Collateral Holby City

Do you fancy going for a coffee?

Or something?

Thanks, but I should get home.

Spoke to the radio station manager. He's furious.

You could have been charged with impersonating a doctor,

not to mention losing your job here.

He wants me to take over the show.

Of course he does.

What's going on? And don't say nothing.

Just tell me what it is.

I think I'm pregnant.

HE LAUGHS

AMBULANCE SIREN

SHE GAGS

Hey, you. Stop giving your mum hell.

What's that...?

'Shut up your face'!

That's my boy. He's got my charm.

Sorry.

Talking to baby...bad luck.

Are we going to be allowed to be happy about this baby at some point?

Course we are.

Urgh, I feel like death.

You look gorgeous. If a bit green.

But a cute green.

Like a little Shrek.

Morning! Did you get my e-mail?

Regarding?

Oh, the Board are funding their own report on our performance

compared to St James'.

So, we all have the pleasure of a delegation of inspectors

scouring the premises today. So...

-Gold standard.

-You said it.

And you, never mind the media blackout, touching wood

and spitting three times.

You need to look after yourself.

Aw. I'm fine. Go ahead.

I'll get you your double espresso.

Choccy muffin for me.

Nah, nah, nah. Of course it's not convenient,

not if your cousin's staying over.

It's all right, babe. I'll try someone else. Thanks.

Aw, you shouldn't have!

Aw, I didn't.

It's my mum's birthday today.

-Double shot.

-Thank you.

Holy moly, girl, you look sprightly after last night.

I'm still nursing the effects here.

Lightweights, both you and Tressler. Oh, yeah.

By the way, yes, that is my stuff in the staff room,

and, yes, it will be out before the end of play.

I take it Heather got fed with you stumbling in at 3am?

Yeah, well, what else do you expect

from someone who irons her jeans? Weirdo!

-You need to get your own place.

-Ha! Funny.

Have you seen my paycheck lately?

-Sh!

-'Welcome back to Doctor Mo.

'We're talking to Audrey about her husband's warts.

'Warts are unsightly and can be embarrassing.

'So, make sure he eats a balanced diet,

'gets plenty of fresh air,

'and a thorough MOT at the GP never hurts.

'But the good news is they usually go on their own, so...'

'I'm talking about genital warts.'

'Right...er...'

Cutting edge medicine.

Right, back to work.

She doesn't choose the callers, does she?

Anyway, when she finally checks into the real world,

Mr Self wants to see us.

Thank you, Ms Jong Il.

I hate to admit it, she's kind of got a point.

Yes!

What?

What did you get?

What did you get?

A.

Ah, you have to retake? I'm sorry that's annoying.

A-plus! A-plus!

Ha-ha, in your face!

See? Wasn't it worth going without for a while?

Ugh. Nearly killed me.

Anyway, now the party is on!

Tell me about it. It's been a major drought season over here.

Whatever. Since Mr Viagra limped out of your life.

Well, it's not everyday you find a candidate

for no strings attached, convenient, quick...

-Hardcore.

-Hardcore.

Huh.

-Spoken like a real bloke. Proud of you.

-Thanks.

Have you ever thought about playing closer to home?

Shut up. He's virtually family.

I was talking about Mr Levy, but...

I see.

"I see" what?

I love it. You've gone red.

I have not gone red.

Zosia.

Oh. What have I done now?

Good luck.

I think you should take a look at these.

They're patient feedback forms.

HE CLICKS HIS TONGUE

Now that is not the breakfast of champions.

You want to watch that legendary waistline of yours.

Thanks for the tip.

Dear Lord, girl. You look shattered.

Is life under Il Duce taking its toll?

What do you want, Harry?

Whoa. Grouchy. What did I do?

Look. Do you think maybe, as we're adults,

we could bypass the whole "freezing out" phase?

Cos, as far as I can remember,

I didn't force you to do anything, did I?

No. Didn't think so.

You're doing this on purpose.

Doing what?

Cheers.

It's OK. It's OK.

She hasn't stopped crying.

Mrs Talbot. Do you mind if I call you Doreen?

So you twisted your ankle at home, is that right?

And that's when our paramedic realised

you had a murmur in your heart? SHE SOBS

OK, so, that's why you're here.

So we're going to have a good look at that for you. All right?

Oh, look!

Look at this.

You're dead!

Gotcha!

SHE LAUGHS

It's just a loose wire.

What about...?

They won't...take him away, will they?

He's not well.

Your husband?

No, I'm...I'm sure they won't.

Your doctor will be along shortly.

We just need to go and have a quick catch up, OK?

So they think her husband attacked her?

Well, the neighbours heard shouting, so they called the police.

The police called the paramedics.

I suppose just because you're an OAP it doesn't mean

that you can't practice a bit of domestic abuse.

No wonder she's bawling her eyes out.

Yeah, well, if anyone can get her to stop, you can.

What?

You are a natural.

You need to start thinking about stepping it up to the next level.

Next level...?

Yeah, yeah. That might work.

Thanks. Yeah, it is Mo.

It's not a stage name.

Yeah, I'm really flattered. Thank you.

OK. Thanks, bye.

Well...

wonders will never cease.

The Wyvern Weekender want to do a double page spread on me.

Fashion shoot. Yeah.

"Modern woman on the run."

