0:00:40 > 0:00:42I think it's back, I found a lump.
0:00:42 > 0:00:44All right, let's get you checked out.
0:00:44 > 0:00:46It's a stage-one cancer,
0:00:46 > 0:00:49the treatment plan will be a five week course of radiotherapy.
0:00:49 > 0:00:51And what are my chances of survival?
0:00:51 > 0:00:54It's hard to put numbers on these things.
0:00:54 > 0:00:57Congenital diaphragmatic hernia. Almost certainly.
0:00:57 > 0:00:59Survival rates? 50/50.
0:00:59 > 0:01:02This is your baby too, haven't you got an opinion on the matter?
0:01:02 > 0:01:04You're her mum, she's inside you. Is that it?
0:01:04 > 0:01:08I just don't want you to put yourself through this on my account.
0:01:08 > 0:01:09OK. You win.
0:01:14 > 0:01:15WOMAN: No!
0:01:15 > 0:01:17We're trying to help you here, Theresa.
0:01:17 > 0:01:18What am I doing here?
0:01:18 > 0:01:21A question I often ask myself.
0:01:21 > 0:01:25Jac must be relieved the amnio came back all clear.
0:01:25 > 0:01:27Oh, aye, she's turning cartwheels right enough. No!
0:01:27 > 0:01:32Many things are optional in life, Theresa, oxygen isn't on that list.
0:01:34 > 0:01:37Sorry, I know CDH is still a serious diagnosis.
0:01:37 > 0:01:4050/50 chance of survival, yeah, not great.
0:01:40 > 0:01:44Sorry. I'm not sleeping very well.
0:01:44 > 0:01:47I could really have done with a nice quiet day.
0:01:47 > 0:01:49Here. Thanks.
0:01:49 > 0:01:52Where's Spence? Been delayed in surgery.
0:01:52 > 0:01:54Just put her under.
0:01:54 > 0:01:55I've told you, we have to wait.
0:01:55 > 0:01:59If I perform a thrombectomy now, Mrs Shaw might win Wimbledon yet.
0:01:59 > 0:02:01Unlikely. She's 68.
0:02:01 > 0:02:04You've seen me do this before. We need a consultant present.
0:02:04 > 0:02:07Spence'll be here before we finish. Come on, we can avoid amputation.
0:02:07 > 0:02:10The leg's been without circulation for over five hours.
0:02:10 > 0:02:12You know what, I learned to tell the time when I was three.
0:02:12 > 0:02:16We need to re-vascularise now! Malick, it's not your call.
0:02:18 > 0:02:21OK, we need to get a line in. Oh, do you reckon?
0:02:21 > 0:02:23Ah. Good. Mayhem. This is Theresa Brooking.
0:02:23 > 0:02:25Extreme chest pain and difficulty breathing.
0:02:25 > 0:02:29And keeping still. OK, OK, OK, look you take this. OK.
0:02:32 > 0:02:34Thanks, Jonny. Jonny?
0:02:34 > 0:02:38OK, she was diagnosed with endocarditis in '94.
0:02:38 > 0:02:42Her tricuspid was replaced in '97 and the mitral in 2009.
0:02:42 > 0:02:45She had a bad infection after that procedure, which they've sorted.
0:02:45 > 0:02:47Is on floxacillin and gentamicin.
0:02:47 > 0:02:50A neighbour called an ambulance today after she collapsed.
0:02:50 > 0:02:51I wish she'd never interfered.
0:02:51 > 0:02:54I'd have thought it would have been nice to have such a caring neighbour.
0:02:54 > 0:02:56You've never met her.
0:02:56 > 0:02:57I need to take your pulse.
0:03:00 > 0:03:01Don't come in here! Please.
0:03:01 > 0:03:03Close the door! Please close the door!
0:03:03 > 0:03:06Sorry, can you please come back later. OK. Thank you.
0:03:09 > 0:03:13Back in the day coffee was just a simple choice, black or white.
0:03:13 > 0:03:16Bit like men. Now it's decisions, decisions.
0:03:16 > 0:03:20My usual, please. Hmm, that's a relief.
0:03:20 > 0:03:23I thought maybe I'd left my invisibility cloak at home.
0:03:23 > 0:03:24Sorry?
0:03:24 > 0:03:27Well you clearly can't see me, the way you pushed in like that.
0:03:27 > 0:03:30I was just engaging with another human being -
0:03:30 > 0:03:33not enough of that these days. Sorry, it's just I'm running late.
0:03:33 > 0:03:37Oh, in a hurry, are you? That explains it. Explains what?
0:03:37 > 0:03:40That scarf. Those shoes.
0:03:40 > 0:03:45Unfortunately I'm nil by mouth today. I am allowed water.
0:03:45 > 0:03:50So let's see, still or sparkling? Skinny latte, please.
0:03:50 > 0:03:51Hmmm, very wise.
0:03:52 > 0:03:54Forget it.
0:03:54 > 0:03:59Can we have dinner sometime? Be Facebook friends? Poke me.
0:04:02 > 0:04:03Old flame?
0:04:03 > 0:04:05What do you think?
0:04:07 > 0:04:09OK, let's have a chest CT and an echo.
0:04:09 > 0:04:12Also LFTs, Us and Es, group and save, cross-match and clotting.
0:04:12 > 0:04:13Let's get this back on you.
0:04:13 > 0:04:15PATIENT GASPS
0:04:15 > 0:04:17Hey! Watch it.
0:04:17 > 0:04:19I'm fine. I'm so sorry, darling.
0:04:19 > 0:04:22Oh, do tell her I didn't mean to... She'll live.
0:04:22 > 0:04:24Oh, when's it due? Her baby?
0:04:24 > 0:04:25I'm not sure.
0:04:30 > 0:04:33Why's she so wired? Hospitals can be scary places.
0:04:33 > 0:04:37Be good to speak to a relative. Her daughter's down as next of kin.
0:04:37 > 0:04:40Listen, it's none of my business...
0:04:40 > 0:04:41Why do people always say that
0:04:41 > 0:04:43before they come wading in with their size 12s?
0:04:43 > 0:04:46Clump-clump-clump. What are you going to do?
0:04:46 > 0:04:49We haven't had time to talk since the amnio.
0:04:49 > 0:04:51Nurse. Thank you. It's a lot to take in.
0:04:51 > 0:04:53You know you don't have much time to decide, right?
0:04:53 > 0:04:55She'll talk to me when she's ready.
0:04:55 > 0:04:57Maybe she wants to know what you're thinking.
0:04:57 > 0:04:58What are you thinking?
0:04:58 > 0:05:01I'm thinking I need to get these tests done.
0:05:01 > 0:05:03The thrombectomy is simple! PHONE RINGING
0:05:03 > 0:05:05Her obs... I just need to open the graft.
0:05:05 > 0:05:08..Are not looking good. I'll take responsibility.
0:05:08 > 0:05:09Dr March, theatre two.
0:05:09 > 0:05:12You're not a consultant, so you can't take that responsibility.
0:05:12 > 0:05:14Actually, I'm qualified as a consultant,
0:05:14 > 0:05:16so let's break this stupid rule, all right.
0:05:16 > 0:05:18And the last time you broke the rules,
0:05:18 > 0:05:20that worked out well for all concerned, yes?
0:05:22 > 0:05:25Mr Spence will be here in ten minutes.
0:05:25 > 0:05:27She doesn't have ten minutes.
0:05:28 > 0:05:31Theresa Brooking's results. And I think we should get psych in.
0:05:31 > 0:05:35Why? I think she has a disorder. Maybe OCD.
0:05:35 > 0:05:37Ha-ha, oh, yeah, based on?
0:05:40 > 0:05:41Based on stuff like that.
0:05:41 > 0:05:44Uh, Theresa, you should be in bed. The door! The door!
0:05:44 > 0:05:48OK, OK. Your not supposed to be out of bed, sweetheart, OK. So...
0:05:48 > 0:05:51I can manage. Jonny, yes? Yes.
0:05:51 > 0:05:54My daughter's fiance, he's called John.
0:05:54 > 0:05:57Um, we tried to ring her - Annie, isn't it?
0:05:57 > 0:06:01They number you gave us, it's just ringing out.
0:06:01 > 0:06:03Yes, she's on her travels.
0:06:03 > 0:06:06Is that a wee picture of her in the locket there? Mm.
0:06:06 > 0:06:09Theresa, I'm afraid your endocarditis has returned.
0:06:09 > 0:06:12And it would appear the aortic valve is now affected.
0:06:12 > 0:06:15I don't understand. There's an abscess.
0:06:15 > 0:06:18I've done everything. All the precautions.
0:06:18 > 0:06:21And on top of that, you have mitral and tricuspid valve regurgitation.
0:06:21 > 0:06:25The best way forward is to perform a redo-valve replacement
0:06:25 > 0:06:28of all three valves. No, no, I don't think that's wise.
