Mens Sana In Corpore Sano Holby City


Mens Sana In Corpore Sano

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I really like being your friend.

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Not...

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No.

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I'm always going to have this shadow hanging over me.

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We all have a shadow hanging over us.

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Just some more than others.

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Mr Malick gave her too much. She went into respiratory depression.

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What Dr Copeland said... it couldn't happen.

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You want me to get off? I will.

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Dr Valentine, I can't do this unsupervised. I'm not qualified.

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Don't do it.

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Had you been made aware that the procedure was necessary?

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No.

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You're looking better.

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-Excuse me?

-I said you're looking better.

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Oh, I had a shave and a haircut.

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Sometimes it's the little things that count.

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Turning up to sessions, for example.

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What can I say? I'm turning over a whole new leaf.

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I've started running.

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Anywhere particular?

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No. Just running.

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For fun?

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For exercise.

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You know what they say - healthy body, healthy mind.

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I just figured it was time to pull myself together.

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By running?

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Everything.

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"It's the little things".

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Like...grieving?

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Look, I've done enough grieving. And I don't pretend to have answers.

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I don't need them. Not any more.

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Really? Why is that?

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Like you said - I'm better now.

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'Argh! Argh!'

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'Someone call an ambulance! He's dying!

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'Help!'

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Have you completed your investigation?

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Let's just say I have covered our collective behinds.

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It says here Dr Wilde is taking responsibility for the incident.

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I thought that was in dispute?

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It appears Dr Wilde has had a change of heart.

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Or conscience.

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Whatever her motives, it saves us

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having to examine Dr Valentine's statement too closely.

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You think he's lying?

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There are rumours that Dr Wilde has, um...

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Oh, how to put it delicately...?

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"Taken one for the team".

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Lipstick - on your collar.

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C'mon, that's cliched, even for you!

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It's not what you think.

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Yeah, right.

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What do you mean, cliched, anyway?

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-I'm the least cliched person, I know.

-Yikes!

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Remind me never to come to a dinner party with you and your mates.

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There's something different about you.

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You seem...relaxed.

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-If I didn't know you better, I'd say you'd got...

-Don't even...

-Good news.

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As though a weight's been lifted from your shoulders.

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Maybe that chip?

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I've come to a decision, that's all.

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-What decision?

-If you can't beat 'em, join 'em.

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Who's "them"?

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PAGER BLEEPS

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Morning, sleepy-head.

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We were paged?

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Not what I think, huh? "Sleepy-head".

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What's going on? ED referral?

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Not quite.

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I've heard of dress down Friday but that is taking the...

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-Dr Valentine brought the patient in.

-Patient collapsed in the gym where I was working out.

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Any particular reason you bypassed ED?

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Yeah, his symptoms. Abdominal X-ray, CT scan, U&Es, please.

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Hey, whoa. If you want to play doctor on AAU at least put on some scrubs.

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If you guys want to mark your territory, find a tree.

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Patient has severe cramping, abdominal pain. Oh, and diarrhoea - bloodied.

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Must have been a nice ambulance ride.

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Dr Wilde. A word, please? Now.

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Patient's all yours.

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"Patient" got a name?

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What's going on there, then?

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Nothing good.

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Didn't you hear about the St Valentine's Night massacre?

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I hear you changed your statement. About what happened.

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I just wanted to explain.

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You know what? I get it. You lost your wife.

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Then you lost your mind.

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Then you almost lost your job - refusing to attend a patient and then lying about it?

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That's a career-ender.

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Almost as bad as an F1 getting a name for herself for grassing up her seniors.

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As has been made VERY clear to me.

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Better to be known as an incompetent than as a whistle-blower.

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I didn't do it for you.

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I just didn't fancy committing career suicide on a point of principle.

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As long as we're both on the same page.

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Ulcerative colitis.

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The man out there. It's a hunch but an informed one.

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Look for a dilated colon on the X-ray.

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-Why are you...

-A diagnosis like that will go a long way to proving to Ms Campbell you're not incompetent.

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If you want to help me, you can tell the truth.

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How's the flat?

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Empty.

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Her parents put it on the market.

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-With your permission?

-Oh, it was my idea.

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What about Tara's things?

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I boxed them up.

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All of them? That's a lot of memories.

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It's just stuff. I was getting fixated.

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Surrounded by her things. I realised it wasn't healthy.

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Tell me - did this realisation come before or after

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the incident on the night shift the other week?

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-Does it matter?

-You tell me. Want to talk about it? It might help.

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What makes you think I need help?

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PAGER BEEPS

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How are you feeling, Mr...?

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Cohen. Josh.

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Joshua Cohen? Jewish, right?

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No flies on you.

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-I'm feeling better now the drugs have kicked in.

-What happened?

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Dunno.

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I was working out as usual and all of a sudden I was in agony and passed out.

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But not before I...you know.

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Had an accident.

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Bloods, U&Es, LFTs.

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As Dr Valentine ordered.

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So this "accident". Er...

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Has it happened before?

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It's not that uncommon in triathletes during heavy training blocks. But...

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Not like this, not with blood.

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-You're a triathlete?

-Professional. Why? Surprised?

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Why would I be? Excuse me.

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Of course, er, Dr...?

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Tressler. Harry.

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Dr Harry Tressler. Posh, right?

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Have you got any labs on Mr Cohen yet?

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You're a dark horse, aren't you? Performing an unsupervised chest drain is pretty dodgy,

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-but doing it badly... Why didn't you tell me?

-I didn't want to talk about it.

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And drop golden boy in it at the same time? No wonder Serena's all over you like a rash.

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I didn't drop him in it. He told me to go ahead.

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What, he stitched you up? Well, that's not fair.

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-Of course it's not fair!

-What's not fair?

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-Is there a problem?

-No, no problem.

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I just asked Dr Tressler if I could perform a colonoscopy on a patient with bowel inflammation.

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He said no.

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Really? That does sound very unfair.

