Make or Break Holby City

You're not suggesting a bone marrow donor?

The odds of this are one in ten thousand.

Rachel is a very lucky girl.

It's going to be fine. They've done it a thousand times.

In and out, nothing to worry about.

You do realise that I'm a senior member of staff here

Well, if you're THAT important, why don't you get an ambulance

to take you and your friend?

-It's all OK.

-No going back now.

-I really like being your friend.

-Not...

No.

'Lift going down.'

-Mr Malick.

-OK, what have we got?

-Temperature's down...

'Doors closing. Lift going down.'

KNOCK AT DOOR

-Jac?

-What?

Today's the day.

-Digby!

-Oi!

-Have you got it?

-Yes, yes.

OK. I'm ready.

-Hey, how did you score?

-I don't know yet.

Come on. Open it.

Well, I think I might like somewhere more private.

Yeah, why not get a bottle of wine, invite a few friends over,

make a day of it? It's not like we've got sick people waiting for us!

OK, OK.

-Are they your results?

-Yes.

Come on, man! You must be a wee bit excited!

You know, I think you'll find it a real relief.

We'll get the scan done.

We'll tell everyone and then no more skulking around.

-I don't skulk.

-That's why we're going to the clinic

-on the other side of town.

-I'm going private,

so I don't have to spend the rest of my natural life

in an NHS waiting room.

Especially one stuffed full of smug mums-to-be.

Look who's back.

She was here just a few months ago!

Well, if she cut down on the cream cakes,

she wouldn't have to spend so much time in hospital.

Maybe she just really enjoys being in your sparkling company.

-I've got to get on.

-Don't let me keep you.

So, well done, you made the grade.

I'm sure your consultants will delight

in finding new and torturous tasks that befit your status as F2s.

THEY LAUGH

Though seriously, I really wanted to congratulate you personally.

You did well.

Right, to work. These people do not get better on their own.

Dr Digby, a word.

So, it seems you're our star pupil.

-I am.

-Was it a surprise?

It was, erm, but I don't think anyone worked harder than I did.

I even read Pancreatic Duct Obstructions - A New Perspective

-from cover to cover.

-Somebody had to.

I've invited some of the high-flyers from previous years

-to come for a drink later.

-OK...

I'm asking if you'd like to come along.

-It would be an honour, yeah.

-Good.

I've got a meeting this evening on environmentally friendly ways

to dispose of hospital waste.

So, if I haven't already killed myself, we'll meet up at about nine.

I'll still be here. Healing the sick.

-I'll see you later.

-Yes.

-Hey, ya.

-Mmm!

-Cool.

Light bite for breakfast?

Olympic swimmers eat 6,000 calories a day.

-They also do quite a lot of swimming.

-Ha-ha!

Well, here and the Peace Garden are the only places I can go

to get away from Jonny and Jac's bickering.

I wish they'd hurry up and murder each other.

-What's wrong?

-Turns out we find out about Rachel's test results today.

-See if her body's accepted the bone marrow.

-Oh, I didn't realise!

Nor did we. I mean, there was a mess up in admin.

We thought it was going to be next week, so,

Helen's away on business, Chrissie's in Australia.

Rachel's still got you.

That's what I'm afraid of.

JONNY WHISTLES

-Wow, is that...?

-What happened to the rest of her?

-I lost a few pounds. Live with it.

-Well, I'm glad you took my advice.

I didn't do it because of you. Which bed this time?

Over here.

So, I'll just do your obs, then I'll go and fetch you a gown. OK?

Right, how long have you had shortness of breath?

About a week. Everything's the same as last time.

Okey-dokey, here we go.

-Do you have to be so jolly?

-Yes, it's going to be a good day.

I can feel it in my bones.

So, how's work?

-I started my own business.

-Really?

We provide tailor-made diet and exercise regimes

-for women looking to lose weight.

-It seems to have worked for you.

Always a good idea to practise what you preach.

Your blood pressure's a bit on the high side.

Must be the excitement of being back here again.

No, the weight loss should have helped with that.

You said it would help a lot of things, yet here I am again.

-You were unlucky.

-Or you messed up the last time.

Hi.

# Doo-doo-doo-doo-doo... #

-Oh, you missed the meeting.

-What meeting?

For the new F2s. You did pass?

Of course. How did you do?

Last year you barely broke a sweat,

yet still somehow managed to rank second.

Yeah, well, this year, I worked myself half to death

and I still managed to come second.

-I shouldn't have bothered trying.

-Well done, "Two".

Ms Campbell is having drinks tonight for her top students.

If you'd been there she might have asked you along.

Sounds TERRIBLE, glad I was late.

So, how about you, "Three"?

