Here and Now Holby City

If you were bi, if you had tried both... Don't you see?

You don't know what you want.

I don't suppose there's any way I could persuade you to return to Holby, Dr Petrenko?

Want to see if he's got a place for a Ukrainian emo with an attitude problem?

-Turn around.

-You're in Sydney.

-Apparently not.

I have had too much to drink.

Revenue streams, lead tables, usual managerial claptrap.

And of course the chance to mould young minds in your own image.

-Thank you.

-For what?

-For making me remember who I am.

MOBILE BEEPS I'll see you tomorrow.

Sahira?

This place is only just starting to reach its full potential.

Our mobile Cardiac Trauma Unit is going from strength to strength,

and we're on the brink of securing funding that will make us one of

the leading hospitals for teaching and research in the country.

Very well, Sir Fraser. As a courtesy, I will consider your offer

until close of play this evening.

But I can assure you my answer will be no.

I have no intention of leaving Holby.

-Our work here is just beginning.

-And disengage.

-Oh, come on, Sacha.

What have we got be coy about?

Out here, we may be a couple who've just returned from the most amazing Christmas in recorded history.

Young...ish, happy, and very much in love.

But in there, we are colleagues. We're professionals.

-You're right.

-However hard it may be,

we must resist all urges for public displays of affection.

-How very dull.

-In fairness, neither of us

have exactly been starved of affection lately, have we?

-Do we really have to go back to work?

-I'm afraid we do.

So is he a fairly unpredictable chap by nature?

When he was a colt, he was a bit hot-headed,

but now Niven's one of the gentlest boys in the stable.

-What set him off this morning?

-Sometimes it's the strangest thing.

I've seen normally placid horses rear up at the sight of their own shadow.

-And you were standing right behind him?

-Yup. In exactly the wrong spot.

You'd think I'd know better by now. Been a breeder for 15 years.

Entirely my own stupid fault. Is it broken?

It feels like it might be a fracture.

Given your history of weak bone formation, I'd like to do an X-ray just to make sure.

-Could we get Mrs White's leg x-rayed as soon as possible, please?

-Sure, Mr Hamilton.

Bugger!

-Is there any particular reason that you're looking at me like that?

-Like what?

Well, just...I was speaking to one of the nurses on AAU

and she said Sister Williams is back today.

And I just wondered... Are you OK? Cos when I split up with my last boyfriend...

Thank you for your concern, Lleucu, but I assure you I'm absolutely fine.

-So am I allowed to talk to you or is that off limits?

-Greg, please.

Only, given that we work together,

-it might make things a little tricky.

-What do you want me to say?

I want to talk about what happened.

-Or didn't happen.

-Look, I have a husband. I have a family...

-Ms Shah. Mr Douglas.

-Mr Hanssen. What can we do for you?

-I hoped the two of you might furnish me with a full debrief.

-On?

The members' dinner? I don't need a blow-by-blow account,

but the salient moments... Would you consider it a success?

-I was just there for back-up really, so...

-Definitely. PHONE RINGS

Everyone seemed interested in the Cardiac Trauma Unit

and signs were certainly encouraging, investment-wise.

Excellent. And was the evening tolerable overall?

In my experience, a room full of pompous surgeons

and mediocre wine can be a combustible combination. Did everyone behave themselves?

Cardiac Trauma Unit patient on his way in. Five minutes. RTA.

-Chest and abdo trauma.

-Right.

We'll speak later.

The X-ray's showing weak bone formation.

But the good news is there's no renewed fracture.

-So I can get going?

-SHE WINCES

The pain's not just in your leg, is it?

I must have bruised a couple of ribs when I fell.

-Ow!

-I'd like to get one of my GS colleagues to take a look.

-There's no need. I'm a tough old girl.

-I'm sure, but there's no hurry, is there?

Actually, there is! I need to get back to Niven as soon as I can.

-The vet'll be there any moment.

-The vet?

He smashed his foreleg against the stall.

-We think he might have broken it.

-You should've brought him in.

I could have done you a two-for-one deal.

-If he's broken his leg, he'll be put down.

-Of course. Right.

Could you organise a GS consultant as soon as?

Excuse me.

Chrissie.

Apparently I'm on Keller today.

-Something to do with overspill on AAU.

-Great. Perfect.

OK, thanks. CTU reports the victim's stomach is distended.

A passer-by effected a primary chest survey

and released air from the chest cavity.

A passer-by? That's not exactly in the first aid manual.

Probably an off-duty medic. Let's hope a good one.

-We ordered a fast-scan?

-Yes. And an on-call anaesthetist. Do you know what? I can do this.

-There's no need for you to be here.

-Why don't we see what state

the patient's in before we decide whether or not to fly solo?

His name's Malcolm Waller. Drips are in. Needs a chest drain.

