Fredrik Holby City

A good leader should give credit where credit is due.

Did she not alert you to the possibility that self-harm

was the cause of the ulcer quite early on in the day?

I, er, backed my own judgment.

Well, in the end, that's what we all have to do.

Chrissie Williams.

'When they called my name out earlier...'

Suddenly you start thinking of all the worst-case scenarios.

Hey, none of that. What happened to that bolshie

and incredibly rude women I met this morning?

Fredrick's partner is expecting a baby.

You're going to be a grandfather.

I didn't do it. I'm still pregnant.

But if it's not what you want, then you are under no obligation.

Obligation?! I want this baby, I have ALWAYS wanted this baby.

Right.

Fredrik needs you. Take this chance, please, it's not too late.

PHONE RINGS

Hanssen.

Oh, yes, send him in, please. Thank you.

Look at all these toys, Daniel. Here we are. It's so cool here!

Wow, look who it is! Who's a big boy, then?

First day at nursery! You excited?

DANIEL MUTTERS Beautiful boy.

Everything OK? Yeah, absolutely fine.

Listen, if you ever want me to bring him in

or give you a lift anywhere, you will say, won't you?

I'm very happy to... Sacha, please.

OK, yes, I understand. Space...

Right, shall we swing? Hey...shall we do a swing?

BOTH: One...two...three!

Again? Ready? One...two...three!

Now, listen. Mummy's got to go to work now.

When you finish, Mummy's going to take you for ice-cream.

(Yeah? Good boy. I love you.)

That's it, give me Monkey.

You know where we're going to go now, don't you? Ready?

Look, I've had time to consider, Mr Hanssen, and I get it,

I really do...

PHONE RINGS

Actually, I'm sorry, do you mind if I take this?

Jake. Look, I'm in a meeting...

I've told you before, this phone is for emergencies only.

Well, if there's no milk, you need to go and buy some.

Speak to you later.

HE LAUGHS

Sorry about that, Mr Hanssen, Jake thinks he's all grown up

but goes on like a three-year-old half the time.

You know what kids are like, right?

Bottom line, I know where I went wrong...

In simple terms, you are asking for

more responsibility while showing a worrying incapacity to deal

with the responsibilities you already have.

But I've learned from my mistake...

My concerns are not confined to your performance as clinical skills lead,

but also to your historical inability to stick to the rules,

your frequent over-identification with patients

and inability to step back from your emotions.

So, what...?

I-I'm finished here? Not necessarily, no.

If you would be prepared to work closely with me

for the foreseeable future - observe and be observed -

then I will be able to determine

whether you have indeed learned your lesson and moved on...or not.

Entirely up to you.

Has Jac said anything to you about the baby? Nope.

AUTOMATED VOICE: Doors opening, lift going down.

All my no-doubt clumsy attempts to raise the subject have

felt rather unwelcome.

Yeah, I know the feeling. I just want to reach out, be supportive.

It must be a terribly worrying time for Jac.

I'm not worried. Jac... Hey!

But you lot whispering in corners is really beginning to wind me up.

OK, give them a break. They just

want to know how you - how WE - want to play this.

Losing the nauseating "poor you" looks of sympathy

would be a good start. Then, tell them that.

Jac, I'm sorry, I really didn't mean to upset you...

I'm not upset. That's the whole point.

This baby has a 50% chance of survival,

the possibility of growing up with minimal complications -

it's not all doom and gloom... Yes, of course.

And no, Ms Effanga, I am not in denial.

But until the birth, there's no way of knowing

what we're up against, so I'd rather think positive

than stress endlessly over worst-case scenarios.

If that's OK with you two? Got it.

Couldn't agree more. Thank you.

SHE SIGHS

'You have reached Chantelle Lane's phone.

'Please leave a message after the tone.'

You were better than I thought.

At what? Sex.

Thanks, erm, but...maybe we could keep the sex thing to ourselves?

Stamina's your problem. I could help you work on that today if you'd like?

That's what I like to hear, Dr March.

Helping a colleague to achieve excellence.

Just what I've been discussing with Mr Malick.

We have a 12-year-old waiting in the lobby.

Intermittent abdo pains. Why isn't he on Paeds?

No room. So they bounced him here.

There's nothing wrong with me! Dad, tell them!

Josh, you need to calm down.

As you can see, he's not very happy about it.

Anyway, I'm off to St James's for the day,

so I'll leave him in your capable hands.

I'm not staying, I'm not! All right, shh-shh-shh.

Mr Spence... Have a nice day!

HE WHISTLES Hey, blondie! Over here!

I just love the smell of chemo in the morning.

You're looking pretty good, girl, considering...

Yeah, great. I feel fine.

Mind you, radiotherapy's a breeze compared to chemo.

At least you won't end up with a pair of shrivelled gonads

and a failing manhood.

