Under The Skin

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0:00:41 > 0:00:43I want to speak to whoever's in charge.

0:00:43 > 0:00:45Sure, that would be me.

0:00:45 > 0:00:48If I don't transfer her here, then where?

0:00:48 > 0:00:50I'm going to tell you this one more time - we are full!

0:00:50 > 0:00:53Giving it large last night to celebrate?

0:00:53 > 0:00:55No, never, not the night before the new job.

0:00:55 > 0:00:58So it's her heart that's not working properly?

0:00:58 > 0:01:01I want to be like you - proper job, proper contract.

0:01:01 > 0:01:03You're so...so sorted.

0:01:03 > 0:01:06I'm not fit to do this, am I? I'm not!

0:01:06 > 0:01:09Do you want another coffee or something?

0:01:09 > 0:01:12So what, did she just walk? What did you say to her?

0:01:12 > 0:01:15- Nothing, I just tried to get her to sign for the MRI.- Did she?- No.

0:01:15 > 0:01:19The courts have made you in loco parentis so you do with the scan.

0:01:19 > 0:01:22This is my job now and I'm not going to mess it up.

0:02:37 > 0:02:38Don't do it!

0:02:43 > 0:02:44OK.

0:02:46 > 0:02:48What?

0:02:48 > 0:02:50Don't do what?

0:02:55 > 0:02:58Oh, you shouldn't have, Mr Douglas, I got my own.

0:02:58 > 0:03:00I didn't. And you always do.

0:03:01 > 0:03:03SHE GROANS What are you still doing here?

0:03:03 > 0:03:07Good morning to you too, Ms Naylor. And I actually haven't left yet.

0:03:07 > 0:03:09I think that's my point.

0:03:09 > 0:03:13None of us have, Jac - we've been here since last night.

0:03:13 > 0:03:15- In shifts.- Why?

0:03:15 > 0:03:16BABY CRIES

0:03:16 > 0:03:21Mr Dolan authorised it, until we get the results of the MRI.

0:03:21 > 0:03:23- I take it the mother isn't back, then?- No.

0:03:25 > 0:03:27Still no Paeds, no CT beds at St Joseph's.

0:03:27 > 0:03:31I didn't want to move Freya until we knew if she needed specialist care.

0:03:31 > 0:03:33Your guys wanted to hang around, just in case.

0:03:33 > 0:03:35You've got a great team here.

0:03:35 > 0:03:38Hmm, when they're doing the job they're paid to.

0:03:38 > 0:03:40Sahira, chase that scan - this isn't a creche.

0:03:42 > 0:03:47I think I've just established that you're not about to throw yourself off the building.

0:03:47 > 0:03:50Wasn't about to - I'm ruling nothing out now.

0:03:50 > 0:03:53My point is that it's a perfectly logical assumption.

0:03:53 > 0:03:58- That anybody on a roof must be suicidal? Not really.- Listen, it's out of bounds up here, to everyone.

0:03:58 > 0:04:01- Including you?- It's less out of bounds to me than it is to you.

0:04:01 > 0:04:04- Why?- Doesn't matter. What are you doing here?

0:04:05 > 0:04:08I'm trying to be alone for five minutes.

0:04:18 > 0:04:19- Do you want some?- Are you drunk?

0:04:19 > 0:04:21Shouldn't be by now.

0:04:21 > 0:04:25Oh, I am, however, unreasonably hung-over.

0:04:25 > 0:04:27And therefore suicidal.

0:04:27 > 0:04:30- What?- I'm simply applying your logic. You know, the roof.

0:04:30 > 0:04:33Listen, smartarse, you don't have to be on the roof to be on your own,

0:04:33 > 0:04:37whereas there is actual logic behind why I'm up here.

0:04:37 > 0:04:41Fine, look, there are four vital ingredients after a big night out.

0:04:41 > 0:04:45One - it's a dirty bacon sandwich. Two - coffee.

0:04:45 > 0:04:50Three - water and Paracetamol. And four - get yourself up as high as you possibly can,

0:04:50 > 0:04:52find the spot where the wind hits you the hardest

0:04:52 > 0:04:56and you take in so much oxygen you almost pass out.

0:05:00 > 0:05:02Three out of four ain't bad.

0:05:02 > 0:05:04It's a bit crude, isn't it?

0:05:04 > 0:05:10In the Philippines, they swear by a breakfast of pickled shrimp, frogs' legs and beetle lava.

0:05:10 > 0:05:12Does it work?

0:05:12 > 0:05:15- I don't know.- I thought you'd been. - I have, but I don't drink.

0:05:15 > 0:05:16Why not?

0:05:18 > 0:05:20Well...

0:05:20 > 0:05:22so I don't end up looking like you.

0:05:23 > 0:05:25BEEPING

0:05:25 > 0:05:26Excuse me.

0:05:37 > 0:05:40- Well? MRI results? - They're on their way.

0:05:40 > 0:05:42Has that been infection screened?

0:05:42 > 0:05:47- I thought they were given plastic toys for a reason.- And I thought you knew nothing about Paeds.

0:05:47 > 0:05:48It's brand new, Jac.

0:05:48 > 0:05:52The Darwin team chipped in to try and make this place less unfriendly.

0:05:52 > 0:05:55What exactly IS the problem?

0:05:55 > 0:05:58The problem, Peter Pan, is that she shouldn't be here,

0:05:58 > 0:06:01- and nor should you - this is an adult ward.- So I'm not an adult?

0:06:01 > 0:06:02I don't know what you are,

0:06:02 > 0:06:06but I'm certain this is no place for a six-month-old baby.

0:06:06 > 0:06:09- So it's Freya you're worried about? - What do you think?

0:06:09 > 0:06:12Well, it's a shame you didn't show the same concern for her mother.

0:06:12 > 0:06:16Oh, I see. So we're only a team when it comes to buying cuddly toys?

0:06:16 > 0:06:18Well, that's... That's fine,

0:06:18 > 0:06:22but if you think I should feel guilty about a mother abandoning her child,

0:06:22 > 0:06:24then you've been awake too long.

0:06:28 > 0:06:29Yep.

0:06:29 > 0:06:31It's fine, I've got it. Thank you.

0:06:31 > 0:06:35Emergency trauma from the ED on its way - blunt trauma to the abdomen.

0:06:35 > 0:06:37Looks like it's going to be another busy one.

0:06:37 > 0:06:40Maybe Mr Hanssen will give us the day off from meeting his targets.

0:06:44 > 0:06:47- You must be from the ED.- Must I?

0:06:48 > 0:06:51- Blunt trauma to the abdomen? - No, thanks, I've just eaten.

0:06:52 > 0:06:53What are you doing here?

0:06:53 > 0:06:56Oh, I'm sorry, is it "out of bounds"?

0:06:56 > 0:07:01I'm sorry, it is, actually. You can't just come wandering in...

0:07:01 > 0:07:04- That's supposed to be on display at all times.- My stomach hurts!

0:07:04 > 0:07:08Her stomach hurts, and evidently, I'm your new registrar.

0:07:08 > 0:07:11We'll be right with you. Sorry, erm...

0:07:11 > 0:07:14- Luc. I'm Sacha Levy.- Sacha.

0:07:17 > 0:07:19And I'm Senior Staff Nurse McKee.

