Butterflies

Download Subtitles

Transcript

0:00:39 > 0:00:42- I thought your son was on the table. - I said sorry.

0:00:42 > 0:00:44You stupid woman, I thought you were...

0:00:44 > 0:00:49The honeymoon's over between him and Annalese, and he's in a foul mood.

0:00:49 > 0:00:50Poor Mr Griffin.

0:00:50 > 0:00:55- Dr Petrenko!- I don't suppose I could ever possibly persuade you to return to Holby, Dr Petrenko?

0:00:55 > 0:00:58Any fool can drive, you need a friend.

0:00:58 > 0:01:00You'll teach me?

0:01:00 > 0:01:01I'm leaving.

0:01:01 > 0:01:05- How's your portfolio coming along? - Very well, thank you.

0:01:05 > 0:01:08Seems to have been left rather to the last minute, not ideal.

0:01:08 > 0:01:10Have you seen this?

0:01:10 > 0:01:14"Autumn ambitions include the achievements of an excellence in teaching rating."

0:01:14 > 0:01:17Focus on the Socratic method of teaching.

0:01:17 > 0:01:21Everything you say, I listen to it.

0:01:21 > 0:01:23Please don't go.

0:01:36 > 0:01:37DOOR SLAMS OPEN

0:01:37 > 0:01:40Abramo Zappulo. 24. Building site accident.

0:01:40 > 0:01:42Two left broken ribs. Cardiac tamponade.

0:01:42 > 0:01:44Raised CVP.

0:01:44 > 0:01:48I did a pericardiocentesis with an ultrasound. C-spine immobilisation.

0:01:48 > 0:01:50There's a scar on his chest.

0:01:50 > 0:01:54- Rucksack...- Run a check. Find out his history. - Straight into theatre.

0:01:57 > 0:01:58You saved his life.

0:01:58 > 0:02:00I bought us some time.

0:02:00 > 0:02:04Pericardiocentesis in the back of an ambulance. Very impressive.

0:02:04 > 0:02:05Let's just get him mended.

0:02:09 > 0:02:12The aspiration has improved his condition.

0:02:12 > 0:02:14Still signs of pericardial effusion.

0:02:22 > 0:02:24What the hell?

0:02:24 > 0:02:26He's got two hearts.

0:02:32 > 0:02:34We always stay in Playa den Bossa.

0:02:34 > 0:02:35Pull in after these cars.

0:02:35 > 0:02:37Me, Becs. A few of the girls.

0:02:37 > 0:02:40Treat yourself to a holiday, Chantelle. Proper celebration.

0:02:40 > 0:02:42Let's not get ahead of ourselves.

0:02:42 > 0:02:45All the best drivers pass second time round.

0:02:45 > 0:02:46What time's the test?

0:02:46 > 0:02:50Late afternoon. That way I'll miss the traffic.

0:02:50 > 0:02:51Reverse parking. That space.

0:02:53 > 0:02:54So gloomy. January.

0:02:54 > 0:02:57I need some sunshine.

0:02:57 > 0:02:59You need to concentrate.

0:03:09 > 0:03:14I suggest you spend the rest of your shift in quiet contemplation.

0:03:14 > 0:03:16I assume you've seen this?

0:03:19 > 0:03:20It's rather excessive.

0:03:20 > 0:03:24Excessive. Crude. Coarse.

0:03:24 > 0:03:27Not to mention exploitative.

0:03:27 > 0:03:28It serves a purpose, though.

0:03:28 > 0:03:32It's never a good idea to let the patient set the agenda.

0:03:32 > 0:03:36No, but in light of our new FT status, the publicity will be beneficial.

0:03:36 > 0:03:37A PR operation?

0:03:37 > 0:03:41Brave new world, Mr Griffin. Pioneering clinical trial.

0:03:41 > 0:03:43Teaching. Training.

0:03:43 > 0:03:45Sentiments to impress the governors.

0:03:45 > 0:03:49Sentiments that all good universities aspire to.

0:03:49 > 0:03:54I've been toying with a strapline. "Your health is our business."

0:03:54 > 0:03:55Certain ring to it...

0:03:57 > 0:04:00Henrik, you know I'm committed to training.

0:04:00 > 0:04:02That remains to be seen.

0:04:02 > 0:04:05As long as it's done for the right reasons.

0:04:05 > 0:04:06As long as it's effective.

0:04:06 > 0:04:09Effective? After what I've just witnessed in the car park.

0:04:09 > 0:04:12I think your training standards are slipping.

0:04:16 > 0:04:17- Don't pick.- Mum.

0:04:17 > 0:04:20Cindy, don't pick, don't pick!

0:04:23 > 0:04:25Um, consent forms.

0:04:25 > 0:04:26Thank you.

0:04:26 > 0:04:30Good morning, I'm Henrik Hanssen. Director of Surgery. Mr Griffin.

0:04:30 > 0:04:33He'll be co-ordinating the procedure.

0:04:33 > 0:04:34You must be Cindy.

0:04:34 > 0:04:35My little fighter.

0:04:35 > 0:04:38I recognised you both from your picture in the paper.

0:04:38 > 0:04:41Sob story. Only way to get things done.

0:04:41 > 0:04:44The good news is no more chemotherapy.

0:04:44 > 0:04:48The results of the biopsy are rather less encouraging.

0:04:48 > 0:04:50Cindy's liver has enlarged.

0:04:50 > 0:04:53Increased levels of bilirubin in the blood and urine.

0:04:53 > 0:04:55Cholestatic jaundice.

0:04:55 > 0:04:58- A complication of chemo.- Indeed.

0:05:00 > 0:05:01We can still go ahead?

0:05:01 > 0:05:03The baseline tests have been extensive.

0:05:03 > 0:05:06I think we should proceed with extreme caution.

0:05:06 > 0:05:11Surgery itself is fairly straightforward. Bear with me, I'll summarise for Mr Malick's benefit.

0:05:11 > 0:05:13Recessive Dystrophic Epidermolysis Bullosa.

0:05:13 > 0:05:18Inherited connective tissue disease which causes severe skin fragility.

0:05:18 > 0:05:21Stem cells will be collected from your sister, Kay.

0:05:21 > 0:05:24Bone marrow harvest with general anaesthesia. Transfused into Cindy.

0:05:24 > 0:05:29A systemic correction of the underlying genetic fault.

0:05:29 > 0:05:32Nurse Lane here has been trained for the specialist care provided.

0:05:32 > 0:05:34So I'll leave you in her capable hands.

0:05:34 > 0:05:37Keep her away from anything with wheels.

0:05:40 > 0:05:46This is a high-risk trial. The results may well be inconclusive.

0:05:46 > 0:05:48It's a risk worth taking.

0:05:48 > 0:05:51Cindy's in safe hands. Mr Griffin's the best.

0:05:53 > 0:05:58Pre op for Kay, please. And I'll leave you to settle in.

0:06:02 > 0:06:04Hey? What's with Mr Griffin today?

0:06:04 > 0:06:08- Oh, Hanssen slapped him down. Something about staff training.- A-ha.

0:06:08 > 0:06:12Mr Zappulo's CT scan. Sub-epicardial haematoma.

0:06:12 > 0:06:15It's compressing the right ventricle.

0:06:15 > 0:06:19- Rafi phoned while you were answering the bat phone. Sounds urgent. - Thank you.

0:06:20 > 0:06:23I did find a mobile. Missed calls. Five Ginas.

0:06:23 > 0:06:25Time you called one of them back, then.

0:06:40 > 0:06:42You said you were leaving.

0:06:45 > 0:06:48I couldn't let you go without telling you.

0:06:49 > 0:06:51Two hearts.

0:06:51 > 0:06:54It's worth a few stairs, isn't it?

