0:00:39 > 0:00:41'My dad died this morning.'
0:00:41 > 0:00:44So I think maybe if I don't tell anybody - it hasn't happened.
0:00:44 > 0:00:46My father had a work ethic.
0:00:46 > 0:00:48He never took a sick day.
0:00:48 > 0:00:51So I finish my shift.
0:00:51 > 0:00:55- I'd top myself in AAU without one of these - grim!- She's in AAU?
0:00:55 > 0:00:58Oh, yeah, yeah, she's the new F1.
0:00:58 > 0:01:00Go get 'em, tiger!
0:01:00 > 0:01:02CT at Holby is over.
0:01:02 > 0:01:06They're going to fold it into St James' and make all cardio staff redundant.
0:01:06 > 0:01:09- What's the Cardiac Trauma Unit? - Why, what do you care?
0:01:09 > 0:01:14Every cardiac dork in Darwin is talking about CTU, CTU - like it's the best thing since Velcro.
0:01:14 > 0:01:16Something Sahira's cooked up.
0:01:16 > 0:01:21One in five nurses have been cut and Hanssen has handed you a fifty-grand project
0:01:21 > 0:01:24after you insisted you could lead it. So lead it!
0:01:27 > 0:01:31- We have to stabilise this bleed fast.- Is he going to be all right?
0:01:31 > 0:01:34Don't sweat it. I don't feel a thing.
0:01:34 > 0:01:38- BEEPING - B/P's dropping.- Gav...
0:01:38 > 0:01:41You'll have to wait out here.
0:01:47 > 0:01:48FLATLINE TONE
0:01:48 > 0:01:52- Still no output.- Yeah, let's call it.- Time of death...
0:01:52 > 0:01:5408.48.
0:01:54 > 0:01:57Good job, everyone. You did your best.
0:01:57 > 0:02:02- I'll tell his wife and daughter. - Hold up. Who clerked him in? - We both did.- Then he's your patient.
0:02:02 > 0:02:05Which one of you is going to break the news?
0:02:05 > 0:02:08C'mon, I know it sucks, but it is part of the job.
0:02:10 > 0:02:11Heads or tails?
0:02:11 > 0:02:13- Don't bother. I'll do it.- You sure?
0:02:13 > 0:02:15Yeah, as Mr Spence said, it's a part of the job.
0:02:15 > 0:02:18That a girl.
0:02:19 > 0:02:23I was just thinking, given your father's recent...
0:02:23 > 0:02:27We have a dead body in front of us and you can't even say the word?
0:02:30 > 0:02:32I was going to say "passing".
0:02:32 > 0:02:34He did not pass anywhere.
0:02:34 > 0:02:36He died.
0:02:36 > 0:02:40Just like Mr Fletcher over there and just like we all will one day.
0:02:40 > 0:02:42Where's the wife and the daughter?
0:02:42 > 0:02:44In there.
0:03:02 > 0:03:05I'm sorry. Excuse me - I'm in the wrong room.
0:03:21 > 0:03:23My money's on a pay increase for the entire staff.
0:03:23 > 0:03:29- You really think so?- Unfortunately for you, it's performance-based, so I think you can expect a pay cut.
0:03:32 > 0:03:35Given that the last time we were summoned like this
0:03:35 > 0:03:38was to announce redundancies, I wouldn't be so optimistic.
0:03:41 > 0:03:43Good morning. Thank you all for coming.
0:03:43 > 0:03:45I'll make it short and sharp.
0:03:45 > 0:03:47Now THERE'S a good sign.
0:03:50 > 0:03:53I do realise this news may come as a something of a shock,
0:03:53 > 0:03:57but though given the well-oiled rumour mill at Holby,
0:03:57 > 0:04:00I doubt very much of a surprise.
0:04:00 > 0:04:05So once the amalgamation of cardiothoracics with St James' is complete,
0:04:05 > 0:04:07Darwin staff will be relocated,
0:04:07 > 0:04:12with a few remaining here to oversee the running of the Cardiac Trauma Unit.
0:04:13 > 0:04:15Thank you for your attention.
0:04:19 > 0:04:21Tough break.
0:04:21 > 0:04:25Well, that's me and Hanssen's girl taken care of.
0:04:25 > 0:04:28- As if there was any doubt. - Where is Sahira anyway?
0:04:28 > 0:04:31Probably cracking open a bottle of bubbly.
0:04:33 > 0:04:36- RAPID BEEPING - Heart's fibrillating. Charge to 100.
0:04:41 > 0:04:43Clear!
0:04:46 > 0:04:47Elliot.
0:04:47 > 0:04:49Are you OK?
0:04:49 > 0:04:51Ah. All good things...
0:04:51 > 0:04:53Do you know what you're going to do?
0:04:53 > 0:04:57- I have an oesophageal rupture scheduled, if you're up for it.- Elliot...
0:04:57 > 0:05:02Severe ITP, delayed several weeks while we worked on his platelet levels. Should be challenging.
0:05:02 > 0:05:05One last hurrah before we go our separate ways, eh?
0:05:05 > 0:05:09Not the last. Not yet.
0:05:09 > 0:05:13According to Hanssen, St James' are willing to offer me
0:05:13 > 0:05:15an equivalent role to my one at Holby.
0:05:15 > 0:05:19Heaven knows what's waiting for everyone else.
0:05:22 > 0:05:27I'll need an underwater seal for the chest drain. a chest x-ray, an echocardiogram and a CT scan.
0:05:28 > 0:05:30Your brother's going to be OK.
0:05:30 > 0:05:32Is there anyone we can call for you?
0:05:38 > 0:05:43And the Cardiac Trauma Unit saves the day once again!
0:05:43 > 0:05:47Delighted to hear it. Have you seen Mr Sheldon's CT file? I need a copy for Ric.
0:05:47 > 0:05:52- There was a penetration wound to the heart. We stemmed the bleeding on site, then...- Thank you.
0:05:52 > 0:05:56I'm sure it was very exciting, but if you'll excuse me, I have a patient.
0:05:58 > 0:06:00One month?
0:06:00 > 0:06:05Yep, then it's the start of the relocation lottery for everyone. Except for you and Jac, obviously.
0:06:05 > 0:06:09- The Cagney and Lacey of Cardiac Trauma. - The trial was for everyone.
0:06:09 > 0:06:12Why d'you think Hanssen gave you the go-ahead in the first place?
0:06:12 > 0:06:16He knew what was coming, and didn't want his favourite girl left out in the cold.
0:06:16 > 0:06:20Unlike myself, who's somehow managed to get by on surgical brilliance alone.
0:06:25 > 0:06:29- Greg, I'm sorry.- No need to apologise. Count your blessings.
0:06:29 > 0:06:34So what if everyone thinks you're basically Hanssen's poodle?
0:06:34 > 0:06:35Speak of the devil.
0:06:36 > 0:06:40This is Ms Sahira Shah. She's been heading up the Cardiac Trauma trial.
0:06:40 > 0:06:45- Hi.- Amelia O'Donoghue, Robert Gallagher, William Lynch, from the board at St James'.
0:06:45 > 0:06:48Mr Hanssen's been singing your praises.
0:06:48 > 0:06:51That was not what we agreed.
0:06:51 > 0:06:57Yes, of course I understand your posi... I don't think that you understand MY position.
0:06:58 > 0:07:03I have over 20 years' experience as a senior cardiothoracic consultant.
