0:00:37 > 0:00:40Herzig is a particularly delicate piece of...
0:00:40 > 0:00:45I know, I know. No smoking, no drinking, no getting pregnant.
0:00:45 > 0:00:47You are officially the fun police.
0:00:47 > 0:00:50If you can finally let go of the resentment that you didn't get CEO,
0:00:50 > 0:00:51maybe we can work together.
0:00:51 > 0:00:55Only if you're prepared to give me a voice.
0:00:55 > 0:00:58Tomorrow morning. 8am. I want you all in the wet lab.
0:00:58 > 0:01:01If any of you fails this test, then you will all fail the rotation.
0:01:01 > 0:01:03That's not fair.
0:01:03 > 0:01:05No, it's not fair. But that's how it's going to be.
0:01:05 > 0:01:08- You can't just...- I will accept nothing less than 100%.
0:01:08 > 0:01:11And if that is a problem, then there is the door.
0:01:11 > 0:01:13Use it.
0:01:15 > 0:01:18So... Here we are. "Back to Basics - Day 5
0:01:18 > 0:01:19Surgical Incisions."
0:01:19 > 0:01:22Now... You have in front of you
0:01:22 > 0:01:27a water-filled balloon within a balloon to practise on, OK?
0:01:27 > 0:01:30Now, what I want you to do is take your scalpel...
0:01:30 > 0:01:36like so...and very, very gently just cut out a circle,
0:01:36 > 0:01:41being very careful not to perforate the second balloon within.
0:01:41 > 0:01:42Et voila!
0:01:44 > 0:01:45Easy peasy.
0:01:47 > 0:01:49Sorry, am I boring you, Dr Copeland?
0:01:49 > 0:01:52Not at all. Fascinated.
0:01:52 > 0:01:55Good. Because cutting with absolute precision is essential.
0:01:55 > 0:01:58Particularly when making incisions close to vital organs.
0:01:58 > 0:01:59ie the spleen.
0:01:59 > 0:02:02Exactly, Dr Digby. I'm glad SOMEONE'S paying attention.
0:02:02 > 0:02:04PAGER BEEPS
0:02:07 > 0:02:08I'll be back in a minute.
0:02:11 > 0:02:14How much longer is he going to make us
0:02:14 > 0:02:17come in at the crack of dawn to perform these moronic tasks?
0:02:17 > 0:02:20As long as we're stupid enough to go along with it.
0:02:20 > 0:02:24If one of us fails, we all fail. That's what he said.
0:02:24 > 0:02:27I know, and I was SO scared! Weren't you?
0:02:27 > 0:02:31- HE IMITATES SACHA:- I will accept nothing less than 100%.
0:02:31 > 0:02:34And if that's a problem, there's the door!
0:02:34 > 0:02:35Use it!
0:02:44 > 0:02:48And I was being deadly serious, Dr Copeland.
0:02:48 > 0:02:52So if you can't take this seriously, please leave.
0:02:52 > 0:02:53Now.
0:02:55 > 0:02:56Sorry, Mr Levy.
0:02:56 > 0:02:59Dr Digby has far more experience than you,
0:02:59 > 0:03:01and I don't see HIM complaining.
0:03:01 > 0:03:03So if you don't want to fail this year -
0:03:03 > 0:03:07again - then I suggest you take a leaf out of his book and just...
0:03:08 > 0:03:09..get on with it.
0:03:17 > 0:03:19What?!
0:03:19 > 0:03:22What do you mean, you gave it to St James's?
0:03:22 > 0:03:24I didn't even know they were in the running.
0:03:24 > 0:03:26Well, thanks for your support!
0:03:26 > 0:03:28Good morning.
0:03:28 > 0:03:31No, it isn't. And you won't be needing the lift.
0:03:31 > 0:03:34- You're covering AAU.- Excuse me? I'm in strategy meetings all day.
0:03:34 > 0:03:36Not anymore.
0:03:40 > 0:03:42Ah. Did you finish the balloon exercise?
0:03:42 > 0:03:45I made a perfect incision, Mr Levy. Very satisfying.
0:03:45 > 0:03:48Good. Keep it up and you too will excel. Like Dr Digby.
0:03:48 > 0:03:50Ah! Thank you!
0:03:50 > 0:03:52I just wanted to get it framed for you.
0:03:52 > 0:03:55It was looking a bit dog-eared on the wall of the staff room.
0:03:55 > 0:03:58It's an example, really, to all the other students, to see
0:03:58 > 0:04:01what can be achieved by determination and hard work.
0:04:01 > 0:04:03To which end,
0:04:03 > 0:04:06this is a list of the 20 most-common conditions
0:04:06 > 0:04:09that we're likely to see, and their symptoms, OK?
0:04:09 > 0:04:11And I'm going to set you a quiz
0:04:11 > 0:04:12on the ABCs of each of those conditions.
0:04:12 > 0:04:17It's a refresher course, really, on the fundamentals.
0:04:17 > 0:04:18Complete familiarity enables us
0:04:18 > 0:04:22to diagnose patients with more efficiency and accuracy.
0:04:23 > 0:04:25Good luck!
0:04:26 > 0:04:29- Mr Levy...?- Yeah?
0:04:29 > 0:04:32I really don't think I need to take the quiz.
0:04:32 > 0:04:34Not with my level of experience.
0:04:34 > 0:04:36Oh, I see.
0:04:36 > 0:04:40The thing is... My previous training was a tad more, er...
0:04:40 > 0:04:43sophisticated than this.
0:04:43 > 0:04:44You're saying that
0:04:44 > 0:04:48the fundamentals of medicine aren't sophisticated enough for you?
0:04:48 > 0:04:50No, it's just that I think I've already grasped them,
0:04:50 > 0:04:52as this would surely demonstrate.
0:04:52 > 0:04:56It's part of the programme, OK? For all of you. Yeah.
0:05:02 > 0:05:04He's wasting your time, he really is.
0:05:04 > 0:05:06Hmm, I'm starting to agree.
0:05:07 > 0:05:12Well, I mean, we have no choice. You - you're an F2.
0:05:12 > 0:05:14Doctor Of The Year, no less.
0:05:14 > 0:05:16You shouldn't have to put up with it,
0:05:16 > 0:05:18especially from some loser who's been in the profession
0:05:18 > 0:05:21for over 20 years and still hasn't made Consultant.
0:05:25 > 0:05:27I was brought onto this team because of my experience
0:05:27 > 0:05:30in business strategy, and that expertise has always been respected.
0:05:30 > 0:05:34Look, I really don't need this hassle, especially not today.
0:05:34 > 0:05:35Are you seriously asking me
0:05:35 > 0:05:38to give up a whole day of meetings just because you're short on cover?
0:05:38 > 0:05:40No, Serena, I'm not asking you - I am telling you.
0:05:40 > 0:05:42I see.
0:05:42 > 0:05:44Well, I'm sure the board will be delighted to know
0:05:44 > 0:05:47you're using senior staff as nothing more than floating dogsbodies.
0:05:47 > 0:05:50The board will be more interested to know why a substantial
0:05:50 > 0:05:53amount of funding promised to us has been diverted to St James's.
0:05:53 > 0:05:55Ah...
0:05:55 > 0:05:57So unless your incredible business acumen
0:05:57 > 0:05:59gives you a direct line to Bill Gates,
0:05:59 > 0:06:01I suggest you take off those ridiculous shoes
0:06:01 > 0:06:03and get yourself to AAU.
0:06:07 > 0:06:08Daddy Mac?
0:06:08 > 0:06:11Makes me sound a wee bit like a flasher.
0:06:11 > 0:06:13Mac Daddy.
0:06:13 > 0:06:15Sounds a wee bit too hip-hop for me.
0:06:15 > 0:06:17- I like it. - Well, maybe I could do hip-hop.
0:06:17 > 0:06:20Nurse Maconie, I don't suppose you know where Jac is?
0:06:20 > 0:06:22She's not due till nine o'clock.
0:06:22 > 0:06:25Exactly. She's never normally this late.
0:06:25 > 0:06:29Well, maybe she's been up all night building furniture for the nursery.
0:06:29 > 0:06:30Or knitting a blanket.
0:06:30 > 0:06:33Or reading up on baby massage or baby yoga or whatever.
0:06:33 > 0:06:36Well, that's a good thing, isn't it - getting into the spirit?
0:06:36 > 0:06:40I see it more as displacement activity bordering on OCD.
0:06:40 > 0:06:44- Ah, Jac.- Get me my theatre list. I'll be in my office.
0:06:44 > 0:06:47"Good morning, Jonny. And how are you this morning?"
0:06:50 > 0:06:52You're getting a nanny? So soon?
0:06:52 > 0:06:53What?
0:06:55 > 0:06:58Well, this is the first I'VE heard of it.
0:06:58 > 0:07:02There's no way "Ludmilla" is getting anywhere near my wee girl!
0:07:02 > 0:07:04Well, I suppose it makes sense.
0:07:04 > 0:07:07Emma will be home soon and Jac is planning to work full-time.
