The Ties that Bind Holby City

-You don't like the way that I run my life?

-Unless it affects your work...

But there is NOTHING that you can do about it!

-Mr Malick thought that our students deserved a closer look.

-Quite right.

See how I'm clipping off the artery, here?

As clinical skills lead, we are proposing Mr Dan Hamilton.

Along with Antoine Malick.

Tough as old boots, me.

His heart gave out. I'm so sorry.

-Have you two met?

-Yeah, but not formally.

Rafi, good to meet you.

-Her husband?

-Yup.

-I'm going to have to sell tickets to this car crash.

So, you've not spoken to the nanny at all?

-Not this afternoon, no.

-And don't you think...?

-What?

Don't you think we should check in again?

We can't check up on her every five minutes. It's not fair.

I'm not talking about every five minutes.

I have spoken to her about the smoking, OK?

-It's not that. She's very young.

-She's 25.

If you think about it, we really don't know anything about her.

-If you are going to get neurotic about all of this.

-I am not.

I am just not that happy about leaving our children

in the hands of what is, essentially, a complete stranger.

-And do you that think I am?

-Well, you certainly don't seem

that fussed about it.

We agreed we wouldn't bring our home life into...

-Yeah, yeah. I know. You're right.

-Work mode, remember?

-Work mode.

Sorry.

Woah. We busy?

Just a bit. Transfers from A&E.

-OK. What we got?

-Keller!

Your first patient is Mr Wallace, bed three. Vivian Wallace,

transferred from Haematology, chronic myeloid leukaemia.

Possible bowel pathology, perforation or obstruction.

He's had a CT so chase up the scans

and bring yourself up to speed with the case.

I thought we were wall-to-wall with emergencies.

Mr Wallace will NOT be missing his slot.

Hey, come on. How does he get fast-tracked?

He's not being fast-tracked,

we're just treating him with the respect that he deserves.

-Anaesthetics for you.

-Thank you.

Someone clearly had a big night. What on Earth did she do to him?

-Best not to ask.

-He's a bit of a player, isn't he?

Seems to be a different woman every...

Good morning, Mr Douglas. You had fun last night?

Yeah, I had a bit of an argument with the pavement.

-One too many sherries?

-Don't worry, I'm fit for purpose.

That remains to be seen.

-RAFI LAUGHS

-Sorry, sorry. Work mode.

Ah. Rebecca Hardwick? A&E just called.

I understand you collapsed on the flight in from holiday.

-With what? Food poisoning?

-It was a budget flight, no food.

I've got it. We'll sort you out.

-Did anyone come in with you?

-No. Just me.

Right. In there, please.

-I said I've got it.

-Fine.

Oh, Mr Wallace, please, come on. You need to get back into bed.

-You need to rest.

-I can rest when I'm dead.

-I don't need to tell you...

-No. You're right. You don't.

Especially, given your condition.

I've got few enough pleasures left, these days.

Ah. I know that it's your job to play the headmaster,

but I was never one to obey the rules.

Well, in that case,

I'll leave you in the capable hands of Mr Malick.

He always that uptight?

So, Mr Griffin thinks you've got

something called a leukemic infiltration of the bowel.

All right. And what do you think?

I think he's spot on. You can get very aggressive cancer cells

that can break through the bowel wall.

Very aggressive cancer cells. Any more good news for me?

We're waiting on the scan results to confirm the diagnosis,

then we'll know the best way forward.

-In the meantime, if there's anything you need...?

-Anything?

In that case, I'd like an ashtray, a stiff drink and, I guess,

a new bowel.

-No answer?

-Useless. I've left four messages.

Anyone else you can call?

Sooner or later it'll dawn on my daughter to check her mobile.

-So, are you feeling better? Not so breathless?

-Yeah, thanks.

Ah. You still have a fever. We'll give you something to sort that out.

OK. So, tell me, what happened on the plane?

I just got a bit light-headed.

-Any pain?

-A little bit. About here.

I got a bit breathless.

Palpitations. Then I must've just conked out.

And you were on holiday, right?

-Morocco. You been?

-Yes. Long time ago. Another life.

I was on a walking holiday in the Atlas mountains.

So, that must have been pretty strenuous?

Did you have any difficulty with the exercise?

I got a bit tired in the evenings but so did everyone else.

You know, aching limbs, bit short of puff.

Nothing a warm bath and a glass of wine didn't sort out

-at the end of the day.

-PHONE BEEPS

Ah. Zoe. Note, she doesn't ring to speak to me, just texts.

These days she only communicates with me using her thumbs.

It requires the minimum amount of effort.

-She on her way in?

-Oh, I doubt it.

She's as selfish as they come.

Have you ever heard of this guy, Vivian Wallace?

No. Was he in a band?

1981, he rallied his community together

to clean up after the riots.

