Last Man Standing Holby City

I don't understand you.

Good.

-Ah.

-Uh.

I've given Ms Campbell a very specific brief. She's here to ensure

that Keller becomes a more cost-effective ward.

If she gets her way,

this place will be a production line for low cost procedures.

No more nights on a single bed.

It's not a big deal or anything.

Is Luc coming back or isn't he?

Could the OSCE candidate proceed to fit the drain?

The patient has given her consent.

Good morning, Mrs Bassmasser, my name is Doctor Valentine.

I'll be suturing a drain into place in your chest.

May I observe?

These are exam conditions. Do you mind?

Thank you, Mrs Bassmasser.

The drain could be fitted without a suture, though, couldn't it?

I'm aware it could be, Doctor Lo, but this is a suturing test.

Mr Griffin. I didn't expect to see you.

It's your spa day.

It's an S-P-A day, Chantelle, spent reviewing my patient's care needs.

Oh.

Mr Bahhari.

I thought Ms Campbell discharged you yesterday?

An oversight with his prescription. It's been dealt with.

Henrik, the ward isn't designed to meet these waiting list targets.

Should we ask patients to heal themselves, do you think?

I see you're persisting in your SPA day?

Yeah, a bit of R&R in this job doesn't go amiss,

when we're going at this rate.

Supporting Professional Activity is in my contract.

I remember your fight for its inclusion.

Of course, cutting waiting lists

is not just Ms Campbell's responsibility, is it?

I took the liberty of bringing my portfolio for the OSCE to sign off.

I had to fail you, Ollie.

You undertook the clinical element of your assessment perfectly,

but you acted unprofessionally in front of a patient.

My hands are tied.

Doctor Lo? I know I snapped at her, but she's so...

Annoying? Aspergic?

You're a CT1, Ollie, deal with it.

Hospitals are scary places. Patients have to be able to trust us.

Doesn't matter if the ward's burning down, you stay in control.

I've had solo surgical spots, I've assisted in CTU, Transplant.

You know how many unpaid hours I've clocked up.

You can't fail me because of some stupid suturing test I could have done in my sleep.

But this isn't the first time we've had that conversation

about Doctor Lo, is it?

Look, I tell you what.

You act with impeccable professionalism today

and your dean doesn't need to know about your little outburst.

One last chance. Earn it.

CLASSICAL MUSIC PLAYS

You know, the theory about classical music improving concentration

has yet to be proved.

Do you mind?

We really need to find a wealthy patron to donate a new wing?

I mean, pretty soon,

Keller's going to need an extension just to house all your electives?

Ha-ha.

Ms Jessup, hello there.

I got a call saying something about my resection being brought forward?

That's right. Don't want you languishing on the waiting list any longer.

And good news, a theatre slot has become available this very morning.

-Oh.

-Can someone give you a lift in?

No, not really, my husband's not here.

Right, well, might you be able to jump in a cab?

I suppose I could.

Fantastic. See you soon.

PHONE RINGS

Consultations via web-link?

Yes, speeds things up.

Hello.

Marcus, can you please remind her parents

that I'm not legally responsible

for their daughter's poor lifestyle choices? Thank you.

Right, my public awaits.

Increased shortness of breath's to be expected for a patient

who's been on the waiting list for a year, but I'd like you to give Kate a full examination.

So, to clarify, I'll be performing a check-up of your long-term patient?

Yes. If you're on the waiting list, every symptom's terrifying.

-So even if the ward's burning down...?

-Professional.

-Exactly.

Hey, guys.

-So, you like my new place?

-Nice. Getting big, aren't you?

Fat talk? Not to a lady, kiddo.

-Kate, how are you?

-Good. Just a bit...

This is Doctor Valentine. He's going to be giving you a check-up.

-This is James.

-Good morning.

I've got to get off to ITU,

but everything here works exactly the same as my last place.

And I'd be happy to answer any questions you might have.

I'll leave you to it.

# My funny Valentine Sweet, funny Valentine. #

-Mum, don't be weird.

-I'd like to take a couple of scans,

that way we can figure out how best to make you comfortable.

They usually take an echocardiogram and an MRI.

OK.

Well, I'll be a couple of minutes. Nurse, fluids, please. Thank you.

I didn't mean to interrupt your test earlier. Was it OK?

