Out on a Limb Holby City

You cheated on our OSCE papers.

Are you ready to start again, Dr Valentine?

Sure it's me you want to talk to? Not Malick?

Are you jealous?

Now, the business plan for Plastics is rock solid,

and I'm not going to stand by

while you're trying to bolster some whim of Sahira's!

I take it Sahira's seed fell on stony ground.

For the time being, we will take

only electives patients on to Darwin.

All other patients must be referred to St James's.

I don't think I need to tell you

where the future of Darwin might lie.

What the hell were you thinking?

Maybe you had this planned?

String Sahira along with the little trauma project.

'That way she won't notice the ward is closing down?'

ELLIOT WHISTLES

-Ssh!

-'When were you going to tell me?'

-I have little power.

-Right, of course, of course,

because you're only Director of Surgery,

why would anyone listen to anything that you have to say?

Did you really think

that you could disappear for a week and I'd just forget about it?

Imagine if one of us spoke to him like that!

I have, once or twice. Although I was asleep at the time.

-Which begs the question, what does she have that we don't?

-Breasts?

Not that yours aren't spectacular.

No, you're right. Sexual nepotism - it's depressingly predictable.

Nothing to do with her being talented?

That would really mess with the Naylor world view!

Is it any coincidence

the man defending her also has a massive crush?

Ssh! They're talking about Darwin!

You said it yourself, Darwin's closure is imminent.

-Probable.

-So there's hope?

-I'd like to think so.

-Listen to yourself.

You sound like a bystander watching with a passing interest

while Sir Fraser does exactly as he pleases.

-This isn't like you, Henrik.

-Anger is a futile emotion.

Anger is not a futile emotion.

Anger is passion, and passion is the fuel you need to fight.

You're so wrapped up in the politics of it all that you've forgotten

why we do this job in the first place.

And don't tell me that you don't care, Henrik. You do care.

You care about your patients.

Please take a breath.

It's easy to be idealistic when you've got nothing at stake.

Nothing at stake?!

You might like to think of them as an inconvenience,

but children are the highest stakes a woman can have.

I need this job, Henrik.

But I am not prepared to jump on any bandwagon to keep it.

-That's what you think I'm doing, is it?

-Yes. I do.

I see. You've made yourself extremely clear. Thank you.

-Henrik...

-No.

-Elliot.

-Morning.

Disgraceful.

-What?

-Hanssen choosing Plastics over Darwin.

Yeah. It's a shame.

Makes you wonder what's next. You know he's on Keller all day.

Got two ops on the board.

-You worried?

-Please!

Word's not even in my vocabulary.

Right, well. I'll see you out there.

Well, man's only human.

Thank you.

-What do you want, a pat on the head?

-Haven't you been told?

-Told what?

-Oh.

-Why don't I like the sound of what's coming?

You're my new mentor.

I take it the interest you displayed earlier

will convert to signatures on my petition

-to save the trauma project.

-Elliot?

Yes, of course, I've just got to...

-I'll sign it.

-No, you won't.

-I think that's up to him.

-Shall I tell you why he's not?

He wants a career that's going to lasts longer that his shift today.

Well, that's exactly why he should sign it,

because if Hanssen doesn't back the cardiac trauma project,

then Darwin will be dead in the water and we'll all be screwed.

After what Hanssen said last week, do you think your little project is

going to save CT? And people say I'm arrogant!

At least I can't be accused of duplicity. You seemed to be all for it when Hanssen was behind it.

I'm a pragmatist. There's no shame in it.

We need to take a stand.

The question you have to ask yourself,

do you want to be in the dole queue or not?

Are you ready for your first task as my official mentee?

Pour me another one. With skimmed milk this time.

-Thanks.

-What? I signed.

-In pencil.

-What?

You singed it in pencil.

Did I?

Of course I've told you about her. Chrissie, the nurse.

No, not that nurse!

Yes, it's serious this time.

So what do you say? Saturday at eight?

Please, Mummy.

Oh, thank you. You'll love her, I know you will.

OK, bye.

So, you're introducing Chrissie to your mother?

-Mmm-hmm.

-It's serious, then?

Seriously serious.

Mummy! I mean, Mummy!

-It's so undignified. The man must be knocking on 40.

-Top me up, Sacha.

He's in for a shock. Chrissie doesn't like mothers.

-Correction - she doesn't like your mother.

-So you are listening?

I'm editing out the bits I've heard before,

so that's 75% not listening.

I do not talk about Chrissie all the time.

Sometimes you talk about really interesting things,

like the colour of Daniel's poo.

Hey, everything all right?

-Yeah, fine.

-Could you have Daniel this weekend?

