0:00:39 > 0:00:41I don't understand you.
0:00:41 > 0:00:42Good.
0:00:42 > 0:00:43- Ah.- Uh.
0:00:43 > 0:00:47I've given Ms Campbell a very specific brief. She's here to ensure
0:00:47 > 0:00:49that Keller becomes a more cost-effective ward.
0:00:49 > 0:00:51If she gets her way,
0:00:51 > 0:00:55this place will be a production line for low cost procedures.
0:00:55 > 0:00:58No more nights on a single bed.
0:00:58 > 0:01:00It's not a big deal or anything.
0:01:01 > 0:01:04Is Luc coming back or isn't he?
0:01:07 > 0:01:09Could the OSCE candidate proceed to fit the drain?
0:01:09 > 0:01:11The patient has given her consent.
0:01:11 > 0:01:15Good morning, Mrs Bassmasser, my name is Doctor Valentine.
0:01:15 > 0:01:18I'll be suturing a drain into place in your chest.
0:01:18 > 0:01:20May I observe?
0:01:20 > 0:01:22These are exam conditions. Do you mind?
0:01:30 > 0:01:32Thank you, Mrs Bassmasser.
0:01:35 > 0:01:39The drain could be fitted without a suture, though, couldn't it?
0:01:39 > 0:01:42I'm aware it could be, Doctor Lo, but this is a suturing test.
0:01:46 > 0:01:49Mr Griffin. I didn't expect to see you.
0:01:49 > 0:01:51It's your spa day.
0:01:51 > 0:01:56It's an S-P-A day, Chantelle, spent reviewing my patient's care needs.
0:01:56 > 0:01:57Oh.
0:01:59 > 0:02:01Mr Bahhari.
0:02:03 > 0:02:05I thought Ms Campbell discharged you yesterday?
0:02:05 > 0:02:09An oversight with his prescription. It's been dealt with.
0:02:22 > 0:02:26Henrik, the ward isn't designed to meet these waiting list targets.
0:02:26 > 0:02:29Should we ask patients to heal themselves, do you think?
0:02:29 > 0:02:31I see you're persisting in your SPA day?
0:02:31 > 0:02:33Yeah, a bit of R&R in this job doesn't go amiss,
0:02:33 > 0:02:35when we're going at this rate.
0:02:35 > 0:02:37Supporting Professional Activity is in my contract.
0:02:37 > 0:02:39I remember your fight for its inclusion.
0:02:39 > 0:02:41Of course, cutting waiting lists
0:02:41 > 0:02:44is not just Ms Campbell's responsibility, is it?
0:02:50 > 0:02:53I took the liberty of bringing my portfolio for the OSCE to sign off.
0:02:53 > 0:02:54I had to fail you, Ollie.
0:02:54 > 0:02:58You undertook the clinical element of your assessment perfectly,
0:02:58 > 0:03:01but you acted unprofessionally in front of a patient.
0:03:01 > 0:03:02My hands are tied.
0:03:02 > 0:03:05Doctor Lo? I know I snapped at her, but she's so...
0:03:05 > 0:03:07Annoying? Aspergic?
0:03:07 > 0:03:11You're a CT1, Ollie, deal with it.
0:03:11 > 0:03:15Hospitals are scary places. Patients have to be able to trust us.
0:03:15 > 0:03:19Doesn't matter if the ward's burning down, you stay in control.
0:03:19 > 0:03:22I've had solo surgical spots, I've assisted in CTU, Transplant.
0:03:22 > 0:03:24You know how many unpaid hours I've clocked up.
0:03:24 > 0:03:28You can't fail me because of some stupid suturing test I could have done in my sleep.
0:03:28 > 0:03:31But this isn't the first time we've had that conversation
0:03:31 > 0:03:32about Doctor Lo, is it?
0:03:32 > 0:03:33Look, I tell you what.
0:03:33 > 0:03:36You act with impeccable professionalism today
0:03:36 > 0:03:39and your dean doesn't need to know about your little outburst.
0:03:39 > 0:03:42One last chance. Earn it.
0:03:43 > 0:03:47CLASSICAL MUSIC PLAYS
0:03:47 > 0:03:50You know, the theory about classical music improving concentration
0:03:50 > 0:03:52has yet to be proved.
0:03:52 > 0:03:54Do you mind?
0:03:58 > 0:04:02We really need to find a wealthy patron to donate a new wing?
0:04:02 > 0:04:04I mean, pretty soon,
0:04:04 > 0:04:07Keller's going to need an extension just to house all your electives?
0:04:07 > 0:04:09Ha-ha.
0:04:10 > 0:04:12Ms Jessup, hello there.
0:04:12 > 0:04:15I got a call saying something about my resection being brought forward?
0:04:15 > 0:04:19That's right. Don't want you languishing on the waiting list any longer.
0:04:19 > 0:04:22And good news, a theatre slot has become available this very morning.
0:04:22 > 0:04:24- Oh.- Can someone give you a lift in?
0:04:24 > 0:04:27No, not really, my husband's not here.
0:04:27 > 0:04:29Right, well, might you be able to jump in a cab?
0:04:29 > 0:04:30I suppose I could.
0:04:30 > 0:04:32Fantastic. See you soon.
0:04:32 > 0:04:34PHONE RINGS
0:04:34 > 0:04:36Consultations via web-link?
0:04:36 > 0:04:38Yes, speeds things up.
0:04:39 > 0:04:41Hello.
0:04:43 > 0:04:46Marcus, can you please remind her parents
0:04:46 > 0:04:48that I'm not legally responsible
0:04:48 > 0:04:51for their daughter's poor lifestyle choices? Thank you.
0:04:53 > 0:04:56Right, my public awaits.
0:05:07 > 0:05:09Increased shortness of breath's to be expected for a patient
0:05:09 > 0:05:13who's been on the waiting list for a year, but I'd like you to give Kate a full examination.
0:05:13 > 0:05:17So, to clarify, I'll be performing a check-up of your long-term patient?
0:05:17 > 0:05:21Yes. If you're on the waiting list, every symptom's terrifying.
0:05:21 > 0:05:25- So even if the ward's burning down...?- Professional.- Exactly.
0:05:25 > 0:05:27Hey, guys.
0:05:27 > 0:05:30- So, you like my new place? - Nice. Getting big, aren't you?
0:05:30 > 0:05:33Fat talk? Not to a lady, kiddo.
0:05:33 > 0:05:36- Kate, how are you? - Good. Just a bit...
0:05:36 > 0:05:40This is Doctor Valentine. He's going to be giving you a check-up.
0:05:40 > 0:05:42- This is James.- Good morning.
0:05:42 > 0:05:43I've got to get off to ITU,
0:05:43 > 0:05:46but everything here works exactly the same as my last place.
0:05:46 > 0:05:49And I'd be happy to answer any questions you might have.
0:05:49 > 0:05:50I'll leave you to it.
0:05:51 > 0:05:56# My funny Valentine Sweet, funny Valentine. #
0:05:56 > 0:05:59- Mum, don't be weird. - I'd like to take a couple of scans,
0:05:59 > 0:06:01that way we can figure out how best to make you comfortable.
0:06:01 > 0:06:04They usually take an echocardiogram and an MRI.
0:06:04 > 0:06:05OK.
0:06:05 > 0:06:08Well, I'll be a couple of minutes. Nurse, fluids, please. Thank you.
0:06:13 > 0:06:17I didn't mean to interrupt your test earlier. Was it OK?
0:06:17 > 0:06:19Yes, good morning. Please let Radiology know
0:06:19 > 0:06:22that Doctor Valentine has a patient on their way up for their MRI.
0:06:23 > 0:06:25Yes, thank you.