0:07:07 > 0:07:12Ah, yeah. Yeah, it makes sense all right. It makes sense to Jac.
0:07:12 > 0:07:16Who am I to argue, right? Oh, yeah, that's right -
0:07:16 > 0:07:18I'm her dad!
0:07:22 > 0:07:26HE WOLFWHISTLES Looking sharp, Ms Campbell. Dior or Chanel?
0:07:27 > 0:07:30Neither. But thank you.
0:07:30 > 0:07:34Um, continue on broad-spectrum antibiotics and we'll take a view.
0:07:34 > 0:07:36- Transfer from ED.- Thanks.
0:07:38 > 0:07:39Ms Effanga.
0:07:39 > 0:07:43Not my fault, OK? Major bus-related stress.
0:07:43 > 0:07:45I'm not that late anyway.
0:07:45 > 0:07:47That may be, but you're also not suitably dressed.
0:07:47 > 0:07:49Get into your uniform, wash your face
0:07:49 > 0:07:51and take off those absurd nails
0:07:51 > 0:07:54before you perforate somebody's bowel.
0:07:59 > 0:08:03- I'll call you back in an hour. ..Sorry about that.- Serena Campbell.
0:08:03 > 0:08:05- I'll be looking after you today, Mr...- Call me Billy.
0:08:07 > 0:08:08Harry!
0:08:10 > 0:08:12Well, don't look so pleased to see me.
0:08:12 > 0:08:14What are you doing here?
0:08:14 > 0:08:15It's a sad day
0:08:15 > 0:08:19when you have to get admitted into hospital to see your only son!
0:08:25 > 0:08:26At last.
0:08:26 > 0:08:28Some eye candy to make this never-ending day go
0:08:28 > 0:08:30- a little bit faster.- He's a patient.
0:08:30 > 0:08:32Yes. But he's not OUR patient.
0:08:35 > 0:08:36Guys?
0:08:36 > 0:08:38Maybe I spoke too soon.
0:08:38 > 0:08:42Stop the press. Doctors may actually get to TREAT patients today.
0:08:42 > 0:08:46Now you've focused on the theory, let's see you apply it in practice.
0:08:54 > 0:08:58This is Danny Lewis. He is a fireman. He's 26 years old.
0:08:58 > 0:08:59He was referred to us
0:08:59 > 0:09:02from the ED after being involved in an incident at a plastics factory.
0:09:02 > 0:09:05Bradycardic, abdominal pain, headache and nausea.
0:09:05 > 0:09:07I'm fine, really...
0:09:07 > 0:09:10Sorry, Danny. Danny, sorry, you need to keep that on.
0:09:10 > 0:09:11Good.
0:09:14 > 0:09:18I'm going to leave the diagnosis and the treatment up to you.
0:09:18 > 0:09:22Now, I want you to treat this with absolute urgency, OK?
0:09:22 > 0:09:25Chemicals from plastics can be highly toxic. Right, first thoughts?
0:09:25 > 0:09:28Firstly we need to work out what toxins are causing his symptoms.
0:09:28 > 0:09:30So WBCs, FBCs, U&Es...
0:09:30 > 0:09:35Plus serum lactate levels, ABGs, and I'd recommend an ECG.
0:09:35 > 0:09:38So far, so good. Right, keep me posted.
0:09:46 > 0:09:48Like father, like son.
0:09:48 > 0:09:51The flirtation gene's clearly dominant!
0:09:51 > 0:09:53I'm nothing like him.
0:09:53 > 0:09:55I agree. He's very charming!
0:09:55 > 0:09:58He can be, absolutely, when it's in his own best interests.
0:09:58 > 0:10:00There's no love lost, I take it.
0:10:00 > 0:10:03Look, suffice to say, I'd be grateful
0:10:03 > 0:10:06if I could have as little to do with him as possible.
0:10:06 > 0:10:09- And I suggest you do the same. - Do you?
0:10:11 > 0:10:13We've found your notes, Mr Tressler.
0:10:13 > 0:10:16It's Billy. I told you, I hate formality.
0:10:16 > 0:10:18Yes, sorry.
0:10:18 > 0:10:20So apart from the pain caused by the hernia, have you been
0:10:20 > 0:10:22experiencing any other symptoms?
0:10:22 > 0:10:25Any change in bowel movements, fatigue?
0:10:25 > 0:10:27I've never felt better.
0:10:27 > 0:10:28Do you smoke, drink?
0:10:28 > 0:10:30In moderation, of course.
0:10:30 > 0:10:33Well, you appear to be in very good shape for a man of your age.
0:10:33 > 0:10:36Well, you're not looking so bad yourself.
0:10:38 > 0:10:39So what's the deal?
0:10:40 > 0:10:42Well, I need to examine you,
0:10:42 > 0:10:45but your notes do suggest that surgery's going to be necessary.
0:10:45 > 0:10:48Nurse, would you mind just...
0:10:49 > 0:10:52Thank you. If you could just pop your feet up.
0:10:54 > 0:10:56What do you do for a living,
0:10:56 > 0:10:58if you don't mind my asking?
0:10:58 > 0:11:01I'm in the hotel business - health clubs, spas.
0:11:01 > 0:11:03I started as a kitchen porter.
0:11:03 > 0:11:05And now your son's a doctor.
0:11:05 > 0:11:09Well, he'd do anything not to follow in his father's footsteps.
0:11:11 > 0:11:15Well, as Huxley said... "Sons have always a rebellious wish to
0:11:15 > 0:11:19"be disillusioned by that which charmed their fathers."
0:11:19 > 0:11:21Whoever he is, he was spot on.
0:11:21 > 0:11:25When Harry finished med school, I said, "Why not take a year off,
0:11:25 > 0:11:28"do an MBA, keep your options open?"
0:11:28 > 0:11:31But he wouldn't have any of it.
0:11:31 > 0:11:36Shame. I did a Business MBA at Harvard.
0:11:36 > 0:11:37Did you?
0:11:37 > 0:11:39You smart girl.
0:11:41 > 0:11:43Were any of your colleagues admitted to the ED?
0:11:43 > 0:11:46It would be useful for us to cross-reference results.
0:11:46 > 0:11:48I was alone. We got separated.
0:11:48 > 0:11:51Do you want me to call the station? They must be worried.
0:11:51 > 0:11:53It's OK. I spoke to the chief.
0:11:53 > 0:11:56OK. You're just going to help yourself if you stay calm, OK?
0:11:56 > 0:11:58We're just going to ask you a few more questions.
0:11:58 > 0:12:01It's difficult to stay calm when your oxygen levels are that low.
0:12:01 > 0:12:05I am aware of that, Dr Copeland, but this information is important.
0:12:06 > 0:12:09Keep the mask on when you're not speaking, Mr Lewis.
0:12:09 > 0:12:12Er, thank you, Dr Copeland. Why don't you chase up those results?
0:12:12 > 0:12:14I was about to do the ECG.
0:12:14 > 0:12:16No, it's fine, I'll be doing that.
0:12:16 > 0:12:19No. WE will. Mr Levy wants us to work together.
0:12:19 > 0:12:21HE CLEARS HIS THROAT
0:12:24 > 0:12:27Unlucky to be the only casualty.
0:12:27 > 0:12:30I know. Wasn't even supposed to be working.
0:12:30 > 0:12:34But it was a serious call and they were short of experienced men, so...
0:12:34 > 0:12:36Sounds like a Hollywood movie.
0:12:36 > 0:12:38What was that one with the big fire?
0:12:38 > 0:12:42I wouldn't know. Can we please just focus on the job in hand?
0:12:43 > 0:12:45Anyway, how did you end up on your own?
0:12:45 > 0:12:47I thought in these movies there was always a partner
0:12:47 > 0:12:50watching your back, who ends up getting killed halfway through.
0:12:50 > 0:12:53Bomber Lewis always gets sent in first to do the recce.
0:12:53 > 0:12:56Bomber Lewis! Cool name.
0:12:56 > 0:12:58- Yeah, the lads gave it to me. - Dr Copeland?
0:13:00 > 0:13:01Go on.
0:13:01 > 0:13:03We went on this shout once.
0:13:05 > 0:13:08The roof wasn't secure so we were told to back off.
0:13:08 > 0:13:10But there was this woman shouting,
0:13:10 > 0:13:13"Lucy's still in there, you've got to find Lucy!"
0:13:13 > 0:13:16And there was no way I was going to let this woman's kid die,
0:13:16 > 0:13:19so I just bombed in there. Didn't even think about it.
0:13:19 > 0:13:22Jamie Foxx would play you in the movie.
0:13:22 > 0:13:25Anyway, there was no sign of any kid,
0:13:25 > 0:13:28so I came back out, gutted, desperate,
0:13:28 > 0:13:30and then I saw the woman...
0:13:30 > 0:13:32hugging this dog.
0:13:32 > 0:13:34Lucy was a dog?
0:13:34 > 0:13:36Couldn't believe it.
0:13:36 > 0:13:39Anyway, after that, all the lads started calling me Bomber Lewis
0:13:39 > 0:13:41and it just stuck.
0:13:41 > 0:13:44Well, it suits you. Very heroic.
