Every Dog Has Its Day Holby City

It's early days, I think I'm pregnant.

HE LAUGHS

How much Epinephrine did you give him?

-Nothing, I gave him salbutamol.

-But he's diabetic!

I administered the salbutamol to Andre. It was my fault.

You're off the hook. Just be grateful.

I didn't expect you to take a bullet for me.

The sooner you pass your assessment...

the better it is for both of us.

You know, you've got a lot of pent-up energy in you, haven't you?

Mr Hope, are you OK? Do you want to sit down?

No, no, no. I'm fine, thank you. Thank you.

Rex's olfactory system - his sense of smell -

is so much more acute than any mechanical device...

Don't you just love it that an old-fashioned dog's nose

is so much better than any technology scientists can invent?

Yeah, really happy for Rex.

Just not sure why I have to allow him on my ward today.

Yes, Infection Control have granted us permission

so long as there's no physical contact with patients.

So, how good...

..is his nose?

Totally ballpark...

His sense of smell is...

100 million times more sensitive than any human nose.

Personally, all I can see is a big hairy animal on a clinical ward.

This nose...smells trouble.

-So this is wrong.

-How wrong?

-On a scale of one to ten?

-Yeah.

-I'd say eight.

-Uh-huh...

Well, eight and a half.

-Look...

-Let's make it a ten, shall we?

DOOR RATTLES

Deeply flattered though I am, Dr Tressler, there aren't enough

pain au chocolats in Holby, to make me divulge.

-I didn't say "divulge".

-It's a confidential review for Ms Teo...

And you want to know what I think the outcome's going to be...?

-Showing concern for a colleague...

-Before I've even discussed it with her?

-Concerned and involved.

-"Involved"?

-Oh, you think we should be discussing your involvement in the case?

-No, no, no, I was just saying...

Ms Teo's already accepted responsibility for not checking the patient's notes.

Am I to take it you also feel responsible?

No, absolutely not.

Tell me, Harry, is there something I should know?

-How much is that, love?

-7.50, please

Give yourself a break. You had morning sickness.

-Shh.

-You're pregnant - I mean, how good does it feel to even say that!

I had "baby brain"?

Honestly, it's just...

I just feel so lame.

-We should be happy.

-Why?

A patient nearly died because I didn't read his notes.

"Memory lapses", "skewed judgment".

Some pregnant women forget their own addresses.

I know you're right, Raf.

But, I just can't stop worrying that Serena will find me unfit for work.

You know what I think?

I think you should be concentrating on your own performance.

-My end of placement review?

-Mm.

-I have every faith you'll be fair and just.

-Oh.

And are we confident Mr Di Lucca feels the warm glow of sun

shining out our backside?

-Is Raf definitely going to be involved?

-Yes.

Honest answer - the jury's still out...

He blows hot and cold.

I'd say you need that jury in, Dr Tressler. In, hot and happy

or you might find your glittering career

starts to look rather tarnished.

He's way too concerned about Amy.

I'm sure he hasn't given me a second thought.

-What about Tressler?

-What about him?

Are you absolutely sure he didn't omit something from the notes?

-And that's why you...?

-No. Definitely not.

He's having his end of placement review tomorrow.

Is he? How do you know that?

It's all he talks about.

Because he knows I'm probably going to fail him.

Why?

Er, because he's useless and he drives me mad.

Pass him and he's out of our hair for good.

"Our" hair?

I don't think either of us need any more Harry Tressler in our lives...

CLATTERING

OPERATIC SINGING

HE SINGS OUT OF TUNE

Oh!

Oh, you gave me a shock... MUSIC STOPS

How long you been hiding down here alone?

(IN ACCENT) Vith your artificial heart creation, Dr Frankenstein?

I don't know...

Is this about Jac and Emma?

Sorry, could you...

No. No.

No. I've got a... Herzig presentation in...21 days and four hours' time.

-Not that you're counting...

-HE SIGHS

Come on, Professor. Look, Jac's not here. Jonny's not in.

Don't go all hermit-crab on us. We need you upstairs.

Darwin's more like a mortuary than the mortuary

Would that be a...?

Oh, this? Four words - artisanal,

bakery, loganberry, jam...!

-(Yours.)

-(Mine.)

If you take a break and come and do a ward round with me. Forget about Jac Naylor.

You know, it all just makes me so sad. If only I hadn't...