Yes, good morning. Please let Radiology know

that Doctor Valentine has a patient on their way up for their MRI.

Yes, thank you.

Two resections already and a third on the way,

-that's quite a morning.

-You should see what I'm like after dark.

Would you like me to assist you today?

-The ward's overstretched.

-I'm on top of it.

I can reschedule my SPA day.

The resection patient's arrived, no bed is ready.

Discharge the post-appendectomy.

Ms Jessup. I hope the short notice wasn't too inconvenient?

I can't get hold of my husband,

I had to get a cab, cost me a fortune.

Sorry, but, hey, today's the day you get treated.

Excuse me. Bed three, blood pressure's dropping.

Please, excuse me. Waiting area. Thanks.

Would you like me to get Ms Jessup prepped?

If you've got the time, that would be great. Radiology's been informed.

Oh, but, Ric...

Yes, you'd like her to make her slot. I understand.

Thank you.

This is the hot-off-the-press new initiative from on high,

entitled Constructive Care Rule.

We are to spend three minutes sharing domestic conversation

with elderly or vulnerable patients.

They, in turn, will share with us their lives

and any hidden nastiness.

And fill in one of these report cards.

What do they think we normally do with our vulnerable patients?

-Spit on them?

-They'll have come up with a new scheme by next week.

So let's just get on with it.

We're a bit initiative heavy at the moment, but we've got a doctor-shaped hole to fill.

I guess this is their way of maintaining high standards.

OK, so now all our lives have been made hell because of him?

Wow, that sounds fair(!)

Let's make a start with Mr Mancini.

He's 80, he's got a venous ulcer and he lives alone.

Has anybody asked Mr Mancini if he considers himself vulnerable,

or are we just judging all our patients based on their age

and marital status now?

No, thanks.

I'll take this one for the team. Don't mention the L word again.

Right.

Yup, it's Ms Campbell's elective.

Sarah Jessup. I'll be sending her down

for her abdominal X-ray shortly. Thank you.

Are you a doctor?

I am. No flowers on the ward.

Oh. I didn't think the sign was serious.

Can I help you?

Is there a vending machine?

Heavy night.

It's second floor, along the corridor, third on the right.

Maybe, the water cooler might be the better option.

I take it you want to be hydrated before visiting?

Yeah.

Straight through the ward doors.

It's a bit bigger than last time.

Are you thinking of joining the medical ranks?

He's an artist at heart.

What was it you said about Banksy? "He's an urban poet."

-Yes?

-Is there anything I can do to assist?

No, thank you.

-May I observe?

-No.

Oh! Oh.

Sorry. Been a bit knocked for six today.

If you were as bad as you made out,

you'd be at the top of the waiting list, wouldn't you?

What?

Ms Campbell would like to apologise for the hurried hello.

I was meant to be picking my nephew up from playgroup today,

but my sister's got to do it now.

No-one can force you to have the surgery today.

If you need more time to prepare?

No, no, no. Let's do this.

Sorry. My phone died.

It's all right. It's my husband.

Right. Excuse me.

I was in Brighton. Made more sense to stay with the guys.

So, you're having your operation today?

No, John, I 'm just testing the bed for firmness.

Couldn't even call to let me know you weren't coming home?

Do you know what? Just do what you like.

I'm sick of chasing you up, cooking dinners you don't show up for.

Mrs Jessop, you appear to have some swelling of the joints.

I'd like to wait for the lab results before sending you up to Radiology.

Have you had any viral illness recently, any infection?

-No.

-Any nausea?

-Yes.

-More frequent urination?

-All the time.

Did you inform Ms Campbell?

I didn't have the chance, she just told me to get in a cab.

Who's this Ms Campbell?

Could I have a word with your mum for a second, please, James?

She's run out of time, hasn't she?

We can't predict that.

-The echo revealed the ejection fraction was down, didn't it?

-Yes.

It is down.

To 10%. I'm really sorry, James.

Mum's on the urgent heart scheme now, then?

Yes.

Good.

Is there anyone you'd like me to call in for you? Your gran?

No, thanks.

-Good spot on the echo.

-How long?

-Without a new heart?

A day, a few hours.

We'll see.

Your ulcer's quite infected,

so I'm just going to take a swab and send it to the lab for testing.

