Follow My Leader

Download Subtitles

Transcript

0:00:39 > 0:00:44- From next week, you'll be working on AAU.- Excuse me.

0:00:44 > 0:00:47- ..of making an official apology. - Just when you thought all the good guys were gone.

0:00:47 > 0:00:51..to Mr Mooney here and to his deceased father, Mr Richard Mooney.

0:00:51 > 0:00:54Hey, Marie-Claire. To what do we owe the pleasure?

0:00:54 > 0:00:57Chrissie said she wanted us both on so there's cover when we go to interview.

0:00:57 > 0:01:00You're going up for it too?

0:01:00 > 0:01:02The job's yours, congratulations.

0:01:02 > 0:01:04Thank you, Mr Fairhead!

0:01:04 > 0:01:07May not be much time left to act.

0:01:07 > 0:01:09Hence the funding issue.

0:01:09 > 0:01:12I have to ensure that it's used for the good of our patients.

0:01:12 > 0:01:14I will not allow the board to re-allocate it.

0:01:14 > 0:01:18I'm guessing by the big fat grin on your face that he got his cheque book out.

0:01:24 > 0:01:26So your CV says you've worked in three of the busiest

0:01:26 > 0:01:28emergency departments in Australia.

0:01:28 > 0:01:30I guess that means mainly, what?

0:01:30 > 0:01:32Spider bites, barbeque-related burns,

0:01:32 > 0:01:34people getting kicked by kangaroos?

0:01:34 > 0:01:36Actually it was more like...

0:01:36 > 0:01:38We're a bit more sophisticated here.

0:01:38 > 0:01:40On the menu this morning we've got a stabbing,

0:01:40 > 0:01:42a diabetic fit and a major RTA.

0:01:42 > 0:01:44A bus has hit an ambulance.

0:01:45 > 0:01:48So if you're ready to embrace industrialisation,

0:01:48 > 0:01:49follow my lead, new girl.

0:01:51 > 0:01:55- Big Man's mixing things up a bit, eh?- What do you mean?

0:01:55 > 0:01:58Well, he's posted Lady Campbell down on to the front line,

0:01:58 > 0:02:01last week he got his kicks making you all bid for his honey pot.

0:02:01 > 0:02:05This is Hanssen. There'll be method in his madness.

0:02:05 > 0:02:06There always is.

0:02:07 > 0:02:11So you're not sore about the fact that he gave the blank cheque

0:02:11 > 0:02:16to Prof Hope's Hertzig trial and not to your baby heart defects?

0:02:16 > 0:02:18I don't see it that way.

0:02:18 > 0:02:19No?

0:02:19 > 0:02:23Look, somehow Hanssen managed to persuade the board to give him all this money.

0:02:23 > 0:02:26And sooner or later he's going to realise how expensive

0:02:26 > 0:02:28and impractical the Hertzig proposal is

0:02:28 > 0:02:30and he'll need something else to spend the money on.

0:02:30 > 0:02:34Something that's not just a pitch scribbled on the back

0:02:34 > 0:02:35of an egg-stained envelope.

0:02:38 > 0:02:40- CORK POPS - Ooh!

0:02:40 > 0:02:43- Thank you.- Thank you.

0:02:43 > 0:02:45Here's to the Hertzig 3 trial.

0:02:45 > 0:02:47- Cheers.- Cheers.

0:02:47 > 0:02:50- Oh, fancy some non-alcoholic champagne?- Oh, yes please.

0:02:50 > 0:02:52The ink isn't dry on the cheque yet.

0:02:52 > 0:02:54Don't you think it's a bit premature to be popping corks?

0:02:54 > 0:02:58You are looking at ten years worth of research.

0:03:00 > 0:03:01And you've got your full team in place?

0:03:03 > 0:03:06Yes, well, I've almost finalised the exact line-up.

0:03:06 > 0:03:08We need a degree of flexibility

0:03:08 > 0:03:11but the good news is our CEO's volunteered to join the team.

0:03:11 > 0:03:14Hanssen's on your team?!

0:03:14 > 0:03:17He's fitting my battery, isn't he?

0:03:17 > 0:03:20And I suppose he wants to keep a close eye on his investment.

0:03:22 > 0:03:23SERENA: I hate it.

0:03:23 > 0:03:27It's not everyone's cup of tea. Believe me. AAU, it's...

0:03:27 > 0:03:30- It's so not me. I like order. - So do I.

0:03:30 > 0:03:33I like elective procedures. Planned operations. Flowcharts.

0:03:33 > 0:03:35Careful, precise surgery.

0:03:35 > 0:03:37And well-anaesthetized patients.

0:03:37 > 0:03:40Well, that doesn't happen on AAU. Why did you ever leave Keller?

0:03:40 > 0:03:44Let's just say the hand of Hanssen moves in mysterious ways.

0:03:44 > 0:03:47I hate mess and I hate chaos.

0:03:47 > 0:03:50I need cross match bloods for beds two, three and four. Now, please, thank you.

0:03:51 > 0:03:54I need a Bier's block tourniquet, please!

0:03:54 > 0:03:56Someone get me some gloves.

0:03:56 > 0:03:59- And please tell me it's not like this every day.- Welcome to my world.

0:03:59 > 0:04:02You call this chaos? In St Vincent's, Sydney,

0:04:02 > 0:04:05- this'd be a feet-up slow day. - I need that tourniquet! Chrissie?!

0:04:10 > 0:04:13- Hey, hey. What are you doing? - What? Sorry.

0:04:13 > 0:04:17I saw it done once on MASH. Guess there's a time and place, huh?

0:04:20 > 0:04:23- Sorry, who are you? - Lilah Birdwood. Your new CT1.

0:04:23 > 0:04:26Nurse, can you get me some scrubs?

0:04:45 > 0:04:47Aww!

0:04:47 > 0:04:50Hey, first day as Staff Nurse. How do you feel?

0:04:50 > 0:04:52Nervous.

0:04:52 > 0:04:54Nervous? What you nervous for? Managing staff's a breeze.

0:04:54 > 0:04:58You're going to walk through it. Do I look nervous?

0:04:58 > 0:04:59- No.- There you go.

0:04:59 > 0:05:03On-call running Keller today. We're going to have a blast.

0:05:03 > 0:05:04Say it.

0:05:04 > 0:05:06It's going to be a blast.

0:05:07 > 0:05:09Yeah...close enough.

0:05:11 > 0:05:12Ta-da!

0:05:12 > 0:05:13Marvellous.

0:05:26 > 0:05:29I see a lot of Chiefs, not a lot of Indians.

0:05:31 > 0:05:33Is that just you and me then? The Indians?

0:05:36 > 0:05:40Have you got a problem with me? I'm trying to make an impression.

0:05:40 > 0:05:41You certainly did that.

0:05:42 > 0:05:43Not tread on toes.

0:05:45 > 0:05:46It's OK.

0:05:47 > 0:05:51From the dagger-eyes you gave me, I'm guessing Mr Levy's your fella?

0:05:51 > 0:05:55- Husband.- He lucked-out snagging you then.

0:05:55 > 0:05:57I'm sure you could have had your pick of doctors

0:05:57 > 0:05:59I had one or two offers.

0:05:59 > 0:06:02Erm, we good then?

0:06:02 > 0:06:04Fellow Indians?

0:06:05 > 0:06:09- Team hug? Bit too much again? - A bit.- Yeah, OK.

0:06:12 > 0:06:17Pulse 100, B/P systolic 150,

0:06:17 > 0:06:21oxygen saturation 90%. I've ordered an echocardiogram.

0:06:21 > 0:06:24Well, let me know the results as soon as you have them, please.

0:06:24 > 0:06:27- Ah, Miss Naylor.- So it's really going to go ahead then? The Hertzig?

0:06:27 > 0:06:30Can you think of any reason why it shouldn't?

0:06:30 > 0:06:31Just seems to be moving very quickly.

0:06:31 > 0:06:34I thought there'd be some sort of trial period involved

0:06:34 > 0:06:36given how much of the hospital's money you're investing

0:06:36 > 0:06:38I'm well aware that you'd have preferred it

0:06:38 > 0:06:41had I allocated funds to your pet project but let me just say this.

0:06:41 > 0:06:44A coup for this department will lead to further opportunities

0:06:44 > 0:06:45and funding for all of us.

0:06:45 > 0:06:48Of course. Which is why you have my full backing.

0:06:48 > 0:06:50I'm very glad to hear it.

0:06:50 > 0:06:52Any idea what the Chairman of the Board's doing here?

