Hand in Glove Holby City


Hand in Glove

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The guy had it coming.

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-Hand your pass to HR on your way out.

-You don't want to lose the Malick.

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

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

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

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-Stay out of my relationship.

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

-How dare you lecture me?

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-Please.

-Don't laugh at me.

-Joker.

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-Don't laugh at me.

-I pity you.

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Come on, man, I barely touched you.

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-Let me take a look.

-No!

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-That needs looking at.

-Not by you.

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

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Scared how people might react?

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-You know that would not be good...

-For you.

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Because Mr Malick has a history of violence.

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You don't want people to ask why.

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

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

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-I just defended myself.

-No witnesses.

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If Hanssen gets to hear about this...

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Is that how you're going on?

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All right.

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What if Chrissie hears about it?

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About you trying to kiss my face off?

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Lift, chin... breasts...

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tummy-tuck...

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-Really?

-I know the guy who did it. Swiss.

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

-Breasts?

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

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She's got something to be happy about.

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Probably her divorce settlement.

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I'm just off home to celebrate...

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

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-Fantastic news.

-Congratulations.

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Let us take you out for a drink?

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-As tempting as that sounds, gentlemen...

-Another time.

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Yeah. That would be nice. Bye.

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-I take it she doesn't know?

-What do you take me for?

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MOBILE VIBRATES AND RINGS

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# No-one can tell me just why it is

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# That it always has to come to this

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# Fix it up

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# Throw it away

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# I don't get

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# The price you will pay

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# Makes no sense No matter what you say

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# Sticks inside ain't gonna fade away

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# Fix it up

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# Throw it away... #

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PHONE RINGS

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# I don't care

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# It's the price you will pay

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# I'm falling away

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# I'm falling away... #

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MOBILE RINGING CONTINUES

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# I'm falling away

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# I'm falling away. #

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CHATTER

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COFFEE MACHINE SPLUTTERS

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Double espresso and a bottle of water. Large one.

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Hey.

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

-Nice...

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-For your perusal and comment.

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

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Can I help it if the camera loves me?

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And on the inside.

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And another one.

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What? Hey!

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

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

-Have you authorised it with Hanssen?

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

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You've taken another bed bay!

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

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Mr Bhatti?

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Slow down. I can't go so fast.

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

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MAN CRIES OUT

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You OK? Where does it hurt?

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Sorry. I didn't realise.

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-We're going to go.

-Mike!

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

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

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Steady. Keep breathing deeply. Does this happen frequently?

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-It's private!

-He's a Doctor.

-And this is my business.

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

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-Yes, please.

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

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Can we get that wheelchair now, please?

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-Ego is a terrible thing.

-Yours or mine?

-Both.

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Yours is being massaged all over this brochure

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while mine is reduced to a PS at the back.

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-Could you have made my picture smaller?

-Executive decision.

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Your executive decision.

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We have to sell Holby Plastics, NHS and private.

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So we promote our most saleable and sought after commodity.

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

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

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-You look radiant today.

-Thank you.

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Look. I have been a Consultant for eight years.

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

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

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-Your personality?

-In the world of Plastics,

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

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

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

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

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

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

-Then I should do it.

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We know you are a brilliant surgeon.

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

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Either we're a team or we are not.

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Raising my profile doubles the amount of high profile surgeries

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

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Hey, do these look too small to you?

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Can you give me a hand?

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

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-What did you mean by that text?

-I need to look after myself.

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-What happened to you?!

-It's a patient...

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-He didn't duck quick enough.

-What patient?

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Long gone. Last night. He...

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-What is it?

-Nothing, it's fine...

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

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-Can you feel that, Mr...?

-Milbourne. No.

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

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Who's your GP?

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

-I've been busy.

-Mike!

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Let's talk about this another time.

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-You didn't call last night.

-Sorry.

-So what happened?

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Got between a father and son.

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-Were you there?

-Hey. Come on, Chris.

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

-He's going to be sick again!

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

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HE WHISTLES

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HE STOPS WHISTLING

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I'm so sorry.

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Don't worry. My fault.

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Could you point me back in the direction of AAU?

