Devil in the Detail

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0:00:38 > 0:00:40Stephen, agency nurse.

0:00:40 > 0:00:44- Since when did you have a problem with male nurses?- I don't.

0:00:44 > 0:00:45I'm not gay.

0:00:45 > 0:00:47I can still like you.

0:00:47 > 0:00:50Your micro-management regime is just ridiculous.

0:00:50 > 0:00:52If you think a smile is going to make me think twice

0:00:52 > 0:00:56about cutting you open, then you're every bit as naive as you look.

0:00:56 > 0:01:00In light of the tragic death of Sunil Bhatti, the board has decided

0:01:00 > 0:01:04to postpone the opening of the new plastics department indefinitely.

0:01:04 > 0:01:07- I'm going to resign. - I accept your resignation,

0:01:07 > 0:01:09Mr Spence, but on my terms, not yours.

0:01:10 > 0:01:14MUSIC: "A Sadness Runs Through Him" by The Hoosiers

0:01:18 > 0:01:22# People are puppets Held together with string

0:01:22 > 0:01:26# There's a beautiful sadness That runs through him... #

0:01:26 > 0:01:28HE KNOCKS AGAIN

0:01:28 > 0:01:32# As he asked me to pray to the god He doesn't believe in... #

0:01:32 > 0:01:34Oh, come on.

0:01:35 > 0:01:39# Time and again boys Are raised to be men

0:01:39 > 0:01:43# Impatient they start Fearful they end

0:01:43 > 0:01:47# But here was a man Mourning tomorrow

0:01:47 > 0:01:52# He drank, but finally Drowned in his sorrow

0:01:52 > 0:01:55# He could not brace up his tension

0:01:55 > 0:02:00# He looked in the wrong place for redemption

0:02:00 > 0:02:04# Don't look at me with those eyes... #

0:02:04 > 0:02:07- Hi.- Hi.

0:02:10 > 0:02:14# Turn back the time that drew him

0:02:15 > 0:02:20# He couldn't be saved, no

0:02:20 > 0:02:21# He couldn't be saved

0:02:21 > 0:02:25# A sadness runs through him

0:02:25 > 0:02:29# A sadness runs through him

0:02:29 > 0:02:34# A sadness runs through him

0:02:34 > 0:02:38# Sadness runs through him

0:02:38 > 0:02:40# Sadness runs. #

0:02:51 > 0:02:54You are kidding me? It's ridiculous!

0:02:54 > 0:02:55She's only doing her job.

0:02:55 > 0:02:59- Ask the lab, I'm clear! - You gave Gillian a nasal swab, right?

0:02:59 > 0:03:01Theatre liaison manager?

0:03:01 > 0:03:04- A made up job if ever I heard one. - Hanssen's big dogsbody, more like.

0:03:04 > 0:03:06- You said you'd talk to him. - Yes, and I tried.

0:03:06 > 0:03:10- Tell him we're grinding to a standstill... - He's snowed under at the moment.

0:03:10 > 0:03:13- And anyway, I'm... - You're too chicken?

0:03:13 > 0:03:16- No, I'm waiting for patients to arrive.- Six electives cancelled,

0:03:16 > 0:03:21half the nurses on pre-operative communication training, whatever that is,

0:03:21 > 0:03:25and the best surgeon not operating because of a paperwork backlog!

0:03:25 > 0:03:28- I'm about to go insane. - Steady, it's not Sahira's fault.

0:03:28 > 0:03:30That's it, take her side.

0:03:30 > 0:03:32Elliot, back me up.

0:03:32 > 0:03:36And thus, like the sea-monster, they turn in and devour each other.

0:03:38 > 0:03:39Just an observation.

0:03:40 > 0:03:45OK, I will try. I will talk to him, I will.

0:03:45 > 0:03:48- Are you even listening to me?- Yes. - And?- I think you're on thin ice,

0:03:48 > 0:03:51And I suggest you toe the line. Would you like a reference?

0:03:51 > 0:03:53You're giving me the dog cases, I get it.

0:03:53 > 0:03:56I even understand the risk-management, punishment detail thing.

0:03:56 > 0:04:00But Holbycare? I'm not even under contract with you for that.

0:04:00 > 0:04:01No place to hide, eh?

0:04:01 > 0:04:05Oh, and I assume you'll understand why we've waived the bonus.

0:04:05 > 0:04:10All right, I get it, this whole thing is a huge deal, all right?

0:04:10 > 0:04:13Look, I'm kicking out five grand a month in maintenance.

0:04:13 > 0:04:16- You don't even know what it's like to have four kids. - How do you know?

0:04:16 > 0:04:20- Benny, Bjorn, Little Agnetha could be...- Oh, you're loving this.

0:04:20 > 0:04:22- What, hitting you where it hurts? - What, my kids?

0:04:22 > 0:04:24No, your wallet, Mr Spence.

0:04:24 > 0:04:26Dans le portefeuille.

0:04:35 > 0:04:39Well done, yay, you did it. It's not so bad, is it?

0:04:39 > 0:04:42Let me introduce you to some of the gang.

0:04:42 > 0:04:43Yay, play school.

0:04:43 > 0:04:45OK. Hold hands?

0:04:45 > 0:04:46Yeah, sure, we'll hold hands.

0:04:46 > 0:04:49This is Greg, he's a doctor, like me.

0:04:49 > 0:04:51This is Jamal, he's my VIP.

0:04:51 > 0:04:55Hey, Jamal, nice warm coat you've got there.

0:04:55 > 0:04:57- And this is Jac... - Needed, in outpatients.

0:04:57 > 0:04:59Jac, is a doctor, too.

0:04:59 > 0:05:02- Jamal's having problems with breathing.- Can't breathe.

0:05:02 > 0:05:06- So, we're going to have a little explore in your throat... - Can't breathe!

0:05:06 > 0:05:11And this is Gillian, she's a nurse, a sort of...paper person.

0:05:11 > 0:05:13Paper person.

0:05:13 > 0:05:14I'm a nurse.

0:05:14 > 0:05:19OK, love, let's get HCA to get you in the bath and into bed, eh?

0:05:19 > 0:05:20No, thank you.

0:05:20 > 0:05:23No, I have promised Jamal the royal treatment.

0:05:23 > 0:05:25Yes, just, aren't you in theatre?

0:05:25 > 0:05:27Don't worry about that, I've swapped with Greg.

0:05:27 > 0:05:28PHONE RINGS

0:05:28 > 0:05:30- Does Mr Hanssen know? - He doesn't need to.

0:05:30 > 0:05:32I think maybe he does.

0:05:32 > 0:05:35Surely I don't have to clear that with him?

0:05:35 > 0:05:36Come on.

0:05:36 > 0:05:38Paper person.

0:05:38 > 0:05:39Gillian Kavanagh?

0:05:39 > 0:05:41Well, I'm thinking cake...

0:05:41 > 0:05:45Americano, please, and a latte for the lady.

0:05:45 > 0:05:47Is there any sport you don't play?

0:05:47 > 0:05:49You mean socially, or at county level?

0:05:49 > 0:05:51A present - all my cases.

0:05:51 > 0:05:52Seriously?

0:05:52 > 0:05:53Yup, I am in Wedmin hell.

0:05:53 > 0:05:56Got to book the honeymoon before I fly out tonight.

0:05:56 > 0:05:58Winter sun, eh? It's a hard life.

0:05:58 > 0:06:02Work, actually - world symposium on upper limb trauma management.

0:06:02 > 0:06:05- In Miami. - It's all graft in Orthopaedics.

0:06:05 > 0:06:07How many toe breaks do I have?

0:06:07 > 0:06:09Any problems, I'm down on AAU today.

0:06:39 > 0:06:40BIRD CHEEPS

0:06:40 > 0:06:42Hello.

0:06:42 > 0:06:43CHEEPS

0:06:45 > 0:06:48Is that the revised list or the revised revised list?

0:06:48 > 0:06:51Go and see if we've made the netball team, I can't take the tension.

0:06:51 > 0:06:53- There's a netball team?- Bed list.

0:06:53 > 0:06:56You know, like we used to have on computer?

0:06:56 > 0:06:59Then some stuff went down, now everything needs two letters

0:06:59 > 0:07:02- before we go old school and, like, heal the sick.- You made it.

0:07:02 > 0:07:03Got your little late change.

0:07:03 > 0:07:06Hey! Putting the micro back into micro management.

0:07:06 > 0:07:09Be handing out toilet passes next.

0:07:09 > 0:07:11Who's the Crohn's guy?

0:07:11 > 0:07:12Lovely guy, bed three.

0:07:12 > 0:07:14Tell him I'm just finding out about jabs

0:07:14 > 0:07:16and I'm just chasing up the biopsy now.

0:07:16 > 0:07:17Sigmoid colectomy.

0:07:17 > 0:07:19Sure you can handle it?

0:07:19 > 0:07:20Hilarious.