Come on, Elliot, we need some Hope juice up there.

I will. I'll-I'll be up there straightaway.

I just need to, you know...later.

No ward round, no doughnut.

TURNS ON MUSIC

HE SINGS OUT OF TUNE

CONVERSATION OUTSIDE

Infection.

Widespread ward infection, exactly. Resulting in ward closure.

Patient relocation. Isolation...

And what is one of the most virulent

and damaging forms of ward infection?

C. difficile.

Tell her what bacterial infection Rex is trained to detect.

C. difficile.

Your dog can smell C. diff?!

He has been trained by being exposed to hundreds of stool samples

known to be infected with C. diff.

Wow, and I thought I had a rubbish job!

So...

if you had a patient showing signs of infection on your ward...

Which are... Dr Digby?

Er, C. difficile

commonly causes toxin-mediated intestinal disease,

with symptoms ranging from mild diarrhoea to pseudomembranous colitis

and toxic megacolon.

Toxic megacolon always sounds so awesome, doesn't it?

-Yeah, I know.

-CHUCKLING

So, from identifying a patient's symptoms to getting...

proven results, takes how long?

Erm, three or more days.

Three or more days...

Could be less...if I get lucky.

Three whole days. So, Marika,

tell her how long it takes Rex to determine whether a human is infected...?

-Ten seconds.

-Ten seconds.

Well, Rex, you and I still might become friends.

HE CHUCKLES

MOANING AND GIGGLING

Amy? Hi.

Did you, er...did you...?

Raf, did he say anything

about me? About the assessment?

-Oh, my God, Harry? Really?

-What?

-That is all you care about, isn't it?

-No. No. No...

-I could lose my job here.

-That's highly unlikely...

But, you still expect me to quiz Raf for clues about your assessment.

-I mean, for God's sake.

-Left some papers in the car...

We were just... Just discussing a patient.

HE EXHALES

Ow! Oh!

HE SIGHS

Leave me alone, will you?

Listen, I just wanted you to know that I am supporting you with this.

-I'm in this mess because of you.

-You went and confessed to Serena.

Specifically to save your sorry skin.

-And get you out of my life.

-I appreciate you taking the heat.

ICE CREAM VAN JINGLE

Did you leave me any choice?

Ah, let me buy you a cone.

-No.

-Go, on. Flake and...

-No!

Stay there.

Two 99s, please, my good man.

Come on, Amy, an ice cream. Call it a peace offering.

I don't want one.

Chop, chop, sir. Customers waiting...

Amy! Amy!

Can we have a trolley out here, please?!

-Do FBCs, U&Es. Group and save and coag...

-Right...

I want facial views and an OPG X-ray.

-We need to examine his cranial nerves for signs of injury.

-Tetanus?

-Yeah, write him up for a booster..

-All right, will do...

-Fluclox?

-1 reg IV, if he's not allergic. I'll sort meds.

-Here we go.

Let's get these beds together, guys.

Nice and gentle. Easy.

Ease over, that's it. There you go.

-How do you feel?

-Fine. Yeah. Fine.

-Fine?!

-I'm sure it must look worse than it feels.

Really(?)

It looks as though you've a crossbow bolt stuck in your cheek.

-Lucky, really.

-Lucky? How do you get "lucky"?

Could've been my eye.

You got shot in the face, mate!

It's not ideal. Granted.

Before we consider how to remove it, we're going to have to

-look at its location with reference to your parotid duct...

-Oh, yeah. If you say so, Doc.

It carries saliva from your gland... And if it gets damaged...

it can be very hard to fix.

-Righto...

-OK, so...

Aren't we er, forgetting something?

No. Theatre, as soon as we're happy with what we're doing.

How did it get there? Am I the only one asking this question...?

Our primary concern is for the welfare...

Sure. Yeah, yeah. Sure. No, no. I agree...

but aren't you curious? I'm curious.

Who shot you in the face?

-No idea. Was outside the play park.

-Really? You didn't see anybody?

No yummy mummy tooled up with a crossbow?

-Guess I was looking the other way.

-You got shot in the face.

Just an accident, you know... Kids...

Kids?! With crossbows?

Meds first, Dr Tressler.

Er, isn't that something you might want to follow up?

-Isn't this a police matter?

-Yes, it is. Make the call.

Whoa, whoa, whoa. Nah. Don't need to get the Old Bill involved.

