Big Lies, Little Lies Holby City

Lucinda is Sir Fraser Anderson's daughter.

-That's a long conversation.

-Perhaps over a drink?

He wouldn't actually consider letting her get hands would he?

-What are you doing?

-I volunteer to tell the relatives

and you take this opportunity to grab all the good cases.

I don't think so!

No, no, Elizabeth!

I'm her named nurse. She'll get the presidential treatment.

You had no choice!

-How'd you know Cal?

-I just know Andy.

I know.

You stay away from me you interfering cow.

Get off my case. Don't look at me like you know what I'm thinking cos you don't.

You know nothing about me!

If we're late I'm blaming you.

I'm just doing my part for the environment.

Two people, one shower...

-half the water.

-Not if you spend twice as long when you're in there.

We could always pop back to mine for lunch.

If you promise to be quick.

I'm in Holby Care all day.

And I've got a bile duct exploration later.

I've seen a lapcholes, but never a BDE.

I could assist you. That way we could spend all day together.

No I can't do that. Sacha is your mentor.

Oh, yeah I almost forgot... Doctor Dynamic.

Hey, hey, hey. Be nice.

I don't see why you can't do it.

We both know what a great teacher you are.

I think me mentoring you would be a serious conflict of interest...

All right, I'll tell you what.

I will speak to him and I'll see what I can do about you scrubbing in. OK?

It's probably best if we part company here.

You ashamed of me?

First rule of office relationships...be discreet.

-So we're in a relationship now, are we?

-I'll see you around.

CAR HORN BEEPS

Michael!

You forgot this.

-You have to eat.

-I don't want it.

-If you don't eat, you won't get better.

-I know what you're trying to do you know, you're not fooling me.

Mum, it's just cornflakes.

You always lied to me. Even as a child.

I could tell when you was lying.

And I still can.

Please, it's just a spoon.

Mum!

It's OK, you sort yourself out. I'll look after this.

-I'm fine.

-You feed me.

I want you to feed me.

-My baby girl's trying to poison me.

-I'm sure she's not Mrs Tait.

Oh, she is. She's been giving me pills trying to kill me.

Double espresso. Someone's been up all night.

Or is it tonight that's the late one?

Because I could order one too, and join you.

-It's Greg, isn't it?

-That's right.

Consultant, Darwin?

Registrar.

I like my man more commanding officer, than foot soldier.

-I'm sorry.

-Don't worry. It's fine...

-Better get that cleaned up.

-If you slip and fall now.

-It's a four figure settlement guaranteed.

-Excuse me?

-That's liquid gold you're standing in.

Nick Horton Solicitors. No win no fee.

-Dad, come on.

-Are you OK?

-I'm looking after her.

Wait here, I'll find you a porter.

-I've had her crying on my shoulder all morning.

-All I said was she was a bit possessive for me.

No, I think your exact words were, "clingy like Napalm"?

It sounds much worse, out of context.

So are you planning on sleeping with all the nurses?

No. Just the female ones.

You know what it's like when a place closes down.

People's inhibitions magically disappear. It's like the last days of Rome, without the togas.

Yeah, well all I know is we're a nurse down

which means more work for everyone, especially you.

-Let's hope I'm more valued in my next job.

-Oh, so you've got something lined up?

No. But I fancy a spell in the private sector. Six figure salary and party-friendly hours.

Well, be sure to put that on your application.

It's bound to impress.

There, right that's you done Mrs Tait.

Anything else you need just give me a call.

Why don't we try and brighten up your mum's bay a little.

Make it more homey.

Maybe some photographs or nice pictures, just something to cheer her up a bit.

It really wouldn't make any difference.

Actually I read a nicer hospital environment can help patients get better quicker.

And when my mother was in for her gallstones, I got her these postcards of paintings.

Flowers with lilies and ponds.

Really pretty. Mum loved them.

The difference is my mother isn't here for her gallstones.

-I hope I didn't ruin your boots.

-No, they're fine.

So this happened in Iraq?

She was helping two colleagues caught in an ambush. Down to her no-one was killed.

-It was all over the papers.

-So we have ourselves a hero.

Yeah, and look at the condition she's in now.

Dad, I'm fine here on my own.

-How long have you had these pains?

-Just a couple of weeks.

-She's been in bits, can barely walk.

-I can speak for myself.

