Under The Skin Holby City

I want to speak to whoever's in charge.

Sure, that would be me.

If I don't transfer her here, then where?

I'm going to tell you this one more time - we are full!

Giving it large last night to celebrate?

No, never, not the night before the new job.

So it's her heart that's not working properly?

I want to be like you - proper job, proper contract.

You're so...so sorted.

I'm not fit to do this, am I? I'm not!

Do you want another coffee or something?

So what, did she just walk? What did you say to her?

-Nothing, I just tried to get her to sign for the MRI.

-Did she?

-No.

The courts have made you in loco parentis so you do with the scan.

This is my job now and I'm not going to mess it up.

Don't do it!

OK.

What?

Don't do what?

Oh, you shouldn't have, Mr Douglas, I got my own.

I didn't. And you always do.

SHE GROANS What are you still doing here?

Good morning to you too, Ms Naylor. And I actually haven't left yet.

I think that's my point.

None of us have, Jac - we've been here since last night.

-In shifts.

-Why?

BABY CRIES

Mr Dolan authorised it, until we get the results of the MRI.

-I take it the mother isn't back, then?

-No.

Still no Paeds, no CT beds at St Joseph's.

I didn't want to move Freya until we knew if she needed specialist care.

Your guys wanted to hang around, just in case.

You've got a great team here.

Hmm, when they're doing the job they're paid to.

Sahira, chase that scan - this isn't a creche.

I think I've just established that you're not about to throw yourself off the building.

Wasn't about to - I'm ruling nothing out now.

My point is that it's a perfectly logical assumption.

-That anybody on a roof must be suicidal? Not really.

-Listen, it's out of bounds up here, to everyone.

-Including you?

-It's less out of bounds to me than it is to you.

-Why?

-Doesn't matter. What are you doing here?

I'm trying to be alone for five minutes.

-Do you want some?

-Are you drunk?

Shouldn't be by now.

Oh, I am, however, unreasonably hung-over.

And therefore suicidal.

-What?

-I'm simply applying your logic. You know, the roof.

Listen, smartarse, you don't have to be on the roof to be on your own,

whereas there is actual logic behind why I'm up here.

Fine, look, there are four vital ingredients after a big night out.

One - it's a dirty bacon sandwich. Two - coffee.

Three - water and Paracetamol. And four - get yourself up as high as you possibly can,

find the spot where the wind hits you the hardest

and you take in so much oxygen you almost pass out.

Three out of four ain't bad.

It's a bit crude, isn't it?

In the Philippines, they swear by a breakfast of pickled shrimp, frogs' legs and beetle lava.

Does it work?

-I don't know.

-I thought you'd been.

-I have, but I don't drink.

Why not?

Well...

so I don't end up looking like you.

BEEPING

Excuse me.

-Well? MRI results?

-They're on their way.

Has that been infection screened?

-I thought they were given plastic toys for a reason.

-And I thought you knew nothing about Paeds.

It's brand new, Jac.

The Darwin team chipped in to try and make this place less unfriendly.

What exactly IS the problem?

The problem, Peter Pan, is that she shouldn't be here,

-and nor should you - this is an adult ward.

-So I'm not an adult?

I don't know what you are,

but I'm certain this is no place for a six-month-old baby.

-So it's Freya you're worried about?

-What do you think?

Well, it's a shame you didn't show the same concern for her mother.

Oh, I see. So we're only a team when it comes to buying cuddly toys?

Well, that's... That's fine,

but if you think I should feel guilty about a mother abandoning her child,

then you've been awake too long.

Yep.

It's fine, I've got it. Thank you.

Emergency trauma from the ED on its way - blunt trauma to the abdomen.

Looks like it's going to be another busy one.

Maybe Mr Hanssen will give us the day off from meeting his targets.

-You must be from the ED.

-Must I?

-Blunt trauma to the abdomen?

-No, thanks, I've just eaten.

What are you doing here?

Oh, I'm sorry, is it "out of bounds"?

I'm sorry, it is, actually. You can't just come wandering in...

-That's supposed to be on display at all times.

-My stomach hurts!

Her stomach hurts, and evidently, I'm your new registrar.

