took that better than expected, given how you've been recently.

Well, life's too short for petty squabbles.

OK.

Show's over.

Anyone who placed bets on Valentine spitting the dummy, pay up.

ED have sent up a gift. Can I dump him on you?

-There's something I need to do.

-Oh, dump away.

Once you've assessed, come and find me. I need to talk to you.

Your wish, my command.

Wow, you really have had an epiphany.

Wonder what her "thing" is.

Apparently she and AAU have a thoracoabdominal aneurysm repair coming in.

What I'd give to be in the room for that one.

Parker, school tie - yes. Parker, class trip release - signed.

Parker, gym clothes - launder.

Oh, you silly mare!

Bad start to the day?

Oh, you scared the life out of me. What are you doing here?

Well, I'm a man of ritual, Nurse Harrison.

I like to begin my day with tea and a biscuit.

However, my office is being repainted

so I've been forced to take my repast elsewhere.

However, it's not my intention to interfere with the rituals

of Keller staff.

So pray continue with your self-castigation.

Well, I'm sorry. I've got Parker, my emergency foster kid.

His mum was taken into custody last week, flight risk.

Ah, the travails of being in loco parentis.

Yes, I gave him the wrong lunch.

A grave error indeed.

Well, I don't think Parker will see the funny side

when he sees my quinoa and lentil salad.

What was the alternative?

-Cheese and tomato sandwiches.

-Ugh!

Well, it seems that Parker may have been spared a fate worse than death.

What, you don't like cheese?

No, tomatoes, Nurse Harrison. They're the work of the devil.

I'd be forced to inform Social Services of this crime

against the palate.

Oh.

I'm sorry. Have I spoken out of turn?

I've got a meeting with Parker's caseworker this afternoon.

A "see how it's going" type thing.

I'm certain Social Services will think you're

a dedicated person wanting to do your best for this young man.

Tomatoes notwithstanding.

-Hey.

-Hey.

Raf's looking for you. He's clerking in a difficult patient.

Right, I'll just get changed.

Agh!

Mr Hanssen.

What are you doing here?

Spying.

SNORING

WHISTLE Fine, I was just closing my eyes...

What are you doing? You're not on call.

I just needed somewhere quiet to study.

Thoracoabdominal aneurysm repair.

That's a bit above your pay grade, isn't it?

Not if I play my cards right.

Come on. Ms Wolfe's been wondering where you are.

What time did you get to sleep last night?

Technically, it wasn't "last night".

You can't get by on an hour's sleep, Jasmine.

I should send you home. We can't afford to take risks.

And I can't afford to look weak!

Admitting you're tired is not a sign of weakness.

Is Ms Campbell putting pressure on you again?

No! In fact, she tried to send me home last night.

Look, things are finally working out for me here. Please.

I've barely seen you.

Have you been lonely?

I was, until Nathan messaged me.

Ah! And how is the mysterious Nathan?

Perfect. Until I suggest that we meet up IRL.

Hmm, yeah, real life does tend to disappoint.

If he keeps playing hard to get,

there are plenty more fish in the virtual sea.

Oh, wow!

Ah!

Wait all day for a junior, then two come along at once.

This is Kieran Lambert, he is an elite athlete.

-Athlete? Right.

-Hadn't noticed that.

He has been sent to us with abdominal pains.

-Oh, that's terrible.

-Shame.

Who would like to examine him first?

If you could just let me see quickly?

You are coming nowhere near my hand until you can guarantee

I'll be able to play again!

I can't guarantee anything until you let me have a look.

This is Jess Tyler, 17 - waiting for ortho.

She has an elective surgery for stenosing tenosynovitis.

Trigger finger? You shoot guns?

Kind of. I'm a gamer.

Video games. First person shooters.

Halo, Titanfall.

Xenoblast is my speciality.

Currently ranked 45th UK-wide, known for headshots.

Where do you find the time?

Left school when I turned 16.

Every parent's dream.

Right, would you like me to call anyone for you?

I can look after myself.

Then you'll let us operate?

Not until you guarantee no side effects.

Look, it's a simple procedure.

I've heard that one before.

Right, why don't you just let us do the pre-op tests for now?

Right, well, we'll get that organised.

How's Parker?

Discovering the pleasures of quinoa.

Private joke. He's fine.

I'm thinking of arranging an access visit for him to see Kim in remand

but I want to talk to him first, let him know what to expect.

Um...what is it?

Well, I haven't told him that Kim's in jail.

I tried to tell him, but things got in the way.

Where does he think that she is?

Well, I've told him that Kim's getting treatment.

You told him that she's sick?!