-You're the passer-by?

-Yup. I was just coming in to get my results.

-Test results?

-Assessment results. I'm Jez, I'm an F1.

-Well done, Jez, looks like you saved this man's life.

-What's this?

-Hartmann's solution?

-And plasma expanders.

-Ah.

-The old bottle pourer trick?

-Lucky for him, he crashed outside the offy in Worrell Rd.

-Two for a fiver.

-Nice job.

-Readings?

-Dad!

Pulse 100, BP is low 65/40. Relax, Mr Waller.

-Sadie, you have to go. You'll miss it. Go!

-Mr Waller...

She was in the back seat. Possible wrist fracture.

-Can you take Ms Waller to ED.

-Me?

-Yes.

-You can go back to your patient list.

-I'm not leaving my dad. It's my fault he's here.

There's nothing that you can do. Just let us help him.

-Jez, do you think you could...?

-Take her down to A&E? Sure.

-Cheers.

And best of luck in your F1s. By the look of it, you won't you need it.

Can't get rid of me that easily.

OK, so the slice and sew can wait. Sebaceous cyst is on obs.

The urinary tract infection results are pending.

There's the head transplant patient in bed two. Frieda. Frieda!

What did I just say?

OK, so could you repeat it?

-What's going on with you today? You're like a zombie?

-I'm fine.

-Where'd they park my overflow BDE patient?

-In the back corridor.

-And he ain't happy it.

-That's bile ducts for you.

-You're supposed to be on Keller.

-What can I say?

-Just can't keep away from your sparkling personality.

-He's covering for Luc.

And not only do I miss the cut and thrust of the AAU,

as your supervisor, I wanted to be around when you open this.

It's the moment we've all been waiting for.

-You don't expect me to open this here?

-I do.

-Bye.

F1 results day. No wonder.

"Will you take Sadie to A&E, Mr Douglas?"

-What am I now, a porter?

-I don't need you in theatre with me, OK?

-It's not a big deal.

-Oh, isn't it? Not to you maybe.

But I need to know where the hell we are.

I need to know what the hell is going on.

Rafi's accepted the job in Nottingham. I'm going with him.

I'm leaving.

You'll have to forgive me. I'm shocking with names.

-I wanna say Freema?

-Do I know you?

-Jez.

-We met at the F1 summer drinks thing last year.

-If you say so.

-I heard you did a runner.

-I had to go home for a couple of months.

-That's all.

-And you managed to catch up? They didn't make you repeat?

-Really nice talking to you.

I have to go back to AAU right now.

-So how did you do?

-I don't know yet.

Me either. I'm just on my way up to my supervisor.

-I swear I couldn't sleep last night.

-You really think you could fail?

-No.

-There's no way I've failed. But...

-Good. Good luck. See you later.

-Are you

-OK? I'm fine. It's nothing.

-No, you're not.

-I came off my bike today - a car came from nowhere. That's all.

Got a couple of bruised ribs. Anyway,

you'll have to excuse me, I'm busting.

So I thought you were busting?

Hello, this is supposed to be the little boys' room!

Or is this some kind of weird Eastern European...?

HE WINCES

Out! Medical emergency!

-OK, so, just a couple of bruised ribs, huh?

-I'm a doctor.

If it was anything serious, I'd know about it.

I just need to sit here for a bit, that's all.

OK. Take off your jacket and shirt.

-Can't I at least buy you a drink first?

-Ahem.

Fine.

So the guy in the car was in a terrible state.

-I had to do a second intercostal insertion.

-Had to, huh?

The guy couldn't breathe. All I needed was a tube. Incision. Job done.

Mmm. So what you're saying is that you could have

waited for the paramedics, but you wanted to show off.

-What if something had gone wrong?

-It didn't.

See. I told you, Freema. Just bruising.

Take your boots off.

It's Frieda. Frieda Petrenko.

Ah.

And FRIEDA is taking you to AAU right now.

Yeah, that's going to have to wait, Frieda, till I've got my...

MOBILE RINGS

Apparently, 30% of the year have failed.

So what's the plan? Diva retractor.

Swabs. We need to pack the cavity.

You going to stay home and play the little wifey? Can't see it somehow.

-This is ridiculous. You don't have to do this.

-Do what?!

Suction.

-Where's that bleed coming from?

-Is this because of the conference?

-Is that why?

-Of course it isn't.

There's a capsular tear on his liver.

We need a GS consult.

Can you page the on-call consultant, please?

So let me just get this straight. You're going to give up all this?

Your precious Cardiac Trauma Unit. For what?

I wouldn't expect you to understand.

Have you told Hanssen yet?

Oh, man.

You're going to break his heart. Assuming he has one.

'This is Jez Atkins.'

-Did ED send him over?

-No.

I picked him up in the men's toilets.

-He's got extensive bruising...

