You and Me Holby City

It's a boy!

A boy, really?

BABY CRIES

Hello, little baby.

Mo, I cannot tell you... Thank you. Thank you so much.

Let's forget it. It was worth it.

You told me to run my ward my way so I took the executive decision

-to close to non-electives.

-You closed the ward to non-electives?

-Yes.

-Perhaps we should trial it for a longer period.

Great(!) Another back-of-the- envelope decision by management.

SIREN WAILS, SHE PANTS

Almost there, darling.

Spray.

Straight up to Darwin.

Sorry for calling you. I didn't know what else to do.

No. You were right to call.

SHE PANTS

You OK?

Yeah. School sports day, 1987 - last time I ran.

At least this time it didn't end in vomiting.

Yet.

'Doors closing.'

'Doors opening. Lift going up.'

What are they doing - bussing people in from out of town?

-Michael and Sacha are in theatre all day.

-Right, so who have we got?

Perfect.

I'm about to declare today

a "no loud noises or sudden movements" day.

METALLIC CLANG

-Will somebody please tell the patients?

-Lou, Bay 5, please.

Thank you.

Well, that's my last night out - until your farewell party.

-What?

-Oh, I'm sorry - was that a secret?

-Are you leaving?

-It's nothing official.

-There's a job coming up in Keller.

-Right. I didn't hear about that.

Well, it's not been advertised yet. Serena Campbell mentioned it.

Ah, keeping that to herself, is she?

Not really - she just isn't telling you.

What are you doing here?

Nice to see you too, buddy.

I thought today was a duvet and a Dirty Harry box set day?

Clint'll have to wait.

Got a patient booked in for a CABG next month.

He's taken a turn for the worse

so probably going to have to do it today.

-Do occupational health know you're here?

-Of course.

-And Elliot?

-Yes, Mother - I called him too.

I'm not trying to nag.

But you're succeeding anyway.

Two words for you.

Welcome back?

Puerperal mastitis.

I told you that in drunken confidence.

Inflammation of the breast, fever, aches and pains, general fatigue.

I'm familiar with the symptoms.

They're not exactly conducive to surgery.

But I'm feeling much better now - thanks for asking.

-Mild fever.

-100m dash across the car park and you'd be clammy too.

This is fun, but I've got a CABG to prep for.

So what happened, exactly?

She was building a wall. It collapsed on her.

-Does your friend have a name?

-She's not my friend. She's a neighbour.

All right. What's your not-friend's name?

Emily Horton.

Emily? Emily, can you hear me?

Any fool could've told her

you don't put a block wall on soft, sloping ground.

When she wakes up, I'm sure you can tell her that

and she'll really appreciate it.

CNS observations are all clear...

-Eddi, can I have 10mg of morphine, please?

-Sorry, I can't. Busy.

Fine. I'll do it myself.

LABORIOUS BREATHING Severe chest pains?

He also had tightness of the neck and left arm.

I guess I don't need to ask about shortness of breath.

-I take it you brought the magical file?

-Oh, yeah.

Daily BP readings, types and dosages of medication...

And in the last column, I've started to take a note of anything unusual,

like if Lorcy's especially tired or out of breath.

She's a keeper.

HE LAUGHS WEAKLY

OK. Let's run some bloods, get an urgent ECG.

He'll need a GTN infusion and 5mg of diamorphine, slow IV.

St Macario.

This is for you.

St Macario Special Reserve.

There's a waiting list for that.

-Don't worry. It'll go to a good home.

-It's perfect with figs.

-HE GASPS

You have a suspected heart attack and you still find time

to bring me a gift? That's why you're my favourite patient.

Now you're not pregnant any more, you can eat all the cheese you want.

-Yeah. Cheese, caffeine, alcohol - all back on the menu.

-So?

Hm?

Boy or girl?

Boy.

Gorgeous. Boys are lovely.

Does he keep you awake at night?

I'll let you get set up.

I'll be back to check on you in a little while.

Excuse me, do I have to...?

Excuse me, do I have to...?

What are you doing here?

I found you. I brought you into hospital.