0:07:23 > 0:07:26Gary, my name is Michael Spence...

0:07:26 > 0:07:30- I know who you are, mate. - Well, I've got to take care of some things,

0:07:30 > 0:07:33after that, we'll go to theatre, get you sorted out.

0:07:33 > 0:07:36- Get me kecks off, get in the bed, right? - You know the drill.

0:07:36 > 0:07:39Yeah, whatever, mate, I just want it done right.

0:07:39 > 0:07:42Beneath this calm exterior lies a man writhing in agony.

0:07:42 > 0:07:44OK.

0:07:46 > 0:07:49Ah, now, about your sigmoid colectomy...

0:07:50 > 0:07:52Mr Bickerton!

0:07:58 > 0:08:00Gillian, hi, I'm Michael Spence.

0:08:00 > 0:08:03Traditionally we introduce ourselves to each other,

0:08:03 > 0:08:05but I'm guessing due to my notoriety

0:08:05 > 0:08:09- you've decided to dispense with the formalities. - Actually, we met before.

0:08:09 > 0:08:11I covered as ward sister on AAU last year.

0:08:11 > 0:08:13Right, sorry.

0:08:13 > 0:08:15Nurses all look the same, eh?

0:08:15 > 0:08:18- Anyway, sigmoid colectomy? - I'm afraid it's been bumped.

0:08:18 > 0:08:21- We're cancelling all non-urgents. - I just told him he's going!

0:08:21 > 0:08:24- Sorry, didn't make the list. - Is that a joke?

0:08:24 > 0:08:27- Change the list! - I know it's inconvenient... - What a bunch of crap,

0:08:27 > 0:08:31- You couldn't tell me this five minutes ago?! - I only just got this information.

0:08:31 > 0:08:35If you want to change the system, talk to Mr Hanssen.

0:08:37 > 0:08:40Good timing - for you, I even took out little red devils.

0:08:40 > 0:08:42I figured you didn't have time for supper.

0:08:42 > 0:08:45Or lunch. Or breakfast.

0:08:46 > 0:08:50Look, if there's anything I can do, you know,

0:08:50 > 0:08:52It just seems like you've taken on quite a lot.

0:08:52 > 0:08:53Thank you.

0:08:53 > 0:08:56- How's your appetite? - Couldn't be better.

0:08:56 > 0:08:58Right.

0:08:59 > 0:09:02Look, we need to talk, about Gillian.

0:09:02 > 0:09:04Oh, yes, Ms Kavanagh.

0:09:04 > 0:09:08- I think she's got off on the wrong foot. - More like - how do I put this? -

0:09:08 > 0:09:10treading on people's toes.

0:09:10 > 0:09:13Yes, so I'd like you to buddy her, if you would.

0:09:13 > 0:09:16You're good on the soft stuff - help her make friends.

0:09:16 > 0:09:18- OK...- I thought you said you wanted to help?

0:09:18 > 0:09:21- Well, yes, I do.- Excellent.

0:09:24 > 0:09:27OK, superior suite with harbour view.

0:09:27 > 0:09:30You have a nanny service, right?

0:09:30 > 0:09:32Looking at dodgy websites again?

0:09:32 > 0:09:34Found it under the begonias, by the gazebo.

0:09:34 > 0:09:36Honeymoon, no expense spared.

0:09:36 > 0:09:40- Finally got your arse in gear. - Sorry, I'll have to call you back.

0:09:40 > 0:09:43- Do you know what that irritating cow's done now?- Enlighten me.

0:09:43 > 0:09:48- Gillian?- She said it's a conflict of interests for us to treat Stephen, cos he's a friend.

0:09:48 > 0:09:49Stephen?

0:09:49 > 0:09:52Yeah, the agency nurse, terribly good looking?

0:09:52 > 0:09:53As good looking as us?

0:09:53 > 0:09:54The gay one.

0:09:54 > 0:09:57Oh, him! He's in, is he?

0:09:57 > 0:10:00Yeah, he's done something to his wrist.

0:10:00 > 0:10:02Nice surprise, though.

0:10:05 > 0:10:07Come on. I've put this on now.

0:10:07 > 0:10:09I am sorry, but it's not my call.

0:10:09 > 0:10:11- Yeah, right.- No, really, it isn't.

0:10:11 > 0:10:15- What, some bloke slipped you a couple of tenners, did he?- No.

0:10:15 > 0:10:18- I read the papers.- You've been deemed non-urgent.- By who?

0:10:18 > 0:10:22It's a clinical judgement based on your blood test.

0:10:26 > 0:10:28Mr Spence, I'm in agony.

0:10:28 > 0:10:31- We can manage the discomfort. - Don't "discomfort" me.

0:10:31 > 0:10:34Agony, flamin' agony, like, 11 out of 10.

0:10:34 > 0:10:39- I understand your disappointment, but...- I'm not disappointed, I'm furious.

0:10:39 > 0:10:41All I'm saying is give her a chance.

0:10:41 > 0:10:44- Did Hanssen tell you to say this? - No.

0:10:44 > 0:10:45I agree.

0:10:45 > 0:10:48- She has suffered terribly with her back.- Really?

0:10:48 > 0:10:51Yeah, an 18 month sicky for sciatica. ("Depression").

0:10:51 > 0:10:52Good, not evil.

0:10:52 > 0:10:56- So it's a pity job? - Unless she's sleeping with Hanssen.

0:10:56 > 0:10:58'Oh, Henrik, you're so handsome!'

0:10:58 > 0:11:01What? She did it with Michael.

0:11:02 > 0:11:05Two words - Lord Byrne.

0:11:05 > 0:11:07Check on Mr Kingsley.

0:11:07 > 0:11:10I can't find his social worker's case number or any reference codes.

0:11:10 > 0:11:13I don't think he has a social worker, he lives with his mum.

0:11:13 > 0:11:16Oh, typical GP! Don't bother with the admin.

0:11:16 > 0:11:18Actually the GP's a friend of mine and my husband's.

0:11:18 > 0:11:22- They rang and asked us if... - Give him the VIP treatment?

0:11:22 > 0:11:23It's been cleared by Mr Hanssen.

0:11:23 > 0:11:29OK, Mr Kingsley bathed, clothes bagged and into new pyjamas, please.

0:11:29 > 0:11:33And this might be a fire hazard.

0:11:33 > 0:11:37Right, so how long have you had these breathing problems for, Jamal?

0:11:37 > 0:11:41Kate, forget the bath, and can you get a nebuliser please?

0:11:42 > 0:11:44Since Melody died.

0:11:44 > 0:11:46And who's Melody?

0:11:46 > 0:11:47My best friend.

0:11:47 > 0:11:50Right, and what happened after Melody died?

0:11:50 > 0:11:54I...I put her in the bag and threw her in the river.

0:11:56 > 0:12:00But the police got her and, and...

0:12:00 > 0:12:02gave me back the bag.

0:12:03 > 0:12:06Is Melody one of your animals?

0:12:06 > 0:12:08There's Melody from the paddock

0:12:08 > 0:12:12and Melody who is a dog.

0:12:12 > 0:12:15Who is dead.

0:12:15 > 0:12:19Who was a bitch!

0:12:19 > 0:12:21Rude word! Rude word! Bad word!

0:12:21 > 0:12:24- Rude word... - It's OK, Jamal, calm down. Can we?

0:12:24 > 0:12:26Be right back.

0:12:27 > 0:12:29Should you not call his mother?

0:12:29 > 0:12:32No, look, she gets one week's respite holiday a year,

0:12:32 > 0:12:36and it clashed with this which is why I said I'd personally...

0:12:36 > 0:12:39You don't seem to know a lot about him, he's clearly vulnerable.

0:12:39 > 0:12:42Actually, he's pretty independent, he even has a job.

0:12:42 > 0:12:44Like I said, this is a favour.

0:12:44 > 0:12:45No!

0:12:45 > 0:12:47For a friend of a friend?

0:12:47 > 0:12:49Are you sure about this?

0:12:49 > 0:12:52C'mon, come out. I've called you a cab.

0:12:52 > 0:12:54No! I'm going to do something stupid!

0:12:54 > 0:12:58Well, Gary, this is already kind of stupid.

0:12:58 > 0:13:00I'm going to neck the bleach.

0:13:00 > 0:13:03- C'mon, come out, we'll have a rational discussion.- No.

0:13:03 > 0:13:07I can't take it any more, it's going to break me this time.

0:13:07 > 0:13:12Look, it's just going to be a couple of weeks, we'll get you a new slot.

0:13:12 > 0:13:15- They won't give me the time off. - I will write them a letter,

0:13:15 > 0:13:18- and I will explain everything. - They won't believe it!

0:13:18 > 0:13:22"Oh, another sicky, Gary? Been watching the match, Gary?"

0:13:22 > 0:13:24They think I'm blagging about the pain.

0:13:24 > 0:13:27Well, I will explain to them in the letter about the pain.

