The Hand That Bites

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0:00:39 > 0:00:41It's not an easy job market out there.

0:00:41 > 0:00:45Especially for a woman who clutters her career path with children... and a husband.

0:00:51 > 0:00:53Ms Shah, this woman needs a splenectomy.

0:00:53 > 0:00:56If your thoughts are elsewhere, leave and I'll continue.

0:00:56 > 0:01:00- Dan! - I love you, I love you so much.

0:01:01 > 0:01:03I don't want to wait any more.

0:01:03 > 0:01:05- You're all heart(!) - You know what your problem is?

0:01:05 > 0:01:08- You want them all to fall in love with you.- That's rubbish.

0:01:08 > 0:01:10That's why you're not consultant material.

0:01:10 > 0:01:14- What are you trying to tell me? You're attracted to other women? - Not just women.

0:01:17 > 0:01:20HE SPEAKS SWEDISH

0:01:40 > 0:01:44That was amazing. No really, it was marvellous.

0:01:44 > 0:01:49You do realise I don't actually understand Swedish?

0:01:49 > 0:01:51No, well thankfully the president of the academy does

0:01:51 > 0:01:54but actually the main body of the presentation

0:01:54 > 0:01:55will be in English.

0:01:55 > 0:01:59Well, I know how much it always means to you to go back home.

0:01:59 > 0:02:04- So will you have time to go to the opera?- Perhaps.

0:02:04 > 0:02:08I loved that building, it just took my breath away. And the opera -

0:02:08 > 0:02:10what was it called - The Flying...?

0:02:10 > 0:02:12Der Fliegende Hollander.

0:02:12 > 0:02:15Yes, that's it, I compared it to Les Mis

0:02:15 > 0:02:17and you almost choked on your brannvin.

0:02:17 > 0:02:20HE CORRECTS PRONUNCIATION: Brannvin.

0:02:20 > 0:02:25Of course. Anyway, you are going to be mesmerising, whatever language.

0:02:33 > 0:02:34Nervous?

0:02:34 > 0:02:36Not particularly.

0:02:38 > 0:02:39Shock to the system, huh?

0:02:41 > 0:02:43I mean, an exam first thing Monday morning -

0:02:43 > 0:02:47I mean, it's a flagrant violation of basic human rights.

0:02:49 > 0:02:52Yeah, at least it gets it out of the way.

0:02:52 > 0:02:54Well, good luck.

0:02:54 > 0:02:56Thanks for the lift.

0:02:58 > 0:03:02I'll pick you up after. We could spend the afternoon together.

0:03:02 > 0:03:05- Maybe watch a movie?- Ah, I can't - I've got my final dress fitting.

0:03:05 > 0:03:08Well, I'll take you. Unless you think it's bad luck?

0:03:08 > 0:03:10I'll see you after the exam.

0:03:16 > 0:03:21Oh, would you hand this to my secretary on your way out, please, for her to proof read?

0:03:21 > 0:03:22Sure.

0:03:24 > 0:03:26Why does it say that?

0:03:26 > 0:03:29- Sorry what, what does it say? - Henrik Hanssen and Sahira Shah?

0:03:31 > 0:03:33Me? To Stockholm?

0:03:33 > 0:03:35- This weekend. - To the conference?

0:03:35 > 0:03:37No, to an ABBA concert.

0:03:37 > 0:03:41But that would mean presenting in front of the president of the academy.

0:03:41 > 0:03:44I wrote my dissertation on her specialism.

0:03:44 > 0:03:45So, do I take that to be a yes?

0:03:45 > 0:03:47Thank you.

0:03:48 > 0:03:51- It really does mean a lot. - No less than you deserve.

0:03:57 > 0:04:00Eugh, didn't realise it was show and tell day.

0:04:00 > 0:04:02Oh, Pinky? She's my good luck charm.

0:04:02 > 0:04:06- Oh, good call - working with Mr Griffin today, you're going to need it.- Why?

0:04:06 > 0:04:10Don't know the specifics but they say the honeymoon's over

0:04:10 > 0:04:13between him and Annalese and he's in a foul mood.

0:04:13 > 0:04:14Aw, poor Mr Griffin.

0:04:14 > 0:04:17Well - Spence's leftovers - it was bound to end in tears.

0:04:17 > 0:04:18Anyway, why good luck?

0:04:18 > 0:04:20It's my driving test today.

0:04:21 > 0:04:24Oh, you on a road, in charge of a vehicle?

0:04:25 > 0:04:27Can I have a coffee?

0:04:27 > 0:04:29Ah, sorry, too late.

0:04:29 > 0:04:30I have a busy day ahead of me.

0:04:30 > 0:04:31So do I.

0:04:31 > 0:04:35Cracking bones into place doesn't require the same mental acuity

0:04:35 > 0:04:37as suturing a beating heart.

0:04:40 > 0:04:43- How old are you, Valentine? - Young...and caffeinated.

0:04:45 > 0:04:49I'm going to go and find some grownups to converse with.

0:04:49 > 0:04:51She thinks I'm going to fail, doesn't she?

0:04:51 > 0:04:54Oh, don't let her bother you. You can always re-take.

0:04:54 > 0:04:56No, no I can't.

0:04:56 > 0:04:58I'm already up to the end of my overdraft.

0:04:58 > 0:05:01I had to borrow the money off my dad and that felt bad enough.

0:05:01 > 0:05:04So, no, this is my only shot.

0:05:04 > 0:05:06Great, thank you.

0:05:10 > 0:05:13Hello, I'm Sister Williams and you are...Trisha?

0:05:13 > 0:05:16Mrs Allen!

0:05:16 > 0:05:20Right, sorry...Mrs Allen.

0:05:20 > 0:05:24OK, now I can see from your notes that you've been experiencing pain in your ears?

0:05:24 > 0:05:26- Yes, they're very sore. - Right, er, OK,

0:05:26 > 0:05:29so I need to do an examination

0:05:29 > 0:05:31to see if we can identify... any problems...

0:05:33 > 0:05:37..such as, er... Such as infection.

0:05:37 > 0:05:40OK, so I'm going to carry out an examination, if that's OK?

0:05:40 > 0:05:44Did I just say that? Sorry.

0:05:44 > 0:05:47You jammy so and so. Why can't I go to Sweden?

0:05:47 > 0:05:49The beer's amazing, not to mention the women.

0:05:49 > 0:05:51I think you just answered your own question.

0:05:51 > 0:05:55Mr Hanssen, are you familiar with the Richardson case?

0:05:55 > 0:05:58- It's a Patent Foramen Ovale? - Extremely rare.

0:05:58 > 0:06:00Exactly why I was hoping I might scrub in...

0:06:00 > 0:06:04No, out of the question, I'm afraid. Now, I was paged - a GS consult?

0:06:05 > 0:06:06Thank you.

0:06:06 > 0:06:09- Good morning, what do we have? - This is Amy...

0:06:09 > 0:06:13- Patient complaining of shortness of breath... - One at a time, please.

0:06:13 > 0:06:15She fell over, didn't you, Amy?

0:06:15 > 0:06:18I was running for the bus and I tripped.

0:06:18 > 0:06:22- Ms Reynolds, isn't it? - Hello, Mr Hanssen. This is my daughter, Amy.

0:06:22 > 0:06:25I'm often here, I'm an on-call counsellor.

0:06:25 > 0:06:29Amy sustained a low impact fracture, which I've set in a cast. Her BP is high - 120-90.

0:06:29 > 0:06:33Her temperature's slightly raised, 37.5, as is her pulse - 80.

0:06:33 > 0:06:37She has atrial fibrillation, and a fluttering discomfort in the neck.

0:06:37 > 0:06:40- So I'm going to order an ECG, Echo, and CT.- Is it serious?

0:06:40 > 0:06:44Let's run some tests and see what we're dealing with.

0:06:44 > 0:06:48- And you were saying your tummy hurts, weren't you? - Mind if I take a look?

0:06:48 > 0:06:52Just hold that up there out of the way, please.

0:06:52 > 0:06:55- I should be at school. - It's OK, Amy, health comes first.

0:06:55 > 0:06:59It doesn't feel distended, does it hurt when I press...?

0:07:00 > 0:07:02But I've got coursework to hand in. GCSEs?

