Push the Button - Part 2 Holby City

Why do you want to be ignored?

It's mildly better than being rejected.

Do you want to dance?

Caitlin Laidlaw. Coronary artery Fistula.

Well, if it was my patient,

I'd probably do a beating heart op instead.

Jac, we talked about this.

-I'm looking for Caitlin Laidlaw.

-That makes three of us. Who are you?

I'm Liam, her brother.

She's arresting!

I've just performed a highly complex beating heart procedure

with an active lack of support from my team.

She's got to help herself. I'm sorry.

Where you going mate?

I think it's your round.

I think you're right.

I've got a nice bottle of single malt back at mine.

Shame you have to stay here.

I don't have to.

Jac.

Jac.

ID.

Oh, right. You're here.

Where else would I be?

I didn't see you come in is all.

About yesterday...

Yeah, you thought I was an egomaniac psycho surgeon

wielding the knife for my own gratification again. Yeah, I got it.

Hang on, Jac.

Caitlin deteriorated overnight. And she ain't happy.

Oh, just piss off, will you! I don't need any more tests!

The drama continues. She's now refusing any further surgery.

Where's Mr Dolan?

I'll call him.

Um, I'll do that. I need to update him anyway.

Right. Tell him I'm calling an MDT meeting.

Debrief on yesterday's fiasco.

Be warned. You're hardly flavour of the month.

I heard.

Yeah, it's just not very good,

so if I could get another one that would be great.

OK, whenever you can, come back.

-Thanks.

-Bye.

-Coming through!

-Oh!

Sorry.

Watch what you're doing!

It's my first day. Haven't got the hang of the brakes yet.

In case you hadn't noticed, this is a hospital!

There are sick and vulnerable people here.

Now, somebody could get seriously injured

by this kind of irresponsible behaviour.

I get it. Sorry. Won't do it again.

You OK?

Hope so. It's my first day, too.

-Are you Dr Digby?

-Yes!

Sorry, yes.

Whoa, whoa, whoa, easy.

It's all right, I got it. I got it.

You are Dr Wilde?

Yeah. Who are you?

Michael Spence. I'm your consultant.

So you were supposed to be here half an hour ago?

Bus was late.

Oh, was that your apology?

Sorry.

Locker room's there. Get changed.

Malick.

May I introduce you to Dr Arthur Algernon Digby.

Our new F1.

How's it going?

Yep, thank you.

Seems we're very lucky to have him. Came third in his year at St James'.

No, no. I'm the fortunate one. As Napoleon once said,

"Ability is nothing without opportunity",

and I fully intend to make the most of this one.

I'm sure you will, with the help of Mr Malick here.

He'll be your Clinical Supervisor.

I'll be leaving you in his capable hands.

Wait there.

OK, Mr Griffin. Here's the deal.

I give geek boy the full on Malick experience,

and you give me a cast iron reference

when I apply to be a consultant.

No promises...

..but still, a little one-to-one mentoring won't do you any harm.

Though I think you might have your work cut out with this one.

Good luck.

She needs an echo and MRI.

I said no!

And a fresh set of bloods.

No-one can tell me what I can and can't do!

I want to go to St James's. I want a transfer.

I don't think you understand how sick you are.

Not as sick as you!

Ms Naylor is the very best person to carry out your operation.

It's highly specialised.

Then I'm dead already.

She almost killed me yesterday!

Caitlin, please.

I'm calling Liam.

He'll come when he knows Mum's gone.

When he knows what you've done to me.

She's got a build up of fluid on her lungs,

pulmonary congestion on her neck,

palpitations and increasing breathlessness.

No-one's coming, Caitlin. You need to agree to this surgery.

I said no.

Come on then, Alfred. Let's do this!

Actually, it's, um, Arthur.

Mrs Morrison's blood results are all over the place,

so I need you to plot a flow chart so we can see a trend over time.

Surely a nurse could do that?

I'm asking you. Problem?

I just don't think you understand the level of my experience.

What, you know it all already, do you?

I came third in my year at medical school, Mr Malick.

I'm not afraid of being challenged.

Oh, I will challenge you, Alfred.

Don't you worry about that.

I've got Ms Langton.

Vivienne Langton. Where do you want her?

A little respect, yeah? She's not a delivery.

Sorry, bruv. Don't know the form.

I'm not your bruv. Bed three.

Hey, how you doing today?

I'm sorry to be such a nuisance, but the pain got too much.

Don't worry. We'll get to the bottom of it, OK?

Right, she had an appendectomy couple of weeks ago, recovered well,

but she's still experiencing abdominal pains.