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We don't need the colonoscopy. I've got the diagnosis.

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-You do?

-Have you?

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Crohn's.

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I want an abdominal X-ray before I put money on it but...

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Oh, well, let Dr Wilde do that for you.

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You're needed in Mr Hanssen's office.

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Ms Campbell? It could very well be Crohn's disease

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but there are several other... a colonoscopy...

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It says a lot about your working relationship with Dr Tressler that

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you waited all of...what, three seconds, before going behind his back.

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Book the X-ray. And wait for Dr Tressler before doing anything else.

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Understood?

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Any idea what this is all about?

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So what were you and Gemma hob-nobbing about?

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Why don't you ask her?

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I have.

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Gentlemen.

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Good. AS you're aware, the presentations you've opted to

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make were slated for next week.

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I trust it's simply a matter of honing the finer

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-points at this stage?

-Absolutely.

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-Like a razor's edge, sir.

-Honing away...

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-That's been...honed.

-Excellent.

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So you won't mind if I bring the presentations forward?

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Can't see a problem. When?

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Today. At this evening's Mortality and Morbidity meeting.

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I do realise this is rather sudden

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so if either of you have any objection...

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I don't. Dr Valentine?

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No. If Dr Tressler's good to go, then so am I.

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Excellent. Well, good luck. May the best man win.

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Was there something else?

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KNOCK ON DOOR

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Oliver? We've had a referral from ED.

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I should be finishing this presentation.

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Yes, Mr Hanssen told us it'd been moved forward.

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If you'd like another pair of eyes...

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I've...got to make a few tweaks before I'm ready with it.

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They'll have to wait.

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You're going to want to see this. Trust me.

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-What is it?

-A blast from the past.

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Dr Valentine!

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You don't remember me, do you?

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Chasing down my deadbeat dad in the rain?

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Jenny. Jenny Mulgrew.

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-It must be a year! How are you?

-Well, apart from being here again, I'm OK.

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Jenny's mum is on her way and ED suspect pleural effusion.

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-Er, but there is another issue.

-I'm sure it'll be fine. We'll do a pericardiocentisis.

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-Find out what's going on.

-Where's Dr Lo?

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Tara? Is she here? I wanted her to know that...

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-What's wrong?

-We'll just get you settled.

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Nothing's wrong. Jenny. Tara's...

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She passed away three months ago. It was very sudden. What...

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What was it you wanted her to know?

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This.

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What a piece of junk! What happened to your wheels?

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Alternator trouble. Thinking of trading it in, actually.

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For that? What are you, like, 60?

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With three kids and a wife? And what's up with the threads?

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You haven't just returned from some exotic place in the developing

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world with a severe case of straight, have you?

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Look, I've just had a four-week enforced holiday.

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Forgive me if I want to keep a low profile for a while, all right?

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Low profile? I give it two hours.

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It's good to have you back, Malick.

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Oh, Malick? Hanssen's serious.

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Don't mess up. Last chance.

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You booked Mr Cohen's X-ray yet?

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Booked it, scanned it. Bagged it.

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I tried to sell Campbell on the colonoscopy again.

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She pretty much accused me of stabbing you in the back.

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You'd never stab me in the back.

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The front provides much easier access to vital organs.

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Yup.

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Why are you still banging on about the colonoscopy, anyway? It's almost certainly Crohn's.

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I'm damned if I'm going to spend my last day on this hellhole of a ward sticking wire up a man's jacksie.

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I thought it might be ulcerative colitis.

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Interesting. What gave you that idea?

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Just a hunch.

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Athlete. Non-smoker... things like that.

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Big dilated colon.

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Some hunch, Gemma.

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Don't get too cocky. Still need confirmation yet.

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I'll get the fine wire - you get the jacksie!

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Hah!

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You must know the risks, the pressure pregnancy can put on the heart.

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The effects of anti-rejection meds on the baby.

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-I know the risks.

-Does the father?

-There is no father.

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-This pericardio what's-it...it won't hurt the baby, will it?

-No.

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But the obstetrician will want to check you out, just in case.

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-In fact, looks like they're ready for you now.

-You're not staying?

-Got a deadline. I'll check in later.

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Hey, you got married?

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-Yeah...

-Who to?

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Dr Lo?

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Just before her operation. It's OK. We knew the risks, too.

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You want to put a what up my where?

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It sounds more unpleasant than it actually is. We can give you some sedation.

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-PHONE RINGS

-Are you going to get that?

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It's...my dad. Aaron...

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He's Jewish, too.

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He's probably wondering why I'm not at training.

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-Hard case, is he?

-No. Not the way you think.

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He thinks what I do is a...a waste.

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-Of time?

-Of me.

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He thinks the last Jewish athlete of any note got fit

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running away from Goliath.

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Now, a nice law degree... Well, that would be respectable.

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Worthy.

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This colonoscopy'll fix things, right?

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I'll be able to go back to training?

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Why don't we discuss treatment once we're certain of the diagnosis, yeah?

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Excuse me.

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Hello, Dad.

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I thought we could begin by going through the clinical logbook then my e-portofolio analysis.

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This F1 deadline is today, you say?

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Can it not be delayed, give me time to get my head around it?

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-You've had four weeks.

-I had things on my mind.

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Like what?

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Ah, the inquest.

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Dominic Copeland trying to frame you in a fit of jealous sexual rage.

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Yeah. That.

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It all worked out in the end, though, didn't it?

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I could have done without all that extra attention.

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-Hey!

-Who do you think you are, papping in a hospital, you vulture?

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She's your 3pm MRI and possible laparotomy.

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My name is Carmen Bishop.

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Who the hell are you?

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Crohn's or colitis, I don't think... What are you doing?

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Just having a laugh.

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Hmmm. Haven't you got a test to study for?

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-In fact, what is this test?

-Oh, yeah, that was my presentation.

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They've brought it forward to this afternoon.

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That's what you meant earlier. You think this is your last day on AAU.

