0:00:39 > 0:00:40Welcome to Kiev.
0:00:40 > 0:00:41Doctor Tereschenko?
0:00:41 > 0:00:45We don't have the equipment, we don't have the resources.
0:00:45 > 0:00:48New house, new start and what we definitely don't need...
0:00:48 > 0:00:52- ..is a remote-controlled helicopter. - You're learning quickly.- Good.
0:00:52 > 0:00:55Oh, Sacha, you had to move underground.
0:00:55 > 0:00:56I just can't get rid of it.
0:00:56 > 0:01:00- Pensions won't release money, but we can still buy the house. - How? We can't afford it.
0:01:00 > 0:01:01I'm taking care of it.
0:01:01 > 0:01:03We're about to secure funding to make us
0:01:03 > 0:01:06a leading hospital for teaching and research.
0:01:06 > 0:01:08I have no intention of leaving Holby,
0:01:08 > 0:01:11our work here is just beginning.
0:01:20 > 0:01:23Mr Hanssen. You're in early.
0:01:23 > 0:01:25Worms to be caught, Mr Hope.
0:01:25 > 0:01:28- Allow me. - Ah, thank you very much.
0:01:28 > 0:01:31So would these worms have anything to do with your plan
0:01:31 > 0:01:33to improve the hospital's teaching status?
0:01:33 > 0:01:37Glad to see you've got your finger firmly on the pulse.
0:01:37 > 0:01:38Yes, the Vice Chancellor
0:01:38 > 0:01:42and I are meeting with the university board this afternoon.
0:01:42 > 0:01:45I have to say, some of us are rather surprised
0:01:45 > 0:01:49at your sudden zeal for matters of education.
0:01:49 > 0:01:51An increased affiliation with the university
0:01:51 > 0:01:55will give us the status and funding we need to make pioneering advances
0:01:55 > 0:01:58- in medical technology and treatments.- So it's about money?
0:01:58 > 0:02:01No. It's about legacy, excellence and building up our assets.
0:02:01 > 0:02:04And in order to do this you need the university to give you...?
0:02:04 > 0:02:07£12 million.
0:02:07 > 0:02:09You're asking them to give you £12 million
0:02:09 > 0:02:11so you can add to your empire?
0:02:11 > 0:02:13I'm asking them to give me £12 million
0:02:13 > 0:02:16so this hospital, and everyone in it, has a future.
0:02:24 > 0:02:27And that one and the trolley too, please.
0:02:27 > 0:02:29Come one, guys! I haven't got all day here.
0:02:29 > 0:02:33- Where are they taking this equipment? - If it's off my ward, I really don't care.
0:02:33 > 0:02:36I didn't know we were having a clear out.
0:02:36 > 0:02:39Streamlining, Elliot. That scanner is older than you are.
0:02:39 > 0:02:42- This is in perfect working order. - Out of date. Obsolete. In the way.
0:02:42 > 0:02:45I think we should just hold fire.
0:02:45 > 0:02:48You should have discussed this with me.
0:02:48 > 0:02:51- We're discussing it now, aren't we? - I know space is at a premium,
0:02:51 > 0:02:53but I am still lead consultant.
0:02:53 > 0:02:54PA X-rays.
0:02:55 > 0:02:5817cm. Heart's enlarged. High tower pulse.
0:02:58 > 0:03:00Mild pyrexia.
0:03:00 > 0:03:02- Five milligrams of heparin. - Good morning.
0:03:02 > 0:03:04Good morning. These rosters...
0:03:04 > 0:03:05Yes. They're subject to change.
0:03:05 > 0:03:08I'm going to have to bump your 3.30, I'm afraid.
0:03:08 > 0:03:11Perhaps you could give me a theatre list and an itemised inventory.
0:03:11 > 0:03:14I'm really busy, Elliot. I don't have time to make lists.
0:03:14 > 0:03:17- We should argue the case with Hanssen.- He's not to be disturbed.
0:03:17 > 0:03:19I'll be there in a minute.
0:03:19 > 0:03:22There's an e-mail from him. Somewhere. Amongst that.
0:03:27 > 0:03:30VIDEO GAME SOUND EFFECTS
0:03:39 > 0:03:42Where did you get a blue ball of fire from?
0:03:42 > 0:03:45No, he's supposed to be at home.
0:03:45 > 0:03:48- Mobile?- Switched off.
0:03:48 > 0:03:49Maybe something came up?
0:03:49 > 0:03:53I'd be the last person to know. He's been acting really strangely.
0:03:53 > 0:03:57- This is Sacha we're talking about. - More strangely than usual.
0:03:57 > 0:03:59You don't think he's getting cold feet, do you?
0:03:59 > 0:04:04So you've won again. Sudden death decider?
0:04:04 > 0:04:06Why not?
0:04:06 > 0:04:09PAGERS BLEEP
0:04:12 > 0:04:14Keyhole appendectomy.
0:04:14 > 0:04:17- Botox and filler.- Bad luck.
0:04:17 > 0:04:20- This way, I'll be richer than Spence.- And just as insufferable.
0:04:20 > 0:04:25Right, the key stays with Eddi. I'd only lose it.
0:04:27 > 0:04:29So are we...bonding?
0:04:29 > 0:04:33No. Don't think so. I like what you've done with the place, though.
0:04:33 > 0:04:36Don't forget. Chrissie doesn't know.
0:04:36 > 0:04:39What happens in Fight Club...
0:04:39 > 0:04:40What?
0:04:40 > 0:04:42Never mind.
0:04:48 > 0:04:51HIP-HOP MUSIC PLAYS LOUDLY ON HIS HEADPHONES
0:04:56 > 0:04:57Mr Hanssen.
0:04:57 > 0:05:00- Good morning, Mr Malick. - You weren't waiting for me, were you?
0:05:00 > 0:05:04- Are you aware that your shift began eleven minutes ago?- Er...
0:05:11 > 0:05:13Do you have an excuse to hand,
0:05:13 > 0:05:17or would you like me to give you a moment to make one up?
0:05:17 > 0:05:19All right, you got me. I can't lie to you, Mr H.
0:05:19 > 0:05:21I overslept. And I missed my train.
0:05:21 > 0:05:23I really can't abide tardiness in any form.
0:05:23 > 0:05:25This will not happen again.
0:05:25 > 0:05:26Definitely not.
0:05:26 > 0:05:29Right, thank you.
0:05:30 > 0:05:34You see I need my registrars to be here well before I am.
0:05:34 > 0:05:35Your registrar?
0:05:35 > 0:05:38Yes. I'm the Keller consultant today, and you are my registrar.
0:05:38 > 0:05:40Hey! The Dream Team.
0:05:40 > 0:05:44I have back-to-back meetings with the university vice chancellor all day
0:05:44 > 0:05:46so effectively I need you to be me on the ward.
0:05:46 > 0:05:50Oh, well. I can do that. Involves a lot of looming, right?
0:05:50 > 0:05:53- And scaring the life out of baby doctors?- Indeed it does.
0:05:53 > 0:05:56Speaking of which, you've three medical students shadowing you.
0:05:56 > 0:05:59Should Professor Pawlowski from the university
0:05:59 > 0:06:02choose to shine her light on even the darkest corner of our building today,
0:06:02 > 0:06:05she will find our capacity for teaching expertise
0:06:05 > 0:06:07is being vividly demonstrated by the likes of you.
0:06:07 > 0:06:10What do you want me to teach them?
0:06:10 > 0:06:14Inspire them, Mr Malick. Mentor them.
0:06:14 > 0:06:18So by the end of the day, they'll be standing on their desks
0:06:18 > 0:06:20and addressing you as "captain, my captain".
0:06:20 > 0:06:24- We have an appointment to see Mr Hope.- Right.
0:06:24 > 0:06:28My father is being admitted today. Petro Zinchenko.
0:06:28 > 0:06:30- Z-I-N-C-H... - No reference, sorry.
0:06:30 > 0:06:32He has a heart condition.
0:06:33 > 0:06:37- You're sure you've got the right date?- I have his address. A letter.
0:06:37 > 0:06:41Mr Hope. Apparently that's your patient.
0:06:42 > 0:06:44Mr Hope. Petro Zinchenko.
0:06:46 > 0:06:50- No records.- I'm sure there's been some breakdown in communication.
0:06:50 > 0:06:52THEY SPEAK IN OWN LANGUAGE
0:06:52 > 0:06:54We can't find the letter.
0:06:54 > 0:06:55It will turn up.
0:06:55 > 0:06:57His GP referred him months ago.