0:06:55 > 0:07:00Previous heterotopic transplant. The injury has caused damage to the donor heart.

0:07:00 > 0:07:06Left ventricle function is severely diminished. We need to remove the haematoma.

0:07:06 > 0:07:11Risky surgery, isn't it? With both hearts connected.

0:07:12 > 0:07:16- No Ms Naylor to offer an opinion. - And steal our thunder.

0:07:17 > 0:07:22- We'll run some more tests. - Remember it's the Members' dinner for the CTU funding tonight.

0:07:22 > 0:07:25Yes, the presentation's ready. I just need to put the dress on.

0:07:25 > 0:07:28- I'd like to read it. - As soon as it's printed.

0:07:28 > 0:07:31My fault. Distracting Ms Shah with mundane medical matters.

0:07:31 > 0:07:35I do hope the overnight hasn't compromised domestic arrangements.

0:07:35 > 0:07:38No, Rafi knows how important this is.

0:07:38 > 0:07:42Mr Hope won't be joining you. "Passing on the baton" I think is the phrase he used.

0:07:42 > 0:07:44You mean I have to pitch for funding by myself?

0:07:44 > 0:07:47Well within your capabilities. I'd go with you myself.

0:07:47 > 0:07:50- But I have a mountain of paperwork. - I'd be happy to step in.

0:07:50 > 0:07:54I'm sure Ms Shah doesn't need hand holding.

0:07:54 > 0:07:55No, she doesn't.

0:07:55 > 0:08:00We're sure to get some interest. Two of us working the room. Double our chances. Money's in the bag.

0:08:00 > 0:08:04- Surprised you own a suit, Mr Douglas.- I'm full of surprises.

0:08:04 > 0:08:08- Mail me a copy when you're finished? - Sure.

0:08:16 > 0:08:18PAPERS THUD ON DESK

0:08:18 > 0:08:19You were asleep.

0:08:19 > 0:08:23- I was resting my eyes. - These are acute admissions. Please tell me that was a power nap.

0:08:23 > 0:08:26- Tell them there is no room. - Go to bed.

0:08:26 > 0:08:28Please, find me one.

0:08:28 > 0:08:31- You're no help to anybody in this state.- I have to finish my portfolio.

0:08:31 > 0:08:35Clinical Assessment. Case-based study. Deadline 6pm.

0:08:37 > 0:08:40I found this tramp in my bed.

0:08:40 > 0:08:43- I was wondering where he'd got to. - He's compromising my PPPs.

0:08:43 > 0:08:45Private paying patients.

0:08:45 > 0:08:47- Back, then? - Yep, he's back.- I'm back.

0:08:47 > 0:08:51- Back running Holbycare? - Yep, Holbycare needs me. So how's it going in this MASH unit?

0:08:51 > 0:08:54Mash? Oh, yeah, Dunkirk spirit.

0:08:57 > 0:08:58You running this gig?

0:08:58 > 0:08:59Locum's in theatre.

0:08:59 > 0:09:01- That's a big ask.- We'll cope.

0:09:02 > 0:09:04You know where I am...

0:09:04 > 0:09:06Oh, I need you to assess me.

0:09:06 > 0:09:09I got my work cut out trying to impress Hanssen.

0:09:09 > 0:09:11There are no other consultants available.

0:09:11 > 0:09:15So you thought you'd settle for Mr Spence? Look, I'm tied up with a gastric band.

0:09:15 > 0:09:16That I would like to see.

0:09:18 > 0:09:22If I miss my case-based discussion, Hanssen will fail me.

0:09:22 > 0:09:26- I have until six. - All right, pick a patient. I'll get back when I can.

0:09:28 > 0:09:32So, Cindy Barker. Allogeneic transplantation.

0:09:32 > 0:09:34Intriguing medicine, isn't it?

0:09:34 > 0:09:36I'd like to be a part of it.

0:09:36 > 0:09:38One for the big boys, I'm afraid.

0:09:38 > 0:09:42Look, this training thing. Could be good for both of us.

0:09:42 > 0:09:44What do you mean, this training thing?

0:09:44 > 0:09:47Well, if I look good, makes you look good in Hanssen's eyes.

0:09:47 > 0:09:51I don't know what you've heard, but I need you to look after the ward.

0:09:51 > 0:09:53Just let me scrub in. You won't even know I'm there.

0:09:53 > 0:09:58- Theatre's going to be crowded.- I'm sure we can find room for one more. Teaching is about opportunity.

0:09:58 > 0:10:02- Unless you have any special objection?- None at all.

0:10:07 > 0:10:11- You need a wing man. Someone to watch your back. - Don't play me, Greg.

0:10:11 > 0:10:13Strictly professional.

0:10:13 > 0:10:17You, me and 50 paying guests. What's going to happen?

0:10:17 > 0:10:21I've ordered a heart assist device. Let's just keep our options open.

0:10:21 > 0:10:23He had a transplant. In Italy.

0:10:23 > 0:10:25Before I knew him.

0:10:25 > 0:10:29OK. Ah, this is Mr Zappulo's...

0:10:29 > 0:10:32Partner. Gina. How is he?

0:10:32 > 0:10:35Um, he's conscious.

0:10:35 > 0:10:36I want to see him.

0:10:44 > 0:10:45Donor pre ops.

0:10:49 > 0:10:51What are Cindy's chances?

0:10:52 > 0:10:56Her immune system has been severely compromised.

0:10:56 > 0:10:58I'd like you to recheck her blood cultures.

0:11:01 > 0:11:03I can always get in a specialist nurse.

0:11:04 > 0:11:06I trained for this. I wanted to nurse her.

0:11:08 > 0:11:11OK. Give her mild analgesia if she needs it.

0:11:11 > 0:11:16Chantelle, I like this ward running like clockwork.

0:11:17 > 0:11:18No distractions.

0:11:18 > 0:11:21No distractions, no idle gossip.

0:11:24 > 0:11:27Conversations between consultants are private.

0:11:29 > 0:11:32- I didn't think.- No, you never do. That's the problem.

0:11:32 > 0:11:34Sorry.

0:11:38 > 0:11:40Emergency stops and three point turns...

0:11:40 > 0:11:43I'm going to be a little tied up in theatre.

0:11:44 > 0:11:45OK.

0:11:45 > 0:11:48Let's just concentrate on the job in hand, shall we?

0:11:52 > 0:11:53A building site?

0:11:53 > 0:11:54You trying to kill me too?

0:11:56 > 0:11:59Amore mio inconsciente!

0:11:59 > 0:12:01I was trying to provide for my child.

0:12:01 > 0:12:03This is providing?

0:12:03 > 0:12:05When did you have the transplant?

0:12:05 > 0:12:1017. The heart was enlarged. It couldn't do the job.

0:12:10 > 0:12:12So I borrowed a new one.

0:12:12 > 0:12:16The native heart is just about holding up. The donor heart is damaged.

0:12:16 > 0:12:18Can you repair it?

0:12:18 > 0:12:22- We don't know.- Cardiac output is starting to deteriorate.

0:12:22 > 0:12:25- Dyspnoea. Gallop rhythm. - We can evacuate the haematoma.

0:12:25 > 0:12:28Consider an assist device. Up the immunosuppressants.

0:12:28 > 0:12:33No. Please. If the borrowed heart is finished, then take it away.

0:12:33 > 0:12:37I'm tired of living like this.

0:12:37 > 0:12:38HE GROANS

0:12:46 > 0:12:48Don't tell me you're seriously considering this.

0:12:48 > 0:12:51I'm just not going to rule it out straight away.

0:12:51 > 0:12:53Rafi called. Again.

0:12:53 > 0:12:54You'd need a consultant.

0:12:54 > 0:12:58- Apparently your mobile's switched off.- Can you get hold of Mr Hope?

