0:00:39 > 0:00:40Well, that's it, then.
0:00:40 > 0:00:43The Tressler Foundation will support neurosurgery.
0:00:43 > 0:00:45Look, I know what you're thinking.
0:00:45 > 0:00:47If only Jac had a big, fat maternal streak like Bovine Bonnie.
0:00:47 > 0:00:52- You're not going to shut me out, Jac.- I don't know who you think you are coming in here...- Your new boss.
0:00:52 > 0:00:54You are never to perform CPR on my watch again
0:00:54 > 0:00:56until I've personally retrained you.
0:00:56 > 0:01:00I don't want to be a surgeon. I don't want to be anything like you.
0:01:00 > 0:01:01I am getting Emma christened
0:01:01 > 0:01:06- because I want to celebrate the fact that she's in our life at all. - Don't you think I want that as well?
0:01:06 > 0:01:08- I can fit you in next week.- Fine.
0:01:11 > 0:01:13Look at him. He's loving this.
0:01:13 > 0:01:16- And you wouldn't? - Fair play to the man.
0:01:16 > 0:01:19He did write an award-winning paper on the future of resus medicine.
0:01:19 > 0:01:23Yeah, but it doesn't mean he has to relish the attention
0:01:23 > 0:01:24in such a narcissistic -
0:01:24 > 0:01:26"Ooh, love me!" - kind of way, does it?
0:01:26 > 0:01:28He'll be here all day,
0:01:28 > 0:01:30sucking up the glory... You'll see.
0:01:30 > 0:01:32Right. I think that's enough! I'm sure we've all got
0:01:32 > 0:01:35more important things to be getting on with.
0:01:35 > 0:01:37Oh, no... Hey... What about my team?
0:01:37 > 0:01:39You've got to get a shot of the whole A team.
0:01:39 > 0:01:41The man who makes it all possible.
0:01:41 > 0:01:44Oh, no... The man who wrote the paper.
0:01:44 > 0:01:48Mary-Claire... Come on! You've got to be in this.
0:01:48 > 0:01:50Shut the front door! Move.
0:01:50 > 0:01:54We need some glamour...
0:01:54 > 0:01:56And Adele. Come on.
0:01:56 > 0:01:58We can't have a shot of the whole AAU Resus Team
0:01:58 > 0:02:00without our favourite HCA.
0:02:02 > 0:02:05That's it. Big smiles.
0:02:20 > 0:02:22DOOR HANDLE RATTLES
0:02:22 > 0:02:23Who is it? Go away!
0:02:23 > 0:02:27The name's Bond...James Bond... Why is this door locked?
0:02:28 > 0:02:31What are you doing with...
0:02:31 > 0:02:36Oh. My. Wow! You look lovely.
0:02:39 > 0:02:42- Thank you.- For what?
0:02:42 > 0:02:45For making an effort. I was a wee bit worried,
0:02:45 > 0:02:49cos I know I'd pushed for this christening, and you were a bit...
0:02:49 > 0:02:51- Nonplussed.- I'd say more...
0:02:51 > 0:02:54just lacking in any kind of enthusiasm whatsoever.
0:02:54 > 0:02:57I was worried you might turn up in bloody scrubs
0:02:57 > 0:02:58with a crabbit look on your face.
0:02:59 > 0:03:02It's my only daughter's christening. Her big day.
0:03:02 > 0:03:04Her moment to be recognised
0:03:04 > 0:03:08in the eyes of some cloud-dwelling fantasy figure with a flowing beard
0:03:08 > 0:03:10and the first-ever God-complex.
0:03:10 > 0:03:14Well, at least you're not cynical about it, right?
0:03:14 > 0:03:17These are £300 four-inch shoes...
0:03:17 > 0:03:24- There is nothing cynical about these.- Oh, your theatre list.
0:03:24 > 0:03:27- I've kept it particularly light today.- Whoopdee-doo.
0:03:27 > 0:03:32- So there's no chance of you running over...or being late?- Never.
0:03:32 > 0:03:37So, 2.30 at the chapel of the fantasy beard. Be there.
0:03:37 > 0:03:39And bring my daughter...
0:03:41 > 0:03:44- It's all about specialisms.- Uh-huh.
0:03:44 > 0:03:49- It's narrow-mindedness, really. The easy option.- Here, open that for me.
0:03:49 > 0:03:52You know, doctors like him, they specialise and specialise,
0:03:52 > 0:03:55and in the end, there's only one thing they're any good at.
0:03:55 > 0:03:57Oh, like becoming world-beaters in their chosen field.
0:03:57 > 0:04:00Well, that's one way to look at it. If you ask me,
0:04:00 > 0:04:03it's short-sighted elitism. You know, a good doctor...
0:04:03 > 0:04:06- Pays attention to what he's doing. - ..has a broad palette.
0:04:06 > 0:04:08Straddles a wide church.
0:04:08 > 0:04:09Or are you just saying that
0:04:09 > 0:04:11because you have no idea what your specialism is?
0:04:11 > 0:04:17- Absolutely not.- So?- Specialism? What?- What's your specialism?
0:04:17 > 0:04:21If you could choose to be expert in any medical discipline. Right here.
0:04:21 > 0:04:26- Right now. What would it be? Tell me.- Later.- You don't have a clue...
0:04:26 > 0:04:30Dr Henry Tressler, clueless? Surely not.
0:04:40 > 0:04:41What's the matter with you?
0:04:41 > 0:04:44- Look like someone's run over your puppy...again.- I, um...
0:04:44 > 0:04:47It's too soon, isn't it? Too close to the bone? I'm sorry.
0:04:47 > 0:04:51- Jac. I've done something terrible. - Good.- I couldn't help myself.
0:04:51 > 0:04:53Not a defence I'd use in court.
0:04:53 > 0:04:56I agreed to something which I shouldn't have agreed to, but...
0:04:56 > 0:04:59- I just couldn't say no.- Again,
0:04:59 > 0:05:02- not going to stand up in front of a judge.- Jac, I am so sorry.
0:05:02 > 0:05:04I won't be able to attend Emma's christening today.
0:05:04 > 0:05:07- I really, really want to, but... - Is that all?
0:05:07 > 0:05:10Look, some woman with a collar on back-to-front is going to mumble
0:05:10 > 0:05:12some gibberish and splash some water...
0:05:12 > 0:05:14I put a line through my diary.
0:05:14 > 0:05:17A line through the middle of the day.
0:05:17 > 0:05:19- Theatre list closed. But...- What?
0:05:26 > 0:05:31Unruptured congenital aneurysm of the left sinus of valsalva.
0:05:31 > 0:05:33Left sinus?!
0:05:33 > 0:05:35Left.
0:05:35 > 0:05:39- No way!- I know!- Left?!- I know.
0:05:39 > 0:05:41- Have you ever seen that before? - Once.
0:05:41 > 0:05:44And you've been cutting up hearts for how long?
0:05:44 > 0:05:48- Oh, about 100 years now. - Today of all days.
0:05:48 > 0:05:50I know. I'm so sorry.
0:05:50 > 0:05:54- But...- Right coronary sinus, that counts for what...75%?- 70.
0:05:56 > 0:06:01- Non-coronary?- 29%. - Which leaves?
0:06:01 > 0:06:05- 1% left coronary sinus. - Wow.
0:06:07 > 0:06:08So, in heart surgeon's terms,
0:06:08 > 0:06:10this is...as rare as rocking-horse...
0:06:10 > 0:06:14- No.- No?- No.- No. - Don't even think about it, Jac.
0:06:14 > 0:06:16No, no, no, no, no. I am way ahead of you, Gandalf.
0:06:16 > 0:06:17I'm out the other side.
0:06:17 > 0:06:21I'm wearing the T-shirt. I'm writing the paper. We're getting the glory.
0:06:21 > 0:06:23No, I am not going to let you do it.
0:06:23 > 0:06:26- What if we get delayed?- You have just said that you really, truly,
0:06:26 > 0:06:29- absolutely want to be at my baby's christening.- Yes. Of course, but...
0:06:29 > 0:06:31But you have to stay and you have to operate
0:06:31 > 0:06:33on the rarest heart condition Holby has seen
0:06:33 > 0:06:37- since Roman times. - No. No.
0:06:37 > 0:06:40Look, it's going to take me at least five hours to...
0:06:40 > 0:06:41Not if there's two of us.
0:06:43 > 0:06:44Hi, Jonny.
0:06:45 > 0:06:48Right, moving swiftly on. We have bed eight, Mrs Hillary Whithers,
0:06:48 > 0:06:50who has an un ulcer on her leg.
0:06:50 > 0:06:54- Hi, Hillary.- Leg ulcer. - Yeah, that's an awful lot of pus.
0:06:54 > 0:06:56I'm not the only doctor Ric could give this to.
0:06:56 > 0:07:00- Probably want to perform an incision and drainage.- Nice.
