0:00:40 > 0:00:42George Binns, is it? Business Manager for Surgery?
0:00:42 > 0:00:46Present and correct. I will sniff out every last saving possible.
0:00:46 > 0:00:48Well, it's over, your non-referral scheme.
0:00:48 > 0:00:51I have no more space and an op that's been waiting since this morning.
0:00:51 > 0:00:55If we did a regular CT, we'd know exactly where we are with it.
0:00:55 > 0:00:57I get to keep my job and you get to keep a decent F1.
0:00:57 > 0:00:59I just can't get a handle on you.
0:00:59 > 0:01:01Ollie, wait.
0:01:01 > 0:01:03If the tumour becomes active...
0:01:03 > 0:01:04Then I walk away.
0:01:04 > 0:01:05This is an emergency.
0:01:05 > 0:01:07I can't take any patients from AAU.
0:01:13 > 0:01:16VOICES CLAMOUR
0:01:20 > 0:01:22Michael, thank God.
0:01:22 > 0:01:25All right Levy, message received! What's the problem?
0:01:25 > 0:01:27- OK, we're running at full capacity. - Course we are.
0:01:27 > 0:01:30With a ruptured appendix in a side room.
0:01:30 > 0:01:33Louisa Sergeant. Non-specific abdo pain.
0:01:33 > 0:01:36Six patients pending surgery. Every bed full.
0:01:36 > 0:01:40In for observation. Possible head injury. This is John Price.
0:01:40 > 0:01:42Abscess. Waiting on a drain.
0:01:42 > 0:01:45- I've had to put a temporary hold on all referrals from the ED.- What?!
0:01:45 > 0:01:46I know. Right.
0:01:46 > 0:01:49Bed 8, possible cholecystitis waiting for ultrasound -
0:01:49 > 0:01:53all backed up. Bed 5 pancreatitis due in theatre ten minutes ago,
0:01:53 > 0:01:57- diverticulitis...- Levy, whoa! Whoa! Slow down.
0:01:57 > 0:02:01Sorry, I'm just... it's just really good to see you.
0:02:01 > 0:02:03- All right.- You know, I thought you'd be at that meeting.
0:02:03 > 0:02:06- What meeting?- The memo?
0:02:06 > 0:02:09From Hanssen?
0:02:09 > 0:02:13- Oh!- Michael? Michael?! What are you do...
0:02:13 > 0:02:15Michael Spence!
0:02:19 > 0:02:21You have got to be kidding me?
0:02:24 > 0:02:26Yeah, you're right. Come on.
0:02:26 > 0:02:28And where the hell is Eddi?
0:02:29 > 0:02:33Do you know how much grief I'm going to get for being this late?
0:02:33 > 0:02:35"Hey, McKee! What time d'you call this?"
0:02:35 > 0:02:39Oh, don't, it hurts. Thank you.
0:02:39 > 0:02:43- What...what are you doing? - What do you mean?
0:02:43 > 0:02:44We're not going in together.
0:02:44 > 0:02:48- No, you see, I don't mind people knowing.- You see I do.
0:02:48 > 0:02:51If you'd just set the alarm like I asked you to.
0:02:51 > 0:02:55OK, I'll toss you for it. Heads - I'll get the flak. Tails - you do.
0:02:59 > 0:03:02Best of three?
0:03:02 > 0:03:04Max, no. Max!
0:03:04 > 0:03:06Max!
0:03:06 > 0:03:12MEDICAL INSTRUCTION MEDIA PLAYS
0:03:12 > 0:03:16ALARM BEEPS
0:03:25 > 0:03:28- Tara! - Mr Hope! I'm sorry I'm late.
0:03:28 > 0:03:31- Are you all right? You haven't been here all night?- No. Yes.
0:03:31 > 0:03:34Well, I just got waylaid by research. But everything's cool.
0:03:34 > 0:03:36I'm cool.
0:03:36 > 0:03:38Look, if you find Jac's regime too much,
0:03:38 > 0:03:41I could have a quiet word with her or speak with Mr Hanssen?
0:03:41 > 0:03:45No! Really, it's fine.
0:03:45 > 0:03:48Well, Ms Naylor is on a course today so everything should be a breeze!
0:03:48 > 0:03:52Well, enjoy your respite. And if you find yourself struggling,
0:03:52 > 0:03:54- let me know.- I will, thank you.
0:03:54 > 0:03:58- Tara?- Yeah?- You might want to erm...
0:04:02 > 0:04:04Right, yes. Of course, thank you.
0:04:08 > 0:04:11Star light, star bright, the first star I see tonight;
0:04:11 > 0:04:12I wish I may I wish I might...
0:04:12 > 0:04:14Chantelle, what are you doing?
0:04:14 > 0:04:15Mr Malick!
0:04:15 > 0:04:18A spare for the first person I saw. Where is everyone?
0:04:18 > 0:04:22Cheers. Serena's back-to-back ops, Ric's off at some mystery meeting
0:04:22 > 0:04:24leaving us to deal with one grumbling gall bladder,
0:04:24 > 0:04:30one bunion, two hernias and big thrills... one fatty lipoma.
0:04:30 > 0:04:34Oh, yeah. HR dropped that in. Something about a deadline change?
0:04:34 > 0:04:36- They need it in by Friday. - What?
0:04:36 > 0:04:40I've not done my CV yet, and the interview...
0:04:40 > 0:04:42Hey! What're you on about?
0:04:42 > 0:04:46- Permanent position. On Keller. - Seriously? Nice one!
0:04:48 > 0:04:50But I'm not ready!
0:04:50 > 0:04:53You'll be fine. It's bureaucracy, that's all.
0:04:53 > 0:04:56- They've just got to go through the motions. May I?- Sure.
0:04:56 > 0:04:57It's not as simple as that.
0:04:57 > 0:05:02Shanners! Trust the Malick. Stop panicking and fill out the form.
0:05:02 > 0:05:07OK. FBC, Us and Es, Amylase and LFTs and group and save clotting.
0:05:07 > 0:05:12They'll pull you in for a nice cosy chat and bingo! Bob's your uncle.
0:05:12 > 0:05:15But what if he's not my uncle? What if they don't give it to me?
0:05:15 > 0:05:18Of course they'll give it to you! That's what I'm saying.
0:05:18 > 0:05:20The internal candidate always gets it.
0:05:20 > 0:05:22But there's loads of internal candidates.
0:05:22 > 0:05:24Pensions, holiday pay. Every agency nurse in Holby'll be
0:05:24 > 0:05:28- up for this job!- Malick. Chantelle My office, 15 minutes, please.
0:05:28 > 0:05:31And I love it here.
0:05:31 > 0:05:32All right. Well I guess you're just going
0:05:32 > 0:05:35to have to prove you're the best nurse for the job then.
0:05:37 > 0:05:41So which NHS complaint is it today? Overworked? Underpaid?
0:05:41 > 0:05:44- Not enough smiley stickers? - I've said I was sorry.
0:05:44 > 0:05:48- Maybe it's because Chrissie got picked for the netball team over you.- Whatever.
0:05:50 > 0:05:52I see you got away without a scratch.
0:05:52 > 0:05:54How often are you late, anyway?
0:05:54 > 0:05:56Never. Only when I make very bad life choices.
0:06:01 > 0:06:04- You could afford to cut her some slack, you know.- What?
0:06:04 > 0:06:07Eddi. She's exhausted. We all are.
0:06:07 > 0:06:08Michael!
0:06:09 > 0:06:11Michael!
0:06:12 > 0:06:15Seriously. What's the plan?
0:06:15 > 0:06:17- We're fine!- This scheme is just not working.
0:06:17 > 0:06:19It ends the moment Keller clears its backlog.
0:06:19 > 0:06:23Which is when? Next week? Next month? Next year?
0:06:23 > 0:06:25OK, I know it's tough, but it's not much longer.
0:06:25 > 0:06:27So we'll hang in there, show we can hack it.
0:06:27 > 0:06:30EDDI: Can I get some help here?!
0:06:30 > 0:06:33This is Susie Harbord. She was admitted this morning.
0:06:33 > 0:06:35There's no pulse, get her on her back.
0:06:37 > 0:06:40No, nothing. You? OK, let's get a crash trolley. Where are her notes?