You go, girl.

Yeah, well. Back to earth.

Here's a real patient, Doreen Talbot.

Oh, and the big guy wants to see us, now.

MO YAWNS

Could you get us a cup of coffee, please, sweetheart?

I've been up since four. You're a star.

Just take him up there yourself, because we need the bed.

ED. 14-year-old girl, fell down the stairs.

Where's Tressler?

What is this?

I know, I know. I will eat it, Raf. Relax.

-Come on, babycakes.

-Oh, here we go.

Next time, you are coming with us.

Oh, sweet. But I have a life.

Aw, come on, you're not that old.

Oh, that's right, Harry boy, keep punching above your weight.

There you are.

Don't shoot. I've been up all night studying laparoscopies,

assessment round the corner.

Just had to get a few of these inside me.

Talking of which...

Oh. I'm sorry, Raf. I forgot.

If you've been studying, then you'll be able to tell me

the difference between a 5mm and a 10mm scope?

Drawing a blank?

I know. All those little numbers

and funny little drawings.

Let me give you a hand.

If one's 5mm and the other's 10mm,

then the first thing that jumps out at me is...

..a 5mm difference.

I take it you've come to talk about the grand tour?

Yeah. Designated MC.

And there's the 14-year-old.

Can I leave you two do the honours?

How is this even possible?

Tell it like it is. It's hardly glowing.

It's the bedside manner.

Bedside manner?

You've scored, well, rather low.

Well, how low is low?

22%.

Words like "short, dry,

"lacking in empathy" make frequent appearances.

I am empathetic.

Anxious patients do not want to be confronted

by a "Grumpy Kate Adie".

Well, I was thinking I'm here to diagnose patients.

Oh, come on, Zosia, hand-holding has always been part of the job.

Look, the bottom line is

we cannot get you through your next assessment

until you address this, OK?

So take it on the chin. Raise your game.

Mr Levy?

Just be nice.

You can do it.

Oh, that's nice.

What's this?

Oh, just some fan mail.

Whoa.

Oh, my word!

That is snug.

THEY GIGGLE

Snug as a bug in a rug.

All right, he's a genuine fan.

It's my responsibility...

I'm keeping this!

Oh, no, no. This is going up in the staff room.

Give it.

You enjoying this?

You have no idea.

Well, anyway, Mrs Talbot...

how about you get her FBC, U and Es,

and recall her GP notes.

PAGER BEEPS

Er, "Thanks for the coffee."

Oh, no.

Theatre-user meeting, I completely forgot about this.

Can you contact Mrs Talbot's GP for me?

-Yeah, sure.

-Oh, and, er...

have a wee look at that when you have a minute.

The next level.

Phlebotomist?

Yeah, it's a whole new set of skills,

so when you do come to apply for something else...

bit of extra pocket money.

Sis, what do you think of this?

-PHONE RINGS

-Oh, yeah, yeah. It's great.

Hello, Mo Effanga.

Oh, yeah. Hello again.

8pm? Yeah, that's fine!

OK, take care, Bye.

The shoot.

-Eight o'clock tonight?

-Mm-hm.

What about Mum's birthday?

You've forgotten, haven't you?

Well, there's a first.

I might not be that late.

Can't they do another day?

Or you scared they're going to go off you?

Don't worry. I'll sort something out.

OK, squeeze my hand,

hard as you can.

Harder.

OK, good girl.

It's OK, darling. It's all right. I'm here.

Okie dokie.

So, what day is it?

Tuesday.

And you are in...?

Holby City Hospital.

Brilliant, good.

I'm so sorry, Mum.

No, it's OK. Don't worry about it, sweetheart.

Is there someone we can call for you?

My husband's on his way.

He works nights.

All righty. What've we got?

This is Natalie Gleeson, 14,

fell down 12 stairs roughly two hours ago.

This is her mother, Sian.

Mr Di Lucca. One of our specialist registrars.

GCS normal, a bit groggy,

query head injury, and fractured femur.

FBC, U and Es, LFTs, head and abdo CT and 1g I/V paracetamol.

1g?

Is that right, Ms Teo?

Has she had any pain relief since the fall?

Er...

No. No.

Right. 1g it is then,

and then transfer to morphine on a PNR basis

once any head injuries have been ruled out.

Excellent. As you were.

Back in a second.

We wouldn't be hearing a peep about this beside manner baloney

if I was a man. Oh, no.

Oh, wait, this is my favourite,

"Like a grumpy Kate Adie scouring the battlefield."

HE CHUCKLES

-It's brilliant!

-Give me that!

Don't knock it. She's got a certain je ne sais quoi.

Who?

Kate Adie.

Lindsey Kendal, 32, abscess the size of North Carolina.

Can you give her the once over and book her into theatre, please?

HE CHUCKLES

Don't you have a job to do?

Ooh. Yes, mistress.

It's not funny.

This is typical Dad.

A girl isn't a girl unless she is pink and fluffy.

He's always tried to push me there.

No need to throw a strop.

Look, it's not beyond you, OK.

Just squeeze out a bit more empathy

and try not to look as if your espresso's been laced with bleach.

-I don't...

-In other words, smile more.

Look.

Aw, see?

You actually look quite sweet...

..or in a lot of pain.

Oh, come on. I know I didn't check the medical history,

but I got the dosage right!

