0:00:39 > 0:00:42From next week you'll be working on AAU.
0:00:42 > 0:00:44Excuse me?
0:00:44 > 0:00:48And to what use do you intend to put all this studying? University?
0:00:48 > 0:00:51- Waste of time.- And if your father wasn't ill?
0:00:51 > 0:00:53The policy of non-referral, which we implemented,
0:00:53 > 0:00:58was directly responsible for Mr Ritchie Mooney's death.
0:00:58 > 0:01:02- May not be much time left to act. - Hence the funding issue?
0:01:02 > 0:01:05I have to ensure that it's used for the good of our patients.
0:01:05 > 0:01:07I will not allow the board to re-allocate it.
0:01:07 > 0:01:12- Can you honestly say you still have faith in him as a leader?- No.
0:01:14 > 0:01:15RADIO: 'Welcome back.
0:01:15 > 0:01:18'We're discussing this morning's statement by the Health Minister,
0:01:18 > 0:01:21'which strongly criticised Holby Hospital CEO Henrik Hanssen,
0:01:21 > 0:01:24'following his outspoken comments on television last month.
0:01:24 > 0:01:26'It was simply a rational rebuttal
0:01:26 > 0:01:29'of some of Mr Hanssen's more misplaced remarks.
0:01:29 > 0:01:32'Modernising the NHS is a necessity, not an option,
0:01:32 > 0:01:34'and it's important that the public get behind the proposals.
0:01:34 > 0:01:35'How likely is that?
0:01:35 > 0:01:39'The point is, it was hypocritical of him to be making those comments.
0:01:39 > 0:01:41'He was the one who instigated
0:01:41 > 0:01:43'this controversial system of non-referral.
0:01:43 > 0:01:46'OK. We've got Edith from Bath on the line.
0:01:46 > 0:01:48'Well, I think it's obvious that something needs to be done
0:01:48 > 0:01:52'about our health system, and about the people who run it.
0:01:52 > 0:01:53'Heads must roll.'
0:02:00 > 0:02:02'You feel the blame lies with the likes of Mr Hanssen?
0:02:02 > 0:02:05'The only way we'll ever get our NHS back on track
0:02:05 > 0:02:07'is if we're prepared to modernize...'
0:02:07 > 0:02:09- Good morning.- 'And it's quite clear that Mr Hanssen is...'
0:02:09 > 0:02:12Don't you knock? What do you want?
0:02:12 > 0:02:16I was just wondering if you were still on for tonight?
0:02:17 > 0:02:20I'm going to take that as a yes.
0:02:22 > 0:02:26'Clearly Mr Hanssen struck a chord with certain sections of the public.'
0:02:26 > 0:02:29Yes, never fail to spot a bargain. I'll send you the link.
0:02:29 > 0:02:31How I could afford one of those?
0:02:31 > 0:02:33That's what being married is about, isn't it?
0:02:33 > 0:02:35Joint use of his credit card.
0:02:35 > 0:02:37You do remember I turned down Roman Abramovich
0:02:37 > 0:02:40- and married Sacha instead. - THEY LAUGH
0:02:53 > 0:02:56KNOCK ON DOOR Come in.
0:02:56 > 0:02:58Morning.
0:02:59 > 0:03:01Wondered if I might have a quick word?
0:03:01 > 0:03:04PHONE RINGS Hanssen.
0:03:05 > 0:03:08No, I'm sorry, you'll have to ask the CCG about that, I'm afraid.
0:03:08 > 0:03:09Thank you.
0:03:09 > 0:03:12Yes, I caught the news. I can't believe it won't go away.
0:03:12 > 0:03:14You coping all right?
0:03:14 > 0:03:17And what can I do for you?
0:03:18 > 0:03:22OK. Well, I wanted to talk to you about AAU again.
0:03:22 > 0:03:25With all due respect, it's not what you brought me here to do
0:03:25 > 0:03:28- and I was hoping... - PHONE RINGS
0:03:28 > 0:03:30Yes?
0:03:32 > 0:03:34Well, ask Mr Griffin if...
0:03:35 > 0:03:38All right, I'll be there presently. Thank you.
0:03:38 > 0:03:42I was hoping you might reconsider.
0:03:42 > 0:03:46I'm sure you'll reconcile your differences with Mr Spence.
0:03:47 > 0:03:49You really must excuse me, I'm needed on Keller.
0:03:56 > 0:03:58You're like the cat who got the cream.
0:03:58 > 0:04:02Or in your case, Jonny Walker Black Label. Why the good mood?
0:04:02 > 0:04:04Jac has agreed to accompany me
0:04:04 > 0:04:06to a fine dining establishment this evening.
0:04:06 > 0:04:10It is what I believe most normal people refer to as a date.
0:04:10 > 0:04:11And?
0:04:11 > 0:04:15I don't think you quite grasp the significance of this, Mo.
0:04:15 > 0:04:18A normal date. Like normal couples do.
0:04:18 > 0:04:21Wait, hang on. What about Tuesday night pints?
0:04:21 > 0:04:24I'll have to make up for it next week by drinking twice as much.
0:04:24 > 0:04:27Busy, are we? I need to borrow you for a CABG this afternoon.
0:04:27 > 0:04:30Sorry. Libby Langsdale's big day.
0:04:30 > 0:04:34Cystic Fibrosis girl. She's getting a living lung lobe transplant.
0:04:34 > 0:04:36It's the closest thing to a medical miracle you can get.
0:04:36 > 0:04:39A medical miracle would be you two doing some proper work.
0:04:41 > 0:04:43No, no, no, no, watch this.
0:04:43 > 0:04:46She'll be getting a left lung lobe from her sister,
0:04:46 > 0:04:48one from her mother.
0:04:48 > 0:04:51And they will sit on either side to replace Libby's old lungs and
0:04:51 > 0:04:54because the donors are so closely related, minimal risk of rejection.
0:04:54 > 0:04:58It's amazing. I've got an RTC coming up from the ED,
0:04:58 > 0:05:00bed three is whining about something or other, and I've got a
0:05:00 > 0:05:03backlog that will take me through the night. So thanks(!)
0:05:05 > 0:05:06She'd better not mean that.
0:05:06 > 0:05:09This restaurant is so fancy I can't even pronounce it.
0:05:09 > 0:05:12- Come on, Jonny.- What?- We're doing a ground-breaking operation today
0:05:12 > 0:05:15- and you're talking about caviar. - You know what she's like.
0:05:15 > 0:05:17If I take her somewhere with laminated menus,
0:05:17 > 0:05:21- she'll laminate my privates. - You can't see it, can you?- See what?
0:05:21 > 0:05:23She's got you right where she wants you.
0:05:23 > 0:05:25Right under her neatly manicured thumb.
0:05:25 > 0:05:28Come on, dude, man up.
0:05:50 > 0:05:54Ah, hello. You must be Lilah! I'm Chantelle, nice to meet you.
0:05:54 > 0:05:56- Good to meet you, Chantelle. - Everything OK?
0:05:56 > 0:05:59Yeah, my first patient on Keller and he doesn't even have a name.
0:05:59 > 0:06:01Oh, not to worry. Mr Hanssen's on his way up.
0:06:01 > 0:06:04He'll sort it - he's a genius.
0:06:04 > 0:06:06- Good morning, Mr Hanssen! - Good morning.
0:06:07 > 0:06:10- Oh, you're on Keller today, are you? - Yes, you approved it?
0:06:10 > 0:06:14Too much time in make-up chairs, Mr Hanssen, you're losing your touch!
0:06:16 > 0:06:19Erm, He's just been sent up from AAU. He's got no ID,
0:06:19 > 0:06:21so they're calling him Zimmer.
0:06:21 > 0:06:22Very imaginative.
0:06:22 > 0:06:25According to ED he was complaining of acute abdominal pains.
