0:00:39 > 0:00:42Well, you may have heard that there was a suicide attempt.
0:00:42 > 0:00:46- The roof - I'm aware. - Don't you ever, ever, EVER stop?
0:00:46 > 0:00:48You don't know me, get that?
0:00:48 > 0:00:52You never did, you never will, you know nothing about me!
0:00:52 > 0:00:55Hey if we're going to do this we better move fast.
0:00:55 > 0:00:59- I won't step inside theatre without Ric as my assistant.- Sorry Malick.
0:00:59 > 0:01:00Don't laugh at me.
0:01:30 > 0:01:33- Argh!- Nice try, you only just missed.
0:01:33 > 0:01:34Story of my life at the moment.
0:01:34 > 0:01:37Keep practising. Be patient. You'll get there.
0:01:37 > 0:01:38I wasn't talking about basketball.
0:01:38 > 0:01:40Ah...
0:01:40 > 0:01:43- keeping you busy on Keller, are they?- The opposite.
0:01:43 > 0:01:45I spent more time in theatre during sixth form!
0:01:45 > 0:01:48So, how are they treating you in AAU?
0:01:48 > 0:01:50Oh, it's great! It was difficult at first
0:01:50 > 0:01:54but once I got used to the high stakes, high energy tempo...
0:01:54 > 0:01:56it's challenging, exciting...
0:01:56 > 0:01:58- new experiences each day... - Yeah, right, hmm.
0:01:58 > 0:02:00Sounds nice, yeah lovely.
0:02:00 > 0:02:05- The ball?- Oh... right. Can I?
0:02:13 > 0:02:14Huh.
0:02:14 > 0:02:17Fancy that?
0:02:17 > 0:02:19Have a nice day!
0:02:24 > 0:02:30Mr Jolly, Mr Yedif, Mrs Oliyide, Drysdale.
0:02:31 > 0:02:35All right. Mr Malick. Now that's what I'm talking about.
0:02:35 > 0:02:38Things are looking up...
0:02:38 > 0:02:42- Whoa, what are you doing? - Updating the board.
0:02:42 > 0:02:43Yeah, I can see that. Why?
0:02:43 > 0:02:45What happened?
0:02:45 > 0:02:48I don't know. Mr Hanssen just called to say it'd been bumped.
0:02:48 > 0:02:51- Something about a GS/CT crossover. - What CT crossover?
0:02:51 > 0:02:53Mr Webster. Bed two...
0:02:53 > 0:02:56- Yeah, what about him? - He's got a boil that needs lancing.
0:02:56 > 0:02:58- He's due in theatre this afternoon...- Right.
0:03:05 > 0:03:07Mr Webster? I'm Mr Malick
0:03:07 > 0:03:10and THAT is some boil.
0:03:10 > 0:03:14Now, if I'm not mistaken that is a sebaceous cyst
0:03:14 > 0:03:17- which needs to be lanced.- Mr Malick?
0:03:17 > 0:03:20How do I know this? Five years of medical school, two years of
0:03:20 > 0:03:23foundation training and several years as a surgical registrar, all of which
0:03:23 > 0:03:28- lead us to this point in time... Lord have mercy, what is that?- Ow!
0:03:28 > 0:03:30You're welcome.
0:03:32 > 0:03:35He's all yours.
0:03:35 > 0:03:39Sorry, Mr Malick, but what was that?
0:03:39 > 0:03:43- My time and expertise being wasted? - You just lectured him on cysts.
0:03:43 > 0:03:48- Just provided him with some helpful background...- Mr Webster has Gardner's syndrome.
0:03:48 > 0:03:51Oh, so he knows all about sebaceous cysts?
0:03:51 > 0:03:55Yeah, probably, seeing as he's suffered with them his whole life.
0:03:55 > 0:03:57- Oops.- You could've just talked to him.
0:03:57 > 0:04:00My job is not to talk to patients. It's to fix them.
0:04:00 > 0:04:05Show me a surgeon who "gets to know" their patients and I'll show you an accident waiting to happen.
0:04:07 > 0:04:10So I'm coming out of the jump, a regulation "nose-grab",
0:04:10 > 0:04:15- rotating round and this guy slides in from the right.- From the right?
0:04:15 > 0:04:17Total wipe out. Tail bone slammer...
0:04:17 > 0:04:19Totally...
0:04:19 > 0:04:21- You have no idea what I'm talking about do you?- None at all.
0:04:21 > 0:04:24But I got the bit about where you banged your head.
0:04:24 > 0:04:27- All he told me was he'd had a bit of a tumble...- Mum!- Have you seen...?
0:04:27 > 0:04:29It's the size of an egg.
0:04:29 > 0:04:32- When was that? - Yesterday. Snowboarding.
0:04:32 > 0:04:37- At the indoor run in Plymouth. - Why didn't you come in straight away?- It's just a bump.
0:04:37 > 0:04:40Ah, Josh, Mrs Cahill, this is Senior Staff Nurse Mckee.
0:04:40 > 0:04:42So how do you feel now?
0:04:42 > 0:04:45- Bored.- Josh...
0:04:45 > 0:04:47Look, last night I felt fine.
0:04:47 > 0:04:52Sore arm, sore shoulder. A few bumps and bruises... nothing I haven't had before.
0:04:52 > 0:04:57But he felt a bit queasy this morning so I thought better safe than sorry so I brought him in.
0:04:57 > 0:05:00Well, your eye, verbal and motor responses are absolutely fine
0:05:00 > 0:05:04but I just want to get some X-rays done just to make sure. Hourly neuro-obs please?
0:05:04 > 0:05:08- Louise?- Hourly? Sorry, how long's this going to take?
0:05:08 > 0:05:11- Oh, he'll be on his way soon enough. - Can you show Josh to bed four?
0:05:14 > 0:05:16You just can't help yourself, can you?
0:05:16 > 0:05:19- How long did that consult take? - Too long?- Uh-huh.
0:05:19 > 0:05:23There's nothing wrong with taking an interest in patients. It's called the human touch.
0:05:23 > 0:05:28Yeah well, there's nothing wrong with being efficient. It's called being professional.
0:05:37 > 0:05:40A word in my office, please, Mr Malick.
0:05:40 > 0:05:43Without the wheelchair.
0:05:46 > 0:05:52You should really be in bed, you know. The bump. Possible concussion?
0:05:52 > 0:05:56S'all right. I'm pretty sure there's nothing wrong with me.
0:05:56 > 0:05:59Well, if you're looking to be discharged, I can't until I've seen the X-ray.
0:05:59 > 0:06:05I was kind of wondering if maybe you could, um, slow things down a bit. Maybe till after lunch.
0:06:05 > 0:06:08- You got somewhere you don't want to be?- English.
0:06:08 > 0:06:11My Mum's got me a tutor cos I'm rubbish...
0:06:11 > 0:06:14I only agreed to come down here cos I haven't finished my essay.
0:06:14 > 0:06:18- You faked symptoms to get out of doing homework?! - Does this look fake to you?
0:06:18 > 0:06:20I might've exaggerated things...
0:06:20 > 0:06:22a bit...to my mum, this morning.
0:06:22 > 0:06:24What time's this English lesson?
0:06:24 > 0:06:26This afternoon.
0:06:26 > 0:06:31Tess of the d'Urbervilles. If I don't get this essay in they won't enter me for my A levels -
0:06:31 > 0:06:34not that they're going do me any good anyway.
0:06:34 > 0:06:36Easy to say that now.
0:06:36 > 0:06:39How much do you think this is worth?
0:06:39 > 0:06:43- It's a phone. I have absolutely no idea.- Three grand. How much did it cost me?
0:06:45 > 0:06:49- Nothing. They're one of my sponsors. - What do they sponsor you to do?
0:06:49 > 0:06:53- Snowboarding. - Oh, so it's serious then?
0:06:53 > 0:06:57Yeah, to me and a few others.
0:06:57 > 0:07:01- But not your English teacher?- Nor my mum, if she finds out I'm failing.
0:07:01 > 0:07:05What do you say? Lose those X-rays in the system for a bit?