In '87, he was elected to local government

and established a literacy campaign

targeting young, black kids, nationwide.

No stopping there. He fought the government...

for more funding to tackle poverty.

CT images are in. Do you want to take a look?

The bowel's leaking.

We need to prep him and get him into theatre right away.

-And then what?

-We both know his only chance is if he finds

a suitable bone marrow donor.

-Sorry.

-No problem. It's my job.

Strong stomach. Unlike me.

-You must be tired.

-No, I'm fine.

You want to get somebody else to hold the sick bowls.

So, the delegation's back. What's the verdict, gentlemen?

Well, as we suspected,

the leukemic infiltration has caused a perforation.

So, we're going to need to perform a laparotomy,

mobilise the bowel, suture it and wash out the contamination.

-Any questions?

-Just one. What the hell did he just tell me?

We want to take you into theatre and cut you open

-to fix the leak in your bowel.

-Worst case scenario?

You'll be left with a colostomy bag.

But, of course, we'll do our best to ensure that that doesn't happen.

Guess you'll be wanting an autograph then.

-Mr Hanssen wants to see you in his office, straight away.

-Me?!

Excuse me.

-Hi.

-I'm looking for my mother, Rebecca Hardwick?

-Ah, she's over there, in HDU.

-Thanks.

-Pleasure.

-How do you do it?

-Do what?

It's like there's a magnetic field around you

that beautiful women are irresistibly drawn to.

-Mrs White's in ITU. It's your job to monitor that, please.

-No probs.

What's that?

Surgical gloves, wrong size. Been opened.

So, going to have to be thrown.

So, how is it working alongside your hubby?

Oh, it's fine.

Why wouldn't it be?

Obviously, should you be offered the position,

it'll significantly enhance your chances of consultancy.

My clinical skills teacher was the one that inspired me.

He was my hero. So, I'd supervise all our medical students?

But, understand, I can only recommend someone for the position,

the appointment itself's not in my gift.

-But I'm on the shortlist?

-Yes, you are, indeed. A shortlist of two.

-Can I ask...?

-You may ask. Obviously, I can't tell you.

All I will say is that your rival candidate

-has a rather more conventional approach.

-Right.

Whereas you, Mr Malick, are something of a maverick.

I'll be watching both of you during the selection process.

Please don't give me any reason to regret backing you.

Understood.

OK. Great, thanks. Soon as you can.

I wanted to ask you something.

What?

What have I done wrong?

-Nothing.

-Not a fan of the difficult conversation, are you?

-I have no idea what you mean.

-You know what I mean.

-You like to brush everything under the carpet, don't you?

-Like what?

Like you could've warned me your husband was starting work here.

Like you could have had the decency to acknowledge this whole situation.

There is no situation!

Right, Team Darwin. I have splendid news.

It seems Dr Raza is your designated anaesthetist for the afternoon.

So, Ms Shah, Dr Raza and are you joining us, Mr Douglas?!

I don't think so. Sorry.

-Hi.

-What's going on?

-We're down on staff, Michael's got to go

and I'm trying to sort things out. So, I'm so glad you could make it.

-Bed three needs transferring to Orthopaedics.

-Has the call been made?

-I don't know. Can you check?

-OK.

-Thank you.

-OK, I'm out of here. See you tomorrow.

-No.

-Call for you - paediatrics. And I need you.

-Yeah.

Get off me, all right. Just leave it. I don't want it.

Who's in charge here?

Right now, that's me. I'll take it from here.

This is Rosie Hill, admitted suffering from seizure.

-OK.

-I'm OK, no worries.

Well, do you want to let us be the judge of that?

-Brilliant.

-I'm sorry, I'm really sorry.

-Have you been taking anything?

-No.

-Honestly?

-If I'd been taking anything dodgy, I'd tell you...Eddi.

-Chrissie?

Can you get Mr Hemmingway for me, please?

-Can you remember what happened? How you hit your head?

-I'm not sure.

-Has anything like this ever happened to you before?

-No.

-He's not around.

-Well, where is he?

-He's popped out. I don't know where.

-Tests for what?

-I don't know. Ask the doctor.

-You don't look too bad.

-I'm not. I'm fine.

I had a funny turn, now I'm here being looked after.

-You don't need to put yourself out.

-If you didn't want me

to put myself out, why did you leave me four voicemails?!

-I didn't want you to worry.

-Of course I worried!

You made it sound like you'd had a bloody heart attack.

I made Christian break the speed limit to get here.

He's outside right now, waiting to hear

if reports of your death have been greatly exaggerated.

Well, you can tell him the old girl's fine.

I'm sure he'll be hugely relieved.

-Hi. I'm Ms Shah.

-This is my daughter Zoe.

She wants to know when she can push off and leave me.

Don't listen to her.

