Only You Holby City


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Dan, this is Simon, who will apparently be running the place for

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-the next few weeks.

-We know each other.

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-I don't know about you but I could use a drink.

-Or ten.

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It's a date.

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A date?

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-We can just take it one step at a time.

-I'm not confused,

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I'm not experimenting, I'm not bisexual, I'm gay.

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Your own son.

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Break it up!

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

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I can't do this.

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There is so much blood.

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

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You're not expected to perform a surgery.

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As you're no doubt aware you have a brain tumour.

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You'll need a neurological assessment.

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When we know the results of that,

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then we decide what's the best course of action to take.

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Somebody!

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Help! can you please...

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What's happened?

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I don't know. He's got chest pains, he's not acting like himself.

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OK, go and get some help.

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Tell them we need a wheelchair. Go! Go!

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All right, Slacker. What time d'you call this?

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The joys of shift work.

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And at least you've only got three hours to go.

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Well, actually I was thinking about using my free afternoon

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to cook you dinner.

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You don't have to do that.

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I know, but I wanted too.

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Ahh.

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You two are so sweet.

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Yes, thank you, Chantelle.

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OK, this is Jesse Lambert, 19-years-old, RTA,

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suspected fracture of the right clavicle

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and suspected neck injuries...

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-Bed three please.

-You gotta come find me.

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You get this message, call me back, yeah, I'm...

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-Uh, where am I?

-Keller Ward.

-I'm on Keller Ward.

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-How come he's not on orthopaedics?

-They're rammed and jammed,

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plus his coach was hassling the ED guys, they wanted an orthopod,

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-so guess you were the man for the job.

-Can we get a series of trauma X-rays, please?

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-They should have done them in ED. I'll get on it.

-Thanks.

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Right. Let's get him onto the bed. On my count - one, two...

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As I said, we're full right now... I'll let you know when any bed becomes free.

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Yes, I promise you I'll give a call. OK.

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I've only been gone for five minutes, what's happened?

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Thank you. There's been a hotel fire, ED's sending through over-spill.

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That's it. We're clearly at capacity. Phone through and tell them, please.

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You do realise we don't have any consultants today?

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Mr Levy's kindly agreed to rise to the occasion.

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You can't be expected to run the whole department by yourself!

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Of course not. There're sending a couple of F2s down.

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-You're up to this?

-Course I am.

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Most of it will be mild smoke inhalation. Nothing too taxing. Bed six.

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I don't want you too tired for tonight.

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What? My hot date with my beautiful girlfriend?

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I'm planning to be on tip top form.

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Don't you think we're too old to be referring to each other

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-as boyfriend and girlfriend?

-What would you prefer? Partner?

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No, that's even worse.

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So what's this, you bring your own patients back from holiday?

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This is Francis Houlihan, he's an undertaker.

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-I found him in the car park.

-OK, bed eight's free. Thank you.

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-So what happened?

-I was just walking past and...

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No, a fortnight ago, I'm sitting like a lemon with two coffees, you didn't show.

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Oh, yeah, sorry - something came up.

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I did call you.

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I've been busy.

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I'm sorry for your loss. I recommend cedar rose.

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I don't know what's going on with him. He's just really confused.

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OK, Mr Houlihan, let's get you into bed.

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Get the chest pain sorted out first, shall we?

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I thought I had a high pain threshold - but man, that is evil.

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Nearly there...

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Where've you been?

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I had to talk to the police about the accident. How's he doing?

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I'm Dan Hamilton, the Orthopaedic Consultant.

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-And I take it from the tracksuit that you're Jesse's coach?

-Zahid Khan.

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So, what happened? Jesse said you were driving back from a race meeting

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-when you crashed the car.

-Look, I'm not being funny,

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but maybe you could just focus on doing your job?

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Right, well the bad news is you've fractured your collarbone.

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Fingers crossed, you're not hoping to be fit for the Olympics?

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Jesse didn't qualify for the Olympics this time around.

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The Europeans - that's my thing. Ten months' time.

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We're busy training for that, aren't we, Coach?

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-How long are we looking at here?

-Well, it may well heal of its own accord,

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but you'll need to take things easy for a few weeks.

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-We'll have to do another scan to check that out.

-What about my neck?

-Does it hurt?

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I don't know! I can't move it, can I, with this on.

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-Can we lose the collar?

-We'll need to see what the scan shows up first.

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-Look, I know what you orthopods are like.

-Really?

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I've been a trainer for 15 years, I've worked with enough of you.

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Mr Khan? I'm Simon. I was wondering if I could borrow you for a second?

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Just a bit concerned about the cuts on your face.

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-Worried there might be a bit of glass in there.

-I'll be right back.

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Get off.

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Can I ask, does Mr Houlihan have a history of heart disease?

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No. He had a pain in his chest just before he collapsed.

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Well, there are palpitations, but his heart rate's fine.

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We'll run some tests.

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-Did he have to lift anything heavy this morning?

-No.

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So no history of heart disease. Anything else?

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Bowel cancer. Had an operation last year.

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Here?

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Yeah. Mr Hanssen did it.

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Would you bear with me for just two minutes please?

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I don't think his chest pain's connected to his confusion.

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So what we looking at - the cancer's spread to his brain?

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Let's not get ahead of ourselves. Hanssen needs be told that he's here.

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-Absolutely, I'll sort that.

-No, I'll page him.

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Oh, no, it's fine, I'll tell him - I'm going that way anyway.

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Bed one is being discharged -

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could you sign the prescription please?

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Rachel's just left a message - she wants a lift to her mate's tonight.

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And you're going to call her back and tell her that...?

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Her mother can do it for a change

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because her father's going for dinner with his...

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-..lover?

-Seriously?

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-All right, I'll keep working on it.

-No, we are full.

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Bed one's free, it's fine.

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Chrissie will you not worry about this, OK? I'm fine, don't fuss.

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I'm on top of things.

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AAU...

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Right, cheers. What have we got?

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Ella...

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Hi.

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KNOCK ON DOOR

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Come in.

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Yes?

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A Francis Houlihan is on Darwin.

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You treated him about a year ago, a colectomy?

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-He's the undertaker.

-Oh, yes.

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-He's collapsed with chest pains.

-ECG?

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Yes, the usual. He's confused too.

