0:00:38 > 0:00:40All these bright young things.
0:00:40 > 0:00:42Makes one feel rather like a dinosaur.
0:00:42 > 0:00:44There are going to be some big changes.
0:00:44 > 0:00:49As of today, I'm effectively in charge.
0:00:51 > 0:00:54Oliver, you can't seriously blame me for Tara's death.
0:00:54 > 0:00:55Oh, yes, I can.
0:00:55 > 0:00:58You do the thinking, I'll do the talking.
0:00:58 > 0:00:59What if I panic?
0:00:59 > 0:01:01I'll carry a paper bag.
0:01:01 > 0:01:02Don't you think you've had enough?
0:01:02 > 0:01:04I'm just getting started.
0:01:13 > 0:01:14DOOR SLAMS
0:01:17 > 0:01:20Heavy hangs the head that last night wore the crown.
0:01:21 > 0:01:24You look like I feel, and I've just finished a double shift.
0:01:25 > 0:01:26I take it you were out on the town.
0:01:26 > 0:01:29I wouldn't say out on the town exactly.
0:01:29 > 0:01:31No. Sorry.
0:01:31 > 0:01:33That's OK.
0:01:34 > 0:01:35You off home?
0:01:35 > 0:01:37Yeah. To the land of nod.
0:01:38 > 0:01:40- Goodnight. - Take care.
0:01:49 > 0:01:52Apologies. There was a big RTA. Thanks.
0:01:52 > 0:01:53Did you assist?
0:01:53 > 0:01:55No, no, no. I'm needed here.
0:01:55 > 0:01:58Plus, the police had closed off several of the junctions
0:01:58 > 0:02:01before the crash site so I wouldn't have been able to get near anyway.
0:02:01 > 0:02:02Must be big?
0:02:04 > 0:02:07Yeah, I think so. Air ambulance flew over.
0:02:07 > 0:02:08I guess we should be on stand-by.
0:02:08 > 0:02:10I doubt it. St James's is nearer.
0:02:10 > 0:02:13We may get a one or two patients if they struggle for space,
0:02:13 > 0:02:16but we shouldn't really be affected, especially on Keller.
0:02:23 > 0:02:27Ah, Professor. Are you here to see me?
0:02:27 > 0:02:30Yes, I wanted to talk to you about Dr Valentine.
0:02:30 > 0:02:32Behaving himself?
0:02:32 > 0:02:33He hasn't arrived as yet.
0:02:33 > 0:02:36There's an RTA on the ring road, everyone's running a bit late.
0:02:36 > 0:02:37Not everyone.
0:02:38 > 0:02:41But that's not the reason that I'm here.
0:02:41 > 0:02:44It's with regards to yesterday's little hiccup.
0:02:44 > 0:02:47Dr Valentine's decision to ignore his superiors and operate
0:02:47 > 0:02:51without your authorisation can hardly be described as a hiccup.
0:02:51 > 0:02:56It's uncomfortable, but he appears to be blaming me for Tara's death.
0:02:58 > 0:03:02It's fairly clear that Dr Valentine is very troubled.
0:03:02 > 0:03:04Understandable, given the circumstances.
0:03:04 > 0:03:08Quite. So that's why I thought, with your blessing,
0:03:08 > 0:03:11that maybe I should take him under my wing, so to speak.
0:03:11 > 0:03:13As much as your heart is in the right place,
0:03:13 > 0:03:16Dr Valentine has agreed to professional counselling.
0:03:16 > 0:03:17Really?
0:03:17 > 0:03:19And I suggest we let them care of him.
0:03:33 > 0:03:36Is this working for you? Is it helping?
0:03:36 > 0:03:40It's just making me go a bit light-headed.
0:03:40 > 0:03:43Meditative breathing techniques can do that.
0:03:43 > 0:03:45Just breathe in through the nose...
0:03:45 > 0:03:47and out through the mouth. Just helps calms nerves.
0:03:49 > 0:03:52I prefer a good cup of tea. Gives me a lift.
0:03:52 > 0:03:58You just feel the space between the vertebrae, just extending, reaching,
0:03:58 > 0:04:00head floating on top of the spine like a balloon,
0:04:00 > 0:04:02and breathing in through the nose and out through the mouth.
0:04:05 > 0:04:07You'll be fine today.
0:04:07 > 0:04:08Best F1 in the hospital.
0:04:08 > 0:04:10Thank you.
0:04:10 > 0:04:13I'm not sure Mr Spence would agree, though.
0:04:13 > 0:04:16Don't be silly. It was just a blip. Happens to everyone.
0:04:21 > 0:04:23I might try this before my next date with Rhys.
0:04:26 > 0:04:27We had a lovely night.
0:04:27 > 0:04:31We went for cocktails. Have you ever had a Bellini?
0:04:31 > 0:04:32No, I can't say that I have.
0:04:32 > 0:04:36It went straight to my head, I nearly fell off my stool, I did!
0:04:36 > 0:04:38And then we went to a posh restaurant for fat chips.
0:04:39 > 0:04:41Amazing.
0:04:41 > 0:04:42It was!
0:04:44 > 0:04:47In through the nose, and out through the mouth.
0:04:52 > 0:04:54You wanted to see me?
0:04:54 > 0:04:55Thank you. Yes.
0:04:57 > 0:05:01I... I wanted to talk to you about yesterday.
0:05:01 > 0:05:02You'd like me to apologise?
0:05:02 > 0:05:04No, no, no, not at all.
0:05:04 > 0:05:08I just think it might be wise to make a fresh start,
0:05:08 > 0:05:11turn over a new leaf, put everything behind us.
0:05:11 > 0:05:12Everything?
0:05:12 > 0:05:15I think what you need - well, what we both need - is to move forward.
0:05:18 > 0:05:21Let me help. I know what you're going through.
0:05:23 > 0:05:25Will that be all?
0:05:25 > 0:05:26I've got work to do.
0:05:33 > 0:05:36First up, we have Marc Greene.
0:05:36 > 0:05:39Ileocecal resection resulting from Crohn's.
0:05:39 > 0:05:42You'll see from the notes that he had lung cancer some years ago,
0:05:42 > 0:05:44and although he's been in remission ever since,
0:05:44 > 0:05:48he's now reluctant to have any further medical intervention.
0:05:48 > 0:05:49He's had enough?
0:05:49 > 0:05:51Not quite.
0:05:51 > 0:05:54So why opt for open surgery when it could be done laparoscopically?
0:05:54 > 0:05:56Why don't you ask him?
0:05:56 > 0:05:59Now, go easy on him, his family and I have had a hard time
0:05:59 > 0:06:02persuading him to come into Holby at all.
0:06:02 > 0:06:05Good morning, Mr Greene. How are we today?
0:06:05 > 0:06:08Not so bad, Mr Griffin. How are you doing?
0:06:08 > 0:06:09Very well, thank you.
0:06:09 > 0:06:13Marc, my colleague and I were just discussing you.
0:06:13 > 0:06:15Ah, I thought my ears were burning.
0:06:16 > 0:06:17So?
0:06:17 > 0:06:20I just wanted to ask why you'd opted for open surgery
0:06:20 > 0:06:21rather than keyhole.
0:06:21 > 0:06:25Too much messing about is the easy answer.
0:06:25 > 0:06:28I was tree surgeon before I retired.
0:06:28 > 0:06:32Now the only trees I do are this lot here. Genealogy.
0:06:34 > 0:06:37When I came across a diseased tree,
0:06:37 > 0:06:41there was no fancy pruning here and there.
0:06:41 > 0:06:46I want straight in with the chainsaw and pollarded it,
0:06:46 > 0:06:47hacked it right back.
0:06:48 > 0:06:50Same with my lungs, really.
0:06:50 > 0:06:54They cut half of those away, and stopped it in its tracks.
0:06:55 > 0:06:58This won't cure the Crohn's, Mr Greene.
0:06:58 > 0:06:59But after the resection,
0:06:59 > 0:07:03you will be able to eat and digest much more easily.
0:07:03 > 0:07:05It will improve your quality of life.
0:07:05 > 0:07:08You'll do right by me, won't you?
0:07:08 > 0:07:10I'll be with you every step of the way.
0:07:10 > 0:07:12You carry on without me, I'll be right back.
0:07:17 > 0:07:19Is there a problem, Mr Spence?
0:07:19 > 0:07:20No.
0:07:21 > 0:07:23Serena hasn't spoken to you, has she?
0:07:25 > 0:07:28It was noted how AAU had benefited from you being there,
0:07:28 > 0:07:30knocking everything into shape.
0:07:30 > 0:07:33Are you suggesting I return to AAU more permanently?
0:07:33 > 0:07:38Well, Mr Spence and Mr Malick can cover here on Keller, and perhaps
0:07:38 > 0:07:41a stint on AAU might allow you to bring your emergency skills
0:07:41 > 0:07:44in line with Medical Staff Committee requirements.
