Hand in Glove Holby City

The guy had it coming.

-Hand your pass to HR on your way out.

-You don't want to lose the Malick.

For the next five minutes, can we pretend it's just me and you?

Sometimes, I think you're the only man in my life that acts like a grown up.

Sorry, Chrissie, I've got to get on.

-Stay out of my relationship.

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

-How dare you lecture me?

-Please.

-Don't laugh at me.

-Joker.

-Don't laugh at me.

-I pity you.

Come on, man, I barely touched you.

-Let me take a look.

-No!

-That needs looking at.

-Not by you.

You can't go onto the ward. What will you say?

Scared how people might react?

-You know that would not be good...

-For you.

Because Mr Malick has a history of violence.

You don't want people to ask why.

I'm not the first Consultant you've punched...

You tried to stick one on me. I just...

-I just defended myself.

-No witnesses.

If Hanssen gets to hear about this...

Is that how you're going on?

All right.

What if Chrissie hears about it?

About you trying to kiss my face off?

Lift, chin... breasts...

tummy-tuck...

-Really?

-I know the guy who did it. Swiss.

-He'd have charged the GDP of a small country.

-Breasts?

Twice. Once in Florida. Once in London. She prefers the Anglo-profile.

She's got something to be happy about.

Probably her divorce settlement.

I'm just off home to celebrate...

The Cardiac Trauma unit got the thumbs-up from Hanssen.

-Fantastic news.

-Congratulations.

Let us take you out for a drink?

-As tempting as that sounds, gentlemen...

-Another time.

Yeah. That would be nice. Bye.

-I take it she doesn't know?

-What do you take me for?

MOBILE VIBRATES AND RINGS

# No-one can tell me just why it is

# That it always has to come to this

# Fix it up

# Throw it away

# I don't get

# The price you will pay

# Makes no sense No matter what you say

# Sticks inside ain't gonna fade away

# Fix it up

# Throw it away... #

PHONE RINGS

# I don't care

# It's the price you will pay

# I'm falling away

# I'm falling away... #

MOBILE RINGING CONTINUES

# I'm falling away

# I'm falling away. #

CHATTER

COFFEE MACHINE SPLUTTERS

Double espresso and a bottle of water. Large one.

Hey.

-Proof copy of the Plastics promotional brochure, hot off the press.

-Nice...

-For your perusal and comment.

-It's a nice picture of you on the cover.

Can I help it if the camera loves me?

And on the inside.

And another one.

What? Hey!

Why have you changed the curtains? Is this a Plastics bay now?

-I'm afraid so. We needed the space.

-Have you authorised it with Hanssen?

We wouldn't do anything that wasn't rubber-stamped from above.

You've taken another bed bay!

We're like you, we're just slaves to the Man.

Mr Bhatti?

Slow down. I can't go so fast.

Mate, mate, mate. That's the ladies. Gents are just through here.

MAN CRIES OUT

You OK? Where does it hurt?

Sorry. I didn't realise.

-We're going to go.

-Mike!

It's OK. Can we get a wheelchair, please?

Look, I'm not a cripple. It's here. It's my back. It's here.

Steady. Keep breathing deeply. Does this happen frequently?

-It's private!

-He's a Doctor.

-And this is my business.

I'm a consultant. You need some urgent tests.

-Yes, please.

-I'm OK, we're going to go. Come on!

Can we get that wheelchair now, please?

-Ego is a terrible thing.

-Yours or mine?

-Both.

Yours is being massaged all over this brochure

while mine is reduced to a PS at the back.

-Could you have made my picture smaller?

-Executive decision.

Your executive decision.

We have to sell Holby Plastics, NHS and private.

So we promote our most saleable and sought after commodity.

That is me. Hi, Mrs. Goldman. I haven't forgotten you.

I'm going to come back and have a chat soon.

-You look radiant today.

-Thank you.

Look. I have been a Consultant for eight years.

Yes, but not in Plastics. It's a small world, Michael.

It's not procedures that sell. We all do the same thing, more or less. It's personality.

-Your personality?

-In the world of Plastics,

Sunil Bhatti is a big name. Michael Spence? Not yet.

You're telling me I have to earn my place on our brochure?

A case in point - Cady Green. Very high profile.

The first funnel-chested 16-year-old to have a double mammary implant

at Holby or anywhere in the South West. 16 years old, Michael.

-This is not your run-of-the-mill boob job.

-Then I should do it.

We know you are a brilliant surgeon.

But in this case, they're paying for Sunil Bhatti.

Either we're a team or we are not.

