Double Bubble Holby City

I'm Jonny, a neurosurgeon from St James'. Excellent hair.

Yep, the sooner I'm out of here the better.

Which is why I've come out with an escape plan.

-You want in?

-And then?

-How do you think your people skills are now?

-This never happened.

Guys, break it up.

-Get lost, Malick.

-Sorry, I forgot you're so far in the closet, you're in Narnia.

Michael, it's Chrissie.

Sacha's been stabbed, he's bleeding out really badly.

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

-'Yes, Chrissie, let her.'

Foot.

Did he not say a time?

Nope. Just meet him here.

You could meditate.

Is it just me? Am I so unreasonable to expect a bit of time-keeping?

Foot.

-Excuse me, nurse, have you seen a Mr...

-Can you just give me a minute?

Wow. Did you see that?

Shocking(!)

That's going to change.

PHONE BEEPS

-OK, we're official. Henrik Hanssen's sent an e-mail. Transplants R Us.

-Can we get started then?

As if I could stop you, dude.

PHONE RINGS

What's it called?

Darwin.

Hello. Darwin.

They don't want any visitors.

Who made you boss?

Are you pretending to be asleep?

Shh.

Don't wake her.

How you feeling?

Yeah, been better.

-Your white blood cells aren't brilliant. That's a surprise, eh?

-Yeah.

What the hell happened, Sacha?

Come on, tell me the gossip. How's upstairs?

Usual politics.

Put it this way - you think you've been stabbed in the back.

Sssh!

She is out for the count.

She's taking it hard. Taking it very hard.

-Not so fast.

-Seriously?

-I can just smell it.

-Your diabetes.

Ha! Guess the password.

"Password"?

-Yup.

-Who is running this place? It's a shambles!

-Shh.

Aha! My insiders tell me that you would be my new team?

We would indeed. Mr Hope, right?

I'm sorry I missed your interviews.

I had a conference I had to attend.

No worries. Do you mind if I sit back down?

No, no. Of course not.

Nice to meet you in the flesh.

I must say I was very impressed by the BMJ piece you sent Mr Hanssen.

She sent.

Sorry?

She's the guvnor. I just knock heads.

Me surgeon, him nurse.

Jonny Maconie. Transplant Coordinator.

Mo Effanga. Transplant Registrar.

I am beyond mortified.

Don't worry, you're not the first.

No, no, no, it's unforgivable.

It's only because...

It was worse when we both had moustaches.

-Distinguishing feature? I'm the funny one.

-I let her think that.

PAGER BEEPS

Sorry, excuse me.

Ah, it's yours.

A new bleeper for the new transplant coordinator.

I imagine it'll take you a while to get up and running.

-It's nine for an outside line, right?

-Yes.

I'm so very glad that you're here, Ms Effanga.

Poaching you is something of a coup for Holby.

Well, it's nice to be part of something new.

Hello, Darwin? I know that voice.

Is that Belinda? Yeah, it's me.

Effanga's dragged me out to the sticks.

You know Belinda from Transplant UK?

Erm, no, not personally.

-Jonny and she are pretty tight. He'll get us something.

-Right. Fantastic.

Thank you. We have an offer. Heart and lungs. She's e-mailing details now.

We have 45 minutes to accept or... you know, reject.

Nasty, minging...illegal.

You could, you know, wash one up?

Ah, Mr Malick, an attractive young gentleman is searching for you.

-Come again?

-Agency nurse? Cheekbones, eyes.

Oh, him. Mr Hygiene.

Last seen in ward stores. Go, go, go!

Hi, Serena. Dan...Bones, right?

The polo shirt?

Dead giveaway.

Let me guess, married to a blonde, given up rugger for golf

and would prefer a Labrador to a third.

Wrong, wrong, and, yes, wrong.

Although I am indeed, very fond of Labradors.

Well, my powers of deduction are clearly off-kilter.

A man of mystery, how intriguing.

Oh, I've just sent Mr Malick in the other direction.

Ms Campbell, I'm going to have to relieve you of that.

You do realise that could seriously impact on my ability to treat patients?

Oh, come on, ma'am, rules are rules.

Dan, this is Simon, who will

-apparently be running the place for the next few weeks.

-We know each other.

-You trained at Guy's, right?

-Yeah.

Oh, you're a Guy's man. Should've known.

Dan Hamilton.

So you didn't jack it all in and move to California, then?

No... No, I grew out of that idea.

And now you're an orthopod?

-Polo shirt?

-I'm afraid so.

Case conference. Who do I invite?

No, no, no. My unit, my responsibility.

Afternoon.

Our new arrivals have been, well, transplanted to us.