0:06:25 > 0:06:27He's hypertensive and tachycardic.
0:06:27 > 0:06:30We haven't been able to get hold of any family.
0:06:30 > 0:06:33But ED found his mum's number on his phone and left a message.
0:06:36 > 0:06:38Treated many drug users, have you?
0:06:38 > 0:06:41Where I trained they were pretty much ten a penny, sad to say.
0:06:45 > 0:06:46Mr Hanssen?
0:06:47 > 0:06:51I just wanted to say thank you for letting me work under you.
0:06:51 > 0:06:55I don't mean to sound like I'm sucking up or anything,
0:06:55 > 0:06:57but you're pretty much the reason why I came here,
0:06:57 > 0:07:01and I think you're doing a great job despite what everyone is saying.
0:07:03 > 0:07:06I didn't, I didn't mean to...
0:07:06 > 0:07:07OK, it doesn't matter.
0:07:09 > 0:07:12It's all right, Ruth, we're going to take care of you now.
0:07:12 > 0:07:15- What's the situation? - This is Ruth Langsdale.
0:07:15 > 0:07:17She's been involved in a head-on impact at 30 mph.
0:07:17 > 0:07:20She doesn't seem to have any other injuries.
0:07:20 > 0:07:22Wait a minute... Langsdale?
0:07:22 > 0:07:26She's one of our donors. I didn't even recognise her.
0:07:26 > 0:07:28She mustn't know I'm here, she'll go to pieces.
0:07:28 > 0:07:31She has to think everything's still OK. Is it?
0:07:31 > 0:07:34Erm, I'll be with you in just one minute, OK?
0:07:36 > 0:07:38OK, I want fresh bloods, group and save.
0:07:38 > 0:07:42I also want to rule out any serious chest injuries as soon as possible...
0:07:42 > 0:07:44The X-ray suggests there is blood in the cavity,
0:07:44 > 0:07:47but it's not clear where it's coming from.
0:07:47 > 0:07:49Was I on a day off when you were made consultant?
0:07:49 > 0:07:53If there are any lacerations or serious contusions to the lung
0:07:53 > 0:07:56then the transplant is off and Libby is in serious trouble.
0:07:57 > 0:07:59OK, hotshot, so what do you suggest?
0:07:59 > 0:08:02OK, well, to begin with, I would fit a chest drain
0:08:02 > 0:08:04and evacuate any blood from the chest cavity.
0:08:04 > 0:08:08Then I would get CTs done as quickly as possible.
0:08:08 > 0:08:09Very good.
0:08:09 > 0:08:12Now run along and fetch Ms Effanga before you get used to it.
0:08:16 > 0:08:18Mo?
0:08:18 > 0:08:20Be back soon.
0:08:20 > 0:08:22PHONE RINGS
0:08:22 > 0:08:24I'm sorry, I've got to take this. Hello?
0:08:24 > 0:08:27Yes, that's right, for tonight.
0:08:27 > 0:08:30Well, I've got a confirmation email. It's a table for two at 7:30.
0:08:33 > 0:08:36No, no, no, no. That's not acceptable.
0:08:36 > 0:08:38Look, sorry, I've got to go. I'll ring you back.
0:08:38 > 0:08:41The RTC that was brought in was Ruth Langsdale,
0:08:41 > 0:08:43so she's in bay three, you need to talk to her.
0:08:43 > 0:08:45- I'm sorry.- Ms Naylor was just bringing me up to speed.
0:08:45 > 0:08:47I was literally just coming over to tell you.
0:08:47 > 0:08:50But your social life got in the way.
0:08:50 > 0:08:53- Have we ordered a CT scan? - Yep, and a chest drain.
0:08:53 > 0:08:56- Can you call their mother? - And tell her what?
0:08:56 > 0:08:58Just let her know what's happened. Try not to worry her.
0:08:58 > 0:09:00You are aware that she's my patient?
0:09:02 > 0:09:05A living lobe transplant is Libby's best chance of survival.
0:09:05 > 0:09:06She's our patient.
0:09:06 > 0:09:10And in medical terms it's kind of a miracle case.
0:09:10 > 0:09:11Yes, thank you, Jonny.
0:09:11 > 0:09:14The donor's health comes first, you know that.
0:09:14 > 0:09:16Oh, no, we're weren't disputing that, we're just saying...
0:09:16 > 0:09:18You want to make yourself useful?
0:09:18 > 0:09:20Make sure the sister doesn't see her.
0:09:27 > 0:09:29Might be a bit late for that.
0:09:29 > 0:09:30Thank you.
0:09:35 > 0:09:38- Michael, can I have a word? - All right, what is it?
0:09:38 > 0:09:43Tell me something - can you see me as a consultant?
0:09:43 > 0:09:45Seriously?
0:09:45 > 0:09:48Well, it's just an idea. I haven't really given it much thought.
0:09:48 > 0:09:52All right, well I got to admit, I see you more of a people person.
0:09:52 > 0:09:54You know it's just, with exams coming up,
0:09:54 > 0:09:57it might be a good time to be thinking about it.
0:09:57 > 0:09:59Oh, this is doing very well. You're ready to be discharged.
0:09:59 > 0:10:01I'll send a nurse over.
0:10:01 > 0:10:04No offence, but haven't you been down this road before?
0:10:04 > 0:10:06I thought you decided against it?
0:10:06 > 0:10:09Yeah, but that was then, you know? Now, I'm a married man.
0:10:09 > 0:10:11Who doesn't want his wife to know, right?
0:10:13 > 0:10:15First rule of being a consultant - never miss a trick.
0:10:16 > 0:10:18You really sure you want to do this?
0:10:23 > 0:10:25I'm sorry, I opened it by mistake.
0:10:27 > 0:10:30Right, same job more money, yeah?
0:10:31 > 0:10:34All right, try this on for size, you treat 'em, you street 'em,
0:10:34 > 0:10:36- five minutes each.- OK.
0:10:50 > 0:10:54Ah, Ms Naylor. How are things on Darwin?
0:10:54 > 0:10:56- Actually, I wanted to talk to you. - Mmm?
0:10:56 > 0:11:00I just wanted to make my position on things perfectly clear.
0:11:02 > 0:11:04I was wrong about him, and I shouldn't have spoken out.
0:11:04 > 0:11:06Right, thanks for letting me know.
0:11:06 > 0:11:09You're not going to get rid of him, are you?
0:11:12 > 0:11:14I didn't take you as naive enough
0:11:14 > 0:11:17to confuse the personal with the professional.
0:11:23 > 0:11:26Right. Well, the good news is, it's pretty straightforward.
0:11:26 > 0:11:27I think you have an ileus.
0:11:29 > 0:11:31- Which is?- Part of your bowel has stopped working.
0:11:31 > 0:11:34But don't worry about it, we'll get you sorted, OK?
0:11:34 > 0:11:38Now, apart from your tummy pain, is everything else OK?
0:11:38 > 0:11:40Feel like I'm going to heave.
0:11:40 > 0:11:45Hmm. I noticed a slight slurring. All-night session?
0:11:45 > 0:11:47I was at home with my girlfriend.
0:11:47 > 0:11:50- What, one of ours?- From Leeds.
0:11:50 > 0:11:53You come over here, you steal our women, I don't know...
0:11:53 > 0:11:56So any other complaints?
0:11:56 > 0:11:58Yeah, man. You should really have a warning at immigration
0:11:58 > 0:12:00that British girls are not like you see in the movies.
0:12:00 > 0:12:04They are, like, off-the-scale wild, man.
0:12:04 > 0:12:07I was thinking health-wise, but that's absolutely fine.
0:12:07 > 0:12:09So how so?
0:12:09 > 0:12:13OK, like, erm, you know how they say like,
0:12:13 > 0:12:16- "Never hide anything from your woman?"- Go on.
