0:00:38 > 0:00:39This is between me and Tara.
0:00:39 > 0:00:41I apologise for what happened in theatre,
0:00:41 > 0:00:43I promise that it will not happen again,
0:00:43 > 0:00:45but I'd appreciate it if you stayed out of my personal life.
0:00:45 > 0:00:47- If that's what you want. - Thank you.
0:00:47 > 0:00:50You worked hard, both of you. Very impressive.
0:00:50 > 0:00:52But there has to be a winner.
0:00:52 > 0:00:55- Marry me.- Marry you?
0:00:55 > 0:00:57The brain is swelling. Sort the blood pressure.
0:00:57 > 0:00:59I need to remove more.
0:00:59 > 0:01:01THEY CHEER
0:01:01 > 0:01:02Pupils fixed and dilated.
0:01:02 > 0:01:04She's gone.
0:01:35 > 0:01:38Now, it gives me great pleasure to present
0:01:38 > 0:01:41The Foundation Year One Prize to...
0:01:43 > 0:01:44..Arthur Digby.
0:01:49 > 0:01:50Well done, Digs.
0:02:07 > 0:02:08Did anyone speak to Ollie?
0:02:08 > 0:02:10No, he sat through the funeral like a stone.
0:02:10 > 0:02:12I didn't see him at the wake.
0:02:12 > 0:02:14Maybe we should call him? Check he's OK?
0:02:14 > 0:02:15Thank you.
0:02:18 > 0:02:20Well, I thought the service was rather moving...
0:02:20 > 0:02:24Spare me the platitudes, Elliot. The eulogy was bad enough.
0:02:26 > 0:02:29Dr Digby's written report is available on our web site.
0:02:29 > 0:02:31For those of you who haven't yet read it yet,
0:02:31 > 0:02:33I would advise you to do so.
0:02:34 > 0:02:36Best F1 in Holby!
0:02:36 > 0:02:38You smashed it, Digby Dog.
0:02:38 > 0:02:40Great. Stick with The Malick.
0:02:40 > 0:02:42In few years from now, you'll be running the ward.
0:02:42 > 0:02:45Bearing in mind the events of this morning,
0:02:45 > 0:02:48I felt the timing was appropriate to make another announcement.
0:02:48 > 0:02:51Dr Lo's parents felt that some sort of legacy
0:02:51 > 0:02:55would help keep her memory alive, here, at Holby.
0:02:55 > 0:02:57Thanks to their generous donation,
0:02:57 > 0:03:01I am pleased to confirm that Keller will now function
0:03:01 > 0:03:03as a School of Surgery for Junior Doctors.
0:03:03 > 0:03:07We envisage a young, vital ward, with an emphasis on training.
0:03:07 > 0:03:11So let's endeavour to follow the example set by Dr Digby.
0:03:14 > 0:03:16I suppose the important thing now
0:03:16 > 0:03:18is that we all pull together, as a team.
0:03:19 > 0:03:21What are we supposed to do with this?
0:03:21 > 0:03:26It's called a guk yee. The tissue is to dry your tears...
0:03:27 > 0:03:30..the money should be spent before you return home...
0:03:30 > 0:03:31It's a bit late for that.
0:03:31 > 0:03:36..and the sweet is to take away the bitterness of losing a loved one.
0:03:36 > 0:03:37Urgh!
0:03:44 > 0:03:46I'll ask Emily to prepare a press release,
0:03:46 > 0:03:48now that the endowment is official news.
0:03:48 > 0:03:52Why not let me do that? Bearing in mind our conversation this morning.
0:03:52 > 0:03:54- Sharing the load?- Very happy to.
0:03:54 > 0:03:55That's if you meant what you said in the car?
0:03:55 > 0:03:57I'll leave it in your capable hands.
0:04:00 > 0:04:03All these bright young things. Makes one feel rather like a dinosaur.
0:04:03 > 0:04:06Does it? I'm sure the feeling will pass.
0:04:06 > 0:04:09I noticed you limping into the funeral.
0:04:09 > 0:04:13I sprained my back playing squash with Mr Malick.
0:04:13 > 0:04:14Oh, do people still play that?
0:04:14 > 0:04:17We managed a couple of points.
0:04:17 > 0:04:20Mr Spence has been holding the fort on Keller this morning.
0:04:20 > 0:04:22Has he now?
0:04:22 > 0:04:24He's tied up in theatre with a cholecystectomy.
0:04:24 > 0:04:26Yes, which means we're short of cover on AAU.
0:04:26 > 0:04:29I was going to ask Mr Malick to step up.
0:04:29 > 0:04:30You didn't think of asking me?
0:04:30 > 0:04:32I didn't think you'd be interested.
0:04:32 > 0:04:35Surely, it's more of a young man's game.
0:04:35 > 0:04:38I doubt that I'd be tested by AAU.
0:04:38 > 0:04:41Right, well, that's settled then.
0:04:41 > 0:04:43I'll tell them to expect you.
0:04:43 > 0:04:45Oh, and...no rush -
0:04:45 > 0:04:48we wouldn't want to put anything else out.
0:04:56 > 0:04:58Please, can you try and keep still.
0:04:58 > 0:05:00Still waiting on those tox results.
0:05:00 > 0:05:03- Yeah, that would make two of us. - Maybe you could chase them up?
0:05:03 > 0:05:05Or I could always do it myself.
0:05:08 > 0:05:10HE BURPS
0:05:10 > 0:05:13Look, if you don't start behaving, I will break your other arm.
0:05:13 > 0:05:16Wally Briscoe. Abdo pain.
0:05:16 > 0:05:17I'll be dead before they find me a bed.
0:05:17 > 0:05:19Wally, Hi, I'm Dr Wilde.
0:05:19 > 0:05:24I'm Wally to those that know me. YOU can call me Mr Briscoe.
0:05:24 > 0:05:29Oliver...you're supposed to be on compassionate leave.
0:05:29 > 0:05:30I'd rather be working.
0:05:30 > 0:05:32On the day of Tara's funeral?
0:05:33 > 0:05:35You were missed at the wake
0:05:35 > 0:05:38I think we should discharge our Pulmonary Sarcoidosis.
0:05:38 > 0:05:40Tara's parents could have done with your support.
0:05:40 > 0:05:41Mrs Tindall's due in theatre -
0:05:41 > 0:05:43she's requesting another consultation.
0:05:43 > 0:05:45I'm not sure this is such a good idea.
0:05:50 > 0:05:53If I don't put in the hours, I'll have to retake my whole year.
0:05:58 > 0:06:00So, Keller needed a younger guy?
0:06:00 > 0:06:03AAU needs someone to steady the ship.
0:06:03 > 0:06:07Well, my team are well-trained, if you need bringing up to speed.
0:06:07 > 0:06:11- I spoke to Jas. She passed on the news.- What news?
0:06:11 > 0:06:14Annalese...getting married again.
0:06:15 > 0:06:17To Brad the banker?
0:06:17 > 0:06:19I assumed she'd told you.
0:06:19 > 0:06:21Why would she? I'm only the father to her kids.
0:06:21 > 0:06:25Well, I guess we won't be getting an invite.
0:06:25 > 0:06:28Mr Spence? I'm Dr Digby...
0:06:28 > 0:06:32You're the new star F1, huh? I was expecting someone taller.
0:06:34 > 0:06:37Mr Griffin left me a list of specifics.
0:06:37 > 0:06:40Three new admissions, two elective operations currently...
0:06:40 > 0:06:43- Just start at the top of the pile. - Ah, well, that's Daniel Butland.
0:06:43 > 0:06:47- Severe epigastric pain and recurrent vom...- OK, surprise me with a quick diagnosis.
0:06:47 > 0:06:50- You're asking me to treat him? - Yeah, I've got a lot of work to do.
0:06:50 > 0:06:52Page me if you need me. Which you won't.
0:07:00 > 0:07:03This is Karl Dawson, 16, ED referral.