0:13:27 > 0:13:29Won't matter, they'll think I've blagged you.

0:13:29 > 0:13:31I'm a joke down there.

0:13:31 > 0:13:35- Surely if a doctor... - I'm at last chance saloon!

0:13:35 > 0:13:36Please!

0:13:36 > 0:13:38I need the money!

0:13:39 > 0:13:43I've already lost 50 quid for today.

0:13:44 > 0:13:47Gary, my hand's are tied.

0:13:47 > 0:13:50There are no more slots.

0:13:50 > 0:13:5250 quid's nothing to you, is it?

0:13:52 > 0:13:53How much do you make?

0:13:53 > 0:13:57Probably like, 50 grand or something.

0:14:00 > 0:14:03Look, I have a no show.

0:14:03 > 0:14:05Please, mate, do something!

0:14:05 > 0:14:07I'm at the end of the line here.

0:14:07 > 0:14:09I need the money!

0:14:09 > 0:14:12OK, look, I will think about it.

0:14:13 > 0:14:19Now, is there someone you want me to call for you, a partner, anyone?

0:14:19 > 0:14:21No.

0:14:21 > 0:14:23She thinks I'm a loser.

0:14:23 > 0:14:25So do the kids.

0:14:32 > 0:14:33Problem?

0:14:33 > 0:14:35Are you doing that staring thing?

0:14:35 > 0:14:38You know, checking on me to see if I'm broody?

0:14:38 > 0:14:39That'd be a no.

0:14:39 > 0:14:41I'm getting it all the time now.

0:14:41 > 0:14:45"Ooh, you'll be a lovely mummy, when are you starting a family?"

0:14:45 > 0:14:46Never ends.

0:14:46 > 0:14:50Hm, do these people actually know you?

0:14:50 > 0:14:52Thermometer, please.

0:14:55 > 0:14:56I hate it up here.

0:14:56 > 0:14:59I'm sure the parents will be thrilled.

0:14:59 > 0:15:02It's so heavy, does my head in.

0:15:07 > 0:15:10- Come on, tell me what happened. - Not saying. Too embarrassing.

0:15:10 > 0:15:12I'm sure I've heard worse.

0:15:12 > 0:15:14All right.

0:15:14 > 0:15:19I'm running along, see a fence, think, "I can jump that."

0:15:19 > 0:15:21Apparently not.

0:15:21 > 0:15:24Thing is, the fence was, um...

0:15:26 > 0:15:28..yay high.

0:15:28 > 0:15:30See, that's the problem with exercising.

0:15:30 > 0:15:32Swelling's quite bad,

0:15:32 > 0:15:35but there doesn't seem to be any neurovascular compromise.

0:15:35 > 0:15:37I'm sure it's fine.

0:15:37 > 0:15:39Just my friend insisted.

0:15:39 > 0:15:41Friend?

0:15:41 > 0:15:43Training partner.

0:15:43 > 0:15:45(I'm still single.)

0:15:47 > 0:15:49So, you managed to drag yourself away?

0:15:49 > 0:15:52Yeah, sorry, ruptured Achilles.

0:15:52 > 0:15:54That's the problem with cheap stilettos.

0:15:54 > 0:15:57- Hello, there, good to see you. - Likewise.

0:15:57 > 0:15:59You're being transferred, yeah?

0:15:59 > 0:16:01No, he's not.

0:16:01 > 0:16:04What this has to do with theatre liaison, I don't know.

0:16:04 > 0:16:06She does have a hotline to the big guy.

0:16:06 > 0:16:09He's not leaving. He came here specifically so we could...

0:16:09 > 0:16:12Because you'd let me jump the queue?

0:16:12 > 0:16:16I guess they're tense about favours. It's understandable.

0:16:16 > 0:16:20The politics has quadrupled since you left. I'm going to chase his x-rays.

0:16:26 > 0:16:27I think you'll live.

0:16:27 > 0:16:29Yeah.

0:16:29 > 0:16:34Sorry. I probably didn't even need to come in.

0:16:34 > 0:16:37So why did you? Hmm?

0:16:37 > 0:16:38Why come to AAU?

0:16:40 > 0:16:44Whatever you're trying to do here, it's not going to work.

0:16:44 > 0:16:46Where you're going?

0:16:46 > 0:16:49Keller. Oliver. Bloody F2.

0:16:52 > 0:16:56Right, Jamal, I'm going to need you to stand up, all right?

0:16:56 > 0:16:58Can you do that?

0:16:58 > 0:17:01- Let me take this your jacket off. You must be boiling. - Don't touch my coat!

0:17:01 > 0:17:04I'll kill you! I'll kill you! I'll kill you!

0:17:04 > 0:17:07- Right, Jamal. No. No way, OK?- Hey, Greg, it's OK, I can handle this.

0:17:07 > 0:17:11- In your view, should this patient remain alone on the ward? - He is not alone.

0:17:11 > 0:17:15- If you're going to be a rude bugger, no.- I've got it under control. Thank you.

0:17:15 > 0:17:17Pardon me for breathing.

0:17:17 > 0:17:21- Now, I hate to pull rank here... - You pull rank with me? How?

0:17:21 > 0:17:23Please don't fight.

0:17:23 > 0:17:26Have my coat.

0:17:27 > 0:17:29It's just two little letters. Here.

0:17:29 > 0:17:32Absolutely, put it on my to-read pile, please.

0:17:32 > 0:17:34What's the ETA on that, a couple of months?

0:17:34 > 0:17:36Why would I go through everything with a fine tooth comb?

0:17:36 > 0:17:40- What possible reason? - Yeah, all right. The guy's desperate.

0:17:44 > 0:17:47- Blood count's still... - It's the pain.

0:17:47 > 0:17:49- Which you measured by...? - You like to see grown men cry?

0:17:49 > 0:17:51Don't answer that.

0:18:00 > 0:18:04Wow. Amazing. Western civilisation did not collapse.

0:18:07 > 0:18:10- So what's the problem? - Can we check with Mr Malick?

0:18:10 > 0:18:13As I've said, Mr Malick is at the gym

0:18:13 > 0:18:16and I'm just taking the slot from his no-show.

0:18:16 > 0:18:21Oh. OK. Did Gillian say the slot had become a floater?

0:18:21 > 0:18:24- Will you forget Gillian, she's a nobody.- Mr Spence!

0:18:24 > 0:18:28We don't need her to sign it because, look, I've got the little HH.

0:18:28 > 0:18:32Did Mr Hanssen really write that?

0:18:32 > 0:18:34Of course.

0:18:34 > 0:18:36- Only...- What?

0:18:36 > 0:18:37It's usually in black pen.

0:18:37 > 0:18:39So, he's having his blue period.

0:18:39 > 0:18:44You wouldn't, like, trick me, would you?

0:18:44 > 0:18:47I don't mean that in a rude way.

0:18:47 > 0:18:49No. OK, it's fine. I see where you're coming from.

0:18:49 > 0:18:51Thanks. I'll sort it myself.

0:18:54 > 0:18:57Miss Shah, I hear we have a vulnerable patient on the ward

0:18:57 > 0:18:59without adequate supervision.

0:18:59 > 0:19:01I'm sorry, I did have to refer it.

0:19:01 > 0:19:06- We're doing our absolute best to make sure all risk-management procedures...- Yeah, spare me.

0:19:06 > 0:19:10- I know it seems like box-ticking... - He needs a biopsy. He can barely breathe.

0:19:10 > 0:19:15- Has no problem in bellowing, I gather.- What happened to autonomy and clinical judgement?

0:19:15 > 0:19:18We've already had a fracas on Keller this morning.

0:19:18 > 0:19:21Frankly, I'm extremely offended by the idea

0:19:21 > 0:19:25that just because he has a learning difficulty he's prone to violence.

0:19:25 > 0:19:26I never said that.

0:19:26 > 0:19:29No, I think Ms Kavanagh means the risk to the patient himself.

0:19:29 > 0:19:31He's surrounded by unfamiliar faces

0:19:31 > 0:19:34and just because you have chosen to help out a GP friend on the sly...

0:19:34 > 0:19:36There's nothing sly about it.

0:19:36 > 0:19:40We can't have any more informal arrangements. Surely you understand that?

0:19:40 > 0:19:44Why don't we call this GP and social care and get a full picture of his needs.

0:19:44 > 0:19:46One step ahead of you, Gilly.

0:19:46 > 0:19:5228 years of GP notes and recent meetings of an MDT board.

0:19:52 > 0:19:54Are you ready? Here we go.

0:19:54 > 0:19:56"Team applaud Mr Kingsley's independence

0:19:56 > 0:19:58"and recommend minimal intervention.

0:19:58 > 0:20:02"Team congratulate Mr Kingsley on obtaining part time work

0:20:02 > 0:20:04"at Wyvern West Children's Zoo."

0:20:04 > 0:20:06Happy?

0:20:06 > 0:20:10Now, I know chasing paper work is a brilliant use of my time

0:20:10 > 0:20:13but, you know, files need to be filled.