-Mild bruising.

-..distension,

raised temperature, and his pulse is over 90.

My temperature's slightly raised, and my pulse is naturally high.

-As for the distension...

-Jez is an F1.

-Jez is an F1 who needs to go and get his results.

-Talking of which...

I haven't checked them yet.

Apparently if you fail, you get hauled in front of Hanssen. How scary would that be?

-So we would like 10mg of morphine and abdo X-rays, please.

-X-rays?

-Frieda, come on. There's no need for...

-Which department do you work in?

-Neurology.

-Wow!

Well, Jez, in neurology you may be a doctor, but here, you're just a patient, and Frieda's your doctor,

-so I'll listen to what she says rather than what you say. Is that's OK?

-Look,

I don't want to be rude. You've got a massive backlog here, so why waste your time?

HE GROANS

-Mr Hanssen.

-You paged me, asked for a GS consultant?

-He has a capsular tear.

-Quite so. So more packs, please.

Diathermy, Ms Shah can cauterize.

-2/0 vicryl stitch for Mr Hanssen, please.

-Thank you, Ms Shah.

Now, do I detect a note of tension in here? I do hope not,

because this is a crucial time for Holby.

Don't worry about us, Mr H,

we're like one big happy family here. Isn't that right, Sahira?

-Am I missing something?

-Sahira?

-No, not at all.

-Good.

I'm still waiting to hear your full report from the conference, by the way.

You'll need two 26 Robinson drains to finish here. clip, please.

Good, thank you.

I've been preparing the Beacon of Excellence portfolio.

Obviously Cardiac Trauma is one of the cornerstones of it.

So I'd be very grateful for all the relevant facts as soon as you can.

-What kind of thing do you need?

-Figures for the project to date.

A full list of the funding that's already in place. Most importantly, perhaps,

an idea of your future plans for the project.

I know we're late, the motorway was closed. We left at five this morning to meet you!

Just give me half an hour, please! How long to Waterman Road Dance Studios from here?

I'll call you right back.

-How is he?

-We managed to save your father's liver.

-But there may be complications.

-So what do I do now?

You wait.

-Is there somewhere you need to be?

-I have an audition today.

-Well, it was supposed to be half an hour ago.

-You're an actor?

-Dancer.

Right, so that's what your father was talking about

-when he was telling you to go?

-We left at 5am just so he could get me down here,

-bless him.

-It's a big audition?

-It's a number one tour. International.

Nine months work. Every dancer I know is up for it.

-Well, you know, Waterman Road is ten minutes away.

-Hang on.

-How long would the audition last?

-Five minutes. I'd be back in half an hour.

-OK.

-We'll call you if there're any changes.

-What if your dad suddenly wakes up?

Look, I've been doing this since I was 12 years old. It's all Mum and Dad ever wanted for me.

They gave up everything so I could dance.

-I owe it to him to get this job.

-Course you do. This is all for him. Nothing to do with what you want(!)

Could check Mr Slater's BP for me, please?

And arrange for Miss Duggan to be discharged.

Oh, my goodness.

Thank you, you can go.

-You bleeped me?

-We bleeped a GS consult. I was expecting Malick.

Malick's got a typically insane list today, so I'm here to help.

-Not ideal.

-Hardly.

-So who is this patient? Imogen...

-White.

Known as Immy. Got kicked by a horse. Sacha, how are you, mate?

Good, thanks, Dan. Yes. And you?

-Never better. How was Oz?

-Yes. Yes.

-Great. Unbelievable, in fact.

-Good. Really glad to hear it.

-So, you wanted a GS consult for... Immy, was it?

-I'll introduce you.

Great. Immy.

It may seem unimportant to you, but dancing is her life.

Do me a favour. Her life is her life. Dancing's just a job.

Right, so Darwin Registrar is just a job.

I've behaved badly, I know that.

Neither of us have exactly covered ourselves in glory.

What happened at the conference, it was a mistake.

-I had a lot to drink.

-You kissed me like your life depended on it.

Look, I've got three weeks left here.

You've been my best friend in this place.

Now we can spend them avoiding each other, working in painful silence,

or we can remember what made us friends in the first place,

try and get back there, make these last three weeks bearable, at least.

Sahira...

-I'll try.

-Thank you.

There you are! Come on. You can't wander off like that. You know how busy we are.

-Sorry.

-All right, look, I've got the X-rays back for Jez Atkins.

-And?

You tell me.

The abdomen is distended. And is that a mass?

-Have the courage of your convictions, Petrenko.

-It's a mass.

-Yep. I'd say so. With bells on it.

-So you think trauma caused that?

-I don't know. Did he have any symptoms before today?

-None at all.

In that case, 100%.

The trauma caused a retro-peritoneal haematoma. It's textbook.

-What about the marks on his shins?