-Daniel?

-Daniel, your son.

-This weekend?

That's the question, now you usually provide me with an answer.

But that knocks out my rota, I won't see him for two weeks.

Sure.

Great. Thank you.

-Oh, have a good time.

-Sorry?

-Meeting Dan's mother. Have a good time.

-What are you talking about?

Oh, it's just I happened to hear him talking on the phone, and...

Sorry.

-You'll have to tell them to turn around.

-They're pulling in.

They shouldn't have come here in the first place - Hanssen's instructions were clear.

-What's going on?

-Paramedics are bringing in an RTA.

They didn't realise we're only treating elective cases.

-Where are they?

-In reception.

-You're not going to do anything rash?

-Well, it depends on your definition of rash is.

-Sahira.

His mum? And he asked you that this morning?

Well, technically he hasn't asked me yet,

but he must have spoken to her this morning. Why?

No reason. So you're going to go for it?

I'm supposed to be revising for my clinical exam.

Sacha's got Daniel, but I will have to take a break at some pint.

-What?

-Eh, none of my business.

Something about him, always looks like he's doing calculations

in his head, figuring out your value.

Malick! When you say none of your business,

it usually means you're about to poke your nose in.

So go on, I'm inviting you, be my guest.

OK. If you're really serious about your career,

and with him running this ship, you kind of have to be...

-You know I am.

-..then you don't take breaks.

You focus. You eat, sleep, breathe it, you get in the zone. You get me?

Sort of. I've never been a swot.

More into boys than books.

Oh, God, I didn't know you were such a taskmaster.

Look, don't get me wrong. I'm into boys and books.

You've just got to keep them in separate rooms. That's the only why.

You see, that's why I need your help. You're full of top tips.

OK. But I expect some proper food this time.

None of that celery and hummus business.

I'm talking meat, I'm talking heat.

In fact, I'm talking season meat.

All right. We'll get takeout.

You really should give Malick a chance. He's a nice guy.

I've got something to ask you.

You don't know what it is yet!

I think I do.

Hanssen specifically said that we're not taking trauma patients.

Where am I?

You've been in a car accident, Holby City Hospital.

Wait, wait. I'll call St James's, see if they have space.

No. Just leave her here.

But Mr Hanssen said...

Look, her pulse is 120,

her BP's 80/60 and her oxygen saturation is 91%.

Do you really think we should be debating this?

-She's borderline.

-Sounds like a pneumothorax. We need to aspirate.

Mr Hope thinks she's borderline. She should be treated at St James's.

She'd be dead by then.

Her condition obviously is deteriorating fast. Let's get moving.

So we're all agreed, no transferral?

-Agreed.

-Elliot?

ELLIOT: Agreed.

Please, Chrissie. She's really looking forward to meeting you.

What about next weekend? After my exam.

It's not like you're hitting the books all weekend, is it?

Actually, I am. I'm getting in the zone.

The zone? Let me guess. Malick.

He's right. I can't have any distractions.

-What business is it of his?

-Oh, don't be like that.

-He's helping me study.

-I told you, I could help.

That's not the kind of help I need. Anyway, what's the big rush?

Why can't we put it back one weekend?

Anyway, let's just drop it.

-Malick doesn't want to hear about our petty tiffs.

-It wasn't a tiff.

-We weren't having a tiff.

-What have we got?

Skater boy sent up from ED.

-Where?

-12 o'clock.

My man needs a mirror, not a doctor.

Needle.

OK, you need to calm down,

you're going to be able to breathe any minute. Don't be scared.

Now, breathe nice and easy for me.

Are you feeling better?

OK, Ms Shah? Her sats are back up. we should transfer her.

-Yes, but I'd like to do a few more tests.

-The crisis has passed.

Fine. I'll speak to Hanssen if you insist.

I doubt even he will quibble over protocol

when it comes to saving someone's life, do you?

Don't touch the deck.

-It's a health-and-safety issue.

-Not anymore.

-Right, Mr Davies.

-It's Hawk.

-Short for?

-David.

Naturally.

Well, Hawk, I'm going to do an X-ray,

but I think it's safe to say it's broken.

And I'd like to run an echo.

-Why?

-I heard a murmur.

-Probably that drink.

-That?

Caffeine can raise your heart rate.

Right!

Well. I'd better come clean, then. That's not my first of the day.

I think we've found our source.

Maybe. But still, I'd like to have it confirmed, OK?

Right, I'll organise an echocardiogram and an X-ray?

-Don't bother with the echo, just the X-ray.

-Oh, for God's sake!

I only meant that I'd order the tests myself

since you're obviously very busy.

-Oh, right. Thanks.