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-Going to miss me, aren't you?

-Like a host misses a parasite.

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They do - if they're symbiotic.

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So what is this laugh, then? Shouldn't you be preparing?

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No need. I reckon it's in the bag.

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Bit cocky, aren't you?

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Valentine's a good doctor and he's on home soil.

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Valentine's a wreck. What he did to you was inexcusable.

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Don't go starting anything on my behalf.

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Haven't you got anything better to worry about? Like your F1 deadline?

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I need a supervisor, and neither Sacha nor Ric are here.

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So? It just gets devolved to the ward's on-call senior doctor.

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-Who is...?

-Serena Campbell.

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You've got a lot of sucking-up to do.

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Don't say anything to Oliver. Please.

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I mean it. Promise me.

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I promise. Go.

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And tell Ms Campbell about the colonoscopy.

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Oops!

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Oliver, I know you're busy, but...

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would you mind coming with me to talk to Jenny Mulgrew?

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About what?

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The results of her pericardiocentisis.

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Why did you become a doctor?

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I'd have expected you'd know exactly why you do what it is you do.

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-Seeing as it's so important to you.

-What makes you say that?

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You came back to work the day you buried your wife.

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In fact, you haven't taken a single day off.

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-That's remarkable dedication.

-What else was I supposed to do?

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Take some time off. Time for yourself.

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-Live your life.

-The job is SAVING lives.

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And that's important.

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Right?

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You tell me.

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Your tests have confirmed it's not infective endocarditis,

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but there are signs of early rejection.

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Your anti-rejection medication doesn't appear to be working.

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Sounds ominous.

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It's not working because it's not there. What's going on?

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Jenny, have you stopped taking your meds?

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What were you thinking? Have you any idea how dangerous this is?

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How long ago did you stop? Two weeks, three weeks?

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Three months. Give or take.

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I had to. The risk to the baby...

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Right, Nurse Maconie, we're going to need an urgent CT scan, please.

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-It's going to be all right, isn't it?

-Jenny? Are you OK?

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Is it...is the baby OK?

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As far as the obstetrician can tell, the baby's going to be fine.

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It's Jenny we're worried about.

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Well, this must be some kind of record, even for you, Malick.

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Back on the ward for five minutes before you get aggressive with a patient.

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-A blind female patient...really?

-How was I supposed to know she was blind?

0:19:530:19:57

Actually, it does say here on the ward notes I gave you, um...

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Let's have a look. "Carmen Bishop, 37.

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"Long-term Churg-Strauss syndrome patient.

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"Loss of sight and complications arising from peripheral neuropathy.

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"Referred by GP for MRI..."

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Shall I stop now?

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Before one of us dies, go and play with Chantelle.

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Pff! Why would I want to go and play with Chantelle!

0:20:170:20:21

Cos she's your friend.

0:20:210:20:22

Wait a minute, have you two had a falling out?

0:20:240:20:26

I wasn't aware we'd had a falling in.

0:20:260:20:28

All right.

0:20:280:20:29

Mallick, an apology would be good.

0:20:300:20:34

Finding out what's wrong with her - that would be even better.

0:20:340:20:38

What's done is done. She doesn't need lectures.

0:20:380:20:41

-She needs help.

-We can drain the fluid from the membrane surrounding the heart.

0:20:410:20:45

But that will only treat the symptoms and not the cause.

0:20:450:20:47

The only sensible course of action is to get back on your medication immediately.

0:20:470:20:51

No more meds. Not while the baby's inside.

0:20:510:20:54

-Then we take the baby out by Caesarian. And you go back on meds.

-She's only 27 weeks.

0:20:540:20:58

She could die.

0:20:580:20:59

Without drugs, so might you.

0:20:590:21:03

I don't get it. You got pregnant. You're a heart transplant patient.

0:21:030:21:06

-Does that mean I'm not supposed to live a normal life?

-Exactly.

0:21:060:21:08

You were given a gift. With it comes responsibility.

0:21:080:21:11

And becoming a mother doesn't?

0:21:110:21:13

What's the point? Jenny, you know you're living on borrowed time.

0:21:130:21:18

Even if you somehow avoid complete rejection now,

0:21:180:21:20

you carry to term. You survive the birth, you might only live ten years.

0:21:200:21:27

-Oliver! That's enough.

-No. He's right.

0:21:270:21:29

You're right. I do only have limited time.

0:21:330:21:36

But this is my life. My choice.

0:21:390:21:41

I guess I'm just going to have to make the most of the time I've got.

0:21:450:21:49

People depend on us. They're sick, in pain, incapacitated, dying.

0:21:550:21:59

They come to us for help. What could be more important than that?

0:21:590:22:02

It was important to Tara too, wasn't it?

0:22:020:22:05

In fact, it would be fair to say

0:22:050:22:07

that doing this was more important than anything for her.

0:22:070:22:11

Even her own health.

0:22:110:22:13

I don't know, maybe. What do you expect me to say?

0:22:150:22:19

I don't expect you to say anything.

0:22:190:22:22

But I'm interested in how you feel about it.

0:22:220:22:24

OK, you ready?

0:22:270:22:28

This is so humiliating.

0:22:280:22:30

-I'll be gentle.

-Bet you say that to all the girls!

0:22:300:22:32

-Hah!

-Oh, I do like a happy workplace.

0:22:320:22:35

Sorry to interrupt. Mr Cohen, I've got your father here.

0:22:350:22:40

Dad? Great. Come on in.

0:22:400:22:43

You must be Aaron. I'd shake your hand but...

0:22:430:22:46

Join the party. Anyone else you guys want to invite?

0:22:460:22:49

Maybe a passing tramp?

0:22:490:22:51

That's no way to speak of Ms Campbell, Joshua.

0:22:510:22:53

Especially in front of your father.

0:22:530:22:54

-Joshua? What are they doing to you?

-Could this day possibly get worse?