Do we need to come up with a new nickname for you this year?

Yes.

What?

But you did OK, yeah? You get to stay?

PATIENT COUGHS

Didn't he do well? I knew he would.

-What, Arthur? Where did he come?

-First place, of course.

Erm, so what time are you seeing Nathan?

Half two. This morning's going to feel like forever.

You, my friend, need a lesson from the Effanga School of Optimism.

-Does such a thing exist?

-It does now!

See the trick is to see the bright side of every situation.

You see, I want to hope for the best, more than anything,

but I just daren't let myself believe it.

You have to, for Rachel's sake.

You're no good to her if you're moping around.

Well, maybe I can give it a try.

That's the spirit.

VEHICLES CRASH OUTSIDE

I was hoping for a quiet morning.

-OK, I'll take the car, you guys check on the ambulance.

-Yep.

I take it we've arrived?

OK, Wonder Boy, time to prove that those results weren't a fluke.

-What do you want me to do?

-Ward round.

-Alone?

-Go get 'em.

-Dr Digby.

-Oh!

-Oh!

-Chantelle!

-Here.

-Thank you.

Mr Roberts' blood results.

You could have just told me, rather than sneaking up behind me!

I wasn't sneaking!

Are you from ED?

Yeah. Martin Harris.

I'll get you a wheelchair.

Look. I told them and I'm telling you - I'm fine like this.

OK. We'll just see where you're going. Nurse Lane...

Oh, no!

-Rank.

-OK.

This way, please.

You havin' us on?

No, this is the only bed that's available at the moment.

Oh, it'll do me.

Ah, Mr Harris? Hi, I'm Michael Spence.

-How do you do? This is Cameron.

-Hiya, Cameron.

So, what's the verdict, boss?

Well, we are waiting for the results of the MRI

and X-ray should be ready for you shortly.

WOMAN VOMITS

I'll give the grub a miss.

That's just a reaction to her medicine. She's not infectious.

Martin should be in his own room. Not out in here with this lot.

We don't have the luxury of private rooms for everyone.

You sort my pins out, doc, I don't care if you put me in a cell.

OK, well, my recommendation is that you keep still until we know more.

-All right.

-Excuse me. Digby.

Keep an eye on the boy.

-What, he's trouble?

-He's afraid.

Right, while I've got you here, I've brought us a little something

to help raise our spirits after Oliver's departure.

-Pina coladas?

-I don't think they needed raising quite that much.

Oh. We must have mice in the office.

Would you pass them on? We have a very busy schedule...

Yes, I'd like to take Victoria Conville.

-No surprise there.

-Is she back already?

-Afraid so.

For those of you who don't know her, Mrs Conville

is one of our frequent fliers, and today's most exotic case.

She has dextrocardia situs inversus,

-which means her heart is on the wrong side of her body.

-Your kind of woman.

-What's gone wrong?

-Mitral valve regurgitation.

-We're going to need to replace it.

-No, I can repair the existing one.

Jac, the poor thing has been in and out of hospital all her life.

If we replace the damaged valve, there's less chance

-of it failing again in the future.

-The damage isn't that serious.

Repairing it is a less complex procedure.

This valve has already been repaired once before, Jac.

-As you well know.

-The fact it's leaking is natural,

considering the strain her condition puts on it.

-Right. We'll ask the patient what she wants, shall we?

-Fine.

MOBILE BEEPS

-Sorry, I need to take this.

-Ah, next, Mrs Hendrie.

MARTIN GROANS IN PAIN

OK, Martin, we have your MRI results.

You think you know what's wrong with me, then?

Your notes reveal you suffered from tuberculosis

-earlier in the year. Is that right?

-Yeah.

Well, we suspect it may have spread during that time,

weakening the spine. The MRI shows two of your vertebrae

have since collapsed and are now pressing on your spinal cord.

What, that's bad, right?

I'll be all right, lad.

We're going to take you into theatre this afternoon.

Our orthopaedic team will remove the damaged material

and insert instrumentation - like scaffolding -

to hold the spine in place.

I'll be there to help gain access to the damaged area.

Will he walk?

Well, we are hoping to prevent further deterioration.

But, as for the current weakness, we won't know until after surgery...

Mr Spence, we need you to scrub in.

Excuse me.

-What's up?

-We've got a ruptured Triple A.

All right. Who do we get to look after the ward?

My new F2?

Agency staff still haven't shown up, you'll be short handed.

-You up for it?

-Yeah, absolutely.

All right. No parties. No girls. No booze.

I don't want to come back and discover the ward trashed.

-You won't.

-All right.

And if I find anyone in nurse's uniform who isn't a nurse,

you'll be in trouble.

What's going on?