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I've managed to get myself totally lost.

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Yes, sorry.

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Down there and to the left.

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It's like a labyrinth...

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Easy to get lost, for sure.

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-But no minotaurs, I promise.

-Minotaurs?

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Half-man, half-bull?

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-Sorry, mythological creature, inhabits the labyrinth?

-Yes.

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-Sorry, my brain is...

-Too early for Greek mythology?

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Not quite firing on all cylinders yet. Sorry.

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-Thank you.

-Oh, sorry.

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It's...and...

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

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Could you page Miss Naylor for me?

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-Is there a problem?

-No, it's just protocol.

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

-Tell me.

-Lingerie.

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-Oh, here we go...

-You look at any designer lingerie range...

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He doesn't want to hear this, Cady.

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

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

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

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The hospital ones are horrible!

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They are medical. They protect you and the implants.

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They're not very pretty.

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-So you have brought a pretty one?

-Of course.

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

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How does that sound?

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Told you. That was easy!

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-You wanted to see me?

-Excuse me.

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I asked for Ms Naylor.

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

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so if Plastics need a cardiologist,

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which would be a delicious irony, you got me.

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

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So, what, we just joke about this now?

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No. But we have to get our story straight.

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"Got between a father and son." Please.

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-I thought that sounded very genuine.

-You're kidding me?

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

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

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Well, thanks for telling me about my girlfriend.

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

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

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

-You haven't got it.

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

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

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-This isn't the "all clear".

-Come on.

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

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

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-She needs an echo.

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

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She needs this operation for her mental health.

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

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Emotionally and psychologically beneficial...

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And medically, she needs an echo.

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

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She's convinced her mother to go private.

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She has her heart set on this.

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

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

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And increased abdominal pain.

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-It's bleeding.

-It's fine.

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There's tenderness and guarding.

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

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Did anyone else see this happen?

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Where are the CT results? We need them now.

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

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If you can find a theatre free.

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Did you report it?

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-Why not?

-What happened here?

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-Appendix scar.

-Really? Bit of a butcher's job.

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

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-What's the problem?

-I've got a man with progressive nonfluent aphasia

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

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

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

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Mr Timms, this is Mr Levy, your doctor.

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

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Morning, Mr Timms.

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MUMBLES INCOHERENTLY

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I'm going look at your chest.

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

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

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

-Mr Levy.

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Rosalind Timms.

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Enchanted.

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-I thought you were leaving.

-MAN SHOUTS

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

-See?

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

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

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

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

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

-Definitely not.

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

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

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

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Thank you so much, Doctor.

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It's all right. No problem.

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

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-Thank you.

-Nothing, really.

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A bientot.

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A bientot?!

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That was too much. Wasn't it?

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I think there are signs of pulmonary hypotension.

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

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

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I'm not convinced it's closed completely.

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

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

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She may have had previous CT scans

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

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Am I hearing sour grapes?

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

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

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The heart problem is hypothetical.

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

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Like you said, I'm her consultant.

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-Did you glue this?

-Leave it. It's fine.

-Why didn't Malick do it?

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-He had stuff.

-He didn't have time?

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

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

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-Look after Mrs Milbourne for me. Thank you.

-Sure.

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You are being very odd about this.

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-I'm not.

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

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

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-It was assault.

-It was my fault.

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-I got in the way.

-And where was Malick?

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It's got nothing to do with Malick.

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-Who really hit you?

-I told you.

-What did he look like?

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-Drunk.

-How old was he?

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-Young.

-What colour hair did he have?

-Stop it.

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-What was his name?

-Leave it!

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

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You're not telling me the truth about something.

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Did Malick do this?

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-The echo showed you may have a ventricular leak.

-What's that in English?

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

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-What do you mean?

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

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

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I would wait for further tests.

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

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

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-I just want the operation.

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

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

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Cady, you do fully understand the risks?

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

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

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

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Daddy!

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Can you get a new gown here, please?

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These degenerative illnesses can suddenly take a leap.

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

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

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

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There's something else going on.

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

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with your bad jokes and schoolboy French?

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

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

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

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-Yes...

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

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-No, no way!