0:07:03 > 0:07:06I don't expect to be treated like an F2.
0:07:06 > 0:07:09..Yes. Quite.
0:07:09 > 0:07:12Right, this conversation is not over.
0:07:12 > 0:07:14Everything OK?
0:07:17 > 0:07:23Turns out St James' are not prepared to offer me a role equivalent to my present position.
0:07:23 > 0:07:27- Meaning? - One day of operating time a week.
0:07:27 > 0:07:32- One day? - The rest spent at MDT meetings.
0:07:32 > 0:07:34I'm sorry.
0:07:34 > 0:07:38- I'm not going to take this lying down.- What've you got in mind?
0:07:38 > 0:07:41Ah...I'm not sure.
0:07:43 > 0:07:50What about this oesophageal rupture? It's not far off showcase stuff.
0:07:50 > 0:07:53Board members from St James' are here already.
0:07:53 > 0:07:56We could ask them to observe me.
0:07:56 > 0:07:59Prove to them that I'm not quite ready to be put out to pasture.
0:07:59 > 0:08:04I'm not sure that grandstanding is going to be much help in this situation.
0:08:04 > 0:08:07Well, if you have another suggestion...
0:08:07 > 0:08:09Elliot, I'm just saying...
0:08:09 > 0:08:12it'll look like you're clutching at straws.
0:08:15 > 0:08:16I am!
0:08:16 > 0:08:23Not only is he one of the most gifted surgeons that I've ever known, he's also one of the most respected.
0:08:23 > 0:08:27- A fact that seems lost on the management at St James'. - Which is my fault how?
0:08:27 > 0:08:31There has to be a way of achieving trust foundation status without
0:08:31 > 0:08:35relegating one of our finest consultants to the duties of an F2.
0:08:35 > 0:08:36What do you suggest?
0:08:36 > 0:08:40You told me the SHA would be persuaded to keep a cardiothoracic unit at Holby.
0:08:40 > 0:08:43I told you it was a possibility, not a certainty.
0:08:43 > 0:08:46This afternoon, Mr Hope and I are operating on a patient
0:08:46 > 0:08:49with an oesophageal rupture, complicated by severe ITP.
0:08:49 > 0:08:54- I'm beside myself with excitement. - You strung me along. You let me encourage everyone
0:08:54 > 0:08:56to get behind this Cardiac Trauma trial
0:08:56 > 0:09:02and in the end made me look like some sort of manipulative, Machiavellian bitch.
0:09:02 > 0:09:04A little melodramatic, don't you think?
0:09:04 > 0:09:08We'd like to invite the board members of St James' to observe the procedure.
0:09:08 > 0:09:10What do you think that will achieve?
0:09:10 > 0:09:13They'll see for themselves what an asset he is.
0:09:13 > 0:09:18- They're on a very tight schedule. Tours, meetings... - This could be his only chance.
0:09:18 > 0:09:22- Fine. I'll have a word. But don't get your hopes up.- Thank you.
0:09:25 > 0:09:28- You led me down the garden path. - To the sweet smell of continued employment, no?
0:09:29 > 0:09:32Could you wait until I'm on the other side?
0:09:32 > 0:09:37You made it look like the only reason I'm staying is because I'm the boss's favoured child.
0:09:37 > 0:09:41- It's on your own merits. - That's not what everyone thinks. - Who cares?
0:09:41 > 0:09:46I've already told you, I'm sick and tired of being thought of as "Hanssen's girl".
0:09:48 > 0:09:50This is a hospital, not a school playground.
0:09:50 > 0:09:53- I suggest you grow up.- Grow up?
0:09:53 > 0:09:58Yes, you'll be forever impeded if you don't give up this naive desire to be loved by everyone.
0:09:58 > 0:10:00You'd know that better than anyone!
0:10:00 > 0:10:04Yes, I've supported you. Yes, I've kept a watchful eye.
0:10:04 > 0:10:10And yes, I gave the go-ahead to the trial in part because I knew it would give you greater job security.
0:10:10 > 0:10:15- Rather than throwing it in my face, perhaps a measure of gratitude would be appropriate.- Gratitude?
0:10:15 > 0:10:17Do you mind? I'm busy.
0:10:17 > 0:10:20I quit.
0:10:20 > 0:10:25You'll have my letter of resignation on your desk by the end of the day.
0:10:30 > 0:10:34Aplasia of the sternal head of the pectoralis major.
0:10:34 > 0:10:37- Must've been incredibly intricate surgery.- It was.
0:10:37 > 0:10:41Were the serratus anterior and latissimus dorsi muscles absent?
0:10:41 > 0:10:45Yep, textbook Poland's Syndrome, along with webbing and shortening of the fingers.
0:10:45 > 0:10:48- Symbrachydactyly. - You know your plastics.
0:10:48 > 0:10:49I'm fascinated.
0:10:49 > 0:10:54People don't understand - they think it's all boob jobs and face lifts.
0:10:54 > 0:10:57- But it's genuinely improving people's lives. - You're preaching to the choir.
0:10:57 > 0:11:02I read your paper on minimising facial scarring.
0:11:02 > 0:11:07- Oh, you did, huh?- You mentioned the psychological counselling patients receive before surgery.
0:11:07 > 0:11:10I'd love to hear more about it.
0:11:10 > 0:11:13That's a long conversation.
0:11:13 > 0:11:15Perhaps over a drink?
0:11:18 > 0:11:19Hey.
0:11:19 > 0:11:21How'd it go with the wife and daughter?
0:11:29 > 0:11:32- Nice one.- Thank you. - Well done.
0:11:34 > 0:11:40- They'll be writing songs about you. - I didn't do this to fan my own ego. - Hats off to you.
0:11:40 > 0:11:42Takes balls to give it to the man.
0:11:42 > 0:11:46- I stand in awe of your balls. Less impressed with your brains, though. - Meaning?
0:11:46 > 0:11:50She's just jealous. Jac can only dream of being universally adored.
0:11:50 > 0:11:53Giving up a good job for people who won't remember my name in a few years
0:11:53 > 0:11:56is not my idea of a noble sacrifice.
0:11:56 > 0:11:59Believe it or not, not everyone is as self-centred as you.
0:11:59 > 0:12:00Here you go.
0:12:00 > 0:12:01Thank you, Rosie.
0:12:03 > 0:12:06Her name's Rachel.
0:12:06 > 0:12:09You're going to need this.
0:12:17 > 0:12:19Let's see...
0:12:21 > 0:12:24Ingrowing toenail. Tragic. Give that one to Frieda.
0:12:27 > 0:12:29Ah, this one looks interesting.
0:12:29 > 0:12:33- That's a little above your pay grade. - Oh, I'm a fast learner. Please?!
0:12:36 > 0:12:40- What are you doing? - I volunteer to tell the relatives
0:12:40 > 0:12:47and you take this opportunity to grab all the good cases and give Frieda the "tragic" ingrown toenail?
0:12:47 > 0:12:49- I don't think so.- Michael...
0:12:51 > 0:12:55Tell you what. You two of pair up, you do obs.
0:12:55 > 0:12:57This is Dennis Atkins.
0:12:57 > 0:12:5955-year-old smoker. Had a triple bypass a few years ago.
0:12:59 > 0:13:02He came in presenting with abdominal pain and weight loss.
0:13:02 > 0:13:05You think you got the chops? Prove it.