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We're wondering if there's possible brain metastasis.

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No doubt, you've ordered a head CT?

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Dr Valentine is overseeing him for the moment but, yes, no doubt.

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You'll be pleased to hear that your neurologist report has come back clear.

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So you remain free to work at Holby for today.

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Right. That's what I expected, but fantastic.

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I'll just get back to Darwin then.

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It doesn't mean though that your

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future's not still hanging somewhat in the balance, I'm afraid.

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These are all studies of low grade astrocytoma of the temporal lobe -

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my tumour.

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This is a health and safety audit.

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This is a French study into life expectancy.

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Ammunition.

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If you like.

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It's my little library of stuff

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that's not available in standard text books.

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Look, I understand you have serious doubts about me

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continuing to work, but it's what's most important to me, so...

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Well, I'll study them thoroughly.

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Thank you.

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This our Olympian's angiogram?

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He's not quite an Olympian but yeah,

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just a minor tear of the subclavian, nothing desperate.

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I'm more concerned about the neck.

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Oh. And can you get him a scan for that?

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Not yet, no. There's a queue.

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Yes, could be some hours.

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How do you know that?

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I just checked availability for another patient.

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You want to take him and do the subclavian while you're waiting?

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-There's a theatre free.

-No, I'm happy to wait.

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You sure? It's just that he's bleeding and...

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And he's a high-profile patient so why take any risk ?

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High profile? He's hardly Usain Bolt.

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No, I just think from a surgical perspective,

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it would be better to get a wiggle on.

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Let's just wait for the scan, shall we?

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You're the orthopod.

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PHONE RINGS

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Mr Hamilton, so assertive.

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Give it a rest.

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Keller. Simon? Phone for you.

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Hullo, Simon.

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Oh, right, yes...

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I'm so sorry. I had no idea

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they'd bring me in here. I asked...

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Well, you're here now.

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It's just there.

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It's probably just bruising,

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but we'll check it out to be on the safe side.

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And your heel, you said?

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So, you're a chambermaid now?

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Just do the odd shift to help pay my way - take some pressure off.

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What are you doing here?

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Excuse us.

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-What the hell's going on...?

-Oh, God. It's just one of those things.

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She happened to be in the fire. I'm surprised as you are.

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But it's fine. It's fine.

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No. No, it's not fine.

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I'm going to call ED and get her transferred.

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No, no chance, they're jam packed.

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Look, it's not ideal.

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But she's a patient and we're professional.

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So, a chest CT and an X-ray, please.

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Let the F2s deal with her.

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You OK?

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Yeah. Fine. Fine.

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Who was that?

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No-one, nothing. We can talk about it tonight.

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Listen, I was thinking steak. What were you thinking?

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You'd better be a medium rare kind of man, because I am not...

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Simon. Who was that on the phone?

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It was, um, Leeds General.

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What did they want?

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They've offered me a job.

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-What?

-Yeah, It's, a full-time,

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permanent position, on the oncology ward.

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I mean, it's exactly what I wanted. I can't really believe it.

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When? I mean, when do they want you?

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Soon as possible. They said I can start next week.

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Well, I'm only agency here, there's no notice period so,

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this is my last shift.

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What?

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That's great. I'm delighted for you.

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Really. I mean, It's richly deserved.

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Thanks.

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Why's Jesse Lambert nil by mouth?

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Unbelievable.

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Beds three and five, Figgis and Crane, they're being transferred.

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I'm chasing up those scans for Ella.

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The sooner we can get her out of here the better.

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It's not as simple as that.

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Look, she's still complaining of pain

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in the heel and abdomen, apparently. The X-rays are back for her heel, she has a fracture.

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-So, why can't an F2s can deal with it?

-Because there isn't one available right now.

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This isn't right. She left you for dead, Sacha.

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Chrissie. Trust me, OK? It's fine.

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-I looked at the angiogram.

-He's my patient.

-Yeah, but I took a look

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and it seemed to me...

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It seemed to you! This has nothing to do with you. What made you think you

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could just book him in to theatre without consulting me?

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-Ah.

-Mr Malick and I both agreed that the tear was sufficiently serious...

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-Is that right?

-Oh, come on. You know as well as I do, he's got to have surgery sooner or later.

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-We already discussed this.

-Dan, if we get this wrong...

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Yes, I'm fully aware of what the pitfalls are here, thank you.

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The trauma X-ray's fine.

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It's not showing the C6/C7 junction and the odontoid view's poor...

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-But on balance...

-On balance?

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Look, we can easily get Mr Hanssen down here,

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if you'd like another point of view.

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Anyway, he's already heading for anaesthetics, so why wait?

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Thanks for the backup.

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Look, I should have told you I applied. I'm sorry.

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It means I'm going to be close to my family.

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As you said, it's obviously exactly what you want.

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I'm very pleased for you.

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Mrs Houlihan, Henrik Hanssen - you may remember...

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Oh yes, absolutely. Thank you for coming to see him.

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Frannie? Mr Hanssen.

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Pleased to meet you.

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The ECG has come back clear. Chest pain has subsided.

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It's good news - doesn't seem to be a problem with his heart. Possibly a panic attack.

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Which is why I think we should have him transferred to Keller.

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Or not.

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I recommend cedar rose...

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I'm sorry he must think he's at work.

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How long has he been like this? Since before he collapsed today?

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He got people mixed up at work.

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The wrong people in the wrong boxes, if you know what I mean. Not very nice for the relatives.

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I'd been saying to him that he should go see a doctor

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but he wouldn't go.

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Right, excuse me.

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Right, anyone inspired to take a stab at a diagnosis -

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apart from extraordinarily fast acting dementia?

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There's nothing obvious, is there?

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All right, chase up the scanner,

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make sure we do the tumour markers and contact the psychs.

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Let's hope somebody can make inroads with this.

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I've got it.

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So, what happened?

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I was just changing beds when the alarm went off.

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What, and you got out of there smartish?

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I tried. There was so much smoke.

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I couldn't see where I was going and I fell down the stairs.

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It's a broken calcanium, right?

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Fraid so.

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Right. We need an ortho assessment for that and CT, ASAP.

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Sacha, I mean Mr Levy.

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I don't know what to say. About...

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There really is no need.

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No. Please. There is.

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I don't know how you can even talk to me.

