Episode 18 Casualty

Ethan, if you know something, will you please speak up?

She has a left atrial leiomyosarcoma.

We have to transfer you to HDU.

Let's take a moment to honour all

those who donated their body to science.

White Caucasian female.

Cause of death - multi-organ failure due to infective endocarditis.

Today we'll be making a longitudinal sternal incision to gain

access to the mediastinum and thoracic cavity.

Passing from the dip between the clavicles, the suprasternal notch,

we dissect in the mid-line, along the sternum, as far as

the xiphisternum, then bilaterally along the lowest of the ribs.

Grab your scalpel - let's begin.

BUZZING AND BEEPING

Hey. It's OK.

It's all right, it's OK, it's all right.

MACHINES BEEP

Don't worry, it's not you.

You're OK, OK? OK. It's OK.

OK, thank you. It's done.

It's fine, leave it.

That bad, huh?

So...it's grown?

I'm afraid so.

-The valve is now incompetent

-Yes.

When have they scheduled theatre?

Well, they've got to take it out...

Yes, but not yet, not straight away.

You're still in atrial fibrillation

with a poorly controlled ventricular rate.

You're anaemic. Your white cell count is depressed

and your renal function is impaired.

Yes, but...

No. No, "Yes, but..."

The tumour needs excising, but the vegetations need to be removed

and the valve needs to be repaired.

This needs a specialist mitral valve surgeon.

Even if you did survive, there's a high chance of acute renal failure.

Come on. Would you operate on you right now?

So what are they proposing?

They'll restore sinus rhythm

and improve renal function with careful fluid balance.

-A few more days' antibiotics...

-A few more days'? A few days'...

What if I don't have a few days?

PHONE RINGS

-Charlie.

-Hello, Dylan. The exec team are doing a safety round.

Are they? When?

About half an hour ago.

-Right, nobody told me.

-Have I woken you up?

No, no, no, no. I'm on my way in.

OK, right. I'm off to see Connie now.

OK, see you soon, bye.

They're waiting to discharge someone

and then you can have a private room.

So where are we at with everything else?

That's...still under discussion.

SHE RETCHES

Vomit bowl, someone.

All right, all right, Connie.

Has she been prescribed Ondansetron?

No. No more drugs.

Connie, for heaven's sake...

I think we should leave it for today. OK, she's very tired.

Oh, come on, come on, come on.

I just don't understand how could you let her keep it

a secret for so long?

-Charlie!

-OK.

You know as well as I do she has a right to confidentiality.

Well, you could have told her that there are people around her

who care about her who might just want to help.

I think she knows that.

But then of course she pushes people away when she needs them most.

And it's only a matter of time

before you get your marching orders, chum, believe me.

You look exhausted.

Yeah, yeah, I...

I think I'm going to go home and get a few hours' kip.

-Make sure you do. Look after yourself, OK?

-Yeah.

PHONE RINGS

Mrs Beauchamp?

You've what, sorry?

Mrs Beauchamp? What are you doing?

You're driving me to London.

I'm fine, it's fine. This ankle's always a bother. Where's Waffle?!

Where is he? What's happened to Waffle?!

The dog? He's just here, he's fine.

Ah. There you are. Dear Waffle. There you are.

-I said I'm OK. Off you go!

-All right, fine.

Argh!

Right. No, no, no.

OK. This ankle needs looking at, trust me.

Oh, how would you know?

I'm a doctor, I work in A&E, that's how I know.

Are you? Well, you should think about your driving.

-Right, OK. What's your name?

-Gloria. Why?

Gloria, you need to come with me.

Come on, nice and easy.

Have you been drinking?

Of course I haven't been drinking.

-Your eyes are all bloodshot.

-Are they?

Well, so would yours be if you worked the hours I do.

Please tell me you're joking.

You didn't really think I was going to sit there

for a couple of days in limbo, did you?

I sought a second opinion from St Eugene's,

director of interventional heart valve surgery.

She's a friend, well, was.

But she's all set, so let's go. Come on.

-Does she know how poorly you are?

-Oh, I'm not dead yet.

-No, I know.

-This is my tumour, my decision.

I know, but anything could happen!

OK, you could have heart failure on the motorway...

Oh, don't be so melodramatic.

I can make it through the next couple of hours.

Please, Ethan.

If you were in my situation,

would you not explore every possible option?

Oh, well, go on, then. I'll do it myself.

-I'll get a taxi.