0:13:05 > 0:13:09And whoever diagnoses him correctly gets the grand prize - some theatre time today.
0:13:09 > 0:13:11Fair enough?
0:13:19 > 0:13:24I've got the invoices right here. I ordered five 6-inch refractors - five, not four.
0:13:24 > 0:13:28And 12 - that's a one with a two after it - 12 Newtonian reflectors.
0:13:28 > 0:13:30You've only sent me eight.
0:13:30 > 0:13:35I've got customer back orders up to my neck and if I don't get them out soon, they'll go with someone else.
0:13:35 > 0:13:39And so will I, if you don't get your act together.
0:13:39 > 0:13:40Bloody South Korean suppliers.
0:13:40 > 0:13:42Mr Sheldon, good news.
0:13:42 > 0:13:45- Your platelet levels... - PHONE RINGS
0:13:45 > 0:13:49- Unless you're phoning me back to tell me my orders are on their way...- Mr Sheldon!
0:13:49 > 0:13:50Do you mind?
0:13:54 > 0:13:55Who's this?
0:13:55 > 0:13:58This is Ric Griffin. Our GS consultant.
0:13:58 > 0:14:03Now you've been transferred to Keller, he'll be assisting me in repairing your oesophageal rupture.
0:14:03 > 0:14:08Which, if I may remind you, was caused by excessive vomiting brought on by excessive stress.
0:14:08 > 0:14:10Can I have your GMC number?
0:14:10 > 0:14:14- What for? - So I can look you up. Check out your credentials.
0:14:14 > 0:14:18And why would you feel the need to do that?
0:14:18 > 0:14:23Don't worry, it's not a black thing, if that's what you're thinking. I asked the same thing from him.
0:14:23 > 0:14:28Mr Sheldon was treated by someone in the Philippines who turned out to be less than qualified.
0:14:28 > 0:14:32Well, I can assure you in this country and in this hospital...
0:14:32 > 0:14:35Stapled haemorrhoidopexy. Do you know what that is?
0:14:35 > 0:14:37I am familiar with the procedure.
0:14:37 > 0:14:42You don't want one of those going wrong. Had to have the whole thing done again back home.
0:14:42 > 0:14:45- Couldn't sit down for...- I get the picture. I'll get you the number.
0:14:45 > 0:14:47- Thank you. - PHONE RINGS
0:14:49 > 0:14:50Excuse me.
0:14:54 > 0:14:57As I was saying, your platelet count is now at the optimum level...
0:14:57 > 0:15:01Jess. So you are alive.
0:15:01 > 0:15:03What?
0:15:03 > 0:15:04When was this decided?
0:15:06 > 0:15:10All right, all right, but at least let me see you off.
0:15:10 > 0:15:11What time's the flight?
0:15:11 > 0:15:14She's come back to work too soon.
0:15:14 > 0:15:18Sometimes it's the best antidote. Besides, she's been fine the last couple of weeks.
0:15:18 > 0:15:22- You think it's just a blip? - It's not easy delivering bad news the first few times.
0:15:22 > 0:15:25- Or any time.- Which is why she's got to get used to it.
0:15:25 > 0:15:30Still can't help but feel she could do with some... I don't know, TLC.
0:15:30 > 0:15:35Frieda? TLC? Are you kidding? You know what, leave it to me. I know how to handle Frieda.
0:15:37 > 0:15:39I made you copies of Mr Atkins' notes.
0:15:39 > 0:15:41Thanks, Frieda.
0:15:41 > 0:15:43That's really thoughtful.
0:15:50 > 0:15:54Elizabeth, can you order me a taxi for 4.30?
0:15:54 > 0:15:57I need it waiting outside the moment I'm out of surgery.
0:15:58 > 0:16:01- Pulse is 90.- Eyes look OK.
0:16:01 > 0:16:04Erm, so you say you have pain in your stomach?
0:16:04 > 0:16:06- How.- How often and how severe?
0:16:06 > 0:16:08Comes and goes.
0:16:08 > 0:16:10Gets worse after I've eaten.
0:16:10 > 0:16:14- Looks a little bit distended. - I can see that. - What d'you think's wrong?
0:16:14 > 0:16:19- Probably just some sort of bug. You'll sort it, won't you? - BOTH: Yes.
0:16:19 > 0:16:23By the way... I thought you'd like to know.
0:16:23 > 0:16:26Mr Fletcher thanks you for trying so hard to bring him back.
0:16:30 > 0:16:35- Dennis has a gift.- Oh, I see... umm you see dead people?
0:16:35 > 0:16:37Don't see them, as such.
0:16:37 > 0:16:40Hear them. Sense them.
0:16:40 > 0:16:44OK. We'll order you some tests.
0:16:46 > 0:16:50- Couldn't have been easy for you. - What are you talking about?
0:16:50 > 0:16:52How'd it go?
0:16:52 > 0:16:55- You did not tell us he was a crackpot.- Crackpot?
0:16:55 > 0:16:57Never mind.
0:16:57 > 0:17:00Pulse is normal, eyes are OK, stomach is a little bit distended.
0:17:00 > 0:17:03- Diagnosis?- Diverticulitis.
0:17:03 > 0:17:05That would explain why the pain gets worse after he's eaten.
0:17:05 > 0:17:06Possible. Frieda?
0:17:06 > 0:17:09Renal colic would cause the same symptoms.
0:17:09 > 0:17:12Also possible. So what's next?
0:17:12 > 0:17:17- Usual bloods, dip urine... - Chest and abdominal X-rays.
0:17:17 > 0:17:20- And in the meantime I/V fluids and...- and antibiotics.
0:17:20 > 0:17:25You're already working together as a team. Completing each other's sentences and everything.
0:17:25 > 0:17:28It's too cute. All right, get to it.
0:17:29 > 0:17:31How are you coping?
0:17:32 > 0:17:37- Coping?- It's just that I heard Sacha telling Michael that you...
0:17:37 > 0:17:42choked with Mr Fletcher's relatives. Which I totally understand. But if there's anything I can do to help?
0:17:42 > 0:17:44They were talking about me?
0:17:44 > 0:17:51Only out of concern. Michael was saying how he'd try and keep you busy to take your mind off things.
0:17:55 > 0:18:01The x-ray shows us that your heart and lungs are fine, but there's still a lot of blood right here.
0:18:01 > 0:18:04Which means we'll have to take you back into theatre to get rid of it.
0:18:04 > 0:18:06Nothing to worry about, mate.
0:18:06 > 0:18:07Just a patch-up job.
0:18:07 > 0:18:10- Ain't that right?- More or less.
0:18:10 > 0:18:14- How'd it happen?- Kitemare.- Kitemare?
0:18:14 > 0:18:17I was doing a back spin loop.
0:18:17 > 0:18:21Wind caught the sail. Sent me flying on to a fence post on the beach.
0:18:21 > 0:18:24How long before emergency services arrived?
0:18:24 > 0:18:30We were there within 12 minutes, sutured the bleeding on site and brought him back to Cardiac Trauma.
0:18:30 > 0:18:35- Impressive. - Are you sure there's no-one we can contact for you?
0:18:35 > 0:18:37No.
0:18:37 > 0:18:40- Your parents, maybe? - We don't have any.
0:18:40 > 0:18:44Tell you what. I'll have a gifted surgeon take a look at that for you.
0:18:44 > 0:18:46Doctor Valentine.
0:18:46 > 0:18:48We have an emergency procedure.