0:06:52 > 0:06:54I believe his daughter's in as a patient.

0:06:55 > 0:06:57Shall I call him over?

0:06:57 > 0:07:00Oh, no, I'm rather busy at present but perhaps you could see to it

0:07:00 > 0:07:03that his daughter's treatment proceeds efficiently and swiftly.

0:07:03 > 0:07:06I don't want him to spend any more time on the ward than he has to.

0:07:06 > 0:07:09And that wouldn't have anything to do with the Hertzig?

0:07:09 > 0:07:10Miss Naylor.

0:07:14 > 0:07:16Mr Cunningham. Jac Naylor.

0:07:17 > 0:07:21Oh, of course. How are you? This is my daughter, Poppy.

0:07:21 > 0:07:24- We were having a discussion this morning.- An argument.

0:07:24 > 0:07:27A difference of opinion. The point is, she couldn't catch her breath.

0:07:27 > 0:07:29Has this happened before?

0:07:29 > 0:07:32Never as bad as this. She has a goitre.

0:07:32 > 0:07:35Can I see?

0:07:37 > 0:07:39How do you feel now?

0:07:39 > 0:07:41Usual.

0:07:41 > 0:07:44Doctor Lo said your schedules are full, but this is an emergency.

0:07:44 > 0:07:47They are full, but we'll make room. I'll see to it personally.

0:07:47 > 0:07:51Dr Lo, could you admit Poppy, please, immediately?

0:07:51 > 0:07:52Find her a room.

0:07:52 > 0:07:54We'll get you stabilised, have a CT scan done,

0:07:54 > 0:07:57you'll be home in no time at all.

0:07:58 > 0:07:59Thank you.

0:08:02 > 0:08:04Morning.

0:08:04 > 0:08:07- He said he was doing an ollie and a flipkick?- A kickflip.

0:08:07 > 0:08:10An ollie is where you press down on the board and make it jump up.

0:08:10 > 0:08:13- A kickflip's...- A kickflip's when you make the board spin at the same time. Pretty basic.

0:08:13 > 0:08:16Overshot a half-pipe when I was 14.

0:08:16 > 0:08:18Tried to pierce my ear with a needle and an ice cube.

0:08:18 > 0:08:19That's hardcore.

0:08:19 > 0:08:21This is Nurse Lane.

0:08:21 > 0:08:23Chantelle.

0:08:23 > 0:08:24- I'm Rhys. Radiology.- Ah!

0:08:24 > 0:08:27- First day as Staff Nurse. - First day for both of us.

0:08:27 > 0:08:30- Bed four.- Skaterboy.- Brought in with a suspected fractured tibia,

0:08:30 > 0:08:33X-ray indicates he might have a tumour.

0:08:33 > 0:08:38Good spot. He's going to need a CT scan, define any bone destruction and possibly an MRI.

0:08:38 > 0:08:42- OK, Nurse Lane will arrange the CT and MRI.- Right away.

0:08:47 > 0:08:51Oh, hello. I didn't get a chance to introduce myself. I'm...

0:08:51 > 0:08:53Serena Campbell MD. MBA Harvard Business School

0:08:53 > 0:08:55and Fellow of the Royal College of Surgeons.

0:08:55 > 0:08:57Oh, someone's done their homework.

0:08:57 > 0:09:01I read your research papers on Enhanced Recovery Programmes

0:09:01 > 0:09:03- that you wrote at Harvard. - Yes. Long way from Harvard now.

0:09:03 > 0:09:07- I worked with Professor Tim Wong in Sydney.- Oh, right!

0:09:07 > 0:09:09Yeah, he said if ever I come to the UK,

0:09:09 > 0:09:11I should do my utmost to get to work with you.

0:09:11 > 0:09:12Any opportunity.

0:09:12 > 0:09:16Professor Wong said that. Well, I'm very flattered.

0:09:16 > 0:09:19- About earlier in the reception. - Don't worry about it.- Ms Campbell?

0:09:19 > 0:09:24Ah, the paramedic from the RTC's scan.

0:09:24 > 0:09:26Ruptured spleen.

0:09:26 > 0:09:28OK, this I don't like, let's get him into theatre, please.

0:09:28 > 0:09:30Splenectomy?

0:09:30 > 0:09:33We'll see. Might be able to save it laproscopically.

0:09:33 > 0:09:35Now you're obviously talented at Trauma

0:09:35 > 0:09:37and clearly know you're way around Research.

0:09:37 > 0:09:38How about Theatre?

0:09:38 > 0:09:39Try me!

0:09:39 > 0:09:42Good. Follow me in. You can assist.

0:09:42 > 0:09:44Should I clear it with Mr Spence?

0:09:44 > 0:09:46Oh, no need. You can shadow me today.

0:09:46 > 0:09:48Er, he said I should shadow him.

0:09:48 > 0:09:52Ah, which is true. I did. But, that's all right, go ahead.

0:09:52 > 0:09:54Assist Ms Campbell.

0:09:54 > 0:09:58Oh, but first I would like you to take notes for Mr Wells in bed five.

0:09:58 > 0:09:59Right. OK.

0:10:02 > 0:10:04I think Mommy and Daddy need to talk.

0:10:09 > 0:10:10Miss Naylor?

0:10:13 > 0:10:15This is all going to be straightforward, isn't it?

0:10:15 > 0:10:20- I need to look at the CT scan but I don't foresee any complications. - How long roughly?

0:10:20 > 0:10:23I couldn't say, but I will make things go as quickly as possible.

0:10:23 > 0:10:27Right, I am tying myself in knots trying to re-arrange my day.

0:10:27 > 0:10:30As you can imagine, this month has not exactly been easy

0:10:30 > 0:10:33for those of us tasked with keeping the Good Ship Holby afloat

0:10:33 > 0:10:34I'm sure.

0:10:34 > 0:10:36I'm sorry.

0:10:36 > 0:10:39I'm thinking about changing my business card to Crisis Manager.

0:10:41 > 0:10:44ALARM BEEPS

0:10:46 > 0:10:49- What happened? - Where were you?

0:10:49 > 0:10:52- I was just out there! - Take some oxygen. What are her sats?

0:10:52 > 0:10:53Why was she left alone?

0:10:53 > 0:10:55- Nurse Maconie!- 98%.

0:10:58 > 0:11:00Can I have a word?

0:11:11 > 0:11:12I see you've made yourself at home.

0:11:12 > 0:11:15Don't worry, I tend to skip lunch, so you can siesta in peace.

0:11:15 > 0:11:18HE LAUGHS OK. Cards on the table.

0:11:18 > 0:11:22You and I both know why you've been redeployed down here.

0:11:22 > 0:11:24It ain't a promotion.

0:11:24 > 0:11:27- Mr Hanssen thought AAU could do with a fresh pair of hands.- Nonsense!

0:11:27 > 0:11:29He's punishing you. Who can blame him?

0:11:29 > 0:11:31I don't think that's what he had in mind.

0:11:31 > 0:11:34Your heavy-handed policy on Keller contributed a patient's death

0:11:34 > 0:11:38- and almost led to the ruin of this hospital.- It most certainly was not MY policy.

0:11:38 > 0:11:40If it were up to me, I'd have canned your ass.

0:11:40 > 0:11:43Yeah, I think you might show me a modicum of respect.

0:11:43 > 0:11:44But hey, who am I to talk?

0:11:44 > 0:11:47Why do you think I'm in this God-forsaken hell-hole,

0:11:47 > 0:11:50when once upon a time I had an empire on the upper floors?

0:11:50 > 0:11:52I messed up.

0:11:52 > 0:11:55Just like you messed up. Fair summation?

0:11:55 > 0:11:58But now you are here. And I'm you're boss.

0:11:58 > 0:12:02I don't think it's quite as cut and dried as that.

0:12:02 > 0:12:05How the mighty MBA has fallen. No doubt, like a phoenix

0:12:05 > 0:12:08you will rise from the ashes of AAU.

0:12:08 > 0:12:10- But for the time being... - For the time being,

0:12:10 > 0:12:12I shall conduct my practice in the manner I always do.

0:12:12 > 0:12:16You want to sequester the new CT1. That's fine by me.

0:12:16 > 0:12:19- But let's be very clear about one thing.- Clear on what?

0:12:19 > 0:12:22Down here, it may be hell, but I am still God.

0:12:25 > 0:12:27I thought about becoming a radiologist.

0:12:27 > 0:12:28Why didn't you?

0:12:28 > 0:12:30I heard they were crying out for nurses.

0:12:30 > 0:12:32I like to do my bit, you know what I mean?