This is Nurse Jonathan Maconie, coordinator/theatre manager.

Nurse?

Technically.

Jac Naylor, consultant.

And this is Mo Effanga - specialist transplant registrar and fellow of the Academy.

-Nice to meet you both.

-We've met already. At the people skills course.

I kinda blacked that out.

Can I have a quick word with you?

Of course, excuse us.

So that's the dream team?

Case conference - do I invite Henrik Hanssen?

-As we're just kicking off, I would, yes.

-Absolutely.

-Does Hanssen know she's about to spawn?

-He must do.

If he doesn't, he's about to.

'Scale of one to ten?'

-Still around 11.

-OK. I'll crank up the dose.

Hey, I'm working on it. I can't just force her out of here.

Can't you say Hanssen insisted?

You just focus on getting better, all right? She's not the only one who's had a rough time lately.

I just lay there bleeding to death. Even a fool can manage that.

What's he doing on the ward?

I wanted him out here so I can keep a better eye on him.

It's nothing to worry about. All right, you rest up. Chrissie.

His WBC's are up a little bit. It's nothing...

-Should I be worried?

-Well, if I'm not, you shouldn't be.

Look, Chrissie, I want to talk to you about something.

Do not tell me to go home.

Hanssen has allowed me to hire an agency nurse.

-He needs people that he knows.

-Look, he needs rest, OK.

You should rest while he is, all right?

Give yourself a break. Who's watching after Daniel?

Daniel is fine. He's with the in-laws.

So now, if you don't mind, please could you tell me who my next patient is?

Warwick Randall. 38. Cystic fibrosis.

Minimum functionality in both lungs.

Sold. Perfect for a heart and lung block transplant.

Ambitious, but achievable.

Right, Jonny'll break the good news, you'll show me round the theatres.

Quick work, guys. That's what we like. Decisions.

-Is Mr Randall strong enough to survive the op?

-Comparatively. Considering the CF.

And who do we bring in as reserve to receive the organs if Mr Randall should not prove a match?

For the heart, Alexandra Morrell. 57. Dilated cardiomyopathy.

Is this Warwick dude's too skinny, Ms Morrell gets the heart, we pass on the lungs. Done?

-Got it.

-Right.

-What are your reservations, Mr Hope?

-No, no, nothing.

It's just...

I wouldn't want us to rush into anything.

Miss Morrell has been brought in a number of occasions as reserve.

All false starts.

Well, as I appointed you to run the unit, I suppose it's your call.

'Tell you what, doc,'

if you think this looks bad, you should see the other bloke.

He was a right mouthy git.

Present from the ED. Kevin Owston.

-Police want to talk to him when we're done.

-Oh great. How many's she got?

-Too many. I'd help you out, but...

-Ah, yes, software induction.

What about Chrissie?

C'mon - a stab wound?

Service! Do I get some service?

I tell you what, doc, cuppa tea wouldn't go amiss.

Any more of that attitude, I'll get you thrown out, OK?

-I pay your wages, do you know that?

-Somehow I doubt that.

Seriously, Kevin, you wind us up, you're in big trouble.

All right?

-You OK?

-Of course.

So, Kevin, how did that get in there?

Well, it weren't DIY, was it?

OK, there's damage to the subclavian, but it's clean. No pneumothorax...

Just give it a tug, love.

Shall I get us a slot?

Don't move that arm unless you want to lose it.

In the meantime, let's go easy on the opiates.

OK. And, thank you.

Yeah, well, anything we can do to help you guys.

'Great stuff,'

thank you very much indeed.

-Heart and lungs are on a bike from Weston.

-Do we know...

I never ask. It'll be in the notes.

Mr Randall, welcome back. Mrs Randall.

Good to see you, Mr Hope.

This is Mo Effanga, she is part of our new transplant team.

Hi, guys, good to see you. Nice day for it, hmm?

No offence, but there are places I'd rather be-

Would you like to jump on the scales?

-This it, then? My numbers have come up.

-Fingers crossed.

Depends on how your weight's been.

-I think he's put some on.

-I haven't. Come on.

-Sorry!

-No point lying, is there? They'll be able to see in a moment.

-Sorry, I just...

It's a block, is it? Heart and lung?

Yup. Double bubble.

Someone's smiling on you.

-Do you know how they...

-We never ask.

OK, 80 kilos. You're what - six foot?

I make that a BMI of...24. It's not ideal.

We could round it up to 24.5.

-We could, but...

-However risky it is, we're prepared. Aren't we?

It's my choice. Even if it's risky. We've talked about it.

Yeah, I mean, in the end, it's your choice.

-Well, not technically.

-My life, my choice.

-There is a risk to the organs too.