0:06:40 > 0:06:43- I don't know. - Someone better find them.
0:06:43 > 0:06:46All right, she's back. Hook her up to a monitor, run blood gases
0:06:46 > 0:06:48and let's find her a goddamn bed!
0:06:48 > 0:06:52There are no beds. So, like I said, what's the plan?
0:06:52 > 0:06:58See what you're striving for is the perfect balance of longevity,
0:06:58 > 0:07:02stability and accuracy.
0:07:02 > 0:07:06Too little wing span, you won't catch the glide.
0:07:06 > 0:07:07Too much,
0:07:07 > 0:07:11you crash and burn as in life, Ollie, it's all about the choices.
0:07:11 > 0:07:13Ollie!
0:07:13 > 0:07:15- Hi.- Hi.
0:07:15 > 0:07:19Whip out your cocktail umbrellas. You're entering a Naylor-free zone!
0:07:19 > 0:07:24Ah! Interesting you should bring that up, Dr Valentine.
0:07:24 > 0:07:27Jac swung by on the way to St James's. She left you these.
0:07:27 > 0:07:30Oh and these.
0:07:30 > 0:07:32Hello.
0:07:32 > 0:07:35She's outdone herself this time. Four pacing wire removals,
0:07:35 > 0:07:37ten surgical preparations,
0:07:37 > 0:07:40audit of data on all those treated for atrial fibrilation
0:07:40 > 0:07:44- in the last 6 months. - It's for Tara.
0:07:44 > 0:07:46It's a Jac Naylor to-do list.
0:07:46 > 0:07:48I see.
0:07:48 > 0:07:50Well with Mo tied up with a transplant all day,
0:07:50 > 0:07:53I'm taking on Jac's surgical list.
0:07:53 > 0:07:55Oliver, can I rely on you for pre-ops?
0:07:55 > 0:07:58Wait, there's no need! She's asked me to do this.
0:07:58 > 0:08:00- Tara, I...- It's fine. I can handle it.
0:08:00 > 0:08:04Refills for her espresso machine?
0:08:09 > 0:08:11Oliver, keep an eye on her, will you?
0:08:13 > 0:08:16Regrettable not to see you at this morning's meeting.
0:08:16 > 0:08:20- Well, we are very busy - sorry. - What can I do for you, Mr Spence?
0:08:20 > 0:08:24As you know, AAU has gone to great lengths to ensure
0:08:24 > 0:08:27the smooth-running of this non-referrals scheme.
0:08:27 > 0:08:29However, in recent days...
0:08:29 > 0:08:33Following the rather precipitous departure of Sister Williams to Keller?
0:08:33 > 0:08:35The current system is unsustainable.
0:08:35 > 0:08:38- You proposing to throw in the towel? - No. That's not what I'm saying.
0:08:38 > 0:08:40We need more resources.
0:08:40 > 0:08:43It's seems rather inopportune on the last day of the scheme.
0:08:43 > 0:08:46Nice to be kept informed.
0:08:46 > 0:08:49Mr Spence, the purpose of this morning's meeting was to formally
0:08:49 > 0:08:50announce a new appointment.
0:08:50 > 0:08:54George Binns. Our new business manager of surgery.
0:08:54 > 0:08:55His primary objective will be
0:08:55 > 0:08:59the assessment of each ward in terms of cost effectiveness,
0:08:59 > 0:09:00with the aim of determining
0:09:00 > 0:09:03how available funds should be distributed across the hospital.
0:09:03 > 0:09:06Funds! OK.
0:09:06 > 0:09:08If you're struggling to make the scheme work...
0:09:08 > 0:09:10No. What's one more day, right?
0:09:10 > 0:09:15Good. I think Mr Binns is aiming to be with you in around 27 minutes.
0:09:15 > 0:09:19- I trust AAU will be ready for inspection?- Absolutely.
0:09:19 > 0:09:21I'm sure you two will get on famously.
0:09:27 > 0:09:30Pre-assessment questionnaire.
0:09:30 > 0:09:32To be completed in time for the ward appraisal.
0:09:32 > 0:09:35Yet another completely pointless waste of resources.
0:09:35 > 0:09:40- Mr Griffin...- Well, "Boy George" is due in at 12. Got no head nurse.
0:09:40 > 0:09:42Only one consultant for the whole floor.
0:09:42 > 0:09:45Well, he'll just have to take us as he finds us.
0:09:45 > 0:09:49I was thinking, if there's anything I can do to take the pressure off?
0:09:49 > 0:09:52Extra jobs - the sort of thing Chrissie would be doing.
0:09:52 > 0:09:55I could be like Super Nurse! Flying in, sorting it all out!
0:09:55 > 0:09:57Only till she starts of course.
0:09:57 > 0:10:00It's just...well, I've decided to apply for the permanent job.
0:10:00 > 0:10:03And it just seems like the kind of thing...
0:10:03 > 0:10:06OK, well, if you think you could handle the ward round?
0:10:06 > 0:10:11- Make sure everything runs smoothly? - Definitely! No problem. Thank you!
0:10:14 > 0:10:16I have an out-patients clinic.
0:10:22 > 0:10:24Nice one, Super Nurse(!)
0:10:24 > 0:10:26Right then. Let's get cracking.
0:10:28 > 0:10:29Tills?
0:10:30 > 0:10:32Jellica!
0:10:32 > 0:10:35DELIGHTED SQUEALS
0:10:35 > 0:10:38So, I have good news everybody. I've just spoken to Hanssen and
0:10:38 > 0:10:42learned not only is today the final day of the non-referral scheme...
0:10:42 > 0:10:45Thank goodness.
0:10:45 > 0:10:49..but Holby has a new appointment. George Binns, Business Manager
0:10:49 > 0:10:52- aka the money man.- So?
0:10:52 > 0:10:56So in 25 minutes, Mr Binns will be down to conduct a ward appraisal
0:10:56 > 0:10:59- so I need you to pull out the stops. - I don't get it.
0:10:59 > 0:11:04- What don't you get?- Why are we trying to impress him? Why not admit we're struggling?
0:11:04 > 0:11:06Mr Levy, a moment of your time.
0:11:09 > 0:11:12Imagine yourself as a Bank Manager. Who are you going to give a loan to?
0:11:12 > 0:11:15Mr Levy or me?
0:11:18 > 0:11:19See? Trust me.
0:11:19 > 0:11:23I speak these people's language. Only way to win is to play the game.
0:11:23 > 0:11:24So, let's get started.
0:11:24 > 0:11:26Sorry.
0:11:31 > 0:11:35- We haven't the lift, Squadron Leader! We're going to lose her! - Eject. Eject.
0:11:35 > 0:11:36Sorry.
0:11:38 > 0:11:40- You all right?- Fine.
0:11:40 > 0:11:42Good. Jac's TOF has arrived.
0:11:42 > 0:11:44She's had her MRI and she's awaiting assessment.
0:11:44 > 0:11:47And we've run an echo on the pulmonary valve.
0:11:47 > 0:11:49- So, ready when you are.- OK.
0:11:58 > 0:12:01Right, thank you.
0:12:17 > 0:12:21Tara, did you get a chance to sort the angio for bed seven?
0:12:22 > 0:12:25It's OK. I'll sort it.
0:12:25 > 0:12:28Wait! Ollie, I...
0:12:32 > 0:12:33Tara?
0:12:38 > 0:12:42Right, here we go. Susie Harbord, 48, terminal stomach cancer -
0:12:42 > 0:12:45collapsed, vomiting blood, in a department store.
0:12:45 > 0:12:47And look at this.
0:12:47 > 0:12:49She's a patient of Ric's.
0:12:49 > 0:12:53- That's unfortunate timing.- Yeah.
0:12:53 > 0:12:55OK, let's give her eight units, run some FBC.
0:12:55 > 0:12:58I'm going to go talk to her.
0:12:58 > 0:13:01Susie, morning. Remember me?
0:13:01 > 0:13:04Mmmmm. I thought so. East Coast.
0:13:04 > 0:13:07South. Florida.
0:13:07 > 0:13:09Not Miami though.
0:13:09 > 0:13:14Jacksonville, maybe? Your parents are...
