Life after Life Holby City

I am hoping that we can all put the past behind us

and welcome Dominic back to Holby.

Hello, Diggers.

Get you, Miss HCA!

-You'll have packed it in by Easter.

-Bet on it.

There's nothing we can do now, but wait it out, right?

And choose a name for your daughter.

What about Emma?

This is my daughter, Emma. I like it.

Erm, we don't want to make you feel unwelcome.

-We are thrilled to have you here, by the way.

-I don't have time for this.

But you do know that you don't actually work here?

They have what I need. It's convenient.

"Statistical evidence regarding outcomes

"from corrective surgery in CDH babies."

Have you been in to see Emma this morning?

Cos, I mean, she's not quite up for full-on cuddling,

but she can stand a wee bit of hand-holding, if you fancy?

I'm fine where I am.

Right, have you seen my bag?

You might find it easier to keep things like that in your room?

Silly me. I shouldn't have mistook this rubbish tip

for my living room.

Here you go.

Right, if Dom's going to be here for a while...

Arthur! He lives here. Accept it and move on!

Then, maybe we should think about a cleaning rota?

Don't be so uptight!

Well, I'm going to go in and ask the lodger myself, now.

-You can't, he already left.

-What?

He had an early meeting with Mr Levy, to discuss his progress.

-Really.

-You've got to admire him.

Since he's been back, he's been really giving it his all.

It's my job to teach, it is your job to sit at my feet and absorb wisdom.

Any guidance you may need, I am here to provide.

Romantic advice included?

Trust me, I think you'll be advising me on that point.

On a serious note...

..thank you.

I know I've got a lot of ground to make up here.

Everyone here has made a mistake.

The future is what I'm interested in.

And to think I got out of bed this morning

with a sliver of joy in my heart...

You know her?

This is about the, oh, I don't know,

about the fourth time this month Grace has darkened our doors?

-Care to join me?

-Don't know, do I?

Going to have to pull rank and say yes, I'm afraid.

I need the back-up.

Grace, how lovely to see you.

It's got worse.

Not that I imagine YOU people will be able to do anything about it.

Grace has been suffering from a range of symptoms for a while now -

raised B/P, abdominal pain...

And yet, every time I'm sent home with the same diagnosis.

-'We don't know'.

-Inconclusive.

You never considered you might be been better suited

to a career as a plumber? Something manual? Less academic?

Let's get some bloods drawn, shall we?

I'll see you in a bit.

Wow!

Oh, just wait till she gets warmed up.

-Fancy grabbing a coffee?

-I'm busy.

-Get a wee break from all this?

-Just because Bonnie's AWOL,

don't think I'm going to step into the breach, to hold your hand.

I wouldn't. Obviously.

I just think that, for your sake...

-Where is the human barnacle, anyway?

-She's working a shift.

And don't call her that!

Do you REALLY think that this is how you should be spending your time,

right now?

You're right.

Where's Solis?

In theatre, I think.

Jac?

'Er, five seconds on the clock.'

Five seconds?! Pah!

# De-de, da-da-da #

Whigfield, Saturday Night.

You'll have to do a lot better if you want to catch ME out, girl.

Is that the sound of a gauntlet being thrown?

Bring it.

# Oooooo-oooooo-ooooh #

Kylie and Jason, Especially For You. Boom!

A karaoke favourite of mine.

I'm not entirely sure you did the intro justice.

Little bit more oomph on the oohs.

Ha! Nice one, Mr S.

You lost it? Mr S makes him sound like a man who runs the corner shop.

That's the CEO.

Pretty easy on the eye, as well.

Mmmm-hmm!

-Ms Naylor.

-I've assessed the patient

and thoroughly reviewed her notes, both pre and post delivery.

I'd expect nothing less. Actually, I was hoping that we...

Oxygen levels are good. Cardiac output is adequate.

She's well within the parameters at which it's considered safe

-to go ahead with the corrective surgery.

-Jac, maybe we should let...

And do you think that would be best for the baby,

to go ahead with the surgery?

I do.

At this point, more time won't increase the likelihood

of a positive outcome by any significant margin.

According to the case studies, you mean?

The patient has survived the most critical points

and can't improve further without the procedure, so why wait?

-You're right.

-Really?

I agree. She's ready.

If there's a theatre available,

I'd like to do the corrective surgery today.

That's fantastic news. Thank you. Thank you very much.

Will you slow down?

Oh! Look at him!

Getting in early, cosying up to Sacha.

I know! Awful, isn't it?

Imagine someone thinking about their career like that(!)

He thinks we're on a level pegging.

That he can just sweep what happened under the carpet.

I really doubt he thinks that.

That's what it looks to me.

Oh, if Mr Malick could see him now,

swanning round like butter wouldn't melt.

Pretty much as it should be.

The only thing is, haemoglobin's slightly low.