-No, just...

It was either these or chocolates.

I think Mrs B would prefer these.

Right, cards.

Puppies or flowers? Hello?

That's a bit much.

Oh, mate, don't be jealous. It'll come to you eventually.

Every pot's got a lid.

Max! Could we fit this lady through to cubicles, please?

In the avoidance of doubt, I'm aware there is a dog on her lap.

Maybe not every pot.

Dylan, the urgent care project manager from the CCG called again.

Again, right.

And the conflict resolution trainer.

When they can't get hold of you, they call us.

Have you got any aspirin? I've got a terrible, terrible headache.

For Mrs B?

Flowers, I guess?

Oh, come on, puppies.

Who's this for? Mrs Beauchamp? Puppies all the time.

Speaking of which, the lady with the dog you nearly ran over

is in cubicle five.

-You nearly ran over a dog?!

-That happened to my dad once. Bleak.

No, I did not.

Must have been the lady then.

You know, the lady not the dog he nearly...

You nearly ran over a lady trying to dodge a dog?

No. I didn't run over a lady, didn't run over a dog.

OK, can we forget about this

and concentrate on what we're here to do?

You, come with me, we're going to treat...Gloria.

-SHE GASPS

-Do you want me to stop?

-No, no, no, no. Just...let's get there.

-OK.

SHE COUGHS AND RETCHES

No, no, I'm going to stop. Just give me a second.

SHE VOMITS

Maybe I should call an ambulance.

It's fine, it's just travel sickness. Happens all the time.

Let's just get there.

Is this really necessary? Argh!

OK, it's quite badly bruised.

All right, let's book her in for an X-ray.

-An X-ray? How long will that take?

-We'll go as fast as we can.

BP 104/60. Ain't that a bit low?

Yes, but it's nothing to be too concerned about.

Are there any pre-existing medical conditions we should know about?

Are you on any medication at the moment?

High blood pressure. Here.

OK, all right. Beta blockers, yeah.

Is there anyone we can call for you?

Call? No, there's no-one. Let's just get on with it.

Dylan, we have a visit from the executive nursing team.

Yeah, I'd heard.

It's just...dogs aren't really allowed in an emergency department.

But he's very well behaved.

Yeah, but what if he has an accident?

It's not Waffle's fault! It's his fault.

He's the only reason we're in here.

-OK. I-I wouldn't go that far.

-Of course you wouldn't.

I tell you what - why don't I see

if I can find somebody who can take him outside? How about that?

Lucky there's a dog involved.

He's not usually so nice. Either that or he must be feeling guilty.

Professor Arianne Cornell - room 1124.

-You OK?

-Yeah.

How do you two know each other?

Long story.

Connie Beauchamp. We spoke earlier.

Hold on one moment, please. Yes. I spoke to the Professor.

Unfortunately...

Can you just give her these, tell her I'm here?

-I'm sorry, but...

-Don't be sorry, just do it.

I thought you spoke to her.

Oh, you know what? I haven't got time for this.

Excuse me.

Go away!

Yes!

-Mrs Beauchamp.

-Professor Cornell.

It's all right, Liz.

I know. Got to keep the old hand-eye coordination going.

Certainly original. You haven't changed much, have you?

Neither have you. You always did like to make an entrance.

You're kidding.

You're not doing it for me, you're doing it for a little old lady.

You trying to keep her sweet?

No, what happened was, I swerved to avoid the dog

-and she came out of nowhere.

-OK.

SPLASHING

-Dr Keogh.

-Yeah.

Oh, the conflict resolution thing. Um...

Conflict resolution? No, it's um...

Oh, right, what are they doing here?

They were called to the scene of the accident

and they want to talk to you.

Dylan, Mrs Roades has just gone up for her X-ray now.

OK, right, I better see what that says.

They'll have to wait, that needs clearing up.

And your last cycle of chemo?

No affect on the tumour. It's growing as we speak.

Stubborn, like its host.

Did you really think you could turn me away?

Did you really think you could just barge into my office?

You're better than anyone else I know.

What was I supposed to do?

Resection of tumour, repair of interatrial septum.

Careful resection of mitral valve vegetations.

Repair of mitral valve with replacement,

if repair is not possible.

No wonder no-one would rush to cut you open.

I didn't want to waste your time.

You can do it, I know you can.

You'd almost certainly push up my mortality rates.

Either that or increase your phenomenal success rates.

You're too kind.

I have a big ego, but maybe not that big.

