Broken Holby City

There were some complications.

Josh might not be able to walk any more.

Josh look at me. It's OK.

Things could go wrong, promise me you'll let me go.

-Prego Holdings.

-Gimme that! Prego, as in your wife's maiden name.

If the board finds out that you are responsible for a silicone embolism then it is game over!

-I'm responsible?

-She's your patient.

Have you ever heard the expression a bad work man always blames his tools?

Josh! Watch it!

Sorry. Didn't see you there.

I wasn't watching where I was going. So how fast can you go in that thing?

Time?

-27.35 seconds.

-Not fast enough.

-A little bit faster, a little further every day. It's not a race.

-It is to me.

-Are you looking for a particular department?

-Mr Spence. Michael Spence.

Yeah, I think he's in AAU today. Which is ground floor.

-Come on, see if we can set a new personal best.

-Boys.

Why is it always a competition?

-Diathermy...

-Ah, careful...

Just a little friendly encouragement.

Since when do I need encouragement?

Friendly or otherwise?

Since you gave me cause to worry. Lulu.

A little bit of substandard surgery?

Joke.

SHA meeting tomorrow.

We do not need any more mistakes.

There is not going to be any more mistakes.

Sorry! Didn't see you there!

-It's OK.

-Can I help you?

-I'm looking for Mr Spence?

-Ah, yes...

He's on Darwin ward today, I think.

-Overseeing the creation of a new empire...

-Darwin ward.

Yep, that's sixth floor, down the corridor.

Ah, Ms Cahill. I was hoping to see you...

I was hoping to see my son.

Yes, quite. He doesn't appear to be here.

I noticed. Where is he?

I'm not sure actually.

-You're not sure?

-Well, he was here when I came in...

I mean he can't have got far...

-He went out with Senior Staff Nurse McKee.

-Out? Out where?

Out.

If Josh's with Eddi he won't get into any mischief.

I wouldn't be so sure. My son could turn knitting into an extreme sport...

Josh...

Don't even think about it.

-What?

-This is a hospital corridor,

not the straight at Silverstone.

Where's your sense of fun?

Recovering in a darkened room along with my spirit of adventure.

You had a big night?

I bet you're a right laugh when you're on the tiles.

You'd bet wrong, then.

Really? We should go sometime.

Go where?

For a drink.

I'm sure it's breaking all sorts of rules and regulations, though.

One or two.

Kinda like wheelchair drag racing?

Josh...

Are you all right?

-Fine.

-You don't look it. Where have you been?

We've been doing some extra physio.

-He's overdone it a bit, that's all.

-That's all?

-Leave it. It's not her fault.

-Josh, please. Let me see. You've hurt yourself.

-I can't feel it anyway.

I had this teacher when I was in high school.

You can remember high school, right, Sunil?

Can we just concentrate on the job in hand?

Well, I am. Scalpel.

Anyway, this teacher,

Mr Schneider, he had this habit during exam time

of walking around behind your desk, just breathing

and suddenly...

WHAM!

He'd slam his hand down on your desk.

Just to see if you'd smudge your paper.

-He thought it built character.

-All right.

Fair enough. I get your point. I'm being irritating.

No, Schneider was irritating,

you, are borderline insulting.

Did you ever smudge your paper?

Never.

Mr Spence?

Ms Shah, have you come to take a glimpse of the future?

-There's a woman here to see you. Jenny Proctor?

-Ah, well...

Tell her I'm busy. Have her call my secretary.

She's been there and done that, she's determined...

All right, would you mind taking over for me?

Mr Spence, you probably don't remember me.

Jenny Proctor. Come on in.

You are 27-years-old been suffering from breast hypoplasia.

We performed corrective augmentation surgery three months ago.

What's up?

A couple of days ago

I started to feel like

the left breast was different...

-Different how?

-It's hard to explain.

-Pain?

-No, nothing like that.

-Swelling?

-Not really.

It's the shape.

When I wear the new bras that I bought for after the surgery

-it just looks...

-Not as symmetrical?

And it feels...

This might sound crazy but it used to feel smooth.

None of this sounds crazy.

Any change is a concern and needs to be checked out.

-I don't want to cause a fuss.

-You're not. You've done the right thing.

It's nothing serious. Is it?