0:22:540:22:58

Getting teased by an upper-class twit as he prepares to stick a camera up my bum...

0:22:580:23:02

Welcome to ten seconds ago.

0:23:020:23:04

What?

0:23:040:23:05

Oh.

0:23:070:23:09

That was...beautiful.

0:23:090:23:10

Thank you very much. I'll be here all week.

0:23:100:23:12

I'll be interested in seeing the results.

0:23:120:23:14

I'll also be interested in hearing how

0:23:140:23:17

and why this procedure was green-lit without me knowing about it.

0:23:170:23:20

I thought you were going to talk to her? You chicken out?

0:23:240:23:27

Can he ride a bicycle after that?

0:23:270:23:30

-Um, Carmen?

-Don't hurt me, I'm unarmed.

0:23:370:23:40

I'm not... I wouldn't...

0:23:400:23:41

Right. I guess I deserved that.

0:23:440:23:46

-I guess you did.

-Look, I'm sorry. It's just...

0:23:460:23:50

Well, it's kind of hard to explain.

0:23:500:23:53

Is it? Young Dr Digby seemed to do it fine.

0:23:530:23:55

Yeah? What did he tell you exactly?

0:23:550:23:58

That you've just returned after four weeks.

0:23:580:24:01

That you've needed the time off because you've been involved

0:24:010:24:04

in a high-profile medical scandal where you put both your professional

0:24:040:24:07

career and your personal life under the microscope in order to

0:24:070:24:10

restore some sense of meaning and hope to a grieving mother.

0:24:100:24:15

So...did Dr Digby get it about right?

0:24:150:24:19

Yeah...I guess he did.

0:24:190:24:22

I just took your picture. Hope you don't mind?

0:24:220:24:26

No, no, no. It's fine...I guess.

0:24:260:24:29

Go on. Ask the question.

0:24:290:24:32

What use does a blind woman have for a camera?

0:24:340:24:37

My work.

0:24:410:24:42

You're an artist?

0:24:450:24:46

I try.

0:24:460:24:48

I used to be a photographer - professional.

0:24:480:24:51

Back in another life.

0:24:510:24:52

Before the Churg-Strauss?

0:24:520:24:54

It took my eyesight - but it can't take my creativity.

0:24:540:24:57

Or my imagination.

0:24:570:24:59

These days I use other resources to experience the world.

0:24:590:25:02

To get an impression. I experience that, document it,

0:25:020:25:06

and photograph it.

0:25:060:25:08

The fun bit's finding out if they match.

0:25:080:25:10

Describe what you see.

0:25:120:25:15

A dashing, virile, black Adonis, an immensely talented man

0:25:150:25:19

at the top of his game.

0:25:190:25:21

Arrogant, impetuous and daring.

0:25:210:25:23

How perfect.

0:25:230:25:25

I'd love to meet this man.

0:25:250:25:28

You're speaking to him.

0:25:280:25:30

Doesn't sound like it.

0:25:300:25:31

But I could be wrong.

0:25:310:25:33

Can I use it?

0:25:350:25:36

What?

0:25:360:25:37

The image. For my website.

0:25:370:25:41

Do what you like with it.

0:25:410:25:42

But be quick, OK? we need to get that MRI.

0:25:420:25:45

Oliver? I understand you've cleared away Tara's things.

0:25:540:25:57

-What?

-Er, flat's on the market or something? I was wondering...

0:25:570:26:00

How do you know that? How could you possibly know about that? Sharon?

0:26:000:26:05

-No.

-Is that what passes for patient confidentiality round yours?

0:26:050:26:08

-You bat your eyelids, she coughs up my private thoughts?

-Oliver, stop it.

0:26:080:26:13

I got a letter from Mr Lo.

0:26:130:26:15

Sharon had nothing to do with it.

0:26:150:26:17

Mr Lo?

0:26:170:26:18

He found this at the bottom of one of the boxes.

0:26:180:26:22

It seems that Tara left something to be delivered to me. A memory stick?

0:26:240:26:29

I couldn't remember receiving it.

0:26:290:26:31

I wondered if you knew anything about it?

0:26:310:26:33

No.

0:26:330:26:35

I didn't see or speak to Tara since I was discharged.

0:27:200:27:23

-We moved.

-Yes, to Norwich. Look, it's all here.

0:27:230:27:27

Every case history has a name. Except Patient X.

0:27:270:27:30

But there is a name. In annotation.

0:27:300:27:32

Yours.

0:27:340:27:35

The shadow. I remember Tara talking about that.

0:27:370:27:42

She came to see you?

0:27:420:27:43

No, when we first met. In the car.

0:27:430:27:47

She said: "There's a shadow hanging over all of us.

0:27:470:27:50

"Appreciate the opportunities we've been given".

0:27:500:27:54

Don't you remember?

0:27:540:27:57

I'm sorry.

0:27:570:27:58

I didn't mean any of this, you know.

0:28:010:28:04

I didn't even notice for the first three months.

0:28:040:28:07

I thought it was my meds making me late but turns out I was wrong.

0:28:070:28:13

Mum got me straight in the car and drove me to the clinic.

0:28:130:28:16

Ordered me to have an abortion.

0:28:160:28:18

-She was right.

-Don't you think I know that?

0:28:180:28:22

But you married Tara, knowing that she could...

0:28:220:28:26

Knowing that YOU could be left alone. Abandoned.

0:28:260:28:32

You wanted something.

0:28:320:28:35

A legacy.

0:28:350:28:37

So do I.

0:28:370:28:38

I'm all she's got. And I'm going to...

0:28:410:28:43

MONITOR BEEPS

0:28:430:28:45

MONITOR BEEPS FASTER

0:28:450:28:47

Jenny?

0:28:470:28:49

OK, I'm going to need some help here, please!

0:28:490:28:53

Why are you going?

0:28:530:28:55

It's just getting interesting.

0:28:560:28:58

Sometimes I blame myself.

0:29:030:29:05

I wonder if I'd done things differently. Said something sooner.