0:13:44 > 0:13:47OK, we really need to chase those blood results now, Dr Copeland, yep?
0:13:51 > 0:13:54- Oh, for heaven's sake!- Wait!
0:13:54 > 0:13:56There's always a way.
0:14:00 > 0:14:03I never give up - on anything.
0:14:03 > 0:14:06I've heard. You've already made quite an impression.
0:14:06 > 0:14:09Some people feel threatened by forward thinking.
0:14:09 > 0:14:11But I'm not interested in innovation for its own sake.
0:14:11 > 0:14:15Only ideas that improve efficiency, reduce time wasted...
0:14:15 > 0:14:17In manufacturing, it's called lean processing.
0:14:17 > 0:14:20You can start by tackling my mountain of filing.
0:14:20 > 0:14:21I'd be happy to.
0:14:21 > 0:14:25I think Mr Griffin might argue his project takes priority
0:14:25 > 0:14:27- over alphabetising my files. - Quite possibly.
0:14:27 > 0:14:31But thank you for the offer. And for enabling my sugar rush.
0:14:31 > 0:14:34You'll have to excuse me, I've got a patient I need to see.
0:14:34 > 0:14:36- Do you mind if I join you? - Oh! Be my guest.
0:14:39 > 0:14:42Billy, this is my colleague, Mr Di Lucca.
0:14:42 > 0:14:45TWO doctors? I hope I'm not getting preferential treatment.
0:14:45 > 0:14:47All part of the service.
0:14:47 > 0:14:50Now, we've decided to treat your hernia with what's known
0:14:50 > 0:14:53as an open repair, which will involve making a small incision
0:14:53 > 0:14:56and using mesh to repair the weakness in your abdominal wall.
0:14:56 > 0:14:58Mesh? Not sure I like the sound of that.
0:14:58 > 0:15:00It'll mean you won't need a general anaesthetic
0:15:00 > 0:15:02and you should be able to go home shortly afterwards.
0:15:02 > 0:15:05When I was out in Hong Kong, I was part of a team that developed
0:15:05 > 0:15:07a self-fixing mesh that uses glue rather than sutures.
0:15:07 > 0:15:09Oh, you're a globe-trotting innovator?
0:15:09 > 0:15:12It was extraordinary. Patients spent less time in surgery,
0:15:12 > 0:15:13faster recovery,
0:15:13 > 0:15:16and a significantly decreased risk of infection.
0:15:16 > 0:15:18I'd like to introduce it here.
0:15:18 > 0:15:20- Pitch a trial to Mr Self.- Given that I've already committed him
0:15:20 > 0:15:24to several thousand pounds of new equipment, he may not be so keen.
0:15:24 > 0:15:27Yes. Actually, I'd leave it a while.
0:15:27 > 0:15:29What's not to like?
0:15:29 > 0:15:32Being the first to introduce cutting-edge procedures
0:15:32 > 0:15:34encourages further investment.
0:15:34 > 0:15:37True. But all these things cost money.
0:15:37 > 0:15:38Money we sadly do not have.
0:15:38 > 0:15:41If you're not busy, would you like to scrub in?
0:15:41 > 0:15:42- Love to.- Good.
0:15:46 > 0:15:48Just been chatting to your dad.
0:15:48 > 0:15:51- Really?- Great guy. Quite the mover and shaker.
0:15:51 > 0:15:53Would never have put YOU two together, though.
0:16:00 > 0:16:01- Ah, Lexy!- Hello.
0:16:01 > 0:16:04I heard you were gracing us with your presence today.
0:16:04 > 0:16:07Having a check-up with Dr Frankenstein.
0:16:07 > 0:16:09- Sorry, may I?- And how's Tinny been behaving for you?
0:16:09 > 0:16:13Well, I'm still here, aren't I? That's SOME sort of miracle.
0:16:13 > 0:16:15I assume you're still not smoking?
0:16:15 > 0:16:20No. And I'm staying off the communion wine, as you suggested.
0:16:20 > 0:16:25Good. So how has your health been in general?
0:16:25 > 0:16:30Fine. We tough old boots have strong constitutions.
0:16:30 > 0:16:33I will never call you that again, I promise.
0:16:33 > 0:16:37BP and heart rate are normal. Temperature's slightly raised at 38.
0:16:37 > 0:16:40So, how are you getting on with your warfarin now?
0:16:40 > 0:16:45I learnt my lesson. Taking one a day.
0:16:45 > 0:16:47Religiously, as they say.
0:16:47 > 0:16:49Good.
0:16:49 > 0:16:54Right, Ms Naylor and I will be checking the Herzig's output.
0:16:54 > 0:16:58And, Nurse Maconie, can we have full blood count and an INR test, please?
0:16:58 > 0:17:00Thank you.
0:17:00 > 0:17:04Mr Lewis's results. Looks like cyanide poisoning to me.
0:17:04 > 0:17:05Thank you.
0:17:07 > 0:17:09Danny's results are back.
0:17:09 > 0:17:11His O2 saturation levels are low,
0:17:11 > 0:17:16but his serum lactate levels have elevated to 11mm.
0:17:16 > 0:17:18That could just be due to smoke inhalation
0:17:18 > 0:17:21- and prolonged carbon monoxide exposures.- Anything else?
0:17:21 > 0:17:23A narrowing of the venous-arterial PO2 gradient
0:17:23 > 0:17:26and metabolic acidosis has started to occur.
0:17:26 > 0:17:27Kidney failure?
0:17:30 > 0:17:31That's unlikely.
0:17:31 > 0:17:34Now, look, I'm just thinking on my feet here,
0:17:34 > 0:17:35but considering ALL the results,
0:17:35 > 0:17:37it could be cyanide poisoning.
0:17:41 > 0:17:45What's the goss, Jonny? Mad Mo not working today?
0:17:45 > 0:17:47No, day off.
0:17:47 > 0:17:50She'll be parked on the couch with a large tub of ice cream
0:17:50 > 0:17:53watching back-to-back episodes of Banged Up Abroad.
0:17:54 > 0:17:59Wouldn't we all be, given half the chance?! And how's little Emma?
0:17:59 > 0:18:02Oh, she is just delicious.
0:18:02 > 0:18:05Oh, I'm so pleased to hear that.
0:18:05 > 0:18:07And I'm really glad you're looking so happy.
0:18:07 > 0:18:09Last time I saw you...
0:18:09 > 0:18:13I know. And, you know what, thank you for that -
0:18:13 > 0:18:15for being there.
0:18:15 > 0:18:16I really appreciate it.
0:18:16 > 0:18:18It was my pleasure.
0:18:19 > 0:18:24Perhaps...you could sneak me up later for a little Emma cuddle?
0:18:24 > 0:18:28I'd have to get you past the guard dog first.
0:18:28 > 0:18:30Cyanide poisoning is very rare.
0:18:30 > 0:18:34But having reviewed the results, I think your diagnosis is spot on.
0:18:34 > 0:18:36- Thank you. - Which means we need to act quickly.
0:18:36 > 0:18:38OK, have you seen a case before?
0:18:38 > 0:18:41- Only once.- And? - He didn't make it, unfortunately.
0:18:41 > 0:18:44OK. We could start him on sodium thiosulfate. 25ml at 50%.
0:18:44 > 0:18:46I was thinking mononitrate, 20mg.
0:18:46 > 0:18:49Sodium thiosulfate is the preferred treatment for cyanide poisoning.
0:18:49 > 0:18:52Yes, but mononitrate has a more rapid onset of action,
0:18:52 > 0:18:55and is safe to use on patients who have experienced smoke inhalation,
0:18:55 > 0:18:56such as Danny.
0:18:56 > 0:18:58Let's go with the mononitrate.
0:19:01 > 0:19:04Theatre's booked. I just need you to sign this.
0:19:05 > 0:19:09- They seem well into each other. - What?
0:19:09 > 0:19:11Your dad and Ms C. She's giving him the come-on. Look.
0:19:13 > 0:19:14It's dead obvious.
0:19:20 > 0:19:23Cyanide? That's poison, right?
0:19:23 > 0:19:25You just need to try and relax
0:19:25 > 0:19:27and let the antidote do its job.
0:19:27 > 0:19:29But I don't understand. How did that happen?
0:19:29 > 0:19:32Um, burning plastics can emit cyanide fumes.
0:19:32 > 0:19:34But I'll be OK, yeah?
0:19:34 > 0:19:37There's a variety of additional symptoms you may begin to exhibit -
0:19:37 > 0:19:40dilated pupils, low levels of consciousness.
0:19:40 > 0:19:42Can result in coma, cardiac arrest...
0:19:42 > 0:19:44- Heart attack?!- Dr Digby...
0:19:44 > 0:19:47Cyanide has profound effects on the cardiovascular system.
0:19:47 > 0:19:50But not in the levels that you've experienced.
0:19:50 > 0:19:53I'm talking worst-case scenario. What can happen -
0:19:53 > 0:19:54not what WILL happen.
0:19:56 > 0:19:58You're unnecessarily scaring my patient.
