The Ties that Bind

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0:00:40 > 0:00:44- You don't like the way that I run my life?- Unless it affects your work...

0:00:44 > 0:00:46But there is NOTHING that you can do about it!

0:00:46 > 0:00:50- Mr Malick thought that our students deserved a closer look.- Quite right.

0:00:50 > 0:00:52See how I'm clipping off the artery, here?

0:00:52 > 0:00:57As clinical skills lead, we are proposing Mr Dan Hamilton.

0:00:57 > 0:00:59Along with Antoine Malick.

0:00:59 > 0:01:00Tough as old boots, me.

0:01:00 > 0:01:03His heart gave out. I'm so sorry.

0:01:06 > 0:01:10- Have you two met? - Yeah, but not formally.

0:01:10 > 0:01:12Rafi, good to meet you.

0:01:12 > 0:01:16- Her husband?- Yup.- I'm going to have to sell tickets to this car crash.

0:01:33 > 0:01:36So, you've not spoken to the nanny at all?

0:01:36 > 0:01:39- Not this afternoon, no. - And don't you think...?- What?

0:01:39 > 0:01:41Don't you think we should check in again?

0:01:41 > 0:01:44We can't check up on her every five minutes. It's not fair.

0:01:44 > 0:01:45I'm not talking about every five minutes.

0:01:45 > 0:01:48I have spoken to her about the smoking, OK?

0:01:48 > 0:01:52- It's not that. She's very young. - She's 25.

0:01:52 > 0:01:55If you think about it, we really don't know anything about her.

0:01:55 > 0:01:58- If you are going to get neurotic about all of this.- I am not.

0:01:58 > 0:02:02I am just not that happy about leaving our children

0:02:02 > 0:02:04in the hands of what is, essentially, a complete stranger.

0:02:04 > 0:02:07- And do you that think I am? - Well, you certainly don't seem

0:02:07 > 0:02:09that fussed about it.

0:02:11 > 0:02:14We agreed we wouldn't bring our home life into...

0:02:14 > 0:02:18- Yeah, yeah. I know. You're right. - Work mode, remember?- Work mode.

0:02:19 > 0:02:21Sorry.

0:02:24 > 0:02:25Woah. We busy?

0:02:25 > 0:02:28Just a bit. Transfers from A&E.

0:02:28 > 0:02:30- OK. What we got?- Keller!

0:02:30 > 0:02:35Your first patient is Mr Wallace, bed three. Vivian Wallace,

0:02:35 > 0:02:38transferred from Haematology, chronic myeloid leukaemia.

0:02:38 > 0:02:41Possible bowel pathology, perforation or obstruction.

0:02:41 > 0:02:43He's had a CT so chase up the scans

0:02:43 > 0:02:45and bring yourself up to speed with the case.

0:02:45 > 0:02:47I thought we were wall-to-wall with emergencies.

0:02:47 > 0:02:50Mr Wallace will NOT be missing his slot.

0:02:50 > 0:02:52Hey, come on. How does he get fast-tracked?

0:02:52 > 0:02:54He's not being fast-tracked,

0:02:54 > 0:02:58we're just treating him with the respect that he deserves.

0:02:58 > 0:03:00- Anaesthetics for you.- Thank you.

0:03:06 > 0:03:10Someone clearly had a big night. What on Earth did she do to him?

0:03:10 > 0:03:13- Best not to ask. - He's a bit of a player, isn't he?

0:03:13 > 0:03:15Seems to be a different woman every...

0:03:15 > 0:03:19Good morning, Mr Douglas. You had fun last night?

0:03:19 > 0:03:21Yeah, I had a bit of an argument with the pavement.

0:03:21 > 0:03:24- One too many sherries? - Don't worry, I'm fit for purpose.

0:03:24 > 0:03:26That remains to be seen.

0:03:26 > 0:03:29- RAFI LAUGHS - Sorry, sorry. Work mode.

0:03:33 > 0:03:36Ah. Rebecca Hardwick? A&E just called.

0:03:36 > 0:03:39I understand you collapsed on the flight in from holiday.

0:03:39 > 0:03:42- With what? Food poisoning? - It was a budget flight, no food.

0:03:42 > 0:03:44I've got it. We'll sort you out.

0:03:44 > 0:03:47- Did anyone come in with you? - No. Just me.

0:03:47 > 0:03:48Right. In there, please.

0:03:51 > 0:03:54- I said I've got it.- Fine.

0:03:58 > 0:04:02Oh, Mr Wallace, please, come on. You need to get back into bed.

0:04:02 > 0:04:06- You need to rest. - I can rest when I'm dead.

0:04:06 > 0:04:10- I don't need to tell you... - No. You're right. You don't.

0:04:10 > 0:04:12Especially, given your condition.

0:04:12 > 0:04:15I've got few enough pleasures left, these days.

0:04:15 > 0:04:18Ah. I know that it's your job to play the headmaster,

0:04:18 > 0:04:21but I was never one to obey the rules.

0:04:23 > 0:04:25Well, in that case,

0:04:25 > 0:04:28I'll leave you in the capable hands of Mr Malick.

0:04:31 > 0:04:33He always that uptight?

0:04:33 > 0:04:35So, Mr Griffin thinks you've got

0:04:35 > 0:04:38something called a leukemic infiltration of the bowel.

0:04:38 > 0:04:41All right. And what do you think?

0:04:41 > 0:04:45I think he's spot on. You can get very aggressive cancer cells

0:04:45 > 0:04:47that can break through the bowel wall.

0:04:47 > 0:04:51Very aggressive cancer cells. Any more good news for me?

0:04:52 > 0:04:56We're waiting on the scan results to confirm the diagnosis,

0:04:56 > 0:04:57then we'll know the best way forward.

0:04:57 > 0:05:02- In the meantime, if there's anything you need...?- Anything?

0:05:02 > 0:05:05In that case, I'd like an ashtray, a stiff drink and, I guess,

0:05:05 > 0:05:08a new bowel.

0:05:08 > 0:05:12- No answer? - Useless. I've left four messages.

0:05:12 > 0:05:14Anyone else you can call?

0:05:14 > 0:05:17Sooner or later it'll dawn on my daughter to check her mobile.

0:05:17 > 0:05:21- So, are you feeling better? Not so breathless?- Yeah, thanks.

0:05:21 > 0:05:25Ah. You still have a fever. We'll give you something to sort that out.

0:05:25 > 0:05:28OK. So, tell me, what happened on the plane?

0:05:28 > 0:05:29I just got a bit light-headed.

0:05:29 > 0:05:33- Any pain?- A little bit. About here.

0:05:33 > 0:05:34I got a bit breathless.

0:05:34 > 0:05:37Palpitations. Then I must've just conked out.

0:05:37 > 0:05:39And you were on holiday, right?

0:05:39 > 0:05:44- Morocco. You been? - Yes. Long time ago. Another life.

0:05:44 > 0:05:47I was on a walking holiday in the Atlas mountains.

0:05:47 > 0:05:49So, that must have been pretty strenuous?

0:05:49 > 0:05:51Did you have any difficulty with the exercise?

0:05:51 > 0:05:53I got a bit tired in the evenings but so did everyone else.

0:05:53 > 0:05:56You know, aching limbs, bit short of puff.

0:05:56 > 0:05:58Nothing a warm bath and a glass of wine didn't sort out

0:05:58 > 0:06:00- at the end of the day. - PHONE BEEPS

0:06:00 > 0:06:04Ah. Zoe. Note, she doesn't ring to speak to me, just texts.

0:06:04 > 0:06:07These days she only communicates with me using her thumbs.

0:06:07 > 0:06:09It requires the minimum amount of effort.

0:06:09 > 0:06:12- She on her way in?- Oh, I doubt it.

0:06:12 > 0:06:15She's as selfish as they come.

0:06:18 > 0:06:21Have you ever heard of this guy, Vivian Wallace?

0:06:21 > 0:06:23No. Was he in a band?

0:06:23 > 0:06:261981, he rallied his community together

0:06:26 > 0:06:28to clean up after the riots.

0:06:28 > 0:06:30In '87, he was elected to local government

0:06:30 > 0:06:33and established a literacy campaign

0:06:33 > 0:06:35targeting young, black kids, nationwide.

