Anything You Can Do Holby City

-You told a patient that my judgment was flawed.

-No, that is not...

You're a nurse. Just a nurse.

Do you really think I'd put a patient's life in danger

just to get one over on you?

There are so many easier ways I can do that.

-Damn it. The aneurysm's burst. I can't see a thing.

-Dad?

It might take me a while to get used to you calling me "Dad" in theatre.

Well, you are, aren't you?

Embarrass me again, English boy, and I'll make sure you're out of the hospital for good.

I'm Darwin's acting Clinical Nurse Manager.

And there's all these horrible new things that I can do to annoy you.

You wouldn't dare.

# There's a starman waiting in the sky

# He's told us not to blow it

# Cos he knows it's all worthwhile He told me

# Let the children lose it

# Let the children use it

# Let all the children boogie

# Na-na na-na-na

# Na-na na-na Na-na na-na... #

HE HUMS

Rise and shine!

-Thank you.

-Don't mention it.

-She had a good night.

-Looks like you did, too.

Oh, yes. Your foray into management.

Good luck to us all.

'Skill exchange initiative between wards'.

Oh, this is why you've been skulking round other theatres.

God loves a trier.

You a wee bit nervous?

You and me, on an equal footing, the hail of a new dawn?

Equal? In what universe?

-There was me thinking you were going to be nice for a change.

-Nah.

She took 4oz on her first two feeds.

HE YAWNS

Ah. Little Miss Sunshine.

Hey.

Hello!

-Thank you.

-Right, you can toddle off, you're relieved.

-Thanks!

-Oh, you know, first day on a new job.

We all know how hard you find it

to entertaining more than one thought at the same time.

-Unlike you, you mean?

-Obviously.

Yeah, well listen up, Missy.

Anything you can do, I can do better.

I-I don't understand. I entered all of this last night.

And in the HR column, as well. It doesn't work otherwise.

On his way? But we have no beds!

Said who?

Great. Thanks. ED Referral.

Apparently someone gave them the go ahead.

-Why have we no beds?

-We've too few nurses, discharges are behind.

Well, nobody called...

-Jonny?

-Oh, man.

What is this? What, did they beam him up?

Tommy Hynes, 17, collapsed in a service station. Query SVT.

This my girlfriend, Vicky. She can stay with me, right?

This is a right pickle. We'll have to shift the theatre slots round.

-Just give me a second...

-Call me when you get on top of things.

Sure thing. OK, OK. Er, you are going to do discharges.

I'm going to deal with these two.

Bed eight.

Like the new look.

Hunter Green.

"All right," she said,

"I have something to say that I was afraid to say before."

"Say away," I said, lightly.

"I'm not Helga," she said.

"I'm her little sister, Resi."

Mother Night.

You keeping a vigil?

They, they do say that if you want to keep, erm, talking to them...

Oh, yeah, absolutely. Especially with a cliff-hanger like this.

It was your mother's favourite, you know.

Well, er, BP is 120/70, sats 98%,

temperature is 37.4, pupils 3+ and reactive.

I've commenced her on nimodipine and dexamethasone.

So far, so good, then.

-I need to, erm...

-I see you're wearing her necklace again.

Yes.

It just turned up.

-Well, I'd better...

-Yeah, yeah, yeah. Me too.

PAGER BEEPS

Tressler's legal eagles, come to scrutinize our handiwork.

You could join us, if you want?

What, and play the eager apprentice?

One stint in theatre doesn't suddenly make me a vocational convert.

Yeah, OK, calm down. I have got the message, you know.

It's your life, your career.

You have to do whatever makes you happy.

Yes, I know, I'm full of surprises.

Oh, well. No rest for the wicked.

Na razie.

Mummy, you are a star. Thank you. Bye. Bye, bye, bye.

Mummy? Muggins, more like. What's she sorted out for you this time?

Hey, why the mega grump?

Oh, course, induction day.

Think of it this way,

you'll be shaping the great nursing minds of the future.

Actually, is there such a thing as a great nursing mind?

Is that really coming from you, after your recent performance?

Learning curve.

Molto importante stage in our development,

according to our Mr Di Lucca.

What are you up? You've got that smugsville look on your face.

Oh, no way? I hate you!

Mojito, anyone?

You see, I've had a few epiphanies.

One, I, too, am but human.

Two, I've been working myself too hard,

and three, I'm owed some leave. It just so happens that a buddy of mine

moors his yacht off the south coast of Cuba.

Thanks to my mum's frequent flyer gold card,

5pm, Havana, here we come!

And nothing will give me greater pleasure

than informing Il Duce for myself.

Who's the lucky beggar?

Oh, me. I was going to e-mail you, actually.

Well, there's nothing like a face-to-face catch-up.

Five minutes? And bring your logbook.

-So you've only fainted the once, yes?

-Er, yeah.

-And any dizziness, palpitations, breathlessness.

-No.

-Hey!

-You OK?

You feeling a wee bit light-headed?

Right, take a seat.

Look at me.

When was the last time you had a decent meal?

OK, how long have you guys been sleeping rough?

-What's that got to do with any...?

-Because you're so run down, it might explain some of your symptoms.

Right, we need to check BP, pulse and resps, fluid IV,

-four-hourly obs, and breakfast for both. Cooked.

-OK.

(I'm sorry.)

You come straight from the garden centre or something?

They're Hunter Green. How were the rounds?

Delayed. Some 12-year-old registrar is going at a snail's pace.

Unfortunately I couldn't stay as I've been paged

about a gazillion times to come down and rescue this place.

