Butterflies Holby City

-I thought your son was on the table.

-I said sorry.

You stupid woman, I thought you were...

The honeymoon's over between him and Annalese, and he's in a foul mood.

Poor Mr Griffin.

-Dr Petrenko!

-I don't suppose I could ever possibly persuade you to return to Holby, Dr Petrenko?

Any fool can drive, you need a friend.

You'll teach me?

I'm leaving.

-How's your portfolio coming along?

-Very well, thank you.

Seems to have been left rather to the last minute, not ideal.

Have you seen this?

"Autumn ambitions include the achievements of an excellence in teaching rating."

Focus on the Socratic method of teaching.

Everything you say, I listen to it.

Please don't go.

DOOR SLAMS OPEN

Abramo Zappulo. 24. Building site accident.

Two left broken ribs. Cardiac tamponade.

Raised CVP.

I did a pericardiocentesis with an ultrasound. C-spine immobilisation.

There's a scar on his chest.

-Rucksack...

-Run a check. Find out his history.

-Straight into theatre.

You saved his life.

I bought us some time.

Pericardiocentesis in the back of an ambulance. Very impressive.

Let's just get him mended.

The aspiration has improved his condition.

Still signs of pericardial effusion.

What the hell?

He's got two hearts.

We always stay in Playa den Bossa.

Pull in after these cars.

Me, Becs. A few of the girls.

Treat yourself to a holiday, Chantelle. Proper celebration.

Let's not get ahead of ourselves.

All the best drivers pass second time round.

What time's the test?

Late afternoon. That way I'll miss the traffic.

Reverse parking. That space.

So gloomy. January.

I need some sunshine.

You need to concentrate.

I suggest you spend the rest of your shift in quiet contemplation.

I assume you've seen this?

It's rather excessive.

Excessive. Crude. Coarse.

Not to mention exploitative.

It serves a purpose, though.

It's never a good idea to let the patient set the agenda.

No, but in light of our new FT status, the publicity will be beneficial.

A PR operation?

Brave new world, Mr Griffin. Pioneering clinical trial.

Teaching. Training.

Sentiments to impress the governors.

Sentiments that all good universities aspire to.

I've been toying with a strapline. "Your health is our business."

Certain ring to it...

Henrik, you know I'm committed to training.

That remains to be seen.

As long as it's done for the right reasons.

As long as it's effective.

Effective? After what I've just witnessed in the car park.

I think your training standards are slipping.

-Don't pick.

-Mum.

Cindy, don't pick, don't pick!

Um, consent forms.

Thank you.

Good morning, I'm Henrik Hanssen. Director of Surgery. Mr Griffin.

He'll be co-ordinating the procedure.

You must be Cindy.

My little fighter.

I recognised you both from your picture in the paper.

Sob story. Only way to get things done.

The good news is no more chemotherapy.

The results of the biopsy are rather less encouraging.

Cindy's liver has enlarged.

Increased levels of bilirubin in the blood and urine.

Cholestatic jaundice.

-A complication of chemo.

-Indeed.

We can still go ahead?

The baseline tests have been extensive.

I think we should proceed with extreme caution.

Surgery itself is fairly straightforward. Bear with me, I'll summarise for Mr Malick's benefit.

Recessive Dystrophic Epidermolysis Bullosa.

Inherited connective tissue disease which causes severe skin fragility.

Stem cells will be collected from your sister, Kay.

Bone marrow harvest with general anaesthesia. Transfused into Cindy.

A systemic correction of the underlying genetic fault.

Nurse Lane here has been trained for the specialist care provided.

So I'll leave you in her capable hands.

Keep her away from anything with wheels.

This is a high-risk trial. The results may well be inconclusive.

It's a risk worth taking.

Cindy's in safe hands. Mr Griffin's the best.

Pre op for Kay, please. And I'll leave you to settle in.

Hey? What's with Mr Griffin today?

-Oh, Hanssen slapped him down. Something about staff training.

-A-ha.

Mr Zappulo's CT scan. Sub-epicardial haematoma.

It's compressing the right ventricle.

-Rafi phoned while you were answering the bat phone. Sounds urgent.

