Sirens Holby City

-I've been watching Miss Shah closely since she arrived at Holby.

-And what do you see?

A very bright future.

'As long as you are number one?'

As long as I'm number one, I don't care what you call yourself.

At least we both know where we stand.

Creche! Of course, creche, we'll be there soon.

-I promise, I promise!

-My baby girl!

Dr Levy?

I'm Lulu, your new F1.

You didn't do it properly!

-Please, don't do this.

-She needs someone to look after her, properly.

She's got me now.

She's got me.

SIREN WAILS

-What is it?

-An ambulance.

-Emergency?

-Not unless the patient is two inches tall and made of plastic.

-Cute. Yours?

-It's my son's.

-It's his birthday.

-Oh, bit morbid, isn't it?

What are you doing here anyway?

I was going to ask you.

Double shifts. Sleeping in the on-call room.

Shouldn't you be at home?

Baking cakes, or whatever it is mummies do on days like these.

Party doesn't start until three.

What about you?

Shouldn't you be doing the rounds or whatever it is that consultants do?

-No, we have registrars to do our grunt work.

-Of course.

Who picks up the slack for working mums?

Who says anyone has to?

Hey, somebody's been busy on holiday.

Very droll. This is my grandson, Jake.

-His mother got her dates mixed up, so I've been left...

-Holding the baby.

Ah, I think he's adorable!

I'm not sure what health and safety might say though.

Safety? Oh, it's not dangerous.

My cousin, she used to carry her little Henry around in one of these things. Never fell out once.

Never had you pegged as stickler for health and safety, Malick?

Well, how are you supposed to go into surgery with that thing attached to your chest?

I don't have a list today. I'm just here to do some paperwork, then we are out of here.

Er...Mr Griffin?

There's a patient on Mr Hanssen's list

with primary sclerosing cholangitis and I thought, with you here...

Nope, I can't. Even if I wanted to.

Be patient, Malick. You'll get your chance.

-Your chance to what?

-I've been your mentee for...

weeks now. I don't want to knock your approach in any way...

If basic tasks such as sutures and incisions are beneath you,

I'm going to have to think outside the box.

Roll it across your knuckles.

Well, I can't, so...

Well, you will. By the end of today.

-You can't be serious. Why?

-Because I said so.

You want to shine? Dip yourself in Cillit Bang.

You want to be a cardiothoracic surgeon? Then learn hand-eye coordination.

Starting with that. By the end of today.

Igglepiggle. You are a children's party store, right?

Specialising in children? Then how can you not know who I'm talking about?

No, I am not interested in any of that hippy Waybuloo crap.

If I wanted my two-year-old child exposed to acid influences,

I'd go with the Teletubbies. Thank you.

-Haven't you got better things to be doing?

-Apparently not.

I have got the worst boss in the known universe.

Oh, I don't know, I've known worse.

Oh, yeah? Who?

Failure to take patient history.

Failure to maintain patient records. Poorly administered meds.

Poorly maintained patient hygiene.

And, quite frankly, poorly maintained personal hygiene.

One, maybe two, of these faults, I might've overlooked.

But seeing as though you've have managed to rack up the whole set

in just over two hours of your shift,

I have no option but to ask you to leave. Now.

OK, thanks a lot.

-You think I was harsh?

-We're a little short-staffed.

Probably best if you didn't sack anybody else before the end of the shift.

The trouble with you is you suffer fools too easily.

Besides, I've got this place running like a dream.

-There's a problem, isn't there?

-Yep.

-ED overspill?

-And then some.

Suspected food poisoning at a dinner party.

WOMAN VOMITS A big dinner party.

Apparently AAU's not the only thing "running like a dream".

Hmm. Ironic.

That's one word for it. Crisis would be another.

Well, one person's crisis is another person's opportunity.

Planning on closing up any time soon?

Mr Griffin, emergency transfer from St James's.

-They're coming in via Wyvern.

-You'll have to find Mr Hanssen.

I did. He's busy. He asked if you wouldn't mind stepping in.

I need you to take over. Do you think you can handle it?

Just watch me.

I didn't mean the emergency transfer.

-You can't be serious.

-You said you wanted more time with delicate procedures.

BABY CRIES

Yes, I'd like the balloons to read "Happy Birthday, Indy".

As in Indiana Jones, that's correct, OK?

Thank you. Bye-bye.

-Running around like Superwoman, who's she trying to fool? Hanssen or herself?