Jac Naylor, consultant.

He has palpitations.

Fluids? That's all?

Right, I want full bloods, LFTs, Us and Es, ECG

and let's order an echo.

-But he said...

-Yes, he's a nurse. I'm a doctor.

Well, that was quite the performance.

Mistress of Death swoops down on to the ward,

strikes the fear of God into the hearts of our patients.

Better than the Nurse Manager who's fobbing them off with fluids

just so he can sort out his brain freeze.

I've done the discharges, but you need to call HR and have them authorise the agency staff.

Did you page Jac?

Yeah, a few times.

Right. You might want to run that by me next time.

-I needed someone to sign...

-It's playing straight into her hands.

-Hello? "Thanks for all your help, Bonnie."

-So predictable, that woman.

Right, NICU just paged me, the 12-year-old wants to see us both.

-But if you're too busy then I can...

-No, no, no. Not at all.

Everything's under control.

Right, fasten your seat belts, day from hell coming.

Mr Levy's back-to-back in theatre

and Ms Campbell's laid down with gastroenteritis.

-Have you been kissing senior members of staff again?

-Hilarious(!)

Catherine O'Malley. Who's my F1?

Living kidney donation transplant, scheduled 13:05 today?

Recipient Greg Tremblay, 38.

Donor, his husband, Louis Herrera, 40. Ring any bells?

The clueless faces say it all. Jubilation(!)

-Catherine!

-Ah.

So glad you could make it.

Impressive display of vacancy here from the three stooges.

Anyway, who's the least moronic of the three? I'll take them.

Oh, erm...Dr March,

-do you think you could handle the blanket bombing?

-Sure.

Detailed history. Pre-examination observations, updated INR,

Us and Es, LFTs, yada yada, all the rest.

This is the staff list I want in my theatre.

Mr Ahmed will do the organ retrieval. I need to call my secretary.

Oh, and a double espresso in a big cup with hot milk on the side.

Enjoy.

You know how anal they are about time off.

You either use it or you lose it.

And Simmo's been banging on for ages about wanting me

to go snorkelling with him, so...

You might know him actually - Simeon Carmichael.

OBE. Orthopaedic surgeon.

Can't say I do.

Anyway, back in the real world, I had a look through your logbook.

Actually, I was asked to. Morning.

Asked?

Yeah, your latest debacle has left you open to quite

a bit of scrutiny, I'm afraid.

Uh-huh. Interesting reading?

Illuminating.

Seems there's quite a few basic skills you in there that you haven't recorded.

In fact, more than quite a few - 17.

How are you today?

Well, I guess doing is far more important than documenting.

I mean, I'm not a first year student any more.

Then you should know documenting offers an invaluable

opportunity to reflect the doing.

And that it's not negotiable.

Fine. If you say so. I mean, I'll get right on it when I get back.

No can do, I'm afraid. And this came from the head honcho.

-You're looking well.

-Griffin?

Obviously, if you taking leave is unavoidable,

then you'd have to take it up with him.

You could always bring your educational supervisor

into this, or just repeat your whole AAU rotation at some point.

Why don't I get right on it now?

And...I might be able to sprint through it by the end of the day...

On your marks then, mi amigo.

No, Ms O'Malley wants him on board.

Can you make sure that his theatre schedule is clear for today?

Thank you.

How's Daddy's girl?

-Very funny. I'm just doing my job.

-You seem pretty up for it from where I'm sitting.

PHONE RINGS

Dr March. Well, find them and print them out.

OK, bit of shifting around, seeing as Dr March is going to have

her hands full.

I want hourly obs on Beth Forbes

and clerk in a Mr Di Canio, who's come in for a lumbar decompression.

Any time this year would be good.

Think I don't know what this is about?

"This is your life, you should do what makes you happy."

-Sorry, I'm not quite with you.

-It hasn't taken you long to push me

into another juicy case, has it?

OK, let's go through this again. You're on rotation in a surgical ward, right?

-Yes.

-As far as I'm aware we don't run a pick'n'mix service.

Grab every opportunity to learn.

So she can come home with us today, then?

She's done very well, managed all her feeds, obs are good.

We see no reason to keep her here.

That's great news, isn't it?

I'll, er, get the nurses to draw up the discharge.

-Where is Mr Solis?

-Jac.

Attending a funeral.

But we've caught up on the phone just after rounds

so he's fully in the picture.

You... were expecting this, weren't you.

Oh, Of course, yeah, it's just... you know.

Yes, it's very common to have mixed emotions.

Parents wait so long for this moment and then

when it comes everyone feels totally unprepared.

Yes, thank you for that but we've read all the leaflets.

Don't worry - we're prepared.

Totally. Believe you me,

we couldn't be any more prepared. You hear that, monkey?

We're in charge now!

We've got the oxygen, we've got the sats monitor,

and we need to go to the pharmacy and pick up the meds.

I'm going to put together a list of, like, emergency numbers.

Oh, and the baby monitors! I've still got them.

This is good news, isn't it?

Yes, of course.

She did say it's perfectly natural to feel a little overwhelmed.

I don't feel overwhelmed.

I just feel weird taking advice from a broad bean.

Yeah. Jac!

I meant now what I said, I'm going to be there, every step of the way.

We're doing this together, right?

I need to call the agency. Let the nanny know.

Yeah.

-So?

-Looks like this is finally happening.

So you taking the rest of the day off?

No, no, of course not. I am now raring to go.

-Good, cos you really need to call HR, we still need extra cover.

-Yeah.

Oh, and Grantham called again - that complaint.