That she was getting help.

His caseworker's coming this afternoon,

we'll explain it all together then.

That's if someone else doesn't tell him first.

-Who?

-The CPS? The school? You lied to him, Essie.

Don't you think he's had enough of that?

I said I would sort it, OK. What?!

It's Parker's school.

He's gone missing.

Can you tell me how the pain started?

Training day like any other - 10 by 50 free warm-up laps.

Oh, you're a swimmer?

Yeah, competition. 200 free and 100 butterfly.

Yeah, coach wants me to try out for the individual medley

but, well, my backstroke's always been weak.

-Yeah, mine too.

-You swim?

-Yeah, breast stroke champion.

Oh, what length?

Paddling pool.

I'll get me coat.

Anyway, I was feeling good. Flying, in fact, and then, bam!

Stabbing pain. Here.

You've experienced similar pain before, haven't you...?

Dr Burrows, are we keeping you awake?

Sorry. I...had an early start.

Any distension in the right iliac fossa?

No, I didn't notice any.

Excuse me.

Well, I'd say there is.

You were diagnosed with Crohn's disease a year ago?

How have you managed your symptoms?

Diet. Some medications. Mindfulness for the pain.

-He helped me with that.

-ED said you'd been moved here.

Sorry, you are?

Alex Lambert.

Mindfulness practitioner,

Kieran's brother and member of his support staff.

Is it the Crohn's? It's been in remission.

It's likely there's been a flare-up.

You've been using mindfulness as pain relief?

Pain management when needed. It's been enough, thankfully.

Until today. Is that right, Kieran?

What pain relief would you recommend, Dr Burrows?

Diclofenac...

Oh. NSAIDs not so good for Crohn's -

makes it worse.

60 mgs of codeine, now, please.

Have you had any other symptoms in the last few days?

Nausea? Blood in your stool?

No. No, just the pain today.

He's never been in better health. Two PBs back-to-back.

Well, we'll see what the test results say.

Take these and let me know how you feel in an hour.

Might be overdoing it a little.

I know a bit about medications.

More than a consultant? Ms Wolfe said 60 milligrams.

And those are 30 milligram tablets and 30 times four isn't 60.

I'm...I'm so sorry. My consultant... I was distracted.

Dr Burrows? A word, please.

It's OK. We all make mistakes.

Order the tests for Ms Wolfe, and then go home.

-No, I...

-Look, in the last two minutes,

you've missed a distended right iliac fossa,

prescribed contraindicated medication

and nearly given a patient an opiate overdose.

Go home, Jasmine.

He was fine this morning.

I'm sure he was.

Look, I know you're worried,

but this isn't going to become a thing, is it?

-A thing?

-It's just...

You know, Hanssen's hanging around, looming.

He said he was spying, but I think that was a joke.

I don't want this to become a domestic drama on the ward today.

It's not a "thing".

-OK.

-Raf. Anything?

It keeps going straight to voicemail.

Maybe we should think about ringing the police.

Have you lost your son?

-How old?

-14.

He'll be off smoking blunts or grinding out some XP

on Warcraft or something.

I've no idea what you just said, but I'm sure it's not helpful.

I'm saying he can take care of himself.

Just get off his back.

How is it going to look if his caseworker turns up

and not only is Parker missing,

but you knew and you didn't tell them?

Essie.

Parker!

What are you playing at?!

Look, sorry, it's my theatre and I will decide who's involved.

Clear? Marvellous.

Our aneurysm repair has been moved forward.

-To when?

-This afternoon.

Which doesn't leave you much time to study the procedure.

Well, you will be anastomosing the renal arteries to the aorta.

CT will do the coeliac and SMA,

and my role would be to provide suction.

But you haven't had a chance to practise.

There's no shame in taking a pass on this one.

-I can do it.

-Good.

This was Elinor's.

"In Somnis Avolavimus".

"In our dreams, we fly."

School motto.

I'd like you to have it.

I'd be honoured.

And, Dr Burrows, make sure you're ready.

"In Somnis Avolavimus" also describes Icarus.

I'm ready.

Richard Cuthbert? What seems to be the problem?

Fence-lines.

Sorry?

Fence-lines

and sly, cheating neighbours

and poorly written local planning laws

and spineless council officials...

What's wrong with your heart?

It hurts.

I see. What sort of "hurts"?

Dull ache, sharp stabbing, burning...?

Yeah, all of those, when I breathe in.

I see from your notes there's a history of pleurisy here.

Does it feel anything like that?

-A bit, yeah.

-Have you had a chest infection or cold recently?

How'd you know that?

Wild guess.