0:07:05 > 0:07:08Who's going to know?
0:07:09 > 0:07:11- Excuse me.- Got to split.
0:07:14 > 0:07:16- I've had it with being blackballed in this department.- Blackballed?!
0:07:16 > 0:07:19I know I've got a reputation but I've done some things to earn it,
0:07:19 > 0:07:24but I'm also a damn good surgeon - too good to be wasting my time cleaning pus out of boils.
0:07:24 > 0:07:28- Mr Malick...- You told me to be patient. You told me my time would come. Well, trust me,
0:07:28 > 0:07:32I have been patient. I've been a good little Malick, and what's it got me?
0:07:32 > 0:07:34Nothing! I'm in the same place. Doing the same...
0:07:34 > 0:07:36For goodness sake, will you shut up!
0:07:38 > 0:07:40Sit down.
0:07:42 > 0:07:45Open that file and read.
0:07:51 > 0:07:55- Who is Richard Slater?- One of my patients. Acute renal failure.
0:07:55 > 0:08:00- He'll need dialysis then... - Or a new kidney.
0:08:00 > 0:08:04And today is his lucky day because we've found him an organ match.
0:08:04 > 0:08:07I was going to ask whether you wanted to assist?
0:08:07 > 0:08:09Are you serious?
0:08:09 > 0:08:12- The question is are you? - I'm not sure what you mean.
0:08:12 > 0:08:17- I heard what happened with Mr Webster.- The guy with the boil?- The patient with Gardner's syndrome.
0:08:17 > 0:08:20You drained the cyst but it's not just about what we do...
0:08:20 > 0:08:24it's about how we do it.
0:08:24 > 0:08:25Still got the job done though.
0:08:25 > 0:08:28But people don't just need our skill...
0:08:28 > 0:08:30they need our care.
0:08:30 > 0:08:32Theatre's booked for three thirty. Are you free?
0:08:32 > 0:08:34Count on it.
0:08:34 > 0:08:36OK, I'll see you there.
0:08:40 > 0:08:41Mr Malick.
0:08:43 > 0:08:46- Don't let me down.- Trust me.
0:08:55 > 0:08:58Aren't you a bit old for extreme sports?
0:08:58 > 0:09:01We're in the midst of celebrity apparently.
0:09:01 > 0:09:03Josh Cahill, snowboarding sensation.
0:09:03 > 0:09:05Going to represent his country.
0:09:05 > 0:09:08- He's a talented kid. - And a healthy one too.
0:09:08 > 0:09:10- Shame...- What?!
0:09:10 > 0:09:13Oh, it's nothing.
0:09:13 > 0:09:16- Right, I'll tell him shall I?- Mm-hm.
0:09:18 > 0:09:22Do you want the good news or the bad news?
0:09:22 > 0:09:25Your skull is either made of concrete or rubber.
0:09:25 > 0:09:29- So he's OK?- There's no fracture. No sign of concussion. So, yes,
0:09:29 > 0:09:34- he's free to go.- Are you sure? - Mum...- It's just, he hasn't eaten.
0:09:34 > 0:09:36- Cos I'm not hungry! - YOU are always hungry.
0:09:36 > 0:09:39Look at him, he's really pale. And he just told me he was feeling dizzy.
0:09:39 > 0:09:45- This dizziness isn't related to Tess of the d'Urbervilles by any chance? - What?
0:09:45 > 0:09:46Nothing.
0:09:46 > 0:09:49Mum, this is good news, c'mon.
0:09:49 > 0:09:51Oh-oh...
0:09:51 > 0:09:53Josh?
0:09:56 > 0:09:59- Josh, it's OK.- Sorry.- Thomas Hardy has that effect on me too.
0:10:00 > 0:10:02Look up.
0:10:02 > 0:10:07Up and across. OK. A bump of the head can sometimes induce nausea.
0:10:07 > 0:10:11- Right, can we organise a CT scan, please?- Yeah.
0:10:12 > 0:10:18Now, Josh, earlier on you said your shoulder and your arm hurt. What about your neck and your back?
0:10:18 > 0:10:22- My back does a bit.- What's wrong? - We're just going to take a look at his back
0:10:22 > 0:10:24just to be on the safe side.
0:10:24 > 0:10:28- Why?- It's a process of elimination at this stage. Best to play it safe.
0:10:41 > 0:10:44- My treat.- Why?
0:10:44 > 0:10:47Do I need a reason?
0:10:47 > 0:10:52So I've discharged Mr Watson in bed six and Mrs Jackson, in bed eight, requires hourly obs...
0:10:52 > 0:10:55What's with the sudden outbreak of diligence?
0:10:55 > 0:11:00- What has Mr Griffin done to you? - He gave me an opportunity!
0:11:00 > 0:11:02Come on. Follow me.
0:11:04 > 0:11:06- Kidney transplant?- Mm-hm.
0:11:06 > 0:11:10It's my first time. I'm popping my cherry today and nothing's getting in the way of it.
0:11:10 > 0:11:13- You are busy today.- How do you mean?
0:11:13 > 0:11:17Well, you're in theatre two with Mr Griffin at half three, and with Mr Clarke at four.
0:11:17 > 0:11:18Who's Mr Clarke?
0:11:18 > 0:11:22The bloke you're operating on this afternoon.
0:11:22 > 0:11:24- What is this?- Bowel resection.
0:11:24 > 0:11:28- I can see that. Who is this guy? I've never heard of him. - He's one of Mr Hanssen's list.
0:11:28 > 0:11:33- But I thought they'd all got bumped? - Local resection to remove bowel tumour.
0:11:33 > 0:11:34Nice and easy.
0:11:34 > 0:11:37Mr Hanssen must have trusted you to do this one by yourself.
0:11:41 > 0:11:42- Josh Cahill?- Yeah.
0:11:47 > 0:11:48Ah...poor kid.
0:11:48 > 0:11:50It's a good catch.
0:11:50 > 0:11:54- He could have walked out of here with just paracetamol. - Better page Mr Hamilton.
0:11:54 > 0:11:57Josh'll need an orthopaedic consult.
0:11:57 > 0:11:59As you can see, he's feeling a lot better.
0:11:59 > 0:12:04Just updating my status - "two hours in hospital and I've already puked on myself".
0:12:04 > 0:12:07We need to get you flat, Josh, OK? All right?
0:12:07 > 0:12:13- What?- We'll get some blocks that'll help keep your neck and your back supported.- What's going on?
0:12:13 > 0:12:17The initial examination of the CT scan shows a fracture to T10 vertebra.
0:12:17 > 0:12:21This is just precautionary at the moment to avoid any further damage.
0:12:23 > 0:12:26You've been walking around with a broken back, Josh.
0:12:28 > 0:12:33- The problem is the surgeon who was due to perform your procedure has been called away.- Sorry,
0:12:33 > 0:12:36- remind me? Who are you again? - My name is Mr Malick.
0:12:36 > 0:12:41- I'm the registrar here on Keller and with Mr Hanssen gone it's fallen to me.- Hang on a minute.
0:12:41 > 0:12:46This isn't a hair cut, mate. I don't want any Tom, Dick or Harry opening me up.
0:12:46 > 0:12:49- You don't want anyone opening you up full stop. - I'm here aren't I?- Please. Go on.
0:12:49 > 0:12:56- Unfortunately, I've been double booked, so it's a case of working something out.- What do you mean?
0:12:56 > 0:13:01- Well, the way I see it, you have two options.- Good. I like options. - One, we postpone surgery,
0:13:01 > 0:13:05- put you on Mr Hanssen's list next week.- That makes perfect sense. - What's option two?- Two...
0:13:05 > 0:13:10- we find another surgeon to do the procedure.- Sod it. Why don't you ask him?
0:13:10 > 0:13:12Oi, mate, you fancy a challenge...
0:13:12 > 0:13:17- The more times you dwell on this the worse it'll get.- This is different. They've moved the goal posts.
0:13:17 > 0:13:21- Leave it another week and you'll be even worse.- I'm not in a state. - You do seem a bit anxious.