-No problem.

If Darwin closes and I don't have anything to show for it...

Funny you should say that. I've had the very same thought.

-You have?

-Today could be a good opportunity for you.

How are your reef knots?

-Excellent.

-We'll soon find out.

-Crikey.

-Crikey indeed.

How would you swallow a ring?

Not everyone is as mentally balanced as you, Mr Levy.

Now, Mrs Kilbride, it appears you have swallowed a ring.

How - and, might I ask, why - has this happened?

-Why? You clearly haven't met my ex-husband!

-You OK?

Bastard wants it back. The cheek!

Fancy asking for an engagement ring back!

It does seem a bit insensitive.

A bit insensitive? Oh, sweetheart, you have no idea!

He wants to use it to propose to his latest bit of stuff.

Must've been a nasty smash.

Tree just came out of nowhere.

-I ain't blind, handsome.

-Sorry. How did you get this?

Can't remember.

Right, I can hear a murmur.

Sounds like an aortic regurg.

Have you ever had a problem with your heart?

Not the type you're thinking.

OK, we'll need to do a test called an echocardiogram,

just to see if there's any damage to the heart.

Is there anyone we can call for you?

-Are you sure?

-Are you deaf?

-But I need my things.

-What things?

My bag. It was with me in the ambulance.

-We'll see what we can do.

-I've got to have it, yeah?

Right.

Careful, you're about to hit bone.

I just want to be thorough.

-I'm not going to let you down.

-Glad to hear it.

I don't suppose I could,

you know, take the lead on this one?

Why not?

-You trust me?

-Got to start somewhere.

Thanks, Ms Naylor. I really appreciate this.

-Where're you going?

-Well, I thought...

Nuh-uh. Follow me.

See that!

Sweet nollie kickflip!

Ace was on fire that day.

Jono's more into his pressure tricks. I'm a slides man.

The painkillers should start to kick in soon,

and then we'll get a cast on once we've seen the X-ray.

Is anyone coming to pick you up? Jono or Ace?

They've only got provisionals. I'm the designated driver.

How old are they?

Dunno. 18? Could be 17.

Man, those painkillers are strong, I can't feel my fingers.

Give me your hand?. Can you feel that?

-It's numb.

-Could you grip my fingers?

-Damn it.

-That's not a good face.

The fracture may have damaged an artery.

Stopping the blood from your arm getting to your hand.

We'll run an ultrasound test.

-Give it to me straight.

-The other surgeon, Mr Malick,

-he might have to repair the artery.

-An operation?

Can't stay here overnight!

The alternative, you lose your arm. Up to you.

Let's not get ahead of ourselves.

Fingers crossed it's nothing serious,

and you're checking out this afternoon.

Well, come on.

So, what happens down here?

-Organ harvesting?

-You'll see.

She's got a damaged valve all right.

-Is Theatre Two free?

-Please tell me that's a joke,

-albeit a very unfunny one?

-Nope.

-They can do it at St James's.

-We can do it here.

So you're wilfully ignoring the edict about elective cases only?

Why do I get the feeling this is about more than just saving a patient's life?

Maybe you're a tired old cynic.

-And you're Joan of Arc, clearly.

-So you're in?

-I don't know, I've got other cases.

-But not like this one.

I realise Mr Carson's VATS procedure isn't up there

in the lifesaving stakes, palliative care somewhat lower down

on that scale, but try telling him that, unreasonable git.

OK, sarcy point made. You're in, right?

-Down, tiger!

-Thank you.

From the ambulance?

What is it?

Then we'll put a tube with a camera down your throat

so we can see the ring to get it out.

Can't I just keep it in there?

Well, I think this is a safer, less risky option.

A Mr Kilbride has just called. He's coming in to see you.

-Aren't I the lucky one?

-The ex?

Pass my bag, would you?

Got to show the rotter what he's missing, eh?

-Bonkers.

-Oh, come on, don't be so hard on her.

Please tell me you're not relating.

Cos empathy for a patient is such a terrible thing?

-Problem?

-No.

I'm sensing a "but".

-You think you're above this?

-Absolutely not.

I was just thinking how important it is to be thorough.

That's right.

So, suturing plastic tubing it is, Oliver.

Shouldn't we go to the police?

Could make the triumphant march into Hanssen's office fall a tad flat.

Cops crawling the ward doesn't have quite the same smell of success.

-So, we do nothing?

-Maybe put it on some ice, till its owner turns up.

And let ED know.

How was the echo?

-What?

-The echo, for Hawk.

-The sonographer's backed up.

-Man, they're slow. I'll chase them up.

No need. I've got it covered.

I've got the results for Hawk's arm. You were right.

