Spence's Choice - Part 2 Holby City

A fox ran out into the road. Shot right in front of me.

He sustained two previous rib fractures,

but there's no mention in his records.

-You think I did this?

-I'm not making any accusations.

-Enjoy that, did you?

-Jerk.

-What's going on?

-He just called me a jerk, right to my face.

-There's no need for that.

-We should take him somewhere else.

Take that child anywhere, I will report you to children's services and the police.

This is a police protection order stopping me from taking my own child home.

Mr Richards. What are you doing?

Hey, what's up, big man?

I want you out of here, cleaned up in ten minutes.

Welcome to the Professor Hope boot camp.

A banker named Brad who's got the nerve

to tell my daughter that she looks "awesome" in that skimpy outfit.

Yeah, Annalese, I do understand that she doesn't want to talk to me.

I just want...

"Back off"?

I'm on the other side of the Atlantic,

how much more backed off could I be?!

All right, look, this is what I want you to do,

I want you to ask her very nicely from Dad to call me

or e-mail me, or re-friend me, all right? Yes.

OK, we need to get her into theatre now.

-Gemma, I need you.

-I'm here.

Just have her call me when she wakes up.

No, Annalese, I'm not trying to bully you. I just...

-Michael.

-We need to work together to help her make the right decisions.

We've got fractures to the fibula, the humerus, ribs and collarbone.

-Orthopods are going to be a while, yet.

-Michael, you need to see this.

-Hang on.

-We've got suspected vascular damage to the arm, smoke inhalation,

distended abdomen, so there's a chance of internal bleeding from somewhere.

What do you mean, she's had enough advice? Brad is not her father!

Will you put that down?!

-Yes, what is it, Sacha?

-Will you just look?!

Hang on, Annalese.

It's Mandy Fairlock.

We've got her little boy upstairs on a police protection order.

Annalese, I'm going to have to call you back.

Right, let's get her in.

Mrs McKinnie? Are you decent?

I don't think that's for me to say.

I'll take that as a yes.

Hello, I'm Chantelle.

Chantelle Lane?

How did you know?

A lot left to learn, but honest, hard-working

and with a smile to brighten up the darkest of days.

Are you some kind of mind-reader?

I think I need the lavatory.

Would you like some help?

I'll be all right for a minute.

You should go if you need to.

It's not very pleasant. Blood.

Mr Griffin will be here soon.

If someone would only throw him an old slipper, he'd stay in his

basket chewing on it, and let the rest of us get on with our work!

Oh, he's ever so nice, really.

Like a grizzled old Labrador.

And you know all this because...?

Connections in high places.

Connections?

She likes to get her own way - and if she doesn't,

she's liable to throw her toys across the room.

Partial to a glass of wine or three.

Are you talking about who I think you're talking about?

Well, if there were two of them, there would have been a fight,

and my daughter would have won.

-She's your daughter?!

-Yes!

A little bit behind schedule, Mr Griffin.

I had a run-in with a leaking washing machine.

What's your excuse?

I've been up since five collating risk management data for Mr Hanssen.

Ah, yes. You're not on the ward today.

I knew there was an upside to you getting the executive job.

Yes, well, the report's due in this evening, so can you

please ensure that no-one from Keller disturbs me on any account.

It'll be my pleasure.

I'm not sure I want all your audio textbooks on my i-Pod.

-It's only 8 gig!

-One minute I'm listening to Tinie Tempah, the next,

the latest research on familial dilated cardiomyopathy.

-You don't listen to Tinie Tempah.

-Yes, I do.

No, you don't. You listen to Coldplay. All the time.

And the Olympics music.

Sorry. Obstructing the doors causes delay, and... Indeed.

OK, good call. I'm going to get us a couple of those.

See you up there.

So, did you and Tara have a good weekend?

I thought we agreed... about my private life.

I was rather hoping you might have spent the weekend trying to

understand why I couldn't tell you.

You lied to me. For four months.

-It's hardly lying.

-Please. I'd like to try to stick to the professional.

-If you don't mind.

-Of course.

In which case, Dr Valentine, there is an opportunity in theatre

this evening. Removing an alveolar adenoma, it's rather unusual.

I don't think I'm going to be available, not this evening. Sorry.

Can't see a thing. Suction.

-Yep...

-When you're done there, can I have you back here, please?

What a mess.

Well, that's what happens when you jump from an upstairs window.

Small bowel's fine. Police think one of the neighbours torched the house.

They're sure it was arson?

All right, got it. Cephalic vein.

Scalpel.

Someone had painted the word "paedo" on their car.

I never said anything about sexual abuse.

Clips.

But we did take their child away.

There's a blockage somewhere.

It's the same thing to some people.

Stupid people.

I think the pancreas is OK.

I thought you were on board with this whole Zach Fairlock thing.

I understand absolutely why we had to contact social services, but...

But nothing.

It's one thing to remove a child as a precautionary measure

because of unexplained injuries. It's quite another to actually accuse the parents of causing them.

Come on, you saw the way they behaved.

It's not our job to reach conclusions about how it happened.

I mean, we can't diagnose an event.

That guy was completely out of control.

I just think we could have been a little more circumspect

in our attitude to the parents. There could be another explanation.

His vitamin D and PTH came back normal.