-Better not be, Sacha.

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

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

-Honest, trust me.

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There's something not right...

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

0:19:560:20:00

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

0:20:000:20:03

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

0:20:030:20:07

-It's what he told his wife.

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

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-Looks like a stab wound to me.

-We need to stop or he might arrest.

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

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

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Normal sinus rhythm.

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-What did you tell Chrissie?

-I stuck with the patient story.

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-And she bought it?

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

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-Do you think this procedure should go ahead?

-She's thought it through.

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

-She's 16!

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

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

-No.

-Shouldn't he?

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

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

0:20:580:21:02

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

0:21:040:21:12

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

0:21:120:21:18

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

0:21:180:21:23

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

0:21:250:21:30

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

0:21:300:21:35

Thank you so much.

0:21:350:21:36

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

0:21:360:21:40

-There's an abscess in the gut.

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

0:21:430:21:47

-What would have caused it?

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

0:21:470:21:52

Look. One perfectly intact appendix.

0:21:520:21:55

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

0:22:010:22:06

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

0:22:060:22:10

-No, I don't think so.

-How about when you had your appendix out?

0:22:100:22:14

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

0:22:140:22:17

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

0:22:170:22:22

-I'm staying with you.

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

0:22:220:22:26

Yes, Mr Malick.

0:22:260:22:28

-You know this could be risky, Michael.

-Not with me.

0:22:310:22:33

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

0:22:330:22:36

Who do you think it is?

0:22:360:22:38

Lady Gaga? Katy Perry? Jessie J?

0:22:380:22:42

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

0:22:420:22:44

Like you wouldn't believe. You got boys?

0:22:440:22:47

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

0:22:470:22:50

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

0:22:500:22:54

-I'm sorry to hear that.

-It happens.

0:22:560:22:59

Scalpel.

0:22:590:23:01

So, come on, guess?

0:23:010:23:03

All right, OK. Um...

0:23:030:23:05

Lily Allen?

0:23:050:23:07

GENTLE MUSIC PLAYS

0:23:070:23:08

I like this! This is good.

0:23:080:23:10

I told you. This is no ordinary girl.

0:23:100:23:13

Yeah, diameters look fine.

0:23:140:23:16

They're different sizes?

0:23:180:23:20

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

0:23:200:23:25

Retractor. Thank you.

0:23:250:23:27

-Will you?

-Sure.

0:23:290:23:31

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

0:23:310:23:36

I told you. Fit as a fiddle.

0:23:370:23:40

Perfect rhythm.

0:23:400:23:43

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

0:23:430:23:46

-Do not make a thing of this.

-Ridiculous. Why are you protecting him?

-I'm not.

0:23:500:23:54

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

0:23:540:23:57

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

0:23:570:24:00

Excuse me. Can we have a moment?

0:24:030:24:05

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

0:24:050:24:08

-No Mike Milbourne with his DOB.

-Maybe there's something wrong with the system?

0:24:080:24:12

-His appendix operation?

-What do you mean?

0:24:120:24:14

-Are you calling my husband a liar?

-I'm sure there's an explanation.

0:24:140:24:18

What are you saying?

0:24:180:24:20

It's very difficult for us to diagnose his problems

0:24:200:24:23

without his medical history.

0:24:230:24:24

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

0:24:240:24:27

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

0:24:270:24:33

OK. I'll do what I can.

0:24:340:24:36

PAGER BEEPS

0:24:360:24:39

He told you, didn't he?

0:24:510:24:54

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

0:24:580:25:01

-Do you know what medication he's on?

-Hundreds of pills. He loves them.

0:25:010:25:05

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

0:25:050:25:07

Do you look after him a lot?

0:25:070:25:09

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

0:25:090:25:12

It's pretty full on.

0:25:120:25:14

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

0:25:140:25:18

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

0:25:180:25:22

-Call me Rosalind.

-Rosalind.

0:25:220:25:25

-Why Malick?

-Ask Dan.

-I did.

0:25:300:25:34

-What did he say?

-Not much.

0:25:360:25:39

Is this because of yesterday?

