Follow My Leader Holby City

-From next week, you'll be working on AAU.

-Excuse me.

-..of making an official apology.

-Just when you thought all the good guys were gone.

..to Mr Mooney here and to his deceased father, Mr Richard Mooney.

Hey, Marie-Claire. To what do we owe the pleasure?

Chrissie said she wanted us both on so there's cover when we go to interview.

You're going up for it too?

The job's yours, congratulations.

Thank you, Mr Fairhead!

May not be much time left to act.

Hence the funding issue.

I have to ensure that it's used for the good of our patients.

I will not allow the board to re-allocate it.

I'm guessing by the big fat grin on your face that he got his cheque book out.

So your CV says you've worked in three of the busiest

emergency departments in Australia.

I guess that means mainly, what?

Spider bites, barbeque-related burns,

people getting kicked by kangaroos?

Actually it was more like...

We're a bit more sophisticated here.

On the menu this morning we've got a stabbing,

a diabetic fit and a major RTA.

A bus has hit an ambulance.

So if you're ready to embrace industrialisation,

follow my lead, new girl.

-Big Man's mixing things up a bit, eh?

-What do you mean?

Well, he's posted Lady Campbell down on to the front line,

last week he got his kicks making you all bid for his honey pot.

This is Hanssen. There'll be method in his madness.

There always is.

So you're not sore about the fact that he gave the blank cheque

to Prof Hope's Hertzig trial and not to your baby heart defects?

I don't see it that way.

No?

Look, somehow Hanssen managed to persuade the board to give him all this money.

And sooner or later he's going to realise how expensive

and impractical the Hertzig proposal is

and he'll need something else to spend the money on.

Something that's not just a pitch scribbled on the back

of an egg-stained envelope.

-CORK POPS

-Ooh!

-Thank you.

-Thank you.

Here's to the Hertzig 3 trial.

-Cheers.

-Cheers.

-Oh, fancy some non-alcoholic champagne?

-Oh, yes please.

The ink isn't dry on the cheque yet.

Don't you think it's a bit premature to be popping corks?

You are looking at ten years worth of research.

And you've got your full team in place?

Yes, well, I've almost finalised the exact line-up.

We need a degree of flexibility

but the good news is our CEO's volunteered to join the team.

Hanssen's on your team?!

He's fitting my battery, isn't he?

And I suppose he wants to keep a close eye on his investment.

SERENA: I hate it.

It's not everyone's cup of tea. Believe me. AAU, it's...

-It's so not me. I like order.

-So do I.

I like elective procedures. Planned operations. Flowcharts.

Careful, precise surgery.

And well-anaesthetized patients.

Well, that doesn't happen on AAU. Why did you ever leave Keller?

Let's just say the hand of Hanssen moves in mysterious ways.

I hate mess and I hate chaos.

I need cross match bloods for beds two, three and four. Now, please, thank you.

I need a Bier's block tourniquet, please!

Someone get me some gloves.

-And please tell me it's not like this every day.

-Welcome to my world.

You call this chaos? In St Vincent's, Sydney,

-this'd be a feet-up slow day.

-I need that tourniquet! Chrissie?!

-Hey, hey. What are you doing?

-What? Sorry.

I saw it done once on MASH. Guess there's a time and place, huh?

-Sorry, who are you?

-Lilah Birdwood. Your new CT1.

Nurse, can you get me some scrubs?

Aww!

Hey, first day as Staff Nurse. How do you feel?

Nervous.

Nervous? What you nervous for? Managing staff's a breeze.

You're going to walk through it. Do I look nervous?

-No.

-There you go.

On-call running Keller today. We're going to have a blast.

Say it.

It's going to be a blast.

Yeah...close enough.

Ta-da!

Marvellous.

I see a lot of Chiefs, not a lot of Indians.

Is that just you and me then? The Indians?

Have you got a problem with me? I'm trying to make an impression.

You certainly did that.

Not tread on toes.

It's OK.

From the dagger-eyes you gave me, I'm guessing Mr Levy's your fella?

-Husband.

-He lucked-out snagging you then.

I'm sure you could have had your pick of doctors

I had one or two offers.

Erm, we good then?

Fellow Indians?

-Team hug? Bit too much again?

-A bit.

-Yeah, OK.

Pulse 100, B/P systolic 150,

oxygen saturation 90%. I've ordered an echocardiogram.

Well, let me know the results as soon as you have them, please.

-Ah, Miss Naylor.

-So it's really going to go ahead then? The Hertzig?

Can you think of any reason why it shouldn't?

Just seems to be moving very quickly.

I thought there'd be some sort of trial period involved

given how much of the hospital's money you're investing

I'm well aware that you'd have preferred it

had I allocated funds to your pet project but let me just say this.

A coup for this department will lead to further opportunities

and funding for all of us.

Of course. Which is why you have my full backing.

I'm very glad to hear it.