We'll be right with you. Sorry, erm...

-Luc. I'm Sacha Levy.

-Sacha.

And I'm Senior Staff Nurse McKee.

Sean, MRI results are in.

I'm not seeing what you're seeing, but I'm not getting a happy vibe.

Gerbode's.

It's a Gerbode's Defect. Quite a rare form of hole in the heart.

-A very rare form.

-Basically there's a shunt from left to right -

blood is flowing from Freya's left ventricle into the right atrium.

-Meaning it's serious?

-And that Nicole was right all along.

It also means I'll now be taking sole charge of this case on behalf of Darwin.

MDT meeting in half an hour. I suppose you're invited. You're not.

-You're taking over? Just like that?

-She's my patient, remember.

Who, up until now, you didn't give a damn about!

What are you up to?

I am trying to ensure that she survives now a potentially life-threatening condition.

-Objections?

-And you think you're the best person to do that?

As the only member of the team who's managed to retain any

kind of professional distance, I think I'm the only person.

Heard about Freya - had to look Gerbode's up.

-Who saw that coming?

-Nobody, which is why I'm about to chair an urgent MDT meeting.

-How's your research going?

-Take a look for yourself. Part one, fully complete.

Wow. This must have taken all night.

And this morning, plus WAY too much coffee.

-I want to make a go of this.

-Since you're enjoying it so much,

can I have the second part by the end of the day?

-I'd really like to read the opening sections together.

-OK, well...

Excellent.

Thank you all for coming. This won't take long.

You all know why we're here.

Now, because Gerbode's affects the membranous ventricular septum close to...

-I didn't realise tickets were being sold.

-Don't mind us.

-I made it clear to Ms Shah that I'll be taking this case forward.

-And I did put it to Mr Hope

that there's no point having an MDT meeting with half the T missing.

Especially as Mr Douglas and I have Paeds experience.

Unlike you, Ms Naylor.

-I thought you were in theatre all day?

-Hmm, so did I.

Should we get on with it?

-Why didn't you tell me?

-About what?

-Will you make sure it's all all right?

-Of course.

Have you been in a fight, Karen? Has someone hurt you?

I just want to make sure it's all all right...

that I can have a baby.

Are you pregnant?

No..

but I will be.

If it's all all right, I will be.

Will you make sure it's all all right?

I don't care how long it takes.

I just need to make sure that I can...

Have a baby. Got it.

Look, Karen, you've got two doctors and the best nurse in the hospital

looking after you, so we'll find out what's going on, don't worry.

Had I been a girl, apparently I'd have been a Karen.

Your parents are big Carpenters' fans, too?

Right, what do you think?

Nurse?

-Yeah?

-Thoughts?

Chest X-ray, FBC's, U's and E's and a liver function test, Doctor.

Oh... I was actually talking about the Carpenters, but...

Yeah. What she said.

Therefore the fastest and most effective fix is to insert a patch...

That's... Sorry to interrupt, Ms Naylor,

that's a very risky procedure.

Has there been any discussion

on whether this patient should even actually be treated at Holby?

Not since her diagnosis.

The patient is already at Holby. Plus the Paeds unit at Oxford

has closed and St Joe's has got more kids than Neverland.

There's absolutely... QUACKING

-QUACKING STOPS

-Sorry.

HE CLEARS HIS THROAT

There's no reason why Darwin shouldn't have a Paeds CT facility.

All we have to do is show we can handle it, and I can.

For the record, if you check my current CV,

-you'll see there's plenty of Paeds CT experience on there.

-Yes, sure,

-but what Freya really needs is her mother.

-I tend to agree.

I don't think we should be rushing into such a high risk procedure yet, especially without Mum here.

You can live without a dysfunctional mother, but not a functioning heart,

and it could deteriorate rapidly at any time. What about the pressure on pulmonary circulation?

-Monitor her until there's evidence of hypertension.

-So we can wait?

I think so, for the time being, yes.

OK. Thank you.

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

-We could do, but...

-She's already got severe pulmonary hypertension.

Right? What's the pressure?

I don't know - we haven't done another Echo since the diagnosis.

Well, then you should do, obviously.

But the pressure would need to be as low as 50

-to warrant even considering taking such a gamble.