0:07:02 > 0:07:05A levels.

0:07:05 > 0:07:06I'm 18.

0:07:08 > 0:07:11Nurse Lane? I've assigned you to a unique case today.

0:07:11 > 0:07:13- I hope you're feeling confident?- Me?

0:07:13 > 0:07:17Yes, Mr Griffin, definitely.

0:07:17 > 0:07:22Good, because your expertise will be required to supervise a patient

0:07:22 > 0:07:26whose gall stone in the bowel I'll be removing this afternoon.

0:07:26 > 0:07:30Follow me. Two things to be aware of. Firstly the patient will be conscious

0:07:30 > 0:07:37throughout the procedure because of his asthma and secondly he's... Well, you'll see.

0:07:37 > 0:07:41Andy, this is Nurse Lane, she'll be looking after you today.

0:07:41 > 0:07:45- Hello. - Can you step to the right?

0:07:45 > 0:07:48- Like this?- Too far. - Better?

0:07:48 > 0:07:52- I have to be able to see the door. - Oh, I'm like that on trains.

0:07:52 > 0:07:56- Have to be on the aisle side. - How are you feeling about the operation?

0:07:56 > 0:08:00- Why're you asking me that? - I didn't mean to worry you... - Should I be worried?

0:08:00 > 0:08:03Is that what you're saying, I should be worried?!

0:08:03 > 0:08:07I wouldn't be, not with Mr Griffin as your surgeon. He's excellent.

0:08:07 > 0:08:11- Will there be a needle?- Yeah. - How big is the needle? - Hmm, about that big.

0:08:11 > 0:08:14- What will the room be like? - Shall I draw you a picture?

0:08:17 > 0:08:23Right well, I'll leave you to it. I'll see you later, Andy.

0:08:23 > 0:08:27Chantelle - or should I call you Picasso? - well done.

0:08:31 > 0:08:35- You have a nice smile. - Aww, thank you.

0:08:37 > 0:08:41This is Amy's X-ray. You might be interested to see one from a nine-year-old patient.

0:08:41 > 0:08:45- As you can see - there's very little difference.- Theories? - Could be anorexia?

0:08:45 > 0:08:49That would delay puberty, the lack of calcium would erode bone density.

0:08:49 > 0:08:52Or diet pills - might explain the irregular heart rhythm.

0:08:52 > 0:08:56That's possible. Well, shall we see what she has to say?

0:08:58 > 0:09:04Hello again. Er, do you mind if we ask you a few more questions?

0:09:04 > 0:09:05It's OK, darling, go ahead.

0:09:05 > 0:09:06OK.

0:09:06 > 0:09:09- So are your periods regular? - I haven't had one yet.

0:09:09 > 0:09:12But it's not like a big deal, is it, Mum?

0:09:12 > 0:09:15No, no, I didn't start mine until I was 17.

0:09:15 > 0:09:18- My mother was the same. - I'm not... I'm not a freak, am I?

0:09:18 > 0:09:20No more than the rest of us.

0:09:20 > 0:09:24- And your dad's side of the family? - The Worm?!

0:09:24 > 0:09:28Aimes! Amy's father left when she was a toddler.

0:09:28 > 0:09:31Can't say I ever discussed his mother's monthlies.

0:09:31 > 0:09:34Have you ever gone on a diet? Are you taking any medication? Any pills?

0:09:34 > 0:09:39- Just vitamins. - We could do an ultrasound and ensure there's nothing amiss.

0:09:39 > 0:09:42Right, sure. Can't do any harm, eh, Aimes?

0:09:42 > 0:09:44- No.- Thank you.

0:09:44 > 0:09:47I wasn't unduly concerned about her abdomen. Can you order the scan?

0:09:47 > 0:09:51- I'll get onto it if you like? - How many times, Oliver? You - bones.

0:09:51 > 0:09:53Me - hearts.

0:09:53 > 0:09:57I gather you're addressing the Stockholm Multi-Discipline Symposium this weekend?

0:09:57 > 0:10:00- Indeed.- Are you taking anyone?

0:10:00 > 0:10:03The jungle drums are in full voice this morning.

0:10:03 > 0:10:07Well, you should take me. I've worked across both GS and CT

0:10:07 > 0:10:11and I have a glittering array of pre-dinner anecdotes in my arsenal.

0:10:11 > 0:10:15That's fighting talk indeed. But I'm afraid the slot has already been filled.

0:10:15 > 0:10:20- I see. I'm the consultant here, not Ms Shah.- Yet there is one area in which she has a definite advantage.

0:10:20 > 0:10:25her ability to behave like a human being rather than a disgruntled barracuda.

0:10:28 > 0:10:30Chrissie.

0:10:30 > 0:10:32How'd it go?

0:10:32 > 0:10:33Yeah, it was fine.

0:10:33 > 0:10:35Great.

0:10:36 > 0:10:38Ready to go?

0:10:38 > 0:10:42- So, er, I've got an arty Spanish film or...- Do you know what, I can't.

0:10:42 > 0:10:44What?!

0:10:44 > 0:10:48- Luc just called from AAU and they're heaving.- You didn't volunteer?

0:10:48 > 0:10:50- Sorry.- No worries.

0:10:50 > 0:10:54But you're coming over tonight, you and Daniel, and I'm cooking.

0:10:54 > 0:10:58No excuses for not staying over now you don't have to revise.

0:11:00 > 0:11:02She's fine - fractured a bone

0:11:02 > 0:11:06and they're running a few tests just to be on the safe side.

0:11:07 > 0:11:11Becky. Unwin? Why, what's happened?

0:11:14 > 0:11:18Oh...right. Sure, sure.

0:11:24 > 0:11:27Oh, crap!

0:11:27 > 0:11:29I love your expletives, they're so mumsy.

0:11:29 > 0:11:31I am so dead.

0:11:32 > 0:11:34The conference!

0:11:36 > 0:11:38Didn't know you were working today?

0:11:38 > 0:11:39You complaining?

0:11:39 > 0:11:41Christmas party season?

0:11:41 > 0:11:44If a reindeer wanted a shift, I'd gladly hand it a uniform.

0:11:44 > 0:11:47- It's extra cash. - Dan know, does he?

0:11:47 > 0:11:50- Excuse me?- You're building up a run away fund already.

0:11:52 > 0:11:55Mr Choudhury?

0:11:55 > 0:11:58Hey, Sister Williams. Thought it was your day off.

0:12:01 > 0:12:03It wasn't what you think.

0:12:03 > 0:12:07- Then how was it?- What did he say? - You kissed.

0:12:07 > 0:12:09That was the end of it.

0:12:12 > 0:12:14What, do you fancy him?

0:12:14 > 0:12:17No, no, no, Chrissie, that's not how it was, trust me.

0:12:17 > 0:12:20Don't make me feel stupid. You don't know how I feel.

0:12:20 > 0:12:22Chrissie...

0:12:24 > 0:12:25Right, Becky?

0:12:26 > 0:12:30THAT'S my name. I thought it was doofus.

0:12:31 > 0:12:35- So how did this happen? - Got run over by a kid on a BMX.

0:12:35 > 0:12:40You'd hope if you were going to wind up in hospital it'd be for something a tad more, impressive.

0:12:40 > 0:12:43- Well, you won't be the first. - See? Not even original.

0:12:43 > 0:12:46What are the chances of me being out of here by tonight?

0:12:46 > 0:12:51- Why, have you got something planned? - Yes. A wake...for my 20s.

0:12:51 > 0:12:53Congratulations.

0:12:53 > 0:12:57The big 3-0. How did that happen?

0:12:57 > 0:12:59Becky! There you are...

0:12:59 > 0:13:04- Han, you must have a bat link to the hospital.- I wish.

0:13:04 > 0:13:09Sister Williams, Hannah. Hannah, Sister Williams.

0:13:10 > 0:13:12I recognise you, don't I?

0:13:12 > 0:13:18It's OK. She's my counsellor - she works here quite a lot.

0:13:18 > 0:13:19I was raped, a year ago.

0:13:19 > 0:13:22KNOCK ON DOOR Come in.

0:13:22 > 0:13:24Ah, good.

0:13:24 > 0:13:28Ah, do you go by the name of Shah on your passport or your married name?