0:18:48 > 0:18:53There's a tear on the superior aspect. I suggest 4.0 prolene, interrupted stitches.
0:18:53 > 0:18:56Careful with that. Sick, ain't it?
0:18:59 > 0:19:01So I'm a seamstress now, am I?
0:19:01 > 0:19:04Seamster. Don't knock it - could be your next job.
0:19:04 > 0:19:06Right. I think we've seen enough here. Good luck.
0:19:15 > 0:19:18- Why did you give me this case?- What?
0:19:18 > 0:19:20Is it because you felt sorry for me?
0:19:20 > 0:19:22What the hell are you talking about?
0:19:22 > 0:19:25You don't give me the case because you feel pity.
0:19:25 > 0:19:29You give me the case because you think I'm a good doctor,
0:19:29 > 0:19:33because you trust me and because you think I've got what it takes.
0:19:33 > 0:19:36I don't want it any other way.
0:19:40 > 0:19:42Looks like it's just you and me.
0:19:50 > 0:19:55- What's going on? - We need to improve your brother's INR level before we can operate.
0:19:55 > 0:19:58- INR? - You're on Warfarin, right, Gavin?
0:19:58 > 0:20:00- What's that?- It's for my heart.
0:20:00 > 0:20:03I get arrhythmia sometimes. It's nothing serious.
0:20:03 > 0:20:06- Why didn't you tell me? - It's nothing.
0:20:06 > 0:20:11- Er, Keira, two units of FFP and vitamin K, and continue with the blood and fluids, please.- Don't.
0:20:11 > 0:20:16- I've got to.- Have you forgotten what he's like?- It's been two years. - And?
0:20:16 > 0:20:18- What happens if you die? - I'm not going to die.
0:20:18 > 0:20:20What happens if you do?
0:20:26 > 0:20:29How's it going with Mr Crackpot?
0:20:29 > 0:20:34Just ordering the chest and abdominal x-rays now, which I've no doubt will prove diverticulitis.
0:20:34 > 0:20:37Not that it really matters now, of course.
0:20:37 > 0:20:38Test results for Mr Atkins?
0:20:47 > 0:20:49Like I said.
0:20:49 > 0:20:51- Doesn't really matter now.- Mm-hmm.
0:20:54 > 0:20:58- Mr Atkins' urine test result came back with a trace of blood.- So?
0:20:58 > 0:21:02- Which suggests renal colic, as I thought.- You're not on the case any more.
0:21:02 > 0:21:07- You want back in now you've got a shot at theatre time? Doesn't work like that.- I'm sorry.
0:21:07 > 0:21:09That's not going to cut it.
0:21:09 > 0:21:12- I over-reacted.- Yeah, you did. - It's not going to happen again.
0:21:12 > 0:21:17You're not going to jump down my neck in half an hour and accuse me of feeling sorry for you?
0:21:17 > 0:21:20- OK, it was my mistake. - Yeah, damn right it was.
0:21:20 > 0:21:26- Look, either you're here to work or you take compassionate leave. What's it going to be?- I'm here.
0:21:26 > 0:21:30All right, run a CT IVP. If it comes back positive, book him in for a nephrolithotomy.
0:21:36 > 0:21:38And she says, "Lay off the doughnuts.
0:21:38 > 0:21:41"You'll never find yourself a wife if you let yourself go."
0:21:41 > 0:21:44Oh, that's so her!
0:21:44 > 0:21:49- Can you believe this? My Auntie Flo is still a grouchy old bag. - Unbelievable.
0:21:51 > 0:21:55I'm sorry, Frieda. that was insensitive.
0:21:55 > 0:21:57It's OK, Mr Levy. I'll get over it.
0:21:59 > 0:22:04- I don't suppose you'd like a reading?- Your urine test suggests you have renal colic.
0:22:04 > 0:22:07But there's still a chance you might have diverticulitis.
0:22:07 > 0:22:10It's a digestive disease found in the large intestine.
0:22:10 > 0:22:15I don't need to know the details. Matters of the physical self are your department, not mine.
0:22:17 > 0:22:20- How are you feeling?- Transcendent.
0:22:26 > 0:22:28Your father's here.
0:22:28 > 0:22:31He's eager to make contact.
0:22:33 > 0:22:35So you like to eavesdrop?
0:22:35 > 0:22:37You could call it that, I suppose.
0:22:37 > 0:22:40Eavesdropping on the spirit world.
0:22:40 > 0:22:44Yeah. Throw in a few cold readings and some high probability guesses,
0:22:44 > 0:22:46and I'm sure you could put on a hell of a show.
0:22:46 > 0:22:51- Have you always been so closed-minded? - Oh, I'm very open-minded.
0:22:51 > 0:22:55- Just not to the point when my brain falls out. - Maybe we should all calm down.
0:22:55 > 0:23:00He says he misses you. He's very proud of what you've achieved in this country.
0:23:00 > 0:23:03And he knows that you love him very much.
0:23:03 > 0:23:05Is that supposed to impress me?
0:23:05 > 0:23:08He likes his music.
0:23:08 > 0:23:10Plays the guitar.
0:23:12 > 0:23:17Mr Atkins, while you're here, perhaps it's best if you refrain from contacting the spirit world.
0:23:17 > 0:23:19He has a kind face.
0:23:20 > 0:23:27He's smiling. He says he's glad you keep the family photo he sent you by your bed.
0:23:27 > 0:23:29It makes him feel close to you,
0:23:29 > 0:23:31- and he wishes you...- Stop it.
0:23:35 > 0:23:38- Maybe he really is psychic. - Yeah, you told him those things.
0:23:38 > 0:23:40How would I know anything about your dad?
0:23:40 > 0:23:43If it makes you feel uncomfortable, I don't mind taking over.
0:23:43 > 0:23:45BEEPING Doctor, please!
0:23:50 > 0:23:54- Mr Atkins, can you hear me? - What happened?- He just passed out.
0:23:54 > 0:23:56- FLATLINE TONE - Crash trolley!
0:23:58 > 0:24:00Hey, Tom.
0:24:03 > 0:24:06Are you sure you don't have anyone you'd like me to call?
0:24:06 > 0:24:08Just my dad.
0:24:10 > 0:24:14- He says he's in recovery. - And do you think he means it?
0:24:14 > 0:24:15Seems like it.
0:24:17 > 0:24:19But...
0:24:20 > 0:24:23Gav always got the worst of it.
0:24:25 > 0:24:29You have no reason to feel guilty.
0:24:29 > 0:24:31None of this is your fault.
0:24:35 > 0:24:37Charge to 200.
0:24:37 > 0:24:41He's in VT. Stand clear.
0:24:51 > 0:24:55- What happened?- We don't know. - What do you mean? How can you not know?
0:24:55 > 0:24:59What's important is that he's stable now. His heart is beating. OK?
0:24:59 > 0:25:04- What were his obs before this? - BP was a little high.- I'm going to order a mesenteric angiogram.
0:25:04 > 0:25:07I want obs every ten minutes.
0:25:09 > 0:25:12His heart stopped.
0:25:15 > 0:25:18We'll start by making an incision across the lower abdomen
0:25:18 > 0:25:21and pulling the stomach back up towards the oesophagus.
0:25:21 > 0:25:22Fairly routine stuff.
0:25:22 > 0:25:26Any particular reason you felt the need to invite us all to watch?