-Obviously.

Good.

-No symptoms suggesting head injury, but she does seem rather...

-Simple.

-What?

-So her being desperate to have a baby makes her simple?

I thought we were in the business of compassion.

You might be - I'm in the business of trauma.

Meaning you bring it, or treat it?

Meaning my post here is funded on the basis that I carry out

research into trauma medicine, not pretend to be a social worker.

You're here on a hip?

Wow. Impressive.

I thought you two were supposed to be discussing Karen Ashley?

-I'll do what I can on her history.

-That's not a nurse's job.

-No, but I'm not a normal nurse.

-That's true, actually.

And like Karen Carpenter said, "I won't last a day without you."

-So what are we saying, ruptured spleen?

-Ruptured spleen.

-Ruptured...spleen.

I want the full scan sent to my office as a priority, OK?

-Ms Naylor?

-Can it wait?

Bit of a problem, actually.

To finish the next section, I need to corroborate our polytrauma figures with data from Orthopaedics.

-And?

-No-one from Ortho is available today. So...

what do I do?

-Ms Naylor?

-Doctor Valentine, one of the reasons I wanted to work with you on this

was I was hoping, when circumstances demanded,

that you'd step up and take the initiative.

Leave it to me.

-Who says I don't know what it's like to have children?

-Well, you can forget about this one.

-What?

-I spoke to St Joseph's again, called in a few favours.

-They'll have a bed for Freya first thing tomorrow.

-Tomorrow might be too late.

If I didn't know you better, Ms Naylor,

I'd say you were hoping Freya's that sick.

Top priority.

So what do you think of the new guy, then?

Scalpel, please. Thank you.

He seems all right. Suction.

Oh, I don't like the look of that.

Tumours?

Well, could be, but...

Sorry, can you ask Mr Hemingway to pop in, please?

He's still just a registrar, Sacha. you're supposed to be equals.

I wish!

-He's a Fellow in Trauma and Vascular, do you know what that means?

-He's twice as annoying?

He does seem a little... diffident.

Does that mean superior?

-It's not easy being the new boy. We should give him a chance.

-Should we?

Blunt forceps, please.

Greeting Mr H.

Now, I don't think that's just Karen's spleen that's a problem. What do you think?

About what, specifically?

Well...the tumours.

They definitely are. Yes.

Cancerous?

Well, I'll finish up and send one to oncology.

OK. Is that all?

-Did you get any more of her history?

-I've been a bit busy.

You might want to start with Her Majesty's Hotel Group. Those are prison tattoos.

Wow! How do you know that?

I did a twelve stretch in Belmarsh...

Well? What do you think?

You haven't heard, have you? Not listened to the radio today?

As I've just finished explaining, I have been rather busy.

After being all over the media for all the wrong reasons,

the local news is now carrying a report about our foundling.

It's a small story so far,

but how long before it becomes a big one about how we lost the mother?

Nobody 'lost' the mother, she walked out.

And surely you can see that this is an opportunity.

To create some publicity instead of being fearful of it.

What exactly do you want, Ms Naylor?

-To operate. Today.

-I see.

-Do you?

'Holby Performs Miracle Op on Abandoned Baby' can you see that?

I can see 'Motherless Infant Dies at Crisis Hospital' and it doesn't bear thinking about.

Why are you talking to me about this and not your colleagues on Darwin?

Because I'm being undermined by bleeding hearts and a nursemaid in a novelty watch.

You're signing off surgery and I know I can rely on you not to let your heart rule your head.

Incidentally, if you're still overseeing theatre lists,

several of the team were saying they're light today.

Mr Hope in particular.

It's a simple patch...

How simple?

I'm not saying it's totally without risk,

but operating is no more dangerous than not.

And yet my understanding is that 'not' was the decision of the MDT.

Unless the Echo showed pulmonary pressure around 50.

And did it?

Yes. It did.

Still in a lot of pain?

Is everything OK? Will I still be able to have a baby?

You ruptured your spleen, Karen, but we successfully repaired it.

I used to have a baby once...you know.

Really?

-That's Matty.

-He's lovely.

Yeah. But I wasn't quite... ready to have a baby.