0:06:57 > 0:06:59Olena.
0:06:59 > 0:07:02- Oh, my God.- Excuse me. - Get him into a bed.
0:07:02 > 0:07:05- The only bed we have is in HDU. - Let's get him in there then.
0:07:05 > 0:07:08You don't think there is someone else, do you?
0:07:08 > 0:07:09What? Sacha?
0:07:09 > 0:07:12- You haven't seen him, have you? - He's not on the ward. No.
0:07:14 > 0:07:15He's late for his shift.
0:07:16 > 0:07:21Oh. I remember now. Paediatric consult.
0:07:21 > 0:07:24He never told me.
0:07:24 > 0:07:25You haven't seen him, have you?
0:07:25 > 0:07:28Right. I suppose you'll have to do.
0:07:37 > 0:07:39No, no, wait.
0:07:39 > 0:07:41Bit needle-phobic.
0:07:41 > 0:07:44Celine, maybe Botox isn't for you?
0:07:44 > 0:07:46I need this.
0:07:46 > 0:07:48Really. You don't.
0:07:48 > 0:07:50Sweet.
0:07:50 > 0:07:53Date this weekend. Got to look my best.
0:07:53 > 0:07:56OK.
0:07:56 > 0:08:00I found him on this website, you know. Lonely hearts.
0:08:00 > 0:08:01I cheated.
0:08:01 > 0:08:02Really?
0:08:02 > 0:08:06With my profile picture. Algarve. Sun-kissed.
0:08:06 > 0:08:082003.
0:08:08 > 0:08:11Right.
0:08:11 > 0:08:16Crow's feet. Smoker's lip. Jamie. That's my date.
0:08:16 > 0:08:18He's expecting young, line free and single.
0:08:18 > 0:08:22How about we close our eyes?
0:08:22 > 0:08:23Good.
0:08:23 > 0:08:25Smile for me.
0:08:25 > 0:08:26And relax.
0:08:29 > 0:08:32How long have you had these chest pains?
0:08:32 > 0:08:34His English is not good.
0:08:34 > 0:08:38My English is better than David Beckham's. A long time.
0:08:40 > 0:08:42Worse after I wake up.
0:08:42 > 0:08:47- Some days he can barely walk. - These readings are cause for concern.
0:08:47 > 0:08:50It would help if we knew your medical history.
0:08:50 > 0:08:55Sorry. You've had a previous procedure?
0:08:55 > 0:08:59- He's had a valve put in. - A long time ago now.
0:09:01 > 0:09:04OK, well. You have what we call a heart murmur.
0:09:04 > 0:09:05Is that bad?
0:09:05 > 0:09:08We'll need to do some more tests. Usual bloods.
0:09:08 > 0:09:10Angiogram and an Echo, please.
0:09:10 > 0:09:13Let's see if we can track down that medical history.
0:09:18 > 0:09:20He's in safe hands.
0:09:20 > 0:09:24You see? I said it would be all right.
0:09:24 > 0:09:25HE SPEAKS IN OWN LANGUAGE
0:09:32 > 0:09:34So how did you do this to yourself?
0:09:34 > 0:09:36I fell down some stairs.
0:09:38 > 0:09:39Where?
0:09:39 > 0:09:41My block. I was just on my way to work.
0:09:41 > 0:09:45It was raining, made it slippery.
0:09:45 > 0:09:47Council were supposed to fix the lift, like, a year ago.
0:09:47 > 0:09:51Really? OK.
0:09:51 > 0:09:57So just so you know you are my Malickites and I am the Prof.
0:09:57 > 0:10:00I'm the general registrar here on the Keller ward
0:10:00 > 0:10:02and this is my domain. So welcome.
0:10:02 > 0:10:05As you see there is a bit of vascular compromise.
0:10:05 > 0:10:06But how do we know that?
0:10:08 > 0:10:09That's right!
0:10:09 > 0:10:11Because the arm's a bit cool
0:10:11 > 0:10:15and the colour is a little paler than we'd like.
0:10:15 > 0:10:18So my reading of the situation is that we could be looking at
0:10:18 > 0:10:21a...arterial problem.
0:10:21 > 0:10:23What now?
0:10:23 > 0:10:27Is everyone in the hospital just going to come and gawp at me?
0:10:27 > 0:10:31- Why don't you sell tickets? - This is your consultant, Mr Hanssen.
0:10:31 > 0:10:34I thought you were in a meeting all day.
0:10:34 > 0:10:36Evidently the professor is running late.
0:10:36 > 0:10:39Yeah. Well, I was just explaining that Matti Grace here has
0:10:39 > 0:10:44a arterial compromise with a complication of the cephalic artery. Would you agree?
0:10:44 > 0:10:46How did she sustain her injuries?
0:10:46 > 0:10:48Hello! I'm right here, you can ask me, you know?
0:10:48 > 0:10:50Hello. Yes, I'm well aware of that,
0:10:50 > 0:10:53but I'm not convinced your account is reliable.
0:10:53 > 0:10:55She fell down some stairs.
0:10:55 > 0:10:56Yes, it says that here too.
0:10:56 > 0:11:00Full marks for consistency, none for plausibility, I'm afraid.
0:11:00 > 0:11:04I'm not convinced that this sort of damage could be caused by a fall.
0:11:04 > 0:11:06- Your patient's lying to you. - Hey, don't call me a liar!
0:11:06 > 0:11:10Always assume your patient is lying until it can be proved otherwise.
0:11:10 > 0:11:14- PAGER BEEPS - And there's the professor, at long last.
0:11:14 > 0:11:17Will you call orthopaedics? Keep me posted.
0:11:17 > 0:11:19I'm a little worried about vascular complications,
0:11:19 > 0:11:22so don't rush into anything.
0:11:26 > 0:11:30It's a pleasure to meet you face to face, at long last.
0:11:30 > 0:11:33I'm so sorry to have kept you waiting.
0:11:33 > 0:11:34Not at all.
0:11:34 > 0:11:39You're very tolerant. Personally, I can't bear lateness in any form.
0:11:39 > 0:11:44But, in my defence, the plane was 43 minutes late in taking off.
0:11:44 > 0:11:46Did you read the draft proposal I sent?
0:11:46 > 0:11:51I read it on the plane. It's persuasively written.
0:11:51 > 0:11:52Thank you.
0:11:52 > 0:11:55Obviously, I have some questions.
0:11:58 > 0:12:00Mm-hm.
0:12:01 > 0:12:03Could you wriggle your fingers for me, please?
0:12:03 > 0:12:08And you say you sustained this injury falling down some stairs?
0:12:08 > 0:12:09That's right.
0:12:09 > 0:12:13Well, I must say, I don't quite know how you landed at this angle.
0:12:13 > 0:12:15It's quite an achievement.
0:12:15 > 0:12:19My initial examination suggests that the brachialis is intact,
0:12:19 > 0:12:21but I'd like to do an exploratory to make sure,
0:12:21 > 0:12:24- which you're all welcome to come and watch.- What's one of them?
0:12:24 > 0:12:27- It means we open you up, take a look...- No way.
0:12:27 > 0:12:31I just hurt my arm so give me some painkillers and let me go.
0:12:31 > 0:12:35- If I'd broken anything, I think I'd know about it. - Not necessarily. You see...
0:12:35 > 0:12:39- It's all right. We're not going to cut you open right now.- Right.
0:12:39 > 0:12:42Thank you. Someone with an actual brain in his head.
0:12:44 > 0:12:48Mr Malick, could we have a word, please? Excuse us.
0:12:53 > 0:12:55I'll be right back.
0:12:56 > 0:13:00Would you mind not undermining me in front of our students?
0:13:00 > 0:13:02- My students.- YOUR students?
0:13:02 > 0:13:04We're worried about vascular complications.
0:13:04 > 0:13:07Before you go wading in with your size tens, we need to make sure.
0:13:07 > 0:13:09Sorry, Malick, who's "we"?
0:13:09 > 0:13:12Me and the Big Dog. The H Man.
0:13:12 > 0:13:13Hanssen.
0:13:13 > 0:13:16Mr Hanssen doesn't appear to be here right now,
0:13:16 > 0:13:19and seeing as I am the only consultant present.
0:13:19 > 0:13:23I'm here on his behalf, so he's effectively standing here right now,
0:13:23 > 0:13:25and he says, "Don't operate on the lady
0:13:25 > 0:13:28"until we've had a proper chance to assess."
0:13:28 > 0:13:31- Can I help you?- Yeah. I'm looking for Matti Grace. They said she'd be in here.
