Browse content similar to Hail Caesar. Check below for episodes and series from the same categories and more!
Line | From | To | |
---|---|---|---|
Certain senior consultants have been invited to | 0:00:39 | 0:00:43 | |
interview for the post of Acting CEO. | 0:00:43 | 0:00:45 | |
I need to keep my personal life separate form work. | 0:00:45 | 0:00:47 | |
You're dumping me? | 0:00:47 | 0:00:49 | |
-Stay. -No, I will hurt you. | 0:00:49 | 0:00:51 | |
Er, who are you? | 0:00:51 | 0:00:52 | |
Lilah Birdwood, your new CT1. Nurse, could you get me scrubs? | 0:00:52 | 0:00:56 | |
Lilah, how does Monday sound to you? | 0:00:58 | 0:01:00 | |
-Monday? -To start working with me on Keller? | 0:01:00 | 0:01:05 | |
External Acting CEO, I mean really? | 0:01:05 | 0:01:07 | |
Letting us make fools of ourselves like that, I'm spiting feathers. | 0:01:07 | 0:01:11 | |
Have you got any idea who they appointed? | 0:01:11 | 0:01:13 | |
A real dragon, stickler for the rules, loves power, | 0:01:15 | 0:01:19 | |
lacks insights. | 0:01:19 | 0:01:20 | |
-What else you heard? -Take a guess. | 0:01:20 | 0:01:24 | |
-Used to be a nurse. -Bingo. | 0:01:24 | 0:01:27 | |
Well, look at it this way - | 0:01:27 | 0:01:28 | |
we loose a brilliant clinician and surgeon and gain a nurse manager. | 0:01:28 | 0:01:31 | |
-Just what we need. -Abso-freaking-lutely. | 0:01:31 | 0:01:35 | |
So when's the grand unveiling? | 0:01:35 | 0:01:36 | |
Oh, I imagine I'll get an e-mail any second now. | 0:01:36 | 0:01:39 | |
Whoever it is better not try to tell me how to run my ward. | 0:01:39 | 0:01:42 | |
Hail Caesar. | 0:01:42 | 0:01:44 | |
I'm not having some jumped up nurse manager trying to | 0:01:46 | 0:01:49 | |
stick their nose into... | 0:01:49 | 0:01:51 | |
Look at this backlog. | 0:01:51 | 0:01:53 | |
Ahh. I take it we've got Dr Birdwood. | 0:01:53 | 0:01:56 | |
Ah, yes, she's joining us. I should have mentioned it earlier. | 0:01:56 | 0:01:59 | |
-Morning. -But anyway we need all the help we can get. | 0:01:59 | 0:02:03 | |
Two emergency laparotomies. Going to have to cancel half the rota. | 0:02:03 | 0:02:06 | |
GI bleed from an endoscopy to theatre, two enhanced HDU patients. | 0:02:06 | 0:02:11 | |
I'm dealing with the bleed and HDU patients. | 0:02:11 | 0:02:14 | |
He's being transferred and the coagulation is under control. | 0:02:14 | 0:02:17 | |
So you can crack on in theatre. | 0:02:17 | 0:02:18 | |
Sorry, we're chocka. Can't fit anyone in, OK? | 0:02:18 | 0:02:22 | |
-Sorry. -No rush. | 0:02:22 | 0:02:24 | |
Sent your lecture to the medical students, | 0:02:24 | 0:02:26 | |
contacted Plastics for tissue viability for Mrs Gregg | 0:02:26 | 0:02:29 | |
and submitted your list for tomorrow. | 0:02:29 | 0:02:32 | |
So what time did you get in this morning? | 0:02:32 | 0:02:35 | |
So, the rounds. Small cases first and major second? | 0:02:36 | 0:02:40 | |
Finally. Madhouse. How can I help? | 0:02:40 | 0:02:43 | |
Actually, I'm just waiting to talk to Mr Griffin. | 0:02:43 | 0:02:46 | |
I just didn't want to disturb. | 0:02:46 | 0:02:47 | |
It so great to finally meet you. | 0:02:47 | 0:02:50 | |
Imelda Cousins. Acting CEO. | 0:02:50 | 0:02:52 | |
I was just thinking I might tag along for the rounds. | 0:02:55 | 0:02:58 | |
You don't mind, do you? | 0:02:58 | 0:02:59 | |
Oh, this is too good. OK. | 0:03:00 | 0:03:02 | |
Head Of Nursing at Royal Chiswick, | 0:03:02 | 0:03:04 | |
Consultant Nurse For Special Projects at Nottingham City Council. | 0:03:04 | 0:03:08 | |
I've certainly never come across her. | 0:03:08 | 0:03:10 | |
What hole did they drag her out of? | 0:03:10 | 0:03:12 | |
Oh, I know, a nurse. The lowest form of human existence. | 0:03:12 | 0:03:18 | |
Joking. I know you love us really. | 0:03:18 | 0:03:19 | |
Anyways, whilst I've got you both together we have an urgent referral. | 0:03:21 | 0:03:25 | |
Billy Lovell, 16, congenital transposition of the great arteries. | 0:03:25 | 0:03:29 | |
Had a Baffle Procedure at two months and has been in and out of Paeds ever since | 0:03:29 | 0:03:34 | |
but now that he's come of age we've inherited him. | 0:03:34 | 0:03:37 | |
Count me out. I'm in theatre all day. | 0:03:37 | 0:03:39 | |
All yours. | 0:03:39 | 0:03:40 | |
Professor Hope, Mrs Gemmel's been prepped. | 0:03:41 | 0:03:44 | |
-Ah, thank you. -Is tonight's still on? | 0:03:44 | 0:03:46 | |
Oh, yeah, baby. | 0:03:46 | 0:03:48 | |
-You do know half the hospital's coming, right? -Don't look at me. | 0:03:48 | 0:03:51 | |
I mentioned it to, like, three people and the whole thing just suddenly got out of hand. | 0:03:51 | 0:03:55 | |
What's that? The Annual Freemason Society Assembly? | 0:03:55 | 0:03:58 | |
No. My birthday. | 0:03:58 | 0:04:00 | |
-It's just drinks. You're welcome to join us. -I can't. I've got plans. | 0:04:02 | 0:04:04 | |
-So has our great leader made an appearance yet? -Nope. | 0:04:04 | 0:04:09 | |
Been a while since I've been told what to do | 0:04:09 | 0:04:11 | |
by some anal control freak who knows nothing about my job. | 0:04:11 | 0:04:13 | |
Really? I'm quite used to it. | 0:04:13 | 0:04:16 | |
Whoa, what's the matter with you today? | 0:04:16 | 0:04:18 | |
You lost your sense of humour? | 0:04:18 | 0:04:20 | |
Oh, yeah...the kid. | 0:04:20 | 0:04:22 | |
He has Asperger's. Quite high up on the scale. Thought you'd want to know. | 0:04:22 | 0:04:26 | |
Cheer up, mate. | 0:04:26 | 0:04:28 | |
Knock-knock. | 0:04:30 | 0:04:31 | |
Day 201 of my captivity. Daylight is but a long forgotten dream. | 0:04:35 | 0:04:39 | |
Food is scarce so I eat my shoes. | 0:04:39 | 0:04:42 | |
So, breaking news. | 0:04:45 | 0:04:46 | |
There's a new girl in town. I've heard. | 0:04:46 | 0:04:49 | |
So you planning on emerging at some point? | 0:04:49 | 0:04:51 | |
What? | 0:04:53 | 0:04:54 | |
No, I've got too much to do. | 0:04:54 | 0:04:55 | |
A conference call from Brussels coming in about the funding application. | 0:04:55 | 0:04:59 | |
Look, she's sending me e-mails already. | 0:04:59 | 0:05:01 | |
Maybe it's time for a break, you know, I mean, | 0:05:01 | 0:05:04 | |
-you've been cooped up in here ever since Eddi... -Is this some kind of joke? | 0:05:04 | 0:05:07 | |
"As fascinating as the research deems itself to be, | 0:05:07 | 0:05:10 | |
"extensive efforts have yet to yield any results. | 0:05:10 | 0:05:13 | |
"I'm sure you'll appreciate in the current economic climate | 0:05:13 | 0:05:17 | |
"we have to tighten budgets... blah-blah-blah-blah. | 0:05:17 | 0:05:21 | |
"current state of finances." Right, she wants to park it. | 0:05:21 | 0:05:25 | |
And she tells me in an e-mail. Over my dead body. | 0:05:25 | 0:05:28 | |
You've forgotten your... | 0:05:28 | 0:05:30 | |
Mrs Endokuwe is fully prepped and all bloods are back. | 0:05:30 | 0:05:33 | |
She had a mild heart murmur on examination | 0:05:33 | 0:05:35 | |
but I've discussed this with the cardiologists who feel | 0:05:35 | 0:05:37 | |
it's not of any significance, and are happy to go ahead. | 0:05:37 | 0:05:40 | |
Excellent. Well, we'll see you in theatre. | 0:05:40 | 0:05:43 | |
So, thank you, Dr Birdwood, what's next? | 0:05:44 | 0:05:46 | |
Sorry, Mr Griffin, I know we're up to our ears. | 0:05:48 | 0:05:51 | |
but the ED really think you should take a look at this. | 0:05:51 | 0:05:53 | |
Gabriel Vaughan. 42. Collapsed at a train station. | 0:05:53 | 0:05:56 | |
Mr Vaughan, you had a fall? | 0:05:56 | 0:05:59 | |
Stumble, really. | 0:05:59 | 0:06:00 | |
It looks like you've been unwell for some time. Abdominal pain, | 0:06:00 | 0:06:03 | |
-weakness, fatigue, dizziness. -The GP said it's just a virus. | 0:06:03 | 0:06:07 | |
If you're taking Mr Enright in right away, we've a spare bed. | 0:06:07 | 0:06:10 | |
-Go. -Do you want me to take this? | 0:06:10 | 0:06:15 | |
I'm quite awed. | 0:06:18 | 0:06:20 | |
Well, I think you can see what we're up against. | 0:06:20 | 0:06:22 | |
But, er, we have a great team. | 0:06:22 | 0:06:24 | |
And now that we have Dr Birdwood with us. | 0:06:24 | 0:06:26 | |
Er...yes. I was hoping to have a quick chat about that. | 0:06:26 | 0:06:29 | |
-Square root of X plus PX plus Q. -I don't know, yesterday he suddenly got much worse. | 0:06:31 | 0:06:36 | |
Billy, can you stop a minute, please? | 0:06:36 | 0:06:38 | |
So, Leyton Orient fan, are we? | 0:06:38 | 0:06:40 | |
When one wears a strip one is usually a fan, yes. | 0:06:40 | 0:06:43 | |
Hey, be nice. Is Professor Gleeson coming? | 0:06:43 | 0:06:46 | |
-Why would he be? -Well, he's the one we've always seen, | 0:06:46 | 0:06:48 | |
he did the Baffle on Billy when he was a baby. | 0:06:48 | 0:06:50 | |
This isn't Paediatrics. I'm afraid we'll have to do. | 0:06:50 | 0:06:53 | |
