Half a Person Holby City

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

-And Mr Antoine Malick.

-Brilliant! Wow. That's brilliant.

Thank you Mr, Hanssen. Thank you so much.

-Do what you have to.

-Will you be OK?

I'll be fine.

-That's for everything.

-What are you doing? The children are watching.

PHONE RINGS

Hello, Keller.

OK.

KNOCK ON DOOR

HE SIGHS

Mr Malick, emergency in Wyvern.

SIREN BLARES

Hey! Can I help?

Hey, I can help. I can help. I've read a book on this.

I know what to do. Look at me. Calm down.

Whoa. Easy brother man. You're all right? You're sure?

Good. All right. Please try to stay calm, sir.

Get the oxygen mask on him. I'm going to shine a light into your eyes, all right?

3mg Haloperidol.

Easy, deep breaths, that's it. Nice and easy.

That's it.

Easy. Let's get him upstairs.

Deep, slow breaths, all right?

Nice and easy.

You're going to be OK, all right?

There you go. I'll be up in a minute. Whoa, whoa! That's not appropriate. Erase it.

-No, this is just for me to see you do your thing.

-Even so. Erase it.

-OK.

Thank you.

Hey!

It's fantastic to see you work.

-Have you seen Mr Spence?

-No, I haven't.

ALL: Surprise!

You didn't think we'd let it pass without marking it, did you?

-There's really no need to make a fuss.

-Oh, yes, there is.

Right, ladies and gentleman, raise your glasses to Ric Griffin's continued good health.

-Congratulations.

-Good health.

Thanks.

But I believe Mr Spence needs to consult.

Well, I'll look after the doughnuts, then.

What's all that about?

I got the all clear.

Cancer's gone? Congrats.

-So, business as usual.

-Great.

-What's new?

-Take a look at that.

-Do you want me to go through the list with you?

-Mm-hm.

Yup. Oh, look who's here.

-How are we doing?

-Never better.

The ward seems empty without Ms Shah, doesn't it?

-She's left a hole.

-I hadn't noticed.

-No?

What cases are you working on this evening?

Just point me towards the broken hearts.

Work is good for a tender soul.

You're not still moping over her, are you?

My advice - get over it.

Nothing to get over. Thanks!

It's just as well, then.

HE CLEARS HIS THROAT

What? I thought I was quite tactful.

Dan, I can do this on my own, you know.

Someone's got to introduce you.

Ladies and gentleman. Thank you! And welcome to Holby.

I'm Dan Hamilton, consultant orthopaedic surgeon,

and it gives me great pleasure to introduce this man. Looks scary, doesn't he?

But I assure you he's a pussycat.

-Your clinical skills tutor, Mr Malick.

-Yes! Whoo-hoo-hoo!

Mr Spence, this is Ruby. She's been sent straight through from the ED.

OK. I'm Michael Spence. I'm a consultant. Hang on for a second, you guys.

Is it just the leg, or is there anything else?

Just the leg. It's really painful.

What happened?

I crashed my car. I hit a girl.

-Is she here?

-Not that I know of.

-We'll need to cut those boots off.

-Yep. And let's get the glass out, clean this up.

-Do I know you from somewhere?

No, I don't think so. Excuse me.

That's the girl. Is she OK?

Yep. She'll be fine. Don't worry about it. Sacha?

Can I call you back, please? Thank you.

OK. Lucy is 18. She's had chest trauma.

It was hilarious, actually!

And she's been drinking, obviously. She's had 5mg of morphine and 300gm of amiodarone.

Lucy, I'm going to listen to your chest, OK?

Your stethoscope is really warm. Has it been in your pocket?

OK, oxygen. We're going to need to do full bloods, a group and save,

and an ECG as soon as possible, please.

Right, cardiac arrhythmia. She needs to go upstairs.

-OK, I'll let Darwin know.

-Wait. Are you going to take me upstairs?

Right, we're going to do some tests down here

-and then we're going to need to take you up to another ward. OK?

-Whatever.

SHE GIGGLES

-Sorry to keep you. What's up?

-You're not answering your phone, Michael. I've been trying to get through.

-You can see how busy it is out here.

-I need to talk to you.

Give me a few minutes. I've just got to take care of a couple of things.

I'll wait for you. In the cafe? It's important, Michael.

All right.

Do you remember me? I'm Spike, Spike Leonard.

-You came to give a talk at the college.

-Yeah. You're the guy that asked a lot of questions.

You're probably the most successful person who ever went there.

-Apart from the bloke who became a porn star.

-I'll take that as a compliment.

-I wouldn't have even thought about doing medicine if it wasn't for you, so thank you.

-That's encouraging.

-Ohh! And you decked a consultant, didn't you?

-Whoa, easy, Spike.

Thanks.

