0:00:38 > 0:00:40Isn't there another ward I can go to?
0:00:40 > 0:00:42Michael, what are you doing?
0:00:42 > 0:00:43My job.
0:00:43 > 0:00:48Each one of these patients has suffered at the hands of this ridiculous referral scheme.
0:00:48 > 0:00:50That is simply not true.
0:00:50 > 0:00:51All right, Ritchie, you're on the move.
0:00:51 > 0:00:54I wouldn't want you to miss your auntie's birthday
0:00:54 > 0:00:57any more than I'd miss my brother's do.
0:00:57 > 0:01:01So apparently I need your permission before I dump my patient 50 miles up the road.
0:01:03 > 0:01:05We can't let him die in the back of this van.
0:01:05 > 0:01:08I want you to phone up the hospital, tell them to get a crash team ready.
0:01:08 > 0:01:11There's been a complication with Michael Spence's patient.
0:01:11 > 0:01:13Get up. Come on, let's take a look.
0:01:13 > 0:01:15Almost like a real person.
0:01:35 > 0:01:37Ah, thought you might be here.
0:01:43 > 0:01:47I suppose the postmortem will shed a light on quite a few things.
0:01:47 > 0:01:49Will it?
0:01:49 > 0:01:53Michael, this wasn't your fault.
0:01:54 > 0:01:56You're damn right it wasn't.
0:02:00 > 0:02:02Right - ED treated her for hypothermia and dehydration
0:02:02 > 0:02:05but detected arrhythmia and a heart murmur.
0:02:05 > 0:02:06So no ID? Did we speak to the police?
0:02:06 > 0:02:07Drawn a blank so far.
0:02:07 > 0:02:11Tried calling last few numbers dialled on her phone but got nowhere.
0:02:11 > 0:02:15- Sorry. You got my message? - Yeah. Got a chest drain. Leave you to it, yeah?
0:02:15 > 0:02:18- Flat tyre.- That's a pain.
0:02:18 > 0:02:19- So what we got?- Jane Doe.
0:02:19 > 0:02:22Found unconscious by the allotments outside Farmead.
0:02:22 > 0:02:23Can't be more than, what...? 16?
0:02:23 > 0:02:25Well, that is the age for it.
0:02:25 > 0:02:28Well, she doesn't smell of booze and there's no track marks
0:02:28 > 0:02:30but we're still waiting on tox.
0:02:30 > 0:02:34Let's get FBC's, U's and E's, an echo and a head CT.
0:02:34 > 0:02:37And see if you get anywhere with next of kin. No joy so far.
0:02:39 > 0:02:41- So... Survived it then?- What's that?
0:02:41 > 0:02:43The barby. Your brother's thing.
0:02:43 > 0:02:46'Course I did. Big girl, me.
0:02:46 > 0:02:48How 'bout you? Was it good?
0:02:48 > 0:02:51Yeah. She was made up, my auntie. Shock nearly killed her, though.
0:02:51 > 0:02:53- Bit too old for surprises. - Brilliant.
0:02:54 > 0:02:57All right. Best get on with these then.
0:02:59 > 0:03:01So you're suspending the non-referral policy?
0:03:01 > 0:03:03I have little choice in the circumstances.
0:03:03 > 0:03:06- But you're not suspending Mr Spence? - Not yet, no.
0:03:06 > 0:03:10So the fact that he is a loose cannon with a chequered history,
0:03:10 > 0:03:12who defies policy, bullies his colleagues
0:03:12 > 0:03:15and is ultimately responsible for the death of a patient...
0:03:15 > 0:03:18And you're asserting all the above on what grounds?
0:03:18 > 0:03:20There is a right way of doing this - an internal investigation.
0:03:20 > 0:03:23I'd like to see incident reports from all relevant members of staff
0:03:23 > 0:03:24by end of play.
0:03:24 > 0:03:27Let's establish precisely what happened
0:03:27 > 0:03:29before we bring out the firing squad.
0:03:29 > 0:03:33Brain scan's clear, tox is totally clear as is her urine.
0:03:33 > 0:03:34Is that The Girl With No Name?
0:03:34 > 0:03:37So, the arrhythmia must be down to some sort of infection.
0:03:37 > 0:03:39Got hold of anyone yet?
0:03:39 > 0:03:42Get this - last number on her phone called her dad.
0:03:42 > 0:03:4515 times. Nice(!)
0:03:45 > 0:03:46I left a message.
0:03:46 > 0:03:48Plot thickens. Infective endocarditis?
0:03:48 > 0:03:51Thanks, I'm on it.
0:03:51 > 0:03:54Start her on IV antibiotics, and chase up that echo.
0:03:54 > 0:03:56Now would be just fab.
0:04:00 > 0:04:03Must have been one hell of a party - his auntie's.
0:04:03 > 0:04:04He's still in second gear.
0:04:04 > 0:04:07- Who?- Jonny.
0:04:07 > 0:04:11- How was your weekend?- Wild. All night bender with the gals.
0:04:11 > 0:04:13- Really?- No.
0:04:13 > 0:04:15Whilst you two were downing punch
0:04:15 > 0:04:18and counting cousins I was booked into a 5 star boutique hotel.
0:04:18 > 0:04:22Spa, flat screen telly, Egyptian linen, breakfast in bed.
0:04:22 > 0:04:24All with my favourite person - me.
0:04:26 > 0:04:28She's waking up.
0:04:28 > 0:04:32So...Jessica? Anything like this ever occurred before?
0:04:34 > 0:04:35Was anyone with you? A friend?
0:04:35 > 0:04:37A boyfriend?
0:04:37 > 0:04:39You just blacked out?
0:04:39 > 0:04:43B/P 90 over 62, sats 92, temperature at 37.8.
0:04:43 > 0:04:45So, you said you got hold of my dad?
0:04:45 > 0:04:48Yeah, it's just going straight to voicemail.
0:04:48 > 0:04:50Is there anywhere else he might be?
0:04:50 > 0:04:54- Work?- No, he works from home. Try the house number.
0:04:54 > 0:04:57Is there anyone else we can call? Your mum?
0:04:57 > 0:05:02No, she, er...passed away last year. Just me and him.
0:05:03 > 0:05:05OK, I'll give this a try.
0:05:06 > 0:05:08My necklace... Where's my necklace?!
0:05:08 > 0:05:11They must have taken it off when you were admitted. It's OK, I'll look.
0:05:11 > 0:05:14It's a necklace with a ring...
0:05:14 > 0:05:16Yeah, that looks like it.
0:05:16 > 0:05:19- Would you like some help?- Yeah.
0:05:19 > 0:05:21It's pretty. Was it your mum's?
0:05:21 > 0:05:24- Engagement ring.- It's nice.
0:05:24 > 0:05:28- Look, I have to go, I need to be at school.- Whoa, steady on, I can't let you do that.
0:05:30 > 0:05:32Look, Jessica listen.
0:05:34 > 0:05:38Your echo and blood results indicate you have an infection in your heart.
0:05:38 > 0:05:41It's treatable but it's not common. Not at your age.
0:05:41 > 0:05:45- I'm afraid you have to stay here for the moment.- But...- No buts.
0:05:45 > 0:05:49You'll be gone five minutes and then back here in an ambulance.
0:05:49 > 0:05:50Is this about your dad?
0:05:52 > 0:05:55We'll track him down. I promise.
0:05:55 > 0:05:58So they'll do the postmortem and then what?
0:05:58 > 0:05:59You'd think Binns would be out on his ass
0:05:59 > 0:06:02but his type of microbe tends to be super resistant.
0:06:02 > 0:06:03Well, something's shifting anyways.
0:06:03 > 0:06:05They've suspended the non-referral scheme.
0:06:05 > 0:06:08What?! Let me read that.
0:06:08 > 0:06:10We've got two referrals from the ED, bloods are back for bed five
0:06:10 > 0:06:13and Mr Gorman in bed six needs an urgent CT scan.
0:06:13 > 0:06:16Hey. This is good. This is the beginning of the end.
0:06:16 > 0:06:18Leave me out of it, I just want to do my job.
0:06:18 > 0:06:21Eddi, we did nothing wrong. You know that, don't you?
0:06:21 > 0:06:24Can you please take a look at her? We've got an ED overspill.
0:06:24 > 0:06:26Orla?
0:06:26 > 0:06:30What you doing here? We go way back.
0:06:30 > 0:06:33What's up? You in pain?
0:06:33 > 0:06:36- Since when?- A while.
0:06:36 > 0:06:39GP booked me an ultrasound in a couple of weeks but...
0:06:39 > 0:06:41it just got worse.
0:06:41 > 0:06:42So why didn't you call me?
