Personal Injury

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0:00:39 > 0:00:42I'd like you to begin work back on Keller, please.

0:00:42 > 0:00:44Um...I don't think so.

0:00:44 > 0:00:47- Tell anyone and I'll deny it. - Tell them what?

0:00:47 > 0:00:50That it's not just Freya's heart that's bigger than it looks?

0:00:50 > 0:00:51Bye, then.

0:00:55 > 0:00:57- The M and M show taking over your blocks.- What?

0:00:57 > 0:00:59M and M - you and me. See what I did there?

0:00:59 > 0:01:03She'd be better with people who know what they're doing. I'm not fit.

0:01:03 > 0:01:05You're on your own.

0:01:05 > 0:01:07As far as I'm concerned, you're better off that way.

0:01:16 > 0:01:20- BP's dropping. He's collapsing.- Almost there.

0:01:21 > 0:01:23- You're losing him.- No, I'm not.

0:01:23 > 0:01:27Beep, beep, beep, beep...

0:01:27 > 0:01:30I can do without the sound effects, you know.

0:01:30 > 0:01:34- Trying to make it authentic. - Trying to put me off, more like it.

0:01:34 > 0:01:37- Careful - you're going to nick an artery.- Want to bet?

0:01:37 > 0:01:40- Yeah. Sure, name the stakes. - Let me lead on your next case.

0:01:40 > 0:01:43- And if you lose? - That ain't going to happen.- Ah.

0:01:43 > 0:01:45We got an incoming from AAU. RTA.

0:01:45 > 0:01:48- Saved by the bell.- Yeah, you were.

0:01:53 > 0:01:55I was wondering where that got to.

0:01:55 > 0:01:59- Keepsake.- I'm touched.

0:01:59 > 0:02:02Paeds nurses are getting worried you'll put them out of a job.

0:02:02 > 0:02:03Doesn't hurt to be vigilant.

0:02:03 > 0:02:07Ah. So that's why you're here at least twice a day.

0:02:07 > 0:02:09Yeah, you got me - I'm going that extra mile

0:02:09 > 0:02:12because her adoring little face tugs at my heart strings

0:02:12 > 0:02:14and makes me feel soft and gooey inside.

0:02:14 > 0:02:16Sounds more like it.

0:02:16 > 0:02:21So long as you don't lose that delightful hard-as-nails exterior.

0:02:21 > 0:02:22"Delightful"?

0:02:22 > 0:02:24From certain angles.

0:02:24 > 0:02:26Is this your attempt to flirtation?

0:02:26 > 0:02:29More an expression of professional concern.

0:02:29 > 0:02:31Paeds can be an emotional minefield,

0:02:31 > 0:02:32especially when you're not used to it.

0:02:32 > 0:02:36- Keep your guard up.- I thought you paeds guys were soft and cuddly.

0:02:36 > 0:02:38Only on the outside.

0:02:38 > 0:02:40On the inside, we're all ice.

0:02:40 > 0:02:43- You don't have to worry about me. - Good.

0:02:45 > 0:02:46What?

0:02:48 > 0:02:50Rumblings from social services.

0:02:50 > 0:02:52Questions about her medical status,

0:02:52 > 0:02:55whether she's ready to be discharged.

0:02:55 > 0:02:56Sounds like wheels in motion.

0:02:56 > 0:02:59I doubt Freya will be with us for much longer.

0:02:59 > 0:03:00PAGER BEEPS

0:03:02 > 0:03:03Well, the ice queen has been paged.

0:03:06 > 0:03:10- I wouldn't have nicked that artery. - We'll never know.- Trust me, I know.

0:03:10 > 0:03:13Besides, you're shipping out. It makes sense for me to take the lead,

0:03:13 > 0:03:16- ease the pressure off. - Thoughtful.- I'm all heart.

0:03:16 > 0:03:18All right.

0:03:18 > 0:03:21- OK, what have we got? You his partner?- I'm his wife.

0:03:21 > 0:03:24- If you wait over there, we'll let you know...- I'm staying here.

0:03:24 > 0:03:27OK. Ten milligrams of epinephrine ready, please.

0:03:27 > 0:03:28Check blood results

0:03:28 > 0:03:31and let's increase IV fluids while we wait for the blood.

0:03:31 > 0:03:34- All right, we've got occipital bruising.- Tension pneumo.

0:03:34 > 0:03:37HEART MONITOR BEEPS

0:03:41 > 0:03:42BEEPING STOPS

0:03:42 > 0:03:44He's stabilising.

0:03:44 > 0:03:46Thank you. Thank you.

0:03:46 > 0:03:49OK. We'll run some tests. We'll get back to you.

0:03:49 > 0:03:53Chase bloods, request an MRI and head CT scan. 15-minute obs.

0:03:54 > 0:03:56Not bad.

0:03:56 > 0:03:57"Not bad"? Please.

0:03:57 > 0:04:00- What do you want, a gold star? - You know what I want.

0:04:00 > 0:04:03You are like a dog with a bone. You think you can handle it?

0:04:03 > 0:04:06- That ain't even a question. - Prove it. It's all yours.

0:04:14 > 0:04:17You have got to be kidding me. How the hell did she get in here again?

0:04:17 > 0:04:20A fortuitous alignment of opportunity.

0:04:20 > 0:04:23We have a gap in the schedule. She has aortic stenosis.

0:04:23 > 0:04:25Yes, and four stone of excess blubber

0:04:25 > 0:04:27we insisted she lose before we even scrub up!

0:04:27 > 0:04:30Nevertheless, I'm booking her in for an AVR for 3pm this afternoon.

0:04:30 > 0:04:33- I'm sorry - I'm busy. - Not according to your list.

0:04:33 > 0:04:35I'm not performing elective surgery

0:04:35 > 0:04:38on a patient who won't even meet us halfway, Elliot.

0:04:38 > 0:04:43Jac, she assures me that she's done everything she can to lose weight.

0:04:43 > 0:04:44PACKET RUSTLES

0:04:49 > 0:04:51So things are all right now?

0:04:52 > 0:04:53Yeah.

0:04:54 > 0:04:56Sure?

0:04:56 > 0:04:58I've never been happier.

0:05:07 > 0:05:10I'm simply suggesting a calorie-controlled diet,

0:05:10 > 0:05:11regular exercise,

0:05:11 > 0:05:16and maybe less chocolatey-themed reading material.

0:05:16 > 0:05:19- We appreciate that it's difficult. - She doesn't.

0:05:19 > 0:05:22But if you must snack between meals,

0:05:22 > 0:05:25try to make it, you know, fresh fruit, vegetables.

0:05:25 > 0:05:27In any case, you are nil by mouth,

0:05:27 > 0:05:30so you shouldn't really be snacking at all.

0:05:30 > 0:05:32Should I take my jewellery off?

0:05:32 > 0:05:36- Yes, that'll make all the difference(!)- What is your problem?

0:05:36 > 0:05:38Ms Naylor.

0:05:38 > 0:05:41Fattist. That's what you are.

0:05:42 > 0:05:45OK, lovely, thank you.

0:05:46 > 0:05:50Right, you have put on a stone since we last saw you.

0:05:50 > 0:05:53- JAC SIGHS - I don't understand it.

0:05:53 > 0:05:57- I've been trying really hard. - Yeah(!)

0:05:57 > 0:05:59Excuse me.

0:05:59 > 0:06:02Jac, a little sensitivity wouldn't go amiss.

0:06:02 > 0:06:05Whether or not she's put on a pound or two

0:06:05 > 0:06:07doesn't change the fact that the stenosis

0:06:07 > 0:06:09is putting a dangerous strain on her heart.

0:06:09 > 0:06:10So is the fat.

0:06:12 > 0:06:14OK. Run an echo and ultrasound. We'll keep her in overnight

0:06:14 > 0:06:17and we'll reassess her for surgery tomorrow morning.

0:06:20 > 0:06:22Ahem.

0:06:22 > 0:06:25Terry, a job for you.

0:06:25 > 0:06:28- Discharge Princess Fiona in there. - Sure.

0:06:29 > 0:06:32- Can't you do this any faster? - You don't want scarring.

0:06:32 > 0:06:34I don't care, I just want to go and check on my brother.

0:06:34 > 0:06:38He's in safe hands. You'll be able to go up in a minute.

0:06:38 > 0:06:40Hi.

0:06:40 > 0:06:43Agency brought me in. Take the load off your back.