What's up? Come on, you can tell Uncle Tim.

It's my little boy's first day at nursery.

So? He's a big boy now.

Sacha had to take him in. I had this burning pain.

I didn't want Daniel to see me.

You were just protecting the little lad. Being brave.

I didn't feel like I was being brave.

Felt like...like I was losing him, like everything is changing.

Look, your cells have gone AWOL,

you're having treatment to deal with it -

that's the only thing that's different.

You see, you get it, but not everyone does,

especially Sacha. Sometimes the way he looks at me...

Hmm, it's called "the cancer stare" in the trade.

I know this sounds awful, but I could punch him!

Great. Use that anger. How?

By fighting to stay positive, 24/7.

Getting stuck in at work, taking the lead.

Showing everyone what a little bit of sunshine you are!

Now, look on the bright side.

At least you'll lose a bit of weight meantime.

Save a fortune on the lipo bill.

Come here, princess...

HE LAUGHS You daft thing.

They're just going to look you over. And if you're fine... I am!

Well, then, we'll go, OK?

We can watch the footie on telly...

pizza, game of FIFA, how's that sound, eh?

Good lad.

Glad to see things have calmed down.

Yeah, sorry about earlier. Josh isn't too keen on hospitals.

I got that impression.

So, can you tell me what happened? It doesn't even hurt now.

He had football practice, got a ball in the stomach

and has been in pain off and on all night.

There's nothing wrong with me!

Would you be quiet and let your father speak?

I need to understand what the problem is.

Josh... JOSH COUGHS

You said we could go. Not yet, Josh...

So you were lying?

Joshie... JOSH GROANS

Get back into bed, come on.

Right, I need FBC, Us & Es, LFTs and an abdominal ultrasound, please.

No, Dad, please. It's OK. Just calm down, yeah? We'll sort this.

He's got cystic fibrosis. Ah, I see.

Could I have a word outside, please? (Yeah.)

I'm not staying!

Hey, little man. Stay cool, yeah?

It's going to be OK, mate.

We don't know that, do we?

He's not your "mate", he's your patient.

Of course, I'm sorry, I got it.

These just came through from St James's. Thank you.

Really sorry about that. Josh is a lovely boy but he's had a hard time.

Two long hospital stays already this year.

Chest infection and bowel procedures, I see.

He's 12, he's growing up, he wants to be like the other lads.

Well, we'll do some tests and take a view.

Surgery's a big deal for kids with CF...

Yes, I am aware of the various issues.

So you'll avoid it, if at all possible?

Of course.

We will do what is best for your son. Excuse me, if you please.

Tamsin Chalmers, 28, collapsed in the street, palpitations.

Shortness of breath. Pulse 90, BP 100/65.

She's still pretty out of it.

Actually, Miss Naylor, can you take this?

I got a call for a potential transplant for you, Mo.

Yes, fine. Bed three, please. Cheers.

They're waiting for your call. Ta.

Here's the baby. Oh, OK.

Erm, can you find somewhere to put that?

Eh, where exactly?

There's a cardboard box in my office.

It's not a tortoise! Normal bloods and an ECG, please.

Hello.

Push fluids and keep him as comfortable as you can.

Couple of hours for our Mr Mortimer, I'd say.

Joshua Pryce's test results. Thank you very much.

What do you know about CF, Dr March?

Is this a test? All patients are learning opportunities.

Cystic fibrosis is a genetic, chronic disease

that affects the lungs and digestive system.

Thick mucus production results in life-threatening

lung infections, obstructs the pancreas

and stops natural enzymes from helping the body absorb food.

Prognosis? As yet incurable. Median life expectancy, approximately 40.

Very impressive, Dr March.

No wonder the boy's all over the place.

My heart goes out to him, you know.

Over-identifying with his plight won't affect his outcome, I'm afraid.

Our job today is purely to focus on his spleen.

Your thoughts? Grade one splenic injury. Currently low level.

I suggest we keep him in then take a view.

I mean, minor splenic injuries often heal themselves spontaneously.

Especially in children. But as you can see, his spleen is enlarged,

which gives him an increased risk of rupture.

But without a spleen, his immunity will be severely compromised.

And without surgery, he might die today.

Mr Hanssen, you heard his dad.

He wants us to avoid surgery if at all possible.

The kid's terrified, and I don't blame him...

Clear-cut, rational decision-making, Mr Malick,

without emotion overruling medical judgement.

At all times.

Morning, Mrs Withers. How are you today?

Morning, gorgeous.

If I was ten years younger, you wouldn't stand a chance.

I want to see a proper doctor - now!

You're just going to have to wait your turn.

This is an acute ward with REAL emergencies.

I am an emergency, you cheeky Irish cow! My leg's killing me!

Hey, hey, hey, keep the noise down, please, there are sick people here.

Yeah, and I'm one of them!