Just a freak accident...

# Haul, boys, haul

# Haul, boys, haul... #

# Heave away the capstan, boys And let's get up the trawl...

# When the wind is blowin'

# When the capstan's flowin'...

# My Emma, my Emma, my Emma, my... #

Elliot...

Yes... Hello, Mr Self. Hello.

Erm, I think I know why there's a discrepancy in the oscillation

at 500 revs per minute...

I think.

There is a delegation of four professors coming

over from the Howard Medical School.

As well as an envoy

from Moscow State University of Medicine and Dentistry

-Good...

-In three weeks' time.

-Yes.

-What happened to your hand?

-Well...

< # Haul, boys, haul... #

# Haul, boys, haul... #

Can you hear that? Sea shanty.

Can you hear it?

# Haul, boys, haul...

# When the capstan's... #

Your hand...?

Oh, er... Burnt it... Stupidly.

I was soldering and...

I put it down by mistake and erm...

Better get back on the ward round.

# Haul, boys, haul

# Haul, boys, haul

# Heave away the capstan, lads and let's get up the trawl

# When the winds a-blowin' The ship's a-gently rollin'

# My Emma, my Emma won't you be true to me... #

They's only gone and sent him up the heart ward now...

Oi, bring the sandwiches.

Yeah... No, only the victim. No "perp" present, no.

Otherwise, that would mean there'd be a crossbow-wielding...

Yes, that would be great. Thank you.

So not interested, unless there's an easy arrest.

They're on their way, though.

Is it really only me

that thinks it's odd that a guy has come in here with a crossbow bolt

stuck in his cheek?

I know, must hurt like anything...

Well, it's not the pain. Course it hurts...

It's the reason. Someone's shot him...

and yet he doesn't seem to care who.

Maybe he knows who it is but he doesn't want to say?

Why would you not want to say if someone's shot you in the face?

Because you don't want to get them in trouble?

They shot you in the face!

If somebody shot me in the face with a crossbow,

I wouldn't want them to get into trouble until I'd had

the chance to shoot them in the face...with a crossbow.

It's good to have you back on the beat.

Well, you were right. I needed a break.

And... I needed to get stuck back in here...

-I'd love you to have a quick butcher's at someone...

-Oh, right...

Believe... Oh. Believe me, he is right up your cul-de-sac.

Bernard Wesson, 59, solo commercial mackerel fisherman by day,

sea shanty a capella group by night...

Ah, that would explain... LAUGHTER

He's supposed to be singing in the South West final tomorrow night.

-It's being televised...

-Oh.

Sent up from the ED with chest pains, dizziness,

shortness of breath, ventricular arrhythmia... Usual suspects...

Winners go on to national heats.

Done FBCs, U&Es. LFTs and clotting....

Is he going to be all right, Doctor?

I love sea shanties... What're you performing?

We're still choosing between Haul Boys Haul and Blood-Red Roses.

-Roses gives me goose-bumps.

-An' me.

I heard you with my noodles.

We need an ECG and Echo. So when did these pains start?

About a week ago...

And has anything significant happened that might have triggered them?

Like?

Stressful news. Change of medication.

Excess alcohol. Lifting something heavy...?

I'm a mackerel fisherman. I lift heavy boxes of fish every day.

Oh, yeah... When yous can catch 'em.

An' only if Slim hasn't caught 'em all first...!

Yes, thank you.

So this group, you're all fishermen?

No, actually I'm a Calvin Klein underwear model...

And Bernard's an air hostess.

LAUGHTER

Course we're all fishermen. Nothing else we're any good for.

Well, apart from singing...

Yeah, only problem, now Bernard's having a wobbly,

-he sounds like a throttled herring gull...

-Hey!

-LAUGHTER

Right, let's take you through to X-ray.

Slow down, slow down, slow down. Thanks.

-Would you like us to contact your family?

-No.

-Your wife, maybe?

-Definitely not my wife.

-LAUGHING:

-OK...

-She'd worry. She'd freak out.

Because you got shot in the play park with a crossbow?

It'd spook her. She's a bit of a nervy type...

But you do realise this isn't going to stay much of a secret?

Even if we manage to get it out without causing nerve damage,

there's still going to be quite a big hole in the middle of your face.

Do you think she'll notice it?

Still, there's no point in worrying her now. Ah.