Well, he can wait. Have you got Tommy Hynes's results?

Oh, yep.

Yeah. And don't let her fill up on milk and bananas.

Yeah, put her on.

B/P and sats on Mr Herrera.

Hey, pops! How you doing? No! You saw an adapo? Wow!

That's "aeroplane".

Thinking of having one?

Erm...in another life.

We love you! Daddy and Daddy love you very much.

Bye-bye, darling, we'll see you soon. Could you put Granny back?

Oh.

Hey. You will survive the general anaesthetic

and you will see her again.

Oh, shut up. Mother Bear prerogative.

You knew that when you married a Jew.

Don't be fooled. All this neurosis hides a core of steel.

Oh. So cute.

She'll be two very soon.

Well, in six weeks, three days and two hours.

We've hired a medium-sized lorry for the presents.

What can I say? I'm one of life's givers.

Still time to change your mind about this one.

As if. This kidney's got your name on it.

I would very much like both of Poppy's parents to be there when she turns two.

-Headache?

-Mm.

-Yeah. You're running a bit of a temperature.

-Is everything OK?

-Blood pressure on the high side too.

Can we repeat full blood tests, Us and Es, blood culture, CRP,

urine microscopy and culture, urine dipstick, renal ultrasound, and

run a chest X-ray on the recipient to look for pulmonary oedema?

Go on, scooty scoot.

On my marks.

This is outrageous - cannulation, blood culture, ECG, joint injection?!

He knows I've done a million of these.

-Payback for yesterday, head boy.

-Mate, you've got to help me.

-Field patients my way or something.

-You're kidding, right?

I've got five nurses who don't even know where the canteen is.

This is harassment, we've got to stick together!

-He's on my case today, he'll be on yours tomorrow.

-Ooh, I hope so.

Pathetic.

Anyway, I'm done running round for you, go and find some other loser.

-Oh, come on, mate. She's not trained.

-Absolutely.

Adele!

I think we could work together on this.

Oh, shut up. Just name your price.

Dinner. With cocktails. You're picking me up.

I'm choosing the wine.

-Whatever you say, baby.

-Tonight

Done.

No, no, no, no, you - you will have to call the agency.

They do call you Human Resources for a reason, don't they?

Thank you.

Have a look at this. Romeo's ECG. Progressive T wave inversion.

-Jac was right.

-Haven't got medical history yet.

No fixed address, no GP. I've asked St James's to look into it

but that's if he gave us his real name.

And Jac's going to want us to run a general tox.

Siobhan! Siobhan.

Siobhan? Is that her name? Siobhan? Can you hear me, love?

Right, I think she just fainted.

Rejoice. You need to clear another bed.

Hey, not you, too.

You tell Professor Get-Your-Finger-Out he either

gets his SHOs up to scratch or I'm not setting foot in his ward again.

-March, where's the ultrasound report?

-Just getting it.

Along with a tissue so you could wipe me off your shoe.

Right. Our recipient.

Yes, slight but persisting temperature, could be nothing.

-Have you checked bloods for cocaine, amphetamine, opiates?

-Er...

History, history, history. He used to dabble.

Sorry, I haven't had time.

Despite looking like the blissful middle-class dream, his chronic

kidney disease was preceded with hefty cocaine abuse.

The two aren't related, of course.

Right, but you didn't...

Didn't ask him? Of course not.

He would lie, that's what addicts do. In fact, all patients do.

All people do.

You'll learn to sniff it out. Love that bee, by the way.

You forgot my coffee!

Erratic heartbeat.

And you're breathless and you have chest pain,

and your name is Siobhan. Any chance we could get YOUR real name?

Joey.

Thank you. I don't supposed we could stretch to surnames?

No. Didn't think so. I'm sure Nurse Maconie has asked you this already

but have you taken anything recently - cocaine, ecstasy, speed?

-Or maybe he hasn't.

-Why? Cos we're homeless we're druggies too?

She doesn't mean it like that.

Have you had any recent infections? Been anywhere exotic?

What's it look like?

What're you looking at, you cow?!

Hey, don't speak to her like that!

We're not the enemy, we're trying to help you.

Want to know how many times we heard that? Get lost.

Joey, please.

OK.

Let's get an ECG for her and let's chase up his echo.

I will try again for names once he's calmed down.

Sure.

Erm...about tonight.

I think we should set up the baby monitors anyway.

You know, even though I'm going to be there.

Going to be where?

At your place. So you don't have to stay up all night.

I wasn't going to. I have a maternity nurse covering the nights.

A maternity nurse?

Are you sure there's nothing you forgot to mention?

Any other medication?

Any prescription drugs?

You mean DRUGS drugs.

There's no need to tiptoe. We're all friends here.

I know Cruella would want to cover all tracks.

-She's not as bad as she looks, you know.

-Is that right?

I owe her big time.

She was the one who suggested we run a compatibility test when we found out.

She knows her stuff. Could I feel your glands?

Let's just say it like it is, she's a bitch.

But she's worth it.

Tender?

Take it as a compliment. She must see herself in you.

I doubt it.

I don't even know if I want to be a surgeon.

-Oh, so you're doing this just for fun

-My rotation. I haven't decided yet.

Let me check your blood pressure again.

Hey, I'm 38 and I still haven't got a clue. I mean it.

Come on, there must be something you wanted to do.

Oh, yeah. Professional surfing.

In American Samoa.

Far out.

No, seriously.

Nah. Only joking.

Anyway, whatever I wanted or didn't want, it's too late now.