You can't use that here. You can't use that in here...

Get your hands off!

It better not be broken.

Your wife is such a trooper.

Work takes her mind off things.

I would've gone home and cried to Mummy.

Yeah, but, then, you are a bit of a wuss.

# Won't you take me to funky town

# Won't you take me to funky town

# Won't you take me to funky town... #

You're a natural, Maconie.

PHONE RINGS Can you get that? I don't want to wake her up.

BABY STIRS Shh-shh-shh. It's OK.

Nurse Maconie's phone.

Fleur?

Yeah. Uh-huh, OK, I'll pass that on.

"Fleur" needs you to call her as soon as poss.

OK, man, it's not what you think.

You dark horse. Spill!

When we got the CDH diagnosis, they...

Shh-shh.

They encouraged us to get involved with other parents,

so I put us down for some baby classes.

Fleur's the co-ordinator. So...

BABY MOANS Aww. Aww, hello.

So it's a group for parents with complications?

Oh, no. Just general classes. But they kind of encourage you

to build up a support network before the birth...

And Jac was cool with that?

She said she'd think about it. Well, you better hurry up

and make your minds up, cos Fleur's had a cancellation.

For this afternoon. Oh.

I know this isn't what you wanted to hear,

but we should proceed with the safest option for your son.

Josh can't afford to lose his spleen,

he finds it hard enough to fight off infection as it is.

He's on 40 tablets a day, twice daily physio,

two different inhalers, nebulisers - that's just to stand still!

Mr Pryce... Surgery can badly damage lung function. Of course, but...

That damage is irreversible...

I'm sorry. There is no perfect solution.

On the positive side, Joshua is currently stable enough

for the procedure to be performed laparascopically,

which has a much lower risk of infection.

He's been through so much already, please...

There must be something else, medication, anything...

We could just observe him over time?

Wait to see if the spleen could heal itself.

But as Mr Hanssen just explained,

that would be the far riskier option in Joshua's case.

Saw you with Tim earlier.

Yeah he's having some chemo, thought I'd say hi.

He seems very keen on you, very...touchy-feely.

You know he's gay? Yeah.

So what are you saying?

Nothing.

Ah, bed seven, thanks.

The drama queen is demanding your presence.

Needs help to sit up in bed and I won't do, apparently.

Has me down as a bog Irish numpty.

Tell her I'm coming.

I know I said I'd give you space, but you shouldn't be lifting patients.

I mean, you could barely lift Daniel this morning.

Well, I'm fine now.

Everything OK? Apparently.

She knows you're here. If she needs you.

No! I told you!

They said there's no way round it... I don't care!

We just have to do the right thing. I don't believe you!

Josh, what is this? I want Mum!

That's not possible, you know that.

No, I don't. You're a liar!

Josh, I know this isn't what we said we wanted...

No, I want Mum! Josh, Josh...

JOSH COUGHS

Get back into bed. No!

You need to calm down, young man. We're trying to help you.

You don't care what I want! Josh, please.

And neither do you! Of course I do. Then, get Mum!

HE CRIES WITH PAIN

Hey, it's OK... Right, we'll need more bloods and a scan, please. Excuse me.

I just want to explain... Forgive me, I have other patients to see.

How's her mum doing? She's in AF.

Needs 300mg of Amioderone stat,

and 900mg over 12 hours' heparin infusion.

And can you book an echo ASAP? I need to rule out mitral regurgitation.

What are you still doing with that?

No relatives as yet. I really don't think she likes me very much.

Maybe you're just not doing it right.

Mo said I was a natural. She was lying.

Well, I'm sure there's a lot we both need to learn.

I'm fine, thanks.

In fact, you know the classes we were talking about?

A space has come up. I didn't think you were being serious.

Yeah, this afternoon, in fact...

I thought we could take it as our break.

I am not standing around talking about piles, heartburn

and nursery decor with a bunch of fat, brain-dead housewives.

We're going to need support, more than most people.

Everybody does them, Jac.

Since when do I care what everyone else does?

Nothing wrong with just giving them a try. I said no.

Why? Because our baby's different?

No, because I don't need help.

But if you want to waste your time chit-chatting

to neurotic yummy mummies about the benefits

of perineal massage, then feel free.

BP 160/100.

She's got swelling and tenderness in her right upper thigh...

Excuse me? I am here, you know.

Miss Peters, this is Mr Griffin. He's our senior consultant.

Oh, a doctor. Finally!

Sorry for the wait.

Going private next time. It's unbelievable in here.

Right. Shall we take a look?

I'm going on holiday in a couple of days.

Do you mind if I examine the leg?

Ow! Oh, my God...

The leg is clearly inflamed... and warm in the thigh area.

Yeah, and it's getting worse.

Can't go on the beach with a bum like an orang-utan, can I?

PAGER BEEPS Excuse me.