0:07:00 > 0:07:01Then bed seven...
0:07:01 > 0:07:05we have Mr Ridout, who has a possible abdominoperineal excision.
0:07:05 > 0:07:08Oh, sorry! Ric said that should be Mr Di Lucca.
0:07:08 > 0:07:10No, that sounds interesting.
0:07:10 > 0:07:15- No. That's Raf's.- What...no... just because...- So, bed one.
0:07:15 > 0:07:19This is more like your remit, Dr Tressler. Ms Annie Hinkley.
0:07:19 > 0:07:22- Hi, Annie.- Annie had an accident this morning, with a fridge.
0:07:22 > 0:07:26- Freezer compartment, actually. - Sorry. Freezer compartment.
0:07:26 > 0:07:31- Stood up too quick.- Right... So you banged your head on the freezer door.
0:07:31 > 0:07:33I left it open when I got the ice cream.
0:07:33 > 0:07:36Occipital laceration, no loss of consciousness. What were you doing
0:07:36 > 0:07:39- when you stood up and banged your head?- Eating.
0:07:40 > 0:07:44- So, when you banged your head, you were eating?- On my knees.
0:07:45 > 0:07:50- Why?- I have a problem. - What, with your freezer?
0:07:51 > 0:07:53With...food.
0:07:55 > 0:07:59You were in the peacock position? The Feathered Peacock Pose.
0:07:59 > 0:08:02Javier was applying gentle pressure to my thighs.
0:08:02 > 0:08:06- WOMAN GIGGLES - Shut up!- Sorry.- And...
0:08:06 > 0:08:11- And I felt a hand grip my heart. - A hand?- And I passed out.
0:08:13 > 0:08:17- She has clammy extremities. - Echo shows the ruptured sinus.
0:08:19 > 0:08:22- Severely distended neck veins. - Muffled heart sounds.
0:08:24 > 0:08:26What you have is extremely rare.
0:08:26 > 0:08:29- I am an indigo child. - Oh, no, here we go.
0:08:29 > 0:08:31- Envy.- "Indigo child"?
0:08:31 > 0:08:35- Are you aware of other people's auras, Professor Hope?- Well...
0:08:35 > 0:08:36When some children are born,
0:08:36 > 0:08:40they have an indigo aura that radiates around them.
0:08:40 > 0:08:43- The indigo child is a special child. - I blame our mother.
0:08:43 > 0:08:45She filled Tilly's head with this...
0:08:45 > 0:08:47We come into this world with an innate sense of belonging.
0:08:47 > 0:08:49Some believe we are a next step
0:08:49 > 0:08:52on the mental and spiritual spectrum of human evolution.
0:08:52 > 0:08:54You...you're an indigo?
0:08:54 > 0:08:56So, you see, it really doesn't surprise me
0:08:56 > 0:09:00that my condition is very, very rare.
0:09:01 > 0:09:08- So, what's occurring?- Oh, you know, same old story. Sick patients.
0:09:08 > 0:09:11- Needy students.- Happy days.
0:09:11 > 0:09:14- Out-of-date yoghurt. - I quite like it.
0:09:15 > 0:09:20And I am Emma's godfather at the christening. So me...half shift.
0:09:20 > 0:09:23- I'll be in charge without you? - Think you can handle the pressure?
0:09:23 > 0:09:25Got any more yoghurt? KNOCK ON DOOR
0:09:25 > 0:09:30- Yep. - ED just sent a patient.
0:09:30 > 0:09:33Temperature is 38 degrees, severe constipation.
0:09:33 > 0:09:36The throbbing pain in his rectum... is "unbearable".
0:09:36 > 0:09:39Throbbing rectum...she's in charge.
0:09:40 > 0:09:43Right... Jolly good.
0:09:43 > 0:09:47- I wonder what Guy's up to today? - Did I mention vomiting?
0:09:48 > 0:09:51I think I'll pass on the second yoghurt.
0:09:51 > 0:09:56- So, my first shift in the company of the chief's daughter.- Dr Zosia March.
0:09:57 > 0:10:01- Married?- No.- So... "March"?- Mother's maiden name.
0:10:01 > 0:10:04Why not "Self" like your father? Professional reasons?
0:10:04 > 0:10:07With all due respect, Ms Campbell, is it any of your business?
0:10:08 > 0:10:12Absolutely none. I was just, you know shooting the...
0:10:12 > 0:10:14- Ah.- We have a plaque.
0:10:14 > 0:10:16Well, I wonder why I wasn't told this was going up.
0:10:16 > 0:10:19Tressler, Harry Tressler's father...
0:10:19 > 0:10:21Yes, I know who Mr Tressler Senior is.
0:10:21 > 0:10:23Your father sequestered that generous donation
0:10:23 > 0:10:26and has now apparently sidelined me.
0:10:26 > 0:10:30Get used to it. This is Anthony Dransfield, 47,
0:10:30 > 0:10:34- works as a stonemason.- He's been in severe pain for a few days
0:10:34 > 0:10:38- and feverish for about a week. - Pains in your bottom, I believe?
0:10:38 > 0:10:43What's an F1? Apart from a racing car. He says he's an F1.
0:10:43 > 0:10:46- First year Hospital Foundation Training.- First year! So...
0:10:46 > 0:10:50get an F1 and it's like being treated by an apprentice?
0:10:50 > 0:10:52I've studied medicine for seven years.
0:10:52 > 0:10:56And I've been spotting trains for 30 years. Don't mean I could drive one.
0:10:56 > 0:10:59- I'm not sure that's very helpful. - I'm not being funny, lad,
0:10:59 > 0:11:00but are you a pooftah?
0:11:02 > 0:11:03Now, resus medicine
0:11:03 > 0:11:06is one of the least explored frontiers in modern medicine.
0:11:06 > 0:11:09Great advances have been made abroad, whilst in the UK,
0:11:09 > 0:11:11they just seem to have trodden water for decades.
0:11:11 > 0:11:14Look, I hope you don't mind, but I've got to get back to work.
0:11:14 > 0:11:16I look forward to seeing it. Cheers.
0:11:22 > 0:11:26Raf. I know there was a little bit of getting off on the wrong foot
0:11:26 > 0:11:27between you and me.
0:11:27 > 0:11:31- But I was wondering...- It wouldn't be a good fit.- What?- You.
0:11:31 > 0:11:34- Sorry?- On my team. For resus and ECMO.
0:11:34 > 0:11:37Oh, no, no, I wasn't, I didn't...
0:11:37 > 0:11:39I'm sorry. Is that not what you were going to ask?
0:11:39 > 0:11:46What, if I could join your team? Oh, no. No. Erm... Well, yes.
0:11:46 > 0:11:52- Actually.- OK. - "OK"... OK, I can join?- No.
0:11:52 > 0:11:56- OK - that is what you were going to ask.- It's a no-brainer, surely?
0:11:56 > 0:12:00- Look, I don't think you'd be a good fit.- You don't mean that. Come on.
0:12:00 > 0:12:05- I would seriously dedicate... - Why resus?- Why?- Why resus? Why now?
0:12:05 > 0:12:09- Why you?- Because...
0:12:09 > 0:12:13Resus medicine is one of the least explored frontiers
0:12:13 > 0:12:15of everyday medicine.
0:12:15 > 0:12:18And great advances have been made abroad, whilst the UK...
0:12:18 > 0:12:21- "Has just trodden water for decades..."- Yeah.
0:12:21 > 0:12:24You just listened to my interview and quoted back what I said.
0:12:24 > 0:12:26Oh, no, no, no, no. That's... what I believe...
0:12:26 > 0:12:29- You just summed up what... - It's not happening.
0:12:29 > 0:12:32I'm sure you could be a good doctor, Harry.
0:12:32 > 0:12:35When you make an effort, you can charm the birds out of the trees.
0:12:35 > 0:12:37I like to think I've got a warm bedside manner, yeah.
0:12:37 > 0:12:40- But you have no passion. - I do.- No hunger.
0:12:40 > 0:12:43- I...look...- I need hungry, dedicated doctors,
0:12:43 > 0:12:45with passion who want to change lives.
0:12:45 > 0:12:48Who know what they want to specialise in.
0:12:48 > 0:12:50- I want to specialise.- In what?
0:12:51 > 0:12:54- In...uh... - You hesitated.- What?- You hesitated.
0:12:54 > 0:12:56You're not speaking from the heart.
0:12:56 > 0:12:59You're trying to second guess. That is not passion.
0:13:01 > 0:13:05- You can't speak to people like that. - Can't I? Why not?
0:13:06 > 0:13:09It's rude and intrusive.
0:13:09 > 0:13:12He had his hand down me shirt, squeezing me belly.
0:13:12 > 0:13:15- What are you insinuating? - I'm not insinuating nothing.
0:13:15 > 0:13:17Not saying he was copping a feel.
0:13:17 > 0:13:19Sure he's got nicer bodies than mine to squeeze.