0:19:58 > 0:20:00YOUR patient? Since when?
0:20:00 > 0:20:03I've established a relationship with him. I diagnosed him.
0:20:03 > 0:20:05Yes. But I have the necessary experience to run the case.
0:20:05 > 0:20:07Yes. But who do you think's impressed Levy so far?
0:20:16 > 0:20:17Anything good on?
0:20:17 > 0:20:20- Oh, we only seem to be able to get this one channel.- Shame.
0:20:20 > 0:20:23Herzig seems to be functioning normally.
0:20:23 > 0:20:25Well, that makes a change.
0:20:25 > 0:20:27You can stop looking so worried now, Prof.
0:20:27 > 0:20:30I'm sorry. I know I'm being overprotective.
0:20:30 > 0:20:34But Tinny's success is extremely important to me.
0:20:34 > 0:20:36And I am just the human vessel
0:20:36 > 0:20:39for your dastardly scientific experiments!
0:20:39 > 0:20:42No. You are an extraordinary woman whose bravery
0:20:42 > 0:20:46and good humour never ceases to amaze me.
0:20:46 > 0:20:48I'm sorry to interrupt this little love-fest
0:20:48 > 0:20:51but we do still have the problem of the raised temperature.
0:20:51 > 0:20:53Is now the right moment to mention
0:20:53 > 0:20:56the electric blanket I've been carrying around with me all day?
0:20:56 > 0:20:58Um, Ms Naylor doesn't do jokes.
0:21:00 > 0:21:03You told Professor Hope that your general health has been OK.
0:21:03 > 0:21:04- Is that right?- Yep.
0:21:04 > 0:21:07A few aches and pains but that's just getting old, isn't it?
0:21:07 > 0:21:08Anything else?
0:21:08 > 0:21:10I've had a bit of bleeding from my gums...
0:21:10 > 0:21:13But I've probably been brushing too hard.
0:21:13 > 0:21:15That could be an indication there's an underlying infection.
0:21:15 > 0:21:19Right, let's chase up the bloods, please, see if they tell us anything.
0:21:19 > 0:21:21Thank you, Lexy.
0:21:21 > 0:21:23Ms Naylor. Phone call for you.
0:21:23 > 0:21:24I'm busy.
0:21:24 > 0:21:26It's Elmswood Academy for Girls,
0:21:26 > 0:21:28something about putting Emma on a waiting list?
0:21:28 > 0:21:31What? She's four weeks old, Jac.
0:21:31 > 0:21:32I'll take it.
0:21:33 > 0:21:37Nurse Maconie, I assume that you can manage to finish off without me?
0:21:37 > 0:21:41You seem perfectly capable of doing without ME, so...
0:21:42 > 0:21:45What do you think they're talking about?
0:21:45 > 0:21:48Ms Campbell will be talking him through his procedure.
0:21:48 > 0:21:50She's practically sitting in his lap!
0:21:50 > 0:21:53Look at them... He's like...
0:21:53 > 0:21:55"You're all right for a posh bird."
0:21:55 > 0:21:58- IN HIGH VOICE:- "I'm quite partial to a bit of rough."
0:21:58 > 0:22:01"I can be as rough as you like."
0:22:01 > 0:22:03"Oh, Billy, take me now!"
0:22:03 > 0:22:06Adele... Go and empty a bed pan or something, please.
0:22:06 > 0:22:10- Quite fit for her age, I suppose. - Adele...
0:22:10 > 0:22:11Are you telling me you wouldn't?
0:22:11 > 0:22:13I've seen the way you look at her.
0:22:13 > 0:22:15She's old enough to be my mother!
0:22:15 > 0:22:18Be careful what you wish for!
0:22:18 > 0:22:19SHE LAUGHS
0:22:19 > 0:22:23I cannot believe that she's put Emma's name down for a school
0:22:23 > 0:22:25without even consulting me!
0:22:25 > 0:22:27She's just being practical. Planning ahead.
0:22:27 > 0:22:31Surely this is the time to celebrate Emma's recovery.
0:22:31 > 0:22:33Not fight over it.
0:22:33 > 0:22:34Tell that to Jac, you know...?
0:22:35 > 0:22:38It'll be all right, Jonny.
0:22:38 > 0:22:41You just have to have faith.
0:22:42 > 0:22:45You know I used to go to Church - I told you that, right?
0:22:45 > 0:22:48I'm a lapsed Catholic. I never really got it.
0:22:48 > 0:22:52It was just something our mum used to drag us to...
0:22:52 > 0:22:54As soon as I was a teenager, I was out of there,
0:22:54 > 0:22:57blaspheming to my heart's content.
0:22:57 > 0:23:00But when Emma was born,
0:23:00 > 0:23:02I just felt this...
0:23:03 > 0:23:04..something.
0:23:04 > 0:23:08But the "something" comforts you.
0:23:08 > 0:23:10Whatever it is.
0:23:10 > 0:23:12Exactly.
0:23:12 > 0:23:15And I want Emma to feel that too.
0:23:19 > 0:23:21His oxygen levels are improving.
0:23:21 > 0:23:25Seems I made the right call, then, with the mononitrate.
0:23:27 > 0:23:30Well, I bet you'll think twice before you go bombing in again.
0:23:30 > 0:23:34You can't think like that. Not in my job.
0:23:34 > 0:23:37If people need your help, you can't say no.
0:23:37 > 0:23:38You're like a real-life superhero.
0:23:38 > 0:23:41I used to listen out for the sirens when I was a kid,
0:23:41 > 0:23:43follow the engine on my bike.
0:23:43 > 0:23:46Just always wanted to be part of it.
0:23:46 > 0:23:49You know, that team spirit.
0:23:49 > 0:23:51Camaraderie.
0:23:51 > 0:23:54That's exactly what it's like here, isn't it, Dr Digby?
0:23:55 > 0:23:56If you say so.
0:23:58 > 0:24:01Luckily Dr Digby and I live together,
0:24:01 > 0:24:03so we get to see each other at home as well.
0:24:03 > 0:24:06Oh, I didn't realise.
0:24:06 > 0:24:07No, no, it's a house share.
0:24:07 > 0:24:09It's nothing like that.
0:24:09 > 0:24:10How's he doing?
0:24:10 > 0:24:13I just administered a second dose of mononitrate, 20mg,
0:24:13 > 0:24:15- and he seems to have stabilised. - Excellent. Excellent.
0:24:15 > 0:24:17- Hi Danny.- Hi.
0:24:17 > 0:24:20I've been asked to sit in on a complex case meeting,
0:24:20 > 0:24:22and it's going to take up most of the day.
0:24:22 > 0:24:25So I would like it if you would run the ward, Dr Digby.
0:24:25 > 0:24:26Me?
0:24:26 > 0:24:29Yes, you said before, you've got the experience, the expertise...
0:24:29 > 0:24:32- It's time to show us what you can do.- OK.
0:24:43 > 0:24:44PHONE RINGS
0:24:44 > 0:24:48Anyway theatre should be ready for you in an hour or so. Excuse me.
0:24:50 > 0:24:51Guy.
0:24:52 > 0:24:55Oh, it's all right.
0:24:55 > 0:24:58In fact, I'm getting used to your little outbursts.
0:24:58 > 0:25:01I'm sorry, I'm really rather busy.
0:25:01 > 0:25:05- Boyfriend?- Boss. Just had some funding withdrawn this morning.
0:25:05 > 0:25:09- He was not a happy bunny.- And you were the nearest whipping boy.
0:25:09 > 0:25:12- Got the scars to prove it. - Maybe I can help?
0:25:12 > 0:25:16I've been looking for a philanthropic investment opportunity
0:25:16 > 0:25:20for some time now. Obviously medicine's not my strong suit,
0:25:20 > 0:25:24- so I'd need a steer on this. - Which is where I'd come in?
0:25:24 > 0:25:27Precisely. If I was to invest -
0:25:27 > 0:25:28and I mean seriously invest -
0:25:28 > 0:25:30it would be on the basis that the Holby brand
0:25:30 > 0:25:33would become synonymous with...cutting edge.
0:25:34 > 0:25:37Well, that's exactly what I've been working towards.
0:25:37 > 0:25:41Actually, I've already got something that might interest you.
0:25:41 > 0:25:44Why don't I pull some information together for you to take a look at?
0:25:44 > 0:25:47- Can you get it to me today? - Absolutely.
0:25:50 > 0:25:51Yep.
0:25:55 > 0:25:57Oh, yeah. Thank you.
0:25:57 > 0:26:01Yes, we're still waiting on the test results for bed three,
0:26:01 > 0:26:04so can you call the lab and tell them I'm not happy?
0:26:06 > 0:26:07Thanks.
0:26:08 > 0:26:11Ah, right, we need an update on Mrs Acourt.
0:26:11 > 0:26:15Er, we're waiting for the results of her chest X-ray.
0:26:15 > 0:26:17Then I suggest you chase them, hm?
0:26:17 > 0:26:18Yes, sir...!
0:26:18 > 0:26:20- Oh, did you hear?- What?
0:26:20 > 0:26:23We diagnosed a patient with cyanide poisoning.