OK, I'll run some tests, an ECG, see what's what.

I'm not going to die though, Doc, am I?

I should think not.

I swore I wasn't going to let you get to me, but are you serious?

On the day you get your funding for stabbing me in the back,

you dump a pleurisy on me while wowing everyone

with a crossover aneurysm repair?

Meet the new Valentine, same as the old one.

-Who you taking in? Matteo?

-And you.

Or some other bright, new shiny toy...

What? What?!

The op's this afternoon, so clear your fat pleurisy patient

and you can assist - deal?

Deal.

Sorry, Richard, where were we?

PHONE RINGS

Naylor.

No, I've already got people assigned.

Serena will just have to deal with it.

Well, who exactly does she want in the room?

I'm fine. I've got my second wind and I'll sleep on my break.

Kieran Lambert's test results.

Break it to him gently, yeah?

Jas, any more mistakes

and I'll have to go to Serena myself.

OK?

Parker, what happened?

Some guys at school have seen you dropping me off, saying things.

That Mum's using drugs again.

That she's abandoned me.

Again.

I got angry, there was a fight.

She's not, is she? Cos you can tell me if she is.

Parker, your mum...

Your mum hasn't abandoned you.

She's safe and she's getting treatment.

I promise, OK.

I knew it.

Your caseworker's coming in later and we'll discuss everything then.

OK?

No way. That's Dreadshot16!

Who?

Are you Dreadshot16?

Depends who's asking?

I'm a fan, a subscriber. I watch you online.

Can I get a selfie?

Yeah, all right.

The CT scan indicates multi-segment Crohn's inflammation

with intramural stricturing.

Meaning?

He's the ex-medical student, not me.

They think your Crohn's has flared.

You said it was in remission.

It was and it can be again.

The mindfulness is helpful,

but the disease appears to have progressed.

We need to do a colonoscopy.

Not injurious, won't affect your preparation.

But what we find might, so you may want to think about options.

I have national trials in two weeks.

I don't have options.

Yes, I understand that, but nevertheless...

Well, most flare-ups can be treated medically

without surgery so you can still swim.

And what medications perform these miracles?

Immunosuppressants, corticosteroids...

Oh, yeah, Olympians can't use steroids, can they?

Do I look Russian to you?

Book the colonoscopy please, Dr Burrows, as soon as possible.

Dr Burrows, can you take these theatre plans up to Darwin

so we're all on the same page and keep a copy for yourself.

I'm just booking a colonoscopy.

-Then run.

-Who's the CT lead?

Check the cover.

Yeah, I've lived there 30 years.

Then this muppet moves in

and builds a fence at the bottom of our gardens

and then has the cheek to ask me to pay for half of it.

I mean, I said to him, "We've had no reason for fences before,

"I can't see any reason now!"

No, no reason.

So then he says to me that my Fraxinus excelsior

is cutting the dividing line.

Fraxinus...?

It's an ash tree.

Ash tree. Anyway, I must...

Two weeks later, me and the missus get back from holiday

to find he's thrown up a fence

and taken a sizeable chunk of my property,

not to mention the Fraxinus excelsior!

Now, that is out of order.

It's theft! Anyway, to cut a long story short...

-Oh, good.

-..I complained to the council.

Did you win?

No, those idiots found against me.

Just how much land did your neighbour acquire

from putting up this fence?

A foot.

Well, it's the principle, isn't it?

Sometimes you've got to know

if you're fighting the right fight at the right time.

Excuse me.

Well, I'm loving this new Zen Ollie.

And it's getting results.

I'm assisting on the thoracoabdominal aneurism.

You're not! How'd you manage that?

By being a forgiving man. By being the bigger man.

I just need to get rid of Richard and I'm all set.

I thought you decided it was pleurisy.

I thought so, but there's something going on with this ECG.

Not enough to suggest anything more than pleurisy.

But not little enough to be sure.

So I'm going to run a few more tests.

Don't overcomplicate things.

I don't do that.

-Really?

-Ollie.

When do I do that?

Check this out.

In my day, kids bonded over football cards and conkers.

Looking good for a man who grew up in the Dark Ages.

VIDEO: Headshot! Look at those Xeno brains go splat.

Right, that's enough of that.

It's a game!

And it's not suitable for minors.

Is this the son you lost then?

-Uh...

-You said you're my mum?

Misunderstanding. I'm just looking after Parker while his mum's away.

Whatever. Parents are overrated.

Jess, we've had a look at your X-ray and you really need me

to fix that hand of yours.

Have you got that guarantee...?

If you don't let Mr Di Lucca operate,

you'll lose the use of your finger.