The last few days have been quite bad.

Scarring indicates a laparotomy, and I'm feeling some signs of guarding. What do you think Doctor Hutchison?

An FBC, U's and E's, amylase,

liver function tests and run an abdominal CT.

Good. Let's check B/P.

I don't know about you doctor, but that looks like a Mickey Mouse job to me.

The army have some excellent surgeons.

-I'm sure she was very well looked after.

-Well, you have to say that.

But we both know anyone worth their salt is in Harley Street making proper money.

97 over 68.

Let's put Suzy on half hourly obs and book that scan.

We're going to run some tests and I'll let you know when your medical records come in. OK?

Don't worry, we'll get to the bottom of this.

I hear Mr Spence is doing a bile duct exploration today.

It would be really exciting to scrub in on that.

I have something even more exciting for you.

The great grape challenge.

Now to succeed, you have to sew it back together

with at least four interrupted sutures.

No ripping, no sagging.

It's not as easy as it looks.

BEEPING

Somebody, please. Please! I need a doctor.

I need a GTN infusion.

10mg of glyceryl trinitrate.

Mr Reid I need you to try and breathe deeply, OK?

Breathe deeply.

Is he OK?

Your husband's just had an angina attack. But we've stabilized him.

This won't affect his operation?

I don't see a reason why it should.

The plan is to get Keith in for his bypass as soon as possible.

Greg, the echo and cross match bloods aren't here...

Should be. They were scheduled for first thing this morning.

-Is something wrong?

-Er, no, I'm sure there's just a delay at the lab.

-It's taken me this long to get him in here. I don't want any hold ups.

-I'll chase them up.

They should be back by now. Who was looking after them?

Nurse Carroll. Before her emotions got the better of her.

Small bleed in the peritoneal cavity...

Better check theatre's available this afternoon.

-I'll do it.

-And call the psychiatric team about Mrs Tait. Find out what time they'll be ready for her.

-She's moving today?

-Yep, we need that bed.

I'm not sure she's ready for that.

So what would you suggest, Nurse Lane?

I just think it would be quite nice if Mrs Tait had more time to recuperate here, before being moved.

This is a surgical ward, not a convalescent home.

Yeah, but the thing about keeping her here is she'll be able to spend more time with Elizabeth.

Because they're not getting on very well right now, and I think it would

be a good chance for them to mend their relationship, here. Together.

Or, and it's just a thought,

we could follow hospital protocol and move the patient when she's ready to be moved.

Call the psyche ward, please.

-LIFT BEEPS

-Doors opening. Lift going up.

Doctor, any word back from Suzy's tests?

No not yet, shouldn't be much longer though.

I don't mean to fuss, but I know she's a lot worse than she's letting on.

She probably doesn't want to worry you.

I am worried. All I want to do is make sure she's OK.

Let's wait for her results, we'll have a clearer idea then.

Doctor, you will let me know what's going on?

Because Suzy's not telling me anything.

She's always been an independent miss, thinks she can look after herself.

But I'm her father. I just want to help.

Mr Horton! I'll let you know, just as soon as I hear anything.

-Here's how we're going to do it...

-What's all the excitement?

-Frieda's doing the BDE with Mr Spence.

Congratulations.

Do you know your mother's being moved today?

Yes, Mr Malick has told me.

I asked the psyche ward to hold off till this afternoon.

-Why would you do that?

-So you two could spend some time together before she leaves.

You heard her, I'm the last person she wants to see.

That's not her talking Elizabeth, it's the schizophrenia.

She's never had proper treatment.

But now she's on the right support, it'll be different.

Be like having your mum back. That's worth giving a chance, hey?

I don't have time for this.

Let me organise everything. All you need to do is turn up.

Trust me.

I don't know...

It's probably just teething, but I'll check in on him if you want?

I'm glad you called me.

Yes, All right, OK. Bye.

Over-protective mothers.

Yet, it probably did me no harm.

I hate to be awkward, but Mr Spence led me to believe that I'd be assisting him today.

Ah, as your Lord and mentor I pulled rank.

You stopped me doing it?

I thought we could spend some quality time together. It'll be fun.

The grape challenge is only the beginning of the delights I have in store.

I could do both.

Spend time with you, and assist Mr Spence.

Well, to be honest, I wanted Frieda to scrub in.

She needs a boost after last week.