Right, so you're taking Finasteride

for the prostate... Codydramol

for the knee and ointment for your haemorrhoids...

CHUCKLING

Anything else?

No... No.

Are you sure? Speak now or for ever hold your whatsits...

No...

Sure you guys are not cooking up some crystal meth on the high seas...?

Bacon sarnies are all we cook...

LAUGHTER

OK, if you need anything let me know.

She's lucky I can remember the names of the pills I'm taking these days...

I have your test results.

Before I just swallowed whatever my Nellie stuck in me paw,

as I drained me first brew of the day.

-'Fore I put me overalls on.

-Your wife?

She could've been poisoning me. I wouldn't have known.

Between her and the GP, could've bumped me off no bother...

-And she doesn't...?

-Passed away.

I'm sorry.

And me.

Gutted, I was.

That was never the deal...

Till death us do part was when I died, I thought.

I'm... I'm a widower as well.

It's strange. Don't you find it strange?

Sometimes.

Often. Yes.

Never had to deal with people.

Nellie did. I dealt with fish.

And the man who sold boat diesel.

Now I'm dealing with all sorts.

And you sing.

Oh, and that's weird.

On stage.

She would've choked on her egg soldiers if she'd known.

It's because she died, my world got bigger. Weird, eh?

I wish every day she was still here with me but...

..I wouldn't be doing this singing if she was.

You don't care how it got there?

The story behind the patient intrigues you?

Of course. Always.

Understanding how and why a patient got here is part of our job, right?

Is that what you'd tell me tomorrow at your end of placement review?

-If you think it's a good answer.

-It's a very good answer.

I like my team to be fully invested in the background of their patients.

I think I am. And, as we both know, patients lie.

All the time. Like... Ms Teo's patient, Mr Hassan.

He... was secretive about the insulin.

Not unlike Mr Orlandez...

Yeah, I mean, Mr Hassan was lying about self-medicating with insulin.

Oh, and I don't mean to be funny, but I can't believe Ms Teo didn't read his notes properly.

-I'm sure YOU would have been far more meticulous.

-If I'd been there, yeah?

You'd have noticed all the clues of insulin abuse...

But, that's academic.

Luckily for you my wife's taking all the blame.

What can I say? I wasn't there. She administered the drug.

Yeah, where were you? Did you have bigger fish to fry?

No, I was collecting test results for another patient

Mo, does this seem unclear to you?

He's got some ST segment and T-wave irregularities,

maybe a mitral valve prolapse, probably an endocarditis...

-No, no, the printing.

-Oh, no. They're never great.

What seems unclear to me

is what Captain Birdseye's really been taking.

Medication-wise?

You know you get a sixth sense about when a man's lying to you.

I mean, in your case, that's practically the whole time,

-I know, but...

-You think he's lying?

My mystic power tells me he's hiding something.

-Ah, Bernard's chest films...

-Thanks.

You all right?

Yes, fine. I just...

spending too long staring at those tiny Herzig 5 components...

That's better...

Doesn't get any bigger.

Right...if he was hiding something, you know, a medication,

what would it be?

Well, what do all men of a certain age always lie about?

Their weight?

Viagra...

So a dog is Selfie's latest wacky scheme?

Well, we've only just got over treating a Nazi war criminal.

So I suppose we're in need of a "good news" story.

I remember a spell when every neuro patient in Norwich was having

acupressure massage before surgery.

So, you'll also know how much he expects loyalty.

And no-one's more loyal than you.

So you and Zosia seem close.

Yeah, well, we all go way back together, don't we?

Yeah, I've been working for Guy on and off 15 years...

Oh! Long time.

You could say he had his own sniffer dog years before Rex turned up.

Colette Sheward, are you calling yourself "an old dog"?

Not very flattering.

I'd say you were more foxy...

A cougar maybe?

Yeah, I wasn't meaning the dog part, so much as the nose...

Oh, sorry.

Sniffing out potential trouble?

Yeah, well...good luck with that.

Sorry, Nurse, could you? Thank you.

How's your throat?

I feel it closing up.

HE COUGHS

I thought we'd talk here, it's um...

a bit more discreet, because, um... well, Bernard...

your test results are a bit confounding.

It's like there's something your body's reacting to...

Ah, right...

You haven't been... I don't know, working with chemicals?

Or, using something on the boat you haven't used before?

-Nope. No.