0:12:34 > 0:12:35Hi.

0:12:35 > 0:12:37Hi. What are you doing on Keller?

0:12:37 > 0:12:41Mr Malick thought you could do with a bit of experience round here.

0:12:42 > 0:12:44I better check those results.

0:12:46 > 0:12:47He's cute.

0:12:50 > 0:12:53However you slice it, she's not an emergency. She's trying it on.

0:12:53 > 0:12:56So, maybe she's exaggerating her symptoms a little.

0:12:56 > 0:12:58We're chock-a-block. I can't just fast track a patient

0:12:58 > 0:13:02cos her dad's the Big Cheese and she's trying on the amateur dramatics.

0:13:02 > 0:13:04There's no faking the fact she has a goitre.

0:13:04 > 0:13:08Have you seen it? There might be a packet of crisps under that scarf.

0:13:08 > 0:13:10- She needs an operation. - It's general surgery.

0:13:10 > 0:13:13It's pressing against her trachea. That's thoracic.

0:13:15 > 0:13:17- No. We've got nothing. - That's not an option.

0:13:17 > 0:13:21Get a CT scan. We're doing it here and we're doing it today.

0:13:21 > 0:13:26I want you to know, in my humble opinion, this stinks to high heaven.

0:13:26 > 0:13:27If you're so worried about it,

0:13:27 > 0:13:30take it up with Hanssen. He's the one who asked us to fast-track her.

0:13:32 > 0:13:35You were in one of the vehicles in the pile up?

0:13:35 > 0:13:37- The ambulance. - In the back?

0:13:37 > 0:13:40- Yeah.- Why were you in there in the first place?

0:13:40 > 0:13:42- I got hit by a bike. - You got hit by a bike

0:13:42 > 0:13:45then the ambulance you were rushed to hospital in got hit by a bus?

0:13:45 > 0:13:49- When you put it like that... - This isn't your day, is it?

0:13:50 > 0:13:53I don't know.

0:13:53 > 0:13:55Looks like it might be starting to get a little better.

0:13:55 > 0:13:57Down, Cowboy.

0:13:57 > 0:14:00You don't want to run the risk of getting hit three times in one day.

0:14:07 > 0:14:10Are you an item? You and Scotty?

0:14:11 > 0:14:12Scottish guy.

0:14:12 > 0:14:14No.

0:14:15 > 0:14:18He thinks you are. The way he looks at you,

0:14:18 > 0:14:21it's like he's waiting to be thrown a treat.

0:14:21 > 0:14:24You seem to have a very active imagination.

0:14:25 > 0:14:28I'm observant. One of the advantages of being an only child.

0:14:28 > 0:14:30Are you ready to show me yet?

0:14:32 > 0:14:36This morning, do you think you might've exaggerated your symptoms

0:14:36 > 0:14:39- just a little?- No.

0:14:39 > 0:14:41Prove it.

0:14:42 > 0:14:44Well, it won't do your career any harm, will it?

0:14:44 > 0:14:46Operating on the chairman's daughter.

0:14:47 > 0:14:49Touche.

0:15:05 > 0:15:08I look like I've swallowed a knee.

0:15:08 > 0:15:10You're lucky your father brought you in today.

0:15:10 > 0:15:12I'm lucky he was at home.

0:15:12 > 0:15:16I hardly see him these days.

0:15:16 > 0:15:19Especially since it sounds like there's a big shake up coming.

0:15:19 > 0:15:21You're quite the sleuth aren't you.

0:15:21 > 0:15:24Think he's had enough of your boss. That tall guy.

0:15:24 > 0:15:27Reckons he's a liability.

0:15:27 > 0:15:30Dad says he's just waiting for him to put one more foot wrong.

0:15:35 > 0:15:38Nicely done. Ties please.

0:15:40 > 0:15:41Would you like to close?

0:15:41 > 0:15:44Sure.

0:15:44 > 0:15:46I believe with your Commonwealth Scholarship Programme,

0:15:46 > 0:15:47you'll require a mentor?

0:15:47 > 0:15:50- Certainly do.- You should give very careful thought,

0:15:50 > 0:15:52to who you'd like to approach.

0:15:52 > 0:15:55The right mentor can be extremely influential.

0:15:55 > 0:15:56That is a definite.

0:15:56 > 0:15:58Passing all assessments is imperative, I take it?

0:15:58 > 0:16:00Failure is not an option.

0:16:00 > 0:16:04Right. Well, picking the best team

0:16:04 > 0:16:08and making the right alliances, will be extremely important.

0:16:09 > 0:16:12TARA: Thank you!

0:16:14 > 0:16:15What was that all about?

0:16:15 > 0:16:18- Nothing. - Oh, Tara.

0:16:18 > 0:16:21I was just asking Professor Hope about my research. That's all.

0:16:21 > 0:16:23What research?

0:16:23 > 0:16:25Just a paper I'm writing.

0:16:25 > 0:16:26On?

0:16:26 > 0:16:29Young people facing early mortality.

0:16:29 > 0:16:31You're not still pipe dreaming about The Lancet, are you?

0:16:31 > 0:16:35- What's your point? - You're an F1.- And?- And you're an F1.

0:16:35 > 0:16:38They normally publish the work of pre-eminent consultants, psychiatrists...

0:16:38 > 0:16:41And for your information he thought they might be interested.

0:16:41 > 0:16:45So I look forward to proving you wrong...

0:16:45 > 0:16:46Poppy's CT.

0:16:46 > 0:16:49That's a deep-lying goitre. Good job we've got that theatre slot.

0:16:49 > 0:16:52Presumably you'll need a GS consultant for the neck?

0:16:53 > 0:16:54Yeah, let's page Hanssen.

0:16:54 > 0:16:57Don't you think he might be a wee bit busy?

0:16:57 > 0:16:58I think he could use the chance

0:16:58 > 0:17:01to remind Cunningham how good he can be.

0:17:01 > 0:17:05He's got bruising and laceration to the right side of his head and hands.

0:17:05 > 0:17:09Apparently, he lost consciousness on the street after the bike struck him.

0:17:09 > 0:17:12I've ordered blood sugars and half-hourly obs.

0:17:12 > 0:17:15Great. Just tell me when you can see my finger.

0:17:17 > 0:17:19- Now. - Just lean back for me.

0:17:24 > 0:17:29Just keep an eye on his GCS and any change, just keep me informed.

0:17:29 > 0:17:31Can I go home then?

0:17:31 > 0:17:34Well, we need to do a head CT and some routine checks,

0:17:34 > 0:17:37- and then we'll see if you can go home.- I'm great.

0:17:37 > 0:17:41I know you are. I just want to keep you great for a little bit longer.

0:17:41 > 0:17:42That's all.

0:17:43 > 0:17:46The mass invades the trachea, extends into the chest

0:17:46 > 0:17:49carrying risk of damage to the oesophagus, the aorta, vocal cords.

0:17:49 > 0:17:51As I told Nurse Maconie, I'm rather busy today.

0:17:51 > 0:17:54You'll need to speak with one of our other colleagues on Keller.

0:17:54 > 0:17:57As I understand it, you want to see Poppy Cunningham treated

0:17:57 > 0:18:00- and discharged as soon as possible. - Indeed I do.

0:18:00 > 0:18:02Don't you think this might be an opportunity to score

0:18:02 > 0:18:05- brownie points with her father? - And why would I need to do that?

0:18:05 > 0:18:08You've had a tricky couple of months.

0:18:08 > 0:18:09- Have I?- Yes.

0:18:09 > 0:18:14First of all Ritchie Mooney, and then the whole TV interview thing.

0:18:14 > 0:18:18- And?- And, I just don't see how we can keep the Hertzig a secret,

0:18:18 > 0:18:20now Cunningham is in the building.

0:18:20 > 0:18:23Perhaps you would care to summarise for me

0:18:23 > 0:18:26- Mr Cunningham's surgical experience? - Well, he's not a surgeon, he's a...

0:18:26 > 0:18:27Go on.

0:18:27 > 0:18:31I believe the phrase you're looking for is, "Man in a suit."

0:18:31 > 0:18:33The board is more or less made up of men and women in suits.

0:18:33 > 0:18:37Men like George Binns, who are very good at adding up numbers but lack

0:18:37 > 0:18:40any kind of imagination or indeed, most importantly, moral courage.

0:18:40 > 0:18:42Yes, I understand that, but...

0:18:42 > 0:18:46Miss Naylor, I'm sure you'll agree, progress has to involve risks.

