0:00:39 > 0:00:42It's early days, I think I'm pregnant.
0:00:42 > 0:00:44HE LAUGHS
0:00:44 > 0:00:46How much Epinephrine did you give him?
0:00:46 > 0:00:49- Nothing, I gave him salbutamol. - But he's diabetic!
0:00:49 > 0:00:53I administered the salbutamol to Andre. It was my fault.
0:00:53 > 0:00:55You're off the hook. Just be grateful.
0:00:55 > 0:00:58I didn't expect you to take a bullet for me.
0:00:58 > 0:01:00The sooner you pass your assessment...
0:01:00 > 0:01:03the better it is for both of us.
0:01:03 > 0:01:07You know, you've got a lot of pent-up energy in you, haven't you?
0:01:10 > 0:01:12Mr Hope, are you OK? Do you want to sit down?
0:01:12 > 0:01:15No, no, no. I'm fine, thank you. Thank you.
0:01:18 > 0:01:20Rex's olfactory system - his sense of smell -
0:01:20 > 0:01:24is so much more acute than any mechanical device...
0:01:24 > 0:01:26Don't you just love it that an old-fashioned dog's nose
0:01:26 > 0:01:30is so much better than any technology scientists can invent?
0:01:30 > 0:01:31Yeah, really happy for Rex.
0:01:31 > 0:01:34Just not sure why I have to allow him on my ward today.
0:01:34 > 0:01:37Yes, Infection Control have granted us permission
0:01:37 > 0:01:39so long as there's no physical contact with patients.
0:01:39 > 0:01:41So, how good...
0:01:42 > 0:01:44..is his nose?
0:01:44 > 0:01:46Totally ballpark...
0:01:46 > 0:01:47His sense of smell is...
0:01:47 > 0:01:50100 million times more sensitive than any human nose.
0:01:50 > 0:01:54Personally, all I can see is a big hairy animal on a clinical ward.
0:01:54 > 0:01:56This nose...smells trouble.
0:01:56 > 0:01:58- So this is wrong. - How wrong?
0:01:58 > 0:02:00- On a scale of one to ten? - Yeah.
0:02:00 > 0:02:02- I'd say eight.- Uh-huh...
0:02:02 > 0:02:03Well, eight and a half.
0:02:03 > 0:02:06- Look... - Let's make it a ten, shall we?
0:02:06 > 0:02:08DOOR RATTLES
0:02:09 > 0:02:12Deeply flattered though I am, Dr Tressler, there aren't enough
0:02:12 > 0:02:14pain au chocolats in Holby, to make me divulge.
0:02:14 > 0:02:17- I didn't say "divulge".- It's a confidential review for Ms Teo...
0:02:17 > 0:02:20And you want to know what I think the outcome's going to be...?
0:02:20 > 0:02:23- Showing concern for a colleague... - Before I've even discussed it with her?
0:02:23 > 0:02:26- Concerned and involved. - "Involved"?
0:02:26 > 0:02:30- Oh, you think we should be discussing your involvement in the case? - No, no, no, I was just saying...
0:02:30 > 0:02:34Ms Teo's already accepted responsibility for not checking the patient's notes.
0:02:34 > 0:02:37Am I to take it you also feel responsible?
0:02:37 > 0:02:38No, absolutely not.
0:02:38 > 0:02:41Tell me, Harry, is there something I should know?
0:02:41 > 0:02:44- How much is that, love? - 7.50, please
0:02:44 > 0:02:47Give yourself a break. You had morning sickness.
0:02:47 > 0:02:52- Shh.- You're pregnant - I mean, how good does it feel to even say that!
0:02:52 > 0:02:53I had "baby brain"?
0:02:54 > 0:02:56Honestly, it's just...
0:02:58 > 0:03:00I just feel so lame.
0:03:00 > 0:03:02- We should be happy. - Why?
0:03:02 > 0:03:05A patient nearly died because I didn't read his notes.
0:03:05 > 0:03:08"Memory lapses", "skewed judgment".
0:03:08 > 0:03:11Some pregnant women forget their own addresses.
0:03:11 > 0:03:12I know you're right, Raf.
0:03:12 > 0:03:16But, I just can't stop worrying that Serena will find me unfit for work.
0:03:16 > 0:03:18You know what I think?
0:03:18 > 0:03:21I think you should be concentrating on your own performance.
0:03:21 > 0:03:23- My end of placement review?- Mm.
0:03:23 > 0:03:26- I have every faith you'll be fair and just.- Oh.
0:03:26 > 0:03:29And are we confident Mr Di Lucca feels the warm glow of sun
0:03:29 > 0:03:31shining out our backside?
0:03:31 > 0:03:34- Is Raf definitely going to be involved?- Yes.
0:03:34 > 0:03:36Honest answer - the jury's still out...
0:03:36 > 0:03:38He blows hot and cold.
0:03:38 > 0:03:42I'd say you need that jury in, Dr Tressler. In, hot and happy
0:03:42 > 0:03:44or you might find your glittering career
0:03:44 > 0:03:46starts to look rather tarnished.
0:03:46 > 0:03:47He's way too concerned about Amy.
0:03:47 > 0:03:50I'm sure he hasn't given me a second thought.
0:03:53 > 0:03:55- What about Tressler? - What about him?
0:03:55 > 0:03:58Are you absolutely sure he didn't omit something from the notes?
0:03:58 > 0:04:00- And that's why you...? - No. Definitely not.
0:04:03 > 0:04:05He's having his end of placement review tomorrow.
0:04:05 > 0:04:08Is he? How do you know that?
0:04:10 > 0:04:12It's all he talks about.
0:04:12 > 0:04:14Because he knows I'm probably going to fail him.
0:04:14 > 0:04:16Why?
0:04:16 > 0:04:19Er, because he's useless and he drives me mad.
0:04:19 > 0:04:22Pass him and he's out of our hair for good.
0:04:22 > 0:04:24"Our" hair?
0:04:24 > 0:04:27I don't think either of us need any more Harry Tressler in our lives...
0:04:28 > 0:04:30CLATTERING
0:04:30 > 0:04:32OPERATIC SINGING
0:04:39 > 0:04:41HE SINGS OUT OF TUNE
0:04:56 > 0:04:57Oh!
0:04:57 > 0:04:59Oh, you gave me a shock... MUSIC STOPS
0:04:59 > 0:05:02How long you been hiding down here alone?
0:05:02 > 0:05:04(IN ACCENT) Vith your artificial heart creation, Dr Frankenstein?
0:05:04 > 0:05:06I don't know...
0:05:06 > 0:05:08Is this about Jac and Emma?
0:05:08 > 0:05:10Sorry, could you...
0:05:10 > 0:05:11No. No.
0:05:11 > 0:05:15No. I've got a... Herzig presentation in...21 days and four hours' time.
0:05:15 > 0:05:17- Not that you're counting... - HE SIGHS
0:05:17 > 0:05:20Come on, Professor. Look, Jac's not here. Jonny's not in.
0:05:20 > 0:05:23Don't go all hermit-crab on us. We need you upstairs.
0:05:23 > 0:05:25Darwin's more like a mortuary than the mortuary
0:05:25 > 0:05:27Would that be a...?
0:05:27 > 0:05:31Oh, this? Four words - artisanal,
0:05:31 > 0:05:34bakery, loganberry, jam...!
0:05:34 > 0:05:37- (Yours.) - (Mine.)
0:05:37 > 0:05:40If you take a break and come and do a ward round with me. Forget about Jac Naylor.
0:05:41 > 0:05:44You know, it all just makes me so sad. If only I hadn't...
0:05:44 > 0:05:47Come on, Elliot, we need some Hope juice up there.
0:05:47 > 0:05:50I will. I'll-I'll be up there straightaway.
0:05:50 > 0:05:53I just need to, you know...later.
0:05:53 > 0:05:55No ward round, no doughnut.
0:06:02 > 0:06:05TURNS ON MUSIC
0:06:05 > 0:06:07HE SINGS OUT OF TUNE
0:06:12 > 0:06:14CONVERSATION OUTSIDE
0:06:16 > 0:06:17Infection.
0:06:17 > 0:06:21Widespread ward infection, exactly. Resulting in ward closure.
0:06:21 > 0:06:23Patient relocation. Isolation...
0:06:23 > 0:06:25And what is one of the most virulent
0:06:25 > 0:06:28and damaging forms of ward infection?
0:06:28 > 0:06:30C. difficile.
0:06:30 > 0:06:34Tell her what bacterial infection Rex is trained to detect.
0:06:34 > 0:06:35C. difficile.
0:06:37 > 0:06:38Your dog can smell C. diff?!
0:06:38 > 0:06:42He has been trained by being exposed to hundreds of stool samples
0:06:42 > 0:06:44known to be infected with C. diff.
0:06:44 > 0:06:47Wow, and I thought I had a rubbish job!