I think we're clutching at straws

if we think a touch of anaemia's to blame for all this.

Anything I can help with?

Oh, just another day in the trenches.

You know, demanding patient, contradicting symptoms,

no diagnosis. A tale as old as time.

Why don't I take the lead on this one?

Unfortunately, F1s don't get to take the lead on anything.

I'll run everything past Mr Levy. And you, if you like?

She's stable, probably going to be time-consuming.

If she has any emergent symptoms or deteriorates in any way,

I'll send the flag up the pole, scout's honour.

Teamwork. I like it.

It's almost as if he sees me as, how would you say it, an F1 plus?

Mmmm! Ah, Mo, doughnut?

No, thanks. Trying to stave off the diabetes for a bit.

-Very wise.

-No sign of Mother Earth, then?

Ah, you mean...?

This is the first day she's allowed back in theatre, right?

I believe so.

I thought she'd be knocking down the door first thing -

all scrubbed up, scalpel in hand...

Well, it would seem that Ms Naylor has very wisely decided

her attention is needed elsewhere.

Whoa!

They must be doing the corrective surgery soon.

I should get little Emma a gift, you know.

Put it in her cot, for when we wakes up.

A monkey, bear - or something a bit more left-field?

Yeah, or maybe we should co-ordinate.

Cos, you know, kids want a whole zoo, not 50 hippos.

-Professor Hope!

-Laura, Robbie, hi. Don't worry.

Get yourselves comfortable, I'll be right there.

Friends of yours?

Robbie Overton, cystic fibrosis.

I've been seeing him, on and off, for about five years now.

Ah, it's AAU. If you need a hand...

I'm sorry to say we've already explored most options with Robbie.

'Can you just lean forward for me?'

Great.

-And cough.

-PATIENT COUGHS

Thank you.

Bad time? I'll come back.

No, no, no, it's fine. Just finishing up.

Great, just lean back for me.

Let's get Mrs Pascoe on an oxygen mask. Cheers.

So, what's worrying you?

Oh, and sorry, just to clarify, no, I don't do personal advice.

No, I wanted to apologise.

I just... I know this ward only works if we all pull together

and I'm sorry if I've been disruptive in any way.

That's very, very big of you. And it's appreciated.

-Truly.

-I'm glad.

I hope you'll take this in the way it's intended...

Oh! OK. Now you've got me worried!

No, no, it's nothing to worry about, it's just...Dom.

Do you really think he's ready to handle a patient on his own?

I mean, he's not been back that long,

his track record isn't exactly...

I'm going to stop you right there. I've been thinking the same thing.

You know, he's been going great guns,

but the last thing I want to do is overload him.

"Great guns"? Really? I just have noticed a few little...

Hang on, I'll tell you what.

Why don't you two handle Grace together?

-Together?

-Yeah!

-As in...

-As in teamwork.

You know, the thing we were just talking about.

The thing that you just apologised for being somewhat lacking in?

Yeah.

You're right. Dom and I will work together.

Good.

# Ba ba-da-ba bu-bu... #

You Can't Touch This.

-What are you doing down here?

-Duty calls.

Ah! So, what, something really bad happens

and they call in the big guns?

Super Mo to the rescue!

Don't worry, I don't expect everyone to call me that.

I don't know. It's pretty catchy, if you've got the goods to back it up?

Her who totes has the goods. No question.

Tommy Bevan, 20-years-old, stabilised in the ED after an RTC.

We were about to discharge him, when he started complaining of chest pain.

-Where I come in...

-Visible bruising, possibly from contact

with the steering wheel. Think this could be a case for Super Mo?

Chest pain and bruising! Music to my ears...

-You don't mind, do you?

-No, the more the merrier...

We'll need you to sign the consent form. You know the drill.

Consider it done.

And, erm, if I haven't said it a million times already, thank you.

I'll book a theatre.

It's really weird, we've been waiting for this operation for ages

and now it's here... it feels very sudden.

Listen.

This could be it, right? Home stretch time. So...

Wait. Jac, maybe we should talk through all this...

Why?

Is there anything you're going to tell me that I don't already know?

Well, then.

Where are you going?

How long do I have to stay here?

Uh, let me think. Until I say you can go?

She's, kind of, a big deal around here.

You'll be discharged as soon as we're satisfied

that you're all in working order, so, don't worry.

But I need to go, like, now.

Not going to happen.

Now, this chest pain, where is it?

On my left side, but it's fine, honestly.

Scale of one to ten, how painful?

I'll have to re-sit. That's a whole other term.

-What, uni?

-Didn't get in.

I'm doing a foundation course at the local college.

-Ah!

-Sorry.

If I'm not in that exam in 20 minutes...

Right, I need to get an ultrasound of your heart

to make sure there's no damage.

I know this exam might seem like the end of the world now...

-It's important, man.

-No.