0:13:14 > 0:13:18Punjabi. Nice party piece.
0:13:18 > 0:13:21Do you want to run me through what happened?
0:13:21 > 0:13:24All I can remember is throwing up on the Debenhams carpet.
0:13:24 > 0:13:27- That's not the done thing apparently. - Any vomiting since?
0:13:27 > 0:13:31- No.- That's good. Any dizziness, shortness of breath?- No.
0:13:31 > 0:13:35OK, I think that your tumour has developed a bleed,
0:13:35 > 0:13:37so I'm going to rig you up to this IV...
0:13:37 > 0:13:39And what about Mr Griffin?
0:13:39 > 0:13:42He's due to remove half my stomach tomorrow.
0:13:42 > 0:13:46- Yeah, I've seen. - It's purely for cosmetic purposes.
0:13:46 > 0:13:49I'm just trying to keep the weight down, that's all.
0:13:49 > 0:13:53Let's just tackle this bleed first and let's see what happens.
0:13:53 > 0:13:55- Mr Spence?- Yeah?
0:13:55 > 0:13:57Palm Beach?
0:13:57 > 0:13:59Not even close!
0:14:06 > 0:14:08Endearing as it is,
0:14:08 > 0:14:11this compulsion to propel yourself into an early grave,
0:14:11 > 0:14:15maybe it's time you broke the habit? Let me talk to Elliot.
0:14:15 > 0:14:16NO!
0:14:16 > 0:14:17No.
0:14:19 > 0:14:23Thank you for trying to help. But I'm fine.
0:14:23 > 0:14:26I just skipped breakfast and overdid it a bit, that's all.
0:14:27 > 0:14:30Please don't tell anyone about this.
0:14:33 > 0:14:36Well take a look at the figures and then get back to me.
0:14:36 > 0:14:38I need to know pretty soon.
0:14:40 > 0:14:42Hello, mate, you still there?
0:14:42 > 0:14:43Sorry, you can't use that in here.
0:14:43 > 0:14:46Hold on a sec.
0:14:47 > 0:14:50The percentage of medical devices affected - four.
0:14:50 > 0:14:53Within a one meter radius,
0:14:53 > 0:14:56so unless you're fitted with a pacemaker,
0:14:56 > 0:14:58I don't think we have a problem.
0:14:58 > 0:15:01Yeah, mate, I'm going to have to call you back.
0:15:01 > 0:15:03Hi. I'm here to see Jac Naylor.
0:15:03 > 0:15:07He's due to perform my PFO later? Jai Barbosa.
0:15:07 > 0:15:08Well...
0:15:08 > 0:15:11I'm afraid Ms Naylor isn't available today.
0:15:11 > 0:15:14Professor Hope, our lead surgeon will be operating
0:15:14 > 0:15:16and until then I'll be looking after you.
0:15:16 > 0:15:19Dr Tara Lo. F1.
0:15:19 > 0:15:20She got to be kidding me, right?
0:15:22 > 0:15:24May I?
0:15:26 > 0:15:29- She looks knackered, don't you think?- No, I don't.
0:15:29 > 0:15:32- I wouldn't like to...- How long did you say you've been here?- Not long.
0:15:32 > 0:15:34Come on, you're practically permanent.
0:15:34 > 0:15:37- She will be soon, in fact.- I'm applying for a permanent job.
0:15:37 > 0:15:38Here?
0:15:38 > 0:15:40Right!
0:15:40 > 0:15:43- How do you two know each other? - College.
0:15:43 > 0:15:46- You're a nurse?- No way!
0:15:46 > 0:15:49Just the smell of this place makes my stomach turn. No.
0:15:49 > 0:15:52- Child-care course. Until I dropped out.- Jellica met someone.
0:15:52 > 0:15:55How's Dean? Are you two still...?
0:15:57 > 0:16:00Out of his bonus. We've postponed it to get the house done.
0:16:00 > 0:16:04You should see it. A-ma-zing. Wedding's in spring.
0:16:04 > 0:16:08- And any plans for...? - Yeah, three boys, one girl.
0:16:10 > 0:16:13Your faces! I do know you can't plan.
0:16:13 > 0:16:14I don't care which flavour.
0:16:14 > 0:16:19OK! Well, we'll order a scan to make sure there's been no change.
0:16:19 > 0:16:23Meanwhile, I'll leave you two to reminisce.
0:16:23 > 0:16:26So, bagged yourself a cute doctor yet?
0:16:26 > 0:16:30Oh, no! I'm not his type.
0:16:30 > 0:16:34I don't have the right bits.
0:16:34 > 0:16:36Are you serious?
0:16:36 > 0:16:38Serious.
0:16:41 > 0:16:44I did Susie's obs. She is very weak.
0:16:44 > 0:16:46Thank you.
0:16:46 > 0:16:49Right, beds three and eight just need meds, they're free to go.
0:16:49 > 0:16:52We're reinstating referrals from the ED.
0:16:52 > 0:16:53What if Susie's still bleeding?
0:16:53 > 0:16:56- Won't know till she's fully transfused.- If so the partial gastrectomy...
0:16:56 > 0:16:59- Would solve it. I am aware of it. - No more tumour, no more bleed.
0:16:59 > 0:17:02- What's your point, Sacha?- Well, we should send her up to Keller.
0:17:02 > 0:17:05- A referral.- Yes.- No. - She's Ric's patient, she'd only be
0:17:05 > 0:17:08a day early for an op she's due to have anyway.
0:17:08 > 0:17:09I think she's an exception.
0:17:09 > 0:17:12We're abiding by the system. There are no...
0:17:12 > 0:17:14Excellent!
0:17:14 > 0:17:18Good, healthy debate between colleagues. Loving it!
0:17:18 > 0:17:21Sorry! George Binns. Business Manager.
0:17:21 > 0:17:25Sorry. Binns, George.
0:17:25 > 0:17:27Sorry!
0:17:28 > 0:17:31So, who're we talking about?
0:17:33 > 0:17:35So Tara Lo - F1.
0:17:35 > 0:17:38What's the F stand for?
0:17:38 > 0:17:41Foundation. I'm in my first year postgraduate.
0:17:41 > 0:17:45Meaning they've only just let you loose on real humans?
0:17:45 > 0:17:49- I suppose you could say that. - Great.
0:17:49 > 0:17:51Well, let's just hope I don't do anything stupid.
0:17:53 > 0:17:55Look, I really need you to stop that.
0:17:55 > 0:17:57No can do, Tara Lo. I've got a trade open.
0:18:00 > 0:18:01Hey!
0:18:01 > 0:18:06Right, so any recent changes? Shortness of breath?
0:18:06 > 0:18:09- Skin discolouration?- No.- OK. You haven't coughed up any blood?
0:18:09 > 0:18:11No difficulty passing stools?
0:18:11 > 0:18:13- No. What...- Right! Everything seems fine.
0:18:13 > 0:18:18Nurse Maconie, I'd like to order FBCs, ECG, echo and angiogram
0:18:18 > 0:18:21and we'll take it from there.
0:18:25 > 0:18:28I get it. Still differences of opinion.
0:18:28 > 0:18:31Tricky when some colleagues aren't as quick to get on board as the rest of us.
0:18:31 > 0:18:34Look, it's not that Sacha's not on board, it's just he's...
0:18:34 > 0:18:38Know what I think, Mike? Classic test case.
0:18:38 > 0:18:41Referral versus non-referral.
0:18:41 > 0:18:44I monitor its progress over the course of my visit.
0:18:44 > 0:18:47Get to see the scheme in action. Judge for myself.
0:18:47 > 0:18:50Look, I really think I could find you a more representative, no,
0:18:50 > 0:18:53- better test case. - No. I like this one.
0:18:55 > 0:18:57Now if you'll excuse me,
0:18:57 > 0:19:00I have a couple of calls to field then I can join you onsite?
0:19:02 > 0:19:05I look forward to working with you, Mr Spence.
0:19:13 > 0:19:14Michael, Michael!
0:19:14 > 0:19:17- So, what's going on?- Don't ask.
0:19:29 > 0:19:32Don't listen to her. I think you look great.
0:19:32 > 0:19:34It's OK.
0:19:34 > 0:19:37It used to worry me what she thought, but not anymore.