Love your passion. We could do with more of that,

but God is in the detail.

Really? Or in the inspection?

If you would simmer down for a wee sec,

you'll see that I'm doing this for your own good.

Those ST3 assessments are madly competitive.

I just want to see you pass.

Well, thank you for the helpful advice,

but...I'm quietly confident.

You are?

Yeah, absolutely.

Then you won't mind if we use today as a dress rehearsal?

For your assessment?

Haven't we got enough to do today?

You're on.

But I can choose my assessor, right?

Ms Teo, would you do the honours?

I mean, unless you feel you're not able to be objective.

Not at all.

OK then. Here we go.

Enjoying this? Playing your little games?

Don't look at me. He started it.

Very mature(!)

Look, believe it or not, we both want the same thing.

Me away from here and out of your hair.

We could join forces.

You know, I rub your back, you rub mine kind of thing.

I'm sorry.

Look, what say you?

It's OK, no worries.

There's plenty of other floors I can kip on.

Thanks, babe.

You know, you could just ask big sis for her sofa.

Never. And don't you dare tell her, either.

I'm a big girl now.

Anyway, so, I was thinking about what you said earlier.

Do you really think I could do it?

Never mind me. What do you think?

Hell yeah!

That's my girl. Now glove up.

Let's go get some blood.

You're trying to get a rise out of him and you know it.

Cola? You never have cola.

You're still feeling sick, aren't you?

Just say the word, I'll get someone else to assess Tressler.

I can handle you. Think I can handle him.

CT's ready for her.

Yeah, your husband puts me off my food, too.

Who says it's my husband?

Are those the bloods?

Yeah, it's weird.

Didn't her mum say she hadn't been given any pain relief?

Traces of paracetamol.

If you ask me, she doesn't seem totally with it.

Did you smell her?

She was definitely shaking as well.

Someone been on the bottle, perchance?

Let's find out.

OK, so you've found yourself a good vein

and luckily this young lady has excellent veins.

You start to draw blood.

Can you hold that in place for me?

Do me a favour and label those for me.

-And you might as well do her latest obs while you're at it.

-Cool.

It's not his fault, you know.

Who's that, your husband?

It's the kid from upstairs.

What kids? Are they hassling you?

Look, you can tell me.

Mrs Talbot. Pleased to meet you.

I'm one of the doctors here. Mo Effanga.

-I take it your heart's been giving you a bit...

-Mo?

-Effanga?

-Mm-hm.

Mo. You're...

You're...Dr Mo.

She sure is.

Dr Mo!

We listen to you every morning...

every morning, without fail.

My husband and I.

Oh, I can't believe this!

Dr Mo!

Maybe I did give her some, to begin with... I'm sorry. I...

If you could just jog your memory, that'd be good?

I must have.

You're not sure?

I was asleep when it happened.

I was woken up.

Right. But...you found her?

Sorry. I'm so sorry.

It's all right, someone'll clean it up.

-It's the medication.

-What medication?

I have Parkinson's. Early onset.

And the drugs knock me out.

They make me confused sometimes.

I'm sorry, I should have said.

I see.

Would you excuse us for a second?

All right, there's no need to look at me

as though I've just murdered a child.

Parkinson's or not, she had a few drinks last night.

14-year-olds don't just fall downstairs of their own accord.

I'm going to get the lab to check for ethanol levels

in the daughter's blood.

What, so, her 14-year-old's a drinker, too?

-No harm in checking.

-SHE GAGS

-You OK?

-I'm fine.

Just chase up that scan before we get ahead of ourselves.

I need a minute.

Remember that time you sent that guy to hospital

because of a tic in his eye,

and he had a heart problem.

And he wouldn't have known!

Wonderful. Just wonderful.

And such a beautiful voice.

And she has time for everyone.

-Everyone!

-That's our Mo.

Wait a minute.

You're...

Sisters. Yeah.

Oh, my!

Your mum must be so proud!

Right. While we wait for your bloods to come back,

I'm going to order you an ECG.

PAGER BEEPS

Excuse me, it's been pretty manic here today.

Mrs Talbot mentioned that she was having some trouble at home.

With the kids from upstairs?

No, no.

Er...

Sure, they're only kids.

They don't know what they're doing.

-Yeah, but if you ever need to talk to anyone...

-No.

We're happy there.

I'm not complaining, you see?

No. Of course you're not. And don't you worry about it.

We're not going to do anything unless you ask us to.

That's not what she said before.

Right. Well, whatever the case,

neighbourly disputes we can't really get involved.

She's just scared. That's why she won't talk.

And you know that for sure, do you?

Look, take my word for it,

she may not be the most reliable source of information.

Yeah, but it's still worth alerting someone, right?

As long as it doesn't look like we're taking sides.

-Yep.

-Adele, we need to tread carefully on this one.

I get the message!

Good. How about you order that ECG?

You sent those bloods off yet?

Yes, sir. So, Mrs Talbot.

She's bound to have like a support worker, or a social worker, right?

Well, never take anything for granted,

but you'd assume so, yeah.

Good luck getting through to them, though.

Yeah, I'm very persistent, me.

Well, not surprised you collapsed.

That looks incredibly painful.

Nothing compared to the spinning class.

Pain is in the mind, anyway.

Just how often do you exercise?

Why?