0:29:100:29:16

Tried harder, force her into action.

0:29:160:29:20

Stupid, huh?

0:29:210:29:22

The result would have been the same. I know that. And then...

0:29:250:29:30

I think - what if I'd never met her at all?

0:29:300:29:34

You know? What then?

0:29:340:29:36

The whole sliding doors thing.

0:29:360:29:38

If I'd never met her, then she might never have fallen in love.

0:29:380:29:42

Never got married. Never had reason to risk what she risked.

0:29:420:29:47

Tara had asthma.

0:29:530:29:55

-Did you know that?

-No, I didn't.

0:29:570:29:59

Nor did I. I only found out about it the day she died.

0:29:590:30:03

It was in her pre-op background check.

0:30:030:30:05

Funny, huh? That I wouldn't know something like that.

0:30:080:30:11

You can have intimacy without... full disclosure.

0:30:110:30:16

Can you? Really?

0:30:160:30:21

There's only so much time we have with each other.

0:30:210:30:24

Time...

0:30:260:30:27

Met her. Went out with her. Married her. Buried her.

0:30:300:30:33

And I never knew she had asthma.

0:30:360:30:37

I never really knew her at all.

0:30:430:30:46

I'm intrigued. What made you come up with ulcerative colitis?

0:30:460:30:51

I...I don't know. He's an athlete, non-smoker...basically a hunch.

0:30:530:31:00

Well, it appears you're right.

0:31:000:31:02

Unfortunately for Mr Cohen, this looks extremely severe.

0:31:020:31:05

-Toxic megacolon?

-No, but if it goes untreated any longer it will be.

0:31:050:31:08

He must have been in discomfort for months.

0:31:080:31:11

-I'll go and tell him.

-No, she who makes the diagnosis, breaks the diagnosis.

0:31:110:31:17

I'm sure you could do with preparing for your presentation.

0:31:170:31:23

-You're aware of the surgical options?

-Mmm.

-Good.

0:31:230:31:27

As soon you've got consent, find a slot.

0:31:270:31:29

We don't want to risk any delay.

0:31:290:31:31

Oh, and come and find me later.

0:31:310:31:33

We need to go through your e-portfolio ahead of the ARCP deadline.

0:31:330:31:37

See if you're likely to make F2.

0:31:370:31:40

Bed three. A doctor will be over any minute.

0:31:450:31:49

Aw! They're beautiful.

0:31:490:31:52

Yeah, they are.

0:31:520:31:54

She used to be a style photographer. Now she makes Art.

0:31:540:31:59

Slices of life.

0:31:590:32:00

-Impressions.

-Aw! She got you perfectly!

0:32:020:32:07

MRI is here.

0:32:070:32:08

I told her a doctor would be over in a minute.

0:32:080:32:12

Damn.

0:32:160:32:18

Ah, Mr Malick - would now be a good time?

0:32:390:32:41

Want to earn an extra credit?

0:32:410:32:44

Always. What's the discipline?

0:32:440:32:47

Patient communication.

0:32:470:32:49

Let's get her into theatre, please. Page an urgent obstetrics consult.

0:32:490:32:53

-Already done it.

-And tell Mr Hanssen I won't be available for the CT2 presentations.

0:32:530:32:58

Hmm, she's stable but critical.

0:32:580:33:05

I'm afraid we've no option but to operate.

0:33:050:33:07

That will mean anti-rejection medication.

0:33:070:33:10

And the baby?

0:33:100:33:11

We...may have to deliver her early by Caesarian.

0:33:110:33:17

I'm truly sorry. We will try our best.

0:33:170:33:21

Good luck. With your presentation.

0:33:240:33:26

I tried. To stop her.

0:33:280:33:32

What else was I supposed to do?

0:33:320:33:34

Try harder.

0:33:360:33:38

This is some kind of sick joke, right?

0:33:420:33:44

A few hours ago you were all laughing it up and now you're

0:33:440:33:46

telling me I have to live the rest of my life going in a bag?

0:33:460:33:49

Will he be able to compete?

0:33:490:33:51

No. Not competitively.

0:33:510:33:52

There must be another option.

0:33:520:33:54

You don't understand.

0:33:540:33:56

I do. There's no other way.

0:33:560:33:57

I've got a race coming up. A grand prix.

0:33:570:34:00

I've been training for this. Please - I just need a few weeks.

0:34:000:34:03

Josh, listen to what the doctor is saying.

0:34:030:34:05

She's saying my career's over. My life is over.

0:34:050:34:09

Nothing is over. You have other options.

0:34:090:34:13

Join the family business?

0:34:130:34:15

Become a lawyer just like Daddy and his daddy before him?

0:34:150:34:18

Mr Cohen, your condition is not only serious,

0:34:180:34:21

it could be catastrophic.

0:34:210:34:24

Worst case scenario, your colon could rupture at any moment.

0:34:240:34:27

If that happens, not only will you be unable to compete,

0:34:270:34:29

you will be on intensive care.

0:34:290:34:31

You must give consent to surgery. There's no other way.

0:34:310:34:34

Except maybe there is.

0:34:340:34:38

There's only a short-term solution. You'd still need the surgery.

0:34:380:34:41

I only need three weeks.

0:34:410:34:42

What is this short-term solution?

0:34:420:34:44

Corticosteroids. One cycle might be enough to get you your three weeks.

0:34:440:34:49

They'll strengthen the colon and reduce the inflammation.

0:34:490:34:53

-What?

-He's a professional athlete. He can't use steroids.

0:34:530:34:57

It's cheating.

0:34:570:34:59

One time only? To make a race he's been training for months?

0:34:590:35:03

Years even? I wouldn't call it cheating.

0:35:030:35:08

I'd call it a chance.

0:35:080:35:09

Are you responsible for this?

0:35:400:35:42

-No.

-You realise if I took this to Hanssen or Campbell

0:35:470:35:51

-it wouldn't just be Harry that carried the can for this.