That's what they said. And they was right, really...

So they took him away and... Anyhow.

Matty's happy and I'm ready

to have a baby now, I am. Aren't I?

I'm going to grab one of the doctors who will bring you up to

speed with everything that's going on.

And I'll get you something for your pain, OK?

I think you're wrong, you know. About the prison.

I've called them all. Social services will get back to me. But from what she said about her son...

She's bred already?

He was taken away.

Have you had a complete sympathy bypass?

-Would it affect her diagnosis either way?

-Maybe not.

But judging people on this ward too quickly could be a big mistake, trust me.

-And what about her actual physical health anything on that?

-She's breathless and still in pain.

Someone still needs to tell her the news.

Do they? If someone told me I was going to die I'd hope they had irrefutable evidence first.

-That's a prescription pad.

-No wonder they made you a Fellow.

Double Fellow. You don't check with a doctor before prescribing?

Not always.

Even after a big night out?

No, Mr Hemingway . Not even then.

I gave Mrs Morgan her injection. Do you want to see?

-Is there anything to see?

-No.

-Right. I'll leave it then.

You working with us today? Cool! How's that poor kiddie doing?

She's under Ms Naylor's care so I'm sure she'll be fine. Excuse me.

I must say it all seems very laid-back, compared to what I'm used to.

With Jac as your mentor, Camp Bastion would probably feel like Center Parcs to you.

Perhaps it's the difference between disciplines. Othopaedics being that much less demanding.

Do me a favour. Forget what Miss Naylor says and make up your own mind,

-if only in the name of research.

-Absolutely.

I mean, some would look at you two with your matching flowers

and think you was a couple - but not me.

Kenny, this is Doctor Valentine.

Pleased to meet you, I'm sure.

Mr Tolson was a passenger on a motorbike doing 60 miles an hour. Then he wasn't. How are you feeling?

Right as rain, man.

I'm looking at all these sick people wondering what I'm doing here. You needn't worry about me.

-Flesh wound!

-Femur's fractured, obviously.

The ED cleaned it up but while we wait on X-rays we'll need the exposed tissue cut away.

-What, you want me to do it?

-You did say you'd help.

OK. Fine.

On my own?

Don't worry, flower - I'll be here.

MONITOR BEEPS QUICKLY

Karen? Karen? Karen, can you hear me?

Karen, I need you to take nice big deep breaths for me, OK? Karen?

-Can you hear me? What did you give her?

-Morphine but not very much. Karen?

Doesn't tend to matter if you're allergic.

What do we give for opioid OD?

Naloxalone but... there's no mention of allergies in her notes.

-Karen?

-We should probably still try and save her life, don't you think?

They think they've come to prep my patient for theatre.

I meant to get here first. Stop, for a second.

-But you didn't... Freya's going to St Joseph's.

-I'm afraid not.

-The Echo suggested we can't hold off the repair after all.

-But Mr Hope told you to wait.

And Mr Hanssen's decided otherwise.

Look, I'm sorry I didn't tell you sooner but I will keep you fully updated from now on.

Fully updated? I'm her consultant! One of her consultants.

I'm trying to apologise here. Ask around and see how often that happens.

-A few hours ago you couldn't wait to get rid of us.

-What can I say, you're a grower.

You know what I think, Ms Naylor? I think you're prejudiced.

What?

You think you can change your mind whenever you like and Paeds is so far beneath your CT throne,

I'll roll over for my belly to be tickled. What did you think I meant?

I'm simply want what's best for the patient.

-For Freya.

-For Freya, yes.

I might not know as much as you about hearts - but I know about kids.

-And I'm telling you, you need me.

-You're right. I do.

I need you to put a line in her foot.

Hence the rare apology. We'll see about this.

I could have handled it.

What? Are you saying I couldn't?

I wasn't aware my lips moved at all.

For the record, however, I do prefer to take my own systems with me when I move on to a new hospital -

and that includes doing my own patient notes and order prescriptions.

Luc, sorry Eddi only does extra as a favour to the doctors.

It just makes our lives easier, that's all.

Not yours, I'm sure.

Damn it! This is all much smaller than the equipment I'm used to.