0:07:21 > 0:07:24Sean, MRI results are in.

0:07:34 > 0:07:37I'm not seeing what you're seeing, but I'm not getting a happy vibe.

0:07:37 > 0:07:39Gerbode's.

0:07:40 > 0:07:44It's a Gerbode's Defect. Quite a rare form of hole in the heart.

0:07:44 > 0:07:48- A very rare form.- Basically there's a shunt from left to right -

0:07:48 > 0:07:52blood is flowing from Freya's left ventricle into the right atrium.

0:07:52 > 0:07:56- Meaning it's serious? - And that Nicole was right all along.

0:07:56 > 0:08:00It also means I'll now be taking sole charge of this case on behalf of Darwin.

0:08:00 > 0:08:03MDT meeting in half an hour. I suppose you're invited. You're not.

0:08:03 > 0:08:07- You're taking over? Just like that? - She's my patient, remember.

0:08:07 > 0:08:09Who, up until now, you didn't give a damn about!

0:08:09 > 0:08:11What are you up to?

0:08:11 > 0:08:16I am trying to ensure that she survives now a potentially life-threatening condition.

0:08:16 > 0:08:19- Objections?- And you think you're the best person to do that?

0:08:19 > 0:08:22As the only member of the team who's managed to retain any

0:08:22 > 0:08:25kind of professional distance, I think I'm the only person.

0:08:26 > 0:08:28Heard about Freya - had to look Gerbode's up.

0:08:28 > 0:08:33- Who saw that coming? - Nobody, which is why I'm about to chair an urgent MDT meeting.

0:08:33 > 0:08:37- How's your research going? - Take a look for yourself. Part one, fully complete.

0:08:38 > 0:08:40Wow. This must have taken all night.

0:08:40 > 0:08:42And this morning, plus WAY too much coffee.

0:08:42 > 0:08:45- I want to make a go of this. - Since you're enjoying it so much,

0:08:45 > 0:08:48can I have the second part by the end of the day?

0:08:48 > 0:08:51- I'd really like to read the opening sections together.- OK, well...

0:08:51 > 0:08:52Excellent.

0:08:58 > 0:09:00Thank you all for coming. This won't take long.

0:09:00 > 0:09:03You all know why we're here.

0:09:03 > 0:09:08Now, because Gerbode's affects the membranous ventricular septum close to...

0:09:10 > 0:09:13- I didn't realise tickets were being sold.- Don't mind us.

0:09:14 > 0:09:19- I made it clear to Ms Shah that I'll be taking this case forward. - And I did put it to Mr Hope

0:09:19 > 0:09:22that there's no point having an MDT meeting with half the T missing.

0:09:22 > 0:09:27Especially as Mr Douglas and I have Paeds experience.

0:09:27 > 0:09:28Unlike you, Ms Naylor.

0:09:30 > 0:09:33- I thought you were in theatre all day?- Hmm, so did I.

0:09:34 > 0:09:36Should we get on with it?

0:09:40 > 0:09:43- Why didn't you tell me?- About what?

0:09:43 > 0:09:45- Will you make sure it's all all right?- Of course.

0:09:45 > 0:09:48Have you been in a fight, Karen? Has someone hurt you?

0:09:51 > 0:09:55I just want to make sure it's all all right...

0:09:55 > 0:09:56that I can have a baby.

0:09:58 > 0:10:00Are you pregnant?

0:10:00 > 0:10:02No..

0:10:02 > 0:10:03but I will be.

0:10:04 > 0:10:07If it's all all right, I will be.

0:10:07 > 0:10:10Will you make sure it's all all right?

0:10:10 > 0:10:13I don't care how long it takes.

0:10:14 > 0:10:16I just need to make sure that I can...

0:10:16 > 0:10:17Have a baby. Got it.

0:10:20 > 0:10:24Look, Karen, you've got two doctors and the best nurse in the hospital

0:10:24 > 0:10:26looking after you, so we'll find out what's going on, don't worry.

0:10:26 > 0:10:30Had I been a girl, apparently I'd have been a Karen.

0:10:30 > 0:10:32Your parents are big Carpenters' fans, too?

0:10:37 > 0:10:39Right, what do you think?

0:10:39 > 0:10:41Nurse?

0:10:41 > 0:10:42- Yeah?- Thoughts?

0:10:43 > 0:10:48Chest X-ray, FBC's, U's and E's and a liver function test, Doctor.

0:10:48 > 0:10:52Oh... I was actually talking about the Carpenters, but...

0:10:52 > 0:10:55Yeah. What she said.

0:10:59 > 0:11:03Therefore the fastest and most effective fix is to insert a patch...

0:11:03 > 0:11:05That's... Sorry to interrupt, Ms Naylor,

0:11:05 > 0:11:07that's a very risky procedure.

0:11:07 > 0:11:09Has there been any discussion

0:11:09 > 0:11:13on whether this patient should even actually be treated at Holby?

0:11:13 > 0:11:15Not since her diagnosis.

0:11:15 > 0:11:19The patient is already at Holby. Plus the Paeds unit at Oxford

0:11:19 > 0:11:22has closed and St Joe's has got more kids than Neverland.

0:11:22 > 0:11:24There's absolutely... QUACKING

0:11:26 > 0:11:27- QUACKING STOPS - Sorry.

0:11:27 > 0:11:30HE CLEARS HIS THROAT

0:11:30 > 0:11:35There's no reason why Darwin shouldn't have a Paeds CT facility.

0:11:35 > 0:11:37All we have to do is show we can handle it, and I can.

0:11:37 > 0:11:40For the record, if you check my current CV,

0:11:40 > 0:11:43- you'll see there's plenty of Paeds CT experience on there.- Yes, sure,

0:11:43 > 0:11:47- but what Freya really needs is her mother.- I tend to agree.

0:11:47 > 0:11:52I don't think we should be rushing into such a high risk procedure yet, especially without Mum here.

0:11:52 > 0:11:56You can live without a dysfunctional mother, but not a functioning heart,

0:11:56 > 0:12:01and it could deteriorate rapidly at any time. What about the pressure on pulmonary circulation?

0:12:01 > 0:12:04- Monitor her until there's evidence of hypertension.- So we can wait?

0:12:08 > 0:12:11I think so, for the time being, yes.

0:12:11 > 0:12:12OK. Thank you.

0:12:14 > 0:12:19Hang on, you want to leave an unexploded bomb in a baby's chest when we could deal with it today?

0:12:19 > 0:12:24- We could do, but...- She's already got severe pulmonary hypertension.

0:12:24 > 0:12:27Right? What's the pressure?

0:12:27 > 0:12:31I don't know - we haven't done another Echo since the diagnosis.

0:12:31 > 0:12:33Well, then you should do, obviously.

0:12:33 > 0:12:36But the pressure would need to be as low as 50

0:12:36 > 0:12:40- to warrant even considering taking such a gamble.- Obviously.

0:12:41 > 0:12:42Good.

0:12:47 > 0:12:51- No symptoms suggesting head injury, but she does seem rather...- Simple.

0:12:54 > 0:12:57- What?- So her being desperate to have a baby makes her simple?

0:12:58 > 0:13:01I thought we were in the business of compassion.

0:13:01 > 0:13:03You might be - I'm in the business of trauma.