0:07:03 > 0:07:06I'm Dr Valentine, I'll be looking after you. This is Professor Hope.
0:07:06 > 0:07:08Hello, Karl.
0:07:09 > 0:07:12I'm just going to have a quick listen.
0:07:12 > 0:07:14Skeletal leg cramps, respiratory distress.
0:07:14 > 0:07:16You make it sound so serious.
0:07:16 > 0:07:20It's just medical jargon, I'm afraid.
0:07:20 > 0:07:23- I'm just a bit out of breath. - His mum and dad are on their way.
0:07:24 > 0:07:28So, when did this breathlessness start, Karl?
0:07:28 > 0:07:29Few hours ago...
0:07:30 > 0:07:33And the cramps in your legs?
0:07:33 > 0:07:36They were there when I woke up this morning.
0:07:36 > 0:07:38Any allergies? Asthma?
0:07:38 > 0:07:42- No history of illness in the family? - Not that I know of.
0:07:42 > 0:07:45OK, we'll get you settled in and run some tests.
0:07:45 > 0:07:47Try not to worry.
0:07:51 > 0:07:54- BP's low.- And there's definitely a murmur.- I'll sort out an ECG.
0:07:54 > 0:07:59Listen, Oliver, I still don't think you should be on the ward.
0:07:59 > 0:08:03It's better than being stuck in an empty flat.
0:08:03 > 0:08:05Fine. If that's what you really want.
0:08:05 > 0:08:08OK, usual bloods, echo, chest X-ray, please.
0:08:08 > 0:08:10Make sure you run everything by me.
0:08:14 > 0:08:16GRUNTING
0:08:26 > 0:08:28You seem to be in some pain.
0:08:28 > 0:08:32Of course I'm in bloody pain. Why else would I be here?
0:08:32 > 0:08:33May I?
0:08:35 > 0:08:37Ooh.
0:08:42 > 0:08:47A bit of common courtesy. Is that too much to ask?
0:08:47 > 0:08:50I'll find out what's causing the hold-up.
0:08:53 > 0:08:55I fought at the Imjin River, you know.
0:08:57 > 0:09:02Trust me, Mrs Brindethorpe, no-one is going to steal your cardigan, OK?
0:09:04 > 0:09:07Ah, a consultant! Things are looking up.
0:09:07 > 0:09:09Perhaps you could tell me why an elderly patient
0:09:09 > 0:09:13with abdominal pain and jaundice has been abandoned in the corridor?
0:09:13 > 0:09:15I'm afraid we're completely backed up.
0:09:15 > 0:09:18I'd like your opinion on Mrs Brindethorpe -
0:09:18 > 0:09:21she's 67, nausea, vomiting, abdominal discomfort.
0:09:21 > 0:09:24Keep her hydrated, full set of bloods.
0:09:24 > 0:09:26- If the symptoms persist, send her for an X-ray.- X-ray...
0:09:26 > 0:09:28great, thank you.
0:09:28 > 0:09:30We MUST be able to find him a bed?
0:09:30 > 0:09:32He could always slip in with Mrs Brindethorpe.
0:09:32 > 0:09:34Our drunk ABH has a fractured cheekbone.
0:09:34 > 0:09:37Give him some pain relief and wait for him to sober up.
0:09:37 > 0:09:40I'd like a list of current admissions, please, Nurse Carter.
0:09:40 > 0:09:42We'll assess each case on its merits.
0:09:42 > 0:09:44Look, we are on top of things.
0:09:52 > 0:09:53Abdomen's distended...
0:09:55 > 0:09:57..superficial oedema...
0:09:57 > 0:09:59Bruising around the umbilicus.
0:10:06 > 0:10:09A-star med student, I'm three years in.
0:10:09 > 0:10:13Ah, Dr Digby's our best junior. He just won the F1 Prize.
0:10:13 > 0:10:16- I'm glad he's treating me, then. - You two should get on well!
0:10:18 > 0:10:19Shortness of breath...
0:10:19 > 0:10:21His sats are normal...
0:10:21 > 0:10:24Full bloods, please, Nurse Lane.
0:10:24 > 0:10:28LFTs. Let's request an abdo CT scan...
0:10:29 > 0:10:33You don't think I should have an ultrasound?
0:10:33 > 0:10:35Er, let's not get ahead of ourselves.
0:10:35 > 0:10:37Sorry. Bit over-keen.
0:10:37 > 0:10:39I can't wait to get out of the classroom.
0:10:39 > 0:10:41Cut my teeth on some real patients.
0:10:42 > 0:10:46It's really just a case of applying what's in here.
0:10:46 > 0:10:48Neuroscience, that's my passion.
0:10:48 > 0:10:51- Ah.- It's a very interesting field of medicine.
0:10:51 > 0:10:53Exploring the brain's potential.
0:10:53 > 0:10:55I'm sure I could learn a lot from you.
0:10:55 > 0:10:57Er, neuroscience isn't really my thing.
0:11:03 > 0:11:04He really shouldn't be here.
0:11:04 > 0:11:07Oh, I don't know. At least he's working through it.
0:11:07 > 0:11:09He buried his wife this morning.
0:11:09 > 0:11:12Which means we're already a doctor down.
0:11:12 > 0:11:14If you take a peek out from under the funeral pall,
0:11:14 > 0:11:17you'll notice that we still have a ward to run.
0:11:17 > 0:11:19(Wow.)
0:11:19 > 0:11:20You're all heart, you know that?
0:11:20 > 0:11:22Just stating a fact.
0:11:22 > 0:11:26And on the day Tara died, you were feeling so vulnerable.
0:11:26 > 0:11:28I don't remember you kicking me out of bed.
0:11:28 > 0:11:31We made a mistake. That won't happen again.
0:11:31 > 0:11:33Well, I'm glad we've clarified things.
0:11:35 > 0:11:39So...what are you missing - double maths?
0:11:39 > 0:11:41I wish.
0:11:41 > 0:11:43It's football today.
0:11:43 > 0:11:45I use to play myself - just to stay in shape.
0:11:48 > 0:11:50They rang me at the salon. I've been worried sick.
0:11:50 > 0:11:52How are you feeling?
0:11:52 > 0:11:55- Been better. - You're going to be fine.
0:11:55 > 0:11:59- Dr Valentine's been treating Karl. - His breathing's still laboured.
0:11:59 > 0:12:02He's been a bit anxious, haven't you? Exams and stuff.
0:12:02 > 0:12:05And he's not complained of these leg cramps before?
0:12:05 > 0:12:07We'd have brought him in.
0:12:08 > 0:12:09OK, well...
0:12:09 > 0:12:11as soon as we find out what's wrong with him,
0:12:11 > 0:12:13you'll be the first to know.
0:12:14 > 0:12:19From now on, Nurse Carter, I'd like you to clerk patients in my way.
0:12:19 > 0:12:21- Your way?- Preferably in handwriting that I can read.
0:12:21 > 0:12:25Let's get this thing moved, it's an accident waiting to happen.
0:12:25 > 0:12:29No room for sloppy nurses - not in the NHS.
0:12:29 > 0:12:31I believe you've met Mr Briscoe.
0:12:31 > 0:12:34You two should get on like a house on fire.
0:12:34 > 0:12:36No respect for their elders.
0:12:48 > 0:12:52You know, the best way to diagnose a patient is to talk to them.
0:12:52 > 0:12:54I'm doing fine, thank you.
0:12:56 > 0:12:57You're the doctor.
0:12:58 > 0:13:02Daniel's latest obs. He's not getting any better.
0:13:09 > 0:13:11Yes, Digby?
0:13:12 > 0:13:15Erm...I was just wondering if you could, er...
0:13:15 > 0:13:17take a look at these notes for me?
0:13:20 > 0:13:25Ah...the notes for the patient you're supposed to be diagnosing?
0:13:25 > 0:13:30Erm, it's a distended abdomen, rigors, headaches and fever...