That muscle pumping blood to your brain and your organs is important.

So, sit tight.

Smooth. Efficient. You know what, Sis?

-You're not bad at this.

-Yeah, I reckon I scrape a pass.

CT images for my neuro patient?

No problemo.

Ms Effanga! I didn't think the elite of Darwin

would want to mix with the great unwashed on the other wards?

We go wherever we're told, just like everyone else.

Well, on behalf of Colette and the rest of AAU I'd like to apologise.

Uh?

No bunting, no cake...

They don't appreciate how lucky they are to have you.

He woke me up this morning, he was struggling, could hardly breathe...

-It's fine, Laura!

-It's not fine!

Professor Hope, you have to do something.

-Mind if I join?

-No.

Robbie, Laura, this is my colleague, Ms Naylor.

Cystic fibrosis. And he's on the transplant register?

-Naturally.

-Just say it.

This is it. The end.

It really doesn't help to talk in those terms.

I need to know.

-Please!

-Stop it!

What do we do?

Well, firstly, we need to test his lung function.

No offence, but I think I know how my lungs are functioning.

OK. We'll be back when we know more. Thank you.

He's dying. We need to be aggressive or we'll lose him.

Jac, I really do have this covered, if you'd rather...

Rather what?

Well, of course I'm anaemic! I have been for years!

I could have told YOU that. What else have you got?

Well, nothing at present...

But we're certainly working on it.

Two for the price of one is only a bargain

if either of you knows something!

-Oh, we know plenty, Mrs, Miss, what is it?

-Ms.

Ms Staincliffe. Minus one to you.

-Did Sacha mention that I'd be helping out?

-Happy to share.

So, I think the best way forward is to do a thorough history.

Every ache and pain, every medication...

How tedious.

-It's just part of the job.

-I meant for me.

-Quick word before you start?

-Hmm-mmm!

Can we get one of the HCAs to give her a sponge bath,

-so somebody can locate the 666?

-Right, OK.

I just want to make sure that there isn't any confusion.

Why would there be? If you want to do the medical history,

-I can chase up the bloods.

-I have no interest

in helping with this little charade you've got going on, all right?

-Excuse me?

-I know what you're up to, Dominic.

There is NO WAY I'm going to let you get away with it.

OK, Arthur, you are aware you sound like a tiny Bond villain

in scrubs, right now, yes?

You're walking round here acting like we're equals.

OK. How could we be equals when you're an oh-so-superior F2?

I know who you really are.

So, I'm going to do my thing, you do yours.

-May the best man win.

-(OK.)

-Just breathe in, breathe out.

-What happened?

Can you up the oxygen, please? OK, steady now. Steady, OK.

When he's stressed, it gets worse.

OK.

I'm afraid I've had to give Robbie some rather bad news.

His lung function test.

There must be something you can do to buy him more time.

No.

No, I mean he just had trouble breathing this morning, that's all.

Laura...

This is a situation which has been coming for quite some time now.

How am I going to tell his parents?

-He has living parents?

-Jac.

-Then why aren't we looking at a lobe transplant?

-No.

We have been quite a way down that particular avenue, but...

-They weren't a match.

-They're too old. It's too dangerous.

They're too old or they weren't a match? Which is it?

Robbie decided that he didn't want to risk his parents' health

-for the sake of his own.

-What?

At this point, it really is the only option.

He has been made aware of the facts. Several times.

You're 22 years old!

They're your parents! They would want to do it!

You should listen to her.

Ms Naylor? Would you excuse us?

Why aren't you pushing for this, Elliot?

Because Robbie is of sound mind and it's not what he wants.

It's his best chance!

Jac, he doesn't want his parents to do this.

The live donor op hasn't been done for six years.

YOU may be prepared to do it,

but he has the right to decide his own fate here.

We owe him that.

This isn't about flogging a dead horse.

If the stats didn't support this,

I would be the first to say we should let him go.

Jac, I'm sorry, but this simply isn't our decision.

Whoa! What the hell?

Colette and Mr Self. Have they said anything about me?

-Inflated ego much?

-Have you overheard anything?

What is wrong with you?

I barely know the guy and he's all like, "Ooh, the elite of Darwin".

He was joking with you. Will you stop with the paranoia trip?

What happened to Super Mo, anyway? Why do you care what people think?

People? I don't. But those two?

It's only a matter of time before they bring their brave new world

to Darwin and, when they do, I'd rather not be in the firing line.

OK, and you take the cod liver oil pills because...?

I'm in my forties. My body aches sometimes.

OK, headaches? Blurred vision?

-Headaches, sometimes. Blurred vision, no.

-OK.

Is everything slotting into place in that tiny little brain of yours?

-It will do.

-Mind if I..?

Not at all.

I have everything I need.

What is that thing and why has it come anywhere near me?

It's an abdominal ultrasound.