0:07:46 > 0:07:49I'm sorry, are you asking me to re-train?
0:07:51 > 0:07:53As if I'd ever ask such a thing.
0:07:55 > 0:07:58But you know what the Medical Staff Committee are like.
0:07:58 > 0:08:01They could, at the drop of a hat, review everyone's training,
0:08:01 > 0:08:04then, perhaps they'd see that your emergency medicine
0:08:04 > 0:08:05is a little...
0:08:08 > 0:08:09..out-dated.
0:08:10 > 0:08:12Might be a bit embarrassing for someone of your standing
0:08:12 > 0:08:14to be told to update.
0:08:26 > 0:08:28Can't keep away from us for long, can you, Mr Griffin?
0:08:28 > 0:08:31Just as well. I've got an urgent consult here, please!
0:08:31 > 0:08:32I need you over here, Mr Griffin!
0:08:32 > 0:08:33Mr Griffin!
0:08:33 > 0:08:35Mr Griffin!
0:08:40 > 0:08:41Bed eight, please.
0:08:46 > 0:08:50Dr Valentine. I've arranged the transfer of a patient.
0:08:50 > 0:08:52I wondered if you could assist.
0:08:52 > 0:08:53Sorry.
0:08:53 > 0:08:55I could give you a hand with that later.
0:08:57 > 0:09:00The patient has post-heart transplant complications,
0:09:00 > 0:09:03which ties in neatly with a forthcoming lecture
0:09:03 > 0:09:05on the history of heart transplants in the UK.
0:09:08 > 0:09:11If you were to assist with patient care,
0:09:11 > 0:09:14you'd build up a credit towards your CT year one.
0:09:17 > 0:09:18OK.
0:09:21 > 0:09:22But that's it, just work.
0:09:22 > 0:09:25I don't want you counselling me, advising me on anything,
0:09:25 > 0:09:27nothing to do with my personal life.
0:09:27 > 0:09:29It's just work, OK?
0:09:33 > 0:09:34It's a venepuncture.
0:09:34 > 0:09:36What is that? I don't understand.
0:09:39 > 0:09:41Hiya. Dr Digby just needs to take
0:09:41 > 0:09:43a really small blood sample, that's all.
0:09:44 > 0:09:49Ooh, this looks interesting. Is it a family tree?
0:09:49 > 0:09:51Genealogy.
0:09:51 > 0:09:52Beg your pardon?
0:09:52 > 0:09:55Yes, it's a family tree.
0:09:55 > 0:09:58Like I said. Hey, are you related to anyone famous?
0:09:58 > 0:09:59I haven't found anybody yet.
0:10:00 > 0:10:04I have a cousin who got through to boot camp on The X Factor.
0:10:05 > 0:10:08Yes, it's in. Thank you.
0:10:08 > 0:10:10Digs, could you take Mrs Anderson's bloods?
0:10:10 > 0:10:12We need to get them over to the path lab ASAP.
0:10:12 > 0:10:14Digby? I've got a couple of jobs for you.
0:10:14 > 0:10:16Dr Digby's helping me with my lists.
0:10:16 > 0:10:17Sorry, I need him. You'll manage.
0:10:21 > 0:10:22When did this start, Adam?
0:10:23 > 0:10:24Couple of days ago.
0:10:26 > 0:10:28Pains. Shooting pains.
0:10:28 > 0:10:30Chest, arms, shoulders, everywhere.
0:10:31 > 0:10:34You had your transplant, what, two years ago?
0:10:34 > 0:10:36Up in Scotland.
0:10:36 > 0:10:38I take it you're on top of your post-transplant meds?
0:10:38 > 0:10:39Yeah. Yeah.
0:10:40 > 0:10:45OK. Well, these complications sometimes appear
0:10:45 > 0:10:46and we don't know why.
0:10:48 > 0:10:51OK. 20mg frusemide IV now, please.
0:10:51 > 0:10:54The usual bloods, cardiac enzyme, echo, angiogram
0:10:54 > 0:10:56and a duplex ultrasound, please. Thank you.
0:10:57 > 0:10:59The heart's packing up?
0:10:59 > 0:11:01Your heart is our likeliest suspect, yes.
0:11:02 > 0:11:04Aye. I thought so.
0:11:04 > 0:11:06But let's not get ahead of ourselves.
0:11:06 > 0:11:10We'll get these tests done, then see where we're at.
0:11:10 > 0:11:13It's OK. You're in safe hands here. We'll take good care of you.
0:11:13 > 0:11:14Yeah?
0:11:15 > 0:11:16You'll be all right.
0:11:20 > 0:11:23Adam's notes are a little on the thin side. All a bit strange, isn't it?
0:11:27 > 0:11:31Dance with me, doctor.
0:11:31 > 0:11:34I'm afraid my dancing days are over.
0:11:34 > 0:11:38You're never too old to dance. Margot Fonteyn was in her forties.
0:11:38 > 0:11:40Hello again, Sally.
0:11:40 > 0:11:42Oh, hello there, sweetheart!
0:11:42 > 0:11:46The doctor won't dance with me, but you will, won't you?
0:11:46 > 0:11:49Oh, I would love to, but I'm just a wee bit busy at the minute.
0:11:49 > 0:11:52I danced with Nureyev, you know.
0:11:52 > 0:11:54We know, Sally, you've told us that before.
0:11:54 > 0:11:57Why don't we find you a bed, and I'll get Mr Griffin to come
0:11:57 > 0:11:59- and take a look at that wrist of yours.- Lovely.
0:12:01 > 0:12:03We're even busier than the last time you were here,
0:12:03 > 0:12:05so we would really appreciate it if...
0:12:05 > 0:12:06If I rushed patients in and out?
0:12:06 > 0:12:10The thing is, there's not many consultancy roles around, you know?
0:12:10 > 0:12:12And with Mr Griffin swapping places with Mr Spence,
0:12:12 > 0:12:14it's going to be even harder for me to break through.
0:12:14 > 0:12:18I mean, Nath, how am I supposed to move up on the career ladder?
0:12:18 > 0:12:20I'm sorry, here I am going on and on,
0:12:21 > 0:12:24and you're trying to deal with your mum.
0:12:24 > 0:12:25It's fine.
0:12:25 > 0:12:26How's she doing?
0:12:26 > 0:12:29Ah, you know. I'm going to see her tonight.
0:12:30 > 0:12:31Would you like me to come?
0:12:33 > 0:12:35That'd be great.
0:12:35 > 0:12:38I'll let you know when I'm leaving.
0:12:38 > 0:12:39See you later.
0:12:45 > 0:12:47Oliver, any more news?
0:12:47 > 0:12:48Yes, I spoke to the donor register,
0:12:48 > 0:12:51they're going to send you through the history on Adam's heart.
0:12:53 > 0:12:55And then we'll have more information on the heart
0:12:55 > 0:12:57than we have on the patient.
0:12:58 > 0:13:00Hello, again.
0:13:00 > 0:13:03I'd just like to have a little chat about your medical history.
0:13:04 > 0:13:07I spoke with your consultant,
0:13:07 > 0:13:11and she says that in the last 18 months, you've failed to attend
0:13:11 > 0:13:13any of your follow-up appointments.
0:13:13 > 0:13:14Aye.
0:13:15 > 0:13:17Any particular reason?
0:13:17 > 0:13:18Well, I moved down here, yeah.
0:13:18 > 0:13:21And you didn't return for any follow-up assessments?
0:13:21 > 0:13:22It's too far away.
0:13:25 > 0:13:27Well, I imagine that the hospital would have given you
0:13:27 > 0:13:29the option to transfer somewhere else.
0:13:29 > 0:13:31No.
0:13:31 > 0:13:34They have tried to contact you on several occasions,
0:13:34 > 0:13:35through your GP and...
0:13:35 > 0:13:37Maybe they did, maybe they didn't.
0:13:37 > 0:13:40I don't know. I didn't get any letters or anything.
0:13:40 > 0:13:44OK. Right. We'll be back when we've your results. Thank you.
0:13:48 > 0:13:50I'm not sure we're getting the full story here.
0:13:51 > 0:13:55Would you have a little chat with him? See if he'll tell you anything?
0:13:55 > 0:13:56Me?
0:13:56 > 0:13:58I don't seem to be getting anywhere.
0:14:01 > 0:14:02OK.
0:14:03 > 0:14:05Thank you.
0:14:06 > 0:14:07Mr Griffin?
0:14:07 > 0:14:12Jonathan Ferry, full-thickness wound suffered in the RTA.
0:14:12 > 0:14:17Mr Griffin. You won't remember me, I came to see you over a year ago.
0:14:17 > 0:14:21I'm on your list for a vascular reconstruction.
0:14:21 > 0:14:25Yes, Mr Ferry, yep. Do you mind if I take a look?
0:14:25 > 0:14:26Be my guest.