Righty-ho.

It might sting a little bit.

Let's not get hysterical.

Chrissie, Paeds are on the phone for you.

Tell them, I'll call them right back.

So, Vince, you were saying, you like where you live, do you?

-It's nice, is it?

-Is your home nice, Sister Williams?

It's just that this type of infection is sometimes caused

by linen not being changed enough.

What difference does it make how I got my ulcer?

Or are you offering to do my laundry?

No, I'm not.

Then, what business is it of yours?

Hmm.

Is she nuts?

I'm sorry,

we're required to ask these kinds of questions, I'm afraid.

I do not wish to be mollycoddled, I wish to be treated.

I will happily pass on that shocking news

-to the patients liaison manager.

-And seal it with a poke in the eye.

I like the cut of your jib. Please take over my treatment.

Sure.

30 years rubbing shoulders with the enemy

and a bit of fluff wonders if I can make a bed.

Well, I'm not going to patronise you, Mr Mancini.

Oh, a mutineer, eh? Hm, a lone rebel.

Jonny's liaising with UKT.

If a heart is available, we'll do all we can to attempt a transplant.

If? She's on the urgent heart scheme.

You're at the top of the list now, Mum, that's a good thing.

It's right that you're hopeful, but we can't guarantee a heart.

How many people crash their cars every day?

So why am I the only one that thinks my mum's not dead yet?

We have a heart.

Told you.

-Jonny.

-Liaise with the coordinators, keep you updated, I'm on it.

Doctor Valentine, I need you to keep her stable till the heart arrives.

-Work to improve her vital signs.

-Right.

ETA three hours.

Keep James calm. If you're calm, he's calm. If he's calm, his mum will be calm.

-Right.

-It's all about the calm.

Can I suggest a surgical alternative? An aortic balloon pump.

It's risky, but it could buy a few extra hours.

That's exactly what Kate and I have discussed for her end-stage care.

But it's risky and, with a heart on the way,

she's safer on the ward.

-Doctor Lo.

-Yes?

-Assist Doctor Valentine.

I think we should postpone Grace Jessup's radiology test.

-Yes, I...

-I noticed some swelling, she's suffering from nausea,

increased urination. I think these symptoms suggest...

Yes, I got the test results five minutes ago, Ric.

I've already cancelled Radiology.

Do you want to tell her or shall I?

What's wrong?

-Perhaps you'd prefer a private consultation?

-No.

Right, well, your test results weren't quite what we expected.

-You're pregnant.

-It seems...

But Ms Effanga said I was to assist you?

You can assist by doing my ward admissions, so I can treat a critical patient.

-Alert me to any problems.

-My skills are best used with the...

This is a delicate case. Please, don't argue.

This is about last week. You're still angry.

-Ollie, we still have to work together.

-Now is not the time.

Just a bit longer, Mum.

Left Glasgow one and a half hours ago, should be in Birmingham by now.

He's not coping.

Sorry?

He's not coping.

Your fluid balance and weight are fine.

We'll have to do a more conclusive ultrasound,

but, so far, nothing to ring alarm bells.

Where is it?

Grace, wouldn't you like to see?

Please look at it.

Come on, you've been waiting for this moment for years.

Isn't it so weird?

I can see you've got a lot to take in,

so we'll just give you a moment.

There we go.

No more mucking about.

I'm going to look after you.

I'll inform the theatre nurse that the resection's been delayed

until further notice.

No. Well, unless the full ultrasound or pre-op tests show a problem,

we'll stick to the schedule.

Just another 30 minutes, I reckon, Mum.

That's like one episode of Loose Women.

You know how time flies when that's on.

I love Loose Women.

James, where's my balloon?

-The heart's nearly here.

-It's a hospital tradition.

Nurse, can you take that down to the lab for me, please? Thank you.

-James seems remarkably strong.

-He's not. Nor am I.

Who's kidding who?

-Doctor Valentine.

-Yeah.

-Could you, please, lend me a fiver?

I-I'm not really supposed to.

It's the balloon, it's just this thing we do.

I hope you know I'll get fired for doing this.

-I get paid on Saturday, I'll come in and pay you back.

-Don't worry.

Look, no-one expects you to shoulder all of this.

I'm fine.

ALARM RINGS

Nurse, oxygen, please. Quickly.