It's useful for ferreting out gastric problems.

We'll work down the list, oesophageal cancers, that sort of thing.

-Highly unlikely.

-Explain to me again why I need two doctors?

-Special offer, one day only.

-Right, he's perfectly competent,

-but I am, in fact, senior to Dr Copeland.

-You don't look it.

Lie back, please.

Yo! Excuse me!

For future reference, the use of the word 'yo'

sort of negates the more polite 'excuse me'.

-It's OK, I can deal with him.

-My ward, my rules. Problem, Mr Bevan?

I've got a shift in half an hour.

Come on, I've got to get out of here.

We're waiting for your ultrasound images,

-so you can't leave just yet.

-Are you proper trying to ruin my life?

Look at me!

-Firstly, proper is not a word that belongs in that sentence.

-What?

And, secondly, you do not speak to my staff with that attitude, understood?

Good.

Cheeky little whatsit!

-He has got a gob on him, but the abs make up for it.

-Adele.

-What?

-Oh, come on, Colette doesn't mind.

-Yeah, well, I do.

Let's keep this professional.

I'm with you.

I'd volunteer to give him a sponge bath, but questions might be asked.

Ms Naylor?

You must think we've got the worst marriage ever.

I never thought he'd keep something like that from me.

-People do it all the time.

-I know it's different for him.

I've been living with CF for three years,

he's had it all his life. He's tired.

But it's my job to push him on when he can't do it himself.

-This is his only chance, isn't it?

-These are some case studies.

Most of them were performed at an earlier stage than Robbie's,

-but it's something.

-So you agree with me?

Please. You have to help.

I can't interfere in the transplant process.

But there's nothing to stop me ringing my in-laws, is there?

-Explaining to them how desperate things are?

-No.

Help him see that this is the right thing to do?

I need him to live.

I'll do anything.

From the sounds of things, you might get your wish

-and be out of here soon.

-Doesn't matter.

Erm, hello?

You've been bending my ear, wanting to go home, since you got here.

I don't want to go home. I wanted to get to my exam then to work

and they are now both are screwed.

Have you ever heard of chill-out time?

-Great, that's just all I need!

-It's all right. I'll sort it.

Amazing, yeah, thanks for that.

Ultrasound's clear. Tommy can be discharged

-as soon as.

-And in double-quick time.

-You go straight to the top of the class.

-Promise?

Oh, yes.

Can I have a word?

There's something going on with Tommy.

Like what?

Shaky hand, really jumpy...

The day he's having, I'm not surprised.

Yeah, but you know what these young guys are like.

They'd rather die than admit something's wrong.

I've checked him over.

He's fine. He can go as soon as his paperwork's sorted, OK?

What is wrong with you?

One minute you're acting like my sister,

the next, you won't even listen to me!

This is AAU, Adele. Treat and street.

Ultrasound go well?

Nice try.

I take it that means you're no closer to making a diagnosis.

Well, I think that's for me to know and you not to know.

Oh, for God's sake! You do know what you two sound like?

I'm the one trying to help our patient.

-He's the one training for the Immaturity Olympics.

-Good one!

How do you think Sacha's going to react

if he sees you two squabbling like children?

Talk to Arthur. I'm the victim here.

Grace Staincliffe?

Oh, that's our patient. I'll take those.

Well, it says here that Arthur ordered the tests?

Are you kidding me? I'll take them.

I wouldn't stoop to his level.

Fine.

I called them. Robbie's parents are on their way in.

They want to do the transplant.

Right, I found this. Have you seen Grace's test results?

Yes, I gave them to...

These them, by any chance?

Right, who put them in there?

-No, you don't...

-Arthur, you did start this!

Oh, no, you don't!

About Grace Staincliffe...

Ah, yes. Grace, our great conundrum.

-What wisdom have you two cooked up?

-The abdominal ultrasound was clear.

But the bloods show that the inflammatory markers are high.

-You looked at my blood test results, didn't you?

-Yes.

-Which points to?

Infection? Possibly appendicitis.

DIGBY SNORTS

I can tell from that snort you don't agree?

Well, the urea is high, so I think a bleeding ulcer's far more likely.

I'd like to do a laparoscopy, just to rule out appendicitis.

-And I'd like to do a gastroscopy.

-Sorry, chaps, no invasive procedure,

until we find something more conclusive.

Still having fun? Good.

-Can I talk to you?

-Mm-hm.

-I know what I saw.

-We've been through this, Adele...

But you must get that vibe off him?

He's ready to chew his leg off to get out this place!

Yeah, him and every other patient on the ward.

Can't you just do this for me, please, Mo?

Look, this isn't a sister thing, all right?

This is a doctor and an HCA thing.

-Are you pulling rank on me?

-How could I pull rank?

You and me? We're not in the same league. Not here.

Now, just knuckle down and do as I say, yeah?