0:14:26 > 0:14:27Can I have some gloves, please?
0:14:28 > 0:14:31So you were involved in the crash?
0:14:31 > 0:14:34The police talked to me about it,
0:14:34 > 0:14:36I told them it had nothing to do with me.
0:14:36 > 0:14:39It was some idiot hurtling past, must've been 100 miles an hour.
0:14:41 > 0:14:43So we haven't yet had the pleasure of your company
0:14:43 > 0:14:47for the vascular reconstruction?
0:14:47 > 0:14:49It was cancelled. Twice.
0:14:49 > 0:14:51My apologies.
0:14:51 > 0:14:54Not at all. These things, out of one's own control, do happen.
0:14:58 > 0:15:00Well, I don't see any debris in the wound,
0:15:00 > 0:15:05but we won't know for sure unless we do a laparotomy.
0:15:05 > 0:15:07An operation?
0:15:07 > 0:15:10Yes. Would you mind prepping Mr Ferry, please?
0:15:10 > 0:15:11I won't be leaving today?
0:15:11 > 0:15:13I'm afraid not.
0:15:13 > 0:15:15If you need to let anybody know that you're here,
0:15:15 > 0:15:17I suggest you make those calls now.
0:15:17 > 0:15:18I don't have a mobile phone.
0:15:19 > 0:15:24I know I should have, but I'm a bit of a dinosaur, you see.
0:15:24 > 0:15:26Is there a payphone I can use?
0:15:26 > 0:15:28Yes. Nurse Carter.
0:15:28 > 0:15:30Would you mind helping Mr Ferry, please?
0:15:30 > 0:15:32He needs to make some calls.
0:15:34 > 0:15:35I'm a secretary now, am I?
0:15:35 > 0:15:37Don't push your luck, Nurse Carter.
0:15:39 > 0:15:42Adam, is there anyone you'd like us to call?
0:15:42 > 0:15:43Let them know you're here? Family...?
0:15:43 > 0:15:44No.
0:15:44 > 0:15:48There isn't anyone? Or you don't want me to call anyone?
0:15:48 > 0:15:52You see, I've got to put someone's name down here, in case of emergency.
0:15:52 > 0:15:53Kenny. My brother.
0:15:53 > 0:15:57Just put his name in here, his address, yours overleaf.
0:15:57 > 0:15:59Thank you.
0:15:59 > 0:16:01I don't want him contacted.
0:16:01 > 0:16:04He'll be here before you know it. On at me, like always -
0:16:04 > 0:16:05telling me what to do and that.
0:16:05 > 0:16:07I won't call him.
0:16:07 > 0:16:10What's going to happen to me? You going to cut me open?
0:16:10 > 0:16:12Let's just wait for the results of the tests, shall we?
0:16:12 > 0:16:14And if they confirm what you think?
0:16:15 > 0:16:18If the arteries are significantly blocked, then yes,
0:16:18 > 0:16:20the safest option would be a coronary bypass.
0:16:20 > 0:16:23OK. I don't want that. I won't consent to that.
0:16:25 > 0:16:28I've had enough... enough operations, hospitals...
0:16:28 > 0:16:31Is that why you didn't go to any of the follow-up appointments?
0:16:31 > 0:16:32Adam?
0:16:32 > 0:16:34Why?
0:16:34 > 0:16:35I don't know. I just...
0:16:35 > 0:16:38I stopped feeling like me.
0:16:40 > 0:16:42I was like a rat in a lab, you know?
0:16:42 > 0:16:45Tests, medicines, consultations.
0:16:45 > 0:16:49Everyone doing something to me, telling me what I can and can't do.
0:16:49 > 0:16:50Get off, will you!
0:16:50 > 0:16:52OK, OK.
0:16:52 > 0:16:53Calm down.
0:16:54 > 0:16:55You all right?
0:16:55 > 0:16:56Aye.
0:16:56 > 0:16:58- Thanks, Kate.- Sorry, hen.
0:17:00 > 0:17:03Just under a bit of pressure, you know...
0:17:03 > 0:17:04It can't be easy...
0:17:04 > 0:17:06It's all talk, they don't listen.
0:17:06 > 0:17:08They don't have the time.
0:17:08 > 0:17:11And they're all experts on heart transplants, you know,
0:17:11 > 0:17:13and none of them have had one.
0:17:13 > 0:17:15I have.
0:17:15 > 0:17:17They don't listen. Nobody does.
0:17:19 > 0:17:20I will.
0:17:23 > 0:17:24Let me help you.
0:17:25 > 0:17:26Yeah?
0:17:26 > 0:17:28Yeah.
0:17:29 > 0:17:30Tell me what you need.
0:17:32 > 0:17:34There's... something...
0:17:34 > 0:17:35Yes?
0:17:37 > 0:17:39Can you take it out?
0:17:39 > 0:17:40Take what out?
0:17:40 > 0:17:43This. Take out the heart. Please.
0:17:45 > 0:17:47I'm steady on my feet, usually.
0:17:47 > 0:17:49You were a ballet dancer, weren't you?
0:17:49 > 0:17:55Nobody could touch my fishdive. I was the best in the business.
0:17:55 > 0:17:58Have you had anything at all to drink today, Sally?
0:17:58 > 0:18:03A little cider, that's all. I'm trying to stop, you see.
0:18:04 > 0:18:07Ow! Don't manhandle me so!
0:18:09 > 0:18:11Did you hit your head, when you fell?
0:18:11 > 0:18:13I certainly did not hit my head.
0:18:13 > 0:18:16I didn't fall, I tripped.
0:18:16 > 0:18:19Must've been a loose paving stone.
0:18:20 > 0:18:24Hey, I could put in a claim, couldn't I?
0:18:26 > 0:18:29I can't afford not to.
0:18:29 > 0:18:32Well, you'll understand, darling, being a nurse.
0:18:32 > 0:18:33You're all skint as I am.
0:18:35 > 0:18:36Well, I think it's just sprained,
0:18:36 > 0:18:39but let's do an X-ray anyway, just to be on the safe side.
0:18:39 > 0:18:41Agency, aren't you?
0:18:41 > 0:18:42No, I'm permanent now.
0:18:42 > 0:18:44- Are you?- Good for you!
0:18:44 > 0:18:45Don't look too excited now(!)
0:18:49 > 0:18:51That girl's a sweetheart, do you hear?
0:18:56 > 0:18:59Mr Ferry. I've been thinking.
0:18:59 > 0:19:02Since we're putting you under for the laparotomy,
0:19:02 > 0:19:05I could do your vascular reconstruction at the same time.
0:19:05 > 0:19:07It would mean a longer stay in the short-term,
0:19:07 > 0:19:10but you wouldn't have to come in twice.
0:19:10 > 0:19:11How would you feel about that?
0:19:11 > 0:19:14My business and I would be overjoyed, Mr Griffin!
0:19:14 > 0:19:16I rather thought that might be the case.
0:19:20 > 0:19:21Ah, just the man.
0:19:22 > 0:19:24Did you get my message?
0:19:24 > 0:19:25Indeed.
0:19:25 > 0:19:28With Mr Griffin transferring to AAU, I thought this could be a good time
0:19:28 > 0:19:30to discuss the possibility of expanding my role.
0:19:30 > 0:19:32I couldn't agree more.
0:19:32 > 0:19:34To consultant?
0:19:34 > 0:19:36Absolutely.
0:19:36 > 0:19:37PAGER BEEPS
0:19:37 > 0:19:39And the more students you successfully mentor
0:19:39 > 0:19:42in your capacity as Clinical Skills Tutor, the better.
0:19:42 > 0:19:44It means the scales will be weighted in your favour
0:19:44 > 0:19:46when a consultant role does become available.
0:19:46 > 0:19:51And, fortunately for you, we have a new F1 - Dr Copeland.
0:19:51 > 0:19:54I'm sure Mr Malick will take care of you from here on in.
0:19:54 > 0:19:56Sorry, I really do have to deal with this.
0:19:57 > 0:19:59Have fun.
0:20:03 > 0:20:04Dominic.
0:20:05 > 0:20:07Pleased to meet you.
0:20:07 > 0:20:08We have kind of met before.
0:20:10 > 0:20:11At Albie's?
0:20:12 > 0:20:14Oh right, yeah. Yeah, of course.
0:20:14 > 0:20:17I'm just really excited to be here.
0:20:19 > 0:20:21Take out his heart?!
0:20:21 > 0:20:23He said it remembers things.
0:20:23 > 0:20:25The heart remembers things?
0:20:25 > 0:20:26Its previous life.
0:20:26 > 0:20:29He says it's still in pain from the death of the donor.
0:20:29 > 0:20:31Cellular memory.
0:20:32 > 0:20:35The idea that organs other than the brain,
0:20:35 > 0:20:37are alive with memories of a previous life, as it were.