0:06:43 > 0:06:46- Hi.- Hey.

0:06:48 > 0:06:49Nice to see you again.

0:06:51 > 0:06:55I've given him colloid fluid replacement and got his bloods.

0:06:55 > 0:06:57That helps stabilise his hypovolemia

0:06:57 > 0:07:00until we've seen the results of the scan.

0:07:00 > 0:07:01How serious is it?

0:07:01 > 0:07:04I won't know for sure until we've seen the scans,

0:07:04 > 0:07:07but please try not to worry.

0:07:07 > 0:07:08We'll do everything we can to...

0:07:11 > 0:07:13How is he?

0:07:13 > 0:07:15They don't know yet.

0:07:15 > 0:07:18The car came out of nowhere. It...

0:07:23 > 0:07:26I'm Paul.

0:07:26 > 0:07:27Adam's brother.

0:07:27 > 0:07:29Antoine Malick,

0:07:29 > 0:07:31your brother's doctor.

0:07:36 > 0:07:37Mr Langley?

0:07:37 > 0:07:39Sister...Williams.

0:07:39 > 0:07:42I'll take a quick look at your hand before the doctor sees you.

0:07:42 > 0:07:45I'd have gone to your A&E, but it seems a bit out of use.

0:07:45 > 0:07:49Yeah, we had a fire. Right, how did you do this?

0:07:49 > 0:07:53Mugger. Tried to nick my wallet. Designer, that is.

0:07:53 > 0:07:55Chased the toerag down. Twice as big as me.

0:07:55 > 0:07:59We gave each other a couple of kicks before the Old Bill arrived.

0:07:59 > 0:08:02- Does it hurt anywhere else?- No. The ambulance guys checked me over.

0:08:07 > 0:08:09Wouldn't waste your time there, love.

0:08:09 > 0:08:12They've obviously only got eyes for each other.

0:08:12 > 0:08:14What you need is a real man.

0:08:21 > 0:08:24- Ms Winters. Can I help you? - I've come for my daughter.

0:08:24 > 0:08:26You can't just stroll back in and take her away.

0:08:26 > 0:08:28- Social services say I can. - Oh, really?

0:08:28 > 0:08:30My mum's moving in with me.

0:08:30 > 0:08:33- Going to take some of the pressure off.- Look, I can't let you.

0:08:33 > 0:08:37- Leave or I'll call security.- You can't do that. Social services said...

0:08:37 > 0:08:40And where are they? Where's your fictitious mother, for that matter?

0:08:40 > 0:08:42All I see is a desperate woman

0:08:42 > 0:08:45trying to snatch back the baby she abandoned in the first place.

0:08:45 > 0:08:48- You don't know anything about me. - I know all I need to know.

0:08:48 > 0:08:51Besides which, I don't care what social services said.

0:08:51 > 0:08:55I'm your daughter's specialist. My say-so trumps theirs. Leave. Now.

0:09:09 > 0:09:12Stephen seems a little distracted today.

0:09:12 > 0:09:15- Does he? - You haven't noticed?

0:09:17 > 0:09:21- He can't take his eyes off you. - What?

0:09:21 > 0:09:24- Don't pretend you haven't seen. - I haven't.

0:09:24 > 0:09:27- Why are you being evasive?- I'm not.

0:09:27 > 0:09:32Look, even if he has been staring, what difference does it make?

0:09:32 > 0:09:33We talked about this.

0:09:33 > 0:09:36You have got nothing to worry about.

0:09:36 > 0:09:37Ever.

0:09:41 > 0:09:44I'm sorry. I don't know what's got into me today.

0:09:47 > 0:09:50Mr Langley, the X-ray shows you have a fractured wrist

0:09:50 > 0:09:52and three broken knuckle bones.

0:09:52 > 0:09:54None of them are too badly displaced.

0:09:54 > 0:09:57- You should see the other bloke. - I don't doubt it.

0:09:57 > 0:09:59Can you move the tips of your fingers for me?

0:09:59 > 0:10:01She single?

0:10:03 > 0:10:05Didn't you notice the engagement ring?

0:10:05 > 0:10:07Got a blind spot where they're concerned.

0:10:07 > 0:10:09It's a big enough. Cost me an arm and a leg.

0:10:09 > 0:10:12- Sorry, mate. Didn't realise. - No worries.

0:10:12 > 0:10:14You've ruptured a flexor tendon.

0:10:14 > 0:10:16We'll leave it, let the bone heal naturally.

0:10:16 > 0:10:18You're the boss.

0:10:19 > 0:10:22Ten milligrams of morphine for the pain,

0:10:22 > 0:10:24and a strap for the hand, please.

0:10:24 > 0:10:27Congratulations.

0:10:27 > 0:10:29You and the...

0:10:29 > 0:10:30dandy.

0:10:35 > 0:10:36Pupil reaction.

0:10:36 > 0:10:40Good indication of mid-brain function. Looks promising.

0:10:42 > 0:10:44- You been checked over?- I'm fine.

0:10:44 > 0:10:46You hit your head, you'll need a CT.

0:10:46 > 0:10:50I said I'm fine. I saw someone downstairs.

0:10:50 > 0:10:53Just take care of my brother.

0:10:53 > 0:10:55Mrs James, if you don't mind,

0:10:55 > 0:10:58there are some forms you need to fill in at the nurses' station.

0:10:58 > 0:11:00It'll just take a minute.

0:11:05 > 0:11:07- Thank you for not...- Outing you?

0:11:09 > 0:11:13What am I going to do? Fling my arms around you, kiss you on both cheeks?

0:11:13 > 0:11:15- Not quite your style.- Exactly.

0:11:17 > 0:11:18Sure you're OK?

0:11:21 > 0:11:23Any dizziness? Nausea?

0:11:23 > 0:11:25HE TUTS

0:11:25 > 0:11:26I'm just checking.

0:11:27 > 0:11:29Maybe later...

0:11:29 > 0:11:32- if you like, we could grab a coffee. - I don't think so.

0:11:32 > 0:11:33No offence.

0:11:33 > 0:11:37Yeah. Yeah, no, that's cool.

0:11:38 > 0:11:40You got a lot on your mind.

0:11:40 > 0:11:44Don't need anything else on your plate right now. I respect that.

0:11:44 > 0:11:45Thank you.

0:11:45 > 0:11:50So, a porter will be here in a couple of minutes to take him down to CT.

0:11:50 > 0:11:52I'll see you both once he gets back.

0:11:52 > 0:11:55Social services are signing off

0:11:55 > 0:11:57on the final paperwork this afternoon.

0:11:57 > 0:12:00They made it clear to Ms Winters she's not to come back till then,

0:12:00 > 0:12:02when she'll be accompanied by a social worker.

0:12:02 > 0:12:05What happens when the going gets tough and she abandons her again?

0:12:05 > 0:12:08They have decided she's a good enough parent.

0:12:08 > 0:12:10Like they never make mistakes.

0:12:10 > 0:12:12- And with her mother easing the burden...- The burden?

0:12:12 > 0:12:14Having a child's always a burden, Jac.

0:12:14 > 0:12:16That's what makes it so terrifying -

0:12:16 > 0:12:19so terrifying that sometimes young mothers make mistakes.

0:12:19 > 0:12:22Doesn't mean we have to judge them for it.

0:12:22 > 0:12:25Why don't we address the real issue here, Sean -

0:12:25 > 0:12:27- what's best for Freya? - I know you've grown close...

0:12:27 > 0:12:29This has nothing to do with my feelings.

0:12:29 > 0:12:33..but the bottom line is, it's been decided what's best for Freya,

0:12:33 > 0:12:36and it's outside of our jurisdiction to intervene.

0:12:36 > 0:12:38Leave this one alone.

0:12:45 > 0:12:47Social services, please.

0:12:49 > 0:12:51Yes, this is Jac Naylor,

0:12:51 > 0:12:55cardiothoracic consultant at Holby City Hospital.

0:12:55 > 0:12:58I'm afraid we won't be able to discharge Freya Winters just yet.

0:12:58 > 0:13:01We'd like to keep her in for more observation.

0:13:01 > 0:13:02Help!

0:13:02 > 0:13:03My chest.

0:13:05 > 0:13:07- It feels tight.- OK, OK.

0:13:07 > 0:13:09Why have you got your coat on?

0:13:09 > 0:13:11She's just discharged me.