0:06:35 > 0:06:38No stopping there. He fought the government...

0:06:38 > 0:06:42for more funding to tackle poverty.

0:06:42 > 0:06:46CT images are in. Do you want to take a look?

0:06:48 > 0:06:50The bowel's leaking.

0:06:50 > 0:06:53We need to prep him and get him into theatre right away.

0:06:53 > 0:06:57- And then what?- We both know his only chance is if he finds

0:06:57 > 0:06:59a suitable bone marrow donor.

0:07:01 > 0:07:05- Sorry.- No problem. It's my job.

0:07:05 > 0:07:08Strong stomach. Unlike me.

0:07:08 > 0:07:12- You must be tired. - No, I'm fine.

0:07:12 > 0:07:15You want to get somebody else to hold the sick bowls.

0:07:16 > 0:07:21So, the delegation's back. What's the verdict, gentlemen?

0:07:21 > 0:07:22Well, as we suspected,

0:07:22 > 0:07:25the leukemic infiltration has caused a perforation.

0:07:25 > 0:07:28So, we're going to need to perform a laparotomy,

0:07:28 > 0:07:32mobilise the bowel, suture it and wash out the contamination.

0:07:32 > 0:07:37- Any questions?- Just one. What the hell did he just tell me?

0:07:37 > 0:07:40We want to take you into theatre and cut you open

0:07:40 > 0:07:43- to fix the leak in your bowel. - Worst case scenario?

0:07:43 > 0:07:45You'll be left with a colostomy bag.

0:07:45 > 0:07:50But, of course, we'll do our best to ensure that that doesn't happen.

0:07:50 > 0:07:53Guess you'll be wanting an autograph then.

0:07:53 > 0:07:57- Mr Hanssen wants to see you in his office, straight away.- Me?!

0:08:01 > 0:08:02Excuse me.

0:08:02 > 0:08:05- Hi.- I'm looking for my mother, Rebecca Hardwick?

0:08:05 > 0:08:09- Ah, she's over there, in HDU. - Thanks.- Pleasure.

0:08:11 > 0:08:14- How do you do it?- Do what?

0:08:14 > 0:08:16It's like there's a magnetic field around you

0:08:16 > 0:08:19that beautiful women are irresistibly drawn to.

0:08:21 > 0:08:26- Mrs White's in ITU. It's your job to monitor that, please.- No probs.

0:08:29 > 0:08:30What's that?

0:08:30 > 0:08:35Surgical gloves, wrong size. Been opened.

0:08:35 > 0:08:36So, going to have to be thrown.

0:08:36 > 0:08:40So, how is it working alongside your hubby?

0:08:41 > 0:08:43Oh, it's fine.

0:08:43 > 0:08:45Why wouldn't it be?

0:08:49 > 0:08:51Obviously, should you be offered the position,

0:08:51 > 0:08:54it'll significantly enhance your chances of consultancy.

0:08:54 > 0:08:57My clinical skills teacher was the one that inspired me.

0:08:57 > 0:09:02He was my hero. So, I'd supervise all our medical students?

0:09:02 > 0:09:05But, understand, I can only recommend someone for the position,

0:09:05 > 0:09:07the appointment itself's not in my gift.

0:09:07 > 0:09:10- But I'm on the shortlist?- Yes, you are, indeed. A shortlist of two.

0:09:10 > 0:09:15- Can I ask...?- You may ask. Obviously, I can't tell you.

0:09:15 > 0:09:18All I will say is that your rival candidate

0:09:18 > 0:09:21- has a rather more conventional approach.- Right.

0:09:21 > 0:09:24Whereas you, Mr Malick, are something of a maverick.

0:09:24 > 0:09:29I'll be watching both of you during the selection process.

0:09:29 > 0:09:31Please don't give me any reason to regret backing you.

0:09:31 > 0:09:33Understood.

0:09:33 > 0:09:36OK. Great, thanks. Soon as you can.

0:09:39 > 0:09:41I wanted to ask you something.

0:09:42 > 0:09:43What?

0:09:47 > 0:09:48What have I done wrong?

0:09:51 > 0:09:56- Nothing.- Not a fan of the difficult conversation, are you?

0:09:56 > 0:09:59- I have no idea what you mean. - You know what I mean.

0:09:59 > 0:10:03- You like to brush everything under the carpet, don't you?- Like what?

0:10:03 > 0:10:07Like you could've warned me your husband was starting work here.

0:10:08 > 0:10:12Like you could have had the decency to acknowledge this whole situation.

0:10:12 > 0:10:14There is no situation!

0:10:14 > 0:10:17Right, Team Darwin. I have splendid news.

0:10:17 > 0:10:21It seems Dr Raza is your designated anaesthetist for the afternoon.

0:10:21 > 0:10:27So, Ms Shah, Dr Raza and are you joining us, Mr Douglas?!

0:10:29 > 0:10:32I don't think so. Sorry.

0:10:36 > 0:10:39- Hi.- What's going on?- We're down on staff, Michael's got to go

0:10:39 > 0:10:43and I'm trying to sort things out. So, I'm so glad you could make it.

0:10:43 > 0:10:46- Bed three needs transferring to Orthopaedics.- Has the call been made?

0:10:46 > 0:10:49- I don't know. Can you check?- OK. - Thank you.

0:10:51 > 0:10:53- OK, I'm out of here. See you tomorrow.- No.

0:10:53 > 0:10:57- Call for you - paediatrics. And I need you.- Yeah.

0:10:57 > 0:11:01Get off me, all right. Just leave it. I don't want it.

0:11:01 > 0:11:03Who's in charge here?

0:11:03 > 0:11:06Right now, that's me. I'll take it from here.

0:11:06 > 0:11:09This is Rosie Hill, admitted suffering from seizure.

0:11:09 > 0:11:11- OK.- I'm OK, no worries.

0:11:11 > 0:11:14Well, do you want to let us be the judge of that?

0:11:17 > 0:11:19- Brilliant. - I'm sorry, I'm really sorry.

0:11:22 > 0:11:26- Have you been taking anything?- No. - Honestly?

0:11:26 > 0:11:32- If I'd been taking anything dodgy, I'd tell you...Eddi.- Chrissie?

0:11:32 > 0:11:35Can you get Mr Hemmingway for me, please?

0:11:35 > 0:11:39- Can you remember what happened? How you hit your head?- I'm not sure.

0:11:39 > 0:11:42- Has anything like this ever happened to you before?- No.

0:11:42 > 0:11:47- He's not around.- Well, where is he? - He's popped out. I don't know where.

0:11:51 > 0:11:54- Tests for what? - I don't know. Ask the doctor.

0:11:54 > 0:11:57- You don't look too bad. - I'm not. I'm fine.

0:11:57 > 0:12:00I had a funny turn, now I'm here being looked after.

0:12:00 > 0:12:02- You don't need to put yourself out. - If you didn't want me

0:12:02 > 0:12:05to put myself out, why did you leave me four voicemails?!

0:12:05 > 0:12:09- I didn't want you to worry. - Of course I worried!

0:12:09 > 0:12:11You made it sound like you'd had a bloody heart attack.

0:12:11 > 0:12:14I made Christian break the speed limit to get here.

0:12:14 > 0:12:16He's outside right now, waiting to hear

0:12:16 > 0:12:19if reports of your death have been greatly exaggerated.

0:12:19 > 0:12:22Well, you can tell him the old girl's fine.

0:12:22 > 0:12:24I'm sure he'll be hugely relieved.

0:12:24 > 0:12:27- Hi. I'm Ms Shah. - This is my daughter Zoe.

0:12:27 > 0:12:30She wants to know when she can push off and leave me.

0:12:30 > 0:12:32Don't listen to her.

0:12:32 > 0:12:35And you're not to use this as an excuse to miss lectures.

0:12:35 > 0:12:38- How long will she be in for? - Well, I couldn't say yet.

0:12:38 > 0:12:41I've been speaking to A&E. They mentioned insect bites.

0:12:41 > 0:12:44- What are you doing? - I'm going to go back to yours.

0:12:44 > 0:12:47- What do you need? Nightie? Toothbrush?- You don't have to.

0:12:47 > 0:12:49It's fine, Mum.