I want you to organise an X-ray, to determine any obvious cause,

and a repeat set of bloods.

Hey! Don't leave that there.

Yeah. Course. Sorry, bruv.

PAGER BEEPS

Right, that's my theatre slot. You're in charge, Alfie boy.

Er, but, Mr Malick...

What?

You wanted a challenge. If you're so clever,

you'll have it all done and dusted by the time I'm back.

Oh, and while she's in X-ray, I want you to look at Mr James.

Severe diabetic foot ulcers. He's going to need an amputation.

I'd like you to examine the leg, see how far it's demarcated,

and give me your opinion on how far up the leg to go.

But... What about all the other patients?

Brother man, this job is all about multi-tasking.

Read the notes, get up to speed.

I'm on my pager, and if you need help ask Nurse Lane.

Who?

Chantelle! Have you met Dr Digby, our new F1?

No. Welcome to Keller!

It was the obvious way to proceed,

and what we had specifically agreed to do for my patient.

Without complications, Caitlin would be home free now.

Yes, but she isn't, is she?

She's here facing another major life-threatening procedure.

Which would still be the case if she'd had the graft.

Yes, but not as a matter of urgency, at her most vulnerable,

after the trauma of having her blood supply compromised.

I made the right call.

It didn't work out, but it certainly wasn't negligent.

I disagree. I flagged up my objections at the time,

but she went ahead anyway.

Jonny? What's your take?

I was concerned that Ms Naylor was taking unnecessary risks not

sticking with the original plan, and I made that very clear at the time.

But we were under a lot of pressure.

I have no doubt that she had Caitlin's best interests at heart.

It's judgement, not commitment that's in question here.

Mr Dolan?

I'm not a cardiac surgeon,

but I believe that the benefits of Ms Naylor's approach

more than outweighed the risks.

We're back at square one, with Caitlin in acute heart failure,

but now with the added problem that she's refusing to co-operate.

Caitlin needs a full coronary artery fistula excision

as soon as possible.

As I have the most experience in that area, I should lead.

At this stage, I don't feel we are left with any other choice.

I will be supervising Ms Naylor in theatre if we ever get that far.

That's unnecessary.

No, Jac! I am determined to make sure that Caitlin gets the best care

and attention that she deserves.

You'd better get it right this time.

I have to admit, I'm surprised you didn't go for the jugular.

I think we all lost perspective yesterday.

And I had no idea how important Joseph was to you.

It's fine. I'm over it.

Not sure I would be.

If it was you.

Really?

I thought you'd be singing from the roof tops.

"Ding dong, the witch is wed."

Well, I happen to have kind of a thing for witches.

DOOR OPENS

It's Caitlin. I'm getting a bit concerned.

B/P 133/92.

Oh, that's a beautiful emerald, Ms Langton.

Your first set of bloods were clear, so...

It was a gift, from Richard Burton.

No!

We had an affair in the '60s. I was terribly young.

Nurse Lane, I'm trying to examine the patient.

Dickie had a terrible temper, too.

You remind me of a young Alain Delon.

Thank you.

Someone will be down to take you to X-ray shortly.

I'll be back.

OK.

You look familiar. Sure we've not met before somewhere?

I very much doubt it. Can we please just get on?

OK. Bed 5, Mrs Simmons, abdominal pain, spillover from Gynae.

Bed 4, Mr James, diabetic.

Analgesia making him drowsy so you won't get much out of him,

but I can fill you in.

No, I can read perfectly well, thank you.

But Mr Malick asked me to familiarise you with the ward.

Yeah, and he asked me to make a clinical assessment

of the demarcation.

Well, at least let me undo the dressing.

It's not a very pretty sight.

I'm perfectly familiar with necrosis, Nurse Lane.

OK. Well, if you need anything, just ask.

I'll be fine.

-Can I get some help here, please?

-Get off me!

-Come on, Caitlin...

-Ow!

Right. Get back into bed.

I need to talk to Liam, tell him Mum's gone.

Caitlin. You have to sit back.

His phone must be out of battery or something, or he's out of credit.

He wouldn't leave if he knew the truth!

Look, Liam isn't interested. He doesn't want the hassle.

He walked out on you, remember? He didn't even say goodbye.

It was Mum, not me. Stupid cow drove him away. Get off me!

Right. Like it or not, I am the only person who can help you now,

and you are running out of time.

We're only doing this because we care.

All she cares about is sorting out mess she made yesterday

in case I sue her!

And you...

you lied to me, you promised you'd stay and you couldn't be bothered.

You're both full of it!

