Divided We Fall Holby City

You're supposed to be on compassionate leave.

-I'd rather be working.

-On the day of Tara's funeral?

It would be best practise to test for leukaemia.

-I've got cancer?

-Yeah, but we can treat it.

Her's was the only body they never found.

But I still know they killed her.

I know you want to be allowed to die but...

if you don't say where Simone Harris is right now, it won't be up to me.

We took her home.

She's gone into VF. Stand clear.

No resuss. We stand by the advance directive.

I hope to hell everything went by the book today because

the last thing we need is that psychopath causing chaos from beyond the grave.

Morning, sleepy-head.

-Ow...

-Is that cannula hurting?

It's really annoying. When's it coming off?

-It shouldn't be too long now.

-When?

-Now, you've got your blood tests at 11, haven't you?

-Where's Jen?

-Who's Jen?

-She used to be in that bed.

I guess they must have said she could go home.

-Ah, morning.

-Morning.

-Good time last night?

-Not exactly historic, but I've had worse.

Rumour has it you left Albie's with Mary-Claire again.

Go on somewhere else, did you?

Well, if I left, then clearly I went somewhere else. No?

I meant before you went home. That's assuming you WENT home.

Oh, I always go home. I like to sleep in my own bed.

Morning, Mrs Levy.

Oh, I didn't hear you get up this morning.

Helen had an early meeting

and I didn't want Rachel to wake up without one of us there.

-So what time did you leave?

-About half five, I think.

Sacha, you can't keep doing this. You need some time off.

It's fine. Honestly.

OK, the most important thing is that Rachel can see that

everything is carrying on exactly as normal. OK?

Jac...

Jac!

You know it's polite to knock.

I can't believe a woman in your condition can still out-run me.

-What condition?

-Seriously? We still doing the whole denial thing?

I don't see how it's any of your business.

Trust me, there's 100 things I'd rather be thinking about

than the status of your womb.

-Well then, maybe you should.

-I can't keep lying to my best friend.

I don't even know what's going to happen yet.

Here. I'll draw you a picture.

How long do you think you can keep this a secret, Jac?

-I've been bleeding.

-What? How long?

-What difference does it make?

It's over. It's not going to happen. So you can forget all about it.

A bit of bleeding is perfectly normal...

I'm a doctor. I know how it works.

This is Betty Hutchings. Betty's 79,

and was in an RTC with her husband.

Bert? Where's Bert?

-Do we know where...?

-They cut her out of the car first,

so he's either still in the motor, on his way to the ED, or in the ED.

OK, I'll go and see what I can find out.

OK, Betty, you look like you've been in the wars. What happened?

I don't know. We were going to the park, I think.

We had a thermos and some sandwiches, Bert and me. Fish paste.

-Bert's my hus...husband.

-Mm-hmm.

-I think I've been in an accident?

-All right. Don't worry about it.

I'm Mr Levy and we're going to be taking very good care of you.

SHE GASPS TEARFULLY

Oh, thank you!

Anyone ever tell you you have a lovely smile?

Now now, Betty, you'll make me blush.

Questionable judgment would support a suspected head injury.

-Thank you, Dr Tressler.

-Sacha, you need to keep an eye on the time.

-Rachel's bloods.

-Thank you.

Jac, I booked you an appointment with Mr T.

-Told him it was urgent.

-An appointment for what?

-Look, at least you'll know for sure one way or another.

-Know what?

Um... Bed 4. There's still some residual pleural effusion.

I reckon we should do another chest X-ray before we discharge her,

-just to be on the safe side.

-Yeah, makes sense to me.

Four o'clock.

I'm looking for my wife.

OK, I'm a doctor. Why don't you let me have a look at you first?

I just want to see my wife. Betty Hutchings.

They said she was in here. This is AAU?

Yeah, you're Bert, right?

-OK, you're supposed to be in the ED.

-How is she?

-Nobody's telling me anything.

-She's just over there.

She's with the doctor, she's absolutely fine. Look...

Let me guess. Bert, right?

Oh, oh, my love. Look at you. Oh, I'm so sorry.

Where've you been?

-What am I doing here?

-You're in hospital, love.

We were in a little accident.

It's all right. You can leave us now. I can take it from here.

I think that's rather unlikely,

unless you're a qualified doctor with neuro experience.

I don't think I care for your tone, young man!

I've spoken to the lab and we're going to get the results rushed through as fast as we can.

-We appreciate that.

-I know how tough the waiting can be.

And after that?

Let's see. Once we know how Rachel's responded to the chemo.

-I know it's not much fun.

-I hate it.

It makes me feel sick and it's given me this.

I'm afraid that's just a normal side effect. It'll go.

Hey, I know it's horrible. But it's making you better.

And that's the most important thing, isn't it?

-Can I go after this?

-Go where?

It's the last day before study leave, the leavers do pranks.

-It's really fun.

-I'm sorry, darling, but I'm afraid you can't.

-Everyone's talking about it and I'll be the only one who's not going.

-I'm so sorry.

