0:00:39 > 0:00:42I'm never getting booked here again, am I?
0:00:42 > 0:00:46I'm not going to stop hiring her. I'm giving her a three-month renewal.
0:00:46 > 0:00:47Thank you!
0:00:47 > 0:00:51Think you're the only straight guy I've ever kissed? Think again.
0:00:51 > 0:00:55I know the person who's going to get hurt by you the most is Chrissie.
0:00:55 > 0:00:57This is not a turf war.
0:00:57 > 0:00:59Darwin is big enough for both of us.
0:00:59 > 0:01:05- We can co-exist.- You are helping her bid against Plastics for funding.
0:01:05 > 0:01:07If the CTU pitch is a threat to Plastics,
0:01:07 > 0:01:10then it makes it a lot easier for us to know exactly what CTU are up to.
0:01:10 > 0:01:14- You're a mole.- To Shah and Naylor and the Cardiac Trauma Unit.
0:01:14 > 0:01:18- Thank you.- That way I know exactly how and when to sabotage it.
0:01:18 > 0:01:21- Bracia!- Bracia!
0:01:21 > 0:01:24Adam and Wojtek. Voit-zec?
0:01:24 > 0:01:27- Surnames don't roll off the tongue that easily.- Gloves, please.
0:01:30 > 0:01:32- My fault! - Try not to speak.
0:01:32 > 0:01:35The morphine in these two, I'm surprised they can speak at all.
0:01:35 > 0:01:38- Help Wojtek!- Keep the mask on. It'll help you breathe.- Cholera!
0:01:38 > 0:01:41BP 70 over 50. High tower pulse. Mild pyrexia. Hb seven.
0:01:41 > 0:01:46- What went into his abdomen? - When the paramedics got to them, they were literally locked together.
0:01:46 > 0:01:48Ribs took the brunt. Cage is no longer an accurate description.
0:01:48 > 0:01:53- Always looks after me. The big bear. - Tile slipped.- We fell.
0:01:53 > 0:01:54- He saved me.- Lie still.
0:01:54 > 0:01:57- X-ray confirms rib fracture. - His breathing is laboured.
0:01:57 > 0:01:59- HE SPEAKS POLISH - Pneumothorax.
0:01:59 > 0:02:03- I'll get you one later! - What did he say?- He said he wants coffee. Typical Pole.
0:02:03 > 0:02:06- I thought "wodka" was the national addiction.- Racist!
0:02:06 > 0:02:09My colleagues are going to put a tube in to ease your breathing.
0:02:09 > 0:02:13Today seems to be the day for cardiothoracic trauma.
0:02:13 > 0:02:15Obviously, it's just a feasibility study.
0:02:15 > 0:02:17- Obviously.- I stayed up all night.
0:02:17 > 0:02:19And brought it in on your day off.
0:02:19 > 0:02:24Can't fault your enthusiasm. But I must say some of your case studies are a little long in the tooth.
0:02:24 > 0:02:26You don't miss a trick, do you?
0:02:26 > 0:02:31There's a conference on trauma management in Oxford today. I'm heading there now.
0:02:31 > 0:02:34Let's hope you glean something more convincing while you're there.
0:02:34 > 0:02:36I've had an offer from Newcastle.
0:02:36 > 0:02:40If CT's doomed, what's to keep me here?
0:02:40 > 0:02:44Honestly, I feel more like a glorified secretary than a ward sister.
0:02:44 > 0:02:48Can you believe I'm expected to run AAU as well as Keller, as if I haven't got enough to do?
0:02:48 > 0:02:52- "Yes, Chrissie, you ARE a miracle worker."- Hmmm?
0:02:52 > 0:02:56- Oh, God. Hit me with it.- C minus.
0:02:56 > 0:02:59Bordering on D for disappointment.
0:02:59 > 0:03:01Were you a teacher in a former life or something?
0:03:01 > 0:03:03Hey, don't shoot the messenger.
0:03:03 > 0:03:06Short of eating the textbook, I don't know what more I can do.
0:03:06 > 0:03:09Diagnostics are your Kryptonite, AKA your downfall.
0:03:09 > 0:03:10Dan's been trying to help me.
0:03:14 > 0:03:15You'll be fine.
0:03:15 > 0:03:18You just need to focus.
0:03:19 > 0:03:22- Are you OK?- Mock OSCI.
0:03:22 > 0:03:24I'm not exactly teacher's pet.
0:03:24 > 0:03:29That's just Malick. He's a sadist, not happy unless he's made at least one nurse cry per shift.
0:03:29 > 0:03:33No, he's right. All this revision we're doing, none of it's going in.
0:03:33 > 0:03:37What you need is a nice glass of wine, feet up, relax and then we'll go through it all again.
0:03:37 > 0:03:40I don't think that's exactly what Malick had in mind.
0:03:40 > 0:03:43- But there is something you could do if you want to help me.- Name it.
0:03:43 > 0:03:45Babysit?
0:03:45 > 0:03:48- Unless you... - No, no. Of course I will.
0:03:48 > 0:03:50Evie Thompson?
0:03:50 > 0:03:54- Yes, ankle fracture?- Quick MOT and we can release her to the wild. - Right. Let's do it.
0:03:58 > 0:04:00Really you should talk to my agent first.
0:04:00 > 0:04:02The photos are for the specialists.
0:04:02 > 0:04:06Means I can put a nice, fresh dressing on it keep their grubby mitts out.
0:04:08 > 0:04:09You have nice touch.
0:04:09 > 0:04:13Can't take the credit, really. It's the pain killers.
0:04:17 > 0:04:20Can you get an update on Adam from Darwin, please?
0:04:20 > 0:04:22Wojtek was asking about his friend.
0:04:25 > 0:04:27I'm pleased with the way Chantelle is settling in.
0:04:27 > 0:04:30Ah, thanks.
0:04:30 > 0:04:33- Oh, thanks a lot(!)- What? - Sister Williams.
0:04:33 > 0:04:36Apparently a post-it note's an adequate replacement for a meeting.
0:04:36 > 0:04:41- I'm sure Chrissie's got a perfectly good reason for not coming down. - Yeah - they're called stairs.
0:04:41 > 0:04:45- Are you implying she's lazy? - As if I'd say that about the mother of your child.
0:04:45 > 0:04:51- Gutless, maybe. It seems that we have no need for an agency nurse any more.- Chantelle?
0:04:51 > 0:04:55Mm. Her hourly rate's too high for an ornament, so...
0:04:55 > 0:04:59You've only just fought for her to stay.
0:04:59 > 0:05:01I know, the power I wield, it's frightening(!)
0:05:01 > 0:05:04Oh, and I'm so not in the mood for tears!
0:05:04 > 0:05:08Or hugs... I don't do hugs.
0:05:08 > 0:05:11Maybe I should tell her? It might be a bit more...
0:05:11 > 0:05:13Don't finish that sentence.
0:05:13 > 0:05:15- I wasn't going to.- Excellent.
0:05:15 > 0:05:17Do us a favour though - don't drag your feet.
0:05:19 > 0:05:22'I'm just going to check your circulation.'
0:05:25 > 0:05:27Oh!
0:05:27 > 0:05:29- Are you all right? - It's a twinge I get now and then.
0:05:29 > 0:05:32Seemed more that a twinge to me.
0:05:32 > 0:05:34Excuse us.
0:05:34 > 0:05:37- Think I should call Malick? - We could leave a note for her GP.
0:05:37 > 0:05:39She doesn't seem the type to seek help, does she?
0:05:39 > 0:05:44Malick, Evie Thompson. Abdominal pain.
0:05:44 > 0:05:48Hi, Evie. I'm Mr Malick, could you point to where the pain is exactly?
0:05:48 > 0:05:49I'm fine, honestly.
0:05:49 > 0:05:52- I'm sure you are, but if you'd just let me examine you.- No.
0:05:55 > 0:05:59Thank you. This is why I hate hospitals.
0:05:59 > 0:06:03Your body's not your own.