Any idea what the Chairman of the Board's doing here?

I believe his daughter's in as a patient.

Shall I call him over?

Oh, no, I'm rather busy at present but perhaps you could see to it

that his daughter's treatment proceeds efficiently and swiftly.

I don't want him to spend any more time on the ward than he has to.

And that wouldn't have anything to do with the Hertzig?

Miss Naylor.

Mr Cunningham. Jac Naylor.

Oh, of course. How are you? This is my daughter, Poppy.

-We were having a discussion this morning.

-An argument.

A difference of opinion. The point is, she couldn't catch her breath.

Has this happened before?

Never as bad as this. She has a goitre.

Can I see?

How do you feel now?

Usual.

Doctor Lo said your schedules are full, but this is an emergency.

They are full, but we'll make room. I'll see to it personally.

Dr Lo, could you admit Poppy, please, immediately?

Find her a room.

We'll get you stabilised, have a CT scan done,

you'll be home in no time at all.

Thank you.

Morning.

-He said he was doing an ollie and a flipkick?

-A kickflip.

An ollie is where you press down on the board and make it jump up.

-A kickflip's...

-A kickflip's when you make the board spin at the same time. Pretty basic.

Overshot a half-pipe when I was 14.

Tried to pierce my ear with a needle and an ice cube.

That's hardcore.

This is Nurse Lane.

Chantelle.

-I'm Rhys. Radiology.

-Ah!

-First day as Staff Nurse.

-First day for both of us.

-Bed four.

-Skaterboy.

-Brought in with a suspected fractured tibia,

X-ray indicates he might have a tumour.

Good spot. He's going to need a CT scan, define any bone destruction and possibly an MRI.

-OK, Nurse Lane will arrange the CT and MRI.

-Right away.

Oh, hello. I didn't get a chance to introduce myself. I'm...

Serena Campbell MD. MBA Harvard Business School

and Fellow of the Royal College of Surgeons.

Oh, someone's done their homework.

I read your research papers on Enhanced Recovery Programmes

-that you wrote at Harvard.

-Yes. Long way from Harvard now.

-I worked with Professor Tim Wong in Sydney.

-Oh, right!

Yeah, he said if ever I come to the UK,

I should do my utmost to get to work with you.

Any opportunity.

Professor Wong said that. Well, I'm very flattered.

-About earlier in the reception.

-Don't worry about it.

-Ms Campbell?

Ah, the paramedic from the RTC's scan.

Ruptured spleen.

OK, this I don't like, let's get him into theatre, please.

Splenectomy?

We'll see. Might be able to save it laproscopically.

Now you're obviously talented at Trauma

and clearly know you're way around Research.

How about Theatre?

Try me!

Good. Follow me in. You can assist.

Should I clear it with Mr Spence?

Oh, no need. You can shadow me today.

Er, he said I should shadow him.

Ah, which is true. I did. But, that's all right, go ahead.

Assist Ms Campbell.

Oh, but first I would like you to take notes for Mr Wells in bed five.

Right. OK.

I think Mommy and Daddy need to talk.

Miss Naylor?

This is all going to be straightforward, isn't it?

-I need to look at the CT scan but I don't foresee any complications.

-How long roughly?

I couldn't say, but I will make things go as quickly as possible.

Right, I am tying myself in knots trying to re-arrange my day.

As you can imagine, this month has not exactly been easy

for those of us tasked with keeping the Good Ship Holby afloat

I'm sure.

I'm sorry.

I'm thinking about changing my business card to Crisis Manager.

ALARM BEEPS

-What happened?

-Where were you?

-I was just out there!

-Take some oxygen. What are her sats?

Why was she left alone?

-Nurse Maconie!

-98%.

Can I have a word?

I see you've made yourself at home.

Don't worry, I tend to skip lunch, so you can siesta in peace.

HE LAUGHS OK. Cards on the table.

You and I both know why you've been redeployed down here.

It ain't a promotion.

-Mr Hanssen thought AAU could do with a fresh pair of hands.

-Nonsense!

He's punishing you. Who can blame him?

I don't think that's what he had in mind.

Your heavy-handed policy on Keller contributed a patient's death

-and almost led to the ruin of this hospital.

-It most certainly was not MY policy.

If it were up to me, I'd have canned your ass.

Yeah, I think you might show me a modicum of respect.

But hey, who am I to talk?

Why do you think I'm in this God-forsaken hell-hole,

when once upon a time I had an empire on the upper floors?

I messed up.

Just like you messed up. Fair summation?

But now you are here. And I'm you're boss.

I don't think it's quite as cut and dried as that.

How the mighty MBA has fallen. No doubt, like a phoenix

you will rise from the ashes of AAU.

-But for the time being...

-For the time being,

I shall conduct my practice in the manner I always do.

You want to sequester the new CT1. That's fine by me.

-But let's be very clear about one thing.