-Well, he was on a motorcycle,

he hits the Tarmac, rolls 30 yards. What else do you expect?

-We've got to get him into theatre, fix that bleed.

-So?

-Put us out of our misery.

-Yeah.

-OK. I passed.

-Course you did!

-All right.

Nurse McKee, let's prep Dr Atkins for theatre.

Dr Petrenko is going to assist. I told you - nothing to worry about.

How did you get on? Did you get the part?

I know you think I'm a horrible person leaving Dad like that.

-Not at all. I get it. Dancing's your life.

-To answer your question,

I didn't get it. Had to dope myself up on painkillers to get through it, and they didn't even look at me.

The other two girls were 19 and 20, boobs out to here, waists like this.

Maybe he's done me a favour. I'm 29. Time to give up.

-29? You're only a baby.

-Not in my world.

He was convinced I was going to get this one. How do I tell him?

I'm not really in a position to give advice to anyone.

But if your mind's made up, then you really ought to tell him.

Personally, I think you should avoid upsetting him.

We need to focus on making him better.

You'll know when the time is right to tell him.

What about that?

It's a little bit sore.

-And that?

-Ow.

-OK. Sorry.

Right, Immy's presenting with abdominal bruising

and increasing pain.

I think there's a possibility of rib fracture.

-I'll get Chrissie to do another X-ray.

-Oh, I can ask her.

Or... I mean...

Why don't you?

-What's the story there?

-Story?

-The blonde nurse and Mr Levy?

-There is no story.

-Oh, come on!

They're not exactly discreet, are they?

They're like a pair of teenagers.

I don't know what I was so worried about.

-Maybe he doesn't want to beat me to a pulp after all.

-He wouldn't dare.

No-one messes with my man.

Guys, you might want to tone down the lovey-dovey stuff.

It doesn't bother me, but when patients start commenting...

-..it just looks a bit unprofessional.

-Of course.

What the hell?

-Petrenko?

-Yes?

-What's your opinion on this haematoma?

-How bad is the bleed?

Where is your head? Do you see a bleed?

Well, no. It's more like...

-The bowel's blue-grey.

-Exactly. Not what we were expecting.

Check out the texture.

It's got this papery feel.

-Could be fat wrapping?

-Good guess. But wrong.

OK. So, if it's not the haematoma...

then what is it?

Abscess. And it's not recent.

-Oh. OK, so it's some kind of infection?

-Yeah.

All right, we need to wash it out.

Let's drain this mother, get a culture and hotfoot it to the lab.

Scalpel, let's prep the swab.

OK, everyone, get ready.

Hold your noses.

-Yeuch!

-Whoa. Oh!

OK. Suction.

OK, Petrenko, sort the Robinson drains, wash it and close.

What the hell?

-What did you hit?

-MONITOR BEEPS

It's the spleen. Let's pack it.

What's going on with you today, Petrenko? You're better than this.

I'd thoroughly recommend you try not to get agitated, Mr Waller.

-I want Sadie!

-You don't want to pull your drips out.

-I want to see Sadie.

-I'm right here, Dad!

Look, you've got to go that audition.

-You can't miss it just cos your stupid...

-Dad, shush. I went.

-What?

-I made it to the audition.

-I was a bit late, but when I explained...

-BP is dropping.

-The stress is not going to help him.

-How did it go?

-Shush.

Just listen to the doctor, OK?

You've had a serious liver operation, Mr Waller.

It was successful, but you need to recover. So please try not to get worked up.

-Well?

-It went really well, Dad.

I got the job.

I knew you would. I knew it! I knew you would.

Frieda?

What's going on? It's like someone's taken your batteries out today.

You heard Jez, right? Half of your year failed. And you passed.

-That's got to be good news, right?

-I didn't pass.

-What?

-I lied.

I have to see Hanssen at six o'clock.

You've upped the relief?

-Of course. But she's tachycardic and breathless.

-What's her status?

BP's low. Pain's increased.

I'm concerned there's abdo damage or a bleed.

Well, the X-ray doesn't show anything.

-I think we should do an exploratory laparotomy.

-What does that mean?

-We need to get you into theatre.

-No. No theatre.

I need to get back to the stables. I've just spoken to the vet and he's about to do an X-ray.

-Immy, we need a full picture of what's going on.

-Surely we could do that with a CT scan?

-The laparotomy gives us a better idea.

-You heard her. She doesn't want to go.

-With all due respect...

-I'm the consultant.

-But you're an orthopaedic consultant. I'm a general surgeon.

She's tachycardic with exterior bruising and hypotensive.

-Chrissie, could you book the CT Scanner for Immy?

-Sorry, what?

Thank you, Mr Levy, I can take it from here.

Really, Petrenko? You going to disappear on us again?

For God's sake.

I'm just taking a breather. Running as far as the bus stop.