0:25:410:25:43

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

0:25:430:25:46

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

0:25:460:25:50

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

0:25:510:25:55

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

-And Dan?

0:25:550:26:00

Chrissie...

0:26:000:26:02

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

0:26:020:26:06

-You want to know the truth?

-Yes...

0:26:100:26:13

He...

0:26:140:26:15

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

0:26:160:26:22

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

0:26:240:26:28

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

0:26:350:26:39

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

0:26:390:26:43

OK. If that's what's needed.

0:26:430:26:46

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

0:26:490:26:53

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

0:26:530:26:57

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

0:26:570:26:59

Can you leave her out of this?

0:26:590:27:01

-They say you lied about your appendix.

-You still have an appendix.

0:27:010:27:04

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

0:27:040:27:07

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

-Would you excuse us?

0:27:070:27:12

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

0:27:120:27:16

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

0:27:290:27:33

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

0:27:330:27:37

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

0:27:370:27:41

-Not in her condition.

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

0:27:410:27:44

Swithers. Michael Swithers...

0:27:480:27:50

-You told.

-She dug it out of me.

0:27:570:28:00

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

-Further? Like where?

0:28:000:28:03

No, she better not take this anywhere.

0:28:030:28:05

May I help? Sister Williams?

0:28:170:28:21

There's been an incident on Keller.

0:28:230:28:26

Mr Malick and Mr Hamilton have been fighting.

0:28:260:28:29

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

0:28:330:28:38

Man....

0:28:400:28:43

to...man.

0:28:430:28:46

Man to man?

0:28:460:28:49

Oh, you want to buy something?

0:28:490:28:51

Right. We've got a cafe.

0:28:540:28:56

A pharmacy.

0:28:560:28:58

A newsagent.

0:28:580:29:01

A newsagents?

0:29:010:29:03

-Did anyone see the fight take place?

-No, I don't think so.

0:29:090:29:12

-Anyone hurt?

-Yes, Mr Hamilton.

0:29:120:29:15

-By Mr Malick?

-Yes...

0:29:150:29:18

I'm just worried that

0:29:180:29:20

Mr Malick has a rather aggressive attitude.

0:29:200:29:23

Was this a professional or personal disagreement?

0:29:250:29:28

I don't know.

0:29:280:29:30

Well, thank you for bringing it to my attention.

0:29:300:29:34

So what do you intend to do about it?

0:29:340:29:36

Whatever's necessary.

0:29:360:29:38

You did a good job in there today.

0:29:490:29:51

Come on. We cut two slits,

0:29:510:29:52

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

0:29:520:29:57

It's an art. More sculpture than surgery.

0:29:570:29:59

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

0:29:590:30:03

Every surgeon thinks their discipline is hardest.

0:30:030:30:07

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

0:30:070:30:09

Coffee? Tea? Sandwich?

0:30:090:30:11

Oh, a magazine?

0:30:140:30:16

Oh, that kind of magazine...

0:30:190:30:21

Oh, my God...

0:30:210:30:22

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

0:30:240:30:26

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

-No!

0:30:260:30:30

OK, Arthur, come on, come on.

0:30:300:30:33

Everything went extremely well. Totally to plan.

0:30:400:30:43

Take a picture. For my profile page.

0:30:470:30:49

Of me and my surgeon.

0:30:490:30:51

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

0:30:510:30:54

Come on. Don't be a spoil sport.

0:30:540:30:57

Come on!

0:30:570:31:00

Lovely.

0:31:000:31:02

-What's that?

-I feel funny.

0:31:020:31:04

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

-Cady? Cady sweetheart?

0:31:040:31:09

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

0:31:090:31:13

-What's happening to her?

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

0:31:130:31:17

Cady.

0:31:200:31:22

Charging to 200 - clear.

0:31:220:31:24

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

-Cady.

0:31:240:31:27

Charging 300.

0:31:270:31:29

BEEPING

0:31:310:31:32

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

0:31:320:31:35

-What's happening?

-We try to regulate the rhythm of her heart.

0:31:350:31:38

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

0:31:380:31:42

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

0:31:440:31:47

If anything happens to her I will kill you.

