Stepping up to the Plate

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0:00:39 > 0:00:40Someone else can deal with Jeremy.

0:00:40 > 0:00:42And I'm sorry if I'm letting you down,

0:00:42 > 0:00:45but my mum and dad didn't bring me up to let people be rude and horrible to me.

0:00:45 > 0:00:46I didn't know she had it in her.

0:00:46 > 0:00:49I've got a work placement offer. It's in America.

0:00:49 > 0:00:52I'm not going to live in a different country to my kids.

0:00:52 > 0:00:55With you as professor and head of the Transplant Centre,

0:00:55 > 0:00:59we would attract the highest calibre of staff and students.

0:00:59 > 0:01:02No more nights on a single bed. Yours is really convenient,

0:01:02 > 0:01:04but mine's...more comfortable.

0:01:14 > 0:01:15Oh, for heaven's sake!

0:01:15 > 0:01:18Try pulling the skin taut and tapping the vein lightly.

0:01:18 > 0:01:20Sorry.

0:01:20 > 0:01:21No need to apologise.

0:01:21 > 0:01:23Sorry. For saying sorry.

0:01:23 > 0:01:24Sorry, I don't usually have this problem.

0:01:24 > 0:01:26I usually do it about ten times a day.

0:01:26 > 0:01:29- Just a sharp scratch. - HE WINCES

0:01:29 > 0:01:31Nurse Lane, I suggest we call it a day.

0:01:31 > 0:01:35I think the poor man's had enough, don't you?

0:01:35 > 0:01:38- Oh, Simon? Have you got a minute? - Sure.

0:01:47 > 0:01:50The covering consultant has been on for over ten hours already.

0:01:50 > 0:01:53Yeah, but he's leaving now. Oh, OK, what would you like me to do?

0:01:53 > 0:01:54Rugby-tackle him?

0:01:54 > 0:01:56Will you just tell me, yes or no,

0:01:56 > 0:01:59is someone coming to cover the night shift?

0:01:59 > 0:02:01- No! I won't hold, actually. No. - Never fear.

0:02:01 > 0:02:04- Spence is here.- I thought you were supposed to be in Florida.

0:02:04 > 0:02:07Yeah, that was the plan, until your boyfriend went AWOL.

0:02:07 > 0:02:09You've been planning this for ages.

0:02:09 > 0:02:11Yes, but as Clinical Lead I must be,

0:02:11 > 0:02:13"prepared to make sacrifices in times of crisis".

0:02:13 > 0:02:18- And you just went along with that? - Have you tried to say no to Hanssen? - You can't have seen your kids for...

0:02:18 > 0:02:21Nine weeks, two days and four hours. AND today is Charlie's birthday.

0:02:21 > 0:02:23Oh, Michael, I'm sorry.

0:02:23 > 0:02:25Well, it's not all bad, I got a refund on the tickets

0:02:25 > 0:02:28and we're just going to celebrate his birthday over the net.

0:02:28 > 0:02:29So you're a virtual dad now?

0:02:29 > 0:02:32Mr Hemingway hasn't left me much choice.

0:02:32 > 0:02:33Urgent case - bed three.

0:02:33 > 0:02:35Palpitations and shortness of breath.

0:02:50 > 0:02:54It could happen to anyone. Veins aren't always obvious.

0:02:54 > 0:02:56They were obvious to Simon.

0:02:57 > 0:02:58Cola bottle?

0:03:06 > 0:03:09Ms Campbell gave me this earlier -

0:03:09 > 0:03:11Specialist Nursing Training.

0:03:11 > 0:03:14She thought I'd be good at it. Bet she doesn't now.

0:03:14 > 0:03:16No-one gets it right every time.

0:03:16 > 0:03:18Not even hardened professionals.

0:03:18 > 0:03:20It's like being back at school,

0:03:20 > 0:03:23getting a place on the netball team and then missing every shot.

0:03:23 > 0:03:25I was always the last person to be picked.

0:03:25 > 0:03:27I've got every faith in you, Chantelle.

0:03:27 > 0:03:30I've even sat in a car and put my life in your hands.

0:03:30 > 0:03:34Look, if you're serious about making something of your career,

0:03:34 > 0:03:37then you need to be more confident, stand up for yourself.

0:03:37 > 0:03:39Trust in your training,

0:03:39 > 0:03:41trust your instincts.

0:03:41 > 0:03:42You'll get there.

0:03:48 > 0:03:50Look at this thing,

0:03:50 > 0:03:53I could be playing Pin The Tail On The Donkey with my son,

0:03:53 > 0:03:55instead I'm giving rectal examinations.

0:03:55 > 0:03:56You should've said no.

0:03:56 > 0:03:59Well, unfortunately I don't have Mr Hemingway's relaxed approach

0:03:59 > 0:04:01to collective responsibility.

0:04:01 > 0:04:03And the moral of the story is, never trust a hippy.

0:04:03 > 0:04:06Mr Holdsworth has a history of cardiomyopathy.

0:04:06 > 0:04:08Gold star, Jac, it is why I called you here.

0:04:08 > 0:04:11Lucky he didn't croak on your watch. Why wasn't he sent straight to us?

0:04:11 > 0:04:12Because ED said you had no beds.

0:04:12 > 0:04:14And you believe them?

0:04:14 > 0:04:16It's not like you to take your eye off the ball, Nurse McKee.

0:04:16 > 0:04:17Get him transferred, now.

0:04:17 > 0:04:20She's had a lot on her mind, we have staffing issues.

0:04:20 > 0:04:23You should call Sacha. He's always a soft-touch when you're desperate.

0:04:23 > 0:04:26Sacha is looking after Daniel. Some of us have families.

0:04:26 > 0:04:27Oh, yes. I forgot...

0:04:27 > 0:04:31all reliable, hardworking doctors are loner sociopaths like me.

0:04:31 > 0:04:33Which reminds me, where is Hemingway?

0:04:33 > 0:04:36That's what we'd all like to know!

0:04:36 > 0:04:37Your wife had a fall?

0:04:37 > 0:04:39From a ladder.

0:04:39 > 0:04:43She was putting up curtains in the nursery, lost her balance.

0:04:43 > 0:04:46I'm fine, please... But can someone please check the baby?

0:04:46 > 0:04:49They listened to the baby's heartbeat in the ED.

0:04:49 > 0:04:50There seems to be no cause for concern.

0:04:50 > 0:04:52But I landed really heavily.

0:04:52 > 0:04:56- Any pain, or bleeding?- No.- Cramping?

0:04:56 > 0:04:58I can't lose her.

0:04:58 > 0:04:59Please, not now.

0:04:59 > 0:05:00It's going to be OK.

0:05:00 > 0:05:03Deep breaths, come on. I need you to calm down.

0:05:03 > 0:05:06I think I'm going to be sick.

0:05:06 > 0:05:07- SHE VOMITS - It's OK.

0:05:07 > 0:05:10This isn't unusual, she's had morning sickness all the way through.

0:05:10 > 0:05:12It says in the notes that there's some bruising.

0:05:12 > 0:05:14Did you hit your head?

0:05:14 > 0:05:15I can't remember.

0:05:15 > 0:05:17Did she lose consciousness at all?

0:05:17 > 0:05:18I wasn't there.

0:05:18 > 0:05:21I think I might have blacked out.

0:05:22 > 0:05:25Yep, I think that we should do an MRI.

0:05:25 > 0:05:28No way. I'm not doing anything that might harm my baby.

0:05:28 > 0:05:31She's IVF, sixth attempt. We're a bit paranoid.

0:05:31 > 0:05:36A CT scan wouldn't be advisable because of the radiation levels,

0:05:36 > 0:05:37but an MRI is perfectly safe.

0:05:37 > 0:05:41I don't need it, OK? I just had a stupid little fall. I'm fine.

0:05:41 > 0:05:44My head is fine. I just want to go home.

