Wolf's Clothing Holby City


Wolf's Clothing

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I need you to show some initiative and if you mess this up,

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there WILL be consequences.

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You've achieved the highest score in the region.

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Out of the blue, without any warning, you just dynamite my department.

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How do we know he's not going to axe our jobs?

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We don't. None of us can afford to be complacent.

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I booked you on a short course run by our HR Department.

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I don't know what we're doing here.

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I told you it's just a twisted ankle.

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Came off the bike cos of my idiot driving

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so I'm not taking any more risks.

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-Next time we bunk, we take the bus - deal?

-Deal.

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There you are. You're late.

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No, I'm not. I mean I'm not here...

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Not officially anyway...

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Now. Ella Barnes.

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-Ah.

-Good news, actually.

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-Really?

-She's quit. So you, my friend, are off the hook.

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-That's terrible news.

-Define your terms.

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We can't just give up on her, she's barely even started.

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Everyone finds AAU overwhelming at first - it's natural.

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She's like a newborn on a battlefield.

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The only useful thing she's done to date is e-mail her resignation.

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She was showing great promise before someone knocked her confidence.

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Stop, you're making my mascara run(!)

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All right, just give me one more day with her, OK?

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That's all I ask.

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All right, fine. But you do realise she's the one you're going to need to persuade?

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-You're saying yes to me?

-I'm saying one day.

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And only because I'll be in theatre all day, so I don't have to watch this car crash.

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Just make sure she doesn't kill anyone.

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Ella, I'm sorry. I don't know anything about you leaving.

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As you can see, we are really busy - so I need all hands on deck.

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Talking of which - let me see yours. Your hands.

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-Eddi - what do you think?

-For Mr Carmichael?

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-They're perfect, I'd say.

-Me too.

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Mr Carmichael, bed 3, faecal blockage.

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-But...my e-mail - Mr Spence?

-When he gives you permission, then you are free to go.

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In the meantime, our patient is in pain and needs your help.

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-KNOCK AT DOOR

-Meeting?

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-Meeting?

-And Ms Naylor's getting a bit...Ms Naylor-ish.

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Good of you to join us.

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Could you hand over your file please, Mr Hope?

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This is the dawn of the paperless age.

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Hang on. They're my records, my patient, you destroyed them!

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Not destroyed, Elliot -

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already electronically transferred onto a hand-held computer

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which you should have found on your desk this morning.

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From this moment onwards, Darwin patient information will be inputted into a shared drive.

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When was this decided? Does Hanssen know?

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I should think so - he's standing behind you.

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Now, this is technology I expect most of you should be familiar with,

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but if there are any computer dinosaurs out there, please don't suffer in silence.

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I'm sure there are plenty among us who can help.

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Now, I will be out for the rest of the day on a business matter.

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But, when I return, I expect to see the minimum amount of paperwork possible.

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Anything remotely unnecessary will be shredded. Thank you very much.

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May I have a word, please?

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Have you spoken to Mr Spence? I can leave, right?

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Excuse me, what's happening with Mr Carmichael? He's in agony out here.

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Actually, sorry, Chrissie, can you give us a minute, please?

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-I'll deal with Mr Carmichael in five, OK?

-Never mind.

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Listen, Ella, believe me, I know that AAU can be tough

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and Mr Spence can be... difficult. But I also know

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that it can be one of the most rewarding wards you'll ever get to work on.

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I appreciate the pep talk, but I really have given this

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-a lot of thought and...

-But the simple fact is

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if you don't finish your rotation, you won't become a doctor.

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Wait. Ella.

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All right, I'll let you go.

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But only if you agree to treat one more patient.

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If it goes badly, then you get to leave.

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But if it goes well, you agree to stay here for the rest of the day.

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Just one more.

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-Take charge?

-I'm going to be in theatre most of today,

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so it's imperative that nothing interferes with my cases.

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Interferes how?

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I don't want any other colleague touching my list.

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If that happens - you report to me straight away, OK?

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Any colleague in particular I should be on red alert for?

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There's a patient I want you to take special care of - Iris Mortimer.

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Chronic Pancreatitis. Ouch.

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She's in serious pain - been on the waiting list for months,

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plus we've had to cancel the op once already.

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So I want you to make sure that everything goes according to plan -

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but...she can be a bit of a tricky customer.

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I think I can handle it.

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Head of Surgery, St Luke's in Manchester has been calling for you.

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Come on, Petrenko, don't play coy, it doesn't suit you.

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-What does he want?

-The word got out about my exam results.

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I knew it - a job offer! Look, you're not taking it, right?

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Yes, I can make the one o'clock meeting, thank you.

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So I wanted to inform you of our plans to make Darwin

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-a specialist Transplant Centre.

-When?

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As soon as possible. And I'd like you to head it up.

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Well, that's certainly an enigmatic reaction, Mr Hope.

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No, no, I'm not... it's just so unexpected.

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If do you accept, you will need to feel comfortable

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working at the cutting edge of medicine and technology.

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I understand.

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Initiatives like the paperless ward must be embraced.

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-Absolutely.

-Good.

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Because of late I've began to suspect you don't even know

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how to open a simple e-mail.

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The professorship?

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Yes, well, my surgical schedule has been extremely busy...

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Holby must be the best in the new market place -

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with you as professor and Head of the Transplant Centre

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we would attract the highest calibre of staff and students.

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-You want to use me as bait?

-In a manner of speaking.

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Well, think about it.

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And I would appreciate your answer by the end of the day.

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And if you do accept I would like to see a little more organisation

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and a little less chaos, shall we say? What's that?

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No idea.

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Nervous?

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Can I make an observation?

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You really need to just get in there and do it.

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The local anaesthetic won't be working yet,

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-you really shouldn't...

-Here. See, I've got a high pain threshold,

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so you can just start straight away if you like.

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Just do it, come on. I can take it...

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Attagirl.