I'm afraid I'm going to have to deal with this. I'm in agony here!

This is an emergency. What's this, then?

Got this pulse in my leg and it's throbbing like mad.

If you leave me any longer, I might need an amputation.

I'll find you another doctor.

My dad pays taxes for this rubbish!

Clearly old-fashioned charm.

Don't worry, I can handle her.

Chrissie, you don't have to be superwoman.

If it gets too much, yell, OK?

I see the bleeding has increased.

Yeah, but only marginally.

Yes, but... Thank you.

If we don't act now, we'll forfeit the opportunity

to do this laparoscopically. We need to make him a priority.

Some people get way more than their fair share of bad luck.

If Jake had CF, I don't know what I'd do.

Mr Malick, that is your personal life, this is your professional one.

Yes, of course. I'll, uh... rearrange the theatre list.

Thank you.

X-ray are expecting her now, thank you.

What's the deal? Just checking there are no abnormalities

in the heart structure. But I reckon she'll be fine.

Jonny, this is getting ridiculous.

There's a relative due any minute.

I really need you to get up to speed on this transplant case.

But... I'll take it.

Are you sure? Yeah, if she doesn't shut up,

I'll just stick her out on the fire escape.

That was a joke. I'm perfectly capable! You can go!

BABY STIRS

No, no, don't start, there'll be trouble.

Mr Hanssen?

I was just looking for your father.

He's gone to sign some forms.

All right, I'll go and look for him.

No. Wait.

It's from my mum.

I really don't see what it... I need you to call her.

She's been writing me letters. Dad hid them.

He doesn't know that I've found them.

Well, I suggest you tell him.

But he lied! He said Mum didn't care.

But I know she does.

This is between you and your father.

I need to see her in case I die.

We're going to take very good care of you.

Just tell her she has to come. Dad won't.

The number's on the letter.

It wouldn't be correct, I'm afraid.

Speak to your father.

Bet you're loving this. Not often a bloke like you gets your hands between a girl's legs.

You have an infection on your upper inner right thigh.

Any idea what from?

I wanted a thigh gap for Marbella. Excuse me?

You know? A neat little gap between your thighs,

even when your knees are touching. Like Cara Delevingne?

Good, and that matters because?

Sorry to interrupt... Any time.

You're needed in theatre, Mr Levy. Thank you. Oooof.

Can't I have HIM? He'd get it. No.

You've got a mean face. You know that?

So, what you are trying to tell us is that you've had lipo?

Is that it? Don't look at me like that.

You trying to tell me you ain't had no work done?

We're going to start you on IV antibiotics and fluids.

Take it from there.

I'm going to swap you with Mary-Claire. She's a nightmare.

I'm more than capable...

Darling, I'm not saying you are not capable...

Sacha, please. You said you wouldn't do this.

PHONE RINGS

It's the nursery. ..Hello?

Mr Hanssen, there's a theatre available in an hour.

Shall I start getting Joshua prepped? Yes, that would...

Mr Malick, your son's on the phone.

I'll call him back. He's locked himself out. Tough!

I can only apologise, Mr Hanssen, the boy's an idiot.

He doesn't take after me, if that's what you're thinking.

It must have been difficult meeting Jake, as a grown man...

becoming a...family.

Yeah. But we're getting there, it's fine.

You see, I find that hard to believe. I promise you, Mr Hanssen,

whatever's going on at home... I can deal with it.

And I'll never let it affect my work.

But how does it feel?

Feel? Taking a complete stranger into your life?

Well...

I never, ever thought I'd be a dad, so...

it was weird at first.

Still don't know what I'm doing half the time.

But I don't regret it.

He's my flesh and blood and I... I love him.

I see.

Oh, Sacha, how could you? Daniel was distraught.

Chrissie, I'm so sorry.

I don't know how this happened.

I mean, he had Monkey when he got out of the car.

He gave him to me, whilst we were...swinging.

And I just must've forgotten to give it back to him.

You knew how important this was.

Every child had to bring a special toy,

and Daniel was the only one without anything.

Chrissie, what can I say?

You go on and on about being there for me, supporting me...

And a simple thing that I ask you to do - you can't.

PHONE RINGS

HE COUGHS

Oh, hurry up, please! I hate needles!

Ow! You clumsy cow!

I'll get it this time... Oh, no, you won't.

I'm going to make an official complaint about you!

Using me like a pin cushion.

And my tummy's killing me.

What seems to be the problem here?

You're the only decent person in this dump.

I believe you're due a break, Sister Williams? Thank you.

As Mr Levy is still in theatre,

would you like me to examine you?

Yes, please. You've got lovely hands.

Oh, I took a message for you.

CHRISSIE SIGHS

All right, I'm going to go on my break.

Call me if anyone needs me. Sure.

Where's she off to?