-The blood's not coming through.

-Ortho job, right?

Luckily, I've got a spare slot,

-unless you fancy trying an artery repair?

-I'll book a theatre.

-Looking forward to it, bro.

-Thanks.

-For what?

For making an effort with Malick.

You never know, you might end up liking him.

We got the results back from the echo.

The main artery to your heart is leaking blood,

which means you'll have to go into theatre shortly.

You won't find it.

-What?

-The finger. I assume that's what you're looking for?

Dare I ask what it was doing in your bag?

Or where the poor man it belongs to is?

Poor man, good one.

-Who is he?

-He deserved it.

What he puts me through. It was self-defence.

-Your boyfriend?

-On and off.

He hits you?

Yeah, he hits me. Course he bloody hits me.

-Where is he now?

-How should I know?

Look, you had a finger in your bag.

Now, if you don't drop the attitude and tell me why,

-I will call the police.

-He came at me, I just grabbed the knife.

The next thing I know, his finger was on the floor.

-Why did you pick it up?

-I panicked.

Same reason I drove into a flippin' tree.

You have got security here, right?

-Yes.

-Cos he'll come looking for me.

And he'll be angry. When he's like that, there's no stopping him.

He'll want payback.

Don't worry. this is probably the safest place

for you to be right now. OK?

You're Mr Kilbride?

-Mum's here, right?

-Oh, her son.

-I brought her these.

-Josh!

Josh! Where's your father?

-How should I know?

-But he knows I'm here?

Typical, insensitive man! I could be dying for all he knows.

But you're not, though, are you?

Well, at least you're here, darling.

-I brought you some stuff.

-Josh and I are inseparable, aren't we?

Like two peas. He takes after me. Artistic. Not like his father.

-What did he say?

-Nothing.

He only cares about the ring. Makes packets of money, mind.

-And Mum?

-Hmm?

-I got something in the post today.

I bet the minute that it comes out, he'll be down here,

-probably try and fish the ruddy thing straight out of my gob...

-Mum.

I'll be sure to give his fingers a good old....

No. Start again.

What?

Do you want a job stacking shelves at a supermarket?

Then start again. And it might help if you don't act like

-you've just had ten pints of beer.

-I haven't.

OK. No problem.

Glad to hear it.

Oh-oh. Swabs.

So, it's getting serious?

What?

Sloops, vascular clamps.

Between you and Chrissie.

Be careful not to prang the median nerve.

Fair enough.

Nothing to do with me.

Except...

Scalpel.

Except I wouldn't want her to get hurt.

She won't.

Good.

So I'd prefer it if you concentrated on your own private life.

Cool, there's plenty to be getting on with there.

Trust me.

Catheter.

Look at us! Working like a team!

Who'd have thought, eh?

-Right, I'll see you in theatre.

-Josh? Where's Josh.

Here, Mum.

-I'm scared.

-I'll be waiting for you.

You'll be fine.

She's brave, your mum.

Divorce can be tough. For everyone. You included.

It was 12 years ago.

I was six when it happened.

Wow! But she still seems so raw.

-Say it, please, it's infuriating.

-I told you so.

-Thank you.

-The tear is huge. If we'd transferred her,

she wouldn't have stood a chance.

-"I told you so" was plenty.

-She's going downhill quickly.

We need to move fast. 5.0 Prolene suture.

You think Hanssen's going to be handing out gold stars for this?

I'd say it's a pretty watertight case

-for the defence, don't you think?

-Hanssen's a politician,

and the thing about them is, they tend not to follow evidence.

-Well, you don't know him very well.

-What, like you do, you mean?

Hanssen didn't become a surgeon to sit in an office balancing books.

Not what you were saying this morning.

-That was a private conversation.

-Then perhaps you should have considered

dialling down the volume a notch. You weren't holding back, that's for sure.

Like I say, I've known him a long time.

You think that's going to make you immune?

-What?

-This little stunt. He could lay down the law if he wanted to.

-Saline.

-I mean it, Sahira.

Much as I admire this flirtation with rebellion,

you could be jeopardising your future here.

It's not a flirtation. I'm serious.

I can see that.

Here goes.

Congratulations.

Kelly, could you see if Sir Fraser has a window this afternoon, please?

It's about the matter we've been discussing.

Good. Thank you.

The lining of her oesophagus looks sore.

The ring must have scraped the walls.

I've been thinking,

you and Miss Bunny Boiler here could make a good match.

-Please!

-What? She makes you laugh, you've got lots in common.

Very subtle(!)

No? Maybe it's not such a good idea.

You'd catch her late at night swallowing all your silverware.

Blimey!