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I heard you almost...

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OK, all right, Ella.

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It happened. We all wish it hadn't,

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but it did.

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But the most important thing is we're all OK now.

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You know, I'm getting on with my life.

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And I hope you're getting on with yours, too.

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No doubt you'll have heard I'm facing the music tomorrow.

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My Head of Year's making a decision

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-whether I'm allowed to stay on or not.

-I'm really sorry.

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What have you got to be sorry about?

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The scanner slot's available now.

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Great. Thank you.

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All right, so, what do you want to happen?

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Do you want to leave the course?

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Well, I guess that's up to my Head of Year.

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OK. This might seem like a funny question

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but he sometimes seems like he's hallucinating, so...

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-what about drug use?

-Frannie!

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-I have to ask.

-Does he look like a junkie to you?

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Sometimes people can accidentally take things.

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He's a 63-year-old undertaker, he doesn't go clubbing.

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What about alcohol?

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-What about it!

-OK, I think we get the picture. Shall we leave it there?

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Would you like a cup of coffee Mrs Houlihan? Tara.

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Excuse me.

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You might want to go easy on her, she's rather sensitive.

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-Why, what did I say?

-Just get the coffee, yeah?

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You've got to be kidding me.

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It's just a letter, OK? A recommendation to her Dean...

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Do you realise how busy we are out there.

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Is that really the best use of your time?

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-It'll only take me two minutes.

-Why are you helping her?

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Because I don't want her to throw her entire career away

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-because of one small mistake. That's why.

-Small mistake?!

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-She left you bleeding to death. What did she say?

-Nothing.

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I know you. You're such a soft touch.

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She didn't ask me to do this, OK? I'm doing it because I want to.

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I don't think you should be treating Ella.

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I'll take over her case until we get her transferred. OK?

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Would you excuse me?

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Listen. I've been thinking.

0:19:050:19:08

I don't think you should take the job in Leeds.

0:19:080:19:11

Why?

0:19:110:19:12

I know it's a permanent position,

0:19:120:19:14

but you don't need to worry about money. I'm a consultant.

0:19:140:19:16

-I'm earning more than enough to support us.

-Are you being serious?

0:19:160:19:19

I think it's a mistake to accept the first permanent position

0:19:190:19:22

-when you might be able to find something better.

-Who do you think I am?

0:19:220:19:25

Thank you.

0:19:250:19:27

Jesse's scan.

0:19:270:19:29

-You got a CT slot?

-Yes. Well, no, actually,

0:19:290:19:32

I got him down there straight after his op.

0:19:320:19:34

I knew you had concerns.

0:19:340:19:35

What's wrong?

0:19:470:19:48

The CT scans have shown up a further problem.

0:19:480:19:52

You have something called a PEG fracture.

0:19:520:19:55

What does that mean?

0:19:550:19:56

It's a fracture in the bones of the neck.

0:19:560:19:58

I've broken my neck!

0:19:580:20:00

Essentially, yes.

0:20:000:20:01

Hello. I'd like to confirm my dinner reservation for tonight.

0:20:050:20:09

Williams.

0:20:090:20:11

Yep, for two.

0:20:110:20:13

Thank you.

0:20:130:20:14

So, how am I doing?

0:20:270:20:29

Temperature's up a little.

0:20:290:20:31

You're very lucky having someone like Mr Levy in your life.

0:20:330:20:36

Is that right?

0:20:360:20:38

He's been amazing to me, considering what happened.

0:20:380:20:42

He's a very kind man, isn't he?

0:20:420:20:44

Yes, he is.

0:20:440:20:45

Which also means he's very easy to take advantage of.

0:20:450:20:48

-I'm not...

-I don't want to have this conversation.

0:20:480:20:50

Look. I'm sorry for what happened. I really am.

0:20:500:20:53

But this isn't my fault. I'm not the one who...

0:20:530:20:57

Who what? Who stabbed him?

0:20:570:21:00

You may not have been holding the scalpel,

0:21:000:21:02

but you ARE the one who walked away and left him to die.

0:21:020:21:05

-I know.

-You did nothing.

-I froze...

0:21:050:21:07

The stabbing was an accident. You knew what you were doing.

0:21:070:21:10

Unlike Sacha, I can't just forgive and forget.

0:21:100:21:13

So if you have any compassion at all,

0:21:130:21:15

I would just leave him alone.

0:21:150:21:18

Hanssen tries this with all the new F1s. Sets a little challenge.

0:21:410:21:45

Divide and rule. I suggest we don't play ball -

0:21:450:21:47

we work together, double our resources.

0:21:470:21:49

-Sure.

-So what you got on Mr Houlihan?

0:21:510:21:54

Erm, just papers on hallucinogens. Drug related dysthymia,

0:21:540:21:58

hypomania, GAD, but nothing much matches.

0:21:580:22:01

Could it be alcohol?

0:22:050:22:07

Well, I was asking about that when you...

0:22:070:22:09

PHONE RINGS

0:22:090:22:10

Well why don't we...

0:22:100:22:12

Excuse me. Hello.

0:22:140:22:15

Nurse, can we order a tox screen for Francis Houlihan, please?

0:22:170:22:21

You always do minor surgery first, do you?

0:22:210:22:23

You don't think breaking his neck might've been the bigger deal!

0:22:230:22:26

We just got the scans back.

0:22:260:22:27

the injury didn't show up on the initial X-ray.

0:22:270:22:30

Am I going to be stuck like this!

0:22:300:22:31

No, no, this can be sorted.

0:22:310:22:34

-More surgery?

-We can fit a halo vest.

0:22:340:22:37

What's that?

0:22:370:22:38

It's a brace it stops all the movement

0:22:380:22:39

and allows the bones to heal.

0:22:390:22:41

For how long?

0:22:410:22:43

-Four months, maybe a little longer.

-No way...

0:22:430:22:45

But that's guaranteed to work?

0:22:450:22:47

No, there are no guarantees, I'm afraid.

0:22:470:22:50

So I can forget about the Europeans, right?

0:22:500:22:52

It can't just end here - he has to be able to run.

0:22:520:22:54

You wouldn't understand.

0:22:540:22:56

Yes, he would actually. Mr Hamilton's a sportsman himself.

0:22:560:22:59

So what if it'd been you lying here?