And you're not to use this as an excuse to miss lectures.

-How long will she be in for?

-Well, I couldn't say yet.

I've been speaking to A&E. They mentioned insect bites.

-What are you doing?

-I'm going to go back to yours.

-What do you need? Nightie? Toothbrush?

-You don't have to.

It's fine, Mum.

-Sorry. You were saying?

-Insect bites.

-Oh, just this one.

-OK.

Is there a history of any heart problems in your family, either side?

My dad. He died when I was about Zoe's age.

Clinical skills teacher?

Scissors, please.

Why do you sound so surprised?

No, no, no. It's great news. I'm very pleased for you.

It's nice to be considered for a position like that.

But? Why do I feel like there's a but coming?

It's just a little...

unexpected for Hanssen to choose you as one of his candidates.

Because?

Look, the last thing he needs right now is someone

who's going to rock the boat.

He just wants someone to toe the party line. A yes-man.

Just because he thinks I'll be a good clinical skills teacher,

doesn't mean he suddenly expects me to be a yes-man.

More suction, please.

Do you know who the other candidate is?

He said it was it was someone with a bit more of a conventional approach.

Thanks for the vote of confidence.

You know what, I'm going to get this job.

If it means me having to play the game for a bit, then so be it.

Dividing the vessel.

EDDI: 'Sorry to trouble you again Mr Hemmingway,

'just wondered if you plan on coming back to work today?

'Call me old fashioned,

'but patients tend to want to see their doctors on the ward.'

-Oh, at last.

-So, what have we got?

Right. Rosie Hill, she's 26.

Her notes haven't been transferred yet but she's had a fit.

Says she has no previous history. Has a small gash on her head,

but her bloods have come back clear.

-Sorry for chucking up on you.

-It's all right.

-You're from Yorkshire, like me?

-Uh-huh.

Leeds?

I'm just going to have a little look at your head.

-Meanwood, right?

-That's fine.

Sunset Avenue.

I'm sorry if I was a little late getting to you,

I had to attend a funeral.

Roy's.

We'll give you a CT scan,

see if anything's going on that shouldn't be.

In the correct plane. I can the see the loose areolar.

-Mr Hanssen.

-Don't mind me. Please, carry on.

I'm just checking that all is well.

Last one.

-Damn.

-MONITOR BEEPS

-You OK?

-I'm sure Mr Malick is fine.

OK. More suction. 2-0 vicryl tie, please?

Sorry about all that earlier with Zoe.

I'm sure the last thing you need is a family squabble on your ward.

-It's fine.

-You got children?

Yes. But they're only little. Two boys.

You must hardly see them, doing your job.

Oh, we make it work.

You're lucky you're a we. I raised Zoe on my own.

Worked crazy hours, trying to send her to good schools,

get her a place at a good university, give her a head start.

-I'm sure she appreciates it.

-Oh, she doesn't.

If she appreciated it, she wouldn't be throwing it all away on some guy

whose sole ambition in life seems to be to keep bees and make jam.

Isn't that what being young is all about? Unsuitable boyfriends.

-Boyfriends, yes. But she's actually planning to marry this one.

-OK.

-There's your heart.

-Beating, which is a good sign.

Now, see this mass here?

-It's stopping this valve from working properly.

-A mass?

There's also a thickening of the heart muscle which leads me

to believe it's something called hypertrophic cardiomyopathy.

We could do a CT scan, have a look at that in more detail,

-but you mentioned your father.

-You think that's what he had?

I can't say for sure, but the condition does run in families,

-so there's a decent chance that you could be affected.

-And Zoe?

We can run some simple tests,

see whether or not she may have problems too.

-Would you like me to have a word?

-I'll talk to her, if she'll listen.

-Will I... Will I need an operation?

-Yes. I'm afraid so.

-The bowel looks pretty dusky.

-There's quite a lot of oedema.

I still believe we should give anastomosis a go.

The alternative is a colostomy.

What about peritonitis?

Are you advocating the more conventional approach, Mr Malick?

Make the call, Mr Malick.

OK. Let's go with the anastamosis.

Let's check that it's air-tight. Saline please.

It's leaking.

Suction. Swab.

3-0 Maxon, please.

OK.

Got it.

Saline.

Looks good.

Well done, Mr Malick.

-I think I can leave you to close up.

-Sure.

Good. So, once you've established that he's comfortable,

we can refer him back to Haematology.

We'd normally keep him on the ward for two, three days.

Yes, but there's undue pressure on beds today,

I'm sure you can make them understand. Thank you.

I couldn't find any PJs, they were all in the wash,

-so it's a nightdress, I'm afraid.

-That's OK.

Anything's preferable to this little number.

And the usual toiletries. Had to buy a new toothbrush,

yours was in your airport luggage, I guess.

-What?

-I'm going to leave you to it. Excuse me.