0:13:03 > 0:13:05Meaning you bring it, or treat it?

0:13:05 > 0:13:08Meaning my post here is funded on the basis that I carry out

0:13:08 > 0:13:11research into trauma medicine, not pretend to be a social worker.

0:13:11 > 0:13:13You're here on a hip?

0:13:13 > 0:13:15Wow. Impressive.

0:13:15 > 0:13:18I thought you two were supposed to be discussing Karen Ashley?

0:13:18 > 0:13:21- I'll do what I can on her history. - That's not a nurse's job.

0:13:21 > 0:13:24- No, but I'm not a normal nurse. - That's true, actually.

0:13:24 > 0:13:30And like Karen Carpenter said, "I won't last a day without you."

0:13:34 > 0:13:38- So what are we saying, ruptured spleen?- Ruptured spleen. - Ruptured...spleen.

0:13:38 > 0:13:41I want the full scan sent to my office as a priority, OK?

0:13:41 > 0:13:43- Ms Naylor?- Can it wait?

0:13:43 > 0:13:45Bit of a problem, actually.

0:13:45 > 0:13:50To finish the next section, I need to corroborate our polytrauma figures with data from Orthopaedics.

0:13:50 > 0:13:54- And?- No-one from Ortho is available today. So...

0:13:54 > 0:13:55what do I do?

0:13:57 > 0:14:01- Ms Naylor?- Doctor Valentine, one of the reasons I wanted to work with you on this

0:14:01 > 0:14:03was I was hoping, when circumstances demanded,

0:14:03 > 0:14:06that you'd step up and take the initiative.

0:14:09 > 0:14:11Leave it to me.

0:14:14 > 0:14:18- Who says I don't know what it's like to have children?- Well, you can forget about this one.

0:14:18 > 0:14:22- What?- I spoke to St Joseph's again, called in a few favours.

0:14:22 > 0:14:26- They'll have a bed for Freya first thing tomorrow. - Tomorrow might be too late.

0:14:26 > 0:14:28If I didn't know you better, Ms Naylor,

0:14:28 > 0:14:31I'd say you were hoping Freya's that sick.

0:14:33 > 0:14:34Top priority.

0:14:44 > 0:14:46So what do you think of the new guy, then?

0:14:46 > 0:14:49Scalpel, please. Thank you.

0:14:49 > 0:14:51He seems all right. Suction.

0:14:53 > 0:14:55Oh, I don't like the look of that.

0:14:55 > 0:14:58Tumours?

0:14:58 > 0:15:00Well, could be, but...

0:15:00 > 0:15:04Sorry, can you ask Mr Hemingway to pop in, please?

0:15:04 > 0:15:07He's still just a registrar, Sacha. you're supposed to be equals.

0:15:07 > 0:15:09I wish!

0:15:09 > 0:15:14- He's a Fellow in Trauma and Vascular, do you know what that means? - He's twice as annoying?

0:15:14 > 0:15:16He does seem a little... diffident.

0:15:16 > 0:15:18Does that mean superior?

0:15:18 > 0:15:21- It's not easy being the new boy. We should give him a chance.- Should we?

0:15:21 > 0:15:23Blunt forceps, please.

0:15:27 > 0:15:29Greeting Mr H.

0:15:29 > 0:15:34Now, I don't think that's just Karen's spleen that's a problem. What do you think?

0:15:36 > 0:15:39About what, specifically?

0:15:39 > 0:15:40Well...the tumours.

0:15:41 > 0:15:43They definitely are. Yes.

0:15:45 > 0:15:46Cancerous?

0:15:50 > 0:15:53Well, I'll finish up and send one to oncology.

0:15:53 > 0:15:55OK. Is that all?

0:15:59 > 0:16:04- Did you get any more of her history? - I've been a bit busy.

0:16:04 > 0:16:08You might want to start with Her Majesty's Hotel Group. Those are prison tattoos.

0:16:11 > 0:16:12Wow! How do you know that?

0:16:12 > 0:16:14I did a twelve stretch in Belmarsh...

0:16:32 > 0:16:34Well? What do you think?

0:16:34 > 0:16:39You haven't heard, have you? Not listened to the radio today?

0:16:39 > 0:16:42As I've just finished explaining, I have been rather busy.

0:16:42 > 0:16:45After being all over the media for all the wrong reasons,

0:16:45 > 0:16:49the local news is now carrying a report about our foundling.

0:16:49 > 0:16:50It's a small story so far,

0:16:50 > 0:16:54but how long before it becomes a big one about how we lost the mother?

0:16:54 > 0:16:57Nobody 'lost' the mother, she walked out.

0:16:57 > 0:17:01And surely you can see that this is an opportunity.

0:17:01 > 0:17:04To create some publicity instead of being fearful of it.

0:17:04 > 0:17:07What exactly do you want, Ms Naylor?

0:17:07 > 0:17:10- To operate. Today.- I see.- Do you?

0:17:10 > 0:17:14'Holby Performs Miracle Op on Abandoned Baby' can you see that?

0:17:14 > 0:17:18I can see 'Motherless Infant Dies at Crisis Hospital' and it doesn't bear thinking about.

0:17:18 > 0:17:22Why are you talking to me about this and not your colleagues on Darwin?

0:17:22 > 0:17:26Because I'm being undermined by bleeding hearts and a nursemaid in a novelty watch.

0:17:26 > 0:17:30You're signing off surgery and I know I can rely on you not to let your heart rule your head.

0:17:30 > 0:17:33Incidentally, if you're still overseeing theatre lists,

0:17:33 > 0:17:36several of the team were saying they're light today.

0:17:36 > 0:17:39Mr Hope in particular.

0:17:40 > 0:17:42It's a simple patch...

0:17:42 > 0:17:43How simple?

0:17:43 > 0:17:46I'm not saying it's totally without risk,

0:17:46 > 0:17:49but operating is no more dangerous than not.

0:17:49 > 0:17:52And yet my understanding is that 'not' was the decision of the MDT.

0:17:52 > 0:17:55Unless the Echo showed pulmonary pressure around 50.

0:17:55 > 0:17:57And did it?

0:17:58 > 0:17:59Yes. It did.

0:18:08 > 0:18:09Still in a lot of pain?

0:18:09 > 0:18:15Is everything OK? Will I still be able to have a baby?

0:18:17 > 0:18:21You ruptured your spleen, Karen, but we successfully repaired it.

0:18:22 > 0:18:25I used to have a baby once...you know.

0:18:26 > 0:18:27Really?

0:18:35 > 0:18:37- That's Matty. - He's lovely.

0:18:40 > 0:18:44Yeah. But I wasn't quite... ready to have a baby.

0:18:44 > 0:18:48That's what they said. And they was right, really...

0:18:48 > 0:18:56So they took him away and... Anyhow.

0:18:56 > 0:19:00Matty's happy and I'm ready

0:19:00 > 0:19:04to have a baby now, I am. Aren't I?

0:19:04 > 0:19:07I'm going to grab one of the doctors who will bring you up to

0:19:07 > 0:19:10speed with everything that's going on.

0:19:10 > 0:19:12And I'll get you something for your pain, OK?

0:19:21 > 0:19:23I think you're wrong, you know. About the prison.

0:19:23 > 0:19:28I've called them all. Social services will get back to me. But from what she said about her son...