0:31:470:31:50

Four o'clock, Mr Hamilton.

0:31:570:32:00

-Sorry?

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

0:32:000:32:03

OK, sure. About what?

0:32:030:32:06

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

0:32:140:32:18

-My first concern is her heart.

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

0:32:180:32:22

We'll just have to take them out.

0:32:220:32:24

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

-I just want her to wake up.

0:32:240:32:31

-He's a liability.

-You realise what you've done?

0:32:310:32:33

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

-I punched him first!

0:32:330:32:37

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

-I told you not to get involved!

0:32:370:32:41

-You didn't tell me you punched him.

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

0:32:410:32:46

-When Malick said that you...

-I started it, Chrissie.

0:32:460:32:48

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

0:32:480:32:52

-Yeah, but he still has...

-Do you realise what you've done.

0:32:520:32:54

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

0:32:540:32:58

I'm responsible for punching my registrar.

0:32:580:33:01

Think Hanssen's going to like that?

0:33:010:33:04

-OK. Advancing the electrode.

-Come on. Come on.

0:33:040:33:10

She's developing arrhythmia.

0:33:100:33:13

OK, we'll try again.

0:33:130:33:17

Advancing the electrode.

0:33:170:33:20

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

0:33:200:33:23

-You want me to try it?

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

0:33:230:33:27

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

-Well, you are now.

0:33:270:33:30

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

0:33:300:33:35

Sorry.

0:33:350:33:37

Right. This is more like it...

0:33:420:33:44

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

0:33:440:33:48

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

0:33:480:33:51

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

0:33:510:33:55

-The scar is just a stab wound.

-So he almost had his appendix out.

0:33:550:33:58

And I might also solved the abscesses.

0:33:580:34:01

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

0:34:010:34:05

So he stopped taking his medication.

0:34:050:34:07

TB's come back.

0:34:070:34:09

Good spot.

0:34:090:34:11

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

0:34:110:34:15

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

0:34:150:34:19

Can you give me a couple of minutes?

0:34:190:34:20

-Try another angle, to the right.

-It's not capturing.

-It will. Go deeper.

0:34:230:34:27

-It's not capturing!

-Try again!

0:34:270:34:28

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

0:34:280:34:31

-Cady!

-No! Stop! Stop her!

-Is she dying?

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

0:34:310:34:36

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

0:34:360:34:40

-Do you understand me? You need to leave.

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

0:34:400:34:44

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

0:34:480:34:51

-Open up?

-OK, you need to leave.

0:34:510:34:53

Get her out of here! Now! Go!

0:34:530:34:56

I want Mr Bhatti!

0:34:560:34:57

All right.

0:35:060:35:07

Bring out the carpentry kit...

0:35:070:35:10

Maybe we should get Sunil in here, first?

0:35:100:35:14

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

0:35:140:35:17

You're thirsty?

0:35:170:35:19

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

0:35:190:35:22

HE YELLS UNINTELLIGIBLY

0:35:220:35:24

HE WHIMPERS

0:35:280:35:29

I'm sorry.

0:35:310:35:33

I'm so sorry.

0:35:330:35:35

HE GROANS

0:35:350:35:37

Oh, my God. Mr Timms. Mr Timms.

0:35:370:35:39

Help me...

0:35:390:35:41

Help!

0:35:410:35:42

Help me...!

0:35:440:35:46

-I hope that's water!

-It's Mr Timms...

0:35:520:35:54

He put my hand on his...

0:35:540:35:56

On his what?

0:35:560:35:58

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

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

0:36:010:36:05

Poor old bugger.

0:36:050:36:07

He's all confused and messed up...

0:36:070:36:10

-It's just not fair.

-We still talking about Mr Timms, right?

0:36:100:36:14

Ha-ha(!)

0:36:140:36:16

Is he going to be all right?

0:36:220:36:25

-Who?

-Mike!

0:36:250:36:26

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

0:36:260:36:30

I don't know what's happening.

0:36:300:36:33

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

0:36:330:36:38

-Sorry. I tried.

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

0:36:570:37:02

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

-What d'you mean?

0:37:020:37:07

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

0:37:070:37:12

-I'll sort it...