0:13:11 > 0:13:15Nurse. Usual bloods. 30-minute obs.

0:13:15 > 0:13:17And help Ms Bryers get undressed.

0:13:17 > 0:13:19Two seconds after you left,

0:13:19 > 0:13:21I caught her ferreting in the bin for those crisps.

0:13:21 > 0:13:25- I made myself perfectly clear.- And I only acted in her best interests.

0:13:25 > 0:13:26By turning her away?

0:13:26 > 0:13:28Look, if she can manage to lose weight,

0:13:28 > 0:13:31not only will it reduce the severity of the stenosis,

0:13:31 > 0:13:34but it will lessen the chance of post-op complications.

0:13:34 > 0:13:37Questions will be asked as to why we are operating against guidance.

0:13:37 > 0:13:42So unless Santa is going to bring us some extra funding...

0:13:42 > 0:13:44We are surgeons, not accountants.

0:13:44 > 0:13:47These days, we have to be everything bar the porter, Elliot.

0:13:47 > 0:13:49Even if I were to concede your point, Ms Naylor,

0:13:49 > 0:13:51given her present symptoms,

0:13:51 > 0:13:56discharging her now would be negligent, wouldn't you agree?

0:13:56 > 0:13:58Reluctantly.

0:13:58 > 0:13:59Arrange her stress echo.

0:14:01 > 0:14:03SHE SIGHS

0:14:07 > 0:14:10- Can you do me a favour?- Mm-hm.

0:14:10 > 0:14:11Could you stop staring at me?

0:14:11 > 0:14:13What?

0:14:13 > 0:14:16I've seen you. Chrissie's seen you. Please stop.

0:14:17 > 0:14:21Sorry. Didn't mean to ruffle the nest.

0:14:21 > 0:14:25What are you doing here? You're no use with a fractured wrist.

0:14:25 > 0:14:29- My doctor sanctioned a phased return...- Meaning what?

0:14:29 > 0:14:33That all you're good for is filling in forms and changing IVs?

0:14:33 > 0:14:36Nice to know we nurses are appreciated(!)

0:14:36 > 0:14:37Our admin's pretty much sorted here.

0:14:37 > 0:14:40Why don't you go and see if they need a hand on Keller?

0:14:40 > 0:14:42Because I'm not assigned to Keller,

0:14:42 > 0:14:45and because your admin's far from sorted.

0:14:45 > 0:14:46I'm here to do a job.

0:14:47 > 0:14:50Don't worry, if my wrist starts playing up,

0:14:50 > 0:14:53- I know where to come for some TLC.- Knock it off.

0:14:53 > 0:14:55Just take it easy.

0:14:57 > 0:15:00Mr Langley's showing signs of a delayed concussion.

0:15:00 > 0:15:03He says he's fine, but he won't let me examine him.

0:15:03 > 0:15:07Right, well, we'll monitor him till the end of the day, keep an eye.

0:15:12 > 0:15:15- So what you on, then? The lettuce diet?- Sh!

0:15:15 > 0:15:17Got wrists like twigs.

0:15:17 > 0:15:23Or maybe it's the "stuff your face then throw it all up later" diet?

0:15:23 > 0:15:27Bulimia nervosa is a very serious condition,

0:15:27 > 0:15:30and using it to score points in your petty little defence

0:15:30 > 0:15:32is at best distasteful, and at worst, repugnant.

0:15:33 > 0:15:35- Mm. Still...- Still what?

0:15:35 > 0:15:37No matter what we do here,

0:15:37 > 0:15:39in the end the only argument that wins is this -

0:15:39 > 0:15:41you're fat. Lose weight.

0:15:41 > 0:15:43Eat less, move more.

0:15:43 > 0:15:46Calories in, calories out. It's not rocket science.

0:15:46 > 0:15:50It's not just about diet and exercise, though, is it?

0:15:50 > 0:15:54- I mean, there's genetics. - Oh, yeah, here we go.- It's true.

0:15:54 > 0:15:58Everyone has a genetic disposition towards a certain body type.

0:15:58 > 0:15:59I've read about it.

0:15:59 > 0:16:02You just happen to have the "ginormous" gene, is that it?

0:16:02 > 0:16:05You know, I bet I could snap your tiny little neck.

0:16:05 > 0:16:07If you're threatening me with violence,

0:16:07 > 0:16:09I'll have to report you.

0:16:09 > 0:16:12- Lucky for you, I'm a pacifist. - Phew(!)

0:16:12 > 0:16:13Jac.

0:16:15 > 0:16:17Ms Bryers' echo.

0:16:19 > 0:16:21Maybe in the future,

0:16:21 > 0:16:25you'll think twice about judging people for their weight.

0:16:25 > 0:16:28Hey, consultants don't wear blank expressions.

0:16:28 > 0:16:29We leave that to the CEOs.

0:16:31 > 0:16:34- What's the problem? - Just thinking about the case.

0:16:34 > 0:16:39- And?- Should get the results of the MRI and head CT through any minute.

0:16:39 > 0:16:40All right.

0:16:40 > 0:16:43- You sure everything's OK? - He's waking up.

0:16:47 > 0:16:51Hey, welcome back, Mr James. You're at Holby City Hospital.

0:16:51 > 0:16:54You've been in a car accident. Do you remember?

0:16:56 > 0:17:00- Is my brother OK? - Always said you were a lousy driver.

0:17:00 > 0:17:05- Hey. How are you feeling? - Like I've just wrestled a lion.

0:17:05 > 0:17:08- Where are the kids? - They're with my sister.

0:17:08 > 0:17:11What about me? What's the damage?

0:17:11 > 0:17:15Well, we've run a CT and MRI. We need to take a look at the results

0:17:15 > 0:17:18but you're awake, you're talking. It's a good sign.

0:17:19 > 0:17:23You heard the man. Enough of that. Come here...

0:17:27 > 0:17:29I'll be back to give you an update.

0:17:34 > 0:17:35Thank you.

0:17:38 > 0:17:40Abdominal bleeding due to renal trauma.

0:17:40 > 0:17:41Possible brain contusion.

0:17:41 > 0:17:44I'm going to keep an eye on it. Some abdominal distension.

0:17:44 > 0:17:48- Fluid output's low.- Options?- Open procedure. Take out the kidney.

0:17:48 > 0:17:50- Safest way to stop a re-bleed. - Yep. OK, look.

0:17:50 > 0:17:54This will turn into a big operation. Are you sure you're on top of it?

0:17:54 > 0:17:56- Because if you want out... - I'm all over it.

0:17:56 > 0:17:59- Don't let me down. - 'Everything all right?'

0:17:59 > 0:18:02- Yep. Why wouldn't it be? - Just you seem a bit...

0:18:02 > 0:18:06- What?- I don't know. Anxious?

0:18:06 > 0:18:08I've got a wedding coming up.

0:18:08 > 0:18:12- How's that all going? - Great. Couldn't be better.- Great.

0:18:16 > 0:18:19So what were you talking to Dan about earlier?

0:18:19 > 0:18:20Nothing much.

0:18:21 > 0:18:26- Looked very intense.- What are you suggesting?- You tell me.

0:18:28 > 0:18:30Are we about to have a cat fight?

0:18:30 > 0:18:34Cos if we are, will you let me put my nails on first?

0:18:34 > 0:18:36Do you think this is funny?

0:18:37 > 0:18:39- I'm don't really know what to think. - He's my fiance.

0:18:39 > 0:18:41I know that.

0:18:41 > 0:18:44Then I'd appreciate it if you stopped acting like a predatory...

0:18:44 > 0:18:46Predatory what?

0:18:48 > 0:18:49Nothing.

0:18:49 > 0:18:51No, please. Don't hold back. Fire away.

0:18:53 > 0:18:55Is something going on between you and Dan?

0:18:58 > 0:19:01HE VOMITS

0:19:03 > 0:19:06- Pregnant?- Eight months.

0:19:06 > 0:19:07And a boy, by the looks of it.

0:19:07 > 0:19:11The tightness you felt was a Braxton Hicks contraction.

0:19:11 > 0:19:13It's your body getting ready to deliver.

0:19:13 > 0:19:16The pregnancy is exacerbating the stenosis,

0:19:16 > 0:19:19and it's probably why you couldn't lose the weight.

0:19:19 > 0:19:21I didn't think I could...

0:19:21 > 0:19:25You know, not with my weight issues.