0:26:24 > 0:26:29- No.- I- did, and then I told Dominic. - Did you?
0:26:29 > 0:26:30Arthur, it's not a competition!
0:26:30 > 0:26:32We are supposed to share information with colleagues
0:26:32 > 0:26:34for the good of our patients.
0:26:34 > 0:26:36Yes, but he always wants to take the credit!
0:26:36 > 0:26:39Give him a break! You are a year his senior.
0:26:39 > 0:26:41Doctor of the 21st century.
0:26:41 > 0:26:43Why do you always give him such a hard time?
0:26:43 > 0:26:45Because I don't trust him.
0:26:45 > 0:26:48Well, I like him. He's smart and funny.
0:26:48 > 0:26:49And excellent company.
0:26:51 > 0:26:52And I'm not, I suppose.
0:26:52 > 0:26:55I think you have more important things to think about.
0:26:55 > 0:26:57MACHINE BEEPS RHYTHMICALLY
0:27:00 > 0:27:03- Please, where is it? - What's going on? What's happening?
0:27:03 > 0:27:05Where'd you get that posh voice from,
0:27:05 > 0:27:08when your dad speaks like Lord Sugar?
0:27:08 > 0:27:10Harrods. £25.99. I'll get you one for Christmas.
0:27:10 > 0:27:14Oh, come on, I hate it when you go all mysterious on me.
0:27:14 > 0:27:17- Maybe I don't want to talk about it. - Where is he anyway?
0:27:19 > 0:27:20In theatre, I believe.
0:27:22 > 0:27:25You really couldn't give a monkey's, could you?
0:27:25 > 0:27:29I'd be in a right state if my dad was going under the knife.
0:27:29 > 0:27:32- But he seems to make you proper aggy.- Aggy?
0:27:32 > 0:27:35Yeah. Tense, irritable, like you want to punch someone.
0:27:35 > 0:27:37Look, I'm not aggy, all right?
0:27:37 > 0:27:40Um, yes, you are. I've seen the way you look at Raf.
0:27:40 > 0:27:43He seems to really pull your chain.
0:27:43 > 0:27:46And then there's the beef with your dad...
0:27:46 > 0:27:48You know, maybe I'm a tiny bit aggy
0:27:48 > 0:27:52because I'm being stalked by an incredibly annoying HCA.
0:27:53 > 0:27:57I'm going to let that slide because you're in a bad place.
0:27:57 > 0:28:01But the rest of it - you can't tell me I'm wrong, can you?
0:28:10 > 0:28:14My father - he never quite worked out
0:28:14 > 0:28:17the difference between an employee and a son.
0:28:17 > 0:28:21And so when he finally realised that I wasn't going to follow him
0:28:21 > 0:28:25into the family business, he terminated my contract.
0:28:25 > 0:28:29Oh. I'd be WELL made up if my kid was a doctor.
0:28:33 > 0:28:35I'm dying... Help me.
0:28:35 > 0:28:37OK, you need to stay calm, Danny, yeah?
0:28:39 > 0:28:42The antidote's not working. He's hypertensive.
0:28:42 > 0:28:44Oh, God, I don't understand...
0:28:44 > 0:28:47- I want my brother. - We'll call him for you.
0:28:47 > 0:28:50But what I need you to do at the moment is to stay calm.
0:28:50 > 0:28:51Can you do that for me?
0:28:52 > 0:28:55Danny, how long were you in the fire for?
0:28:55 > 0:28:56I can't remember.
0:28:56 > 0:28:59Try to think, it'll help us find the right treatment for you.
0:28:59 > 0:29:02What I don't understand is how he inhaled any gas or chemicals.
0:29:02 > 0:29:04His breathing apparatus should protect him.
0:29:04 > 0:29:06It's a self-contained unit. OK, OK.
0:29:06 > 0:29:10Tell me about your equipment. Is it tested? What type do you use?
0:29:10 > 0:29:12That's it. It's cool, OK.
0:29:12 > 0:29:14Your questions are stressing him out.
0:29:14 > 0:29:16We need answers. Now.
0:29:16 > 0:29:20- I stepped outside for a second, took my mask off...- Yeah?
0:29:20 > 0:29:22- There was an explosion.- Explosion?!
0:29:22 > 0:29:25OK, so he must have had a higher exposure than we thought.
0:29:25 > 0:29:29So we could give him 20ml of 1.5% dicobalt edetate solution.
0:29:30 > 0:29:34Followed by 50ml of 50% dextrose.
0:29:34 > 0:29:37Are you sure you want to proceed with such an aggressive treatment?
0:29:39 > 0:29:41Maybe we should just call Mr Levy.
0:29:44 > 0:29:47I'm perfectly capable of making this decision on my own, OK?
0:29:55 > 0:29:58Hi. The procedure went extremely well. We'll keep you here
0:29:58 > 0:30:01until you've passed urine and then you're free to go.
0:30:01 > 0:30:04I don't want to go! The company's too good.
0:30:04 > 0:30:06Don't worry. I expect we'll be seeing a lot more
0:30:06 > 0:30:09of each other in the Holby boardroom.
0:30:09 > 0:30:10You're a fast mover.
0:30:10 > 0:30:12I don't mean to, er, rush you.
0:30:12 > 0:30:15That was a compliment, not a criticism.
0:30:16 > 0:30:18OK, there you go.
0:30:18 > 0:30:20- Thanks. - I'll be back to check on you later.
0:30:25 > 0:30:27What's that?
0:30:27 > 0:30:30It's a little business proposal that Ms Campbell and I are working on.
0:30:30 > 0:30:33Do not ruin it for me, I warn you.
0:30:33 > 0:30:37You're the only one likely to do that.
0:30:37 > 0:30:40And why's that, Dad? Go on, tell me.
0:30:40 > 0:30:43You've always been weak. Always taken the easy course.
0:30:43 > 0:30:46Never pushed yourself to the limit...
0:30:46 > 0:30:47Do you know what, Dad?
0:30:47 > 0:30:51Most people would be proud to have a doctor as a son.
0:30:51 > 0:30:53Yeah, but you've had it all on a plate, Harry.
0:30:53 > 0:30:56Anyone can do that. In my world you have to earn respect.
0:30:56 > 0:30:59If you'd had a childhood like mine, instead of being spoiled rotten
0:30:59 > 0:31:02by your mother, you might've learned that lesson by now.
0:31:11 > 0:31:15I tried his brother, but it must be the wrong number because it's dead.
0:31:15 > 0:31:17OK, I'll ask him again. He's still confused at the moment.
0:31:17 > 0:31:21- He also has new symptoms - severe abdominal pain and diarrhoea.- What?
0:31:23 > 0:31:26OK, we must have missed something. I mean, why would he take off his mask?
0:31:26 > 0:31:29- He must have known how dangerous it would be.- Look, we need to move on.
0:31:29 > 0:31:32The new symptoms are inconsistent with chemical poisoning.
0:31:32 > 0:31:35No, some chemicals can cause gastrointestinal disturbance.
0:31:35 > 0:31:39- Turpentine, mercury, lead.- But the fire was in a plastics factory,
0:31:39 > 0:31:41- not an artist's studio. - So he must have been exposed
0:31:41 > 0:31:43- to any number of things. - All of which we've tested for.
0:31:43 > 0:31:46OK, well, what does the iron sulphate test show?
0:31:46 > 0:31:49Prussian blue. It's definitely cyanide.
0:31:49 > 0:31:52OK, I want you to get hold of Fire Control, and find out if they have
0:31:52 > 0:31:56any further information on identified hazardous chemicals at that incident.
0:31:56 > 0:31:58Shall I ask for the unidentified ones, while I'm at it?
0:31:58 > 0:32:00- If you think that might be useful. - No, it won't be useful
0:32:00 > 0:32:03because contacting them is as useful as a chocolate teapot.
0:32:03 > 0:32:05Just do as I ask, Dr Copeland, OK?!
0:32:11 > 0:32:13HE GRUNTS
0:32:18 > 0:32:20What have you got him on?
0:32:22 > 0:32:25Ah, those the results for Robo Vicar?
0:32:28 > 0:32:30What?
0:32:30 > 0:32:32I want to have Emma christened.
0:32:34 > 0:32:36What are you going on about?
0:32:36 > 0:32:38I want to celebrate the fact that she's made it through,
0:32:38 > 0:32:41That she's coming home soon and that she's safe.
0:32:41 > 0:32:44And Lexy's agreed to do that for us.
0:32:44 > 0:32:47- You're Catholic.- And?- Lexy's C of E.
0:32:47 > 0:32:50- She's cool with that. And so am I. - Well, I'm not.
0:32:50 > 0:32:53And I'm not happy you've been making decisions without my say so.
0:32:53 > 0:32:55But it's all right the other way round, though, yeah?
0:32:55 > 0:32:58- I don't want to talk about this now. - Well, that's tough. Because I do.
0:32:58 > 0:33:01We're supposed to be co-parenting. Right? That's what we agreed.
0:33:01 > 0:33:03And that means we both get an equal say.