Shhh! Can you be quiet? | 0:06:53 | 0:06:56 | |
-Quadratic equations. Billy's a... -A maths prodigy. | 0:06:56 | 0:07:00 | |
And I'll go to Oxford next year. | 0:07:00 | 0:07:03 | |
If I can get this supporting materials in on time. | 0:07:03 | 0:07:07 | |
Well, good for you. I'll just have a little listen. | 0:07:07 | 0:07:10 | |
Excuse me. Have I not been clear? Or are you hard of hearing? | 0:07:10 | 0:07:14 | |
Billy ! | 0:07:14 | 0:07:15 | |
Right. Let's get some fresh bloods and book an echo and an MRI. | 0:07:15 | 0:07:19 | |
When he's ready to co-operate talk to the nurse. | 0:07:19 | 0:07:23 | |
Excuse me. Ms Naylor, did you say your name was? | 0:07:23 | 0:07:27 | |
Could I just have a word with you two? | 0:07:27 | 0:07:30 | |
I don't understand. Has someone complained? | 0:07:30 | 0:07:34 | |
Look, I'm not quite sure how this move came about. | 0:07:34 | 0:07:36 | |
No doubt it was done with the best of intentions | 0:07:36 | 0:07:39 | |
but Dr Birdwood's placement was supposed to be on AAU. | 0:07:39 | 0:07:42 | |
What does it matter? | 0:07:42 | 0:07:43 | |
You can see, we're buckling under, she's obviously thriving. | 0:07:43 | 0:07:46 | |
I'm not quite sure THEY see it that way. | 0:07:46 | 0:07:48 | |
-Mr Malick, you're clinical skills tutor, you know what I mean, don't you? -Well, I um... | 0:07:48 | 0:07:52 | |
So someone has complained. Ms Campbell. | 0:07:52 | 0:07:54 | |
I really don't want to get into that. In all honesty, | 0:07:54 | 0:07:57 | |
I do think there's a point to be made. | 0:07:57 | 0:07:59 | |
There's a way of doing things and this isn't quite it. | 0:07:59 | 0:08:01 | |
So what are you saying, that she has to go back? | 0:08:01 | 0:08:05 | |
It's frustrating, I know. | 0:08:05 | 0:08:06 | |
But let's just start as we mean to go on, eh? | 0:08:06 | 0:08:08 | |
Ms Cousins? Sorry to interrupt. I'm Mr Hemingway. Can I have a word, please? | 0:08:08 | 0:08:11 | |
Mr Hemingway! It's so good to finally meet you. Excuse me. | 0:08:11 | 0:08:14 | |
Are you going to tell her? | 0:08:16 | 0:08:18 | |
The thing is, he's been under a lot of pressure recently. | 0:08:24 | 0:08:28 | |
-Self induced. -That's neither here nor there. | 0:08:28 | 0:08:31 | |
Actually, it is. You're treating him so you should know. | 0:08:31 | 0:08:35 | |
This Oxford thing. | 0:08:35 | 0:08:36 | |
He's got it into his head he's going and it's gone way out of control. | 0:08:36 | 0:08:42 | |
He keeps going on and on about it in a loop. | 0:08:42 | 0:08:44 | |
Ever since he's done the aptitude tests, it's... | 0:08:44 | 0:08:48 | |
it's making him so anxious, | 0:08:48 | 0:08:50 | |
God knows the last time he had a full night's sleep. | 0:08:50 | 0:08:53 | |
-Must be fun and games for you. -It's party central. | 0:08:53 | 0:08:56 | |
When he gets anxious, you get the vile brat act | 0:08:56 | 0:09:01 | |
but, really, he's a lovely boy. He couldn't do enough for you. | 0:09:01 | 0:09:06 | |
Hey, you should meet some of the other people we have to deal with around here. | 0:09:06 | 0:09:10 | |
Well, now we know. Thank you. Get the bloods going. | 0:09:10 | 0:09:12 | |
Excuse me one second. | 0:09:12 | 0:09:13 | |
So, is there any particular reason why you've just been so lovely to this woman(?) | 0:09:15 | 0:09:19 | |
Excuse me? | 0:09:19 | 0:09:20 | |
Or is it the whole CEO thing that's derailed you. I mean, come on. You expected an interview, didn't you? | 0:09:20 | 0:09:25 | |
-Wow, Jonny that is some dazzling insight. You really read me like a book. -Whatever. | 0:09:25 | 0:09:30 | |
Look, just because he's a genius, it doesn't mean he can behave like that. | 0:09:30 | 0:09:33 | |
Pot, kettle - you join the dots. | 0:09:33 | 0:09:36 | |
Tell you what, why don't you give your wit a rest | 0:09:36 | 0:09:39 | |
and get on with what you SHOULD be good at? | 0:09:39 | 0:09:41 | |
Hey, hey. Don't talk to me like that. | 0:09:41 | 0:09:45 | |
Just to remind you. I don't sleep with you anymore, | 0:09:45 | 0:09:48 | |
so I don't have to take any more of your crap. | 0:09:48 | 0:09:51 | |
And nor should anyone else. | 0:09:51 | 0:09:53 | |
But if we get the Brussels Foundation on board | 0:09:56 | 0:09:59 | |
we could be looking at a £100,000 grant. | 0:09:59 | 0:10:01 | |
Golly. That would be marvellous. | 0:10:01 | 0:10:03 | |
Exactly. So that why it's a little ridiculous to suspend... | 0:10:03 | 0:10:05 | |
It's frustrating, I know, but so far, correct me if I'm wrong, | 0:10:05 | 0:10:09 | |
it seems there's no sign of, well, results. | 0:10:09 | 0:10:11 | |
-Of course not. Research takes years. -And no volunteers. | 0:10:11 | 0:10:14 | |
-We're a little short. -Which is crucial. No volunteers, no results. | 0:10:14 | 0:10:17 | |
-But I think you're missing the point. -Maybe. | 0:10:17 | 0:10:19 | |
But I'm afraid the board expects these boxes to be ticked. | 0:10:19 | 0:10:21 | |
The board will have to be reminded that I'm a fellow | 0:10:21 | 0:10:24 | |
and, as such, my contract clearly states that I must be allowed | 0:10:24 | 0:10:26 | |
-to complete my research otherwise I am under no obligation... -I'm afraid the board will point out, | 0:10:26 | 0:10:30 | |
not without reason, that your contract also states that you must work on the wards. | 0:10:30 | 0:10:36 | |
And, if truth were told, you are currently in breach of this. | 0:10:36 | 0:10:39 | |
-I don't think... -So unless you can produce evidence of a significant step forward, | 0:10:39 | 0:10:44 | |
you'll just have to muck in like everyone else. | 0:10:44 | 0:10:47 | |
This won't take long. We've got our daughter's birthday tomorrow | 0:10:51 | 0:10:55 | |
and she's waiting for us at my sister's. | 0:10:55 | 0:10:57 | |
Naomi. Her name's Naomi. | 0:10:57 | 0:10:59 | |
-Oh? How old is she? -She's, er... -She's ten. | 0:10:59 | 0:11:02 | |
That's tender, right? | 0:11:05 | 0:11:09 | |
I'd like to run some more tests. | 0:11:09 | 0:11:10 | |
-What tests? -Bloods, ECG, chest and abdo x-ray... -Hang on. Why so many? | 0:11:10 | 0:11:15 | |
I suspect the reason that you've been unwell for a while | 0:11:15 | 0:11:20 | |
is that you may have a blockage to one of your arteries. | 0:11:20 | 0:11:23 | |
-I need the toilet. -Just, in a minute, darling... | 0:11:23 | 0:11:25 | |
-I need the toilet now. -OK. | 0:11:25 | 0:11:27 | |
It's just through the double doors and... | 0:11:27 | 0:11:29 | |
OK, how about I get a nurse to take you? | 0:11:29 | 0:11:31 | |
Nurse Lane? Could you take, Mrs Vaughan to the toilets? And back? | 0:11:31 | 0:11:35 | |
-I'm... I'm OK, I can... -Of course, just this way. | 0:11:35 | 0:11:38 | |
I don't mean to pry but... your wife. Is she...? | 0:11:41 | 0:11:45 | |
She's got early dementia. | 0:11:45 | 0:11:47 | |
-BREATHING HEAVILY: -Simultaneous movement as centre back moves forward | 0:11:49 | 0:11:54 | |
and reaches position in a 4-4-2 permutation. | 0:11:54 | 0:11:56 | |
Hi breathing's laboured. Er, Ms Naylor? | 0:11:56 | 0:12:00 | |
Billy? I'm sorry. | 0:12:00 | 0:12:02 | |
This is the only thing that helps him wind down. | 0:12:02 | 0:12:04 | |
Billy, don't make me take it off you. Cue World War III. | 0:12:04 | 0:12:07 | |
-His legs are swelling up. -I am going to complete this half, | 0:12:07 | 0:12:11 | |
so you're going to have to wait until half-time. | 0:12:11 | 0:12:13 | |
-I really need to examine him, so... -Yes, I know that. I am trying. | 0:12:13 | 0:12:18 | |
Right. Sorry about this. | 0:12:18 | 0:12:21 | |
You want this back? | 0:12:21 | 0:12:23 | |
You need to understand this - you are not well. | 0:12:25 | 0:12:28 | |
Forget Oxford. You won't make it round the corner if you don't let us do our jobs. | 0:12:28 | 0:12:33 | |
Thank you. | 0:12:33 | 0:12:34 | |
Yeah. There's a strong crackle. I think he's developed an SVT. | 0:12:40 | 0:12:43 | |
Let's have a loading dose of Amiodarone. | 0:12:43 | 0:12:46 | |
Skip the echo, let's go straight for an MRI. Can you call them, please? | 0:12:46 | 0:12:50 | |
Sure. | 0:12:50 | 0:12:51 | |
They took five years to diagnose her? | 0:12:55 | 0:12:57 | |
I had to make myself a total pain. | 0:12:57 | 0:12:59 | |
She was shunted from one consultant to another. | 0:12:59 | 0:13:01 | |
They mooted a nervous breakdown because of marital difficulties. | 0:13:01 | 0:13:05 | |
Ludicrous. | 0:13:05 | 0:13:07 | |
A pianist doesn't forget how to play the piano | 0:13:07 | 0:13:09 | |
because of marital difficulties. | 0:13:09 | 0:13:11 | |
-She's a pianist...? Is that...? -Muscle memory. | 0:13:11 | 0:13:15 | |
I kept saying to them. I know her. We spend all our time together, | 0:13:15 | 0:13:18 | |
we play together, we perform together. | 0:13:18 | 0:13:21 | |