-Hope you're not expecting any thanks.

-SHE CRIES OUT

I've got something for the pain relief.

Soon, please! I have the pain threshold of a man.

I hear you were in a building accident.

SHE SIGHS

Is that what he told you?

There's no fracture. That's a good start.

OK, let's have a look at the leg.

You might not want to watch this bit.

Skin entirely separated from the body tissue underneath,

significant damage to the soft tissue, nerves and vasculature,

lower limb pulses are weak and the foot is looking pallid.

I'd like to run more tests before we decide on a definite plan of action.

OK.

Let's keep the fluids up, keep a close eye on her BP.

OK? Stay positive.

Stay positive?

In your nursing experience, can that actually stave off gangrene?

Is there anyone you want me to call for you?

My parents live in Portugal.

What about a friend that could stay with you?

I, er, probably should be getting off right now.

Please do.

I'll be right back.

Excuse me. Do you think maybe you could stay with Emily?

She doesn't want me here.

Today is going to be tough enough for her without having to be alone.

You think she's going to lose her leg?

I think a bit of moral support would really help.

OK.

'After your attack this morning,'

I recommend that your operation be brought forward to today,

and I'm hopeful it will relieve all your symptoms.

No more attacks or wheezing, or GTN sprays?

-Not if you look after yourself.

-A new life.

We can visit some of those suppliers who keep inviting you over.

The one in Croatia, on the little island?

Paski Sir.

Or Emilia-Romagna. I love Italy.

Why don't I leave you to plan your world cheese tour?

Or...

we could try to start a family.

There's nothing stopping us now.

Let's...wait and see how the operation goes first.

I've been clamped again, haven't I?

I've just done an assessment of Lorcan Gladwell...

He's got cold agglutinin.

We could still do it off-bypass.

A CABG on a beating heart - much trickier. Much riskier.

What options do we have?

Postpone for a couple of weeks? Get a low prime machine?

-No, makes no sense to postpone. I know it's a little trickier off-bypass...

-A little?

Has he had a stress echo?

It's booked for later this morning. But everything is screaming advanced coronary artery disease.

I say we schedule him for theatre -

if the echo says otherwise, we cancel.

Sounds like a plan.

Thunderbirds are go.

Is there something you want to say?

Mo shouldn't even be back at work yet -

and now she's performing tricky heart surgery.

Ms Effanga seems upbeat and enthusiastic.

Exactly. Upbeat and enthusiastic is her default setting

when something is wrong.

This procedure's well within her experience and capability.

Ordinarily, yes - but Mo gave birth two weeks ago,

and it was childbirth of the messy, screaming, no-pain-relief variety.

I have been to way too many gender equality workshops

to ever suggest that a colleague might not be up to the job

because she's just had a baby,

but I'll keep my eye on it. Thank you.

It's the best I can do.

A what?

Business manager for surgery.

Sounds like a made-up job title.

That a business management consultant

has been paid a lot of money to come up with.

This one is very real. The board have approved funding for the position

and the successful candidate starts today.

More managers, fewer doctors. Just what we need(!)

Haven't I seen that on an NHS poster somewhere?

You'll be pleased to learn that his initial remit is to identify

possible savings, thereby lightening

the consultants' administrative burden.

There's a concept I can get behind.

Anything that allows us more time in theatre is to be welcomed, I feel.

Let's just put the celebrations on hold

until we see what we've been given.

Yes, you can.

-Cold what disease?

-It means your red blood cells clot at low temperatures

-and could clog up the bypass machine.

-I can't have my operation?

With your permission, we can proceed today as scheduled, just off-bypass.

-It's called a beating heart operation.

-OK.

-It does carry a little extra risk.

-I thought that was too simple.

But not having the surgery also has risks.

If that's supposed to make me feel better, it's not working.

I'm just giving you your options.

Damned if I do, damned if I don't.

-That's not how I'd put it.

-How would you put it?

You're here now, Lorcan, prepped and ready.

Why take the chance of having another attack?

The sooner we do this, the sooner you can start your new life.

-Let's do it.

-So what will Audrey do now, no more medical records to keep?