0:12:58 > 0:13:02Possible heterotopic transplant reversal. Get him to call me back.

0:13:02 > 0:13:05And will your mobile be switched on for Mr Hope?

0:13:06 > 0:13:09A reversal is virtually unheard of. There are easier options.

0:13:09 > 0:13:11His heart has had a long time to recover.

0:13:11 > 0:13:14No more anti-rejection drugs every day for the rest of his life.

0:13:14 > 0:13:17- No more complications. - Apart from fiendish surgery.

0:13:21 > 0:13:23Ground breaking medicine. To hell with the risks?

0:13:23 > 0:13:26I could give this man his life back.

0:13:26 > 0:13:28- I need you to trust me. - This isn't about me.

0:13:28 > 0:13:30Yes, it is!

0:13:40 > 0:13:43OK, so dry gangrene. He needs vascular surgery.

0:13:43 > 0:13:45No.

0:13:45 > 0:13:48Latent TB. Isolation. She's probably infectious.

0:13:48 > 0:13:50I am awake.

0:13:50 > 0:13:54I'm just checking. Suspected rectal ulcer.

0:13:54 > 0:13:55Anal bleeding.

0:13:55 > 0:13:57I will never get this thing finished.

0:13:57 > 0:14:00Hey? We are not beaten yet.

0:14:00 > 0:14:03There is always The Warm Up Guy.

0:14:03 > 0:14:06Give me a good reason why I should take him.

0:14:06 > 0:14:08His symptoms are intriguing.

0:14:08 > 0:14:11Hear about the doctor that found a suppository in his top pocket?

0:14:11 > 0:14:14- Says to his nurse "Some bum's got my pen!" - And he's driving me insane.

0:14:14 > 0:14:17And you're running out of time.

0:14:17 > 0:14:18OK.

0:14:23 > 0:14:28Hello. I am Dr Petrenko. Today is your lucky day.

0:14:34 > 0:14:36How many tests does she need?

0:14:36 > 0:14:37Not too many more...

0:14:37 > 0:14:39It's OK, sweetheart.

0:14:42 > 0:14:44There we go. Wasn't so bad, was it?

0:14:44 > 0:14:46I've had worse.

0:14:51 > 0:14:52My throat hurts.

0:14:52 > 0:14:53Drink some water.

0:14:53 > 0:14:56- I can get it.- It's fine. Just let me.

0:14:56 > 0:14:57Just let me look after her.

0:14:59 > 0:15:00Try and sit up.

0:15:02 > 0:15:04Time out, Tinkerbell...

0:15:05 > 0:15:08If this ward is running smoothly, I get to scrub in in theatre.

0:15:08 > 0:15:12- You dropped me right in it with Mr Griffin. - Lesson learned, princess.

0:15:12 > 0:15:14Things are difficult today as it is!

0:15:14 > 0:15:16And she was difficult to bleed.

0:15:16 > 0:15:18You need help, you come and ask for it, all right?

0:15:18 > 0:15:21I'm still waiting for Cindy Barker's bloods.

0:15:21 > 0:15:25- I know. I...- We were just conferring. - You do want this transfusion to go ahead?

0:15:26 > 0:15:29- I'll get the samples fast tracked. - Now, please.

0:15:39 > 0:15:41Finishing your presentation.

0:15:41 > 0:15:42I'm on top of it.

0:15:42 > 0:15:45You haven't even done your projection graphs yet.

0:15:46 > 0:15:48I'm only trying to help.

0:15:48 > 0:15:50Theatre's booked for five.

0:15:52 > 0:15:53We'll miss the Members' dinner.

0:15:56 > 0:16:01- If the prospect of my company is that intimidating...- It's the only time Elliot can do.

0:16:02 > 0:16:03SHE COUGHS

0:16:04 > 0:16:09This condition. FDC. It's inherited?

0:16:09 > 0:16:12It can be passed on, yes.

0:16:14 > 0:16:17Is there a test? I need to know.

0:16:20 > 0:16:22So, looks like we're all good to go.

0:16:22 > 0:16:26If we can rely on Nurse Lane to get the blood results back,

0:16:26 > 0:16:27then we'll see.

0:16:27 > 0:16:30Mr Hanssen wants me in. You can't undermine him.

0:16:30 > 0:16:33That's rich. After the stunt you pulled.

0:16:33 > 0:16:35Look. He's giving me a chance to prove myself.

0:16:35 > 0:16:38He's using you to prove a point.

0:16:38 > 0:16:39Mr Griffin, what is this?

0:16:39 > 0:16:42Back to me trying to fly while you continually ground me?

0:16:44 > 0:16:45I'm trying to look out for you.

0:16:45 > 0:16:49- Please, you're doing this for your agenda, not mine. - Be careful, Malick.

0:16:51 > 0:16:54We work hard. We do our best.

0:16:54 > 0:16:57Why can't you just give us the benefit of the doubt?

0:17:02 > 0:17:04So, Rory. You a comedian?

0:17:04 > 0:17:07Support act. Best fluffer in the business.

0:17:07 > 0:17:10No analgesic parasthesia, perfect.

0:17:10 > 0:17:12Gig tonight. Honing the routine.

0:17:12 > 0:17:14Could do with a gag to ease me in.

0:17:14 > 0:17:16Um, you're tingling in your legs?

0:17:16 > 0:17:18Something topical. Sex is always good.

0:17:18 > 0:17:20A well-placed double entendre.

0:17:20 > 0:17:22Maybe we should speak about your symptoms?

0:17:22 > 0:17:25- Same old jokes. Trick is to find a new way to tell them.- Do you smoke?

0:17:25 > 0:17:27Only when I'm hot.

0:17:30 > 0:17:32Initial observations?

0:17:32 > 0:17:35- Appalling bedside manner. - He was talking to me.

0:17:35 > 0:17:37Wiggle toes.

0:17:37 > 0:17:38Sharp pain?

0:17:38 > 0:17:40Pins and needles.

0:17:40 > 0:17:44- Normal cranial nerves, Normal sensation.- Tests?

0:17:44 > 0:17:47FBCs, Us and Es, Glucose ESR.

0:17:47 > 0:17:50She might not be friendly, but she's certainly thorough. Your patient.

0:17:50 > 0:17:53- You are welcome. - I shouldn't even be here.

0:17:53 > 0:17:57- Relax.- I'm booked for a comedy showcase. Could be my big break.

0:17:57 > 0:17:59You're 52.

0:17:59 > 0:18:02Open mic auditions.

0:18:02 > 0:18:06Something tells me they might be funnier without you.

0:18:10 > 0:18:12He looks perfect.

0:18:13 > 0:18:14Strong.

0:18:17 > 0:18:19We conceived a child.

0:18:24 > 0:18:25He never thought to warn me.

0:18:27 > 0:18:29Well, maybe he didn't know how to.

0:18:31 > 0:18:33Abramo is a dreamer.

0:18:33 > 0:18:37He sweeps you up with beautiful promises.

0:18:39 > 0:18:41He lays on the charm

0:18:41 > 0:18:43and he hides behind it.

0:18:46 > 0:18:48Real life?

0:18:48 > 0:18:50It always gets in the way.

0:18:55 > 0:18:58Um...no apparent VSD.

0:18:58 > 0:19:00He's OK?

0:19:00 > 0:19:03Well, the scan seems positive,

0:19:03 > 0:19:05but he'll need to take a blood test after he's born.

0:19:05 > 0:19:07Just to be sure.

0:19:07 > 0:19:08We hope for the best?

0:19:08 > 0:19:10But don't worry, OK?

0:19:12 > 0:19:14- Um, we need you.- Excuse me.

0:19:18 > 0:19:21He's hypotensive. Sats are dropping.

0:19:21 > 0:19:24Cardiac output's falling. BP's 93 over 64.