0:13:28 > 0:13:31Er, I, I stayed Shah. Why?

0:13:31 > 0:13:34It's for your plane ticket for the conference.

0:13:36 > 0:13:37What?

0:13:38 > 0:13:41I can't go.

0:13:41 > 0:13:42I see.

0:13:42 > 0:13:46I'm so sorry, Henrik. It's er, it's personal reasons.

0:13:46 > 0:13:48My wedding anniversary.

0:13:48 > 0:13:53It's just that we always go back to the restaurant that he proposed in.

0:13:53 > 0:13:56It's, er, it's a sort of, a tradition.

0:13:56 > 0:13:59- Oh, well, there it is. - So you don't mind?

0:14:00 > 0:14:04- I know these things mean a lot to you.- Well, maybe you could take someone else?

0:14:04 > 0:14:05I think not.

0:14:05 > 0:14:08I was really looking forward to going back to the opera.

0:14:08 > 0:14:10Well, it was always a work trip, not a city break.

0:14:13 > 0:14:14Anything else?

0:14:14 > 0:14:16No.

0:14:16 > 0:14:18Right.

0:14:28 > 0:14:32Kelly, it was as I thought - book the ticket in the name of Shah.

0:14:32 > 0:14:33Thank you.

0:14:33 > 0:14:36This all seems fine. There's no nerve damage.

0:14:36 > 0:14:40So I'm going to dress this for you and get some pain killers for you to take home.

0:14:40 > 0:14:42You should be able to make your party.

0:14:42 > 0:14:44Just be careful what you drink.

0:14:45 > 0:14:49Talking of which...happy birthday.

0:14:53 > 0:14:54Here, let me help you.

0:14:54 > 0:14:58Was going to give you this at the office.

0:14:58 > 0:15:00There we are.

0:15:00 > 0:15:05You said you wanted to go travelling and see the Amalfi coast.

0:15:05 > 0:15:06Thank you.

0:15:08 > 0:15:11And here's me thinking you just came to nag.

0:15:11 > 0:15:12I don't know what you mean.

0:15:12 > 0:15:16You wouldn't think she was my star patient, would you?

0:15:16 > 0:15:18She's really made amazing progress.

0:15:18 > 0:15:22- Yeah, I can tell that. - When we first met, I was a quivering wreck.

0:15:23 > 0:15:25Five panic attacks before breakfast.

0:15:25 > 0:15:30You should have seen my kitchen. There was cornflakes everywhere.

0:15:33 > 0:15:37Right, I need to get back to my daughter on Darwin.

0:15:37 > 0:15:40Er, you couldn't do me a favour, could you?

0:15:44 > 0:15:47This is Becky's parents' number. Could you make sure they pick her up?

0:15:47 > 0:15:51I don't like the thought of her going back to an empty flat.

0:15:51 > 0:15:55- She's more vulnerable than she lets on. - Yeah, of course. She seems OK.

0:15:55 > 0:15:58Yes, things are very difficult.

0:15:58 > 0:16:01Once the trust is gone, it's very hard to reclaim.

0:16:01 > 0:16:02Thanks.

0:16:05 > 0:16:07But I thought I was on the Amy Reynolds case?

0:16:07 > 0:16:10I need to reference that case in Stockholm.

0:16:10 > 0:16:12So you want Ms Shah on it, I see.

0:16:12 > 0:16:15And I assume you've no problem with the rest of the surgical list for today?

0:16:15 > 0:16:20Cos I particularly need a fine consultant for the Patent Foramen Ovale.

0:16:20 > 0:16:24Hell, no, I've got no problem. As long as he doesn't keel over

0:16:24 > 0:16:26at the sight of a disgruntled barracuda.

0:16:34 > 0:16:35What's that?

0:16:36 > 0:16:40Oh, silly, really. She's called Pinky.

0:16:40 > 0:16:42But it's got blue hair, I don't understand?

0:16:42 > 0:16:45It's a bit embarrassing.

0:16:45 > 0:16:48When I was younger, I nagged my mum non-stop for a troll with pink hair

0:16:48 > 0:16:52and then come Christmas morning, I finally got one

0:16:52 > 0:16:56but it had blue hair. I was so disappointed, I cried all the way through the turkey.

0:16:56 > 0:17:00My mum went ballistic and said I wouldn't get any chocolates unless I stopped being so spoilt.

0:17:00 > 0:17:03So I decided to imagine her hair was pink and that's why she's called Pinky.

0:17:03 > 0:17:06Impeccable logic, Nurse Lane.

0:17:07 > 0:17:09He thinks I'm weird, doesn't he?

0:17:09 > 0:17:12- Course not. - It's what everyone thinks.

0:17:12 > 0:17:15Trouble is, people like him - they make me even weirder.

0:17:15 > 0:17:18- Don't worry, he thinks I'm weird too.- Why?

0:17:18 > 0:17:21The thing about people in this hospital is they say one thing,

0:17:21 > 0:17:26but they mean the opposite. It's called sarcasm or irony, I can never remember which.

0:17:26 > 0:17:27I don't understand sarcasm.

0:17:27 > 0:17:30Me neither. I think it's just an excuse to be mean.

0:17:33 > 0:17:36- What's wrong? - Oh, butterflies.

0:17:36 > 0:17:42- Where?- No, I mean, I'm nervous. I've got my driving test today.

0:17:42 > 0:17:46Oh, don't worry. I'll be back before your operation.

0:17:46 > 0:17:50- Will you be there in the room while I'm having it?- Long as I can clear it with Mr Griffin.

0:17:50 > 0:17:54- Why wouldn't he?- Course, he will. And I'll be back as soon as I can, promise.

0:17:56 > 0:17:58It's a fairly straightforward repair of the valve

0:17:58 > 0:18:01but you should do a tox screen - see if she's been taking anything.

0:18:01 > 0:18:05Amy Reynolds? So she's Hannah's daughter. I assumed she was one of her clients.

0:18:05 > 0:18:10Heart condition at 18 plus the fact that she's severely underdeveloped. It's looking more likely.

0:18:10 > 0:18:16She's 18 years old? Gosh, poor Hannah - she must be beside herself.

0:18:16 > 0:18:19So you don't mind that I'm taking over this case?

0:18:19 > 0:18:24Not when I got top trumps. Oh, and I should warn you, hubby is all over this one.

0:18:24 > 0:18:26He wants to investigate the development issue

0:18:26 > 0:18:28and include it in the Swedish shindig.

0:18:30 > 0:18:33- Something wrong? - Can we drop this hubby malarkey?

0:18:33 > 0:18:36This whole sleeping with the boss thing is getting really tired.

0:18:36 > 0:18:38Oh, I'm way past imagining Hanssen with a sex life.

0:18:38 > 0:18:43- No, what you are, is his work wife. - You are seriously twisted.

0:18:43 > 0:18:45Has Ms Naylor enlightened you?

0:18:45 > 0:18:47She has.

0:18:48 > 0:18:51So, curious case, wouldn't you say?

0:18:51 > 0:18:55Well, I'm happy for you to observe.

0:18:55 > 0:18:58Sometimes you are just as transparent as Indy.

0:18:58 > 0:19:01What part of "I can't come to Sweden" do you not understand?

0:19:05 > 0:19:07I just didn't think I'd see you today.

0:19:07 > 0:19:10So...we're cool?

0:19:12 > 0:19:17I know that look, so come on, unburden.

0:19:17 > 0:19:20How does something like that just happen?

0:19:20 > 0:19:23- You're asking the wrong guy. - You were there, weren't you?

0:19:23 > 0:19:25Sorry.

0:19:25 > 0:19:29I just can't help feeling paranoid.

0:19:29 > 0:19:34Look, the way I see it, you got two options.

0:19:36 > 0:19:40You talk to him, and you decide you can't get past it.

0:19:40 > 0:19:41You end it.

0:19:45 > 0:19:50Or you...take him at his word and move on.

0:19:50 > 0:19:53Yeah, you're right. And I do, I do trust him.

0:19:53 > 0:19:56- It was ages ago, Chrissie. - Yeah, that's what he said.

0:19:56 > 0:20:01- It's not like we ever got close. We couldn't stand each other. - So how did you...?- Chrissie.

0:20:01 > 0:20:02Please.