-Thank you.

I did find a mobile. Missed calls. Five Ginas.

Time you called one of them back, then.

You said you were leaving.

I couldn't let you go without telling you.

Two hearts.

It's worth a few stairs, isn't it?

Previous heterotopic transplant. The injury has caused damage to the donor heart.

Left ventricle function is severely diminished. We need to remove the haematoma.

Risky surgery, isn't it? With both hearts connected.

-No Ms Naylor to offer an opinion.

-And steal our thunder.

-We'll run some more tests.

-Remember it's the Members' dinner for the CTU funding tonight.

Yes, the presentation's ready. I just need to put the dress on.

-I'd like to read it.

-As soon as it's printed.

My fault. Distracting Ms Shah with mundane medical matters.

I do hope the overnight hasn't compromised domestic arrangements.

No, Rafi knows how important this is.

Mr Hope won't be joining you. "Passing on the baton" I think is the phrase he used.

You mean I have to pitch for funding by myself?

Well within your capabilities. I'd go with you myself.

-But I have a mountain of paperwork.

-I'd be happy to step in.

I'm sure Ms Shah doesn't need hand holding.

No, she doesn't.

We're sure to get some interest. Two of us working the room. Double our chances. Money's in the bag.

-Surprised you own a suit, Mr Douglas.

-I'm full of surprises.

-Mail me a copy when you're finished?

-Sure.

PAPERS THUD ON DESK

You were asleep.

-I was resting my eyes.

-These are acute admissions. Please tell me that was a power nap.

-Tell them there is no room.

-Go to bed.

Please, find me one.

-You're no help to anybody in this state.

-I have to finish my portfolio.

Clinical Assessment. Case-based study. Deadline 6pm.

I found this tramp in my bed.

-I was wondering where he'd got to.

-He's compromising my PPPs.

Private paying patients.

-Back, then?

-Yep, he's back.

-I'm back.

-Back running Holbycare?

-Yep, Holbycare needs me. So how's it going in this MASH unit?

Mash? Oh, yeah, Dunkirk spirit.

You running this gig?

Locum's in theatre.

-That's a big ask.

-We'll cope.

You know where I am...

Oh, I need you to assess me.

I got my work cut out trying to impress Hanssen.

There are no other consultants available.

So you thought you'd settle for Mr Spence? Look, I'm tied up with a gastric band.

That I would like to see.

If I miss my case-based discussion, Hanssen will fail me.

-I have until six.

-All right, pick a patient. I'll get back when I can.

So, Cindy Barker. Allogeneic transplantation.

Intriguing medicine, isn't it?

I'd like to be a part of it.

One for the big boys, I'm afraid.

Look, this training thing. Could be good for both of us.

What do you mean, this training thing?

Well, if I look good, makes you look good in Hanssen's eyes.

I don't know what you've heard, but I need you to look after the ward.

Just let me scrub in. You won't even know I'm there.

-Theatre's going to be crowded.

-I'm sure we can find room for one more. Teaching is about opportunity.

-Unless you have any special objection?

-None at all.

-You need a wing man. Someone to watch your back.

-Don't play me, Greg.

Strictly professional.

You, me and 50 paying guests. What's going to happen?

I've ordered a heart assist device. Let's just keep our options open.

He had a transplant. In Italy.

Before I knew him.

OK. Ah, this is Mr Zappulo's...

Partner. Gina. How is he?

Um, he's conscious.

I want to see him.

Donor pre ops.

What are Cindy's chances?

Her immune system has been severely compromised.

I'd like you to recheck her blood cultures.

I can always get in a specialist nurse.

I trained for this. I wanted to nurse her.

OK. Give her mild analgesia if she needs it.

Chantelle, I like this ward running like clockwork.

No distractions.

No distractions, no idle gossip.

Conversations between consultants are private.

-I didn't think.

-No, you never do. That's the problem.

Sorry.

Emergency stops and three point turns...

I'm going to be a little tied up in theatre.

OK.

Let's just concentrate on the job in hand, shall we?

A building site?

You trying to kill me too?

Amore mio inconsciente!

I was trying to provide for my child.

