0:00:40 > 0:00:43Hertzig Three is about giving a very sick person a life worth living.
0:00:43 > 0:00:47- She says "jump", you say "how high"? - Come on, Mo, what do you want form me?
0:00:47 > 0:00:50You've more heart in your little finger than she has in her whole body.
0:00:50 > 0:00:52- Just leave it! It's none of your business.- Fine.
0:00:52 > 0:00:54I'll see you around, yeah?
0:00:54 > 0:00:55I worked with Professor Tim Wong in Sydney.
0:00:55 > 0:00:58He said I should do my utmost to get to work with you.
0:00:58 > 0:01:01He said I should do my utmost to get any opportunity to
0:01:01 > 0:01:03work under Henrik Hanssen.
0:01:03 > 0:01:06'Do you disagree with the changes the Government are making?
0:01:06 > 0:01:08'Yes, in their current form, I disagree.'
0:01:08 > 0:01:11I'm concerned about your decision making. I think you need a break.
0:01:13 > 0:01:15PHONE RINGS
0:01:21 > 0:01:23ANSWER MACHINE: 'Henrik Hanssen.'
0:01:23 > 0:01:26Mr Griffin here. Back from holiday.
0:01:26 > 0:01:29I wonder if I could to speak to you urgently,
0:01:29 > 0:01:32please, about the unresolved management issues on Keller.
0:01:32 > 0:01:34I think you know where to find...
0:01:34 > 0:01:35Going to need some help here!
0:01:35 > 0:01:37We're losing him.
0:01:37 > 0:01:41- Can I help?- You work here?- Yes, I'm...- Fine. Take over compressions.
0:01:41 > 0:01:42BEEPING
0:01:42 > 0:01:45ED are fully backed up. Let's get him to AAU now!
0:01:47 > 0:01:50You heard her. Let's move!
0:01:50 > 0:01:52- How long has he been down? - Ten minutes.
0:01:52 > 0:01:55- You need to... - Intubate. I know. Stop a sec.
0:02:07 > 0:02:11OK, re-start compressions. Stand by with fluids and a resus trolley. Go!
0:02:11 > 0:02:14- It may be too late. - I'm not giving up yet!
0:02:24 > 0:02:26You wee dancer!
0:02:26 > 0:02:28- Mr Maconie.- Professor Hope.
0:02:28 > 0:02:30Just arriving?
0:02:30 > 0:02:32No, no. I was in early.
0:02:32 > 0:02:34Just popped out for a wee macchiato.
0:02:34 > 0:02:37Oh, right, only the theatre lists don't seem to be available.
0:02:37 > 0:02:38No? I posted them.
0:02:38 > 0:02:40And you don't seem to be wearing scrubs.
0:02:40 > 0:02:43Ah, no, er, I haven't had a chance to, er.
0:02:45 > 0:02:48Have you seen Ms Effanga today?
0:02:48 > 0:02:50Ms Effanga? Now, erm...
0:02:52 > 0:02:55She was here earlier but she popped out too.
0:02:55 > 0:02:56For a macchiato?
0:02:56 > 0:03:00No, to check in on a patient.
0:03:00 > 0:03:01I see. Which patient?
0:03:03 > 0:03:05You know... I'm not sure I remember.
0:03:06 > 0:03:07Ms Effanga?
0:03:10 > 0:03:11Professor Hope?
0:03:17 > 0:03:19I'll see you both in my office in ten minutes.
0:03:19 > 0:03:20In scrubs, please.
0:03:24 > 0:03:25Mr Griffin?
0:03:27 > 0:03:30Time of death, 08.15.
0:03:31 > 0:03:34Oh, my God... You're Mr Griffin?
0:03:34 > 0:03:38I can't believe I just spoke to you like that.
0:03:38 > 0:03:40You have to be forthright in these situations.
0:03:40 > 0:03:42No, I am so, so sorry.
0:03:42 > 0:03:44Don't apologise.
0:03:44 > 0:03:47You're the reason I wanted to come here.
0:03:47 > 0:03:49When I worked under Professor Wong in Sydney,
0:03:49 > 0:03:52he said I should do anything to try and get to work with you.
0:03:52 > 0:03:54I did a shift on Keller the other week
0:03:54 > 0:03:56and was really sorry you were away.
0:03:56 > 0:03:58Lilah...
0:03:58 > 0:04:00I asked you half an hour ago to deal with Mr Wilson's enema.
0:04:00 > 0:04:04Come on, get to it. Ric, find me later? We need to talk.
0:04:04 > 0:04:06You're not a registrar?
0:04:06 > 0:04:07No, CT1.
0:04:08 > 0:04:09'Hey, Annalese,'
0:04:09 > 0:04:12I just wanted to make sure the kids got on the flight all right.
0:04:13 > 0:04:16Wait, what do you mean, a problem?
0:04:16 > 0:04:17A delay?
0:04:17 > 0:04:18Hang on.
0:04:18 > 0:04:19Yeah, I'll be there.
0:04:19 > 0:04:23Annalese, I'm going to call you back in a couple of minutes, all right, so just...
0:04:24 > 0:04:27The last word, every time... Yeah, what is it?
0:04:27 > 0:04:30Brian Wellers, he's 25, he fell off a ladder at work.
0:04:30 > 0:04:33Was pushed off, you mean... Is that a spray tan?
0:04:33 > 0:04:36Got a few minor cuts and bruises, he says he may have hit his head.
0:04:36 > 0:04:37Cos you look orange.
0:04:37 > 0:04:40His GCS is 14 to 15.
0:04:40 > 0:04:42It's not fooling anyone, you know.
0:04:42 > 0:04:45Imminent further trauma if he's not careful.
0:04:45 > 0:04:48All right, let's observe him for 24 hours, neuro obs,
0:04:48 > 0:04:51monitor his GCS and clean up those cuts.
0:04:53 > 0:04:58A hospital-wide financial review of all non-essential procedures, effective immediately.
0:04:58 > 0:05:01In addition, all senior consultants are invited to
0:05:01 > 0:05:04apply for the post of acting CEO, interviews today.
0:05:04 > 0:05:06Do you think you'll go for it?
0:05:06 > 0:05:10No, I've never been what you might call management type,
0:05:10 > 0:05:14and Mr Spence is hardly suitable, given his recent history.
0:05:14 > 0:05:18So, unless Mr Griffin wants to give it a go.
0:05:18 > 0:05:20We're stuck with the current incumbent.
0:05:20 > 0:05:23Exactly, who is no advocate of clinical trials.
0:05:23 > 0:05:26Which is why it's even more important that today's
0:05:26 > 0:05:27Hertzig goes swimmingly.
0:05:27 > 0:05:29Don't worry. I'm on it.
0:05:29 > 0:05:31I'm certain that you will both show true professionalism.
0:05:31 > 0:05:33If I can just explain about earlier.
0:05:33 > 0:05:36No need. I know I can rely on you.
0:05:36 > 0:05:39Besides, the patient has asked after you both specifically,
0:05:39 > 0:05:42so I know you won't want to let her down.
0:05:43 > 0:05:45Absolutely.
0:05:45 > 0:05:48OK, right, I'm going to go and prepare the Hertzig.
0:05:49 > 0:05:53Ms Effanga, perhaps a large black coffee? And Mr Maconie.
0:05:54 > 0:05:55An extra large?
0:05:55 > 0:05:57I think so, don't you?
0:05:59 > 0:06:01- Excuse me...do you work here? - Yes, I do.
0:06:01 > 0:06:03My daughter's been here since six o'clock this morning
0:06:03 > 0:06:06and, apart from the nurses, no-one has seen her yet.
0:06:06 > 0:06:10- Right, well, I've only just arrived. If I could just have a few moments...- No, no. She's in pain.
0:06:10 > 0:06:12I want you to help her. Please.
0:06:13 > 0:06:14Yes, of course.
0:06:20 > 0:06:23Good morning, I'm Mr Griffin.
0:06:23 > 0:06:25I'm Lauren. And this grumpy old cow is my mum, Lois.
0:06:25 > 0:06:27I'm allowed to be grumpy. I'm worried about you.
0:06:27 > 0:06:31- No excuse for being a grumpy old cow, though. - Stop it. This is serious.
0:06:31 > 0:06:35She's on dialysis. PKD. Ten years.
0:06:35 > 0:06:40Long time. You're on the transplant waiting list?
0:06:40 > 0:06:42For all the good it's done us...
0:06:42 > 0:06:45We've actually been here before for the repair on
0:06:45 > 0:06:48Lauren's last fistula, and now...
0:06:50 > 0:06:52I think it's failing again.
0:06:55 > 0:06:58Your notes say you've had several.
0:06:58 > 0:07:00Two in each arm, one in each leg.
0:07:00 > 0:07:01All of them failed.
0:07:01 > 0:07:03You've tried peritoneal dialysis?
0:07:03 > 0:07:07And got peritonitis, yeah. As you know, kidney failure is dead sexy.
0:07:07 > 0:07:10We don't want to go through that again. Perhaps another repair?
0:07:10 > 0:07:14I'd like to run some tests first to see what else is going on here
0:07:14 > 0:07:17and then we'll get you on dialysis as soon as possible.
0:07:17 > 0:07:20- You're fluid overloaded. - Tell me something I don't know!
0:07:22 > 0:07:25I'll be back to check on you later.
