0:00:39 > 0:00:41Please...don't go.
0:00:41 > 0:00:45- Why are you taking such an interest? - Sahira's my friend, I respect her.
0:00:45 > 0:00:50I don't want a different life. I want what I have. My family, my friends, my career.
0:00:50 > 0:00:52You can still have those things. It's not the '50s, Dan.
0:00:52 > 0:00:55- So how did the charity sale go?- Er...
0:00:55 > 0:00:58Did you think I wouldn't notice the boxes in the staff room?
0:00:58 > 0:00:59Erm, I-I'll get rid of them.
0:00:59 > 0:01:02I'm not sure what you expect me to do, Mr Douglas.
0:01:02 > 0:01:04I expect you to do whatever it takes.
0:01:04 > 0:01:06You are shafting me for the new girl!
0:01:06 > 0:01:10This appointment will be made on how well you match these magic bullets.
0:01:10 > 0:01:13- So if I apply for clinical lead? - May the best man win.
0:01:24 > 0:01:27- Just check if the boys are OK? - They're fine. We saw them 20 minutes ago.
0:01:27 > 0:01:31- BLEEPER - Yeah, you're right.
0:01:31 > 0:01:33Ah, CTU.
0:01:33 > 0:01:34I'll have to join you later.
0:01:34 > 0:01:38Now, you play nice with the other kids, OK?
0:01:49 > 0:01:54Sternal wire removal, leg re-suturing after bypass...
0:01:54 > 0:01:55No problem.
0:01:55 > 0:01:59- ..debridement of sternum, vacuum dressing.- My favourites.
0:01:59 > 0:02:01- OK, what's wrong?- Nothing. Why?
0:02:01 > 0:02:04You seem... What is that word? I always forget it. Happy!
0:02:04 > 0:02:07- Do I?- Is there something you want to talk about?- No.
0:02:11 > 0:02:16Hello, psych? I have a registrar on Darwin showing symptoms of acute happiness.
0:02:16 > 0:02:18- Can you send someone down? - I'm in a good mood.
0:02:18 > 0:02:22Well, pack it in, will you? It's no fun torturing you with tedious work
0:02:22 > 0:02:24if you actually like it.
0:02:25 > 0:02:29Morning. I'm Dr Raza, the new anaesthetist.
0:02:29 > 0:02:33- You happy about that?- Absolutely. - Good man. Nothing wrong with being happy, is there?
0:02:33 > 0:02:37BEAT MUSIC PLAYS
0:03:13 > 0:03:15I'm just...testing it out.
0:03:25 > 0:03:30- What are you doing? - Not so loud. What time is it?
0:03:30 > 0:03:34- Time you got up.- OK. Just...keep it down, though, yeah?- Explain.
0:03:34 > 0:03:38Night out with the boys... Got a bit out of hand.
0:03:39 > 0:03:41- You should tag along sometime. - I don't think so.
0:03:41 > 0:03:45By the time it was winding down there was no point in me going home.
0:03:45 > 0:03:49- So you thought you'd crash behind Mr Griffin's desk?- Mm.
0:03:49 > 0:03:53- Don't worry. He's not in today. - You're lucky it's me that found you.
0:03:53 > 0:03:55Who died and made you king?
0:03:55 > 0:03:59With Mr Griffin away, it's my responsibility to make sure the ward runs smoothly.
0:03:59 > 0:04:02A bone-cracker in charge of a GS ward? Please(!)
0:04:02 > 0:04:05Right now, I'd say I was the more responsible one, wouldn't you?
0:04:05 > 0:04:10Looks are deceiving, my friend. Once this bag is empty, I'm ready to rock and roll.
0:04:10 > 0:04:12Once that bag's empty...
0:04:12 > 0:04:14..I'll have finished my rounds.
0:04:21 > 0:04:23- Kate, have you seen Miss Shah yet? - No, sorry.
0:04:25 > 0:04:26How's it going?
0:04:26 > 0:04:29Fine. No problems.
0:04:29 > 0:04:32- So, James, is it? - Only if you're my mum.
0:04:32 > 0:04:34OK, Jim, then?
0:04:34 > 0:04:38Atrial septal defect, ostium secundum. Simple patch-and-go.
0:04:38 > 0:04:43- He's had his bloods, echo, MRI and a chest X-ray...- But no cake.
0:04:43 > 0:04:44I WAS promised cake.
0:04:44 > 0:04:48No respiratory problems, allergies
0:04:48 > 0:04:50or history of reactivity to anaesthesia.
0:04:50 > 0:04:54- He understands the procedure... - You'll rip open my chest and stick a plug in my heart.
0:04:54 > 0:04:57My work here is done. Your parents here?
0:04:57 > 0:05:00- Not yet.- It's fine. I'm sure they'll get here.
0:05:00 > 0:05:05- You're not scheduled for another couple of hours so... - I thought I was going in now.
0:05:05 > 0:05:08- I'd like to go in as soon as. - I'm sure you would but...
0:05:08 > 0:05:11the schedule is, er, pretty fixed, I'm afraid.
0:05:11 > 0:05:15But don't worry, we'll get you sorted out. I'll see you as soon as...
0:05:17 > 0:05:21- I don't understand why you flaunt it.- Never had any complaints before.
0:05:21 > 0:05:26- It hardly instils confidence. - Do you know how many of our patients have tattoos these days?
0:05:26 > 0:05:29All I'm saying is, you don't see your average consultant with one.
0:05:29 > 0:05:31I'm not your average anything.
0:05:32 > 0:05:36Hey! Madame Petrenko! What brings you up here?
0:05:36 > 0:05:39First day as an F2 assigned to Keller.
0:05:39 > 0:05:42- Who is my clinical supervisor? - You can come along with me.
0:05:42 > 0:05:44Oh? Why you?
0:05:44 > 0:05:47Well, no offence, but it's going to be a consultant, right?
0:05:47 > 0:05:50Frieda? Shall we?
0:06:02 > 0:06:04Hey.
0:06:04 > 0:06:05Hey.
0:06:07 > 0:06:08So, you came back.
0:06:08 > 0:06:10Yeah.
0:06:10 > 0:06:12Well, it's great to see you.
0:06:12 > 0:06:13Thanks.
0:06:15 > 0:06:16How come you changed your mind?
0:06:16 > 0:06:20You know. Change of circumstances.
0:06:20 > 0:06:23- I put you in a few theatre slots. - I saw.
0:06:24 > 0:06:27I thought we'd agreed to keep our distance.
0:06:28 > 0:06:32- We're not allowed to work with each other, is that it?- No, it's just...
0:06:32 > 0:06:34What?
0:06:36 > 0:06:37Hey.
0:06:38 > 0:06:41- Have you two met? - Yeah, but not formally.
0:06:41 > 0:06:44- Yeah... Greg Douglas.- Rafi.
0:06:44 > 0:06:46Good to meet you.
0:06:48 > 0:06:49You two...
0:06:50 > 0:06:52I just wanted to say welcome back. I'd better...
0:06:54 > 0:06:56- Good to see you.- See you later.
0:06:59 > 0:07:02So, good to see me in scrubs again?
0:07:07 > 0:07:11As you can see, like AAU, a huge amount of ortho work is diagnostic.
0:07:11 > 0:07:16Many of our patients are in great pain so we need them to trust us as quickly as possible.
0:07:16 > 0:07:20And you do that by being completely professional and...
0:07:20 > 0:07:22as unthreatening as possible.
0:07:22 > 0:07:23Have you, um...
0:07:24 > 0:07:27..thought about reconsidering your make-up choices?
0:07:28 > 0:07:29No.
0:07:30 > 0:07:34Fine. Maybe just consider...toning it down a little?
0:07:34 > 0:07:36It's not going to happen.
0:07:36 > 0:07:39It just sets a more professional tone, that's all.