0:19:24 > 0:19:26- He's bleeding out.- He's hypoxic.

0:19:26 > 0:19:29- What's happening?- Gina... - What's wrong with him?

0:19:29 > 0:19:32- OK, BP's 80 over 55. - We need to get him into theatre.

0:19:38 > 0:19:40HEART-RATE MONITOR BEEPS

0:19:40 > 0:19:43- There's the haematoma. - God, that does not look good.

0:19:43 > 0:19:46Any sign of Mr Hope?

0:19:46 > 0:19:49The donor heart is severely damaged. We won't be able to save it.

0:19:50 > 0:19:52If we wait any longer, we'll lose him.

0:19:52 > 0:19:54The native heart is under too much pressure.

0:19:54 > 0:19:58- Where the hell is that assist device?- Not here. Greg, we need to make a decision.

0:20:03 > 0:20:06Guess we need to do it the hard way.

0:20:06 > 0:20:10OK. Listen up, everyone. We're removing the donor heart.

0:20:10 > 0:20:11Scissors...

0:20:18 > 0:20:21Pump standing by, please.

0:20:22 > 0:20:24Let's hook him up.

0:20:27 > 0:20:28And on to bypass.

0:20:31 > 0:20:35Nice one. Keep this up, we'll beat the traffic.

0:20:39 > 0:20:40Up to full flow.

0:20:43 > 0:20:45Clamp.

0:20:45 > 0:20:46Deliver cardioplegia.

0:20:49 > 0:20:52Cardiac output's falling...

0:20:54 > 0:20:58BEEPING SLOWS

0:20:58 > 0:21:00HEART MONITOR FLATLINES

0:21:03 > 0:21:06OK. Let's remove the donor heart.

0:21:06 > 0:21:10So, you don't have TIA, no spinal injury,

0:21:10 > 0:21:12you didn't eat shellfish...

0:21:12 > 0:21:15- You ARE clutching at straws. - Eliminating options.

0:21:15 > 0:21:17- Test results?- Inconclusive.

0:21:17 > 0:21:21- Which leaves us with? - MS Myopathy, transverse myelitis...

0:21:21 > 0:21:23"Doctor, doctor, I can't feel my legs!"

0:21:23 > 0:21:25..MRI, CK test...

0:21:25 > 0:21:28"Of course you can't. I chopped your arms off."

0:21:28 > 0:21:29- Do not tempt me.- Got me a diagnosis?

0:21:29 > 0:21:32I am working on it.

0:21:32 > 0:21:34Interesting case. Better work fast.

0:21:34 > 0:21:37Uh...you're supposed to be observing me.

0:21:37 > 0:21:40Well, in case you hadn't noticed, Petrenko, we're pretty backed up.

0:21:40 > 0:21:42- PAGER BEEPS - Three electives were cancelled

0:21:42 > 0:21:44and, of course, I'm needed in theatre.

0:21:44 > 0:21:46What about my assessment?

0:21:46 > 0:21:49Well, think it through. Work it out. Find us something to talk about.

0:21:56 > 0:21:57Dish.

0:21:57 > 0:22:00Send it to pathology.

0:22:00 > 0:22:02Shame to split them up after all these years.

0:22:03 > 0:22:05Sats are holding up.

0:22:15 > 0:22:17So, they took you back.

0:22:17 > 0:22:19Looks that way.

0:22:19 > 0:22:21A consultant who had any self-respect...

0:22:22 > 0:22:24..would have gone quietly.

0:22:24 > 0:22:26Well, I decided there was more to life

0:22:26 > 0:22:28than saving the faces of Miami matrons.

0:22:28 > 0:22:29You almost ruined this hospital.

0:22:29 > 0:22:32And yet it's still here. And so are you.

0:22:32 > 0:22:34I don't know what Hanssen's thinking of...

0:22:34 > 0:22:38Well, he knows I share his vision. Foundation Trust.

0:22:38 > 0:22:40Survival of the fittest. So, where do you fit in?

0:22:40 > 0:22:41Oh, I'll be here.

0:22:43 > 0:22:44Long after you've gone.

0:22:45 > 0:22:48Hey, been trying to get hold of Annalese.

0:22:48 > 0:22:50But I guess you have been too.

0:22:51 > 0:22:54She took the kids to her parents for Christmas.

0:22:54 > 0:22:56Mmm, that's Annalese. Always running out on people.

0:22:58 > 0:23:00Well, I'd love to stay here and commiserate but, uh...

0:23:00 > 0:23:02I've got a waiting bariatric.

0:23:02 > 0:23:04Ooh, this woman is fat.

0:23:13 > 0:23:15- Ready?- Moment of truth.

0:23:17 > 0:23:21OK. Take him off bypass. Nice and slow, please.

0:23:28 > 0:23:31HEART MONITOR BEEPS

0:23:31 > 0:23:33Sutures are holding.

0:23:33 > 0:23:35It's working.

0:23:36 > 0:23:39We've got a bleed. Back on to bypass.

0:23:39 > 0:23:41No, no, no. I can see it. Prolene...

0:23:42 > 0:23:45- Suction, please.- Sahira... - I can do this.

0:23:59 > 0:24:02You are nil-by-mouth.

0:24:02 > 0:24:03I'm hardly going to swallow it.

0:24:06 > 0:24:09- We will look after Cindy. - It's me they're putting to sleep.

0:24:09 > 0:24:13The operation that you're having carries very little risk.

0:24:13 > 0:24:16I'm not scared. I just don't want to do it.

0:24:20 > 0:24:23A delicate touch... And a bit of intricate needlework.

0:24:23 > 0:24:24Cut.

0:24:24 > 0:24:27Come on, Abramo. Help us out here, mate.

0:24:28 > 0:24:32OK. Cardiac output increasing.

0:24:32 > 0:24:34Vital signs look good.

0:24:34 > 0:24:37His heart seems to be holding its own.

0:24:37 > 0:24:39It's working.

0:24:39 > 0:24:41It's working!

0:24:41 > 0:24:43OK. Let's close him up.

0:24:48 > 0:24:51No-one can force you to consent to surgery.

0:24:54 > 0:24:55It's always Cindy.

0:24:56 > 0:24:58All mum ever cares about.

0:24:58 > 0:24:59I'm sure that's not true.

0:24:59 > 0:25:01This thing, it...

0:25:02 > 0:25:03It takes over.

0:25:05 > 0:25:08There's no room for me.

0:25:11 > 0:25:13If she just listened.

0:25:15 > 0:25:16Sometimes.

0:25:18 > 0:25:20Ninth birthday.

0:25:22 > 0:25:23Mum bought me a bike.

0:25:24 > 0:25:26I loved that bike.

0:25:28 > 0:25:31Cindy couldn't ride it.

0:25:31 > 0:25:33Delicate skin.

0:25:34 > 0:25:36So, she got on.

0:25:38 > 0:25:40Made sure she fell off.

0:25:44 > 0:25:46Next day, the bike was gone.

0:25:50 > 0:25:54Kay, it's very fortunate

0:25:54 > 0:25:57for you to have an exact tissue match.

0:25:57 > 0:25:59Only thing we've got in common.

0:26:00 > 0:26:02If this treatment works,

0:26:02 > 0:26:05it could change your sister's life.

0:26:05 > 0:26:06So everyone keeps telling me.

0:26:06 > 0:26:09It could change your life, too.

0:26:10 > 0:26:12It's too late.

0:26:12 > 0:26:13I've made up my mind.

0:26:16 > 0:26:18You pulled it off. I knew you would.

0:26:18 > 0:26:21- I had some help.- Pretty good team.

0:26:21 > 0:26:23Something to talk about at dinner.

0:26:23 > 0:26:26Someone needs to stay with him.

0:26:28 > 0:26:31Come on, Sahira. Don't do this.