You're just trying to scare me.

I know he might look like he's got a cricket bat stuck up his...

Parker.

Raf's one of the good guys. Essie too.

Trust them.

Do what you have to do, then.

You can't watch.

And we need to talk about your mum.

Follow me.

Is Serena having a laugh?

I don't know what you're talking about.

She's got you down assisting.

Yep, that is right.

Is she drunk?

That is really nice...

There are dozens of surgeons more qualified and more deserving,

gagging to be in the room for this one,

and Serena's pushing for you - why?

Maybe she believes in me.

A week ago, she believed that your negligence killed her daughter.

-Go to hell.

-I'm serious.

For a month, Serena has used you as a punch bag

while repeatedly undermining you as a doctor - why the change?

That is all you've done since I got here!

At least she's got the excuse of being mad with grief.

Stop being dramatic. I'm trying to protect you.

-Oh, don't make me laugh.

-You're not ready for this.

How do you know? You know nothing about me.

In an open thoracoabdominal aneurism repair,

where is the large incision made from and to?

From the xiphisternum to symphysis pubis.

-Where would we put the graft?

-From the infrarenal aorta to the bifurcation of the aorta.

-How do you prevent emboli from entering the lower limbs?

-You...

Tick-tock, circulation compromised...

You release the clamps on the legs

and then wait for a back-flow of blood

and then flush with heparin saline.

The top end starts to hose. What do you do?

Buttress stitch. No, clamp higher...

Bzzt. Mr Aneurysm Repair is now dead.

Thank you for playing I'm An F1, Get Me Out Of Here.

That's not fair. That'd be the lead's responsibility and you know it.

What if Serena collapses and you have to step in?

I can't help you, my hands are full.

You are being set up to fail.

The only question is, is Serena doing it to you,

or are you doing it to yourself?

I guess we'll just have to take our chances.

Don't risk your career on some ridiculous effort

to try and prove something to me.

I am not trying to prove myself to you!

Then why?

PHONE BEEPS

I've got a colonoscopy, I'll see you in theatre.

SOUNDS BECOME DISTORTED

-MUFFLED:

-Dr Burrows, I was wondering if I could ask you

about Kieran's prognosis.

Are you OK?

Yeah, I'm fine...

Mum's in jail?!

On remand.

Awaiting trial.

For stealing?

Embezzling.

Helping to, yes.

This is...

I don't even...

Shouldn't she be out on bail or whatever?

Raf's organised an access visit for you.

And she can explain it to you, then.

Why didn't you tell me?

I wanted to.

I just couldn't find a way.

What's important is that you know your mum hasn't abandoned you.

She loves you very much.

We all do.

I need to...

..move.

Think.

Please don't run away.

That's the last thing I'm thinking right now.

-Parker.

-Leave me alone!

What the hell is this?

That is quinoa and lentil salad.

What?

Superfoods.

Which is to say, trendy stuff for people who are pretending to diet.

Yuck.

Not to my taste either, though I must say,

infinitely preferable to what you were supposed to have been given for lunch.

You're Parker, I presume?

What are you? Some sort of narc?

Narc? Oh, I know - a word sufficing for any authority figure.

Well, I am Henrik Hanssen, CEO.

Essie's boss?

Indeed.

She told you about me?

She told me of you.

There's was no "narcing" going on.

What did she say?

She said that she was concerned about you.

She lied to me.

Did she? Ah, well, none of us is without flaws.

But I'm sure, rightly or wrongly,

she did so with your interests at heart.

That is the Estelle Harrison I know.

Mind you, I would advise that, in future, you pack your own lunch.

Oh, what was that?

Syncope.

You fainted.

I meant more, where did it come from?

You're not diabetic?

Then I'm guessing it's dehydration, exhaustion and these caffeine pills.

That's my...guilty secret.

Thanks for bringing me in here.

I figured you wouldn't want the bosses to see you.

Always looking for signs of weakness in young doctors.

Yeah, well, thanks.

No worries. Who knows?

Maybe you can help me at some point in the future.

There you are! I've been looking everywhere.

Ms Wolfe is waiting to do the colonoscopy on Kieran Lambert.

This is my fault.

Dr Burrows was just taking me through the prognosis.

Thank you.

Any time.

-What's this?

-Pleurisy bloke's chest scan - what do you see?

-Fluid.

-Exactly, so not pleurisy.

Congratulations, you've diagnosed pleural effusion.

Now treat him and street him.

Except there's no pneumonia. So, well, what's causing it?

Oliver, I don't have time for this.

I have to do a pre-op report for the thoracic-abdo aneurism team.

That's me. I'm assisting, remember?