Raising my profile doubles the amount of high profile surgeries

that we can do. In this case, bigger is better.

Hey, do these look too small to you?

Can you give me a hand?

You should've let me do the dressing. Looks crap.

-What did you mean by that text?

-I need to look after myself.

-What happened to you?!

-It's a patient...

-He didn't duck quick enough.

-What patient?

Long gone. Last night. He...

-What is it?

-Nothing, it's fine...

Motor weakness, incontinency, loss of feeling in limbs and knees, ankles diminished bilaterally.

-Can you feel that, Mr...?

-Milbourne. No.

I'd like to send him for a CT. It could be spinal.

Who's your GP?

-You didn't sign up for it, did you?

-I've been busy.

-Mike!

Let's talk about this another time.

-You didn't call last night.

-Sorry.

-So what happened?

Got between a father and son.

-Were you there?

-Hey. Come on, Chris.

-If I'd been there, you think I'd let this happen?

-He's going to be sick again!

I'm going to need that CT as soon as possible.

HE WHISTLES

HE STOPS WHISTLING

I'm so sorry.

Don't worry. My fault.

Could you point me back in the direction of AAU?

I've managed to get myself totally lost.

Yes, sorry.

Down there and to the left.

It's like a labyrinth...

Easy to get lost, for sure.

-But no minotaurs, I promise.

-Minotaurs?

Half-man, half-bull?

-Sorry, mythological creature, inhabits the labyrinth?

-Yes.

-Sorry, my brain is...

-Too early for Greek mythology?

Not quite firing on all cylinders yet. Sorry.

-Thank you.

-Oh, sorry.

It's...and...

OK, we're done. You can put your gown back on.

Could you page Miss Naylor for me?

-Is there a problem?

-No, it's just protocol.

-You know the worst thing about being funnel-chested?

-Tell me.

-Lingerie.

-Oh, here we go...

-You look at any designer lingerie range...

He doesn't want to hear this, Cady.

I do have an ex-wife who's shaped like a catwalk model,

so I've bought my share of lingerie in my time.

I want to wake up in my own bra after the operation.

The hospital ones are horrible!

They are medical. They protect you and the implants.

They're not very pretty.

-So you have brought a pretty one?

-Of course.

Well, I could put yours over the hospital one, as long as there's no underwire.

How does that sound?

Told you. That was easy!

-You wanted to see me?

-Excuse me.

I asked for Ms Naylor.

Like so many things around here, she's been whisked-away,

so if Plastics need a cardiologist,

which would be a delicious irony, you got me.

If I'd been there, you think I'd let this happen?

So, what, we just joke about this now?

No. But we have to get our story straight.

"Got between a father and son." Please.

-I thought that sounded very genuine.

-You're kidding me?

Whatever. Look, we have to read off the same page.

Otherwise Chrissie'll smell a rat. She's not thick.

Well, thanks for telling me about my girlfriend.

Dan, she's my friend too. We've both got stuff to lose if this gets out.

I'm sure its fine. She's been through all the pre-op checks.

-I don't want to run more tests. I just want your approval.

-You haven't got it.

This is an equivocal finding. It won't be anything of concern.

She's had a number of CT scans and got the all clear.

-This isn't the "all clear".

-Come on.

You're being difficult. I get it. The success of the Plastics unit, you feel edged out.

If this is a ventricular leak, the operation could put her under a lot of stress.

-She needs an echo.

-She's been through a lot more than most kids her age.

She needs this operation for her mental health.

A pair of breasts might be all it takes to cheer you up...

Emotionally and psychologically beneficial...

And medically, she needs an echo.

Fine. But you're not going to put her off.

She's convinced her mother to go private.

She has her heart set on this.

And it's her heart I'm worried about.

His heart rate is high. B/P normal, but he's sweaty and clammy.

And increased abdominal pain.

-It's bleeding.

-It's fine.

There's tenderness and guarding.

I need an FBC, Us and Es, LFTs and ten mg of IV Morphine for the pain.

Did anyone else see this happen?

Where are the CT results? We need them now.

I could run a laparoscopy. Quickest way to find out.

If you can find a theatre free.

Did you report it?

-Why not?

-What happened here?

-Appendix scar.

-Really? Bit of a butcher's job.

Sacha, I need your help. I'm trying to do a history.

-What's the problem?

-I've got a man with progressive nonfluent aphasia

coupled with vascular dementia and incremental loss of motor skills. He had a fall.

ED sent him through to us for 48-hour surveillance.

I hate it when they do that. They've got CDU!

Mr Timms, this is Mr Levy, your doctor.