-I don't know,

working mother of two, highly-skilled surgeon,

recently put in charge of an ambitious new cardiac trauma...unit.

OK, all patients present and accounted for.

This is a CT ward, not a classroom.

-PHONE RINGS

-Mrs Miles in bed three is on hourly obs

and Mr Danvers in bed eight should be ready for discharge by 4pm.

Can you answer the phone?

All grunt work completed.

-Darwin Ward.

-This registrar is signing off.

PHONE RINGS

-Where's Jake?

-With Nurse Lane.

You left my grandson in the care of a nurse barely out of her teens?

I just thought I could be better use to you here.

These came through from St James's, the emergency transfer -

female, in her 40s, requiring abdominal reconstruction.

And it says here there were post-operative complications

due to the patient having third-degree burns to 70% of her body.

Burns.

-Simone.

-You know her?

Signs of infection.

Let's get her up to HDU.

Who is she?

Simone Tait,

Elizabeth's mother.

Elizabeth?

Mr Griffin?

You know, you can get out of here, I can take care of this.

-No. My responsibility. There's time.

-Alfie Summers - penetrative trauma to the chest. BP 50/40.

-Heart rate 130 and climbing.

-Shortness of breath,

distended veins in the neck.

Sahira, are you OK?

-He's just a kid.

-A kid with a possible tension pneumothorax.

Come on we need to deal with this.

-I want to see my son. Where is he?

-You need to wait.

-Alfie?

Please, I want to go inside and see my son. He needs his mother.

He needs to see me.

Get onto St James's and have them send over her previous abdominal CT scans.

-Hanssen is going to want to see them.

-Hanssen?

Why are you bringing him on board?

You and I can handle this.

I'm not handling this.

I'm going to finish my paperwork, pick up my grandson and I'm going home.

What? You're just going to walk away?

I don't have a choice.

The scans?

Elizabeth?

How are you?

-You've seen her.

-Can you tell me what happened?

They tried to help her. They failed.

So St James's sent her here?

I brought her here.

She needs the best. That's you.

-Elizabeth, I...

-You have to help her.

Please.

I'll do everything I can.

-No, I want to see him. Alfie?

-Oliver, could you show Mr and Mrs Summers somewhere to wait, please?

-No. I want to stay.

-I appreciate that, but we need to do our job.

-You do not want to be here.

-C'mon.

I'm ready for the needle.

Could you cover his face, please?

-You OK?

-Yeah.

-Do you mind telling me where your new F1 is?

-Who, Lulu?

She's over 30 minutes late and we are snowed under here, Sacha.

Look who's wishing they hadn't tempted fate.

Oh, look who hasn't answered my question.

-Stuck in traffic?

-SHE SIGHS

How am I supposed to know? Besides, what do you mean my F1?

You wanted her over "the bulldog".

That was before she was half an hour late on her first day. It's like Friday night in the ED.

Only the patients are 60 instead of 16.

Headaches, vomiting, abdominal cramping...

All consistent with food poisoning.

I've just never seen it strike so quickly or so uniform.

-Have you found anyone well enough to give a proper history?

-Come with me.

Elsie, Betty, this is Mr Levy.

Ooh, Elsie, look! A doctor.

-Oh, fancy that!

-In a hospital and all.

Only taken him 30 minutes to get round to seeing us.

Fair dues, it is a rather large hospital.

Rather large doctor too, as it happens!

Mr Levy was wondering how you came to be here.

We're sick.

Quite. All ten of you, that's one heck of a dinner party.

Quarterly meeting of the Holby Antiques And Gardening Society.

Antiques and gardening?

-There was a merger.

-Merger.

HAGS.

It's an acronym.

Oh, not only a doctor, but a comedian too.

Look, we're just trying to work out what happened so we can isolate the cause of your illness.

If you're looking for what caused this, she's lying right there.

Shelley Ashcroft.

Whatever it is they've got, she's copped the worst of it.

Well, she hosted the dinner. Stands to reason she should suffer for it.

New girl, first-time host - big mistake.

Alfie was suffering from tension pneumothorax caused by a collapsed lung.

We've inserted a chest drain which has released pressure on the lung.

So he's OK?

He's going to be OK?

Well, he's stable at the moment, but, um...

The CT shows us that your son has two metal objects in and around the area of his heart.

There can be a danger that removing the objects can cause as much damage as they did going in.

What are you saying? That you can't help him?

I'm saying we have to be careful.

We won't know the extent of the damage until we've sent him for further scans.