Jonny, can you go and check on her fresh bloods, please?

I just nipped home for a bit.

Then why was she with you? Vanessa make her a nice cup of tea?

I saw you both get into the cab, all hot and bothered.

I was just giving Ms Naylor a lift home.

Yeah, course you were.

Everything OK?

Yeah. Absolutely. It's fine.

Get this.

Her great-grandmother died on the Titanic,

but they saved her necklace.

Oh, wow!

It was found on the bottom of one of the lifeboats.

My family were able to prove ownership

because it was clearly a match for a ring she'd left behind.

And you've got to keep both. You lucky thing!

Ms Langton's back from X-ray.

I can see that.

And Mrs Johnson needs to be prepped for her procedure, ASAP.

Have you read Mr Malick's notes?

It's just his handwriting can take a little while to get used to.

Nurse Lane. I'm perfectly capable of following simple instructions

without your constant interference.

This way, so here on AAU we ship 'em in and ship 'em out.

The ED send people us all the people they don't know what to do with.

Like him.

Sorry, Michael. Nothing I could do.

All right, Mr Spence?

Lenny, it's always lovely to see you!

So, this is the ironically named Lenny Heal.

Professional hobo and frequent flyer.

And an expert at inventing plausible symptoms in order to secure a bed.

Damn nuisance.

It's different this time, Mr Spence. Honest. It's killing me.

I actually haven't seen you for a little while.

Got a flat, sorted myself out. No need to scam a bed.

All right, usual bloods. IV fluids. Keep an eye on him.

You're not going to examine him?

Love the enthusiasm of the newly-qualified.

He's an attention seeker. Let's look at some real patients.

Attention seekers get ill like everyone else.

Surely we take each patient at face value and work backwards?

Well, if his bloods give me any cause for concern,

I'll revaluate then.

But if you want to practice your bedside manner, go for it.

Lenny, today is your lucky day.

You have the lovely Dr Wilde all to yourself.

All right, Blondie, show us you're a real Doctor.

I can't believe we're letting a 15-year-old girl

give us the run-around like this.

She doesn't respond well to being pressured.

Yeah, well, I don't want a dead teenager on my hands,

so I'm going to give her another five minutes to get her head round it,

and then we start prepping for theatre,

even if you have to hold her down.

How's the head?

Killing me.

Look, I didn't know about you and Jonny.

Well, you do now.

What the hell's Mrs Johnson drinking?

Er, laxative preparation for her colonoscopy.

I just thought I'd get things moving, so to speak.

Chantelle, stop her now before all hell breaks loose.

She's in for a colposcopy.

Really?

I must've misread...

Nurse Lane was supposed to be briefing you.

I prefer to work independently...

Get one thing straight.

This isn't the type of job where you can fly solo.

You got any doubt, you ask for help.

Otherwise you become a danger to my staff and my patients,

and I'm not having that. Do you understand me?

It's OK, she'd only had a sip.

But Mr James was complaining about his dressing, so I changed it,

and the thing is, one of his toes has gone.

Gone where?

It, um, came off, in my hand.

Where is it now?

You're lucky his whole foot's coming off.

Oh, surprise me now.

Lenny's blood test results reveal a serious medical condition,

and he has three hours to live, right?

No. They're clear. But I'd like to do an abdominal X-ray, just to be sure.

You know what, since it's your first day, I'm going to indulge you.

And your perfume smells really nice.

Pay no attention. Mr Spence can be a little bit arrogant.

Full of himself.

You're an attractive female. He's just showing off.

Well, I can't help what I look like. I just want to do a good job.

Well, look, I read your file, and you're clearly very, very talented.

So, you know, just dazzle us all with your brilliance.

-Heard about the F1 Award?

-No.

The F1 who scores highest in all their assessments is pretty much

guaranteed an F2 placement at Holby and there's a cash prize,

which I think's pretty cool.

Well, how do I apply?

Oh, um. There was a form somewhere.

There.

Thanks.

Hi, what are you doing?

Dropped my keys.

Thought someone might have been handed them in up here.

Don't look like it, though.

Digby!

You better jump, boy!

Ah, Nurse Lane.

Listen, made a bit of a fool of myself this morning.

Bumped into some older black guy.

He works here. I wanted to apologise.

Mr Griffin's on a conference all day.

Mr Griffin? Thought it was Malick.

No. That's Mr Malick.

Well?

There's nothing obvious.

Agreed. So where do we go from here?

Order FBC's, U's, E's, LFTS...

And talk to her.

She's now complaining about a pain between the chest and abdomen,

so you're going to have to dig a little bit deeper.