0:13:31 > 0:13:34- And you are?- I'm her uncle.
0:13:44 > 0:13:48Aortic stenosis, prosthetic valve failure.
0:13:48 > 0:13:51The valve is badly calcified.
0:13:51 > 0:13:53My office is full of scrap metal.
0:13:53 > 0:13:56I spoke to admissions. No sign of any records.
0:13:56 > 0:13:58I thought we'd agreed to throw it all out?
0:13:58 > 0:14:00I'm sure there's a valid explanation.
0:14:00 > 0:14:03The address she gave me? Holby British Legion.
0:14:03 > 0:14:06- Oh, they're Russians. - Or Ukrainian.
0:14:06 > 0:14:09They're obviously health tourists.
0:14:09 > 0:14:11He needs treatment.
0:14:11 > 0:14:13Well, he's not getting it here.
0:14:13 > 0:14:15Elliot, come on. They're playing you.
0:14:15 > 0:14:18They might've as well turned up with their violins.
0:14:18 > 0:14:20So where do you suggest I send him?
0:14:20 > 0:14:21The airport?
0:14:23 > 0:14:26- Were you going to tell me you'd come here?- It's nothing serious.
0:14:26 > 0:14:29It's serious enough they've got you in a hospital bed.
0:14:29 > 0:14:31They're just being over-cautious.
0:14:31 > 0:14:33They don't even know what they're doing.
0:14:33 > 0:14:35Who told you I was here?
0:14:35 > 0:14:38You weren't answering your phone, so I called your work.
0:14:38 > 0:14:41I should've been the first person you called, Matti. The first person.
0:14:41 > 0:14:44I just didn't want to worry you.
0:14:44 > 0:14:48- Are you thinking what I am thinking? - I very much doubt it.
0:14:48 > 0:14:50There's something wrong with this situation.
0:14:50 > 0:14:53- I don't like the look of it. - Why would that be?
0:14:53 > 0:14:56A patient in her condition saying she fell down some stairs,
0:14:56 > 0:15:01half an hour later, some doggy bloke turns up claiming to be her uncle.
0:15:01 > 0:15:03Maybe he IS her uncle.
0:15:03 > 0:15:07- Excuse me.- Ah, Lleucu. Could you see if theatre's free?
0:15:07 > 0:15:09I'd like to do an exploratory operation on Ms Grace.
0:15:09 > 0:15:13Actually, before you do that, can you page Mr Hanssen for me, please?
0:15:14 > 0:15:15Consultant.
0:15:16 > 0:15:19Mr Hanssen's registrar.
0:15:19 > 0:15:24- I'll page him for you right away. - Thank you. You left me no choice.
0:15:24 > 0:15:25Right then, my Malickites.
0:15:25 > 0:15:28Time for a recap on what we've learned today.
0:15:28 > 0:15:34- You're coming to the end of your first quarter as a foundation trust. - We are.
0:15:34 > 0:15:38And your board will want to see evidence of innovation,
0:15:38 > 0:15:41especially in terms of new revenue sources.
0:15:41 > 0:15:43I expect they will.
0:15:43 > 0:15:47So it would really help your cause if you could wheel me in
0:15:47 > 0:15:51as some sort of deus ex machina with my big bag of university cash.
0:15:51 > 0:15:54Although I question your turn of phrase,
0:15:54 > 0:15:56I can't dispute the point.
0:15:56 > 0:15:58But it's not my board of governors
0:15:58 > 0:16:02- we need to convince this afternoon, is it?- "WE need to convince"?
0:16:02 > 0:16:05I take your presence here as an encouraging sign.
0:16:05 > 0:16:08You may take it as a sign that I'm prepared to listen,
0:16:08 > 0:16:10but I can't guarantee that I'll back you
0:16:10 > 0:16:14until I see evidence that you have the resources to turn Holby
0:16:14 > 0:16:16into a fully-fledged teaching hospital.
0:16:25 > 0:16:28You haven't been entirely honest with me.
0:16:28 > 0:16:31You would never have seen us.
0:16:31 > 0:16:32So where are you from really?
0:16:36 > 0:16:38From Kiev.
0:16:38 > 0:16:42My father was diagnosed at Kiev Hospital. Dr Tereschenko.
0:16:43 > 0:16:44Nadiya Tereschenko.
0:16:44 > 0:16:48- You met her at Christmas. - Yes. Yes, I did.
0:16:48 > 0:16:51- The doctors there... - ..have limited resources.
0:16:51 > 0:16:53We heard about your work.
0:16:57 > 0:17:00- He needs an operation. - I know.
0:17:00 > 0:17:04- However... - They gave me three months.
0:17:07 > 0:17:09You could save him.
0:17:09 > 0:17:13That doesn't change the fact that you lied to me.
0:17:13 > 0:17:15We came all this way.
0:17:16 > 0:17:18My daughter is very persuasive.
0:17:18 > 0:17:20Yes. Ukrainians often are.
0:17:22 > 0:17:25So...you will help?
0:17:29 > 0:17:32There is a common misconception that the NHS is free.
0:17:32 > 0:17:35However, inevitably, somebody has to pay.
0:17:35 > 0:17:37We can pay.
0:17:41 > 0:17:431,000.
0:17:46 > 0:17:48It's all we have.
0:17:53 > 0:17:57As Mr Malick has already explained, if there is any vascular compromise,
0:17:57 > 0:18:00then rushing her to theatre will exacerbate the situation.
0:18:00 > 0:18:01Just like I said.
0:18:01 > 0:18:05- I still don't think we should wait. - Mr Hamilton, I've made my decision.
0:18:05 > 0:18:07We give her ten milligrams of morphine,
0:18:07 > 0:18:08we book a MRI, and we wait.
0:18:08 > 0:18:12You'll all be familiar, I'm sure, with the expression fools rush in.
0:18:12 > 0:18:15- You the gaffer?- If by gaffer you mean director of surgery, yes.
0:18:15 > 0:18:16Matti's been in here two hours
0:18:16 > 0:18:20and so far all you've seemed to do is argue among yourselves.
0:18:20 > 0:18:23- At this precise moment, our plan is to wait and see. - Let me get this straight.
0:18:23 > 0:18:27- You have no idea what's wrong with her. - That's a reasonable summary, yes.
0:18:27 > 0:18:32Now if you excuse me, I have an important meeting to attend to.
0:18:34 > 0:18:37From now on, you will page me only if it's critical. Understood?
0:18:37 > 0:18:42- And make sure she stays right there. - Right you are, boss.
0:18:42 > 0:18:45- You want to know what this is really about?- What?- Them.
0:18:45 > 0:18:49They're using you like a guinea pig so they can teach their students.
0:18:49 > 0:18:52If they were really worried, they'd be cutting you open right now.
0:18:52 > 0:18:53Yeah.
0:18:53 > 0:18:57We'll get you back. Ice bath, painkillers. That's all you need.
0:18:57 > 0:18:58We're getting you out of here.
0:18:58 > 0:19:04- You sure?- Hey. Don't you go falling apart on me, girl. Not now.
0:19:04 > 0:19:06Not today. You understand?
0:19:11 > 0:19:12Psst!
0:19:13 > 0:19:15Did you get the key?
0:19:15 > 0:19:19You mean this key. That you lent to Mr Hemingway?
0:19:19 > 0:19:22- That'll be the one. - You showed him our den.
0:19:22 > 0:19:24I needed someone to play with.
0:19:24 > 0:19:26How could you, Sacha?
0:19:26 > 0:19:29Where have you been? I've been looking for you everywhere.
0:19:29 > 0:19:32No phone calls, no e-mail.
0:19:32 > 0:19:34Switched off. All morning.
0:19:34 > 0:19:39- That paediatric consult. - Yes.
0:19:39 > 0:19:42- Have I upset you? - Whatever gave you that impression?
0:19:42 > 0:19:45I just feel there's something going on here.
0:19:45 > 0:19:46Right. Here's the thing.
0:19:46 > 0:19:49Celine Hawkurst. Brought down from Holbycare.
0:19:49 > 0:19:52Shortness of breath. Constricted airways.
0:19:52 > 0:19:54B/P 70 systolic. Pulse 150.
0:19:54 > 0:19:56- Possible anaphylactic shock. Which bed?- Bed four.
0:19:56 > 0:19:58What have you done to me?!
0:20:02 > 0:20:05Left ventricular hypertrophy.
0:20:05 > 0:20:08His aorta is mashed. It's sticking to the chest wall.
0:20:08 > 0:20:12- Which means?- You couldn't go in with a straightforward replacement.