If there's a problem we'll fix it.

- Some extra physio?

Is that what they're calling wheelchair drag racing these days?

Josh had some catching up to do.

He asked me for help, so I am.

-In your spare time?

-When I have it.

He's a good kid.

You've taken quite a shine to him, haven't you?

I am helping a patient who's decided to help himself.

And that's all there is to it?

You're worried I'm getting too involved? Right?

That's funny I hope you appreciate the irony here, Sacha.

-I'm not worried you're getting too involved.

-Good.

Josh, on the other hand.

It's just not unknown for a patient to become...

too dependent on their caregiver.

He's not too dependent. He's just...

-Grateful?

-Lonely.

He hardly sees any of his mates. His girlfriend is...

I don't know, elsewhere.

We're the closest thing to friends he has at the moment.

He has his mother.

Or at least, he should.

And yeah and once he gains more confidence in his recovery

and in himself all of this will settle down.

Well, that might happen sooner rather than later.

You've found a bed in a spinal unit?

Possibly but there's only one spot so it needs to be taken by today.

-Think he'll go for it?

-Of course he will. Where is it?

Peterborough?!

-You're kidding, right?

-It was one of the jewels of Norman England.

It's the sphincter of modern Britain.

-Some of my best friends are from Peterborough.

-I rest my case.

Come on, what's there that we could possibly have any interest in?

A spinal unit. With a bed.

This isn't under discussion, Josh.

You need specialist care in a specialist hospital.

-A week ago, you couldn't wait to get out of here.

-Yeah...

Well, a lot can change in a week.

Like what?

-Josh?

-You can't make me go somewhere I don't want to go. End of.

Can you give us a minute?

-You that desperate to get rid of me?

-Yeah.

I'm sorry.

Didn't think I was cramping your style.

It's not about that and you know it.

OK, you need specialist care, Josh.

We can't provide that here.

I need friends.

-We can't provide that either.

-You don't mean that.

Yeah, I do. I have to.

Look you've done really well this week

but it's just the beginning.

A spinal unit can offer you the specialist care

and options we couldn't even dream about here.

That was some stunt you pulled earlier.

In the corridor. What were you thinking?

I wasn't. That was the point.

For a moment

I felt like the old Josh.

Not this piece of meat lying here.

That's your point, isn't it?

Time to face up to who I am now.

It's all right. You get your way. I'm out of here.

You know the one where Lauren has to decide whether to still move in with Mark

cos Lucy's just told her that she's slept with Mark a few days before.

Anyway, Mark's throwing this pool party when...

Mr McBride?

Mr McBride?

HE SNORES

One minute I'm talking to him

the next minute she's snoring. That's just rude.

I'm sure it's nothing personal.

Maybe it's narcolepsy?

Or maybe he's just not that into the finer points of The Only Way is Essex?

-You watch it!

-No, I don't.

I might have been exposed to bits, late-night repeats, that someone else keeps watching in the staff room.

-I've been working a lot of double shifts recently.

-Yeah, you can tell.

-You look like crap.

-Thanks, I needed to hear that.

Yes, you did.

You're tired, stressed out, overworked, underpaid and under-appreciated.

With your mother an in-patient, your life revolves around this hospital.

-You spend every waking minute in the workplace and it's not healthy.

-You're not exactly helping...

What you need is a night out.

-With me.

-What I need is to finish updating these patient records.

Dispense the ward medication, before performing a drugs stock check.

After which we will put on our dancing shoes on and hit the town.

Chantelle, I know you mean well but...

Maybe we can get some sparkly bits on our...

No way in hell!

I knew you watched it! "I may have been exposed to bits."

You. Me. Town. Tonight.

Hi. I need a bed for a plastics patient ASAP.

I don't care, find out. Now.

You OK?

Yeah, fine. Eh, that was quick.

Let's just say I never smudged my paper under pressure either.

So you need a bed for a patient?

Er...

Ms Proctor?

I think I've got a problem.

Hey.

Don't know what you said to him but it worked.

I just told it like it is.

I...

-wanted to thank you.

-What for?

For giving him hope.

He did that all by himself.

I just helped him out of bed into his wheelchair.

It's more than I've been able to do.

He won't let me in.