0:25:27 > 0:25:33The patient's blood condition makes this a particularly challenging procedure.
0:25:33 > 0:25:37We only have one chance to repair the rupture, otherwise the patient
0:25:37 > 0:25:42may be left with long-term feeding and digestive issues.
0:25:42 > 0:25:44I'm not eating through a tube.
0:25:44 > 0:25:48- Or carrying one of those bags around full of my own... - What do you do, Mr Sheldon?
0:25:48 > 0:25:51Got my own business. Telescopes.
0:25:51 > 0:25:55- I'm partial to a bit of star-gazing myself. - Don't see the point myself.
0:25:55 > 0:25:58Just balls of fire and lumps of rock, aren't they?
0:25:58 > 0:26:02You should see how much some of these geeks pay for a top-of-the-range scope.
0:26:02 > 0:26:07They're loaded. I'm telling you, the nerds will inherit the Earth.
0:26:07 > 0:26:10Let's get started on the pre-op checks.
0:26:10 > 0:26:13Sorry, I can't do this. Thank you.
0:26:13 > 0:26:15Is there anyone I can call for you?
0:26:15 > 0:26:21I noticed from your medical records here you have two daughters listed as your next of kin.
0:26:21 > 0:26:25Nah, don't need to bother them with this. They don't live local.
0:26:25 > 0:26:28Both got families, jobs.
0:26:31 > 0:26:33OK.
0:26:34 > 0:26:38Nurse, can we have type-specific blood? Two units, platelets, please.
0:26:38 > 0:26:40And we'll see you in theatre in about an hour.
0:26:40 > 0:26:43Good.
0:26:43 > 0:26:45An hour?
0:26:45 > 0:26:49- Yes, is there a problem? - We were under the impression you were operating right now.
0:26:49 > 0:26:53- We've a meeting with the Holby board from three to four.- Ah.
0:26:53 > 0:26:56- Well, I suppose we could postpone... - Please don't on our account.
0:26:56 > 0:26:59Well, his platelet count's up to 150 from 60.
0:26:59 > 0:27:02Another hour wouldn't make much difference. Would it?
0:27:02 > 0:27:04No.
0:27:04 > 0:27:06Very well. We'll see you at four.
0:27:06 > 0:27:09Good. Are you sure that's all right?
0:27:09 > 0:27:10Of course.
0:27:19 > 0:27:20What's this?
0:27:20 > 0:27:22Obs are stable.
0:27:22 > 0:27:25The transfusion and fluids seem to be working.
0:27:25 > 0:27:26We can get you back into theatre.
0:27:26 > 0:27:29So, what? You're penpals now?
0:27:29 > 0:27:34You don't actually believe any of this, do you? I'm deleting this rubbish.
0:27:34 > 0:27:39- He'll beat the crap out of you, just like he did me.- He never touched me.
0:27:39 > 0:27:40And why do you think that was?
0:27:40 > 0:27:44Maybe it's better you talk about this later.
0:27:44 > 0:27:47Look, I know you're scared.
0:27:47 > 0:27:49But think about our future.
0:27:49 > 0:27:53You invite that thing back into our lives,
0:27:53 > 0:27:56- how long before he finds a way to screw it up? - I don't care.
0:27:56 > 0:27:58- You don't care? - It's not just up to you.
0:27:58 > 0:28:03- Well, if you don't like it, you know what you can do. - Right. All done.
0:28:03 > 0:28:07As you can see, I've added interrupted stitches.
0:28:11 > 0:28:14- Get away from me.- Fine.
0:28:17 > 0:28:21Once we get the results of the mesenteric angiogram, we'll have
0:28:21 > 0:28:24a much better idea of what caused you to deteriorate so suddenly.
0:28:24 > 0:28:27What did you see?
0:28:27 > 0:28:29- Sorry?- Did you see the light?
0:28:29 > 0:28:31The tunnel?
0:28:31 > 0:28:33Yes.
0:28:33 > 0:28:36Yes, of course.
0:28:42 > 0:28:44Doctors, you're both wrong.
0:28:44 > 0:28:48Looks like you're going to have to draw straws for theatre time.
0:28:48 > 0:28:51Finally. Now I've become your star patient,
0:28:51 > 0:28:54I'm getting the service I'm entitled to.
0:28:54 > 0:28:58You're entitled to exactly the same service as any other patient.
0:28:58 > 0:29:00Not according to the suits.
0:29:00 > 0:29:02They can't wait to see what's going on in here.
0:29:02 > 0:29:05I'm a marvel of bloody science, I am.
0:29:05 > 0:29:09Yes. You certainly are a marvel.
0:29:09 > 0:29:12What was that? Was that a dig?
0:29:12 > 0:29:14You ought to start showing me some respect.
0:29:14 > 0:29:17And where's that GMC number? For all I know, you could be a chiropodist.
0:29:17 > 0:29:19I want to see a licence to practise.
0:29:19 > 0:29:26I've ordered a copy and when it arrives, I'll be sure to ask one of our proctologists to deliver it.
0:29:28 > 0:29:31- That is not respect. - You want some respect?
0:29:31 > 0:29:33You try showing some first.
0:29:33 > 0:29:35I have been perfectly respectful.
0:29:35 > 0:29:39You have been rude, selfish, ungrateful, you've been arrogant...
0:29:39 > 0:29:42You can't talk to me like that. I pay your wages.
0:29:42 > 0:29:45What makes it all the more gratifying for me, personally,
0:29:45 > 0:29:50is that treating you means I'm going to miss seeing my daughter before she flies off out of the country.
0:29:50 > 0:29:54Not that I'd expect you to care or even understand the sacrifice,
0:29:54 > 0:29:58given the total absence of any family by your bedside.
0:30:04 > 0:30:08The blood vessels supplying the bowel are blocked, that's causing you pain after you eat.
0:30:08 > 0:30:13The blood supply can't compensate, which is giving you the ischemia.
0:30:13 > 0:30:14So, what happens now?
0:30:14 > 0:30:19We'll remove the area of the bowel that's serviced by the damaged vessels. But determining
0:30:19 > 0:30:24which areas have good and bad blood supply isn't easy. Given the vascular disease to the heart
0:30:24 > 0:30:29- and the previous triple bypass you had, anaesthesia carries a very high risk.- High risk?
0:30:29 > 0:30:31I'm not going to sugar-coat it.
0:30:31 > 0:30:36This is a complicated surgery. And, like any invasive procedure, it carries some risk.
0:30:36 > 0:30:40- But if we don't operate... - Could I die? - We're going to do everything we can.
0:30:44 > 0:30:47- Could I die? - I can't make you any guarantees.
0:30:47 > 0:30:50But you do need this operation.
0:30:50 > 0:30:52And time is not on our side.
0:30:53 > 0:30:56Do you understand what I'm saying to you?
0:30:58 > 0:31:00OK. Then we can go ahead?
0:31:02 > 0:31:08- Try not to worry. Mr Spence would be the first one to tell you he's the best.- She's not lying.
0:31:08 > 0:31:13OK. Right, I want IV fluids and let's continue obs.
0:31:13 > 0:31:16Which one of you is joining me in theatre?
0:31:19 > 0:31:21All right. Call it. Heads or tails?
0:31:21 > 0:31:23- Tails.- Tails.
0:31:24 > 0:31:25Heads.
0:31:34 > 0:31:35Congratulations.