Yes, and rickets and Menkes are both ruled out,

but there's always brittle bone.

We're not going to get the DNA back for a month.

They need to decide tonight whether to leave Zach in care,

or return him to the parents. You really want to take that risk?

HE COUGHS

I'm sorry.

Don't worry. Just try not to think about it.

As the bishop said to the actress!

We're going to need to run some more tests.

-CT, ECG and a lung function.

-What?

-You need to lay off the cigarettes for at least four hours prior to the lung function.

-You are joking.

It makes it hard to reach a proper diagnosis.

I can tell you exactly what's wrong with me, doc.

-And what's that?

-My lungs, they're completely knackered!

Is there anyone you'd like us to call for you?

Yeah, Angelina Jolie.

I've got her on speed dial. I'll give her a bell.

Leah Monaghan? Your daughter?

I can't ask her to drive all the way up from Deal.

Maybe just let her know.

No. No.

OK, well, I'll call you after those tests.

I am sooo jealous.

Why?

The alveolar adenoma. Freddie Spinosa is going to be watching from California!

Yes, I heard.

-And you're going to be there?

-Well, we're busy tonight.

-What, Ollie! It's never been done at Holby...

-Well, I've already told Professor Hope. So that's that.

Cappuccino, double shot, please.

Risk management. You were going to compile me some data?

Yeah, I've delegated that to Mr Levy.

-He seemed to think you might want to make an additional contribution.

-No. I'm good.

We've extended the parameters...

I'm thrilled for you.

..to include "the broader implications of non-clinical decisions."

Like I said, Sacha's your man.

-Zach Fairlock's protection order? I hear the mother was a victim of an arson attack.

-Thank you.

And if we hadn't intervened, sent the boy back to an abusive household...

Then Mr Levy's quite right. Either way, there are implications.

Is that what he said?

He didn't want to speak on your behalf.

And there I was worried about a little boy getting the crap beaten out of him.

I'm not criticising you, Michael.

-Ms Campbell.

-I'm just in the middle of something.

I've been looking for you.

Oh, well, then, my fiendish plan to get some work done has been a minor triumph.

The thing is, we've admitted someone I think you'll want to see.

-Not today.

-Oh, I think you will.

-No, I won't.

-Yeah, you will.

I'm going to leave you to it.

I've made it perfectly clear that I am not working on the ward today.

Just a little visit... seeing as though it's your mum.

What?

She's fine! Mr Griffin's with her. He's got everything under control.

Has he, indeed?

Query fulminant colitis...

Now, ED are suggesting we investigate with a view

to possible surgery.

I have had this for a while, but last night...

-Tender?

-A little. Yes.

I'd like to run a few more tests

before we rush into anything that we can't undo.

Hello, Mrs McKinnie.

Fresh bloods and an abdominal X-ray, nurse, thank you.

You were right. He is lovely.

Nothing like an old Labrador.

I beg your pardon?

You know who this is?

It's Adrienne McKinnie?

Ms Campbell's mum!

Yes. Contrary to popular myth, Serena was actually born,

not plucked from the thigh of the Royal College of Surgeons.

Well, I'm... I'm very pleased to meet you.

My daughter speaks very...

a lot about you.

Yes, I'm sure.

I just saw her in the coffee bar. I'm sure she'll be up in a minute.

Rena's work has always come first.

Yes, well, Rena is somewhat preoccupied with her new role

as clinical executive director.

All those new opportunities to boss people around. Very time-consuming.

It's called pulmonary fibrosis.

It means the lining of the lungs

becomes scarred and doesn't function properly.

-Because of the fags?

-Well, they don't help.

You're a builder, it could be silica dust,

asbestos, any number of things.

It's impossible to say right now.

So we're not talking about the C word.

Well, not that one, anyway.

I'm hoping that we managed to catch it in time.

Definitely need that fag now, then.

It doesn't sound like it's going to make a lot of difference.

We can start by treating it. Oxygen therapy, steroids,

-look at changing your lifestyle...

-But I'm going to die anyway, yeah?

You've got a chance of making it later rather than sooner.

-Depending how quickly you can turn your life around...

-I'll stop you there.

I don't want to change my life.

Lose the cigarettes, lose the drink, take a look at your diet.

No disrespect, but you're just a bunch of posh kids

who are trying to tell everyone how to live their life.

We're just trying to help you.

Down the pub. That's when I'm happiest.

Well, we'll talk later.

You know, he might listen to Professor Hope.

I don't need Professor Hope sticking his oar in. It's fine.

I can deal with this on my own.

What is going on with you two?

Nothing.

You, erm... You wanted to see me?

Yes. A formal complaint has been lodged against you.

I spoke to Dr Valentine earlier. I'm sure we'd reached...

Did Mr Richards say something to Dr Valentine?

-Who?

-Your former student, Hamish Richards.

Oh right. Sorry.

Misunderstanding.

Please, go on.

Mr Richards claims the reason he was drinking excessively is because you were bullying him.

Are there any grounds for this?

I may have been a bit... a little short-tempered with him.

He claims that you called him an idiot and you screamed at him

to leave the hospital.

I didn't scream at him.

It sounds worse out of context.

Well, Mr Richards will be in later, so hopefully we can clear up

any contextual issues then.