-About that.

-What about that?

Serena's thrown a spanner in the works.

I can only take one assistant from Darwin.

-Me.

-Or...?

-Or Matteo.

-Sorry.

Are you?

I'm trying really hard to be Zen Ollie right now.

Well, blame Serena.

However, Matteo is stuck in theatre with a tricky

type-A aortic dissection.

So if he's not done and you're finished with pleurisy guy...

-Pleural effusion.

-Pleural effusion.

-Maybe pleural effusion...

Yes, whatever! It's your case. Sort it, don't complicate it.

-Start by finding him.

-Huh?

Right, talk me through what we're seeing.

Pushing through a structured segment of transverse colon.

Good. Let's get round the hepatic flexure and see what

the terminal ileum looks like.

So how's the mentoring...going with Ms Campbell?

Fine. Amazing actually. We've made great progress.

One would hope so, the amount of hours you two have been putting in.

If there's been any suggestion that Ms Campbell is putting

undue pressure on me, then that is not the case.

I'm worried you might be putting undue pressure on her.

What?

Serena's working through things.

Part of that is looking for...

A project.

A replacement.

For what?

It's not what, it's who.

I don't mean to be rude, Ms Wolfe, but the idea that Ms Campbell

sees me as some sort of daughter figure is ridiculous.

How about the idea that you see her as some sort of mother figure?

-This is not the problem that you think it is.

-Good.

Good.

Carry on.

Moving the scope into the terminal ileum.

Is that mucosal ulceration?

Yes, it is.

You did the right thing.

Doesn't feel like it. He's so angry.

Jess, how are you feeling?

I'm alive, so that's a start.

-Any pain at all?

-No.

OK, well, I'm just going to run through some mobility tests, OK.

Where's Parker?

-Hey.

-Oh, hey.

-Thank you.

-What for?

Making me go through with this.

You were right about Crusty - he knows his stuff.

Well, that's what years of training

and hundreds of thousands of pounds' worth of investment

gets you these days - a skilled "Crusty".

Like I said, they're good people.

I'm just going to raise your arm and extend it, OK.

OK, that's interesting.

Interesting? What...?

-What happened?

-You fainted.

-Why?

-I don't know yet, but I'll just do some tests

and check your blood pressure.

Could you give us some space please?

You OK?

I have a favour to ask you.

OK.

You tell that slimy piece of filth

that if he touches one twig on that tree,

I will burn his fence down.

-Mr Cuthbert.

-And I will take a golf club to his hydrangeas,

a mallet to his garden gnome, and I will urinate in his pond.

Mr Cuthbert!

Got to go, it's the doctor.

You need to come back to the ward now.

No, I can't. I've got to get home and stop that psycho

carrying out his threat.

-Threat?

-Yeah. Look what he sent me now.

HE CHUCKLES

So this is funny now, is it?

It is quite...

No. No, no, it's not funny at all.

I take it that's the...

Fraxinus excelsior, yeah.

Look, don't you think by being so angry

you're giving him exactly what he wants?

All this tit for tat. Over what?

One foot of land and an ash tree?

It's not just a tree to me, though, is it?

That's where my dearest Betty's ashes are scattered.

It was her favourite place.

Yeah, that is cruel.

I'm sorry.

Where did this come from?

Well, I don't know - you're the doctor, aren't you?

The colonoscopy has revealed

that not only has the Crohn's flared,

it's strictured.

-Strictured?

-Where?

It mean an obstruction in the transverse colon.

OK, but we need a way to manage this for the next two weeks

so he can compete in the trials.

I'm afraid Mr Lambert needs

an immediate laparoscopic right hemicolectomy.

No, that can't happen.

It has happened, Alex.

Well, we still have options.

No, we don't.

It's over.

We'll book it now.

See if you can find a slot today.

Shouldn't we give him some time to think about it?

Dr Burrows, you saw the damage.

Bad enough his dream's over without giving him time to stew on it.

No, it's better to rip the Band-Aid off.

The sooner we get him fixed, the sooner he can start again.

ED sent through the ECG.

But he was in for an abdo.

It was a precaution. One of their consultants flagged it.

It shows left-sided strain.

I'll see if Darwin can spare someone to take a look.

So, have you had a chance to sleep yet?

Oh, I've been busy.

What, flirting?

Can't blame you.

At least he's flesh and blood.

Not quite as flesh and blood as his brother though.

You should ask him out.

Are you kidding me?

Why not?

Well, because he's a patient?

And besides, I've got Nathan now.

You've been talking to Nathan for weeks

and you know next to nothing about him.

I say pull the plug.