Elliot Hope, he said no, did he?

He's... He's in Pakistan.

Ah.

Look at it this way - I'm putting my heart in your hands.

Bet you never thought that would happen.

We've moved on from med school, you know.

As you can see, I can't really wait much longer.

If the tumour blocks a valve, it's all over like that.

Any blood in your vomit?

No.

No fracture. That's good, isn't it?

And there's obviously quite a lot of bruising

and some soft tissue damage.

What it needs is rest, ice if you can get it, and elevation.

We'll be in touch with your GP.

If you pop along there in the next few days, that should do it, OK?

See? I told you.

Are you sure you can manage? With a dog as well?

We could get a community nurse practitioner to assess you at home.

No way. I been through all this with Ted when he had Alzheimer's.

-We'll talk when I'm incontinent and drooling.

-Yeah, but still...

It was only last October I managed a bunch of unruly teens,

-I think I can manage a limp and a mutt.

-You're a teacher?

Was. Hung up my cane this year. Only joking.

Didn't need a cane to scare them off.

Here, give us the stick.

RTC coming in. Should I ask Dr Munroe?

No, no, I'll come now. Good to discharge. Thanks, Louise.

Sweetheart! Come to Mummy! Who's a clever boy?

-I ran all the way.

-Me, too.

This is Connie Beauchamp - self referral from Holby City Hospital -

ECG, chest X-ray, full blood count, clotting screen, LFT's,

renal function, an echo and repeat the blood cultures.

Flush out the PICC line in and continue the antibiotics.

Your carriage awaits.

-Oh, no, that won't be necessary.

-I'm the boss here.

And I should add that Mrs Beauchamp used to be

a cardiothoracic consultant before becoming

the clinical lead of A&E at Holby City Hospital,

so watch your step, kids.

They'll show you to the ward.

-If you could take my things.

-Yes.

-So you're the resident lapdog.

-Oh.

-Enjoy it while it lasts.

This way, sir.

-Dr Keogh.

-Yep.

Dylan!

Just to let you know, I contacted Mrs Roades' GP about the referral.

-She isn't registered with them.

-OK, I'm afraid I'm going to have to leave it with you.

I've got a finance report due in about...

I don't know what happened.

She just took a wrong turn and fell again.

OK, let's get you back to cubicle five, eh?

I keep telling you, I'm fine.

OK, well, it's happened twice in a day now.

Does it happen a lot? Falling over?

Just a...a momentary lapse of attention.

-You had one this morning.

-I did tell you her BP was low.

OK, yeah. Thanks, Louise.

Let's get some bloods then. We'll need FBC, U&E and a bone profile,

-and send her for an ECG as well.

-OK.

Now we need your medical records and it seems that the GP that

you gave us earlier on, I don't think you are registered there.

I'm sure I gave you the right name.

OK, well, I mean, if you give us your address, we can do it that way.

Yeah?

You remember where you live?

Of course I do. I'm never going back there.

You lied to me. She didn't tell you to come.

It's irrelevant, it'll all be done by tomorrow.

It's not irrelevant. You got me here under false...

Professor. Got everything you need?

Yes. I think I have.

-Good, when are you taking me in?

-I'm not.

Liver function, blood count and clotting are deranged, chest X-ray

shows two pleural effusions, renal function has deteriorated further.

And aside from everything else, you still require a CT coronary

angiogram and an endoscopy, which would take a few days to organise.

I'm afraid I can only concur with my colleagues at Holby.

It's just too risky at present.

You should carry on with the antibiotics

and conducting the outstanding investigations.

Hopefully the pleural effusions can be cleared with diuretics...

Yes, enough.

Connie...

I know, for people like us, acceptance is a dirty word,

-but sometimes...

-Yeah, OK.

I can arrange for a transfer by ambulance back to Holby.

That won't be necessary.

Thank you.

Our GP said that we could move somewhere together.

That was to a care home, was it?

They swore that they'd let us keep Waffle,

so we gave up our flat.

But then Ted passed away and they brought in new management.

Right.

And now he's a "health and safety risk"!

They came in this morning and said they're taking him to a shelter.

Oh, right, so that's what was happening this morning,

you were running away. Where were you going to go?

I don't know... Oh, maybe you could help?

-Me?!

-You could say I have to keep him for health reasons.

Hang on a second...

You could get in touch with the liaison team, the council,

find us somewhere else - a flat, sheltered accommodation.

