0:00:40 > 0:00:43Three weeks before you left, I told you I loved you, remember that?
0:00:43 > 0:00:46- What if I said I'm over it? - What's changed?
0:00:46 > 0:00:49Let's just say I was visited by the Ghost of Christmas Future.
0:00:49 > 0:00:50What did you see?
0:00:50 > 0:00:55A lonely woman looking at the photograph of you, wishing she she'd never let you go.
0:00:59 > 0:01:02So, you'll be officially reinstated, as of tomorrow.
0:01:02 > 0:01:08- I'd like you to begin work back on Keller please.- Um, I don't think so.
0:01:08 > 0:01:10I'm going to resign.
0:01:10 > 0:01:14I think there might be a way to save both of your kidneys.
0:01:14 > 0:01:17MUSIC: "21 Seconds" by So Solid Crew
0:01:29 > 0:01:32- How's my man doing? - Looking good, Mr Malick.
0:01:32 > 0:01:36- Can I talk to you about... - I want to check you're still happy with what we're doing.
0:01:36 > 0:01:40If you can save both kidneys, I can save him.
0:01:40 > 0:01:45I'm happy about it, don't worry. I only get one brother.
0:01:45 > 0:01:47And who needs two kidneys?
0:01:51 > 0:01:52I know you're busy,
0:01:52 > 0:01:56but you did say you'd speak to Mr Spence about his leaving drinks?
0:01:56 > 0:01:57Albie's might be a good idea.
0:01:57 > 0:02:02I tell you what, why don't I add that to my list, right there at the top?
0:02:02 > 0:02:03Thank you!
0:02:03 > 0:02:05Mr Malick...
0:02:05 > 0:02:08Whose laparoscopic kidney repair is this?
0:02:08 > 0:02:11- Mine. - Yes, I can see your name is on it,
0:02:11 > 0:02:15but all I want to know is which consultant is responsible?
0:02:16 > 0:02:20- Mr Spence.- And whose decision was it to do it this way?
0:02:20 > 0:02:23And why was this method even discussed?
0:02:23 > 0:02:25I can see no good reason for it at all.
0:02:25 > 0:02:27It was the patient's choice, Mr Griffin.
0:02:27 > 0:02:31He was looking for alternatives and we felt it our duty to convey all the options.
0:02:31 > 0:02:33To convey the options, I see.
0:02:33 > 0:02:36Well, perhaps you'll be good enough to let Mr Spence know
0:02:36 > 0:02:40that I will be speaking with him later. Look,
0:02:40 > 0:02:43he was adamant that we save both...kidneys.
0:02:46 > 0:02:48- You're all prepared?- Yeah.
0:02:48 > 0:02:52Got my warm ischemic time right down to 18 in the Wet Lab last night.
0:02:52 > 0:02:54But...
0:02:54 > 0:02:55we may have another problem.
0:02:55 > 0:02:59- What's that?- Mr Griffin might have something to say about this.
0:02:59 > 0:03:03What a surprise(!) He never misses an opportunity to question me,
0:03:03 > 0:03:06so he's clearly making the most of that while he can.
0:03:06 > 0:03:09Could you take this through to the office? Be careful, it's glassware.
0:03:09 > 0:03:12- Is she moving in?- Is this the chocolate fountain?- Mmm.- No.
0:03:12 > 0:03:14What, not even a lick?
0:03:14 > 0:03:17Chrissie, reception called - there's a delivery guy
0:03:17 > 0:03:20- wanting to know where he can leave a flock of white doves?- Very funny.
0:03:20 > 0:03:24This is a working hospital, it's not Wedding HQ.
0:03:24 > 0:03:27How else am I supposed to accept deliveries if I'm not at home?
0:03:27 > 0:03:30- What is that?- It's my fourth attempt at a seating plan.
0:03:30 > 0:03:32I can't sit Jennifer next to Denis,
0:03:32 > 0:03:34because their kids won't sit near them,
0:03:34 > 0:03:37and if Uncle Jimmy isn't near the toilet, he's going to be worrying all day.
