Crimes and Misdemeanours Holby City

I'm not trying to pry or upset anyone. In fact, I don't give a damn about your relationship.

I just need to know if Luc is planning to come back, because if he's not, my life will be hell.

Call HR.

-I took the decision to close the non-electives.

-You did what?

We don't send patients up to Keller any more. Non-referral pilot scheme.

-Since when?

-About a week.

-So everyone's singing from the same hymn sheet, are they?

-Like one big, happy choir.

Miss Campbell's been delayed, so we'll be starting without her.

Whoa, whoa, whoa! Stop! OK, please just leave them there.

This is ridiculous. We're full.

I can't believe Michael's agreed to this and then taken time off.

It's just because we're short-staffed, OK?

Are you dealing with Luc's absence?

What is that supposed to mean?

Are you trying to find a replacement? A locum?

Yeah. I have, OK, I am. I'll chase HR about it.

She's just a bit set in her ways, that's all.

Yeah, well, not all change is bad, Sacha.

-Got to accept there will be some grumbles.

-They're teething problems, that's all.

I know, and you've had a tough time of it lately. Ups the pressure.

-I'm not having a tough time.

-It's all right if you are.

This isn't about me! It's about our chance to prove ourselves as a ward,

prove we're not just a stop-gap between the ED and Keller.

Yes, OK, but we're a team, OK?

We blaze the trail, they'll get behind us.

Thank you.

We'll show them, OK? Cos we can absolutely do this.

Absolutely, yes.

Apologies, all!

That last one turned out to be more complicated than...I thought...

-Oh! Party started without me, did it?

-Didn't want to keep the guests waiting.

Lovely bit of bowel dissection. And almost finished, too.

You know, you don't have to oversee my electives solo every week.

I can get through a day's list... just about.

What are team-mates for?

You get caught up, I help out.

"You cover my back, I'll cover yours", sort of thing?

Not a problem, is it?

Not at all. Like having my very own partner in crime.

EDDI: 'Yes, I did.'

I put in a locum request last week.

I understand that but we're seriously short-staffed down here.

-You know where you are? And you know why you're here?

-Excuse me? What are you doing?

Just preliminary questions.

No, I mean who are you?

Oh, I see. Thanks for the lift, guys.

Max Schneider, locum. Replacing Mr Hemingway.

-You didn't know I was coming.

-No, er...

Sorry, it's been chaos. I'm Eddi McKee, senior nurse.

Right, well, that's the intros done.

Oh, I'll, er... I'll just carry on, shall I?

What was I saying? Oh, yeah. Pamela Dacre...

-My head. Accident. Please.

-Oh, no, don't worry, we'll keep it safe for you.

She collapsed at the library. Disorientated, may have had a fall.

Problems with speech, possible intoxication.

Better order a tox screen as well as all the usual tests.

-She doesn't smell of alcohol.

-Perhaps she's a ketamine fiend.

Most likely concussion, though. I'd like to check her over properly.

If you can get me a stethoscope? I like to look the part.

Ah...

Oh, sorry, sorry. There's no room on mine.

They're for Mo. Better late than never, eh?

-KNOCK AT THE DOOR

-Yes?

Mr Hope, you wanted to see me?

Yes, just wanted to remind you about the 360.

It's just honest feedback on a senior member of staff.

-A view from the ranks, so to speak.

-Ms Naylor, are you aware of this?

Shadow Jac for the day, collate your thoughts,

it's all completely confidential.

Well, that's hardly a fair assessment, is it? Tara's my F1. It's my JOB to give her a hard time.

And I'm certain HR will take that into account. They'll see it's not actual bullying(!)

-What is all that?

-Mo's transplant papers.

I've taken over her admin since she's been on leave.

So, hang on. Where is my proposal document amongst all that carnage?

Remind me again?

My research study on congenital heart operations.

I left it on your desk last week.

Ah, yes...

Elliot, you promised you would read it!

I have to have your signed approval before I can put it in with Hanssen.

Look, i-it's here somewhere I've just been very busy.

Oh, but you managed to find the time to sort through Mo's mountain of paperwork. What about my project?

Ah, that reminds me. Before I forget. Mo... Erm...

Girls in admin will have her address, won't they?

Elliot?! You will read it, won't you? The deadline's tomorrow.

Yes, yes, of course, yes. I'll read it later, maybe...

Has Mrs Bailey been discharged yet?

No, I have to wait for Sacha. Couldn't get hold of him before they went to theatre.

Can you not show a bit of support? We are rammed down here.

-Chrissie, if we can make this thing work...

-Then what? You get promoted?

Can you not just embrace this non-referral initiative?

Eddi, I have embraced more initiatives than I care to mention.

-Been here a while, have you?

-Yeah, too long, probably. Hi, I'm Chrissie.

Max, new locum.