If you need stronger painkillers,

you should find a friendly anaesthetist.

It's a very localised pain.

-Start in the frontal lobe and radiate out?

-Something like that.

Yup, I dimly remember what that feels like.

Do you two ever do any work or do you just sit around chatting?

Yes, Ms Shah. Very sorry, Ms Shah.

An operation? When?

-Today.

-So, you'll have to be in here for ages.

I don't know. Probably. They haven't given me all the details yet.

-It's all very new.

-Well, what about the wedding?

-Is that all you can think about?!

-It's kind of a big deal, you know!

Of course, you're more worried about whether I might ruin

-this RIDICULOUS wedding!

-Ridiculous?

Some daughters might be worried about how their mum was feeling

-or how they could help!

-Hello! We've pegged it up from London!

-We went and got all your stuff.

-Why don't you just go?!

-What?!

Just leave me alone for five minutes. I'm tired.

Haematology just called.

They're not happy we're sending Mr Wallace back so soon.

What? They need to know we're backed up here

-and that he's their patient.

-He's our patient too.

Not anymore. We've done what we can.

-Problem?

-I'm sorry. I don't think he should go back yet.

Why are you being like this? It's not like you.

Just get it done.

She just looked at me and said Leeds.

Cos you sound like you're from Norfolk, don't you?

She even knew the street I lived on.

You've probably met her somewhere before.

Right, that's me done. See you tomorrow.

GIGGLING

SHE CLEARS HER THROAT

All right, sis?

How's the pain?

Much better. Thank you.

Well, your stats are all looking good.

And the wound is beginning to heal nicely.

We'll send you back to those fine people in Haematology in no time.

Have you seen the statistics for black bone marrow donors lately?

Come on, man. What kind of talk is that?

You're not the kind of guy to give up.

-You spent your whole life fighting.

-Yes.

For justice, for equality.

-Fights I could win.

-You can win this one.

Make sure Mr Wallace's pain medication is being monitored

and keep him as comfortable as possible.

We've got the results for Rebecca Hardwick.

-And?

-She has mitral valve regurgitation.

And suspected endocarditis. I was hoping you could help.

-What time's the slot?

-Half an hour. There's been a cancellation.

-No,

I'm fully booked up.

-But Mr Douglas is available, aren't you, Greg?

-Sorry?

Sahira's looking for a second pair of hands.

-Feeling fit for purpose?

-Absolutely.

Guess we'd better scrub up.

Splendid. You're all crewed up. Hope it goes well.

-It's fine.

-So, you're telling me you've finished your YRO?

-No, but...

Look, I've had enough.

I can't live with her, she's off her head 24 hours a day.

-The police will come looking for you.

-Not if you don't make a fuss!

So you want me to lie for you if they call me?

-I can't get a scanner slot.

-What?

I can't get a scanner slot. Could you sort it out?

OK, yeah, yeah.

I'll talk to you in a minute, yeah?

Has the daughter been tested for the condition?

-Her mum hasn't told her yet.

-Don't you think she should?

-This is Dr Raza, he'll be your anaesthetist.

-Hiya.

The results are back and we believe the damage to your heart's

-been triggered by an infection...

-An infection. How could...?

Well, The most likely cause is the insect bite.

Oh. My first holiday in 14 years

and I end up in an operating theatre.

-Just my luck.

-May I see?

-Yeah.

We've sent a sample to the lab, so let's see what they come back with.

Now, the plan is to take you to theatre shortly

-and replace the faulty valve.

-Right.

And then, try and treat the infection.

I'm guessing this is serious? The fact you're rushing me into theatre?

Well, it's just that we've had an unexpected slot come up, that's all.

Have you talked this through with your daughter?

She needs to know about the genetic link as well.

Yes, Rebecca's aware. I've already explained.

I'm just trying to find the right time.

-Things are so bad between us I don't want to make it worse.

-Of course.

You're just going to leave it at that?

Don't interfere with my patients. I know what I'm doing, OK?

Of course you do.

-You've been searching my bag!

-I didn't search it. It fell.

-What's going on?

-You what?

-I need to talk to you in private.

-Look. It's not mine, OK?

-Please?

-I hardly even know her.

-Excuse me, I am still here, you know!

And you've already had your tongue down her throat. Romantic(!)

-It's got nothing to do with you.

-No, but THIS does.

-Woah, woah, woah.

-Liam. Back off, Liam.

-I've got you, I've got you.

-Liam!

-I know what I'm doing. I've got it!

All right. All right.

Nurse McKee. Nurse McKee!

2mg of midazolam, please. Thank you.

It's open heart surgery, how can it be straight-forward?

-Well, it isn't.

-Mum says...

We often replace damaged heart valves.

It's an operation that we do frequently,

but the infection is an added complication.

-OK. But there's no danger?