Maybe after a full-scale theatre meltdown,

what she needs is a break.

I mean, if she wanted to swap assignments, you wouldn't mind?

No, if that's what you both want, I suppose it's OK with me.

Argh!

Suzy? Doctor, it just came on, now. I don't...

91 over 66.

Let's get her into theatre.

Are congratulations in order?

No, I think somebody's made a mistake.

I've decided not to quit after all.

-I'm staying on.

-That's good.

-Well done. What about you? Heard anything more from St James's?

-As I feared. Hardly any theatre time.

-If they knew how good you are, they'd change their minds.

-Well, I'm not sure it would make any difference at this stage.

-You don't know, unless you fight for it...

LAUGHTER

Excuse me...

Did you chase up Mr Reid's bloods?

Yeah. You're not going to like it. The echo slipped Nurse Carroll's mind.

We're talking about a coronary bypass, time isn't on his side.

Let's hope he's got some decent life insurance.

Can I have a word with you, Mr Douglas?

Do you even care how much of a mess you've created here?

It's not my fault she went home in a strop.

OK. That might have been partly my fault.

But she should have been professional enough to do her job before she left.

You want to talk professionalism after the way you've been behaving?

When I'm here I do my job. Everything else is my own business.

No, not if you're obnoxious and it's impacting on my patients.

Greg, this can't go on.

-I know what happened with Andy was difficult.

-Why are you bringing that up?

You know why. You obviously have a problem, and you're refusing to do anything about it.

You call it a problem. I call it having fun.

Really? Because from where I'm standing it doesn't look like you're enjoying it very much.

If that's everything, I'd better get back to work.

-Don't want anyone questioning my professionalism.

-Not quite.

Your mess, your patient.

And if anything happens to Keith Reid because of this delay, it's on your head.

DOOR SLAMS

-When did you get that done?

-It's the rose and crown.

-I know what it is. When?

-Last week.

-You're not supposed to get a tattoo before surgery.

-I never heard that.

-Tell him you're not supposed to get a new tattoo before surgery.

If it isn't fully healed, it can present a slight risk.

But for an urgent procedure like this, it really is the least of our worries.

-See. And he knows what he's talking about.

-You do realise that's not good news.

My wife's the practical one...

-I'm more of an optimist.

-Fantasist.

-That's why we work so well. We compliment each other.

-I'm the shop window, and she's the goods in the back.

-Brian Clough?

-Best manager ever.

-You're joking? What about Ferguson?

-There's no comparison.

I could win the league, with the money he's got.

Excuse me. Shouldn't we be discussing my husband's life-saving operation?

What's the problem?

We're going to have to do Keith's bloods again.

There's been a mix up in the lab.

-You mean cock up?

-It's not his fault the lab messed up.

No, it's your fault.

If you'd gone to the doctor when I asked, this wouldn't be so bloody urgent.

Listen, nobody's to blame.

-These things happen.

-When's he going to get his operation?

BEEPING

Increase the GTN, 5mcg.

Keith?

OK, breathe.

-Oh, my God...

-Suction please.

Saline.

Ah, there's a blockage.

-Clotting?

-Hmm.

Forceps, Thank you.

Look at that.

Explains the smell.

You see, Lulu, who needs a BDE and Mr Spence when you can have Mr Levy and a rotting bowel.

We discovered some clotting and had to remove part of your bowel,

but there's no reason why you shouldn't make a full recovery.

I think I know what might have caused it. Suzy was given factor VIIa after the shooting.

-I think that's a bit of a long shot.

-I don't agree.

Factor VIIa's clotting agent and Suzy's complications were caused by clotting.

Excuse me.

It leaves your body after 24 hours.

And she was given it months ago.

A clot could have formed back then, and gone unnoticed until now.

It's very unlikely.

But it's possible.

I know all about Factor V11a.

Why didn't you mention anything?

I couldn't say anything in front of my father.

I don't want him to know about this.

I like you.

You're a good girl.

You look after me well.

We all look after you, Mrs Tait.

-Are we going on a trip?

-More like a picnic.

I like picnics.

No. Not her. I don't want her anywhere near me.

It's OK, Mrs Tait. It's just a picnic.

-She wants to hurt me. She's tried to kill me.

-I told you this was a bad idea.

Just give it a few minutes. It's what you both need. Somewhere to talk in private. Come on.