Since when did you start smoking?

Eddi told me. You need to keep this in perspective.

Your perspective and my perspective are two very different things.

So what's the worst that's going to happen? You retake your rotation. Big deal. Come here.

-It's not that simple.

-Why not?

I've quit twice before.

And the last time they let me on the F1 course only because Mr Hope wrote the letter.

Well, until at least until six o'clock, you are my F1.

-And right now I could really use your help on AAU.

-Why?

So I can come and stand like a zombie in theatre?

How much help was I earlier?

Actually, a lot.

The splenic bleed you saw was from the trauma.

Had nothing to do with the drain insert.

And I was wrong about the haematoma. You were right.

-There's obviously a pre-existing condition.

-But Jez said...

Did you ever think that Jez may not be telling you the whole truth?

-Mr Hanssen.

-Mr Douglas.

-Well?

-No. Forget about it. Nothing.

-Sorry to bother you.

-Mr Douglas?

-It's something you ought to know.

-About Sahira.

-What about her?

The patient's being prepped?

His breathing suddenly became more laboured. BP dropped, 80/50.

-Scans, please.

-You'll see shadows. Possible lung trauma...

-I do have eyes, Ms Shah. What are your thoughts, please?

-Broken ribs.

-Blood in the chest cavity. Blunt aortic injury?

-More precisely?

-Distal aorta.

-Do we know if the RTA was a front or side-on impact?

Side-on, according to the CTU report.

Which means what is at the most risk, Ms Shah?

-The proximal descending aorta.

-Correct.

Mr Douglas will not be joining us for surgery.

Two pairs of hands will be sufficient.

The brutal thing about a side-on impact - you never do see it coming.

No can do. I've got a list longer than Hanssen's trousers.

-I need a GS surgeon with me on this one.

-See that big guy over there?

-He's busy - AAU patients.

-He doesn't look busy to me.

-Look, Malick, just help me out here, will you?

-All right.

-If you'll admit what this is really about.

-I don't know what you mean.

-It doesn't bother you that Sacha and Chrissie...?

-I'm an adult.

Right. And in my experience, you're really good at expressing your emotions.

-Not one for keeping things bottled up, right?

-No.

-Look, Dan, if it was me...

-You're not me. You're nothing like me.

OK! Well,

I'm sorry, Dan, but I'm just too busy to take over from Sacha today.

Guess you're just going to have to work with the man.

I know this isn't easy for you. It's not easy for any of us.

Seemed pretty easy for you. How long was it?

Two, three days after we'd cancelled the wedding

-that you and he...?

-Dan, please.

Sorry. You're right.

Traverse section of the peritoneum.

Left kidney. Spine. And...

-Oh. Well, no wonder she's in so much pain.

-Bleed?

Well, her right kidney has been smashed to smithereens. What a mess.

She said the horse slammed her against the stall.

Must have been one hell of a kick.

I can also see there's a fresh heterogeneous intrarenal haematoma.

Any leakage?

No active haemorrhage or urinary leakage that I can see,

but it doesn't look great.

-Dan...

-We need to get her into theatre.

Can we give him some O-neg blood through the rapid infuser, please?

-Come on, we don't have time to waste here.

-In a hurry, Ms Shah?

-Somewhere else you need to be?

-Scissors. I meant the patient.

-Thank you.

-Remove the distel and proximal clamps.

MONITOR BEEPS Swab and suction! The patient needs more blood.

It's the suture line. More 3-0 prolene.

Excellent.

Output good.

There's no feeling like it, is there?

-The exquisite choreography of theatre.

-Nope.

So you'd really be prepared to give it all away,

-just to escape from an overbearing Irish colleague.

-What?!

I can't think of any other reason why you'd abandon a job

most surgeons in the country would kill for.

All right, soft bowel retractor, please.

-Whoa!

-Can you mobilise the kidney?

-It's bleeding hard.

More suction, please.

Look, there's no way we can save it.

I recommend a nephrectomy and sacrifice the kidney.

From the CT, the other one is functioning properly.

-Let's do it.

-Great. Pair of Roberts clips, thank you.

-Listen, Dan...

-You don't have to...

Please. Hear me out. Just let me explain, OK? Clip on the ureter.

Scissors, please, and stand by with the 3-0 PDS suture. Thank you.

The first thing I would like to say is of course

-I'll reimburse you for the Australia tickets.

-Forget about it!

-Please. It's the least I can do.

Now, I don't expect to be your best buddy,

but if we're going to be working together,

we should at least be on civil terms, what do you recon?

Understood.

I mean, you know, it's not like there was any kind of overlap.

You and she had your amicable parting and then...

-Is that what she said?

-Absolutely. Chrissie explained everything to me.

You and she just wanted... That's it. ..different things.

You can close up.

-This has nothing to do with Mr Douglas.