Must be hard... With a little girl. | 0:13:23 | 0:13:26 | |
No, she keeps us going. We can't miss tomorrow. | 0:13:26 | 0:13:29 | |
I understand. But if we don't deal with this now, | 0:13:30 | 0:13:33 | |
your daughter will remember this birthday for all the wrong reasons. | 0:13:33 | 0:13:37 | |
I... | 0:13:38 | 0:13:39 | |
Look. No offence but you're not going to disappear | 0:13:39 | 0:13:43 | |
-and leave your junior doctor here to chase after you. -Absolutely not. | 0:13:43 | 0:13:47 | |
Mr Griffin is only a corridor away and I'll keep him in the loop at all times. | 0:13:47 | 0:13:51 | |
Got that MRI slot. | 0:13:58 | 0:13:59 | |
Great. | 0:13:59 | 0:14:01 | |
That was good back there. The way you handled him. | 0:14:01 | 0:14:04 | |
Wow! Good, thank you, please. Careful, you almost sound nice. | 0:14:04 | 0:14:09 | |
Oh yeah, I better watch it. | 0:14:09 | 0:14:11 | |
Don't worry I won't tell anyone. | 0:14:11 | 0:14:13 | |
Anyway, don't want to miss that slot. | 0:14:16 | 0:14:18 | |
Hold on. I'm, er, going to come with you. | 0:14:18 | 0:14:20 | |
Really? Don't have to. | 0:14:20 | 0:14:23 | |
And wait for them to e-mail the result? | 0:14:23 | 0:14:25 | |
We'll be here all year. Could just analyse on the spot. | 0:14:25 | 0:14:29 | |
Sure. | 0:14:29 | 0:14:30 | |
Mr Griffin? | 0:14:34 | 0:14:35 | |
See, I was thinking we could go for an immediate blood gas, | 0:14:36 | 0:14:39 | |
check the pulses in his legs, that would give us a clearer picture sooner. | 0:14:39 | 0:14:42 | |
-Great. Go for it. -Er, really? | 0:14:42 | 0:14:45 | |
-Is there a problem? -No. There's no problem. | 0:14:47 | 0:14:49 | |
I've ruffled some feathers when I moved you up here, that's all. | 0:14:49 | 0:14:53 | |
Nothing for you to worry about. Or you for that matter. | 0:14:53 | 0:14:56 | |
I run this ward and I know what I'm doing. Putting patients first. | 0:14:56 | 0:15:00 | |
So carry on with what you're doing. | 0:15:00 | 0:15:01 | |
Think of it as an executive decision. | 0:15:01 | 0:15:03 | |
Any problems, you know where I am. | 0:15:05 | 0:15:06 | |
Come on, come on. Some of us are on a tight schedule. | 0:15:09 | 0:15:12 | |
If she got a move on, I could still make this call. | 0:15:12 | 0:15:15 | |
Ah. Count Luc. Daylight hasn't extinguished you yet. | 0:15:15 | 0:15:19 | |
Maybe a nurse is exactly what this place needs. | 0:15:19 | 0:15:22 | |
Absolutely. | 0:15:22 | 0:15:23 | |
Yeah, all right, let's get this over with. | 0:15:28 | 0:15:30 | |
Evalyn Slate. Transferred from radiology outpatients. | 0:15:30 | 0:15:34 | |
Hello, right, so you're suffering from recurring ulcers. | 0:15:34 | 0:15:37 | |
Oh, they're troublesome things. I don't drink, I don't smoke, | 0:15:37 | 0:15:41 | |
I never have coffee, I'm a strict vegan. | 0:15:41 | 0:15:43 | |
Fresh set of bloods, cross match and save and set up some fluids. | 0:15:43 | 0:15:46 | |
-And we'll get on with the gastroscopy. -Well, how long will I be here? -Er, well... | 0:15:46 | 0:15:50 | |
It's just, the... The cats will need to be fed. | 0:15:50 | 0:15:52 | |
Right. Elsie's away, Mary's got the grand-kids. | 0:15:52 | 0:15:58 | |
-I'll leave you with that, shall I? -Oh, it's not that simple, you see there are 21 of them. | 0:15:58 | 0:16:03 | |
-21? -Well, they can feed on each other then, can't they? | 0:16:03 | 0:16:06 | |
No, Claire, don't. Don't tell her anything yet. | 0:16:10 | 0:16:14 | |
Invent something. Look, I've got to go. Yes, yes, as soon as I know. | 0:16:14 | 0:16:19 | |
No point...until we know. | 0:16:21 | 0:16:25 | |
'Course. | 0:16:25 | 0:16:27 | |
Is that for Naomi? | 0:16:27 | 0:16:29 | |
Yes, a new one. She takes after me. | 0:16:29 | 0:16:33 | |
I give her lessons when I can. | 0:16:33 | 0:16:34 | |
You still perform? | 0:16:34 | 0:16:36 | |
Oh, no. I give that up ages ago. | 0:16:36 | 0:16:37 | |
It wouldn't really work with anyone else. Us two click. | 0:16:39 | 0:16:43 | |
Not enough hours in the day anyway. | 0:16:45 | 0:16:47 | |
-You sole carer then? -Of course. I want to be. | 0:16:48 | 0:16:51 | |
And it is cheaper. | 0:16:51 | 0:16:53 | |
OK. Sharp scratch coming. | 0:16:53 | 0:16:59 | |
Sorry, sorry. Sorry, that radial artery can be a slippery little bugger. | 0:16:59 | 0:17:03 | |
OK, let's have a look. Nah, you haven't got it. | 0:17:03 | 0:17:06 | |
Let me see. | 0:17:06 | 0:17:09 | |
And here we go. | 0:17:13 | 0:17:15 | |
Easy peasey. | 0:17:18 | 0:17:20 | |
Cheers. | 0:17:21 | 0:17:23 | |
Stickybeak. I'll get the lab to fast track these. | 0:17:23 | 0:17:27 | |
An MRI machine is known as the doughnut of death. | 0:17:32 | 0:17:35 | |
I had 40 of these in the last 16 years. | 0:17:35 | 0:17:38 | |
I don't mind them one bit apart from the fact I detest the noise. | 0:17:38 | 0:17:41 | |
Right, I'll go through. | 0:17:41 | 0:17:44 | |
I've got you. | 0:17:44 | 0:17:45 | |
Well done. Well done. | 0:17:45 | 0:17:47 | |
That's it. | 0:17:48 | 0:17:50 | |
And the ball goes to Carrol... | 0:17:59 | 0:18:02 | |
And the ball goes to Carrol... | 0:18:04 | 0:18:06 | |
Jonathan Tehoue. | 0:18:06 | 0:18:07 | |
Hmmm...heart's dilated. A lot of fluid on his chest. | 0:18:07 | 0:18:11 | |
I think this is becoming acute heart failure. | 0:18:11 | 0:18:14 | |
And it's Jonathan Tehoue! And the equaliser for Leyton Orient! | 0:18:14 | 0:18:17 | |
Not looking too bad. Should be able to just keep the fluids going. | 0:18:17 | 0:18:21 | |
Brussels rescheduled the call so I should be fine. | 0:18:23 | 0:18:26 | |
Oh, good. | 0:18:26 | 0:18:28 | |
Wait a minute. What have we got here? | 0:18:28 | 0:18:30 | |
What is that? A lesion? | 0:18:30 | 0:18:32 | |
Angiodysplasia. | 0:18:33 | 0:18:36 | |
That, my friend, is what we call a breakthrough moment. | 0:18:36 | 0:18:41 | |
I might just e-mail Imelda Marcos right now. | 0:18:45 | 0:18:47 | |
-What's the jubilation for? -Angiodysplasia of the greater curve. | 0:18:47 | 0:18:51 | |
The stomach does not stop bleeding, because of the thin blood vessels. | 0:18:51 | 0:18:54 | |
So she's a perfect candidate for his trial. | 0:18:54 | 0:18:57 | |
Exactly. The Belgians will wet themselves with excitement. | 0:18:57 | 0:18:59 | |
-You might show her more interest then. -What? -A little of charm wouldn't go amiss | 0:18:59 | 0:19:03 | |
cos right now she's more likely to run a mile than have anything to do with you. | 0:19:03 | 0:19:07 | |
So she struggled with the arterial bloods. | 0:19:11 | 0:19:13 | |
-That can happen to the best of us. -Absolutely. | 0:19:13 | 0:19:15 | |
But I'm just concerned she doesn't put herself under pressure to run before she can walk. | 0:19:15 | 0:19:19 | |
Mr Griffin, I was just about to call you. | 0:19:19 | 0:19:22 | |
What we got? | 0:19:24 | 0:19:25 | |
An absence of femoral pulses. | 0:19:25 | 0:19:27 | |
Together with the atrial fibrillations, the sats and BP, | 0:19:28 | 0:19:32 | |
I'd say Aortic saddle embolus. | 0:19:32 | 0:19:34 | |
Just tell me. | 0:19:36 | 0:19:38 | |
I'm afraid that we're going to have to take you into theatre. | 0:19:40 | 0:19:43 | |
-An operation? -Yes. | 0:19:43 | 0:19:46 | |
-When? -Well... | 0:19:46 | 0:19:47 | |
I can't fit you in now right but hopefully later today. | 0:19:47 | 0:19:51 | |
-I... I can't get this round. -I'll help you in a minute, darling. | 0:19:51 | 0:19:54 | |
Isn't there anything else you can do? | 0:19:54 | 0:19:58 | |
I really think that we need to put your welfare first. | 0:19:58 | 0:20:01 | |
We could try for an angioplasty. | 0:20:01 | 0:20:02 | |
Blast the clot with a guide wire. Now. | 0:20:02 | 0:20:06 | |
I can do it. I've done it before. | 0:20:06 | 0:20:08 | |
Would you just excuse us for a moment, please? | 0:20:08 | 0:20:11 | |
Look, I appreciate you trying to push the boat out for them. | 0:20:11 | 0:20:15 | |
I'm sorry if I got carried away but we could at least give it a go. | 0:20:15 | 0:20:19 | |
-Theatre is groaning. This would work for everyone. -PAGER BEEPS | 0:20:19 | 0:20:22 | |
All right, check his clotting, speak to Radiology. | 0:20:22 | 0:20:25 | |
And, erm, keep an eye on the wife. | 0:20:25 | 0:20:27 | |
-I know he's keen to play it down but... -Yeah, absolutely. | 0:20:27 | 0:20:32 | |
Mr Griffin? You trust her with all this? | 0:20:32 | 0:20:35 | |
She's put up a very good argument. Plus you need to give people room to grow. | 0:20:35 | 0:20:39 | |
-You should know that better than anyone. -Exactly. I know what it's like trying to impress a consultant. | 0:20:39 | 0:20:43 | |
I think I'm old enough and ugly enough to see past that. | 0:20:43 | 0:20:46 | |
With all due respect, are you sure this has nothing to do | 0:20:46 | 0:20:49 | |