Nobody wants to hurt you. Why don't you sit down? Come on.

There you go.

I brought food. OK, who wants juice?

All ready for the big op?

I think it's fantastic you're doing this.

I know Sacha's worried about you after what happened last week.

He thinks the pressure of going straight back into theatre might be too much...

It is a major procedure, but I told him you'd be fine.

No.

Maybe he is right.

I can't go back to surgery. Not so soon.

-Do you think you could me a favour and do it for me?

-Really?

No. Not really.

-A little less transparent next time maybe?

-I was trying to be nice.

You're all heart.

I hope you understand that it's not easy for me

coming to you like this, Mr Hansen.

I know we haven't always got on...

Arggh.

Haven't always...seen eye-to-eye on everything.

But I hope that in the time we have worked together I have demonstrated that I am a good surgeon...

Good. No, not good...

Fine. No... Competent...

Professional.

A professional surgeon.

Doctor, I...

I just wanted to know how Suzy's doing.

I think Mr Levy explained to you about the operation?

He said something about thrombosis, but what exactly does that mean?

Your daughter had a clot in her bowel, so we had to operate.

-Because of the shooting?

-Yes, indirectly.

-So it mightn't be?

-I think you should talk to your daughter about this.

-She's telling me even less than you.

-Right now there's not an awful lot to tell.

-You have no idea how hard this is.

My little girl nearly died and I don't know why.

Mr Horton,

I have to respect patient confidentiality.

But you said you'd tell me what's going on.

Please, Doctor, I just want to know what's wrong with her.

Pastor Carl had a church picnic, every summer. We never missed one.

Everybody made food.

I used to make my goat curry.

He loves my goat curry! All the children played together.

That sounds lovely, Mrs Tait.

Everybody except Elizabeth, nobody played with her.

-Let's not talk about the past.

-Such a sullen child.

Why don't I give you two some privacy.

-You're leaving?

-It'll be nice. You and Elizabeth spending some time together.

A family picnic.

I won't be long.

I ran into Pastor Carl at the weekend.

He was asking for you.

Put this in the bin.

-He said he might try and visit you soon. That would be nice, wouldn't it?

-NOW, baby girl.

Mum, I'm just trying to talk to you.

That one, over there.

This is ridiculous.

I should be getting proper mentoring.

Ooh, like the type Michael Spence can provide?

At least I wouldn't be here, playing with fruit.

Look, don't pin all your hopes on Mr Spence, OK?

-What's that supposed to mean?

-Nothing.

Just tell me.

He's known to have a very short attention span.

Like most men.

And some of the girls call him the panda.

Because he eats, shoots and leaves.

I'm not stupid.

I don't expect anything from this.

It's just a bit fun - for both of us.

In that case, you have nothing to worry about, then.

The Rose And Crown.

Because I'm a prince among men

and my wife's a little prickly.

Actually, I got it done for our wedding anniversary.

It's the pub where I proposed to her. Bit of a dump, really.

-The urinals were chained to the wall.

-It might've been easier if you took her to dinner.

-That would be too straightforward for Keith.

-Go on, admit it, you love the excitement.

-What I'd love, is to be married to a grown-up.

-Yeah, you think that, but you'd get bored of it soon enough.

-I see you've stopped taking your clopidogrel.

-Five days ago, like we were told.

And you've stopped smoking two months ago, so that's OK.

You told me you gave them up last year.

I did mostly.

It was just the odd sneaky one.

SHE SIGHS

Ah, Doctor Hutchison, I'm going to need you to sign this.

What is it?

It's just a basic legal statement,

confirming Factor VIIa has caused all this.

-Excuse me?

-Oh, don't worry, we'll be getting detailed affidavits from all of you in due course.

But this'll do for now. I think we have a very strong case.

I'm sorry, what case?

Against the army, for gross negligence.

That drug they gave Suzy almost killed her.

But it didn't.

Listen, I had my office check it out.

Factor VIIa increases the risk of clotting in the arteries.

I'm sorry, but that hasn't been proven.

My daughter is given that stuff and then nearly dies from a clot,

and you expect me to believe it's a coincidence?

A small clot from the original treatment may have built up over time, but it's highly unlikely.

That's not what Doctor Hutchison told me.

I only said it was possible it caused it.

"Possible" is all I need.

Persuade a jury something's possible, and you're halfway there.