He fell down the stairs. Suspected cracked rib but his FAST scan and his head CT came back clear.

Morning, Mr Timms.

MUMBLES INCOHERENTLY

I'm going look at your chest.

I don't know how to take his history when I can't understand him.

You're doing great. Just, you know, keep trying.

-Hello, again. Are you Daddy's doctor?

-Mr Levy.

Rosalind Timms.

Enchanted.

-I thought you were leaving.

-MAN SHOUTS

-Come on, Dad. Back to bed. Be good now. Here!

-See?

I don't know if you know, Nurse McKee, but PNFA is a very specific dementia.

It takes away the ability to speak, but not necessarily to understand.

Can we organise a chest CT, please? Thank you.

I...I...I'm daft...

-Don't say that, you're not daft.

-Definitely not.

But it is a challenging condition to be saddled with at this time of your life, sir.

It can be very befuddling. I promise we'll make life easier for you, Mr Timms,

but we need to get you back into bed. OK? There we go.

Thank you so much, Doctor.

It's all right. No problem.

We'll look at the CT and go from there.

-Thank you.

-Nothing, really.

A bientot.

A bientot?!

That was too much. Wasn't it?

I think there are signs of pulmonary hypotension.

She had a congenital heart defect as a child, VSD.

It was closed when she was tiny. She's had no problems since.

I'm not convinced it's closed completely.

What if it hasn't? It's not affecting her physically.

This is a simple implant operation. Not a chest reconstruction.

She may have had previous CT scans

but, in my opinion, they may have been interpreted incorrectly.

Am I hearing sour grapes?

What you should be hearing, is that you, her consultant,

need to stabilise her heart problem, before any cosmetic work is done.

The heart problem is hypothetical.

Her emotional and physical problem, due to feeling deformed is real.

Like you said, I'm her consultant.

-Did you glue this?

-Leave it. It's fine.

-Why didn't Malick do it?

-He had stuff.

-He didn't have time?

-I'll be with you in a minute, Mr Milbourne.

-I love you. I'll be waiting...

-Look after Mrs Milbourne for me. Thank you.

-Sure.

You are being very odd about this.

-I'm not.

-Yes, you are. Why didn't you report it?

It was a situation. I didn't handle it well.

-It was assault.

-It was my fault.

-I got in the way.

-And where was Malick?

It's got nothing to do with Malick.

-Who really hit you?

-I told you.

-What did he look like?

-Drunk.

-How old was he?

-Young.

-What colour hair did he have?

-Stop it.

-What was his name?

-Leave it!

I know this had something to something to do with Malick.

You're not telling me the truth about something.

Did Malick do this?

-The echo showed you may have a ventricular leak.

-What's that in English?

It means Cady's heart might come under strain in the operation.

-What do you mean?

-They're covering their backs, Mum. They always do.

Are you trying to tell us that we can't have the operation?

I would wait for further tests.

I've had hundreds. I don't want to wait any longer.

Ms Shah is not trying to stop you from having the operation. She is outlining the worst scenario.

-I just want the operation.

-Where's Mr Bhatti? I'd like to hear what he has to say about this.

Mr Bhatti would say the same as me. Any risk is minimal.

Cady, you do fully understand the risks?

I could die from the general anaesthetic. I could die if my blood clotted.

I could be paralysed if he put his knife in the wrong place.

I don't care. I don't want to live like this any more.

Daddy!

Can you get a new gown here, please?

These degenerative illnesses can suddenly take a leap.

OK, the chest CT came back clear. No broken ribs. He's free to go.

I'd like to keep him in, actually, and monitor him, if that's OK.

It's what ED suggested. I'll be back in a minute, ok?

There's something else going on.

Yeah. You're taking him hostage, so you can hypnotise her

with your bad jokes and schoolboy French?

I'm serious. PNFA sufferers lose language facility but keep their logic.

He wouldn't have pulled water over himself for a reason, even if it seems daft to us.

You're telling me you're keeping him in herein purely for medical reasons?

-Yes...

-Nothing to do with the fact that his daughter happens to be your idea of a very attractive woman?

-No, no way!

-Better not be, Sacha.

Because I'm up to here today with hard patients.

-If you're cluttering up my ward just for the sake of your fantasy life...

-Honest, trust me.

There's something not right...

You're late. There's inflammation in the terminal ileum.

Could be Crohn's disease, or a cancerous mass.

That's not like any appendix scar I've ever seen.

-It's what he told his wife.

-Maybe he's keeping something from her. Men do, you know?

-Looks like a stab wound to me.