0:13:19 > 0:13:22- Just wanted to establish a fact. - Why?
0:13:22 > 0:13:24Just like to know who I'm dealing with, is all.
0:13:24 > 0:13:26- Will it make a difference? - Probably not.
0:13:26 > 0:13:28No, Dr Copeland's sexuality
0:13:28 > 0:13:31has no bearing on his professional abilities whatsoever.
0:13:31 > 0:13:36- Never said it did.- So why ask? - I work on a building site.
0:13:36 > 0:13:42I don't meet a lot of pooft... homosexuals. Just checking.
0:13:42 > 0:13:44Human nature.
0:13:44 > 0:13:48- Right, a few questions, Mr Dransfield.- Anthony's fine.
0:13:48 > 0:13:50Or Tony. Whatever suits.
0:13:50 > 0:13:52When was the last time you had a bowel movement?
0:13:52 > 0:13:56- Don't know.- Roughly.- Long time.
0:13:56 > 0:14:00- It's agony down there.- How long? - Ages.
0:14:00 > 0:14:03- A week?- Least a week. Maybe two.
0:14:06 > 0:14:10After we've opened up the aorta, the aneurysm is pulled inside
0:14:10 > 0:14:16and excised at the base, and then we patch the aortic wall.
0:14:17 > 0:14:21You two have such contrasting auras. Couldn't be more different.
0:14:21 > 0:14:22Pay attention, Tilly.
0:14:22 > 0:14:24They are talking about cutting into your heart.
0:14:24 > 0:14:29- Yours is very warm, golden, biscuity hues...- Long story short.
0:14:29 > 0:14:34Heart-lung machine. Stop heart. Open aorta. Patch it. Close up. Restart.
0:14:34 > 0:14:37- Whereas yours is...- Important note -
0:14:37 > 0:14:40- at any time during this procedure, you could die.- No.
0:14:40 > 0:14:44- Will you stop with all the hippy stuff and just listen?- No.
0:14:44 > 0:14:48- I won't die.- We appreciate your confidence.- It's not my time.
0:14:48 > 0:14:53- Glad to hear it. Hold that thought. - Little observation...
0:14:53 > 0:14:57never have children. Your aura is not a good maternal aura.
0:14:57 > 0:15:00- How could you be so rude?! - Miss Fawin, I've...
0:15:00 > 0:15:04Hello. Um... What's going on here? Professor Hope?
0:15:05 > 0:15:07Ms Naylor?
0:15:07 > 0:15:09Aneurysm of the left sinus of valsalva.
0:15:09 > 0:15:12Part of the Hobbit trilogy?
0:15:12 > 0:15:13Ha-ha.
0:15:13 > 0:15:15You know, I really don't think
0:15:15 > 0:15:17that this was on your theatre list today, Ms Naylor.
0:15:17 > 0:15:21In fact, as I recall, we kept your theatre list
0:15:21 > 0:15:24- pretty simple today on account of... - Yes, thank you, Nurse.
0:15:25 > 0:15:29- May I have a wee word, Ms Naylor? - No.- Professor Hope?
0:15:29 > 0:15:32- Well, look...um...- No!
0:15:35 > 0:15:38Right, my office. Now.
0:15:39 > 0:15:41Excuse me.
0:15:42 > 0:15:44OK, any idea how you got this?
0:15:44 > 0:15:48- Had warts.- Yep.- Tried popping them with my fingernail.
0:15:48 > 0:15:50But wouldn't pop.
0:15:50 > 0:15:54- Yeah, warts don't usually pop.- So I scrubbed them with bath cleaner.
0:15:54 > 0:15:57- You scrubbed them?- And wrapped them in clingfilm.
0:15:57 > 0:15:58- Clingfilm?- For a month.
0:16:00 > 0:16:04- Why in heaven's name... - I didn't have no bandage.
0:16:04 > 0:16:05When took clingfilm off...
0:16:06 > 0:16:09..smells like silage.
0:16:09 > 0:16:10So here I am.
0:16:12 > 0:16:14Right. OK. Very good.
0:16:14 > 0:16:17- Thank you, carry on, Nurse. - Is that supposed to be funny?
0:16:21 > 0:16:22Doctor...
0:16:22 > 0:16:27Doctor. I need to cancel my operation for this afternoon.
0:16:27 > 0:16:30We didn't say anything about an operation. It's just a few staples.
0:16:30 > 0:16:32- An X-ray.- Gastric band fitting. - I'm sorry?
0:16:32 > 0:16:34I have a gastric band procedure booked with
0:16:34 > 0:16:37Sally Downing on the bariatric ward this afternoon.
0:16:37 > 0:16:39THE Ms Downing?
0:16:39 > 0:16:43Well, as far as bariatric surgeons go, she is the best.
0:16:43 > 0:16:46She is the best. Sally said she'd change my life.
0:16:46 > 0:16:52- Totally transform me.- Weight-loss surgery. Transformative medicine.
0:16:52 > 0:16:55It's a big growth area now, humans get so fat.
0:16:56 > 0:16:59- But I can't go.- Why not?
0:17:00 > 0:17:05- Because I didn't keep to my pre-op diet.- Right. OK.
0:17:05 > 0:17:10- So, can I ring her to cancel? - Not just yet.
0:17:10 > 0:17:13Elliot wouldn't be able to make the christening.
0:17:13 > 0:17:15He'd be stuck in theatre all day.
0:17:15 > 0:17:18Well, with all due respect to Professor Hope...
0:17:18 > 0:17:19Look, if I assist,
0:17:19 > 0:17:23the both of us, we could be done and dusted by lunchtime.
0:17:24 > 0:17:28And I know that Mo's not coming, because she's in quarantine.
0:17:28 > 0:17:32Well, your sympathy for her nephew's chickenpox is duly noted.
0:17:32 > 0:17:35However, and I say this with all due respect,
0:17:35 > 0:17:37as lovely as it'd be to have you there,
0:17:37 > 0:17:40you're not quite such a principal player as the baby's mother.
0:17:40 > 0:17:45- No. I completely understand.- Who has to be there. On time. 2.30.
0:17:45 > 0:17:47Because we've booked the vicar.
0:17:47 > 0:17:50Because Emma's ICU treatment schedule has been planned.
0:17:50 > 0:17:53Because we've sent out all the invitations to the guests...
0:17:53 > 0:17:55We will be there.
0:17:55 > 0:17:57On time. Both of us.
0:17:57 > 0:17:59How on earth could you even risk this?
0:17:59 > 0:18:02This is the rarest heart procedure
0:18:02 > 0:18:05Darwin has seen in well over a decade.
0:18:05 > 0:18:07It is rare.
0:18:07 > 0:18:10It's so rare, they don't even have a name for the surgery
0:18:10 > 0:18:11we're about to perform.
0:18:11 > 0:18:15So, in other words, it's all about work.
0:18:15 > 0:18:17And actually nothing to do with making sure
0:18:17 > 0:18:20that Professor Hope can attend Emma's christening.
0:18:20 > 0:18:22Are you saying you don't want Elliot there?
0:18:22 > 0:18:25- No, Jac. That's not what I'm saying. - That's what it sounds like.
0:18:25 > 0:18:27Yeah, well, you're twisting my words.
0:18:27 > 0:18:30Look, I promise, hand on heart, I will not be late.
0:18:47 > 0:18:50- Bariatric surgery.- What about it?
0:18:50 > 0:18:54- As a specialism.- Uh-huh. - If I was to be asked,
0:18:54 > 0:18:58hypothetically, what kind of surgery I'd most like to do,
0:18:58 > 0:19:00what sort of case I'd most like to see
0:19:00 > 0:19:02- wheeled in through those doors... - Right. Good.
0:19:02 > 0:19:07- Good?- Yes. - Bariatric weight-loss surgery.
0:19:07 > 0:19:10- I mean, it is life-changing. - Certainly is.
0:19:15 > 0:19:17- Mrs Whithers' ulcer.- La-la-la-lah.
0:19:17 > 0:19:20- Not listening.- I think you should take another look at it.
0:19:20 > 0:19:24Dress it. IV antibiotics. Bump her or discharge her.
0:19:24 > 0:19:25I have bigger fish to fry.
0:19:25 > 0:19:28I just...I just don't like the way it's looking at the minute.
0:19:28 > 0:19:33- You nurse. Me doctor. How many times? - You're a clem. Do you know that?
0:19:33 > 0:19:36I can't believe I'm asking this, but what is a "clem"?
0:19:36 > 0:19:38Exactly what it sounds like.
0:19:38 > 0:19:40Look, if you're so worried go and ask Dr Time Magazine.
0:19:40 > 0:19:42See how he likes a leg ulcer.
0:19:48 > 0:19:52Hello, there. Yes, hello. Is that Ms Sally Downing? Hi, there.
0:19:52 > 0:19:56It's Dr Harry Tressler here. Hello. Sorry to bother you.