Right, nobody's going to be signing anything.

Ah, I get it...

The establishment closing ranks.

-Doctor Hutchison, can I have a word, please?

-Yes.

-I only said it was possible, that's all.

-Why did you even mention Factor VIIa to him?

-He was worried about his daughter.

-Even more reason not to have him jumping to silly conclusions!

Suzy Horton asked us not to tell her father about this.

You should have respected that.

Your husband's bloods and echo have been checked off. He's penciled in for surgery later today.

But his heart disease is really quite advanced.

-How advanced?

-There's a very large build-up of plaque in his arteries,

we're going to have to bypass the obstruction.

This will put a lot of strain on his heart.

-It's not going to be easy for him.

-It's not going to be easy for any of us.

If he'd just gone and had this seen to in the beginning, we wouldn't be here.

-It can be difficult to diagnose early-stage heart disease.

-A trip to the doctors, how hard is that?

You know what men are like.

Bury your head in the sand and bugger the consequences for everyone else.

It's done now.

Keith's undergoing a very serious procedure.

He'll need your support.

I come bearing gifts for the intrepid surgeon.

This is what my med school dreams were made of.

Foxy F1s bringing me coffee.

Did those dreams involve them scrubbing in, too?

I spoke to Sacha, he wants you to work with him today.

-But I'd learn so much more observing you on the BDE.

-You know it doesn't work like that. I'm not your mentor.

But you could be, if you wanted to.

-Come on, give him a chance. Sacha's a good guy.

-Yeah, he'd make a great GP.

Technically, you're his boss. If you told him you wanted me in theatre, there's nothing he could do.

I can't do that.

You mean you won't.

I don't see what the fuss is.

I'm only asking to scrub in.

It's not like it's the first ever bile duct exploration.

Lulu, it's a major procedure.

Doctor Petrenko has more experience than you.

I want her in my theatre.

SHE KNOCKS ON TABLE

At least I know where I stand.

HEAVY BREATHING

-Not everything's about money.

-The drug they gave you almost killed you.

-Please, forget all that!

-They were negligent.

-No.

The damages from this could set you up for life.

-You're not listening to me. I don't want to make money out of this.

-Your daughter should be resting.

This is exactly why I didn't want him to know.

We'll talk about this when you're better. You might be thinking more clearly.

I've made up my mind.

I'm not suing anyone.

HE TAPS ON DOOR

You two need to go home and sort this out on your own time.

Thanks for all your help(!)

Did you book a new theatre slot for Keith Reid?

Yes, Mother(!)

You don't have to keep checking up on me.

I'm just trying to help you here, Greg.

I didn't realise I needed help.

Maybe that's the problem.

Are you always this self-righteous, or do you need to work at it?

Maybe being around difficult people brings out the worst in me.

Look, Greg, it would make life easier for everybody

if you just talked to somebody about this.

There's nothing to talk about.

I heard what Andy said to you on the roof.

I know what happened.

It's not "nothing".

Bring this up once more...

and you'll regret it.

-You going down?

-I like that.

No foreplay. Straight to the point.

I've been up all night with a teething baby, Greg.

I'm really not in the mood.

Or we could just cuddle and talk?

That sounds divine. But I may have to run it past Dan first.

Remember Dan? My boyfriend, your best mate?

Yeah, that's what I thought.

Why don't you press your own buttons?

Has Mrs Tait been moved already?

No, the psyche ward are admitting her this afternoon.

-So where is she?

-She's gone out for a picnic.

-A what?

-I thought it would be good if she and Elizabeth spent some time together.

Somewhere nice, before she's moved.

-With rainbows and unicorns, right?

-No, just in the gardens.

This is a hospital, and you're a nurse, not a party planner.

I organised it on my break, and I'm covering for Elizabeth.

That's OK then. A patient with mental health issues wandering around the hospital grounds on her own.

What could possibly go wrong(?)

-What happened?

-I had to do it.

Elizabeth, are you all right?

-Let me to take your pulse.

-I had to protect myself.

-What did you do?

-She was going to hurt me.

-Mrs Tait, what exactly did you do?

-She poisoned me, so I poisoned her.

How did you poison her?

-In her drink.

-With what?

What did you use to do it?

Elizabeth, I need to get you inside.

What's going on?

She was vomiting and dizzy.

-What did she take?