0:07:39 > 0:07:41Mystery solved. Email just came through.
0:07:41 > 0:07:45- Hanssen has assigned me as your supervisor.- Great!
0:07:45 > 0:07:47That's an odd decision.
0:07:47 > 0:07:51Mm. A lowly registrar trumps a consultant. The skies will fall.
0:07:51 > 0:07:54Erm, probably for the best. Malick and I have worked together before on AAU.
0:07:54 > 0:07:57All the more reason to get a fresh perspective,
0:07:57 > 0:08:02one that offers more practical professionalism rather than over-the-top grandstanding.
0:08:02 > 0:08:04Flair, style, charisma. Alien concept to you, right?
0:08:04 > 0:08:08- Just saying, your approach isn't everyone's... - Your approach isn't anyone's.
0:08:08 > 0:08:11- Er, listen, if Hanssen says.. - Never mind Hanssen.
0:08:11 > 0:08:15Come on, Frieda. You've been on AAU with Malick before.
0:08:15 > 0:08:18Let me show you where the real fun's to be had, hmm?
0:08:18 > 0:08:19Hmm.
0:08:23 > 0:08:26- Right, what have we got?- It's a pretty quiet morning, actually.
0:08:26 > 0:08:30- You take some blood and I'll take some blood! - Apart from her, obviously.
0:08:30 > 0:08:35Possible concussion. She fainted whist auditioning for some TV talent show.
0:08:36 > 0:08:38What have you been up to?
0:08:38 > 0:08:39When?
0:08:39 > 0:08:42I saw you this morning in the corridor acting shifty.
0:08:42 > 0:08:44- How was the interview?- A formality.
0:08:48 > 0:08:50MOBILE RINGS
0:08:50 > 0:08:54- Could you turn that off, please? - Might be them ringing to see where I am.- Off.
0:08:54 > 0:08:57- Thank you. - You're seriously doing my head in.
0:08:59 > 0:09:01Let's start her on a slow IV and keep her under obs.
0:09:01 > 0:09:04- So, how was the interview? - Er, fine, thanks.
0:09:04 > 0:09:07- I guess we'll know when we know, right?- I-I guess.
0:09:20 > 0:09:23You didn't even have the nerve to say it to my face.
0:09:23 > 0:09:27Human Resources error, I'm afraid. My apologies. I hope you're not too disappointed.
0:09:27 > 0:09:32- What? That I didn't get a job I clearly deserve?- Miss Broadhurst is the right person for the post.
0:09:32 > 0:09:36She's more than qualified, efficient, personable, competent...
0:09:36 > 0:09:38- It sounds like I'm NOT. - Believe it or not - thank you -
0:09:38 > 0:09:41Miss Broadhurst's appointment is for the good of the department.
0:09:41 > 0:09:45- All right, so where does this leave me? - I'd like you to stay on AAU, please.
0:09:45 > 0:09:51Miss Broadhurst has some interesting ideas about overhauling our systems and I'd like to see them implemented.
0:09:51 > 0:09:55- I didn't come back to be sidelined. - I think your inside knowledge may prove an asset, don't you?
0:09:55 > 0:10:00Meanwhile, perhaps you should have a word with HR. Their tardiness has caused some embarrassment.
0:10:06 > 0:10:08- You've got to be kidding me.- Nope.
0:10:08 > 0:10:11- Her husband?- Yup.- On Darwin? - In the flesh.
0:10:11 > 0:10:13Oh, this is too good.
0:10:13 > 0:10:17I'm going to have to sell tickets to this car crash.
0:10:17 > 0:10:19- Are you still happy? - Delirious.
0:10:21 > 0:10:22Ooh, here they come.
0:10:24 > 0:10:30- You're not in theatre?- No. My patient had the bad manners to die of natural causes two days ago
0:10:30 > 0:10:34- and the family only just rang. - There's a slot free?- Unless you know a way of raising the dead.
0:10:34 > 0:10:36Have you met Rafi?
0:10:36 > 0:10:40- Ah! Heard almost nothing about you. - Ah, so you're Ms Naylor.
0:10:40 > 0:10:43- My reputation precedes me. - It's on your name tag.
0:10:49 > 0:10:52- You still want to go early?- Yeah.
0:10:52 > 0:10:54Is that OK? I thought the schedule was fixed?
0:10:54 > 0:11:00A slot's just opened up. You want to be in theatre and right now, so do I. You up for it?
0:11:00 > 0:11:02Let's just get going, please.
0:11:02 > 0:11:03Sign here.
0:11:07 > 0:11:09We'll go in a few minutes, OK?
0:11:18 > 0:11:20You're taking Jim Wilson into theatre now?
0:11:20 > 0:11:25- Don't want him getting too agitated with all this hanging around. You coming?- Lead the way, sir.
0:11:30 > 0:11:32What?!
0:11:32 > 0:11:33Nothing.
0:11:45 > 0:11:49- You'd reworked the schedule.- Just keeping my distance, like you asked.
0:11:49 > 0:11:51So you're not...angry with me?
0:11:51 > 0:11:54- Why would I be?- Because I should've told you and I didn't.
0:11:54 > 0:11:56It's fine.
0:11:57 > 0:12:00You know, Hanssen offered him the job.
0:12:00 > 0:12:02It had nothing to do with me.
0:12:02 > 0:12:04- Hanssen?- Who else?
0:12:06 > 0:12:08Better get in there.
0:12:18 > 0:12:21Wait for the muscle spasm to relax,
0:12:21 > 0:12:25rotate the arm out till it reaches 35 degrees.
0:12:27 > 0:12:30- All in one! Simple, right?- Got it.
0:12:30 > 0:12:33So now we take it out and I put it back in again.
0:12:34 > 0:12:35Kidding.
0:12:36 > 0:12:37OK.
0:12:38 > 0:12:43So much for the demonstrations. Let's move on to the more hands-on stuff. Broad-arm sling, please.
0:12:49 > 0:12:53Morning, Mr Davis. So when did the swelling start?
0:12:54 > 0:12:58- I don't know. Few days ago, I guess. - You really walked in on that?
0:12:58 > 0:13:00Ambulances are for sick people.
0:13:01 > 0:13:03I've got a sore knee.
0:13:03 > 0:13:06So, Dr Petrenko, thoughts?
0:13:07 > 0:13:10- What are you doing? - I need to feel to see.
0:13:10 > 0:13:12She's a doctor?
0:13:15 > 0:13:18OK, ready when you are.
0:13:18 > 0:13:21Great, thanks, Rafi. Scalpel.
0:13:22 > 0:13:25So, how were your two weeks in Jamaica?
0:13:25 > 0:13:29Sahira's the sun-worshipper. Me, I'm all about the winter sports.
0:13:29 > 0:13:31Chalk and cheese, then?
0:13:31 > 0:13:34Or "opposites attract".
0:13:35 > 0:13:36Yeah.
0:13:36 > 0:13:39- Great timing.- What's that?
0:13:39 > 0:13:42I heard you were about to pack up off to Nottingham.
0:13:42 > 0:13:44Then a job opens up here.
0:13:44 > 0:13:45Stroke of luck.
0:13:45 > 0:13:47Yeah, it was.
0:13:52 > 0:13:53Great.
0:13:53 > 0:13:57So some kind of infection, possibly in the knee, possibly not.
0:13:57 > 0:13:59Good. So?
0:13:59 > 0:14:02So we start IV antibiotic and aspirate the knee in a...
0:14:02 > 0:14:06Moving a little fast there. Let's not jump into treatment till we know what we're dealing with.
0:14:06 > 0:14:11- But if we wait the infection could cause further damage. - And if we treat without diagnosis,
0:14:11 > 0:14:15- WE could cause damage.- I still think we should...- Are you a student?
0:14:16 > 0:14:18No. I'm an F2.
0:14:18 > 0:14:20Foundation Year 2.