-Look, the important thing

is to stabilise the heart, get it doing its job properly again.

Then, we can tackle the infection. OK?

I'll leave you to it.

-Why didn't you say before?

-I didn't know how.

-You're going to be OK, aren't you?

-Of course I am.

-You have to be.

-Zoe, there's something I need to...

-Listen, Mum...

-You first.

-I wasn't going to tell you for a bit,

-I didn't know how you'd take it. But with all this going on.

-What?

Christian and I, we're going to have a baby.

Well, say something.

-What do you want me to say?

-That you're happy for me.

Have you thought this through?

There are other options.

I just don't want you make the same mistakes that I made.

-So, I'm a mistake now, am I?

-I didn't mean it like that.

Well, at least we got that clear.

So, are you, like, famous, then?

I think you've answered your own question?

I saw on the Internet, you've been in prison, is that true?

-A couple of times. But not for long.

-What did you do?

I used to have a very loud voice, tended to get me into trouble.

But sometimes you have to shout to make yourself heard.

Oh, tell me about it. Like when my mum and Aunt Terri get going,

you can't get a word in edgeways. And I'll chase Haematology

and see if they've got a bed ready for you.

Chantelle, can I have a word, please?

Sorry. I know I shouldn't have said anything about the prison thing,

-but...

-Who told you to transfer Mr Wallace?

Thank you.

Why are we discharging Mr Wallace so soon after his operation?

-This place is overflowing, we need the bed and...

-And?

This is Hanssen, isn't it? This is you toeing the party line.

-It makes sense.

-Does it?!

-You did well. Where did you learn to do that?

-Mum's an alcy.

I have to sort her out pretty much on my own, you know.

I mean, I've got an older sister but she did a runner years ago, so...

Nice one.

-We still need to talk, by the way.

-I don't think so.

Well, fine.

I'd be really interested to hear what the police have to say

-about your girlfriend bringing her stash onto my ward.

-You wouldn't.

Shall we talk?

OK.

-You can't do this.

-Just watch me.

-Somebody want to fill me in...

-You call them, you know what'll happen!

-Come on, Ed, please!

-You brought drugs onto my ward.

-I told you, it's not mine.

-This isn't a game, all right, Liam?!

-You don't get to do this to me!

-Why you doing this?!

-Liam!

-It's not even my stuff!

-Calm down.

-I just want some help, yeah. That's all.

-Right.

-What you doing?

-Calling Security.

Yeah, hi, this is AAU.

He's my brother.

That's my mobile number.

Maybe someone could call me when she's out of theatre.

-Are you sure you want to leave?

-Sorry. Hormones. I'm pregnant.

-Much to her disgust.

-You're pregnant?

-Did your mum say anything to you?

-About what?

Anyway, I really can't face talking to her right now.

Hey, listen. There's a relative's room over here.

Why don't you take a perch in there, for now?

Your mum's got a lot on her mind. Times like this,

we all say things we regret in the heat of the moment.

She's ALWAYS like this!

She points out how I'm getting everything wrong.

Some day you can say all those wonderful things to bambino here.

-Don't leave now. You'll regret it. I promise you.

-How do you know?

You don't look like someone who doesn't care.

Be here when she wakes up.

Come on, I'll take you down there. I'll even shout you a cup of tea.

I should've told you before. I'm sorry.

-He's done a runner from his YRO.

-YRO?

Yeah. It's like a community sentence thing.

So the police are gonna be looking for him.

-You didn't know he was coming?

-No.

He just turned up unannounced with his stash and his moll?

That's what my family are like. Turn everybody's lives upside down.

Any recreational drug use?

-Decent bottle of Grenache when I can. Does that count?

-Grenache?

No. Asti Spumante, I'd have concerns.

Any previous problems with anaesthetics?

I don't know, I've never had one before.

Nothing to worry about. I do all the work.

-Right. Can I have a listen?

-Yeah.

I expect you think I'm a crap mother.

I should be jumping for joy that my 21-year-old daughter is pregnant.

-I have to say, that's none of our business.

-A grandmother at my age.

-A baby doesn't mean the end of everything.

-Meant the end of school.

-The end of a relationship for me.

-But do you regret it?

Of course not. Not for a single second.

She is far and away the best thing that has ever happened to me.

It's clear she isn't going to tell her daughter any time soon.

-Don't you think we should?

-Just leave it, please.

One minute you're shipping me out, the next you're keeping me in.

What changed?

I apologise. It was a clerical error.

A clerical error. Right.

So nothing to do with getting a telling off from your boss?

It was just a misunderstanding.

I bet you're the kind of man that gets "misunderstood" a LOT.

-You don't know anything about me.

-No. But I can guess.

I made the wrong call, all right?

Let something go to my head, cloud my judgement.

Anger is good.