Look, I'm giving you this chance to redeem yourself.

Come on, show me how clever you are.

Hello, hi. I'm looking for Mr Dolan?

He's around here somewhere. Is it urgent?

No, personal. I'm his wife.

Oh, right, well, in that case, let's have a wee look.

He's having a bit of a nightmare today.

Patient kicking off.

Oh, don't tell me. Caitlin.

Bullseye.

She was only seven when she first came to Paeds.

Her mum was just always trashed.

Say she'd be in later, then leave Caitlin hanging for days.

Go out on a bender.

Well, some people really shouldn't have kids.

I used to try and make up for it.

Give her cuddles, read to her, so we kind of bonded.

There's your man.

Listen, at the moment she's refusing any further treatment.

I wondered, would you mind having a word with her?

Yeah, yeah. Happy to. Just need five minutes with Sean first.

I'll leave you to it.

Sean?

Hi.

What are you doing here?

Is there somewhere we can talk?

This really isn't a good time.

It won't take long.

OK, we can have a talk in there, yeah. OK?

Who's that?

That's his wife.

Must be very good news.

Yeah, hi.

So I told the Prince of Wales I wasn't interested.

It's always been a sticking point with me, baldness.

But you've got lovely hair, thick and lush.

Excuse me, Dr Digby.

Nurse Lane, thank you.

Just had St James's on the phone. Apparently, she's a bit delusional.

Yeah, I think that was obvious.

Not to me. I was right there with her and Richard Burton.

I even rang my nan. She'll be gutted.

Was there anything else, Nurse Lane?

Well, just to warn you, apparently she can turn on a sixpence,

get a bit nasty.

Right, thank you.

I have had experience of dealing with difficult patients.

Well, maybe I should stick around. They say she needs careful handling.

Which I am perfectly capable of delivering.

Thank you, Nurse Lane.

It's the very devil. Make it go away, please!

Calm down or you'll make it worse.

Who are you?

Dr Digby.

Really? You look like a school boy.

My identity badge.

Now, would you mind undoing your gown?

What do you think you're doing?

I just want to listen to your chest, Ms Langton.

I know who you are. You came to my house to read my gas meter.

Stole my handbag.

No. I'm a doctor, and I'm going to examine you.

-What on earth do you think you're doing?!

-It won't take long...

-Get your hands off me!

-I'm trying to...

Help me, someone! I'm being assaulted!

We'll celebrate later, OK? I'll walk you back upstairs.

Oh, no, wait. I promised that nurse I'd try and speak to Caitlin.

That's the last thing you need. We'll sort her out, yeah?

No, I'd like to.

Sorry, no visitors.

But she knows me.

I won't be long.

You never told me that your wife worked in Paeds.

Or that she was Caitlin's bezzie.

You better get her out of there.

What possessed you, Digby?

Examining a vulnerable, unstable woman in full view of the ward?

I was concerned about her chest pain, and she refused to co-operate.

So you thought you'd apply some strong arm tactics?

What about you, Channers?

She's your patient, too.

Dr Digby was very insistent.

Nurse Lane showed me no respect whatsoever.

Questioned my judgement at every turn.

That is not true.

I could see he was struggling. I offered to help.

Chantelle, can you leave us a second, please?

I'm sorry to say this, Mr Malick, but I can't work like this.

The chain of command has to be respected.

And once broken, it's impossible to restore.

What exactly are you saying?

It's her, or me.

You know what?

For a smart guy, you are spectacularly dumb.

Word of advice. You want to get on in here?

You be nice. Get the nurses on side.

No-one else has ever had a problem with Chantelle.

In fact, she's an excellent nurse.

Which makes me think the problem is with you, Dr Digby Dog.

If anyone has to go, it ain't going to be Chantelle.

Just agree to the surgery. Please, Caitlin.

You've got to look out for yourself now.

Most people have a mum for that.

At least now I know no-one cares.

That's not true. You've got me. And Sean.

Oh, yeah. Course.

Can always rely on good old Sean.

Hey, come on.

Sean stayed here all night just to make sure you were OK.

So he didn't go home at all?

No. And I can't think of any other patients he'd do that for.

That was X-ray. They're sending Mr Heal up now.

Thanks.

Sister Williams, have you got a minute?

-Not really.

-Please?

I need your advice.

I need a mentor, for the F1 Award.

What about Mr Hemingway?

He left a couple of weeks ago,

and to be honest, his people skills left a lot to be desired.

Mr Levy's been very kind, welcoming. And he seemed really up for it.

He hasn't had much success with mentoring in the past.