I know this is difficult, but you must be patient.

He's in good hands.

What happened?

I...

It's OK.

He was with me in my work shed.

I turned my back for a moment.

It must have been then that he picked up my nail gun.

It was an accident.

Aw, if I'd known, I would have bought you two a present.

So emergency transfer from St James's.

-Anything interesting?

-You could say that.

Enterocutaneous fistulas?

-Need some help?

-He's got all the help he needs, thanks.

Besides, aren't you busy with your plastics empire?

I've got it running so tight, it runs itself.

Mr Bhatti taking all the interesting cases, huh?

Hey, you're doing that all wrong.

I have burped babies before.

Not this century, Grandpa.

Come on, give.

Um, can you get a stoma nurse to attend the patient?

Seriously, you don't need some help?

-Malick's good, but...

-I can handle it.

-This is major league.

-I know.

Does the patient?

-Not yet.

-Does Elizabeth?

-Mr Griffin? The hospital creche is full, no space until this afternoon.

-Chantelle...

um, look, I know this is a little irregular,

but could you just keep an eye on Jake for a little while?

I'm not sure, I don't have that much experience.

Well, what about Henry that you were telling me about earlier. Didn't you ever look after him?

-Well, yeah, but it's hardly the same thing.

-It won't be for long.

I've left messages for his mum and she'll be here to pick him up.

Very soon, I'm sure. Please?

Thanks.

-Any problems, you come and find me.

-Where you going?

To find Elizabeth.

Let her know what lies ahead.

OK...

-BABY BURPS

-Ooh, ah, there we go!

-BABY VOMITS

-Oops!

Come on, not on the suit!

I told Shelley that salmon would be a mistake.

-These young ones, they never listen. Do they, nurse?

-I beg your pardon?

See?

THEY LAUGH

-LADY STARTS TO GAG

-Oh, nurse!

-Oi! Careful with that!

-What's in there?

My pride and joy.

-Mugs?

-Those mugs are worth more than you earn in a year, love.

They're antiques.

-They go wherever I go.

-I can put them in the ward safe if you...

They stay with me.

They stay with Betty.

OK.

How are Holby's female answer to Statler and Waldorf?

Muppets? Dragons, more like.

What's that?

Prelim test results.

Funny sort of food poisoning, no sign of salmonella.

Yeah, well, maybe Shelley used rat poison instead of seasoning.

That's one way to deal with the HAGS.

Something wrong?

You seem a little tense.

-You're late.

-I know. Sorry. I...

lost track of time.

You and I are going to have a little chat.

Ah! Intracardiac shrapnel trauma, I believe.

Now, this is a perfect example of what our new Cardiac Trauma Unit is trained to deal with.

May I introduce Ms Shah, the unit's lead surgeon.

Members of the SHA on a fact-finding tour. I hope they will be impressed by what they see today.

I can guarantee it.

-Jac Naylor - consultant cardiothoracic surgeon.

-Just one of Darwin's consultants.

We're very pleased to have her general overview on the cardiac trial.

Carry on.

We'll be watching.

Elizabeth?

I've been looking for you.

Your mother's condition is serious.

I know. That's why I brought her here.

Why are you sitting here?

You should be with her.

You should be with your mother.

I've been with her,

night and day, for four weeks.

Watching her struggle.

Watching her cry. I can't help her.

You can.

The Acute Admissions Unit is a short-stay department,

a gateway between the ED and separate wards.

We're a fast, effective and efficient service.

Which leads me to your footwear.

-Oh, you like them? A present from my father for getting the placement.

-Yeah, fascinating.

However, they're not very suitable for that fast, effective service I was talking about.

I don't know, I can get about pretty quickly.

They're heels, Ms Hutchison. Look around you.

When the floor's not covered in vomit,

it's covered in detergent.

It's slippery.

You run in those and you'll be the patient, not the doctor.

Running? Who said anything about running?

-I told you - fast, effective...

-Doctors show deportment, right?

Running's for nurses, porters.

Right.

Well, let's get you started, then.

We've had an apparent outbreak of food poisoning

and in a situation like this it means all hands on deck.

So you'll be required to keep an eye on obs,

interact with patients,

and take care of their comfort and their hygiene.

Which means changing bedpans, if needs be.

Elsie, Betty, this is Dr Hutchison, she's our new girl.

She's going to be taking care of you

and I hope you give her the same welcome as you give everyone else.

Hi.

Alfie Summers' scans.

