0:00:40 > 0:00:42We can't let him die in the back of this van.
0:00:42 > 0:00:44There's been a complication with Michael Spence's patient.
0:00:44 > 0:00:47The truth is my decision killed your father. Simple as that.
0:00:47 > 0:00:49I told the truth.
0:00:49 > 0:00:52- Was that part of the plan? - We let a patient down.
0:00:52 > 0:00:54You're a genius at making life difficult for yourself.
0:00:54 > 0:00:57- Shut up.- Honestly, it's what I love about...you.
0:00:57 > 0:01:00They're prescribed to me as part of my medication.
0:01:00 > 0:01:01They help with my anxiety.
0:01:01 > 0:01:04You were happy to take my little pick-me-ups when they were on offer.
0:01:04 > 0:01:06I wonder if you could get her two Camoxidan?
0:01:06 > 0:01:09Failing that I'm sure aspirin would be just as effective.
0:01:09 > 0:01:12- How many are you taking? - One every now and then.
0:01:12 > 0:01:14It's Luc Hemingway. Luc!
0:01:14 > 0:01:15You're making a fool of yourself.
0:01:15 > 0:01:17Because you're so God damn boring. Don't touch me!
0:01:17 > 0:01:19Don't...Luc!
0:01:19 > 0:01:21"I would like to make an announcement...
0:01:21 > 0:01:23"To make an announcement... announcement.
0:01:23 > 0:01:27"On behalf of myself and the Trust...Trust...me...
0:01:27 > 0:01:29"Trust...Trust...Trust...me!"
0:01:29 > 0:01:32Genius. Do you think he's seen it?
0:01:32 > 0:01:34"Trust...Trust...Trust...moon.
0:01:34 > 0:01:39- "Moon moon moon."- I'd say so.
0:01:39 > 0:01:42"I'd like to moon...moon...moon... moon moon moon."
0:01:42 > 0:01:46- Do we know who uploaded this? - Phil Dawson in paediatrics.
0:01:46 > 0:01:48Tell him I congratulate him on his creativity.
0:01:48 > 0:01:50Appendectomy list, please.
0:01:55 > 0:01:56Thank you.
0:01:56 > 0:01:59For its worth, I think that's the right attitude.
0:01:59 > 0:02:02You know, I admire what you did.
0:02:02 > 0:02:03Thank you.
0:02:03 > 0:02:05Thank you for your feedback.
0:02:07 > 0:02:09Does the man not wear shoes?
0:02:10 > 0:02:12He's rattled.
0:02:12 > 0:02:14Ah, has your firefighter arrived yet?
0:02:14 > 0:02:17As ever, news travels fast. Perhaps you'd care to join us?
0:02:17 > 0:02:20Why not? I am quite good at this sort of thing.
0:02:20 > 0:02:22Well, when they arrive you can tell them we're on top of it,
0:02:22 > 0:02:25thank them for their offer of help and take them out for lunch.
0:02:25 > 0:02:27It's a tad more serious than that.
0:02:27 > 0:02:29- I don't think it is.- Right.
0:02:29 > 0:02:32You've obviously not seen the Wyvern Post's website.
0:02:32 > 0:02:34All those years I've paid National Insurance.
0:02:34 > 0:02:37Now they say I have to pay for a scan
0:02:37 > 0:02:39and have the op in Bolton.
0:02:39 > 0:02:42I've got cancer, how am I supposed to get to Bolton?
0:02:42 > 0:02:46- Well, it's pure fiction, isn't it? - I've dug up his file.
0:02:46 > 0:02:48- Oesophageal carcinoma. - Hence the referral to Haysworth.
0:02:48 > 0:02:50So, what do we do?
0:02:50 > 0:02:52We don't rise to provocation.
0:02:52 > 0:02:53KNOCKING
0:02:53 > 0:02:54Come in.
0:02:56 > 0:02:59Hello there. Sinead Bainbridge.
0:02:59 > 0:03:01You must be Henrik Hanssen.
0:03:01 > 0:03:04- Yes, indeed I am. - Great to meet you at last.
0:03:04 > 0:03:07They never stop banging on about you at the Department of Health.
0:03:07 > 0:03:10- Sinead Bainbridge. I'm from Comms? - Yes, we know why you're here.
0:03:10 > 0:03:14Great. Well, then let's start with the number one issue.
0:03:14 > 0:03:16Who brings us a cup of tea?
0:03:27 > 0:03:29Morning.
0:03:29 > 0:03:30Looking for these?
0:03:38 > 0:03:40Good news, boys and girls.
0:03:40 > 0:03:42Potentially exciting day ahead.
0:03:42 > 0:03:46The transplant centre have a heart that is a match for one of our patients.
0:03:46 > 0:03:49A young woman with myocarditis who is now in heart failure.
0:03:49 > 0:03:51She's a recent referral, Aisha Bose, 22.
0:03:51 > 0:03:53She's only been on the list seven days.
0:03:53 > 0:03:55Wow. Lucky girl.
0:03:55 > 0:03:59- Best part of our job being able to offer someone a second chance... - PHONE BEEPS
0:03:59 > 0:04:00..when all other avenues have been closed.
0:04:00 > 0:04:02Right, she's on her way in now.
0:04:02 > 0:04:05I'll need you both on board to do the usual tests
0:04:05 > 0:04:07to check that she is still a suitable candidate.
0:04:07 > 0:04:09Speed is of the essence.
0:04:11 > 0:04:12Aah...
0:04:15 > 0:04:18Luc...where are we?
0:04:18 > 0:04:20- What? - I said, where are we?
0:04:20 > 0:04:23Oh, we're in the grounds of a stately home my friend owns,
0:04:23 > 0:04:26he lets me park up whenever I fancy it.
0:04:26 > 0:04:28Why are we here?
0:04:28 > 0:04:30Well, you've developed an addiction to Camoxidan,
0:04:30 > 0:04:34which you won't admit to. So we're going to stay here until you tell me
0:04:34 > 0:04:38exactly how many you've been taking. I'll decide on an average amount,
0:04:38 > 0:04:41and we'll gradually cut it down, sort this out.
0:04:43 > 0:04:45Yeah, right.
0:04:46 > 0:04:47Oh.
0:04:51 > 0:04:53SHE COUGHS
0:05:04 > 0:05:06'It's got to do with money, hasn't it?
0:05:06 > 0:05:08'Always got to do with saving money,
0:05:08 > 0:05:10'except when it's the case of lining their own pockets.'
0:05:10 > 0:05:12It's not great. But it's not a disaster.
0:05:14 > 0:05:17Well, what do you suggest we do?
0:05:17 > 0:05:19- What would you like to do? - Rebut it lie by lie.
0:05:19 > 0:05:22He is most certainly not being forced to pay for a scan.
0:05:22 > 0:05:25No, I don't think we should do that. It's an outsourced facility, right?
0:05:25 > 0:05:28Yes. The NHS sub-contracts private companies,
0:05:28 > 0:05:31but the patients themselves do not pay.
0:05:31 > 0:05:33That is a fallacy cooked up by radicals to demonise...
0:05:33 > 0:05:35Yes, I know how it works.
0:05:35 > 0:05:38And if I had a pound for every time I had to explain it.
0:05:39 > 0:05:40Mr Hanssen?
0:05:40 > 0:05:42My view is that this is a politically-motivated
0:05:42 > 0:05:45attempt to manipulate an old man. I think we should ignore it.
0:05:45 > 0:05:48A few weeks ago I would've agreed with you.
0:05:48 > 0:05:50But the horse has bolted on this one, I think.
0:05:50 > 0:05:53Good TV. Bad PR. But good TV.
0:05:53 > 0:05:55You kicked the monster.
0:05:55 > 0:05:57Now you have to feed him.
0:05:57 > 0:05:59Well, what would be the quickest way to shut it down?
0:05:59 > 0:06:03Get him lynched by a bunch of angry Bolton folk.
0:06:03 > 0:06:05Joke.
0:06:05 > 0:06:07Remember to keep a sense of humour.
0:06:07 > 0:06:11Could we not just keep it simple and give him the operation?
0:06:11 > 0:06:14The trust aren't commissioned to do those procedures.
0:06:14 > 0:06:16Could that be bypassable
0:06:16 > 0:06:18if there was someone here who could perform it?
0:06:18 > 0:06:21Not really, no. Though of course, Mr Hanssen could do it in his sleep.
0:06:21 > 0:06:24But, he's not my patient and I know nothing about the case.
0:06:24 > 0:06:27My mantra is always go for the simplest option.
0:06:29 > 0:06:31Of course, I can't force you into anything.
0:06:31 > 0:06:33Just here to advise.
0:06:41 > 0:06:42Can I help you?
0:06:42 > 0:06:44I'm here for the heart.
0:06:44 > 0:06:47Aisha, I'm Dr Lo. I'll be working on your case
0:06:47 > 0:06:49and this is Dr Valentine.
0:06:49 > 0:06:51Nice...shoes.
0:06:51 > 0:06:54Right, perhaps you should go get Professor Hope?
0:06:54 > 0:06:57- He wanted to get things moving. - Yeah.