0:12:52 > 0:12:56- Sorry. You were saying?- Insect bites.- Oh, just this one.- OK.

0:12:58 > 0:13:02Is there a history of any heart problems in your family, either side?

0:13:02 > 0:13:05My dad. He died when I was about Zoe's age.

0:13:10 > 0:13:12Clinical skills teacher?

0:13:12 > 0:13:15Scissors, please.

0:13:16 > 0:13:18Why do you sound so surprised?

0:13:18 > 0:13:21No, no, no. It's great news. I'm very pleased for you.

0:13:21 > 0:13:24It's nice to be considered for a position like that.

0:13:26 > 0:13:30But? Why do I feel like there's a but coming?

0:13:30 > 0:13:32It's just a little...

0:13:32 > 0:13:35unexpected for Hanssen to choose you as one of his candidates.

0:13:35 > 0:13:37Because?

0:13:39 > 0:13:42Look, the last thing he needs right now is someone

0:13:42 > 0:13:44who's going to rock the boat.

0:13:44 > 0:13:47He just wants someone to toe the party line. A yes-man.

0:13:47 > 0:13:50Just because he thinks I'll be a good clinical skills teacher,

0:13:50 > 0:13:54doesn't mean he suddenly expects me to be a yes-man.

0:13:54 > 0:13:56More suction, please.

0:13:57 > 0:14:00Do you know who the other candidate is?

0:14:00 > 0:14:04He said it was it was someone with a bit more of a conventional approach.

0:14:05 > 0:14:08Thanks for the vote of confidence.

0:14:09 > 0:14:12You know what, I'm going to get this job.

0:14:12 > 0:14:16If it means me having to play the game for a bit, then so be it.

0:14:18 > 0:14:19Dividing the vessel.

0:14:19 > 0:14:21EDDI: 'Sorry to trouble you again Mr Hemmingway,

0:14:21 > 0:14:24'just wondered if you plan on coming back to work today?

0:14:24 > 0:14:26'Call me old fashioned,

0:14:26 > 0:14:30'but patients tend to want to see their doctors on the ward.'

0:14:32 > 0:14:34- Oh, at last.- So, what have we got?

0:14:34 > 0:14:36Right. Rosie Hill, she's 26.

0:14:36 > 0:14:39Her notes haven't been transferred yet but she's had a fit.

0:14:39 > 0:14:42Says she has no previous history. Has a small gash on her head,

0:14:42 > 0:14:45but her bloods have come back clear.

0:14:45 > 0:14:48- Sorry for chucking up on you. - It's all right.

0:14:48 > 0:14:51- You're from Yorkshire, like me? - Uh-huh.

0:14:51 > 0:14:52Leeds?

0:14:52 > 0:14:55I'm just going to have a little look at your head.

0:14:56 > 0:14:59- Meanwood, right?- That's fine.

0:14:59 > 0:15:01Sunset Avenue.

0:15:02 > 0:15:05I'm sorry if I was a little late getting to you,

0:15:05 > 0:15:06I had to attend a funeral.

0:15:06 > 0:15:08Roy's.

0:15:08 > 0:15:10We'll give you a CT scan,

0:15:10 > 0:15:12see if anything's going on that shouldn't be.

0:15:15 > 0:15:19In the correct plane. I can the see the loose areolar.

0:15:27 > 0:15:30- Mr Hanssen. - Don't mind me. Please, carry on.

0:15:30 > 0:15:33I'm just checking that all is well.

0:15:34 > 0:15:36Last one.

0:15:42 > 0:15:45- Damn. - MONITOR BEEPS

0:15:50 > 0:15:55- You OK? - I'm sure Mr Malick is fine.

0:15:56 > 0:16:01OK. More suction. 2-0 vicryl tie, please?

0:16:05 > 0:16:08Sorry about all that earlier with Zoe.

0:16:08 > 0:16:12I'm sure the last thing you need is a family squabble on your ward.

0:16:12 > 0:16:14- It's fine.- You got children?

0:16:14 > 0:16:17Yes. But they're only little. Two boys.

0:16:17 > 0:16:20You must hardly see them, doing your job.

0:16:20 > 0:16:22Oh, we make it work.

0:16:22 > 0:16:26You're lucky you're a we. I raised Zoe on my own.

0:16:26 > 0:16:30Worked crazy hours, trying to send her to good schools,

0:16:30 > 0:16:33get her a place at a good university, give her a head start.

0:16:33 > 0:16:37- I'm sure she appreciates it. - Oh, she doesn't.

0:16:37 > 0:16:42If she appreciated it, she wouldn't be throwing it all away on some guy

0:16:42 > 0:16:47whose sole ambition in life seems to be to keep bees and make jam.

0:16:47 > 0:16:50Isn't that what being young is all about? Unsuitable boyfriends.

0:16:50 > 0:16:55- Boyfriends, yes. But she's actually planning to marry this one.- OK.

0:16:55 > 0:16:59- There's your heart. - Beating, which is a good sign.

0:16:59 > 0:17:02Now, see this mass here?

0:17:02 > 0:17:06- It's stopping this valve from working properly.- A mass?

0:17:07 > 0:17:11There's also a thickening of the heart muscle which leads me

0:17:11 > 0:17:15to believe it's something called hypertrophic cardiomyopathy.

0:17:15 > 0:17:18We could do a CT scan, have a look at that in more detail,

0:17:18 > 0:17:22- but you mentioned your father. - You think that's what he had?

0:17:22 > 0:17:26I can't say for sure, but the condition does run in families,

0:17:26 > 0:17:30- so there's a decent chance that you could be affected.- And Zoe?

0:17:30 > 0:17:32We can run some simple tests,

0:17:32 > 0:17:35see whether or not she may have problems too.

0:17:35 > 0:17:39- Would you like me to have a word? - I'll talk to her, if she'll listen.

0:17:39 > 0:17:45- Will I... Will I need an operation? - Yes. I'm afraid so.

0:17:47 > 0:17:51- The bowel looks pretty dusky. - There's quite a lot of oedema.

0:17:51 > 0:17:53I still believe we should give anastomosis a go.

0:17:53 > 0:17:55The alternative is a colostomy.

0:17:57 > 0:17:59What about peritonitis?

0:17:59 > 0:18:04Are you advocating the more conventional approach, Mr Malick?

0:18:05 > 0:18:07Make the call, Mr Malick.

0:18:10 > 0:18:13OK. Let's go with the anastamosis.

0:18:17 > 0:18:20Let's check that it's air-tight. Saline please.

0:18:23 > 0:18:25It's leaking.

0:18:25 > 0:18:27Suction. Swab.

0:18:29 > 0:18:323-0 Maxon, please.

0:18:36 > 0:18:37OK.

0:18:37 > 0:18:39Got it.

0:18:39 > 0:18:40Saline.

0:18:49 > 0:18:51Looks good.

0:18:52 > 0:18:54Well done, Mr Malick.

0:18:55 > 0:18:59- I think I can leave you to close up. - Sure.

0:19:06 > 0:19:09Good. So, once you've established that he's comfortable,

0:19:09 > 0:19:11we can refer him back to Haematology.

0:19:11 > 0:19:14We'd normally keep him on the ward for two, three days.

0:19:14 > 0:19:17Yes, but there's undue pressure on beds today,

0:19:17 > 0:19:20I'm sure you can make them understand. Thank you.

0:19:23 > 0:19:25I couldn't find any PJs, they were all in the wash,

0:19:25 > 0:19:27- so it's a nightdress, I'm afraid. - That's OK.

0:19:27 > 0:19:30Anything's preferable to this little number.

0:19:30 > 0:19:33And the usual toiletries. Had to buy a new toothbrush,

0:19:33 > 0:19:35yours was in your airport luggage, I guess.

0:19:37 > 0:19:41- What?- I'm going to leave you to it. Excuse me.

0:19:45 > 0:19:47If you need stronger painkillers,

0:19:47 > 0:19:49you should find a friendly anaesthetist.

0:19:49 > 0:19:50It's a very localised pain.

0:19:50 > 0:19:54- Start in the frontal lobe and radiate out?- Something like that.

0:19:54 > 0:19:57Yup, I dimly remember what that feels like.

0:19:57 > 0:20:01Do you two ever do any work or do you just sit around chatting?