0:14:20 > 0:14:26- Then he's your boss, right? - Not so much a boss, Mr Davies. More a benevolent god.
0:14:26 > 0:14:29Either way, he outranks you, love. So what he says goes, right?
0:14:29 > 0:14:32It's your knee...love(!)
0:14:32 > 0:14:36Fine. We'll take some blood, do an MRI so we know what we're dealing with.
0:14:36 > 0:14:39Don't worry, we'll have you back on your feet in no time.
0:14:39 > 0:14:43Yeah, well, that'd be great. I've got a fitness test coming up for the Paras.
0:14:43 > 0:14:45I've been out for a little while.
0:14:46 > 0:14:50- We'll come back to you when we know more.- Thanks, doc.
0:14:50 > 0:14:52I appreciate it.
0:14:54 > 0:14:59Perfect example. A more...professional approach would've put him at ease.
0:14:59 > 0:15:04What do you mean? I was professional. I AM professional.
0:15:04 > 0:15:08I mean your look might've been a bit off-putting, that's all, to him.
0:15:08 > 0:15:11Look, I need to be in theatre. You'll run those tests?
0:15:11 > 0:15:14Yeah, do you think they'll let me in to the lab...like this?
0:15:16 > 0:15:18- Congratulations.- Thank you.
0:15:18 > 0:15:23- I hope there are no hard feelings. - You wanted to see me.- Take a seat.
0:15:23 > 0:15:27- So how's it going? - Slowly but surely. I can't believe how antiquated this rota system is.
0:15:27 > 0:15:30And yet, strangely, somehow it works.
0:15:30 > 0:15:32They might as well use carrier pigeons
0:15:32 > 0:15:36Well, you'll be happy to know that we're on top of throughput.
0:15:36 > 0:15:38Six discharges in the last half hour.
0:15:38 > 0:15:40That's why I wanted to see you.
0:15:40 > 0:15:43I've been talking to Mr Hanssen
0:15:43 > 0:15:48and I think it would be a good idea to appoint a second lead.
0:15:48 > 0:15:52Double that throughput by means of a cascade, if you will.
0:15:52 > 0:15:54Really? Like a second-in-command?
0:15:54 > 0:15:57- Yeah.- Job's not getting too tough for you already, is it?
0:15:57 > 0:15:59New department, new structure.
0:15:59 > 0:16:04The patient throughput is only going to increase exponentially, we need to re-group accordingly.
0:16:04 > 0:16:05Couldn't agree more.
0:16:05 > 0:16:08- That's great, because... - Good luck with that.
0:16:08 > 0:16:09What do you mean?
0:16:09 > 0:16:12You'll need to find someone who's happy to play second fiddle.
0:16:12 > 0:16:16- Not many consultants fit that profile. - That's not what it is...- Look...
0:16:16 > 0:16:19I did a DOS job-share before you even heard of this hospital.
0:16:19 > 0:16:21Sometimes it does not take two to tango.
0:16:21 > 0:16:23I'll take that as a no, shall I?
0:16:34 > 0:16:354-0 Prolene with pledget.
0:16:39 > 0:16:40So...
0:16:40 > 0:16:43have you been away from work for long?
0:16:43 > 0:16:45About a year and a half.
0:16:47 > 0:16:50Doing the whole house husband thing?
0:16:50 > 0:16:52Yep.
0:16:52 > 0:16:54Good for you.
0:16:54 > 0:16:58You didn't feel a bit...
0:16:58 > 0:17:00Emasculated?
0:17:00 > 0:17:02No.
0:17:02 > 0:17:03I loved it.
0:17:03 > 0:17:05Great.
0:17:05 > 0:17:08You met Jac, then?
0:17:08 > 0:17:11She seems like a pussycat. I don't know what Sahira's going on about.
0:17:11 > 0:17:13Dread to think what she's said about me.
0:17:13 > 0:17:16I can't say she's ever mentioned you, actually.
0:17:19 > 0:17:21Right. Patch is in place.
0:17:33 > 0:17:35- Excuse me?- Yes.
0:17:35 > 0:17:36We're looking for our son, Jim.
0:17:36 > 0:17:38James Wilson.
0:17:38 > 0:17:40He's having surgery today.
0:17:40 > 0:17:42James Wilson.
0:17:42 > 0:17:45Oh, yes. He's in theatre, right now actually.
0:17:45 > 0:17:47- Now?- He's not due in for another hour.
0:17:47 > 0:17:50- Well, he is in there. - Who agreed to that?
0:17:50 > 0:17:52Why weren't we informed?
0:17:55 > 0:17:59OK, the heart is closed.
0:17:59 > 0:18:00Thank you, Mr Douglas.
0:18:04 > 0:18:07Who consented for this procedure?
0:18:07 > 0:18:09The patient. Why?
0:18:09 > 0:18:12His parents have just arrived. How old is he?
0:18:12 > 0:18:17- 16.- And you assessed he was competent to sign his own consent?
0:18:17 > 0:18:20Yes. I did.
0:18:20 > 0:18:21Problem?
0:18:21 > 0:18:25No. No, your patient, your call.
0:18:25 > 0:18:27You won't mind explaining that to his parents, though?
0:18:27 > 0:18:31Let me get my hands out of their son's chest
0:18:31 > 0:18:34and I'll pop right out for a chat. OK?
0:18:40 > 0:18:43- I'm just going to get my lunch. - I'm free, I'll go with you.
0:18:43 > 0:18:46- We can go to the all-you-can-eat place.- Ah, no.
0:18:46 > 0:18:48I've already got mine.
0:18:48 > 0:18:49Chrissie made it for me.
0:18:49 > 0:18:51What have you got?
0:18:51 > 0:18:53Er...Tuna Nicoise.
0:18:53 > 0:18:56It's all right. I'll just grab something and sit with you.
0:18:56 > 0:18:58That'd be nice.
0:18:58 > 0:19:01But actually, I wouldn't mind a bit of "me" time. Maybe another day.
0:19:13 > 0:19:15HE COUGHS
0:19:29 > 0:19:31Are you OK?
0:19:31 > 0:19:33- Fine, thanks. - You don't look OK.
0:19:33 > 0:19:37- You don't need to worry about me, love.- It's my job...love.
0:19:41 > 0:19:42All-time record temperature.
0:19:42 > 0:19:45You keep that up, I will have to treat that knee.
0:19:45 > 0:19:46I don't feel so bad, honestly.
0:19:46 > 0:19:48Seriously?
0:19:48 > 0:19:50Seriously - no.
0:19:50 > 0:19:54I'll wait for your boss to get back, thanks, Elvira.
0:19:55 > 0:20:01My name, hello, is Dr Petrenko.
0:20:01 > 0:20:04And I'm Sergeant Howard Davies and I'm telling you to back off, OK?
0:20:23 > 0:20:24Beating.
0:20:24 > 0:20:28OK. Coming off the bypass.
0:20:32 > 0:20:35Nice flying with you, Dr Raza.
0:20:35 > 0:20:37Likewise.
0:20:37 > 0:20:40Administering protamine.
0:20:44 > 0:20:47MONITORS BLEEP
0:20:47 > 0:20:50- He's bradycardic. Is he connected to the ventilator?- Of course.
0:20:50 > 0:20:52Let's start hand-bagging him.
0:20:52 > 0:20:56- His pressure's very high. I'm on 100% FI02.- Pulmonary oedema?
0:20:56 > 0:20:59- I don't know. - Get him back on bypass - now.
0:20:59 > 0:21:03- Thank you. Ah, Ms Shah, welcome back.- Thank you.
0:21:03 > 0:21:06- Dr Raza settling in well? - Yes. He's fine.
0:21:06 > 0:21:09He's in Darwin 1 with Mr Douglas as we speak.
0:21:09 > 0:21:13Is he? Well, I'm sure they'll get along famously.