Oh, she went to meet a guy.

Tim, I think his name was.

Where's she got to? Thought we'd be guided

by the sweet smell of baby vomit.

Or high-decibel screaming from the fire escape.

Jac or the baby? Both.

Told you the box was a good idea.

Joshie?

Josh?

Help me, someone!

Josh!

MAJA'S ANSWERPHONE MESSAGE IN SWEDISH

Oh, yes, hello, Maja. This is Henrik. I wonder if...

Mr Hanssen, it's Joshua!

You're going to be OK. There's no need to worry.

I don't...want you here.

I saw the letter, Josh. Why didn't you tell me?

Why did you hide them?

Right, let's put him under, please.

No, I need to wait. She's coming.

What? That's out of the question now, I'm afraid.

Go ahead, he'll be fine. No!

WOMAN: OK, he's my son, you have to let me see him!

Josh! Joshie! Mum! Oh, hello, darling.

Don't you know how dangerous this is?

We're aware of his vulnerability, yes.

Until I know this operation is

absolutely necessary, you're not going anywhere near him!

Hi.

Got you this, thought you might be hungry.

Thanks. Hey...what's happened to my warrior princess?

This is going to sound so stupid. Try me.

Sacha forgot to give Daniel this toy monkey,

and he needed it for nursery.

I'd never have done that.

And it got me thinking about how things might be if I'm not around.

You're going to be there, girl.

There's a chance I might not be.

But there's also amazing odds that you will.

And that's something you've got to hold on to.

You're one of the lucky ones.

I'm sorry, I'm so caught up talking about myself,

I forgot to ask, how was the chemo?

Just had my last session.

Really? Hmm. And?

Yeah, you know, the doctor's pleased

and it's all looking pretty positive.

What do you want me to do?

Prance around the car park singing I Will Survive?

Oh, Tim, I'm thrilled for you, that's brilliant news.

You are amazing. Do you know that? No, I'm not.

You are to me. Look at you. You're fit and well,

you've come out the other side and you're still smiling.

In the words of the immortal Freddie Mercury...

"The show must go on."

No matter what.

I was bullied into a making a decision before, and my son nearly died.

I will not let that happen again! Unless we act now, Joshua could be

facing open surgery, which would be far more dangerous for him.

So we need your consent NOW, please.

You've already got mine. Surely that's enough?

Not any more. She walked out on us.

No phone message. No explanation. Nothing.

Surely she loses the right... I don't make the rules, Mr Pryce.

That's why I hid the letters. I didn't want her involved in his life.

You hid the letters? I was just trying to protect my son. OUR son!

I won't let you do this, Ellen! You can't stop me!

His name's not even on the birth certificate.

We were separated at the time of his birth. Never married.

And when you walked out that door, you forfeited any right

to call yourself Josh's mother! I was ill!

I spent eight months in a psychiatric hospital.

So, now you can go on your world trip.

Where you going first?

I thought maybe Venezuela. Suitably exotic for an old queen like me.

Here, have a look at this - Angel Falls.

Isn't that magnificent? Over 3,000 feet high.

Wow... You know, when I was having my chemo,

I used to dream about standing underneath that,

buck naked, with the water rushing and pounding,

cleaning away all my troubles. Sounds perfect.

Unless I drown, of course, because I'm a rubbish swimmer...

I could come and be your personal lifeguard.

Hey, you'd look good in a Baywatch one-piece.

I mean it. When I'm better, I could come and join you.

See?

You said, "When I'm better," instead of "if".

That's a big step. It's all down to you.

Ah, get out of it. I'm like Mary Poppins, me.

Fly in. Do me magic. Fly out again.

Thank you. Ah, you're welcome.

I'll see you in Venezuela, kiddo.

I mean it. I'm going to get there. I know you are.

Come here.

Can you just keep it down, please! I'm not leaving Joshie! You didn't

care about leaving him before. He cried himself to sleep for months!

I wasn't being rational, I had severe clinical depression.

What, and you're all better now? The doctors are happy with my progress,

and, yes, I'm ready to be a mother again.

By denying him the treatment he needs?! Sounds completely sane to me!

You want Joshua to hear you both fighting? I just want her to go so

we can give him what he needs. You're angry, I understand that.

Well, what do you expect?

You walk back in here, putting my son's life at risk,

when I'm the one that's been protecting him,

caring for him, day in, day out.

You're obviously not fit to be his mother.

Declan... No. No, no, I'm calling my lawyer.

All good? Mm-hm.

Going to call you the baby whisperer from now on. Huh.

Ooh. Jac? You OK?

Get Elliot - now! No, no, no, wait.

I think it just kicked.

HE SIGHS WITH RELIEF

Do you mind if I... If you must.

There's nothing.

Here, wait.

There. You feel it?

Yeah... I can feel it.

OK.

He's still stable. Yeah, no thanks to her.