Unfortunately, his mother is a solicitor

specialising in employment law.

I'm warning you that it could be hard to make this one go away.

Which one of you lot's in charge?

I beg your pardon?

Debbie Marchant. Child protection.

Yeah, I'm Michael Spence. You can speak to me.

-Oh, yeah. Heard about you.

-I assume you're here to talk about your client.

We have a Zach Fairlock till the end of play today, primarily on

your say-so, but as yet, you haven't actually backed it up with anything.

Backed it up?

Well, according to my colleague who was on duty on Friday,

you seemed to think that these old fractures

were inflicted by the kid's mum or more likely the step dad,

a Phil Brownfield.

Was there medical evidence that pointed the finger in that direction?

Sorry, specifically medical?

We are talking about injuries that are consistent with shaking

and gripping by an adult?

Or is it more like falling, or impact, from being struck?

Presumably you guys can tell the difference?

Sometimes.

D'you know what? I've got to make an assessment for the court,

so anything you can throw into the mix...

-So you don't know?

-Know what?

Ms Fairlock has been admitted.

That's her now.

Mandy. You've got to keep that on.

No, get off me! No!

Ms Fairlock's house was attacked.

When did this happen? I should have been informed straight away!

-Mandy, take it easy, all right?

-You! This is your fault!

-You have a whole set of very fragile wounds.

I understand that you are upset.

You stole my baby!

Maybe it's best if I take over.

Get him away from me!

All right, I think we need to be sedate her.

Wait a minute! I don't think so.

-What?

-OK, I should definitely take over.

Please don't let him anywhere near me!

Yeah, come on.

It's all right, Mandy, OK, OK.

Why didn't you ring me?

Because I didn't want to.

How long have you been having symptoms?

Could you put that down, please?

Did your mother ever tell you it was rude to pry into other people's affairs?

She's always giving me bits of advice.

I used to argue with her, but I know better these days.

Thank you, Chantelle.

I wouldn't worry, Ms Campbell, Mr Griffin's totally on top of it.

Yes. Thank you, Chantelle.

What's this?

Cyclosporin.

-You should have tried steroids before cyclosporin.

-They didn't work.

You've been on steroids and you didn't tell me?

Rena. Please, don't fuss.

Don't call me Rena.

Tender?

Mr Griffin's done all this.

Did he order an X-ray?

Really, it's fine.

Shhh.

Concentrate on your work, Nurse Lane.

Chantelle is an angel.

And you are tachycardic.

She was fine earlier.

Sort out an ECG, please.

Shall I check with Mr Griffin?

No.

Please, please... I just want my little boy.

Mr Spence is right. I really think we should intervene...

Is it life or death? Trust me.

Please.

Listen, Mandy, sweetheart.

There's no reason why you can't have a supervised visit.

OK, OK, well, then, let's do it, anything, OK... I'm begging you, I'm begging you, please.

He's just going to be frightened and confused!

I don't think you're going to be in a fit state to see him,

and I don't know if they'll let Zach out of paeds.

Well, has he got his Raggy Ted?

Because I brought it in and he can't sleep without his Raggy Ted!

I will try and kick a few backsides for you,

but you've got to stay calm.

If you're yelling and screaming,

that's not fair on little Zach, is it?

So you're going to let the doctors treat you, yeah?

And you're going to try and stay calm. Aren't you?

Aren't you?

All yours.

But not him.

Sedation would have been quicker, and quieter.

If you don't speak to him, I will. I mean it.

Professor.

Excuse me, Nurse Maconie,

our alveolar adenoma is arriving in an hour.

Could you clerk her? I'd like her in Bay 3, please.

Ready for her close-up, Mr De Mille.

-Dr Valentine?

-Terry Monaghan.

Pulmonary fibrosis.

-Yes, Mr Monaghan's refusing to cooperate with treatment.

-I heard.

I was hoping you might speak to him.

I wouldn't want to interfere.

I just thought that someone with a bit more authority than me might...

From what Nurse Maconie was saying, Terry is very clear about his lifestyle choices.

If he's resolute and rational, I don't think there's anything you can do except make him comfortable.

Are you telling me to stand by and watch him die?

I am telling you to respect his wishes.

Any chance of moving Mandy Fairlock to another ward?

Why, are you accusing us of failing in our duty of care?

There's been a complete breakdown of trust.

Whose side are you on?

My job is to sort this out.

And right now, she's in no fit state to be interviewed,

partly because she finds your presence antagonising.

Can you come and see Mrs Whittaker now?

Maybe you should ask Child Protection Services if it's OK.

-Don't be so childish.

-Ah, well, you're in luck.

-OK.

-If I can't get any more information, I'm going to have to get a care order.

Could take weeks to unravel.

Well, if it's best for the child...

Look, I don't know if this is medical enough for you, but Zach showed up with two historical fractures.

Both unexplained. Now, he must've got them from somewhere.

-Where is she?

-Oh, great, this is the boyfriend. Phil Brownfield.

What?

Debbie Marchant. Social worker assigned to Zach's case.

We don't need a social worker! We need the bastards who torched our house stringing up!

Sorry, not in my job description, pal.

Phil, keep it down. Mandy's over there.

I'd be kicking something if I was him.

Actually, I'd probably be eating something, but you get my point.