0:07:27 > 0:07:29Er, excuse me, Mr?
0:07:30 > 0:07:32Griffin.
0:07:32 > 0:07:39I'm sorry if I was rude. And pushy. Before. Lauren's right.
0:07:39 > 0:07:41I can be a grumpy cow sometimes.
0:07:41 > 0:07:42There's really no need to.
0:07:42 > 0:07:45I just...want her to be well.
0:07:45 > 0:07:47I don't know which one of us is more tired...
0:07:47 > 0:07:50her or me. You understand?
0:07:50 > 0:07:52Of course.
0:07:54 > 0:07:57'..available to take your call. At the tone...'
0:08:01 > 0:08:02Yes, can I help you?
0:08:02 > 0:08:05That guy...bed eight.
0:08:05 > 0:08:08- I think you should take another look at him.- Mr Wellers. Why?
0:08:08 > 0:08:10Something not right about him.
0:08:11 > 0:08:15- Can you be more specific? - Not really...just a feeling.
0:08:20 > 0:08:22How's it going, Brian?
0:08:22 > 0:08:26Well, I'm stuck in hospital with a Yank and a tanorexic.
0:08:26 > 0:08:28- How d'you think it's going? - Can you follow my finger?
0:08:28 > 0:08:30- Why? Where's it going? - See, he's lucid, stable.
0:08:30 > 0:08:31Ten-four, good buddy!
0:08:31 > 0:08:34And obnoxious. I think he's in rude health.
0:08:34 > 0:08:35RETCHING
0:08:37 > 0:08:39Get that, will you?
0:08:39 > 0:08:42I'm working with UKT on harvesting the John Doe's organs,
0:08:42 > 0:08:43can't someone else deal with it?
0:08:43 > 0:08:45Yeah, they could, but I asked you.
0:08:47 > 0:08:48How can you tell he isn't...
0:08:48 > 0:08:50- What's your name?- Ramona.
0:08:50 > 0:08:54I'm Michael Spence, I'm the clinical lead here, and you are?
0:08:54 > 0:08:58I'm the new HCA for AAU. My first day. Nice to meet you.
0:08:58 > 0:09:00Now, I appreciate your concern for my patient,
0:09:00 > 0:09:01but I think I got it.
0:09:02 > 0:09:06Just because you're a clinical lead, doesn't mean you can be a jerk.
0:09:09 > 0:09:10You believe that?
0:09:10 > 0:09:13Shocking. Absolutely.
0:09:13 > 0:09:15She's...very shocked too.
0:09:15 > 0:09:16GIGGLING
0:09:18 > 0:09:22Organise a scan for Mr Wellers... someone's got a "feeling".
0:09:24 > 0:09:27So, good night last night?
0:09:27 > 0:09:28Yeah. You?
0:09:28 > 0:09:30Yeah, from what I can remember.
0:09:30 > 0:09:32- Oh, mine was definitely memorable. - Oh, I know.
0:09:32 > 0:09:36- How?- Cos that was last night's dress you were wearing.
0:09:39 > 0:09:42So, the question is, did he jump?
0:09:43 > 0:09:46No, the question is... was he pushed?
0:09:46 > 0:09:49Maybe by one of the people up for his job today.
0:09:49 > 0:09:51The same blooming record.
0:09:51 > 0:09:53Well, don't you think it's weird?
0:09:53 > 0:09:55He's on leave. End of story. Now, come on...
0:09:55 > 0:09:58it's a new dawn, it's a new day.
0:09:58 > 0:10:00- And you're feeling good? - Always!
0:10:00 > 0:10:05- Yeah, cos you look like. - Hey, hey, hey - it costs a lot of money to look this bad.
0:10:05 > 0:10:07Yeah, well...it wasn't wasted.
0:10:12 > 0:10:15So...you didn't go home last night?
0:10:21 > 0:10:24Did I have a good time last night? You betcha.
0:10:25 > 0:10:28Am I going to tell you about it? Not on your nelly.
0:10:28 > 0:10:30I was just...
0:10:30 > 0:10:34Like Elliot said. Professionalism. Let's stick to that, shall we?
0:10:37 > 0:10:40Ah, Mr Griffin! Welcome back!
0:10:40 > 0:10:45Is there some reason why I can't access the system today, or...
0:10:45 > 0:10:47Oh, the passwords have been changed. Ms Campbell thought...
0:10:47 > 0:10:53They've been changed? And where is Ms Campbell?
0:10:53 > 0:10:55I don't see her name on the board.
0:10:55 > 0:10:59- Has nobody told you?- Told me what? - Half hourly obs on Mrs Stephens, Chantelle...
0:10:59 > 0:11:01Ah, Mr Griffin! Good holiday?
0:11:01 > 0:11:03It's rapidly becoming a distant memory.
0:11:03 > 0:11:05He doesn't know yet.
0:11:05 > 0:11:07Don't you ever check your e-mails?
0:11:07 > 0:11:10I've been...on holiday. Look, what is going on?
0:11:10 > 0:11:11What is it that I don't know?
0:11:11 > 0:11:14Hanssen's on a leave of absence. As of last week.
0:11:14 > 0:11:16At least that's what we've been told.
0:11:16 > 0:11:18He hasn't resigned? Has he?
0:11:18 > 0:11:21Nobody knows. One day he was here, and the next, he was...gone.
0:11:21 > 0:11:24Look, I really haven't got time for 20 questions.
0:11:24 > 0:11:27Just give me a straight answer. Who is running Holby City?
0:11:27 > 0:11:29CHUCKLING
0:11:29 > 0:11:33No, no, I absolutely agree, yeah...
0:11:33 > 0:11:35(I'm on with the chairman.)
0:11:38 > 0:11:39Have a seat.
0:11:40 > 0:11:41Mm-hm.
0:11:41 > 0:11:44SHE CHUCKLES
0:11:44 > 0:11:45Lexy, Lexy...
0:11:45 > 0:11:49we give you a perfectly good heart, and what do you do with it?
0:11:49 > 0:11:54I know. It's all the intravenous drugs and wild sex.
0:11:54 > 0:11:56Sex is good for the heart.
0:11:56 > 0:11:58Not hanging from a chandelier.
0:11:58 > 0:11:59CHUCKLING
0:11:59 > 0:12:03This is so embarrassing. Chronic rejection.
0:12:03 > 0:12:06Ah, it could happen to anyone. It's not personal.
0:12:06 > 0:12:12My body is destroying the donor heart that's keeping me alive.
0:12:14 > 0:12:16I'd say that was pretty personal.
0:12:16 > 0:12:19Well, thanks to the wonders of modern medicine,
0:12:19 > 0:12:22you are now about to become Robo-vicar.
0:12:22 > 0:12:23That a technical term?
0:12:23 > 0:12:25Not exactly.
0:12:25 > 0:12:27And, as if that wasn't enough,
0:12:27 > 0:12:29you now have the pleasure of our company.
0:12:29 > 0:12:32If you weren't feeling bad already!
0:12:32 > 0:12:34I am so glad you two are still here.
0:12:34 > 0:12:38It makes this so much easier for me.
0:12:38 > 0:12:42Can we get full bloods, an echo and an ECG, please?
0:12:42 > 0:12:44Right, Lexy, I'll let Jonny get you settled in
0:12:44 > 0:12:48and then I'll be back to get you consented.
0:12:48 > 0:12:49So, stuck with us again, eh?
0:12:49 > 0:12:52Oh, I don't mind. You make me laugh.
0:12:53 > 0:12:56And you seem to grab life by the scruff of the neck.
0:12:56 > 0:13:00It's an example I've been trying to emulate recently.
0:13:00 > 0:13:03Hence the drugs and chandeliers, eh?
0:13:03 > 0:13:06Not quite. But I have been letting my hair down a bit.
0:13:07 > 0:13:10Oh, yes? Mr Right?
0:13:10 > 0:13:12Or Mr Right Now?
0:13:13 > 0:13:15There is a certain someone.
0:13:15 > 0:13:17Oh, that's great.
0:13:17 > 0:13:20Well, let's get you fit and back to them, eh?
0:13:21 > 0:13:23Well, I take it congratulations are in order.
0:13:23 > 0:13:26For the moment, I'm acting CEO. Nothing more.
0:13:26 > 0:13:28And did you speak to Henrik before he...
0:13:28 > 0:13:31Not a whisper. Inscrutable to the last.
0:13:31 > 0:13:34- Will he be coming back? - No-one knows.
0:13:34 > 0:13:36So we keep calm and carry on.
0:13:36 > 0:13:40- It's business as usual. - Apart from all the access passwords being changed.
0:13:40 > 0:13:45System upgrades. Planned for months. Nothing to do with me, I assure you.
0:13:45 > 0:13:50So...you have no plans to intervene with ward policy?
0:13:51 > 0:13:54Ward autonomy is sacrosanct.
0:13:54 > 0:13:57- Sacrosanct. I shall quote you on that.- Please do.
0:13:57 > 0:14:02However, it is a testing time for Holby so I would appreciate it if you keep a tight grip on budgets
0:14:02 > 0:14:05- and avoid any non-essential procedures.- Understood.
0:14:06 > 0:14:08And you?
0:14:08 > 0:14:11- Me?- What are your plans, personally?
0:14:12 > 0:14:13Did you not get the e-mail?