with trying to prove a point to the new CEO? | 0:20:49 | 0:20:51 | |
So... fancy your chances of relegation? | 0:20:53 | 0:20:56 | |
We were outstanding mid season. | 0:20:56 | 0:20:59 | |
Three points in the first ten games stuck us bottom | 0:20:59 | 0:21:01 | |
and the play-offs became a mere fantasy when we came crashing with 12 points in the last 17 games. | 0:21:01 | 0:21:06 | |
And then if it weren't for Wycombe running out of steam, | 0:21:06 | 0:21:09 | |
-we'd have been relegated immediately. -Wowza. | 0:21:09 | 0:21:11 | |
-You really know your stuff. -I do. Shame I can't play. | 0:21:11 | 0:21:16 | |
Well, at least you can always get off to see a game. | 0:21:16 | 0:21:19 | |
I've never been. | 0:21:19 | 0:21:20 | |
But that will all change when I'm going to Oxford. | 0:21:20 | 0:21:24 | |
I'm going to get a student loan and live on my own | 0:21:24 | 0:21:27 | |
and buy my own tickets | 0:21:27 | 0:21:28 | |
and study all night if I want to and Mum can't stop me. | 0:21:28 | 0:21:31 | |
-But don't tell her. -Mum's the word. | 0:21:33 | 0:21:35 | |
She thinks I can't make it on my own. | 0:21:35 | 0:21:38 | |
I know I have the social skills of a potato | 0:21:38 | 0:21:40 | |
but I'm very clever and I want to be someone. | 0:21:40 | 0:21:44 | |
Of course you do. | 0:21:44 | 0:21:46 | |
Here he is. | 0:21:46 | 0:21:47 | |
Billy! Look who's here. | 0:21:47 | 0:21:50 | |
-Hey, you. -Professor Gleeson. | 0:21:50 | 0:21:52 | |
Eamonn Gleeson. Good to meet you. | 0:21:52 | 0:21:54 | |
Could I have all latest stats, bloods, echo and get them | 0:21:54 | 0:21:57 | |
-to e-mail the MRI images as soon as possible. -Sure. | 0:21:57 | 0:22:00 | |
Let's have a proper look at you. | 0:22:01 | 0:22:04 | |
Before you say anything. I called him. | 0:22:04 | 0:22:07 | |
I figured something like this might happen. | 0:22:11 | 0:22:13 | |
You two haven't exactly been getting on. | 0:22:13 | 0:22:16 | |
Thanks for your support, Jonny. | 0:22:16 | 0:22:17 | |
-Angiodysplasia? -Mmm-hmm. Could have gone unnoticed for a long time. | 0:22:21 | 0:22:25 | |
And that's why I've been getting ulcers? | 0:22:25 | 0:22:28 | |
It's also why you're anaemic. It's a form of chronic bleeding. | 0:22:28 | 0:22:31 | |
I see. So, what can you do? | 0:22:31 | 0:22:34 | |
Well, most physicians would say not very much. | 0:22:34 | 0:22:36 | |
They'd pack you off home with some medication. | 0:22:36 | 0:22:39 | |
But, if you stick around, there's an innovative new technique | 0:22:39 | 0:22:41 | |
called endoscopic coagulation therapy... | 0:22:41 | 0:22:43 | |
Oh, let me stop you right there. I don't want any of this. | 0:22:43 | 0:22:46 | |
I want to talk to Rosie first. My healer. | 0:22:46 | 0:22:50 | |
-Your healer? -Reiki healer. She's wonderful. | 0:22:50 | 0:22:53 | |
-When Petite Fleur had her tumour. -Petite Fleur? -My eldest. | 0:22:53 | 0:22:56 | |
-Daughter? -No. Cat. -Right. | 0:22:56 | 0:22:59 | |
Well, you can of course talk to your healer, see your healer | 0:22:59 | 0:23:02 | |
-and we'll carry on with the... -I don't think so, no. | 0:23:02 | 0:23:04 | |
You see treatments might interfere with each other. | 0:23:04 | 0:23:07 | |
They don't always flow together. And you said yourself, doctors think there's not much you can do. | 0:23:07 | 0:23:13 | |
-Well, that's not exactly what I said... -I know that you're a young man in a hurry | 0:23:13 | 0:23:16 | |
but I like to think these things through | 0:23:16 | 0:23:18 | |
so maybe you could get me some literature to take home. | 0:23:18 | 0:23:22 | |
I'll be in touch. | 0:23:22 | 0:23:24 | |
It's a classic bilateral pleural effusion. | 0:23:28 | 0:23:31 | |
-BREATHING HEAVILY: -Young... adults...who have gone through the Baffle | 0:23:31 | 0:23:35 | |
-Ms Naylor. -Thank you. | 0:23:35 | 0:23:37 | |
Complications...such as... | 0:23:37 | 0:23:40 | |
-coronary artery problems... -A mathematician and a cardiologist. | 0:23:40 | 0:23:45 | |
Look at all the fluid here. I think the Baffle is potentially causing an obstruction. We need to take him in. | 0:23:45 | 0:23:49 | |
Another operation? | 0:23:49 | 0:23:51 | |
I think we should try and hold on. Let's just put him on a combo | 0:23:51 | 0:23:55 | |
of dopamine, dextrose infusion and frusemide, see how we go. | 0:23:55 | 0:23:58 | |
BILLY COUGHS AND SPLUTTERS Excuse me. | 0:23:58 | 0:24:00 | |
We need to drain the fluid now. | 0:24:04 | 0:24:06 | |
So I've put in a call to Angioplasty | 0:24:10 | 0:24:12 | |
but I think the heparin might just do the job. | 0:24:12 | 0:24:15 | |
I don't know how to thank you. | 0:24:15 | 0:24:18 | |
Where's Ellie? | 0:24:18 | 0:24:20 | |
That nice nurse took her to the shop to get a card. | 0:24:20 | 0:24:23 | |
Best to do is keep her busy. | 0:24:23 | 0:24:25 | |
It's just that this is a very busy ward. | 0:24:25 | 0:24:26 | |
-You may want to call someone to... -Someone? | 0:24:26 | 0:24:30 | |
There is no-one. Only me. | 0:24:30 | 0:24:32 | |
-Let go. -It's mine! | 0:24:32 | 0:24:34 | |
No, it's not. | 0:24:34 | 0:24:35 | |
Mrs Vaughan, this is Mrs Mallow's, let go. | 0:24:35 | 0:24:37 | |
No, I. | 0:24:37 | 0:24:39 | |
-SOBBING: -I...thought it was mine I... I was hungry. | 0:24:40 | 0:24:45 | |
It's OK. It's OK. It's nearly lunchtime. | 0:24:45 | 0:24:48 | |
She's just a bit tired, that's all. | 0:24:48 | 0:24:51 | |
I could see what I could rustle up. | 0:24:51 | 0:24:53 | |
The nurse found one with a fairy on it. | 0:24:53 | 0:24:56 | |
-I'm going to write it. Right now. -OK. | 0:24:56 | 0:24:59 | |
To... | 0:25:02 | 0:25:03 | |
Dr Birdwood? | 0:25:03 | 0:25:05 | |
N... | 0:25:07 | 0:25:08 | |
Is this a heparin infusion? | 0:25:08 | 0:25:10 | |
-Yes, of course. -Have you seen these latest stats? | 0:25:10 | 0:25:13 | |
I mean, Petite Fleur. What kind a name is that for a cat anyway?! | 0:25:17 | 0:25:21 | |
I really am beginning to think there's something wrong with you. | 0:25:21 | 0:25:24 | |
I mean, why didn't you go on about your Shamanic experiences eating lava worms in Thailand? | 0:25:24 | 0:25:31 | |
I mean, she'd be eating out of your hands by now. Softly softly catchy monkey. | 0:25:31 | 0:25:35 | |
While we're treading softly softly, | 0:25:35 | 0:25:37 | |
the monkey might die of internal bleeding. | 0:25:37 | 0:25:39 | |
-ALERT BEEPS -That's my conference call from Brussels. | 0:25:39 | 0:25:43 | |
-This could make or break my funding. I can't miss it. Can you talk to her, please? -What? | 0:25:43 | 0:25:47 | |
Just get her to stick around, agree to the endoscopic coagulation therapy. I'll do the rest. | 0:25:47 | 0:25:51 | |
-I must have doormat tattooed on my... -Bonjour. | 0:25:51 | 0:25:54 | |
..forehead. | 0:25:54 | 0:25:55 | |
It's OK, sweetheart. | 0:25:55 | 0:25:57 | |
You're going to feel much better in a minute. | 0:25:58 | 0:26:00 | |
-You're being very brave here. -Heart beat fast and irregular. | 0:26:00 | 0:26:04 | |
-I don't think we can wait. -Siobhan? | 0:26:07 | 0:26:10 | |
-Can you finish up, please? -Sure. | 0:26:12 | 0:26:15 | |
We can go for a straightforward procedure. | 0:26:15 | 0:26:17 | |
Just widen the Baffle, and remove the obstruction. | 0:26:17 | 0:26:20 | |
-Er, to be fair, we'll only know that when we open him up. -And afterwards? | 0:26:20 | 0:26:23 | |
Carry on as you are. | 0:26:23 | 0:26:26 | |
Keep the medication going, continual checkups, close observation. | 0:26:26 | 0:26:29 | |
But who'll be operating? Can you be there? | 0:26:29 | 0:26:32 | |
If Ms Naylor would have me. | 0:26:34 | 0:26:36 | |
I'd really like that. | 0:26:36 | 0:26:37 | |
Right. Shall we go tell Billy? | 0:26:38 | 0:26:41 | |
No, it's OK. I'll do that. | 0:26:41 | 0:26:43 | |
I need to make some calls. Juggle my timetable. | 0:26:44 | 0:26:47 | |
Why are we not talking to him? Directly? He is 16. | 0:26:47 | 0:26:51 | |
In here maybe. But not in here. | 0:26:51 | 0:26:53 | |
But still, we should be honest with him. | 0:26:53 | 0:26:54 | |
He thinks he's going to Oxford. | 0:26:54 | 0:26:56 | |
It's typical of his condition, repeating things in a loop. | 0:26:56 | 0:26:59 | |
That doesn't mean he's not serious about it. | 0:26:59 | 0:27:01 | |
The Asperger's is bad enough without a heart condition. | 0:27:01 | 0:27:04 | |
He needs constant care. It's never going to happen. | 0:27:04 | 0:27:07 | |
Heparin? You aware of the risk? | 0:27:12 | 0:27:14 | |
-In case he does have to go into theatre. -But why would he? | 0:27:14 | 0:27:17 | |
This is an aortic saddle embolus, | 0:27:17 | 0:27:19 | |
the heparin might well dissolve it on its own. | 0:27:19 | 0:27:21 | |
Look at these. | 0:27:21 | 0:27:22 | |