0:06:31 > 0:06:33Two resections already and a third on the way,
0:06:33 > 0:06:36- that's quite a morning.- You should see what I'm like after dark.
0:06:36 > 0:06:38Would you like me to assist you today?
0:06:38 > 0:06:41- The ward's overstretched. - I'm on top of it.
0:06:41 > 0:06:44I can reschedule my SPA day.
0:06:44 > 0:06:46The resection patient's arrived, no bed is ready.
0:06:46 > 0:06:49Discharge the post-appendectomy.
0:06:49 > 0:06:53Ms Jessup. I hope the short notice wasn't too inconvenient?
0:06:53 > 0:06:54I can't get hold of my husband,
0:06:54 > 0:06:56I had to get a cab, cost me a fortune.
0:06:56 > 0:06:59Sorry, but, hey, today's the day you get treated.
0:06:59 > 0:07:03Excuse me. Bed three, blood pressure's dropping.
0:07:03 > 0:07:05Please, excuse me. Waiting area. Thanks.
0:07:05 > 0:07:08Would you like me to get Ms Jessup prepped?
0:07:08 > 0:07:11If you've got the time, that would be great. Radiology's been informed.
0:07:11 > 0:07:13Oh, but, Ric...
0:07:13 > 0:07:15Yes, you'd like her to make her slot. I understand.
0:07:15 > 0:07:16Thank you.
0:07:16 > 0:07:19This is the hot-off-the-press new initiative from on high,
0:07:19 > 0:07:22entitled Constructive Care Rule.
0:07:22 > 0:07:25We are to spend three minutes sharing domestic conversation
0:07:25 > 0:07:27with elderly or vulnerable patients.
0:07:27 > 0:07:29They, in turn, will share with us their lives
0:07:29 > 0:07:31and any hidden nastiness.
0:07:31 > 0:07:33And fill in one of these report cards.
0:07:33 > 0:07:35What do they think we normally do with our vulnerable patients?
0:07:35 > 0:07:39- Spit on them?- They'll have come up with a new scheme by next week.
0:07:39 > 0:07:40So let's just get on with it.
0:07:40 > 0:07:43We're a bit initiative heavy at the moment, but we've got a doctor-shaped hole to fill.
0:07:43 > 0:07:46I guess this is their way of maintaining high standards.
0:07:46 > 0:07:49OK, so now all our lives have been made hell because of him?
0:07:49 > 0:07:52Wow, that sounds fair(!)
0:07:53 > 0:07:56Let's make a start with Mr Mancini.
0:07:56 > 0:08:00He's 80, he's got a venous ulcer and he lives alone.
0:08:00 > 0:08:03Has anybody asked Mr Mancini if he considers himself vulnerable,
0:08:03 > 0:08:06or are we just judging all our patients based on their age
0:08:06 > 0:08:07and marital status now?
0:08:07 > 0:08:10No, thanks.
0:08:10 > 0:08:14I'll take this one for the team. Don't mention the L word again.
0:08:14 > 0:08:16Right.
0:08:18 > 0:08:21Yup, it's Ms Campbell's elective.
0:08:21 > 0:08:24Sarah Jessup. I'll be sending her down
0:08:24 > 0:08:29for her abdominal X-ray shortly. Thank you.
0:08:29 > 0:08:31Are you a doctor?
0:08:31 > 0:08:35I am. No flowers on the ward.
0:08:35 > 0:08:38Oh. I didn't think the sign was serious.
0:08:41 > 0:08:43Can I help you?
0:08:43 > 0:08:44Is there a vending machine?
0:08:44 > 0:08:46Heavy night.
0:08:46 > 0:08:49It's second floor, along the corridor, third on the right.
0:08:49 > 0:08:53Maybe, the water cooler might be the better option.
0:08:53 > 0:08:56I take it you want to be hydrated before visiting?
0:08:56 > 0:08:57Yeah.
0:08:57 > 0:08:59Straight through the ward doors.
0:09:00 > 0:09:02It's a bit bigger than last time.
0:09:02 > 0:09:04Are you thinking of joining the medical ranks?
0:09:04 > 0:09:05He's an artist at heart.
0:09:05 > 0:09:09What was it you said about Banksy? "He's an urban poet."
0:09:16 > 0:09:18- Yes?- Is there anything I can do to assist?
0:09:18 > 0:09:20No, thank you.
0:09:21 > 0:09:23- May I observe?- No.
0:09:26 > 0:09:30Oh! Oh.
0:09:30 > 0:09:33Sorry. Been a bit knocked for six today.
0:09:33 > 0:09:34If you were as bad as you made out,
0:09:34 > 0:09:38you'd be at the top of the waiting list, wouldn't you?
0:09:41 > 0:09:42What?
0:09:46 > 0:09:49Ms Campbell would like to apologise for the hurried hello.
0:09:49 > 0:09:52I was meant to be picking my nephew up from playgroup today,
0:09:52 > 0:09:53but my sister's got to do it now.
0:09:53 > 0:09:56No-one can force you to have the surgery today.
0:09:56 > 0:09:58If you need more time to prepare?
0:09:58 > 0:10:00No, no, no. Let's do this.
0:10:00 > 0:10:02Sorry. My phone died.
0:10:02 > 0:10:04It's all right. It's my husband.
0:10:04 > 0:10:07Right. Excuse me.
0:10:11 > 0:10:16I was in Brighton. Made more sense to stay with the guys.
0:10:16 > 0:10:19So, you're having your operation today?
0:10:19 > 0:10:22No, John, I 'm just testing the bed for firmness.
0:10:22 > 0:10:25Couldn't even call to let me know you weren't coming home?
0:10:25 > 0:10:28Do you know what? Just do what you like.
0:10:28 > 0:10:31I'm sick of chasing you up, cooking dinners you don't show up for.
0:10:31 > 0:10:35Mrs Jessop, you appear to have some swelling of the joints.
0:10:35 > 0:10:39I'd like to wait for the lab results before sending you up to Radiology.
0:10:39 > 0:10:43Have you had any viral illness recently, any infection?
0:10:43 > 0:10:45- No.- Any nausea?- Yes.
0:10:45 > 0:10:48- More frequent urination? - All the time.
0:10:48 > 0:10:50Did you inform Ms Campbell?
0:10:50 > 0:10:52I didn't have the chance, she just told me to get in a cab.
0:10:52 > 0:10:54Who's this Ms Campbell?
0:10:59 > 0:11:02Could I have a word with your mum for a second, please, James?
0:11:21 > 0:11:23She's run out of time, hasn't she?
0:11:23 > 0:11:25We can't predict that.
0:11:25 > 0:11:28- The echo revealed the ejection fraction was down, didn't it?- Yes.
0:11:28 > 0:11:30It is down.
0:11:31 > 0:11:35To 10%. I'm really sorry, James.
0:11:35 > 0:11:38Mum's on the urgent heart scheme now, then?
0:11:38 > 0:11:39Yes.
0:11:40 > 0:11:41Good.
0:11:47 > 0:11:49Is there anyone you'd like me to call in for you? Your gran?
0:11:49 > 0:11:52No, thanks.
0:12:03 > 0:12:07- Good spot on the echo.- How long? - Without a new heart?
0:12:07 > 0:12:09A day, a few hours.
0:12:10 > 0:12:11We'll see.
0:12:18 > 0:12:20Your ulcer's quite infected,
0:12:20 > 0:12:23so I'm just going to take a swab and send it to the lab for testing.
0:12:23 > 0:12:24Righty-ho.
0:12:24 > 0:12:27It might sting a little bit.
0:12:27 > 0:12:29Let's not get hysterical.
0:12:29 > 0:12:31Chrissie, Paeds are on the phone for you.
0:12:31 > 0:12:33Tell them, I'll call them right back.
