See You on the Ice Holby City


See You on the Ice

When an emergency trauma case is admitted, Sahira needs Hanssen's help. Does he still have the ability to save the patient's life and himself?


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Transcript


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One in five nurses have been cut and Hanssen has handed you a 50 grand project

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after you insisted you could lead it, so lead it or go!

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I know it's not best for this hospital,

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but I simply can't let you go.

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The villa is lovely.

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Lovely enough for a honeymoon? Marry me.

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You're going to convince the powers that be to give this place FT status.

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-And if I fail?

-That would make you a captain of the Titanic.

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This is a girl who lost her mother and grandmother to breast cancer.

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I promised her and myself that I would never have to go through what she did.

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It leaked everywhere. It's got to be some faulty implant.

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If you think I would compromise a patient's health for the sake of personal politics...

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See you on the ice.

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ALARM RINGS

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-So why are they still here?!

-No porters. Staff shortages.

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-Look, don't blame me.

-Brilliant(!) Because I'm not busy enough as it is.

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Good morning.

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Not.

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This might cheer you up. You've made page three.

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Yeah, well, this is what the future really looks like. Admin hell.

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HR unaware of vacancies so no...one signed off on agency staff,

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and now no-one has to report to Hanssen,

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-everything's stalling, I have been chasing my tail all night.

-Did you mean to wear this dress?

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-We have three admissions from AAU.

-Oh, no, we don't.

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Look, Lakey, just go and tell them, OK?

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It's a "ll," not a "L!" Put your tongue behind your teeth and blow.

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Tell you what, girls...coffee.

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And when I'm down there, I'll see if AAU can't hold them for a wee bit longer. Cool it.

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Hour tops, you're out of here.

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-Spit it out.

-Theatre is saying you've double booked patients for today.

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What?! No, no, impossible. Sessions are over-running.

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Sorry, I've to got to go and do the drugs round.

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Enough!

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PHONE RINGS

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PHONE CONTINUES TO RING

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One moment, please.

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Come in.

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Ah, Ms Shah. I see from your face you've not come for coffee or croissants.

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Henrik, you do realise while you're tucked away here in your bunker,

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there is a massive communication breakdown going on.

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Elliot's on holiday, Jac's away, I am drowning in paperwork!

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And you are a victim therefore of your own success, I'm afraid.

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Look, let's face it, the cardiac trauma unit is a visceral example of clinical excellence.

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And a much-needed morale boost for this hospital at the moment.

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And the cardiac trauma unit is, after all, you.

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People like you. They defer to you. They trust you.

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And if you're good at your job, it makes it a bit harder.

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-Yes, but...

-I know only too well. It comes with the territory.

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If anyone can weather the storm, it's you.

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Anything else?

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BLEEPING

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'What is going on here?'

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Is this a hospital or a refugee camp?!

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Ah, man, look at this. A lap common bile duct exploration. Yes!

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-The M&M show, taking over your blocks.

-What?

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-M&M, you and me. See what I did there?

-No. No can do.

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-What?

-That is going to take me into overtime, and not the good kind.

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Without wanting to rain on your parade, with six weeks to go, what is the point?

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I'm done taxing myself. Want to see my kids once in a blue moon.

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Come on, you can see the state of this place, we need all hands on deck!

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Fine, then call Hanssen!

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What am I, the only GS consultant in this dump? Or get Petrenko, she's handy with a scalpel.

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-The Swede's not operating at the mo.

-Are you kidding me?!

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Petrenko's still AWOL, not taking anyone's calls. Answers on a postcard.

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All right, what have we got?

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AAU transfer, female patient with a deep laceration above the left eyebrow, Rose MacNamara.

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In fact, you should know her. Says you did a double mastectomy and a reconstruction.

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Rose?!

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Mr Spence! That your new boyfriend?

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Hey!

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I missed you.

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-When did you land?

-About an hour ago.

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-But the ward called to say they're swamped.

-My hero.

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Yep. Nothing to do with a certain girl I just had to see.

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-Girl. Say that again.

-Girl.

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-Look who's here!

-Hey.

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-Hey.

-How was your trip?

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Good.

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Er, I've come to chase up that favour...

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Yes, yes, we'll keep them. Anything for the best man.

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Thanks for that, Chrissie.

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Right, seeing as you're here, you could help me with bed seven, Made In Chelsea.

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Got thrown off her horse and very anxious she'll miss her flight to Nice.

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It's pretty nasty, Rose. How did it happen?

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I slipped in the supermarket. Floor was wet.

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Have you had any blackouts or felt any dizziness?

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Feel a bit sick.

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OK, well... Your X-ray's all clear.

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You're probably just slightly concussed, so make sure you stay awake.

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It's nice to see you again.

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I did want to come back here, you know, for the implants.

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I wanted you to do it,

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but they said you were away and I had to go to St James's.

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Plus Brendan thought it was for the best.

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Brendan?

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Wow, quick work. Congratulations.

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Well, when you know, you know.

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Will you see if Mr Porter is available to do the procedure?

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Sorry, I don't understand?

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Um...I am not authorised to perform plastic procedures at the moment.

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You should not have been referred to me in the first place.

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-But that's ridiculous.

-It's out of my hands.

-I'm sure they can make an exception?

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-How long will I have to wait for this guy? Who is he?

-He's a plastics registrar.

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So not as good as you, then?

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No, he's OK, I promise. I'll tell you what, I'll call for him myself.

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Then she broke into a canter and straight into a gallop.

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Totally random. First thought nothing of it but then my arm just ballooned and I had to stop packing.

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Oh, dear. Now that is a catastrophe.

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Did you say your name was Hamilton? Dan Hamilton?

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Are you sure we've not met before?

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I don't think so.

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-Ha! That's it. Got it!

-What?

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St Michael's! You went to St Michael's! Olivia Grandage?

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I went to St Augustine's.

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Ah. It's all coming back. They're prep schools, adjoining ones.

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You don't say.

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I knew it! You used to date Tilly HD!

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-As in High Definition?

-Huntingdon Daley.

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How the devil is she?

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-Haven't got a clue. Last I heard she was getting married to Cosmo Westbury.

-Oh, long divorced.

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Good old Tills. How about you? Weren't you engaged? Like, twice? To, er...

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Thingy. Anne Mears. Can't remember the name of the other one, but presumably you and she...

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Er, no. No, no. That didn't work out, either.

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This is my fiancee.

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Anyway, seeing as we're slightly snowed under...