0:20:13 > 0:20:16- Thank you. I know admin is boring but...- You said it.

0:20:16 > 0:20:19- That's uncalled for, Miss Shah. - I'm sorry.

0:20:19 > 0:20:22I'll get on with actually dealing with my patient, shall I?

0:20:22 > 0:20:23Yes, you will,

0:20:23 > 0:20:27once I've had a chance to read through these, thank you.

0:20:27 > 0:20:30New best friend been telling tales?

0:20:30 > 0:20:33It's not that. It's her judgement. I'm not sure she has any.

0:20:33 > 0:20:34I could've told you that.

0:20:34 > 0:20:37So is it true that she slept with Michael Spence?

0:20:37 > 0:20:40- No, just a vicious rumour, apparently.- Oh.

0:20:51 > 0:20:53Did you get my four messages?

0:20:53 > 0:20:58- Sorry, delay. Ollie completely ballsed something up...- Stephen's got pins and needles in his hand.

0:20:58 > 0:21:00OK, try raising the...

0:21:00 > 0:21:02Could you try? You're the doctor.

0:21:02 > 0:21:04OK. Where is he?

0:21:04 > 0:21:08- Radiology.- Oh, right, well, Ollie's really struggling so...

0:21:08 > 0:21:10No, I'm mistaken, he's back.

0:21:10 > 0:21:14- Wheelchair's a bit OTT, isn't it? - Shh! Act ill. I'm not giving in to Gillian.

0:21:14 > 0:21:17- I'm really not sure we should rock the boat on this.- Sorry?

0:21:17 > 0:21:19I'm joking.

0:21:19 > 0:21:22I forgot, I'm marrying Michael McIntyre.

0:21:22 > 0:21:23You're getting married?

0:21:24 > 0:21:26Yeah! Happened after you left.

0:21:26 > 0:21:31Wow. That's...brilliant. Congratulations.

0:21:31 > 0:21:32Thank you.

0:21:32 > 0:21:35So, how you doing it? Big, small?

0:21:35 > 0:21:38I've been convinced somewhere in between.

0:21:38 > 0:21:39I have a big family.

0:21:39 > 0:21:41Rubbish! He just wants to show me off to the world!

0:21:47 > 0:21:50What is the problem?! Hanssen's already said yes.

0:21:50 > 0:21:55- I'm not just a yes person.- Clearly! - I'm allowed to make these calls.

0:21:55 > 0:21:58Yeah, because what do I know about surgery that you don't(?)

0:21:58 > 0:22:00Oh, please don't patronise me.

0:22:00 > 0:22:04- Mr Bickerton might think his pain's exceptional but... - But you've crawled inside

0:22:04 > 0:22:08- his neurological system and experienced... - I have worked extensively

0:22:08 > 0:22:11in palliative care, so pardon me if I don't think the guy

0:22:11 > 0:22:15who can lock himself in the toilet is urgent.

0:22:15 > 0:22:18No, this is about something else. This is personal.

0:22:18 > 0:22:20- That's irrelevant. - So you admit it?

0:22:20 > 0:22:23How can I not! How can it not be personal?

0:22:27 > 0:22:31Oh, my God. You don't even remember, do you?

0:22:31 > 0:22:33That's great. That's just great.

0:22:33 > 0:22:36C'mon, hit me with it. What did I do?

0:22:36 > 0:22:38Did I insult your ability to alphabetise? What?

0:22:40 > 0:22:43Summer barbeque? You made a move on me.

0:22:43 > 0:22:45Quite a serious move.

0:22:48 > 0:22:51- OK.- And when I said no,

0:22:51 > 0:22:55you said that a woman who looked like me should just go for it

0:22:55 > 0:22:57while she's got the chance.

0:23:00 > 0:23:04That is, er...terrible.

0:23:04 > 0:23:09It was very hurtful. And damaging to my self-esteem.

0:23:09 > 0:23:10It set me back.

0:23:11 > 0:23:12When was this?

0:23:14 > 0:23:17It was about the time I took sick leave.

0:23:21 > 0:23:24Has no one been in to wash you, this week?

0:23:24 > 0:23:28They came but...they didn't help.

0:23:28 > 0:23:30Oh. Why not?

0:23:30 > 0:23:33Insurance. Paper person.

0:23:33 > 0:23:35So you've been completely on your own?

0:23:35 > 0:23:40Don't tell Mum. Don't tell Mum. Don't tell Mum.

0:23:40 > 0:23:41Mum's on holiday!

0:23:41 > 0:23:46- It's OK, it's OK but I'm sure she'd want to... - Don't tell Mum! Swear on your life!

0:23:46 > 0:23:48You have been fed, right?

0:23:49 > 0:23:50I like Jaffa Cakes.

0:23:52 > 0:23:56Has no one been in to give you a hot meal? I thought that was the whole plan?

0:23:56 > 0:23:5946 Jaffa Cakes. In the cupboard.

0:23:59 > 0:24:02And Rice Crispies. And Ricicles.

0:24:02 > 0:24:07Er, Eve, can you ensure that he gets a hot meal after the operation, please?

0:24:07 > 0:24:09What's the operation?

0:24:09 > 0:24:14Remember I told you, we go into a big room and you have a little sleep

0:24:14 > 0:24:17and I take a tube and see what's making it hard for you to breathe.

0:24:17 > 0:24:19Who will look after Andy?

0:24:19 > 0:24:20Who's Andy?

0:24:20 > 0:24:24There's Andy - my mum's friend and Andy - my friend.

0:24:24 > 0:24:27OK, and how do we contact Andy?

0:24:36 > 0:24:38This is Andy.

0:24:38 > 0:24:41Oh, er, he can't come in to theatre. He has to go home.

0:24:41 > 0:24:43On his own?

0:24:43 > 0:24:46Can I go with him?

0:24:46 > 0:24:47No. No, you have to stay here.

0:24:47 > 0:24:49We don't want you to get worse, do we?

0:24:49 > 0:24:54But he needs looking after too. He needs hot food as well.

0:25:16 > 0:25:20Well, I'm sorry. I tried again but the computer still says no, I'm afraid.

0:25:20 > 0:25:23OK. Well, thanks for doing your best.

0:25:24 > 0:25:27Now, I can up your medication dosages so...

0:25:27 > 0:25:31So I can walk round like a zombie. They're gonna love that.

0:25:32 > 0:25:35Must reckon I'm a right cry baby.

0:25:35 > 0:25:36Nope.

0:25:36 > 0:25:39And I can't have it private, I s'pose?

0:25:39 > 0:25:41Well, you could, but it'd cost you.

0:25:41 > 0:25:44- How much?- About three grand, unless you have insurance?- Oh, yeah.

0:25:44 > 0:25:49- Comes with the company car and the air miles.- Sorry.

0:25:49 > 0:25:54- Do you take plastic?- I thought you said your finances were tight?

0:25:54 > 0:25:57Yeah, well, I told them I was broke so they upped the limit.

0:25:57 > 0:26:00S'not really a wise choice.

0:26:00 > 0:26:04Was going to treat the kids but I'm no good to them like this, right?

0:26:17 > 0:26:20Right. Looks like she's off to her new foster parents.

0:26:20 > 0:26:22Bye-bye, sweetie.

0:26:22 > 0:26:25- She's been signed off? - Yup. That's her social worker.

0:26:25 > 0:26:28Tell her to come back this afternoon, please.

0:26:28 > 0:26:32- What? Why?- I'm concerned about a murmur, we need to do a echocardiogram.

0:26:32 > 0:26:34The paediatrician said...

0:26:34 > 0:26:37OK, Top Trumps? CT consultant beats paediatric registrar.

0:26:37 > 0:26:42Right. Is this going to take a long time? Because, seriously, I've got a flight to catch.

0:26:42 > 0:26:45Do it, or I'll tell your boss you're doing paid work on your breaks.

0:27:03 > 0:27:06You know what I've got today? Six toes.

0:27:06 > 0:27:08Knew you were inbred.

0:27:08 > 0:27:11- Ooh, Malick, you're clever, you'll know this...- Thank you.

0:27:11 > 0:27:13..Is the Gambia a real place?

0:27:13 > 0:27:15In West Africa? Yeah. Why d'you ask?

0:27:15 > 0:27:18Mr Bickerton was talking about it this morning.

0:27:18 > 0:27:20And I thought it sounded made up. Like Timbuktu.

0:27:20 > 0:27:24Why's he sticking around? I thought you said it was access denied?

0:27:24 > 0:27:26Eh, Mr Bickerton.

0:27:26 > 0:27:30Still enjoying the facilities, I see?

0:27:30 > 0:27:34Oh, yeah. Sorry about, you know, the fuss earlier in the toilet.

0:27:35 > 0:27:39- Ah, it's cool. We've seen worse. - I was just desperate.

0:27:41 > 0:27:44Would you like transport or something?