0:13:21 > 0:13:24- I am not "anxious". - What about option three?
0:13:24 > 0:13:26You do Frank's surgery and drop the other one.
0:13:26 > 0:13:32- I'm afraid that's not possible. - Why not?- Mr Malick. A word, please.
0:13:32 > 0:13:36- Excuse me.- Oh, you listen to me now?
0:13:36 > 0:13:38Can you believe that guy? What's this?
0:13:38 > 0:13:42This is the fourth time Mr Clarke's rescheduled this procedure.
0:13:42 > 0:13:45He's a yo-yo? Well, he's more than welcome to walk out of here today.
0:13:45 > 0:13:48You should try and find out why he keeps cancelling.
0:13:48 > 0:13:51- That's his problem. Not mine. - It's your name on the board.
0:13:54 > 0:13:56Hanssen.
0:13:56 > 0:13:58I bet he landed me with this guy deliberately.
0:13:58 > 0:14:00Glad to be of assistance.
0:14:00 > 0:14:02Thank you for doing this, Henrik. I do appreciate it.
0:14:02 > 0:14:05Not at all. A hiatus hernia is not something to be taken lightly.
0:14:05 > 0:14:09- And you're doing the procedure yourself?- Wouldn't have it any other way.
0:14:09 > 0:14:12I understand there's a Board meeting scheduled for later today?
0:14:12 > 0:14:15Count yourself lucky, you'll be too busy to attend.
0:14:17 > 0:14:21- Terence?- I thought I'd just pop in, you know.
0:14:21 > 0:14:22That's very sweet of you, Terence.
0:14:22 > 0:14:24No flowers?
0:14:24 > 0:14:29- You remember Mr Hanssen, of course? - How could I forget? Lovely to see you again, Henrik.- Mrs Cunningham.
0:14:29 > 0:14:33So formal. Besides, I'm travelling incognito.
0:14:33 > 0:14:37- We wouldn't want anyone to think we were receiving special attention. - But we are Terence.
0:14:37 > 0:14:41- With Henrik on board.- Yeah, Ella was excited to know you'd be leading the operation. So no pressure.
0:14:41 > 0:14:46I have every confidence in him. Which is why I've decided to have the procedure done laparoscopically.
0:14:46 > 0:14:49- That's not a problem is it, Henrik? - It's unorthodox but not unheard of.
0:14:49 > 0:14:52Give your people on Darwin a chance to show what their made of?
0:14:52 > 0:14:56Quite. Ms Shah will be with me. I'm certain she's up to the task...
0:14:56 > 0:14:58Ms Shah?
0:14:58 > 0:15:00And there was I thinking it'd just be the two of us.
0:15:00 > 0:15:03I'll think you'll be pleasantly surprised by the skill,
0:15:03 > 0:15:08professionalism and discretion of our cardiothoracic registrars.
0:15:08 > 0:15:09Eurghh...
0:15:11 > 0:15:14Is that paracetamol?
0:15:14 > 0:15:17Give! I thought it was supposed to be a swift half?
0:15:17 > 0:15:19I was thirsty.
0:15:19 > 0:15:21I noticed.
0:15:21 > 0:15:23Work hard. Play hard.
0:15:23 > 0:15:25Helps to keep my liver on its toes.
0:15:25 > 0:15:26That's an interesting approach.
0:15:26 > 0:15:29Painful, but it's interesting...
0:15:29 > 0:15:35- Partying again? Third time this week. Good night?- You wouldn't have enjoyed it.- Really, why?
0:15:36 > 0:15:39Dancing...women...
0:15:39 > 0:15:42- Whatever floats your boat I guess... - I overdid it on a school night.
0:15:42 > 0:15:46- So what?- Yeah, I know, but you seem to be doing a lot of that.
0:15:46 > 0:15:52- What are you? My mother?!- No, I've already got two kids, thanks. I don't need another one.- Ms Shah,
0:15:52 > 0:15:55I have a sliding hiatus hernia patient that requires CT oversight.
0:15:55 > 0:15:58I wondered if you would you be interested in assisting me?
0:15:58 > 0:16:00My workload's rather light at the moment.
0:16:00 > 0:16:02I'll see you in the consult.
0:16:04 > 0:16:06Do you need to talk?
0:16:06 > 0:16:08Chop, chop.
0:16:13 > 0:16:15Henrik, you brought a chaperone?
0:16:15 > 0:16:18- You cautious thing, you! - Ella, this is Ms Shah.
0:16:18 > 0:16:23- Of course.- Ms Shah is well versed in laparoscopic techniques. - I bet she is.
0:16:23 > 0:16:27Well, there seems to be a divide.
0:16:27 > 0:16:30You've the gung ho brigade who'll do anything laparoscopically...
0:16:30 > 0:16:33and then there's others who run a mile at the mention of the word.
0:16:33 > 0:16:35Well, I'm not one of those.
0:16:35 > 0:16:39- Excellent.- However, a hiatus hernia isn't exactly the procedure I would have thought
0:16:39 > 0:16:42- laparoscopic technique was designed for.- But it is feasible.
0:16:42 > 0:16:43Good.
0:16:46 > 0:16:49I very much enjoyed your article in the BMJ last month.
0:16:49 > 0:16:53- You subscribe? - No. I was doing some research.
0:16:53 > 0:16:55Into?
0:16:55 > 0:16:58You.
0:17:00 > 0:17:04There's no need to get into the robe right now, the operation's not for some time.
0:17:04 > 0:17:07I've put a lot of time and effort into this.
0:17:08 > 0:17:13I really don't want an eight inch scar ruining the effect.
0:17:13 > 0:17:15Right.
0:17:15 > 0:17:17Well...point made.
0:17:21 > 0:17:25- Well, that was fun. - Not the word I'd use.
0:17:25 > 0:17:31- Who is she?- A patient. No. That was a side show.- I've got better things to be doing than play chaperone.
0:17:31 > 0:17:35- She's married to a trustee.- I don't care if she's the Queen of Sheba. - Our chairman, in fact.
0:17:35 > 0:17:40- Married to Terence Cunningham?- I know you shy away from hospital politics, or like to think that you do,
0:17:40 > 0:17:43- but this is a golden opportunity. - I've list full of patients. Real ones.
0:17:43 > 0:17:47Then explain to them that the Director of Surgery has requested your help.
0:17:47 > 0:17:51- Henrik, I am not playing this game. - Sorry?- You say, "Jump," and I say, "How high."
0:17:51 > 0:17:56- I'm giving you a chance to make an impression.- Maybe I don't need you to give me chances any more.
0:17:58 > 0:18:02There are plenty of registrars who'd kill to assist you in surgery.
0:18:02 > 0:18:04I don't need "other registrars". I need...
0:18:07 > 0:18:09..someone good.
0:18:09 > 0:18:12Greg's just as good as I am.
0:18:12 > 0:18:17- And he could do with a break.- I seem to remember my last experience with Mr Douglas, it turned pretty ugly.
0:18:17 > 0:18:21He's been going through a tough time and last week was particularly difficult.
0:18:21 > 0:18:23Something I should know about?
0:18:24 > 0:18:27My relationship with Greg is based on trust.
0:18:27 > 0:18:33Now that may be an alien concept to you but to me it actually means something.
0:18:41 > 0:18:44- Mrs Clarke?- It's Lauren.
0:18:45 > 0:18:47Can I help you?
0:18:47 > 0:18:49No. You can help my husband.
0:18:55 > 0:18:59- Looks like he's made his own mind up. - He doesn't know his own mind!
0:19:00 > 0:19:07Please, this is the fourth time he's been in to have this tumour removed only to find some excuse.
0:19:07 > 0:19:11The only reason we're here is because St James's have refused treatment.
0:19:11 > 0:19:13I'm not surprised. In and out of hospital.
0:19:13 > 0:19:17Back and forth. He's what we call in the trade a yo-yo.
0:19:17 > 0:19:19He's my husband.
0:19:19 > 0:19:21And he's the father of my child.
0:19:24 > 0:19:26What's he scared of?