0:06:03 > 0:06:06Why don't I let Sister Williams take the lead?
0:06:06 > 0:06:10Sometimes you got to ditch the text book altogether.
0:06:19 > 0:06:21More comfortable behind closed doors.
0:06:34 > 0:06:36Henrik!
0:06:37 > 0:06:38Sir Fraser.
0:06:38 > 0:06:43You get taller every time I see you. What do you do at night, hang yourself up by your toes?
0:06:43 > 0:06:44SIR FRASER CHUCKLES
0:06:46 > 0:06:50You've been racing through that book. I'm very impressed.
0:06:50 > 0:06:54I'm a slow reader, takes ages for it to sink in.
0:06:54 > 0:06:57Are biographies your thing?
0:06:57 > 0:07:00I find myself drawn to strong women.
0:07:02 > 0:07:05Poor Catherine. Live life as she did
0:07:05 > 0:07:09and you're bound to attract unwelcome attention,
0:07:09 > 0:07:11but a lot of the rumours are false.
0:07:12 > 0:07:15They say she died having intimate relations with a horse.
0:07:15 > 0:07:18And I thought it sounded boring.
0:07:21 > 0:07:23This wasn't in your notes.
0:07:25 > 0:07:28It was a long time ago.
0:07:28 > 0:07:31I'm only interested from a medical point of view.
0:07:31 > 0:07:33Anything else is none of my business.
0:07:37 > 0:07:39So, what's the dealio?
0:07:39 > 0:07:41D'you get the stone to bleed?
0:07:41 > 0:07:45See, this is what's gets me. You flunk the written,
0:07:45 > 0:07:47but when it comes to the practical, you're all over it,
0:07:47 > 0:07:51- like Superwoman. So what's next? - CT scan.- I like your style.
0:07:59 > 0:08:02Not bad for starters, but where's the meat?
0:08:04 > 0:08:06Well, a hospital is a living organism...
0:08:06 > 0:08:10you can't simply cut off heads and legs and expect it to continue running smoothly.
0:08:13 > 0:08:15What significant cuts have you actually made?
0:08:15 > 0:08:19- Connie Beauchamp, Mark Williams, Joseph Byrne...- No, no, no.
0:08:19 > 0:08:21- They all resigned. - Well, that's how it looked.
0:08:21 > 0:08:27I appointed you as the Grim Slicer to bring Holby to FT status within a year. You've had nine months.
0:08:27 > 0:08:29Your books still don't balance.
0:08:29 > 0:08:33It's not simply your reputation at stake here.
0:08:33 > 0:08:38If you want to stay captain of this ship, you've got to start plugging gaping holes.
0:08:38 > 0:08:40There's your intra-abdominal mass.
0:08:41 > 0:08:44Might not be as serious as it looks.
0:08:45 > 0:08:49Your spot, Chrissie, so do you want to take the patient through the options?
0:08:58 > 0:09:00- Can I help you?- Ah, yes.
0:09:00 > 0:09:05Aged ex-pat in search of fallen kin!
0:09:05 > 0:09:10- Sandy? What on earth?- Your neighbour e-mailed about your nose dive,
0:09:10 > 0:09:13- and I hopped on the first plane. - And you got him through customs?
0:09:13 > 0:09:15Name's Rolf. Good for hugs.
0:09:15 > 0:09:17- Sweet.- Must you?
0:09:19 > 0:09:22Oh, dear. Looks as though I've missed all the fun.
0:09:22 > 0:09:25Well, we haven't quite finished yet.
0:09:25 > 0:09:28Why, what's wrong?
0:09:28 > 0:09:31Your sister's health I need to discuss with her in private,
0:09:31 > 0:09:33so if you wouldn't mind waiting downstairs?
0:09:35 > 0:09:38Oh, my God, it's cancer. Isn't it?
0:09:38 > 0:09:41You can see why I don't tell her anything.
0:09:41 > 0:09:45I've come from Sydney to see my only living relative and you won't even tell me if you're dying or not.
0:09:45 > 0:09:49- You are such a drama queen!- I just want to know what's going on!
0:09:49 > 0:09:52OK, ladies. There is nothing to tell at this stage,
0:09:52 > 0:09:55so why don't you go downstairs, have a coffee, refuel?
0:09:55 > 0:09:59I can only imagine how tired you must be after that journey.
0:09:59 > 0:10:01Can I get you anything?
0:10:01 > 0:10:04Stubborn old goat.
0:10:04 > 0:10:05You'll look after her, won't you?
0:10:05 > 0:10:07Of course.
0:10:09 > 0:10:10Back in a sec.
0:10:11 > 0:10:13Neat diplomacy.
0:10:13 > 0:10:16I get enough practice keeping you two apart.
0:10:16 > 0:10:21There are others ways of achieving FT status besides cuts. New initiatives.
0:10:21 > 0:10:24If you're talking about Plastics, I've read Angus's report.
0:10:24 > 0:10:27- I don't just mean... - The figures look promising,
0:10:27 > 0:10:30but I don't see how they affect the efficiency of any other department.
0:10:30 > 0:10:32Perhaps you should see the way we work.
0:10:32 > 0:10:34So, what's going on here then?
0:10:34 > 0:10:38This is, er, the Polish roofer you saw in AAU?
0:10:38 > 0:10:40Of course. Our brothers from Gdansk.
0:10:40 > 0:10:44Actually, they're not brothers and they're from Gdynia.
0:10:45 > 0:10:49Right, smashing. I'll be with the Chief Bean Counter.
0:10:53 > 0:10:56Is that Sir Fraser Anderson?
0:10:56 > 0:11:01Yes, indeed it is. So now, what's our plan for the patient, please?
0:11:01 > 0:11:05It's a complicated case. We'll need to liaise with General and Plastics.
0:11:05 > 0:11:08- Chest reconstruction?- Eventually.
0:11:08 > 0:11:12He's got severe skin and muscle damage, but we'll need to stabilise him internally first.
0:11:12 > 0:11:17I bumped into Sahira downstairs. She mentioned you were considering her cardiac trauma study.
0:11:17 > 0:11:21- Alongside other strategies. - Can't imagine any other hospital in the region having the skills
0:11:21 > 0:11:24to deal with a patient as mashed up as this guy.
0:11:25 > 0:11:31- Once you're stable we'll discuss reconstruction on your ribs.- Can't build a roof without the rafters.
0:11:31 > 0:11:34Good morning, my name's Hanssen, Director of Surgery.
0:11:34 > 0:11:37I'll be overseeing your care. We met downstairs.
0:11:37 > 0:11:42- Well, the good news is we can rebuild him.- Conference room. Ten minutes, please.
0:11:50 > 0:11:53This is what I love about this country.
0:11:53 > 0:11:56So many pretty girls wanting to mother me.
0:11:56 > 0:12:00Polish girls are beautiful. Met one when I was training, Gizela,
0:12:00 > 0:12:03lovely skin and her accent... Wonder what she's up to now?
0:12:03 > 0:12:05The pretty ones come here.
0:12:08 > 0:12:11How long have you been working in England?
0:12:11 > 0:12:13- Six years.- Wow!
0:12:13 > 0:12:16That's a long time away from home.
0:12:16 > 0:12:19Do you miss it? Are you going to go back?
0:12:19 > 0:12:23Funny, I thought I would miss home, but you get used to it.
0:12:23 > 0:12:25We planned it together, me and Adam.
0:12:25 > 0:12:28We wanted to come, earn money and...
0:12:28 > 0:12:30and go back.
0:12:30 > 0:12:35We did the first part and it's been good, so we just stayed.
0:12:37 > 0:12:40Should see Adam and me...
0:12:42 > 0:12:45..we don't have to speak.
0:12:45 > 0:12:46We know...
0:12:48 > 0:12:52..in here and in here.
0:12:52 > 0:12:57- Ah, that's so lovely.- Chantelle?
0:13:01 > 0:13:06Poor guy. Look, that's the third time he's chucked up already. And he's complaining of chest pains.