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See, now we're cooking with gas.

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-How are we getting on?

-She's doing great, right?

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Dr Barnes, that is very neat work, well done.

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Right, when you're done here, Kitty needs transferring up to Darwin

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for a consult on her irregular heartbeat.

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Then come and find me and I'll give you your next case.

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OK?

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OK.

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Good.

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It's typical Naylor.

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They axe CTU and she's straight in there, showing off to Hanssen.

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What's wrong with paper anyway?

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Dr Valentine, where's your sense of adventure?

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Technology shouldn't be our enemy. We see it as a trusty steed

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on the perilous journey to the cutting edge of medicine...

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I'm sorry, who are you and what have you done with Mr Hope?

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Oliver, there comes a time in a man's life when he realises

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this could be it - he could be about to reach the summit.

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And when your time comes, I hope you're ready.

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-Hanssen's job offer's gone to your head, hasn't it?

-PHONE RINGS

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Hello?

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PHONE KEEPS RINGING Hello? This code should be it...

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Hello?

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Dr Petrenko.

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Hello.

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Hi.

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Isn't that Mr Griffin's patient?

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It is, and if Mr Griffin were here, I'd have sought his permission,

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but unfortunately, he seems to have gone off radar.

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And left me in charge of his list.

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Well, a visionary woman like yourself

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-will surely see the benefit of my operation.

-Try me.

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Imagine a world with no more adhesions,

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no more encapsulation, no foreign body reaction...

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A brand new mesh that's going to revolutionise abdominal surgery,

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and you, Dr Petrenko, can help secure the contract for Holby.

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What do you say?

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Fantastic. Tomorrow.

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Out of the question, I'm afraid. You see, a rare window has opened up

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in the diaries of our esteemed colleagues at St James'

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and at the manufacturers, so they can both observe...

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this afternoon.

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Sorry. Mr Griffin's orders.

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We may have a problem... Iris Mortimer appears to have gone AWOL.

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-How long has it been like this?

-I don't know.

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-Days? Weeks?

-I...don't...know.

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OK. So, what do you propose we do first?

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In wound care, first you assess the patient,

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then you assess the regional area,

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then the local wound area and the current wound dressing regime.

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Excellent, right, so - starting with the regional area...

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Don't remember.

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Picture the room you were in when you started the chapter.

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-Blood pressure!

-Yes. Very good.

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-It's a revision technique.

-So you're a teacher?

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Not any more.

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SCHOOLBOY: She's 16 - you can't force her!

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It's just my parents are kind of strict.

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If they found out we were together today...

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Fine. No phone calls. I'll make sure Mr Levy gets these X-ray...

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Hold on, now we know it's not broken,

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so how much longer are we meant to stay?

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You said she also hit her head, right?

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We just need to check her out.

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Hey, it's OK.

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Though it's not exactly the romantic day you promised!

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Is everything OK?

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Stop!

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Your operation is this afternoon. What are you doing out of bed?

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-(I was escaping.)

-Mm-hm.

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-That blondie...

-Nurse Lane?

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She kept gabbing on.

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I know her entire life history.

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Right, no harm done. Let's get you back in bed.

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Hmm! Whiskey.

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Now, this is very important. How much have you drunk?

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Couple of sips.

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All right, well your operation isn't until this afternoon,

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so you'll be fine. But no more going AWOL - understood?

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IRIS CHUCKLES

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Just like Viv - my sister.

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She's always wagging her finger at me -

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"You're a liability, Iris, what would Mum say if she found out?"

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-Do you think she'll be all right?

-Who?

-Viv.

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I think it's you we need to worry about.

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What?

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I'm a surgeon. That doesn't apply to me.

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So you're saying if you turned off your phone right now,

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-you'd be endangering lives?

-Yes.

-Hm!

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-Researching hairdressers?

-Give that back.

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Death by bad hair - you learn something new every day...

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I don't have to explain myself to you.

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Now return my property immediately.

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Are you going to make a start, or is boring us to death

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-part of the course?

-Wow. I can see why you're here.

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Welcome everybody. Shall we begin?

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I'm Jonny - neurosurgeon, St James's.

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And may I say - excellent hair.

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So Kitty passed out last night at a music concert after alcohol

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and recreational drug consumption...

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You make it sound wholesome, like playing hockey.

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She sustained a gash on her left arm she's been treated on AAU.

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-She's had a head CT and then was transferred here.

-Scan results?

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Are on the shared drive. Which is on your computer.

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You just need to double click...

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Scan result clear.

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Have you had blackouts like this before?

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-Nope.

-All right, I'd just like to listen to your heart. Thank you.

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Told them downstairs it was hot, I was moshing,

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-just got carried away...

-I need you to be quiet for a second.

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OK. Definitely a murmur. Right, we'll need some more tests.

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OK, here we go.

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Yes OK, this is it.

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Right. Here we are. Mr Hughes, 73, weight problem.

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-That's not you, is it?

-Does he even know what he's doing?

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Right. That's strange.

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She hasn't been prescribed... What painkillers is she on for her arm?

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Doesn't look like she's been prescribed any.

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The girl on the other ward was kind of nervy, probably forgot.

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Right, well, we'll prescribe you some now. Thank you.

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-Do you need me to show you how...?

-No, no, no, thank you.

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Mr Hope, 1, Mr Computer, 0.

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Just admit it, you like the girl. Nah, she's all right, man...

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-when she wears her hair down...

-Should he be on his mobile?

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I'm not sure.

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Strictly speaking.

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Vic says hello.

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-Did I say something wrong?

-Why do you have to be

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-so different with that lot?

-Sorry.

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Can I get you a drink - tea?

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-If it's from a machine...

-Only one sugar.

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I know. Had me wrapped round this little finger of yours

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since we were like, five years old, remember?

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PHONE RINGS

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Yeah. Wassup?

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HE CACKLES

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Don't listen to him...