0:19:28 > 0:19:31She's bred already?

0:19:31 > 0:19:32He was taken away.

0:19:34 > 0:19:37Have you had a complete sympathy bypass?

0:19:37 > 0:19:40- Would it affect her diagnosis either way?- Maybe not.

0:19:40 > 0:19:44But judging people on this ward too quickly could be a big mistake, trust me.

0:19:44 > 0:19:49- And what about her actual physical health anything on that?- She's breathless and still in pain.

0:19:49 > 0:19:51Someone still needs to tell her the news.

0:19:51 > 0:19:55Do they? If someone told me I was going to die I'd hope they had irrefutable evidence first.

0:19:55 > 0:20:00- That's a prescription pad. - No wonder they made you a Fellow.

0:20:00 > 0:20:04Double Fellow. You don't check with a doctor before prescribing?

0:20:04 > 0:20:05Not always.

0:20:05 > 0:20:07Even after a big night out?

0:20:09 > 0:20:12No, Mr Hemingway . Not even then.

0:20:12 > 0:20:15I gave Mrs Morgan her injection. Do you want to see?

0:20:15 > 0:20:19- Is there anything to see?- No. - Right. I'll leave it then.

0:20:22 > 0:20:27You working with us today? Cool! How's that poor kiddie doing?

0:20:27 > 0:20:31She's under Ms Naylor's care so I'm sure she'll be fine. Excuse me.

0:20:34 > 0:20:38I must say it all seems very laid-back, compared to what I'm used to.

0:20:38 > 0:20:43With Jac as your mentor, Camp Bastion would probably feel like Center Parcs to you.

0:20:43 > 0:20:49Perhaps it's the difference between disciplines. Othopaedics being that much less demanding.

0:20:49 > 0:20:53Do me a favour. Forget what Miss Naylor says and make up your own mind,

0:20:53 > 0:20:55- if only in the name of research.- Absolutely.

0:20:55 > 0:20:59I mean, some would look at you two with your matching flowers

0:20:59 > 0:21:01and think you was a couple - but not me.

0:21:01 > 0:21:03Kenny, this is Doctor Valentine.

0:21:03 > 0:21:06Pleased to meet you, I'm sure.

0:21:06 > 0:21:11Mr Tolson was a passenger on a motorbike doing 60 miles an hour. Then he wasn't. How are you feeling?

0:21:11 > 0:21:12Right as rain, man.

0:21:12 > 0:21:17I'm looking at all these sick people wondering what I'm doing here. You needn't worry about me.

0:21:19 > 0:21:22- Flesh wound! - Femur's fractured, obviously.

0:21:22 > 0:21:27The ED cleaned it up but while we wait on X-rays we'll need the exposed tissue cut away.

0:21:27 > 0:21:30- What, you want me to do it? - You did say you'd help.

0:21:30 > 0:21:31OK. Fine.

0:21:34 > 0:21:35On my own?

0:21:37 > 0:21:41Don't worry, flower - I'll be here.

0:21:41 > 0:21:42MONITOR BEEPS QUICKLY

0:21:42 > 0:21:47Karen? Karen? Karen, can you hear me?

0:21:48 > 0:21:54Karen, I need you to take nice big deep breaths for me, OK? Karen?

0:21:54 > 0:21:57- Can you hear me? What did you give her? - Morphine but not very much. Karen?

0:21:57 > 0:22:00Doesn't tend to matter if you're allergic.

0:22:00 > 0:22:01What do we give for opioid OD?

0:22:01 > 0:22:04Naloxalone but... there's no mention of allergies in her notes.

0:22:04 > 0:22:08- Karen?- We should probably still try and save her life, don't you think?

0:22:16 > 0:22:21They think they've come to prep my patient for theatre.

0:22:21 > 0:22:23I meant to get here first. Stop, for a second.

0:22:23 > 0:22:26- But you didn't... Freya's going to St Joseph's.- I'm afraid not.

0:22:26 > 0:22:31- The Echo suggested we can't hold off the repair after all. - But Mr Hope told you to wait.

0:22:31 > 0:22:33And Mr Hanssen's decided otherwise.

0:22:33 > 0:22:37Look, I'm sorry I didn't tell you sooner but I will keep you fully updated from now on.

0:22:37 > 0:22:42Fully updated? I'm her consultant! One of her consultants.

0:22:42 > 0:22:45I'm trying to apologise here. Ask around and see how often that happens.

0:22:45 > 0:22:50- A few hours ago you couldn't wait to get rid of us. - What can I say, you're a grower.

0:22:50 > 0:22:53You know what I think, Ms Naylor? I think you're prejudiced.

0:22:53 > 0:22:55What?

0:22:55 > 0:23:01You think you can change your mind whenever you like and Paeds is so far beneath your CT throne,

0:23:01 > 0:23:05I'll roll over for my belly to be tickled. What did you think I meant?

0:23:05 > 0:23:07I'm simply want what's best for the patient.

0:23:07 > 0:23:09- For Freya. - For Freya, yes.

0:23:11 > 0:23:15I might not know as much as you about hearts - but I know about kids.

0:23:15 > 0:23:19- And I'm telling you, you need me. - You're right. I do.

0:23:21 > 0:23:23I need you to put a line in her foot.

0:23:27 > 0:23:31Hence the rare apology. We'll see about this.

0:23:37 > 0:23:39I could have handled it.

0:23:40 > 0:23:42What? Are you saying I couldn't?

0:23:42 > 0:23:44I wasn't aware my lips moved at all.

0:23:44 > 0:23:50For the record, however, I do prefer to take my own systems with me when I move on to a new hospital -

0:23:50 > 0:23:54and that includes doing my own patient notes and order prescriptions.

0:23:54 > 0:24:00Luc, sorry Eddi only does extra as a favour to the doctors.

0:24:00 > 0:24:02It just makes our lives easier, that's all.

0:24:02 > 0:24:03Not yours, I'm sure.

0:24:06 > 0:24:10Damn it! This is all much smaller than the equipment I'm used to.

0:24:10 > 0:24:13But fortunately, I'm a professional and able to adapt.

0:24:13 > 0:24:17So, this is what's called a peripheral line, OK?

0:24:17 > 0:24:20I'm going to explain what I'm doing as I would to any other patient

0:24:20 > 0:24:24because unlike some people, I'm not going to change the way I do my job

0:24:24 > 0:24:26just because you can't ask questions.

0:24:26 > 0:24:28Or because you're on your own.

0:24:28 > 0:24:32Not least because as far as I'm concerned, you're better off that way.

0:24:32 > 0:24:35Not that I'm completely indifferent to the fact that in hindsight,

0:24:35 > 0:24:37maybe I could have handled the situation

0:24:37 > 0:24:42with your mother a little...differently.

0:24:42 > 0:24:44But we all have to get over that.

0:24:44 > 0:24:46And frankly, I'm starting to see why she ran.

0:24:46 > 0:24:50You're not the most scintillating company, are you?

0:24:51 > 0:24:53Gotcha!

0:24:54 > 0:24:57Don't start that.

0:24:57 > 0:24:58If you think a smile

0:24:58 > 0:25:01or what's more likely to be an involuntary digestive reaction

0:25:01 > 0:25:05is going to make me think twice about cutting you open,

0:25:05 > 0:25:07then you're every bit as naive as you look.