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Yeah. Of course. Good news. it's not the Ebola virus.

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-Oh.

-Bad news, I'm afraid you can forget about Nice for today.

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Oh, you are joking.

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'Fraid not. I'd like to do an X-rays and all the rest, please.

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I'm on it.

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Thank you. Excuse me.

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I'm sorry about earlier with Greg.

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You could have told me that you haven't even asked him yet,

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-save me looking like a fool.

-About that...

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Thought you were off?

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Yeah, right... So they both fell together?

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-Yeah, right through the conservatory roof.

-When did they radio?

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20 minutes ago. Looks like we'll be working on them on the way to the theatre.

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I thought you said he was due out of theatre 15 minutes ago.

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Yes, as soon as. Thank you.

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-Dog with a bone, that one.

-What?

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She's on you, bro.

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-Ah, great.

-I'm playing. What's the big deal? She was referred here. Just treat it as GS rather than plastics.

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In this climate? Gotta play by the rules.

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-Specially me.

-Screw the rules.

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-Fix her and let her go rather than stew here for hours.

-Yeah, hey, if I could, I would.

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All sorted?

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Yeah. I think so. Just go ahead and do the procedure.

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Yeah, yeah, I know,

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I'd have expected her to run a mile at the sight of you, but...

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She's aware of the facts,

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and she's still adamant that she wants you.

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She says there's no-one else who would do a good enough job on that scar of hers.

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And she may have a point there.

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So, what the patient wants, the patient gets.

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-I don't know. I don't think it's a good idea.

-I'll hold your hand.

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Look, Michael.

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I commend your caution, but it is just a few sutures and a blast of your legendary charm.

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Dad! Dad!

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Can you hear me?

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Nigel? Nigel, that buffoon from the engagement party?

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He's not a buffoon.

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You weren't there when he asked me had I ever been with another woman.

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We go back a long way. He's a good bloke!

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He's...solid as a rock, heart of gold...

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He's going through a rough patch with his girlfriend.

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I think he could use a pick-me-up. Just occurred to me...

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You've asked him already, haven't you?

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Have you and Greg had an argument or something?

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-Course not.

-Well, he seemed a bit cagey earlier.

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What?

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Nothing. Would have been nice if we'd discussed it first.

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Come on. It's my decision.

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Side room, please.

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Look, we'll talk about this later, you've got to get on, and so do I.

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Oh, don't be like this.

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-No, you're right, it's your decision.

-Listen, you.

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Let's not fall out over the trappings. We're getting married.

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We have the rest of our lives to bicker.

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They've each had 15m g of morphine at the scene.

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GCS ten on arrival, dropped to seven en route, Woody was GCS 14 on arrival...

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-Careful, there may be glass travelling through them.

-Is my dad OK?

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On my count. One, two, three.

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Is my dad OK?

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Listen to me. My name's Sahira. You're going to be fine, we're going to take a good care of you.

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-Try not to talk.

-It's OK, honey, it's OK.

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Your dad's asleep now - he can't talk. But I need you to keep your strength.

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Try to keep quiet.

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We're going to do our best to make him better, but I need you to help me.

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You're not in a sulk because I got married, are you?

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Joke!

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Come on, Mr Spence, crack a smile, I hate hospitals enough as it is.

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What is with you? You know what happened here.

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Anyone else would ask for another doctor.

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I'm not anybody else. And I owe you.

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No, really. I do.

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I remember that day, what you did for me.

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You gave me the confidence to get out there. I'd never met Brendan otherwise.

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I mean it. You changed my life.

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I feel safe with you.

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I guess what they say about blondes is true.

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And you look gayer than ever.

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Let's get you scanned.

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Out the way! Out the way!

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Mum. Mum. Where are we?

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-Keep still, baby.

-Gavin's 80 systolic, heart rate 120, Woody systolic at 100.

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Let's get some more lines and cross match eight units each.

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Get the fire brigade set up for theatre.

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Page Malick and Mr Hanssen. We need a team standing by to work on Gavin once we separate.

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Stay still. OK, stay still.

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We need X-rays. Get a radiographer in here.

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-Both sets of notes are being sent up here.

-Get copies to Keller.

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-This is it, Mrs Blakeman. Thank you.

-It's fine, OK? It's going to be fine.

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Can we get O neg blood and we need a chest X-ray.

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-Sats are dropping. He's in distress, we need to intubate him.

-Can someone take care of the mum?

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Ms Shah, can you sign this order for the trauma series X-rays?

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And a cross match blood!

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I'm going to intubate!

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Sahira!

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Sahira!

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PHONE RINGS

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No. I thought I made it clear.

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Until I've completed the FT application, my surgical list is suspended.

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I'm sure Mr Spence is more than capable.

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How we doing?

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Gavin's B/P 80 systolic, tachy 120, stats 90%.

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Woody's B/P 110 systolic, pulse 120, sats 95%.

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-Have we given Gavin more blood?

-Yeah.

-Right, OK, let's separate them.

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Stand by.

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Right, on my count.

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One, two three.

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Easy.

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Get me a chest and pelvic X-ray and a C spine.

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-I'm going to go talk to the mother.

-OK.

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-Monteggia fracture. Classic.

-Could you smell booze on her breath?

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Can't say I did, no.

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-Right. Well, I'm afraid Nice is definitely off the cards.

-Oh!

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You've managed to both fracture and dislocate your arm.

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-The best way to sort it out is to take you into theatre.

-No. No way.

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I don't want an operation. What else can you do?

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Well, we could try and manipulate it manually.

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Right, let's do that, then.

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OK, but we'll have to wait for the swelling to go down,

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which will take time, and I should warn you, the manipulation may be very uncomfortable.

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No worries. My father was in the navy.

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I see. Stiff upper lip.

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Absolutely. Say nothing and smile.

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-Is there anyone I can call for you?

-No, there's no-one.

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But seeing as I'm grounded, can you get me out a cup of tea, Nurse?

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Actually, it's sister.

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Bigging up your part, sweetie.

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Please?

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I'll get someone to do that for you.

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Right, we'll wait a bit, pop the arm back in

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and then plaster it for you, OK?

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Can I have a word, please?

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Someone's in the doghouse.

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Let me take you to your wife, Mr MacNamara. Mr Spence is in theatre now, but as soon...

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Michael Spence? Michael Spence is treating my wife?

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I don't want to mislead you. They're both in theatre and in a critical condition.