Look, I know it's difficult, Kate,

but I think you need to get more involved and wherever he ends up

don't let him get too attached to the carers

cos at the end of the day it's going to come down to you.

I have got you a leaving present.

Are you taking the piss?

Uh, not this.

This.

I know you think I'm a narcissist

but there's no need to be cruel about it.

All teenage boys are narcissists, but this isn't about that.

What's it about?

This is about you.

It's to remind you that, whatever happens,

however bad things might get

you're still you.

You're still Josh.

The very same thoughtless, reckless, moody,

ridiculously charming kid as you were before your accident.

Thanks.

And you're still a narcissist.

So, there's always that.

Right, shall we do this?

-And no wriggling.

-I know the drill.

< Can I help you?

< I'm looking for Josh. Josh Cahill.

-Take it out.

-I need to do this.

< He's in that bed but he's not seeing visitors right now.

Take it out. Take the catheter out now.

< Oi, excuse me!

-You can't just come barging in here like that!

-It's all right, actually.

This is Norah.

My girlfriend.

-Is it tender here?

-A little, yes.

I didn't notice that earlier.

What is it?

Have you had an accident recently?

Bumped into anything, a mishap, maybe at the gym?

No. What is happening to me?

You were absolutely right to come and see us.

Preliminary examination suggests that the affected breast has changed shape.

There's also some implant visibility which is causing folds of the skin.

-I'm sorry... I don't understand what any of that means?

-It means we need to get you to a scan.

-Then we can proceed...

-Yes...

but why has this happened?

-I think there may be a leak in the implant...

-Leak?

Or it could be an infection. We won't know until we have the results of the scan.

Whatever it is, I'll fix it.

-I promise.

-We will fix it.

Excuse me.

From now on, don't make her any promises. And don't act as if it's your fault.

So... the prodigal girlfriend returns?

-From Japan.

-Really?

Bit tall for Japanese...

You'll get used to Mr Levy's sense of humour. Eventually.

-I was out there for the summer.

-Studying?

-Jumping.

-Err...

what's that some sort of new teenage fad?

Norah's a junior long jump champion.

She's an athlete like I...

Anyway, that's how we met.

-Well, it's very nice to meet you...

-You too.

-Norah?

-Mrs Cahill...

-I thought you were still in training camp?

-We are.

But I wanted to get back.

My coach agreed to continue training here.

Really?

It's good to see you.

Thank you.

Mr O'Brian. 250mg anpicillin.

Nurse Tait? Are you sure he's supposed to have a suppository?

Of course not. Mr McBride gets the suppository.

I...I must have mixed something up.

It's ok.

Easily done when you're so tired. I'll just check it.

No. I'll check it.

Will you just let go for once and let someone else pick up the slack.

This is why you need some time out.

No. This is why we need to work in a quiet, professional manner.

Look, I'm not coming out for a drink, OK? No dancing.

No men. No sparkly jewellery.

Mr Griffin has asked me to do a double shift. I've said yes.

Then I'm going to visit my mother.

-You're running yourself into the ground.

-Maybe I like it that way?

I should have come back sooner.

Hey, you were on the other side of the world.

With other stuff to think about.

I should have...

Why didn't you tell me exactly what was going on?

You were right to stay away.

Train.

Stay focussed.

You have trials coming up...

None of that seems important now.

Nothing's more important.

-I missed you.

-Ditto.

I'm in need of competition.

-Want to play?

-Sure. Why not?

Jenny?

I was wondering when I can get back to work.

I told them it'd be only the morning.

-Scan results should be back shortly.

-And then I can go?

-Yeah, hopefully.

I never thanked you.

After the operation I felt normal for the first time in my life...

and I never had the opportunity to thank you.

-You didn't have to.

-Scan's back.

Excuse me.

-How does it rupture like that?

-You know how.

-No. Come on. No way.

There's no way a needle-stick can do that. It's mess in there.

Michael, you know damn well a needle stick can do that...

-Where are you going?

-Where do you think?

I'm going to order an MRI.

An MRI will only confirm what we already know.

-So we should do what? Do nothing, pretend it never happened?

-I suggest we fix it. We go in.

Remove the implant. Replace it. Quickly. Quietly. Before anyone has any idea.

-We can't cover this up...

-We have no choice. Our careers...

Your career is on the line here...

We need a theatre slot.