Last week, Mandy told me she'd dumped Phil.

Practically accuses him herself.

Next thing I know, Phil is waiting outside the hospital

helping Mandy abscond with little Zach.

I'd love to say I was surprised.

In my book, that's evidence.

I thought you were busy today.

Do you think that's a tolerable level of dilation?

There's no sign of thumb-printing or mega-colons.

Nurse Lane tells me that you've ordered an ECG.

Yeah, my mother's tachycardic.

Bloods show raised white blood cell count, low albumin, and a base excess of minus five.

I promise I will care for your mother as if she were my own.

Yeah, well, she needs surgery.

-We haven't given the cyclosporin time to take effect.

-Waste of time!

Serena, with respect...

I had no idea that she was ill!

That she was in this much... discomfort... This much pain.

It's not your fault.

I know it's not my fault. And I can put it right.

You know the rules, Serena.

I'm sorry, you're going to have to trust me on this.

Hi. How're you doing? Ready to have a little chat?

Mandy said you was going to sort it out for us to see Zach.

That's not what I said.

Supervised, whatever, I just want Phil to see him.

It's not that simple.

He's up there all on his own.

I really don't want Mandy upset again.

I'll do my best to keep things calm.

Right, ready when you are.

Look, I need to speak to you separately.

Why?

Well, there might be some things you or your partner

want to say that you'd rather that the other one didn't want to hear.

Well, there isn't. Is there, Mandy?

It can't do any harm, can it?

If it means we're going to see Zach.

-What did he say to you?

-What?

The yank. When I came in, he said something to you.

-Just who you were, that's all.

-Yeah, am I s'posed to believe that?

This is just what I'm trying to avoid.

Look, can we have some privacy...please?

Not until you tell me exactly what he said.

It's all right. Phil's going to do it.

Aren't you, Phil?

Phil?

-Well done.

-What for?

Well, some guys can be really controlling. Is Phil controlling?

Depends what you mean.

It's just the doc said you and Phil split last week.

Yeah, we did.

Looks like you're still together. Can you explain that?

What did you say to her?

-Get off me.

-No. The social worker? Tell me.

I'm not going to talk to you till you calm down.

-You're not going to talk to me, no...

-Get off me!

-Security!

-Get off me!

-Phil, what're you doing?

-Mr Brownfield!

Say it! Say it to her!

-You let this guy in your family? You low rent garbage...

-Michael! Michael!

-Mr Spence, don't!

-See? They've already decided!

Just go away, Phil.

All right, fine. I'm sorry.

I'll go away.

No, I mean it this time.

What?

Leave. Don't hang about outside the hospital.

Don't be at my mum's when I go there.

-I don't ever want to see you again.

-Mandy?

You're just always kicking off.

No... no, no. Don't believe this rubbish!

I don't know what to believe any more! About any of it!

-We should get security to go after him.

-It's fine. Fine.

Actually, I don't think it is.

He attacked me!

That doesn't give you carte blanche, does it?

Taking out your own personal baggage on some dim lunk who may or may not have done something.

-Which, by the way, we still don't know. Not for certain.

-What personal baggage?

I'm not surprised he tried to deck you.

Oh, thanks for your loyalty.

This is me being loyal.

As far as I'm concerned, that guy showed his true colours

and now maybe Mandy gets to get her kid back.

-I thought you were supposed to be staying clear.

-Sorry. Phone. Someone called Annalese.

Says she's been trying to call you.

Agh. Great. Perfect. Cover for me?

He said we have to respect his wishes.

Yeah, and is that all?

Why do we have to do this in private?

Is this something to do with me?

-What?

-The two of you, scowling at each other...

Who are you talking about?

Hamish.

-I didn't think we'd see you again.

-A few things to clear up.

You look...well.

I'm not vomiting into my own trachea, if that's what you mean.

You got your retake year sorted?

That's what I wanted to ask you.

Got to take it up with your foundation director.

That thing... where Hopey was shouting at me,

-telling me to get out of the hospital...

-Calling you an idiot, from what I heard.

Well, you saw all that.

What's all this about?

-I've got an appointment with the big cheese.

-Mr Hanssen?

According to my mum, who's a bit of a whiz with this stuff,

I don't have to do the re-take as long as old Hopey "fesses up to..."

..well, you know.

No, I don't know.

Turns out...it's bullying.

Hey. Who knew?

So you're making a complaint against Professor Hope for bullying?!

As long as he admits it, we can come to an agreement.

I'm not sure that you should even be here, so if you don't mind...?

I mean, whatever the rights and wrongs, you'll back me up, yeah?

No! Not if I have anything to do with this.

Ollie, we have got to go and find Professor Hope and tell him

that little weasel is trying to nobble the witnesses.

Professor Hope can take care of himself.

It's Mr Monaghan.

OK, now, just let me know if that's too tight, OK?

You see this...this area here, this white area across the lungs?

This is the infection.

This is the reason you're finding it difficult to breathe.

I don't want to see it... This is horrible.

The mask is pushing more oxygen into your system,

it's helping you to feel less anxious.

Are you sure we can't contact anyone for you, your daughter?

Why?

It might help to have someone with you.

I don't need an agony aunt, sunshine.

You just stick to being a doctor, all right?

There you go.