0:31:39 > 0:31:43- Gavin, I really need to get you into theatre now. - Not until I see my brother.
0:31:43 > 0:31:46Your echocardiogram shows blood accumulating around the heart...
0:31:46 > 0:31:50- I don't care.- It's compressing it, making it harder for it to beat.
0:31:50 > 0:31:56- If I don't get you into theatre now...- I gave up everything for him. A-levels, a career.
0:31:56 > 0:31:59I work 12 hours a day in a factory to care for him.
0:31:59 > 0:32:03And you whisper a few words in his ear and get him to throw it all away.
0:32:03 > 0:32:05I didn't tell him what to do. I just listened to him.
0:32:05 > 0:32:09- You're saying I don't? - Maybe he's old enough to make his own decisions.
0:32:09 > 0:32:11You don't know anything about it.
0:32:11 > 0:32:15I know that if I don't get you into theatre soon, you will die.
0:32:15 > 0:32:18Where will that leave your brother then?
0:32:24 > 0:32:26So, where's Jess off to?
0:32:26 > 0:32:29She's going to see her mother,
0:32:29 > 0:32:31in Jamaica.
0:32:31 > 0:32:33Bit sudden.
0:32:33 > 0:32:36Well, you know Jess. When she gets an idea...
0:32:36 > 0:32:39How long's she going for?
0:32:39 > 0:32:41Indefinitely.
0:32:44 > 0:32:49Look, we can postpone Mr Sheldon's operation for another couple of hours.
0:32:49 > 0:32:53- The board won't wait that long. - That's not important. - Elliot, it's a kind gesture...
0:32:53 > 0:32:55It's not a gesture.
0:32:55 > 0:32:58BEEPING
0:32:58 > 0:33:01My heart. It's racing.
0:33:01 > 0:33:03What's happening?
0:33:13 > 0:33:16If you're here to change my mind, don't bother.
0:33:16 > 0:33:18Wouldn't dream of it.
0:33:18 > 0:33:23I've had a look at the call-out notes for your patient, exemplary job, if I may say so.
0:33:23 > 0:33:27I've made a few suggestions for improvements, notes in the margins.
0:33:27 > 0:33:32Well, hopefully they'll prove useful to your successor.
0:33:32 > 0:33:36You didn't think because you're abandoning the Cardiac Trauma trial, I would let it go to waste?
0:33:36 > 0:33:41- Of course not.- In fact, I've already put in a request for cover from St James's.
0:33:43 > 0:33:44This is for me, I believe.
0:33:44 > 0:33:47- My letter of resignation.- Thank you.
0:33:55 > 0:33:57What was it like?
0:33:57 > 0:34:01- What?- The light. The other side. What did it feel like?
0:34:01 > 0:34:03It was...
0:34:03 > 0:34:05Did you see Cathleen?
0:34:05 > 0:34:07What? Tell me.
0:34:07 > 0:34:09- There was...- Go on...
0:34:09 > 0:34:14- Nothing. - What do you mean, nothing?
0:34:14 > 0:34:16- Nothing. - But you must have seen something?
0:34:16 > 0:34:20- Grace, please. Not now. - You must have seen her.
0:34:21 > 0:34:23I didn't see anyone.
0:34:23 > 0:34:26- All right, but maybe she saw you. Ask her.- Please. Grace...- Ask her!
0:34:26 > 0:34:30- I can't perform for you 24/7. - Perform?
0:34:33 > 0:34:37- What do you mean, perform?- I'm sorry.
0:34:37 > 0:34:39I don't understand.
0:34:39 > 0:34:43I just wanted to help you. Help everyone.
0:34:43 > 0:34:45What are you saying?
0:34:46 > 0:34:50- No...- I wanted it to be true.
0:34:50 > 0:34:52I half convinced myself it was.
0:34:52 > 0:34:54I was afraid if you knew, you'd...
0:34:54 > 0:34:57What? I'd what?
0:34:57 > 0:35:00Sometimes it feels like it's the only reason you're with me.
0:35:14 > 0:35:17Extending the original incision...
0:35:17 > 0:35:20down to the sternum.
0:35:20 > 0:35:24- I don't need a running commentary. I can see what you're doing. - It helps me focus.
0:35:24 > 0:35:26Inserting the retractor.
0:35:26 > 0:35:28Opening the retractor.
0:35:28 > 0:35:31Yes, yes, all right.
0:35:31 > 0:35:33Suction.
0:35:33 > 0:35:35Diaphragm's pushed upwards.
0:35:35 > 0:35:37Feels distended.
0:35:37 > 0:35:40BP's dropping. 50 over 30.
0:35:40 > 0:35:43- Heart rate's 140. - We need a GS surgeon.
0:35:43 > 0:35:46Something's going on with the abdomen. Page Mr Hanssen.
0:35:46 > 0:35:50- What happened? - Your heart did a few somersaults.
0:35:50 > 0:35:54- You're stabilised now. - Probably you that did it.
0:35:54 > 0:35:56Shouting at me like a maniac.
0:35:56 > 0:35:57I did not shout.
0:35:57 > 0:36:00You raised your voice.
0:36:00 > 0:36:02I'm sorry.
0:36:03 > 0:36:07I know it's going to sound funny, but...
0:36:07 > 0:36:12If you experienced any other symptoms, I do need to know.
0:36:12 > 0:36:14I saw stars.
0:36:15 > 0:36:17Shooting stars.
0:36:19 > 0:36:21Occupational hazard, I guess.
0:36:21 > 0:36:24You seen them this time of year?
0:36:24 > 0:36:26The Perseids meteor shower?
0:36:26 > 0:36:28No, I don't think I have.
0:36:28 > 0:36:30Amazing.
0:36:30 > 0:36:32My daughters,
0:36:32 > 0:36:34they used to love them when they was kids.
0:36:34 > 0:36:39"There's another one, Daddy. There's another one."
0:36:39 > 0:36:42- "Make a wish, make a wish." - When did you last see them?
0:36:44 > 0:36:47I don't know.
0:36:47 > 0:36:49I'm not exactly a candidate for father of the year.
0:36:51 > 0:36:53Who is?
0:36:58 > 0:37:02Don't worry about me. Meet her at the airport.
0:37:02 > 0:37:06Kiss her goodbye. I'll be here when you get back.
0:37:06 > 0:37:08Something for you to look forward to.
0:37:15 > 0:37:17I'm sorry.
0:37:17 > 0:37:20The things I said.
0:37:20 > 0:37:23I got a bit carried away.
0:37:23 > 0:37:26- Showing off in front of your girlfriend?- Something like that.
0:37:29 > 0:37:32Do you even believe in afterlife?
0:37:32 > 0:37:34Not now.
0:37:34 > 0:37:37- How can I?- You've only been gone for about a minute.
0:37:37 > 0:37:40Maybe the journey takes a little longer.
0:37:40 > 0:37:42- Thought you didn't believe in that.- I don't.
0:37:42 > 0:37:45Wouldn't you want to see your father again?
0:37:45 > 0:37:49- Of course.- Then why wouldn't you...
0:37:49 > 0:37:51Believe in Heaven?
0:37:51 > 0:37:54Cosmic consciousness?
0:37:54 > 0:37:58What do I do, spin the wheel and choose an afterlife?
0:37:58 > 0:38:00Some do. It helps.
0:38:00 > 0:38:02So, why do they need you?
0:38:02 > 0:38:06Sometimes it's to say things they couldn't while their loved ones were still alive.
