0:00:39 > 0:00:44As clinical skills lead, we are proposing Mr Dan Hamilton...
0:00:44 > 0:00:48- And Mr Antoine Malick. - Brilliant! Wow. That's brilliant.
0:00:48 > 0:00:50Thank you Mr, Hanssen. Thank you so much.
0:00:50 > 0:00:53- Do what you have to. - Will you be OK?
0:00:54 > 0:00:56I'll be fine.
0:00:56 > 0:01:01- That's for everything. - What are you doing? The children are watching.
0:01:02 > 0:01:04PHONE RINGS
0:01:04 > 0:01:06Hello, Keller.
0:01:06 > 0:01:08OK.
0:01:08 > 0:01:11KNOCK ON DOOR
0:01:12 > 0:01:14HE SIGHS
0:01:18 > 0:01:20Mr Malick, emergency in Wyvern.
0:01:25 > 0:01:27SIREN BLARES
0:01:40 > 0:01:41Hey! Can I help?
0:01:41 > 0:01:44Hey, I can help. I can help. I've read a book on this.
0:01:44 > 0:01:47I know what to do. Look at me. Calm down.
0:01:47 > 0:01:50Whoa. Easy brother man. You're all right? You're sure?
0:01:50 > 0:01:53Good. All right. Please try to stay calm, sir.
0:01:53 > 0:01:56Get the oxygen mask on him. I'm going to shine a light into your eyes, all right?
0:01:58 > 0:02:003mg Haloperidol.
0:02:00 > 0:02:04Easy, deep breaths, that's it. Nice and easy.
0:02:04 > 0:02:06That's it.
0:02:06 > 0:02:09Easy. Let's get him upstairs.
0:02:09 > 0:02:12Deep, slow breaths, all right?
0:02:12 > 0:02:14Nice and easy.
0:02:14 > 0:02:16You're going to be OK, all right?
0:02:16 > 0:02:20There you go. I'll be up in a minute. Whoa, whoa! That's not appropriate. Erase it.
0:02:20 > 0:02:25- No, this is just for me to see you do your thing. - Even so. Erase it.- OK.
0:02:26 > 0:02:28Thank you.
0:02:28 > 0:02:30Hey!
0:02:30 > 0:02:34It's fantastic to see you work.
0:02:40 > 0:02:43- Have you seen Mr Spence? - No, I haven't.
0:02:45 > 0:02:48ALL: Surprise!
0:02:48 > 0:02:52You didn't think we'd let it pass without marking it, did you?
0:02:52 > 0:02:55- There's really no need to make a fuss.- Oh, yes, there is.
0:02:55 > 0:03:01Right, ladies and gentleman, raise your glasses to Ric Griffin's continued good health.
0:03:01 > 0:03:03- Congratulations. - Good health.
0:03:03 > 0:03:04Thanks.
0:03:04 > 0:03:08But I believe Mr Spence needs to consult.
0:03:08 > 0:03:11Well, I'll look after the doughnuts, then.
0:03:11 > 0:03:13What's all that about?
0:03:13 > 0:03:15I got the all clear.
0:03:15 > 0:03:16Cancer's gone? Congrats.
0:03:18 > 0:03:20- So, business as usual.- Great.
0:03:20 > 0:03:23- What's new? - Take a look at that.
0:03:23 > 0:03:26- Do you want me to go through the list with you?- Mm-hm.
0:03:26 > 0:03:29Yup. Oh, look who's here.
0:03:31 > 0:03:34- How are we doing? - Never better.
0:03:34 > 0:03:37The ward seems empty without Ms Shah, doesn't it?
0:03:37 > 0:03:40- She's left a hole. - I hadn't noticed.- No?
0:03:40 > 0:03:43What cases are you working on this evening?
0:03:43 > 0:03:46Just point me towards the broken hearts.
0:03:46 > 0:03:48Work is good for a tender soul.
0:03:48 > 0:03:51You're not still moping over her, are you?
0:03:53 > 0:03:55My advice - get over it.
0:03:55 > 0:03:58Nothing to get over. Thanks!
0:03:58 > 0:04:00It's just as well, then.
0:04:04 > 0:04:06HE CLEARS HIS THROAT
0:04:06 > 0:04:09What? I thought I was quite tactful.
0:04:09 > 0:04:12Dan, I can do this on my own, you know.
0:04:12 > 0:04:14Someone's got to introduce you.
0:04:16 > 0:04:20Ladies and gentleman. Thank you! And welcome to Holby.
0:04:20 > 0:04:23I'm Dan Hamilton, consultant orthopaedic surgeon,
0:04:23 > 0:04:27and it gives me great pleasure to introduce this man. Looks scary, doesn't he?
0:04:27 > 0:04:30But I assure you he's a pussycat.
0:04:30 > 0:04:35- Your clinical skills tutor, Mr Malick.- Yes! Whoo-hoo-hoo!
0:04:37 > 0:04:41Mr Spence, this is Ruby. She's been sent straight through from the ED.
0:04:41 > 0:04:45OK. I'm Michael Spence. I'm a consultant. Hang on for a second, you guys.
0:04:45 > 0:04:47Is it just the leg, or is there anything else?
0:04:47 > 0:04:49Just the leg. It's really painful.
0:04:49 > 0:04:51What happened?
0:04:51 > 0:04:54I crashed my car. I hit a girl.
0:04:54 > 0:04:57- Is she here?- Not that I know of. - We'll need to cut those boots off.
0:04:57 > 0:05:02- Yep. And let's get the glass out, clean this up. - Do I know you from somewhere?
0:05:02 > 0:05:04No, I don't think so. Excuse me.
0:05:04 > 0:05:06That's the girl. Is she OK?
0:05:06 > 0:05:09Yep. She'll be fine. Don't worry about it. Sacha?
0:05:09 > 0:05:11Can I call you back, please? Thank you.
0:05:12 > 0:05:16OK. Lucy is 18. She's had chest trauma.
0:05:16 > 0:05:19It was hilarious, actually!
0:05:19 > 0:05:24And she's been drinking, obviously. She's had 5mg of morphine and 300gm of amiodarone.
0:05:24 > 0:05:27Lucy, I'm going to listen to your chest, OK?
0:05:27 > 0:05:32Your stethoscope is really warm. Has it been in your pocket?
0:05:32 > 0:05:35OK, oxygen. We're going to need to do full bloods, a group and save,
0:05:35 > 0:05:37and an ECG as soon as possible, please.
0:05:37 > 0:05:40Right, cardiac arrhythmia. She needs to go upstairs.
0:05:40 > 0:05:44- OK, I'll let Darwin know.- Wait. Are you going to take me upstairs?
0:05:45 > 0:05:47Right, we're going to do some tests down here
0:05:47 > 0:05:52- and then we're going to need to take you up to another ward. OK? - Whatever.
0:05:52 > 0:05:54SHE GIGGLES
0:05:54 > 0:05:59- Sorry to keep you. What's up?- You're not answering your phone, Michael. I've been trying to get through.
0:05:59 > 0:06:02- You can see how busy it is out here. - I need to talk to you.
0:06:02 > 0:06:06Give me a few minutes. I've just got to take care of a couple of things.
0:06:06 > 0:06:09I'll wait for you. In the cafe? It's important, Michael.
0:06:10 > 0:06:12All right.
0:06:17 > 0:06:20Do you remember me? I'm Spike, Spike Leonard.
0:06:20 > 0:06:24- You came to give a talk at the college.- Yeah. You're the guy that asked a lot of questions.
0:06:24 > 0:06:27You're probably the most successful person who ever went there.
0:06:27 > 0:06:31- Apart from the bloke who became a porn star. - I'll take that as a compliment.
0:06:31 > 0:06:35- I wouldn't have even thought about doing medicine if it wasn't for you, so thank you.- That's encouraging.
0:06:35 > 0:06:39- Ohh! And you decked a consultant, didn't you?- Whoa, easy, Spike.
0:06:39 > 0:06:40Thanks.
0:06:40 > 0:06:43Right, my Malick-ites,
0:06:43 > 0:06:46surgery is integrity coupled with decision-making,
0:06:46 > 0:06:49and here, all decisions have serious real-world outcomes.
0:06:49 > 0:06:52This is not a classroom. This is Keller.