0:19:28 > 0:19:32Anaesthetic, needles, knives, machines that go beep...
0:19:32 > 0:19:35I don't know because he won't talk to me about it.
0:19:35 > 0:19:37He won't talk to anybody.
0:19:37 > 0:19:39Go stop him from packing.
0:19:39 > 0:19:41What are you going to do?
0:19:41 > 0:19:43Hurry things up.
0:19:43 > 0:19:45Thank you. Thank you.
0:19:48 > 0:19:50Get the Theatre Manager on the phone.
0:19:50 > 0:19:52Time to call in a favour.
0:19:54 > 0:19:58I don't understand. How can he have a broken back? He was walking fine.
0:19:58 > 0:20:00Don't go into catastrophe mode, Mum.
0:20:00 > 0:20:05It's natural to be upset. People hear "broken back" and it's like the end of the world. In reality,
0:20:05 > 0:20:07it's just not as simple as that.
0:20:07 > 0:20:13Oh, it's fine. Just try to keep your arms as close to the side of your body as possible, OK?
0:20:13 > 0:20:17Josh, I'm going to test the sensation in your limbs.
0:20:17 > 0:20:19You tell me what you feel.
0:20:22 > 0:20:25One, two, three.
0:20:25 > 0:20:26Something sharp. Left foot.
0:20:26 > 0:20:28Good.
0:20:28 > 0:20:30One, two, three.
0:20:30 > 0:20:31Sharp right.
0:20:31 > 0:20:34- Perfect.- What does that mean? - There's no major damage
0:20:34 > 0:20:38- to the spinal cord which is very good news.- You can fix it?
0:20:38 > 0:20:44Well, it's not really for me to say Josh but our Orthopaedic Consultant, Mr Hamilton, is on his way.
0:20:44 > 0:20:47- He'll fix it?- He'll decide the best course of action.
0:20:47 > 0:20:48What does that mean?
0:20:48 > 0:20:51It means there are two options really -
0:20:51 > 0:20:53surgery or the more conservative approach,
0:20:53 > 0:20:56which is allowing the break to heal by itself.
0:20:56 > 0:20:58I know which one I want.
0:20:58 > 0:21:00You're not in the best position to make that call.
0:21:00 > 0:21:03I'm the one lying flat on my back staring at the ceiling, aren't I?
0:21:10 > 0:21:12Don't you look like the cat that got the cream?
0:21:12 > 0:21:15Nope. But I'm the registrar who got the slot.
0:21:15 > 0:21:21After some negotiation, string pulling and the calling in favours, I've got your theatre slot moved up.
0:21:21 > 0:21:25- Meaning?- We can have your husband open and shut and back home in time for tea and biscuits.
0:21:26 > 0:21:28- This is good news, Frank.- When?
0:21:28 > 0:21:31- When what?- When am I going under? - 20 minutes.
0:21:31 > 0:21:36- That's too soon. I've got things... - This isn't negotiable, Frank. This a one time offer, mate.
0:21:36 > 0:21:3920 minutes ago you couldn't wait to get rid of me.
0:21:39 > 0:21:44- I wasn't fully aware of your situation, then.- What do you mean my "situation"?
0:21:44 > 0:21:48- What have you been saying?- Nothing I couldn't have found out by looking at your notes. Look, Frank.
0:21:48 > 0:21:52I don't understand why you're frightened of what is quite a simple procedure.
0:21:52 > 0:21:57To be honest, I don't really care. But your wife does and my boss does
0:21:57 > 0:22:02so I've gone to some great lengths to get you this theatre slot. So you'd better take it.
0:22:02 > 0:22:04Right! We're all good.
0:22:04 > 0:22:06Let's get prepping.
0:22:06 > 0:22:09Who was that? It was her, wasn't it?
0:22:10 > 0:22:12BEEPING
0:22:21 > 0:22:23- Oh...- Are you all right there? - I'm looking for my boy.
0:22:23 > 0:22:26OK. Paediatrics?
0:22:27 > 0:22:28He's 43.
0:22:30 > 0:22:32Right. What's his name?
0:22:32 > 0:22:35- Frank Clarke.- Oh, OK, he's just over there. Let me help you.
0:22:35 > 0:22:37I only carry it for protection.
0:22:37 > 0:22:42- Josh Cahill - came third at the under 17's Europeans?- Was robbed.
0:22:42 > 0:22:45I agree. Never trust the Swiss, I always say!
0:22:45 > 0:22:49Well, you've got full sensation in your limbs which is marvellous.
0:22:49 > 0:22:53I'm not being funny or anything but we've been here for hours and nobody's told me what's going on.
0:22:53 > 0:22:56That's the nature of the game. We watch and we wait.
0:22:56 > 0:23:01I've had a look at your scan and it's a nice clean break. It may very well heal by itself.
0:23:01 > 0:23:03I don't want that. I want an operation to fix it.
0:23:03 > 0:23:08That's also an option but no surgeon is anywhere near as adept as Mother Nature.
0:23:08 > 0:23:10What's Mother Nature's recovery time?
0:23:10 > 0:23:12Six weeks to let the bone knit.
0:23:12 > 0:23:14- How long till I can board again? - Six months.
0:23:14 > 0:23:16- Six months?!- We're putting the cart before the horse.
0:23:16 > 0:23:20There's still tests to do. An MRI would be good. And...
0:23:20 > 0:23:24- He said an operation could fix it. - Did he now?
0:23:25 > 0:23:29You promised. You said you wouldn't tell her this time.
0:23:29 > 0:23:31He's my son. He needs me here.
0:23:31 > 0:23:35- So you can talk him out of treatment again?- Excuse me, what is going on here?
0:23:35 > 0:23:38You wanted to know Frank's problem with hospitals? She's right there!
0:23:38 > 0:23:40Death trap these places.
0:23:41 > 0:23:44MRSA, neglect, disease,
0:23:44 > 0:23:46malpractice...
0:23:48 > 0:23:52- All right, don't shoot the messenger.- You're not a messenger, you're a vulture.
0:23:52 > 0:23:54- Lauren!- No, I won't stay silent.
0:23:54 > 0:24:00Not this time. She fills your head with this rubbish time after time. This is a hospital.
0:24:00 > 0:24:04- They heal people.- Not all the time. - No. But most of the time!
0:24:04 > 0:24:07His father was in here. Never came home.
0:24:07 > 0:24:10- That was 30 years ago! - OK, family reunion's over.
0:24:10 > 0:24:13It's time to get Frank prepped for theatre.
0:24:13 > 0:24:16- Prepped? So soon?- Yes, Mum.
0:24:16 > 0:24:18- Frank?- Here we go(!)
0:24:18 > 0:24:20I've got one of my feelings.
0:24:20 > 0:24:23- Ooh...- What was that?- Nothing.
0:24:23 > 0:24:26I knew this was going to happen.
0:24:26 > 0:24:30- All this stress.- Is everything OK? - I'm fine.
0:24:30 > 0:24:31What about the baby?
0:24:31 > 0:24:35I'm no obstetrician but I think you're absolutely fine.
0:24:35 > 0:24:38I'll get Nurse Tait to get you checked out.
0:24:38 > 0:24:41OK, while we get Mr...
0:24:41 > 0:24:45No, I'm not going anywhere until I know my wife and child are OK.
0:24:47 > 0:24:50As far as broken spines go, it couldn't be much better.
0:24:50 > 0:24:53No apparent nerve damage, clean fracture.
0:24:53 > 0:24:56It's only initial, but with the findings of your ASIA test,
0:24:56 > 0:24:58looks like six weeks bed rest should sort things out.
0:24:58 > 0:25:01- Josh won't necessarily understand that.- No, he won't.
0:25:01 > 0:25:04Especially after being encouraged to take the surgical option.
0:25:04 > 0:25:06I didn't encourage him.
0:25:06 > 0:25:07Good. Because it's not your place.
0:25:07 > 0:25:09He needed to hear something positive.
0:25:09 > 0:25:13- He needed to hear the truth.- And the truth is there is a surgical option.
0:25:13 > 0:25:15And who's going to perform that? You?