0:14:15 > 0:14:18I've only just got back, I haven't caught up.
0:14:18 > 0:14:19Right.
0:14:19 > 0:14:24Well, certain senior consultants have been invited to
0:14:24 > 0:14:26interview for the post of acting CEO.
0:14:26 > 0:14:30Since the position's only temporary, but the situation critical,
0:14:30 > 0:14:33they have bypassed formal application procedures
0:14:33 > 0:14:35and interviews are scheduled for this afternoon.
0:14:35 > 0:14:39Yours is at...let me see...
0:14:41 > 0:14:43..four o'clock.
0:14:45 > 0:14:46That's if you want the job?
0:14:48 > 0:14:50I can't do lunch. I've got spinning class.
0:14:50 > 0:14:51Rather you than me.
0:14:51 > 0:14:54- Yeah, no kidding, fat boy.- Hey!
0:14:54 > 0:14:56- Oh, Michael, Michael, honestly, it's fine.- No, it's not.
0:14:56 > 0:14:58Don't abuse my staff.
0:14:58 > 0:14:59How do you mean?
0:14:59 > 0:15:01The rude comments?
0:15:02 > 0:15:05I can't help it if people haven't got a sense of humour.
0:15:05 > 0:15:07You think that's funny? Seriously?
0:15:07 > 0:15:09Seriously funny, that's me.
0:15:10 > 0:15:14Brian... I'm asking you politely. Just rein it in, OK?
0:15:14 > 0:15:15If you say so.
0:15:15 > 0:15:17CHUCKLING
0:15:18 > 0:15:21- Hey! You're welcome! - Your friend is still in rude health.
0:15:21 > 0:15:22I'm very glad to hear it.
0:15:22 > 0:15:24Still got a feeling about him?
0:15:24 > 0:15:26I've got a feeling about someone.
0:15:26 > 0:15:29Mrs Stephens' B/P's a bit high.
0:15:29 > 0:15:30Thanks. I'll check on her.
0:15:32 > 0:15:34How do I get a second date?
0:15:34 > 0:15:36Whoa, I don't remember our first.
0:15:36 > 0:15:38No! Rhys from radiology.
0:15:38 > 0:15:42We went out last week and it was lovely but since then, nothing.
0:15:42 > 0:15:45- So, why don't you ask him out? - I'm a girl. Girls don't ask.
0:15:45 > 0:15:4921st century, Channers...you can vote, eat cheese and ask guys out.
0:15:49 > 0:15:51It's the law.
0:15:51 > 0:15:54There didn't used to be a law saying women couldn't eat cheese! Did there?
0:15:54 > 0:15:55PHONE RINGS
0:15:55 > 0:15:56Hello, Keller?
0:15:56 > 0:15:59Hey. How was it?
0:15:59 > 0:16:00Fine.
0:16:00 > 0:16:04Just keep a handle on the budget and non-essentials,
0:16:04 > 0:16:07other than that, ward autonomy is sacrosanct.
0:16:07 > 0:16:09Her words.
0:16:09 > 0:16:11You're kidding?! Really?!
0:16:11 > 0:16:13And you believe her?
0:16:13 > 0:16:15She's incredibly busy, out of our hair.
0:16:15 > 0:16:17For us, it's business as usual.
0:16:17 > 0:16:20Excuse me, Mr Griffin. It's the transplant co-ordinator.
0:16:20 > 0:16:23They say they've found a match for Lauren Earnshaw.
0:16:25 > 0:16:27- That's wonderful.- That's not all.
0:16:27 > 0:16:30You'll never in a million years guess where it is.
0:16:34 > 0:16:35Nice to see Lexy again, eh?
0:16:35 > 0:16:37The heart we gave her is failing.
0:16:37 > 0:16:39I would hardly call that nice, would you?
0:16:39 > 0:16:42- Mo, wait. - I'm a bit busy, actually.
0:16:42 > 0:16:44Just stop, for God's sake!
0:16:46 > 0:16:48Yes?
0:16:48 > 0:16:51Look, I know I'm not the most perceptive bloke
0:16:51 > 0:16:54but something tells me you're still not my biggest fan.
0:16:54 > 0:16:55Why would you say that?
0:16:55 > 0:16:57Maybe all the wee comments that make me feel
0:16:57 > 0:17:00like I just poked a baby in the eye and laughed about it.
0:17:00 > 0:17:02- Metaphors like that one don't help. - Look, I get it. OK?
0:17:03 > 0:17:08I really upset you at the bar last week and I'm so sorry about that.
0:17:08 > 0:17:12But we are a great team and we need to be able to work together.
0:17:12 > 0:17:14We work together just fine.
0:17:14 > 0:17:16OK, it's not that.
0:17:16 > 0:17:17I...
0:17:20 > 0:17:22..I miss my friend.
0:17:23 > 0:17:25You big, soft git!
0:17:25 > 0:17:28I'm sentimental, sue me.
0:17:28 > 0:17:29Can I go now?
0:17:29 > 0:17:32You love me, right?
0:17:32 > 0:17:35- Don't push it. - You're not going to tell me where you slept last night?
0:17:38 > 0:17:40But I can have his kidney?
0:17:40 > 0:17:43It is a perfect match, yes. And in the same hospital.
0:17:44 > 0:17:47Miraculous.
0:17:47 > 0:17:49- I don't believe it.- Finally!
0:17:50 > 0:17:53I'm sorry. It's... awful about the donor...
0:17:53 > 0:17:57- it's just it's been years.- I started to believe it would never happen.
0:17:57 > 0:17:59- We had a few near misses, haven't we?- You even got tested.
0:17:59 > 0:18:02See, I'm not... Lauren isn't... she's not my...
0:18:02 > 0:18:03Mrs Earnshaw, there is...
0:18:03 > 0:18:06Mum, it's OK. We've got nothing to hide. I'm adopted.
0:18:06 > 0:18:11- Mum only told me last year.- It just never seemed the right time before, what with the PKD and everything.
0:18:11 > 0:18:13So, the chances of you being a match was a long shot.
0:18:13 > 0:18:15I had to try, though.
0:18:15 > 0:18:17Anyway, it doesn't matter now, does it, eh?
0:18:17 > 0:18:19Mrs Earnshaw...
0:18:19 > 0:18:23Lauren... There is something else that we need to tell you.
0:18:23 > 0:18:26When the kidney was harvested,
0:18:26 > 0:18:32the team found a small tumour which they removed and tested.
0:18:32 > 0:18:35And I'm afraid it was malignant.
0:18:36 > 0:18:37The kidney's got cancer?
0:18:37 > 0:18:39Not any more, no.
0:18:39 > 0:18:42But there is a potential risk that it could come back.
0:18:43 > 0:18:47The tumour was very small and hadn't spread to the donor's lymph nodes.
0:18:47 > 0:18:50So the risk of it spreading to you is minimal.
0:18:50 > 0:18:53So... Should I take it or not?
0:18:55 > 0:18:57We can't take that decision for you, I'm afraid.
0:18:57 > 0:18:59We can only advise.
0:19:00 > 0:19:05But you personally think this kidney is Lauren's best option?
0:19:06 > 0:19:10You've been on the transplant waiting list for a decade.
0:19:10 > 0:19:14This kidney, in spite of the cancer, is a perfect match.
0:19:15 > 0:19:18But only you can make that final decision.
0:19:21 > 0:19:24There's been a slight delay.
0:19:24 > 0:19:27- I can go home, then?- I'm afraid not. It's as we suspected...
0:19:27 > 0:19:30your echo shows that rejection has damaged the heart function
0:19:30 > 0:19:32and your heart is failing.
0:19:32 > 0:19:35Break it to me gently, why don't you?
0:19:35 > 0:19:37Which means that you're in the right place.
0:19:37 > 0:19:39We can take care of you.
0:19:39 > 0:19:41So what's the delay?
0:19:41 > 0:19:44The Hertzig is a very delicate piece of machinery and...
0:19:44 > 0:19:46- You dropped it?- Not quite, no.
0:19:46 > 0:19:49We're waiting for another one to be couriered to us.
0:19:49 > 0:19:52And then we need to run some operational tests, so...
0:19:52 > 0:19:56I need to twiddle my thumbs for a while, I get it.
0:19:56 > 0:19:58I'm sure Mr Maconie will take good care of you.
0:19:58 > 0:20:00Oh, aye, we'll play Twister...
0:20:00 > 0:20:02and off-the-ground tag.
0:20:02 > 0:20:05- Tarts and vicars? - Steady on, you maniac.
0:20:05 > 0:20:06Can I make a request?
0:20:06 > 0:20:07Of course.
0:20:07 > 0:20:09Could I see it? The Hertzig?
0:20:10 > 0:20:13I just want to see what's going to be keeping me alive.
0:20:13 > 0:20:16It could be a bit of a shock.
0:20:16 > 0:20:18I can cope.
0:20:18 > 0:20:21I don't see why not. Mr Maconie, would you?
0:20:21 > 0:20:23Sure. We'll play show and tell.
0:20:24 > 0:20:26Handle this delicately, please.
0:20:26 > 0:20:27Absolutely.
0:20:31 > 0:20:35You know, you're a very attractive woman...for your age.
0:20:35 > 0:20:36You single?
0:20:36 > 0:20:38Honey, you're not my type.
0:20:38 > 0:20:40I prefer a man to be more sensitive.