0:06:57 > 0:06:59Thanks.
0:06:59 > 0:07:02This way.
0:07:02 > 0:07:04Exciting day, right?
0:07:04 > 0:07:07It's amazing how they've managed to find you a heart so quickly.
0:07:07 > 0:07:08It usually takes about four months,
0:07:08 > 0:07:10but sometimes it can be even longer.
0:07:10 > 0:07:13This is us.
0:07:13 > 0:07:15I hate hospitals.
0:07:15 > 0:07:17I know it's hard not to be anxious
0:07:17 > 0:07:19but Professor Hope is a fantastic surgeon.
0:07:19 > 0:07:22He'll be examining you shortly, but in the meantime
0:07:22 > 0:07:25- if you have any questions..? - Got any plasters?
0:07:25 > 0:07:28Er...I can find you some.
0:07:28 > 0:07:30- Are your relatives on the way? - It's just me.
0:07:31 > 0:07:33Is there anyone we can call for you?
0:07:33 > 0:07:37- I know it's all happened very quickly.- No. It's fine.
0:07:38 > 0:07:42Right...well...I need you to get changed into this gown,
0:07:42 > 0:07:46and Professor Hope shouldn't be too long.
0:07:46 > 0:07:48OK, thanks.
0:07:50 > 0:07:53Mr Hope's in theatre. It's fine, there's just been a slight delay
0:07:53 > 0:07:56with the donor heart. How is she?
0:07:56 > 0:07:59Well, she's about to have major transplant surgery
0:07:59 > 0:08:02but no-one's coming to see her and she doesn't even have any questions.
0:08:02 > 0:08:05They are nice shoes, though.
0:08:05 > 0:08:09Realistically, you would do just as good a job of it, if not better.
0:08:09 > 0:08:12So if we're judging what's best for Mr Tilly...
0:08:12 > 0:08:16Sorry, are you going to sack me for being the bearer of bad news?
0:08:16 > 0:08:18Don't tell me, there's hilarious footage circulating of me
0:08:18 > 0:08:21correcting Luke Skywalker on his parentage.
0:08:21 > 0:08:22SHE LAUGHS
0:08:22 > 0:08:26Not quite. Erm...there's a Mr Tilly here to see you.
0:08:27 > 0:08:29And he's got a journalist with him.
0:08:31 > 0:08:34Well, refer Mr Tilly back to his GP
0:08:34 > 0:08:36and send the hack to the press office.
0:08:36 > 0:08:40No, get bed two ready, please, Nurse Carter.
0:08:42 > 0:08:45Mr Tilly, I'm Henrik Hanssen, director of surgery. Excuse me.
0:08:45 > 0:08:48Now, what are your primary concerns, please?
0:08:48 > 0:08:52I don't want to go to Bolton. I can't afford it.
0:08:52 > 0:08:55I want the postcode lottery.
0:08:55 > 0:08:59No, no I don't. I don't want the postcode lottery.
0:08:59 > 0:09:01Not this willy-nilly willy-nillying all over the shop.
0:09:01 > 0:09:04- I don't quite follow you, I'm afraid. - He wants to be treated locally.
0:09:04 > 0:09:06- Are you a relative? - I'm here to advocate for him.
0:09:06 > 0:09:08Advocate? Oh, well, before you start doing that
0:09:08 > 0:09:12- would you excuse us while I do a quick physical? - Shout if you need me, OK?
0:09:12 > 0:09:14Will do. Got my beady eye on him.
0:09:14 > 0:09:19Right, may I help you just hop on to the bed, please, Mr Tilly.
0:09:19 > 0:09:20Thank you, Nurse Carter.
0:09:20 > 0:09:24Well, it's important you have someone fighting your corner.
0:09:24 > 0:09:27- Many people don't. - Oh, he's been a life-saver.
0:09:27 > 0:09:29Really? How did you meet?
0:09:29 > 0:09:32Local elections last year. We knocked on doors together.
0:09:35 > 0:09:38- Have you taken my phone?!- Yeah.
0:09:38 > 0:09:40- Have you lost your mind? - I've taken your wallet as well.
0:09:40 > 0:09:42- What?!- I didn't know how else to keep you here.
0:09:42 > 0:09:45- I thought you might react like this. - You've kidnapped me!
0:09:45 > 0:09:49- If you want to call it that. - We're going to get in this van and you are going to take me home.
0:09:49 > 0:09:52- No, no I'm not.- Fine, I'll walk.
0:09:53 > 0:09:56Walk where, Eddi? You have no idea where you are.
0:10:02 > 0:10:05Take some deep breaths.
0:10:05 > 0:10:07Calm down.
0:10:20 > 0:10:23You really think you can get away with this, don't you?
0:10:23 > 0:10:24We need to talk.
0:10:24 > 0:10:26Talk?
0:10:29 > 0:10:31Fine, OK. I'll talk to you.
0:10:31 > 0:10:34Good.
0:10:34 > 0:10:37I've got something I really want to say anyway.
0:10:40 > 0:10:42I need you to listen to me really carefully.
0:10:42 > 0:10:44Of course.
0:10:46 > 0:10:47HE CRIES OUT IN PAIN
0:10:52 > 0:10:54SHE STARTS THE ENGINE
0:10:57 > 0:10:59Get out of the way!
0:10:59 > 0:11:01Get out of the way, Luc!
0:11:09 > 0:11:11Just give me the keys.
0:11:11 > 0:11:13- Give me my stuff. - Not going to happen.
0:11:18 > 0:11:19Eddi!
0:11:19 > 0:11:23So they're known activists, are they? That makes it easier.
0:11:23 > 0:11:26I'm not sure failing to win a council seat makes them activists.
0:11:26 > 0:11:29How many elderly patients are now terrified that we'll take their life savings?
0:11:29 > 0:11:32There is a concerted effort going on to misrepresent any change.
0:11:32 > 0:11:34Anyone trying to improve the system
0:11:34 > 0:11:39is branded a profiteering capitalist pig! It makes me sick.
0:11:39 > 0:11:42Sorry. It just makes my blood boil.
0:11:42 > 0:11:43It's fine.
0:11:43 > 0:11:46Doctors are supposed to be passionate, aren't they Mr Hanssen?
0:11:48 > 0:11:50SHE LAUGHS
0:11:50 > 0:11:53I'm sorry, no offence, but these local hacks are such numpties.
0:11:53 > 0:11:56Tilly's got form. Drunk and disorderly.
0:11:56 > 0:11:59Got in a fight with a...
0:11:59 > 0:12:02With a woman at an armistice service. Nice.
0:12:02 > 0:12:05That's not a suggestion that we sling mud, is it?
0:12:05 > 0:12:09Yes. We put out an advert saying Tilly's a drunken wife-beater
0:12:09 > 0:12:12who peed on the war-memorial. How could that possibly fail?
0:12:12 > 0:12:16No. We simply state what we believe, that he's vulnerable
0:12:16 > 0:12:18and being manipulated by the media, correct?
0:12:18 > 0:12:21Now you're seeing how it's done. Not rocket science, is it?
0:12:29 > 0:12:33Aisha, I really need you to get changed into this gown.
0:12:33 > 0:12:35OK.
0:12:44 > 0:12:45Oh! I'm sorry!
0:12:45 > 0:12:48It's OK, I'll clear it up.
0:12:48 > 0:12:51- Aisha! Are you OK? - Yeah. How'd you find me?
0:12:51 > 0:12:54I checked your phone app. I thought you were in an accident.
0:12:54 > 0:12:56- Why didn't you call me?- Just a quick blood test...all done now.
0:12:56 > 0:12:59- Let's go. - But this is a cardio ward.
0:12:59 > 0:13:02What's wrong? What's wrong? Talk to me. Aisha! Aisha!
0:13:02 > 0:13:05Help! Somebody please!
0:13:08 > 0:13:10Eddi! Eddi!
0:13:16 > 0:13:18Just give me the keys.
0:13:18 > 0:13:21Don't make me come and get them, Eddi.
0:13:24 > 0:13:26Go ahead.
0:13:28 > 0:13:30You wouldn't.
0:13:34 > 0:13:35You have.
0:13:35 > 0:13:37You're using Mr Tilly.
0:13:37 > 0:13:40Trashing my motives won't work. I'll just come after you.
0:13:40 > 0:13:42Right, would you excuse use, please?
0:13:42 > 0:13:45May I have a word with you about this over here.
0:13:45 > 0:13:48That is not why I'm telling you. I'm merely trying to explain
0:13:48 > 0:13:52- why Mr Tilly should be sent.- So I can regurgitate your arguments?
0:13:52 > 0:13:53No, so you can understand my arguments.
0:13:53 > 0:13:57- No, it won't work.- Why, because you've already made your mind up?
0:13:57 > 0:14:00It is simply centralisation. Rather than a lot of district hospitals
0:14:00 > 0:14:04offering the same treatment to a minimum standard,
0:14:04 > 0:14:08larger hub centres offer focus, specialisation and excellence.
0:14:08 > 0:14:11The clinicians there become the best in their field, and here at Holby...