0:12:16 > 0:12:20- Honestly, it's kind of embarrassing, but it's not...- Levy!
0:12:23 > 0:12:25Hold that thought. Good.
0:12:26 > 0:12:28Hi.
0:12:28 > 0:12:31You should be finished with him by now. What's the diagnosis?
0:12:31 > 0:12:32Well, he's got an ileus.
0:12:32 > 0:12:36So I thinking a flexible sigmoidoscopy followed by a CT scan.
0:12:36 > 0:12:38No, come on. You're over-thinking this, yeah?
0:12:38 > 0:12:40The point isn't to make it more complex than it is,
0:12:40 > 0:12:42it should be decisive.
0:12:42 > 0:12:46So he's got an ileus? Nasogastric tube, IV fluids, full bloods.
0:12:46 > 0:12:49- OK? Then onto the next one. - Of course. Yes.
0:12:49 > 0:12:53Yes, I do appreciate that, but it isn't really the issue, is it?
0:12:53 > 0:12:56I'm going to have to call you back. Thank you.
0:13:05 > 0:13:07Mr Cunningham.
0:13:09 > 0:13:10How's your daughter?
0:13:10 > 0:13:12Oh, she's fine.
0:13:12 > 0:13:14Yeah, I'm sorry to drop in unannounced.
0:13:14 > 0:13:17It's not about her.
0:13:17 > 0:13:19It's a rather delicate matter, I'm afraid.
0:13:22 > 0:13:25The board have called you to a meeting
0:13:25 > 0:13:27at four o'clock this afternoon.
0:13:27 > 0:13:31I'm sorry to say that your leadership has been challenged.
0:13:33 > 0:13:34A complaint?
0:13:36 > 0:13:37Who?
0:13:37 > 0:13:40You know I can't divulge that information.
0:13:40 > 0:13:44But if an individual member of staff has a grievance...
0:13:44 > 0:13:47But I can tell you that we only take these measures
0:13:47 > 0:13:49when there are multiple complaints.
0:13:51 > 0:13:53I'm afraid I can't say any more.
0:13:54 > 0:13:57I realise this must be distressing for you
0:13:57 > 0:14:00and, of course, if you need the day off then you must take it.
0:14:02 > 0:14:04Build your case.
0:14:04 > 0:14:06If you know me at all, Mr Cunningham,
0:14:06 > 0:14:09you'll know that I never abdicate my responsibilities to this hospital.
0:14:09 > 0:14:11Of course.
0:14:13 > 0:14:16See you at four.
0:14:24 > 0:14:25I can't believe this.
0:14:25 > 0:14:28Well, once we've run some more tests we'll have a better
0:14:28 > 0:14:29idea of what we're dealing with.
0:14:29 > 0:14:32Look, I just need you to tell me there's been no damage
0:14:32 > 0:14:34to my lung, because if there has then I don't...
0:14:34 > 0:14:36Put the transplant out of your mind for the time being.
0:14:36 > 0:14:37Your health comes first.
0:14:37 > 0:14:40I think she's right, Ruth. You've just had a horrific accident.
0:14:40 > 0:14:43No, this is all wrong! She is the priority.
0:14:43 > 0:14:46Do you have any idea what she's been through?
0:14:46 > 0:14:49We will do everything we can to make sure Libby's operation goes ahead.
0:14:49 > 0:14:53The good news is you've got the dream team. I'm just the cherry on the cake.
0:14:53 > 0:14:55Look, there is a chance that the bleed in your chest
0:14:55 > 0:14:58will stop by itself and no further intervention is needed.
0:14:58 > 0:15:01But we may still have to operate, so you should be prepared for that.
0:15:01 > 0:15:05If that's the case, can't we just put my transplant on hold for a week or so?
0:15:05 > 0:15:09No. Your sister's body couldn't take two operations in as many weeks.
0:15:09 > 0:15:12We cannot pass up this chance. We just can't!
0:15:12 > 0:15:13There is another possibility.
0:15:15 > 0:15:20We could, in theory, carry out both operations at the same time.
0:15:21 > 0:15:23Could I have a word please, Nurse Maconie.
0:15:23 > 0:15:25Sure.
0:15:31 > 0:15:34- What do you think you're doing? - I know this case.
0:15:34 > 0:15:36I think we need to act in Libby's interest too.
0:15:36 > 0:15:39I mean let's make this clear - if you operate on Ruth today,
0:15:39 > 0:15:42- chances are Libby is going to be in big trouble...- Jonny...
0:15:42 > 0:15:44But if we remove the lobe and repair the bleed at the same time...
0:15:44 > 0:15:47This woman has just been through a huge trauma, and you want to
0:15:47 > 0:15:50jeopardise her recovery by cutting away some of her lung?
0:15:50 > 0:15:52We don't know the extent of her injuries.
0:15:52 > 0:15:54Odds are there's pulmonary damage.
0:15:54 > 0:15:57I don't need to argue with you about this. You're out of your depth.
0:15:59 > 0:16:04Yes, could you page all consultants on shift to inform them
0:16:04 > 0:16:06of a meeting at 11 in the staff room?
0:16:06 > 0:16:09And no calls to me till further notice.
0:16:09 > 0:16:10- Yes, Mr Hanssen.- Thank you.
0:16:22 > 0:16:24PAGER BEEPS
0:16:30 > 0:16:34'Sometimes you just got to stick your head in the lion's mouth, right?'
0:16:34 > 0:16:37- Is that what that was?- Come on, Mo, you know it's a good solution.
0:16:37 > 0:16:40What, you don't agree that we should run the tests?
0:16:40 > 0:16:42I absolutely agree we should.
0:16:49 > 0:16:51I didn't mean to tread on your toes.
0:16:51 > 0:16:54I just really want this to work. I thought you did too.
0:16:54 > 0:16:57Don't try and tell me that that's what this is about.
0:16:57 > 0:16:59- What does THAT mean? - What do you think you're playing at?
0:16:59 > 0:17:02- Using the patients to impress your girlfriend?- That's not fair.
0:17:02 > 0:17:04I feel like I'm in the middle of some lovers tiff.
0:17:04 > 0:17:07I'm sorry. I didn't realise you felt that way.
0:17:09 > 0:17:11- Look, do you want my advice?- Sure.
0:17:11 > 0:17:12You should be apologising to her.
0:17:12 > 0:17:15Because right now she's going to be thinking you're an idiot.
0:17:18 > 0:17:21Ah, Mr Hanssen. Thanks for coming up.
0:17:21 > 0:17:24I was wondering if you could cast an experienced eye over this?
0:17:24 > 0:17:27Drugs overdose? You brought me up for this, did you?
0:17:27 > 0:17:28No, no, no, I don't think it is.
0:17:28 > 0:17:32Palpitations, nausea, chest pains, anxiety, hypertension.
0:17:34 > 0:17:36All symptoms of drug use.
0:17:36 > 0:17:39Think I'm going to be sick.
0:17:39 > 0:17:41I feel like death.
0:17:41 > 0:17:44- My chest. - Your chest? Not your stomach?
0:17:44 > 0:17:45Heroin? Crystal meth?
0:17:45 > 0:17:48You know, anything you tell us will be in complete confidence.
0:17:48 > 0:17:51- Let's try something a little easier. Your name?- Zimmer.
0:17:51 > 0:17:54- Zimmer what? - Let make this easy for you, yeah?
0:17:54 > 0:17:56Most of this is cold turkey.
0:17:56 > 0:17:58I haven't had a hit for three days. Now, please
0:17:58 > 0:18:00just give some morphine. My head is splitting.
0:18:00 > 0:18:03Three days, eh? Let's see who's telling fibs.
0:18:03 > 0:18:06Is there a history of heart problems in your family?
0:18:06 > 0:18:07Don't have a family.
0:18:07 > 0:18:12Order full bloods, creatinine, CK, amylase and a tox screen.