0:12:33 > 0:12:37So, Vince, you were saying, you like where you live, do you?
0:12:37 > 0:12:42- It's nice, is it? - Is your home nice, Sister Williams?
0:12:42 > 0:12:45It's just that this type of infection is sometimes caused
0:12:45 > 0:12:48by linen not being changed enough.
0:12:48 > 0:12:51What difference does it make how I got my ulcer?
0:12:51 > 0:12:53Or are you offering to do my laundry?
0:12:53 > 0:12:54No, I'm not.
0:12:54 > 0:12:57Then, what business is it of yours?
0:12:57 > 0:12:59Hmm.
0:12:59 > 0:13:01Is she nuts?
0:13:01 > 0:13:03I'm sorry,
0:13:03 > 0:13:07we're required to ask these kinds of questions, I'm afraid.
0:13:07 > 0:13:12I do not wish to be mollycoddled, I wish to be treated.
0:13:12 > 0:13:14I will happily pass on that shocking news
0:13:14 > 0:13:18- to the patients liaison manager. - And seal it with a poke in the eye.
0:13:18 > 0:13:23I like the cut of your jib. Please take over my treatment.
0:13:23 > 0:13:24Sure.
0:13:31 > 0:13:3430 years rubbing shoulders with the enemy
0:13:34 > 0:13:37and a bit of fluff wonders if I can make a bed.
0:13:37 > 0:13:40Well, I'm not going to patronise you, Mr Mancini.
0:13:40 > 0:13:44Oh, a mutineer, eh? Hm, a lone rebel.
0:13:44 > 0:13:46Jonny's liaising with UKT.
0:13:46 > 0:13:49If a heart is available, we'll do all we can to attempt a transplant.
0:13:49 > 0:13:52If? She's on the urgent heart scheme.
0:13:52 > 0:13:55You're at the top of the list now, Mum, that's a good thing.
0:13:55 > 0:13:57It's right that you're hopeful, but we can't guarantee a heart.
0:13:57 > 0:13:59How many people crash their cars every day?
0:13:59 > 0:14:03So why am I the only one that thinks my mum's not dead yet?
0:14:03 > 0:14:06We have a heart.
0:14:07 > 0:14:09Told you.
0:14:11 > 0:14:13- Jonny.- Liaise with the coordinators, keep you updated, I'm on it.
0:14:13 > 0:14:17Doctor Valentine, I need you to keep her stable till the heart arrives.
0:14:17 > 0:14:19- Work to improve her vital signs. - Right.
0:14:19 > 0:14:20ETA three hours.
0:14:20 > 0:14:24Keep James calm. If you're calm, he's calm. If he's calm, his mum will be calm.
0:14:24 > 0:14:25- Right.- It's all about the calm.
0:14:25 > 0:14:28Can I suggest a surgical alternative? An aortic balloon pump.
0:14:28 > 0:14:30It's risky, but it could buy a few extra hours.
0:14:30 > 0:14:33That's exactly what Kate and I have discussed for her end-stage care.
0:14:33 > 0:14:35But it's risky and, with a heart on the way,
0:14:35 > 0:14:37she's safer on the ward.
0:14:37 > 0:14:41- Doctor Lo.- Yes? - Assist Doctor Valentine.
0:14:45 > 0:14:49I think we should postpone Grace Jessup's radiology test.
0:14:49 > 0:14:52- Yes, I...- I noticed some swelling, she's suffering from nausea,
0:14:52 > 0:14:55increased urination. I think these symptoms suggest...
0:14:55 > 0:14:58Yes, I got the test results five minutes ago, Ric.
0:14:58 > 0:15:00I've already cancelled Radiology.
0:15:00 > 0:15:03Do you want to tell her or shall I?
0:15:07 > 0:15:09What's wrong?
0:15:09 > 0:15:13- Perhaps you'd prefer a private consultation?- No.
0:15:13 > 0:15:17Right, well, your test results weren't quite what we expected.
0:15:17 > 0:15:20- You're pregnant.- It seems...
0:15:29 > 0:15:32But Ms Effanga said I was to assist you?
0:15:32 > 0:15:35You can assist by doing my ward admissions, so I can treat a critical patient.
0:15:35 > 0:15:38- Alert me to any problems. - My skills are best used with the...
0:15:38 > 0:15:40This is a delicate case. Please, don't argue.
0:15:40 > 0:15:43This is about last week. You're still angry.
0:15:44 > 0:15:48- Ollie, we still have to work together.- Now is not the time.
0:15:55 > 0:15:57Just a bit longer, Mum.
0:15:58 > 0:16:02Left Glasgow one and a half hours ago, should be in Birmingham by now.
0:16:04 > 0:16:05He's not coping.
0:16:05 > 0:16:07Sorry?
0:16:07 > 0:16:09He's not coping.
0:16:11 > 0:16:14Your fluid balance and weight are fine.
0:16:14 > 0:16:16We'll have to do a more conclusive ultrasound,
0:16:16 > 0:16:18but, so far, nothing to ring alarm bells.
0:16:18 > 0:16:20Where is it?
0:16:21 > 0:16:24Grace, wouldn't you like to see?
0:16:26 > 0:16:28Please look at it.
0:16:28 > 0:16:32Come on, you've been waiting for this moment for years.
0:16:36 > 0:16:38Isn't it so weird?
0:16:45 > 0:16:48I can see you've got a lot to take in,
0:16:48 > 0:16:50so we'll just give you a moment.
0:16:52 > 0:16:54There we go.
0:16:58 > 0:16:59No more mucking about.
0:17:01 > 0:17:03I'm going to look after you.
0:17:03 > 0:17:06I'll inform the theatre nurse that the resection's been delayed
0:17:06 > 0:17:08until further notice.
0:17:08 > 0:17:11No. Well, unless the full ultrasound or pre-op tests show a problem,
0:17:11 > 0:17:13we'll stick to the schedule.
0:17:14 > 0:17:17Just another 30 minutes, I reckon, Mum.
0:17:17 > 0:17:19That's like one episode of Loose Women.
0:17:19 > 0:17:21You know how time flies when that's on.
0:17:21 > 0:17:23I love Loose Women.
0:17:26 > 0:17:29James, where's my balloon?
0:17:29 > 0:17:32- The heart's nearly here. - It's a hospital tradition.
0:17:36 > 0:17:40Nurse, can you take that down to the lab for me, please? Thank you.
0:17:43 > 0:17:47- James seems remarkably strong. - He's not. Nor am I.
0:17:48 > 0:17:50Who's kidding who?
0:17:55 > 0:17:59- Doctor Valentine.- Yeah. - Could you, please, lend me a fiver?
0:17:59 > 0:18:00I-I'm not really supposed to.
0:18:00 > 0:18:03It's the balloon, it's just this thing we do.
0:18:08 > 0:18:11I hope you know I'll get fired for doing this.
0:18:11 > 0:18:15- I get paid on Saturday, I'll come in and pay you back.- Don't worry.
0:18:15 > 0:18:17Look, no-one expects you to shoulder all of this.
0:18:17 > 0:18:19I'm fine.
0:18:19 > 0:18:22ALARM RINGS
0:18:25 > 0:18:28Nurse, oxygen, please. Quickly.
0:18:30 > 0:18:32It's OK, it's OK. Stay with me.
0:18:32 > 0:18:35- My uncle was in the army.- Rank?
0:18:35 > 0:18:37No idea, he didn't stick it for very long.
0:18:37 > 0:18:40Ha. The old six-week rumba.
0:18:40 > 0:18:42I thought about joining myself once.
0:18:42 > 0:18:45Say the word and I'll call in a favour from the powers that be.
0:18:52 > 0:18:56I think we need to call Social Services.
0:18:56 > 0:19:00- Why?- Oh, come on. He's an old man with a painful ulcer.