0:19:56 > 0:19:58Yeah, it's just a quick thing, actually,
0:19:58 > 0:20:00about one of your patients...
0:20:09 > 0:20:12I wasn't the dad I could have been.
0:20:12 > 0:20:13OK.
0:20:15 > 0:20:19- Great surgeon, though... back in your day.- This is my day.
0:20:19 > 0:20:23- When you've got me to help you. - Jac, I just...
0:20:23 > 0:20:27- I don't want you...- To make the same mistakes that you did?- Yes.
0:20:27 > 0:20:31Everything you do, or don't do, affects who you are to her.
0:20:31 > 0:20:34- And who were you?- To my Martha...
0:20:36 > 0:20:43- ..I was a set of headlights on her bedroom ceiling.- Car headlights.
0:20:43 > 0:20:44Sounds very deep.
0:20:44 > 0:20:48I asked her once what she remembered of me, when she was little.
0:20:49 > 0:20:51She never saw me weekday nights.
0:20:51 > 0:20:54She'd be in bed whenever I eventually got home.
0:20:54 > 0:20:56Weekends, I was on call...
0:20:58 > 0:21:02And she'd see your headlights on the ceiling as she fell asleep.
0:21:03 > 0:21:07- That's all.- She had a dad. With a car.
0:21:09 > 0:21:10That's way more than I had.
0:21:16 > 0:21:21- "Tug"?- Like tug boat. "Chubs". "Porky". "Pork chop". "Blimpy".
0:21:22 > 0:21:24But "Tug"?
0:21:25 > 0:21:28- Every pretty girl needs a tugboat for a friend.- I don't get it.
0:21:29 > 0:21:33To clear the way. Tow her into a party. And make her look good.
0:21:34 > 0:21:40- That's cruel.- The fatter your mate, the thinner it makes you look.- Ouch!
0:21:40 > 0:21:43- Girls are vicious.- You don't think boys call me names too?
0:21:44 > 0:21:49Look, what if I was to tell you there still might be a chance
0:21:49 > 0:21:52that you could have your gastric band op today?
0:21:52 > 0:21:55No. I couldn't. It'd be wrong.
0:21:57 > 0:22:00I need to give you a rectal examination.
0:22:00 > 0:22:03- What's that?- I need to feel up inside your anus.- Jog on!
0:22:03 > 0:22:07You have lower abdominal pain and chronic constipation.
0:22:07 > 0:22:09The chances are, the problem will be rectal.
0:22:09 > 0:22:12- Inside?- I very much doubt the cause will be evident externally.
0:22:12 > 0:22:15I'm not sure about all this...
0:22:15 > 0:22:17What are you not sure about? The pain?
0:22:17 > 0:22:18No, I'm bloody sure about that.
0:22:18 > 0:22:22- You want the pain to go away? - What? I'm not here for the scenery.
0:22:22 > 0:22:24No disrespect intended.
0:22:24 > 0:22:28Well, you can either let us see what the problem is or you can go home.
0:22:28 > 0:22:33- Simple. And take the pain with you. - You from up north?- No.- Should be.
0:22:34 > 0:22:38- You calls a shovel when you sees it. - So..?
0:22:38 > 0:22:41- Who's doing the looking? - We are.
0:22:41 > 0:22:44- What, it takes both of you? - I'd like Dr March to observe.
0:22:46 > 0:22:48She was very clear...
0:22:48 > 0:22:52I had to stick to my diet. 950 calories a day.
0:22:52 > 0:22:56- So you bent the rules.- No sweets. No buns. No doughnuts.
0:22:56 > 0:22:57No ice cream.
0:22:58 > 0:23:03Hey. Hey, hey, hey, hey, hey. Come on. Don't beat yourself up.
0:23:03 > 0:23:08- We all make mistakes.- Sally was offering me a way out. I blew it.
0:23:08 > 0:23:12- Typical.- No sugar - that is pretty strict, actually.
0:23:12 > 0:23:17- I threw it back in her face.- You ate some ice cream.- Two litres.- OK.
0:23:17 > 0:23:20Well, you know, that's...
0:23:21 > 0:23:22Annie...
0:23:24 > 0:23:26Do you want to know how I see it?
0:23:26 > 0:23:30How I read what's happening here? I see...
0:23:31 > 0:23:36I see a beautiful woman who is trapped in a vicious cycle
0:23:36 > 0:23:38of depression and disappointment.
0:23:38 > 0:23:41- Beautiful?- A beautiful woman.
0:23:41 > 0:23:43Who can't see the beauty in herself any more.
0:23:43 > 0:23:46Who's lost sight of who she really is.
0:23:46 > 0:23:47Now, I am a doctor,
0:23:47 > 0:23:52who is passionate about helping to change people's lives...
0:23:52 > 0:23:55and with you, I feel I need to save you from yourself.
0:23:57 > 0:24:00Now, look. I've got to go and get some blood results,
0:24:00 > 0:24:02but I want you to really think about what I've said.
0:24:02 > 0:24:03Will you do that for me?
0:24:14 > 0:24:15I hate moaners.
0:24:15 > 0:24:19I see them all the time on telly, whining about what they haven't got.
0:24:19 > 0:24:21Everyone's entitled to their opinion, Hillary.
0:24:21 > 0:24:25Reckon Government owes them a living and a flat-screen TV.
0:24:25 > 0:24:28Don't start me. You haven't seen moaning till you've been sucking
0:24:28 > 0:24:30tequila slammers with a bunch of nurses.
0:24:30 > 0:24:31Ooh!
0:24:33 > 0:24:36I hate moaners.
0:24:36 > 0:24:42- But I'm going to have to moan.- Go on.- It hurts.
0:24:42 > 0:24:44Like it's got stuck in a flail-mower.
0:24:46 > 0:24:48Right. I'm not happy with the colour.
0:24:48 > 0:24:52Particularly these purple bits here. I'm going to get you a doctor.
0:24:55 > 0:24:57Ah, Mr Di Lucca, sorry to bother you,
0:24:57 > 0:24:59but could you take a look at this ulcer?
0:24:59 > 0:25:01She's Dr Tressler's patient, but...
0:25:01 > 0:25:04- He's gone walkabout?- Well, I'm sure it's something important.
0:25:04 > 0:25:06- No worries. Just give me five. - Thank you.
0:25:09 > 0:25:11The only way I see this working
0:25:11 > 0:25:15- is that you look while she stands guard.- Guard?!
0:25:15 > 0:25:17I don't want anyone walking in while she's shining her torch
0:25:17 > 0:25:18at me starfish.
0:25:18 > 0:25:21What exactly are you scared of?
0:25:21 > 0:25:25Have you ever had a beam shone up your jacksie?
0:25:25 > 0:25:27I have had gynaecological examinations.
0:25:27 > 0:25:31- I've no idea what that is. But I haven't.- Oh, come on, Anthony.
0:25:31 > 0:25:34I don't want someone walking in in the middle of it,
0:25:34 > 0:25:36asking for directions to the canteen.
0:25:38 > 0:25:39Go on. Right,
0:25:42 > 0:25:43I am going to insert
0:25:43 > 0:25:46a gloved and lubricated finger into your anus.
0:25:46 > 0:25:48Talking about it doesn't make it better.
0:25:48 > 0:25:50I'll swivel my finger through 180 degrees,
0:25:50 > 0:25:52feeling the inner walls of the rectum
0:25:52 > 0:25:53for abnormalities.
0:25:53 > 0:25:55Breathe out.
0:25:55 > 0:25:56HE BREATHES OUT
0:25:56 > 0:26:00- It's on the ground floor.- What is?
0:26:00 > 0:26:05- The canteen, should anyone ask. - For the love of Mike...
0:26:05 > 0:26:08it feels like you've just stuck a stingray up me hole.
0:26:09 > 0:26:11Potassium infusion running.
0:26:11 > 0:26:13OK. Stopping the heart in five...
0:26:14 > 0:26:16..four...
0:26:16 > 0:26:18..three...two...
0:26:19 > 0:26:20..one.
0:26:20 > 0:26:23MONITOR BEEPS
0:26:23 > 0:26:24Good.
0:26:24 > 0:26:26Suction.
0:26:26 > 0:26:29- Wonder what that does to your aura. - Stopping your heart?
0:26:29 > 0:26:33Well, it's got to mess with your inner chi vibrations a tad.
0:26:33 > 0:26:36- Do I detect cynicism?- Moi? No.
0:26:38 > 0:26:40Opening the aorta obliquely.
0:26:42 > 0:26:46So this is what the inside of an indigo child looks like.
0:26:46 > 0:26:47Red.
0:26:47 > 0:26:50Pretty much like the inside of every other human being
0:26:50 > 0:26:51I've ever seen.
0:26:51 > 0:26:54Imagine believing you're the next stage of mankind's evolution...
0:26:54 > 0:26:58I know every mother thinks their child is special, but...