-You've forgotten about Sean, steroids.

0:37:120:37:14

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

0:37:140:37:19

Please. Don't.

0:37:190:37:21

I'm already on a warning, Dan.

0:37:210:37:24

My job is at stake.

0:37:240:37:26

-My whole career.

-What am I supposed to do?

0:37:260:37:29

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

0:37:290:37:34

-Dan.

-I don't want to lose Chrissie.

0:37:360:37:38

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

0:37:380:37:42

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

-I told her.

0:37:430:37:48

-About the kiss?

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

0:37:480:37:51

-It was just a kiss.

-It was a mistake.

0:37:510:37:53

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

0:37:550:37:58

So what? What do I tell Hanssen?

0:37:580:38:02

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

0:38:040:38:08

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

-It's safer than opening her up.

0:38:080:38:13

The reason we went for implants rather than chest reconstruction,

0:38:130:38:16

-was to avoid strain on her heart.

-Even that was too much.

0:38:160:38:19

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

0:38:190:38:23

-There were signs of VSD.

-There were?

-You read the notes, you know there were.

-It closed.

0:38:230:38:27

Well, the Echo suggested maybe not entirely.

0:38:270:38:31

Why did you press ahead without consulting me?

0:38:310:38:33

-I have to consult you of everything?

-When our reputation is at risk. Yes.

0:38:330:38:37

-Her mother could sue us.

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

0:38:370:38:41

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

0:38:410:38:46

All right, we try the electrodes again.

0:38:460:38:48

There's a difference between brave and foolhardy.

0:38:480:38:51

Thank you, Mr Spence.

0:38:510:38:54

Let's you and I try. Just once.

0:38:540:38:57

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

0:38:570:39:00

Just one more time...

0:39:000:39:02

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

-I told you, I tripped.

0:39:100:39:14

Perhaps this conversation would be better conducted without Mr Malick?

0:39:140:39:18

-I want him here.

-Why?

-Because we have a working relationship.

0:39:180:39:21

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

0:39:210:39:25

-Sister Williams says you were fighting.

-She was mistaken.

-Was she?

-Totally.

-What happened to your face?

0:39:250:39:30

-I tripped.

-Tripped?

0:39:300:39:32

Mr Malick?

0:39:350:39:37

He tripped.

0:39:370:39:38

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

-Not yet.

0:39:380:39:44

-Anything to add, Mr Malick?

-No, Sir.

0:39:440:39:46

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

0:39:490:39:52

Advancing the electrode.

0:39:580:40:00

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

-The angle's tight.

0:40:030:40:07

Try and rotate 90 degrees clockwise...

0:40:070:40:10

Now - push forward.

0:40:120:40:15

Great. There's contact.

0:40:150:40:18

-Get the charge ready.

-Pacemaker.

0:40:180:40:21

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

0:40:230:40:27

HE MURMURS

0:40:270:40:28

Yes. I'm a nurse, Mr Timms.

0:40:280:40:30

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

0:40:300:40:34

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

-HE CHUCKLES

0:40:350:40:39

All...the time.

0:40:390:40:43

All the time?

0:40:430:40:44

It's like that all of the time.

0:40:440:40:47

So it's not me?

0:40:470:40:49

Sorry.

0:40:490:40:50

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

0:40:500:40:54

OK.

0:40:550:40:57

Mr Levy. Could join me a moment, please?

0:41:000:41:03

Excuse me.

0:41:030:41:04

Goodness, Mr Timms. Again?

0:41:110:41:13

He says it's like that all the time.

0:41:130:41:15

See? There's hope for us all.

0:41:170:41:20

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

0:41:200:41:23

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

0:41:230:41:28

Clips, please.

0:41:280:41:30

There's a lot of free fluid here.

0:41:300:41:32

Microbiology pot.

0:41:320:41:35

Send this for an MC&S.

0:41:350:41:36

You think he bought it?

0:41:360:41:39

Not unless he recently had a lobotomy!

0:41:390:41:42

And this for an AFB.

0:41:420:41:45

Hold this back for me, please, Mr Hamilton.

0:41:450:41:47

Right back, please.