0:19:40 > 0:19:43- These places drive me crazy. - I could call someone if you like.
0:19:43 > 0:19:45Your mum or Dean, to come sit with you.
0:19:45 > 0:19:48Mum's in Crete, Dean's on business. Been bumped for this already.
0:19:48 > 0:19:49Just figured it'd happen again.
0:19:49 > 0:19:52We've got a new system. It's bump-proof apparently.
0:19:53 > 0:19:55Don't you ever get bored?
0:19:55 > 0:19:59Hmm...no. There's always something happening. Like you turning up!
0:20:02 > 0:20:05Oh... It's just routine screening. We do it before every op.
0:20:05 > 0:20:07Screening? For what?
0:20:07 > 0:20:10Just to check for disorders, infections, anaemia.
0:20:10 > 0:20:13- And we'll run a urine test, to make sure you're not pregnant.- I'm not.
0:20:14 > 0:20:16Right.
0:20:16 > 0:20:18Are you sure?
0:20:18 > 0:20:21Cos, you know, if you were...
0:20:21 > 0:20:23Jellica?
0:20:25 > 0:20:28- When was your last period? - Few weeks, months, maybe.
0:20:28 > 0:20:31I don't know. They've always been all over the place.
0:20:31 > 0:20:36OK. Well, we'll get this done and then we can know for sure.
0:20:39 > 0:20:41Susie! What can I do for you?
0:20:41 > 0:20:43I'd like to be referred to Mr Griffin.
0:20:43 > 0:20:45Can I ask why?
0:20:45 > 0:20:48I'm so sorry. I'm sure that you're very, very competent
0:20:48 > 0:20:50and you do have my full confidence.
0:20:50 > 0:20:54It's just that he's been treating me for the past three years
0:20:54 > 0:20:56and he knows my condition inside out.
0:20:56 > 0:21:00- I'd just feel much happier if I could see him.- I do understand,
0:21:00 > 0:21:02but unfortunately, that is not going to be possible today.
0:21:02 > 0:21:05But why not? Whenever I've had a compl...
0:21:07 > 0:21:12Susie, this is George Binns. He is Holby's business manager.
0:21:12 > 0:21:15Business manager? Whoa.
0:21:15 > 0:21:19So, it's not about the patients at all anymore, then?
0:21:19 > 0:21:20On the contrary, Susie.
0:21:20 > 0:21:24I see my role as ensuring more effective and efficient patient care
0:21:24 > 0:21:27by matching resources to specialties
0:21:27 > 0:21:29to maximise treatment options.
0:21:30 > 0:21:32I'm sorry. I...
0:21:32 > 0:21:36I can't quite get past the fact I've got shirts older than you.
0:21:36 > 0:21:38What did you just say?
0:21:38 > 0:21:40That better patient care is my primary concern.
0:21:40 > 0:21:42Susie, I do understand
0:21:42 > 0:21:45that in the past you would have been referred directly to Mr Griffin,
0:21:45 > 0:21:49but currently, we are trialling a new system...
0:21:49 > 0:21:52- Trialling?- ..whereby AAU deals with all cases in-house.
0:21:52 > 0:21:55Your transfusion is almost complete
0:21:55 > 0:21:57so let's wait for the results of the blood count,
0:21:57 > 0:21:59confirm the bleed has stopped
0:21:59 > 0:22:03and with any luck, you'll be out of here by lunchtime, OK?
0:22:05 > 0:22:07She's fantastic!
0:22:07 > 0:22:10She's opinionated, she's got views on her own treatment.
0:22:10 > 0:22:14Mike, we couldn't have picked a better test case! I'm so excited.
0:22:17 > 0:22:19Tara, I took the liberty of lending you a hand.
0:22:21 > 0:22:24Discharge summaries? What...?
0:22:24 > 0:22:28- What part of "I don't need your help" did you not understand?- Come on...
0:22:28 > 0:22:30Seriously, Ollie! How do you think this makes me look?
0:22:30 > 0:22:32- To Ms Naylor or to Mr Hope?- Tara!
0:22:32 > 0:22:35Just back off, OK?
0:22:35 > 0:22:38- ALARM BEEPS What?- B/P's spiking.
0:22:38 > 0:22:40HE GROANS
0:22:40 > 0:22:42OK, he's hypertensive.
0:22:42 > 0:22:45- He needs an IV GTN infusion.- Man!
0:22:45 > 0:22:48- Mr Barbosa, have you a family history of high blood pressure?- What?
0:22:48 > 0:22:51Have you ever experienced an episode like this before?
0:22:51 > 0:22:53No! No, nothing!
0:22:53 > 0:22:55HE WINCES
0:22:59 > 0:23:01Could you sit back?
0:23:04 > 0:23:08Right, keep an eye on him, and run a full tox screen when you're ready.
0:23:09 > 0:23:10Tara!
0:23:11 > 0:23:13Echo results.
0:23:20 > 0:23:21She's what?
0:23:21 > 0:23:25- Moody, missed periods... - OK, I get the picture.
0:23:25 > 0:23:28She never thought to take a test? Save us the grief of bringing her in?
0:23:28 > 0:23:30Seems like she's just not engaging with it.
0:23:30 > 0:23:33All right, Sherlock. If she is, we won't be operating today.
0:23:33 > 0:23:36The list'll be up the spout, Serena will be spitting venom,
0:23:36 > 0:23:39so let's just get it sorted, shall we?
0:23:39 > 0:23:41Malick, I'm due to meet the kid in an hour.
0:23:41 > 0:23:44You'll have that questionnaire done, yes?
0:23:46 > 0:23:48You don't have to take it, you know.
0:23:48 > 0:23:50Eh?
0:23:50 > 0:23:52Being bossed around all the time?
0:23:54 > 0:23:58Oh, Mr Malick? No, he's really nice. Really. Supportive.
0:23:58 > 0:24:01He's helping me with my application form.
0:24:01 > 0:24:03Aw! You haven't changed a bit.
0:24:05 > 0:24:10So, with an increase in staff, better equipment, a second theatre -
0:24:10 > 0:24:15the dream of becoming a regional centre of excellence becomes a viable option.
0:24:15 > 0:24:18Bluffer's Guide to creating an empire. You OK?
0:24:18 > 0:24:22No, and all this sucking up is not helping my head.
0:24:22 > 0:24:25- I've got something that might help. - Hand it over, then.
0:24:25 > 0:24:28I can't give it to you here on the ward.
0:24:31 > 0:24:33OK.
0:24:36 > 0:24:39- Michael, you should take a look at these.- Not right now.
0:24:39 > 0:24:41It's Susie Harbord's results.
0:24:41 > 0:24:44Haemoglobin level of 5. She's still bleeding.
0:24:44 > 0:24:47- All right, we're going to have to get her into theatre.- Down here?
0:24:47 > 0:24:51Yeah. Will you let the anaesthetist know and notify Ms Harbord?
0:24:51 > 0:24:53- Thank you. So...- No.
0:24:55 > 0:24:57I'm up to my eyes and she's your patient.
0:24:57 > 0:25:01I think if anyone's going to tell her, it should be you.
0:25:04 > 0:25:08This better be good, Max! I'm so busy! I've got so much work to do.
0:25:15 > 0:25:19It's not like it'll get better just cos you're on contract.
0:25:21 > 0:25:23If they don't appreciate you now...
0:25:25 > 0:25:28Why didn't you tell us you might be pregnant?
0:25:28 > 0:25:33We've had couple of false alarms before. I didn't want to...
0:25:33 > 0:25:38I miss a period. Dean gets excited, I take a test. Then when it...
0:25:38 > 0:25:40- Are you two OK?- Yeah! Fine!
0:25:40 > 0:25:43It's just, um, wedding nerves. I've not been sleeping well
0:25:43 > 0:25:46and it's like the closer it gets, the worse I look.
0:25:46 > 0:25:49Dean says it's stress...
0:25:49 > 0:25:50stopping me.
0:25:52 > 0:25:54But I'm all right!
0:25:55 > 0:25:59Well, it shouldn't take long. I'll get them back soon as I can.
0:25:59 > 0:26:00OK. Whatever.
0:26:02 > 0:26:04Susie.