0:26:59 > 0:27:03- Wow. Look at that aneurysm. - You beauty.
0:27:05 > 0:27:09The band is attached around the top portion of your stomach...
0:27:09 > 0:27:12and tightened, like a belt, to form a pouch,
0:27:12 > 0:27:15which acts like a much smaller stomach.
0:27:15 > 0:27:20But today, all I want you to do is to take away the literature. Read.
0:27:20 > 0:27:24- Discuss. And come back with any questions.- Thank you very much.
0:27:24 > 0:27:25Thank you very much. Bye-bye.
0:27:32 > 0:27:35Thanks so much for letting me sit in.
0:27:35 > 0:27:41- Well, I appreciate your help with Annie.- What you do is amazing.
0:27:41 > 0:27:43- We try.- You change lives.
0:27:44 > 0:27:49- I've always been fascinated by the surgical aspects.- Really?
0:27:49 > 0:27:51Yeah, I've heard quite a lot about it
0:27:51 > 0:27:53from my godfather, Christian Ovendon...
0:27:53 > 0:27:58- He's a consultant in London. - "Wandering hands" Christian?
0:27:58 > 0:28:01- Might want to keep that connection quiet.- Ah.
0:28:03 > 0:28:05Given that I've lost my theatre slot for Annie,
0:28:05 > 0:28:08do you think there's a chance I could operate in AAU?
0:28:10 > 0:28:13Well, I know for a fact that Guy Self would be more than amenable
0:28:13 > 0:28:15to a cross-disciplined procedure
0:28:15 > 0:28:18using frankly under-employed facilities.
0:28:18 > 0:28:21You're quite a mover and shaker, Dr Tressler.
0:28:21 > 0:28:26I would be so excited if there was even the tiniest possibility
0:28:26 > 0:28:28that I might be able to assist?
0:28:28 > 0:28:32It's the way he talks to me. Most men talk down to me.
0:28:32 > 0:28:35If they speak to me at all. Most don't.
0:28:35 > 0:28:37I wouldn't pay any attention to what most...
0:28:37 > 0:28:40But with him, it's so...different.
0:28:42 > 0:28:47- Sorry, who are we talking about? - Dr Tressler.- That's what I thought.
0:28:48 > 0:28:53It's like he knows me. Sees me. The real me. Inside.
0:28:55 > 0:28:58Well, the thing is, with our Dr Tressler...
0:28:58 > 0:29:00Look, I'm not saying the man hasn't got twinkle.
0:29:00 > 0:29:02He's got plenty of twinkle.
0:29:02 > 0:29:05But between us girls, I wouldn't take much notice.
0:29:05 > 0:29:07Do you think he can make me happy?
0:29:07 > 0:29:11- Well, it kind of depends... - He says he can make me happy.
0:29:11 > 0:29:13- Yeah, the man says a lot. - I think he can.
0:29:17 > 0:29:20We have a growing overweight population whose weight issues
0:29:20 > 0:29:22create all manner of serious health problems.
0:29:22 > 0:29:25- That is a fact. Not an opinion. - Another fact.
0:29:25 > 0:29:28There are not enough bariatric surgeons in this country.
0:29:28 > 0:29:29It's a rare specialism.
0:29:29 > 0:29:32Well, one of the best specialists, Ms Sally Downing,
0:29:32 > 0:29:34has a monthly consultancy here in Holby.
0:29:34 > 0:29:36Yeah, yeah. I hear very good things.
0:29:36 > 0:29:38But she often has to operate elsewhere,
0:29:38 > 0:29:40meaning Holby loses out on revenue.
0:29:40 > 0:29:43So what do you want now - a job in management consultancy?
0:29:43 > 0:29:47- No, I want to assist her on a gastric band fitting.- OK, knock yourself out.
0:29:47 > 0:29:49- As long as it's in your own time. - In AAU.
0:29:51 > 0:29:55- Mr Griffin might have something to say about that.- Look...
0:29:55 > 0:29:58This afternoon. Empty. Nothing booked, right?
0:29:58 > 0:30:01She has a patient here today with a minor skull laceration.
0:30:01 > 0:30:03They can't make their appointed slot in bariatrics.
0:30:03 > 0:30:06- Meanwhile, we have a theatre sitting empty.- OK, I'll talk to Ric.
0:30:06 > 0:30:09- He's out. All day.- You know, you can be really intense sometimes.
0:30:09 > 0:30:13- I have a passion for bariatrics.- A passion?- Yeah. For a long time now.
0:30:13 > 0:30:16Look, one of the best surgeons is here today.
0:30:16 > 0:30:17Holby is a teaching hospital.
0:30:17 > 0:30:20And there is a consultant here who can teach me things
0:30:20 > 0:30:22- no other consultant... - Yeah, yeah. OK.
0:30:22 > 0:30:24- I hear you.- I mean, it broadens my surgical skills.
0:30:24 > 0:30:27It brings revenue to Holby. And I guess, you know,
0:30:27 > 0:30:29if an opportunity presents itself in life, then you should...
0:30:29 > 0:30:34Yes. Yes. The answer is yes. But only if the list is clear.
0:30:38 > 0:30:42Sorry to drag you away. I just didn't like the look of the ulcer.
0:30:42 > 0:30:44- It's getting bigger. - You did the right thing...
0:30:44 > 0:30:46Sometimes you just get a feeling.
0:30:46 > 0:30:48HE SNIFFS
0:30:48 > 0:30:49It doesn't smell like an ulcer.
0:30:49 > 0:30:52Ulcers have a sweet, deep, cloying tang.
0:30:53 > 0:30:56This is more...ripe.
0:30:57 > 0:31:01- Mrs Whithers, do you recognise your leg?- Yep. It's mine.
0:31:01 > 0:31:05- No, was that this big this morning? - The red bit's got bigger.
0:31:06 > 0:31:10- Did Dr Tressler check for crepitates?- I don't think he did.
0:31:13 > 0:31:14Oh!
0:31:14 > 0:31:16Oh!
0:31:16 > 0:31:19I feel this is crackling like Rice Krispies.
0:31:19 > 0:31:23- Let me see the blood-test results. - They're not back from the lab yet.
0:31:23 > 0:31:27I want them in my hands in five minutes, even if you have to kick
0:31:27 > 0:31:30- down the lab door and hold them at gunpoint.- Sure.
0:31:30 > 0:31:34- And put intensive care on stand-by. - Why, what do you think it is?
0:31:34 > 0:31:39- Necrotising fasciitis.- Flesh-eating bacteria?- My God. If I'm right,
0:31:39 > 0:31:42every minute we waste she could be losing tissue. Go.
0:31:44 > 0:31:47I'm so glad Sally's letting you assist.
0:31:47 > 0:31:49Between you and me, I think
0:31:49 > 0:31:51she needs a strong pair of hands to fall back on.
0:31:51 > 0:31:54- What if I'm over my target weight? - That's why we're weighing you.
0:31:54 > 0:31:58- I didn't keep to my diet. I know I'm going to be over.- Don't panic.
0:31:59 > 0:32:02Let's just see what the scales say before we go into meltdown.
0:32:04 > 0:32:05CAMERA CLICKS
0:32:05 > 0:32:08I don't know about you and Jac, but I'm excited.
0:32:08 > 0:32:09Tinny's banging like a drum.
0:32:09 > 0:32:12- You're not having palpitations, are you?- No.
0:32:12 > 0:32:17- Banging in a good way, Jon.- Hello, hello, hello, hello.- Aw, Sacha.
0:32:17 > 0:32:20- You are just the BEST, man!- Hello!
0:32:22 > 0:32:25Right, I made the very big mistake of telling Ma Levy
0:32:25 > 0:32:27we needed a few scones for a christening.
0:32:27 > 0:32:32So we have fruit scones, cheese scones, plain scones, wholemeal.
0:32:32 > 0:32:34Bath buns, Chelsea buns and Eccles cakes.
0:32:34 > 0:32:36This is just so generous, Sacha.
0:32:36 > 0:32:40She's catered for all denominations here. Lemon sponge, macaroon,
0:32:40 > 0:32:42rugelach, babka and bagel.
0:32:43 > 0:32:46We were thinking about just laying-up in Albie's.
0:32:46 > 0:32:48Well, I'll just drop them down there.
0:32:48 > 0:32:51So where's my little fairy cake?
0:32:51 > 0:32:55- Mother and daughter are yet to arrive.- Ah. I see.
0:32:56 > 0:33:00- Emma's only allowed out the ward for 30 minutes.- And Jac is...?- Late.- OK.
0:33:02 > 0:33:06- Right, I'll take these down. Come straight back.- Sacha, thank you.
0:33:06 > 0:33:09- Thank you so much.- Pleasure. Pleasure.
0:33:09 > 0:33:11Do you think I should get Emma?
0:33:11 > 0:33:13I don't know if that's such a great idea.