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-I know you, right?

-Excuse me.

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Hang on a minute - got a Teletubby in front of me.

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OK. Do me a favour, if you want to use your mobile phone,

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-can you go outside, please?

-Yes, he's giving me hassle.

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Arlow...

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I'll bell you back.

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Listen, Arlow, it's very simple - if you want to stay with her,

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that's absolutely fine, but you'll have to keep it down.

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OK? Otherwise you'll have to answer to my...girl.

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HE WHISTLES

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All right, all right. Yeah, respect.

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-You really think that's a good idea?

-Absolutely. He'll behave. Trust me.

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It's Kitty.

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Throat swollen. Her B/P's 60/45.

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She's tachycardic. Crash Trolley, please.

0:19:200:19:22

Kitty - Kitty? Can you hear me?

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-She's arrested.

-Could she be sensitive

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-to anything we've given her?

-There was nothing in the notes.

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-Slow down Mr Hope, you'll make it...

-Frozen!

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And she's in VF. Salmons, please. Thank you.

0:19:320:19:34

Have you seen these bruises?

0:19:340:19:37

Charging at 200. Stand clear!

0:19:370:19:39

Shocking again. Stand clear!

0:19:410:19:43

OK, we've got a rhythm. Airways are still swollen.

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She's obviously sensitive to the painkiller we gave her.

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Let's get the antidote -

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0.4mgs of Naloxone please - quickly. Let's move to HDU, please.

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I don't understand. I checked her notes on the system.

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-There was nothing.

-Didn't she say she was allergic to anything?

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I didn't ask.

0:20:040:20:06

SACHA: Should be able to leave soon.

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We just need to run a few more tests.

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It shouldn't be too long now. I promise.

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What's that fella's name?

0:20:130:20:15

Patient confidentiality. I can't say, I'm afraid.

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Yeah, but - he's a teacher though, right?

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See. It is him.

0:20:260:20:28

-You OK?

-Yeah.

0:20:360:20:38

I don't like the atmosphere in here today. When can we discharge Hayah?

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I just need to get her bloods done,

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make sure we're not missing anything trauma-related.

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-I'll get Ella on to it.

-Hm. I'm not sure about her.

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-Why is everyone so determined to give up on her?!

-Sacha.

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I just want you to have a little...faith.

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-I do.

-Well, good.

-In you.

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-Doctor...

-Iris, what are you doing out of bed?

0:21:020:21:07

It's Viv - I didn't tell her about the operation.

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I need to speak to her.

0:21:110:21:12

Please, doctor - look, here's her number.

0:21:120:21:15

Got a live one there.

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Hello. Yes, I'm trying to reach Vivienne Mortimer, please.

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Are you sure?

0:21:350:21:37

Right. Sorry to bother.

0:21:380:21:41

Crap.

0:21:410:21:43

Problem?

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No, just something I need to discuss with Mr Griffin.

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I'm available if you don't want to interrupt his theatre?

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No, thanks.

0:21:530:21:55

So I checked Kitty's details,

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and it turns out the mistake was made on AAU - some med student

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updated the details incorrectly, so it's not your fault at all.

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Except we both know that's an excuse.

0:22:200:22:23

You always ask, always double check.

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I was distracted by this flipping thing.

0:22:280:22:31

If you'd been using pen and paper, none of this would have happened.

0:22:310:22:34

We're not, though, are we?

0:22:340:22:35

Why am I such a buffoon with technology?

0:22:350:22:38

I can't even remember the code to my own phone.

0:22:380:22:40

-Do you want me to take a look at it?

-No, no point. Cutting-edge?

0:22:400:22:45

-Who am I kidding?

-What?!

0:22:450:22:49

Nothing.

0:22:490:22:51

How is Kitty?

0:22:510:22:53

She's stabilised, although her temperature's still raised

0:22:530:22:56

and her heart rate's still irregular.

0:22:560:22:58

Has she been complaining of discomfort?

0:22:580:23:00

You did see the bruising on her torso?

0:23:000:23:04

I'll be out in a minute.

0:23:060:23:08

Why am I here? Purely for the benefit of my staff -

0:23:090:23:13

good communication is absolutely vital

0:23:130:23:16

for the smooth running of a hospital ward,

0:23:160:23:18

so I'm the guinea pig.

0:23:180:23:19

I'll report back, and hopefully, they'll learn something from today.

0:23:190:23:23

Me? Truth is, I'm a compulsive liar.

0:23:240:23:28

Can't help it - just sort of comes naturally.

0:23:280:23:31

I know it sounds far-fetched, but it's true.

0:23:310:23:34

Rubbish. It's not a bodily function, is it? Lying?

0:23:360:23:40

Not like the valves of your heart opening and shutting.

0:23:400:23:43

Not like if you don't lie you're going to have a heart attack?

0:23:430:23:47

You're giving in to your desires. Lack of self-discipline -

0:23:470:23:50

-that's your problem.

-You see, that's the answer of a cardiac surgeon.

0:23:500:23:53

-Excuse me?

-Whereas a neurologist knows,

0:23:530:23:55

there are areas of the brain science will never understand.

0:23:550:24:00

Guess we're less uptight that way.

0:24:000:24:02

Bet you're used to rowdy teenagers.

0:24:050:24:07

-Teenagers are fearless, that's why they're dangerous.

-Dangerous?

0:24:070:24:12

Thought I could reach out to them.

0:24:140:24:16

I thought I could make a difference. But they think they're invincible.

0:24:160:24:21

When our school installed a metal detector,

0:24:210:24:24

the secretary's office turned into a scene out of Full Metal Jacket.

0:24:240:24:29

I said they should arm the teachers - any lip, and bang -

0:24:290:24:33

bullet straight to the head. That'd shut 'em up!

0:24:330:24:35

That study trick I taught you - I've got others,

0:24:400:24:42

I keep them written down in my wallet.