HE WHEEZES

Hey, Annalese, it's me, thanks for calling back earlier.

I'm at the hospital, it's kind of crazy. You know what it's like.

I'll try you later, maybe before you go to work. OK, bye.

Hey...

Hey, you OK...?

You.

Oh, it's all right, I'm going.

Yeah, I think that's a good idea.

Hey...

Hey, you all right?

-I'm all right. Just leave me alone.

-Let me take a look at you.

-Just get away from me!

Hey, I just want to check you out.

It's a headache, OK? Banging headache. I get them.

I've had them for years. It's... it's no big deal.

It doesn't help when everyone's on my case.

All right, I understand. Are you experiencing any blurred vision? Flashing lights?

Hey, what's so funny? I'm trying to help you out here.

Now, are you on any medication?

What have I done?

Mr Griffin, can I talk to you?

I'd rather you didn't.

It might help if I could talk to your daughter.

I need the lavatory again.

I'll take you.

No, I'm not an invalid. Not yet.

She might be by the time you've finished with her.

The nausea is most likely a response to the cyclosporin.

Yeah, and those bloods?

Haemoglobin marginally down.

Temperature's up.

She's not tachycardic, any more.

Your mother has agreed to proceed with the surgical option,

although she's going to think about whether to go with

the subtotal colectomy or the full pan-proctocolectomy.

When's the slot?

I can't sanction it as an emergency.

You could if you wanted to.

We already have two emergency bowel resections, as well as all our electives.

-Fine. She can stay overnight. We'll fit her in tomorrow.

-Tomorrow's list is already full.

Your mum said she's happy to go on the waiting list.

The waiting list!

Shouldn't be more than a few weeks. A month at the most.

I'm sorry, Serena. She's going to have to wait her turn.

You come back inside, I'll check you out.

Yeah, why, eh? You already think I'm a piece of...

Look, you blew up at me, I blew up at you. Everyone's got their breaking point.

You think you know everything, don't you, eh?

You haven't got a clue!

-I know when someone's out of control.

-Mandy was off her head when I first met her.

Right, so this is her fault?

Used to just go out all the time, leave Zach with me.

Just an hour or two.

You know, the first time, I was terrified.

I'd never looked after a baby before.

Not like stinking nappies an' stuff.

He just wouldn't stop crying.

What did you do?

Phil? You tell me what happened.

Just rang me mate, Dale. He's got twins.

He's on his mobile, telling me what to do with the cream and that.

I thought, I've done that, yeah, and he's not even mine.

You know the next thing I'm thinking?

Anyone touches that little boy and I'll kill 'em.

-Does Mandy take off like this often?

-Why am I telling you this?

-You're only going to screw us over.

-Hey, hey.

You said you did something.

If you come clean, maybe Mandy gets the kid back.

That's what you want, right?

No, you idiot! Not the fractures, the accident, on Friday.

I had one of these coming on,

so I stopped off, said I needed a slash.

-But I had a spliff.

-Cannabis?

Well, it's better than the pills, right?

Thing is, I rolled it a bit too strong.

I thought I was all right driving. But I never hurt the kid!

Not like that. It's up to you if you want to believe me.

But I never. I know I never.

Phil, I think you need to come back in, talk to Mandy,

talk to the social worker.

No way. I can't.

Yeah... I did too. You're bad, you know.

You know they monitor these calls.

Hanssen listens to them in his steam room.

Of course he's got a steam room, he's Swedish...

Anyway, if you could look for it, it's probably under the bed...

of the side ward.

Yes, thank you, Dr...Smith. Appreciate it.

It's annoying, that, isn't it?

-What is?

-Losing things under the bed.

Channers, you are putting two plus two and making five.

Or putting one and one together and making two.

-Mr Malick.

-Ah, Dr D, you've come to my rescue.

No, I don't think so.

I just saw Mr Pritchard packing his stuff and heading for the lift.

He's discharging himself? He's due in theatre in half an hour.

Something about not being warned about the four-day recovery time?

We're doing it laparoscopically.

Ah, I wish I'd known. It wasn't entirely clear from the notes.

Discharge form.

You spoke to him?

Yes. Oh, I probably should have brought you in on it,

but it seemed best to talk it through there and then so he could make an informed decision.

Do you want me to go after him?

No. It's fine. It's not life or death.

I'll sort it.

Good man.

What just happened?

Mum...

Hi, Leah Monaghan?

Hi, this is Dr Valentine from the City Hospital in Holby.

I'm in the cardiothoracics department.

We've got your father Terence Monaghan...Terry...here with us.

He's very ill.

Yeah, I know you live quite some distance away.

I think it could really help him if you could.

He's very ill and really quite frightened.

Oh. Well, I'm sorry to hear that you feel that way.

I won't take up any more of your time.

I know I'm not the most popular person round here...

-What do you want?

-I need to know if you're on side or not.

I'm not asking you to lie or anything.

I don't want to be involved.

Thing is, my mum said, if you've witnessed it,

then you have an obligation.

It's all I could do to stop her coming here herself.

And seriously, you don't want that.

-Hamish?

-Prof.

You're looking well.

I'm...not s'posed to talk to you.

There are no rules that say we can't have a little chat.

Don't do the friendly thing, Prof, please.

There goes one very unhappy young man.