-Risperidone. One milligramme tablets.

-How many?

I don't know.

IV first. Check for tachycardia and hypotension.

She could be at risk of fitting. Are you feeling any pain. Stomach cramps, joint stiffness?

-Can you see me clearly?

-Yes.

-That's good. You're doing great, Elizabeth.

-My mother.

-Where's Mrs Tait?

-Where is she?

-She was with me,

just a few minutes ago.

All I was trying to do was help.

My girl never wanted to be with me.

The day Suzy was born,

my brother said,

"at last, a woman who'll break your heart."

She went away for six years and never came home.

Hates her mother.

I don't think they hate us. They just...

..don't give us a thought.

My baby girl hurt me,

that's why I did it.

She tried to burn me in a fire.

And then she to tried poison me.

I had no choice.

You OK, love?

Is there anyone here with you?

The nice nurse is coming for me.

Because I can

take you inside

if you'd like.

No. The nurse is coming.

A nurse almost OD'd.

A patient went missing and not just any patient...

a patient who's psychotic and hasn't been taking their medication.

And it's not even two o'clock.

I'd no idea that her illness would make her do this.

-Come again?

-The schizophrenia.

What, you really think it's that simple?

If a patient has abdominal problems, would you whip out their appendix without tests?

-I was only trying to help.

-Please, stop helping.

-I'll find Mrs Tait.

See there, you're doing it again.

That's what got us into this mess - your interfering.

On my ward, you're a nurse, not a social worker.

You're not a friend. You don't run errands, you don't organise picnics.

You just do your job. You understand me?

Mrs Tait is now the responsibility of the mental health team.

They are dealing with it... you stay out of it. That clear?

Yes.

I hope so.

Now go and check on Nurse Tait. And pray Mr Hanssen doesn't get wind of this.

-Do you know about this?

-About what?

-Occupational Health want to see me.

-About the "incident on the roof".

-I'm sure it's just routine. They probably want to check you're OK.

I've explained everything. They can forget about it.

-I don't think it's optional.

-What are they going to do...fire me?

We're all out of here in a few weeks anyway.

Yes, but you will be needing a reference.

-Mr H?

-Mr Douglas.

What are you doing amongst the gods?

An appointment with Occupational Health, they're concerned about my "emotional state of mind".

Bit late for that.

-Where did all these new departments spring from?

-It's called progress.

So what brings you up here?

I've got out on the wrong floor.

Well, I better head back down amongst the mere mortals.

BUZZER

Pulse rate's 105.

-Oxygen levels are down.

-110 over 70.

Mr Levy said to call if we needed him.

You stay here, I'll get him.

Not much to tell.

A patient went up on the roof. Threatened to jump. I talked him down.

Just another crazy day at Holby. No, it wasn't difficult.

I just told him, in my medical opinion,

if he jumped, there was a very good chance he'd get hurt. I think what he did was very selfish.

He didn't give any consideration to the consequences of his actions.

Because of him, we're not allowed to sunbathe on the roof any more.

What exactly is Occupational Health?

Mr Spence.

I need your advice. I'm worried about one of my patients.

We performed a small bowel resection on her earlier today

but her condition has deteriorated.

-Why are you asking me? That's Mr Levy's patient.

-My mentor seems to have disappeared.

Call him.

I did. He's not answering his phone.

What are her vitals?

-Pulse 105, B/P 110 over 70 and her oxygen levels are down.

-Is she in any pain?

-Doesn't seem to be.

-Do half-hourly obs and just watch out for post-operative shock.

I appreciate this.

I'm sorry if I was spiky earlier.

-Been one of those days.

-It's all right, it happenes.

If her B/P drops to below 90, call me. I'll come down.

Thank you.

I really don't think this is necessary.

We Irish have a great coping mechanism it's called "repress and fester".

No, it's not relevant.

In fact it's not even true.

I knew Andy years ago, in school. But we certainly weren't friends.

It's not having any impact on my work. I do my job, there's no problem.

Which colleagues said they were worried about me?

you don't even need to answer that. I'm done here.

B/P still 100 over 65.

Actually it's dropping slightly. Do you want me to try Mr Levy again?

That's OK. I can take it from here.

-How are you feeling?

-A little funny.

MACHINE BEEPS That's to be expected.

-Is something wrong?

-No, everything's OK.