-One of the nails has lodged under the left ventricle?

-Partly.

It'll be tricky getting it out.

Well, we won't know for sure until we're in there.

Is that the scan?

Yeah.

Fairly standard, nothing unexpected.

Look, I... I wanted to say thank you.

For before, you know, jumping in with the parents.

Oh, well, that's my job - to look after my registrar.

As such, I was thinking you should take the rest of the day off -

go home, enjoy your kid's birthday, relax.

-I can take care of this.

-I can't.

You heard Hanssen. I've just got this Cardiac Trauma Unit up...

OK, this is your last chance.

Offer ends in five, four, three...

OK.

Thanks. I owe you one.

-There you go.

-Oh, thanks.

So, how's young Lulu coming along?

Well, if I didn't know any better, I'd say she looks down on me.

Well, with those heels...

I mean it, Sacha, I won't have junior doctors, or ANY doctors,

thinking they're superior to the nursing staff.

Too right. That's YOUR job!

It's her first day here, she's probably nervous.

-You know, feeling her way around the hierarchy. She'll learn.

-Yeah.

Yeah, she will.

What have you done?

Nothing.

From Jingdezhen, the Jiangxi Province, I'm reliably informed.

-Oh, hello.

-What are you doing?

Discussing Betty's antique, ceramic, drinking vessel collection.

Thank you. Chinese from the Qing Dynasty?

Oh, she's a quick learner, this one.

For a new girl.

-Car boot sale.

-Really?

Got a very good eye.

Hi, it's only me. Something came up at work, but it's been dealt with now,

so balloons and cake should be delivered soon. Bye.

-Ms Shah.

-Mr Hanssen.

What's this?

Present, I presume.

It's, um, for Indy.

-It's his birthday today.

-I see.

Er, I met Mr and Mrs Summers -

the parents of Alfred, your cardiac trauma patient.

They're worried about him, understandably.

I assured them he's in the very best of hands.

Well, um, actually, Ms Naylor...

Is not co-ordinator of the Cardiac Trauma Facility,

which if I may remind you, is a project I've put a lot of faith into. Not to mention political will.

I would hate to see it jeopardised.

So would I.

Good.

Evidence of the small bowel poking out...

..and spilling out onto the abdominal wall.

You.

-Simone.

-You're going to fix me up?

We're going to try our best.

Elizabeth got a lot of faith in you.

I prefer to place my faith in God.

I'm dying, aren't I?

You're not dying,

but there's no denying that this is a very serious procedure.

Things could go wrong.

If that happens...

..promise me you'll let me go.

-You WANT to die?

-That would be a sin.

What I'm saying is, if God decides it's my time,

I don't want YOU interfering.

-I really think that you should talk to Elizabeth.

-No! She won't listen.

She won't understand. You should know that.

If God comes to take me,

you stay out of it.

I'll need to ask you some questions.

-Do you mind telling me what that was about?

-I'm sorry, have I done something to offend you?

It's nothing like that.

We just... We run a fairly egalitarian ward here.

-Sometimes junior doctors want to feel superior to nurses.

-Please!

I don't feel superior to nurses.

The very thought!

Shall I get on?

We all good?

She doesn't "feel" superior.

-Here we are!

-And who's this?

Jake Griffin. I'm looking after him. We're going for a walk, aren't we?

You thought taking a baby for a walk around a hospital was a good idea, Chantelle?

We started in paeds. Loved you in there, didn't they?

They gave him the rattle.

-Thought we'd look for souvenirs down here.

-Oh, like a bacterial infection(!)

There's a bacterial infection?

-OMG.

-Chantelle, Chantelle...

she didn't mean it like...that.

So what's Ms Shah's plan of action?

A4, then onto the A39 to avoid traffic, I believe.

-You sent her home?

-I offered to take the lead on her patient, that's all.

-Can I assist?

-I don't know, can you?

-Show me.

-What?

-The coin.

-Well, I can't.

-Well, then, you can't.

-What are you doing here?

-My job.

-But what about your kid's birthday? What's your husband going to think?

-He understands I have a job to do.

Besides, I plan to be done and home in time for cake.

Not on this one.

This is no Shake N' Bake, I don't care how good you are.

I thought you said...

No shining today?

It's not over yet.

They're ready to start prepping Ms Tait. Theatre's free in 30 minutes.

OK.

-What's this?

-An advanced decision form.

-For Simone Tait?

-Is something wrong?

-For one thing she's not your patient!