0:22:590:23:01

If someone had told you couldn't do the thing you loved.

0:23:010:23:04

There is another option. Surgery.

0:23:090:23:12

It has a much faster recovery time.

0:23:120:23:14

You could be back doing light training within a month.

0:23:140:23:17

-There we go then. No contest.

-But it's a very dangerous procedure.

0:23:170:23:20

There's a risk it could make things worse.

0:23:200:23:22

-How could it be worse?

-You could end up in a wheelchair or...

0:23:220:23:25

Or what? I could die?

0:23:250:23:29

The risks are significantly greater with this.

0:23:290:23:32

Also, there's a waiting list for spinal neurosurgeons,

0:23:320:23:35

we wouldn't be able to get you in for a couple of days at least.

0:23:350:23:38

And if something happens in the meantime and the injury gets worse,

0:23:380:23:41

you'd be prepared to let that happen?

0:23:410:23:44

Or I could do it - the procedure.

0:23:460:23:49

You'd forgo the spinal neurosurgeon

0:23:490:23:51

but you wouldn't have the risk of waiting.

0:23:510:23:53

Do it.

0:23:550:23:57

I know statistics show that 50% of people

0:24:010:24:04

with your condition die within five years.

0:24:040:24:07

-I've had it for seven with no symptoms.

-You're beating the odds, and long may that continue.

0:24:070:24:11

Some people survive it completely. There is a report, here, here, I'll show you

0:24:110:24:15

Dr Lo, my first duty is to the patients of this hospital.

0:24:150:24:18

I have no symptoms!

0:24:180:24:20

Unfortunately that might not always be the case.

0:24:200:24:22

If this tumour should grow you could become confused, have seizures.

0:24:220:24:26

What then?

0:24:260:24:28

In surgery, prescribing medication, dealing with an emergency.

0:24:280:24:31

-Now, as I've said, my first duty of care...

-Please.

0:24:320:24:36

..is to patients and other members of staff.

0:24:360:24:38

I need this work. I need to be able to carry on.

0:24:380:24:40

I understand, but frankly I don't think it's going to be possible.

0:24:400:24:44

Hi. How you doing?

0:25:000:25:03

We're still waiting on your CT results.

0:25:040:25:07

Yeah.

0:25:080:25:10

I just thought, after we talked...

0:25:130:25:16

I've written a letter to your Head of College.

0:25:190:25:22

Just in case it helps.

0:25:230:25:25

I don't think you and I should have any further contact.

0:25:250:25:28

Why not?

0:25:280:25:30

I'd like another doctor, please.

0:25:300:25:33

OK, fine. In fact Sister Williams is in the process of arranging...

0:25:330:25:38

So why are you still here?

0:25:380:25:39

Just...

0:25:430:25:45

go.

0:25:450:25:46

-Thank you, Jesse.

-No worries.

0:25:530:25:55

Heading off already? You've only just got back.

0:25:590:26:03

Does Hanssen know you're skiving off?

0:26:030:26:05

No, I have an appointment.

0:26:050:26:07

-An appointment?

-Yeah.

0:26:070:26:09

So you won't be interested in hearing Francis's tox results?

0:26:090:26:13

You said this needed a spinal guy, right?

0:26:170:26:19

And you're not a spinal guy?

0:26:190:26:21

So what makes you think you can do it?

0:26:210:26:23

How do I know I can trust you to do this?

0:26:230:26:25

If you want somebody else, that's fine by me.

0:26:250:26:27

But there's nobody else in this hospital

0:26:270:26:30

as qualified as I am to get you through this.

0:26:300:26:32

-So?

-Can you tell Zahid to give us a minute.

0:26:360:26:38

-I don't want him weighing in.

-Sure.

0:26:380:26:41

So there isn't any doubt in your mind.

0:26:480:26:50

You really believe you can do this?

0:26:520:26:54

Hundred percent.

0:26:540:26:56

Well, something must've happened...

0:26:590:27:02

-What?

-I don't know but one minute it feels like

0:27:020:27:04

she's trying to reach out to me, the next she wants another doctor.

0:27:040:27:07

Right, there she is. A splenic haematoma. There's more bleeding here, too.

0:27:070:27:11

So what does that mean? A splenectomy?

0:27:110:27:13

Yup. So who's going to do it?

0:27:130:27:16

Well, not you, she's already said she doesn't want you treating her.

0:27:160:27:19

Anyway, you're off soon.

0:27:190:27:21

Please tell me this isn't about a night out?

0:27:210:27:23

No, of course not.

0:27:230:27:25

It'd be easier if someone else was dealing with her,

0:27:250:27:27

but I just think she and I both need to sort this.

0:27:270:27:30

You need to move on.

0:27:300:27:31

Anyway I'm worried about her because I checked earlier

0:27:310:27:33

and she's taking Citalopram for depression.

0:27:330:27:36

That's not your problem.

0:27:360:27:37

The bottom line is she needs to get to theatre

0:27:370:27:40

and I'm the only surgeon on the ward.

0:27:400:27:42

So how clearer does she need to be? She doesn't want you to treat her.

0:27:420:27:45

OK, fine. Then I'll just have to go to her and say

0:27:450:27:47

either I operate or she bleeds to death.

0:27:470:27:49

That should do the trick.

0:27:490:27:50

So this is all he needs, vitamin B1?

0:27:560:27:58

Intravenously at first,

0:27:580:28:00

but when he goes home he can take the pill form.

0:28:000:28:02

Neurologists will confirm it but we think Francis is suffering from something

0:28:020:28:06

called Wernicke-Korsakoff syndrome.

0:28:060:28:08

It's a posh way of saying that he's not processing Vitamin B.

0:28:080:28:10

It's something that affects heavy drinkers. They lose the ability to be able to process the vitamin.

0:28:100:28:15

I've already told you, he doesn't drink.

0:28:150:28:18

We ran a tox screen and a high level of alcohol in Francis's bloodstream.

0:28:180:28:21

Maybe you weren't aware?

0:28:240:28:26

I hoped it was something else.

0:28:280:28:30

-You'll do a different kind of funeral I expect.

-Frannie, you're in hospital.

0:28:300:28:35

Has he been drinking heavily for a long time?

0:28:350:28:38

I kept it quiet. It's a family business, you know.