It may have started as an embolus but it's an occlusion by now. | 0:27:22 | 0:27:25 | |
And if you need to take him in, he could bleed out on you because of the heparin. | 0:27:25 | 0:27:28 | |
If. OK, let's just wait and see. | 0:27:28 | 0:27:30 | |
And exactly how much experience have you had dealing with this condition? | 0:27:31 | 0:27:36 | |
-Well... -Right, take him off the heparin immediately | 0:27:36 | 0:27:38 | |
and we'll try to delay radiology while it gets out of his system. | 0:27:38 | 0:27:42 | |
I want to know when they call you back. | 0:27:42 | 0:27:45 | |
No, Alex, just your latest data. | 0:27:45 | 0:27:49 | |
Yup. Yeah, I got it. Cheers. | 0:27:49 | 0:27:52 | |
Secret stash. | 0:27:58 | 0:28:00 | |
Mmm. Nectar. Do you want to... | 0:28:00 | 0:28:05 | |
Arterial Switch. That's a tricky one. | 0:28:06 | 0:28:09 | |
Pull it off and your patient gets a new lease of life. | 0:28:11 | 0:28:13 | |
-However... This for your boy? -Mmm. | 0:28:13 | 0:28:18 | |
You must be feeling brave today. | 0:28:18 | 0:28:20 | |
Today? | 0:28:20 | 0:28:21 | |
Brand new world. | 0:28:21 | 0:28:23 | |
KNOCK ON DOOR | 0:28:23 | 0:28:26 | |
Now, what are the chances of finding two fantastic heart surgeons | 0:28:26 | 0:28:30 | |
in one room at the same time? | 0:28:30 | 0:28:34 | |
Can you spare five minutes for a chinwag? | 0:28:34 | 0:28:36 | |
-That's Petite Fleur. -Oh, that's Petite Fleur. Oh, my gosh, | 0:28:41 | 0:28:46 | |
Oh, I love them. | 0:28:46 | 0:28:47 | |
Just to say again, this endoscopic, you know, | 0:28:49 | 0:28:54 | |
coagulation therapy is actually quite ingenious. | 0:28:54 | 0:28:57 | |
I mean, it may not be 100% fool proof but it is less invasive | 0:28:57 | 0:29:01 | |
and I know that's what Mr Hemingway thought you might prefer. | 0:29:01 | 0:29:04 | |
And it might get rid you of those pesky ulcers, you know. | 0:29:05 | 0:29:08 | |
Do you know what? He's not quite the ogre he appears to be. | 0:29:12 | 0:29:15 | |
He does appear quite thorny. Bound flow, you see. | 0:29:15 | 0:29:20 | |
Oh. I know, I know. | 0:29:20 | 0:29:21 | |
But actually that's to cover up the fact that he's quite soft in the middle. | 0:29:21 | 0:29:27 | |
Right. | 0:29:31 | 0:29:33 | |
Anyway, I must say it's very nice to put names to the faces. | 0:29:33 | 0:29:37 | |
Maybe we can make a time to chat some more? | 0:29:37 | 0:29:39 | |
Absolutely. I'm due in theatre. | 0:29:40 | 0:29:42 | |
Yes, me too. | 0:29:42 | 0:29:43 | |
Indeed. But I just wanted to dispel any, well, fears | 0:29:43 | 0:29:49 | |
and assure you that I believe in letting people get on with what they're good at. | 0:29:49 | 0:29:52 | |
I'm not a clinician, I wouldn't dream of telling the medics how to do their job. | 0:29:52 | 0:29:56 | |
Darwin has been doing sterling work. | 0:29:56 | 0:29:59 | |
I'd hate to think my arrival would derail you in any way. | 0:29:59 | 0:30:03 | |
Absolutely, thank you. | 0:30:03 | 0:30:05 | |
Don't worry. It won't. | 0:30:05 | 0:30:07 | |
Thing is, she rushed into offering him a procedure. | 0:30:08 | 0:30:11 | |
She rushed into putting him on heparin. | 0:30:11 | 0:30:13 | |
She is not as experienced as she likes to make out. | 0:30:13 | 0:30:15 | |
It's an easy mistake to make. It did present as a clot. | 0:30:15 | 0:30:17 | |
That's not the point. Plus I don't like people trying to tell me half truths. | 0:30:17 | 0:30:21 | |
-Bit heavy, isn't it? -She's not just your responsibility. -OK, I get it. | 0:30:21 | 0:30:25 | |
Erm, Dr Birdwood? | 0:30:26 | 0:30:29 | |
It's about the heparin, right? | 0:30:31 | 0:30:34 | |
See, I felt it was worth initially trying to heparise him | 0:30:34 | 0:30:37 | |
as it could dissolve some of the blood clot | 0:30:37 | 0:30:39 | |
before any radiological intervention. | 0:30:39 | 0:30:42 | |
It may have even alleviated the need for a further action. | 0:30:42 | 0:30:45 | |
True. Possible but unlikely. | 0:30:45 | 0:30:48 | |
That really only works on a venous thrombosis, | 0:30:48 | 0:30:50 | |
not in an arterial case. | 0:30:50 | 0:30:52 | |
It was an understandable call and worth a try | 0:30:52 | 0:30:55 | |
but probably irrelevant. | 0:30:55 | 0:30:57 | |
I know that you may think that you have adequate experience. | 0:30:58 | 0:31:02 | |
Oh, that was just a misunderstanding. | 0:31:02 | 0:31:05 | |
I never said I had experience with the exact same cases. | 0:31:05 | 0:31:07 | |
I mean, they do vary enormously. | 0:31:07 | 0:31:10 | |
Precisely. | 0:31:10 | 0:31:11 | |
Which is why you should have run it by me | 0:31:11 | 0:31:13 | |
or another more experienced member of the team before proceeding. | 0:31:13 | 0:31:17 | |
Of course. | 0:31:17 | 0:31:18 | |
Obviously, I have taken Mr Malick's diagnosis | 0:31:18 | 0:31:21 | |
and taken the patient off heparin. | 0:31:21 | 0:31:22 | |
I'm still confident he won't need full surgery. | 0:31:22 | 0:31:25 | |
IMELDA: Golly, that would be marvellous. > | 0:31:25 | 0:31:27 | |
Look, I really appreciate everything that you've done. Especially today. | 0:31:27 | 0:31:31 | |
I know what politics can be like and maybe I've been a bit insensitive. | 0:31:33 | 0:31:37 | |
Insensitive? | 0:31:37 | 0:31:39 | |
Maybe I might have ruffled a few feathers | 0:31:39 | 0:31:42 | |
when I made no secret of how much I look up to you. | 0:31:42 | 0:31:45 | |
-Look, why don't you take five. Page me when you take him in. -OK. | 0:31:47 | 0:31:51 | |
It would certainly jolly up the place. | 0:31:53 | 0:31:54 | |
Nurse Lane's just been telling me about her New Year charity ball. | 0:31:54 | 0:31:57 | |
I think it's a super idea. | 0:31:57 | 0:31:58 | |
I'll e-mail you. | 0:31:58 | 0:32:00 | |
I was just coming to see how everyone's coping. Hope I'm not... | 0:32:00 | 0:32:03 | |
Oh, no. Not at all, not at all. In fact, your timing is perfect. | 0:32:03 | 0:32:07 | |
I was just coming to find you. | 0:32:07 | 0:32:09 | |
An Arterial Switch? That's, er, a bit bonkers. | 0:32:09 | 0:32:12 | |
Why? | 0:32:12 | 0:32:13 | |
It's superseded the Baffle Billy had. Look at this data. | 0:32:13 | 0:32:16 | |
The prognosis is miles better. | 0:32:16 | 0:32:18 | |
But if we're looking at a simple patch obstruction, | 0:32:18 | 0:32:21 | |
why take the risk? | 0:32:21 | 0:32:23 | |
You're looking at hemodynamic issues, neoaortic regurgitation | 0:32:23 | 0:32:27 | |
or even LV systolic dysfunction from myocardial infarction. | 0:32:27 | 0:32:30 | |
It could transform his life. | 0:32:30 | 0:32:32 | |
He could go to Oxford, he could play football, he could... | 0:32:32 | 0:32:35 | |
End up on the transplant list. If we don't lose him on the table. | 0:32:35 | 0:32:38 | |
-Should we at least give him the option? -No. | 0:32:38 | 0:32:41 | |
No, I think it would be very unfair. | 0:32:41 | 0:32:43 | |
You're talking someone whose cognitive abilities are impaired. | 0:32:43 | 0:32:47 | |
He's not able to make that call. | 0:32:47 | 0:32:49 | |
It might be right for some people but it's not right for him. | 0:32:49 | 0:32:53 | |
Let me know when we're taking him in. | 0:32:53 | 0:32:55 | |
Right. | 0:32:57 | 0:32:59 | |
He might be right, you know. | 0:32:59 | 0:33:01 | |
He has known him since he was a baby. | 0:33:01 | 0:33:04 | |
Might want to try listening for once. | 0:33:04 | 0:33:07 | |
For once? | 0:33:07 | 0:33:09 | |
Look, if this is about you not liking being sidelined... | 0:33:09 | 0:33:12 | |
-I didn't mean like that. -I really don't care what you mean. | 0:33:14 | 0:33:17 | |
She's an exceptionally talented physician. | 0:33:21 | 0:33:23 | |
She should be allowed to stay where she's most needed. Where's she's vital. | 0:33:23 | 0:33:26 | |
Now, if that's putting someone's nose out of joint | 0:33:26 | 0:33:29 | |
or not quite protocol, then so be it. | 0:33:29 | 0:33:30 | |
-I'm sorry but I'm not here to win a popularity contest. -OK. | 0:33:33 | 0:33:38 | |
You've put forward a very compelling case. I admire your passion. | 0:33:39 | 0:33:42 | |
Right. Well that's... That's great. | 0:33:45 | 0:33:51 | |
You don't know me yet but when you do you'll realise I'm no fan of the cloak and dagger routine. | 0:33:51 | 0:33:55 | |
So I really appreciate your honesty. I mean it. It's rare. | 0:33:55 | 0:33:58 | |
You and I may have more in common than you think. | 0:34:00 | 0:34:02 | |
-Oh, sorry. -No, no. I think we're done here. | 0:34:03 | 0:34:06 | |
So? | 0:34:09 | 0:34:11 | |
Yeah, well, I think we can put that one down to | 0:34:11 | 0:34:13 | |
a misunderstanding between you and Lilah. | 0:34:13 | 0:34:16 | |
Is that what she said? | 0:34:16 | 0:34:17 | |
Look, she's passionate, she's opinionated, she's committed. | 0:34:17 | 0:34:20 | |
Kind of reminds me of someone. | 0:34:20 | 0:34:22 | |