0:20:40 > 0:20:43Ridiculous, I know, but believers like to make a case for it,
0:20:43 > 0:20:46particularly when it's an emotive organ like the heart.
0:20:46 > 0:20:49They cite feelings after the end of a relationship,
0:20:49 > 0:20:53heartbreak, heartache and so forth.
0:20:53 > 0:20:58If that's what he truly believes and he's refusing treatment,
0:20:58 > 0:21:00then we need to get a psych consult in to see him.
0:21:00 > 0:21:01No.
0:21:01 > 0:21:04Sorry, Professor, with the greatest respect, I don't think a psych
0:21:04 > 0:21:08evaluation would be at all beneficial for this patient at this time.
0:21:08 > 0:21:10And what leads you to that conclusion?
0:21:10 > 0:21:11I've talked to...
0:21:12 > 0:21:13I've listened to Adam.
0:21:15 > 0:21:18He's fed up with people talking at him.
0:21:18 > 0:21:19Please, leave it with me.
0:21:19 > 0:21:21I think I could get through to him.
0:21:21 > 0:21:24If it's cellular memory, we need a psychiatric evaluation,
0:21:24 > 0:21:25no ifs or buts.
0:21:26 > 0:21:27You know best.
0:21:33 > 0:21:35The on-call psychiatrist is coming to see you.
0:21:36 > 0:21:38- To talk.- To listen.
0:21:40 > 0:21:42- How do you know? - I don't.
0:21:43 > 0:21:45Just give them a chance, they might be able to help.
0:21:45 > 0:21:46Nah.
0:21:50 > 0:21:52They won't listen, they just judge.
0:21:54 > 0:21:56- I can't trust anyone. - You can trust me.
0:21:58 > 0:22:00Did you call my brother?
0:22:00 > 0:22:02You asked me not to.
0:22:02 > 0:22:03Thanks.
0:22:06 > 0:22:08Can I tell you something?
0:22:10 > 0:22:11You can't repeat it.
0:22:12 > 0:22:15If you do, they'll lock me up, they'll think I'm tapped.
0:22:15 > 0:22:16You can trust me.
0:22:17 > 0:22:19This... This isn't kind.
0:22:21 > 0:22:23This is hateful. It's pure evil.
0:22:27 > 0:22:28- You don't know that. - I do.
0:22:30 > 0:22:31Oh, I do.
0:22:34 > 0:22:38It's brimming with violence, I know it because I feel it.
0:22:41 > 0:22:44Ever since they stuffed it into me, I've felt hurt.
0:22:44 > 0:22:47I've wanted to cause hurt, I've wanted to hurt people, you know?
0:22:49 > 0:22:51This... this is a heart of a murderer.
0:22:53 > 0:22:57And that's why it has to come out. It has to die so no-one else will.
0:23:00 > 0:23:01If it dies, then you die.
0:23:03 > 0:23:04I know.
0:23:06 > 0:23:08Hairline scaphoid fracture.
0:23:09 > 0:23:11This should really have been sorted out in the ED.
0:23:13 > 0:23:16Nurse Carter will pop your wrist into plaster,
0:23:16 > 0:23:17and then you can be on your way.
0:23:17 > 0:23:19Oh, please don't.
0:23:19 > 0:23:21Have you seen anyone trying to do an arabesque
0:23:21 > 0:23:23with a plaster on their arm?
0:23:23 > 0:23:25I trust you're OK with that?
0:23:25 > 0:23:26I think I can manage.
0:23:26 > 0:23:28Are you keeping me in?
0:23:28 > 0:23:29That won't be necessary.
0:23:29 > 0:23:33Oh, please? It's bitterly cold outside
0:23:33 > 0:23:38and I hate it when my muscles all seize up and... oh!
0:23:38 > 0:23:40Are you OK, Sally?
0:23:40 > 0:23:42I've had a little accident. I'm so sorry.
0:23:42 > 0:23:45It's OK. You're not the first and you won't be the last.
0:23:45 > 0:23:47We'll get you sorted out, OK?
0:23:48 > 0:23:50- Are you heading into theatre now? - Yeah.
0:23:50 > 0:23:52OK, I'm a little worried.
0:23:52 > 0:23:54Zoe in the ED called, she said they're really stretched.
0:23:54 > 0:23:56What if more casualties from the RTA are brought in?
0:23:56 > 0:23:58I seriously doubt they'll be sent here.
0:23:58 > 0:24:00St James's is the receiving hospital.
0:24:00 > 0:24:03You can always page me if it's an emergency.
0:24:03 > 0:24:04- Get off me! - Please, Sally...
0:24:04 > 0:24:05I said get off me!
0:24:05 > 0:24:07I'll be back before you know it.
0:24:14 > 0:24:15Hi.
0:24:15 > 0:24:17I'm looking for Professor Hope?
0:24:17 > 0:24:18Yes?
0:24:20 > 0:24:21Sharon Kozinsky.
0:24:23 > 0:24:24You called for a psych consult?
0:24:24 > 0:24:26Ah, yes!
0:24:26 > 0:24:27What've you got?
0:24:29 > 0:24:30A post-heart transplant patient
0:24:30 > 0:24:33believes his heart has cellular memory.
0:24:33 > 0:24:34You told him it was bull, right?
0:24:35 > 0:24:37I don't think I was quite so dismissive.
0:24:40 > 0:24:42You should know there's a clock on this.
0:24:42 > 0:24:44- The sooner we get him into theatre, the better.- OK.
0:24:46 > 0:24:48How would you describe his general mood?
0:24:50 > 0:24:52Placid? Prone to violence?
0:24:54 > 0:24:58He strikes me as very detached, although quite calm.
0:24:58 > 0:25:03Perhaps you'll be able to shed more light on Adam's state of mind.
0:25:07 > 0:25:08He seems fine.
0:25:09 > 0:25:13Sorry, Dr Valentine, Sharon Kozinsky - psychiatrist.
0:25:16 > 0:25:18Have you two met before?
0:25:19 > 0:25:21Not exactly. Where's the patient?
0:25:21 > 0:25:22Bay two.
0:25:29 > 0:25:34Call my secretary, and we'll rearrange, OK?
0:25:39 > 0:25:40What was all that about?
0:25:40 > 0:25:43Dr Kozinsky is my bereavement counsellor.
0:25:43 > 0:25:45Thanks. Thanks a lot.
0:25:48 > 0:25:50So, this next patient has Crohn's.
0:25:50 > 0:25:52I read the paper you wrote on Crohn's.
0:25:52 > 0:25:55- In med school. One of my lecturer's gave it me to read.- Right.
0:25:55 > 0:25:58The theory that an overly-sterile world helped create diseases
0:25:58 > 0:26:02like Crohn's and the suggestion of the deliberate infestation
0:26:02 > 0:26:05of patients with parasitic worms - it's brilliant.
0:26:05 > 0:26:09Thank you. Well, Mr Greene is in for a ileocecal resection
0:26:09 > 0:26:13which we've planned as open surgery that I, the Malick,
0:26:13 > 0:26:15will perform in Mr Griffin's absence.
0:26:15 > 0:26:18Maybe you'd like to sit in, see how it's done?
0:26:18 > 0:26:19- Definitely.- Great.
0:26:24 > 0:26:25Whoa, where's my patient?
0:26:29 > 0:26:33Er, a pre-op abdominal CT. I think Mr Spence sent him.
0:26:33 > 0:26:37Hey, have you got Mrs Anderson's bloods back from the path lab yet?
0:26:37 > 0:26:42Oh, sorry. I have been a bit tied up with Mr Spence's errands.
0:26:42 > 0:26:44What's that?
0:26:44 > 0:26:45What?
0:26:45 > 0:26:46Dr Digby?
0:26:56 > 0:26:58You sent Dr Digby to get California Rolls?
0:26:58 > 0:27:00These are Hawaiian, you philistine.
0:27:00 > 0:27:02He's supposed to be on the ward.
0:27:02 > 0:27:03Well, you can manage, can't you?
0:27:03 > 0:27:06Of course I can manage. That's not...
0:27:06 > 0:27:08Look, the next generation of doctors
0:27:08 > 0:27:11aren't going to learn how to save lives by getting sushi orders.
0:27:11 > 0:27:12You never seen the Karate Kid?
0:27:12 > 0:27:15What?! Have you seriously lost your...
0:27:15 > 0:27:17Hang on, Malick, we've all had our fun,
0:27:17 > 0:27:20but don't let your mouth get you in trouble.
0:27:20 > 0:27:23Digby is learning to take orders from higher up the chain of command.
0:27:23 > 0:27:26A lesson that we could all learn, don't you think?
0:27:27 > 0:27:30If you'll excuse me, I'd like to go and check on my patients.
0:27:30 > 0:27:31Oh, I meant to ask you.
0:27:31 > 0:27:34Would you like to assist me on the ileocecal resection?
0:27:34 > 0:27:36Assist you?