It's OK, it's OK. Stay with me.

-My uncle was in the army.

-Rank?

No idea, he didn't stick it for very long.

Ha. The old six-week rumba.

I thought about joining myself once.

Say the word and I'll call in a favour from the powers that be.

I think we need to call Social Services.

-Why?

-Oh, come on. He's an old man with a painful ulcer.

We need to flag up potential home help issues.

He's not said anything about needing help.

Well, he seemed very defensive when I questioned him.

There is a difference between being defensive

and wanting people to mind their own business.

My instincts didn't just fly out of the window this morning, you know.

I would still like to flag it up with Sacha, if you don't mind?

And he's my patient.

I'd rather you didn't go over my head, thank you.

Kate, I need you to stay still for me, please.

Keep still, Mum. It's not long. Just get it in.

James, just back off for me, please.

Just 20 minutes I reckon, Mum. Come on.

-What's the matter with you?

-James, you're not helping.

SHE GASPS

OK, Tara.

I need you to assist me.

OK, James, let's get give Doctor Valentine some space.

OK, I need some oxygen, please.

Just breathe in and out for me. In.

And out.

And again. In and out. That's great.

That's great. Thank you.

Are you all right?

-What's happened?

-Kate's BP crashed.

I'm administering dopamine and she's stabilising.

OK, good. James, my love, we're going to prep your mum for theatre.

-Jonny Mac?

-I'm on it.

-OK, let's go.

Good boss? Did he include you?

-Yeah, he's been great.

-Good.

Thank you.

Look, I'm not trying to annoy you, I just wanted to learn from you.

Sister Williams noticed that your ulcer is infected.

Now, are you getting all the help you need in looking after yourself?

He's already answered all of these questions, Sacha.

He just wants his leg to be treated.

Anything else I can look at?

Your tone of voice.

I can handle this, OK?

All right, Mr Mancini, I'll be back soon.

But...

So, Vincent, we might need to take you into a treatment room

and do a minor procedure or the worst case scenario

is that we do a surgical debridement to clear all the infected tissue.

A surgical debridement?

Yeah, but let's just see how the antibiotics work first.

When will he come bobbing back?

We're two doctors down at the moment. So he's really busy, I'm afraid.

And I'm sorry about the mollycoddling.

I did try and tell him.

Thank you. What can we do?

Oh.

Will we get a due date?

Well, this ultrasound's more about checking the bowel,

but, yes, they should be able to give you a rough date.

You can't still be hoping to go ahead with surgery?

Well, we do still need to rule out any urgent need.

Urgent?

She was told she'd be on a waiting list for another three months.

Why the rush all of a sudden? That Ms Campbell stuck her in a cab,

she was here, for what, three minutes?

Hey, how did it go?

Yeah, fine.

When's it due?

Well, they couldn't say that.

I'll get us some coffee.

-Mrs Jessup's results.

-Thank you.

Good.

No sign of anything requiring urgent attention.

The obstetrician will be here very soon.

Good. I want an abortion.

LAUGHTER

Eddi, my mate Ben and a few friends are joining us

for some engagement drinks tonight. Do you fancy it?

Would I be allowed entries of bitter single person?

Of course.

Actually, Ben's a really nice guy.

You know, he's a bit quirky, he's an optician.

I've got plans tonight, Sacha.

Actually, he's free most nights if you fancy another time.

I'm not looking for a date, OK?

-The heart's close.

-Patient's on stand by with the anaesthetist.

Hello, team. We're going to make a miracle happen.

Tara, perhaps you would be kind enough to fetch me

-the relevant brief notes?

-Of course.

-Are you OK to operate?

-Yeah, I'm fine.

PHONE RINGS

Right, today, we are going to give a woman her life back, thank you.

Well done, everyone involved.

Mo.

I spent years on the receiving end of being set up.

I'm not missing your engagement party cos I'm scared of going on my own.

It comes to something when your dad is trying to fix you up, doesn't it?

Sacha has told me over and over again

about his weird friend who loves sci-fi.

Ben Skywalker Bloomstein-stine, I don't know.

-Oh, you never know.

-No, thank you.

-Only trying to help.

But help me with what?

I mean, surgically attach me to a man, any man with a pulse

and a half decent job, at all costs?