0:24:420:24:45

-Is there a problem?

-My wallet - someone's stolen it!

0:24:530:24:57

-Surely not...

-You think I'm lying? You think I'm paranoid.

0:24:570:25:01

-Is everything OK?

-Well, Mr Jenner can't find his wallet.

0:25:010:25:04

Right. OK, you keep looking here, I'll alert our staff.

0:25:050:25:09

Is that it? Is that all you're going to do?

0:25:090:25:13

You have a thief in your midst and you don't even care?

0:25:130:25:16

What's that? You're saying it was me?

0:25:160:25:20

-I'm sure Mr Jenner wasn't implying anything...

-Is that it?

0:25:200:25:22

I don't want any trouble,

0:25:220:25:24

but I think it would be best if you called the police.

0:25:240:25:27

Police?! You know who I am, don't you, sir?

0:25:270:25:30

Reckon just cos I'm off an estate, I'm a thief.

0:25:330:25:36

That's nice that is, sure open-mindedness...

0:25:390:25:42

Will you please just sit back down? Arlow.

0:25:420:25:45

Arlow, please - for me.

0:25:450:25:48

Typical of this society. Allow animals to roam the streets,

0:26:000:26:05

while the victims are made to feel like criminals.

0:26:050:26:09

-It was your fault?

-Not exactly. No. Her temperature is slightly raised.

0:26:100:26:16

-And you're not in any pain?

-Maybe a bit.

0:26:170:26:21

Earlier, we noticed some bruises on your body.

0:26:230:26:25

-Do you remember how you got them?

-I was pretty out of it -

0:26:250:26:28

I don't remember much, to be honest with you.

0:26:280:26:31

OK. Kitty, is there anything you want to tell us?

0:26:320:26:35

Anything you think might be relevant to your health -

0:26:350:26:37

family medical history, childhood illness?

0:26:370:26:40

-Nope.

-All the same, could we have the name of your family doctor,

0:26:400:26:43

please, just to be thorough?

0:26:430:26:45

-Can't remember.

-Name of the practice, then?

-What's your problem?

0:26:450:26:48

-Why can't you just drop it?

-OK, thank you.

0:26:500:26:53

What are you thinking?

0:26:590:27:00

She's got a temperature of 40 degrees and she's not sweating.

0:27:000:27:03

She's just had 200 joules passed through her chest

0:27:030:27:06

and she's sitting up arguing - something's not right.

0:27:060:27:10

It couldn't be... Could it?

0:27:120:27:14

What? Mr Hope?!

0:27:150:27:17

I need to speak to you.

0:27:170:27:20

You'll have to be quick, Dr Petrenko, I need to be

0:27:200:27:23

-back in theatre in five minutes.

-Yeah, it's about Iris Mortimer -

0:27:230:27:27

I think she's displaying signs of dementia.

0:27:270:27:30

I told you that she can be a bit of a handful...

0:27:300:27:32

She thought her sister was alive, but it turns out she died last year.

0:27:320:27:36

I appreciate your concern, but I don't want you to take

0:27:360:27:39

-any further action for now.

-But the woman is clearly ill...

0:27:390:27:43

I wasn't aware that neurology was your specialism.

0:27:430:27:46

Please, just come and talk to her -

0:27:460:27:48

you'll see for yourself, the woman needs our help.

0:27:480:27:51

You may have done well in your exams, Dr Petrenko,

0:27:510:27:54

but the fact remains, you are an F2,

0:27:540:27:56

you are NOT a registrar, and you're certainly not a consultant.

0:27:560:27:59

What are you doing?

0:28:120:28:13

-PHONE RINGS

-Still no luck with the code, then?

0:28:130:28:16

It'll stop in a minute.

0:28:160:28:18

There is this thing called the internet, you know.

0:28:190:28:22

For me - this is quicker.

0:28:220:28:24

-Ah! Here we go.

-What?

0:28:290:28:31

-Get me a needle.

-A needle?

0:28:350:28:37

Yes, you know, long, sharp pointy thing.

0:28:380:28:41

You shouldn't need the internet to find one.

0:28:410:28:43

That's it, you're doing very well. OK, just stay focused.

0:28:480:28:53

-Ow!

-Watch yourself! That's my girl you're butchering!

0:28:570:29:00

Ella. Why don't I take over here?

0:29:000:29:03

And can you go and see if Mr Jenner needs anything?

0:29:050:29:08

SHE SIGHS

0:29:150:29:17

-Please sit down, Mr Jenner.

-Talk about throwing you to the wolves.

0:29:230:29:27

It's that kid. Lads like him, they sense weakness and they pounce.

0:29:290:29:35

-It's different for Mr Levy.

-What do you mean?

0:29:350:29:37

He can make people like him off the bat - seen teachers the same.

0:29:370:29:42

But someone like you, you're more vulnerable.

0:29:420:29:46

They see you as a target, and they keep pushing and pushing,

0:29:460:29:51

they don't stop till they've got RIGHT under your skin.

0:29:510:29:54

Are you OK?

0:29:570:29:59

-What do you think?!

-I'm sorry.

0:29:590:30:02

You don't get it do you?! I'm not cut out for this.

0:30:020:30:05

I tried to tell you this morning, but you wouldn't listen.

0:30:050:30:08

You just keep pushing and pushing, but I'm not cut out for this.

0:30:080:30:11

Why are you smiling?

0:30:110:30:14

Come with me.

0:30:160:30:18

-I feel stupid.

-So what?

0:30:240:30:27

-I can't.

-Yes, you can. Yes, you can.

0:30:290:30:32

AAAAAAAARRRRRRRGH!

0:30:340:30:41

See? OK. Now your turn.

0:30:410:30:45

Come on.

0:30:450:30:47

-RAAAAAAAARRRRRRRGH!

-That's it. Louder. Louder.