0:33:13 > 0:33:16If Jac is expecting to pick her up from NICU
0:33:16 > 0:33:19- and then WE do instead... she might...- Throw a fit?
0:33:19 > 0:33:23- We have to be respectful. - Respectful?! Lexy's already here.
0:33:23 > 0:33:25We've catered, decorated...
0:33:25 > 0:33:28Now we're all stood round twiddling our thumbs, while she's...
0:33:28 > 0:33:31- I'll hurry her up. - Look, if she's running late,
0:33:31 > 0:33:33get Emma's christening outfit from her
0:33:33 > 0:33:36- and I'll get the wee scrap dressed. It takes time.- Thank you.
0:33:40 > 0:33:42OK, so...
0:33:42 > 0:33:475ft 10 with a body mass index of 37.2.
0:33:47 > 0:33:50Sally said if I was one ounce over 17 stone,
0:33:50 > 0:33:52she'd cancel my operation.
0:33:52 > 0:33:54She was probably trying to motivate you.
0:33:54 > 0:33:59- I tried, Dr Tressler. Really, I tried.- Come on. Step on.
0:34:09 > 0:34:11OK. Step off.
0:34:13 > 0:34:17- How bad was it?- Not... not bad at all, actually. Not bad.
0:34:17 > 0:34:20You know, little... little margin for correction.
0:34:20 > 0:34:27- But we're all good, actually. All good.- Really?- Hmm. Like I say,
0:34:27 > 0:34:29your future awaits.
0:34:30 > 0:34:33God, I wish I had your nimble little fingers.
0:34:33 > 0:34:36If that wasn't coming from a surgeon, it could sound creepy.
0:34:36 > 0:34:39Your parachute stitching is nothing short of exquisite.
0:34:39 > 0:34:42- Who thought that needlepoint could be so exhilarating?- But...
0:34:42 > 0:34:46- you're going to be late. - I'm already late.- So go...
0:34:46 > 0:34:50- when you've finished the aortic patch.- We're in this together.
0:34:50 > 0:34:51Jac, people will be waiting.
0:34:51 > 0:34:54So let them wait. We're making history here.
0:34:54 > 0:34:55This is your daughter.
0:34:58 > 0:35:00You're right. Let's finish off the plumbing,
0:35:00 > 0:35:03and then we'll wake her up together. I can then...
0:35:04 > 0:35:06You are late!
0:35:06 > 0:35:10You promised you would not be late. People are arriving.
0:35:10 > 0:35:14- Emma is still in NICU. - I need ten minutes.- No.
0:35:15 > 0:35:18- Five?- You promised.
0:35:18 > 0:35:22I can get from the table to the font in 30 seconds, guaranteed.
0:35:23 > 0:35:28- Elliot?- Jonny, I'm sorry it's not a good time to swap over.
0:35:28 > 0:35:34- Three more stitches.- Fine, fine. I'll go and get Emma. And I'll...
0:35:34 > 0:35:39- I'll meet you there.- Deal.- Ten minutes or we start without you.
0:35:39 > 0:35:42- Not going to happen. - Where's her outfit?- Whose?
0:35:42 > 0:35:46Emma's christening outfit. Where is it? Is it in your office? Or...
0:35:51 > 0:35:55So you managed to find time to get YOURSELF a dress,
0:35:55 > 0:35:57to get new shoes, to have your...
0:35:57 > 0:36:00Go on, say it. I just took selfish to a whole new level.
0:36:00 > 0:36:05You forgot to buy a christening outfit for your own daughter!
0:36:05 > 0:36:07And there it is. It's official - I am a cow.
0:36:07 > 0:36:10Get yourself out of here and to that chapel - NOW.
0:36:13 > 0:36:17What? I've never been at a wedding where I was the bride,
0:36:17 > 0:36:20and I've never been to a christening where I supplied the baby.
0:36:20 > 0:36:24- Jac...- This is new to me. Don't start judging me.
0:36:24 > 0:36:26Like you didn't neglect your family in favour of this stuff.
0:36:29 > 0:36:33We're off pump. Ready to start the heart?
0:36:33 > 0:36:36Clamp off.
0:36:36 > 0:36:37MONITOR ALARM BEEPS
0:36:37 > 0:36:39- She's fibrillating.- Paddles.
0:36:39 > 0:36:41- Charge to 20.- Charging.
0:36:41 > 0:36:43MONITOR ALARM BEEPS
0:36:43 > 0:36:45- Still nothing.- Come on. Don't do this!
0:36:45 > 0:36:51- Do not let her do this! - Still not here?- I know.
0:36:51 > 0:36:55Emma's your daughter too. Is this the way it's always going to be?
0:36:55 > 0:36:57- MONITOR ALARM BEEPS - This is not the way it's going to be.
0:36:57 > 0:37:00Patch is good. Reconnect is perfect.
0:37:00 > 0:37:02We could put atrial wires in.
0:37:02 > 0:37:05- Lignocaine IV.- I just don't know what's wrong...
0:37:05 > 0:37:07Maybe something's wrong.
0:37:07 > 0:37:11If Jac's not here or not in the right place,
0:37:11 > 0:37:15- there's no point forcing a christening.- Just one more minute.
0:37:17 > 0:37:21- Just one more.- Maybe we should let the heart rest for a while.
0:37:21 > 0:37:23One more try.
0:37:23 > 0:37:25- Charge to 20.- Charged.
0:37:28 > 0:37:29Shocking.
0:37:29 > 0:37:31SHOCK THUDS
0:37:34 > 0:37:36REGULAR MONITOR BEEPING RESUMES
0:37:36 > 0:37:39- And we have rhythm. - Oh, sweet joy! At last.
0:37:42 > 0:37:45At last!
0:37:48 > 0:37:49Erm...
0:37:53 > 0:37:55My brothers and sisters.
0:37:55 > 0:38:00Can I begin by welcoming you all here to this
0:38:00 > 0:38:05very special service, where Emma is welcomed into the family of faith?
0:38:06 > 0:38:11This is a day of celebration. Sadly, Mo couldn't be here.
0:38:11 > 0:38:15But she sent me a couple of lines, which she wanted me to read out.
0:38:15 > 0:38:16BABY CRIES
0:38:16 > 0:38:20"Baby Emma. I know your mum and dad will love you to bits,
0:38:20 > 0:38:23"but if you ever need anything, come to your Auntie Mo,
0:38:23 > 0:38:26"cos I do supersized love."
0:38:26 > 0:38:27BABY FUSSES
0:38:27 > 0:38:32- Oh, dear. She's not happy, is she? - Just give her a wee sec.
0:38:32 > 0:38:36SHE CRIES
0:38:49 > 0:38:53- No way.- You don't have to feel ashamed for not being able to walk.
0:38:53 > 0:38:56I'm not. I just don't want to sit down.
0:38:56 > 0:38:58Haven't been able to sit down for over a fortnight.
0:38:58 > 0:39:00- He insists on walking.- Ah, right.
0:39:00 > 0:39:03Anthony, I wanted to show you something.
0:39:03 > 0:39:07This is a diagram of an anal passage. Here's the lower colon.
0:39:07 > 0:39:10And about here you have an infected anal abscess
0:39:10 > 0:39:12about the size of a Scotch egg.
0:39:12 > 0:39:15- No wonder I can't poo.- Yes, quite.
0:39:15 > 0:39:17We need to lance it, drain it, biopsy and test it,
0:39:17 > 0:39:20then pack the excised wound with surgical gauze.
0:39:20 > 0:39:24- And who'll be ferreting around up there?- I will.
0:39:24 > 0:39:27- And Dr March will assist.- No. No, no, no. That's not right.- Excuse me?
0:39:27 > 0:39:29I want a man present.
0:39:29 > 0:39:31My not being a man is of no bearing...
0:39:31 > 0:39:34I'll be lying unconscious with me bum stuck up in the air,
0:39:34 > 0:39:37and you two will be laughing at me tackle.
0:39:37 > 0:39:39I assure you, we will not be laughing.
0:39:39 > 0:39:44All the same, I want a man there to...defend me honour.
0:39:44 > 0:39:46Not the...
0:39:46 > 0:39:47Not the first-year.
0:39:49 > 0:39:53- Sacha?- Clocked off for the day. - Anyone else?
0:39:53 > 0:39:57I'm afraid there's no male surgeon available. Only me.
0:39:57 > 0:40:00- And I have to say, I think you're being unreasonable.- Hang on, love.
0:40:00 > 0:40:05If I were a lady and you were two bloke doctors, and I weren't
0:40:05 > 0:40:08comfortable with that, would you be telling me I had no choice?
0:40:08 > 0:40:12- He has got a point. - I mean, if I was nervous and shy,
0:40:12 > 0:40:16would you still tell me I couldn't have a female doctor present?
0:40:16 > 0:40:20- Yes, but there's no male surgeon available.- Ric Griffin?
0:40:20 > 0:40:22Operating at St James's.