0:06:44 > 0:06:46Hang on, I'll get your notes.
0:06:46 > 0:06:47I need Orla's notes.
0:06:47 > 0:06:51Look who's here.
0:06:51 > 0:06:53Brilliant(!)
0:06:53 > 0:06:54So it's dead in the water, huh?
0:06:54 > 0:06:56Excuse me?
0:06:56 > 0:06:59Your non-referral scheme. Shame it took a person in a body bag.
0:06:59 > 0:07:01A real nice person, remember?
0:07:01 > 0:07:02Yes.
0:07:02 > 0:07:05And a grave error of judgement by a physician who should know better.
0:07:05 > 0:07:09Right, incident reports.
0:07:09 > 0:07:13Mr Hanssen wants them back by the end of the day.
0:07:13 > 0:07:17- Mine will be in way before then. - Oh, I look forward to it.
0:07:17 > 0:07:18As you were.
0:07:22 > 0:07:24So, the non-transfer policy is on hold,
0:07:24 > 0:07:27pending a full investigation into Friday's events.
0:07:27 > 0:07:31Now, I know that an unexpected death is always upsetting
0:07:31 > 0:07:33but I would just like to say how very impressed I am
0:07:33 > 0:07:34with the way you've all handled this.
0:07:34 > 0:07:38You've stuck to the system and tried to make it work.
0:07:38 > 0:07:42As far as I'm concerned, we've done nothing wrong.
0:07:42 > 0:07:44So, really, well done.
0:07:44 > 0:07:47Right, let's get on with what we're here for, shall we?
0:07:47 > 0:07:49Yup. Fun and games(!)
0:07:49 > 0:07:51Well, that's good we can transfer again.
0:07:51 > 0:07:55No? Isn't it?
0:07:55 > 0:07:56Sorry, I don't get it.
0:07:56 > 0:07:58Guess who's going to end up with the overspill?
0:07:58 > 0:08:00And under a magnifying glass?
0:08:00 > 0:08:04Who? Oh. Us?
0:08:04 > 0:08:05Got there in the end.
0:08:05 > 0:08:08You'll have to fill out one of these Ritchie Mooney incident reports.
0:08:08 > 0:08:11- By end of day, please. - Oh, but he wasn't my patient.
0:08:11 > 0:08:13It's nothing to worry about.
0:08:13 > 0:08:16Just your version of events. We all have to do one.
0:08:16 > 0:08:17Thank you.
0:08:19 > 0:08:22Eek! I'm glad I don't have to do one.
0:08:22 > 0:08:24I hate all that times and numbers and what happened before what.
0:08:24 > 0:08:26And I wouldn't want to relive it all.
0:08:26 > 0:08:29I'd start thinking, "Maybe if I did this or what if I'd done that?"
0:08:29 > 0:08:32Now, can you could do the pharmacy lists for me, please?
0:08:32 > 0:08:35Can't believe he hung around all day and then just...
0:08:35 > 0:08:37Sorry.
0:08:37 > 0:08:39Sorry, I didn't...
0:08:39 > 0:08:43- You're probably still cut up about it.- I'm fine.
0:08:43 > 0:08:44Now, let's do what Ms Campbell said.
0:08:44 > 0:08:47We've got a lot of work to do, let's get on with it.
0:08:50 > 0:08:55- Can you just email it? - An infection in her heart? She was fine when she left...
0:08:55 > 0:08:56We're still waiting on some tests.
0:08:56 > 0:09:00- This is Ms Effanga. This is David - Jessica's father.- She was fine when she left for school this morning.
0:09:00 > 0:09:04She didn't leave for school. She was found by the allotments in the early hours.
0:09:04 > 0:09:05The allotments?
0:09:05 > 0:09:07Dad!
0:09:07 > 0:09:09I'm sure I heard the door go this morning.
0:09:09 > 0:09:11I tried to call you.
0:09:12 > 0:09:16How... How serious is it?
0:09:16 > 0:09:18It's OK... It's just antibiotics.
0:09:20 > 0:09:22We'll be back in a bit.
0:09:23 > 0:09:26Talk about a glittering career in MI5.
0:09:26 > 0:09:29There's something going on but we'll pretend there isn't.
0:09:29 > 0:09:30Well, you should know.
0:09:30 > 0:09:31Excuse me?
0:09:33 > 0:09:36Don't be shy, go on. What was that?
0:09:36 > 0:09:39All right then. You and Naylor.
0:09:39 > 0:09:40This weekend. I know.
0:09:40 > 0:09:43I saw the text on your phone last week.
0:09:43 > 0:09:44Right. OK.
0:09:44 > 0:09:46OK? I thought I was your mate,
0:09:46 > 0:09:49not your mum that you have to go round lying to.
0:09:49 > 0:09:50- Chill out, will you?- Me?
0:09:50 > 0:09:54I'm not the one who invented a surprise party for my ailing auntie just so I can get my leg over.
0:09:54 > 0:09:56I mean, talk about cliche.
0:09:56 > 0:09:58Look, don't go over the top.
0:09:59 > 0:10:02I am sorry I lied to you, all right, but...
0:10:02 > 0:10:05it's early days and we, just wanted to keep it under wraps.
0:10:05 > 0:10:07Well, thanks for the vote of confidence.
0:10:07 > 0:10:10- We just want to... - "We". That's sweet.
0:10:10 > 0:10:13- She... Jessica, she can't breathe very well.- Ultrasound. Now.
0:10:16 > 0:10:18Nurse? Nurse! >
0:10:19 > 0:10:22- Is it always like this in here? - That's how I like it?
0:10:22 > 0:10:24SHE MOANS IN PAIN
0:10:24 > 0:10:28It's pretty tender there. This been going on for a while?
0:10:28 > 0:10:32Can't believe you didn't call me.
0:10:32 > 0:10:34We haven't been in touch for a while.
0:10:34 > 0:10:37- Michael, can you look at these? They're urgent.- Yeah.
0:10:37 > 0:10:39Keller. Keller. And Keller.
0:10:39 > 0:10:43What? They can't stay down here forever and we are allowed to do our job now.
0:10:43 > 0:10:45That's going to go down like a lead balloon.
0:10:45 > 0:10:48Tough. They got a problem with it, they can come see me.
0:10:48 > 0:10:51Oh, let's runs some IV fluids, B/P cuff, pulse oxymeter,
0:10:51 > 0:10:54FBC's, U's and E's, full bloods and urine output.
0:10:54 > 0:10:57Oh, and let's book an ultrasound. Urgently.
0:10:57 > 0:10:59OK.
0:10:59 > 0:11:02Michael, I can come back. I'm not at death's door.
0:11:02 > 0:11:04No way. Are you kidding me?
0:11:04 > 0:11:08In fact, I'm going to chase that ultrasound myself.
0:11:08 > 0:11:12Right, I'm afraid the infection has caused a leak in your heart.
0:11:12 > 0:11:14We call it mitral regurgitation.
0:11:14 > 0:11:16You'll need an operation to repair it.
0:11:16 > 0:11:19Operation? Can't you...
0:11:19 > 0:11:22- prescribe something? - Sometimes, yes.
0:11:22 > 0:11:24But this leak is a bit too serious.
0:11:24 > 0:11:27What we need to do is fit you with a new valve and you'll be good as new.
0:11:27 > 0:11:29- How soon?- Soon as.
0:11:29 > 0:11:32It's a very straightforward procedure.
0:11:32 > 0:11:34I've done it hundreds of times.
0:11:34 > 0:11:37And...during the operation will you...?
0:11:37 > 0:11:39Will you have to give me blood?
0:11:39 > 0:11:42- We will have your blood type on stand by should you...- No.
0:11:42 > 0:11:43Yes.
0:11:43 > 0:11:45Well...that's the point.
0:11:45 > 0:11:48I can't take blood.
0:11:49 > 0:11:52We're Witnesses. Jehovah's Witnesses.
0:11:55 > 0:11:57OK? I will be as quick as I can.
0:11:57 > 0:12:03Hey, take as long as you want. Been here before once or twice.
0:12:03 > 0:12:06Anyway am I getting the presidential treatment just because you fancy me
0:12:06 > 0:12:08or are you trying to make a point?
0:12:08 > 0:12:12Well, I think that's obvious.
0:12:12 > 0:12:13It's cos I fancy you.
0:12:14 > 0:12:16What's going on?
0:12:16 > 0:12:18I presume it's all to do with that jumped up twerp
0:12:18 > 0:12:20who waltzed in here earlier.
0:12:20 > 0:12:22I love it when you talk dirty.
0:12:22 > 0:12:24No, come on.
0:12:24 > 0:12:28- And don't bother with the official version, Bob told me everything. - Hey.