-They've put me in charge.

-Oh. Well done.

Thank you. Right. Have we got Mr Norman's X-ray yet?

-Not yet.

-Well, can we chase them up, please?

Mr Spence and Mr Malick have put their trust in me

to get the jobs done and I don't want to let them down.

You're still mad at me.

I'm just trying to do my job.

You don't have to be embarrassed about...about what you said.

It doesn't need to change anything between us.

I don't think we should be talking about these sort of things at work.

I got you something...

I knew you'd do well with your results

and I know things have been different now,

but it would be a shame for it to go to waste.

I think we need to remember why we're here.

I'm a doctor, you're a nurse.

Obviously.

I don't think it's going to be beneficial for us to...

that's to say...

I just don't want to muddy the waters.

If that's what you want.

Well, this is ridiculous.

I've seen trained monkeys give better service

than you seem capable of!

Hello?

Problem?

Yeah, the clinic are rescheduling all their patients.

-I can't go for my scan today.

-Did wonder how long it would take.

-What?

-For you to come up with an excuse to get out of this.

Oh yeah, because I put asbestos in their roof just to annoy you.

We have to tell people sooner or later...

Not until I've had the scan.

Then find another clinic that can fit you in today.

There won't BE any at this short notice. It can wait!

I'm going to take another runway. Less turbulence.

This is happening, Jac, it is real.

And it'll still be happening in a couple of days.

Today, I have other things to do.

-Jac, are you ready to have a word with Mrs Conville?

-Yep.

-All right.

-You sure about this?

-'Course.

HE SCREAMS

Arthur!

OK, just try and lower him to the floor. Slowly, slowly.

-What were you doing?

-I just wanted the lav.

-I'll get the hoist.

-No, no, no, I'm all right.

-OK. Do NOT try and get up.

-Give us a hand.

-No, stay where you are. We have procedures to follow.

-I'm all right.

Just let them help you.

Dr Wilde. This is Mr Withers.

Please call me Archie.

Mr Withers sounds like something out of a Dickens Novel.

Archie sustained superficial burns to both his hands and feet.

The paramedics dressed them at the scene,

-but I just want to check him over.

-Hold still.

So, how did this happen, Archie?

I went on a motivational course.

It wasn't very inspiring.

-Did the building burn down?

-No, sadly not.

They made us walk on burning coals to show how motivated we were.

Not very, as it turned out.

Right. Can you move your fingers for me, please?

-Ah!

-That's fine, that's fine. Thank you, thank you.

-So, how come you burnt your hands as well?

-I collapsed.

-Did anything happen to cause that?

-Well, If I were to put money on it,

I'd say it was because they made me walk on burning hot coals!

I get anxious waiting for buses.

Well, I would like to run some tests.

Nurse, can you organise an angiogram and an echo, please?

And Dr Wilde, can you re-dress both hands

and check his feet for me.

-Thank you.

-What are the tests for? Do you think there's something wrong?

No. It's just to be on the safe side, that's all.

Well, if life's taught me anything,

it's that the worst possible thing always happens to me.

Archie, most people find hospital an easier place to deal with,

if they try and stay positive.

Oh! Easy for you to say!

Well, maybe just try it?

Did you hurt your head when you fell?

Oh, no, that was when the ambulance crashed.

Well, like I said. Keep on smiling.

It's a screwdriver.

In his stomach. What an earth is it doing in there?

Maybe he swallowed a screw.

I think I'd better go and talk to Mr Norman about his diet.

Too much iron.

I'll go and talk to him. Oh, please, in the side bay.

Oh no, Mr Duncan has to be in a room on his own.

Well, it's my call.

He was here a few months ago.

He won't like being on a shared ward.

Well, it's not a hotel.

He has neurological problems, he gets frightened by other people.

We're waiting for a private room for our vomitous friend.

She's not responding to the anti-emetics.

SHE takes priority.

I think you're making a mistake.

Well, I'm used to that, aren't I?

If you go with Professor Hope's suggestion of a replacement valve,

you'll also have to take warfarin for the rest of your life.

That's true.

But, with your condition, if you go for the repair option,

we also have to take into account the risk factors

-for tricuspid valve disease.

-What's that?

The medication that you're on can affect the pulmonary valve

and eventually lead to congestive cardiac failure,

liver failure and ascites.

Long-term, the best option is the biological valve.

-What do you think of that?

-It's...

-OK, enough. I get the gist.

We've been here before.

I know it's a difficult decision for you to make.

It's only been six months since you supposedly last fixed it.

You've been dealing with this long enough to know how it works.

No-one can predict when or where the next problem is going to be.

Well, I'm sick of being at the mercy of my own body.