0:14:11 > 0:14:13How does he get to Bolton? Mr Tilly?
0:14:13 > 0:14:15Well, there's reimbursement for transport.
0:14:15 > 0:14:18Yeah, when you take your receipts to the office in Bolton.
0:14:18 > 0:14:20- He could take... - A pay day loan on his pension?
0:14:20 > 0:14:22No, as I say, there's reimbursement
0:14:22 > 0:14:25but also there's a limited number of patient transport cars.
0:14:25 > 0:14:28- Limited being the word.- Perhaps a friend might offer him a lift.
0:14:28 > 0:14:30Someone with a car who takes a day off work?
0:14:30 > 0:14:32There are also community groups which...
0:14:32 > 0:14:35- Have had their funding cut. - If you would stop interrupting me...
0:14:35 > 0:14:39- Hey, I'm just giving you the bigger picture.- Granted, the system is not without its flaws.
0:14:39 > 0:14:41But there is a very limited amount of money
0:14:41 > 0:14:44and it keeps getting spent on other little things, like police and education.
0:14:44 > 0:14:47- You're shifting the cost to him? - I don't accept that.
0:14:47 > 0:14:50Why? Cos you've already made up your mind?
0:14:50 > 0:14:51Good.
0:14:51 > 0:14:53What happened?
0:14:53 > 0:14:56You had a seizure triggered by an electrolyte imbalance.
0:14:58 > 0:15:00Does that rule out the transplant?
0:15:00 > 0:15:04No. Fortunately we can easily restore the balance
0:15:04 > 0:15:07with an intravenous electrolyte replacement.
0:15:07 > 0:15:10Your blood results show you're free from infection,
0:15:10 > 0:15:13so all we need to do is repeat a few of the tests
0:15:13 > 0:15:16from your initial assessment just to confirm that nothing has changed,
0:15:16 > 0:15:20and then it's all systems go. Good.
0:15:20 > 0:15:22Right, she'll need an ECG.
0:15:22 > 0:15:26Er...keep an eye on the central pressures and cardiac output.
0:15:26 > 0:15:27I'll see you later.
0:15:32 > 0:15:34Oh!
0:15:38 > 0:15:40Sorry...
0:15:40 > 0:15:43Don't worry. Nil by mouth.
0:15:49 > 0:15:51Where's Toby?
0:15:51 > 0:15:54Erm...he's in the relative's room.
0:15:54 > 0:15:57I can talk to him, explain what's happening.
0:15:57 > 0:15:59No. Don't tell him anything.
0:16:00 > 0:16:03You weren't expecting that, were you?
0:16:03 > 0:16:04You're so predictable, Luc.
0:16:04 > 0:16:07I mean, even to the small little things,
0:16:07 > 0:16:09like where you keep your keys.
0:16:09 > 0:16:11You've really got to change that up, you know.
0:16:11 > 0:16:15But I guess that would be very, very hard for you because you're just so anal.
0:16:15 > 0:16:17- Ow! - SHE LAUGHS
0:16:17 > 0:16:21Sorry, sorry. No, no please carry on.
0:16:21 > 0:16:22This is just too good.
0:16:22 > 0:16:24Whatever it takes to put a smile on your face.
0:16:24 > 0:16:26Anything's better than that permanent scowl
0:16:26 > 0:16:28you've been wearing the past few weeks.
0:16:28 > 0:16:31Oh, I'm hurt. I am hurt by that.
0:16:31 > 0:16:33SHE BECOMES BREATHLESS
0:16:36 > 0:16:38Eddi?
0:16:48 > 0:16:52I'm not usually in a suit.
0:16:52 > 0:16:55But it's my graduation.
0:16:55 > 0:16:58Aisha was supposed to come with me. Never turned up.
0:17:01 > 0:17:03It's not glandular fever, is it?
0:17:05 > 0:17:07I can't tell you anything, I'm afraid.
0:17:07 > 0:17:10Why not? Why doesn't she want me to know?
0:17:12 > 0:17:13I really can't say.
0:17:16 > 0:17:19Is Toby still here?
0:17:19 > 0:17:20As far as I know.
0:17:20 > 0:17:22You must think I'm mad.
0:17:22 > 0:17:28- He's very worried about you.- That's just it. I don't want him to be.
0:17:28 > 0:17:32I want everything to stay normal for once.
0:17:32 > 0:17:34What are you doing with your degree?
0:17:34 > 0:17:36I'm applying for aid work. It's voluntary to start with.
0:17:36 > 0:17:40You know, to build contacts and big-up my CV.
0:17:40 > 0:17:44Aisha's supposed to come with me. I thought it would be an adventure.
0:17:44 > 0:17:46I wouldn't make any assumptions.
0:17:46 > 0:17:49- That's hard when no one's telling me what's going on!- I understand.
0:17:49 > 0:17:51If it was you...you're telling me you'd just go,
0:17:51 > 0:17:54"OK, yeah that's fine. Whatever."
0:17:54 > 0:17:58I was diagnosed with leukaemia when I was 13.
0:17:58 > 0:18:00In remission now.
0:18:00 > 0:18:02But it's the chemo that damaged my heart.
0:18:03 > 0:18:07- I see.- As soon as people found out that I had cancer...
0:18:07 > 0:18:10they gave me that look, you know?
0:18:10 > 0:18:16They didn't see Aisha anymore. Just some sick girl with no hair.
0:18:17 > 0:18:21I never want to see that look again.
0:18:37 > 0:18:42What you looking at? Have you never seen a hungover person before?
0:18:42 > 0:18:44A hangover? Is that what you call this?
0:18:44 > 0:18:46Oh, give it a rest, Luc...
0:18:46 > 0:18:50You've been unravelling at work, stealing prescription drugs.
0:18:50 > 0:18:53Nearly killing patients by giving them the wrong meds.
0:18:53 > 0:18:55Getting so drunk in front of your colleagues
0:18:55 > 0:18:58that you look completely unhinged. What do you call that?
0:18:58 > 0:19:00Just letting your hair down?
0:19:00 > 0:19:03Are you seriously telling me you don't have a problem?
0:19:03 > 0:19:04Right, prove it.
0:19:06 > 0:19:07What?!
0:19:07 > 0:19:08Stay here, let it play out.
0:19:08 > 0:19:12If it's just a hangover you'll be fine, won't you? Prove it.
0:19:12 > 0:19:16I don't have anything to prove to you...you of all people.
0:19:18 > 0:19:19Stay away from me, Luc.
0:19:24 > 0:19:27I'll try and hunt that down for you. All right, thanks.
0:19:27 > 0:19:30He's demanding to see her. What do you want me to do?
0:19:30 > 0:19:33- Chain him to a radiator? - She made it perfectly clear.
0:19:33 > 0:19:38This is crazy. He's going out of his mind.
0:19:38 > 0:19:41He thinks she's got glandular fever, for heaven's sake.
0:19:41 > 0:19:44Yeah, well, how she deals with it is her business.
0:19:44 > 0:19:46She needs his support. Her parents are in India.
0:19:46 > 0:19:49- She's about to have major surgery. - You have no idea what it's like for her.
0:19:49 > 0:19:53But she's lying, Tara, to someone she's supposed to care about.
0:19:53 > 0:19:56- Yeah, well, people lie all the time. - That makes it OK, does it?
0:19:56 > 0:19:58You know nothing about her!
0:19:58 > 0:20:02Sometimes there are good reasons for not telling the truth.
0:20:02 > 0:20:05We don't all live in your perfect little world.
0:20:05 > 0:20:08I can't see your most recent CT scan in here.
0:20:08 > 0:20:10That's my point.
0:20:10 > 0:20:11But you were referred last week
0:20:11 > 0:20:14for another CT scan at the Bedminster Road clinic.
0:20:14 > 0:20:17- I couldn't get an appointment. - Did your GP not book it for you?
0:20:17 > 0:20:21She did, but I had to rearrange it and you've got to use the internet for that.
0:20:21 > 0:20:23- Can you not use the internet? - Of course I can!
0:20:23 > 0:20:25They just shut the library where I use the blinking internet.
0:20:25 > 0:20:28- Could you ask your advocate?- I shouldn't have to beg for favours.
0:20:28 > 0:20:31I was paying taxes when the pair of you were disco dancing!
0:20:31 > 0:20:34- You should be looking after me! - Excuse me.
0:20:34 > 0:20:36Well, someone's cutting their nose off to spite their face.
0:20:37 > 0:20:41So you seem to be caving in rather spectacularly?
0:20:41 > 0:20:43These indicate his case could do with review.
0:20:43 > 0:20:44I'm going to treat him here.
0:20:45 > 0:20:48I'm just forewarning you out of courtesy.
0:20:48 > 0:20:51Owen's been outlining how his piece has been syndicated
0:20:51 > 0:20:53and is now trending in the West Wyvern area.
0:20:53 > 0:20:56You do a good line in pretending not to be worried.
0:20:56 > 0:20:58- It's not going away. - I wouldn't wish to undermine you
0:20:58 > 0:21:02in a Wyvern-wide context, but I'm afraid your story is now out of date
0:21:02 > 0:21:05and inaccurate. Mr Tilly will be taken to theatre here this afternoon.