This is providing?

When did you have the transplant?

17. The heart was enlarged. It couldn't do the job.

So I borrowed a new one.

The native heart is just about holding up. The donor heart is damaged.

Can you repair it?

-We don't know.

-Cardiac output is starting to deteriorate.

-Dyspnoea. Gallop rhythm.

-We can evacuate the haematoma.

Consider an assist device. Up the immunosuppressants.

No. Please. If the borrowed heart is finished, then take it away.

I'm tired of living like this.

HE GROANS

Don't tell me you're seriously considering this.

I'm just not going to rule it out straight away.

Rafi called. Again.

You'd need a consultant.

-Apparently your mobile's switched off.

-Can you get hold of Mr Hope?

Possible heterotopic transplant reversal. Get him to call me back.

And will your mobile be switched on for Mr Hope?

A reversal is virtually unheard of. There are easier options.

His heart has had a long time to recover.

No more anti-rejection drugs every day for the rest of his life.

-No more complications.

-Apart from fiendish surgery.

Ground breaking medicine. To hell with the risks?

I could give this man his life back.

-I need you to trust me.

-This isn't about me.

Yes, it is!

OK, so dry gangrene. He needs vascular surgery.

No.

Latent TB. Isolation. She's probably infectious.

I am awake.

I'm just checking. Suspected rectal ulcer.

Anal bleeding.

I will never get this thing finished.

Hey? We are not beaten yet.

There is always The Warm Up Guy.

Give me a good reason why I should take him.

His symptoms are intriguing.

Hear about the doctor that found a suppository in his top pocket?

-Says to his nurse "Some bum's got my pen!"

-And he's driving me insane.

And you're running out of time.

OK.

Hello. I am Dr Petrenko. Today is your lucky day.

How many tests does she need?

Not too many more...

It's OK, sweetheart.

There we go. Wasn't so bad, was it?

I've had worse.

My throat hurts.

Drink some water.

-I can get it.

-It's fine. Just let me.

Just let me look after her.

Try and sit up.

Time out, Tinkerbell...

If this ward is running smoothly, I get to scrub in in theatre.

-You dropped me right in it with Mr Griffin.

-Lesson learned, princess.

Things are difficult today as it is!

And she was difficult to bleed.

You need help, you come and ask for it, all right?

I'm still waiting for Cindy Barker's bloods.

-I know. I...

-We were just conferring.

-You do want this transfusion to go ahead?

-I'll get the samples fast tracked.

-Now, please.

Finishing your presentation.

I'm on top of it.

You haven't even done your projection graphs yet.

I'm only trying to help.

Theatre's booked for five.

We'll miss the Members' dinner.

-If the prospect of my company is that intimidating...

-It's the only time Elliot can do.

SHE COUGHS

This condition. FDC. It's inherited?

It can be passed on, yes.

Is there a test? I need to know.

So, looks like we're all good to go.

If we can rely on Nurse Lane to get the blood results back,

then we'll see.

Mr Hanssen wants me in. You can't undermine him.

That's rich. After the stunt you pulled.

Look. He's giving me a chance to prove myself.

He's using you to prove a point.

Mr Griffin, what is this?

Back to me trying to fly while you continually ground me?

I'm trying to look out for you.

-Please, you're doing this for your agenda, not mine.

-Be careful, Malick.

We work hard. We do our best.

Why can't you just give us the benefit of the doubt?

So, Rory. You a comedian?

Support act. Best fluffer in the business.

No analgesic parasthesia, perfect.

Gig tonight. Honing the routine.

Could do with a gag to ease me in.

Um, you're tingling in your legs?

Something topical. Sex is always good.

A well-placed double entendre.

Maybe we should speak about your symptoms?

-Same old jokes. Trick is to find a new way to tell them.

-Do you smoke?

Only when I'm hot.

Initial observations?

-Appalling bedside manner.

-He was talking to me.

Wiggle toes.

Sharp pain?

Pins and needles.

-Normal cranial nerves, Normal sensation.

-Tests?

FBCs, Us and Es, Glucose ESR.

She might not be friendly, but she's certainly thorough. Your patient.

-You are welcome.