0:06:47 > 0:06:48So...
0:06:48 > 0:06:52if you had a patient showing signs of infection on your ward...
0:06:52 > 0:06:54Which are... Dr Digby?
0:06:54 > 0:06:56Er, C. difficile
0:06:56 > 0:06:58commonly causes toxin-mediated intestinal disease,
0:06:58 > 0:07:02with symptoms ranging from mild diarrhoea to pseudomembranous colitis
0:07:02 > 0:07:04and toxic megacolon.
0:07:04 > 0:07:07Toxic megacolon always sounds so awesome, doesn't it?
0:07:07 > 0:07:09- Yeah, I know. - CHUCKLING
0:07:09 > 0:07:13So, from identifying a patient's symptoms to getting...
0:07:13 > 0:07:15proven results, takes how long?
0:07:15 > 0:07:16Erm, three or more days.
0:07:16 > 0:07:18Three or more days...
0:07:19 > 0:07:22Could be less...if I get lucky.
0:07:22 > 0:07:24Three whole days. So, Marika,
0:07:24 > 0:07:28tell her how long it takes Rex to determine whether a human is infected...?
0:07:28 > 0:07:30- Ten seconds. - Ten seconds.
0:07:30 > 0:07:34Well, Rex, you and I still might become friends.
0:07:34 > 0:07:36HE CHUCKLES
0:07:50 > 0:07:53MOANING AND GIGGLING
0:07:55 > 0:07:57Amy? Hi.
0:07:58 > 0:08:01Did you, er...did you...?
0:08:01 > 0:08:03Raf, did he say anything
0:08:03 > 0:08:05about me? About the assessment?
0:08:05 > 0:08:08- Oh, my God, Harry? Really? - What?
0:08:08 > 0:08:11- That is all you care about, isn't it?- No. No. No...
0:08:11 > 0:08:14- I could lose my job here. - That's highly unlikely...
0:08:14 > 0:08:17But, you still expect me to quiz Raf for clues about your assessment.
0:08:17 > 0:08:19- I mean, for God's sake. - Left some papers in the car...
0:08:19 > 0:08:22We were just... Just discussing a patient.
0:08:32 > 0:08:33HE EXHALES
0:08:37 > 0:08:40Ow! Oh!
0:08:51 > 0:08:53HE SIGHS
0:08:53 > 0:08:54Leave me alone, will you?
0:08:54 > 0:09:00Listen, I just wanted you to know that I am supporting you with this.
0:09:00 > 0:09:03- I'm in this mess because of you. - You went and confessed to Serena.
0:09:03 > 0:09:06Specifically to save your sorry skin.
0:09:06 > 0:09:09- And get you out of my life. - I appreciate you taking the heat.
0:09:09 > 0:09:11ICE CREAM VAN JINGLE
0:09:11 > 0:09:13Did you leave me any choice?
0:09:15 > 0:09:17Ah, let me buy you a cone.
0:09:17 > 0:09:20- No.- Go, on. Flake and...- No!
0:09:20 > 0:09:22Stay there.
0:09:28 > 0:09:30Two 99s, please, my good man.
0:09:31 > 0:09:33Come on, Amy, an ice cream. Call it a peace offering.
0:09:33 > 0:09:35I don't want one.
0:09:38 > 0:09:41Chop, chop, sir. Customers waiting...
0:09:44 > 0:09:46Amy! Amy!
0:09:50 > 0:09:52Can we have a trolley out here, please?!
0:09:52 > 0:09:55- Do FBCs, U&Es. Group and save and coag...- Right...
0:09:55 > 0:09:57I want facial views and an OPG X-ray.
0:09:57 > 0:10:00- We need to examine his cranial nerves for signs of injury.- Tetanus?
0:10:00 > 0:10:03- Yeah, write him up for a booster.. - All right, will do...- Fluclox?
0:10:03 > 0:10:07- 1 reg IV, if he's not allergic. I'll sort meds.- Here we go.
0:10:07 > 0:10:09Let's get these beds together, guys.
0:10:11 > 0:10:13Nice and gentle. Easy.
0:10:13 > 0:10:16Ease over, that's it. There you go.
0:10:16 > 0:10:20- How do you feel? - Fine. Yeah. Fine.
0:10:20 > 0:10:22- Fine?!- I'm sure it must look worse than it feels.
0:10:22 > 0:10:23Really(?)
0:10:23 > 0:10:26It looks as though you've a crossbow bolt stuck in your cheek.
0:10:26 > 0:10:28- Lucky, really. - Lucky? How do you get "lucky"?
0:10:28 > 0:10:30Could've been my eye.
0:10:30 > 0:10:32You got shot in the face, mate!
0:10:32 > 0:10:34It's not ideal. Granted.
0:10:34 > 0:10:36Before we consider how to remove it, we're going to have to
0:10:36 > 0:10:40- look at its location with reference to your parotid duct... - Oh, yeah. If you say so, Doc.
0:10:40 > 0:10:43It carries saliva from your gland... And if it gets damaged...
0:10:43 > 0:10:45it can be very hard to fix.
0:10:45 > 0:10:48- Righto... - OK, so...
0:10:48 > 0:10:49Aren't we er, forgetting something?
0:10:49 > 0:10:52No. Theatre, as soon as we're happy with what we're doing.
0:10:52 > 0:10:55How did it get there? Am I the only one asking this question...?
0:10:55 > 0:10:57Our primary concern is for the welfare...
0:10:57 > 0:10:59Sure. Yeah, yeah. Sure. No, no. I agree...
0:10:59 > 0:11:01but aren't you curious? I'm curious.
0:11:01 > 0:11:03Who shot you in the face?
0:11:03 > 0:11:08- No idea. Was outside the play park. - Really? You didn't see anybody?
0:11:08 > 0:11:10No yummy mummy tooled up with a crossbow?
0:11:10 > 0:11:13- Guess I was looking the other way. - You got shot in the face.
0:11:13 > 0:11:15Just an accident, you know... Kids...
0:11:15 > 0:11:17Kids?! With crossbows?
0:11:17 > 0:11:19Meds first, Dr Tressler.
0:11:19 > 0:11:22Er, isn't that something you might want to follow up?
0:11:22 > 0:11:26- Isn't this a police matter? - Yes, it is. Make the call.
0:11:26 > 0:11:29Whoa, whoa, whoa. Nah. Don't need to get the Old Bill involved.
0:11:29 > 0:11:30Just a freak accident...
0:11:41 > 0:11:44# Haul, boys, haul
0:11:44 > 0:11:45# Haul, boys, haul... #
0:12:14 > 0:12:17# Heave away the capstan, boys And let's get up the trawl...
0:12:19 > 0:12:21# When the wind is blowin'
0:12:21 > 0:12:24# When the capstan's flowin'...
0:12:25 > 0:12:28# My Emma, my Emma, my Emma, my... #
0:12:28 > 0:12:30Elliot...
0:12:30 > 0:12:33Yes... Hello, Mr Self. Hello.
0:12:33 > 0:12:36Erm, I think I know why there's a discrepancy in the oscillation
0:12:36 > 0:12:38at 500 revs per minute...
0:12:38 > 0:12:40I think.
0:12:40 > 0:12:44There is a delegation of four professors coming
0:12:44 > 0:12:47over from the Howard Medical School.
0:12:47 > 0:12:48As well as an envoy
0:12:48 > 0:12:52from Moscow State University of Medicine and Dentistry
0:12:52 > 0:12:54- Good...- In three weeks' time.- Yes.
0:12:56 > 0:12:59- What happened to your hand? - Well...
0:12:59 > 0:13:01< # Haul, boys, haul... #
0:13:01 > 0:13:02# Haul, boys, haul... #
0:13:02 > 0:13:05Can you hear that? Sea shanty.
0:13:05 > 0:13:06Can you hear it?
0:13:06 > 0:13:08# Haul, boys, haul...
0:13:08 > 0:13:10# When the capstan's... #
0:13:10 > 0:13:12Your hand...?
0:13:13 > 0:13:15Oh, er... Burnt it... Stupidly.
0:13:15 > 0:13:17I was soldering and...
0:13:17 > 0:13:19I put it down by mistake and erm...
0:13:21 > 0:13:23Better get back on the ward round.
0:13:27 > 0:13:29# Haul, boys, haul
0:13:29 > 0:13:32# Haul, boys, haul
0:13:32 > 0:13:35# Heave away the capstan, lads and let's get up the trawl
0:13:35 > 0:13:40# When the winds a-blowin' The ship's a-gently rollin'
0:13:40 > 0:13:44# My Emma, my Emma won't you be true to me... #
0:13:44 > 0:13:47They's only gone and sent him up the heart ward now...
0:13:52 > 0:13:54Oi, bring the sandwiches.
0:14:01 > 0:14:05Yeah... No, only the victim. No "perp" present, no.