Right, my Malick-ites,

surgery is integrity coupled with decision-making,

and here, all decisions have serious real-world outcomes.

This is not a classroom. This is Keller.

When do we get a chance to actually do something?

All you need to do right now is listen and learn.

Yeah?

Good man.

Right. Female, 18, chest trauma and cardiac arrhythmia.

Atrial fibrillation.

Mr Levy has administered 300mg of amioidarone.

-Looks like she's been drinking, as well.

-Yeah. Who wants it?

-Yeah, I'll...

-I'll take this one.

An 18-year-old boozed-up girl with an iffy ticker -

sounds like a suitably engrossing challenge.

-How are you doing?

-Ooh, brilliant!

Do I get to choose which one of you takes me?

Not you, ginge.

Um... Hmm... Not bad.

Ooh, hey, hottie!

Oh, I like your crutch.

What's up?

Oh, have you just killed someone?

Do you know what? She's all yours.

Fine, let's get her on the ward.

-Hi.

-Hello.

On a busy ward patient, turnover is fast, work is intense,

and the staff expect the unexpected.

In fact, let me introduce you to one of the staff members.

-Hi! I'm Chantelle! I'm a nurse on Keller.

-Thanks, Nurse Lane.

-Nurses are the heartbeat of the hospital.

-Yeah, sort of.

We're always very busy.

Yeah, but Nurse Lane has a lot of patients to attend to, don't you?

-Oh. If you need anything, just shout!

-Thank you.

Let me introduce you to Mr Nicholson.

Are you OK with students, Mr Nicholson?

Right, Mr Nicholson was being brought in this morning for elective surgery

when, en route, he had a sepsis episode which caused agitation and confusion.

But Mr Malick injected 3mg of Haloperidol right there on the pavement.

Sorted him in no time.

I took the action required after a primary survey suggested a sepsis was...

Mr Malick, can I borrow you?

OK, Malick-ites, follow me.

-What's happened?

-This is Mr Turner. A Crohn's patient. He's dehydrated.

-He's in pain. Can you help him?

-Do you mind students, Mr Turner?

-The more, the merrier. Agh!

There's a mass in the right iliac fossa area.

Give him 10mg of morphine and I'll need a CT scan also.

Right, let's see what's happening here.

OK. Mr Turner has had nine bowel resections.

A great deal of it has been taken away.

And... And he's very aware of his prognosis.

-He's not gone just yet!

-It's all right, Patty. Easy, sweetheart.

Of course not. But his gut is too short to absorb food and, as you can see...

He's being fed through a Hickman line into his neck.

Mr Hanssen has ruled out surgical options

and is treating the patient with an antibody drug.

-We weren't offered any surgical options.

-Shh!

Then Mr Hanssen must have decided it wasn't viable.

Right, you ready? Follow me.

Hey, Spike! Come on. Plenty to see.

I need to get out of here as soon as possible.

I can't promise you anything.

We need to run an X-ray and blood tests and monitor the state of your heart.

I'm fine. Just patch me up and get me out of here.

-What if you keel over on your way out of here?

-I don't do keeling. Come on.

Be nice to me.

What's your name?

-I told them before. I'm Lucy.

-Your full name.

-Call me whatever you want, doctor boy.

-Look, I've got lots of patients to see,

-I need to access your medical history.

-It doesn't matter. I'm leaving.

-No, you're not.

-Look, I'm serious. I'm not drunk any more.

OK, maybe a little bit, but, seriously, I need to go.

-You're not going anywhere, OK?

-Fine.

OK, you have 20 minutes, Malick-ites,

then we have the important issue of hygiene to discuss.

The cafeteria is downstairs. I'll catch you in a bit.

Mr Malick, when you examined Steve Turner you said

he's got a mass in the right iliac fossa area.

You were writing down everything I said?

-I don't want to forget anything.

-What is it you don't understand?

Wouldn't it be quite straightforward to take the mass out?

-Why hasn't Mr Hanssen offered a surgical option?

-Could be any number of reasons.

Plus, this is a real person, Spike.

It isn't some paragraph from a textbook. You get me?

Go on, go and get your coffee.

Um, Chantelle, when they've finished their break,

-I need you to babysit my students for a while.

-Me?!

-Mm-hm.

-Really?!

-Yeah. There's something I need to investigate.

-OK.

-She's a nightmare.

-Who?

-The mysterious Lucy.

She's a mardy 18-year-old. Grow a pair and deal with it.

Drunk and stubborn I can handle, but she's not giving me any information.

My grandad was a gardener. I love gardeners.

Steve was one for 30-odd years, but before that, he was a musician.

-Really?

-Wrote all his own songs. He was on the telly.

That's brilliant.

-Ohh.

-You OK?

It's only pain.

Can I look at your notes again?