0:27:36 > 0:27:39Marc Greene is on Mr Griffin's list, he left me in charge.
0:27:39 > 0:27:40He's my patient.
0:27:40 > 0:27:42No, he's mine. I'm the clinical lead.
0:27:44 > 0:27:45Wax on, wax off.
0:27:52 > 0:27:54Yes, I'd be grateful if you could adjust the list slightly,
0:27:54 > 0:27:57the by-pass has become more pressing.
0:27:57 > 0:27:59Yes, thank you.
0:28:00 > 0:28:02Is she going to be much longer?
0:28:02 > 0:28:04Can't wait for her to get off the ward?
0:28:06 > 0:28:08I take it you missing this morning's appointment
0:28:08 > 0:28:10wasn't entirely accidental?
0:28:10 > 0:28:12I was running late. There was an RTA that...
0:28:12 > 0:28:15..happened some time after your scheduled session.
0:28:17 > 0:28:21You do realise that Mr Hanssen made has your counselling sessions
0:28:21 > 0:28:25a condition of your continuing employment?
0:28:25 > 0:28:27ALARM BEEPS
0:28:29 > 0:28:30Excuse me.
0:28:32 > 0:28:34OK, BP's dropped. We need to squeeze some fluids in.
0:28:34 > 0:28:36Kate grab me a pressure bag, would you? Thank you.
0:28:36 > 0:28:37We're really up against it now.
0:28:37 > 0:28:40I'm making some progress here. Five more minutes.
0:28:40 > 0:28:42I don't want this to become an emergency procedure.
0:28:42 > 0:28:43I understand what you're saying.
0:28:43 > 0:28:45We need to get him in now.
0:28:45 > 0:28:46Five minutes?
0:28:47 > 0:28:49Come on.
0:28:49 > 0:28:50Five minutes, that's it.
0:28:50 > 0:28:51Professor!
0:28:53 > 0:28:56All this talking's holding us up. We need to treat him now.
0:28:56 > 0:28:58- I know what I'm doing. - Do you?
0:29:02 > 0:29:04No, no, no. It's fine. I've got to go.
0:29:05 > 0:29:08I'm so sorry to call you down, Ms Campbell, but it's a pneumothorax.
0:29:08 > 0:29:09All of this is from the RTA?
0:29:09 > 0:29:12Multiple pile up. St James's can't cope with the numbers.
0:29:12 > 0:29:13Where's Mr Griffin?
0:29:13 > 0:29:16In theatre. I've paged him but he must be tied up.
0:29:16 > 0:29:19I'm sorry, but I know I'm not authorised to do chest drains.
0:29:19 > 0:29:20Oh, there's no need to apologise.
0:29:20 > 0:29:23You did the right thing in calling for me. Could you assist?
0:29:23 > 0:29:252% local anaesthetic, please.
0:29:26 > 0:29:29And when you have a moment of calm, Nurse Carter, can you assess our
0:29:29 > 0:29:32latest arrival and let Keller know we'll be sending this gentlemen up?
0:29:32 > 0:29:33Yes, Ms Campbell.
0:29:35 > 0:29:38I'm sure Mr Griffin will be back with us soon enough.
0:29:40 > 0:29:41Yeah.
0:29:46 > 0:29:48What are you doing on my computer?
0:29:48 > 0:29:49Giving Adam what he wants.
0:29:50 > 0:29:53- And what's that? - The truth.
0:29:54 > 0:29:56He thinks the heart has come from a murderer,
0:29:56 > 0:29:58he thinks it's evil, making him violent.
0:29:58 > 0:30:00When did he tell you this?
0:30:00 > 0:30:02Didn't you think it was relevant to pass on?
0:30:02 > 0:30:03Dr Kozinsky is with him...
0:30:03 > 0:30:06I told you to leave it with me. He trusts me.
0:30:06 > 0:30:07That's why I didn't betray him.
0:30:10 > 0:30:12We need to convince him that the heart isn't evil,
0:30:12 > 0:30:13and then he'll consent.
0:30:17 > 0:30:19The donor was a 23-year-old schoolteacher,
0:30:19 > 0:30:20innocent victim of a drink-driver.
0:30:20 > 0:30:24We are not at liberty to divulge donor information.
0:30:25 > 0:30:26Adam could trace the family.
0:30:26 > 0:30:28And?
0:30:28 > 0:30:30Well, imagine the affect it might have on their grief.
0:30:30 > 0:30:32Or how comforting it could be,
0:30:32 > 0:30:34knowing that because of her death other lives were saved.
0:30:34 > 0:30:37No. There are laws in place to protect...
0:30:37 > 0:30:40Surely it's worth breaking the rules if someone is about to die.
0:30:40 > 0:30:43No, it's never OK to do that.
0:30:43 > 0:30:44Oliver? Where are you going?
0:30:44 > 0:30:45He needs the truth.
0:30:47 > 0:30:49I don't have to do anything!
0:30:49 > 0:30:53Why won't you listen to me? I want this out.
0:30:53 > 0:30:54I don't think you do, not really.
0:30:54 > 0:30:55I do!
0:30:59 > 0:31:02Could all of this be about you missing the attention?
0:31:02 > 0:31:04People rushing around worrying about you.
0:31:04 > 0:31:05You don't know anything.
0:31:05 > 0:31:08Why else would you deliberately make yourself ill?
0:31:08 > 0:31:09- Take it out!- Adam, don't.
0:31:09 > 0:31:12- It's evil! It's the heart of a murderer!- No.
0:31:12 > 0:31:13Don't do this.
0:31:13 > 0:31:15The donor killed, the heart made them do it
0:31:15 > 0:31:17and now it wants me to do the same!
0:31:17 > 0:31:19- You're wrong. - Dr Valentine!
0:31:19 > 0:31:22Murdered their family, and took their own life.
0:31:22 > 0:31:24I know it, I feel it.
0:31:24 > 0:31:26- Adam, the donor was 23 years old. - Get out of here!
0:31:26 > 0:31:27Adam, listen to me.
0:31:27 > 0:31:30If you do not leave immediately, I will call Mr Hanssen.
0:31:30 > 0:31:31What's going on?
0:31:35 > 0:31:39It wasn't anything as dark as your imagination has conjured up.
0:31:41 > 0:31:42Could I have a word?
0:31:43 > 0:31:44Please. Believe me.
0:31:46 > 0:31:49- Professor?- OK.
0:31:49 > 0:31:50I'll consent.
0:31:51 > 0:31:54You can do your bypass. I'll do it.
0:31:55 > 0:31:57Right. We'll get you prepped for theatre.
0:32:06 > 0:32:09You were going to tell him, weren't you?
0:32:09 > 0:32:12Organ recipients cannot know anything about the donors.
0:32:12 > 0:32:14It's completely unethical and very dangerous.
0:32:14 > 0:32:16It didn't happen, so there's no point arguing about it.
0:32:18 > 0:32:19Oliver, he's consented.
0:32:22 > 0:32:24- Call security!- Adam!
0:32:24 > 0:32:26It's a murderer's heart! I told you, didn't I?
0:32:26 > 0:32:29It's the heart of a murderer.
0:32:29 > 0:32:32Why else would he stop you from telling me?
0:32:32 > 0:32:34Let's get him to theatre now!
0:32:34 > 0:32:37Charge to 200. Clear.
0:32:37 > 0:32:39Mr Griffin, there you are.
0:32:39 > 0:32:42Mr Griffin! Quick, there's something wrong!
0:32:42 > 0:32:45OK. I thought I asked you to discharge Darcey Bussell?
0:32:45 > 0:32:46Yes, sorry.
0:32:47 > 0:32:49Sats are falling.
0:32:49 > 0:32:52Right, could be a severe neck trauma, could be a clot.
0:32:52 > 0:32:53Cricothyrotomy kit, please.
0:32:53 > 0:32:55Charge to 200. Clear.
0:32:58 > 0:33:01Mr Griffin! Patient needs intubating now.
0:33:01 > 0:33:03Erm... er...
0:33:04 > 0:33:06- OK, I'll be right there. - Mr Griffin?
0:33:06 > 0:33:08- Keep him stable. - Mr Griffin?
0:33:14 > 0:33:17There are several fragments of glass here.
0:33:17 > 0:33:19I don't need to tell you how careful we have to be.
0:33:19 > 0:33:26If they move, we could end up causing further complications.
0:33:26 > 0:33:28Speed and precision are our watchwords.
0:33:30 > 0:33:32This emergency could so easily have been avoided.
0:33:32 > 0:33:34By telling the truth.
0:33:34 > 0:33:36You're not thinking straight.
0:33:37 > 0:33:38Suction.
0:33:41 > 0:33:42I understand that there are rules,
0:33:42 > 0:33:44but when it's a matter of life and death...
0:33:44 > 0:33:47There is no justification for breaking the law.