0:14:05 > 0:14:09Otherwise, that would mean there'd be a crossbow-wielding...
0:14:09 > 0:14:12Yes, that would be great. Thank you.
0:14:12 > 0:14:14So not interested, unless there's an easy arrest.
0:14:14 > 0:14:17They're on their way, though.
0:14:17 > 0:14:18Is it really only me
0:14:18 > 0:14:22that thinks it's odd that a guy has come in here with a crossbow bolt
0:14:22 > 0:14:24stuck in his cheek?
0:14:24 > 0:14:26I know, must hurt like anything...
0:14:26 > 0:14:27Well, it's not the pain. Course it hurts...
0:14:27 > 0:14:30It's the reason. Someone's shot him...
0:14:30 > 0:14:32and yet he doesn't seem to care who.
0:14:32 > 0:14:35Maybe he knows who it is but he doesn't want to say?
0:14:35 > 0:14:38Why would you not want to say if someone's shot you in the face?
0:14:38 > 0:14:40Because you don't want to get them in trouble?
0:14:40 > 0:14:42They shot you in the face!
0:14:42 > 0:14:44If somebody shot me in the face with a crossbow,
0:14:44 > 0:14:46I wouldn't want them to get into trouble until I'd had
0:14:46 > 0:14:49the chance to shoot them in the face...with a crossbow.
0:15:09 > 0:15:10It's good to have you back on the beat.
0:15:10 > 0:15:12Well, you were right. I needed a break.
0:15:12 > 0:15:15And... I needed to get stuck back in here...
0:15:15 > 0:15:17- I'd love you to have a quick butcher's at someone...- Oh, right...
0:15:17 > 0:15:21Believe... Oh. Believe me, he is right up your cul-de-sac.
0:15:21 > 0:15:25Bernard Wesson, 59, solo commercial mackerel fisherman by day,
0:15:25 > 0:15:28sea shanty a capella group by night...
0:15:28 > 0:15:30Ah, that would explain... LAUGHTER
0:15:30 > 0:15:34He's supposed to be singing in the South West final tomorrow night.
0:15:34 > 0:15:36- It's being televised...- Oh.
0:15:36 > 0:15:39Sent up from the ED with chest pains, dizziness,
0:15:39 > 0:15:42shortness of breath, ventricular arrhythmia... Usual suspects...
0:15:42 > 0:15:44Winners go on to national heats.
0:15:44 > 0:15:47Done FBCs, U&Es. LFTs and clotting....
0:15:47 > 0:15:49Is he going to be all right, Doctor?
0:15:49 > 0:15:52I love sea shanties... What're you performing?
0:15:52 > 0:15:56We're still choosing between Haul Boys Haul and Blood-Red Roses.
0:15:56 > 0:15:58- Roses gives me goose-bumps. - An' me.
0:16:00 > 0:16:02I heard you with my noodles.
0:16:02 > 0:16:06We need an ECG and Echo. So when did these pains start?
0:16:06 > 0:16:07About a week ago...
0:16:07 > 0:16:11And has anything significant happened that might have triggered them?
0:16:11 > 0:16:12Like?
0:16:12 > 0:16:14Stressful news. Change of medication.
0:16:14 > 0:16:17Excess alcohol. Lifting something heavy...?
0:16:17 > 0:16:21I'm a mackerel fisherman. I lift heavy boxes of fish every day.
0:16:21 > 0:16:23Oh, yeah... When yous can catch 'em.
0:16:23 > 0:16:26An' only if Slim hasn't caught 'em all first...!
0:16:26 > 0:16:27Yes, thank you.
0:16:27 > 0:16:29So this group, you're all fishermen?
0:16:29 > 0:16:32No, actually I'm a Calvin Klein underwear model...
0:16:32 > 0:16:35And Bernard's an air hostess.
0:16:35 > 0:16:40LAUGHTER
0:16:40 > 0:16:42Course we're all fishermen. Nothing else we're any good for.
0:16:42 > 0:16:44Well, apart from singing...
0:16:44 > 0:16:47Yeah, only problem, now Bernard's having a wobbly,
0:16:47 > 0:16:50- he sounds like a throttled herring gull...- Hey! - LAUGHTER
0:16:50 > 0:16:53Right, let's take you through to X-ray.
0:16:53 > 0:16:56Slow down, slow down, slow down. Thanks.
0:16:58 > 0:17:01- Would you like us to contact your family?- No.
0:17:01 > 0:17:03- Your wife, maybe? - Definitely not my wife.
0:17:03 > 0:17:07- LAUGHING:- OK... - She'd worry. She'd freak out.
0:17:07 > 0:17:10Because you got shot in the play park with a crossbow?
0:17:10 > 0:17:13It'd spook her. She's a bit of a nervy type...
0:17:13 > 0:17:16But you do realise this isn't going to stay much of a secret?
0:17:16 > 0:17:19Even if we manage to get it out without causing nerve damage,
0:17:19 > 0:17:22there's still going to be quite a big hole in the middle of your face.
0:17:22 > 0:17:24Do you think she'll notice it?
0:17:24 > 0:17:28Still, there's no point in worrying her now. Ah.
0:17:29 > 0:17:31Right, so you're taking Finasteride
0:17:31 > 0:17:34for the prostate... Codydramol
0:17:34 > 0:17:37for the knee and ointment for your haemorrhoids...
0:17:37 > 0:17:39CHUCKLING
0:17:41 > 0:17:42Anything else?
0:17:42 > 0:17:44No... No.
0:17:44 > 0:17:48Are you sure? Speak now or for ever hold your whatsits...
0:17:48 > 0:17:49No...
0:17:49 > 0:17:52Sure you guys are not cooking up some crystal meth on the high seas...?
0:17:52 > 0:17:54Bacon sarnies are all we cook...
0:17:54 > 0:17:55LAUGHTER
0:17:55 > 0:17:58OK, if you need anything let me know.
0:17:58 > 0:18:03She's lucky I can remember the names of the pills I'm taking these days...
0:18:03 > 0:18:05I have your test results.
0:18:05 > 0:18:07Before I just swallowed whatever my Nellie stuck in me paw,
0:18:07 > 0:18:09as I drained me first brew of the day.
0:18:09 > 0:18:12- 'Fore I put me overalls on. - Your wife?
0:18:12 > 0:18:14She could've been poisoning me. I wouldn't have known.
0:18:14 > 0:18:17Between her and the GP, could've bumped me off no bother...
0:18:17 > 0:18:19- And she doesn't...? - Passed away.
0:18:19 > 0:18:21I'm sorry.
0:18:21 > 0:18:23And me.
0:18:23 > 0:18:24Gutted, I was.
0:18:26 > 0:18:27That was never the deal...
0:18:28 > 0:18:31Till death us do part was when I died, I thought.
0:18:33 > 0:18:36I'm... I'm a widower as well.
0:18:38 > 0:18:42It's strange. Don't you find it strange?
0:18:42 > 0:18:44Sometimes.
0:18:44 > 0:18:47Often. Yes.
0:18:47 > 0:18:49Never had to deal with people.
0:18:49 > 0:18:52Nellie did. I dealt with fish.
0:18:53 > 0:18:56And the man who sold boat diesel.
0:18:58 > 0:19:00Now I'm dealing with all sorts.
0:19:00 > 0:19:01And you sing.
0:19:02 > 0:19:04Oh, and that's weird.
0:19:04 > 0:19:05On stage.
0:19:05 > 0:19:08She would've choked on her egg soldiers if she'd known.
0:19:10 > 0:19:15It's because she died, my world got bigger. Weird, eh?
0:19:16 > 0:19:19I wish every day she was still here with me but...
0:19:20 > 0:19:22..I wouldn't be doing this singing if she was.
0:19:25 > 0:19:27You don't care how it got there?
0:19:27 > 0:19:29The story behind the patient intrigues you?
0:19:29 > 0:19:31Of course. Always.
0:19:31 > 0:19:34Understanding how and why a patient got here is part of our job, right?
0:19:34 > 0:19:38Is that what you'd tell me tomorrow at your end of placement review?
0:19:38 > 0:19:41- If you think it's a good answer. - It's a very good answer.
0:19:41 > 0:19:44I like my team to be fully invested in the background of their patients.
0:19:44 > 0:19:48I think I am. And, as we both know, patients lie.
0:19:48 > 0:19:51All the time. Like... Ms Teo's patient, Mr Hassan.
0:19:51 > 0:19:55He... was secretive about the insulin.
0:19:55 > 0:19:57Not unlike Mr Orlandez...
0:19:57 > 0:20:01Yeah, I mean, Mr Hassan was lying about self-medicating with insulin.
0:20:01 > 0:20:04Oh, and I don't mean to be funny, but I can't believe Ms Teo didn't read his notes properly.