0:05:44 > 0:05:46I'm sure you're right,

0:05:46 > 0:05:49but I strongly recommend that you stay for observation

0:05:49 > 0:05:50and have the MRI.

0:05:50 > 0:05:53Please, listen to them. You said yourself it was a bad fall.

0:05:53 > 0:05:54And whose fault was that?

0:05:57 > 0:05:59If you stay it'll give you a chance to rest, calm down a bit,

0:05:59 > 0:06:01maybe have another think about the scan.

0:06:01 > 0:06:06In order to keep your baby safe, we need to keep you both fighting fit.

0:06:08 > 0:06:10OK.

0:06:14 > 0:06:17In addition to diabetes, smoking and obesity,

0:06:17 > 0:06:20can anyone tell me what the major risk factor is

0:06:20 > 0:06:23in the development of coronary heart disease?

0:06:23 > 0:06:25Am I keeping you, Mr Davies?

0:06:25 > 0:06:27No, good.

0:06:27 > 0:06:31Look, I am aware that you are all anxious about your exam results,

0:06:31 > 0:06:36but in the meantime, your full concentration would be appreciated.

0:06:36 > 0:06:37The answer is of course...

0:06:37 > 0:06:39cholesterol. Good.

0:06:39 > 0:06:40Sorry I'm late, Mr Hope.

0:06:40 > 0:06:43- No, it's fine. I got your note. - I had to pick up my son.

0:06:43 > 0:06:45Right, OK. Sit down.

0:06:45 > 0:06:49We're looking at the heart's greatest enemy...

0:06:49 > 0:06:50cholesterol.

0:06:50 > 0:06:54Right, now, this diagram relates to the metabolism of cholesterol.

0:06:54 > 0:06:57Would anyone like to connect the pathway?

0:06:59 > 0:07:00Ms Alcock.

0:07:03 > 0:07:07Right, so, as you can see,

0:07:07 > 0:07:10cholesterol is converted into Pregnenolone,

0:07:10 > 0:07:12then in to androstenedione,

0:07:12 > 0:07:15then into testosterone,

0:07:15 > 0:07:18and it's finally converted into oestrogen.

0:07:18 > 0:07:19Which proves without a doubt

0:07:19 > 0:07:21that women are more evolved than men.

0:07:21 > 0:07:23THEY CHUCKLE

0:07:23 > 0:07:25Very good, thank you. OK.

0:07:25 > 0:07:29- A drunken hobo. Great, this day gets better(!)- Jeff Rydell. He's 46.

0:07:29 > 0:07:30Found drunk in the street.

0:07:30 > 0:07:33Semiconscious and complaining of severe abdominal pains.

0:07:33 > 0:07:34- Notes?- I'm waiting on St James's.

0:07:34 > 0:07:36It's probably chronic liver disease,

0:07:36 > 0:07:39but let's wait till we get his history.

0:07:39 > 0:07:44Continue to push IV fluids, let's do obs every 15 minutes.

0:07:44 > 0:07:47Whisky, cider and halitosis - I love this job.

0:07:47 > 0:07:50You know, Hemingway hasn't called me.

0:07:50 > 0:07:53- When was the last time you spoke to him?- I'll chase those notes.

0:08:03 > 0:08:06Look, I'm not trying to pry. Or upset anyone.

0:08:06 > 0:08:08In fact, I don't give a damn about your relationship.

0:08:08 > 0:08:10I just need to know if Luc is planning on coming back,

0:08:10 > 0:08:12because if he's not, my life is going to be hell.

0:08:12 > 0:08:16Call HR. Or, actually, don't - just go. We'll cope.

0:08:16 > 0:08:17Really?

0:08:17 > 0:08:20You could drop dead and AAU would still go on, you know?

0:08:20 > 0:08:22You know, I don't like letting people down.

0:08:24 > 0:08:26What about your family, Michael?

0:08:26 > 0:08:28It's all right to let them down, is it?

0:08:33 > 0:08:36James has gone to try and find some plain biscuits.

0:08:36 > 0:08:38Oh, you should've asked me.

0:08:38 > 0:08:40Always got a little stash of goodies in my bag.

0:08:40 > 0:08:44Not sure coconut snowballs would have done the trick, though.

0:08:44 > 0:08:47- A glass of water would be nice, though.- Sure.

0:08:48 > 0:08:50- SHE RETCHES - Oh...

0:08:53 > 0:08:56I thought the sickness was usually over by 12 weeks.

0:08:56 > 0:08:57You're so unlucky.

0:08:58 > 0:09:02It sounds stupid, but every time I throw up I'm grateful.

0:09:03 > 0:09:05Never thought I'd make it this far.

0:09:05 > 0:09:08I'll put up with anything.

0:09:08 > 0:09:10Just want to keep her safe.

0:09:10 > 0:09:11Course you do.

0:09:12 > 0:09:14I'm sorry if I was a bit hysterical earlier.

0:09:14 > 0:09:18I know all babies are precious, but...

0:09:18 > 0:09:20You've had to really fight for this one.

0:09:24 > 0:09:26THEY CHATTER

0:09:33 > 0:09:36Right. Mr Davies? Thank you.

0:09:36 > 0:09:39Mr Davies, a little souvenir. Well done. Well done.

0:09:39 > 0:09:42See you at Albie's. Drinks are on me.

0:09:43 > 0:09:46They're results are terrific. I'm so proud of them.

0:09:46 > 0:09:50I could murder a rum and coke right now. Double shot. Crushed ice. Lime.

0:09:50 > 0:09:53Big downside of this fat lump.

0:09:53 > 0:09:54They're like my little children,

0:09:54 > 0:09:56making their first steps towards independence.

0:09:56 > 0:09:58They're happy now, but it won't last.

0:09:58 > 0:10:00Soon they'll be as disillusioned as the rest of us.

0:10:00 > 0:10:02Speak for yourself. I couldn't be happier.

0:10:02 > 0:10:04That's the delusional dementia setting in.

0:10:04 > 0:10:07Not even you can burst my bubble today, Jac.

0:10:07 > 0:10:09Wait, this came to me by mistake.

0:10:09 > 0:10:11Thank you.

0:10:14 > 0:10:16Well?

0:10:16 > 0:10:20My log-in's not working, everyone else's was fine.

0:10:20 > 0:10:23All right, well, check the shift key's not locked.

0:10:23 > 0:10:26I spilt some hot chocolate on the keyboard,

0:10:26 > 0:10:28it might be a bit dodgy still.

0:10:29 > 0:10:31There we go.

0:10:34 > 0:10:35That can't be right.

0:10:35 > 0:10:38I'll phone student admin.

0:10:38 > 0:10:40- Don't bother.- Barbara...

0:10:40 > 0:10:42What about the valve replacement? Mo said you could observe.

0:10:42 > 0:10:44There's no point now, is there?

0:10:46 > 0:10:48Look, Barbara...

0:10:52 > 0:10:53I can't.

0:10:53 > 0:10:55You haven't eaten anything in hours, you've got to eat.

0:10:55 > 0:10:57I'll just fill this up for you.

0:11:02 > 0:11:04I'm so sorry.

0:11:04 > 0:11:05What for?

0:11:05 > 0:11:08I shouldn't have snapped at you like that.

0:11:08 > 0:11:10I don't blame you.

0:11:10 > 0:11:13- It's fine.- No, it's not. It's not.

0:11:13 > 0:11:14I'm all over the place.

0:11:14 > 0:11:16It doesn't bother me.

0:11:16 > 0:11:19It should. Me being like this

0:11:19 > 0:11:22when you've been so patient and worked so hard to get us here.

0:11:22 > 0:11:24I know, I'm a saint.

0:11:24 > 0:11:25I'm serious.

0:11:25 > 0:11:28I appreciate everything, I really do.

0:11:28 > 0:11:30It just gets lost sometimes.

0:11:32 > 0:11:34We're going to be fine, OK?