-So I should say what?

-Anything, think of something.

Lie.

Right, what've we got?

Mrs Oona Pritchard, 70. Collapsed unconscious in street.

Brought in by an ambulance.

-Head injury.

-Hello, Oona.

-Had a bit of a fall, did we?

-I don't know.

Don't remember.

Ah... Head CT and X-ray, please.

I don't want any scans. Just clean me up and I'll be on my way.

We're definitely going to clean you up.

The rest will remain... up for discussion.

-Mrs Pritchard, is there any family you'd like us to contact?

-No.

-No family.

-Husband?

Shouldn't think so. He's dead.

I'm sorry to hear that.

Why? You didn't know him.

Well, you've got me there. Right, I'll just go and get you a suture kit.

Any chance you could turn that noise off.

It sets my teeth on edge.

Will do.

He...

He fell asleep.

He's been working himself pretty hard the last few days.

Can you turn the game off?

I don't understand.

In high school...

he was always

like a God, you know?

How can something like this happen to someone like him?

I'm...supposed to be training.

I'll change my plans.

Norah.

The last thing Josh needs now is your pity.

What he's going through. What he's facing. He needs honesty.

Do you understand that?

I think so...

-What are you doing?

-Paperwork.

Yeah, my paperwork.

We're all equal, aren't we? We're all a team.

Some of us are more equal than others.

Are you saying I'm not capable of sorting and filing patient histories?

No, of course not.

I just don't understand why you'd volunteer to do it.

You should ask yourself the same question.

I like to be kept busy.

Kept exhausted more like.

Look, I am going to help you do your work, like it or not.

And when you've run out of jobs to invent, then we can discuss having some fun.

-Whatever...

-Nurse Tait, I've got a group of medical students coming in

to observe a laparoscopic cholecystectomy at one.

Could you arrange for a chaperone to show them around the ward?

-Certainly, Mr Griffin. I shall see to it personally.

-Thank you.

You want me to bump a legitimate procedure for an unplanned boob job who walked in off the street.

No, not off the street.

This is a breast hypoplasia patient who's been on my list for weeks

who needs the procedure brought forward for personal reasons I won't discuss.

Fine. Cos I'm not inclined to agree.

Jac! Do you know what hypoplasia's like? What these girls go through?

Misshapen throughout their teens. Bullied because they only have one breast...

Spare me, Michael. I was bullied. I got over it.

That's a matter of perspective...

-See ya.

-Oh, come on that was a joke! Look I only need an hour...

Sahira's case is infected, mine is clean... It's best procedure.

Yes, it would be... if your patient was on the list.

You are part of the plastics team, OK? We have a deal.

Deal?

All right, if nothing else you get to put one over Sahira.

-Well, you should have said that from the start.

-Ah.

Chantelle, if you've got a complaint about your working hours,

-you should take it up with Sister Williams.

-It's not me. It's Elizabeth.

What about her?

Look,

double shift, over-time,

double shift, volunteer work in Paediatrics. Double shift...

OK, so she's working a lot. What's your point?

-She's exhausted, Mr Griffin. Between that and visiting her mum...

-I understand.

Some people prefer to... immerse themselves in work...

-it can be quite therapeutic.

-She's not immersing herself. She's drowning.

You think she needs rest?

I think she needs a laugh.

I can get her out...but only if she's got no other choice.

-And what do you want me to do?

-Give her no other choice.

Jenny, good news. We're about to take you in theatre in 15 minutes...

-Err, what's going on?

-I told you. I've have to go to work.

But...we're about to take you into surgery.

You never said anything about surgery.

OK, this is the last one, Oona. You might feel a little tug...

-You didn't feel that?

-Feel what?

What happened?

You fell asleep.

-Too much exercise.

-Where's Norah?

She was here a minute ago.

-So is that me done and dusted, then?

-Not quite home-time yet.

I see you've made a new friend?

She's a nurse. She doesn't have to be my friend.

Well, this is one of those happy moments where duty and taste collide.

-Hey, sleepyhead.

-Hey. Seen Norah?

Think she popped out.

Maybe we should use the time to...

-What do you think you're doing?

-I'm helping you. It's past time...

-Norah's not here.

-Let Eddi do it.

-She's busy.

No. She might come back any minute.