-So why?

My husband's been offered a job.

Your husband is an anaesthetist, is he not?

-What's that got to do with anything?

-Because anaesthetists are two a penny,

-whereas a surgeon of your calibre is not.

-That's not the point.

It's very much the point. I put my professional neck on the line for your cardiac trauma unit.

Now you're telling me you're going to abandon it because your husband's fed up changing nappies.

Well, give the cardiac trauma unit to someone else.

Sir Fraser Anderson called me this morning.

He's just become chairman of a new SHA.

He's asked me to take over the running of Manchester Royal.

-That's amazing.

-I said no.

-Why?

-Because I believe in what we're building here.

And I believe this is just the beginning.

-Some things are more important than work.

-Yes.

If you're a number cruncher in a bank or a second-rate dancer,

-I suppose they are.

-My family will always come first.

You won't be happy, you know that, do you?

Every day you'll feel vaguely unfulfilled.

You'll come to resent that husband of yours.

Don't you ever presume to tell me about my marriage.

What you felt in there just now,

you won't feel that anywhere else.

-Or with anyone else.

-You're right.

I do need to get away from an overbearing colleague.

You just picked the wrong one.

-How could you?

-I haven't said anything to anyone!

I promise you. The last person I'd tell is Sacha.

He told me how you'd explained everything,

-how we wanted different things.

-We do, don't we?

-I wanted to marry you.

You were the one who couldn't handle...

Couldn't handle what?

You can't even say it.

I'm sorry.

Chrissie, I have made a big mistake letting you go. A huge mistake.

-I can't believe you don't regret it too.

-What are you talking about?

-You and Sacha Levy? What even is that?

-What do you mean?

You used to laugh at the fact that he'd fathered your baby.

-He was an accidental one night stand! He's not good enough for you!

-You don't know him.

-You and he won't last five minutes.

-Don't do this.

You're making a fool of yourself, jumping into some rebound fling.

-It's not that.

-No, Chrissie Williams wouldn't fall for just anyone.

It's not like you haven't slept with half the hospital!

Sacha loves me for who I am, not for how I make him look.

I'm sorry we've hurt your pride. I'm sorry we've handled this so badly,

but Sacha Levy is more of a man than you will ever be.

Deal with it.

Abdominal pain. Cramps. Weight loss. Joint pain.

Nausea.

Right?

Diarrhoea.

Any blood?

-How long?

-Couple of weeks. Maybe more.

You told me you didn't have any of these symptoms until today.

Patients lie. Didn't they teach you that in school?

-You sabotaged my diagnosis.

-I didn't mean to,

but you wouldn't let it go. You just kept on and on.

Successful diagnosis depends on complete patient history.

Didn't they teach you that in medical school?

-I don't have time to be ill.

-So you just ignore your symptoms?

I always planned to get myself sorted

-as soon as I got my F1 results.

-And? Was it worth it?

They're being brought down to me. They should be here any minute.

How about you?

I have to go and see Hanssen at six o'clock.

-I'm sorry.

-Whatever.

Frieda. Bloods and culture results.

So you think it's Crohn's?

Well, if you're right, he's going to be two, three months on the sidelines.

I don't know if I'm right for sure. It's just a theory.

Come on, Frieda. What did I tell you? Courage of your convictions.

I want to be 100% certain before I tell him anything.

So I would like an endoscopy.

All right.

Hi, Dad. How are you feeling?

Like someone's done a rumba up and down my chest.

You've been through a lot of surgery, Mr Waller.

-Blood pressure is looking steady, though.

-Hear that, Sadie?

Back on the road in no time. First night here we come.

-Don't think about that now.

-Can't let the grass grow,

-can you, doctor?

-Certainly not.

When's the first day of rehearsals, then?

I have to go and sort you out some good digs.

No, we won't.

-I didn't get it.

-I don't understand. You said...

I can't do this anymore, Dad. I'm too old.

I can't keep schlepping to endless auditions I'm never going to get.

Now, come on, you just failed one audition.

No! Dad, look at you!

You're so tired, you fell asleep at the wheel.

-I only let you carry on because I knew how much you wanted it for me!

-I promised your mother!

I had a chance then. Not any more.

What have we done it all for, then? You tell me!

-Just for you to give up now?

-Dad, please!

Everything your mum and I did for you... You can't give up.

You can't.

If you were guaranteed a consultancy -

within six months, say - a considerable uplift in salary,

would that make any difference?

-Sorry.

-Right.

I've spoken to Human Resources.

You have three weeks' leave from last year.

That coupled with the standard notice period and a period of goodwill -

let's call it gardening leave -

means we've decided it would be best

if you were to leave immediately, at the end of your shift.

-What? Today?

-As you say, you've made your mind up.

The lady's not for turning. No point in prolonging your exit.