0:27:44 > 0:27:47- No, Mr Spence is taking me private.- You're paying him?

0:27:47 > 0:27:49Like I said, desperate.

0:27:52 > 0:27:55- KNOCKING - Don't usually come up here. Posh, isn't it?

0:27:55 > 0:27:59Lab results for Mr Bickerton. They said they were urgent.

0:27:59 > 0:28:03- So I chased you as fast as my legs would carry me.- OK, this isn't a great result for him.

0:28:03 > 0:28:07- I'm gonna need back-up in theatre. Where's Mr Malick?- He was downstairs.

0:28:11 > 0:28:15- Chantelle, is there an organised thing among the nurses to cut me dead?- Not organised.

0:28:15 > 0:28:17Just...

0:28:17 > 0:28:21For what it's worth, I've been fighting your corner.

0:28:21 > 0:28:25Told everyone I can you're not evil, just a bit daft and gullible.

0:28:25 > 0:28:28Thank you.

0:28:28 > 0:28:29You're welcome.

0:28:29 > 0:28:30Excuse me.

0:28:31 > 0:28:35You are not supposed to be up here. Hanssen has banned you.

0:28:35 > 0:28:39Yes. From practice, not the physical space.

0:28:39 > 0:28:41Not how I understood it.

0:28:41 > 0:28:45- Look. Whatever. I've got a patient, he's a charity case...- Which charity?

0:28:45 > 0:28:47The Delaware Foundation.

0:28:47 > 0:28:50They're paying for the operation, so if you don't mind, I...

0:28:51 > 0:28:55What've I done to you? Fine. I don't want to know that.

0:28:55 > 0:28:59Because of you, I'm having to work a shift on paediatrics.

0:28:59 > 0:29:02- I hate paediatrics. - What's that got to do with me?

0:29:02 > 0:29:04No plastics scandal, no Gillian.

0:29:04 > 0:29:07No Gillian, no theatre communications course.

0:29:07 > 0:29:10No theatre communications course, and I would not be doing a double shift

0:29:10 > 0:29:17and I'd be out of here in time to get the one flight to Reykjavik without any of this stress!

0:29:17 > 0:29:20OK, tell you what, how about I'll get you a car to the airport

0:29:20 > 0:29:24and give you my pass for the VIP lounge, will you co-operate?

0:29:27 > 0:29:29That'll do nicely.

0:29:33 > 0:29:35Miss Shah, this cannot happen.

0:29:35 > 0:29:38Two hours, and I'll keep it in an aseptic area and...

0:29:38 > 0:29:42No. And on this, I must prevail.

0:29:42 > 0:29:47And it is MY backside that has to manage infection control matters.

0:29:47 > 0:29:52Surely you as a consultant can see that this is unacceptable?

0:29:54 > 0:29:56I can see both sides.

0:29:58 > 0:30:02What about you? Are you toeing the line as well?

0:30:03 > 0:30:05Is he wearing clogs?

0:30:05 > 0:30:09If a mouse is wearing clogs, it makes all the difference. He's basically human.

0:30:15 > 0:30:20There she goes to tell tales. OK, so what do I owe you?

0:30:20 > 0:30:26Nothing. I just love animals. And I need a second opinion on Freya.

0:30:26 > 0:30:29How unethical is this, on a scale of one to seven?

0:30:29 > 0:30:33One, maybe two. I'm just not sure she's ready yet.

0:30:33 > 0:30:37Manipulating a desperate guy to go private. Spence has no shame!

0:30:37 > 0:30:39We don't know he manipulated anyone.

0:30:39 > 0:30:42C'mon. Michael is a shyster. Why he's still here, I don't know.

0:30:42 > 0:30:45- I guess he's got maintenance payments. - Or he's got some dirt on Hanssen.

0:30:45 > 0:30:49- So, are you going to do the op? - No, not so he can make a buck. - So you tell Hanssen?

0:30:49 > 0:30:52Uh-uh, I don't grass. You know that.

0:30:53 > 0:30:56OK. So you tell someone else and it gets back to him? Like a gobby nurse.

0:30:56 > 0:31:00For God's sake, Ollie. We're not women. Let me think.

0:31:00 > 0:31:06On the other hand, he gets sacked, who's waiting there ninja-style to be made consultant?

0:31:06 > 0:31:09Hey, that's never in a million years crossed my mind. OK?

0:31:09 > 0:31:14OK, here's a wild one. How about we stay out of it?

0:31:16 > 0:31:19OK, without the x-ray I can't discharge you,

0:31:19 > 0:31:21but it looks like the GP can manage it from here.

0:31:21 > 0:31:25- I'm sorry, I've obviously upset you. - Not at all. It's fine.

0:31:25 > 0:31:26I didn't come here to see you.

0:31:26 > 0:31:29You're a nurse. You must've known it was just a sprain.

0:31:29 > 0:31:31I even checked where you were, OK?

0:31:31 > 0:31:34- They said you were on Keller. - Who did you talk to about me?

0:31:34 > 0:31:37No-one! I did nothing. Look, I respect your privacy.

0:31:37 > 0:31:40It's not privacy, nothing to do with privacy.

0:31:40 > 0:31:43- I just don't want people to get the wrong...- For God's sake!

0:31:43 > 0:31:48Look, I know I made a move, but I don't find you irresistible.

0:31:48 > 0:31:52I didn't come here to drag you out of the closet, OK? I came because my wrist is screwed. That's all.

0:31:52 > 0:31:55I'm just trying to protect my...

0:31:55 > 0:31:56Wife-to-be?

0:31:56 > 0:31:59Of course you are.

0:31:59 > 0:32:00I am.

0:32:00 > 0:32:05Yeah. It's beautiful. I'm very happy for you.

0:32:05 > 0:32:06And her.

0:32:06 > 0:32:11Please...stay away from us. Please. Please don't...

0:32:11 > 0:32:12Rain on your parade?

0:32:12 > 0:32:14That's not funny.

0:32:14 > 0:32:19Oh, get over yourself. I get it, OK? You're not gay.

0:32:19 > 0:32:21You're so not gay.

0:32:21 > 0:32:25You couldn't be less gay because being gay is revolting.

0:32:25 > 0:32:28In fact, I hope they find a cure.

0:32:28 > 0:32:31- You're not discharged!- I'm leaving. Wouldn't want to infect everyone.

0:32:31 > 0:32:37- C'mon, back in the bed. - Tell Chrissie I said good luck with the wedding.

0:32:40 > 0:32:43OK, I'm not apologising again.

0:32:43 > 0:32:46I'm really sorry. Honest mistake.

0:32:47 > 0:32:51You were down as his next of kin. Well, you married him, love!

0:32:51 > 0:32:55There you go, nurse. All finished. I'm off to the golf course.

0:32:55 > 0:32:58- Amazing, that's fast.- You crack one bone, you crack 'em all.

0:32:58 > 0:33:02- It's like you're a proper doctor. - OK, I'll make sure I'll tell him.

0:33:02 > 0:33:06- Who wants to hear the funniest thing?- If it's about Gillian's floater, I'm not interested.

0:33:06 > 0:33:12Even funnier than that. Spence is not only a grasping Yank, he's a gullible grasping Yank.

0:33:12 > 0:33:13I could've told you that.

0:33:13 > 0:33:18Turns out, our friend Mr Bickerton is on bail for credit card fraud. Due in court next week.

0:33:18 > 0:33:20He can't be going to court,

0:33:20 > 0:33:23he's flying to the Gambia to see his girlfriend...

0:33:23 > 0:33:25- Oh, I see.- How do we know?

0:33:25 > 0:33:27Ex-wife. Not a happy bunny.

0:33:27 > 0:33:31I could've told you that, too. He was asking me about jabs.

0:33:31 > 0:33:34Guess what. He owes her - check this - 30 grand.

0:33:34 > 0:33:36How do you rack up that kind of debt?

0:33:36 > 0:33:38Catalogues.

0:33:38 > 0:33:41So, what do we do? Tell Michael he's about to be ripped off?

0:33:41 > 0:33:45Nope. The Malick never grasses.

0:33:47 > 0:33:51OK. Don't worry, we'll take good care of him.

0:33:51 > 0:33:53He'll be right here when you wake up, all right?

0:33:53 > 0:33:55I love you.

0:33:55 > 0:33:57Thank you. You're a lovely boy.

0:33:57 > 0:33:58Will you marry me?

0:34:00 > 0:34:03Nurse, quick! Kidney dish!

0:34:03 > 0:34:05Anything! Quick! Oh!

0:34:07 > 0:34:08There is tail.

0:34:08 > 0:34:10Scissors!

0:34:12 > 0:34:14Anyone got some cheese?

0:34:15 > 0:34:18What d'you mean, you haven't asked anyone yet?

0:34:18 > 0:34:19It's only six weeks away.

0:34:19 > 0:34:21I'm still at the long-list stage.

0:34:21 > 0:34:25Now who can't make decisions? You can ask Greg.