If you're talking about that leggy brunette...

I don't think so. She wrote a note.

She left it on the table.

She's gone.

Well, she did say something about having to go training.

No. She's broken up with me.

-What? Why?

-She didn't say...

What did you do?

What did you say?

-Nothing...

-You're lying. You must have done something. You must have said something...

-No, not her.

-This one.

-What?

-Florence Nightingale here.

She had a word with your lass, and then she took off like the hounds of hell were at her heels.

What have you done?

We done?

The ultrasound has indicated an extra capsular rupture. It means that the implant has

-punctured and is leaking into the surrounding tissue.

-Is it dangerous?

Not unless it spreads to the lymph nodes or chest wall.

Is that likely? Do you think that's happening to me?

It's rare but it's impossible to know for sure without doing an MRI.

Then why not do an MRI?

Because it's just as easy for us to fix in theatre.

Easy for you but impossible for me.

I told you I took the morning off work, not three weeks.

Which is what surgery would mean, right?

I will ring your work. I will tell them that you've had a complication from previous surgery and you need

-to be admitted immediately.

-But that would be a lie.

OK, the...the truth is...

..we know what's happened

but we're not sure why.

But the most likely explanation is human error.

-Human error.

-My human error.

And if that is the case,

I am ready to pay whatever price is coming my way.

But I also want to put any wrongs right.

And I want to do it now.

Before it starts to show.

OK.

I'll call work and...lie, I guess.

What were you thinking?

My patient needed protecting.

Your patient?

Well, Josh is still that until he goes to the spinal unit.

Eddi, you scared his girlfriend away.

How on earth is that patient care?

I did no such thing. All I said was that Josh needed honesty not pity.

The girl had just seen her boyfriend paralysed from the waist down.

It would be inhuman of her not to feel pity.

-I just told it like it is.

-And you frightened her off.

It's better for Josh, and it is way better for Norah,

that she doesn't get trapped...

-Trapped?

-Into staying with him when she doesn't want to.

All right, you tell me.

How can you possibly know, let alone judge, what that 18-year-old girl feels?

Forget about it.

I acted in Josh's best interests.

No, no, you didn't.

You acted as though you were his mother.

Now, Josh's bed at the spinal unit becomes available in 48 hours.

Maybe you should stay away from him till then.

You have other patients. Other responsibilities.

See to them.

Ah, Nurse Tait.

Could I have a word, please?

Of course, Mr Griffin.

I've been looking at the theatre rotation

and I've decided to move some of my cases

onto Mr Malick's list for tomorrow.

-Well, that'll make for a nice quiet afternoon then.

-Indeed.

-Planning on taking the rest of the day off?

-Not me. You.

Excuse me?

I've had Health and Safety onto me and HR

about your working hours.

There is concern that not only are you

breaking your spirit by being here 24/7,

but more importantly,

you're breaking the European Working Time Directive.

-Oh...

-Mmm, indeed.

What about your medical students?

Oh, don't worry about that. Um...

It's all taken care of.

..Fractured radius looked after by our resident Orthopod.

One of the easier surgical disciplines to go into, if you get my drift?

European Working Time Directive, huh?

-Uh-huh.

-Just thought you'd move a few patients, huh?

When exactly did you start thinking I was born yesterday, Mr Griffin?

-It was worth a try.

-Not really.

If you don't get Chantelle to stop meddling,

you'll have a real lawsuit on your hands.

-MUSIC BLARES FROM HEADPHONES

-Can you feel that this time?

-This time?

Does it hurt or not?

-Yes.

-Where?

Well, everywhere. Scalp.

And the back of the neck.

Have you had another fall recently?

No. Not that I can remember.

This is a lump here of some sort. Feels like scar tissue.

Look, Oona, we really do need to do those scans. Just to be sure...

OK.

-Turn that off!

-Go to hell.

-Josh...

-From the way things look, you're already halfway there.

Oona! Both of you, enough.

-What is wrong with you?

-Let's see. I'm paralysed from the waist down.

I'm moving to the arse-end of the country

and I've been dumped due to the interference of my so-called carer.

I was trying to protect you, not hurt you.

Yeah? Well, I need your protection like she needs another hole in her head.

-Where are you going?

-None of your business.

-Let me help you.

-You've already done far too much already.