I just don't see why she gets to call all the shots. It's insane.

We have to proceed within the strict guidelines surrounding

parental responsibility. Which are?

To enable a discussion aimed at reaching consensus.

That didn't work.

Without consent, we can only give emergency treatment that is

essential to preserve life or to prevent serious deterioration.

Move too soon and you risk a lawsuit.

Prevaricate too long and you risk losing your patient.

Those are the rules that every consultant has to abide by.

The question is -

are you capable of being that man?

It's so weird. I feel like John Hurt in Alien.

Let's hope our baby chooses a more conventional route out.

It's getting real now.

Is that...OK?

No. It's terrifying.

I'm sorry I hassled you about those classes.

Last thing we need is a room full of young smug mums

waving their perfect baby-scan photos in our faces.

I'll tell her to forget it. No, don't.

I want us to do everything normal parents do.

And if that means going to your stupid baby classes, then...

we'll do that too.

You shouldn't have left me.

My thoughts were all mixed up.

I didn't think I was good enough to be your mum any more.

I thought you hated me.

Oh, Joshie...

I've always loved you, more than anything.

And now I'm better...I promise I'll never, ever leave you again.

I don't want to die, Mum.

That's not going to happen. I'm taking care of you now.

A word, if I may?

I have just received a call from Mr Pryce's lawyer,

who is investigating your mental health history.

I felt it my duty to warn you that if any question arises

over your competency, Mr Pryce will regain full rights over consent.

I'm expecting a call from your psychiatrist,

and that should clarify matters.

We have to go. Where?

To another hospital. For a second opinion.

I don't trust these doctors. But you can stop them.

They can pretend you're sicker than you are.

And they can say that I'm still not thinking straight.

Then it'll be out of my hands. OK, let's go.

But they won't want us to leave...

(so we have be very quiet, yeah?)

Right, Mr Samuels needs to be taken up for X-ray ASAP,

and when you've transferred Mr Martin, could you change

Ms Azir's dressings for me... and then do the drugs round.

I'll do the diva's obs.

Good luck!

Hiya. Where did you get to?

I just needed some fresh air. Oh.

Had a boob job in 2011. Could have gone bigger.

Some people prefer the beach ball effect,

but I like 'em pert and perky.

They both have their merits.

Could hardly see the scars. Look, I'll show you... Better not.

Had a chin implant last year, and I'm saving up for an eye lift.

How old are you? 21. But you've got to make the best of yourself.

Damage is already done by the time you get to your age.

Right.

Look, it's getting worse, isn't it? Like, it's really feeling hot now.

I am a little concerned, yeah. We'll be back in a minute.

I'll order a leg ultrasound,

but to be honest, I think we better get Sacha.

I'll call him. OK, thanks.

Ms Spencer was discharged after treatment, as stated.

She is not considered a risk to herself or others

and her psychiatrist has no concerns over her competency.

So what now? Take a look. The bleed is getting worse.

I would suggest that the point of "serious deterioration"

has been reached. I'll review the fluids.

Double-check the scan again...

Joshua's gone!

Mum? I don't think I can do this any more.

Not much further.

HE WHEEZES

I'm sorry... No, no, it's OK.

Josh! Joshie?!

Josh! Hang on, baby!

SIREN BLARES Help! Help me, someone! Please help!

Oh... Nothing's working, is it? Where's the nice doctor gone?

Owwww!

You need to calm down. I want my mum!

I know you do. She's on her way.

We've called her, it just took us a while to locate her.

She was having a spray tan for Marbella.

I told her not to rush it, but I wish I didn't now.

I can't breathe. Ric, I'm really concerned.

Her leg is much more swollen, hot to touch

and she's complaining of chest pains.

Do you think it could be a pulmonary embolism?

Looks like there is a clot.

Could be an iliofemoral blockage.

Get someone from Darwin down here now.

And let's get her started on heparin and warfarin.

We're going to need an echo,

high resolution CT scan and a D-dimer test.

Am I dying?!

You have a clot. We're going to try and dissolve it with medication.

A clot? Oh, my God, it's going to kill me, isn't it? No. No, it's not.

You're going to stay positive, keep calm and listen to me.

Josh...Joshie. Josh, please... What the hell have you done?!

You stupid woman, you could have killed him.

At the very least, you've put him at further risk.

We will have to perform open surgery now.

No, please... Stay away from him.

I'm in charge now. I think we all just need to calm down a bit.

You've turned your son's relatively stable condition into

a medical emergency. But I'm his mother! Well, start acting like one,

would you?! Mr Hanssen, I think the woman is in shock.

What if you're wrong? What if he dies?!

Without surgery he'll die anyway.

And with your history of mental illness, do you think any court

would support your judgment over mine? Let's get him into theatre.

He's in good hands, OK? Come this way.