-Steve was a pop star.

-I wasn't a pop star.

-Singer-songwriter.

-Nice.

-He gave it all up to become a gardener.

-Why did you do that?

-I was rubbish.

Don't listen to him. He was very good.

He just needed a change of pace.

-Well, when I get to be a consultant, I won't be giving it up for rose bushes.

-Ohh!

I think it's romantic!

Don't be too long here. Your break's nearly over and I'm taking your next lesson.

Your teacher seemed surprised that Mr Hanssen had decided not to operate. What do you think?

Feeling more sober now, eh?

I love your accent.

-It's beautiful.

-We need your details.

-Do you want us to help you out, or not?

-I'm going home. Now.

What's the hurry?

If I don't leave now, then I won't be back in time.

-For what?

-OK, so Dad was away today,

so I went to a friend's house. We got drinking, you know...

Well, it was when I was heading back that this happened.

-So you need to get back before he gets home?

-Yeah. He worries.

-Fair enough. So give us your details and I'll get you through as fast as I can.

-My bag?

-You promise you'll get me out soon?

-Come on.

I know you're going to help me.

Stop messing and I'll fast-track you. Deal?

-Where are the Malick-ites?

-Under Chantelle at the moment.

In at the deep end, eh? Do you ever miss student life?

No responsibilities, great social life...

The personal tutor who offers you top grades if you'll sleep with him.

You didn't, did you?

Please! Why didn't we offer Steve Turner surgery earlier?

-Mr Hanssen's patient?

-His bowel has got a lot worse. Multi-level adhesional obstructions.

Plus, I've been working on this.

Patient 55.

Of the Chromer-Barclay case study 2007.

-He had exactly the same condition.

-Long-term Crohn's is pretty common.

-But their case studies are almost identical, down to this latest blockage.

-And?

Chromer-Barclay took Patient 55 into Theatre.

-He came out with a better quality of life.

-And Steve Turner...

He got months. Whereas this procedure gave Patient 55 four more years.

It suggests surgery is a no-brainer.

-What does Hanssen think?

-Still got his feet up flying business class.

But this procedure works.

Sounds viable. But get senior eyes on it.

Excuse me, Mr Malick. Excuse me.

Can you tell me why your boss lied to us?

OK, what is it?

An opportunity has arisen. For me and the kids.

I've got a work placement offer.

It's too good not to take seriously.

Yeah, that's great.

It's in America.

What?!

Florida. Tampa.

-What about the kids?

-They'll come with me, of course.

No, no. Forget it.

-Let me explain.

-There's nothing to explain! I'm not going to live in a different country to my kids.

I really need you to listen to me.

MOBILE PHONE BEEPS

-I thought you were coming here to tell me you were marrying Ric, or something.

-What?!

-It's got nothing to do with him. Ric and I split up.

-What?

Look, I've got to take this, but you stay here. We're going to talk about this.

Mr Hanssen didn't offer surgery. Steve's getting worse.

The condition of the bowel has changed since Mr Hanssen looked at the scan.

There is a more immediate problem now.

There's an infection. This is what is causing all the new pain.

It's a sort of obstruction. Not a complete blockage.

-But there is a surgical option?

-Yes.

-And the pain will be better?

We'd hope so. Very possible. But not without considerable risk.

-I need to consult with a senior surgeon.

-But if Mr Hanssen didn't want to do it...

Sweetheart, Mr Malick has found something new. This is good!

Take it easy, sweetheart. Let's not get carried away.

You're going to ease his pain, and he's telling me to take it easy! It's brilliant news, you eejit!

There are no guarantees. We're running out of time

and the procedure is patient's choice.

-Do you want me to take this further, Mr Turner?

-Of course he does!

Let me talk this over with the doctor. Please.

Anyway, I want you to do me a favour, Patts.

You shouldn't be talking to the patients or their relatives.

-I was trying to help them.

-Fine. But next time, talk to me first. All right?

You're the boss.

So is he going to have the procedure?

We'll see.

She's given you a false ID. There is no Lucy McKinnie.

You're kidding me.

Why would she do this?

Let's see.

I don't believe it. She can't be far. You check the back stairs.

He has had nine bowel resections.

-It's going to be friable in there. You understand that?

-I do.

-Can you give 10mg of Tramadol to Mr Lumsley, please?

-Sure.

It's probably why Mr Hanssen opted for caution.

If he doesn't have it, it's likely he'll die, possibly this week.

It's vital that the patient fully understands the situation.

-I'm making sure he does.

-And do you understand that if you take this option,

you'll be directly reversing Mr Hanssen's decision?

If Mr Turner breaks down in Theatre, he can't be any worse off than he currently is.

Well, it is viable,

and in Mr Hanssen's absence, you are in charge of his patients.

The bottom line is, it's your call, Mr Malick.