0:20:04 > 0:20:08- I'm sure YOU would have been far more meticulous. - If I'd been there, yeah?
0:20:08 > 0:20:10You'd have noticed all the clues of insulin abuse...
0:20:10 > 0:20:11But, that's academic.
0:20:11 > 0:20:15Luckily for you my wife's taking all the blame.
0:20:15 > 0:20:17What can I say? I wasn't there. She administered the drug.
0:20:17 > 0:20:20Yeah, where were you? Did you have bigger fish to fry?
0:20:20 > 0:20:23No, I was collecting test results for another patient
0:20:30 > 0:20:32Mo, does this seem unclear to you?
0:20:34 > 0:20:38He's got some ST segment and T-wave irregularities,
0:20:38 > 0:20:41maybe a mitral valve prolapse, probably an endocarditis...
0:20:41 > 0:20:44- No, no, the printing. - Oh, no. They're never great.
0:20:44 > 0:20:46What seems unclear to me
0:20:46 > 0:20:48is what Captain Birdseye's really been taking.
0:20:48 > 0:20:50Medication-wise?
0:20:50 > 0:20:54You know you get a sixth sense about when a man's lying to you.
0:20:54 > 0:20:56I mean, in your case, that's practically the whole time,
0:20:56 > 0:20:59- I know, but... - You think he's lying?
0:20:59 > 0:21:01My mystic power tells me he's hiding something.
0:21:03 > 0:21:05- Ah, Bernard's chest films... - Thanks.
0:21:11 > 0:21:12You all right?
0:21:12 > 0:21:15Yes, fine. I just...
0:21:15 > 0:21:19spending too long staring at those tiny Herzig 5 components...
0:21:19 > 0:21:21That's better...
0:21:24 > 0:21:26Doesn't get any bigger.
0:21:26 > 0:21:31Right...if he was hiding something, you know, a medication,
0:21:31 > 0:21:33what would it be?
0:21:33 > 0:21:36Well, what do all men of a certain age always lie about?
0:21:36 > 0:21:39Their weight?
0:21:39 > 0:21:40Viagra...
0:21:45 > 0:21:48So a dog is Selfie's latest wacky scheme?
0:21:49 > 0:21:53Well, we've only just got over treating a Nazi war criminal.
0:21:53 > 0:21:56So I suppose we're in need of a "good news" story.
0:21:56 > 0:21:59I remember a spell when every neuro patient in Norwich was having
0:21:59 > 0:22:01acupressure massage before surgery.
0:22:01 > 0:22:05So, you'll also know how much he expects loyalty.
0:22:05 > 0:22:07And no-one's more loyal than you.
0:22:09 > 0:22:11So you and Zosia seem close.
0:22:13 > 0:22:17Yeah, well, we all go way back together, don't we?
0:22:17 > 0:22:20Yeah, I've been working for Guy on and off 15 years...
0:22:20 > 0:22:22Oh! Long time.
0:22:23 > 0:22:27You could say he had his own sniffer dog years before Rex turned up.
0:22:28 > 0:22:31Colette Sheward, are you calling yourself "an old dog"?
0:22:31 > 0:22:34Not very flattering.
0:22:34 > 0:22:36I'd say you were more foxy...
0:22:36 > 0:22:37A cougar maybe?
0:22:37 > 0:22:41Yeah, I wasn't meaning the dog part, so much as the nose...
0:22:41 > 0:22:43Oh, sorry.
0:22:43 > 0:22:45Sniffing out potential trouble?
0:22:47 > 0:22:50Yeah, well...good luck with that.
0:22:54 > 0:22:56Sorry, Nurse, could you? Thank you.
0:22:57 > 0:23:00How's your throat?
0:23:00 > 0:23:02I feel it closing up.
0:23:02 > 0:23:03HE COUGHS
0:23:05 > 0:23:06I thought we'd talk here, it's um...
0:23:06 > 0:23:10a bit more discreet, because, um... well, Bernard...
0:23:10 > 0:23:13your test results are a bit confounding.
0:23:13 > 0:23:16It's like there's something your body's reacting to...
0:23:16 > 0:23:18Ah, right...
0:23:18 > 0:23:23You haven't been... I don't know, working with chemicals?
0:23:23 > 0:23:26Or, using something on the boat you haven't used before?
0:23:26 > 0:23:28- Nope. No. - Or taken anything...?
0:23:32 > 0:23:37- Doctor/patient confidentiality? - Yes...
0:23:37 > 0:23:39How's that work, then?
0:23:39 > 0:23:41You mean, if you were to tell me something
0:23:41 > 0:23:43would I tell it to somebody else?
0:23:43 > 0:23:45- Yeah. That sort of thing. - Absolutely not.
0:23:45 > 0:23:47- Never?- No.
0:23:47 > 0:23:50Unless you'd committed some terrible crime.
0:23:52 > 0:23:55So, if someone'd broken the law you'd have to rat them out...?
0:24:00 > 0:24:02Can you open the door for me, please?
0:24:05 > 0:24:07I wouldn't never say this to his face,
0:24:07 > 0:24:09but he's one of the worst fishermen I've ever met.
0:24:09 > 0:24:13Wouldn't catch nothing if it wasn't for me and Slim putting him right...
0:24:13 > 0:24:14That's decent of you.
0:24:14 > 0:24:18Voice of an angel, though. From nowhere. Totally natural.
0:24:18 > 0:24:21Makes the hairs on my neck prickle, he can...
0:24:22 > 0:24:24- Well, not now... - Not today...
0:24:26 > 0:24:28So, erm, what's he taking?
0:24:28 > 0:24:29How do you mean?
0:24:29 > 0:24:34What she means is that something's causing an adverse reaction.
0:24:34 > 0:24:36And that reaction is causing his throat to constrict
0:24:36 > 0:24:38and affect his breathing.
0:24:38 > 0:24:40What, like drugs?
0:24:41 > 0:24:43Could we just have...
0:24:48 > 0:24:52Is he taking anything? For, say, his nerves
0:24:52 > 0:24:54or performance?
0:24:54 > 0:24:58Best one to ask is his daughter. She'd know.
0:24:58 > 0:24:59Sorry, come again?
0:24:59 > 0:25:02Well, since his Nellie died, she's been a big part of his life.
0:25:02 > 0:25:05Right, do you have her number?
0:25:07 > 0:25:10We need his voice. Tomorrow.
0:25:10 > 0:25:12We'll do our best.
0:25:16 > 0:25:20Now, I know we've touched on this, but for the purpose of recording it officially,
0:25:20 > 0:25:23could you describe the course of events as you remember them?
0:25:23 > 0:25:26The patient had a bronchospasm.
0:25:26 > 0:25:28I judged this to be a response to the anaesthetic...
0:25:28 > 0:25:31- And you prescribed salbutamol? - I did.
0:25:31 > 0:25:33Which would do what?
0:25:33 > 0:25:36Open the airways, increase oxygen saturation levels.
0:25:36 > 0:25:39Yes, and what would it do to his potassium levels?
0:25:39 > 0:25:42Cause them to fall. Which would be dangerous if they were already low.
0:25:42 > 0:25:44And were they?
0:25:44 > 0:25:47He was abusing insulin. So...yes. They were.
0:25:47 > 0:25:50Did you know this when you administered the salbutamol?
0:25:50 > 0:25:53Did I suspect the patient was abusing insulin?
0:25:53 > 0:25:56Or did I know his potassium levels were already so low?
0:25:56 > 0:25:59The issue with regards to your prescription of salbutamol is
0:25:59 > 0:26:01did you know his potassium levels?
0:26:02 > 0:26:08No. I did not. Otherwise, I would not have prescribed salbutamol.
0:26:08 > 0:26:09And why didn't you know?
0:26:13 > 0:26:15I hadn't read his notes.
0:26:15 > 0:26:18Yes, but why hadn't you, Amy?
0:26:18 > 0:26:20I mean, I've seen your work...
0:26:20 > 0:26:22The very beacon of protocol...
0:26:23 > 0:26:26It was an emergency situation, in a busy ward and I...
0:26:26 > 0:26:29Dr Tressler didn't point out his levels?
0:26:29 > 0:26:32No. He wasn't present.
0:26:32 > 0:26:33He was...
0:26:33 > 0:26:35called to an emergency, as I said before.
0:26:35 > 0:26:37Yes, you did.
0:27:29 > 0:27:31CAR APPROACHES
0:27:49 > 0:27:51Sorry... I'm not...we're not... It's not open.
0:27:51 > 0:27:53I was just rather cheekily.
0:27:53 > 0:27:56What the hell are you doing?
0:27:56 > 0:27:58Sort, sort of a super-duper 99.
0:27:58 > 0:27:59In my ice cream van?
0:28:03 > 0:28:07He's getting worse. His heart rate's rising, palpitations increasing.
0:28:07 > 0:28:10There's no doubt the swelling's causing voice loss.