But what counts is what you do with it.

What makes me angry... is that I can't help you.

-Not really.

-Not your fault there's not enough donors.

It's wrong that the odds are stacked against you.

Majority of donors are white.

Seems to be a lot of mistrust and miscommunication out there.

Then we need to put that right.

Easier said than done.

Maybe.

Maybe not.

Did you just give him some money?

Yeah. He was talking about robbing a bank but I thought I'd step in.

You're not as funny as you think, you know?

But you ARE as bad tempered.

-He wanted some money for the vending machine.

-Oh, OK. Thanks.

What's that?

-Rosie Hill's notes.

-And?

Um...I think you might want to deal with this.

-You ARE joking.

-Look like somebody's not been straight with us.

Right, I need a favour. Can you please keep Liam away from her

-till I can figure out what is going on?

-Course.

Right, shall we start with the good news?

-I'm sorry, did I wake you?

-Just a bit.

You'll be happy to know that your test results are back.

-Couldn't this wait? I'm knackered.

-You don't want to know?

You've had two fits out of the blue in one day.

-I mean, that'd worry anybody.

-Course.

Your CT scan is clear. Which means you don't have a brain tumour.

Obviously, that is our main concern when someone of your age

presents themselves with no previous history of fitting.

-Cos that is what said right? You'd never had a fit before?

-Yeah.

That's what I thought you'd said.

Funny that, cos your patient records from Leeds say you've got epilepsy.

-You OK?

-Nervous.

-You'll be fine.

-Can I get this off? It's uncomfortable.

-Sure.

Lovely ring.

My mum's. Zoe's now. It will be, anyway.

I haven't got any use for it and she has.

Maybe she'll accept it as a peace offering.

-Sahira, could we...?

-Excuse me.

-Her platelets are low.

-So?

-Might be worth holding off?

-Or a transfusion.

-Can I?

-Fairly marginal, isn't it? Hardly enough to veto the op.

-Not quite.

-I just thought you should both know. Your call.

-OK.

We'll get platelets on standby, I'll speak to Elliot, get his input.

MOBILE BEEPS Meantime, we've got her prepped. Who's that?

-Magda.

-Is she OK?

She says we need to call her. It's urgent.

You'd better go. I'll page the on-call anaesthetist.

-I just think it's easier if you go.

-Why? Why is it easier if I go?

This is a highly specialised operation.

But us gas monkeys are interchangeable?

-I didn't say that.

-You didn't need to.

Do you have any idea how much time and money you've wasted?

I don't understand. Why would you keep your condition a secret?

-Rosie?

-You wouldn't understand.

-I'm all ears.

You know, it was me who persuaded him to come down here.

He changed his mind at the last minute.

Thought you wouldn't want to see him. Wish I hadn't bothered now.

We're talking about YOU, not my brother.

Do you know how much of a hard time he's been having?

-It's got nothing to do with you.

-Yeah, that's right. Head in the sand.

You pretended he didn't exist and hoped he'd go away.

-You lied to my staff.

-He's here now, can't ignore him.

You've wasted our time!

Tell me why and maybe I won't report you for having drugs in your bag.

-I was getting fat on it, OK.

-What?

The medication I was taking. Carbamazepine.

-So you just stop taking it?

-I was taking hash.

Someone told me it would help with the fits. But it didn't.

No, it wouldn't, would it?

You should've told us about your condition

-when you were first admitted.

-Yeah, well I was embarrassed, so...

We've all got stuff we're running away from.

I'll get the meds you need

and then maybe it's best if you just slip off, yeah?

Go and face that thing you're running away from.

And don't worry about saying goodbye to Liam,

no point prolonging the heartache, eh?

He said you were hard.

You stand there all high and mighty,

think you're better than the rest of us.

Well, I wasn't the one who walked out on my own kid brother, was I?

OK, thank you.

No luck?

They can't do anything until next Friday.

I found another few online.

-I put them there for you.

-Great job. You rock, Chantelle.

Dare I ask why you're looking for a photographer?

-For the campaign.

-That would be the campaign for...?

To encourage more people from ethnic communities to donate bone marrow.

-We're doing to do a poster of Vivian.

-And you don't you think there's

already a number of an organisations doing precisely that?

One more appeal, can't hurt.

I take it that this campaign has been sanctioned

by the Director of Surgery?

Well, I just hope that you thought this through.

You said years ago before you left,

if I was in trouble, I could come and see you.

I didn't mean do a runner and turn up unannounced, did I?

What else could I do? Where could I go?

She went mental, Ed. I mean proper lost it this time.

Started smashing everything. Hit me!

Can't hit her back though, can I?

Listen. I need to talk to you about Rosie.

You might think she's special,

but she's not the right person for you.

What you...think we've got something going on, like, serious?

I met her in the pub by the station.