0:18:12 > 0:18:14Well, I have a meeting. You seem to have everything under control.
0:18:19 > 0:18:22- I'm looking for my son. - Just one moment.- No way.
0:18:24 > 0:18:27- What've have you done?! - I don't want you here.
0:18:28 > 0:18:30It's been a few years.
0:18:30 > 0:18:34Then you've got a lot of catching up to do.
0:18:34 > 0:18:36Erm, have you got a second?
0:18:36 > 0:18:38Well, if it isn't the new Director of Surgery.
0:18:38 > 0:18:41- Should I bow down or curtsey? - Ah. Yes. Erm, about that...
0:18:41 > 0:18:43What the hell is wrong with you today?
0:18:43 > 0:18:47There's nothing more nauseating that a nurse who is too big for his own boots.
0:18:47 > 0:18:50I was out of line. Maybe I could make it up to you later?
0:18:52 > 0:18:56- Thank you.- I was wrong. THAT is more nauseating.
0:18:57 > 0:19:00- Mine, I presume?- No, no, this is something else.- Give them to me.
0:19:08 > 0:19:11Blood cultures and lung function tests?
0:19:11 > 0:19:14Now, before you go ballistic, I've already ordered your tests too.
0:19:27 > 0:19:31- So what's this all about? - We were hoping you might know.
0:19:40 > 0:19:43Good morning. Thank you all for coming.
0:19:43 > 0:19:45This won't take long.
0:19:45 > 0:19:48I just had an unscheduled meeting with the chairman of the trust,
0:19:48 > 0:19:51in which I put to him my vision for Holby's immediate future.
0:19:51 > 0:19:54He was fully supportive of my ideas.
0:19:55 > 0:20:01These are my proposals for media relations and staff management.
0:20:02 > 0:20:06I intend to put this vision to the rest of the board this afternoon.
0:20:06 > 0:20:12So take them, digest, and should you have any significant feedback,
0:20:12 > 0:20:15than do get back to me as soon as you can.
0:20:17 > 0:20:20It is of paramount importance that I present to the board a united front,
0:20:20 > 0:20:22so for that reason I would like to know
0:20:22 > 0:20:24that I can count on your full support.
0:20:26 > 0:20:28- Professor Hope?- Of course.
0:20:28 > 0:20:30- Mr Spence?- Yes.
0:20:32 > 0:20:34- Ms Naylor?- You know you can.
0:20:37 > 0:20:39Ms Campbell?
0:20:41 > 0:20:43You're the boss.
0:20:57 > 0:20:59- You all right?- Yeah.
0:20:59 > 0:21:02- It's bad news isn't it? - There's no infection.
0:21:02 > 0:21:05And we're confident that the drain will clear the internal bleed.
0:21:05 > 0:21:08It's going to be all right.
0:21:08 > 0:21:12I made a promise to you and I'm going to see it through.
0:21:15 > 0:21:17Why don't we leave you ladies to it.
0:21:18 > 0:21:20Just call if you need anything.
0:21:28 > 0:21:31Have you any idea what Mum and I are doing for you?
0:21:31 > 0:21:33I was just thinking of you.
0:21:33 > 0:21:35We're only giving up a chunk of our lungs,
0:21:35 > 0:21:37why on earth would you be grateful?
0:21:37 > 0:21:40- It's not my fault you had an accident.- You're blaming me?
0:21:40 > 0:21:43I know what a sacrifice you're making, Ruth.
0:21:43 > 0:21:44I'm very grateful.
0:21:44 > 0:21:50Yes, you're very lucky and I don't think you should forget it.
0:22:03 > 0:22:07Mr Hanssen? Mr Hanssen? Test results.
0:22:07 > 0:22:10Slightly raised white count, modestly raised plasma amylase.
0:22:10 > 0:22:12Look, he arrived complaining of abdominal pains.
0:22:12 > 0:22:14- I know he's... - Treat the patient, not the symptoms.
0:22:14 > 0:22:17- With respect, Mr Hanssen... - Mr Hanssen...?- Oh, Mrs Callum, no...
0:22:17 > 0:22:19- I'd like someone to tell me what's wrong with Dylan.- Dylan?
0:22:19 > 0:22:21Our man of mystery has a name.
0:22:21 > 0:22:24Well, as you can see for yourself, he has a serious drug problem.
0:22:24 > 0:22:26Dr Birdwood is caring for him.
0:22:26 > 0:22:29- She is extremely capable, I can assure you.- She's a child!
0:22:29 > 0:22:32- Are those the results? - Yes, Mrs Callum.- And?
0:22:32 > 0:22:33They're inconclusive.
0:22:33 > 0:22:36Translation - you've not got the foggiest idea!
0:22:36 > 0:22:38I demand that someone else take over.
0:22:38 > 0:22:42Somebody senior. Someone who's got their mind on the job!
0:22:43 > 0:22:45Order the scan.
0:22:45 > 0:22:47Now, if you'll excuse me, please.
0:22:49 > 0:22:53Mr Hanssen? Please can you sign these theatre forms for me?
0:22:53 > 0:22:55PHONE RINGS
0:22:58 > 0:22:59Henrik Hanssen.
0:23:01 > 0:23:04I think that's a question for the Department of Health.
0:23:04 > 0:23:06Would you stop calling me, please?
0:23:07 > 0:23:09'Ground floor.'
0:23:09 > 0:23:13'Doors opening. Lift going down.'
0:23:19 > 0:23:20'Doors closing.
0:23:23 > 0:23:24'Doors opening. Lift going up.
0:23:27 > 0:23:29'Doors closing.'
0:23:48 > 0:23:50Who's there?
0:23:52 > 0:23:55You're not supposed to be down here, mate.
0:23:55 > 0:23:57Not without approval.
0:24:00 > 0:24:01But that's OK.
0:24:03 > 0:24:05You...you lost someone?
0:24:09 > 0:24:11Please come, come sit down.
0:24:11 > 0:24:14Here...
0:24:14 > 0:24:16..this way.
0:24:20 > 0:24:22Come here.
0:24:30 > 0:24:33I'm afraid the drain didn't work - the bleeding is getting worse.
0:24:33 > 0:24:36- We need to operate.- But that's not the only option.- She's right.
0:24:36 > 0:24:38The other option is you become hypovolemic
0:24:38 > 0:24:40and have a cardiac arrest.
0:24:40 > 0:24:43But we can stop the bleed without surgery. Gentle treatment.
0:24:43 > 0:24:46- No risk to Libby's transplant. - OK, stop.
0:24:46 > 0:24:48Is there something my sister and I should know about?
0:24:48 > 0:24:51We're just presenting you with all of your options.
0:24:51 > 0:24:52Yes, but come on!
0:24:52 > 0:24:55All day I've been made to feel like a client in a pitching war.
0:24:56 > 0:25:01Perhaps if you could tell us which option you were leaning towards?
0:25:01 > 0:25:04Well, what would you do? You seem like the most neutral person here.
0:25:04 > 0:25:07I can't advise you, I'm afraid.
0:25:07 > 0:25:09Yes, I know you're supposed to be objective.
0:25:09 > 0:25:15Answer me this - you said Ms Naylor here is the best in the business, right?
0:25:15 > 0:25:19It's a highly complex procedure. It requires a very high level of skill.
0:25:19 > 0:25:23But is she capable of performing it flawlessly?
0:25:23 > 0:25:27- I believe she is. But... - Then that's our answer.
0:25:29 > 0:25:31We choose surgery.
0:25:32 > 0:25:34Good.
0:25:39 > 0:25:41Do you mind if I...?
0:25:43 > 0:25:47It's the only place that I can smoke out of the rain.
0:25:47 > 0:25:50And, boy, do I need one.
0:25:50 > 0:25:52No, thank you.