0:19:25 > 0:19:27Didn't you feel the baby moving?

0:19:28 > 0:19:29No, not really.

0:19:30 > 0:19:32I probably thought it was wind.

0:19:34 > 0:19:37I'll have someone from maternity to come and take a look, OK?

0:19:37 > 0:19:39Yeah. Thanks.

0:19:41 > 0:19:42Congratulations.

0:19:44 > 0:19:46Is he going to be OK?

0:19:46 > 0:19:49From what we can tell, he's in perfect health.

0:19:49 > 0:19:51Unlike his mother.

0:19:51 > 0:19:52Don't worry.

0:19:52 > 0:19:55I'm going to do everything I can to help you.

0:19:55 > 0:19:57Both of you.

0:19:57 > 0:19:58Jac.

0:19:59 > 0:20:00A word.

0:20:00 > 0:20:03- Are you sure you didn't bump your head?- Nah.

0:20:03 > 0:20:07- Must be coming down with something. - Any headache?- Not that you'd notice.

0:20:07 > 0:20:09Really. I'm fine.

0:20:09 > 0:20:13Well, we'll send you for a head CT, just to be on the safe side.

0:20:15 > 0:20:18- Dan...- Could you sort out a head CT for Mr Langley, please?

0:20:18 > 0:20:20Sure.

0:20:20 > 0:20:23Think I know why he won't let you examine him. It's the hair. Look.

0:20:23 > 0:20:26Slight mismatch in the colouring. Little too thick at the top.

0:20:26 > 0:20:29- You think it's a toupee? - I'd put money on it.

0:20:29 > 0:20:33Well, the CT will tell us what we need to know.

0:20:33 > 0:20:34Listen, I'm sorry...

0:20:34 > 0:20:36Not to worry.

0:20:36 > 0:20:38- I didn't ask...- Really, it's fine.

0:20:40 > 0:20:43Ms Hitchins in bed six needs an increase in her morphine.

0:20:43 > 0:20:45Could you up it to ten milligrams, please?

0:20:45 > 0:20:48And could you keep an eye on Mr Davies in bed seven?

0:20:48 > 0:20:50His BP's a little high.

0:20:50 > 0:20:51Thank you.

0:20:52 > 0:20:55A nephrectomy? You'll take out my kidney?

0:20:55 > 0:20:58It's not as bad as it sounds.

0:20:58 > 0:21:01You can live a perfectly normal life with just one kidney.

0:21:01 > 0:21:03There's no other way?

0:21:03 > 0:21:06Not if it doesn't stop bleeding on its own -

0:21:06 > 0:21:08which at the moment, it doesn't seem to be.

0:21:09 > 0:21:10There must be another way.

0:21:10 > 0:21:13- Not without risking your life. - What choice have you got?

0:21:18 > 0:21:21- Is there something else I should know?- No.

0:21:23 > 0:21:25- That's not true. - It's a family matter.

0:21:25 > 0:21:28If it's got something to do with your husband's medical condition,

0:21:28 > 0:21:31- then I should know.- It's nothing to do with his condition.- Then what?

0:21:31 > 0:21:34It's a private matter. Do the operation.

0:21:34 > 0:21:38Do what you have to do to save his life.

0:21:38 > 0:21:40Excuse me.

0:21:43 > 0:21:46- What's wrong?- I don't know what you're talking about.

0:21:46 > 0:21:49- Don't lie. I know you. - You haven't known me for five years.

0:21:49 > 0:21:52I can easily pull your records and find out, but I'd rather you...

0:21:52 > 0:21:55End stage renal failure. OK?

0:21:57 > 0:21:59And your brother is a live donor?

0:22:04 > 0:22:06- This doesn't change anything.- No?

0:22:06 > 0:22:08A nephrectomy is the safest option.

0:22:08 > 0:22:11- Yeah, for him. - That's all that matters.

0:22:15 > 0:22:17Call them back. Tell them you made a mistake.

0:22:17 > 0:22:20In my clinical opinion, she needs further observation.

0:22:20 > 0:22:22I'm the paeds consultant. That's my call.

0:22:22 > 0:22:24Yes, and I'm the CT specialist

0:22:24 > 0:22:26who operated on her less than five weeks ago.

0:22:26 > 0:22:29- I think I have a say. - What are you hoping to achieve?

0:22:29 > 0:22:31The same thing I hope to achieve with all of my patients -

0:22:31 > 0:22:32their wellbeing.

0:22:32 > 0:22:35This isn't about Freya's wellbeing, though, is it?

0:22:35 > 0:22:38- You can't delay her discharge forever.- I'm not trying to.

0:22:38 > 0:22:42Then what's your endgame? Take her home? Keep her for yourself?

0:22:42 > 0:22:46- Now you're being ridiculous. - Am I?- I'm just doing my job.

0:22:46 > 0:22:49- Being vigilant? Hm. - Well, someone has to.

0:22:49 > 0:22:52You honestly think they're making the right decision?

0:22:54 > 0:22:56Yes. She belongs with her mother.

0:22:58 > 0:23:00Where was her mother when I was holding her daughter's heart

0:23:00 > 0:23:02between my fingertips?

0:23:02 > 0:23:03This isn't a debate.

0:23:03 > 0:23:07Call social services, or I will.

0:23:10 > 0:23:12Any more contractions since the last one?

0:23:12 > 0:23:15No. Is that good or bad?

0:23:15 > 0:23:18Neither. Braxton Hicks are pretty common. Nothing to worry about.

0:23:18 > 0:23:20- MOBILE PHONE RINGS - Sorry.

0:23:20 > 0:23:23Thought I'd switched that off.

0:23:23 > 0:23:27- Do you like hip-hop? - Er, not really my cup of tea.

0:23:27 > 0:23:29Progress?

0:23:29 > 0:23:32No sign of foetal distress.

0:23:32 > 0:23:36With her aortic stenosis, a C-section would be the better option

0:23:36 > 0:23:39than inducing labour - when we do that depends on her heart condition.

0:23:39 > 0:23:43We can discuss the caesarean later, when you're nearer your due date,

0:23:43 > 0:23:47but in the meantime we'll keep an eye on you in the antenatal clinic.

0:23:50 > 0:23:53Are you sure he's an obstetrician?

0:23:53 > 0:23:57- He looks about 12.- I'm sure he knows what he's doing.

0:24:01 > 0:24:03- Are you sure you know what you're doing?- Excuse me?

0:24:03 > 0:24:06Wouldn't it be safer to at least keep her in maternity

0:24:06 > 0:24:07until she's delivered?

0:24:07 > 0:24:09You're Jac Naylor. I've heard about you.

0:24:09 > 0:24:14"The consultant who must not be named." I thought you were a myth.

0:24:14 > 0:24:15I am very much real.

0:24:15 > 0:24:18Well, unless you're about to magic a bed from a thin air...

0:24:18 > 0:24:21So why don't you wave your magic wand and perform a caesarean?

0:24:21 > 0:24:24I'm not convinced that's indicated just yet.

0:24:24 > 0:24:27She has aortic stenosis, weight issues...

0:24:27 > 0:24:28- Personal space!- What?

0:24:28 > 0:24:30Personal space, if you don't mind.

0:24:30 > 0:24:33I took an assertiveness training course.

0:24:33 > 0:24:35Helps in conflict resolution-type situations.

0:24:35 > 0:24:38Trust me, the only way to resolve this particular conflict

0:24:38 > 0:24:39is to do things my way.

0:24:41 > 0:24:44Ms Naylor, I've listened carefully to your point of view,

0:24:44 > 0:24:46and I value your input.

0:24:46 > 0:24:49However, I believe my clinical opinion is equally valid -

0:24:49 > 0:24:53if not more so, given that this is my specialism.

0:24:53 > 0:24:57Therefore, I must kindly request that you butt out.

0:24:57 > 0:25:00Hmm. The last bit was more aggressive than assertive.

0:25:00 > 0:25:02Sorry about that.

0:25:10 > 0:25:13- Let me check you over. - I'm not your patient.

0:25:13 > 0:25:15You've been in an accident, under stress -

0:25:15 > 0:25:16it could impact your condition.

0:25:16 > 0:25:19If I don't get a kidney, I'm dead - that's my condition.

0:25:19 > 0:25:21Nothing you can do is going to change that.

0:25:21 > 0:25:22You don't know what I can do.

0:25:22 > 0:25:25Ah, yeah - you'd love that, wouldn't you?