0:06:52 > 0:06:56When do we get a chance to actually do something?
0:06:56 > 0:07:00All you need to do right now is listen and learn.
0:07:00 > 0:07:01Yeah?
0:07:03 > 0:07:04Good man.
0:07:04 > 0:07:09Right. Female, 18, chest trauma and cardiac arrhythmia.
0:07:09 > 0:07:11Atrial fibrillation.
0:07:11 > 0:07:13Mr Levy has administered 300mg of amioidarone.
0:07:13 > 0:07:16- Looks like she's been drinking, as well.- Yeah. Who wants it?
0:07:16 > 0:07:18- Yeah, I'll... - I'll take this one.
0:07:18 > 0:07:21An 18-year-old boozed-up girl with an iffy ticker -
0:07:21 > 0:07:23sounds like a suitably engrossing challenge.
0:07:23 > 0:07:26- How are you doing?- Ooh, brilliant!
0:07:26 > 0:07:29Do I get to choose which one of you takes me?
0:07:30 > 0:07:32Not you, ginge.
0:07:32 > 0:07:35Um... Hmm... Not bad.
0:07:35 > 0:07:38Ooh, hey, hottie!
0:07:38 > 0:07:40Oh, I like your crutch.
0:07:40 > 0:07:41What's up?
0:07:41 > 0:07:45Oh, have you just killed someone?
0:07:45 > 0:07:49Do you know what? She's all yours.
0:07:50 > 0:07:52Fine, let's get her on the ward.
0:07:52 > 0:07:53- Hi.- Hello.
0:07:55 > 0:07:58On a busy ward patient, turnover is fast, work is intense,
0:07:58 > 0:08:00and the staff expect the unexpected.
0:08:00 > 0:08:03In fact, let me introduce you to one of the staff members.
0:08:03 > 0:08:06- Hi! I'm Chantelle! I'm a nurse on Keller.- Thanks, Nurse Lane.
0:08:06 > 0:08:09- Nurses are the heartbeat of the hospital.- Yeah, sort of.
0:08:09 > 0:08:11We're always very busy.
0:08:11 > 0:08:15Yeah, but Nurse Lane has a lot of patients to attend to, don't you?
0:08:15 > 0:08:19- Oh. If you need anything, just shout!- Thank you.
0:08:19 > 0:08:21Let me introduce you to Mr Nicholson.
0:08:21 > 0:08:23Are you OK with students, Mr Nicholson?
0:08:23 > 0:08:28Right, Mr Nicholson was being brought in this morning for elective surgery
0:08:28 > 0:08:33when, en route, he had a sepsis episode which caused agitation and confusion.
0:08:33 > 0:08:37But Mr Malick injected 3mg of Haloperidol right there on the pavement.
0:08:37 > 0:08:39Sorted him in no time.
0:08:39 > 0:08:44I took the action required after a primary survey suggested a sepsis was...
0:08:44 > 0:08:46Mr Malick, can I borrow you?
0:08:46 > 0:08:48OK, Malick-ites, follow me.
0:08:52 > 0:08:57- What's happened?- This is Mr Turner. A Crohn's patient. He's dehydrated. - He's in pain. Can you help him?
0:08:57 > 0:09:01- Do you mind students, Mr Turner? - The more, the merrier. Agh!
0:09:01 > 0:09:03There's a mass in the right iliac fossa area.
0:09:03 > 0:09:06Give him 10mg of morphine and I'll need a CT scan also.
0:09:06 > 0:09:09Right, let's see what's happening here.
0:09:09 > 0:09:12OK. Mr Turner has had nine bowel resections.
0:09:12 > 0:09:15A great deal of it has been taken away.
0:09:15 > 0:09:21And... And he's very aware of his prognosis.
0:09:21 > 0:09:25- He's not gone just yet!- It's all right, Patty. Easy, sweetheart.
0:09:25 > 0:09:31Of course not. But his gut is too short to absorb food and, as you can see...
0:09:31 > 0:09:34He's being fed through a Hickman line into his neck.
0:09:36 > 0:09:39Mr Hanssen has ruled out surgical options
0:09:39 > 0:09:43and is treating the patient with an antibody drug.
0:09:43 > 0:09:46- We weren't offered any surgical options.- Shh!
0:09:46 > 0:09:49Then Mr Hanssen must have decided it wasn't viable.
0:09:52 > 0:09:54Right, you ready? Follow me.
0:09:56 > 0:10:00Hey, Spike! Come on. Plenty to see.
0:10:04 > 0:10:08I need to get out of here as soon as possible.
0:10:08 > 0:10:09I can't promise you anything.
0:10:09 > 0:10:13We need to run an X-ray and blood tests and monitor the state of your heart.
0:10:13 > 0:10:17I'm fine. Just patch me up and get me out of here.
0:10:17 > 0:10:22- What if you keel over on your way out of here? - I don't do keeling. Come on.
0:10:22 > 0:10:24Be nice to me.
0:10:24 > 0:10:26What's your name?
0:10:26 > 0:10:29- I told them before. I'm Lucy. - Your full name.
0:10:30 > 0:10:34- Call me whatever you want, doctor boy.- Look, I've got lots of patients to see,
0:10:34 > 0:10:38- I need to access your medical history. - It doesn't matter. I'm leaving.
0:10:38 > 0:10:41- No, you're not.- Look, I'm serious. I'm not drunk any more.
0:10:41 > 0:10:46OK, maybe a little bit, but, seriously, I need to go.
0:10:46 > 0:10:50- You're not going anywhere, OK? - Fine.
0:10:58 > 0:11:01OK, you have 20 minutes, Malick-ites,
0:11:01 > 0:11:04then we have the important issue of hygiene to discuss.
0:11:04 > 0:11:07The cafeteria is downstairs. I'll catch you in a bit.
0:11:09 > 0:11:13Mr Malick, when you examined Steve Turner you said
0:11:13 > 0:11:17he's got a mass in the right iliac fossa area.
0:11:17 > 0:11:19You were writing down everything I said?
0:11:19 > 0:11:23- I don't want to forget anything. - What is it you don't understand?
0:11:23 > 0:11:26Wouldn't it be quite straightforward to take the mass out?
0:11:26 > 0:11:30- Why hasn't Mr Hanssen offered a surgical option? - Could be any number of reasons.
0:11:30 > 0:11:32Plus, this is a real person, Spike.
0:11:32 > 0:11:35It isn't some paragraph from a textbook. You get me?
0:11:35 > 0:11:37Go on, go and get your coffee.
0:11:40 > 0:11:43Um, Chantelle, when they've finished their break,
0:11:43 > 0:11:47- I need you to babysit my students for a while.- Me?!- Mm-hm.- Really?!
0:11:47 > 0:11:50- Yeah. There's something I need to investigate.- OK.
0:11:54 > 0:11:58- She's a nightmare. - Who?- The mysterious Lucy.
0:11:58 > 0:12:01She's a mardy 18-year-old. Grow a pair and deal with it.
0:12:01 > 0:12:06Drunk and stubborn I can handle, but she's not giving me any information.
0:12:08 > 0:12:11My grandad was a gardener. I love gardeners.
0:12:11 > 0:12:15Steve was one for 30-odd years, but before that, he was a musician.
0:12:15 > 0:12:19- Really?- Wrote all his own songs. He was on the telly.
0:12:19 > 0:12:21That's brilliant.
0:12:21 > 0:12:22- Ohh.- You OK?
0:12:22 > 0:12:24It's only pain.
0:12:24 > 0:12:27Can I look at your notes again?
0:12:28 > 0:12:33- Steve was a pop star.- I wasn't a pop star.- Singer-songwriter.
0:12:33 > 0:12:37- Nice.- He gave it all up to become a gardener.- Why did you do that? - I was rubbish.
0:12:37 > 0:12:39Don't listen to him. He was very good.
0:12:39 > 0:12:41He just needed a change of pace.
0:12:41 > 0:12:46- Well, when I get to be a consultant, I won't be giving it up for rose bushes.- Ohh!
0:12:46 > 0:12:48I think it's romantic!
0:12:48 > 0:12:53Don't be too long here. Your break's nearly over and I'm taking your next lesson.
0:12:55 > 0:13:01Your teacher seemed surprised that Mr Hanssen had decided not to operate. What do you think?