-I shouldn't even be here.

-Relax.

-I'm booked for a comedy showcase. Could be my big break.

You're 52.

Open mic auditions.

Something tells me they might be funnier without you.

He looks perfect.

Strong.

We conceived a child.

He never thought to warn me.

Well, maybe he didn't know how to.

Abramo is a dreamer.

He sweeps you up with beautiful promises.

He lays on the charm

and he hides behind it.

Real life?

It always gets in the way.

Um...no apparent VSD.

He's OK?

Well, the scan seems positive,

but he'll need to take a blood test after he's born.

Just to be sure.

We hope for the best?

But don't worry, OK?

-Um, we need you.

-Excuse me.

He's hypotensive. Sats are dropping.

Cardiac output's falling. BP's 93 over 64.

-He's bleeding out.

-He's hypoxic.

-What's happening?

-Gina...

-What's wrong with him?

-OK, BP's 80 over 55.

-We need to get him into theatre.

HEART-RATE MONITOR BEEPS

-There's the haematoma.

-God, that does not look good.

Any sign of Mr Hope?

The donor heart is severely damaged. We won't be able to save it.

If we wait any longer, we'll lose him.

The native heart is under too much pressure.

-Where the hell is that assist device?

-Not here. Greg, we need to make a decision.

Guess we need to do it the hard way.

OK. Listen up, everyone. We're removing the donor heart.

Scissors...

Pump standing by, please.

Let's hook him up.

And on to bypass.

Nice one. Keep this up, we'll beat the traffic.

Up to full flow.

Clamp.

Deliver cardioplegia.

Cardiac output's falling...

BEEPING SLOWS

HEART MONITOR FLATLINES

OK. Let's remove the donor heart.

So, you don't have TIA, no spinal injury,

you didn't eat shellfish...

-You ARE clutching at straws.

-Eliminating options.

-Test results?

-Inconclusive.

-Which leaves us with?

-MS Myopathy, transverse myelitis...

"Doctor, doctor, I can't feel my legs!"

..MRI, CK test...

"Of course you can't. I chopped your arms off."

-Do not tempt me.

-Got me a diagnosis?

I am working on it.

Interesting case. Better work fast.

Uh...you're supposed to be observing me.

Well, in case you hadn't noticed, Petrenko, we're pretty backed up.

-PAGER BEEPS

-Three electives were cancelled

and, of course, I'm needed in theatre.

What about my assessment?

Well, think it through. Work it out. Find us something to talk about.

Dish.

Send it to pathology.

Shame to split them up after all these years.

Sats are holding up.

So, they took you back.

Looks that way.

A consultant who had any self-respect...

..would have gone quietly.

Well, I decided there was more to life

than saving the faces of Miami matrons.

You almost ruined this hospital.

And yet it's still here. And so are you.

I don't know what Hanssen's thinking of...

Well, he knows I share his vision. Foundation Trust.

Survival of the fittest. So, where do you fit in?

Oh, I'll be here.

Long after you've gone.

Hey, been trying to get hold of Annalese.

But I guess you have been too.

She took the kids to her parents for Christmas.

Mmm, that's Annalese. Always running out on people.

Well, I'd love to stay here and commiserate but, uh...

I've got a waiting bariatric.

Ooh, this woman is fat.

-Ready?

-Moment of truth.

OK. Take him off bypass. Nice and slow, please.

HEART MONITOR BEEPS

Sutures are holding.

It's working.

We've got a bleed. Back on to bypass.

No, no, no. I can see it. Prolene...

-Suction, please.

-Sahira...

-I can do this.

You are nil-by-mouth.

I'm hardly going to swallow it.

-We will look after Cindy.

-It's me they're putting to sleep.

The operation that you're having carries very little risk.

I'm not scared. I just don't want to do it.

A delicate touch... And a bit of intricate needlework.

Cut.

Come on, Abramo. Help us out here, mate.

OK. Cardiac output increasing.

Vital signs look good.

His heart seems to be holding its own.

It's working.

It's working!

OK. Let's close him up.

No-one can force you to consent to surgery.

It's always Cindy.

All mum ever cares about.