0:25:25 > 0:25:27Swooping in to the rescue.

0:25:28 > 0:25:29This isn't about me.

0:25:30 > 0:25:32It's always about you.

0:25:32 > 0:25:34Paul, I'm just trying to do my job.

0:25:34 > 0:25:37Don't lie to me. I know YOU too well.

0:25:39 > 0:25:40I've really messed things up with Dan.

0:25:40 > 0:25:43- Yeah, how's that?- Paranoia,

0:25:43 > 0:25:47- groundless accusations. Tell me I'm being stupid.- You're being stupid.

0:25:47 > 0:25:49It shouldn't make any difference, right?

0:25:49 > 0:25:53He's either a man who cheats or he's not. Why am I so worried, then?

0:25:53 > 0:25:54You know what, Chrissie? Grow up.

0:25:54 > 0:25:57You should be talking to Dan about this, not me.

0:25:59 > 0:26:05- BP's looking good. You had any more contractions? Any pain?- No.

0:26:09 > 0:26:12Supposing my heart gives out before he's born?

0:26:12 > 0:26:13Well, like Mr Tyler said,

0:26:13 > 0:26:16we'll be monitoring you in the antenatal clinic.

0:26:16 > 0:26:21Yeah, but I don't live in the clinic. Supposing something happens at home?

0:26:21 > 0:26:22I live alone.

0:26:22 > 0:26:25No-one to call an ambulance.

0:26:25 > 0:26:28It's probably best not to imagine worst-case scenarios.

0:26:28 > 0:26:31All I worry about is worst-case scenarios.

0:26:31 > 0:26:33Can't you just...

0:26:33 > 0:26:36perform a caesarean? Get him out now?

0:26:37 > 0:26:41That's not Mr Tyler or Mr Hope's recommendation.

0:26:41 > 0:26:42But is it yours?

0:26:42 > 0:26:45I mean, what would you do? If you were me?

0:26:49 > 0:26:51I'd have the caesarean, followed by the AVR.

0:26:55 > 0:26:57Then that's what we'll do.

0:27:01 > 0:27:02'Doors opening.

0:27:02 > 0:27:05'Lift going up.'

0:27:07 > 0:27:11You had dialysis yesterday. That's why you're so weak.

0:27:11 > 0:27:13Look, if you won't let me check you over,

0:27:13 > 0:27:15let me get another doctor to look at you.

0:27:15 > 0:27:16Will you just stop?

0:27:16 > 0:27:18- I'm trying to help. - I know what you're doing. Don't.

0:27:18 > 0:27:21You can't make up for what you did.

0:27:22 > 0:27:26I was 25. It was my first proper relationship.

0:27:26 > 0:27:30- Mine, too. Thanks very much. - So what, you want me to say sorry?

0:27:30 > 0:27:32We were together for two years,

0:27:32 > 0:27:36and you broke up with me in a one-minute phone call.

0:27:36 > 0:27:39Barely an explanation. Just, "Thanks for everything. See ya."

0:27:41 > 0:27:43I'm surprised you didn't send a text.

0:27:45 > 0:27:48If I could explain...

0:27:48 > 0:27:49I would.

0:27:49 > 0:27:52I'll give you an explanation.

0:27:52 > 0:27:53You're a coward.

0:27:58 > 0:28:02That doesn't change the fact that you still need to get checked over.

0:28:02 > 0:28:03Do it for your brother.

0:28:03 > 0:28:07The last thing he needs is to see you collapse right in front of him

0:28:07 > 0:28:09before he goes into theatre.

0:28:09 > 0:28:13Jac, Jac...

0:28:13 > 0:28:15why have you booked Ms Bryers in for a Caesarean

0:28:15 > 0:28:17AND an AVR for tomorrow morning?

0:28:17 > 0:28:18Because it's what she wants.

0:28:18 > 0:28:21We still do what the patient wants, don't we?

0:28:21 > 0:28:23Being flip won't help your case, Jac.

0:28:23 > 0:28:26- She was worried about the baby. She pressed me...- Pressed you?

0:28:26 > 0:28:28Yes, so I gave her another option. She took it.

0:28:28 > 0:28:31And of course you've explained in detail the risks involved?

0:28:31 > 0:28:33- Of course.- We will see.

0:28:35 > 0:28:37Ms Bryers.

0:28:38 > 0:28:44Ms Naylor informs me that you've opted for a caesarean

0:28:44 > 0:28:45AND an AVR.

0:28:45 > 0:28:49- That's right.- Right, she did explain that a caesarean

0:28:49 > 0:28:51carries a higher risk of bleeding,

0:28:51 > 0:28:54cos you'll need to be anticoagulated for the AVR?

0:28:54 > 0:28:57It'll strain your heart, which could lead to...

0:28:57 > 0:28:58She's told me all this.

0:28:58 > 0:29:02I just want to be absolutely sure that you understand.

0:29:02 > 0:29:05This way provides the safest outcome for my baby. Correct?

0:29:05 > 0:29:08Yes, but that is not our only consideration.

0:29:08 > 0:29:09It is mine.

0:29:11 > 0:29:16These books I read - chocolate-themed or otherwise -

0:29:16 > 0:29:21sometimes, when I'm in bed at night,

0:29:21 > 0:29:25I read them out loud. I know it sounds silly.

0:29:25 > 0:29:27But I do.

0:29:27 > 0:29:31Because I imagine that I'm reading to my little boy or girl,

0:29:31 > 0:29:33all snuggled up beside me.

0:29:33 > 0:29:35And now he's real.

0:29:36 > 0:29:41He's almost here. And I'm going to do everything I can to protect him.

0:29:41 > 0:29:44Because I'm his mother.

0:29:44 > 0:29:45That's my job.

0:29:45 > 0:29:47Not yours.

0:29:47 > 0:29:48Mine.

0:29:51 > 0:29:53She understands.

0:29:55 > 0:29:56Very well.

0:29:59 > 0:30:01Excuse me.

0:30:01 > 0:30:04She insisted on seeing you.

0:30:04 > 0:30:09It says on your notes you've been on dialysis for four years.

0:30:09 > 0:30:11Yeah. Bummer.

0:30:17 > 0:30:19I make it into the office everyday.

0:30:19 > 0:30:22Do mostly the legal and admin stuff.

0:30:22 > 0:30:26Had to give up the gym, but can still manage a run once in a while.

0:30:30 > 0:30:31That's good.

0:30:45 > 0:30:48Look, I'm not happy with your SATS.

0:30:48 > 0:30:50I want to send you for an MRI.

0:30:50 > 0:30:51No, I'm all right.

0:30:51 > 0:30:53It won't take long.

0:30:53 > 0:30:57This is as much as I'm going to let you do for me. OK?

0:30:59 > 0:31:01As I said to social services,

0:31:01 > 0:31:04I'd just like to keep her in for observation.

0:31:04 > 0:31:05Observation of what?

0:31:05 > 0:31:09She's recovering from major heart surgery. Didn't you get the memo?

0:31:09 > 0:31:11She's all right, not in danger?

0:31:11 > 0:31:14No imminent danger. Assuming, of course, she isn't abandoned again.

0:31:14 > 0:31:16- Jac...- Sean.

0:31:16 > 0:31:18That's what this is about.

0:31:18 > 0:31:20Look, I'm pretty busy here so if you don't mind...

0:31:20 > 0:31:22Look at me.

0:31:22 > 0:31:24I said, look at me!

0:31:24 > 0:31:27I shouldn't have left her. It's the worst thing I've ever done,

0:31:27 > 0:31:29I'll live with it my whole life.

0:31:29 > 0:31:31But you have no right to keep my baby.

0:31:31 > 0:31:33How about your baby's rights? Don't they count?

0:31:33 > 0:31:36She has a right to be with her mother!

0:31:36 > 0:31:39I think this consultation's over. Thank you for stopping by.

0:31:39 > 0:31:41- Don't walk away! - Will I have to call security?

0:31:41 > 0:31:43No. You're not going to do that.

0:31:43 > 0:31:47- Aren't I?- No.- Do it. Have me dragged out, kicking and screaming.

0:31:47 > 0:31:49I don't care. I just want my baby.

0:31:49 > 0:31:51Ms Naylor, I've examined Freya,

0:31:51 > 0:31:53and in my opinion, she's fully recovered.

0:31:53 > 0:31:57And I intend to say as much to social services.