But fortunately, I'm a professional and able to adapt.

So, this is what's called a peripheral line, OK?

I'm going to explain what I'm doing as I would to any other patient

because unlike some people, I'm not going to change the way I do my job

just because you can't ask questions.

Or because you're on your own.

Not least because as far as I'm concerned, you're better off that way.

Not that I'm completely indifferent to the fact that in hindsight,

maybe I could have handled the situation

with your mother a little...differently.

But we all have to get over that.

And frankly, I'm starting to see why she ran.

You're not the most scintillating company, are you?

Gotcha!

Don't start that.

If you think a smile

or what's more likely to be an involuntary digestive reaction

is going to make me think twice about cutting you open,

then you're every bit as naive as you look.

You won't take it from me, will you?

How long did you keep him?

Only the day! That was all.

Three years for one day.

What, in prison?

And how long do you think that 24 hours felt to Matty's real Mum?

Karen?

Pull the curtain.

Please!

Who are they?

It's Matty, Matty's family.

But how would they know you were going to be here?

Did they attack you?

No, but them who did...

The women on the bus, I shouldn't have got on, they'd have told them.

-So now they're looking for you?

-No.

Um, those men at the desk, were they talking about Karen?

-Have they gone?

-No and yes.

-Miriam?

-Yeah?

I'm not meant to say.

I'm not.

Miriam Gainsborough. Released yesterday with a new name and address

on the opposite side of town

and instructions not to tell anybody anything.

-So she's two people.

-Aren't we all?

I take it the police have been called now we know it was assault?

It's all in hand, professor.

You're on AAU now, we get all sorts down here.

But there's nothing we can't handle. Right, Mr Levy?

Right, let's chase oncology, let's get hold of Miriam's records,

call psych down to take a look at her

and I think it's time we told her what we know.

And get her out of here as soon as possible.

Whatever she's done, she's served her time,

She's almost certainly going to die.

Have you had a complete sympathy bypass?

My sympathy is with the little boy and his real family,

not the weirdo that tried to run off with him.

But as you're so suddenly interested, you can go tell her. Can't you?

Let me know if you need anymore pain relief.

No, you go for it, mate, I don't feel pain.

Certainly not afraid of needles.

-Lilly-Rose your wife?

-Daughter. No, I'm single. And available.

Thank you.

How old is she?

She'd be four. Have you not got any tattoos?

No, it's not really my style.

Oh, ho-ho! Why not?

Quite, remember, Oliver - open minds today.

Now, Kenny, we've got a plan. We're going to get you to theatre,

saw off the bit of bone that's sticking out

and hammer whatever's left back in, OK?

-Yup.

-Really?

No, Dr Valentine, not really.

I'm going to insert a guide wire and nail the femur back into place,

then perform a graft using skin from the other thigh

and gluing it over the top. You should be able to walk normally

with some physio and you'll only lose

a bit of that tattoo. Still you seem to have plenty of others.

I lose the tattoo?

Think of it more as gaining a leg.

I thought you'd just stitch it up and it'd heal.

-It's not that quite simple...

-No, it's not.

Sorry, fellas, I can't do it, I won't do it.

Karen, Mr Hemingway is going to bring you up to date

on where we're at.

Oh.

Right.

I...I think, she didn't understand me.

Before, I mean.

I meant it was three years in prison for one day with Matty.

I don't mean it was wrong.

I meant it was worth it.

Even when I got beat up by other girls

or when Lenuta coughed all night,

or...Matty's picture in the cell...

I could still remember him laughing.

I never would have hurt him, you know.

'So he does this Yoda thing'

where he just stands there

and scratches his chin and asks everybody else what they think.

But what has he actually come up with?

OK, from now on,

we make him come up with the answers for himself, OK?

Where's Elliot?

Stuck in theatre for the rest of his natural life -

Hanssen redid the theatre lists, for some reason...

It's not Freya, is it?

What about her?

You heard Hanssen green-lit surgery?

Yeah, we were wondering how you bewitched him.

You should know. I need a second surgeon to assist.

And you thought Elliot would change his mind?

-I had to ask, now Dr Dolan's signed off...

-"Dr Dolan", is it?

What happened to Peter Pan?