Mainly due to his dark, unpredictable mood swings.

I know. It's surprising, isn't it?

So... Well, that just leaves...

Hey, what's going on here?

Sister Williams suggested you might consider being my mentor.

-For the F1 Award?

-Did she?

Yeah, love to. Tell you what, let's discuss it over lunch.

You're buying. I know a great place.

I have your latest blood results. Where's Mr Dolan?

Where he should be. With his wife.

You dirty cow. Sean never went home. You're all liars.

Caitlin, you need to calm down. You're making yourself worse.

Nobody's lying.

Does Jonny know? That you went off with him?

Oh, right. I'm sure he'd like to know. You two seem pretty close.

-Nurse Maconie!

-He's not here.

Then I'll get someone to find him.

I knew it.

Everything's simple when you're 15, isn't it?

Truth and lies, and right and wrong,

but this isn't some teen soap opera.

You're playing with peoples' lives.

Just like you're playing with mine.

Let me help you with that.

There's really no need.

I'd like to. Come on.

That's very good of you.

Under the circumstances.

Never been one for bearing grudges.

Unlike me.

You were right. We have met.

At the New Year's Eve party. You dragged me onto the dance floor.

Pretty girls usually avoid me like the plague

so it was a bit of an event for me.

Then you ditched me.

Oh, my God! I'm so sorry.

Stupid ex-boyfriend.

Never been good with rejection. I'm not blaming you in the slightest.

I know I'm not much of a babe magnet.

I feel awful now.

That makes two of us.

First day, "nul points".

Bang goes the F1 Prize.

Never say never.

I pulled off a diabetic's toe and then hid the evidence.

Attempted erroneously to evacuate someone's bowel.

And was accused by an elderly lady of being a sexual deviant.

Well, look on the bright side. You haven't killed anyone.

No. There is that.

Your wife looked very happy for someone in the midst

of marital breakdown.

-I never said that.

-You implied it.

You never said you were in a relationship with Nurse Maconie.

We've been doing IVF.

It's been tough on both of us. The drugs, the mood swings.

Yeah, no sex unless it involves a porn mag and a test tube.

But never mind. There's good old Jac. Happy to oblige.

It wasn't like that.

You used me.

We used each other.

And now you're going to be a dad.

Congratulations. You must be very proud.

I am, actually.

And I'm not going to let you ruin this moment.

I'm not the one who's going to do that.

How you doing, Ms Langton?

Are you my driver?

That's me.

I'd like to go home now, please.

Got to get you better first. Hope they're looking after you.

Oh, I'm sure they are.

But I'm probably being a terrible nuisance. I usually am.

No. You're a legend.

Am I?

Couldn't take a closer look at your necklace, could I?

Never seen a proper diamonds.

Of course.

Must be worth a bit.

Excuse me, mate.

This lady's supposed to be resting.

Just chatting. She seems lonely.

Hope she's getting the attention she deserves.

You trying to be smart? Says "porter" on your badge, not "doctor".

Just don't seem to be doing much for her, that's all.

You do your job, and I'll do mine.

Jac.

I have just had a phone call from Caitlin's social worker

wanting to discuss a transfer to St James's.

Do you realise how damaging this could be if it ever got out?

Next thing you know she'll be suing for... Jac!

Excuse me.

Ms Langton?

Who is it?

It's Dr Digby.

I come in peace.

Sorry about your specs.

I get things out of proportion sometimes.

I guess we're both in the dog house.

Smoking isn't really allowed or...

Advisable.

I don't mean to be awkward, but it helps ease the pain.

You clever doctors have done nothing to touch it,

so I'm forced to rely on my own resources.

Er, Ms Langton...

Oh, don't worry. It's gin. I always have a tipple around midday.

But they're a bit funny about that in here.

You and me, though, we understand each other.

Misfits together.

How much are you drinking?

No more than I've ever done.

Right. It's just, according to your notes, you don't drink at all.

I don't tell them because they get in such a state. Ah!

Don't worry, I'm not going to scream the place down.

Maybe you could take me back to bed.

Of course, of course.

Jac? Professor Hope's looking for you.

I'll be just a minute.

You OK?

What happened?

It was a patient scared of needles. I'm fine.

Quite a whack. Want me to report it?

It's fine, thanks.

I don't like this.

Feel like it's exposing my soul.

That's one thing it can't do.

Bear with us, OK?

What do you see?

Pancreas severely enlarged.

Seems to be a blockage in the pancreatic duct.

We'll need to take a look at that. Do an ERCP.

PAGER BEEPS

Good spot, Dr Digby.