How long have you had this rash?

Don't know. A while, I think.

Why?

It's nothing, I'm sure.

Oh, her first night at home, right, after all this time,

and you are going to leave her with a stranger?

Not a stranger, a qualified professional.

A whole army of them!

A nanny in the day, a maternity nurse at night.

Oh, just grow up, OK.

We work during the day, we can't be up at night.

I don't mind. Most parents cope with that.

And speaking as her father, a say in either one of these decisions

might have been nice.

OK.

Well, I'm not sure that Ralph the Pig is having the impact we hoped,

so what do you think?

A lion?

I have to take a patient for an ECG. Excuse me.

Jolly good.

So nothing came up? Thanks.

Ah, Ms O'Malley, that was the lab.

Bloods came back clean and the tox is clear.

But he's in a lot of pain, raised temperature, B/P is up

and he seems to have a bit of a rash on his arm.

But bloods are clean, that's the most important thing.

This, however, could put a real spanner in the works.

Who the hell wrote that report? A child?

"Donor kidney displaying small cyst."

Small? What the hell? They didn't think of measuring it?

Dr Harris. Yes, well, it could be nothing, just a simple cyst.

Exactly. And how the hell are we supposed to know, divination?

Well, we could order a last-minute scan off Dr Cowley. She's amazing.

It's just there's a queue for her the size of Whitehall.

-We can't wait.

-We can jump it.

I'll go on that date with her she's been badgering me about for weeks.

Try anything new. For the first time.

Ah! You mean for me? Sweet.

Absolutely. Nothing to do with the patient.

I like your style.

Thank you, I like to be appreciated.

You're the girl with the penchant for psychiatry?

Oh, people talk.

The CEO's daughter who's formed a splinter group.

Yes. It's extremely embarrassing for him.

Oh, to be a fly on the wall. I can imagine.

Come on then, let's hear it.

All failed surgeons become psychiatrists.

Hardly. Knowledge of people, that's what it's all about.

Makes the difference between a good doctor and an exceptional one.

But nothing can replace the hit of taking someone into surgery

and giving them their life back. Nothing.

You've been bitten by the bug, you just don't know it yet.

Come on, let's get on with it.

OK, what have we got so far?

Cannulation, ECG, airways, suturing, and catheterisation.

Right, go, go, go.

Oh, look at him, charming the frequent flyers. What's she doing here again?

Oh, leave her alone, she's nice.

No, I don't need an IM injection, I need a joint injection.

All right, chill, I'm not doing too badly.

-We need to up our game.

-So, how we doing?

Yeah, getting there.

Fantastic. Look, I need you to scrub in with me.

-I was just...

-Appendicectomy. Laparoscopic one.

I've already done that one.

That's not a request. See you in theatre!

You know, it would make our jobs a lot easier

if you would just give us a name, or a date of birth, or anything, really.

I don't know my date of birth.

Been in care since I was a baby.

Been in about six or seven different homes.

Is that where you met? In care?

Not exactly.

OK?

Yeah, just a dicky tummy. I'm not used to cooked stuff.

You know, maybe if you just gave us the name of the last home you were in.

We're trying to help here, we're not the police.

But why do you need to know? You're doing all these tests and stuff.

OK, calm down, there's no pressure.

Echo results have come back. And agency nurses have finally arrived.

Er, we're going to need new bloods here.

Er...so who's going to brief them?

You are. Because you're so good.

Jac needs to see this.

This, er this...scan.

Simple cysts are common and usually harmless.

So... we can still go for it today, right?

We just need a more detailed report, that's all.

Oh, wow, look at that. Your wedding?

She was only one but I was determined to get her a tiara.

Looks like a cover shoot. Where is this?

Oh, Hawaii. Where else? Greg wouldn't have it any other way.

I mean, look at him here - he's glowing.

As ever on a beach - he lives for the beach.

And this was only a year ago.

Ignorance is bliss.

At that stage, we thought it's just a chronic condition

-The last few weeks came as such a shock.

-I think it's incredible what you're doing.

Well, what were the chances of me being a suitable donor?

Nearly zilch. It's clearly written up there.

Destiny, eh?

I know I'm a big drama queen but this hasn't cost me a moment of thought.

He'd do exactly the same for me.

O'Malley's secretary had this couriered over.

I know, I'm an angel. You can buy me lunch later.

Right. Deep breaths, mister. Everything's going to be just fine.

Oi. Don't be shy, back me up here. Vigorously!

Yeah. Sorry, of course, you will be.

If you'll excuse me, could you take him to the scanner room, please?

I don't know, maybe... they're underage.

But she literally jumped when I said police -

just when I thought I was getting somewhere.

Your echo's shown up some very worrying irregularities.

I'm afraid it looks like you have hypertrophic cardiomyopathy.

What's that?

It's a lifelong heart condition that can lead to cardiac arrest.

We need to do an open heart procedure to cut away

some of the thickened muscle wall in the middle of your heart.

What?

It's good that we caught it now.

It's one of the largest causes of sudden death in young people.

There is one other thing we need to mention.

This is a genetic condition.

So you might want to contact any family.

It's very high-risk so they do need to know.

I don't have any family.

OK, look. We can contact them for you.

They don't even need to know where you are.

You deaf? I just said...

Oh, God... Jonny, it's absolutely fine. It's your choice, OK?

Can we run an B/P study and let's do a cardiac catheterisation.

Let's find out exactly what's going on, OK?

PHONE RINGS

Jac Naylor.

Yes, but we're not picking up until later so...

I see.

Yep, we'll be right over.