0:21:07 > 0:21:09Er...that's great news.
0:21:09 > 0:21:10I'm pleased you're pleased.
0:21:16 > 0:21:19Tanya, I've got Lucy tracing down some cyclizine for me
0:21:19 > 0:21:22- for the dreaded Mrs Roberts, can you grab her from Keller?- Yeah.
0:21:22 > 0:21:26- Her notes, thank you. - Just had a message from one of the big aid agencies.
0:21:26 > 0:21:28They want to meet me.
0:21:28 > 0:21:31Well, that's great. Why don't you grab a coffee
0:21:31 > 0:21:34- and give them a call back. - And what am I supposed to say?
0:21:34 > 0:21:36That we jump out on the first plane out to Dhaka?
0:21:36 > 0:21:40This is Aisha's future too... and where is she?
0:21:40 > 0:21:41Tob...
0:21:41 > 0:21:43- Look, just...- You're a decent bloke...- Wait!
0:21:43 > 0:21:45- And you're only doing your job. - Toby, please.
0:21:45 > 0:21:47- But she's not thinking straight. - Stop!
0:21:49 > 0:21:51Toby! Just stay out of it, man.
0:21:52 > 0:21:55I'm sorry, I couldn't stop him.
0:21:55 > 0:21:57This is insane! Just talk to me.
0:21:57 > 0:22:01- Do you want me to get security? - No. Tell him the truth.
0:22:01 > 0:22:05But not here, please.
0:22:05 > 0:22:08So I'm checking to see if the tumour's attached itself
0:22:08 > 0:22:10to the diaphragm, if it has we go from there.
0:22:10 > 0:22:13And we made an exception because...?
0:22:13 > 0:22:15This option seemed more appropriate
0:22:15 > 0:22:18So because he's poor, he can't access excellence?
0:22:18 > 0:22:22That's completely unfair, isn't it? Devil's advocate, got to do it.
0:22:23 > 0:22:26If I didn't think we could offer excellence, I wouldn't be operating.
0:22:26 > 0:22:28Now he's losing blood, is the B/P dropping?
0:22:28 > 0:22:30MACHINE BEEPS
0:22:31 > 0:22:35- That's never a good sound.- Packs, please. We have circulatory collapse.
0:22:35 > 0:22:38The sound of that is a bleed which is within normal occurrence
0:22:38 > 0:22:40in gastro-intestinal surgery. Will you ask Ms Naylor
0:22:40 > 0:22:43to come and look this over for me, please?
0:22:43 > 0:22:44More packs, please.
0:22:44 > 0:22:46You get that it would be good if this went well, don't you?
0:22:46 > 0:22:49I understand the subtleties of that, yes.
0:22:51 > 0:22:54Aisha will be very weak after the operation,
0:22:54 > 0:22:58but she could be discharged in as little as two weeks.
0:22:58 > 0:22:59And if all's well, then
0:22:59 > 0:23:01in six weeks she could be close to getting back to normal.
0:23:01 > 0:23:04How normal?
0:23:05 > 0:23:09Well, she'll have to take medication to prevent rejection.
0:23:09 > 0:23:12And there will be frequent trips to the hospital.
0:23:12 > 0:23:16But with some adjustments, and a lot of support
0:23:16 > 0:23:20most people live very fulfilled and active lives.
0:23:22 > 0:23:23Thanks.
0:23:25 > 0:23:28I just wish she could've told me herself.
0:23:30 > 0:23:35The Aisha you first met was a normal, healthy 22-year-old girl.
0:23:37 > 0:23:40I think she's finding that very hard to let go of.
0:23:41 > 0:23:43Suction again, please.
0:23:43 > 0:23:45Is this the guy who was supposed to go to Bolton?
0:23:45 > 0:23:48Yes, it is. Two 26 Robinson drains.
0:23:48 > 0:23:51Overrated. You're from the department, aren't you?
0:23:51 > 0:23:53Press. I don't have policy influence.
0:23:53 > 0:23:58Well, take it from me. Those Bolton guys had it handed to them on a plate. Centre of excellence, my...
0:23:58 > 0:24:00They need to get established.
0:24:00 > 0:24:03I wouldn't send my mother there, and that's saying something.
0:24:03 > 0:24:04MACHINE BEEPS
0:24:06 > 0:24:09Good, thank you. Right, let's pack him and take a look in a couple of hours.
0:24:09 > 0:24:13As I suspected, the tumour was attached to the diaphragm.
0:24:13 > 0:24:14Did the CT not show it up?
0:24:14 > 0:24:17The CT's not as current as it could be.
0:24:17 > 0:24:19Excuse me, is there a setback with Mr Tilly?
0:24:19 > 0:24:21Oh, no, not necessarily. We'll get new scans,
0:24:21 > 0:24:25observe him for a couple of hours and then hopefully bring him back in to excise the tumour.
0:24:25 > 0:24:28Sorry, I kind of need a yes or no.
0:24:28 > 0:24:31The outcome is not clear cut.
0:24:31 > 0:24:34That I understand. I just need to be kept in the loop.
0:24:37 > 0:24:38Where are you heading...exactly?
0:24:38 > 0:24:41Unless you've transported us to another planet this must lead somewhere.
0:24:41 > 0:24:43Oh, yeah, it does lead somewhere.
0:24:43 > 0:24:46In about five miles you're going to hit a road, quite a small road.
0:24:46 > 0:24:49- Fine, I'll just keep walking then. - You won't get very far, Eddi.
0:24:49 > 0:24:51Your withdrawal's going to start kicking in,
0:24:51 > 0:24:53- you must be feeling it already. - Whatever.
0:24:53 > 0:24:55Right, well, you go on, I'll head back to Holby
0:24:55 > 0:24:57but I'll have to report you.
0:24:57 > 0:25:01I don't think anyone will be surprised, in fact it'll explain a hell of a lot.
0:25:01 > 0:25:03I'm sure they'll be supportive, give you a second chance.
0:25:03 > 0:25:05But it'll be a very public humiliation.
0:25:05 > 0:25:08Suspension, counselling, rehab.
0:25:08 > 0:25:11Er...drugs tests every single week once you are back at work.
0:25:11 > 0:25:15You up for that? Or you could, er...
0:25:15 > 0:25:18You could give up nursing, I suppose.
0:25:21 > 0:25:24- You'd really do that to me? - In a heart-beat.
0:25:26 > 0:25:28But listen, you say you're not addicted, so...
0:25:28 > 0:25:31just stay here, prove that to me. That's all I ask.
0:25:33 > 0:25:34Fine.
0:25:35 > 0:25:37But when this is over...
0:25:37 > 0:25:41don't ever speak to me again, OK?
0:25:43 > 0:25:44How is he?
0:25:44 > 0:25:48I don't give out patient prognoses without their consent.
0:25:48 > 0:25:51- Look, I know you think I'm just... - Using him?
0:25:51 > 0:25:53No, it's quite normal for young men to befriend the elderly.
0:25:53 > 0:25:56It's why we're such a strong and healthy society.
0:25:56 > 0:25:59I just wanted to make a point. I'm not an idiot.
0:25:59 > 0:26:02Then prove it. Engage with me in reasoned debate.
0:26:05 > 0:26:09Right, consent forms for Aisha, and then we're all done.
0:26:09 > 0:26:11Right, I'll do that now.
0:26:15 > 0:26:18Bye.
0:26:20 > 0:26:24Just the usual consent forms. If you could read and sign.
0:26:26 > 0:26:27Where's Toby going?
0:26:27 > 0:26:30It's his big day. His graduation.
0:26:30 > 0:26:34- He can still make it if he hurries. - It's a big day for you too.
0:26:34 > 0:26:37I told him to go. He's worked so hard.
0:26:37 > 0:26:41- There's nothing he can do here. - But you'd still rather he stayed.
0:26:44 > 0:26:48How was he? About everything...
0:26:48 > 0:26:52Lovely. Said all the right things about supporting me,
0:26:52 > 0:26:54it making no difference.
0:26:54 > 0:26:57Almost believed him.
0:26:57 > 0:27:01Competition forces people in my position to raise our game.
0:27:01 > 0:27:03In the past, I was a god.
0:27:03 > 0:27:05And if I deigned to get off the golf course to see you,
0:27:05 > 0:27:07woe betide you should question my competence
0:27:07 > 0:27:11or ask to see someone else. Now, if a patient doesn't like what we do,
0:27:11 > 0:27:13they can go elsewhere and I am penalised.
0:27:13 > 0:27:15Like all those people who switch energy supplier?
0:27:15 > 0:27:17Forcing down prices, right?
0:27:17 > 0:27:19It empowers people. If they choose not to wield that power, well...
0:27:19 > 0:27:22Have you switched energy supplier?
0:27:22 > 0:27:24I'm a bad example. I work long hours...
0:27:24 > 0:27:27- So does everyone.- The alternative is the status quo
0:27:27 > 0:27:30under which I fix only five hernias because my hours are restricted
0:27:30 > 0:27:32under the Working Time Directive.
