If Not For You Holby City

From next week you'll be working on AAU.

Excuse me?

And to what use do you intend to put all this studying? University?

-Waste of time.

-And if your father wasn't ill?

The policy of non-referral, which we implemented,

was directly responsible for Mr Ritchie Mooney's death.

-May not be much time left to act.

-Hence the funding issue?

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

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

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

-No.

RADIO: 'Welcome back.

'We're discussing this morning's statement by the Health Minister,

'which strongly criticised Holby Hospital CEO Henrik Hanssen,

'following his outspoken comments on television last month.

'It was simply a rational rebuttal

'of some of Mr Hanssen's more misplaced remarks.

'Modernising the NHS is a necessity, not an option,

'and it's important that the public get behind the proposals.

'How likely is that?

'The point is, it was hypocritical of him to be making those comments.

'He was the one who instigated

'this controversial system of non-referral.

'OK. We've got Edith from Bath on the line.

'Well, I think it's obvious that something needs to be done

'about our health system, and about the people who run it.

'Heads must roll.'

'You feel the blame lies with the likes of Mr Hanssen?

'The only way we'll ever get our NHS back on track

'is if we're prepared to modernize...'

-Good morning.

-'And it's quite clear that Mr Hanssen is...'

Don't you knock? What do you want?

I was just wondering if you were still on for tonight?

I'm going to take that as a yes.

'Clearly Mr Hanssen struck a chord with certain sections of the public.'

Yes, never fail to spot a bargain. I'll send you the link.

How I could afford one of those?

That's what being married is about, isn't it?

Joint use of his credit card.

You do remember I turned down Roman Abramovich

-and married Sacha instead.

-THEY LAUGH

KNOCK ON DOOR Come in.

Morning.

Wondered if I might have a quick word?

PHONE RINGS Hanssen.

No, I'm sorry, you'll have to ask the CCG about that, I'm afraid.

Thank you.

Yes, I caught the news. I can't believe it won't go away.

You coping all right?

And what can I do for you?

OK. Well, I wanted to talk to you about AAU again.

With all due respect, it's not what you brought me here to do

-and I was hoping...

-PHONE RINGS

Yes?

Well, ask Mr Griffin if...

All right, I'll be there presently. Thank you.

I was hoping you might reconsider.

I'm sure you'll reconcile your differences with Mr Spence.

You really must excuse me, I'm needed on Keller.

You're like the cat who got the cream.

Or in your case, Jonny Walker Black Label. Why the good mood?

Jac has agreed to accompany me

to a fine dining establishment this evening.

It is what I believe most normal people refer to as a date.

And?

I don't think you quite grasp the significance of this, Mo.

A normal date. Like normal couples do.

Wait, hang on. What about Tuesday night pints?

I'll have to make up for it next week by drinking twice as much.

Busy, are we? I need to borrow you for a CABG this afternoon.

Sorry. Libby Langsdale's big day.

Cystic Fibrosis girl. She's getting a living lung lobe transplant.

It's the closest thing to a medical miracle you can get.

A medical miracle would be you two doing some proper work.

No, no, no, no, watch this.

She'll be getting a left lung lobe from her sister,

one from her mother.

And they will sit on either side to replace Libby's old lungs and

because the donors are so closely related, minimal risk of rejection.

It's amazing. I've got an RTC coming up from the ED,

bed three is whining about something or other, and I've got a

backlog that will take me through the night. So thanks(!)

She'd better not mean that.

This restaurant is so fancy I can't even pronounce it.

-Come on, Jonny.

-What?

-We're doing a ground-breaking operation today

-and you're talking about caviar.

-You know what she's like.

If I take her somewhere with laminated menus,

-she'll laminate my privates.

-You can't see it, can you?

-See what?

She's got you right where she wants you.

Right under her neatly manicured thumb.

Come on, dude, man up.

Ah, hello. You must be Lilah! I'm Chantelle, nice to meet you.

-Good to meet you, Chantelle.

-Everything OK?

Yeah, my first patient on Keller and he doesn't even have a name.

Oh, not to worry. Mr Hanssen's on his way up.

He'll sort it - he's a genius.

-Good morning, Mr Hanssen!

-Good morning.

-Oh, you're on Keller today, are you?

-Yes, you approved it?

Too much time in make-up chairs, Mr Hanssen, you're losing your touch!

Erm, He's just been sent up from AAU. He's got no ID,

so they're calling him Zimmer.