0:20:12 > 0:20:15We'd need to do a specialist transapical procedure.
0:20:17 > 0:20:21No, it's too risky. The valve is already compromised.
0:20:21 > 0:20:26- Left thoracotomy. Needle. Guide wire. - Surely this is just academic?
0:20:26 > 0:20:30For once in his life, Valentine's actually talking sense.
0:20:30 > 0:20:32We can't just discharge him.
0:20:32 > 0:20:37Elliot, here is a reality check for you. You need a team.
0:20:37 > 0:20:41Equipment. A modicum of foresight. Not to mention £30,000.
0:20:41 > 0:20:43If you don't tell them, I will.
0:20:49 > 0:20:50It's a rare procedure.
0:20:50 > 0:20:52I've never seen one done.
0:20:52 > 0:20:54Brilliantly conceived.
0:20:56 > 0:20:58Shame our hands are tied.
0:21:00 > 0:21:02OK. Look, I appreciate it's frustrating,
0:21:02 > 0:21:06- but you need to trust that we know what we're doing here. - Give me a reason to.
0:21:06 > 0:21:10We've got a MRI scan in an hour that'll tell us what we're looking at.
0:21:10 > 0:21:13We've waited long enough. Sign the form and let's go.
0:21:13 > 0:21:14You can't just discharge her.
0:21:14 > 0:21:18- I know what's best for her.- With all due respect, I don't think you do.
0:21:18 > 0:21:21- Get out of my face, please. - Listen, just...- I'm asking politely.
0:21:21 > 0:21:25- Mr Grace, will you take your niece back to her bed NOW, please. - It's fine. I've got this.
0:21:25 > 0:21:28- I will call security, if I have to. - Security?!
0:21:28 > 0:21:31- Matti, you know you don't have to go anywhere you don't want to.- I know.
0:21:31 > 0:21:35- I can arrange for you to talk to a nurse. In private.- What do you mean?
0:21:35 > 0:21:38For God's sake, Len. Just tell him.
0:21:46 > 0:21:49Matti's the number four ranked female welterweight
0:21:49 > 0:21:51boxer in the country.
0:21:52 > 0:21:55As well as being her uncle, I'm also her trainer.
0:21:55 > 0:21:57You're lucky she's in a good mood,
0:21:57 > 0:22:01she could beat the crap out of you right now.
0:22:02 > 0:22:04Why didn't you just say so?
0:22:04 > 0:22:07We never met a doctor who didn't want to see our sport banned,
0:22:07 > 0:22:10especially when it comes to girls. We don't like being judged,
0:22:10 > 0:22:14so it generally makes life easier to just avoid the subject.
0:22:17 > 0:22:19I can only apologise.
0:22:19 > 0:22:23Don't bother. I want to see your boss. The tall guy. Now.
0:22:23 > 0:22:27Who are you proposing as your clinical skills lead?
0:22:27 > 0:22:32Clinical skills lead? That's the sort of detail that...
0:22:32 > 0:22:34I'd hardly call it a detail.
0:22:34 > 0:22:38We're talking about the first point of contact for students.
0:22:38 > 0:22:43The person who'll be setting the curriculum, providing a role model.
0:22:43 > 0:22:46We need to give the board an idea of the person
0:22:46 > 0:22:50who will be dealing with the students on a day-to-day basis.
0:22:50 > 0:22:55- PAGER BEEPS - Get this right and everything else will fall into place.
0:22:55 > 0:22:57I'm needed on the ward, I'm afraid.
0:22:57 > 0:23:00Not a problem. I'll accompany you.
0:23:00 > 0:23:03I'd be fascinated to see you in action.
0:23:03 > 0:23:04MOBILE PHONE RINGS
0:23:04 > 0:23:07- Oh, would you excuse me for one moment, please?- Certainly.
0:23:12 > 0:23:16I gather you're trying to secure an early departure for your niece?
0:23:16 > 0:23:18Yeah, we're leaving right now.
0:23:18 > 0:23:20But before I go, I'd like you to know
0:23:20 > 0:23:22that your bone man here needs to learn some manners.
0:23:22 > 0:23:26I apologise if your experience here has been less than satisfactory, but...
0:23:26 > 0:23:29Less than satisfactory? You keep her here two hours,
0:23:29 > 0:23:32you get different doctors to push and prod her
0:23:32 > 0:23:34while those three stand gawping at her.
0:23:34 > 0:23:37You can't tell me what's wrong with her, we wait and see,
0:23:37 > 0:23:41and then posh boy here accuses me of beating up my niece.
0:23:43 > 0:23:45It was a misunderstanding. I've apologised.
0:23:45 > 0:23:48How was I supposed to know she was a lady boxer?
0:23:48 > 0:23:51Right, as far as I'm concerned she should remain here
0:23:51 > 0:23:54until we know exactly what's wrong with her.
0:23:54 > 0:23:56Let's fast-track the MRI. Get onto it.
0:23:56 > 0:23:58Already on it.
0:23:58 > 0:24:01- Mr Hamilton, a word with you if I may? ..Excuse me.- Right.
0:24:05 > 0:24:09- Dan Hamilton?- Professor Pav! - I didn't know you worked here?
0:24:09 > 0:24:11Yeah, I've been here just over a year now.
0:24:11 > 0:24:14Orthopaedic consultant, believe it or not!
0:24:14 > 0:24:18- Dan captained our university rugby 15.- Prof Pav was my hall tutor.
0:24:18 > 0:24:21Sterling touchline support every home game.
0:24:21 > 0:24:24- We've still not beaten your season as captain.- You're just saying that.
0:24:24 > 0:24:28I wish I was! I still remember that match you played against...
0:24:28 > 0:24:32- Mr Hanssen, the MRI's free right now.- Very good.
0:24:32 > 0:24:35The rash isn't uniform. Facial paralysis. Blisters round the ears.
0:24:35 > 0:24:37You think it's something else?
0:24:37 > 0:24:40I've no idea what it is, but I'd better put it right.
0:24:42 > 0:24:44Thank you.
0:24:48 > 0:24:51Permission to come aboard?
0:24:52 > 0:24:56Right, a botulinum allergy is fairly rare.
0:24:56 > 0:25:00- She's complaining of earache. - I've gone a bit deaf.
0:25:00 > 0:25:03- Face feel numb? - Well, it would, wouldn't it?
0:25:03 > 0:25:06One side? Both sides?
0:25:06 > 0:25:09- This side. - Any nausea. Vertigo?
0:25:09 > 0:25:11- Bit dizzy, but...- But what?
0:25:11 > 0:25:13I have been all week.
0:25:13 > 0:25:17You really should've been honest with me, Celine.
0:25:17 > 0:25:19You wouldn't have done the job.
0:25:19 > 0:25:21Right, let's do a PCR, OK?
0:25:25 > 0:25:28- Botox?- Well, you know. Botox. Filler.
0:25:28 > 0:25:31Light lipo. Gets rather addictive.
0:25:31 > 0:25:33- You're moonlighting? - I was going to tell you.
0:25:33 > 0:25:35As if I'd care?
0:25:35 > 0:25:39It's demeaning, Chrissie. It's not a side line I'm particularly proud of.
0:25:39 > 0:25:42- So why the hell are you doing it? - Well, it pays well.
0:25:42 > 0:25:46The house. The future. Everything you wanted.
0:25:47 > 0:25:50Mr Hanssen! Sorry. I'd like to convene
0:25:50 > 0:25:54- a multidisciplinary meeting... - Not today, out of the question.
0:25:54 > 0:25:56- I know you're busy... - Is the patient critical?
0:25:56 > 0:26:00- As things stand, he's stable.- Then why are we having this conversation?
0:26:00 > 0:26:05- But his condition will only get worse.- Mr Hope, rules are rules. As a non-EU citizen,
0:26:05 > 0:26:09- he forfeits the right to surgery. - Without a valve, his prospects are very bleak.
0:26:09 > 0:26:12- Which is regrettable. - I'm not sure I can let him leave.
0:26:12 > 0:26:17- It's not your decision to make. - Hospital policy!- NHS policy.
0:26:23 > 0:26:25You comfortable in there, Matti?
0:26:25 > 0:26:28I'm stuck in a giant metal tube.
0:26:28 > 0:26:32- Comfortable isn't the first word I'd use.- You won't be in there long, OK?
0:26:32 > 0:26:36If this is all clear, you'll let me go?
0:26:36 > 0:26:39If it's all clear, I'll call you the taxi myself.