-We need to stop or he might arrest.

I just want to get this. Put him on 100% oxygen. Right, got it.

That should help solve the mystery. Send that to histology.

Normal sinus rhythm.

-What did you tell Chrissie?

-I stuck with the patient story.

-And she bought it?

-She's fine. She's just cross with me for not calling her last night.

-Do you think this procedure should go ahead?

-She's thought it through.

-She's done her research, understands the risks. This is what she wants.

-She's 16!

Yeah. she does it now and she can move on with the rest of her life.

-What about Sunil? Does he know about the echo?

-No.

-Shouldn't he?

He's not my boss. He's my partner.

All right. If you're so worried, join me in theatre. You might learn something.

Cady, Ms Shah is happy for the operation to go ahead

but she recommends there be a cardiac surgeon present in theatre to monitor your heart.

Unfortunately, our cardiac specialist Ms Naylor is unavailable today...

but I have managed to persuade Ms Shah to be present herself.

So if you agree, we're on. I just have some consent forms for you to sign.

Thank you so much.

Sorry. I'm sorry. I just thought you were going to say it was cancelled.

-There's an abscess in the gut.

-And one in the spinal canal. They can't be unrelated.

-What would have caused it?

-We'll need his history. It doesn't add up. He's not telling us everything.

Look. One perfectly intact appendix.

You had a nasty reaction to the General Anaesthetic in there, Mr Milbourne.

Could've been very dangerous. You ever had an allergic reaction to a general anaesthetic?

-No, I don't think so.

-How about when you had your appendix out?

No. I don't know, I was six. I don't really...

Any chance someone point my long suffering wife in the direction of a cup of tea around here?

-I'm staying with you.

-Could you get Mum a cup of tea, please?

Yes, Mr Malick.

-You know this could be risky, Michael.

-Not with me.

Cady's given me a CD to play in the theatre for luck.

Who do you think it is?

Lady Gaga? Katy Perry? Jessie J?

Are you some kind of expert on teenage girl's music?

Like you wouldn't believe. You got boys?

One of each. Tiny. We're still happy with Wheels On The Bus.

I have three girls, one boy and one ex-wife...

-I'm sorry to hear that.

-It happens.

Scalpel.

So, come on, guess?

All right, OK. Um...

Lily Allen?

GENTLE MUSIC PLAYS

I like this! This is good.

I told you. This is no ordinary girl.

Yeah, diameters look fine.

They're different sizes?

We're going to disguise the abnormality rather than correct it.

Retractor. Thank you.

-Will you?

-Sure.

OK. We're going to change this girl's life for ever. How's her heart?

I told you. Fit as a fiddle.

Perfect rhythm.

But have to say, it's very nice having you in my theatre anyway.

-Do not make a thing of this.

-Ridiculous. Why are you protecting him?

-I'm not.

He already has a record with Hanssen. You know this.

OK, thank you. No Mike Milbourne on the system.

Excuse me. Can we have a moment?

We can't find your husband's medical records.

-No Mike Milbourne with his DOB.

-Maybe there's something wrong with the system?

-His appendix operation?

-What do you mean?

-Are you calling my husband a liar?

-I'm sure there's an explanation.

What are you saying?

It's very difficult for us to diagnose his problems

without his medical history.

We were hoping you might be able to throw some light on it.

We can't risk another operation without knowing more about his past. It could be very dangerous.

OK. I'll do what I can.

PAGER BEEPS

He told you, didn't he?

I haven't seen him in two weeks. He's got worse.

-Do you know what medication he's on?

-Hundreds of pills. He loves them.

But I don't know what they're called though.

Do you look after him a lot?

The two days a week the kids go to their dad's. I have him.

It's pretty full on.

Mr Levy? Mr Timms needs the gents so...

I'll take him and can you point Miss Timms in the direction of a cup of tea, please?

-Call me Rosalind.

-Rosalind.

-Why Malick?

-Ask Dan.

-I did.

-What did he say?

-Not much.

Is this because of yesterday?

Just because, he...clumsily took the credit for your work?!

You really... You really think I'd do that?

You punched a consultant last year because he disagreed with your diagnosis.

-Because he was risking patients' live. I told you that.

-And Dan?

Chrissie...

He's trying to protect you. You know, I think he's afraid of you.

-You want to know the truth?

-Yes...

He...

He punched me first. Honest. I was just defending myself.

You really expect me to believe that, with your track record?

According to your CT, Mr Milbourne, you have acute cord compression

due to the abscess. If left, your condition could become irreversible. We need to operate.

OK. If that's what's needed.