-Clear on what?

Down here, it may be hell, but I am still God.

I thought about becoming a radiologist.

Why didn't you?

I heard they were crying out for nurses.

I like to do my bit, you know what I mean?

Hi.

Hi. What are you doing on Keller?

Mr Malick thought you could do with a bit of experience round here.

I better check those results.

He's cute.

However you slice it, she's not an emergency. She's trying it on.

So, maybe she's exaggerating her symptoms a little.

We're chock-a-block. I can't just fast track a patient

cos her dad's the Big Cheese and she's trying on the amateur dramatics.

There's no faking the fact she has a goitre.

Have you seen it? There might be a packet of crisps under that scarf.

-She needs an operation.

-It's general surgery.

It's pressing against her trachea. That's thoracic.

-No. We've got nothing.

-That's not an option.

Get a CT scan. We're doing it here and we're doing it today.

I want you to know, in my humble opinion, this stinks to high heaven.

If you're so worried about it,

take it up with Hanssen. He's the one who asked us to fast-track her.

You were in one of the vehicles in the pile up?

-The ambulance.

-In the back?

-Yeah.

-Why were you in there in the first place?

-I got hit by a bike.

-You got hit by a bike

then the ambulance you were rushed to hospital in got hit by a bus?

-When you put it like that...

-This isn't your day, is it?

I don't know.

Looks like it might be starting to get a little better.

Down, Cowboy.

You don't want to run the risk of getting hit three times in one day.

Are you an item? You and Scotty?

Scottish guy.

No.

He thinks you are. The way he looks at you,

it's like he's waiting to be thrown a treat.

You seem to have a very active imagination.

I'm observant. One of the advantages of being an only child.

Are you ready to show me yet?

This morning, do you think you might've exaggerated your symptoms

-just a little?

-No.

Prove it.

Well, it won't do your career any harm, will it?

Operating on the chairman's daughter.

Touche.

I look like I've swallowed a knee.

You're lucky your father brought you in today.

I'm lucky he was at home.

I hardly see him these days.

Especially since it sounds like there's a big shake up coming.

You're quite the sleuth aren't you.

Think he's had enough of your boss. That tall guy.

Reckons he's a liability.

Dad says he's just waiting for him to put one more foot wrong.

Nicely done. Ties please.

Would you like to close?

Sure.

I believe with your Commonwealth Scholarship Programme,

you'll require a mentor?

-Certainly do.

-You should give very careful thought,

to who you'd like to approach.

The right mentor can be extremely influential.

That is a definite.

Passing all assessments is imperative, I take it?

Failure is not an option.

Right. Well, picking the best team

and making the right alliances, will be extremely important.

TARA: Thank you!

What was that all about?

-Nothing.

-Oh, Tara.

I was just asking Professor Hope about my research. That's all.

What research?

Just a paper I'm writing.

On?

Young people facing early mortality.

You're not still pipe dreaming about The Lancet, are you?

-What's your point?

-You're an F1.

-And?

-And you're an F1.

They normally publish the work of pre-eminent consultants, psychiatrists...

And for your information he thought they might be interested.

So I look forward to proving you wrong...

Poppy's CT.

That's a deep-lying goitre. Good job we've got that theatre slot.

Presumably you'll need a GS consultant for the neck?

Yeah, let's page Hanssen.

Don't you think he might be a wee bit busy?

I think he could use the chance

to remind Cunningham how good he can be.

He's got bruising and laceration to the right side of his head and hands.

Apparently, he lost consciousness on the street after the bike struck him.

I've ordered blood sugars and half-hourly obs.

Great. Just tell me when you can see my finger.

-Now.

-Just lean back for me.

Just keep an eye on his GCS and any change, just keep me informed.

Can I go home then?

Well, we need to do a head CT and some routine checks,

-and then we'll see if you can go home.

-I'm great.

I know you are. I just want to keep you great for a little bit longer.

That's all.

The mass invades the trachea, extends into the chest

carrying risk of damage to the oesophagus, the aorta, vocal cords.

As I told Nurse Maconie, I'm rather busy today.

You'll need to speak with one of our other colleagues on Keller.

As I understand it, you want to see Poppy Cunningham treated

-and discharged as soon as possible.

-Indeed I do.

Don't you think this might be an opportunity to score

-brownie points with her father?

-And why would I need to do that?

You've had a tricky couple of months.

-Have I?

-Yes.

First of all Ritchie Mooney, and then the whole TV interview thing.

-And?

-And, I just don't see how we can keep the Hertzig a secret,

now Cunningham is in the building.

Perhaps you would care to summarise for me

-Mr Cunningham's surgical experience?

-Well, he's not a surgeon, he's a...

Go on.

I believe the phrase you're looking for is, "Man in a suit."

The board is more or less made up of men and women in suits.

Men like George Binns, who are very good at adding up numbers but lack

any kind of imagination or indeed, most importantly, moral courage.