0:13:30 > 0:13:33Bacterial infection, Pyelonephritis...
0:13:33 > 0:13:36- visceral intra-abdominal abscess. - Yeah, they're all on my list...
0:13:36 > 0:13:39Digs, I'm due in theatre for back-to-back surgeries.
0:13:39 > 0:13:41If you need me to check him over...
0:13:41 > 0:13:45No, no, no! No...I'm sure I can work it out for myself.
0:13:45 > 0:13:47Good, spoken like a proper doctor.
0:14:02 > 0:14:05How long are you keeping him in for?
0:14:05 > 0:14:07We'll have to wait and see what the tests show up.
0:14:07 > 0:14:11It's just that he's got a trial at the weekend. Inter-schools.
0:14:11 > 0:14:14- Football.- Did he mention it? - Your son can barely walk.
0:14:14 > 0:14:17Thing is, though, we've been waiting for this chance.
0:14:17 > 0:14:19He'd be gutted if he missed it.
0:14:19 > 0:14:22Maybe we should concentrate on getting him better?
0:14:29 > 0:14:31We've got to tell them, Tony.
0:14:35 > 0:14:37How's our patient?
0:14:37 > 0:14:38Er, tachycardic.
0:14:38 > 0:14:42I mean, LFTs are deranged, got facial flushing, pupils are dilated...
0:14:42 > 0:14:45We don't have a diagnosis because...?
0:14:45 > 0:14:47I just need a bit more time.
0:14:47 > 0:14:50You're the guy who beat Gemma, huh?
0:14:50 > 0:14:54Well, I've ruled out hepatitis, diverticulitis...
0:14:55 > 0:14:58This patient needs an ultrasound.
0:14:58 > 0:15:00First point of diagnosis.
0:15:00 > 0:15:04Amylase, CRP bloods - you haven't done the right tests.
0:15:04 > 0:15:06Certainly don't win any prizes for initiative.
0:15:06 > 0:15:08- I'll get onto it.- Yeah, do that.
0:15:23 > 0:15:26We haven't been entirely straight with you.
0:15:27 > 0:15:30Well...perhaps you'd like to enlighten us?
0:15:32 > 0:15:35Becker muscular dystrophy. It runs in the family.
0:15:35 > 0:15:36Sandra's side.
0:15:37 > 0:15:39I'm a carrier.
0:15:40 > 0:15:44And you didn't think that was worth mentioning?
0:15:44 > 0:15:46We don't even know if Karl's inherited the gene.
0:15:46 > 0:15:51- You've NEVER had him tested?!- Well, at least now we're all up to speed.
0:15:51 > 0:15:53We made a pact, when I got pregnant,
0:15:53 > 0:15:56we'd only ever tell him if he got the symptoms.
0:15:56 > 0:15:5850-50 chance. I mean, what was the point?
0:15:58 > 0:16:01- This disease can be life threatening.- We do know that.
0:16:02 > 0:16:07My father had it. He was 49 when it killed him.
0:16:09 > 0:16:13- We thought it was better to keep it a secret.- Better(?)
0:16:13 > 0:16:16- For who?- We were looking out for Karl.
0:16:16 > 0:16:19Well, maybe Karl deserves to know the truth.
0:16:19 > 0:16:23He's 16. How can he be ready for something like this?
0:16:23 > 0:16:26We can test for a defect in the dystrophic gene.
0:16:26 > 0:16:29A conclusive result will take 48 hours.
0:16:29 > 0:16:31Right.
0:16:31 > 0:16:34Well, in the meantime, you don't say anything.
0:16:40 > 0:16:44So...this passion for neuroscience, sounds intriguing?
0:16:44 > 0:16:46I thought you said it wasn't your thing?
0:16:46 > 0:16:49Er, no, no. I just don't think I know enough about it, really.
0:16:55 > 0:16:58You should read my thesis on lucid dreaming.
0:16:58 > 0:17:02The role of hypocretin in episodic memory.
0:17:02 > 0:17:04Unlocking the unconscious mind?
0:17:04 > 0:17:07Most people only use a tenth of their brain -
0:17:07 > 0:17:10they're frightened of its true potential...
0:17:10 > 0:17:12There's dilation of the pancreatic duct.
0:17:12 > 0:17:15..but the clever people, beautiful minds,
0:17:15 > 0:17:16we've tapped into that 90%.
0:17:19 > 0:17:20Check out this app.
0:17:22 > 0:17:24I never sleep without it.
0:17:26 > 0:17:31You key in your dreamscape, it takes you to amazing places.
0:17:31 > 0:17:32Ambience dial...
0:17:33 > 0:17:36..ocean waves...gentle rain.
0:17:36 > 0:17:38Delta, alpha, beta REMs.
0:17:38 > 0:17:43Well, that's... It looks like hours of fun, doesn't it? Erm...
0:17:45 > 0:17:48- ..how long have you had the abdominal pain?- Couple of weeks.
0:17:49 > 0:17:52- And the rigors?- They come and go.
0:17:54 > 0:17:56I think it's pancreatitis.
0:17:56 > 0:17:59- Blood test results.- Thank you.
0:18:00 > 0:18:02ALARM BEEPING
0:18:02 > 0:18:04Daniel?
0:18:06 > 0:18:10- He's fitting?- It's OK. It's OK, we've got you.
0:18:10 > 0:18:12He needs oxygen and diazepam.
0:18:14 > 0:18:17OK, take a nice deep breath. Breathe in...
0:18:17 > 0:18:20- This shouldn't be happening, I don't...- OK?
0:18:22 > 0:18:24OK.
0:18:24 > 0:18:27The fitting, it's completely inconsistent with my diagnosis.
0:18:27 > 0:18:29Maybe it's not pancreatitis?
0:18:31 > 0:18:34Just monitor him for a sec.
0:18:34 > 0:18:36- Dr Digby?- I just need to do some research.
0:18:40 > 0:18:41Better?
0:18:42 > 0:18:44He'll get there in the end.
0:18:45 > 0:18:47He just needs to think.
0:18:47 > 0:18:49Try and get some rest.
0:18:55 > 0:18:58I'm not afraid to open my mind...
0:18:59 > 0:19:01..that's why I've got special powers.
0:19:10 > 0:19:12I'm a bit concerned about Daniel.
0:19:12 > 0:19:15Yeah, rapid heart, restlessness, agitation...
0:19:15 > 0:19:17He thinks he's got special powers.
0:19:17 > 0:19:20..borderline hypotension, but that still doesn't explain the fit!
0:19:20 > 0:19:21Don't you find that a bit weird?
0:19:21 > 0:19:24It's no more weird than the rest of his half-baked theories, really.
0:19:24 > 0:19:28- Maybe we should call psych? - He doesn't need a psych appraisal.
0:19:28 > 0:19:30No-one expects you to know all the answers.
0:19:30 > 0:19:33You CAN ask for help sometimes.
0:19:33 > 0:19:35I'm supposed to be the best F1 in Holby
0:19:35 > 0:19:37and I can't even manage a simple diagnosis.
0:19:45 > 0:19:47Doctor?
0:19:52 > 0:19:54Where are my mum and dad?
0:19:55 > 0:19:58They were talking to Professor Hope.
0:19:58 > 0:20:00They're avoiding me.
0:20:03 > 0:20:06- It's serious, isn't it? - We need to run some more tests.
0:20:06 > 0:20:09They treat me like a child...
0:20:10 > 0:20:12..always trying to smother me.
0:20:12 > 0:20:15I just wish someone would tell me straight.
0:20:18 > 0:20:21I'm 16, you know, I'm old enough to know the truth.
0:20:21 > 0:20:23Maybe we should wait for your parents.
0:20:23 > 0:20:25You're just like them.
0:20:25 > 0:20:29I thought doctors were supposed to tell you straight.
0:20:34 > 0:20:37There is a chance you could have a chronic illness.
0:20:40 > 0:20:41What kind of illness?