0:40:24 > 0:40:28Actually, there IS someone we could ask.
0:40:31 > 0:40:33So...what seems to be the problem?
0:40:35 > 0:40:39- What it's not, is a magic wand. - Sure. No.
0:40:39 > 0:40:43- Of course.- I tell that to all my students. And my patients.
0:40:43 > 0:40:45Weight-loss surgery, though - it's pretty radical.
0:40:45 > 0:40:50We can shrink a stomach. We can bypass a stomach, even.
0:40:50 > 0:40:52That's a game-changer for unhappy people, isn't it?
0:40:52 > 0:40:54What we can't do with surgery
0:40:54 > 0:40:56is change what's going on inside their heads.
0:40:56 > 0:41:00- No. Of course.- There are all sorts of psychological issues
0:41:00 > 0:41:02that go along with chronic obesity.
0:41:02 > 0:41:05I read that bariatric surgery is the fastest-growing,
0:41:05 > 0:41:07most rapidly-evolving discipline today.
0:41:07 > 0:41:10And yet there are many professionals think
0:41:10 > 0:41:11we shouldn't be practising it at all.
0:41:12 > 0:41:15I'm just going to go and check Annie in.
0:41:18 > 0:41:20I've changed my mind.
0:41:20 > 0:41:23- I can't go through with this. - What's happened?- I feel such a fraud.
0:41:23 > 0:41:28- Why?- I'm such a liar. I'm not worth it.- Don't say that.- All the money.
0:41:28 > 0:41:32- All the facilities.- Do you mind if you give us a moment? Thanks.
0:41:35 > 0:41:36Look, Annie.
0:41:36 > 0:41:41This "I'm fat, I'm not worth it" thing - that is your illness talking.
0:41:41 > 0:41:46- Your poor self-image attacking you, OK?- I know you're trying to help.
0:41:46 > 0:41:48- I know I'm not really under 17 stone.- Shh.
0:41:49 > 0:41:54Do you really want Ms Downing to hear you rubbishing what she does?
0:41:54 > 0:41:57- I'm not.- Well, that's what it sounds like to me.
0:41:57 > 0:42:03- I don't mean it to.- She can release you from this trap of self-loathing.
0:42:04 > 0:42:07I don't know.
0:42:07 > 0:42:11- I'm scared. - I promise, you're not alone.
0:42:17 > 0:42:23- I don't NOT trust anyone.- No. - It's just not right.- Yes...
0:42:23 > 0:42:27- But I am a brain surgeon.- Blimey! You paid attention at school, then.
0:42:27 > 0:42:31Which means I'm not best qualified to perform this procedure.
0:42:31 > 0:42:35So you operate on brains, but you can't do bums?
0:42:35 > 0:42:39- There are specialisms. - About time you learned, then.
0:42:39 > 0:42:43This one'll show you what to do, won't you?
0:42:43 > 0:42:46And make sure no-one snips off me knackers by mistake.
0:42:50 > 0:42:55- So now the band is fully inserted. - Nice.
0:42:55 > 0:43:00Will you retract the stomach so that I can line it up? No problem.
0:43:02 > 0:43:07- We should see it on the screen any moment now.- As if by magic.
0:43:09 > 0:43:12- Not just good with your hands. - Sorry?
0:43:13 > 0:43:17Got a little bit of bedside charm going on there, Dr Tressler.
0:43:17 > 0:43:20- Oh, you mean... - Just now, in anaesthetics -
0:43:20 > 0:43:25- do you think I didn't see she was in a flap?- Having some doubts.
0:43:25 > 0:43:30It happens all the time with obese patients. A mass of contradictions.
0:43:31 > 0:43:33Just a bit of a wobble.
0:43:33 > 0:43:37When you've had such an intense relationship with food -
0:43:37 > 0:43:39bingeing, comfort-eating -
0:43:39 > 0:43:42the prospect of giving up is a complicated one.
0:43:44 > 0:43:47She just needed some reassurance, to be honest.
0:43:47 > 0:43:52- I wanted see how you handled it. You did well.- Thank you.
0:43:54 > 0:43:59Now I'm attaching the band to the top portion of the stomach.
0:43:59 > 0:44:03Lots of vessels round the back, so we take it slow.
0:44:03 > 0:44:06- You have amazing hand-eye co-ordination.- I know.
0:44:08 > 0:44:10Thanks all the same.
0:44:10 > 0:44:12As a rule of thumb,
0:44:12 > 0:44:19- I go a quarter of the way down the stomach. And there we go.- Brilliant.
0:44:19 > 0:44:20MONITOR BEEPS
0:44:20 > 0:44:24- BP's falling.- It's a bleed in the short gastrics, if I'm not mistaken.
0:44:24 > 0:44:28- Endo clip?- Yes, please. Go for it.
0:44:34 > 0:44:36Clip on.
0:44:39 > 0:44:42Bleed sealed. Very good.
0:44:45 > 0:44:50Dr Tressler. Would you like to do the honours and inflate the band?
0:44:50 > 0:44:52I'd love to, thank you.
0:44:59 > 0:45:02Into theatre now. Page the anaesthetist.
0:45:02 > 0:45:05Mrs Whithers. You know when I said worst-case scenario?
0:45:05 > 0:45:07The flesh-eater?
0:45:07 > 0:45:10The sooner we operate, the sooner we can arrest the spread.
0:45:10 > 0:45:12This bacteria can't be stopped. It's like wildfire.
0:45:12 > 0:45:16We need to cut-in a break. ..What? This wasn't on the schedule.
0:45:17 > 0:45:19We need this theatre.
0:45:19 > 0:45:21Still busy doing a bariatric band procedure, I'm afraid.
0:45:21 > 0:45:25- Necrotising fasciitis. - Flesh-eating bacteria?
0:45:25 > 0:45:27- Your patient.- Leg ulcer?
0:45:27 > 0:45:32Not an ulcer - if you'd bothered to properly examine her. Grab the team.
0:45:32 > 0:45:35- We'll have do this on Darwin. - "Grab the team."
0:45:40 > 0:45:42She was always the special one.
0:45:42 > 0:45:45She was sick as an infant, got a lot of attention.
0:45:45 > 0:45:49- And she managed to keep the attention?- And then some!
0:45:50 > 0:45:54- And you?- I just got on with life.
0:45:54 > 0:46:00Mum was happy to have Tilly as the special one. She could do no wrong.
0:46:00 > 0:46:04Even bad behaviour was seen as "a rejection of conventional authority".
0:46:04 > 0:46:08Meanwhile you toed the line. Who's doing better now?
0:46:09 > 0:46:12I earn a couple of hundred grand a year running my own business...
0:46:12 > 0:46:17And she had a strategic divorce. Depends which way you call it.
0:46:17 > 0:46:19Do you believe all that indigo child stuff?
0:46:19 > 0:46:24Auras and evolutionary superiority? It's total garbage.
0:46:27 > 0:46:30The more she and Mum believed it, the more I rejected it.
0:46:32 > 0:46:38- Well, I'm surprised you don't hate her.- I do. Well, I did. Sometimes...
0:46:40 > 0:46:41But that's family.
0:46:42 > 0:46:46You love, you hate. You make up.
0:46:52 > 0:46:56Respecting the wishes of the patient is...
0:46:56 > 0:46:59I think it clearly says in the Holby City Surgical Mission Statement
0:46:59 > 0:47:02that the choices and wishes of the patient are paramount.
0:47:02 > 0:47:06So you should incise the abscess.
0:47:07 > 0:47:11- Really?- I would be inclined to make a large incision
0:47:11 > 0:47:14over the most fluctuant area.
0:47:14 > 0:47:16- Would you?- Mm-hm.
0:47:21 > 0:47:23HE CLEARS HIS THROAT
0:47:30 > 0:47:32Thank you.
0:47:40 > 0:47:43SQUELCHING
0:47:47 > 0:47:50Very good, Mr Self.
0:47:50 > 0:47:53Now we need to pack the abscess with gauze,
0:47:53 > 0:47:57just to soak up any more infectious material.
0:47:57 > 0:48:01- We can do that for you, if you like.- No, no.
0:48:01 > 0:48:06I've started, so I'll finish. Forceps, please.
0:48:07 > 0:48:09Thank you.
0:48:13 > 0:48:14Here we go.
0:48:18 > 0:48:20- Thank you, Sacha. Cheers, cheers.- Cheers.
0:48:24 > 0:48:28- Emma did really well, didn't she? - Once she put a sock in it, yeah!
0:48:28 > 0:48:32- Bonnie had a very calming influence. - It was a fluke, right?
0:48:32 > 0:48:35If anyone else tells me I'm a "natural mother", I'm going
0:48:35 > 0:48:37to knock their teeth out with my maternal fist.
0:48:37 > 0:48:42- You're a natural mother.- Oi!- I've got to say, I did feel for Jac...