Oh... Look, you sure you still want to do this?

No, but it's a bit late now, isn't it?

You must be Jac! Congratulations!

On what? The baby.

Oh, yeah. That. Such an exciting time, your first pregnancy.

I've got four. Why?

Always wanted a big family. Going for five, actually.

You are aware that multiple births greatly increase

the risk of pelvic-organ collapse?

I'd quit while you're ahead. Better get a mat.

Right, everyone, if you could just either grab a ball

or a mat and find a space.

I feel like I'm back at school. I hated school.

Well, I was all for not coming, remember?

Lovely. So we're going to start with some simple relaxation exercises.

Sit up straight, put your hands on your belly...

and just feel it rise and fall as you inhale through your nose.

Jonny, if you just want to kneel behind Jac. Right.

Supporting her back. That's it, like that. Right.

This'll be interesting.

I don't think I've seen you relax a single day since we met.

Oh! (Stop pushing me!)

I just want to ask one thing.

That you treat Joshua with the same care that you would your own son.

Mr Hanssen...you OK?

Uh, yes, I'm fine. I'll be with you in a moment. Take him in.

Ms Spencer?

If you loved your son...

..why did you walk away?

I thought I was too damaged.

Running away felt like the only solution.

Mr Hanssen, the team's ready.

CHLOE: No-one's telling me the truth in here!

CHLOE SOBS

Sorry, Sister Williams, she just went mental.

I looked up pulmonary embolism on my phone.

It's like a death sentence. Surprised she could spell it.

That's simply not true. Nobody's said you had a PE.

We are only sending you to Darwin as a precaution.

What's Darwin? It's our cardiothoracic ward.

Cardio... They think I'm going to have a heart attack?

No, no, your medication is working, you are going to be fine.

But my heart's banging. Yeah, that's because you're being hysterical.

No, it's real. Please, please, help me...

Chloe, listen, you have to stop this now. You're making yourself ill.

SHE HYPERVENTILATES Chrissie, you OK? You saying I'm faking it?

No, I'm not.

Cos you have no idea what it's like to be this sick!

Actually, she does, she's got cancer!

Cancer?! Oh, my God, I'm so sorry.

Chrissie...

FAINTLY: OK. I just need some fresh air...

Chrissie!

Get Mr Levy!

It's Chrissie!

Chrissie? Chrissie!

That's it, that's it. Chrissie, can you hear me?

Thank you.

Scalpel, please. ..Thank you.

So, making midline incision...

Mr Hanssen?

Mr Malick, you've been observing all day, perhaps you'd care to lead?

Of course. I'd be happy to.

When baby's head is delivered, you then pull downwards on baby's head,

like this...to deliver the shoulders and the body.

No. You'd wait for the head to turn naturally.

I have done this demonstration many times...

And I've delivered real, live infants.

And it's "THE baby", by the way.

We feel "baby" sounds more friendly, intimate.

Or patronising. Depending on your point of view.

When the head has turned, it'll be looking sideways again.

This is called restitution.

Only then do you pull downwards and deliver the shoulders and body.

Thank you, Jac, for that clarification.

I'm sure the class are very grateful.

Oh, unless the baby's head gets stuck, of course,

then you're looking at an episiotomy, which is just...

It's a nightmare, isn't it. (Ouch.)

What happened?

You're exhausted and you collapsed.

Go on then, say it. You told me so.

Chrissie...I've let you down.

Oh, Sacha, neither of us have done this before.

No. You were right. I've been self-centred and...weak,

and useless.

And it is because I'm so scared I'm going to lose you.

I've got to get to the nursery. No. I said I'd pick Daniel up, I promised.

You're not well enough. You're not well enough, I'll go. Sacha, please,

I've got to go this time. You know that's not a good idea.

OK? You need to rest.

That's it. (OK. OK.)

PHONE RINGS

RINGING CONTINUES

OK. Scissors.

Cutting the lienorenal ligament.

Delivering the spleen.

OK, people, let's close it up.

You actually only need an extra 200 calories a day.

Eating for two is a myth.

Pile on the pounds and you increase the risk of diabetes,

high blood pressure and premature birth.

Right, if we can just gather round and form a circle.

On the balls, on the floor. Whatever's comfortable.

So this final session is called Question Time.

It's really a chance to ask about anything

that might be troubling you.

It's a quiet and confidential space here.

Sometimes people have issues with sex in pregnancy.

It can feel like rather a taboo subject.

Oh, we don't actually have sex.

It won't harm the baby, Jac, if that's what's concerning you?

Oh, no, no. It's not an issue.

He's not my partner. Just the biological father.

The operation went as well as it could have.

Joshua's going to be fine.

THEY GASP

SHE SOBS

I thought she was working all day?

Erm, I think you should speak to Mr Levy.

Is there a problem?

Tim, I'm sorry, can I have a word, please? Thanks.