-We don't want to waste them on someone who's not going to make it.

-I think what Ms Effanga is trying...

But I think we should go for it. You trust this face to cut you open?

Absolutely.

Nothing to cry about.

We're getting our life back, right?

Right, thank you. Better let the reserve know.

What a start, huh! What a start!

-Mr Browne, how did this happen?

-Not even sure.

He fell out of a truss.

OK. ED reckons suspected fracture of the wrist and dislocated shoulder.

But I think we can happily scratch suspected from that, right?

Yep, my many years of training tell me this is what's technically called smashed to pieces.

-It'll mend, won't it? Won't be wonky or anything?

-No wonky guaranteed. I'm pretty good at these.

-Urgent X-ray?

-Sounds like a plan.

This says that ED gave you no pain relief.

Would you like me to complain on your behalf?

Actually, I said no to morphine.

-Right, well, I'm sure you're in agony, so let's...

-Sorry.

-Why did you say no?

-I'm coping right now. I'd like to stick it out, if I can.

-I wouldn't recommend it.

-Honestly, when the adrenaline

-wears off it will be a nightmare.

-I'd prefer not to have analgesics. Prefer to tough it out.

There's masochism and then there's just being daft.

I don't think he's getting a kick from it.

-Maybe he's a Buddhist. Wouldn't be my first.

-No, something else.

Ah, the old bovine excrement detector.

Yup. Still firing on all cylinders.

Alexander Morrell?

-Alexandra. As in lady.

-Lady Alexandra?

-No.

-Doesn't matter. Call me Lexy.

-Minister?

Kissogram. No, minister.

Forgive the work wear, I came straight here.

-Mr Hope, it's good to see you.

-How have you been?

Keeping busy. Whitsun weddings.

-Overdoing it?

-Probably.

Lexy, this is Mo Effanga. She is...

She's come to let me down gently.

I'm so sorry. This time, someone else's need was greater.

I'm truly sorry.

Oh, well.

I've got two funerals next week, so probably for the best.

I remembered cash for the taxi this time.

You are still first reserve.

Will you wish them all the best from me?

And good luck to you too.

Thank you.

She made that easy.

I'd say she let us off the hook.

Decency, though, costs nothing.

Doesn't magic up a new heart for her, though, does it?

Nope. Unless...

Jonny Mac, double or quits? What do you reckon?

-Seriously?

-We'd have to clear it with Hanssen.

-We're on the clock.

-Clear what?

-It's too tight.

-Call him, get us a meeting.

Hi, I just wanted to introduce myself, I'm doctor Tara Lo, F1.

I heard on the grapevine about the block transplant. Is there anything I can do to help?

Yeah, listen. Can you get me a decaf tea, with milk, don't squeeze the bag.

He does the money.

And a coffee. Lots of caffeine.

OK.

Now, I swore on Daniel's life that I'd make you eat this.

Please, I just don't want it, OK.

Yeah, but you haven't eaten anything.

-Well, you're always on at me to lose weight.

-I'm sorry.

Don't be.

I'm just trying to look after you.

I just want some peace. OK?

I know you're trying but...

-The Victim Support people, they called today...

-No.

I said no, OK?

OK. All right, I'm sorry.

-What was that about?

-It's not about Sacha.

Apparently Mr Owston has put the other guy into intensive care for a quite some time.

How soon before we can hand him over?

Too right. Too bloody right.

Not soon enough.

-You know, I think I'm going to take you off this.

-Do you think I'm a bad nurse?

-No.

Then stop patronising me!

All right, fine. You booked him his slot?

I'm doing it now, all right? I'm doing it now.

'Man, that's got to hurt.'

-How did he do it?

-He fell out of a truss.

Truss? What does that mean?

Er...why hasn't this guy been given any pain relief?

Because he refused it.

And you let him?

Well, that's the idea behind patient choice, no?

Oh, OK, then, new man.

That'll have to change. He'll need a GA for us to operate.

Yeah, I'm guessing if he refuses morphine, he'll probably refuse the GA.

Better convince him otherwise, then.

I agree, maybe you should give it a go.

What? I'm setting boundaries.

-Well, there's no need to...

-I can't stand these agency nurses

-stepping up like they run the place.

-Er, they do run the place.

No. Nurses do exactly what the doctors tell them. Isn't that right, Chantelle?

Absolutely, yes.

MOUTHS

Warwick gets the heart and lung block because it's more efficient,

but his heart's still perfectly viable, so we give that to Lexy.

-Bosh, we're home in time for Next Top Model.

-A domino from a living heart donor. That's intriguing.

I would question "perfectly viable".

-There is a minor ASD on Warwick's heart.