0:25:15 > 0:25:20Look, I know where you're coming from but kids like this, athletes, think they're indestructible.
0:25:20 > 0:25:23Once I've got the MRI, I'll have another look and draw up a treatment plan.
0:25:23 > 0:25:25OK.
0:25:28 > 0:25:31Go on say it. "You're getting too involved."
0:25:33 > 0:25:36You're getting too involved.
0:25:36 > 0:25:39- You weren't supposed to actually say it.- Sorry to...- Is everything OK?
0:25:39 > 0:25:41It's Josh. He's getting himself really wound up.
0:25:41 > 0:25:44I just wondered if you could have a chat with him.
0:25:46 > 0:25:50Ms Shah is busy in theatre two.
0:25:50 > 0:25:54Ms Naylor's on leave. So, yes, it's just Mr Douglas who's available.
0:25:54 > 0:25:56Did I hear my name?
0:25:56 > 0:25:59Laparoscopic hiatus hernia, female patient.
0:25:59 > 0:26:03I need a registrar to assist. Have you performed the procedure before Mr Douglas?
0:26:03 > 0:26:05Not keyhole.
0:26:05 > 0:26:08Well, come prepared.
0:26:10 > 0:26:14- Good to see I'm second choice round here.- Actually, you're more like fifth.
0:26:14 > 0:26:17What Mr Hamilton is saying is right.
0:26:17 > 0:26:20At this stage we don't have enough information to make a decision.
0:26:20 > 0:26:22When will you get the information?
0:26:22 > 0:26:23When we get the scan results.
0:26:23 > 0:26:27- Can you get Mike here?- No.
0:26:28 > 0:26:29Who's Mike?
0:26:29 > 0:26:33- His coach.- Well, if it helps Josh...
0:26:33 > 0:26:34No!
0:26:34 > 0:26:39I'm not having your future dictated by some sporting fixture.
0:26:39 > 0:26:40Excuse me.
0:26:44 > 0:26:45She's got a point.
0:26:46 > 0:26:49I know.
0:26:49 > 0:26:50But so do I.
0:26:53 > 0:26:55I've been training for this for eight years.
0:26:55 > 0:26:58I don't have anything else. Do you understand?
0:26:58 > 0:27:01Josh, that's not true.
0:27:01 > 0:27:04You're young. You're still a kid.
0:27:07 > 0:27:09Give me your hand.
0:27:13 > 0:27:17You trained for around eight years to be a surgeon, right? Well...
0:27:17 > 0:27:19just imagine...
0:27:21 > 0:27:23that I squeezed...
0:27:23 > 0:27:25and squeezed...
0:27:26 > 0:27:29till every bone in your hand was broken.
0:27:29 > 0:27:33So you could never be a surgeon again. You could never use it.
0:27:34 > 0:27:36How would that feel?
0:27:43 > 0:27:46Something you want to tell me, Mr Malick?
0:27:46 > 0:27:49Er, no. Why?
0:27:49 > 0:27:52Would you mind explaining to me why you're down to do a bowel resection
0:27:52 > 0:27:57at 4pm when you're supposed to assisting ME on a kidney transplant?
0:27:57 > 0:28:01Well, there's been a bit of a mix up, but it's all sorted now.
0:28:01 > 0:28:04- Almost.- Almost?- I've moved the resection up to 1:30.
0:28:04 > 0:28:08I'll be done and dusted well before scrubbing in on the transplant.
0:28:08 > 0:28:121:30? Well, shouldn't you be scrubbing up? It's already gone one.
0:28:12 > 0:28:15Well, there's been a couple of delays.
0:28:15 > 0:28:18Patient's a bit of a nightmare to be honest, d'you know what I mean?
0:28:18 > 0:28:21What did I tell you about blaming patients?
0:28:21 > 0:28:25- Look if it's a problem I can always find someone else to assist. - No! There's no problem.
0:28:25 > 0:28:28It's all under control.
0:28:28 > 0:28:29I swear.
0:28:38 > 0:28:40Is the baby's heartbeat OK?
0:28:40 > 0:28:41Just fine. She's perfect.
0:28:41 > 0:28:46- You're telling me everything's OK? - Your wife's fine. Everyone's fine, except for you. Let's roll.
0:28:46 > 0:28:50All right, keep your shirt on. What's the rush? I'm not going anywhere.
0:28:50 > 0:28:54- No. But our theatre slot is! - Mum? What's the matter?
0:28:54 > 0:28:57She's so beautiful.
0:28:58 > 0:29:02So tiny.
0:29:02 > 0:29:03So...
0:29:03 > 0:29:06- I'm sorry...- It's OK, Joyce.
0:29:06 > 0:29:09Everything's going to be OK.
0:29:09 > 0:29:11The smell is horrendous.
0:29:13 > 0:29:15- What smell? - Cabbage and disinfectant.
0:29:17 > 0:29:21Smells like decay.
0:29:21 > 0:29:24Like death...
0:29:26 > 0:29:27Excuse me.
0:29:31 > 0:29:33Come on!
0:29:33 > 0:29:34We got to go.
0:29:37 > 0:29:39Look, can we just slow down a bit?
0:29:39 > 0:29:40No! We're late.
0:29:40 > 0:29:43- I'm having trouble breathing. - Can't you hold on?
0:29:43 > 0:29:46In a few minutes I'll have you on oxygen on a ventilator.
0:29:46 > 0:29:48Look. Please, just stop.
0:29:52 > 0:29:55- Better?- No.
0:29:55 > 0:29:58Look, mate, I know you're feeling a bit rough,
0:29:58 > 0:30:00but it's probably just a panic attack.
0:30:00 > 0:30:04It's all in your head. Through those doors is the theatre.
0:30:04 > 0:30:06This will be over within an hour.
0:30:06 > 0:30:09You'll never have to come back here again.
0:30:09 > 0:30:10God willing.
0:30:12 > 0:30:14Right.
0:30:20 > 0:30:24No, no, no, no! You can't. That's our slot.
0:30:24 > 0:30:26Sorry, we couldn't wait any longer.
0:30:31 > 0:30:33Henrik, another protege?
0:30:33 > 0:30:36Ms Shah was called away elsewhere.
0:30:36 > 0:30:38- This is Mr Douglas. - But you can call me Greg.
0:30:38 > 0:30:41- With that accent you can call me anytime. Sligo?- Dublin.
0:30:41 > 0:30:45- Any Celt's a good Celt in my book. - A woman after my own heart.
0:30:45 > 0:30:48Listen to us go on. It'll make Henrik jealous.
0:30:48 > 0:30:52- Oh, I don't mind, really. - You feeling lost without your protege.
0:30:55 > 0:30:56Shall we?
0:31:09 > 0:31:10What happened?
0:31:13 > 0:31:15We missed our slot.
0:31:15 > 0:31:19No, you can't. You've got to go back. They can't do this.
0:31:19 > 0:31:22They can. There's nothing anyone else can do about it.
0:31:22 > 0:31:26- Mr Malick?- Where's Mum? Never mind.
0:31:26 > 0:31:30We can always try again at four. Right?
0:31:30 > 0:31:33- No.- What do you mean "no"? - I mean I've had it.
0:31:33 > 0:31:37- I've had it with you, your family, your panic attacks and your presence.- Malick.
0:31:37 > 0:31:40From you came in you've been a pain in the backside.
0:31:40 > 0:31:42I've bent over backwards for you, and for what?
0:31:42 > 0:31:46You want to wait until that tumour grows to the size of grapefruit?
0:31:46 > 0:31:48I won't be allowing you to cost me the chance
0:31:48 > 0:31:50of doing some real surgery.
0:31:52 > 0:31:56Josh asked me for help. I'm going to get a second opinion. That's all.
0:31:56 > 0:32:00You'll undermine the orthopaedic consultant. Dan doesn't deserve that.
0:32:00 > 0:32:03It's about canvassing opinion. That's all.
0:32:03 > 0:32:05Sasha, look.
0:32:05 > 0:32:07Are you sure you're not getting too involved?