0:12:28 > 0:12:31I only called him to let off steam, not to enlist your legal counsel.
0:12:31 > 0:12:35Nonetheless it's my job and I'm good at it.
0:12:35 > 0:12:40Plus. Losing a patient. That leaves a dent.
0:12:40 > 0:12:44Well, I thank you for the offer but it's all under control.
0:12:46 > 0:12:48See anything?
0:12:48 > 0:12:52Too many adhesions blocking the view.
0:12:52 > 0:12:55Yup. Endometrial and surgical. They blocked the IVF too.
0:12:57 > 0:12:59Bob told me what happened in Brazil.
0:12:59 > 0:13:03How it all fell through at the last minute. I'm very sorry about that.
0:13:03 > 0:13:06You know, they tell you to expect it.
0:13:07 > 0:13:11It's hard when you learn their names, see photo's,
0:13:11 > 0:13:13then it doesn't work out.
0:13:13 > 0:13:16I guess some things are just not meant to happen.
0:13:18 > 0:13:20SHE WINCES IN PAIN
0:13:20 > 0:13:22You OK? We're going to sort this out.
0:13:22 > 0:13:25I'm going to get your blood test results.
0:13:25 > 0:13:26- You hang in there.- OK.
0:13:31 > 0:13:33Yeah, Ms Effanga. She knows me well.
0:13:34 > 0:13:36As soon as. Today if possible.
0:13:36 > 0:13:4116-year-old girl, that's right.
0:13:41 > 0:13:42Thank you.
0:13:44 > 0:13:46- This Jessica?- Yup.
0:13:46 > 0:13:47I'm transferring her.
0:13:47 > 0:13:50- Why?- Because. In my opinion, she'd be better off somewhere else.
0:13:50 > 0:13:51Where you going?
0:13:51 > 0:13:55- Clear it with your girlfriend. If that's OK with you? - Mind if I join you?
0:13:55 > 0:13:58'Course not. I've got nothing to hide.
0:13:58 > 0:14:02Can you call Intermediary Care, she should have been gone ages ago.
0:14:02 > 0:14:04Do not let them muck you about.
0:14:04 > 0:14:07No! 50 feet?! That's so brave.
0:14:07 > 0:14:10Oh, I don't know. It's just what we do.
0:14:11 > 0:14:14- Don't tell me. AAU. - Sam Mckenzie - 22.
0:14:14 > 0:14:18Fell from 50 feet. Broken ribs, fractured wrists
0:14:18 > 0:14:21- and really nasty lacerations. - Right, let's get him into bay four.
0:14:23 > 0:14:25Sam's a fireman.
0:14:25 > 0:14:29Get it? He's a fireman. Fireman Sam!
0:14:29 > 0:14:33Doesn't Daniel watch Fireman Sam? I love Fireman Sam.
0:14:33 > 0:14:35Daniel is two. What's your excuse?
0:14:37 > 0:14:38Right, this cut looks like
0:14:38 > 0:14:40it's going to need to be debrided in theatre,
0:14:40 > 0:14:44- so you might have to wait a bit. - Oh, no worries. I'm pumped full of morphine as it is.
0:14:44 > 0:14:47- HE SPLUTTERS - Noisy, isn't it?
0:14:47 > 0:14:50Let's do this, shall we? That's better.
0:14:50 > 0:14:52Right, I'll be right back.
0:14:54 > 0:14:59- 30 minute obs, please. - Aw, he's lovely. Isn't he lovely?
0:14:59 > 0:15:02- Yes, he's lovely.- You know he had a fall rescuing someone.
0:15:02 > 0:15:05Really? What, you mean he didn't jump off a building for no reason?
0:15:05 > 0:15:07Why would he?
0:15:07 > 0:15:09I give up.
0:15:10 > 0:15:1530 minute obs, keep on top of his fluid and his pain relief.
0:15:15 > 0:15:18Hello. We do have other patients.
0:15:19 > 0:15:22Sorry. Of course. Sorry.
0:15:25 > 0:15:30- We don't have all the up-to-date equipment for a bloodless.- Well, I can sort out a cell saver machine.
0:15:30 > 0:15:32- Yeah, but not in time.- Yes. In time.
0:15:32 > 0:15:35Do we really want to take a chance on a high risk, high profile,
0:15:35 > 0:15:38highly specialised case after last week's debacle on AAU?
0:15:38 > 0:15:41I don't even see why we should go there
0:15:41 > 0:15:44when I'm sure Kate Morgan at St John's will take her. It's her thing.
0:15:44 > 0:15:47Obviously, it's your call but, just for the record,
0:15:47 > 0:15:49I'm uncomfortable with doing bloodless.
0:15:49 > 0:15:51Fine. Whatever.
0:15:54 > 0:15:57Wow. Swift and decisive.
0:15:57 > 0:16:01I'm doing the best for Jessica, believe it or not.
0:16:02 > 0:16:03The girl's not a parcel.
0:16:03 > 0:16:06You should at least talk her through her options?
0:16:06 > 0:16:08Yes, the image is very unclear.
0:16:08 > 0:16:09She's in a lot of pain.
0:16:09 > 0:16:12- And the bloods don't add up so I want you to take a look.- OK.
0:16:12 > 0:16:16Orla, this is Sacha Levy. Surgeon extraordinaire.
0:16:16 > 0:16:19Two of you. I'm honoured.
0:16:19 > 0:16:21May I?
0:16:22 > 0:16:24- Have they topped up your pain relief?- Yes.
0:16:24 > 0:16:27- Any more and I'll be seeing rabbits. - OK, so I think we have two options.
0:16:27 > 0:16:30Either we're looking at a bowel obstruction,
0:16:30 > 0:16:32or more likely appendicitis.
0:16:32 > 0:16:33So, a laparoscopy?
0:16:33 > 0:16:37That's exactly what I was thinking. And a referral to Keller.
0:16:38 > 0:16:40Do you want a second signature?
0:16:40 > 0:16:41Yes, sir.
0:16:41 > 0:16:44- Well, I'm glad to be of help. - Well, that's that, then.
0:16:45 > 0:16:49I'll arrange for a theatre slot. Do you want me to call Bob for you?
0:16:49 > 0:16:52No. I'll... I'll do that.
0:16:53 > 0:16:54Nice move(!)
0:16:54 > 0:16:58Don't you think you should be keeping a little bit of a low profile?
0:16:58 > 0:17:01Did I come up with a scheme that cost a patient's life?
0:17:01 > 0:17:03Fair enough. I just hope you know what you're doing.
0:17:03 > 0:17:07Cos this type of thing - it can easily blow up in your face.
0:17:08 > 0:17:11So, I'd,... have to go to London?
0:17:12 > 0:17:13Can't you do it here?
0:17:13 > 0:17:16- We could. Traditionally. - No, I don't want that.- OK.
0:17:16 > 0:17:18St John's has specialist equipment
0:17:18 > 0:17:21and Ms Morgan is an expert in the field.
0:17:21 > 0:17:23But... what do they have that you don't?
0:17:23 > 0:17:26It's called a cell saver machine.
0:17:26 > 0:17:30It basically collects any blood you lose during the operation,
0:17:30 > 0:17:34holds it, filters it and re-infuses it back into you.
0:17:34 > 0:17:38You do understand the difference? The risks.
0:17:38 > 0:17:40If you have a bleed in surgery,
0:17:40 > 0:17:43circulating your own blood may not be as effective.
0:17:43 > 0:17:44Effective?
0:17:44 > 0:17:46At making up for the blood you're losing.
0:17:46 > 0:17:50- At the rate you're losing it. - You mean at keeping me alive?
0:17:50 > 0:17:51Yes.
0:17:51 > 0:17:55- Jessica.- Yes. I understand.
0:17:57 > 0:17:58I do.
0:18:00 > 0:18:03OK. We'll put the wheels in motion.
0:18:10 > 0:18:12- OK. What's going on? - What do you mean?
0:18:12 > 0:18:15You know I could have got you that machine and you never even gave me a chance.
0:18:15 > 0:18:17Look, I know it's risky but so is moving her.
0:18:17 > 0:18:21- Not on the same scale. - Not like you to duck a challenge.
0:18:21 > 0:18:23Well, maybe you don't know me as well as you think you do.
0:18:23 > 0:18:26You don't approve, do you? Because they're joveys.
0:18:26 > 0:18:29- I mean, that's what this is about so why don't you just stay so?- Look,
0:18:29 > 0:18:33do I like the idea of letting someone bleed to death rather than have a simple blood transfusion?
0:18:33 > 0:18:37No - kind of goes against everything we're taught but that's not what this is...
0:18:37 > 0:18:39But you're not being judgemental or anything.