0:25:22 > 0:25:24You won't take it from me, will you?

0:25:24 > 0:25:26How long did you keep him?

0:25:26 > 0:25:29Only the day! That was all.

0:25:29 > 0:25:31Three years for one day.

0:25:31 > 0:25:32What, in prison?

0:25:34 > 0:25:37And how long do you think that 24 hours felt to Matty's real Mum?

0:25:38 > 0:25:40Karen?

0:25:42 > 0:25:44Pull the curtain.

0:25:44 > 0:25:45Please!

0:25:48 > 0:25:49Who are they?

0:25:49 > 0:25:52It's Matty, Matty's family.

0:25:53 > 0:25:55But how would they know you were going to be here?

0:25:55 > 0:25:57Did they attack you?

0:25:57 > 0:25:58No, but them who did...

0:25:59 > 0:26:04The women on the bus, I shouldn't have got on, they'd have told them.

0:26:04 > 0:26:07- So now they're looking for you?- No.

0:26:07 > 0:26:12Um, those men at the desk, were they talking about Karen?

0:26:12 > 0:26:14- Have they gone?- No and yes.

0:26:16 > 0:26:18- Miriam?- Yeah?

0:26:21 > 0:26:23I'm not meant to say.

0:26:24 > 0:26:25I'm not.

0:26:27 > 0:26:31Miriam Gainsborough. Released yesterday with a new name and address

0:26:31 > 0:26:32on the opposite side of town

0:26:32 > 0:26:35and instructions not to tell anybody anything.

0:26:35 > 0:26:37- So she's two people.- Aren't we all?

0:26:38 > 0:26:42I take it the police have been called now we know it was assault?

0:26:42 > 0:26:43It's all in hand, professor.

0:26:43 > 0:26:46You're on AAU now, we get all sorts down here.

0:26:46 > 0:26:49But there's nothing we can't handle. Right, Mr Levy?

0:26:49 > 0:26:52Right, let's chase oncology, let's get hold of Miriam's records,

0:26:52 > 0:26:54call psych down to take a look at her

0:26:54 > 0:26:57and I think it's time we told her what we know.

0:26:59 > 0:27:03And get her out of here as soon as possible.

0:27:03 > 0:27:05Whatever she's done, she's served her time,

0:27:05 > 0:27:07She's almost certainly going to die.

0:27:07 > 0:27:10Have you had a complete sympathy bypass?

0:27:10 > 0:27:13My sympathy is with the little boy and his real family,

0:27:13 > 0:27:16not the weirdo that tried to run off with him.

0:27:16 > 0:27:19But as you're so suddenly interested, you can go tell her. Can't you?

0:27:27 > 0:27:29Let me know if you need anymore pain relief.

0:27:29 > 0:27:32No, you go for it, mate, I don't feel pain.

0:27:33 > 0:27:35Certainly not afraid of needles.

0:27:43 > 0:27:48- Lilly-Rose your wife?- Daughter. No, I'm single. And available.

0:27:51 > 0:27:53Thank you.

0:27:53 > 0:27:54How old is she?

0:27:54 > 0:27:58She'd be four. Have you not got any tattoos?

0:27:58 > 0:28:00No, it's not really my style.

0:28:00 > 0:28:02Oh, ho-ho! Why not?

0:28:02 > 0:28:04Quite, remember, Oliver - open minds today.

0:28:04 > 0:28:07Now, Kenny, we've got a plan. We're going to get you to theatre,

0:28:07 > 0:28:09saw off the bit of bone that's sticking out

0:28:09 > 0:28:11and hammer whatever's left back in, OK?

0:28:11 > 0:28:14- Yup.- Really?

0:28:14 > 0:28:16No, Dr Valentine, not really.

0:28:16 > 0:28:20I'm going to insert a guide wire and nail the femur back into place,

0:28:20 > 0:28:23then perform a graft using skin from the other thigh

0:28:23 > 0:28:26and gluing it over the top. You should be able to walk normally

0:28:26 > 0:28:27with some physio and you'll only lose

0:28:27 > 0:28:31a bit of that tattoo. Still you seem to have plenty of others.

0:28:31 > 0:28:33I lose the tattoo?

0:28:33 > 0:28:34Think of it more as gaining a leg.

0:28:34 > 0:28:38I thought you'd just stitch it up and it'd heal.

0:28:38 > 0:28:41- It's not that quite simple... - No, it's not.

0:28:41 > 0:28:44Sorry, fellas, I can't do it, I won't do it.

0:28:47 > 0:28:51Karen, Mr Hemingway is going to bring you up to date

0:28:51 > 0:28:52on where we're at.

0:28:52 > 0:28:53Oh.

0:29:02 > 0:29:03Right.

0:29:03 > 0:29:08I...I think, she didn't understand me.

0:29:10 > 0:29:11Before, I mean.

0:29:11 > 0:29:17I meant it was three years in prison for one day with Matty.

0:29:19 > 0:29:21I don't mean it was wrong.

0:29:23 > 0:29:25I meant it was worth it.

0:29:25 > 0:29:29Even when I got beat up by other girls

0:29:29 > 0:29:31or when Lenuta coughed all night,

0:29:31 > 0:29:34or...Matty's picture in the cell...

0:29:38 > 0:29:41I could still remember him laughing.

0:29:44 > 0:29:47I never would have hurt him, you know.

0:29:47 > 0:29:50'So he does this Yoda thing'

0:29:50 > 0:29:52where he just stands there

0:29:52 > 0:29:56and scratches his chin and asks everybody else what they think.

0:29:56 > 0:29:58But what has he actually come up with?

0:30:01 > 0:30:02OK, from now on,

0:30:02 > 0:30:05we make him come up with the answers for himself, OK?

0:30:15 > 0:30:16Where's Elliot?

0:30:16 > 0:30:19Stuck in theatre for the rest of his natural life -

0:30:19 > 0:30:21Hanssen redid the theatre lists, for some reason...

0:30:21 > 0:30:23It's not Freya, is it?

0:30:23 > 0:30:25What about her?

0:30:25 > 0:30:28You heard Hanssen green-lit surgery?

0:30:28 > 0:30:31Yeah, we were wondering how you bewitched him.

0:30:31 > 0:30:34You should know. I need a second surgeon to assist.

0:30:34 > 0:30:36And you thought Elliot would change his mind?

0:30:36 > 0:30:40- I had to ask, now Dr Dolan's signed off...- "Dr Dolan", is it?

0:30:40 > 0:30:42What happened to Peter Pan?

0:30:43 > 0:30:46Come on, Jac, is Sean growing on you?

0:30:48 > 0:30:53- Oh, come on! Jac Naylor is not giving up that easily.- Wait...

0:30:54 > 0:30:57- Before you both assume you know my mind...- What are you doing?

0:30:58 > 0:31:00Pulmonary pressure was 50, right?

0:31:00 > 0:31:02Might be worth checking again.

0:31:02 > 0:31:06It doesn't matter. What are we going to do? Wait till she needs a heart and lung transplant?

0:31:06 > 0:31:11Although, I might never trust Ms Naylor's motives, her judgement's never far wrong.

0:31:11 > 0:31:14- Are you sure about this? - Are YOU sure about this?