Come on, Jac, is Sean growing on you?

-Oh, come on! Jac Naylor is not giving up that easily.

-Wait...

-Before you both assume you know my mind...

-What are you doing?

Pulmonary pressure was 50, right?

Might be worth checking again.

It doesn't matter. What are we going to do? Wait till she needs a heart and lung transplant?

Although, I might never trust Ms Naylor's motives, her judgement's never far wrong.

-Are you sure about this?

-Are YOU sure about this?

Oh, Mr Hemingway, will you be accompanying your patient to Keller?

In there? With them?

I'm sorry, our Fellows-only lift is out of order at the moment.

Um...you go, I'll phone.

So...you don't like lifts?

What's to like?

-How did she take it?

-Who?

Karen Nashley.

-Oh, I didn't tell her.

-Why not?

Well, I wanted to run a few more tests

in light of her breathing difficulties.

What do you think?

Freya Winter...

Yes, approved and dated.

I asked Dr Dolan to inform me when you're closing.

Only when I came to see you earlier, I may have...

downplayed the risks.

Oh, yes, of course you did.

Sorry?

Well, I may not be a CT surgeon,

but contrary to your default assumption,

that doesn't make me a complete idiot.

I've factored in your spin, as I do in the majority of our exchanges.

Why, has something changed since we last spoke?

Because I'm backing your judgement, Ms Naylor.

If you've any concerns

about whether this is the right course of action or not,

I expect you to speak up, it's child's life at stake.

I know what's at stake.

So has anything changed?

Nothing significant.

The thing is, it's all very well

saying you could never run off and leave your baby,

but you don't know until you're in that person's shoes really, do you?

Then again, when I have a baby, I'm not letting it out of my sight.

How about you, do you like children?

He said "would".

You said "would".

When I asked how old your daughter was, you said, "She would be four".

-So?

-Past tense. As if you don't...see her any more.

Kenny...why is that?

She was stillborn.

I won't have it covered up.

Kenny...what if Mr Hamilton can do the graft...

..and keep at least her name intact?

Don't worry, there's always more bodies in a Paeds theatre,

just don't take chances with kids.

Thank you. Um, excuse me.

-What are you after?

-Answers.

Oh, no. No, it's not, is it?

Do you know, I probably only know for sure till I open the envelope.

Well?

I did some work in Macedonia last year

and saw the rise in reported cases there.

It's the same across the whole of Eastern Europe.

You mentioned breathlessness,

but it was when Karen said she'd shared cell with a Romanian

who kept coughing through the night...

Do you know, other places I've worked,

when we found out that one of our patients wasn't actually dying,

that was generally viewed as good news.

Oh, and at these other places,

did you tell your colleagues when you were testing for TB?

Usually, if they seemed even remotely interested.

It's the intra-abdominal strain - rare but a mild case,

she'll be fine. What's the matter?

Mm, nothing. No.

I've only got an infectious disease from medieval times

on an open ward on the same day that our director of surgery

is doing a health and safety drive. No, I'm fine.

Are you still hung-over?

-Do you do this deliberately?

-What?

Don't worry, I'll handle it.

You know about hearts, remember?

The corridor and entire ward, please.

And absolutely no new admissions till they've disinfected.

Oh, for... Do you know what,

I should have known you'd thought you were an exception.

No, I just don't like having my face covered.

Um, also I have to say, I think you're massively over-reacting.

What's the likelihood of anybody being infected

in such a short space of time?

-That is not the point, Mr Hanssen...

-I'll give him a call, shall I?

-No, no.

We call absolutely no-one, I can handle this.

-Are you OK?

-I'm fine.

-Karen, you are going in a room on your own for a while.

-Is this my fault? I don't understand.

No, no. It's not your fault. I'll come and talk to you in a minute.

Basically, it could be a lot worse.

I'm not so sure about that.

Come on, cheer up. It's only until the testing kits arrive.

Surely we can stand being stuck together till then?

We could...sing a few Carpenters songs, take our minds off it?

-This is ridiculous.

-It may be, but it's also hospital policy.

Can we at least have the door ajar?

-How is that isolation?

-We've Only Just Begun?