0:28:380:28:42

You don't think his health is more important than a business?

0:28:420:28:45

-I think what my colleague is...

-Not to Frannie, no.

0:28:450:28:47

Look, he's tried for ages to give it up -

0:28:470:28:50

he's functioned OK, with me beside him.

0:28:500:28:53

Yes, but he won't any more. He needs proper help. You both do.

0:28:530:28:56

I've got a business card somewhere, for when the time comes.

0:28:560:28:59

Will he get better?

0:28:590:29:01

-He'll improve physically.

-What do you mean "physically"?

0:29:010:29:04

We'll book him on a rehab programme, for detox.

0:29:040:29:06

-And he'll be all right?

-It's very difficult to say.

0:29:060:29:08

Look, will you just tell me?!

0:29:080:29:10

Yes. Some of the damage will be permanent.

0:29:100:29:13

Right.

0:29:150:29:16

Thank you.

0:29:160:29:18

Presumably now that we know what we're looking at,

0:29:230:29:25

you'll be zipping him over to one of our spinal neurosurgical colleagues.

0:29:250:29:28

Actually, no. I'm going to be doing the surgery myself.

0:29:280:29:31

Really?

0:29:310:29:33

And have you done it before?

0:29:330:29:35

Yes.

0:29:350:29:37

How many times?

0:29:370:29:39

A few.

0:29:390:29:41

Well, you're either brave or stupid.

0:29:410:29:43

If you get it wrong you'll kill him, you do know that.

0:29:430:29:45

Look, Dan, I admire your ambition, but...

0:29:450:29:48

You think I'm over-reaching myself?

0:29:480:29:50

-I'm just pointing out the risks.

-Which I'm fully aware of.

0:29:500:29:53

And why, I was going to ask you to join me in theatre.

0:29:540:29:57

Given the complexity, I'd like a GS Consultant with me.

0:29:570:30:00

Look, this is extremely delicate surgery.

0:30:000:30:04

A PEG fracture is something only a surgeon at the very top of their game would consider.

0:30:040:30:08

Well, thank you for the vote of confidence, Serena.

0:30:080:30:11

Why not take the path of least resistance, get the patient transferred?

0:30:110:30:14

They're prepping Jesse for theatre.

0:30:200:30:23

I didn't ask to be brought here. I won't have you treat me.

0:30:240:30:27

There must be someone else who can do a splenectomy.

0:30:270:30:31

Please, just look at the extent of the haematoma.

0:30:310:30:35

Why would you jeopardise yourself like this?

0:30:350:30:38

I can choose and I'm choosing.

0:30:400:30:43

Well, do you know what? I'm over-riding your decision because

0:30:430:30:47

this simply is not rational. OK, I'm sorry, Ella.

0:30:470:30:50

Mr Hanssen, please. Sister Williams.

0:31:030:31:05

How's the coach?

0:31:140:31:16

He's concerned.

0:31:170:31:19

That I'm not up to the job, you mean.

0:31:190:31:20

No, I didn't say that.

0:31:200:31:23

He just wants to be present for the op.

0:31:230:31:25

How about you? Do you think I'm over-reaching?

0:31:250:31:29

No, I think you trust in your instincts.

0:31:290:31:31

And I think if you believe you can do it, then of course you can.

0:31:310:31:35

Six months, a year ago,

0:31:370:31:39

I would have bottled it. Made an excuse.

0:31:390:31:43

But these last few weeks I've felt like anything was possible.

0:31:430:31:46

That sounds ridiculous, doesn't it?

0:31:460:31:48

No, not at all. I know exactly what you mean.

0:31:480:31:51

Can we just forget about all that Leeds nonsense?

0:31:520:31:55

-Dan, we should talk about this later.

-Just reassure me.

0:31:550:31:58

-I've got to make my own life.

-And where do I fit into that?

0:31:580:32:01

I don't know. I don't know yet.

0:32:010:32:03

Look, this is all pretty new, it's early days.

0:32:040:32:08

-I see. Don't ask, don't tell? That's how it works?

-What?

0:32:080:32:11

You go to Leeds, see other guys, see each other for the odd weekend till you meet someone else.

0:32:110:32:15

-What are you talking about?

-That's how it works, the gay scene.

0:32:150:32:18

We really should talk about this later.

0:32:180:32:19

-After all I've done for you. I told my father.

-Don't.

0:32:190:32:23

Don't you dare lay that on me. I was not the reason you came out.

0:32:230:32:25

I'd never have done it if I hadn't met you.

0:32:250:32:28

Leeds is only three and a half hours away.

0:32:280:32:31

I'm sorry you have so little faith in us. In me.

0:32:310:32:35

I'm supposed to give up my dream job just because you want me to?

0:32:350:32:38

Where are you going? I thought you were staying for the op?

0:32:380:32:41

My shift's finished.

0:32:410:32:43

-Hey.

-What do you want?

0:32:440:32:47

-Serena's looking for you. She doesn't think she'll be able to join you.

-No, course not,

0:32:470:32:51

-doesn't want to be implicated when it all goes wrong.

-You OK?

0:32:510:32:55

-I'm not going to just abandon this kid because Serena Campbell thinks she knows better.

-Good for you.

0:32:550:32:59

So...

0:32:590:33:01

..who's assisting?

0:33:020:33:04

I thought you were in Serena's camp.

0:33:050:33:07

You want me in on this or not?

0:33:070:33:10

I understand there's history, I understand all that,

0:33:120:33:15

but she still needs to be treated.

0:33:150:33:17

-Mr Levy, do we have a problem?

-No.

0:33:170:33:20

That's very odd because Sister Williams seems to think we do.

0:33:200:33:24

-Ella Barnes.

-Yes, I'm aware, I've been brought up to speed.

0:33:240:33:28

She wanted another surgeon, I called Mr Hanssen

0:33:280:33:31

and he's agreed to take the case.

0:33:310:33:32

There's no need.

0:33:320:33:33

Even if there were no history between you, then surely you'd value support?

0:33:330:33:37

You've been manning the barricades single-handedly. Just think of me as the cavalry.

0:33:370:33:40

-But we're coping, Mr Hanssen, we're fine.

-Clearly not with Ms Barnes.

0:33:400:33:45

-Now presumably she has a theatre slot, does she?

-No, not yet.

