0:00:41 > 0:00:43How bad was it?
0:00:43 > 0:00:44Not, er...not bad at all, actually.
0:00:44 > 0:00:46We're supposed to be co-parenting, right?
0:00:46 > 0:00:50That's what we agreed and that means we both get an equal say.
0:00:50 > 0:00:51I'm scared.
0:00:51 > 0:00:53I promise you are not alone.
0:00:53 > 0:00:55If you ever fancy a stint in bariatrics,
0:00:55 > 0:00:57I'd be happy to give you a glowing reference.
0:00:57 > 0:00:59I don't blame him for her death.
0:00:59 > 0:01:00- Are you sure?- I blame him...
0:01:00 > 0:01:04Ask me, you need to look at your own stuff.
0:01:07 > 0:01:08Hold the doors!
0:01:12 > 0:01:14Thanks.
0:01:14 > 0:01:16De rien. Ca va?
0:01:18 > 0:01:19Sorry, just practising.
0:01:19 > 0:01:21I'm meeting some Belgian bureaucrats
0:01:21 > 0:01:24from the European Hospital Federation.
0:01:24 > 0:01:25Good luck with that.
0:01:27 > 0:01:29Is that anything interesting?
0:01:31 > 0:01:33I doubt you'd think so.
0:01:33 > 0:01:38He's a psychiatrist specialising in PTSD, survivor guilt,
0:01:38 > 0:01:40that sort of thing.
0:01:40 > 0:01:44Hmm. You're right. Not exactly my sphere of interest.
0:01:52 > 0:01:55- Where's Dr Tressler? - I wish I knew.
0:01:55 > 0:01:57Well, you're going to have to cope until he gets here.
0:01:57 > 0:02:00Mr Self has press-ganged me into the diplomatic corps.
0:02:00 > 0:02:03Don't worry about us. I'll keep an eye on things.
0:02:09 > 0:02:10SHE CLEARS HER THROAT
0:02:10 > 0:02:13Since when have you been a stickler for time-keeping?
0:02:13 > 0:02:15I'm not, but Raf has been threatening to practise
0:02:15 > 0:02:17suturing on your face.
0:02:17 > 0:02:20- Quick, hide me under the desk(!) - Too late.
0:02:20 > 0:02:22Good of you to join us(!)
0:02:22 > 0:02:24What was it this time? Did the Rolls Royce break down?
0:02:24 > 0:02:27Sorry, it was an old lady in the car park having a heart attack.
0:02:27 > 0:02:28Had to quickly save her life.
0:02:28 > 0:02:31The terrifying thing about you, Dr Tressler, is I think you
0:02:31 > 0:02:33sometimes believe the rubbish that comes out of your mouth.
0:02:33 > 0:02:35I look at it on the bright side.
0:02:35 > 0:02:38In a few weeks, I'll be off to start my bariatrics rotation.
0:02:38 > 0:02:40I'll be out of your hair for good.
0:02:40 > 0:02:42I'm glad you're so psyched about your new specialism...
0:02:42 > 0:02:46It's the future. Fat patients and fat pay cheques.
0:02:46 > 0:02:47Because your friend is back.
0:02:47 > 0:02:48What friend?
0:02:48 > 0:02:52Please stop! I'm not being rude. Please will you...?
0:02:52 > 0:02:55She's in acute abdominal pain. And she's only got eyes for you.
0:02:57 > 0:02:58Sorry I'm late.
0:02:58 > 0:03:01Oh, don't worry, you're just in time!
0:03:01 > 0:03:04Mrs Jenkins has ascites and I want you to perform
0:03:04 > 0:03:07the abdominal paracentesis to drain the fluid.
0:03:07 > 0:03:09Right. Lucky me.
0:03:10 > 0:03:12I give up.
0:03:13 > 0:03:19I diagnose a chronic case of parrimorphophobia.
0:03:19 > 0:03:21The crippling fear of turning into one's parents.
0:03:21 > 0:03:23It's hardly surprising she doesn't want to be a surgeon
0:03:23 > 0:03:25when she hates her father's guts.
0:03:25 > 0:03:27She thinks she'd make a good psychiatrist?
0:03:27 > 0:03:29She's got all the empathy of a bear-trap.
0:03:29 > 0:03:32The more you tell someone they can't have something, the more they want it.
0:03:32 > 0:03:35Good morning! And how is everybody this morning?
0:03:35 > 0:03:38What have I told you about drinking too much coffee first thing?
0:03:38 > 0:03:42Who needs artificial stimulants when I've got one of these?
0:03:42 > 0:03:43NURSES: Aww!
0:03:43 > 0:03:45- Cute, right?- Gorgeous.
0:03:45 > 0:03:49If you've finished with the pathetic superdad routine, can we begin?
0:03:51 > 0:03:54The Director of Nursing Services is coming to spend the day with us.
0:03:54 > 0:03:56Now, the last thing I need is her swanning in here
0:03:56 > 0:03:58and messing up my wards.
0:03:58 > 0:04:02You can start with checking on Steffan Eldridge, bed eight.
0:04:02 > 0:04:05The rest of you just get on with whatever it is you do
0:04:05 > 0:04:07and try not to kill anyone.
0:04:07 > 0:04:10Steffan Eldridge. Name rings a bell.
0:04:10 > 0:04:11Actually, it plays a cello.
0:04:13 > 0:04:14The Lucky Plucker!
0:04:16 > 0:04:18I hear Colette's pretty militant about
0:04:18 > 0:04:20standing up for downtrodden nurses.
0:04:20 > 0:04:23Northchurch, two consultants got suspended cos of her.
0:04:23 > 0:04:25- And I care because...?- Well, unless you want her on your case,
0:04:25 > 0:04:27you're going to have to play nice.
0:04:27 > 0:04:30I'm always nice. Now, don't you have a corpse somewhere
0:04:30 > 0:04:32waiting to be stripped for parts?
0:04:34 > 0:04:36Steffan?
0:04:36 > 0:04:38Hey, Steffan!
0:04:40 > 0:04:42How are you doing? Jonny.
0:04:42 > 0:04:45Er, Nurse Maconie?
0:04:45 > 0:04:48I was there when you had your heart transplant? Never mind.
0:04:48 > 0:04:51I understand you're having a bit of trouble with the old ticker.
0:04:51 > 0:04:53Or should I say new ticker?
0:04:54 > 0:04:56How's your pain now?
0:04:58 > 0:04:59Yeah. It's a bit better, thanks.
0:04:59 > 0:05:03Great. And how's life with the Philharmonic?
0:05:03 > 0:05:05Did you ever get round to asking out
0:05:05 > 0:05:08that oboist you had your cheeky eye on?
0:05:10 > 0:05:12Why not, man?
0:05:12 > 0:05:16Music is supposed to be the food of love.
0:05:16 > 0:05:21So that makes you, like, the Jamie Oliver of love, or something.
0:05:23 > 0:05:24Do you mind if I...?
0:05:24 > 0:05:26No, not at all. It's fine.
0:05:28 > 0:05:29Jac! Er...
0:05:31 > 0:05:34- I was thinking...- Why do I feel sick when you say that?
0:05:34 > 0:05:36I just wondered if we could leave
0:05:36 > 0:05:40the final decision about the nanny till later?
0:05:40 > 0:05:42Didn't you get my email? It's already done.
0:05:43 > 0:05:48I was saving time. We'd have ended up going with my choice anyway.
0:05:48 > 0:05:49Painful?
0:05:50 > 0:05:53OK, I think we need to get you transferred over to bariatrics
0:05:53 > 0:05:55so they can keep a closer eye on you.
0:05:55 > 0:05:57Can't I stay here?
0:05:57 > 0:05:59Not possible, I'm afraid.
0:05:59 > 0:06:03Dr Tressler, where have you been?
0:06:03 > 0:06:06Between me and you, I had a bit of a late night.
0:06:06 > 0:06:08But fear not, I'm firing on all cylinders.
0:06:08 > 0:06:11Nothing that a pain au chocolat and a double espresso can't sort out.
0:06:11 > 0:06:12I meant all week.
0:06:13 > 0:06:15It's just...
0:06:15 > 0:06:17You said you'd look after me.
0:06:17 > 0:06:19I'm not sure that's quite what I...
0:06:19 > 0:06:22You said that if I had the gastric band fitted, I wouldn't be alone.
0:06:25 > 0:06:26OK.
0:06:26 > 0:06:30The thing is we've been really short staffed this week
0:06:30 > 0:06:32and I've been doing some double shifts.
0:06:32 > 0:06:33Hence the late night.
0:06:34 > 0:06:37I should've known there was a good reason.
0:06:38 > 0:06:39I've been an idiot!
0:06:40 > 0:06:42No, no, don't worry at all.
0:06:42 > 0:06:46I have. It's just... When you didn't come...
0:06:48 > 0:06:50- What's wrong? - I tried. I tried really hard,
0:06:50 > 0:06:53but I got so down, I didn't know what to do.
0:06:53 > 0:06:55I've messed it up, haven't I?