I'm sure that's not true.

This thing, it...

It takes over.

There's no room for me.

If she just listened.

Sometimes.

Ninth birthday.

Mum bought me a bike.

I loved that bike.

Cindy couldn't ride it.

Delicate skin.

So, she got on.

Made sure she fell off.

Next day, the bike was gone.

Kay, it's very fortunate

for you to have an exact tissue match.

Only thing we've got in common.

If this treatment works,

it could change your sister's life.

So everyone keeps telling me.

It could change your life, too.

It's too late.

I've made up my mind.

You pulled it off. I knew you would.

-I had some help.

-Pretty good team.

Something to talk about at dinner.

Someone needs to stay with him.

Come on, Sahira. Don't do this.

A few hours to talk. Away from here.

What are you afraid of?

Two kids.

I don't see enough of them. A house, a home, a family.

It wasn't just a kiss.

Greg, this ends now.

It has to.

A Pole walks into a bar...

I'm not Polish, I'm Ukrainian.

Cardiac arrhythmia...

Orthostatic hypotension... Fluctuating blood pressure...

-A Ukrainian walks into a bar....

-I know what you need.

Some new material.

GROWLS

Viral infections? STIs?

Flu over Christmas. Just my luck.

Ah. Anything else you've neglected to tell me?

That Eastern Bloc emo look? Does nothing for you.

It is time you took this condition seriously.

The one you haven't diagnosed yet?

You are not going to the audition.

And whose fault is that?

-You're a terrible comedian.

-You're a lousy doctor.

Your jokes are older than you are.

Stuck in here. Wasting time.

-SHE SNIGGERS

-Get back into bed.

To be heckled by the likes of you...?

What happened?

My legs. I can't move them.

KNOCK AT DOOR

Come in.

-I need to talk to you.

-Surgery went well today?

Yes, surgery was good.

A day of sterling curative endeavour.

-Henrik, I'm pulling out of the Members' dinner.

-Are you?

My patient needs to be closely monitored.

-Which is why he'll be moved to Intensive Care.

-I should be there.

Accomplished as you are, Miss Shah,

this hospital can function without you.

£10,000.

The price of a life saved by the CTU.

So, now we're costing mortality rates?

It's a random figure. There are fluctuations.

CTU makes sound financial sense.

With Darwin functioning healthily, perhaps funds could be better used elsewhere.

I rescued that bloody ward.

A victim of your own success.

I'm saving lives and saving you money.

And you'll leave the presentation in the hands of Mr Douglas?

No.

Unless potential donors see that crusading passion,

the CTU is doomed. I suggest you consider your options.

OK, we've got ascending paralysis, palpitations, dysaesthesia

and autonomic dysfunction, which gives us acute autoimmune

inflammatory demyelinating polyneuropathy.

Which is Guillain-Barre syndrome.

Well, you're ticking all the boxes...

So I'm thinking lumbar puncture or EMG.

Dr Petrenko would like to perform a spinal tap.

-I just need to wait for Spence.

-There isn't time.

-No chance.

-Under my supervision.

-Not her.

You might have a very serious illness.

Anyone but her.

I am being assessed. So you are my guinea pig.

This intensive care, all for your benefit?

I need to diagnose you.

No wonder you're clueless. You're not even qualified.

Yes, and now I never will be because today I had you to contend with.

-I signed the forms.

-On her behalf.

-She's 15!

-It's still her decision.

-She'll do as she's told.

Blood cultures are clear.

I'm afraid that the procedure can't go ahead.

What are you playing at?

-Look, I'm not prepared to have this conversation on the ward.

-Bit late for that.

-But you were happy to talk to her behind my back?

-I'm acting in the best interests of my patient.

Which patient was that, then?

You're priceless, you are.

-Your sister needs you.

-Kay needs to consent.

Seven days of chemo. Wiped out.

You treat her like some kind of freak.

16 years, I've given to Cindy. 16 years we've lived with this.

You pimp her out. You play her for sympathy.

All right. That's enough.

If she got better, if she was normal,

what would you do?

-CINDY SCREAMS

-Cindy, stop!

No, no, Cindy...