-I thought I was saving you trouble.

-You should have referred to me first.

Look, it was done properly. I went through the questions. Mr Griffin, we were there.

-This is what she wants.

-It's not as simple as that.

Simone Tate...

There are issues of competency here.

Well, she seemed pretty competent to me.

-We can't be sure that she means what she says.

-Well, who would be?

I don't know...Elizabeth?

-The patient explicitly stated we're not...

-Yes, thank you, I know that.

So, what are we going to do?

Well, you've done quite enough already.

Nurse Tait, everything all right?

Is that her?

Your mother?

She looks very happy.

It was a long time ago.

Has Ric spoken to you?

Seems like Mr Griffin's done enough talking. What's he said to you?

Um, nothing, we were just talking about the procedure.

Why does everyone want to talk to me about my mother? It's private.

He is your mother's doctor.

And your friend, I thought.

Ric wants you to be with her, this could be the last chance you get.

All right.

So you don't think he'd be exposed to something on AAU?

Probably not. I can check him over for you if you want?

VATS?

Video Assisted Thorascopic Surgery.

-That's what I said.

-Yes, but you make it sound like something to be avoided when buying a new car.

-I know it's something to avoid in this surgery.

-It's the best option.

No, it's the fastest option.

-What is it that you're implying?

-PHONE BUZZES

I'm not implying anything.

I'm asking if you're choosing this

because it's best practice for your patient or best outcome for you?

I haven't got time for this.

PHONE RINGS

Can someone answer the phone, please?

How did you get landed with babysitting duty anyway?

-His mum's gone off and Mr Griffin's too busy to look after him.

-Darwin ward!

No, Ms Shah is busy.

No, I don't know when she'll be available.

I'm not her secretary. Who is this?

Her husband?

-Eddi?

-Yeah?

Have a feel of that.

-It's distended.

-Yeah, that's what I thought.

I've had a listen as well, bowels sound tinkly.

They're bound to, given what's going on down there.

Yeah, that's the thing - some, most, are complaining of constipation.

If you've ever had food poisoning...

Yeah, I have. You're right.

-It's odd.

-Nah, there's something wrong about this.

-Now, I don't want to tell you how to do your job, but I've ordered some bloods.

-So have I.

Who was in charge of getting them?

Well, they should be on their way, then.

I'll tell you what,

if they're not on the way, then she will be.

All the way out that door.

-Why did you become a doctor?

-It's what my father always wanted.

Is it what you wanted?

Does it matter?

Those tests Mr Levy ordered...

Oh, there was a backlog.

-A backlog?

-But I asked the girl in the lab, Suzy something or other, to do a rush job.

-Said it would be about an hour.

-What, she said yes?

-Told her I'd make it worth her while.

-How do you plan on doing that?

Don't know yet.

But something always turns up.

What goes around comes around.

-You know, you're really quite pretty.

-What?

A little lip gloss, some shadow.

You can borrow some if you want.

No, I don't use it.

Why not?

I've just never really felt the need.

Then I suppose you don't care about the smudge on your cheek.

That's Igglepiggle, isn't it?

-Alfie's favourite.

-Yeah, mine too.

-You have a son?

-Indy.

-How old?

-He's two. Well, he's just turned two.

Today, in fact.

Well, I hope he enjoys his day.

It's very good.

I've always been good with my hands -

at making things, fixing things.

Except this.

What's happened to Alfie,

I can't fix that.

Alfie's always been curious.

Always wanting to help his dad out.

Hey...this isn't your fault.

Please don't.

-Tell him.

-I don't deal with blame, it's not my place.

-PHONE BUZZES

-But I do need to tell you what I plan to do.

Shouldn't you get that?

Erm, I'd...

I'd like to use a form of keyhole surgery.

It's minimally invasive, there's less chance of infection and better recovery time.

-But it does have risks.

-Risks?

What risks?

Mum?

She's asleep.

Probably from the pre-meds.

But she's doing fine.

Mr Spence said I should be here.

He said it was serious.

It is.

She'll wake up soon enough.

You'll get to talk to her.

Who's responsible for this?

-For what?

-Who put an advanced decision in my mother's notes?

Elizabeth, it's not what you think.

VATS is less invasive and recovery is better, but it does have its limitations.

Obviously when a surgeon is performing keyhole surgery, there is less space to manoeuvre.

There is less space to improvise.

-Improvise?

-Should anything go wrong.

Didn't you say earlier taking the nails out might cause more damage?