Maybe.

Look, you go and get some rest, missy.

OK? Go on, go.

Go. I'll cover for you.

I was speaking to Jess earlier.

You know she's moved out of home?

Well, she is 17.

Hasn't seen or spoken to her parents.

Did she say why?

They let her down.

Lied to her, betrayed her.

Until she just snapped.

Well, that happens.

I know you're angry with me.

I'm angry at Mum.

-Things are never going to get better.

-That's not true.

Look me in the eye and tell me Mum's going to change.

She loves you.

That's not enough.

This last week with you

has been the most stable and safe week since...

..since ever.

Which is why I want to make it permanent.

I want to live with you.

What do you say?

I...

PHONE BEEPS

Sorry.

Think about it?

Is it serious, Doc?

Oh, the antihistamine seems to be doing its job,

so that's a good sign.

Yeah, be right back.

What do you think?

Well, if I didn't know any better and if you weren't so concerned,

I'd suggest it was urticaria?

Oh, yes, it looks like hives, but is it?

Um...yes?

Or perhaps it's toxoplasmosis?

That is a possibility, I guess,

but another possibility is that Mr Cuthbert

has a spot of pleural effusion brought on by a cold last week,

exacerbated by the stress

of being a naturally excitable personality

prone to extremes of anger

and overinflated sense of personal grievance?

Or toxoplasmosis.

Nurse, get PCR levels please,

serum complement levels, C3, C4 please, and an ESR.

Where is Zen Ollie? I miss Zen Ollie.

Valentine, AAU need a consult - you're up.

Why can't you send Rossini?

He's still in theatre, doing surgeon things.

Zen Ollie doesn't live here any more.

He looks so young when he sleeping.

So peaceful.

Elite athletes push themselves to the utter extremes of endurance.

For what?

Erm...glory?

For a chance of glory.

Maybe three chances in a whole lifetime of training.

I was actually a better swimmer at his age.

Could have been a contender - was a contender, actually.

What happened?

Same thing that ended my medical career.

Genetics.

Random mutations that can bestow incredible gifts

or inflict terrible burdens.

Kieran always lived in my shadow.

Even when I had to give up, he could never get near my pace.

All that training, all that pain,

for nothing.

I'm sure it was something to him.

Yes, you would see it like that, wouldn't you?

You've got a big sister here, right? High flyer?

Casts a big shadow?

How do you know that?

The internet's a powerful tool.

Why would you look me up?

For him.

I don't understand.

When Kieran was diagnosed with Crohn's,

everyone expected him to quit.

I went to him and I explained that with careful diet -

and using my mindfulness expertise -

we could induce remission and manage his pain.

Kieran is on the cusp of achieving something that is going to

define him for the rest of his life.

He has one chance.

I'm not going to let anyone take that away from him.

Neither are you.

He has agreed to surgery. He goes in at the end of the list.

You're going to cancel the operation.

Help convince Kieran to hang on, use mindfulness to get him

through the next couple of weeks until he qualifies.

Then he can have the operation.

He's come back from this before. We can do it again.

Why would I do that?

Because, if you don't, I'm going to tell your consultant

about your little fainting episode and your little pill habit.

How would your chances

of stepping out of big sister's shadow look then?

Why are you doing this?

In Somnis Avolavimus - in our dreams, we fly.

When your own dreams are finished,

all you've got left are someone else's.

Stay with you permanently?

-Yeah.

-What does that even mean? Like you were adopting him?

Well, he didn't say that, but I guess so, yeah.

-Is that possible?

-I don't know.

He has a mum, Essie, and she's expecting to see him.

-I know!

-Did you explain that?

Look, you're acting like I'm in control here, Raf.

I'm completely out of my depth.

OK, I get that, but you're going to have to find a way to explain it to him.

-Explain what?

-That he's in the wrong.

-But he's got a point, doesn't he?

-No, he doesn't.

We're the reason that Kim is in custody.

We didn't make her steal, make her run.

Look, you're not his mother and you never can be.

I know.

Everything OK?

BOTH: Yeah.

It's become a thing, hasn't it?

BOTH: No!

Excellent.

Right, Jess Tyler's CT angiograph.

Oh.

Yeah, that's my thought too. Do you want some help?

Yes. Yes, I think I do.

Jas.

-I'm busy...

-Alex Lambert.

You know him?

He was a patient, and a nasty piece of work.

What's he doing here?

That's his brother.

Kieran Lambert. He's my consult.

So go and consult.

Yeah.

-Are you OK?

-Tired?

-No, more than tired.

Did Alex do something?

He's not the boogey man.

No. He's...

..Iago.