0:26:31 > 0:26:33A few hours to talk. Away from here.

0:26:33 > 0:26:35What are you afraid of?

0:26:36 > 0:26:38Two kids.

0:26:38 > 0:26:42I don't see enough of them. A house, a home, a family.

0:26:42 > 0:26:44It wasn't just a kiss.

0:26:44 > 0:26:47Greg, this ends now.

0:26:50 > 0:26:52It has to.

0:27:03 > 0:27:05A Pole walks into a bar...

0:27:05 > 0:27:07I'm not Polish, I'm Ukrainian.

0:27:09 > 0:27:12Cardiac arrhythmia...

0:27:12 > 0:27:16Orthostatic hypotension... Fluctuating blood pressure...

0:27:16 > 0:27:19- A Ukrainian walks into a bar.... - I know what you need.

0:27:19 > 0:27:21Some new material.

0:27:21 > 0:27:23GROWLS

0:27:24 > 0:27:27Viral infections? STIs?

0:27:27 > 0:27:29Flu over Christmas. Just my luck.

0:27:29 > 0:27:31Ah. Anything else you've neglected to tell me?

0:27:31 > 0:27:34That Eastern Bloc emo look? Does nothing for you.

0:27:34 > 0:27:37It is time you took this condition seriously.

0:27:37 > 0:27:39The one you haven't diagnosed yet?

0:27:39 > 0:27:41You are not going to the audition.

0:27:41 > 0:27:42And whose fault is that?

0:27:42 > 0:27:45- You're a terrible comedian. - You're a lousy doctor.

0:27:45 > 0:27:47Your jokes are older than you are.

0:27:47 > 0:27:49Stuck in here. Wasting time.

0:27:49 > 0:27:51- SHE SNIGGERS - Get back into bed.

0:27:51 > 0:27:55To be heckled by the likes of you...?

0:27:55 > 0:27:57What happened?

0:27:57 > 0:27:59My legs. I can't move them.

0:28:04 > 0:28:06KNOCK AT DOOR

0:28:06 > 0:28:08Come in.

0:28:11 > 0:28:14- I need to talk to you. - Surgery went well today?

0:28:14 > 0:28:16Yes, surgery was good.

0:28:16 > 0:28:18A day of sterling curative endeavour.

0:28:18 > 0:28:22- Henrik, I'm pulling out of the Members' dinner.- Are you?

0:28:22 > 0:28:24My patient needs to be closely monitored.

0:28:24 > 0:28:28- Which is why he'll be moved to Intensive Care.- I should be there.

0:28:28 > 0:28:30Accomplished as you are, Miss Shah,

0:28:30 > 0:28:32this hospital can function without you.

0:28:34 > 0:28:35£10,000.

0:28:35 > 0:28:38The price of a life saved by the CTU.

0:28:38 > 0:28:40So, now we're costing mortality rates?

0:28:40 > 0:28:43It's a random figure. There are fluctuations.

0:28:43 > 0:28:46CTU makes sound financial sense.

0:28:46 > 0:28:50With Darwin functioning healthily, perhaps funds could be better used elsewhere.

0:28:50 > 0:28:52I rescued that bloody ward.

0:28:52 > 0:28:53A victim of your own success.

0:28:53 > 0:28:55I'm saving lives and saving you money.

0:28:55 > 0:28:58And you'll leave the presentation in the hands of Mr Douglas?

0:28:58 > 0:29:00No.

0:29:00 > 0:29:03Unless potential donors see that crusading passion,

0:29:03 > 0:29:08the CTU is doomed. I suggest you consider your options.

0:29:11 > 0:29:16OK, we've got ascending paralysis, palpitations, dysaesthesia

0:29:16 > 0:29:20and autonomic dysfunction, which gives us acute autoimmune

0:29:20 > 0:29:22inflammatory demyelinating polyneuropathy.

0:29:22 > 0:29:24Which is Guillain-Barre syndrome.

0:29:24 > 0:29:27Well, you're ticking all the boxes...

0:29:27 > 0:29:30So I'm thinking lumbar puncture or EMG.

0:29:33 > 0:29:35Dr Petrenko would like to perform a spinal tap.

0:29:35 > 0:29:38- I just need to wait for Spence. - There isn't time.- No chance.

0:29:38 > 0:29:41- Under my supervision.- Not her.

0:29:41 > 0:29:43You might have a very serious illness.

0:29:43 > 0:29:45Anyone but her.

0:29:45 > 0:29:47I am being assessed. So you are my guinea pig.

0:29:47 > 0:29:50This intensive care, all for your benefit?

0:29:50 > 0:29:52I need to diagnose you.

0:29:52 > 0:29:56No wonder you're clueless. You're not even qualified.

0:29:56 > 0:29:59Yes, and now I never will be because today I had you to contend with.

0:30:03 > 0:30:06- I signed the forms. - On her behalf.- She's 15!

0:30:06 > 0:30:10- It's still her decision. - She'll do as she's told.

0:30:10 > 0:30:11Blood cultures are clear.

0:30:11 > 0:30:14I'm afraid that the procedure can't go ahead.

0:30:15 > 0:30:17What are you playing at?

0:30:17 > 0:30:21- Look, I'm not prepared to have this conversation on the ward. - Bit late for that.

0:30:21 > 0:30:25- But you were happy to talk to her behind my back?- I'm acting in the best interests of my patient.

0:30:25 > 0:30:27Which patient was that, then?

0:30:27 > 0:30:29You're priceless, you are.

0:30:29 > 0:30:31- Your sister needs you. - Kay needs to consent.

0:30:31 > 0:30:33Seven days of chemo. Wiped out.

0:30:33 > 0:30:35You treat her like some kind of freak.

0:30:35 > 0:30:4016 years, I've given to Cindy. 16 years we've lived with this.

0:30:40 > 0:30:42You pimp her out. You play her for sympathy.

0:30:42 > 0:30:43All right. That's enough.

0:30:43 > 0:30:45If she got better, if she was normal,

0:30:45 > 0:30:47what would you do?

0:30:47 > 0:30:50- CINDY SCREAMS - Cindy, stop!

0:30:50 > 0:30:53No, no, Cindy...

0:30:53 > 0:30:55No, no, no! Move back.

0:30:55 > 0:30:57Calm down. You're hurting yourself.

0:30:57 > 0:31:00400mg of ibuprofen. Now, please, Mr Malick.

0:31:00 > 0:31:02Cindy...

0:31:02 > 0:31:04Just...leave her.

0:31:05 > 0:31:07Are you happy now?

0:31:07 > 0:31:10CINDY SOBS

0:31:14 > 0:31:16All it needed was a Douglas polish.

0:31:16 > 0:31:18PATIENT ALARM BEEPS

0:31:18 > 0:31:20It's Abramo. Again.

0:31:22 > 0:31:24Abramo? It's Mr Douglas. Can you hear me?

0:31:24 > 0:31:26His face... It was like a shadow.

0:31:26 > 0:31:28OK, BP's fine. Slightly raised.

0:31:28 > 0:31:29No arrhythmia.

0:31:29 > 0:31:31He was talking. His hand just fell away.

0:31:31 > 0:31:34- Try and move your arm for me? - C-Can't move.

0:31:34 > 0:31:36- Looks like a clot... TIA.- TIA?

0:31:36 > 0:31:38- Mini stroke.- A stroke?!

0:31:38 > 0:31:40Can you give the doctors some room, please?

0:31:40 > 0:31:42- Let's call a radiologist... - Abramo?

0:31:42 > 0:31:45- Parlami.- Pulse is dropping. - He's losing consciousness.

0:31:45 > 0:31:47Crash trolley. Let's get him intubated.

0:31:47 > 0:31:49This is you. You're to blame.