0:28:10 > 0:28:12It must be Viagra, then?
0:28:12 > 0:28:15When I quizzed him he asked me about patient confidentiality
0:28:15 > 0:28:16and then clammed up.
0:28:16 > 0:28:20If he is taking it, for some reason he's not admitting it.
0:28:20 > 0:28:22Brian mentioned that Bernard's got a daughter.
0:28:22 > 0:28:25Maybe we should call her? She might be able to shed some light.
0:28:25 > 0:28:28Hmm, would I want my daughter to know I was taking Viagra?
0:28:28 > 0:28:30Which I'm not.
0:28:30 > 0:28:31Someone's got to ask him.
0:28:34 > 0:28:35- All right.- Uh-huh.
0:28:37 > 0:28:41Ms Campbell, I'm not one to make excuses for myself.
0:28:41 > 0:28:43Especially not in my work...
0:28:43 > 0:28:45That I can believe.
0:28:45 > 0:28:48But...
0:28:48 > 0:28:50Raf and I...
0:28:50 > 0:28:53have been trying for some time to start a family...
0:28:53 > 0:28:54Without much success.
0:28:54 > 0:28:56Oh, I'm sorry to hear that.
0:28:58 > 0:29:03We've had many IVF attempts. But none have taken.
0:29:05 > 0:29:08Until...very recently.
0:29:09 > 0:29:10Oh...
0:29:10 > 0:29:13I'm pregnant... And, I think...
0:29:16 > 0:29:20I KNOW it's caused fundamental changes in my body,
0:29:20 > 0:29:24violent bouts of morning sickness and I'm sorry to say, my...
0:29:26 > 0:29:28..head is...
0:29:28 > 0:29:30- Baby brain? - Not an excuse.
0:29:31 > 0:29:35- No. - But a reality, nonetheless.
0:29:36 > 0:29:38As soon as I realised the oversight,
0:29:38 > 0:29:40I administered metoprolol IV
0:29:40 > 0:29:43to slow down the heart rate and stabilise him.
0:29:46 > 0:29:48Right. Thank you.
0:29:50 > 0:29:52Well...
0:29:52 > 0:29:54the fact of the matter is that neither the patient
0:29:54 > 0:29:57nor his family are going to make an official complaint...
0:29:57 > 0:30:01And the self-medication with insulin just to increase his bulk was
0:30:01 > 0:30:04a conscious abuse of prescription medicine.
0:30:04 > 0:30:05So...
0:30:07 > 0:30:09..I think we can let this lie.
0:30:10 > 0:30:11Thank you.
0:30:11 > 0:30:16Although any relapses of this kind would have to be dealt with firmly -
0:30:16 > 0:30:18and in that instance, I'm afraid,
0:30:18 > 0:30:21this event would also be taken into consideration.
0:30:24 > 0:30:28Biggest problem with using sniffer dogs is that they're dogs.
0:30:28 > 0:30:30Sorry, is that a Dutch joke?
0:30:30 > 0:30:32- Because it doesn't really translate. - No!
0:30:32 > 0:30:36What I mean is, a dog in a hospital ward stands out like a, a...
0:30:36 > 0:30:39- What stands out?- Well...a dog in a hospital ward does, really.
0:30:39 > 0:30:40OK.
0:30:40 > 0:30:44So, if people know dogs are used for detecting infection, they see
0:30:44 > 0:30:45a dog in a ward and they think -
0:30:45 > 0:30:48- "Oh, my, God, they must have infection here!"- OK, so you mean it's...
0:30:48 > 0:30:50Hospitals get nervous about letting me
0:30:50 > 0:30:53and Rex in, because it may look like they have a problem.
0:30:53 > 0:30:55- No smoke... - What smoke?
0:30:55 > 0:30:56- CHUCKLING:- Um...nothing.
0:30:58 > 0:31:01Mr Self is very open-minded...
0:31:01 > 0:31:03- Does he bark? - Mr Self...?!
0:31:03 > 0:31:05- LAUGHING:- No, no, no. Rex.
0:31:05 > 0:31:07What does he do if he detects...?
0:31:07 > 0:31:09Oh, not bark. No. Not bark.
0:31:09 > 0:31:12No. We don't want to draw attention. Or frighten patients.
0:31:12 > 0:31:15OK, no... So...what...?
0:31:15 > 0:31:17He just lies down.
0:31:17 > 0:31:18OK...
0:31:18 > 0:31:21Ah, well...like that?
0:31:26 > 0:31:27(Great.)
0:31:32 > 0:31:36- Oh, hello, darlin'. - This was the Coopers, wasn't it?
0:31:36 > 0:31:37No.
0:31:37 > 0:31:40Crossbow? Course it was. Low-life scumbags.
0:31:40 > 0:31:43- Don't even have the guts to walk up face-to-face...- It wasn't the Coopers...
0:31:43 > 0:31:47- They still think they own the parks! - This is his "nervy" wife?!
0:31:47 > 0:31:49Not exactly the wallflower he painted...
0:31:49 > 0:31:51We should just turn the other cheek...
0:31:51 > 0:31:55- let them shoot a bolt in that one too!- Oh, yeah...- I told you.
0:31:55 > 0:31:59This is like The Godfather or The Sopranos. This is...this is turf war.
0:31:59 > 0:32:00Ice cream turf war.
0:32:00 > 0:32:03ANIMATED CONVERSATION CONTINUES
0:32:03 > 0:32:06(Viagra...?)
0:32:06 > 0:32:08A Dorset fisherman.
0:32:08 > 0:32:10A man who's eaten fresh mackerel every day of his life.
0:32:10 > 0:32:11Yes, I realise that...
0:32:11 > 0:32:15- Omega oils, Mr Hope. You ever heard of them?- Yes, of course.
0:32:15 > 0:32:17I got more Omega 3, 9 and whatever you like,
0:32:17 > 0:32:20accumulated in my system than a shoal of cod!
0:32:20 > 0:32:22Yes...but we... I, we...
0:32:22 > 0:32:26just wondered, whether you know, men of a certain age...
0:32:26 > 0:32:30Take it from me, Mr Hope... Every morning. At attention!
0:32:30 > 0:32:35Could hang your coat on it. All...day...long!
0:32:35 > 0:32:37LAUGHTER NEXT DOOR
0:32:37 > 0:32:38Right.
0:32:38 > 0:32:40Yes. Right. Coat. Thank you.
0:32:44 > 0:32:47And you lot can shut up as well.
0:32:47 > 0:32:49LAUGHTER
0:32:49 > 0:32:51- It was kids, Carl'. Just kids. - Was it hell, kids. Coopers
0:32:51 > 0:32:52Don't jump to conclusions.
0:32:52 > 0:32:55No. That's it, I'm calling Bobby and Little Bobby...
0:32:55 > 0:32:57They hear about this, they'll be up that motorway...
0:32:57 > 0:33:01- No. Carl'. No... - SHE SCREAMS AND HE COUGHS
0:33:01 > 0:33:03My jeans! Help!
0:33:03 > 0:33:06Artery's ruptured. Get a trolley.
0:33:06 > 0:33:08Step back, please. We need to get him into theatre quick.
0:33:08 > 0:33:10Baby!
0:33:10 > 0:33:14- I'm going to have to have someone assisting me. - Do you want me to find Serena?
0:33:14 > 0:33:18- My God! Can you help him, please?! - No... No. I'd like you in there with me, Dr Tressler.
0:33:18 > 0:33:21- Me? Great.- Is he going to be OK?- He's going to be all right, don't worry.
0:33:22 > 0:33:25- There you go. - Has anyone got any salt?
0:33:25 > 0:33:26Yep, it's going to be fine.
0:33:26 > 0:33:28Swab, please.
0:33:28 > 0:33:31If he indicated the patient is positive then surely you have to act?
0:33:31 > 0:33:33He definitely indicated positive to Bed 4.
0:33:33 > 0:33:37- Yeah. Mrs Thorne... She's new to the ward.- How accurate is he?
0:33:37 > 0:33:38In recent test conditions,
0:33:38 > 0:33:42he scored 100% sensitivity and 94% specificity.
0:33:42 > 0:33:44That's pretty reliable.
0:33:44 > 0:33:46In my experience, Rex is never wrong.
0:33:46 > 0:33:49Protocol requires that the patient is immediately
0:33:49 > 0:33:51isolated from the rest of the ward.
0:33:51 > 0:33:52Then do it.
0:33:52 > 0:33:55I'm to put a patient through the humiliation of being
0:33:55 > 0:33:57segregated from the rest of the ward
0:33:57 > 0:34:00and labelled as possibly infectious on the word of a dog?
0:34:00 > 0:34:01Run the tests.
0:34:01 > 0:34:03A dog who doesn't even officially work here!
0:34:03 > 0:34:06Do the standard lab test at the same time.