My craniotomy patient's in recovery,

can you make sure I'm paged when she wakes up?

Course.

Anything I can help with?

I saw a tremor.

Tommy Bevan. Presented with chest problems following an RTC.

I've cleared the chest, preparing to discharge, but...

Adele here thinks she might have seen an emergent symptom.

Well, that WAS a quick jaunt through medical school.

Might have to alert The Guinness Book of Records.

It's just a hunch.

Keep him here. Do a CT.

Yeah, exactly what I was thinking. I'm on it.

-And if you need a neuro consultant...

-Absolutely!

Unbelievable.

Tell him about the time that this could give him.

With the surgery, you've a good chance of living a normal life.

We'll only take a small portion of lung from each parent.

-It shouldn't affect their quality of life.

-You see?

This isn't part of my plan.

What does he mean?

I told him it was pointless.

That we'd find a solution before things ever got that far, but...

-He's planned how he wants to die.

-I've lived with this for so long.

I always knew it'd end up at this point.

So, I've made a plan.

And that's not dying in hospital or in an operating theatre, I take it?

He doesn't think about what any of the rest of us want.

-And why should he?

-What?

-It's him this is happening to.

This way he knows exactly what to expect.

I know it's not going to be easy. It's dying. It's messy, but...

But you'll be at home. With everyone you love around you.

And Laura will be there holding your hand until the last possible moment.

And the only thing worse than losing the person

she loves most in the world is knowing

that he didn't do everything he could to stay by her side.

Do you want to put her through that?

We are supposed to be working as a team.

-I don't want to have to go to Sacha about this!

-I bet you do, actually.

OK, I am getting nowhere with this whole Grace thing.

I could really do with your help.

Oh, come on! Are you not bored of this already?

You really think I'm going to assist in your plot for ward domination?

Why don't you just spell out the problem you have with me?

-I think I already did.

-You don't want me here

and you think I should be hung out to dry FOR EVER for what happened.

I mean, why don't you just say it, Arthur?

-I don't have anything to say to you, OK?

-Do you not you think it's weird?

You have this loyalty to someone who's not here,

-but you're not prepared to give me a chance?

-It's Grace.

PANICKED BREATHING

It's OK, Grace, just try and keep calm.

I knew it was a bleeding ulcer!

Not the time! Page Sacha. We need to scope her. Now!

I'll head up the retrieval team.

And you'll harvest from both parents or shall we call in a third surgeon?

No, I'm happy to do both.

By the time you've attached the first lobe,

-I should be ready with the second.

-Good.

What is it, Elliot?

If you think I've pushed Robbie into this, somehow?

No, no, not at all.

Helping someone change their mind isn't the same as pressuring them.

-And yet, you have your pensive face on.

-Yes.

Your "I'm about to say something profound" face.

Well, I don't know if it's profound. but...necessary.

Well, go on, then, get it over with.

I heard a rumour that they're doing Emma's corrective surgery today.

-At 4 o'clock.

-A rumour?

-Jonny might have mentioned it.

-I bet he did.

I can't help feeling that your place is with Emma.

My "place"?

Look, I have several very good surgeons on speed dial.

-I'm sure Robbie would understand.

-He was promised the best.

I'm not going to rope in a substitute at the last minute.

Right, so this is strictly a matter of professional pride, is it?

What are you trying to do here, Elliot?

Help me to change my mind or pressure me? I can't tell.

-I'll see you in surgery.

-Count on it.

So, do you have a Plan B or are you betting the house on this

-being a bleeding ulcer?

-(I'm very confident.)

Why aren't we seeing anything?

Maybe it's not a bleeding ulcer.

(Where's all that blood coming from before?)

OK.

There you go, Tracey, thank you.

You two.

Theories?

-Lupus? Vasculitis?

-OK, good. Look into it for me.

Let's pull the stops out on this, guys, OK?

I don't want her opinion of the medical profession

to be proved right.

So this is the perfect opportunity for us

to put our differences aside and be professional.

Unbelievable.

Look, Mr Self knew that tremor was your catch.

Yeah, you just forgot to tell him that you totally ignored me.

This is my career, you know what it means to me.

And what do you think I'm doing, trying to get a tan?

You just think all I'm good for is booking holidays

and putting on sunscreen.

-Well, at least have the guts to admit it.

-You know what?

I think it's about time I got back to Darwin, where I belong.

Page me when his CT scan comes in. What have you done with him?!

Right, come on, we need to find him.

Oh, now you want my help?!

How are you feeling?

-SHE SCOFFS

-Like you care.

I'm just a piece of meat to you.

So long as you beat the other one, you couldn't care less.

I think you've got the wrong end of the stick, somehow, there!

I bet you were top of the class at school, weren't you?

-Your teachers probably encouraged you to do medicine or law.

-No.

No difference, really, is there? It's all just about studying.