0:25:52 > 0:25:55I find out today whether I lose my job.
0:25:55 > 0:25:57They are reviewing my contract.
0:25:59 > 0:26:01I'm sorry to hear that.
0:26:03 > 0:26:05Who knows?
0:26:05 > 0:26:07Perhaps they will spare me.
0:26:07 > 0:26:10In any case, it's better to cut staff
0:26:10 > 0:26:13than the patients lose out, no?
0:26:14 > 0:26:18Other circumstances, I might actually agree with Mr Hanssen.
0:26:18 > 0:26:20Mr Hanssen?
0:26:22 > 0:26:27He's...big cheese. CEO. Very controversial.
0:26:29 > 0:26:30Is he?
0:26:30 > 0:26:35Well, you have a very beautiful health system in this country.
0:26:35 > 0:26:37It's one of the reasons I came here.
0:26:37 > 0:26:40I think that Mr Hanssen wants to change that.
0:26:43 > 0:26:45Do you not think that some things
0:26:45 > 0:26:47have to change in order to be preserved?
0:26:47 > 0:26:50Listen. On the one hand,
0:26:50 > 0:26:54he is surgeon who wants to help his patients.
0:26:54 > 0:26:58On the other hand, he is CEO who needs to make money.
0:26:58 > 0:27:02I don't think that the two are possible.
0:27:03 > 0:27:08He has very difficult job. But the hospitals are for the patients.
0:27:08 > 0:27:11They must come first, always.
0:27:12 > 0:27:15- You feel strongly about that? - Yes, I do.
0:27:15 > 0:27:20These are people who are scared, they are alone.
0:27:20 > 0:27:26They need kindness more than ever. So I make that my duty...
0:27:27 > 0:27:31..even if it means sometimes I have to break the rules
0:27:31 > 0:27:34or bypass the red tape.
0:27:34 > 0:27:36Don't tell anyone I tell you this.
0:27:41 > 0:27:44Well, perhaps you should go and see him. Plead your case?
0:27:45 > 0:27:48I think that he has bigger fish to fry.
0:27:50 > 0:27:52But why should he care anyway?
0:27:52 > 0:27:57I leave the important stuff to the important people.
0:27:57 > 0:27:58For me...
0:27:58 > 0:28:03If you can't do great things, do small things in a great way.
0:28:03 > 0:28:06That's my motto.
0:28:08 > 0:28:11Even with an axe hanging over your head?
0:28:11 > 0:28:16Listen, you have to learn how to block out the noise.
0:28:16 > 0:28:19For me, it's about the patients. Always the patients.
0:28:29 > 0:28:33Mr White. Those theatre forms please, Nurse Lane.
0:28:33 > 0:28:36- And chase up the blood results for Mr Chandrani, please.- Sure.
0:28:37 > 0:28:41Would you bring me the scans for Mrs Ramsden?
0:28:41 > 0:28:42You walked out on Dad and me.
0:28:42 > 0:28:45What can be worse than that?
0:28:45 > 0:28:48- I was 13, Mum.- Right, Mrs Callum, would you mind giving us some room?
0:28:48 > 0:28:50My patient needs rest.
0:28:50 > 0:28:54"My patient?" Well, you've taken a sudden interest in my son's well-being.
0:28:54 > 0:28:57Dr Birdwood will show you to the waiting area.
0:28:57 > 0:28:59I'm happy here thanks all the same.
0:28:59 > 0:29:01It wasn't a request.
0:29:01 > 0:29:04Charming! A fine way to talk to people.
0:29:04 > 0:29:07I can take it from here, Dr Birdwood. Thank you.
0:29:09 > 0:29:11Now...
0:29:11 > 0:29:14time to solve this conundrum, don't you think, Dylan Brenton?
0:29:16 > 0:29:18I can walk by myself, you know!
0:29:18 > 0:29:20I won't have you treating me like cattle.
0:29:20 > 0:29:23I'm sorry, Mrs Callum, but I've got a lot to get through today
0:29:23 > 0:29:25and you're really not helping.
0:29:25 > 0:29:27Oh, well, excuse me for taking up your precious time.
0:29:27 > 0:29:29Go on then, go back to work.
0:29:29 > 0:29:31Like you've got the first clue what you're doing anyway.
0:29:31 > 0:29:34Excuse me! If you're looking for someone to blame,
0:29:34 > 0:29:36I suggest you look a bit closer to home.
0:29:36 > 0:29:39You don't know what you're talking about.
0:29:39 > 0:29:42OK, um, let's see if we can get a cup of tea or something.
0:29:42 > 0:29:45- Something to calm you down. - Don't you tell me to calm down!
0:29:45 > 0:29:46What's going on?
0:29:46 > 0:29:48It's a disgrace the way she's talking to me!
0:29:48 > 0:29:50I will have to call security.
0:29:50 > 0:29:54Oh, right, yes, well! I knew you bloody doctors would stick together!
0:29:54 > 0:29:56Try and control yourself. Where are you going?
0:29:59 > 0:30:03Well...she's a lot of fun.
0:30:03 > 0:30:05It's my fault. I'll go after her.
0:30:05 > 0:30:08Don't be so hard on yourself. United front. I'll go after her.
0:30:08 > 0:30:10And don't worry, she won't be back.
0:30:12 > 0:30:13Take her straight through.
0:30:20 > 0:30:22Come on, Mo...
0:30:22 > 0:30:25No, Jonny. You're supposed to be working with me, remember?
0:30:25 > 0:30:26It was their decision.
0:30:26 > 0:30:29Well, you didn't try very hard to steer them in the right direction.
0:30:29 > 0:30:32In the right direction? Are you sure about that?
0:30:32 > 0:30:34You know sometimes there's a virtue in being hard-nosed.
0:30:34 > 0:30:36- Distanced from the patient.- Meaning?
0:30:36 > 0:30:39I think you let your emotions rule your head on this one.
0:30:39 > 0:30:42And you let your groin rule your head! She says, "Jump," and you say, "How high?"
0:30:42 > 0:30:45- Come on, Mo. What do you want from me? - PHONE RINGS
0:30:46 > 0:30:50Hello, Mrs Langsdale. Thank you for getting back to me.
0:30:50 > 0:30:52Mm-hmm.
0:30:52 > 0:30:54Yep, I will of course keep you informed.
0:30:58 > 0:31:00Thank you. OK, bye now.
0:31:04 > 0:31:08- Mmm-hmm? - So you're thinking about leaving?
0:31:08 > 0:31:10I haven't really been happy here for a while now.
0:31:13 > 0:31:15There's a time when you would have noticed.
0:31:23 > 0:31:25His blood pressure's still too high.
0:31:25 > 0:31:27So we'll put him on beta blockers immediately.
0:31:30 > 0:31:32Took you long enough.
0:31:32 > 0:31:35Concealing your identity like that could have proved fatal.
0:31:36 > 0:31:39Yeah, well. Guess I was embarrassed.
0:31:39 > 0:31:41Cos you were the one person who believed in me.
0:31:42 > 0:31:45Look at the state of me now.
0:31:45 > 0:31:46It's not like I'm proud, is it?
0:31:46 > 0:31:50- Mr Hanssen, I think you should know that...- Not now, Dr Birdwood.
0:31:51 > 0:31:54- CT results.- Good.
0:31:54 > 0:31:56Well, it seems Dr Birdwood was right,
0:31:56 > 0:32:00you do have a bowel obstruction, probably caused by the meth.
0:32:00 > 0:32:01So we need to operate.
0:32:01 > 0:32:04Up his fluids and oxygen intake,
0:32:04 > 0:32:07find me a theatre slot as soon as you can.
0:32:07 > 0:32:10- And obviously we'll have to review the beta blockers.- Sure.
0:32:13 > 0:32:19Also looks like you might have a haematoma on your adrenal gland.