No, no, no! Move back.

Calm down. You're hurting yourself.

400mg of ibuprofen. Now, please, Mr Malick.

Cindy...

Just...leave her.

Are you happy now?

CINDY SOBS

All it needed was a Douglas polish.

PATIENT ALARM BEEPS

It's Abramo. Again.

Abramo? It's Mr Douglas. Can you hear me?

His face... It was like a shadow.

OK, BP's fine. Slightly raised.

No arrhythmia.

He was talking. His hand just fell away.

-Try and move your arm for me?

-C-Can't move.

-Looks like a clot... TIA.

-TIA?

-Mini stroke.

-A stroke?!

Can you give the doctors some room, please?

-Let's call a radiologist...

-Abramo?

-Parlami.

-Pulse is dropping.

-He's losing consciousness.

Crash trolley. Let's get him intubated.

This is you. You're to blame.

Why did you have to indulge him?

Is this seat taken?

I was going to spend my break time smoking cigarettes, but...

I was happy being a nurse.

Hmm.

Bed baths and catheters and 4am vitals.

Yeah. All the little jobs I miss.

When I grow up,

I want to be a nuclear physicist.

White coat, clipboard,

atoms and protons

and magic numbers.

Poet.

President.

Or concert pianist wouldn't be too bad.

Well, in the meantime,

I guess you and I are just going to have to settle for this place.

I'll tell you one thing.

You will definitely not make F2 sat in here on your arse.

First rule of nursing.

You get on with it.

I was stupid. Irresponsible.

I should have spoken to her mother in this office.

-The kid was in pain.

-You did your best.

-I just...

I just wanted to help her.

I know.

Chances of finding another donor...

Change of mind. Patient's prerogative.

And to hell with the people she might inconvenience, huh?

Well, short of dragging Kay into theatre...

We pump her sister full of chemo and then we send her home?

If the donor is having doubts...

Then surely we spell out what's at stake?

I tried to stay away,

but we were having way too much fun.

Your idea of an apology?

That's as good as it gets.

The initial tests are cause for concern.

He hasn't responded to stimuli.

If it is a blood clot, there could be damage to the brain.

He's in an induced coma.

Will he die?

We will keep him sedated and ventilated until we know...

Will he die?

I don't know.

Is there anyone you'd like me to contact?

Uh...

You'd better call his wife.

I'm sure Kay wants to help Cindy.

Does she?

She will come round.

She's as stubborn as I am.

Have you explained what will happen?

Skin grafts. Morphine. Open sores that never heal.

People pointing fingers.

Kay's lived through this. She's lived through all of this with me.

You know the first day Cindy was born,

they wouldn't even let me hold her.

Your child is in constant pain, reaching out for comfort

and you cannot pick her up.

Pam, have you talked to Kay?

Of course I have. Kay knows what'll happen.

She knows Cindy might die if we don't do this.

Then why do you think she's saying no?

Missed chances. Story of my life.

It's better if you don't talk.

Keep very still.

I think you can manage the plaster.

20 years, same old act.

Smiling away, building up a sweat.

Giving them all the patter.

"Have we got a show lined up for you?"

OK, I need you to turn on your back.

Something topical to break the ice. Risque banter with the pensioners.

ALARM CHIMES

Who am I fooling? They're never there for me.

OK, deep breaths.

They're settling in, folding their anoraks,

waiting for the talent to arri...

Rory.

You need to breathe.

Help!

I need some help here!

Mum tells me I'm brave.

I'd rather be pretty.

If I wasn't here

maybe...

..they'd get on.

They're only fighting cos they care about you.

Stuck in that house.

The three of us.

Sometimes I want to scream.

What about your dad?

He took off.

Couldn't cope.

I don't blame you for saying no.

You were never allowed to play.

That's what I missed most.

I...never thought that you might not want to do this.

You never thought to ask.

I'm sorry.

I'm so sorry.

Still my decision, right?

Still your decision.

I'm doing this for Cindy.

I'm not doing it for you.

We need to get those dressings changed.

Show me how it's really done.

Half an hour an arm.

And that's without a bath to contend with.

One arm each?

-Respiratory arrest.