Very imaginative.

According to ED he was complaining of acute abdominal pains.

He's hypertensive and tachycardic.

We haven't been able to get hold of any family.

But ED found his mum's number on his phone and left a message.

Treated many drug users, have you?

Where I trained they were pretty much ten a penny, sad to say.

Mr Hanssen?

I just wanted to say thank you for letting me work under you.

I don't mean to sound like I'm sucking up or anything,

but you're pretty much the reason why I came here,

and I think you're doing a great job despite what everyone is saying.

I didn't, I didn't mean to...

OK, it doesn't matter.

It's all right, Ruth, we're going to take care of you now.

-What's the situation?

-This is Ruth Langsdale.

She's been involved in a head-on impact at 30 mph.

She doesn't seem to have any other injuries.

Wait a minute... Langsdale?

She's one of our donors. I didn't even recognise her.

She mustn't know I'm here, she'll go to pieces.

She has to think everything's still OK. Is it?

Erm, I'll be with you in just one minute, OK?

OK, I want fresh bloods, group and save.

I also want to rule out any serious chest injuries as soon as possible...

The X-ray suggests there is blood in the cavity,

but it's not clear where it's coming from.

Was I on a day off when you were made consultant?

If there are any lacerations or serious contusions to the lung

then the transplant is off and Libby is in serious trouble.

OK, hotshot, so what do you suggest?

OK, well, to begin with, I would fit a chest drain

and evacuate any blood from the chest cavity.

Then I would get CTs done as quickly as possible.

Very good.

Now run along and fetch Ms Effanga before you get used to it.

Mo?

Be back soon.

PHONE RINGS

I'm sorry, I've got to take this. Hello?

Yes, that's right, for tonight.

Well, I've got a confirmation email. It's a table for two at 7:30.

No, no, no, no. That's not acceptable.

Look, sorry, I've got to go. I'll ring you back.

The RTC that was brought in was Ruth Langsdale,

so she's in bay three, you need to talk to her.

-I'm sorry.

-Ms Naylor was just bringing me up to speed.

I was literally just coming over to tell you.

But your social life got in the way.

-Have we ordered a CT scan?

-Yep, and a chest drain.

-Can you call their mother?

-And tell her what?

Just let her know what's happened. Try not to worry her.

You are aware that she's my patient?

A living lobe transplant is Libby's best chance of survival.

She's our patient.

And in medical terms it's kind of a miracle case.

Yes, thank you, Jonny.

The donor's health comes first, you know that.

Oh, no, we're weren't disputing that, we're just saying...

You want to make yourself useful?

Make sure the sister doesn't see her.

Might be a bit late for that.

Thank you.

-Michael, can I have a word?

-All right, what is it?

Tell me something - can you see me as a consultant?

Seriously?

Well, it's just an idea. I haven't really given it much thought.

All right, well I got to admit, I see you more of a people person.

You know it's just, with exams coming up,

it might be a good time to be thinking about it.

Oh, this is doing very well. You're ready to be discharged.

I'll send a nurse over.

No offence, but haven't you been down this road before?

I thought you decided against it?

Yeah, but that was then, you know? Now, I'm a married man.

Who doesn't want his wife to know, right?

First rule of being a consultant - never miss a trick.

You really sure you want to do this?

I'm sorry, I opened it by mistake.

Right, same job more money, yeah?

All right, try this on for size, you treat 'em, you street 'em,

-five minutes each.

-OK.

Ah, Ms Naylor. How are things on Darwin?

-Actually, I wanted to talk to you.

-Mmm?

I just wanted to make my position on things perfectly clear.

I was wrong about him, and I shouldn't have spoken out.

Right, thanks for letting me know.

You're not going to get rid of him, are you?

I didn't take you as naive enough

to confuse the personal with the professional.

Right. Well, the good news is, it's pretty straightforward.

I think you have an ileus.

-Which is?

-Part of your bowel has stopped working.

But don't worry about it, we'll get you sorted, OK?

Now, apart from your tummy pain, is everything else OK?

Feel like I'm going to heave.

Hmm. I noticed a slight slurring. All-night session?

I was at home with my girlfriend.

-What, one of ours?

-From Leeds.

You come over here, you steal our women, I don't know...

So any other complaints?

Yeah, man. You should really have a warning at immigration

that British girls are not like you see in the movies.

They are, like, off-the-scale wild, man.

I was thinking health-wise, but that's absolutely fine.