0:19:00 > 0:19:03We need to flag up potential home help issues.
0:19:03 > 0:19:05He's not said anything about needing help.
0:19:05 > 0:19:07Well, he seemed very defensive when I questioned him.
0:19:07 > 0:19:09There is a difference between being defensive
0:19:09 > 0:19:11and wanting people to mind their own business.
0:19:11 > 0:19:14My instincts didn't just fly out of the window this morning, you know.
0:19:14 > 0:19:17I would still like to flag it up with Sacha, if you don't mind?
0:19:17 > 0:19:18And he's my patient.
0:19:18 > 0:19:21I'd rather you didn't go over my head, thank you.
0:19:24 > 0:19:27Kate, I need you to stay still for me, please.
0:19:27 > 0:19:29Keep still, Mum. It's not long. Just get it in.
0:19:29 > 0:19:30James, just back off for me, please.
0:19:30 > 0:19:33Just 20 minutes I reckon, Mum. Come on.
0:19:33 > 0:19:37- What's the matter with you? - James, you're not helping.
0:19:37 > 0:19:40SHE GASPS
0:19:40 > 0:19:42OK, Tara.
0:19:43 > 0:19:45I need you to assist me.
0:19:47 > 0:19:49OK, James, let's get give Doctor Valentine some space.
0:19:49 > 0:19:51OK, I need some oxygen, please.
0:19:53 > 0:19:55Just breathe in and out for me. In.
0:19:55 > 0:19:57And out.
0:19:57 > 0:20:02And again. In and out. That's great.
0:20:04 > 0:20:05That's great. Thank you.
0:20:05 > 0:20:07Are you all right?
0:20:09 > 0:20:11- What's happened?- Kate's BP crashed.
0:20:11 > 0:20:14I'm administering dopamine and she's stabilising.
0:20:14 > 0:20:17OK, good. James, my love, we're going to prep your mum for theatre.
0:20:17 > 0:20:19- Jonny Mac?- I'm on it. - OK, let's go.
0:20:27 > 0:20:29Good boss? Did he include you?
0:20:30 > 0:20:33- Yeah, he's been great.- Good.
0:20:35 > 0:20:37Thank you.
0:20:37 > 0:20:41Look, I'm not trying to annoy you, I just wanted to learn from you.
0:20:44 > 0:20:47Sister Williams noticed that your ulcer is infected.
0:20:47 > 0:20:50Now, are you getting all the help you need in looking after yourself?
0:20:50 > 0:20:52He's already answered all of these questions, Sacha.
0:20:52 > 0:20:55He just wants his leg to be treated.
0:20:55 > 0:20:57Anything else I can look at?
0:20:57 > 0:20:58Your tone of voice.
0:20:58 > 0:21:00I can handle this, OK?
0:21:00 > 0:21:03All right, Mr Mancini, I'll be back soon.
0:21:03 > 0:21:04But...
0:21:04 > 0:21:07So, Vincent, we might need to take you into a treatment room
0:21:07 > 0:21:10and do a minor procedure or the worst case scenario
0:21:10 > 0:21:14is that we do a surgical debridement to clear all the infected tissue.
0:21:14 > 0:21:15A surgical debridement?
0:21:15 > 0:21:19Yeah, but let's just see how the antibiotics work first.
0:21:19 > 0:21:21When will he come bobbing back?
0:21:21 > 0:21:24We're two doctors down at the moment. So he's really busy, I'm afraid.
0:21:24 > 0:21:26And I'm sorry about the mollycoddling.
0:21:26 > 0:21:29I did try and tell him.
0:21:29 > 0:21:32Thank you. What can we do?
0:21:38 > 0:21:39Oh.
0:21:49 > 0:21:52Will we get a due date?
0:21:52 > 0:21:55Well, this ultrasound's more about checking the bowel,
0:21:55 > 0:21:57but, yes, they should be able to give you a rough date.
0:21:57 > 0:22:00You can't still be hoping to go ahead with surgery?
0:22:00 > 0:22:04Well, we do still need to rule out any urgent need.
0:22:04 > 0:22:06Urgent?
0:22:06 > 0:22:09She was told she'd be on a waiting list for another three months.
0:22:09 > 0:22:12Why the rush all of a sudden? That Ms Campbell stuck her in a cab,
0:22:12 > 0:22:14she was here, for what, three minutes?
0:22:14 > 0:22:17Hey, how did it go?
0:22:17 > 0:22:19Yeah, fine.
0:22:19 > 0:22:20When's it due?
0:22:20 > 0:22:23Well, they couldn't say that.
0:22:28 > 0:22:29I'll get us some coffee.
0:22:34 > 0:22:36- Mrs Jessup's results.- Thank you.
0:22:40 > 0:22:41Good.
0:22:41 > 0:22:45No sign of anything requiring urgent attention.
0:22:45 > 0:22:47The obstetrician will be here very soon.
0:22:47 > 0:22:50Good. I want an abortion.
0:22:53 > 0:22:56LAUGHTER
0:23:04 > 0:23:09Eddi, my mate Ben and a few friends are joining us
0:23:09 > 0:23:12for some engagement drinks tonight. Do you fancy it?
0:23:12 > 0:23:15Would I be allowed entries of bitter single person?
0:23:15 > 0:23:16Of course.
0:23:16 > 0:23:17Actually, Ben's a really nice guy.
0:23:17 > 0:23:19You know, he's a bit quirky, he's an optician.
0:23:19 > 0:23:21I've got plans tonight, Sacha.
0:23:21 > 0:23:25Actually, he's free most nights if you fancy another time.
0:23:25 > 0:23:28I'm not looking for a date, OK?
0:23:31 > 0:23:34- The heart's close.- Patient's on stand by with the anaesthetist.
0:23:34 > 0:23:36Hello, team. We're going to make a miracle happen.
0:23:36 > 0:23:38Tara, perhaps you would be kind enough to fetch me
0:23:38 > 0:23:41- the relevant brief notes?- Of course.
0:23:41 > 0:23:43- Are you OK to operate? - Yeah, I'm fine.
0:23:43 > 0:23:44PHONE RINGS
0:23:44 > 0:23:50Right, today, we are going to give a woman her life back, thank you.
0:23:50 > 0:23:52Well done, everyone involved.
0:23:56 > 0:23:57Mo.
0:24:05 > 0:24:09I spent years on the receiving end of being set up.
0:24:09 > 0:24:12I'm not missing your engagement party cos I'm scared of going on my own.
0:24:12 > 0:24:15It comes to something when your dad is trying to fix you up, doesn't it?
0:24:15 > 0:24:18Sacha has told me over and over again
0:24:18 > 0:24:20about his weird friend who loves sci-fi.
0:24:20 > 0:24:24Ben Skywalker Bloomstein-stine, I don't know.
0:24:24 > 0:24:27- Oh, you never know.- No, thank you. - Only trying to help.
0:24:27 > 0:24:28But help me with what?
0:24:28 > 0:24:31I mean, surgically attach me to a man, any man with a pulse
0:24:31 > 0:24:33and a half decent job, at all costs?
0:24:33 > 0:24:37- Sorry. I didn't mean you and... - It's all right. I get the hint.
0:24:37 > 0:24:39I'll back off.
0:25:03 > 0:25:05James, can you come back to the ward, please?
0:25:05 > 0:25:07The driver's late.
0:25:10 > 0:25:13Could you, please, come back to the ward? Your mum and Mo would like to see you.
0:25:13 > 0:25:15Why?
0:25:19 > 0:25:22James, I'm afraid the heart is going to another patient.
0:25:25 > 0:25:27It was her turn! Who?
0:25:27 > 0:25:31There's a system. We stuck to the rules. Who?