Because this looks like it's been growing for some time.

And trapping an abscess in Lycra

is hardly going to make it better, is it?

What can I say? Some of us have to work at it.

Anyway, I was bathing it.

-Bathing it?

-With nettle solution.

Nettle solution.

Are you OK?

Yes.

Why are you smiling?

I'm not.

Right.

Let's get started and give you something for your pain.

Thanks, but I don't need anything.

I mean, paracetamol, ibuprofen, not morphine.

No can do. They're toxic - all of them.

Ah. Right, well...

the thing is is that this needs to be drained,

in theatre, under general anaesthetic.

Well, I can't do that. I don't want drugs.

You have no other option.

Well, there must be. There always is.

You'll just have to find a way around it.

Right.

Just give me a moment.

What are you doing?

Natalie's phone.

You may bow to my wisdom.

All taken last night.

You searched her phone?

Unorthodox, I know.

But I think we can both guess what the bloods will flag up now.

Natalie made a 999 call from this phone.

Hi there, my name is Adele Effanga.

I'm a health care assistant from Holby City Hospital.

I'm calling up about Doreen Talbot.

If you could give me a call back ASAP that would be great. Thanks.

You are kidding me?

So, on top of everything else, I've got to be a tour guide today?

Just smile and wave.

Got to stop saying that.

I just left a message for her housing officer.

She's on call all day.

-What's this?

-70-year-old council tenant with housing problems.

Yeah, could you just send the dresses over? Yeah.

Oh, and nothing yellow! I don't want to look like a bleeding canary.

I've got a mate at social services.

-Do you want me to try and corner her?

-Yeah.

What's the patient's name?

Doreen Talbot. All her information's on there.

Cheers.

What? You said it was OK to alert social services, didn't you?

-Yeah, but I...

-I'm going to go and prepare her for her ECG.

I have to ask.

I know, you said you were sleeping, but...

..to sleep through something like this...

The thing is, if Natalie was injured as a result of being unsupervised...

What are you saying?

I'm saying these questions will be asked.

That someone will be asking these questions.

Also, some members of staff couldn't help

but notice the smell of alcohol from your breath.

You think I drank myself to sleep?

That's why I missed all of this?

Did you?

No.

Because I wasn't there.

Where were you?

A divorce party.

One of the girls from work.

Everyone has a right to feel safe in their own home.

No! We've been moved around so much

between one place and the other.

We're old people. We just want to stay put.

And you will. You're not on your own.

There are plenty of people who can help. We can help.

You?

Dr Mo said that?

Well, no. I...

She would do that for us?

Look, it's important that you do something about it.

Well...I suppose if Dr Mo were to tell them how...

well, that I ended up in hospital because of that.

-No, I didn't mean...

-Right.

Let's see what we got.

OK, there's hints here of a possible leaky heart valve.

I'm going to need to do an echocardiogram

to investigate further,

and if that is the case, then I will fix the leak.

You? Yourself?

Yeah, if need be.

But I'm hoping it's not going to come to that.

I'll wait for your bloods to come back

and get a colleague to take a look as well.

You are a wonderful woman.

Thank you for all your help.

Everything.

Everything?

Yeah, can I just have a word?

Excuse me.

MO GROWLS

Oh, they warned me all right.

"Impulsive and compulsive behaviour

"is a possible side effect of some Parkinson's drugs.

"But only a small number of people experience this behaviour."

And you wake up one day and you're like a teenager.

Can't pass up a drink, a party, a pair of shoes.

Before you know it, you're shopping like a lunatic,

partying like it's the end of the world...

behaving like some desperate...

Don't do that.

Has your consultant tried a lower dose?

But look at these.

We've tried.

Ray!

I'm so sorry. I'm so sorry.

It's all right. It's all right. I'm here now. It's OK.

-Where is she?

-She should be back from the scan any minute now.

-Can I go see her?

-Yeah, sure. I'll take you.

Please. Please don't tell him.

Nettle solution?

I know.

The size of it! It's clearly been ripening for some time.

Oh, I love it when you talk pus to me.

Anyway, she's refusing to go under.

And I'm not really sure how...

Well, it's the only viable option, isn't it?

Local anaesthetic doesn't work well with pus.

I'm sure she won't argue with you.

-Me?

-You're the anaesthetist.

Aha, nice try, missy,

but I ain't doing your job for you.

-That's not what I'm...

-Look, so, she's a health freak

with a few eccentricities.

You know what they say - it takes all sorts,

-but they're all our patients and it's our job...

-Spare me the lecture.

Whoa, there.

Hold back the dogs of war.

Look, think of this as an opportunity to grow.

Think round the problem.

Don't face it head on.

-Oh, you really know how to wind me up, don't you?

-Too easy.

Look, empathy, my dear.

More empathy. You'll get there.

Well done, Miss HCA. Now she thinks I'm going to get rid

-of her neighbours?

-I'm sorry.

What else you promised her? Trip to the Bahamas?

Look, I'm on the case.

I'm going to speak to her housing officer. I'll sort it.

-Is this a potential car crash I see before me?

-Ah, thanks.

Look, you're a star. I love you, Adele,

but you need to be careful.

Ooh, don't know if I can do that.

-I am a time-bomb waiting to go off, eh?

-And when did I say that?

At it again, ladies? Take it outside.