0:30:510:30:56

BOTH: RAAAAAAAARRRRRRRGH!

0:30:560:31:01

THEY LAUGH

0:31:010:31:03

-Doesn't it feel great?

-THEY LAUGH

0:31:050:31:10

That's what you need on AAU - fire in your belly.

0:31:100:31:15

And I saw it in you on the ward, just then.

0:31:150:31:18

But I'm not going to waste my time, trying to persuade you,

0:31:180:31:22

so if you still want to leave,

0:31:220:31:26

I'm not going to stop you.

0:31:260:31:28

Mr Levy...

0:31:360:31:38

Sorry Kitty, I just need to...

0:31:390:31:41

So what part of Scotland are you from?

0:31:450:31:48

-Glasgow.

-Is that nice?

0:31:480:31:52

If you like rain and alcoholics, sure.

0:31:520:31:55

-Incredible.

-What?

0:31:570:32:00

Dr Valentine, would you mind stepping outside for a while,

0:32:000:32:04

I need to discuss something with Kitty in private.

0:32:040:32:07

Kitty, I suspect you have a little known condition called CIPA,

0:32:110:32:16

which stops you from feeling any pain.

0:32:160:32:18

Am I right?

0:32:200:32:21

Why on earth didn't you tell me?

0:32:250:32:28

-That's why - that look.

-What look?

0:32:280:32:31

Like you've just seen a flippin' UFO. I'm every doctor's wet dream.

0:32:310:32:37

Not that I'm not flattered, but sometimes a girl

0:32:370:32:39

-needs a break you know?

-This isn't a joke.

-Tell me about it...

0:32:390:32:43

Not being able to feel pain is very serious

0:32:430:32:45

- your CIPA could be masking severe symptoms.

0:32:450:32:48

We need to get you an echo and look at your heart immediately.

0:32:480:32:51

So what sort of style were you thinking?

0:33:050:33:07

Maybe something a bit softer round the face?

0:33:070:33:10

You think you're really amusing, don't you?

0:33:100:33:12

Come on, gotta make some entertainment.

0:33:120:33:14

-Not like this lot's going to bring anything to the table.

-Yup.

0:33:140:33:17

-The sooner I'm out of here, the better.

-My thinking exactly.

0:33:170:33:20

Which is why I've come up with an escape plan. You want in?

0:33:200:33:24

We bleep each other - emergency brain aneurysm for me. For you...

0:33:240:33:28

Yeah, I get the picture. And then?

0:33:280:33:31

I can see you're worried about her - what do you suspect?

0:33:380:33:43

I'm just an F2, I do not have suspicions.

0:33:430:33:46

Oh, stop being so cagey Dr Petrenko, just say it.

0:33:460:33:48

You're concerned she may have Alzheimer's?

0:33:480:33:52

She was very confused earlier.

0:33:520:33:54

-What would you do? Theoretically speaking.

-Me?!

0:33:560:34:00

Oh, well, I would call up my very dear friend and neurology expert,

0:34:000:34:05

Mr Sharma, see if he couldn't swing by and offer

0:34:050:34:08

-a theoretical opinion.

-It's best for Iris?

0:34:080:34:12

Why sit on a diagnosis like this?

0:34:120:34:15

OK, I'm asking you.

0:34:150:34:17

Dr Petrenko, if Mr Sharma can come down today,

0:34:210:34:24

-how about scrubbing in on my mesh op?

-We're not bumping Iris.

0:34:240:34:27

You know, I'd have thought this is exactly the sort of opportunity

0:34:270:34:30

the star student like you should be grasping with both hands.

0:34:300:34:33

-I'd have to run it by Mr Griffin.

-Such an obedient little F2.

0:34:350:34:39

OK. I'm in.

0:34:430:34:47

I'm going to take out the backseats

0:34:510:34:53

and I'm going to put like a sound system in the boot.

0:34:530:34:56

Look, seriously listen, my brother gets them cheap gear

0:34:560:34:59

so obviously I'll...

0:34:590:35:00

Listen, you remember that teacher at our school?

0:35:090:35:11

The one that went psycho?

0:35:110:35:14

Yeah, from last year, from last year. He's at the hospital, ain't he?

0:35:140:35:18

What?

0:35:190:35:21

Yeah, he's still a psycho. Ain't you, Sir?

0:35:210:35:24

Nah, he's ignoring me, innit? Look, I've got to go, yeah.

0:35:280:35:33

Y'alright in there, Sir?

0:35:450:35:48

You know, I was only messing around, yeah?

0:35:480:35:53

So what next?

0:36:060:36:08

Well, Mr Jenner's cyst needs debriding - think you're up to it?

0:36:080:36:12

Mate, that old geezer's in the toilets.

0:36:130:36:16

-sounds like he's having an asthma attack or something.

-OK, thanks.

0:36:160:36:19

-What's wrong?

-You have an enlarged heart.

0:36:250:36:28

-Possible valve regurgitation.

-What does that mean?

0:36:280:36:31

Your heart is in danger of failure, we need to operate as soon as we can.

0:36:340:36:37

-I'll prep theatre.

-Thank you.

0:36:370:36:39

I don't want to die.

0:36:420:36:43

Kitty, I'm an experienced heart surgeon.

0:36:470:36:49

I don't want you to die either.

0:36:490:36:52

I thought if no-one knew I could finally have a bit of fun,

0:36:520:36:57

make friends, do normal stuff instead of being held hostage

0:36:570:37:01

by this stupid condition.

0:37:010:37:03

But I'm never going to be free of this, am I?

0:37:060:37:11

If you fix my heart, what's the point?

0:37:110:37:14

Kitty. What did you want to be when you were younger?

0:37:160:37:21

Did you have any dreams, goals,

0:37:230:37:26

apart from not wanting people to know that you had CIPA?

0:37:260:37:29

Then aren't you letting your condition defining who you are?

0:37:320:37:36

No one's ever asked me what I wanted to be before.