0:13:03 > 0:13:05Feeling more sober now, eh?
0:13:05 > 0:13:07I love your accent.
0:13:09 > 0:13:12- It's beautiful. - We need your details.
0:13:12 > 0:13:17- Do you want us to help you out, or not?- I'm going home. Now.
0:13:17 > 0:13:18What's the hurry?
0:13:18 > 0:13:22If I don't leave now, then I won't be back in time.
0:13:22 > 0:13:26- For what? - OK, so Dad was away today,
0:13:26 > 0:13:31so I went to a friend's house. We got drinking, you know...
0:13:31 > 0:13:35Well, it was when I was heading back that this happened.
0:13:35 > 0:13:38- So you need to get back before he gets home?- Yeah. He worries.
0:13:38 > 0:13:43- Fair enough. So give us your details and I'll get you through as fast as I can.- My bag?
0:13:50 > 0:13:55- You promise you'll get me out soon?- Come on.
0:13:55 > 0:13:57I know you're going to help me.
0:13:57 > 0:14:01Stop messing and I'll fast-track you. Deal?
0:14:02 > 0:14:05- Where are the Malick-ites? - Under Chantelle at the moment.
0:14:05 > 0:14:09In at the deep end, eh? Do you ever miss student life?
0:14:09 > 0:14:11No responsibilities, great social life...
0:14:11 > 0:14:15The personal tutor who offers you top grades if you'll sleep with him.
0:14:15 > 0:14:17You didn't, did you?
0:14:17 > 0:14:21Please! Why didn't we offer Steve Turner surgery earlier?
0:14:21 > 0:14:25- Mr Hanssen's patient? - His bowel has got a lot worse. Multi-level adhesional obstructions.
0:14:25 > 0:14:27Plus, I've been working on this.
0:14:30 > 0:14:32Patient 55.
0:14:32 > 0:14:34Of the Chromer-Barclay case study 2007.
0:14:34 > 0:14:38- He had exactly the same condition. - Long-term Crohn's is pretty common.
0:14:38 > 0:14:42- But their case studies are almost identical, down to this latest blockage.- And?
0:14:42 > 0:14:44Chromer-Barclay took Patient 55 into Theatre.
0:14:44 > 0:14:48- He came out with a better quality of life.- And Steve Turner...
0:14:48 > 0:14:52He got months. Whereas this procedure gave Patient 55 four more years.
0:14:52 > 0:14:54It suggests surgery is a no-brainer.
0:14:54 > 0:14:58- What does Hanssen think?- Still got his feet up flying business class.
0:14:58 > 0:14:59But this procedure works.
0:14:59 > 0:15:03Sounds viable. But get senior eyes on it.
0:15:05 > 0:15:07Excuse me, Mr Malick. Excuse me.
0:15:10 > 0:15:13Can you tell me why your boss lied to us?
0:15:19 > 0:15:20OK, what is it?
0:15:22 > 0:15:26An opportunity has arisen. For me and the kids.
0:15:26 > 0:15:28I've got a work placement offer.
0:15:28 > 0:15:30It's too good not to take seriously.
0:15:32 > 0:15:33Yeah, that's great.
0:15:33 > 0:15:35It's in America.
0:15:35 > 0:15:37What?!
0:15:37 > 0:15:38Florida. Tampa.
0:15:38 > 0:15:41- What about the kids? - They'll come with me, of course.
0:15:41 > 0:15:43No, no. Forget it.
0:15:43 > 0:15:48- Let me explain.- There's nothing to explain! I'm not going to live in a different country to my kids.
0:15:48 > 0:15:49I really need you to listen to me.
0:15:49 > 0:15:52MOBILE PHONE BEEPS
0:15:52 > 0:15:56- I thought you were coming here to tell me you were marrying Ric, or something.- What?!
0:15:56 > 0:16:00- It's got nothing to do with him. Ric and I split up.- What?
0:16:04 > 0:16:08Look, I've got to take this, but you stay here. We're going to talk about this.
0:16:11 > 0:16:15Mr Hanssen didn't offer surgery. Steve's getting worse.
0:16:15 > 0:16:19The condition of the bowel has changed since Mr Hanssen looked at the scan.
0:16:19 > 0:16:22There is a more immediate problem now.
0:16:22 > 0:16:25There's an infection. This is what is causing all the new pain.
0:16:25 > 0:16:29It's a sort of obstruction. Not a complete blockage.
0:16:29 > 0:16:32- But there is a surgical option?- Yes. - And the pain will be better?
0:16:32 > 0:16:36We'd hope so. Very possible. But not without considerable risk.
0:16:36 > 0:16:40- I need to consult with a senior surgeon.- But if Mr Hanssen didn't want to do it...
0:16:40 > 0:16:43Sweetheart, Mr Malick has found something new. This is good!
0:16:43 > 0:16:47Take it easy, sweetheart. Let's not get carried away.
0:16:47 > 0:16:51You're going to ease his pain, and he's telling me to take it easy! It's brilliant news, you eejit!
0:16:51 > 0:16:54There are no guarantees. We're running out of time
0:16:54 > 0:16:57and the procedure is patient's choice.
0:16:57 > 0:17:00- Do you want me to take this further, Mr Turner? - Of course he does!
0:17:00 > 0:17:02Let me talk this over with the doctor. Please.
0:17:03 > 0:17:06Anyway, I want you to do me a favour, Patts.
0:17:09 > 0:17:12You shouldn't be talking to the patients or their relatives.
0:17:12 > 0:17:16- I was trying to help them. - Fine. But next time, talk to me first. All right?
0:17:16 > 0:17:18You're the boss.
0:17:18 > 0:17:20So is he going to have the procedure?
0:17:20 > 0:17:23We'll see.
0:17:24 > 0:17:27She's given you a false ID. There is no Lucy McKinnie.
0:17:27 > 0:17:29You're kidding me.
0:17:29 > 0:17:32Why would she do this?
0:17:32 > 0:17:33Let's see.
0:17:39 > 0:17:43I don't believe it. She can't be far. You check the back stairs.
0:17:45 > 0:17:46He has had nine bowel resections.
0:17:46 > 0:17:50- It's going to be friable in there. You understand that?- I do.
0:17:50 > 0:17:53- Can you give 10mg of Tramadol to Mr Lumsley, please?- Sure.
0:17:53 > 0:17:56It's probably why Mr Hanssen opted for caution.
0:17:56 > 0:17:59If he doesn't have it, it's likely he'll die, possibly this week.
0:18:00 > 0:18:04It's vital that the patient fully understands the situation.
0:18:04 > 0:18:08- I'm making sure he does. - And do you understand that if you take this option,
0:18:08 > 0:18:12you'll be directly reversing Mr Hanssen's decision?
0:18:12 > 0:18:16If Mr Turner breaks down in Theatre, he can't be any worse off than he currently is.
0:18:16 > 0:18:18Well, it is viable,
0:18:18 > 0:18:22and in Mr Hanssen's absence, you are in charge of his patients.
0:18:22 > 0:18:26The bottom line is, it's your call, Mr Malick.
0:18:26 > 0:18:29Sorry to interrupt, but Mr Turner needs to speak to you urgently.
0:18:36 > 0:18:38SHE GASPS
0:18:52 > 0:18:55Look, I lied.
0:18:55 > 0:18:58Mr Hanssen did offer me the surgical option,
0:18:58 > 0:19:00and he explained the risks, too.
0:19:00 > 0:19:02I turned it down.
0:19:02 > 0:19:06I'm a gardener, mate. I know when nature has run its course.
0:19:06 > 0:19:08No more operations.
0:19:08 > 0:19:10You don't want to go into Theatre?
0:19:10 > 0:19:16Uh-uh. And I want to sign a no resuscitation order, too.
0:19:16 > 0:19:19Next time I go, I go. No more encores.
0:19:19 > 0:19:21FOOTSTEPS APPROACH
0:19:22 > 0:19:26Right, there's Your Lordship's bag.
0:19:26 > 0:19:29- God knows what you've got in there! - Did you bring my train set?
0:19:29 > 0:19:34Oh, ha-ha(!) So, Mr Malick, are we all ready for this op?
0:19:36 > 0:19:38What?
0:19:40 > 0:19:43Lucy? Lucy!