0:32:07 > 0:32:09He'll only be out of action for six weeks.
0:32:09 > 0:32:12He'll look back and think of how lucky he is.
0:32:12 > 0:32:13- I know.- And he's only 17.
0:32:13 > 0:32:18He's not really old enough or informed enough to make such big decisions.
0:32:18 > 0:32:20He's more informed than you might think.
0:32:20 > 0:32:22And more determined.
0:32:24 > 0:32:26I just think he deserves to be heard.
0:32:26 > 0:32:30Of course he does, just don't let him make up your mind for you.
0:32:30 > 0:32:33We need to talk.
0:32:33 > 0:32:36OK. We have a nice clear view.
0:32:36 > 0:32:38So, good friend of yours?
0:32:38 > 0:32:40An acquaintance.
0:32:40 > 0:32:42The upper 2cms of the greater curve
0:32:42 > 0:32:44of the stomach has now been dissected.
0:32:44 > 0:32:46An acquaintance.
0:32:46 > 0:32:48She seems to want to get well acquainted with you.
0:32:48 > 0:32:50- Mr Douglas, please.- Sorry.
0:32:50 > 0:32:53Right.
0:32:53 > 0:32:55I can now see the anterior aspect.
0:32:55 > 0:32:57In future, I'd appreciate it
0:32:57 > 0:33:00if you could keep such speculations to yourself.
0:33:02 > 0:33:05Mr Griffin.
0:33:05 > 0:33:08I know you're angry.
0:33:08 > 0:33:11I'm not angry. I'm...
0:33:12 > 0:33:15I don't even know where to start. So I won't. You can go.
0:33:20 > 0:33:21Do you want me to...
0:33:21 > 0:33:25I don't want you to do anything. Except leave my office.
0:33:27 > 0:33:29What about the transplant?
0:33:32 > 0:33:34- What about it?- Do you still need...
0:33:37 > 0:33:38Am I still assisting you?
0:33:43 > 0:33:47- That depends.- On what?
0:33:47 > 0:33:51This is a teaching hospital, Mr Malick.
0:33:51 > 0:33:56It depends on what you think you need to learn.
0:33:59 > 0:34:02I believe you still have patients?
0:34:40 > 0:34:42Frank's been given another slot.
0:34:42 > 0:34:45Hmmm, and the transplant's later.
0:34:45 > 0:34:48So I should be able to do both.
0:34:48 > 0:34:51How is Mr Clarke?
0:34:51 > 0:34:53Worrying.
0:34:53 > 0:34:55Well, tell him not to.
0:34:55 > 0:34:58We're going to do this... today.
0:34:58 > 0:35:01It's not the operation this time.
0:35:01 > 0:35:03- It's his mother.- What about her?
0:35:03 > 0:35:05- She's gone missing. - Go look for her then.
0:35:08 > 0:35:11- I think Josh has had a back injury in the past.- What?
0:35:11 > 0:35:14Well, there's a narrowing of the spinal canal.
0:35:14 > 0:35:17Suggests he may have slipped a disc, it became herniated.
0:35:17 > 0:35:18He didn't mention it?
0:35:18 > 0:35:20I suppose it goes with the territory.
0:35:20 > 0:35:23My point is it would make surgery a nightmare.
0:35:23 > 0:35:28What I don't get is how it's not affecting his sensation?
0:35:28 > 0:35:31- He hasn't mentioned anything at all? - No, not at all.
0:35:31 > 0:35:36- And you took a full ASIA test? - Of course!- Just curious, that's all.
0:35:36 > 0:35:38Boy and scan telling us two different things.
0:35:38 > 0:35:42Or maybe Josh isn't telling us the whole story?
0:35:42 > 0:35:44He's a teenage boy who's totally focussed
0:35:44 > 0:35:46on his recovery.
0:35:46 > 0:35:48We need to find out more.
0:35:48 > 0:35:50I'll be back to do another ASIA test.
0:35:53 > 0:35:55I know I wasn't your first choice for this.
0:35:55 > 0:35:58I can understand why.
0:35:58 > 0:36:00Is that what's going on?
0:36:00 > 0:36:04Have you ever heard of diplocarpon rosae?
0:36:04 > 0:36:08It's a fungus a blight that attacks roses.
0:36:08 > 0:36:11See, you can spend years nurturing,
0:36:11 > 0:36:15caring for, protecting your rose bush.
0:36:15 > 0:36:18Then suddenly,
0:36:18 > 0:36:22one day, along comes diplocarpon rosae,
0:36:22 > 0:36:24and, soon enough, your rose wilts.
0:36:27 > 0:36:30It only takes one spore.
0:36:30 > 0:36:34Don't suppose you grow roses, do you, Mr Douglas?
0:36:34 > 0:36:36- No.- I do.
0:36:38 > 0:36:40They're precious to me.
0:36:42 > 0:36:46We've got a bleed. We're going to do the ASIA test again. OK?
0:36:46 > 0:36:50You know the score. Tell me what you can feel.
0:36:58 > 0:36:59Mum...
0:36:59 > 0:37:01OK. Other foot.
0:37:06 > 0:37:08Mum...please...
0:37:08 > 0:37:12- Don't you feel anything? - It comes and it goes.
0:37:12 > 0:37:15- It'll come back.- How long have you been losing feeling?
0:37:15 > 0:37:17- It's not constant. - Josh, when did it start?
0:37:17 > 0:37:19After the accident.
0:37:19 > 0:37:22It's on and off. The feeling will come back.
0:37:22 > 0:37:25- What does this mean? - We don't know yet.
0:37:25 > 0:37:29By not telling us, does he realise he's made a bad situation worse?
0:37:29 > 0:37:34He's a kid. He was scared. Surely you can understand that?
0:37:34 > 0:37:37Course I do. All patients lie.
0:37:37 > 0:37:41It's knowing when, where and why that helps us moving forward.
0:37:41 > 0:37:43So, what happens now?
0:37:43 > 0:37:45We talk to him. Tell him about the increased risks.
0:37:45 > 0:37:47Then we give him what he wanted all along.
0:37:47 > 0:37:49We operate.
0:37:51 > 0:37:53Mr Malick. I'm going to spend my break with my mum.
0:37:53 > 0:37:56Oh, and Mrs Clarke is in the relatives room asleep.
0:37:56 > 0:37:58Well, why didn't you wake her up?
0:38:11 > 0:38:13Mrs Clarke.
0:38:14 > 0:38:17Mrs Clarke. Your son's wondering where you are.
0:38:20 > 0:38:22Mrs Clarke.
0:38:26 > 0:38:27Hey.
0:38:30 > 0:38:31You're kidding me.
0:38:34 > 0:38:38- Give us fluids and get some blood. - BP's dropping. Are you OK, Mr Douglas?
0:38:38 > 0:38:40- Give me a minute. - More fluids, please.
0:38:40 > 0:38:44- If you're not all right... - I'm trying to do this. Let me concentrate.
0:38:46 > 0:38:49That's it, let's remove the instruments. Gently.
0:38:49 > 0:38:52- What are you doing? - Open surgery.- She doesn't want that.
0:38:52 > 0:38:54- Otherwise she might die. Step aside.- No.
0:38:54 > 0:38:57You're going through a difficult patch, it happens to us all,
0:38:57 > 0:39:01- but this would be the moment to step aside.- Who told you that?
0:39:01 > 0:39:05Last week you allowed your emotional baggage to spill over on to one of my wards.
0:39:05 > 0:39:08- Swabs and suction! - I said who told you that?
0:39:08 > 0:39:12Your career is on shaky ground, insubordination will not help. Please leave the theatre.
0:39:12 > 0:39:16I don't have to ask.
0:39:16 > 0:39:17Get me a knife, please.
0:39:33 > 0:39:36Hey, thanks. Thanks for coming.
0:39:36 > 0:39:39Are you absolutely sure she's dead? I'm just saying.
0:39:41 > 0:39:43Given the circumstances and all.
0:39:43 > 0:39:44I know I've made some mistakes,
0:39:44 > 0:39:47but I still know a dead body when I feel one.