0:06:28 > 0:06:30Why not? They screwed it up last time. Gave me this awful disease.
0:06:30 > 0:06:34You contracted a post-operative infection. Nobody gave it to you.
0:06:34 > 0:06:35It'll happen again. I know it will.
0:06:35 > 0:06:38You've obviously been through a lot over the years,
0:06:38 > 0:06:41but, really, this surgery, it's the best option.
0:06:41 > 0:06:44It's the only option. He said the best option.
0:06:44 > 0:06:46Give me some good news, Jonny?
0:06:46 > 0:06:49I mean, I can alter your meds, but Ms Naylor's right, in the long term...
0:06:49 > 0:06:52Then do that. Change the magic pills.
0:06:52 > 0:06:55Theresa, you need this operation and I think you need it today.
0:06:55 > 0:06:56I'll book a theatre.
0:06:58 > 0:07:00I'll be right back.
0:07:02 > 0:07:06Well, that was a tad brusque, even by your very high standards.
0:07:06 > 0:07:08I'll leave the hand holding to you.
0:07:08 > 0:07:11In case you hadn't noticed, she doesn't like to be touched and
0:07:11 > 0:07:14then there's all those tics and the whole door...
0:07:14 > 0:07:15DOOR BANGS REPEATEDLY
0:07:15 > 0:07:19Door closing thing. I'm going to get psych down.
0:07:19 > 0:07:21Well, she'll have to make a decision soon.
0:07:21 > 0:07:25If she looks at it logically, she'll see this is the only way to go.
0:07:25 > 0:07:28Talking of making decisions... I need to book a theatre.
0:07:28 > 0:07:30HE SIGHS
0:07:32 > 0:07:34You agree?
0:07:34 > 0:07:37Yeah, I agree you'd have aced a thrombectomy with your eyes closed.
0:07:37 > 0:07:41Not to be advised, by the way but hey, what's done is done.
0:07:41 > 0:07:44A patient loses her leg unnecessarily but we just move on?
0:07:44 > 0:07:47What other choice we got? Nice.
0:07:47 > 0:07:50Hey, I didn't say I was going to crack open a bottle of champagne,
0:07:50 > 0:07:55but Edward was right to make you wait.
0:07:55 > 0:07:57If anything had gone wrong... No chance.
0:07:57 > 0:07:58..there would have been hell to pay
0:07:58 > 0:08:01because you are still just a registrar. Actually...
0:08:01 > 0:08:05Your official title is still registrar, right? OK.
0:08:05 > 0:08:09So until you become a consultant, you don't get to call the shots.
0:08:09 > 0:08:12Those are the rules. Like you always played by the rules. Ah!
0:08:20 > 0:08:22CHRISSIE: I need to arrange transport for Susan Kallend.
0:08:22 > 0:08:26And can you change Mr Elder's dressings please?
0:08:26 > 0:08:28The smelly old wino? My speciality.
0:08:28 > 0:08:31You mean the poor, homeless man with the painful burns, right?
0:08:31 > 0:08:33Yes, of course, Shall I sort transport as well?
0:08:33 > 0:08:35Ah, bay three, Mrs Govan.
0:08:35 > 0:08:38I've changed her stoma bag, but you can call her husband and
0:08:38 > 0:08:40let him know that she's ready to leave.
0:08:40 > 0:08:42Nurse!
0:08:46 > 0:08:48Busy? No chance of that.
0:08:48 > 0:08:51But we're jam-packed. Yeah, I know, but Chrissie's going at it
0:08:51 > 0:08:54like it's her last day on earth.
0:08:54 > 0:08:57Oh, Sacha, I'm sorry, I didn't mean...
0:08:57 > 0:08:59Well, you've got to admire her though.
0:08:59 > 0:09:01If it was me, I'd be at home with my feet up.
0:09:01 > 0:09:02You do surprise me.
0:09:02 > 0:09:04Do you not think she's amazing though?
0:09:04 > 0:09:06Of course you do. You married her.
0:09:09 > 0:09:11Sacha, I am so sorry again.
0:09:15 > 0:09:17You know this place would not fall apart
0:09:17 > 0:09:19if you were not here for a day or two?
0:09:19 > 0:09:21Yeah, right. PHONE RINGS
0:09:23 > 0:09:27OK. Maybe it would. But you look tired.
0:09:27 > 0:09:30Great, thanks, just what every woman wants to hear.
0:09:30 > 0:09:32I meant that you could take the afternoon off.
0:09:32 > 0:09:35You don't have to be here. I do, actually.
0:09:35 > 0:09:37Why?
0:09:37 > 0:09:39It's my first radiotherapy session today.
0:09:39 > 0:09:42What? No biggie.
0:09:42 > 0:09:43PHONE RINGS
0:09:43 > 0:09:46Chrissie, Chrissie of course it's a biggie... AAU.
0:09:46 > 0:09:48SHE SIGHS
0:09:48 > 0:09:50We need to talk about the baby.
0:09:50 > 0:09:55When we went to see Mr T and he told us all the things that could
0:09:55 > 0:09:58happen, the different scenarios, umm, I didn't know what to think.
0:09:58 > 0:10:01But now we've both had time to process it...
0:10:01 > 0:10:04Jonny, let me put you out of your misery. I'm sorry?
0:10:04 > 0:10:06I've booked a termination.
0:10:08 > 0:10:10When?
0:10:10 > 0:10:12This afternoon. 4.45.
0:10:13 > 0:10:17How terribly precise of you! You booked a termination without...?
0:10:17 > 0:10:21Yes, Dr Theiler. Don't ever put me on hold again.
0:10:21 > 0:10:23Did you look at the scans?
0:10:27 > 0:10:29Mmm-hmm.
0:10:32 > 0:10:35So you're free at that time? Of course.
0:10:35 > 0:10:36One moment please.
0:10:37 > 0:10:39Mr Malick?
0:10:39 > 0:10:40It's OK. I'll see you later.
0:10:40 > 0:10:42Good work in theatre.
0:10:45 > 0:10:48I passed my exams months ago. Indeed you did.
0:10:48 > 0:10:50So I should be a consultant.
0:10:50 > 0:10:52Well there is nothing available at present, you know that.
0:10:52 > 0:10:56Is it likely there'd be anything available, you know, before my retirement date?
0:10:56 > 0:10:58Perhaps you'd like me to sack one of your colleagues.
0:10:58 > 0:11:00Depends, do I get to choose which one?
0:11:01 > 0:11:03I'm sorry, it's just...
0:11:05 > 0:11:10I am so ready. For more responsibility. To lead a team.
0:11:10 > 0:11:14But are you? The best leaders are those who are capable
0:11:14 > 0:11:16of taking instruction themselves. I get that.
0:11:16 > 0:11:18Rules are there for a reason.
0:11:18 > 0:11:20What happened in theatre this morning was...
0:11:20 > 0:11:22May I remind you that you are paid to lead and teach.
0:11:22 > 0:11:24In that respect,
0:11:24 > 0:11:26you failed spectacularly in the very recent past.
0:11:26 > 0:11:29Ah, come on, you know how grateful I am for the way you stood by me
0:11:29 > 0:11:31over the Dominic Copeland case.
0:11:31 > 0:11:33I backed my judgment.
0:11:33 > 0:11:36Please don't let me down again.
0:11:36 > 0:11:38Young Dr March has tremendous potential
0:11:38 > 0:11:42and I hope she will benefit greatly from being under your wing.
0:11:58 > 0:12:01MALICK: Try to get some rest, OK.
0:12:03 > 0:12:05That, my young Malickite,
0:12:05 > 0:12:08was a masterclass in how to deliver bad news.
0:12:08 > 0:12:12Know exactly what you're going to say, make eye contact...
0:12:12 > 0:12:15Try not to yawn when you tell someone you've cut off their leg.
0:12:15 > 0:12:17What? You ask me, she didn't take it in, anyway.
0:12:17 > 0:12:19I didn't ask you. I was just saying.
0:12:19 > 0:12:22And this is how the mentoring thing works, Dr March.
0:12:22 > 0:12:26Rule one - you are interested in what I'm saying, all right.
0:12:26 > 0:12:28Seems everyone was wrong about you, then. Wrong?
0:12:28 > 0:12:31Heard The Malick was something of a maverick.
0:12:31 > 0:12:33You know, Holby's answer to Colin Farrell.
0:12:33 > 0:12:35Yeah?
0:12:35 > 0:12:38But it seems not. It's a shame. I was thinking, lucky girl.
0:12:38 > 0:12:40And so you are... Meh!
0:12:42 > 0:12:45I know this is very painful, but you've got to keep still, OK,
0:12:45 > 0:12:47so we can do this.
0:12:47 > 0:12:48Problem?
0:12:48 > 0:12:52No. You all right with this? It's what I live for.
0:12:52 > 0:12:54Great.
0:12:56 > 0:12:58Sacha, I can look after myself.