0:31:49 > 0:31:51Why did you have to indulge him?

0:31:55 > 0:31:57Is this seat taken?

0:32:03 > 0:32:07I was going to spend my break time smoking cigarettes, but...

0:32:09 > 0:32:12I was happy being a nurse.

0:32:12 > 0:32:13Hmm.

0:32:13 > 0:32:16Bed baths and catheters and 4am vitals.

0:32:16 > 0:32:19Yeah. All the little jobs I miss.

0:32:22 > 0:32:25When I grow up,

0:32:25 > 0:32:26I want to be a nuclear physicist.

0:32:28 > 0:32:30White coat, clipboard,

0:32:30 > 0:32:32atoms and protons

0:32:32 > 0:32:34and magic numbers.

0:32:36 > 0:32:37Poet.

0:32:39 > 0:32:41President.

0:32:41 > 0:32:45Or concert pianist wouldn't be too bad.

0:32:46 > 0:32:48Well, in the meantime,

0:32:48 > 0:32:51I guess you and I are just going to have to settle for this place.

0:32:52 > 0:32:54I'll tell you one thing.

0:32:54 > 0:32:58You will definitely not make F2 sat in here on your arse.

0:33:00 > 0:33:02First rule of nursing.

0:33:02 > 0:33:04You get on with it.

0:33:12 > 0:33:14I was stupid. Irresponsible.

0:33:14 > 0:33:17I should have spoken to her mother in this office.

0:33:17 > 0:33:20- The kid was in pain. - You did your best.- I just...

0:33:21 > 0:33:22I just wanted to help her.

0:33:22 > 0:33:24I know.

0:33:25 > 0:33:27Chances of finding another donor...

0:33:27 > 0:33:29Change of mind. Patient's prerogative.

0:33:29 > 0:33:32And to hell with the people she might inconvenience, huh?

0:33:32 > 0:33:36Well, short of dragging Kay into theatre...

0:33:36 > 0:33:39We pump her sister full of chemo and then we send her home?

0:33:39 > 0:33:41If the donor is having doubts...

0:33:41 > 0:33:44Then surely we spell out what's at stake?

0:33:48 > 0:33:50I tried to stay away,

0:33:50 > 0:33:52but we were having way too much fun.

0:33:53 > 0:33:54Your idea of an apology?

0:33:57 > 0:33:59That's as good as it gets.

0:34:19 > 0:34:22The initial tests are cause for concern.

0:34:24 > 0:34:27He hasn't responded to stimuli.

0:34:30 > 0:34:34If it is a blood clot, there could be damage to the brain.

0:34:36 > 0:34:38He's in an induced coma.

0:34:41 > 0:34:44Will he die?

0:34:45 > 0:34:48We will keep him sedated and ventilated until we know...

0:34:48 > 0:34:50Will he die?

0:34:53 > 0:34:54I don't know.

0:34:57 > 0:35:00Is there anyone you'd like me to contact?

0:35:01 > 0:35:03Uh...

0:35:05 > 0:35:07You'd better call his wife.

0:35:16 > 0:35:19I'm sure Kay wants to help Cindy.

0:35:19 > 0:35:21Does she?

0:35:24 > 0:35:25She will come round.

0:35:25 > 0:35:27She's as stubborn as I am.

0:35:29 > 0:35:32Have you explained what will happen?

0:35:32 > 0:35:34Skin grafts. Morphine. Open sores that never heal.

0:35:34 > 0:35:36People pointing fingers.

0:35:36 > 0:35:42Kay's lived through this. She's lived through all of this with me.

0:35:42 > 0:35:43You know the first day Cindy was born,

0:35:43 > 0:35:45they wouldn't even let me hold her.

0:35:45 > 0:35:49Your child is in constant pain, reaching out for comfort

0:35:49 > 0:35:51and you cannot pick her up.

0:35:51 > 0:35:54Pam, have you talked to Kay?

0:35:54 > 0:35:57Of course I have. Kay knows what'll happen.

0:35:57 > 0:35:59She knows Cindy might die if we don't do this.

0:35:59 > 0:36:01Then why do you think she's saying no?

0:36:05 > 0:36:08Missed chances. Story of my life.

0:36:08 > 0:36:10It's better if you don't talk.

0:36:17 > 0:36:19Keep very still.

0:36:26 > 0:36:28I think you can manage the plaster.

0:36:32 > 0:36:3420 years, same old act.

0:36:34 > 0:36:36Smiling away, building up a sweat.

0:36:36 > 0:36:38Giving them all the patter.

0:36:38 > 0:36:41"Have we got a show lined up for you?"

0:36:41 > 0:36:43OK, I need you to turn on your back.

0:36:45 > 0:36:49Something topical to break the ice. Risque banter with the pensioners.

0:36:49 > 0:36:50ALARM CHIMES

0:36:52 > 0:36:54Who am I fooling? They're never there for me.

0:36:54 > 0:36:55OK, deep breaths.

0:36:55 > 0:36:58They're settling in, folding their anoraks,

0:36:58 > 0:37:01waiting for the talent to arri...

0:37:01 > 0:37:03Rory.

0:37:04 > 0:37:06You need to breathe.

0:37:06 > 0:37:08Help!

0:37:08 > 0:37:10I need some help here!

0:37:11 > 0:37:14Mum tells me I'm brave.

0:37:14 > 0:37:16I'd rather be pretty.

0:37:18 > 0:37:21If I wasn't here

0:37:21 > 0:37:22maybe...

0:37:23 > 0:37:25..they'd get on.

0:37:26 > 0:37:29They're only fighting cos they care about you.

0:37:30 > 0:37:31Stuck in that house.

0:37:32 > 0:37:34The three of us.

0:37:34 > 0:37:36Sometimes I want to scream.

0:37:36 > 0:37:37What about your dad?

0:37:39 > 0:37:40He took off.

0:37:40 > 0:37:42Couldn't cope.

0:37:48 > 0:37:50I don't blame you for saying no.

0:37:55 > 0:37:57You were never allowed to play.

0:37:59 > 0:38:01That's what I missed most.

0:38:16 > 0:38:21I...never thought that you might not want to do this.

0:38:21 > 0:38:22You never thought to ask.

0:38:23 > 0:38:25I'm sorry.

0:38:26 > 0:38:28I'm so sorry.

0:38:31 > 0:38:34Still my decision, right?

0:38:34 > 0:38:36Still your decision.

0:38:44 > 0:38:47I'm doing this for Cindy.

0:38:47 > 0:38:49I'm not doing it for you.

0:38:54 > 0:38:57We need to get those dressings changed.

0:38:57 > 0:39:00Show me how it's really done.

0:39:00 > 0:39:01Half an hour an arm.

0:39:01 > 0:39:05And that's without a bath to contend with.

0:39:05 > 0:39:07One arm each?

0:39:15 > 0:39:18- Respiratory arrest. - He's tachycardic.

0:39:18 > 0:39:20Might be an extension of the GB syndrome.

0:39:20 > 0:39:24It's affecting his proximal muscles. Manual ventilation, please.

0:39:24 > 0:39:25I should have taken the tramp.

0:39:25 > 0:39:28- Course of action, Dr Petrenko? - We need to intubate.

0:39:28 > 0:39:30- Laryngoscope.- Sats are falling.

0:39:32 > 0:39:34Your patient.

0:39:38 > 0:39:40Blade towards the right tonsil.

0:39:40 > 0:39:41Identify the tonsillar fossa.

0:39:41 > 0:39:45- I'm trying to. - Push until you see the epiglottis.

0:39:45 > 0:39:47- I can't see it.- Try again.

0:39:50 > 0:39:51Pressure, please.

0:39:52 > 0:39:53- Pressure.- Tube.

0:39:55 > 0:39:57Sats are through the floor.