0:20:01 > 0:20:03Yes, Ms Shah. Very sorry, Ms Shah.

0:20:03 > 0:20:06An operation? When?

0:20:06 > 0:20:10- Today.- So, you'll have to be in here for ages.

0:20:10 > 0:20:13I don't know. Probably. They haven't given me all the details yet.

0:20:13 > 0:20:16- It's all very new. - Well, what about the wedding?

0:20:16 > 0:20:20- Is that all you can think about?! - It's kind of a big deal, you know!

0:20:20 > 0:20:23Of course, you're more worried about whether I might ruin

0:20:23 > 0:20:25- this RIDICULOUS wedding!- Ridiculous?

0:20:25 > 0:20:28Some daughters might be worried about how their mum was feeling

0:20:28 > 0:20:31- or how they could help!- Hello! We've pegged it up from London!

0:20:31 > 0:20:35- We went and got all your stuff.- Why don't you just go?!- What?!

0:20:35 > 0:20:40Just leave me alone for five minutes. I'm tired.

0:20:45 > 0:20:47Haematology just called.

0:20:47 > 0:20:49They're not happy we're sending Mr Wallace back so soon.

0:20:49 > 0:20:52What? They need to know we're backed up here

0:20:52 > 0:20:55- and that he's their patient. - He's our patient too.

0:20:55 > 0:20:57Not anymore. We've done what we can.

0:21:00 > 0:21:05- Problem?- I'm sorry. I don't think he should go back yet.

0:21:05 > 0:21:08Why are you being like this? It's not like you.

0:21:09 > 0:21:10Just get it done.

0:21:10 > 0:21:12She just looked at me and said Leeds.

0:21:12 > 0:21:15Cos you sound like you're from Norfolk, don't you?

0:21:15 > 0:21:17She even knew the street I lived on.

0:21:17 > 0:21:19You've probably met her somewhere before.

0:21:19 > 0:21:22Right, that's me done. See you tomorrow.

0:21:24 > 0:21:28GIGGLING

0:21:37 > 0:21:40SHE CLEARS HER THROAT

0:21:42 > 0:21:44All right, sis?

0:21:54 > 0:21:55How's the pain?

0:21:57 > 0:22:01Much better. Thank you.

0:22:02 > 0:22:06Well, your stats are all looking good.

0:22:06 > 0:22:08And the wound is beginning to heal nicely.

0:22:08 > 0:22:12We'll send you back to those fine people in Haematology in no time.

0:22:12 > 0:22:18Have you seen the statistics for black bone marrow donors lately?

0:22:18 > 0:22:21Come on, man. What kind of talk is that?

0:22:21 > 0:22:23You're not the kind of guy to give up.

0:22:23 > 0:22:27- You spent your whole life fighting. - Yes.

0:22:27 > 0:22:29For justice, for equality.

0:22:29 > 0:22:32- Fights I could win. - You can win this one.

0:22:37 > 0:22:41Make sure Mr Wallace's pain medication is being monitored

0:22:41 > 0:22:44and keep him as comfortable as possible.

0:22:44 > 0:22:46We've got the results for Rebecca Hardwick.

0:22:46 > 0:22:49- And?- She has mitral valve regurgitation.

0:22:49 > 0:22:52And suspected endocarditis. I was hoping you could help.

0:22:52 > 0:22:55- What time's the slot?- Half an hour. There's been a cancellation.- No,

0:22:55 > 0:22:57I'm fully booked up.

0:22:57 > 0:23:00- But Mr Douglas is available, aren't you, Greg?- Sorry?

0:23:00 > 0:23:03Sahira's looking for a second pair of hands.

0:23:03 > 0:23:06- Feeling fit for purpose?- Absolutely.

0:23:06 > 0:23:08Guess we'd better scrub up.

0:23:08 > 0:23:11Splendid. You're all crewed up. Hope it goes well.

0:23:16 > 0:23:20- It's fine.- So, you're telling me you've finished your YRO?- No, but...

0:23:22 > 0:23:24Look, I've had enough.

0:23:24 > 0:23:27I can't live with her, she's off her head 24 hours a day.

0:23:27 > 0:23:30- The police will come looking for you.- Not if you don't make a fuss!

0:23:30 > 0:23:32So you want me to lie for you if they call me?

0:23:32 > 0:23:35- I can't get a scanner slot.- What?

0:23:35 > 0:23:38I can't get a scanner slot. Could you sort it out?

0:23:38 > 0:23:39OK, yeah, yeah.

0:23:40 > 0:23:42I'll talk to you in a minute, yeah?

0:23:48 > 0:23:51Has the daughter been tested for the condition?

0:23:51 > 0:23:55- Her mum hasn't told her yet. - Don't you think she should?

0:23:58 > 0:24:01- This is Dr Raza, he'll be your anaesthetist.- Hiya.

0:24:01 > 0:24:05The results are back and we believe the damage to your heart's

0:24:05 > 0:24:08- been triggered by an infection... - An infection. How could...?

0:24:08 > 0:24:10Well, The most likely cause is the insect bite.

0:24:10 > 0:24:14Oh. My first holiday in 14 years

0:24:14 > 0:24:16and I end up in an operating theatre.

0:24:16 > 0:24:19- Just my luck.- May I see?- Yeah.

0:24:19 > 0:24:23We've sent a sample to the lab, so let's see what they come back with.

0:24:23 > 0:24:26Now, the plan is to take you to theatre shortly

0:24:26 > 0:24:29- and replace the faulty valve.- Right.

0:24:29 > 0:24:32And then, try and treat the infection.

0:24:32 > 0:24:36I'm guessing this is serious? The fact you're rushing me into theatre?

0:24:36 > 0:24:39Well, it's just that we've had an unexpected slot come up, that's all.

0:24:39 > 0:24:42Have you talked this through with your daughter?

0:24:42 > 0:24:45She needs to know about the genetic link as well.

0:24:45 > 0:24:47Yes, Rebecca's aware. I've already explained.

0:24:47 > 0:24:50I'm just trying to find the right time.

0:24:50 > 0:24:54- Things are so bad between us I don't want to make it worse.- Of course.

0:24:58 > 0:25:00You're just going to leave it at that?

0:25:00 > 0:25:03Don't interfere with my patients. I know what I'm doing, OK?

0:25:03 > 0:25:04Of course you do.

0:25:10 > 0:25:13- You've been searching my bag! - I didn't search it. It fell.

0:25:13 > 0:25:16- What's going on?- You what? - I need to talk to you in private.

0:25:16 > 0:25:19- Look. It's not mine, OK?- Please?

0:25:19 > 0:25:22- I hardly even know her.- Excuse me, I am still here, you know!

0:25:22 > 0:25:25And you've already had your tongue down her throat. Romantic(!)

0:25:25 > 0:25:27- It's got nothing to do with you. - No, but THIS does.

0:25:27 > 0:25:30- Woah, woah, woah.- Liam. Back off, Liam.

0:25:30 > 0:25:33- I've got you, I've got you.- Liam! - I know what I'm doing. I've got it!

0:25:33 > 0:25:35All right. All right.

0:25:36 > 0:25:39Nurse McKee. Nurse McKee!

0:25:39 > 0:25:422mg of midazolam, please. Thank you.

0:25:45 > 0:25:47It's open heart surgery, how can it be straight-forward?

0:25:47 > 0:25:49- Well, it isn't.- Mum says...

0:25:49 > 0:25:52We often replace damaged heart valves.

0:25:52 > 0:25:55It's an operation that we do frequently,

0:25:55 > 0:25:59but the infection is an added complication.

0:25:59 > 0:26:02- OK. But there's no danger? - Look, the important thing

0:26:02 > 0:26:06is to stabilise the heart, get it doing its job properly again.

0:26:06 > 0:26:09Then, we can tackle the infection. OK?

0:26:09 > 0:26:11I'll leave you to it.

0:26:15 > 0:26:19- Why didn't you say before? - I didn't know how.

0:26:19 > 0:26:23- You're going to be OK, aren't you? - Of course I am.- You have to be.

0:26:25 > 0:26:28- Zoe, there's something I need to... - Listen, Mum...