So how so?

OK, like, erm, you know how they say like,

-"Never hide anything from your woman?"

-Go on.

-Honestly, it's kind of embarrassing, but it's not...

-Levy!

Hold that thought. Good.

Hi.

You should be finished with him by now. What's the diagnosis?

Well, he's got an ileus.

So I thinking a flexible sigmoidoscopy followed by a CT scan.

No, come on. You're over-thinking this, yeah?

The point isn't to make it more complex than it is,

it should be decisive.

So he's got an ileus? Nasogastric tube, IV fluids, full bloods.

-OK? Then onto the next one.

-Of course. Yes.

Yes, I do appreciate that, but it isn't really the issue, is it?

I'm going to have to call you back. Thank you.

Mr Cunningham.

How's your daughter?

Oh, she's fine.

Yeah, I'm sorry to drop in unannounced.

It's not about her.

It's a rather delicate matter, I'm afraid.

The board have called you to a meeting

at four o'clock this afternoon.

I'm sorry to say that your leadership has been challenged.

A complaint?

Who?

You know I can't divulge that information.

But if an individual member of staff has a grievance...

But I can tell you that we only take these measures

when there are multiple complaints.

I'm afraid I can't say any more.

I realise this must be distressing for you

and, of course, if you need the day off then you must take it.

Build your case.

If you know me at all, Mr Cunningham,

you'll know that I never abdicate my responsibilities to this hospital.

Of course.

See you at four.

I can't believe this.

Well, once we've run some more tests we'll have a better

idea of what we're dealing with.

Look, I just need you to tell me there's been no damage

to my lung, because if there has then I don't...

Put the transplant out of your mind for the time being.

Your health comes first.

I think she's right, Ruth. You've just had a horrific accident.

No, this is all wrong! She is the priority.

Do you have any idea what she's been through?

We will do everything we can to make sure Libby's operation goes ahead.

The good news is you've got the dream team. I'm just the cherry on the cake.

Look, there is a chance that the bleed in your chest

will stop by itself and no further intervention is needed.

But we may still have to operate, so you should be prepared for that.

If that's the case, can't we just put my transplant on hold for a week or so?

No. Your sister's body couldn't take two operations in as many weeks.

We cannot pass up this chance. We just can't!

There is another possibility.

We could, in theory, carry out both operations at the same time.

Could I have a word please, Nurse Maconie.

Sure.

-What do you think you're doing?

-I know this case.

I think we need to act in Libby's interest too.

I mean let's make this clear - if you operate on Ruth today,

-chances are Libby is going to be in big trouble...

-Jonny...

But if we remove the lobe and repair the bleed at the same time...

This woman has just been through a huge trauma, and you want to

jeopardise her recovery by cutting away some of her lung?

We don't know the extent of her injuries.

Odds are there's pulmonary damage.

I don't need to argue with you about this. You're out of your depth.

Yes, could you page all consultants on shift to inform them

of a meeting at 11 in the staff room?

And no calls to me till further notice.

-Yes, Mr Hanssen.

-Thank you.

PAGER BEEPS

'Sometimes you just got to stick your head in the lion's mouth, right?'

-Is that what that was?

-Come on, Mo, you know it's a good solution.

What, you don't agree that we should run the tests?

I absolutely agree we should.

I didn't mean to tread on your toes.

I just really want this to work. I thought you did too.

Don't try and tell me that that's what this is about.

-What does THAT mean?

-What do you think you're playing at?

-Using the patients to impress your girlfriend?

-That's not fair.

I feel like I'm in the middle of some lovers tiff.

I'm sorry. I didn't realise you felt that way.

-Look, do you want my advice?

-Sure.

You should be apologising to her.

Because right now she's going to be thinking you're an idiot.

Ah, Mr Hanssen. Thanks for coming up.

I was wondering if you could cast an experienced eye over this?

Drugs overdose? You brought me up for this, did you?

No, no, no, I don't think it is.

Palpitations, nausea, chest pains, anxiety, hypertension.

All symptoms of drug use.

Think I'm going to be sick.

I feel like death.

-My chest.

-Your chest? Not your stomach?

Heroin? Crystal meth?

You know, anything you tell us will be in complete confidence.

-Let's try something a little easier. Your name?

-Zimmer.

-Zimmer what?

-Let make this easy for you, yeah?

Most of this is cold turkey.

I haven't had a hit for three days. Now, please

just give some morphine. My head is splitting.