0:38:06 > 0:38:09Sometimes it's just to say goodbye.
0:38:09 > 0:38:14But mostly, it's just to feel less alone.
0:38:28 > 0:38:31- What do you want?- Dennis is about to go into the theatre.
0:38:31 > 0:38:33- Good luck to him. - Are you just going to walk away?
0:38:33 > 0:38:35That's right.
0:38:35 > 0:38:3818 months down the drain.
0:38:38 > 0:38:40My longest relationship. Can you believe that?
0:38:40 > 0:38:43Why do you care, anyway?
0:38:43 > 0:38:45You were right. He's a charlatan.
0:38:45 > 0:38:48- I'm better off without him. - He could die.
0:38:51 > 0:38:54He took advantage of me.
0:38:54 > 0:38:56All of those messages from my sister.
0:38:56 > 0:39:00Making me feel so... connected.
0:39:00 > 0:39:02To what?
0:39:02 > 0:39:03Nothing. A fantasy.
0:39:03 > 0:39:05Your sister was not a fantasy.
0:39:07 > 0:39:09She lived. She existed.
0:39:11 > 0:39:16- I miss her.- I know.
0:39:22 > 0:39:27Pack it. I can't see a thing. We've got to get on top of this. Good.
0:39:27 > 0:39:31Looks like a tear to the liver. Why wasn't this picked up on the CT scan?
0:39:31 > 0:39:34It was too small. And the Warfarin just made it worse.
0:39:34 > 0:39:36Put your hand there for me.
0:39:36 > 0:39:39Push hard. Clips, and more suction.
0:39:39 > 0:39:42Diathermy.
0:39:43 > 0:39:46Cauterising the tear.
0:39:46 > 0:39:4920 vicryl, if you would.
0:39:53 > 0:39:54He's stabilising.
0:39:56 > 0:39:59- Right. I believe Ms Naylor and I can continue from here.- What?
0:39:59 > 0:40:04Two consultants is more than enough to deal with this patient from now on. Wouldn't you agree?
0:40:04 > 0:40:06- He's my patient.- Our patient.
0:40:06 > 0:40:10Precisely. I'm sure you'll find some work to be getting on with while we finish up here.
0:40:16 > 0:40:19Oh, by the way. St James' got back to me.
0:40:19 > 0:40:22They've got a CT Registrar with Cardiac Trauma experience
0:40:22 > 0:40:28who's very keen on a transfer to Holby. So, looks like everything will work out quite well.
0:40:43 > 0:40:44Where is he?
0:40:44 > 0:40:46He's been rushed into theatre.
0:40:46 > 0:40:48- Why? What happened? - He went into AF.
0:40:53 > 0:40:55Retractors.
0:40:56 > 0:41:00Don't give them to me. You're a surgeon, not a scrub nurse.
0:41:04 > 0:41:08Ah, Petrenko. He's your patient, too. Scrub in.
0:41:12 > 0:41:15Ah, you're here. Good. Could you just give me one minute, please?
0:41:15 > 0:41:16Should I cancel your taxi?
0:41:16 > 0:41:20No. Go. To hell with them.
0:41:20 > 0:41:23- Are you sure? - I'll tell them we're postponing.
0:41:23 > 0:41:29- If you leave now, you can still meet her at the airport.- Thank you.
0:41:31 > 0:41:35- I'm terribly sorry, I'm afraid we'll have to postpone. - Oh, for goodness' sake!
0:41:38 > 0:41:42OK, we're need to resect the damaged part of the bowel.
0:41:42 > 0:41:44- You want to try?- Yes.
0:41:44 > 0:41:46One at a time. Frieda?
0:41:50 > 0:41:53He's a dinosaur. A relic.
0:41:53 > 0:41:57He'll be lucky if he gets one hour of operating time per week, let alone one day.
0:41:57 > 0:42:00Excuse me.
0:42:00 > 0:42:04- Scalpel. - Mop Doctor Petrenko's brow, please.
0:42:07 > 0:42:10OK. You're doing well.
0:42:20 > 0:42:22- Oh, God! - OK, it's all right. Take it easy.
0:42:22 > 0:42:24Here, just use another clip.
0:42:24 > 0:42:28Well, at least we know he's got a good blood supply.
0:42:28 > 0:42:31I can't get it in the right place.
0:42:31 > 0:42:35- I can do it.- No. Here, I'll hold it.
0:42:35 > 0:42:38- Get the clip on there. - He's lost a lot of blood.
0:42:38 > 0:42:41Take it easy. It's all right.
0:42:52 > 0:42:54- I can't do it. - OK. It's all right, no problem.
0:42:54 > 0:42:58Take a break. Let Sacha know I need a little hand in theatre.
0:43:01 > 0:43:03OK, another clip.
0:43:18 > 0:43:20Guess some people just can't hack it.
0:43:20 > 0:43:22Hey, give her a break. Her father just died.
0:43:39 > 0:43:41OK, we're ready.
0:43:41 > 0:43:43Let's open him up.
0:43:43 > 0:43:45Knife, please.
0:43:54 > 0:43:56No news yet.
0:43:56 > 0:43:59But the bowel resection is going well.
0:43:59 > 0:44:02I will update you as soon as I know more.
0:44:02 > 0:44:05Please, don't go.
0:44:05 > 0:44:08I suppose you're used to it.
0:44:08 > 0:44:11- Used to what?- All of this.
0:44:11 > 0:44:15Anxious relatives. The prospect of...
0:44:17 > 0:44:20When my sister... When...
0:44:22 > 0:44:25I didn't think I'd ever get over it.
0:44:25 > 0:44:28The pain, it was...
0:44:28 > 0:44:29like an open wound.
0:44:32 > 0:44:35Until I found Dennis
0:44:35 > 0:44:39and he made everything go away.
0:44:39 > 0:44:44Made everything soft, warm.
0:44:49 > 0:44:51- Blither, blither!- Problem?
0:44:51 > 0:44:54It's full of adhesions.
0:44:54 > 0:44:56We'll have to do an Ivor-Lewis.
0:44:56 > 0:44:59And end up with a risky anastomosis?
0:45:01 > 0:45:03I don't see that we have any other choice.
0:45:05 > 0:45:07I've got an idea.
0:45:09 > 0:45:14We take some of the pleura of the lung and rotate it with its own blood supply. Then patch it
0:45:14 > 0:45:17to the lower end of the oesophagus with interrupted sutures.
0:45:17 > 0:45:19Then the stomach won't have to be mobilised.
0:45:21 > 0:45:22Brilliant.
0:45:24 > 0:45:26Right.
0:45:26 > 0:45:29So, in lay terms, what we...
0:45:39 > 0:45:40Dead.
0:45:43 > 0:45:46- His girlfriend still here?- In there.
0:45:46 > 0:45:48I'm going to go tell her.
0:45:51 > 0:45:54No.
0:45:54 > 0:45:56- I'll do it.- Frieda?
0:45:57 > 0:46:00- Please. Let me do it.- You sure?
0:46:06 > 0:46:08I'm sorry you didn't get to see Jess off.
0:46:10 > 0:46:16I'm sorry that the board members of St James's had the attention span of
0:46:16 > 0:46:19pimpled adolescents. They don't deserve you, Elliot.
0:46:21 > 0:46:23Do you know what I'll miss most?
0:46:24 > 0:46:27This.