-Exactly.

Minor. Nothing to worry about.

Well, it would certainly announce us to the field. Do we have the team for both operations?

Leave that to us. We can get Mr Hegge for Lexy's transplant and we'll do the block on Warwick.

-On it.

-Mr Hegge will need some back up.

Fine, he'll get us Ms Naylor. I'll get the patients onside, done.

We're saving lives! Who's with me?

A cautious aye.

Consensus. Good luck.

We'll take you to theatre.

They'll remove that, bring you back here, then you can go home.

Do I get to keep it?

I doubt it, they'll probably need it as evidence.

Your blood pressure's up a bit.

-I might get a doctor to take a look.

-You heard, didn't you?

-None of my business.

-Well, he deserved it, right.

I'm not interested.

-Tell you what he did, did they?

-No.

-The other fellow.

He was spying on his daughter in the shower.

Me and my bro, we're not standing for that. I'm telling you now.

It's disgusting, in't it?

Do you know what, I'm not interested in your pathetic excuses, OK?

-Something up?

-I'm just cold.

Cold cold or chilly cold?

-I think you should just treat your patients, Chrissie.

-Sacha.

-Just pass me the blanket, please.

-OK.

That's all right. I'll do it myself.

Do you have a headache?

Apart from you?

Guys, slight change of plan.

No, no. Please!

Don't tell me, he's stuck in traffic.

No. What I'm going to ask you, you are not obliged to say yes to.

-Do you understand?

-OK.

Would you consider donating your heart?

No, it's his turn! We've waited.

No, not the heart/lung block. Your heart, the heart we're taking out.

You mean if I die on the table?

No. I mean after the op, you'll have the new organs, so you won't need that heart, will you?

-I suppose not.

-What if he needs it back?

-What if the block fails?

-By that time, his heart would be out of the ischemic time frame,

so we can't factor it in anyway.

At least this way, we get some use out of it.

-It's not really a choice, is it?

-Like I said.

You're not obliged. There are no strings attached in any of this. It's just a gift.

We need time to think about it.

In that case, we can't do it because obviously we're on the clock.

Thanks for listening, though. I'll see you in theatre.

Wait.

Hey, you're going through enough as it is...

What do you know about what I'm going through?

Of course, I'll do it. Of course.

Are you sure?

Certain.

Great.

We'll get you the paperwork.

Thumbs up, just need a sign on the dotted.

Are we sure we're doing the right thing here?

Ooh, let me think. Getting two people off the list in one day...

-Er...yeah.

-Changing our plans at the last minute.

-Keeps us young.

-I could do a...

-What? An exploratory lap?

-If you're in the mood.

I think I just might sit that one out.

OK. But if you are in any more pain, you let me know.

-OK.

-All right.

So what are you going to do? I mean, it could be sepsis.

Yeah, he doesn't think so.

-He's downplaying it.

-You think?

-Michael, I'm his girlfriend,

I know when he's suffering.

-Maybe he's more resilient than you think.

-He's not.

-He's not stupid.

He understands the risks of not being straight with me.

He can't hear bad news. Michael, please.

Look, we don't have a slot.

-We do.

-Kevin.

Is he stable?

Yes. Not mentally, but I'm keeping my eye on him.

All right, page Mr Hemmingway. Bump Mr Owston.

They tend to come after you, you know.

Sorry, I just needed a bit of space.

Bad news?

You can tell me.

This is real.

Not a kissagram.

No. Not really. I don't know.

Not a test. Don't have to give the right answer.

It's my husband. He has been dying for six years.

His funeral is organised and paid for, and...

And now, they're trying to save him.

So, did you not get my text?

I've been in Uruguay. No signal.

I was enquiring about a rematch.

It wouldn't work. I divide my time between here and Montevideo.

Are you flying off there this afternoon?

Wow, for a neurosurgeon you're pretty brainless. Get the hint.

Actually, we're doing a domino transplant

and Mr Hope wants some support with the heart op while we do the block.

It would be a favour.

Hm, give up my free afternoon to observe a procedure I've done before while an outside consultant

sucks up all the kudos.

All as a favour to a jumped-up nurse who lied

to get me into the sack.

It's tricky. No!

I've cancelled your taxi. A heart has just become available.

-You're not joking, are you?

-I would never do that.

Really?

Yeah, really.

I don't know what to say.

I'm thankful, of course. It's just...

What happened? How recently? I mean, I was on my way here at two.

Best not think about that.

It's just the thought that as I sat here...

No-one suffered, did they?

I can't tell you anything about it, I'm afraid...

Oh.

It's nothing to cry about. Just say yes.

Right in the duodenum.