0:26:39 > 0:26:42Keep calm, keep your arm absolutely still, please.
0:26:42 > 0:26:46- All right, begin, Mr Malick. - But even if this is all clear,
0:26:46 > 0:26:49there's no way you'll fight tonight. You know that, right?
0:26:49 > 0:26:52- I think that's my decision. - Is it? Or is it your uncle's?
0:26:52 > 0:26:55- You don't know my uncle.- OK.
0:26:56 > 0:27:00Well, this woman that did this to you, did you land any on her at all?
0:27:00 > 0:27:02It wasn't a woman.
0:27:04 > 0:27:05Come again?
0:27:05 > 0:27:09This girl I'm fighting tonight -
0:27:09 > 0:27:12the Hungarian - she's big.
0:27:13 > 0:27:17There's only four other girls who train at my gym.
0:27:17 > 0:27:20None of them are anywhere near her build.
0:27:20 > 0:27:22So who did you fight?
0:27:22 > 0:27:24I got this guy - Danny.
0:27:24 > 0:27:26We only did three rounds.
0:27:26 > 0:27:31Dare I ask what kind of a man gets into a boxing ring with a woman?
0:27:31 > 0:27:33He was doing it to help me. To build my strength.
0:27:33 > 0:27:35I begged him, OK?
0:27:37 > 0:27:39Your uncle know about this?
0:27:40 > 0:27:42He'd go nuts.
0:27:42 > 0:27:45Then he won't want you to fight tonight, in your condition.
0:27:45 > 0:27:47You don't understand.
0:27:50 > 0:27:55Tonight... Tonight means everything.
0:27:55 > 0:27:57We've been training for this for years.
0:28:00 > 0:28:01I'm not going to let him down.
0:28:02 > 0:28:04Not now.
0:28:10 > 0:28:11I'm very sorry.
0:28:11 > 0:28:14We, um...
0:28:14 > 0:28:18We don't have the time, resources or finances to treat you.
0:28:18 > 0:28:19HE SIGHS
0:28:19 > 0:28:23- If it were my decision... - But he's getting weaker.
0:28:23 > 0:28:27- You can see.- But I can refer you to patient liaison.
0:28:27 > 0:28:30- They will speak to you.... - He'll never make it back to Kiev!
0:28:30 > 0:28:34- HE SPEAKS UKRANIAN - You're just going to let him die?
0:28:34 > 0:28:37- I am very sorry. - Very sorry? Not my problem!
0:28:37 > 0:28:39Fine!
0:28:39 > 0:28:41- You want us to leave...- Sorry! HEART MONITOR BEEPS
0:28:41 > 0:28:45- You're making my position difficult! This has to stay.- Olena! Olena!
0:28:45 > 0:28:48- I'm very sorry.- But he is taking up a bed, no?! I trusted you!
0:28:48 > 0:28:50SHE GASPS
0:28:50 > 0:28:51Olena!
0:28:52 > 0:28:57Ramsey Hunt Syndrome. Similar virus to the one that causes shingles.
0:28:57 > 0:29:01- It was nothing to do with the Botox? - Off the hook.- Hardly.
0:29:03 > 0:29:06Well, I'd like to do a neurological assessment
0:29:06 > 0:29:08just to be on the safe side.
0:29:08 > 0:29:09My husband...
0:29:11 > 0:29:13My ex-husband.
0:29:15 > 0:29:17He's getting married again.
0:29:17 > 0:29:23And I thought, "Maybe I'll go. Show you I've moved on."
0:29:25 > 0:29:28Ten years younger.
0:29:28 > 0:29:31SHE SOBS I'll show you.
0:29:33 > 0:29:35How did the MRI go?
0:29:35 > 0:29:39There does seem to be some evidence of a ruptured tendon and a haematoma
0:29:39 > 0:29:42and given that the arm circulation has improved,
0:29:42 > 0:29:44you may go ahead with the exploratory.
0:29:44 > 0:29:47- Thank you.- I've asked Mr Malick
0:29:47 > 0:29:50to accompany you, just to get a general surgical perspective.
0:29:50 > 0:29:52Right.
0:29:53 > 0:29:56Oh, Mr Hanssen?
0:29:56 > 0:29:59Prof Pavs... Professor Pawlowski.
0:29:59 > 0:30:02I understand it's all very hush-hush, but she tells me
0:30:02 > 0:30:06- I'm your first choice for clinical lead.- Does she indeed?
0:30:06 > 0:30:08And I just wanted to say thank you.
0:30:08 > 0:30:11For your faith in me. I won't let you down.
0:30:11 > 0:30:14Any idea where the professor is right now?
0:30:14 > 0:30:16'It's my father you should worry about.'
0:30:16 > 0:30:19You could have concussion.
0:30:20 > 0:30:22Can you, um...?
0:30:24 > 0:30:26- When did you last eat? - I can't remember.
0:30:26 > 0:30:28That's not helping anyone.
0:30:29 > 0:30:33How can I eat? With him like this?
0:30:33 > 0:30:35I am sick with worry.
0:30:37 > 0:30:39Every day, I have to watch him suffer.
0:30:41 > 0:30:44He was always so strong, always looked after me.
0:30:45 > 0:30:47Now I have to look after him.
0:30:49 > 0:30:50Is your mother living in Kiev?
0:30:52 > 0:30:56- She died. When I was small. - I'm sorry.
0:30:58 > 0:31:00My father is all I have left.
0:31:01 > 0:31:06Tell her I'm trying to be as reasonable as I can, but...
0:31:06 > 0:31:09if the proposal hasn't materialised by Friday,
0:31:09 > 0:31:13then the conversation is basically over.
0:31:13 > 0:31:14All right.
0:31:14 > 0:31:17Thanks. OK, bye.
0:31:17 > 0:31:21So how did your scan thing go? Is her outlook bleak or sunny?
0:31:22 > 0:31:25How well do you know Mr Hamilton?
0:31:25 > 0:31:28Pretty well. Since he was a fresher.
0:31:28 > 0:31:31He's a phenomenal fly-half. Have you ever seen him play?
0:31:31 > 0:31:37- No.- Not a rugby man?- No, in my experience, it's a rather brutal, thuggish and pointless pursuit.
0:31:37 > 0:31:41I would've thought you might have appreciated it on a tactical level.
0:31:41 > 0:31:44You strike me as someone who enjoys strategy.
0:31:44 > 0:31:49So I gather we've offered Mr Hamilton the Clinical Skills Lead?
0:31:49 > 0:31:51It wasn't an official offer.
0:31:51 > 0:31:55- I merely asked...- It might have been courteous to discuss this with me
0:31:55 > 0:31:58- before broaching the subject. - It was a hypothetical question.
0:31:58 > 0:31:59As Director of Surgery,
0:31:59 > 0:32:03I decide who we appoint in positions of such responsibility.
0:32:03 > 0:32:05At the moment, this is all hypothetical.
0:32:05 > 0:32:09There is no Clinical Skills Lead, there is no pre-registration centre
0:32:09 > 0:32:12and there is no £12 million.
0:32:12 > 0:32:14All you have is an idea -
0:32:14 > 0:32:18an idea which you need me to back.
0:32:21 > 0:32:22Papa.
0:32:25 > 0:32:29Right, I think what you both need now is some peace and quiet.
0:32:29 > 0:32:33I'll, erm... I'll get you some food.
0:32:33 > 0:32:39You, I'm afraid, Mr Zinchenko, are nil by mouth.
0:32:39 > 0:32:43If...you're going to be prepped for surgery.
0:32:44 > 0:32:49- I knew you would help us. - It is good news.- Well...
0:32:49 > 0:32:54- You can thank me when this is over. - So when do we do this operation?
0:32:54 > 0:32:56This procedure will take a while to organise.
0:32:56 > 0:33:01I have been waiting for ever. I can wait a little longer.
0:33:01 > 0:33:02I'd better get the ball rolling.
0:33:02 > 0:33:05TO HIMSELF: Before I change my mind.
0:33:05 > 0:33:08'You said the scan would tell us what's wrong with her.'
0:33:08 > 0:33:12We said it'd tell us IF anything was wrong. We need to take her to theatre...
0:33:12 > 0:33:14- Are you serious? - I'm absolutely serious.
0:33:14 > 0:33:16He strikes me as rather rude and aggressive.
0:33:16 > 0:33:18No, I call it "driven and challenging".
0:33:18 > 0:33:22- Are you trying to make a point here? - What point would that be?- Well...
0:33:22 > 0:33:25Well done. Absolutely right, Helen. A ruptured tendon.