0:31:22 > 0:31:27Oh, Mr Hemingway, will you be accompanying your patient to Keller?

0:31:27 > 0:31:29In there? With them?

0:31:29 > 0:31:32I'm sorry, our Fellows-only lift is out of order at the moment.

0:31:33 > 0:31:38Um...you go, I'll phone.

0:31:44 > 0:31:47So...you don't like lifts?

0:31:49 > 0:31:50What's to like?

0:31:51 > 0:31:53- How did she take it?- Who?

0:31:54 > 0:31:55Karen Nashley.

0:31:55 > 0:31:58- Oh, I didn't tell her.- Why not?

0:31:58 > 0:32:00Well, I wanted to run a few more tests

0:32:00 > 0:32:03in light of her breathing difficulties.

0:32:03 > 0:32:04What do you think?

0:32:08 > 0:32:10Freya Winter...

0:32:10 > 0:32:11Yes, approved and dated.

0:32:11 > 0:32:16I asked Dr Dolan to inform me when you're closing.

0:32:16 > 0:32:19Only when I came to see you earlier, I may have...

0:32:19 > 0:32:21downplayed the risks.

0:32:21 > 0:32:23Oh, yes, of course you did.

0:32:23 > 0:32:24Sorry?

0:32:24 > 0:32:26Well, I may not be a CT surgeon,

0:32:26 > 0:32:29but contrary to your default assumption,

0:32:29 > 0:32:32that doesn't make me a complete idiot.

0:32:32 > 0:32:36I've factored in your spin, as I do in the majority of our exchanges.

0:32:38 > 0:32:40Why, has something changed since we last spoke?

0:32:42 > 0:32:44Because I'm backing your judgement, Ms Naylor.

0:32:44 > 0:32:46If you've any concerns

0:32:46 > 0:32:48about whether this is the right course of action or not,

0:32:48 > 0:32:51I expect you to speak up, it's child's life at stake.

0:32:51 > 0:32:53I know what's at stake.

0:32:55 > 0:32:56So has anything changed?

0:32:56 > 0:32:59Nothing significant.

0:33:01 > 0:33:03The thing is, it's all very well

0:33:03 > 0:33:05saying you could never run off and leave your baby,

0:33:05 > 0:33:09but you don't know until you're in that person's shoes really, do you?

0:33:09 > 0:33:13Then again, when I have a baby, I'm not letting it out of my sight.

0:33:13 > 0:33:15How about you, do you like children?

0:33:16 > 0:33:18He said "would".

0:33:25 > 0:33:26You said "would".

0:33:26 > 0:33:32When I asked how old your daughter was, you said, "She would be four".

0:33:32 > 0:33:35- So?- Past tense. As if you don't...see her any more.

0:33:37 > 0:33:41Kenny...why is that?

0:33:48 > 0:33:49She was stillborn.

0:33:54 > 0:33:55I won't have it covered up.

0:33:59 > 0:34:06Kenny...what if Mr Hamilton can do the graft...

0:34:08 > 0:34:10..and keep at least her name intact?

0:34:31 > 0:34:34Don't worry, there's always more bodies in a Paeds theatre,

0:34:34 > 0:34:36just don't take chances with kids.

0:34:47 > 0:34:50Thank you. Um, excuse me.

0:34:50 > 0:34:53- What are you after?- Answers.

0:34:53 > 0:34:55Oh, no. No, it's not, is it?

0:34:55 > 0:34:59Do you know, I probably only know for sure till I open the envelope.

0:35:02 > 0:35:04Well?

0:35:05 > 0:35:07I did some work in Macedonia last year

0:35:07 > 0:35:09and saw the rise in reported cases there.

0:35:09 > 0:35:11It's the same across the whole of Eastern Europe.

0:35:11 > 0:35:13You mentioned breathlessness,

0:35:13 > 0:35:16but it was when Karen said she'd shared cell with a Romanian

0:35:16 > 0:35:17who kept coughing through the night...

0:35:17 > 0:35:19Do you know, other places I've worked,

0:35:19 > 0:35:22when we found out that one of our patients wasn't actually dying,

0:35:22 > 0:35:24that was generally viewed as good news.

0:35:24 > 0:35:26Oh, and at these other places,

0:35:26 > 0:35:29did you tell your colleagues when you were testing for TB?

0:35:29 > 0:35:31Usually, if they seemed even remotely interested.

0:35:31 > 0:35:36It's the intra-abdominal strain - rare but a mild case,

0:35:36 > 0:35:38she'll be fine. What's the matter?

0:35:38 > 0:35:39Mm, nothing. No.

0:35:39 > 0:35:42I've only got an infectious disease from medieval times

0:35:42 > 0:35:45on an open ward on the same day that our director of surgery

0:35:45 > 0:35:48is doing a health and safety drive. No, I'm fine.

0:35:48 > 0:35:49Are you still hung-over?

0:35:49 > 0:35:52- Do you do this deliberately?- What?

0:35:54 > 0:35:56Don't worry, I'll handle it.

0:36:15 > 0:36:17You know about hearts, remember?

0:36:36 > 0:36:40The corridor and entire ward, please.

0:36:40 > 0:36:43And absolutely no new admissions till they've disinfected.

0:36:43 > 0:36:45Oh, for... Do you know what,

0:36:45 > 0:36:48I should have known you'd thought you were an exception.

0:36:48 > 0:36:50No, I just don't like having my face covered.

0:36:50 > 0:36:55Um, also I have to say, I think you're massively over-reacting.

0:36:55 > 0:36:58What's the likelihood of anybody being infected

0:36:58 > 0:36:59in such a short space of time?

0:36:59 > 0:37:05- That is not the point, Mr Hanssen...- I'll give him a call, shall I?- No, no.

0:37:05 > 0:37:08We call absolutely no-one, I can handle this.

0:37:09 > 0:37:13- Are you OK?- I'm fine.

0:37:13 > 0:37:18- Karen, you are going in a room on your own for a while.- Is this my fault? I don't understand.

0:37:18 > 0:37:22No, no. It's not your fault. I'll come and talk to you in a minute.

0:37:22 > 0:37:23Basically, it could be a lot worse.

0:37:25 > 0:37:27I'm not so sure about that.

0:37:29 > 0:37:34Come on, cheer up. It's only until the testing kits arrive.

0:37:34 > 0:37:37Surely we can stand being stuck together till then?

0:37:37 > 0:37:41We could...sing a few Carpenters songs, take our minds off it?

0:37:41 > 0:37:45- This is ridiculous.- It may be, but it's also hospital policy.

0:37:45 > 0:37:48Can we at least have the door ajar?

0:37:48 > 0:37:51- How is that isolation? - We've Only Just Begun?

0:37:51 > 0:37:53If I'd known TB was a possibility,

0:37:53 > 0:37:56I'd line up a negative pressure room and all this would be unnecessary.

0:37:56 > 0:37:59- It's still unnecessary.- Agreed. - Well, then, why are we here?

0:37:59 > 0:38:02And why do we all have to be in one small room?

0:38:02 > 0:38:05- Questions, questions. I told you, didn't I?- Goodbye To Love?

0:38:05 > 0:38:06Told him what?

0:38:06 > 0:38:09Oh. I don't know, Mr Levy, what do you think?