Still have the rest of my life to run.

We could all do with an Audrey in our lives.

You can have my one. That's mean.

Audrey's been so good - looking after me the last few years.

She's just a bit overpowering.

Well, after this operation, you'll be more independent -

you won't need the same degree of care.

Right, one of the nurses will take you down for your stress echo.

It's just a headache. Coffee.

-What are you still doing here?

-He just wants to make sure you're not going through this on your own.

-Does he now?

-It's going to be a long day. It'd be good to have someone here with you.

The only reason I'm here is because he had his solicitor make me build a wall between our land.

-I didn't want this to happen.

-The local pitchfork brigade don't like a girl running a farm.

I'm not part of their little boys' club.

Emily, this is not going to help.

But I'm not going to let them beat me.

I'm not going to let them run me off my farm. I'm going to get better, and I'm going to keep the farm.

Aah!

Emily... Just try and relax.

If you really want me to leave, I will.

Do what you want.

How's it looking for Emily Horton?

A lot like amputation.

-There's nothing else we can do?

-Attempt a reconstruction now

and she'll still be looking at a functionally deficient limb

which will require amputation further down the line.

-What about revascularisation?

-You'd need a seriously skilled consultant.

-There's only a tiny chance of success.

-There is a chance?

When I say tiny, I mean hardly any. Almost none at all.

-What about Keller?

-Chrissie, you know the score...

Am I the only one who sees this as wrong?

Serena Campbell waltzes in here and implements a whole new system,

which I'm sure makes her life easier and ours impossible.

Well, we just have to try and make this policy work.

It's not working for Emily.

'Doors opening. Lift going up.'

-Which one?

-Four, please.

Sorcia, what are you doing here?

William was re-admitted last week.

-Who?

-That's the name we decided to call the baby in the end.

-Why was he re-admitted?

-Necrotising enterocolitis.

But they have him on GI rest?

Yeah. He's fine now. We're taking him home this afternoon.

That's good.

I thought you'd be at home.

There was an emergency, a patient of mine called me at home.

Still a sucker for a sob story.

Must be.

Do you want to come and see him? He's just...?

We agreed. Remember?

Yeah.

See, what you're doing wrong is you're pouring

the milk from the carton into the jug, then heating it up

and pouring it into the takeaway cups then pouring out

the milk that's left over at the end of the jug you don't use.

Which let's say is about a twentieth of a pint of milk -

wasted every time you make a coffee.

And how many coffees do you make a day?

From what I've seen, about 300-400? We'll call it 350 a day...

By 2p, which is about the cost of a twentieth of a pint of milk,

six days a week, fifty weeks a year. And you have... £2,100.

-Mr Binns.

-You must be Henrik Hansen.

I was expecting you to be shorter. From your CV.

I find highly successful men are usually below average height.

Lord Sugar is 5' 6".

Bernie Ecclestone, 5' 2".

George Binns, is it business manager for surgery?

-Present and correct.

-Please, follow me.

Nicolas Sarcozy, also 5' 6".

Fever - tick, aches and pains - tick, and now, fatigue - tick.

Congratulations. You've almost got the full set of symptoms.

-I just met Sorcia in the lift.

-What's she doing here?

The baby developed NEC. They brought him back in last week.

But he's OK now, right?

Yeah, but they called him William.

-After Prince William?

-That's not even funny.

Considering this is Sorcia, I think he got off lightly.

Not once did I imagine his name would be William.

Feels odd, that's all.

This is why I was against this.

Really? You should have said.

Mo, you can't just have someone else's baby

and then carry on with your life as if nothing had happened.

It just doesn't work like that.

They're not yuppie cows. They're Dexters, they're bred to be small.

Suppose they're organic too.

How do you do that, make organic sound like a bad word?

Practice.

I'm just going to do this again.

Anyway, don't feel you have to stay around.

The estate agent told me you wanted to buy the farm, but I outbid you.

That's why you've been so mean to me.

I haven't been mean to you.

SHE SCREAMS

B/P 80/46. Pulse 140.

-We need a trauma team.

-We're not amputating now?