Sorry to interrupt, but Mr Turner needs to speak to you urgently.

SHE GASPS

Look, I lied.

Mr Hanssen did offer me the surgical option,

and he explained the risks, too.

I turned it down.

I'm a gardener, mate. I know when nature has run its course.

No more operations.

You don't want to go into Theatre?

Uh-uh. And I want to sign a no resuscitation order, too.

Next time I go, I go. No more encores.

FOOTSTEPS APPROACH

Right, there's Your Lordship's bag.

-God knows what you've got in there!

-Did you bring my train set?

Oh, ha-ha(!) So, Mr Malick, are we all ready for this op?

What?

Lucy? Lucy!

-Can you hear me? Lucy!

-SHE WHEEZES

Tell me you're the kind of girl that keeps a knitting needle in her bag.

How old are you?

15.

Ohh, my back.

-What happened?

-We need to aspirate.

OK. I'm on it!

I want you to breathe nice and slow, OK? We're going to sort this.

It'll be OK. It'll be OK.

What kept you?

Tension pneumo. Here.

-OK.

-Here.

It's all right.

SHE WHIMPERS

SHE EXHALES

OK. It's going to be OK.

-How's the girl?

-Lucy? She's on a different ward now.

-I hope she's all right. I couldn't avoid her.

-Were you on your way to a party?

-You could put it like that.

-A party's a party, right?

-It's a very particular kind.

-Very intimate.

-Oh! What, you're into all that, then, yeah?

Nothing sleazy.

They're very select.

-A free spirit, huh?

-Something like that.

What's so select about them, then?

The Elite Circle - they don't just let anyone in.

There's a vetting process.

Just for the beautiful people, huh?

Let's give her 5mg morphine.

I know where I know you from.

You were at the summer solstice party. Bushbaby Eyes.

Um...no, I don't think so. That's not really my scene.

HE CLEARS HIS THROAT

Your leg is causing me some concern,

so I'd like to run a Doppler ultrasound, angiograph, bloods, and group and save. Thank you, Eddi.

I'll come back and check on you after we get the results. Excuse me.

What's this about Annalese moving to the States?

I'm not speaking about this in the middle of the ward.

You're doing this, Steve.

Mrs Turner, please.

-I can't take any more.

-See, that's how he treats me.

I've been there through the booze, black moods, the drug abuse.

Don't bring all that up.

It's true! Who cuddled you through your acid flashbacks?

Oh, and another thing! I've put up with his non-stop philandering for 40 years!

-Ancient history.

-He wrote songs for all his mistresses,

but nothing for poor mug who stuck with him through bad times! That tells you what he feels about me.

-This isn't getting us anywhere.

-You HAVE to tell him to do this.

It's patient's choice.

Mr Malick...

Chantelle, this isn't an appropriate moment.

Can you take them to Mr Hamilton for now, please?

Oh? OK. Right, let's head back this way.

-Spike, come here! You won't believe this.

-What happened?

-Now he's saying he doesn't want the op!

-Why not?

-See? Spike agrees with me.

-He's only 12 years old.

-Listen, calm down.

Look, Steve, I just want you to fight! FIGHT!

I can't. I haven't got it in me.

Well, I haven't got it in me to live without you, you stupid git!

-That's not true.

-Yes, it is. You owe me, Steve.

-And you know it.

-You're stronger than this.

I can't lose you.

I love you.

-Patty, I love you, too, but...

-Look, there'll be no pain, will there, Mr Malick?

Do it for me.

So...where do we stand?

Do you want the procedure?

Yeah.

This isn't something that she decided to do lightly.

This has got knee-jerk rebound written all over it.

-You haven't listened to her properly.

-I've heard everything I need to.

She wants to take the most important people in my life thousands of miles away.

-It isn't as simple as that.

-Oh, great. And now I am taking advice from YOU on my ex-wife.

Look, Michael, you need to talk to her.

More importantly, you need to listen to her.

-What are you doing?

-I'm a fast learner. I won't make that mistake again. I promise.

We're here to offer impartial help. You took sides.

You need to learn to distance yourself.

-Right. It's like what you said.

-What?

Surgery is integrity coupled with decision-making.

And in this instance, you should have used your integrity and made the decision to consult WITH ME.

Are you going to put this in my appraisal?

-What did you actually say to Mrs Turner?

-That you're the best surgeon in this hospital,

-and that Steve would be OK because he's being looked after by you.

-Spike, please. You can't say that.

-That's not professional.

-I just want to be a good surgeon, like you.

It'll be a great experience for the kids.

They'll be near your parents. It's only for six months.

-Six months?

-You only see them twice a month as it is.

Bull.

Can't you see what this would mean for me?

What did Ric do to you?

Rick and I got together when we were both at a low ebb.