I'll be right back. Stay with her. Talk to her about her drinking.

Me?

She trusts you.

I think I'm going to be sick.

Sorry, blockage, you said.

It's cancer, isn't it?

No, no.

It's just a build-up of bile, which we can deal with.

Really?

But you're going to have to stop drinking.

I don't think I can do that.

If you don't, we can't help you.

The pain will just get worse, it's not going to go away.

I think you should try modelling, Arthur.

I'll call Bailey, arrange a session.

So handsome.

Ms Langton.

I'm tired now.

Will you leave me?

Please.

You deserved it.

I had to tell her before they transfer me to another hospital.

I owe her that much.

Sorry, I thought you knew.

Children's Services have no intention of moving you anywhere.

Professor Hope confirmed it with your social worker

that it wouldn't be in your best interests.

I'm just a piece of meat to you lot.

Liam!

I want to speak to her alone.

Five minutes. Her theatre slot's been fast tracked.

You came back.

Thank you. Thank you so much.

What did you send me those messages for?

But they're using me like a guinea pig.

Don't be stupid.

It's true. Think they can do what they like.

And I'm scared, Liam!

Why have you got to be like this, Cait?

-Like what?

-Like Mum!

Talking drama queen crap just to get what you want!

I can't handle it.

I'm not lying, I swear!

I just really need your help.

Where's Mr Dolan?

I'm not sure.

You were supposed to be looking after my sister!

-Calm down...

-I've got a right to know what the hell's going on here!

Come into my office. It's all right, John.

I'll see if I can find Mr Dolan.

So Caitlin's your patient, right?

Liam, take a seat, please.

And you dumped her on Ms Naylor.

Why? Couldn't be arsed?

I had a consultation at another hospital.

And that's more important than my little sister's op?

No. I was fully intending to do the procedure on my return,

but it became an emergency in my absence.

Oh, and Ms Naylor went rogue, and then Caitlin has a heart attack.

Obviously it's not as simple as that.

But you're not denying it.

I don't get it, Sean. You slept with her.

I didn't plan it.

And that's supposed to make me feel better, is it?

Sorry to interrupt. Caitlin's brother's arrived.

He's asking for you.

I'll be there in five.

OK.

-You going, then?

-No. We are.

So, nothing, agreed?

Yeah.

What I'd tell you about Lenny, attention-seeker.

All right, let's get that lunch you owe me.

Michael, another complaint about the toilet.

All right, call the supervisor.

Oh, and tell them that the locker room

was an absolute disgrace this morning.

Stuff all over the place.

-Just need to go and give Mr Heal his results.

-All right.

Hi.

Good news. The X-ray shows no cause for concern.

Bad news. We're no further on. Sorry.

But my gut hurts like hell. Scout's honour.

How long have you had that?

Couple of weeks. Got more.

Show me.

You think Gemma might be feeling a little oppressed by your attentions?

Nonsense.

You are a mature man, and her boss.

Hey, I'm just having a little fun with her. Geez, lighten up, Sacha.

We don't want a repeat of Lulu, do we?

Look, she's cool with it. She's even taking me out for lunch.

And less of the mature. I've got ten years on George Clooney, man.

I've still got it.

-Hi.

-Hi.

Mr Heal's got lesions on his legs.

Yeah, what hobo doesn't?

I think it might be erythema nodosum,

possibly triggered by a bowel condition.

Yeah, or years of exposure to sub-zero temperatures.

I'd like to order a colonoscopy.

Well, how about a CT scan and an MRI while you're at it?

Look, there is thoroughness and then there is over-diagnosis,

and you are not going to be able to keep up this level of intensity

with every patient that walks in.

I just want to be the best doctor I can.

You know, you are in the wrong career

if this case is going to stress you out.

Modelling might be fun.

If you've got something to say, say it to my face.

Like what?

You know what.

You've been treating me like a brain-dead Barbie all day.

Hang on a sec...

I've worked bloody hard to get here, came second in my year.

I deserve to be taken seriously.

OK, I did stuff to pay my way through med school.

So what? I'm not ashamed.

What the hell are you talking about?

-The poster.

-What poster?

You said...

You were in the locker room.

Yeah, I didn't see any poster.

-It was you, wasn't it?

-Will you please keep your voice down?

Suppose you thought it was hilarious, didn't you?

-I'm taking it Dr Honey has made a reappearance?

-So it WAS you!

Do you really think I'd waste my time

posting your mammaries all over this hospital?

You're weird enough.

Eight of us started today,

all of whom are familiar with your extra-curricular activities,

some of them, no doubt, seeking revenge.