Let me just check something. There.

-How's that?

-I really don't feel well.

We need to call Mr Spence.

HIGH-PITCHED BEEPING

Suzy.

-Suzy, can you hear me?

-What happened?

-B/P just crashed.

-She's arresting.

-Get the crash trolley.

-Where's Ms Shah?

-I don't know, sorry.

Three quarters flow.

Heart's weaker than we thought. Let's give it one last try.

-What's happening?

-He arrested.

We revived him and brought him in. We can't get him back off bypass.

-Maximum inotropes?

-Maximum everything. Let's go again. Very gradually.

BEEPING

OK. That's it.

What about a balloon pump?

-For that, we need output.

-We should at least give it a go.

-Greg...

We'll need one-to-one balloon pump.

-There's no output.

-Internal paddles standing by.

-It won't work, Greg.

I'm calling it.

Time of death 14.56.

I could have been there to help him.

Instead of being stuck upstairs in therapy-hell because of some stunt you pulled.

-You saw his heart. There's nothing anyone could have done.

-That's not the point.

If you have issues with me

then say it to my face.

Don't go running to OH.

-I've been trying. But you won't listen.

-Well, I'm all ears now.

For the last few weeks, it's like you're on a mission to self destruct.

And we're all in the crossfire.

You've got to be honest and admit you have a problem.

Seeing as we're being honest, maybe you can explain how you saved

your own job while putting us out on the street.

That's not true. You don't even know the full story.

I think I get the gist.

-Greg, I'm only trying to help you as a friend.

-Are you?

From where I'm standing it's starting to look an awful lot like jealousy.

If you wanted to shag me, all you had to do was ask.

FLATLINE BEEPING

-What's going on?

-You need to move back.

-What's wrong with her?

-She's had a cardiac arrest. Please, Mr Horton.

Clear.

You can't film in here.

-I need proof of what my daughter's going through.

-Get him out.

Give it to me.

Clear.

PERIODIC BEEPING

Give me two units of blood from the fridge.

-B/p rising back to 60/45.

-OK, I think we have an internal bleed.

We have to get her to theatre. Now!

Your pulse is normal. That's good.

But we'll have to keep you on fluids.

Why am I telling you this, you already know all about it.

Have you found my mother yet?

The psyche ward are looking for her. I'm sure it won't be long.

So she's still out there, wandering around on her own?

-She can't have gone far.

-This is all your fault.

You persuaded me to go out there.

-I didn't want to.

-I just thought it would be nice, for both of you. If it was my mum...

My mother is not like yours.

She's sick. She's different from everybody else.

She needs care.

She's out there on her own.

Yes, this is Nurse Lane.

From Keller. I'm holding for the Psychiatric Department.

OK, thank you.

CAR HORN BEEPS

What's the matter with ya?! I nearly ran you over.

Look! Look with your eyes. See where you're going!

Keith's heart was so weak, it couldn't function on its own.

I'm really sorry.

This was supposed to be a wake-up call for him.

Make him grow up a bit. Not kill him.

I'm sure if he'd realised how serious it was...

He knew.

He just chose to ignore it.

You'll be able to see him soon.

Typical of Keith.

Clearing off and leaving me to sort out the mess.

I'm sure he didn't expect it to happen.

He didn't care.

He just did what suited himself.

That's not true.

Sometimes when you have a problem, it's easier to ignore it.

Because the prospect of dealing with it is just too difficult.

All he had to do was ask for help.

I'd have done anything for him.

Stupid man.

The reason Keith's operation was delayed this morning was my fault.

Would it have made a difference?

No.

At least you're honest.

Suction.

I can't locate the bleed. Packs.

Still too much blood. More suction.

Yep, there it is. In the mesenteric vessel. Clips.

4, 0 prolene.

You fancy tying it up?

You wanted me to mentor you.

Cut!

Good job. Removing the clips.

We have circulation. Well done.

Seeing as you're so handy with that needle, why don't you close up the outer tissue?

What happened?

Well, you just missed the main event.

Sorry, I had to look in on Daniel.

-Is she OK?

-She is now. But half an hour ago she was in post-operative shock.

I told everyone where I was going. I said to call me.

It would help if you left your phone on.

-Of course I left it on.

-Dr Hutchison tried ringing you. She couldn't get through.

I called you...and it rang out.

My phone was on the whole time.