Look, Jas, you can say something, if anything's wrong,

you can just tell me.

-Nothing.

-Good.

I came in here with a sore finger and now you're saying I have

some sort of bizarre, made-up disease.

Yeah, I know it sounds strange,

but subclavian steal syndrome is actually a real condition.

Your blood pressure's currently 90/60.

That's half what it is in the other arm.

But when I raise it...

You see? It drops.

The problem is when you lift your arm,

it causes the blood to flow back on itself,

the brain doesn't get the oxygen it needs,

and that's what caused you to faint before.

-Is it fatal?

-No, no, not at all.

So I can go...?

ALL: No!

Why are you so scared, Jess?

It's a simple procedure to remove the blockage.

I want to leave. Now.

Let me call someone. There must be someone that you trust.

You can't call them and they can't come.

Why not?

They're online.

OK, leave it with us.

PHONE RINGS

Parker's caseworker.

You really need to sort this.

Yes, I know.

I just don't want to let him down.

We can talk to him together if you like?

Thank you.

Any chest pain or palpitations?

Non-prescription medications? Homeopathic? Health supplements?

I don't use supplements any more, Mr Valentine.

Not for myself and not for my brother.

Are you sure? There's thinning, dryness of the skin.

Odd ventricular readings on the ECG.

You can check.

My team keep comprehensive records

on all my medications and medical data.

OK. But I'm going to run another test,

there's definitely something going on.

Heart disease runs in the family.

Kieran is an athlete in peak physical condition.

-He doesn't share my weaknesses.

-Until now.

You've come too far to give up now.

Look, stop, Alex.

It's over.

Nothing is over. Isn't that right, Dr Burrows?

It's true you shouldn't give up hope, Mr Lambert.

There are...ways you can get through this. You've done it before.

You don't know what you're talking about.

She's a doctor, Kieran, listen to her.

-She's a kid!

-She's a talented kid.

A kid about to be involved in a very prestigious aneurysm procedure.

A kid with a bright future if she chooses to grab it.

You're the one Serena's taking in with her?

She must have a lot of faith in you.

Yeah, not any more.

Mr Lambert, your procedure has been brought forward.

Ms Wolfe will be down to get you shortly.

Silly girl.

Ms Campbell?

Oh, have you had a chance to study the theatre plan?

I have not.

Ms Campbell, the truth is...

..I'm exhausted.

I've made mistakes and I've compromised myself.

And if I go into theatre, I will compromise you as well.

And I'm so sorry.

That's OK.

Thank you for your honesty.

-I, I just...

-It's fine.

Why'd you tell him? It was private.

Raf and I are concerned your anger at your mother is misplaced.

My mother is a drug addict

and she's in jail because she doesn't care about anyone.

Kim's in jail partly because Essie and I

convinced her to give herself up.

-What?

-She panicked and she ran and it made things worse.

-You threatened to go to the police?

-It's more complicated than that.

She did the right thing in the end.

And everything we did, we did for you.

I can see that now.

Essie?

Just a minute, Sacha. What do you mean?

When did you two hook up?

What? No...

A few days ago, you were playing happy families with my mum.

She's in jail and we're all here.

One big happy family, just waiting to happen.

Raf and I are close, but we are not together.

Nurse Harrison, Mr Di Lucca.

Jess Tyler has gone.

Now I've been trying to keep this at arm's length all day,

but enough is enough.

You have to start focusing on your patients. All right?

Jess had a little brother once.

He died and she wrote about it online.

Mr Valentine. I hear you are joining us on AAU.

I look forward to crossing scalpels with you.

Me too.

Might give me the chance to stop you plunging it into my back this time!

Got a little confession for you.

-You do?

-Alex Lambert.

He's here, in the hospital. AAU.

I saw him when he arrived, I didn't do anything about it,

don't know why I did that, but I did.

Just thought you should know.

-OK, cool.

-Hmm?

-Hmm?

That's it? Cool?

I haven't spoken to Alex in a while, but thanks for letting me know.

Are my test results back? Mr Cuthbert.

No, I cancelled them.

-Why?!

-Because you're acting ever so slightly insane.

-Am I?

-Yes.

Who's that?

Mrs Cuthbert, his beloved wife.

Mrs Cuthbert's dead.

No, she's not.

Her beloved ashes are scattered

beneath the glorious Fraxinus excelsior.

No. At least, not yet.

Who was that?

My wife.

So who's dear Betty whose ashes are scattered underneath

her favourite tree?

Betty was our old cat.

She loved that tree, Betty.