0:39:49 > 0:39:52I don't think this is the best way of handling it.
0:39:52 > 0:39:53What about her dignity?
0:39:53 > 0:39:57We just need to make sure we get her out of here as discreetly as possible.
0:39:57 > 0:39:59Just act normal.
0:40:01 > 0:40:03What's that?
0:40:03 > 0:40:05I'm going to cover her with it.
0:40:06 > 0:40:10The whole point of this exercise was to pretend that she's not dead.
0:40:10 > 0:40:13Imagine what the average punter's going to feel if they see us
0:40:13 > 0:40:15carting dead bodies from the relatives room.
0:40:15 > 0:40:18Imagine what Frank's going to feel.
0:40:18 > 0:40:21- He can't know.- What?!
0:40:21 > 0:40:25It's his mother. We can't keep it a secret!
0:40:25 > 0:40:28- What did you say to him?- To whom?
0:40:28 > 0:40:31- Hanssen. What did you say to him? - I didn't say anything.
0:40:31 > 0:40:35You do not discuss my personal life with anyone in this place.
0:40:35 > 0:40:39- I have no idea what you're talking about. - Why was that snake making comments
0:40:39 > 0:40:41about me going through a difficult patch?
0:40:41 > 0:40:43I was putting in a good word for you.
0:40:43 > 0:40:47- I don't believe you. - Greg, I was being a friend. - You were being a therapist!
0:40:47 > 0:40:48Listen, get this straight.
0:40:48 > 0:40:51I don't need your charity and I don't need to get caught
0:40:51 > 0:40:55in-between you and Hanssen and whatever game you're playing.
0:40:55 > 0:40:57Keep your cod-psychology to yourself.
0:40:57 > 0:41:01- OK, I'm sorry.- You should probably go back into theatre.
0:41:01 > 0:41:03- What?!- Hanssen kicked me out! He needs you.
0:41:03 > 0:41:05I don't.
0:41:06 > 0:41:08What happened?
0:41:08 > 0:41:11Not sure.
0:41:11 > 0:41:14Heart attack, stroke?
0:41:14 > 0:41:16They'll do a post-mortem.
0:41:18 > 0:41:20I'm sorry.
0:41:22 > 0:41:25She always did have to have the last word.
0:41:26 > 0:41:29She's not messing things up for us this time.
0:41:31 > 0:41:33Right, um, well, obviously we need
0:41:33 > 0:41:36to give Frank time to take in the news.
0:41:36 > 0:41:39Then we can reschedule his procedure.
0:41:39 > 0:41:40No, that's not going to work.
0:41:40 > 0:41:42Excuse me?
0:41:42 > 0:41:44If he finds out what's happened
0:41:44 > 0:41:46there's no way he'll ever have this operation.
0:41:46 > 0:41:50You're not going to tell him that his mum's just dropped dead?
0:41:50 > 0:41:52I'm not talking about lying.
0:41:52 > 0:41:56Just delaying the news.
0:41:56 > 0:41:59He's not due in theatre for another two hours, Lauren.
0:41:59 > 0:42:01Can you pretend everything's OK till then?
0:42:01 > 0:42:05I'm going to have to. We're all going to have to.
0:42:05 > 0:42:08I really don't think I can allow...
0:42:08 > 0:42:12My baby's just lost her grandmother. I will not lose her father as well.
0:42:15 > 0:42:18I thought you said it was better to let nature take its course?
0:42:18 > 0:42:20This has been taken out of nature's hands.
0:42:20 > 0:42:24The pressure building up on Josh's spine will only increase over time.
0:42:24 > 0:42:29- That's why he's been losing the feeling in his legs.- Is it...
0:42:29 > 0:42:32- What are the risks?- Spinal stenosis essentially leaves us
0:42:32 > 0:42:34less room to work around the spinal cord.
0:42:34 > 0:42:37- It's a more intricate procedure. - More dangerous you mean?
0:42:37 > 0:42:40I don't have any other option, do I?
0:42:40 > 0:42:43I'm afraid not. Not any more.
0:42:43 > 0:42:48- What are we waiting for then? Let's do it.- He's in safe hands.
0:43:01 > 0:43:04- You all right?- Not really.
0:43:04 > 0:43:07Just feels wrong to lie.
0:43:07 > 0:43:10Even if it's for a good reason?
0:43:10 > 0:43:12I don't know? Is it a good reason?
0:43:17 > 0:43:19What have you said to my wife?
0:43:19 > 0:43:23- Excuse me?- Don't play games with me.
0:43:23 > 0:43:26She went off with that one. And now she's all...different.
0:43:26 > 0:43:28- How?- Nice. Polite.
0:43:28 > 0:43:32First my mum goes missing, now this. What's going on around here?
0:43:34 > 0:43:36Right, now, come on, concentrate everybody.
0:43:36 > 0:43:40Retractors.
0:43:40 > 0:43:42I said, retractors. Pay attention, please.
0:43:42 > 0:43:44Good, thank you.
0:43:44 > 0:43:47Come on, come on, thank you.
0:43:47 > 0:43:51Focus. Ms Shah.
0:43:51 > 0:43:53- Is there anything I can do?- Your job.
0:43:55 > 0:43:59I need your help. Please.
0:44:01 > 0:44:04Right, I'll scrub in.
0:44:05 > 0:44:07Second retractor, please.
0:44:11 > 0:44:13There's the fracture.
0:44:13 > 0:44:17There's fragments of bone in the canal.
0:44:17 > 0:44:19- What?- There's a clot.
0:44:19 > 0:44:21Didn't show up on the scan.
0:44:21 > 0:44:25If it's cutting off the blood supply to the nerves we're in trouble.
0:44:25 > 0:44:29- There must have been bleeding from the lumbar arteries. - Yep. Suction, please.
0:44:29 > 0:44:31Forceps.
0:44:42 > 0:44:44Saline please.
0:44:46 > 0:44:48Well done.
0:44:52 > 0:44:53It doesn't seem real.
0:45:00 > 0:45:02She doesn't feel real.
0:45:06 > 0:45:11She always said this would happen. The mad old bat. Turns out it did.
0:45:21 > 0:45:22If it's any consolation...
0:45:26 > 0:45:27..she didn't suffer.
0:45:30 > 0:45:32She passed peacefully in her sleep.
0:45:34 > 0:45:39Frank? Frank!
0:45:50 > 0:45:53Rongeur, please.
0:46:08 > 0:46:11- One down.- No, we've got a bleed from the lumbar artery!
0:46:11 > 0:46:13I can't see a thing.
0:46:13 > 0:46:16Packs. Keep it 100% oxygen.
0:46:16 > 0:46:20- It's not happening. - We'll need platelets and FFP. How's it looking on the monitor?
0:46:20 > 0:46:23- Not great, impaired nerve function. - More suction!
0:46:23 > 0:46:25BEEPING
0:46:25 > 0:46:29It's getting ischemic. Dammit.
0:46:29 > 0:46:32Nerve functions still off.
0:46:32 > 0:46:34So we take our time.
0:46:34 > 0:46:36We can take all the time in world.
0:46:36 > 0:46:39If the damage has been done, it's been done.
0:46:41 > 0:46:43We've done what we can, Sasha.
0:46:53 > 0:46:55So that's it? You're running away?
0:46:55 > 0:46:57I'm sorry, I just can't go through with it.
0:46:57 > 0:47:00Fine. But I'm not explaining it to your family.
0:47:00 > 0:47:03Get back up there and do it yourself.
0:47:04 > 0:47:07You think I'm an idiot.
0:47:07 > 0:47:11Either that or you don't understand what's going on inside you.
0:47:11 > 0:47:13Oh, I understand.
0:47:13 > 0:47:16My oncologist said if the tumour went untreated,
0:47:16 > 0:47:18I might make it to Christmas.
0:47:18 > 0:47:20So what? You're happy to settle for that?
0:47:20 > 0:47:22Yeah.
0:47:27 > 0:47:30- More suction! - I can see the bleed. Coming from...
0:47:30 > 0:47:31Vascular adhesions.