-Sorry. I didn't mean you and...

-It's all right. I get the hint.

I'll back off.

James, can you come back to the ward, please?

The driver's late.

Could you, please, come back to the ward? Your mum and Mo would like to see you.

Why?

James, I'm afraid the heart is going to another patient.

It was her turn! Who?

There's a system. We stuck to the rules. Who?

-Who's more important than my mum?

-There was a problem in transit.

The heart has gone to a patient in a more viable location.

We've waited. She was at the top of the list.

James, I'm sorry.

One heart is a miracle. Two? Huh!

We're doctors, not robots.

While the patient's still alive, there's still hope.

I'm afraid that Grace Jessup will not be ready for her slot.

Sorry, thank you for your help, by the way.

I can take things solo from here.

Are you OK?

Serena, let's not pretend that I didn't hear that phone conversation.

Ah. SHE LAUGHS CYNICALLY

Better parents are attempting to sue me.

Their daughter's drug use was down to my neglect...

apparently. I mean, obviously, they don't have a leg to stand on,

but it's the last thing I need.

-Gabby's parents?

-Yeah.

I'm sure it goes without saying, but keep it to yourself.

It goes without saying.

But perhaps this isn't the time

to be charging through the waiting list?

My personal life has never affected my work.

Grace's ultrasound didn't suggest anything sinister.

It didn't rule it out either.

She's asking for a termination. She's clearly under a lot of stress.

You're not going to plough ahead with surgery regardless, are you?

-At least do an MRI.

-Ric, we're never going to agree on some things,

but putting patients first, we do.

I have got Grace's best interests at heart.

I've been waiting for the doctor for over an hour.

Ooh.

HE GASPS

Tell me what the problem is!

It's nothing, I've just had a bit of a day.

You know, when you let your guard down

in front of somebody

and then they treat you badly.

Sorry. Thank you for asking, though. It's really sweet of you.

The antibiotics are not clearing up this infection,

so we're going to have to drain that, I'm afraid.

Where is the doctor?

Well, who needs fuss and nonsense, right?

I can perform this procedure myself.

HE SQUEALS

-When's the next heart arriving?

-We're doing everything we can.

Jonny will let us know the minute there's any news.

Better get here quick.

Kate, do you remember a surgical option Mo discussed with you,

as part of your end-stage plan?

What end-stage plan?

It's risky, but there's a chance it might buy you some more time.

-If there's an operation, do it, do it now.

-It's not as simple as that.

Sweetheart.

It's time to call Gran in.

-You need to get ready.

-For what?

I'd like you to have this.

It's just a few bits and pieces that I'd like you to do when I've...

-I don't want it.

-It says I'd like you to be a teenager.

I'd like you to stop worrying and start enjoying yourself.

Fine, I can do that now.

Go out to parties. Have fun.

-Make mistakes.

-I'll go to parties.

We can get a nurse in. Please, they'll find another heart.

Have a few girlfriends, but always be a gent.

Keep painting.

Don't let your teachers talk you out of art school.

Don't ignore me, Mum. You owe me some fight.

If you can't be bothered, then I can't either.

SHE SOBS

I'm sure he'll be back soon.

HE EXHALES

Everything OK? I imagine your wife might be wondering where you are.

Right(!)

There's a lot to discuss. The surgery, possible termination.

Termination?

-She's wanted a kid for years.

-Really?

Well, perhaps if she felt more supported by you.

It's not mine.

We've had sex once in the last six months.

I see.

Is it all looking safe with her age? What did the baby people say?

I don't know. I'm not working on Grace's case any more.

It's just Ms Campbell?

I'm telling you, I promise you,

Grace is in a bad way if she's talking about abortion.

Look after her, cos I can't.

-Eddi.

-Hey.

Oh, listen, Chrissie, I've been thinking, er...

there might not be any harm in me meeting up with this Ben guy.

It'll be free drinks, right? And it might be fun, so...

also I'm going to be using the treatment room for the next half hour.

Yeah, I want to talk to you about that.

Mr Mancini, he wants you taken off his care.

-Why?

-He says you're getting over-familiar.

What?

I thought that he liked me.

We should've talked about this.

Sometimes it's hard to find the right words.

I'm his mother, I should have found them.

He's not going to be OK. I can feel it.