0:32:19 > 0:32:21Is that, like...cancer?
0:32:21 > 0:32:24No. No, no, it's just a large collection of blood.
0:32:24 > 0:32:27- I can deal with it in the same operation, all right?- Wait.
0:32:28 > 0:32:31I did go to university.
0:32:32 > 0:32:36But my dad died, what, four weeks later.
0:32:37 > 0:32:41I went to pieces. Jacked it all in and hit the meth.
0:32:43 > 0:32:46I had no-one, but, then again,
0:32:46 > 0:32:48I didn't have the balls to pull myself back.
0:32:50 > 0:32:53I should have been there for him.
0:32:53 > 0:32:57Family's more important than education, right?
0:32:57 > 0:33:01I mean a job's just a job at the end of the day, isn't it?
0:33:01 > 0:33:03You still have family.
0:33:17 > 0:33:20- Tommy Holland's results. - Oh, great, thank you.
0:33:20 > 0:33:23- I thought you'd diagnosed him ages ago?- Yeah, I thought I had.
0:33:30 > 0:33:32He's got a pelvic collection.
0:33:32 > 0:33:35Oh, I'm so sorry. How did I miss this?
0:33:35 > 0:33:37All right, I'll drain it in theatre.
0:33:37 > 0:33:39- No. It was my mistake. I'll... - It's fine. I got it.
0:33:44 > 0:33:47'Doors opening. Lift going up.
0:33:52 > 0:33:54'Doors closing.'
0:33:55 > 0:33:59- What? - It's about me and you, actually.
0:33:59 > 0:34:02- This isn't the time. - It'll just take a second.
0:34:02 > 0:34:05I think we need to make more of an effort
0:34:05 > 0:34:08to keep our relationship out of the workplace.
0:34:08 > 0:34:10- Are you kidding me?- Don't agree?
0:34:10 > 0:34:17- No, Jonny. I agree 100%. - 'Doors opening. Lift going down.'
0:34:17 > 0:34:18Great.
0:34:19 > 0:34:22- Was there anything else? - Actually, yes.
0:34:22 > 0:34:24I think it would be really great
0:34:24 > 0:34:29if you and Mo could make a real effort to try and get along.
0:34:30 > 0:34:33So first I'm supposed to keep my personal relationships
0:34:33 > 0:34:34out of the workplace...
0:34:34 > 0:34:36She's my best friend. It would mean a lot to me.
0:34:36 > 0:34:40Well, I'm very pleased for you, but I don't do friendly, sorry.
0:34:40 > 0:34:44- Now, get lost. I've got work to do. - What's the magic word?
0:34:44 > 0:34:47I can think of two words right now, but neither of them are magic.
0:34:47 > 0:34:50- I love it when you talk dirty. - Sorry to interrupt.
0:34:50 > 0:34:51Theatre One's ready.
0:35:08 > 0:35:11- Mr Hanssen? - Have you seen Mrs Callum?
0:35:11 > 0:35:13That's what I was going to tell you.
0:35:15 > 0:35:17Ms Campbell got her thrown out.
0:35:43 > 0:35:46Everything OK?
0:35:46 > 0:35:48I'd be lying if I said I wasn't a little concerned.
0:35:48 > 0:35:51- About what? - The operation of course.
0:35:51 > 0:35:54Don't worry. You'll be done before you know it.
0:35:54 > 0:35:57It's not... How do I put this?
0:35:59 > 0:36:01It's the personnel, if I'm honest.
0:36:02 > 0:36:05- I beg your pardon? - Cards on the table?
0:36:06 > 0:36:10I think you're in a relationship with the him and you've fallen out with her.
0:36:10 > 0:36:11Am I right?
0:36:11 > 0:36:15I'm sorry, are you questioning my surgical competency?
0:36:15 > 0:36:18- Because I can assure you... - Look, I'm not stupid.
0:36:18 > 0:36:20I don't like the idea of people bringing
0:36:20 > 0:36:25their grubby little personal issues into my life-and-death surgery.
0:36:25 > 0:36:28I haven't been accused of letting my professional standards slip
0:36:28 > 0:36:31in over ten years of medicine, and for good reason.
0:36:31 > 0:36:33I don't bring emotions into work.
0:36:34 > 0:36:36You could have fooled me.
0:36:39 > 0:36:43I'm sure with an apology Dr Birdwood would understand.
0:36:43 > 0:36:47I mean this is not an easy time for you. Emotions are running high.
0:36:48 > 0:36:51It's no use. Security won't let me back in. Small man syndrome.
0:36:52 > 0:36:56Well, you mustn't worry too much. It's a routine operation.
0:36:56 > 0:36:59And I give you my assurance that you'll be kept fully informed.
0:36:59 > 0:37:02- By you personally? - By me personally.
0:37:04 > 0:37:06What if he won't forgive me?
0:37:06 > 0:37:09You don't know him like I do - he can be a stubborn little sod.
0:37:10 > 0:37:13A carbon copy of his dad.
0:37:16 > 0:37:20Looks like it's coming from the intercostal artery, not the lung.
0:37:24 > 0:37:27But that looks like bruising to the lung.
0:37:27 > 0:37:29We have to know for sure.
0:37:31 > 0:37:34I need to control the bleed first. Clip.
0:37:48 > 0:37:50- Trying again.- BP's dropping.
0:37:55 > 0:37:58- Damn it!- Oh, come on. - Do you want to do it?
0:38:00 > 0:38:03Then be quiet.
0:38:03 > 0:38:06Right, come on. We have to work together, find a way to do this.
0:38:06 > 0:38:10Leave the personal stuff out the door. Are we clear?
0:38:12 > 0:38:14Ms Effanga?
0:38:15 > 0:38:18Ms Naylor? Jac?
0:38:27 > 0:38:31It's no good. I'm going to have to extend the incision and open her up.
0:38:31 > 0:38:34- No, you can't do that! - Right, that's it. I can't work in this environment.
0:38:34 > 0:38:37# For it's a grand old team to play for.
0:38:37 > 0:38:41# For it's a grand old team to see...
0:38:41 > 0:38:44Nurse Maconie? Get out of my theatre. Now.
0:38:45 > 0:38:48- Mo?- Just do as she says!
0:38:54 > 0:38:56Yes, there we go.
0:38:57 > 0:38:59Have a look at the CT scan.
0:39:02 > 0:39:06Yes, it is not a haematoma, it's a pheaochromocytoma.
0:39:07 > 0:39:10Paddy Brenton was my first patient here at Holby.
0:39:10 > 0:39:12I've heard of pheaos, but I've never experienced one.
0:39:12 > 0:39:16Incredibly rare. The chances of one being hereditary is very small.
0:39:16 > 0:39:18He may have MEN2 like his father.
0:39:19 > 0:39:22- Where is he? - Being prepped for theatre.
0:39:22 > 0:39:25Good. Well, we must get him off the beta blockers straightaway.
0:39:25 > 0:39:28Shouldn't we get his BP stabilised before surgery?
0:39:28 > 0:39:32We've no choice. If we keep him on beta blockers he could well go into hypertensive crisis...
0:39:32 > 0:39:35And if we don't operate to remove the ischemic bowel he could die.
0:39:35 > 0:39:38Precisely. If you would assist me in theatre, please?
0:39:46 > 0:39:49I just wanted to apologise for missing that earlier.
0:39:49 > 0:39:51- It was unforgiveable. - Yeah, don't sweat it.
0:39:51 > 0:39:54Mr Holland. How you feeling?
0:39:54 > 0:39:57- Dizzy.- Right, I want you to take some deep breaths for me.
0:39:57 > 0:40:00Nurse, will you put the oxygen mask on. Mr Levy, a word?
0:40:04 > 0:40:08What the hell is going on here? His bloods were clear, right?
0:40:08 > 0:40:12His speech was slurred, so I thought maybe he was intoxicated, you know?