I'm not prepared to go back into theatre without medical records.

We can't run the risk of another allergic reaction.

You're not in the system. They're giving me grief.

Can you leave her out of this?

-They say you lied about your appendix.

-You still have an appendix.

I need precise medical history if we're going to operate.

-My mum said it was my appendix. Must have been something else.

-Would you excuse us?

I'd like to talk to your husband, in private, just for a moment.

Listen, there are things about me that my wife doesn't know.

I'd like it to stay that way. I did a bit of time in prison,

under another name. I don't think now's the time for Jen to find out.

-Not in her condition.

-It's not her I'm going to operate on.

Swithers. Michael Swithers...

-You told.

-She dug it out of me.

-But I made her promise not to take it further.

-Further? Like where?

No, she better not take this anywhere.

May I help? Sister Williams?

There's been an incident on Keller.

Mr Malick and Mr Hamilton have been fighting.

Now, nurse McKee thought you might need the gents, sir.

Man....

to...man.

Man to man?

Oh, you want to buy something?

Right. We've got a cafe.

A pharmacy.

A newsagent.

A newsagents?

-Did anyone see the fight take place?

-No, I don't think so.

-Anyone hurt?

-Yes, Mr Hamilton.

-By Mr Malick?

-Yes...

I'm just worried that

Mr Malick has a rather aggressive attitude.

Was this a professional or personal disagreement?

I don't know.

Well, thank you for bringing it to my attention.

So what do you intend to do about it?

Whatever's necessary.

You did a good job in there today.

Come on. We cut two slits,

and slipped in a couple of silicone bags. I've had duvet covers more difficult to fit.

It's an art. More sculpture than surgery.

More BS! Compared to Cardiacs, it's like a picnic at the beach.

Every surgeon thinks their discipline is hardest.

Here we are. Right, what can I get you?

Coffee? Tea? Sandwich?

Oh, a magazine?

Oh, that kind of magazine...

Oh, my God...

Are you sure you don't want a sandwich? No. Ok.

-I think maybe we should pass on the magazine for now Arthur...

-No!

OK, Arthur, come on, come on.

Everything went extremely well. Totally to plan.

Take a picture. For my profile page.

Of me and my surgeon.

Well, then we should have Ms Shah in it as well.

Come on. Don't be a spoil sport.

Come on!

Lovely.

-What's that?

-I feel funny.

-OK, your heart's rate a little slow and we just want to speed that up.

-Cady? Cady sweetheart?

I'm just going to massage your neck to help your heart out, all right?

-What's happening to her?

-She's developing heart-block. We need the crash team.

Cady.

Charging to 200 - clear.

-We can't shock her with you holding her.

-Cady.

Charging 300.

BEEPING

This isn't working. We need to get her into theatre now!

-What's happening?

-We try to regulate the rhythm of her heart.

It's all right sweetheart, it's going to be OK.

This is what she warned might happen, isn't it?

If anything happens to her I will kill you.

Four o'clock, Mr Hamilton.

-Sorry?

-Is when I want to see you. In my office.

OK, sure. About what?

Make sure the wire goes in far enough away from the cavity to protect the implants.

-My first concern is her heart.

-You pierce the implants, it'll cause more problems.

We'll just have to take them out.

-You really want her to wake up with two big scars and no implants?

-I just want her to wake up.

-He's a liability.

-You realise what you've done?

-Don't get angry with me. He punched you.

-I punched him first!

-That's just what Malick told you to tell me.

-I told you not to get involved!

-You didn't tell me you punched him.

-I didn't tell you, because I missed.

-When Malick said that you...

-I started it, Chrissie.

Do you understand? If anyone's responsible for this, it's me.

-Yeah, but he still has...

-Do you realise what you've done.

With his history is that what you want? And me...

I'm responsible for punching my registrar.

Think Hanssen's going to like that?

-OK. Advancing the electrode.

-Come on. Come on.

She's developing arrhythmia.

OK, we'll try again.

Advancing the electrode.

Come on, come on. All right, come on.

-You want me to try it?

-No. If I can't do it. What makes you think you can?

-I wasn't always just a boob-job man.

-Well, you are now.

Excuse me. My daughter's in theatre there. Can you find out what's going on for me, please?

Sorry.

Right. This is more like it...

got his medical record. Stab wound. Just like I said.

Turns out our Mike, as a teenager, got in a ruck and stabbed a kid.

The kid died and Mike ended up in juvenile detention for manslaughter.

-The scar is just a stab wound.

-So he almost had his appendix out.

And I might also solved the abscesses.