There's nothing anyone can do about that.

I've got a life to lead, a business to run.

Instead of which I'm stuck in here again.

We'll give you time to think.

Orthopaedics have said that we can get you ready for theatre now.

See, everything is going to be all right. They'll sort me out.

Dr Digby, can you have a look at these, please?

Er, oh, yeah. Will do. Oh, yes, Nurse Lane, have you got a minute?

Erm, I need full blood count, Us and Es, a cross match of six units

and a clotting screen.

Right away.

You look a little nauseous? Are you all right?

Thought you said she wasn't infectious?

She's not.

Stuffy in here.

PHONE RINGS

-All right?

-Yeah, fine.

-Why don't you go down to the cafe, eh?

-Can't leave you alone.

-We're not going to go into surgery for at least another couple of hours.

-Go on, the air'll do you good.

He's a good kid really, been with us a couple of years now.

Plays up sometimes, but who doesn't?

He's not your...

Our foster son.

Closest thing to a proper family he's ever had.

Couldn't have our own, you see.

Is your wife coming in?

Kate died three months ago.

They screwed up the diagnosis at St James's. Cameron took it hard.

I'm sorry.

I'm glad she's not here to see me looking like this.

Well, there is a good chance that the surgeons will be able to help.

Won't bring her back, though, will it?

Listen.

If this operation doesn't work out,

I'm not sure I'm going to be able to cope at home.

ALARM GOES OFF Oh, excuse me.

Do we really have to do this?

Afraid so. Arm?

So where's your husband?

Surgery is old news to us.

We don't like to make a fuss about it.

Oh? I thought he came in with you last time.

I don't need someone to hold my hand.

MACHINE BEEPS

What happened to Mr Chirpy?

He's popped out for a wee fag break.

Well, there's something to be grateful for, at least.

Victoria, have you made a decision yet?

Yes. I'd like to go with Professor Hope's suggestion.

Replace the valve.

Can I ask why?

Do I need to give a reason?

Still a bit high.

I'll inform Professor Hope.

Thank you.

I just have one more question.

How long have you had the tremors?

Cameron?

Are you all right?

FOLDERS CRASH

Get off me!

This is a waste of time. It's just stress.

Do you know how hard it is running a business on your own?

I'm sure you're about to tell me. Deep breath.

Out.

When did the tremors start?

This is the first time it's happened.

The past few weeks. But they go.

And you say you've been stressed?

It's hard work being my own boss.

Well, you won't be going back to work for a while after this procedure.

How long?

That depends on how your body accepts the new valve.

I've only just got my slimming business off the ground.

-Do you know what will happen if I'm not there?

-Clients are going to get fat?

It'll fall apart.

Do you still think I'm doing the wrong thing?

Look, the way I see it, your system, tangled

and confused as it is, still basically works.

Personally I'd want to keep as much of that intact as possible.

And a repair will get you back on your feet sooner.

Maybe you're right. Try and repair the existing valve again.

Excellent. I'll notify theatre.

There's a condition.

I don't want you to do the operation.

I've done this procedure dozens of times. My success rate...

With other people is very high, I'm sure.

But your failure rate with me so far is 100%.

You know that wasn't my fault.

So why?

Because I want to blame someone. It may as well be you.

Can I have a word?

Yep, what is it?

Cameron. I just met him on the stairs. He was upset.

He seems fine now. Are those the files from the archive?

Nurse Lane?

I dropped them.

I haven't had a chance to put them in order yet.

I need them.

I'd like to be taken off Mr Harris's case, please.

What?

Cameron. He scares me.

Oh, no, he's just worried about his foster father. He's fine.

WOMAN COUGHS

Don't bring that grub in here. You'll make me hungry.

Cut it out.

You feeling better?

Yeah, it was just the stink of this place, made me want to chuck.

Got you summat.

Where did you get them?

Sell them in the shop, don't they?

Oh, erm, I'm partial to a game of bridge myself, actually.

It's a game with myriad possibilities.

Been teaching the lad blackjack.

Oh, right, yes.

Erm, yes, that has a certain rough and ready charm to it too.

I'll leave you to it.

Nurse Lane, I don't have time to change the nursing rotas today

on top of everything else. We're short-staffed as it is.

So unless you really, really, really...

It's fine. Don't worry about it.

And so if you could get us

an appointment today I would really appreciate it.

Patients should be referred through the proper channels.

Yes, normally. But I work on Darwin so we're colleagues.

Ah, so you're asking for preferential treatment?

No. No.

Yes. That's exactly what I'm asking for.

Come on, do you want me to beg?

Well, we do have a cancellation at two o'clock. What's the patient's name?

Ah, Professor Hope?