0:31:57 > 0:31:59Of course, if you differ in your opinion,

0:31:59 > 0:32:02then we can have a third opinion. And a fourth.

0:32:02 > 0:32:04And a fifth, if necessary.

0:32:04 > 0:32:06Is that how you'd like to proceed?

0:32:08 > 0:32:11- I'd at least like to keep her in overnight.- Why?

0:32:11 > 0:32:14Just to be on the safe side. You've been AWOL a month.

0:32:14 > 0:32:17One more night won't make a difference.

0:32:20 > 0:32:21Come on.

0:32:30 > 0:32:32You're booked in tomorrow morning.

0:32:32 > 0:32:34I'll talk you through the procedure first thing,

0:32:34 > 0:32:37and answer any questions you might have.

0:32:37 > 0:32:40Why did that woman accuse you of keeping her baby?

0:32:40 > 0:32:43Unfortunately, some mothers aren't fit to take care of...

0:32:43 > 0:32:44Am I?

0:32:45 > 0:32:50What if I can't do it? My weight, my heart...

0:32:51 > 0:32:53Are you going to keep my baby, too?

0:32:55 > 0:32:57Her case is completely different.

0:32:57 > 0:32:59How?

0:33:00 > 0:33:02It's complicated.

0:33:03 > 0:33:06So this is where you've been hiding.

0:33:06 > 0:33:08May I sit?

0:33:13 > 0:33:14I'm not hiding.

0:33:17 > 0:33:18I'm sorry.

0:33:18 > 0:33:21It's taking me a little bit longer than I thought

0:33:21 > 0:33:23to get used to the idea.

0:33:23 > 0:33:24I understand.

0:33:25 > 0:33:28It's taken me a while to get used to the idea, too.

0:33:28 > 0:33:3038 years.

0:33:33 > 0:33:35But we're getting married in two weeks

0:33:35 > 0:33:40and I'm running out of ways to tell you how much I care about you.

0:33:40 > 0:33:42If I'm not saying it right,

0:33:42 > 0:33:44if there's something else I should be doing,

0:33:44 > 0:33:47then please tell me, cos I'm out of ideas.

0:33:49 > 0:33:51I'll get there. I just need time.

0:33:53 > 0:33:54What if you can't?

0:33:57 > 0:34:00I told you the truth because I love you

0:34:00 > 0:34:03and because I thought you had the right to know who you were marrying.

0:34:03 > 0:34:07But if you can't handle it, you can't even trust me...

0:34:10 > 0:34:11I can.

0:34:13 > 0:34:16Be honest with yourself, Chrissie...

0:34:16 > 0:34:17for your own sake.

0:34:19 > 0:34:22The last thing I want is for you to be unhappy.

0:34:24 > 0:34:29And if marrying me ends up making you feel that way...

0:34:29 > 0:34:31..I'd never forgive myself.

0:34:35 > 0:34:36Think about it.

0:34:43 > 0:34:46Was hoping you might have some ideas.

0:34:46 > 0:34:48I've got an idea. Perform the nephrectomy.

0:34:48 > 0:34:49What about a partial?

0:34:49 > 0:34:53- Remove the damaged part, leave the rest.- What if he gets a re-bleed?

0:34:53 > 0:34:55- Then I open him up.- Too dangerous.

0:34:55 > 0:34:56Do you know the stats

0:34:56 > 0:34:59for black patients waiting for organ transplants?

0:34:59 > 0:35:00Yeah. I know. Miserable.

0:35:00 > 0:35:04Last year, out of over a thousand deceased donors, nine were black.

0:35:04 > 0:35:07Nine. You know how many black patients on the waiting list?

0:35:07 > 0:35:08Over 13,000.

0:35:08 > 0:35:11So that means what? We risk one brother to save another?

0:35:11 > 0:35:12That's not our choice.

0:35:12 > 0:35:15And you would rather leave the decision with the anguished wife,

0:35:15 > 0:35:18the sick brother, or the critically injured patient?

0:35:18 > 0:35:20What's wrong with you?

0:35:20 > 0:35:23You need to go back, take Ethics 101.

0:35:23 > 0:35:26Just wanted to explore all the options.

0:35:26 > 0:35:28Well, consider them explored.

0:35:57 > 0:36:01Sometimes life just screws you over. No reason, no apologies.

0:36:01 > 0:36:03Just bam "take that".

0:36:03 > 0:36:06Who knows better than a personal injury lawyer? See it every day.

0:36:06 > 0:36:07So do I.

0:36:07 > 0:36:11Maybe you shouldn't be doing this. Let another doctor take over.

0:36:11 > 0:36:12- No.- Antoine...

0:36:12 > 0:36:15Like you said, your brother's my patient. Not you.

0:36:15 > 0:36:18Not as simple as that, though, is it?

0:36:18 > 0:36:22As long as I stick with the dialysis, I can survive for years.

0:36:22 > 0:36:27- Surviving ain't the same as living. - Maybe I'll get lucky. Get a donor.

0:36:30 > 0:36:33I'm OK with this. Whatever happens.

0:36:34 > 0:36:38- What does that mean? - I'm bored. I'm so bored, man.

0:36:38 > 0:36:42Dialysis three times a week, sometimes for hours on end.

0:36:42 > 0:36:44After four years of that...

0:36:45 > 0:36:47..detective novels and crossword puzzles

0:36:47 > 0:36:51start to lose their entertainment appeal.

0:36:51 > 0:36:53- Doesn't mean you give up.- Why not?

0:36:53 > 0:36:57My life has become one big waiting room,

0:36:57 > 0:37:00and I've got no idea if or when it's going to end.

0:37:00 > 0:37:04And sometimes... I just want out.

0:37:05 > 0:37:09Just out. Don't care where.

0:37:11 > 0:37:15So whatever happens, I am OK with this.

0:37:24 > 0:37:26Excuse me.

0:37:38 > 0:37:40Mr James...

0:37:40 > 0:37:43I think there might be a way to save both of your kidneys.

0:37:44 > 0:37:46Social services, please.

0:37:49 > 0:37:52This is Jac Naylor at Holby City.

0:37:52 > 0:37:55I'm just calling to confirm that Freya is well enough

0:37:55 > 0:37:58to go home with her mum today after all.

0:38:00 > 0:38:01Yeah, I'm sorry for the confusion.

0:38:04 > 0:38:06Look, we've still have got a lot of paperwork to do,

0:38:06 > 0:38:09so if you wouldn't mind not bringing her in till 4pm,

0:38:09 > 0:38:10that'd be helpful.

0:38:10 > 0:38:11Thank you.

0:38:13 > 0:38:15Oh. I think I need the bathroom again.

0:38:20 > 0:38:21Or maybe not.

0:38:21 > 0:38:23You're not doing this.

0:38:23 > 0:38:26I won't watch you die, knowing I could've helped.

0:38:26 > 0:38:27I'll refuse the transplant.

0:38:27 > 0:38:30And let me go under the knife for nothing? You wouldn't do that.

0:38:30 > 0:38:34- I promise I'll do everything I can. - You've said enough.

0:38:34 > 0:38:37Think about what you're doing. You've got a wife and two kids.

0:38:37 > 0:38:39I've got no-one.

0:38:39 > 0:38:40You've got us.

0:38:40 > 0:38:42Think about this.

0:38:44 > 0:38:47Suppose you die, and that's how I get your kidney.

0:38:47 > 0:38:49How am I supposed to live with that?

0:38:51 > 0:38:53I'm not going to die.

0:38:53 > 0:38:56And neither are you. Ain't that right?

0:39:20 > 0:39:23- Don't talk to me.- Paul, Paul.

0:39:23 > 0:39:25- You had no right!- I can do this.

0:39:25 > 0:39:28I got what it takes, I know it won't be easy.

0:39:28 > 0:39:30You forget who you're talking to.

0:39:30 > 0:39:33All those sleepless nights during your med finals,

0:39:33 > 0:39:37sleeping, sweating, the look of fear in your eyes.

0:39:37 > 0:39:39Same one I'm seeing now.

0:39:39 > 0:39:43Tells me you don't know you can save my brother any better than I do.

0:39:43 > 0:39:45You don't know how good I am.

0:39:45 > 0:39:50- Yeah. I'm sure you're the best(!) - I am.

0:39:50 > 0:39:53And suppose you do it. Suppose you save my brother and me.