-What?

-He's trying to destroy your career,

and you're trying to sort his life out.

If he were happier, he wouldn't be taking his frustrations out

on other people and he'd stand a chance of becoming a decent doctor.

But for some reason, you don't seem to have the time of day for Terry Monaghan.

I'm sorry, I... see a massive double standard.

Different circumstances, different responses.

Sometimes, you need to take a step in, other times, step back.

One day, hopefully soon, you'll gain the maturity to be able to see that.

I needed you to tell me that you knew about Tara.

I needed your support. I'm sorry. I don't see how that's immature.

All this obsessing about the past,

it's a way of avoiding reality, and frankly, I'm not interested.

Now, if you don't mind...

What's going on here?

Will someone please give me an answer?

There was a slot. One of Mr Malick's patients discharged himself.

Which means we move on to the next person on the waiting list,

Mrs Macmillan, who's been bumped twice already.

-You will kindly vacate this theatre.

-No. I'm not prepared to do that.

I think we need to talk.

Debbie, you got a minute?

Emergency strategy meeting.

Got to bang out that submission

if we're going to catch the court before the close of play.

So you're still going to take him into care?

Without hard evidence either way...

Even with the boyfriend out of the picture, you don't trust Mandy?

I don't trust anyone, Mr Spence.

I've been there, got the six-month suspension.

So Zach is definitely going into care?

Is there something you want to tell me?

No.

So you're telling me

that you weren't about to operate on your own mother.

No, Mr Kirtley kindly offered to help out.

I am aware of the protocols.

Are those the same protocols you followed when you changed

-the theatre schedule so that you could treat her?

-There was a slot!

Look, my mother is 72. She's anaesthetised.

This is no time to start playing bruised egos.

It wasn't my decision to anaesthetise her, Serena.

You did that, even though you knew full well that she's not eligible for this operation. Not yet.

I'm sure you don't need me

to remind you of my executive role in the running of this hospital.

Which will be very short-lived

unless you take your mother back to the ward right now.

Are you threatening me?

I really don't want it to get that far.

Ric... Please.

I'm not prepared to argue about this.

Mandy?

Oh, go away.

Look, I think you and I might get further if we actually talk to one another.

Where's the alarm?

I saw Phil outside.

I knew he had a temper. Him and his ex were at it all the time.

But what if I told you I'm not 100% sure he caused those injuries?

I just want my little boy back.

Are you happy for Phil to take the blame for something he may not have done?

Are you accusing me again?

No, parenting is tough at the best of times.

There's got to be some sort of rule against this.

There are people here who want to help you.

Somebody! Help me, please! This doctor is harassing me!

-Ow!

-Whoa! Careful. Careful.

-Mr Spence, please.

-I'm just trying to help her.

-Are you in pain?

-I don't feel good, but I don't want him near me!

-Where's Dr Levy?

-ED wanted him for something.

Dr Wilde, can you give us a hand?

OK, her B/P's dropping. Pulse 120.

D'you mind if Dr Wilde listens to your heart?

She's crashing.

Practically no output.

All right, it's probably a cardiac tamponade. Let's get her into theatre.

Page CT. Come on. Let's go. Now.

What have we got?

He's really struggling here.

Increase to 40%, repeat the ABG.

We need to get Professor Hope.

Ollie.

Go.

This is it, isn't it?

-We're going to need to intubate.

-What?

We're going to stick a tube down your throat,

and a machine will help you breathe. OK?

No, no, no! Leah!

Sorry?

My daughter. Ring her.

I have to see her! Please!

Can we have the mask back on?

OK, he's tachycardic, and his SATs are dropping.

Let's get the mask back on.

Me and Leah's mum. The arguments... they got pretty rough...

I did some bad stuff.

-I need some help here, please.

-We can't force him.

I have to tell her... that I'm sorry.

If you say how ill I am...

Listen, I'm afraid...I...

What? What?!

I called her.

What did she say? Tell me!

The thing is, when I spoke to her...

she...she couldn't...

She couldn't talk for very long because she's abroad right now.

-It was a bad line, wasn't it, Dr Valentine?

-Oh...

She was upset that she couldn't be here.

But she wanted you to know that she was thinking about you.

Really?

Yes.

She sent you her love.

Crash team, please.

Get him flat.

Crash drugs, please.

100% oxygen.

Mum?

Oh... Rena, darling. You're here.

Of course I'm here.

How're you feeling?

Not too bad.

I don't think I'll look just yet.

Mum...

Did...did they find something?

You didn't have the operation.

-What?

-It's my fault. I thought there was a slot.

Turned out Mr Griffin had already booked it. Hey...

I'm being very silly. Only I'd braced myself for it.

Well, the good news is, you won't have to wait very long.

I'll take my place in the queue.

I told you I was happy with that.

Do you remember Crispin Rae?

Crispin. You went out with him at uni.

Didn't you bring him home for Christmas one year?

Bad skin.

I liked him. He flirted with me.

Well, he's running GS at The Waverley now

and he can fit you in tonight.

It's all arranged.

It's a lot of money.

Oh, don't even think about that.

Have you discussed this with Mr Griffin?

He'll do as he's told.

I don't like when you talk about people in that way.

The sooner we get this sorted out,

the sooner you can get back to normal.