Hmm. Good call, Mrs Levy.

-From the stench I'd say sepsis.

-Thank you, Jac. We're fully staffed.

What happened, you nicked it when you first operated?

-Post-op complications, one of those things.

-Yeah, right. Who's been monitoring him?

Chrissie.

Are you insane? The woman's a day away from a breakdown.

Jac, will you shut up.

If Little Miss Muffet hadn't fainted at the sight of blood, we wouldn't even be here.

And she's overseeing his care? Brilliant management, Michael.

Was the relay on?

-So you were at med school together.

-Yes.

-And what was he like?

-Very popular.

-Really?

-Yeah, especially with the girls.

Actually, I can see that. Certain nurses are mad about him.

-I thought Chrissie was bonkers to chuck him.

-Who's that?

Ex-fiance. Very hot.

Really? Why'd they break up?

Big mystery. Well, she liked this new bloke...

For crying out loud, why don't you spike his tea, have done with it?

Mr Browne doesn't want a general anaesthetic.

-Ah, the common assault method.

-Come on, he'll last five seconds if we do it without.

I understand, I just don't believe in completely ignoring what the patient wants.

I don't believe in letting patients freak out in the middle

of a procedure when you know they'll regret it.

All right,

why don't we just say he's not fit to make the decision?

Are you serious?

And when we're back from the world court in six months,

what are you going to do about his deformed arm? Step in any time, ref.

Well. Maybe if we get him to sign something on paper he'll see sense.

Why are we indulging this crazy man?

Because he has a right to choose and not be judged.

DOOR SLAMS

Ooh, just sizzling!

What?

Them. The sexual tension.

Really? You think?

I know.

OK, Patient Morrell in anaesthetics next door,

organs checked in by ring road five minutes ago.

Sorry, can you not talk when I'm talking?

It's very distracting.

Do you want to say something?

I want everyone further in, Ms Effanga is pregnant, not obese.

Always good to clarify that one. Any questions?

Good, I hate being questioned.

MOBILE PHONE RINGS

PHONE RINGS AGAIN

OK, it's mine, as you were.

-Disciplinarian.

-Delivers. All that matters.

-Well, look at us getting stuck in on day one.

-No point mucking about.

I guess you want to get in as much as you can before, well, D-day.

Don't stress about that. Not going to be gone long.

-Don't feel pressured to return before you're ready.

-Exactly.

If I need two weeks, I'll take two weeks.

Sorry, loo break.

-Don't fiddle with that.

-Can't help it.

-When do I get my turn?

-Someone was more urgent.

The bloke who's a doctor, right?

She told me.

Don't touch that.

-It's freaking me out!

-You should've thought about that

before you started your lynch mob!

Are you serious? I'm the good guy here!

Do you even know what you're doing?

I do know that you are a violent man.

I was forced to act.

Do you know, I'm so fed up with people like you

with your big man act, your big tough guy. It's pathetic.

Chrissie.

I'd show me more respect if I were you.

Why? Are you threatening me?

-No.

-Go on, say it to me again.

Chrissie, stop talking OK. Just stop now.

Come on, look, I know you're upset but you can't...

-Don't tell me how to behave!

-You need to go home.

I'm so sick of this. Not be able to say anything!

You're knackered, you shouldn't be here.

-Not being able to tell them what I think or to do anything.

-I know.

I did nothing.

That's not true.

-He could've...

-But he didn't, OK?

He didn't.

That's all that matters.

Slight delay, little bugger thinks my bladder's a football.

Get straight back to it.

Worth it though.

So they say.

Not that I'd know. It's hard to make those kind of plans.

Well, now you can think about the future.

Holidays, jobs, that kind of thing.

Everything I imagined was after he was dead.

I mean, I do want a family.

I just... I hadn't pictured it like this.

With him.

Maureen.

All right!

Last chance, I urge you to take it.

OK, well, you're a braver man than I.

If the pain gets too much, just bite down on this.

Blood curdling screaming kind of freaks out the other patients.

Mr Malick?

Mr Malick's going to hold you down while I reset your shoulder.

Simon.

HE SCREAMS

Stop! Please!

Absolutely. Stand down, guys.

OK, fine. I'm sorry. I'll have the anaesthetic.

Are you sure?

Of course he is! Good choice, mate, good choice.

We'll get that sorted, no worries. Shall we convene outside?

So.

Oh. Fine. Yes, you win, aren't you the tough guy?

Completely wasted everyone's time. Thanks, nurse.

Sorry about him, he's a...

He's a surgeon? Yes, I've come across them before.

Hey! We're not all like that.

We should go for a beer, catch up.

Normally, I would. It's just...

Still no back up for Mr Hegge.