0:19:45 > 0:19:48- Can you hear me? Lucy! - SHE WHEEZES
0:19:52 > 0:19:56Tell me you're the kind of girl that keeps a knitting needle in her bag.
0:19:59 > 0:20:02How old are you?
0:20:04 > 0:20:0515.
0:20:07 > 0:20:09Ohh, my back.
0:20:09 > 0:20:11- What happened? - We need to aspirate.
0:20:11 > 0:20:12OK. I'm on it!
0:20:12 > 0:20:16I want you to breathe nice and slow, OK? We're going to sort this.
0:20:18 > 0:20:20It'll be OK. It'll be OK.
0:20:20 > 0:20:21What kept you?
0:20:22 > 0:20:25Tension pneumo. Here.
0:20:28 > 0:20:29- OK.- Here.
0:20:30 > 0:20:32It's all right.
0:20:32 > 0:20:35SHE WHIMPERS
0:20:35 > 0:20:38SHE EXHALES
0:20:39 > 0:20:42OK. It's going to be OK.
0:20:42 > 0:20:48- How's the girl?- Lucy? She's on a different ward now.- I hope she's all right. I couldn't avoid her.
0:20:48 > 0:20:52- Were you on your way to a party? - You could put it like that.
0:20:52 > 0:20:56- A party's a party, right? - It's a very particular kind.
0:20:56 > 0:21:01- Very intimate.- Oh! What, you're into all that, then, yeah?
0:21:01 > 0:21:03Nothing sleazy.
0:21:03 > 0:21:05They're very select.
0:21:05 > 0:21:07- A free spirit, huh? - Something like that.
0:21:07 > 0:21:09What's so select about them, then?
0:21:09 > 0:21:12The Elite Circle - they don't just let anyone in.
0:21:12 > 0:21:14There's a vetting process.
0:21:14 > 0:21:16Just for the beautiful people, huh?
0:21:16 > 0:21:18Let's give her 5mg morphine.
0:21:18 > 0:21:22I know where I know you from.
0:21:22 > 0:21:27You were at the summer solstice party. Bushbaby Eyes.
0:21:27 > 0:21:31Um...no, I don't think so. That's not really my scene.
0:21:31 > 0:21:33HE CLEARS HIS THROAT
0:21:33 > 0:21:36Your leg is causing me some concern,
0:21:36 > 0:21:42so I'd like to run a Doppler ultrasound, angiograph, bloods, and group and save. Thank you, Eddi.
0:21:42 > 0:21:46I'll come back and check on you after we get the results. Excuse me.
0:21:48 > 0:21:51What's this about Annalese moving to the States?
0:21:51 > 0:21:54I'm not speaking about this in the middle of the ward.
0:21:58 > 0:21:59You're doing this, Steve.
0:21:59 > 0:22:01Mrs Turner, please.
0:22:01 > 0:22:04- I can't take any more. - See, that's how he treats me.
0:22:04 > 0:22:08I've been there through the booze, black moods, the drug abuse.
0:22:08 > 0:22:10Don't bring all that up.
0:22:10 > 0:22:13It's true! Who cuddled you through your acid flashbacks?
0:22:13 > 0:22:18Oh, and another thing! I've put up with his non-stop philandering for 40 years!
0:22:18 > 0:22:21- Ancient history.- He wrote songs for all his mistresses,
0:22:21 > 0:22:25but nothing for poor mug who stuck with him through bad times! That tells you what he feels about me.
0:22:25 > 0:22:28- This isn't getting us anywhere. - You HAVE to tell him to do this.
0:22:28 > 0:22:30It's patient's choice.
0:22:30 > 0:22:31Mr Malick...
0:22:31 > 0:22:34Chantelle, this isn't an appropriate moment.
0:22:34 > 0:22:37Can you take them to Mr Hamilton for now, please?
0:22:37 > 0:22:41Oh? OK. Right, let's head back this way.
0:22:41 > 0:22:46- Spike, come here! You won't believe this.- What happened?- Now he's saying he doesn't want the op!- Why not?
0:22:46 > 0:22:50- See? Spike agrees with me. - He's only 12 years old. - Listen, calm down.
0:22:50 > 0:22:54Look, Steve, I just want you to fight! FIGHT!
0:22:54 > 0:22:57I can't. I haven't got it in me.
0:22:57 > 0:23:02Well, I haven't got it in me to live without you, you stupid git!
0:23:02 > 0:23:07- That's not true. - Yes, it is. You owe me, Steve.
0:23:07 > 0:23:10- And you know it. - You're stronger than this.
0:23:10 > 0:23:13I can't lose you.
0:23:13 > 0:23:15I love you.
0:23:17 > 0:23:22- Patty, I love you, too, but... - Look, there'll be no pain, will there, Mr Malick?
0:23:26 > 0:23:28Do it for me.
0:23:28 > 0:23:32So...where do we stand?
0:23:32 > 0:23:34Do you want the procedure?
0:23:36 > 0:23:37Yeah.
0:23:42 > 0:23:45This isn't something that she decided to do lightly.
0:23:45 > 0:23:47This has got knee-jerk rebound written all over it.
0:23:47 > 0:23:51- You haven't listened to her properly.- I've heard everything I need to.
0:23:51 > 0:23:56She wants to take the most important people in my life thousands of miles away.
0:23:56 > 0:24:01- It isn't as simple as that. - Oh, great. And now I am taking advice from YOU on my ex-wife.
0:24:01 > 0:24:04Look, Michael, you need to talk to her.
0:24:04 > 0:24:07More importantly, you need to listen to her.
0:24:07 > 0:24:11- What are you doing?- I'm a fast learner. I won't make that mistake again. I promise.
0:24:11 > 0:24:14We're here to offer impartial help. You took sides.
0:24:14 > 0:24:17You need to learn to distance yourself.
0:24:17 > 0:24:19- Right. It's like what you said. - What?
0:24:19 > 0:24:23Surgery is integrity coupled with decision-making.
0:24:23 > 0:24:28And in this instance, you should have used your integrity and made the decision to consult WITH ME.
0:24:28 > 0:24:31Are you going to put this in my appraisal?
0:24:31 > 0:24:37- What did you actually say to Mrs Turner?- That you're the best surgeon in this hospital,
0:24:37 > 0:24:43- and that Steve would be OK because he's being looked after by you. - Spike, please. You can't say that.
0:24:43 > 0:24:47- That's not professional.- I just want to be a good surgeon, like you.
0:24:55 > 0:24:58It'll be a great experience for the kids.
0:24:58 > 0:25:01They'll be near your parents. It's only for six months.
0:25:01 > 0:25:05- Six months?- You only see them twice a month as it is.
0:25:05 > 0:25:07Bull.
0:25:07 > 0:25:09Can't you see what this would mean for me?
0:25:11 > 0:25:13What did Ric do to you?
0:25:13 > 0:25:17Rick and I got together when we were both at a low ebb.
0:25:17 > 0:25:19I'm not at that place any more.
0:25:19 > 0:25:21It ran its course and it's over.
0:25:22 > 0:25:25All right, so when are you thinking of leaving?
0:25:25 > 0:25:29- Next week.- No, that is not going to happen.
0:25:30 > 0:25:32I still have their passports, Annalese.
0:25:34 > 0:25:38I'm going to go home. I want you to think about it seriously.
0:25:39 > 0:25:42Call me.
0:25:42 > 0:25:45We've contacted your dad now.
0:25:45 > 0:25:48- When will he be here?- He's a couple of hours away, I think.
0:25:52 > 0:25:55You broke a rib on the right side a while back.
0:25:55 > 0:25:59- It's calloused. How did you manage that?- A riding accident.
0:25:59 > 0:26:04- It's not in your medical history. - My dad reset it. He's a... He's a GP.
0:26:06 > 0:26:08That explains that, then.
0:26:08 > 0:26:12Um...there's a little blood in your drain,
0:26:12 > 0:26:16we just need to keep an eye on it, but just rest for now, OK?
0:26:21 > 0:26:27- ..15mg, but hear me out. I think 10.- Mr Malick, I wanted to talk to you about Steve Turner.
0:26:27 > 0:26:29Why?
0:26:29 > 0:26:31Can you give us a moment, please?
0:26:31 > 0:26:35Go and join the other students, Spike. How is Mr Turner doing?
0:26:35 > 0:26:37He wants to die.