0:18:39 > 0:18:41Never had you down for one of those.
0:18:42 > 0:18:46- "One of those"?- Liberal fanatic. Everything black and white.
0:18:46 > 0:18:49- Trying to make yourself feel better, are you?- What for?- Lying to me.
0:18:49 > 0:18:53Move on already. You make out like I've committed third degree murder.
0:18:53 > 0:18:56We've already wasted enough air on this. Just book an ambulance.
0:18:56 > 0:18:59Sure. Whatever. I mean, you're obviously right.
0:19:03 > 0:19:06I don't know what you mean. Eddi, let me know when they come back with a slot.
0:19:06 > 0:19:09Of course you do. You've been referring to Keller like crazy.
0:19:09 > 0:19:11In the last hour alone - possible splenectomy,
0:19:11 > 0:19:15suspected strangulated hernia and now suspected appendicitis.
0:19:15 > 0:19:17Michael, we don't have the beds.
0:19:17 > 0:19:19Well, I can't send them packing. We don't do that anymore.
0:19:19 > 0:19:22What happened on Friday didn't just happen to you.
0:19:22 > 0:19:24- We've all got to live with it. - Yeah, that's the point.
0:19:24 > 0:19:26This isn't helping, we're all suffering.
0:19:26 > 0:19:28We've all got to fill the reports in.
0:19:28 > 0:19:30Well, I suggest you write it as it is
0:19:30 > 0:19:32because I'm going to make it very plain and simple
0:19:32 > 0:19:35and there will be no doubt as to what happened and why.
0:19:35 > 0:19:36Good for you.
0:19:36 > 0:19:38Just don't take it out on the rest of us.
0:19:39 > 0:19:41Mr Spence.
0:19:41 > 0:19:44A word.
0:19:44 > 0:19:46For you? Anytime.
0:19:48 > 0:19:51Kate Morgan is well known for blood conservation techniques.
0:19:51 > 0:19:52- She's the best.- Thank you.
0:19:52 > 0:19:55- I know it's difficult. - Dad...
0:19:55 > 0:19:57- Jessica? - Hang on, stop, stop.
0:19:57 > 0:20:00- What? What is it? - Oxygen levels are dropping.- Jessica?
0:20:00 > 0:20:04She's crashing! We need to get her back. Get the Crash Team. Now.
0:20:09 > 0:20:12Come here! Good girl.
0:20:12 > 0:20:16No! No!
0:20:16 > 0:20:17Are you OK?
0:20:18 > 0:20:22Yes, I... I must have nodded off, I...
0:20:22 > 0:20:26I think you had a bad dream. You sounded upset.
0:20:26 > 0:20:28No, no, I'm fine.
0:20:28 > 0:20:32- Chantelle. A word, please. - I'll be right back.
0:20:32 > 0:20:35I don't know if I've made myself clear but the overload is killing us.
0:20:35 > 0:20:38- We don't have time for you to be chatting up patients.- I wasn't.
0:20:38 > 0:20:40I wasn't.
0:20:40 > 0:20:43I think he's in a lot of pain, much more than he's saying.
0:20:43 > 0:20:46Maybe we should get Serena to have a look at him.
0:20:46 > 0:20:47Let me see.
0:20:53 > 0:20:57Yeah, he does have a fever. It could be sepsis.
0:20:57 > 0:21:00Get Serena. She needs to take him in now.
0:21:00 > 0:21:04Charging to 160. Clear.
0:21:04 > 0:21:09- Oh my...!- Push 1ml of adrenaline. Charging again.
0:21:09 > 0:21:10And clear.
0:21:12 > 0:21:14Back in sinus. She's back with us.
0:21:14 > 0:21:18I'm sorry... I-I need to get some air.
0:21:19 > 0:21:22- Ollie, get a TOE.- What? Is this...? - Yes, Jessica Whitten.
0:21:22 > 0:21:25Was going to St John's for a bloodless mitral valve repair
0:21:25 > 0:21:28- but she's just crashed so she's not going anywhere.- OK.
0:21:28 > 0:21:31We need a TOE and a theatre slot.
0:21:31 > 0:21:34- OK, give us a chance. Where's Jonny? Isn't he...?- Change of plan.
0:21:34 > 0:21:35He's in theatre with Jac.
0:21:35 > 0:21:37Right. Great(!)
0:21:39 > 0:21:42Jessica? How you feeling?
0:21:42 > 0:21:45Where's...? Where's my dad?
0:21:45 > 0:21:47It's just rumour has it you're going off piste
0:21:47 > 0:21:49and sending the world and his wife to Keller.
0:21:49 > 0:21:50What do you want, Binns?
0:21:50 > 0:21:54- Think about what you're doing. It won't do you any favours. - Ah, you're thinking of me?
0:21:54 > 0:21:56- You are a good surgeon.- Thank you.
0:21:56 > 0:22:00You are of value to this hospital and I've never pretended otherwise.
0:22:00 > 0:22:02Let me stop you right there.
0:22:02 > 0:22:05I have nothing to say to you, George. It'll all be in my report.
0:22:05 > 0:22:07And you're so confident you won't be a lone voice?
0:22:07 > 0:22:09Absolutely.
0:22:09 > 0:22:13Everyone knows that scheme was a disaster waiting to happen.
0:22:13 > 0:22:17Everyone also knows that you could have transferred Ritchie Mooney but decided against it,
0:22:17 > 0:22:21that you forced him on other wards, that you coerced a nurse to help you ferry him
0:22:21 > 0:22:25- in what can only be described as... - I was trying to save his life.
0:22:25 > 0:22:28Well, that's your take on it. Other people may see it differently.
0:22:28 > 0:22:32That appendectomy. The patient's a friends of yours, isn't she?
0:22:32 > 0:22:36People talk, you see.
0:22:36 > 0:22:38They're not impressed you're rushing a mate through.
0:22:38 > 0:22:42I'm scared, George.
0:22:42 > 0:22:45Have it your way.
0:22:45 > 0:22:47But don't assume everyone here will back you up.
0:22:49 > 0:22:52It's time you stopped believing your own hype.
0:22:57 > 0:22:59SHE BLOWS
0:23:02 > 0:23:06So, this trans oesopha...?
0:23:06 > 0:23:08Transesophageal echo.
0:23:08 > 0:23:10We put a camera down your throat
0:23:10 > 0:23:13so we can get a closer look at your heart.
0:23:13 > 0:23:16It's done under local anaesthetic so it's not too horrible
0:23:16 > 0:23:18and it'll give us a better idea of where to go from here.
0:23:21 > 0:23:23Look, your dad will be back soon, I'm sure.
0:23:23 > 0:23:27Think he had a bit of a shock. Probably needed a minute.
0:23:28 > 0:23:31You're really worried about him, aren't you?
0:23:31 > 0:23:34It's just...
0:23:34 > 0:23:37since Mum died... I don't think he can...
0:23:40 > 0:23:43He's started drinking.
0:23:43 > 0:23:47He thinks I don't know but I do. Mum had an allotment.
0:23:47 > 0:23:49That's where he goes.
0:23:49 > 0:23:51He usually comes back around 11 but...
0:23:51 > 0:23:54last night he didn't and I got so worried.
0:23:54 > 0:23:58He was OK to begin with.
0:23:58 > 0:24:03People round us were...so great.
0:24:03 > 0:24:06That's how it is in the congregation.
0:24:06 > 0:24:09Everyone rallies round. And then...
0:24:09 > 0:24:12Everyone gets back to their own lives?
0:24:17 > 0:24:21She said I have to look after him. That men are much weaker than women.
0:24:22 > 0:24:28- That's a heavy weight to carry. - I'll be OK.
0:24:28 > 0:24:31It's just, Dad...
0:24:33 > 0:24:39sometimes I think he's afraid that if he gets over her...
0:24:39 > 0:24:43it means he never really loved her you know.
0:24:44 > 0:24:47Right, 30 minute obs, keep the IV antibiotics
0:24:47 > 0:24:50and 5ml of morphine. I'm going to have to leave you.
0:24:50 > 0:24:52I have a strangulated hernia waiting.
0:24:52 > 0:24:53I really appreciate this.
0:24:53 > 0:24:56Yeah, and next time I would really appreciate seeing the patient
0:24:56 > 0:24:58before you present me with a fate accompli.
0:24:58 > 0:25:01I didn't want to take any chances today.
0:25:01 > 0:25:03OK, fair enough.
0:25:03 > 0:25:06Oh, joy(!)
0:25:06 > 0:25:10- What do you want, Michael? I haven't written it yet. - I want to know where you stand.
0:25:10 > 0:25:12- In the middle of a war zone, evidently.- I'm not kidding, Serena.