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We don't yet know the extent of their injuries.

0:16:340:16:37

Mrs Blakeman?

0:16:410:16:42

I was in the shower when it happened. Suddenly this bang.

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This bang and Woody screaming...

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Is there anyone I can call for you?

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Loud scream. And... And an...echo.

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And that's when they must have hit the glass,

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cos I heard this...crunch.

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I have to get back to theatre.

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I told Gavin not to go on the roof, I told him... Leave it to the builders, don't do it yourself.

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He wouldn't listen, and Woody was always following him around like a puppy everywhere.

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Are you sure there's no-one I can call for you? A friend? A relative?

0:17:220:17:26

And I was in the shower. I was in the shower...

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Doing the shopping list in my head. That's when I heard...

0:17:290:17:32

House is like a building site. They must have just slipped.

0:17:340:17:39

I didn't know he went up there, and when I heard it was too late,

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it was too late...

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There was nothing I could do, was there? Was there? Was there?

0:17:450:17:49

-Katie, Katie, Katie, Katie, Listen. Your boys need you.

-Yes.

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Now I am going to everything I can for your family.

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I will keep you in the loop at every stage. I promise.

0:17:580:18:02

I'm really sorry, Ms Shah. You're wanted.

0:18:020:18:04

Oh, oh, God, look at the state of me.

0:18:050:18:09

Gavin's always saying if it was up to me, I'd do the school run in my pyjamas.

0:18:090:18:14

-Don't worry, we'll sort you out a change of clothes.

-Thank you.

0:18:140:18:17

Cos God...God help me when he wakes up and sees me looking like a dog's dinner, right?

0:18:180:18:24

So, no scatter. What about Rose?

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-Husband here yet?

-Yeah, he's here. They're fine.

0:18:340:18:38

OK.

0:18:380:18:39

-Let's set up warm saline and a bair hugger. All right, people. let's fix this poor guy.

-All right!

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Give him one litre of gelo and I want 2 units of O neg in theatre.

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Oh! There's a change of clothes in my locker.

0:18:490:18:54

We can't leave her in that bathrobe. Theatre.

0:18:540:18:58

And don't tell her anything without my say-so, OK?

0:18:580:19:02

I'm going to have to remove the spleen, it's shot to pieces.

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You do the aorta. I'll take the liver.

0:19:050:19:07

-BLEEPING

-Ah, crap.

0:19:070:19:09

Malick, start packing. Suction!

0:19:090:19:11

He's just bleeding out.

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MACHINES BLEEP

0:19:140:19:18

Oh, no, no, no, no.

0:19:180:19:19

All right, charge to 200.

0:19:190:19:22

Clear!

0:19:230:19:25

-Damn. There's a lot of scatter.

-We couldn't get adequate neck imaging.

0:19:250:19:29

We need to know the exact position or we can't get the pole out.

0:19:290:19:32

Let's get a spiral scan before his sats drop, and I want a GS in here.

0:19:320:19:36

-Shall I try Griffin?

-No, Mr Hanssen. Tell him I insist.

0:19:360:19:40

I didn't authorise this.

0:19:400:19:42

It was the smell. I actioned them with the initial bloods.

0:19:420:19:45

-It's a good job I did. She's obviously been on a bender.

-Right.

0:19:450:19:48

-I've ordered LFTs so we'll see what that brings up.

-That's unnecessary.

0:19:480:19:54

-You don't you think anything's going on?

-Are you sure she's not rubbing you up the wrong way?

0:19:540:19:59

I'm concerned that you're being swayed by the fact that you know her.

0:19:590:20:02

And you know what you're like with confrontation.

0:20:020:20:05

Oh, for heaven's sake! Is this about Greg?

0:20:050:20:08

Well?

0:20:080:20:10

Have you explained it to him yet? He's your best friend, he's going to be upset.

0:20:100:20:14

It isn't like the whole bridesmaids thing. It's not going to be handbags at dawn.

0:20:140:20:18

I will tell him. In my own time. In my own way.

0:20:180:20:22

-Let's call it, Michael.

-Not yet.

0:20:260:20:28

Michael...

0:20:300:20:31

BLEEPING

0:20:310:20:34

You call it.

0:20:360:20:38

Oh, no.

0:20:540:20:55

Thanks.

0:20:550:20:57

That was Malick. Gavin didn't make it.

0:21:010:21:06

Right, let's stabilise Woody, get him to ITU until we know more.

0:21:060:21:11

I'm going to have to tell Katie.

0:21:110:21:13

What's happened? I know something's happened. What's happened?

0:21:240:21:28

-I'm really sorry but I'll have to get a consultant.

-You have to tell me.

0:21:280:21:31

-I'm afraid...

-Tell me, please. Please don't do this to me!

0:21:310:21:35

Just tell me. Come on.

0:21:350:21:37

I'm so sor... Help!

0:21:390:21:41

Mrs Blakeman!

0:21:410:21:42

Michael.

0:21:450:21:47

Yeah. What?

0:21:490:21:50

Rose's MRI scan.

0:21:500:21:52

You tell me. It's showing nothing.

0:21:520:21:55

Man, you look like crap.

0:21:550:21:57

There's nothing more you could have done.

0:21:570:22:01

I so need this...

0:22:010:22:04

At least that's good.

0:22:050:22:07

Just to give you the heads up on Clark Kent.

0:22:070:22:11

Not sure he's your biggest fan.

0:22:110:22:13

-Mr Spence, this is my husband, Brendan.

-Mr MacNamara, it's a pleasure.

0:22:130:22:18

-How are you feeling?

-She's been sick and the head's no better.

0:22:180:22:21

-Rose?

-I'm feeling a bit crap.

0:22:210:22:25

Well, your head CT's come back fine. We can give you more painkillers and some anti-sickness meds.

0:22:250:22:30

-Really, how much longer is she going to have to wait?

-Brendan!

0:22:300:22:33

-Can I have a word?

-Sure.

0:22:330:22:36

I read all about you in the papers

0:22:380:22:40

and I'm really not happy about you treating Rose.

0:22:400:22:43

I understand. But today's procedure is superficial and extremely straightforward.

0:22:430:22:47

She can remain awake and I'm confident we can have Rose up and out of here within the hour,

0:22:470:22:52

as good as new. After that, none of us have to see each other ever again. Deal?

0:22:520:22:57

I... I want to see my baby.

0:23:020:23:06

I need to see him. Oh, my god.