0:41:470:41:50

You're in the clear.

0:41:510:41:52

Yeah, like I ever did anything wrong.

0:41:520:41:55

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

0:41:550:41:56

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

0:41:560:41:59

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

0:41:590:42:03

See - a TB tumour. Just like I said.

0:42:030:42:08

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

0:42:080:42:11

if I was going to be all deep and symbolic.

0:42:110:42:14

I might just have to point out this...

0:42:140:42:16

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

0:42:160:42:19

It turns septic.

0:42:190:42:21

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

0:42:210:42:25

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

0:42:290:42:32

his heap of crap story suddenly becomes true.

0:42:320:42:35

Scissors.

0:42:350:42:37

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

0:42:370:42:41

There were complex problems with her heart.

0:42:410:42:43

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

0:42:430:42:46

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

0:42:460:42:51

He said she'd lose her implants!

0:42:510:42:54

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

0:42:540:42:58

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

0:42:580:43:03

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

-A worst-case scenario,

0:43:030:43:06

which we turned around into a best-case one.

0:43:060:43:09

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

0:43:090:43:13

Remind me again - what is your cup size?

0:43:130:43:16

-34C.

-Well, that is perfect!

0:43:160:43:20

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

0:43:200:43:23

in a 34C!

0:43:230:43:25

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

0:43:270:43:31

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

0:43:350:43:39

No wonder he was incontinent.

0:43:390:43:42

I'm going to drain it. Knife.

0:43:420:43:44

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

0:43:440:43:48

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

0:43:480:43:51

-And patient confidentiality and all that.

-She should know.

0:43:510:43:55

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

0:43:550:44:00

Yes, but at least she would have the choice.

0:44:000:44:03

Check this out.

0:44:210:44:22

-His medication was changed a month ago.

-Which is exactly when she said his behaviour changed.

0:44:240:44:29

-Let's look up the possible side effects.

-He's also on these meds.

0:44:290:44:33

"Side effects...

0:44:430:44:45

"possible depression, dizziness, hyposensitivity

0:44:450:44:49

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

0:44:490:44:55

Bingo.

0:44:550:44:56

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

0:44:560:45:01

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

0:45:010:45:07

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

0:45:110:45:15

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

0:45:150:45:18

-Smooth.

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

0:45:180:45:21

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

0:45:210:45:26

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

0:45:260:45:31

I let you into a secret - they all are.

0:45:310:45:34

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

0:45:340:45:37

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

0:45:370:45:40

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

0:45:400:45:44

Rosalind?

0:45:480:45:50

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

0:45:520:45:58

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

0:45:580:46:01

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

0:46:010:46:05

-Really?

-He has erectile dysfunction.

0:46:050:46:09

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

0:46:090:46:13

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

0:46:130:46:17

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

0:46:170:46:20

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

0:46:200:46:23

-No. Not at all.

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

0:46:230:46:28

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

0:46:280:46:32

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

0:46:320:46:37

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

-Sorry.

0:46:370:46:41

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

0:46:410:46:45

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

0:46:450:46:48

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

0:46:480:46:51

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

-Can you just go?

0:46:510:46:55

He's a smooth operator.

0:47:190:47:21

I didn't come out of this too well.

0:47:220:47:24

-Your patients did.

-Yeah. You're right.

0:47:240:47:26

-Thanks to you.

-You did all right, too.

0:47:260:47:29

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

0:47:290:47:32

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

0:47:320:47:36

Really?

0:47:360:47:37

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

0:47:370:47:41

It could just have easily not captured.

0:47:410:47:43

You know, you're OK.

0:47:480:47:51

This has been a learning experience.

0:47:510:47:53

I'm glad we did this.

0:47:530:47:56

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

0:48:100:48:14

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

0:48:140:48:18

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

-I can't do that, can I?

0:48:180:48:22

Not without opening up a big old can of worms.

0:48:220:48:25

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

0:48:250:48:28

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

0:48:280:48:33

She's a smart girl.

0:48:330:48:35

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

0:48:350:48:37

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

0:48:370:48:43

Maybe it's time to tell her the truth.