0:26:28 > 0:26:32- You first.- I wasn't going to tell you for a bit,

0:26:32 > 0:26:36- I didn't know how you'd take it. But with all this going on.- What?

0:26:36 > 0:26:39Christian and I, we're going to have a baby.

0:26:42 > 0:26:45Well, say something.

0:26:45 > 0:26:48- What do you want me to say? - That you're happy for me.

0:26:48 > 0:26:51Have you thought this through?

0:26:51 > 0:26:53There are other options.

0:26:56 > 0:26:59I just don't want you make the same mistakes that I made.

0:26:59 > 0:27:02- So, I'm a mistake now, am I? - I didn't mean it like that.

0:27:02 > 0:27:05Well, at least we got that clear.

0:27:08 > 0:27:11So, are you, like, famous, then?

0:27:12 > 0:27:16I think you've answered your own question?

0:27:16 > 0:27:20I saw on the Internet, you've been in prison, is that true?

0:27:20 > 0:27:24- A couple of times. But not for long. - What did you do?

0:27:24 > 0:27:29I used to have a very loud voice, tended to get me into trouble.

0:27:29 > 0:27:33But sometimes you have to shout to make yourself heard.

0:27:33 > 0:27:36Oh, tell me about it. Like when my mum and Aunt Terri get going,

0:27:36 > 0:27:39you can't get a word in edgeways. And I'll chase Haematology

0:27:39 > 0:27:42and see if they've got a bed ready for you.

0:27:42 > 0:27:44Chantelle, can I have a word, please?

0:27:44 > 0:27:47Sorry. I know I shouldn't have said anything about the prison thing,

0:27:47 > 0:27:49- but...- Who told you to transfer Mr Wallace?

0:27:52 > 0:27:53Thank you.

0:27:56 > 0:27:59Why are we discharging Mr Wallace so soon after his operation?

0:27:59 > 0:28:03- This place is overflowing, we need the bed and...- And?

0:28:05 > 0:28:09This is Hanssen, isn't it? This is you toeing the party line.

0:28:09 > 0:28:12- It makes sense.- Does it?!

0:28:23 > 0:28:27- You did well. Where did you learn to do that?- Mum's an alcy.

0:28:27 > 0:28:30I have to sort her out pretty much on my own, you know.

0:28:30 > 0:28:34I mean, I've got an older sister but she did a runner years ago, so...

0:28:34 > 0:28:36Nice one.

0:28:38 > 0:28:41- We still need to talk, by the way. - I don't think so.

0:28:41 > 0:28:43Well, fine.

0:28:43 > 0:28:46I'd be really interested to hear what the police have to say

0:28:46 > 0:28:50- about your girlfriend bringing her stash onto my ward.- You wouldn't.

0:28:50 > 0:28:51Shall we talk?

0:28:54 > 0:28:55OK.

0:28:58 > 0:29:00- You can't do this.- Just watch me.

0:29:00 > 0:29:03- Somebody want to fill me in...- You call them, you know what'll happen!

0:29:03 > 0:29:06- Come on, Ed, please! - You brought drugs onto my ward.

0:29:06 > 0:29:09- I told you, it's not mine.- This isn't a game, all right, Liam?!

0:29:09 > 0:29:12- You don't get to do this to me! - Why you doing this?!- Liam!

0:29:12 > 0:29:14- It's not even my stuff!- Calm down.

0:29:14 > 0:29:17- I just want some help, yeah. That's all.- Right.

0:29:17 > 0:29:20- What you doing?- Calling Security.

0:29:20 > 0:29:22Yeah, hi, this is AAU.

0:29:25 > 0:29:26He's my brother.

0:29:29 > 0:29:31That's my mobile number.

0:29:31 > 0:29:34Maybe someone could call me when she's out of theatre.

0:29:34 > 0:29:39- Are you sure you want to leave? - Sorry. Hormones. I'm pregnant.

0:29:39 > 0:29:42- Much to her disgust. - You're pregnant?

0:29:43 > 0:29:46- Did your mum say anything to you? - About what?

0:29:46 > 0:29:49Anyway, I really can't face talking to her right now.

0:29:49 > 0:29:52Hey, listen. There's a relative's room over here.

0:29:52 > 0:29:55Why don't you take a perch in there, for now?

0:29:55 > 0:29:57Your mum's got a lot on her mind. Times like this,

0:29:57 > 0:30:00we all say things we regret in the heat of the moment.

0:30:00 > 0:30:02She's ALWAYS like this!

0:30:02 > 0:30:04She points out how I'm getting everything wrong.

0:30:04 > 0:30:08Some day you can say all those wonderful things to bambino here.

0:30:10 > 0:30:14- Don't leave now. You'll regret it. I promise you.- How do you know?

0:30:14 > 0:30:17You don't look like someone who doesn't care.

0:30:18 > 0:30:20Be here when she wakes up.

0:30:21 > 0:30:25Come on, I'll take you down there. I'll even shout you a cup of tea.

0:30:30 > 0:30:34I should've told you before. I'm sorry.

0:30:34 > 0:30:37- He's done a runner from his YRO. - YRO?

0:30:37 > 0:30:40Yeah. It's like a community sentence thing.

0:30:40 > 0:30:42So the police are gonna be looking for him.

0:30:42 > 0:30:45- You didn't know he was coming?- No.

0:30:45 > 0:30:48He just turned up unannounced with his stash and his moll?

0:30:48 > 0:30:52That's what my family are like. Turn everybody's lives upside down.

0:30:57 > 0:30:59Any recreational drug use?

0:30:59 > 0:31:02- Decent bottle of Grenache when I can. Does that count?- Grenache?

0:31:02 > 0:31:05No. Asti Spumante, I'd have concerns.

0:31:05 > 0:31:07Any previous problems with anaesthetics?

0:31:07 > 0:31:10I don't know, I've never had one before.

0:31:10 > 0:31:13Nothing to worry about. I do all the work.

0:31:13 > 0:31:15- Right. Can I have a listen?- Yeah.

0:31:15 > 0:31:17I expect you think I'm a crap mother.

0:31:17 > 0:31:21I should be jumping for joy that my 21-year-old daughter is pregnant.

0:31:21 > 0:31:25- I have to say, that's none of our business.- A grandmother at my age.

0:31:25 > 0:31:29- A baby doesn't mean the end of everything.- Meant the end of school.

0:31:29 > 0:31:32- The end of a relationship for me. - But do you regret it?

0:31:32 > 0:31:34Of course not. Not for a single second.

0:31:34 > 0:31:37She is far and away the best thing that has ever happened to me.

0:31:45 > 0:31:48It's clear she isn't going to tell her daughter any time soon.

0:31:48 > 0:31:52- Don't you think we should? - Just leave it, please.

0:31:55 > 0:31:59One minute you're shipping me out, the next you're keeping me in.

0:31:59 > 0:32:01What changed?

0:32:02 > 0:32:05I apologise. It was a clerical error.

0:32:05 > 0:32:08A clerical error. Right.

0:32:08 > 0:32:11So nothing to do with getting a telling off from your boss?

0:32:11 > 0:32:13It was just a misunderstanding.

0:32:13 > 0:32:17I bet you're the kind of man that gets "misunderstood" a LOT.

0:32:17 > 0:32:22- You don't know anything about me. - No. But I can guess.

0:32:23 > 0:32:25I made the wrong call, all right?

0:32:25 > 0:32:28Let something go to my head, cloud my judgement.

0:32:30 > 0:32:32Anger is good.

0:32:32 > 0:32:35But what counts is what you do with it.

0:32:35 > 0:32:39What makes me angry... is that I can't help you.

0:32:39 > 0:32:44- Not really.- Not your fault there's not enough donors.

0:32:44 > 0:32:46It's wrong that the odds are stacked against you.

0:32:46 > 0:32:48Majority of donors are white.

0:32:48 > 0:32:51Seems to be a lot of mistrust and miscommunication out there.

0:32:51 > 0:32:54Then we need to put that right.

0:32:54 > 0:32:56Easier said than done.

0:32:58 > 0:32:59Maybe.

0:33:03 > 0:33:04Maybe not.

0:33:15 > 0:33:18Did you just give him some money?

0:33:18 > 0:33:22Yeah. He was talking about robbing a bank but I thought I'd step in.