0:34:06 > 0:34:09Yes, we already are but the test results will take...
0:34:09 > 0:34:11Will take a minimum of three days.
0:34:11 > 0:34:14By which time every other Keller patient could have contracted C. diff.
0:34:14 > 0:34:16See, this is the whole point of my research.
0:34:16 > 0:34:18It's a bit weak just to do nothing.
0:34:18 > 0:34:22Yes, well be thankful it's not your responsibility to manage the ward...
0:34:22 > 0:34:24It's my neck.
0:34:24 > 0:34:26Seems a bit pussy to just ignore the dog.
0:34:26 > 0:34:28LAUGHTER
0:34:31 > 0:34:34We're going to put you to sleep, Mr Orlandez and just take a look initially...
0:34:34 > 0:34:36- See how mobile the bolt is. - You got to stop my wife...
0:34:36 > 0:34:39No talking. Please. Puts too much strain on the wound.
0:34:40 > 0:34:44X-ray shows it's gone through the bone and out the other side...
0:34:44 > 0:34:45We just have to avoid splintering.
0:34:47 > 0:34:50First we need to see if we can rotate it...
0:34:50 > 0:34:52MACHINE BEEPING
0:34:57 > 0:34:58I'd like you to feel that...
0:35:05 > 0:35:09Now...you need to pull gradually, as you twist...
0:35:09 > 0:35:12- Anti-clockwise. - Me?
0:35:12 > 0:35:13Yes, please...
0:35:13 > 0:35:15HARRY CLEARS THROAT
0:35:15 > 0:35:18Will any of this count towards my assessment?
0:35:18 > 0:35:19Gently turn and pull.
0:35:23 > 0:35:25I can feel a crunching sensation.
0:35:25 > 0:35:28Gently... Very. Very gently...
0:35:36 > 0:35:39Why would my wife tell Ms Campbell that you were called out to
0:35:39 > 0:35:42- an emergency? - What?
0:35:42 > 0:35:45She said that you were, "Called out to an emergency".
0:35:45 > 0:35:47You said you were collecting test results.
0:35:50 > 0:35:52Um... Yes. I mean, maybe...
0:35:52 > 0:35:54she's confused...
0:35:54 > 0:35:55She?
0:35:55 > 0:35:58So not "an emergency" then. Test results?
0:35:58 > 0:36:00Yes... No. Not test...
0:36:01 > 0:36:04Which?! Test results? Or an emergency?
0:36:05 > 0:36:06Er... I...
0:36:08 > 0:36:10Er...Erm, I...
0:36:12 > 0:36:16AND she went and confessed her clinical mistake so...so quickly.
0:36:20 > 0:36:24Keep the pressure constant. One long, slow, gradual pull.
0:36:25 > 0:36:26Why?
0:36:29 > 0:36:32Maybe she felt responsible?
0:36:32 > 0:36:35Did you know she was going to confess?
0:36:35 > 0:36:37- No. - How did you find out?
0:36:41 > 0:36:45It's...it's really tricky.
0:36:45 > 0:36:47You're doing perfectly.
0:36:47 > 0:36:49As you say, this is an ideal procedure
0:36:49 > 0:36:52for your assessment portfolio...
0:36:52 > 0:36:53How did you find out?
0:36:54 > 0:36:58- Erm, she...um...she told me.- Why?
0:37:01 > 0:37:03Why?
0:37:03 > 0:37:06Why would my wife tell you that she'd been to see Ms Campbell?
0:37:08 > 0:37:11Suppose she needed to tell somebody.
0:37:13 > 0:37:17That she'd made the first major clinical mistake of her career?
0:37:17 > 0:37:20She just admitted doing so to a senior consultant
0:37:20 > 0:37:22and deputy CEO of this hospital?
0:37:23 > 0:37:25I guess...
0:37:25 > 0:37:27She chose to confess this to you?
0:37:32 > 0:37:34There...
0:37:34 > 0:37:36Very good, Dr Tressler.
0:37:37 > 0:37:40Now we just need to clean up the mess you've made.
0:37:59 > 0:38:02DOOR OPENS
0:38:02 > 0:38:04He eats mackerel every day of his life?
0:38:04 > 0:38:06That's what he said, yes.
0:38:06 > 0:38:08He eats mackerel every day?!
0:38:08 > 0:38:12- I thought it was just my eyesight that was waning.- Oh, come on, Prof,
0:38:12 > 0:38:15you should be strutting around like House saying, "I've solved the mystery!"
0:38:15 > 0:38:18- Mackerel? - Yeah. Fish. Every day?
0:38:19 > 0:38:21OK, what are the papers always saying?
0:38:21 > 0:38:23The foodie scaremongers?
0:38:23 > 0:38:25Contains mercury.
0:38:25 > 0:38:28And PCBs and dioxins.
0:38:28 > 0:38:30I reckon he's been poisoned by his own fish.
0:38:30 > 0:38:33Long-term build-up of heavy metals and toxins in his bloodstream.
0:38:34 > 0:38:37Of course, PCBs and dioxins.
0:38:37 > 0:38:39Right, so you agree? It's the fish?
0:38:39 > 0:38:40No, no, no. It's not the fish.
0:38:44 > 0:38:47No. I can't let you do this to my mackerel.
0:38:47 > 0:38:49I can't.
0:38:49 > 0:38:53- But they might have caused this. - No, they haven't.
0:38:53 > 0:38:56Well...you said yourself, you've eaten mackerel every day.
0:38:56 > 0:39:01I know this isn't heavy-metal fish poisoning. Isn't about mackerel.
0:39:05 > 0:39:07Bernard, I know it isn't.
0:39:09 > 0:39:11You know what it really is?
0:39:14 > 0:39:19Well, given the blood work and the swelling, I've a pretty fair idea.
0:39:23 > 0:39:25- (Can I speak to you in private?) - Of course.
0:39:32 > 0:39:34(No, not here.)
0:39:39 > 0:39:41See, here's the problem with you, Dr Tressler.
0:39:41 > 0:39:45Put you on the spot and you really, honestly, are a very talented surgeon.
0:39:50 > 0:39:52You think?
0:39:52 > 0:39:56- You ever heard me give praise where it wasn't deserved?- No.
0:39:56 > 0:39:58You've been on my back since day one.
0:39:58 > 0:40:02- Maybe that's because, the Tressler motto is "Just Enough To Get By". - Bit harsh.
0:40:02 > 0:40:05No, it's not good enough. Not for my team.
0:40:05 > 0:40:08Oh, I want blood and sweat. It's what I give...
0:40:08 > 0:40:10to everything I do.
0:40:10 > 0:40:13So are you going to pass or fail me tomorrow?
0:40:13 > 0:40:15This is good work...
0:40:15 > 0:40:17It's very good.
0:40:17 > 0:40:18But, I think "fail".
0:40:18 > 0:40:20Why?
0:40:20 > 0:40:23It's not just skills I'm looking for. It's integrity.
0:40:23 > 0:40:24Honesty...
0:40:24 > 0:40:26I've always...
0:40:26 > 0:40:29OK. One question. One chance. Make or break.
0:40:29 > 0:40:30What...?
0:40:30 > 0:40:34Did Amy go and confess to Ms Campbell to save your skin?
0:40:34 > 0:40:35I don't...
0:40:35 > 0:40:38Oh, take your time, Harry. This is do or die.
0:40:38 > 0:40:42No, an honest answer tells me that I can trust you in the future.
0:40:42 > 0:40:44But a lie...a fudge...
0:40:44 > 0:40:47Then I have no use for you and neither does this hospital.
0:40:49 > 0:40:52Was she helping you cover up some of your mess? Truth.
0:40:58 > 0:40:59Yes.
0:41:11 > 0:41:14Oh, the bloody dog wasn't supposed to find anything!
0:41:14 > 0:41:15Just show us the potential.
0:41:15 > 0:41:17Well, he has. So, what do we do now?
0:41:17 > 0:41:20You know, every infected patient costs us ten grand.
0:41:20 > 0:41:23That's over a billion a year to the NHS...
0:41:23 > 0:41:27Guy, I know, but if we handle it badly she could lodge a complaint.
0:41:28 > 0:41:30It's your call.
0:41:30 > 0:41:34You know me, Colette. If we suspect trouble...
0:41:34 > 0:41:35then we have to act.
0:41:42 > 0:41:44- Oh, hi.- Yes...?
0:41:44 > 0:41:47I know it probably feels like someone's just worked
0:41:47 > 0:41:49a pneumatic drill across your head
0:41:49 > 0:41:52but we have been working very hard to make sure your face remains
0:41:52 > 0:41:55- the handsome... - Where is she?
0:41:56 > 0:41:59Your wife? Erm, I haven't seen her since theatre.
0:41:59 > 0:42:00I can get one of the nurses to...