I'm so sorry, I've been chasing him all day.

But two o'clock, yeah? Thank you. Thank you so much.

The wound's come open. I'm afraid it's going to need suturing.

That sounds painful.

It's a lot better since we stopped using barbed wire and rusty pliers.

I'm going to give you some local anaesthetic.

After that you won't feel a thing.

Erm, the suture trolley?

I'll forget my own head one of these days, I'm sorry.

It's going to be fine, Archie, OK? The pain will soon pass.

Hold still for me. That's it.

OK, sharp scratch.

-Ow!

-All right, OK.

-Ow!

-Hold still.

That's it.

All done.

Let's just give that a few moments.

So, is anyone coming in to be with you?

Who did you have in mind?

Well, do you have a partner, or...

Oh, well, there's my wife.

Yeah, that's the kind of someone I was thinking of.

She'll be in her pilates class. I don't like to bother her.

Great.

I don't feel good.

It's all right, this won't take long.

OK, first stitch going in.

You're doing really well, Archie.

Archie? Archie?

He's hypotensive and tachycardic. Let's get him flat.

Right, increase the fluids, please.

-What's wrong with him?

-I don't know.

Where am I? Where am I?

What's that? Who are you?

-Who are you?

-Can someone shut him up?

-Who's he?

-What's the problem?

-What's going on?

It's OK, Trevor. You're in hospital.

Cameron, come over here, mate.

-You've had an operation but you'll be fine.

-Er, doctor.

-What?

-The pain's getting worse.

-Where?

-My back.

-I didn't do nothing!

-Arthur.

-Mm.

Why is SHE looking at me like that?

Did you do his obs?

OK, I'm just going to adjust your dosage of heparin, Mr Duncan.

-Don't listen to them, mate. It's a death sentence coming in here.

-Cameron!

Please, everyone just stay calm. I've got things under control.

RETCHING AND COUGHING

Oh, no.

Huh!

Just breathe slowly. There, that's better.

I want to go home.

Archie, you've had an allergic reaction

to the anaesthetic and I have to say

it's very rare to react like that to such a small amount.

I have all the luck.

I think we'll use glue instead.

Come on, Archie, cheer up.

This will all be over soon then everything will get back to normal.

Thank you.

-What now?

-The tests show you have an aortic stenosis.

It's probably what made you faint this morning.

Well, I don't know what that is.

Well, it means there's an obstruction in your heart's aortic valve,

which prevents it from opening properly, but the good news is we can treat it.

I dread to think what the bad news is.

You're going to need surgery.

This is like some sick joke!

Archie, don't look at it that way.

On a positive side we've found out about an underlying disease,

which we can now treat.

Stop trying to cheer me up. There's nothing good about this.

Please, just try and calm down.

Maybe your life's full of endless joy and happiness,

but today mine's been nothing but a string of disasters.

I'm going to get a colleague of mine from Darwin ward to come and see you.

They'll be able to explain the surgery in more detail.

Right, let's get on with this suture.

Just leave me alone. Please.

I'm going to give you a minute, OK?

A word in your ear.

I've begged and I have crawled, and I have managed to get you

an appointment at two o'clock with Maternity.

You're kidding?

There is no way I'm letting anyone in this hospital

go anywhere near my womb.

I did that once before and look what happened.

Well, if you've managed to book an appointment elsewhere then fine, but otherwise...

Look, I do have a job to do. I don't just come here

for the sparkling company and the tasteful decor.

No. No. We have done everything your way so far.

Maternity, two o'clock. OK?

ALARM GOES OFF

-LABOURED BREATHING

-Pulse is weak. Let's run an ECG.

Ow!

There, that's better, isn't it?

Come on, you deal, mate.

I'll just go and wash my hands then I'll come back and sort you out.

Oh!

Is he mental or summat?

We'll need to fetch Mr Harris's five milligrams of oral morphine.

-I need to sort this out first.

-Yeah, yeah, yeah, of course.

Did her lab results ever come back?

Not yet. I can go down there, but I...

No, no, no, I'll do it myself, erm...

We just have to get all of this cleared up before Mr Spence

and Mr Malick come back from theatre.

We'd better get a move on then.

BREATHING

What's going on?

You went into atrial fibrillation.

This hasn't happened when you've been in before, so what am I missing?

Nothing.

We can't help you unless you tell us the truth.

You've got tremors, your BP is raised,

your mitral valve has failed again, and now this.

-How did you lose so much weight?

-Exercise. A good diet.

And slimming tablets?

My company doesn't recommend tablets.

We only use natural, healthy techniques.

I don't care about your company, I want to know about you.

How many?

A few.

A lot.

The results of the LFT.