-I...

-Seeing as we're only here because of you.

OK, let's not start all of that again.

I know what I smelt this morning.

Sheltered accommodation?! Do you think I've got a magic wand?

I know, I know.

First things first, can we do something about...?

You've got to be joking.

OK, well, let's get in touch with the advanced discharge team,

-let's see what they can do.

-Not much, I bet.

It's not like she's homeless. Don't get me wrong, I feel for her, but...

OK, shall we give it a go before we just give up?

I'd do it myself, I've got a million and one things...

-Make that a million and two

-Dr Keogh?

-I'm sorry, I'm a little bit busy at the moment.

-No worries.

We just need to take a few details and a quick breathalyser.

Right. Breathalyser? Is that essential, is it?

Standard procedure after an RTC. Only takes two minutes, though.

-Your office?

-Yeah, fine. Through there.

As you said, you had to try.

It's probably a good thing.

In a few days, you'll feel a lot stronger.

Have you spoken to Grace?

Grace?

Yes. She deserves to know, doesn't she?

And the point of that would be?

That you shouldn't be going through something like this on your own.

-You're here.

-Yeah, yeah, because you need a chauffeur.

Sorry if I'm not grateful enough.

-I don't want you to be grateful.

-What do you want then?

A tiny bit of respect wouldn't go amiss.

-Oh, please.

-Trust.

-Please!

You go round barking orders at me, you lie to me, you dismiss me.

Can we just not do this now? Your little tantrums.

Tantrums? Do you see what you do?

Do you really believe everybody else is an idiot?

Forgive me if I don't look for a shoulder to cry on and pitiful...

-For someone who's scared of dying alone, you're doing a damn good job.

-What would you know about it?!

You're not the one with the ticking time bomb inside you!

I have Huntington's!

Keep going,

keep going,

keep going and stop.

BEEPING

What's that? Is that a good sign?

Yep, all fine.

KNOCKING Sorry.

I've got Gloria's ECG here. You need to take a look.

Oh, all right. If you'll excuse me.

Of course. We just need a quick word with Mrs Roades.

OK. She's undergoing a few tests at the moment,

so probably not the best time.

Oh, no worries. We'll wait.

How could he test you without your knowledge? Well, it's Cal.

Yeah, in his inimitable fashion.

And I tested positive.

Not often I see you lost for words.

There it is.

I'm not as fragile as I look.

You're certainly not.

All I meant was, you can cry on my shoulder...

..metaphorically speaking.

OK, let's get going.

No. Not yet.

Holby City Hospital will still be there tomorrow.

Bradicardia.

Well, I mean, it explains why she's falling over.

But she's on beta blockers, isn't she?

Yup. Atenolol - 50mg a day.

The care home e-mailed her notes over.

Oh, and I've been up to the advanced discharge planning office,

there's no-one there as usual.

Give me those pills.

These are 25mg... That would do it, wouldn't it?

That would do it.

I know full well how much I should be taking - 50mg.

But you're telling us you take three a day,

-they're 25 milligrams each.

-Exactly!

Gloria, that's 75.

Yeah, that's very important. If you take too many, you're going

to lower your blood pressure and lower your heart rate

and you run the risk of falling.

Maybe I got confused. I know I should be taking four.

Four?

I-I know, arithmetic was never my strong suit.

What a view.

Hmm.

Have you been on the London Eye?

-No.

-No?

Not really my thing.

Don't tell me you're scared of heights.

It's not really the height.

It's being trapped in a capsule 500 feet above ground

with loads of people you don't know.

Claustrophobia with a slight control issue then.

What makes you say that?

Have you ever been on it?

Please. I don't do queues.

This place is...quite something.

Sorry, you're going to have to sleep on the sofa.

I think it'll do.

Traditionally, the chauffeur should sleep in the car, so...

Right.

No IV bags, no medication, no nothing.

If I go, on Egyptian cotton it will be.

I always intended to do something like this.

Obviously I envisaged a different circumstance.

Maybe for Grace's birthday.

A special one, you know, a 16th or something,

so she could legally drink champagne.

Champagne.

-Mmm.

-Mmm.

Oh, Fleurs Du Bois.

What a shame chemo's destroyed my taste buds.

Yours are still intact. There you go.

OK, no worries. Let's try again.

Which finger am I pressing now?

Er... My thumb?

OK, um. This one?

Little finger?

Can you put your left hand to your ear for me?