Three days, eh? Let's see who's telling fibs.

Is there a history of heart problems in your family?

Don't have a family.

Order full bloods, creatinine, CK, amylase and a tox screen.

Well, I have a meeting. You seem to have everything under control.

-I'm looking for my son.

-Just one moment.

-No way.

-What've have you done?!

-I don't want you here.

It's been a few years.

Then you've got a lot of catching up to do.

Erm, have you got a second?

Well, if it isn't the new Director of Surgery.

-Should I bow down or curtsey?

-Ah. Yes. Erm, about that...

What the hell is wrong with you today?

There's nothing more nauseating that a nurse who is too big for his own boots.

I was out of line. Maybe I could make it up to you later?

-Thank you.

-I was wrong. THAT is more nauseating.

-Mine, I presume?

-No, no, this is something else.

-Give them to me.

Blood cultures and lung function tests?

Now, before you go ballistic, I've already ordered your tests too.

-So what's this all about?

-We were hoping you might know.

Good morning. Thank you all for coming.

This won't take long.

I just had an unscheduled meeting with the chairman of the trust,

in which I put to him my vision for Holby's immediate future.

He was fully supportive of my ideas.

These are my proposals for media relations and staff management.

I intend to put this vision to the rest of the board this afternoon.

So take them, digest, and should you have any significant feedback,

than do get back to me as soon as you can.

It is of paramount importance that I present to the board a united front,

so for that reason I would like to know

that I can count on your full support.

-Professor Hope?

-Of course.

-Mr Spence?

-Yes.

-Ms Naylor?

-You know you can.

Ms Campbell?

You're the boss.

-You all right?

-Yeah.

-It's bad news isn't it?

-There's no infection.

And we're confident that the drain will clear the internal bleed.

It's going to be all right.

I made a promise to you and I'm going to see it through.

Why don't we leave you ladies to it.

Just call if you need anything.

Have you any idea what Mum and I are doing for you?

I was just thinking of you.

We're only giving up a chunk of our lungs,

why on earth would you be grateful?

-It's not my fault you had an accident.

-You're blaming me?

I know what a sacrifice you're making, Ruth.

I'm very grateful.

Yes, you're very lucky and I don't think you should forget it.

Mr Hanssen? Mr Hanssen? Test results.

Slightly raised white count, modestly raised plasma amylase.

Look, he arrived complaining of abdominal pains.

-I know he's...

-Treat the patient, not the symptoms.

-With respect, Mr Hanssen...

-Mr Hanssen...?

-Oh, Mrs Callum, no...

-I'd like someone to tell me what's wrong with Dylan.

-Dylan?

Our man of mystery has a name.

Well, as you can see for yourself, he has a serious drug problem.

Dr Birdwood is caring for him.

-She is extremely capable, I can assure you.

-She's a child!

-Are those the results?

-Yes, Mrs Callum.

-And?

They're inconclusive.

Translation - you've not got the foggiest idea!

I demand that someone else take over.

Somebody senior. Someone who's got their mind on the job!

Order the scan.

Now, if you'll excuse me, please.

Mr Hanssen? Please can you sign these theatre forms for me?

PHONE RINGS

Henrik Hanssen.

I think that's a question for the Department of Health.

Would you stop calling me, please?

'Ground floor.'

'Doors opening. Lift going down.'

'Doors closing.

'Doors opening. Lift going up.

'Doors closing.'

Who's there?

You're not supposed to be down here, mate.

Not without approval.

But that's OK.

You...you lost someone?

Please come, come sit down.

Here...

..this way.

Come here.

I'm afraid the drain didn't work - the bleeding is getting worse.

-We need to operate.

-But that's not the only option.

-She's right.

The other option is you become hypovolemic

and have a cardiac arrest.

But we can stop the bleed without surgery. Gentle treatment.

-No risk to Libby's transplant.

-OK, stop.

Is there something my sister and I should know about?

We're just presenting you with all of your options.

Yes, but come on!

All day I've been made to feel like a client in a pitching war.

Perhaps if you could tell us which option you were leaning towards?

Well, what would you do? You seem like the most neutral person here.

I can't advise you, I'm afraid.

Yes, I know you're supposed to be objective.

Answer me this - you said Ms Naylor here is the best in the business, right?

It's a highly complex procedure. It requires a very high level of skill.

But is she capable of performing it flawlessly?

-I believe she is. But...