0:20:04 > 0:20:07I dunno,

0:20:07 > 0:20:10- I guess, we were having a fight...- About what?

0:20:12 > 0:20:14It was after his mate came in.

0:20:14 > 0:20:17You know, the rugby player he'd given steroids to.

0:20:19 > 0:20:20Are you sure?

0:20:20 > 0:20:21Yeah.

0:20:23 > 0:20:25Why?

0:20:25 > 0:20:26No reason.

0:20:27 > 0:20:29Chrissie?

0:20:30 > 0:20:33So you're taking over my case?

0:20:33 > 0:20:34If that's OK with you.

0:20:34 > 0:20:36Absolutely.

0:20:36 > 0:20:40Mum talks about you, says how cool you are. Talks about him too.

0:20:40 > 0:20:44Great, well, we'll just pretend he's not here, shall we?

0:20:44 > 0:20:47- Where is mum?- Working.

0:20:47 > 0:20:51Right, do you want to call her so she can hear this?

0:20:51 > 0:20:53Er, she's really busy and I am 18.

0:20:53 > 0:20:57OK, we have found a problem with the valves in your heart.

0:20:57 > 0:20:58They're not working properly

0:20:58 > 0:21:02which means that we'll have to operate to repair them.

0:21:02 > 0:21:04My...my heart?

0:21:04 > 0:21:10It is serious but I don't want you to worry, it's a routine operation.

0:21:10 > 0:21:14But, I don't understand. A heart problem?

0:21:14 > 0:21:16I'm young - why would I have that?

0:21:16 > 0:21:18We don't know yet, so we're running tests.

0:21:18 > 0:21:22But what would really help us is if you can think of anything,

0:21:22 > 0:21:24- anything that might be relevant. - What do you mean?

0:21:24 > 0:21:29We are trying to establish whether or not you're taking anything?

0:21:29 > 0:21:30No, I already said...

0:21:30 > 0:21:34What Mr Hanssen means is, is there something you've forgotten to...?

0:21:34 > 0:21:37Diet pills? Laxatives? Recreational drugs?

0:21:37 > 0:21:42No, I swear. I wouldn't touch drugs. I don't even drink.

0:21:42 > 0:21:46It's OK, it's OK, Amy. Thank you for your honesty.

0:21:47 > 0:21:48I want my mum.

0:21:51 > 0:21:56Hey, Sacha, hi, it's me. Er, where are you?

0:21:56 > 0:21:59No, I'm fine, er,

0:21:59 > 0:22:03I've got this silly lunchtime dress appointment and they won't let me change it.

0:22:03 > 0:22:06And I was wondering if you would do me a favour.

0:22:11 > 0:22:17Oh, darling, Amy. What's happened? Oh, sweetie.

0:22:31 > 0:22:34Next time, less chit-chat.

0:22:45 > 0:22:49She... She's not on drugs, Sahira. I know my own daughter.

0:22:49 > 0:22:53I'm sure you are right but her lack of development is quite unusual.

0:22:53 > 0:22:56- She's not developing at the rate she should be.- I know, I know.

0:22:56 > 0:22:59I try not to make a big thing out of it in front of Amy,

0:22:59 > 0:23:02you know, make her feel worse, and I keep reassuring her,

0:23:02 > 0:23:07but now she's 18, it IS a worry. I don't know what to do, Sahira.

0:23:07 > 0:23:12Look, the best endocrinologist in the country is a friend of mine.

0:23:12 > 0:23:14I'll make sure you get a referral before you leave.

0:23:14 > 0:23:18And don't worry, I'm sure it's likely to be natural causes.

0:23:18 > 0:23:21But we shouldn't rule anything out at this stage.

0:23:21 > 0:23:25- What are you saying? - We should wait for the test results before we make assumptions.

0:23:25 > 0:23:30- Rest assured, though, we all want what's best for your daughter. - Thank you.

0:23:30 > 0:23:33- Look, I really must get back to Amy. - Sure.

0:23:33 > 0:23:39So, since when does observe translate as muscle in?

0:23:39 > 0:23:44- You know Ms Reynolds?- Not that well. - Then don't let emotions impair your judgement.

0:23:44 > 0:23:48With a second chance at Foundation Trust status hanging over us like the Sword Of Damocles,

0:23:48 > 0:23:52We need to ensure that we are beyond reproach.

0:23:52 > 0:23:56- Well, you've got it under control! - Where are you going?

0:23:56 > 0:23:58I am going to buy my husband an anniversary present.

0:23:58 > 0:24:01And before you even think about rolling your eyes,

0:24:01 > 0:24:07let me point out that this is only the third lunch break I've taken, since I started this job.

0:24:07 > 0:24:09One son, duly delivered.

0:24:13 > 0:24:15You sure you're OK?

0:24:17 > 0:24:20Yeah, I just needed to see his face.

0:24:20 > 0:24:24How did your practical go? I thought you had the afternoon off with Dan.

0:24:24 > 0:24:25Yeah, it's a change of plan.

0:24:25 > 0:24:31- Thank you for dropping him. Sorry to eat into your time with him. - That's all right.

0:24:37 > 0:24:40So, er, I'll go take him for a walk in the park while you're,

0:24:40 > 0:24:44- while you're in there? - Well, you may as well come in now.

0:24:45 > 0:24:48- Really?- Please.

0:24:48 > 0:24:50In here, Mr Douglass, please.

0:24:53 > 0:24:55Are you familiar with the Amy Reynolds case?

0:24:55 > 0:24:59- The girl who never grew up? Sure. - I have her tox screen results in.

0:24:59 > 0:25:03- Why are you showing them to me? - You are now on the case. - But it's Sahira's case.

0:25:03 > 0:25:08- Not any more.- Why not? - I have a concern she may lack the necessary distance.

0:25:10 > 0:25:13- I don't know...- Do you wish to step up or not, Mr Douglas?- No.

0:25:13 > 0:25:16- I beg your pardon?- With all due respect, have you any idea

0:25:16 > 0:25:19how much that woman has been doing for you recently?

0:25:19 > 0:25:22Next time, call because you think I'm up to it.

0:25:26 > 0:25:30- Chantelle, where've you been? - My test was terminated and...

0:25:30 > 0:25:33- You were only supposed to be gone an hour.- I'm sorry, Mr Griffin.

0:25:33 > 0:25:37Mr Taylor has refused to sign his consent form unless he speaks to you,

0:25:37 > 0:25:40- meaning that I've had to rearrange my surgical list.- Oh, OK...

0:25:40 > 0:25:43Just get it signed and sealed, sweet-talk him, whatever it takes.

0:25:43 > 0:25:45What if he doesn't listen to me?

0:25:45 > 0:25:49Oh, he will. If talking were an Olympic event, you'd win it.

0:25:52 > 0:25:57Hello, Amy. I have your test results and they are indeed clear.

0:25:57 > 0:26:00I told you I wasn't taking anything.

0:26:00 > 0:26:02You did.

0:26:02 > 0:26:09So you will have your operation and Ms Shah has arranged your referral to an endocrinologist, OK?

0:26:09 > 0:26:12How quickly will I be able to go back to college?

0:26:12 > 0:26:16- I've got mocks in January. - You'll be back at your studies long before that.

0:26:16 > 0:26:21Astrophysics? Well, mind if I take a look?

0:26:21 > 0:26:23Thank you.

0:26:25 > 0:26:29It's what I want to be - an astronaut.

0:26:29 > 0:26:31No-one really gets it though.

0:26:32 > 0:26:33Why?

0:26:35 > 0:26:37Cos it sounds like a kid thing.

0:26:37 > 0:26:40I'm really getting into control engineering though.

0:26:40 > 0:26:42It's crucial for spacecraft design.

0:26:42 > 0:26:44They misunderstand you, do they?

0:26:44 > 0:26:50I...want to go into deep space, look down on the Earth

0:26:50 > 0:26:56and see it's just a ball. All those people, billions of them,

0:26:56 > 0:26:57completely invisible.

0:26:58 > 0:27:01It'd be like... Like...

0:27:01 > 0:27:04- Having power over them, like a God?- No.

0:27:04 > 0:27:07Like they no longer had power over me.

0:27:14 > 0:27:17Er, give it back, please.