0:40:00 > 0:40:02Inflating.

0:40:04 > 0:40:05Let's get him ventilated.

0:40:16 > 0:40:19All right, Petrenko, I'm back.

0:40:19 > 0:40:21Don't tell me he died on you.

0:40:21 > 0:40:23OK...

0:40:23 > 0:40:25IGG. We need to move him.

0:40:28 > 0:40:30OK, what happened? I got here as quick as I could.

0:40:30 > 0:40:33Yeah, I returned to Holby because you talked me into it.

0:40:33 > 0:40:36If I remember correctly, you were waiting tables.

0:40:36 > 0:40:38- Yeah, and now you're ruining my chances.- I was busy.

0:40:38 > 0:40:42I will never make this deadline now. And you'll never change.

0:40:42 > 0:40:44- Frieda, you need to pull your head out.- Ditto.

0:40:44 > 0:40:47Listen, I'm on probation. I got Hanssen breathing down my neck

0:40:47 > 0:40:50and I asked Dr Hemingway to cover me.

0:40:50 > 0:40:53I was doing you a favour cos I thought you deserved it.

0:40:53 > 0:40:55My ward, CBD, ten minutes.

0:41:02 > 0:41:05- You lied to me. - You made assumptions.

0:41:05 > 0:41:07No, you told me that you were together.

0:41:07 > 0:41:09I'm carrying his baby.

0:41:09 > 0:41:12He's married. I am obliged to inform his next of kin.

0:41:14 > 0:41:17He was never quite ready to leave her.

0:41:17 > 0:41:19Always some excuse.

0:41:19 > 0:41:21I thought...

0:41:22 > 0:41:24..if I got pregnant...

0:41:27 > 0:41:29You're just going to walk away?

0:41:32 > 0:41:33If he dies...

0:41:36 > 0:41:38..I have his child.

0:41:39 > 0:41:41And if he wakes up?

0:41:44 > 0:41:47He has a wife.

0:41:59 > 0:42:01How's she doing?

0:42:01 > 0:42:04Slow healing wound. Prone to infection.

0:42:04 > 0:42:07Likely to cause scarring.

0:42:07 > 0:42:10I...overreacted earlier.

0:42:10 > 0:42:12Hardly matters now.

0:42:13 > 0:42:16I would give you the driving lesson, but...

0:42:16 > 0:42:19You're busy in theatre.

0:42:19 > 0:42:21I'll get Kay prepped.

0:42:34 > 0:42:36The odds were stacked against him.

0:42:36 > 0:42:38What was the point?

0:42:40 > 0:42:43Dead on arrival if it hadn't been for you.

0:42:44 > 0:42:48Maybe I'm deluded. A rolled out CTU is...

0:42:48 > 0:42:50Is wishful thinking.

0:42:50 > 0:42:52You were brilliant in theatre today.

0:42:52 > 0:42:54The CTU is where you belong.

0:43:00 > 0:43:02Are you really going to throw it all away?

0:43:19 > 0:43:22We're going to be inserting a needle

0:43:22 > 0:43:26into the cavity of the iliac crest.

0:43:26 > 0:43:29So we're going to need to make an incision in the lower back.

0:43:29 > 0:43:32A 23 blade, please.

0:43:33 > 0:43:35More light, please.

0:43:40 > 0:43:41Mr Malick.

0:43:43 > 0:43:45Perhaps you would like to begin.

0:44:01 > 0:44:04And how is Miss Shah coping with the setback?

0:44:04 > 0:44:07Frustrated. After all her efforts to save the guy.

0:44:15 > 0:44:17I'll take up some of the slack.

0:44:17 > 0:44:18Ready?

0:44:18 > 0:44:20You sure you're up to this?

0:44:20 > 0:44:22Why wouldn't I be?

0:44:23 > 0:44:26The future of CTU rests in your hands, Miss Shah.

0:44:27 > 0:44:28I am well aware of that.

0:44:28 > 0:44:30I have every faith in you.

0:44:31 > 0:44:34And I'll be in touch if there's any change.

0:44:34 > 0:44:36We can practise the pitch in the car.

0:44:39 > 0:44:43MUSIC: "Lucky Now" by Ryan Adams

0:44:45 > 0:44:48# I don't remember Were we wild and young?

0:44:48 > 0:44:52# All that's faded into memory

0:44:52 > 0:44:56# I feel like somebody I don't know

0:44:56 > 0:45:00# Are we really who we used to be?

0:45:00 > 0:45:05# Am I really who I was?

0:45:05 > 0:45:09# The lights will draw you in... #

0:45:10 > 0:45:12If we hurry, we can still make it.

0:45:12 > 0:45:14Quick shave and a change of trousers.

0:45:14 > 0:45:16I'm driving.

0:45:24 > 0:45:26I've never seen you so quiet.

0:45:29 > 0:45:35Kay's marrow is being processed and we can begin the infusion tomorrow.

0:45:36 > 0:45:38This isn't going to be a quick fix.

0:45:38 > 0:45:41We'll manage. We always do.

0:45:59 > 0:46:01Go and see her.

0:46:13 > 0:46:17- Were you thorough in your initial assessment of the patient?- Yes.

0:46:17 > 0:46:20- Care to elaborate?- You could have just told me I was being observed.

0:46:20 > 0:46:23Let's stick to the brief, please. Time's against us.

0:46:23 > 0:46:27Do you think you communicated effectively with the patient?

0:46:27 > 0:46:30- I spoke to him when I needed to. - "Yes" or "no" answers only.

0:46:30 > 0:46:33This is supposed to be a discussion.

0:46:33 > 0:46:36And you are supposed to be showing me some clinical thinking.

0:46:36 > 0:46:39What more could you have done before you intubated the patient?

0:46:39 > 0:46:42Yes, I could have referred him to a senior doctor

0:46:42 > 0:46:44or I could have reached a diagnosis sooner.

0:46:44 > 0:46:47And faced with this situation again,

0:46:47 > 0:46:50is there anything you would have done differently?

0:46:50 > 0:46:51I did my best.

0:46:56 > 0:46:59- So, did I pass? - Ha! Now there's a question...

0:47:00 > 0:47:03No. Hanssen's eyes only.

0:47:03 > 0:47:06I'm sending him the email. Down to the wire.

0:47:06 > 0:47:08Maybe you should check to see if he got it.

0:47:11 > 0:47:13My mother asked about you.

0:47:16 > 0:47:19Your clinical strategy....

0:47:19 > 0:47:21I still have misgivings.

0:47:21 > 0:47:24And whenever appropriate, I shall air them.

0:47:24 > 0:47:28And, whenever appropriate, I wouldn't have it any other way.

0:47:28 > 0:47:31I ran into Michael Spence today.

0:47:31 > 0:47:35- I see.- Henrik, you've got to be careful. You can't possibly believe that he's changed.

0:47:35 > 0:47:39I am fully aware of the strengths and failings of Mr Spence,

0:47:39 > 0:47:41as I am of yours, Mr Griffin.

0:47:41 > 0:47:44There was never any doubt about your skills as a teacher today.

0:47:44 > 0:47:48Your team are a great credit to you.

0:47:48 > 0:47:52- Ahem. > - Dr Petrenko.

0:47:52 > 0:47:54You got the email. My CBD?

0:47:54 > 0:47:56Received and duly noted.

0:47:56 > 0:48:00Mr Spence was busy, tied up with two wards.

0:48:01 > 0:48:03I was under pressure.

0:48:03 > 0:48:04We always are.

0:48:05 > 0:48:09MUSIC: "Iris" by The Googoo Dolls

0:48:12 > 0:48:14Got to be in touch...