0:33:450:33:48

Then kindly arrange one, please.

0:33:480:33:50

Let me know when it's booked and ask another nurse to prep her.

0:33:500:33:53

-Dissecting through the muscle.

-Easy, slowly.

0:34:000:34:05

Damn.

0:34:050:34:06

-It's the superior thyroid artery.

-I'm going to tie it off.

0:34:060:34:09

-No point, just pack it.

-There is too much blood.

0:34:090:34:12

OK, I need clips and Vicryl.

0:34:120:34:14

What's she doing here?

0:34:180:34:20

I hope he knows what he's doing.

0:34:220:34:24

I'm sure your friend's in good hands.

0:34:240:34:27

Bleeding's stopped. Good.

0:34:270:34:30

So you just thought you'd go over my head?

0:34:300:34:32

-I was just trying to help.

-Help who?

0:34:320:34:35

If you've got a problem with me, Chrissie, then say so.

0:34:350:34:38

You're supposed to back me up. Not undermine me.

0:34:380:34:40

Let's just forget about today.

0:34:400:34:42

Let's get changed, get to the restaurant early, have a drink.

0:34:420:34:45

Do you know what? I don't give a damn about dinner right now.

0:34:450:34:49

I can't go anywhere until I know she's OK.

0:34:490:34:51

Sacha, please.

0:34:590:35:01

Ella's being prepped for theatre is she, presumably?

0:35:010:35:04

-I doubt it. They're still waiting for a theatre slot.

-Where is she?

0:35:040:35:07

Chrissie?

0:35:100:35:11

She's taken all her stuff.

0:35:180:35:20

Drill.

0:35:250:35:27

So...

0:35:340:35:36

C2

0:35:360:35:38

OK, good position on both planes,

0:35:410:35:46

but it's a bit lateral. Be really careful.

0:35:460:35:49

Better?

0:35:490:35:51

Yeah.

0:35:510:35:52

Right. Depth is good. Can I get an X-ray please?

0:35:580:36:01

On the monitor.

0:36:010:36:03

That's wrong.

0:36:040:36:05

It's way off.

0:36:060:36:08

Damn, I can't get the right angle.

0:36:080:36:10

I'm going to have to readjust it.

0:36:100:36:12

Dan, you can't keep drilling it - if you lose position you'll kill him.

0:36:120:36:17

-What's he doing?

-Everything OK, Mr Hamilton?

0:36:170:36:19

Actually, it's not. How the hell am I supposed to do this with you two

0:36:200:36:23

watching my every move?

0:36:230:36:25

Dan?

0:36:250:36:26

I'd like you to leave, please. NOW.

0:36:260:36:30

Mr Khan, please...

0:36:300:36:32

He seems completely out of control.

0:36:410:36:42

Please don't worry, Mr Khan, I'm sure it'll be fine.

0:36:420:36:46

What's going on?

0:36:500:36:52

He doesn't know what he's doing.

0:36:520:36:53

-Mr Hamilton asked us both to leave.

-Is he OK?

0:36:530:36:56

I really hope so.

0:36:580:36:59

You all right?

0:37:050:37:07

He has to fix him. If anything happens,

0:37:070:37:09

I'll never forgive myself.

0:37:090:37:11

They're going to check with the police.

0:37:200:37:23

She's not answering her mobile.

0:37:230:37:24

-What are you doing now?

-I'm calling Hanssen.

0:37:250:37:27

Sacha, please.

0:37:270:37:29

She's bleeding out badly. OK? If she loses consciousness it could be fatal.

0:37:290:37:33

-Yes I know that but...

-What?

0:37:330:37:36

Come on, Dan, you can do this.

0:37:360:37:39

You're so close.

0:37:400:37:42

Dan.

0:37:500:37:51

Come on, Dan.

0:37:530:37:54

We need to do this now.

0:37:560:37:57

Can I have the drill, please?

0:38:020:38:04

-Dr Lo, I have an urgent splenectomy on AAU.

-Just hear me out.

0:38:240:38:27

-I won't take too much of your time, I promise.

-Right.

0:38:270:38:31

You said at some point I might become ill

0:38:340:38:36

and then perhaps it wouldn't be safe for me to practise.

0:38:360:38:40

-Am I understanding that correctly?

-Yes, you are.

0:38:400:38:42

Well, other staff in this hospital have health issues too.

0:38:420:38:45

Mr Hope, for instance, he has a heart condition,

0:38:450:38:48

and Mr Griffin, isn't he in remission from cancer?

0:38:480:38:51

Have you said the same thing to them?

0:38:510:38:54

Because, quite frankly, you ought to.

0:38:540:38:55

I mean, with me, there's only a hypothetical risk.

0:38:550:38:59

I'm not ill at the moment. Your own tests have confirmed that.

0:38:590:39:01

But either of them, they could relapse at any point.

0:39:010:39:05

There is a fundamental difference, the hospital is aware of their conditions.

0:39:050:39:08

Right, so it's all about trust?

0:39:100:39:13

-I didn't tell you.

-Yes, it is, essentially.

0:39:130:39:17

Well then, monitor me.

0:39:200:39:22

Mr Hope and Mr Griffin, they undergo regular tests,

0:39:220:39:25

you can do the same with me.

0:39:250:39:27

If we did a regular CT we'd know exactly where we are with it.

0:39:270:39:31

No-one else needs to know.

0:39:310:39:32

I get to keep my job and you get to keep a decent F1.

0:39:320:39:38

May I assume that a decent F1 has found a diagnosis for Mr Houlihan?

0:39:380:39:43

Wernicke-Korsakoff syndrome. Vitamin B1 deficiency brought on by his heavy drinking.

0:39:430:39:48

Look, Mr Hanssen, I'm sorry I lied to you.

0:39:480:39:51

Any change and I'll tell you straight away.

0:39:510:39:54

If the tumour becomes active?

0:39:550:39:57

Then I walk away.

0:39:570:39:59

The slightest change, I need to know immediately, Dr Lo.

0:40:040:40:09

Absolutely.

0:40:090:40:11

Well, we had a few moments...

0:40:230:40:25

..but we got there in the end.

0:40:280:40:30

He's going to be OK.

0:40:300:40:31

Mr Hamilton, well done. Everyone's saying you were amazing in there.