-Then that's our answer.

We choose surgery.

Good.

Do you mind if I...?

It's the only place that I can smoke out of the rain.

And, boy, do I need one.

No, thank you.

I find out today whether I lose my job.

They are reviewing my contract.

I'm sorry to hear that.

Who knows?

Perhaps they will spare me.

In any case, it's better to cut staff

than the patients lose out, no?

Other circumstances, I might actually agree with Mr Hanssen.

Mr Hanssen?

He's...big cheese. CEO. Very controversial.

Is he?

Well, you have a very beautiful health system in this country.

It's one of the reasons I came here.

I think that Mr Hanssen wants to change that.

Do you not think that some things

have to change in order to be preserved?

Listen. On the one hand,

he is surgeon who wants to help his patients.

On the other hand, he is CEO who needs to make money.

I don't think that the two are possible.

He has very difficult job. But the hospitals are for the patients.

They must come first, always.

-You feel strongly about that?

-Yes, I do.

These are people who are scared, they are alone.

They need kindness more than ever. So I make that my duty...

..even if it means sometimes I have to break the rules

or bypass the red tape.

Don't tell anyone I tell you this.

Well, perhaps you should go and see him. Plead your case?

I think that he has bigger fish to fry.

But why should he care anyway?

I leave the important stuff to the important people.

For me...

If you can't do great things, do small things in a great way.

That's my motto.

Even with an axe hanging over your head?

Listen, you have to learn how to block out the noise.

For me, it's about the patients. Always the patients.

Mr White. Those theatre forms please, Nurse Lane.

-And chase up the blood results for Mr Chandrani, please.

-Sure.

Would you bring me the scans for Mrs Ramsden?

You walked out on Dad and me.

What can be worse than that?

-I was 13, Mum.

-Right, Mrs Callum, would you mind giving us some room?

My patient needs rest.

"My patient?" Well, you've taken a sudden interest in my son's well-being.

Dr Birdwood will show you to the waiting area.

I'm happy here thanks all the same.

It wasn't a request.

Charming! A fine way to talk to people.

I can take it from here, Dr Birdwood. Thank you.

Now...

time to solve this conundrum, don't you think, Dylan Brenton?

I can walk by myself, you know!

I won't have you treating me like cattle.

I'm sorry, Mrs Callum, but I've got a lot to get through today

and you're really not helping.

Oh, well, excuse me for taking up your precious time.

Go on then, go back to work.

Like you've got the first clue what you're doing anyway.

Excuse me! If you're looking for someone to blame,

I suggest you look a bit closer to home.

You don't know what you're talking about.

OK, um, let's see if we can get a cup of tea or something.

-Something to calm you down.

-Don't you tell me to calm down!

What's going on?

It's a disgrace the way she's talking to me!

I will have to call security.

Oh, right, yes, well! I knew you bloody doctors would stick together!

Try and control yourself. Where are you going?

Well...she's a lot of fun.

It's my fault. I'll go after her.

Don't be so hard on yourself. United front. I'll go after her.

And don't worry, she won't be back.

Take her straight through.

Come on, Mo...

No, Jonny. You're supposed to be working with me, remember?

It was their decision.

Well, you didn't try very hard to steer them in the right direction.

In the right direction? Are you sure about that?

You know sometimes there's a virtue in being hard-nosed.

-Distanced from the patient.

-Meaning?

I think you let your emotions rule your head on this one.

And you let your groin rule your head! She says, "Jump," and you say, "How high?"

-Come on, Mo. What do you want from me?

-PHONE RINGS

Hello, Mrs Langsdale. Thank you for getting back to me.

Mm-hmm.

Yep, I will of course keep you informed.

Thank you. OK, bye now.

-Mmm-hmm?

-So you're thinking about leaving?

I haven't really been happy here for a while now.

There's a time when you would have noticed.

His blood pressure's still too high.

So we'll put him on beta blockers immediately.

Took you long enough.

Concealing your identity like that could have proved fatal.

Yeah, well. Guess I was embarrassed.

Cos you were the one person who believed in me.

Look at the state of me now.

It's not like I'm proud, is it?

-Mr Hanssen, I think you should know that...

-Not now, Dr Birdwood.

-CT results.

-Good.

Well, it seems Dr Birdwood was right,

you do have a bowel obstruction, probably caused by the meth.

So we need to operate.

Up his fluids and oxygen intake,

find me a theatre slot as soon as you can.