0:21:13 > 0:21:15Absolutely.
0:21:15 > 0:21:16Very well.
0:21:23 > 0:21:27- You're sure you didn't disconnect him from the ventilator? - Did you hear an alarm?- No.
0:21:27 > 0:21:30Then he was ventilated. Look - pulmonary oedema.
0:21:30 > 0:21:31Did you give him something?
0:21:31 > 0:21:35- I gave him lots of things! - Blood?- He didn't need it.
0:21:35 > 0:21:39- An allergic reaction. - Possibly the protamine, but he doesn't have any allergies.
0:21:39 > 0:21:44Well, clearly he does, because he's just gone into anaphylactic shock.
0:21:44 > 0:21:46OK, look, let me bring him off bypass slowly,
0:21:46 > 0:21:49this time without the protamine, and get him up to ITU.
0:21:50 > 0:21:52Fine.
0:21:52 > 0:21:55I'll go and speak to his parents.
0:22:04 > 0:22:07Mr Hamilton is in theatre. I can't get hold of him, he's ignoring me.
0:22:07 > 0:22:10The labs are backed up, it'll be an hour at least,
0:22:10 > 0:22:11and the soldier is getting worse.
0:22:11 > 0:22:14What makes you think it's septic arthritis?
0:22:14 > 0:22:18Look at him. His temperature is through roof, he's tachycardic.
0:22:18 > 0:22:20No-one reacts like that to just a sore knee.
0:22:20 > 0:22:24OK. Well, if you were on the AAU and he was your patient,
0:22:24 > 0:22:25what would you do?
0:22:25 > 0:22:28I wouldn't hesitate. I'd make the call.
0:22:29 > 0:22:31Then make the call.
0:22:40 > 0:22:43Bed seven - happy, hourly obs. Bed six has been moved to Keller.
0:22:43 > 0:22:44Bed five is waiting on meds
0:22:44 > 0:22:47and bed three is free to go when his prescription arrives.
0:22:47 > 0:22:49New arrival from the ED in five minutes,
0:22:49 > 0:22:51I suggest we put him in bed two.
0:22:51 > 0:22:55"Thank you, Nurse McKee." Oh, you're very welcome, Mr Spence.
0:22:55 > 0:22:59Hourly obs on seven, let's check the meds on five and when three comes in, I'll do the work.
0:22:59 > 0:23:03- Is there an echo here?- Thanks. - Looks like you've got everything under control.
0:23:03 > 0:23:08- Yep. AAU. Michael Spence. - I'm still here, you know?
0:23:08 > 0:23:12Yes, bed four, we haven't forgotten about you. Just wait a little longer
0:23:12 > 0:23:15- and I promise you'll be out of here. - I'd better be.
0:23:15 > 0:23:19You want to take credit for the work, why don't you try doing some?
0:23:31 > 0:23:35- Mr and Mrs Wilson?- Yes? - This is Mr Douglas. He...
0:23:35 > 0:23:37- I operated on Jim. - Is something wrong?
0:23:37 > 0:23:41The operation to repair the hole in his heart went absolutely fine,
0:23:41 > 0:23:43but as we took him off heart bypass,
0:23:43 > 0:23:46he had some kind of reaction - his lungs filled with fluid.
0:23:46 > 0:23:50- What caused it? - We can't say for sure yet.
0:23:50 > 0:23:52It could be any number of things -
0:23:52 > 0:23:55blood pressure or an allergy. We're not sure.
0:23:55 > 0:23:59He's not allergic to any drugs. Not that I'm aware of.
0:23:59 > 0:24:02- He's allergic to seafood. - That wouldn't be it, would it?
0:24:02 > 0:24:06It might give us something to go on. He's being moved to ITU now.
0:24:06 > 0:24:09- Is he going to be OK?- He'll be fine.
0:24:09 > 0:24:12We'll let you know as soon as you can see him.
0:24:14 > 0:24:15Excuse me.
0:24:17 > 0:24:18Greg.
0:24:26 > 0:24:27What's happening?
0:24:27 > 0:24:32I am going to drain some liquid from your knee to confirm infection.
0:24:32 > 0:24:34- Where's Mr Hamilton? - Mr Hamilton is in the theatre.
0:24:34 > 0:24:38- It's OK. Mr Malick signed it off. - I'm not happy about this.
0:24:38 > 0:24:41Do you want some help with pain?
0:24:43 > 0:24:44Is that necessary?
0:24:44 > 0:24:48- A big tough guy like you? - I don't like them, OK?
0:24:48 > 0:24:51I want to wait for Mr Hamilton.
0:24:51 > 0:24:57If I don't do this now and I mean right now, you might lose your leg.
0:24:57 > 0:24:59Do you understand?
0:25:03 > 0:25:07# I'm on the edge of glory
0:25:07 > 0:25:10# And I'm hanging on a moment of truth
0:25:10 > 0:25:14# Out on the edge of glory... #
0:25:14 > 0:25:17OK, no concussion. Your BP's back to normal so you are free to go.
0:25:17 > 0:25:18Yes! Finally!
0:25:18 > 0:25:20Go. Be a star.
0:25:20 > 0:25:21One hour to go.
0:25:21 > 0:25:24I can still make it. No thanks to you.
0:25:24 > 0:25:29Hey. I admire your ambition, I really do.
0:25:29 > 0:25:32But you know it's never really about talent, right?
0:25:32 > 0:25:36The winners of these shows, they have one hit then disappear?
0:25:36 > 0:25:38So what? They get noticed, don't they?
0:25:38 > 0:25:41Everyone knows who they are. People scream at them in the streets.
0:25:41 > 0:25:44I've just got to prove I'm better than anyone else.
0:25:47 > 0:25:50Nurse, she's good to go.
0:25:56 > 0:26:00- James!- He's still very groggy. He won't be able to talk for a while.
0:26:10 > 0:26:12So, what happens next?
0:26:12 > 0:26:17We need to watch him closely now to see how he responds to the drugs.
0:26:17 > 0:26:20We'll see if the bleeding clots within the next hour.
0:26:20 > 0:26:22- Do you know what caused this? - We're trying to find out.
0:26:22 > 0:26:27Mr Douglas? Dr Raza? My office. Now.
0:26:40 > 0:26:43There you go. You're doing good.
0:26:48 > 0:26:52So, soldier boy, have you seen a lot of action?
0:26:52 > 0:26:57My fair share. Kosovo, Iraq, Afghanistan.
0:26:59 > 0:27:02- Do you like that kind of life? - Yeah, course. Why wouldn't I?
0:27:02 > 0:27:06- Go on, then. Ask me.- Ask you what?
0:27:06 > 0:27:11- If I've killed anybody. That's what people always want to know.- I don't.
0:27:11 > 0:27:14I work in medicine. We kill people all the time.
0:27:21 > 0:27:23There you go. That wasn't so bad.
0:27:23 > 0:27:26And now, we will see...
0:27:29 > 0:27:34- What is it?- Nothing. I just need to do it again.
0:27:38 > 0:27:40Ow!
0:27:40 > 0:27:41What's happening?
0:27:41 > 0:27:45- It won't be a second.- Ow!
0:27:46 > 0:27:51- This is all yours. - Hey, right on time.
0:27:51 > 0:27:55Always. Like a well-oiled Swiss watch.
0:27:55 > 0:27:58So, how's it going with Lady Petrenko?
0:27:58 > 0:28:02You think she's converted to the exciting ways of the orthopod?
0:28:02 > 0:28:05She's seeing the benefits of an ordered, straightforward approach
0:28:05 > 0:28:09- to dealing with patients, if that's what you mean.- You say potato.
0:28:09 > 0:28:11My patients, my mentee.
0:28:11 > 0:28:14Look, whatever. All I'm trying to say is,
0:28:14 > 0:28:17Petrenko's a lone wolf. She works well on her own.