0:27:17 > 0:27:20It's not even mine - I got it from the library.

0:27:20 > 0:27:24Those girls who wrote that, they're, like, 14.

0:27:24 > 0:27:30Anyway, I don't really care about school - I'll be at uni soon

0:27:30 > 0:27:35- and, well, I'll look older then, won't I?- I hope so.

0:27:35 > 0:27:39Now, look, if there's anything you can tell me -

0:27:39 > 0:27:43anything at all - it would be very helpful to me to know

0:27:43 > 0:27:46if there's anything you think is affecting your health.

0:27:50 > 0:27:56Sometimes. I get stressed. About stuff.

0:27:56 > 0:27:58I know it's stupid to think I have problems.

0:27:58 > 0:28:01When you think about some of the things my mum's clients go through.

0:28:01 > 0:28:04She discusses cases with you, does she?

0:28:04 > 0:28:07No, no, of course not. I guess I just pick up on things.

0:28:07 > 0:28:11But, it's just...

0:28:11 > 0:28:18sometimes I feel...so bad,

0:28:18 > 0:28:22that my stomach feels tight as a drum

0:28:22 > 0:28:27and...well...

0:28:27 > 0:28:30I make myself...sick.

0:28:33 > 0:28:35How long have you been doing that for?

0:28:35 > 0:28:40I don't know, er, possibly since I was...15.

0:28:53 > 0:28:55Psssst!

0:28:55 > 0:28:57Sacha!

0:28:58 > 0:29:03What? Not my thing? Aw, that's a shame, I'd always dreamt of my big meringue moment, you know?

0:29:03 > 0:29:07Mother, weeping with pride as I gracefully glide down the aisle.

0:29:07 > 0:29:12# Is this the little girl I carried?

0:29:12 > 0:29:15# Is this the little boy at play? #

0:29:15 > 0:29:17Please, will you sit down?

0:29:33 > 0:29:35How does this thing work?

0:29:37 > 0:29:38Huh?

0:29:41 > 0:29:43Look at silly daddy, what's he doing?

0:29:44 > 0:29:46Whoooooo!

0:29:49 > 0:29:50Whoooooo!

0:29:54 > 0:29:56I'm terribly sorry.

0:30:03 > 0:30:07- Does your mother know about any of this?- No, and please don't tell her.

0:30:07 > 0:30:10- I don't want to worry her. - You have my word.

0:30:11 > 0:30:14- Hi.- Hello.

0:30:14 > 0:30:16Could I have a quick word?

0:30:29 > 0:30:33- I hope you're not offended but should you be examining my daughter alone?- I'm sorry?

0:30:33 > 0:30:38I'd prefer it if another member of staff - a female nurse or Ms Shah - was also present.

0:30:38 > 0:30:39Your daughter's 18.

0:30:39 > 0:30:43Yes, but she's not like other girls her age, she's more vulnerable.

0:30:43 > 0:30:47As I say, it's not a big deal, just a request, really.

0:30:47 > 0:30:50- I hope you're not offended. - Oh, no, not at all.

0:30:50 > 0:30:52- Is there anything I should know?- No.

0:30:52 > 0:30:57I'm afraid anything the patient tells me in confidence must remain that way.

0:30:57 > 0:30:59Yes, of course.

0:31:03 > 0:31:07- We just need your signature and then you can have the operation. - What's happened?

0:31:07 > 0:31:11- Nothing's happened. - You're different.

0:31:11 > 0:31:14- No, I'm not. - Are you being sarcastic, then?

0:31:14 > 0:31:17Please just sign the form.

0:31:17 > 0:31:18How did your driving test go?

0:31:18 > 0:31:21- It was fine. - Then why aren't you smiling?

0:31:22 > 0:31:25I am. See - smiling.

0:31:25 > 0:31:28No, you're not. It's not a real smile.

0:31:28 > 0:31:31- I don't want the operation. - But you have to, Andy.

0:31:31 > 0:31:36- You'll get very sick if you don't. - No! You're lying. Stop lying.

0:31:36 > 0:31:38Stop lying.

0:31:41 > 0:31:44Have I missed anything?

0:31:44 > 0:31:46There's been a development in Amy Reynolds' case.

0:31:46 > 0:31:51She's admitted to being bulimic, which I believe has caused

0:31:51 > 0:31:54both her lack of development and the strain on her heart.

0:31:54 > 0:31:56And she told you that?

0:31:56 > 0:31:58At least we know what we're dealing with now.

0:31:58 > 0:32:02I thought you'd be the right person to bring the mother into the picture,

0:32:02 > 0:32:07- referrals, counselling options and so forth after you operate? - So I haven't been snubbed then?

0:32:07 > 0:32:10Ah. The garrulous Mr Douglas. No, I thought better of it.

0:32:10 > 0:32:12- Really?- Successful expedition?

0:32:12 > 0:32:16Oh, yes, very. I spoke to Rafi while I was out.

0:32:16 > 0:32:21He's all for the conference - doesn't want to stand in my way - so just go ahead and book the ticket.

0:32:21 > 0:32:23Are those Amy's notes?

0:32:25 > 0:32:28Maybe you can trust me to take care of it from here?

0:32:35 > 0:32:37SHE CLEARS THROAT

0:32:41 > 0:32:44What? Something's wrong?

0:32:44 > 0:32:46You look beautiful, Chrissie.

0:32:49 > 0:32:50Doesn't she, son?

0:32:52 > 0:32:54Doesn't seem very me now.

0:32:56 > 0:32:59- Do you think it sits right? - From where I'm sitting.

0:33:01 > 0:33:02What's that?

0:33:02 > 0:33:04What's what?

0:33:04 > 0:33:08- There, is that a kink? - I honestly think it fits perfectly.

0:33:08 > 0:33:12No, no it doesn't. Excuse me, sorry, what do you think?

0:33:14 > 0:33:19- Can you see a kink there? - That's because you keep tugging it.

0:33:19 > 0:33:22- I think it fits perfectly. - See, what did I say?

0:33:22 > 0:33:24No, no, it doesn't.

0:33:24 > 0:33:27No, that's not right. I can't wear it like this.

0:33:27 > 0:33:29I'll have to get a new one.

0:33:30 > 0:33:33Do you think there's time to get a new dress?

0:33:41 > 0:33:44- Is everything OK? - Yes, of course, why wouldn't it be?

0:33:44 > 0:33:48Because you seem a little...on edge. Is something worrying you?

0:33:48 > 0:33:50It's this dress.

0:33:51 > 0:33:54I've got to get out of this bloody dress.

0:33:54 > 0:33:58I'm so sorry but Mr Taylor's still refusing to have the op.

0:33:58 > 0:34:00- I tried my best. - What did you say to him?

0:34:00 > 0:34:05Nothing. He could just tell I was... a bit upset.

0:34:05 > 0:34:10- What do you mean?- My driving test... - Oh, for God's sake, Chantelle.

0:34:14 > 0:34:19- Look, Chantelle, I'm sorry, I didn't mean to upset you... - I'm sorry, I'm sorry,

0:34:19 > 0:34:21I know it's really unprofessional.

0:34:21 > 0:34:24I'll pull myself together. Deep breaths, deep breaths.

0:34:24 > 0:34:26Andy's crashing.

0:34:29 > 0:34:33Right, Ms Shah's back now so I'll leave you in her capable hands.

0:34:33 > 0:34:36- PHONE RINGS - I'll be quick. Hannah Reynolds.

0:34:38 > 0:34:42Becky? No, the last time I saw her she was on AAU.

0:34:44 > 0:34:48I told the sister to keep an eye on her.

0:34:48 > 0:34:50Right, I'll leave you to it.

0:34:52 > 0:34:54Sorry, could you just pass me my water, please?

0:34:58 > 0:35:01- Thanks.- What's this mark?

0:35:01 > 0:35:04Oh, it's just where mum does my vitamin injection.

0:35:04 > 0:35:06I see, she injects them, does she?

0:35:06 > 0:35:09Yeah, she read an article on it being easier to absorb that way.

0:35:09 > 0:35:12I see. How long she's been giving them to you?

0:35:12 > 0:35:16Oh, well, it was after Grandad died.

0:35:16 > 0:35:21I was 12 and I got really bad flu, so I, I had to miss his funeral.