-Please! I have done this before.

-What if it was your kid?

If it was Indy. Would you use this technique, if it was him?

If it was Indy, this would not have happened in the first place.

-How dare you?

-Sahira...

-How dare I? Where were you? Where were you?

-I wasn't there for him.

-He is two years old, for God's sake!

-Ms Shah! That is enough!

-He's four.

-What?

Alfie's four years old.

It's Indy, it's your son who's turning two.

I'm sorry.

Can you please take over?

PHONE BEEPS

Jack, you...

Sahira?

Where are the suits?

Here and there, observing.

Well, tell them to stick around.

Because I'm going to give them something to observe. Excuse me.

Let me get this straight,

you want me to take over. Why?

-Mr Hanssen isn't available.

-That's not what I'm asking.

There's been a fundamental breakdown in trust.

So you don't trust Ric's ability as a surgeon?

It's more of an ethical issue.

It doesn't matter why. Will you do it?

Well, it doesn't look like we've got much of a choice.

-Michael...

-If we're going to do this, we'd better move fast.

-OK, but Ric is coming in with me.

-What?

-Just wait a minute!

-No.

If I'm a part of this farce, that is my condition.

You don't trust him? Fine. You want me to take lead? Fine.

But I will not step inside that theatre without Ric as my assistant.

He knows the patient better, he knows the procedure better

and his expertise in this area is second to none.

Now you say you don't trust him, but I do.

OK. Whatever you say.

All right, I'm going to leave it to you to explain to your mother the change in circumstances.

Sorry, Malick. Next time.

I want that team ready to go in five minutes.

Put your tongue away, will you?

I did it!

-Jac!

-Sahira, I thought you'd be home cutting cake by now.

-I bet you did.

-What's wrong?

Do you mind telling me why my husband's been told I'm not coming home for my son's birthday? Well?

-Doctor!

-Nurse! Somebody help, quickly!

Lulu! Quick, Lulu!

-Shelley!

-What's happening to her?

-You all right, Shell?

-Is she going to be all right?

-Oh, my goodness me!

Oh, Lord!

It's not good to watch is it? Ooh.

What's her signs?

BP 60/30, pulse rate 120, and I'm squeezing fluids.

-Good start. What next?

-Intravenous diazepam?

-Very good. Nurse McKee?

-That should stabilize it.

-OK, suggested follow up procedure?

-Fluids. Half hourly obs.

-OK, don't tell me.

-Got it. Thanks.

-Is that going to happen to us?

-How do you feel?

Better than Shelley, that's for sure.

Yes, that is for sure.

Is it me or are these two exhibiting significantly less symptoms than everyone else?

-Could be. Or maybe they're just tougher than the others.

-Oh, my God!

-I don't know, this isn't playing out like a bacterial infection.

-No, it's not.

Right, I want a full history, OK? Every single member of the HAGS.

What they ate, what they drank, everything.

He called! I just happened to answer the phone.

You don't happen to just do anything.

You've always got an agenda, always got an angle.

-I was telling the truth.

-You invaded my privacy.

I mean what kind of a person does that? What were you thinking?

That you had a difficult case, but were determined to see it through and might not make it home.

All of which is true.

All of which is, word for word, what I told your husband.

You're not angry with me because I told him the truth,

you're angry because you didn't have the guts to do it yourself.

If you would just stop getting in my way, stop undermining me, I wouldn't have to!

Undermining you?

I've been trying to help you. Help us.

How? How, by stealing my patient?

By protecting you from yourself.

By protecting this trial from a lead surgeon who has spread herself too thin.

When are you going to realise that you can be Superwoman at work,

and you can be Supermum at home, but you can't be both?

I don't know,

you manage to be Superbitch 24/7!

That's because it comes easily to me,

I've had a lifetime of practise.

-Guys.

-TOGETHER:

-Not now.

Yes, now. It's Alfie Summers, he's tachycardic.

Mum?

Mum.

Hey...baby girl.

I knew you couldn't avoid me forever.

Mum, there's been a change,

Mr Griffin won't be leading your surgery, Mr Spence will.

I don't know any Mr Spence.

He's a consultant, one of the best.

That's what you said about the other one.

What's going on?

Mum...

He told you, didn't he?

That I wanted to pass if it was God's will.

I warned him this would happen.

That you wouldn't listen.

-I don't know...

-Don't lie to me! You was never any good at lying.

You was always good at running away though.

Well, you can't run away from this.

What do you call wanting to pass, if not running away?