0:26:04 > 0:26:06It's due in six weeks.
0:26:06 > 0:26:09- It's my third grandchild. - Wow, three?
0:26:09 > 0:26:12- I haven't met the other two yet. - Why's that?
0:26:12 > 0:26:14My daughter lives in the US.
0:26:14 > 0:26:18Went looking for her father - Captain America.
0:26:18 > 0:26:22- Only child? - Yep. Met a boy. Got pregnant.
0:26:22 > 0:26:26Same old, same old. Except hers has stuck around.
0:26:26 > 0:26:31With all this nonsense and her being constantly pregnant,
0:26:31 > 0:26:33I've not seen her in four years.
0:26:33 > 0:26:37Susie, your test results have come back.
0:26:37 > 0:26:40- Your tumour has not stopped bleeding. - Little blighter.
0:26:40 > 0:26:42I'm going to have to operate. A gastroscopy.
0:26:42 > 0:26:46You've had it before as exploratory. I'll go in, locate the bleed,
0:26:46 > 0:26:49- inject it with adrenalin and stop it. - What about tomorrow?
0:26:49 > 0:26:53I'm afraid that means the partial gastrectomy will have to be delayed.
0:26:53 > 0:26:56- No.- Susie, I understand...
0:26:56 > 0:27:00No! No. No. No. You don't. You don't understand.
0:27:02 > 0:27:06That's one-way. It my last hurrah!
0:27:06 > 0:27:08It's the birth of my grandchild.
0:27:08 > 0:27:12Mr Spence, I can't eat. I can barely drink.
0:27:12 > 0:27:16Without tomorrow's operation, I won't be able to fly.
0:27:19 > 0:27:22With a bleed like this, if you refuse treatment,
0:27:22 > 0:27:28- you are risking your health. - "My health"? I like that!
0:27:32 > 0:27:35Why can't you do it instead of Mr Griffin?
0:27:35 > 0:27:38It's the tumour that's bleeding. If you can take that away...
0:27:38 > 0:27:41This is a complex and time-consuming procedure.
0:27:41 > 0:27:44AAU only has one theatre. It's for emergency operations only.
0:27:44 > 0:27:47I can go in and stop the bleed - that's it.
0:27:58 > 0:28:00OK?
0:28:00 > 0:28:04There's something odd about Mr Barbosa's echo.
0:28:04 > 0:28:07I'm not even sure why he's in here.
0:28:08 > 0:28:10It looks inoperable.
0:28:10 > 0:28:13It looks like classic Naylor.
0:28:13 > 0:28:17Handing an F1 the pre-ops of an apparently inoperable case.
0:28:17 > 0:28:21She's probably got a little stash of files somewhere -
0:28:21 > 0:28:24Missing links, volumes 1 to 8.
0:28:24 > 0:28:26You think?
0:28:27 > 0:28:31It does SOUND like something Ms Naylor would do.
0:28:42 > 0:28:46I know, I'm on my way, OK? As soon as I can.
0:28:54 > 0:28:55Tara?
0:28:56 > 0:28:58Should you be in here?
0:29:00 > 0:29:05There was a discrepancy with some test results. So I thought...
0:29:05 > 0:29:07Right. Have you talked to Oliver about this?
0:29:07 > 0:29:11- Yes. But he was busy.- He said that?
0:29:11 > 0:29:14PHONE BEEPS Mm-hm.
0:29:14 > 0:29:17I need to get a move on. Let's talk about this later.
0:29:19 > 0:29:22All clear, then?
0:29:22 > 0:29:25Yeah. Odd, though. All those symptoms.
0:29:25 > 0:29:27Hormone imbalance, maybe.
0:29:27 > 0:29:30- She needs to see her doctor. - Are there no tests we could run?
0:29:30 > 0:29:32Look, I get it. She's an old mate
0:29:32 > 0:29:35- but to be a good nurse, you have to stay objective.- I do know that!
0:29:35 > 0:29:37- Whatever's going on with her doesn't affect the op.- Yeah, I know
0:29:37 > 0:29:40- but...- Chantelle! Tight schedule, business manager on the way.
0:29:40 > 0:29:42You've more pressing stuff to do.
0:29:42 > 0:29:44So let's just get her sorted and when she's home,
0:29:44 > 0:29:46she can book in to see her GP.
0:29:50 > 0:29:52I suppose if there was to be an exception,
0:29:52 > 0:29:54- you could see how Susie Harbord might be it.- Ah.
0:29:54 > 0:29:57But you and I, Mike, we're seeing the bigger picture.
0:29:57 > 0:30:00It's a shame, though, to miss the birth of her grandchild.
0:30:00 > 0:30:02But given that, statistically speaking,
0:30:02 > 0:30:04the percentage of female admissions
0:30:04 > 0:30:06of grand-parenting age averages at 28.6,
0:30:06 > 0:30:10we'd potentially be looking at a whole bunch of exceptional grannies.
0:30:10 > 0:30:13- You're leaving? - Ward appraisal on Keller.
0:30:13 > 0:30:15Mike! I have a heart too.
0:30:15 > 0:30:18It's for the greater good. Pleasure working with you.
0:30:21 > 0:30:23And if you could check on that scan.
0:30:23 > 0:30:25Uh...do you want to give me a break?
0:30:25 > 0:30:27I've been run off my feet all morning.
0:30:30 > 0:30:33Uh... Good luck with the operation!
0:30:34 > 0:30:36Thanks.
0:30:36 > 0:30:41You think it's more cost-effective for him if I survive this or not?
0:30:43 > 0:30:45She's barely older than me.
0:30:45 > 0:30:47She still looks in better nick, though.
0:30:47 > 0:30:49Sacha.
0:30:49 > 0:30:51For the sake of one day.
0:30:54 > 0:30:56- Mr Spence?- Yeah.
0:30:58 > 0:31:02- Do you have children? - Yes, I do. Three girls and one boy.
0:31:03 > 0:31:05In the States.
0:31:05 > 0:31:09Do anything, wouldn't you? To save them a moment's pain.
0:31:09 > 0:31:12You know, Susie, flights go both ways.
0:31:12 > 0:31:14She's seven-and-a-half months pregnant.
0:31:16 > 0:31:20It's so hard on the phone. You must know what that's like.
0:31:20 > 0:31:24All those children screaming in the background.
0:31:24 > 0:31:28She's always so wound up or she's just plain exhausted and...
0:31:30 > 0:31:33I just haven't been able...
0:31:34 > 0:31:36You haven't told her, have you?
0:31:44 > 0:31:46Tills! So, what were you talking about earlier
0:31:46 > 0:31:49with Dr What's-his-name?
0:31:49 > 0:31:53We were just talking about your symptoms. Nothing to worry about.
0:31:53 > 0:31:55Mr Malick thinks you may have a hormone imbalance.
0:31:55 > 0:31:57What does that mean?
0:31:57 > 0:32:00You'll have to speak to your own doctor.
0:32:00 > 0:32:03If it's some "imbalance", does that mean they can do something about it?
0:32:03 > 0:32:06- I don't know...- Give me drugs or... - I'll have to speak to Mr Malick.- No!
0:32:06 > 0:32:08I don't want to talk to him. I want to talk to you!
0:32:08 > 0:32:10- I thought we were friends.- We are.
0:32:10 > 0:32:12I want to know what's happening to me!
0:32:12 > 0:32:16- If you can do something about it! - I...- Just tell me what it is!
0:32:19 > 0:32:22I think it COULD be early menopause.
0:32:24 > 0:32:26You cow.
0:32:27 > 0:32:29You evil, jealous little cow!
0:32:29 > 0:32:32I know it sounds crazy but I've been doing some research...
0:32:32 > 0:32:34You can't bear it, can you?
0:32:34 > 0:32:38Stuck here, day in day out, yacking on about how fab it is
0:32:38 > 0:32:41when actually all you are is some jumped-up skivvy
0:32:41 > 0:32:43- mopping up other people's sh...- Hey!
0:32:43 > 0:32:46- Calm down. Whatever Chantelle said... - She SAID I've got the menopause!
0:32:46 > 0:32:48And what would you know?
0:32:48 > 0:32:52Too busy flirting with every man in here to bother with someone like me!