0:35:21 > 0:35:24I begged Mum to let me go but she said I wasn't up to it.

0:35:24 > 0:35:27- How often does she give them to you? - Only every three months.

0:35:29 > 0:35:31What did your grandfather die of?

0:35:31 > 0:35:32Cancer.

0:35:32 > 0:35:36What sort - can you remember?

0:35:37 > 0:35:41Pulse 120, temperature raised - 38. He's going into septic shock...

0:35:41 > 0:35:44- I can't breathe.- It must have become necrotic or perforated.

0:35:44 > 0:35:48He's crashed.

0:35:48 > 0:35:49Andy?

0:35:49 > 0:35:51Andy? Can you hear me? Andy?

0:35:55 > 0:35:56Start compressions.

0:35:58 > 0:36:00He's going into VF. Salmons.

0:36:04 > 0:36:05Charge 200.

0:36:08 > 0:36:09Clear.

0:36:12 > 0:36:14HEART RATE BEEP RETURNS

0:36:18 > 0:36:20He's back. Let's get him to theatre.

0:36:35 > 0:36:37Chrissie, please talk to me.

0:36:40 > 0:36:43I'm your friend, aren't I?

0:36:47 > 0:36:48Am I making a mistake?

0:36:50 > 0:36:51Why would you think that?

0:36:51 > 0:36:54I don't know. Maybe I'm just scared.

0:36:54 > 0:36:57I mean, how well do I actually know Dan?

0:36:57 > 0:36:59Has something happened to make you doubt him?

0:36:59 > 0:37:01No.

0:37:03 > 0:37:04Maybe.

0:37:04 > 0:37:07Have you spoken to him about how you feel?

0:37:09 > 0:37:14Kind of. But I get the feeling he's just fobbing me off.

0:37:15 > 0:37:18I don't know, maybe I'm being paranoid.

0:37:18 > 0:37:20That doesn't sound like you.

0:37:24 > 0:37:26What am I going to do, Sacha?

0:37:28 > 0:37:33Well, I can't really say without knowing the full picture,

0:37:33 > 0:37:38but all you can do is trust your instincts. I guess.

0:37:41 > 0:37:43- Do you love him?- Yes.

0:37:43 > 0:37:47Then isn't it worth talking it through again?

0:37:47 > 0:37:51What about if it's not what I want to hear?

0:37:51 > 0:37:55Well, that's just how life goes sometimes.

0:37:55 > 0:37:57You deal with it.

0:37:59 > 0:38:01PHONE RINGS

0:38:03 > 0:38:06It's your phone. It's the hospital. Do you want me to answer it?

0:38:06 > 0:38:08Please.

0:38:08 > 0:38:10Hello, Sister William's phone.

0:38:10 > 0:38:12Oh, hello.

0:38:12 > 0:38:15Yeah, do you want to ask her? OK.

0:38:15 > 0:38:20- Chrissie. It's Luc. It's a patient called Becky Unwin - did you discharge her?- No.

0:38:20 > 0:38:23Well, apparently she's gone AWOL.

0:38:23 > 0:38:26Are you doing it yet? Are you cutting into me?

0:38:26 > 0:38:31I'm just about to, Andy. 23 knife, please.

0:38:31 > 0:38:32How big's the knife?

0:38:33 > 0:38:36- Two centimetres.- Show me? - I can't.

0:38:36 > 0:38:41I'm using it to make the incision.

0:38:41 > 0:38:42Suction.

0:38:45 > 0:38:48The door's moved. It's different from the picture.

0:38:48 > 0:38:50We had to use a different theatre.

0:38:50 > 0:38:53Where's the nurse? I want to speak to the nurse.

0:38:53 > 0:38:58- I need you to take some deep breaths, Andy. - You're blocking the door.

0:38:58 > 0:39:01The door doesn't matter, now, please, just try to relax.

0:39:01 > 0:39:05You think I'm weird. I need the nurse. She understood about the door.

0:39:05 > 0:39:07You need to lie very, very still now, just try to relax.

0:39:07 > 0:39:10- Very still for me, please. - Where is she?

0:39:10 > 0:39:13- Damn it. - What is it? What's happening?

0:39:13 > 0:39:15I'm dying, aren't I? Help.

0:39:15 > 0:39:18Can somebody please page Nurse Lane?

0:39:18 > 0:39:20Lots of people use vitamin injections.

0:39:20 > 0:39:22But within the broader context of what we know...

0:39:22 > 0:39:24What are you accusing Hannah of, exactly?

0:39:24 > 0:39:26I'm not certain at this stage.

0:39:26 > 0:39:31You need to be very certain of your facts before you start making accusations.

0:39:34 > 0:39:36I need a second opinion, please.

0:39:36 > 0:39:38'Go ahead.'

0:39:38 > 0:39:41You recall Amy Reynolds told us she had been taking vitamins?

0:39:41 > 0:39:44It transpires her mother has been injecting them,

0:39:44 > 0:39:45once every three months.

0:39:45 > 0:39:50- Tox screen was clear?- It was, but apparently the injections started

0:39:50 > 0:39:53around the same time as her grandfather died of cancer.

0:39:55 > 0:39:56Let me guess, prostate?

0:39:56 > 0:39:59You know the drug?

0:39:59 > 0:40:02Goserelin. What a pleasant start to the week.

0:40:02 > 0:40:03You agree?

0:40:03 > 0:40:05That a mother could screw up her daughter?

0:40:05 > 0:40:09I find it depressingly realistic. Does Ms Shah agree?

0:40:11 > 0:40:13Well.

0:40:13 > 0:40:16She lives in this fragrant bubble and there you are

0:40:16 > 0:40:19on the outside with a great big needle. 'Course she resists.

0:40:19 > 0:40:24- Whereas you and I have never even seen the inside of the bubble. - You think we're alike?

0:40:26 > 0:40:28Well, we're detached, rational,

0:40:28 > 0:40:33we've never allowed ourselves to become distracted by personal ties

0:40:33 > 0:40:36so our vision is pure, untainted.

0:40:37 > 0:40:40Imagine working together - we'd make quite the team.

0:40:40 > 0:40:42Which is precisely why we shouldn't.

0:40:43 > 0:40:46It'd be like staring into the abyss.

0:40:50 > 0:40:52Where is she? Why doesn't she hurry up?

0:40:52 > 0:40:54Please, I don't want to die.

0:40:54 > 0:40:59I'm sure she's on her way. Try to stay calm.

0:40:59 > 0:41:04- There's a tear in the mesenteric artery we need to get on top of. Clips.- You paged, Mr Griffin?

0:41:04 > 0:41:07Yes, yes, come in, come in. Talk to him, will you?

0:41:07 > 0:41:09Of course.

0:41:11 > 0:41:13Oh, God, my mind's gone blank.

0:41:13 > 0:41:16Imagine you're on the phone to your mum.

0:41:16 > 0:41:19You've always got plenty to say to her. What do you talk about?

0:41:19 > 0:41:22- My day, usually. - Perfect - off you go.

0:41:22 > 0:41:27OK. Hi, Mum, How're you?

0:41:27 > 0:41:30Talk to Andy. Look at him.

0:41:30 > 0:41:34Sorry, I was just getting into it.

0:41:39 > 0:41:42You know I had my driving test earlier.

0:41:42 > 0:41:46Well, the thing is, Andy, you were right.

0:41:46 > 0:41:49I was lying when I said it was fine

0:41:49 > 0:41:54and I'm so sorry for that, but...I was dead embarrassed.

0:41:54 > 0:41:59When I got in the car I was all right, confident even.

0:41:59 > 0:42:02I was imagining the examiner was a patient, which sounds daft,

0:42:02 > 0:42:03but it made me feel better.

0:42:03 > 0:42:07And it was going fine until we came to a stop at some traffic lights

0:42:07 > 0:42:11and I started telling him about how Aunty Suzy thought Uncle Pete was having an affair.

0:42:11 > 0:42:14I got a bit distracted trying to explain the difference

0:42:14 > 0:42:18between Suzy's perfume and the perfume on Pete's shirt.

0:42:18 > 0:42:21Anyway, the next thing I knew, we were rolling forwards.