Yes, I understand that, but...

Miss Naylor, I'm sure you'll agree, progress has to involve risks.

And as one of my most forward thinking and creative consultants,

I think we all prefer it when you play pioneer, not cautionary.

So, who am I supposed to listen to most here?

He's the boss, she's the one with all the letters after her name.

I don't know. Take your pick.

I just look after the patients and leave the politicking to others.

So what are you saying?

Keep my head down and don't make any ripples?

You've made enough ripples already haven't you?

OK, so if he's the Emperor

and she's the incomer vying for a shot at his throne,

-what does that make you?

-In what sense?

The philosopher? The guru? The diplomat?

Well, when you start at a new place you've got to get

a handle on the residents, right?

You've done this before, haven't you?

Lots of times. My dad was in the military.

Way too many schools. Way too many first days.

All right, what do you reckon so far?

Your wife, Chrissie - no-nonsense, talented nurse.

Serena Campbell - frustrated, power-hungry.

Spence - probably a genius in the theatre and a fire-cracker in bed.

You think everything's going to be a breeze then you get a curve ball like this.

What is it? Sorry. Tendency to be a bit hands-on.

The lad's got DVT along with the sarcoma.

-What would you do, Staff Nurse Lane?

-I'd give him warfarin.

-Thin the blood.

-Ah, but he's going to need

-an operation for the sarcoma.

-He'd bleed out.

-Exactly.

I'll insert an IVC filter to negate the threat of thrombosis.

-Could set that up for me?

-No problem.

Lift your shirt.

-What?

-Off. I want to see your stomach area.

-You say this to all the fit blokes?

-Don't flatter yourself.

I saw you flinch when the doctor pressed your ribs. Show me.

Pull the curtain.

What you got up there, three nipples?

-You keeping this a secret?

-It's just a scratch.

You did this when you got hit by the bike?

Mm-hm.

And where is the biker now?

-He didn't stop.

-A hit-and-run biker? What was he, a BMX Ninja?

-What?

-THAT is a stab wound.

It's not a stab wound.

That IS a stab wound. You have been stabbed.

Keep your voice down.

OK. But I think that's what the police are going to say

-when my colleague Dr Levy...

-No police.

Please.

Then tell me what happened.

Dr Birdwood, I need you to take a look at the patient in Bed 7.

Mr Wells needs an abdominal CT.

Nurse, take Mr Wells to Radiography. Abdo CT.

Bed 7.

I won't be long.

This shows that Aisha's ventricular function has gone down significantly.

Now, I know the clinical trials are in their early stages

but the fact is if we don't operate soon...

Right, then let's be bold. Prep her for theatre.

-Right now?

-Absolutely.

Don't you think it's wise to get a final sign-off from the board?

Terence Cunningham is right out there.

Well, this is a medical matter, is it not?

Then it's important we move with speed.

And I do need this operation to be a success.

Right.

Ah, Miss Naylor. We've decided to go ahead with

the Hertzig procedure immediately. We'll need your assistance in theatre, please.

-Three line whip, I'm afraid.

-What about Poppy Cunningham's operation?

Tell Mr Cunningham his daughter's operation will have to wait.

All right new-girl, this is Benny.

Benny. This is one we just hatched earlier.

We see Benny from time to time.

He's one of our regulars, aren't you, Ben?

Never says a word.

Lost part of his tongue when he was a kid, so, when we see Benny,

we dose him full of vitamins,

we drain his ulcer and then we feed him. And as a result,

Benny will probably out-live us all.

And it's my job is to drain the pus from his skanky ulcer?

Well, I'm due in theatre and Mr Spence is...

He's busy, so...

Yeah, yeah. I get it.

Hiya, Benny. I'm Lilah.

-How long's he had this?

-Since I was in Sixth Form?

You know I think this is one of those Indian jobs.

Big Chief passes it down to Little Chief, Little Chief

fobs it off to the Indians.

You aspirate. I'll clean and dress and before you know it,

-it'll be over.

-Hospitals.

Every one I've ever worked in, it's always about hierarchy.

I'll get my gloves.

-I'll be right back.

-Hey!

Nurse, are you taking Mr Wells for his scans?

She took one look at me and decided we should elope together.

That all right with you?

Make sure you stay with him and bring him back. Understood?

-Don't leave him.

-You're just jealous.

Actually, I'll come with. Might as well see where Radiology's hidden.

Told you. Can't bear to let me out of her sight.

PHONE BEEPS

Dad?

Mm?

You've got a message.

Yes, I know.

-Are you not going to read it?

-Eventually.

-Do you want anything from the shop?

-No.

-I'm afraid there's going to be a delay.

-What?

Two to three hours. It's unavoidable.

We have a patient who requires emergency heart surgery.

No, THIS is an emergency.

You said that Poppy's situation is more serious than you thought.