0:12:58 > 0:13:02That's just the point. Look, I know things are...
0:13:02 > 0:13:07That we're not...living together, but you're still my wife,
0:13:07 > 0:13:09and I think I should be the one to look after you.
0:13:09 > 0:13:11And I know that you're there for me.
0:13:11 > 0:13:13I didn't even know you were starting treatment today.
0:13:13 > 0:13:15Sacha...
0:13:15 > 0:13:17Let me come with you.
0:13:17 > 0:13:20No, that won't be necessary. But it's your first.
0:13:20 > 0:13:22It's a hospital appointment, not a baby.
0:13:22 > 0:13:26Surely you're nervous? No, I'm fine.
0:13:26 > 0:13:30I don't need you, or anyone else to hold my hand through this.
0:13:30 > 0:13:32Anyway, you're going to be run off your feet here all day.
0:13:34 > 0:13:38I been having pains on and off for six, maybe eight weeks.
0:13:38 > 0:13:39Well, which is it?
0:13:39 > 0:13:42Mr Malick, this is Montgomery Keates. Monty.
0:13:42 > 0:13:4320 years old.
0:13:43 > 0:13:46He's been suffering periodic stomach pains for six or eight weeks.
0:13:46 > 0:13:49Not sure which. Experienced severe pain this morning.
0:13:49 > 0:13:52Slight temperature. I had a dodgy kebab a few days ago.
0:13:52 > 0:13:55So you called an ambulance because you overdid the chilli sauce?
0:13:55 > 0:13:57Maybe I should go back to work.
0:13:57 > 0:13:58HE MOANS IN PAIN
0:13:58 > 0:14:00We can let your work know where you are.
0:14:00 > 0:14:04Thanks. I'm on a placement at Cooper and Cooper.
0:14:04 > 0:14:06Biggest law firm in Holby.
0:14:06 > 0:14:08What are you, the tea boy?
0:14:08 > 0:14:11Er...law student.
0:14:11 > 0:14:12Tea boy.
0:14:14 > 0:14:18Sorry about that, she's... Hot. Don't you think?
0:14:18 > 0:14:21Not my type. Excuse me.
0:14:24 > 0:14:25Hey, the boy's in pain.
0:14:25 > 0:14:29Show a little TLC and if you can manage that, I'll let you lead.
0:14:29 > 0:14:30Lead?
0:14:30 > 0:14:33Unofficially. I'll be observing, of course.
0:14:33 > 0:14:35Maybe you should make notes.
0:14:35 > 0:14:37Don't push it.
0:14:38 > 0:14:40OK, thanks for that.
0:14:42 > 0:14:44Mo? That's for you.
0:14:45 > 0:14:47I've been doing some digging.
0:14:47 > 0:14:50According to the consultant who treated her in '97, the
0:14:50 > 0:14:53endocarditis may have been caused by a historical drug addiction.
0:14:53 > 0:14:56Apparently our Theresa was a bit of a wild child back in the day.
0:14:56 > 0:14:58How wild?
0:14:58 > 0:15:03Like full-on hippy experimental flower power child of the '60s.
0:15:03 > 0:15:05Go Theresa. Mmm.
0:15:05 > 0:15:08There is nothing in her file to indicate OCD.
0:15:08 > 0:15:11Well, there's definitely something going on.
0:15:11 > 0:15:14Listen, sorry about earlier. Y'know, clump-clump-clump.
0:15:14 > 0:15:17You were right. I talked to Jac.
0:15:18 > 0:15:19And?
0:15:21 > 0:15:24She's booked a termination. For this afternoon.
0:15:24 > 0:15:25Oh.
0:15:25 > 0:15:27MACHINES BEEP LOUDLY
0:15:30 > 0:15:32I can't...
0:15:32 > 0:15:34OK, try and calm down Theresa.
0:15:34 > 0:15:37Her BP's dropped. Oxygen below 90.
0:15:37 > 0:15:38(MUFFLED) The door...
0:15:38 > 0:15:40Right. We've got an impending pulmonary oedema.
0:15:40 > 0:15:42I'll page Jac.
0:15:52 > 0:15:54Won't be long, Chrissie. Thanks.
0:16:00 > 0:16:02Sorry. Would you mind if I...
0:16:02 > 0:16:04Of course, doll. Here you are, let me.
0:16:07 > 0:16:09It'll be the cuts, I suppose.
0:16:09 > 0:16:13Only you'd think you'd have a staff room so you wouldn't have to
0:16:13 > 0:16:16mingle with us common folk on your lunch break, Nurse.
0:16:16 > 0:16:18Sister Williams.
0:16:18 > 0:16:21Ooh, any relation to Robbie?
0:16:21 > 0:16:25No. Not much chance of letting you entertain anyone.
0:16:27 > 0:16:29Chrissie Williams.
0:16:32 > 0:16:35Eh, you're on, kiddo.
0:16:42 > 0:16:45Ms Naylor does know what she's doing.
0:16:47 > 0:16:49Um...
0:16:59 > 0:17:02You're right. Impending pulmonary oedema.
0:17:02 > 0:17:06You may have a bit of fluid on the lungs which is why you're finding
0:17:06 > 0:17:08it a wee bit difficult to breathe.
0:17:08 > 0:17:11If it develops fully, you'll be finding it more than a
0:17:11 > 0:17:14"wee bit" difficult. It can lead to respiratory failure.
0:17:14 > 0:17:16If we wait much longer, even a few hours,
0:17:16 > 0:17:20your chances of surviving a surgical procedure will be radically reduced.
0:17:20 > 0:17:22PATIENT WHIMPERS
0:17:22 > 0:17:25I'm sorry. But if you'll let me, I can help you.
0:17:28 > 0:17:31Um...would you like a wee bit of this?
0:17:34 > 0:17:39Theresa, I know you had a bad experience last time,
0:17:39 > 0:17:43but you seem a wee bit over cautious about...
0:17:43 > 0:17:45I used to be scared of nothing.
0:17:45 > 0:17:51Now I'm scared all day, every day, for me, for my girl.
0:17:51 > 0:17:54And she's so far away. You got kids?
0:17:56 > 0:17:57No.
0:17:57 > 0:17:59But you want them one day?
0:17:59 > 0:18:01Never let them out of your sight.
0:18:01 > 0:18:03We'll be back in a minute.
0:18:07 > 0:18:10Her BP's right down. And her breathing's very laboured.
0:18:10 > 0:18:13I'm going to try and see if I can get someone to deep clean the theatre.
0:18:13 > 0:18:15I think it might help get her in there.
0:18:15 > 0:18:17You should probably consult Jac before you do that.
0:18:17 > 0:18:19Not that she always consults you about stuff.
0:18:19 > 0:18:22Jac and I have made a decision. And you're happy with that?
0:18:22 > 0:18:24Just leave it, Mo.
0:18:26 > 0:18:28MONTY: I enjoy a beer or two. I'm a student.
0:18:28 > 0:18:31Part of the course work. Drugs?
0:18:31 > 0:18:32Not just now, thanks.
0:18:32 > 0:18:37Do you always use humour to evade difficult questions or situations?
0:18:37 > 0:18:42OK, I do a bit of puff. That's all. Please don't report me.
0:18:42 > 0:18:44My colleague is just trying to establish what might have
0:18:44 > 0:18:46brought on your symptoms.
0:18:46 > 0:18:49I'd be finished, you know, as a lawyer. Drugs on my record.
0:18:49 > 0:18:52I'd like to order LFTs, Us and Es, group and save,
0:18:52 > 0:18:55cross-match and clotting. Abdominal X-ray and ultrasound.
0:18:55 > 0:18:59Your father's down as next of kin. I'm not going to peg it, am I?
0:18:59 > 0:19:01Would you like us to tell him where you are?
0:19:02 > 0:19:05He's on a big fraud case. No need to worry him.
0:19:05 > 0:19:07What about your mum?
0:19:07 > 0:19:10She died ten years ago.
0:19:10 > 0:19:12I'm sorry to hear that.
0:19:12 > 0:19:15If you would like to excuse us. Dr March.
0:19:19 > 0:19:21Diagnosis?
0:19:21 > 0:19:24Query appendicitis. Maybe IBS? Better order those tests then.
0:19:24 > 0:19:26Sure. Quick, March.
0:19:26 > 0:19:29SHE CHUCKLES WRYLY That so never gets old!
0:19:32 > 0:19:34CLOCK TICKS
0:19:42 > 0:19:44KNOCK ON DOOR
0:19:47 > 0:19:49Press harder.
0:19:51 > 0:19:54Look, we need to scan the whole abdomen, OK?
0:19:59 > 0:20:03I burned myself. Accidentally, years back.
0:20:03 > 0:20:06Nine or ten times? They say smoking's bad for you.
0:20:06 > 0:20:09Ten "accidental" cigarette burns?