0:39:53 > 0:39:55What then? A parade?

0:39:55 > 0:39:58My undying gratitude?

0:39:58 > 0:40:00I'm not asking for anything from you.

0:40:00 > 0:40:02Yes, you are!

0:40:06 > 0:40:07Paul.

0:40:10 > 0:40:11You can't keep blaming me

0:40:11 > 0:40:13for something I did when I was a dumb kid.

0:40:13 > 0:40:16You were old enough to know the difference

0:40:16 > 0:40:19between showing some respect, and kicking me in the face.

0:40:19 > 0:40:21Did you even care?

0:40:24 > 0:40:25Of course I did.

0:40:25 > 0:40:27Within strictly defined limits.

0:40:27 > 0:40:29Come on, you know how much pressure I was under.

0:40:29 > 0:40:33- Med school, finals, my dad... - I thought we were past the bullcrap!

0:40:37 > 0:40:40Three weeks before you left, I told you I loved you. Remember that?

0:40:42 > 0:40:44First time I said that.

0:40:46 > 0:40:48I couldn't come out to my family

0:40:48 > 0:40:51but at least I could be real with you, right?

0:40:52 > 0:40:55And the look on your face...

0:40:55 > 0:40:58there for just a second. Panic.

0:41:00 > 0:41:04And then you gave me a kiss,

0:41:04 > 0:41:06turned over, went to sleep.

0:41:06 > 0:41:08And then you ran!

0:41:13 > 0:41:15It wasn't cos I didn't feel it back.

0:41:35 > 0:41:39Right, Mr Langley, I need you to let me examine your head.

0:41:39 > 0:41:40My head's fine.

0:41:40 > 0:41:42I think I can see some dried blood.

0:41:42 > 0:41:46Are you willing to risk a serious head injury for the sake of vanity?

0:41:46 > 0:41:47What're you on about?

0:41:47 > 0:41:50The thing on your head. Take it off so I can look.

0:41:53 > 0:41:56I can't. It's glued on.

0:41:56 > 0:41:59- Glued?- Careful!

0:41:59 > 0:42:01You'll rip my scalp off.

0:42:01 > 0:42:04You need to get something to dissolve the glue.

0:42:07 > 0:42:09HIP-HOP MUSIC PLAYS

0:42:09 > 0:42:12- Slight drop in blood pressure. - Is that bad?

0:42:12 > 0:42:14It's just the epidural kicking in, don't worry.

0:42:14 > 0:42:15I'll give it a few seconds,

0:42:15 > 0:42:17but you should be feeling numb down here now.

0:42:17 > 0:42:19- Sure you don't mind this music?- No.

0:42:19 > 0:42:22Ugh. Please don't feel you have to be polite.

0:42:23 > 0:42:25# Been dreaming this since I was young

0:42:25 > 0:42:27# So baby girl I'll be going till I'm gone, gone

0:42:27 > 0:42:30# Till I'm gone, gone Till I'm gone, gone

0:42:30 > 0:42:31# Yeah... #

0:42:32 > 0:42:34Thank you, Jay-Z...

0:42:34 > 0:42:37but let's not traumatise the child before he's even been born.

0:42:37 > 0:42:39I find hip-hop very relaxing.

0:42:39 > 0:42:42How you feeling? Ready to meet your son?

0:42:42 > 0:42:44Ready as I can be.

0:42:44 > 0:42:46Toothed forceps.

0:42:49 > 0:42:51- Feel that?- No.

0:42:51 > 0:42:52Knife.

0:42:52 > 0:42:55Just try to relax. He'll be in your arms before you know it.

0:42:55 > 0:42:57Right. Sack?

0:42:58 > 0:42:59- Check.- Presents?

0:42:59 > 0:43:02- Check.- Shin pads?

0:43:02 > 0:43:04Check.

0:43:04 > 0:43:08Vital. Right...

0:43:08 > 0:43:12Remember, focus, but don't play it too rigid.

0:43:12 > 0:43:16You know, roll with it. Improvise but stay in character.

0:43:17 > 0:43:19Thank you, Stanislavski.

0:43:21 > 0:43:25Right, good luck.

0:43:26 > 0:43:28You'll need it.

0:43:31 > 0:43:32Suction.

0:43:32 > 0:43:34There he is. Beautiful.

0:43:40 > 0:43:43Shouldn't he be crying? Why isn't he crying?

0:43:43 > 0:43:47- We just need to get him breathing. - Oh, no, no, no, no!

0:43:47 > 0:43:49It's OK, don't panic, don't panic.

0:43:49 > 0:43:52These things happen sometimes. He's in good hands, OK?

0:44:18 > 0:44:20What are you doing with my phone?

0:44:24 > 0:44:26BABY GURGLES

0:44:28 > 0:44:29There you go.

0:44:33 > 0:44:36BABY WHIMPERS

0:44:36 > 0:44:37Oh. Ahh.

0:44:39 > 0:44:41Oh, I feel...

0:44:41 > 0:44:43- ALARM BEEPS - She's bleeding.- Susie?

0:44:43 > 0:44:47Oxytocin, five units bolus and 40 units infusion.

0:44:47 > 0:44:50Get some Misoprostol ready. Try to stay calm, Susie.

0:44:50 > 0:44:54- It's going to be OK. - My chest feels...feels...heavy.

0:44:54 > 0:44:57She's in systolic arrest. Page Mr Hope!

0:45:00 > 0:45:02This is like cement.

0:45:02 > 0:45:04- Just had a regroom, hadn't I? - "Regroom"?

0:45:04 > 0:45:05At the hair clinic.

0:45:05 > 0:45:08Sounds like something you do to a poodle.

0:45:08 > 0:45:10They take it off, clean it up and glue it back on again.

0:45:10 > 0:45:13This is what you meant by being a "real man", is it?

0:45:13 > 0:45:18I'm as real as any other man. Everybody's hiding something.

0:45:18 > 0:45:22Well, I think I can just about make out some bruising under this mess,

0:45:22 > 0:45:24but I can't see any bleeding.

0:45:24 > 0:45:26I'll need to take off the whole wig to be sure.

0:45:26 > 0:45:28- It's not a wig.- What is it?

0:45:28 > 0:45:32A liquid skin monofilament hair replacement solution.

0:45:32 > 0:45:33It's top of the line.

0:45:33 > 0:45:35Virtually undetectable when it's groomed properly.

0:45:35 > 0:45:38I wore it through two marriages. Both wives never had a clue.

0:45:38 > 0:45:41- I wouldn't be so sure. - Trust me, they didn't.

0:45:41 > 0:45:43So much for honesty in marriage.

0:45:43 > 0:45:45Are you really that naive?

0:45:46 > 0:45:49ALARM BEEPS

0:45:49 > 0:45:52- More atropine.- There's been no cardiac output for ten minutes.

0:45:52 > 0:45:55Blood's going to her brain. Look at the arterial line.

0:45:55 > 0:45:58You can't rely on that. It could be an artefact.

0:45:58 > 0:46:00It's not an artefact, Harry Potter!

0:46:00 > 0:46:03We keep her oxygenated with compressions until I say we stop.

0:46:03 > 0:46:05There's still cardiac output.

0:46:05 > 0:46:06Barely.

0:46:06 > 0:46:08I'm open to suggestions.

0:46:08 > 0:46:10Er, we could open her up, put her on bypass.

0:46:10 > 0:46:13No. If I stop massaging, we risk brain damage.

0:46:13 > 0:46:16- What about a pacing wire? - I've got no imaging.

0:46:16 > 0:46:18Then we'll have to do it blind.

0:46:21 > 0:46:24What were you hoping to find, exactly?

0:46:26 > 0:46:28Lewd messages?

0:46:28 > 0:46:29Photos?

0:46:29 > 0:46:32How do you expect me to feel when you can't stop staring at him,

0:46:32 > 0:46:36and whispered conversations end as soon as I come over?

0:46:37 > 0:46:41Fine. You want to know the truth? Something did happen between us.

0:46:43 > 0:46:46We went out for a drink, I made a pass.

0:46:46 > 0:46:50I'm sorry. I'm a very bad boy. But I did it...

0:46:50 > 0:46:52he turned me down.

0:46:52 > 0:46:53Why did he do that?

0:46:53 > 0:46:55Cos he loves you.

0:46:55 > 0:46:58If that's not enough, then forgive me for saying so,

0:46:58 > 0:47:01Sister Williams, but the problem's not Dan.