They should make a public health warning out of that.

Stick it in Valentine's cards.

Henrik!

I've got a gastrocutaneous fistula in ten minutes,

so if you want to talk, it'll have to be on the move, I'm afraid.

I took on a trauma patient this morning.

What happened to on the move?

I ordered that we take only on elective cases

and that trauma patients should be treated at...

At St James's. Yes, I know, but the ambulance didn't get the message,

the patient was critical and I made a judgement call.

You operated?

She was suffering from acute aortic regurgitation,

verging on cardiovascular collapse.

I repaired the valve and she's now recovering in ITU.

Come on, Henrik, you'd have done exactly the same.

The decision to use St James's was based on sound clinical grounds.

They have the specialists and resources

to deal with cardiac trauma cases.

She would have died had I sent her away.

Admitting patients for vainglorious reasons is

risking lives, not saving them.

-I don't believe you.

-You can't run a hospital with your heart.

Luckily, because you don't seem to have one.

I've got a meeting with Sir Fraser this afternoon.

The cardiac trauma project might be off the table,

but there's still plenty of stuff left on it.

Right. How admirable(!)

It might not be the revolution you're after,

but I'm still fighting. One of the battles will be

-to ringfence certain jobs.

-So, what are you saying?

I don't want you to worry.

I trust you'll have that patient transferred

at the earliest opportunity

-so they can receive the appropriate care.

-What?

The last time I looked, the elective list was full.

She's using up valuable bed space.

-Ouch.

-Did you hear that?

-Yeah.

-I mean, how pig-headed can you be?

The facts are staring him in the face and still he won't budge.

-You tried your best.

-Just a few days ago,

he was encouraging me to go for the trauma project,

and now it's as if the very idea of saving people's lives

is just repugnant to him.

-I call St James's, get an ambulance to transfer her?

-Wait.

I don't care what he says. She's staying here.

-The ward's full.

-Strange she hasn't had any bleeding or perforations.

Look at those kissing ulcers. They're very florid.

Ironic name.

Cut her some slack, would you? She's really suffered, poor woman.

Yeah, she's right up there with Gandhi(!) I feel for her, I do.

You don't bring ulcers on yourself.

-Did you ask her if she smokes or drinks?

-It didn't seem relevant.

Bet she does, and I bet she blames that on her ex as well.

All right. So what's your excuse?

-Excuse me?

-We all have our vices.

Perhaps you shouldn't be so quick to judge.

Why are you being so defensive?

Oh, for God's sake. This isn't about Chrissie.

-I never said that it was.

-I just think that sometimes you have

-an astounding lack of empathy.

-I don't go around with blinkers on.

When you have a child with someone, you have to make sacrifices.

Look, I know how important seeing Daniel is to you.

I just don't get why you let Chrissie dictate all of the terms.

All right, Eddi, what exactly would you have me do?

I don't know, Sacha. Man up?

How did Hawk's op go?

-Like a dream.

-Do you still want me to organise an Echo?

No, sonographer's being slow.

That's funny. Mrs O'Grady's came back in under an hour.

Right.

That doesn't necessarily mean...

All right, just let me check.

Hey, let's not jump to conclusions just yet.

Hello, it's Sister Williams from Keller.

Could I just check you've had a Mr Davis in?

OK, thanks.

I knew it.

-How long are you planning to hide her down here for?

-As long as it takes.

-You don't have to help me.

-I want to -

even if your ego has got caught up in the mix. We've all got one. I just hadn't see yours before.

I mean it Greg. You can walk away. I'll say you had nothing to do with it.

What and let you have all the fun? Never!

As much as it pains me to admit it, I'm on your side.

Hey, what are you guys doing down here?

Hey Ollie. How you doing?

-Should you be doing that?

-Valentine,

If you want a bright future. you haven't seen us. OK?

Please, Ollie. Just stay out of it, for your own good.

Right, we've gotta go back up.

Should we be worried?

Him? He's harmless.

-There was nothing wrong!

-Don't try and justify your negligence.

-Guys, people are looking.

-I made a judgement call based on my experience as a surgeon...

I thought an Echo was a waste of resources.

-Where's Hawk?

-And in case you've forgotten I am the Consultant.

-THEY ARGUE OVER EACH OTHER

-Where's Hawk!

Hawk!

-Dude.

-What're you doing?

Wasn't feeling great. The wall's were like staring at me.

-Come on, let's get you back inside.

-Ah man, you don't get it do you?

Get what?

You're part of the machine.

The job, the wife.

-Girlfriend.

-But you want her to be your wife.

Nice house, kids, dog, holidays.

All that stuff makes me sweat.

-I can't be contained, man.