If I'd known TB was a possibility,

I'd line up a negative pressure room and all this would be unnecessary.

-It's still unnecessary.

-Agreed.

-Well, then, why are we here?

And why do we all have to be in one small room?

-Questions, questions. I told you, didn't I?

-Goodbye To Love?

Told him what?

Oh. I don't know, Mr Levy, what do you think?

Oh, I wonder, Nurse McKee...

You say just enough so that we do all the work

and get to the answers ourselves. You've been doing it all day.

-I've done it my whole career.

-He admits it.

-It's the best way I know of retaining knowledge.

Being told something's fine, but you'll have to be told again.

-If you get there yourself, it tends to stick.

-Socratic learning.

What the hell are you doing?

Now who's asking questions?

-You know what, sod this. I'm going in with Karen.

-Eddi, don't.

-Yes, good idea.

Ready for the patch.

Saline.

Off bypass.

Right...I'm done.

That means you can go now?

Don't want to be around me, do you?

Because of what I done?

It doesn't matter what I think. Or anyone else, in the end.

Like I said, after a few months of treatment

you're going to be fine. You know what that means, don't you?

It means you're free.

People might think they know who you are,

but you're free to be who you want when you want now.

You could be two different people at the same time if that's what you like.

Have a baby if that's what you need.

No-one's never said nothing like that to me before, they haven't.

So, it went well?

She didn't say, I'm sure she would have done if it hadn't.

How's it going down there?

Not great, to be honest.

Doesn't seem to be going in by itself.

Nurse? Bring out Dylys!

Right.

Mr Hamilton?!

HE LAUGHS

OK, OK, consider my preconceptions truly smashed.

You need to loosen up.

Whatever we do, we're at our best when we're enjoying ourselves.

I think we make a pretty good team.

It's good, honest work. I think you've rather enjoyed getting your hands dirty.

Seriously, I never knew the orthopaedics could be this much...

Like this.

-So why not stay?

-What?

I told you, I'm an F2 down.

Unless you're happy being Jac's lacky.

Here's to Darwin's first official Paeds CT procedure.

How does it feel?

Honestly? The same as after every other procedure.

Which is why, if ever the axe should fall here,

you could always make the switch to Paediatrics full-time.

-I thought I lacked empathy.

-There are more important qualities.

After I left you to put the line in Freya, I thought,

"She'll never be able to sink a knife in to her now."

Now Sahira may be handy up there,

but she wouldn't last five minutes on my ward.

Ms Shah might be misguided, but she does genuinely care about Freya.

And not because she sees an opportunity to get her name

on a sexy procedure.

But because she sees a vulnerable child all alone in a place

where everybody needs somebody.

If you really think there are more important qualities than that,

then I pity your patients. And you.

I'm sorry.

Therapeutic hypothermia - stages one and two,

-fully completed with relevant orthopaedic data.

-Right. Great.

I actually told you a bit of a white lie when I saw you earlier...

-Just in my pigeonhole, please.

-You wanted it immediately.

I'm not going to have time today after all.

-Ms Naylor...

-Just put it in the pigeonhole, please.

And take that poppy off while you're at it.

Ms Naylor, a word, please, in the office.

Don't worry, little one.

The thing I'm wondering is...

were you really attacked?

Were you?

This wasn't your nearest hospital, was it?

No.

Do you listen to the radio?

I listen to the radio. You listen to the radio?

Is that where you heard about her?

You'll never be nearer to a door than me, I'm afraid.

Don't be scared.

I understand.

Not the desire for a baby necessarily, but that's only biological,

and possibly one of the least interesting things about us.

But the horror of being alone,

of having no-one to love or to love you back,

I don't have to share that to understand...

..to really understand,

to walk up an awful lot of stairs to tell you that it's all right.

It really is.

SHE SOBS It's all right.

FREYA CRIES, MACHINES BEEP

And calling me out of theatre for a five-minute consultation

was totally out of the question?

-Yes.

-Because?

I've told you - because Mr Douglas offered to assist.

You should still have consulted me, and we both know why you didn't.

Really? Why's that?

I came to congratulate Ms Naylor but is there a problem?

You could say that.