0:11:34 > 0:11:36Once we're out the other side.

0:11:36 > 0:11:38Anyway, you've always been a moody ,

0:11:38 > 0:11:40- I'm sort of used to it by now!- Oi!

0:11:41 > 0:11:45Please, can we go home now? I'm feeling much better.

0:11:45 > 0:11:47I'm going to have to speak to Mr Griffin.

0:11:47 > 0:11:48There's no point.

0:11:48 > 0:11:50SHE RETCHES

0:11:50 > 0:11:53Shh. It's all right. It's all right.

0:11:53 > 0:11:56I'll be back in one sec.

0:11:56 > 0:11:57I'll chase those notes.

0:12:01 > 0:12:04Mr Griffin, I'm worried about Sarah. She's still very nauseous.

0:12:04 > 0:12:06It just doesn't feel right.

0:12:06 > 0:12:08That's why she needs the MRI.

0:12:08 > 0:12:11She won't have it, she's absolutely adamant.

0:12:11 > 0:12:14I think that YOU could persuade her.

0:12:14 > 0:12:15Me?

0:12:15 > 0:12:18Just explain to her that the dangers of a possible head injury

0:12:18 > 0:12:20far outweigh any fears she may have.

0:12:20 > 0:12:24She's putting her baby at risk by refusing to have it.

0:12:24 > 0:12:26They trust you.

0:12:29 > 0:12:31Hey, Annalese, it's me. I've got a surprise for the birthday boy,

0:12:31 > 0:12:33so get him to the computer.

0:12:33 > 0:12:36I'm on the phone to Charlie. Any problems, I'm in my office.

0:12:36 > 0:12:38Huh? What?

0:12:39 > 0:12:43What, it's right now? You didn't tell me that.

0:12:44 > 0:12:48OK, well, just tell me what time is a good time to call.

0:12:48 > 0:12:49All right, 6pm your time.

0:12:49 > 0:12:51Fine, I'll call then.

0:12:51 > 0:12:54Did he get the dinosaurs I sent? Special delivery?

0:12:55 > 0:12:58Will you stop? Of course I take an interest.

0:12:58 > 0:13:02He's a kid, they change their minds all the time...

0:13:02 > 0:13:04Stop trying to guilt-trip me OK? It's ridiculous.

0:13:04 > 0:13:05I am not losing them.

0:13:05 > 0:13:07I'll call you later. OK, bye.

0:13:17 > 0:13:20Radiology can see her now.

0:13:20 > 0:13:23I'd pick you for my netball team every time.

0:13:23 > 0:13:26There was a message for you from Mr Hamilton,

0:13:26 > 0:13:28asking you to call him.

0:13:28 > 0:13:29Thanks.

0:13:29 > 0:13:32Nothing urgent, but he did ask what time your shift finished.

0:13:32 > 0:13:34Ooh! Better call him then, hadn't I?

0:13:38 > 0:13:40OK.

0:13:42 > 0:13:44I'm sorry we've been so awkward.

0:13:44 > 0:13:48You're bound to be anxious. This is a very precious baby.

0:13:48 > 0:13:51- I understand that. - That's why Sarah trusts you.

0:13:52 > 0:13:54Is she discharging herself?

0:13:54 > 0:13:56No. She's going for her MRI.

0:13:56 > 0:13:59How on earth did you manage that?

0:14:00 > 0:14:02I didn't.

0:14:10 > 0:14:12Just relax.

0:14:12 > 0:14:15And we're just through there,

0:14:15 > 0:14:16so we'll see you when you come out.

0:14:25 > 0:14:27This is all my fault.

0:14:27 > 0:14:29Don't be silly.

0:14:29 > 0:14:33I promised Sarah I'd be home by 5pm to help put up the curtains.

0:14:33 > 0:14:34You didn't mean to be late.

0:14:34 > 0:14:35Maybe I did.

0:14:35 > 0:14:39Work can be a bit of a refuge.

0:14:41 > 0:14:44Sometimes I just want our old life back.

0:14:44 > 0:14:46Just me and Sarah.

0:14:47 > 0:14:49Maybe that was enough.

0:14:52 > 0:14:54Have either of you seen Barbara?

0:14:54 > 0:14:57Older lecturer, eager student - it's such an embarrassing cliche.

0:14:57 > 0:14:59- I have warned you before. - Don't be ridiculous.

0:14:59 > 0:15:00You seem very hot and bothered.

0:15:00 > 0:15:03It's called professional concern.

0:15:03 > 0:15:05Congratulations, Mr Hope. An excellent set of results.

0:15:05 > 0:15:07You must be very proud. Rightly so.

0:15:07 > 0:15:10- Thank you, but... - Keep up the good work.

0:15:10 > 0:15:12What's your problem?

0:15:12 > 0:15:14You just got a pat on the back from Darth Vader.

0:15:14 > 0:15:15Barbara failed.

0:15:15 > 0:15:19She must've been distracted by your animal magnetism.

0:15:23 > 0:15:25We've had your MRI results back.

0:15:25 > 0:15:27And?

0:15:27 > 0:15:30There is one area that I'm not 100% happy with,

0:15:30 > 0:15:33but I'm hopeful that it will clear up without intervention.

0:15:33 > 0:15:35So we can go now?

0:15:35 > 0:15:37I'm afraid not. I've spoken to neurosurgery

0:15:37 > 0:15:41and they'd like to keep you in for observation.

0:15:41 > 0:15:45Please? I've had enough of hospitals, and if it's nothing serious...

0:15:45 > 0:15:47We do need to monitor you,

0:15:47 > 0:15:50just to make absolutely sure.

0:15:50 > 0:15:52Nurse Lane, half-hourly neuro-obs, please.

0:15:55 > 0:15:57So you'll be here?

0:15:57 > 0:15:59Yep. All night.

0:15:59 > 0:16:00Look on the bright side,

0:16:00 > 0:16:02you might get a decent sleep without me snoring.

0:16:02 > 0:16:04The obstetrician's on his way down to look at the baby,

0:16:04 > 0:16:06so you'll both be able to say goodnight.

0:16:11 > 0:16:13How was Charlie?

0:16:13 > 0:16:15Haven't been able to speak to him yet.

0:16:15 > 0:16:17Bay two needs an enema.

0:16:17 > 0:16:19- "Please" would be nice.- Please.

0:16:20 > 0:16:23The junkie in bay six says that Hemingway treated him last week

0:16:23 > 0:16:25but I can't find his notes.

0:16:25 > 0:16:28Does this guy EVER do any paper work?

0:16:28 > 0:16:31I mean, maybe that's why he left - couldn't face the backlog.

0:16:31 > 0:16:33Or he just couldn't face you.

0:16:33 > 0:16:35What's your problem?

0:16:35 > 0:16:38My problem is that I shouldn't even be here right now.

0:16:38 > 0:16:41No. You should be with your son on his birthday,

0:16:41 > 0:16:43but you made the choice, Michael, so deal with it.

0:16:47 > 0:16:51Mr Thompson was a star on the breast cancer fun run. He went as Papa Smurf, red leggings and everything.

0:16:51 > 0:16:54The Lycra showed my calf muscles off to perfection.

0:16:54 > 0:16:57Make-up was a nightmare though, I looked blue for weeks.

0:16:57 > 0:16:59Everybody thought I had hypothermia.

0:17:01 > 0:17:03OK, there's the heart beating, look.

0:17:03 > 0:17:06All four chambers present and correct.

0:17:06 > 0:17:07Let's have a listen, shall we?

0:17:09 > 0:17:11Heart rate is normal.

0:17:11 > 0:17:14Nice straight limbs.

0:17:14 > 0:17:16Growth good for dates.

0:17:17 > 0:17:21Come on, you. Don't want to keep still for me, do you?

0:17:21 > 0:17:23- This one's going to be big trouble. - Like her mother.