I think that's my decision.

-Is this my office?

-No. It's mine.

Very swish. I approve.

Oh, good(!)

I thought that you could base yourself here

until we find you somewhere more permanent.

Could be a bit of a squeeze.

The two of us, bumping elbows.

I'll be in theatre all day.

Excellent... I presume it's 9 for an outside line?

-I thought you might make a start on staff costs and efficiencies.

-When do I get the big tour?

Sorry, the big tour?

Of the hospital. See, I need to know an organisation, from top to bottom.

Every cupboard and storeroom, every porter and nurse...

Especially every nurse.

HE LAUGHS

That's how I work.

Well, today you will be working here exclusively in my office.

On staff costs and efficiencies.

We could just stem the bleed.

And leave her with a high risk of renal failure?

At least we've got a chance of saving the leg.

She needs to see a vascular consultant.

I can handle this.

Look, the big picture is - do this now, and she's out of danger.

And we're not referring, remember?

It's an emergency. I think they'll understand.

If anything goes wrong, you're on the firing line.

Get a second opinion and then you're covered.

OK. Let's see if we can stop this bleed.

Clips, please.

MACHINE BEEPS

HIGH-PITCHED BEEPING

B/P's dropping.

Great(!) Call Sister Williams.

-Still dropping.

-Got it.

Tie.

Scissors.

Pack the wound, please. A word, please, Sister Williams.

I don't know what you think you achieved in there.

Buy the patient an hour, maybe two. And get her hopes up.

Which will make it even harder for her when we do amputate.

-But it gives us some time.

-For what? Nothing has changed.

I got you this. His name's Maurice.

But you can change that if you like. Look what he does.

TOY PLAYS "TWINKLE TWINKLE, LITTLE STAR"

I love Twinkle Twinkle, Little Star, don't you? Everyone does.

You can stop that. Can you stop it now, please?

Once you've pulled the string, it has to play itself out.

But it's not long.

If you don't like monkeys, I can take it back.

No, it's lovely. Thanks.

I just thought it'd be nice to get something for your baby...

I've done something wrong.

Look, he's not my baby...

I was just his surrogate mother.

After he was born, his genetic parents took him. He's THEIR child.

You must have been off the day I wore my "womb for rent" T-shirt.

-Yeah.

-That was a joke. Bad joke.

-If you'd rather keep the monkey?

-No.

I'll make sure he gets it.

Are you stalking me?

I wanted to wait and make sure you were OK.

Well, I've still got my leg.

I'd wiggle my toes if it didn't hurt too much.

So is that the worst of it over - or just a stay of execution?

All we did was stem the bleed.

A stay of execution then.

Nothing's been decided yet.

But you should prepare yourself for the possibility of amputation.

That bad?

We'll be getting you into theatre as soon as we can.

I can hear the "I told you so"s already.

I sell the farm and have to move back and live with my parents.

I certainly proved everybody wrong.

Like I said, nothing's decided yet. We need a specialist.

Seriously, you had your chance to make a break for freedom.

What are you still doing here?

I just thought I'd stay, that's all.

Oh, God, you feel guilty.

Well, don't.

I absolve you, it wasn't your fault. I'm a lousy wall builder.

Now go.

You can go. You're off the hook.

I'd rather stay, if it's all the same with you.

You are a stalker.

Says here that Serena Campbell has extensive vascular experience.

You're wasting your time.

If she wants to turn Emily away from Keller, she can do it in person.

I'm taking her up there.

You can't. She's Max's patient.

-He's not here.

-He only went out for a cigarette.

You can fill him in when he gets back.

They say the first six weeks are hardest, it gets easier after that.

You look a little tired. All those night feeds.

I was looking for Lorcan but his bed's empty.

He's gone for his stress echo.

I was supposed to go with him.

-It's routine.

-What if he needs me?

-He's got a nurse with him.

-But I know Lorcan, I know when something's really wrong.

-He's fine.

-You're saying he doesn't need me?

-No, I don't mean that at all,

it's just you don't need to be his full-time carer now.

Think of it as a new life.

We're going to Keller.