-And obviously we'll have to review the beta blockers.

-Sure.

Also looks like you might have a haematoma on your adrenal gland.

Is that, like...cancer?

No. No, no, it's just a large collection of blood.

-I can deal with it in the same operation, all right?

-Wait.

I did go to university.

But my dad died, what, four weeks later.

I went to pieces. Jacked it all in and hit the meth.

I had no-one, but, then again,

I didn't have the balls to pull myself back.

I should have been there for him.

Family's more important than education, right?

I mean a job's just a job at the end of the day, isn't it?

You still have family.

-Tommy Holland's results.

-Oh, great, thank you.

-I thought you'd diagnosed him ages ago?

-Yeah, I thought I had.

He's got a pelvic collection.

Oh, I'm so sorry. How did I miss this?

All right, I'll drain it in theatre.

-No. It was my mistake. I'll...

-It's fine. I got it.

'Doors opening. Lift going up.

'Doors closing.'

-What?

-It's about me and you, actually.

-This isn't the time.

-It'll just take a second.

I think we need to make more of an effort

to keep our relationship out of the workplace.

-Are you kidding me?

-Don't agree?

-No, Jonny. I agree 100%.

-'Doors opening. Lift going down.'

Great.

-Was there anything else?

-Actually, yes.

I think it would be really great

if you and Mo could make a real effort to try and get along.

So first I'm supposed to keep my personal relationships

out of the workplace...

She's my best friend. It would mean a lot to me.

Well, I'm very pleased for you, but I don't do friendly, sorry.

-Now, get lost. I've got work to do.

-What's the magic word?

I can think of two words right now, but neither of them are magic.

-I love it when you talk dirty.

-Sorry to interrupt.

Theatre One's ready.

-Mr Hanssen?

-Have you seen Mrs Callum?

That's what I was going to tell you.

Ms Campbell got her thrown out.

Everything OK?

I'd be lying if I said I wasn't a little concerned.

-About what?

-The operation of course.

Don't worry. You'll be done before you know it.

It's not... How do I put this?

It's the personnel, if I'm honest.

-I beg your pardon?

-Cards on the table?

I think you're in a relationship with the him and you've fallen out with her.

Am I right?

I'm sorry, are you questioning my surgical competency?

-Because I can assure you...

-Look, I'm not stupid.

I don't like the idea of people bringing

their grubby little personal issues into my life-and-death surgery.

I haven't been accused of letting my professional standards slip

in over ten years of medicine, and for good reason.

I don't bring emotions into work.

You could have fooled me.

I'm sure with an apology Dr Birdwood would understand.

I mean this is not an easy time for you. Emotions are running high.

It's no use. Security won't let me back in. Small man syndrome.

Well, you mustn't worry too much. It's a routine operation.

And I give you my assurance that you'll be kept fully informed.

-By you personally?

-By me personally.

What if he won't forgive me?

You don't know him like I do - he can be a stubborn little sod.

A carbon copy of his dad.

Looks like it's coming from the intercostal artery, not the lung.

But that looks like bruising to the lung.

We have to know for sure.

I need to control the bleed first. Clip.

-Trying again.

-BP's dropping.

-Damn it!

-Oh, come on.

-Do you want to do it?

Then be quiet.

Right, come on. We have to work together, find a way to do this.

Leave the personal stuff out the door. Are we clear?

Ms Effanga?

Ms Naylor? Jac?

It's no good. I'm going to have to extend the incision and open her up.

-No, you can't do that!

-Right, that's it. I can't work in this environment.

# For it's a grand old team to play for.

# For it's a grand old team to see...

Nurse Maconie? Get out of my theatre. Now.

-Mo?

-Just do as she says!

Yes, there we go.

Have a look at the CT scan.

Yes, it is not a haematoma, it's a pheaochromocytoma.

Paddy Brenton was my first patient here at Holby.

I've heard of pheaos, but I've never experienced one.

Incredibly rare. The chances of one being hereditary is very small.

He may have MEN2 like his father.

-Where is he?

-Being prepped for theatre.

Good. Well, we must get him off the beta blockers straightaway.

Shouldn't we get his BP stabilised before surgery?

We've no choice. If we keep him on beta blockers he could well go into hypertensive crisis...

And if we don't operate to remove the ischemic bowel he could die.

Precisely. If you would assist me in theatre, please?

I just wanted to apologise for missing that earlier.

-It was unforgiveable.