0:37:400:37:44

Listen, Kitty, I'm going to do my very best to repair

0:37:440:37:48

the valve in your heart.

0:37:480:37:51

They're prepping Theatre 1. We need to get into anaesthetics.

0:37:510:37:54

Ready?

0:37:580:38:00

Mr Jenner?

0:38:090:38:11

Mr Jenner, are you in there?

0:38:140:38:17

Mr Jenner, are you in there?

0:38:200:38:23

HE CLEARS HIS THROAT

0:38:230:38:25

-Everything OK?

-Of course.

0:38:290:38:33

Why don't we get you cleaned up, OK?

0:38:400:38:44

This is the very talented Doctor Petrenko who will be

0:38:490:38:51

-assisting me in theatre.

-Hello.

-Shall we?

0:38:510:38:56

Excited doesn't begin to describe how I feel about your product.

0:38:560:39:00

Dr Petrenko, would you mind explaining to me

0:39:000:39:04

why Iris Mortimer has been removed from the surgical list?

0:39:040:39:07

She hasn't, her operation is happening later.

0:39:070:39:10

-Later this week, later this month? Enlighten me.

-Later today.

0:39:100:39:14

You're supposed to be smart Petrenko.

0:39:160:39:18

-You and Ms Campbell got her a Neuro Consult, yes?

-Yeah.

0:39:180:39:22

Which of course will mean that her consent form is no longer valid

0:39:220:39:25

when she's diagnosed with suspected dementia.

0:39:250:39:28

Of course I knew she was deteriorating,

0:39:290:39:31

but I was trying to ease the pain before the bureaucracy

0:39:310:39:34

associated with Alzheimer's kicked in. She has no-one, Frieda, she lives

0:39:340:39:37

-on her own. I was trying to help her.

-Why didn't you tell me?!

0:39:370:39:40

Because I was bending the rules and I didn't want you implicated.

0:39:400:39:43

-I thought I could trust you.

-What was I supposed to do?!

0:39:430:39:47

It's not much fun to be caught between the two Consultants.

0:39:470:39:51

Well, it's not as you've come out of this badly. Play the game,

0:39:510:39:55

assist Ms Campbell in theatre

0:39:550:39:57

and I'm sure you'll have a glittering career ahead of you.

0:39:570:40:01

I did not become a doctor to play games.

0:40:010:40:04

MONITOR ALARMS BEEP

0:40:160:40:19

-Whoa, what the hell's going on?!

-All right, she's OK.

0:40:190:40:21

She just needs more anaesthetic.

0:40:210:40:24

Kitty's a heavy drug user.

0:40:240:40:27

She processes anaesthetic much quicker than you or I would.

0:40:270:40:30

The condition of the heart is much worse than I thought.

0:40:300:40:33

-What can we do?

-Very little.

0:40:330:40:36

A temporary fix. Let's take a biopsy.

0:40:360:40:41

Most likely she's going to need a heart transplant.

0:40:440:40:46

-She's only 20.

-2-0 Prolene, please.

0:40:480:40:50

She could have been suffering with this for years.

0:40:500:40:53

That's why CIPA patients often die young.

0:40:530:40:56

Scissors please.

0:40:560:40:57

Pain may not feel like it, but sometimes it's a blessing.

0:40:570:41:01

It keeps us alive.

0:41:010:41:03

Would you like to close the pericardium?

0:41:030:41:05

You can have her referred here. Then you can treat her.

0:41:080:41:12

There are changes on Darwin I've got to get used to.

0:41:120:41:17

Fact is, Doctor Valentine, I might not be the best person for the job.

0:41:180:41:23

So, how d'you think your people skills are now?

0:41:320:41:36

-Don't talk.

-I thought there was no chance in hell

0:41:360:41:39

-you were going to do this.

-I didn't.

0:41:390:41:43

This never happened.

0:41:430:41:45

Not staying for a cuddle?!

0:41:480:41:50

Arlow, can I have a word, please?

0:41:580:42:00

-I think it's best if you leave.

-What?! It's because of the smoking?!

0:42:050:42:11

I give you a chance, you carry on intimidating the patients.

0:42:110:42:14

I've got no choice.

0:42:140:42:16

I didn't touch him - I wouldn't.

0:42:160:42:20

You promise me - no more trouble?

0:42:200:42:22

Yes. 100%.

0:42:220:42:26

There's soft and there's a pushover.

0:42:290:42:32

-Mr Spence?

-No. You didn't see me. I'm not here.

-I need to ask you something.

0:42:420:42:46

Petrenko, how many times I've got to tell you.

0:42:460:42:49

You're cute, but I just don't think it's going to work out between us.

0:42:490:42:52

-Shut up Michael, I need advice.

-All right. Shoot.

0:42:520:42:54

When you know that something is really not right,

0:42:540:42:59

but speaking up is going to cause a serious own goal?

0:42:590:43:03

You're posing me a moral dilemma? Wrong guy.

0:43:030:43:07

Look, Petrenko, you're a pain in the ass but you're annoyingly talented.

0:43:080:43:12

So use your instinct, do what you think is right and stop bugging me.

0:43:120:43:17

Experienced heart surgeon, you said, can't fix the CIPA

0:43:200:43:24

but you can fix my heart.

0:43:240:43:26

I'm sorry - I didn't anticipate the extent of the problem.

0:43:260:43:31

But as I say,

0:43:310:43:32

heart transplants carry a very positive prognosis these days.

0:43:320:43:35

Oh, save me the consolation chat. How about a bit of honesty?

0:43:350:43:38

I'm just another patient to you, a number on a file.

0:43:380:43:40

If you mess up, you don't really care, do you?

0:43:400:43:43

You want honesty, Kitty? OK.

0:43:430:43:46

There is no way that I would put you on any Transplant List

0:43:460:43:50

if you continue to abuse your body in the way that you have been.