Ah, at last, some help! Well, welcome on board.

As you can see, it's all hands on deck.

And Mrs Bailey stays where she is.

-I'm sensing some hostility.

-No, she's annoyed cos we're not referring up to Keller.

-And that's why it's like a trolley-dash round here?

-No. It's because we're short-staffed.

-We can't clear the beds quickly enough.

-Why don't they let the senior nurses discharge?

I'll be with you as soon as I can, OK?

There's usually a policy already in place, they just don't always use it.

It solves your problems, it shifts patients quicker. It's only a matter of implementing it.

Why don't you suggest it to Sacha?

Me? I've been here, what, five minutes? But she may listen to you.

-Sacha's a man.

-Right.

Sacha's a he, Eddi's a she. I still think you should suggest it.

Yeah. If you could, you'd be a lifesaver.

Cheers.

I just found this on a pile with an FAO note to Malick.

Yes, it's marked for HIS attention.

I thought he might like the case. Good, meaty experience.

What this needs is an old hand who can stay impartial.

So what's this case about?

The high-security patient.

Serena here doesn't want you to have the case.

-It needs a delicate touch.

-So what are you saying? I'm not up to it?

So you ARE saying I'm not up to it?

Just...stay professional, and uninvolved.

So what's this guy in for, anyhow?

Murder.

Right, let's take him round the corner for now, please.

Sacha, it's just a case of implementing it.

Max, this is Sacha Levy, our registrar. Sacha this is Max Schneider, our new locum.

Good.

Well, let's ask Max. Senior nurses discharging patients?

-For or against?

-What's this?

Senior nurses are the brains of the outfit in my book. Let them call the shots.

Except that makes us more liable if anything goes wrong. I don't really want that.

But we can always refer up if we're not sure of a decision.

I think it gives us more flexibility and personally, I don't think we should shy away from responsibility.

Well, look, let's give it a trial, shall we? Yeah?

-Two units. Me and Chrissie head one, you two head the other.

-Great.

Cheers.

Hello, Mr Belling.

I'm your surgeon - Mr Malick.

Well, not what I was expecting.

Is that a problem?

Not for me.

OK...

You've been refusing food for some weeks, fluids only.

Severe abdominal pains and you've been diagnosed with a gastric ulcer

which hasn't responded to conservative treatment.

Your pulse is slightly elevated and your BP is slightly down.

We'll get you an ultrasound and a CT scan done.

That way, it'll give us a better idea of what we're dealing with.

OK, good.

Follow my finger...

eyes only.

And lift your left arm up and down.

Have you eaten today?

-Drunk fluids?

-Yes.

Not...deaf.

Bag...

Need...

Please? Please.

EDDI CLEARS HER THROAT (Hi.)

Tox screen came back clear. We're just waiting on bloods.

Not as much as a wine gum. And no obvious sign of concussion.

Eye and motor responses are fine but verbal's not so good.

Maybe she's got learning difficulties.

I don't think so. It's like she can't speak English but her accent isn't foreign.

Let's give her an MRI, see if it shows up a small brain haemorrhage or encephalopathy.

Hey-eh-eh! Easy, guys! I've already had one crash today!

-That's all we need(!)

-You're leaving me here?!

In the corridor?! Oh, nice one, lads(!)

Mr Belling, I, er...

have some results for you.

It appears that the prison infirmary had you on Omeprazole

to help reduce the size of the ulcer.

Can you remember how long you were...on the treatment for?

Nope.

-It's OK. I'll take it from here.

-(Thank you.)

Why'd you do that? Don't you like women?

No offence, but I don't want to discuss my personal stuff with you, all right?

I'm only here to discuss your treatment options,

and there's only one, if I'm honest.

So, what was your hunger strike about, then?

Your sentence?

An appeal?

No offence but...

don't want to discuss my personal stuff with you either.

Fine.

So do we have your consent to operate?

Do you agree to consume all medicines whilst here?

I told them I would.

Good.

We'll get you prepped for theatre, paper signed, and we'll get you down in half-hour.

No, that's not going to happen. Not going anywhere till my visitor arrives.

-Your visitor?

-It's been organised by my solicitor through all the proper channels. Paperwork's here.

When are they arriving? We're on a time frame. Slots are only available...

Shuffle things any way you like. I'm not moving till they get here. Understood?

OK, bed four has gone for an MRI, bed six has been discharged,

bed five's just about to be, and lady with sprained ankle is in bed two.

-Nice work.

-Just doing my job.

-Well, I hope it's not all to impress me.

-Why? Who are you?

Me? I'm only the locum.

Hello...?

Anyone? Someone! Is anybody out there?!

Yep. It's Barry, isn't it?

Yeah. I've been here ages.

Barry Davidson, RTA.

Can't I take this thing off yet?