I'm not at that place any more.

It ran its course and it's over.

All right, so when are you thinking of leaving?

-Next week.

-No, that is not going to happen.

I still have their passports, Annalese.

I'm going to go home. I want you to think about it seriously.

Call me.

We've contacted your dad now.

-When will he be here?

-He's a couple of hours away, I think.

You broke a rib on the right side a while back.

-It's calloused. How did you manage that?

-A riding accident.

-It's not in your medical history.

-My dad reset it. He's a... He's a GP.

That explains that, then.

Um...there's a little blood in your drain,

we just need to keep an eye on it, but just rest for now, OK?

-..15mg, but hear me out. I think 10.

-Mr Malick, I wanted to talk to you about Steve Turner.

Why?

Can you give us a moment, please?

Go and join the other students, Spike. How is Mr Turner doing?

He wants to die.

Not now he's got options.

I've been speaking to the F1 on the case.

Surgery is unwarranted, it will cause undue distress

and will not improve or extend his life, quote, the big man himself.

Yeah, but that was before the infection.

Is this about the patient or about the ambitious registrar who wants to make consultant?

It's about the patient. Besides, he agreed to the procedure.

Isn't it cruel to give him hope?

It'd be even crueller if we deny him this now.

Hanssen was very clear. Hey, it's on your head, remember?

I want to be clear about this, too, Dan.

I really do.

-Is there something...?

-Hmm. What?

-Is it bad?

You have an embolis, which is a clot in the main artery of the leg.

-I'm going to have to take you into Theatre.

-That doesn't sound good.

-No. It's OK.

It's something we can deal with,

but I should warn you that there is a strong possibility

-of extensive scarring.

-Then I don't want the operation.

You're not understanding the risks. You could easily lose the leg.

But not necessarily?

I can't have scars.

-Well, a vein by-pass procedure is essential for this condition.

-Can't you give me drugs?

All right. Stop. What's going on here?

It's just...

They only let in fit, hot young people.

That's what it's all about.

I'm a few years off 40 as it is.

This is about your party club?

-The Elite Circle.

-You're worried they'll kick you out?

-Put it this way, I'd lose my allure.

What a bunch of crap. You could lose your leg, or worse.

So I suggest you try to get your priorities straight.

We need to be absolutely certain you want this.

I am. I owe it to Patty.

If she needs me, I'm going to do the best I can for her.

Are you certain you know all the risks?

You know how weak your body is. This procedure will be hard on it.

I'll take my chances.

So...?

There's been more than a physical change.

I'm glad you can see that.

Listen, would you let me come into Theatre with you?

-To keep tabs on me?

-In the unlikely event you might need help.

This isn't bone-crunching, Dan.

For my peace of mind, then. As your senior.

-Snacking on the job?

-Help me out with half of it?

I wouldn't like to see it go to waste. Lucy Haines.

The girl with the fake ID. Got the right name now, have you?

Precocious. 15. Came in drunk and inappropriate, telling lies about her age.

Sounds like a typical teenager.

Bit odd, isn't it?

You're not a father, are you?

Not as far as I know.

We went away for a weekend when Martha was 15.

She had a party.

-Carnage?

-Hmm. Couldn't get rid of the smell of alcohol for weeks.

And boys, too?

Martha was one of the better-behaved ones.

But you never really know what's going on in someone's head, do you?

Greg, don't let your current mood cloud your judgment.

Thank you for this.

Clips and ties, please.

You have an audience.

-The state of the bowel?

-Friable. No room for error.

Which is why I'm tip-toeing around in here.

-BEEPING

-Damn it. We've got a bleed.

Mesenteric artery. Clip.

3.0 Vicryl, please.

Cut.

BEEPING CONTINUES

-BEEPING STOPS

-Ohh. OK. Let's flush this through

and let's get these adhesions divided.

Mm-mm-mm. Nasty stuff.

So, we have drained the abdominal abscess

and we have washed out the infection. We did our best.

Whoo-hoo-hoo! Whoo!

-Your disciples appreciate it.

-Hmm. I hope the patient does, too.

-He's holding up.

Scalpel.

Never in doubt.

Staple, please.

Before...on the stairs, did you save my life?

Only a little bit.

-And I was rude to you?

-I've had much worse. You're going to need a small operation.

It's nothing to worry about.

-Do I get to stay the night?

-I thought you didn't want to.

It's all right here.

One minute you want out, and now you want to stay?

It's OK, apart from...

What?

All these people walk past the bed and...

..they all look at me.

I might be able to find somewhere more private for you.

For a while, at least.

-Would you like that?

-It's a date.

It's not a date.

-Yes, I know I was harsh.

-She needs surgery.

-I will make her see sense.

-Let's hope so.

Her vanity is clouding her judgment.