0:48:16 > 0:48:20# And I'd give up forever to touch you

0:48:20 > 0:48:25# Cos I know that you feel me somehow

0:48:25 > 0:48:30# You're the closest to Heaven that I'll ever be

0:48:30 > 0:48:34# And I don't want to go home right now

0:48:35 > 0:48:40# And all I can taste is this moment

0:48:40 > 0:48:44# And all I can breathe is your life

0:48:44 > 0:48:49# When sooner or later it's over

0:48:49 > 0:48:53# I just don't want to miss you tonight

0:48:53 > 0:48:57# And I don't want the world to see me... #

0:48:59 > 0:49:00Hello.

0:49:00 > 0:49:02You should be working the room.

0:49:02 > 0:49:06Happy to watch. Besides, It looks like he'd rather be talking to you.

0:49:06 > 0:49:09Potential donor. Trauma Outcomes project.

0:49:09 > 0:49:13Extended feasibility study to explore and validate the CTU.

0:49:13 > 0:49:15You almost make it sound exciting.

0:49:15 > 0:49:16Funding, Greg.

0:49:16 > 0:49:19Well-fed and well-endowed,

0:49:19 > 0:49:22- looks like you've found yourself a sugar daddy.- Thank you.

0:49:22 > 0:49:24Oh, come on. If you've got it, flaunt it.

0:49:24 > 0:49:27Well, I have to clear it with Hanssen first.

0:49:27 > 0:49:30Hanssen's running Holby Inc. You've just closed your first deal.

0:49:30 > 0:49:33I think this calls for another drink.

0:49:37 > 0:49:39Patient goes to the doctor.

0:49:40 > 0:49:44Says, "Doctor, give me something to make me feel better."

0:49:44 > 0:49:46Doctor opens the drawer.

0:49:46 > 0:49:48"This is the medicine for insomnia,

0:49:48 > 0:49:50"this is the one for nervous breakdown

0:49:50 > 0:49:53"and also take this one for depression."

0:49:53 > 0:49:56Patient takes the bottle, says, "Thank you, doctor.

0:49:56 > 0:49:59"But, um, do you have any other medicine

0:49:59 > 0:50:00"rather than vodka?"

0:50:03 > 0:50:05It's all in the delivery.

0:50:08 > 0:50:09All right.

0:50:09 > 0:50:12Guillain-Barre syndrome.

0:50:12 > 0:50:14Eight out of ten people will recover.

0:50:16 > 0:50:18Two out of ten will not.

0:50:18 > 0:50:22Potential long-term complications are tiredness,

0:50:22 > 0:50:24loss of balance...

0:50:24 > 0:50:26I'm a stand-up comedian.

0:50:27 > 0:50:30You're not the only one who blew it.

0:50:30 > 0:50:31You did save my life.

0:50:34 > 0:50:35I know a doctor when I see one.

0:50:43 > 0:50:46- Settling back in? - Yeah, no place like home.

0:50:46 > 0:50:49- You were on AAU today. - I was helping out.

0:50:49 > 0:50:51Yes, that wasn't the deal.

0:50:56 > 0:50:58OK. School days.

0:50:58 > 0:51:00Hated school.

0:51:00 > 0:51:01Irish rebel.

0:51:02 > 0:51:05I bet you were precocious.

0:51:05 > 0:51:07Me? Why would I be precocious?

0:51:07 > 0:51:09- A right little know-it-all. - I was diligent.

0:51:11 > 0:51:12I wore glasses.

0:51:12 > 0:51:14Glasses!

0:51:14 > 0:51:16Thick NHS glasses.

0:51:16 > 0:51:19I can't picture you wearing glasses.

0:51:19 > 0:51:22Oh, no. Thanks.

0:51:23 > 0:51:26Um, I should call home, actually.

0:51:28 > 0:51:30Later.

0:51:30 > 0:51:32Come on, you've earned it.

0:51:46 > 0:51:47How'd it go?

0:51:49 > 0:51:51I passed.

0:51:54 > 0:51:56I knew you would.

0:51:56 > 0:51:58All thanks to you.

0:51:59 > 0:52:03Well, uh... I think you might have had something to do with it.

0:52:03 > 0:52:04No more lessons.

0:52:04 > 0:52:07No more lessons.

0:52:07 > 0:52:09Difficult day.

0:52:10 > 0:52:13Difficult Christmas.

0:52:13 > 0:52:16Oh, Mr Griffin...

0:52:17 > 0:52:19You did really well on the ward today.

0:52:19 > 0:52:21Me and Becs are going for a drink.

0:52:21 > 0:52:23- Do you want to come? - Oh, that's really very kind.

0:52:23 > 0:52:26Two for one cocktails.

0:52:26 > 0:52:27Thank you, uh... I'll pass.

0:52:27 > 0:52:29You have fun.

0:52:29 > 0:52:33- OK... I'll see you tomorrow. - Yeah. I'll see you tomorrow.

0:52:35 > 0:52:37We're going to Ibiza!

0:52:45 > 0:52:48If cardiac output is Q?

0:52:48 > 0:52:53OK, so... Q equals stroke volume,

0:52:53 > 0:52:57Uh...multiplied...

0:52:57 > 0:52:59by heart rate.

0:52:59 > 0:53:00OK.

0:53:04 > 0:53:06Body surface area.

0:53:09 > 0:53:13BSA equals cardiac output...

0:53:13 > 0:53:15Argh.

0:53:15 > 0:53:17Divided by cardiac index.

0:53:17 > 0:53:21And I have had too much to drink.

0:53:23 > 0:53:27Why are you questioning me on medical equations anyway?

0:53:27 > 0:53:28I like to watch you think.

0:53:32 > 0:53:34Surgery today.

0:53:36 > 0:53:37The way you face a problem.

0:53:40 > 0:53:41The way you work it out.

0:53:41 > 0:53:45Well, CTU is a problem solved. Job done.

0:53:47 > 0:53:51You're a brilliant, beautiful, gifted surgeon.

0:53:51 > 0:53:53Did I say beautiful?

0:53:54 > 0:53:55You did.

0:53:57 > 0:53:58Too good to waste in Nottingham.

0:53:58 > 0:54:00And Rafi?

0:54:03 > 0:54:06He's just a guy who puts people to sleep.

0:54:06 > 0:54:08- Greg...- I know.

0:54:10 > 0:54:11You've got it all.

0:54:13 > 0:54:15Everything to lose.

0:54:26 > 0:54:29Tell me I'm deluded...

0:54:30 > 0:54:31..and I'll let you go.

0:54:38 > 0:54:39It's late.

0:54:47 > 0:54:50PHONE RINGS

0:54:52 > 0:54:54Hanssen.

0:54:55 > 0:54:58Yes, that's right. Mr Zappulo.

0:55:00 > 0:55:01I see...

0:55:02 > 0:55:04Thank you for letting me know.

0:55:15 > 0:55:18I'm just down the hall there...

0:55:18 > 0:55:20Sure.

0:55:23 > 0:55:25Greg?

0:55:25 > 0:55:26Yeah?

0:55:27 > 0:55:29Thank you.

0:55:29 > 0:55:30For what?

0:55:33 > 0:55:35For making me remember who I am.

0:55:38 > 0:55:40Any time.

0:55:48 > 0:55:51PHONE JINGLES

0:55:58 > 0:56:01Transplant patient is off sedation. Breathing unassisted.

0:56:02 > 0:56:05Great.

0:56:05 > 0:56:06Good news.

0:56:08 > 0:56:10Thank you, Hanssen.

0:56:12 > 0:56:13See you tomorrow.

0:56:15 > 0:56:17Sahira...

0:56:36 > 0:56:44# You are the one that make me lose it all

0:56:49 > 0:56:56# You are the start of something new... #

0:57:06 > 0:57:09Subtitles by Red Bee Media Ltd

0:57:09 > 0:57:12Email subtitling@bbc.co.uk