There's no immediate risk to life.

As soon as Mr Hanssen and I are free...

Right, you said nothing about Hanssen.

Poppy's scan indicates that some general surgery work

-will be necessary.

-Right, so what is it?

What is so serious that we've been bumped down the list like this?

Dad, you said you wouldn't do this.

It can't wait. I'm sorry.

How many surgeons does it take to operate on one heart?

This is a complex multi-disciplinary procedure.

Is this how everyone is treated around here?

You're passed from pillar to post?

Is this how Hanssen runs his hospital?

I'm not sure it's fair to blame Hanssen for this.

You're obviously very talented, and you're very ambitious.

Don't let Hanssen drag you down with him.

You've got his back. Has he got yours?

You OK?

Great. We'll have you back on that ward in no time.

All ready.

Good. Anaesthetic, please.

Show me the ampoule.

This isn't anaesthetic, it's saline.

-What?

-Who prepared this?

I'd rather not say.

Right. Let's try again.

Oh, thank you.

Mr Cunningham. What brings you in today?

Don't have a board meeting, do we?

Oh, no, I'm not here in my professional capacity.

My daughter's a patient on Darwin.

Oh, I'm very sorry to hear that.

I imagine it's all hands on deck for the Hertzig up there.

Yes. Sorry, what are you talking about? What's the Hertzig?

There we go, Ben, clean and better.

Oh, God, Chrissie, I'm sorry. I just had to make sure my...

-Doesn't matter.

-I didn't mean to leave you.

-Would you like to examine the pus, Doctor?

-No.

No, I didn't think so.

But I would like to see the ulcer again.

-What?

-Well, I didn't get a chance to look at it properly.

Sorry, you want me to take off the brand new dressings,

and re-expose the wound?

Yes. Please. Sorry.

-You've got to be joking.

-No.

Look, if this one of these first day, newbie doctor things - you know,

show the nurse who's boss - then you've picked the wrong nurse.

I just want to see the ulcer.

Fine.

Cut please.

MACHINE BEEPS FRANTICALLY

Cardiac arrest!

Elliot.

Paddles, Mr Hope.

Paddles.

For God's sake. You can't afford to screw this up.

That's enough, Miss Naylor. Know your place, please.

Charge to 20. Clear!

ELECTRICITY JOLTS

And again. Charge to thirty. Clear!

ELECTRICITY JOLTS

BEEPING STABILISES

She's back.

OK, let's put her on bypass, please.

LILAH: It smells funny.

Does this smell funny to you?

It's an ulcer. It's a septic ulcer. It smells cos it's got bacteria.

Yeah. I know ulcers. Believe me.

A&E Blacktown Hospital, North Shore. Lot of homeless guys.

They get really drunk, they fall asleep in the sun.

They get really badly sun-burnt. Burns get infected.

These guys get leg ulcers like a teenager gets zits.

-Really.

-This...smells funny.

I want to do a core biopsy, send it to the lab.

Thanks.

OK, Benny. This might hurt a bit...

Jac, release the pump pressure, please.

It's OK, I'll do it.

OK, releasing the cross clamp.

Increase the vent please.

How's the blood flow?

Excellent.

It's going to work. It's going to work.

-Congratulations, Mr Hope.

-This is amazing.

Was that a test?

-Sorry?

-Saline instead of anaesthetic.

-Sorry, I don't know what you mean.

-Keep me on my toes!

I just had a really weird conversation with Rhys.

Funny weird or de-friend ASAP weird?

He thinks I gave him saline instead of anaesthetic.

-Easy mistake to make.

-But I didn't prepare the syringe.

It's his first day. He probably got it wrong.

I had to show him where the toilets were.

Marie-Claire, was it you?

I don't know. I've been rushed off my feet since I've got here.

I've haven't had a break all day.

All right. It was me.

-I'm sorry. It was a mistake.

-So you blamed me!

I didn't! I swear to God I did not blame you.

Well, Rhys thinks it was me.

-I might've been a bit vague.

-I want you to tell him.

-What, do you want to get me sacked?

-No!

It's all right for you with a permanent contract. What about me?

-I'm living hand to mouth here!

-You won't get sacked.

-What if it goes to a tribunal?

-It won't go to a tribunal.

-You promise?!

-Of course!

We'll say no more about it then?

-SHE SIGHS

-Yeah.

Great.

I'll take it from here. Thank you.

I'm not waiting any longer. You tell me what happened. The truth.

Or I go get one of my superiors.

-It wasn't a bike.

-Oh, shock horror.

-I fell.

What, down the stairs? And did you bang your head on the door too?

Or slip in the shower? I'm going to get the consultant.

I got caught up on a shard of glass.

Caught up?

It was glass shards, concreted into the top of a wall.

-Where?

-Breaker's yard.

You were breaking in to a breaker's yard?

-What are you, Sherlock Holmes?