PAGER BEEPS

-I'm needed on AAU.

-Sure.

You're doing so well. OK? Thank you.

If I was that sick, I wouldn't be able to walk, would I?

Come on, now, Bert. See it from our point of view.

-Everything all right in here?

-Yes, this is Mr Hutchings, Betty's husband.

Bert was being triaged on the ED when he did a runner.

Put me next to Betty and you can do all the examining you like.

Mr Hutchings has a suspected upper limb fracture

and internal bleeding, but he won't let us touch him.

-Why can't we just...?

-This lady has a suspected vertebral fracture,

-so we're not too keen to move her.

-What about the bed next to her?

-AAU.

Are you in charge round here? Because these children

don't seem to be listening to a word I say.

Now, listen. This isn't complicated, OK? I'll talk to Chrissie.

Right, we're going to play musical beds.

We're going to move you to the bed next to your wife as soon as we can.

Oh, thank you. At last - someone with a bit of sense!

Meanwhile, why don't you let Dr Wilde take a quick look at you?

I'd prefer a chap to do it, if you don't mind.

I know it's old-fashioned of me,

but I wouldn't feel comfortable with a young woman.

I don't blame you, Bert. You don't know where she's been.

Well, we all know where you've been.

Right, I'm going to go and check up on Betty. OK?

That was Paeds Oncology. Rachel's gone missing.

-Morning, Mr Malick.

-Hi.

-How's the hero of the hospital?

-I'm not a hero.

And actually I'm kind of done talking about it, all right?

I'm just glad you're OK, is all.

-Why wouldn't I be?

-You've been off the ward nearly a week.

-Yeah, well, I...took some time off.

-And you didn't call me.

I was beginning to think something must've happened to you.

It's the only explanation I can think of.

-Cos I know you wouldn't have just used me.

-Look, I just...

-You're so easy to tease!

-Can we not do this? Not here, all right?

Of course, absolutely. I understand. We're at work. I get it.

I was on the bus this morning when I just sort of conked out.

Didn't know what happened,

but this lady said one minute I was standing there, and the next - boom!

-Hit the ground like a sack of spuds.

-Has this happened before?

-Couple of times, yeah.

-Show me your hands.

-Blueness of skin - Raynaud's phenomenon. Any coughing?

-Some.

-Have you lost any weight lately?

-A few pounds, yeah. Eve!

Come over here.

-My daughter.

-What is she doing here?

She was with me when I collapsed. What else was I supposed to do?

-Don't we have a creche or something?

-Yes, I'll sort it out.

No! Thank you, she's fine here.

-How old is she?

-Coming on four.

-And you're 18?

Nice work. Your parents must be really proud.

-This your work?

-Come again?

The fact there's suddenly a child in the middle of the ward.

-Is that supposed to be funny, or clever?

-Oh, I wish I was that good.

She has infective endocarditis.

It doesn't need a consultant to work that out. The patient's all yours.

Get that kid off the ward.

Rachel!

I've been looking everywhere for you.

-I didn't ask you to.

-I've been going out of my mind.

What are you doing out here?

I've been stuck in there for ten days with all those sick kids

staring at their childish posters and their stupid walls

and I can't stand it any more. I just want to be normal again.

-And you will be, darling. You will be.

-When?

-Really soon, OK?

-You don't know that.

-Of course I do. Look, you're doing so well.

Stop saying that! It doesn't mean anything.

-I'm not doing anything well. I'm just lying there.

-That's not true.

-I think you've been amazing.

-You don't get it, do you?

Why can't you just tell the truth?

-Oh Rachel, I always tell you the truth.

-No, you don't.

You and Mum are just the same. You like to pretend that everything's fine. Well, it's not fine.

I'm not a kid any more. I know what's wrong with me.

-Yes, you're sick. OK? But you're getting better.

-No, I'm not!

-I'm going to end up bald, puffy-faced...

-Not necessarily...

I'm going to look like a freak and no-one will talk to me any more.

-And I'm going to have no friends.

-Of course you'll still have friends.

-Stop pretending!

-Please, Dad. For once, just stop lying.

-I'm not lying to you.

-I would never lie to you.

-Fine, then. Am I going to die?

No, no. Of course you're not.

Now, listen to me.

I know it's horrible, all right? But every single drop of chemo

means you're a step closer to getting better, OK?

You've just got to hang on in there a little bit longer, OK?

Chantelle. Do you remember the conversation we had about music?

-Sorry?

-Chantelle! Digby. Dr Copeland.

We have a ward full of patients.

We don't have time to stand around and gossip.

-Get back to work.

-Sorry, I was just...

-Now!

Don't worry. I didn't say anything.

I've changed address a lot. Maybe they got lost.

Could you be under a different name?

Nah. Guess I've always been very healthy.

OK, if you change position for me, my love.

-See what I mean?

-What do her bloods say?

Anaemia, raised white blood cells.

-I'm going to go and check on those records.

-Be right back.

What's this fellow's name? Hugo? Hugo is a, wait a minute, he's a...