Isn't this an AAU patient?

I know but her injuries would benefit from the specialist care on Keller.

She has de-gloving of the right leg.

I really don't think here is the place for this conversation.

Back down to AAU, please.

Perhaps you and I can finish this in private.

Excuse me, I don't know what's going on here,

but if there's something you can do for Emily, then you should be doing it.

Please don't worry, she'll get all the care she needs in AAU. Sister Williams.

Thank you. For standing up for me.

Ambushing me in a lift isn't going to win you any favours.

I need you to look at this patient.

-There's no point.

-I've got her notes here. Emily has suffered severe de-gloving and crushing...

The pilot non-referral policy means I can't take patients from AAU.

Vascularisation is her only chance of saving this leg.

You have vast experience in this procedure.

I also have a full elective list.

This is an emergency.

The chances of success are very slight.

What electives do you have that are more important than this? Cyst drainage, rectal prolapses?

You'd really rather tinker about with a patient's ailments

than save this woman's leg? That's why you became a doctor?

If a hospital is to run smoothly, there has to be proper policy.

Every time I hear you speak, all I hear is "policy" and never "patient".

That's rather good. I might steal that for a paper I'm writing.

I take it I failed the stress test?

I think we made the right decision opting for surgery today.

I know it's not strictly the 29th of February, but it is a leap year.

And Ms Effanga has made me realise that we have a new life now.

So it's time to look to the future.

A future I hope as Mrs Lorcan Gladwell, if you'll marry me.

Yes, of course I will.

Can I have a word?

-Lorcan Gladwell's APTT has not increased.

-It should have.

You did remember to give him his heparin?

If an F1 had done that, you'd wear your foot out on their ass.

-I'll fix it.

-Fix what?

Where is everybody? Is there a meeting that I'm not aware of?

We're blue-sky thinking here, so there's no wrong answers.

And no recriminations.

You can say what you like - it's in the vault.

Nurse Lane - if there was one thing you could change about working here,

what would it be?

I like it as it is.

Yeah, but if there was one thing you think would make it even better.

I like it all.

Just one thing. Anything.

Well... I'd stop all this be-more-efficient business

and I'd make the food nicer, healthier for the patients. Are you going to write it on the board?

Mr Binns - my office, please.

-Mr H, this is a management-free focus group.

-Now.

What's he going to be when he grows up?

I wish I could say it was a mistake anyone could make.

I forgot one thing. I'll fix it.

It is admirable, returning to work early for this patient of yours.

But only if you provide him with the care that he requires.

If you feel this operation has come too soon, you must say.

I'm fine.

I'll give him his heparin now and run another APTT.

Please make sure you do.

Before you're brought into theatre, Mr Schneider will talk you

through the surgery. What's going to happen, what to expect.

Afterwards someone will discuss the physical therapy regime

with you and the possible prosthetics.

You've got a visitor.

-I heard you wanted to see me.

-Yes.

I've managed to rejig my schedule of cysts and rectal prolapses.

-And I would quite like to examine your de-gloving patient.

-Of course.

-Lead the way.

You are officially my first pre-op wedding proposal.

Can't say I saw it coming either.

They're the most romantic - the ones that come out of the blue.

Could have done without the audience.

Easier to say no?

Careful, I might think you don't want to get married.

It's for Audrey. It's what she wants.

And she deserves it - after everything she's done for me.

But what do you want?

Right now... just to get through this operation.

I think we can arrange that.

Excuse me.

I thought we'd agreed on this.

Now, I specifically asked you to stay here in my office

with the staff costs data.

I know, but I wanted to get a feel for...

I believe we've had this conversation.

There could be so much more to this job than just data and figures.

If you would just loosen the shackles and let me roam free.

Then you'll see what I can do.

-I'm afraid "roaming free" is not part of your remit.

-You want me at my most effective.

-Yes, I do. Here in my office. Reviewing staff cost.

-OK.

After everything you've done, we thought it would be nice

if you had some kind of memento of William...

So this is for you, if you want it.

Thanks.

And there's one other thing.

I've been offered a job...

but it does mean we'll be moving.