0:06:55 > 0:06:59There's no need to get upset. Just tell me exactly what you've done.
0:07:01 > 0:07:02I had a few little...
0:07:03 > 0:07:04..snacks.
0:07:06 > 0:07:08You've been eating solids?
0:07:08 > 0:07:11You were supposed to be on a liquid-only diet. We discussed this!
0:07:11 > 0:07:13I'm sorry! I've let you down.
0:07:15 > 0:07:18You should never have bothered lying to them about my weight.
0:07:20 > 0:07:22We both know I wasn't under the cut-off point.
0:07:25 > 0:07:27You know what?
0:07:27 > 0:07:31You should stay here on AAU. That way, I can look after you myself.
0:07:32 > 0:07:33But, erm, tell you what,
0:07:33 > 0:07:37don't mention to anyone that I gave you a bit of help with the weigh-in.
0:07:37 > 0:07:39You might get me into trouble.
0:07:39 > 0:07:42I hear you're looking for neuro cases for your European friends?
0:07:42 > 0:07:44Yeah, you got something for me?
0:07:44 > 0:07:46Well, it's early days, but maybe.
0:07:46 > 0:07:48Dr March.
0:07:48 > 0:07:49Zosia, could you do the honours?
0:07:49 > 0:07:52Yes, this is Beth Forbes, 24,
0:07:52 > 0:07:54recurring headaches and suspected seizure.
0:07:54 > 0:07:57She was in a car accident six months ago, no head injury sustained.
0:07:57 > 0:07:59Suspected seizure? What happened?
0:07:59 > 0:08:02Came round on my living room floor. I've no idea how I got there.
0:08:02 > 0:08:05Well, takes me back to my student days.
0:08:05 > 0:08:08No tequila involved, sadly. I think I was just light-headed.
0:08:08 > 0:08:10I'd skipped breakfast.
0:08:10 > 0:08:13OK, so you're not feeling sick, you're not hungry?
0:08:13 > 0:08:15Why did you skip breakfast?
0:08:15 > 0:08:17I've had quite a lot on my mind.
0:08:17 > 0:08:18Beth's husband...
0:08:18 > 0:08:21Matthew. He died in the accident.
0:08:23 > 0:08:27Oh. More than a lot, I'd say. My sincere condolences.
0:08:27 > 0:08:29Thank you.
0:08:29 > 0:08:32Well, I'm sure Mr Levy here will find out what's going on.
0:08:32 > 0:08:34He's a bit squidgy round the edges,
0:08:34 > 0:08:38but actually he's a ruthlessly efficient medical machine.
0:08:38 > 0:08:42And Dr March is one of Holby's bright young things.
0:08:42 > 0:08:44So what's the plan of action?
0:08:44 > 0:08:46Blood tests, hourly obs...
0:08:46 > 0:08:49Let's do a CT scan. Better to be safe than sorry.
0:08:49 > 0:08:51- Just what I was about to say. - Good. We're agreed, then.
0:08:51 > 0:08:54Listen, I've got to go and waffle with some Belgians,
0:08:54 > 0:08:56so keep me informed.
0:08:57 > 0:09:00Dr March, can I have a word, please?
0:09:04 > 0:09:06- He didn't let me finish! - I know, I know.
0:09:06 > 0:09:08But that's not what I want to talk to you about.
0:09:08 > 0:09:11I want you to do this with Beth.
0:09:11 > 0:09:13A mental state exam? Why?
0:09:13 > 0:09:16Just because I want to see how she's coping with her bereavement.
0:09:16 > 0:09:18Of course, if you want Dr Digby to do it...
0:09:18 > 0:09:19No, no, no, no! I'll do it.
0:09:19 > 0:09:24Good. Because, you know, if we have a rising psychiatric star
0:09:24 > 0:09:26in our midst, we want to make the most of you.
0:09:26 > 0:09:28Well, if you're sure.
0:09:28 > 0:09:29Just show me what you can do.
0:09:37 > 0:09:41Shouldn't your girlfriend have been transferred to bariatrics by now?
0:09:41 > 0:09:45Well, until we know exactly what the problem is, Annie should stay here.
0:09:45 > 0:09:48If I need a review, my good friend and future colleague,
0:09:48 > 0:09:51the fragrant Sally, is but a phone call away.
0:09:51 > 0:09:53Annie wants to see you.
0:09:53 > 0:09:55Of course she does. She's only human.
0:09:59 > 0:10:02OK, Annie, your tests are clear, and there's no sign of infection.
0:10:02 > 0:10:05But there is a blockage of food above your band.
0:10:05 > 0:10:07Now, if it doesn't want to go down,
0:10:07 > 0:10:11we will have to work out a way of trying to make it come back up.
0:10:11 > 0:10:15How about a drink? I know you're busy...
0:10:15 > 0:10:16A drink?
0:10:16 > 0:10:19That's a very good idea! Bear with me.
0:10:26 > 0:10:28Whatever it is, it's going to cost you more than that.
0:10:28 > 0:10:29I want you to get Annie a drink.
0:10:29 > 0:10:31Surely that's an HCA's job?
0:10:31 > 0:10:34It's strictly medical. Something fizzy. Go to the vending machine.
0:10:34 > 0:10:37Are you having a laugh? She's supposed to be losing weight.
0:10:37 > 0:10:40A carbonated drink could help dislodge any lumps of food
0:10:40 > 0:10:42stuck at the top of her gastric band.
0:10:42 > 0:10:46You might want to get a vomit bowl, though. It could get frothy!
0:10:49 > 0:10:51Any problems with your sleeping?
0:10:51 > 0:10:53Nightmares?
0:10:53 > 0:10:55- Appetite?- All fine.
0:10:56 > 0:10:59And what about your network of support?
0:10:59 > 0:11:00D'you have someone with you at home?
0:11:02 > 0:11:04Yes. All the time.
0:11:04 > 0:11:07Good. Who is that? Parent? Friend?
0:11:07 > 0:11:10Would you come with me to the CT scan?
0:11:10 > 0:11:11I can get claustrophobic.
0:11:12 > 0:11:15Yes, sure, I'll come.
0:11:15 > 0:11:19- Go on, then. What's the next question?- Right, let's see...
0:11:19 > 0:11:20Do you ever feel that you are a failure
0:11:20 > 0:11:23or have let yourself or your family down?
0:11:23 > 0:11:25I lost control of my car
0:11:25 > 0:11:27and killed the person I love most in all the world.
0:11:27 > 0:11:29Does that count?
0:11:31 > 0:11:33I'm sorry.
0:11:36 > 0:11:40I'm sorry, I don't know why I said that. Please, carry on.
0:11:42 > 0:11:44Why don't we just have a chat instead?
0:11:46 > 0:11:50Let's have a full set of bloods, an ECG, echo, chest X-ray.
0:11:50 > 0:11:53- My heart?- Possibly.
0:11:55 > 0:11:57I...I don't want another transplant.
0:11:57 > 0:12:00Please. Whatever it is, you have got to fix this one.
0:12:01 > 0:12:04I guess we'll have to wait for those tests.
0:12:04 > 0:12:06We'll be right back.
0:12:08 > 0:12:09I think he might be rejecting.
0:12:09 > 0:12:12It's been less than two years since the transplant so...
0:12:12 > 0:12:14Thank you, Jonny. I'm so glad I've got you to help me,
0:12:14 > 0:12:17or I'd have to rely on all those years of medical training(!)
0:12:17 > 0:12:20OK, sorry. You've got this. Oh, while I've got you here,
0:12:20 > 0:12:23I was a little surprised by your choice of nanny.
0:12:23 > 0:12:24What's wrong with him?
0:12:24 > 0:12:27Whilst I'm sure his abseiling experience will no doubt
0:12:27 > 0:12:30come in handy, I was thinking we could go for someone with
0:12:30 > 0:12:32a gentler, more nurturing presence?
0:12:32 > 0:12:36Priceless, the male nurse has a problem hiring the male nanny!
0:12:36 > 0:12:37No, not at all.
0:12:37 > 0:12:40I'm just interested in picking the right person for the job.
0:12:40 > 0:12:43Well, he is. Emma needs a strong male role model in her life.
0:12:46 > 0:12:48That's me! I'm her dad!
0:12:48 > 0:12:51Look, it's my decision, I'll choose whoever I want to.
0:12:51 > 0:12:54- What happened to co-parenting?!- You can have an equal say on everything.
0:12:54 > 0:12:57- Thanks. - When you can contribute equally.
0:12:58 > 0:13:00Until then, my money, my choice.
0:13:00 > 0:13:02Now get on with doing those bloods.
0:13:06 > 0:13:09What, because I'm not on a consultant's salary,
0:13:09 > 0:13:11I'm not allowed an opinion about my child?
0:13:17 > 0:13:19Sally! How lovely to see you again.
0:13:19 > 0:13:22A little bird tells me you've kidnapped one my patients?
0:13:22 > 0:13:25I wouldn't say "yours". "Ours", surely?
0:13:25 > 0:13:29She's a bariatric patient. Why didn't you call me?