0:33:49 > 0:33:50Please excuse the interruption.
0:33:50 > 0:33:51Mr Hanssen?
0:33:51 > 0:33:54I have been informed of a security incident on Darwin.
0:33:54 > 0:33:56Is that the patient in question?
0:33:56 > 0:33:57Yes, it is.
0:33:57 > 0:34:00Can I see you both in my office when you're done, please.
0:34:03 > 0:34:04Mr Griffin?
0:34:05 > 0:34:08Right, let's get him transferred. ITU.
0:34:08 > 0:34:11- You really should look where you're going.- Please!
0:34:11 > 0:34:14An apology wouldn't go amiss.
0:34:14 > 0:34:15Not now, Sally.
0:34:15 > 0:34:17- Doctor, I... - Will you get out of here! Now!
0:34:27 > 0:34:28Everything all right?
0:34:28 > 0:34:31Yeah, I just need to locate the right spot...
0:34:32 > 0:34:35It's just there.
0:34:35 > 0:34:37The swelling made it harder to locate.
0:34:38 > 0:34:39Thank you.
0:34:44 > 0:34:47Was there a problem with the laparotomy?
0:34:47 > 0:34:49You seemed to be in theatre for some time.
0:34:52 > 0:34:54Small complication.
0:34:54 > 0:34:56Everything's fine now.
0:34:56 > 0:34:57Good.
0:35:03 > 0:35:05Mr Malick, we've got a bit of a problem.
0:35:08 > 0:35:10Mr Spence is waiting for him in theatre.
0:35:12 > 0:35:13Er, Mr Greene?
0:35:14 > 0:35:19That American doctor was here giving it all this and that,
0:35:19 > 0:35:24telling me he's going to do the op his way, a quick in-and-out thing.
0:35:24 > 0:35:27Well, if he doesn't care, why should I? I'm off.
0:35:27 > 0:35:30Look, you can't. We had a surgical plan, yes, but...
0:35:30 > 0:35:32Yes, we did.
0:35:32 > 0:35:36But it's my body, and we'll do what I say, OK?
0:35:36 > 0:35:39And I don't want any cameras stuck in it.
0:35:39 > 0:35:43Mr Spence was right, keyhole would be quicker and you'd be home...
0:35:43 > 0:35:48I have given you my reasons, drastic surgery does the job.
0:35:48 > 0:35:50Please, Mr Greene, I'm going to be in there with you, and I'll...
0:35:50 > 0:35:52Oh, yeah, you're going to be in there.
0:35:52 > 0:35:54I'm not.
0:35:54 > 0:35:58I'm sorry, but in all honesty, I didn't want any of this.
0:35:58 > 0:36:01Don't you want to finish researching your family tree?
0:36:01 > 0:36:07It's called genealogy, and it's a serious business,
0:36:07 > 0:36:12identifying all the links, heads of lines, and the...
0:36:12 > 0:36:13well, the chain of command.
0:36:15 > 0:36:17You're not really interested, are you?
0:36:17 > 0:36:21Don't worry, darling. I mean, you're not on your own.
0:36:21 > 0:36:25Look, Mr Greene, please. If you don't have this treatment...
0:36:25 > 0:36:27I'll die. I know.
0:36:29 > 0:36:31But I've done cancer
0:36:31 > 0:36:33and I don't want to do that again, thank you very much.
0:36:33 > 0:36:37So Crohn's will suit fine.
0:36:37 > 0:36:40That's the way I want to go, without a fight.
0:36:41 > 0:36:44I want to slip gently away.
0:36:46 > 0:36:49And what if you don't slip gently away?
0:36:50 > 0:36:54The seriously affected part of your bowel could perforate.
0:36:54 > 0:36:56You'd need emergency treatment,
0:36:56 > 0:36:57and you've no idea what they'll do to you.
0:36:59 > 0:37:02Go through with this and you're still in control, Mr Greene.
0:37:02 > 0:37:06You know what's going to happen, and you know it'll be all right.
0:37:06 > 0:37:09And maybe, instead of putting your forefathers on there,
0:37:09 > 0:37:11you could add your great-grandchildren?
0:37:11 > 0:37:12The next lines?
0:37:29 > 0:37:31Oliver, would you accompany Mr Usborne to HDU, please?
0:37:39 > 0:37:42Dr Valentine is out of control.
0:37:42 > 0:37:45The patient is through the worst, that's the most important thing.
0:37:45 > 0:37:47This could have been avoided.
0:37:47 > 0:37:49Well, the way you handled Adam wasn't exactly...
0:37:49 > 0:37:50I didn't have all the facts!
0:37:50 > 0:37:55The patient said he told you his heart was evil, a murderer's heart.
0:37:55 > 0:37:57If I'd known that, I would have handled him differently.
0:37:59 > 0:38:01Why would you keep that from me?
0:38:05 > 0:38:10Fine, I'll go to Mr Hanssen, see if he can get to the bottom of this.
0:38:11 > 0:38:13Wait. Please.
0:38:16 > 0:38:19Things are quite difficult for Dr Valentine at the moment.
0:38:21 > 0:38:24He's having to deal with very complex issues.
0:38:24 > 0:38:28I am trying to handle him as sensitively as possible.
0:38:29 > 0:38:34I ask you, purely looking out for Dr Valentine's best interests,
0:38:34 > 0:38:36not to report this to Mr Hanssen.
0:38:37 > 0:38:39People lives are at stake, Professor Hope.
0:38:45 > 0:38:47You changed Marc Greene's procedure?
0:38:47 > 0:38:48Yeah, you got a problem with that?
0:38:48 > 0:38:50The patient did.
0:38:50 > 0:38:54He was on his way out of here until Mr Malick managed to talk him down.
0:38:54 > 0:38:55Who's this guy?
0:38:55 > 0:38:57I'm Dr Copeland. I'm a new F1.
0:38:57 > 0:38:59Look, why would anyone have a problem with laparoscopic procedure
0:38:59 > 0:39:01as opposed to open surgery?
0:39:01 > 0:39:04The recovery time's way quicker, I thought he'd be happy about it.
0:39:04 > 0:39:07Mr Griffin and the patient made a surgery plan and you changed it.
0:39:08 > 0:39:09It's the first I've heard of it.
0:39:21 > 0:39:22Welcome back, Mr Ferry.
0:39:24 > 0:39:26The procedure went well.
0:39:26 > 0:39:29There was a slight complication with the reconstruction,
0:39:29 > 0:39:33but you should be back on your feet in no time.
0:39:33 > 0:39:35Thank you for going the extra mile.
0:39:36 > 0:39:38It just goes to show...
0:39:38 > 0:39:43All the newspapers, saying things are going downhill...
0:39:43 > 0:39:45Not everything is.
0:39:45 > 0:39:47Happy to help. You'll soon be back at work.
0:39:47 > 0:39:49What little there is.
0:39:50 > 0:39:52No use for me any more. Watch maker.
0:39:53 > 0:39:56I specialise in pocket watches.
0:39:56 > 0:40:00Everyone seems to tell the time from their mobile phones these days.
0:40:01 > 0:40:02I still use a wristwatch.
0:40:07 > 0:40:08That's a nice piece.
0:40:08 > 0:40:09Yeah.
0:40:09 > 0:40:11It's not without its problems.
0:40:11 > 0:40:12KNOCK AT DOOR
0:40:14 > 0:40:15Sorry to interrupt.
0:40:15 > 0:40:16You need me?
0:40:16 > 0:40:19Mrs Wainwright's chest drain?
0:40:19 > 0:40:20I'll be through shortly.
0:40:21 > 0:40:23We kind of need you now.
0:40:23 > 0:40:26I'll be with you as soon as I've finished with Mr Ferry, thank you.
0:40:39 > 0:40:40Hi.
0:40:42 > 0:40:43You fixed it?
0:40:43 > 0:40:44We had to.
0:40:46 > 0:40:47You know I'll do it again.
0:40:49 > 0:40:51I'll keep on going until I get it out.
0:40:51 > 0:40:52Adam.
0:40:56 > 0:40:59I can't tell you anything about the donor, it's against the law.
0:41:01 > 0:41:05But I can tell you there's no history of violence in the notes.
0:41:05 > 0:41:07You have to believe me.
0:41:07 > 0:41:09What is important is the donor carried a card,
0:41:09 > 0:41:11and all of their organs were donated.
0:41:13 > 0:41:15Your heart's a gift.
0:41:17 > 0:41:19You have to respect that gift and live a life.
0:41:22 > 0:41:25You trusted me before, Adam. I'm asking you to trust me now.
0:41:25 > 0:41:26This is the truth.
0:41:35 > 0:41:37Nurse Carter, you needed me?
0:41:37 > 0:41:40Not any more. Thank you, Mr Griffin.
0:41:46 > 0:41:48Serena.
0:41:48 > 0:41:49You were with a patient.