0:28:17 > 0:28:21You need to let her express herself a bit. Give her some learning room.
0:28:21 > 0:28:25I think I know what's best for the students in my care.
0:28:25 > 0:28:27But thanks for all the advice.
0:28:29 > 0:28:31Any time.
0:28:34 > 0:28:37The procedure was fine. He was ventilated and off bypass.
0:28:37 > 0:28:40I administered protamine to reverse the heparin.
0:28:40 > 0:28:44- That's when all hell broke loose. - He went into pulmonary oedema.
0:28:44 > 0:28:45Due to an allergic reaction?
0:28:45 > 0:28:48- James told me he had no allergies. - So?
0:28:48 > 0:28:51His parents say he's allergic to seafood.
0:28:51 > 0:28:55Protamine is a fish derivative. It caused the anaphylactic shock.
0:28:55 > 0:28:59- I'm aware what protamine does. Are you?- I asked him specifically - do you have allergies?
0:28:59 > 0:29:02- And he said no.- Then, either he lied to you or he's an idiot.
0:29:02 > 0:29:04- He's not an idiot. - Then someone's lying.
0:29:08 > 0:29:10What's his condition now?
0:29:10 > 0:29:13- He's stable...- No protamine, no reversal of the heparin.
0:29:13 > 0:29:14- So, he could bleed out?- Yeah.
0:29:16 > 0:29:18SHE SIGHS
0:29:18 > 0:29:22I'm going into theatre. When I come out, I want someone to blame.
0:29:22 > 0:29:25I want that kid turning cartwheels. Are we clear?
0:29:33 > 0:29:35- Rafi?- Not now.
0:29:46 > 0:29:49I asked you to stop. Now, stop. I'm warning you.
0:29:49 > 0:29:51It's OK. I'm going to take the needle out
0:29:51 > 0:29:54- and try it again.- I said stop!
0:29:56 > 0:29:58What's going on in here?
0:29:58 > 0:30:01- I'm just trying to finish this procedure.- Get out!
0:30:01 > 0:30:04- Get this circus freak away from me. - Hold on just one second.
0:30:04 > 0:30:07- Look what she's done to me! - Mr Davies, please calm down.
0:30:08 > 0:30:10What's happening?
0:30:10 > 0:30:14His condition worsened, so I decided to aspirate the knee.
0:30:16 > 0:30:18I just don't seem to find the right spot.
0:30:18 > 0:30:22- Don't know what you're doing, more like. Bloody amateur!- All right.
0:30:22 > 0:30:24That's enough.
0:30:25 > 0:30:28So, I put the needle in, but nothing came out,
0:30:28 > 0:30:31- so I tried again and...- I see.
0:30:31 > 0:30:37Well, you've started the procedure, obviously, I'll have to finish it.
0:30:37 > 0:30:40Dr Petrenko, please carry on with your other duties.
0:30:40 > 0:30:43- But Dan...- Now, Frieda.
0:30:47 > 0:30:53- If you let that pasty-faced bitch near me one more time, I'll... - All right, that's it.
0:30:56 > 0:30:58Now, lie back and let me complete the procedure.
0:30:58 > 0:31:01Maybe we can get to the bottom of what's actually happening here.
0:31:07 > 0:31:11- Hey, how was your tuna Nicoise?- Hmmm?
0:31:11 > 0:31:16- Your lunch?- Oh, yeah, great.
0:31:16 > 0:31:22- Fishy, you know. - What's in your hand?- Nothing.
0:31:22 > 0:31:24The other hand.
0:31:25 > 0:31:27Show me.
0:31:32 > 0:31:34What is that for?
0:31:36 > 0:31:39So, it was the allergy that caused the complications?
0:31:39 > 0:31:43- Most likely, yeah. - Aren't you supposed to know about things like that?
0:31:43 > 0:31:46- James told me he didn't have any allergies.- Why would he do that?
0:31:46 > 0:31:49Perhaps he forgot.
0:31:49 > 0:31:54- I really don't know. - I still don't understand what he was doing in surgery in the first place.
0:31:54 > 0:31:58Weren't we supposed to sign a consent form or something?
0:31:58 > 0:32:03Well, Mr Douglas decided that James was competent enough to sign his own consent.
0:32:03 > 0:32:07- Without asking us.- Yes. - Well, I want to talk to Mr Douglas.
0:32:07 > 0:32:10- Dad, don't. - Darling, don't try to speak.
0:32:10 > 0:32:14It's OK, son. Don't worry. You're going to be fine.
0:32:14 > 0:32:17There's a lot of blood coming from the chest drain.
0:32:17 > 0:32:21The hydrocortisone isn't working. I asked him about allergies.
0:32:21 > 0:32:22No, I know. I know.
0:32:35 > 0:32:39- Look, it's nothing, really. - Then show me nothing.
0:32:51 > 0:32:53SHE LAUGHS
0:32:53 > 0:32:58Oh, Sacha, you've had to move underground.
0:32:58 > 0:33:00Are you keeping that?
0:33:00 > 0:33:03I've had some very formative moments in that chair,
0:33:03 > 0:33:05during the dark, lonely divorce days.
0:33:05 > 0:33:09- I just can't get rid of it. - It's not just a chair, though, is it?
0:33:09 > 0:33:12There are boxes and boxes of stuff, Sacha.
0:33:12 > 0:33:16- The house isn't that big, you know, and...- Chrissie needs space for all of her shoes.
0:33:16 > 0:33:21Look, just say, "Chrissie, darling, this is my stuff and I'm keeping it.
0:33:21 > 0:33:23"It goes, I go."
0:33:23 > 0:33:24Then I'd go.
0:33:24 > 0:33:28I thought marriage was supposed to be about honesty and openness.
0:33:28 > 0:33:31All right, Oprah! It is.
0:33:31 > 0:33:35I figure I'll just reintroduce things one at a time
0:33:35 > 0:33:39- and hope she doesn't notice. - Good luck with that.- Thank you.
0:33:41 > 0:33:44Just don't tell anyone. Pl...
0:33:45 > 0:33:49I specifically told you to wait for his test results before treatment!
0:33:49 > 0:33:52- Was there pus in the knee? - That's not the point.
0:33:52 > 0:33:56There was, right? So, he had septic arthritis,
0:33:56 > 0:33:57like I told you.
0:34:00 > 0:34:03- I take it that was your first aspiration.- Second.
0:34:03 > 0:34:07The reason nothing came out was that you missed the soft tissue
0:34:07 > 0:34:11and scraped the underside of his knee cap with the needle.
0:34:11 > 0:34:14I gave you a clear instruction which you disobeyed.
0:34:14 > 0:34:17- That's simply not how things are done.- But you were in surgery!
0:34:17 > 0:34:20And the patient was getting worse and worse.
0:34:20 > 0:34:22What am I supposed to do?
0:34:22 > 0:34:26OK, I appreciate you were putting the patient first.
0:34:26 > 0:34:28Next time...
0:34:30 > 0:34:33..make more of an effort to get my attention.
0:34:33 > 0:34:36OK, fine.
0:34:36 > 0:34:38Fine.
0:34:38 > 0:34:42Well, he'll need an arthroscopic washout and probably debridement.
0:34:42 > 0:34:47- We'll get him into theatre.- We? - Of course. No hard feelings.
0:34:47 > 0:34:49Let's get prepped.
0:34:51 > 0:34:54What do you think of his state of mind?
0:34:54 > 0:34:55Angry.
0:34:55 > 0:34:59Still doesn't justify his actions.
0:34:59 > 0:35:02James Wilson is still bleeding out and hydrocortisone isn't working.
0:35:02 > 0:35:05We'll have to take him back in. I'll need you to scrub in.
0:35:05 > 0:35:10His father wants to speak to you. Why did you rush him into theatre this morning?