-Jesus...

-Don't you take his name in vain!

-Don't you dare do that!

-Mum, you're not thinking straight.

I just want the punishment to stop!

God isn't punishing you.

I know that, girl.

Don't you understand?

He's punishing you.

I warned you.

She doesn't listen.

She never did.

Elizabeth?

I'm sure that your mother didn't mean what she just said.

She meant every word.

-She hates me.

-Your mother doesn't hate you.

She always has.

-Maybe with good reason.

-Don't say that. This is not your fault.

Whose is it, then? Yours?

She wants to die...

..let her.

You don't mean that.

Elizabeth?

-Ooh, finally.

-Oh, Betts, Betts.

-Shall we?

-Careful. I'll be careful!

-And you all ate the same thing? And drank the same?

-Oh, yes.

Shelley splashed out big on the wine.

From Chile. Who heard of wine coming from Chile?

-Not that it matters to us.

-Why not?

-We don't drink wine, we stick with this stuff.

-Water?

We just provided the receptacles.

-You used your antique china cups at the dinner party?

-And why not?

-Oh! This water's off.

-Water doesn't go off.

-Well, this stuff has. It tastes...

-Of metal.

Same as Shelley's.

You must share the same pipe.

Excuse me for one minute.

Nurse!

Got a job for you.

Well?

-"Well" what?

-Do you want to tell me what's happening?

I told you...

fundamental breakdown in trust.

Come on! That may be Elizabeth's reasoning, but what about yours?

What do you mean?

I mean that you rolled over faster than a puppy getting its belly rubbed. What's going on?

-Elizabeth thinks what happened to her mother is my fault.

-Why?

Maybe because it is.

You intervened?

I went round there with her pastor and O'Neill from psyche.

Sounds like you had to.

Seemed like the right thing to do,

then she locked herself in the flat, started a fire.

This is the consequence of my actions.

This is not your fault. I mean, Lord knows,

I've waited for you to show humility

and when it finally arrives, it's completely misplaced. You're not to blame.

Elizabeth blames me.

Well, she just wants someone to make it all better.

Sometimes that is easier said than done.

What a mess.

Yeah.

Where's Dr Hutchison?

On her break, I should think.

-Break? She's an F1.

-What does that mean?

That she doesn't get breaks.

Here, you need to do something about your water.

Yes!

She's got to go.

-Who?

-Dr Hutchison.

-What's she done now?

-Nothing.

-Then I fail to see...

-No, I mean she's done nothing.

Like she's done all day. No work.

No desire. No dedication.

And now she's gone on a break.

-She's new. Give her a chance.

-Yeah, I have!

She might be new,

but she has more sense of entitlement than Marie Antoinette!

Her father is the Sun King, remember?

I thought she got the job because she was the best, not because of who her dad is.

-Well, it's not why she got hired, but it's probably why she can't be fired.

-Says who?

-You're serious?

-Deadly.

I'm sorry, Sacha, but if you won't go to Hanssen and tell him you made a mistake, then I will.

And what are you going to tell him? Hm?

That you and I faked the results of an apparently objective final interview exam,

to ensure that Lulu got the position?

I'm sure HR will love to hear about that.

And having gone to such lengths to keep out the bulldog,

you want to get rid of the successful candidate

on the basis of her first day's work. Which, by the way, actually, she hasn't done anything wrong.

-What do you think Hanssen will think?

-That there's a problem.

Yeah, but with who?

Eddi, you've got to give people a chance.

They might just surprise you.

All looking smooth so far.

Suction.

Do you really think I chose this technique to cut corners?

I think Mr Summers asked a pertinent question.

Would I be doing this if it was Indy?

Yes, of course.

Then, no, I don't think you'd choose to cut corners.

Do you really think I've been undermining you all day?

I think you wanted to take this case. I've found a nail.

Gently does it. There's some truth to that, but not the whole truth.

We're in this together whether you like it or not.

The fact is you were emotionally attached to this child the moment he came through the door.

For this trial to work, we've just got to accept that we need each other.

Good afternoon, ladies and gentlemen.

Kidney dish?

-Maybe you WERE right.

-BEEPING

BP's dropping.

-There could be damage to the myocardium.

-Cut the pericardium.

-Sahira?

-No.

That's not the cause of the bleeding. We're going to have to open him up. Scalpel.

-You OK? Do you want me to cut?

-No. I've got this.

Ah, we have a bleed!

All right, suction, packs!