0:25:31 > 0:25:33- Who's more important than my mum? - There was a problem in transit.
0:25:33 > 0:25:36The heart has gone to a patient in a more viable location.
0:25:36 > 0:25:39We've waited. She was at the top of the list.
0:25:46 > 0:25:48James, I'm sorry.
0:25:52 > 0:25:55One heart is a miracle. Two? Huh!
0:26:02 > 0:26:04We're doctors, not robots.
0:26:08 > 0:26:12While the patient's still alive, there's still hope.
0:26:21 > 0:26:26I'm afraid that Grace Jessup will not be ready for her slot.
0:26:26 > 0:26:31Sorry, thank you for your help, by the way.
0:26:31 > 0:26:33I can take things solo from here.
0:26:33 > 0:26:35Are you OK?
0:26:35 > 0:26:40Serena, let's not pretend that I didn't hear that phone conversation.
0:26:40 > 0:26:43Ah. SHE LAUGHS CYNICALLY
0:26:43 > 0:26:45Better parents are attempting to sue me.
0:26:45 > 0:26:47Their daughter's drug use was down to my neglect...
0:26:47 > 0:26:50apparently. I mean, obviously, they don't have a leg to stand on,
0:26:50 > 0:26:52but it's the last thing I need.
0:26:52 > 0:26:54- Gabby's parents?- Yeah.
0:26:54 > 0:26:58I'm sure it goes without saying, but keep it to yourself.
0:26:58 > 0:27:00It goes without saying.
0:27:00 > 0:27:02But perhaps this isn't the time
0:27:02 > 0:27:04to be charging through the waiting list?
0:27:04 > 0:27:07My personal life has never affected my work.
0:27:07 > 0:27:11Grace's ultrasound didn't suggest anything sinister.
0:27:11 > 0:27:12It didn't rule it out either.
0:27:12 > 0:27:16She's asking for a termination. She's clearly under a lot of stress.
0:27:16 > 0:27:20You're not going to plough ahead with surgery regardless, are you?
0:27:20 > 0:27:24- At least do an MRI.- Ric, we're never going to agree on some things,
0:27:24 > 0:27:27but putting patients first, we do.
0:27:27 > 0:27:29I have got Grace's best interests at heart.
0:27:36 > 0:27:40I've been waiting for the doctor for over an hour.
0:27:40 > 0:27:42Ooh.
0:27:42 > 0:27:43HE GASPS
0:27:45 > 0:27:47Tell me what the problem is!
0:27:47 > 0:27:49It's nothing, I've just had a bit of a day.
0:27:49 > 0:27:51You know, when you let your guard down
0:27:51 > 0:27:52in front of somebody
0:27:52 > 0:27:54and then they treat you badly.
0:27:54 > 0:27:59Sorry. Thank you for asking, though. It's really sweet of you.
0:27:59 > 0:28:01The antibiotics are not clearing up this infection,
0:28:01 > 0:28:04so we're going to have to drain that, I'm afraid.
0:28:04 > 0:28:06Where is the doctor?
0:28:06 > 0:28:09Well, who needs fuss and nonsense, right?
0:28:09 > 0:28:12I can perform this procedure myself.
0:28:12 > 0:28:14HE SQUEALS
0:28:16 > 0:28:19- When's the next heart arriving? - We're doing everything we can.
0:28:19 > 0:28:21Jonny will let us know the minute there's any news.
0:28:21 > 0:28:22Better get here quick.
0:28:22 > 0:28:26Kate, do you remember a surgical option Mo discussed with you,
0:28:26 > 0:28:27as part of your end-stage plan?
0:28:27 > 0:28:29What end-stage plan?
0:28:29 > 0:28:31It's risky, but there's a chance it might buy you some more time.
0:28:31 > 0:28:35- If there's an operation, do it, do it now.- It's not as simple as that.
0:28:35 > 0:28:36Sweetheart.
0:28:38 > 0:28:40It's time to call Gran in.
0:28:40 > 0:28:43- You need to get ready.- For what?
0:28:43 > 0:28:46I'd like you to have this.
0:28:46 > 0:28:50It's just a few bits and pieces that I'd like you to do when I've...
0:28:50 > 0:28:55- I don't want it.- It says I'd like you to be a teenager.
0:28:55 > 0:28:58I'd like you to stop worrying and start enjoying yourself.
0:28:58 > 0:29:00Fine, I can do that now.
0:29:00 > 0:29:03Go out to parties. Have fun.
0:29:03 > 0:29:05- Make mistakes.- I'll go to parties.
0:29:05 > 0:29:08We can get a nurse in. Please, they'll find another heart.
0:29:08 > 0:29:12Have a few girlfriends, but always be a gent.
0:29:12 > 0:29:14Keep painting.
0:29:14 > 0:29:17Don't let your teachers talk you out of art school.
0:29:17 > 0:29:20Don't ignore me, Mum. You owe me some fight.
0:29:23 > 0:29:27If you can't be bothered, then I can't either.
0:29:27 > 0:29:28SHE SOBS
0:29:28 > 0:29:32I'm sure he'll be back soon.
0:29:41 > 0:29:44HE EXHALES
0:29:49 > 0:29:54Everything OK? I imagine your wife might be wondering where you are.
0:29:54 > 0:29:56Right(!)
0:29:56 > 0:30:01There's a lot to discuss. The surgery, possible termination.
0:30:01 > 0:30:02Termination?
0:30:03 > 0:30:07- She's wanted a kid for years. - Really?
0:30:07 > 0:30:10Well, perhaps if she felt more supported by you.
0:30:10 > 0:30:12It's not mine.
0:30:14 > 0:30:18We've had sex once in the last six months.
0:30:18 > 0:30:19I see.
0:30:19 > 0:30:24Is it all looking safe with her age? What did the baby people say?
0:30:24 > 0:30:28I don't know. I'm not working on Grace's case any more.
0:30:28 > 0:30:29It's just Ms Campbell?
0:30:30 > 0:30:32I'm telling you, I promise you,
0:30:32 > 0:30:35Grace is in a bad way if she's talking about abortion.
0:30:36 > 0:30:39Look after her, cos I can't.
0:30:45 > 0:30:47- Eddi.- Hey.
0:30:47 > 0:30:51Oh, listen, Chrissie, I've been thinking, er...
0:30:51 > 0:30:54there might not be any harm in me meeting up with this Ben guy.
0:30:54 > 0:30:58It'll be free drinks, right? And it might be fun, so...
0:30:58 > 0:31:02also I'm going to be using the treatment room for the next half hour.
0:31:02 > 0:31:04Yeah, I want to talk to you about that.
0:31:04 > 0:31:07Mr Mancini, he wants you taken off his care.
0:31:07 > 0:31:10- Why?- He says you're getting over-familiar.
0:31:10 > 0:31:12What?
0:31:13 > 0:31:14I thought that he liked me.
0:31:19 > 0:31:21We should've talked about this.
0:31:21 > 0:31:23Sometimes it's hard to find the right words.
0:31:23 > 0:31:27I'm his mother, I should have found them.
0:31:27 > 0:31:31He's not going to be OK. I can feel it.
0:31:31 > 0:31:34In my opinion, he's coping far better than most boys his age.
0:31:34 > 0:31:37He's scared, all alone.
0:31:38 > 0:31:41- Please go and get him, please.- Easy.
0:31:41 > 0:31:43SHE PANTS
0:31:43 > 0:31:46SVT.
0:31:46 > 0:31:48Cardioversion. Get Mo.
0:31:48 > 0:31:52She's in theatre. I read about carotid sinus massage.
0:31:52 > 0:31:54One side of the neck, five second intervals.
0:31:54 > 0:31:58I know what carotid massage is, it's risky and can cause a stroke. Get Mo.