Would you be so kind as to hand your pass in to security before you go?

I'm sorry. I thought he was going to stop you going.

He's a lot more cunning than I am.

Actually, it had the opposite effect. He wants me to leave today.

-What? He can't do that.

-Apparently he can.

Just tell me what to do.

I'll step right back, give you want all the breathing space you need.

Whatever it takes, I promise.

-But don't go.

-This isn't about you.

-What is it about?

-Rafi hasn't worked in a year.

He's stayed at home, he's looked after the kids. He's supported me.

It's his turn now.

What kind of man lets his wife give up her top career?

-If I was your husband...

-Thank you. Thank you.

You have no idea what a marriage is.

Don't leave without saying goodbye.

-A post-op infection?

-It looks like it could be. Yes.

-Who operated on me?

-Mr Levy and I operated together.

-Then he closed you up.

-So this is your fault?

-Hang on a minute...

-You were the one pushing to cut me open!

-Initially, yes.

He tried to get rid of you. He wanted to get a proper doctor.

-What do you think I am?

-I don't even know. You just seem to spend your time flirting with her.

Mr Hamilton here actually listens to his patients.

-This is all your fault. I should sue you.

-No.

It's nobody's fault.

-I'm afraid it's just bad luck.

-Bad luck?

-All operations carry some risk of infection.

If we hadn't operated, we wouldn't be having this conversation.

We can fight it with antibiotics. You'll be fine.

-So you're closing rank? Doctors together.

-I know that you're angry.

But the truth is, this is nobody's fault.

MOBILE RINGS

-You're absolutely sure you saw ulcers in the GI tract?

-Positive.

All his other symptoms pointed to it. GI ulcers just confirm it.

Two months with inflammation of the digestive system -

-no wonder he was exhausted.

-It would have also affected his eyesight,

which is why he might not have seen the car coming at him.

-You want me to break the news to him?

-No. He's my patient.

-It should be me.

-Frieda. It's time.

Yes, this is Henrik Hanssen.

Could you ask Sir Fraser to give me a call

as soon as he gets in, please?

It concerns the Manchester Royal.

Dr Petrenko?

Yeah, in my letter it said I'm supposed

to come and see you at 6pm.

Oh, yes, of course. Well, come in.

-I don't understand.

-It's simple.

You've achieved the highest score in the region.

Oh, you're just being sarcastic. What you're saying is I got the worst mark in the region, right?

I assure you I am as surprised as you are.

I'd always assumed you were middle tier at best, but, no,

hard empirical evidence would suggest otherwise.

This is one of the weirdest moments of my life.

Well. Thank you for your time, Dr Petrenko,

-and congratulations indeed.

-Yeah. Right. You too.

-For what am I to be congratulated?

-I don't know.

Running the hospital! Nice job.

Shake yourself by the hand.

Thank you, Dr Petrenko.

Thank you for sticking up for Sacha back there.

It's the least I could do, after acting like such a jackass all day.

-No...

-Yes.

The truth is, I thought I'd be fine with all this,

but when I saw you and Sacha together...

Usually when you break up with someone that's it.

-They're out of your life. You can move on.

-It all happened so quickly.

-I wanted a chance to talk to you.

-I'll be OK.

-Don't you worry about me.

-I can't help it.

Just because we're not together doesn't mean I don't care.

I want to see you happy. And I'm sure the right...person

is just around the corner.

I should finish these notes.

-How are you, Mr Waller?

-I feel like a prize chump.

I'm afraid there's very little I can do about that.

My wife and I were dancers. Ballroom, bit of Latin.

Won a few competitions. Nothing fancy.

My wife Wendy, she always regretted giving it up.

She was determined that our Sadie would make it,

-in the way she hadn't.

-That's a common complaint.

-Many parents try to live vicariously through their children.

-That's it!

That's exactly what it was. We were trying to live through her.

And that's not fair, is it? I mean, it's her life.

She's the one who should be living it.

But you gave her discipline and a sense of vocation.

-She should be grateful to you.

-Yeah. And I'm sure she is.

But my wife died ten years ago.

Mr Waller, I'm your consultant surgeon.

Family counselling is out of my remit, I'm afraid.

But I would say that perhaps you've answered your own question.

-MOBILE VIBRATES

-Excuse me.

-Have you got five minutes?

-Certainly.

Forgive me if I'm wrong, but I'd expect you to be happy right about now.

Yeah, I'm going to go and tell him that he's got Crohn's disease

-and I've got top marks.

-Hey, Petrenko. Don't feel guilty.

I know what you've been through and you have earned this.

Never doubt that.

Dyakuyu.

-I know you and I've not always seen eye...

-Could we skip the preamble, Mr Douglas?

-She's making a huge mistake.

-That's your opinion.

-Oh, come on!

-Mind your tone, please.