Be patient. If Ms Naylor had stepped in...

You know, I had reservations about the domino.

We've barely prepared for one transplant, let alone two.

Don't get stressed.

I am not getting stressed, I am annoyed.

Just have to sit and wait.

Someone order a Hawaiian with extra ham?

That'd be me.

-Are they viable?

-Of course.

Where are we on my speeding consultant?

15 minutes, if we're lucky.

That decides it. We'll cancel Morell and just do the block on Warwick.

Jonathan, can you tell UKT we'll have a heart to donate...

Stop, Nurse Maconie. Surely Mr Hegge can manage for 15 minutes.

We need to start. Jonny can you just...?

Ms Effanga! You are forgetting this is my theatre and my unit.

Sorry I'm late, guys. D'you still need me to step in?

Thank you, Ms Naylor. That would get us out of a fix.

No worries. I wouldn't miss it for the world.

Good.

Shall we start?

-Those are a pre-med, they help the anaesthetic work.

-OK.

Finally, we can get going. Are we all ready?

Is there anything you're worried about?

Slots are going thick and fast, people.

Guys, guys, I want to hold off, he's not happy about something.

Yeah? Last I heard the guy needed an urgent shoulder op.

Malick, he's just doing his job.

Whilst the patient lies in agony, nice. Nursing from the top drawer.

Five minutes, just give me five minutes to get to the bottom of it.

Sorry, these slots are like gold-dust today.

I'm not sticking my nose in. I can tell when they're hiding something.

I'm not saying you are, just he's agreed to GA now.

Yes. Under duress.

Come on, Dan.

Look, if we paid attention to every crazy that came in here,

we'd never get through the theatre list.

So, let's just stick to the plan.

For now. OK?

-It's OK, he's stable.

-How did it go?

We caught it time. He's going to be fine.

I told you something was wrong with him. He wasn't himself.

You were right.

-Take her off duty, she's losing it.

-No, she'll be fine now.

Kevin Owston.

MACHINE BEEPS

-Kevin? Can you hear me, Kevin?

-Chrissie told me he was stable.

Kevin, I want you to open your eyes for me.

-This is her writing?

-Yup. What do you want to do about it?

-Let's get him in to theatre now.

-What about Chrissie?

Little help.

Ask histology if they want that for research.

OK, you want to remove the heart, or shall I...?

I feel I should take the lead herein.

-Absolutely. Whatever works for you.

-Scalpel, please.

Thank you.

This is not good.

In fact, this is extremely bad.

Mitral cleft?

Right.

Jonathan, can you tell Mr Hegge, the ASD's bigger than we thought.

Tell them to stop what they're doing immediately.

It's such a shame.

Time out, guys. There's a delivery problem.

Was it an atrial septal defect? I though that might screw things up.

It was a minor shunt. Didn't seem like a problem.

Still, pretty major oversight.

Does this face look worried?

-Can I not just repair it?

-You're not serious?

She's under. We might as well try to complete.

Give her a substandard organ?

She'll still be better off than with the current model.

No. It's best she goes back on the list and waits.

Cos that's worked out well for her so far. I'm just saying.

Are you confident that you can repair it? Have you done it before?

Sure. Pericardial patch and 4-0 prolene, please.

You can watch me do it.

That's not that hard.

Is that the green eyed monster?

I'm only jealous of thin people.

Cut, please.

Not so hard, huh?

Beautiful work.

Scalpel.

-We'll have to report this.

-C'mon, give her a break.

-Look at how it looks, Michael.

-They've been through enough.

We can't cover this up.

Who's covering anything up? We're treating him now, aren't we?

Travers retractors, please.

What if he doesn't make it?

He's just going to have to now, isn't he?

Yeah, but if he doesn't?

Well, it was my decision to bump him. So...

It's on me, I guess.

Eventually, it is always on me.

You don't think what happened to Sacha is your fault. Do you?

These things happen, OK? They shouldn't, but they do.

HE SIGHS

Well, it's easy to be philosophical

when you're the one who saved the day.

Scissors. Thank you.

Good catch.

THEY APPLAUD

No. No jinxing it. Ain't over till it's over.

This is a sight, one doesn't often see.

Not outside a post mortem, no.

Please can I see?

That's absolutely amazing.

Do you want to check it, Ms Naylor?

Thanks, Mr Hegge, but I'm good. I'm kind of over seeing organs.

Seen one, seen 'em all, eh?

Just cradle it there.

Round the head.

OK, that's good.

Perfect fit.

It's OK, mate, it's just the anaesthetic wearing of.

I can't feel anything.

Honestly, everything's fine. It went well.

It went very well.