0:13:06 > 0:13:08Well, we'll keep him monitored.
0:13:08 > 0:13:12He's sweaty and hypotensive. Could you take another look, to be on the safe side?
0:13:12 > 0:13:16We make good the liver, spleen and colon and move on to the lungs.
0:13:16 > 0:13:19- I thought this was YOUR patient? - He's been liberated, apparently.
0:13:19 > 0:13:23- Everything in one operation? - Since we have the facility. - Plastics included?
0:13:23 > 0:13:29We spend two hours screwing ribs and creating flaps only to discover some internal trauma has been missed.
0:13:29 > 0:13:32It surprises me to hear myself say this, but I agree with Sunil.
0:13:32 > 0:13:36- No faith in your own abilities? - There's a high degree of uncertainty in this case.
0:13:36 > 0:13:38Precisely why it would be valuable
0:13:38 > 0:13:42- to have the relevant disciplines to hand, wouldn't you say? - I don't get it.
0:13:42 > 0:13:44Is this some new drive to save on theatre time?
0:13:44 > 0:13:47Efficiency is always a consideration, yes.
0:13:47 > 0:13:52Ah, Sir Fraser, may I introduce our plastic surgeons
0:13:52 > 0:13:54Mr Michael Spence, Mr Sunil Bhatti?
0:13:54 > 0:13:56I gather you've read our business plan.
0:13:56 > 0:14:01This is our most experienced cardiothoracic surgeon, Mr Elliot Hope.
0:14:01 > 0:14:05Henrik thinks I ought to see the product in action before he takes you to market.
0:14:07 > 0:14:12We've had an elective cancel, so if you wanted to do a diagnostic laparoscopy, you can.
0:14:12 > 0:14:14Why not open her up and dive straight in?
0:14:14 > 0:14:17Elderly patient, less intrusive till we're sure.
0:14:17 > 0:14:19Now you're cooking, Sister Williams.
0:14:19 > 0:14:21Why didn't you show me some of this before?
0:14:21 > 0:14:22I got you a cappuccino.
0:14:22 > 0:14:24I don't think that's a good idea.
0:14:24 > 0:14:26Why not? Is she nil by mouth or something?
0:14:26 > 0:14:28You see what I'm up against.
0:14:28 > 0:14:32- You really must let me do something about your hair.- My hair?
0:14:32 > 0:14:35- There's nothing wrong with my hair. - At least let me give it a comb.
0:14:35 > 0:14:39We're going order some more tests, OK? As soon as a slot is available.
0:14:39 > 0:14:42- Bed seven. Catheter will need a check.- In a sec.
0:14:42 > 0:14:46My third husband was a hairdresser. Turned out to be gay.
0:14:46 > 0:14:48HE LAUGHS
0:14:48 > 0:14:52Throw stones in Sydney these days, you're bound to hit one eventually.
0:14:52 > 0:14:56Mind you. They're the best friend a girl could have.
0:14:56 > 0:14:58- Very loyal. Very open.- Sandy!
0:14:58 > 0:15:02No-one wants to hear this rubbish.
0:15:02 > 0:15:07You're absolutely right, Sis. Right, why don't you tell me what's been going on?
0:15:07 > 0:15:11None of your business, that's what.
0:15:11 > 0:15:15- So how long is all this going to take? - I'm afraid that's very hard to say.
0:15:17 > 0:15:21- You do realise what Hanssen is doing here?- Clearly he thinks Plastics
0:15:21 > 0:15:24is the best way to sell a multi-discipline trauma package.
0:15:24 > 0:15:26The real money is in a stand-alone unit.
0:15:26 > 0:15:29If you're serious about making this work, you have to fight our corner.
0:15:29 > 0:15:33Chief Exec of the SHA and you let him walk out with CT.
0:15:33 > 0:15:38If Sir Fraser is interested in observing Plastics, we have an elective scheduled at mid-day.
0:15:38 > 0:15:40Yes, I've cancelled it. You won't have time for both.
0:15:40 > 0:15:45- I assume you'll assist me with the general surgery?- No, I'm going to work on the reconstruction.
0:15:45 > 0:15:49Myself excluded, you are the best general surgeon here at Holby.
0:15:49 > 0:15:52At least, that's the impression I've given Sir Fraser
0:15:52 > 0:15:55and I'm sure he'd prefer to see us all batting for the same team.
0:15:55 > 0:15:59I can't imagine being away from my family for more than a month.
0:15:59 > 0:16:02You are not a free spirit like me.
0:16:02 > 0:16:06I plan on going travelling one day. A lot of my friends from nursing college are already doing it.
0:16:06 > 0:16:11I'd like to go to Australia, but it's so far away I worry I'd miss my family too much.
0:16:11 > 0:16:13Adam is my family.
0:16:13 > 0:16:15We have known each other for a long time.
0:16:15 > 0:16:17And at least I got to choose him.
0:16:19 > 0:16:24I didn't have that option with my real family.
0:16:24 > 0:16:26Well, you got the best of both worlds, haven't you?
0:16:26 > 0:16:30My mum's my best friend. She totally supported me through nursing college.
0:16:30 > 0:16:34- She knew it was all I wanted to do. - You didn't fancy being a pop star? Got the looks.
0:16:34 > 0:16:36You haven't heard my voice. Strangled cats, Mum says.
0:16:36 > 0:16:42- Chantelle?- Actually, I did want to be a vet once but I knew I wouldn't cope when the animals died.
0:16:42 > 0:16:44Mr Levy, how can I help?
0:16:44 > 0:16:46I wanted to...
0:16:48 > 0:16:53..say...that the ECG's not really showing anything,
0:16:53 > 0:16:56so perhaps we should hurry up those x-rays.
0:17:02 > 0:17:05- I reckon that doctor fancies you. - Mr Levy?
0:17:05 > 0:17:08You haven't noticed the way he keeps looking at you?
0:17:08 > 0:17:12No, silly. He's got to be, like, my dad's age.
0:17:12 > 0:17:17He's presenting atrial fibrillation, palpitations and his stats are increasingly erratic.
0:17:17 > 0:17:19- How is Wojtek?- It's you I'm worried about at the moment.
0:17:19 > 0:17:22I warned him. Had enough. So tired, can't concentrate.
0:17:22 > 0:17:25- He said you saved his life. - He's crashing.
0:17:25 > 0:17:28So what clever dick in ED given him a potion we don't know about?
0:17:28 > 0:17:30- I'll check.- What about a tox screen?
0:17:30 > 0:17:32Charging. 100. Clear.
0:17:35 > 0:17:38Charge again. 100. Clear.
0:17:42 > 0:17:44- He's back.- He was clerked on AAU.
0:17:44 > 0:17:46Well, he is your patient.
0:17:46 > 0:17:49It'd be a shame to loose him before the big operation.
0:17:58 > 0:18:01- Why don't you go and find yourself a nice hotel?- Whatever for?
0:18:01 > 0:18:06As soon as they've finished doing whatever they're doing here, I'll come and stay with you.
0:18:06 > 0:18:09So if you give me the key, I'll go there straightaway.
0:18:09 > 0:18:11I'm not having you going through my drawers!
0:18:11 > 0:18:13I'm not interested in your knickers.
0:18:13 > 0:18:16Used to read my diary, remember?
0:18:16 > 0:18:20I was ten years old! And that was only because you wouldn't tell me anything.
0:18:20 > 0:18:23That should have told you something.
0:18:23 > 0:18:27Evie, you are my sister,
0:18:27 > 0:18:31is it so strange that I want to be in your life?
0:18:34 > 0:18:36- She's a nightmare. - Theatre's booked for 2:30.
0:18:36 > 0:18:39If I can get cover, can I scrub in? You said you wanted me
0:18:39 > 0:18:41to be more hands-on if I want to get that A...
0:18:41 > 0:18:44Whoa, you know who the locum consultant is?
0:18:44 > 0:18:46- Latimer?- AKA the Countess.
0:18:46 > 0:18:49She freaks at a stray hair, never mind a stray nurse.