0:23:070:23:10

-I'm going to have to go phone theatre.

-Please...

0:23:100:23:13

Thank God you're here. I'm so sorry but she grabbed the file.

0:23:150:23:18

It's OK, it's fine...

0:23:180:23:20

I need to see him.

0:23:220:23:23

-Please can I see Woody?

-Of course. Of course.

0:23:250:23:30

We'll be moving him to ITU shortly before we take him back into theatre.

0:23:300:23:35

I'm so, so sorry about your husband.

0:23:350:23:38

He's just looking out for me, you know.

0:23:400:23:43

It's totally understandable. Let me know if you feel anything.

0:23:430:23:48

He's the best. He does everything for me, everything.

0:23:480:23:51

How did you guys meet?

0:23:510:23:52

The Masai Mara, of all places. On safari.

0:23:520:23:57

I'd never touched any of the money Mum had left me,

0:23:570:24:00

but after you did my reconstruction, I decided to take Dad.

0:24:000:24:06

I mean, you've got to do these things while you can.

0:24:060:24:09

You know those sunset hot air balloon tours,

0:24:090:24:12

what I was thinking, the way I am with heights...

0:24:120:24:15

I freaked out a bit and Brendan just totally chilled me out,

0:24:150:24:21

pointing out baby hippo and force-feeding me champagne.

0:24:210:24:26

Rose, are you OK?

0:24:260:24:28

Rose?!

0:24:280:24:29

I'm...I'm cold...

0:24:310:24:33

BUZZER

0:24:330:24:36

I'm so sorry about Gavin,

0:24:360:24:38

and I know the confusion can only have added to your distress.

0:24:380:24:43

Oh, God. This isn't happening. This isn't happening.

0:24:430:24:47

Would you like to see your son?

0:24:470:24:49

I thought he was dead. You made me think he was dead.

0:24:490:24:53

I know, and it's unforgivable.

0:24:530:24:56

You called for me, Ms Shah?

0:24:560:24:59

Fever's up. 39.9. What are we looking at?

0:25:020:25:04

No idea unless it's a reaction to the anaesthetic, or the painkillers. Rose, listen.

0:25:040:25:08

Has anything like this has happened before? Have you taken any medication? Any inoculations?

0:25:080:25:13

-C...Could that be causing?

-It's a possibility.

0:25:130:25:16

-What the hell's going on?

-We're not sure. She's having a rigour episode.

0:25:160:25:19

-Has anything like this has happened before?

-No. What have you done?

0:25:190:25:23

Push some Hartmanns. Run FBCs, Us and Es and run thyroid function tests.

0:25:230:25:26

She was fine before you touched her!

0:25:260:25:30

I'd forgotten all about it, you took so bloody long.

0:25:330:25:35

It's a busy ward, not Downton Abbey.

0:25:350:25:38

No, no, I didn't say I didn't want it. I'm dryer than a witch's teat.

0:25:380:25:42

-Are the painkillers kicking in yet?

-A bit.

0:25:420:25:45

Look, darling, I hope I didn't offend earlier talking about the old days and the ex fiascos.

0:25:450:25:51

Word was neither of them were right for him.

0:25:510:25:53

I'm sure you're Sister Right.

0:25:530:25:56

Mr Hamilton should be back soon.

0:25:560:25:59

No sugar.

0:25:590:26:01

Would you like me to get you some?

0:26:010:26:04

No need. There's some sweeteners in my bag. If you could...

0:26:040:26:07

Did it not occur to you, Nurse Jones,

0:26:250:26:28

to check the identity of the deceased before informing the relative?

0:26:280:26:31

-Yes - it wasn't like that.

-It was the responsibility of the surgeon to manage the situation.

0:26:310:26:36

-Is this what you call putting the trust back into Holby?

-That's not...

0:26:360:26:40

-Where are we with the boy?

-Spiral scans.

0:26:400:26:43

So the pole missed the heart but is perilously close to the pulmonary vessels.

0:26:430:26:48

-I think you're going to need another surgeon in on this one.

-Quite, which is why I called for you.

0:26:480:26:53

-Isn't there anybody else?

-Henrik, this boy needs the best.

0:26:530:26:56

Very well. Let's go and see the mother.

0:26:560:26:59

Outline your plan of action,

0:26:590:27:01

try and salvage a modicum of dignity from all this and at least appear as if we know what we're doing.

0:27:010:27:07

I don't get it. Nothing. Nothing's showing up.

0:27:140:27:16

Hey. Calm down. You need to get a grip, OK?

0:27:160:27:18

Every time I see this girl, something happens. First the implants, now this.

0:27:180:27:23

It's nothing to do with the procedure, and it's nothing to do with the implants.

0:27:230:27:27

They've been replaced.

0:27:270:27:30

-Oh, we need to run an ultrasound.

-I'm on it.

0:27:300:27:34

The thing is... Thank you. Nigel's my oldest friend.

0:27:370:27:41

Plus he needs a pick-me-up.

0:27:410:27:42

And to be honest, I thought I was doing you a favour.

0:27:420:27:45

Making a speech, getting up in a monkey suit, not really your bag, I wouldn't have thought.

0:27:450:27:50

Bull.

0:27:500:27:51

What is it?

0:27:550:27:57

I don't know, but I am going to find out.

0:27:570:28:00

I'm scared.

0:28:020:28:03

-Do you think it could be cancer?

-Rose. Come on, stop.

0:28:060:28:10

I have these nightmares...

0:28:120:28:14

It's always the same one.

0:28:140:28:16

I feel fine, I look fine,

0:28:160:28:20

but...they tell me I'm dying.

0:28:200:28:24

It's growing somewhere inside me.

0:28:260:28:29

Then I wake up,

0:28:290:28:31

and I tell myself I'm being stupid,

0:28:310:28:34

that everything's all right, but the fear doesn't go away.

0:28:340:28:37

-You can see something, can't you?

-Hang on.

0:28:380:28:42

It's the tumour, isn't it?

0:28:420:28:45

-Isn't it?!

-No, it's not a tumour, but I think you may have an abscess.

0:28:460:28:51

But we need to get you into theatre immediately.

0:28:510:28:53

Mate, you have seriously got your wires crossed here.

0:28:530:28:57

-I know what I saw, Dan.

-Come on!

0:28:570:28:59

I mean, this is me we're talking about.

0:28:590:29:02

Look, mate, I don't care who you are or what you are,

0:29:020:29:06

but let's just say a lot suddenly fell into place.