-What are you, Public Enemy Number One?

I should call Security and inform the police.

-We didn't nick anything.

-We?

-This knob-head, Louie.

-Mate of yours?

-No!

Just a guy I know from the pub.

He does a little thieving. And, I've been skint for ever.

Louie nicks lead and stuff from yards.

You're a thief. And you expect me to cover for you?

He nipped over the wall like a monkey.

Me, I slipped. I should've worn trainers.

I tried to stop myself and landed on a piece of the glass..

How big?

Couldn't really see it. I got stuck.

You probably don't think it, but I'm not a thief.

I was being stupid. It was my first time.

Honest.

Dr Birdwood, Mr Spence would like a word with you, please.

-OK.

-Immediately!

They're really trying you out, today, aren't they?

-Why are you not with Poppy Cunningham?

-You don't know?!

What?

Her theatre slot's been cancelled.

Cancelled? By who? I didn't sign off on that.

Well, let's have a look at the form.

There are two signatures down here. One of them is yours,

-the other one is...

-Hanssen.

Enough.

Enough what?

I'm not going to be a pawn in this ridiculous power game!

SHE SIGHS

Miss Naylor? Would you mind telling me what is going on?

I don't know why Poppy's operation's been called off

but I can assure you it wasn't my decision.

Well, I'm sure Mr Hanssen has been preoccupied

with this Hertzig debacle.

Were you in on it?

No. Yes. I mean, I was in theatre for the procedure, but...

It seems that Mr Hanssen has been making

rather a lot of reckless decisions.

-I don't know about that.

-And what about you, Miss Naylor?

Would you back him?

Can you honestly say you still have faith in him as a leader?

No.

Follow me. You were asked to debride and aspirate

Benny Hancock's leg ulcer.

-Yes.

-Did you?

-No. But I don't...

-I don't want any buts.

-Sorry, but I don't think...

-Is the system down under

upside down and backwards, juniors do their own thing,

no-one listens to the boss?

-I didn't think the ulcer smelt right.

-Did I ask you

-to do a biopsy?

-No.

-No. But you did?

-It didn't smell right!

I'll tell you what doesn't smell right. Your attitude.

I'm sorry, I was only trying to...

All right, have you sent it to the lab yet?

-Yes.

-So when the results come back and confirm what we already know -

That it is indeed just a leg ulcer - your job will be to go to Mr Hanssen

and find out what the real cost is of these procedures,

what the true cost these lab tests are to the NHS.

-Right.

-You will then go to HR and ask them

to subtract that sum from your wages

or your scholarship grant or whatever.

And when someone asks you why you created so much extra work,

-what will you say?

-Because I didn't listen to my boss.

So do we have a slot ready for Miss Cunningham's operation?

Mr Hanssen.

How very kind of you to find the time to drop by.

Apparently, we cancelled it.

-And why did we do that?

-I'm surprised you're not aware of that.

I'm afraid I've been occupied with an exciting new development for the hospital.

I don't care about experimental procedures.

I want to know why you, first of all, saw fit to postpone

and then cancel my daughter's operation?

I assure you that was not my doing.

It's highly unusual for an op

to be cancelled without either consultant knowing.

-Right, this is chaos.

-Perhaps it's also a conversation for my office rather than on the ward, please.

My daughter is seriously ill and this is how you treat her?

You're too busy with your relentless campaign of self-promotion.

-Dad!

-You are running this hospital like your own private fiefdom!

You have committed God knows how much to this Hertzig trial

without even consulting the Board.

-It was me.

-What?

I'm the one who cancelled the operation.

Hi, I'm on hold to speak to the lab technician.

Yeah, no, I know. No. No. Don't put me on hold again!

I just want to know if it's too late to cancel the... damn it!

Sean's scan.

SHE MOUTHS

Sean Wells' scan. You might want to take a look at that.

Thank you.

Oh, hi. Look, I ordered a test earlier for a patient, Benjamin Hancock.

-Is it too late to...

-Where is Sean Wells?

In his bed. Why, what's the matter?

Sean.

Sean!

Sean!

Sean!

Sean!

Sean, what are you doing?!

OK, all right, all right.

OK, Sean.

Chrissie! OK, stay with me.

Well, she made a fool out of me.

-Why do you think she did it?

-No idea. She won't talk.

-Is her mum...?

-She's in Nice. New man.

They were never that close.

-Maybe you could talk to her.

-Me?!

Well, she still needs the operation.

If you can convince her, I'm a very good man to have in your corner.

B/P's 60 over 40.

All right, I need 500ml of colloid stat.

-Theatre's prepped and ready to go.

-He said he fell on some glass.

-Not in his notes it didn't!

-I told him I wouldn't grass him up.

-I'm sorry. Can I come in?

-I think you've done enough already.

Chrissie, cut his shirt.

Need the Betadine, swab. Chrissie, scrub in.