Moving where?

Montreal. Once we've sorted out the legal stuff.

It's a great place to bring up William.

Excellent health care and education.

Congratulations.

Here, Montreal, makes no difference. I wasn't going to see him anyway.

He's only upstairs. You could still say goodbye.

No. I can't.

You don't have to decide now.

Think about it...

He's not being discharged until three.

Patient notes, please.

Thank you.

I can see why Mr Schneider chose amputation.

But I think we can do better than that.

The ABGs don't look too acidotic, vascular supply looks salvageable.

And if we can repair the artery and pack the area,

I think we might be able to save the leg.

But we need to get you into theatre straightaway.

So let's get her prepped, please.

-Shall I take her up to Keller?

-No. I'll do it here in AAU.

Can someone get me some scrubs, please?

Sister Williams, why don't you scrub in on this?

You're invested in the case, the patient seems to like you.

And I'm curious to see how you perform in theatre.

Has Ms Effanga got you to fill out a consent form yet?

-Not yet.

-OK.

I'll go and get you a form and I'll be right back.

Just spoke to Sharon, she's so excited about being a bridesmaid.

Soon as you're back on your feet, we'll start looking at venues.

I fancy somewhere classy like a stately house...

-Audrey...

-..Or a foreign wedding.

So romantic to get married on a beach at sunset.

Or is it sunrise? One of those anyway.

Audrey, please...

Soon as we're married, we can start trying for a baby.

I know we don't have time on our side,

but you hear of loads of women who have babies in their 40s.

I can't do this.

-Of course you can, don't be silly.

-No.

-I can't get married. Or have a baby with you.

-Why not?

Because we're not right together. You overpower me and I feel smothered.

I can't breathe.

That's your heart disease.

No. It's you.

Look, I know you've been really good to me.

And I appreciate that.

I put a chairlift in my house for you.

-I'm sorry.

-"I'm sorry"?

After five years, that's all you have to say - "I'm sorry"?

My spray.

-Now you want me to help you again?

-Please, Audrey.

Are you sure it wouldn't be too smothering for you?

-HIGH-PITCHED BEEPING

-I didn't mean that.

I know you've been good to me.

Look, I will marry you. The spray.

HE GROANS

Excuse me, please. Thank you. ST depression.

Is he going to be OK?

We need to get him into theatre right away. Call Ms Effanga.

PAGER BEEPS

BACH'S "AIR ON THE G STRING" RINGTONE

SHE CHUCKLES

-What?

-Bach?

Because I'm a farmer, I can't like Bach?

Doesn't really go with the flaming pitchforks.

I also like Morris dancing and collect porcelain figurines.

I do hope you're joking.

Right, they'll be taking you into theatre shortly

so let's get you ready.

If this goes well, how long before I'm walking?

You do realise, this is one in a series of ops you'll need.

And also extensive physical therapy.

So with all that, how long?

Six to nine months.

Considering your injuries, that's good. Believe me.

If I'm out for six months, I'll lose the farm.

Right now your leg is the priority.

Let's get her straight into theatre.

Sorry I'm late.

I'm sure whatever detained you was very important.

Do we know why he crashed?

Not yet.

I know I missed the heparin, but everything else was in order.

If you'd like, I can take the lead on this.

No. I'll do it. Scalpel, please.

Octopus stabiliser, please.

Two bulldog clips.

15 blade, please.

Would you like a towel?

Thanks.

Relax. You're doing fine.

Remember a theatre is like a beehive -

takes its mood from the queen.

Thank you, Nurse Maconie.

If I'd wanted fortune-cookie advice I'd have asked for it.

Next time, wipe your own face.

Saline, please.

There's months of work here. But at least she'll still have a pair of legs at the end of it.

Forceps.

I hope today's drama won't be a regular occurrence.

I can't promise that.

I see. Retractor.

No. Why don't you have a go, Sister Williams?

That's it, well done. Loops, please.

Keep the suction on.

Chancel, please.

-Ms Effanga, is everything all right?

-Yes.

7-O Prolene.