-Or taken anything...?

-Doctor/patient confidentiality?

-Yes...

How's that work, then?

You mean, if you were to tell me something

would I tell it to somebody else?

-Yeah. That sort of thing.

-Absolutely not.

-Never?

-No.

Unless you'd committed some terrible crime.

So, if someone'd broken the law you'd have to rat them out...?

Can you open the door for me, please?

I wouldn't never say this to his face,

but he's one of the worst fishermen I've ever met.

Wouldn't catch nothing if it wasn't for me and Slim putting him right...

That's decent of you.

Voice of an angel, though. From nowhere. Totally natural.

Makes the hairs on my neck prickle, he can...

-Well, not now...

-Not today...

So, erm, what's he taking?

How do you mean?

What she means is that something's causing an adverse reaction.

And that reaction is causing his throat to constrict

and affect his breathing.

What, like drugs?

Could we just have...

Is he taking anything? For, say, his nerves

or performance?

Best one to ask is his daughter. She'd know.

Sorry, come again?

Well, since his Nellie died, she's been a big part of his life.

Right, do you have her number?

We need his voice. Tomorrow.

We'll do our best.

Now, I know we've touched on this, but for the purpose of recording it officially,

could you describe the course of events as you remember them?

The patient had a bronchospasm.

I judged this to be a response to the anaesthetic...

-And you prescribed salbutamol?

-I did.

Which would do what?

Open the airways, increase oxygen saturation levels.

Yes, and what would it do to his potassium levels?

Cause them to fall. Which would be dangerous if they were already low.

And were they?

He was abusing insulin. So...yes. They were.

Did you know this when you administered the salbutamol?

Did I suspect the patient was abusing insulin?

Or did I know his potassium levels were already so low?

The issue with regards to your prescription of salbutamol is

did you know his potassium levels?

No. I did not. Otherwise, I would not have prescribed salbutamol.

And why didn't you know?

I hadn't read his notes.

Yes, but why hadn't you, Amy?

I mean, I've seen your work...

The very beacon of protocol...

It was an emergency situation, in a busy ward and I...

Dr Tressler didn't point out his levels?

No. He wasn't present.

He was...

called to an emergency, as I said before.

Yes, you did.

CAR APPROACHES

Sorry... I'm not...we're not... It's not open.

I was just rather cheekily.

What the hell are you doing?

Sort, sort of a super-duper 99.

In my ice cream van?

He's getting worse. His heart rate's rising, palpitations increasing.

There's no doubt the swelling's causing voice loss.

It must be Viagra, then?

When I quizzed him he asked me about patient confidentiality

and then clammed up.

If he is taking it, for some reason he's not admitting it.

Brian mentioned that Bernard's got a daughter.

Maybe we should call her? She might be able to shed some light.

Hmm, would I want my daughter to know I was taking Viagra?

Which I'm not.

Someone's got to ask him.

-All right.

-Uh-huh.

Ms Campbell, I'm not one to make excuses for myself.

Especially not in my work...

That I can believe.

But...

Raf and I...

have been trying for some time to start a family...

Without much success.

Oh, I'm sorry to hear that.

We've had many IVF attempts. But none have taken.

Until...very recently.

Oh...

I'm pregnant... And, I think...

I KNOW it's caused fundamental changes in my body,

violent bouts of morning sickness and I'm sorry to say, my...

..head is...

-Baby brain?

-Not an excuse.

-No.

-But a reality, nonetheless.

As soon as I realised the oversight,

I administered metoprolol IV

to slow down the heart rate and stabilise him.

Right. Thank you.

Well...

the fact of the matter is that neither the patient

nor his family are going to make an official complaint...

And the self-medication with insulin just to increase his bulk was

a conscious abuse of prescription medicine.

So...

..I think we can let this lie.

Thank you.

Although any relapses of this kind would have to be dealt with firmly -

and in that instance, I'm afraid,

this event would also be taken into consideration.

Biggest problem with using sniffer dogs is that they're dogs.

Sorry, is that a Dutch joke?

-Because it doesn't really translate.

-No!

What I mean is, a dog in a hospital ward stands out like a, a...

-What stands out?

-Well...a dog in a hospital ward does, really.

OK.

So, if people know dogs are used for detecting infection, they see

a dog in a ward and they think -

-"Oh, my, God, they must have infection here!"

-OK, so you mean it's...