I think you're probably fine but we'll get you X-rayed first, OK? Make sure.

Where are we going to put him?

Er... Chrissie, is your man in bed one ready to go yet?

-No. I have to do bloods.

-What for? He's had the nail removed. He's a tetanus and go.

Because he's had two accidents in under a month. There might be an underlying problem.

But he is a rookie builder. They're like toddlers, always up to something.

-Please? Look we are getting backed up again here.

-Fine. Bed's all yours.

Thank you.

Barry, bed one.

Yes?

Hello? Here to see Elliot Hope.

Take a seat, please.

You see, Mo asked me to take her on and, well, I agreed to

but now with appraisals on top,

I'm up to my eyes. I can't possibly fit her in.

An extremely moving story but why are you telling me?

I was wondering if you could do the op?

It's a congenital condition, right up your street.

Just reschedule her.

I can't. I promised Mo.

Ah, I see, but a promise to me can go out the window.

Come on, Jac, this is about comrades covering each other's backs,

not personal projects. It concerns a patient.

Mo's patient.

Yes, and now my patient, our patient.

It's like brothers in arms.

Well, sisters. You know what I mean. All for one, one for all.

And she is a very special lady.

Annabelle Casey.

You know - the actress. She was around in the '70s.

She was in that film, the disaster movie, with the bomb.

No.

(OK...)

Look, if you take the actress...

JAC SIGHS

..I promise I'll read your proposal...today. Signed and approved.

Promise as in "promise", not, "Oh, it's here somewhere. I'll read it later, maybe."

I'll lock myself in the office this afternoon.

Fine, deal.

Ooh. Who's the other coffee for?

For me?!

I can be nice to my F1 once in a while.

I have to give her 360 feedback.

Ah. She's obviously hoping her little mentee doesn't give her the same treatment she gives F1s.

Or maybe she actually likes me.

Don't be silly! SHE...doesn't like anyone.

You've got her worried.

You should savour the moment.

Just checking for poison...

Yes, love, the room's fine.

Similar to that place we stayed at in Leicester.

No, I won't touch the mini bar.

OK.

See you tomorrow.

Bye now.

-Just going to attach you to a drip, Barry.

-That was the wife.

She thinks I'm at a works conference. I make car parts.

Right petrol head, I am.

Do you think they'll keep me in overnight?

Well, I don't mind if they do.

Depends on your X-rays.

Really? What? Not even to be on the safe side?

No. Why?

It's cos of the wife, really.

If she finds out I've been in an accident today, well,

she'll suss I've been lying.

And trust me, that won't be good for her.

-What, for your wife?

-Yeah.

So if you CAN wangle it that I can stay over...

that'd be best for everyone.

-How d'you work that out, then, Barry?

-Tomorrow, I can pretend I crashed on the way home on the motorway.

-She'll be none the wiser.

-Let's just wait and see what your test results show, OK?

I just don't get it. According to his notes, they had him on Opramezole for four weeks.

-Four?

-Yeah. Since they first had him diagnosed.

But THIS is his original prison scan.

It seems to have got bigger, not smaller.

How can it get larger? The treatment would've reduced it, surely?

-Could hunger-striking make it that much worse?

-No.

But anti-inflammatories WOULD.

Overdose - NSAIDs. Accidental. Been self-medicating.

Two weeks ago.

And that would exacerbate things considerably.

Must've snuck them in, control the pain.

Well, he certainly picked the wrong painkiller.

-Excuse me, is this the General Surgery ward?

-Sure is.

-Are you looking for someone?

-His solicitor said he was here.

You're here for Stuart Belling?

Yeah, I'm his next of kin.

Don't cross out the rookie builder, will you?

-Why?

-Cos he hasn't gone. He's still there.

Feeling dizzy. Turns out...he's anaemic.

What's her problem? The backlog's clearing, isn't it?

Whoa, look at that.

Damage to the temporal and frontal lobes, low-density. Here, see?

-Are those Pamela's?

-Yeah.

No blood or fluid, though. Means it's old.

-Damn! Of course!

-What?

It's Broca's aphasia. I've never come across it before.

-What's that?

-This is the Broca's area. It controls language, speech.

When it's damaged, it's like having words on the tip of your tongue.

-You can't quite string a sentence together.

-Do you think it's related to her collapse?

Doubt it.

It's probably something else. Bloods might tell us.

-Poor Pamela.

-You can say that again.

Poor Pamela's probably as sharp as a knife.

I'm going to have to hurry you.

-Our time slot in theatre is limited, you see.

-Theatre?

Yeah, for the operation. He's been refusing to go in till you got here.

Visitor for Mr Belling. I can be the adult accompanying.

So he's not dying, then?

No.

After the operation, he should be fine.

I need to check your bag.

OK.

(OK.)

Hey, it's all right. Come through.