BABY CRYING

And she's vomited how many times?

Er, a few.

Why didn't you contact us any sooner?

Well, reflux is very common in CDH.

So you're treating with Ranitidine? Omeprazole?

-For now.

-Lungs?

Looking clear so far but obviously we need to keep an eye on...

Hang on a minute - she can still come home with us today, right?

Well, I think it's best to just observe her on her next few feeds.

We want to make sure she doesn't have problems with her swallow.

-Is that what Mr Solis says?

-Well, I haven't had a chance.

I can't disturb him just now.

Right, OK. I appreciate that you're playing it safe here

but I think he might have a different take on this.

I mean, this morning he was quite happy to let her go,

so you know, I think she can come home with her meds.

-Jonny...

-What?

Is it too much to ask for the consultant's opinion?

Not at all.

I'll be sure to run it by him when he calls and let you know.

Ah. My ECG must be back.

Yeah, that was not a bad job.

-Thanks anyway.

-Ah, Dr Tressler. These have been waiting for you.

Thanks, Adele.

I would like you to see this one first. As a priority.

-Rhona Hadley?

-She's been here three hours already.

She's not exactly a priority. She's a regular and there's never anything wrong with her.

Since when did we refuse to see patients on those grounds?

I'm not saying that - I'm just saying it's not urgent.

Not as urgent as your holiday, you mean?

Sadistic little prat.

Poor Rhona, though.

I know she's a nightmare but she's only here for one reason.

Everyone knows that.

She fancies Charles.

-Who?

-Charles. In and out with Crohn's disease.

They met once and she keeps coming back hoping that they'll bump into each other.

Sad, really.

Referral to Psych.

Eh?

Basic procedure number 11 - tick.

Oh, you are just...

Hasta la vista, baby.

You had extended world travel inoculations two weeks ago.

I have them here in your GP notes.

Hepatitis A, B, tetanus, diphtheria, typhoid.

That's how you got the rash - in the injection site.

Why didn't you say anything? This could explain your symptoms. It could be a reaction.

I...I didn't think.

Well, I couldn't.

You couldn't?

Louis...doesn't know.

I'm sorry. Were you planning a surprise or something?

You should probably abandon any thoughts for travel in the near future.

There is no reason why you should keep it a secret from Louis,

-especially when he's making himself sick with worry.

-It's nothing to do with him.

It's... just on the spur of the moment.

It all got on top of me, marital bliss,

being stuck at home with a baby when he's out and about

playing hunter gatherer, I just needed to sort my head out.

American Samoa. You weren't joking. You were thinking of leaving him?

-No!

-What about your daughter?

No, I was just going to take a break.

Oh, please don't look at me like that.

What and then you suddenly got worse and you needed his kidney?

No! You make it sound so... calculating. It wasn't like that.

I'm not like him. I didn't wake up at the age of three

knowing I was going to be a big-shot lawyer and then made it happen.

Right, so he is giving you his kidney and he has no idea.

You can't tell him! Well, what would be the point?

It would only devastate him. Besides, I'm hardly going anywhere now, am I?

-Yes, that's hardly a matter of choice, is it?

-I come bearing good news.

Her ECG is all over the place.

Supposing they're both taking something and he had HCM to begin with?

You think that's why they're in trouble? Drugs?

I guess we could run their description past the police, see if...

-That's not going to get us anywhere in a hurry, OK? Let's just order an echo.

-OK.

That should be right up there, up the end of the ward. There's a lady waiting for it.

And the platelets you...

I don't think Professor Hope's too happy about having to deal with the agency staff.

Well, on the bright side, tell him I'll take some of his electives.

And why don't we crack open a bottle of bubbly while we're at it.

Oh, just because I can take news like an adult.

-Are you relieved?

-Guys, please.

-You really are embarrassing yourself now.

-Interrupting anything?

Maybe you should consider taking some leave. Both of you.

It's not fair on anyone, especially the patients.

If you two can't work together...

We can.

Good.

So the headache was a side effect of the inoculations.

He filled up on Ibuprofen, put him into end-stage renal failure.

Clever girl. Mystery solved, then.

All systems go, let's prep!

I'm sorry. We're still going ahead?

Course. Why wouldn't we?

Because one of them consented to give a kidney under false pretences.

-You don't give away an organ for someone who was going to leave you.

-Listen.

May I remind you that you are bound by patient confidentiality.

Secondly, telling Louis would achieve absolutely nothing.

It'll be a big drama, a lot of hurt, and maybe he'll withdraw consent

and then he'd regret it,

by which time you've booked Greg in for a lifetime of dialysis.

It is just not right.

That's life. Believe me,

living with a donated organ isn't a bowl of cherries either.

-I'm sorry, I just can't...

-You can and you will.

Because they are my patients. End of.

Call me when he's ready for the anaesthetic.

You'll just have to tell the professor

that I can't deal with that today, because I have a staff shortage.

Fine. Have him phone me back then, you...egomaniac.

Chen just called. No further reflux.

She's hoping to talk to Solis in the next hour.

I think you two put the fear of God in her.

Oi. Cheer up, it might rain later.

-I don't deserve you.

-Tru, dat!

-Hey, she might still be discharged.

-Yeah. And it'll be straight home with Mummy, and "Nice knowing you, Daddy."

Oh, come on, it's not like that.

Oh, this will be me well and truly out of the picture,

trust me - Jac will see to that.

Thank you.

Well, you are not going to believe this. Siobhan's echo.

Asymmetrical septal hypertrophy. She has exactly the same condition.