0:31:58 > 0:32:00We don't have time.
0:32:00 > 0:32:02Stop.
0:32:02 > 0:32:04Fine. You do it, then.
0:32:04 > 0:32:06Come on, Ollie, I know you can do this.
0:32:09 > 0:32:12We were getting on, Vincent. What's happened?
0:32:12 > 0:32:14I wish to see a doctor.
0:32:14 > 0:32:16I'm sorry, Mr Levy has been so busy all day.
0:32:16 > 0:32:18Have I done something to upset you?
0:32:18 > 0:32:20I am trained in this procedure.
0:32:20 > 0:32:23You're risking your health if you put off this treatment.
0:32:23 > 0:32:27Then tell Mr Levy, he better make himself available bloody quick.
0:32:29 > 0:32:31I will not be dictated to by a nurse.
0:32:31 > 0:32:35Fine. Shout if you change your mind.
0:32:38 > 0:32:39Shout.
0:32:39 > 0:32:42Mr Mancini only wants to be seen by a doctor.
0:32:42 > 0:32:45So, let's respect his wishes, OK?
0:32:45 > 0:32:46We can't just leave him.
0:32:46 > 0:32:50I'm sick of arrogant men thinking the world revolves around them.
0:32:52 > 0:32:55- One, two, three, four, five. - What's going on?
0:32:55 > 0:32:58She went into SVT.
0:32:58 > 0:33:02One, two, three, four, five.
0:33:02 > 0:33:04- I thought it best that we start. - Don't you ever, ever attempt
0:33:04 > 0:33:07carotid sinus massage without a senior doctor again.
0:33:07 > 0:33:10- Where's James?- He got upset.
0:33:10 > 0:33:12Go and get him. She hasn't got much time.
0:33:12 > 0:33:14Now!
0:33:18 > 0:33:20It's OK, it's OK.
0:33:20 > 0:33:24I demand to see the doctor. I demand to see the doctor.
0:33:24 > 0:33:26We have got every right to call security.
0:33:26 > 0:33:28He's an old man with a painful ulcer.
0:33:28 > 0:33:31There is help here for him if he wants it.
0:33:31 > 0:33:34- And why doesn't he take it? - Because he's selfish and arrogant.
0:33:34 > 0:33:37Listen, don't take this out on the patients.
0:33:37 > 0:33:40I want to see the doctor! I want to see the doctor!
0:33:42 > 0:33:45Mr Mancini, you're upsetting the patients.
0:33:45 > 0:33:50And you're upsetting me, you silly girl. Fetch me a doctor.
0:33:52 > 0:33:54Right.
0:33:56 > 0:34:01Where are you going? I demand to see the doctor!
0:34:01 > 0:34:03Can't he hear me? Is he deaf?
0:34:04 > 0:34:07Doctor, where are you?
0:34:11 > 0:34:14Time of death 15.11.
0:34:14 > 0:34:17This is why you can't see the doctor.
0:34:17 > 0:34:19What's the matter with you?
0:34:29 > 0:34:31Only urgent phone calls, please, Chantelle,
0:34:31 > 0:34:34I'm trying to salvage what I can of my SPA day.
0:34:34 > 0:34:35Of course, Mr Griffin.
0:34:35 > 0:34:38Mrs Jessop did want to speak to you, but shall I ask someone else?
0:34:38 > 0:34:40No, it's OK, I'll deal with it.
0:34:48 > 0:34:51Oh, hi. Have you seen John?
0:34:51 > 0:34:53No, sorry.
0:34:54 > 0:34:57Ms Campbell will do everything she can to make sure
0:34:57 > 0:34:59that you're seen by the obstetrician as soon as possible.
0:34:59 > 0:35:01No, she cancelled them.
0:35:01 > 0:35:05Ms Campbell cancelled your Obs and Gynae referral?
0:35:05 > 0:35:10She said there's no point because we have to do the surgery anyway.
0:35:10 > 0:35:11Anything?
0:35:11 > 0:35:14No. Maybe we should try outside?
0:35:16 > 0:35:19It was your decision to do the carotid massage.
0:35:19 > 0:35:22- Yes, I'm aware of that. - Sorry, just trying to help.
0:35:22 > 0:35:24I don't need your help. I'm a CT1.
0:35:24 > 0:35:29Why would I listen to you? You're always there, in my face.
0:35:29 > 0:35:32And every time you come near, it goes wrong for me.
0:35:32 > 0:35:35So you know what? I don't need your excuses.
0:35:35 > 0:35:37Just, from now on, stay away from me.
0:35:45 > 0:35:48Didn't Mo ask you to do something?
0:35:59 > 0:36:02One day, they'll stop calling for good.
0:36:04 > 0:36:07Some girl broke your heart too?
0:36:07 > 0:36:08No.
0:36:08 > 0:36:11I'm pretty sure my mum's dying today.
0:36:18 > 0:36:21Grow up, mate.
0:36:35 > 0:36:37James...
0:36:40 > 0:36:43..you haven't got long.
0:36:52 > 0:36:55- Have you seen Ms Campbell? - She's working, I imagine.
0:36:56 > 0:36:59A pregnant, distressed patient is being hurried into theatre
0:36:59 > 0:37:01for a non-urgent procedure,
0:37:01 > 0:37:03without being seen by an obstetrician.
0:37:03 > 0:37:06This wheel-them-in-wheel-them-out culture has got to stop.
0:37:06 > 0:37:08Will it take a patient's death for you to realise that?
0:37:08 > 0:37:11Is Ms Campbell failing in her duty of care?
0:37:11 > 0:37:13I'm not going to fall for the divide and rule.
0:37:13 > 0:37:15This is about the system.
0:37:15 > 0:37:18Is the system wheeling a distressed, pregnant patient into theatre?
0:37:18 > 0:37:22- Is Ms Campbell failing to meet care standards on a regular basis?- No.
0:37:22 > 0:37:26It's this one isolated case that's giving you cause for concern, is it?
0:37:26 > 0:37:29Look, she has a lot on her plate at the moment,
0:37:29 > 0:37:31both professionally and domestically.
0:37:31 > 0:37:34Unless there's clear evidence of wrongdoing, my hands are tied.
0:37:34 > 0:37:37You're just going to wait for something goes wrong?
0:37:37 > 0:37:40You're clinical lead, aren't you? Why don't you veto it or something?
0:37:40 > 0:37:42I'm not going to overrule a fellow consultant.
0:37:42 > 0:37:44Ah, well, as you wish.
0:37:48 > 0:37:52Just take some deep breaths for me, breathe deeply for me.
0:37:52 > 0:37:55Ms Campbell. I need to speak to you outside theatre.
0:37:55 > 0:37:57- Not now, Ric. - John's gone, hasn't he?
0:37:57 > 0:38:00Can't we just wait a bit, please?
0:38:00 > 0:38:04Ms Campbell, as clinical lead, I'm telling you to step outside theatre.
0:38:04 > 0:38:06It'll have to wait.
0:38:06 > 0:38:07Right, this procedure is cancelled.
0:38:09 > 0:38:12And I will be second-signing your electives until further notice.
0:38:12 > 0:38:13Ric...
0:38:13 > 0:38:16her MRI.
0:38:16 > 0:38:18She's fully obstructed.
0:38:40 > 0:38:44Vincent, what I did was totally wrong.
0:38:44 > 0:38:46And I'm sorry.
0:38:46 > 0:38:51That poor lad, all alone on the table.
0:38:54 > 0:38:56Why wouldn't you let me treat you?
0:38:56 > 0:38:58I thought that you liked me.
0:39:01 > 0:39:05You leg's going to have be dealt with surgically now, I'm afraid.
0:39:09 > 0:39:11What are you so scared of?