-She offered to pay my coach fare down here.

-You only met her today?

Yeah. Then she had a fit and I couldn't just leave her, could I?

-We're not... Whatever. She's a head case.

-Right.

Well, that's good.

Anyway, what makes you think you can start playing the big sister now?

You left me on my own with mum.

-I didn't have a choice.

-I've had it all to deal with.

Had to clean up after her, deal with her moods!

What do you want from me?!

I just want somewhere to be for a while, get myself together!

Come on, Ed, please!

-Does she know you're here?

-Course not.

-You've got to tell her.

-I don't.

-She's going to worry about you.

-Trust me,

she was glad when I got nicked. She could do what she wanted without

-the social sniffing round.

-You've got to call her.

-Just forget it!

I'm not doing it!

-So how we doing?

-Good.

-Forceps, please.

I've got it.

SUCTION

Can you redo the TEG?

Clamp.

Can we prepare one litre cardioplegia, please, and some ice.

Cool it to 28 degrees.

Cusp is perforated.

The annulus is destroyed. Retractor.

2.0 Ethibond and pledget, please.

It's going to be difficult to get rid of all that infection.

-What do you want to do?

-We'll use Vancomycin powder.

You know, I'm sure I can hold the fort here,

-if you wanna go and check on...

-It's fine.

-You sure?

Thanks. I've got it from here.

Well?

Later.

Work mode.

-So have you contacted the police?

-Yeah, and his Youth Offending Team.

Anything I can do?

No. It's my mess. But thank you.

You saw the way he dealt with the fit?

Straight into the recovery position, no flap, no fuss.

-Just like his sister.

-But she didn't wind up in court.

The way you spend your Friday nights,

it's only a matter of time, though, I would have thought.

CAMERA SNAPS

I'm gonna take a wild stab in the dark

and guess that you went ahead and organised all this

without getting any approval from the Chair, the board,

-or Hanssen.

-We don't have time to wait around and fill in 15 forms

in triplicate while he waits for a donor who may not show.

-So this is all for him?

-It's inspired by him.

And even if we can't help him,

even if we just help one other person... What?

I'm not the one that you have to convince.

OK, we're done.

Let's get her off bypass.

-MACHINE BEEPS

-A bleed?

-Yep.

-She's hypertensive.

-Shall we go back on bypass?

No. The bleeding might get worse. Let me try and fix this.

-OK. Suture line is fine.

-The back.

-More bloods, please.

-Can we lift the heart up for me?

Yeah, I can see the posterior wall of the left ventricle.

2-0 prolene. Keep bloods coming through.

OK. I push, you pull, OK?

I think we've got it.

Swabs.

More swabs.

Right. Let's wait.

MACHINE CONTINUES BEEPING

No.

OK, forceps.

Saline.

No, no, no.

Suction.

-Bloods.

-More bloods.

-And again.

She's bleeding out everywhere.

-Very hypertensive. Getting worse.

-What do we do now?

OK, um...

We repeat.

-Let's try and suture the whole thing.

-Will that work?

-What choice do we have?!

-Sahira.

-She's in VF.

-Paddles, charge to 20. Clear.

No.

Charging to 40. Clear.

-Adrenaline.

-She's losing too much blood.

Charge to 40 again. Clear.

No.

MACHINE BEEPING FLATLINES

You're sure there's nobody I can call for you?

You can call my ex-wife if you like.

But I'm not sure she'd be too pleased to hear from you.

Your Mr Malick.

He's a bright young man.

-Yes, he is.

-I bet he drives you crazy.

We have the occasional difference of opinion.

You'd rather he just put on a tie, smiled sweetly,

accepted the status quo?

When you see someone making the same mistakes you made,

you just want to give them the benefit of your experience.

But it doesn't work like that, does it? Whatever anyone says,

the only mistakes you can really learn from are your own.

Not that our generation ever made mistakes.

Course we didn't.

Here's a man that's worked for change and justice his whole life

and now he risks losing that life,

because people don't know enough about the situation.

You're aware of course that you should have run this idea

past the hospital board, run up a variety of proofs

for us to choose from,

-presented a complete and thorough strategy.

-I know, I know!

-Why didn't you?

-Because he doesn't deserve to wait.

Neither do all the other people just waiting for bone marrow.

I'm sorry. I just want to help my patient.

OK, so now you're thinking he's got involved with this one patient

and not followed procedure, is this the type of person we want

as our Clinical Skills Teacher, right?!

Do you need me here or are you happy

to have a conversation with yourself?

Whatever opportunity is on the table for me,

I still think this is the right thing to do.

Zoe.

What is it? Is it done? Is she out of theatre?

I'm sorry.

What are you saying? I don't understand.

The infection was more severe than we anticipated

which meant the damage was more advanced.

We did what we could. I'm so sorry.