0:20:40 > 0:20:42I can be sensitive.
0:20:42 > 0:20:44Sensitive like a flower, not like a sledge hammer.
0:20:46 > 0:20:47Sugar?
0:20:47 > 0:20:48No, ta. I'm...
0:20:48 > 0:20:51Sweet enough? That's a very old joke.
0:20:51 > 0:20:52Mr Wellers?
0:20:54 > 0:20:59Brian, Brian, can you hear me?
0:21:03 > 0:21:06Mr Spence? Mr Spence, it's Mr Wellers.
0:21:06 > 0:21:07Later.
0:21:07 > 0:21:08No, now!
0:21:15 > 0:21:18So, can I go home yet, doc?
0:21:18 > 0:21:21He seemed to fall asleep and I shook him and nothing.
0:21:21 > 0:21:23Unresponsive to stimulus.
0:21:23 > 0:21:25I'll respond to any stimulus you like, darling.
0:21:25 > 0:21:27Brian, we've talked about this.
0:21:27 > 0:21:28- Oh, that was funny.- No, it wasn't.
0:21:28 > 0:21:30Now answer me straight.
0:21:30 > 0:21:33Have you had any headaches, nausea, dizziness?
0:21:33 > 0:21:36- I'm fine. Seriously. - I'm not making it up.
0:21:36 > 0:21:38Ramona.
0:21:40 > 0:21:42I've booked Mr Wellers in for a CT,
0:21:42 > 0:21:44but they're a little backed up right now.
0:21:44 > 0:21:47Now, for the record, there's no symptoms that he's showing
0:21:47 > 0:21:49that are causing me any concerns.
0:21:49 > 0:21:52So, why don't you just let us do our job, and you can do yours?
0:21:52 > 0:21:54- How does that sound?- Patronising.
0:21:57 > 0:21:59You see what she did there?
0:21:59 > 0:22:02Yeah, Brian, it's the last word. I got it. Thank you.
0:22:02 > 0:22:04You just let me know if you're feeling unwell, all right?
0:22:04 > 0:22:06- AMERICAN ACCENT:- Sure will, buckaroo.
0:22:10 > 0:22:13Good grief! How exactly does it work?
0:22:13 > 0:22:16Well, the human heart is a pump, plain and simple.
0:22:16 > 0:22:18There are those who disagree with you on that.
0:22:18 > 0:22:21Yes, but I'm a medical man. And besides that, I'm lapsed.
0:22:22 > 0:22:26The Hertzig just replicates the heart's functions.
0:22:26 > 0:22:31It pumps oxygenated blood around the body, keeping you alive.
0:22:31 > 0:22:32And these?
0:22:32 > 0:22:35Well, this is the controller and this is the battery...
0:22:35 > 0:22:39and this is the TET, which stands for transcutaneous energy transfer.
0:22:39 > 0:22:41It allows us to charge the Hertzig
0:22:41 > 0:22:43from outside of the body.
0:22:43 > 0:22:46Can't be opening you up every five minutes, can we?
0:22:46 > 0:22:48You mean all of this... will be inside me?
0:22:49 > 0:22:53Everything you see here, yeah. But you won't even know it's there.
0:22:56 > 0:22:58Are you OK, Lexy?
0:23:01 > 0:23:03Yeah.
0:23:03 > 0:23:06Lauren Earnshaw's bloods... it's not looking good.
0:23:06 > 0:23:08Hyperkalemia, am I right?
0:23:08 > 0:23:12And the rest. Elevated B/P, evidence of bone disease.
0:23:12 > 0:23:15And she's already struggling with dialysis access.
0:23:16 > 0:23:19That still doesn't mean she should take the kidney.
0:23:21 > 0:23:24That is her decision. Not ours.
0:23:25 > 0:23:29But, Mum, what if it comes back? I mean, it's cancer.
0:23:29 > 0:23:31They've already explained that. If it comes back...
0:23:31 > 0:23:33We remove the kidney immediately.
0:23:33 > 0:23:37But let me reiterate, the chances of recurrence are minimal.
0:23:39 > 0:23:40I don't know what to do.
0:23:40 > 0:23:44Take it, love. It's the best chance you've had in years.
0:23:44 > 0:23:45Until I get cancer.
0:23:45 > 0:23:47- You won't.- You don't know that!
0:23:51 > 0:23:55Can't I just keep on having dialysis until another kidney comes along?
0:23:59 > 0:24:00Um...
0:24:00 > 0:24:04If this fistula fails, then dialysis access will become very difficult.
0:24:04 > 0:24:08Combining that with bone damage and...
0:24:08 > 0:24:12And I know it's a stupid question, what happens if I stop dialysis?
0:24:15 > 0:24:18- You will deteriorate rapidly. - And die.
0:24:18 > 0:24:19Yes.
0:24:19 > 0:24:21Look, I'm afraid we have to move quickly.
0:24:21 > 0:24:23If you're not going to take the kidney,
0:24:23 > 0:24:26- we only have limited of time to get it to someone else.- I know that.
0:24:26 > 0:24:30Well, there's nothing left to talk about. You take the kidney.
0:24:30 > 0:24:31Don't you?
0:24:31 > 0:24:33She's going to take it.
0:24:33 > 0:24:34Mum, wait.
0:24:34 > 0:24:35Lauren, please!
0:24:35 > 0:24:37No, no, there's another option.
0:24:37 > 0:24:38There is?
0:24:38 > 0:24:40My birth family.
0:24:41 > 0:24:44Mo, I need to talk to you about...
0:24:46 > 0:24:48What you doing here?
0:24:48 > 0:24:50I know, I know. I'm sorry, I'm sorry.
0:24:50 > 0:24:52You left your...
0:24:52 > 0:24:55Albie! To what do we owe the pleasure, mate?
0:24:55 > 0:24:57Is this not the bar?!
0:24:57 > 0:25:00- You know you're not meant to drink your own stuff? - That's why I never make any money!
0:25:02 > 0:25:05- Did you want something, Jonny? - Oh, no, it'll keep.
0:25:05 > 0:25:07Sorry not to see you last night.
0:25:07 > 0:25:08Yeah, yeah, where were you?
0:25:08 > 0:25:11I was at one of your rivals, actually.
0:25:11 > 0:25:13Right, you're barred!
0:25:13 > 0:25:14So...what are you doing here?
0:25:14 > 0:25:16Do you want to give us a...
0:25:17 > 0:25:20Of course. I'll probably see you later on tonight, Albie.
0:25:20 > 0:25:21You'd better!
0:25:23 > 0:25:25I brought this, you left it.
0:25:27 > 0:25:28They could be a match.
0:25:28 > 0:25:32It doesn't mean they'll give you a kidney.
0:25:32 > 0:25:34- Love... - They might willing to help me.
0:25:34 > 0:25:36- You don't know that! - And you don't know they won't!
0:25:39 > 0:25:41Have you ever tried to contact them before?
0:25:41 > 0:25:44No. And I haven't wanted to.
0:25:46 > 0:25:50This isn't about you, OK? I'm not angry you didn't tell me before, you know that.
0:25:50 > 0:25:55You're my mum, and you always will be and you do the best for me,
0:25:55 > 0:25:58- but I just...- Lauren, please, don't. - Can't you see that it's a chance?
0:25:58 > 0:26:00Darling. Have you thought about...
0:26:02 > 0:26:04..what if they say no?
0:26:04 > 0:26:06I'll be no worse off than I am now.
0:26:10 > 0:26:14I'm sorry, but I can't delay this decision much longer.
0:26:15 > 0:26:18Lauren, I think you should listen to your mother.
0:26:18 > 0:26:21But...it is your choice.
0:26:22 > 0:26:25What about me? She is MY daughter.
0:26:25 > 0:26:28She's 18. She has the right of consent.
0:26:28 > 0:26:30And it's my life, isn't it?
0:26:34 > 0:26:36If this is what YOU want.
0:26:38 > 0:26:39It is.
0:26:39 > 0:26:41Lauren, you can't do this.
0:26:41 > 0:26:43I can, Mum, and I'm sorry.
0:26:45 > 0:26:47I really don't want to upset you.
0:26:47 > 0:26:49But I've made up my mind.
0:26:52 > 0:26:55I don't want the kidney. Thank you.
0:26:56 > 0:26:58Very well. I'll make the arrangements.
0:26:59 > 0:27:03- I can't believe you agree with her. - I respect her right to make her own decisions.
0:27:03 > 0:27:07- The kidney's a risk, no matter how small.- Mr Griffin... call from Lilah in AAU.
0:27:07 > 0:27:09She said the kidney's being perfused and would you like to check it?
0:27:09 > 0:27:12Thank you, Chantelle, I'll call.
0:27:12 > 0:27:13Mr Griffin!
0:27:13 > 0:27:17- Mrs Earnshaw, I really am pressed for time.- I need to speak to you. Privately. Please.
0:27:20 > 0:27:21Yes, of course.
0:27:22 > 0:27:26Look, I understand how painful it is, but she's 18, and...
0:27:26 > 0:27:28No, no, no, you don't understand.
0:27:28 > 0:27:31You have to tell her to take the kidney.
0:27:31 > 0:27:33If she's made her decision...
0:27:33 > 0:27:36She can't contact her birth family. Ever.
0:27:39 > 0:27:41Dozy cow...left my ID in the bar.