Revenge for what?

Acing exams after binge drinking, downright rudeness...

What?!

..and appalling temper tantrums,

which, let's face it, has made you more enemies than allies.

I think I've just made another one.

-Oh, yeah?

-Yeah.

Accused my consultant of not being able to see further than my tits.

She should never have hit you.

I don't blame her. I would have done the same thing.

-What now?

-I don't know...

Sorry, Sean.

Liam was pretty keen to have a word.

OK.

Where is she?

-You OK?

-Yeah.

-Sure you want to go through with this?

-Yeah, course.

St James's Hospital, please, mate.

Caitlin Laidlaw, 15 years old, long, brown hair, acute heart failure.

I need an urgent all-hospital alert.

Yes, now.

I should never have left you.

It's OK. You're here now.

I'll speak to Derek and Jean.

They've got a spare room.

Maybe it could work out.

I'm nearly 18. When you're 16, we could get a flat together.

Live together for a bit. It might be fun.

If that's what you want.

Cait.

Cait? Cait! Wake up!

Turn back. Turn back now! I think she's dying!

Holby City Hospital.

-Mr Spence?

-Yeah.

Got you this. Peace offering.

You didn't really have to do that.

I wanted to say sorry for losing it.

Guys at med school were always taking the mick.

-I'd really appreciate it if you kept to yourself.

-Of course.

Thing is, people always change when they find out, so...

Look, I'm only interested in how good you can be as a medical professional.

Thank you.

Help me, you have to help her!

OK, OK.

Caitlin, Caitlin! Can you hear me?

Liam.

I'm here, I'm here. I'm not going anywhere.

She's tachycardic, let's get her out. Come on, move.

Come on, come on, come on. Let's make some space.

Let's go.

Sats are low.

What are you thinking?

Bleed in the pericardium. We need to get her to theatre now!

Page Elliot!

SHE COUGHS

How's she doing?

No better.

And I was just wondering whether we've been blindsided

by the pancreatitis diagnosis, and ignored a more urgent problem.

Go on.

The fever, sudden, unexplained cough, rapid heart beat,

coupled with her recent surgery, her prolonged bed rest,

her smoking, drinking.

They're all classic symptoms for a pulmonary embolism.

You know what?

Despite everything you've messed up,

maybe there is a functioning brain in there somewhere.

Order a chest X-ray and an ECG.

Right, we've got a bleed.

I can't see a damn thing here. Suction.

Right, we need to get her on bypass, now.

On bypass.

Fast-tracked results for Mr Heal.

Mr Heal.

We finally have an answer.

You've got Crohn's disease,

inflammation of the lining of the digestive system.

So, it's nothing terrible?

It's a long-term condition, but it can be managed.

We will need to investigate further to decide on a course of action...

Further course of action for what? I told you to discharge him.

Mr Heal's colonoscopy results.

Yeah and I already told you...

It's a good job I chose to ignore you.

Because we now have a diagnosis. Crohn's Disease.

Excuse me, Mr Spence.

You don't seem to realise what a great young doctor you've got here.

You were all for sending me home because you weren't interested.

I've a good mind to report you!

All right, take it easy. Now we know what we're dealing with...

We? We?

It was all Dr Wilde.

I'm not having you anywhere near me.

Why aren't you harvesting the vein?

I already have the mammary.

This is an emergency. The vein is quicker.

Given her age, the mammary will work better for longer.

You either trust me to do this or you don't.

Cross clamp.

8-0 prolene.

Clamp off.

MACHINE BEEPS

Back in sinus rhythm.

Well done, Jac.

Ready to come off bypass.

Well, I think we can safely say

that you've more than redeemed yourself, Jac.

She's going to be fine.

Look, I know I was stupid.

Thought I was protecting her.

We all make mistakes.

Can I see her?

Yeah, I'll get someone to take you to ITU.

Ms Naylor?

Thank you.

Vanessa's gone.

She didn't say anything to Jonny.

She doesn't even know you're together.

-Caitlin does.

-Now you're being paranoid.

So...

You sleeping in your car tonight?

She's calmed down a bit. We're going to talk.

That's better than a slap in the face.

You know what it's like at this hospital.

It's only a matter of time before Jonny finds out.

You have to tell him.

If he loves you, he'll forgive you.

Maybe it's worth finding out.

Respect to the Digby Dog!

It's a PE. We'll be transferring her to Darwin, and the ERCP can wait,

and you might've just saved Ms Langton's life.

Mr Malick? I was just wondering.

Professor Hope mentioned I'd need a mentor to apply for the F1 Award,

and seeing as you're my supervisor already...