0:13:29 > 0:13:31Well, I didn't have your number.
0:13:31 > 0:13:33Now, I know how busy you get down there. Why clog up a bed?
0:13:33 > 0:13:35Her symptoms are very mild -
0:13:35 > 0:13:38probably just a bit of post-op soreness to be honest.
0:13:38 > 0:13:42Blood tests are clear, X-ray on its way. Everything's in hand.
0:13:42 > 0:13:44Consider this a "thank you"
0:13:44 > 0:13:46for letting me assist in surgery last week.
0:13:46 > 0:13:49OK. It sounds as though you're doing us a favour.
0:13:49 > 0:13:52- But any complications... - I will be straight on the Bat-phone.
0:13:52 > 0:13:54Everything's under control, trust me.
0:13:54 > 0:13:56I'm glad to hear it.
0:13:56 > 0:14:00You did a good job the other day. You'd be welcome back.
0:14:00 > 0:14:02It's a date.
0:14:02 > 0:14:05In a purely medical sense, obviously.
0:14:05 > 0:14:06Obviously.
0:14:07 > 0:14:08Where's she going?
0:14:09 > 0:14:13Recognising my vast talent when it comes to patient care,
0:14:13 > 0:14:15she has returned back from whence she came.
0:14:17 > 0:14:20Careful, Nurse, or Dr Tressler will need his smelling salts.
0:14:20 > 0:14:22Nothing but liquids, I'm afraid.
0:14:22 > 0:14:25Well, we are going to have to find a way to make her throw up.
0:14:25 > 0:14:27Why don't you tell her one of your chat-up lines?
0:14:27 > 0:14:29You'll have plenty of opportunity on your date.
0:14:29 > 0:14:31You going on a date with Annie?
0:14:31 > 0:14:32What? No, of course not!
0:14:32 > 0:14:34That's not what she thinks.
0:14:34 > 0:14:37NHS regulations require you to dispose of that immediately
0:14:37 > 0:14:40to prevent the spread of contagious diseases.
0:14:45 > 0:14:47So she may have got the wrong idea.
0:14:47 > 0:14:48With no encouragement from you?
0:14:48 > 0:14:52No! It's not my fault if women get their hopes up.
0:14:52 > 0:14:54Look, could you have a word with her?
0:14:54 > 0:14:56Let her down gently or something?
0:14:56 > 0:15:00No way! This is your mess. You tell her if you're not interested.
0:15:00 > 0:15:03I can't turn her down, it will break her heart.
0:15:03 > 0:15:05You should have thought about that
0:15:05 > 0:15:07before you started flirting with her.
0:15:07 > 0:15:10You can't let her go on thinking that she's got a chance.
0:15:10 > 0:15:12Poor girl.
0:15:12 > 0:15:14Maybe you should tell her that you're gay or something.
0:15:14 > 0:15:17Oh, yeah, she's going to believe that(!)
0:15:17 > 0:15:19- SHE SMIRKS - Seriously?
0:15:20 > 0:15:22A pint says she doesn't bat an eyelid.
0:15:24 > 0:15:25Fine. You're on.
0:15:27 > 0:15:31I hate it when I feel like people are keeping things from me.
0:15:31 > 0:15:34Mr Levy just wants a second opinion on the CT scan.
0:15:34 > 0:15:36I'm sure it'll all be OK.
0:15:36 > 0:15:38That's what they said after the accident.
0:15:38 > 0:15:40"Everything's going to be OK."
0:15:42 > 0:15:48I was trapped in the car for an hour next to Matthew's body
0:15:48 > 0:15:51and no-one would even admit he was dead!
0:15:51 > 0:15:53You must miss him very much.
0:15:54 > 0:15:55No. I don't.
0:15:57 > 0:15:59But you were very happy?
0:16:00 > 0:16:05We are happy. I don't miss him because he's still with me.
0:16:06 > 0:16:09Right, as in looking down on you from heaven?
0:16:11 > 0:16:13Mm-hm. Something like that.
0:16:16 > 0:16:18So have you got a boyfriend?
0:16:18 > 0:16:21- Not at the moment, no. - I suppose it's hard,
0:16:21 > 0:16:23with you being so busy here.
0:16:23 > 0:16:26Don't worry, I'm sure Mr Right's just around the corner.
0:16:26 > 0:16:28What are you doing?
0:16:28 > 0:16:31I'm going to let a little bit of the fluid out of your band.
0:16:31 > 0:16:36Hopefully that will help any food that's got stuck to slip down
0:16:36 > 0:16:38and you'll feel a lot better.
0:16:41 > 0:16:44Why didn't you tell me? About you being gay.
0:16:46 > 0:16:50Well, it's difficult. You never know how people are going to react.
0:16:50 > 0:16:51I'm absolutely fine with it.
0:16:51 > 0:16:54In fact, I've always kind of wanted a gay friend.
0:16:54 > 0:16:57Someone to hang out with, take shopping, that sort of thing.
0:16:57 > 0:16:58Sounds fun.
0:16:58 > 0:17:02Really? That's great! I'll start thinking of some things we can do.
0:17:04 > 0:17:06OK.
0:17:08 > 0:17:09Ow!
0:17:09 > 0:17:12Sorry, let me try that again.
0:17:21 > 0:17:25It's probably best that you don't say anything about this either.
0:17:28 > 0:17:31One of the nurses said she saw you talking to yourself.
0:17:32 > 0:17:34Were you talking to Matthew?
0:17:35 > 0:17:38- Were you? - I don't want to talk about it.
0:17:38 > 0:17:39I'm not judging.
0:17:39 > 0:17:41No offence, but you won't get it.
0:17:41 > 0:17:43Try me.
0:17:44 > 0:17:46Have you ever had someone you love die?
0:17:48 > 0:17:51I'm not meant to talk about my private life...
0:17:51 > 0:17:54So I have to bare my soul and you get to say nothing?
0:17:55 > 0:17:57My mum died.
0:17:59 > 0:18:00Cancer.
0:18:00 > 0:18:03I'm sorry, I shouldn't have put you on the spot like that.
0:18:03 > 0:18:05Were you close?
0:18:05 > 0:18:10Yes. Very. And I still speak to her all the time.
0:18:11 > 0:18:13Sounds a bit childish, now I say it out loud.
0:18:13 > 0:18:14No, I don't think so.
0:18:16 > 0:18:19So, were you? Talking to him?
0:18:21 > 0:18:25Seriously, are they trying to kill us with these bleach fumes!
0:18:25 > 0:18:26It's fine. I can't smell it.
0:18:26 > 0:18:29- You can't smell that?- No. Just...
0:18:29 > 0:18:32Slightly burnt toast. And strong, sweet coffee.
0:18:32 > 0:18:34No, I'm not getting that.
0:18:35 > 0:18:39I think the smells are just for me.
0:18:39 > 0:18:40What do you mean?
0:18:41 > 0:18:43Have you got my results?
0:18:45 > 0:18:51Beth, we think you might have an aneurysm in your brain.
0:18:51 > 0:18:56That's when the walls of the blood vessel weaken and balloon out.
0:18:57 > 0:19:00I'm afraid it could be very serious.
0:19:08 > 0:19:11You worried they're talking about you?
0:19:11 > 0:19:14Just debating whether to save Colette from Scotland Lacks Talent.
0:19:14 > 0:19:17They seem to be getting on OK, making nursey jokes,
0:19:17 > 0:19:20complaining about doctors.
0:19:20 > 0:19:22Well, you seem very popular here.
0:19:22 > 0:19:26- Careful of that one. I think she's after your phone number. - That's an occupational hazard.
0:19:26 > 0:19:28Tell me about it.
0:19:28 > 0:19:31Well, Jonny, I'm impressed.
0:19:31 > 0:19:32You've got good systems in place
0:19:32 > 0:19:34and the other nurses clearly look up to you.
0:19:34 > 0:19:36Well, in that case, is there any way
0:19:36 > 0:19:41- that I could get a little extra... responsibility?- You mean money?
0:19:42 > 0:19:46Well, the next step for you would be a Clinical Nurse Manager,
0:19:46 > 0:19:49but to be honest I don't see the need for one on Darwin.
0:19:49 > 0:19:52What if I told you there was a consultant on this ward who
0:19:52 > 0:19:57views the nurses as little more than walking bandage dispensers?
0:19:57 > 0:20:00All I'm asking for, all I want is the opportunity
0:20:00 > 0:20:04and the seniority to make things better.
0:20:04 > 0:20:08You know how it is - money is getting tighter every day.
0:20:08 > 0:20:09I would have to be 100% sure
0:20:09 > 0:20:12that the problem on the ward was serious enough to justify the cost.
0:20:12 > 0:20:15It is serious. Trust me.
0:20:16 > 0:20:18Ms Naylor.
0:20:18 > 0:20:21Excuse me, Ms Naylor, I'm sorry, I know you asked me
0:20:21 > 0:20:25to chase up those results for Mr Eldridge, I just haven't had time.
0:20:25 > 0:20:27Don't worry, Nurse Maconie.