Kelly...

Hello, Dad.

Yes.

Aphasia.

Car crash...

three years...

ago.

Me...

barrister...

before.

Really? You were a barrister?

Learning.

Exams...

-..again.

-Your blood results are all looking good, Pamela.

Your glucose levels are low, which would account for the fainting fit,

but other than that, you're fit to go.

We'll make an appointment with the Endocrinologist. I suggest a sweet tea before you leave,

get those glucose levels up.

Eddi can sort that for you.

You've grown.

I still think of you like the photo I got.

Stupid, innit?

-Erm...would you like to sit down?

-Course, yeah.

Where's my manners.

So how's school? Are you working hard?

So, it's good, yeah?

Yeah.

Have you got a boyfriend?

Sorry, that's...

I was told you was dying.

I'm ill, that's for sure. I'm going under the knife. I've got an ulcer in...

Look...

You coming here, I appreciate it.

I know it's not easy.

I hoped you'd want to see me one day, though.

-Hear my side of things.

-And what's there to know?

I can't do this.

Kelly...

Come back, please!

Kelly. Hey, Kelly...

-They made out like he was dying.

-Who did?

His solicitors. This is all a game.

What am I doing here?

-Whoa, he's not faking his ulcer. That's real.

-And how did he get it?

Hunger-striking. Making himself ill.

It's all to get me to meet him.

It's like... It's like blackmail.

So it's not for an appeal?

He beat my mother to death with a baseball bat...

..pleaded guilty. There's no appeal.

-Here you go, Barry. Three sugars.

-Oh, thanks.

That's just the ticket.

See, staying overnight's the best-case scenario.

-If I can't, then I'll have to go home.

-And?

I promised her I'd give it up.

Sorry, give what up?

Rally Cross. My passion.

You can earn good money if you get a sponsor.

I was doing well till that stupid Citroen cut across me.

If I can just once come home a winner, she'll see it's not a waste of time.

Hello? Are you there?

Sorry, Barry, give me a minute.

-Does it hurt? The hot drink?

-Bitten.

When did you bite your tongue? Was it earlier, when you collapsed?

Barry, the brace can come off.

-No broken bones, no displaced vertebrae.

-Right. OK.

-I don't have to go yet, though, do I?

-Max, can I have a word, please?

-Yeah, shoot.

-In private.

MACHINE BEEPS FRANTICALLY

I know you can you hear me out here!

BEEPING CONTINUES

-Was she OK? Did you catch her before she went?

-No, I didn't.

I need to check you over before theatre.

But she came.

-It's a good sign.

-All this protest, this hunger-strike.

It was all just to get her in here, wasn't it?

-Did I say any different?

-And the painkillers you took?

Wasn't accidental, was it?

You deliberately made yourself ill just to get in here.

-The nick's no place to meet your daughter.

-She thought you were dying.

-How else am I meant to get to see her?

-Better ways than blackmail, surely.

-Is that what she said? Blackmail?

-Yeah, it is.

So you did speak to her?

Yeah.

-And she told me what you did, too.

-So now you know bloody everything.

Everything I want to know, Mr Belling.

We'll get you prepped for theatre in ten minutes.

I'll operate...

then you're gone.

Free to starve yourself to death.

I'm sure you won't be missed.

You don't get my consent any more.

Your next of kin doesn't have to be a relative.

Oh! Well, Matthew, my agent, I suppose.

He should be here any minute, though. He promised to come. He'll give you his details then.

Right, Mrs Casey, you have ARCAPA, correct?

Yes, I've had it since birth, apparently.

Never a symptom till I was 63.

And, erm, it's MISS Casey, actually.

Yes, well, I'm here to sort it for you.

As I'm sure you've been told, your scans show that the left coronary artery is dilated.

-Sorry...!

-There's really no need to be sorry.

Nurse, actually, can you organise an ECG, an ECHO, some pre-op bloods,

and the usual FBC, Us and Es.

No, I mean... Sorry, who are you?

I'm your surgeon. Jac Naylor. Cardiothoracic consultant.

Ah, no. Now, first I had a lovely but very pregnant lady.

Then I met a man with a beard.

He was going to do it.

And now you have me.

This isn't pass the parcel!

Well, it does seem to be today.

So, I'll be reattaching your artery to the main aorta.

It's all very routine.

Maybe for you, love, but not for me.

No, I want the man with the beard back.

At least he looks the part.

-You look like you sell beauty products.

-Ha!

Well, I've taken the day off from giving make-overs

to perform major heart surgery.

Sweetheart, I've made tougher people than you cry.

Now, I want the magician, not the assistant.

Others here may perform tricks. I perform miracles.

So, sweetheart, it's show time or home time. You decide.

A bitten tongue. Disorientation. And frontal lobe damage.