0:17:23 > 0:17:25THEY LAUGH

0:17:25 > 0:17:28There we go, look - the money shot.

0:17:28 > 0:17:30There's the forehead, there's the nose,

0:17:30 > 0:17:32top and bottom lip.

0:17:32 > 0:17:35Looks pretty perfect to me.

0:17:40 > 0:17:43Michael, Mr Rydell's notes came from St James's.

0:17:43 > 0:17:44Better late than never.

0:17:44 > 0:17:46Looks like he's not going anywhere soon.

0:17:46 > 0:17:48Advanced alcoholic liver disease,

0:17:48 > 0:17:50multiple admissions over the past year

0:17:50 > 0:17:52for GI bleeds and liver failure.

0:17:52 > 0:17:54He's been taken off the transplant list,

0:17:54 > 0:17:55he refuses to stop drinking.

0:17:55 > 0:17:58- Are there any relatives? - The daughter. She's been called.

0:17:58 > 0:18:00- No wife?- My mother's dead.

0:18:01 > 0:18:02I'm very sorry.

0:18:02 > 0:18:04Don't be. He wasn't.

0:18:04 > 0:18:05Maria, right?

0:18:05 > 0:18:07Marie.

0:18:08 > 0:18:09Are you OK?

0:18:09 > 0:18:12He looks...different.

0:18:12 > 0:18:14You've not seen him for a while then?

0:18:14 > 0:18:16Four years.

0:18:16 > 0:18:19Alcoholism goes hand in hand with malnutrition and self-neglect.

0:18:19 > 0:18:23- He's very unwell.- I was told he was dying, that's why I came.

0:18:23 > 0:18:26His cirrhosis is permanent and advanced, there no possibility of reversal.

0:18:26 > 0:18:28What does that mean? Today? Tomorrow?

0:18:29 > 0:18:31Um, I couldn't say.

0:18:31 > 0:18:34You can sit and talk with him if you like.

0:18:34 > 0:18:35He might be able to hear you.

0:18:35 > 0:18:38Might not like what I've got to say.

0:18:50 > 0:18:52You better make a move.

0:18:52 > 0:18:54I'm exhausted.

0:18:55 > 0:18:56You must be too.

0:18:59 > 0:19:04You're going to be OK, that's the main thing.

0:19:13 > 0:19:14I'll see you in the morning.

0:19:19 > 0:19:21Mr Thompson thought you might like this.

0:19:21 > 0:19:24Oh!

0:19:25 > 0:19:27There she is!

0:19:30 > 0:19:32MONITORS BEEP

0:19:32 > 0:19:35- Sarah?- Simon! Get Mr Griffin! Now!

0:19:35 > 0:19:37What's happening?

0:19:37 > 0:19:38Sarah? Sarah?

0:20:00 > 0:20:02Hey, where you going?

0:20:02 > 0:20:05- I shouldn't have come. - Wait.- No point.

0:20:05 > 0:20:07He's your father.

0:20:07 > 0:20:08So?

0:20:08 > 0:20:10So you are the next of kin.

0:20:10 > 0:20:12He's dying and he needs you to stick around.

0:20:12 > 0:20:14I needed him, he never cared then.

0:20:14 > 0:20:16Wait, listen...

0:20:18 > 0:20:20He really doesn't have much longer, Marie.

0:20:20 > 0:20:22So you are going to need to face whatever this is

0:20:22 > 0:20:24before it is too late.

0:20:24 > 0:20:25It already is.

0:20:25 > 0:20:27Then why did you come here?

0:20:29 > 0:20:32- MONITOR BEEPS - Flexing to pain.

0:20:32 > 0:20:33One fixed pupil. GCS6.

0:20:33 > 0:20:36BP 97 systolic. Pulse 100.

0:20:36 > 0:20:39- She needs an a CT scan. - What about the risk to the foetus?

0:20:39 > 0:20:42My responsibility is to the mother. I'm prioritising the head injury.

0:20:42 > 0:20:45- I'll call down.- Can someone please tell me what's going on?

0:20:45 > 0:20:49- We need to take a look at Sarah's injury.- I'm not leaving her. - It won't take long.- Sarah, Sarah,

0:20:49 > 0:20:52it's going to be fine. It's going to be OK, darling.

0:20:52 > 0:20:53Mr Harpen.

0:21:12 > 0:21:13You all right?

0:21:15 > 0:21:17Yeah, why wouldn't I be?

0:21:17 > 0:21:19I'd like to think we were friends.

0:21:19 > 0:21:21So if there's anything I can do...

0:21:22 > 0:21:24Actually, Chrissie, there is.

0:21:24 > 0:21:27Why don't you keep your nose out my business

0:21:27 > 0:21:29and get everybody off my back, yeah?

0:21:35 > 0:21:38It's an extradural haematoma.

0:21:38 > 0:21:39We need to get her into theatre.

0:21:39 > 0:21:41I'll call neurosurgery.

0:21:41 > 0:21:45Sorry, Mr Griffin, I couldn't keep her husband on the ward.

0:21:45 > 0:21:48- He's outside.- It's not good news.

0:21:48 > 0:21:50The area has extended into a bleed,

0:21:50 > 0:21:53which is putting pressure on the brain.

0:21:53 > 0:21:54You can see it here.

0:21:54 > 0:21:56Extradural haematoma post head injury.

0:21:56 > 0:21:58Are you going to speak to Mr Harpen?

0:21:58 > 0:22:01I need you to do that.

0:22:01 > 0:22:04- But...- Tell him Sarah's had a bleed to the brain

0:22:04 > 0:22:07which requires immediate surgery.

0:22:07 > 0:22:09- We'll update him as soon as we know more.- OK.

0:22:09 > 0:22:11Now, don't give him any false hope.

0:22:11 > 0:22:14This could be extremely serious.

0:22:14 > 0:22:16Thanks. We'll expect him in five.

0:22:19 > 0:22:21Wouldn't it be better if I spoke to him?

0:22:21 > 0:22:24She's formed a bond with the family. They trust her.

0:22:24 > 0:22:27She's perfectly capable.

0:22:27 > 0:22:28I hope you're right.

0:23:06 > 0:23:09I couldn't breathe. Sorry, I had to get some air.

0:23:09 > 0:23:10I understand.

0:23:10 > 0:23:12What, that I'm a coward?

0:23:12 > 0:23:14Course not.

0:23:14 > 0:23:15I hate myself sometimes.

0:23:17 > 0:23:20Come on. Let's get you back inside.

0:23:21 > 0:23:23It's bad, isn't it?

0:23:23 > 0:23:25Otherwise you'd have said something.

0:23:26 > 0:23:28She's lost the baby, hasn't she?

0:23:28 > 0:23:31No. No, it's not the baby.

0:23:33 > 0:23:36Sarah's had a bleed in her brain.

0:23:39 > 0:23:41But she's going to be OK though?

0:23:41 > 0:23:43She needs some surgery to drain it.

0:23:45 > 0:23:48But she's going to be all right?

0:23:48 > 0:23:50Mr Griffin will explain.

0:23:50 > 0:23:51That's not what I asked.

0:23:51 > 0:23:53I can't say any more, I'm afraid.

0:23:53 > 0:23:57So you know something but you're not saying,

0:23:57 > 0:24:02- or you don't know anything, so you're not saying anything? - Mr Griffin has got all the facts.

0:24:02 > 0:24:04Is she going to die?

0:24:04 > 0:24:06I asked you a simple question.

0:24:09 > 0:24:11I'm sure she'll be fine.

0:24:13 > 0:24:14Come on...

0:24:14 > 0:24:16Let's go back inside.

0:25:00 > 0:25:04KNOCK AT DOOR Come in!

0:25:04 > 0:25:08Ah, I thought maybe we could do with a little family-bonding moment.

0:25:09 > 0:25:11Unless you would prefer the lecture?

0:25:11 > 0:25:14I'm just finishing my shift.