Rhinoceros? No. Is he a...hippopotamus?

-He's an elephant.

-You're a lot smarter than me... What?

What are you looking at me like that for?

Her symptoms aren't consistent with endocarditis.

-I think this is more Jac's area.

-Really?

Well, I'm sure you're more than capable of...

No, I really think YOU should run the results by her.

-Fine. Take the elephant.

-Thank you.

-Bye-bye.

-Bye-bye.

Hey ya, how are you?

-Rachel's OK then?

-Absolutely fine.

-You don't feel she...

-Honestly, I'm her dad.

I know what she needs. I've got this. OK?

So having a picnic?

Was supposed to be in the park.

-We have a favourite bench by the lake, don't we, love?

-No Scotch egg?

Not really a picnic without a Scotch egg.

We like to eat healthy, Betty and me.

Almonds, carrot juice, blueberries, green tea.

Isn't that right, love?

Did we bring the tea? It's in the...

-Thermos.

-That's right. The thermos.

Can we get rid of this thing?

And when can we talk about getting out?

We don't like to be away from home too long.

I'm going to go and chase up Betty's results now.

Thank you, Nurse. You're very kind.

Well, he's had a personality transformation.

He just wanted to be next to his wife. I can understand that.

Can you do me a favour?

Clear that side room for an isolation case, please?

Quick as you can, thank you. Thank you.

Dr Wilde. Got a job for you.

-Uh-huh.

-We need to clear the side room for an isolation case.

It needs to be totally decontaminated. Walls and floors.

If you need a hand, see if you can track down Mary-Claire.

Why, is she good on her hands and knees?

I find that sort of talk very disrespectful.

I just thought the two of you might work well together.

You know, as a pair of scrubbers.

Er...music, eh?

Hmmm?

-I was just saying...

-Morning, Keller Ward.

Mary-Claire. What are you doing here?

I'm on the hunt for some half-decent biscuits.

I've been at this course since 10:30 this morning,

and this is the first break we've had.

I'm ready to eat my own arm off.

-Right, what course would that be?

-Ahhh! Infection control.

It's like watching paint dry, only even less interesting.

Speaking of dullsville, is that a puzzle magazine?

-What are you, like, 90?

-Oh, they're brilliant. I love a word search.

She does them every day. Used to do them with her grandmother.

-Keeps the brain active.

-Keeps the brain active!

What is the point of that?

It's not like you'll meet some cute guy who checks out your brain.

Well, there's more to life than cute guys.

I don't think that the super-hot doctor that I'm seeing right now

asked me out just because I'm smart.

I can certainly believe that.

-Well, maybe some guys are deeper than others.

-What, like Rhys?

-He's changed a lot since you last saw him.

-Right.

Although I'm sitting next to a staff nurse from Neuro on this course,

and she reckons he's doing half the nurses in Paeds. Anyway...

Thank you for the custard creams.

Don't mind if I take the whole packet, do you?

Clever girl. I told you you'd be OK.

So I can take her home now?

I'm afraid Mr Levy wants us to keep an eye on her for a bit longer.

The doctor says you're doing well.

Why don't you have some carrot juice?

You love your carrot juice.

What are you talking about? It's disgusting.

Why can't I have a cup of tea?

Where did you put the...the...

Thermos, love. It's in the car.

Betty, you seem to be forgetting certain words, certain things.

-Now, was it like this before the accident?

-I don't know.

You wait till you get to our age. You'll start forgetting things too.

Excuse me a minute.

What's this?

Seeing Bert and Betty next to each other gave me the idea.

I thought it would cheer her up being down here with us,

instead of stuck up there on the kids' ward.

-Does Nathan know about this?

-Yeah, it's fine. Don't worry about it.

Look, if she decides to do another runner, we can keep an eye on her.

It's the perfect solution. Isn't it great?

Old people, car accidents, drunks.

It's way better than being around sick kids.

Mo thinks it's more your area than hers.

Why do you look so suspicious?

-I'm not.

-What possible ulterior motive could Mo have for...

I'm not saying there is one.

Why do I get the feeling there's something weird going on?

Mo's right. It's not endocarditis.

These symptoms are more consistent with a primary tumour in the heart.

-Run an echo and I'll have a look at it.

-Great.

-And make sure that brat's off the ward.

-Eve? She's no bother.

This is a surgical ward. Not a nursery.

-Surgeons and children should never mix.

-I'll see what I can do.

-You OK?

-Fine.

-This is about the Rhys thing, isn't it?

Just seemed to me that you didn't really like him that much in the first place, did you?

I don't really want to talk about it.

I just meant that after what happened at New Year's Eve,

you can't be that surprised.

A leopard doesn't change its socks and all that.

So...you're saying that you think I'm stupid for trusting him,

-is that what you're saying?

-No, no, no. Not stupid, exactly.

It's more naive, I suppose, given the evidence available to you...

-Arthur. Can you do me a favour?

-Yeah, yeah. Absolutely.

Can you just not talk to me, please?