Hospitals get nervous about letting me

and Rex in, because it may look like they have a problem.

-No smoke...

-What smoke?

-CHUCKLING:

-Um...nothing.

Mr Self is very open-minded...

-Does he bark?

-Mr Self...?!

-LAUGHING:

-No, no, no. Rex.

What does he do if he detects...?

Oh, not bark. No. Not bark.

No. We don't want to draw attention. Or frighten patients.

OK, no... So...what...?

He just lies down.

OK...

Ah, well...like that?

(Great.)

-Oh, hello, darlin'.

-This was the Coopers, wasn't it?

No.

Crossbow? Course it was. Low-life scumbags.

-Don't even have the guts to walk up face-to-face...

-It wasn't the Coopers...

-They still think they own the parks!

-This is his "nervy" wife?!

Not exactly the wallflower he painted...

We should just turn the other cheek...

-let them shoot a bolt in that one too!

-Oh, yeah...

-I told you.

This is like The Godfather or The Sopranos. This is...this is turf war.

Ice cream turf war.

ANIMATED CONVERSATION CONTINUES

(Viagra...?)

A Dorset fisherman.

A man who's eaten fresh mackerel every day of his life.

Yes, I realise that...

-Omega oils, Mr Hope. You ever heard of them?

-Yes, of course.

I got more Omega 3, 9 and whatever you like,

accumulated in my system than a shoal of cod!

Yes...but we... I, we...

just wondered, whether you know, men of a certain age...

Take it from me, Mr Hope... Every morning. At attention!

Could hang your coat on it. All...day...long!

LAUGHTER NEXT DOOR

Right.

Yes. Right. Coat. Thank you.

And you lot can shut up as well.

LAUGHTER

-It was kids, Carl'. Just kids.

-Was it hell, kids. Coopers

Don't jump to conclusions.

No. That's it, I'm calling Bobby and Little Bobby...

They hear about this, they'll be up that motorway...

-No. Carl'. No...

-SHE SCREAMS AND HE COUGHS

My jeans! Help!

Artery's ruptured. Get a trolley.

Step back, please. We need to get him into theatre quick.

Baby!

-I'm going to have to have someone assisting me.

-Do you want me to find Serena?

-My God! Can you help him, please?!

-No... No. I'd like you in there with me, Dr Tressler.

-Me? Great.

-Is he going to be OK?

-He's going to be all right, don't worry.

-There you go.

-Has anyone got any salt?

Yep, it's going to be fine.

Swab, please.

If he indicated the patient is positive then surely you have to act?

He definitely indicated positive to Bed 4.

-Yeah. Mrs Thorne... She's new to the ward.

-How accurate is he?

In recent test conditions,

he scored 100% sensitivity and 94% specificity.

That's pretty reliable.

In my experience, Rex is never wrong.

Protocol requires that the patient is immediately

isolated from the rest of the ward.

Then do it.

I'm to put a patient through the humiliation of being

segregated from the rest of the ward

and labelled as possibly infectious on the word of a dog?

Run the tests.

A dog who doesn't even officially work here!

Do the standard lab test at the same time.

Yes, we already are but the test results will take...

Will take a minimum of three days.

By which time every other Keller patient could have contracted C. diff.

See, this is the whole point of my research.

It's a bit weak just to do nothing.

Yes, well be thankful it's not your responsibility to manage the ward...

It's my neck.

Seems a bit pussy to just ignore the dog.

LAUGHTER

We're going to put you to sleep, Mr Orlandez and just take a look initially...

-See how mobile the bolt is.

-You got to stop my wife...

No talking. Please. Puts too much strain on the wound.

X-ray shows it's gone through the bone and out the other side...

We just have to avoid splintering.

First we need to see if we can rotate it...

MACHINE BEEPING

I'd like you to feel that...

Now...you need to pull gradually, as you twist...

-Anti-clockwise.

-Me?

Yes, please...

HARRY CLEARS THROAT

Will any of this count towards my assessment?

Gently turn and pull.

I can feel a crunching sensation.

Gently... Very. Very gently...

Why would my wife tell Ms Campbell that you were called out to

-an emergency?

-What?

She said that you were, "Called out to an emergency".

You said you were collecting test results.

Um... Yes. I mean, maybe...

she's confused...

She?

So not "an emergency" then. Test results?

Yes... No. Not test...