0:33:22 > 0:33:25You're not as funny as you think, you know?

0:33:25 > 0:33:27But you ARE as bad tempered.

0:33:27 > 0:33:32- He wanted some money for the vending machine.- Oh, OK. Thanks.

0:33:34 > 0:33:35What's that?

0:33:37 > 0:33:39- Rosie Hill's notes.- And?

0:33:39 > 0:33:42Um...I think you might want to deal with this.

0:33:45 > 0:33:50- You ARE joking.- Look like somebody's not been straight with us.

0:33:50 > 0:33:54Right, I need a favour. Can you please keep Liam away from her

0:33:54 > 0:33:56- till I can figure out what is going on?- Course.

0:34:00 > 0:34:02Right, shall we start with the good news?

0:34:02 > 0:34:06- I'm sorry, did I wake you? - Just a bit.

0:34:06 > 0:34:09You'll be happy to know that your test results are back.

0:34:09 > 0:34:13- Couldn't this wait? I'm knackered. - You don't want to know?

0:34:13 > 0:34:15You've had two fits out of the blue in one day.

0:34:15 > 0:34:18- I mean, that'd worry anybody. - Course.

0:34:18 > 0:34:22Your CT scan is clear. Which means you don't have a brain tumour.

0:34:22 > 0:34:26Obviously, that is our main concern when someone of your age

0:34:26 > 0:34:28presents themselves with no previous history of fitting.

0:34:28 > 0:34:32- Cos that is what said right? You'd never had a fit before?- Yeah.

0:34:32 > 0:34:34That's what I thought you'd said.

0:34:34 > 0:34:38Funny that, cos your patient records from Leeds say you've got epilepsy.

0:34:41 > 0:34:44- You OK?- Nervous.- You'll be fine.

0:34:44 > 0:34:47- Can I get this off? It's uncomfortable.- Sure.

0:34:50 > 0:34:51Lovely ring.

0:34:51 > 0:34:54My mum's. Zoe's now. It will be, anyway.

0:34:54 > 0:34:58I haven't got any use for it and she has.

0:34:58 > 0:35:00Maybe she'll accept it as a peace offering.

0:35:00 > 0:35:03- Sahira, could we...? - Excuse me.

0:35:06 > 0:35:08- Her platelets are low.- So?

0:35:08 > 0:35:12- Might be worth holding off? - Or a transfusion.- Can I?

0:35:15 > 0:35:19- Fairly marginal, isn't it? Hardly enough to veto the op.- Not quite.

0:35:19 > 0:35:22- I just thought you should both know. Your call.- OK.

0:35:22 > 0:35:26We'll get platelets on standby, I'll speak to Elliot, get his input.

0:35:26 > 0:35:29MOBILE BEEPS Meantime, we've got her prepped. Who's that?

0:35:29 > 0:35:31- Magda.- Is she OK?

0:35:31 > 0:35:34She says we need to call her. It's urgent.

0:35:34 > 0:35:37You'd better go. I'll page the on-call anaesthetist.

0:35:37 > 0:35:41- I just think it's easier if you go. - Why? Why is it easier if I go?

0:35:41 > 0:35:43This is a highly specialised operation.

0:35:43 > 0:35:46But us gas monkeys are interchangeable?

0:35:46 > 0:35:49- I didn't say that. - You didn't need to.

0:35:50 > 0:35:54Do you have any idea how much time and money you've wasted?

0:35:54 > 0:35:57I don't understand. Why would you keep your condition a secret?

0:35:59 > 0:36:02- Rosie?- You wouldn't understand. - I'm all ears.

0:36:02 > 0:36:06You know, it was me who persuaded him to come down here.

0:36:06 > 0:36:08He changed his mind at the last minute.

0:36:08 > 0:36:11Thought you wouldn't want to see him. Wish I hadn't bothered now.

0:36:11 > 0:36:13We're talking about YOU, not my brother.

0:36:13 > 0:36:16Do you know how much of a hard time he's been having?

0:36:16 > 0:36:20- It's got nothing to do with you. - Yeah, that's right. Head in the sand.

0:36:20 > 0:36:23You pretended he didn't exist and hoped he'd go away.

0:36:23 > 0:36:27- You lied to my staff. - He's here now, can't ignore him.

0:36:27 > 0:36:29You've wasted our time!

0:36:29 > 0:36:32Tell me why and maybe I won't report you for having drugs in your bag.

0:36:35 > 0:36:39- I was getting fat on it, OK. - What?

0:36:39 > 0:36:41The medication I was taking. Carbamazepine.

0:36:41 > 0:36:44- So you just stop taking it? - I was taking hash.

0:36:44 > 0:36:47Someone told me it would help with the fits. But it didn't.

0:36:47 > 0:36:49No, it wouldn't, would it?

0:36:49 > 0:36:52You should've told us about your condition

0:36:52 > 0:36:56- when you were first admitted. - Yeah, well I was embarrassed, so...

0:36:56 > 0:36:58We've all got stuff we're running away from.

0:37:00 > 0:37:03I'll get the meds you need

0:37:03 > 0:37:06and then maybe it's best if you just slip off, yeah?

0:37:06 > 0:37:09Go and face that thing you're running away from.

0:37:09 > 0:37:11And don't worry about saying goodbye to Liam,

0:37:11 > 0:37:14no point prolonging the heartache, eh?

0:37:15 > 0:37:17He said you were hard.

0:37:19 > 0:37:21You stand there all high and mighty,

0:37:21 > 0:37:24think you're better than the rest of us.

0:37:24 > 0:37:27Well, I wasn't the one who walked out on my own kid brother, was I?

0:37:27 > 0:37:29OK, thank you.

0:37:29 > 0:37:31No luck?

0:37:31 > 0:37:33They can't do anything until next Friday.

0:37:33 > 0:37:36I found another few online.

0:37:36 > 0:37:39- I put them there for you. - Great job. You rock, Chantelle.

0:37:43 > 0:37:46Dare I ask why you're looking for a photographer?

0:37:46 > 0:37:50- For the campaign. - That would be the campaign for...?

0:37:50 > 0:37:54To encourage more people from ethnic communities to donate bone marrow.

0:37:54 > 0:37:57- We're doing to do a poster of Vivian. - And you don't you think there's

0:37:57 > 0:38:00already a number of an organisations doing precisely that?

0:38:00 > 0:38:03One more appeal, can't hurt.

0:38:03 > 0:38:06I take it that this campaign has been sanctioned

0:38:06 > 0:38:08by the Director of Surgery?

0:38:10 > 0:38:14Well, I just hope that you thought this through.

0:38:19 > 0:38:20You said years ago before you left,

0:38:20 > 0:38:23if I was in trouble, I could come and see you.

0:38:23 > 0:38:26I didn't mean do a runner and turn up unannounced, did I?

0:38:26 > 0:38:29What else could I do? Where could I go?

0:38:29 > 0:38:32She went mental, Ed. I mean proper lost it this time.

0:38:32 > 0:38:34Started smashing everything. Hit me!

0:38:37 > 0:38:39Can't hit her back though, can I?

0:38:42 > 0:38:45Listen. I need to talk to you about Rosie.

0:38:49 > 0:38:51You might think she's special,

0:38:51 > 0:38:53but she's not the right person for you.

0:38:54 > 0:38:58What you...think we've got something going on, like, serious?

0:39:01 > 0:39:03I met her in the pub by the station.

0:39:03 > 0:39:08- She offered to pay my coach fare down here.- You only met her today?

0:39:08 > 0:39:11Yeah. Then she had a fit and I couldn't just leave her, could I?

0:39:11 > 0:39:15- We're not... Whatever. She's a head case.- Right.

0:39:15 > 0:39:18Well, that's good.

0:39:18 > 0:39:22Anyway, what makes you think you can start playing the big sister now?

0:39:22 > 0:39:24You left me on my own with mum.

0:39:24 > 0:39:27- I didn't have a choice. - I've had it all to deal with.

0:39:27 > 0:39:29Had to clean up after her, deal with her moods!

0:39:29 > 0:39:31What do you want from me?!

0:39:31 > 0:39:34I just want somewhere to be for a while, get myself together!

0:39:34 > 0:39:36Come on, Ed, please!