You've probably never even considered

whether you'd be any good at caring for people.

Now, look. No-one likes being in hospital,

but we really are trying to do our best,

so...just bear with us.

And you're wrong about me, actually, not that it matters.

ALARM BLEEPS

So, I'll be in theatre with your in-laws

while Ms Naylor works on Robbie next door.

I'll remove the portions of lung and send them to Ms Naylor,

who'll then implant them into Robbie.

-Can they be next to each other after the operation?

-Sure.

-I want Robbie to see the whole family when he wakes up.

-Right.

Any other questions, don't hesitate.

I really don't know what's more disappointing.

The fact that you tried to pull the wool over my eyes

or that I was taken in by it.

Sorry, I'm not following.

Actually, do you know what, I do know what's worse.

It is that a well-respected F2 could be so callous,

so downright insensitive

that he would rather put his own petty jealousies

above a patient's health.

-OK, I'm not jealous of Dom.

-Uh!

Yes, fine, we've not exactly been working together that well, but...

Look, I will find out what's wrong with Grace, I promise.

You see, you see, this is the thing.

"I will find out. I promise." Is that all you really think about?

You are supposed to be the more experienced one out there!

Yeah, I misjudged. I apologise, it will not happen again.

No, you're damn right it won't, because from now on

I want you to do what you're told, when you're told, OK?

And I'm going to take everything you say with a hefty dose of salt.

-Oi!

-Do one, both of you.

-Your results aren't back yet.

You have to wait for me to clear you.

What I need to do is get on with my life.

-Wait. All we want to do is help.

-Well, you can't fix me, all right?

You'll be surprised what I can fix. Hearts, lungs, even heads sometimes.

That's how it starts, innit?

My grandad was like that for ages. Just the shakes.

-We used to take the mick.

-And then what happened?

It got worse. And worse.

And by the end, he couldn't control his whole body. It had taken over.

-And that's it, boom, the end.

-So what we talking here? Parkinson's?

-And you think that's what you've got, is it?

-I don't think.

I know, man. My hand's been like this for months

and today, I was just driving like normal, and my leg...

Oh, that's what caused the crash?

If the police find out I knew and didn't say anything...

-We don't know that there's anything wrong yet.

-I know.

Even so, driving when you think there's a problem is unethical,

it's not illegal. Come back inside. Let us look you over.

No way. I've wasted enough time here, as it is.

Move.

-Look, where's your grandad now?

-Care home.

And if he could go back?

If he could get diagnosed quicker,

talk to a doctor as amazing as she is,

get on the right drug sooner. I-I reckon he'd do it, don't you?

For your grandad, yeah?

SHE MOUTHS

So...you and Artie?

-Don't go there.

-Oh, I don't want details. I'm just interested.

I mean, surely he's not your type?

-OK, I'll be quiet.

-Hey! You just couldn't resist, could you?!

-Arthur!

-Shut up!

I'm busy and don't have a clue what you're going on about.

You told Sacha I wouldn't work with you!

-Ruining careers really is a hobby of yours.

-I prefer knitting,

-but there are patients...

-You should never have come back!

-No-one wants you here, why can't you get that?!

-Arthur, shhh!

-Walk with me.

-Huh?

I said...walk with me.

-Just let me explain...

-No, actually, let me.

No-one on this ward matters as much to you as your career.

ARTHUR SIGHS

I think that is why it matters to you that Dominic gets punished

for the rest of time, cos you think you'll look good by comparison.

-That's not it!

-I don't care.

All I know is you have completely failed to respect me

or your colleague...

..or your patient.

They've just taken Robbie and his parents into theatre.

This is really happening.

-Thank you.

-There's no need.

No, there is.

You don't understand what it's like to live with something like this.

Knowing that one day, some day...

you could lose the person you love the most

and there's nothing you can do about it.

I said, don't thank me.

I didn't know about the CF when we first met.

He thought I wouldn't want to go out with him.

When he told me, all I could think about was him.

I can remember every single detail of that moment.

You should go to the relatives' room now.

-No, I...I want to watch.

-Well, you can't. It's not allowed.

Please. I need to be with Robbie.

I need to be there, to help him through this.

Why would you even want that?

-I don't understand.

-It's going to be messy - lungs, blood...

-It doesn't matter.

-Of course it does.

Look, I don't mean to be blunt, but to me,

while we're in that operating theatre, Robbie is work.

He is a procedure - a series of techniques,

-but to you...

-I still need to be there.

You can't possibly want to stand there and watch him die?

That...won't happen.

You can't be sure. I can't be sure.

I think Robbie's going to be absolutely fine.

Did you even read the case studies I gave you?

This surgery carries risks, as with any surgery.

It's like you said,

that's a better chance than if we didn't do this.

But you must realise, there's a chance that he won't...

It isn't about that! It isn't about risk.