0:39:11 > 0:39:16Cos I know that there's something and I'm not trying to patronise you.
0:39:16 > 0:39:18I'm not. I do care.
0:39:21 > 0:39:26I'd like to think Old Nick would just come knocking one day,
0:39:26 > 0:39:27but he won't.
0:39:29 > 0:39:34It'll be a long, slow, slippery slope.
0:39:34 > 0:39:36I know how it starts.
0:39:36 > 0:39:39Doctors become nurses,
0:39:39 > 0:39:45then, before you know it, it's care workers wiping the dribble away.
0:39:49 > 0:39:52Are you managing at home on your own as well as you'd like?
0:39:53 > 0:39:57I'm the last man standing.
0:39:57 > 0:40:01The bloody council is not putting me in a home!
0:40:01 > 0:40:06The council don't have to know that you're ill.
0:40:06 > 0:40:09OK? I am on your side...
0:40:10 > 0:40:12..if you'll let me be.
0:40:15 > 0:40:18Would you stay with me, Nurse McKee?
0:40:21 > 0:40:23I'll think about it.
0:40:29 > 0:40:31Do the pump thing, please.
0:40:31 > 0:40:33She wants to say goodbye.
0:40:35 > 0:40:37Your mum's done the best she can to fight this.
0:40:37 > 0:40:41She wants to make the most of the time she's got left.
0:40:41 > 0:40:43She loves you.
0:40:43 > 0:40:45I know.
0:40:47 > 0:40:51Your mum doesn't expect you to be the strong one. No-one does.
0:40:51 > 0:40:55But you're not going to get a second chance at this moment, James.
0:40:58 > 0:41:02You don't want to look back on today and regret what was or wasn't said.
0:41:05 > 0:41:07- I don't want my mum to die.- I know.
0:41:12 > 0:41:15But it's time.
0:41:22 > 0:41:26Grace, I'm afraid, there's been a miscommunication.
0:41:26 > 0:41:28What's happened? Why is it urgent?
0:41:28 > 0:41:31Well, it is, then it isn't, now it is again.
0:41:31 > 0:41:34- Is the operation urgent?- Yes.- Yes. - Do what they say.
0:41:34 > 0:41:36But there's stuff I've got to tell you.
0:41:36 > 0:41:37The kid's not mine, I know.
0:41:37 > 0:41:40Whatever. That's not important right now.
0:41:40 > 0:41:43- Will you stay?- Yes.
0:41:45 > 0:41:47Theatre. Thank you.
0:41:47 > 0:41:50You shouldn't twist people's heads like that.
0:41:52 > 0:41:54I'll come into theatre with you.
0:41:57 > 0:42:02I don't like to feel fuzzy.
0:42:02 > 0:42:05Why don't you count backwards with me? OK?
0:42:05 > 0:42:06- Mm.- Ten.
0:42:06 > 0:42:10- Ten.- Nine.- Nine.- Eight.
0:42:10 > 0:42:13- Eight.- Seven.- The enemy...
0:42:13 > 0:42:16on a slippery slope.
0:42:16 > 0:42:19They're not seizing my house, lads.
0:42:21 > 0:42:23Not seizing my...
0:42:23 > 0:42:25Oh.
0:42:29 > 0:42:31I'll be here when you wake up, Vincent.
0:42:44 > 0:42:47When you're in there, you'll know what to say.
0:43:05 > 0:43:08We're helping your mum to breathe now, sweetheart.
0:43:08 > 0:43:09She tried her best to stay awake,
0:43:09 > 0:43:12but it was all a bit too much for her.
0:43:17 > 0:43:21Run the bowel. Johann's grasper.
0:43:28 > 0:43:32I'm surprised you thought I would have cancelled Gynae support
0:43:32 > 0:43:35for any reason other than medical urgency.
0:43:35 > 0:43:38And I'm a little disappointed you chose to overrule me,
0:43:38 > 0:43:39rather than support me.
0:43:39 > 0:43:43I offered you my support, but you chose to go solo.
0:43:43 > 0:43:46The patient was distressed, you're under a lot of pressure,
0:43:46 > 0:43:48- we can't keep this pace up.- I can.
0:43:48 > 0:43:52The onus is on you to keep up, not me to slow down.
0:43:52 > 0:43:56- Severe fibrosis. Lucky we caught it. - Luck(!)
0:43:56 > 0:43:58True, it doesn't take a crystal ball to know
0:43:58 > 0:44:01that it's better to treat a patient sooner rather than later.
0:44:01 > 0:44:04Let's just hope we haven't left it too late.
0:44:04 > 0:44:06BEEPING
0:44:06 > 0:44:0890/60. She's bleeding.
0:44:08 > 0:44:10Give it a try with a harmonic scalpel.
0:44:10 > 0:44:14No time, we'll have to improvise. Open her up. Scalpel.
0:44:14 > 0:44:16I said I couldn't be bothered.
0:44:17 > 0:44:20She knows you didn't mean it.
0:44:20 > 0:44:22Was she sad when I...?
0:44:24 > 0:44:26No.
0:44:26 > 0:44:27She was peaceful.
0:44:29 > 0:44:31Really peaceful.
0:44:31 > 0:44:34And she said she knew you loved her.
0:44:34 > 0:44:35Really?
0:44:35 > 0:44:38If there's anything you want to tell her, it's not too late.
0:45:06 > 0:45:08I can't see a thing.
0:45:10 > 0:45:12Perhaps we should convert to a strictureplasty.
0:45:12 > 0:45:15In the interests of mother and baby, we'll continue with the right hemicolectomy.
0:45:15 > 0:45:20- We've gone past the point of trying to save the pregnancy, let's prioritise the patient.- Ric...
0:45:20 > 0:45:24you're either with me or against me.
0:45:37 > 0:45:38Done.
0:45:38 > 0:45:42Nothing to suggest that the pregnancy is no longer viable.
0:45:44 > 0:45:46Well done.
0:45:46 > 0:45:49Ms Campbell, would you see me in my office before you leave, please?
0:45:49 > 0:45:52That is assuming there's nothing pressing you have to rush home for?
0:45:52 > 0:45:54Certainly.
0:46:04 > 0:46:07Nobody expected you to save Kate,
0:46:07 > 0:46:10but you did stop that boy from doing something he'd hate himself for.
0:46:10 > 0:46:15Look, I'm sorry. I shouldn't have got angry with you today, you're amazing.
0:46:15 > 0:46:18You're a great F1, Tara.
0:46:18 > 0:46:22I just can't get a handle on you.
0:46:22 > 0:46:23What?
0:46:28 > 0:46:29Ollie, wait.
0:46:34 > 0:46:37We have a heart. ETA two and a half hours.
0:46:37 > 0:46:39Looks like Kate's got her miracle.
0:46:39 > 0:46:41Mo says scrubs, we're inserting the pump.
0:46:41 > 0:46:42Go.
0:46:44 > 0:46:46Would you meet me outside theatre?
0:46:46 > 0:46:48< Let's go, Doctor Valentine.
0:46:48 > 0:46:49Yeah, sure.
0:46:55 > 0:46:57Heart's close.
0:46:58 > 0:47:00Both arteries passed.
0:47:00 > 0:47:03Into femoral artery.
0:47:04 > 0:47:07C-arm, please.
0:47:10 > 0:47:13Thank you. Screen, please.
0:47:13 > 0:47:14Ah.
0:47:14 > 0:47:16You OK?
0:47:16 > 0:47:18Yeah, it's just Braxton Hicks.
0:47:18 > 0:47:2180/55. Mo?
0:47:22 > 0:47:25Insert the catheter, Doctor Valentine.
0:47:35 > 0:47:37HE SIGHS
0:47:48 > 0:47:50Hi.