0:33:03 > 0:33:05Not if you're going to find God every time Mother Mary
0:33:05 > 0:33:08- comes in for a check-up. - You're twisting it, as usual.
0:33:08 > 0:33:10Look, I know what you're thinking.
0:33:10 > 0:33:13If only Jac had a big, fat maternal streak like Bovine Bonnie.
0:33:13 > 0:33:15You are not going to shut me out, Jac.
0:33:15 > 0:33:16I'm just not going to let that happen.
0:33:16 > 0:33:19So you need to get that thought out of your head right now!
0:33:19 > 0:33:21I'm going to do exactly what I want.
0:33:21 > 0:33:22And there's nothing you can do about it.
0:33:22 > 0:33:26Do you still not get it? This is not just about you anymore!
0:33:34 > 0:33:36- How long has he been like this? - Mr Levy.
0:33:36 > 0:33:38About an hour.
0:33:39 > 0:33:41You should have paged me sooner.
0:33:44 > 0:33:47Erm, well... He was responding well to treatment.
0:33:47 > 0:33:50But then his symptoms changed.
0:33:50 > 0:33:54So therefore we're looking at an underlying problem. Still no notes?
0:33:54 > 0:33:57No. What? Erm, no.
0:33:57 > 0:34:00And...can't seem to get hold of any family either.
0:34:00 > 0:34:03OK. Call the station, find out what you can from his colleagues.
0:34:03 > 0:34:06And order an emergency CT. Page me as soon as the results come back.
0:34:06 > 0:34:07Yes. Of course.
0:34:09 > 0:34:12Hey. You called him...behind my back.
0:34:12 > 0:34:14I didn't feel I had any choice.
0:34:14 > 0:34:16Right, is that because you didn't trust me
0:34:16 > 0:34:17or because you saw an opportunity to land me in it?
0:34:17 > 0:34:20You're becoming incredibly paranoid, Dr Digby.
0:34:20 > 0:34:23I was merely prioritising our patient.
0:34:23 > 0:34:26Maybe you're right. Maybe, maybe I'm in over my head.
0:34:28 > 0:34:29Shall I call Levy back?
0:34:29 > 0:34:31No. No, no, wait...
0:34:34 > 0:34:36His kidneys!
0:34:36 > 0:34:37What?
0:34:37 > 0:34:38Kidneys.
0:34:38 > 0:34:41Right, he's already had metabolic acidosis
0:34:41 > 0:34:45so the dicobalt edetate could have had an adverse effect on them.
0:34:45 > 0:34:49So if we send him for a CT, the contrast will only make things worse.
0:34:49 > 0:34:50Shouldn't we check that with Levy?
0:34:50 > 0:34:54No! Let's order an abdominal ultrasound instead of the CT.
0:34:54 > 0:34:56It'll show what's going on with the kidneys
0:34:56 > 0:34:58without damaging them further. Yes.
0:34:58 > 0:35:00- If you're sure?- Positive.
0:35:02 > 0:35:04While he's not exactly Bill Gates,
0:35:04 > 0:35:06I think you'll be suitably impressed.
0:35:06 > 0:35:08Serena, you are a miracle worker.
0:35:08 > 0:35:10Never, ever underestimate me.
0:35:12 > 0:35:15Hello, I'm Guy Self, CEO of this hospital.
0:35:15 > 0:35:18Billy Tressler. Pleased to meet you.
0:35:18 > 0:35:22Here's to the new Foundation For Innovative General Surgery.
0:35:22 > 0:35:24The Tressler Foundation. What do you think?
0:35:24 > 0:35:27It's got a nice ring to it, hasn't it?
0:35:27 > 0:35:30Yes. We'll have to put it before the Board,
0:35:30 > 0:35:33- but I don't see why not.- Don't worry, it's nonalcoholic.
0:35:33 > 0:35:36We'll save the strong stuff for the unveiling of the plaque.
0:35:36 > 0:35:39Tressler... You're not, um...
0:35:39 > 0:35:42- Harry's my son, for my sins. - Right...
0:35:42 > 0:35:45I know what you're thinking, but you don't have to worry.
0:35:45 > 0:35:47I don't believe in buying privilege.
0:35:47 > 0:35:51- No, I just want to put something back.- Time for a toast.
0:35:54 > 0:35:55- Here you go.- Thanks.
0:35:55 > 0:35:58To the Tressler Foundation.
0:35:58 > 0:35:59The Tressler Foundation!
0:36:03 > 0:36:07Oh, don't worry. We'll get someone to clear that up for you. ..Nurse.
0:36:07 > 0:36:09Sorry... I can be a bit clumsy.
0:36:09 > 0:36:11Billy, can you see this?
0:36:11 > 0:36:15- What is this - a test for new investors?- Just humour me.
0:36:21 > 0:36:24So, Lexy...good news!
0:36:24 > 0:36:28Your test results show that your warfarin levels are too high.
0:36:28 > 0:36:30- Which is an easy fix.- Right.
0:36:30 > 0:36:36Due to the issues when you were last here, your dosage wasn't right.
0:36:36 > 0:36:40Herzig treatment is still so new, we're learning as we go.
0:36:40 > 0:36:44This is frontier medicine. You are the pioneer.
0:36:44 > 0:36:46Boldly going where no-one's gone before?
0:36:46 > 0:36:49Precisely! We need to be vigilant
0:36:49 > 0:36:51and make adjustments according to your needs.
0:36:51 > 0:36:53So we'll reduce your dosage
0:36:53 > 0:36:56and things should be back to normal pretty quickly.
0:36:56 > 0:36:57So I don't need to stay in?
0:36:57 > 0:37:01- Much as we like having you, no. - Thank you.
0:37:04 > 0:37:06That's me told, then.
0:37:07 > 0:37:10I wouldn't take it to heart. It's me she's angry with.
0:37:10 > 0:37:12And you, a little bit.
0:37:12 > 0:37:15I take it you mentioned the christening to her.
0:37:15 > 0:37:17- And she said no?- Correct.
0:37:18 > 0:37:22- But you still want to go ahead with it?- Of course I do.
0:37:22 > 0:37:24The Jonny Mac I know would never take no for an answer.
0:37:24 > 0:37:26So what's changed?
0:37:28 > 0:37:30Yes. Danny Lewis.
0:37:30 > 0:37:33Yeah, are you sure? Right.
0:37:33 > 0:37:36Thank you very much.
0:37:37 > 0:37:41Danny's ultrasound results. Doesn't look like it's his kidneys.
0:37:42 > 0:37:45- Bad luck.- You probably should've ordered Levy's CT.
0:37:45 > 0:37:48- Yeah, yeah, I'll do it now. - He's not going to be happy.
0:37:48 > 0:37:51Well, he's unlikely to find out, isn't he?
0:37:51 > 0:37:55- Unless you tell him, of course. - Me? I'm the soul of discretion.
0:38:01 > 0:38:03Dr Digby!
0:38:09 > 0:38:11His temperature is through the roof.
0:38:11 > 0:38:13OK, page Mr Levy! We need to get him into theatre now.
0:38:15 > 0:38:17It's nothing. I've always been a bit clumsy.
0:38:17 > 0:38:19And has it been getting worse recently?
0:38:19 > 0:38:22You know, bumping into things, knocking things over?
0:38:22 > 0:38:25My assistant's always telling me to slow down.
0:38:25 > 0:38:28- And what about headaches? - Nothing I can't handle.
0:38:28 > 0:38:31Ms Campbell, there's a referral from the ED. Acute appendicitis.
0:38:31 > 0:38:33Page the on-call surgeon, I'm tied up here.
0:38:33 > 0:38:36- No, it's fine. I've got this. You go. - Billy's MY patient.
0:38:36 > 0:38:37It'll have to wait.
0:38:37 > 0:38:40Mr Tressler is in urgent need of an MRI scan.
0:38:43 > 0:38:45Update, please.
0:38:45 > 0:38:49Temperature 38.5, severe localised abdominal pain and vomiting.
0:38:49 > 0:38:51Where are the CT results?
0:38:51 > 0:38:53Digby?
0:38:53 > 0:38:55I...um... I didn't order it.
0:38:56 > 0:38:58- What?- Yeah, right.
0:38:58 > 0:39:01OK, so I was concerned that his kidneys were compromised
0:39:01 > 0:39:04so I... Obviously the contrast for the CT would make that worse.
0:39:04 > 0:39:05So I sent him for an ultrasound.
0:39:05 > 0:39:08A scan that tells us absolutely nothing!
0:39:08 > 0:39:10- It shows there's free air above the liver.- Caused by...? You don't know.
0:39:10 > 0:39:12So why the hell didn't you call me?
0:39:12 > 0:39:13Well, I just thought...
0:39:13 > 0:39:15No, no, no, you didn't think -
0:39:15 > 0:39:17otherwise this wouldn't have happened!
0:39:19 > 0:39:21KNOCK AT DOOR
0:39:26 > 0:39:27I just wanted to say...
0:39:27 > 0:39:30Lexy and I will be heading up to NICU in the next hour or so.
0:39:30 > 0:39:33- As if Mr Solis would allow that. - Actually, he's fine about it.