0:20:41 > 0:20:45The symptoms are consistent with a form of muscular dystrophy.
0:20:45 > 0:20:49The weakness in your legs, the fatigue, the difficulty breathing.
0:20:49 > 0:20:50Is there a cure?
0:20:52 > 0:20:55There are ways we can manage your condition.
0:20:55 > 0:20:57- I want my mum.- Karl...
0:20:57 > 0:21:00- it is important you don't get stressed...- I want to see her now!
0:21:00 > 0:21:02- All right, sweetheart, I'm here. - I don't want to be ill!
0:21:02 > 0:21:05- I don't want this thing! - What have you done?!
0:21:05 > 0:21:08Dr Wilde, ward rounds, please.
0:21:08 > 0:21:10Ah, yes. I thought maybe we could split the load?
0:21:10 > 0:21:13Make some inroads into this backlog.
0:21:13 > 0:21:16Ward rounds are the cornerstone of hospital care.
0:21:16 > 0:21:18Cutting corners is a false economy.
0:21:21 > 0:21:22Mr Briscoe.
0:21:22 > 0:21:25Oh, finally someone's got time for me.
0:21:25 > 0:21:28Stomach pains, raised blood pressure and a temperature.
0:21:28 > 0:21:31Could have told him that much meself.
0:21:31 > 0:21:33Do you remember when these pains began?
0:21:33 > 0:21:351952...
0:21:36 > 0:21:38..I fought in Korea.
0:21:38 > 0:21:40So you keep telling us.
0:21:40 > 0:21:42Second Lieutenant, Glorious Glosters.
0:21:44 > 0:21:50I doubt very much whether an injury that old would cause this much pain.
0:21:51 > 0:21:53I'm telling you, I'm not right.
0:21:53 > 0:21:55High cholesterol.
0:21:55 > 0:21:58It shouldn't be too concerning for a man of his age.
0:21:58 > 0:22:01I'm still here, you know.
0:22:01 > 0:22:04Let's send him down to radiology for an abdo ultrasound
0:22:04 > 0:22:05and see what that tells us.
0:22:05 > 0:22:08I thought we should order some auto-immune tests as well.
0:22:08 > 0:22:12Let's just work our way through the checklist, stick to the system.
0:22:12 > 0:22:13This is my area of expertise.
0:22:17 > 0:22:18'No right to tell him!'
0:22:18 > 0:22:20He's old enough to consent and I'm treating him.
0:22:20 > 0:22:21Not any more, you're not.
0:22:21 > 0:22:24You want to lie to Karl? That's your choice, but don't expect me to.
0:22:24 > 0:22:26I'd like a word, please, Dr Valentine.
0:22:26 > 0:22:27Keep away.
0:22:29 > 0:22:30In my office, now.
0:22:36 > 0:22:39ALARM BEEPING
0:22:40 > 0:22:42HE GASPS
0:22:47 > 0:22:49The pain's getting worse.
0:22:49 > 0:22:52Just... I'll get some help.
0:23:00 > 0:23:04Well, Annalese, the only reason I'm shouting is to make myself heard.
0:23:04 > 0:23:07No, do not hang up on me. Listen...
0:23:07 > 0:23:12'whatever you do with your life is your own business...'
0:23:28 > 0:23:31You should have respected their wishes.
0:23:31 > 0:23:33By compromising the patient?
0:23:33 > 0:23:37What that family needs now is some considerate pastoral care.
0:23:37 > 0:23:40- They've been lying to their son. - They had their reasons.
0:23:40 > 0:23:42And now you're making excuses for them.
0:23:42 > 0:23:46I am trying to make the best of a difficult situation.
0:23:46 > 0:23:49I can't do that if you're undermining me.
0:23:55 > 0:23:59Your judgement isn't sound today, Oliver. For obvious reasons.
0:24:03 > 0:24:05Just...
0:24:05 > 0:24:08chase up the rest of Karl's test results,
0:24:08 > 0:24:10while I try and sort out this mess of yours.
0:24:12 > 0:24:14- What have we got? - Extremities are cold.
0:24:14 > 0:24:16OK, he's peripherally shut down. IV adrenaline.
0:24:19 > 0:24:22In septic shock. Tachypneic.
0:24:22 > 0:24:23Maintaining his airway.
0:24:23 > 0:24:27OK, let's push IV fluids and pump some hi-flow oxygen.
0:24:29 > 0:24:30Where's Digby?
0:24:38 > 0:24:40Mr Briscoe's jaundice is getting worse.
0:24:40 > 0:24:43Let's deal with the primary symptoms first.
0:24:43 > 0:24:45I checked his bloods again.
0:24:45 > 0:24:46Raised bilirubin -
0:24:46 > 0:24:48Charcot's triad with fever and right upper quadrant pain.
0:24:48 > 0:24:51- Could be cholangitis.- No. At this stage, that's pure conjecture.
0:24:51 > 0:24:54Mrs Brindethorpe's X-ray.
0:24:54 > 0:24:56- Has anyone seen my glasses?- No.
0:24:56 > 0:24:59Looks like an incarcerated ventral hernia to me.
0:24:59 > 0:25:01I'm amazed you can find anything in this chaos.
0:25:01 > 0:25:02She's in a lot of pain, so...
0:25:05 > 0:25:07I'll do a laparoscopic repair.
0:25:07 > 0:25:10- Great.- You're taking her into theatre?
0:25:10 > 0:25:14- IF I can find my glasses. - What about Mr Briscoe?
0:25:14 > 0:25:16I'm afraid Mr Briscoe will have to wait.
0:25:16 > 0:25:18In the meantime, why don't you chase radiology
0:25:18 > 0:25:19for the results of his scan?
0:25:24 > 0:25:28Dr Valentine wasn't appraised of all the details
0:25:28 > 0:25:29when he gave you that diagnosis.
0:25:30 > 0:25:32So why would he tell me that?
0:25:32 > 0:25:35We're waiting for the results of a dystrophin test.
0:25:35 > 0:25:36It's going to take a few days.
0:25:36 > 0:25:39So, until we know, there's no point in worrying.
0:25:42 > 0:25:46Karl's breathing difficulties are of immediate conc...
0:25:46 > 0:25:48- Not now, Dr Valentine. - You need to see this.
0:25:58 > 0:26:02- Arthur?- Erm, I was just getting some saline.
0:26:03 > 0:26:05Daniel crashed!
0:26:05 > 0:26:07- Then I'd better get back, hadn't I? - He's stable now.
0:26:07 > 0:26:10I saw you walk off the ward.
0:26:10 > 0:26:12What?
0:26:12 > 0:26:13It's terrifying leading a resus.
0:26:13 > 0:26:16No-one wants a patient to die on them.
0:26:16 > 0:26:18I don't know what you're talking about.
0:26:18 > 0:26:21You were hiding in the store cupboard.
0:26:21 > 0:26:24I wasn't hiding, I was getting some saline.
0:26:30 > 0:26:34I'm afraid the echocardiogram has revealed a dilated cardiomyopathy.
0:26:34 > 0:26:36- His heart's not working properly.- His heart?
0:26:36 > 0:26:38It's an enlargement of the muscle,
0:26:38 > 0:26:41which has been brought on by his underlying condition.
0:26:41 > 0:26:43No, no, no, he's a fit, healthy lad.
0:26:43 > 0:26:45We'd like to start him on a course of ACE inhibitors.
0:26:45 > 0:26:47- This isn't happening. - The sooner, the better.
0:26:47 > 0:26:49He was right as rain this morning
0:26:49 > 0:26:51and now you're telling me his heart's packed in!
0:26:51 > 0:26:53Cardiac symptoms are often late to present.
0:26:53 > 0:26:56If you'd just had him tested then maybe it wouldn't have come to this.
0:26:56 > 0:26:58That's enough, Dr Valentine!
0:26:58 > 0:27:01He'll need a few things.
0:27:01 > 0:27:02Tony...