-I get that.

-You do?

-I'm not just that guy, you know.

You make me sound like a robot.

Have a go.

What?

-On my board. try it.

-No, it's OK.

Go on. I can see it now. there's something in your eye.

A spark.

Go on, set yourself free.

This is ridiculous. Let's get you back inside.

What's the harm? Five more minutes, then I'll promise I'll go back like a good boy.

Thought you weren't a robot?

I'm going to go and check on Kara.

Don't worry, I've got your back.

# Rows of houses

# Are bearing down on me

# I can feel their

# Blue hands touching me

# All these things into position

# All these things we'll one day swallow whole

# And fade out

# Again

# And fade out

# This machine will not communicate... #

Hello Kara.

# These thoughts and the strain I am under

# Be a world child, form a circle

# Before we all go under... #

You bitch!

-Look what you've done to me.

-I knew you'd come.

-Why'd you do it, eh?

I was almost out the door,

I was so close to getting free from you and then you go psycho again.

You were worried about me. That's why you're here.

Don't kid yourself, love.

Where's my finger?

Dunno, some doctor took it.

Baby, we can start again.

-Don't start, Kar.

-I'll be good, I promise.

-No!

That's what you always say, but then you're always there,

you're breathing down my neck. Getting on my case.

Checking my phone. I can't handle it any more.

And now this. You just don't know when to stop.

Fine, well if that's how you feel, may as well go.

Are you going to stab me?

-Shut up. Shut up!

-Go on then,

I deserve it.

Then we'll be even. if that's what you need.

Do it.

Do it!

I can't believe you're defending him.

I'm not, it's just that he could...

I'm dreaming. Please, tell me I'm dreaming.

Oh. My. God.

-Uncage the beast! Yes!

-Do you know what, I think I get it.

I really do.

Hawk?

Hawk? Hawk, can you hear me?

I'm always telling you not to drink so much.

You say it's one glass, but it's practically a goldfish bowl.

It's hard, especially when your father insists on making me a nervous wreck.

Well, I can give you drugs for the inflammation and the ulcers

and you're going to need to cut down on alcohol and cigarettes.

Oh... And here's the ring.

Hawk, can you hear me?

-There's no pulse. He's not breathing.

-He just collapsed?

Told you I heard a murmur.

Charging at 200.

Nothing.

Again at 200.

No.

-Again.

-OK, 360.

For God's sake.

Wait...

-He's back in rhythm.

-Oh, thank you.

But his B/P is very low.

Let's get him inside, get two lines in and squeeze fluids.

-Woah. OK, let's get you some help. What's your name?

-I'm all right.

I don't need any help.

-What have you done to your hand?

-I've done nothing.

-It's OK, we just want to help you.

-That's all.

-Don't! Please.

-Can we get him over to ED please?

-Hold your hand up, that's it.

What's all that about?

Some bloke minus a finger.

Greg, I need you in the basement now.

Oh, my God!

What happened?

I left the room unguarded. didn't even think about the risks!

Why didn't I take her more seriously?

Squeeze the 0-Neg and bag 100% oxygen. There are no theatres free.

-We can't do it here.

-We don't have a choice. Pulse 120, B/P. 50/30.

Oxygen sats 88. We're losing her.

You paged?

I need you to go to ITU get the Chest Opening case. I need suction, I need light.

And if you can't find a light, get me a headlight. I need a theatre crew. whoever's available.

-What happened?

-Did you get all of that?

Then why are you still here?

You wanted a Trauma case - you've got one now.

How's he doing?

The CT specialist is coming down to look at the Echo.

Let me know when he's here?

-Talk about childish.

-What?

-The silent treatment - haven't pulled that one since Junior School.

-Dan, this is serious.

-OK, I know. I feel awful. I do.

-Then why did you do it?

-I don't know.

I didn't think the test was necessary and Malick was being

all Malick-like.

I wouldn't be surprised if he reported you for this.

-What should I do?

-Apologise.

-I've tried!

-Like you mean it!

I really thought you'd turned over a new leaf today.

-You're blocking my light.

-Sorry.

-In fact. can you just go?

-What?

You'd be more use to me in the end of the corridor.

-Make sure no-one finds us here, OK?

-You realise the risk I'm taking?

Ms Naylor is my new mentor in case you'd forgotten.

-Didn't bother you when you thought you were getting some sexy theatre time?

-Right. Clips.

I need to mobilise the liver and repair the tear.

-Luckily there's no damage to the heart or lungs.

-Lucky? She won't stop bleeding.

Put your hand in there. I need more time to repair this.

It's coming out faster than it's going in. more fluids. 100% oxygen.