OK. I'll speak to her. And well done on spotting it.

Thanks.

Pamela, we're a little worried about you.

-Eddi here thinks you may have had an epileptic fit.

-No. Fainting.

Not...fit. I'm good.

Well, I'd like to give you an EEG. Test the activity in your brain.

There's nothing to worry about.

It'll help us rule some things out.

OK. We'll get that organised.

Nurse... Nurse!

What did he say? Can I stay?

No, you can't.

But...

You're going to have to go, I'm afraid.

Barry...

I'm serious. I'm in pain here!

An artiste's temperament, maybe?

She doesn't want me, Elliot, she wants a man with a beard.

You have a beard. She's yours.

What about, "All for one and one for all"? We shook on it!

Yes, before I found out that she was a bulldog in lipstick!

Jac, tell me you didn't upset her on purpose

so you wouldn't have to take her on?

No, it's just a natural talent I have.

Anyway, she started it.

Ready? The patient's been prepped.

I'm due in theatre.

Look, what if I have a quick word with her?

See if I can't smooth out this misunderstanding.

Be my guest.

Why can't it ever be simple?

Well, I can't see any obvious problems.

No, I think he's faking it. Wants to stay over.

Doesn't want to go home, avoid a domestic.

I was just about to discharge him.

Let's give him a stay of execution.

Get an X-ray on the upper arm and shoulder, see if there's a fracture.

OK, but I need to clear some of those beds first.

This is my patient.

Hm. She looks healthy enough to be discharged.

She's elderly. And I need Sacha to do last checks before she goes.

That isn't what we agreed to. The trolleys are backing up.

-We need to clear some beds again.

-Clear one of yours.

-None of mine are ready to go yet.

-Neither are mine.

I'm not going to be rushed.

Asthma bloke in bed seven's ready to rock. I thought we could put appendicitis woman in his place.

"Ready to rock"?

The patient in bed seven is ready to be discharged, Senior Nurse McKee.

Is that better?

Who peed in her cornflakes?

Er, Max.

On this ward, we are respectful to patients and staff at all times.

-OK?

-Of course. Whatever you say.

Sacha is Chrissie's partner.

-Really?

-Hm.

I can see I'm going to need a debrief on who's doing it with who around here.

Perhaps you could do it, over a drink?

I don't think so.

-Why not?

-I just don't.

So it's either that

or I'm afraid we'll have to find you another day when I am available.

No. That is not possible. I'm coming out of retirement.

This is an important time for me.

A so-called up-and-coming writer

has got a new play on at the Old Vic.

His people called my agent.

So, you see...

Sorry, see what?

Well, the lead - it's perfect for me,

so I have to be fully recovered before the time rehearsals start.

Illness is not an excuse in my profession.

Besides, you did promise.

Well, in that case, Ms Naylor is definitely your best choice.

She is an exceptional surgeon.

In some ways, superior to me in the field of congenital heart conditions.

She's a child.

I will not be fobbed off with the apprentice.

Well, yes, you see,

in my profession, you tend to have to be highly skilled to do what I do.

Real talent. You can't just stroll up to the director and smile.

I'm not having that skinny, rude girl anywhere near me.

Now, you promised me that you would do this operation today.

If that doesn't happen,

I shall hold you personally responsible

for ruining my return to the stage. Understood?

The EEG doesn't lie - it is all pointing to epilepsy.

It's probably caused by the damage already present,

but we'll refer you to Neurology.

They've got all the gizmos to assess you properly up there, OK?

We know it's a lot to take in, but they can find out what's going on. It doesn't have to be today.

We can reschedule the appointment so it works better for you.

OK.

I just need a contact number, so someone can come and pick you up.

No.

We don't know how regular these fits are going to be,

and if you have one on the way back, that could be really dangerous.

Surely there must be someone I can contact for you.

Memory.

No...numbers.

All right. It's not a problem. I can just look on the system.

There might be some next of kin details from your car accident.

Sorry I offended you.

When I asked you out for a drink.

You didn't.

I just don't. With colleagues.

Been there and done that.

"That"? What have you done, exactly?

Michael...?

No need to name names.

No... Michael Spence has seen Pamela.

She was admitted to ED three weeks ago.

This isn't the first time she's collapsed.

She's already had a referral to Neurology.

So why hasn't she gone?

If he doesn't want it, then we send him back.

But he does! He's just upset... about his daughter.

The deal is he complies fully. If not, it's goodbye.

Surely, that's like failing in our duty?

It's not your job to hold his hand and coax him into theatre, Malick.

It's not our job to give up that easily, either.

-There's always the mental health route.

-Get him psych assessed?

If he's deemed unfit, you can get him sectioned - override consent.

But he's not mentally ill.

He's been hunger-striking, hasn't he?

A sustained lack of nutrition can affect decision-making,

lead to depression. How do you know he isn't affected?