0:20:27 > 0:20:31The workload can get on top of all of us sometimes. I'll do it for you.
0:20:37 > 0:20:38- Mr Levy!- Mm-hm?
0:20:38 > 0:20:44I was talking to Beth just now about her husband and she mentioned...
0:20:44 > 0:20:46Are you sure it's an aneurysm?
0:20:46 > 0:20:48Mr Self and I both think so, yes,
0:20:48 > 0:20:51but until we do an angiogram we can't be sure.
0:20:51 > 0:20:53Is it on the frontal lobe?
0:20:53 > 0:20:57It looks like an anterior circulation aneurysm.
0:20:57 > 0:20:59Why?
0:20:59 > 0:21:00Oh, no reason.
0:21:00 > 0:21:03Um, I wonder if I could write up my findings
0:21:03 > 0:21:04and present them to you later?
0:21:04 > 0:21:06What, like a case study?
0:21:06 > 0:21:10- Yes, exactly.- OK, sure.
0:21:12 > 0:21:15ANNIE SPLUTTERS AND RETCHES
0:21:15 > 0:21:18OK, OK, OK.
0:21:18 > 0:21:22There we go. There we go.
0:21:22 > 0:21:25Well, looks like you've got some of that food up at last.
0:21:25 > 0:21:27You feeling any better?
0:21:27 > 0:21:29Where's Dr Tressler?
0:21:29 > 0:21:30I think he's on a break.
0:21:30 > 0:21:32He's avoiding me, isn't he?
0:21:32 > 0:21:34Why would he do that?
0:21:34 > 0:21:37I made a fool of myself. I didn't realise, you see?
0:21:37 > 0:21:39About him being...
0:21:39 > 0:21:42You know...liking men.
0:21:42 > 0:21:44What, Harry?
0:21:44 > 0:21:45SHE LAUGHS
0:21:45 > 0:21:48- Didn't you know? - Ah, there's nothing to know.
0:21:48 > 0:21:52Ah, you can take it from me, Dr Tressler is most definitely not gay.
0:21:53 > 0:21:55You and him...?
0:21:55 > 0:21:58Honestly, the only man Harry fancies is himself.
0:22:01 > 0:22:03Can I use the loo, please?
0:22:03 > 0:22:05Sure. I'll get someone to take you.
0:22:08 > 0:22:10So what do you smell now?
0:22:10 > 0:22:13Him. He's here. Looking after me.
0:22:13 > 0:22:15Describe it to me.
0:22:15 > 0:22:19His skin. His aftershave.
0:22:19 > 0:22:22That silk jacket he thought made him look like Ryan Gosling.
0:22:22 > 0:22:25You just bear with me for just one moment.
0:22:28 > 0:22:30Arthur.
0:22:30 > 0:22:33Do you know anything about olfactory hallucinations?
0:22:33 > 0:22:35Phantom smells? Ooh, a bit.
0:22:36 > 0:22:38Beth can smell her dead husband.
0:22:38 > 0:22:41- Urgh. - I mean, as if he's still alive.
0:22:41 > 0:22:42Isn't that amazing?!
0:22:42 > 0:22:45- Wow, OK. Well, what did Mr Levy say? - I haven't told him.
0:22:45 > 0:22:47- What?- He told me to show him what I can do.
0:22:47 > 0:22:51- I'm putting together a case study.- Doesn't he still need to know about the symptom?
0:22:51 > 0:22:56No, it won't make any difference. He's identified the problem. It's an aneurysm.
0:22:56 > 0:22:59Aren't aneurysms asymptomatic? Surely it's a tumour, or...
0:22:59 > 0:23:02Yes, that's why it's so interesting! The aneurysm must be in contact
0:23:02 > 0:23:06- with a specific point in the frontal lobe.- I still think you need a second opinion.
0:23:06 > 0:23:09I did see a leading neurosurgeon around here. Guy something...
0:23:09 > 0:23:12Arthur, promise me you won't say anything.
0:23:12 > 0:23:15If her condition changes, I will tell Mr Levy, I swear.
0:23:17 > 0:23:18OK.
0:23:18 > 0:23:23So what did the patient say? When you told her that her dead husband smells aren't her dead husband.
0:23:23 > 0:23:26She's happy as she is, I'll tell her when I'm done.
0:23:26 > 0:23:28- Wow.- What?
0:23:28 > 0:23:32It's just you're even worse at this stuff than I am.
0:23:32 > 0:23:33Shut up!
0:23:35 > 0:23:37Seriously, I don't blame you.
0:23:37 > 0:23:40A quick op, lose a few pounds, what's not to like?
0:23:40 > 0:23:41Sure I had some in here.
0:23:41 > 0:23:43Problem?
0:23:43 > 0:23:46I need some, er...you know...
0:23:46 > 0:23:47sanitary products.
0:23:47 > 0:23:50That's not a crisis. I'll get you some. I'll be right back.
0:24:15 > 0:24:17ANNIE SPLUTTERS AND COUGHS
0:24:18 > 0:24:21So tell me, how do you all get along here?
0:24:21 > 0:24:25- In what way?- Well, does the team work well together?
0:24:25 > 0:24:27Yeah, I think so. I don't know about you,
0:24:27 > 0:24:30but I can't stand this old-fashioned notion of hierarchy.
0:24:30 > 0:24:34I fully value the advice of our experienced nursing staff.
0:24:34 > 0:24:36So it's just one big, happy family?
0:24:36 > 0:24:38You could say that.
0:24:38 > 0:24:41Nurse Maconie and I even have a child together.
0:24:41 > 0:24:43Sadly, he's now moved on to young Nurse Wallis,
0:24:43 > 0:24:46but I think it's all amicable.
0:24:46 > 0:24:48I certainly respect him.
0:24:48 > 0:24:51Hi. What's going on with Steffan?
0:24:51 > 0:24:53Well, his pain has abated
0:24:53 > 0:24:56but his echocardiogram shows signs of constrictive pericarditis.
0:24:56 > 0:24:58So I've booked him in for surgery later.
0:24:58 > 0:25:00Right, and have you done an MRI?
0:25:00 > 0:25:04No. I didn't see the need. He's due for review soon.
0:25:04 > 0:25:05Well, protocol dictates...
0:25:05 > 0:25:09Ms Naylor is a consultant. I'm sure she's aware of the protocol.
0:25:11 > 0:25:14I haven't told him about his operation yet. Could you?
0:25:14 > 0:25:16I've always respected your communication skills.
0:25:16 > 0:25:19Isn't that something you should do?
0:25:19 > 0:25:22Yes, if that's what you'd prefer.
0:25:27 > 0:25:30You don't understand. She's not always this...normal.
0:25:34 > 0:25:38- I need some help!- Sorry, do you mind if I call you back? Thanks.
0:25:41 > 0:25:44ANNIE SPLUTTERS AND GASPS
0:25:44 > 0:25:46Annie? We need to get this open.
0:25:46 > 0:25:50- I only left her for a few minutes. - Forget it. Go and get a trolley.
0:25:52 > 0:25:54ANNIE SPLUTTERS
0:25:54 > 0:25:55Right, let's get her out.
0:25:55 > 0:25:58ANNIE WHEEZES
0:25:59 > 0:26:01Something's blocked her oesophagus.
0:26:01 > 0:26:04We need to help you clear the blockage. This might hurt a bit.
0:26:04 > 0:26:06ANNIE RETCHES
0:26:06 > 0:26:09ANNIE COUGHS
0:26:09 > 0:26:11ANNIE RETCHES
0:26:13 > 0:26:16OK, the catheter is in place and the dye is going in now.
0:26:19 > 0:26:24Now you may feel a slight warmth or tingling sensation around your face.
0:26:24 > 0:26:26But that's quite normal, OK?
0:26:26 > 0:26:29It'll be OK, Beth. Just relax.
0:26:29 > 0:26:31Right, here we go.
0:26:34 > 0:26:36Won't be long now.
0:26:44 > 0:26:48Can you see if Mr Self has finished his meeting, please?
0:26:53 > 0:26:56ANNIE COUGHS
0:26:56 > 0:26:59It's OK, Annie, won't be long now.
0:26:59 > 0:27:02- Who is this?- It's Annie Hinkley. Post-op bariatric patient.
0:27:02 > 0:27:04Looks like she might have perforated her oesophagus.
0:27:04 > 0:27:06Let's get her consultant down here, now.
0:27:06 > 0:27:10No, she's busy. Doing a sleeve gastrectomy on a human whale.
0:27:10 > 0:27:12You might show a little bit more respect for our patients,
0:27:12 > 0:27:15especially considering your chosen career path.
0:27:15 > 0:27:17Do you want me to take her into theatre, have a look?
0:27:17 > 0:27:19I can do it. I know the patient.
0:27:19 > 0:27:22That's not a bad idea. Are you happy to supervise?
0:27:22 > 0:27:25- It will be good experience for him. - Why not?- Well, let's get on with it.
0:27:25 > 0:27:28And for heaven's sake - get yourself cleaned up.