Elliot's had a look at the ECHO, he's in theatre

-if you want to catch up.

-Mm-hm.

Be careful.

Just got Natalie Gleeson's scan back.

No head injury. Really lucky.

Unlike her mum.

Those Parkinson's drugs can be a life-saver

unless your one of the unlucky few.

Terrible situation to be in.

What's she going to tell him when he finds out where she was?

He's not going to.

Why, what do you mean?

Patient confidentiality.

Seriously. She's not our patient.

What good is it going to do now?

Come on. It's bound to come out, these things always do.

Exactly.

Which is why you should be very, very nice to me.

I think you need to come over. Something's not right here.

I promise you. I did speak to the anaesthetist at length.

He was emphatic.

It will be too painful. I'm afraid he will not budge.

Well, they're all the same.

Chauvinists.

Think we're all fragile tear sacs

who're about to fall apart at any moment.

You go back and explain to him that us women

have a whole other pain threshold.

-I would do...

-Of course, it makes his job easier

if only they could put all of us to sleep,

stop us nagging them all the time.

-I don't think that's what...

-I can see what it's like.

These consultants strut their stuff round here like they run the place

and you girls run round them, fluttering your eyelashes.

-Um...

-I'll tell you what.

You go back and tell him that you did your absolute best,

but I'm an obstreperous cow that can't be shifted.

And tell him,

if he wants me in that theatre,

he'll have to carry me there himself.

That'll do it.

Well. I can try.

Yes, she's perspiring a lot.

-Natalie, how many fingers am I holding up?

-Wednesday.

-Natalie, can you see my fingers?

-Oh, my God.

-It's OK. It's OK. It's OK.

-Her eyelids are fluttering.

-I thought you said she didn't have a head injury?

-She doesn't.

Natalie. Natalie I need you to look at me, OK?

I'm sorry to have to ask this,

but have you taken anything else tonight? Cocaine, MDMA?

What?! But she's not like that. She's not...

It would be easier if we could speak to Natalie alone.

What does he mean anything else?

-Mr Gleeson, perhaps you could step...

-PLEASE.

She's 14. I'm her father.

Is there's something I should know?

PLEASE! Will someone tell me what the hell is going on here?!

Hey, hey, hey. How we doing here?

-So, you're saying there's too much...?

-Calcium.

In your blood.

Actually, it's quite an alarming amount,

and we need to understand why it's happening.

So I'm going to send you for a scan.

Oh. So... you're not going to operate?

We don't think it's the best course of action any more.

Hey, if we open you up,

we want it to be for the right reason, right?

Look, there's something else I needed to clear up.

I know you've been very worried about some issues at home,

and you may have got the impression

that I can get involved personally.

But, unfortunately, I really can't.

Obviously, I will say that you've been sick,

but I can't blame that on anything or anyone.

Is this for Bed 8?

Ah, thanks.

But we're not going to leave you high and dry.

Adele's made calls to some people to see what can be done.

Could you take Mrs Talbot for a CT scan?

They're expecting her.

Alcohol?

So this is why she fell?

Most likely.

Have you noticed her high white-blood count?

Her urine. It's dark.

Must have just gone like that in the last few minutes.

-Ow!

-Nat!

-I'm just going to have a feel of your tummy,

-OK? OK.

-Abdomen's distended.

-Ow!

Tenderness to the right-hand side.

Where's the abdo CT?

Well, I was... We thought we'd better get the head CT done first.

Get the mobile scanner, now, please.

What's wrong with her? What's going on?

We think that Natalie may have sustained an abdominal injury.

I'm telling you, this came out of nowhere.

Tell him.

Yep. Free fluid in the abdomen.

A haematoma on the right lobe of the liver,

and a laceration.

Call the theatre. Tell them we're on our way. Now!

You don't understand.

-It's not that she doesn't want to operate...

-Yes, it is.

She's angry because of something you said.

-That must be it.

-No, not at all.

I told you not to speak to anyone.

You told me Dr Mo would talk to them.

No, I never said that.

Look, I understand, I know that you're very scared,

but that's what I explained to Mrs Edwards.

So, you did talk to her?

Well, yeah, briefly.

And she said that she arranged a meeting

for you and the other tenants, but you cancelled.

I explained to her that that was unfair

to expect you to meet up with them face to face.

You stupid girl!

You stupid, stupid girl.

-What?

-I told you to leave it alone.

Look, Mrs Talbot, please, calm down.

They'll throw us out now.

That's it.

We're homeless again.

Please, Mrs Talbot, be careful. You'll hurt yourself.

OK, Doreen.

Let's calm down.

Let's get you back in your chair.

All right. Can you take some deep breaths for me?

That's it.

I don't get it. Did you just spot this?

Dr Tressler's right. This is a very late development.

HE missed it. You would have run a scan though, wouldn't you?

-Ray, please.

-Look, that's irrelevant now.

So, that's a yes. If anything happens to her...

Let's just get her into theatre.

I assure you, we'll deal with all of this later.

Too right you will.

Let's just get on with it.

Oh, Harry, wait.

Mr Gleeson. If I can just explain...

Explain what? That you were slow on the uptake?

She didn't present with these symptoms earlier.

Frankly, we can only go on the information that we've been given...

-Trying to find excuses now?

-No, certainly not.