0:48:450:48:47

HE CLEARS HIS THROAT

0:48:570:48:59

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

0:49:010:49:05

It was very shoddy of me.

0:49:050:49:07

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

0:49:070:49:09

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

0:49:090:49:14

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

0:49:140:49:19

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

0:49:190:49:24

-My poor mother...

-You mustn't blame yourself.

0:49:240:49:26

So what's next?

0:49:260:49:29

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

-Well, good news.

0:49:290:49:33

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

0:49:330:49:38

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

0:49:380:49:43

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

-That's fine.

0:49:430:49:47

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

0:49:470:49:49

Excuse me.

0:49:490:49:51

HE GROANS

0:49:510:49:54

Can I help you?

0:49:540:49:55

Mr Timms?

0:49:580:50:00

I've kept these safe.

0:50:000:50:04

I think she likes me.

0:50:040:50:06

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

0:50:060:50:09

Play the valiant gentleman, the irresistible valiant gentleman.

0:50:090:50:13

I think she's already got a ride.

0:50:130:50:15

Ho-hum. All the best ones are taken.

0:50:190:50:22

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

0:50:220:50:25

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

0:50:320:50:36

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

0:50:360:50:41

Yeah, you're right.

0:50:410:50:42

Erm, what's wrong with Chinos?

0:50:440:50:45

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

0:50:520:50:55

-Sure. What can I do for you?

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

0:50:550:51:00

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

0:51:000:51:03

Something he doesn't want me to know.

0:51:030:51:05

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

0:51:050:51:08

All I want is to know.

0:51:080:51:10

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

0:51:100:51:15

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

0:51:150:51:17

Is he dying?

0:51:170:51:19

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

0:51:190:51:23

-Is he having an affair?

-No.

0:51:230:51:26

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

0:51:260:51:29

So all that appendix talk,

0:51:290:51:32

-was really about his appendix?

-Yes.

0:51:320:51:35

Thank you, doctor.

0:51:350:51:37

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

0:51:480:51:52

You don't know that.

0:51:520:51:54

Tell me what happened.

0:51:540:51:56

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

0:51:560:51:59

To you with Malick.

0:51:590:52:01

-It doesn't matter.

-What did Hanssen say?

0:52:030:52:07

Tell me the truth!

0:52:070:52:08

You might not like it.

0:52:080:52:10

Do you know, I thought Malick was my friend.

0:52:120:52:14

I thought I knew him.

0:52:140:52:16

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

0:52:160:52:21

Me. I'm to blame.

0:52:210:52:24

How?

0:52:240:52:25

I...

0:52:270:52:28

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

0:52:280:52:34

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

-What stuff?

0:52:340:52:38

Below the belt. Really un-PC.

0:52:380:52:42

Homophobic stuff.

0:52:420:52:44

-Dan!

-I know, I know.

0:52:440:52:46

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

0:52:460:52:50

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

-I know, I know.

0:52:500:52:55

-I've got to apologise to Malick.

-I have.

0:52:550:52:58

God. So many times.

0:52:580:53:01

I think, maybe we should...

0:53:010:53:04

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

0:53:040:53:08

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

0:53:150:53:20

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

0:53:260:53:32

# No, I can't live this way

0:53:350:53:40

# But then I heard that sweet voice cry

0:53:420:53:50

# Telling me

0:53:530:53:55

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

0:53:550:54:02

-Little alcoholic debrief?

-Yeah.

-How about you, Ms Shah?

0:54:040:54:07

Little fizz to blow away the cares of cardiology?

0:54:070:54:10

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

0:54:100:54:13

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

0:54:130:54:15

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

0:54:150:54:19

Nice to be appreciated.

0:54:190:54:20

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

0:54:200:54:25

Shall we?

0:54:270:54:29

-No, I think I'm good.

-Really?

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

0:54:290:54:32

# I look at the skyline

0:54:350:54:38

# A million lights are looking back at me

0:54:380:54:42

# And when they shine

0:54:460:54:49

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

0:54:490:54:54

# I just look at the skyline... #

0:54:540:54:56

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0:55:110:55:14

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0:55:140:55:17

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