When you love someone, you're there.

You show up!

And to answer your previous question,

if I have to watch him die...

..I wouldn't want to be anywhere else.

Ms Naylor, are you all right?

Relatives' room or corridor, it's your choice.

You don't want to sit next to me, OK? I think I'm contagious.

-Arthur.

-Yes, I know, I got carried away.

I'm not going to disagree with you.

Look, I just... I think I was sticking up for what was right, OK?

Dom made a mistake, a very big one, and I just...

I don't think he should just be allowed to move on.

Because he made a mistake?

Well, yeah, but one that almost ruined a man's career.

He made a mistake...that's all.

And for what it's worth, since he's been back,

it looks to me like all he's been trying to do

is become the best doctor he can.

Like the rest of us.

You should have heard the things Sacha said to me.

You still have a patient out there. Prove Sacha wrong?

So he COULD have what his grandad has?

Well, the CT scan was clear, but that's not necessarily conclusive.

Parkinson's can be a difficult one to pin down.

I see you managed to persuade our lost sheep back to the fold?

I came down to see if you needed that neuro consult,

but he'd gone walkabout.

Yeah, we caught up with him outside.

His grandfather has Parkinson's

and Tommy got himself worked up in a lather thinking that he has it, too.

Right, well, that's not something we're going to diagnose

in the next five minutes.

But at least you got him back in here, to face it.

Bedside manner and clinical skills. You are a double threat, Ms Effanga.

Actually, getting him to come back, that was... That was down to Adele.

Adele, now, don't you go running off to Darwin, when she does.

We need to keep some of our best in the trenches.

All right, so I guess this is the part where I say sorry

and, you know, you've got skills

and I never should have treated you like a mug?

Yeah, it'd be nice.

Raincheck, yeah?

It wasn't me who told Sacha... just for the record.

What are you doing?

Setting up the tools necessary to solve our Grace conundrum.

"Our" Grace conundrum?

Mine. Slip of the tongue.

Or a cry for help?

Brainstorming, I like it.

Oh, come on, not even YOU can brainstorm on your own.

Well, you can, but then it's just called writing things down

and that's not as catchy or effective.

Look, I'm sorry...

..for lying on the stand...

and for what I almost did to Malick.

For everything.

Look, I didn't come back here to get at you or to rub your nose in it.

I was only thinking about MY career.

And that's all I ever really think about. Well, that and...you know.

Oh, this, of course, is the time for jokes.

Look, you don't have to forgive me. You don't have to trust me.

Just let me help.

All right?

Hi.

-Remind me what time Emma's surgery's due to go ahead?

-No.

I checked the on-call availability.

If you want to step out, I can have someone here in 20 minutes.

It really doesn't bother you, does it, sounding like a broken record?

Not when the point is worth making, no.

Well, then, let me also make my point again

and this time with absolute clarity,

I do not need to step out, so, please, put a sock in it.

Robbie needs me more than Emma, it's as simple as that.

Robbie is not your child.

-Jac, I just...

-Go and get scrubbed or we'll be here all night.

We're almost ready to take Emma in now.

Everyone ready?

Scalpel, please.

HE SOBS

Daddy's going to be right here when you get out. OK?

Could you get the intercom, please?

Thank you. Jac, first lobe is on its way to you now.

'Thank you, Professor Hope.'

Thank you.

-Lupus?

-No, I've already ruled that out.

Come on, what is it we're not seeing?

-The wood for the trees?

-What about her heart?

Um...

No history of triple-A.

Although...

I mean, it's a long shot, but...

OK, we love long shots. We're in Long Shot Land right now.

Come on, just say it!

OK, well, it's not completely unheard of for aortoduodenal

fistulas to occur spontaneously.

Which would mean there would be no history of triple-A.

-And the rest of her symptoms fit.

-They fit. They completely fit.

I think we've cracked it!

And if we're right...

This is very rare.

Even Sacha may not have seen this.

Yeah! DOM LAUGHS

ALARM BLEEPS

Grace.

Grace? Grace, can you hear me?

-No pulse.

-Arrest team, please. And crash trolley.

Aortoduodenal fistula. We worked it out.

Wait...

-We've got a rhythm.

-That's incredibly rare.

-We know, but that's all it can be.

-Dominic?

-You may be right.

Let's get her ready for theatre quickly, please.

Thank you.

Mum and Dad are in recovery, both doing well.

How are you doing with Robbie?

Both the donor lungs are in place. I need to check the right one

before they can take him off bypass.

-All according to plan.

-Mm.

I can tell Laura?

She's waiting outside, I'm sure she'll be grateful for any news.

Yes. Of course.

Good, well. You appear to have everything under control.

Carry on, Ms Naylor.

-MACHINE BLEEPS

-He's in V-tach. Paddles.

-Gown and gloves, please.

-Charge to 20.

Shocking...