0:47:31 > 0:47:33Roberts. 3-0 Vicryl, please.
0:47:36 > 0:47:40BP's climbing. Well done. We're almost back on track.
0:47:40 > 0:47:44- BOTH:- Diathermy, please.
0:47:46 > 0:47:48Thank you.
0:47:50 > 0:47:52Disappointing.
0:47:52 > 0:47:55- We need to separate it out. - And risk uncontrolled bleeding?
0:47:55 > 0:48:00- We could try a flexible bronchoscope? - That's ingenious.
0:48:00 > 0:48:06- An elegant solution to a very inelegant problem.- Thank you.
0:48:06 > 0:48:10- BOTH:- Flexible bronchoscope, please. So nice to have you in here.
0:48:10 > 0:48:13- Try telling that to Ms Giles! - I don't know what you mean.
0:48:13 > 0:48:15Seemed she wanted your devoted attention.
0:48:15 > 0:48:19- Don't tell me you didn't pick up on it?- Pick up on what?
0:48:19 > 0:48:22She was flirting with you, Henrik.
0:48:22 > 0:48:25You do know what flirting is, don't you?
0:48:25 > 0:48:29I did wonder when she took her clothes off.
0:48:33 > 0:48:35My dad was 48 when he died.
0:48:36 > 0:48:38Cancer?
0:48:38 > 0:48:40No flies on you.
0:48:40 > 0:48:41Look.
0:48:41 > 0:48:44You don't have to follow in his footsteps.
0:48:46 > 0:48:48He went in for an operation.
0:48:49 > 0:48:52Said he'd be home in a fortnight.
0:48:52 > 0:48:54Two weeks he still wasn't home.
0:48:54 > 0:48:58Everything they did to him to make him better. It made him worse.
0:49:02 > 0:49:05It was like watching someone being tortured to death.
0:49:06 > 0:49:10What about Lauren? What about the child you're about to have?
0:49:10 > 0:49:11I can't put them through all that.
0:49:13 > 0:49:15I don't expect them to understand,
0:49:15 > 0:49:18but I know I'm sparing them from something worse.
0:49:20 > 0:49:22Can you understand that?
0:49:24 > 0:49:25Honestly?
0:49:26 > 0:49:30No. It's one of the stupidest, most selfish things
0:49:30 > 0:49:31I've ever heard in my whole life.
0:49:33 > 0:49:35You speak your mind, don't you?
0:49:37 > 0:49:39It's a gift.
0:49:39 > 0:49:43What about your other surgery? The real one?
0:49:43 > 0:49:47My career can wait. You can't.
0:49:55 > 0:49:59There were some complications we hadn't foreseen.
0:50:01 > 0:50:04Josh's spinal cord is badly damaged.
0:50:06 > 0:50:10- How badly?- We won't know until the swelling has gone down.
0:50:17 > 0:50:20He won't be able to snowboard any more?
0:50:20 > 0:50:22Kate...
0:50:22 > 0:50:24Josh might not be able to walk any more.
0:50:28 > 0:50:31You told me it would be all right.
0:50:34 > 0:50:36I can't. I'm sorry.
0:50:50 > 0:50:55- You OK?- No.
0:50:55 > 0:50:58You need to pull yourself together before Josh wakes up.
0:50:58 > 0:51:01I don't mind talking to him by myself if you're not up to it.
0:51:03 > 0:51:07Maybe it'd be best coming from you, actually.
0:51:07 > 0:51:10No, it'd be better coming from one of us.
0:51:10 > 0:51:11Thanks anyway.
0:51:11 > 0:51:13OK. Just give me a minute.
0:51:32 > 0:51:35I'll do it.
0:51:38 > 0:51:41Go, go on. I'll take care of it.
0:51:41 > 0:51:45MUSIC: "Calm Me Down" by Port O'Brien
0:52:27 > 0:52:29I can see a bright light.
0:52:30 > 0:52:33That'll be the theatre lights.
0:52:35 > 0:52:39On the off chance you see any other kind of lights,
0:52:39 > 0:52:42don't go running towards them, OK?
0:52:44 > 0:52:45Deal.
0:52:46 > 0:52:50OK, counting from ten.
0:52:50 > 0:52:57Nine, eight, seven... Thank you...
0:52:57 > 0:52:59You're welcome.
0:53:13 > 0:53:15Chrissie?
0:53:17 > 0:53:20Don't know why I'm calling, really.
0:53:20 > 0:53:23Just...
0:53:23 > 0:53:25Just wanted to say hi.
0:53:30 > 0:53:32Thanks for doing that.
0:53:32 > 0:53:35I didn't do it for you. I did it for Josh.
0:53:35 > 0:53:38The last thing he needs is his doctor breaking down on him.
0:53:38 > 0:53:42- I could have handled things better. - Yeah. You really could've.
0:53:44 > 0:53:48Does it come easy, being so professional all the time?
0:53:50 > 0:53:53No. No, it doesn't.
0:53:53 > 0:53:57Which is why you never get involved.
0:53:57 > 0:53:59Don't ever put me in that position again.
0:54:13 > 0:54:15KNOCK ON DOOR
0:54:16 > 0:54:19Mr Griffin,
0:54:19 > 0:54:23I know you're not interested and you have no call to be,
0:54:23 > 0:54:25but I wanted...
0:54:25 > 0:54:27I need to say this.
0:54:27 > 0:54:29I'm sorry.
0:54:29 > 0:54:31I let you down.
0:54:31 > 0:54:34The department down. And myself.
0:54:36 > 0:54:39Malick.
0:54:39 > 0:54:41Well done on the resection.
0:55:00 > 0:55:05Ah, Henrik. We need to talk.
0:55:05 > 0:55:06Yes, of course.
0:55:06 > 0:55:09There were a few complications and Mr Douglas' behaviour
0:55:09 > 0:55:13will be dealt with of course, but all in all it was a big success.
0:55:13 > 0:55:15We had to carry out an open procedure,
0:55:15 > 0:55:19this will mean a longer recovery period.
0:55:19 > 0:55:20What are you talking about?
0:55:20 > 0:55:25- Your wife.- Oh, right.
0:55:25 > 0:55:27We've been divorced for years.
0:55:27 > 0:55:32I don't want to talk about Ella.
0:55:32 > 0:55:34Anyway, the meeting today,
0:55:34 > 0:55:39it was a little bit more significant than we anticipated.
0:55:39 > 0:55:41Right.
0:55:41 > 0:55:46It's not official, but I thought I'd better give you the heads up.
0:55:46 > 0:55:50All cardio thoracic procedures are going be transferred
0:55:50 > 0:55:53to St James's within the next six weeks.
0:55:55 > 0:55:58But the consultation period hasn't come to an end yet?
0:55:58 > 0:56:02Not officially, but decisions have been made.
0:56:02 > 0:56:07Sir Fraser is pushing for Trust status as soon as possible.
0:56:07 > 0:56:09The closure of CT sends out a clear message
0:56:09 > 0:56:12that we are getting our finances under control.
0:56:12 > 0:56:15It also means we'll lose most of our talented surgeons.
0:56:15 > 0:56:18One department. Let's not get this out of perspective.
0:56:18 > 0:56:20Yes, a department that has some of our very best...
0:56:20 > 0:56:22I am just the messenger.
0:56:22 > 0:56:25I have absolutely no influence over these decisions.
0:56:25 > 0:56:27Right, of course.
0:56:29 > 0:56:31Diplocarpon rosae.
0:56:33 > 0:56:35- I beg your pardon?- Blight.
0:56:35 > 0:56:39I thought I'd dealt with an outbreak earlier.
0:56:39 > 0:56:42But seems the infestation was larger than I thought.
0:56:59 > 0:57:02Hey, you look terrible.
0:57:04 > 0:57:05One of those days.
0:57:05 > 0:57:07Tell me about it.
0:57:09 > 0:57:11But things are looking up!
0:57:29 > 0:57:31Subtitles by Red Bee Media Ltd
0:57:31 > 0:57:34E-mail subtitling@bbc.co.uk