You don't know what you're doing, do you?

Ray, please, stop it!

It's not his fault.

I got home in the early hours of the morning.

I had no idea what had happened.

You said...

one drink.

One.

You promised.

You swore.

I know.

I swear, I really tried. She's adamant.

She wants to speak to you.

She says if you want her in theatre,

you're going to have to carry her in yourself.

I'm obliging, but not that obliging.

Wonder why she's being so resistant.

Well, sometimes there is no "why".

And, as someone exceedingly clever once said to me,

"Takes all sorts."

Wow.

I'd like to meet that guy. He's sounds really clever.

Yes, he's amazing.

Really?

Er, anyway, she needs to hear it from you,

seeing as you are the main man.

I suppose it always comes down to medical history.

Yes, there always somewhere in there.

-Well, I...

-So, that's your next port of call.

Afraid I'm needed for the grand tour.

Wouldn't want them thinking I'm missing it just to rescue you.

I don't need rescuing.

I swear he's dropping me in this intentionally.

Nope. He just really enjoys winding you up.

Oh, why bother?

Er, because he likes you? Duh.

Just admit it.

You really like him, too.

Do not.

So do.

Do. Not!

Fine. I'll have him myself.

Oi. Talking to you.

Well, well.

-There you go.

-Thank you.

He'll come round. He's upset right now.

No. No, he won't.

Not this time.

You've no idea how good that man has been to me.

How patient. And this is how I reward him?

Listen...

you're on powerful drugs.

-You're not choosing to behave this way...

-Argh!

Where are your pills?

In my...my handbag, would you?

They're not here.

Oh, I must have left them at home.

Sian. I need you to just relax.

Take a deep breath for me.

SIAN BREATHES DEEPLY

First things first.

I'll get one of the nurses to call up your notes,

and we can run you a prescription from here.

Then...

as soon as Natalie's out of surgery...

..I'll speak to your husband myself.

So, with hindsight, you maybe shouldn't have taken that on.

But we'll put it down to experience,

and I'll talk to her and explain.

OK?

Ah. The grand tour. Excuse me.

Go on, go for it.

Oh, man. You should come with your own insurance policy.

MO LAUGHS

Ah, sis?

Harry did order that scan.

You're barking up the wrong tree if you think he was being substandard.

It makes no odds. He should have rushed it through.

You don't hang about with a 14-year-old ...

Raf, just stop it. All right?

He may not be as quick off the mark as you are,

but he was the one who actually worked out what really happened.

You have impossibly high standards.

You know that.

Not everyone can come up to them all the time.

Less stick.

More carrot.

Adele! Oh, come on. I was joking.

Yeah, that was a really funny joke.

Right up there with "Why did the chicken cross the road?"

OK, fair do's.

Oh, yeah, and "Is that a car crash I see before me?"

Witty and encouraging(!)

Ouch! Got it.

Yeah, that's our Dr Mo, Medicine Woman -

not only is she really clever,

but she can also see into the future.

No wonder that woman thought you were going to change her life.

Anyone would think that you're starting to believe your own hype.

As far as you're concerned,

we can all jump off a cliff. I mean, what do we know?

Is this cos you lost your digs again?

Who told you?

Well, to be fair, your stuff is splayed all over the staff room.

Oh, and by the way, those are my red wedges

that you "borrowed" last Christmas.

Do you really want to know what's wrong with me?

Clips.

Scissors and suction.

Carefully divide the peritoneum between the clips, OK?

-Absolutely.

-Good.

Look, I am here to support you, you know.

Thank you.

So I was trying to clip your wings, is that what you're saying?

Well, what else would you call it?

Good to know I got your vote of confidence.

-Nice to know you believe in me.

-Where you going?

You don't get to say that and just leave.

Who's the one who's always been there for you, huh?

Told you how bright and how talented you are?

Every time you flunked an exam,

every time you've lost a job,

and would I do that if I didn't believe in you?

What, like the way you didn't even bat an eyelid

when I showed you the job description today?

Oh, come on, everyone knows it's just a stop gap for you.

You see, that's the problem.

Your choices are career choices.

Mine...it's just a stop gap.

Nothing's changed. It's always going to be the same.

Where's all this coming from?

Did you ever think to yourself how it made me feel

when you were doing your GCSEs?

All Mum and Dad cared about was you.

You went on to uni and became a heart surgeon,

and now you're a media star.

That's like every parent's dream.

It's a shame you can't be bothered

to show up to your own mum's birthday.

-Whoa! You...

-It's OK.

It's not every day someone's going to want a picture of you in a frock.

Well, if it isn't the Effangas.

Um, scan's back, take a look at that.

Parathyroid adenoma.

Explains a lot.

Holy moly.

Swabs.

Why's she bleeding like this?

I can't see a thing. Suction, please. Suction!

You've disturbed the haematoma.

-MONITOR BEEPS

-She's losing a lot of blood.

-BP's dropping.

-I cannot see a thing.

Right, that's it.

I'm taking over.

Excuse me?

I've got to. Step aside.

-Raf, you can't do this! You can't always...

-Step. Aside.

Ladies and gents, we've got to work quickly

to fix this laceration and stop the bleed.

Time's against us, folks.

Swabs.

It's a small, benign tumour of the parathyroid gland

on the right-hand side.