0:27:04 > 0:27:06I can't have you dealing with patients.
0:27:06 > 0:27:07The man's in complete denial.
0:27:07 > 0:27:11I should have trusted my instincts. Clearly, you're not coping.
0:27:11 > 0:27:15- Someone needs to tell Karl about his card...- I will deal with it!
0:27:15 > 0:27:17I'm sure you have some theory to catch up on.
0:27:17 > 0:27:21Preferably somewhere away from the patients.
0:27:22 > 0:27:23I'm very sorry.
0:27:29 > 0:27:30Dr Digby.
0:27:31 > 0:27:32Thank you.
0:27:44 > 0:27:47Put him in a side room. Give him on IV co-amoxiclav.
0:27:47 > 0:27:49- Ah, Digby, there you are. - How's he doing?
0:27:49 > 0:27:51Luckily for you, he's stable.
0:27:51 > 0:27:55- I was chasing up his ultrasound. - So, do you have a diagnosis for me?
0:27:55 > 0:27:57All points to an abscess.
0:27:57 > 0:27:59There's the pancreatic tissue,
0:27:59 > 0:28:01the contrast agent hasn't been taken up.
0:28:01 > 0:28:03So, the necrosis has led to the sepsis.
0:28:03 > 0:28:05There's a collection in the lesser sac
0:28:05 > 0:28:07that's not going to be amenable to radiologic drainage.
0:28:07 > 0:28:09All right, let's get a team together.
0:28:09 > 0:28:12As soon as theatre is free, we'll book that slot.
0:28:12 > 0:28:16Good work, Digby. You just earned yourself a place in theatre.
0:28:28 > 0:28:31Oliver, I've got a consult in paediatrics.
0:28:31 > 0:28:34I've spoken to Karl and his mother.
0:28:34 > 0:28:35Don't stay too late.
0:28:46 > 0:28:48Karl's in pieces.
0:28:49 > 0:28:51Tony won't answer his phone.
0:28:54 > 0:28:56I know you don't think much of me...
0:28:56 > 0:28:58I should have stayed out of it, so...
0:28:58 > 0:29:0116 years we've has this hanging over us.
0:29:02 > 0:29:05There was no prenatal diagnosis, not back then.
0:29:06 > 0:29:08I wanted a baby.
0:29:08 > 0:29:10We took a chance.
0:29:11 > 0:29:13Maybe I was selfish.
0:29:17 > 0:29:19I've got to tell him, haven't I?
0:29:25 > 0:29:29He's going to find out you're the carrier, sooner or later.
0:29:47 > 0:29:49Nothing to do?
0:29:51 > 0:29:54Just updating these files for Mr Griffin.
0:29:54 > 0:29:56He's prepping a hernia.
0:29:56 > 0:29:58Is he indeed?
0:29:58 > 0:30:01- I'm just going to go put these on his desk.- I can do that.
0:30:03 > 0:30:05You take the weight off your feet.
0:30:14 > 0:30:17Is there a reason you're heading into theatre?
0:30:17 > 0:30:20- Laparoscopic hernia repair. - A routine operation.
0:30:20 > 0:30:23- Fortunately.- Which you could easily kick up to Keller.
0:30:25 > 0:30:26One moment, please.
0:30:28 > 0:30:32I'm doing what I do best, which is surely the point in my being here.
0:30:32 > 0:30:35Your surgical prowess is always reassuring.
0:30:35 > 0:30:39However, it doesn't negate the fact that AAU is completely overrun.
0:30:39 > 0:30:41Can't find your glasses.
0:30:41 > 0:30:45You said you needed them to operate, so...
0:30:45 > 0:30:47Take this patient up to Keller, please.
0:30:52 > 0:30:56We are working through the backlog.
0:30:56 > 0:30:58Then you mustn't let me keep you.
0:30:58 > 0:31:01I'll pop back later to see how you're getting on.
0:31:05 > 0:31:07Your granddad had it.
0:31:07 > 0:31:10- I passed it on to you. - This illness is hereditary.
0:31:12 > 0:31:13I don't understand.
0:31:16 > 0:31:18You inherited the gene from your mother.
0:31:21 > 0:31:23You knew I might be born with this?
0:31:23 > 0:31:24I knew there was a chance.
0:31:26 > 0:31:29- I told you to leave us alone. - He has to know, Tony.
0:31:29 > 0:31:31All these years, you never told me.
0:31:31 > 0:31:33We thought it was best.
0:31:33 > 0:31:34You were too young to deal with it.
0:31:34 > 0:31:36So you lied to me?
0:31:36 > 0:31:39- We didn't even know if you were going to get ill.- Well, you do now!
0:31:39 > 0:31:41- ALARM BEEPING - Maybe this wasn't such a good idea.
0:31:41 > 0:31:44You should have thought about that before you told him.
0:31:44 > 0:31:46I'm going to die, aren't I?
0:31:46 > 0:31:47No, son, I won't let that happen.
0:31:47 > 0:31:50We'll get you well again, back playing football...
0:31:50 > 0:31:52Stop lying to me!
0:31:52 > 0:31:56- I'm so sorry, Karl. - I don't want to talk to you!
0:31:56 > 0:31:58- ALARM BEEPING LOUDLY - What's happening?- Karl? Karl?
0:31:58 > 0:32:01- He's in AF.- Give me some room, please, guys.- Sats are 90.
0:32:01 > 0:32:04Let's give him some oxygen.
0:32:04 > 0:32:06- BP's low...- OK, we need to get him stabilised.
0:32:06 > 0:32:08Let's take him to theatre.
0:32:13 > 0:32:19Arthur...I just crosschecked Daniel's records.
0:32:19 > 0:32:22The address he gave us is a hostel.
0:32:24 > 0:32:27That might suggest he's vulnerable.
0:32:39 > 0:32:41How are you feeling?
0:32:41 > 0:32:45Lucid dreams can be hard to control. I usually wake up exhausted.
0:32:45 > 0:32:48Well, when you've got some strength back,
0:32:48 > 0:32:50I just need you to sign some consent forms.
0:32:51 > 0:32:54I've been studying the science of sleep.
0:32:54 > 0:32:55I've memorised the formulae.
0:32:55 > 0:32:57That's pretty complex.
0:32:57 > 0:33:00Dopamine is converted to epinephrine...
0:33:00 > 0:33:05Oh, yeah, and epinephrine creates homocysteine?
0:33:05 > 0:33:07You do know your stuff.
0:33:07 > 0:33:09I like to read up on these things.
0:33:09 > 0:33:10Really makes you think.
0:33:12 > 0:33:15The people at the hostel must be worried about you.
0:33:15 > 0:33:18Don't worry, I'll tell them you're safe.
0:33:18 > 0:33:20I'll say we're looking after you.
0:33:21 > 0:33:23You're the best F1 in Holby.
0:33:25 > 0:33:26Erm...
0:33:27 > 0:33:29..is everything OK, Daniel?
0:33:29 > 0:33:31I could teach you how to access that 90%.
0:33:31 > 0:33:35All it takes is practice. I could tell you all my secrets.
0:33:38 > 0:33:43I'm...this close to flying.
0:33:46 > 0:33:47Gosh...
0:33:48 > 0:33:51Well, I'll ask Nurse Lane to get you prepped.
0:34:05 > 0:34:08For what it's worth, you're doing the right thing.
0:34:10 > 0:34:12Keep busy...stay focussed...
0:34:12 > 0:34:14I don't want to talk about it.
0:34:14 > 0:34:16Fine by me.
0:34:22 > 0:34:24Remember, clamp both veins.
0:34:24 > 0:34:27Yes, thank you, Dr Valentine, I have done this before.
0:34:31 > 0:34:32I've requested a psych consult.
0:34:34 > 0:34:35You called them?
0:34:35 > 0:34:38I took your advice and I spoke to Daniel.
0:34:40 > 0:34:42I knew you would.
0:34:42 > 0:34:46It's the hostel warden. I think you're right to have concerns.