0:27:41 > 0:27:42Uh-huh.
0:27:42 > 0:27:45- Did you want me for something? - No, it's fine.
0:27:45 > 0:27:47Lexy's good to go, though, yeah?
0:27:47 > 0:27:49She's consented, if that's what you mean.
0:27:49 > 0:27:51You don't think she wants to go through with it?
0:27:51 > 0:27:53No, she'll do it.
0:27:53 > 0:27:54Just quietly freaking out, that's all.
0:27:55 > 0:27:59Genius at denial. Something you'd know all about.
0:28:01 > 0:28:04- What's your problem? - I don't have a problem, what makes you think I have a problem?
0:28:04 > 0:28:06I left my ID.
0:28:06 > 0:28:08In the bar, yes, you said.
0:28:09 > 0:28:11Look, what I do in my private life...
0:28:11 > 0:28:14Spare me, OK? You want to sleep with a married man?
0:28:14 > 0:28:16You go right ahead.
0:28:16 > 0:28:20But take my word for it, it'll all go pear-shaped in the end...
0:28:20 > 0:28:21just like last time.
0:28:23 > 0:28:24You're bang out of order.
0:28:24 > 0:28:29You're right. I am out of order. I'm going to shut up now.
0:28:29 > 0:28:31Professionalism, right? Like Elliot said?
0:28:31 > 0:28:32Right.
0:28:32 > 0:28:36When this goes tits up, I will not be there to pick up the pieces.
0:28:43 > 0:28:46That's extraordinary.
0:28:46 > 0:28:49Well, let's hope the perfusion can keep it alive for a few more hours.
0:28:49 > 0:28:52The recipient hasn't consented?
0:28:52 > 0:28:54Not yet. Thanks.
0:28:54 > 0:28:59She may still agree, but there's a family issue to be sorted out.
0:28:59 > 0:29:01If she does, could I observe the procedure?
0:29:03 > 0:29:06I know, pushy. I know.
0:29:06 > 0:29:08Look, you've done a brilliant job liaising with the family
0:29:08 > 0:29:11and the transplant team, but I can't.
0:29:11 > 0:29:12It's fine. I understand.
0:29:12 > 0:29:14- I'll let you know how it goes.- OK.
0:29:15 > 0:29:17BEEPING
0:29:17 > 0:29:18Damn it.
0:29:18 > 0:29:19Problem?
0:29:19 > 0:29:23Just trying to get in touch with the kids...unsuccessfully.
0:29:23 > 0:29:25- I presume you wanted to talk about...- Yeah.
0:29:25 > 0:29:27The current acting CEO.
0:29:27 > 0:29:29I'm not throwing my hat in the ring.
0:29:29 > 0:29:31What? Well, me neither.
0:29:31 > 0:29:36I got everything I want, right here. I've got to get back to this.
0:29:36 > 0:29:38- Yeah, tough, not seeing them. - Yeah.
0:29:38 > 0:29:40Still, they'll be home for Christmas, yeah?
0:29:40 > 0:29:41What, Christmas?
0:29:43 > 0:29:44Annalese didn't tell you?
0:29:45 > 0:29:46I assumed you knew.
0:29:46 > 0:29:49Michael, I'm sorry, I've got to go.
0:29:57 > 0:29:59Well? Is it OK?
0:29:59 > 0:30:02Yes, the kidney's still viable but she has to consent now or...
0:30:02 > 0:30:06You could persuade her. If you told her it was the right thing to do...
0:30:06 > 0:30:07No, I can't do that.
0:30:07 > 0:30:11Look, if you want to change her mind then you have to tell her what you've told me.
0:30:11 > 0:30:14- She has to know the truth. - (I can't.)
0:30:16 > 0:30:18Then she's going to lose this chance.
0:30:23 > 0:30:27OK, so I've been looking up adoption law and it says I can be put on a contact register...
0:30:27 > 0:30:28Look, Lauren.
0:30:28 > 0:30:30- I'm sorry it's upsetting you, Mum, but...- Just listen to me.
0:30:30 > 0:30:33No, cos you're only going to try to talk me out of it.
0:30:33 > 0:30:36This is my chance. They could save me.
0:30:36 > 0:30:39- There's no guarantee they'll be a match or they'll agree to... - No, I know that,
0:30:39 > 0:30:44but it's the logical thing to do, isn't it? I mean, I can't believe you didn't think of it before.
0:30:44 > 0:30:45I did.
0:30:47 > 0:30:49As soon as you were diagnosed...
0:30:49 > 0:30:54I went to the adoption agency and asked to be put in contact with your birth family.
0:30:55 > 0:30:57I thought they might want to help or something.
0:30:57 > 0:30:59And?
0:31:00 > 0:31:03They've got what's called an absolute veto.
0:31:05 > 0:31:07You can't contact them under any circumstances.
0:31:10 > 0:31:13- But if they knew that I was ill... - No. I'm sorry, love, but...
0:31:16 > 0:31:19- If they knew that I was dying...- It won't make any difference to them.
0:31:19 > 0:31:23They don't want anything to do with you, no matter what.
0:31:25 > 0:31:28That's why I only told you you were adopted last year.
0:31:29 > 0:31:31I wanted...
0:31:32 > 0:31:33I wanted to protect you.
0:31:34 > 0:31:37- I know I should've... - You should have.
0:31:39 > 0:31:42Lauren, I'm sorry to have to push this
0:31:42 > 0:31:44but we only just have enough time.
0:31:44 > 0:31:48Now, I still think this kidney is your best option.
0:31:48 > 0:31:49Would you like to accept it?
0:31:52 > 0:31:53Yes.
0:31:54 > 0:31:56Good. I'll start preparations.
0:31:56 > 0:31:59You did the right thing.
0:32:03 > 0:32:06She's going ahead with the transplant. Are you going to assist?
0:32:06 > 0:32:09Of course but...what changed her mind? She was so sure.
0:32:09 > 0:32:12She ran out of options. Right, you get her consented and prepped for theatre.
0:32:14 > 0:32:16THEY CHUCKLE TOGETHER
0:32:16 > 0:32:18What's going on over here? What's so funny?
0:32:18 > 0:32:22I was just telling Ramona how Tracy's holding the ladder,
0:32:22 > 0:32:25I says to her, "You have to lose some chub if you want to pull me,"
0:32:25 > 0:32:28and the next thing I know, I'm on the floor.
0:32:28 > 0:32:30I mean, some people! They just can't take a joke.
0:32:30 > 0:32:33No, Brian, you just can't tell one!
0:32:33 > 0:32:36All right? So how about we cut the jokes out, all right?
0:32:36 > 0:32:39This is a hospital, it's not a comedy club.
0:32:45 > 0:32:47I get it. It's just a patient, uh?
0:32:47 > 0:32:49And I'm just an HCA, right?
0:32:49 > 0:32:52So, you can humiliate us both all you like?
0:32:52 > 0:32:57- Look, I'm just try... - Oh, forget it! I'll go and clean something. That makes you happy?
0:32:57 > 0:32:59- Yeah, ecstatic. Thank you. - You're welcome(!)
0:33:02 > 0:33:04Your new heart has arrived.
0:33:04 > 0:33:07Somebody's revving it up for us as we speak.
0:33:07 > 0:33:08That's good.
0:33:08 > 0:33:12- You've just got to sign...here. - I know.
0:33:16 > 0:33:19Lexy...
0:33:19 > 0:33:21Just give me a minute. I'll get there.
0:33:22 > 0:33:25MOBILE PHONE BUZZES
0:33:26 > 0:33:28- Is that Mr Right?- Yes...
0:33:28 > 0:33:31No... I don't know.
0:33:31 > 0:33:34He, um... David, he doesn't know about the trial.
0:33:35 > 0:33:37It's early days for us, I didn't want to scare him.
0:33:37 > 0:33:40"By the way, my heart's being replaced with a robotic pump."
0:33:40 > 0:33:43- It's not... Not very romantic. - Fair point.
0:33:49 > 0:33:50Lexy...
0:33:50 > 0:33:53is there something you need? Something I can do for you?
0:33:53 > 0:33:56- Now you mention it... - It's what I'm here for.
0:33:56 > 0:34:01No. I wouldn't want to cause problems for you and Ms Effanga.
0:34:01 > 0:34:03Not when things are so tense between you.
0:34:04 > 0:34:07- You don't miss a thing, do you? - It's the job.
0:34:08 > 0:34:12If I can help you, I will. Never mind Ms Effanga.
0:34:12 > 0:34:14It might get you into trouble.
0:34:15 > 0:34:18Trouble happens to be my middle name.
0:34:21 > 0:34:23I'll be right here when you wake up, my love.
0:34:23 > 0:34:26- Whatever...- Oh, Lauren, please, you have to understand.
0:34:26 > 0:34:27No, I don't have to do anything.
0:34:27 > 0:34:32If people don't care if I live or die, I don't see why I should care what anyone says.
0:34:32 > 0:34:34Lauren, try to stay calm. This isn't the time.
0:34:34 > 0:34:38Everyone's deciding when's the best time for me, aren't they? Trying to protect me.
0:34:38 > 0:34:40Look how well that turned out.
0:34:41 > 0:34:44Stay or go, I don't care any more.
0:34:44 > 0:34:47Just...give her some space. It's a lot to take in.
0:34:48 > 0:34:51- She does still need you. - She's got a right to be angry.