So I'm not distracting you from your work.

How can you think that?

I'm very proud of you. You know that, don't you?

Why didn't you tell me you were ill?

Why didn't you ask?

Please have the operation.

If you insist.

Thank you.

You see what you can achieve when you ask nicely.

CT are going to be ten minutes.

She doesn't have ten minutes.

All right, this is going to get messy. Scalpel.

D'you know what caused it?

Well, you saw the state she was in. It's possible we missed a fracture.

OK, systolic is 80. Pulse 40, weak and thready.

OK, step back.

OK, there we go, one pericardium, full to bursting.

D'you need me?

Ah, you're just in time for the floor show.

-Chrissie said there was an incident.

-Yeah. The woman crashed.

And Mandy expressly asked you not to treat her.

Oh, OK.

Well, you scrub in, and with any luck, her engorged pericardium

won't kill her by the time you get to the table.

OK, you ready for this? Are you ready?

OK. Three, two, one...

All right, suction quick, quick.

Any idea what caused it?

That's pretty academic now. Ooh, ooh, ooh, ooh, hang on.

Ah, whaddya know?

Little beggar.

Not bad.

I've seen this before.

Where? A premonition?

With Mandy's leg. It's a spiral fracture, isn't it?

-Yeah.

-Come on. More suction.

When I was at St James's, there was a woman...

The prof showed us this thing with her eyes.

A blue tinge in the sclera?

-Yes.

-All right, we'll take a look.

I need more light.

I can't tell. I really can't tell.

That's blue. That's definitely blue.

Well, you know what this means, don't you?

KNOCK AT DOOR

Come in.

Ms Campbell. I think I can guess what this is about.

The risk management report.

Indeed. I've contacted the rest of the board and alerted them that there will have to be a delay.

Oh, thank you. Please, do pass on my apologies.

No apology necessary. How is your mother?

All under control.

Mr Griffin assures me that the wait will be absolutely no longer than a month.

Oh, I've booked her into The Waverley.

They've a slot this evening.

Once I know she's being properly looked after then I'll be able to crack on with the report.

I wonder if you've entirely thought this through.

Well, it's my mother's choice.

Of course.

However, certain organs of the media might consider that

the newly appointed clinical executive director bypassing her own

waiting lists and booking her mother into a private hospital as...

well... Let's just say it might not appear to be a public vote of confidence.

It's entirely up to you, of course.

Close the door gently on your way out, please.

-Mr Hanssen. He's ready for you.

-Excuse me.

He just got you out of a great big hole.

He just made me lie to a dying man.

Yeah, and what would have been the point in telling him the truth?

Is that what you said to Elliot? About you, you and your illness?

You don't deny it.

I didn't tell him, actually. Mr Hanssen did.

And just so you know, Professor Hope was the one that was urging me to tell you.

I guess he just wanted me to work it out for myself. Which I did.

So I'm grateful to him, and I always will be.

Your mother tells me there's been a change of plan.

Ric, please.

For such a charming woman, it really is quite astounding that

none of her good graces seems to have been inherited by her daughter.

Oh, I have them, Ric, I just choose to use them sparingly around you.

At the very least, if you can possibly mention,

-she should have someone with her after an anaesthetic...

-Mum...

Is my taxi here?

I need to talk to you. Somewhere a little more private.

I need the lavatory before I go.

Oh. D'you mind talking in there?

No, of course not.

Thank you.

Brittle bone?

We can't be 100% sure until we get the results of the DNA.

But there are certainly plenty of markers for it.

Wait a minute, no-one mentioned markers

when we were talking to you last week!

We're talking one in 20,000, max.

And the mild forms are incredibly difficult to diagnose.

I thought the test for this was standard.

Well, it takes time.

It didn't seem a very likely explanation.

-Oh, here we go.

-The odds have shifted.

Zach has a 50% chance of inheriting the condition.

Yeah, it'd have to be 50% before you'll believe

that me or Phil didn't smash me own kid's ribs in!

What Mr Spence is trying to say is...

Well, actually, I'm not sure what Mr Spence is trying to say.

What I'm trying to say, Mandy, is... I am very sorry.

You know what? Whatever. Just give me my son back.

-That's all I want.

-I'll talk to paediatrics.

Er, it's not quite as simple as that.

Of course, I forgot. You run this ward.

Whether Zach has got brittle bone is yet to be confirmed,

and even if he does, we can't just assume all the old fractures are all accidental.

What?

Mandy, you can see him, but it's still got to be supervised.

You are kidding me?

No.

Excuse me.

Once a concern's been raised about a child,

we can't just forget about it.

I made some judgements I shouldn't have made.

I'd like to think it's because I was solely concerned for Zach's wellbeing,

but I was probably just covering my backside like everyone else.

And...

Yeah?

Let's just get the kid down here and forget about extending this care order.

It's gone beyond that now.

OK, look - on Friday, the police protection order was absolutely the right call,

now you ask me this morning to put it into context, and I am saying,

in my professional opinion, in my medical opinion, on the balance of

probability, Zach's injuries were not caused by anyone deliberately.

-But if your judgement was wrong on Friday, who's to say...

-I will stake my career on it!

OK, I'll see what I can do.

Thank you.

All right, let's get back to work.

Are you all right in there? Mum?