You did the right thing.

What?

She might have stayed with him for a while,

but it wouldn't have worked out.

Two legs good.

No legs? Bad.

You know what, Oona, Josh was right. You can go to hell.

If this complication is human error, what happens to you?

-Well, it depends.

-On what?

To a large extent, you.

I believe you.

Michael.

Excuse me. What's up?

She is.

Don't worry, we'll have you out of here in no time!

-What are you doing here?

-Theatre two's being deep cleaned so I assume

we're in theatre one. Oh, come on, you know we are!

I don't know any such thing. This is my slot, for my team and my patient.

-I booked this not more than two hours ago!

-Jac.

Josh, stop.

Stop!

Look, Josh, this is all my fault.

-I never told her I loved her.

-What?

Norah. We talked all that time.

Then I fell asleep. I never said it.

You didn't get a chance to.

I missed my chance.

Maybe not.

You told me nothing about this.

I wasn't aware I'd agreed to it.

That is not the impression you gave me.

Jac!

Mr Spence's patient has been on his list for months

and has suddenly become urgent.

What could possibly be urgent about a simple breast hypoplasia?

No offence.

Ms Proctor has some very personal reasons

for us to perform this procedure immediately.

Look, it's one hour to change her life.

Let me make it easier for you.

We'll take care of your debridement, so you don't have to hang around

while we're in theatre. And Mr Spence can put his amazing plastic surgeon skills to use

-and do a skin graft for your patient.

-Sure, fine, great. Deal?

Well, I don't have much of a choice.

Great, let's go.

-Jenny, I'm very sorry about that...

-Sorry, can I speak with you?

Alone.

Mrs Pritchard?

- Yes? - Are you OK?

Yes, I'm fine dear, thank you.

How are...

I need help over here!

Bottoms up!

It's OK, it's only apple juice.

I think...

What are you doing?

-If Mohammed won't go to the mountain...

-Don't you ever stop?!

How many hints? More than hints!

I've haven't just poured water on this idea of going out,

I've unleashed the Nile on it.

You ask me, I say no.

You ask again. I say no.

You do my work. I say no. You go to my boss,

an what do I say? No!

You are indescribable. You're like the Energiser bunny of dim.

You break rules, you're giddy, unpredictable, unreliable

and you never, ever listen!

And I treat you like dirt.

Why do you keep coming back?

Why do you keep trying?

Because you look like you could use a friend.

Oh, don't start.

You'll get me going.

My mascara!

OK.

You win.

Let's go out.

I would love to go out.

Brilliant. Right.

Go home. Have a shower.

-Get changed and meet me back here. OK?

-OK.

Oh...and dress like you mean it.

Pupils responsive but sluggish.

So she just collapsed?

Yeah, as if somebody just turned the lights off.

Have the results of her X-ray come back yet?

What X-ray?

-Where's Eddi?

-And where's Josh?

We're supposed to talk to the nurse at Peterborough to confirm the bed.

Great.

PHONE RINGS

Sacha. ..He's fine. I'm fine.

Josh has something he needs to do. Then I will bring him straight back.

No, I... I can't tell you that. I'm sorry.

You'll just have to trust me, OK?

Sent out a search party, have they?

Not quite yet.

-You ready then?

-No.

But when's that ever stopped me?

I want you to tell me exactly what's going on.

-We're about to perform a surgery that will...

-Don't do that.

-Do what?

-Pretend you don't know what I'm talking about.

Why is my surgeon lying about me to his colleagues and his boss?

-Ms Naylor's not technically...

-If you prevaricate one more time,

I'm leaving here and going straight to Ms Naylor.

It's just politics.

I understand that. But why am I in the middle of it?

Especially when he said his career was in my hands.

He said that to you?

He said it was highly likely this rupture is his error,

and that the consequences to him are largely my decision.

One minute he lays complete trust in me. The next...

Michael is a good man.

Now whatever lies he may or may not be telling you,

I assure you he's telling you them for the right reasons.

OK, tell him that I understand.

We need to move on.

Will you trust me to make the calls as I see them?

-You OK?

-Look.

Watch.

Is she OK?

What did she say to you?

What did you say to her about mistakes?

What are you talking about?

-You told her it was likely to be human error? Your fault?

-I...