0:42:21 > 0:42:26- You hadn't applied the handbrake? - Must have forgotten.

0:42:26 > 0:42:30I slammed on my breaks but we'd crashed into a milk float by then.

0:42:30 > 0:42:34So I said to the examiner, "Can we class that as an emergency stop?"

0:42:34 > 0:42:36But he said, "Trouble is, you didn't stop."

0:42:36 > 0:42:38So there's all this milk everywhere

0:42:38 > 0:42:40and all I could think about is my granny,

0:42:40 > 0:42:45cos that's what she used to say, "There's no point crying over spilt milk, Chantelle."

0:42:45 > 0:42:47What? What?

0:42:50 > 0:42:54B/P's stabilised. I've think we found the tear.

0:42:54 > 0:42:58You're smiling again. For real.

0:42:58 > 0:43:00Am I?

0:43:00 > 0:43:05- Have you found her yet?- No. I've had non-stop calls from her counsellor.

0:43:05 > 0:43:09- She thinks the patient might self-harm.- I found this by her bed.

0:43:09 > 0:43:11So she must still be in the hospital somewhere.

0:43:11 > 0:43:13Don't worry, I'll sort it.

0:43:13 > 0:43:16RAPID BEEPING

0:43:16 > 0:43:22- What's happening? What's wrong? - Excuse me. Her abdomen's hard.

0:43:22 > 0:43:27- Why? What's happening?- B/P's through the floor. What are you thinking? - Ascites?- Please, tell me.

0:43:27 > 0:43:30- Let's get her into theatre fast. - She has right sided heart failure.

0:43:30 > 0:43:33- We're going to have to operate on her now.- Will she be OK?

0:43:33 > 0:43:37- I don't know.- Wait in the relatives' room, we'll keep you updated. Don't worry.

0:43:42 > 0:43:45She's about 5'6", brown hair, Irish accent...

0:43:45 > 0:43:50- she could be in a bit of a state. - I'll look out for her.- Thanks.

0:43:50 > 0:43:52I don't get it. Why would a mother do this to her child?

0:43:52 > 0:43:55It goes against every woman's instinct.

0:43:55 > 0:43:58Especially someone like Hannah, whose job is to empathise.

0:43:58 > 0:44:01And she's brilliant at it. I've seen her.

0:44:01 > 0:44:03She may be beyond reproach in her professional sphere.

0:44:03 > 0:44:06But perhaps Hannah has spent so long imagining the world

0:44:06 > 0:44:11through the eyes of her patients, that all she can see now is danger.

0:44:11 > 0:44:15So what? You're saying this is Munchausen's by Proxy?

0:44:15 > 0:44:16A variation, yes.

0:44:16 > 0:44:20She said something earlier that I though it was a little odd.

0:44:20 > 0:44:22She said she didn't want me to examine Amy on my own.

0:44:22 > 0:44:26That's not unreasonable. She's just being protective. Nerve hook.

0:44:26 > 0:44:28But Amy...

0:44:28 > 0:44:30is 18.

0:44:30 > 0:44:31Not in Hannah's head.

0:44:37 > 0:44:41So...if Amy fails to grow up,

0:44:41 > 0:44:45she's much less likely to have contact with boys, with sex.

0:44:45 > 0:44:48So she thinks she's protecting Amy?

0:44:48 > 0:44:53In a sense. But if taken to extremes, it becomes abuse.

0:45:05 > 0:45:06Hello.

0:45:06 > 0:45:09Can't a woman poison herself in peace?

0:45:15 > 0:45:17You're distressed.

0:45:17 > 0:45:21No. I'm fine. Well done, you're the genius,

0:45:21 > 0:45:25I got too involved and couldn't see what's right under my nose.

0:45:25 > 0:45:29- Sahira, you don't think for one moment I just want to be proved right?- I don't know.

0:45:29 > 0:45:33I don't know. Half the time, I don't know what your motives are.

0:45:35 > 0:45:37Why do you even want me to come this conference?

0:45:37 > 0:45:40I should have thought that was evident.

0:45:40 > 0:45:43Do you know what Ravi said when I told him?

0:45:43 > 0:45:46"Good job I'm not the jealous type." And he's right.

0:45:46 > 0:45:51Because most men - most women even - would question your motives.

0:45:51 > 0:45:54Well, that's a banal assumption and one I don't even wish to entertain.

0:45:54 > 0:45:55So, what is it exactly?

0:45:55 > 0:45:58Because we're not equals, we're not work mates,

0:45:58 > 0:46:01we're not friends. So what exactly are we?

0:46:01 > 0:46:03I am your director Of surgery

0:46:03 > 0:46:06and you're one of my most promising registrars.

0:46:07 > 0:46:12I know one thing, you get more of my time than Ravi does

0:46:12 > 0:46:13and that is not right.

0:46:14 > 0:46:17So, I'm sorry, Henrik,

0:46:17 > 0:46:21but I won't be coming to this conference with you.

0:46:22 > 0:46:26Don't make a choice that could affect the rest of your career

0:46:26 > 0:46:27based on an emotional whim.

0:46:30 > 0:46:32I just need to get home.

0:46:41 > 0:46:43How are you feeling?

0:46:44 > 0:46:45Sore.

0:46:45 > 0:46:48You did really well.

0:46:48 > 0:46:51- Did I?- You'll be able to go home, very soon.

0:46:51 > 0:46:52You really helped me.

0:46:52 > 0:46:56Aw, what a nice thing to say.

0:46:56 > 0:46:59You made me realise that I'm not that weird.

0:46:59 > 0:47:03Did I? Good, I'm glad.

0:47:03 > 0:47:07Cos you were right - you're a nurse and you're even weirder than me.

0:47:07 > 0:47:10- What do you mean?- Didn't you see the look on Mr Griffin's face

0:47:10 > 0:47:12when you told that story?

0:47:12 > 0:47:15He couldn't BELIEVE you didn't use the handbrake.

0:47:15 > 0:47:19Yeah, well, it's easy to forget stuff when you're nervous.

0:47:19 > 0:47:21Even I know about the handbrake.

0:47:24 > 0:47:27Well, I'm glad you're feeling better.

0:47:30 > 0:47:31How's your arm?

0:47:31 > 0:47:34Stingy.

0:47:34 > 0:47:35These might help.

0:47:38 > 0:47:40I didn't bank on a search party for this.

0:47:41 > 0:47:44Well, you weren't formally discharged.

0:47:46 > 0:47:47Hang on...

0:47:49 > 0:47:51You thought I was a risk, didn't you?

0:47:52 > 0:47:55That I might...top myself.

0:47:55 > 0:47:58Wow, I'm really clocking up the demented points today, aren't I?

0:47:58 > 0:48:01I didn't, it's just something that Hannah said.

0:48:01 > 0:48:04Hannah? That's weird.

0:48:06 > 0:48:08I've only got through this past year because of her.

0:48:08 > 0:48:10She said I was suicidal?

0:48:11 > 0:48:15Not exactly. She said you're more vulnerable than you let on.

0:48:15 > 0:48:19She's worried about you. She keeps calling the ward.

0:48:19 > 0:48:21But she knows me.

0:48:21 > 0:48:24She knows I'm not suicidal.

0:48:24 > 0:48:27Depressed? Yeah.

0:48:27 > 0:48:31At times I find it hard to face people but...

0:48:31 > 0:48:33that thought NEVER entered my head.

0:48:34 > 0:48:37- I believe you. - Why would she say that?

0:48:46 > 0:48:48Your daughter's operation was successful.

0:48:48 > 0:48:51- Oh, thank God.- We expect her to make a full recovery.

0:48:54 > 0:48:58Now, we found a needle mark on Amy's arm.

0:48:58 > 0:49:01- Yes, vitamin injections. - Are you certain?

0:49:01 > 0:49:05- Yes, of course.- We just wondered if you were aware of the side effects

0:49:05 > 0:49:07of a drug called Goserelin.

0:49:07 > 0:49:09Goserelin?

0:49:11 > 0:49:13That's the drug my father was on.

0:49:13 > 0:49:15Yes, we know.

0:49:18 > 0:49:23- How do you know?- We suspected that Amy's lack of development could have been caused...

0:49:23 > 0:49:25by Goserelin injections.