0:34:52 > 0:34:54I just...didn't know what else to do.
0:34:55 > 0:34:58Promise...you'll bring her back to me.
0:34:58 > 0:35:01It's a serious but routine operation. Try not to worry.
0:35:01 > 0:35:05- Mr Griffin?- I'm still scrubbing in. - A message just down -
0:35:05 > 0:35:09- Ms Campbell wants to see you. - She'll have to wait. - She knows about the transplant...
0:35:09 > 0:35:11and she wants to speak to you right now.
0:35:11 > 0:35:15Keep non-essential procedures to a minimum. I did say that, right?
0:35:15 > 0:35:19Precisely. Are you now saying that you personally want to authorise them all?
0:35:19 > 0:35:24I'm saying that at this exceptionally delicate time when all eyes are upon us,
0:35:24 > 0:35:28the last thing we need is to be doing a procedure that may well give a patient cancer.
0:35:28 > 0:35:30That's not a given, by any means.
0:35:30 > 0:35:33It's highly controversial and potentially dangerous.
0:35:33 > 0:35:38Case studies suggest the chances of recurrence are not as high as you would think.
0:35:38 > 0:35:40Look, the cancer had not spread in the donor,
0:35:40 > 0:35:44the transplant team removed the tumour clean. It's a perfect match!
0:35:44 > 0:35:46None of which removes the threat of recurrence.
0:35:46 > 0:35:48Lauren is fully aware and has consented.
0:35:48 > 0:35:51"First do no harm". Remember that part of the training?
0:35:51 > 0:35:54The part that I remember is about putting patients first.
0:35:54 > 0:35:56I wasn't suggesting that you...
0:35:56 > 0:36:00Listen, this procedure is Lauren's best option, it's her ONLY option.
0:36:00 > 0:36:05And it's precisely the kind of medicine that Holby should be doing, now or at any time!
0:36:05 > 0:36:08The patient is prepped, the kidney is still viable,
0:36:08 > 0:36:11- I'm proceeding as planned. - On your own head.
0:36:12 > 0:36:13As always.
0:36:18 > 0:36:23- What the hell are you doing? - Cleaning, like you asked me to.
0:36:23 > 0:36:24Er, I didn't say in here.
0:36:24 > 0:36:27This place, it's a pigsty!
0:36:27 > 0:36:30- I bet you are single, huh? - All right, that's it!
0:36:30 > 0:36:33You know what, go anywhere else and do anything else!
0:36:33 > 0:36:36I certainly do not need relationship advice from you.
0:36:36 > 0:36:38Well, you need it from someone.
0:36:38 > 0:36:42Cos the way you act, you're going to be so lonely.
0:36:42 > 0:36:45Get out of here. Now get the last word in!
0:36:45 > 0:36:47Imbecil arrogante!
0:36:49 > 0:36:52So, how are things going with Ramona?
0:36:52 > 0:36:54Awesome. We're like the Borgias on crack.
0:36:54 > 0:36:56Don't you think you should take it easy on her?
0:36:56 > 0:37:00I think she should take it easy on me. Annalese, it's Michael.
0:37:00 > 0:37:03Now, you're avoiding me and we both know why.
0:37:03 > 0:37:06We agreed that these kids were coming THIS week,
0:37:06 > 0:37:09not over Christmas, so you better call me back
0:37:09 > 0:37:12or I promise you I will get on the next flight out there.
0:37:14 > 0:37:15Women.
0:37:16 > 0:37:19- Where the hell is that...? - Problem?
0:37:21 > 0:37:23- Ramona!- Michael, just...
0:37:23 > 0:37:25- Can I help you? - Yeah, I think you can.
0:37:25 > 0:37:28- When you were cleaning the office, did you...- Sacha, I got this.
0:37:28 > 0:37:30- Diplomacy is the best option here. - Where's my bookmark?
0:37:30 > 0:37:32- What?- Nicely done.
0:37:32 > 0:37:34Solid silver, it was on my desk.
0:37:34 > 0:37:37You come in, cleany-cleany, now it's gone!
0:37:37 > 0:37:41- Oh, light-fingered Latino, is it? - That's racist. - I'm just calling it how it is!
0:37:41 > 0:37:43Brian! That's enough!
0:37:43 > 0:37:46Look, it was there before you cleaned and now it is gone. Just give it to me!
0:37:47 > 0:37:51I didn't take your stupid bookmark!
0:37:51 > 0:37:53He's NOT OK!
0:37:53 > 0:37:55And you have a bad attitude!
0:37:58 > 0:38:01- We'll proceed as planned. - She didn't approve, right?
0:38:01 > 0:38:03Whether she approves or not is irrelevant.
0:38:03 > 0:38:06Ward autonomy is sacrosanct, remember?
0:38:06 > 0:38:09OK, apologies for the delay.
0:38:09 > 0:38:13Our acting CEO wanted me to talk her through the procedure.
0:38:14 > 0:38:18Right, Lauren, we're going to take you in now, if you're ready?
0:38:18 > 0:38:20- I am. - I love you, Lauren.
0:38:31 > 0:38:34You think it's the best move politically, right now?
0:38:34 > 0:38:37We don't play politics with our patients' lives, ever.
0:38:37 > 0:38:40We do what's right for them. That's where it begins and ends.
0:38:40 > 0:38:41Ric?
0:38:41 > 0:38:43Ric. Sorry.
0:38:43 > 0:38:46OK, if you take Lauren through to anaesthetics, I'll be right there.
0:38:48 > 0:38:52- You're going up for Acting CEO, aren't you?- I wasn't planning to.
0:38:52 > 0:38:56- Well, I'm not, Michael isn't. If you don't, who's going to oppose her?- Elliot, I'm due in theatre.
0:38:56 > 0:38:59In the first few days she's been in the post,
0:38:59 > 0:39:02Ms Campbell has already begun to interfere
0:39:02 > 0:39:05with non-essential procedures, clinical trials, ward budgets,
0:39:05 > 0:39:08now I understand she's looking at cutting clinical skills funding...
0:39:08 > 0:39:12- Mr Griffin?- ..which could directly affect Mr Malick's position...
0:39:12 > 0:39:14and the rest of us.
0:39:14 > 0:39:18Ric, a Holby under her control is not something anyone wants.
0:39:18 > 0:39:21Agreed, but, Elliot, I don't want the job.
0:39:23 > 0:39:25Thank you so much for doing this for me.
0:39:25 > 0:39:30It's perfectly understandable yous want to check in with the boss before taking the plunge.
0:39:30 > 0:39:33- I'm not sure he's going to have a lot to say to me.- Does he ever?
0:39:35 > 0:39:36Can I go in alone?
0:39:37 > 0:39:41Now, Lexy, you shouldn't even be out of bed, let alone...
0:39:41 > 0:39:43(Just a few minutes.)
0:39:45 > 0:39:49OK...but I'll be right outside if you need me.
0:39:49 > 0:39:51Thank you.
0:40:11 > 0:40:13- LEXY:- I don't know what I'm doing!
0:40:15 > 0:40:17Force of habit, I suppose...
0:40:20 > 0:40:24I give my entire life to you and this is what you do to me!
0:40:25 > 0:40:27Lexy, are you OK in there?
0:40:27 > 0:40:29LOUD THUD
0:40:33 > 0:40:35Can we get some help here, please?
0:40:35 > 0:40:38- She collapsed. - OK, let's get her to HDU, now.
0:40:38 > 0:40:41- Where's Mo? - I haven't seen her for ages.
0:40:41 > 0:40:46Let's get her fixed to the monitors, quickly. Angela? She's tachycardic. What's going on with her?
0:40:46 > 0:40:51- Chronic rejection of a donor heart. - She'll need a dopamine IV, now.
0:40:51 > 0:40:54- Right, she's Mo's patient, we need her here. Page Ms Effanga now.- (OK.)
0:40:57 > 0:41:00She's probably hypotensive. Let's get her on the bed.
0:41:00 > 0:41:02Ready, one, two...
0:41:15 > 0:41:17OK...
0:41:17 > 0:41:19Let's start suturing...
0:41:19 > 0:41:20the renal artery.
0:41:27 > 0:41:29- Ms Campbell?- Thank you.
0:41:32 > 0:41:33Problem?
0:41:33 > 0:41:34No.
0:41:34 > 0:41:36Four-0 Prolene, please.
0:41:38 > 0:41:40Mr Hanssen's sudden departure
0:41:40 > 0:41:44has thrown the future of this hospital into flux.
0:41:45 > 0:41:48But I have what I believe is a compelling solution...
0:41:50 > 0:41:52- Me. - THEY LAUGH
0:41:52 > 0:41:56So if you'd just turn to the first page in the document in front of you. Thank you.
0:41:57 > 0:42:01OK...the renal artery looks secure.
0:42:01 > 0:42:03Let's remove the venal clamp.
0:42:06 > 0:42:08Good flow.
0:42:08 > 0:42:12Under Mr Hanssen, Holby led the way in ground-breaking procedures
0:42:12 > 0:42:15which garnered huge amounts of publicity.
0:42:15 > 0:42:17And that's fine when things are going your way.
0:42:17 > 0:42:21When they're not, you go over budget
0:42:21 > 0:42:24and become the focus of too many headlines.
0:42:24 > 0:42:27Hospitals should never become THE story.