Ah, c'mon,

I can't get into the pelvis.

More suction.

-Need to stop that bleed.

-Damn it. I can't get access.

She's bleeding out.

Elizabeth!

-Bloods, FFP, fluids.

-You can't, that's breaking the advanced decision.

This is not unsalvageable, we have a different set of circumstances.

-That's just semantics.

-Please, just pack the pelvis to stop the bleeding.

-Keep her stable till I get back.

-Where are you going?

-To find Elizabeth.

I can't make this decision.

Swabs!

Right, suction.

-There are too many clots here.

-We'll have to take them out.

It's too much.

-I shouldn't have done this.

-Just stay on it.

-I can't.

-You must.

Listen to me. Listen to me,

Superbitch says keep going

because whilst you might be Hanssen's favourite, I most certainly am not.

Don't take me down with you.

Don't worry.

No-one's going down today.

All right, Shelley, just try and breathe normally. OK?

-Where have you been?

-Library.

-That's handy, when your patient's dying.

-Ladies, can we concentrate on the job at hand, please? More intravenous diazepam.

-No.

Intravenous sodium calcium edetate.

-Now.

-You think it's lead?

-Look at her mouth.

Well, fancy that.

Blue line around the gum line.

Lead poisoning? How is that possible?

Oi, be careful, those are priceless.

No, they're worthless.

Cheap knock offs.

Lead-lined knock offs.

That's ridiculous, we used them too.

-With water.

-So what?

Wine's corrosive, water's not.

You got a small dose, Shelley got the full whack.

A very good diagnosis.

Looks like the new girl's not to blame after all.

SHE MOUTHS

Two units cross matched and also clotting screen.

-One unit of FFP.

-4/0 prolene.

-Can you see it yet?

-Not yet.

It'll be the shiny nail-like object.

-You know what I love about you, Jac?

-What?

-Nothing.

See?

-We do have something in common.

-Got it!

Forceps?

-Gently.

-Yes, I know.

Yeah, I mean it.

-Quick.

-Way ahead of you.

One...

two...

three...

..done.

20 French drain.

There are two, maybe three surgeons in the world

who would've attempted that suture,

let alone successfully.

Welcome to the club.

Hello! Are you OK?

Is that Mr Griffin's grandson?

We've been all around the hospital, haven't we?

I'm exhausted.

Can I...

Oh, you wouldn't mind?

You're a natural.

You've been looking after him all day?

Why?

Because you needed Mr Griffin's help.

Elizabeth?

Jake?!

It's all right.

Your mother.

Is she, um...

She was bleeding out, but we've packed her.

Look, the situation has changed. It's not what we discussed.

I don't know whether we can save her, but we can try.

What do you want me to do?

Save her.

Whatever it takes. Please.

Dr Hutchison...

Look, we might have got off on the wrong foot, but we need to get one thing straight.

-There's no need to apol...

-I don't care whose daughter you are,

if you disappear like that again, I'll have you off this ward faster than you say "trust fund".

By the way, that was a very impressive diagnosis today. Well done.

Am I in your good books or bad ones?

A little bit of both.

Look, I know we got off on the wrong foot today and I know I can seem aloof at times.

It's just a defence mechanism.

Fact is you intimidate me.

I intimidate you?

You're so good at your job.

So confident, assertive,

experienced.

You've worked your way to the top, whereas I...

I'm just starting out.

Peace?

Peace.

Just one thing...

..the reason I go under the name Hutchison rather than Anderson

is because I don't really want people to know who my father is or what he does.

That way people aren't under the mistaken impression that I need Daddy's protection.

Because I don't.

I'm more than capable of looking after myself.

I want three more units of blood on standby.

What's the plan?

Packing out.

Find that bleed and achieve haemostasis as quickly as we can.

PHONE BEEPS

'She looks so different.'

Almost at peace.

She deserves some peace.

So do you.

Mr Griffin...

It's all right.

No, it's not.

I've been so angry.

So full of...

I'm sorry.

It's OK.

It's not your fault.

Yes, it is.

It always has been.

As long as I can remember, I've wanted to run away from her.

This is the result.

The punishment.

Elizabeth...

Ms Naylor!

Watch.

-I thank you!

-Very good.

So, I'm ready for theatre now, right?

No. But you might be ready for a flea circus.

You sure that I can't give you a lift?

Oh, thank you, but my cousin's here to meet me.

OK, well, good night and thank you.

Henry! Henry!

HEART RATE BEEPING

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