0:33:25 > 0:33:28So when I take her to theatre, I'll perform a blunt finger dissection.
0:33:28 > 0:33:31We could take a photograph of that little scene right now
0:33:31 > 0:33:36and put it on the cover of our investment prospectus. Dan!
0:33:36 > 0:33:39Do you have any idea what a vascular complication might mean to her?
0:33:39 > 0:33:44- I'll bring her back first thing tomorrow.- No.- In three hours, she'll be in the ring.
0:33:44 > 0:33:48What is wrong with you? You know why she's here with those injuries?
0:33:48 > 0:33:52She's so scared of you, she took a beating from some guy named Danny
0:33:52 > 0:33:54- than let you down. - What are you talking about?
0:33:54 > 0:33:57You really want to help her, why don't you just leave?
0:34:05 > 0:34:08Twice, I cancelled that treatment. Cold feet.
0:34:10 > 0:34:13Dr Levy was so reassuring.
0:34:14 > 0:34:18They do go the extra mile on Holbycare.
0:34:18 > 0:34:20All I wanted was a fresh start.
0:34:20 > 0:34:25Going to your ex's wedding is hardly the best way to go about it.
0:34:25 > 0:34:28Just try and relax.
0:34:29 > 0:34:33Sacha, do you want to move in with me or not?
0:34:33 > 0:34:37- Yes, I want to move in with you. - Then what's the problem?
0:34:37 > 0:34:39Um...
0:34:47 > 0:34:48What?
0:34:48 > 0:34:52Yes, er, well, I'd need the valve as soon as possible.
0:34:52 > 0:34:56Er, well...do your best.
0:34:56 > 0:34:57Thank you.
0:34:57 > 0:35:01You're insane. Impressive delaying tactics, though.
0:35:01 > 0:35:05- I doubt she fainted on purpose. - You're breaking all the rules.
0:35:05 > 0:35:08- Feels quite liberating. - Hanssen's going to flip.
0:35:08 > 0:35:14Hanssen's busy. He's not going to know. Unless somebody tells him.
0:35:14 > 0:35:17I'm a bitch, not a snitch.
0:35:21 > 0:35:23Don't tell me you took a bribe?
0:35:23 > 0:35:27No, it's her life savings. She left it here for safekeeping.
0:35:27 > 0:35:31This little envelope of money is just enough to pay for a scrub nurse.
0:35:31 > 0:35:34- If you saw the situation in Kiev... - Spare me the sob story, Elliot.
0:35:34 > 0:35:39You want to jeopardise what's left of your career? Fine. Just leave me out of it.
0:35:39 > 0:35:43Do you know? I once knew a Jac Naylor who would've jumped at this.
0:35:43 > 0:35:45A covert operation?
0:35:45 > 0:35:48Ground-breaking surgery.
0:35:55 > 0:36:01- If I assist you, then this ward has to see some changes. - I could really do with you in there.
0:36:01 > 0:36:03- This junk goes first. - DOOR OPENS
0:36:03 > 0:36:05What is it, Valentine?
0:36:05 > 0:36:09Mr Hope, I think you should check on your patient.
0:36:09 > 0:36:15So, after we hit them with your financial models for 2013-14,
0:36:15 > 0:36:18we go into case studies and personnel,
0:36:18 > 0:36:21potential lecturers,
0:36:21 > 0:36:24and mentors...
0:36:26 > 0:36:28Mr Hamilton always strikes me
0:36:28 > 0:36:31as someone who's very happy to wear an old school tie.
0:36:31 > 0:36:36At what point exactly did you decide to make him your designated poster boy?
0:36:36 > 0:36:40- I don't think that's a relevant question. - What is the relevant one, then?
0:36:40 > 0:36:43The only relevant question as I see it is does he fit the brand?
0:36:45 > 0:36:46Brand?
0:36:46 > 0:36:49We're not selling anaemic coffee drinks to the great unwashed here.
0:36:49 > 0:36:54No. We're selling an education. We want them to choose us.
0:36:54 > 0:36:58Which is why you need me. If we become a leading teaching hospital,
0:36:58 > 0:37:02- you'll rise up the university league tables...- Oh, come on!
0:37:02 > 0:37:05You have far more riding on this than I do.
0:37:05 > 0:37:08- Oh?- I'd guess that your job may very well depend on it.
0:37:10 > 0:37:12Your board will be here in 19 minutes.
0:37:12 > 0:37:16Now, I don't want to have to tell them that the meeting's off,
0:37:16 > 0:37:20that we have irreconcilable differences, but if I have to, I shall.
0:37:20 > 0:37:24Just as I suspected... we have a ruptured tendon.
0:37:24 > 0:37:26What were you expecting?
0:37:26 > 0:37:29- A round of applause?- Merely trying to involve my students in this.
0:37:29 > 0:37:32- YOUR students?- Yes, well, it is my operation after all.
0:37:32 > 0:37:35Now pay attention, Hamiltonians, I'm now going to suture
0:37:35 > 0:37:40the two ends of the broken tendon - the proximal end and the distal end.
0:37:40 > 0:37:44Wow. It's like watching a movie with the director's commentary, isn't it?
0:37:44 > 0:37:48What are you talking about? Make yourself useful and bend the elbow at 45 degrees.
0:37:49 > 0:37:51A real boring movie at that.
0:37:51 > 0:37:53Well, you don't actually need to be here.
0:37:53 > 0:37:57- I'm perfectly capable of doing without GS backup.- Really? Great!
0:37:57 > 0:38:00I reckon the Malickites deserve something more interesting
0:38:00 > 0:38:03than a blunt finger dissection. Right, my friends.
0:38:03 > 0:38:07As fascinating as it may be to watch an orthopod wiggle his finger around
0:38:07 > 0:38:11in a patient's arm, wouldn't you rather see some...real medicine?
0:38:11 > 0:38:14- Malick, I need you to look at this. - One sec.
0:38:18 > 0:38:19Jeez!
0:38:19 > 0:38:22Don't go away, people.
0:38:22 > 0:38:24This just got interesting.
0:38:29 > 0:38:33- Bad pain.- Bradycardia... - Sats are dropping.
0:38:33 > 0:38:38Hypotension. Borderline LVF. Let's give him some nitroglycerine.
0:38:38 > 0:38:42Start him on the dopamine infusion. We'll try and make you more comfortable.
0:38:42 > 0:38:45How can he be comfortable? He's dying.
0:38:45 > 0:38:48Right, let's chase up that valve.
0:38:48 > 0:38:51SHE SPREAKS UKRANIAN
0:38:51 > 0:38:54I need suction. I can't see.
0:38:56 > 0:39:00- OK, I see it. - We looking at a bundle?
0:39:00 > 0:39:02No. It's a bleed from the cephalic artery.
0:39:04 > 0:39:07I'll need to make the incision bigger. I can't get access.
0:39:07 > 0:39:12Malickites, come on, you're not going to see anything from there.
0:39:12 > 0:39:14Scrub up and get in.
0:39:14 > 0:39:20- You sure that's such a good idea? - How are they going to learn if they don't have a ringside seat?
0:39:20 > 0:39:23Unfortunate turn of phrase.
0:39:23 > 0:39:27Yeah. Sorry, Matti. More suction.
0:39:30 > 0:39:32It's no good. Give me retractors.
0:39:35 > 0:39:37Can we page Mr Hanssen, please?
0:39:37 > 0:39:41- Hanssen?- Yup. He's the consultant and this is his patient.
0:39:41 > 0:39:44- He's not available. - What are you talking about?
0:39:44 > 0:39:46He's due in a meeting any minute.
0:39:46 > 0:39:49Hanssen is not going to prioritise a room full of suits over a patient.
0:39:49 > 0:39:52- It's a very important meeting. - What do you know about it?
0:39:52 > 0:39:54Just page him!
0:39:57 > 0:40:04- We'll bring his operation forward. - You needed to prepare?- His condition has rather caught up with us.
0:40:04 > 0:40:07If we don't do this now, he is going to die.
0:40:09 > 0:40:13- Mr Hope, I'll make sure theatre's prepped for you. - Right, thank you.- Olena!
0:40:17 > 0:40:19HE SPEAKS UKRANIAN
0:40:20 > 0:40:22He says he believes in you.
0:40:22 > 0:40:24We'll do our best.
0:40:25 > 0:40:27Thank you, Dr Hope.
0:40:36 > 0:40:39Mr Hope, um...
0:40:39 > 0:40:43My mother isn't dead. She ran off to Donetsk.