0:38:09 > 0:38:10Oh, I wonder, Nurse McKee...

0:38:10 > 0:38:13You say just enough so that we do all the work

0:38:13 > 0:38:16and get to the answers ourselves. You've been doing it all day.

0:38:16 > 0:38:21- I've done it my whole career. - He admits it.- It's the best way I know of retaining knowledge.

0:38:21 > 0:38:25Being told something's fine, but you'll have to be told again.

0:38:25 > 0:38:29- If you get there yourself, it tends to stick.- Socratic learning.

0:38:31 > 0:38:32What the hell are you doing?

0:38:32 > 0:38:35Now who's asking questions?

0:38:35 > 0:38:39- You know what, sod this. I'm going in with Karen. - Eddi, don't.- Yes, good idea.

0:38:48 > 0:38:49Ready for the patch.

0:39:06 > 0:39:09Saline.

0:39:24 > 0:39:25Off bypass.

0:40:02 > 0:40:05Right...I'm done.

0:40:08 > 0:40:09That means you can go now?

0:40:12 > 0:40:14Don't want to be around me, do you?

0:40:14 > 0:40:16Because of what I done?

0:40:16 > 0:40:20It doesn't matter what I think. Or anyone else, in the end.

0:40:20 > 0:40:23Like I said, after a few months of treatment

0:40:23 > 0:40:27you're going to be fine. You know what that means, don't you?

0:40:29 > 0:40:31It means you're free.

0:40:31 > 0:40:34People might think they know who you are,

0:40:34 > 0:40:36but you're free to be who you want when you want now.

0:40:37 > 0:40:41You could be two different people at the same time if that's what you like.

0:40:41 > 0:40:42Have a baby if that's what you need.

0:40:44 > 0:40:48No-one's never said nothing like that to me before, they haven't.

0:41:09 > 0:41:10So, it went well?

0:41:10 > 0:41:13She didn't say, I'm sure she would have done if it hadn't.

0:41:17 > 0:41:18How's it going down there?

0:41:18 > 0:41:20Not great, to be honest.

0:41:20 > 0:41:22Doesn't seem to be going in by itself.

0:41:23 > 0:41:26Nurse? Bring out Dylys!

0:41:39 > 0:41:41Right.

0:41:41 > 0:41:42Mr Hamilton?!

0:41:42 > 0:41:44HE LAUGHS

0:41:50 > 0:41:55OK, OK, consider my preconceptions truly smashed.

0:41:55 > 0:41:58You need to loosen up.

0:41:58 > 0:42:02Whatever we do, we're at our best when we're enjoying ourselves.

0:42:02 > 0:42:04I think we make a pretty good team.

0:42:04 > 0:42:08It's good, honest work. I think you've rather enjoyed getting your hands dirty.

0:42:08 > 0:42:11Seriously, I never knew the orthopaedics could be this much...

0:42:15 > 0:42:16Like this.

0:42:16 > 0:42:18- So why not stay?- What?

0:42:18 > 0:42:19I told you, I'm an F2 down.

0:42:19 > 0:42:22Unless you're happy being Jac's lacky.

0:42:34 > 0:42:39Here's to Darwin's first official Paeds CT procedure.

0:42:39 > 0:42:41How does it feel?

0:42:42 > 0:42:46Honestly? The same as after every other procedure.

0:42:46 > 0:42:48Which is why, if ever the axe should fall here,

0:42:48 > 0:42:51you could always make the switch to Paediatrics full-time.

0:42:52 > 0:42:55- I thought I lacked empathy. - There are more important qualities.

0:42:55 > 0:42:58After I left you to put the line in Freya, I thought,

0:42:58 > 0:43:02"She'll never be able to sink a knife in to her now."

0:43:02 > 0:43:05Now Sahira may be handy up there,

0:43:05 > 0:43:07but she wouldn't last five minutes on my ward.

0:43:07 > 0:43:11Ms Shah might be misguided, but she does genuinely care about Freya.

0:43:11 > 0:43:14And not because she sees an opportunity to get her name

0:43:14 > 0:43:15on a sexy procedure.

0:43:15 > 0:43:19But because she sees a vulnerable child all alone in a place

0:43:19 > 0:43:21where everybody needs somebody.

0:43:22 > 0:43:25If you really think there are more important qualities than that,

0:43:25 > 0:43:27then I pity your patients. And you.

0:43:35 > 0:43:36I'm sorry.

0:44:00 > 0:44:02Therapeutic hypothermia - stages one and two,

0:44:02 > 0:44:06- fully completed with relevant orthopaedic data.- Right. Great.

0:44:06 > 0:44:09I actually told you a bit of a white lie when I saw you earlier...

0:44:09 > 0:44:12- Just in my pigeonhole, please. - You wanted it immediately.

0:44:12 > 0:44:14I'm not going to have time today after all.

0:44:14 > 0:44:18- Ms Naylor...- Just put it in the pigeonhole, please.

0:44:18 > 0:44:22And take that poppy off while you're at it.

0:44:22 > 0:44:25Ms Naylor, a word, please, in the office.

0:45:13 > 0:45:15Don't worry, little one.

0:45:38 > 0:45:40The thing I'm wondering is...

0:45:40 > 0:45:43were you really attacked?

0:45:45 > 0:45:46Were you?

0:45:48 > 0:45:50This wasn't your nearest hospital, was it?

0:45:51 > 0:45:52No.

0:45:55 > 0:45:56Do you listen to the radio?

0:45:56 > 0:45:59I listen to the radio. You listen to the radio?

0:46:01 > 0:46:02Is that where you heard about her?

0:46:07 > 0:46:10You'll never be nearer to a door than me, I'm afraid.

0:46:12 > 0:46:13Don't be scared.

0:46:13 > 0:46:14I understand.

0:46:16 > 0:46:20Not the desire for a baby necessarily, but that's only biological,

0:46:20 > 0:46:24and possibly one of the least interesting things about us.

0:46:24 > 0:46:26But the horror of being alone,

0:46:26 > 0:46:28of having no-one to love or to love you back,

0:46:28 > 0:46:32I don't have to share that to understand...

0:46:33 > 0:46:36..to really understand,

0:46:36 > 0:46:39to walk up an awful lot of stairs to tell you that it's all right.

0:46:41 > 0:46:43It really is.

0:46:53 > 0:46:57SHE SOBS It's all right.

0:47:08 > 0:47:13FREYA CRIES, MACHINES BEEP

0:47:13 > 0:47:16And calling me out of theatre for a five-minute consultation

0:47:16 > 0:47:17was totally out of the question?

0:47:17 > 0:47:20- Yes.- Because?

0:47:20 > 0:47:23I've told you - because Mr Douglas offered to assist.

0:47:23 > 0:47:26You should still have consulted me, and we both know why you didn't.

0:47:26 > 0:47:29Really? Why's that?

0:47:29 > 0:47:32I came to congratulate Ms Naylor but is there a problem?

0:47:32 > 0:47:34You could say that.

0:47:34 > 0:47:38I've done nothing wrong, and I don't need your permission to operate, Elliot.

0:47:38 > 0:47:39It's Freya.

0:47:42 > 0:47:44- BP?- 60 systolic, still dropping.

0:47:44 > 0:47:46And she's tachycardic.

0:47:46 > 0:47:50- How long?- I was talking to social services.- How long? - No more than ten minutes.