-HIGH-PITCHED BEEPING

-B/P's dropping.

-I can see that.

-Just stay calm.

-Still dropping.

-We can put him on bypass.

We can't do that - it's too risky. He needs to stay off pump.

Adrenaline, please.

Mo, you're leaking.

-I'm sorry.

-Still dropping.

You can't touch that, you're scrubbed in.

Step away from the table, please.

Ms Effanga!

Tip his head downwards, please.

And another five milligrams of adrenaline.

OK.

Cardiac output stabilised. Forceps, please.

I wouldn't ask if it wasn't important.

It was Jack Townsend's old place,

the one that was bought by the girl from London.

Appreciate it.

You were right, this is more exciting than a prolapsed rectum.

Vascular soft clamps, please.

There's a nursing position coming up on Keller.

Yes. Nurse McKee mentioned it.

Oh, I think it would be perfect for you.

5-0 Prolene, please.

It would be a promotion and, if you got it,

we'd have to work quite closely together,

which I know may not sound like much of a selling point to you now,

but I think it could be fun.

Anyway...

..have a think.

-Have you seen Mr...?

-Over there.

He's changed the weekend work rotas,

I think he might need saving from the lynch mob.

-You can't do this!

-I'm...

-Some of us have got kids.

-I understand that you need the work...

-It's not right.

-That's true, but there's no point...

Henrik.

Mr Hanssen.

Mr Hanssen, I was just explaining.

Could I have a word with you in private, please?

Why have you changed the weekend rota without approval?

I was going through the staff cost and efficiency data, like you asked,

and I noticed that we have way too many staff working weekends.

Based on current patient figures, I reckon at least 20% too many.

We could increase patient numbers, to match staff numbers,

but that's not really feasible in the short term.

So, instead, I did up a new weekend schedule, trimming all the fat.

This isn't working.

Do you know how much money I've just saved you?

No doubt a considerable amount.

You were right, you see,

there is more to your job than mere figures and data.

Taking instruction, adapting to an organisational structure,

understanding your remit and working within it,

none of which you're very good at.

So I shall speak to HR, giving you time

to remove your belongings from my office.

They're not tears, they're liquid hormones.

Well, then...

here.

Wipe your liquid hormones.

Lorcan Gladwell is going to be fine.

Well, that's something.

Sorry, if I was...

A narky cow in theatre?

Was going to say snippy, but narky cow works too.

THEY CHUCKLE

You know, I had it all worked out.

I was just going to carry someone else's baby, give birth

and then give it to them.

And it wouldn't bother me because I didn't want children anyway and

I'd feel really good about myself for helping a childless couple.

Feels like you're building to a but.

Yeah.

I miss having him inside me.

I just miss him, that's all.

Course, this is probably just my hormones screaming for attention.

You know it's not.

If you want to say I told you so, go ahead.

You were right.

I think I'll save my gloating for later.

Why don't you go and see him?

I can't.

The deal was that I wouldn't see him again once I'd handed him over.

It was what I wanted.

Is it what you still want?

I don't know.

Think you do.

Good work, everyone.

I know you don't like me.

It's written all over your face, tone of voice, body language.

That obvious, is it?

Just a bit. But, you know, I'm not all that bad.

I think we could get on well. I say this because I don't want you

not applying for the nursing position cos you think I'm a thundering bitch.

We're already short-staffed on AAU.

Your current position would be filled,

wouldn't make any difference to AAU numbers.

-All right, it's not just that.

-Thought not.

I don't agree with some of the changes you've made,

like the non-referral policy.

I think it would be wrong for me to apply for the job.

Well, I respect that.

But, you know, we both want the same thing here - best patient welfare.

See how I managed to slip the patient word in there?

You'll agree Emily Horton got the best possible care today?

Only because I had to fight for it.

Right.

Well, if you could just give this non-referral policy a go,

then, when the trial period's over, I will listen to your feedback

and promise to take it into consideration.

Sound fair?

Yes.

Good.

Oh, and, erm...

do think about the job.

Hi.

BABY GURGLES

Mo?

-Still here.

-I wanted to tidy up.