0:25:12 > 0:25:16Ultimately this is an AAU issue and you're head of AAU.
0:25:16 > 0:25:19- Don't pass the buck. You signed his transfer.- Yes,
0:25:19 > 0:25:22in good faith and I never dreamt you'd try and deliver him in the back of a van.
0:25:22 > 0:25:25- I had no other choice. - Well, that's for you to think about.
0:25:25 > 0:25:29Serena. Non referral doesn't work. You know that,
0:25:29 > 0:25:33I know you know that and we both know you were influenced to support it so get real.
0:25:33 > 0:25:36No, you GET REAL.
0:25:36 > 0:25:38This is a multi-disciplinary hospital, Michael.
0:25:38 > 0:25:40There's no such thing as a perfect system.
0:25:40 > 0:25:43In the real world, we make real compromises.
0:25:43 > 0:25:45And then try and live with them.
0:25:47 > 0:25:50MO: I really, really appreciate it, Professor Hope.
0:25:50 > 0:25:52If they agree, I'll send a courier.
0:25:53 > 0:25:55I so owe you one, thanks.
0:25:58 > 0:26:01Mr Whitten. I was coming to look for you.
0:26:01 > 0:26:04I was...I had to make some calls.
0:26:04 > 0:26:07Don't get me wrong. I'm sorry for your loss.
0:26:07 > 0:26:09But you are the adult and she is the child.
0:26:09 > 0:26:12You lost your wife but she lost her mother.
0:26:12 > 0:26:15And she's ill, scared, on her own
0:26:15 > 0:26:18and facing the prospect of a major operation.
0:26:18 > 0:26:21Now, I'm sorry to be blunt but you need to man up.
0:26:21 > 0:26:24PAGER BLEEPS
0:26:24 > 0:26:26Excuse me.
0:26:34 > 0:26:37All finished. Well done.
0:26:38 > 0:26:40SHE COUGHS
0:26:42 > 0:26:45- Sore?- Just a bit.
0:26:45 > 0:26:47Let's take a look.
0:26:49 > 0:26:53- OK...- That OK didn't sound too good.
0:26:53 > 0:26:56Hey. It'll be fine.
0:27:07 > 0:27:10Right, your mitral valve is infected.
0:27:10 > 0:27:13We have to replace it and it can't wait.
0:27:13 > 0:27:15I'm not well enough to go to London, am I?
0:27:15 > 0:27:18You think this is mad, don't you?
0:27:18 > 0:27:21- What?- The whole...blood thing. Insisting on it like that.
0:27:21 > 0:27:23You don't get it.
0:27:23 > 0:27:25It's not my place to say.
0:27:27 > 0:27:30"Anyone shedding man's blood,
0:27:30 > 0:27:34"by man will his own blood be shed, for in God's image he made man."
0:27:34 > 0:27:38I'm not a Witness cos my mum and dad said I have to be.
0:27:38 > 0:27:40I believe it.
0:27:40 > 0:27:43And it means...I'm not alone.
0:27:44 > 0:27:47I won't change my mind.
0:27:52 > 0:27:54You still look a bit pale and sweaty.
0:27:54 > 0:27:57Look, I'm sure it's nothing. When can I get out of here?
0:27:57 > 0:27:58Not just yet, I'm afraid.
0:27:58 > 0:28:01His B/Ps up and his heart rate.
0:28:02 > 0:28:06And what's this? This rash.
0:28:06 > 0:28:07Have you ever had this before?
0:28:07 > 0:28:09Never seen it.
0:28:09 > 0:28:10Are you allergic to anything?
0:28:10 > 0:28:12No.
0:28:14 > 0:28:17Is there anything you want to tell us?
0:28:17 > 0:28:19Could I have FBC's,
0:28:19 > 0:28:23U's and E's, LFT's, glucose and an abdominal ultrasound, please?
0:28:23 > 0:28:24What?
0:28:24 > 0:28:29- You heard. Not taking any chances. - But he's already had all of those.
0:28:29 > 0:28:32Well, they've obviously missed something which we are not going to.
0:28:36 > 0:28:39Kate, I cannot thank you enough.
0:28:39 > 0:28:42Yep, we'll consent and prep her and she'll be ready and waiting for you.
0:28:42 > 0:28:45Brilliant, thanks, Kate.
0:28:45 > 0:28:50Well, here it is. Professor Hope has ways and means.
0:28:50 > 0:28:52He truly is the main man.
0:28:54 > 0:28:55Mr Whitten.
0:28:56 > 0:28:57Is that it?
0:28:59 > 0:29:01So, she's totally dependant on that thing.
0:29:01 > 0:29:03Yes.
0:29:03 > 0:29:05What's going on with...?
0:29:05 > 0:29:07Sorry, I didn't realise you were...?
0:29:07 > 0:29:08It's OK.
0:29:08 > 0:29:10I was just leaving.
0:29:14 > 0:29:18- I heard. So it's going ahead here. - It is.
0:29:18 > 0:29:20And presumably you'll be doing the honours.
0:29:20 > 0:29:21No, I'm not.
0:29:26 > 0:29:29- Still digging your heels, are you? - Look, get off my back, yeah?
0:29:29 > 0:29:31- Kate Morgan's on her way, all right? - So?
0:29:31 > 0:29:33You could take her in now, help her,
0:29:33 > 0:29:37but you'd rather drag a consultant from London.
0:29:38 > 0:29:39On a point of principle?
0:29:39 > 0:29:43- That's exactly what I'm going to do cos that's the type of person I am, right?- Well, why then?
0:29:43 > 0:29:47What's the great, overwhelming reason that you won't get your finger out?
0:29:47 > 0:29:51Because the last time I did it my patient died.
0:29:53 > 0:29:55That a good enough reason for you?
0:29:55 > 0:29:59I don't get it - we lose people all the time.
0:29:59 > 0:30:01Yes, but this one was down to me.
0:30:01 > 0:30:08We were understaffed and I pushed for it. It was my fault.
0:30:10 > 0:30:11I had no idea.
0:30:11 > 0:30:14Something else you didn't know about me.
0:30:16 > 0:30:17So, guess what?
0:30:17 > 0:30:20There are no slots for electives at the moment and we may have to wait.
0:30:20 > 0:30:23Campbell's fighting back, huh?
0:30:23 > 0:30:26I mean can you believe it, she's calling it an AAU issue?
0:30:26 > 0:30:30She just trying to wash her hands of the whole thing. I mean...
0:30:30 > 0:30:34- What? - What? What do you want me to say?
0:30:34 > 0:30:35You think this is right?
0:30:36 > 0:30:39I think. We could have handled it better.
0:30:39 > 0:30:42OK. I get it. Someone's got to take the hit.
0:30:42 > 0:30:45- That's not what I meant.- It's fine. - Michael, that's not what I meant.
0:30:45 > 0:30:47It's all right.
0:30:47 > 0:30:49- Orla.- Hey.
0:30:49 > 0:30:53We're backed up in theatre so it's going to be a little bit of a wait.
0:30:53 > 0:30:54Bob's on his way?
0:30:54 > 0:30:58Yeah... Yeah, he had to pick some stuff up.
0:30:58 > 0:30:59You OK?
0:30:59 > 0:31:03- Yeah, I'm all right. - Things getting out of hand?
0:31:03 > 0:31:06- There're just trying to screw me over.- I meant what I said. Let me help.
0:31:06 > 0:31:11Michael, we've been here before. You thought you'd never live the plastics down.
0:31:11 > 0:31:14- Yeah, I know. I owe you big time for that.- You certainly do.
0:31:16 > 0:31:21- You just need to rest right now. - Why don't you get me all the paperwork you have.
0:31:21 > 0:31:22I can go over it.
0:31:22 > 0:31:26Michael, now.
0:31:26 > 0:31:27Shift.
0:31:27 > 0:31:30All right, all right, I'm shifting.
0:31:32 > 0:31:35SHE SCREAMS IN PAIN
0:31:36 > 0:31:39Eddi?
0:31:39 > 0:31:43All right. OK, we're not going to do the laparoscopy, we don't have time.
0:31:43 > 0:31:45We're going to do an open procedure. Prep theatre.
0:31:58 > 0:32:00I wish...
0:32:00 > 0:32:02Could you not do it?
0:32:02 > 0:32:04I'm sorry.
0:32:06 > 0:32:09Lost a bit of her mojo, today, the effervescent Ms Effanga.
0:32:12 > 0:32:14Go on, spit it out.
0:32:14 > 0:32:15Oh, it's nothing.
0:32:15 > 0:32:18She found out about the weekend thing and she's not very pleased.
0:32:18 > 0:32:19Well she'll have to get over it.