0:03:37 > 0:03:42I thought there was another set of glasses somewhere. Now, these rugger bugger boys,
0:03:42 > 0:03:46they want to sit together, except there's ten of them and my table is only for eight.
0:03:46 > 0:03:47Better you than me.
0:03:47 > 0:03:49Mrs Walters, please go back into to bed.
0:03:49 > 0:03:51You've got to keep the pressure off that foot.
0:03:51 > 0:03:54I'm capturing a typical day in a working hospital.
0:03:54 > 0:03:58- Trust me, this is not a typical day. - I know, I heard. Congratulations.
0:03:58 > 0:04:00- Thank you.- Who's the lucky man?
0:04:00 > 0:04:02That would be me.
0:04:02 > 0:04:04Can we keep the photography to a minimum?
0:04:04 > 0:04:06That's like asking a bee not to buzz.
0:04:07 > 0:04:09Excuse me.
0:04:10 > 0:04:13- You all right? - Yes. Just my "to do" list.
0:04:13 > 0:04:17You should have said! I could have taken care of some of this.
0:04:17 > 0:04:21Last time you booked us dinner, we ended up in the children's section.
0:04:21 > 0:04:24- It was fun.- It's all right. I've got everything under control.
0:04:30 > 0:04:33He's got a three-centimetre laceration of the kidney -
0:04:33 > 0:04:35if you need to take it out, that's what you do.
0:04:35 > 0:04:38Paul is in end-stage renal failure. Adam is the live donor.
0:04:38 > 0:04:42He won't be well enough to help his brother for six months, in any case.
0:04:42 > 0:04:45He knows that. But he's probably better than on the waiting list.
0:04:45 > 0:04:50High pulse, low BP, blood in urine...rapid shallow breathing...
0:04:50 > 0:04:54- CT scan showed a brain contusion. - That's stable, it's OK.
0:04:54 > 0:04:56Have you explained what the risks are
0:04:56 > 0:05:00- of repairing the kidney, instead of removing it?- Yes.
0:05:00 > 0:05:05Does he understand that removal of the kidney guarantees
0:05:05 > 0:05:08that all of the bleeding into the abdomen will stop,
0:05:08 > 0:05:12- giving him the best chance of recovering from his injury and from the surgery?- Yes, he does.
0:05:12 > 0:05:16Does he knows what could happen if the repair doesn't hold, if there's a slow bleed...?
0:05:16 > 0:05:19- Yes. I've explained everything. - The danger of infection,
0:05:19 > 0:05:23- of renal failure...?- Yes. - Of pneumonia?- Yes.- Of death?
0:05:23 > 0:05:24Yes.
0:05:24 > 0:05:28Ric, Adam is determined, that's why we're doing this.
0:05:30 > 0:05:32But you're not leading?
0:05:32 > 0:05:34No.
0:05:34 > 0:05:38Is this about you wanting to leave in some kind of blaze of glory?
0:05:40 > 0:05:42No, I think he's ready for it
0:05:42 > 0:05:47and he wants to take it on - let's not penalise ambition.
0:05:59 > 0:06:04Excuse me. I'm Kip Maxwell, I'm F1. I'm starting my rotation here today.
0:06:04 > 0:06:08F1? Right, what's the career plan, Registrar at 50?
0:06:08 > 0:06:12- HE CHUCKLES - I'm looking for...Elliot Hope?
0:06:12 > 0:06:14Thank God. He's that way.
0:06:17 > 0:06:22Mr Malick, Paul wants to see you. I've just popped him in here.
0:06:22 > 0:06:23I'll see you in a minute.
0:06:23 > 0:06:26He's weak, breathless and he feels sick.
0:06:26 > 0:06:30- He didn't want to worry Jen. - What's happening, Paul?
0:06:30 > 0:06:36- I'm not sure, I think I fainted. - You have some fluid on your lungs.