0:35:10 > 0:35:13It was a routine procedure. The slot came free.
0:35:15 > 0:35:18Come on, Greg. I didn't tell you about Rafi,
0:35:18 > 0:35:21so you spat the dummy out, took me off the theatre schedule
0:35:21 > 0:35:24and moved his op, right? Tell me I'm wrong.
0:35:24 > 0:35:27- How have I become the bad guy? - This isn't Rafi's fault.
0:35:27 > 0:35:30It isn't my fault, either. I'm doing my best, OK?
0:35:30 > 0:35:33And I'm just trying to protect my husband.
0:35:36 > 0:35:39So, do you know Jones, your mouthy wannabe?
0:35:39 > 0:35:42Er, yeah, I discharged her earlier.
0:35:42 > 0:35:45And she knew about this before she left?
0:35:49 > 0:35:52- Will you...? - No, not a chance. It's your problem.
0:35:52 > 0:35:56Great. Just make sure Ms Broadhurst doesn't hear about this.
0:35:56 > 0:35:59Doesn't hear about what?
0:35:59 > 0:36:03- He wanted to go in earlier? - He was pretty insistent. - But he's only 16.
0:36:03 > 0:36:05Which is old enough to make that call.
0:36:05 > 0:36:08The anaesthetist said that James didn't tell him about his allergy.
0:36:08 > 0:36:12- Why wouldn't he say anything? - I really don't know.
0:36:13 > 0:36:17The drugs haven't stabilised him as we would have liked.
0:36:17 > 0:36:20He's bleeding internally. We're taking him back into theatre.
0:36:20 > 0:36:22- Again?- Jan, it'll be OK.
0:36:22 > 0:36:25Once he stops bleeding, he should be fine.
0:36:25 > 0:36:27- See? He'll be fine. - I warned you this morning.
0:36:27 > 0:36:29I wanted to be here first thing
0:36:29 > 0:36:33and if we had been, none of this would have happened.
0:36:33 > 0:36:34Can we not do this now?
0:36:34 > 0:36:37Why not? Embarrassed, are you?
0:36:37 > 0:36:39Just give us a minute.
0:36:43 > 0:36:48So, Dr Petrenko was right. You do have septic arthritis.
0:36:48 > 0:36:53- She's not touching me again. - I'll be performing the procedure. Your knee will be fine,
0:36:53 > 0:36:55but I'm afraid you will miss that fitness test.
0:36:55 > 0:36:58I've waited this long. What's a few more weeks?
0:36:58 > 0:37:02Howard... I tracked down your records.
0:37:02 > 0:37:05Hang on. Why would you do that?
0:37:05 > 0:37:10- Your reaction earlier was... - Completely justified under the circumstances.
0:37:10 > 0:37:12You assaulted a medical professional.
0:37:12 > 0:37:15If you so much as breathe in the wrong direction,
0:37:15 > 0:37:19I will call the police and have you charged. According to your records,
0:37:19 > 0:37:23you're not on medical leave. You were medically discharged two years ago.
0:37:23 > 0:37:27- Right. Well, that's not true.- Why would your records say otherwise? - No idea.
0:37:27 > 0:37:30I'm a serving NCO and am free to return as soon as I'm fit
0:37:30 > 0:37:34which, if you pull your finger out and fix my knee, I will be.
0:37:34 > 0:37:37- Why would you lie about something as serious as this?- Who says I'm lying?
0:37:37 > 0:37:42It's not my fault if someone's messed up my records. If you don't believe me,
0:37:42 > 0:37:45just call my wife and ask her. She'll tell you.
0:37:45 > 0:37:48I'm sorry, I tried that.
0:37:48 > 0:37:51I'm afraid she's not prepared to visit.
0:37:51 > 0:37:53She confirmed everything.
0:37:53 > 0:37:56You're no longer a serving member of the Army.
0:37:56 > 0:37:59You understand that anything you say to me
0:37:59 > 0:38:01will be in the strictest of confidence?
0:38:01 > 0:38:06- If there's anything you want to say...- I don't need a priest, I need a doctor.- Howard.
0:38:06 > 0:38:08I don't want to talk about it.
0:38:09 > 0:38:15- Of course. We'll take you into theatre in a few minutes, OK?- Fine.
0:38:19 > 0:38:23- All set?- Absolutely. - He signed a consent form?
0:38:23 > 0:38:26- Yeah, he's been tamed.- Good.
0:38:26 > 0:38:29Hey, I left the place tidy for you.
0:38:29 > 0:38:34- Makes a change. - You got something nice and exciting for Petrenko's first ortho op?
0:38:34 > 0:38:36An arthroscopic washout and debridement.
0:38:36 > 0:38:40Exciting. So, the aspiration proved you right?
0:38:40 > 0:38:42Yeah, it was septic arthritis.
0:38:42 > 0:38:46- Good call. We were right to go ahead.- I'm sorry, what?
0:38:46 > 0:38:51My girl's got killer instincts. Mind you, she learned from the best!
0:38:57 > 0:38:59Hey.
0:39:02 > 0:39:05- Where's mum and dad? - Went outside for some air.
0:39:05 > 0:39:07- How did they look?- What do you mean?
0:39:07 > 0:39:10Well, did they look like a couple?
0:39:10 > 0:39:14- Of course.- Good.- Why good?
0:39:14 > 0:39:17They've been fighting a lot lately.
0:39:20 > 0:39:23Did you tell Dr Raza about your allergy?
0:39:25 > 0:39:26Not sure. Can't remember.
0:39:26 > 0:39:30I need you to think. This is very important.
0:39:30 > 0:39:33When he asked if you had any allergies, what did you say?
0:39:33 > 0:39:36I didn't want to hold things up.
0:39:36 > 0:39:39So, you didn't tell him?
0:39:39 > 0:39:43- Didn't think it mattered. - Well, it does.
0:39:43 > 0:39:49James, you didn't... Why did you want to bring the operation forward?
0:39:49 > 0:39:52I knew they'd be late. Dad's always working.
0:39:52 > 0:39:56Figured that if they came in and saw me all laid out,
0:39:56 > 0:40:00might be a bit shocked. It would push them closer together.
0:40:00 > 0:40:04I signed you off as competent because I thought you were an intelligent,
0:40:04 > 0:40:07mature guy who could make his own decisions.
0:40:07 > 0:40:11- You should have told Dr Raza everything.- I didn't think.
0:40:11 > 0:40:12No, you didn't.
0:40:15 > 0:40:19So, Dr Petrenko, what do your killer instincts tell us
0:40:19 > 0:40:21we see on the monitor?
0:40:21 > 0:40:23It looks like lateral condyle.
0:40:23 > 0:40:26Wrong. That's the medial condyle.
0:40:28 > 0:40:30Oh, of course.
0:40:30 > 0:40:34Instinct isn't everything, then? Despite what Mr Malick says.
0:40:35 > 0:40:37I don't understand.
0:40:37 > 0:40:40You consulted with Mr Malick over my patient?
0:40:40 > 0:40:44Again, not how we do things, Dr Petrenko.
0:40:48 > 0:40:54- OK, thank you. The ED did not get her mobile number.- Home address?
0:40:54 > 0:40:59- Terrific.- I called the guys in the show. They left hours ago.
0:40:59 > 0:41:02- But did she go back? - The guy says they all look the same.
0:41:02 > 0:41:04So, how do we find her?
0:41:04 > 0:41:10- She'll figure it out for herself before too long.- Do you think that's a satisfactory outcome?
0:41:10 > 0:41:12It's a joke. What are you looking for?
0:41:12 > 0:41:16- This was a simple mistake. - Which happened because...
0:41:16 > 0:41:17Go on.
0:41:17 > 0:41:23- There's efficient throughput and there's you making a point. - So, you think I discharged her
0:41:23 > 0:41:25cos I was trying to get one over on you?