0:42:27 > 0:42:29That's how they get closed down.
0:42:30 > 0:42:32And now the arterial...
0:42:37 > 0:42:39Looks fine. Now the ureter, yes?
0:42:42 > 0:42:46Mr Griffin? Now, we suture the ureter into place and close up, right?
0:42:48 > 0:42:51This is a time for Holby to play it safe,
0:42:51 > 0:42:56to look to the future and ensure its long-term survival.
0:42:57 > 0:43:01I believe I've demonstrated that I am the right person to make that...
0:43:02 > 0:43:03..a reality.
0:43:05 > 0:43:08- Thank you very much. - You're very welcome.
0:43:10 > 0:43:12Mr Griffin.
0:43:12 > 0:43:15- Ms Campbell. - Change your mind?
0:43:15 > 0:43:17- Evidently.- Well...
0:43:18 > 0:43:20- ..best of luck.- Thank you.
0:43:22 > 0:43:25OK, Lexy, just try and breath normally.
0:43:25 > 0:43:27Yep, that's it.
0:43:29 > 0:43:30OK, good.
0:43:31 > 0:43:36She's stable but her heart's failing. We need to bring the procedure forward. What happened?
0:43:36 > 0:43:38- She crashed. - I was asking Nurse Maconie, thanks.
0:43:38 > 0:43:41I took her to the prayer room.
0:43:41 > 0:43:45- You removed her from HDU?! - She asked me to.- Why would you risk something stupid like that?
0:43:45 > 0:43:48She was freaking out, like I told you earlier, not that you listened.
0:43:48 > 0:43:50She asked me to take her so I took her. It's what she wanted.
0:43:50 > 0:43:53- She could've died!- Where were you?! - That's none of your business!
0:43:53 > 0:43:56Focused on the job, professional at all times(!)
0:43:56 > 0:43:59- You paged me. How is she?- Not good. Heart failure.- What happened?
0:43:59 > 0:44:01She asked me to take her to the prayer room,
0:44:01 > 0:44:05she seemed fine...so I agreed. She crashed there.
0:44:05 > 0:44:08It's not his fault. I asked him to.
0:44:08 > 0:44:12Try not to talk, Lexy. OK, let's get her to theatre. Now, please.
0:44:14 > 0:44:16Will you take my phone?
0:44:17 > 0:44:19If God calls...
0:44:20 > 0:44:23- Tell him you're busy?- Right, we'll get her onto bypass...- Sure.
0:44:23 > 0:44:26..which will allow you to perform the explantation of the heart.
0:44:26 > 0:44:29Then you can fit the Hertzig into the cavity. Gotcha.
0:44:37 > 0:44:39Holby has a well-deserved reputation
0:44:39 > 0:44:43as a centre of excellence and innovation,
0:44:43 > 0:44:45and the reasons for that are many.
0:44:47 > 0:44:50We never rule out non-essential procedures
0:44:50 > 0:44:53just cos they look bad on a balance sheet.
0:44:53 > 0:44:57We never take the easy option when it's the wrong one for the patient.
0:44:57 > 0:44:59RIC'S BLEEPER SOUNDS
0:44:59 > 0:45:00Apologies.
0:45:00 > 0:45:04Erm, we let our clinicians do their job
0:45:04 > 0:45:06without interference.
0:45:06 > 0:45:09And we put the patient first,
0:45:09 > 0:45:11- no matter what... - BLEEPER SOUNDS AGAIN
0:45:11 > 0:45:14Sorry, I really should...look at this.
0:45:14 > 0:45:15Mr Griffin?
0:45:18 > 0:45:21I'm sorry... you'll have to excuse me.
0:45:24 > 0:45:27BLEEPER CONTINUES
0:45:27 > 0:45:29Mr Griffin?
0:45:29 > 0:45:30I'm sorry, I can't talk now.
0:45:30 > 0:45:33- What's going on?!- I'm sorry.
0:45:35 > 0:45:37I mean, come on. Me, patronising?!
0:45:37 > 0:45:39It'd be hilarious if it wasn't so ridiculous!
0:45:39 > 0:45:45Surprised Mr Motormouth over here hasn't been cracking jokes about it for the last hour.
0:45:49 > 0:45:50Brian!
0:45:51 > 0:45:53Brian, open your eyes.
0:45:53 > 0:45:56- No response. Brian, can you hear me? - Slight flexion to pain.- Brian?
0:45:58 > 0:46:02- GCS has dropped through the floor. - Michael...- Battle sign - that wasn't there before.
0:46:02 > 0:46:05- Has he had his CT?- I didn't push for it cos it wasn't a priority.
0:46:05 > 0:46:08Well, it is now. Page neuro, tell them we need an emergency CT.
0:46:10 > 0:46:12- What happened? - Everything was fine.
0:46:12 > 0:46:16Ureter and closing went well, I was about to take her through to recovery,
0:46:16 > 0:46:19then her BP fell through the floor and her pulse went through the roof.
0:46:19 > 0:46:22There must be a bleed. Right, let's get her...open again.
0:46:30 > 0:46:32Can't see a thing. Suction.
0:46:39 > 0:46:44- There's a bleed in the vein and in the artery.- I thought it was my work on the ureter or...
0:46:44 > 0:46:49No, it wasn't your fault. I should've been here. I'll take the artery, you the vein, quickly.
0:46:53 > 0:46:55Look at the fibrosis.
0:46:55 > 0:46:59I'm surprised this was even generating a cardiac output.
0:46:59 > 0:47:01Right, let's stitch the aorta and pulmonary artery.
0:47:01 > 0:47:04Three-0 Prolene, please. Thank you.
0:47:08 > 0:47:09And the Hertzig, please.
0:47:21 > 0:47:24- Is she OK?- It's fine. It's fine now.
0:47:24 > 0:47:26She's, erm... She's OK.
0:47:26 > 0:47:27What happened?
0:47:27 > 0:47:33Er, well, she had a bleed, er, on the table. It was nothing to do with the kidney, which is fine.
0:47:33 > 0:47:37It was quite serious but, erm... we got it under control.
0:47:37 > 0:47:39But you...you left her in there.
0:47:39 > 0:47:42Well, Mr Malick is perfectly capable. It wasn't his fault.
0:47:42 > 0:47:45I don't care about him. Where did YOU go?
0:47:45 > 0:47:46I had to...
0:47:47 > 0:47:49There was, um...a meeting.
0:47:49 > 0:47:54A meeting?! My daughter's life was in your hands and...
0:47:54 > 0:47:55you went to a meeting?!
0:47:55 > 0:47:58- I wouldn't have left her if I'd thought that...- But I trusted you!
0:47:58 > 0:48:01All day long you've been assuring me you'll take good care of her
0:48:01 > 0:48:04and then you go to a meeting and she nearly dies!
0:48:06 > 0:48:08I'm sorry.
0:48:08 > 0:48:10(So you should be!)
0:48:14 > 0:48:16Estupida!
0:48:16 > 0:48:19Estupida! Soy estupida!
0:48:19 > 0:48:21I didn't take your damn bookmark!
0:48:21 > 0:48:24- Well, somebody did.- Well, not me.
0:48:24 > 0:48:26You are a bully!
0:48:26 > 0:48:28You call me a thief and you are patronising.
0:48:28 > 0:48:30- Hey, I am NOT patronising! - No. Yeah, right(!)
0:48:32 > 0:48:35I don't even know what I'm looking for here.
0:48:35 > 0:48:37It's a silver bookmark, it's about this long,
0:48:37 > 0:48:39it's got some photos on it,
0:48:39 > 0:48:41some engraving...
0:48:42 > 0:48:43Something like this?
0:48:47 > 0:48:49"Dear Daddy, we miss you."
0:48:51 > 0:48:54Yeah, they're...in Florida with their mother.
0:48:55 > 0:48:56Been there for six months.
0:48:58 > 0:48:59That's hard.
0:48:59 > 0:49:02And they were supposed to come back here this week
0:49:02 > 0:49:05but I just found out today they won't be back till Christmas so...
0:49:06 > 0:49:09..that's why I haven't been my usual charming self.
0:49:10 > 0:49:12M-Michael?
0:49:18 > 0:49:20- Yours?- Mm-hm.- Very sweet.
0:49:23 > 0:49:26I'm...sorry about the water.
0:49:27 > 0:49:29I have a temper, I know that.
0:49:29 > 0:49:33And I really don't want to screw up like that on my first day,
0:49:33 > 0:49:36- so, please, if you could forgive... - Ramona...
0:49:38 > 0:49:42Mr Wellers has a fractured skull and an extradural haematoma and is in surgery right now,
0:49:42 > 0:49:47so...my feeling is that you don't have to apologise to me.
0:49:47 > 0:49:48Not today.
0:49:50 > 0:49:52So...
0:49:53 > 0:49:55..what can I do make it up to you?
0:49:59 > 0:50:00Is Mo about?
0:50:01 > 0:50:03HE CLEARS HIS THROAT She's in theatre.
0:50:03 > 0:50:06Right, of course. Will she be long?
0:50:06 > 0:50:09There's no way of knowing. It's a complicated procedure. She may be...
0:50:09 > 0:50:11A while. Gotcha.
0:50:13 > 0:50:15Any message?
0:50:15 > 0:50:19- No, no. I've got her number, thanks. - Course you have.