Sutures. Right.

This isn't working, the thread's too fine, it's braiding.

It's making the bleeding worse.

She's heading for hypovalemic shock.

-I need more time!

-Sahira, we're losing her!

-What do you want me to do?!

-Your call.

Page Mr Hanssen.

Talent is a rare commodity.

I don't think we should underestimate its value.

Feeling insecure, Henrik?

The the fact I've taken time out of my busy schedule

for an impromptu meeting might flatter the ego somewhat?

And, as I said, I'm terribly grateful.

I'm urging you to see Darwin and its surgeons as separate entities.

The departure of one, needn't lead to the departure of the other.

You're asking me to be a human being.

You know my background's in business, Henrik.

Now the key attribute of any successful business man

is common sense, and the way I see it, keeping on a CT surgeon when we no longer have a CT ward

is rather like a shopkeeper stocking winter hats in the Sahara.

I'd like to think my staff have more valuable than an item of knitwear,

-they're certainly more retrainable.

-But that takes time and money.

Investments don't always pay out immediately.

We should be thinking of the long term future.

Thank you for pointing that out. Who do you have in mind?

-There's a number of valued members of staff.

-Name one.

-Ms Shah, for example.

-Ah, Ms Shah.

-Her name's cropped up before.

-For good reason.

Why don't we have this discussion properly

-when we know exactly what we're facing?

-Is that a brush off?

PAGER BEEPS

-Problem?

-You will consider my request?

Of course.

I'm looking forward to seeing the talented Ms Shah at work.

Dr Valentine?

I didn't know we were in a war zone.

-She's ruptured her liver.

-What are these?

-Vicryl sutures.

There's your problem. Do we have any pledgets?

Give me some on a blunt number one please? Who is this patient?

I take it from your silence she's another trauma case?

It's the same patient - her boyfriend came in and stabbed her.

Swabs, please.

-We were going to transfer her, but then we were concerned she had an irregular heartbeat.

-Were we?

-It was totally my call.

-All right.

Got it. That should hold now.

Her B/P's going up.

She's going to make it.

-Thank you.

-Let's hope so.

The way you've gambled with this girl's life is unacceptable.

Look at this debacle.

Hawk's results? Malick, please.

-This isn't your case any more.

-Let me explain - I feel responsible.

-That's because you are.

-Let me tell Hawk you advised an Echo and I didn't follow up.

I want to come clean.

I really am sorry. It won't happen again.

OK.

Truce?

You do you job, and I'll do mine.

And you're not going to...

You know.

There's something I've been trying to tell you for a while now.

Have you? Tell me. Tell me what is it?

You know I went for that audition?

-Audition?

-Yeah. In London before Christmas.

-I don't believe it.

-It's true.

I got a big information pack in the post this morning.

Has he had hair implants?

-What?

-Your Father.

I'm impressed.

-You are?

-You've shown guts today.

You did what I would have done.

What do you mean?

Ducking out of here to run to Ms Shah's side.

That's right. I know.

You're not angry?

No.

That shows you're hungry.

I am.

It's just a pity Ms Shah's not your mentor.

You obviously feel very strongly about her cause.

I requested you.

What?

I'm serious about this, Ms Naylor.

I requested you because you're the best.

And if that means suturing inside plastic cups

then I'll do it.

Six months,

maybe then I'll let you loose on a cadaver.

If you think I'm ready for it.

It is a serious condition, we can treat it with medication to control

your blood pressure and keep the strain to your heart to the minimum,

but you may eventually need an operation to have an aortic valve replacement.

Heavy.

And, I should also say that the other surgeon, Mr Malick...

The dude that wanted the test?

If I'd carried out the Echo

we could have identified the problem sooner

and potentially avoided what happened outside.

What happens, happens.

Yes, but it was serious omission.

-You were awesome.

-Pardon?

-On the board.

Did you dig it?

Yeah, a little.

-Where is she?

-Don't worry, it's safe.

-Can I see her?

-Sure.

But I'm afraid skating might be off the menu for the foreseeable.

-What?

-You need to take it easy.

Raising the heart rate could be life threatening.

But skating's my life, man. It's my soul.

What about taking up something else?

-fishing can be very therapeutic.

-Fishing?

How are we today?

Hawk. this is Mr Hanssen, our Director of Surgery.

You've been lucky.

-Don't feel it.

-I've seen this kill younger men than you.

-Well, spotted, Mr Hamilton.

-Right, thank you.

He says he just wants it back and then he'll leave.

Maybe it's for the best, Suzy. let him have it.

-It's not brought you much happiness.

-No.

Josh, are you OK?

She'll never change.

Tell her to listen to track three, would you?