0:27:29 > 0:27:32Why have you got a face like a colostomy bag?
0:27:32 > 0:27:33This is terrible.
0:27:33 > 0:27:35Some people are never happy.
0:27:35 > 0:27:37I thought you wanted Jac to be less...Jac.
0:27:37 > 0:27:39Yeah, but not today!
0:27:39 > 0:27:42Today I wanted Colette to see what Jac was really like,
0:27:42 > 0:27:45- so I could get a promotion and... - Pay for Mary Poppins rather than Bruce Willis?
0:27:45 > 0:27:47Exactly. But what I didn't realise
0:27:47 > 0:27:49when I came up with this ingenious plan,
0:27:49 > 0:27:53is that Jac has been kidnapped by aliens
0:27:53 > 0:27:55and replaced with Mother Teresa!
0:27:55 > 0:27:57Right, yeah, that might be my fault.
0:27:57 > 0:28:00But, hey, if anyone knows how to bring out the worst in Jac,
0:28:00 > 0:28:01it's definitely you.
0:28:08 > 0:28:10BP's down to 110 over 75.
0:28:11 > 0:28:13Here it is.
0:28:14 > 0:28:16Actually, it doesn't look too bad.
0:28:16 > 0:28:18I think the blockage around the band
0:28:18 > 0:28:23may have made the build up of blood look worse than it was, to be honest.
0:28:23 > 0:28:25What are you doing with my patient?
0:28:26 > 0:28:30- Why wasn't I informed immediately? - There wasn't really time.
0:28:30 > 0:28:33I was under the impression that you were otherwise engaged?
0:28:33 > 0:28:36I don't know what gave you that idea.
0:28:39 > 0:28:40Her colour's good.
0:28:42 > 0:28:45I don't think this is going to need surgical intervention.
0:28:45 > 0:28:48It should seal itself off. Stabilise her with fluids.
0:28:48 > 0:28:50She said she was sticking to the diet?
0:28:50 > 0:28:52She gave me her word.
0:28:52 > 0:28:54This job would be a hell of a lot easier
0:28:54 > 0:28:57if people told the truth once in a while.
0:28:58 > 0:29:01If I don't have the operation, would I definitely die?
0:29:01 > 0:29:05No. Some people can live with aneurysms for a long time.
0:29:05 > 0:29:09But the size of yours makes rupture a more likely outcome.
0:29:10 > 0:29:14This all makes sense now. The aneurysm, everything.
0:29:16 > 0:29:19This is Matthew's way of telling me he's waiting for me.
0:29:19 > 0:29:22So why not just let nature run its course?
0:29:22 > 0:29:26- No, you don't understand, if it ruptures...- We'll be together again.
0:29:26 > 0:29:28I had planned to spend my whole life with him,
0:29:28 > 0:29:30but that's not how it worked out.
0:29:31 > 0:29:34All I'm doing is leaving the rest up to fate.
0:29:35 > 0:29:38Don't look so scared. I'm not.
0:29:40 > 0:29:44- I'm worried about Steffan. His pain's got worse.- Have you told Jac?
0:29:44 > 0:29:45I asked her to do an MRI,
0:29:45 > 0:29:48but she's so determined to prove how insignificant I am today.
0:29:48 > 0:29:51- I'm going to speak to Steffan myself.- Is that a good idea?
0:29:51 > 0:29:53He's in pain.
0:29:53 > 0:29:55She might not listen to me, she might to him.
0:30:02 > 0:30:03Steffan.
0:30:05 > 0:30:06Hi.
0:30:07 > 0:30:11Steffan, listen, I think you need an MRI.
0:30:11 > 0:30:15The only problem is, you're going to have to ask for it yourself.
0:30:16 > 0:30:20- From Ms Naylor?- Mm. - I... I couldn't do that.
0:30:20 > 0:30:23You have to. I've tried and she said no.
0:30:23 > 0:30:25- But coming from you...- I'm...
0:30:27 > 0:30:30I'm not very good with women at the best of times, let alone her.
0:30:30 > 0:30:32Steffan, this is important.
0:30:33 > 0:30:36She's the consultant, right?
0:30:36 > 0:30:38Wouldn't she know if there was...?
0:30:38 > 0:30:42She's a brilliant doctor, but I don't think you've been
0:30:42 > 0:30:46entirely honest with her about the level of pain you're experiencing.
0:30:46 > 0:30:48I didn't want to be a bother.
0:30:48 > 0:30:51Steffan, you don't want to risk losing that heart, right?
0:30:52 > 0:30:55I can't help you with that unless you speak up for yourself.
0:30:58 > 0:30:59Zosia!
0:31:00 > 0:31:02Zosia, where are the forms?
0:31:02 > 0:31:04On their way.
0:31:04 > 0:31:05You mean she hasn't signed yet?
0:31:05 > 0:31:09- Er, I was just getting a pen. Mine ran out.- Could you hurry up, please?
0:31:09 > 0:31:12- She really needs to be prepped for theatre.- I'm on it.
0:31:15 > 0:31:18Following our chat earlier, I've been reading about aneurysms...
0:31:18 > 0:31:21I don't have time for this. Beth is refusing the operation.
0:31:21 > 0:31:25- What? Why?- She thinks her husband is waiting for her on the other side.
0:31:25 > 0:31:27- Zosia.- I know, it's my fault.
0:31:27 > 0:31:30I spent too long humouring her, getting too close.
0:31:31 > 0:31:33But it's time for her to face the truth.
0:31:37 > 0:31:39OK, listen to me. It is not Matthew.
0:31:39 > 0:31:43- The smells. He is not causing them. - Are you calling me a liar?
0:31:43 > 0:31:45Your recent trauma has clouded your judgment.
0:31:45 > 0:31:47You're wrong. It's Matthew.
0:31:47 > 0:31:49He is dead, Beth.
0:31:49 > 0:31:51I know that.
0:31:51 > 0:31:53The smells are not some sort of ghost!
0:31:53 > 0:31:55He is not haunting you.
0:31:55 > 0:31:59You can let yourself die, but you'll be doing it for the wrong reasons.
0:31:59 > 0:32:01Why are you doing this to me?
0:32:01 > 0:32:04Are you jealous? Because Matthew is still here looking after me,
0:32:04 > 0:32:06while your mum just left you!
0:32:08 > 0:32:10Beth...
0:32:10 > 0:32:13- you've got to trust me. - I won't consent.
0:32:13 > 0:32:16Please, Beth. Please do not refuse treatment.
0:32:16 > 0:32:18Why not?
0:32:18 > 0:32:23If you're telling the truth, if he's gone, what do I have to live for?
0:32:23 > 0:32:28Matthew wouldn't want this. He'd want you to fight, to live.
0:32:28 > 0:32:30Please let us operate.
0:32:31 > 0:32:33What did he say?
0:32:33 > 0:32:35He said he needed time to think about it.
0:32:35 > 0:32:37If Jac finds out you've gone behind her back,
0:32:37 > 0:32:39she's going to go ballistic.
0:32:39 > 0:32:42Oh, yeah. I hadn't really thought about that.
0:32:42 > 0:32:46I'm sorry, Jonny, but I have seen no evidence whatsoever to
0:32:46 > 0:32:48back up your assertions about Ms Naylor.
0:32:48 > 0:32:50What did you say to Mr Eldridge?
0:32:50 > 0:32:52I merely suggested to him
0:32:52 > 0:32:55- that an MRI might actually be in his best interests.- Why?
0:32:55 > 0:32:59Well, because I had serious concerns about his condition
0:32:59 > 0:33:01which I didn't feel were being properly addressed.
0:33:01 > 0:33:04Protocol for a transplant patient dictates...
0:33:04 > 0:33:06I don't care what your protocol dictates.
0:33:06 > 0:33:09I care that a seriously ill patient is now missing.
0:33:12 > 0:33:14- Is it true?- What?
0:33:14 > 0:33:15You lied to me.
0:33:17 > 0:33:18About what?
0:33:18 > 0:33:19You're not gay, are you?
0:33:21 > 0:33:23Look, Annie...
0:33:24 > 0:33:29..we're not allowed to get involved with our patients.
0:33:29 > 0:33:31It was stupid of me, but I thought it might make it
0:33:31 > 0:33:36easier for both of us if you thought that I was unavailable.
0:33:36 > 0:33:37Remove the temptation.
0:33:38 > 0:33:40So you were tempted?
0:33:42 > 0:33:45Nobody here needs to know. It could be one of our secrets.
0:33:45 > 0:33:47We'll go for a bite to eat.
0:33:47 > 0:33:49Yeah, I'm not sure that's such a good idea.
0:33:49 > 0:33:53Or the cinema? I kept quiet.
0:33:53 > 0:33:56I didn't tell anyone about you breaking the rules.
0:33:59 > 0:34:02A drink, then. I won't tell anyone.
0:34:04 > 0:34:05Sure. OK. Why not?
0:34:08 > 0:34:12Please tell me that you have these consent forms. Beth is due in surgery any minute.
0:34:12 > 0:34:15Consent forms and the preliminary notes of my case study.