0:40:44 > 0:40:48I want to save my father. I'll do whatever it takes.
0:40:53 > 0:40:56- Did you tell them that the valve isn't here?- It will be.
0:41:02 > 0:41:08If this Mr Malick is the marvel you claim him to be, why does he ask for your help every five minutes?
0:41:08 > 0:41:13- I should point out Mr Hamilton is in theatre with him.- Then surely they can cope without you?
0:41:13 > 0:41:17When a patient's health is at stake, everything else becomes secondary.
0:41:17 > 0:41:19Start without me. I'll be back as soon as I can.
0:41:19 > 0:41:22How do you know you still have my backing?
0:41:22 > 0:41:25Surely there are some major questions still to resolve?
0:41:25 > 0:41:29- Just one, I think. - So what's your answer?
0:41:29 > 0:41:32Am I going to back you in there or not?
0:41:32 > 0:41:36Are you going to throw away a £12 million deal on a point of principle?
0:41:38 > 0:41:43Hmm. I'll tell them you have my full backing.
0:41:51 > 0:41:57The thing about keyhole surgery is... I always wish I had smaller hands.
0:41:59 > 0:42:04Amazing, really, how things have developed.
0:42:09 > 0:42:14OK, that is the sheath in. Thank you.
0:42:14 > 0:42:17- Any news on the valve yet?- No.
0:42:17 > 0:42:20- Come on, Valentine...- Right.
0:42:23 > 0:42:28We're here today to talk about a very exciting new era
0:42:28 > 0:42:33of collaboration between the hospital and our university.
0:42:33 > 0:42:38Now, unfortunately, Mr Hanssen is needed in theatre,
0:42:38 > 0:42:40but hopefully, he'll be joining us shortly.
0:42:40 > 0:42:42Rather a lot of people in here.
0:42:42 > 0:42:45Mr Malick thought our students deserved a closer look.
0:42:45 > 0:42:49- Quite right too. So why am I here? - The brachial artery's impeded.
0:42:49 > 0:42:51- Embolism?- Mm-hm. - But there's something else too.
0:42:51 > 0:42:55I told Mr Malick not to page you. I know you have an urgent meeting with the board.
0:42:55 > 0:43:00Be quiet, please, Mr Hamilton. What is this something else I should know about, Mr Malick?
0:43:00 > 0:43:03She has these markings on her back and her abdomen's slightly distended.
0:43:03 > 0:43:05Which tells us what?
0:43:05 > 0:43:07An internal bleed, I guess, but how?
0:43:07 > 0:43:10- We won't know till we open her up... - MACHINE BEEPS
0:43:10 > 0:43:12BP's through the floor.
0:43:17 > 0:43:19ELLIOT: Thank you.
0:43:22 > 0:43:26- How's it looking to you? - We should consider bypass.
0:43:26 > 0:43:28That's impossible.
0:43:32 > 0:43:34Right. I think we're ready for the valve now.
0:43:34 > 0:43:36SHE SIGHS
0:43:37 > 0:43:41So everyone knew, except me. Scheming behind my back.
0:43:41 > 0:43:45- It wasn't like that, Chrissie. - No?- It is none of my business.
0:43:45 > 0:43:48You were more than happy to cover for him.
0:43:48 > 0:43:51At the moment, I'm just getting grief from both sides.
0:43:51 > 0:43:53I thought he was happy.
0:43:53 > 0:43:56He is happy, OK? And he wants to make you happy.
0:43:56 > 0:43:58So what's his problem?
0:43:58 > 0:44:01Well, he's a bloke. He's Sacha.
0:44:01 > 0:44:05He lucked out with you. He's just really feeling the pressure.
0:44:05 > 0:44:07Am I really that hard to live up to?
0:44:07 > 0:44:11It might save time if you actually said all of this to Sacha.
0:44:11 > 0:44:15Yes, I know. If I could find him. He's disappeared again.
0:44:26 > 0:44:30- Balloon's in position.- You realise you're still a soft touch.
0:44:30 > 0:44:33Well, sometimes, a soft touch is exactly what is needed.
0:44:33 > 0:44:38- Expand, please.- Tell that to Hanssen. This guy saw you coming.
0:44:38 > 0:44:40Now for the tricky bit.
0:44:40 > 0:44:44At least he crashed. Now it's legit. Whole different ball game.
0:44:44 > 0:44:48- You pull this off, we can only look good- Arrhythmia.
0:44:48 > 0:44:49- ALARM BEEPS - He's in VF.
0:44:49 > 0:44:53All right, compressions. Fluid and cross match!
0:44:53 > 0:44:58- Adrenaline! 100% oxygen, please! - Pushing fluids...
0:44:58 > 0:45:01- No change. - We'll have to use paddles.- Not yet.
0:45:01 > 0:45:03- Page the on-call perfusionist.- No.
0:45:03 > 0:45:07Bypass is too risky! Take over, please.
0:45:08 > 0:45:12The valve isn't deploying properly. If I could just...
0:45:14 > 0:45:17Elliot, let me, let me.
0:45:17 > 0:45:20ALARM CONTINUES
0:45:23 > 0:45:25- There. That's got it. - ALARM STOPS
0:45:25 > 0:45:27Sats back up.
0:45:27 > 0:45:29Well done.
0:45:29 > 0:45:31Let's get the guide wire out.
0:45:34 > 0:45:37- There's a leak.- Damn it! - Just a small one.
0:45:37 > 0:45:40- We'll have to open him up. - No. He'll never survive.
0:45:40 > 0:45:44What do you suggest we do, Elliot? Come on, this is your operation!
0:45:46 > 0:45:48- Elliot!- Right...
0:45:48 > 0:45:52The bleed may clot itself. Let's pack it.
0:45:52 > 0:45:56Take five minutes to consider our options.
0:46:00 > 0:46:02Elliot?
0:46:02 > 0:46:06Five minutes and I cut him open! More packs.
0:46:08 > 0:46:10Right, suction, let's pack it.
0:46:10 > 0:46:14- I've found the clot! - If we don't stem this bleeding,
0:46:14 > 0:46:17we'll have to mobilise the whole liver. Pull the wound up.
0:46:19 > 0:46:20BP's dropping.
0:46:20 > 0:46:23OK, can I get two bulldog clips, please?
0:46:23 > 0:46:28Small bowel and mesentery fine. No other points of bleeding there.
0:46:28 > 0:46:32Malickites, see how I'm clipping off the artery here?
0:46:32 > 0:46:35Pancreas and aorta fine.
0:46:35 > 0:46:38Ah, there we have it. That's what we're looking for.
0:46:38 > 0:46:40- Mr Malick, please.- Dan, can you?
0:46:40 > 0:46:42- Yeah, sure, if you can...- Yeah.
0:46:45 > 0:46:48- Got it.- Got it. - So what do we have, Mr Malick?
0:46:50 > 0:46:51A tear in the liver.
0:46:51 > 0:46:55- A tear in the liver. Good. Packs, please!- Suction.
0:46:55 > 0:46:58Diathermy for Mr Malick, please.
0:47:07 > 0:47:10- Do you think you can cauterise it? - Oh, it's a mess.
0:47:10 > 0:47:13I'm going to have to resect part of it.
0:47:13 > 0:47:15Right.
0:47:15 > 0:47:19- Well, I think you can both take it from here.- Yup.- Sure.
0:47:26 > 0:47:29He's stable, but still in theatre.
0:47:39 > 0:47:41So what are you doing out here?
0:47:41 > 0:47:42Thinking.
0:47:44 > 0:47:46Complications.
0:47:46 > 0:47:51My father did not want to come. He wanted to stay in Kiev.
0:47:51 > 0:47:53But he needed the operation.
0:47:54 > 0:47:56We couldn't pay.
0:47:59 > 0:48:04My family were always poor. We could never afford to buy new things.
0:48:07 > 0:48:10My father always used to say,
0:48:10 > 0:48:14"The longer something has been around, the longer it will last."
0:48:17 > 0:48:21Do you know, my office is full of outmoded machines.
0:48:21 > 0:48:25- The hospital wants to throw them away.- Why? Do they not work?
0:48:25 > 0:48:28Some people consider them old-fashioned.
0:48:28 > 0:48:31I do not understand why people think like that.
0:48:31 > 0:48:33If something works, then why not use it?
0:48:35 > 0:48:38- Thank you.- What for?
0:48:38 > 0:48:39Trusting me.
0:48:44 > 0:48:46MACHINE BEEPS Sorry to have kept you.