0:20:09 > 0:20:12Dr March - the ultrasound.
0:20:12 > 0:20:16I had a few...issues, when I was younger.
0:20:16 > 0:20:17A bit more to the left.
0:20:17 > 0:20:20Believe it or not, I wasn't always the incredible physical specimen
0:20:20 > 0:20:21you see before you.
0:20:21 > 0:20:24You were overweight? They called me Monty Dumpty at school.
0:20:24 > 0:20:27Did you get treatment? For being fat? For self-harming.
0:20:27 > 0:20:29I don't think this is appendicitis.
0:20:29 > 0:20:32I want to order an erect chest X-Ray. Maybe that...
0:20:32 > 0:20:35I didn't need treatment. I got through it.
0:20:35 > 0:20:36HE GROANS
0:20:36 > 0:20:40Hey, hey, hey, try to stay calm. I'm all right now. I'm sorted.
0:20:40 > 0:20:41Of course you are.
0:20:41 > 0:20:44Look...I'm sorry to mess you... HE MOANS
0:20:44 > 0:20:46What is it?
0:20:46 > 0:20:49I'd like my dad here. Please?
0:20:51 > 0:20:54JAC: A deep-clean of the whole theatre?
0:20:54 > 0:20:56Yeah. If it sets her mind at ease, where's the harm?
0:20:56 > 0:21:00Well, the harm is it's wasting time. Time she may not have.
0:21:00 > 0:21:02Jonny, your psych guy's here. Right, thanks.
0:21:02 > 0:21:03And where's the patient?
0:21:03 > 0:21:05One of the nurses took her to the bathroom -
0:21:05 > 0:21:07she didn't want to use the bedpan.
0:21:09 > 0:21:13Oh, Elliot's at a conference. And?
0:21:13 > 0:21:15It's just I thought you needed to leave early?
0:21:17 > 0:21:20I might have known you'd tell your side-kick.
0:21:20 > 0:21:23So much for your nice quiet day. I'm fine.
0:21:23 > 0:21:26Why don't you speak to Jac again? I'm going to go and get Theresa.
0:21:35 > 0:21:37Mr T.
0:21:38 > 0:21:42Two, three, four, five...
0:21:44 > 0:21:47Two, three, four, five...
0:21:47 > 0:21:50Don't touch me! OK.
0:21:50 > 0:21:53That doctor - the pregnant one - she just wants to cut me open.
0:21:53 > 0:21:55She wants to make you better.
0:21:55 > 0:21:58Stop talking to me like I'm five! Sorry.
0:21:58 > 0:22:02That infection, last time...contaminated me.
0:22:03 > 0:22:05Bacteria crawling.
0:22:05 > 0:22:08They'll get inside me, and they'll spread.
0:22:08 > 0:22:10I won't be able to stop it.
0:22:12 > 0:22:15Look, look what you're doing to yourself.
0:22:17 > 0:22:20We think you may have obsessive-compulsive disorder.
0:22:20 > 0:22:24And we can help you with that. But first, your heart...
0:22:25 > 0:22:29Oh, Jonny, I can't. I-I can't...
0:22:29 > 0:22:33I've already arranged for them to deep clean the theatre. OK?
0:22:33 > 0:22:35All of it, every square inch.
0:22:39 > 0:22:42I'd seen half the world before you were born.
0:22:42 > 0:22:44I'm sure.
0:22:44 > 0:22:47It seemed full of endless things to do.
0:22:47 > 0:22:49And my girl...
0:22:50 > 0:22:54I told her, take risks like me.
0:22:54 > 0:23:00I used to climb mountains, run with the bulls, jump out of planes.
0:23:03 > 0:23:06She wouldn't know me now.
0:23:09 > 0:23:11Would you like me to try and contact her again?
0:23:11 > 0:23:13She's in India!
0:23:14 > 0:23:16Anyway...we're not talking.
0:23:18 > 0:23:22She's getting married out there. And I can't bring myself to go.
0:23:22 > 0:23:24You're not going to the wedding?
0:23:24 > 0:23:28Germs everywhere. Can you imagine what I might get out there?
0:23:30 > 0:23:33SHE BREATHES UNSTEADILY
0:23:37 > 0:23:43I'm going to take you to our super clean theatre, OK?
0:23:43 > 0:23:45SHE WHIMPERS
0:23:45 > 0:23:47SHE MURMURS ASSENT
0:23:52 > 0:23:55All right, Mo. I'm just going to... Mm-hmm.
0:23:57 > 0:24:00This is all so sudden. HE LAUGHS
0:24:00 > 0:24:02Shh! Are we under surveillance or something?
0:24:02 > 0:24:04Fool. Good to see you.
0:24:04 > 0:24:06Yeah, likewise. Should you actually be in here?
0:24:06 > 0:24:09I won't see anything I haven't seen before.
0:24:09 > 0:24:10The gynaecologists' motto.
0:24:10 > 0:24:13That is completely inappropriate. I'm so sorry.
0:24:13 > 0:24:15Are you OK? Me?
0:24:15 > 0:24:18You said there was something you couldn't discuss on the phone.
0:24:18 > 0:24:20It's Jonny Mac.
0:24:20 > 0:24:23Oh. Oh, OK. Well, if Jonny Mac's got gynae problems,
0:24:23 > 0:24:25I'm way out of my depth.
0:24:25 > 0:24:28Listen, has he spoken to you about the baby - since last week, I mean?
0:24:28 > 0:24:29DOOR OPENS
0:24:29 > 0:24:31Out!
0:24:32 > 0:24:37Mo, I...I can't. Patient confidentiality. I can't.
0:24:37 > 0:24:40He's not your patient. No, but Jac is.
0:24:40 > 0:24:44I'm sorry, I really can't discuss this, not even with you.
0:24:46 > 0:24:50I know she's booked in for a termination for today.
0:24:50 > 0:24:52Did she tell you that?
0:24:52 > 0:24:54Jonny did. And?
0:24:54 > 0:24:57He says he's cool about it, but I don't think he is.
0:24:57 > 0:25:00I don't see there is much I can do about that, really.
0:25:00 > 0:25:01Talk to him! I have.
0:25:01 > 0:25:05Well, just be on stand-by, please? For me?
0:25:07 > 0:25:09All right. Cheers.
0:25:10 > 0:25:13Monty's chest X-Ray results. What do you see?
0:25:13 > 0:25:16Looks like free air under the diaphragm. Suggesting?
0:25:16 > 0:25:18A gastric ulcer? Could be. Next step?
0:25:18 > 0:25:22I'm suggesting an exploratory laparotomy. Should tell...
0:25:24 > 0:25:27My son, Montgomery Keates. I got a call.
0:25:27 > 0:25:30Mr Keates, I'm Mr Malick. Monty's doctor.
0:25:30 > 0:25:32How do you do. This way please. What's wrong with him?
0:25:32 > 0:25:36We're not sure yet, but he may have a gastric ulcer.
0:25:36 > 0:25:37That's serious, yes?
0:25:37 > 0:25:39I'm about to discuss the next step with him.
0:25:41 > 0:25:44I don't know, some people will do anything for a lie in these days.
0:25:44 > 0:25:45Dad.
0:25:47 > 0:25:50An ulcer at his age. Unusual, yes? But not unheard of.
0:25:50 > 0:25:53I asked him about diet, alcohol, all that stuff. You did fine.
0:25:53 > 0:25:55Now you need to explain to him what we plan to do.
0:25:55 > 0:25:57Should I talk to daddy? Get some background? About what?
0:25:57 > 0:25:59Those burn scars. Maybe there's some sort of...
0:25:59 > 0:26:02He told you, the self harming's in the past.
0:26:02 > 0:26:03Yes. And he "got through it."
0:26:03 > 0:26:05Now his job's great, his course is great, his dad's great.
0:26:05 > 0:26:08Even losing his mum doesn't seem to have... Enough.
0:26:08 > 0:26:12Concentrate on telling your patient he needs surgery. Sensitively.
0:26:12 > 0:26:14MACHINES BEEP STEADILY
0:26:17 > 0:26:22Stupid thing! Slow and gentle wins the race.
0:26:22 > 0:26:23It's not a race.
0:26:25 > 0:26:28Looks like we got to it just in time. Yep.
0:26:28 > 0:26:29Gold star to Nurse Maconie.
0:26:31 > 0:26:33You know, he's been great with her.
0:26:33 > 0:26:37Getting her to open up, agree to surgery. Hmmm.
0:26:39 > 0:26:42OK, take her off bypass.
0:26:43 > 0:26:46RAPID BEEPING
0:26:46 > 0:26:49No, wait. We've got a bleed.
0:26:49 > 0:26:52I can't see it.
0:26:52 > 0:26:54Here, try this.
0:26:57 > 0:26:58More light, please.
0:27:00 > 0:27:03Right, to the left. There. Got it?
0:27:03 > 0:27:05Yep. Got it.