0:42:00 > 0:42:04You've got to stop her. This wasn't the Coopers...
0:42:04 > 0:42:06Yeah, no. When she gets back...
0:42:06 > 0:42:09You don't understand.
0:42:09 > 0:42:14She'll open a world of pain that'll take years to heal.
0:42:14 > 0:42:16I think you're maybe being a teensy bit dramatic.
0:42:16 > 0:42:18I lied.
0:42:19 > 0:42:22I know exactly who shot me.
0:42:22 > 0:42:23I knew you did!
0:42:23 > 0:42:25I deserved this...
0:42:25 > 0:42:31I deserved to be shot in the face... at the very least
0:42:31 > 0:42:35Why, what did you do? What did you do, Vanni?
0:42:35 > 0:42:37Vanni?
0:42:41 > 0:42:43Bernard, I'd be much happier if we talked inside...
0:42:43 > 0:42:45Yeah, well I wouldn't. Walls have ears.
0:42:47 > 0:42:50So...what you're going to tell me, is it...?
0:42:50 > 0:42:52Man-to-man. Goes no further.
0:42:53 > 0:42:56Right, well as long as what you're about to say isn't that
0:42:56 > 0:42:58you've killed someone.
0:42:58 > 0:43:01Don't be soft. Do I look like a killer?
0:43:01 > 0:43:03A mackerel might think so...
0:43:06 > 0:43:08I done something...
0:43:09 > 0:43:11- ..I'm not proud of... - Right.
0:43:13 > 0:43:15..concerning my daughter.
0:43:15 > 0:43:16Right...
0:43:16 > 0:43:18She...erm...
0:43:20 > 0:43:21I let her give me...
0:43:21 > 0:43:23This is between ourselves, remember?
0:43:23 > 0:43:27- Botox. - Yeah, how could you...?
0:43:27 > 0:43:30Well, it had to be, really. Botox contains botulinum
0:43:30 > 0:43:33which is a toxin which would've caused the swelling of your sternoclo...
0:43:33 > 0:43:35your throat.
0:43:35 > 0:43:37And your other symptoms.
0:43:37 > 0:43:40I just let her give me a couple of jabs for me wrinkles.
0:43:40 > 0:43:43So I wouldn't look so leathery on the telly.
0:43:43 > 0:43:47Well, those couple of jabs have caused a toxic reaction.
0:43:47 > 0:43:48Yeah, but the thing is, Professor,
0:43:48 > 0:43:50she shouldn't have done it,
0:43:50 > 0:43:54she ain't got her full licence as a beautician.
0:43:54 > 0:43:55If it got out in the medical world,
0:43:55 > 0:43:58she could be struck off before she was on.
0:43:58 > 0:44:01Right... I see. Yes...
0:44:01 > 0:44:04To be honest. I don't really want my mates finding out.
0:44:04 > 0:44:06No, no. Of course not.
0:44:09 > 0:44:10HE EXHALES
0:44:13 > 0:44:14BREATHES DEEPLY
0:44:16 > 0:44:18I know what you did...
0:44:18 > 0:44:20God, Raf! You nearly gave me a heart attack.
0:44:20 > 0:44:23- I know what you did... - What is the matter with you?!
0:44:23 > 0:44:26Harry Tressler told me what you did.
0:44:26 > 0:44:28What? What what did he...?
0:44:28 > 0:44:30What you both did...
0:44:30 > 0:44:32SHE SCOFFS
0:44:32 > 0:44:34Harry told you?
0:44:34 > 0:44:36Yeah. He told me.
0:44:36 > 0:44:38What? We didn't do anything...
0:44:38 > 0:44:40Don't! Don't lie to me.
0:44:42 > 0:44:44I don't know what to say, Raf...
0:44:44 > 0:44:46Have I ever lied to you?
0:44:46 > 0:44:48No.
0:44:48 > 0:44:50Have I ever... have I ever let you down?
0:44:51 > 0:44:54- No. - Then, do the decent thing.
0:44:55 > 0:44:57Do me the courtesy.
0:44:57 > 0:44:59Tell me the truth.
0:45:00 > 0:45:02The truth?
0:45:02 > 0:45:04What is going on between you two?
0:45:08 > 0:45:11Harry...and I...
0:45:15 > 0:45:17We...slept together.
0:45:22 > 0:45:24You...what?
0:45:25 > 0:45:27That is the truth!
0:45:29 > 0:45:33You slept...with Harry Tressler?!
0:45:33 > 0:45:38I got drunk! It was the night you went to Geneva.
0:45:38 > 0:45:41- You said you didn't want to try any more. You just...- Any more?
0:45:41 > 0:45:43For a baby...
0:45:45 > 0:45:46The baby...
0:45:48 > 0:45:51HE SOBS
0:45:55 > 0:45:57Thank you very much for today.
0:45:57 > 0:45:58No, no...thank you. Let me...
0:45:58 > 0:46:01Whoa...
0:46:01 > 0:46:02HE SPLUTTERS
0:46:08 > 0:46:11You are very, how do you say, "gallant"?
0:46:11 > 0:46:14- Right. Gosh. I am, am I? - Yes.
0:46:15 > 0:46:17Well, that's just um... That's good...
0:46:17 > 0:46:20Cos I do, I do , I do like... to be...
0:46:20 > 0:46:22But. Um... Right, OK.
0:46:22 > 0:46:23I already have a girlfriend
0:46:23 > 0:46:26and her name is Maria, it's not unlike yours, Marika, in fact that
0:46:26 > 0:46:28that maybe is the Dutch equivalent, I don't know.
0:46:28 > 0:46:30But, yeah, I am her...
0:46:30 > 0:46:32boyfriend so...
0:46:34 > 0:46:38Was that...um... too much information?
0:46:38 > 0:46:40- A little...!- OK.
0:46:43 > 0:46:45Rex....wat heb je daar?
0:46:49 > 0:46:51SHE LAUGHS
0:46:51 > 0:46:52I despair of men, really.
0:46:52 > 0:46:54Ah, don't be so judgmental.
0:46:54 > 0:46:57He had the Botox because he felt self-conscious about his age
0:46:57 > 0:47:00- and looks.- That's not what I mean. - Wait till you're old and grey.
0:47:00 > 0:47:02It's not that fact that he had a treatment.
0:47:02 > 0:47:05I wish more men took some pride in their appearance, no, no...
0:47:05 > 0:47:08It's the secrecy. The shame. And his hiding away of his symptoms.
0:47:08 > 0:47:10Maybe he just didn't want to face the consequences...
0:47:10 > 0:47:12Maybe he'd just rather not know.
0:47:12 > 0:47:16And that's why I despair of men. Their lack of self-awareness.
0:47:16 > 0:47:18Total lack of self-preservation.
0:47:18 > 0:47:20Sometimes it's easier not to know.
0:47:20 > 0:47:23Oh, come on, Elliot. You're a doctor. You've seen it all before.
0:47:23 > 0:47:27Patients lying. Misrepresenting symptoms.
0:47:27 > 0:47:28Leaving major ailments untreated
0:47:28 > 0:47:31- because they're either too scared or too lazy.- Ha-ha.
0:47:31 > 0:47:33Men like that, they make themselves worse.
0:47:48 > 0:47:50Hello, yes...
0:47:50 > 0:47:52This is Professor Hope. I'd like to arrange an MRI scan, please.
0:47:52 > 0:47:55Confidentially.
0:47:56 > 0:47:59That would be perfect, thank you.
0:47:59 > 0:48:00OK.
0:48:07 > 0:48:10SOBS
0:48:17 > 0:48:19Stupid, stupid, stupid.
0:48:31 > 0:48:33You covered your tracks very well, Dr Tressler.
0:48:33 > 0:48:36Ah, thanks. I'm quite proud of that, to be honest.
0:48:36 > 0:48:39You're a lucky man, Mr Orlandez... as far as I can tell...
0:48:39 > 0:48:40apart from a very little scar,
0:48:40 > 0:48:42there should be no long-term repercussions.
0:48:42 > 0:48:44Oh, I forgot to say.
0:48:44 > 0:48:46I managed to get in contact with your wife.
0:48:46 > 0:48:49- Thank you. - She's on her way back.
0:48:51 > 0:48:54Have you seen this? Tiny, aren't they?
0:48:54 > 0:48:56Stitchy, stitchy in the fa-ce.
0:48:58 > 0:49:01Right, this is going to sound a bit pervy, er...but it's really not.
0:49:01 > 0:49:03It's just because we share a flat,
0:49:03 > 0:49:07and a tumble dryer. Erm, Rex found something...in the linen cupboard...and I think...
0:49:07 > 0:49:09in fact, I know because of the tumble dryer...that it's yours
0:49:09 > 0:49:11- And, I thought you'd like it back...- Arthur.
0:49:11 > 0:49:14..before someone puts two and two together and makes er...