-Yes, I realise that.

0:35:510:35:57

-But you won't.

-Why?

0:35:570:35:59

Because even though this

0:35:590:36:02

is childish and spiteful, it's actually true.

0:36:020:36:07

And none of us want it to go any further.

0:36:070:36:09

Tell Dr Tressler, if he wanted a fight, he's got one.

0:36:090:36:14

Digby, I've never seen anything like this in my life.

0:36:150:36:19

You're either going to be the best clinical surgeon

0:36:190:36:22

-the world's ever seen, or a serial killer. I can't decide.

-Thanks.

0:36:220:36:25

-I think.

-How did Ms Bishop take the news?

0:36:250:36:28

-She didn't.

-You didn't tell her?

0:36:280:36:30

-I couldn't.

-Look, I know giving bad news is difficult,

0:36:300:36:33

but you got to man up.

0:36:330:36:34

No, I mean I actually couldn't. Physically.

0:36:340:36:37

She's gone.

0:36:370:36:38

You can't do this to my son.

0:36:400:36:43

-Do what?

-Tempt him.

0:36:430:36:45

Well, it's his lucky day, then. I'm all out of apples.

0:36:450:36:49

-I just gave him some options. It's his choice.

-It's not a choice.

0:36:490:36:52

-It's a Faustian pact.

-Just because you don't understand or appreciate your son's chosen career...

0:36:520:36:57

-I was actually trying to help.

-You will destroy him!

0:36:570:37:00

I love my son and have supported him,

0:37:000:37:03

will support him in whatever he chooses to do.

0:37:030:37:05

He can pick up rubbish for all I care.

0:37:050:37:07

So long as he does it with integrity.

0:37:070:37:10

Was your father a doctor?

0:37:130:37:15

-No.

-But he could have been?

0:37:150:37:17

Just as you could have been anything you wanted to be? You just had to choose, right?

0:37:170:37:21

And whatever it was - you were going to make it look easy.

0:37:210:37:26

Josh chose the hardest option. The path least likely.

0:37:260:37:31

He worked harder, longer

0:37:310:37:33

and with more integrity than anyone else to get where he is.

0:37:330:37:36

And then you come along and encourage him to cheat.

0:37:360:37:41

It's not his nature, do you understand?

0:37:410:37:44

He'll do it and it will live with him forever.

0:37:440:37:46

He will grow to hate himself.

0:37:460:37:49

Because he did things your way.

0:37:490:37:53

The easy way.

0:37:530:37:56

Did you see that? Crazy or what?

0:38:040:38:06

If you're going to your presentation, you might need that.

0:38:090:38:15

Gemma, wait. I'm sorry, OK.

0:38:150:38:17

-Let me explain.

-What's to explain? You did what you wanted to.

0:38:170:38:21

Like you always do. Because you know best.

0:38:210:38:23

-He stitched you up. And you were going to let him get away with it.

-That's my choice.

0:38:230:38:26

Well, it was my choice until you just took it away from me.

0:38:260:38:29

Can you not see that?

0:38:290:38:31

And don't you dare try and say you did this for me, because you didn't. You did it this for yourself.

0:38:310:38:37

Haven't you got somewhere to be?

0:38:400:38:42

You've been waiting ever since you arrived to get off this hellhole of a ward.

0:38:420:38:46

Now's your chance.

0:38:460:38:48

Let me get this straight. You've lost a blind woman.

0:38:520:38:55

-I didn't lose her - she left.

-Well, she couldn't have gotten far.

0:38:550:38:58

This is serious, Michael.

0:38:580:38:59

The MRI showed the Churg-Strauss is eating away at her insides.

0:38:590:39:03

She needs a bowel resection.

0:39:030:39:05

She knows this?

0:39:050:39:06

No. I... I didn't tell her.

0:39:060:39:08

Why not?

0:39:080:39:11

Well, find her. Fix her.

0:39:120:39:14

Is that why you asked me to tell her? Because you couldn't?

0:39:180:39:22

Why?

0:39:220:39:25

You're 'The Malick'.

0:39:250:39:28

She spent her last few months working on a project.

0:39:310:39:34

-A research project.

-What was it about?

0:39:340:39:36

I don't know. Mortality or something.

0:39:360:39:39

-You didn't talk about it?

-Sort of.

0:39:390:39:41

No. Not really. It was her thing. I didn't want to get between it.

0:39:420:39:45

You make it sound like it's a clandestine relationship.

0:39:450:39:48

Like she was meeting an ex-boyfriend.

0:39:480:39:50

You don't get jealous about a research project. That would be crazy.

0:39:500:39:53

You can get jealous of time, though. Time spent...elsewhere.

0:39:530:39:57

Time wasted, perhaps. When time is precious.

0:39:570:40:00

It wasn't wasted, though. She finished it. Pretty much.

0:40:000:40:03

-You've read it?

-No.

0:40:030:40:07

It was her thing. Her legacy.

0:40:070:40:10

Feels like it would be...

0:40:100:40:13

-I don't know...prying.

-But surely the point of a legacy is that it's shared?

0:40:130:40:18

Er, I see you found my portfolio.

0:40:520:40:56

Did you arrange a theatre slot for Mr Cohen's colectomy?

0:40:560:40:59

No. He hasn't consented. Not yet.

0:40:590:41:03

-What's he waiting for? A better offer?

-Funnily enough...

0:41:030:41:08

He wanted to delay, so Dr Tressler suggested a three-week course of corticosteroids.

0:41:080:41:13

Now, I could have sworn I handed this case over to YOU.

0:41:130:41:17

What do you want from me?

0:41:200:41:21

He is my senior doctor - did you want me

0:41:210:41:24

to ignore him and the patient's wishes?

0:41:240:41:26

Or did you want me to come running to you and grass him up?

0:41:260:41:29

I've done everything I can to please you.