Which?! Test results? Or an emergency?

Er... I...

Er...Erm, I...

AND she went and confessed her clinical mistake so...so quickly.

Keep the pressure constant. One long, slow, gradual pull.

Why?

Maybe she felt responsible?

Did you know she was going to confess?

-No.

-How did you find out?

It's...it's really tricky.

You're doing perfectly.

As you say, this is an ideal procedure

for your assessment portfolio...

How did you find out?

-Erm, she...um...she told me.

-Why?

Why?

Why would my wife tell you that she'd been to see Ms Campbell?

Suppose she needed to tell somebody.

That she'd made the first major clinical mistake of her career?

She just admitted doing so to a senior consultant

and deputy CEO of this hospital?

I guess...

She chose to confess this to you?

There...

Very good, Dr Tressler.

Now we just need to clean up the mess you've made.

DOOR OPENS

He eats mackerel every day of his life?

That's what he said, yes.

He eats mackerel every day?!

-I thought it was just my eyesight that was waning.

-Oh, come on, Prof,

you should be strutting around like House saying, "I've solved the mystery!"

-Mackerel?

-Yeah. Fish. Every day?

OK, what are the papers always saying?

The foodie scaremongers?

Contains mercury.

And PCBs and dioxins.

I reckon he's been poisoned by his own fish.

Long-term build-up of heavy metals and toxins in his bloodstream.

Of course, PCBs and dioxins.

Right, so you agree? It's the fish?

No, no, no. It's not the fish.

No. I can't let you do this to my mackerel.

I can't.

-But they might have caused this.

-No, they haven't.

Well...you said yourself, you've eaten mackerel every day.

I know this isn't heavy-metal fish poisoning. Isn't about mackerel.

Bernard, I know it isn't.

You know what it really is?

Well, given the blood work and the swelling, I've a pretty fair idea.

-(Can I speak to you in private?)

-Of course.

(No, not here.)

See, here's the problem with you, Dr Tressler.

Put you on the spot and you really, honestly, are a very talented surgeon.

You think?

-You ever heard me give praise where it wasn't deserved?

-No.

You've been on my back since day one.

-Maybe that's because, the Tressler motto is "Just Enough To Get By".

-Bit harsh.

No, it's not good enough. Not for my team.

Oh, I want blood and sweat. It's what I give...

to everything I do.

So are you going to pass or fail me tomorrow?

This is good work...

It's very good.

But, I think "fail".

Why?

It's not just skills I'm looking for. It's integrity.

Honesty...

I've always...

OK. One question. One chance. Make or break.

What...?

Did Amy go and confess to Ms Campbell to save your skin?

I don't...

Oh, take your time, Harry. This is do or die.

No, an honest answer tells me that I can trust you in the future.

But a lie...a fudge...

Then I have no use for you and neither does this hospital.

Was she helping you cover up some of your mess? Truth.

Yes.

Oh, the bloody dog wasn't supposed to find anything!

Just show us the potential.

Well, he has. So, what do we do now?

You know, every infected patient costs us ten grand.

That's over a billion a year to the NHS...

Guy, I know, but if we handle it badly she could lodge a complaint.

It's your call.

You know me, Colette. If we suspect trouble...

then we have to act.

-Oh, hi.

-Yes...?

I know it probably feels like someone's just worked

a pneumatic drill across your head

but we have been working very hard to make sure your face remains

-the handsome...

-Where is she?

Your wife? Erm, I haven't seen her since theatre.

I can get one of the nurses to...

You've got to stop her. This wasn't the Coopers...

Yeah, no. When she gets back...

You don't understand.

She'll open a world of pain that'll take years to heal.

I think you're maybe being a teensy bit dramatic.

I lied.

I know exactly who shot me.

I knew you did!

I deserved this...

I deserved to be shot in the face... at the very least

Why, what did you do? What did you do, Vanni?

Vanni?

Bernard, I'd be much happier if we talked inside...

Yeah, well I wouldn't. Walls have ears.

So...what you're going to tell me, is it...?

Man-to-man. Goes no further.

Right, well as long as what you're about to say isn't that

you've killed someone.

Don't be soft. Do I look like a killer?

A mackerel might think so...

I done something...

-..I'm not proud of...

-Right.

..concerning my daughter.

Right...

She...erm...

I let her give me...

This is between ourselves, remember?

-Botox.