Hey. I busted my balls to earn people's respect round here. | 0:34:22 | 0:34:25 | |
-She's no different. -Absolutely. I'm sure she's well aware of that. | 0:34:25 | 0:34:29 | |
I hope so. Cos otherwise she's going to crash and burn in no time. | 0:34:29 | 0:34:31 | |
Thanks. And we'll be the ones having to explain why. | 0:34:31 | 0:34:34 | |
-She's reconsidering? -She's not as impenetrable as she looks. | 0:34:35 | 0:34:38 | |
Do you know what, I could hug you. | 0:34:38 | 0:34:40 | |
If I went in to the human contact stuff, I honestly could hug you. | 0:34:40 | 0:34:43 | |
Do you know what, I might e-mail our charming CEO right now. | 0:34:43 | 0:34:47 | |
If there's anyway I can repay this favour, Sacha... | 0:34:50 | 0:34:53 | |
Well, actually. Um, Chrissie's been on at me, you know, for a while | 0:34:53 | 0:34:57 | |
-to...further myself. -Oh, yeah? | 0:34:57 | 0:35:01 | |
I was just thinking, if there was anything kind of low maintenance I can do on your research... | 0:35:01 | 0:35:05 | |
Oh, there's nothing low maintenance involved really. | 0:35:05 | 0:35:07 | |
You can't just dabble in it. | 0:35:07 | 0:35:09 | |
I wasn't suggesting dabbling in it. | 0:35:09 | 0:35:11 | |
They're a very serious business. Time consuming, too. | 0:35:11 | 0:35:15 | |
OK. | 0:35:15 | 0:35:16 | |
Just make sure you get your patient on board. | 0:35:19 | 0:35:22 | |
Absolutely. | 0:35:22 | 0:35:24 | |
I mean, we have been on a second date so maybe I should just ask him. | 0:35:24 | 0:35:27 | |
Or do you think that's too soon? | 0:35:27 | 0:35:28 | |
Although, New Year's is round the corner. | 0:35:28 | 0:35:30 | |
I can't turn up to MY ball on my own. | 0:35:30 | 0:35:32 | |
-Do you reckon he's going tonight? Maybe I should try and suss him then. -Poor Rhys. | 0:35:32 | 0:35:36 | |
Joke. Joking. | 0:35:36 | 0:35:37 | |
Chantelle, could you check on Mr Vaughan's stats for me please? | 0:35:37 | 0:35:40 | |
-Sure. -And Mrs Vaughan? | 0:35:40 | 0:35:42 | |
Mrs Vaughan. There's only so many times I can take her for a walk. | 0:35:44 | 0:35:48 | |
Can you get her a magazine or something? | 0:35:48 | 0:35:51 | |
Erm...'course. | 0:35:51 | 0:35:53 | |
You know Nurse Lane will never say no to anything. | 0:35:53 | 0:35:56 | |
Mrs Vaughan's care is not really her remit. | 0:35:56 | 0:35:58 | |
-Well, they've got no-one else. -I understand but you need to be straight with him. | 0:35:58 | 0:36:02 | |
We can't look after her here. That's what the Intermediary Care Team is there for so... | 0:36:02 | 0:36:05 | |
I'd get on to them if I were you. | 0:36:05 | 0:36:08 | |
Erm, Mr Vaughan. I think you should come have a look. | 0:36:08 | 0:36:10 | |
BP 90 over 40, sats dropping. | 0:36:10 | 0:36:14 | |
Legs are cold and clammy. The blood supply is getting more and more compromised. | 0:36:14 | 0:36:18 | |
Get me five milligrams of morphine and call Angioplasty, tell them we're on our way. | 0:36:18 | 0:36:22 | |
Where are you going? | 0:36:22 | 0:36:23 | |
-Ellie, sit down, please. You'll have to wait here. -Ellie can't... -No, she'll be good. | 0:36:23 | 0:36:27 | |
-She'll just sit here, won't you? -Look, if there's no-one you can... | 0:36:27 | 0:36:31 | |
No, I don't want any of these people round her. ..Ellie, sit down. | 0:36:31 | 0:36:35 | |
Now, listen. I promised her that she would never ever have to go | 0:36:38 | 0:36:41 | |
to one of these places. I swore. Look I'm not going anywhere | 0:36:41 | 0:36:46 | |
unless she can wait for me here. I mean it. | 0:36:46 | 0:36:49 | |
Ellie, Ellie. Promise me you'll stay here and do everything you're told. | 0:36:49 | 0:36:56 | |
Yes? There you are. | 0:36:56 | 0:37:00 | |
Oh, come on, it'll only take a couple of hours. | 0:37:02 | 0:37:06 | |
Page Mr Griffin. I'm taking him to Angioplasty. | 0:37:06 | 0:37:09 | |
It'll make you better, sweetheart. | 0:37:11 | 0:37:14 | |
Well enough to go to Oxford? | 0:37:14 | 0:37:16 | |
We'll see. | 0:37:16 | 0:37:18 | |
What? What will we see? Will this make me better? | 0:37:18 | 0:37:24 | |
-Or will I stay the same? -Billy, please, don't upset yourself. | 0:37:24 | 0:37:27 | |
I want the truth. | 0:37:27 | 0:37:29 | |
-If I'm not going to get better then I don't want to go ahead. -Billy. | 0:37:29 | 0:37:36 | |
Has anyone ever discussed an Arterial Switch with you? | 0:37:36 | 0:37:40 | |
I don't want to get your hopes up, it's a big procedure | 0:37:40 | 0:37:44 | |
and not without it's risks. The results can be life changing. | 0:37:44 | 0:37:49 | |
Patients' quality of life... unrecognisable. | 0:37:49 | 0:37:53 | |
They can be independent, they can exercise, they can... | 0:37:53 | 0:37:55 | |
-Go to a football match? -If they're mad enough to like football, yes. | 0:37:55 | 0:37:59 | |
I don't believe you. | 0:37:59 | 0:38:02 | |
What the hell do you think you're doing? | 0:38:04 | 0:38:07 | |
Why would you want to give him any false hope? | 0:38:07 | 0:38:11 | |
Why false? | 0:38:11 | 0:38:12 | |
You want him to give up the hope of being self-sufficient? | 0:38:12 | 0:38:15 | |
Self-sufficient? Do you even know what that means? | 0:38:15 | 0:38:18 | |
Billy can't boil an egg. | 0:38:18 | 0:38:22 | |
He can't sort out his pills. He has to be lulled to sleep every night. | 0:38:22 | 0:38:26 | |
But at some point, you're going to have to let him try. | 0:38:26 | 0:38:30 | |
And maybe you could do with a break too. | 0:38:30 | 0:38:32 | |
He's my son - I don't want a break. | 0:38:32 | 0:38:34 | |
-Perhaps that's the problem. -Excuse me? | 0:38:34 | 0:38:36 | |
Look, I know that caring for Billy means exhaustion and stress, | 0:38:37 | 0:38:41 | |
but it's companionship too, isn't it? | 0:38:41 | 0:38:43 | |
If Billy goes off to Oxford or wherever else, for that matter, | 0:38:43 | 0:38:46 | |
that's you on your own. | 0:38:46 | 0:38:48 | |
-SHE LAUGHS -Oxford, Oxford, Oxford. | 0:38:48 | 0:38:50 | |
This is exactly what I mean. It's a fantasy, | 0:38:50 | 0:38:53 | |
it's la-la-land. And you're encouraging it! | 0:38:53 | 0:38:56 | |
What's going on? | 0:38:56 | 0:38:58 | |
It's potentially ground-breaking. This drug can help clot bleeding | 0:39:01 | 0:39:04 | |
-with patients who've suffered massive blood loss... -No. | 0:39:04 | 0:39:06 | |
-You have bleeding issues so you're perfect. -No. | 0:39:06 | 0:39:08 | |
-All we need is some blood samples which I can apply these tests to... -No! | 0:39:08 | 0:39:11 | |
I don't want poked and prodded. | 0:39:11 | 0:39:13 | |
And...and trials involve experimenting on animals, no? | 0:39:13 | 0:39:18 | |
-No, not necessarily. -Yeah, but it might. | 0:39:18 | 0:39:19 | |
I don't agree with that. | 0:39:19 | 0:39:21 | |
There's a higher power at work. We must promote harmony with others. | 0:39:21 | 0:39:25 | |
-Oh, for goodness sake. -Sorry, sorry, what's the problem? | 0:39:25 | 0:39:28 | |
Oh, look at you two. Butter wouldn't melt! | 0:39:28 | 0:39:33 | |
All that talk about coagulative thingy - | 0:39:33 | 0:39:35 | |
that was just to get me to stay, wasn't it, | 0:39:35 | 0:39:38 | |
because of his trial? | 0:39:38 | 0:39:40 | |
-SHE SIGHS -I should have known better. | 0:39:40 | 0:39:43 | |
I'm discharging myself. Now. | 0:39:43 | 0:39:45 | |
-I don't understand you. I thought we agreed. -Agreed? | 0:39:49 | 0:39:53 | |
You mean, you made a decision and walked off. | 0:39:53 | 0:39:55 | |
Look, you know as well as I do | 0:39:55 | 0:39:57 | |
there's another option on the table here | 0:39:57 | 0:39:58 | |
-and he deserves to know what that is. -He is a vulnerable patient, and on balance... | 0:39:58 | 0:40:02 | |
Exactly! He's vulnerable, so he needs someone to stand up for him | 0:40:02 | 0:40:06 | |
and stop patronising him. Now, this is my ward and he is my patient. | 0:40:06 | 0:40:11 | |
Jac... | 0:40:11 | 0:40:12 | |
Absolutely. You want to deal with this on your own? | 0:40:13 | 0:40:15 | |
Be my guest. Let me know when you do. | 0:40:15 | 0:40:18 | |
When are you going to learn? | 0:40:20 | 0:40:21 | |
This is not how you bring people round. | 0:40:21 | 0:40:24 | |
-You've just painted yourself into a corner. -I'm doing what is right for him. | 0:40:24 | 0:40:29 | |
You're not the only person who cares for him. | 0:40:29 | 0:40:31 | |
Billy! Billy! | 0:40:31 | 0:40:33 | |
Excuse me. | 0:40:35 | 0:40:37 | |
LABOURED BREATHING | 0:40:37 | 0:40:38 | |
All right, let's start him on dopamine, 50-50 dextrose, | 0:40:38 | 0:40:42 | |
IV furosemide, one milligram per kilo. | 0:40:42 | 0:40:44 | |
His heart's struggling to cope with this. BILLY MURMURS | 0:40:44 | 0:40:48 | |
Billy, keep the oxygen on, please. Can we page theatre? | 0:40:48 | 0:40:50 | |