0:49:25 > 0:49:29I mean, if you're telling me that's not possible...

0:49:29 > 0:49:30She was in danger.

0:49:30 > 0:49:35- I only asked because I'm afraid I'm going to have to inform the police. - The police?!

0:49:35 > 0:49:38I'm sure you'll be able to clear up any confusion.

0:49:38 > 0:49:40She was in danger.

0:49:40 > 0:49:42I guess it's this party.

0:49:44 > 0:49:48Thought it would help to have something to focus on.

0:49:48 > 0:49:53But this morning it hit me that I'd actually have to go through with it.

0:49:55 > 0:50:00The thought of being in a room full of people.

0:50:00 > 0:50:04A lot of them I haven't seen since...

0:50:05 > 0:50:07So, yeah, I froze.

0:50:09 > 0:50:12I stepped onto the road, without looking.

0:50:12 > 0:50:14It is natural to feel nervous.

0:50:14 > 0:50:19- Especially if you haven't been out much since it happened. - But they're my friends.

0:50:19 > 0:50:22What kind of loser's too scared to go to her own party?

0:50:22 > 0:50:25That doesn't make you a coward, Becky.

0:50:25 > 0:50:26Come on.

0:50:26 > 0:50:28You were impressed earlier

0:50:28 > 0:50:30when you thought I was all up for the challenge.

0:50:30 > 0:50:32You gave me that, "Wow, brave girl," look.

0:50:32 > 0:50:36- Yeah, you're right, I did. - I'm sorry to disappoint.

0:50:36 > 0:50:40I'm not disappointed. In fact, I think you're more courageous now.

0:50:40 > 0:50:43- You mean you feel sorry for me.- No.

0:50:43 > 0:50:46I think it takes guts to admit things aren't perfect.

0:50:46 > 0:50:50What? "It's my party and I'll cry if I want to"?

0:50:50 > 0:50:54Yeah. Something like that.

0:50:56 > 0:51:00You shouldn't have to pretend everything's fine to please other people.

0:51:00 > 0:51:05This is when you should listen to your instincts. No-one else.

0:51:07 > 0:51:11So, come on, let's go and face the world.

0:51:13 > 0:51:16I did what I had to do. I preserved her innocence.

0:51:16 > 0:51:18I stopped it happening to her.

0:51:18 > 0:51:22You wouldn't understand, you don't know what goes on. Young women.

0:51:22 > 0:51:29Raped. Abused. I couldn't let that happen to my child.

0:51:30 > 0:51:34- My little girl.- But that is no guarantee of sanctuary, is it?

0:51:34 > 0:51:37Sadly, the world is a darker place than either you or I know.

0:51:37 > 0:51:41She's never been called a slut or a slag or a whore.

0:51:41 > 0:51:44She's never been pawed or slobbered on or groped.

0:51:44 > 0:51:48But her physical health, the damage to her heart?

0:51:48 > 0:51:53- I didn't know that would happen. - She was being bullied, you know.

0:51:53 > 0:51:56What do you know about family and relationships?

0:51:57 > 0:52:00As far as I'm aware, you have none.

0:52:01 > 0:52:05And you certainly don't know what it is to love a child.

0:52:06 > 0:52:08The police will be on their way.

0:52:13 > 0:52:18I thought I was a freak. I thought it was just me.

0:52:20 > 0:52:21I haven't had friends.

0:52:23 > 0:52:24Boyfriends.

0:52:24 > 0:52:27Will I even be able to have children?

0:52:27 > 0:52:29With the right treatment,

0:52:29 > 0:52:34there's no reason why you shouldn't be able to lead a normal life.

0:52:36 > 0:52:38Why did she do it to me?

0:52:38 > 0:52:44Your mother clearly loves you. But she's ill. She needs help.

0:52:45 > 0:52:48Can you thank him for me?

0:52:48 > 0:52:50Mr Hanssen.

0:52:52 > 0:52:54If it wasn't for him...

0:52:54 > 0:52:56Of course.

0:52:57 > 0:53:00Chantelle, wait.

0:53:00 > 0:53:07Er, I just want to say well done today. With Andy.

0:53:07 > 0:53:10You handled the situation really maturely.

0:53:10 > 0:53:14As if - even he thinks I'm stupid.

0:53:14 > 0:53:16Hang on, nobody thinks that.

0:53:16 > 0:53:19Yes, they do. No-one in this hospital respects me.

0:53:19 > 0:53:21I'm just silly, fluffy Chantelle

0:53:21 > 0:53:24who's all right to take the micky out of, but nothing else.

0:53:24 > 0:53:27I gave you a vitally important job to do today.

0:53:27 > 0:53:30Yeah, cos you know I'm a chatterbox. Not because I'm a good nurse.

0:53:30 > 0:53:34- Don't sell yourself short, Chantelle. I chose you because... - I know why you chose me...

0:53:34 > 0:53:38Stop talking and listen, will you?

0:53:38 > 0:53:42I chose you... because you're a leveller.

0:53:42 > 0:53:46You treat patients and consultants alike.

0:53:46 > 0:53:48That's a rare gift.

0:53:48 > 0:53:52And, as for this test, any fool can drive.

0:53:52 > 0:53:54It's just a matter of getting some practise.

0:53:54 > 0:53:57That's the trouble - can't afford any more lessons.

0:53:57 > 0:54:01Well, then you need a friend, somebody who can be objective.

0:54:01 > 0:54:03Like who?

0:54:03 > 0:54:08I don't know - somebody reasonably mature, unflappable...

0:54:08 > 0:54:11- with nerves of steel.- Mr Griffin, do you mean it?- Sorry?

0:54:11 > 0:54:13You'll teach me?

0:54:14 > 0:54:18You weren't offering, were you?

0:54:19 > 0:54:21See? What an idiot.

0:54:21 > 0:54:27No. I mean, yes. I was. I mean, why not?

0:54:27 > 0:54:28Are you being sarcastic?

0:54:31 > 0:54:36Wow. Mr Griffin, my driving instructor.

0:54:36 > 0:54:38That is so cool!

0:54:38 > 0:54:40- Should I kiss you?- Not necessarily.

0:54:40 > 0:54:42OK.

0:54:47 > 0:54:51Guess what I'm doing for my 30th now?

0:54:51 > 0:54:55Macky D's Happy Meal with my mum and dad.

0:54:55 > 0:54:58Same as when I was five.

0:54:58 > 0:55:02Still, that was the best birthday ever.

0:55:06 > 0:55:07Thank you.

0:55:20 > 0:55:21Ready for the off?

0:55:27 > 0:55:28There you go.

0:55:35 > 0:55:39So...happy with the dress? I can't wait to see you in it.

0:55:39 > 0:55:44Why didn't you tell me that you kissed Malick?

0:55:44 > 0:55:46- I did.- And then had sex with me.

0:55:47 > 0:55:50I remember how it happened.

0:55:50 > 0:55:52It was our first time, for God's sake,

0:55:52 > 0:55:54How worked up you were.

0:55:54 > 0:55:58I thought that's cos you wanted me, cos you were turned on by me.

0:55:58 > 0:55:59I was, I am!

0:55:59 > 0:56:03If you were bi - if you had tried both...

0:56:04 > 0:56:08..but were settling down with me, had chosen me - I could deal with that.

0:56:08 > 0:56:11- I don't see what difference it makes.- It makes a huge difference.

0:56:11 > 0:56:13Don't you see?

0:56:13 > 0:56:15You don't know what you want.

0:56:37 > 0:56:39Sahira.

0:56:45 > 0:56:47It's a Burgundy. 2004.

0:56:47 > 0:56:50That's the year I got married.

0:56:50 > 0:56:51Indeed.

0:56:53 > 0:56:54Go home.

0:56:56 > 0:56:58I've still got an hour left of my shift.

0:56:58 > 0:57:00Mr Douglas and I can cope without you.

0:57:03 > 0:57:04Night.

0:57:04 > 0:57:06Night.

0:57:06 > 0:57:09Do you know much about wine, Mr Douglas?

0:57:09 > 0:57:13- I'm more of a lager man, myself. - Really? You surprise me.

0:57:18 > 0:57:21Subtitles by Red Bee Media Ltd

0:57:21 > 0:57:24E-mail subtitling@bbc.co.uk