0:32:52 > 0:32:55You! I want to make a complaint.
0:32:55 > 0:32:56Against her!
0:33:00 > 0:33:01Excuse me.
0:33:02 > 0:33:05- Are we taking Susie in?- Nope.
0:33:05 > 0:33:09- What then?- I need 10 mills of Vitamin K, and a FFP transfusion.
0:33:09 > 0:33:12We're going to help her keep that elective and make that flight.
0:33:12 > 0:33:14Hang on, hang on. What about George?
0:33:14 > 0:33:19Well, Mr Binns is gone, Sacha! And what the eye doesn't see...
0:33:19 > 0:33:21Susie!
0:33:21 > 0:33:22Change of plan.
0:33:22 > 0:33:24I'm going to start you on a clotting agent
0:33:24 > 0:33:27and a plasma transfusion to stem the bleed,
0:33:27 > 0:33:30- so you can make tomorrow's operation on Keller.- Really?
0:33:30 > 0:33:32Now, I want to be absolutely clear,
0:33:32 > 0:33:34there is no guarantee that this is going to work.
0:33:34 > 0:33:37And I'm only doing this on the proviso
0:33:37 > 0:33:40that should your condition deteriorate at all,
0:33:40 > 0:33:42you will progress directly to theatre, do not pass go.
0:33:42 > 0:33:45- Do you understand?- Yes. Thank you.
0:33:45 > 0:33:48- You're welcome.- Michael?- Yeah.
0:33:48 > 0:33:52There's been an RTA. We have five casualties coming from the ED.
0:33:52 > 0:33:53Perfect.
0:33:56 > 0:33:57Ms Effanga?
0:33:58 > 0:34:01- Tara. - Sorry to bother you. It's just,
0:34:01 > 0:34:04I've been debating the best course of action for a patient.
0:34:04 > 0:34:08- Right... - He's supposed to be a standard PFO
0:34:08 > 0:34:11but his echo results have come back showing what looks like
0:34:11 > 0:34:14an inoperable right to left shunt.
0:34:14 > 0:34:16You want me to tell you what to do.
0:34:16 > 0:34:19- Well, is he cyanotic?- No.
0:34:19 > 0:34:22- You've run an angio? - Yes, and there are no blockages.
0:34:22 > 0:34:26Have you checked whether the arterial blood is still oxygenated?
0:34:28 > 0:34:30So how do you do that?
0:34:30 > 0:34:32Blood gas sample?
0:34:32 > 0:34:34- From the radial artery.- Great!
0:34:34 > 0:34:37- That's what I thought. - You'll need supervising.
0:34:37 > 0:34:40If Professor Hope isn't available, ask Oliver. Understood?
0:34:40 > 0:34:44No worries, Ric. You go and deal with your...little problem.
0:34:44 > 0:34:47I'll drop you a line R-E rescheduling.
0:34:55 > 0:34:57A diagnosis?
0:34:57 > 0:35:00No consulting.
0:35:00 > 0:35:01No medical back-up.
0:35:01 > 0:35:04Added to which, you saw fit
0:35:04 > 0:35:07to discuss a colleague's private life with a patient.
0:35:07 > 0:35:09I never meant...
0:35:09 > 0:35:13I tried to talk to Mr Malick about Angelica, but he said not to worry.
0:35:13 > 0:35:15But you knew better?
0:35:15 > 0:35:18Mr Griffin, will this affect my job application?
0:35:18 > 0:35:21Let's take things one step at a time.
0:35:25 > 0:35:28I'm right, you know.
0:35:28 > 0:35:29She has all the symptoms.
0:35:29 > 0:35:33Missed periods, mood swings, hot flushes.
0:35:33 > 0:35:35I think she suspects it too
0:35:35 > 0:35:38and if we let her leave without checking, she won't go to her GP.
0:35:38 > 0:35:40I'm sure of it. So I don't care about the job
0:35:40 > 0:35:43and I'm not bothered about the black mark next to my name.
0:35:43 > 0:35:47Right now, she's our patient, and we have a duty to try and help.
0:35:47 > 0:35:50Chantelle, why don't you take a long lunch?
0:35:50 > 0:35:53Come back when you've cooled down.
0:36:05 > 0:36:07Malick.
0:36:09 > 0:36:12I think we should order those tests.
0:36:13 > 0:36:14You're the boss.
0:36:16 > 0:36:18ERROR BEEP
0:36:19 > 0:36:21MORE ERROR BEEPS
0:36:24 > 0:36:26Coming through!
0:36:26 > 0:36:28OK, Stewart Lacy. Driver of the van.
0:36:28 > 0:36:32- Put him in bed 8, please. I'll get Michael to assess him.- Thanks, Eddi.
0:36:32 > 0:36:34- Hello, George!- What?
0:36:34 > 0:36:38- Long time no see!- Hey, George! Couldn't stay away?
0:36:38 > 0:36:39Problem on Keller, so I thought
0:36:39 > 0:36:42I'd nip back and check out how my test case is...
0:36:42 > 0:36:45Oh. I thought she'd be under the knife by now.
0:36:45 > 0:36:47Yeah, influx of critical cases, only one theatre.
0:36:47 > 0:36:50- Afraid that's just the way things are here.- Right.
0:36:50 > 0:36:52- Michael.- Yes.- We need you, bed 8.
0:36:52 > 0:36:55Nurse McKee, Susie is due in theatre next - right?
0:36:57 > 0:36:58Oh, yeah. She's heading in now.
0:36:58 > 0:37:01OK, great. Ah! Max, you're just about to scrub in.
0:37:01 > 0:37:03- Actually, I was...- Excellent!
0:37:03 > 0:37:05- Sorry, bed...- 8.- 8. George.
0:37:07 > 0:37:09Let's get her into the side room.
0:37:09 > 0:37:12- OK.- What was that about? - I'll tell you later.
0:37:12 > 0:37:15You know, George, I got the feel
0:37:15 > 0:37:18that Sacha was just coming around to the non-referrals schemes.
0:37:18 > 0:37:22- Perhaps he'd benefit if you talked him through the numbers.- Of course!
0:37:22 > 0:37:24Great! I'd like that very much.
0:37:24 > 0:37:26Great, why don't you guys do that in my office?
0:37:31 > 0:37:35OK, Mr Barbosa, I need to test your oxygen levels.
0:37:36 > 0:37:39I'll insert a needle into your wrist
0:37:39 > 0:37:42- and take a sample of your blood from your artery.- How long will it take?
0:37:42 > 0:37:44About five minutes. I must warn you it can hurt
0:37:44 > 0:37:48so I can give you an injection to numb the pain, if you'd like?
0:37:48 > 0:37:50I'll live.
0:37:50 > 0:37:54Aren't I supposed to have some kind of chaperone? Protect my virtue?
0:37:54 > 0:37:56It's pretty routine.
0:38:02 > 0:38:06- AAU?- You are really getting the royal treatment, Susie.
0:38:06 > 0:38:08- EDDI:- Michael?
0:38:08 > 0:38:11- Her B/P's dropped slightly.- Yeah.
0:38:11 > 0:38:14- How long before theatre's ready? - Couple of hours at least.
0:38:14 > 0:38:17- What about the anaesthetic room? - No. It's full.
0:38:17 > 0:38:19There's always Keller.
0:38:20 > 0:38:22All right, give me ten minutes.
0:38:34 > 0:38:37- Ow!- OK, it's fine, just relax.
0:38:37 > 0:38:39What you trying to do to me?
0:38:39 > 0:38:41Is everything all right?
0:38:41 > 0:38:43Yes, thank you, Nurse Maconie.
0:38:47 > 0:38:49I'm going to try it one more time.
0:38:49 > 0:38:51- Ah!- Right.
0:38:51 > 0:38:53We'll try a different route.
0:38:53 > 0:38:57US market opens in ten, Doc. I need you to speed this up.
0:38:57 > 0:38:58OK...
0:39:01 > 0:39:04We'll go for the femoral artery in your thigh.
0:39:04 > 0:39:07- As long as you're careful down there. - Yes. Of course.
0:39:07 > 0:39:08Oh!
0:39:08 > 0:39:10ALARM BEEPS
0:39:10 > 0:39:12Aagh!