He had TB in prison. And we both know he hasn't seen a doctor since he left.

So he stopped taking his medication.

TB's come back.

Good spot.

Sorry, Mr Hamilton, am I keeping you? Somewhere else you need to be?

No. Not really. It's just, erm...

Can you give me a couple of minutes?

-Try another angle, to the right.

-It's not capturing.

-It will. Go deeper.

-It's not capturing!

-Try again!

This is useless. We need to open her chest to get to her heart.

-Cady!

-No! Stop! Stop her!

-Is she dying?

-You're not sterile. You need to leave!

I know this is difficult, but you are creating more danger for Cady right now.

-Do you understand me? You need to leave.

-Not until you tell me what you're doing.

We're going to take out the implants, so we can open her chest and fix her heart.

-Open up?

-OK, you need to leave.

Get her out of here! Now! Go!

I want Mr Bhatti!

All right.

Bring out the carpentry kit...

Maybe we should get Sunil in here, first?

Come on. You need to rest, Mr Timms. HE QUIVERS

You're thirsty?

No, not again, Mr Timms. It makes such a terrible mess.

HE YELLS UNINTELLIGIBLY

HE WHIMPERS

I'm sorry.

I'm so sorry.

HE GROANS

Oh, my God. Mr Timms. Mr Timms.

Help me...

Help!

Help me...!

-I hope that's water!

-It's Mr Timms...

He put my hand on his...

On his what?

-You see. And there's you thinking you'd lost your mojo!

-It's not funny. It's tragic.

Poor old bugger.

He's all confused and messed up...

-It's just not fair.

-We still talking about Mr Timms, right?

Ha-ha(!)

Is he going to be all right?

-Who?

-Mike!

He's not going to be crippled or, wheelchair-bound?

I don't know what's happening.

Come on. Take a seat. It's going to be all right.

-Sorry. I tried.

-I hope you thought exactly what you're you going to tell him?

-I'll do whatever it takes to clear my name and save my career. You understand me?

-What d'you mean?

If Chrissie's tells Hanssen the big gay black doctor punched her boyfriend...

-I'll sort it...

-You've forgotten about Sean, steroids.

You really want me to explain to him how we ended up in this situation in the first place?

Please. Don't.

I'm already on a warning, Dan.

My job is at stake.

-My whole career.

-What am I supposed to do?

I don't know but I'm not going to risk my job because you turned some little kiss into huge big thing.

-Dan.

-I don't want to lose Chrissie.

Nor do I. She was my friend before she became your woman.

-But now she thinks I'm some kind of monster.

-I told her.

-About the kiss?

-I can't ever tell her about...

-It was just a kiss.

-It was a mistake.

In that case, you need to accept that my punch didn't happen either.

So what? What do I tell Hanssen?

We're Plastics. We're all surface and superficiality. We do not cut people open.

-We can't leave her arrhythmic any longer, it's not safe.

-It's safer than opening her up.

The reason we went for implants rather than chest reconstruction,

-was to avoid strain on her heart.

-Even that was too much.

Could have been too much for anyone. There was no way we could have known.

-There were signs of VSD.

-There were?

-You read the notes, you know there were.

-It closed.

Well, the Echo suggested maybe not entirely.

Why did you press ahead without consulting me?

-I have to consult you of everything?

-When our reputation is at risk. Yes.

-Her mother could sue us.

-Sue us? She's already threatened to kill me.

We need to get this girl back to her tiger mother, just the way we promised. Breasts and heart intact.

All right, we try the electrodes again.

There's a difference between brave and foolhardy.

Thank you, Mr Spence.

Let's you and I try. Just once.

If it goes wrong. Plan B. Please, Ms Shah.

Just one more time...

-I will not tolerate violence among members of my staff.

-I told you, I tripped.

Perhaps this conversation would be better conducted without Mr Malick?

-I want him here.

-Why?

-Because we have a working relationship.

Any accusations against him relating to me, he should hear.

-Sister Williams says you were fighting.

-She was mistaken.

-Was she?

-Totally.

-What happened to your face?

-I tripped.

-Tripped?

Mr Malick?

He tripped.

-So you reported it in the accident book I presume?

-Not yet.

-Anything to add, Mr Malick?

-No, Sir.

Both of you, please... get out of my office.

Advancing the electrode.

-It's not capturing. We can't do it like this.

-The angle's tight.

Try and rotate 90 degrees clockwise...

Now - push forward.

Great. There's contact.

-Get the charge ready.

-Pacemaker.

Right. We need to get you out of these wet clothes.