-Yeah, don't sweat it.

Mr Holland. How you feeling?

-Dizzy.

-Right, I want you to take some deep breaths for me.

Nurse, will you put the oxygen mask on. Mr Levy, a word?

What the hell is going on here? His bloods were clear, right?

His speech was slurred, so I thought maybe he was intoxicated, you know?

-But...

-BP's still high. Us and Es are normal.

This doesn't make any sense.

Ah, Mr Levy, there you are. Where have you been all day?

-No-where.

-And why are you treating Michael's patients?

Not keeping something from your wife, are you?

Just give me a minute alone with him. Please, Michael.

-All right.

-OK.

Earlier on, you were going to tell me something that was embarrassing.

Not now, dude.

This is important, Tommy.

Was it something about your girlfriend?

She's insatiable.

I can barely keep up.

And are you taking anything? Any pills? Medication?

Any little blue pills?

Ordered online?

Is that what's making me sick?

Well, raised blood pressure, vomiting, nausea, slurred speech -

all known side effects.

The good news is, this is a doddle to fix.

You're not going to tell anyone, are you?

Only Mr Spence.

-Oh, man! Come on.

-Don't worry, it's fine.

He'll just, you know, be jealous you're getting more than him, so...

Heart rate increasing. 110...117...120.

Esmolol, please?

-It's dropping.

-Right, now for the phaeo.

Diatherm, please? Thank you.

The operation went extremely well.

However, Mr Brenton, surgery is just the first step.

-If you are to make a complete...

-I know. Willpower.

It's OK.

I've got a network of stoners and meth heads to see me through.

-Mr Hanssen, please can I have a word?

-Excuse us, please.

I'm so sorry to interrupt, but I've just heard something terrible

and I know it's really unprofessional to come

running to you about it, but I just didn't know what else to do!

All right, calm down, Nurse Lane. What's the matter?

Well, people are talking about the radio

and they're saying that... you're not leaving, are you?

Is that what that meeting's about this afternoon?

It's just a case of Chinese whispers, nothing more.

Mr Hanssen, I can't tell you... I'm so sorry, I'm sorry.

I'm such an idiot.

Back to work, Nurse Lane.

Everything OK?

Yes.

I didn't mean to sound negative.

Thank you.

You saved my life.

BEEPING

-Dr Birdwood, BP dropping.

-It's OK, Dylan.

Increase his fluids. Get him on oxygen.

It's OK, Dylan. Shouldn't we get his mum, Mr Hanssen?

All right. Keep him stable. I'll be back soon.

Karol, I need you to do something for me, please?

-Who are you?

-Henrik Hanssen, CEO.

What can I do for you, Mr Hanssen?

Thank you.

If she can't be a donor, and that's still a big if...

..we are going to do everything we can

to find you a suitable match sooner rather than later.

Right.

I'm so sorry it's not better news.

You OK?

Would it make any sense if I said that sometimes bad news can be...

I don't know, it's hard to express.

..almost liberating?

-I'm sorry, I'm not...

-My whole life she's basically mothered me.

I suppose being ill hasn't helped.

Go on.

If she can't be a donor, well, maybe she'll stop being such a martyr.

And maybe I won't have to go through the rest of my life

feeling like I'm in her debt.

It's kind of empowering, actually.

-HEART MONITOR BEEPS

-Dylan? Can you hear me?

-It's too late. He's crashing.

-Dylan?

-My jacket, please.

He's arrested.

RAPID BEEPING He's gone into VF. Salmons.

Shock at 360.

360, Clear!

Again at 360, clear.

Good. Let's get back to theatre. We need to stop this internal bleed.

There's too much blood in the cavity,

I can't find the bleeding point. Saline, please.

Come on. Come on.

Right, that's as much as we can do for now. Packs, please.

We'll review things in 24 hours.

And you can tell your girlfriend to go easy on you, OK?

-Doctor's orders.

-Fine.

You still going to apply for the promotion?

Nah.

Board rooms and politics don't agree with me.

I'll leave the prowling to the lions.

Well, hey, uh... Thank you for everything.

Mr Spence is the one to thank.

He didn't solve the big one.

Oh, better do some work.

Start being honest with her, or it'll all go pear-shaped.

What are you grinning about?

Oh, Michael said I'm due a pay rise.

It's difficult to know the extent of the damage caused

to the blood vessels by the meth.

It's possible that the proteins associated with blood clotting

have become abnormally active and are causing profuse bleeding.