0:50:20 > 0:50:21HE LAUGHS
0:50:21 > 0:50:23Look...
0:50:23 > 0:50:25mate, is there...
0:50:25 > 0:50:26some kind of problem?
0:50:26 > 0:50:28I don't know.
0:50:28 > 0:50:29Is there?
0:50:29 > 0:50:31Yes. I'm married. So?
0:50:31 > 0:50:34- It's not a problem though, eh? - It's not a problem for you, is it?
0:50:34 > 0:50:36Oh, not for me, no, but it might be for your wife.
0:50:38 > 0:50:43My wife, my relationship with her, me and Mo, all of it is none of your damn business.
0:50:44 > 0:50:48She's my friend...and I don't want to see her get hurt.
0:50:48 > 0:50:50I think she's already been hurt enough, don't you?
0:50:51 > 0:50:56You will effectively remain an out-patient for the rest of your life.
0:50:56 > 0:51:00We'll need to check on the kidney function and immunosuppressant drugs
0:51:00 > 0:51:04and of course make sure there's no recurrence of the cancer.
0:51:04 > 0:51:07What I'm saying is that...you're going to need a lot of support.
0:51:07 > 0:51:09And she'll get it.
0:51:10 > 0:51:11Lauren, please...
0:51:11 > 0:51:15- I'll be here for you even if you hate me.- I don't hate you.
0:51:18 > 0:51:20I'm just so angry at you.
0:51:20 > 0:51:22I did what I thought was best.
0:51:23 > 0:51:25- I'm so...- Sorry. Yeah, I know.
0:51:27 > 0:51:29You can't lie to protect me cos it doesn't work.
0:51:31 > 0:51:33You know that, don't you?
0:51:35 > 0:51:37The adoption agency told me.
0:51:37 > 0:51:41They said, "Make sure you tell her as soon as she's able to understand.
0:51:41 > 0:51:44"That way, it's always part of her life."
0:51:45 > 0:51:48But...the sicker you got, the harder it got to tell you.
0:51:49 > 0:51:52Lauren, I'm...so, SO sorry.
0:52:01 > 0:52:03I'll check in on you tomorrow.
0:52:06 > 0:52:08Mr Griffin.
0:52:10 > 0:52:12Thank you. You did a good job.
0:52:14 > 0:52:15You did a good job.
0:52:22 > 0:52:25The procedure went fine. The Hertzig is functioning very well.
0:52:25 > 0:52:28That's good news. But, Professor Hope....
0:52:29 > 0:52:34..I think I let my heart overrule...my head today,
0:52:34 > 0:52:37- and I made a decision that... - Yes, well...
0:52:37 > 0:52:39we've all done that in our time.
0:52:40 > 0:52:43Just make sure it doesn't happen again.
0:52:43 > 0:52:45- It won't.- I hope not.
0:52:46 > 0:52:51Because if you and Ms Effanga can't function as a team... that would be a problem.
0:52:51 > 0:52:52(OK?)
0:52:53 > 0:52:54OK.
0:52:59 > 0:53:00I was in that room...
0:53:00 > 0:53:02banging on about patient care...
0:53:02 > 0:53:05and all the time my patient needed me.
0:53:05 > 0:53:07But you were able to save her.
0:53:07 > 0:53:09Oh, yeah.
0:53:09 > 0:53:11Hi, Julia, a couple of coffees, please.
0:53:11 > 0:53:14So you decided to stand against Ms Campbell, after all?
0:53:14 > 0:53:16What else could I do?
0:53:18 > 0:53:22I haven't even got the job and already I'm compromising patient care.
0:53:23 > 0:53:26I don't understand, Ric. Do you want it or don't you?
0:53:28 > 0:53:29I can feel it working.
0:53:30 > 0:53:33It's so strange, like a creature inside me.
0:53:35 > 0:53:38- Glad you went ahead, then? - Silly question.
0:53:39 > 0:53:43I'm so sorry if I caused you any trouble today.
0:53:43 > 0:53:46I'm Jonny "Trouble" Maconie, remember?
0:53:49 > 0:53:54I always thought a crisis of faith was something that happened to other people.
0:53:55 > 0:53:58I certainly didn't expect it to happen to me quite so dramatically.
0:54:00 > 0:54:03How do you feel now?
0:54:03 > 0:54:04About the man upstairs?
0:54:04 > 0:54:07He's definitely got a sense of humour.
0:54:08 > 0:54:10I always make the same mistake -
0:54:10 > 0:54:14thinking if I try really hard, I can control everything.
0:54:14 > 0:54:16And then I remember...
0:54:17 > 0:54:19..that's what faith really is.
0:54:21 > 0:54:23Letting go of the illusion of control.
0:54:25 > 0:54:26Enjoying the ride
0:54:26 > 0:54:28for as long as it lasts.
0:54:28 > 0:54:30That sounds like good advice.
0:54:30 > 0:54:33It is. If only I could take it!
0:54:34 > 0:54:38- Oh, erm...your phone.- Thank you.
0:54:38 > 0:54:42- I tried calling God but he was engaged.- Oh, isn't he always?
0:54:47 > 0:54:48Just for the record...
0:54:48 > 0:54:51if I was your...Mr Right,
0:54:52 > 0:54:56I'd want to be by your side for every moment,
0:54:56 > 0:55:00no matter what. You shouldn't have to go through this alone.
0:55:01 > 0:55:03Call him.
0:55:09 > 0:55:12David. Hi, it's me...
0:55:13 > 0:55:14COMPUTER BEEPS
0:55:28 > 0:55:30Malick.
0:55:32 > 0:55:33How's Lauren?
0:55:33 > 0:55:38- She's fine. She's doing well. - And the chances of a recurrence?
0:55:38 > 0:55:41- As good as anyone's. Listen, I just wanted...- It's OK.
0:55:42 > 0:55:45You did what you thought was right and it all worked out in the end.
0:55:46 > 0:55:50It's what makes you a good teacher.
0:55:50 > 0:55:52When you hit the wall, you hit it at full speed.
0:55:54 > 0:55:57- Lilah.- Oh, Mr Griffin.
0:55:57 > 0:56:01Hi, I just wanted to let you know that the transplant was a success.
0:56:01 > 0:56:05And to thank you again for all your help today.
0:56:05 > 0:56:07Couldn't have done it without you.
0:56:07 > 0:56:08It was my pleasure.
0:56:12 > 0:56:13Lilah?
0:56:16 > 0:56:19- How does Monday sound to you? - Monday?
0:56:19 > 0:56:21To start working with me on Keller.
0:56:22 > 0:56:25Monday sounds...great.
0:56:25 > 0:56:26Good. I'll see you then.
0:56:26 > 0:56:28OK.
0:56:32 > 0:56:34- Nice dress.- Thanks.
0:56:36 > 0:56:39I'm really sorry, Mo... for everything.
0:56:40 > 0:56:41Thank you.
0:56:42 > 0:56:45But I... I just can't stand aside
0:56:45 > 0:56:48and watch you make the same mistakes over and over again.
0:56:48 > 0:56:51- Hang on, what did you say to me last week in the bar?- I can't...
0:56:51 > 0:56:54I don't stick my nose in your private life. Remember?
0:56:54 > 0:56:56- Yeah, but... - Why don't you do that, then?
0:56:56 > 0:56:58I'll be fine.
0:56:58 > 0:57:01And if I'm not, I won't need you to pick up the pieces, OK?
0:57:01 > 0:57:03How do you...
0:57:03 > 0:57:05Ready?
0:57:05 > 0:57:07Mm-hm.
0:57:07 > 0:57:09You, er, fancy a drink, mate?
0:57:09 > 0:57:11Ah...
0:57:11 > 0:57:16I would but...I'm getting too old for two nights on the trot.
0:57:16 > 0:57:17Fair enough.
0:57:22 > 0:57:24- See you tomorrow?- Yeah.
0:57:32 > 0:57:34- Chantelle.- Ah!
0:57:35 > 0:57:36You look nice.
0:57:36 > 0:57:38Thanks. I'm here with someone.
0:57:38 > 0:57:42Actually, it's a date, a second date, and I asked him. I can't believe it.
0:57:42 > 0:57:44You're a modern young woman.
0:57:44 > 0:57:47That's right! I can eat as much cheese as I like. See you tomorrow.
0:57:49 > 0:57:51Can I get you another?
0:57:52 > 0:57:55Erm, actually, I was just off.
0:57:55 > 0:57:56Don't give me that.
0:57:56 > 0:57:59After today it's a night for a lock-in.
0:57:59 > 0:58:03Letting us make fools of ourselves like that, I'm spitting feathers.
0:58:03 > 0:58:05Come on! I don't offer lightly.
0:58:07 > 0:58:10Just a small one for me, thank you.
0:58:10 > 0:58:11Usual, please.
0:58:12 > 0:58:15An external acting CEO. I mean, really!
0:58:15 > 0:58:19- Have you got any idea who they appointed?- None whatsoever.
0:58:19 > 0:58:22Talk about "may you live in interesting times".
0:58:22 > 0:58:24Thank you.
0:58:25 > 0:58:26What shall we drink to?
0:58:26 > 0:58:29To Henrik, wherever he is...
0:58:29 > 0:58:32- I bet he's laughing.- To Henrik.
0:58:41 > 0:58:43Subtitles by Red Bee Media Ltd