HE MURMURS

Yes. I'm a nurse, Mr Timms.

I've seen it all before don't you worry.

-Wow. You might want to buy me dinner first.

-HE CHUCKLES

All...the time.

All the time?

It's like that all of the time.

So it's not me?

Sorry.

You certainly know how to make a girl feel good about herself, don't you?

OK.

Mr Levy. Could join me a moment, please?

Excuse me.

Goodness, Mr Timms. Again?

He says it's like that all the time.

See? There's hope for us all.

There's nothing to be embarrassed about, sir, really.

I think we should take a squint at what meds Mr Timms is being prescribed.

Clips, please.

There's a lot of free fluid here.

Microbiology pot.

Send this for an MC&S.

You think he bought it?

Not unless he recently had a lobotomy!

And this for an AFB.

Hold this back for me, please, Mr Hamilton.

Right back, please.

You're in the clear.

Yeah, like I ever did anything wrong.

I don't think he'll take it further.

I don't want to hear any more about Hanssen.

I don't want to hear anything about your complicated love life. I did call it right.

See - a TB tumour. Just like I said.

In the old scar tissue and on the appendix. You see,

if I was going to be all deep and symbolic.

I might just have to point out this...

this is what happens when a man keeps a secret inside.

It turns septic.

Good job I don't have any secrets, then, isn't it?

OK, now I cut out the appendix, and - hey presto -

his heap of crap story suddenly becomes true.

Scissors.

I don't understand, he said he was going to saw her open.

There were complex problems with her heart.

Which, thanks to the skill and dexterity of Ms Shah,

one of the best cardiothoracic surgeons in the county, we were able to stabilise.

He said she'd lose her implants!

Whereas, in fact, not only does Cady now have stable heart, she has a perfect pair of breasts!

There she is. You'll be delighted to know that the operation went amazingly well.

-Why did he tell me it was all going wrong?

-A worst-case scenario,

which we turned around into a best-case one.

I'm really happy with the results, Cady, and I hope you will be too.

Remind me again - what is your cup size?

-34C.

-Well, that is perfect!

Because I just happen to have here a very pretty designer uplift -

in a 34C!

You'd be amazed at what plastic surgeons get given these days.

Look at the size of this. The pressure this must have put on the nerve.

No wonder he was incontinent.

I'm going to drain it. Knife.

His wife wants to know whether she can watch from the gallery.

I don't think it's a good idea. It's all a bit messy isn't it?

-And patient confidentiality and all that.

-She should know.

Maybe knowing his past wouldn't make the slightest difference to her.

Yes, but at least she would have the choice.

Check this out.

-His medication was changed a month ago.

-Which is exactly when she said his behaviour changed.

-Let's look up the possible side effects.

-He's also on these meds.

"Side effects...

"possible depression, dizziness, hyposensitivity

"and in some rare cases may manifest as a semi-permanent erectile state."

Bingo.

Do want me to have a word with Rosalind? It might be easier coming from a woman.

Please! does it look like I need help communicating with an intelligent, mature, sophisticated woman?

So you just happened to have a designer labelled bra in the exact size?

Nope. But I know when it's worth getting one couriered over.

-Smooth.

-You've been out of the plastics game for a while.

It requires a different dynamic between patient and surgeon. More hand-holding, less drama.

I'm aware, but this just happened to be a very particular patient with a very particular problem.

I let you into a secret - they all are.

By the way, I've sent the proofs back to the printers.

Had them blow-up your photograph. You're absolutely right.

There is no point in hiding one of our prime assets under a bushel.

Rosalind?

I've got good news. It seems his behavioural changes aren't related to his dementia.

They must be. He wasn't like this before he got ill.

The aggression is a reaction to a chemical imbalance. He's pumped with testosterone.

-Really?

-He has erectile dysfunction.

I think that's why he keeps pouring water over himself. He was trying to cool himself down.

His problem is, basically, not not being able but being too able.

And he doesn't know what to do with himself.

Are you calling Daddy a dirty old man cos he's not!

-No. Not at all.

-Isn't his condition is humiliating enough without you accusing him of this?

It's not an accusation. It's an observation. One your father pointed out to me.

Just because he needs help going to the toilet doesn't mean he's a flasher!

-We checked his meds and it seems the pills he is on are the ones causing these...

-Sorry.

I don't feel comfortable talking about my father like this with you.

Of course. Would it be better if I spoke to your mother?

Absolutely not! It's the last thing she needs to know.

-She probably knows already. She'll have been on the receiving end.

-Can you just go?

He's a smooth operator.

I didn't come out of this too well.