0:29:060:29:09

But whatever's going on with you, you definitely need to tell Chrissie.

0:29:090:29:13

-Why are you being like this?

-Why am I being like this?!

0:29:130:29:16

D'you know what? I don't have time for this.

0:29:160:29:19

I'm extremely sorry for your loss.

0:29:210:29:24

I can't apologise enough for the unnecessary distress that we've caused you.

0:29:240:29:27

I can only give you my word that from now on I intend to be kept fully informed.

0:29:270:29:31

Look, I just don't want anyone telling him about his dad, OK? I'll do that.

0:29:310:29:37

Right.

0:29:370:29:39

So, what happens next?

0:29:390:29:42

Can you just get that thing out of him?

0:29:420:29:46

Yes. That's the plan.

0:29:460:29:49

Then we assess any damage to the internal organs,

0:29:490:29:52

and hopefully get on with the task of removing the glass.

0:29:520:29:56

-Now, the best way to do that is to stop Woody's heart and put him on bypass.

-Stop his heart?!

0:29:560:30:01

I know it sounds alarming, but really,

0:30:010:30:04

-not having the heart beating may be the safest...

-What do you think?

0:30:040:30:07

Well, it's Ms Shah's case, and strictly speaking CT is not my discipline...

0:30:070:30:12

I don't really care. You're the boss!

0:30:120:30:17

You must have an opinion.

0:30:170:30:19

Do you agree?

0:30:190:30:20

It's one option, yes.

0:30:200:30:23

And the other option?

0:30:240:30:26

Bearing in mind your son's age,

0:30:260:30:28

until we know exactly what damage the pole has generated,

0:30:280:30:31

I think we would be taking somewhat of a risk going for a bypass here.

0:30:310:30:35

Yes, but surely a bloodless field could be ideal in such a difficult situation..

0:30:350:30:41

Risk. What risk?

0:30:410:30:42

I want to know!

0:30:420:30:44

Yes, there is a risk.

0:30:440:30:46

But it's a calculated one and it's far outweighed by the obvious benefits.

0:30:460:30:51

-What would you do?

-I would like to tread carefully here.

0:30:510:30:53

-Go in there and just take out the pole.

-Right. I want you to do that.

0:30:530:30:57

Can we just be clear here?

0:30:570:31:00

A bypass would mean removing the pole and the glass at the one time.

0:31:000:31:04

There would be no risk of any glass suddenly migrating.

0:31:040:31:07

No, no, I'm sorry, I really can't cope with this any more.

0:31:070:31:10

You're the bloody doctors and you can't even agree!

0:31:100:31:13

I just want him to live.

0:31:130:31:16

Whatever.

0:31:160:31:17

You get that?!

0:31:170:31:19

Her LFT's are all elevated.

0:31:220:31:24

She's well on the way to cirrhosis of the liver.

0:31:240:31:27

-Are you going to have a word with her?

-Yes.

0:31:270:31:31

She's been asking for you.

0:31:310:31:33

She says she just wants to get this over with.

0:31:330:31:35

Did you manage to catch up with...

0:31:350:31:37

Yes, I have.

0:31:370:31:39

Can we talk about it later?

0:31:390:31:42

-An abscess?

-Yeah, behind one of the new implants,

0:31:440:31:47

in the right breast.

0:31:470:31:48

Septicaemia is causing the fever fits.

0:31:480:31:52

We have to get her into theatre and drain it.

0:31:520:31:54

-Her organs are failing and she's going into septic shock.

-How can it be so sudden?

0:31:540:31:59

I think this has happened before. Right, Rose?

0:31:590:32:02

Couple of days.

0:32:020:32:04

Sweetheart! Why didn't you say?

0:32:040:32:06

I'm so sorry...

0:32:060:32:07

I don't think now's the right time.

0:32:070:32:09

Will she be OK? The headaches, the sickness, are they part of it?

0:32:090:32:14

No, the concussion is separate, and it's been distracting us from the main event.

0:32:140:32:18

I don't believe you.

0:32:180:32:19

You weighed in there and completely undermined me,

0:32:190:32:21

when this morning there was no-one better than me to step up!

0:32:210:32:25

-Then what did you call me for?

-For the appropriate GS support and the best possible outcome for my patient!

0:32:250:32:30

Heaven forbid you should come out from your bat cave and do some real doctoring.

0:32:300:32:35

I did not expect you to question my ability to make a clinical call.

0:32:350:32:38

-I'm the leading physician here.

-Mrs Blakeman asked for my opinion. I could hardly not give it.

0:32:380:32:43

But she can't make that choice, you know that. That's my job.

0:32:430:32:46

And you've considered this from every possible angle, have you?

0:32:460:32:49

Your patient is 11 years old. Do you think he could withstand a major crash? A heart attack?

0:32:490:32:54

A stroke? Myocardial infarction. Not to mention bleeding out, oedemas on the brain, body and lungs.

0:32:540:32:59

Are we looking the patient's best interest here? Or a classic case of Sahira grandstanding?

0:32:590:33:04

That is not fair. Yes, the boy is in critical condition. There are no guarantees.

0:33:040:33:08

I am trying to get you to consider the conversation you would possibly be having with his mother,

0:33:080:33:13

in the unfortunate case that the risk doesn't pay. Really consider it.

0:33:130:33:17

And if you're sure, absolutely sure that the risk can be justified...

0:33:170:33:22

Fine. You win. I'll prep him for theatre.

0:33:230:33:28

Hey, are you OK?

0:33:360:33:39

Come on!

0:33:400:33:41

Man, has she been unlucky.

0:33:440:33:46

Hey, nothing to do with you. Lucky for her you spotted it.

0:33:460:33:51

The abscess.

0:33:510:33:53

What caused it?

0:33:530:33:54

It could be any number of things. It could be the new implants.

0:33:540:33:58

-Yes?

-Or it could be the body's natural reaction to a foreign body

0:33:580:34:03

being introduced. That is always a risk.

0:34:030:34:05

Or?

0:34:050:34:07

Or...

0:34:070:34:09

I don't know if the original implant I fitted

0:34:090:34:14

was already leaking when Rose was admitted to St James's.

0:34:140:34:17

And if they were?

0:34:170:34:19

Then there's a possibility that the silicone residue caused this.

0:34:190:34:22

-I won't know until I open her up.

-How many women have you done this to?

0:34:220:34:26

You put poison into them and then you just sent them on their way.