Yes. How did it go with Annalese?

If you hadn't broken up with her, she wouldn't be doing this.

-She's been looking for something like this for a while.

-I'm not letting go.

I understand, but don't you think this could be a good thing for them right now?

-I've still got their passports.

-Don't go to war with her on this.

-What other option is there?

-Clearer judgment.

If you two become enemies, this is going to make everything that much more difficult, believe me.

-You can't win.

-Thanks for the advice.

-Eh, I stood up for you on this.

-Now, why would you do that?

I can see why she's doing this.

But I can see that it's also unfair to you. I wouldn't like it, either.

-All right, so what would you do?

-It's going to happen.

It's going to be hard.

But you have to deal with this in the right way.

This is not about your ego. This is about damage limitation.

If you want to maintain a relationship with your kids, you may have to accept a few scars.

So, the prognosis is good.

You'll be in a lot less pain, and it's likely to add many months.

Yeah, let's give it up for Mr Malick! Whoo!

-CHEERING AND APPLAUSE

-Whoo-hoo! Whoo-hoo!

There's no need for that, but thank you.

-I don't feel any more pain.

-And you wouldn't believe me when I said it would work.

-Have you ever been wrong?

-No!

-Steve, the thing you asked me for.

-Oh, yes, darling. Could you play it, please?

You know you said I've never written a song for you?

-Well, this one's for you.

-Would you like us to leave, Steve?

-No.

-But you don't write anything any more.

What do you think I do in my shed?

HE SNORTS

I was going to leave it for you till after I'd gone,

but it seems more appropriate now.

ELECTRONIC MUSIC PLAYS

Did you write this?

It's instrumental. No words could ever say what I feel about you.

Steve...

Yes?

This music...

BOTH: ..is awful.

Oh, no!

That's why you became...

BOTH: ..a gardener.

It's the thought that counts.

Yes.

Sorry, everybody.

You did this.

Thank you.

Mr Malick, I don't feel too good.

-BEEPING

-OK, clear it away, please.

No, Steve.

Steve.

-I'll get a nurse to settle you. I'm not supposed to be here on my own.

-Why not?

If you just go round to the other side of the bed.

It's just not the done thing. Anyway, you'll have a bit more privacy,

so I'll leave you on your own for a bit.

Can't you stay?

I suppose I could take five.

-It's much quieter in here.

-Yeah.

-You were lucky today.

-I was rushing to get home.

-To sleep off the drink?

-Before dad...

-Got back?

-Yeah.

What's that all about?

Sorry, too many questions.

I'm only answering questions, if you answer them too.

That's the deal.

Do you have a girlfriend?

-Excuse me, Mr Douglas.

-Just one moment.

-Sure.

-So, your mum isn't around?

-Oh, no, she left when I was little.

-Is there someone you like?

-I'm off women.

-Yeah, right(!)

What were you like when you were young?

I was never young. Always old.

Did your dad hit you?

The odd smack when I was very bad. Your turn.

No.

That broken rib?

I told you, it was a riding accident.

-But you ARE scared of him?

-Were you never scared of any adult?

No.

Lucy, does your dad...hurt you?

No. Of course not!

I apologise.

Greg, it's, um... It's just sometimes...

-DOOR OPENS

-One of the nurses said you'd be in here.

-Oliver!

-I thought she'd gone walkabout again.

-What is it?

Lucy's dad's here.

OK, everyone just wait outside. Kathy, can you take the students, please?

-Stand back, please, Spike.

-I thought he was OK.

-Stand back!

-You too, Spike.

Do something.

MACHINE BEEPING

Ohh... Members of the public aren't allowed...back...here.

Mr Malick?

Hey, I want to apologise. I got a little heated earlier.

I know it sounds ridiculous,

-but I still don't want the operation.

-It's a no-brainer.

-And you're more than just a pair of legs.

-Are you flirting with me, Mr Spence?

Doctors and patients - it's big no-no.

I thought rules were made to be broken.

These are your options - have a scar or lose the leg. Bottom line.

Are you attracted to girls covered in scars?

-That's irrelevant.

-Answer the question.

Ruby, surely there is more to you than just your social life?

Sorry.

Yeah.

Well...

c'est la vie.

The longer you delay, the more likely it is that you will lose the leg, so let me operate.

And I promise you, I will do everything I can to minimise the scarring.

-Ah, Greg, this is Dr Haines, Lucy's dad.

-How is she?

There's some internal bleeding, Dr Haines.

A tear caused by the broken rib. She's going to need a thoracascopic procedure to repair the lung.

-But not too serious?

-She's doing OK.

-Can I see her?

-Of course. This way.

And she is OK, apart from the obvious?

Just that I understand from a nurse that you took Lucy into a private room for a chat.

-Yes, just for a moment.