OK, I think you might be heading for heart failure.

We need to get you into theatre straight away,

see what the extent of the damage is.

Martin's still not had his medicine.

I'm sorry, I haven't been able to do it yet.

Why?

I need someone to come to the drugs cupboard with me.

We're short staffed and no-one's available at the moment.

Well, how long will it take?

-I'll do it as soon as I can.

-Nurse, please.

He's in pain, but he won't keep saying.

He'd rather lie there in agony than make a fuss.

OK.

We'll increase the amitriptyline to 20 milligrams, see if that helps. OK?

-How are you doing?

-Oh, fine.

Yeah, Rachel will be here soon.

Right so who's this patient needs transferring?

Mr Withers, he prefers Archie and be warned,

he's not the most optimistic of people.

Hope you've not been spending too much time with him.

OK, let's go and bring a little sunshine into his day.

-Yep, good luck with that.

-Leave it to the master.

Archie, this is Ms Effanga from Darwin Ward.

Oh.

How you doing?

Very badly indeed.

So fascinating the tricks nature plays.

Right, delivering cardioplegia.

Accessing the mitral valve.

-BEEP

-She tested positive for slimming tablets

so there could be more damage than we originally thought.

Thank you, Ms Naylor.

Jac, it's time.

Her mitral valve has worn away.

Her tricuspid and pulmonary valves are also going to need replacing.

Jac, we don't want to be late.

Are you available to assist, Ms Naylor?

Oh, no, you don't.

BEEP

I'll scrub in.

Thank you.

You can't keep doing this, Jac.

There are some things that are more important now.

MACHINE BLEEPS

I didn't see you there.

Erm, earlier on the stairs.

Like, sorry. Yeah?

I didn't mean to scare you.

Thank you, Cameron. I'll bring this over in a minute.

I hate these places. They stink of death.

What are you doing?

I was just getting Mr Harris's morphine.

Can you go and wait by the beds, please? Patients aren't...

Yeah, I got it.

-You can't come in here alone.

-No-one else was free.

Well, what was he doing?

He just wanted to talk to me about something.

I'm supposed to report you for this!

And are you going to?

But if Mr Spence had come in we'd both be in trouble.

You put me in a really difficult position.

Why are you being like this?

Because my career's important to me.

I miss the old you, he was sweet.

I liked him.

Chantelle.

HE SIGHS

-So how are you two getting on?

-Famously.

Apparently there's no room at the inn,

so I'm going to have to sleep with the donkeys.

I was explaining how we're waiting for a bed on Darwin.

Well, till then...

Till then, I'm going to stick around and monitor your symptoms

so that Mr Levy can focus on his other patients.

Excuse me.

Hey, Dad.

Dad.

Dad, do you know?

No, no, of course not.

-I thought they might have told you.

-No, they haven't, Scout's honour.

-But when we see Nathan I'll be there with you, so...

-I know, I know.

I'll be fine, Dad.

Sorry, I've got Ms Campbell on the phone for you.

No, I can't talk. We've got an appointment.

It's about that.

Cheers.

Hello.

What do you want?

OK, Trevor. Try not to keep on shouting.

-Nurse.

-Sorry.

-Leave me alone.

Can't someone shut him up?

Here, you shuffle.

PHONE RINGS

-Who is that?

-Erm, it's no-one.

You've not been hanging around with that crowd again, have you?

It's just a girl I met.

Mr West has been transferred to oncology, so we've got a spare room.

I've just got to wait for the cleaners to finish.

OK, who are you going to move?

Go away!

Er, yeah, I think it's going to have to be him.

I don't think anyone's going to get any rest otherwise, are they?

-Argh!

-Nurse!

-What's happening?

The pain in my back just keeps getting worse.

But the morphine should have started kicking in.

-I...

-What?

-I can't feel my legs at all now.

-How long till you get him sorted?

Just as soon as Mr Spence gets back from theatre.

How long will that be?

I don't know, erm... Just excuse me.

Nurse Lane, see if you can find out

-when they're due back I don't think Mr Harris can wait a lot longer.

-OK.

I hope I haven't dragged you away from anything important.

No.

The slimming tablets caused all this.

Most probably. What was she thinking?

She wanted to look good.

Well, all she did was make sure she ended up in hospital again.

She could have saved us all a lot of time and trouble

if she had only been honest about what was going on.

Right, let's get started.

OK. If you will remove any residual tissue,

I'll be ready with the replacement valve.

Listen, mate. If this operation doesn't work out...

It will.

Yeah. But, if it doesn't...

We need to talk about this.

It'll be all right. I can fetch us takeaways until you get better.

OK, Trevor, you just rest

and we're going to take you somewhere nice and quiet.