0:18:46 > 0:18:50And as one of my most forward thinking and creative consultants,

0:18:50 > 0:18:53I think we all prefer it when you play pioneer, not cautionary.

0:19:01 > 0:19:04So, who am I supposed to listen to most here?

0:19:04 > 0:19:08He's the boss, she's the one with all the letters after her name.

0:19:08 > 0:19:10I don't know. Take your pick.

0:19:11 > 0:19:15I just look after the patients and leave the politicking to others.

0:19:15 > 0:19:17So what are you saying?

0:19:17 > 0:19:19Keep my head down and don't make any ripples?

0:19:19 > 0:19:23You've made enough ripples already haven't you?

0:19:23 > 0:19:25OK, so if he's the Emperor

0:19:25 > 0:19:29and she's the incomer vying for a shot at his throne,

0:19:29 > 0:19:32- what does that make you? - In what sense?

0:19:32 > 0:19:35The philosopher? The guru? The diplomat?

0:19:35 > 0:19:37Well, when you start at a new place you've got to get

0:19:37 > 0:19:39a handle on the residents, right?

0:19:39 > 0:19:41You've done this before, haven't you?

0:19:41 > 0:19:44Lots of times. My dad was in the military.

0:19:44 > 0:19:47Way too many schools. Way too many first days.

0:19:47 > 0:19:50All right, what do you reckon so far?

0:19:52 > 0:19:56Your wife, Chrissie - no-nonsense, talented nurse.

0:19:56 > 0:20:00Serena Campbell - frustrated, power-hungry.

0:20:02 > 0:20:06Spence - probably a genius in the theatre and a fire-cracker in bed.

0:20:09 > 0:20:13You think everything's going to be a breeze then you get a curve ball like this.

0:20:13 > 0:20:17What is it? Sorry. Tendency to be a bit hands-on.

0:20:17 > 0:20:20The lad's got DVT along with the sarcoma.

0:20:20 > 0:20:23- What would you do, Staff Nurse Lane? - I'd give him warfarin.

0:20:23 > 0:20:25- Thin the blood. - Ah, but he's going to need

0:20:25 > 0:20:28- an operation for the sarcoma. - He'd bleed out.- Exactly.

0:20:28 > 0:20:31I'll insert an IVC filter to negate the threat of thrombosis.

0:20:31 > 0:20:33- Could set that up for me? - No problem.

0:20:40 > 0:20:41Lift your shirt.

0:20:41 > 0:20:43- What?- Off. I want to see your stomach area.

0:20:43 > 0:20:47- You say this to all the fit blokes? - Don't flatter yourself.

0:20:47 > 0:20:51I saw you flinch when the doctor pressed your ribs. Show me.

0:20:51 > 0:20:53Pull the curtain.

0:20:53 > 0:20:56What you got up there, three nipples?

0:20:57 > 0:21:00- You keeping this a secret? - It's just a scratch.

0:21:00 > 0:21:02You did this when you got hit by the bike?

0:21:02 > 0:21:04Mm-hm.

0:21:04 > 0:21:07And where is the biker now?

0:21:07 > 0:21:11- He didn't stop.- A hit-and-run biker? What was he, a BMX Ninja?

0:21:11 > 0:21:13- What?- THAT is a stab wound.

0:21:13 > 0:21:15It's not a stab wound.

0:21:15 > 0:21:18That IS a stab wound. You have been stabbed.

0:21:18 > 0:21:19Keep your voice down.

0:21:19 > 0:21:23OK. But I think that's what the police are going to say

0:21:23 > 0:21:26- when my colleague Dr Levy... - No police.

0:21:26 > 0:21:28Please.

0:21:28 > 0:21:29Then tell me what happened.

0:21:29 > 0:21:33Dr Birdwood, I need you to take a look at the patient in Bed 7.

0:21:34 > 0:21:36Mr Wells needs an abdominal CT.

0:21:37 > 0:21:41Nurse, take Mr Wells to Radiography. Abdo CT.

0:21:41 > 0:21:42Bed 7.

0:21:44 > 0:21:45I won't be long.

0:21:48 > 0:21:51This shows that Aisha's ventricular function has gone down significantly.

0:21:51 > 0:21:54Now, I know the clinical trials are in their early stages

0:21:54 > 0:21:58but the fact is if we don't operate soon...

0:21:58 > 0:22:01Right, then let's be bold. Prep her for theatre.

0:22:01 > 0:22:04- Right now?- Absolutely.

0:22:04 > 0:22:07Don't you think it's wise to get a final sign-off from the board?

0:22:07 > 0:22:09Terence Cunningham is right out there.

0:22:09 > 0:22:11Well, this is a medical matter, is it not?

0:22:11 > 0:22:13Then it's important we move with speed.

0:22:13 > 0:22:16And I do need this operation to be a success.

0:22:16 > 0:22:18Right.

0:22:22 > 0:22:24Ah, Miss Naylor. We've decided to go ahead with

0:22:24 > 0:22:28the Hertzig procedure immediately. We'll need your assistance in theatre, please.

0:22:28 > 0:22:31- Three line whip, I'm afraid.- What about Poppy Cunningham's operation?

0:22:31 > 0:22:35Tell Mr Cunningham his daughter's operation will have to wait.

0:22:40 > 0:22:42All right new-girl, this is Benny.

0:22:42 > 0:22:45Benny. This is one we just hatched earlier.

0:22:45 > 0:22:47We see Benny from time to time.

0:22:47 > 0:22:49He's one of our regulars, aren't you, Ben?

0:22:53 > 0:22:55Never says a word.

0:22:55 > 0:22:58Lost part of his tongue when he was a kid, so, when we see Benny,

0:22:58 > 0:22:59we dose him full of vitamins,

0:22:59 > 0:23:02we drain his ulcer and then we feed him. And as a result,

0:23:02 > 0:23:04Benny will probably out-live us all.

0:23:04 > 0:23:08And it's my job is to drain the pus from his skanky ulcer?

0:23:08 > 0:23:11Well, I'm due in theatre and Mr Spence is...

0:23:11 > 0:23:15He's busy, so...

0:23:15 > 0:23:18Yeah, yeah. I get it.

0:23:18 > 0:23:21Hiya, Benny. I'm Lilah.

0:23:21 > 0:23:25- How long's he had this? - Since I was in Sixth Form?

0:23:25 > 0:23:27You know I think this is one of those Indian jobs.

0:23:27 > 0:23:30Big Chief passes it down to Little Chief, Little Chief

0:23:30 > 0:23:31fobs it off to the Indians.

0:23:31 > 0:23:35You aspirate. I'll clean and dress and before you know it,

0:23:35 > 0:23:37- it'll be over.- Hospitals.

0:23:37 > 0:23:40Every one I've ever worked in, it's always about hierarchy.

0:23:40 > 0:23:42I'll get my gloves.

0:23:49 > 0:23:53- I'll be right back.- Hey!

0:23:53 > 0:23:56Nurse, are you taking Mr Wells for his scans?

0:23:56 > 0:23:58She took one look at me and decided we should elope together.

0:23:58 > 0:24:00That all right with you?

0:24:00 > 0:24:02Make sure you stay with him and bring him back. Understood?

0:24:02 > 0:24:05- Don't leave him. - You're just jealous.

0:24:05 > 0:24:09Actually, I'll come with. Might as well see where Radiology's hidden.

0:24:09 > 0:24:12Told you. Can't bear to let me out of her sight.

0:24:14 > 0:24:16PHONE BEEPS

0:24:16 > 0:24:17Dad?

0:24:17 > 0:24:19Mm?

0:24:19 > 0:24:20You've got a message.

0:24:22 > 0:24:24Yes, I know.

0:24:24 > 0:24:27- Are you not going to read it? - Eventually.

0:24:27 > 0:24:30- Do you want anything from the shop? - No.

0:24:30 > 0:24:33- I'm afraid there's going to be a delay.- What?

0:24:33 > 0:24:35Two to three hours. It's unavoidable.

0:24:35 > 0:24:38We have a patient who requires emergency heart surgery.

0:24:38 > 0:24:41No, THIS is an emergency.

0:24:41 > 0:24:44You said that Poppy's situation is more serious than you thought.

0:24:44 > 0:24:46There's no immediate risk to life.

0:24:46 > 0:24:48As soon as Mr Hanssen and I are free...

0:24:48 > 0:24:50Right, you said nothing about Hanssen.

0:24:50 > 0:24:53Poppy's scan indicates that some general surgery work

0:24:53 > 0:24:56- will be necessary. - Right, so what is it?