0:41:49 > 0:41:54The laparotomy and vascular reconstruction patient.
0:41:54 > 0:41:55I saw the theatre list.
0:41:56 > 0:41:59Mr Ferry was booked in for a vascular reconstruction
0:41:59 > 0:42:01which had been cancelled twice,
0:42:01 > 0:42:04so I took the opportunity to do it while I had him in theatre.
0:42:04 > 0:42:08A vascular reconstruction is not an AAU procedure.
0:42:08 > 0:42:11I thought it made sense to do it, while he was here.
0:42:11 > 0:42:12Surely you heard me yesterday
0:42:12 > 0:42:16when I said you were to do AAU procedures only?
0:42:16 > 0:42:18You, of all people, should be happy
0:42:18 > 0:42:20to have the pressure taken off Keller's lists.
0:42:20 > 0:42:22Oh, come on, Ric.
0:42:22 > 0:42:25You and I both know that AAU should be just for emergencies, OK?
0:42:30 > 0:42:31KNOCK AT DOOR
0:42:31 > 0:42:33Come in.
0:42:34 > 0:42:36Apologies, I was with a patient.
0:42:38 > 0:42:42As I said, there was a combination of many factors.
0:42:42 > 0:42:43Such as?
0:42:43 > 0:42:47The instability of the patient's mental health, violent tendencies.
0:42:47 > 0:42:48We had very little information.
0:42:48 > 0:42:51So the patient volunteered nothing?
0:42:53 > 0:42:57No. We had no way of knowing how volatile he could be.
0:42:59 > 0:43:03I shouldn't imagine a full inquiry would be necessary?
0:43:03 > 0:43:05Well, I have to assess if there is sufficient grounds
0:43:05 > 0:43:06for such an investigation,
0:43:06 > 0:43:09and I would be negligent in my duties if I failed to do so.
0:43:11 > 0:43:13Is there anything you'd like to add?
0:43:13 > 0:43:16So our guy doesn't like the idea of laparoscopic surgery,
0:43:16 > 0:43:20he prefers to opt for open surgery instead, which is pretty strange.
0:43:21 > 0:43:24But what is stranger than that is that you didn't tell me.
0:43:26 > 0:43:29Too busy spitting out your dummy to talk?
0:43:29 > 0:43:31It wasn't a choice, I just...
0:43:31 > 0:43:32Forgot?
0:43:33 > 0:43:35In the heat of the moment, yeah.
0:43:36 > 0:43:38I'm sorry.
0:43:39 > 0:43:42Well, maybe you should concentrate more on your patients
0:43:42 > 0:43:43and less on your ambition.
0:43:45 > 0:43:48Vital information was withheld from me.
0:43:48 > 0:43:51That information would have had a direct bearing
0:43:51 > 0:43:52on the way I approached the patient.
0:43:52 > 0:43:56Nonetheless, I think your approach left a lot to be desired.
0:43:57 > 0:44:01And you are qualified to assess my skills based on what, exactly?
0:44:01 > 0:44:04You provoked the patient into becoming more agitated.
0:44:04 > 0:44:05And, like I've said already said,
0:44:05 > 0:44:07had I been made aware of the full facts,
0:44:07 > 0:44:09I would have handled him differently.
0:44:09 > 0:44:12Dr Kozinsky, what was the information and who withheld it?
0:44:12 > 0:44:15Certain staff were aware of the patient's belief
0:44:15 > 0:44:18that his heart was making him act violently.
0:44:18 > 0:44:21Don't be coy, Dr Kozinsky. I need to know who, please.
0:44:22 > 0:44:25I believe the patient confided in Dr Valentine in the first instance.
0:44:27 > 0:44:28In the first instance?
0:44:30 > 0:44:33I imagine he thinks he is acting in Dr Valentine's best interests,
0:44:33 > 0:44:36but I think you need to speak to Professor Hope.
0:44:36 > 0:44:40I have concerns that their personal relationship is compromising his
0:44:40 > 0:44:43otherwise excellent judgement.
0:44:46 > 0:44:48B/P's dropping.
0:44:50 > 0:44:51Bleed in there somewhere.
0:44:51 > 0:44:53There seems to be a lot of blood in the peritoneal cavity.
0:44:53 > 0:44:54Yeah. More suction.
0:44:54 > 0:44:55We need to open him up.
0:44:56 > 0:44:58I really don't want to put him through
0:44:58 > 0:45:00any more unnecessary suffering.
0:45:03 > 0:45:06Can't locate the source of the bleed.
0:45:06 > 0:45:08All right, knife, please.
0:45:11 > 0:45:14It's got to be round here somewhere.
0:45:20 > 0:45:22There's a lot of blood in here.
0:45:22 > 0:45:23B/P's falling!
0:45:23 > 0:45:25The port has injured the abdominal wall.
0:45:25 > 0:45:28It's pierced the inferior epigastric artery.
0:45:28 > 0:45:30The incision's too small.
0:45:30 > 0:45:31Stick with it, you're almost there.
0:45:31 > 0:45:33Yep, OK. Retractor, Malick.
0:45:38 > 0:45:42There, got it! 2-0 vicryl.
0:45:51 > 0:45:54That's beautiful. Sorry, if you don't mind me saying so.
0:45:54 > 0:45:56No, I don't mind at all.
0:45:56 > 0:45:57More suction.
0:45:58 > 0:45:59B/P's stabilising.
0:46:03 > 0:46:04Good work, Mr Spence.
0:46:18 > 0:46:19Mr Griffin.
0:46:19 > 0:46:21Professor Hope.
0:46:22 > 0:46:23Mind if I join you?
0:46:23 > 0:46:25Please do.
0:46:29 > 0:46:31Tough day?
0:46:31 > 0:46:32Oh, you know.
0:46:33 > 0:46:34You?
0:46:34 > 0:46:35Same.
0:46:39 > 0:46:41Can't see anything. Light pollution.
0:46:42 > 0:46:45You have to go right out into the middle of nowhere
0:46:45 > 0:46:46to really see the night sky.
0:46:48 > 0:46:51It doesn't seem all that long ago that you could catch
0:46:51 > 0:46:52a pepper of stars out here.
0:46:54 > 0:46:55Not any more.
0:46:57 > 0:47:01Just aeroplanes speeding above us now.
0:47:02 > 0:47:04It's progress, Elliot.
0:47:04 > 0:47:06You can't get left behind.
0:47:09 > 0:47:12According to certain people, I'm in danger of becoming outdated.
0:47:15 > 0:47:18I have to update my emergency skills.
0:47:18 > 0:47:20Is this your move to AAU?
0:47:20 > 0:47:22Apparently, it's a young man's game.
0:47:22 > 0:47:23Nonsense.
0:47:25 > 0:47:29In a sky full of aeroplanes, there are still stars up there.
0:47:31 > 0:47:33Over here, quickly, she's collapsed!
0:47:39 > 0:47:40Can you get some help?
0:47:45 > 0:47:48SHE GROANS
0:47:52 > 0:47:55So, you live to fight another day, Mr Greene.
0:47:57 > 0:48:02Yeah, thanks to a little light pruning.
0:48:02 > 0:48:05Now, there's plenty of time to fill in the rest of the boxes.
0:48:05 > 0:48:10It's not about completing it.
0:48:10 > 0:48:14It's about learning, the process of discovery.
0:48:17 > 0:48:18Why would I want to rush that?
0:48:22 > 0:48:24If you'll excuse us.
0:48:29 > 0:48:31Thank you so much for today, Mr Malick.
0:48:31 > 0:48:34I was wondering if I could bring in my own thesis on Crohn's
0:48:34 > 0:48:35for you to look at?
0:48:35 > 0:48:37Also, I noticed you've got a cholecystectomy booked in
0:48:37 > 0:48:39for tomorrow morning I would love to assist you on.
0:48:39 > 0:48:42- I've just got such little time... - Whoa, slow down.
0:48:42 > 0:48:45You heard the man. There's no rush, all right?
0:48:45 > 0:48:46I know, I know.
0:48:46 > 0:48:48I just think there's so much I can learn from you.
0:48:48 > 0:48:50PAGER BEEPS
0:48:50 > 0:48:51See you.
0:49:02 > 0:49:04It's OK, Sally.
0:49:04 > 0:49:05One of her pupils is blown.
0:49:05 > 0:49:08I think we're looking at a subdural haematoma.
0:49:08 > 0:49:10We can't be sure until we have a CT.
0:49:11 > 0:49:14I've paged neurosurgery. But they're backed up in emergency cases, too.
0:49:14 > 0:49:17I've also paged St James's, but they won't be here for 20 minutes.
0:49:18 > 0:49:20She hasn't got 20 minutes.
0:49:21 > 0:49:24I think you've done pretty well, considering.
0:49:24 > 0:49:25You reckon?
0:49:25 > 0:49:27You're still here, aren't you?
0:49:27 > 0:49:28Aye.