OK, can I talk to you now?

I really do need this operation.

You drive me to distraction, my darling,

but you are a realist, and you are right, as ever.

Thank you.

Well, obviously, your health options are entirely up to you...but...

Rena?

I have a favour to ask.

Well, it's rather more than a favour, actually...

Mr Hanssen has suggested, and I can see his point, that, given my new

position in the hospital, it might be politically compromising if...

I don't want to hear any more.

No, Mum, please. Hear me out.

No, there's no need. I think I get the general idea.

Oh, my baby!

Well, looks like we got there in the end.

This whole patronising thing, you are quite the expert.

Years of practice.

Mandy, I meant it earlier, when I said I was sorry.

You think that "sorry" makes up for the mess you've made of our lives?

Welcome to my world.

Where's the Professor?

Getting the third degree.

And then it's your turn?

I really appreciate this.

What?

I cannot retake the year.

Well, you won't have to when I tell Hanssen you were drunk on the ward.

Why would you do that?

I won't if you agree to withdraw your complaint.

I can't.

Do you genuinely believe that Professor Hope was bullying you?

It's not about what I believe.

But it is about what I believe.

They'll come down on you like a ton of bricks.

If you tell them you let a student doctor on the wards in full knowledge

that he was over the limit...

All the more plausible.

Don't. Look, please don't...

Don't make me go home without having fixed this.

So you're going to bring down the best surgeon,

the best teacher a student can have, because what?

You are scared of your folks? Come on, Hamish.

Have some self-respect. I know it's in there somewhere.

Do you even want to be a doctor?

Cos if this is all you're fighting for...

DOOR OPENS

Mr Richards. Dr Valentine. Can I help you?

No, I was just giving Mr Richards some pastoral guidance.

Isn't that right, Hamish?

The Waverley, please.

Can we talk about this?

You want me to wait for a month because of your job!

Don't worry about the money. I'll pay for the operation myself.

If anyone asks.

OK! OK, you're right. I'm being completely selfish. Go on.

You need the operation. It's fine.

Don't you dare try to guilt-trip me! That's a mother's prerogative.

Oh, for God's sake, I mean it!

I've not been a brilliant daughter. I know.

I don't give Eleanor half the attention I should,

and...

..I've taken you for granted.

It's not too late.

Isn't it?

It's about the choices you make.

You're not seriously suggesting it's wrong to want both?

In the end, you'll have to do what you think is right.

You've said that to me all my life, and I'm grateful.

It informs every decision I make.

Actually...

..I've changed my mind.

I'm going home.

33 Millwood Road, please.

Thank you.

Let's go.

'Night, Mr Spence.

'Night. Oh, thank you for today.

I'd love to say it was a lucky guess,

but I'm just going to go with my innate brilliance.

Let me thank you with a drink.

I have to be somewhere.

C'mon, let me do one good thing today.

OK, I'll make a call.

Speaking of which...

I will meet you in five minutes at the bar.

Hi, Annalese.

Hey, Jasmine!

No, no, no, no, hey, it is great to hear from you!

Don't apologise. Er, well... my day has been OK, but boring...

You don't want to hear about that. What's going on with you?

If it's any comfort, I probably would have done the same.

I beg your pardon?

Gone private...in the circumstances.

Really?

Presumably, you've discussed the potential conflict of interest

with Mr Hanssen?

We did speak about it, yes.

And?

My mother changed her mind.

On reflection, she's happy to wait for the operation at Holby.

On reflection?

Yeah, once we'd talked it through. Sorry, do you mind...?

I promised this to Hanssen by the morning.

What are you having?

Just going to have to be this apple juice.

I really can't stay long.

All right, I'll have a scotch on the rocks.

In fact, make it a double, let's line up another one.

Something to do with that phone call?

My daughter has just announced that Brad,

my ex-wife's new boyfriend, is moving in.

And this Brad, who's a banker, loaded, of course,

is giving my 12-year-old daughter

the OK to go out looking like a call girl.

The conversation did not go well.

Yeah, well, I give you permission to knock that back.

It's a case of "pick a dad, any dad".

But avoid the one feeling sorry for himself.

-Hey!

-She's 12. It's about her, not you.

Just make sure she knows how proud you are of her, whatever she wears.

So he just withdrew his complaint? I don't get it.

Dr Valentine.

I heard the news about Hamish. It's good.

So what did you say?

-Nothing.

-Oliver?

Perhaps he knew he was being a bit immature, feeling sorry

for himself rather than focusing on his life and trying to move forward.

-You should've heard the way he was talking about you.

-He knew you were a great teacher.

-He said that?

-Yes. Definitely.

I wanted to catch you before you went.

There's still a place in theatre if you're interested.

What do you say?

'Night, Rena.

Yeah. I heard you're not too keen on that little pet name.

I think it's cute.

Are you drunk, Michael?

Couple of units over the odds.

Drowning your sorrows. That's also public knowledge.

You look me in the eye and tell me you'd have called it differently.

My criteria might have been a little less to do with my own personal frustrations,

and a little more to do with the considered judgements of my team,

which of course I would reserve the right to completely ignore.

My family matter to me, sue me.

Yes, well, we all have to put our family concerns to one side...

That's if we're going to do this job properly. Don't you think?

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