Luckily for you she had the foresight to call for help.

You said you were coming back. I was waiting for you.

-It's OK, Mrs Tait. I'm here now.

-We need to leave. We have to go now.

Let's just sit down for a minute.

No. I can't, they're coming for me. I have to get away.

We can't leave yet.

Not till it's safe to go.

Sit next to me.

We'll wait together.

My first day working here was a bit of a disaster.

I turned up late, and was I really nervous

and everything I did seemed to be wrong.

I just felt like packing it all in and running away.

And during my break,

I came out here.

And I sat on this bench, just to get away from it all.

It was really sunny.

And the birds were singing.

So peaceful. And I knew...

I just knew...

I'm going to like it here.

This is a good place, Mrs Tait.

These nurses are going to take you to your new ward.

But I want to stay with you.

It's OK, Mrs Tait. They'll look after you.

I hope you understand this isn't easy for me, coming to you, like this, Mr Hanssen.

I know we haven't always seen eye to eye on everything,

but I hope in the time that we've worked together I have demonstrated that I am a...

..professional surgeon.

Look, Henrik...erm...

You know St James's asked me to do admin, but I'm a surgeon.

It's what I'm good at.

Probably the only thing I'm really good at.

So that's what I should be doing, not admin.

And I was hoping there was something you could do.

There isn't, is there?

Why don't you sit down?

Your mother is being seen by a psychiatrist.

They're sending a nurse to collect her meds and I've prepared her notes.

If there's anything else you need to know, just ask.

I'm really sorry,

I shouldn't have interfered.

No, you shouldn't have.

It comes from the latin, aqua vitae - water of life of course.

I have an uncle who insists on sending me a bottle every Christmas.

-Skol.

-Sip it.

-Aren't you joining me?

-I don't like it.

Now, I would call St James's if I believed it would make any difference.

But these are straitened times for everyone.

So is Darwin just the beginning?

I hope not. But sometimes you have to take a limb to save the patient.

-Can this patient be saved?

-If Holby gets Foundation Trust status, the prognosis is good.

Otherwise...

HE COUGHS

-Any chance I could take back what I said earlier?

-Which bit exactly?

Why don't we start at eight this morning and just wipe the slate clean?

It's that kind of attitude that got us into this mess.

Sahira, I'm trying here.

And they do say acceptance is the first step towards recovery.

I'm impressed.

That's something I learned in OH.

I'll see you tomorrow.

I had a call about you today, Nurse Lane...

from the mental health department.

Applauding your endeavors with Mrs Tait.

Wanted me to know how professional you'd been.

Commendable.

If only you hadn't created the fiasco...

So that was a lucky escape in theatre today.

If it wasn't for Dr Hutchison's quick thinking, that patient would be checking into the morgue.

You know, why don't you show a little appreciation and let her scrub in on my BDE?

I've already told Dr Petrenko she's doing it.

Your department, your call.

But you want my advice? Someone saves your ass...

you show a little gratitude.

I know you don't agree with what I'm doing.

Just think they should have taken better care of you.

They did.

That drug almost killed you.

No.

It saved my life.

When I was shot and lying there on that road.

I was so scared that I would die.

And then they came.

They risked their lives to get me and they gave me Factor VIIa,

and it stopped the bleeding...

I can't sue them for that.

OK.

So the father is a pain in the ass.

He was looking out for his daughter, so no-one took advantage of her.

Men like him just want money.

I think he's right.

If you don't stand up for yourself...

people walk all over you.

OK, guys, there's been a bit of a change of plan.

I've just been talking to Mr Spence, and we both agree that it's probably best

if Dr Hutchison assists on his BDE operation.

Hmm... Why?

We both think after last week, you could do with a bit of a break from theatre.

But I promise you it will definitely be your turn next time.

I should probably go prep.

I nearly forgot. This is for you.

Look at that, very impressive.

Wait till you see what I have in store for you tomorrow.

Don't you think it's funny?

She says she rang you, but you never got a call.

-No, she wouldn't lie about that.

-No(!)

-Welcome aboard, Dr Hutchison.

-Thank you for putting in a good word for me.

Consider it a reward for a fine day's work. Your needlework on Miss Horton was excellent.

Anyone ever tell you, you should be a surgeon?

Well, you have to admit we make a great team.

Hmm, you ready?

Ready.

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