Look.

You're clearly a bright boy, but you've still go a lot to learn.

But I suppose I could still work with Digby.

Thank you.

I'm sorry I couldn't stay.

I got bleeped to a transplant call.

I didn't expect to see Vanessa there.

She was just worried about Caitlin. They go back a long way.

Can we go out tonight?

Are you not exhausted?

Well, one drink and I'll be fine. Plus you still owe me dinner.

And you still owe me hot sex in the cupboard.

Or any other place of your choosing.

Just give me half an hour.

OK.

You did a brilliant job today, Ms Naylor. I'm so proud of you.

Gemma, I just wanted to say

I think maybe I did take my eye off the ball earlier.

I think it's Mr Heal you should be apologising to.

Yeah, well...

..I think we can sort this out.

No, we can't.

Because you've already formed an opinion of me now.

Just like you did with him.

And I won't be judged by a hypocritical creep like you.

What did you just say to me?

One minute it's all, "Oh, I'm only interested in you

"as a medical professional".

Next minute, you're Googling my boobs!

Gemma, you are the one...

Searching smut online?

When the website launched, they were looking for an agony aunt,

and I really needed the cash.

A few months in, they said they wanted to sex it up a bit,

so I said OK.

We shot some photos, but they looked really cheap.

Turns out that's what they were after, so I walked.

I thought that would be it, but they own the copyright.

Well, don't worry. Your secret is safe with me.

Do you know what?

Look, I've already decided I'm moving wards,

so let's just call it quits, yeah?

Gemma, look, this is crazy. Stop!

Now, I am not judging you, OK?

The fact that you were Dr Honey in your own private time

is cool with me.

Do you know what?

You can stick your stupid mentorship!

Who's Dr Honey?

No idea.

See? You're still here. I'm not the grim reaper, after all.

Look, I know you don't like me very much,

but we've got more in common than you'd think.

I was in care...

..if you can call it that.

I had nobody.

I had no family, no emotional support, nothing.

I had to fight. Just like you.

For every little thing.

But you've got someone in your life now.

Someone who cares for you, and who wants to help you.

And they really don't come along very often for people like us.

Don't mess that up.

I won't. And thanks.

Don't worry, I won't say anything.

Hi.

So, what happens now?

I meant what I said.

So, you and me?

I'll give it a go.

If you can behave yourself.

KNOCK AT DOOR

Come in.

Elliot's left.

Actually, it's you I wanted to see.

I hear you performed some brilliant CHD surgery today. Congratulations.

Thank you.

And I would like you to do some more, if you're interested.

There's a course in Japan

that specialises in similar ground-breaking procedures,

and I'd like to put your name forward.

Unless, of course, there's anything tying you to Holby?

Can I have some time to think about it?

So what did the death eater want, anyway?

Oh, Elliot told him about the surgery,

and he wanted to say well done.

Quite right. The girl done good.

Now, come along, Ms Naylor. Let's party.

The stuff you said this morning. About wanting to start again.

I meant it.

The past 24 hours have been crazy, and I like a quiet life.

Then there's something I need to tell you.

Well, that sounds ominous.

-Can it not just wait?

-No.

I slept with Sean last night.

-Say something.

-What do you want me to say?

I don't know. That you hate me?

-That you can forgive me?

-Why did you tell me, Jac?

-Because I thought...

-You thought what?

That good old Jonny would just roll over and say,

"Don't worry about it. Sean's a good guy."

"Let's just forget it, no harm done."

Well, I'm a soft touch, but I can't do that.

But it meant nothing. It just happened.

It wouldn't just happen to me, would it?

I want a...

..just a normal life, you know. All the normal, boring things.

I want a wife, and a family.

And I want a dog, and I want roses over the door, the whole shebang.

-I can do that.

-But you can't. That's just it.

You're not capable.

Cos every time you get close to it you push the detonate button

and blow the whole thing sky-high.

I can't live like that.

OK. Won't happen again.

Hey, get your hands out.

It isn't what it looks like, yeah?

Oh, right.

So you got a rational explanation for rifling through my bag?

I wasn't. I was putting this back.

After nicking my cash and cards?

I was just looking for something.

And I've got mug written on my forehead.

You know what, security are downstairs. Tell it to them.

Look, look. I want to tell you.

OK.

I'm listening.

I was trying to find your address.

What? So you can rob my yard?

-Listen, little man, if you think I'm loaded...

-No.

No. Just wanted to see where you live. Know more about you.

Why?

You're my dad.

Mr Hanssen? It's Ms Naylor.

How soon can I leave?

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