-Billy, enough! -No! I want the... | 0:40:50 | 0:40:52 | |
I want the arterial... I want what you talked about - the arterial switch. | 0:40:52 | 0:40:55 | |
I want the arterial switch. Or I'm not going in. | 0:40:55 | 0:40:59 | |
BILLY STRUGGLES FOR BREATH | 0:40:59 | 0:41:01 | |
Are you sure there's nothing I can do make you stay? | 0:41:04 | 0:41:07 | |
OK. Then you must take these. Take these with you. | 0:41:07 | 0:41:09 | |
There really is no talking to her. She won't stay. | 0:41:13 | 0:41:16 | |
Oh, well, you win some, you lose some. | 0:41:16 | 0:41:18 | |
Or in your case you lose some and then you lose some more. | 0:41:18 | 0:41:20 | |
Oh, come on. It was like talking to a brick wall. | 0:41:20 | 0:41:22 | |
How would you know? You hardly even bothered to talk to her. | 0:41:22 | 0:41:26 | |
Because you are so utterly, majestically, up yourself | 0:41:26 | 0:41:29 | |
that you end up losing everything - | 0:41:29 | 0:41:30 | |
Eddi, your research, | 0:41:30 | 0:41:32 | |
and now you've got a patient thinking I've actually deceived them, | 0:41:32 | 0:41:35 | |
and I'm your friend! | 0:41:35 | 0:41:37 | |
Well, that was pretty comprehensive. | 0:41:39 | 0:41:43 | |
I mean, if you don't get it now... | 0:41:43 | 0:41:46 | |
-How do you mean? -We can't seem to get the guide wire in. | 0:41:52 | 0:41:54 | |
How many tries? | 0:41:54 | 0:41:56 | |
About three. It's just that... | 0:41:56 | 0:41:59 | |
he's bleeding quite profusely and we can't seem to get on top of it. | 0:41:59 | 0:42:03 | |
MONITOR BEEPS | 0:42:03 | 0:42:05 | |
I need your back-up, Mr Griffin. | 0:42:05 | 0:42:07 | |
I'm needed here. You're going to have to call Mr Malick. | 0:42:07 | 0:42:10 | |
'Now.' | 0:42:10 | 0:42:11 | |
BEEPING CONTINUES | 0:42:11 | 0:42:14 | |
Ms Slate! Ms Slate, hang on. | 0:42:19 | 0:42:22 | |
Can we get some help here, please? | 0:42:28 | 0:42:30 | |
-No. No, don't touch me. -Come on, come on. -Not you. | 0:42:34 | 0:42:37 | |
Come on. I think you need a blood transfusion. | 0:42:37 | 0:42:39 | |
That's it. All right, all right. | 0:42:39 | 0:42:44 | |
Mr Malick! | 0:42:44 | 0:42:45 | |
What's happening? | 0:42:46 | 0:42:48 | |
Please, try to stay calm. | 0:42:48 | 0:42:51 | |
This isn't going to work. The aorta is probably too occluded. | 0:42:53 | 0:42:55 | |
-Get onto theatre and tell them we're coming over now. -He doesn't want to go in to theatre. | 0:42:55 | 0:42:59 | |
-Call Mr Griffin and tell him to meet us. -He's in surgery... | 0:42:59 | 0:43:02 | |
Dr Birdwood, focus and listen! This man has severe limb ischaemia. | 0:43:02 | 0:43:07 | |
If we don't get him in now, he'll lose both legs or bleed out on us. | 0:43:07 | 0:43:11 | |
OK? | 0:43:11 | 0:43:13 | |
-You tell her that... -You mean you haven't called the intermediary? -It's OK, I'll sort it out | 0:43:15 | 0:43:19 | |
Shall we go for a midline incision, do an aortobifem graft? | 0:43:19 | 0:43:22 | |
No, it wouldn't work. Axillobifem graft is the only option. | 0:43:22 | 0:43:25 | |
-Right, let's cancel the rest of the list for today. -What, all of it? | 0:43:25 | 0:43:28 | |
-The state he's in, this will take at least six hours. -He's still bleeding? | 0:43:28 | 0:43:31 | |
We've been trying to stem it. It's because of the Heparin, right? | 0:43:31 | 0:43:35 | |
Now's not the time. Come on, let's get a move on. | 0:43:35 | 0:43:38 | |
You have to understand, there's no guarantee. | 0:43:40 | 0:43:42 | |
But if you try... | 0:43:42 | 0:43:44 | |
-I could go next year. I could... -Stop it! Just stop it! | 0:43:44 | 0:43:49 | |
There is no Oxford! | 0:43:49 | 0:43:51 | |
You failed your last aptitude test. | 0:43:51 | 0:43:52 | |
You haven't got an interview. | 0:43:52 | 0:43:54 | |
No, no, no, no. | 0:43:55 | 0:43:57 | |
-MONITOR BEEPS -Oh, Billy. | 0:43:57 | 0:44:00 | |
Billy, I'm so sorry. | 0:44:00 | 0:44:03 | |
Just help him! Do something, anything. | 0:44:03 | 0:44:05 | |
-So I have your consent? -Yes, yes, whatever. | 0:44:05 | 0:44:08 | |
Right, let's go. | 0:44:08 | 0:44:09 | |
-Do you want me to page Gleeson? -No. | 0:44:09 | 0:44:12 | |
What? Why not? Are you crazy? | 0:44:12 | 0:44:15 | |
You heard me. Prep him. I'm taking him to theatre now. | 0:44:15 | 0:44:18 | |
BILLY STRUGGLES TO BREATH | 0:44:18 | 0:44:20 | |
Please, listen. You can't send her anywhere. | 0:44:23 | 0:44:27 | |
You know what these places are like. She'll be scared. | 0:44:27 | 0:44:29 | |
You promised me she could stay here and wait for me. | 0:44:29 | 0:44:33 | |
I'm sorry. | 0:44:33 | 0:44:34 | |
-Mr Griffin. -I'll deal with this. | 0:44:36 | 0:44:39 | |
Well, I've been hoping for some advice on the theatre rota. | 0:44:39 | 0:44:41 | |
As you can see, we've got an emergency here. | 0:44:41 | 0:44:43 | |
-I want to go! I want to see Gabriel! -Ellie? Stop! | 0:44:43 | 0:44:46 | |
-Gabriel's just having some treatment. We've been through this, remember? -Ellie. Ellie? | 0:44:46 | 0:44:50 | |
It's OK. | 0:44:53 | 0:44:56 | |
It's OK. | 0:44:56 | 0:44:57 | |
Now, listen, I need to have an operation. | 0:44:57 | 0:45:01 | |
Now, you do what these people say, | 0:45:01 | 0:45:03 | |
and when I come out, we'll go and see Naomi, OK? | 0:45:03 | 0:45:06 | |
We really need to make a move. Sort this out. | 0:45:06 | 0:45:08 | |
Could I have a look at his notes, please? | 0:45:13 | 0:45:16 | |
-Right, nice and easy... -Don't touch me! | 0:45:16 | 0:45:19 | |
-OK, all right. All right, it's OK. -Where's Gabriel? | 0:45:19 | 0:45:23 | |
-Where have you taken Gabriel? -He's gone for his operation, remember? | 0:45:23 | 0:45:26 | |
-Naomi. Where's Naomi? -She's not here. She's with Gabriel's sister. | 0:45:26 | 0:45:30 | |
Who are you? | 0:45:32 | 0:45:33 | |
I'm Dr Birdwood. | 0:45:33 | 0:45:35 | |
No, no, you can't... | 0:45:37 | 0:45:39 | |
ELLIE WHIMPERS | 0:45:41 | 0:45:43 | |
Come with me now. | 0:45:44 | 0:45:45 | |
Where's Gabriel? | 0:45:45 | 0:45:47 | |
How we doing? | 0:45:47 | 0:45:48 | |
Scalpel. | 0:45:48 | 0:45:50 | |
I'll be just a second. | 0:45:54 | 0:45:56 | |
-What's this? -Nice work. | 0:45:58 | 0:45:59 | |
-Did you actually think I would abandon my patient? -That is not the point | 0:45:59 | 0:46:03 | |
-Don't bother. -Let's be clear. | 0:46:03 | 0:46:04 | |
You so much as try and stop me going in there, I'm escalating this, | 0:46:04 | 0:46:07 | |
all the way to the CEO. And you know as well as I do, you won't have a leg to stand on. | 0:46:07 | 0:46:11 | |
Mask. | 0:46:11 | 0:46:13 | |
He deserves the best chance. That means both of you | 0:46:16 | 0:46:19 | |
I can't believe you would do this to me. | 0:46:19 | 0:46:21 | |
I did this FOR you, Jac. | 0:46:21 | 0:46:23 | |
-If this goes wrong, you're going to land yourself in a lot of trouble. -MONITOR BEEPS RAPIDLY | 0:46:23 | 0:46:27 | |
You better get in here. | 0:46:27 | 0:46:29 | |
Suction. | 0:46:29 | 0:46:30 | |
OK, thank you. Must have been some scene. | 0:46:33 | 0:46:36 | |
All in front of Cousins. | 0:46:36 | 0:46:39 | |
Anyway, they finally called the intermediary care team. | 0:46:39 | 0:46:41 | |
Right. | 0:46:41 | 0:46:43 | |
Well, we've got this to get on with. | 0:46:44 | 0:46:47 | |
Can we get the Dacron graft ready, please? | 0:46:49 | 0:46:51 | |
Yes, yes. I'm well aware this is all my responsibility. | 0:46:56 | 0:47:01 | |
Don't know about that. | 0:47:01 | 0:47:03 | |
Like you said, there was logic to what she did. | 0:47:03 | 0:47:05 | |
We were just unlucky. | 0:47:05 | 0:47:06 | |
We're not fortune tellers. | 0:47:06 | 0:47:08 | |
GRIFFIN SIGHS | 0:47:11 | 0:47:13 | |
Long night ahead, ladies and gents. | 0:47:13 | 0:47:16 | |
Where... What happened? | 0:47:22 | 0:47:24 | |
You're bleeding. It got out of control. You collapsed. | 0:47:25 | 0:47:29 | |
Mr Hemingway brought you back and we took you into theatre. | 0:47:29 | 0:47:32 | |
Oh. Him. | 0:47:32 | 0:47:34 | |
Don't worry, you've been reassigned to Mr Levy. I...um... | 0:47:34 | 0:47:38 | |
I just wanted to say...um... | 0:47:38 | 0:47:40 | |
I apologise for the way I behaved | 0:47:44 | 0:47:46 | |
and I hope you feel better soon. | 0:47:46 | 0:47:48 | |
It's the right atrium. He has severe right ventricular failure, | 0:47:54 | 0:47:56 | |
it's not a patch obstruction, we can't widen the baffle, there's no point. | 0:47:56 | 0:48:00 | |
But can you make the arterial switch? | 0:48:00 | 0:48:03 | |
He has severe heart failure, it's not viable. | 0:48:03 | 0:48:06 | |
This has gone far enough. Just do it, we'll put him on the transplant list. | 0:48:07 | 0:48:10 | |
-It's the only way... -Are you a surgeon? | 0:48:10 | 0:48:12 | |
-I know it's beyond you to ever admit that you're wrong, but... -Out. | 0:48:14 | 0:48:19 | |