Right, OK. I'm going to ask you to write your name.

If you could just...

Anywhere in that box is fine.

Sorry, there you go.

What is all this nonsense?!

Let's book her in for a head CT.

I've got to make a quick phone call, all right?

Don't let me drink all this on my own.

I think you've finished it anyway.

Well, at least I can feel the bubbles on my tongue,

if I can't taste them.

Let memory do the rest.

-£352 for a bottle of champagne.

-Mmm.

That is a first for me.

Well, probably be the last for me, so...

Come on, I'm the patient, I can say what I like.

I certainly wouldn't be having chips if I didn't have cancer.

You should always have chips.

Yeah, you should always have chips.

Do you know what? I love this place.

It really is the best skyline in the world.

Spoken like a true Londoner.

Absolutely. I was born half an hour from here in Peckham.

-You were?

-Yeah. Don't tell anyone.

Yeah, I did my first cardiac surgical rotation in King's College,

down the road, so, yeah, my town...

I can't really imagine you like that, as a junior doctor.

Come on, I wasn't always old, thank you very much.

I didn't mean it like that.

-You're not old!

-Well...

You're not. Far from it.

You and Cornell - there's a history there.

-That obvious, is it?

-Yes.

Do you know what? From the off, she was my nemesis.

She was posh, she was brainy, she was a bit of a looker.

-Ah, rival.

-Yeah, I mean, it was strange.

We intensely disliked each other from the start and there was

competition between us.

Why did you choose her?

She's good. Seriously good.

I mean, sharp mind and sharp hands too.

Honestly, I'm surprised she passed up the chance to cut me up.

-Why?

-Well, let's just say there was a man involved.

Oh, right.

Which...you got?

Maybe.

Of course. So, actually, nothing's really changed.

You know, I would never, ever have told anyone about Scott Ellison,

if that's why you're doing this.

-No, it's not.

-Why then?

Because I've never met anyone like you before.

I probably never will.

That's why.

Mrs Beauchamp.

-I-I didn't mean it like that.

-No.

-Mrs Beauchamp...

-No.

-Connie!

Stay away from me.

Please, don't go.

Don't come near me ever again.

Well, I've booked a head CT just to be sure.

Yes, OK, all right, bye.

Dr Keogh, I don't know how to tell you...

To be honest,

it's probably too late for sheltered accommodation.

Never mind all that. We've lost the dog.

I only took my eye off him for a second and...

I gave the two of you one job - could you not keep it together?

-Hang on!

-It's fine. We'll find the dog and

there are charities that foster them until she can...

You don't understand, that lady has to go back to a care home.

-Yes, I did try to tell you that.

-No! She has to go back to a care home

because she's got Gerstmann syndrome!

That means that all of the things that we saw in there,

-they're not getting any better.

-Well, don't take this out on us.

First of all, you couldn't wait to get rid of her,

then you dump her dog on us and then you make promises that

no-one can keep. And when things don't work out, you blame us!

I'm sorry, I'm done.

-I'll...find the dog.

-Yeah, find the dog, Max.

SHE BREATHES HEAVILY

PHONE RINGS

Can I have another bottle of champagne, please?

Thank you.

Gerstmann syndrome, what's that?

Well, it's a neurological condition.

A collection of symptoms, some of which we saw you exhibit earlier on.

It's normally brought on by a minor stroke.

-Stroke?

-The CT picked it up.

This is probably why you were mixing up your doses

and obviously we know that's why you fell.

But apart from that, I'm-I'm fit and well.

Unfortunately, the symptoms extend beyond what we've already seen.

I think it's unlikely you'll be able to live on your own.

That will include sheltered accommodation. I'm really sorry.

No, no you're wrong. I want to see someone else.

-All right.

-Why should I take the word of a drunkard?

-I know you're upset...

-I know what state you were in!

-I would ask you to keep your voice down...

-Call yourself a doctor?

You're a disaster, you won't get away with this. Waffle!

Waffle, Waffle!

There you go.

Waffle.

I want to be left alone.

Do you not hear me? Leave us alone!

Connie!

KNOCKING

Connie, can you let me in, please?

Connie, can you please open the door?

GLASS SMASHES

KNOCK AT DOOR

Yeah, yeah, come in.

Mrs Roades' neurology follow-up appointment.

We can discharge her back to the care home.

Those places, they're so cynical. Do you know what they said to me

when I told them she'd been wandering the streets on her own?

"She's not down for one-on-one nursing care.