0:32:19 > 0:32:21ALARM BLEEPS
0:32:21 > 0:32:24- 5ml of diazepam. - No, no, no, no!
0:32:24 > 0:32:27- B/P dropping, sats at 82/ - Jessica. Jessica, can you hear me?
0:32:27 > 0:32:31- What the hell happened?- She crashed. You need to take her in, now.
0:32:31 > 0:32:32But Morgan's on her way.
0:32:32 > 0:32:36I don't care if she's being beamed over. We're not taking a chance cos you've lost your mojo today.
0:32:36 > 0:32:43You're a surgeon. We have a theatre ready and waiting. You're taking her in and you're doing it now.
0:32:43 > 0:32:46Everyone's just protecting their own interests. Divide and rule.
0:32:46 > 0:32:49Binns is getting exactly what he wanted.
0:32:49 > 0:32:52Well, it's human nature, I'm afraid. Everyone wants to keep their jobs.
0:32:52 > 0:32:54Right.
0:32:57 > 0:33:00Appendix is clear. Bowel seems fine.
0:33:02 > 0:33:05Wait a minute. Ovarian torsion. Right hand side.
0:33:05 > 0:33:07Blood supply is cut off.
0:33:07 > 0:33:08Page Gynaecology, please.
0:33:08 > 0:33:11Did you not request a Gynae consult when she was on the ward?
0:33:11 > 0:33:15There's no point now, is there? This ovary needs to come out.
0:33:15 > 0:33:18It's strangulated and necrotic. We can't wait for Gynae.
0:33:18 > 0:33:20Scissors, please.
0:33:20 > 0:33:23- You haven't asked us to call anyone. - Yeah, I don't want anyone here.
0:33:23 > 0:33:26I call a friend - maybe from the station? -
0:33:26 > 0:33:28No, I'm fine honestly.
0:33:28 > 0:33:31It's just if there's anything you need or anything you want to talk through.
0:33:31 > 0:33:34Look, I just said it's fine! I just said, didn't I?
0:33:34 > 0:33:39What's going on? Something wrong?
0:33:39 > 0:33:43- Nothing. - It's fine... Everything's fine.
0:33:48 > 0:33:49What are you doing?
0:33:49 > 0:33:53Nothing, I... You know, I think there's something bothering him.
0:33:53 > 0:33:56- When I asked him before if there's anything he...- That's it, OK.
0:33:56 > 0:33:59Just got and chase up that scan for me, please.
0:33:59 > 0:34:02But I just think maybe we don't need to run all these tests.
0:34:02 > 0:34:04- Is that your expert opinion? - It's just a feeling.
0:34:04 > 0:34:06A "feeling"?
0:34:06 > 0:34:09Don't look at me like that. I'm not simple.
0:34:09 > 0:34:11Really, I have had enough drama for today.
0:34:11 > 0:34:15Well, maybe you need to think about how you speak to people.
0:34:17 > 0:34:18Excuse me?!
0:34:18 > 0:34:22Because you've been looking down your nose all day at me today and...
0:34:22 > 0:34:26- frankly, I don't think I should take this anymore.- Take what?
0:34:28 > 0:34:30Running a happy ship?
0:34:33 > 0:34:37- I've never seen such dense adhesions.- Yeah, but we're finally getting somewhere.
0:34:39 > 0:34:41Right.
0:34:43 > 0:34:46- What the...?- What?
0:34:46 > 0:34:50Hang on. Did you not test for pregnancy?
0:34:50 > 0:34:51Why would I?
0:34:51 > 0:34:53She's 47, perimenopausal,
0:34:53 > 0:34:56with a long history of infertility and failed IVF treatments. Come on.
0:34:56 > 0:34:58Well, you should have.
0:35:04 > 0:35:05You're kidding me.
0:35:05 > 0:35:08Nope. Her uterus is large and soft and very vascular.
0:35:08 > 0:35:10No way.
0:35:10 > 0:35:14Yes way. I'd say she's about 12 weeks gone.
0:35:19 > 0:35:22Will you keep it safe for me?
0:35:25 > 0:35:27I'm not scared, you know.
0:35:29 > 0:35:31I know she's looking over me.
0:35:31 > 0:35:34See, I...could have fallen away...
0:35:35 > 0:35:39but I've not abandoned the straight path.
0:35:39 > 0:35:43Like she said. And now she's with me.
0:35:43 > 0:35:45Yeah.
0:35:50 > 0:35:54You promise...no bloods?
0:35:54 > 0:35:56No bloods.
0:36:07 > 0:36:09- Nice work.- 2.O Prolene.
0:36:11 > 0:36:13You pull it off every time, you.
0:36:13 > 0:36:16Knock it off. I thought it was appendicitis.
0:36:16 > 0:36:19Yeah. But you knew she had to come in.
0:36:19 > 0:36:23If you hadn't, she wouldn't have made it till tomorrow.
0:36:23 > 0:36:25As for the baby, let's not even go there.
0:36:25 > 0:36:26Where's this going?
0:36:26 > 0:36:30I just don't want you to throw your career away like this, you know.
0:36:30 > 0:36:32Such a tragic waste.
0:36:32 > 0:36:35So I should keep my head down and play the game like everyone else?
0:36:35 > 0:36:40The game is rigged anyway. I say don't play at all.
0:36:40 > 0:36:42But what about the game behind the game?
0:36:44 > 0:36:49Michael, we're here for one reason and one reason only. We're surgeons,
0:36:49 > 0:36:53we're not politicians. Let's just do what we're good at.
0:36:57 > 0:37:01My wife, she...she came in for a check up, you know.
0:37:04 > 0:37:10And that was it - just one check up And it was all over.
0:37:12 > 0:37:14I mean, it took a few months but...
0:37:16 > 0:37:20No amount of blood could have saved her.
0:37:20 > 0:37:23No amount of anything.
0:37:25 > 0:37:27She'd hate what's happened to me.
0:37:28 > 0:37:32It's my fault that Jessica is in there. No-one else's.
0:37:32 > 0:37:34I'm sure that's not the case.
0:37:34 > 0:37:40The thought of it - on her own, lying on some cold pavement...
0:37:40 > 0:37:42Now really isn't the time to...
0:37:42 > 0:37:44She was looking for me.
0:37:52 > 0:37:58What if something happens in there? What if she needs blood?
0:37:58 > 0:37:59Things go wrong.
0:37:59 > 0:38:03She'll be fine. Ms Effanga is an excellent surgeon.
0:38:03 > 0:38:06A surgeon who never wanted to do this operation.
0:38:06 > 0:38:08No, this is wrong.
0:38:08 > 0:38:11No, you tell her. You tell her that I want to give Jessica blood.
0:38:11 > 0:38:15- I can't. Jessica's given her consent. It's what she wanted. - Then, I'll tell her.
0:38:15 > 0:38:18I'm not going to let you in there.
0:38:18 > 0:38:20You just get out of my way. I know my rights.
0:38:22 > 0:38:23Diathermy, please.
0:38:25 > 0:38:27Thank you.
0:38:38 > 0:38:39We have a problem.
0:38:39 > 0:38:43- What?- The father wants you to use blood.- But she doesn't want it!
0:38:43 > 0:38:47- Well, he's had a change of heart and he's threatening legal action. - Tell him it's too late.
0:38:47 > 0:38:50I have. He's on his way to Naylor's office now.
0:38:50 > 0:38:55This isn't happening. Keep her under. I'll be right back.
0:39:35 > 0:39:38The last thing we need right now is another body bag and a front page spread.
0:39:38 > 0:39:40What about what she wants?
0:39:40 > 0:39:45- I thought you didn't want to do this operation - that you didn't feel comfortable.- Exactly.
0:39:45 > 0:39:48You were the one going on about the risks.
0:39:48 > 0:39:50Yeah, but we've started now. I can do it, I know I can.
0:39:50 > 0:39:55I. Don't. Want. To take the risk. Are you hearing me?!
0:39:55 > 0:39:58But I promised Jessica. this is important to her.
0:39:58 > 0:40:01What does she know? She's a child. I'm her father.
0:40:01 > 0:40:04- It's a bit late for that now, isn't it?- Excuse me?!- Mo.
0:40:04 > 0:40:06Unbelievable. Who do you think you are?
0:40:06 > 0:40:11Does my daughter stand a better chance of survival with or without the transfusion?
0:40:11 > 0:40:15There's a possibility that it might improve if transfusion was an option.
0:40:15 > 0:40:18She will hate you if you do this to her.
0:40:18 > 0:40:20But she'll be alive.
0:40:20 > 0:40:25I'll take the chance. She's 16. She's still a minor.
0:40:27 > 0:40:30I could get a court order and you will be in so much trouble.