It can make you feel very miserable.

So, this is why I was crying all the time?

Probably, yeah.

So, we will be taking you into theatre after all,

we're going to whip it out.

See, I knew there was something wrong.

Will you tell that girl I didn't mean it?

She's...a lovely girl.

Of course.

We'll be prepping you for theatre shortly. Excuse me.

Oh, let's pop that on there.

Doreen's very contrite.

And...and her getting upset like that,

that was also the tumour.

Not just you.

Mo, can I have a word with you, please?

Harry. Listen to me.

He had to take over. He's more experienced.

There was no other choice.

Oh, right and there was no other choice when he butted in before,

or when he let that guy think I took my eye off the ball?

She was bleeding out.

He's systematically undermined me for the whole day.

-You know that.

-It's... It's a personality clash.

-That's all.

-Yeah, I'd say it is.

The guy can't stand the sight of me.

Don't be silly now.

You know, I'd swear he knows about...

He doesn't anything.

Look. This is my career on the line.

Whatever problem he has with me,

he either sorts it out, or...

Or what?

I can bite back.

You were a bariatric patient.

Five years ago. You had a gastric bypass,

and you lost 60 lbs.

Since then, you've been to your GP with several accounts of insomnia.

I was never was much of a sleeper.

Now, I don't want you to take this the wrong way.

But I'd like to suggest

that you have become excessively controlling of your own body.

This is why you don't want to take painkillers.

This is why you don't want to go under.

You are scared to let go.

-Let go?

-Yes.

Girls like me can't let go.

Not that I'd expect you to understand.

I mean, look at you. You're absolutely gorgeous.

So are you!

I mean, who'd ever thought you were so unbelievably fat?

Do you really think so?

I nearly had a heart attack when I saw your file.

It is phenomenal.

You should be a poster girl for the procedure.

Thank you. It's... It's been a lot of hard work.

-I bet.

-And if you want something that badly...

You have to be tunnel visioned.

Exactly.

Listen, the consultants they are putting me through the mill today,

some sort of trial.

What for?

My bedside manner.

PATIENT LAUGHS

So I need to bring you round.

And prove them wrong.

That'd be sweet, wouldn't it?

SHE GAGS

-You OK?

-Yes.

Thank you. Um...

It went well.

She'll be back on the ward shortly.

Mr Gleeson.

I know it's very difficult.

Your wife's illness, can be a real strain on carers...

..family.

You need to remember, it's not her.

It's her medication.

Yeah...

So I keep telling myself.

Don't get me wrong,

I still love her.

I'd never love anyone else.

But sometimes...

..it's just one lie too many.

You think it's really tough having a brainy sister?

Well, let me tell you what's tougher.

Having a sister that naturally has all the confidence

and ease in the world.

Who feels comfortable in her own skin

and can connect with anyone.

"Dr Mo", I suppose...

It gave me a little taste of that.

-Look, I didn't...

-Yeah. I'm sure you didn't.

Could you ask Jonny to give Doreen the consent forms?

We managed to close the liver laceration

that Natalie sustained during the accident.

But there was an unusual amount of bleeding,

so we're going to have to keep an eye on her.

It's important to stress at this point

that the delay in scanning was immaterial to the outcome.

Her injuries were just very extensive.

So far, so good, though.

That's important to hold on to.

Thank you.

Come here.

You still hacked off with me?

No.

-You know I had to step in, right?

-Mm-hm.

Aw, you're done in.

Right, you. Home. Bed. Rest.

Doctor's orders, yeah?

Any idea what it's about?

Right, OK. Yep, sure, no problem.

I'll be there. Thanks.

That was Guy Self's office.

He wants to see me at the end of my shift.

Little bird tweeted about

-what happened in theatre today, you think?

-Not necessarily.

I mean it might be about something unrelated...

Oh, yeah, yeah, yeah. Come on.

I don't buy it and neither do you.

-Adele.

-Hey.

Nurse Maconie's just about done wowing your guests.

Actually, it was you I was after.

It's about your little old lady.

Oh, she's just gone down to theatre.

She is quite the dark horse.

My mate came good and e-mailed this over.

She's been moved from properties at numerous county councils.

Antisocial behaviour.

-What?

-Yeah. Her husband never touched her.

She got on a chair to bang the ceiling and she slipped off.

She said the kids upstairs were driving her crazy.

Yeah, exactly. They've been bullying her.

Yeah, they're 9 and 14 months.

You might want to send an armed guard into theatre.

Listen, the situation's been brought to my attention

-by Ms Campbell ages ago.

-Yes, I imagine it has.

So, really, it's not breaking news to me.

Absolutely.

Unless...

is there a particular reason why you feel compelled

to share with me something that I already know?

Erm, well...it's been a rocky day.

-Yeah, so I hear.

-And I just wanted to say as an observer...

-A totally objective one(!)

-Yes. No, er...

As far as I can see, it's just a personality clash. Nothing more.

Oh, right.

Well, thank you for that,

but it really makes no odds.

They're both adults, they should just deal with it.

Agreed. Absolutely. So they should...

And, if they can't, then one of them will have to go.

You mean Dr Tressler?

Well, possibly.

-From what I can gather, your husband isn't exactly a fan.

-Well...

But then again it has to be said,

he's a star player,

and star players don't always make a team players.