In my opinion, he's coping far better than most boys his age.

He's scared, all alone.

-Please go and get him, please.

-Easy.

SHE PANTS

SVT.

Cardioversion. Get Mo.

She's in theatre. I read about carotid sinus massage.

One side of the neck, five second intervals.

I know what carotid massage is, it's risky and can cause a stroke. Get Mo.

We don't have time.

Stop.

Fine. You do it, then.

Come on, Ollie, I know you can do this.

We were getting on, Vincent. What's happened?

I wish to see a doctor.

I'm sorry, Mr Levy has been so busy all day.

Have I done something to upset you?

I am trained in this procedure.

You're risking your health if you put off this treatment.

Then tell Mr Levy, he better make himself available bloody quick.

I will not be dictated to by a nurse.

Fine. Shout if you change your mind.

Shout.

Mr Mancini only wants to be seen by a doctor.

So, let's respect his wishes, OK?

We can't just leave him.

I'm sick of arrogant men thinking the world revolves around them.

-One, two, three, four, five.

-What's going on?

She went into SVT.

One, two, three, four, five.

-I thought it best that we start.

-Don't you ever, ever attempt

carotid sinus massage without a senior doctor again.

-Where's James?

-He got upset.

Go and get him. She hasn't got much time.

Now!

It's OK, it's OK.

I demand to see the doctor. I demand to see the doctor.

We have got every right to call security.

He's an old man with a painful ulcer.

There is help here for him if he wants it.

-And why doesn't he take it?

-Because he's selfish and arrogant.

Listen, don't take this out on the patients.

I want to see the doctor! I want to see the doctor!

Mr Mancini, you're upsetting the patients.

And you're upsetting me, you silly girl. Fetch me a doctor.

Right.

Where are you going? I demand to see the doctor!

Can't he hear me? Is he deaf?

Doctor, where are you?

Time of death 15.11.

This is why you can't see the doctor.

What's the matter with you?

Only urgent phone calls, please, Chantelle,

I'm trying to salvage what I can of my SPA day.

Of course, Mr Griffin.

Mrs Jessop did want to speak to you, but shall I ask someone else?

No, it's OK, I'll deal with it.

Oh, hi. Have you seen John?

No, sorry.

Ms Campbell will do everything she can to make sure

that you're seen by the obstetrician as soon as possible.

No, she cancelled them.

Ms Campbell cancelled your Obs and Gynae referral?

She said there's no point because we have to do the surgery anyway.

Anything?

No. Maybe we should try outside?

It was your decision to do the carotid massage.

-Yes, I'm aware of that.

-Sorry, just trying to help.

I don't need your help. I'm a CT1.

Why would I listen to you? You're always there, in my face.

And every time you come near, it goes wrong for me.

So you know what? I don't need your excuses.

Just, from now on, stay away from me.

Didn't Mo ask you to do something?

One day, they'll stop calling for good.

Some girl broke your heart too?

No.

I'm pretty sure my mum's dying today.

Grow up, mate.

James...

..you haven't got long.

-Have you seen Ms Campbell?

-She's working, I imagine.

A pregnant, distressed patient is being hurried into theatre

for a non-urgent procedure,

without being seen by an obstetrician.

This wheel-them-in-wheel-them-out culture has got to stop.

Will it take a patient's death for you to realise that?

Is Ms Campbell failing in her duty of care?

I'm not going to fall for the divide and rule.

This is about the system.

Is the system wheeling a distressed, pregnant patient into theatre?

-Is Ms Campbell failing to meet care standards on a regular basis?

-No.

It's this one isolated case that's giving you cause for concern, is it?

Look, she has a lot on her plate at the moment,

both professionally and domestically.

Unless there's clear evidence of wrongdoing, my hands are tied.

You're just going to wait for something goes wrong?

You're clinical lead, aren't you? Why don't you veto it or something?

I'm not going to overrule a fellow consultant.

Ah, well, as you wish.

Just take some deep breaths for me, breathe deeply for me.

Ms Campbell. I need to speak to you outside theatre.

-Not now, Ric.

-John's gone, hasn't he?

Can't we just wait a bit, please?

Ms Campbell, as clinical lead, I'm telling you to step outside theatre.

It'll have to wait.

Right, this procedure is cancelled.