0:34:260:34:31

And they let you keep working as a doctor.

0:34:310:34:34

You've people's lives in your hands!

0:34:340:34:37

I don't know how you sleep at night.

0:34:370:34:39

-Can't you see what his game is?

-Game?

0:34:540:34:57

What game? Look, I obviously let him down today and he doesn't trust me.

0:34:570:35:03

Oh, for...

0:35:030:35:04

-You're so naive. He's got you exactly where he wants you.

-What are you talking about?

0:35:040:35:10

He builds you up. Oh, Ms Shah, you're so great, you're so good, a beacon of excellence,

0:35:100:35:15

you can handle anything thrown at you, and all that bull.

0:35:150:35:18

Then he steps in like some psycho Svengali to remind you who the daddy is and puts you back in your box.

0:35:180:35:23

Read the article.

0:35:250:35:28

That's you.

0:35:280:35:30

Your achievements, the cardiac trauma unit.

0:35:300:35:35

And he gave that to me.

0:35:350:35:36

Maybe that's the whole point. Maybe he's right.

0:35:360:35:39

I've not worked for anyone else, have I? Maybe I need his approval.

0:35:390:35:44

-That's the only way I can do it.

-Yes, but why did he give it to you?

0:35:440:35:48

For the good of the hospital.

0:35:480:35:51

Seriously?

0:35:510:35:52

RINGING

0:35:560:35:58

Hi, Nigel. It's Chrissie here.

0:36:040:36:07

Yes, he's with a patient.

0:36:070:36:09

Look, I know we don't know each other very well,

0:36:090:36:13

but I just wanted to say it means a lot to Dan you're going to be best man.

0:36:130:36:18

Sorry?

0:36:180:36:20

SCREAM

0:36:240:36:26

OK.

0:36:260:36:28

I am going to have to operate.

0:36:290:36:31

But before you sign the consent form,

0:36:330:36:36

I need to talk to you about some test results.

0:36:360:36:39

Ah.

0:36:390:36:40

Your liver shows signs of...

0:36:400:36:42

Fine.

0:36:420:36:44

I've heard it all before. So I drink.

0:36:440:36:47

Let's move on.

0:36:470:36:49

That's as maybe, but we still need to have this conversation.

0:36:490:36:53

Looking at your bloods, your habit may have serious ramifications.

0:36:530:36:58

Your liver function is deteriorating and general anaesthetics becomes tricky.

0:36:580:37:02

We'll have to monitor the clotting factor we give you, and obviously the risks increase.

0:37:020:37:07

-Fine. Whatever.

-Look, I have a duty of care to you. We need to talk about this.

0:37:070:37:13

I talk about it ad nauseum. With my therapist.

0:37:130:37:16

So I hereby relieve you of your burden of duty.

0:37:160:37:20

Just sort my arm out.

0:37:200:37:21

Fine.

0:37:210:37:23

I'll get the forms.

0:37:260:37:27

What are you doing answering my phone?

0:37:310:37:33

I saw it was Nigel and thought I'd say hello.

0:37:330:37:36

Well, what did he say?

0:37:360:37:38

He was shocked to be asked in the first place cos you're not that close, but he hopes you don't mind...

0:37:380:37:44

-Look, Chrissie.

-..That he can't make it, cos guess what.

0:37:440:37:47

He's taking his girlfriend to Paris for their anniversary. Didn't sound much like a bad patch to me.

0:37:470:37:52

OK. I get it.

0:37:520:37:54

What's going on? What are you trying to hide?

0:37:540:37:56

Why would I be hiding anything?

0:37:560:37:58

It's not like we haven't been here before.

0:37:580:38:02

BLEEPING

0:38:020:38:03

Look. I'm needed up on Keller, so can you prep Olivia for theatre for me, please?

0:38:040:38:09

Argh!

0:38:140:38:16

Can't you look where you're going?! Stupid girl! Stupid bloody girl!

0:38:180:38:23

I'm sorry.

0:38:260:38:28

Come Let's get you cleaned up and get you another one.

0:38:280:38:32

Draining.

0:38:330:38:36

Stats holding up.

0:38:360:38:38

Watch yourself, keep up the broad spectrum antibiotics.

0:38:380:38:41

BLEEPING

0:38:410:38:43

Peri arrest.

0:38:430:38:45

She's in septic shock.

0:38:450:38:48

No. No, no, Rose, come on, don't do this to me.

0:38:480:38:51

Sats looking favourable.

0:38:510:38:53

Focus, Ms Shah.

0:38:560:38:58

There's a little bit of bleeding. Not too bad suction, please.

0:39:170:39:21

See? We can remove any glass once he's stabilised.

0:39:250:39:30

Very well done.

0:39:300:39:32

Right. Come on!

0:39:330:39:35

BLEEPING

0:39:350:39:37

Charge.

0:39:370:39:38

Clear!

0:39:380:39:40

Again.

0:39:410:39:43

Clear!

0:39:440:39:47

Come on...come on...come on... come on!

0:39:490:39:54

She's back.

0:39:560:39:58

Give her the good news.

0:40:070:40:09

Katie, we've removed the pole and there's no major damage to organs.

0:40:090:40:15

Obviously, he'll have to go back into theatre to clear the glass,

0:40:150:40:19

but we're happy that we've eliminated the more pressing risk of the pole.

0:40:190:40:24

Thank you!

0:40:240:40:25

You can go with him.

0:40:250:40:27

We made the right call.

0:40:300:40:31

-I think we can salvage this.

-Seriously?

0:40:330:40:35

There's no evidence of any remnants from the original implants.

0:40:350:40:39

And this implant is intact. Looks like our abscess was spontaneous.

0:40:390:40:43

Right, let's close her up and fix her face while we got her here.

0:40:430:40:47

You, my friend, are cooking with gas.

0:40:470:40:51

-This isn't a good idea.

-Really? Isn't it?

0:40:530:40:55

I'll go out to the offy and come straight back. I'll just get another teeny, tiny one of these.

0:40:550:40:59

-You lot have stressed me out!

-All right, let's get you back into bed.

0:40:590:41:03

Or what?

0:41:030:41:05

-Listen, Olivia.

-"Listen, Olivia!"

0:41:050:41:07

Ms Grandage to you! You... You...

0:41:070:41:08

Patronising... Don't you look at me like that!

0:41:080:41:12

-What's going on?

-Oh! There he is! Dr Kildare.