-You were alone with Lucy?

Yes, the ward was too much for her. I just wanted to reassure her.

Of course, no harm done. In here?

Yes, through here.

-Should you need any more pain relief, Mr Turner, let us know, please.

-Hmm.

So...I don't understand what happened.

Will I explain, or will you, Mr Malick?

I operated successfully on Steve's bowel.

But it looks very much as though the bowel has leaked.

-What does that mean?

-It's possible that it is leaking into his bloodstream.

Is that why you didn't want to operate in the first place?

Let's just see what the tests say.

One-legged swinging fraternity, here I come!

You are incorrigible.

Afterwards, when I wake up,

will you let me know straight away how it went?

-Sure. Thumbs up means everything went well.

-And thumbs down?

It's time to be brave.

The infection meant he was about to die in great pain.

Things changed, Mr Hanssen. Not least the patient's outlook. I consulted.

But not with me. Mr Turner had decided against the procedure.

Your decision to perform surgery on this man after nine resections was risky, at best.

The shock to his body would have been great whatever the procedure, but this...

Well, it must have been like being hit by a bus.

It went smoothly, Mr Hanssen.

Not conclusively. The patient was steered the wrong way by the surgeon.

I explained the options to Mr Turner, and he saw that it was viable.

-And there was a precedent.

-You're referring to Patient 55 of the Chromer-Barclay study case?

-Yes. I am.

-But Patient 55 was five years younger, a vegetarian and a regular swimmer.

Yeah, well, Mr and Mrs Turner wanted me to fight for them.

Both of them?

KNOCK ON DOOR Come in.

Mr Turner's test results.

Thank you, Nurse Lane.

Well?

I'm afraid the prognosis is not good. Septicaemia.

It wasn't caused by the operation.

His body has been traumatised unnecessarily.

With respect, Mr Hanssen, you weren't there.

Then you should have waited till I was.

I'll break the news.

Honestly, I leave you alone for one night, and you make me look like a bad father.

SHE GIGGLES

Thank you.

I'm sorry, Daddy.

Oh. To be honest, I'm just glad you're OK.

Oh, Lucy, my mind's been racing.

She's lucky it wasn't worse.

-How was your trip?

-I'll tell you about my trip

if you tell me what you got up to at Natasha's.

Well, we started watching this horror film.

But we had to stop because it was way too creepy.

-What did you do first?

-Had a good round of golf.

Well, the others did. Mine was too disastrous to call good.

-Dr Haines, I'm sorry.

-Patrick, please.

Problem?

This rib that Lucy broke before, when she fell down the stairs...

No. It was a riding accident. I patched it up myself.

Yes, well, you know, you really should have...

Brought her in? I know. I'm terrible. But I know how busy you guys are,

and, really, it wasn't a very complex procedure.

No. Well, you know...

Point taken.

Greg?

-SHE GASPS

-What is it?

Her drain's filling with blood. We need to get her into Theatre.

ALARM

Hey...

You made me believe it would be OK.

I made the risks clear.

How long have I got now?

If we get on top of the septicaemia,

you're back to the original prognosis.

And if I suddenly deteriorate?

We'll do all we can.

Can you leave us, Mr Malick?

I want to see Mr Hanssen.

Steve has always been Mr Hanssen's patient.

How is he?

He wants you.

Take the reins of his case again?

You should know that he signed a DNR.

Very unsurprising.

I'm still in shock you stood up for me.

It's not the first time you've underestimated me.

We're ready for the Doppler ultrasound.

You can antagonise her or you could try to negotiate a compromise,

but it's your children who are in the middle of this, and you need to be the bigger man.

-For their sake.

-Look, I don't want to fight her.

I certainly don't want to drag my kids into the middle of this.

All right, let's check the blood flow.

-It's fine.

-Excellent.

-All right.

Look, Michael, you need to try to respect her wishes.

She deserves to be happy. So do the kids.

So call her back.

It shouldn't have happened, should it?

BEEPING Oh, my God. Do something.

We can relieve some of the pain.

No, you...you have to save him.

-The DNR.

-You can overrule that.

ALARM Please, just ignore it.

He can't...

SHE SOBS

-No!

-Can't you help him?

SHE SOBS

He doesn't want that.

Steve...

Steve!

CONTINUOUS TONE

Steve...

Steve.

Stapler.

Good, that's the cyst repaired.

BEEPING

-We have a leak.

-Extend the incision. Scalpel, please.

BP's still dropping.

Mr Douglas?

Keep the oxygen up. I'll clip the artery.

Suction.

Clip.

2.0 Vicryl.

You were making sure she avoided scarring?

Wouldn't have been pretty.

She'll appreciate it.

Poor thing.

Empathy in a surgeon is a good thing.

-But..?

-Silly judgment errors let you down.