And I will be second-signing your electives until further notice.

Ric...

her MRI.

She's fully obstructed.

Vincent, what I did was totally wrong.

And I'm sorry.

That poor lad, all alone on the table.

Why wouldn't you let me treat you?

I thought that you liked me.

You leg's going to have be dealt with surgically now, I'm afraid.

What are you so scared of?

Cos I know that there's something and I'm not trying to patronise you.

I'm not. I do care.

I'd like to think Old Nick would just come knocking one day,

but he won't.

It'll be a long, slow, slippery slope.

I know how it starts.

Doctors become nurses,

then, before you know it, it's care workers wiping the dribble away.

Are you managing at home on your own as well as you'd like?

I'm the last man standing.

The bloody council is not putting me in a home!

The council don't have to know that you're ill.

OK? I am on your side...

..if you'll let me be.

Would you stay with me, Nurse McKee?

I'll think about it.

Do the pump thing, please.

She wants to say goodbye.

Your mum's done the best she can to fight this.

She wants to make the most of the time she's got left.

She loves you.

I know.

Your mum doesn't expect you to be the strong one. No-one does.

But you're not going to get a second chance at this moment, James.

You don't want to look back on today and regret what was or wasn't said.

-I don't want my mum to die.

-I know.

But it's time.

Grace, I'm afraid, there's been a miscommunication.

What's happened? Why is it urgent?

Well, it is, then it isn't, now it is again.

-Is the operation urgent?

-Yes.

-Yes.

-Do what they say.

But there's stuff I've got to tell you.

The kid's not mine, I know.

Whatever. That's not important right now.

-Will you stay?

-Yes.

Theatre. Thank you.

You shouldn't twist people's heads like that.

I'll come into theatre with you.

I don't like to feel fuzzy.

Why don't you count backwards with me? OK?

-Mm.

-Ten.

-Ten.

-Nine.

-Nine.

-Eight.

-Eight.

-Seven.

-The enemy...

on a slippery slope.

They're not seizing my house, lads.

Not seizing my...

Oh.

I'll be here when you wake up, Vincent.

When you're in there, you'll know what to say.

We're helping your mum to breathe now, sweetheart.

She tried her best to stay awake,

but it was all a bit too much for her.

Run the bowel. Johann's grasper.

I'm surprised you thought I would have cancelled Gynae support

for any reason other than medical urgency.

And I'm a little disappointed you chose to overrule me,

rather than support me.

I offered you my support, but you chose to go solo.

The patient was distressed, you're under a lot of pressure,

-we can't keep this pace up.

-I can.

The onus is on you to keep up, not me to slow down.

-Severe fibrosis. Lucky we caught it.

-Luck(!)

True, it doesn't take a crystal ball to know

that it's better to treat a patient sooner rather than later.

Let's just hope we haven't left it too late.

BEEPING

90/60. She's bleeding.

Give it a try with a harmonic scalpel.

No time, we'll have to improvise. Open her up. Scalpel.

I said I couldn't be bothered.

She knows you didn't mean it.

Was she sad when I...?

No.

She was peaceful.

Really peaceful.

And she said she knew you loved her.

Really?

If there's anything you want to tell her, it's not too late.

I can't see a thing.

Perhaps we should convert to a strictureplasty.

In the interests of mother and baby, we'll continue with the right hemicolectomy.

-We've gone past the point of trying to save the pregnancy, let's prioritise the patient.

-Ric...

you're either with me or against me.

Done.

Nothing to suggest that the pregnancy is no longer viable.

Well done.

Ms Campbell, would you see me in my office before you leave, please?

That is assuming there's nothing pressing you have to rush home for?

Certainly.

Nobody expected you to save Kate,

but you did stop that boy from doing something he'd hate himself for.

Look, I'm sorry. I shouldn't have got angry with you today, you're amazing.

You're a great F1, Tara.

I just can't get a handle on you.

What?

Ollie, wait.

We have a heart. ETA two and a half hours.

Looks like Kate's got her miracle.

Mo says scrubs, we're inserting the pump.

Go.

Would you meet me outside theatre?

< Let's go, Doctor Valentine.

Yeah, sure.

Heart's close.

Both arteries passed.

Into femoral artery.

C-arm, please.

Thank you. Screen, please.

Ah.

You OK?