Right. Yep. OK.

-Acute myeloid leukaemia.

-OK.

-Is it a bad kind?

-There are worse kinds.

But I'll bet it's not a whole lot of fun.

-Chemo?

-I hate it.

-Course you do.

It's evil. It can make you puke. It can make you bald.

It can make you fat.

But given the choice... I'd take the chemo.

-Were you just eavesdropping on us? That's a little bit creepy.

-So...

Would you and Mary-Claire like to have kids?

The only way that's going to happen is if she drugs me,

chains me to a bed, whips out a turkey baster,

and milks me like a pedigree Friesian.

Which, knowing Mary-Claire, I wouldn't entirely rule out.

-Wow. I actually feel physically sick right now.

-You asked!

Grace, you are a superstar. Yes, OK. I'll see you then. Thank you.

Bye.

Do you think you should be looking at that?

She was so upset about the fact that she's missing all her friends,

I figured... why not bring them here?

So I've found a couple of healthy specimens.

They should be here in about an hour.

Do you think that's professional behaviour?

What about if Ric or Serena, or even Hanssen walk in?

I hope they would understand that I am taking time out

from my busy schedule to do something for my sick daughter.

I mean, who's it hurting?

-When was the last time you checked Betty Hutchings in Bed 1?

-Oh, God!

Betty. How's she doing?

I am sure she's in the early stages of dementia

and he is in complete denial, poor love.

You have a myxoma. A growth. It's in the left atrium of your heart.

-A tumour?

-It could be hereditary.

-Is there any history of tumours in your family?

-I don't...I don't know.

So what happens now?

There's no reason for you not to make a full recovery,

but we need to remove it as soon as we can.

An operation? What about Eve?

-You'll need to find someone to look after her.

-Like who?

-Her father?

-He's not around.

-There's a shock(!)

-I'm not leaving her on her own.

I'm not suggesting you leave her on her own.

We have a creche with a fully trained staff.

I can't leave her with strangers.

-They're not going to know how to look after her.

-How hard can it be?

She gets scared around people she doesn't know.

-At this point, you really don't have a lot of choice.

-Yeah, I do.

I can say no, can't I?

Bert, here's your discharge form.

-So when can I take my Betty home?

-Bert, can I ask you a question?

How long's Betty been like this?

I just sign here, do I?

Yeah, just there.

It's just that with all the crossword puzzles, you know,

and the brain-boosting foods. I think I know what you're trying to do.

I read this piece in the papers.

Says you could fight...you know...

by doing certain things, so...

I threw out all the aluminium pans.

Cost me a fortune to get new ones.

And we've been eating all this disgusting stuff.

If I have to face another bowl of broccoli soup...

Bert, there are people who can help.

-Drugs that have been shown to...

-We're coping perfectly well.

I just know that caring for someone can be exhausting.

-I'm fine.

-Emotionally as well as physically.

-What's she said to you?

-Who?

It was just a moment. I just closed my eyes for a second...

Normally I have the car window open.

But Betty feels the cold so...

I suppose you'll have to tell the police now.

-No-one else was hurt?

-No, no, no. Thank God.

I'm not going to tell anyone, all right?

But you have to let us help you.

That was Nathan. Rachel's bloods are in. OK, thank you.

Oh, I've booked theatre.

-Dr Lamond's on the gas, and Dr Valentine's assisting.

-For what?

-The myxoma.

-Well, that's no use if she's refusing to have the op, is it?

-Actually, I've managed to convince her.

-How?

By finding her a babysitter that she can trust and depend on

-to keep Eve entertained for a couple of hours.

-Who?

-Uncle Jonny.

-What?

It's all right. I've found cover for the ward.

You're supposed to be a nurse, not a babysitter.

It'll be fun, won't it, Eve? Mm-hmm!

-Could you just...

-Sorry.

-What time is it booked for?

-Four o'clock.

-It was the only slot I could get.

-Four o'clock? What for?

I'll be operating on the myxoma.

Come on, Evey. Let's go and find your mummy.

-You can't do four o'clock. You're seeing Mr T.

-No, I'm not.

I have to stress, chemotherapy is only one approach,

and just because this first course didn't work...

-When can we start the next course?

-Soon.

Although in my opinion,

the second round is unlikely to be any more effective than the first.

We should also be thinking about finding an alternative treatment.

You're not suggesting a bone marrow donor?

I know this is a lot to take in,

but it would be a good idea to start discussing the possibility

with Rachel and the rest of the family sooner rather than later.

We'll, um...be discharging her as an outpatient today.

I think I'd like to tell her, if that's OK?

For what it's worth, I do appreciate how hard this must be for you.

Thank you.

But we're a family and we're going to get through this together.

As long as Rachel knows that she's not on her own.

Digby.

Did I miss the memo or what?

-Is today the National Do No Work If Your Name's Dr Digby Day?

-No, no.

-I was just...

-What was that?

-Nothing.

-Come on, show me.

Whoa!

-Is that a mixtape?

-No.