0:34:15 > 0:34:17- Great.- What case study?
0:34:17 > 0:34:20On Beth. I wanted to explore the extent of
0:34:20 > 0:34:23- the psychological implications. - Implications of what?
0:34:23 > 0:34:27Well, it turns out that the aneurysm is causing phantom smells.
0:34:27 > 0:34:30Because of these olfactory hallucinations, Beth is under the impression...
0:34:30 > 0:34:33Er, no! Back up a minute. What smells?
0:34:36 > 0:34:38Something wrong?
0:34:38 > 0:34:43Compared to her post-op X-ray this band looks...deflated.
0:34:43 > 0:34:45Maybe it sprung a leak?
0:34:45 > 0:34:49I doubt it. Maybe it's just the angle that this one's taken from.
0:34:49 > 0:34:52That would probably be it. So what now?
0:34:52 > 0:34:56Get her back into surgery and have a look at the anterior slippage.
0:34:56 > 0:34:58The stomach is clearly herniated.
0:34:58 > 0:35:01Will you check her obs? Make sure that bleed is completely stopped.
0:35:01 > 0:35:03Yeah. I'll do that now.
0:35:05 > 0:35:07- Hey, you. - Hi. If you could just open up,
0:35:07 > 0:35:10I've just got to see if there's any signs of any blood.
0:35:13 > 0:35:15OK, that looks lovely.
0:35:15 > 0:35:17Do you really think I'll be beautiful?
0:35:17 > 0:35:19I said so, didn't I?
0:35:19 > 0:35:21- D'you really mean that? - Yeah, of course.
0:35:22 > 0:35:24When you're finished here, Lord Fauntleroy,
0:35:24 > 0:35:26you do have other patients to see.
0:35:29 > 0:35:30You OK?
0:35:30 > 0:35:34Sick of being judged for things I have absolutely no control over.
0:35:34 > 0:35:36I know exactly what it's like.
0:35:36 > 0:35:40Yeah, well, I didn't have a choice about the family I was born into.
0:35:40 > 0:35:41You think I'm like this out of choice?
0:35:41 > 0:35:44Well, no-one forced you to eat this much, did they?
0:35:46 > 0:35:48Is that what you think of me?
0:35:48 > 0:35:50Sorry, I didn't mean that.
0:35:50 > 0:35:53Just sat at home eating junk food and watching telly?
0:35:53 > 0:35:56All I meant is that with a better diet...
0:35:56 > 0:35:59- Do you realise how hard it's been for me?- Oh, come on.
0:35:59 > 0:36:03At some point you've got to take responsibility for your own actions!
0:36:07 > 0:36:09Steffan.
0:36:10 > 0:36:13You're going to get me in a whole heap of trouble, mate, you know that?
0:36:21 > 0:36:23What are you listening to?
0:36:25 > 0:36:29I'm not going anywhere until you start talking to me, so...
0:36:31 > 0:36:33It's the, erm,
0:36:33 > 0:36:36Elgar Cello Concerto in E minor.
0:36:36 > 0:36:39Oh, aye? Any good?
0:36:44 > 0:36:48- One of the greatest pieces of classical music ever written.- Right.
0:36:50 > 0:36:51D'you mind if I have a wee...?
0:36:56 > 0:36:58Thank you.
0:37:07 > 0:37:08Oh, wow.
0:37:10 > 0:37:11Wow.
0:37:11 > 0:37:13I know.
0:37:14 > 0:37:15Who's playing this?
0:37:19 > 0:37:20Is this you?
0:37:22 > 0:37:24You played this?
0:37:24 > 0:37:25I can't lose this heart.
0:37:27 > 0:37:28Steffan, we don't even know
0:37:28 > 0:37:30if there's anything for you to be scared of.
0:37:30 > 0:37:35That's just it. I've always been scared of everything.
0:37:36 > 0:37:38But since I've had this heart...
0:37:41 > 0:37:42..when I play...
0:37:45 > 0:37:46..I'm fearless.
0:37:48 > 0:37:52Yeah, but that's not the heart doing that, is it?
0:37:53 > 0:37:59That's you. That's the part of you that wants to be heard.
0:38:01 > 0:38:03And I'm sorry, OK?
0:38:03 > 0:38:07Because my head has been in entirely the wrong place today
0:38:07 > 0:38:09and I really shouldn't have scared you like that.
0:38:10 > 0:38:12But...
0:38:13 > 0:38:15..if you want to save that heart,
0:38:15 > 0:38:18the best thing you can do
0:38:18 > 0:38:22is come back onto the ward with me. Let us take care of you.
0:38:24 > 0:38:27- You should have told me what was going on.- I didn't think it would
0:38:27 > 0:38:30make a difference. It's not like it changes the diagnosis.
0:38:30 > 0:38:31But that's just it, it does.
0:38:31 > 0:38:33- But I...- Zosia!
0:38:33 > 0:38:36The smells cannot be a symptom of the aneurysm.
0:38:37 > 0:38:40You don't honestly think her husband is trying to
0:38:40 > 0:38:42contact her from beyond the grave, do you?!
0:38:42 > 0:38:45No, but if you'd studied the condition properly,
0:38:45 > 0:38:47you'd know that it couldn't possibly be the aneurysm either.
0:38:47 > 0:38:49I don't understand.
0:38:50 > 0:38:52OK.
0:38:52 > 0:38:56Beth is probably experiencing some sort of hallucination
0:38:56 > 0:38:59as a result of post-traumatic stress.
0:38:59 > 0:39:02OK, now, you did the crib sheet.
0:39:02 > 0:39:06It specifically mentions hallucinations as a warning sign.
0:39:06 > 0:39:08I might not have entirely finished it.
0:39:09 > 0:39:11- Why not?- It's a box-ticking exercise.
0:39:11 > 0:39:12It doesn't tell you anything.
0:39:12 > 0:39:15It tells you when a patient is in need of
0:39:15 > 0:39:17urgent psychiatric referral.
0:39:17 > 0:39:20I thought this is what you wanted to do for a living?
0:39:20 > 0:39:21It made perfect sense.
0:39:23 > 0:39:27I'm trying to support you, Zosia, but this is your problem.
0:39:27 > 0:39:29Well, I'm sorry if I let you down.
0:39:32 > 0:39:34I feel I should take responsibility.
0:39:34 > 0:39:37It was my idea for Zosia to do the mental state exam,
0:39:37 > 0:39:38and she clearly isn't ready.
0:39:38 > 0:39:41Clearly. Let's concentrate on Beth for now, shall we?
0:39:41 > 0:39:45I want you to phone Psych and ask for an immediate assessment.
0:39:45 > 0:39:47When you've done that, come and see me.
0:39:57 > 0:40:00- What have you done now?- Nothing.
0:40:00 > 0:40:02Well, that "nothing" is in pieces out there.
0:40:02 > 0:40:06Look, I didn't do anything! She over-reacted to something I said.
0:40:06 > 0:40:08What was that?
0:40:08 > 0:40:10"Be serious, Annie! I play Polo!
0:40:10 > 0:40:12"Why would I be interested in a common slob like you?"
0:40:12 > 0:40:15What is your problem? You know nothing about me.
0:40:15 > 0:40:18I know you're a lazy, arrogant posh boy who'd rather be sucking
0:40:18 > 0:40:21the money out of rich housewives than helping people with real problems.
0:40:21 > 0:40:23When things get tough, you come and hide in here.
0:40:23 > 0:40:25What do you expect me to do?
0:40:25 > 0:40:28Tell Annie it's not her fault she crammed chocolate down her throat?
0:40:28 > 0:40:30It's a bit late for that.
0:40:30 > 0:40:33She's out here pouring her heart out...to Ric Griffin.
0:40:34 > 0:40:37He kept telling me everything would be all right,
0:40:37 > 0:40:38and I trusted him.
0:40:40 > 0:40:42I don't want him anywhere near me.
0:40:42 > 0:40:44Go to my office. Now, please.
0:40:46 > 0:40:48The psychiatrist is with her now.
0:40:48 > 0:40:50Good.
0:40:50 > 0:40:53You do realise that by telling her the smells are caused by the
0:40:53 > 0:40:57aneurysm, that you gained consent through incorrect medical advice.
0:40:57 > 0:40:59If we'd operated, my reputation
0:40:59 > 0:41:02and that of the whole hospital would have been put into serious doubt.
0:41:04 > 0:41:07I'm sorry. I honestly thought I could help her.
0:41:07 > 0:41:10Why are you so keen to help her?
0:41:10 > 0:41:12I'm a doctor. That's what we do.
0:41:12 > 0:41:15There have been a dozen surgical cases recently that you've
0:41:15 > 0:41:17shown little or no interest in. Why her?
0:41:19 > 0:41:21She, er...
0:41:21 > 0:41:22She's been through a lot.
0:41:24 > 0:41:25Like you.
0:41:27 > 0:41:30This is nothing to do with Mama, if this is what you're getting at.
0:41:30 > 0:41:31Hasn't it?