0:27:08 > 0:27:11Well done. Well done, you.
0:27:11 > 0:27:14Hey. Sometimes two heads are better than one.
0:27:18 > 0:27:20Cut, please.
0:27:21 > 0:27:25OK. I'm going to leave you to close up here.
0:27:25 > 0:27:27I have to go.
0:27:29 > 0:27:31Top man, is he, Malick?
0:27:31 > 0:27:33That's what he tells us.
0:27:33 > 0:27:36Hope it's not my cooking all these years that's done for you.
0:27:36 > 0:27:38I'm not exactly going to win MasterChef.
0:27:38 > 0:27:40Microwave chef, maybe. Yeah, yeah.
0:27:44 > 0:27:46I'm so sorry, Dad.
0:27:46 > 0:27:49Hey, you just focus on getting better, yeah.
0:27:49 > 0:27:53But Cooper and Cooper, I know how hard you worked to get me in there.
0:27:53 > 0:27:56Cooper and Cooper, established 1812?
0:27:56 > 0:28:00I reckon they might still be around next summer. Yeah.
0:28:00 > 0:28:03You're not worried about exams? You passed, didn't you?
0:28:03 > 0:28:07Lots of people struggle their first year, right, Doctor?
0:28:07 > 0:28:10I didn't. But if you love what you're doing, it'll get easier.
0:28:10 > 0:28:12PHONE RINGS
0:28:12 > 0:28:14Sorry.
0:28:14 > 0:28:17Got to take this.
0:28:17 > 0:28:21Contra mundum. Contra mundum.
0:28:21 > 0:28:23Hi, Jeremy. Yeah?
0:28:23 > 0:28:25Latin. It means...
0:28:25 > 0:28:28Us against the world.
0:28:30 > 0:28:32It's a shame you'll miss the rest of your placement.
0:28:32 > 0:28:34Monty?
0:28:34 > 0:28:37HE VOMITS
0:28:37 > 0:28:39KNOCK ON DOOR
0:28:39 > 0:28:40Mm-hmm.
0:28:40 > 0:28:43Hi. Right, I've texted Jonny, and he's on his way.
0:28:43 > 0:28:45Give us five minutes then come in.
0:28:45 > 0:28:47What's my excuse for even being here?
0:28:47 > 0:28:50You're a man, Mr T, deception's in your genes.
0:28:58 > 0:29:01From the amount of blood, it looks like he's about to perforate...
0:29:01 > 0:29:03On it. We need to get you into surgery.
0:29:07 > 0:29:10Dr March. Come on.
0:29:12 > 0:29:13I want to see my dad.
0:29:13 > 0:29:15He was still on the phone last time I saw him.
0:29:15 > 0:29:17That's my dad. Never stops working?
0:29:17 > 0:29:20He just loves it. Yeah, and what about you?
0:29:20 > 0:29:22My dad's so proud of me.
0:29:23 > 0:29:24I can't let him down.
0:29:32 > 0:29:33DOOR OPENS
0:29:33 > 0:29:35Theresa?
0:29:35 > 0:29:39It went well, but the next 24 hours will be crucial though.
0:29:40 > 0:29:43Mr T. What a lovely surprise!
0:29:43 > 0:29:44Boo.
0:29:44 > 0:29:46SHE GIGGLES
0:29:46 > 0:29:50Er...I've brought you that book. Book?
0:29:50 > 0:29:52Yeah, you know, the book I told you about.
0:29:52 > 0:29:54Oh, yeah. Thanks.
0:29:56 > 0:29:57Oh, look. My favourite.
0:29:57 > 0:30:00It's a real page turner.
0:30:00 > 0:30:03Cool. I can't wait to...turn some pages. Join us.
0:30:03 > 0:30:05We're having cheesecake.
0:30:06 > 0:30:09Damn! What?
0:30:09 > 0:30:12Forgot the cheesecake. It's all right, I'll go get some.
0:30:12 > 0:30:14Any particular flavour?
0:30:14 > 0:30:17Er...kiwi fruit?
0:30:17 > 0:30:20Kiwi fruit...right. OK. I'll be right back.
0:30:20 > 0:30:23To be honest, Mo, I really don't have much of an appetite.
0:30:37 > 0:30:39Can we apply clips to the peritoneum?
0:30:39 > 0:30:41Sorry, I was just checking something.
0:30:41 > 0:30:44Rule number two - you are never late to my surgery.
0:30:44 > 0:30:45Can I have a clip!
0:31:05 > 0:31:07Is this seat taken?
0:31:07 > 0:31:09SHE GROANS
0:31:09 > 0:31:12Park your bum back down, you.
0:31:12 > 0:31:14It's for you.
0:31:15 > 0:31:16What is it?
0:31:16 > 0:31:20The Goblet of Fire. What does it look like?
0:31:20 > 0:31:22No, thanks.
0:31:22 > 0:31:26Latte - full fat with cream and cinnamon sprinkles.
0:31:26 > 0:31:29I won't tell the fat police. Promise.
0:31:29 > 0:31:31Thanks.
0:31:31 > 0:31:35Now wasn't that the most fun you've ever had naked with people watching?
0:31:37 > 0:31:40Listen, I didn't know you were a patient.
0:31:40 > 0:31:42I gathered that.
0:31:42 > 0:31:44So, peace offering.
0:31:44 > 0:31:47There's no need. Looks like we're all in the same boat.
0:31:47 > 0:31:50Are you saying I've got cancer?!
0:31:50 > 0:31:53I only came to measure up for new curtains!
0:31:53 > 0:31:55THEY LAUGH
0:31:55 > 0:31:58I'm Tim, by the way. I'm Chrissie.
0:32:01 > 0:32:06Well, I think it's safe to assume there is no cheesecake coming.
0:32:08 > 0:32:11You know, I will say this for Maureen,
0:32:11 > 0:32:14whenever you tell her to mind her own business, she always hears,
0:32:14 > 0:32:18keep sticking your big fat stupid nose in, every single time.
0:32:18 > 0:32:20Does she?
0:32:20 > 0:32:23I need to go and check on a patient.
0:32:23 > 0:32:26She thought you might want to chat about the baby.
0:32:26 > 0:32:27What's left to say?
0:32:27 > 0:32:30She seemed to think you might not have talked things over with Jac.
0:32:30 > 0:32:34Do you know where Jac's headed right now? Yes.
0:32:34 > 0:32:35Right. So decision made.
0:32:35 > 0:32:39So you and Mo can go on eating your imaginary cheesecake without me.
0:32:39 > 0:32:42Thank you. I know how you're feeling. JONNY LAUGHS
0:32:42 > 0:32:44That's ridiculous, how could I possibly know, right?
0:32:44 > 0:32:46But am I wrong in thinking you two
0:32:46 > 0:32:48haven't have discussed this together?
0:32:48 > 0:32:50After the meeting with you, with all the "what ifs"...
0:32:50 > 0:32:52I had no certainties to offer you, I'm sorry.
0:32:52 > 0:32:55Yes. We did discus the risk, for Jac and the baby.
0:32:55 > 0:32:57And to you? There's no risk to me.
0:32:57 > 0:33:01Having this baby, if she survived, would change your whole life.
0:33:01 > 0:33:03Especially if she has ongoing problems.
0:33:03 > 0:33:06OK. I admit it. I was concerned about the future.
0:33:06 > 0:33:07Concerned about my future.
0:33:07 > 0:33:09But if Jac had wanted to keep that baby...
0:33:09 > 0:33:11You keep talking about what Jac wants.
0:33:11 > 0:33:13..I'd have stood by her. What do you want?
0:33:13 > 0:33:15What do you want, Jonny?
0:33:15 > 0:33:17I want my baby!
0:33:17 > 0:33:21I want...I want my daughter to have a fighting chance.
0:33:26 > 0:33:28A lot of inflammation.
0:33:30 > 0:33:33Ah. There you are. Whoa. That's a beauty.
0:33:33 > 0:33:35Mr Malick... We're going to need to excise it.
0:33:35 > 0:33:38I think he's suffering from bulimia nervosa.
0:33:38 > 0:33:40We'll have to do a distal gastrectomy. Scissors.
0:33:40 > 0:33:42His teeth convinced me. We'll discuss it later.
0:33:42 > 0:33:45Eroded teeth, other trauma to the inside of the mouth, swollen glands.
0:33:45 > 0:33:48Rule number three - you observe, and focus on the task at hand.
0:33:48 > 0:33:51But you said... Dr March, I am about to excise this ulcer.
0:33:51 > 0:33:54I thought you'd want to look for... Then reattach the small bowel...
0:33:54 > 0:33:56...Oesophageal tears.
0:33:56 > 0:33:59..To the stomach, which will require my full concentration.
0:33:59 > 0:34:01It would explain the ulcer. Out.
0:34:01 > 0:34:04I'm trying to save a man's life here, and you're not helping.