0:25:14 > 0:25:17Come on, guys, look, we've had a rough couple of hours,

0:25:17 > 0:25:19things got pretty snappy.

0:25:19 > 0:25:22I thought maybe we could enjoy a midnight feast.

0:25:22 > 0:25:25Sorry to be a killjoy, but we've got patients that are actually ill and dying.

0:25:25 > 0:25:28Well, in the bad old days when I used to work night shift,

0:25:28 > 0:25:30things were usually pretty quiet.

0:25:30 > 0:25:33- If there's a problem they know where to find us.- I've got dinner waiting for me at home.

0:25:33 > 0:25:37Sacha will eat it! He's a double-dinner kind of guy. Please?

0:25:37 > 0:25:39I'm missing my family.

0:25:39 > 0:25:41Humour me.

0:25:44 > 0:25:46I'm so sorry you have to see her in here,

0:25:46 > 0:25:48we're still waiting for a bed in intensive care.

0:25:51 > 0:25:54Before we go in, I should warn you,

0:25:54 > 0:25:57that Sarah has had serious head surgery and...

0:25:59 > 0:26:02it may look quite shocking.

0:26:02 > 0:26:08There's no rush, James. You can do this in your own time.

0:26:08 > 0:26:10No, I'm ready.

0:26:10 > 0:26:11OK.

0:26:25 > 0:26:27We did everything we could.

0:26:28 > 0:26:29I don't understand.

0:26:31 > 0:26:32The emergency CT scan

0:26:32 > 0:26:36revealed that the small area that we saw on the MRI

0:26:36 > 0:26:40had extended rapidly into a massive bleed.

0:26:40 > 0:26:42The neurosurgeon did his best

0:26:42 > 0:26:44to relieve the pressure on the brain, but...

0:26:45 > 0:26:47But she's still breathing?

0:26:47 > 0:26:50The machine is breathing for her.

0:26:50 > 0:26:53I know this is extremely painful,

0:26:53 > 0:26:55but there is no hope.

0:26:56 > 0:26:58I'm so sorry...

0:26:58 > 0:27:00But you said she'd be fine.

0:27:04 > 0:27:05I don't understand.

0:27:10 > 0:27:15I'm tempted to offer you some cake, but Charlie hasn't seen it yet.

0:27:16 > 0:27:17What about you, Eddi?

0:27:17 > 0:27:21Are you tempted to start a family in the not-too-distant future?

0:27:21 > 0:27:22I'm not that big on family, thanks.

0:27:24 > 0:27:26You might change your mind if you met the right bloke.

0:27:26 > 0:27:28Maybe you already have.

0:27:28 > 0:27:30What is this?

0:27:30 > 0:27:32Come on, we're all friends.

0:27:32 > 0:27:36Come on, you must know something. Is Luc coming back, or isn't he?

0:27:36 > 0:27:38I kind of miss his bizarre charm.

0:27:38 > 0:27:41I promise you it won't go outside this room.

0:27:41 > 0:27:44Says Chrissie Williams, the soul of discretion.

0:27:45 > 0:27:47OK, that's it. I'm going.

0:27:47 > 0:27:48I've got a real family to go home to.

0:27:50 > 0:27:51That went well.

0:27:51 > 0:27:53Not exactly what I had in mind.

0:27:56 > 0:27:59Ah, the victim of Elliot's irresistible charms returns.

0:27:59 > 0:28:01I can see it, actually.

0:28:01 > 0:28:02You're joking?

0:28:04 > 0:28:07I like a man with a bit of beef. What's wrong with that?

0:28:14 > 0:28:16I'm sorry about earlier.

0:28:16 > 0:28:20You're here now. That's the main thing.

0:28:25 > 0:28:27Thanks.

0:28:29 > 0:28:33Barbara, this is not the end of the world, you can re-take.

0:28:33 > 0:28:36- I'm not sure I want to.- Why not?

0:28:37 > 0:28:42When my mum died I used the money that she left me to train.

0:28:42 > 0:28:46She always thought I could be a doctor, but...

0:28:46 > 0:28:49I married young, had kids...

0:28:49 > 0:28:52She never said anything, but I knew I'd let her down.

0:28:52 > 0:28:54I was just trying to make her proud.

0:28:54 > 0:28:58- And you will. - I was the only one who failed.

0:28:58 > 0:29:01I just don't understand it. What happened?

0:29:01 > 0:29:04I don't know. When I get in exams I just freak out

0:29:04 > 0:29:08and I panic, go blank.

0:29:09 > 0:29:12We're using her like an incubator.

0:29:12 > 0:29:18But if we could manage to maintain her for a couple of weeks...

0:29:18 > 0:29:20And what's the likelihood of that?

0:29:20 > 0:29:23We'd just be prolonging the grieving process.

0:29:26 > 0:29:29Surely the baby deserves a chance.

0:29:29 > 0:29:33Chantelle, there's nothing more for you to do here.

0:29:33 > 0:29:34Please, I need to speak to him.

0:29:34 > 0:29:37I don't think that's a good idea.

0:29:37 > 0:29:39- But I didn't mean to...- I'm sure you had the best of intentions,

0:29:39 > 0:29:43but you can't just tell people what they want to hear.

0:29:43 > 0:29:48We need him on-side with our informed clinical decisions.

0:29:50 > 0:29:52Why don't you go back to Keller?

0:29:52 > 0:29:54Mr Griffin, please!

0:30:06 > 0:30:08Yeah, Sarah Harpen.

0:30:08 > 0:30:11Just wondering if there's any news on a donor card? Cheers.

0:30:13 > 0:30:14I'm looking for Mr Hope.

0:30:14 > 0:30:17- And you are?- Craig. Alcock.

0:30:17 > 0:30:18Barbara's husband.

0:30:18 > 0:30:20Down the corridor. Straight ahead.

0:30:20 > 0:30:22Thanks.

0:30:26 > 0:30:28The plot thickens.

0:30:28 > 0:30:30Still eating?

0:30:32 > 0:30:35My family's really important to me. I feel like I'm letting them down.

0:30:35 > 0:30:39- No absolutely, I understand. - I thought you'd gone.- Mr Hope?

0:30:39 > 0:30:40That's right.

0:30:40 > 0:30:42This is Craig, my...

0:30:42 > 0:30:43Husband.

0:30:43 > 0:30:44Ah.

0:30:44 > 0:30:46Look. I'll see you outside, yeah?

0:30:46 > 0:30:48I just wanted to help you sort this out.

0:30:48 > 0:30:50- I can handle it, thank you. - Thing is,

0:30:50 > 0:30:53Barbara always over-thinks things,

0:30:53 > 0:30:54doesn't know what makes her happy so...

0:30:54 > 0:30:57- Mr Hope doesn't need to hear this.- No, it's fine.

0:30:57 > 0:31:01She's not coping. She called me earlier on, in tears.

0:31:01 > 0:31:04She's given it a go and it's not worked out. There's no shame in that.

0:31:04 > 0:31:06I haven't decided anything yet.

0:31:06 > 0:31:10Barbara is one of my best students. All she lacks is confidence.

0:31:10 > 0:31:12You seem to be taking a very personal interest,

0:31:12 > 0:31:14if you don't mind me saying.

0:31:15 > 0:31:17It's pretty late, don't see any other students here.

0:31:17 > 0:31:19Mr Hope, I'm so sorry about this.

0:31:19 > 0:31:22Attractive woman. Separated, vulnerable.

0:31:22 > 0:31:24- It's time to go! - What are you really after?

0:31:24 > 0:31:27I just want her to realise her potential.

0:31:27 > 0:31:30I think I know what's best for my wife, OK? So just back off.

0:31:30 > 0:31:32Craig.

0:31:49 > 0:31:51I wish Mum was still here.

0:31:51 > 0:31:54Just to get the satisfaction.

0:31:55 > 0:31:58I watched her die,

0:31:58 > 0:32:00the cancer eating her up,

0:32:00 > 0:32:05and you never came. Not once.