It'll be hours of form filling.

A waste of time and resources, and will he thank you for it?

He says it's not what he wants.

Your patient, your call.

Mr Malick!

OK, you need some pain relief.

Ten mls of morphine and a cannula tray.

Just send me back.

I'm putting the cannula back in, Stuart, OK?

You can argue with me later.

No struggling.

Mementos from your skinhead days?

What makes you think I was a skinhead?

Call it a hunch.

I was young, did some stupid things.

But never a skinhead.

The scars are from defending myself.

In prison?

No.

From my wife.

Busy.

With what?

Learning.

-Law exams?

-Hm-mm.

Even so, Pamela, it's really important you get properly assessed.

If you have epilepsy, you'll need treatment and someone to take care of you.

And I don't believe you don't know any numbers.

Sister.

Denise.

I can't...

You...talk.

OK.

Hurry up, Barry, I need that bed.

It still hurts.

Barry, we have X-rayed your entire arm and your shoulder.

No fractures, no ligature damage, nothing.

You're going to need to face the music, yeah?

Chrissie, Barry Davidson in bed one is ready to go,

and Pamela in bed four is just about to be,

although she needs a chaperone to pick her up.

Max - Barry Davidson.

-What about him?

-I'm just about to discharge him - is that OK? Any final checks?

Look, I'm due in theatre now, but you know what you're doing.

It's your call.

Hi. It's Antoine Malick, GS Registrar, Holby City.

I'm looking for some old hospital records.

Mm-hmm.

A Mr Stuart Belling.

He's a patient of mine.

No-one's trying to take your independence away.

But she's your sister she has room for you.

You'll have your own space.

Have...house.

Don't...need.

When...barrister...

you...she...

all....

leave me...alone.

What if that doesn't happen? What if that can't happen?

All...I...have.

Deep down, I think you know that can't happen, Pamela.

Fuss...someone...else.

Your sister isn't here yet. You can't go anywhere.

Eddi, what's going on?

Pamela, please listen to me. OK, listen.

Pamela?

Pamela?

OK. Here you are. That's it.

Is it true? That your wife attacked you?

Many times.

Why didn't you tell anyone? About her mental history.

Cos I let her down,

lost my temper.

I can't forgive myself for that.

So you just...pleaded guilty?

I was guilty.

I let her down.

Does Kelly know this?

They won't let me see her to explain.

The in-laws.

Get that, will you?

Inside is a card. My solicitor.

I need to pass a message on.

Call him.

Tell him to tell her...

Tell Kelly...

..that I'm sorry.

That I always loved her mum.

And I'll always love her.

I'm happy...to die...

..if she just hears that.

I'm afraid they're right. You can't take your mobile into theatre with you.

But I'm expecting an important call. The one I told you about!

OK. Why don't I look after it for you?

-You can pretend to be my assistant if it rings.

-I wasn't going to pick it up...

Bless you, darling. You don't know what this means to me!

-But we shook hands.

-There's no way I'll have time to read it now.

What happened to comrades and all that?

Yes, exactly. Brothers in arms - not sisters doing it for themselves!

You didn't keep your part of the deal.

Well, it's not my fault the patient's unhinged.

Jac, if you'd had the slightest intention of helping me out, you would've held that tongue of yours.

She deserved it.

Yes, but I didn't! I asked you - just this once - for a favour.

And I asked you for a favour, but you were too busy showering Mother Courage with Kumquats.

And why is that, do you think? Why does she get a fruit basket from the whole department?

Cos she needs her five-a-day?

Because she will go out of her way for anyone.

Proud to be part of this team, mentor her juniors rather than terrify them.

Well, bully for her! Just because I don't go in for this team spirit stuff, and this group hugs,

-why should I be penalised for it?

-You seem to think you owe nothing to anyone.

That you can just opt out - fly solo when it suits.

An, "I'm all right, Jack", attitude. Well, it's not all right, Jac.

And if you think I would prioritise a favour to Mo over you,

quite frankly, you're not wrong.

You OK?

God, you're not OK, are you?

Talk to me.

I'm fine. Just leave it.

Here's his mobile number.

Mr Fielding - psyche consultant.

I told him you might get in touch.

You are going to get in touch, aren't you?

It's not as simple as that...

It's all right.

It's OK, Pamela. You're safe.

You had a seizure.

You must go for that assessment. I am serious now.

You cannot ignore this. It is not going to go away.

I...

always...

..like...

..child.

Patient.

Life...

..over.

No, it's not, Pamela.

OK, life is different.

It's not the one you expected, it has limitations

but it's not over...

You have a family that love you.

They want to help you out, they want to take care of you.

Don't be too proud to accept that.

Have you seen Max?

No.

Barry Davidson, he collapsed. Coughing fit. Couldn't breathe properly.