0:34:04 > 0:34:05Out!
0:34:07 > 0:34:09You should tell her how you feel.
0:34:09 > 0:34:12What, tell her I want to keep the baby when she clearly doesn't?
0:34:12 > 0:34:15But how will you know what she really wants unless you ask her?
0:34:15 > 0:34:18Someone help me, please. I have to deal with this.
0:34:18 > 0:34:20Where is it?
0:34:20 > 0:34:24Hello! Hello. Jonny, I have to find it.
0:34:24 > 0:34:26Theresa, please just calm down.
0:34:28 > 0:34:31Here, we took it off for the surgery.
0:34:34 > 0:34:37If I don't kiss it every time I think of my Annie,
0:34:37 > 0:34:39something terrible will happen to her.
0:34:39 > 0:34:42Listen, when you're feeling a bit more up for it,
0:34:42 > 0:34:44I've arranged for someone to come and talk to you.
0:34:44 > 0:34:46Not another doctor. It's not a heart doctor.
0:34:46 > 0:34:49You shouldn't have cut me open. You agreed to surgery.
0:34:49 > 0:34:52You tricked me. Said I'd be safe. And I can feel it.
0:34:52 > 0:34:55Feel what? Crawling around, inside me.
0:34:55 > 0:34:58Theresa, please try and stay calm. Who knows what she's exposed me to.
0:34:58 > 0:35:03Ms Naylor had to... Cold as ice, that one. Well, I'll sue. I'll ruin her.
0:35:03 > 0:35:05Will you please just shut up!
0:35:05 > 0:35:08Jac Naylor is the best doctor I've ever met.
0:35:08 > 0:35:13Every day, every single day, she has to make life or death decisions.
0:35:13 > 0:35:16So if she seems a little bit emotionally unattached,
0:35:16 > 0:35:18then put yourself in her place.
0:35:20 > 0:35:23Excuse me, could you please look after her?
0:35:23 > 0:35:25There's somewhere I need to be.
0:35:25 > 0:35:28I didn't realise it was such an invasion on your personal space.
0:35:28 > 0:35:32Do you know, there was one nurse here, I swear she used to eat raw
0:35:32 > 0:35:35garlic and Marmite sandwiches when she knew I was coming in.
0:35:35 > 0:35:37Ah, gross. THEY CHUCKLE
0:35:37 > 0:35:39I'd see her lurch towards me, ready to exhale,
0:35:39 > 0:35:42and I'd want to put my hands up and say,
0:35:42 > 0:35:46back off, I'll take my chances with the cancer thank you very much!
0:35:46 > 0:35:48All that prodding... Pulling and poking?
0:35:48 > 0:35:51You feel like people look at you like you're a specimen.
0:35:51 > 0:35:53Like you're just a... Slab of meat!
0:35:53 > 0:35:55Oh, Chrissie?
0:35:55 > 0:35:56Hey, Sacha.
0:35:56 > 0:35:59I'm sorry I missed the treatment. We had an emergency.
0:35:59 > 0:36:01Surgery took an age.
0:36:03 > 0:36:05MACHINE BEEPS
0:36:05 > 0:36:07Blood pressure's dropping.
0:36:07 > 0:36:09More light, please.
0:36:11 > 0:36:15There's still blood. Swab, please.
0:36:20 > 0:36:21There.
0:36:21 > 0:36:23It's a Mallory-Weiss tear.
0:36:27 > 0:36:29Yeah, well, it was either this or...
0:36:29 > 0:36:32Which clinic is she at? Sorry? Come on, come on, come on.
0:36:32 > 0:36:33What are you doing?
0:36:33 > 0:36:35I need to be with her. Which clinic?
0:36:35 > 0:36:38Jac, listen, it's Jonny.
0:36:38 > 0:36:41When you get this message, just give me a call immediately, OK.
0:36:43 > 0:36:44Now that's my Jonny Mac.
0:36:44 > 0:36:47Oh, by the way, Theresa's talking about suing us all,
0:36:47 > 0:36:50so you might want to have a wee word with her.
0:36:50 > 0:36:52Which clinic? It's confidential, I'm afraid.
0:36:52 > 0:36:54Come on, man.
0:36:54 > 0:36:57I'm sorry, but check that out. Really good read.
0:37:03 > 0:37:05HE INHALES, EXHALES SHARPLY
0:37:05 > 0:37:07How did it go?
0:37:07 > 0:37:12I've had more pleasant experiences. But Tim cheered me up. This is Tim.
0:37:12 > 0:37:13Hi. Hi.
0:37:13 > 0:37:14This is Sacha. My...er...
0:37:14 > 0:37:16Husband.
0:37:16 > 0:37:19Go on, you should go back to the ward.
0:37:19 > 0:37:23Well. If you're sure you're OK? Yeah, I'm fine, I'm in good hands.
0:37:23 > 0:37:25OK.
0:37:27 > 0:37:29I'll see you later. Mm-hmm.
0:37:31 > 0:37:33Nice to meet you. Enchante.
0:37:39 > 0:37:41PHONE CHIMES
0:37:44 > 0:37:47Miss...er...Naylor.
0:37:48 > 0:37:54Jac? Jac Naylor? Nadine Wright. Small world.
0:37:55 > 0:37:57How lovely to see you.
0:38:04 > 0:38:06Pick up the phone. Come on, come on.
0:38:06 > 0:38:08PHONE VIBRATES
0:38:13 > 0:38:16So...the great Jac Naylor.
0:38:16 > 0:38:18I don't go by that title officially.
0:38:18 > 0:38:21We called you Jac Frost at med school.
0:38:21 > 0:38:24You had a nickname too. What was it?
0:38:24 > 0:38:27I don't use language like that any more.
0:38:27 > 0:38:31I've kept an eye on your career. I expect you've done the same.
0:38:31 > 0:38:35I remember how sour you got when I pipped you for the surgery prize.
0:38:35 > 0:38:38That line not work out for you?
0:38:38 > 0:38:41Oh, this is only temporary. I'm considering general practice.
0:38:41 > 0:38:44What with a young family, the hours...
0:38:44 > 0:38:47General practice, eh? Thrilling.
0:38:49 > 0:38:51Shall we get on with this?
0:38:52 > 0:38:54But should it be taking this long?
0:38:54 > 0:38:56Mr Malick's a top man.
0:38:56 > 0:38:59How long will Monty be out of action?
0:39:01 > 0:39:04Maybe you should be less concerned about his studies
0:39:04 > 0:39:06and more about his health.
0:39:06 > 0:39:08I beg your pardon?
0:39:08 > 0:39:11That's why you want to know about the recuperation,
0:39:11 > 0:39:13whether he'll be fit for university?
0:39:14 > 0:39:16You think I don't care about my son's health?
0:39:16 > 0:39:19I'll let you know when he's out of theatre.
0:39:19 > 0:39:21I've been dad and mum to that boy.
0:39:21 > 0:39:25He was ten when she died. Ten!
0:39:25 > 0:39:28He took it hard, screwed him up for a bit,
0:39:28 > 0:39:33but we got through it, together. Contra mundum.
0:39:34 > 0:39:37Are you saying he thinks I don't care? No. Of course not.
0:39:37 > 0:39:38Then what?
0:39:38 > 0:39:42Sometimes a parent can - for all the right reasons -
0:39:42 > 0:39:43push a child too hard.
0:39:43 > 0:39:45I haven't pushed him into anything.
0:39:45 > 0:39:48Coping with his course OK, is he?
0:39:48 > 0:39:50He struggles with exams, that's normal.
0:39:50 > 0:39:53Mr Keates, your son is 20 and he has a stomach ulcer.
0:39:53 > 0:39:54That is not normal.
0:39:54 > 0:39:57Is there something you're not telling me?
0:39:57 > 0:40:01I think...in fact, I'm almost certain, he has an eating disorder.
0:40:26 > 0:40:27How is he?
0:40:27 > 0:40:30I had to excise the ulcer - remove a small part of the intestine.
0:40:30 > 0:40:32But he's doing OK. OK?
0:40:32 > 0:40:35There was a complication. What?
0:40:35 > 0:40:38A tear in the oesophagus. Caused by excessive vomiting?
0:40:38 > 0:40:40That is one possibility.
0:40:40 > 0:40:42Dr March has told me about the bulimia.
0:40:42 > 0:40:44That diagnosis is not confirmed.
0:40:44 > 0:40:47But the teeth, and calluses on his hands...
0:40:47 > 0:40:50Mr Malick's right, we really don't know for certain.
0:40:50 > 0:40:54But if he is bulimic, that would also explain the stomach ulcer, yes?
0:40:56 > 0:40:58The imbalances in the gastric acid
0:40:58 > 0:41:01would lead to a potential cause, yes.
0:41:01 > 0:41:05Is he hurting himself again? Because of me?
0:41:05 > 0:41:09There's only one person can tell us that for sure.