Scalpel.

Your dad has asked me to talk to you.

You need to get it removed.

What a good idea(!) Have it removed(!)

I never thought of that(!)

Then why did you cancel your operation?

Got his attention, didn't it?

So that's what all of this is about?

Cos Daddy's not giving you enough attention?

You could have just got an unsuitable boyfriend or

an ill-advised tattoo.

Pathetic, I know, but it's like he didn't even know I was here.

Well, maybe next time,

you can work out your family issues somewhere else.

You're not a child for God's sake. You're 18.

You think you can judge me? You agreed to the operation

cos you thought it'd be good for your career.

Whose attention did you want? SHE COUGHS

-MONITOR ALARM BEEPS

-Poppy, you need to calm down.

Poppy, take some breaths. Jonny, I need assistance here!

-Excuse me, please.

-Sats are 60. We need to intubate.

What's happening? What are you doing?

I'm going to ventilate her lungs.

-It's pushing on her trachea, she's struggling to breath.

-Heart rate 48.

SHE COUGHS

OK, there's pressure on her windpipe.

We need to prep her immediately and

let's get Hanssen back here now.

B/P is down. Peak airway pressure is increasing.

-We need to open up.

-No, no, I can control this.

There's a lot of bleeding from a sternal vessel.

I need suction and Ligar clips.

OK, looking good.

Nicely done, Miss Naylor. Very nicely done.

Good news. Caught the sarcoma early. Mr Malick did the business.

Couple of months, the kid'll be falling off his board, good as new.

That's great.

Having a tough one?

No, no. I'm fine.

Come on, first day buddy, you can tell me.

Today, especially today, I just wanted everything to go well.

I wanted them to think they'd done the right thing giving me the job.

And I've upset you with the saline thing, haven't I?

No. No, you've not upset me.

It wasn't you who made the mistake, was it?

Did you talk to her about it?

Not really.

Something like that, you have to take it seriously.

It's part of your job now.

I don't know.

OK, what if I'd missed it?

Ouch.

Is he going to be all right?

-You let a patient with a punctured aorta walk out of my ward.

-I'm sorry.

My ward! All right, get me suction and swabs.

You say he fell on glass?

That's what he told me. Shards concreted to the top of a wall.

Points must have been needle-thin. Punctured the muscle,

made a hole in the aorta.

He was on a job with some low-life,

-he didn't want to be found out.

-Oh, so this is his fault?!

-No.

-Your only duty is for the welfare of the patient.

Nothing else matters!

-I didn't say anything, because...

-All right.

OK, I'm going to need to clamp the artery. 3/0 Prolene.

Hope there's no glass in there.

Mr Spence, I...

-Go get some rest, Dr Birdwood.

-But, Mr Spence.

Kill the intercom.

If anyone were to ask me,

I'd say Mr Spence overloaded you with responsibility for a first day.

This just doesn't happen to me. I don't fail. I don't mess up.

First days are never easy.

-No. Sure.

-What did he say to you exactly?

Oh, he just said I should go and...

I probably need to go home anyway.

Can I have a word?

Got his mates coming in later, didn't want this blowing his cool.

-Great.

-Great?

What, I managed to remove a balloon from a patient's bed

without causing brain damage?

That mistake you made earlier. It could've been serious.

I thought we'd covered that.

Yeah, well. I should've made myself clear, it was YOUR responsibility.

Well, like I said, new job, first day.

You've got to make allowances.

Marie-Claire, your negligence could've had serious repercussions.

When I point out your responsibilities,

it's so you don't make that mistake again.

Is that clear?

Marie-Claire? I asked you a question.

Yes.

Right.

Ah, Mr Hanssen, I'm awfully glad to see you. I'm afraid I don't think

it's going to work for me down here.

-What isn't?

-Me and Michael Spence. Oil and water. We don't mesh.

-Really?

-Really. He's already suspended our new CT1.

-Dr Birdwood?

It's her first day and he came down on her like a ton of bricks for...

I read her Commonwealth Scholarship Application myself. Very impressive.

Australian born, with a great deal of difficult A&E experience.

-A very strong candidate. I agree.

-So, I think, if she can deal with

alcohol-crazed Australian men in pain,

she can cope with our Mr Spence. Don't you?

MOBILE RINGS

Press. I'm still rather popular with a few of them, it seems.

I sympathise. But look, this friction between myself and Mr...

I thought, you see, that you of all people, Miss Campbell, would be

the best person to help marshal and finely-tune our resources here.

Yes. And I will, but...

So how you and Mr Spence mesh is of no interest to me whatsoever!

I do hope I've made myself clear.

Are you OK?

Me? Of course. Yes. Everything's been re-organised.

I saw you, Dad.

Saw me what?

You were crying.

-What are you talking about?

-When I came round.

Poppy.

They were pumping air into your lungs,

you were probably hallucinating.