"We don't run a prison here".

What?

-They're allowing me to keep him?

-They are.

There's a member of staff on their way here to pick you up as we speak.

But how did you wangle that?

Well, um, I started out by pointing out, as you suggested,

the many therapeutic benefits of keeping pets.

-That wouldn't work with them.

-You're quite right, it didn't.

So I then went on to point out

a little bit more forcefully that, seeing as you were in their care,

they were responsible for you taking the correct medication

and I thought the Care Quality Commission might be interested

to know they hadn't noticed you'd gone missing until we told them,

so I said I'd come to an understanding that they had to do their bit.

Hear this, Waffle? Now wasn't that worth nearly getting run over for?

I wouldn't have said anything, you know, to the police.

But I know a mess when I see one.

Get help.

KNOCKING

Housekeeping.

WATER GUSHES

SIREN WAILS

SHE MUMBLES

Welcome back to St Eugene's.

What happened?

I suspect your tumour transiently blocked your mitral valve.

It moved out of the way when you passed out,

otherwise you wouldn't be with us now.

You're in heart failure, but you got your own way in the end.

-We have to operate now.

-Good.

My team will prep you, we've got a slot in an hour.

Good luck.

Where's your friend?

SHE SIGHS

I see.

We're born alone, we live alone...

But we don't have to die alone.

You have a daughter, right?

I must admit I was surprised when I heard. Does she know you're here?

She's with her father.

See you on the other side.

Dr Keogh, I heard about your great triumph today.

Just off to the Hope and Anchor, you fancy it?

Um, no, I've got rather a lot of paperwork to catch up on.

Oh, come on. Today, of all days, you deserve a drink.

Just one!

Actually, go on, then. Yeah, all right. Just the one.

-VOICE MAIL:

-Hi, this is Grace. You know what to do.

Charlie?

Count back from ten for me, please.

Ten, nine, eight...

Yes, I need to speak to Connie Beauchamp, please - room 131A.

I'm a work colleague.

Why?

What?

Yes, please!

Stop!

Thank you. St Eugene's Hospital, please.

CLASSICAL MUSIC PLAYS

OK to begin.

I'm going to be making a mid line sternal incision

from below the sternal notch to the xiphoid. I am separating

the underlying soft tissue from the sternum, exposing the bone.

Drive safely.

-I'll give you a ring as soon as I know anything.

-OK.

Bone saw.

Stop ventilation.

SAW WHIRS

Forceps.

Scissors.

Opening the pericardial sac.

Removing the tumour.

Now, let's repair the valve.

And we need a patch to repair the atrial septum.

She's come off bypass easily enough.

Prepare to remove the vena caval cannulas.

Can you stop a moment? Pressure's dropped.

-Severe mitral reflux on TOE.

-What, leaks?

It's severe. She's throwing off multiple PVCs.

She's gone into VF.

-BEEPING

-One of the stitches must have cut through.

Start cardiac massage.

Get her back on bypass.

Let's restart cardioplegia. We have to go in again.

Morning, Ethan.

Ethan.

OK?

So...they don't know if she'll come through?

Of course she's going to come through.

Charlie will call as soon as he knows.

Have you heard about this?

Connie...being operated on in London last night.

Was she? Was she? Good for her.

Or not? No? Not good?

HR called, they need your conflict resolution update ASAP.

The finance office needs your recommendations from yesterday

and here's that clinical guideline committee report.

Great, all right.

Oh, man!

-You all right?

-Yeah. Thank you. Thanks.

Well, you gave us a run for our money.

I had to remove the entire interatrial septum and repair

the defect with a Dacron patch.

But the tumour is gone.

Now, before you go planning your conquest of the Wild West,

I want to be very clear -

you're going to stay put.

We're going to keep you on IV antibiotics, Amiodarone, diuretics,

and there's no getting away from at least two more cycles of chemo.

-That's fine, that's fine. I've got it.

-Good.

Arianne.

Thank you.

Hello, it's me.

I-I-I'm sorry to call so early, late...

I-I don't know what's happening, I don't know what

I'm doing and suddenly it's just all falling apart.

Hmm.

Arianne...

-CHARLIE:

-She'll never change. She can't stand people seeing her weak.

Sorry, can I ask you one thing?

-Well, she'll just have to get used to it.

-Yeah.

You can go in now, but not for long.

Just Mr Fairhead, I'm sorry, that's what she said.

Hiya, Charlie.