0:41:09 > 0:41:11After I examine you, you'll take a pill.
0:41:11 > 0:41:13Then you'll have to come back in a few days and...
0:41:13 > 0:41:14I know the procedure.
0:41:14 > 0:41:19Same old Jac. Totally on top of things. Methodical. Dispassionate.
0:41:19 > 0:41:21All those qualities have done you proud.
0:41:21 > 0:41:24As noted, my career is going well.
0:41:24 > 0:41:27The old chestnut, career over family.
0:41:27 > 0:41:31I mean, don't get me wrong, I'm happier than I ever thought I'd be.
0:41:31 > 0:41:34But I really envy someone who can find such...fulfilment,
0:41:34 > 0:41:36totally on their own.
0:41:36 > 0:41:39You've not changed, have you?
0:41:39 > 0:41:43I mean, three kids and you've even kept your figure. Sort of.
0:41:43 > 0:41:45I do my best.
0:41:45 > 0:41:49And you've also maintained what I remember as your legendary
0:41:49 > 0:41:54lack of thoroughness. I'm sorry? I take it you haven't read my notes.
0:42:03 > 0:42:05Jac. I'm so sorry.
0:42:07 > 0:42:11Jac, I wish you'd just answer your phone.
0:42:11 > 0:42:15Why is this so confusing? I mean the building, not the baby.
0:42:15 > 0:42:18I'm not confused about the baby at all any more.
0:42:18 > 0:42:24I don't know why I was finding it so hard to tell you what I want but...
0:42:24 > 0:42:26Sorry.
0:42:30 > 0:42:32Try not to move too much, OK.
0:42:34 > 0:42:38Hey. It's OK. I didn't die.
0:42:38 > 0:42:40HE LAUGHS
0:42:40 > 0:42:44If you're too weak to talk at the moment then...
0:42:53 > 0:42:55DOOR CLOSES
0:42:55 > 0:42:59There's something I need to know.
0:43:06 > 0:43:09They're saying that you've been making yourself sick.
0:43:16 > 0:43:18Is this about Mum?
0:43:18 > 0:43:19Mum?
0:43:19 > 0:43:24I know how unhappy you were. For years afterwards.
0:43:24 > 0:43:28But we got through that. We did. I'm so proud of you.
0:43:30 > 0:43:34The way you've put all that behind you. Chasing your dreams.
0:43:34 > 0:43:36Not MY dreams.
0:43:38 > 0:43:39What?
0:43:39 > 0:43:42Your dreams, Dad.
0:43:42 > 0:43:45I thought I wanted it too...
0:43:45 > 0:43:47I don't understand.
0:43:47 > 0:43:52I've tried my best at uni. But it's just not me.
0:43:52 > 0:43:54MACHINES BEEP LOUDLY
0:43:54 > 0:43:57But you've always wanted to be a lawyer.
0:43:57 > 0:43:59Thought...I...did...
0:43:59 > 0:44:02He's tachycardic. BP's dropping. What's happening?
0:44:02 > 0:44:04Must be a bleed. Theatre, now.
0:44:04 > 0:44:05I hate it.
0:44:10 > 0:44:12Are you joining us or what?
0:44:16 > 0:44:18Sorry.
0:44:18 > 0:44:19Jac Naylor, please.
0:44:19 > 0:44:21She's already left.
0:44:32 > 0:44:34MACHINES BEEP
0:44:34 > 0:44:36So what do you think?
0:44:36 > 0:44:38Trauma to the gastric vessels.
0:44:41 > 0:44:44It might help if you looked where you were putting that suction.
0:44:44 > 0:44:48Don't tell me you don't like the sight of blood.
0:44:48 > 0:44:50Only vampires like the sight of blood.
0:44:50 > 0:44:54That's not funny. Concentrate. Suction. There. Quickly.
0:44:54 > 0:44:55Clamp.
0:44:59 > 0:45:01OK, Got it.
0:45:03 > 0:45:04BEEPING CONTINUES
0:45:06 > 0:45:08BEEPING STOPS
0:45:08 > 0:45:09BP's going up.
0:45:12 > 0:45:14Good call with the bulimia.
0:45:14 > 0:45:16It was elementary.
0:45:16 > 0:45:19It was a good call, but you were wrong to tell the Monty's father
0:45:19 > 0:45:21before we'd had a chance to talk to him.
0:45:21 > 0:45:23Noted.
0:45:23 > 0:45:26Good, you can help me close.
0:45:31 > 0:45:34Seriously, if I have one more wheelchair theft by ortho, I'm going
0:45:34 > 0:45:39up there with face paint and a war cry - scalps will be had.
0:45:39 > 0:45:41What's eating you, Gilbert Grump?
0:45:41 > 0:45:45Chrissie had her first radiotherapy session today.
0:45:45 > 0:45:46Well, that's good news.
0:45:46 > 0:45:49I didn't even know it was booked.
0:45:49 > 0:45:51Be back in a minute. Look you can't be a mind-reader, Sacha.
0:45:51 > 0:45:54I could be there for her though, couldn't I.
0:45:54 > 0:45:57So, up your game. Treat her - everybody loves being spoiled.
0:45:57 > 0:45:59Do you know what? You're right.
0:45:59 > 0:46:01I'm going to be more positive for her sake.
0:46:01 > 0:46:03That's the spirit. Do something to take her mind off it.
0:46:03 > 0:46:05Something unexpected.
0:46:05 > 0:46:07HE GASPS She loves surprises!
0:46:07 > 0:46:09But I don't know how far I can take it.
0:46:09 > 0:46:12It doesn't need to be a holiday in the Maldives or anything, but
0:46:12 > 0:46:15you know the world is a fun place. You've got London, Paris, Dublin...
0:46:15 > 0:46:19Maybe a night wouldn't hurt. Fine dining, violins... Wine.
0:46:19 > 0:46:21Good looking waiters that you can't understand.
0:46:21 > 0:46:23Sorry? Stop!
0:46:23 > 0:46:27Colonnades. Fountains. Mary-Claire, you're a genius.
0:46:27 > 0:46:30I know! Are you thinking what I'm thinking?
0:46:30 > 0:46:31Rodolfo's! Rome!
0:46:33 > 0:46:36Well, you know, you know Chrissie.
0:46:37 > 0:46:40CHRISSIE: So Sacha put two and two together and came up with five.
0:46:40 > 0:46:42And he thought that me and Michael were...
0:46:42 > 0:46:45Michael's the hot American one, right?
0:46:45 > 0:46:48Yes, keep up! Why am I boring you with all this?
0:46:48 > 0:46:52Because you're totally smitten with my finely chiselled features.
0:46:52 > 0:46:56Mmm. I've been there, done that. I must have been asleep at the time.
0:46:58 > 0:47:01I mean, one of my exes turned out to be...
0:47:01 > 0:47:05A Scouser? Oh. Gay. HE CHUCKLES
0:47:05 > 0:47:08What happened to him? He went to Leeds.
0:47:08 > 0:47:11Serves him right. BOTH: Men!
0:47:11 > 0:47:13We think we need them.
0:47:13 > 0:47:17But it's only when things get really tough...
0:47:17 > 0:47:19When they called my name out earlier...
0:47:19 > 0:47:23You felt like you were being called into court for sentencing?
0:47:23 > 0:47:27Suddenly you start thinking of all the worst-case scenarios, hmm?
0:47:28 > 0:47:31All the things you might miss if...
0:47:31 > 0:47:34Now, now. Hey. None of that.
0:47:34 > 0:47:37What happened to that bolshie, incredibly rude woman
0:47:37 > 0:47:39I met this morning?
0:47:39 > 0:47:42Listen, you don't need Sacha or Michael or
0:47:42 > 0:47:45the Band of the Grenadier Guards.
0:47:45 > 0:47:47You are the star of this little drama.
0:47:47 > 0:47:51And one of the few good things about this crap is
0:47:51 > 0:47:54you don't need an excuse to spoil yourself.
0:47:54 > 0:47:56Yeah, I guess.
0:47:56 > 0:48:00So now you're going to go home, run a bath,
0:48:00 > 0:48:03set up some mood lighting, put your favourite music on -
0:48:03 > 0:48:07nothing too soppy, mind - and think about happy days.
0:48:07 > 0:48:09You reckon? Yeah.
0:48:09 > 0:48:12George Michael and a couple of candles does it for me every time.
0:48:12 > 0:48:14SHE GIGGLES
0:48:14 > 0:48:15You're terrible.
0:48:15 > 0:48:18I am, aren't I?
0:48:18 > 0:48:21MO: If you could book him in for a mediastinoscopy, yeah.
0:48:21 > 0:48:23Yes, it is urgent.
0:48:25 > 0:48:29Kiwi fruit cheesecake! Where did you get it?
0:48:29 > 0:48:31Shh! No news, then?
0:48:32 > 0:48:34How's Theresa doing?