Abdomen's tender and rigid. Right, theatre now, please. Thank you.

She demands the utmost loyalty but doesn't show any herself.

I'm getting tired of it.

Cardioplegic suture, please.

Hang on.

Look at that stump. Never seen one so small.

OK, hold the cold solution.

What're you thinking?

This is rare. Very rare.

And there's a certain someone who's dealt with this more recently than I have.

Back-up? From me?

But that would be like doing you a favour, being nice.

Look, I admit it's not all entirely your fault.

Annabelle Casey isn't an easy woman.

Does that mean you're going to read and approve my proposal today?

OK. OK.

'Are you coming or not?'

I'll be there in two ticks, Comrade.

Thank you.

Airway's clear.

I can't find Max anywhere.

He'd been complaining of shoulder pain. That's it.

-Nothing about his chest, Sacha. Nothing.

-Did you scan him?

X-rayed. Abdominal, arm and shoulder.

OK, I'm in.

It's referred pain, Eddi. Down the intercostal nerves.

Hernia in the diaphragm. He needed a CT.

He should never have been discharged.

Right, let's do a FAST scan in theatre. OK?

SIREN WAILS

Keep the change.

-Thanks for coming back. I know this isn't easy.

-Just tell me why I'm here.

He's refusing treatment.

But I'll explain more on the way up, all right?

-No. Can we go?

-No, no, please, Kelly, wait! Please, stop! Kelly!

Woah, woah. Stop, please!

What are you doing, pal?

Kelly. You don't have to do anything you don't want to do, I promise.

You don't even have to even speak to him.

He just needs to see you're here, so we can get him to theatre.

Then you can go.

But I need you to come in with me.

Because if you don't...

I think...

..this time, he really is going to die.

The epicardium sheet is too weak, in my opinion.

-Yes, mine, too.

-Right. So, a graft it is?

-That's the way that I'd go.

-Good. Right,

thank you, Ms Naylor. I'll let you get on with your day now.

I could start harvesting the mammary artery, if you like?

I've agreed to read your proposal. There's no reason for you to stay.

But you're up against it, aren't you? It'll be quicker if I help.

I wouldn't want to force you into helping anyone.

Elliot...

OK, I get it. You're right.

I do feel...a little...

..well, you know...

..like I should stay. If you'll have me, I want to help.

Was that an apology?

It's the closest to one you're going to get.

OK, thank you.

Nurse, could you pass the diathermy and clamps to Ms Naylor, please?

Anyway, besides, that'll provide you with a bit more time, Elliot.

I know how slowly you read.

RING TONE: "There's No Business Like Show Business"

Hello. Annabelle Casey's...office.

Once I get his consent, that's it. As long as he thinks you're here waiting for him to come out, right?

-Yeah.

-Cheers.

-Oh, my God, is he dead?

-No. His ulcer's burst.

You're going to help him, yeah? Doesn't matter he said no, does it?

Does it?

OK, theatre one right now. Can I get his handcuffs off?

How far do you think he's going to get? Come on, people!

Hurry up. Can we page the on-call anaesthetist?

Come on, guys, move it!

I'm going to try and save him, Kelly. I promise.

Wait for me in the staff room. I'll come and find you after.

Where have you been?

I went for some fresh air. Haven't found the short cut back through the woods yet.

-You've been gone more than 40 minutes.

-Really? Sorry.

It's like a maze. I got totally lost. Is there a problem?

Sorry, sorry. Got way-laid.

Diaphragmatic hernia.

-I'm just feeding the intestine back through.

-What can I do?

Well, you can prepare the gortex patch for me.

Then you can tell me why this went undiagnosed.

-You think this is my fault?

-I lay the blame squarely with you, yes.

Hang on. This was Eddi's call, this was nothing to do with me.

You sure? Cos I've never known her make a mistake like that before.

Look, Eddi's a very capable nurse, but she's been so keen to get these beds cleared.

I suggested she wait till I came out of theatre. She didn't.

She took the decision to discharge on her own.

OK.

Looks retracted. Suction in here, please.

What are you doing?

I've got a patient about to be anaesthetised and shipped in here.

Couldn't be helped. Sorry.

This was too big to be messing about looking for a spare theatre, OK?

-It's perforated, I take it?

-Yeah.

Well, congratulations on getting him to see sense.

No need for a psyche consult, then?

No.

What are your thoughts? How are you going to proceed?

-I was going to patch.

-No. The perforation's way too big for a patch.

OK... That only leaves a partial gastrectomy?

-Now you're thinking.

-But he won't be able to eat solids for months.

-He wasn't anyway, was he? Mask.

-Wait. What're you doing?

You're going to convert to open, aren't you? Since you've gone to the trouble

to get him to consent, I'm not going to let you balls it up now.