0:40:340:40:39

-Thank you.

-Be signing autographs next.

0:40:390:40:41

So?

0:40:440:40:46

OK, fair enough, I take it all back.

0:40:460:40:49

More than that, actually, I apologise.

0:40:490:40:52

I should never have underestimated you.

0:40:520:40:54

Apology accepted.

0:40:540:40:56

Though, frankly, I think I can be forgiven for being a tad sceptical -

0:40:560:41:00

orthopod with a PEG fracture.

0:41:000:41:03

I'm afraid he left.

0:41:040:41:06

Shame. We could do with more decent,

0:41:060:41:08

not to mention handsome, young men around here.

0:41:080:41:11

He'll be missed.

0:41:110:41:13

Well, one less distraction.

0:41:130:41:17

Security have checked CCTV, presumably?

0:41:270:41:30

Yeah, Sacha's with them now.

0:41:300:41:31

The police are on their way to her flat,

0:41:310:41:33

they're going to question her house-mates and her friends.

0:41:330:41:35

Strange behaviour though, just to get up and leave.

0:41:350:41:37

-I mean with her medical knowledge you'd have thought she realised...

-Ah, here we go.

0:41:370:41:41

Perhaps we've been focusing too much on the consequences to Mr Levy

0:41:410:41:46

and thereby failing to care adequately for our patient.

0:41:460:41:49

They found her on the third floor. Extremely tachycardic and hypotensive,

0:41:490:41:52

-not regained consciousness.

-Straight to theatre please.

0:41:520:41:55

-She's in VF.

-Recovery!

0:41:550:41:56

Charging 200 please. Clear.

0:41:570:42:00

1 milligram adrenalin and push in fluids.

0:42:020:42:04

Hang on, hang on, she's back.

0:42:040:42:07

-Theatre, please.

-Can I assist?

0:42:070:42:09

No, we must respect her wishes.

0:42:090:42:12

We did it.

0:42:180:42:20

Yeah.

0:42:200:42:22

So what's up?

0:42:270:42:29

Nobody's died.

0:42:290:42:32

Listen, I've got something I need to tell you.

0:42:350:42:39

I fell asleep at the wheel.

0:42:410:42:42

So when you miss the Europeans, you can blame me.

0:42:440:42:46

Once you're out of here, if you want to pursue legal action,

0:42:480:42:51

all of that, I'll understand.

0:42:510:42:54

At the very least, you'll want to get a new coach.

0:42:540:42:57

Why did you fall asleep?

0:43:010:43:03

You push the both of us.

0:43:030:43:05

I get to sleep in the van and you always drive.

0:43:050:43:08

I knew I should've pulled over.

0:43:080:43:10

So?! Mistake. Fine, it happens.

0:43:100:43:13

But I'm going to recover, and I'll compete.

0:43:150:43:19

This is a two man team.

0:43:200:43:22

Nothing's going to change that.

0:43:230:43:26

Hey.

0:43:350:43:37

-Sorry.

-There's nothing to apologise for.

0:43:400:43:43

Listen, you've made it work this far,

0:43:430:43:48

so don't give up on him.

0:43:480:43:50

Well, I've put up with all manner of grief over the years.

0:43:500:43:56

The secret drinking, mood swings, and I've stood by him,

0:43:560:44:01

but if he's got something that's affecting his mind,

0:44:010:44:05

I can't help him.

0:44:060:44:08

She needed support.

0:44:230:44:25

So do you.

0:44:250:44:26

Don't you think I'm old enough...

0:44:260:44:28

If you'd seen your face when she walked in this morning.

0:44:280:44:30

It was like you'd seen a ghost.

0:44:300:44:32

Yes, OK, it was a shock.

0:44:320:44:34

But then I quickly realised that she's just

0:44:340:44:36

a vulnerable kid who got out of her depth.

0:44:360:44:40

I just wanted to say you've been fantastic.

0:44:440:44:46

Thank you so very much.

0:44:460:44:49

Really, really brilliant. Thank you. Thank you, too.

0:44:490:44:51

Don't tell me. He's going to name his first born Daniel.

0:44:530:44:57

God no.

0:44:570:44:59

He's going to name ALL his children Daniel.

0:44:590:45:02

You know, for a moment there,

0:45:020:45:04

-I really thought you were going to bottle it.

-Me? Never.

0:45:040:45:07

But then you suddenly got this burst of energy from somewhere.

0:45:070:45:10

Or someone.

0:45:100:45:11

I'd rather not, if you don't mind.

0:45:110:45:13

All right. You know what I love about operations like today's?

0:45:130:45:18

I feel sure you're about to tell me.

0:45:180:45:21

It's scary as hell.

0:45:210:45:23

You're taking a huge risk.

0:45:230:45:25

If it goes wrong, you could ruin their life.

0:45:250:45:27

If you get it right, there's nothing that can touch it.

0:45:270:45:31

Yeah.

0:45:320:45:34

Dan, you two have a real chance here.

0:45:350:45:39

16 years he's been carrying a candle for you.

0:45:390:45:41

And if you let that go...

0:45:410:45:43

Thanks for the advice, but I'm afraid that ship has sailed.

0:45:430:45:45

Like the great philosopher Kravitz once said,

0:45:470:45:50

"It ain't over till it's over."

0:45:500:45:53

So, what do I do?

0:45:560:45:58

-Looks like she's going to be OK.

-That's a relief.

0:46:070:46:09

Relatively speaking, a straightforward procedure.

0:46:110:46:14

Oh, good. That's great.

0:46:140:46:15

You're both free to leave now.

0:46:150:46:17

-Can I just check on her, make sure she's...

-I think you've done enough for today, don't you?

0:46:170:46:21

Like I say, I'm so sorry to haul you back in,

0:46:270:46:29

I could've probably popped these in the post, but I thought this would be quicker.

0:46:290:46:33

-Make sure you get paid on time anyway.

-Right.

0:46:330:46:36

And I don't know about you,

0:46:360:46:37

but there's nothing I hate more than unfinished business.

0:46:370:46:41

So if you could just sign here and here.

0:46:430:46:46

Yes, we seem to be keeping HR rather busy today.

0:46:470:46:49

What with you heading off,

0:46:490:46:51

and one of our consultants resigning out of the blue.