0:34:48 > 0:34:52OK, yeah, thank you very much. Yeah, we'll keep you informed.
0:34:53 > 0:34:55Risperidone -
0:34:55 > 0:34:57Daniel's medication.
0:34:57 > 0:34:59So the fit was an OGC!
0:34:59 > 0:35:01Sorry, Arthur, you've lost me now.
0:35:01 > 0:35:04Sorry. Oculogyric crisis...
0:35:04 > 0:35:06so the fixed stare, the difficulty breathing,
0:35:06 > 0:35:08the respiratory dyskinesia...
0:35:08 > 0:35:11they're all common side-effects of long-term neuroleptic drug treatment.
0:35:11 > 0:35:15- Risperidone's an antipsychotic? - Yes. So it's two separate diagnoses!
0:35:25 > 0:35:27We need to find him...quickly.
0:35:31 > 0:35:34OK, let's watch the blood pressure.
0:35:38 > 0:35:40Lesion's full thickness. There's the line of block.
0:35:40 > 0:35:44Everything's looking good. Let's close him up.
0:35:44 > 0:35:45There's a mural thrombus.
0:35:45 > 0:35:48Let's just concentrate on the arrhythmia, shall we?
0:35:48 > 0:35:49We need to remove it.
0:35:49 > 0:35:50We'd lose too much of the atrial wall.
0:35:50 > 0:35:53He could die of congested heart failure!
0:35:53 > 0:35:55The thrombus can be treated with anticoagulants.
0:35:55 > 0:35:59- We've got him here on the table. - He's too weak for major surgery.
0:35:59 > 0:36:02Would someone mind telling me what's going on?
0:36:07 > 0:36:09According to the hostel, Daniel dropped out of uni.
0:36:09 > 0:36:12The pressure got to him, his psychosis kicked in.
0:36:12 > 0:36:14Without his meds, he'd find it difficult to differentiate
0:36:14 > 0:36:17between fantasy and reality, so he must have stopped taking them.
0:36:17 > 0:36:19Arthur, slow down.
0:36:19 > 0:36:22He's delusional. Those special powers - he thinks he can fly.
0:36:34 > 0:36:36- I'll get Mr Spence. - No, you can't leave me here.
0:36:36 > 0:36:38- Keep him talking.- Chantelle...
0:36:40 > 0:36:42I've tried my best to be understanding today.
0:36:42 > 0:36:44He crashed. You were on Paeds.
0:36:44 > 0:36:47You are in no fit state to assist in surgery!
0:36:50 > 0:36:53- Oliver, I haven't finished talking to you.- Problem?
0:36:56 > 0:36:59Dr Valentine. Slight misunderstanding.
0:36:59 > 0:37:01Yes, I heard he was back on the ward.
0:37:01 > 0:37:04I did have misgivings.
0:37:04 > 0:37:05It seems they were justified.
0:37:05 > 0:37:09Which is why I confined him to desk duties.
0:37:09 > 0:37:11Well, nobody bothered to keep me in the loop.
0:37:11 > 0:37:14Despite my instructions, he went into theatre.
0:37:14 > 0:37:16- Emergency mini-maze. - How's the patient now?
0:37:16 > 0:37:19Stable. Which is more than can be said for Valentine.
0:37:22 > 0:37:24I really don't think he's dealing with this.
0:37:24 > 0:37:26One can hardly blame him.
0:37:27 > 0:37:28I'll talk with him again.
0:37:28 > 0:37:29Perhaps it would be better
0:37:29 > 0:37:33if you discussed the situation with me before I talk to him.
0:37:37 > 0:37:40You're only bound by gravity if you believe in it.
0:37:40 > 0:37:42I can already fly in my dreams.
0:37:45 > 0:37:47They said I was confused...
0:37:47 > 0:37:50those sad ten-percenters.
0:37:50 > 0:37:53They've got no idea of the mind's true potential.
0:37:55 > 0:37:57You need to come with me now.
0:38:00 > 0:38:04I know how that feels...to have to live up to expectations.
0:38:04 > 0:38:08They want to keep us in our place, but we know better.
0:38:08 > 0:38:09Knowledge is power.
0:38:09 > 0:38:13I'll prove them all wrong. I'll prove to you I can fly.
0:38:13 > 0:38:17I totally believe you, Daniel. You don't have to show me.
0:38:17 > 0:38:20- You're humouring me.- No. - You don't believe anything.
0:38:20 > 0:38:24- No, you can trust me.- You're scared. I can hear it in your voice.
0:38:24 > 0:38:26- Just give me your hand. - You're as bad as the rest of them!
0:38:26 > 0:38:29Daniel, if you jump through that window, you will die.
0:38:29 > 0:38:33- I need to concentrate. - No, you need an operation.
0:38:33 > 0:38:35A lightning storm of neurone activity.
0:38:35 > 0:38:36That's all it's going to take.
0:38:36 > 0:38:39That fall will kill you.
0:38:39 > 0:38:42I'm not going to fall... I'm going to fly.
0:38:42 > 0:38:44HE GASPS
0:38:44 > 0:38:45Come on.
0:38:48 > 0:38:49OK.
0:38:49 > 0:38:51He's fitting again.
0:38:51 > 0:38:55All right, we need to intubate. Nurse Lane, get a crash team. Now!
0:38:55 > 0:38:58All right, let's get him in the recovery position.
0:38:58 > 0:38:59Dr Digby! Come on!
0:39:03 > 0:39:05A cup of sweet tea and two biscuits.
0:39:05 > 0:39:08How can I eat with this stomach pain?
0:39:11 > 0:39:13No chocolate fingers?
0:39:13 > 0:39:14None left.
0:39:14 > 0:39:17I'm sure you have very important work to do.
0:39:19 > 0:39:22There really is no need to keep checking up on me.
0:39:22 > 0:39:26Well, if you're sure you can speed through everything on your own,
0:39:26 > 0:39:27I'll be in my office.
0:39:32 > 0:39:34Mr Briscoe's ultrasound.
0:39:35 > 0:39:38Tiny fragments in the biliary tract?
0:39:41 > 0:39:43Inflammation of the gallbladder.
0:39:43 > 0:39:45Mr Briscoe...
0:39:45 > 0:39:48well, I'm pleased to see you looking a bit more comfortable.
0:39:48 > 0:39:50I wouldn't go that far.
0:39:50 > 0:39:52We've got your ultrasound scan back
0:39:52 > 0:39:55and it seems that you have gallstones.
0:39:55 > 0:39:58And they've been causing me all this pain?
0:39:58 > 0:40:01Well, an infected gallstone can cause acute discomfort.
0:40:01 > 0:40:03Do you think he'll need surgery?
0:40:03 > 0:40:07Let's order an MR cholangiogram. It'll give us a clearer picture.
0:40:07 > 0:40:10I'm afraid it's back down to radiology for you.
0:40:10 > 0:40:13You had no idea this guy was delusional?
0:40:13 > 0:40:15- Nurse Lane had some concerns... - Which you dismissed?
0:40:15 > 0:40:18- A psych was booked post-theatre. - All right, 23 blade.
0:40:18 > 0:40:22Well, at least he didn't get to jump, right? Suction.
0:40:22 > 0:40:24All right, we're in.
0:40:24 > 0:40:26Ah! Great.
0:40:26 > 0:40:29All right, we've got to locate a bleed in here somewhere...
0:40:29 > 0:40:33I need more pads, more suction, platelets and FFPs.
0:40:33 > 0:40:34Come on, don't be shy.
0:40:36 > 0:40:40All right, there's a very large pseudo cyst.
0:40:40 > 0:40:43It must have eroded the splenic artery.
0:40:43 > 0:40:44Anything else you might have missed?
0:40:48 > 0:40:50So, how's our grumpy old man?
0:40:50 > 0:40:53Mr Briscoe or Mr Griffin?
0:40:54 > 0:40:58AAU can take some getting used to.