0:48:42 > 0:48:44I know what it's like -
0:48:44 > 0:48:47- your baby won't quieten down for you, no matter what you do.- It's true.
0:48:47 > 0:48:50Then someone else - total stranger, even - takes over,
0:48:50 > 0:48:53and suddenly "shtoom"! Silence.
0:48:53 > 0:48:56- Where is Jac?- I don't know.
0:48:59 > 0:49:03CHILDREN SING
0:49:16 > 0:49:17Hi.
0:49:18 > 0:49:23- Our indigo child's woken up. - We didn't manage to kill her, then.
0:49:23 > 0:49:27- Stats are encouraging.- Well, it's another notch on the bedpost.
0:49:27 > 0:49:29Left sinus of valsalva.
0:49:33 > 0:49:36- She saw angels.- What?
0:49:36 > 0:49:40- When she was under and her heart stopped.- She would.
0:49:40 > 0:49:44- Led her around their habitat. - "Habitat"?
0:49:44 > 0:49:49- They sound like hedgehogs.- Said they had a message for her.- Which was?
0:49:49 > 0:49:56- That she was chosen.- For what?- They didn't say. Just she was chosen.
0:49:59 > 0:50:02I, erm...I got you a little present.
0:50:02 > 0:50:05- I was going to give it to you at the party.- Yeah, I couldn't hack it.
0:50:10 > 0:50:16The chain is my mother's, the locket is my grandmother's, and...
0:50:16 > 0:50:18the little wisp of hair inside
0:50:18 > 0:50:20is your daughter's.
0:50:22 > 0:50:24- Emma's hair?- Yes.
0:50:26 > 0:50:29Not that she's got that much. Jonny got it for me.
0:50:33 > 0:50:34You don't like it?
0:50:36 > 0:50:37I hate it.
0:50:42 > 0:50:45If I give permission for a theatre to be used
0:50:45 > 0:50:47for a bariatrics procedure, that is my prerogative.
0:50:47 > 0:50:51Sure. Why don't you book it out for liposuction and botox sessions
0:50:51 > 0:50:54- while you're at it?!- You're really going to adopt that tone with me?
0:50:54 > 0:50:58Are you really going to put patients at risk in favour of tummy tucks?
0:50:58 > 0:51:01- Bariatric surgery is not just about...- Yeah, I know what it is.
0:51:01 > 0:51:04I know that Holby wants a slice of the obesity pie,
0:51:04 > 0:51:06the same as every other NHS Trust.
0:51:06 > 0:51:09I just thought that when I applied here that you and Mr Griffin
0:51:09 > 0:51:11had a bit more integrity.
0:51:11 > 0:51:13You really think a lot of yourself, don't you?
0:51:13 > 0:51:15Only because I worked my nuts off to get to where I am.
0:51:15 > 0:51:19- Oh, is that right?- And suddenly, where I am, it doesn't look so rosy.
0:51:19 > 0:51:21I'm sorry we disappoint you, Mr Di Lucca.
0:51:21 > 0:51:25But I will always and only run this hospital in the way that I see fit.
0:51:54 > 0:51:55Come on.
0:51:57 > 0:52:01There we are. That's it. There we go.
0:52:06 > 0:52:08Your daughter is beautiful.
0:52:09 > 0:52:12You are beautiful.
0:52:12 > 0:52:16- And you are going to be a wonderful mother.- You don't know that.
0:52:16 > 0:52:20- I do know that.- How, Sacha? Tell me how do you know that?
0:52:20 > 0:52:22Because I know that when Jac Naylor
0:52:22 > 0:52:25- puts her mind to doing something well, it always...- I...
0:52:26 > 0:52:29I did pregnancy really badly -
0:52:29 > 0:52:31she had CDH.
0:52:32 > 0:52:35I did giving birth badly - she had to be cut out of me.
0:52:35 > 0:52:39I didn't breastfeed. I couldn't even cuddle her properly. And now...
0:52:41 > 0:52:46..now I so much as touch her, and she screams her lungs out!
0:52:46 > 0:52:49So tell me, Sacha, what exactly have I done
0:52:49 > 0:52:51to make you think I'm going to be such a great mother?
0:53:01 > 0:53:03So this is Keller ward.
0:53:03 > 0:53:06Now, this is where the majority of the funding has gone.
0:53:08 > 0:53:13Now, I am actually a neurosurgeon as well as CEO of the hospital...
0:53:13 > 0:53:17- You must hate him. - Yes, I suppose I must.
0:53:17 > 0:53:21- But life's too short for hate, and it eats you up.- I- hate him.
0:53:23 > 0:53:25- He's your father. - Doesn't act like it.
0:53:25 > 0:53:28What did he do that was so wrong?
0:53:30 > 0:53:32My mother had terminal cancer.
0:53:33 > 0:53:36He kept the severity of her condition secret from me.
0:53:37 > 0:53:41Ah, yes, fathers do that - protect their children.
0:53:41 > 0:53:43It meant I didn't get to see her before she died.
0:53:43 > 0:53:47I was busy taking my final medical exams.
0:53:47 > 0:53:49- And I suppose he wanted you to pass?- Of course.
0:53:50 > 0:53:54- To be fair, your mother probably did too.- But I missed saying goodbye.
0:53:57 > 0:54:00- And you've been punishing him for it ever since?- I hate him for it.
0:54:02 > 0:54:04How did he react to your mother's death?
0:54:04 > 0:54:07Drunk himself stupid for the next eight months.
0:54:07 > 0:54:09- A meltdown?- It's pathetic!
0:54:12 > 0:54:15You want to major in Psych, I hear.
0:54:17 > 0:54:18So?
0:54:18 > 0:54:22Empathising with and understanding other people's mental
0:54:22 > 0:54:23and emotional issues?
0:54:23 > 0:54:28- Yes, that's some of it. - Ever tried to understand his?
0:54:29 > 0:54:31Issues of bullying and self-control?
0:54:31 > 0:54:32Or issues of losing his soulmate
0:54:32 > 0:54:34and having his daughter blame him for her death.
0:54:34 > 0:54:37- I don't blame him for her death. - Are you sure?
0:54:37 > 0:54:41- I blame him for not...- Ask me - and I'm just a general abscess
0:54:41 > 0:54:46kind of a surgeon - but you need to look at your own stuff.
0:55:13 > 0:55:17You can't do everything, Jac. Can't do it all.
0:55:17 > 0:55:20Something's got to give.
0:55:21 > 0:55:27Why don't you go home and have a glass of wine and just veg out?
0:55:27 > 0:55:31Me and Bonnie'll stay with Emma. We'd like to, honestly.
0:55:36 > 0:55:40It's OK to admit you need a wee bit of help now and then.
0:55:48 > 0:55:51- How do you feel?- Awful.
0:55:51 > 0:55:55And you are doing very well. Can I have a quick word?
0:55:59 > 0:56:02I'd like you to keep an eye on her if that's OK.
0:56:02 > 0:56:07- Yeah, absolutely, yeah. - You did well today.- Thank you.
0:56:07 > 0:56:09Put all of this in your clinical log.
0:56:09 > 0:56:11If you ever fancy a stint in bariatrics,
0:56:11 > 0:56:14I'd be happy to give you a glowing reference.
0:56:14 > 0:56:16I definitely will, thank you very much. Oh, Sally.
0:56:16 > 0:56:18I hope you don't mind me asking this, but...
0:56:18 > 0:56:21I was just wondering if you fancy going for a quick drink later.
0:56:21 > 0:56:25- To help me celebrate finding my specialis...- Steady now, Doctor.
0:56:25 > 0:56:29This morning you barely knew where bariatrics was.
0:56:29 > 0:56:32- Now you're chatting up a consultant. - I did know where it was.
0:56:32 > 0:56:33Keep me in the loop.
0:56:36 > 0:56:39- She's not all that.- Sorry..?
0:56:41 > 0:56:46- Remember The Very Hungry Caterpillar?- Hmm?- Children's story
0:56:46 > 0:56:49- about a caterpillar who... - Oh, who ate everything? Yeah.
0:56:49 > 0:56:52- The sausage, the muffin, the gherkin, the...- Ice-cream.
0:56:54 > 0:56:57I'm like the Very Hungry Caterpillar.
0:56:57 > 0:56:59In the end, the Very Hungry Caterpillar finally
0:56:59 > 0:57:01turns into a beautiful butterfly.
0:57:03 > 0:57:06I'm going to turn into a very beautiful butterfly.
0:57:08 > 0:57:10With your help.
0:57:12 > 0:57:13It's a lovely story.
0:57:16 > 0:57:17DOOR SHUTS
0:57:17 > 0:57:19BABY STIRS
0:57:22 > 0:57:24BABY CRIES SOFTLY
0:57:28 > 0:57:31BABY CRIES SOFTLY
0:57:34 > 0:57:37BABY CRIES
0:57:47 > 0:57:50BABY CRIES SOFTLY