0:18:49 > 0:18:52Exactly, and I could see the sharp end of a scalpel just for asking.
0:18:52 > 0:18:55But, because it's you, I'll see what I can do.
0:18:55 > 0:18:57- You're the best!- I know.
0:19:03 > 0:19:06- Any news on that x-ray?- No. I'm just on the phone to them now.
0:19:06 > 0:19:11You'd think I was asking them to commit a crime, they make me feel so bad for asking to fast track.
0:19:11 > 0:19:13Well, maybe I should try. Would that help?
0:19:13 > 0:19:16- Yeah, if you like.- Oh, no.
0:19:16 > 0:19:21- You can hang up and I'll maybe call from my office.- Don't be silly, may as well hold while I've got them.
0:19:21 > 0:19:24Do you mind if I talk to you about something while you hold?
0:19:24 > 0:19:26Sure. Go ahead.
0:19:26 > 0:19:29I wanted to discuss your...
0:19:29 > 0:19:31Hello? Yes. Oh, that's great.
0:19:31 > 0:19:35I'll pop down and get it, make it quicker. You're a star!
0:19:35 > 0:19:38I take it back, they're amazing. Bless 'em. Back in a min.
0:19:38 > 0:19:41Take a look, just as I thought.
0:19:45 > 0:19:48- When is my operation?- Mr Sawicki,
0:19:48 > 0:19:52- Are you taking any medication you haven't mentioned to us? - I don't understand.
0:19:52 > 0:19:57Did you take anything before the accident? Drugs, I mean. More precisely, methamphetamine?
0:19:57 > 0:20:01- What is that?- Speed. - It's in your blood. I'd like to know how it got there, please.
0:20:01 > 0:20:06- I don't...- I don't think you really appreciate how serious this could have been, for all of us.
0:20:06 > 0:20:09The fact that you kept this from us means you could have died.
0:20:09 > 0:20:15I came here to make some money to go back home. I'm not some kid doing drugs.
0:20:15 > 0:20:20- You said you're extremely tired. "One last job to finish." - Yes, I had some coffee.
0:20:25 > 0:20:29Mr Hanssen, Sir Fraser's just rung wanting to know when we're going into theatre.
0:20:29 > 0:20:33- He's got an important meeting, apparently. - Tell him, 30 minutes, please.
0:20:33 > 0:20:38- You're going to go through with this?- Any decent anaesthetist can cope with a dose of amphetamines.
0:20:38 > 0:20:42Really? Raised BP, heart issues? This is an unstable patient with multiple issues.
0:20:42 > 0:20:46God knows what's going on internally and he's lying about his history.
0:20:46 > 0:20:48Which is why he needs a multi-discipline team.
0:20:48 > 0:20:51- I've got the sales pitch. - What's your point?
0:20:51 > 0:20:55If I was putting on a show for the Master of the Universe, I'd choose firmer ground.
0:20:55 > 0:20:58If this goes chest up, it's not just the patient that's flatlining.
0:20:58 > 0:21:01The business plan for Plastics is rock solid.
0:21:01 > 0:21:05I'm not going to stand by while you try to bolster some whim of Sahira's.
0:21:05 > 0:21:09If you think for a moment I would compromise a patient's health
0:21:09 > 0:21:11for the sake of personal politics...
0:21:11 > 0:21:13See you on the ice.
0:21:16 > 0:21:17Good book?
0:21:18 > 0:21:21Why don't we play a game? I spy?
0:21:21 > 0:21:27- We're not children.- You wouldn't play with me even then.- I'm reading.
0:21:30 > 0:21:32It's a problem downstairs isn't it?
0:21:32 > 0:21:34Why do you have to know everything?
0:21:34 > 0:21:37For goodness sake, we're old ladies now.
0:21:37 > 0:21:39Most of what we've got we're past using.
0:21:39 > 0:21:44In fact, most of what you've got you never used in the first place, so why be so coy?
0:21:44 > 0:21:47Ow!
0:21:48 > 0:21:49How's Terence?
0:21:49 > 0:21:55Only, last time you paid me an unscheduled visit was when Nigel left you for Elena.
0:21:55 > 0:21:57Terry is in rude health.
0:21:57 > 0:22:00I reckon he's gone back to his elderly mother.
0:22:00 > 0:22:04Otherwise, you'd be at home in Sydney, annoying him.
0:22:10 > 0:22:11Hey.
0:22:11 > 0:22:15Get there early in case she makes you scrub twice. She likes it to hurt.
0:22:15 > 0:22:17And you might want to check this out.
0:22:17 > 0:22:21- Malick. What did you tell her? - Just a little PR, no biggie.
0:22:21 > 0:22:27- Malick.- IQ off the chart, A's across the board - basically you're an unsung genius.- Malick!
0:22:27 > 0:22:30- I've marked the section. It's cool.- 50 pages!
0:22:30 > 0:22:34Hey, I've not worn my bullet proof vest today, so don't let me down, all right?
0:22:36 > 0:22:39Oh, and you might want to tone down the war paint.
0:22:39 > 0:22:42- Excuse me?- Don't get me wrong, you look great, you look hot.
0:22:42 > 0:22:46But in theatre, the Countess, she's more into the no-time-for-mirrors chic.
0:22:46 > 0:22:48Divorced?
0:22:48 > 0:22:51Caught hubby with a care assistant in a cupboard.
0:22:51 > 0:22:54- Ugly.- Terrible business.
0:22:56 > 0:23:00- Have you checked the drainage, bed four? Negative suction?- On my list.
0:23:04 > 0:23:06- You all right?- Oh, I'm grand.
0:23:06 > 0:23:09Is it all right if I nip downstairs in a bit?
0:23:09 > 0:23:12It was 3-for-2 on mags this morning and it's a special on women who marry gay men.
0:23:12 > 0:23:16- Er, sure, yeah, why not?- Thanks!
0:23:16 > 0:23:19Something tells me Little Miss Sunshine still has a job?
0:23:19 > 0:23:22- I'm waiting for the right moment. - Chicken.
0:23:22 > 0:23:25- You can't just bowl in, timing is everything.- I agree.
0:23:25 > 0:23:29- We are doing it my way, yes? - Yes. But if it's not done by the end of the day,
0:23:29 > 0:23:33- it's you going back to Sister Williams, OK? Not me. - Yes, I know.
0:23:33 > 0:23:36I don't know why I'm finding it so hard. I've done it before.
0:23:36 > 0:23:39It's just she seems very settled and very happy. And she's good.
0:23:39 > 0:23:42La-la-la! I can't hear you, Sacha.
0:23:42 > 0:23:46Chantelle. Before you head downstairs Mr Levy would like a word, please.
0:23:46 > 0:23:50In the office. He's got something important he needs to discuss.
0:23:56 > 0:23:57Suction.
0:23:59 > 0:24:04There's a tear in the right lobe and subcapsular haematoma.
0:24:04 > 0:24:06Surgicel, please.
0:24:06 > 0:24:11We're going to need to suture this fast to prevent decompensation.
0:24:21 > 0:24:25This precisely illustrates the problem we're up against...
0:24:25 > 0:24:30a talented surgeon like Mr Spence holding stitches for another department
0:24:30 > 0:24:34when he could be far more profitably employed working with me, 24/7.
0:24:50 > 0:24:52Would you like to sit down?
0:24:54 > 0:25:00- Maybe not. - Is this about the nail varnish I spilt in the locker room?- No.
0:25:03 > 0:25:05- Thank you. - I know I can be a bit messy,
0:25:05 > 0:25:08but I can sort that. I just need it pointing out every now and again.
0:25:08 > 0:25:10No, Chantelle, it's not that at all.
0:25:10 > 0:25:14In fact, your work here has been of an incredibly high standard.
0:25:14 > 0:25:20And I for one have loved having you around.
0:25:21 > 0:25:27- You have?- Of course! That smile...
0:25:27 > 0:25:29brighten up any room.
0:25:29 > 0:25:32- Mr Levy, I think I know where this is going...- You do?