It'll heal ten times faster now we've worked our magic.

-Would you like some more morphine?

-No, no. No, no, no. I'm all right.

I'm feeling all right. I'll just head off.

Mate, you're not ready. Just take the morphine.

Seriously, I'm fine, I'll be all right. I'm free to go, yeah?

No, you're not, you need to sit down and rest.

-Please. My wife's expecting me.

-We can call her.

-And tell her what? How do I explain this?

-Explain what?

Please, why don't you just let me out?

We need to do your GP referral.

I know my GP. My wife knows him!

Look, we can't help you unless you tell us the truth.

What happened?

It was Marie's fault.

I was treating myself, I'd had a couple of good sales this week at work and I thought, "Why not?"

I called Sadie, but she was busy with one of her regulars.

So I called Marie.

She's more restraint than punishment.

Went wrong.

She's a big woman...

OK.

Doesn't have to go in the notes.

And if you tell...

STIFLES LAUGH

Cough. Um...if you tell us that

you fell in the street, we can put that in the letter.

And you won't say anything when my wife turns up?

We're not in the business of humiliating people.

Absolutely not. Your private life is your private life.

Thank you, gents. Thank you. Very understanding.

Thank you.

THEY ALL LAUGH

He's still asleep?

Yep, his WBCs are stabilising.

Thank you. We really appreciate it.

What happened with Kevin Owston?

I lost my temper.

That's not what I'm talking about. Talking about the charts.

He was stabilised so I risked it.

It's a tight call.

I know but he's going to be all right.

Should be.

I'm sorry.

I really am sorry.

You know, you need to get some rest for everyone's sake.

I'm not asking, Chrissie. Don't push it.

-He wants me here.

-He wants you to go home.

He asked me to send you home.

He won't say but I know he's traumatised.

-Chrissie, he's not traumatised. He feels stupid.

-No-one thinks he's stupid.

Believe me, that is how he feels. He tried to help Ella,

this is how he ended up.

Kevin is going to be fine. So I think we'll be OK.

I think we should play down the fact he was bumped for one of our own.

He already knows.

Great, well let's hope he's forgiving.

I'll get Nurse Maconie to take you through the immuno suppression regime.

It can be a bit complicated

but we do find compliance rates increase with a supportive partner.

OK.

We can wait. If it feels like too much.

I know it's a lot to take on.

No. It's OK. I'm used to it.

Big responsibility.

Our other patient is having some breathing difficulties.

The other recipient.

No problem.

-MACHINE BEEPS

-'Heart rate's falling. She's bradycardic.'

Lexy, stay calm. It's nothing to worry about.

It hurts.

Absolutely. You've had a major procedure.

-She's still bradycardic.

-Pacer, please.

Here's one I made earlier.

Lexy, ignore what we're doing, try and focus on something else.

Are you going on any nice holidays this year?

No. It's hard to book things when you're on the list.

-Yeah, of course.

-60?

Yup.

BEEPING CONTINUES

BEEPING SPEEDS UP

Almost there, Lexy.

SHE BREATHES

OK. You feeling any better?

Much.

Thank you.

-Thank you so much.

-Don't worry, I get paid to do this.

-You shouldn't be here.

-Is she the...?

Can you take Maia back to her husband?

-Can I talk to her?

-Absolutely not.

-It's OK.

We met earlier. She can come in, can't she?

Can't you turn a blind eye, if she's willing?

-Well...

-I said no.

Jonny, let her in.

Thanks.

Don't make me run!

Recipients do not get to know the donor ID.

Relatives of the donor do not get to meet the recipient.

That's protocol, and that's what we do.

The way I see it, there's wiggle room.

There is no...no wiggle room.

Who's arse is on the line here, yours or mine?

I like to see us as a team.

Yeah, where I back you up and you drop me in it.

What? You know I appreciate what you do for me.

-Don't just say it, show it.

-Shh, not in front of the children.

Aw, f...

Thank you doesn't seem to cover it.

His choice, not mine.

Will you thank him from me?

I feel very blessed.

A whole new lease of life.

I hope so.

Though it's hard to make plans, of course.

We've just been suspended between life and death.

And now that forces the question.

Who am I?

What do I want?

Listen to me. I'm not the one who...

Of course you've been going through it too.

Doesn't seem to be fisticuffs.

Jonny's a stickler. I've talked him down.

Not that I'm against people being modern or anything.

But it must be hard working with your pregnant wife.

Especially when she's a surgeon and he's just a nurse.

SHE BURSTS OUT LAUGHING

SHE GIGGLES

What happened there then?

Where've you put it?

It's with the police.

Have I had an operation?

Yes.