0:49:21 > 0:49:23MOUTH ORGAN PLAYS
0:49:24 > 0:49:27# Our boots And clothes are all in pawn
0:49:27 > 0:49:33# Go down, you blood-red roses Go down
0:49:33 > 0:49:37# It's mighty windy round Cape Horn
0:49:37 > 0:49:40# Go down you blood-red roses
0:49:40 > 0:49:42# Go down...
0:49:42 > 0:49:48# Oh you pinks and posies
0:49:48 > 0:49:53# Go down you blood-red roses Go down
0:49:53 > 0:49:56# My dearest mother said to me
0:49:56 > 0:50:01# Go down you blood-red roses Go down
0:50:01 > 0:50:05# My dearest son come home from sea
0:50:05 > 0:50:09# Go down you blood-red roses Go down
0:50:09 > 0:50:14# Oh, you pinks and posies
0:50:14 > 0:50:20# Go down you blood-red roses Go down
0:50:20 > 0:50:23# I thought I heard the old man say
0:50:23 > 0:50:27# Go down you blood-red roses, Go down... #
0:50:27 > 0:50:29MACHINE ALARM BLARES
0:50:29 > 0:50:32# One more pull and then belay
0:50:32 > 0:50:36# Go down you blood-red roses Go down
0:50:36 > 0:50:39# Oh, you pinks and posies... #
0:50:43 > 0:50:44Where?
0:50:45 > 0:50:47His flat.
0:50:47 > 0:50:49In bed?
0:50:49 > 0:50:50Yes.
0:50:51 > 0:50:52Did you stay the night?
0:50:53 > 0:50:55Not all of it.
0:50:56 > 0:50:58How many times?
0:50:58 > 0:51:00- Raf, please don't do... - How many?
0:51:07 > 0:51:09- (Twice.) - And since that night?
0:51:09 > 0:51:12Nothing. No. I told him never...
0:51:12 > 0:51:14To phone or to text you?
0:51:16 > 0:51:19- (Yes.) - Has he?- Yes.
0:51:21 > 0:51:24- Did you reply? - No. Not properly.
0:51:24 > 0:51:27Only to tell him I never want to have anything to do with him
0:51:27 > 0:51:28ever again.
0:51:31 > 0:51:33So, you were drunk?
0:51:36 > 0:51:39- (Yes.) - But, you weren't drinking.
0:51:39 > 0:51:41I wasn't when we were trying for a baby.
0:51:41 > 0:51:43So...
0:51:43 > 0:51:46was it...rape? Date rape?
0:51:54 > 0:51:56No!
0:51:57 > 0:51:59You consented?
0:52:01 > 0:52:03(Yes.)
0:52:03 > 0:52:05Twice?!
0:52:05 > 0:52:07Raf, please, don't...
0:52:13 > 0:52:14Where is he?
0:52:14 > 0:52:16Oh, hi. He's over there.
0:52:18 > 0:52:21Why would my hairdresser, why would her husband shoot you in the face with a crossbow?
0:52:21 > 0:52:24Have you been mucking around with Yolanda Foster?!
0:52:24 > 0:52:25Whoa, whoa. It's not what you think!
0:52:25 > 0:52:29- Oh, it's not that you've been screwing around with Yolanda Foster, then?- It's over.
0:52:29 > 0:52:31HE SHRIEKS
0:52:31 > 0:52:32Not...ahh!!
0:52:32 > 0:52:34Ahh!
0:52:34 > 0:52:35SCREAMING
0:52:35 > 0:52:37- Whoa, whoa, whoa! - Watch, Vanni!
0:52:37 > 0:52:40You wait till I tell me brothers what you did to me. You wait!
0:52:40 > 0:52:42SCREAMING
0:52:44 > 0:52:46Ah, you sealed off the old dear, then?
0:52:46 > 0:52:48Well, I had to...
0:52:48 > 0:52:49Boom! Into isolation.
0:52:49 > 0:52:52Guy wouldn't rest if he felt there was anything
0:52:52 > 0:52:55festering down here that might cause harm to his patients.
0:52:55 > 0:52:57You two did always keep a tight ship. See ya.
0:53:01 > 0:53:03OK, look, Jesse, I'm sorry.
0:53:03 > 0:53:05For...?
0:53:05 > 0:53:08Well, I feel like I've been trying to say stuff to you today...
0:53:08 > 0:53:10in a sort of subtle...suggestive...
0:53:10 > 0:53:15hinting at what I mean without actually just coming out and saying it, kind of thing.
0:53:15 > 0:53:17- OK...? - Does that make sense?
0:53:17 > 0:53:19I don't get what you're saying, sorry.
0:53:19 > 0:53:21OK, so...
0:53:21 > 0:53:25What it is, I think is... that you need to know...
0:53:26 > 0:53:29..is that I know what you're doing with Zosia.
0:53:31 > 0:53:36And, when Guy...her father... your "friend", finds out...
0:53:36 > 0:53:39what you're doing with Zosia...
0:53:39 > 0:53:42he will rip off your man parts and feed them
0:53:42 > 0:53:46piece-by-piece to stray dogs roaming the streets of Holby.
0:53:46 > 0:53:50He will erase you from existence and wipe you from the face of the earth.
0:53:50 > 0:53:55He will destroy your every atom in a volcanic rage.
0:53:57 > 0:53:58(OK.)
0:53:58 > 0:54:00Just wanted to make sure you've got that.
0:54:02 > 0:54:03So, we going?
0:54:05 > 0:54:09Yes, my love... WE most certainly are.
0:54:20 > 0:54:22Don't touch me. Does it look like I need your help?
0:54:22 > 0:54:25- Just calm down. - Vanni, you're dead! You're dead!
0:54:25 > 0:54:26Let me go! Let...
0:54:46 > 0:54:47KNOCKING ON DOOR
0:54:47 > 0:54:49Yes, come in.
0:54:51 > 0:54:53Wanted to say thanks...
0:54:54 > 0:54:56Oh, ticket for tomorrow night.
0:54:56 > 0:54:58Oh, thank you.
0:54:58 > 0:55:01We'd be made up if you'd come and see us sing.
0:55:01 > 0:55:03Well, I'd love to... if I can get away.
0:55:03 > 0:55:06Yeah...
0:55:06 > 0:55:07- Oh!- Oh, sorry.
0:55:07 > 0:55:09CHUCKLING
0:55:09 > 0:55:11Thank you.
0:55:11 > 0:55:12Nah, that's enough, come on.
0:55:12 > 0:55:14CHUCKLES
0:55:14 > 0:55:16Thank you. Thanks...
0:55:42 > 0:55:44What a bloody horror story!
0:55:44 > 0:55:47After all that work... I'm gutted. I worked so hard on that.
0:55:47 > 0:55:49VANNI GROANS
0:55:49 > 0:55:50Do you think it's repairable?
0:55:50 > 0:55:52It's never going to be the same.
0:55:52 > 0:55:54I mean, how could she do that?
0:55:54 > 0:55:56Who are these people?
0:55:56 > 0:55:59If it wasn't bad enough that he could have died
0:55:59 > 0:56:01being shot by the other woman's husband in the first place
0:56:01 > 0:56:04and then she comes and rips a great big jagged hole in his face?
0:56:04 > 0:56:07Maybe she wanted to leave him a little reminder.
0:56:07 > 0:56:09All this over a little adultery...
0:56:11 > 0:56:14- Do you want me to assist? - No!
0:56:14 > 0:56:16I'll do my best to patch it up
0:56:16 > 0:56:18but it's never going to be pretty.
0:56:23 > 0:56:25Do you see what she did to him?
0:56:25 > 0:56:28His face. She was like some kind of psycho leopard
0:56:28 > 0:56:30tearing at his flesh.
0:56:30 > 0:56:33I mean...that's her husband for heaven sakes! Still...
0:56:33 > 0:56:36I'm quite pleased - I got on much better with Raf today...
0:56:36 > 0:56:40Yeah, it's a big surprise but he's actually been really supportive.
0:56:40 > 0:56:43Think we might've turned a corner at last.
0:56:43 > 0:56:45Fingers crossed for my review tomorrow.
0:56:45 > 0:56:48Oh, meant to ask... How did the hearing with Serena go?
0:56:56 > 0:56:57He knows.
0:56:59 > 0:57:02What?
0:57:02 > 0:57:04About the cover-up?
0:57:05 > 0:57:07About that night.
0:57:10 > 0:57:11He knows?!
0:57:17 > 0:57:19# Go down you blood-red roses
0:57:19 > 0:57:20# Go down
0:57:20 > 0:57:22# Go down... #
0:57:22 > 0:57:24HE HUMS
0:57:37 > 0:57:38NOISES IN HEAD
0:57:44 > 0:57:47LOUD SCRUBBING
0:57:49 > 0:57:52SCRUBBING GETS LOUDER