Well, Ms Teo. Spit it out.

Whoa. Whoa.

I'm so sorry. Sugar dip.

Yes, yes. Of course.

And, er... raging hormones, I suppose?

I have treated several thousand pregnant women before.

Hey. It's OK, here.

So, what we do is create a small incision

on the right side of your neck.

At which point, Mr Hisham will take over

-and localise the parathyroid adenoma.

-Who's he?

The other surgeon.

I don't want anyone else.

Oh, I'm a heart surgeon.

You said that you would...

You said...

-It's you.

-Yeah, I will be assisting,

but I won't be the one who...

Who are these people?

Who are they?!

-Just nurses.

-No.

I don't want them.

Right, could you guys give me a minute? Thanks.

Mrs Talbot, you really need to calm down.

You lied to me.

You were just going to leave me here!

Ow!

Hey! That's enough.

Doreen, this is not on.

If you keep this up, I'll have to call security.

Careful, sis, she's got a big kick on her.

I don't want to stay here with these people I don't know.

But these people are here to help you, sweetheart.

I'm scared of them.

OK, I'll tell you what.

How about I come in there with you, yeah?

And stay there throughout?

-That be OK?

-Yeah.

Can I have some tissue, please?

Thanks.

Hey, wipe those tears.

You want you look beautiful for Mr Hisham, right?

Two sugars.

Thank you.

I take it it's not common knowledge?

Not till the 12-week scan.

You know, all this tension can't be good for you.

Maybe it's best if I move Tressler along.

No, please. Don't do that.

Why?

Because he's a good doctor.

Well, he can go and be good somewhere else.

But it'll knock him back a year.

Why is that of such significance to you?

Oh, dear.

It only happened once.

But...

It could be.

It probably is.

-Oh, dear.

-I can't stand any more.

I just want to tell Raf everything.

Hmm. Noble but pointless.

You will unburden yourself of your guilt, but...

Your star player won't be in such fine form.

May I remind you that you are also of value to this hospital.

Would it really be worth the collateral?

Especially as your little one will be part of it.

Freeze spray.

Acts as a local anaesthetic when sprayed onto the skin.

Now the effects can wear off quickly

once the skin warms back up.

Right, come on. Let's go.

Are you sure about this?

Mm-hm. Tunnel vision.

Pain is all in the mind.

Ow.

-Does that feel cold?

-It's freezing.

Right, all set?

Pain is in the...

MIIIIND!

SHE SCREAMS

Natalie. Natalie.

-How long has she been like this?

-About ten minutes.

-What's happening?

-She's burning up.

-Pulse is racing.

-Sweating, fever, delirium.

Your pills.

Are you sure you forgot them?

Could she have taken them?

I suppose so...

Right, this is what this is.

She's overdosed on Levodopa, Harry.

That's what caused the fall, the bleeding, the psychosis, the lot.

-She needs to go to theatre right now.

-I'll go and page Raf.

You can do this.

Get me something! Just get me something, PLEASE!

I don't believe this. This is outstanding even for you.

-I was just trying...

-ARGH!

Trying to what? Add medieval surgery approaches

to your legendary people skills?

-I was trying to think around the problem.

-AHHH!

Well, it worked a treat, didn't it?

Well done.

-I'm sorry, Lindsey.

-ARGH!

Huge amounts of blood and clots in the abdomen.

Suction, please.

-Vicryl 2-0.

-DOOR BANGS OPEN

Before you say anything,

Harry knew right from the start

this was something to do with the mother, but I dismissed him.

I make mistakes, too.

Suturing.

He could have dropped me in it,

but he didn't.

Make sure you wash the blood and the bile from the abdomen.

We don't want an infection getting in there.

Nice to meet you, Henry.

Deley - believe it or not,

that is Stewart Talbot.

And the woman standing next to him

is the neighbour who drove him in, with the offending kids.

Oh, my gosh.

Yep. That tumour's got a lot to answer for.

It was a good kick, though. Could come in handy.

-Enjoyed it, did you?

-No...

Hey, it could have been a lot worse.

She could've given you a shiner, just before the shoot.

Oh, yeah, that. I've cancelled it.

Didn't fancy any of the dresses.

-Oi! What's brought this on?

-I'm proud of you.

Yeah. I'm proud of me, too.

Bighead.

Listen, feel free to say no,

but there's always my sofa.

Really?

-There are terms, though.

-Oh, here we go.

You do your own washing, you don't nick my charger,

you don't wear my knickers, you buy your own chocolate...

oh, and more importantly, you do not stumble in at 3am.

Oh. That might be a bit difficult.

I meant to be meeting Trevon and Misha for a drink later on.

The tox screen confirmed it.

She tested positive for Levadopa.

Why?

Why? Because she's a teenager.

And teenagers like to experiment.

Perhaps, she felt its effects on you

weren't altogether undesirable.

Please don't judge me.

I want to stop being like this. I will stop.

You clearly react very badly

to the Levodopa content in your medication.

Sian.

How much do they mean to you?

Well, then.

Fight.

That was quite a performance today.

Thanks. I aim to please.

Oh, if only.

Well, I seem to have amused you.

So, enjoy.

Oh, I do.

Did Dad put you up to this?

What do you mean?

Some ingenious strategy to tame the wayward.

Oh, you're way off the mark, missy.