-He's tachycardic.

Might be an extension of the GB syndrome.

It's affecting his proximal muscles. Manual ventilation, please.

I should have taken the tramp.

-Course of action, Dr Petrenko?

-We need to intubate.

-Laryngoscope.

-Sats are falling.

Your patient.

Blade towards the right tonsil.

Identify the tonsillar fossa.

-I'm trying to.

-Push until you see the epiglottis.

-I can't see it.

-Try again.

Pressure, please.

-Pressure.

-Tube.

Sats are through the floor.

Inflating.

Let's get him ventilated.

All right, Petrenko, I'm back.

Don't tell me he died on you.

OK...

IGG. We need to move him.

OK, what happened? I got here as quick as I could.

Yeah, I returned to Holby because you talked me into it.

If I remember correctly, you were waiting tables.

-Yeah, and now you're ruining my chances.

-I was busy.

I will never make this deadline now. And you'll never change.

-Frieda, you need to pull your head out.

-Ditto.

Listen, I'm on probation. I got Hanssen breathing down my neck

and I asked Dr Hemingway to cover me.

I was doing you a favour cos I thought you deserved it.

My ward, CBD, ten minutes.

-You lied to me.

-You made assumptions.

No, you told me that you were together.

I'm carrying his baby.

He's married. I am obliged to inform his next of kin.

He was never quite ready to leave her.

Always some excuse.

I thought...

..if I got pregnant...

You're just going to walk away?

If he dies...

..I have his child.

And if he wakes up?

He has a wife.

How's she doing?

Slow healing wound. Prone to infection.

Likely to cause scarring.

I...overreacted earlier.

Hardly matters now.

I would give you the driving lesson, but...

You're busy in theatre.

I'll get Kay prepped.

The odds were stacked against him.

What was the point?

Dead on arrival if it hadn't been for you.

Maybe I'm deluded. A rolled out CTU is...

Is wishful thinking.

You were brilliant in theatre today.

The CTU is where you belong.

Are you really going to throw it all away?

We're going to be inserting a needle

into the cavity of the iliac crest.

So we're going to need to make an incision in the lower back.

A 23 blade, please.

More light, please.

Mr Malick.

Perhaps you would like to begin.

And how is Miss Shah coping with the setback?

Frustrated. After all her efforts to save the guy.

I'll take up some of the slack.

Ready?

You sure you're up to this?

Why wouldn't I be?

The future of CTU rests in your hands, Miss Shah.

I am well aware of that.

I have every faith in you.

And I'll be in touch if there's any change.

We can practise the pitch in the car.

MUSIC: "Lucky Now" by Ryan Adams

# I don't remember Were we wild and young?

# All that's faded into memory

# I feel like somebody I don't know

# Are we really who we used to be?

# Am I really who I was?

# The lights will draw you in... #

If we hurry, we can still make it.

Quick shave and a change of trousers.

I'm driving.

I've never seen you so quiet.

Kay's marrow is being processed and we can begin the infusion tomorrow.

This isn't going to be a quick fix.

We'll manage. We always do.

Go and see her.

-Were you thorough in your initial assessment of the patient?

-Yes.

-Care to elaborate?

-You could have just told me I was being observed.

Let's stick to the brief, please. Time's against us.

Do you think you communicated effectively with the patient?

-I spoke to him when I needed to.

-"Yes" or "no" answers only.

This is supposed to be a discussion.

And you are supposed to be showing me some clinical thinking.

What more could you have done before you intubated the patient?

Yes, I could have referred him to a senior doctor

or I could have reached a diagnosis sooner.

And faced with this situation again,

is there anything you would have done differently?

I did my best.

-So, did I pass?

-Ha! Now there's a question...

No. Hanssen's eyes only.

I'm sending him the email. Down to the wire.

Maybe you should check to see if he got it.

My mother asked about you.

Your clinical strategy....

I still have misgivings.

And whenever appropriate, I shall air them.

And, whenever appropriate, I wouldn't have it any other way.

I ran into Michael Spence today.

-I see.

-Henrik, you've got to be careful. You can't possibly believe that he's changed.