0:26:37 > 0:26:38Not now he's got options.
0:26:38 > 0:26:40I've been speaking to the F1 on the case.
0:26:40 > 0:26:44Surgery is unwarranted, it will cause undue distress
0:26:44 > 0:26:47and will not improve or extend his life, quote, the big man himself.
0:26:47 > 0:26:49Yeah, but that was before the infection.
0:26:49 > 0:26:54Is this about the patient or about the ambitious registrar who wants to make consultant?
0:26:54 > 0:26:57It's about the patient. Besides, he agreed to the procedure.
0:26:57 > 0:26:59Isn't it cruel to give him hope?
0:26:59 > 0:27:02It'd be even crueller if we deny him this now.
0:27:02 > 0:27:07Hanssen was very clear. Hey, it's on your head, remember?
0:27:09 > 0:27:12I want to be clear about this, too, Dan.
0:27:12 > 0:27:14I really do.
0:27:23 > 0:27:28- Is there something...?- Hmm. What? - Is it bad?
0:27:28 > 0:27:32You have an embolis, which is a clot in the main artery of the leg.
0:27:32 > 0:27:37- I'm going to have to take you into Theatre.- That doesn't sound good. - No. It's OK.
0:27:37 > 0:27:38It's something we can deal with,
0:27:38 > 0:27:42but I should warn you that there is a strong possibility
0:27:42 > 0:27:45- of extensive scarring. - Then I don't want the operation.
0:27:45 > 0:27:50You're not understanding the risks. You could easily lose the leg.
0:27:50 > 0:27:51But not necessarily?
0:27:51 > 0:27:54I can't have scars.
0:27:54 > 0:27:58- Well, a vein by-pass procedure is essential for this condition. - Can't you give me drugs?
0:27:58 > 0:28:00All right. Stop. What's going on here?
0:28:00 > 0:28:02It's just...
0:28:04 > 0:28:08They only let in fit, hot young people.
0:28:08 > 0:28:10That's what it's all about.
0:28:11 > 0:28:13I'm a few years off 40 as it is.
0:28:13 > 0:28:15This is about your party club?
0:28:15 > 0:28:20- The Elite Circle. - You're worried they'll kick you out? - Put it this way, I'd lose my allure.
0:28:20 > 0:28:24What a bunch of crap. You could lose your leg, or worse.
0:28:24 > 0:28:29So I suggest you try to get your priorities straight.
0:28:34 > 0:28:37We need to be absolutely certain you want this.
0:28:37 > 0:28:41I am. I owe it to Patty.
0:28:41 > 0:28:44If she needs me, I'm going to do the best I can for her.
0:28:44 > 0:28:47Are you certain you know all the risks?
0:28:47 > 0:28:51You know how weak your body is. This procedure will be hard on it.
0:28:51 > 0:28:54I'll take my chances.
0:29:01 > 0:29:02So...?
0:29:02 > 0:29:06There's been more than a physical change.
0:29:06 > 0:29:08I'm glad you can see that.
0:29:08 > 0:29:11Listen, would you let me come into Theatre with you?
0:29:11 > 0:29:14- To keep tabs on me?- In the unlikely event you might need help.
0:29:14 > 0:29:16This isn't bone-crunching, Dan.
0:29:16 > 0:29:19For my peace of mind, then. As your senior.
0:29:19 > 0:29:23- Snacking on the job? - Help me out with half of it?
0:29:23 > 0:29:28I wouldn't like to see it go to waste. Lucy Haines.
0:29:28 > 0:29:31The girl with the fake ID. Got the right name now, have you?
0:29:31 > 0:29:35Precocious. 15. Came in drunk and inappropriate, telling lies about her age.
0:29:35 > 0:29:37Sounds like a typical teenager.
0:29:37 > 0:29:39Bit odd, isn't it?
0:29:39 > 0:29:41You're not a father, are you?
0:29:41 > 0:29:42Not as far as I know.
0:29:42 > 0:29:46We went away for a weekend when Martha was 15.
0:29:46 > 0:29:48She had a party.
0:29:48 > 0:29:52- Carnage?- Hmm. Couldn't get rid of the smell of alcohol for weeks.
0:29:52 > 0:29:53And boys, too?
0:29:55 > 0:29:57Martha was one of the better-behaved ones.
0:29:57 > 0:30:01But you never really know what's going on in someone's head, do you?
0:30:01 > 0:30:04Greg, don't let your current mood cloud your judgment.
0:30:04 > 0:30:06Thank you for this.
0:30:08 > 0:30:10Clips and ties, please.
0:30:12 > 0:30:14You have an audience.
0:30:16 > 0:30:20- The state of the bowel? - Friable. No room for error.
0:30:20 > 0:30:23Which is why I'm tip-toeing around in here.
0:30:23 > 0:30:27- BEEPING - Damn it. We've got a bleed.
0:30:27 > 0:30:28Mesenteric artery. Clip.
0:30:32 > 0:30:343.0 Vicryl, please.
0:30:36 > 0:30:37Cut.
0:30:37 > 0:30:40BEEPING CONTINUES
0:30:40 > 0:30:45- BEEPING STOPS - Ohh. OK. Let's flush this through
0:30:45 > 0:30:48and let's get these adhesions divided.
0:30:48 > 0:30:51Mm-mm-mm. Nasty stuff.
0:30:51 > 0:30:55So, we have drained the abdominal abscess
0:30:55 > 0:30:58and we have washed out the infection. We did our best.
0:30:58 > 0:31:00Whoo-hoo-hoo! Whoo!
0:31:02 > 0:31:06- Your disciples appreciate it. - Hmm. I hope the patient does, too. - He's holding up.
0:31:06 > 0:31:08Scalpel.
0:31:18 > 0:31:21Never in doubt.
0:31:22 > 0:31:24Staple, please.
0:31:25 > 0:31:31Before...on the stairs, did you save my life?
0:31:31 > 0:31:33Only a little bit.
0:31:33 > 0:31:38- And I was rude to you? - I've had much worse. You're going to need a small operation.
0:31:39 > 0:31:41It's nothing to worry about.
0:31:43 > 0:31:46- Do I get to stay the night? - I thought you didn't want to.
0:31:46 > 0:31:48It's all right here.
0:31:48 > 0:31:51One minute you want out, and now you want to stay?
0:31:51 > 0:31:54It's OK, apart from...
0:31:54 > 0:31:56What?
0:31:56 > 0:31:58All these people walk past the bed and...
0:32:00 > 0:32:02..they all look at me.
0:32:02 > 0:32:05I might be able to find somewhere more private for you.
0:32:05 > 0:32:08For a while, at least.
0:32:08 > 0:32:12- Would you like that? - It's a date.
0:32:13 > 0:32:16It's not a date.
0:32:21 > 0:32:25- Yes, I know I was harsh. - She needs surgery.
0:32:25 > 0:32:27- I will make her see sense. - Let's hope so.
0:32:27 > 0:32:30Her vanity is clouding her judgment.
0:32:30 > 0:32:32Yes. How did it go with Annalese?
0:32:32 > 0:32:35If you hadn't broken up with her, she wouldn't be doing this.
0:32:35 > 0:32:39- She's been looking for something like this for a while. - I'm not letting go.
0:32:39 > 0:32:43I understand, but don't you think this could be a good thing for them right now?
0:32:43 > 0:32:47- I've still got their passports. - Don't go to war with her on this.
0:32:47 > 0:32:50- What other option is there? - Clearer judgment.
0:32:50 > 0:32:54If you two become enemies, this is going to make everything that much more difficult, believe me.
0:32:54 > 0:32:57- You can't win. - Thanks for the advice.
0:32:57 > 0:33:00- Eh, I stood up for you on this. - Now, why would you do that?
0:33:02 > 0:33:04I can see why she's doing this.
0:33:04 > 0:33:08But I can see that it's also unfair to you. I wouldn't like it, either.
0:33:10 > 0:33:14- All right, so what would you do? - It's going to happen.
0:33:14 > 0:33:15It's going to be hard.
0:33:15 > 0:33:18But you have to deal with this in the right way.
0:33:18 > 0:33:21This is not about your ego. This is about damage limitation.
0:33:21 > 0:33:27If you want to maintain a relationship with your kids, you may have to accept a few scars.