0:40:30 > 0:40:33All of you.
0:40:37 > 0:40:40Ditch the cell saver machine. As of now, you're not doing a bloodless.
0:41:00 > 0:41:02PAGER BLEEPS
0:41:15 > 0:41:19Look, what exactly have I missed? What's with the U-turn?
0:41:19 > 0:41:21What are you are you trying to prove?
0:41:21 > 0:41:23I'm not trying to prove anything.
0:41:23 > 0:41:25You could have fooled me.
0:41:25 > 0:41:28Is this really what you think of me?
0:41:28 > 0:41:32I don't know what to think anymore. I don't know what's happening with you today.
0:41:32 > 0:41:34What's happening with me?! What's happening with you?
0:41:34 > 0:41:37Yes, I know, I know, I lied to you but...
0:41:37 > 0:41:42you have to tell me what's going on. Mo. Please.
0:41:44 > 0:41:48The only thing that's kept this girl going is her faith.
0:41:48 > 0:41:52She's totally on her own in this. And I know what that feels like.
0:41:53 > 0:41:56You're not on your own. I'm here.
0:41:58 > 0:42:01I gave her my word, Jonny.
0:42:01 > 0:42:03I can't let her down.
0:42:10 > 0:42:12So, no appendicitis?
0:42:12 > 0:42:15Nope. We had to remove one of your ovaries but...
0:42:15 > 0:42:17But what?
0:42:17 > 0:42:21This may come as a bit of a shock.
0:42:21 > 0:42:22It certainly did to me.
0:42:22 > 0:42:25It's good news.
0:42:25 > 0:42:28You...are pregnant.
0:42:28 > 0:42:30You're about 12 weeks.
0:42:30 > 0:42:32So, congratulations, I'm very happy for you.
0:42:32 > 0:42:35What?!
0:42:35 > 0:42:38I know, I don't know how you did it but you have defied the science...
0:42:38 > 0:42:41Oh, God!
0:42:42 > 0:42:46Am I missing something here? I thought you'd be elated.
0:42:46 > 0:42:49I just...
0:42:49 > 0:42:50I don't know.
0:42:51 > 0:42:53I'm just a bit shocked. I...
0:42:55 > 0:43:01Sorry, I just feel like I've been hit by a two-ton truck.
0:43:01 > 0:43:06Sure. You should get some rest. We'll talk later.
0:43:11 > 0:43:15So I assume we're preparing for a blood transfusion now, yes?
0:43:15 > 0:43:18- Er, we'll take care of that. You go on a break.- What?
0:43:18 > 0:43:20I wouldn't want to get you in trouble.
0:43:20 > 0:43:23Technically, you'd be an accessory.
0:43:23 > 0:43:25I see.
0:43:25 > 0:43:27- Technically.- Right.
0:43:27 > 0:43:30I wasn't privy to any conversation that happened outside this room
0:43:30 > 0:43:34so, technically, you just came in here and got on with it.
0:43:34 > 0:43:36Didn't you?
0:43:36 > 0:43:38'Course we did.
0:43:38 > 0:43:41OK, let's go.
0:43:47 > 0:43:50Hey, Bob! It's Michael.
0:43:52 > 0:43:53Where are you?
0:43:56 > 0:43:58Birmingham?
0:43:58 > 0:44:01Er, didn't you get Orla's message?
0:44:09 > 0:44:11Do you think she's still upset with me?
0:44:11 > 0:44:14She's never upset with anyone for very long.
0:44:14 > 0:44:18Well. I may be the exception.
0:44:18 > 0:44:21Well, you got so much on your plate in here.
0:44:21 > 0:44:24- It's probably quite stressful. - No more stressful than your job.
0:44:24 > 0:44:28I don't know. I bet you get all sorts in here.
0:44:31 > 0:44:34It's all about saving lives, isn't it?
0:44:34 > 0:44:36- I suppose you... - Do you ever get used to it?
0:44:36 > 0:44:41I mean, if you don't...? If you fail?
0:44:41 > 0:44:43What happened today?
0:44:44 > 0:44:48My first time. My first casualty.
0:44:49 > 0:44:50This rash, you see,
0:44:50 > 0:44:55it's when I get stressed. Sorry, I should have said, I know, but...
0:44:55 > 0:44:57It's all right, you're embarrassed?
0:44:57 > 0:45:01They train you for it but we all make mistakes.
0:45:03 > 0:45:07I suppose, thing is, you can't save everyone, can you?
0:45:14 > 0:45:16Eddi, where did Orla go?
0:45:16 > 0:45:19- Er, Obs And Gynea.- Why?
0:45:19 > 0:45:21She said she needed to discuss her options.
0:45:27 > 0:45:31OK, thank you. Mrs Bhatajee has a bed in urology,
0:45:31 > 0:45:33and Mr Barnsby is on his way to the discharge bay.
0:45:33 > 0:45:36Great, thank you.
0:45:36 > 0:45:37And I'm sorry.
0:45:37 > 0:45:39I've been horrible to you today.
0:45:40 > 0:45:42Oh, oh - I wouldn't say that.
0:45:42 > 0:45:47You were right. There was something going on with him.
0:45:47 > 0:45:49He lost someone on the job for the first time today.
0:45:49 > 0:45:52Aww! Aw, poor guy!
0:45:52 > 0:45:56And I think he's mortified about having a go at you.
0:45:56 > 0:45:58Oh.
0:45:58 > 0:46:01So maybe you could put his mind at rest.
0:46:01 > 0:46:04Oh, yeah, yeah, of course.
0:46:08 > 0:46:09Right. Nearly there.
0:46:11 > 0:46:13Scissors, please, thank you.
0:46:15 > 0:46:16That's it.
0:46:17 > 0:46:20- Good to go? - Let's take her off bypass.
0:46:34 > 0:46:35She's bleeding.
0:46:35 > 0:46:37One of the sutures gave way.
0:46:37 > 0:46:40- Start filtering, quickly. 2.0 Vicryl.- Swabs, please.
0:46:45 > 0:46:48Come on, Jessica, come on, come on, come on!
0:46:57 > 0:46:59I just spoke to Bob.
0:47:02 > 0:47:05- Suction and packs. - Platelets are low.
0:47:05 > 0:47:10- I can't see a thing. How we doing?- B/P still down.
0:47:10 > 0:47:14Mo, you're OK. You have to fix that suture again.
0:47:14 > 0:47:17No, no, no, the machine is not working.
0:47:17 > 0:47:21- It's not fast enough. I can't do it. Get Professor Hope. - Mo, Look at the machine.
0:47:21 > 0:47:25Look at it! It's on top of it. It's not failing.
0:47:25 > 0:47:28- It's happening again, Jonny. - No, it isn't.
0:47:28 > 0:47:31- I'm going to lose her.- Just breathe.
0:47:31 > 0:47:34OK, OK, OK - what's that song you like?
0:47:34 > 0:47:36- What?!- You know...
0:47:36 > 0:47:40- HE SINGS:- # I'm sticking with you
0:47:40 > 0:47:41# Cos I'm made out of glue. #
0:47:41 > 0:47:44Mo, look at me. Look at me.
0:47:48 > 0:47:52SHE SINGS: # Anything that you might do
0:47:52 > 0:47:56- # I'm going to do too. # - Keep going.
0:47:56 > 0:47:59# You held up a stagecoach in the rain
0:47:59 > 0:48:00# In the rain. #
0:48:00 > 0:48:04Thank you, Dr Valentine. # And I'm doing the same
0:48:04 > 0:48:07# I'm sticking with you
0:48:07 > 0:48:12# Cos I'm made out of glue. #
0:48:18 > 0:48:21B/P up. She's stabilizing.
0:48:30 > 0:48:32Why didn't you tell me?
0:48:32 > 0:48:36I don't know. I felt humiliated, maybe.
0:48:38 > 0:48:39How long?
0:48:39 > 0:48:41Few months.
0:48:43 > 0:48:48It wasn't... It didn't have anything to do with us?
0:48:48 > 0:48:50What, because of one kiss?
0:48:50 > 0:48:51Yeah, but what a kiss.
0:48:51 > 0:48:53True.
0:48:55 > 0:48:57But, sorry. No.
0:48:58 > 0:49:01Although...it was probably the beginning of the end.
0:49:03 > 0:49:04And the baby?
0:49:04 > 0:49:06Not his.
0:49:07 > 0:49:10Brief encounter at work.
0:49:10 > 0:49:13Very brief.
0:49:13 > 0:49:16Can you believe it? After all this time.
0:49:18 > 0:49:23Anyway, he's having one. With her.
0:49:23 > 0:49:24I guess he told you.