0:39:38 > 0:39:42- Does she know you're here?- Course not.- You've got to tell her.

0:39:42 > 0:39:45- I don't.- She's going to worry about you.- Trust me,

0:39:45 > 0:39:49she was glad when I got nicked. She could do what she wanted without

0:39:49 > 0:39:53- the social sniffing round.- You've got to call her.- Just forget it!

0:39:53 > 0:39:55I'm not doing it!

0:39:55 > 0:39:58- So how we doing?- Good. - Forceps, please.

0:40:02 > 0:40:03I've got it.

0:40:03 > 0:40:04SUCTION

0:40:06 > 0:40:08Can you redo the TEG?

0:40:08 > 0:40:10Clamp.

0:40:13 > 0:40:16Can we prepare one litre cardioplegia, please, and some ice.

0:40:16 > 0:40:18Cool it to 28 degrees.

0:40:28 > 0:40:30Cusp is perforated.

0:40:30 > 0:40:33The annulus is destroyed. Retractor.

0:40:35 > 0:40:372.0 Ethibond and pledget, please.

0:40:44 > 0:40:47It's going to be difficult to get rid of all that infection.

0:40:47 > 0:40:50- What do you want to do? - We'll use Vancomycin powder.

0:40:51 > 0:40:54You know, I'm sure I can hold the fort here,

0:40:54 > 0:40:58- if you wanna go and check on... - It's fine.- You sure?

0:41:00 > 0:41:02Thanks. I've got it from here.

0:41:03 > 0:41:04Well?

0:41:05 > 0:41:06Later.

0:41:08 > 0:41:11Work mode.

0:41:16 > 0:41:22- So have you contacted the police? - Yeah, and his Youth Offending Team.

0:41:22 > 0:41:23Anything I can do?

0:41:25 > 0:41:28No. It's my mess. But thank you.

0:41:28 > 0:41:30You saw the way he dealt with the fit?

0:41:30 > 0:41:33Straight into the recovery position, no flap, no fuss.

0:41:33 > 0:41:36- Just like his sister. - But she didn't wind up in court.

0:41:36 > 0:41:38The way you spend your Friday nights,

0:41:38 > 0:41:43it's only a matter of time, though, I would have thought.

0:41:49 > 0:41:52CAMERA SNAPS

0:42:00 > 0:42:03I'm gonna take a wild stab in the dark

0:42:03 > 0:42:06and guess that you went ahead and organised all this

0:42:06 > 0:42:10without getting any approval from the Chair, the board,

0:42:10 > 0:42:13- or Hanssen.- We don't have time to wait around and fill in 15 forms

0:42:13 > 0:42:17in triplicate while he waits for a donor who may not show.

0:42:17 > 0:42:19- So this is all for him? - It's inspired by him.

0:42:19 > 0:42:21And even if we can't help him,

0:42:21 > 0:42:25even if we just help one other person... What?

0:42:25 > 0:42:28I'm not the one that you have to convince.

0:42:30 > 0:42:32OK, we're done.

0:42:32 > 0:42:34Let's get her off bypass.

0:42:34 > 0:42:36- MACHINE BEEPS - A bleed?

0:42:36 > 0:42:40- Yep.- She's hypertensive. - Shall we go back on bypass?

0:42:40 > 0:42:44No. The bleeding might get worse. Let me try and fix this.

0:42:44 > 0:42:46- OK. Suture line is fine. - The back.

0:42:46 > 0:42:49- More bloods, please. - Can we lift the heart up for me?

0:42:49 > 0:42:53Yeah, I can see the posterior wall of the left ventricle.

0:42:53 > 0:42:562-0 prolene. Keep bloods coming through.

0:42:56 > 0:42:59OK. I push, you pull, OK?

0:43:09 > 0:43:10I think we've got it.

0:43:12 > 0:43:14Swabs.

0:43:17 > 0:43:18More swabs.

0:43:19 > 0:43:22Right. Let's wait.

0:43:23 > 0:43:30MACHINE CONTINUES BEEPING

0:43:30 > 0:43:31No.

0:43:35 > 0:43:36OK, forceps.

0:43:37 > 0:43:39Saline.

0:43:42 > 0:43:44No, no, no.

0:43:44 > 0:43:46Suction.

0:43:46 > 0:43:48- Bloods.- More bloods.- And again.

0:43:50 > 0:43:52She's bleeding out everywhere.

0:43:52 > 0:43:55- Very hypertensive. Getting worse. - What do we do now?

0:43:55 > 0:43:56OK, um...

0:43:56 > 0:43:58We repeat.

0:43:58 > 0:44:01- Let's try and suture the whole thing.- Will that work?

0:44:01 > 0:44:03- What choice do we have?! - Sahira.

0:44:06 > 0:44:09- She's in VF. - Paddles, charge to 20. Clear.

0:44:13 > 0:44:15No.

0:44:15 > 0:44:17Charging to 40. Clear.

0:44:20 > 0:44:23- Adrenaline. - She's losing too much blood.

0:44:23 > 0:44:25Charge to 40 again. Clear.

0:44:28 > 0:44:29No.

0:44:29 > 0:44:33MACHINE BEEPING FLATLINES

0:44:37 > 0:44:40You're sure there's nobody I can call for you?

0:44:40 > 0:44:43You can call my ex-wife if you like.

0:44:43 > 0:44:45But I'm not sure she'd be too pleased to hear from you.

0:44:48 > 0:44:51Your Mr Malick.

0:44:51 > 0:44:52He's a bright young man.

0:44:54 > 0:44:58- Yes, he is. - I bet he drives you crazy.

0:44:59 > 0:45:03We have the occasional difference of opinion.

0:45:03 > 0:45:06You'd rather he just put on a tie, smiled sweetly,

0:45:06 > 0:45:08accepted the status quo?

0:45:10 > 0:45:15When you see someone making the same mistakes you made,

0:45:15 > 0:45:19you just want to give them the benefit of your experience.

0:45:19 > 0:45:23But it doesn't work like that, does it? Whatever anyone says,

0:45:23 > 0:45:27the only mistakes you can really learn from are your own.

0:45:29 > 0:45:33Not that our generation ever made mistakes.

0:45:33 > 0:45:35Course we didn't.

0:45:35 > 0:45:39Here's a man that's worked for change and justice his whole life

0:45:39 > 0:45:41and now he risks losing that life,

0:45:41 > 0:45:44because people don't know enough about the situation.

0:45:44 > 0:45:47You're aware of course that you should have run this idea

0:45:47 > 0:45:50past the hospital board, run up a variety of proofs

0:45:50 > 0:45:51for us to choose from,

0:45:51 > 0:45:54- presented a complete and thorough strategy.- I know, I know!

0:45:54 > 0:45:56- Why didn't you? - Because he doesn't deserve to wait.

0:45:56 > 0:46:00Neither do all the other people just waiting for bone marrow.

0:46:01 > 0:46:04I'm sorry. I just want to help my patient.

0:46:04 > 0:46:08OK, so now you're thinking he's got involved with this one patient

0:46:08 > 0:46:11and not followed procedure, is this the type of person we want

0:46:11 > 0:46:13as our Clinical Skills Teacher, right?!

0:46:13 > 0:46:15Do you need me here or are you happy

0:46:15 > 0:46:18to have a conversation with yourself?

0:46:18 > 0:46:21Whatever opportunity is on the table for me,

0:46:21 > 0:46:23I still think this is the right thing to do.

0:46:35 > 0:46:36Zoe.

0:46:39 > 0:46:42What is it? Is it done? Is she out of theatre?

0:46:45 > 0:46:46I'm sorry.

0:46:47 > 0:46:52What are you saying? I don't understand.

0:46:53 > 0:46:58The infection was more severe than we anticipated

0:46:58 > 0:47:01which meant the damage was more advanced.

0:47:03 > 0:47:07We did what we could. I'm so sorry.

0:47:08 > 0:47:10No, I don't...

0:47:13 > 0:47:16No, I don't believe it. I can't.

0:47:35 > 0:47:37So I spoke to your YRO people.

0:47:37 > 0:47:40- Great, so now they know where I am. - Yeah, but...- So?

0:47:40 > 0:47:42If you shut up, I'll tell you!

0:47:42 > 0:47:45They said you could transfer and finish your thing here.