0:47:50 > 0:47:52- What happened? - It can only be a bleed.

0:47:52 > 0:47:56Then we need to open her back up. What choice do we have?

0:47:56 > 0:47:58Ms Naylor?

0:47:58 > 0:48:00Ms Naylor?

0:48:02 > 0:48:06- Would you like Mr Hope to take over? - No! This is down to me. Page the anaesthetist.

0:48:06 > 0:48:08FREYA CRIES

0:48:22 > 0:48:24How are you feeling? Any pain?

0:48:24 > 0:48:27Told you, I don't feel it.

0:48:28 > 0:48:29And the leg?

0:48:31 > 0:48:33Haven't seen it yet.

0:48:56 > 0:48:57All seems fairly satisfactory.

0:48:59 > 0:49:02You'll heal in no time.

0:49:21 > 0:49:24Ah, Luc, where have you been?

0:49:24 > 0:49:28- They got her - Karen, Miriam, whatever, the police got her.- Good.

0:49:28 > 0:49:31- Has something happened? - Nothing that I couldn't handle.

0:49:31 > 0:49:34While you were in the library, I was on the phone to the police

0:49:34 > 0:49:38stopping the baby on Darwin from being abducted by your mate.

0:49:38 > 0:49:41It seems Karen isn't quite the reformed character you'd hoped.

0:49:43 > 0:49:45How is the poor little mite?

0:49:45 > 0:49:48Back in theatre now. What do you think about that, Socrates?

0:49:49 > 0:49:53Oh come off it, you've been trying to undermine me all day,

0:49:53 > 0:49:56with your clever comments, constant questioning and doing your own thing.

0:49:56 > 0:49:59But when it really mattered, I stayed in control

0:49:59 > 0:50:03and as a result, saved a child's life. Hopefully.

0:50:03 > 0:50:06And prevented a TB epidemic.

0:50:06 > 0:50:11Excellent. You really do run a very tight ship, Nurse McKee.

0:50:17 > 0:50:19Suction, please.

0:50:22 > 0:50:25The fact there's a bleed doesn't mean she shouldn't have had surgery.

0:50:25 > 0:50:29And stopping the bleed doesn't mean she will live through it.

0:50:29 > 0:50:33- It was still the right call.- This is not an inquest, Mr Douglas!

0:50:33 > 0:50:35Yet.

0:50:41 > 0:50:43Keep 100% oxygen.

0:50:44 > 0:50:46- BP?- No, still falling.

0:50:47 > 0:50:50- Come on! - She's going into VF.- Paddles!

0:51:18 > 0:51:21- Jac?- No.

0:51:52 > 0:51:54Mr Hope?

0:51:57 > 0:51:59She's going to be fine.

0:52:02 > 0:52:04'Jac was incredible in there.'

0:52:13 > 0:52:18I've never known anyone take so long scrubbing in and out as you.

0:52:18 > 0:52:20Lots of sins to wash away.

0:52:20 > 0:52:22Ah, not today.

0:52:23 > 0:52:24Listen...

0:52:24 > 0:52:28what I said before about empathy...

0:52:28 > 0:52:29what you did in there was...

0:52:29 > 0:52:31I did my job, Sean.

0:52:31 > 0:52:34We all did. Let's just leave it at that, OK?

0:52:37 > 0:52:39You called me Sean.

0:52:39 > 0:52:42- Tell anyone and I'll deny it. - Tell them what,

0:52:42 > 0:52:46that it's not just Freya's heart that's bigger than it looks?

0:52:46 > 0:52:48Save it for the ten year olds.

0:52:50 > 0:52:53Maybe I'll see you downstairs sometime...Ms Naylor?

0:52:53 > 0:52:55Excuse me.

0:52:59 > 0:53:01HE CHUCKLES

0:53:04 > 0:53:07- HE COUGHS - Nurse?

0:53:08 > 0:53:11You can come in, you know.

0:53:11 > 0:53:13Oh, there's no need. It's only...

0:53:13 > 0:53:16tomorrow morning...

0:53:16 > 0:53:17I won't be on the roof.

0:53:17 > 0:53:20Right. OK.

0:53:20 > 0:53:23- It's a big roof. - It's not big enough.

0:53:44 > 0:53:47- I really need to talk to you. - And I really can't right now.

0:53:47 > 0:53:51Let's just catch up first thing, OK?

0:53:51 > 0:53:54No, actually, not OK. I haven't slept for two days.

0:53:54 > 0:53:56All the more reason to postpone this.

0:53:56 > 0:53:59You had plenty of time to talk yesterday - I wonder why that was.

0:53:59 > 0:54:03- It's not that I don't have time for you, it's...- Something better came up. Yes, I get it.

0:54:03 > 0:54:08- You said that we were going to work together on this. You said it was vital.- It is, and we will.

0:54:08 > 0:54:12- I don't believe you. - Well, that's your choice.

0:54:12 > 0:54:16- Just don't make any decisions on the research until...- It's too late.

0:54:16 > 0:54:19You told me to show initiative - well, I have a new mentor.

0:54:19 > 0:54:21- What?- Mr Hamilton.

0:54:24 > 0:54:25You're not serious?

0:54:29 > 0:54:33Oliver, moving to Orthopaedics from CT is like choosing

0:54:33 > 0:54:36to play for West Bromwich Albion over Barcelona

0:54:36 > 0:54:39because you like the shirt better - it's absurd.

0:54:39 > 0:54:40It's MY decision.

0:54:40 > 0:54:45To be mediocre instead of the best? That's what you've decided?

0:54:45 > 0:54:48What do you think you're going to learn as a bone monkey?

0:54:48 > 0:54:53Whatever it is, I'll learn it by doing, not wasting my life waiting for crumbs from your table.

0:54:53 > 0:54:59- Think you'll make a difference gluing bones back together?- Yes, I do, and I'll have fun doing it.

0:54:59 > 0:55:01This could ruin your career.

0:55:01 > 0:55:05You don't care about my career. You don't care about ME at all!

0:55:05 > 0:55:09All you're worried about is whether I'm going to tell tales on you. Well, I'm not.

0:55:11 > 0:55:15I'm sick and tired of never knowing where I stand with you,

0:55:15 > 0:55:20trying to work out WHY you do the things that you do.

0:55:21 > 0:55:25I don't think you even know yourself.

0:55:25 > 0:55:28So if being the best is being like you,

0:55:28 > 0:55:29well...

0:55:31 > 0:55:33..I'll settle for mediocrity.

0:55:35 > 0:55:38Then you and Mr Hamilton should be the perfect fit.

0:55:38 > 0:55:41I hope you'll be very happy together.

0:55:49 > 0:55:52QUACKING

0:56:18 > 0:56:24# All bodies break

0:56:24 > 0:56:29# And the blood just spills and spills

0:56:29 > 0:56:36# But here we sit debating that

0:56:39 > 0:56:46# It's just a shame

0:56:46 > 0:56:50# My hand just kills and kills

0:56:52 > 0:56:59# There's gotta be an end to that

0:57:25 > 0:57:32# There's gotta be an end to that. #

0:58:11 > 0:58:15Subtitles by Red Bee Media Ltd

0:58:15 > 0:58:18E-mail subtitling@bbc.co.uk