I am fully aware of the strengths and failings of Mr Spence,

as I am of yours, Mr Griffin.

There was never any doubt about your skills as a teacher today.

Your team are a great credit to you.

-Ahem. >

-Dr Petrenko.

You got the email. My CBD?

Received and duly noted.

Mr Spence was busy, tied up with two wards.

I was under pressure.

We always are.

MUSIC: "Iris" by The Googoo Dolls

Got to be in touch...

# And I'd give up forever to touch you

# Cos I know that you feel me somehow

# You're the closest to Heaven that I'll ever be

# And I don't want to go home right now

# And all I can taste is this moment

# And all I can breathe is your life

# When sooner or later it's over

# I just don't want to miss you tonight

# And I don't want the world to see me... #

Hello.

You should be working the room.

Happy to watch. Besides, It looks like he'd rather be talking to you.

Potential donor. Trauma Outcomes project.

Extended feasibility study to explore and validate the CTU.

You almost make it sound exciting.

Funding, Greg.

Well-fed and well-endowed,

-looks like you've found yourself a sugar daddy.

-Thank you.

Oh, come on. If you've got it, flaunt it.

Well, I have to clear it with Hanssen first.

Hanssen's running Holby Inc. You've just closed your first deal.

I think this calls for another drink.

Patient goes to the doctor.

Says, "Doctor, give me something to make me feel better."

Doctor opens the drawer.

"This is the medicine for insomnia,

"this is the one for nervous breakdown

"and also take this one for depression."

Patient takes the bottle, says, "Thank you, doctor.

"But, um, do you have any other medicine

"rather than vodka?"

It's all in the delivery.

All right.

Guillain-Barre syndrome.

Eight out of ten people will recover.

Two out of ten will not.

Potential long-term complications are tiredness,

loss of balance...

I'm a stand-up comedian.

You're not the only one who blew it.

You did save my life.

I know a doctor when I see one.

-Settling back in?

-Yeah, no place like home.

-You were on AAU today.

-I was helping out.

Yes, that wasn't the deal.

OK. School days.

Hated school.

Irish rebel.

I bet you were precocious.

Me? Why would I be precocious?

-A right little know-it-all.

-I was diligent.

I wore glasses.

Glasses!

Thick NHS glasses.

I can't picture you wearing glasses.

Oh, no. Thanks.

Um, I should call home, actually.

Later.

Come on, you've earned it.

How'd it go?

I passed.

I knew you would.

All thanks to you.

Well, uh... I think you might have had something to do with it.

No more lessons.

No more lessons.

Difficult day.

Difficult Christmas.

Oh, Mr Griffin...

You did really well on the ward today.

Me and Becs are going for a drink.

-Do you want to come?

-Oh, that's really very kind.

Two for one cocktails.

Thank you, uh... I'll pass.

You have fun.

-OK... I'll see you tomorrow.

-Yeah. I'll see you tomorrow.

We're going to Ibiza!

If cardiac output is Q?

OK, so... Q equals stroke volume,

Uh...multiplied...

by heart rate.

OK.

Body surface area.

BSA equals cardiac output...

Argh.

Divided by cardiac index.

And I have had too much to drink.

Why are you questioning me on medical equations anyway?

I like to watch you think.

Surgery today.

The way you face a problem.

The way you work it out.

Well, CTU is a problem solved. Job done.

You're a brilliant, beautiful, gifted surgeon.

Did I say beautiful?

You did.

Too good to waste in Nottingham.

And Rafi?

He's just a guy who puts people to sleep.

-Greg...

-I know.

You've got it all.

Everything to lose.

Tell me I'm deluded...

..and I'll let you go.

It's late.

PHONE RINGS

Hanssen.

Yes, that's right. Mr Zappulo.

I see...

Thank you for letting me know.

I'm just down the hall there...

Sure.

Greg?

Yeah?

Thank you.

For what?

For making me remember who I am.

Any time.

PHONE JINGLES

Transplant patient is off sedation. Breathing unassisted.

Great.

Good news.

Thank you, Hanssen.

See you tomorrow.

Sahira...

# You are the one that make me lose it all

# You are the start of something new... #

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