-Diggers!

We'll take you down to anaesthetics first,

and then they'll wheel you through to theatre once...

Eve normally has her bath at half six.

Well, I'm sure it's not going to kill her to skip her bath for a night.

You shouldn't judge people. You don't even know anything about me.

The only thing I need to know is what's wrong with you.

Do you know what it's like to be completely on your own?

When there's no-one in the world you can trust except yourself?

Well, I'm never going to let Eve feel like that.

Cos whatever happens, I'm going to be there for her.

I might not be clever.

I might just look like some chav to you. But I know I'm a good mum.

So I don't care what you or anyone else thinks.

Given that we have no medical notes for you,

I'll ask Dr Valentine to come and take a full history.

Just to check there's nothing we've missed, OK?

Mr Levy? Mr Levy?

Betty and Bert...?

I've paged occupational health to get her assessed for dementia,

see if we can arrange some home help maybe.

-Otherwise there's not much more we can do.

-Right you are.

GIRLS GIGGLING

Someone came into school dressed up as an egg.

But there wasn't a chicken to go with it, so it didn't make sense.

-Like, it was so obvious!

-THEY LAUGH

-That's what I thought.

-It was like a broken egg, it had arms and legs.

-Honestly. It's just for a friend.

-I'm not buying it.

You don't make a mixtape for a friend.

Unless you're hoping to be more than friends. Mm-mm! Go on, Digby.

I didn't even know you were capable of having those kind of feelings.

Do we have to...

-You know you can get CDs, MP3s now?

-Yes, but...

burning a CD, that's...kind of impersonal.

-There's an actual art to making a tape.

-All right, so what's on it?

-No, no, no. You don't need to...

-Hey, I'm your boss. Hand it over.

-There's a track listing.

-Typed. Nice touch.

The Prime Minister is... I know this.

Of course I know who it is. It...

Who is this man? Why is he being so nosey?

No more questions, please. You're upsetting my wife.

Mr Bowker's an occupational therapist, Betty.

He needs to get an idea of your condition, so we can help you.

What's he talking about?

If they know what the problems are,

they can talk us through the options.

-SHE CRIES OUT

-It hurts. It hurts!

-What hurts?

-SHE COUGHS

Betty, love?

What's...what's happening to her?!

OK, O2, we need a chest CT. Where's Mr Levy?

What is it with you Levys and your disappearing acts?

I just needed a bit of time out. That's all.

So...? What did Nathan say?

Um, he...wonders if there's any point in even doing another round of chemo.

Because she responded so well?

PAGER BEEPS

Sacha?

-Very tiny, isn't he?

-He's tiny, isn't he?

Look, and who's that coming over the hill on a great big horse?

-I don't know.

-You don't know? Why, it's only Prince Charming!

You missed the best bit.

I did different voices for all seven of the dwarves.

-I was great, wasn't I?

-Yeah.

-Yeah!

Glad to see children are still being fed misogynistic patriarchal lies

about the female need for co-dependency.

Have you finished talking to the mum?

OK. Well, how about we get to the end

and then I'll take you to see your mummy?

-Yeah.

-Yeah!

OK, her eyes began to open...

-You've never been in a hospital before?

-True.

Er, OK, well. Where d'you have your daughter?

Oh, that was... I had her at home.

-Just give me your date of birth?

-15th September 1997.

Got it, lovely.

Er, hang on. 1997? That means you had your daughter when you were 11.

What?

No. I-I had her when I was...

When I was...

Wait, what year did I say again? I meant...

How old are you?

Lou?

And if you could just lean forward for me.

It hurts.

I think we're dealing with an underlying issue here.

Before the accident, did you have any conditions that we should know about?

Like what? I've been healthy all my life.

A bit of trouble with my feet, but...otherwise I'm...

It's all right, Betty. Nothing to worry about.

-We need to get her a CT scan straight away.

-I'll chase it up.

-I'll be going with her.

-Says who?

-She doesn't go anywhere without me.

I'm afraid we don't allow relatives anywhere near the CT scanner.

-Then she's not going.

-Don't fuss, Bert.

I'm not a child.

You should listen to your wife.

You might think you're big and clever because you're a consultant and all that,

but you don't know my wife like I do.

Your wife clearly has an internal complication which appears to be getting worse by the second.

So, you can let me take her upstairs and I'll do my best to fix her,

or you can leave her here... and see what happens.

Dr Digby has made the all-time worst mixtape since music was invented. Chantelle!

No, no, do we really need to...?

Digby's made a tape for a girl he likes.

-Who?

-He won't say. But what would YOU say if a guy gave you this?

I'd say, "Thanks, but I don't have a cassette player."

Right, but in terms of what's on there.

You know, first track - Elvis, Can't Help Falling In Love. Please!

Oh! I LOVE that song!

My dad used to sing that when we were younger.

All right, bad example.

Ev'ry Time We Say Goodbye - Ella Fitzgerald.

Don't know that one.

It's, er, a Cole Porter song. It's one of her very best, both lyrically and melodically.