0:39:34 > 0:39:37I thought I made myself absolutely clear.
0:39:37 > 0:39:40Giving thanks for Emma's life
0:39:40 > 0:39:43is incredibly important to me, OK?
0:39:44 > 0:39:46So you can say what you like.
0:39:46 > 0:39:50I am not going to let you take this away from me.
0:39:50 > 0:39:54And you know what, I would love you to be there.
0:39:54 > 0:39:57But that's completely up to you.
0:40:03 > 0:40:05What's the verdict, then?
0:40:06 > 0:40:10It looks like you have a pituitary macroprolactinoma.
0:40:10 > 0:40:12In English, please.
0:40:12 > 0:40:14It's a tumour on your pituitary gland.
0:40:14 > 0:40:16- Oh.- Well, don't worry.
0:40:16 > 0:40:19We can put you on a course of bromocriptine tablets
0:40:19 > 0:40:20which should shrink it.
0:40:20 > 0:40:24You might need surgery in the future, but certainly not just yet.
0:40:25 > 0:40:30Just here. Some of the newer machines give an even sharper image.
0:40:30 > 0:40:33And why don't you have any in here?
0:40:33 > 0:40:34I'm working on it.
0:40:36 > 0:40:38Good to see you back, Billy. May I?
0:40:40 > 0:40:42What did you say it was again?
0:40:42 > 0:40:44A pituitary macroprolactinoma.
0:40:44 > 0:40:48And Guy managed to diagnose it from a spilt drink. That's incredible!
0:40:48 > 0:40:50Neurosurgery is his specialism.
0:40:50 > 0:40:51It wasn't just the spilt drink.
0:40:51 > 0:40:55Yeah, I know. But it's still very impressive.
0:40:55 > 0:40:58No points for guessing why you made CEO.
0:40:58 > 0:41:01You said there were better scanners on the market?
0:41:01 > 0:41:03Yes, there are.
0:41:03 > 0:41:04Well, that's what we should do.
0:41:04 > 0:41:07Bring the brain equipment up to scratch.
0:41:07 > 0:41:10Yes, but neurosurgery doesn't fall under the banner of general surgery,
0:41:10 > 0:41:12which is what the foundation would be funding.
0:41:12 > 0:41:15The foundation will fund whatever I want it to fund.
0:41:15 > 0:41:17Yes, of course.
0:41:17 > 0:41:20What do you think, Mr Self?
0:41:20 > 0:41:26Well, both areas of work are deserving. I'm biased, of course.
0:41:26 > 0:41:28Well, that's it, then.
0:41:28 > 0:41:31The Tressler Foundation will support neurosurgery.
0:41:33 > 0:41:35See these lesions?
0:41:35 > 0:41:38Is it ulcerative colitis?
0:41:38 > 0:41:40No. Thank you.
0:41:40 > 0:41:42- It's Crohn's disease. - And by the looks of it,
0:41:42 > 0:41:45he's been suffering - thank you - for quite some time.
0:41:47 > 0:41:49Right, stapler, please. Thank you.
0:41:49 > 0:41:53He must've been having symptoms. I mean, why didn't he say anything?
0:41:53 > 0:41:56It's our job to ask the right questions.
0:41:59 > 0:42:02A good doctor keeps thinking.
0:42:02 > 0:42:05Questioning. Scissors, please.
0:42:05 > 0:42:07When his symptoms changed...
0:42:08 > 0:42:10..you should have recalculated,
0:42:10 > 0:42:14not gone doggedly down the same path
0:42:14 > 0:42:18- just to prove your initial theory right.- I know. I'm sorry.
0:42:19 > 0:42:23By the looks of it, there's not enough healthy bowel
0:42:23 > 0:42:27to reconnect it. So...he's going to need a stoma.
0:42:40 > 0:42:43Serena! Great work getting Billy Tressler's backing.
0:42:43 > 0:42:46I've checked him out online, he's absolutely minted.
0:42:46 > 0:42:49- Delighted to be of service.- Given that you worked on the proposal,
0:42:49 > 0:42:52I wondered if you'd be interested in fronting up the fund?
0:42:52 > 0:42:54I'm surprised you don't want to take that role for yourself.
0:42:54 > 0:42:56You seem to have taken everything else I've worked for.
0:42:56 > 0:42:59- What's that supposed to mean? - That money was mine.
0:42:59 > 0:43:02Yours? The hospital's, surely.
0:43:02 > 0:43:04I secured it for general surgery.
0:43:04 > 0:43:06All you had to do was back my proposal,
0:43:06 > 0:43:08but that was clearly too much to expect.
0:43:08 > 0:43:10It's Billy's money so it's Billy's choice.
0:43:10 > 0:43:14Which he'd already made till you came charging in.
0:43:14 > 0:43:17You know, at New Year you said you'd give me my voice,
0:43:17 > 0:43:20but every time I try to use it, you silence me.
0:43:20 > 0:43:24- I feel totally unappreciated. - What utter garbage.
0:43:24 > 0:43:27You know, I've just congratulated you for getting that funding.
0:43:27 > 0:43:30But you couldn't hear it because your pride has been hit.
0:43:30 > 0:43:33I don't give a damn about your ego.
0:43:33 > 0:43:36I need team players who want the best for this hospital,
0:43:36 > 0:43:39and that means you closing this deal and fronting up the fund.
0:43:39 > 0:43:41But if you'd rather stomp off
0:43:41 > 0:43:43and have a temper tantrum because life is so unfair...
0:43:43 > 0:43:45that's up to you.
0:44:19 > 0:44:21Sacha wants to see you.
0:44:22 > 0:44:25- Just me?- I've already had the third degree.
0:44:25 > 0:44:28He wants to know why we didn't call him sooner.
0:44:35 > 0:44:36What did you say?
0:44:36 > 0:44:39That I did suggest it, and you refused.
0:44:39 > 0:44:43And as you were the one left in charge, I felt I had to respect
0:44:43 > 0:44:47your greater experience, and leave the decision making up to you.
0:44:56 > 0:44:59That really is just perfect. Thank you.
0:45:12 > 0:45:14Come in.
0:45:15 > 0:45:18Mr Levy, I know you're angry, and rightly so,
0:45:18 > 0:45:20but I've got something I really need to show you.
0:45:20 > 0:45:24There's no need. I'm fully aware of what happened today.
0:45:24 > 0:45:26Yeah, I'm really sorry.
0:45:26 > 0:45:29I gave you the opportunity to prove yourself.
0:45:29 > 0:45:32And for some unknown reason you had the audacity to believe
0:45:32 > 0:45:34that you were above the fundamentals,
0:45:34 > 0:45:35and the moment my back was turned
0:45:35 > 0:45:37you failed to perform even the simplest of tasks.
0:45:37 > 0:45:38OK, that is not quite right.
0:45:38 > 0:45:42This makes me wonder, do you think you know better than me, Dr Digby?
0:45:43 > 0:45:44No.
0:45:44 > 0:45:46Then why ignore my instructions?
0:45:47 > 0:45:50- I just... - Because cancelling that scan
0:45:50 > 0:45:53nearly resulted in a patient dying today.
0:45:53 > 0:45:57I find your arrogance absolutely astounding.
0:45:57 > 0:46:00And how you managed to win that Doctor Of The Year award
0:46:00 > 0:46:01defies belief.
0:46:05 > 0:46:08So, I don't want to see, hear or speak to you for the rest of the day
0:46:08 > 0:46:11until I've decided what to do about your behaviour.
0:46:11 > 0:46:13Is that understood?
0:46:29 > 0:46:32They've gone up.
0:46:32 > 0:46:34Jac, I really think you should be there...
0:46:57 > 0:47:00We, um, couldn't get hold of your brother, I'm afraid.
0:47:04 > 0:47:08I did manage to speak to someone from your unit, though.
0:47:10 > 0:47:13You don't really work for them, do you?
0:47:13 > 0:47:16No... I do...
0:47:18 > 0:47:21We know that you're not Danny Lewis.
0:47:24 > 0:47:27OK, look. I'm not angry.
0:47:27 > 0:47:29I just really, really want to help you, so...
0:47:32 > 0:47:34Danny Lewis was a hero.
0:47:41 > 0:47:43My brother was in that fire.
0:47:47 > 0:47:49Danny Lewis tried to save him.
0:47:52 > 0:47:57But the roof collapsed before he could get him out.
0:47:57 > 0:47:59And they both died.
0:48:03 > 0:48:06I thought maybe if... if I became a fireman...
0:48:08 > 0:48:11I could make their deaths mean something.
0:48:11 > 0:48:13Of course.
0:48:15 > 0:48:18I've gone through the recruitment process,
0:48:18 > 0:48:20like, eight, or nine times now.
0:48:24 > 0:48:26Right, you're not actually...
0:48:28 > 0:48:30So you were going out on your own?
0:48:30 > 0:48:34Just for the practice. I never put anyone at risk.
0:48:34 > 0:48:36Except yourself.
0:48:37 > 0:48:40Don't report me. Please.