Do you mean to tell me that all this angst, the legal wranglings,

the tears, the gnashing of teeth, were over one foot of dirt

and an ash tree that a cat once liked to pee on?

It's the principle, isn't it?

No, it isn't the principle,

it's about you being a massive sulk!

Not moving on. Being...

Dr March, could you treat Mr Cuthbert

for a pleural effusion please?

And hives!

I think you gave him an epiphany.

I'm sorry for chucking a massive sulk,

for holding a grudge and generally just being a twit.

You did stab me in the back.

But, fair dues, the stent is pretty awesome

and it's not like it's out of character for you.

This is me congratulating you...

And moving on.

Oh, and I totally understand about the aneurysm repair.

Oliver? Serena called.

The spot's become available again if you're interested.

Next time.

You can owe me one.

Hey.

Do you want to tell me about your brother?

Mum and Dad loved him so much.

They seemed to forget, afterwards, that I loved him too.

One night, Mum and Dad took him to hospital with a headache.

Eight hours later...he was dead.

Meningitis.

You know the worst bit?

The silence.

That's why I surround myself with noise.

You need to come back inside.

I...left a message on your channel...

..and all your friends are here...

..with you.

Have the operation.

Can we livestream it?

OK, subclavian artery dissected. Let's find this blockage.

-Why did you tell Parker about us? It's irrelevant.

-Not to him.

If we could concentrate on the matter at hand.

The artery's narrowed here. Clamps.

I'm going to make an longitudinal arteriotomy

and close it transversely.

-But what if he thinks...?

-What?

That we colluded in having Kim arrested so we could be -

how did he put it? - "one big happy family"?

Well, I'll explain that to him.

If only you'd done that earlier.

That wall doesn't look too bad, it should hold a suture

and then we're on the home straight which will be great.

Maybe we've prodded enough exposed wounds for one day.

I heard you backed out of the op. Are you OK?

Does it matter?

-I think you made the right choice.

-So do I.

You'll have plenty of opportunities to prove yourself...

What are you trying to prove, Jac?

That I'm the best.

Measured against what?

The universe.

Today's date - does it mean anything to you?

Should it?

It's Mum's birthday.

You're not trying to prove yourself to the universe.

Then who?

Paula.

Even after all this time.

Oh, Ms Campbell, I just wanted to apologise again for letting you down, and give you this back.

Why?

I don't feel like I've earned it.

You remind me of her.

Elinor?

She never liked to admit when she felt overwhelmed either.

I'm not overwhelmed, just tired.

And she was stubborn.

We'll start again tomorrow.

So I took your advice on Nathan and I swiped left.

I want someone who I can talk to properly.

Yeah. Don't we all?

Oh, and Mr Valentine sent the results through

for Kieran Lambert.

You are not going to believe what they found.

The resection was a success.

The bad news is you will need to go up to Darwin

where they have to monitor your heart.

My heart?

An unpleasant side effect of anabolic steroid abuse

is left ventricular hypertrophy,

which you happen to have.

Do you know what it's like to live,

knowing that you can never measure up to your heroes?

That there's nothing you can do...

Except cheat.

It's in those moments that we are defined as people.

Cheat or don't cheat?

Accept your limits...or have the guts to risk everything.

Do what it takes...

Whatever the cost.

Something funny?

Alex.

He's so convinced it's his therapy and faith in you

that's inspired your rapid improvement.

Oh, he did inspire me.

I wanted to beat his personal best.

-And I did.

-Makes the doping worth it?

The day I stepped out from under his shadow

was the sweetest day of my life.

Kier?

You two deserve each other.

You have a brother or sister?

Are you telling me that you've never wanted to prove yourself to them?

Prove yourself against them?

Not like that.

Not yet.

So, you and Dr Burrows have built bridges?

From surgical dummies

to thoracoabdominal aneurysm repairs in a week - that's some journey.

Dr Burrows is a talented young surgeon.

She must be, for you to expend so much time and energy.

She's responded well to a little care and attention.

Oh, I understand what Jasmine gets from it. But what do you?

Those who can, do...and teach.

Maybe you should try it some time.

A week ago, your "teaching" was considered akin to bullying.

Or so I hear.

Well, I suppose we all have something to prove.

It's just sometimes, we go about it the wrong way.

3/0 prolene, please.

Diathermy.

MUSIC: The Closest Thing to Crazy by Katie Melua

-Please.

-Really?

-Yeah, why not?

# This is the closest thing to crazy I have ever been... #

PHONE BEEPS

# Feeling 22, acting 17

# This is the nearest thing to crazy I have ever known

# I was never crazy on my own

# And now I know that there's a link between the two

# Being close to craziness and being close to you. #