0:49:29 > 0:49:30Just about.
0:49:32 > 0:49:35Now, you've got to keep working, Adam.
0:49:35 > 0:49:37You need to get some support, not just family and friends,
0:49:37 > 0:49:39but professional support, as well.
0:49:39 > 0:49:40OK.
0:49:45 > 0:49:47Looks like you've got another visitor.
0:49:47 > 0:49:48I love the attention.
0:49:51 > 0:49:52See you soon.
0:49:57 > 0:50:02Hi, Oliver. The session that you missed this morning?
0:50:02 > 0:50:04I've rearranged it for after your shift.
0:50:06 > 0:50:09Mr Hanssen requires that I report on your attendance.
0:50:09 > 0:50:10Like at school.
0:50:10 > 0:50:14Or at work if it's a condition of your ongoing employment.
0:50:14 > 0:50:16I will call him if I have to.
0:50:16 > 0:50:19You won't get any special dispensation from me.
0:50:21 > 0:50:24I'm not your Professor friend, OK?
0:50:31 > 0:50:33You all right?
0:50:34 > 0:50:37Don't let her give you a hard time. You stood by me, you were solid.
0:50:40 > 0:50:43I don't know if anyone's told you how long you'll be here.
0:50:43 > 0:50:46A couple of days, they reckon, then down to a ward.
0:50:46 > 0:50:48Back home before I know it.
0:50:48 > 0:50:52And I think, as much as it pains me in one way,
0:50:52 > 0:50:54I need to go home, proper, like.
0:50:55 > 0:50:56Back to Scotland.
0:50:56 > 0:50:58You won't be by yourself.
0:50:58 > 0:51:00No. I got my pals and my family.
0:51:00 > 0:51:02Your brother?
0:51:02 > 0:51:03Aye.
0:51:03 > 0:51:05Give him a ring, will you?
0:51:05 > 0:51:06I know you want to.
0:51:11 > 0:51:12Craniotome, please.
0:51:14 > 0:51:17'Ric. Is this advisable?'
0:51:17 > 0:51:20By the time neurosurgery get here, she could be dead.
0:51:20 > 0:51:23I think that constitutes an emergency, don't you?
0:51:28 > 0:51:30You drip saline while I drill.
0:51:35 > 0:51:36Suction.
0:51:38 > 0:51:40She had a large bleed inside her skull
0:51:40 > 0:51:43which has compressed the brain,
0:51:43 > 0:51:44making it look like she was inebriated
0:51:44 > 0:51:46when she hadn't drunk that much.
0:51:46 > 0:51:49OK, I'm going to need a rongeur.
0:51:51 > 0:51:54Everything pointed to her being drunk, she has history.
0:51:55 > 0:51:56She said she hadn't drunk that much,
0:51:56 > 0:52:00not enough to put her in the state she was in.
0:52:00 > 0:52:01I should've listened to her.
0:52:05 > 0:52:07Vital signs are improving.
0:52:10 > 0:52:11Warm saline wash-out.
0:52:16 > 0:52:19Makes a change from your usual day on Keller.
0:52:19 > 0:52:20Just a little.
0:52:20 > 0:52:23Well, thank you. I'm really pleased I was here.
0:52:25 > 0:52:26Nurse Carter.
0:52:26 > 0:52:27Mr Griffin.
0:52:28 > 0:52:32I just wanted to say congratulations on your appointment.
0:52:34 > 0:52:35Thank you.
0:52:37 > 0:52:38That was quite something.
0:52:40 > 0:52:41Was that a compliment?
0:52:43 > 0:52:47Well, shows you're not beyond the excitement of emergency medicine.
0:52:47 > 0:52:48Not bad for a dinosaur, eh?
0:52:50 > 0:52:52Look, I know that the Medical Staff Committee,
0:52:52 > 0:52:54may want me to jump through a few hoops...
0:52:54 > 0:52:55No time like the present.
0:52:55 > 0:52:57Yes, so I may as well get it over and done with.
0:52:57 > 0:52:59You'll update?
0:52:59 > 0:53:02Yes. I'll find a course at a different hospital.
0:53:02 > 0:53:06That might prove a bit embarrassing for us, as a teaching hospital,
0:53:06 > 0:53:09to be seen sending one of our consultants elsewhere.
0:53:10 > 0:53:13So what do you suggest?
0:53:13 > 0:53:15Well, you could always update here...
0:53:17 > 0:53:20under my supervision?
0:53:20 > 0:53:22- Under your supervision? - Yeah.
0:53:25 > 0:53:29Fine. I'm sure it won't be too taxing.
0:53:29 > 0:53:30Well, don't worry.
0:53:30 > 0:53:32Discretion is my middle name.
0:53:35 > 0:53:37Oh, I meant to ask, how's the back?
0:53:38 > 0:53:40It's strangely better.
0:53:41 > 0:53:45It was a sporting injury. Athletic, not arthritic.
0:53:51 > 0:53:54Thank you so much, Mr Malick, it's been amazing.
0:53:54 > 0:53:55A good first day, then?
0:53:55 > 0:53:57The best! It's been epic.
0:53:57 > 0:53:59Same time tomorrow?
0:53:59 > 0:54:00You bet!
0:54:00 > 0:54:02Hey. I'm so sorry for running a little late,
0:54:02 > 0:54:04I've just had a bit of a day of it, you know how it is.
0:54:04 > 0:54:05Yeah.
0:54:05 > 0:54:06Want to get a drink?
0:54:08 > 0:54:10We're going to see my mother.
0:54:10 > 0:54:15I know, I just meant a drink first, a quick break from the heavy stuff?
0:54:18 > 0:54:22You know what, you go for a drink and I'll go and see my mother.
0:54:26 > 0:54:28Wait!
0:54:30 > 0:54:31Nathan!
0:54:31 > 0:54:33Leave it! Just leave it, yeah?
0:54:47 > 0:54:48Hey.
0:54:52 > 0:54:54I was thinking about everyone chipping in to help with Adam,
0:54:54 > 0:54:57and I think it'd be best if everyone left Oliver to me.
0:54:58 > 0:55:01By everyone, I take it you mean me?
0:55:01 > 0:55:04I don't want any waters muddying.
0:55:04 > 0:55:05I disagree.
0:55:05 > 0:55:08Course you do, you're a nice guy.
0:55:10 > 0:55:13But you can't keep him in bubble wrap his entire life, you know.
0:55:14 > 0:55:16It's not as simple as that.
0:55:16 > 0:55:20Death of your partner isn't something that can be just worked through.
0:55:21 > 0:55:22When did you lose your wife?
0:55:25 > 0:55:26Who told you that?
0:55:26 > 0:55:29You did.
0:55:29 > 0:55:30Just now.
0:55:33 > 0:55:34Then you know what it's like.
0:55:37 > 0:55:41Sometimes you don't want to talk to the person right in front of you.
0:55:41 > 0:55:42Do you?
0:55:43 > 0:55:46Friends can't say it as it is. They dress it up.
0:55:48 > 0:55:52Caring, loving, protecting.
0:55:53 > 0:55:55Sometimes a little bit of straight talking
0:55:55 > 0:55:59is really what's needed to speed things along.
0:55:59 > 0:56:00I may not a psychiatrist...
0:56:02 > 0:56:05I may not be able to help him,
0:56:05 > 0:56:07but I know Oliver,
0:56:07 > 0:56:10and I am absolutely certain that your approach
0:56:10 > 0:56:13is the last thing that he needs right now.
0:56:36 > 0:56:37Hello, Sally.
0:56:41 > 0:56:45Somebody will be here soon to take you to the neurosurgery ward.
0:56:48 > 0:56:50I shouldn't have discharged you earlier,
0:56:50 > 0:56:51I should have listened to you.
0:56:54 > 0:56:57And I'm sorry I shouted at you.
0:56:57 > 0:56:59It's all right, darling.
0:57:02 > 0:57:04You said that you were trying to stop drinking.
0:57:06 > 0:57:12I know it can be difficult to do alone, so I hope you don't mind,
0:57:12 > 0:57:17I've made an appointment for you with our alcohol dependency unit.
0:57:17 > 0:57:20If I stop drinking, I won't have any vices left.
0:57:20 > 0:57:21All right if I start smoking?
0:57:23 > 0:57:24I wouldn't recommend it.
0:57:31 > 0:57:33I imagine you were quite the dancer.
0:57:34 > 0:57:35Back in the day.
0:57:40 > 0:57:43Fonteyn was sick, and I had to go on for her.
0:57:45 > 0:57:50When Nureyev lifted me in his arms, I touched heaven.
0:57:51 > 0:57:55I doubt they'd let just anyone understudy Margot Fonteyn.
0:57:56 > 0:57:58I wasn't just anyone.
0:58:00 > 0:58:01I know.
0:58:45 > 0:58:48Subtitles by Red Bee Media Ltd