0:40:58 > 0:41:00Mr Briscoe's ultrasound - hard copy.
0:41:02 > 0:41:04They've taken him down for an MRI.
0:41:04 > 0:41:07- I thought it was quiet in here. - He fought in Korea, you know.
0:41:12 > 0:41:15Hang on, take a look at this...
0:41:15 > 0:41:16What would you say those were?
0:41:18 > 0:41:20They look like gallstones...
0:41:20 > 0:41:23And these? Same scan, original film.
0:41:24 > 0:41:27Well, they look more like fragments of metal.
0:41:27 > 0:41:28Shrapnel.
0:41:32 > 0:41:33St George's Day.
0:41:35 > 0:41:37- Yes. Yes, it is. - PAGER BUZZING
0:41:39 > 0:41:43I used to wear a rose, symbol of national pride.
0:41:45 > 0:41:46That's all gone now.
0:41:49 > 0:41:55An old man in his best suit, starch in his collar, buttonhole lapel...
0:41:55 > 0:41:57today, he's a figure of ridicule.
0:42:00 > 0:42:04It can be difficult sometimes, adjusting to circumstances.
0:42:05 > 0:42:08I open my front door...
0:42:08 > 0:42:11I don't even recognise the world outside.
0:42:11 > 0:42:13Things move on so fast.
0:42:14 > 0:42:18If you're having trouble coping, there are people who can help.
0:42:18 > 0:42:20I'm fine as I am.
0:42:23 > 0:42:25Thanks for the offer.
0:42:25 > 0:42:29I've still got me pride. Still got me dignity.
0:42:30 > 0:42:33- Mr Briscoe?- I'll bring him in.
0:42:36 > 0:42:40Watch me hips! I've got brittle bones, you know.
0:42:40 > 0:42:41Wait!
0:42:43 > 0:42:45Look!
0:42:45 > 0:42:48Those gallstones are pieces of shrapnel.
0:42:50 > 0:42:51See?
0:42:51 > 0:42:55- A magnetic field...- Could drag them towards a vital organ.
0:42:55 > 0:42:57What's she banging on about?
0:43:01 > 0:43:03The cyst didn't show up on the ultrasound.
0:43:03 > 0:43:06Well, clearly, it was there. You just didn't see it.
0:43:08 > 0:43:10Rollers, please.
0:43:15 > 0:43:19Yeah, OK, the bleed is under control. Ties, please. More suction.
0:43:21 > 0:43:22Come on, Digby, wake up.
0:43:25 > 0:43:27Hey, hey, careful, careful.
0:43:29 > 0:43:31Ah!
0:43:31 > 0:43:34Well, it was a pseudo cyst. Now it's a pancreatic fistula.
0:43:34 > 0:43:39- I'm sorry...- Robinson drain. Just focus on the patient.
0:43:42 > 0:43:46- I need to get some air. - Digby? Digby, get back here.
0:43:53 > 0:43:55HE PANTS
0:43:57 > 0:44:00- Arthur?- He was bleeding out.
0:44:00 > 0:44:02I couldn't breathe.
0:44:02 > 0:44:03You need to calm down.
0:44:03 > 0:44:07I think I'm having a heart attack.
0:44:13 > 0:44:15What are you doing?
0:44:15 > 0:44:18Here you go, breathe into this. Nice deep breaths.
0:44:20 > 0:44:21I'm dying.
0:44:21 > 0:44:25No, you're not. You're not dying. It's a panic attack, that's all.
0:44:25 > 0:44:28Just take nice deep breaths.
0:44:30 > 0:44:31Better?
0:44:36 > 0:44:40Grief needs to be tackled head on, Dr Valentine.
0:44:40 > 0:44:44You lost a sister... now you've lost a wife.
0:44:44 > 0:44:46Both under tragic circumstances.
0:44:48 > 0:44:51Now, I'm prepared to allow you to continue working.
0:44:54 > 0:44:56On condition that you attend counselling.
0:44:58 > 0:44:59Counselling?
0:44:59 > 0:45:02Well, Professor Hope is very concerned about you.
0:45:02 > 0:45:04It's really none of his business.
0:45:05 > 0:45:08We both have your interests at heart.
0:45:08 > 0:45:09I don't need a shrink.
0:45:09 > 0:45:12It's either that, or a period of leave.
0:45:14 > 0:45:17I've made you an appointment for you, tomorrow morning, ten o'clock.
0:45:22 > 0:45:25He's had these inside him for 60 years.
0:45:26 > 0:45:28I should have made the connection.
0:45:28 > 0:45:31You were busy. It was easily missed.
0:45:31 > 0:45:33Well, maybe if I'd been able to see properly.
0:45:35 > 0:45:36Good job I was here.
0:45:45 > 0:45:51Mr Briscoe, the shrapnel had caused an infection of the biliary tree.
0:45:51 > 0:45:54We're going to do what's called an ERCP.
0:45:54 > 0:45:56Sounds intrusive.
0:45:56 > 0:45:58It's a procedure which will clear out the infection.
0:45:59 > 0:46:01No more pain?
0:46:05 > 0:46:07That I can live with!
0:46:07 > 0:46:10We'll book you in for tomorrow morning.
0:46:11 > 0:46:15By the way, a few of us are going to Albie's later.
0:46:15 > 0:46:19- Give Tara a proper send-off. You're welcome to join.- Erm...
0:46:19 > 0:46:21Oi, Irish!
0:46:21 > 0:46:23I think that might be you he's after.
0:46:26 > 0:46:27Mr Briscoe?
0:46:29 > 0:46:33Glass for me teeth, darling. There's a good girl.
0:46:37 > 0:46:40I WAS hiding in the storeroom.
0:46:41 > 0:46:43I won't tell anyone.
0:46:47 > 0:46:49I was on my own, the patient crashed.
0:46:51 > 0:46:53It doesn't matter.
0:46:53 > 0:46:57It does matter because I'm a fraud, Chantelle.
0:46:57 > 0:46:59No, you're not.
0:46:59 > 0:47:03I only won that prize because Gemma had a hangover and...
0:47:03 > 0:47:05Tara was dying.
0:47:06 > 0:47:08You mustn't put yourself down.
0:47:08 > 0:47:11I can manage all the exams, the essays...
0:47:13 > 0:47:17..but if I can't deal with patients. Real people...
0:47:19 > 0:47:22..I don't know what kind of doctor that makes me.
0:47:28 > 0:47:31Karl's in HDU and he's been asking for you.
0:47:31 > 0:47:34Well, maybe he should be talking to his parents.
0:47:34 > 0:47:38Actually, he's refusing to speak to anyone except Dr Valentine.
0:47:49 > 0:47:51Still here, then?
0:47:51 > 0:47:52I was just leaving.
0:47:54 > 0:47:56Wish I could...
0:47:56 > 0:47:58They'll keep you in for a few more days.
0:47:58 > 0:48:00Might as well get used to the place then.
0:48:01 > 0:48:06- You should talk to your mum and dad. - I've got nothing to say to them.
0:48:06 > 0:48:08They were scared...that's all.
0:48:12 > 0:48:15I've had these cramps for weeks.
0:48:15 > 0:48:17That trial was coming up.
0:48:17 > 0:48:20- I didn't want to let my dad down. - You didn't.
0:48:21 > 0:48:23You didn't let anyone down.
0:48:27 > 0:48:28What's going to happen?
0:48:30 > 0:48:35Well...the steroid therapy will help with the muscle strength.
0:48:35 > 0:48:40Worse-case scenario...please?
0:48:40 > 0:48:41I want to know.
0:48:45 > 0:48:47Your condition will get worse.
0:48:49 > 0:48:53In a few years, you'll... probably need a wheelchair...
0:48:53 > 0:48:56your heart may well give up.
0:48:59 > 0:49:01There's a fair chance you won't live past middle age
0:49:01 > 0:49:02but, Karl, listen...