And tell her I got into the Royal Academy of Music.

I've known since Christmas, but never found the right time to tell her.

Anyway, I'll be out of her life soon enough.

That's if she notices.

Kara?

The police need to talk to you.

-No.

-They're charging him with attempted murder.

Things just got a bit out of hand, that's all.

He nearly killed you - that's not what I'd call a bit out of hand.

You wouldn't get it.

Look, I get that you're scared, Kara. You don't have to be. He'll go to jail for this.

I love him.

I don't want him to go anywhere.

Music College?

But he hasn't applied to music college.

Yes, he has. And he's got in.

-He's clearly a very talented young man.

-He never told me.

-With all due respect Mrs Kilbride...

-Suzy.

-Mrs Killbride,

judging by the way you spoke to him earlier, I doubt he was able to get a word in edgeways.

Track three.

You should try listening.

Guess you were right about her.

Yeah. Well, heartache can do funny things to a person. Right?

Listen, I'm sorry about earlier.

Me too.

No. I overstepped.

I shouldn't have got personal like that. You're a really great girl.

Sacha, can't we just leave it at sorry?

Too mushy for you?

-Do you want a pint later?

-I can't.

-Oh, go on.

I'll even let you talk about Chrissie,

-as long as you let me have a drink first.

-No, really...

There's some paperwork with my name on it.

Are you sure that's not code for watching a romcom crying with a vat of ice-cream, Mr Levy?

Positive, Nurse McKee.

Take her away.

-Really?

-You have her.

-No really, I wouldn't use it.

-OK. just put her in the trash.

You don't mean that.

Can you put that in sister's office for me, thank you?

-Just because you can't skate, doesn't mean you have to give up everything you believe in.

-I know.

Been thinking about what you said.

Fishing. None of this lame reservoir crap,

I'm talking about serious deep sea fishing.

-Just make sure it's a calm day.

-You're kind of missing the point, man.

Have you seen Malick?

-I thought you apologised?

-I did.

He'll serve a long time for this.

-Well, she did that to him.

-Excuse me. He stabbed her.

I'm not defending him, I'm just saying,

there's something pretty messed up at the heart of this.

It's sick. Masochists, both of them.

Why would anyone want to be in a relationship that's so toxic?

Beats me.

Chrissie, hang on.

I'm sorry, but I can't take Daniel this weekend and then not see him for two entire weeks.

I really look forward to our time together

and I don't want to disrupt the routine.

-OK. you should have said.

-Friends?

Course.

You know sometimes, I think you're the only man in my life who acts like a grown up.

Sorry Chrissie, I've got to get on.

-Yeah, sure. Night.

-Night.

I've been nave, haven't I?

Idealistic. Nothing wrong with that.

There is when you let it get in the way of your patients.

Don't beat yourself up.

Besides, if Elliot had got his way, she'd have died in the ambulance.

Have you seen this?

-Glad I've found you.

-Bang out of order.

I was telling him and then Hanssen showed up and.

-You're delusional!

-Technically they were my patients.

Look in there! That is the person you've been fighting today, not me.

-Stop using me as a scapegoat. I won't have you messing with my career.

-You'll do that all by yourself.

Say that again?

Go on!

-You think you're better than me?

-A better surgeon, yes.

Why? Because your face fits.

-Blonde haired, blue eyed rugger bugger.

-Oh, don't play that card.

Like you were bought up on some council estate.

That's your ignorant assumption, not mine.

Don't kid yourself! You play to type just as much as I do.

-Intimidating people so you get your own way. And you don't scare me.

-No.

I terrify you - in more ways that.

Oh, spare me the Malick psychology and stay out of my relationship.

-I don't want to see Chrissie end up as collateral.

-How dare you lecture me!

The closest you get to intimacy is a GPS signal in a sweaty bar.

-Please.

-Don't laugh at me.

-Joker.

Don't laugh at me.

I said stop.

I pity you.

I'm busy.

Come in.

You're right.

The Trauma Project doesn't add up. It's a financial hole,

an indulgent use of surgeon's time and its success rate would be negligible.

But that doesn't mean I agree with you.

Well, perhaps we could agree to disagree?

I'm passionate about what I do and that's thanks to you.

You encouraged me, you bullied me, you pushed me when I thought I had nothing more to give.

You gave me that passion

and now you're telling me that I can't use it.

Well, I'm sorry we don't live in an ideal world.

Well, perhaps there are places out there that still have ideals.

The job in Newcastle's still available.

Very well.

What?

Even though I know it's not what's best for this hospital,

or for me, I...

I simply can't let you go.

Well, I wonder what Sir Fraser will have to say about that?