0:40:12 > 0:40:14- But...- BP's still high. Us and Es are normal.
0:40:14 > 0:40:16This doesn't make any sense.
0:40:16 > 0:40:19Ah, Mr Levy, there you are. Where have you been all day?
0:40:19 > 0:40:23- No-where.- And why are you treating Michael's patients?
0:40:23 > 0:40:26Not keeping something from your wife, are you?
0:40:28 > 0:40:32Just give me a minute alone with him. Please, Michael.
0:40:32 > 0:40:33- All right.- OK.
0:40:37 > 0:40:41Earlier on, you were going to tell me something that was embarrassing.
0:40:41 > 0:40:42Not now, dude.
0:40:42 > 0:40:45This is important, Tommy.
0:40:46 > 0:40:48Was it something about your girlfriend?
0:40:49 > 0:40:50She's insatiable.
0:40:52 > 0:40:54I can barely keep up.
0:40:54 > 0:40:58And are you taking anything? Any pills? Medication?
0:41:00 > 0:41:02Any little blue pills?
0:41:02 > 0:41:04Ordered online?
0:41:06 > 0:41:07Is that what's making me sick?
0:41:09 > 0:41:13Well, raised blood pressure, vomiting, nausea, slurred speech -
0:41:13 > 0:41:15all known side effects.
0:41:15 > 0:41:18The good news is, this is a doddle to fix.
0:41:19 > 0:41:23You're not going to tell anyone, are you?
0:41:24 > 0:41:25Only Mr Spence.
0:41:26 > 0:41:30- Oh, man! Come on. - Don't worry, it's fine.
0:41:30 > 0:41:34He'll just, you know, be jealous you're getting more than him, so...
0:41:36 > 0:41:41Heart rate increasing. 110...117...120.
0:41:41 > 0:41:43Esmolol, please?
0:41:48 > 0:41:51- It's dropping. - Right, now for the phaeo.
0:41:55 > 0:41:58Diatherm, please? Thank you.
0:42:17 > 0:42:21The operation went extremely well.
0:42:22 > 0:42:26However, Mr Brenton, surgery is just the first step.
0:42:26 > 0:42:31- If you are to make a complete... - I know. Willpower.
0:42:31 > 0:42:32It's OK.
0:42:32 > 0:42:36I've got a network of stoners and meth heads to see me through.
0:42:38 > 0:42:42- Mr Hanssen, please can I have a word?- Excuse us, please.
0:42:44 > 0:42:47I'm so sorry to interrupt, but I've just heard something terrible
0:42:47 > 0:42:49and I know it's really unprofessional to come
0:42:49 > 0:42:52running to you about it, but I just didn't know what else to do!
0:42:52 > 0:42:55All right, calm down, Nurse Lane. What's the matter?
0:42:55 > 0:42:57Well, people are talking about the radio
0:42:57 > 0:43:01and they're saying that... you're not leaving, are you?
0:43:01 > 0:43:03Is that what that meeting's about this afternoon?
0:43:05 > 0:43:08It's just a case of Chinese whispers, nothing more.
0:43:08 > 0:43:12Mr Hanssen, I can't tell you... I'm so sorry, I'm sorry.
0:43:12 > 0:43:14I'm such an idiot.
0:43:14 > 0:43:16Back to work, Nurse Lane.
0:43:26 > 0:43:28Everything OK?
0:43:28 > 0:43:30Yes.
0:43:30 > 0:43:33I didn't mean to sound negative.
0:43:33 > 0:43:34Thank you.
0:43:34 > 0:43:36You saved my life.
0:43:38 > 0:43:41BEEPING
0:43:41 > 0:43:45- Dr Birdwood, BP dropping. - It's OK, Dylan.
0:43:45 > 0:43:48Increase his fluids. Get him on oxygen.
0:43:50 > 0:43:53It's OK, Dylan. Shouldn't we get his mum, Mr Hanssen?
0:44:00 > 0:44:03All right. Keep him stable. I'll be back soon.
0:44:06 > 0:44:09Karol, I need you to do something for me, please?
0:44:12 > 0:44:14- Who are you?- Henrik Hanssen, CEO.
0:44:18 > 0:44:20What can I do for you, Mr Hanssen?
0:44:27 > 0:44:29Thank you.
0:44:34 > 0:44:37If she can't be a donor, and that's still a big if...
0:44:38 > 0:44:40..we are going to do everything we can
0:44:40 > 0:44:43to find you a suitable match sooner rather than later.
0:44:43 > 0:44:45Right.
0:44:45 > 0:44:48I'm so sorry it's not better news.
0:44:52 > 0:44:53You OK?
0:44:54 > 0:44:59Would it make any sense if I said that sometimes bad news can be...
0:45:00 > 0:45:03I don't know, it's hard to express.
0:45:05 > 0:45:06..almost liberating?
0:45:08 > 0:45:11- I'm sorry, I'm not...- My whole life she's basically mothered me.
0:45:13 > 0:45:15I suppose being ill hasn't helped.
0:45:16 > 0:45:17Go on.
0:45:21 > 0:45:26If she can't be a donor, well, maybe she'll stop being such a martyr.
0:45:27 > 0:45:31And maybe I won't have to go through the rest of my life
0:45:31 > 0:45:34feeling like I'm in her debt.
0:45:34 > 0:45:36It's kind of empowering, actually.
0:45:48 > 0:45:51- HEART MONITOR BEEPS - Dylan? Can you hear me?
0:45:51 > 0:45:55- It's too late. He's crashing. - Dylan?- My jacket, please.
0:45:57 > 0:45:59He's arrested.
0:45:59 > 0:46:03RAPID BEEPING He's gone into VF. Salmons.
0:46:03 > 0:46:06Shock at 360.
0:46:07 > 0:46:10360, Clear!
0:46:12 > 0:46:14Again at 360, clear.
0:46:19 > 0:46:22Good. Let's get back to theatre. We need to stop this internal bleed.
0:46:22 > 0:46:24There's too much blood in the cavity,
0:46:24 > 0:46:27I can't find the bleeding point. Saline, please.
0:46:27 > 0:46:29Come on. Come on.
0:46:39 > 0:46:42Right, that's as much as we can do for now. Packs, please.
0:46:42 > 0:46:44We'll review things in 24 hours.
0:47:05 > 0:47:08And you can tell your girlfriend to go easy on you, OK?
0:47:08 > 0:47:10- Doctor's orders.- Fine.
0:47:12 > 0:47:15You still going to apply for the promotion?
0:47:15 > 0:47:17Nah.
0:47:17 > 0:47:19Board rooms and politics don't agree with me.
0:47:20 > 0:47:23I'll leave the prowling to the lions.
0:47:25 > 0:47:29Well, hey, uh... Thank you for everything.
0:47:32 > 0:47:34Mr Spence is the one to thank.
0:47:34 > 0:47:37He didn't solve the big one.
0:47:37 > 0:47:39Oh, better do some work.
0:47:44 > 0:47:48Start being honest with her, or it'll all go pear-shaped.
0:47:49 > 0:47:51What are you grinning about?
0:47:51 > 0:47:54Oh, Michael said I'm due a pay rise.
0:47:58 > 0:48:01It's difficult to know the extent of the damage caused
0:48:01 > 0:48:03to the blood vessels by the meth.
0:48:04 > 0:48:07It's possible that the proteins associated with blood clotting
0:48:07 > 0:48:10have become abnormally active and are causing profuse bleeding.
0:48:14 > 0:48:17- So it's just wait and see, then? - That's right.
0:48:20 > 0:48:21I'll stay with him.
0:48:28 > 0:48:30Dylan?
0:48:35 > 0:48:36Thank you.
0:48:50 > 0:48:51Mrs Callum?
0:48:53 > 0:48:57Mr Hanssen, Ms Campbell's outside. She said it's important.