0:25:32 > 0:25:33PAGER BEEPS
0:25:37 > 0:25:39Can we do this later?
0:25:39 > 0:25:41Sorry.
0:25:46 > 0:25:48Everything all right?
0:25:48 > 0:25:49Yeah, fine.
0:26:09 > 0:26:11Sandy, what are you doing?
0:26:11 > 0:26:16- Appendicitis? I thought it was something serious.- This is private.
0:26:16 > 0:26:22- Can't help yourself can you? - What a relief. You silly sausage, Why didn't you want me to know that?
0:26:22 > 0:26:25You don't understand.
0:26:25 > 0:26:28- I think it's time you went. - Went? Went where?
0:26:28 > 0:26:31I came here to help you. Why do you keep fighting me?
0:26:31 > 0:26:34I don't want your fussing!
0:26:34 > 0:26:37I'm perfectly happy as I am.
0:26:37 > 0:26:42I care about you, Evie, I can't just switch that off.
0:26:42 > 0:26:45We're sisters!
0:26:45 > 0:26:49I think she just needs to be on her own for a minute.
0:26:49 > 0:26:51She doesn't need that. Really.
0:26:51 > 0:26:53- Thank you.- There's a lot of blood.
0:26:53 > 0:26:55How much longer, people?
0:26:55 > 0:26:57Our patron is displaying dangerous symptoms.
0:26:57 > 0:26:58Clamp, please.
0:26:58 > 0:27:03- Three-oh, PDS mounted, please. - We could have rebuilt Birmingham in the time this is taking.
0:27:03 > 0:27:07Once Mr Hope has repaired the lungs you can get on with your reconstruction.
0:27:15 > 0:27:17Is everything OK?
0:27:20 > 0:27:25- You'd better hurry this up. Our patient's waking up. - Is this the methamphetamine?
0:27:25 > 0:27:30- What methamphetamine?- It's not the methamphetamine! Give me the stitch. Keep him under as long as you can.
0:27:30 > 0:27:31Clamp.
0:27:39 > 0:27:43So, diagnostic laparoscopy to confirm acute appendicitis
0:27:43 > 0:27:46in elderly patient. Question one. How many incisions?
0:27:46 > 0:27:49- Sorry?- Ports in the stomach for examination tubes otherwise known
0:27:49 > 0:27:52as "trocars". Come on, Chris, this is page one stuff.
0:27:52 > 0:27:55Er, OK, this must be logical. Just give me a second.
0:27:56 > 0:28:03- Have you actually read this? - All right, one for the camera, one for the tools?
0:28:03 > 0:28:07I don't mean to pile on the pressure, but this isn't just your neck on the line.
0:28:07 > 0:28:09So I suggest you stop winging it.
0:28:09 > 0:28:13- I have to take these results to Mr Piper before he goes home.- Mr Piper?
0:28:13 > 0:28:15Yes, in bed three.
0:28:19 > 0:28:22Look, like someone's been pulling your chain.
0:28:24 > 0:28:27- You're maxxed on anaesthesia. - Apply positive pressure.
0:28:27 > 0:28:28Damn.
0:28:28 > 0:28:32- This is embarrassing. - We have to secure the lungs before we can pack the wound.
0:28:32 > 0:28:34You don't have any more time.
0:28:34 > 0:28:37- Apply positive pressure again, please.- Damn!
0:28:38 > 0:28:39Not again!
0:28:49 > 0:28:51- He's good.- Good. OK.
0:28:51 > 0:28:55- Not quite the state-of-the-art reconstruction we hoped to show. - Tactical retreat.
0:28:55 > 0:28:59- The patient is stabilised... - You're going to give up in front of Sir Fraser?
0:28:59 > 0:29:01Meanwhile, precious staff standing idly by.
0:29:01 > 0:29:04Anyone would think Holby had money to burn.
0:29:06 > 0:29:07So much for teamwork.
0:29:07 > 0:29:11We've been bowled out before we could play our best strokes.
0:29:11 > 0:29:13'Hold on, Dan.'
0:29:13 > 0:29:17- What?- Haven't you got something to tell me?- What's Malick said?
0:29:17 > 0:29:19He just pointed something out...
0:29:19 > 0:29:22Don't listen to him, Chrissie. He's full of it.
0:29:22 > 0:29:25- Does that explain Mr Piper then? - What?
0:29:25 > 0:29:28You chased me for his blood test even though he'd been discharged.
0:29:28 > 0:29:31I'm glad you think it's funny. It's my career on the line.
0:29:31 > 0:29:35- I'm not laughing.- You know I'm in theatre with Malick this afternoon?
0:29:35 > 0:29:37Must've slipped my mind. I'm sorry.
0:29:39 > 0:29:41Am I forgiven?
0:29:41 > 0:29:44- I'm busy.- It was just a kiss.
0:29:44 > 0:29:48- Sorry, I'm just a bit stressed. - Don't I know it?
0:29:48 > 0:29:51- Don't be like that.- Sure it's me you want to talk to, not Malick?
0:29:53 > 0:29:55Oh, my God...are you jealous?
0:29:55 > 0:29:57- You have been spending a lot of time with him.- And?
0:29:57 > 0:30:00Haven't gone off me, have you?
0:30:00 > 0:30:01Come here.
0:30:06 > 0:30:09- Does that answer your question? - Not entirely, no.- I can't do this.
0:30:09 > 0:30:11- Why not?- I'm working.
0:30:11 > 0:30:15- Won't take long. - Well, there's an incentive...
0:30:15 > 0:30:16You know what I mean!
0:30:17 > 0:30:20I've got an hour before my op.
0:30:20 > 0:30:22Then why are even debating this?
0:30:26 > 0:30:29If you could e-mail me the figures, that would be great.
0:30:29 > 0:30:32All-righty.
0:30:32 > 0:30:34I warned you not to trust the Swede.
0:30:34 > 0:30:39It's too late to schedule another op, and I doubt Sir Fraser is in the mood even if we could.
0:30:39 > 0:30:41Do not despair, my friend.
0:30:59 > 0:31:01How is your patient?
0:31:01 > 0:31:02Stable.
0:31:02 > 0:31:06After this morning's fiasco, I was expecting worse.
0:31:06 > 0:31:11Mr Bhatti and Mr Spence tell me you cancelled their mid-day elective
0:31:11 > 0:31:13in favour of this charade.
0:31:13 > 0:31:16Simple facial reconstruction versus life-saving operation...
0:31:16 > 0:31:18a straight-forward clinical decision.
0:31:18 > 0:31:22As Director of Surgery, it's the sort I make everyday.
0:31:22 > 0:31:24Did clinical need make you push on with complicated surgery
0:31:24 > 0:31:26when you knew the patient was a drug addict?
0:31:26 > 0:31:31A trace of amphetamine wouldn't have led to the events we witnessed in theatre today.
0:31:31 > 0:31:32So what did?
0:31:32 > 0:31:34I don't know.
0:31:34 > 0:31:38I don't know what game you're playing, but I don't like being toyed with.
0:31:38 > 0:31:43I came here today to find out why you've failed to bring this hospital to F/T status.
0:31:43 > 0:31:46Instead you waste my time with this "razzle dazzle".
0:31:46 > 0:31:48- Worse, you put a patient at risk. - That is not...
0:31:48 > 0:31:53Everything I have done today has been in the patient's interest.
0:31:57 > 0:31:59I hope, for your sake, he makes it.
0:32:04 > 0:32:05'I'm sorry,'
0:32:05 > 0:32:10I didn't mean to pry, but when I heard you had a fall...
0:32:10 > 0:32:14I mean, you don't say anything much in those letters of yours.
0:32:14 > 0:32:16I just wanted to make sure you were OK.
0:32:16 > 0:32:20Well, now you know. I can look after myself.
0:32:20 > 0:32:23Talk to me. Evie? EVIE GROANS
0:32:23 > 0:32:25Help! Somebody! Quickly!