0:32:05 > 0:32:09I was 15 years old, how could you do that?

0:32:09 > 0:32:12No. It's not that easy.

0:32:13 > 0:32:15I haven't finished yet.

0:32:15 > 0:32:17HE CHOKES

0:32:17 > 0:32:18MONITORS BEEP

0:32:18 > 0:32:22Help, Help me, someone!

0:32:29 > 0:32:33Hey, buddy! Happy Birthday!

0:32:33 > 0:32:35Hi, Daddy!

0:32:35 > 0:32:39How are you? You look great!

0:32:39 > 0:32:41Sorry, it's Mr Rydell...

0:32:41 > 0:32:45- Perfect timing(!)- I wouldn't have interrupted unless it was urgent.

0:32:45 > 0:32:47Look, you can't give me five minutes?

0:32:47 > 0:32:51- He might be dead in five minutes. - All right, fine. Hey, hey, Charlie?

0:32:51 > 0:32:54- Yes?- I just need to do something, OK?

0:32:54 > 0:32:57So just wait right there. Don't go anywhere, OK?

0:32:57 > 0:32:59Where's Daddy?

0:33:06 > 0:33:09Aren't you coming, Nurse Lane? I understand you were involved.

0:33:09 > 0:33:11Coming where?

0:33:11 > 0:33:14Mr Griffin's called an emergency MDT meeting to decide the way forward.

0:33:14 > 0:33:16I wasn't invited, Mr Hanssen.

0:33:16 > 0:33:18Must be an oversight on his part.

0:33:18 > 0:33:21Those involved in the patient's care should attend the meeting.

0:33:21 > 0:33:23I'll see you in there.

0:33:30 > 0:33:34Well, you look like you're in need of some serious caffeine.

0:33:34 > 0:33:36Thank you, Jac.

0:33:36 > 0:33:37Didn't go too well then?

0:33:37 > 0:33:39Your little marriage guidance session.

0:33:39 > 0:33:41I saw them leaving.

0:33:41 > 0:33:43I wouldn't care so much if she wasn't such a good doctor.

0:33:43 > 0:33:45It's a terrible waste.

0:33:45 > 0:33:48So what are you waiting for? Draw up a study schedule.

0:33:48 > 0:33:52Set weekly hours of one-to-one private tuition,

0:33:52 > 0:33:55which I know you'll enjoy, even if she doesn't.

0:33:55 > 0:33:57In a couple of months she'll be back on track. Simple.

0:33:57 > 0:33:59PAGER BEEPS

0:33:59 > 0:34:02That's our therapy session over. Send me the cheque in the post.

0:34:02 > 0:34:05Jac, as ever, you're a genius.

0:34:05 > 0:34:07I know.

0:34:15 > 0:34:17Come on!

0:34:19 > 0:34:21Damn it! I can't get control of this bleed.

0:34:21 > 0:34:24BP's dropping, 90/60.

0:34:24 > 0:34:27There is one more thing we can try. Sengstaken tube insertion.

0:34:27 > 0:34:30It might buy him 24 hours so he can speak to his daughter.

0:34:30 > 0:34:32Haven't seen one of those for years.

0:34:32 > 0:34:34Well, desperate times call for desperate measures.

0:34:34 > 0:34:38Can you take a hold of that, please? Let's page the anaesthetist.

0:34:38 > 0:34:41Let's get him intubated. Back in a few minutes.

0:34:45 > 0:34:47- How is he? - We're doing everything we can.

0:34:47 > 0:34:51If he stopped drinking now, might it give him another chance?

0:34:51 > 0:34:55Listen, your father was offered that chance,

0:34:55 > 0:34:58a transplant, but he refused to stop drinking,

0:34:58 > 0:34:59so he's been taken off the list.

0:34:59 > 0:35:01So he chose to die.

0:35:01 > 0:35:04Well, it's not that simple, alcoholism is a disease.

0:35:06 > 0:35:08Do you have children?

0:35:08 > 0:35:10Ah, yeah, but...

0:35:10 > 0:35:11Bet they're the centre of your world.

0:35:13 > 0:35:15Of course.

0:35:15 > 0:35:17Will you excuse me for a moment?

0:35:31 > 0:35:33As Ms Swain has just pointed out,

0:35:33 > 0:35:35keeping Mrs Harpen on life support

0:35:35 > 0:35:38would require the maintenance of a multi-disciplinary team.

0:35:38 > 0:35:40It'd be a huge drain on equipment and resources,

0:35:40 > 0:35:42we have to take that into consideration...

0:35:42 > 0:35:44Sorry I'm late.

0:35:44 > 0:35:46Chantelle. Welcome.

0:35:46 > 0:35:48Come in, Nurse Lane.

0:35:53 > 0:35:55So, Mr Griffin, your thoughts, please.

0:35:55 > 0:35:58Sarah Harpen is my patient

0:35:58 > 0:36:01and we are here to discuss her best interests.

0:36:01 > 0:36:03As you know,

0:36:03 > 0:36:07until a baby is delivered, it has no legal rights.

0:36:07 > 0:36:13Therefore the debate whether to keep the mother alive as an incubator

0:36:13 > 0:36:16is an ethical rather than a legal one.

0:36:16 > 0:36:18Mr Thompson?

0:36:18 > 0:36:22Well, at 25 weeks we would normally deliver the baby as a matter of course.

0:36:22 > 0:36:25However, a foetus of this gestation, though viable,

0:36:25 > 0:36:29is statistically at a high risk of respiratory complications,

0:36:29 > 0:36:32mental retardation, even blindness.

0:36:32 > 0:36:35And given the tragic circumstances of the mother's death,

0:36:35 > 0:36:40I understand that it's not unlikely to have to been starved of oxygen?

0:36:40 > 0:36:41The outcome is pretty bleak, yes.

0:36:41 > 0:36:44But having said that,

0:36:44 > 0:36:45if there was no oxygen deprivation

0:36:45 > 0:36:48and we were able to keep the mother on life support

0:36:48 > 0:36:49for a reasonable period of time,

0:36:49 > 0:36:51then the baby would have a fighting chance.

0:36:51 > 0:36:55My concern is that keeping Sarah alive gives her husband false hope,

0:36:55 > 0:36:58when we can offer him no guarantee

0:36:58 > 0:37:01of a reasonable - let alone a good - outcome.

0:37:01 > 0:37:02There's no getting away from the fact

0:37:02 > 0:37:06that this baby is at significant risk of major disability.

0:37:06 > 0:37:09You've seen it before, Ric, we all have.

0:37:09 > 0:37:11We need to think very carefully

0:37:11 > 0:37:14whether it is right to prolong the father's distress like this

0:37:14 > 0:37:18when the baby's death or severe physical or mental impairment

0:37:18 > 0:37:22is statistically the most likely consequence of our intervention.

0:37:22 > 0:37:26Much as I'd like to, I can't argue with the statistics.

0:37:29 > 0:37:32I believe we should let nature take its course.

0:37:32 > 0:37:36Allow this baby a gentle, comfortable death.

0:37:36 > 0:37:40And Mr Harpen can grieve for his terrible loss.

0:37:43 > 0:37:45Does anyone have anything to add?

0:37:45 > 0:37:47Yes. I do.

0:37:49 > 0:37:53I believe I got to know Sarah Harpen better than any of you.

0:37:53 > 0:37:56So if no-one is going to stand up for what she would've wanted,

0:37:56 > 0:37:57I will.

0:37:57 > 0:38:00This baby was much longed for.

0:38:00 > 0:38:03With Sarah's medical history, almost a miracle.

0:38:03 > 0:38:06And we all witnessed her drive to protect her.

0:38:06 > 0:38:09Her initial refusal of MRI proved that with every decision

0:38:09 > 0:38:10she put her baby first.