0:27:32 > 0:27:35And if you're not lucky enough to fall onto my list
0:27:35 > 0:27:38then you can suffer until I'm ready. Would you prefer that?
0:27:38 > 0:27:41Obviously not. I just don't buy that competition will empower anyone.
0:27:41 > 0:27:42It didn't work on the railways.
0:27:42 > 0:27:46That's not an equivalent example. Retail is a better analogy.
0:27:46 > 0:27:49The effects of supermarkets forcing down prices and increasing...
0:27:49 > 0:27:53Obesity, alcohol-related illness, heart disease, malnutrition.
0:27:53 > 0:27:57OK, it's plausible if you're educated or have time on your hands.
0:27:57 > 0:28:00But what about people who aren't in a position to make that decision?
0:28:00 > 0:28:03The elderly, people with mental health issues, working families.
0:28:03 > 0:28:06I admit there should be safeguards to protect the most vulnerable.
0:28:06 > 0:28:09Doesn't being sick make anyone vulnerable?
0:28:09 > 0:28:11That is precisely why the GP system
0:28:11 > 0:28:14will hopefully lead to more continuity.
0:28:14 > 0:28:16So you have no qualms about the changes?
0:28:16 > 0:28:19I do, but broadly speaking, I think something should be done.
0:28:19 > 0:28:21Did we set up an interview?
0:28:21 > 0:28:23Just getting some background.
0:28:23 > 0:28:27- PHONE RINGS - Excuse me.
0:28:30 > 0:28:34He was right. His piece has been taken up by the nationals.
0:28:34 > 0:28:36I suggest you switch off your phone.
0:28:59 > 0:29:01No, don't...don't touch me, Luc. OK?
0:29:09 > 0:29:11I'm sorry.
0:29:13 > 0:29:16For what I did, for... for leaving you.
0:29:16 > 0:29:19OK? I'm...I'm sorry.
0:29:19 > 0:29:24I...I...I could try to explain why. I think you probably...
0:29:27 > 0:29:31I...I did push you away, Eddi.
0:29:32 > 0:29:35You had this really annoying habit of getting under my skin.
0:29:35 > 0:29:36You still do.
0:29:39 > 0:29:40You really hurt me, Luc.
0:29:41 > 0:29:43I know I did.
0:29:43 > 0:29:45I know.
0:29:47 > 0:29:49But...
0:29:49 > 0:29:52I...I care about you and I'm trying to put things right.
0:29:52 > 0:29:54It's too late.
0:29:55 > 0:29:59I don't want you in my life any more, OK?
0:30:01 > 0:30:04You think these pills are bad?
0:30:04 > 0:30:06You are ten times more toxic.
0:30:09 > 0:30:11SHE VOMITS
0:30:13 > 0:30:16I'm not denying anything, I just will not comment on any of my patients.
0:30:16 > 0:30:18And that is not obfuscation, quite the reverse.
0:30:18 > 0:30:20So, if you would just let me...
0:30:20 > 0:30:23Give it to me before you swear at him.
0:30:23 > 0:30:26Hello, you're speaking to Sinead from the press office.
0:30:26 > 0:30:29Is it true Mr Tilly's operation was brought forward to kill off the story?
0:30:29 > 0:30:32I'm sorry, I can't comment on individual cases.
0:30:32 > 0:30:34Thank you for calling.
0:30:34 > 0:30:36Honestly, turn it off.
0:30:36 > 0:30:39Or if you must, the line is, we needed further investigation so we brought him in.
0:30:39 > 0:30:41Otherwise known as the truth?
0:30:41 > 0:30:45I know. I'll get sacked from the coven.
0:30:45 > 0:30:47I blagged a favour with radiology.
0:30:47 > 0:30:48Thank you.
0:30:48 > 0:30:50Are those Tilly's new CTs?
0:30:52 > 0:30:53Bad news?
0:30:56 > 0:30:57Tell me.
0:30:59 > 0:31:02Now, I think you can remove that. Don't you?
0:31:04 > 0:31:06You don't make it easy for me, do you?
0:31:06 > 0:31:07I like to keep you on your toes.
0:31:07 > 0:31:10If I do it I'll get due credit, right? Publicly?
0:31:10 > 0:31:13Is it true? You put him through unnecessary surgery
0:31:13 > 0:31:16without full access to his medical records?
0:31:16 > 0:31:18Mr Hanssen, your meeting's about to start.
0:31:35 > 0:31:38- Hi.- Hi.
0:31:38 > 0:31:39Are you OK? You look a bit...rough.
0:31:39 > 0:31:42Thanks. I'm just tired.
0:31:42 > 0:31:45I reckon you're still hungover. You know what you need?
0:31:45 > 0:31:47Chips, a ton of salt...
0:31:49 > 0:31:53And my secret weapon...a whopping pickled egg!
0:31:53 > 0:31:55It's kill or cure.
0:31:55 > 0:31:56Maybe later...
0:31:56 > 0:31:58OK.
0:32:40 > 0:32:42You know what's happening, don't you?
0:32:42 > 0:32:45You know it's just going to get worse. The anxiety,
0:32:45 > 0:32:47the panic attacks, the aches and pains,
0:32:47 > 0:32:50your stomach's going to keep contracting,
0:32:50 > 0:32:53pretty soon you'll probably become incontinent...
0:32:53 > 0:32:55- Oh, shut up! - And if you've been binging
0:32:55 > 0:32:56it's going to get worse quicker.
0:32:56 > 0:32:59Just take one, OK?
0:33:00 > 0:33:03That's the way to deal with it, a supervised dose.
0:33:03 > 0:33:07All you need to do is tell me exactly how many you've been taking.
0:33:07 > 0:33:11Oh! You would like that, wouldn't you? Hmm?
0:33:11 > 0:33:15Me breaking down...and you having to save me, right?
0:33:15 > 0:33:18Well, I'm sorry to disappoint you, Luc...
0:33:18 > 0:33:20but I...
0:33:20 > 0:33:22but I don't need it.
0:33:37 > 0:33:39Their line is we operated without reason
0:33:39 > 0:33:42and without adequate information because a private sector partner
0:33:42 > 0:33:44failed to deliver.
0:33:44 > 0:33:48- Have you finished with this? - Yes, thank you.
0:33:50 > 0:33:53Him not attending the scan is hardly them failing to deliver.
0:33:53 > 0:33:55That is a complete subversion of the truth.
0:33:55 > 0:33:58So...we blame the patient for their own misfortune?
0:33:58 > 0:34:01Didn't we discuss how that sort of line backfires?
0:34:03 > 0:34:05How on-side is this Wyvern Post guy?
0:34:05 > 0:34:07- What do you mean? - Can he be bribed?
0:34:07 > 0:34:09PHONE RINGS
0:34:09 > 0:34:10Don't.
0:34:14 > 0:34:18If I can swing him an interview with the minister,
0:34:18 > 0:34:20do you reckon he can be persuaded we're the good guys?
0:34:20 > 0:34:22I didn't realise that was up for debate.
0:34:22 > 0:34:24OK, I hate to give you the reality check
0:34:24 > 0:34:25but this is not good for you personally.
0:34:25 > 0:34:28All of this stuff online is name-checking you.
0:34:28 > 0:34:30- That doesn't concern me. - It concerns us.
0:34:30 > 0:34:33There is a lot of goodwill towards you in the department.
0:34:33 > 0:34:36If you get flamed, it questions our confidence in you.
0:34:36 > 0:34:38We need to dial this down.
0:34:38 > 0:34:39SHE LAUGHS
0:34:39 > 0:34:44Quelle surprise, Tilly's being trolled by angry Boltonians.
0:34:44 > 0:34:46Do we really need a ministerial visit
0:34:46 > 0:34:49to take the heat out of the situation?
0:34:49 > 0:34:51It's risky. But you know what?
0:34:51 > 0:34:54These guys aren't going to win this by pulling stunts.
0:34:54 > 0:34:56I'm fed up with it.
0:34:56 > 0:34:57MACHINE BEEPS
0:34:57 > 0:34:58- Excuse me.- What's happening?
0:34:58 > 0:35:00OK, just bare with me.
0:35:07 > 0:35:10Not to worry. He's just having a wee bleed, OK?
0:35:10 > 0:35:14- Why hasn't he woken up?- The anaesthetic needs to wear off.
0:35:14 > 0:35:17- That's good. Just a bit of blood there.- Where's the doctor?
0:35:17 > 0:35:19He's on his way. Has he no family?
0:35:19 > 0:35:22I don't know. Does this usually happen?
0:35:22 > 0:35:24He's a very old fella who's just come through surgery.
0:35:24 > 0:35:26I know it looks scary but we're on it, OK?
0:35:26 > 0:35:28It's fine, just a bleed from the drain.
0:35:28 > 0:35:31But blood's clotting normally and pulse is 85.
0:35:31 > 0:35:34B/P 120 over 80. Urine output?
0:35:34 > 0:35:37- Good.- Oh, well done. He's stable. Keep him under observation, please.
0:35:37 > 0:35:39Will do.