What are the chances of that?

Very remote. Unless...

That's crazy.

Well, that would explain why they've been on the run. Page Naylor.

-It's unethical, that's what it is. It's just wrong.

-You need to calm down, lady.

She has a point. Some people will have a fit but then they'll calm down.

Yes, or not. You have to give someone the choice.

She's just knife happy, that is all.

Miss "Big shot I am a cliche of a surgeon".

He is her patient. Eyes on the prize.

All those wizened platitudes.

That's life, everybody lies - blah, blah, blah.

-Well, they kinda do.

-No, you mean, you do.

-Me?

-GERMAN ACCENT:

-Nein! Trust me. I am a doctor.

It's not funny, Dominic. The truth matters.

Truth? Get off your high horse, missy.

All couples lie to each other.

The thicker they seem, the more they're lying.

-It's what holds them together.

-Wow!

Nice - I pity the poor bloke who ends up with you.

Like it or not, your parents probably did it too.

Anyway - she's in charge

and there is absolutely nothing you can do about it.

Thank you for lunch.

-OK, Professor. Come on - you've got to shift yourself.

-Yessss!

Sounds like it's going well.

16 procedures - even he can't complain about that.

Can't believe you had her running round for you.

We're a winning team, me and her.

OK, half an hour left.

He's coming.

High-five, partner.

Off to get my glad rags on for tonight.

-Tonight?

-Oh, shut up! She'll take a rain check.

Er, you think?

Ah, Mr Di Lucca.

Dr Tressler. I take it from your beaming smile that you've arrived at your target.

Well, I am broken and bruised, and have the scars to prove it

but - got there in the end. Well, there or thereabouts.

Thereabouts? There's only 16 here.

So if Greg has caught something, we wouldn't want you to get it now, would we?

Then it really would be all off.

So we need to run a few more tests, fingers crossed.

I won't be long.

-Thank you.

-No need.

What, er, tests are you...?

Quite a few.

PCR blood test, a repeat chest X-ray, a lumbar puncture.

-Lumbar puncture?

-Yes, to exclude the possibility of a central nervous system infection.

Look at it this way - it'll give you a chance to think things over.

Think what over?

You'll regret it if you don't tell him.

I don't think so.

-Think of the guilt. It will be hell.

-Hardly.

Hell is this - you try being exhausted all day, muscles cramping up,

organs failing, then we'll talk about regret.

I just saw Louis. What the hell is going...

What are these?

You're crazy. That's nuts.

I don't think so. It's either some freak coincidence that you both have the same condition, or...

-It's OK. They don't know what they're saying. they got no proof.

-No, not yet.

-But when we do genetic tests.

-You must have known this couldn't go on forever.

You guys on the run. You're both very ill.

Look, just tell them.

-OK, tell us what?

-We've...

-No, don't!

Tell us what, Siobhan?

We've got the same mother.

-What you doing?

-They're right!

-No! Siobhan!

-Calm down.

We're not hurting anyone, are we? I mean, you know, we love each other.

Stop! What you doing? They'll get the police on us.

Police?

The social want to get a secure order...to keep us apart.

But...I didn't know him until last Christmas! It's not like we grew up together or anything.

-We're not sick.

-We need - to get out of here.

-No, no, no.

-They'll come after us.

-Jonny, we need to take him in to theatre.

No! No way... You're not putting me under...

We won't tell anyone.

OK? I give you my word. We won't tell.

Just give us one second. Can I have a word over here?

Keep calm, Joey, keep calm.

Start her on Bisoprolol, 2.5 mills.. I need to find him a slot.

You can't promise them that. And don't give me the confidentiality spiel

because this is complex. They need help, proper help.

Let's just get them sorted first, then we can put the moral universe back to rights.

Don't be flippant. You just heard him.

The authorities are onto them.

Just prep him.

Joey - please, just talk to me.

OK, Joey. I need you to give me some big deep breaths, OK.

Just like that. That's the stuff.

You stupid little girl. PCR? Lumbar puncture?

Where did you get all that from?! Now we have to wait for the results or we leave ourselves liable.

-Well, you did say to keep a close eye.

-Oh, don't give me that.

You were trying to stall and intimidate a vulnerable patient.

Who the hell do you think you are?

Right, listen to me, I'm going to the lab

to threaten someone to give us the results asap.

And you're going keep your mouth shut, forget all about your

stupid lumbar puncture and make sure they're both ready to go in.

And pray really hard that I can get us all out of this mess and

into theatre as planned without you being dragged in front of the GMC.

What are the chances of a chest drain popping up on AAU? They're a dime a dozen on Darwin.

-Oh, well. Maybe tomorrow.

-Tomorrow?

What, you weren't still thinking of taking time off, were you?

-I'm sorry, but this needs to be completed.

-You're going to stop me going away,

when you know I've done a million chest drains?

Afternoon.

Sorry - Mr Self needed somebody to negotiate linguistic legalese

all morning.

How are things down here?

-Yeah, great.

-Mr Griffin.

I fully appreciate that I put everyone in a compromising

position yesterday but I assure you I intend to learn from my mistakes.

Good, I'm glad to hear it.

But 16 or 17, does it really matter?

I'm sorry, you've lost me.

-My logbook.

-What about it?

Nothing.

Well, carry on the good work here. I'm due in theatre in 20 minutes.

As you were.

He would do anything for me.

I'm not saying he wouldn't.

You know, when, um, when he showed up at the home...

..the staff thought it was a mistake,

cos no-one ever came for me.

No-one.

He's lost everything.