Off you go.

Scalpel please, Nurse.

And despite not being quite what we expected to find,

with the expert help of the...

skinny rude girl...

we managed to pull you through.

Well, I suppose I owe you a thank you.

My pleasure.

Oh!

Is there any news from my agent?

I don't think so.

Have you got her ladyship's phone?

I took a message on it. But I don't know how to word it.

-Why don't you just tell her?

-Because she might shoot the messenger.

-Come on, then, tell me and I'll do it.

-Really?

Yes, really. So out with it, quick, before my niceness wears off.

-Now. Eddi, you know we all adore you, don't you?

-But...

You've got to take your foot off the gas.

You should've waited to discharge that patient.

-Difficult call. It could've happened to anyone.

-It could've happened to anyone. But Eddi,

you made it your responsibility.

MESSAGE ALERT

It's all right to ask for help. OK?

Chrissie. Where's Pamela?

Her sister came to get her.

She must've forgotten that.

Maybe.

No need to thank me. Mind you, if you make a habit of nicking my theatre slots, Mr Malick...

-Get off me! >

-I've got this.

You. What did you do?

Stuart, the ulcer burst. It would've killed you.

I told you, though. I didn't want it.

We've got your signed consent, Mr Belling.

-You told me we'd got it.

-It was an emergency.

We saved his life.

I've got rights, you know.

Look, he doesn't need the cuffs, all right?

Malick, let the man do his job. Come on.

I'll sue you all for this.

This feels all too familiar.

He doesn't want to die.

You can't remove half a man's stomach without his say-so. It's tantamount to assault.

You didn't get a psych assessment? I gave you the number. What were you thinking?

All right, look, look. I'll explain. It's all right.

It's all been about his daughter. The refusal of treatment, everything.

-So I contacted her.

-You what?

It was part of the process to get consent.

Once he knows she's here, he'll feel differently. I know he will.

-You should've dealt with this case.

-Malick, you told me you could handle this.

-I have handled it.

-Yeah. Badly.

Look, stop. Please. I'll speak to him, smooth this over, all right?

Yeah, because you've been a success at influencing him so far(!)

Give me ten minutes with him. Ten. That's all I ask.

If I can't change his mind, then I'll write the resignation letter myself.

You can throw the book at me.

It's just a glorified walk-on. Not quite the comeback I was expecting.

Well, at least you're back.

Serves me right. My reputation still precedes me.

Can't outgrow that, it seems.

Thank you for telling me. That was a very brave thing to do.

I've delivered worse news to people.

I got you wrong. You're rude,

but you're up-front, no frills, honest. I like that.

Yes, but apparently, I should show that I have a soft side.

Play nicely with the other children.

A bit of advice from one sharp tongue to another.

Don't bite the hand that feeds you.

Sometimes, they're your only friends.

-I can't believe you did that. For me.

-Just taking one for the team, Tara.

Maybe you can write that in your book instead of all that flak.

Flak? I'm writing notes on, like,

how you don't let anyone give you grief.

I want to learn how you do it.

You know, take command like that. I think it's brilliant.

Well. Good. Yes. As you were.

You bastard. I trusted you.

-Stuart, I can explain...

-Nothing to explain. You lied.

-Actually, I did what you asked. About Kelly.

-What do you mean?

Sorry, I took it.

Probably shouldn't have, but... I'm glad I did.

You came back.

You nearly died.

Didn't want you to.

Here will be fine.

Hey. How'd it go with Sacha?

What exactly did you say to him?

Only that it was a tricky call. A mistake anyone could've made.

I defended you totally. But I think Chrissie's been bending his ear.

Hey, you win some, you lose some. Don't take it all so seriously.

-Like you, you mean?

-It's the only way to survive.

So, I still can't tempt you to that drink, then?

It's the least I can do after the day you've had.

Purely professional, of course.

Maybe.

Come on, Nurse McKee. Break a rule.

OK.

Not sure what I think about that.

Well, some girls never learn. I never did.

Thank God!

-This is great.

-So we're on, then?

Of course. I'm sure Hanssen will go for it.

A really persuasive piece of work. Why can't you be this charming all the time?

Oh, come on, you wouldn't have me any other way. Admit it.

-We certainly couldn't function without you.

-Thank you.

Well, somebody's cheered up.

So where are we going?

-For what?

-There are drinks with our names on them.

How about we just skip the drinks?

Skin of your teeth, Malick.

Come on, he dropped the complaint, got the op. What more do you want?

Your job was on the line.

-Again. Do you listen to nothing we say?

-Hang on a minute!

If I'd listened to you, he'd have been sent back to rot.

And if I'd taken your advice, he probably would have died waiting for the red tape to clear.

So yeah, I get involved. But I still get the right result.

Was that a tantrum?

Actually, I think you'll find that's us told.

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