0:41:31 > 0:41:33Zosia, you know, you pour so much energy into learning
0:41:33 > 0:41:36how to help people find peace, and yet you're so angry yourself.
0:41:36 > 0:41:39- I'm not angry, I'm... - Yes. You are.
0:41:41 > 0:41:43You are angry with me. You don't even try to hide it.
0:41:43 > 0:41:45How do you expect me to feel?
0:41:45 > 0:41:48If I had been anyone else out there today, you'd have asked advice.
0:41:48 > 0:41:49Are we done here?
0:41:49 > 0:41:51Zosie!
0:41:55 > 0:41:58I thought I'd have a go at this after all.
0:41:58 > 0:42:02I've only managed to skim through the first chapter, but, er...
0:42:02 > 0:42:03And?
0:42:03 > 0:42:05Well, apparently, dying can be sometimes
0:42:05 > 0:42:08less frightening than living, but then I knew that.
0:42:10 > 0:42:12- Is that what Mama thought? - You said this wasn't about her.
0:42:12 > 0:42:14Is it what she thought?
0:42:14 > 0:42:16Maybe.
0:42:16 > 0:42:18I should have been there for her.
0:42:22 > 0:42:24Why didn't you tell me sooner?
0:42:25 > 0:42:27She asked me not to.
0:42:28 > 0:42:31She asked you not to?
0:42:34 > 0:42:36I had a right to know.
0:42:36 > 0:42:39Yes. Yes, you did.
0:42:39 > 0:42:40You should have helped her.
0:42:40 > 0:42:42- It's not what she wanted.- Why?
0:42:42 > 0:42:46Why refuse treatment? She could have had time.
0:42:46 > 0:42:48I loved your mother so much.
0:42:48 > 0:42:51I would have given anything to have had more time.
0:42:51 > 0:42:54That's not what I asked. Why?!
0:42:54 > 0:42:56Because she thought it was the right thing to do.
0:43:03 > 0:43:05For who?
0:43:06 > 0:43:09For everyone.
0:43:09 > 0:43:11Mostly for herself.
0:43:14 > 0:43:19Your mother was a very proud, very brave lady.
0:43:20 > 0:43:23And I think she thought...
0:43:23 > 0:43:26in the face of certain defeat,
0:43:26 > 0:43:28that there was more dignity in surrender.
0:43:28 > 0:43:30SHE SOBS
0:43:49 > 0:43:50Right.
0:43:53 > 0:43:56If our psychiatrist gives the thumbs up,
0:43:56 > 0:44:00let's get Beth into theatre and try save her life.
0:44:03 > 0:44:05That OK with you?
0:44:11 > 0:44:16Please accept my apologies, once again, on behalf of this department.
0:44:16 > 0:44:19No need. We all know it only takes one weak link.
0:44:19 > 0:44:24Dr Tressler, the patient says that you pressured her
0:44:24 > 0:44:26into having an operation. Is that true?
0:44:26 > 0:44:28No. That is not true at all.
0:44:28 > 0:44:30Then why would she say it?
0:44:30 > 0:44:33Miss Hinkley expressed a few doubts. That's not unusual.
0:44:33 > 0:44:37We talked them through and she was happy to proceed.
0:44:37 > 0:44:39At the time, I thought that the department was pleased
0:44:39 > 0:44:41with my handling of the situation.
0:44:41 > 0:44:45So there were never any signs that she wasn't in complete control?
0:44:45 > 0:44:48Well, I think if she was in complete control she wouldn't
0:44:48 > 0:44:51have needed bariatric surgery in the first place, to be honest.
0:44:51 > 0:44:53Don't get smart with me, Dr Tressler.
0:44:55 > 0:45:00Look, with hindsight, my inexperience in this particular
0:45:00 > 0:45:02field may have led to a regrettable decision.
0:45:04 > 0:45:07I'm sure she's told you what happened at the weigh-in.
0:45:07 > 0:45:09No. What was that?
0:45:11 > 0:45:13That she burst into tears.
0:45:13 > 0:45:16She begged me to do everything that I could to help her.
0:45:16 > 0:45:19And, seeing how desperate she was,
0:45:19 > 0:45:21I believed that the operation was in her best interest.
0:45:21 > 0:45:25Tell me, having witnessed your patient vomiting up blood,
0:45:25 > 0:45:27do you still think that's true?
0:45:27 > 0:45:31No. But the complications were caused by her actions, not mine.
0:45:31 > 0:45:34I've heard enough. Annie should be our priority from now on.
0:45:34 > 0:45:37I'm going to scrub in. Dr Tressler, you can join me.
0:45:37 > 0:45:41- In theatre? - I'm not sure that's a good idea.
0:45:41 > 0:45:43I want him to see the damage he's caused.
0:45:45 > 0:45:48Psych believe that Beth has the capacity to consent
0:45:48 > 0:45:51and is happy to go ahead, so we can proceed.
0:46:00 > 0:46:04Why do I get the feeling that Zosia's foray into psychiatry
0:46:04 > 0:46:07hasn't been entirely successful for her?
0:46:07 > 0:46:09Don't even go there.
0:46:10 > 0:46:12Ah.
0:46:12 > 0:46:15It's definitely slipped. It's not in the right place.
0:46:16 > 0:46:18I'm going to have to take it out.
0:46:20 > 0:46:23Bariatric patients are vulnerable.
0:46:25 > 0:46:28They pin their hopes and dreams on surgery like it's a magic wand
0:46:28 > 0:46:32that's going to cure all life's problems.
0:46:32 > 0:46:35You took advantage of her frailty,
0:46:35 > 0:46:37and this is the result.
0:46:39 > 0:46:41Pass me a liver dish.
0:46:43 > 0:46:45If you could just give me another chance...
0:46:45 > 0:46:49I don't think this is the specialism for you.
0:46:49 > 0:46:52I'm not convinced that you possess the necessary emotional maturity.
0:46:53 > 0:46:57Oh, and by the way, gastric bands
0:46:57 > 0:47:01don't just "spring a leak", Dr Tressler.
0:47:01 > 0:47:03Unlike your intellect, it seems.
0:47:03 > 0:47:06If I could prove that someone had tampered with this,
0:47:06 > 0:47:08their career would be over.
0:47:10 > 0:47:11There's your oxygen for you.
0:47:11 > 0:47:13Have you got this? I'll be right back.
0:47:17 > 0:47:19Sorry. Sorry, crisis averted.
0:47:19 > 0:47:21Now, about our other wee problem...
0:47:21 > 0:47:25Jonny, the only problem I can see in this ward is you.
0:47:25 > 0:47:27Sorry?
0:47:27 > 0:47:30I know it must be difficult working with an ex,
0:47:30 > 0:47:34but you've just undermined a patient's trust in their consultant -
0:47:34 > 0:47:35a consultant who, I might add,
0:47:35 > 0:47:37has been nothing but professional all day.
0:47:37 > 0:47:40You don't understand. She's not normally...
0:47:40 > 0:47:41Jonny, we've all been there.
0:47:41 > 0:47:44Workplace romances often end like this.
0:47:44 > 0:47:47In the meantime, maybe you should follow Ms Naylor's example
0:47:47 > 0:47:49and put the past behind you.
0:47:56 > 0:47:58Congratulations, ladies and gentlemen,
0:47:58 > 0:48:01I can see the vascular feeders.
0:48:03 > 0:48:05Now for the difficult bit.
0:48:06 > 0:48:07Clips.
0:48:11 > 0:48:13Yes, that bayonet clip, please.
0:48:14 > 0:48:21You know, Zosia, neurosurgery and psychiatry can be pretty similar.
0:48:21 > 0:48:27It's just a question of digging around in the brain,
0:48:27 > 0:48:32trying to find that flaw that causes pain.
0:48:32 > 0:48:35I'd not thought of it like that before.
0:48:35 > 0:48:38Maybe we're not so different after all.
0:48:44 > 0:48:45Damn it!
0:48:45 > 0:48:48The aneurysm's burst.
0:48:48 > 0:48:50Drop the blood pressure.
0:48:51 > 0:48:53I can't see a thing.
0:48:54 > 0:48:56Heart rate's 112.
0:48:56 > 0:48:58- Come on...- Dad?
0:49:01 > 0:49:03Got it.
0:49:06 > 0:49:08Heart rate's stabilising.
0:49:10 > 0:49:12No sign of any further bleed.
0:49:14 > 0:49:16OK, good.
0:49:17 > 0:49:21Right, that was...interesting.
0:49:22 > 0:49:24Zosia, let's close up.
0:49:24 > 0:49:27We'll do an angiogram. Check everything's flowing properly.
0:49:27 > 0:49:29- That's it? - Yes, that's it for now.
0:49:30 > 0:49:34We'll keep her in a coma, keep her ICP down, but...
0:49:34 > 0:49:36so far, so good.
0:49:38 > 0:49:39Fun, isn't it?
0:49:39 > 0:49:42THEY CHUCKLE
0:49:42 > 0:49:43'Yeah, he just wanted to let you know'
0:49:43 > 0:49:46that he won't be able to make it to rehearsals tomorrow.