0:34:25 > 0:34:27Wouldn't it be a bit weird? Cos you and him...

0:34:27 > 0:34:29As long as you keep it out of the speech.

0:34:29 > 0:34:32Why, d'you think he secretly still fancies me?

0:34:32 > 0:34:34Gorgeous though you are, I think not.

0:34:34 > 0:34:38Finally, Stephen's x-rays.

0:34:38 > 0:34:40Ow, nasty.

0:34:40 > 0:34:41Where is he?

0:34:41 > 0:34:44He discharged himself. He said he felt fine.

0:34:44 > 0:34:48- Really? Is he mad?- Um...

0:34:48 > 0:34:50Um, what? That needs a plate, doesn't it?

0:34:50 > 0:34:52Possibly, um...

0:34:52 > 0:34:55How come you didn't notice the displacement?

0:34:55 > 0:34:57Yeah, sorry, I don't know how I missed it.

0:34:57 > 0:35:00You'd better go and find him. Go on!

0:35:04 > 0:35:09Ah, Malick. I'm going to need you in theatre. I'm taking Gary Bickerton up to Holbycare.

0:35:09 > 0:35:11I don't get out of bed for a sigmoid colectomy.

0:35:11 > 0:35:17This is ileorectal anastomosis, which I don't believe you've done. Here, check out the biopsy results.

0:35:19 > 0:35:23Chantelle, will you get Mr Bickerton moved upstairs, please?

0:35:23 > 0:35:27Ouch. That's got to hurt. Why wouldn't they complete the colonoscopy?

0:35:27 > 0:35:30They probably couldn't get the camera up cos of the strictures.

0:35:30 > 0:35:33Typical. Leave the nasty surprises for the real doctors.

0:35:33 > 0:35:37Come on, man! Will you for once give someone the benefit of the doubt?

0:35:41 > 0:35:44So is it sexy surgery, then?

0:35:44 > 0:35:46Yeah. Count me in.

0:35:46 > 0:35:49Oh, great, thanks. Look forward to seeing you up there(!)

0:35:51 > 0:35:55Amoebic colitis. Unusual this far north of Tripoli.

0:35:55 > 0:35:57What was that you were saying about the Gambia?

0:35:57 > 0:35:59Oh. It's in sub-Saharan Africa.

0:35:59 > 0:36:04It has a thriving tourist industry with regular flights from Gatwick. Gary's been several times.

0:36:04 > 0:36:11- Yeah, well, more importantly, this turns a sigmoid colectomy into a major procedure.- So?

0:36:11 > 0:36:15So, you reckon Mr Bickerton's aware he might be stiffed an extra 15 grand?

0:36:15 > 0:36:19Isn't that entirely academic? Given that Mr Bickerton is hustling?

0:36:19 > 0:36:23Look, that's not the point. The point is Spence is up to something.

0:36:23 > 0:36:28Skip lesions on the large bowel and colon, rectal sparing,

0:36:28 > 0:36:32- no fat wrapping. - What did he say when you told him how serious this was?

0:36:32 > 0:36:37OK, we're looking at a sub total colectomy and an ileorectal anastomosis.

0:36:37 > 0:36:41Hm? Oh, nothing. I didn't know what I'll find until I open him up.

0:36:41 > 0:36:43Can I have a kidney dish?

0:36:43 > 0:36:47But obviously you gave him the heads up about the extra cost, right?

0:36:47 > 0:36:50So he had the choice to wait for NHS treatment?

0:36:50 > 0:36:52Can we just concentrate on the job at hand?

0:36:52 > 0:36:54Michael.

0:36:54 > 0:36:57Yes, I told him. It's fine. He's fine with everything.

0:36:57 > 0:36:59It's not a problem.

0:36:59 > 0:37:02You didn't think, maybe, given his financial problems,

0:37:02 > 0:37:04you should've pushed him to wait?

0:37:04 > 0:37:06It's his choice. Look at the consent form.

0:37:07 > 0:37:09You didn't tell him, did you?

0:37:09 > 0:37:12- That's an outrageous accusation. - Just answer the question.

0:37:12 > 0:37:13BLEEPING

0:37:13 > 0:37:15We have a bleed. Suction.

0:37:22 > 0:37:24Stephen!

0:37:24 > 0:37:26Stephen.

0:37:27 > 0:37:29I need you to come back in.

0:37:29 > 0:37:33I'm sorry. It's a comminuted intra-articular radius fracture.

0:37:33 > 0:37:36Which is medical speak for badly broken.

0:37:36 > 0:37:38I don't know... I don't know how I missed it.

0:37:38 > 0:37:41Could it be cos you wouldn't touch me?

0:37:44 > 0:37:46Yes.

0:37:48 > 0:37:49Because I wouldn't touch you.

0:37:51 > 0:37:52I'm sorry.

0:37:54 > 0:37:56Good, got it. Clip.

0:37:56 > 0:38:00BLEEPING

0:38:03 > 0:38:08OK, that's it. Good. It's holding. 3.0 Vicryl. Good job, everyone, we've got it all.

0:38:08 > 0:38:13- Malick, you came through there. Thank you.- We gave him his money's worth, at least.- Meaning?

0:38:13 > 0:38:18- You're trying to take him for everything he's got.- You've got no idea what you're talking about.

0:38:24 > 0:38:25I went too far.

0:38:25 > 0:38:28- Forget it. - I just want a straight answer.

0:38:28 > 0:38:32Did you tell him it was 15 grand, not three?

0:38:32 > 0:38:34- No.- I knew it!

0:38:34 > 0:38:38Because I've already arranged for the Delaware Foundation to pick up the tab.

0:38:38 > 0:38:43The money's gone through. He doesn't have to pay for anything, and I've waived my fee.

0:38:43 > 0:38:47Because you're such a nice guy, or because Hanssen's suspended you from private practice?

0:38:47 > 0:38:52Jeez, these nurses have big mouths. Yeah, it's because of that.

0:38:52 > 0:38:54But this guy, he deserved a break.

0:38:54 > 0:38:57You heard him! Family breakdown, work problems.

0:38:57 > 0:39:00So did I have the teeniest bit of empathy for him?

0:39:00 > 0:39:02Or am I just motivated by money?

0:39:02 > 0:39:05You've got form, so I'm going with money.

0:39:08 > 0:39:10We need 15 minute obs,

0:39:10 > 0:39:15and can someone plead with histology to make the analysis urgent?

0:39:15 > 0:39:18We need to jump the queue on this one.

0:39:20 > 0:39:23How were your clinical instincts? Was it fibrosis?

0:39:23 > 0:39:25No. I must be having an off day.

0:39:25 > 0:39:26Argh!

0:39:31 > 0:39:32Who put that in here?

0:39:32 > 0:39:35I am so sorry. I should have warned you,

0:39:35 > 0:39:37Too late. You made air holes, right?

0:39:37 > 0:39:41Yes, of course...of course I did.

0:39:41 > 0:39:43I thought it was empty. What was in there?

0:39:43 > 0:39:47- Painkillers. Little...for my back. - Well, I declare.

0:39:51 > 0:39:55- What am I going to do? - Incineration and anti-bac.

0:39:55 > 0:39:56Will you stop being so smug?

0:39:56 > 0:40:00- Sahira.- I was just trying to offer practical advice.

0:40:00 > 0:40:02I'm surprised it hasn't triggered a public inquiry

0:40:02 > 0:40:07or a post-mortem or an MDT or a floater, whatever nonsense you come up with.

0:40:07 > 0:40:11I just don't want to get caught up in politics.

0:40:14 > 0:40:16There she goes again.

0:40:16 > 0:40:18Channelling your inner Jac Naylor?

0:40:18 > 0:40:20At least I'm standing up to it all.

0:40:20 > 0:40:24Yeah. Against a woman with chronic back pain. Everyone's mortal enemy.

0:40:27 > 0:40:30Time to call in that favour.

0:40:31 > 0:40:32Hey, you, Wikipedia girl.

0:40:32 > 0:40:35Find me the number of The Delaware Foundation.

0:40:35 > 0:40:36To the internet!

0:40:36 > 0:40:42- He's arranged for some charity to pick up the tab on the bail jumping dude.- What? That's a nightmare.

0:40:42 > 0:40:45- Yeah, I might need to... - Explain and possibly grovel?

0:40:45 > 0:40:47- Yup.- We should've spoken up.

0:40:47 > 0:40:50You know, to avoid a charity being dragged in to all of this.

0:40:50 > 0:40:51Yeah. Possibly.

0:40:51 > 0:40:53Mr Spence.

0:40:53 > 0:40:57There's something you need to know about Mr Bickerton.

0:40:59 > 0:41:02Ah! Gentle touch, doctor.

0:41:02 > 0:41:04Sorry. No pain, no gain.

0:41:04 > 0:41:06Will I ever be able to use it again?

0:41:08 > 0:41:10Absolutely.