His stepdad's thrown him out. Our mum won't even look at him.

I understand.

Do you?

You know, it hurts when I'm not with him.

In here.

Have you ever felt that?

A few times.

Siobhan? Siobhan - are you in pain?

Oh...

Siobhan? Bonnie!

You need to call the lab. Get them to rerun her urine.

I think she's miscarrying.

I've always relied on him.

Way too much.

He's the one paying the bills, he's the one making all the plans.

-He's the one who paid for the adoption.

-He's known you for a long time.

None of this will come as a surprise to him, I'm sure.

Maybe...if I told him at the time but...I chickened out.

Too late for that now.

Right. I thought we should all be here to discuss this.

So, the good news is, I pulled a favour and the PCR looks normal.

I think it's safe to go ahead.

Oh, that is great.

Hey, you're not getting cold feet, are you?

Honestly, take it from me,

if I had any real concerns, I wouldn't take you in.

Fabulous. Scrub in.

This is your chance to redeem yourself. Take it.

-I honestly don't know what you're so het up about.

-Look, I can take a joke as much as the next man

-but I know I'm being screwed.

-Good.

Cos if you weren't such a lazy, inconsiderate, over-indulged prat

to begin with, then I wouldn't have to.

Did you really think that snorkelling off a Cuban reef

with a man called Simeon was the best way to

apologise for yesterday's little stunt?

-How long are you going to make me pay for that?

-You should be thanking me!

You've no idea what you've got coming, Tressler.

Look, no-one can carry you when you're an ST3,

which at this rate you'll never be.

-Whoa! What's that for?

-He's shafted me, that's what it's for. Completely shafted me.

He's had me running around the hospital all day for his own

perverted sense of fun and now I'm going to miss my flight.

What flight?

I had a...stag do. I forgot to tell you about it.

Today's events overtook...

You are some piece of work, do you know that?

Harry! I was showing them round the entrance

when she just buckled under.

-Rhona?

-She was one of yours today, right?

Do you understand what this means?

You two having sex? Having a baby?

Do you know how many birth defects that can lead do?

We just want to be together.

It's not that simple.

Now listen, Siobhan.

If you want to talk to someone - in confidence.

-No, you said you wouldn't call anyone.

-But you need help.

No, no. I don't want to listen to you.

I don't want to listen. Get away from me! Get away!

What are you going to do?

Hey! Lovely headgear.

-You too.

-Why, thank you.

Last minute jitters?

Smile, darling. Nearly at the finish line.

-Aren't we?

-Yes.

We'll be back on that beach in no time.

Well, maybe in a couple of months.

Little Poppy running in and out, giving me a heart attack.

Hey, there's something I need to say.

-I...

-Sh, sh.

I love you too, soppy get.

Come on then, do your worst.

Lie back and think of Hawaii.

-She needs to see a counsellor.

-If you call someone for her,

in five minutes flat you'll have the social here.

Maybe that's the right thing to do. They can't keep hiding forever.

-You clearly know nothing about the care system.

-I was waiting for that.

Oh, whatever. You'll have to wait. My patient - my rules.

So, if you don't mind, I need to take him to theatre.

Just like with Emma, right?

-What?

-You - throwing your weight about.

-You know, I don't have time for this.

-Yeah, but you're going to make time for this!

Jac Naylor.

Yeah.

Yes. Thank you.

She spoke to Solis. Emma can come home tonight.

Hello. Can I have Ms Chen, please?

Right, this incision of the internal iliac artery is extremely delicate.

You watching this?

Yes.

Good. Now do the same with the vein.

-Really?

-It's the only way to learn.

Very...gently.

Excellent.

Check B/P and pulse.

Right, let's have the donor kidney. What now?

Final check for clots and tumours.

Beautiful.

Let's insert. Now?

Stitch the renal vein of the new kidney to the internal iliac vein.

Indeed.

What are you waiting for?

I've got your back.

It's not rocket science. Why was he left on his own?

What could I do? I was needed in the other theatre.

-Yep. We know why that is.

-We're nurses, not security guards.

-We don't assume our patients are going to run out on us.

-Who's run out?

Yes, round 17.

Joey and Siobhan and he needs surgery.

Blond, thin.

They've been spotted - running out.

Move! Get out the way!

Joey, Joey! He fell. He just fell.

OK, he's very bradycardiac. Let's start CPR.

-Right. One, two, three.

-Please, please, don't let him die.

Right, we need help! We need to get him in theatre right away.

ITU, IV fluids and check his dosages of prednisolone,

mycophenolate and tacrolimus.

-Thank you.

-Oh - thank you, schmank you!

Those fingertips of yours were meant for theatre.

You are the full package, baby - great diagnostician, great spirit.

If you ever fancy a rotation in transplant surgery -

you know where I am.

Dom! About before, listen, I wanted...

Beth's angiogram results have come back.

The aneurysm's been totally clipped

but it looks like radiographic vasospasms.

Right, let's go. In fact, let me get my dad first.

So you just dropped her in it?

Sure did.

With your customary gentle touch.

Hey, whatever works. And I find a short, sharp shock usually does.

-Neat?

-As always.

Yep, that's right. You hate things being diluted.

I told you she could totally do it.

In two years, she'll be doing it in her sleep.

Hmmm. She has to want to do it.

She'll come round. She's like you.

Can't resist a blood sport.

Is that right?

As far as I can remember.

You sure you're not thinking about somebody else?

Hmmm, maybe.

After all, you are very...forgettable.

Am I.

Mmm. Kind of...wishy-washy.