-Taking Lucy into a private room alone.

-I was trying to help her.

-I know.

You're a fine surgeon, Greg. You should be going places.

Something's holding you back.

I acted like a douche.

Sorry.

It's understandable.

You know, I get it. You need a new start.

I'm not going to stand in your way.

I'm going to miss you guys.

We'll miss you, too.

-You know, I need to talk to them every day.

-Sure, that's what computers are for.

Will you come and visit?

Absolutely.

Six months isn't that long.

The moon looks beautiful.

Yes, it does.

Hey, well done, everyone. I'll see you all tomorrow.

You OK, Spike?

I don't think I'm cut out for this.

-Look, just give it time.

-No. I thought we were supposed to save lives,

but we stand around and watch Steve die.

True.

That's what a DNR means.

But you could have saved him.

Not without his consent.

You could have done something special.

Look, Spike, it's not about showboating. It's not about us.

It's about what the patient wants.

That's...

That's hard.

Hey, not thinking about quitting, are you?

No. My mum would go mad.

It was bad enough when I told her I was gay.

You're gay?

No. No, it was a mistake.

It turns out I'm not.

I'm sorry, but...

I need to whisper something.

Thank you so much.

-I've been a nightmare.

-No. You've been all right.

-No more tight boots for the foreseeable future. Something more comfortable.

-I'll try.

-Do.

All right. All right. No need to get all headmasterly on me again.

-You'll be ready for the next party.

-Hmm. Don't know about that.

Maybe it's time I settled down.

Really?

I don't care what you say. It was you at that party.

You feel like some fun, give me a call.

We'll break the rules.

You can bring that Mr Griffin, too.

Surgical menage a trois.

-Ahem.

-Nurse?

-I've got some news. Lucy's had her surgery and she's fine.

-That's fantastic.

-Can I visit her?

-Sure.

-I'll arrange it.

I'll see you later, Ruby.

So, this summer solstice...

Was it you?

Bushbaby Eyes(!)

Come on, what do you take me for?

# This is the dawning of the age... #

I've got the facilities. She'll be more comfortable in her own home, anyway.

Better than taking up one of your beds.

GPs are truly taking over the world.

-She's all yours.

-What's this?

-We're all clear to have Lucy's interim recovery at home.

-You OK with this, Lucy?

-Mm-hm.

-I can't wait to get back.

-Good girl.

Hey, Lucy, I've come to see you.

-She's the one that knocked me over.

-Is this appropriate?

After the way the accident happened...

-Are you all right?

-Yeah, I'm fine. I don't remember much.

Don't worry about it.

-Let's get a move on, then.

-Bye, Greg.

Maybe it's better for Lucy to stay?

She'll be fine. Goodbye.

You're worried about her, too.

What do you mean?

-The accident was...weird.

-How so?

I lost control of the car because of my leg,

and she was crossing the road, but I wasn't going fast.

She had the time to get out of the way.

But it was like she didn't want to.

Like she didn't care.

And the look on her face.

A young girl like her shouldn't look like that. So...old.

Excuse me.

-Ollie, I need you to stop them for me, please.

-Do it yourself.

Look I'll explain it to you in a bit. Please just do it, go.

Come on!

Dr Haines!

I'm sorry to keep messing you around with all this.

Mr Malick!

I just... I just wanted to say thank you for today.

No. I should be thanking you.

-I'll see you tomorrow.

-I won't be here.

-You're not quitting, are you?

-No,

but I think it's all a bit too much too soon for me on Keller.

I've transferred my rotation.

I've got something to ease me in a little bit more gently.

-Where did they put you?

-Maternity.

-Ohh! Have you seen a birth?

-Not yet.

-OK!

Well, you take care.

Thank you.

-You know I'll be back here at some point, though.

-I'm sure you will.

See you then!

This will only take a few minutes, Lucy.

I'll take over from here. Thanks.

We didn't finish our conversation.

Didn't we?

Only I can hear you in here, Lucy.

There's something I haven't told anyone before...

..but I think you'll understand.

Something...something bad?

The worst.

I was 14 years old...

..when it started.

When Mum left...

..I was nine.

The man made me think it was OK...

..what he did to me...

..but I knew it wasn't.

I love my dad.

Does he make you do anything that you don't like?

Lucy?

Don't tell anyone.

OK.

No, please. Please don't tell anyone.

Don't tell anyone, please. Don't tell anyone.

No.

But it's not OK, is it?

No.

It's not.

I won't tell anyone without your permission, I promise,

but if you don't do something,

you'll end up becoming someone you shouldn't be,

and that mustn't happen.

Do you understand, Lucy? This isn't your fault.

Now, I can help you, if you want.

But please...please promise you'll do something.

I promise.

Subtitles by Red Bee Media Ltd