0:47:03 > 0:47:06My shift's finished. Nice seeing you again.

0:47:07 > 0:47:08'Pacing at 100.'

0:47:08 > 0:47:10ALARMS BEEP

0:47:10 > 0:47:12How's this for a work-out, Susie?

0:47:12 > 0:47:15Your idea of revenge? Show the skinny bitch who's boss?

0:47:15 > 0:47:17OK, stop.

0:47:17 > 0:47:18ALARMS STOP

0:47:18 > 0:47:20The heart's capturing.

0:47:23 > 0:47:24Well done.

0:47:26 > 0:47:29Let's close her up, get her back on Darwin, ten minute obs, please.

0:47:29 > 0:47:32You look like you need a shower.

0:47:32 > 0:47:35Was that inappropriate? I didn't mean with me or anything.

0:47:35 > 0:47:39Have a rest. I'll take over here.

0:47:59 > 0:48:04If you experience a re-bleed from what remains of the kidney,

0:48:04 > 0:48:06the operation will take longer,

0:48:06 > 0:48:10meaning more potential for general anaesthesia complications.

0:48:10 > 0:48:12You said you could do this.

0:48:13 > 0:48:16I said I'd try. I can't give you guarantees.

0:48:16 > 0:48:21How about we flip a coin? Heads, I win. Tails, you lose.

0:48:21 > 0:48:24- How about we both win? - Bottom line. You got a family.

0:48:24 > 0:48:27And what if you want one of your own one day?

0:48:28 > 0:48:30With whoever you want.

0:48:32 > 0:48:34What's that supposed to mean?

0:48:34 > 0:48:36You know what it means.

0:48:36 > 0:48:40We shared a room for 16 years. I knew before you did.

0:48:40 > 0:48:43Figured you didn't want to talk about it.

0:48:53 > 0:48:55I love you.

0:48:55 > 0:48:56No matter what.

0:48:56 > 0:48:59And I want to do this for you. So let me.

0:48:59 > 0:49:00Please.

0:49:07 > 0:49:08CURTAIN OPENS

0:49:08 > 0:49:11Good news. Your head CT's come back fine.

0:49:11 > 0:49:13So you can go home.

0:49:13 > 0:49:16It's not sticking down properly.

0:49:16 > 0:49:20You were very lucky that the mugger didn't try to rip it off your head.

0:49:20 > 0:49:22Didn't give it a second thought. Good thing I didn't...

0:49:22 > 0:49:24it's worth over a grand.

0:49:24 > 0:49:27- A grand? - Go through about two a year.

0:49:27 > 0:49:30Nothing compared to what some women pay for Botox and boob jobs.

0:49:30 > 0:49:32I don't think this is going to hold properly.

0:49:32 > 0:49:35Could you pass me my wallet, please?

0:49:35 > 0:49:38There's some glue in there I keep for emergencies.

0:49:38 > 0:49:40Ta. Oh! Sorry.

0:49:45 > 0:49:46It's my first wife.

0:49:48 > 0:49:50She died.

0:49:54 > 0:49:58It's the only picture I have left. There was a fire. Terrible thing.

0:50:00 > 0:50:03And when that mugger tried to take my wallet this morning, well, I...

0:50:03 > 0:50:04couldn't just let him.

0:50:09 > 0:50:11Thank you.

0:50:16 > 0:50:19Listen, if there's one thing I've learned over the years,

0:50:19 > 0:50:22it's that the only memories that really stick,

0:50:22 > 0:50:24the ones that last forever,

0:50:24 > 0:50:28are the shared experiences. The times spent with others.

0:50:28 > 0:50:31Not the things you've done on your own.

0:50:31 > 0:50:36And if you've found someone who loves you, and who you love,

0:50:36 > 0:50:39then don't take any notice of an old codger like me.

0:50:39 > 0:50:40Dive in.

0:50:44 > 0:50:46I knew it. Soft and cuddly.

0:50:46 > 0:50:49I wish the kids were. One of them bit me.

0:50:49 > 0:50:51Had to nip out for emergency treatment.

0:50:51 > 0:50:54Well, I hope you're getting paid danger money.

0:50:54 > 0:50:57If it means anything, I know it couldn't have been easy for you.

0:50:57 > 0:51:00Look. No offence, but I find it difficult taking solace

0:51:00 > 0:51:02from a man draped in red velvet.

0:51:02 > 0:51:05You should see what I'm wearing underneath!

0:51:05 > 0:51:06I worry for those children.

0:51:06 > 0:51:09Why are you in such a hurry?

0:51:09 > 0:51:11It's the end of my shift and I want to go home.

0:51:11 > 0:51:13I was hoping you'd accompany me to the party.

0:51:13 > 0:51:17It's still rocking hard.

0:51:17 > 0:51:19I've had enough babies for one day.

0:51:19 > 0:51:21Freya's there.

0:51:21 > 0:51:24Nicole and her mum are stuck in traffic.

0:51:24 > 0:51:27They'll probably be about half an hour.

0:51:30 > 0:51:31Thank you.

0:51:31 > 0:51:34Ah, merry Christmas! Ho, ho, ho!

0:51:35 > 0:51:36Your turn, Jac.

0:51:36 > 0:51:39She's a bit too young and I'm a bit too old.

0:51:39 > 0:51:43Ms Naylor isn't too old to sit on Santa's knee, is she?

0:51:43 > 0:51:45ALL: No!

0:51:45 > 0:51:46No!

0:51:46 > 0:51:50Come on! Come on!

0:51:50 > 0:51:55Come on, Ms Naylor, come on down.

0:51:55 > 0:51:56Yay!

0:51:56 > 0:52:00And who is this beautiful creature?

0:52:00 > 0:52:01Her name's Freya.

0:52:01 > 0:52:05Ah, what a beautiful name!

0:52:05 > 0:52:12Let me see what Santa has in his magical sack for little Freya.

0:52:12 > 0:52:17Oh, look at this. Whoa!

0:52:17 > 0:52:19- Ahem...- Wow.

0:52:37 > 0:52:38What are we doing here?

0:52:39 > 0:52:43It's the only place in the hospital we won't be interrupted.

0:52:48 > 0:52:50What if I said I'm over it?

0:52:50 > 0:52:54I had a mad day, I went crazy, I freaked out, and now I'm over it.

0:52:56 > 0:52:57And it won't happen again.

0:52:57 > 0:52:59What's changed?

0:53:01 > 0:53:05Let's just say I was visited by the Ghost of Christmas Future.

0:53:05 > 0:53:08I didn't like what I saw.

0:53:09 > 0:53:11What did you see?

0:53:13 > 0:53:17A lonely woman looking at a photograph of you,

0:53:17 > 0:53:20and wishing she'd never let you go.

0:53:31 > 0:53:35Hey, why is Mr James booked in for a laparoscopy tomorrow?

0:53:35 > 0:53:38He refused to go under the knife unless we try to save both kidneys.

0:53:38 > 0:53:41- He refused?- Point-blank.

0:53:44 > 0:53:48- Brotherly love, huh? All right, see you tomorrow.- See you.

0:53:50 > 0:53:52You got what you wanted.

0:53:53 > 0:53:56It's what your brother wants.

0:53:56 > 0:53:58How sure are you that you can do this?

0:54:01 > 0:54:02100%.

0:54:08 > 0:54:10No, you're not.

0:54:11 > 0:54:13MUSIC: "Twice" by Little Dragon

0:54:26 > 0:54:29Can you check this out for me? Thanks.

0:54:44 > 0:54:47# Twice I turned my back on you

0:54:49 > 0:54:55# I fell flat on my face but didn't lose

0:54:58 > 0:55:02# Tell me where would I go?

0:55:04 > 0:55:08# Tell me what led you on I'd love to know

0:55:11 > 0:55:14# Was is the blue light

0:55:14 > 0:55:17# Gone fragile

0:55:17 > 0:55:21# Was it a bow at the mend?

0:55:21 > 0:55:24# In wonder, steady gone under

0:55:24 > 0:55:28# Was it the light ways?

0:55:28 > 0:55:31# So frightening

0:55:31 > 0:55:35# Was it two wills?

0:55:35 > 0:55:39# One mirror holding us dearer... #

0:56:00 > 0:56:03Subtitles by Red Bee Media Ltd

0:56:03 > 0:56:06E-mail subtitling@bbc.co.uk