0:43:500:43:54

Patients don't get put on transplant lists just

0:43:540:43:57

because they don't want to die. They get put on because they want to live.

0:43:570:44:01

-Well maybe I don't want to live!

-Is that it? Is that your decision?

0:44:010:44:04

Don't look at me like that. You almost killed me earlier

0:44:050:44:08

because you couldn't work a computer

0:44:080:44:10

a five-year-old could use. Why are you even here?!

0:44:100:44:13

MOBILE RINGS

0:44:150:44:18

Mr Hope? I'd like you to know something.

0:44:260:44:30

Sorry, Frieda, now it's not a good time...

0:44:300:44:32

No, it's not about work. Well, it is, but it's just...

0:44:320:44:37

-you've always been good to me.

-Let's talk later.

0:44:370:44:40

Sure. Later.

0:44:420:44:44

You're too late, I'm afraid. I'm just closing up.

0:44:560:45:00

No, I think I'm just in time.

0:45:000:45:02

Hello.

0:45:070:45:08

I just came to introduce myself. I'm not Doctor Petrenko the star F2.

0:45:080:45:15

I'm Frieda from Ukraine.

0:45:150:45:18

And over there, doctors have to make choices all the time.

0:45:190:45:23

-What are you doing?

-Save this patient or save that patient?

0:45:230:45:28

May as well toss a coin. It makes them tough.

0:45:280:45:31

But here is different. You have NHS, which means everybody

0:45:310:45:37

gets the treatment at the point of need, right?

0:45:370:45:41

Well today, an 84-year-old woman was denied

0:45:430:45:47

a treatment for a very painful condition, because of you.

0:45:470:45:51

Business beats the needs of a patient.

0:45:550:45:58

Is that the National Health Service you're so proud of?

0:45:590:46:02

Have you QUITE finished?

0:46:020:46:05

I have now.

0:46:060:46:08

Doesn't a nurse do that?

0:46:390:46:41

HE LAUGHS Rumbled.

0:46:410:46:43

I'll let one of the younger ones update your records with these.

0:46:460:46:51

I'm sorry. I didn't mean what I said earlier.

0:46:510:46:56

No, you were right. Who was I trying to kid?

0:46:560:46:59

I am a liability when it comes to computers.

0:46:590:47:03

You'll get the hang of it.

0:47:030:47:06

Truth is, we all need to know our limits.

0:47:060:47:10

I hope you'll understand why I've made the decision to

0:47:130:47:18

transfer your case to a different Consultant.

0:47:180:47:20

I'll make sure you're in the best hands, OK?

0:47:200:47:23

You're giving up on me? You're going to walk away?

0:47:230:47:27

So that's it?

0:47:300:47:31

I thought this was your reason for getting out of bed in the morning?!

0:47:310:47:35

MONITOR ALARM BEEPS What have you done?

0:47:350:47:37

What d'you care - you're walking away, remember?

0:47:370:47:39

See, you can't fight the instinct to be a doctor any more than

0:47:450:47:47

I can change my CIPA.

0:47:470:47:49

-Goodbye, Iris.

-They've told me I'm not going to have

0:47:560:48:00

-the operation after all.

-I know, I'm sorry.

0:48:000:48:03

Can I be allowed my whiskey now?

0:48:080:48:10

But not too much, promise?

0:48:180:48:22

So like Viv. She'll be cross when I tell her.

0:48:230:48:29

Petrenko, please tell me the rumour isn't true?

0:48:340:48:37

So you get one job offer from St Luke's and that's it.

0:48:370:48:40

You're out of here? It's not going to be any different there.

0:48:400:48:43

-I know that. That's why I've turned them down.

-Then what are you...

0:48:430:48:47

I don't know. Maybe this...

0:48:470:48:49

It's a charity.

0:48:490:48:51

They need doctors to treat people on the outside of the system.

0:48:510:48:54

Asylum seekers, runaways.

0:48:540:48:57

All I do know is that I couldn't stand by today

0:48:570:48:59

and keep my mouth shut. I became a doctor to look after people

0:48:590:49:03

-and not budgets.

-Doctor Petrenko.

0:49:030:49:06

I'd just like to say that I'm sorry to see you go.

0:49:090:49:13

It's been a privilege working with you.

0:49:130:49:16

-Likewise.

-Not many people have the courage to stand up for what

0:49:160:49:19

they believe in as you did today.

0:49:190:49:22

I'd wish you luck, but I don't think you're going to need it.

0:49:220:49:25

Goodbye and er...

0:49:300:49:34

..thank you.

0:49:360:49:38

-She walked?

-Yup.

0:49:490:49:53

It's a pity. I liked her.

0:49:530:49:55

-Was it worth it?

-What?

0:49:570:50:00

-Did you get the contract?

-Oh, that. Of course.

0:50:010:50:05

Well, let's hope it's enough.

0:50:070:50:09

To placate Hanssen.

0:50:090:50:11

I don't think he's not going to be too happy

0:50:110:50:14

when he finds out you've just lost us our star F2.

0:50:140:50:18

That's it. You're doing great.

0:50:240:50:26

-Are you OK, Mr Jenner?

-Fine. Thank you.

0:50:280:50:31

-You gotta come! It's Hayah!

-Don't do anything till I'm back.

0:50:320:50:37

-What is it?!

-Arlow, can you step back please, let us work.

0:50:420:50:44

-Get the trolley.

-What was that?!

-Starting heart compressions.

0:50:440:50:47

He just shook his head!

0:50:470:50:49

Salmons, please.

0:50:520:50:53

HEART MONITOR BEEPS

0:50:550:50:57

-Shocking at 200. Stand clear.

-Stand back, please.

0:50:580:51:03

Why isn't she waking up? Do something!

0:51:040:51:06

-Just help her!

-Charge again.

-Just get on with it, can't you?

0:51:060:51:10

-Mr Levy said...