It's, erm... Well the Ella Fitzgerald version's got a lot of pathos.

Never mind.

It's a shame I don't have a tape-player. I could do with widening my musical taste a bit...

-Sorry to interrupt. I just wondered if we could discuss a patient for a second.

-Sure.

You're 15 years old?

-Is Eve really your daughter?

-Course she is.

You understand why we're asking?

Having a baby at 11...

It seems...a little unlikely.

And even if Eve is really your daughter,

the fact that you're 15 means that we can't operate on you without parental consent...

-Lou, is there someone I can call for you?

-There isn't, OK?

Lou, we really want to help you.

But you've got to be totally honest with us.

Is your name really Louise Johnson?

What's your real name, sweetheart?

Louise Milton.

And, er...

..is Eve really your daughter?

I've brought her up.

I've fed her since she was three weeks old.

I'm the only mum she's ever known.

But technically...?

Biologically?

My sister.

Look, I've been meaning to find a moment to tell you, but you were so preoccupied

with the whole Susannah Harris thing.

Tell me what?

Last week my mum... Er, she...deteriorated.

Nathan, I...

How's she doing now?

I'm so sorry.

-When?

-Two days ago.

Why didn't you tell me?

I don't know where she is.

I don't have a number or an address or anything.

When did you last see her?

She just left.

Walked out one day.

I dunno, two years ago, I suppose.

That must have been hard for you.

Are you kidding? Her leaving was the best thing that ever happened to me.

-Lou...

-The only thing she ever cared about was finding her next fix.

She didn't give a damn about me or Eve.

Look...why don't you pretend I never told you?

If I hadn't got my date of birth wrong, you'd never have known!

We have a duty of care...

No. No, you don't.

You're here to make me better, that's all.

She said she only cares about what's wrong with me, not who I am.

That was before we knew...

I'll be 16 in September. That's only a few months away...

They'll put us both in care.

What if they send us to two different homes?

She needs me!

I'm her mum!

I'm sorry.

I trusted you.

So what happens now?

-They're going to perform an operation called a lobectomy.

-Oh...

Open her up, run a biopsy, and then we'll get a better idea of what we're looking at.

HE CHUCKLES

It's funny really.

All this time...

All the crosswords and the broccoli...

Cos I couldn't bear the thought of her slipping away from me,

And now... Now I'm going to lose her anyway.

I know it sounds serious, but it's a relatively routine operation...

You'll be in there with her?

No, I'm afraid I can't. It's not my speciality.

Oh, please, Doc. I can't bear the thought of her being in there with a bunch of strangers, all on her own.

I know it's a lot to ask, but if there's any way you could...

I'll see what I can do.

OK, thank you so much for your help.

OK, the good news is that Susan is on the Duty Team.

I happen to know her, she's lovely.

I'm going to give her a bell and see if she's about.

She needs that operation now. We don't have time to waste.

But if we can't get hold of the parents to get consent, then we have to...

And while we're waiting for the social worker to arrive, her condition could get MUCH worse.

So you would like to wheel her into theatre

-without any consent from anyone?

-Sounds about right.

-Meaning?

-You couldn't possibly do something that might delay cutting a patient open.

-I'm sorry?

-Heaven forbid you might see one of your patients as a human being(!)

Ollie, mate, why don't you get yourself a coffee?

-I don't want a coffee.

-Ollie...

Look, it's barely been a month, so obviously he's just not himself.

I want to see her on my table in exactly one hour.

Does Helen know?

I haven't spoken to anyone, OK. Nathan, you. That's it.

You know you're going to have to talk to Rachel?

-Of course I do. I just need...

-KNOCK AT THE DOOR

-Sorry, you said you wanted to know when they were taking Betty into theatre?

-Great, thanks.

I promised Bert I'd be there.

-Yeah, but what about Rachel...?

-As soon as Betty's out of theatre, I'll speak to her, I promise, OK?

Sacha, you can't keep running away from this.

Just another hour...or so.

(What difference is that going to make?)

I know she seems like this confident, independent young woman,

but beneath that, she's just a scared kid.

That's not our problem.

You're doing this whole "I'm Jac Naylor, I really don't care about my patients" thing.

Well, I don't buy that.

I know you. And I know you want everyone to believe that you're this uncaring, unfeeling...

Maybe that's who I really am. Maybe you don't know me at all!

-Yeah, well, the fact remains that Lou is a child.

-She's 15!

-Exactly! Which means that legally...

-Do you really think she's going to be better off in care?

-I'm not even saying whether she's going to be...

-You don't know anything, OK.

Well, go on then.

Why don't you tell me? Why don't you tell me what I don't know?

JAC'S PAGER BLEEPS

I'm late for theatre.

-Hi.

-I came to see how my patient's doing.

Yeah, she's great. I think she's a bit tired.

She had a few friends over. I think they might've worn her out.

How did she take the news?

Erm, Sacha's waiting for the right time to tell her.

He hasn't told her yet?

No, he's been a bit busy with surgery and stuff.