0:46:27 > 0:46:30No suits, no politics.
0:46:33 > 0:46:35Just surgery.
0:46:35 > 0:46:37The sheer joy of it.
0:46:37 > 0:46:38The transcendence of it.
0:46:38 > 0:46:43The human body in all its intricate, frustrating,
0:46:43 > 0:46:48bewildering, imperfect beauty.
0:46:50 > 0:46:52That's what I'll miss most.
0:47:11 > 0:47:14They've done everything they could.
0:47:14 > 0:47:15I'm sorry.
0:47:18 > 0:47:19If you'd like to see him, I'll take you.
0:47:21 > 0:47:24He's here.
0:47:58 > 0:48:00Snacking between meals.
0:48:00 > 0:48:01It's a guilty pleasure.
0:48:01 > 0:48:03- Try a fruit bar.- Nah.
0:48:03 > 0:48:07- Fruit's not a snack.- Says the doctor.
0:48:07 > 0:48:12- So, how'd it go with Mr Atkins' girlfriend? What's her name?- Grace.
0:48:12 > 0:48:15It went fine. I think she took it pretty well.
0:48:15 > 0:48:17- And how did you take it?- What?
0:48:17 > 0:48:19How did you take it?
0:48:21 > 0:48:23Frieda.
0:48:23 > 0:48:26This isn't me feeling sorry for you or pitying you,
0:48:26 > 0:48:29or whatever else runs through that head of yours.
0:48:29 > 0:48:33I know what it's like to lose your father.
0:48:35 > 0:48:37So, if you want to talk,
0:48:37 > 0:48:39I'm here.
0:48:54 > 0:48:56The operation went well.
0:48:56 > 0:49:03But because of the trauma, there's always a chance that your heart could become more irritable in the future.
0:49:05 > 0:49:07So, my heart's always going to be weak?
0:49:07 > 0:49:09Yes.
0:49:18 > 0:49:22- Call him.- You sure?
0:49:22 > 0:49:25Yeah.
0:49:25 > 0:49:27If he's changed,
0:49:27 > 0:49:29if he really has,
0:49:29 > 0:49:32I'll know it the minute I set eyes on him.
0:49:40 > 0:49:42Elliot?
0:49:42 > 0:49:44I'm sorry.
0:49:44 > 0:49:47I doubt there's anything anyone could've done.
0:49:49 > 0:49:53Rumour has it that you've handed in your notice.
0:49:53 > 0:49:58- Yes.- I won't presume to question your reasons, but...
0:49:58 > 0:50:01speaking as someone whose surgery days may soon be at an end,
0:50:03 > 0:50:06don't let anything stop you doing what you love.
0:50:27 > 0:50:32Is there some reason you're hovering outside my office like a nervous young schoolgirl?
0:50:32 > 0:50:36Look, I've thought a lot today about the decision I made this morning.
0:50:36 > 0:50:41- You understand it was a reckless, impulsive action, and you'd like to keep your job?- Something like that.
0:50:41 > 0:50:45I'm sorry, I thought I made myself clear. The position is filled.
0:50:45 > 0:50:49Now, may I enter, or are you going to play the door game again?
0:50:54 > 0:50:57- Is this some sort of test or punishment?- No. It's not a prank.
0:50:57 > 0:51:01It's real life. Don't you like it?
0:51:04 > 0:51:08Look, I understand that you must feel offended.
0:51:08 > 0:51:14- It's nothing to do with my personal feelings.- Really? - No, but you explain to me, Ms Shah,
0:51:14 > 0:51:18why should I keep on a member of staff who finds her position so disposable, so inconsequential,
0:51:18 > 0:51:22that she's prepared to throw it away at a moment's notice?
0:51:22 > 0:51:26And, in the process, abandon the Cardiac Trauma trial that she started?
0:51:28 > 0:51:31Maybe you shouldn't.
0:51:32 > 0:51:34So, that's that, then.
0:51:41 > 0:51:45We agreed from the start that you wouldn't show me favouritism.
0:51:45 > 0:51:50But you have. And I admit, there have been times when I've been grateful for it.
0:51:50 > 0:51:52Took advantage, even.
0:51:52 > 0:51:54What's your point?
0:51:54 > 0:51:59My point is that I'm not the only one to blame here.
0:52:03 > 0:52:05All right. What do you suggest we do?
0:52:05 > 0:52:09I think we should draw a line under this and move on.
0:52:09 > 0:52:12- Forget it ever happened?- No.
0:52:12 > 0:52:14But make sure it never happens again.
0:52:18 > 0:52:22Right. I'll put a call in to St James's, cancel the transfer.
0:52:24 > 0:52:25Thank you.
0:52:31 > 0:52:38- Is there something else?- Well, it's just it's getting late, and you said St James's were already arranging...
0:52:42 > 0:52:46You never made that call in the first place.
0:52:46 > 0:52:49Goodnight, Ms Shah. See you tomorrow.
0:53:00 > 0:53:02- How do you feel?- Like roadkill.
0:53:04 > 0:53:08Well, you'll be pleased to hear that the operation went well. Better than we'd hoped.
0:53:08 > 0:53:13You should begin to see some real improvements in three days.
0:53:13 > 0:53:18- Thank you.- Actually, it's Mr Hope that you should thank.
0:53:18 > 0:53:23- But I don't know where he's got to. - You see your girl off, then?
0:53:23 > 0:53:26No.
0:53:26 > 0:53:28But I'll call her when she lands.
0:53:28 > 0:53:30Make sure you do.
0:53:41 > 0:53:44They probably don't even have the same numbers any more.
0:53:44 > 0:53:46You won't know unless you try.
0:53:52 > 0:53:54Couldn't make me a cuppa, could you?
0:53:56 > 0:53:57Don't push your luck.
0:53:59 > 0:54:04- We're all off to the pub. You coming?- I can't. I've got work to do.
0:54:04 > 0:54:07Come on, it's kind of in your honour. You're everybody's hero.
0:54:07 > 0:54:10Another time, maybe.
0:54:10 > 0:54:14You make a noble sacrifice, and then refuse to bask in its glory.
0:54:14 > 0:54:16I'll never understand you.
0:54:16 > 0:54:21- Ollie, you coming or are you too busy with your arts and crafts? - I'm finished.- Good lad.
0:54:24 > 0:54:25Have fun.
0:54:34 > 0:54:39# By the cracks of the skin, I climbed to the top
0:54:42 > 0:54:48# I climbed the tree to see the world
0:54:52 > 0:54:56# When the gusts came around to blow me down
0:55:01 > 0:55:07# I held on as tightly as you held on to me
0:55:09 > 0:55:16# I held on as tightly as you held on to me
0:55:41 > 0:55:47# Cos I built a home for you
0:55:48 > 0:55:53# For me
0:55:53 > 0:56:00# Until it disappeared
0:56:02 > 0:56:05# From me
0:56:05 > 0:56:08# From you
0:56:08 > 0:56:11# And now
0:56:11 > 0:56:16# It's time to leave
0:56:20 > 0:56:22# And turn... #
0:56:22 > 0:56:25Goodbye.
0:56:25 > 0:56:27# To dust... #
0:56:37 > 0:56:39Jess?
0:56:39 > 0:56:41Hi, it's Dad. Woah!
0:57:36 > 0:57:40Subtitles by Red Bee Media Ltd
0:57:40 > 0:57:44E-mail subtitling@bbc.co.uk