0:47:45 > 0:47:47So this is the deal -

0:47:47 > 0:47:50no skipping out and if there's anything going on with you,

0:47:50 > 0:47:54- I want to know about it. - You saying I can stay?

0:47:54 > 0:47:56For now, yeah.

0:47:56 > 0:48:00I want you in by midnight, no drugs, all right?

0:48:00 > 0:48:01None.

0:48:01 > 0:48:04You do your own washing, you clean my house,

0:48:04 > 0:48:07you don't leave your dirty bowls under my settee and no porn.

0:48:07 > 0:48:10- HE LAUGHS - OK.

0:48:10 > 0:48:11OK.

0:48:14 > 0:48:19This is my key and my address. And that's for a taxi.

0:48:22 > 0:48:24And you have to phone mum.

0:48:26 > 0:48:29- No.- That's the deal.- Fine, then. No deal. I'll go be on my own.

0:48:29 > 0:48:33- If she doesn't know where you are, she'll go on a bender.- So let her.

0:48:34 > 0:48:38How come I have to talk to her? You never phoned her, not once.

0:48:40 > 0:48:44- I sent her a letter.- When? A year after you'd left, two years?

0:48:44 > 0:48:47- It wasn't two years.- Whatever, it was ages after.- We're not talking

0:48:47 > 0:48:50- about me and my mistakes. - You never phoned up once.

0:48:52 > 0:48:56Actually, you never spoke to her since you left, but I've got to!

0:48:56 > 0:48:59It's different now with both of us gone.

0:48:59 > 0:49:01So when I was there it was OK not to bother?!

0:49:01 > 0:49:04- She needs to know.- So tell her. I'm not stopping you.

0:49:08 > 0:49:12Come on, Ed, you owe me that much at least.

0:49:20 > 0:49:22I'm sorry if you don't like it, Sahi,

0:49:22 > 0:49:25but the truth is, you put your work before the kids every time.

0:49:25 > 0:49:27That is not true.

0:49:27 > 0:49:30You know, this whole thing was a mistake. Us working together.

0:49:30 > 0:49:34I agree. Which is why we always said that we'd take it in turns to work.

0:49:34 > 0:49:35That was the deal.

0:49:35 > 0:49:39I shouldn't have to choose between being a parent and doing my job.

0:49:39 > 0:49:43But I should? Why? Go on. Say it.

0:49:43 > 0:49:45- Say what? - Because you earn more than me.

0:49:45 > 0:49:48That has got nothing to do with it.

0:49:48 > 0:49:51I think I'm doing pretty well. I don't know many other guys

0:49:51 > 0:49:54who'd put their career on hold to spend a year playing dad.

0:49:54 > 0:49:56You don't think I want to spend more time with my kids?

0:49:56 > 0:50:00Well, what's stopping you? What is the point of us having kids

0:50:00 > 0:50:03if we're just going to pay a stranger to look after them?

0:50:03 > 0:50:06Right, you want me to quit my job and play the good house wife?

0:50:06 > 0:50:10Is that what you want? Is that what would make you happy?

0:50:12 > 0:50:14It'd be nice to feel for once

0:50:14 > 0:50:18that me and the kids weren't competing with your bloody job.

0:50:20 > 0:50:22Indy's fine, by the way.

0:50:22 > 0:50:24Cracked his head on the kitchen cupboard,

0:50:24 > 0:50:28but sounds like he'll live. I'll see you at home.

0:50:46 > 0:50:47Are you OK?

0:50:49 > 0:50:51I never got to say goodbye.

0:50:53 > 0:50:55I never got to tell her I loved her.

0:50:55 > 0:50:59- She knew.- How? I never said it.

0:51:12 > 0:51:15She said that she didn't regret

0:51:15 > 0:51:17a single second she'd spent with you.

0:51:17 > 0:51:20That you were the best thing that ever happened to her.

0:51:20 > 0:51:25- Why didn't she tell me that herself? - She wanted to.

0:51:26 > 0:51:29There were lots of things she wanted to tell you.

0:51:32 > 0:51:34Whoa, Mersey Tunnel.

0:51:34 > 0:51:37Double shift, take me home.

0:51:37 > 0:51:41I gather that you made quite an impression on Mr Wallace today.

0:51:41 > 0:51:43Yeah, well, he made quite an impression on me.

0:51:43 > 0:51:46So I take it you're no longer in the running for the job?

0:51:46 > 0:51:47Actually, I am.

0:51:50 > 0:51:53How did you manage to sidestep the self-sabotage?

0:51:53 > 0:51:58Mr Hanssen thought it was a good idea. He admired my initiative.

0:51:59 > 0:52:02Look, I know that you don't want to take the advice from me,

0:52:02 > 0:52:05- but just be careful.- With what?

0:52:07 > 0:52:09Hanssen always has a strategy.

0:52:09 > 0:52:12Or maybe he thinks I'm good at my job?

0:52:13 > 0:52:16No, that's not very likely.

0:52:20 > 0:52:23OK. Just one more quick check-up

0:52:23 > 0:52:26and then we'll leave you alone tonight.

0:52:29 > 0:52:31This is gonna hurt, isn't it?

0:52:31 > 0:52:35Just a little bit. I promise I'll be as quick as I can.

0:52:35 > 0:52:37So the Big Man didn't fire you then?

0:52:37 > 0:52:41- Why would he fire me? - For going against your boss' orders,

0:52:41 > 0:52:45for launching your own guerrilla poster campaign?

0:52:45 > 0:52:49Actually, I think I pretty much sold him on the idea.

0:52:49 > 0:52:54I mean, how can he say no with your face all over the poster?

0:52:54 > 0:52:56- Let's hope you're right. - I know I'm right.

0:52:56 > 0:52:59All we need now is a catchy slogan alongside your mug shot.

0:52:59 > 0:53:02How about "Old, gifted, and black?"

0:53:03 > 0:53:06Old? You? I don't think so.

0:53:07 > 0:53:10- Guys like you make me feel old. - Look, I'm sorry if...

0:53:10 > 0:53:12Don't apologise.

0:53:12 > 0:53:14Never apologise.

0:53:14 > 0:53:18You can't help being full of energy and fire and...

0:53:19 > 0:53:20..life.

0:53:24 > 0:53:27Your results are looking good. You're doing really well.

0:53:28 > 0:53:30So are you, Mr Malick.

0:53:32 > 0:53:34So are you.

0:53:39 > 0:53:40Goodnight.

0:53:51 > 0:53:54What? What is it?

0:54:01 > 0:54:03SHE SIGHS

0:54:07 > 0:54:08You gotta help me out here.

0:54:08 > 0:54:10How can I help you if I don't know what's wrong?

0:54:10 > 0:54:13- I can't do this.- Do what?

0:54:13 > 0:54:18Any of it. I feel like I'm screwing everything up.

0:54:18 > 0:54:20I hate the way I'm treating Rafi...

0:54:20 > 0:54:23You're not the first couple to have a domestic.

0:54:27 > 0:54:31- I shouldn't be talking to you about this.- Why?

0:54:31 > 0:54:35- I'm your friend. - Friend? Seriously?

0:54:35 > 0:54:38- After the way I've treated you. - Forget about it.

0:54:38 > 0:54:43- No. No, I've behaved... - You've done nothing wrong.

0:54:44 > 0:54:46We've done nothing wrong.

0:54:46 > 0:54:49Although I did give it my best shot.

0:54:51 > 0:54:53I hate this.

0:54:53 > 0:54:57I hate this. I hate the way I've treated you.

0:54:57 > 0:54:58I hate the way this makes me feel.

0:54:58 > 0:55:01- I hate the way you make me feel. - Don't.

0:55:02 > 0:55:05Don't do this.

0:55:18 > 0:55:19CLEARS THROAT

0:55:25 > 0:55:27Hi.

0:55:28 > 0:55:30It's me.

0:55:33 > 0:55:35- Do I even want to know? - Probably not.

0:55:39 > 0:55:43I'm sorry to hear about Rebecca Hardwick.

0:55:43 > 0:55:45- We did all we could. - Been a tough day.

0:56:02 > 0:56:05Go home.

0:56:51 > 0:56:55Subtitles by Red Bee Media Ltd