0:33:35 > 0:33:38So, the prognosis is good.
0:33:38 > 0:33:41You'll be in a lot less pain, and it's likely to add many months.
0:33:41 > 0:33:43Yeah, let's give it up for Mr Malick! Whoo!
0:33:43 > 0:33:46- CHEERING AND APPLAUSE - Whoo-hoo! Whoo-hoo!
0:33:46 > 0:33:48There's no need for that, but thank you.
0:33:48 > 0:33:53- I don't feel any more pain. - And you wouldn't believe me when I said it would work.
0:33:53 > 0:33:55- Have you ever been wrong?- No!
0:33:55 > 0:34:00- Steve, the thing you asked me for. - Oh, yes, darling. Could you play it, please?
0:34:02 > 0:34:05You know you said I've never written a song for you?
0:34:05 > 0:34:08- Well, this one's for you. - Would you like us to leave, Steve?
0:34:08 > 0:34:11- No.- But you don't write anything any more.
0:34:11 > 0:34:13What do you think I do in my shed?
0:34:13 > 0:34:15HE SNORTS
0:34:15 > 0:34:18I was going to leave it for you till after I'd gone,
0:34:18 > 0:34:21but it seems more appropriate now.
0:34:21 > 0:34:24ELECTRONIC MUSIC PLAYS
0:34:26 > 0:34:28Did you write this?
0:34:28 > 0:34:34It's instrumental. No words could ever say what I feel about you.
0:34:34 > 0:34:35Steve...
0:34:37 > 0:34:39Yes?
0:34:39 > 0:34:40This music...
0:34:42 > 0:34:44BOTH: ..is awful.
0:34:44 > 0:34:45Oh, no!
0:34:45 > 0:34:47That's why you became...
0:34:47 > 0:34:49BOTH: ..a gardener.
0:34:49 > 0:34:52It's the thought that counts.
0:34:52 > 0:34:53Yes.
0:34:53 > 0:34:55Sorry, everybody.
0:34:58 > 0:35:00You did this.
0:35:00 > 0:35:01Thank you.
0:35:03 > 0:35:06Mr Malick, I don't feel too good.
0:35:06 > 0:35:08- BEEPING - OK, clear it away, please.
0:35:08 > 0:35:09No, Steve.
0:35:09 > 0:35:11Steve.
0:35:11 > 0:35:15- I'll get a nurse to settle you. I'm not supposed to be here on my own.- Why not?
0:35:15 > 0:35:18If you just go round to the other side of the bed.
0:35:18 > 0:35:22It's just not the done thing. Anyway, you'll have a bit more privacy,
0:35:22 > 0:35:25so I'll leave you on your own for a bit.
0:35:30 > 0:35:32Can't you stay?
0:35:36 > 0:35:39I suppose I could take five.
0:35:39 > 0:35:41- It's much quieter in here. - Yeah.
0:35:43 > 0:35:46- You were lucky today. - I was rushing to get home.
0:35:46 > 0:35:49- To sleep off the drink? - Before dad...- Got back?- Yeah.
0:35:51 > 0:35:53What's that all about?
0:35:55 > 0:35:57Sorry, too many questions.
0:35:57 > 0:36:00I'm only answering questions, if you answer them too.
0:36:00 > 0:36:02That's the deal.
0:36:02 > 0:36:04Do you have a girlfriend?
0:36:04 > 0:36:09- Excuse me, Mr Douglas. - Just one moment.- Sure.
0:36:10 > 0:36:14- So, your mum isn't around? - Oh, no, she left when I was little.
0:36:14 > 0:36:19- Is there someone you like? - I'm off women.- Yeah, right(!)
0:36:19 > 0:36:22What were you like when you were young?
0:36:22 > 0:36:26I was never young. Always old.
0:36:29 > 0:36:31Did your dad hit you?
0:36:31 > 0:36:36The odd smack when I was very bad. Your turn.
0:36:36 > 0:36:37No.
0:36:37 > 0:36:39That broken rib?
0:36:39 > 0:36:42I told you, it was a riding accident.
0:36:42 > 0:36:47- But you ARE scared of him? - Were you never scared of any adult?
0:36:49 > 0:36:51No.
0:36:53 > 0:36:58Lucy, does your dad...hurt you?
0:37:00 > 0:37:04No. Of course not!
0:37:04 > 0:37:06I apologise.
0:37:08 > 0:37:12Greg, it's, um... It's just sometimes...
0:37:12 > 0:37:15- DOOR OPENS - One of the nurses said you'd be in here.- Oliver!
0:37:15 > 0:37:18- I thought she'd gone walkabout again.- What is it?
0:37:18 > 0:37:22Lucy's dad's here.
0:37:30 > 0:37:35OK, everyone just wait outside. Kathy, can you take the students, please?
0:37:35 > 0:37:39- Stand back, please, Spike. - I thought he was OK.- Stand back! - You too, Spike.
0:37:39 > 0:37:42Do something.
0:37:42 > 0:37:44MACHINE BEEPING
0:37:46 > 0:37:50Ohh... Members of the public aren't allowed...back...here.
0:37:51 > 0:37:53Mr Malick?
0:38:09 > 0:38:14Hey, I want to apologise. I got a little heated earlier.
0:38:16 > 0:38:19I know it sounds ridiculous,
0:38:19 > 0:38:22- but I still don't want the operation.- It's a no-brainer.
0:38:24 > 0:38:28- And you're more than just a pair of legs. - Are you flirting with me, Mr Spence?
0:38:28 > 0:38:32Doctors and patients - it's big no-no.
0:38:32 > 0:38:35I thought rules were made to be broken.
0:38:38 > 0:38:42These are your options - have a scar or lose the leg. Bottom line.
0:38:42 > 0:38:46Are you attracted to girls covered in scars?
0:38:46 > 0:38:49- That's irrelevant. - Answer the question.
0:38:49 > 0:38:53Ruby, surely there is more to you than just your social life?
0:38:53 > 0:38:55Sorry.
0:38:55 > 0:38:57Yeah.
0:38:57 > 0:39:00Well...
0:39:00 > 0:39:02c'est la vie.
0:39:02 > 0:39:08The longer you delay, the more likely it is that you will lose the leg, so let me operate.
0:39:08 > 0:39:13And I promise you, I will do everything I can to minimise the scarring.
0:39:16 > 0:39:20- Ah, Greg, this is Dr Haines, Lucy's dad.- How is she?
0:39:20 > 0:39:23There's some internal bleeding, Dr Haines.
0:39:23 > 0:39:28A tear caused by the broken rib. She's going to need a thoracascopic procedure to repair the lung.
0:39:28 > 0:39:31- But not too serious? - She's doing OK.
0:39:31 > 0:39:33- Can I see her? - Of course. This way.
0:39:35 > 0:39:38And she is OK, apart from the obvious?
0:39:38 > 0:39:42Just that I understand from a nurse that you took Lucy into a private room for a chat.
0:39:42 > 0:39:44- Yes, just for a moment. - You were alone with Lucy?
0:39:44 > 0:39:47Yes, the ward was too much for her. I just wanted to reassure her.
0:39:47 > 0:39:50Of course, no harm done. In here?
0:39:50 > 0:39:52Yes, through here.
0:40:00 > 0:40:04- Should you need any more pain relief, Mr Turner, let us know, please.- Hmm.
0:40:04 > 0:40:08So...I don't understand what happened.
0:40:08 > 0:40:11Will I explain, or will you, Mr Malick?
0:40:11 > 0:40:15I operated successfully on Steve's bowel.
0:40:15 > 0:40:18But it looks very much as though the bowel has leaked.
0:40:18 > 0:40:23- What does that mean? - It's possible that it is leaking into his bloodstream.
0:40:26 > 0:40:29Is that why you didn't want to operate in the first place?
0:40:29 > 0:40:31Let's just see what the tests say.
0:40:39 > 0:40:41One-legged swinging fraternity, here I come!
0:40:41 > 0:40:43You are incorrigible.
0:40:46 > 0:40:50Afterwards, when I wake up,
0:40:50 > 0:40:54will you let me know straight away how it went?
0:40:54 > 0:40:59- Sure. Thumbs up means everything went well.- And thumbs down?
0:40:59 > 0:41:01It's time to be brave.