I've done nothing wrong, and I don't need your permission to operate, Elliot.

It's Freya.

-BP?

-60 systolic, still dropping.

And she's tachycardic.

-How long?

-I was talking to social services.

-How long?

-No more than ten minutes.

-What happened?

-It can only be a bleed.

Then we need to open her back up. What choice do we have?

Ms Naylor?

Ms Naylor?

-Would you like Mr Hope to take over?

-No! This is down to me. Page the anaesthetist.

FREYA CRIES

How are you feeling? Any pain?

Told you, I don't feel it.

And the leg?

Haven't seen it yet.

All seems fairly satisfactory.

You'll heal in no time.

Ah, Luc, where have you been?

-They got her - Karen, Miriam, whatever, the police got her.

-Good.

-Has something happened?

-Nothing that I couldn't handle.

While you were in the library, I was on the phone to the police

stopping the baby on Darwin from being abducted by your mate.

It seems Karen isn't quite the reformed character you'd hoped.

How is the poor little mite?

Back in theatre now. What do you think about that, Socrates?

Oh come off it, you've been trying to undermine me all day,

with your clever comments, constant questioning and doing your own thing.

But when it really mattered, I stayed in control

and as a result, saved a child's life. Hopefully.

And prevented a TB epidemic.

Excellent. You really do run a very tight ship, Nurse McKee.

Suction, please.

The fact there's a bleed doesn't mean she shouldn't have had surgery.

And stopping the bleed doesn't mean she will live through it.

-It was still the right call.

-This is not an inquest, Mr Douglas!

Yet.

Keep 100% oxygen.

-BP?

-No, still falling.

-Come on!

-She's going into VF.

-Paddles!

-Jac?

-No.

Mr Hope?

She's going to be fine.

'Jac was incredible in there.'

I've never known anyone take so long scrubbing in and out as you.

Lots of sins to wash away.

Ah, not today.

Listen...

what I said before about empathy...

what you did in there was...

I did my job, Sean.

We all did. Let's just leave it at that, OK?

You called me Sean.

-Tell anyone and I'll deny it.

-Tell them what,

that it's not just Freya's heart that's bigger than it looks?

Save it for the ten year olds.

Maybe I'll see you downstairs sometime...Ms Naylor?

Excuse me.

HE CHUCKLES

-HE COUGHS

-Nurse?

You can come in, you know.

Oh, there's no need. It's only...

tomorrow morning...

I won't be on the roof.

Right. OK.

-It's a big roof.

-It's not big enough.

-I really need to talk to you.

-And I really can't right now.

Let's just catch up first thing, OK?

No, actually, not OK. I haven't slept for two days.

All the more reason to postpone this.

You had plenty of time to talk yesterday - I wonder why that was.

-It's not that I don't have time for you, it's...

-Something better came up. Yes, I get it.

-You said that we were going to work together on this. You said it was vital.

-It is, and we will.

-I don't believe you.

-Well, that's your choice.

-Just don't make any decisions on the research until...

-It's too late.

You told me to show initiative - well, I have a new mentor.

-What?

-Mr Hamilton.

You're not serious?

Oliver, moving to Orthopaedics from CT is like choosing

to play for West Bromwich Albion over Barcelona

because you like the shirt better - it's absurd.

It's MY decision.

To be mediocre instead of the best? That's what you've decided?

What do you think you're going to learn as a bone monkey?

Whatever it is, I'll learn it by doing, not wasting my life waiting for crumbs from your table.

-Think you'll make a difference gluing bones back together?

-Yes, I do, and I'll have fun doing it.

This could ruin your career.

You don't care about my career. You don't care about ME at all!

All you're worried about is whether I'm going to tell tales on you. Well, I'm not.

I'm sick and tired of never knowing where I stand with you,

trying to work out WHY you do the things that you do.

I don't think you even know yourself.

So if being the best is being like you,

well...

..I'll settle for mediocrity.

Then you and Mr Hamilton should be the perfect fit.

I hope you'll be very happy together.

QUACKING

# All bodies break

# And the blood just spills and spills

# But here we sit debating that

# It's just a shame

# My hand just kills and kills

# There's gotta be an end to that

# There's gotta be an end to that. #

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