0:41:290:41:32

To not rock the boat,

0:41:320:41:33

and still you treat me like I'm some sort of annoying smudge

0:41:330:41:37

damping the glow of rising stars like Dr Valentine and Dr Tressler.

0:41:370:41:42

Well, I'm sorry, but I'm never going to be like them.

0:41:420:41:47

Finished?

0:41:470:41:49

I think so. Yes.

0:41:520:41:55

Excellent.

0:41:550:41:57

I've been waiting for that.

0:41:570:41:59

And it was well worth the wait.

0:41:590:42:01

PAGER BLEEPS

0:42:010:42:02

Oh, duty calls.

0:42:020:42:05

Do get that consent, won't you?

0:42:050:42:07

Oh, and er... Your e-portfolio is fine.

0:42:070:42:11

What are you doing, Carmen?

0:42:330:42:36

Waiting for you.

0:42:360:42:38

Figured you'd send Dr Digby to deliver the bad news.

0:42:380:42:42

Thought I wouldn't make it easy for you.

0:42:420:42:47

The Churg-Strauss

0:42:470:42:51

is attacking your intestinal tract.

0:42:510:42:54

It can be halted with a bowel resection.

0:42:540:42:57

However, the damage is such that the resection will almost

0:42:570:42:59

certainly leave you with SBS - short bowel syndrome.

0:42:590:43:04

It will to all intents and purposes...

0:43:040:43:06

..make you an invalid.

0:43:090:43:10

Thank you. I shall make arrangements as soon as I'm able.

0:43:130:43:18

That's it? You're not angry?

0:43:180:43:21

Bitter?

0:43:210:43:22

What's the point? It is what it is. I have to adapt.

0:43:220:43:27

-And there's always that tiny sliver of hope.

-What do you mean?

0:43:280:43:34

Maybe if I get the doctor you were talking about earlier.

0:43:340:43:37

The dashing Adonis. The talented man...

0:43:370:43:41

What if he's a fraud?

0:43:410:43:43

What if after all the media hype and excitement's wiped away, he's just...

0:43:430:43:47

..he just keeps making the same mistakes.

0:43:490:43:53

Maybe his judgement is suspect.

0:43:530:43:56

Maybe he needs to change.

0:43:560:43:58

Into the type of man who sends a junior doctor to deliver bad news?

0:43:580:44:03

I don't know about you, but I prefer the sound of the other guy,

0:44:030:44:07

the one at the top of his game.

0:44:070:44:11

I'll see if I can track him down.

0:44:110:44:14

Why did you become a doctor?

0:44:260:44:28

To prove I could.

0:44:290:44:31

To who?

0:44:310:44:33

Initially my dad. Then my sister.

0:44:330:44:38

Finally myself.

0:44:380:44:40

Well, you sure showed you.

0:44:400:44:43

No, I haven't.

0:44:430:44:45

How about you? Why'd you become a doctor?

0:44:490:44:53

I just want to help people.

0:44:530:44:56

No, because I could.

0:44:590:45:02

I'm good at most of it.

0:45:020:45:05

Listen, I'm really sorry about the e-mail. It was petty.

0:45:070:45:09

-Gemma had nothing to do with it, by the way.

-So she told me.

0:45:090:45:12

She really doesn't deserve to be caught up in all this.

0:45:120:45:16

It's a bit late for that.

0:45:160:45:17

No, it's not. I'll pull out of the CT2. It's yours.

0:45:170:45:23

But you've got to tell the truth to Ms Campbell.

0:45:230:45:26

She's got Gemma on the hook. Gemma doesn't deserve that.

0:45:260:45:31

-I can't.

-Why not?

0:45:310:45:33

-I can't take the risk of being found out.

-They'll find a way to forgive you. They always do.

0:45:360:45:40

You don't understand. It's too late.

0:45:400:45:43

Ready for you, Dr Valentine.

0:45:460:45:48

I'm sorry.

0:45:530:45:55

Professor Hope is in theatre and won't be joining us

0:45:570:46:00

for the foreseeable future.

0:46:000:46:02

Ms Campbell has kindly stepped into the breach.

0:46:020:46:06

Thank you.

0:46:120:46:13

My research topic is an homage to my late wife, Dr Tara Lo.

0:46:160:46:22

"Living under a shadow -

0:46:240:46:25

"Attitudes and aspects to mortality in the terminally ill."

0:46:250:46:31

Hmm, that's interesting.

0:46:420:46:43

Necrotised intestine?

0:46:430:46:45

No, the intestinal wall. What's all that stuff?

0:46:450:46:50

Vasculitis and eosinophilic infiltration.

0:46:500:46:54

-It's everywhere.

-Repeated damage. Repeated healing.

0:46:540:46:57

It's narrowed towards the bowel.

0:46:570:47:00

Isn't that similar to a stricture?

0:47:000:47:02

It's not similar to a stricture, it IS...

0:47:020:47:06

Arthur, you're a genius.

0:47:060:47:10

-I am?

-Define stricture.

0:47:100:47:11

-Narrowing of the lumen of the bowel, forcing contents into fissures and ulcers.

-Surgical option?

0:47:110:47:17

Strictureplasty.

0:47:170:47:18

Widening the narrow segment with a cut lengthwise across the bowel

0:47:180:47:24

pushing the two cuts together.

0:47:240:47:26

Particularly helpful for those who have already had extensive bowel rese...

0:47:260:47:31

Mr Malick, you're a genius.

0:47:310:47:33

I am, aren't I?

0:47:330:47:35

We're back in business!

0:47:380:47:40

"Patient X is experiencing symptoms - syncope and nausea,

0:47:450:47:49

"with headaches controlled by analgesia."

0:47:490:47:52

"The decision to defer treatment hangs over us.

0:47:560:48:00

"My partner hides it but the fear is turning to anger.

0:48:000:48:03

"Blame will be next. And who can blame him? Not me.

0:48:030:48:07

"It's because he loves me. And that's all that matters."

0:48:070:48:10

"We've made a joke out of the sense of time looming over us.