-Where you taking me?

-Where's he going?

A room on his own, so you should get some peace.

-You've got a room and you're giving it to this mentalist?

-Language.

It will just make things better for everyone.

-Martin should get the room.

-I don't want it.

Kate died with strangers all around her. It's not right.

-Cameron, please.

-This vegetable doesn't even know where he is.

-Now that's enough.

-He can stay here.

-Stop it!

-Let go.

-What makes you so special?!

-You stupid, soft brained...

-Enough!

Unless you want to get done for assault.

It's not fair.

Get some air, and cool off.

One more word and you're gone...for good.

Martin?

You look tired.

I'm fine.

You know, one of the things I admire about you, Jac,

is your absolute commitment to your work.

You're not easily distracted. So when you are, I wonder what's wrong.

Nothing.

If you've got something you need to deal with then I can finish up here.

It's not a problem.

Thank you.

He's got this temper on him.

Kate seemed to calm him down...

..he never played up so much when she was around.

I didn't do such a good job.

At that age, they don't make it easy, do they?

He's scared I won't be able to look after him.

We'll do our best to make sure the procedure's a success.

I... I'm not sure I can manage, even if it does go all right.

Try to rest.

You don't have to make any decisions today. OK?

Excuse me. Right, you two. Debrief. Now.

-Jonny, you coming?

-Where?

-We have an appointment.

Erm, No. That was an hour and a half ago and you missed it.

-Well, I thought you could beg again.

-Whoa! Wait. I can't just leave. Jac!

Excuse me are you busy at the moment...

He's been a bit prickly all day, but nothing this bad.

And we've had a lot to deal with.

Like?

Well, we had a problem with Mr Duncan.

He started bleeding from his wound.

-Why?

-That was my fault.

I got distracted after Nurse Lane asked me to check his obs.

I didn't get a chance to check his heparin.

And whose idea was it to put a patient with neurological problems

on a shared bay in the first place?

That was one of mine too.

We shouldn't have left you alone. It was too soon.

No, no I...

-You weren't ready.

-I was. I am.

-Doesn't look like it.

What was your part in all this, Nurse Lane?

I... Well, Mr Harris needed morphine, and I was...

She didn't do anything wrong. I was in charge.

Everything that happened, it was my responsibility.

OK then, you'd best get back to work, Nurse Lane.

Heaven help anyone who gets ill around here

if you're the best we have.

If I could just say...

No, you can't just say. You let me down, Diggs.

Guess I'm going to have to find you a task you're more suited to.

Argh...this is what hell actually looks like.

Hello again.

So you're the mystery patient.

-Did I not give you a name?

-We've met before.

Indeed. You're late.

-Just a wee bit.

-90 minutes is not "wee".

Ms Naylor was called into theatre for an emergency procedure.

I see, and I suppose nobody else that comes here has a job?

From the looks of them, no.

So will your other friend be joining you?

Mo? I barely know the woman.

I see, so she was just a stranger you decided to watch giving birth?

-Pretty much, yeah.

-And now it's your turn.

We're not taking turns! I just happen to be...

in need of your services.

So If you could slip us in anywhere we would be most grateful.

I don't know. It's not really how we do things around here.

OK, look, you've had your little power trip.

Why don't you just tell us if you're going to let us in or not?

Well, you'll have to wait.

That's fine.

And no promises because we are very busy

with people who did bother to show up on time.

-Thank you.

-Take a seat.

-So what are you doing?

-What does it look like?

-She shouldn't be much longer.

-Stop saying that.

Sorry it took so long.

-How are you, Rachel?

-All right.

Nathan is going to be stuck in a consult all afternoon, and I wanted

to make sure I'd read your notes thoroughly before I spoke to you.

So you know?

Yes.

Could you not have got us one with cars or gadgets or something?

Shut up and read.

You'll never guess who's had lipo!

We have a questionnaire we'd be very grateful if you could help us with.

Of course.

Hmm. These are just a few questions about some of the facilities

you've encountered on your visit here today.

I know, we had to do the same pointless exercise on Darwin.

It was just a favour.

Something to pass the time while we see if we can find a space for you.

-So no other questions?

-I don't think so.

-You going in?

-Yeah. Wish me luck.

-Good luck, Dad.

-I'll be back before you know it.

OK, let's get started.

Cameron?

Would you like a cup of tea?

Well, you're in luck.

Mrs Nikitakis is stuck in traffic and will miss her appointment.

I'm not sure I should let you have it though.

There are procedures we're supposed to follow.

I did your stupid questionnaire.

I think what Ms Naylor is trying to say is...

Is that I did your stupid questionnaire.

What more do you want?

A pound of flesh? My bank PIN number?