0:49:26 > 0:49:30I can't blame him really. After a while...
0:49:30 > 0:49:35you keep trying and failing and... it just pollutes everything.
0:49:37 > 0:49:40We were miserable. He had to get out. We both did.
0:49:42 > 0:49:44So what now?
0:49:44 > 0:49:50I don't want a baby on my own. I'm forty-bloody-seven.
0:49:50 > 0:49:52It's not how it was supposed to happen.
0:49:52 > 0:49:56So you're going to give up the thing you wanted most
0:49:56 > 0:49:58just cos you've got to do it on your own?
0:49:58 > 0:50:00Say it like it is, why don't you.
0:50:00 > 0:50:01I don't know.
0:50:04 > 0:50:07You know, I never knew I wanted a baby until we had one.
0:50:09 > 0:50:14And now...they're the one thing in the world that makes me feel there's a point to it all.
0:50:14 > 0:50:16< Paula Yates?
0:50:17 > 0:50:22Just...think about it, OK?
0:50:22 > 0:50:25Thing is it was a 50 foot drop.
0:50:27 > 0:50:31I just... Think I lost my footing.
0:50:31 > 0:50:36- Oh, my...!- I kept saying to her, "Come here. Good girl. Come here."
0:50:36 > 0:50:39Then just when I thought I had her...
0:50:39 > 0:50:42You ... You really don't have to...
0:50:42 > 0:50:45And she had these big blue eyes
0:50:45 > 0:50:49and that gorgeous ginger colour.
0:50:58 > 0:51:02- Gathering the evidence? - I already have yours, I believe.
0:51:02 > 0:51:04I haven't had a chance to look yet.
0:51:04 > 0:51:06Yeah, I think you will be pleasantly surprised.
0:51:06 > 0:51:10- How so?- I'm playing the long game, not the blame game.- Meaning?
0:51:10 > 0:51:12No finger pointing. Isn't that what you want?
0:51:12 > 0:51:15I want to be able to gather the facts and make an informed decision so that
0:51:15 > 0:51:19I can try to prevent tragedies such as this from ever happening again.
0:51:19 > 0:51:23As strange as it may sound, I want the truth.
0:51:24 > 0:51:26I'll leave you to it.
0:51:38 > 0:51:40We did it.
0:51:40 > 0:51:42We sure did.
0:51:42 > 0:51:44Want to go tell her dad the good news?
0:51:44 > 0:51:48- You're the one who pulled it off. - Shut up! Oh, heads up.
0:51:48 > 0:51:51Well, I can tell by your beaming faces that you've gone ahead
0:51:51 > 0:51:53and performed a bloodless operation.
0:51:53 > 0:51:54Look, Jac...
0:51:54 > 0:51:56Don't call me Jac.
0:51:56 > 0:51:59I can only assume the shine will wear off
0:51:59 > 0:52:02when you're facing the mother of all lawsuits
0:52:02 > 0:52:04and a father who has to tell his daughter that he let her down.
0:52:06 > 0:52:08Best of luck with that, guys.
0:52:13 > 0:52:17- You know what? You are going to make a great mother.- Thank you.
0:52:17 > 0:52:21- Another place, another time, huh? - Yeah. I would have held on to you.
0:52:21 > 0:52:24Oh, I don't know if I'd wish that on you.
0:52:24 > 0:52:26Stop torturing yourself.
0:52:26 > 0:52:30You couldn't have saved him. You tried everything.
0:52:30 > 0:52:32- I'm not too sure about that. - Michael, don't go there.
0:52:32 > 0:52:35Don't let the politics and all the power games swallow you up.
0:52:35 > 0:52:39I know you and you would do anything for your patients.
0:52:39 > 0:52:42Time and time again. Anything.
0:52:42 > 0:52:46It's not even like you have a choice in the matter - it's just who you are.
0:52:46 > 0:52:48Promise me you'll never change.
0:53:01 > 0:53:04I don't know, is honesty the best policy?
0:53:04 > 0:53:08- Oh, sorry - forgot who I was asking. - I'd say let's just wing it.
0:53:08 > 0:53:10Yeah, you would do.
0:53:10 > 0:53:12- Bow to the master.- Yeah right.
0:53:12 > 0:53:16- OK, you tell him then, smarty-pants. - Thanks(!)
0:53:16 > 0:53:18You're the registrar.
0:53:18 > 0:53:21- Yeah and you owe me. - You what?! You owe me.
0:53:21 > 0:53:22She's awake.
0:53:22 > 0:53:24We are shafted.
0:53:24 > 0:53:25Come on.
0:53:28 > 0:53:33Hey, sitting up already. That's what we like to see. Fast healer.
0:53:33 > 0:53:36Thank you for everything.
0:53:39 > 0:53:41So...in theatre?
0:53:41 > 0:53:44A few bumps in the road but all's well that ends well.
0:53:46 > 0:53:51She was looking after me. Told you.
0:53:51 > 0:53:55- You did.- I knew you'd keep your promise.
0:54:02 > 0:54:03A kitten?!
0:54:03 > 0:54:06He had her, lost his footing and dropped her.
0:54:06 > 0:54:08Don't cats land on their feet?
0:54:08 > 0:54:09She did.
0:54:09 > 0:54:10And?
0:54:10 > 0:54:13He landed on top of her.
0:54:13 > 0:54:16You mean he crushed her?
0:54:16 > 0:54:17Mm-hmm.
0:54:18 > 0:54:20You're kidding me.
0:54:20 > 0:54:22That is priceless.
0:54:22 > 0:54:23Oh, come on, it is sad.
0:54:23 > 0:54:25Yes, it certainly is.
0:54:25 > 0:54:29Oh, I think it's sweet. Men who like pets are meant to like babies.
0:54:29 > 0:54:31Oh.
0:54:32 > 0:54:34He asked me out.
0:54:34 > 0:54:36That's lovely. Go for it.
0:54:36 > 0:54:38Just make sure you take a crash helmet.
0:54:38 > 0:54:42Then again he did kill a kitten.
0:54:42 > 0:54:45- Well, not intentionally. - But what if he never gets over it?
0:54:45 > 0:54:47What if I never get over it?
0:54:47 > 0:54:51Yeah, good point. You're doomed.
0:54:51 > 0:54:52Do you think so?
0:54:52 > 0:54:55Oh, absolutely. Move on.
0:54:55 > 0:54:58As tragic as it is, let him go.
0:54:58 > 0:55:01Yeah. Yeah, you're right.
0:55:01 > 0:55:04It's very sad but it's the right thing to do.
0:55:04 > 0:55:05Thanks. I'm glad we had this chat.
0:55:08 > 0:55:10That's why we love her.
0:55:10 > 0:55:12SHE GIGGLES
0:55:12 > 0:55:15KNOCK ON DOOR Come in.
0:55:17 > 0:55:20Mr Spence. Perfect timing. I was about to read your...
0:55:20 > 0:55:24I think you'll find this is a far more comprehensive overview.
0:55:24 > 0:55:26I see.
0:55:26 > 0:55:27Do you mind if I...?
0:55:31 > 0:55:32You take care now.
0:55:39 > 0:55:41Hey, Binns.
0:55:45 > 0:55:47I'll see you around, yeah?
0:55:55 > 0:56:00- Nothing yet?- Nothing. - Reckon we got away with it?
0:56:00 > 0:56:04- I don't know but I can't take much more of this cloak and dagger stuff. - Mo, I wouldn't...
0:56:06 > 0:56:10It's work. I'm trying to get back into the swing of things.
0:56:10 > 0:56:11I'll just get to the point.
0:56:11 > 0:56:14I need to know what you're going to tell Jessica.
0:56:14 > 0:56:15Nothing.
0:56:15 > 0:56:16Nothing?
0:56:16 > 0:56:18What would be the point?
0:56:18 > 0:56:21Don't get me wrong, I don't agree with what you did.
0:56:23 > 0:56:28But who am I to judge you? I'm the one with the crisis of faith.
0:56:39 > 0:56:41So?
0:56:41 > 0:56:43Best get on to the Law Society.
0:56:43 > 0:56:45Jack's going to have a field day.
0:56:45 > 0:56:50Oh, no, you're kidding. He's going to go ahead and sue, even...
0:56:52 > 0:56:55Oh, you cow!
0:56:55 > 0:56:59# I'm sticking with you Cos I'm made out of glue. #
0:56:59 > 0:57:02Oh! # Anything that you might do
0:57:02 > 0:57:05# I'm going to do too
0:57:05 > 0:57:08- # You held up a stage coach in the rain - In the rain
0:57:08 > 0:57:09# I'm doing the same... #
0:57:24 > 0:57:27Subtitles by Red Bee Media Ltd