-She's been drinking in the toilet.

0:41:120:41:16

-She has indeed. Glory be.

-Right.

0:41:160:41:18

Look at you, Ken and Barbie, Barbie and Ken.

0:41:180:41:22

You're too old to be Barbie. Older than him, probably.

0:41:220:41:24

Never works, sweetie, especially if the relationship's a bit...

0:41:240:41:28

what's the word...declasse? How long do you think till he gets bored of you, eh?!

0:41:280:41:33

Look at those shifty eyes. Wake up and smell the coffee. He hasn't looked you in the eye all day.

0:41:330:41:38

-Either having cold feet or he's a shagger. Or both...

-Right, that's it. Get back into bed.

0:41:380:41:44

-You're embarrassing yourself.

-Oh I am, am I?

0:41:440:41:47

Oh, um, I want 15 minute obs and half hourly gases.

0:41:570:42:02

-Keep me informed at all times.

-Of course.

0:42:020:42:04

Thank you. Thhhlakey.

0:42:040:42:06

Ms Shah. I wanted to apologise.

0:42:060:42:10

No, no, there's no need...

0:42:100:42:13

Yes, there is. You've been... very kind.

0:42:130:42:15

I only wish I could do more.

0:42:150:42:17

You can.

0:42:170:42:18

I want to see Gavin.

0:42:180:42:21

All right, what is it?

0:42:320:42:34

A disco.

0:42:340:42:36

-Jeez, you queens.

-Queens?

-It's just in your DNA, isn't it?

0:42:360:42:40

You can't wait till Saturday night?!

0:42:400:42:42

And you are such an ignorant Yank. It's an acronym, I just made it up.

0:42:420:42:45

Abscess draining implant saving cosmetic operation. As patented by The Spence.

0:42:450:42:50

All right. I like it.

0:42:500:42:52

But you do realise that guys who put the definite article in front of their names

0:42:520:42:56

-are officially card-carrying a-holes.

-Hey. If the cap fits...

0:42:560:43:00

Bite me, Malick.

0:43:000:43:01

I woke up bored this morning.

0:43:230:43:25

Every morning I woke up...

0:43:280:43:31

Bored.

0:43:310:43:33

What I wouldn't give to wake up bored tomorrow...

0:43:360:43:40

I was dreaming of a different life.

0:43:440:43:47

Big change, something to...

0:43:470:43:50

Something.

0:43:520:43:53

But I felt so...stifled...

0:43:570:44:02

And when you said before... that it was Gavin, not Woody...

0:44:080:44:14

I felt relieved.

0:44:140:44:17

Cos if one of them had to go, please God don't let it be Woody...

0:44:170:44:21

How awful is that?

0:44:210:44:24

It is. It's terrible.

0:44:260:44:29

A terrible thing to feel.

0:44:300:44:32

No.

0:44:320:44:34

No, you're a mother.

0:44:340:44:36

I let him make all the decisions, then I blamed him for it...

0:44:360:44:39

I'm really sorry.

0:44:510:44:53

You know that nothing she said is true.

0:44:530:44:57

It's always two steps forward, one step back with you.

0:44:570:45:00

I think I know where I am, and then...

0:45:000:45:03

some fib comes up, some... missing link in the story, and then I'm lost again.

0:45:030:45:10

I'm not sure I can live this way.

0:45:110:45:13

Hey. Just to let you know, he's stable.

0:45:170:45:21

Thank you.

0:45:210:45:22

Cor, you look knackered.

0:45:220:45:24

I'm getting a coffee.

0:45:240:45:27

-Do you fancy one?

-Yeah. Americano. One sugar, please.

0:45:270:45:32

So. He's out, I hear.

0:45:320:45:34

Hey. I know you didn't get your moment in there today, but...

0:45:340:45:37

I'm not bothered about that. I'm thinking of other things.

0:45:370:45:40

What other things?

0:45:400:45:41

-Like the meaning of life and the universe and why we're here?

-No.

0:45:410:45:44

More like the meaning of my life and why I'm here.

0:45:440:45:48

Oh, come on.

0:45:480:45:49

No, I'm serious. What am I doing? You only live once, right,

0:45:490:45:53

And your family can be snatched away from you at any moment.

0:45:530:45:57

You now, Ravi's been putting feelers out there for work

0:45:570:46:00

and I'm thinking maybe it's time to do the swap thing.

0:46:000:46:03

You are joking me!

0:46:030:46:05

No, really! I never get to see my kids.

0:46:050:46:07

I've given so much of myself to this place, and for what?!

0:46:070:46:12

What's really keeping me here?

0:46:120:46:14

What do you mean?

0:46:140:46:16

-Because people want you here.

-No. But is it really worth it?

0:46:180:46:23

Maybe I'm wasting my time. Maybe...

0:46:230:46:26

BLEEPING

0:46:260:46:27

Oh, God, no! Woody! Woody!

0:46:330:46:36

Get a crash team! Now!

0:46:360:46:38

-Glass must have migrated.

-What's happening?

0:46:380:46:41

This is what you were afraid of, isn't it? Tell me!

0:46:430:46:48

We need to get him to theatre. Henrik! Mr Hanssen!

0:46:480:46:52

Right.

0:46:540:46:55

Charging to 100.

0:46:570:47:00

Clear!

0:47:000:47:01

And again.

0:47:020:47:04

Clear.

0:47:050:47:06

Right. Let's go.

0:47:110:47:14

Your operation's rescheduled for tomorrow.

0:47:190:47:22

You know you're slowly killing yourself.

0:47:310:47:34

I know what I am. And I know who I am.

0:47:340:47:38

Can you say the same thing?

0:47:380:47:40

I want to talk.

0:47:580:47:59

We'll put him on bypass.

0:47:590:48:01

We did the right thing, I think.

0:48:060:48:08

There was no way of knowing.

0:48:080:48:12

No, we took the safe option.

0:48:120:48:15

The patient needed us to be bold, to take a risk.

0:48:150:48:18

I didn't fight you hard enough.

0:48:180:48:21

Look, I know you have a lot on your plate at the moment.

0:48:220:48:26

I can't imagine the kind of pressure you're under,

0:48:260:48:29

but if you start losing your nerve, we're all finished.

0:48:290:48:33

See you on the ice.

0:48:330:48:35

Well, we've drained the abscess and managed to save the implant.

0:48:430:48:48

I know. Your registrar told me.

0:48:480:48:50

And I know it had nothing to do with you.