0:49:05 > 0:49:06..the important thing now...
0:49:09 > 0:49:10..we keep you monitored...
0:49:13 > 0:49:16..and you will need your mum and dad.
0:49:19 > 0:49:21I'm stronger than they think.
0:49:25 > 0:49:27Let me go and find them for you.
0:49:39 > 0:49:41Karl's asking for you.
0:49:43 > 0:49:44I don't know I can do this.
0:49:46 > 0:49:47Just talk to him.
0:49:48 > 0:49:50He's so angry.
0:49:53 > 0:49:54He'll come round.
0:49:59 > 0:50:01We'll manage.
0:50:06 > 0:50:10- What are you doing with her things? - Maintenance emptied Tara's locker.
0:50:10 > 0:50:12I brought them in here for safe keeping.
0:50:12 > 0:50:13Don't pretend like you've got my back.
0:50:13 > 0:50:16You just dropped me in it with Hanssen.
0:50:16 > 0:50:19Believe it or not, I am trying to protect you.
0:50:19 > 0:50:21It was your protection that led to this.
0:50:23 > 0:50:24And what's that supposed to mean?
0:50:25 > 0:50:28If you'd told me the truth about Tara's illness...
0:50:30 > 0:50:33I wasn't protecting you, that was Tara's decision.
0:50:33 > 0:50:36It wasn't my place to...
0:50:36 > 0:50:37If you'd told me the truth,
0:50:37 > 0:50:40I could have persuaded her to have that surgery earlier.
0:50:41 > 0:50:45Oliver, you can't seriously blame me for Tara's death.
0:50:48 > 0:50:49Oh, yes, I can.
0:50:55 > 0:50:56Digby...
0:50:59 > 0:51:02..you should have come to me. The moment you had concerns.
0:51:02 > 0:51:04We're a team, remember?
0:51:05 > 0:51:08Now Daniel's going to get proper psychiatric support.
0:51:08 > 0:51:09All the help he needs.
0:51:10 > 0:51:13I suppose you're going to have to mention it to Mr Hanssen?
0:51:13 > 0:51:16Well, you will have to fill out an incident report
0:51:16 > 0:51:17and he will read that report.
0:51:17 > 0:51:20Just like everyone else. All right?
0:51:22 > 0:51:24Mr Spence...
0:51:25 > 0:51:29..I'm sorry I panicked in theatre. It won't happen again.
0:51:29 > 0:51:30OK.
0:51:34 > 0:51:36You think too much.
0:51:36 > 0:51:40- I think I've been told that before. - That's your problem.
0:51:40 > 0:51:43I, sort of, think I rationalise. That's sensible, isn't it?
0:51:43 > 0:51:46People skills we can work on.
0:51:46 > 0:51:48In the meantime, I have a solution.
0:51:48 > 0:51:50Right, I was afraid you might.
0:51:50 > 0:51:53You do the thinking, I'll do the talking.
0:51:55 > 0:51:57And what if I panic?
0:51:57 > 0:52:00(I'll carry a paper bag. It can be our secret.)
0:52:00 > 0:52:02Wow. You'd do that for me? That's...
0:53:14 > 0:53:16Are you still here?
0:53:16 > 0:53:19I never finish a shift with paperwork outstanding.
0:53:20 > 0:53:24We've been employing you on an agency basis for a good few years now.
0:53:24 > 0:53:26Doesn't time fly when you're having fun?
0:53:26 > 0:53:28It's hardly cost effective.
0:53:28 > 0:53:30Well, that depends who you're talking to.
0:53:30 > 0:53:33You wouldn't like a job on a permanent basis?
0:53:33 > 0:53:35Are you saying there's a job on offer?
0:53:35 > 0:53:39It's a permanent position or your P45.
0:53:47 > 0:53:50Didn't expect to see you here today.
0:53:50 > 0:53:52Well, life goes on.
0:53:52 > 0:53:55I am so sorry...about Tara.
0:53:57 > 0:54:00Where are you going, all dressed up like that?
0:54:00 > 0:54:01Oh, nowhere special.
0:54:01 > 0:54:05Just heading to Albie's for a bit of a late drink.
0:54:05 > 0:54:09Yeah, you know, being a doctor is fun, but it's hard work.
0:54:09 > 0:54:12My main thing's that I want to be a consultant. Excuse me.
0:54:12 > 0:54:15Hey, thought I'd been stood up.
0:54:15 > 0:54:16My mother's been taken ill.
0:54:16 > 0:54:19I'm sorry. Is she OK?
0:54:19 > 0:54:22TIA, they sent her home from St James's.
0:54:22 > 0:54:24You should be there?
0:54:24 > 0:54:26She's asleep. My sister's with her.
0:54:26 > 0:54:28I need a drink. Same again?
0:54:28 > 0:54:29Yeah.
0:54:35 > 0:54:37Two beers, please.
0:54:38 > 0:54:42I thought, maybe, we could go for a curry or something...? PHONE RINGING
0:54:44 > 0:54:45Rhys!
0:54:47 > 0:54:49Now?
0:54:49 > 0:54:51Nothing special.
0:54:54 > 0:54:56Yeah, yeah, that sounds lovely!
0:54:58 > 0:55:00Excuse me a second.
0:55:02 > 0:55:05Dominic...New F1.
0:55:05 > 0:55:06I had my induction on Keller this morning.
0:55:06 > 0:55:09Oh, hope your Health and Safety's up to speed(!)
0:55:09 > 0:55:12First proper day tomorrow. I'm looking forward to getting started.
0:55:12 > 0:55:14Especially working with you.
0:55:14 > 0:55:18- Careful what you wish for. - Can I get you another?
0:55:18 > 0:55:19I'm OK, thanks.
0:55:19 > 0:55:20Some other time maybe.
0:55:20 > 0:55:22I might hold you to that.
0:55:26 > 0:55:27Hey!
0:55:32 > 0:55:35Glad to see everyone's having fun.
0:55:35 > 0:55:37Listen, no disrespect, OK?
0:55:37 > 0:55:41We're just trying to let off some steam.
0:55:45 > 0:55:47Well, someone turn the music up.
0:55:52 > 0:55:55He's picking me up in 20 minutes. Time for one more.
0:55:55 > 0:55:57I think I'm going to head off, actually.
0:55:57 > 0:55:59Oh...OK.
0:55:59 > 0:56:04Yeah, it's been a bit full-on and I'm shattered, so, erm...
0:56:04 > 0:56:06Yeah, I'll see you tomorrow.
0:56:06 > 0:56:07See you tomorrow.
0:56:10 > 0:56:11Team Keller!
0:56:11 > 0:56:13Team Keller. Yeah.
0:56:29 > 0:56:30Trying day?
0:56:32 > 0:56:34Teething problems.
0:56:34 > 0:56:38I know from experience, AAU can be something of a slog.
0:56:38 > 0:56:40Especially for old-timers like...us.
0:56:42 > 0:56:45Actually, I found the experience rather invigorating.
0:56:45 > 0:56:48Well, you know what they say, "A change is as good as a rest,"
0:56:48 > 0:56:53and, I can tell you now, there are going to be some big changes.
0:56:54 > 0:56:56Meaning?
0:56:56 > 0:56:59Mr Hanssen's decided to go back to the floor.
0:56:59 > 0:57:04So, as of today, I'm effectively in charge.
0:57:15 > 0:57:17CRUNCHING
0:57:33 > 0:57:35Maybe I should walk him home?
0:57:35 > 0:57:37You never miss a trick, do you?
0:57:37 > 0:57:38You're funny.
0:57:40 > 0:57:41You OK, Ollie?
0:57:42 > 0:57:45Now, that's a question.
0:57:45 > 0:57:47And that's not the answer.
0:57:47 > 0:57:52- Look, don't you think you've had enough?- I'm just getting started.
0:57:52 > 0:57:54Why don't you leave me to it?
0:58:31 > 0:58:34Subtitles by Red Bee Media Ltd