0:41:10 > 0:41:12Morphine, lots.

0:41:12 > 0:41:14The good stuff.

0:41:14 > 0:41:18You have to forgive my idiot fiance for his lack of diligence.

0:41:18 > 0:41:20Course. We've all been there.

0:41:20 > 0:41:25- Poor thing's been pulled every which way today, haven't you? - Like I say, we've all been there.

0:41:28 > 0:41:32I'll wait with you for the ambulance.

0:41:32 > 0:41:35St James's have a specialist hand surgeon you can see.

0:41:37 > 0:41:40These aren't due for another 13 minutes, are they?

0:41:41 > 0:41:46The workload. It's too much. I'm not coping.

0:41:48 > 0:41:52I see. Right.

0:41:52 > 0:41:54Would you like to sit down?

0:42:00 > 0:42:02And in my best general practice tone,

0:42:02 > 0:42:06I shall say, what seems to be the trouble?

0:42:08 > 0:42:10I think I came back too soon.

0:42:11 > 0:42:12I don't know.

0:42:12 > 0:42:16I didn't take my tablets so it might have something to do with it.

0:42:16 > 0:42:20Why did you choose not to take your tablets?

0:42:20 > 0:42:24Oh, heck. You know, I wanted to be 100% alert.

0:42:24 > 0:42:29When you feel up, you don't feel like taking them.

0:42:31 > 0:42:32I'm an idiot.

0:42:34 > 0:42:38Not really. That is, I believe, a common mistake.

0:42:38 > 0:42:42I'm so sorry to let you down. I feel like you've given me this chance

0:42:42 > 0:42:44to prove myself and I've just...messed up.

0:42:45 > 0:42:48Well, it's a very difficult role we have here.

0:42:48 > 0:42:51We're doing the work of several people.

0:42:51 > 0:42:54But you don't REALLY need me...

0:42:54 > 0:42:58We don't REALLY need to be doing this.

0:43:00 > 0:43:04I'm happy to write you the appropriate documentation

0:43:04 > 0:43:07if you feel you need more leave of absence.

0:43:07 > 0:43:11I'd appreciate that. If there's an appropriate role...

0:43:11 > 0:43:14- Obviously, you're welcome back any time.- Thank you.

0:43:24 > 0:43:27I know foster parents are like gold-dust,

0:43:27 > 0:43:29but the patient has to come first.

0:43:29 > 0:43:33Besides, the care Freya will need will be quite demanding.

0:43:33 > 0:43:36You know, they have to be smart and on the ball with her medication.

0:43:36 > 0:43:41Well, she'll be going in a few weeks, once they get someone who's up to it.

0:43:41 > 0:43:42Yeah, something like that.

0:43:47 > 0:43:49How did she take it?

0:43:49 > 0:43:51Well, let's just say she shot the messenger.

0:43:51 > 0:43:54But Freya's going to stay with us for the meantime.

0:43:55 > 0:43:56Good.

0:44:00 > 0:44:04Gary. How you feeling? How's the pain?

0:44:04 > 0:44:09I can't feel anything. When can you discharge me?

0:44:09 > 0:44:11I'd say about a week or so.

0:44:11 > 0:44:13But it's my weekend with the kids.

0:44:13 > 0:44:17Well, you have had a pretty major operation.

0:44:17 > 0:44:23Your condition was more serious than we realised pre-operatively.

0:44:23 > 0:44:27You've an ongoing infection called amoebic colitis.

0:44:27 > 0:44:29Possibly picked it up abroad.

0:44:30 > 0:44:33Unlikely. Unless you count Weston-Super-Mare.

0:44:33 > 0:44:35Hm.

0:44:36 > 0:44:37Well, whatever.

0:44:37 > 0:44:43I would suggest that you get some very good insurance if you decide to travel outside the EU.

0:44:43 > 0:44:46I'll be up and about soon enough, though, will I?

0:44:46 > 0:44:51You know, on my feet, get out the house and stuff? Not bedridden?

0:44:51 > 0:44:54Should be, as long as you take care of yourself.

0:44:54 > 0:44:57Hate being cooped up.

0:44:57 > 0:45:01Mate, you've saved me, you really have.

0:45:01 > 0:45:03Are you allowed to accept thank yous?

0:45:03 > 0:45:05Like what? Free spa day?

0:45:05 > 0:45:08I was thinking more this.

0:45:08 > 0:45:11I'll be honest, it's one of the ones the wife left.

0:45:11 > 0:45:13Thanks, but that might be seen as a...

0:45:13 > 0:45:16A back-hander. Yeah, right, sorry.

0:45:16 > 0:45:18Oops.

0:45:18 > 0:45:22Now, I just want to talk to you about this bill.

0:45:22 > 0:45:27Thing is, doc, and this is well awkward, I haven't got my cards on me.

0:45:27 > 0:45:30I didn't think to bring them in.

0:45:30 > 0:45:34Well, your bill has been paid by a charity called the Delaware Foundation.

0:45:34 > 0:45:37Right. Why?

0:45:37 > 0:45:40They're a benevolent fund, set up to help people with limited means.

0:45:40 > 0:45:44Usually they send sick kids to Disneyland, that type of stuff.

0:45:44 > 0:45:49- Right.- So I put in a strong word for you. Kinda figured you'd had a bum deal.

0:45:49 > 0:45:51Right. Cos of my op, then,

0:45:51 > 0:45:55does that mean some kid doesn't get to go to Disneyland?

0:45:55 > 0:45:56Try not to think of it like that.

0:45:56 > 0:46:01It's clinical need first, so agonising pain versus Mickey Mouse.

0:46:01 > 0:46:03It's kind of a no-brainer.

0:46:11 > 0:46:12I can wait alone.

0:46:12 > 0:46:16Oh, no, it's the least I can do.

0:46:16 > 0:46:20Might be hours. You know how transport is.

0:46:20 > 0:46:23I'm happy to...sit here.

0:46:23 > 0:46:24With you. It's fine.

0:46:25 > 0:46:26It's my penance.

0:46:29 > 0:46:31I was an arse. I'm sorry.

0:46:32 > 0:46:34Just...

0:46:34 > 0:46:35Paranoid?

0:46:35 > 0:46:37Yeah.

0:46:38 > 0:46:39Paranoid.

0:46:41 > 0:46:43I know you're a good...guy.

0:46:43 > 0:46:45- Good bloke?- Good...

0:46:47 > 0:46:48Good bloke.

0:46:50 > 0:46:52Well, maybe not entirely paranoid.

0:46:52 > 0:46:54When you came running over I thought...

0:46:56 > 0:46:57..maybe...

0:46:59 > 0:47:01Alas, no.

0:47:02 > 0:47:05Afraid not. Definitely not.

0:47:06 > 0:47:08Perpetually single.

0:47:08 > 0:47:12Yeah, me too. Well, until I met Chrissie, that is.

0:47:14 > 0:47:16We all need someone to love, hm?

0:47:16 > 0:47:18Something like that.

0:47:18 > 0:47:20Bye, then.

0:47:42 > 0:47:44Try again. Delaware Foundation.

0:47:44 > 0:47:48There's nothing about a medical charity. I'm sorry, Mr Malick.

0:47:48 > 0:47:51Do you reckon I've been played? Been dragged into one of his scams?

0:47:51 > 0:47:53I don't know.

0:47:53 > 0:47:57Yes, Michael's a bit of a fool, but he's no master villain.

0:47:57 > 0:48:02- Spence! Delaware Foundation. It doesn't exist. - Professor Google, what's up?

0:48:02 > 0:48:06- What's your game? Fake charities, tax breaks or something? - Yes, that's it.

0:48:06 > 0:48:09- Don't mess me around.- Why not? You won't believe me, anyway.

0:48:09 > 0:48:14- You're as bad as Gary... No, worse. He's small time compared to you. - Hey. I don't have to answer you.

0:48:14 > 0:48:18I know Hanssen's getting on everyone's nerves, but have you actually suffered?

0:48:18 > 0:48:21You get to go home, forget about it, come in for another day.

0:48:21 > 0:48:26You lie awake at night thinking about what's happened? Do you?

0:48:26 > 0:48:31What am I supposed to think? You dragged me through some kind of dodgy financial scam.

0:48:31 > 0:48:33Here's your receipt from Holbycare.

0:48:33 > 0:48:37And if a pair of indigo skinny jeans show up at your house, they're mine.

0:48:37 > 0:48:40Because I figured if you can spend 15 grand just like that,

0:48:40 > 0:48:43then what's the difference?

0:48:45 > 0:48:46Delaware Foundation.

0:48:46 > 0:48:51Yeah. Happy now? The paperwork, all above board.

0:48:51 > 0:48:54OK. I misread the situation.

0:48:54 > 0:48:59You've done a good thing. A stupid thing, but a good thing.

0:48:59 > 0:49:03Well, apology accepted. You let the crime stoppers know our man might try to flee the country.

0:49:03 > 0:49:07The Malick doesn't grass, all right?