No, I don't...

No, I don't believe it. I can't.

So I spoke to your YRO people.

-Great, so now they know where I am.

-Yeah, but...

-So?

If you shut up, I'll tell you!

They said you could transfer and finish your thing here.

So this is the deal -

no skipping out and if there's anything going on with you,

-I want to know about it.

-You saying I can stay?

For now, yeah.

I want you in by midnight, no drugs, all right?

None.

You do your own washing, you clean my house,

you don't leave your dirty bowls under my settee and no porn.

-HE LAUGHS

-OK.

OK.

This is my key and my address. And that's for a taxi.

And you have to phone mum.

-No.

-That's the deal.

-Fine, then. No deal. I'll go be on my own.

-If she doesn't know where you are, she'll go on a bender.

-So let her.

How come I have to talk to her? You never phoned her, not once.

-I sent her a letter.

-When? A year after you'd left, two years?

-It wasn't two years.

-Whatever, it was ages after.

-We're not talking

-about me and my mistakes.

-You never phoned up once.

Actually, you never spoke to her since you left, but I've got to!

It's different now with both of us gone.

So when I was there it was OK not to bother?!

-She needs to know.

-So tell her. I'm not stopping you.

Come on, Ed, you owe me that much at least.

I'm sorry if you don't like it, Sahi,

but the truth is, you put your work before the kids every time.

That is not true.

You know, this whole thing was a mistake. Us working together.

I agree. Which is why we always said that we'd take it in turns to work.

That was the deal.

I shouldn't have to choose between being a parent and doing my job.

But I should? Why? Go on. Say it.

-Say what?

-Because you earn more than me.

That has got nothing to do with it.

I think I'm doing pretty well. I don't know many other guys

who'd put their career on hold to spend a year playing dad.

You don't think I want to spend more time with my kids?

Well, what's stopping you? What is the point of us having kids

if we're just going to pay a stranger to look after them?

Right, you want me to quit my job and play the good house wife?

Is that what you want? Is that what would make you happy?

It'd be nice to feel for once

that me and the kids weren't competing with your bloody job.

Indy's fine, by the way.

Cracked his head on the kitchen cupboard,

but sounds like he'll live. I'll see you at home.

Are you OK?

I never got to say goodbye.

I never got to tell her I loved her.

-She knew.

-How? I never said it.

She said that she didn't regret

a single second she'd spent with you.

That you were the best thing that ever happened to her.

-Why didn't she tell me that herself?

-She wanted to.

There were lots of things she wanted to tell you.

Whoa, Mersey Tunnel.

Double shift, take me home.

I gather that you made quite an impression on Mr Wallace today.

Yeah, well, he made quite an impression on me.

So I take it you're no longer in the running for the job?

Actually, I am.

How did you manage to sidestep the self-sabotage?

Mr Hanssen thought it was a good idea. He admired my initiative.

Look, I know that you don't want to take the advice from me,

-but just be careful.

-With what?

Hanssen always has a strategy.

Or maybe he thinks I'm good at my job?

No, that's not very likely.

OK. Just one more quick check-up

and then we'll leave you alone tonight.

This is gonna hurt, isn't it?

Just a little bit. I promise I'll be as quick as I can.

So the Big Man didn't fire you then?

-Why would he fire me?

-For going against your boss' orders,

for launching your own guerrilla poster campaign?

Actually, I think I pretty much sold him on the idea.

I mean, how can he say no with your face all over the poster?

-Let's hope you're right.

-I know I'm right.

All we need now is a catchy slogan alongside your mug shot.

How about "Old, gifted, and black?"

Old? You? I don't think so.

-Guys like you make me feel old.

-Look, I'm sorry if...

Don't apologise.

Never apologise.

You can't help being full of energy and fire and...

..life.

Your results are looking good. You're doing really well.

So are you, Mr Malick.

So are you.

Goodnight.

What? What is it?

SHE SIGHS

You gotta help me out here.

How can I help you if I don't know what's wrong?

-I can't do this.

-Do what?

Any of it. I feel like I'm screwing everything up.

I hate the way I'm treating Rafi...

You're not the first couple to have a domestic.

-I shouldn't be talking to you about this.

-Why?

-I'm your friend.

-Friend? Seriously?

-After the way I've treated you.

-Forget about it.

-No. No, I've behaved...

-You've done nothing wrong.

We've done nothing wrong.

Although I did give it my best shot.

I hate this.

I hate this. I hate the way I've treated you.

I hate the way this makes me feel.

-I hate the way you make me feel.

-Don't.

Don't do this.

CLEARS THROAT

Hi.

It's me.

-Do I even want to know?

-Probably not.

I'm sorry to hear about Rebecca Hardwick.

-We did all we could.

-Been a tough day.

Go home.

Subtitles by Red Bee Media Ltd