0:48:200:48:23

"We count our relationship out in the context of hours

0:48:230:48:25

"and minutes rather than months or years."

0:48:250:48:28

"Today was our 5,047th hour anniversary."

0:48:300:48:35

-Sorry.

-Dr Valentine?

0:48:390:48:42

Tara...?

0:48:430:48:45

-'Who else am I supposed to blame for pushing the operation?'

-But it wasn't your decision.

0:48:450:48:49

It was...it was shared. We were partners.

0:48:490:48:52

You shared everything?

0:48:520:48:55

Not her research. Her private work.

0:48:560:49:00

Private being the operative word.

0:49:000:49:02

And that took her away from you. Took time away from you.

0:49:020:49:09

I had to give her space, didn't I?

0:49:090:49:11

Of course. You'd have been selfish, otherwise.

0:49:110:49:14

It's not selfish to want to spend time with the person that you love.

0:49:140:49:19

You're either in or you're out, you know?

0:49:190:49:22

In love with life or in love with death. And sometimes it felt like she was in love with death.

0:49:220:49:27

I'm just...so angry with her.

0:49:300:49:33

I can't...

0:49:370:49:38

I can't forgive her for leaving me.

0:49:410:49:43

For being with me.

0:49:470:49:48

It's OK. It's normal.

0:49:480:49:51

It shouldn't be.

0:49:510:49:53

How can I blame someone for dying? For having a tumour. That's horrible.

0:49:530:49:58

And if I could feel that way - be that horrible about someone

0:50:000:50:03

I claimed to have loved,

0:50:030:50:05

doesn't that make all of it, everything - a lie?

0:50:050:50:09

Just one big fraud.

0:50:090:50:12

Only you can decide what you want to believe in.

0:50:130:50:18

I guess the question is, do you really believe your time with Tara was a lie?

0:50:180:50:24

This is the lie.

0:50:320:50:34

Dr Valentine?

0:50:340:50:35

Sorry.

0:50:350:50:36

It's just I shouldn't be here doing this.

0:50:380:50:41

It's wrong.

0:50:410:50:43

None of this is my work. I plagiarised it from my wife.

0:50:430:50:47

-From Tara.

-Dr Valentine...

-No...it's all right.

0:50:500:50:52

I need to stop lying. I'm stopping now. Ms Campbell...?

0:50:530:50:58

Tell Dr Wilde, I'm sorry. For lying about the chest drain.

0:50:580:51:02

It was inexcusable.

0:51:020:51:04

Dr Valentine...

0:51:040:51:07

Oliver... you understand the consequences of this...

0:51:070:51:11

Yes...you'll have my resignation.

0:51:110:51:15

It's just...

0:51:180:51:21

There's somewhere I need to be.

0:51:210:51:23

Tough crowd?

0:51:270:51:28

It would appear you have won the position by default.

0:51:330:51:38

Default? Way to go, me.

0:51:380:51:42

You did what you could. That's all anyone can do.

0:51:570:52:02

Good colour. Normal respiration.

0:52:100:52:14

What are you doing sneaking about?

0:52:320:52:35

I could ask you the same question.

0:52:350:52:38

It's my office.

0:52:380:52:40

Why are you in the dark?

0:52:400:52:43

Is that a muffin?

0:52:430:52:46

-My Precious.

-What's going on with you?

0:52:460:52:49

You've been acting weird for weeks.

0:52:490:52:51

At least I'm not having a complete nervous breakdown.

0:52:510:52:53

Neither am I.

0:52:530:52:55

Anymore.

0:52:550:52:59

What's your excuse?

0:52:590:53:02

What's with all the cloak and dagger?

0:53:020:53:05

Look after Professor Hope for me, will you?

0:53:100:53:14

Sure.

0:53:140:53:16

Who's going to look after you?

0:53:180:53:20

I'll be fine. I just need some time out.

0:53:200:53:25

What about you?

0:53:270:53:29

I'm pregnant.

0:53:290:53:32

If you hug me, I'll puke.

0:53:340:53:38

See you around, Naylor.

0:53:400:53:43

I'm afraid the tests show the corticosteroids

0:54:060:54:09

simply won't have any effect.

0:54:090:54:11

You'll be a walking - or running - time-bomb.

0:54:110:54:16

Josh...you'll find something else.

0:54:160:54:19

Might take some time, but you'll find it.

0:54:190:54:22

Mr Cohen's consent form.

0:54:390:54:42

Have you heard? Valentine's gone. Resigned or suspended.

0:54:440:54:49

Yeah I had noticed. You know, being there and all.

0:54:490:54:52

And I also heard that you turned down the Darwin CT2 position.

0:54:520:54:55

I don't know. I guess the idea of winning my place by default was...

0:54:570:55:01

well, it struck me as quite tacky.

0:55:010:55:04

Plus - every parasite needs a host, right?

0:55:040:55:07

Did you have any idea this was coming?

0:55:190:55:22

If I did, I couldn't tell you.

0:55:220:55:24

You had another session with him this morning.

0:55:240:55:28

And...?

0:55:280:55:29

I sensed there was a crisis coming.

0:55:290:55:31

Crisis? And you were happy with that?

0:55:310:55:35

Can't spell 'catharsis' without 'crisis'.

0:55:380:55:41

Hang on - there's another "I".

0:55:440:55:47

Oliver.

0:56:210:56:22

You didn't think I'd make it that easy for you?

0:56:260:56:28

Course not. I wouldn't have it any other way.

0:56:280:56:31

Look, Oliver, I'm sorry...

0:56:320:56:34

Don't be. There's nothing to be sorry about.

0:56:340:56:37

This is a good thing.

0:56:370:56:39

Thank you. For standing by me.

0:56:390:56:43

Even when I didn't deserve it.

0:56:430:56:46

-I'll be back.

-No. You won't.

0:56:490:56:53

See you, Professor Hope.

0:56:540:56:57

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