0:38:10 > 0:38:11Mr Griffin, you said that

0:38:11 > 0:38:13if we were able to maintain Sarah on life support

0:38:13 > 0:38:16then the baby might have a chance.

0:38:16 > 0:38:20Sure there'd be a chance but, as Ms Campbell has pointed out,

0:38:20 > 0:38:22extremely unlikely.

0:38:22 > 0:38:25It is very unusual for anyone with brain stem death

0:38:25 > 0:38:27to be maintained for longer than 48 hours.

0:38:27 > 0:38:30A timeframe that would make no difference to the outcome for this baby.

0:38:30 > 0:38:32found these online

0:38:32 > 0:38:35and some of the mothers were kept alive for four weeks or more,

0:38:35 > 0:38:37allowing their babies to develop almost to term.

0:38:37 > 0:38:40These cases are extremely rare.

0:38:40 > 0:38:43I understand that. But who's to say that Sarah can't be one of them?

0:38:43 > 0:38:44It's a fair point.

0:38:44 > 0:38:47What if the doctors had dismissed the potential of these babies

0:38:47 > 0:38:49like you're doing now?

0:38:53 > 0:38:58Well, Mr Griffin. Your patient, you have the final say.

0:38:58 > 0:39:01Either way, you will have to obtain the husband's consent.

0:39:04 > 0:39:05What a waste of a life.

0:39:05 > 0:39:08People often keep doing things they shouldn't.

0:39:08 > 0:39:10He has a daughter, that's something to live for.

0:39:12 > 0:39:14You know, all that girl wanted was an OK Dad

0:39:14 > 0:39:16and she got stuck with him.

0:39:17 > 0:39:18OK, tube is ready to go.

0:39:28 > 0:39:31They've decided to keep Sarah on life support

0:39:31 > 0:39:34to give your baby the best possible chance.

0:39:41 > 0:39:43What if I say no?

0:39:45 > 0:39:49They can't do anything without your consent.

0:39:51 > 0:39:52She's suffered enough.

0:39:54 > 0:39:58Look at her. I should just let her go.

0:39:59 > 0:40:01Bring this complete nightmare to an end.

0:40:01 > 0:40:03What about your baby?

0:40:03 > 0:40:05I don't care about the baby.

0:40:05 > 0:40:07She's still a part of Sarah.

0:40:07 > 0:40:08She's the reason I've lost her.

0:40:08 > 0:40:10You can't think like that.

0:40:10 > 0:40:11Can't I?

0:40:11 > 0:40:15What gives you the right to tell me how to think?

0:40:15 > 0:40:17Nothing. Sorry.

0:40:20 > 0:40:22It doesn't make any sense.

0:40:24 > 0:40:28She was fine this morning, and now...

0:40:33 > 0:40:35Sarah said you had a name for the baby,

0:40:35 > 0:40:38wanted to keep it a surprise.

0:40:43 > 0:40:44Molly.

0:40:47 > 0:40:49It was always Molly.

0:40:54 > 0:40:57Hey, Annalese...

0:40:57 > 0:41:00Whoa, take it easy. Hey, listen!

0:41:00 > 0:41:03There was a guy dying, I work in a hospital,

0:41:03 > 0:41:05I'm a doctor, what else am I supposed to do?

0:41:05 > 0:41:08This is ridiculous! Just put Charlie on, all right?

0:41:09 > 0:41:10Oh, really?

0:41:10 > 0:41:14Or did you tell him that he doesn't want to talk to me?!

0:41:14 > 0:41:17Look, Annalese, I said I'm sorry. No, no way...

0:41:17 > 0:41:19He's just up there.

0:41:19 > 0:41:21Because he's still my son too...

0:41:22 > 0:41:23You OK?

0:41:23 > 0:41:25Yeah, never better.

0:41:27 > 0:41:28You don't look it.

0:41:28 > 0:41:32You want me to spill my guts to satisfy your curiosity?

0:41:32 > 0:41:35You're not the only person who needs their privacy respected.

0:41:36 > 0:41:39Is she OK?

0:41:39 > 0:41:41So far so good.

0:41:42 > 0:41:45Hey, I thought you were jolly brave in that meeting in there.

0:41:45 > 0:41:47Certainly gave Ms Campbell a run for her money, didn't you?

0:41:52 > 0:41:54- Mr Thompson? - Get Mr Griffin. Now, please.

0:41:54 > 0:41:56I rang earlier about a donor card...

0:41:56 > 0:41:57Mr Griffin! There's a problem!

0:42:02 > 0:42:05Placental abruption. Must've been caused by the same fall.

0:42:05 > 0:42:07Why wasn't this picked up earlier?

0:42:07 > 0:42:10It's small now, it would've been virtually undetectable on the first scan,

0:42:10 > 0:42:14but it's getting bigger, you see, there and there.

0:42:14 > 0:42:18My concern is that the baby isn't being properly oxygenated.

0:42:31 > 0:42:35Hey, it's not over yet.

0:42:37 > 0:42:40He had the chance to live, right? Start again?

0:42:42 > 0:42:44Yeah, in theory.

0:42:44 > 0:42:46But he didn't take it.

0:42:47 > 0:42:50So now I know he never loved me.

0:42:52 > 0:42:53That's all I came here for.

0:42:57 > 0:42:59Really not looking good, I'm afraid.

0:43:00 > 0:43:03There must be something you can do, Mr Griffin.

0:43:03 > 0:43:05The placenta is peeling away from the uterus wall

0:43:05 > 0:43:08causing severe bleeding, there is no surgical solution.

0:43:08 > 0:43:10We're running out of time.

0:43:16 > 0:43:22Mr Harpen, your wife is suffering from a placental abruption,

0:43:22 > 0:43:24which we cannot control.

0:43:24 > 0:43:28We have a stark choice - to deliver the baby, or not.

0:43:28 > 0:43:31I'm afraid, if we're talking statistics,

0:43:31 > 0:43:3766% of all babies born at 25 weeks don't survive to leave the hospital.

0:43:37 > 0:43:40- Which means 34% do.- Chantelle.

0:43:40 > 0:43:42MONITORS BEEP

0:43:42 > 0:43:44She's tachycardic. BP dropping. Come on, Ric.

0:43:44 > 0:43:47Mr Harpen, you have a very difficult choice.

0:43:47 > 0:43:51Either we turn off the life support and let them both go,

0:43:51 > 0:43:53or we attempt to deliver the baby.

0:43:53 > 0:43:56Now, delivery does not guarantee survival

0:43:56 > 0:43:57and even if the baby does survive,

0:43:57 > 0:43:59there may well be serious health implications...

0:43:59 > 0:44:02do you understand?

0:44:02 > 0:44:05If this baby is to stand any chance we need to operate now.

0:44:05 > 0:44:07Molly's already proved how tough she is to get this far.

0:44:07 > 0:44:12I know it's hard, but think really carefully.

0:44:12 > 0:44:13What would Sarah want you to do?

0:44:20 > 0:44:22Operate.

0:44:26 > 0:44:28Suction.

0:44:28 > 0:44:29Fundal pressure, please.

0:44:57 > 0:44:59Have you seen my jacket?

0:45:03 > 0:45:05Thanks.

0:45:05 > 0:45:08It's hard to move on without closure.

0:45:08 > 0:45:12But I've got closure, that's the point.

0:45:12 > 0:45:15I spent my whole life with this stupid fantasy

0:45:15 > 0:45:17that maybe he did love me,

0:45:17 > 0:45:19that he'd come back and make it all better.

0:45:20 > 0:45:23The man in that bed...

0:45:23 > 0:45:25he was never my dad.

0:45:25 > 0:45:31Not really. Just worked and drank.

0:45:31 > 0:45:33That was his life.

0:45:36 > 0:45:38I wish I hated him,

0:45:38 > 0:45:40that would be easier.

0:45:40 > 0:45:42But I just feel...

0:45:42 > 0:45:44nothing.