0:48:40 > 0:48:42If the police get involved,
0:48:42 > 0:48:44- I won't stand a chance. - Danny, I'm not going to...
0:48:47 > 0:48:49It's Ben.
0:48:49 > 0:48:53Ben. OK...
0:49:01 > 0:49:02OK, um...
0:49:05 > 0:49:08When we operated...Ben,
0:49:08 > 0:49:13we found something called Crohn's disease.
0:49:15 > 0:49:16OK, it's an inflammatory condition,
0:49:16 > 0:49:19it can affect the whole of the digestive system.
0:49:20 > 0:49:27And, um, we had to remove a large section of your...bowel.
0:49:28 > 0:49:30Because of that,
0:49:30 > 0:49:34er, we had to fit a stoma....
0:49:34 > 0:49:37- What?- (It's a bag, it...)
0:49:46 > 0:49:48HE SOBS
0:49:50 > 0:49:54- What?!- OK, OK. It's a lot to take on, let's just, um...
0:49:54 > 0:49:58But I can still work, right?
0:49:58 > 0:50:01Right, yes. OK, yeah.
0:50:01 > 0:50:04Look, right, most people with Crohn's disease
0:50:04 > 0:50:06live a perfectly normal life, just...
0:50:06 > 0:50:07No...
0:50:09 > 0:50:10I mean as a fireman.
0:50:15 > 0:50:17It's, erm...
0:50:17 > 0:50:20The severity of your condition, you can't...
0:50:20 > 0:50:22you're not going to pass the medical.
0:50:22 > 0:50:24No...
0:50:25 > 0:50:28I am so sorry, Ben, OK?
0:50:28 > 0:50:29You know...
0:50:31 > 0:50:34I'm going to do everything I can to help you, yeah?
0:50:37 > 0:50:39Thank you, thank you.
0:50:44 > 0:50:48- Jac...- I haven't changed my mind.
0:50:48 > 0:50:49OK, right.
0:50:49 > 0:50:51We were hoping you were coming to join us.
0:50:51 > 0:50:54I'm not joining you because there's nothing to join.
0:50:54 > 0:50:57Well, obviously I didn't make myself clear enough earlier.
0:50:57 > 0:51:00This christening is going ahead, whether you like it or not.
0:51:00 > 0:51:03If this is you asserting yourself, it's pretty pathetic.
0:51:03 > 0:51:06Oh, I think it's quite encouraging, really.
0:51:06 > 0:51:09And perhaps I wouldn't have to assert myself
0:51:09 > 0:51:13if my Baby Mamma would just acknowledge the fact that
0:51:13 > 0:51:16I have as much say over our daughter as she does.
0:51:16 > 0:51:19Did you actually just use the term Baby Mamma?
0:51:19 > 0:51:21Well, you're no Virgin Mary, Jac.
0:51:21 > 0:51:24And Emma is OUR daughter.
0:51:24 > 0:51:26- Not just yours.- Oh, don't remind me.
0:51:26 > 0:51:28The unfortunate reality of Emma's creation is something
0:51:28 > 0:51:32- I have to live with for the rest of my life.- As do I!
0:51:32 > 0:51:34Is this going to carry on much longer?
0:51:34 > 0:51:37If so, perhaps I could trouble you for some popcorn?
0:51:37 > 0:51:39You know what, Jac, you know what?
0:51:39 > 0:51:41You DO have to live with it for the rest of your life
0:51:41 > 0:51:44because I'm not going anywhere.
0:51:44 > 0:51:47Emma is my daughter. I'm her dad.
0:51:47 > 0:51:51So you might as well just let me in. Let me help.
0:51:51 > 0:51:55With choosing nannies and schools and putting up furniture.
0:51:55 > 0:51:58So you're getting my daughter christened without my permission
0:51:58 > 0:52:01- because I didn't ask you to put up some flat-pack furniture?- No!
0:52:01 > 0:52:03I am getting Emma christened
0:52:03 > 0:52:06because I want to celebrate the fact that she's in our lives at all.
0:52:06 > 0:52:08Don't you think I want that as well?
0:52:08 > 0:52:10Then why are you trying to stop this?
0:52:10 > 0:52:12Because if we're going to do this, let's do it properly.
0:52:12 > 0:52:16Not in some two-bit, made-up, last-minute excuse for a ceremony.
0:52:16 > 0:52:18I can fit you in next week.
0:52:18 > 0:52:19Fine.
0:52:19 > 0:52:21Fine.
0:52:49 > 0:52:53It was really exciting being able to assist you in surgery earlier.
0:52:53 > 0:52:56If the opportunity ever arises, I'd love to help out again.
0:52:56 > 0:52:59Sorry, Dom, do you know where Dr Digby is?
0:52:59 > 0:53:02- No.- I really need to find him.
0:53:21 > 0:53:22Yours, I believe.
0:53:26 > 0:53:28I feel like such a fraud.
0:53:30 > 0:53:32I didn't handle things very well today, did I?
0:53:32 > 0:53:34No. No, you didn't.
0:53:35 > 0:53:40I just want to...to prove that I can be worthy of that,
0:53:40 > 0:53:42that I can be decisive, I can be a leader.
0:53:42 > 0:53:46- Ignoring my instructions wasn't the best way of doing that.- No. No.
0:53:54 > 0:53:57It may feel like it sometimes, but what we do here,
0:53:57 > 0:53:59it's not a competition.
0:53:59 > 0:54:00Tell that to Dr Copeland. I don't...
0:54:00 > 0:54:03He's young, he's ambitious. He'll settle down.
0:54:06 > 0:54:09Mr Hanssen and Malick really believed in me.
0:54:09 > 0:54:12I just feel like I've got to not let THEM down...
0:54:13 > 0:54:14You won't.
0:54:14 > 0:54:18I should never have dismissed your approach. I'm so sorry.
0:54:18 > 0:54:20My approach might not speak to you the same way Malick's did,
0:54:20 > 0:54:23but that doesn't necessarily mean it was any less valid.
0:54:23 > 0:54:26- And I realise that now...- We all have to be true to ourselves,
0:54:26 > 0:54:28play to our different strengths.
0:54:29 > 0:54:32I probably should've been a military historian, then.
0:54:32 > 0:54:34Or a monk.
0:54:34 > 0:54:38We all doubt ourselves sometimes, otherwise we wouldn't be human.
0:54:41 > 0:54:44I suggest you go home, OK? Get some rest
0:54:44 > 0:54:48- and then come back tomorrow raring to go.- What about the quiz?
0:54:48 > 0:54:50You're a year ahead - I can cut you some slack.
0:54:50 > 0:54:51But just this once.
0:55:11 > 0:55:14Dr Tressler, do we no longer knock before entering a room?
0:55:14 > 0:55:16Sorry.
0:55:16 > 0:55:20And I am sorry about my father.
0:55:20 > 0:55:22- He's an idiot.- Yeah.
0:55:22 > 0:55:26Why do I always allow myself to get hooked by untrustworthy men?
0:55:26 > 0:55:30- I did try to warn you. - People always do.
0:55:31 > 0:55:35You know, there's not much that being a Tressler has taught me,
0:55:35 > 0:55:38- apart from an in-depth knowledge of the FTSE 100 index.- Naturally.
0:55:38 > 0:55:43But one thing the old man did drill into me was...
0:55:43 > 0:55:45business is never personal.
0:55:45 > 0:55:47There's no room for emotion.
0:55:47 > 0:55:49You know, if things don't go your way,
0:55:49 > 0:55:52you just pick yourself up and you start over.
0:55:52 > 0:55:54Story of my life.
0:55:56 > 0:56:00Tell me something. And I want you to be honest.
0:56:02 > 0:56:06Would you say...I'm a team player?
0:56:08 > 0:56:11Yes. Absolutely.
0:56:11 > 0:56:18But I suppose... Well, if the team was a choir...
0:56:18 > 0:56:20you would definitely be one of the soloists.
0:56:20 > 0:56:22And I mean that as a compliment.
0:56:24 > 0:56:27- Night.- Good night, Harry.
0:56:40 > 0:56:44OK. Let's start with gallstones.
0:56:44 > 0:56:45DOOR OPENS
0:56:50 > 0:56:53The first condition - gallstones.
0:56:54 > 0:56:57Second condition - hernia, uncomplicated.
0:56:59 > 0:57:02Third condition - hernia, complicated.
0:57:02 > 0:57:06Fourth condition - acute pancreatitis.
0:57:07 > 0:57:10Fifth condition - Crohn's disease.
0:57:10 > 0:57:12KNOCK AT DOOR Come in.
0:57:17 > 0:57:19Come for round two?
0:57:19 > 0:57:20Not exactly.
0:57:20 > 0:57:23The heels are back on. You must mean business.
0:57:23 > 0:57:27Yeah, I'd just like to say, if you still want me
0:57:27 > 0:57:31to front the Tressler Foundation, I'd be very happy to accept.
0:57:34 > 0:57:35Deal.
0:57:39 > 0:57:42And you can take those off now. I'm feeling vertically challenged.
0:57:42 > 0:57:45My pleasure. They're killing me.