0:24:56 > 0:24:59What is so serious that we've been bumped down the list like this?

0:24:59 > 0:25:01Dad, you said you wouldn't do this.

0:25:07 > 0:25:09It can't wait. I'm sorry.

0:25:09 > 0:25:13How many surgeons does it take to operate on one heart?

0:25:13 > 0:25:15This is a complex multi-disciplinary procedure.

0:25:15 > 0:25:18Is this how everyone is treated around here?

0:25:18 > 0:25:19You're passed from pillar to post?

0:25:19 > 0:25:21Is this how Hanssen runs his hospital?

0:25:21 > 0:25:24I'm not sure it's fair to blame Hanssen for this.

0:25:24 > 0:25:27You're obviously very talented, and you're very ambitious.

0:25:27 > 0:25:30Don't let Hanssen drag you down with him.

0:25:30 > 0:25:34You've got his back. Has he got yours?

0:25:40 > 0:25:42You OK?

0:25:42 > 0:25:45Great. We'll have you back on that ward in no time.

0:25:49 > 0:25:51All ready.

0:25:51 > 0:25:53Good. Anaesthetic, please.

0:25:59 > 0:26:01Show me the ampoule.

0:26:08 > 0:26:11This isn't anaesthetic, it's saline.

0:26:11 > 0:26:13- What?- Who prepared this?

0:26:15 > 0:26:17I'd rather not say.

0:26:23 > 0:26:25Right. Let's try again.

0:26:31 > 0:26:34Oh, thank you.

0:26:34 > 0:26:37Mr Cunningham. What brings you in today?

0:26:37 > 0:26:39Don't have a board meeting, do we?

0:26:39 > 0:26:42Oh, no, I'm not here in my professional capacity.

0:26:42 > 0:26:45My daughter's a patient on Darwin.

0:26:45 > 0:26:48Oh, I'm very sorry to hear that.

0:26:48 > 0:26:51I imagine it's all hands on deck for the Hertzig up there.

0:26:51 > 0:26:56Yes. Sorry, what are you talking about? What's the Hertzig?

0:26:57 > 0:27:00There we go, Ben, clean and better.

0:27:02 > 0:27:05Oh, God, Chrissie, I'm sorry. I just had to make sure my...

0:27:05 > 0:27:08- Doesn't matter. - I didn't mean to leave you.

0:27:08 > 0:27:11- Would you like to examine the pus, Doctor?- No.

0:27:11 > 0:27:12No, I didn't think so.

0:27:12 > 0:27:14But I would like to see the ulcer again.

0:27:14 > 0:27:17- What?- Well, I didn't get a chance to look at it properly.

0:27:17 > 0:27:21Sorry, you want me to take off the brand new dressings,

0:27:21 > 0:27:22and re-expose the wound?

0:27:22 > 0:27:24Yes. Please. Sorry.

0:27:24 > 0:27:27- You've got to be joking. - No.

0:27:27 > 0:27:31Look, if this one of these first day, newbie doctor things - you know,

0:27:31 > 0:27:34show the nurse who's boss - then you've picked the wrong nurse.

0:27:34 > 0:27:36I just want to see the ulcer.

0:27:36 > 0:27:38Fine.

0:27:53 > 0:27:54Cut please.

0:27:55 > 0:27:58MACHINE BEEPS FRANTICALLY

0:27:58 > 0:28:00Cardiac arrest!

0:28:02 > 0:28:04Elliot.

0:28:04 > 0:28:06Paddles, Mr Hope.

0:28:07 > 0:28:10Paddles.

0:28:16 > 0:28:18For God's sake. You can't afford to screw this up.

0:28:18 > 0:28:22That's enough, Miss Naylor. Know your place, please.

0:28:22 > 0:28:24Charge to 20. Clear!

0:28:24 > 0:28:25ELECTRICITY JOLTS

0:28:25 > 0:28:29And again. Charge to thirty. Clear!

0:28:29 > 0:28:30ELECTRICITY JOLTS

0:28:30 > 0:28:32BEEPING STABILISES

0:28:32 > 0:28:34She's back.

0:28:34 > 0:28:38OK, let's put her on bypass, please.

0:28:43 > 0:28:44LILAH: It smells funny.

0:28:44 > 0:28:46Does this smell funny to you?

0:28:46 > 0:28:50It's an ulcer. It's a septic ulcer. It smells cos it's got bacteria.

0:28:50 > 0:28:53Yeah. I know ulcers. Believe me.

0:28:54 > 0:28:59A&E Blacktown Hospital, North Shore. Lot of homeless guys.

0:28:59 > 0:29:02They get really drunk, they fall asleep in the sun.

0:29:02 > 0:29:06They get really badly sun-burnt. Burns get infected.

0:29:06 > 0:29:10These guys get leg ulcers like a teenager gets zits.

0:29:10 > 0:29:13- Really.- This...smells funny.

0:29:13 > 0:29:17I want to do a core biopsy, send it to the lab.

0:29:20 > 0:29:22Thanks.

0:29:22 > 0:29:25OK, Benny. This might hurt a bit...

0:29:30 > 0:29:34Jac, release the pump pressure, please.

0:29:34 > 0:29:36It's OK, I'll do it.

0:29:41 > 0:29:45OK, releasing the cross clamp.

0:29:52 > 0:29:54Increase the vent please.

0:29:58 > 0:30:00How's the blood flow?

0:30:00 > 0:30:02Excellent.

0:30:04 > 0:30:07It's going to work. It's going to work.

0:30:07 > 0:30:10- Congratulations, Mr Hope. - This is amazing.

0:30:18 > 0:30:20Was that a test?

0:30:20 > 0:30:22- Sorry?- Saline instead of anaesthetic.

0:30:22 > 0:30:25- Sorry, I don't know what you mean. - Keep me on my toes!

0:30:35 > 0:30:38I just had a really weird conversation with Rhys.

0:30:38 > 0:30:40Funny weird or de-friend ASAP weird?

0:30:40 > 0:30:45He thinks I gave him saline instead of anaesthetic.

0:30:45 > 0:30:50- Easy mistake to make. - But I didn't prepare the syringe.

0:30:50 > 0:30:52It's his first day. He probably got it wrong.

0:30:52 > 0:30:55I had to show him where the toilets were.

0:31:00 > 0:31:01Marie-Claire, was it you?

0:31:01 > 0:31:04I don't know. I've been rushed off my feet since I've got here.

0:31:04 > 0:31:07I've haven't had a break all day.

0:31:09 > 0:31:11All right. It was me.

0:31:11 > 0:31:14- I'm sorry. It was a mistake. - So you blamed me!

0:31:14 > 0:31:17I didn't! I swear to God I did not blame you.

0:31:17 > 0:31:19Well, Rhys thinks it was me.

0:31:20 > 0:31:25- I might've been a bit vague. - I want you to tell him.

0:31:25 > 0:31:27- What, do you want to get me sacked? - No!

0:31:27 > 0:31:29It's all right for you with a permanent contract. What about me?

0:31:29 > 0:31:32- I'm living hand to mouth here! - You won't get sacked.

0:31:32 > 0:31:35- What if it goes to a tribunal? - It won't go to a tribunal.

0:31:35 > 0:31:36- You promise?! - Of course!

0:31:38 > 0:31:40We'll say no more about it then?

0:31:42 > 0:31:45- SHE SIGHS - Yeah.

0:31:45 > 0:31:46Great.

0:31:51 > 0:31:53I'll take it from here. Thank you.

0:32:00 > 0:32:04I'm not waiting any longer. You tell me what happened. The truth.

0:32:04 > 0:32:06Or I go get one of my superiors.

0:32:07 > 0:32:12- It wasn't a bike.- Oh, shock horror. - I fell.

0:32:12 > 0:32:15What, down the stairs? And did you bang your head on the door too?

0:32:15 > 0:32:19Or slip in the shower? I'm going to get the consultant.

0:32:19 > 0:32:22I got caught up on a shard of glass.

0:32:22 > 0:32:23Caught up?

0:32:25 > 0:32:27It was glass shards, concreted into the top of a wall.

0:32:27 > 0:32:30- Where? - Breaker's yard.

0:32:30 > 0:32:33You were breaking in to a breaker's yard?

0:32:33 > 0:32:36- What are you, Sherlock Holmes?- What are you, Public Enemy Number One?

0:32:36 > 0:32:39I should call Security and inform the police.

0:32:39 > 0:32:43- We didn't nick anything.- We? - This knob-head, Louie.

0:32:43 > 0:32:45- Mate of yours?- No!