0:41:25 > 0:41:28I don't have an issue with you, Michael. It's about the work.
0:41:28 > 0:41:31It always has to be about the work.
0:41:33 > 0:41:37We've stopped the bleeding. The heparin should have worn off, so it shouldn't be a problem.
0:41:37 > 0:41:40- We know everything this time? - Of course. We're sorry.
0:41:40 > 0:41:45- Please. There's no need. Let's just get him better.- Why didn't you tell them?- Don't shout at him!
0:41:45 > 0:41:49- (I wasn't shouting.) - We'll see you in a little while.
0:41:49 > 0:41:52This the kid with the death wish? It appears you're in the clear, Dr Raza.
0:41:52 > 0:41:56- I'll take that as a grovelling apology.- Hanssen will be pleased.
0:41:56 > 0:41:59Can't have his new appointment sacked on day one.
0:42:01 > 0:42:03Greg, so your decision
0:42:03 > 0:42:07to give this kid competence and bring the surgery forwards was...?
0:42:07 > 0:42:09Not the best choice I've ever made, yeah.
0:42:09 > 0:42:11That's an understatement on a monumental scale.
0:42:11 > 0:42:15I'll leave you to play happy families.
0:42:29 > 0:42:31Great. Thanks a lot.
0:42:35 > 0:42:38Good, you're awake. The operation went well.
0:42:40 > 0:42:42Good. Thank you.
0:42:43 > 0:42:46Rest and a few physio sessions, and the knee should be OK.
0:42:46 > 0:42:49- In the meantime, can I arrange for...?- No.
0:42:49 > 0:42:53But you don't know what I was going to say.
0:42:53 > 0:42:56A psych consult, right? No, thanks.
0:42:56 > 0:43:01- We all need a little help from time to time.- I know what I need.
0:43:01 > 0:43:04I need it to be two years ago.
0:43:04 > 0:43:10Howard, I understand it must be hard to adjust.
0:43:10 > 0:43:14When you've been in an institution for a long time, you'll miss the structure.
0:43:14 > 0:43:19Everything made sense back then. Simpler, you know?
0:43:21 > 0:43:26These days I don't know what to do, don't know who I am.
0:43:26 > 0:43:30So...I kid myself.
0:43:30 > 0:43:34I kid myself I'm still in the Army.
0:43:34 > 0:43:39I'm sorry. If there's anything I can do...
0:43:39 > 0:43:42You've looked after me, doc. I appreciate that.
0:43:45 > 0:43:47I'll see you back on the ward.
0:43:52 > 0:43:56So, you deliberately told my F2 to perform a procedure I'd vetoed?
0:43:56 > 0:43:57The right procedure.
0:43:57 > 0:44:00- And if the aspiration had caused an infection? - It didn't, though, did it?
0:44:00 > 0:44:02Conveniently for you.
0:44:02 > 0:44:06- She came to me. I made the call you should have made earlier. - That's not the point!
0:44:06 > 0:44:10- What is your problem, Dan? - It was my case, my F2, my call!
0:44:10 > 0:44:13Get over it. It's done. You can cry about it or move on.
0:44:25 > 0:44:27Any luck?
0:44:27 > 0:44:29No. I got nothing.
0:44:29 > 0:44:33For all I know, Janelle Jones isn't even her real name. I am out of ideas.
0:44:39 > 0:44:43She called this phone at lunchtime.
0:44:48 > 0:44:49It's ringing.
0:44:54 > 0:44:56Hi, is that Janelle?
0:44:56 > 0:44:59Janelle, it's Michael Spence from Holby City.
0:45:01 > 0:45:03Yes, the cocky Yank.
0:45:03 > 0:45:08Look, I need you to come back to the hospital. There's something I need to discuss with you.
0:45:08 > 0:45:14- Multiple bleeds, pericardium, sternum.- Suction, please. - The heparin still hasn't worn off.
0:45:14 > 0:45:17- Platelets and plasma, please. - Pack him.- He needs a factor shot.
0:45:17 > 0:45:20Mr Douglas?
0:45:20 > 0:45:23Mr Hanssen. What can we do for you?
0:45:23 > 0:45:27I wonder if you'd mind talking me through the procedure, please?
0:45:27 > 0:45:30We're attempting to repair bleeds in the patient's thorax.
0:45:30 > 0:45:33- How did the patient get into this condition?- Well...
0:45:33 > 0:45:37Mr Douglas has his hands full saving the patient's life right now.
0:45:37 > 0:45:40- Dr Raza. Nice to see you. - Pleasure is all mine.
0:45:40 > 0:45:44Kind. Mr Douglas, the patient presented with...
0:45:44 > 0:45:48Atrial septal defect. There were complications from the first procedure.
0:45:48 > 0:45:50Owing to...?
0:45:50 > 0:45:54Circumstances beyond anyone's control. Even yours, Mr Hanssen.
0:45:54 > 0:45:59I do hope that the circumstances are now very much under control.
0:45:59 > 0:46:01Yeah.
0:46:01 > 0:46:02He's going to be fine.
0:46:02 > 0:46:07Very glad to hear it. I'll leave you to your labours.
0:46:08 > 0:46:10He hasn't changed.
0:46:10 > 0:46:13MONITOR BLEEPS
0:46:13 > 0:46:15BP's still dropping. Diathermy.
0:46:16 > 0:46:17God damn it!
0:46:27 > 0:46:28Hello?
0:46:30 > 0:46:31Eddi?
0:46:31 > 0:46:35All right, you've got some great stuff down here, Sacha.
0:46:35 > 0:46:38- I mean, Chrissie is going to love it! - What are you doing?
0:46:38 > 0:46:42I'm on my break. I figured I'd get a bit more peace and quiet down here.
0:46:42 > 0:46:44I'm sorry, how did you get in?!
0:46:44 > 0:46:46Your security system's not that hot.
0:46:46 > 0:46:50You really should invest in a decent padlock, you know.
0:46:50 > 0:46:52I've got five minutes. Game of foosball?
0:46:52 > 0:46:54What's up with you? Scared I'm going to beat you?
0:46:54 > 0:46:56Not exactly.
0:46:56 > 0:46:59Sacha, where did you get all this junk?
0:46:59 > 0:47:01All right, thank you.
0:47:01 > 0:47:03If you want this to be the best teaching hospital
0:47:03 > 0:47:05then there has to be rules and hierarchy
0:47:05 > 0:47:08and it has to work, otherwise all you have is anarchy.
0:47:08 > 0:47:10I gave an instruction to an F2 and she went to a registrar
0:47:10 > 0:47:12and deliberately disobeyed me.
0:47:12 > 0:47:15With no consequences to the patient's wellbeing.
0:47:15 > 0:47:18- That's not the point! - You really want me to do this?
0:47:19 > 0:47:21- Absolutely.- Very well.
0:47:24 > 0:47:28OK, I think we got it.
0:47:29 > 0:47:31BP's rising.
0:47:31 > 0:47:33Let's start closing him up.
0:47:33 > 0:47:37- Nice job.- Thanks.
0:47:37 > 0:47:40- So much for a simple patch and go! - I never thought I'd say it,
0:47:40 > 0:47:43- but it's easier being at home with the boys.- What?!
0:47:43 > 0:47:47The fuss you used to make about how difficult it is looking after them!
0:47:47 > 0:47:51I may have been exaggerating a tiny bit to earn a few brownie points.
0:47:51 > 0:47:55- Would you mind finish closing up? I need to...- You OK?
0:47:55 > 0:48:01I'm fine. It's just been a long day. I just need to get some air.
0:48:04 > 0:48:052-0 prolene.
0:48:13 > 0:48:16Yes, well, clearly there have been some differences of opinion
0:48:16 > 0:48:19regarding procedure and chain of command today.