Banal.

Oh, dull.

Humdrum.

DOOR OPENS

Oh, my God!

-Zosia.

-Of course, I should have known.

Did he put you up to this?

Up to what?

I must say you played that very well, Dad.

I did not see this one coming at all.

You know what, I must be really stupid

because this is SO obvious.

Zosia!

Zosia!

The heart's at the wrong angle. I can't see the septum.

This isn't going to work. We're going to have to close him up.

-Wait, there must be something.

-Replacing his mitral valve isn't going to work.

-We'll have to put him on beta-blockers and try a different approach in future.

-What future?

-He's collapsed twice today.

-His ventricle is too narrow for my knife.

What if you don't use a knife?

What am I going to use instead? My teeth?

Listen to me. I saw this TURP on Keller.

As fascinating as I find your skills exchange programme,

-I don't see how a prostate operation...

-It's the same! They inflate the bladder using...

With a diathermy loop. Yeah, I know, it's...

Get me a diathermy loop. Now.

Exactly. I know the anatomy is completely different but...

Yeah, and I need a syringe of saline solution.

We need to protect the aortic valve somehow. And get me a sterile spatula.

OK. Retract the valve.

-Ready with suction?

-Ready.

Do you know what? This might actually work.

Idiot, idiot, idiot!

Come on, Zosia. Enough of the drama, please!

I mean, I must be a moron. She's totally your type.

I mean a much older model, mind you

-but you're not getting much younger yourself.

-I need you to grow up.

-Not that it's any of your business but actually we go back years.

-Aw! How heart warming.

-Full marks for the master plan, too.

-Plan? Do you seriously think...

Mr Self... Sorry, um, Have you seen Beth's angiogram?

Start triple H therapy.

Not you, Dr March. Go and look after your own patient.

-How is she?

-Build up of fluid from pleurisy that she's been ignoring,

resulting in a pleural effusion.

A rare complication but hey, she told us she was ill.

Although I'd be well within my rights to annihilate you

in public for missing this,

you've now missed your holiday and I can keep working you to the bone,

so I'll let it go.

So what now?

Chest drain.

Chest drain? That'll complete your logbook!

You see? Every cloud has a silver lining.

Trot on.

Good day?

Mmmm.

You don't fool me, Mr Di Lucca.

I can see a protective arm when it's flexed.

Tressler's a buffoon but while he's here, he's OUR buffoon, right?

-Well, that was close.

-Oh, I know.

Quite a flash of inspiration. You two work well together.

-Well...

-Shame you can't do the same with Emma.

You are quite the boy scout now.

For one last time, it's Hunter Green.

If you're looking for me to eat humble pie about your skill exchange...

Ms Chen.

Yes, I'm just out of theatre. I was on my way.

Right, I see.

Fine. I suppose another night won't make a difference.

Sorry.

You can't keep her in here for ever, Jonny.

She has to come home with me.

So...we've lived to tell the tale.

It went very well.

I'm just glad that we got there.

You deserve a chance, both of you.

He was going to leave me, you know.

He confided in a mutual friend.

It had been brewing for months.

But then he got ill, had to ditch his plans.

And you were still happy to give him a kidney?

Well, he can't leave me now, can he?

What, so you think he'll stay with you because he owes you?

It's worth a shot.

He's a good person. He won't leave in a hurry.

We've a family. I'll do anything it takes.

If you'll excuse me.

So how is she?

We don't know yet.

There's still a risk of stroke or serious neurological deficit.

We just have to wait and see how she responds to the triple H treatment.

It went well - he might be all right.

But you can't keep running away.

These people - you can talk to them.

No names, no strings attached.

Please. Think about it.

It's a question of wait and see. Hopefully the therapy will...

Spare me the platitudes.

Your girlfriend was right about one thing - everybody lies.

I did not lie.

No, you just forgot to mention that you two are sleeping together.

I wasn't aware I had to report back to you.

You are something else. I give up.

-Oh, all right. I should have said something.

-Oh, no, no, no, you wouldn't be you,

unless you had some hidden agenda at play.

You know what, everyone else would just call it dishonest but

you call it fielding information.

Spare me the sarcasm, please.

That way you are always in control.

Everyone else just runs around you like poisoned little mice

trying to second guess what on earth is going on.

Is that what you really think?

I know.

"Hello, darling Zosia - how was the end of term?

"Oh, by the way, your mother just died of terminal cancer

"she didn't want to be treated for. She made me swear not to tell you."

-She did.

-Maybe she did, maybe she didn't. I'll never know now.

-You weren't the only one in the dark.

-Oh, here we go.

-I didn't much like it when she was crashing

and they whipped out the DNR that she'd signed. I wasn't exactly in control then, was I?

Zosia. We're alive. You and me.

And that's what counts.

Here and now.

She signed a DNR?

Darling, I didn't want to...

Ugh!

Who's got ten of the cutest piggies I've ever seen? You do.

And this little piggy went to market,

and this little piggy stayed home.

Not that old drivel.

Ten little piggies. We all know why piggies go to market

-and it's not to pick their shopping up, is it?

-Don't listen to her - she's wrong.

When you grow up, you'll realise that I'm always right.

And that's just one of Mummy's narcissistic disturbances.

And this is why Mummy doesn't need to go and see a shrink.

Because Daddy can give her all the great insights for free.

Not my greatest performance today, was it?

Nor mine.

Maybe I was relieved.

Maybe I just can't do this.

Well, that makes two of us, then.

Welcome to parenthood.

So, er...how's everyone doing?

We're getting there.