-Your patients did.

-Yeah. You're right.

-Thanks to you.

-You did all right, too.

Be careful what you wish for. I'm sure you can be a charmer.

But I reckon you'd rather be known for you surgical skills.

Really?

Sunil got lucky out there. He was watching the monitor from a different angle...

It could just have easily not captured.

You know, you're OK.

This has been a learning experience.

I'm glad we did this.

You've been lucky, Mr Milbourne. Had a bit of a wake-up call.

You need to follow up with a GP and keep taking the TB medication.

-You need to get back in the system. It's there to help you.

-I can't do that, can I?

Not without opening up a big old can of worms.

Maybe she'd be understanding. It was a long time ago.

Maybe she wouldn't. Who's going to blame her? Maybe she'd freak out.

She's a smart girl.

She's going to realise something's up after today.

She and the baby are the best thing that's happened to me. I don't want to lose them.

Maybe it's time to tell her the truth.

HE CLEARS HIS THROAT

I'm so sorry about the rather clumsy way I gave you your Father's diagnosis.

It was very shoddy of me.

No. I'm sorry. I owe you an apology.

My mother has clearly been trying to tell me what you've diagnosed for some time.

It's all here. Couched in her buttoned-up Englishness.

"Dad's very unsettled" "He's been bothering me persistently."

-My poor mother...

-You mustn't blame yourself.

So what's next?

-What's the plan of attack, as Daddy would have said?

-Well, good news.

We've spoken to our neurologist and he's recommended your father stops taking the medication immediately.

So we'll pass on information to his GP and he should be back to his old self within a few days.

-Thank you so much for your patience, that's fantastic.

-That's fine.

And it was lovely to meet you too, Mr Timms.

Excuse me.

HE GROANS

Can I help you?

Mr Timms?

I've kept these safe.

I think she likes me.

In fact I'm going to get them a cab.

Play the valiant gentleman, the irresistible valiant gentleman.

I think she's already got a ride.

Ho-hum. All the best ones are taken.

Ah, don't go all Russian novel on me.

Can you imagine really going out with her? It'd be all "Mummy" this and "Daddy" that.

She'd have you playing bridge and dressed up in Chinos before you knew it.

Yeah, you're right.

Erm, what's wrong with Chinos?

Excuse me. Could I have a private word with you? About my husband.

-Sure. What can I do for you?

-I know there's something been going on. I'm not stupid.

Something you're all doing your best to hide from me.

Something he doesn't want me to know.

That's something you should be talking to your husband about.

All I want is to know.

Is it something I need to know about, or something I'm better off not knowing about?

Sorry I'm not sure what you're asking me.

Is he dying?

No. Not at all. He's not dying.

-Is he having an affair?

-No.

I have no evidence to suggest he's having an affair.

So all that appendix talk,

-was really about his appendix?

-Yes.

Thank you, doctor.

She's never going to know the truth, is she?

You don't know that.

Tell me what happened.

He tried to hide the truth about his stab wound, and...

To you with Malick.

-It doesn't matter.

-What did Hanssen say?

Tell me the truth!

You might not like it.

Do you know, I thought Malick was my friend.

I thought I knew him.

He is your friend, you do know him. He's not some kind of monster. I am.

Me. I'm to blame.

How?

I...

said some things. Stuff I regret. Not because I meant it

-but because I was angry at him for hijacking my surgery.

-What stuff?

Below the belt. Really un-PC.

Homophobic stuff.

-Dan!

-I know, I know.

Believe me, no-one is more embarrassed or humiliated than me.

-And if you ever, ever say anything like this again.

-I know, I know.

-I've got to apologise to Malick.

-I have.

God. So many times.

I think, maybe we should...

leave him some space, give him time to calm down.

# I used to rush around to keep busy in the day

# Then we'd sit up and drink We might find something new to say

# No, I can't live this way

# But then I heard that sweet voice cry

# Telling me

# Yeah, it's going to be all right... #

-Little alcoholic debrief?

-Yeah.

-How about you, Ms Shah?

Little fizz to blow away the cares of cardiology?

I've got to get back to the kids and prep for the trail.

Let's leave the work ethic at work, shall we?

Besides, I think I owe you bubbles for helping us out so brilliantly today.

Nice to be appreciated.

Sadly, can't rest all rest on our laurels. See you.

Shall we?

-No, I think I'm good.

-Really?

-Yeah. I'm going to do some work at home.

# I look at the skyline

# A million lights are looking back at me

# And when they shine

# I see a place I know I'll find some peace

# I just look at the skyline... #

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