I don't appreciate your attitude, dear.

Few people do. I've learned to live with it.

Will you be having the baby here?

-We're not sure yet...

-Not if I can possibly help it.

This way then.

Here we go. Sorry it took so long.

What are you doing?

Just giving you a bit of privacy.

This must all be very hard for you.

Cameron, I'm going to have to call your social worker.

What?

You need someone to look after you while Martin recovers.

I'll be all right on my own.

That's not allowed, I'm afraid

I'm 16.

In your...circumstances... you need someone to...

-Keep an eye on me?

-Take care of you.

You can call who you like, I'm not talking to them.

They're there to help.

You don't know the first thing about...

I can wait till Martin gets better, OK?

But we don't know how long that might be.

Hello again.

I'm looking forward to telling everyone all about you.

I bet they're going to be well excited.

I'll bet they are looking forward to meeting you.

I'm really looking forward to meeting you too.

-Jonny.

-Yeah?

The foetus can't hear you, I can. Shut up.

I told you she'd be all right. Don't ever doubt my wisdom again.

-I'll try not to.

-Where's Rachel now?

She wanted to spend some time with her friends

without me cramping her style.

Just act like it's a normal day.

Good girl. Well, it's definitely celebratory pints tonight.

That little ray of sunshine you referred to me is being transferred.

I know. When I went to the ward they said you'd disappeared.

I just reckoned you'd come out here to escape from the two J's.

-A girl's got to eat.

-What is it with those two?

I haven't seen much of Jac much recently. Are they still...?

Shut up and eat your rice.

-Hey, Cameron.

-Hey, how's he doing?

There's been a few complications.

I've had to step out to give the Orthopod team more room.

But he's going to be all right?

It's too early to say yet.

But they're doing their very best for him.

If you go and wait on the ward

I'll let you know as soon as he's out of theatre.

Promise.

MOBILE RINGS

What's up?

Hey, Archie. We're ready for you in theatre.

Oh... Oh dear.

I'll be with you while you're being prepped. Nothing to worry about.

It's just a routine procedure. Think about what you'll do once you're out of here.

What have I got to look forward to?

Well, you could sue the people who organised the course,

that way you could make a fortune?

Yeah! Yeah, a big payout could change my life.

Wait... I didn't mean it.

I'd be able to take Deirdre on that cruise she always wanted.

Well, in that case, I think you should go for it.

I could be rich!

Absolutely. Well, you hold onto that thought.

Bye. I'll see you in the anaesthetics room.

He'll never win. He had a pre-existing condition.

Yeah, I know. But look at him.

Listen, I'll tell him the truth when he comes round.

Let him have his 15 minutes of happiness.

You, my friend, are a very bad man.

Look, not a word, OK? We need to strategise.

We're telling people about our baby, not invading a foreign nation.

I mean it, Jonny!

You're not worming your way out of this. You promised!

Oh, Elliot, how's Victoria?

She's recovering in HDU.

Can I have your attention? We have an important announcement.

Do you know what this is about?

This won't take long, folks,

but Ms Naylor has something she would like to say.

No, I don't.

Now or never.

I...erm...

Tah-dah!

Stone the crows.

Sorry... Is that...?

Yes, it's a baby. Very observant, doctor.

Congratulations.

-It is good news?

-Mmm.

-And are you...the man?

-I am he.

-Good news also?

-Yes, thank you!

Right, well, I don't know about the rest of you,

but I have patients to see.

Great news! Fantastic!

Night.

Night.

Where's Professor Hope?

He had to go. I said I'd wait and explain things to you.

What things?

You've done serious damage to your heart with those tablets.

You're lucky to be alive.

You're not naive, you must have known they could be dangerous,

especially to someone with your condition.

You weren't the only one who wanted me to lose weight.

Your husband?

Stupid thing is that I did it for him, and he still left.

Pathetic, isn't it?

Well, if all he cares about is your weight

then maybe you're better off without him.

Well, it's not what I wanted.

That doesn't mean things won't work out. You just have to wait and see.

Dr Digby, congratulations are in order.

Thank you.

Right, shall we hit the Shiraz?

I'm afraid I can't come.

You got a better offer?

Just something I have to sort out.

All right. Well, don't let us keep you.

Chantelle!

You made me jump.

I wanted to say...to try to say...

..when Napoleon married Josephine people were surprised.

Napoleon?

They were an unlikely couple but they ended up together.

Forever?

No, no. She had an affair

while he was leading the French army in Italy.

But nobody's perfect.

Oh, Arthur, you do talk in riddles.

I've got a knife. Don't turn around.

CAR ALARMS BLARE

Arthur...

Arthur...

Arthur?

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