0:32:25 > 0:32:28She's in terrible pain, give her something, please.
0:32:28 > 0:32:33Evie? Where's the pain? I'm going to have to look, all right?
0:32:35 > 0:32:37- SHE CRIES OUT - Your abdomen is badly distended.
0:32:37 > 0:32:39Where's Sister Williams?
0:32:45 > 0:32:47Dan, this is really bad...
0:32:47 > 0:32:49I know, but what's ten minutes?
0:33:08 > 0:33:10MAN SHOUTS
0:33:10 > 0:33:13I wouldn't... Please, just lie completely still.
0:33:13 > 0:33:15You're stable.
0:33:15 > 0:33:17But you will need further surgery.
0:33:17 > 0:33:21- In the meantime, we've covered your open chest with a Vacuum Assisted Closure.- A what?
0:33:21 > 0:33:24We wrap the wound in cling film
0:33:24 > 0:33:27and then we use a pump to suck out the air to try to keep it sterile.
0:33:27 > 0:33:30But I thought...fix me...
0:33:30 > 0:33:32one operation.
0:33:34 > 0:33:35I wake up wrapped like...
0:33:35 > 0:33:37I don't know...
0:33:37 > 0:33:39Well, there was a problem.
0:33:39 > 0:33:43- We couldn't keep you under anaesthetic.- I want to go home.
0:33:47 > 0:33:48Am I going to die?
0:33:52 > 0:33:56I promise that I'll do everything in my power to help you.
0:33:59 > 0:34:01Aren't you supposed to be in AAU?
0:34:01 > 0:34:04Theatre's not booked for ages. PAGER BEEPS
0:34:04 > 0:34:06I don't want you to be late.
0:34:06 > 0:34:07Nothing on here.
0:34:07 > 0:34:09PAGER BEEPS
0:34:12 > 0:34:14I don't believe it!
0:35:25 > 0:35:27Is that his bag?
0:35:31 > 0:35:35Do I take it Sahira's seed fell on stony ground?
0:35:35 > 0:35:39Shame if it did. Because I for one would love to keep working here.
0:35:39 > 0:35:42Then I suggest you focus on saving this patient.
0:35:42 > 0:35:44You think that will make a difference...
0:35:44 > 0:35:47- in the grand scheme of things? - We're in the business of saving lives.
0:35:47 > 0:35:50It'd be nice if we could demonstrate that.
0:35:52 > 0:35:56- No clues in Adam's history as to what caused him to wake up? - It'll be there.
0:36:01 > 0:36:03Still don't think it was the speed?
0:36:03 > 0:36:06Now would you like to explain this?
0:36:08 > 0:36:10Let me put this as clearly as I can.
0:36:10 > 0:36:12Without further surgery, you will die.
0:36:12 > 0:36:14But you will not be going back under anaesthetic
0:36:14 > 0:36:19until we find out why you woke up during your operation.
0:36:19 > 0:36:21You're the doctor, you tell me.
0:36:21 > 0:36:24How much of this stuff have you been taking?
0:36:24 > 0:36:26You left this in the ambulance.
0:36:26 > 0:36:28That's not mine.
0:36:28 > 0:36:31Addressed to you.
0:36:31 > 0:36:34But it's not my bag. It's Wojtek's.
0:36:38 > 0:36:40I'm still worried about Wojtek...
0:36:40 > 0:36:43- he's not right.- So am I,
0:36:43 > 0:36:47- but there's nothing confirmed in his X-ray. - A word with your patient, please.
0:36:49 > 0:36:52Mr Nowak, there's no time for niceties, I'm afraid.
0:36:52 > 0:36:57I have your close friend and colleague, Adam, upstairs, dying on one of my wards,
0:36:57 > 0:37:00- I'd like to know why you gave him amphetamines?- I don't understand.
0:37:00 > 0:37:03Your bag, your drugs.
0:37:03 > 0:37:05His blood.
0:37:08 > 0:37:10Do you want your friend to die?
0:37:14 > 0:37:16I just put it in his coffee.
0:37:16 > 0:37:18Without him knowing?
0:37:19 > 0:37:22So Adam wasn't lying.
0:37:22 > 0:37:25He's complaining he's tired.
0:37:25 > 0:37:27So you spiked his drink?
0:37:27 > 0:37:31- Some friend.- No, I do it for him. Because I care...
0:37:33 > 0:37:35We must work.
0:37:35 > 0:37:38- How long have you been doing this? - Don't know... A few months.
0:37:40 > 0:37:44Since he started slowing down.
0:37:44 > 0:37:45Talking about going home to Sopot...
0:37:45 > 0:37:49So, you were looking out for number one.
0:37:49 > 0:37:52No. He was always hungry,
0:37:52 > 0:37:54always off in a dream, yawning,
0:37:56 > 0:38:00..sore neck... he get caught, he loses his job.
0:38:02 > 0:38:05I thought if I could... like you say, perk him up.
0:38:05 > 0:38:09- Get him through this bad patch. - So you gave him speed?
0:38:09 > 0:38:11People do this all the time.
0:38:11 > 0:38:13So what harm can it do?
0:38:13 > 0:38:15I think we've heard enough. Thank you.
0:38:20 > 0:38:24Right, Mr Nowak. I'm going to take you into theatre and fix this leg.
0:38:24 > 0:38:27Don't worry, you're in good hands.
0:38:28 > 0:38:29How could he do that?
0:38:34 > 0:38:38So how is a certain agency nurse taking the news then?
0:38:38 > 0:38:40OK. All right. I admit defeat.
0:38:40 > 0:38:42- You do it.- No way.
0:38:42 > 0:38:44Will you just get on with it, Sacha?
0:39:00 > 0:39:04Well, I've had some sneaky assignations in my time,
0:39:04 > 0:39:09but not when I've been responsible for a ward full of sick people.
0:39:09 > 0:39:12So where is my sister now?
0:39:12 > 0:39:15Or have you been too busy groping doctors to keep tabs?
0:39:18 > 0:39:21- Thank you. - She's having her appendix out,
0:39:21 > 0:39:23she should have been finished by now!
0:39:23 > 0:39:26- It's nothing to worry about. - But I do worry.
0:39:28 > 0:39:31Look, I know that I annoy her
0:39:31 > 0:39:34and that she likes to keep herself to herself.
0:39:37 > 0:39:41She's the only person in this world that I've ever really cared about.
0:39:44 > 0:39:48There I go. Talking rubbish again.
0:39:48 > 0:39:49I should go back to Oz -
0:39:49 > 0:39:51out of sight, out of mind.
0:39:51 > 0:39:54I'm sure that's not what she really wants.
0:39:55 > 0:39:59So you would tell me if there was anything wrong?
0:39:59 > 0:40:00There's nothing wrong.
0:40:00 > 0:40:03It's an exploratory procedure, but it's a bit complicated
0:40:03 > 0:40:07because of the lesions from the Caesarean.
0:40:07 > 0:40:10Caesarean?!
0:40:27 > 0:40:30I'd like to examine your neck, if I may.
0:40:30 > 0:40:33It's the only part that's actually not in agony.
0:40:33 > 0:40:35Please.
0:40:35 > 0:40:36Looks nice.
0:40:36 > 0:40:40Sopot... Paris by sea.
0:40:40 > 0:40:43- I had a girlfriend, in Gdynia.- Kasia?
0:40:43 > 0:40:47We said if we ever had enough to buy a place in Sopot,
0:40:47 > 0:40:48we would.
0:40:49 > 0:40:52I came to England with Wojtek...
0:40:54 > 0:40:56..and she married someone else.
0:40:58 > 0:41:01Says her marriage broke down.
0:41:03 > 0:41:05Now I want to go home.
0:41:06 > 0:41:10You said before the accident, you were feeling very tired?
0:41:10 > 0:41:13It was hard to be enthusiastic about anything.
0:41:13 > 0:41:14Any tremors in your hands?
0:41:14 > 0:41:17Sometimes. Only when I'm hungry.
0:41:17 > 0:41:21Could be the speed, judging by the symptoms.