0:39:12 > 0:39:14Get off me!
0:39:14 > 0:39:16What's going on?
0:39:16 > 0:39:19- What were you doing? - A blood gas sample.
0:39:20 > 0:39:22From the femoral artery?
0:39:22 > 0:39:25What size needle were you using?
0:39:25 > 0:39:28Right, looks like there's a tear. Let's get him into theatre.
0:39:28 > 0:39:30What happened?
0:39:30 > 0:39:32I need you to scrub in.
0:39:32 > 0:39:35- Professor Hope, I...- Take a break, Dr Lo. OK? Let's go.
0:39:38 > 0:39:41HE YELLS IN PAIN
0:39:45 > 0:39:47Hey, Ric, I need some help.
0:39:47 > 0:39:49I'm in the middle of something, Michael.
0:39:49 > 0:39:51I've got a patient I want you to look at.
0:39:51 > 0:39:54A referral? We don't do referrals.
0:39:54 > 0:39:58No, it's not a referral. Susie Harbord, her B/P's dropping.
0:40:00 > 0:40:02Are you telling me that she's an emergency?
0:40:02 > 0:40:04Not yet, but I don't want to wait till it is.
0:40:04 > 0:40:08Look, I'll be done here in about half an hour. Bring her up then.
0:40:08 > 0:40:10All right, great.
0:40:10 > 0:40:13- Binns is all over this, so let's keep it under the radar?- Obviously.
0:40:18 > 0:40:21- Hey, Max!- Huh?
0:40:21 > 0:40:23I thought you were operating?
0:40:23 > 0:40:24- Yep.- On Susie.
0:40:26 > 0:40:28So...?
0:40:28 > 0:40:32Yeah, you might want to check with Michael Spence on that.
0:40:32 > 0:40:34I think he's in there.
0:40:41 > 0:40:43Nurse McKee?
0:40:50 > 0:40:52Suction.
0:40:52 > 0:40:54Vascular clamp, please.
0:40:55 > 0:40:57I thought I told you to keep an eye out.
0:40:58 > 0:40:595-0 prolene.
0:40:59 > 0:41:02Yet I find her alone and unsupervised,
0:41:02 > 0:41:06attempting a blood gas sample from the wrong artery
0:41:06 > 0:41:09with the wrong needle.
0:41:10 > 0:41:13Why did you refuse to help?
0:41:16 > 0:41:18I don't know.
0:41:18 > 0:41:21It'll be a mark on your record, I'm afraid, Dr Valentine.
0:41:21 > 0:41:26All right. Page the perfusionist, please. Thank you.
0:41:26 > 0:41:28Suction, please.
0:41:30 > 0:41:33Ollie, I... Wait!
0:41:33 > 0:41:35I get it, you want to do it all on your own.
0:41:38 > 0:41:43- Come on, Michael.- Sacha, how is she? - B/P's still dropping.
0:41:43 > 0:41:45- I've just spoken to Ric. He's ready for us in ten minutes.- Michael!
0:41:45 > 0:41:48Michael...
0:41:48 > 0:41:50- George!- It seems Ms Harbord took a wrong turning.
0:41:53 > 0:41:56Why was I led to believe she was in theatre?
0:41:56 > 0:42:00It was a snap decision. Based on some last-minute drug test,
0:42:00 > 0:42:02we opted to delay the surgery in favour of a less expensive
0:42:02 > 0:42:05- and less invasive - drugs option, which we...
0:42:07 > 0:42:09How long's she been like this?
0:42:09 > 0:42:12Couple of minutes. Sacha's been trying to call you.
0:42:12 > 0:42:14SUSIE RETCHES Susie?
0:42:14 > 0:42:16All right, all right.
0:42:16 > 0:42:18Sacha! OK,
0:42:18 > 0:42:22let's get eight units cross-matched and draw adrenaline for the scope.
0:42:22 > 0:42:24- We'll need to do this here. - Here? But...
0:42:24 > 0:42:26- Shall I page the anaesthetist? - No, no time.
0:42:26 > 0:42:28What's the protocol? Shouldn't someone contact Mr Hanssen?
0:42:28 > 0:42:32You listen to me. We're out of options and out of time,
0:42:32 > 0:42:34so you contact whoever you got to,
0:42:34 > 0:42:38but in the meantime, you either suck it up or you get out!
0:42:40 > 0:42:42You're saying you think she's right?
0:42:42 > 0:42:44We'd just like to rule it out.
0:42:44 > 0:42:46I was surprised to see her here, if I'm honest.
0:42:46 > 0:42:48We used to lay bets at college.
0:42:48 > 0:42:51See how long she'd last before she broke a nail and dropped out.
0:42:52 > 0:42:54She's kidding herself, right? About the job.
0:42:54 > 0:42:58Chantelle's a great nurse, and she'll get the job, no matter what you do.
0:42:58 > 0:43:01- I don't think I like your tone. - And I don't care.
0:43:01 > 0:43:05Now if you'll excuse me, I've a male nurse I need to flirt with.
0:43:09 > 0:43:12Easy. Take it easy, Susie, we're almost done.
0:43:12 > 0:43:14Keep her steady, keep her steady.
0:43:14 > 0:43:18Where the hell is it? Goddamn it!
0:43:18 > 0:43:19There.
0:43:19 > 0:43:23Yeah! Gotcha, you little...
0:43:25 > 0:43:26So where's it all coming from?
0:43:26 > 0:43:29SUSIE CHOKES
0:43:29 > 0:43:32Stay with us, Susie, you'll be OK.
0:43:32 > 0:43:35- B/P's dropped again.- Damn it!
0:43:35 > 0:43:37Adrenaline?
0:43:38 > 0:43:40- Got it?- Yep.- OK.
0:43:40 > 0:43:42Go, go.
0:43:42 > 0:43:44All right, just a minute.
0:43:49 > 0:43:51Yes! Great. Excellent! That's done it.
0:43:51 > 0:43:53Good work, you guys. So...
0:44:00 > 0:44:02OK.
0:44:02 > 0:44:04Nice one, Michael.
0:44:06 > 0:44:08It wasn't Doctor Valentine's fault.
0:44:08 > 0:44:12He never refused to help. I decided to go it alone.
0:44:12 > 0:44:14Why?
0:44:17 > 0:44:19OK, I think we should set up a meeting with Mr Hanssen.
0:44:19 > 0:44:20No!
0:44:22 > 0:44:26I understand your ambition, and I respect it.
0:44:26 > 0:44:28But Darwin is a difficult specialist ward
0:44:28 > 0:44:32- and clearly you are not... - But I was scared!- Of what?
0:44:33 > 0:44:35That you'd think I couldn't hack it.
0:44:36 > 0:44:38You risked the health of a patient.
0:44:38 > 0:44:43You messed up. I'm sorry, but you put yourself under too much pressure
0:44:43 > 0:44:46- and unless...- Please!
0:44:46 > 0:44:49I know I should have asked for help and I didn't
0:44:49 > 0:44:54but I've learnt so much from you and Ms Naylor and Dr Valentine.
0:44:54 > 0:44:56I don't want to go to another ward.
0:44:59 > 0:45:02I promise this will never, ever happen again.
0:45:06 > 0:45:10We were forced to postpone Mr Barbosa's PFO.
0:45:10 > 0:45:15And I understand it was you who ordered the tox report.
0:45:17 > 0:45:20Enough cocaine in his system to keep an '80s rock band very happy.
0:45:22 > 0:45:24I was reluctant to take the risk.
0:45:24 > 0:45:26Good work, Dr Lo.
0:45:28 > 0:45:31We'll agree to keep today to ourselves.
0:45:31 > 0:45:33OK.
0:45:35 > 0:45:37HE SIGHS
0:45:40 > 0:45:43COUGHING, RETCHING
0:45:43 > 0:45:45George?
0:45:45 > 0:45:47Is that you in there?
0:45:49 > 0:45:50Uh...
0:45:50 > 0:45:54Look, I'm sorry about what happened back there.
0:45:54 > 0:45:57Things got a little heated
0:45:57 > 0:46:02and I probably said a few things that I'm going to inevitably regret.
0:46:02 > 0:46:04TOILET FLUSHES
0:46:06 > 0:46:08You OK?