I know I got it wrong today, I was way too, er...

me.

Er, but I promise you, if you give me another chance, I'll be less me.

Do exactly as I'm told.

No solo runs,

nothing without your approval.

This is how you worked the weekend staff rates and rotas, is it?

Yeah.

Be here at 8am tomorrow, please,

so that we can find you an office of your own.

8am.

HE EXHALES

I thought you'd gone.

You know how long it takes to get discharged from a hospital.

Oh, erm.

I bought this for William.

It plays Twinkle, Twinkle Little Star.

I love Twinkle, Twinkle Little Star.

Everyone does.

Would you like to hold him?

Maybe.

He won't mind.

Ah.

Ah.

Why don't I give you two a few minutes alone?

Thanks.

Oh.

Hello.

Hello.

WILLIAM SNEEZES

Bless you.

You're beautiful.

How are you feeling?

Woozy.

You can relax.

Ms Campbell did an amazing job on your leg.

I see you've brought the mob.

Well, you've won. I won't be able to keep the farm now.

Just be quiet and listen up for once.

This is Simon Trimble, he owns the farm at the back of yours.

This is Jack, his is the land just over from Simon's.

And this is Dick, a cousin of mine. And, between the four of us,

we're going to do up a roster and take care of your farm for you

till you're back on your feet. You don't have to worry about anything,

we'll look after it all.

Thank you.

-And, if there's anything else you need?

-Well...

I'm going to be here on my own for a long time.

I can't talk for the rest of them,

but I'll certainly drop by and pay you a visit.

So, are you going to take it?

The new job.

Oh, I haven't decided yet.

Oh, come on, isn't that what today was all about?

You getting in with your new best mate Serena?

Do you know what the irony is?

Until two minutes ago, I was undecided.

Thank you, Eddi.

He was in pain and needed his spray.

I wouldn't give it to him.

That's why he crashed?

He said he didn't want to marry me.

Come on.

I was trying to teach him a lesson.

Couldn't you have just cut up his suits?

This doesn't have to be a bad thing.

I'm 42 years old

and I've probably just missed my last chance of having a child.

So it kind of feels like a bad thing right now.

You know what, you've still got time.

And there's more to life, like friends and work.

Surely, that's got to be better than pining after something...

that you can never have.

I, for one, am glad that you're the one that's staying.

-You know what's a great cure for disappointment?

-Hm.

-If you say time...

-Pints.

I find pints work for rejection, anger, failure and thirst.

And you look like you could use a cure-all right now.

My shout, after work?

Why not?

My two favourite words.

How did I do?

You laid still and didn't die, which is all we could ask for.

And my new symptom-free life?

It's too early to say for sure, but I'm quietly optimistic.

Wanted to make sure you're OK.

According to my doctor, I'm doing well.

That's good.

I'll be right back.

I'm sorry,

for everything.

But you'll meet someone,

someone who...

Don't say deserves you.

..will make you happy.

I'll pack up your stuff, drop it off at your place.

HE SIGHS

Mr Hope, thanks for stepping in.

You made the right call, insisting we take him to theatre.

If we'd waited much longer, he might not have made it.

It's fixed now.

I suggest antibiotics and taking it easy for a while.

-For Mr Gladwell?

-No, for you.

Mastitis isn't just going to go away by itself.

Jonny told you?

No, I'm a doctor.

Mo, go home.

Ms Campbell?

Sister Williams.

I just wanted to let you know I've changed my mind.

-Woman's prerogative.

-About applying for that job.

I've no doubt you'll be the perfect candidate.

And nice jacket, I think I've got one like that.

We'll have to synchronise our wardrobes,

make sure we don't wear them on the same day.

If you get the job.

Ready?

Hm.

If you want to give it a miss?

No. No, I don't think I can face going home on my own just yet.

OK.

Tonight...

the pints are on me.

I'll believe that when I see it.

Are you saying that cos I'm Scottish?

No, it's because you're tight.

And to think I was going to throw in some pork scratchings.

Forget the pork scratchings, get a sniff of that.

-What is that?

-It's cheese.

-It smells like something died.

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