0:48:19 > 0:48:22Which is regrettable, but since there is no real harm done,
0:48:22 > 0:48:25- I won't take the matter any further.- What?
0:48:25 > 0:48:28Today should have been a chance to demonstrate how different approaches
0:48:28 > 0:48:31across disciplines can lead to a robust clinical environment.
0:48:31 > 0:48:34- Absolutely. - Different approaches only work
0:48:34 > 0:48:37when they have a rigid support structure, there have to be rules.
0:48:37 > 0:48:40And there are. But as someone more learned than me once mused,
0:48:40 > 0:48:42rules are made to be broken.
0:48:43 > 0:48:45Now, if you'll excuse me.
0:48:48 > 0:48:53Mr Hanssen! I don't think they fully comprehend the implications...
0:48:53 > 0:48:54Mr Hamilton,
0:48:54 > 0:48:58I think Dr Petrenko will be better suited to Mr Malick's mentorship
0:48:58 > 0:49:00as I originally intended.
0:49:06 > 0:49:09So, how did it go? You went back, right?
0:49:09 > 0:49:12They rejected me. Laughed at me. All of them.
0:49:12 > 0:49:17- I felt like an idiot. - That is a bummer. But never mind.
0:49:17 > 0:49:19I'm sure you'll have plenty more chances.
0:49:19 > 0:49:22It's not that. My mum's face. When I tell her.
0:49:25 > 0:49:28Janelle, I know why you fainted today...
0:49:28 > 0:49:31I thought it was just nerves?
0:49:31 > 0:49:35- You've been putting on some weight recently, correct?- A bit, yeah.
0:49:35 > 0:49:39- And you've not been eating very much?- Sometimes.
0:49:39 > 0:49:41I ain't no anorexic, though!
0:49:41 > 0:49:44No, I know you're not. Janelle, you are pregnant.
0:49:46 > 0:49:49- I'm what?- The combination of your baby's needs
0:49:49 > 0:49:52and you not eating means that you faint whenever you get nervous.
0:49:52 > 0:49:55- I'm going to have a baby?- Yes.
0:49:55 > 0:49:58Unfortunately I didn't receive your results until after you left.
0:49:58 > 0:50:02- I don't want you to worry. We will help you to decide what to do.- That's brilliant!
0:50:04 > 0:50:07- Is it?- You're not messing with me? I'm really pregnant?
0:50:07 > 0:50:09- Swear to God?- Yeah. Word of honour.
0:50:09 > 0:50:15I've always, always wanted this! A baby! My own baby!
0:50:15 > 0:50:18Um...Janelle, this is a huge responsibility.
0:50:18 > 0:50:21Having a baby will change your life.
0:50:21 > 0:50:24I don't care about that! This baby needs me.
0:50:24 > 0:50:26Mum's going to be made up!
0:50:26 > 0:50:29I mean, you've got to grow up sometime, haven't you?
0:50:29 > 0:50:36Thank you. Thank you! You two can be my baby's godparents!
0:50:37 > 0:50:41OK. Let's just take this one step at the time.
0:50:50 > 0:50:52COUPLE ARGUE
0:50:52 > 0:50:57- Mr Douglas. I take it the patient pulled through?- Yes.
0:50:57 > 0:50:58Good.
0:51:01 > 0:51:04Hard to tear one's gaze away, rather like a motorway accident.
0:51:04 > 0:51:08Mind you, the urge to intervene is profound.
0:51:08 > 0:51:11Sadly, though, in my experience
0:51:11 > 0:51:14the complexities of other people's relationships
0:51:14 > 0:51:16are rather like high explosives.
0:51:16 > 0:51:18Not to be tampered with.
0:51:18 > 0:51:21Wouldn't you agree?
0:51:38 > 0:51:41- I diagnosed correctly. - You did good.
0:51:41 > 0:51:43- So what's his problem? - Look, just let it go.
0:51:43 > 0:51:46No. I want to know.
0:51:46 > 0:51:48It's not about you, all right?
0:51:48 > 0:51:51No. It's not, it's about you.
0:51:53 > 0:51:56So, is it you he doesn't like specifically?
0:51:56 > 0:51:59Or is it all general surgeons?
0:52:01 > 0:52:05He's just stressed about the job. Don't take it personally. I don't.
0:52:05 > 0:52:10We all get those days. So come on, Miss Cohen awaits.
0:52:18 > 0:52:22- Mr Davies, you should be off your feet.- Don't worry. I will be when I get home.
0:52:22 > 0:52:24- I'd prefer if you stayed till morning.- No, I'm out of here.
0:52:24 > 0:52:26Howard, stop.
0:52:28 > 0:52:30- At least...- What is it with you?!
0:52:30 > 0:52:33You fixed my knee. I said thank you. Your job's done. Now let me go.
0:52:33 > 0:52:35You know this isn't about your knee.
0:52:35 > 0:52:39- There's support for you, if you'll take it. - You got a time machine, doc?
0:52:41 > 0:52:43You have to move on.
0:52:47 > 0:52:49Apologise to Morticia for me.
0:52:53 > 0:52:57You'll have to stay in hospital for a few weeks at least. There's a chance of infection.
0:52:57 > 0:53:01And respiratory problems.
0:53:01 > 0:53:05- So you may need to be ventilated to help you breathe.- Wow.- Yeah.
0:53:07 > 0:53:10If you want to worry your parents into staying together,
0:53:10 > 0:53:12at least now you don't have to lie to do it.
0:53:12 > 0:53:17- I don't want them to be unhappy, that's all.- I know that.
0:53:17 > 0:53:20This morning I gave you competency because I thought you were
0:53:20 > 0:53:23a mature guy who could make his own decisions.
0:53:24 > 0:53:26I still think that.
0:53:41 > 0:53:45Hey, just wanted to say thank you
0:53:45 > 0:53:48- for helping me find the girl. - You're welcome.
0:53:48 > 0:53:52- So Hanssen's OK'd a second lead? - That's right.
0:53:52 > 0:53:55He agreed that AAU needs two heads across it. Job's too big otherwise.
0:53:57 > 0:53:59Right - so you've appointed someone?
0:53:59 > 0:54:02Not yet - although I know you're not interested.
0:54:04 > 0:54:06Said anything to Hanssen?
0:54:06 > 0:54:09I'm seeing him tomorrow.
0:54:09 > 0:54:13You know, I was thinking, I might be willing to reconsider your offer.
0:54:13 > 0:54:18With your new ideas and my experience...
0:54:18 > 0:54:22I thought committee-style leadership wasn't your thing?
0:54:22 > 0:54:25I'm warming to the idea.
0:54:31 > 0:54:33Hey, Dan, you got to check this out!
0:54:33 > 0:54:36The guy was so drunk he swallowed every one of his mates' car keys!
0:54:36 > 0:54:40- Try putting him on a saline IV. - Come on!
0:54:42 > 0:54:47- I think you can both handle it without me.- Dan!- I'm going home.
0:54:59 > 0:55:02- Hi.- Hi. Are you OK?
0:55:02 > 0:55:05Yeah. Listen, there's something I need to say to you.
0:55:07 > 0:55:11It was my screw-up that got us into this mess today.
0:55:14 > 0:55:16I'm really sorry.
0:55:16 > 0:55:18Thanks, but no harm done in the end, right?
0:55:20 > 0:55:22OK, well...
0:55:25 > 0:55:27- See you later.- Count on it.
0:55:39 > 0:55:43- Greg...I just wanted to...- It's OK.
0:55:43 > 0:55:47There's nothing to talk about. Rafi's a good guy. I like him.
0:55:47 > 0:55:52Just wanted to say thank you for being so understanding today.
0:55:52 > 0:55:54Come on. Home time.
0:55:56 > 0:55:57Are you getting in?
0:56:25 > 0:56:29Subtitles by Red Bee Media Ltd