-What? -You heard me. Get out of my theatre now. | 0:48:19 | 0:48:23 | |
-Right. -OK, so... | 0:48:33 | 0:48:36 | |
-TCPC. -What? | 0:48:36 | 0:48:38 | |
Total cavopulmonary procedure. We attach the vein draining the blood | 0:48:38 | 0:48:42 | |
from the upper part of the body to the upper part of the lung. | 0:48:42 | 0:48:46 | |
We don't have any other option, do we? | 0:48:46 | 0:48:48 | |
-OK. -Clamps. | 0:48:48 | 0:48:50 | |
We've sedated her. She's sleeping now. | 0:49:06 | 0:49:09 | |
The intermediary care team are on their way | 0:49:09 | 0:49:11 | |
and we might be able to find her a bed on a ward for a night, so she won't have to go to a home. | 0:49:11 | 0:49:15 | |
I'm sorry. | 0:49:19 | 0:49:20 | |
-BP dropping. -Suction. Must be a minor artery bleed. -Minor? | 0:49:25 | 0:49:30 | |
Clamp. 40 Prolene. Let's start on adrenaline. 100% oxygen, please. | 0:49:30 | 0:49:34 | |
Keep the pressure there. | 0:49:35 | 0:49:37 | |
Just do it. | 0:49:38 | 0:49:41 | |
OK. Release the clamp. | 0:49:48 | 0:49:50 | |
Gently does it. | 0:49:50 | 0:49:53 | |
Holding nicely. | 0:49:57 | 0:50:00 | |
Right, where were we? | 0:50:00 | 0:50:02 | |
Ready to make the incision in the right atrium. | 0:50:02 | 0:50:05 | |
Stand by with the prosthetic for the lateral tunnel. | 0:50:05 | 0:50:08 | |
Hey, Naylor... | 0:50:09 | 0:50:11 | |
-Yeah? -Drink later? | 0:50:11 | 0:50:13 | |
You're not out for my blood anymore, then? | 0:50:14 | 0:50:17 | |
Ah, consultants always rip each other to bits - wouldn't be any fun otherwise. | 0:50:17 | 0:50:20 | |
I don't mind a bit of Napalm. | 0:50:20 | 0:50:21 | |
And I've got a thing for exceptionally talented heart surgeons with red hair. | 0:50:21 | 0:50:25 | |
Irish heritage, you see. Swab. | 0:50:25 | 0:50:28 | |
Clamping the subclavian. | 0:50:31 | 0:50:34 | |
50 Prolene, please | 0:50:34 | 0:50:36 | |
Suturing. | 0:50:49 | 0:50:51 | |
Release the clamp, let's test the blood flow. | 0:50:55 | 0:50:58 | |
Yes. | 0:51:02 | 0:51:03 | |
Knock-knock. | 0:51:10 | 0:51:11 | |
-Packing up? -No volunteers, no trial. | 0:51:13 | 0:51:16 | |
I've talked her round. | 0:51:19 | 0:51:20 | |
What? | 0:51:22 | 0:51:23 | |
Well, as you said, the... | 0:51:23 | 0:51:26 | |
the problem will be ongoing, | 0:51:26 | 0:51:27 | |
so I explained to her that if she does the trial | 0:51:27 | 0:51:29 | |
she'll get constant attention. | 0:51:29 | 0:51:31 | |
And that, you know, we'll only use bloods we would have taken from her anyway, | 0:51:31 | 0:51:35 | |
and that no animals will be harmed by your good self. | 0:51:35 | 0:51:38 | |
What, and she went for that? | 0:51:38 | 0:51:40 | |
LEVY SIGHS | 0:51:41 | 0:51:43 | |
I've also sorted her out with Mama Levy's psychic healer, Linda, | 0:51:43 | 0:51:47 | |
who lives in Southend and who has a two-year waiting list. | 0:51:47 | 0:51:51 | |
Why would you do that for me? | 0:51:51 | 0:51:53 | |
Well, I've always had a soft spot for the socially dysfunctional and the offensive. | 0:51:54 | 0:51:57 | |
That's very kind, thank you. | 0:51:57 | 0:51:59 | |
Well, that's perfectly all right. | 0:51:59 | 0:52:00 | |
Sacha, um...the... | 0:52:06 | 0:52:08 | |
With regard to the proposition you made earlier, | 0:52:08 | 0:52:11 | |
I could probably use all the help I can get. | 0:52:11 | 0:52:14 | |
Thank you, ladies and gentlemen. That was a heroic effort. | 0:52:26 | 0:52:29 | |
Look, if you hadn't got him to stay this morning, | 0:52:38 | 0:52:41 | |
he probably wouldn't even be alive now. | 0:52:41 | 0:52:44 | |
But I should have known better. | 0:52:46 | 0:52:47 | |
I should never have left you to it. | 0:52:48 | 0:52:51 | |
I'll deal with this. | 0:52:56 | 0:52:58 | |
Could this possibly wait? We've just come out of theatre. | 0:52:58 | 0:53:01 | |
I know. Six hours! Lordy. Two minutes. | 0:53:01 | 0:53:05 | |
Dr Birdwood, take a break. | 0:53:07 | 0:53:08 | |
Actually, if you wouldn't mind sticking around. | 0:53:08 | 0:53:11 | |
I've just been looking at his notes, you see. | 0:53:12 | 0:53:14 | |
I suppose, considering you had to resort to a subcutaneous axillofemoral bypass, | 0:53:14 | 0:53:19 | |
it could have been a lot worse. | 0:53:19 | 0:53:20 | |
However, I'm just trying to ascertain - just for my records - | 0:53:20 | 0:53:23 | |
was it really...inevitable? | 0:53:23 | 0:53:26 | |
Inevitable? | 0:53:26 | 0:53:28 | |
He was rushed to theatre after a catastrophic bleed | 0:53:28 | 0:53:32 | |
which was a direct consequence of Dr Birdwood previously putting him | 0:53:32 | 0:53:36 | |
-on a Heparin infusion, right? -Well... | 0:53:36 | 0:53:39 | |
And it is the case, is it not, | 0:53:39 | 0:53:40 | |
that if Mr Vaughan had been booked in for a conventional aortic bypass | 0:53:40 | 0:53:45 | |
to start off with, we could have bypassed this massively risky, | 0:53:45 | 0:53:48 | |
time-consuming and costly procedure we ended up with? | 0:53:48 | 0:53:51 | |
Excuse the pun. | 0:53:52 | 0:53:53 | |
Unless I've got this all back to front? | 0:53:53 | 0:53:56 | |
No, you haven't. | 0:53:56 | 0:53:57 | |
Not to mention the unfortunate incident with the patient's wife, | 0:53:57 | 0:54:01 | |
-whom I believe you were aware was suffering from... -Can I just stop you there? | 0:54:01 | 0:54:06 | |
Dr Birdwood kept me in the loop throughout. | 0:54:06 | 0:54:08 | |
I take full responsibility. | 0:54:08 | 0:54:10 | |
-I'm very relieved to hear you say that. -My point is... | 0:54:10 | 0:54:13 | |
Granted, your circumstances are very challenging, | 0:54:13 | 0:54:16 | |
as you pointed out to me this morning. | 0:54:16 | 0:54:18 | |
Which is why I see no point in penalising one particular person. | 0:54:18 | 0:54:22 | |
After all, I'm here to lend support. | 0:54:22 | 0:54:26 | |
So I think, in everyone's interests, | 0:54:26 | 0:54:28 | |
rather than your good self mentoring Dr Birdwood, | 0:54:28 | 0:54:30 | |
I'd like to see her directly under Mr Malick's supervision. | 0:54:30 | 0:54:35 | |
Relieve the pressure, as it were. | 0:54:35 | 0:54:38 | |
Excellent. Onwards! | 0:54:38 | 0:54:40 | |
Hi. | 0:54:46 | 0:54:48 | |
See you've got your top back on. Got you a present. | 0:54:48 | 0:54:51 | |
Don't look at me, I'm not going. | 0:55:00 | 0:55:02 | |
But you will be fit to go. | 0:55:02 | 0:55:05 | |
And just to be on the safe side, you'll be in a box | 0:55:05 | 0:55:07 | |
and you'll have a cardiac nurse with you. | 0:55:07 | 0:55:10 | |
26th of January. | 0:55:10 | 0:55:13 | |
Kick-off 3pm. | 0:55:13 | 0:55:15 | |
That's 66 days, 18 hours and nine minutes. | 0:55:16 | 0:55:20 | |
I suppose it's got to happen sometime. | 0:55:21 | 0:55:24 | |
Thank you. | 0:55:24 | 0:55:25 | |
My pleasure. | 0:55:25 | 0:55:26 | |
By the way, I never got into Oxford. | 0:55:28 | 0:55:30 | |
St Barts is where it's at. | 0:55:30 | 0:55:33 | |
Jac... | 0:55:36 | 0:55:37 | |
Yeah, I know. You had to. | 0:55:37 | 0:55:40 | |
But so did I. | 0:55:41 | 0:55:43 | |
Um...look, you know, tonight - | 0:55:44 | 0:55:47 | |
offer still stands. | 0:55:47 | 0:55:48 | |
Like I said, I've got plans. | 0:55:48 | 0:55:50 | |
Happy birthday. | 0:55:55 | 0:55:56 | |
Thank you. | 0:56:10 | 0:56:12 | |
I thought you might want this with you. | 0:56:19 | 0:56:21 | |
She's never done anything like that before. | 0:56:24 | 0:56:26 | |
She's not going to get any better, you know. | 0:56:26 | 0:56:29 | |
You can't do this on your own anymore. | 0:56:30 | 0:56:33 | |
Next time she hits someone, it could be you. | 0:56:33 | 0:56:36 | |
Or Naomi. | 0:56:36 | 0:56:38 | |
It's not like you're betraying her. You have to accept it - | 0:56:40 | 0:56:44 | |
Ellie needs full-time care now. | 0:56:44 | 0:56:47 | |
Come in. | 0:56:58 | 0:57:00 | |
Mr Griffin. What are you still doing here? | 0:57:01 | 0:57:04 | |
I'd have thought a well-earned drink was in order. | 0:57:04 | 0:57:06 | |
Can we just dispense with the sympathetic tone? | 0:57:06 | 0:57:09 | |
Was that really necessary? | 0:57:11 | 0:57:13 | |
Talking to me in that way in front of my team? | 0:57:13 | 0:57:15 | |
Putting Mr Malick in charge of Dr Birdwood? | 0:57:15 | 0:57:19 | |
Bit of an overreaction, don't you think? | 0:57:19 | 0:57:21 | |
But you did say you were responsible, didn't you? | 0:57:21 | 0:57:23 | |
-Yes, but only in the sense... -And actions carry consequences for everyone. | 0:57:23 | 0:57:28 | |
Even consultants. | 0:57:28 | 0:57:30 | |
I have to seem to be fair. I'm sure you understand. | 0:57:30 | 0:57:32 | |
Anyway, that was today, and tomorrow is another day. | 0:57:34 | 0:57:38 | |
Onwards! | 0:57:38 | 0:57:39 | |
Subtitles by Red Bee Media Ltd | 0:58:03 | 0:58:06 |