0:41:21 > 0:41:23I'd like to order a portable neck scan.
0:41:26 > 0:41:27Today would be good(!)
0:41:32 > 0:41:34Life.
0:41:34 > 0:41:36Always the race.
0:41:41 > 0:41:45We had quite a party in theatre. Mid-line laparotomy and frozen section.
0:41:45 > 0:41:49- You should have been there. - I was on a break.- No. I put my neck on the line for you.
0:41:49 > 0:41:52How was I to know you were going to rush Evie in?
0:41:52 > 0:41:53Sandy. Sandy.
0:41:53 > 0:41:57- Evie's not well enough.- Why didn't you tell me you've had a baby?
0:41:57 > 0:42:00Oh, this just gets better and better!
0:42:00 > 0:42:02How could you not tell me something like that!?
0:42:02 > 0:42:04It was years ago.
0:42:04 > 0:42:07I would have come back. I would have supported you. Anything...
0:42:07 > 0:42:11I didn't want to talk about it then...
0:42:13 > 0:42:16..and I don't want to talk about it now.
0:42:16 > 0:42:19All these years, I could have been an auntie.
0:42:19 > 0:42:23When are you going to get it into your silly little head?!
0:42:24 > 0:42:27It's not about you!
0:42:27 > 0:42:31It was never about you!
0:42:34 > 0:42:36Right.
0:42:36 > 0:42:39I'll be on my way, then.
0:42:39 > 0:42:41You know,
0:42:41 > 0:42:43I used to admire you.
0:42:43 > 0:42:46I thought you were untouchable.
0:42:46 > 0:42:48But I know better now. You're a coward.
0:42:48 > 0:42:52You don't say anything to anybody
0:42:52 > 0:42:56because you don't want anyone to know that you've got feelings.
0:42:57 > 0:43:00Still nothing to say?
0:43:00 > 0:43:03No...
0:43:03 > 0:43:05Well, I'll send you a postcard.
0:43:05 > 0:43:07Wouldn't want to lose touch.
0:43:26 > 0:43:31- Leg's all fixed. Circulation good. Still worried about his B/P though. - We'll keep an eye.
0:43:31 > 0:43:36His temperature's up and he doesn't look good. Some kind of internal infection?
0:43:38 > 0:43:40Could it be oesophageal perforation?
0:43:40 > 0:43:42Fits the symptoms. Chest trauma, nausea,
0:43:42 > 0:43:46- problems breathing, and I could feel bubbles under the skin. - It's a possibility.
0:43:46 > 0:43:50But we've done a repeat scan and an X-ray and I can't see anything.
0:43:50 > 0:43:54Sorry, did I say too much?
0:43:54 > 0:43:57Listen, Chantelle,
0:43:57 > 0:43:59about that. We never did finish that chat.
0:43:59 > 0:44:02I'm really excited about the opportunity.
0:44:02 > 0:44:06What I meant to say was unfortunately...
0:44:06 > 0:44:08this is your last shift.
0:44:09 > 0:44:11What?
0:44:11 > 0:44:16I'm sorry, but we no longer have the resources for an agency nurse.
0:44:16 > 0:44:19MACHINE BEEPS, MAN WHIMPERS
0:44:19 > 0:44:22Wojtek, can you hear me? Wojtek!
0:44:22 > 0:44:25Looks like septic shock. Get a crash team.
0:44:25 > 0:44:27Chantelle!
0:44:29 > 0:44:31Transfer Wojtek into Darwin theatre, please.
0:44:31 > 0:44:35- Hyper?- Thyroidism. It causes the gland in your neck to enlarge.
0:44:35 > 0:44:37The old neck tell.
0:44:37 > 0:44:42The problems we had in theatre were the result of what we call a thyroid storm.
0:44:42 > 0:44:47Your condition also explains the shaking hands and the fatigue you were experiencing.
0:44:47 > 0:44:49Nothing to do with the drugs Wojtek gave me?
0:44:49 > 0:44:53They would have masked your symptoms, which is possibly why
0:44:53 > 0:44:56- you haven't been diagnosed before. - MACHINE BEEPS
0:44:56 > 0:45:00- Mr Sawicki?- Another thyroid storm? - He's not pinking.
0:45:00 > 0:45:01B/P's on the floor.
0:45:01 > 0:45:05- He must be bleeding internally. - From where? We stitched everything.
0:45:05 > 0:45:09Right. Theatre, fast as we can. We've got him this far, let's not lose him now.
0:45:09 > 0:45:11A couple of your stitches have come out.
0:45:11 > 0:45:13I'm sorry I wasn't there for you.
0:45:16 > 0:45:20- Sandy doesn't know what she's talking about.- Maybe she was hurt.
0:45:20 > 0:45:23SHE'S hurt! That's rich...
0:45:23 > 0:45:27She doesn't have to take it so personally.
0:45:27 > 0:45:28I've never told anyone.
0:45:29 > 0:45:31There's nothing special about HER.
0:45:33 > 0:45:36These secrets always come out in the end.
0:45:37 > 0:45:40Evie, you know it wasn't appendicitis, don't you?
0:45:40 > 0:45:43We had to remove a large mass from your abdomen.
0:45:45 > 0:45:48- You think it's serious, don't you? - The surgeon did a frozen section.
0:45:48 > 0:45:53It's been sent to the lab for tests, and depending on the results,
0:45:53 > 0:45:55you may need some help and support.
0:45:58 > 0:46:00I'm not like my little sister.
0:46:00 > 0:46:02Never needed anyone.
0:46:02 > 0:46:06If you keep things inside they stay small,
0:46:06 > 0:46:09they don't get blown up, don't get raked over.
0:46:10 > 0:46:15And Sandy always had enough dramas for the two of us.
0:46:15 > 0:46:16So no...
0:46:18 > 0:46:20..I'm content as I am.
0:46:24 > 0:46:27That's the trouble with books,
0:46:27 > 0:46:28they're not so good for hugs.
0:46:30 > 0:46:34Sandy's downstairs waiting for her taxi...
0:46:34 > 0:46:36I could always make sure it didn't turn up.
0:46:38 > 0:46:41She doesn't need to know why.
0:46:49 > 0:46:54Wojtek's come round and they're taking him up to Darwin theatre for surgery.
0:46:57 > 0:47:00You were right. He had a hole in his oesophagus.
0:47:00 > 0:47:03Even though I couldn't see it.
0:47:03 > 0:47:07I meant what I said, Chantelle, you've got great instincts.
0:47:08 > 0:47:13- I'm gutted to lose you. - Look, I've had it up to here with being sweet-talked.
0:47:13 > 0:47:15First Wojtek, now you...
0:47:15 > 0:47:19- why couldn't you just be honest with me?- You're right, I'm sorry...
0:47:21 > 0:47:24I work hard and I think I'm pretty good at what I do.
0:47:24 > 0:47:26Why don't people take me seriously?
0:47:26 > 0:47:29Look, I absolutely do take you seriously.
0:47:29 > 0:47:33And your leaving here is in no way a reflection on how hard you work.
0:47:33 > 0:47:36I wish all agency staff were as brilliant as you.
0:47:36 > 0:47:40It's rare, and I know that wherever you go,
0:47:40 > 0:47:43you are going to fit in fantastically.
0:47:43 > 0:47:48I know. And I know I need to get used to moving around.
0:47:48 > 0:47:50That's what agency nurses do, I suppose.
0:47:50 > 0:47:53MOBILE RINGS
0:47:54 > 0:47:56Hi, Mum.
0:47:59 > 0:48:02- SHE SOBS - No, it's all gone wrong...
0:48:02 > 0:48:04'Where are you taking me?'
0:48:04 > 0:48:08Theatre one was prepped for another patient and is ready, or we can wait for Theatre two.
0:48:08 > 0:48:12We're taking your slot, Miss Naylor. You'll have to wait for Theatre Two.
0:48:12 > 0:48:15- Why does that never work when I say anything?- Adam?