0:35:39 > 0:35:42- What's really going on with him? - There's nothing untoward going on with Mr Tilly's care.
0:35:42 > 0:35:44But he's ten times worse than when he came in.
0:35:44 > 0:35:47Now you can misrepresent this as much as you like but it will not wash.
0:35:47 > 0:35:50Mr Tilly is ill. That is not a systemic failure on our part.
0:35:50 > 0:35:53Of course it isn't, why would anyone take any responsibility?
0:35:55 > 0:35:57Don't let them ambush you.
0:35:57 > 0:35:59I will not let some campaigning journalist...
0:35:59 > 0:36:03Can you just step back and let me deal with this?
0:36:03 > 0:36:07You know, in some places PR is even regarded as a profession?
0:36:07 > 0:36:09Yes, of course.
0:36:09 > 0:36:12You're one of the true breed doctors, aren't you?
0:36:12 > 0:36:16Problem is, not everyone in the world is as smart as you are.
0:36:16 > 0:36:21Needs a dumbo like me to communicate with the people.
0:36:21 > 0:36:24Yes, yes of course. And the minister will be most welcome.
0:36:24 > 0:36:27I'll see if I can drag him in en route to Cardiff.
0:36:27 > 0:36:29And we'll supply the sick people.
0:36:29 > 0:36:32And who is Mary-Claire Carter? You need to sack her.
0:36:34 > 0:36:38That's lovely, thank you very much. Oh, Dr Lo.
0:36:38 > 0:36:40Just had the call from the transplant team.
0:36:40 > 0:36:43Harvesting has begun, so the clock's ticking.
0:36:43 > 0:36:46I'll er...I'll let you know the timeframe
0:36:46 > 0:36:47for prepping Aisha for theatre.
0:36:47 > 0:36:50In the meantime, it's going to be a very long day,
0:36:50 > 0:36:54so I'm going to need something to build up my strength
0:36:54 > 0:36:56for the fray. Any suggestions?
0:36:56 > 0:37:01Oh...pasta? Complex carbohydrates are good for endurance.
0:37:01 > 0:37:06Yes, good call. Canteen spag bol it is then.
0:37:06 > 0:37:09Don't you forget to eat, Dr Lo. You're looking a little peaky.
0:37:09 > 0:37:12- And I'd like those consent forms on my desk on my return.- Sure.
0:37:20 > 0:37:22Everything's going according to plan with the donor heart,
0:37:22 > 0:37:24so I just need your consent form.
0:37:27 > 0:37:28I'm not signing them.
0:37:30 > 0:37:34It's a massive breach of patient confidentiality.
0:37:34 > 0:37:36All I said is that he wasn't a scrounger!
0:37:36 > 0:37:39You do know your contract forbids you from speaking in public?
0:37:39 > 0:37:41He was being slagged off, I just thought that because I knew him
0:37:41 > 0:37:44- I should tell the truth.- Is it the truth that you hate your job?
0:37:44 > 0:37:47- You posted that. - What! I'm only joking.
0:37:47 > 0:37:49Did you tell the journalist about the CT scans?
0:37:49 > 0:37:52No! That wasn't me! Honest!
0:37:52 > 0:37:55- Who was it then?- If I knew I'd tell you, wouldn't I?
0:37:55 > 0:37:58I don't hate my job...I don't!
0:37:58 > 0:38:02If I did do you think I would even bother coming in here in the morning?
0:38:02 > 0:38:04Please...I need this job.
0:38:06 > 0:38:09Right, I think you've learnt your lesson. Go back to your work, please.
0:38:12 > 0:38:14Too soft.
0:38:14 > 0:38:17Mary-Claire is very popular.
0:38:17 > 0:38:19Your call, but it's wimping out.
0:38:19 > 0:38:23- I hate gossips!- But as you say, we dial this down,
0:38:23 > 0:38:26neutralise the local hack and we move on from this whole sorry mess.
0:38:36 > 0:38:39Leave me alone, Luc.
0:38:39 > 0:38:42I...I told you...
0:38:42 > 0:38:43I...I don't need it.
0:38:45 > 0:38:46Are you doing this to punish me?
0:38:49 > 0:38:51I don't need you. I don't...
0:38:51 > 0:38:56I don't need anyone. I don't want anyone...
0:38:56 > 0:38:59Eddi, please, please don't do this. I know you hate me,
0:38:59 > 0:39:01but it's just not worth it. If this is as serious as I think,
0:39:01 > 0:39:04if you've been taking as many as I think you have,
0:39:04 > 0:39:05then this could kill you.
0:39:07 > 0:39:10- Would that really matter?- Stop it.
0:39:10 > 0:39:12It's not like anybody really cares.
0:39:14 > 0:39:15I care.
0:39:17 > 0:39:19Eddi, look at me...look at me.
0:39:19 > 0:39:20Look at me.
0:39:20 > 0:39:21I care.
0:39:25 > 0:39:26OK?
0:39:29 > 0:39:31Come on, give me your arm.
0:39:31 > 0:39:33Come on.
0:39:36 > 0:39:38Bribery. I wondered when that would come.
0:39:38 > 0:39:40A flying visit from the minister.
0:39:40 > 0:39:43I give you two questions or we drop the Wyvern Express
0:39:43 > 0:39:44from our contacts list.
0:39:44 > 0:39:47It's the Wyvern Post, and the editor doesn't respond to threats.
0:39:47 > 0:39:51Really? It's the Sexton Media Group, isn't it?
0:39:51 > 0:39:53- I do know the MD.- Whatever.
0:39:53 > 0:39:56Tilly's video is giving us an 80% increase in traffic.
0:39:56 > 0:39:59You know why?
0:39:59 > 0:40:01Angry northerners and people having a laugh.
0:40:01 > 0:40:04No-one's taking this seriously.
0:40:04 > 0:40:05Could I quote you on that?
0:40:08 > 0:40:10I'm not going to just leave this.
0:40:10 > 0:40:13Do you truly believe that there's been an organised conspiracy
0:40:13 > 0:40:14to deny Mr Tilly proper care?
0:40:14 > 0:40:19And that the nurses here are nothing more than ciphers in a system that puts profit before people?
0:40:19 > 0:40:22It's not the low level staffers that are the problem.
0:40:22 > 0:40:24- It's the policies. - Then use this opportunity
0:40:24 > 0:40:27to confront the policy makers.
0:40:27 > 0:40:29Using reasoned argument.
0:40:31 > 0:40:32I understand it must be hard to process.
0:40:32 > 0:40:34You wake up one day, your phone rings,
0:40:34 > 0:40:37and suddenly you're here about to have major surgery.
0:40:37 > 0:40:40I was going to tell Toby in my own time. I had it all planned out.
0:40:40 > 0:40:43- You were just trying to protect him. - No. I was trying protect myself
0:40:43 > 0:40:46from his reaction.
0:40:46 > 0:40:49It's very common to feel scared or to have doubts,
0:40:49 > 0:40:53but turning down this heart will have major implications for your future.
0:40:53 > 0:40:56It's like a freight train hurtling towards me.
0:40:56 > 0:40:59I just want it to stop.
0:40:59 > 0:41:01Here are the details.
0:41:01 > 0:41:05Launching Excellence as Standard. Does that actually mean anything?
0:41:08 > 0:41:10How well is Mr Tilly?
0:41:10 > 0:41:14He's doing good. He just needs to rest.
0:41:14 > 0:41:16Probably just as well.
0:41:16 > 0:41:20- No chance he'll cark it, is there? - Erm...
0:41:20 > 0:41:22Because it would be most unpolitic if we lost him.
0:41:22 > 0:41:25- I hear someone is dropping by on their way back from Cardiff.- Yes.
0:41:25 > 0:41:28It's a show of solidarity really whilst we're under bombardment.
0:41:28 > 0:41:30I'm sorry I've not been onside as much as I hoped.
0:41:30 > 0:41:32You did rather evaporate once the calls came in.
0:41:32 > 0:41:35I was asked to a board meeting.
0:41:35 > 0:41:38Well, not a meeting exactly.
0:41:38 > 0:41:40A couple of board members wanted a chat.
0:41:40 > 0:41:43They've asked me to facilitate Mr Tilly's transfer to Bolton.
0:41:43 > 0:41:46Well, that won't be necessary. Miss Naylor and I
0:41:46 > 0:41:48will be performing a second procedure.
0:41:48 > 0:41:52I think they're keen we don't treat him anymore.
0:41:54 > 0:41:57Am I to be removed from my case?
0:41:57 > 0:42:00Only to avoid any potential fallout should it not go well.
0:42:02 > 0:42:05Mr Tilly is my patient. I want to see his care through.
0:42:05 > 0:42:06What are you, a GP?
0:42:07 > 0:42:09Joke.
0:42:09 > 0:42:12Oh, come on. Remember what she said, we've got to keep our sense of perspective.
0:42:28 > 0:42:32Everyone leaves, Luc. Everyone always leaves...
0:42:32 > 0:42:33Sshh. Come on, it's OK.
0:42:33 > 0:42:37No. It's really not OK.