But I fast-tracked those results so we could let her know as soon as possible. Where is he now?

Yeah, well he's up in Darwin theatre. And I'm sure when he gets back he'll want to tell Rachel...

Tell me what?

-Er, Rachel, you need to get back into the side room...

-Tell me what?

-You're just here to watch?

-Her husband asked me to be here.

You get that she's unconscious? So she'll never know whether you were here or not.

I wouldn't expect you to understand, to be honest.

What is wrong with everyone today? We're supposed to be doctors.

We're supposed to be clinical, objective...

We're supposed to be compassionate.

Oh, God! You sound just like Maconie. What does that even mean?

It's just another word for interfering, for do-gooding.

We have a 15-year-old patient on Darwin.

And everyone's talking like she's this vulnerable child who just needs her mum,

but it's so obvious she is ten times better off on her own.

-15 is young...

-When I was 15, I hadn't seen my mother in three years and it was much better that way.

The world would be a much better place if everyone just admitted

that having children is a selfish act.

You're just going to end up destroying them, they're going to end up hating you,

-so why not just save yourself the trouble and...

-Will you STOP?

For God's sake, Jac, just, please...

Not today, OK? Just...not today.

Removing the lobe.

What's the definition of a psychopath?

Is that when you're incapable of feeling empathy?

Or is that a sociopath?

I know she can be a bit challenging...

Why are you defending her?

This is a woman whose heart was surgically removed at birth,

a woman who doesn't care about her patients until they're anaesthetised and on the table.

I am sick of talking to her, I'm sick of trying to reason with her.

And I'll tell you what. Whatever she says, I'm going to phone that woman at Child Protection

because call me old-fashioned, but I don't happen to think that a 15-year-old child

should be left on their own.

So you're going through her bins now?

No I had the number for Susan, the social worker...

Wait...

-No...

-I've just been paged. I've got to go.

Oh, Mo, you don't think that...?

Can we get that to pathology please.

Why not today?

I'm just not having a great day, that's all.

None of us are.

Well, you have this way of pushing and pushing, you know, and it can be...quite hard to take.

Swab.

Rachel's chemo failed.

They're talking about trying to find a bone marrow donor

because they don't know what else to try.

My 14-year-old daughter...

..is getting sicker and sicker...

..and I have absolutely no idea how I'm going to tell her.

When today started, I didn't quite anticipate it ending

with a microwave lasagne for one and my Glee boxset.

If you'd like some company, I'd...

Ah, that's very sweet, but...

I think I'd rather wallow in self-pity. And I don't think Glee's really your thing.

I couldn't really tell you. I mean, what is it?

Oh, Arthur. Never change.

Oh! Hang on a sec.

How stupid am I? My car's that old it actually has a tape player!

I never use it apart from my MP3.

So can I borrow that tape?

The one with Elvis and, erm, Ella...what's-her-name?

Erm, it's all right, you don't have to be polite.

No, come on. I'm interested. It'll make a nice change from Bruno Mars.

I-I hope you like it.

I'm sure I will.

What's going on?

We've all agreed it's best to keep Rachel on Paeds until she's discharged later.

Rachel? Is this what you want?

Rachel?

Why didn't you tell me?

I was going to...

You looked through that window and you smiled.

You made me think everything was going to be fine.

So I'm assuming it's mine?

I'm not doing this here.

-Were you even going to tell me? What was the plan, Jac?

-There was no plan!

-So?!

-So, nothing! There is nothing to talk about.

-It's over, it was a false alarm.

-How do you know?

Because I've been bleeding.

How long?

This morning.

And have you bled again since?

-Just answer the question!

-Ah, look it's just my body, OK!

-It has everything to do with me!

Fine, so! So what if we WERE pregnant? What would we do then?

Would we get married? Would we buy a house with a nursery and a dog?

It's better this way. It's the best thing that could've happened.

Let me get my head round this.

Last week you were definitely pregnant,

and now the only indication you have that you may not...

-Because I know my own body!

-You should have a test.

-I'm not doing a test!

I need to know for sure. You owe me that much!

It's Lou. She blacked out for a second. I think the myxoma might be blocking the mitral orifice.

Right. Page Psych.

-Psych?

-Just do it!

# Wise men say... #

There we are.

# Only fools rush in

# But I can't help falling in love... #

Oh, no.

# ..with you... #

Post-treatment, she's liable to be so lifeless she may not be able to swallow her own saliva.

Most parents find it very distressing to see their child in this state.

What are her...chances?

Please.

You're a doctor. You know how misleading statistics can be.

But I've found there's a five-year survival rate which varies

from 15% to anything up to 70%.

Is there any chance of a...

..relapse?

I'd put that at anything up to 75%...

..given the fact her leukaemia was unresponsive to chemo.

I am so sorry, Sacha.

Thank you.

She's a smart kid. I'm very happy to sign her off as Gillick competent.

-Thank you.

-Seriously?

You know me, Dr Valentine. I never joke about my work.

Do you care about anything but getting patients on the operating table?