0:41:03 > 0:41:06The infection meant he was about to die in great pain.
0:41:06 > 0:41:09Things changed, Mr Hanssen. Not least the patient's outlook. I consulted.
0:41:09 > 0:41:14But not with me. Mr Turner had decided against the procedure.
0:41:14 > 0:41:18Your decision to perform surgery on this man after nine resections was risky, at best.
0:41:18 > 0:41:23The shock to his body would have been great whatever the procedure, but this...
0:41:23 > 0:41:26Well, it must have been like being hit by a bus.
0:41:26 > 0:41:28It went smoothly, Mr Hanssen.
0:41:28 > 0:41:31Not conclusively. The patient was steered the wrong way by the surgeon.
0:41:31 > 0:41:35I explained the options to Mr Turner, and he saw that it was viable.
0:41:35 > 0:41:40- And there was a precedent. - You're referring to Patient 55 of the Chromer-Barclay study case?
0:41:40 > 0:41:45- Yes. I am.- But Patient 55 was five years younger, a vegetarian and a regular swimmer.
0:41:45 > 0:41:49Yeah, well, Mr and Mrs Turner wanted me to fight for them.
0:41:49 > 0:41:51Both of them?
0:41:51 > 0:41:54KNOCK ON DOOR Come in.
0:41:54 > 0:41:57Mr Turner's test results.
0:41:57 > 0:41:59Thank you, Nurse Lane.
0:42:01 > 0:42:03Well?
0:42:03 > 0:42:08I'm afraid the prognosis is not good. Septicaemia.
0:42:13 > 0:42:15It wasn't caused by the operation.
0:42:15 > 0:42:17His body has been traumatised unnecessarily.
0:42:17 > 0:42:21With respect, Mr Hanssen, you weren't there.
0:42:21 > 0:42:23Then you should have waited till I was.
0:42:27 > 0:42:29I'll break the news.
0:42:31 > 0:42:35Honestly, I leave you alone for one night, and you make me look like a bad father.
0:42:35 > 0:42:38SHE GIGGLES
0:42:38 > 0:42:40Thank you.
0:42:40 > 0:42:43I'm sorry, Daddy.
0:42:43 > 0:42:46Oh. To be honest, I'm just glad you're OK.
0:42:46 > 0:42:50Oh, Lucy, my mind's been racing.
0:42:50 > 0:42:52She's lucky it wasn't worse.
0:42:55 > 0:42:59- How was your trip? - I'll tell you about my trip
0:42:59 > 0:43:02if you tell me what you got up to at Natasha's.
0:43:02 > 0:43:05Well, we started watching this horror film.
0:43:05 > 0:43:09But we had to stop because it was way too creepy.
0:43:09 > 0:43:13- What did you do first? - Had a good round of golf.
0:43:13 > 0:43:16Well, the others did. Mine was too disastrous to call good.
0:43:26 > 0:43:30- Dr Haines, I'm sorry. - Patrick, please.
0:43:34 > 0:43:36Problem?
0:43:36 > 0:43:41This rib that Lucy broke before, when she fell down the stairs...
0:43:41 > 0:43:45No. It was a riding accident. I patched it up myself.
0:43:47 > 0:43:50Yes, well, you know, you really should have...
0:43:50 > 0:43:54Brought her in? I know. I'm terrible. But I know how busy you guys are,
0:43:54 > 0:43:58and, really, it wasn't a very complex procedure.
0:43:58 > 0:44:02No. Well, you know...
0:44:03 > 0:44:04Point taken.
0:44:04 > 0:44:06Greg?
0:44:06 > 0:44:10- SHE GASPS - What is it?
0:44:10 > 0:44:14Her drain's filling with blood. We need to get her into Theatre.
0:44:14 > 0:44:17ALARM
0:44:23 > 0:44:25Hey...
0:44:27 > 0:44:29You made me believe it would be OK.
0:44:29 > 0:44:32I made the risks clear.
0:44:32 > 0:44:35How long have I got now?
0:44:35 > 0:44:38If we get on top of the septicaemia,
0:44:38 > 0:44:40you're back to the original prognosis.
0:44:42 > 0:44:45And if I suddenly deteriorate?
0:44:47 > 0:44:49We'll do all we can.
0:44:51 > 0:44:53Can you leave us, Mr Malick?
0:44:55 > 0:44:57I want to see Mr Hanssen.
0:45:02 > 0:45:04Steve has always been Mr Hanssen's patient.
0:45:21 > 0:45:23How is he?
0:45:25 > 0:45:26He wants you.
0:45:26 > 0:45:29Take the reins of his case again?
0:45:31 > 0:45:34You should know that he signed a DNR.
0:45:34 > 0:45:36Very unsurprising.
0:45:58 > 0:46:00I'm still in shock you stood up for me.
0:46:00 > 0:46:04It's not the first time you've underestimated me.
0:46:04 > 0:46:06We're ready for the Doppler ultrasound.
0:46:06 > 0:46:10You can antagonise her or you could try to negotiate a compromise,
0:46:10 > 0:46:15but it's your children who are in the middle of this, and you need to be the bigger man.
0:46:15 > 0:46:18- For their sake. - Look, I don't want to fight her.
0:46:18 > 0:46:22I certainly don't want to drag my kids into the middle of this.
0:46:22 > 0:46:25All right, let's check the blood flow.
0:46:28 > 0:46:32- It's fine.- Excellent.- All right.
0:46:32 > 0:46:37Look, Michael, you need to try to respect her wishes.
0:46:37 > 0:46:41She deserves to be happy. So do the kids.
0:46:41 > 0:46:43So call her back.
0:46:43 > 0:46:47It shouldn't have happened, should it?
0:46:48 > 0:46:50BEEPING Oh, my God. Do something.
0:46:50 > 0:46:53We can relieve some of the pain.
0:46:53 > 0:46:55No, you...you have to save him.
0:46:55 > 0:46:58- The DNR.- You can overrule that.
0:46:58 > 0:47:01ALARM Please, just ignore it.
0:47:01 > 0:47:03He can't...
0:47:05 > 0:47:07SHE SOBS
0:47:07 > 0:47:10- No!- Can't you help him?
0:47:10 > 0:47:12SHE SOBS
0:47:12 > 0:47:14He doesn't want that.
0:47:14 > 0:47:16Steve...
0:47:16 > 0:47:18Steve!
0:47:18 > 0:47:20CONTINUOUS TONE
0:47:20 > 0:47:22Steve...
0:47:22 > 0:47:25Steve.
0:47:31 > 0:47:32Stapler.
0:47:38 > 0:47:42Good, that's the cyst repaired.
0:47:42 > 0:47:43BEEPING
0:47:43 > 0:47:47- We have a leak.- Extend the incision. Scalpel, please.
0:47:50 > 0:47:52BP's still dropping.
0:47:52 > 0:47:54Mr Douglas?
0:47:54 > 0:47:56Keep the oxygen up. I'll clip the artery.
0:47:56 > 0:47:58Suction.
0:48:01 > 0:48:03Clip.
0:48:09 > 0:48:112.0 Vicryl.
0:48:11 > 0:48:14You were making sure she avoided scarring?
0:48:14 > 0:48:15Wouldn't have been pretty.
0:48:15 > 0:48:17She'll appreciate it.
0:48:17 > 0:48:19Poor thing.
0:48:19 > 0:48:22Empathy in a surgeon is a good thing.
0:48:22 > 0:48:25- But..? - Silly judgment errors let you down.
0:48:25 > 0:48:30- Taking Lucy into a private room alone.- I was trying to help her. - I know.
0:48:30 > 0:48:35You're a fine surgeon, Greg. You should be going places.
0:48:35 > 0:48:37Something's holding you back.
0:48:40 > 0:48:42I acted like a douche.
0:48:44 > 0:48:45Sorry.
0:48:46 > 0:48:48It's understandable.
0:48:50 > 0:48:53You know, I get it. You need a new start.
0:48:54 > 0:48:56I'm not going to stand in your way.
0:48:58 > 0:48:59I'm going to miss you guys.
0:48:59 > 0:49:02We'll miss you, too.
0:49:06 > 0:49:11- You know, I need to talk to them every day.- Sure, that's what computers are for.
0:49:12 > 0:49:14Will you come and visit?
0:49:14 > 0:49:16Absolutely.