Yeah, it's just Braxton Hicks.

80/55. Mo?

Insert the catheter, Doctor Valentine.

HE SIGHS

Hi.

I can't get the balloon in, I can't see it.

OK, I'm good. Relocating at the femoral artery.

Let's try this again.

BEEPING

Her heart's given up.

OK, let's get a trolley, please. Quickly.

Charge to 50.

OK. Clear.

No output. Again at 50.

-Clear.

-Doctor Valentine.

I can do this. At 100, please. Clear.

Again at 100. Clear.

At 150. Clear.

Look, we never thought she'd get through the night.

We can't give up now. The heart's so close.

Clear.

BEEP BEEP

Rhythm.

Balloon's in place.

I can't live if I have to miss her every day.

Don't think like that.

I did this massive painting at school.

I got my mate to drop it round ours.

I couldn't wait to show my mum. I wish I didn't care.

The balloon pump's restored function.

Help yourself to my cookie jar. That was amazing work.

It went well.

-ETA?

-ETA, one and a quarter hours.

We're keeping your mum intubated on our high dependency ward until the heart arrives. OK?

When Gran gets here, she gets freaked out by hospitals,

so just let me take care of it.

Look, you haven't seen Doctor Lo around, have you?

-She was with me, back there.

-She didn't say where she was going?

No. Why?

Nothing, just go be with your mum. Yeah?

Thank you.

A moment of quiet contemplation?

Now, we made an agreement, you and I,

regarding the medical monitoring of your tumour,

but I have to consider your emotional wellbeing.

Under any circumstances, working in a hospital full of the ailing

can take its toll, but with your condition...

Are you finding it difficult?

No, no, I'm fine.

I assisted with an end-stage cardiac patient today.

And I've been across transplant pre-meds.

So you're coping, then?

Yes. I'm focused.

'So no slippery slope for you.'

The anaesthetist reckons you needed a mallet to knock you out.

They train us for that.

I didn't mention any names,

but I had a word with a friend at Social Services.

Traitor.

Vincent, no-one is putting you in a home, OK?

But maybe someone could help you with the little things,

-like your shopping or your laundry, a couple of hours a week.

-Hm.

You helped your army pals, right?

The last man standing needs someone too.

I'll leave the number in your discharge notes.

HE CHUCKLES

I needn't remind you of the seriousness of your allegation.

I made no allegation.

I merely questioned her ability to manage a challenging schedule.

Perhaps your concerns about the manageability of her schedule

says more about your idea of what a manageable schedule is?

We can all speed through a schedule,

but at what cost to the patient or the surgeon?

Either way, my concerns about Ms Campbell's clinical judgment,

in this instance, were unfounded.

I was wrong.

Very well. Your apology is accepted.

Look, I know this isn't perfect, but so what?

I'll get my act together, we can do this.

Let's at least try.

Whatever's going on with us...

I love you.

You've always been my best friend.

I promise I'll be here to support you.

-I'll call your mum, let her know you're safe.

-OK.

-Two secs.

John...

..it's a good thing you're doing.

Well, if we want it to work, it will.

If we don't, it won't. Simple.

A line's been crossed, though. No getting round that.

Grace Jessup seems to be making good progress.

-On track for a Thursday discharge?

-Yes.

-Good.

-Thanks for your assistance.

-I spoke to Hanssen.

Yeah. He cancelled our catch up. Shame, I was looking forward to it(!)

-Serena, I'm sorry...

-Yeah, good night, Ric.

Mo, the CT1 dean is chasing you for the results of his OSCE.

Look, I didn't act professionally today.

I mishandled the pastoral needs of a young relative.

And...

..I let my emotions interfere with a colleague.

You were right.

Do you know what that is, Doctor Valentine?

Trust...in you.

I'm not fluent in kitten, but can I translate that as "he's passed"?

Yeah, he's passed.

Great. Passing the world's easiest exam. Winner(!)

I was never going to fail you, anyway.

Just a little bit of shock therapy. Slapped wrist.

Heart's arrived.

You've earned yourself a place in Transplant Surgery.

-Tara. Tara.

-Hey.

Congratulations. I hear you did brilliantly in theatre.

Tara, wait.

Doctor Valentine!

Thank you.

Lovely.

Today, we make a miracle happen.

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