My wife has been admitted as a patient.

She collapsed on the ward.

Oh, no, poor Chrissie. I'm so sorry.

Tim, look...

I know you mean well, OK, but...

I'm afraid you've just made things worse.

Encouraging her to push herself like a lunatic.

Hang on, it wasn't like that. What was it like, then?

We just talked! She was upset about Daniel not having Monkey,

she got a bit teary...

So she told you what an appalling father I am?

She was worried about Daniel not having his mum around.

What, that I only ever let him down?

Look, all I tried to do was to get her to focus on the positive.

I know what it's like to have dark days! The thing is...

..you're at the end of your heroic journey to recovery,

which is great, OK? Chrissie still has a very long way to go.

Sacha... Look, you have known this woman for five minutes.

I'm her husband.

I know exactly what she needs - she needs peace and quiet

and the love of her family, OK?

So I think it's best if you stay away.

Fine. Fine.

Can you just make sure she gets this?

Please?

I know you think I'm a terrible person for walking out on my son.

I'm not in a position to judge you for that.

Didn't feel like that earlier.

I said what I had to say to get through to you

in your highly emotional state.

To achieve the best outcome for my patient. And I succeeded.

It was more than that. I could feel it.

You cared for him like he was your own son.

Thank you.

Well, thanks for that, Naylor. Now the whole group thinks I'm gay.

Oh, is it cramping your style?

Who'd have believed it, eh, Jac?

Yeah, I can do "normal mum" if I put my mind to it.

Normal? You and normal don't even belong in the same sentence.

You always have to ruin it, Maconie. Well, look at today!

First you warn our baby leader of the imminent collapse of her womb.

Then you shoot holes in her medical expertise.

Then you make me out to be some kind of...weird, random sperm donor.

Yeah, it's fun, isn't it?

Forgot my jumper, sorry.

What's someone like that Jac woman doing getting pregnant?

Surprised she didn't do something about it.

It was so embarrassing, I didn't know where to look.

And I can't imagine her as a single mother, can you?

Totally clueless. I pity that poor baby.

I pity yours.

We can't all live in your perfect, smug little world

with your perfect lives and perfect babies.

Look, Jonny, I'm sorry.

Our baby has a congenital diaphragmatic hernia.

She has a 50% chance of surviving birth.

She could die within days or live with serious complications.

Which I'm sure you'll all agree is...

It's really quite something to deal with.

Jac is an amazing woman and she was incredibly brave to come here today.

HE SNIFFS

And I was just hoping you could give her some...encouragement.

A wee bit of support.

I hope you're all feeling really proud of yourselves.

'Doors opening. Lift going up.'

Mr Malick. Mr Hanssen. Have you a moment?

Course.

How did you find today?

Could hardly have been a more testing case.

It was tough. But I really learned something.

I'm not just saying that.

When you said all that stuff to his mum...

..it seemed a bit over the top.

Cruel.

To be honest, I thought you'd lost it.

You know, like the old Malick on a bad day.

But now...I get it.

Joshua was my patient. My priority. I did what had to be done.

Yeah, but I could see you really felt for that boy.

We have to be able to keep some distance from those feelings,

though, in order to keep perspective, Mr Malick.

I know you think that's my problem.

And you might not believe I'm ready yet,

but I just want to say that I understand.

Properly this time.

Mr Malick. I have made my decision.

You did very well in theatre today.

But you don't trust that I can handle the pressure - it's OK, I get it.

Still jumping to conclusions.

I thought you'd learnt to control those emotional impulses.

I better go before I get myself into more trouble.

Not before you give me your formal resignation.

Mr Hanssen, please...

You see, I need your resignation before I can offer you

the post of consultant.

What are you saying?

It's mine?

For real?

Congratulations.

Wow...

Thank you. Thank you so much!

Mr Malick.

Ahem. Control that impulse. Got it.

You know what? I've been thinking about it,

and you were right the first time, man.

Those classes are a waste of time.

I don't know. The flapjacks were good.

But did you enjoy yourself? Learn anything?

Apart from the fact that you're a closet homosexual, no.

Right then. We're not going back.

Yeah, but what about my game plan, fitting in,

doing what normal people do?

See you. Take it easy.

But we're not normal, Jac. Never have been, never will be.

And if those are normal mothers, forget it!

We're better off on our own.

Hey!

You need to knock when you come in here, Malick.

Not any more.

Say hello to your new consultant.

Hey, darling! Come here.

How are you?

You found Monkey? Well, we bought the biggest ice-cream we could find

because he's been such a good boy.

See? I promised you.

And how was your first day at school? Was it good?

Teacher said he was absolutely fantastic.

He had a wonderful time.

Did she say he was ticklish?

Did she say? Yes!

PHONE RINGS

Subtitles by Red Bee Media Ltd