If you want to commit career suicide, fine. But you're not taking me down with you. We do not admit to errors.

We don't doubt each other, ever, finish.

All right, fine. Yeah, whatever.

-We just need to get this done.

-No. Not WE.

She said she doesn't want you in on this.

-What?

-What did you expect?

You gave up the moment you said it was human error.

Now this may not be your fault,

but the next one will be. It's in your head.

Hold out your hand.

-What?

-Hold out your hand.

I'm sorry, Mikey.

You just smudged your paper.

Josh?

Mrs Tait?

What are you doing here?

I don't know.

Let's have a look at your obs and see what's going on.

Where's Elizabeth?

Where's my baby girl?

She's not here. She's finished her shift.

Not here.

She's never here.

She's been working so hard.

We were going to go out.

I had some things I wanted to say to you.

Besides, I couldn't just let you walk off, could I?

Not without a fight, anyway.

You never saw anything you couldn't turn into a fight.

I'm sorry.

Me too.

I don't feel very well.

-I'm just dealing with your x-ray right now.

-No, I mean it.

There's something wrong.

I'll be with you in one second.

Nurse?

You've got to be kidding me.

How did it get there?

Does it matter?

I suppose not.

But still...

Well, I suppose you'd better get someone from Neurosurgery.

No kidding!

Ms Pritchard...

We need to have a little...chat about your X-ray.

It hurt. I didn't like it.

Quite. That's probably because...

..Ms Pritchard, are you aware that you have a bullet in your head?

-A bullet?

-Yes.

Any idea, like... maybe where it came from?

I...

I don't remember.

Does it matter?

You have a subdural haematoma,

which was caused by the fall you had earlier

impacting on the older injury...

this bullet.

It's a dangerous, life-threatening injury,

Ms Pritchard, which has caused your headaches, and your nausea.

And maybe some mood swings.

I want her number.

I want Nurse McKee's mobile number.

-I can't...

-You can. Or I call the police.

It was so easy, I suppose.

It was like hundreds of gnarly craters I've had on the board...

Guess I just landed on the wrong bit.

So...what happens now?

I... I don't know.

Josh...

I'll be all right. I'm going be all right.

You said there was something you wanted to tell me?

I'm going away.

I wanted to say goodbye.

All that fuss to nick a theatre slot and you're not even in there?

Is this how Plastics is going to work?

Sunil in theatre while you're out here filing your nails?

Nice.

Josh?

Josh?

Can we go home? Can we go back to the hospital, please?

Away from here. Now.

Oh, Josh, I'm so sorry...

Just get me out of here.

-Mike, what you doing here?

-Observing. What've you found?

I've only just taken it out, give me a chance.

If this was surgical error

the rupture would be here, along the suture line.

The silicone from the implant is so cohesive, it's coming out in one go.

Great, I can put the new implant in.

She'll go home as good as new.

The tear is here, higher up...

This has only recently ruptured - the silicon hasn't spread at all.

-You're right, my friend.

-It wasn't my fault. It wasn't me.

It wasn't you.

Mike, I'm sorry...

that I doubted you.

Hey.

Where's the implant?

-What?

-The faulty implant.

It needs to be analysed.

I gave to the theatre nurse.

She'll have thrown it away by now.

-You did what?

-It didn't occur to me.

You don't think it needs to be investigated?

Let's just keep our mind on the SHA meeting tomorrow.

Sunil, it was faulty!

Then it's one in a million. It's an embarrassment we cannot afford right now.

So, let's just shut it down, keep a united front, and keep our eyes on the prize, OK?

Josh? Josh!

What did you do? What did you do?!

I'm sorry...

Leave off. Leave off, Mum!

-I want to help you.

-You can't.

None of you can.

What have you done?

He wanted to see Norah. He wanted to say goodbye.

Why? Where's he going?

-The Spinal Unit in Peterborough.

-Not any more.

We lost the bed while you were gone.

Hey!

Da-da! What do you think?

Do I "mean it"?

-What's wrong?

-Elizabeth. You're here. Good.

We don't really know what's happened.

All we know is there was a sudden deterioration.

You didn't know?

-Your mother.

-She's here?

She's been sent over from psyche.

When did she get down here?

Why didn't someone tell me?

A bullet?

At least 20 years old.