0:46:11 > 0:46:13I have to write my report right now,
0:46:13 > 0:46:17but I'm just not used to seeing things like that back there.
0:46:17 > 0:46:20But what you did, it was a reminder of why we're all here
0:46:20 > 0:46:22and it was incredible.
0:46:32 > 0:46:34We should talk.
0:46:34 > 0:46:37Join us? An hour or so? Hanssen's office.
0:46:37 > 0:46:39Yeah. Sure. My pleasure.
0:46:51 > 0:46:52Back for more blood, are we?
0:46:52 > 0:46:56- Mr Barbosa, I owe you... - Look, I grew up with girls like you.
0:46:56 > 0:46:59Daddy in the Consulate, was he? Straight As.
0:46:59 > 0:47:00Perfect little life.
0:47:09 > 0:47:11Whatever it takes, eh, Dr Lo?
0:47:11 > 0:47:14Cocaine? Before a heart operation?
0:47:14 > 0:47:16Worst case, it's a bit of a headache.
0:47:16 > 0:47:19- There was no need to postpone. - You need help.
0:47:19 > 0:47:22It's recreational, that's all.
0:47:23 > 0:47:26You should ask for it. Before it's too late.
0:47:33 > 0:47:35Jonny, have you seen Ollie?
0:47:55 > 0:47:56Come in.
0:47:57 > 0:47:58Ah, Mr Spence.
0:47:58 > 0:48:01Man of the hour. You appear, with today's heroic exploits,
0:48:01 > 0:48:05to have single-handedly impressed our new business manager
0:48:05 > 0:48:08more than the rest of the hospital put together. Congratulations.
0:48:08 > 0:48:10- Thank you.- Michael.
0:48:10 > 0:48:13We've been reviewing the figures for the past few weeks,
0:48:13 > 0:48:15since the non-referral scheme was introduced,
0:48:15 > 0:48:16and I'm pleased to tell you
0:48:16 > 0:48:20that based on AAU's performance, we've taken the decision
0:48:20 > 0:48:24to implement the scheme on a permanent basis from today.
0:48:24 > 0:48:25Uh, right.
0:48:25 > 0:48:29This is cutting-edge territory. Only one other hospital in the country
0:48:29 > 0:48:32operates a system that's even vaguely similar.
0:48:32 > 0:48:34- But it's quite clearly the way of the future!- OK, great.
0:48:34 > 0:48:38So, in terms of extra resources...?
0:48:41 > 0:48:43That's just the thing. You don't need them.
0:48:43 > 0:48:47- What you guys achieved today was... - Wait a minute.
0:48:47 > 0:48:50You were there. You saw what happened.
0:48:50 > 0:48:52But you pulled it off!
0:48:52 > 0:48:56- Are you signing off on this?- Keller's cost-effectiveness has risen
0:48:56 > 0:48:58by 15%, Mr Spence. I would be failing in my job
0:48:58 > 0:49:00- if I were to ignore that fact. - Guys, come on!
0:49:00 > 0:49:03This damn scheme doesn't work!
0:49:03 > 0:49:06You saw how close I came to losing a patient in there!
0:49:06 > 0:49:10Perhaps it's best not to dwell too heavily on what happened today.
0:49:10 > 0:49:12Maybe it wasn't the non-referral scheme at fault. In fact,
0:49:12 > 0:49:16if you adhered to it, who knows how much simpler things could have been?
0:49:26 > 0:49:29Michael, what happened with the emergency?
0:49:29 > 0:49:31Forget about it. It's sorted out.
0:49:46 > 0:49:47Better class of carbs down here?
0:49:49 > 0:49:53You have to kick the machine to get it out. I thought it might help.
0:49:55 > 0:49:57- Chantelle...- Mr Griffin...
0:49:59 > 0:50:02I should have never spoke to you like I did.
0:50:02 > 0:50:06I should never have said anything to Angelica
0:50:06 > 0:50:07and if I'm honest...
0:50:09 > 0:50:13..I don't think I'm cut out to be a nurse on Keller.
0:50:13 > 0:50:18You're not proposing to leave us to the mercies of a stranger?
0:50:22 > 0:50:24We ran some tests on your friend.
0:50:26 > 0:50:28It seems it is YOU who's owed an apology.
0:50:40 > 0:50:45She'll be angry. She'll think I don't care enough.
0:50:45 > 0:50:47That I'm avoiding coming.
0:50:49 > 0:50:50I'm sorry.
0:50:52 > 0:50:57Don't be. You did everything that you could. I do appreciate that.
0:50:59 > 0:51:02Maybe...after the birth,
0:51:02 > 0:51:06I could pay for them all to come over here.
0:51:06 > 0:51:09Visit their granny.
0:51:10 > 0:51:13Believe anything, won't you? If you want it enough.
0:51:21 > 0:51:24Hello, love! How're you feeling? It's me.
0:51:24 > 0:51:29Guys? Could I have a moment of your time?
0:51:29 > 0:51:35I just got word that AAU will receive no additional funding.
0:51:50 > 0:51:52Not bad for a girl, eh?
0:51:52 > 0:51:55I spoke to Elliot. Thanks.
0:51:55 > 0:51:56How did it go in the end?
0:51:58 > 0:52:01I'm amazed you survived it at all.
0:52:01 > 0:52:05Yeah, well, I think I might just tell her the dog ate it.
0:52:05 > 0:52:07I've got an idea. Come on.
0:52:12 > 0:52:15I spent hours online.
0:52:16 > 0:52:19Looking up the symptoms.
0:52:19 > 0:52:22Trying new sites that might say something different.
0:52:23 > 0:52:25I just couldn't...
0:52:28 > 0:52:30- How are you doing?- OK.
0:52:31 > 0:52:34- Chantelle, can I have a word, please?- Excuse me? Sorry.
0:52:34 > 0:52:37The complaint I made earlier...
0:52:39 > 0:52:40Is it too late to take it back?
0:52:41 > 0:52:43No.
0:52:43 > 0:52:45That's fine.
0:52:50 > 0:52:55Malick and I have been talking, and we're agreed
0:52:55 > 0:52:59that retaining our best nurse should be our priority this week
0:52:59 > 0:53:05so we were thinking, maybe some informal interview coaching?
0:53:05 > 0:53:08Aw, Mr Griffin. I'd love that!
0:53:08 > 0:53:12- All right, well, my office, whenever you're ready.- Oh...
0:53:15 > 0:53:16Maybe tomorrow.
0:53:21 > 0:53:25They really rate you, your colleagues.
0:53:27 > 0:53:30I could still call Dean. I'm sure he'd come back.
0:53:33 > 0:53:35That's all he ever talks about.
0:53:35 > 0:53:37When we have kids.
0:53:38 > 0:53:42There's still a chance you could conceive, you know.
0:53:42 > 0:53:45And if not, there are other options.
0:53:47 > 0:53:51- You're not a bad nurse, you know? - Aw, thanks!
0:53:51 > 0:53:53It's what we're here for.
0:54:12 > 0:54:15OK...
0:54:15 > 0:54:17Right!
0:54:19 > 0:54:22That's actually very... How did you get so good at this?
0:54:22 > 0:54:26I locked myself in a room till I perfected it. I was five.
0:54:26 > 0:54:28Figures.
0:54:31 > 0:54:33You're sure you're OK with this?
0:54:34 > 0:54:36Yeah, I made a copy earlier.
0:54:37 > 0:54:39- Are you ready?- Yeah.
0:54:39 > 0:54:41On your marks...
0:54:41 > 0:54:42Get set...
0:54:43 > 0:54:46BOTH: GO!
0:54:50 > 0:54:54Michael! You met the new wonder boy, then?
0:54:54 > 0:54:58- How long have you known? - Known what?- Don't give me that.
0:54:58 > 0:55:01- That the non-referral scheme was going to be permanent?- What?
0:55:01 > 0:55:03Did you plan it from day one?
0:55:03 > 0:55:06- I've no idea what you're talking about.- I've been there, Serena.
0:55:06 > 0:55:09Business first. Always an eye on the profits.
0:55:09 > 0:55:12Trust me, there's only one way this is going to end.
0:55:52 > 0:55:56Subtitles by Red Bee Media Ltd