0:46:510:46:56

I thought maybe dinner was off.

0:47:060:47:08

Well, it took you ages to book the table.

0:47:100:47:12

And let's be honest it's all you've talked about for weeks.

0:47:130:47:17

Well, we could take a rain check. Or you can take someone else.

0:47:170:47:20

I completely understand.

0:47:200:47:22

Well, I've already phoned all the women in my little black book,

0:47:230:47:28

and sadly they're all busy.

0:47:280:47:30

Ella's in recovery. I thought maybe you might want to check on her.

0:47:330:47:38

You going to come?

0:47:380:47:40

It's OK, I'll see you outside.

0:47:400:47:43

So, it would appear that you've completely lost your mind.

0:47:520:47:55

Really?

0:47:550:47:57

I was thinking I've just made the most sensible decision of my life.

0:47:570:48:01

To move up north?

0:48:010:48:03

Absolutely.

0:48:030:48:05

Well, what if I've changed MY mind?

0:48:060:48:08

I mean Leeds might be too limiting after all.

0:48:080:48:11

I was thinking more Ibiza, Miami, Mykonos...

0:48:110:48:15

You know, seeing other people,

0:48:150:48:18

you know, cos that's what the gay life is.

0:48:180:48:20

Ah yes, the whole wisecracking irony thing,

0:48:200:48:22

something else I've got to master.

0:48:220:48:24

I don't want you to change a single thing about yourself.

0:48:240:48:27

I didn't have you down as the romantic type, Mr Malick.

0:48:370:48:41

Ditto.

0:48:410:48:43

Throwing his career away for a hot nurse.

0:48:440:48:48

Sheer madness.

0:48:480:48:49

Someone's trying to tell me something, aren't they?

0:48:580:49:01

Tell you what?

0:49:010:49:03

I'm not supposed to be a doctor.

0:49:030:49:04

No, don't say that.

0:49:040:49:06

If anything, I feel liberated.

0:49:060:49:10

I've been fighting for so long for something that wasn't right.

0:49:120:49:16

You were so kind, and calm, and professional.

0:49:160:49:20

I could never do what you do.

0:49:220:49:23

Now, you listen to me...

0:49:230:49:26

You do whatever makes you happy.

0:49:280:49:33

(SHE WHISPERS) Thank you, Sacha.

0:49:350:49:38

Have you ever actually been to Leeds?

0:49:410:49:44

Of course.

0:49:440:49:46

I went to the test match at Headingley.

0:49:460:49:48

That's cricket, right?

0:49:480:49:49

God, I've got so much to teach you.

0:49:490:49:51

Listen, I can promise you, even if we're together

0:49:510:49:54

for the next 40 years, I will never, ever learn to like cricket.

0:49:540:49:57

-Yeah, we'll see.

-No. We won't. It's not open for discussion.

0:49:570:50:00

I can be very persuasive.

0:50:000:50:02

I know you can.

0:50:020:50:04

-Hi.

-I'll catch you up.

0:50:040:50:05

You seem really happy.

0:50:070:50:08

Yeah, well, life is good.

0:50:080:50:13

Yeah, yeah, it is.

0:50:130:50:16

You look nice. Doing anything exciting this evening?

0:50:160:50:19

Not especially. Just spending it with my...

0:50:190:50:23

with Sacha.

0:50:230:50:25

And you?

0:50:250:50:26

Much the same.

0:50:280:50:30

Well, have a good evening.

0:50:310:50:33

Take care of yourself.

0:50:330:50:34

You too.

0:50:370:50:38

How is he?

0:51:040:51:06

The same. But comfortable.

0:51:060:51:08

He'll be glad to see you.

0:51:080:51:11

I took the hearse back. They need it tomorrow.

0:51:110:51:14

I told the staff.

0:51:140:51:15

There's not much point in keeping it secret now, is there?

0:51:150:51:19

I brought him some clean pyjamas and food.

0:51:190:51:22

He always was a fussy eater.

0:51:220:51:24

Thank you.

0:51:240:51:26

Hey.

0:51:290:51:30

Hey.

0:51:300:51:31

Good teamwork today.

0:51:330:51:34

Yeah.

0:51:340:51:36

How about I buy you that coffee?

0:51:430:51:45

Oh, hold the doors, please.

0:51:460:51:49

Thank you.

0:51:490:51:50

'Doors closing.'

0:51:520:51:55

Mr Hanssen, we finally got to the bottom of things

0:52:020:52:04

with Francis Houlihan.

0:52:040:52:07

-It was Wernicke-Korsakoff.

-So I gather.

0:52:070:52:09

Took an F1 to show you the light though, I hear.

0:52:090:52:12

'Ground floor. Doors opening'

0:52:120:52:16

Until tomorrow, Dr Lo.

0:52:160:52:17

So much for team work.

0:52:230:52:25

Ollie!

0:52:260:52:28

Wow. You look...

0:52:340:52:38

Wow.

0:52:380:52:40

Is she OK?

0:52:400:52:42

Yeah, she'll be fine.

0:52:420:52:43

-You took your time.

-Oh, God. We're too late for the restaurant.

0:52:440:52:48

We've missed the table. I'm so sorry.

0:52:480:52:51

Who cares? Snooty waiters, tiny portions.

0:52:510:52:54

Listen...

0:53:030:53:05

I understand.

0:53:050:53:06

Just when you thought you'd put it all behind you,

0:53:080:53:11

it brought it all back, didn't it?

0:53:110:53:13

I love you.

0:53:190:53:21

I really do.

0:53:210:53:22

Likewise.

0:53:220:53:25

I'm the luckiest guy in the world.

0:53:250:53:27

I wake up every morning

0:53:270:53:28

and I actually can't believe that you're my...

0:53:280:53:32

Go on.

0:53:330:53:34

Life partner?

0:53:380:53:41

Squeeze?

0:53:420:53:44

Lady friend?

0:53:450:53:47

Significant other?

0:53:490:53:50

-How about wife?

-Well, yeah, that would work,

0:53:520:53:54

but technically we'd have to be...

0:53:540:53:56

Well, I prefer it to "lady friend".

0:54:010:54:04

You're serious?

0:54:040:54:07

Why not?

0:54:070:54:08

Yeah.

0:54:080:54:09

Why the hell not?

0:54:110:54:13

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