0:47:56 > 0:47:58I can't get the balloon in, I can't see it.
0:47:58 > 0:48:02OK, I'm good. Relocating at the femoral artery.
0:48:02 > 0:48:04Let's try this again.
0:48:04 > 0:48:06BEEPING
0:48:06 > 0:48:07Her heart's given up.
0:48:07 > 0:48:10OK, let's get a trolley, please. Quickly.
0:48:10 > 0:48:12Charge to 50.
0:48:12 > 0:48:14OK. Clear.
0:48:17 > 0:48:18No output. Again at 50.
0:48:18 > 0:48:21- Clear.- Doctor Valentine.
0:48:21 > 0:48:24I can do this. At 100, please. Clear.
0:48:28 > 0:48:31Again at 100. Clear.
0:48:32 > 0:48:34At 150. Clear.
0:48:34 > 0:48:37Look, we never thought she'd get through the night.
0:48:37 > 0:48:40We can't give up now. The heart's so close.
0:48:40 > 0:48:41Clear.
0:48:41 > 0:48:43BEEP BEEP
0:48:45 > 0:48:46Rhythm.
0:48:54 > 0:48:55Balloon's in place.
0:48:57 > 0:48:59I can't live if I have to miss her every day.
0:48:59 > 0:49:01Don't think like that.
0:49:01 > 0:49:03I did this massive painting at school.
0:49:03 > 0:49:05I got my mate to drop it round ours.
0:49:06 > 0:49:09I couldn't wait to show my mum. I wish I didn't care.
0:49:11 > 0:49:14The balloon pump's restored function.
0:49:21 > 0:49:24Help yourself to my cookie jar. That was amazing work.
0:49:24 > 0:49:26It went well.
0:49:26 > 0:49:29- ETA?- ETA, one and a quarter hours.
0:49:29 > 0:49:33We're keeping your mum intubated on our high dependency ward until the heart arrives. OK?
0:49:33 > 0:49:35When Gran gets here, she gets freaked out by hospitals,
0:49:35 > 0:49:37so just let me take care of it.
0:49:37 > 0:49:39Look, you haven't seen Doctor Lo around, have you?
0:49:39 > 0:49:42- She was with me, back there. - She didn't say where she was going?
0:49:42 > 0:49:44No. Why?
0:49:44 > 0:49:47Nothing, just go be with your mum. Yeah?
0:49:53 > 0:49:54Thank you.
0:50:06 > 0:50:07A moment of quiet contemplation?
0:50:10 > 0:50:12Now, we made an agreement, you and I,
0:50:12 > 0:50:14regarding the medical monitoring of your tumour,
0:50:14 > 0:50:16but I have to consider your emotional wellbeing.
0:50:16 > 0:50:20Under any circumstances, working in a hospital full of the ailing
0:50:20 > 0:50:23can take its toll, but with your condition...
0:50:23 > 0:50:26Are you finding it difficult?
0:50:26 > 0:50:27No, no, I'm fine.
0:50:27 > 0:50:30I assisted with an end-stage cardiac patient today.
0:50:30 > 0:50:33And I've been across transplant pre-meds.
0:50:33 > 0:50:35So you're coping, then?
0:50:35 > 0:50:38Yes. I'm focused.
0:50:41 > 0:50:43'So no slippery slope for you.'
0:50:43 > 0:50:46The anaesthetist reckons you needed a mallet to knock you out.
0:50:46 > 0:50:47They train us for that.
0:50:49 > 0:50:50I didn't mention any names,
0:50:50 > 0:50:53but I had a word with a friend at Social Services.
0:50:53 > 0:50:54Traitor.
0:50:54 > 0:50:58Vincent, no-one is putting you in a home, OK?
0:50:58 > 0:51:00But maybe someone could help you with the little things,
0:51:00 > 0:51:05- like your shopping or your laundry, a couple of hours a week.- Hm.
0:51:08 > 0:51:10You helped your army pals, right?
0:51:12 > 0:51:15The last man standing needs someone too.
0:51:15 > 0:51:18I'll leave the number in your discharge notes.
0:51:25 > 0:51:26HE CHUCKLES
0:51:26 > 0:51:30I needn't remind you of the seriousness of your allegation.
0:51:30 > 0:51:32I made no allegation.
0:51:32 > 0:51:37I merely questioned her ability to manage a challenging schedule.
0:51:37 > 0:51:40Perhaps your concerns about the manageability of her schedule
0:51:40 > 0:51:43says more about your idea of what a manageable schedule is?
0:51:43 > 0:51:45We can all speed through a schedule,
0:51:45 > 0:51:48but at what cost to the patient or the surgeon?
0:51:50 > 0:51:56Either way, my concerns about Ms Campbell's clinical judgment,
0:51:56 > 0:51:58in this instance, were unfounded.
0:51:58 > 0:52:00I was wrong.
0:52:00 > 0:52:04Very well. Your apology is accepted.
0:52:07 > 0:52:12Look, I know this isn't perfect, but so what?
0:52:12 > 0:52:15I'll get my act together, we can do this.
0:52:15 > 0:52:18Let's at least try.
0:52:20 > 0:52:23Whatever's going on with us...
0:52:23 > 0:52:26I love you.
0:52:26 > 0:52:28You've always been my best friend.
0:52:28 > 0:52:32I promise I'll be here to support you.
0:52:36 > 0:52:40- I'll call your mum, let her know you're safe.- OK.- Two secs.
0:52:46 > 0:52:47John...
0:52:49 > 0:52:51..it's a good thing you're doing.
0:52:51 > 0:52:55Well, if we want it to work, it will.
0:52:55 > 0:52:59If we don't, it won't. Simple.
0:53:00 > 0:53:05A line's been crossed, though. No getting round that.
0:53:16 > 0:53:19Grace Jessup seems to be making good progress.
0:53:19 > 0:53:25- On track for a Thursday discharge? - Yes.- Good.
0:53:25 > 0:53:28- Thanks for your assistance. - I spoke to Hanssen.
0:53:28 > 0:53:32Yeah. He cancelled our catch up. Shame, I was looking forward to it(!)
0:53:32 > 0:53:34- Serena, I'm sorry... - Yeah, good night, Ric.
0:53:41 > 0:53:45Mo, the CT1 dean is chasing you for the results of his OSCE.
0:53:49 > 0:53:52Look, I didn't act professionally today.
0:53:52 > 0:53:56I mishandled the pastoral needs of a young relative.
0:53:59 > 0:54:01And...
0:54:03 > 0:54:07..I let my emotions interfere with a colleague.
0:54:07 > 0:54:09You were right.
0:54:10 > 0:54:13Do you know what that is, Doctor Valentine?
0:54:15 > 0:54:17Trust...in you.
0:54:17 > 0:54:21I'm not fluent in kitten, but can I translate that as "he's passed"?
0:54:21 > 0:54:24Yeah, he's passed.
0:54:24 > 0:54:27Great. Passing the world's easiest exam. Winner(!)
0:54:27 > 0:54:29I was never going to fail you, anyway.
0:54:29 > 0:54:33Just a little bit of shock therapy. Slapped wrist.
0:54:35 > 0:54:36Heart's arrived.
0:54:36 > 0:54:40You've earned yourself a place in Transplant Surgery.
0:54:41 > 0:54:44- Tara. Tara.- Hey.
0:54:46 > 0:54:49Congratulations. I hear you did brilliantly in theatre.
0:54:52 > 0:54:53Tara, wait.
0:54:54 > 0:54:56Doctor Valentine!
0:55:18 > 0:55:19Thank you.
0:55:24 > 0:55:26Lovely.
0:55:30 > 0:55:33Today, we make a miracle happen.
0:55:46 > 0:55:48Subtitles by Red Bee Media Ltd