0:49:07 > 0:49:11Except for these kinds of scenarios.

0:49:15 > 0:49:17KNOCKING

0:49:17 > 0:49:18Come in.

0:49:28 > 0:49:30Do you have a minute to talk?

0:49:30 > 0:49:33If by talk, you mean listen to you apologise

0:49:33 > 0:49:38- for your foul behaviour towards Gillian Kavanagh...- What?

0:49:38 > 0:49:42Gossiping about her personal life, bullying, high handed disregard for her opinion,

0:49:42 > 0:49:46- putting a dead mouse in her lunch. How are things in the lower fourth? - It wasn't like that.

0:49:46 > 0:49:49I have never heard of such mean-spirited school girl antics.

0:49:49 > 0:49:52If you don't want school girl antics, don't infantilise us.

0:49:52 > 0:49:55All this checking up on us, all this micro-management.

0:49:55 > 0:49:58Having to run everything through you,

0:49:58 > 0:50:02having every detail cross-examined, it's making everyone...

0:50:02 > 0:50:06Turn in on each other. Yes, Mr Hope warned me about the sea monsters.

0:50:06 > 0:50:09I just didn't think it would be one of my registrars.

0:50:09 > 0:50:12I'm sorry. I'm having an off day.

0:50:12 > 0:50:16So now who's pathetic? Not just Nurse Collins?

0:50:16 > 0:50:18OK, I was a bitch.

0:50:19 > 0:50:24I picked on the little guy because I was too timid to confront...

0:50:24 > 0:50:26To say what everyone was saying.

0:50:26 > 0:50:29Well, say it! Say away.

0:50:29 > 0:50:32I'm just a listening sponge here to soak up your oral wisdom.

0:50:32 > 0:50:35All this is beneath you. It makes you look petty.

0:50:37 > 0:50:39Thank you for your feedback.

0:50:40 > 0:50:44If you'd like to write it in proforma for my sign off, I'd be most grateful.

0:50:58 > 0:50:59Hello. Crisis over?

0:50:59 > 0:51:03- What crisis? - Dan said there'd been a crisis.

0:51:03 > 0:51:06Really? I wouldn't know. Haven't seen him all day.

0:51:14 > 0:51:18Where have you been? What have you been up to?

0:51:18 > 0:51:21- I...I've been on Keller. - Liar. Ollie busted you.

0:51:21 > 0:51:23I've been around.

0:51:23 > 0:51:25I might look stupid, but I'm not.

0:51:25 > 0:51:31- I think a woman with a honeymoon coming up shouldn't ask too many questions.- You've booked it?

0:51:31 > 0:51:34- So where are we going? - My lips are sealed.

0:51:34 > 0:51:35Tell me! Tell me!

0:51:35 > 0:51:39OK! I'll give you a clue.

0:51:39 > 0:51:40Donald Bradman.

0:51:41 > 0:51:44Mel Gibson, Russell Crowe.

0:51:44 > 0:51:47Australia? Australia?!

0:51:47 > 0:51:48Yes!

0:51:48 > 0:51:50We're going to Australia? Oh!

0:51:56 > 0:51:58Hey, how'd it go with Hanssen?

0:51:58 > 0:52:00OK, I think. Yeah, well.

0:52:01 > 0:52:05Goodness me. He's calling an impromptu staff meeting.

0:52:05 > 0:52:08Bodes ill, my friends. Or well. Depending.

0:52:08 > 0:52:10Wow, the mouse that roared.

0:52:10 > 0:52:12Sorry, poor choice of words.

0:52:12 > 0:52:14You did incinerate this...

0:52:14 > 0:52:16Yes, of course I did.

0:52:16 > 0:52:20So what did you do? Run to the pet shop, find another mouse and paint it the same colour?

0:52:20 > 0:52:24I'm just going to say tell him that the mouse died. Don't know how.

0:52:25 > 0:52:27Is that his histology? Great.

0:52:27 > 0:52:29How did you get them so fast?

0:52:29 > 0:52:34I've been here seven years and I still get Elaine shouting at me about the working time directive.

0:52:34 > 0:52:37You just need to know how to cheat the system.

0:52:39 > 0:52:42Sorry. I could only find ones with windows.

0:52:42 > 0:52:44No worries. Thanks.

0:52:46 > 0:52:51- Right, there's good news and bad news.- Is my mum dead?

0:52:51 > 0:52:53No, no, she's not.

0:52:53 > 0:52:56Just on holiday. One week.

0:52:56 > 0:53:02The good news is that your breathing problem is not as serious as I was worried about.

0:53:02 > 0:53:04Is it because I'm a fat lump?

0:53:04 > 0:53:06No. No, it's because you have an allergy.

0:53:06 > 0:53:08Do you know what an allergy is?

0:53:08 > 0:53:11No milk, no pears.

0:53:11 > 0:53:14No animals. The fur makes you sick.

0:53:15 > 0:53:19OK. Can I still work at the children's zoo?

0:53:19 > 0:53:21I'm sorry, no.

0:53:21 > 0:53:25I think handling the pets has made your condition worse.

0:53:25 > 0:53:29- In the shop. On the till, maybe? - Maybe.

0:53:29 > 0:53:33Anyway, I was thinking, perhaps Andy could come and live with me.

0:53:33 > 0:53:37I have a little son and I'm sure he'd love...

0:53:37 > 0:53:38Andy is my mum's friend. On holiday.

0:53:38 > 0:53:42I mean Andy, YOUR friend, the mouse.

0:53:42 > 0:53:46- We could buy him a little cage and...- OK!

0:53:47 > 0:53:50..And Indy would take good care of him.

0:53:52 > 0:53:55My mum's not dead, is she? Just on holiday.

0:53:55 > 0:53:57No. She's just on holiday.

0:53:57 > 0:54:00Responding to a sense that the current level of oversight

0:54:00 > 0:54:04and administrative rigor has led to some unintended consequences,

0:54:04 > 0:54:08I'm proposing a new system whereby the lion's share

0:54:08 > 0:54:11of the compliance submissions and regulatory procedures

0:54:11 > 0:54:14are devolved in full to the clinical leads.

0:54:14 > 0:54:17Sorry, doesn't this mean me?

0:54:17 > 0:54:20All of you. Autonomy.

0:54:20 > 0:54:23Decentralising. Exciting stuff.

0:54:23 > 0:54:26Training, safety, bed management,

0:54:26 > 0:54:29theatre schedules, risk control, infection report

0:54:29 > 0:54:32- and best of all, statistics!- Are we allowed to use our calculators?

0:54:32 > 0:54:37Obviously, you will discover that the paperwork required by the risk reduction framework

0:54:37 > 0:54:41is entirely superfluous and is merely done to satisfy the demands

0:54:41 > 0:54:46of a pedantic and controlling upper management. Good luck!

0:54:48 > 0:54:53I'm not sure if this outcome is entirely positive.

0:54:53 > 0:54:56On the plus side, I get to do your appraisals!

0:54:56 > 0:54:59Everything just gets simpler and simpler.

0:55:00 > 0:55:03Fly, my pretty! Fly!

0:55:44 > 0:55:46BABY BABBLES

0:55:55 > 0:55:57Hey, do you have a second?

0:55:59 > 0:56:03I wanted to say sorry for that business at the barbeque.

0:56:03 > 0:56:06Oh, well, that was "the old you," I know.

0:56:06 > 0:56:10I would like to find a way to make it up to you.

0:56:10 > 0:56:11What do you suggest?

0:56:11 > 0:56:14Well, OK, the only things I can think of

0:56:14 > 0:56:17will probably make it seem like I'm trying to buy you off.

0:56:17 > 0:56:20Oh, I accept vouchers for most fashion and beauty stores.

0:56:20 > 0:56:24It's just going to be difficult to see you every day if I'm unable to make amends.

0:56:24 > 0:56:29Well, you won't need to see me because I came back too soon.

0:56:32 > 0:56:37And look, for what it's worth. It wasn't just you.

0:56:37 > 0:56:39Obviously, it wasn't.

0:56:39 > 0:56:43It took a bit more than some Spence lechery to tip me over the edge.

0:56:53 > 0:56:57Mr Spence! Got something for you from Mr Bickerton.

0:57:03 > 0:57:06Wow!

0:57:09 > 0:57:12Well, I guess we've all paid our dues.

0:57:37 > 0:57:42Mr Spence, it reached me that you've funded an anastomosis in Holbycare.

0:57:42 > 0:57:47- Surely the killer blow to the lifestyle you've enjoyed. - Well. Who needs to eat?

0:57:47 > 0:57:50Exactly. Self-denial is akin to self-control.

0:57:50 > 0:57:52Maybe.

0:57:52 > 0:57:55Believe me, Mr Spence. It is.

0:58:20 > 0:58:23Subtitles by Red Bee Media Ltd

0:58:23 > 0:58:26E-mail subtitling@bbc.co.uk