0:06:36 > 0:06:39- Let me see your hands... - It was hard to get my shoes on.
0:06:39 > 0:06:42I think I need dialysis.
0:06:42 > 0:06:45I'm not due until tomorrow, that's not a good sign, is it?
0:06:46 > 0:06:51- Where do you go?- Church Street. I'll need transport.
0:06:51 > 0:06:56- Hey. We'll sort it out here. - I'll call them, shall I?- Chantelle.
0:06:56 > 0:06:59Get a portable dialysis machine and a nurse here right now.
0:06:59 > 0:07:03Tell them he's too frail to move. And don't take no for an answer.
0:07:03 > 0:07:07You've gone all Malick on me, you're not worried about me, Antoine?
0:07:07 > 0:07:10'Bout you? Please, I gave that up years ago.
0:07:10 > 0:07:12Then just get on with looking after my brother.
0:07:12 > 0:07:14I'll be fine.
0:07:17 > 0:07:21Jac, sorry. May I introduce Dr Maxwell to you?
0:07:21 > 0:07:23Yes, we've already met.
0:07:23 > 0:07:28Unfortunately, I'm fully spoken for as regards mentoring,
0:07:28 > 0:07:32as are all the other consultants, except for... So...
0:07:32 > 0:07:37- But of course, if you're feeling...- I'm not "feeling" anything, it's fine.
0:07:38 > 0:07:40Right, thanks...
0:07:42 > 0:07:45- Well...- There's no need to make a big thing, Elliot,
0:07:45 > 0:07:48I'll let him how lucky he is.
0:07:48 > 0:07:51You're both lucky. Kip graduated first in his year.
0:07:51 > 0:07:54- Well, that was some time ago! - Nevertheless...
0:07:54 > 0:07:57Dr Maxwell, this is our patient.
0:07:59 > 0:08:02Mr Philips was admitted last night with chest pain,
0:08:02 > 0:08:05- shortness of breath and a persistent cough.- Excess sputum?
0:08:05 > 0:08:08Headache, tiredness, halitosis.
0:08:08 > 0:08:13- What rotation have you just come off?- The ED.- Not much left of it. Nothing to do with you, I hope?
0:08:13 > 0:08:16- HE CHUCKLES - No...!
0:08:16 > 0:08:18Diagnosis. Treatment Plan.
0:08:18 > 0:08:22Morgan, hi, I'm Dr Maxwell. I'll just listen to your chest?
0:08:34 > 0:08:36That's a bit sneaky.
0:08:37 > 0:08:38Yes, it's here,
0:08:38 > 0:08:41the heart's on the right-hand side, so it's dextrocardia,
0:08:41 > 0:08:47- situs inversus.- How come you're such a late starter, Dr Maxwell?- Kids.
0:08:48 > 0:08:51- There's a funny story about that, actually...- Really(?)
0:08:56 > 0:09:00Yes, the edge of the liver is here, on the wrong side,
0:09:00 > 0:09:02so it's dextrocardia situs inversus totalis.
0:09:05 > 0:09:06- Thank you.- Well done.
0:09:07 > 0:09:09So what's your next move?
0:09:09 > 0:09:13Ultrasound, to confirm. Full blood count. Us and Es.
0:09:13 > 0:09:16Arterial blood gases... chest X-ray, CT scan.
0:09:16 > 0:09:21So find the ultrasound machine. Get a nurse, give instructions.
0:09:25 > 0:09:28- I'll be right here waiting for you when you come out.- I know.
0:09:30 > 0:09:32Take care of him.
0:09:38 > 0:09:41- All right, ready for you. - OK. Camera in, please.
0:09:46 > 0:09:51Grade One tear with surrounding haematoma... The damage runs deep into the collecting system.
0:09:51 > 0:09:56- Maybe I should anchor it with a barbed suture first.- Sure...
0:09:56 > 0:09:59Grab the instruments for Mr Malick, please.