You brought her here, you gave her CTU,

everyone knows you've been controlling her career

for the last 20 years, so why are you letting her do this?

I am not letting her do anything.

She's chosen to leave for personal reasons.

I don't pretend to understand them, but we must respect them, must we not?

Why are you taking such an interest?

Sahira's my friend. I respect her.

But not enough to trust her to make her own decisions?

You don't want her to leave any more than I do.

I'm not entirely sure what you expect me to do, Mr Douglas.

I expect you to do whatever it takes.

I'd half-suspected it might be Crohn's,

but managed to convince myself it was just bad eating and too much caffeine.

Yeah, you can convince yourself of anything if you try hard enough.

-So how did it go with Hanssen?

-Fine. I didn't fail after all.

-Good.

-I'm really pleased for you.

-And you?

Didn't quite cut it.

-Looks like I might have to do my F1 again.

-I'm sorry.

Not that it makes much difference now.

-So what's your next rotation?

-I don't know. Look...

I know you might not see anything positive in this right now.

But I'm the one who knows everything about second chances.

It's just a minor setback. You can come back bigger and better.

-Maybe I'll do my rotation here.

-Yeah.

Come back in a year when I'm a CT1.

I know how much you enjoy a scary Ukrainian woman

barking orders at you.

-And next time I'll try to remember your name.

-Good.

It's Dr Frieda Petrenko.

Remember that.

Thank you again, Sir Fraser. It was an extremely flattering offer.

But I'm afraid it's going to be a no.

I've never believed in leaving a job half-finished. Bye for now.

Anna? This is Henrik Hanssen. I have an urgent request, please.

How are you feeling? Your temperature's dropped.

-The antibiotics are kicking in.

-I'm feeling much better, thank you.

I'm afraid I've been rather aggressive and rude all day.

-Not at all.

-Will you apologise to Mr Levy for me?

-Sure.

-I think I've been taking out my guilt on all of you.

-Guilt for what?

It's a tricky business breeding horses. You can't cheat.

Unless a horse is conceived by the witnessed natural mating

of a stallion and a mare,

-the Jockey Club won't let you register the foal as a thoroughbred.

-And that's where the money is?

Mmm. Niven is the most beautiful stallion I have ever had,

but he's, shall we say, a reluctant performer.

You can lead a horse to water...

If he can't prove himself, then his stud fee will be non-existent,

and it won't even be worth my while to keep him financially. It's my livelihood.

We're past oestrus now, but I've had a mare under heat lamps

to prolong her season and this morning we were trying to force him.

-Ah, and that's when he kicked off?

-Poor old Niven.

-How is he, by the way?

-Oh, he's fine, panic over.

The vet says it's a mild fracture.

Well, that is good news.

I've learnt my lesson. You can't fight nature, can you?

Have you spoken to him?

It's going to be so weird.

This has been our life for so long, me and him.

Auditions. Jobs. Work.

I'm not even sure who I am without it.

I guess you're about to find out.

Your father is going to need you over the next few weeks.

Months, even.

Be nice to have a chance to look after him for once.

Thank you. And will you thank Mr Hanssen for me too?

Sure.

-Hey, Mr Hamilton! Nice day at the office?

-I've had better.

Yeah, must've been a bit cosy, but, still,

you managed to front it out.

I apologise for snapping earlier. It was uncalled for.

It's cool.

You know, I was just heading down to the pub for a pint. Don't suppose you...?

-I don't think so.

-All right, well, if you change your mind...

-Thanks.

-Your shift's almost over.

-Yep.

I don't believe you're really going to go.

-Well, let's just pretend that I'm not.

-Why?

That way we won't have to go through the...

-awful, awkward goodbyes.

-Good.

Cos I'm still trying to get over the last one.

Right, so tonight is like any other night

and I shall be back here tomorrow morning, same as ever.

-I'll see you tomorrow then.

-I shall see you tomorrow.

Sahira...

MOBILE RINGS

Hi, darling.

Ah, I was just popping up to say goodbye.

-Sorry we haven't had a chance to organise...

-I've just spoken to Rafi.

-Everything in place for Nottingham?

-This is your doing!

-I'm sorry? What is?

I know it's you. The fact that Rafi's just been offered another anaesthetist job

out of the blue with a higher pay grade than Nottingham -

-I'm supposed to believe that that's just a coincidence?

-I don't know. Where's the offer from?

-Henrik!

It's not too late for you to change your mind about leaving, by the way.

-I've arranged a locum to cover you short term.

-What makes you think I changed my mind?

I was just availing you of the options. I suppose if your husband's offer

-is from a hospital in Truro, or Shetland...

-You know very well where it's from.

-It's from Holby General.

-Really?

That's a happy coincidence, isn't it? I had no idea.

Enjoy the holiday. See you in a few weeks.

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