0:45:45 > 0:45:50- He made some wrong choices.- Choices have consequences. He made his.

0:45:50 > 0:45:52I've made mine.

0:45:57 > 0:46:00What about when it's over?

0:46:00 > 0:46:02They won't just...?

0:46:02 > 0:46:04They won't do anything without you being there.

0:46:08 > 0:46:12Mr Harpen, your baby has something called

0:46:12 > 0:46:14respiratory distress syndrome,

0:46:14 > 0:46:16her lungs are very underdeveloped.

0:46:16 > 0:46:21They're struggling to provide enough oxygen to the rest of the body.

0:46:21 > 0:46:24But she's got a chance? You said it was the right thing.

0:46:24 > 0:46:26She's very unwell.

0:46:28 > 0:46:31In the specialist's opinion, she may only have hours to live.

0:46:33 > 0:46:35I'm very sorry.

0:46:37 > 0:46:40I should have never listened to you.

0:46:40 > 0:46:41There's still a chance.

0:46:41 > 0:46:43Don't say that! There isn't...

0:46:43 > 0:46:44Is there?

0:46:45 > 0:46:47You need to see her now.

0:46:47 > 0:46:51What? And watch her struggling for every last breath?

0:46:51 > 0:46:52I could've stopped her suffering.

0:46:55 > 0:46:57You leave me alone.

0:47:03 > 0:47:05Chantelle.

0:47:05 > 0:47:07You have to understand,

0:47:07 > 0:47:09we must never allow emotion

0:47:09 > 0:47:11to influence our professional judgement.

0:47:11 > 0:47:16- I had to do what I believed was right.- By pressuring him into a decision he wouldn't have made?

0:47:16 > 0:47:18You told me to stand up for myself, Mr Griffin.

0:47:18 > 0:47:20To find my voice.

0:47:20 > 0:47:23I know Sarah would've wanted Molly to have a chance.

0:47:23 > 0:47:25And it's not over yet.

0:48:03 > 0:48:05ICU have got a bed ready for Mr Rydell,

0:48:05 > 0:48:07so I'll take him up.

0:48:07 > 0:48:08Any sign of his daughter?

0:48:08 > 0:48:11You just can't let that bedside reconciliation scene go,

0:48:11 > 0:48:12can you, Michael?

0:48:12 > 0:48:14That's me. Hollywood ending all the way.

0:48:14 > 0:48:17I'll tell you what, I'll get you breakfast when you come back.

0:48:17 > 0:48:18No, thanks. I'm going to go home.

0:48:18 > 0:48:21Lucky you. Sacha's called in sick, so I've got to wait for cover.

0:48:21 > 0:48:24Good luck. Then what?

0:48:24 > 0:48:26On call all week, probably the weekend.

0:48:26 > 0:48:29Go home, Michael.

0:48:29 > 0:48:31I just told you...

0:48:31 > 0:48:32No.

0:48:32 > 0:48:34I mean, go HOME home.

0:48:36 > 0:48:39Just replace "liver failure" with "stress-induced heart attract"

0:48:39 > 0:48:41and that could be you.

0:48:41 > 0:48:42And for what?

0:48:42 > 0:48:46I mean, what's the point if no-one cares if you live or you die?

0:48:59 > 0:49:02MONITOR ALARM BEEPS

0:49:26 > 0:49:28Morning.

0:49:32 > 0:49:36Hope you don't mind. I didn't know where else to go.

0:49:36 > 0:49:39It's good to see you. Come in, come in.

0:49:43 > 0:49:45It's obviously complicated.

0:49:45 > 0:49:49I'm just trying to better myself, you know,

0:49:49 > 0:49:53make the most of whatever talents my mother believed I had.

0:49:53 > 0:49:55But what if Craig's right?

0:49:55 > 0:49:58What if I am living my mother's dream and not mine?

0:49:58 > 0:50:00You don't sound very sure.

0:50:00 > 0:50:01I messed up, Mr Hope.

0:50:01 > 0:50:04Who's to say that it's not going to happen again?

0:50:04 > 0:50:10You know, Craig's doing well now, I'd be taken care of...

0:50:10 > 0:50:12No stress, no pressure.

0:50:12 > 0:50:14What's wrong with that?

0:50:14 > 0:50:17Nothing. If that's what you want.

0:50:17 > 0:50:20But I'm not convinced that it is.

0:50:23 > 0:50:25What's this?

0:50:25 > 0:50:29It's a study schedule that I am prepared to commit to,

0:50:29 > 0:50:30if you are.

0:50:30 > 0:50:33Together we could get you back on track within a few weeks.

0:50:35 > 0:50:38I believe in your talent. Just as your mother did.

0:50:40 > 0:50:43But you have a duty to serve that talent.

0:50:43 > 0:50:44Not throw it away.

0:51:28 > 0:51:32BEEPING SLOWS

0:51:32 > 0:51:34MONITOR FLATLINES

0:51:51 > 0:51:54James... please.

0:51:58 > 0:52:00I asked you to leave me alone.

0:52:02 > 0:52:04It's the baby.

0:52:18 > 0:52:22Got yourself a very special young lady here, you know.

0:52:22 > 0:52:25It was a bit touch and go at first,

0:52:25 > 0:52:27but her breathing's much better,

0:52:27 > 0:52:31the ventilator's doing less of the work now.

0:52:32 > 0:52:34Looks like she's in for the long haul.

0:52:34 > 0:52:36Thank you! Thank you so much.

0:52:41 > 0:52:43So...

0:52:43 > 0:52:46here she is.

0:52:46 > 0:52:50Molly, meet Daddy.

0:52:50 > 0:52:53- Daddy, meet Molly.- She's so tiny.

0:52:53 > 0:52:55You can touch her hand if you like.

0:52:57 > 0:52:58I'm not sure.

0:53:03 > 0:53:05She's tougher than she looks.

0:53:08 > 0:53:12Sarah always knew this day would come,

0:53:12 > 0:53:14she refused to give up hope.

0:53:16 > 0:53:20All I'm saying is that the decision to let nature take its course

0:53:20 > 0:53:22was the correct one statistically,

0:53:22 > 0:53:24Yeah, perhaps. But what about morally?

0:53:24 > 0:53:27Shouldn't medicine be about more than numbers?

0:53:27 > 0:53:31Yes, but if we rely on fact, not emotion,

0:53:31 > 0:53:36then we are statistically more likely to achieve the best outcome

0:53:36 > 0:53:37for our patients.

0:53:37 > 0:53:39What about hope against the odds?

0:53:39 > 0:53:42Without that Molly didn't stand a chance.

0:53:42 > 0:53:45Molly is a statistical anomaly.

0:53:45 > 0:53:48You just made a very lucky call.

0:53:53 > 0:53:57Actually, I think she owes you an apology...

0:53:57 > 0:53:58As do I.

0:53:58 > 0:53:59There's really no need.

0:53:59 > 0:54:03I may not agree with everything that you did

0:54:03 > 0:54:07but I gave you a challenge and you more than rose to it.

0:54:07 > 0:54:09Thanks, Mr Griffin.

0:54:12 > 0:54:15Yeah, that's right. Just the one seat.

0:54:15 > 0:54:18No, it's OK. I'll pick it up at the airport.

0:54:18 > 0:54:22Yeah, mm-hmm. Yes, I understand.

0:54:24 > 0:54:26Mr Hope?

0:54:26 > 0:54:30I'll see you at 3.00 for... complications of aortic stenosis.

0:54:30 > 0:54:34Excellent. Look forward to it. Actually it's...

0:54:34 > 0:54:36Professor Hope now.

0:54:36 > 0:54:39You're sure you're not too grand to teach me now?

0:54:39 > 0:54:41Absolutely.

0:54:41 > 0:54:43Congratulations, Professor.

0:54:43 > 0:54:45Thank you.

0:55:27 > 0:55:30Subtitles by Red Bee Media Ltd