0:49:18 > 0:49:21Six months isn't that long.
0:49:25 > 0:49:27The moon looks beautiful.
0:49:29 > 0:49:31Yes, it does.
0:49:36 > 0:49:41Hey, well done, everyone. I'll see you all tomorrow.
0:49:48 > 0:49:51You OK, Spike?
0:49:51 > 0:49:55I don't think I'm cut out for this.
0:49:56 > 0:50:01- Look, just give it time. - No. I thought we were supposed to save lives,
0:50:01 > 0:50:04but we stand around and watch Steve die.
0:50:05 > 0:50:07True.
0:50:07 > 0:50:09That's what a DNR means.
0:50:12 > 0:50:14But you could have saved him.
0:50:14 > 0:50:15Not without his consent.
0:50:15 > 0:50:18You could have done something special.
0:50:18 > 0:50:22Look, Spike, it's not about showboating. It's not about us.
0:50:22 > 0:50:25It's about what the patient wants.
0:50:25 > 0:50:27That's...
0:50:28 > 0:50:30That's hard.
0:50:31 > 0:50:35Hey, not thinking about quitting, are you?
0:50:35 > 0:50:37No. My mum would go mad.
0:50:39 > 0:50:42It was bad enough when I told her I was gay.
0:50:42 > 0:50:45You're gay?
0:50:46 > 0:50:49No. No, it was a mistake.
0:50:49 > 0:50:51It turns out I'm not.
0:50:53 > 0:50:55I'm sorry, but...
0:51:06 > 0:51:08I need to whisper something.
0:51:15 > 0:51:17Thank you so much.
0:51:19 > 0:51:22- I've been a nightmare. - No. You've been all right.
0:51:22 > 0:51:27- No more tight boots for the foreseeable future. Something more comfortable.- I'll try.- Do.
0:51:27 > 0:51:32All right. All right. No need to get all headmasterly on me again.
0:51:32 > 0:51:36- You'll be ready for the next party. - Hmm. Don't know about that.
0:51:36 > 0:51:38Maybe it's time I settled down.
0:51:38 > 0:51:40Really?
0:51:40 > 0:51:43I don't care what you say. It was you at that party.
0:51:44 > 0:51:47You feel like some fun, give me a call.
0:51:48 > 0:51:50We'll break the rules.
0:51:50 > 0:51:53You can bring that Mr Griffin, too.
0:51:56 > 0:51:57Surgical menage a trois.
0:51:57 > 0:52:00- Ahem.- Nurse?
0:52:00 > 0:52:07- I've got some news. Lucy's had her surgery and she's fine.- That's fantastic.
0:52:07 > 0:52:10- Can I visit her?- Sure. - I'll arrange it.
0:52:11 > 0:52:13I'll see you later, Ruby.
0:52:16 > 0:52:19So, this summer solstice...
0:52:19 > 0:52:21Was it you?
0:52:21 > 0:52:23Bushbaby Eyes(!)
0:52:23 > 0:52:24Come on, what do you take me for?
0:52:24 > 0:52:27# This is the dawning of the age... #
0:52:27 > 0:52:31I've got the facilities. She'll be more comfortable in her own home, anyway.
0:52:31 > 0:52:33Better than taking up one of your beds.
0:52:33 > 0:52:35GPs are truly taking over the world.
0:52:35 > 0:52:38- She's all yours.- What's this?
0:52:38 > 0:52:43- We're all clear to have Lucy's interim recovery at home. - You OK with this, Lucy?- Mm-hm.
0:52:43 > 0:52:46- I can't wait to get back. - Good girl.
0:52:46 > 0:52:49Hey, Lucy, I've come to see you.
0:52:50 > 0:52:54- She's the one that knocked me over. - Is this appropriate?
0:52:54 > 0:52:56After the way the accident happened...
0:52:57 > 0:53:02- Are you all right?- Yeah, I'm fine. I don't remember much.
0:53:02 > 0:53:04Don't worry about it.
0:53:04 > 0:53:07- Let's get a move on, then. - Bye, Greg.
0:53:09 > 0:53:12Maybe it's better for Lucy to stay?
0:53:12 > 0:53:15She'll be fine. Goodbye.
0:53:20 > 0:53:22You're worried about her, too.
0:53:22 > 0:53:24What do you mean?
0:53:24 > 0:53:28- The accident was...weird. - How so?
0:53:28 > 0:53:30I lost control of the car because of my leg,
0:53:30 > 0:53:35and she was crossing the road, but I wasn't going fast.
0:53:35 > 0:53:38She had the time to get out of the way.
0:53:38 > 0:53:40But it was like she didn't want to.
0:53:40 > 0:53:43Like she didn't care.
0:53:43 > 0:53:45And the look on her face.
0:53:47 > 0:53:53A young girl like her shouldn't look like that. So...old.
0:53:55 > 0:53:57Excuse me.
0:53:57 > 0:54:01- Ollie, I need you to stop them for me, please.- Do it yourself.
0:54:01 > 0:54:04Look I'll explain it to you in a bit. Please just do it, go.
0:54:28 > 0:54:30Come on!
0:54:49 > 0:54:51Dr Haines!
0:55:06 > 0:55:10I'm sorry to keep messing you around with all this.
0:55:10 > 0:55:12Mr Malick!
0:55:13 > 0:55:17I just... I just wanted to say thank you for today.
0:55:17 > 0:55:20No. I should be thanking you.
0:55:22 > 0:55:25- I'll see you tomorrow. - I won't be here.
0:55:25 > 0:55:27- You're not quitting, are you? - No,
0:55:27 > 0:55:31but I think it's all a bit too much too soon for me on Keller.
0:55:31 > 0:55:33I've transferred my rotation.
0:55:33 > 0:55:37I've got something to ease me in a little bit more gently.
0:55:37 > 0:55:41- Where did they put you?- Maternity. - Ohh! Have you seen a birth?
0:55:41 > 0:55:43- Not yet.- OK!
0:55:43 > 0:55:46Well, you take care.
0:55:46 > 0:55:48Thank you.
0:55:50 > 0:55:54- You know I'll be back here at some point, though.- I'm sure you will.
0:55:54 > 0:55:56See you then!
0:56:01 > 0:56:04This will only take a few minutes, Lucy.
0:56:06 > 0:56:09I'll take over from here. Thanks.
0:56:20 > 0:56:24We didn't finish our conversation.
0:56:24 > 0:56:25Didn't we?
0:56:27 > 0:56:29Only I can hear you in here, Lucy.
0:56:32 > 0:56:36There's something I haven't told anyone before...
0:56:40 > 0:56:43..but I think you'll understand.
0:56:43 > 0:56:46Something...something bad?
0:56:46 > 0:56:48The worst.
0:56:53 > 0:56:56I was 14 years old...
0:56:57 > 0:57:00..when it started.
0:57:03 > 0:57:05When Mum left...
0:57:07 > 0:57:09..I was nine.
0:57:11 > 0:57:13The man made me think it was OK...
0:57:16 > 0:57:19..what he did to me...
0:57:22 > 0:57:25..but I knew it wasn't.
0:57:29 > 0:57:31I love my dad.
0:57:35 > 0:57:39Does he make you do anything that you don't like?
0:57:42 > 0:57:44Lucy?
0:57:50 > 0:57:52Don't tell anyone.
0:57:55 > 0:57:57OK.
0:57:57 > 0:57:59No, please. Please don't tell anyone.
0:57:59 > 0:58:02Don't tell anyone, please. Don't tell anyone.
0:58:02 > 0:58:03No.
0:58:03 > 0:58:07But it's not OK, is it?
0:58:09 > 0:58:10No.
0:58:12 > 0:58:14It's not.
0:58:14 > 0:58:18I won't tell anyone without your permission, I promise,
0:58:18 > 0:58:22but if you don't do something,
0:58:22 > 0:58:26you'll end up becoming someone you shouldn't be,
0:58:26 > 0:58:28and that mustn't happen.
0:58:30 > 0:58:36Do you understand, Lucy? This isn't your fault.
0:58:38 > 0:58:41Now, I can help you, if you want.
0:58:43 > 0:58:49But please...please promise you'll do something.
0:58:52 > 0:58:55I promise.
0:59:18 > 0:59:26Subtitles by Red Bee Media Ltd