0:42:37 > 0:42:39I think...I think I had this coming, though.
0:42:39 > 0:42:41What?
0:42:41 > 0:42:44I left Liam.
0:42:44 > 0:42:45When he needed me. I left him...
0:42:45 > 0:42:49- It wasn't that simple.- He never really went to school.
0:42:49 > 0:42:52Cos she...she wasn't... she wasn't up.
0:42:52 > 0:42:55She...she was either too drunk,
0:42:55 > 0:42:58or she just wasn't there.
0:42:58 > 0:43:01The first day I ever could I just ran away.
0:43:01 > 0:43:02I left him.
0:43:04 > 0:43:09And now everyone leaves me, don't they?
0:43:09 > 0:43:12You left me, Max left me.
0:43:12 > 0:43:18- I really thought Max cared about me. - I won't leave you, Eddi.
0:43:18 > 0:43:22Eddi. Never again.
0:43:24 > 0:43:25Do you want me help you?
0:43:32 > 0:43:34- Just one.- Just one.
0:43:34 > 0:43:37Just...just take the edge off a little bit.
0:43:37 > 0:43:40Take the edge off? Is that all it is?
0:43:40 > 0:43:42Oh, no, Luc, just please give them to me. It's just one, please...
0:43:42 > 0:43:44You can one when you admit you have a problem...
0:43:44 > 0:43:47Please give them to me, please give them to me! Luc!
0:43:47 > 0:43:48Eddi.
0:43:48 > 0:43:51EDDI CRIES
0:43:53 > 0:43:59Dr Lo, I understand that Aisha told you earlier that she'd doubts
0:43:59 > 0:44:01and has refused to sign the consent forms.
0:44:01 > 0:44:03Why didn't you tell me immediately?
0:44:03 > 0:44:04PHONE BEEPS
0:44:04 > 0:44:07We have ten minutes and then the heart will have to be declined
0:44:07 > 0:44:10and passed on to the secondary recipient.
0:44:10 > 0:44:11Go and talk to her.
0:44:16 > 0:44:19Aisha.
0:44:19 > 0:44:23Hi. Look, I know you're scared
0:44:23 > 0:44:26but turning down this operation will leave you with very few options.
0:44:26 > 0:44:29I've been here before. Five years cancer treatment.
0:44:29 > 0:44:31Yes, I know. And of course it'll be hard
0:44:31 > 0:44:35- but we will support you through it. - I'd be on steroids,
0:44:35 > 0:44:38- have mood swings, get fat. - That's not necessarily the case.
0:44:38 > 0:44:41Then there'll be all the drugs I'd have to take for the rest of my life.
0:44:41 > 0:44:42Endless hospital appointments.
0:44:42 > 0:44:45I could go through all that and reject it anyway.
0:44:45 > 0:44:48There's a 20 to 30% chance I'll be dead in five years.
0:44:48 > 0:44:51Yes, and a 70 to 80% chance of survival.
0:44:51 > 0:44:54I'm going to take the life I've got now and live it,
0:44:54 > 0:44:56- so if you don't mind.- Can't you see what you're being offered here?
0:44:56 > 0:44:59- You can't turn it down! - I can do what I like.
0:44:59 > 0:45:02No, you can't. You've got to grab this opportunity with both hands.
0:45:02 > 0:45:05- It might never come again.- What the hell is it to you anyway?
0:45:05 > 0:45:06This is my life, not yours!
0:45:06 > 0:45:10- Can't you see how lucky you are? - Lucky? That's a good one.
0:45:10 > 0:45:11- Tara, stop.- No, I don't care!
0:45:11 > 0:45:13I've got to make her see how important this is!
0:45:13 > 0:45:17This is not a game, Aisha! You have got to wake up before it's be too late!
0:45:17 > 0:45:20- Dr Lo, that's enough now. - Tara, come with me.
0:45:24 > 0:45:25Trust me.
0:45:25 > 0:45:29- Let go.- I can't. I can't, Luc.
0:45:29 > 0:45:31- Come on. What's the worst that can happen?- I'm so scared.
0:45:31 > 0:45:34Of course you are.
0:45:34 > 0:45:37But it can't be any worse than this, can it?
0:45:37 > 0:45:40It can't be any worse than this. That's it. That's it.
0:45:40 > 0:45:44I've got you. I've got you, let go.
0:45:47 > 0:45:49Do you want me to help you?
0:45:51 > 0:45:52Yeah?
0:45:54 > 0:45:56I need to hear you say it.
0:45:58 > 0:46:01I need to hear you say it.
0:46:01 > 0:46:02I need you to help me.
0:46:04 > 0:46:06I need you to help me.
0:46:18 > 0:46:21- I can't believe you just did that. - I was just trying to help her.
0:46:21 > 0:46:23It's called bullying, Tara!
0:46:23 > 0:46:25- But she was making the wrong decision!- It's her decision to make!
0:46:28 > 0:46:32- Sorry.- It's Aisha you should be apologising to.
0:46:32 > 0:46:35I cannot understand why you get so involved in these cases.
0:46:37 > 0:46:40Aisha has just formally declined the heart. I've just let them know.
0:46:40 > 0:46:42So what happens now?
0:46:42 > 0:46:45She'll have to come to terms with her decision.
0:46:45 > 0:46:48- I've referred her for counselling. - Well, she'll need it.
0:46:50 > 0:46:53If you don't mind, Oliver, I'd like a word with Dr Lo.
0:46:57 > 0:46:59Thank you.
0:47:02 > 0:47:05Dr Lo, I have serious concerns about your suitability
0:47:05 > 0:47:09to work on the highly specialised, highly pressured environment of Darwin.
0:47:09 > 0:47:13As this isn't the first time you've behaved in a questionable manner
0:47:13 > 0:47:17I have to discuss this matter with Mr Hanssen.
0:47:17 > 0:47:19I just wanted to warn you.
0:47:31 > 0:47:33Mr Hanssen!
0:47:33 > 0:47:37I've been trying to phone you. Have you got a minute?
0:47:37 > 0:47:38It's important.
0:47:38 > 0:47:40Very well.
0:47:40 > 0:47:44I have just had a rather unfortunate incident with Dr Lo.
0:47:44 > 0:47:46She totally mishandled a transplant patient
0:47:46 > 0:47:48by trying to influence her decision.
0:47:48 > 0:47:51- I see.- Recently her behaviour has been rather erratic.
0:47:51 > 0:47:54One minute she's fine, she's focused,
0:47:54 > 0:47:56and the next...
0:47:56 > 0:48:00The next she's flying off the handle.
0:48:00 > 0:48:06- But given the right support... - Tara has had the same support as any other F1 on my team, if not more.
0:48:06 > 0:48:10I'm afraid I think we have no other choice but to put a formal note
0:48:10 > 0:48:13of our concerns on her record.
0:48:15 > 0:48:17This is my fault.
0:48:19 > 0:48:22Dr Lo tried to call me earlier.
0:48:22 > 0:48:24I failed to return her call when she needed me.
0:48:24 > 0:48:26Needed you. How?
0:48:26 > 0:48:29This has to remain absolutely confidential.
0:48:29 > 0:48:32There is something you should know.
0:48:32 > 0:48:34A few months ago Dr Lo came to see me.
0:48:38 > 0:48:40Dr Lo.
0:48:41 > 0:48:44It's fine Professor Hope, I'm going.
0:48:48 > 0:48:51Sit down. Please.
0:49:03 > 0:49:06Mr Hanssen told me everything.
0:49:06 > 0:49:08Tara, I am so sorry.
0:49:08 > 0:49:11He had no right to do that.
0:49:11 > 0:49:14Well, I'm glad he did, because now I understand
0:49:14 > 0:49:17why you felt so passionately about Aisha's decision.
0:49:19 > 0:49:25However, you are a doctor. There is a line
0:49:25 > 0:49:26and you crossed it.
0:49:26 > 0:49:31You should never, ever impose your own agenda on a patient.
0:49:31 > 0:49:35I won't be able to overlook this again. Is that clear?
0:49:46 > 0:49:49If you just come through here, Minister.
0:49:49 > 0:49:52This is the patient I was telling you about. Owen Tilly.
0:49:52 > 0:49:56Mr Tilly is local to Holby, lived here quite a number of years now.
0:49:56 > 0:50:00Sadly he was diagnosed with cancer, specifically an oesophageal carcinoma...
0:50:00 > 0:50:05Not getting in on the action? Worried you might look fat on TV?
0:50:05 > 0:50:08Just why oh why in an age of glorious high definition colour
0:50:08 > 0:50:11must all journalism be so black and white?
0:50:14 > 0:50:16Oh, no, no. Wait a minute.
0:50:16 > 0:50:18This isn't on at all. Excuse me.
0:50:18 > 0:50:21I'm sorry, but Mr Tilly did not give permission to be filmed.
0:50:21 > 0:50:24- Oh, he wants this.- I refuse to let a vulnerable post-op patient
0:50:24 > 0:50:27be exposed to this level of intrusion. Sorry.
0:50:27 > 0:50:30He wants to fight for the NHS. See he actually cares about it.