0:48:520:48:55

For what it's worth, I don't think it matters. You were right.

0:48:550:48:59

No. If there's anyone to blame, it's me.

0:48:590:49:02

If she was having these fits, I should have noticed. She could have died.

0:49:020:49:07

Brendan.

0:49:070:49:09

She's not a kid. And there's no way you could have known.

0:49:090:49:14

-She's carrying a lot of baggage...

-Right.

0:49:140:49:17

I don't know how to fix that.

0:49:170:49:20

Forceps.

0:49:240:49:25

We have to be quick, Mr Hanssen.

0:49:280:49:31

Right.

0:49:370:49:39

That's right.

0:49:390:49:42

That's it.

0:49:420:49:44

All right, I think I've got hold of it. Just don't move the heart.

0:49:440:49:50

This piece is in danger of going into the oesophagus. Right.

0:49:500:49:56

-OK.

-Wait, there's another piece of glass there.

0:49:560:49:59

Down on the flow, please.

0:49:590:50:00

There we are, got it.

0:50:060:50:08

There's a bleed.

0:50:110:50:12

Nice and calm, everyone.

0:50:120:50:15

OK, you stitch from your side, it's easier, I'll hold the heart.

0:50:150:50:18

Right.

0:50:180:50:20

One more.

0:50:360:50:37

OK... Good.

0:50:370:50:41

Paddles.

0:50:410:50:43

Let's get him off bypass.

0:50:520:50:56

Look, what I'm about to tell you makes no difference to us,

0:51:060:51:13

how I feel about you, marrying you, but I don't want us to have any secrets from each other.

0:51:130:51:18

And...

0:51:180:51:19

What is it? Is there someone else?

0:51:210:51:25

No! God! No! How could there be?

0:51:250:51:29

I love you, Chrissie.

0:51:290:51:32

Well, then what? What have you done?

0:51:320:51:35

I haven't done anything. It's not about what I've done.

0:51:350:51:38

It's...

0:51:380:51:39

I've never really acted on it. That's the point.

0:51:420:51:45

You have to believe me when I say that. And I never will.

0:51:450:51:48

Dan, what are you trying to tell me?

0:51:500:51:53

That you're attracted to other women, is that it?

0:51:530:51:57

Cos if it is, I mean, that's normal. It would be weird if you weren't.

0:51:570:52:01

Not women.

0:52:010:52:03

Not just women.

0:52:060:52:08

What?

0:52:110:52:14

Dan, if this is a joke, it really isn't very funny.

0:52:190:52:23

-Who?

-Does it matter? What's that got to...?

0:52:250:52:28

Chrissie.

0:52:360:52:37

Chrissie, wait...

0:52:380:52:40

-Where's Brendan?

-He's getting some air. He's kind of upset, he's blaming himself.

0:52:470:52:53

That's ridiculous.

0:52:530:52:55

Well, I guess that's just the kind of guy he is.

0:52:550:52:58

Hey, Rose, listen.

0:52:580:53:01

There is no curse on you.

0:53:020:53:05

What happened to your mother, to your grandmother, isn't going to happen to you.

0:53:050:53:09

Now, you've got a guy out there who really cares for you. I think it's time to move on.

0:53:090:53:14

I'll try, if you do.

0:53:140:53:17

When did you last get a good night's sleep?

0:53:190:53:21

Well, you don't miss much, do you?

0:53:230:53:25

Nice hot bath, cup of camomile, my mum always swore by it.

0:53:250:53:30

Zap those bags under your eyes, or you won't hold on to that new boyfriend.

0:53:300:53:36

-And as if by magic.

-Huh?

0:53:360:53:39

Nothing.

0:53:390:53:40

How is he?

0:53:470:53:48

Yeah, he's OK.

0:53:480:53:49

So, come on, dish. Is it true you said, see you on the ice?

0:53:500:53:55

Oh, what I wouldn't have given to see the Swede getting a taste of his own medicine!

0:53:550:53:59

I don't know how to tell him...

0:54:150:54:18

I don't think I can cope.

0:54:210:54:25

I don't think he will...

0:54:290:54:30

Without his Dad. I...

0:54:300:54:33

You will. You both will.

0:54:350:54:38

Did you ever think you could cope through a day like today?

0:54:390:54:44

But you did, right?

0:54:450:54:46

So whatever happened to that lap common bile duct exploration?

0:55:020:55:06

Don't worry. Mr Hanssen has suddenly decided that he can be bothered to lift a scalpel after all.

0:55:060:55:11

Tell him we'll do it.

0:55:110:55:12

Now?

0:55:120:55:14

Yeah. Give me a couple of hours. I've got a date.

0:55:140:55:17

-What, you mean someone's actually desperate enough?

-Ha ha ha ha!

0:55:170:55:21

Where's Dad?

0:55:350:55:37

Ms Shah.

0:56:280:56:29

I really don't know what astounds me more, what people classify as chocolate in this country

0:56:290:56:35

or that such an intelligent woman chooses to devour the quantities you do.

0:56:350:56:39

Oh, c'mon. You only live once.

0:56:390:56:41

You've gotta walk on the wild side now and again.

0:56:410:56:43

You did well today.

0:56:430:56:45

In theatre.

0:56:450:56:46

I...

0:56:460:56:48

It was much appreciated.

0:56:520:56:55

-That's what I'm here for.

-Very well.

0:56:550:56:59

Onwards.

0:56:590:57:00

Subtitles by Red Bee Media Ltd

0:57:200:57:22

E-mail [email protected]

0:57:220:57:24

Sahira confronts Hanssen about the administration and communication chaos that exists in their department, but Hanssen refuses to engage and keeps his distance. When a complex emergency trauma case comes in, Hanssen is forced to get involved - but his cautious approach clashes with the risks that Sahira needs him to take. Can Sahira convince him to be the leader they need him to be before it is too late?

Michael is doing his best to stay detached and serve his notice. But when Rose, a former breast implant patient, is admitted, Michael is forced to re-visit the repercussions of the plastics scandal. Rose has forgiven him but can Michael forgive himself?

Dan is pleased to see Chrissie after his conference trip, but soon has to face awkward questions about why Greg is not his best man. Dan's behaviour becomes increasingly odd when he and Chrissie work with feisty patient Olivia who has fallen off her horse. Greg knows he is being side-lined because of the kiss he witnessed between Dan and Stephen. But will Dan have the guts to be honest with Chrissie?


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