-It's a mess already.

0:51:100:51:12

Can't make it much worse. Just do it, please.

0:51:120:51:15

Shocking at 200. Stand clear. She's back. her sats are very weak.

0:51:150:51:19

Abdomen distending, BP dropping, page the on-call team.

0:51:190:51:22

Suspected internal bleed. Prep her for theatre.

0:51:220:51:24

Can I get some help here, please?

0:51:240:51:26

Stupid idiot! Watch what you're doing!

0:51:260:51:29

-Sorry. I'll stop.

-SHE GASPS

0:51:290:51:31

Good. Finally got what's coming.

0:51:350:51:38

Stop. Please. Sacha!

0:51:440:51:47

Guys, break it up.

0:51:470:51:49

-SACHA GROANS

-Are you OK?!

0:51:500:51:53

Yeah, I'm fine, just winded...

0:51:530:51:56

Quick, Ella. I need you your help to staunch the bleed.

0:52:190:52:23

SHE PANTS AND GASPS

0:52:250:52:28

Ella, please.

0:52:280:52:31

-Sorry.

-Help...

-I can't do this..

0:52:310:52:37

Sacha? Sacha?

0:52:460:52:51

Sacha, look at me. You've got to stay with me.

0:53:060:53:09

-Keep looking at me. All right?

-What're you doing?

0:53:090:53:13

I'm just going to call Michael.

0:53:130:53:15

-He's in theatre, he won't be able to come.

-He's got to come.

0:53:150:53:19

This better be good, Sacha. I'm up to my elbows.

0:53:190:53:22

Michael, it's Chrissie. Sacha's been stabbed.

0:53:220:53:24

-He's bleeding out really badly.

-What? How much blood is he losing?

0:53:240:53:28

A lot - he's lost consciousness. You've got to get here now.

0:53:280:53:30

Chrissie, I cannot leave this patient right now.

0:53:300:53:33

Can you tell if the blade has hit an artery?

0:53:330:53:35

Yes... there's so much blood.

0:53:350:53:37

You need to stop that bleed or he's going to die.

0:53:370:53:39

We've got two minutes tops.

0:53:390:53:41

Put me on a speaker phone - I'm going to talk you through it.

0:53:410:53:44

Can't we page someone else, a doctor?!

0:53:440:53:47

-Has anyone called the police yet?

-No.

-Do it! Now!

0:53:470:53:51

Chrissie, if we waste any more time, Sacha is going to bleed out.

0:53:510:53:53

OK. I've got arterial clips and the Vicryl.

0:53:530:53:57

You're going to need to open up the wound and get control of the bleed.

0:53:570:54:01

With the scalpel I need to extend the cut on each

0:54:010:54:04

-side by one centimetre.

-OK, I've made the cut. Now what?

0:54:040:54:06

Can you see the source of the bleed?

0:54:060:54:08

-OK. I see it.

-Now you need to take the arterial clips

0:54:090:54:12

and clip both sides of the artery.

0:54:120:54:14

There's so much blood!

0:54:160:54:19

Michael, it's Eddi. I can help. Do you want me to take over?

0:54:190:54:22

Yes, Chrissie. Let her.

0:54:220:54:25

It's OK, I've got it. I'm attaching the clips now, Michael.

0:54:250:54:29

All right, good. Now leave the wound open and get him into theatre.

0:54:290:54:32

I'll be there in ten minutes.

0:54:320:54:35

It's customary to knock.

0:54:430:54:45

When you offered me the position of Head of Transplants here, I thought

0:54:480:54:53

this is it - this is what I've been working towards my entire life.

0:54:530:54:57

-I'd be a fool to turn it down.

-Very good.

0:54:570:55:00

But...

0:55:010:55:03

..there's no point in pretending to be something I'm not.

0:55:050:55:08

Technology is my Achilles Heel. I'm slower than anyone else in the

0:55:110:55:15

hospital and no amount of training will ever make me a computer whizz.

0:55:150:55:20

So, if that is a concern of yours then...

0:55:200:55:23

I would completely understand

0:55:230:55:25

if you want to offer the job to someone else.

0:55:250:55:27

That's very candid, Mr Hope.

0:55:290:55:31

Although grave, I think we can overcome your technological block

0:55:330:55:39

with a little patience.

0:55:390:55:42

Thank you.

0:55:440:55:45

Oh and while you're here, I believe you have my phone?

0:55:480:55:52

You must have picked it up this morning by mistake

0:55:520:55:56

-So here's yours.

-Thank you.

0:55:580:56:00

Problem?

0:56:020:56:04

I think, there might have been a little accident.

0:56:060:56:09

I'm really sorry... Of course I'll buy you another one.

0:56:170:56:20

PHONE RINGS

0:56:200:56:23

Yes?

0:56:240:56:26

I see.

0:56:280:56:30

Let me know when the police arrive and keep me informed, will you?

0:56:300:56:35

-Thank you.

-Is everything OK?

-No.

0:56:350:56:38

All right, Chrissie, I've got this.

0:56:520:56:55

You're going to have to trust me, all right? Soft retainers.

0:56:550:56:57

All right. Come on, man, help me out here.

0:57:070:57:10

Mr Jenner?

0:57:140:57:15

Taxi driver handed it in. It must have fallen out on your way here.

0:57:170:57:21

Your mum and dad are on their way, so you don't have to be scared.

0:57:260:57:31

I'm so sorry.

0:57:340:57:35

I love you.

0:57:430:57:45

So, how many computers have you managed to kill

0:57:550:57:57

while I've been away, Elliot?

0:57:570:57:59

Oh, come on, it's not been that bad today, has it?

0:58:010:58:03

You haven't heard?

0:58:030:58:05

It's Sacha.

0:58:060:58:09

I've done my best.

0:58:110:58:13

But I've got to be honest, the next few hours are critical.

0:58:130:58:17

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