0:50:30 > 0:50:33- Oh, and I don't?- Well, you're nodding through stuff you don't agree with, so.
0:50:33 > 0:50:35No, no. That is simply not true!
0:50:35 > 0:50:38Nothing I think is as bald as you say.
0:50:38 > 0:50:41As a surgeon, of course I'm concerned that we may lose our ability
0:50:41 > 0:50:45to follow a patient from admission to surgery to discharge.
0:50:45 > 0:50:47Which could mean that the person best qualified to treat
0:50:47 > 0:50:50that patient is not managing their care pathway.
0:50:50 > 0:50:54Now that does worry me a lot and not just in terms of continuity.
0:50:54 > 0:50:57- Do you understand?- No. You want to blindly throw us all to the lions
0:50:57 > 0:51:00- of market forces. - No, that's not what I want at all.
0:51:00 > 0:51:02Yet it's happening and you don't seem to care.
0:51:02 > 0:51:03Of course I care!
0:51:04 > 0:51:06I care that by introducing competition
0:51:06 > 0:51:08into each and every stage of the process
0:51:08 > 0:51:12we're potentially throwing costs and waiting times onto the patient.
0:51:12 > 0:51:16I care that this could impact onto the wider community
0:51:16 > 0:51:18in ways that cannot yet be measured.
0:51:18 > 0:51:23And I care that I'm not yet certain that there are safeguards in place
0:51:23 > 0:51:25which will protect those who are not strong enough
0:51:25 > 0:51:27to fight for the best treatment!
0:51:29 > 0:51:31Gentlemen, if you'd like to come though.
0:51:31 > 0:51:33Minister, if you'd like to come through.
0:51:33 > 0:51:36The Wyvern Post has a couple of questions,
0:51:36 > 0:51:39then the minister will do your two-way. Thank you very much indeed.
0:51:39 > 0:51:44Mr Hanssen if you'd like to come through too. Minister, thank you.
0:51:44 > 0:51:47Maybe you should have a quick word with Aisha before you leave.
0:51:47 > 0:51:48Yes, of course.
0:51:53 > 0:51:57You can have confidence that this goes no further.
0:51:58 > 0:52:00Thank you.
0:52:00 > 0:52:02And if ever you feel, you know, you want someone to...
0:52:02 > 0:52:05just come to me and we'll deal with it together.
0:52:10 > 0:52:12It's completely out of order and you know it.
0:52:12 > 0:52:15I will speak to your editor. If it weren't for the Minister being here
0:52:15 > 0:52:17- you'd lose the questions.- Tell her I say hi.- Behave yourself.
0:52:17 > 0:52:20- Minister, are you ready?- Yes, of course.- Thank you very much indeed.
0:52:20 > 0:52:23Mr Maxwell, if you would like now here is your chance
0:52:23 > 0:52:25for your two questions with the Minister.
0:52:25 > 0:52:29As we agreed before we go to the official television interview.
0:52:29 > 0:52:30Thank you very much, gentlemen.
0:52:30 > 0:52:34Thank you. Actually my question is for Mr Hanssen.
0:52:36 > 0:52:39- Guys, are you rolling? - Er, no. I said no stunts.
0:52:39 > 0:52:42- Owen, Owen.- Mr Hanssen. Mr Hanssen,
0:52:42 > 0:52:45you said you had qualms about the reforms.
0:52:45 > 0:52:47I said that off the record, yes.
0:52:47 > 0:52:49Would you like to share them?
0:52:49 > 0:52:52No, I wouldn't. They are complex and cannot be reduced to sound bites.
0:52:52 > 0:52:55But if you have concerns, you should address them
0:52:55 > 0:52:57to the minister in question, shouldn't you?
0:52:57 > 0:53:00Unless you've been asked not to.
0:53:00 > 0:53:03Of course he hasn't.
0:53:03 > 0:53:06Mr Hanssen is free to say what he wishes.
0:53:10 > 0:53:13Mr Hanssen, do you disagree with the changes
0:53:13 > 0:53:14the government are bringing in?
0:53:16 > 0:53:17Well...
0:53:17 > 0:53:19Yes or no?
0:53:21 > 0:53:23Well...
0:53:23 > 0:53:25Mr Hanssen?
0:53:26 > 0:53:30Broadly speaking, on balance I would say...
0:53:31 > 0:53:34..yes, in their current form, I disagree with them.
0:53:41 > 0:53:44- Was it on camera?- Oh, yeah.
0:53:44 > 0:53:46And batting for the other side. I knew it.
0:53:46 > 0:53:50- At least he's standing up for patients. - He's standing up for the status quo,
0:53:50 > 0:53:53and a demand-led system that will keep people like him
0:53:53 > 0:53:54making all the decisions.
0:53:54 > 0:53:57It's fundamentally about his own self interest!
0:53:57 > 0:53:59Sounds good to me.
0:54:05 > 0:54:08How did things pan out with Elliot?
0:54:08 > 0:54:13I got a bit told off. But...still here...just.
0:54:13 > 0:54:16Look...
0:54:16 > 0:54:19I'm sorry if I was too hard on you earlier.
0:54:21 > 0:54:23It's fine.
0:54:23 > 0:54:26- How is she?- Not good.
0:54:28 > 0:54:29Go and make it right.
0:54:45 > 0:54:47I'm sorry.
0:54:47 > 0:54:49Want to borrow my shoes?
0:54:49 > 0:54:53Looks like I'll be stuck here for a bit.
0:54:53 > 0:54:56And your boyfriend seems to like them.
0:54:59 > 0:55:02Thanks but I'd probably break my neck in them.
0:55:02 > 0:55:05So, he is your boyfriend? Nice eyes.
0:55:08 > 0:55:12Aisha, I let things get on top of me today.
0:55:12 > 0:55:16I should never have put pressure on you like that.
0:55:16 > 0:55:19I just couldn't do it. Coward through and through.
0:55:19 > 0:55:21No, I don't think you are.
0:55:21 > 0:55:22PHONE VIBRATES
0:55:26 > 0:55:31Toby. Says he's thinking of me. Kiss, kiss.
0:55:34 > 0:55:38But he's not here, is he? Just me and my crappy old heart.
0:55:38 > 0:55:41That's probably how it's going to be from now.
0:55:41 > 0:55:43If I was him I'd run a mile too.
0:55:44 > 0:55:46Right, well.
0:55:47 > 0:55:49We're going to have you out of here in no time.
0:55:51 > 0:55:55I'm so sorry, Minister, that must have been very uncomfortable.
0:55:55 > 0:55:58If I'd known, it wouldn't have happened. I do apologise.
0:55:58 > 0:55:59That was a complete disaster.
0:56:05 > 0:56:10Well, I hope I made my points with a degree of fairness.
0:56:10 > 0:56:12Are you completely nuts?!
0:56:12 > 0:56:14On something as polarised as the NHS
0:56:14 > 0:56:16you will only be seen as some senior quack
0:56:16 > 0:56:19who stole the limelight for a moment.
0:56:19 > 0:56:22- I suppose so.- You might've told me you had some concerns.
0:56:22 > 0:56:26Well, sometimes these things take a while to crystallise, don't they?
0:56:27 > 0:56:32I stuck my neck out for you. For what?
0:56:32 > 0:56:35You want to appear on TV? Apply to Mastermind.
0:56:37 > 0:56:41Well played. I'm sure our paths will meet again.
0:56:41 > 0:56:42I hope so.
0:57:10 > 0:57:12You can take another two in four hours.
0:57:12 > 0:57:15Obviously it takes longer to come off them
0:57:15 > 0:57:19than the time you were on them, but it's OK. You'll do it.
0:57:19 > 0:57:21We'll do it.
0:57:24 > 0:57:25Yeah.
0:57:28 > 0:57:32'Mr Hanssen, you said you had qualms about the reforms.
0:57:32 > 0:57:35'I said that off the record, yes.
0:57:35 > 0:57:37'No I wouldn't. They're complex.
0:57:37 > 0:57:39'They should not be reduced to sound bites.
0:57:39 > 0:57:41'Mr Hanssen, do you disagree with the changes
0:57:41 > 0:57:43'the government are bringing in?
0:57:43 > 0:57:45'Yes, in their current form I disagree...'
0:57:45 > 0:57:48I'm taking Mr Tilly in to finish his excision. Are you coming?
0:57:48 > 0:57:51Didn't the board expressly forbid...?
0:57:51 > 0:57:53They don't have that kind of power, this being a democracy
0:57:53 > 0:57:55and not a police state.
0:57:55 > 0:57:57OK, will it get me in trouble?
0:57:57 > 0:57:59Not with me. Possibly with them.
0:58:01 > 0:58:04I can find another cardiothoracic person.
0:58:07 > 0:58:11- If they go in via the third intercostal...- I understand.
0:58:11 > 0:58:14For what it's worth, I agree with pretty much everything you said.
0:58:14 > 0:58:17Would you stand up and say so in public?
0:58:19 > 0:58:20Then it's worth nothing.
0:58:29 > 0:58:31Subtitles by Red Bee Media Ltd