-So it's just wait and see, then?

-That's right.

I'll stay with him.

Dylan?

Thank you.

Mrs Callum?

Mr Hanssen, Ms Campbell's outside. She said it's important.

Ah, right.

One moment.

Add that to the media stunts you've pulled recently

and you can see why I'm concerned about your decision-making.

-I think you need a break.

-Need I remind you

until such time I'm informed otherwise, I'm still your boss.

-I'm only looking out for your...

-PHONE RINGS

..and, frankly, the hospital's best interests.

Excuse me, I have to take this.

Henrik Hanssen.

HANSSEN SPEAKS SWEDISH

Everything OK?

I did desert you.

You were right.

I couldn't cope.

I think it was that simple.

I know, I know -

better I'd had a nervous breakdown or fallen in love. Anything, right?

I'm trying to be honest. What else can I do?

You think I'd have come all this way to be with you if I didn't care?

-HEART MONITOR BEEPS

-Dylan? Crash team!

-Dylan!

-Come on, Mrs Callum, let's give them some space.

-He's gone back into VF. He's crashing.

-Right paddles, please.

Shocking at 200.

Stand clear!

And again, 360. Clear!

-There's no output.

-One milligram of adrenaline, please?

Right, well, we'll shock again, 360, please. Clear!

He's gone into PEA.

Pupils fixed and dilated.

-MARY SOBS

-Dylan!

Time of death - 3.35 pm.

KNOCK ON DOOR

I have got us the chef's table

and they're giving us champagne for messing up.

I should be awkward more often.

I'm not coming.

What? What? You got to work?

No, Jonny.

Oh look, that thing in theatre...

It was all a ploy. You know that, right?

-Kind of sacrificial lamb thing. To get you...

-It's not that.

I need to keep my personal life separate from work.

Right, yes. We established that earlier.

I'm sorry.

Wait...

..you're dumping me?

I don't understand.

Just like that?

You'll be glad to know,

Ruth and Libby Langsdale are doing fine, so...

KNOCK ON DOOR

Come in.

Take a seat?

Thank you, no.

I just wanted to express my sympathies.

I heard about the young man. I'm sorry.

My first day here I saved his father

and I thought I could save him.

Imperfect symmetry.

Don't stop fighting, Mr Hanssen.

Did you hear about your job?

Yes, they've gave me my notice.

I'm sorry to hear that.

I wish I could do more.

Ah, I needed that.

Early finish for you today, Mo? Where's Jonny?

He's not coming.

Rough day?

Do I look as rough as I feel?

No, you look great, actually.

So you made it for quick one? I thought you were out with Jac?

The lure of Albie's was too much.

That's a face of a man who has been stood up.

-You're kidding me?

-Come on, Mo, I just need a pint.

Great, bring on the substitute.

She didn't?

In much the same way as you would turn off a light switch

or amputate someone's leg.

-Sorry to hear that.

-Are you?

-Well, yes and no.

So you still thinking about leaving?

I don't know. Probably not.

As long as you two don't get back together.

-You're way too good for her anyway.

-Mo, please...

You've got more heart in your little finger than she's has in her whole...

Just leave it, all right? It's none of your business.

Fine.

-Mo, I didn't mean that.

-See you around, yeah?

Oh, hi, Mr Hanssen. I'm so sorry about Dylan.

Isn't it your meeting?

Yes, and I mustn't be late.

Nurse Lane?

See you tomorrow.

See you tomorrow.

-RADIO:

-'As I've always maintained, once the public understands

'the basic good sense at the heart of the government's proposals,

'they will support the reforms wholeheartedly.

'Next, we've got Marian Wheller from Newbury on the line. Marian, good afternoon.

'I don't think the last caller speaks for the British public as a whole.

'I'm a GP, and I think the majority of my patients cherish our NHS.

'You know, we don't want to see it destroyed.

'In your experience, are NHS staff at loggerheads with the government over this?

'Mr Hanssen's comments appear to suggest as much.

'I think people are missing the point.

'These people are top surgeons.

'They're not politicians or PR experts.

-'I say we leave them to do the job they're paid to do.

-Good point.

'Look, Mr Hanssen may have made mistakes,

'but fundamentally he seems to understand that patients aren't consumers.

'And that the only way we're going to get a health system that works

'is by putting those patients first.

'I think Holby are very lucky to have him.'

Subtitles by Red Bee Media Ltd