0:32:45 > 0:32:46Just a guy I know from the pub.

0:32:48 > 0:32:52He does a little thieving. And, I've been skint for ever.

0:32:54 > 0:32:56Louie nicks lead and stuff from yards.

0:32:56 > 0:33:00You're a thief. And you expect me to cover for you?

0:33:00 > 0:33:02He nipped over the wall like a monkey.

0:33:02 > 0:33:05Me, I slipped. I should've worn trainers.

0:33:05 > 0:33:08I tried to stop myself and landed on a piece of the glass..

0:33:08 > 0:33:09How big?

0:33:09 > 0:33:11Couldn't really see it. I got stuck.

0:33:12 > 0:33:15You probably don't think it, but I'm not a thief.

0:33:15 > 0:33:18I was being stupid. It was my first time.

0:33:18 > 0:33:21Honest.

0:33:21 > 0:33:24Dr Birdwood, Mr Spence would like a word with you, please.

0:33:24 > 0:33:27- OK.- Immediately!

0:33:27 > 0:33:30They're really trying you out, today, aren't they?

0:33:33 > 0:33:36- Why are you not with Poppy Cunningham?- You don't know?!

0:33:36 > 0:33:38What?

0:33:38 > 0:33:40Her theatre slot's been cancelled.

0:33:40 > 0:33:43Cancelled? By who? I didn't sign off on that.

0:33:43 > 0:33:45Well, let's have a look at the form.

0:33:45 > 0:33:48There are two signatures down here. One of them is yours,

0:33:48 > 0:33:51- the other one is... - Hanssen.

0:33:51 > 0:33:52Enough.

0:33:52 > 0:33:54Enough what?

0:33:54 > 0:33:57I'm not going to be a pawn in this ridiculous power game!

0:33:59 > 0:34:00SHE SIGHS

0:34:02 > 0:34:07Miss Naylor? Would you mind telling me what is going on?

0:34:07 > 0:34:10I don't know why Poppy's operation's been called off

0:34:10 > 0:34:12but I can assure you it wasn't my decision.

0:34:13 > 0:34:17Well, I'm sure Mr Hanssen has been preoccupied

0:34:17 > 0:34:19with this Hertzig debacle.

0:34:21 > 0:34:22Were you in on it?

0:34:22 > 0:34:26No. Yes. I mean, I was in theatre for the procedure, but...

0:34:26 > 0:34:29It seems that Mr Hanssen has been making

0:34:29 > 0:34:31rather a lot of reckless decisions.

0:34:32 > 0:34:35- I don't know about that. - And what about you, Miss Naylor?

0:34:35 > 0:34:37Would you back him?

0:34:38 > 0:34:42Can you honestly say you still have faith in him as a leader?

0:34:46 > 0:34:48No.

0:34:55 > 0:34:57Follow me. You were asked to debride and aspirate

0:34:57 > 0:34:59Benny Hancock's leg ulcer.

0:34:59 > 0:35:02- Yes.- Did you?- No. But I don't... - I don't want any buts.

0:35:02 > 0:35:05- Sorry, but I don't think... - Is the system down under

0:35:05 > 0:35:08upside down and backwards, juniors do their own thing,

0:35:08 > 0:35:09no-one listens to the boss?

0:35:09 > 0:35:11- I didn't think the ulcer smelt right.- Did I ask you

0:35:11 > 0:35:14- to do a biopsy?- No.- No. But you did? - It didn't smell right!

0:35:14 > 0:35:17I'll tell you what doesn't smell right. Your attitude.

0:35:17 > 0:35:19I'm sorry, I was only trying to...

0:35:19 > 0:35:21All right, have you sent it to the lab yet?

0:35:21 > 0:35:24- Yes.- So when the results come back and confirm what we already know -

0:35:24 > 0:35:28That it is indeed just a leg ulcer - your job will be to go to Mr Hanssen

0:35:28 > 0:35:32and find out what the real cost is of these procedures,

0:35:32 > 0:35:35what the true cost these lab tests are to the NHS.

0:35:35 > 0:35:37- Right.- You will then go to HR and ask them

0:35:37 > 0:35:39to subtract that sum from your wages

0:35:39 > 0:35:41or your scholarship grant or whatever.

0:35:41 > 0:35:44And when someone asks you why you created so much extra work,

0:35:44 > 0:35:47- what will you say? - Because I didn't listen to my boss.

0:36:03 > 0:36:06So do we have a slot ready for Miss Cunningham's operation?

0:36:06 > 0:36:08Mr Hanssen.

0:36:08 > 0:36:11How very kind of you to find the time to drop by.

0:36:11 > 0:36:13Apparently, we cancelled it.

0:36:13 > 0:36:16- And why did we do that?- I'm surprised you're not aware of that.

0:36:16 > 0:36:20I'm afraid I've been occupied with an exciting new development for the hospital.

0:36:20 > 0:36:23I don't care about experimental procedures.

0:36:23 > 0:36:26I want to know why you, first of all, saw fit to postpone

0:36:26 > 0:36:30and then cancel my daughter's operation?

0:36:30 > 0:36:33I assure you that was not my doing.

0:36:33 > 0:36:34It's highly unusual for an op

0:36:34 > 0:36:37to be cancelled without either consultant knowing.

0:36:37 > 0:36:42- Right, this is chaos.- Perhaps it's also a conversation for my office rather than on the ward, please.

0:36:42 > 0:36:45My daughter is seriously ill and this is how you treat her?

0:36:45 > 0:36:49You're too busy with your relentless campaign of self-promotion.

0:36:49 > 0:36:53- Dad!- You are running this hospital like your own private fiefdom!

0:36:53 > 0:36:56You have committed God knows how much to this Hertzig trial

0:36:56 > 0:36:59without even consulting the Board.

0:36:59 > 0:37:02- It was me.- What?

0:37:02 > 0:37:05I'm the one who cancelled the operation.

0:37:10 > 0:37:13Hi, I'm on hold to speak to the lab technician.

0:37:13 > 0:37:16Yeah, no, I know. No. No. Don't put me on hold again!

0:37:16 > 0:37:18I just want to know if it's too late to cancel the... damn it!

0:37:18 > 0:37:20Sean's scan.

0:37:20 > 0:37:23SHE MOUTHS

0:37:26 > 0:37:29Sean Wells' scan. You might want to take a look at that.

0:37:29 > 0:37:30Thank you.

0:37:30 > 0:37:34Oh, hi. Look, I ordered a test earlier for a patient, Benjamin Hancock.

0:37:34 > 0:37:37- Is it too late to... - Where is Sean Wells?

0:37:37 > 0:37:40In his bed. Why, what's the matter?

0:38:06 > 0:38:08Sean.

0:38:11 > 0:38:13Sean!

0:38:15 > 0:38:17Sean!

0:38:19 > 0:38:21Sean!

0:38:24 > 0:38:25Sean!

0:38:31 > 0:38:36Sean, what are you doing?!

0:38:36 > 0:38:40OK, all right, all right.

0:38:40 > 0:38:41OK, Sean.

0:38:43 > 0:38:46Chrissie! OK, stay with me.

0:38:52 > 0:38:55Well, she made a fool out of me.

0:38:55 > 0:38:59- Why do you think she did it? - No idea. She won't talk.

0:39:00 > 0:39:05- Is her mum...? - She's in Nice. New man.

0:39:05 > 0:39:08They were never that close.

0:39:10 > 0:39:13- Maybe you could talk to her. - Me?!

0:39:13 > 0:39:15Well, she still needs the operation.

0:39:15 > 0:39:20If you can convince her, I'm a very good man to have in your corner.

0:39:23 > 0:39:25B/P's 60 over 40.

0:39:25 > 0:39:27All right, I need 500ml of colloid stat.

0:39:27 > 0:39:30- Theatre's prepped and ready to go. - He said he fell on some glass.

0:39:30 > 0:39:32- Not in his notes it didn't! - I told him I wouldn't grass him up.

0:39:32 > 0:39:37- I'm sorry. Can I come in? - I think you've done enough already.

0:39:41 > 0:39:43Chrissie, cut his shirt.

0:39:43 > 0:39:46Need the Betadine, swab. Chrissie, scrub in.

0:39:48 > 0:39:49Scalpel.

0:40:04 > 0:40:06Your dad has asked me to talk to you.

0:40:11 > 0:40:14You need to get it removed.

0:40:14 > 0:40:17What a good idea(!) Have it removed(!)

0:40:17 > 0:40:19I never thought of that(!)

0:40:19 > 0:40:22Then why did you cancel your operation?