0:48:15 > 0:48:18Why did you stop me from going to Kasia?
0:48:18 > 0:48:21- He can go before me.- No. - I want nothing from him any more.
0:48:21 > 0:48:23Bracia.
0:48:23 > 0:48:24Bracia?
0:48:24 > 0:48:28Bracia don't lie and cheat each other.
0:48:28 > 0:48:31Brothers trust each other to do the good thing.
0:48:31 > 0:48:34You are not my friend any more.
0:48:34 > 0:48:36- Pressure's still dropping. - BEEPING
0:48:36 > 0:48:39- Please. Please, help him! - Right, get him through.
0:48:56 > 0:48:59I knew... I knew he wanted to go home...
0:49:01 > 0:49:03..but we've got this life together.
0:49:05 > 0:49:07We've always done things together...
0:49:09 > 0:49:11..since we were kids,
0:49:13 > 0:49:15First job...
0:49:18 > 0:49:22I just can't imagine working with anyone else. Do you understand?
0:49:24 > 0:49:26When we're working together...
0:49:28 > 0:49:31..no words.
0:49:31 > 0:49:33Nothing.
0:49:35 > 0:49:37Like two hands on the same man.
0:49:40 > 0:49:45Cogs working, turning the same machine.
0:49:48 > 0:49:52Pity Sir Fraser isn't here to witness this.
0:49:52 > 0:49:56He'd know what multi-trauma surgery is all about.
0:49:58 > 0:50:00Nothing like it.
0:50:00 > 0:50:01Perfect.
0:50:14 > 0:50:17Little shard of the tibia,
0:50:17 > 0:50:20- must have been covering the tamponade.- Wojtek's?
0:50:22 > 0:50:24Little daggers in the blood stream,
0:50:24 > 0:50:27cutting his veins to ribbons.
0:50:27 > 0:50:30Wojtek's literally killing him from within.
0:50:40 > 0:50:42Oi! Where have you been?
0:50:42 > 0:50:44Trying to apologise to Chantelle.
0:50:44 > 0:50:47Maybe you should ask Sister Williams to do that?
0:50:47 > 0:50:49Blimey! I've got an idea!
0:50:49 > 0:50:52Wait here!
0:50:52 > 0:50:54Don't use them all at once!
0:50:56 > 0:50:57PHONE RINGS
0:51:01 > 0:51:04PHONE CONTINUES TO RING
0:51:05 > 0:51:07Mr Hanssen's phone.
0:51:07 > 0:51:09I'll tell him you called.
0:51:11 > 0:51:16That was Ms Shah. Would this be the same Ms Shah you worked with in London,
0:51:16 > 0:51:18Colchester and Southampton?
0:51:18 > 0:51:20Yes, it would,
0:51:20 > 0:51:24and her proposal on a new cardiac trauma project is something I'd like to discuss with you,
0:51:24 > 0:51:27- if I may.- Well, it's clear what you've been trying to do today,
0:51:27 > 0:51:30if it wasn't blindingly obvious before.
0:51:30 > 0:51:31HE SCOFFS
0:51:31 > 0:51:35Real-life trauma rarely confines itself to neat departments as defined by the SHA.
0:51:35 > 0:51:40- You've illustrated the point, in a way.- I'm glad we're beginning to see things eye to eye.
0:51:40 > 0:51:45- I'm not so sure.- A multi-discipline team saved a man's life today.
0:51:45 > 0:51:47At what cost?
0:51:51 > 0:51:54These are figures Mr Bhatti put together for me.
0:51:54 > 0:51:58They show what it will cost when they eventually get to do
0:51:58 > 0:52:04the reconstruction on your patient... as opposed to what we can charge for the op, the profit margin is clear.
0:52:04 > 0:52:08Compare that to CT costs today, the wasted theatre time, delays...
0:52:08 > 0:52:13- They're justifiable. The man had hyper-thyroidism.- Whatever that is, it doesn't change the figures.
0:52:15 > 0:52:17The world has changed.
0:52:17 > 0:52:19Corporate Britain.
0:52:19 > 0:52:21Business rules.
0:52:22 > 0:52:26We believe in the NHS because we want a healthy work force,
0:52:26 > 0:52:29but beyond a certain pay scale, it becomes uneconomic.
0:52:30 > 0:52:33I understand if you have certain loyalties.
0:52:33 > 0:52:35- No, it is not...- I'm not a medic.
0:52:35 > 0:52:40I don't get the same esoteric highs you share with your colleagues.
0:52:40 > 0:52:43All that interests me is the bottom line.
0:52:43 > 0:52:46And if you want to stay in charge here.
0:52:46 > 0:52:48That's all that should concern you.
0:52:51 > 0:52:54No. I'll tell her. OK. Right. Bye.
0:52:57 > 0:53:01- Chantelle?- I'm sorry about earlier. I just I got upset and...
0:53:01 > 0:53:06No. Listen. I hope you don't mind, but I've just been talking to Sister Williams.
0:53:06 > 0:53:09She's been looking at her budget on Keller. And...
0:53:09 > 0:53:13if you'll forgive us for mucking you around...we've found you a job.
0:53:13 > 0:53:16Oh, my God, this isn't a trick, is it?
0:53:16 > 0:53:18No. You can start tomorrow as an agency nurse,
0:53:18 > 0:53:21then apply for the permanent post if she can clear it.
0:53:21 > 0:53:24That is unless, of course,
0:53:24 > 0:53:27you had your heart set on watching Homes Under The Hammer?
0:53:28 > 0:53:31- That was just a "thank you" hug. - Obviously.
0:53:31 > 0:53:33Mum!
0:53:33 > 0:53:34You'll never guess what?!
0:53:37 > 0:53:40Some days you've just got to step up.
0:53:44 > 0:53:45Sister Williams!
0:53:45 > 0:53:48Yes, Malick.
0:53:48 > 0:53:51Evie's results. It was cancer.
0:53:51 > 0:53:53Thanks to your spot, we got in early.
0:53:53 > 0:53:57With the right treatment, she stands a very good chance.
0:53:57 > 0:54:00Look... Whatever you've been juggling today,
0:54:00 > 0:54:02you saved a life.
0:54:02 > 0:54:05Thanks.
0:54:05 > 0:54:06- Blueberries and prawns.- What?
0:54:06 > 0:54:08Feeds the brain when revising.
0:54:10 > 0:54:11Works for me.
0:54:25 > 0:54:27I feel things are moving our way.
0:54:27 > 0:54:30- I wouldn't be too confident. - How did it go?
0:54:30 > 0:54:33Grade A ammunition, still in its grease-proof wrapper.
0:54:35 > 0:54:38As I'm sure you're all aware, Sir Fraser and I
0:54:38 > 0:54:42have been discussing the future of Darwin Ward today.
0:54:45 > 0:54:50Well, I have to tell you, that no final decisions have been made yet.
0:54:50 > 0:54:55It's popular to say, in these belt-tightening times, that we're all in this together.
0:54:55 > 0:54:58Not a sentiment I strictly adhere to...
0:55:01 > 0:55:05Evie, I've got the results...
0:55:07 > 0:55:11..and it is cancer,
0:55:11 > 0:55:12but...Evie,
0:55:12 > 0:55:14we got in early.
0:55:18 > 0:55:21'Sometimes new partnerships have to be forged...'
0:55:27 > 0:55:31'..sometimes there has to be a parting of the ways...'
0:55:41 > 0:55:44'We must choose our battles very carefully...
0:55:44 > 0:55:49'and accept what we cannot change.'
0:55:49 > 0:55:53Which is why I am asking you to prepare for the likely amalgamation
0:55:53 > 0:55:55of cardiothoracics with St James's.
0:55:55 > 0:55:59For the time being, we will only take elective patients onto Darwin.
0:56:01 > 0:56:05All other patients must be referred to St James' please.
0:56:09 > 0:56:13I don't think I need to tell you where the future of Darwin might lie.
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0:57:08 > 0:57:11E-mail subtitling@bbc.co.uk