0:48:57 > 0:49:00Ah, right.
0:49:00 > 0:49:01One moment.
0:49:04 > 0:49:07Add that to the media stunts you've pulled recently
0:49:07 > 0:49:10and you can see why I'm concerned about your decision-making.
0:49:10 > 0:49:12- I think you need a break. - Need I remind you
0:49:12 > 0:49:15until such time I'm informed otherwise, I'm still your boss.
0:49:15 > 0:49:18- I'm only looking out for your... - PHONE RINGS
0:49:18 > 0:49:20..and, frankly, the hospital's best interests.
0:49:20 > 0:49:23Excuse me, I have to take this.
0:49:23 > 0:49:24Henrik Hanssen.
0:49:28 > 0:49:31HANSSEN SPEAKS SWEDISH
0:49:40 > 0:49:42Everything OK?
0:49:46 > 0:49:48I did desert you.
0:49:48 > 0:49:50You were right.
0:49:56 > 0:49:57I couldn't cope.
0:49:59 > 0:50:01I think it was that simple.
0:50:01 > 0:50:03I know, I know -
0:50:03 > 0:50:09better I'd had a nervous breakdown or fallen in love. Anything, right?
0:50:09 > 0:50:13I'm trying to be honest. What else can I do?
0:50:14 > 0:50:17You think I'd have come all this way to be with you if I didn't care?
0:50:22 > 0:50:26- HEART MONITOR BEEPS - Dylan? Crash team!
0:50:26 > 0:50:29- Dylan!- Come on, Mrs Callum, let's give them some space.
0:50:29 > 0:50:32- He's gone back into VF. He's crashing.- Right paddles, please.
0:50:36 > 0:50:38Shocking at 200.
0:50:40 > 0:50:42Stand clear!
0:50:43 > 0:50:46And again, 360. Clear!
0:50:46 > 0:50:50- There's no output. - One milligram of adrenaline, please?
0:50:53 > 0:50:57Right, well, we'll shock again, 360, please. Clear!
0:50:59 > 0:51:01He's gone into PEA.
0:51:10 > 0:51:13Pupils fixed and dilated.
0:51:18 > 0:51:21- MARY SOBS - Dylan!
0:51:27 > 0:51:30Time of death - 3.35 pm.
0:51:40 > 0:51:41KNOCK ON DOOR
0:51:44 > 0:51:46I have got us the chef's table
0:51:46 > 0:51:49and they're giving us champagne for messing up.
0:51:49 > 0:51:51I should be awkward more often.
0:51:52 > 0:51:54I'm not coming.
0:51:55 > 0:51:59What? What? You got to work?
0:51:59 > 0:52:00No, Jonny.
0:52:00 > 0:52:03Oh look, that thing in theatre...
0:52:03 > 0:52:06It was all a ploy. You know that, right?
0:52:06 > 0:52:10- Kind of sacrificial lamb thing. To get you...- It's not that.
0:52:10 > 0:52:14I need to keep my personal life separate from work.
0:52:15 > 0:52:17Right, yes. We established that earlier.
0:52:18 > 0:52:21I'm sorry.
0:52:23 > 0:52:24Wait...
0:52:25 > 0:52:28..you're dumping me?
0:52:30 > 0:52:32I don't understand.
0:52:36 > 0:52:38Just like that?
0:52:43 > 0:52:45You'll be glad to know,
0:52:45 > 0:52:47Ruth and Libby Langsdale are doing fine, so...
0:53:12 > 0:53:15KNOCK ON DOOR
0:53:15 > 0:53:16Come in.
0:53:21 > 0:53:24Take a seat?
0:53:24 > 0:53:26Thank you, no.
0:53:26 > 0:53:29I just wanted to express my sympathies.
0:53:31 > 0:53:33I heard about the young man. I'm sorry.
0:53:42 > 0:53:46My first day here I saved his father
0:53:46 > 0:53:48and I thought I could save him.
0:53:53 > 0:53:56Imperfect symmetry.
0:53:59 > 0:54:01Don't stop fighting, Mr Hanssen.
0:54:05 > 0:54:07Did you hear about your job?
0:54:08 > 0:54:11Yes, they've gave me my notice.
0:54:13 > 0:54:15I'm sorry to hear that.
0:54:15 > 0:54:17I wish I could do more.
0:54:29 > 0:54:32Ah, I needed that.
0:54:32 > 0:54:35Early finish for you today, Mo? Where's Jonny?
0:54:36 > 0:54:38He's not coming.
0:54:50 > 0:54:52Rough day?
0:54:53 > 0:54:55Do I look as rough as I feel?
0:54:55 > 0:54:57No, you look great, actually.
0:55:03 > 0:55:06So you made it for quick one? I thought you were out with Jac?
0:55:06 > 0:55:09The lure of Albie's was too much.
0:55:09 > 0:55:11That's a face of a man who has been stood up.
0:55:11 > 0:55:15- You're kidding me? - Come on, Mo, I just need a pint.
0:55:15 > 0:55:17Great, bring on the substitute.
0:55:20 > 0:55:22She didn't?
0:55:24 > 0:55:27In much the same way as you would turn off a light switch
0:55:27 > 0:55:29or amputate someone's leg.
0:55:30 > 0:55:34- Sorry to hear that.- Are you? - Well, yes and no.
0:55:36 > 0:55:38So you still thinking about leaving?
0:55:39 > 0:55:42I don't know. Probably not.
0:55:42 > 0:55:44As long as you two don't get back together.
0:55:47 > 0:55:49- You're way too good for her anyway. - Mo, please...
0:55:49 > 0:55:53You've got more heart in your little finger than she's has in her whole...
0:55:53 > 0:55:56Just leave it, all right? It's none of your business.
0:55:56 > 0:55:57Fine.
0:55:59 > 0:56:01- Mo, I didn't mean that. - See you around, yeah?
0:56:14 > 0:56:18Oh, hi, Mr Hanssen. I'm so sorry about Dylan.
0:56:20 > 0:56:22Isn't it your meeting?
0:56:22 > 0:56:25Yes, and I mustn't be late.
0:56:30 > 0:56:32Nurse Lane?
0:56:35 > 0:56:37See you tomorrow.
0:56:38 > 0:56:40See you tomorrow.
0:57:06 > 0:57:09- RADIO:- 'As I've always maintained, once the public understands
0:57:09 > 0:57:12'the basic good sense at the heart of the government's proposals,
0:57:12 > 0:57:14'they will support the reforms wholeheartedly.
0:57:14 > 0:57:18'Next, we've got Marian Wheller from Newbury on the line. Marian, good afternoon.
0:57:18 > 0:57:22'I don't think the last caller speaks for the British public as a whole.
0:57:22 > 0:57:27'I'm a GP, and I think the majority of my patients cherish our NHS.
0:57:27 > 0:57:30'You know, we don't want to see it destroyed.
0:57:30 > 0:57:33'In your experience, are NHS staff at loggerheads with the government over this?
0:57:33 > 0:57:36'Mr Hanssen's comments appear to suggest as much.
0:57:36 > 0:57:39'I think people are missing the point.
0:57:39 > 0:57:41'These people are top surgeons.
0:57:41 > 0:57:44'They're not politicians or PR experts.
0:57:44 > 0:57:48- 'I say we leave them to do the job they're paid to do.- Good point.
0:57:55 > 0:57:57'Look, Mr Hanssen may have made mistakes,
0:57:57 > 0:58:01'but fundamentally he seems to understand that patients aren't consumers.
0:58:01 > 0:58:04'And that the only way we're going to get a health system that works
0:58:04 > 0:58:07'is by putting those patients first.
0:58:09 > 0:58:11'I think Holby are very lucky to have him.'
0:58:37 > 0:58:40Subtitles by Red Bee Media Ltd