0:40:24 > 0:40:26Got his attention, didn't it?

0:40:29 > 0:40:31So that's what all of this is about?

0:40:31 > 0:40:34Cos Daddy's not giving you enough attention?

0:40:34 > 0:40:37You could have just got an unsuitable boyfriend or

0:40:37 > 0:40:38an ill-advised tattoo.

0:40:38 > 0:40:42Pathetic, I know, but it's like he didn't even know I was here.

0:40:42 > 0:40:43Well, maybe next time,

0:40:43 > 0:40:46you can work out your family issues somewhere else.

0:40:46 > 0:40:49You're not a child for God's sake. You're 18.

0:40:49 > 0:40:52You think you can judge me? You agreed to the operation

0:40:52 > 0:40:54cos you thought it'd be good for your career.

0:40:54 > 0:40:58Whose attention did you want? SHE COUGHS

0:40:58 > 0:41:02- MONITOR ALARM BEEPS - Poppy, you need to calm down.

0:41:02 > 0:41:05Poppy, take some breaths. Jonny, I need assistance here!

0:41:05 > 0:41:09- Excuse me, please. - Sats are 60. We need to intubate.

0:41:09 > 0:41:11What's happening? What are you doing?

0:41:11 > 0:41:13I'm going to ventilate her lungs.

0:41:13 > 0:41:17- It's pushing on her trachea, she's struggling to breath.- Heart rate 48.

0:41:17 > 0:41:19SHE COUGHS

0:41:21 > 0:41:23OK, there's pressure on her windpipe.

0:41:23 > 0:41:25We need to prep her immediately and

0:41:25 > 0:41:27let's get Hanssen back here now.

0:41:27 > 0:41:31B/P is down. Peak airway pressure is increasing.

0:41:31 > 0:41:33- We need to open up.- No, no, I can control this.

0:41:33 > 0:41:35There's a lot of bleeding from a sternal vessel.

0:41:35 > 0:41:37I need suction and Ligar clips.

0:41:55 > 0:41:56OK, looking good.

0:41:58 > 0:42:02Nicely done, Miss Naylor. Very nicely done.

0:42:13 > 0:42:19Good news. Caught the sarcoma early. Mr Malick did the business.

0:42:19 > 0:42:22Couple of months, the kid'll be falling off his board, good as new.

0:42:22 > 0:42:24That's great.

0:42:26 > 0:42:29Having a tough one?

0:42:29 > 0:42:31No, no. I'm fine.

0:42:32 > 0:42:35Come on, first day buddy, you can tell me.

0:42:39 > 0:42:43Today, especially today, I just wanted everything to go well.

0:42:43 > 0:42:47I wanted them to think they'd done the right thing giving me the job.

0:42:47 > 0:42:50And I've upset you with the saline thing, haven't I?

0:42:50 > 0:42:53No. No, you've not upset me.

0:42:59 > 0:43:03It wasn't you who made the mistake, was it?

0:43:05 > 0:43:07Did you talk to her about it?

0:43:07 > 0:43:10Not really.

0:43:10 > 0:43:12Something like that, you have to take it seriously.

0:43:12 > 0:43:15It's part of your job now.

0:43:15 > 0:43:17I don't know.

0:43:18 > 0:43:21OK, what if I'd missed it?

0:43:23 > 0:43:24Ouch.

0:43:29 > 0:43:31Is he going to be all right?

0:43:31 > 0:43:34- You let a patient with a punctured aorta walk out of my ward.- I'm sorry.

0:43:34 > 0:43:38My ward! All right, get me suction and swabs.

0:43:38 > 0:43:40You say he fell on glass?

0:43:40 > 0:43:43That's what he told me. Shards concreted to the top of a wall.

0:43:43 > 0:43:47Points must have been needle-thin. Punctured the muscle,

0:43:47 > 0:43:48made a hole in the aorta.

0:43:48 > 0:43:50He was on a job with some low-life,

0:43:50 > 0:43:54- he didn't want to be found out. - Oh, so this is his fault?!

0:43:54 > 0:43:56- No.- Your only duty is for the welfare of the patient.

0:43:56 > 0:43:58Nothing else matters!

0:43:58 > 0:44:01- I didn't say anything, because... - All right.

0:44:02 > 0:44:05OK, I'm going to need to clamp the artery. 3/0 Prolene.

0:44:05 > 0:44:08Hope there's no glass in there.

0:44:08 > 0:44:09Mr Spence, I...

0:44:09 > 0:44:12- Go get some rest, Dr Birdwood. - But, Mr Spence.

0:44:12 > 0:44:14Kill the intercom.

0:44:30 > 0:44:32If anyone were to ask me,

0:44:32 > 0:44:36I'd say Mr Spence overloaded you with responsibility for a first day.

0:44:37 > 0:44:42This just doesn't happen to me. I don't fail. I don't mess up.

0:44:42 > 0:44:44First days are never easy.

0:44:44 > 0:44:46- No. Sure. - What did he say to you exactly?

0:44:47 > 0:44:50Oh, he just said I should go and...

0:44:51 > 0:44:53I probably need to go home anyway.

0:44:55 > 0:44:57Can I have a word?

0:44:58 > 0:45:01Got his mates coming in later, didn't want this blowing his cool.

0:45:01 > 0:45:04- Great.- Great?

0:45:04 > 0:45:06What, I managed to remove a balloon from a patient's bed

0:45:06 > 0:45:08without causing brain damage?

0:45:09 > 0:45:12That mistake you made earlier. It could've been serious.

0:45:12 > 0:45:13I thought we'd covered that.

0:45:13 > 0:45:17Yeah, well. I should've made myself clear, it was YOUR responsibility.

0:45:19 > 0:45:24Well, like I said, new job, first day.

0:45:24 > 0:45:26You've got to make allowances.

0:45:26 > 0:45:31Marie-Claire, your negligence could've had serious repercussions.

0:45:31 > 0:45:33When I point out your responsibilities,

0:45:33 > 0:45:35it's so you don't make that mistake again.

0:45:35 > 0:45:37Is that clear?

0:45:40 > 0:45:44Marie-Claire? I asked you a question.

0:45:47 > 0:45:49Yes.

0:45:49 > 0:45:50Right.

0:45:57 > 0:46:00Ah, Mr Hanssen, I'm awfully glad to see you. I'm afraid I don't think

0:46:00 > 0:46:02it's going to work for me down here.

0:46:02 > 0:46:05- What isn't?- Me and Michael Spence. Oil and water. We don't mesh.

0:46:05 > 0:46:09- Really?- Really. He's already suspended our new CT1.- Dr Birdwood?

0:46:09 > 0:46:12It's her first day and he came down on her like a ton of bricks for...

0:46:12 > 0:46:15I read her Commonwealth Scholarship Application myself. Very impressive.

0:46:15 > 0:46:18Australian born, with a great deal of difficult A&E experience.

0:46:18 > 0:46:21- A very strong candidate. I agree. - So, I think, if she can deal with

0:46:21 > 0:46:23alcohol-crazed Australian men in pain,

0:46:23 > 0:46:26she can cope with our Mr Spence. Don't you?

0:46:26 > 0:46:28MOBILE RINGS

0:46:28 > 0:46:31Press. I'm still rather popular with a few of them, it seems.

0:46:31 > 0:46:34I sympathise. But look, this friction between myself and Mr...

0:46:34 > 0:46:38I thought, you see, that you of all people, Miss Campbell, would be

0:46:38 > 0:46:41the best person to help marshal and finely-tune our resources here.

0:46:41 > 0:46:42Yes. And I will, but...

0:46:42 > 0:46:46So how you and Mr Spence mesh is of no interest to me whatsoever!

0:46:46 > 0:46:48I do hope I've made myself clear.

0:46:56 > 0:46:58Are you OK?

0:46:58 > 0:47:03Me? Of course. Yes. Everything's been re-organised.

0:47:03 > 0:47:05I saw you, Dad.

0:47:05 > 0:47:07Saw me what?

0:47:08 > 0:47:09You were crying.

0:47:11 > 0:47:14- What are you talking about? - When I came round.

0:47:15 > 0:47:17Poppy.

0:47:18 > 0:47:22They were pumping air into your lungs,

0:47:22 > 0:47:24you were probably hallucinating.

0:47:32 > 0:47:35MESSAGE ALERT BEEPS

0:48:11 > 0:48:13Is he going to be all right?

0:48:15 > 0:48:16Well, he's lost a lot of blood

0:48:16 > 0:48:19but the tear's closed now so...he should be fine.