0:48:34 > 0:48:35Prognosis is good.
0:48:35 > 0:48:38Right, and has she agreed to see the psych team yet?
0:48:38 > 0:48:40No. OK, I'll get on it.
0:48:52 > 0:48:53How are you doing?
0:48:53 > 0:48:55You tell me.
0:48:55 > 0:48:59Well, you're going to be with us here for a wee while longer,
0:48:59 > 0:49:03but the good news is, Ms Effanga says you are doing well.
0:49:03 > 0:49:06So what's the bad news? Sorry?
0:49:06 > 0:49:11You look like a man who forgot to do the lottery and his numbers came up.
0:49:11 > 0:49:13Ah, it's been a long day.
0:49:13 > 0:49:19So your Ms Naylor, if it weren't for her, I wouldn't be here?
0:49:21 > 0:49:24You do know that we did what we had to do?
0:49:24 > 0:49:26I was angry before. Not thinking straight.
0:49:26 > 0:49:29I was extremely rude to you and I'm very sorry.
0:49:29 > 0:49:31I was being a right pain in the bum.
0:49:31 > 0:49:32Well...
0:49:33 > 0:49:37So you're not going to sue us then?
0:49:38 > 0:49:40SHE SIGHS
0:49:40 > 0:49:46I've dived off a 200ft cliff and now I can't let anybody touch me.
0:49:46 > 0:49:48I'm almost done.
0:49:51 > 0:49:54That shrink? Psych assessment. Yes?
0:49:54 > 0:49:58Think they could sort me out a new head to go with my new heart?
0:49:58 > 0:50:04Maybe. You could just meet them. What have you got to lose?
0:50:04 > 0:50:06Just to see my daughter again...
0:50:06 > 0:50:10To see her happy on her wedding day...
0:50:10 > 0:50:12You've got no idea what that would mean to me.
0:50:14 > 0:50:15I'll sort that out for you.
0:50:15 > 0:50:19JAC: Was it 15 minute obs or 45 minute obs?
0:50:19 > 0:50:20Could you excuse me a second?
0:50:24 > 0:50:25Hey.
0:50:27 > 0:50:28What happened?
0:50:28 > 0:50:31We needed to do a bit of a retread on your first op.
0:50:31 > 0:50:33Should be fine now.
0:50:33 > 0:50:36Am I going to be in here long? Probably two or three days.
0:50:36 > 0:50:40And then how do you feel about a holiday?
0:50:40 > 0:50:41Cool.
0:50:41 > 0:50:45I thought perhaps America. My treat?
0:50:45 > 0:50:47No way! Where?
0:50:47 > 0:50:50All of it! I could use a decent break myself.
0:50:50 > 0:50:53But I'm back at uni in a couple of weeks.
0:50:55 > 0:50:57Not if you don't want to be.
0:51:00 > 0:51:04Monty? I can try. Give second year a go.
0:51:04 > 0:51:06You don't have to.
0:51:06 > 0:51:08But I want to make you...
0:51:08 > 0:51:12Proud? You do. Every day.
0:51:13 > 0:51:16And if your mum were here then...
0:51:19 > 0:51:21I miss her too.
0:51:21 > 0:51:23I know, I know you do.
0:51:23 > 0:51:25He needs some rest.
0:51:37 > 0:51:39If you like me to put you in touch with someone...
0:51:39 > 0:51:42About the eating disorder.
0:51:42 > 0:51:46Thank you. But I think we can probably manage from here.
0:51:46 > 0:51:48Contra mundum?
0:51:50 > 0:51:51Contra mundum.
0:52:02 > 0:52:05What are you doing here? You said we needed to talk.
0:52:05 > 0:52:07I meant back at work. Are you OK?
0:52:07 > 0:52:09Now you want to know if I'm OK?
0:52:09 > 0:52:13I've been ringing you constantly. I came to the clinic.
0:52:13 > 0:52:16Who told you which... What does it matter who told me?
0:52:16 > 0:52:20What matters is - and I apologise for using this word -
0:52:20 > 0:52:23I care about what you're going through.
0:52:23 > 0:52:24I didn't do it.
0:52:26 > 0:52:28I'm still pregnant.
0:52:30 > 0:52:34Oh, dear. Why did you change your mind?
0:52:34 > 0:52:36Because I know I can do this.
0:52:36 > 0:52:37So you're being bloody minded?
0:52:37 > 0:52:39And it's what I want.
0:52:39 > 0:52:43But if it's not what you want then you're under no obligation...
0:52:43 > 0:52:44Obligation?
0:52:44 > 0:52:47I want this baby. I've always wanted this baby.
0:52:50 > 0:52:52Right.
0:52:52 > 0:52:54And I happen to think you'll make a very...
0:52:54 > 0:52:57Please don't insult me by telling me a you think I'll be a great mum,
0:52:57 > 0:52:58now I've decided to go ahead.
0:52:58 > 0:53:01Have you listened to any of the messages I left you? No.
0:53:01 > 0:53:05Unbelievable. What is the point of having voice mail service if...
0:53:05 > 0:53:07Bye, Jonny.
0:53:07 > 0:53:08Listen to the messages.
0:53:17 > 0:53:18KNOCK ON DOOR
0:53:18 > 0:53:20Come in.
0:53:22 > 0:53:25Hey, you wanted to see me?
0:53:25 > 0:53:28Oh, yes, I was just wondering how it went with Dr March today.
0:53:28 > 0:53:31She's different, I'd say that. Different how?
0:53:31 > 0:53:34I'm thinking maybe surgery isn't her passion.
0:53:34 > 0:53:37Well you'll be able to enthuse her, I'm sure.
0:53:37 > 0:53:40And Monty Keates? It went well in theatre?
0:53:40 > 0:53:43In the end, yes. I heard there were complications.
0:53:43 > 0:53:46Yes. It seems that his ulcer was caused by bulimia nervosa.
0:53:46 > 0:53:49Yes, unusual. A brilliant spot.
0:53:49 > 0:53:52Thank you. It was the teeth that alerted me to it.
0:53:52 > 0:53:54Eroded by gastric acid from persistent...
0:53:54 > 0:53:57I'm confused now because Dr March told me she made the connection.
0:53:57 > 0:54:00Alerted by the patient's history of self-harm.
0:54:00 > 0:54:03I mean, you know, as part of the team.
0:54:03 > 0:54:05Yes, well, the team is all important.
0:54:05 > 0:54:08But a good leader should give credit where credit's due.
0:54:08 > 0:54:10Did she not also alert you to the possibility that self-harm
0:54:10 > 0:54:13was a cause of the ulcer quite early on in the day?
0:54:13 > 0:54:15She did.
0:54:15 > 0:54:17But you chose not to consider the possibility?
0:54:18 > 0:54:21I...backed my own judgment.
0:54:21 > 0:54:22I see.
0:54:24 > 0:54:27Well, in the end, that's what we all have to do.
0:54:29 > 0:54:31Yes.
0:54:38 > 0:54:40SACHA: Hey.
0:54:40 > 0:54:41Hey.
0:54:41 > 0:54:44I was beginning to think you'd gone home.
0:54:44 > 0:54:46I was just chatting with Tim.
0:54:46 > 0:54:51He seems nice. Yeah, he's quite something.
0:54:51 > 0:54:55Listen, I was thinking, I don't know if you fancy it,
0:54:55 > 0:54:58but why don't I take you out for dinner tonight?
0:54:58 > 0:55:02No strings. Just, you know, take your mind off things after a long day.
0:55:02 > 0:55:05Sacha... We could go Rodolfo's?
0:55:05 > 0:55:08Do you know what, just going to... Or you choose.
0:55:08 > 0:55:10I'm just going to head home tonight.
0:55:11 > 0:55:13Well, do you know what,
0:55:13 > 0:55:16that sounds like the best idea you've had all day.
0:55:18 > 0:55:19I've got a hot date. Oh?
0:55:20 > 0:55:23With a long bath, a box of chocolates and Michael Buble.
0:55:23 > 0:55:26Ah. A Buble Bath.
0:55:26 > 0:55:28That is awful!
0:55:28 > 0:55:33I'm sorry. Well. That sounds like a plan.
0:55:33 > 0:55:41I'm proud of you, for getting through today and...you seem OK.
0:55:41 > 0:55:45Yeah, I'm fine. Thanks for being there.
0:55:45 > 0:55:47Any time.
0:55:52 > 0:55:56JONNY: 'What I should have said, what I want to say is...um...
0:55:56 > 0:56:00'That if our little girl inherits just one tiny gram of her
0:56:00 > 0:56:04'mother's fight, and spirit, and downright bloody-mindedness,
0:56:04 > 0:56:08'I know that she'll have the greatest chance in life.
0:56:08 > 0:56:12'Because you're her mum. Sorry I never told you that before.'
0:56:27 > 0:56:30Subtitles by Red Bee Media Ltd