Your condition deteriorated

and although I noticed that your blood pressure was raised,

I didn't act on it.

Instead, I prioritised another patient.

I'm now leaving, here are the numbers for you to make a complaint.

They've sacked you cos of me?

Compassionate leave.

The patient I prioritised was my boyfriend.

I'm not going to grass on you, though.

Probably would have done the same myself.

Got to take care of your own, haven't you?

Not in here. It doesn't work like that.

It's how everything works.

That's why sometimes you got to take the law into your own hands.

Well...

You can't just let people take the mick.

Not everyone's like you.

If I'd just stood there and took what that pervert was doing,

what kinda man would that make me?

And don't go telling me it'd make me the bigger person.

I'm sick of hearing that from the probation lot.

Some people just turn the other cheek and don't fight back.

Yeah, they're the ones that end up on the floor.

Tara reckons you're the daddy.

You'd be a good daddy. Wise. Strong.

And very stern.

THEY SNIGGER

All right! Enough!

Well, a triumphant day. Ms Effanga, Mr Maconie, my congratulations.

Thank you. All with Mr Hope's guidance.

Would you like to meet our patient, Mr Hanssen?

MONITOR STARTS BEEPING

Someone... Please...!

-Help him!

-Warwick, can you hear me?

-I'm here.

-Come on, Maia, we need you out of here now.

OK. Quickly, please.

OK. Charge 200. Right and clear.

BEEPING CONTINUES

No. Charge again.

Clear.

Another one. Charged, clear.

How's the boy genius?

Writing on her walls, apparently.

Poor Mother. Did she tell him off?

Yes.

What did you say?

"Just you wait till your dad gets home."

-Did you say that?

-I did.

-Did you really?

HE LAUGHS

-Did it work?

-Apparently so.

HE SIGHS

You will respect my authoritas, young man!

From now on, you will refer to me as sir.

HE SIGHS

Do you know what?

I am feeling so much better.

I completely misread that sepsis.

Thank you.

Lucky guess, I thought you were just whining.

-Well, thank goodness I'm not paid to treat other people.

-Mmm.

-Sacha.

-Chrissie, you're not expected to perform surgery.

But I let you down.

Come on. It could've been a lot worse.

It could've been the other way round.

Then where would we be?

No...no! NO!

Somebody! Help us! Try again.

Maia. Maia. Your husband has died.

Please, keep trying.

We've tried everything we could. Maia, I'm sorry.

Come and sit down here with me. Come on.

It's OK, it's OK. Sit there.

SHE SOBS

Have some water, Maia. It's all right. Breathe.

SHE BREATHES SLOWLY

You OK?

We did everything we could but weren't able to save him.

It's my fault, isn't it? I wished this on him.

Do you know how many relatives I've seen have doubts like yours?

Really, because?

Why I ignored it when you said it?

I don't know what I'm going to do now.

We do. We'll help you.

We're off to the bar for a drink, then onto a club. You up for it?

No thanks, dodgy Achilles.

Come on, it's '90s retro at Goddesses.

# If ya wanna be my lover You gotta get with my friends... #

We're not going there, trust me.

-I think I'll pass.

-You sure?

Come on, I'll be a raspberry if it's just the three of us.

-You won't be a raspberry. Don't be stupid.

-Come on, guys.

Maybe next time.

# If you wanna be my lover... #

THEY LAUGH

What? I know you love that song.

I don't get it. All that work.

And the operation went so well.

I don't understand. What happened?

Severe hypotension. He arrested.

But it happened so quick.

He just wasn't strong enough.

Why don't we leave the postmortem for another day?

Are you going to come for that drink, then?

Lead me not into temptation.

Come on. Half a glass in your third trimester, who's gonna...

Thanks, but no thanks.

We did our best.

We did our best.

BOTH: All we can ever do.

Are you glad I dragged you out here?

Absolutely.

Hey. So Kevin isn't going to complain.

Apparently, he likes your style.

Are you feeling any better?

I'm certainly going to sleep tonight.

Good.

Listen, I haven't thanked you properly.

I've been so caught up with it all. Thank you.

It's all right. You'd do the same

if the situation had been reversed or...

whatever.

Can I tempt you for a drink?

You're still here?

I 'fess up. I ate yours earlier.

Ah! Well, at least we are compatible snacks-wise.

Should make for a smooth working relationship.

Sorry if I got carried away.

No. You were right to push ahead with the op,

you shouldn't worry about that.

-I didn't mean to tread on any toes.

-You didn't.

The ambitious new kid, huh?

A man's reach should exceed his grasp, or what's a heaven for?

My thoughts exactly.

SHE MOANS

You OK?

Yeah, shut up.

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