0:48:46 > 0:48:50- Four minutes and 59 seconds. - Still bleeding.- Right.
0:48:50 > 0:48:53- OK, well, I'm going to suture. Prolene, please.- No.
0:48:53 > 0:48:56With the ventricle in that state, you'll tear it apart.
0:48:56 > 0:48:58Have you got other suggestions?
0:48:58 > 0:49:02I'd like to try something. May I? Thank you.
0:49:02 > 0:49:06As you rightly pointed out, Ms Naylor,
0:49:06 > 0:49:09the patient's aorta is stuck to the chest wall.
0:49:09 > 0:49:14- We're running out of time here, Elliot.- Bit parts. All mashed up.
0:49:14 > 0:49:18- And?- Fibular, please. - What the hell are you doing?
0:49:19 > 0:49:22Something incredibly simple.
0:49:22 > 0:49:25Epithelial cell glue, please.
0:49:25 > 0:49:28Cell glue? You're going to glue him back together?
0:49:28 > 0:49:33Well, the oldies are the goodies, as my mother used to say.
0:49:33 > 0:49:35Let's see if that does the trick.
0:49:36 > 0:49:38It's holding.
0:49:41 > 0:49:44BEEPING STOPS Appears to be.
0:49:45 > 0:49:50Right. Give it five minutes. Wash it through with saline.
0:49:50 > 0:49:55Remove the scope and the tube. No need for drains.
0:49:55 > 0:49:57Good, right. Thank you.
0:49:59 > 0:50:02'In many ways, the Clinical Skills Lead will be'
0:50:02 > 0:50:06one of the most vital figures in our students' education.
0:50:06 > 0:50:08Good afternoon, my name's Henrik Hanssen,
0:50:08 > 0:50:11I'm Director of Surgery and Consultant General Surgeon.
0:50:11 > 0:50:14Forgive me for being so late and for my attire.
0:50:14 > 0:50:19I come hotfoot from theatre. As Professor Pawlowski has no doubt explained,
0:50:19 > 0:50:23what we are proposing here is not just about classroom learning, it's about hands-on experience.
0:50:23 > 0:50:27Now, I'm aware these presentations can be a little...dry,
0:50:27 > 0:50:33so I thought who better to explain what life here will be like than three of our students?
0:51:02 > 0:51:06- You found me, then. - This is where you've been hiding?
0:51:06 > 0:51:11- Well, here and Holbycare.- I thought you'd thrown all this stuff away.
0:51:11 > 0:51:13Hadn't quite got round to it.
0:51:13 > 0:51:15Sacha...
0:51:16 > 0:51:20It was just a room to store stuff first, you know, and then...
0:51:20 > 0:51:22it became...
0:51:22 > 0:51:25Somewhere to get away from me?
0:51:25 > 0:51:28Somewhere I could be myself.
0:51:29 > 0:51:32I'm not trying to change you.
0:51:32 > 0:51:35I do want to move in with you.
0:51:35 > 0:51:39I've never wanted anything more in my life.
0:51:39 > 0:51:45Well, then somehow, somewhere, we'll find room for all this stuff.
0:51:45 > 0:51:49Shame, actually, I was getting quite attached to the place.
0:51:49 > 0:51:52Then you better go and lock the door?
0:51:52 > 0:51:54You mean...?
0:51:56 > 0:51:57Oh!
0:52:01 > 0:52:05You'd better get ready, cos I am a demon with one of these things.
0:52:05 > 0:52:08COMPUTER GAME SOUND EFFECTS BLARE
0:52:08 > 0:52:12- He isn't out of the woods yet. - He'll be OK.
0:52:12 > 0:52:13I know he will.
0:52:15 > 0:52:17I didn't say thank you to you.
0:52:17 > 0:52:20Ah, um...Dyakuyu?
0:52:20 > 0:52:23- Dyakuyu.- You're welcome.
0:52:34 > 0:52:36Thank you.
0:52:36 > 0:52:41Well, as I hoped, our young colleagues have just proved
0:52:41 > 0:52:44we have the capacity to share our expertise.
0:52:44 > 0:52:47But more than that, I believe it is our duty.
0:52:48 > 0:52:51I believe it's time to secure our legacy.
0:52:51 > 0:52:55Which is why I'm delighted that we have the full backing of your vice-chancellor.
0:52:55 > 0:53:01Absolutely. And now, to continue where I left off...
0:53:01 > 0:53:06as Clinical Skills Lead, we are proposing Mr Dan Hamilton.
0:53:06 > 0:53:08Along with Antoine Malick.
0:53:10 > 0:53:12As our young students have just said,
0:53:12 > 0:53:15both surgeons have the qualities the role requires
0:53:15 > 0:53:18and, together, they make a formidable team.
0:53:18 > 0:53:21It seems almost impossible to choose between them.
0:53:21 > 0:53:23Wouldn't you agree, Professor?
0:53:25 > 0:53:27MACHINE SQUEAKS AND WHIRRS
0:53:31 > 0:53:35Right, a deal's a deal. I want this crud out of my office.
0:53:35 > 0:53:38In the car park, in the basement, just not here.
0:53:38 > 0:53:41I thought I might send it to Kiev.
0:53:41 > 0:53:43Kiev?
0:53:43 > 0:53:47Hmm. Clearly, they need it more than we do.
0:53:47 > 0:53:50Well if it stops them coming over here...
0:53:50 > 0:53:53'They said she had an operation on her liver?'
0:53:53 > 0:53:55Is she OK?
0:53:55 > 0:53:58We'll know a lot more tomorrow.
0:53:58 > 0:54:00So what happens now?
0:54:00 > 0:54:04Like I said, we'll know a lot more with time.
0:54:04 > 0:54:07There's a possibility we may have to consider dialysis, but...
0:54:07 > 0:54:11hopefully, the liver might be able to regenerate itself.
0:54:11 > 0:54:14She begged me to take her on, you know? I'd never taught a girl before.
0:54:16 > 0:54:21Took her two years, but... eventually she wore me down.
0:54:21 > 0:54:23HE LAUGHS SOFTLY How?
0:54:23 > 0:54:26Her dad - my brother -
0:54:26 > 0:54:29he's a complete waste of space. Left her when she was 12 years old
0:54:29 > 0:54:32and she just folded in on herself.
0:54:32 > 0:54:34- So you taught her to fight? - I taught her discipline.
0:54:34 > 0:54:38I taught her to think for herself, to use her strength, you know.
0:54:40 > 0:54:43If she'd won tonight, she could have made some money,
0:54:43 > 0:54:45you know, some real money.
0:54:45 > 0:54:47Escaped.
0:54:49 > 0:54:51That's why I pushed her.
0:54:51 > 0:54:54And yeah, maybe I pushed her too hard, but...
0:54:54 > 0:54:56But it was always for her. Always.
0:55:00 > 0:55:01Well...
0:55:02 > 0:55:04..I'm sure she knows that.
0:55:14 > 0:55:17'Doors opening. Lift going down.'
0:55:17 > 0:55:19Ah, Mr Hope. I'm glad I ran into you.
0:55:19 > 0:55:23- Excuse me.- Actually, I'm in a bit of a hurry...- The operation.
0:55:23 > 0:55:26- Went well, thank you. - The patient's condition deteriorated
0:55:26 > 0:55:30- and you were forced to proceed with the surgery?- Something like that.
0:55:30 > 0:55:35- The valve had already been ordered. - Well...- Directly countermanding the instructions I gave you.
0:55:35 > 0:55:40Mr Hanssen, if I am to be of continued value to this hospital,
0:55:40 > 0:55:43I really must insist on a small measure of autonomy.
0:55:43 > 0:55:46It's the only way I can do my job!
0:55:46 > 0:55:50Right. Well, I shall consider that request and bear it in mind.
0:55:53 > 0:55:55'Doors closing.'
0:56:01 > 0:56:04I thought we were playing on the same team.
0:56:04 > 0:56:06Of course we are.
0:56:06 > 0:56:10In my experience, people very rarely live up to their reputations,
0:56:10 > 0:56:14- but I'm glad to say, you may actually have exceeded yours. - I shall take that as a compliment.
0:56:14 > 0:56:18I'm looking forward to working with you on this.
0:56:18 > 0:56:21You strike me as a man who isn't used to failure.
0:56:21 > 0:56:24And if you can't make a success of this place,
0:56:24 > 0:56:26it would be a very public failure.
0:56:26 > 0:56:28It would.
0:56:29 > 0:56:31We'll speak soon.
0:57:11 > 0:57:15Subtitles by Red Bee Media Ltd