0:49:46 > 0:49:48Oh, wait, while I've got you on the phone,
0:49:48 > 0:49:52can you pass on a message from Steffan to your oboist?
0:49:52 > 0:49:55Yeah, can you let her know that Steffan would love
0:49:55 > 0:49:59to go out for a drink when he's feeling better, is that OK?
0:49:59 > 0:50:02You're a star. Thank you.
0:50:02 > 0:50:03Where's Colette?
0:50:03 > 0:50:06- She's gone.- Good. - Listen, before you say anything...
0:50:06 > 0:50:08You told a patient that my clinical judgment was flawed.
0:50:08 > 0:50:12- No, that is not exactly... - You're a nurse. Just a nurse.
0:50:12 > 0:50:14You're not paid to question my judgment,
0:50:14 > 0:50:17you're paid to hand out pills and wipe people's backsides.
0:50:17 > 0:50:20If you'd worked harder at school and weren't such a halfwit
0:50:20 > 0:50:23you could be standing where I am now, but you're not.
0:50:23 > 0:50:25And if you ever undermine me to a patient again, I will use
0:50:25 > 0:50:29my considerable surgical expertise to remove your internal organs.
0:50:31 > 0:50:33Here it is.
0:50:33 > 0:50:36- Thanks, Mo. Totally forgotten about that.- My pleasure.
0:50:36 > 0:50:38Nurse Maconie, a word?
0:50:38 > 0:50:40Sure.
0:50:40 > 0:50:42I think Mr Eldridge is still expecting
0:50:42 > 0:50:44an MRI before his operation.
0:50:44 > 0:50:45Better safe than sorry.
0:50:47 > 0:50:51As Nurse Maconie wisely pointed out, it is protocol.
0:50:52 > 0:50:54Good.
0:50:54 > 0:50:58Don't you ever speak to one of my nurses like that again.
0:51:05 > 0:51:06Sorry. My bad.
0:51:09 > 0:51:12You're going to be referred back to bariatrics now.
0:51:12 > 0:51:14When can I have another one put in?
0:51:16 > 0:51:19Annie, it's very unlikely that you'll be approved
0:51:19 > 0:51:21for another procedure on the NHS.
0:51:21 > 0:51:24By failing to adhere to the post-op diet,
0:51:24 > 0:51:26you've shown that you're an unsuitable candidate.
0:51:27 > 0:51:30So, that's that?
0:51:31 > 0:51:34There's always the option to go private?
0:51:34 > 0:51:36Borrow some money, shall I?
0:51:37 > 0:51:42All I wanted was to look at myself in the mirror without feeling sick.
0:51:42 > 0:51:46Just for a while, I allowed myself to dream it was going to happen.
0:51:46 > 0:51:48But it's not, is it?
0:51:56 > 0:52:00So, I just had a look at Steffan's MRI.
0:52:01 > 0:52:04Subendocardial fibrosis, right?
0:52:04 > 0:52:07Did you just look that up in The Idiot's Guide To Heart Surgery?
0:52:07 > 0:52:11Just to get this absolutely clear, am I right in thinking
0:52:11 > 0:52:15that, if left undiagnosed, that would most probably
0:52:15 > 0:52:17deteriorate to full rejection?
0:52:17 > 0:52:20It would have been picked up when he had his biopsy done.
0:52:20 > 0:52:23Do you really think I'd put a patient's life in danger
0:52:23 > 0:52:25just to get one over on you?
0:52:25 > 0:52:28There are so many easier ways I can do that.
0:52:29 > 0:52:33Well, there might not be quite so many after today.
0:52:35 > 0:52:38I'm Darwin's Acting Clinical Nurse Manager.
0:52:40 > 0:52:46I guess Colette just wanted the ward to have a strong male role model.
0:52:48 > 0:52:51Oh, and by the way, I've chosen a new nanny.
0:52:51 > 0:52:53Her CV is on your desk.
0:52:54 > 0:52:57You don't mind, do you?
0:52:57 > 0:53:00Especially now there's all these horrible new things
0:53:00 > 0:53:02that I can do to annoy you.
0:53:02 > 0:53:04Like, er, rotas,
0:53:04 > 0:53:05budgets,
0:53:05 > 0:53:07care assessments...
0:53:07 > 0:53:08You wouldn't dare.
0:53:10 > 0:53:11So we're agreed, then, yeah?
0:53:15 > 0:53:18Well, a bet's a bet. Drinks are on you.
0:53:18 > 0:53:20Oh, you buying? Count me in.
0:53:23 > 0:53:26There's just something I need to do first.
0:53:38 > 0:53:40Here. This is for you.
0:53:41 > 0:53:44It should cover the cost of the procedure.
0:53:44 > 0:53:48Or use it for whatever you want, but I just wanted to say I am sorry.
0:53:49 > 0:53:52That's the thing, when you're as skint as I am,
0:53:52 > 0:53:55you have to sit back and watch you lot swanning through
0:53:55 > 0:53:58as if you're some sort of higher life form.
0:53:58 > 0:54:00Well, trust me, you're not.
0:54:00 > 0:54:02So I'll take your filthy money,
0:54:02 > 0:54:04cos I'd rather I had it than you did.
0:54:10 > 0:54:12Guilty conscience?
0:54:12 > 0:54:15Is this the Tressler MO - buying your way out of things?
0:54:15 > 0:54:18Not all of us are blessed with your impeccable moral fortitude.
0:54:18 > 0:54:20You want to take a good look at yourself,
0:54:20 > 0:54:23because right now you're a disgrace to the profession.
0:54:23 > 0:54:25Gentlemen, can I have a word, please?
0:54:25 > 0:54:27I've already made it clear to Dr Tressler
0:54:27 > 0:54:30that he needs to up his game.
0:54:30 > 0:54:32Well, that applies to both of you.
0:54:32 > 0:54:34- Both of us? - This happened on your watch.
0:54:34 > 0:54:37Dr Tressler was under your direct supervision.
0:54:37 > 0:54:39You've both let me down,
0:54:39 > 0:54:42and you're frankly lucky that I haven't suspended the pair of you.
0:54:42 > 0:54:47Dr Tressler, I'd like you to write a full report for your e-portfolio.
0:54:47 > 0:54:51Absolutely. And, Mr Griffin, can I just say I'm very sorry?
0:54:51 > 0:54:52This will not happen again.
0:54:55 > 0:54:57I'm sorry.
0:54:57 > 0:54:58I'm glad we got that sorted.
0:55:05 > 0:55:08Well, I think this calls for a celebratory drink.
0:55:08 > 0:55:10I'm very proud of you.
0:55:10 > 0:55:13And you're OK about being shacked up with the boss and all that?
0:55:13 > 0:55:15They do say power is an aphrodisiac.
0:55:19 > 0:55:22Maybe Jac will show me a wee bit of respect from now on.
0:55:24 > 0:55:26What?
0:55:26 > 0:55:29Is that why you wanted a promotion? To impress Jac?
0:55:29 > 0:55:31Of course not.
0:55:31 > 0:55:35Look, I'm doing this so I can provide for my daughter.
0:55:35 > 0:55:36And for us.
0:55:38 > 0:55:41Surely that's a good thing, right?
0:55:41 > 0:55:43Yeah, course it is.
0:55:43 > 0:55:49Right. Now come on, there's a bottle of bubbly with our names on it.
0:55:52 > 0:55:56So, I've decided on my new specialism.
0:55:56 > 0:55:58- Already? - Go on, then, what is it now?
0:55:58 > 0:55:59Plastics.
0:55:59 > 0:56:01Oh.
0:56:01 > 0:56:03What? At least I'll end up with better-looking patients.
0:56:05 > 0:56:08Embarrass me like that again, English boy, and I'll make sure
0:56:08 > 0:56:11you're off my ward and out of the hospital for good.
0:56:11 > 0:56:13Are we clear?
0:56:13 > 0:56:16Why don't you come join us, Raf? Have a drink.
0:56:16 > 0:56:18Might help you relax.
0:56:20 > 0:56:21Have a nice evening, ladies.
0:56:25 > 0:56:27So...
0:56:27 > 0:56:29to plastics.
0:56:29 > 0:56:31- Cheers.- Yeah.
0:56:34 > 0:56:36- KNOCKING - Yeah?
0:56:41 > 0:56:45I just wanted to thank you for being honest with me earlier.
0:56:45 > 0:56:48And to say sorry for giving you such a hard time.
0:56:48 > 0:56:52There's really no need to apologise.
0:56:52 > 0:56:53OK, well...
0:56:53 > 0:56:58It might take me a while to get used to it after all this time.
0:56:58 > 0:57:02You calling me Dad in theatre.
0:57:02 > 0:57:04Oh, yes.
0:57:05 > 0:57:07Well, you are, aren't you?
0:57:10 > 0:57:13Anyway, I've got to head home, so...
0:57:13 > 0:57:15Oh.
0:57:15 > 0:57:17OK. Good night, then.
0:57:18 > 0:57:20Good night.