Maybe more.

-How'd it get there?

-Not sure.

She can't remember?

Neurosurgeon thinks it affected the occipital nerve.

Oh...

so she's not an evil old cow, then.

No...just a sick patient.

If your relationship with Josh is going to be a problem going forward,

I need to know.

I don't have a relationship with Josh,

-I was just trying to help him.

-You're emotionally involved, Eddi.

OK? You're too close,

and it's affecting you,

your patients and possibly your career.

Kate Cahill was about to call the police,

and she's still talking about making a formal complaint.

You know...

I can smooth things over,

but I need to know that you can be objective.

She's developed an abscess, here, in the pelvis.

It's post-operative.

We can drain it as soon as a theatre becomes free.

You're worried.

What aren't you telling me?

She was very dehydrated when she came in. I'm not sure why...

let's wait for the tests, OK? I'll chase them up. Meanwhile she'll need plenty of fluids.

Don't make a fuss.

I know you don't really want to be here.

Go.

Of course I want to be here.

Not according to her.

Mum, don't be silly. Chantelle didn't even know you were here.

You think I imagined it? She was here when I came in.

If you want to go out, go.

I'm sorry...

-You knew she was here and you didn't tell me?!

-I wanted to.

I didn't think, I didn't know how serious it was.

I didn't want to worry you when we were going to go...

How could you possibly think I'd want to go dancing while she was here?

Hey... I needed some space.

I bet...

Josh, I know you must hate me...

I don't hate you.

How could I hate you?

I want to say thank you.

For what?

Just...thank you.

..for showing me what I needed to see.

-But you didn't tell Norah what you wanted to.

-I did.

I just...

didn't know what I needed to say until I got there.

I made you something.

It's actually more appropriate this way.

Because I'm broken...

But I'm still here.

We need to get back.

Hey...

how's it going?

Oh, early days.

I've been waiting to see you.

-Really?

-Of course...

Your career in my hands, right?

So, has Mr Bhatti been in to see you?

He popped by and said everything went well

and that the cause remains unclear and tests are ongoing.

So I...take that to mean that you passed with flying colours.

Well, Mr Bhatti performed the procedure, of course.

Really. Why?

I thought you told him you didn't want me in theatre.

I didn't say that.

I asked him to tell you that I understood.

Well, I...

probably just misheard.

Do we know what the problem was?

Not yet. But...

I'm getting closer all the time.

What's up, Sunil?

Why did you lie to me?

-I don't know what you're talking about.

-Well, you told me that Jenny didn't want me in theatre?

Melanie Stott...

Yeah, I remember she was a complex reconstruction, she had a CT problem.

Yeah. We fixed that.

We fitted her with a pacemaker, then you did her boobs.

This is her CT.

That's silicone coming out of her implants.

-Where is she?

-She's here.

She has chest pains

and an irregular heart beat - we thought it was complications due to the pacemaker,

but no, we now know the wires are covered in silicone gel.

Josh?

-You all right?

-I'm fine. Really.

I didn't mean to worry anyone. I'm sorry, Mum.

YOU don't have anything to apologise for.

It's not Eddi's fault, Mum.

Yes, it is. Can I have a word, please?

-I just wanted to...

-It's all right.

-I'm not going to make a complaint.

-No, Kate, it's not all right.

I had no right to take Josh out without consulting you.

I had no right to say to Norah what I did.

I compromised myself and my patients today, and that is unforgivable.

No, it's human...

Well, it won't happen again.

We have a theatre slot in five minutes, but very much touch and go.

-I'm doing this one.

-Not without me.

-It won't take two of us.

-I want to get all the silicone gel away without damaging the wires.

-We've got to go.

This is my call.

I'm coming too.

The silicone has spread all over the surrounding tissues and the chest wall.

-Her sats are dropping...

-Swab.

The bloods have come back.

Her white cell count is up, of course,

that'll be the infection,

but she's in renal failure.

I'm sorry, it's not...

We just have to hope that with plenty of fluids, and with the drain in,

we'll be able to reverse it.

Get...off.

Go away.

-Cut.

-She's gone into VF. Salmons...

Shocking at 150, clear.

She's back...

-How quickly can you get that second implant out?

-I'll do this one.

We need to hurry.

We're a team, remember?

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