What's happening? Are my results back yet?

You're going home. Sorry, that's all I know.

It took them three years to diagnose my grandad.

Let's make sure you've got everything, yeah?

-Shocking again.

-Thank you.

It could be a pulmonary tear.

There, clamp, please.

More suction, please.

I... I need to...

WE need to repair this tear as quickly as possible,

to save this young man's life.

Suturing.

Good work.

OK, paddles.

Right, charge to 50.

Shocking...

Excellent work, Ms Naylor.

-Elliot, I...

-Go. I can finish up here.

SHE PANTS

Dr Solis had an emergency come in,

so they won't be ready for Emma for another 20 minutes.

Do you really think we could be right about this?

Well, let's see, shall we?

Bingo. Cross clamp.

Ooh!

-That's it, pull it back.

-Yep, yep.

-That's it, that's it. And the second clamp.

-OK.

Good catch, you two. Metaphorical high-five.

So, I feel stupid even asking this, but...

We'll do absolutely everything.

We'll be waiting.

Just take her.

Idiot.

That's the technical term for someone who pops caffeine pills

on top of who knows how many coffees and energy drinks?

How else am I supposed to stay awake? I've got college and a job.

Cry me a river. It's not funny.

Now, you could've died today because you're dependent on that stuff.

You shake like a leaf when you haven't had it in a while.

-Nah, no way.

-Oh, way. Definite way.

What? So, you mean, I don't...?

What, I don't have...?

You've got enough caffeine in your blood that you can't sleep,

walk or think straight.

So, yeah, chances are that's all that's going on.

You can't do this again, OK?

Now, I like to live my life by one simple motto -

nothing's worth making your heart explode.

You can have that, if you like.

Mmm!

Well, if we can't pig out now, then...

I never think about it.

When I'm in theatre, doing my thing,

-there's always some poor sap back here waiting.

-Yep.

Getting fat on vending machine food and being fussed over by nurses.

-No offence.

-Mm.

She'll be holding her own in there.

-Ugh.

-Yes, it's me, your favourite physician(!)

Here you are.

Where am I?

You're still in hospital... You've just had a pretty serious operation.

-What was wrong with me?

-Well, it was rare. Very rare, in fact.

The main artery in your body had become connected to your bowel.

So it was a very good thing you came in this morning.

-And you were the one that figured it out?

-I had some help.

You must be a very good doctor

if you managed to figure out what was wrong with me.

I use to think I'd make a good doctor, but...

..never got the grades. Never had the cash.

Always a million reasons.

So you don't think I should retrain as an air steward, then?

Please, don't. I find flying enough of a trial, as it is.

Would you like me to call someone for you?

-How's she doing?

-She's tough as old boots, that one.

-Wonder where she gets that from, eh?

-Seriously, she's been through a lot

and we're going to have to keep a close eye on her

over the coming weeks,

but there's absolutely no reason not to be optimistic. OK?

Mr Solis.

Thank you.

Do you mind?

How's your baby?

Professor Hope told me.

She's out of surgery. She's doing well.

Professor Hope managed to complete the transplant

and repair Robbie's heart, but...

..we have to wait and see if he wakes up.

Complications like that, they're virtually impossible to predict.

He's been through so much.

Maybe he was right.

Maybe it's just...

-..time.

-No.

No, he'll get through this and you'll be there.

Oh, do you want to go the other way?

-I know you're scared of people in authority.

-Ooh-hoo!

For the record, I wasn't scared. Cautious maybe.

Babe, we've proved Effanga squared is an unbeatable equation.

And if he can't see that, then you can take your skills elsewhere.

-Why are you so nice to me?

-Cos you're my sister.

What, and one day you might need a kidney?

-Yeah, totes...

-Good night, Mr S.

-Ms Effanga. Other Ms Effanga.

Funny and good-looking.

I swear, if he's not careful, he's going to have to beat me off

-with a big stick.

-MO LAUGHS

Grace wanted to be a doctor?

I saw her as more of a...

librarian or a lady who had lots of cats.

-Harsh.

-Oh! Don't panic, don't panic. I got it.

This place is getting a little bit crusty,

we should probably talk about a cleaning rota.

-More of Romania's finest?

-It's actually yum, after the initial...

Right, I'll be back in a moment.

-There's a look that it doesn't take a genius to diagnose.

-What?

You're smitten.

Oh, well, I used to spend years trailing after girls,

hoping they'd notice me.

I think... I think this way's better.

Yeah, well... Just be careful, that's all, mate.

-Meaning?

-I've been there.

Colleagues, sleeping together, the inevitable break-up.

Bit different.

OK, well, I'm just saying.

It's horrible when the bubble bursts

and you realise that their heart wasn't in it from the start.

'Who's a pretty girl, then?'

Who is Daddy's beautiful wee girl?

She's a baby, not a parrot.