0:48:27 > 0:48:30He should make a full recovery. Just have a bit of a scar.

0:48:31 > 0:48:34He'll like the big scar.

0:48:34 > 0:48:36Yeah, give him something to brag about.

0:48:36 > 0:48:38Impress all the soppy English girls.

0:48:38 > 0:48:40Might even get him laid.

0:48:40 > 0:48:44He's going to be fine. What about you?

0:48:46 > 0:48:51- Look tomorrow's another day. - Yeah, what about Mr Spence?

0:49:10 > 0:49:11Take it easy, Benny.

0:49:13 > 0:49:15Dr Birdwood's lab results.

0:49:52 > 0:49:55Ah, Mr Cunningham. How's your daughter?

0:49:55 > 0:49:59She's recovering well, thank you. Yes, despite everything.

0:49:59 > 0:50:03I can only apologise for the amount of time you must have spent here, worrying about her.

0:50:03 > 0:50:06I can assure you we are normally much more efficient in our patient turnaround.

0:50:06 > 0:50:10It's been an illuminating experience.

0:50:10 > 0:50:12Yes, well...

0:50:12 > 0:50:15Mr Hanssen is under a lot of stress at the moment.

0:50:15 > 0:50:19- As are we all. - Well, it's a testing time.

0:50:19 > 0:50:23And I must thank you for pointing out the Hertzig trial to me.

0:50:23 > 0:50:27It wasn't my intention to expose anyone.

0:50:27 > 0:50:30I admire your honesty. it's a trait I value.

0:50:30 > 0:50:36And let me reassure you that the Board are aware of the direction

0:50:36 > 0:50:38that Holby needs to go.

0:50:40 > 0:50:43And you need someone who embodies the future

0:50:43 > 0:50:45that you have in mind for Holby.

0:50:47 > 0:50:49Well, I wish your daughter a steady recovery.

0:50:49 > 0:50:52Thank you, Miss Campbell. I appreciate your concern.

0:51:01 > 0:51:03Hey, Birdwood, hold up.

0:51:07 > 0:51:09Keep an eye on that for me.

0:51:09 > 0:51:12Thank you. Come with me.

0:51:12 > 0:51:15You almost killed Mr Wells earlier. You know why?

0:51:15 > 0:51:18Because his aorta ruptured and arterial blood swamped his abdomen.

0:51:18 > 0:51:21No, because you wanted to be his friend.

0:51:21 > 0:51:23First and foremost, we are not friends to these people,

0:51:23 > 0:51:26we are their doctors. Friends do stuff because they like you

0:51:26 > 0:51:28and doctors do stuff because it is their job to save you

0:51:28 > 0:51:30whether they like you or not.

0:51:32 > 0:51:35Now, with Benny, you failed to follow my clear and distinct orders.

0:51:35 > 0:51:39I know. Look, I'm sorry. I couldn't stop the lab tests in time.

0:51:39 > 0:51:42- But, I will find out exactly how much it cost...- You saved him.

0:51:42 > 0:51:46- What?- Another few months and the squamous cell carcinoma would've

0:51:46 > 0:51:49taken over and who knows how long he'd have had after that.

0:51:49 > 0:51:51Carcinoma?

0:51:51 > 0:51:56I was wrong about the leg ulcer. You were right - it's cancer.

0:51:56 > 0:51:59That is what the Brits call a good catch.

0:51:59 > 0:52:01Thank you, Mr Spence.

0:52:01 > 0:52:05Well, it's what I call pot luck. You need to up your game, Birdwood.

0:52:05 > 0:52:08Luck has a way of disappearing on you when you lean on it.

0:52:08 > 0:52:11All right, get out of here before the old guy steals your bag.

0:52:16 > 0:52:19Like falling off a log.

0:52:19 > 0:52:22- Place runs itself. - Does it?

0:52:24 > 0:52:27I'm really sorry you had to hear that.

0:52:27 > 0:52:29I shouted at Marie-Claire.

0:52:29 > 0:52:32She needed it. Marie-Claire's a decent nurse, but she'd improve

0:52:32 > 0:52:35if she'd focus more on patients and flirted less with doctors.

0:52:35 > 0:52:38- She doesn't mean any harm... - None of that with Nurse Lane.

0:52:38 > 0:52:40Dedicated to the job from day one.

0:52:40 > 0:52:43- Thanks. - Hey, just giving voice to the truth.

0:52:50 > 0:52:54- Listen, I'm about to knock off... - Oh, you're going the wrong way.

0:52:54 > 0:52:56Yeah, that's not what I was going to ask.

0:52:56 > 0:52:59I'm going to have one drink to unwind and I was wondering

0:52:59 > 0:53:01if you'd show me the local?

0:53:02 > 0:53:05I'm sorry, am I being totally out of line here?

0:53:05 > 0:53:06No!

0:53:06 > 0:53:09No! Of course I'll join you.

0:53:09 > 0:53:11I'll just finish up here.

0:53:11 > 0:53:13Sure. I'll see you down stairs.

0:53:21 > 0:53:23I came to say goodbye.

0:53:25 > 0:53:28They're moving me up to Darwin ward, tonight.

0:53:30 > 0:53:31You on shift tomorrow?

0:53:31 > 0:53:33Yep.

0:53:34 > 0:53:37Will you come up and see me?

0:53:37 > 0:53:39Cos I'm working.

0:53:39 > 0:53:40After work?

0:53:40 > 0:53:42Nah.

0:53:42 > 0:53:44- Come on.- Nah, you're good.

0:53:44 > 0:53:48- You know you want to. - But I'm not going to.

0:53:48 > 0:53:50Why not?

0:53:50 > 0:53:52Cos you're a patient.

0:53:52 > 0:53:55And what, you're a doctor, so we can't play nice together?

0:53:55 > 0:53:56You got it.

0:53:57 > 0:53:59You don't mean that.

0:53:59 > 0:54:00I do.

0:54:02 > 0:54:03You know you'll be there.

0:54:03 > 0:54:05You know what I heard?

0:54:05 > 0:54:07What?

0:54:07 > 0:54:10Only my first day so I'm not speaking from experience,

0:54:10 > 0:54:13- only what I've been told. - Yeah?

0:54:13 > 0:54:18AAU nursing staff and doctors are dags. Compared to Darwin?

0:54:18 > 0:54:21Darwin are wall-to-wall babes.

0:54:21 > 0:54:23Whatever, Aussie Bimbo.

0:54:23 > 0:54:25Whinging Pom.

0:54:34 > 0:54:36She's abandoned you?

0:54:36 > 0:54:37No, she's in the loo.

0:54:44 > 0:54:47Look, what I said about Hanssen...

0:54:47 > 0:54:49Right, is it the truth?

0:54:50 > 0:54:53He carried out that operation to save a young woman's life.

0:54:55 > 0:54:59Well, I'm sure the Disciplinary Board will bear that in mind.

0:54:59 > 0:55:02I misjudged a fraught situation, I spoke in anger.

0:55:02 > 0:55:04No, you spoke to me off the record.

0:55:04 > 0:55:08I have absolutely no proof of anything you said.

0:55:11 > 0:55:16But the fact still remains that one of our most promising consultants

0:55:16 > 0:55:20has told me that she has no faith in this hospital's leadership.

0:55:22 > 0:55:24And that's something I can't just forget.

0:55:30 > 0:55:31PHONE RINGS

0:55:31 > 0:55:33Mr Hanssen?

0:55:33 > 0:55:35Yes, one moment, please.

0:55:38 > 0:55:41Lilah Birdwood. Your new CT1 on AAU.

0:55:41 > 0:55:44- First day. - Ah, quite. Pleasure to meet you.

0:55:44 > 0:55:46I hope your first day was instructive.

0:55:46 > 0:55:49Yeah. Amazing. I just wanted to pass on a message

0:55:49 > 0:55:51from Professor Tim Wong.

0:55:51 > 0:55:54Ah, Professor Wong. Now there's a remarkable innovator.

0:55:54 > 0:55:56Yeah, I had the pleasure of working and studying

0:55:56 > 0:55:59- under him at Sydney Royal. - You're very fortunate.

0:55:59 > 0:56:03When I said I was coming to the UK, he said I should

0:56:03 > 0:56:06do my utmost to get any opportunity to work under Henrik Hanssen.

0:56:06 > 0:56:11- He said, you were a legend. - Well, that's very kind of him.

0:56:11 > 0:56:13Perhaps you'd benefit from some time on Keller.

0:56:44 > 0:56:49Subtitles by Red Bee Media Ltd