MESSAGE ALERT BEEPS

Is he going to be all right?

Well, he's lost a lot of blood

but the tear's closed now so...he should be fine.

He should make a full recovery. Just have a bit of a scar.

He'll like the big scar.

Yeah, give him something to brag about.

Impress all the soppy English girls.

Might even get him laid.

He's going to be fine. What about you?

-Look tomorrow's another day.

-Yeah, what about Mr Spence?

Take it easy, Benny.

Dr Birdwood's lab results.

Ah, Mr Cunningham. How's your daughter?

She's recovering well, thank you. Yes, despite everything.

I can only apologise for the amount of time you must have spent here, worrying about her.

I can assure you we are normally much more efficient in our patient turnaround.

It's been an illuminating experience.

Yes, well...

Mr Hanssen is under a lot of stress at the moment.

-As are we all.

-Well, it's a testing time.

And I must thank you for pointing out the Hertzig trial to me.

It wasn't my intention to expose anyone.

I admire your honesty. it's a trait I value.

And let me reassure you that the Board are aware of the direction

that Holby needs to go.

And you need someone who embodies the future

that you have in mind for Holby.

Well, I wish your daughter a steady recovery.

Thank you, Miss Campbell. I appreciate your concern.

Hey, Birdwood, hold up.

Keep an eye on that for me.

Thank you. Come with me.

You almost killed Mr Wells earlier. You know why?

Because his aorta ruptured and arterial blood swamped his abdomen.

No, because you wanted to be his friend.

First and foremost, we are not friends to these people,

we are their doctors. Friends do stuff because they like you

and doctors do stuff because it is their job to save you

whether they like you or not.

Now, with Benny, you failed to follow my clear and distinct orders.

I know. Look, I'm sorry. I couldn't stop the lab tests in time.

-But, I will find out exactly how much it cost...

-You saved him.

-What?

-Another few months and the squamous cell carcinoma would've

taken over and who knows how long he'd have had after that.

Carcinoma?

I was wrong about the leg ulcer. You were right - it's cancer.

That is what the Brits call a good catch.

Thank you, Mr Spence.

Well, it's what I call pot luck. You need to up your game, Birdwood.

Luck has a way of disappearing on you when you lean on it.

All right, get out of here before the old guy steals your bag.

Like falling off a log.

-Place runs itself.

-Does it?

I'm really sorry you had to hear that.

I shouted at Marie-Claire.

She needed it. Marie-Claire's a decent nurse, but she'd improve

if she'd focus more on patients and flirted less with doctors.

-She doesn't mean any harm...

-None of that with Nurse Lane.

Dedicated to the job from day one.

-Thanks.

-Hey, just giving voice to the truth.

-Listen, I'm about to knock off...

-Oh, you're going the wrong way.

Yeah, that's not what I was going to ask.

I'm going to have one drink to unwind and I was wondering

if you'd show me the local?

I'm sorry, am I being totally out of line here?

No!

No! Of course I'll join you.

I'll just finish up here.

Sure. I'll see you down stairs.

I came to say goodbye.

They're moving me up to Darwin ward, tonight.

You on shift tomorrow?

Yep.

Will you come up and see me?

Cos I'm working.

After work?

Nah.

-Come on.

-Nah, you're good.

-You know you want to.

-But I'm not going to.

Why not?

Cos you're a patient.

And what, you're a doctor, so we can't play nice together?

You got it.

You don't mean that.

I do.

You know you'll be there.

You know what I heard?

What?

Only my first day so I'm not speaking from experience,

-only what I've been told.

-Yeah?

AAU nursing staff and doctors are dags. Compared to Darwin?

Darwin are wall-to-wall babes.

Whatever, Aussie Bimbo.

Whinging Pom.

She's abandoned you?

No, she's in the loo.

Look, what I said about Hanssen...

Right, is it the truth?

He carried out that operation to save a young woman's life.

Well, I'm sure the Disciplinary Board will bear that in mind.

I misjudged a fraught situation, I spoke in anger.

No, you spoke to me off the record.

I have absolutely no proof of anything you said.

But the fact still remains that one of our most promising consultants

has told me that she has no faith in this hospital's leadership.

And that's something I can't just forget.

PHONE RINGS

Mr Hanssen?

Yes, one moment, please.

Lilah Birdwood. Your new CT1 on AAU.

-First day.

-Ah, quite. Pleasure to meet you.

I hope your first day was instructive.

Yeah. Amazing. I just wanted to pass on a message

from Professor Tim Wong.

Ah, Professor Wong. Now there's a remarkable innovator.

Yeah, I had the pleasure of working and studying

-under him at Sydney Royal.

-You're very fortunate.

When I said I was coming to the UK, he said I should

do my utmost to get any opportunity to work under Henrik Hanssen.

-He said, you were a legend.

-Well, that's very kind of him.

Perhaps you'd benefit from some time on Keller.

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