-Is that all that matters to you?

-Remember who you're talking to.

Have you even considered the risks?

You're off the case.

If you speak to me like that again, you'll be out of a job.

I'm going to be tested later on today, and then we'll know a bit more after that.

And what if you're not a match?

Well, then we'll find that someone who is.

Whatever happens,

I'm going to be with you every single step of the way.

-No, you're not.

-Oh, Rachel...

How can you be? You don't have leukaemia.

If I could take this from you right now...don't you think I would?

I wish I could do that more than anything else in the world.

But you can't. I'm on my own.

And I'll probably have to repeat a year of school and everything.

And I'll just be a bald, cancer-ridden freak

who hangs round with all the sick kids.

And what can you do about that?

Nothing.

What was it about the patient?

-Lou?

-Nothing. It's not about her.

It's this whole idea that nothing matters except

getting the patient into theatre as fast as possible.

Is wanting to get someone into surgery fast always a bad thing?

What if she's not ready?

What if she never gets to see her daughter again?

What if she's not talked through all of the options?

Whose idea was it for Tara to have the operation?

We're not talking about Tara.

Everything I say, you have to make about HER.

-You know what? I don't... I don't need this.

-Fine.

But...

..if you don't need it...

..why did you show up here voluntarily this afternoon?

Wait. You might want to have a look at her biopsy result.

Do they know?

Your patient.

Hi, Bert.

I have some very good news for you.

Betty's tumour was benign.

Oh! Oh, that's...

-Thank you.

-That's not all.

The tumour was causing something called paraneoplastic syndrome.

-What's...?

-It's something that occurs in older patients,

as a result of the tumour secreting hormones into the body's system.

But the symptoms are very similar to types of dementia.

I don't understand...

Well, it won't happen immediately, but now we've removed the tumour,

the symptoms - the confusion, the vagueness -

will eventually disappear.

Oh!

She's going to come back to me?

Ooh!

You beautiful man. You beautiful, beautiful man!

I'm going to leave you two alone for a minute.

Did that man just kiss you?

Yeah, it's funny what people do when you show them a bit of compassion.

Look, I, er, I don't know what people say in times like this but you can just assume.

Assume what?

"I'm so sorry."

"Is there anything I can do?" That sort of stuff.

Actually...

..yes, there is something that you can do.

I still don't see why you're doing this.

Before I had kids...

..people would say stuff like...

"I would throw myself under a bus for my child," and I would think...

.."No, you wouldn't. Not really. Not when it actually came down to it."

-And now?

-In a heartbeat.

Yeah, but that's just you, the world's biggest pushover.

That's the weird thing about being a parent, is...

..you can't possibly imagine what it's like until you're doing it.

You know, it just seems impossible.

How am I looking, by the way?

-Horrendous.

-Oh, good.

What if you're one of those people who has a child...

..and then discovers that they don't have it?

Whatever that thing is...

Oh. You have it. Trust me.

You're brutally honest...

You never sugar-coat anything.

And nothing seems to scare you.

In fact, the more I think about it...

the more I think that YOU would make a brilliant parent.

A tiny Naylor. Wow...

There's a thought.

-SHE SNIFFS

-(OK.)

I'll see you tomorrow.

Hi.

Hi.

Look...

if you'd rather be on your own tonight, I...completely understand.

But...

if you want company...

We don't have to talk...

We don't have to do anything, but...

Thank you.

Well?

It takes a couple of minutes.

-Look, I just want you to know whatever...

-Don't!

Don't give me the speech.

OK, come on, come on, come on, come on, come on!

Give me that thing.

Look, whatever happens here, there is a way of making it work.

All right, we are not together.

And, you know, this is nobody's idea of an ideal situation,

but we're grown-ups, right? And...

Well, in a lot of ways...

this might be exactly what we need.

-This is the last thing we need.

-Stop, OK?

Just stop fighting so hard. You have nothing to prove to me.

All right.

For once in your life...

..be honest with me.

What do you want this to say?

Why are you wearing that hat? You look ridiculous.

So, I spoke to Chrissie...

and we've decided I'm going to be staying at your mum's, OK? Just till we're settled.

No, seriously, what's with the hat?

You're absolutely right.

I don't have cancer.

And I can't take it away from you.

And I know that you're worried that sooner or later, you're going to be,

in your own words, "a bald, puffy-faced freak".

But you're wrong about one thing.

You're not going to be on your own.

Oh, my God!

That is so embarrassing!

I can't believe you did that.

And even though the fairy godmother had tried her best

to break the spell that the skinny ginger witch

had put on the annoying Scottish prince...she couldn't.

The spell was too strong.

But this story has a happy ending, because the skinny ginger witch

found out that she was going to have a baby,

and she ate and ate,

and got fat ankles which she REALLY hated,

and the fairy godmother laughed - ha! - and laughed,

and went down the pub with the Scottish prince

and they had some pints and bags of scampi fries,

just like they had every Tuesday night.

We're going to do this thing?

Looks like it.

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