-Yeah, how could you...?

Well, it had to be, really. Botox contains botulinum

which is a toxin which would've caused the swelling of your sternoclo...

your throat.

And your other symptoms.

I just let her give me a couple of jabs for me wrinkles.

So I wouldn't look so leathery on the telly.

Well, those couple of jabs have caused a toxic reaction.

Yeah, but the thing is, Professor,

she shouldn't have done it,

she ain't got her full licence as a beautician.

If it got out in the medical world,

she could be struck off before she was on.

Right... I see. Yes...

To be honest. I don't really want my mates finding out.

No, no. Of course not.

HE EXHALES

BREATHES DEEPLY

I know what you did...

God, Raf! You nearly gave me a heart attack.

-I know what you did...

-What is the matter with you?!

Harry Tressler told me what you did.

What? What what did he...?

What you both did...

SHE SCOFFS

Harry told you?

Yeah. He told me.

What? We didn't do anything...

Don't! Don't lie to me.

I don't know what to say, Raf...

Have I ever lied to you?

No.

Have I ever... have I ever let you down?

-No.

-Then, do the decent thing.

Do me the courtesy.

Tell me the truth.

The truth?

What is going on between you two?

Harry...and I...

We...slept together.

You...what?

That is the truth!

You slept...with Harry Tressler?!

I got drunk! It was the night you went to Geneva.

-You said you didn't want to try any more. You just...

-Any more?

For a baby...

The baby...

HE SOBS

Thank you very much for today.

No, no...thank you. Let me...

Whoa...

HE SPLUTTERS

You are very, how do you say, "gallant"?

-Right. Gosh. I am, am I?

-Yes.

Well, that's just um... That's good...

Cos I do, I do , I do like... to be...

But. Um... Right, OK.

I already have a girlfriend

and her name is Maria, it's not unlike yours, Marika, in fact that

that maybe is the Dutch equivalent, I don't know.

But, yeah, I am her...

boyfriend so...

Was that...um... too much information?

-A little...!

-OK.

Rex....wat heb je daar?

SHE LAUGHS

I despair of men, really.

Ah, don't be so judgmental.

He had the Botox because he felt self-conscious about his age

-and looks.

-That's not what I mean.

-Wait till you're old and grey.

It's not that fact that he had a treatment.

I wish more men took some pride in their appearance, no, no...

It's the secrecy. The shame. And his hiding away of his symptoms.

Maybe he just didn't want to face the consequences...

Maybe he'd just rather not know.

And that's why I despair of men. Their lack of self-awareness.

Total lack of self-preservation.

Sometimes it's easier not to know.

Oh, come on, Elliot. You're a doctor. You've seen it all before.

Patients lying. Misrepresenting symptoms.

Leaving major ailments untreated

-because they're either too scared or too lazy.

-Ha-ha.

Men like that, they make themselves worse.

Hello, yes...

This is Professor Hope. I'd like to arrange an MRI scan, please.

Confidentially.

That would be perfect, thank you.

OK.

SOBS

Stupid, stupid, stupid.

You covered your tracks very well, Dr Tressler.

Ah, thanks. I'm quite proud of that, to be honest.

You're a lucky man, Mr Orlandez... as far as I can tell...

apart from a very little scar,

there should be no long-term repercussions.

Oh, I forgot to say.

I managed to get in contact with your wife.

-Thank you.

-She's on her way back.

Have you seen this? Tiny, aren't they?

Stitchy, stitchy in the fa-ce.

Right, this is going to sound a bit pervy, er...but it's really not.

It's just because we share a flat,

and a tumble dryer. Erm, Rex found something...in the linen cupboard...and I think...

in fact, I know because of the tumble dryer...that it's yours

-And, I thought you'd like it back...

-Arthur.

..before someone puts two and two together and makes er...

MOUTH ORGAN PLAYS

# Our boots And clothes are all in pawn

# Go down, you blood-red roses Go down

# It's mighty windy round Cape Horn

# Go down you blood-red roses

# Go down...

# Oh you pinks and posies

# Go down you blood-red roses Go down

# My dearest mother said to me

# Go down you blood-red roses Go down

# My dearest son come home from sea

# Go down you blood-red roses Go down

# Oh, you pinks and posies

# Go down you blood-red roses Go down

# I thought I heard the old man say

# Go down you blood-red roses, Go down... #

MACHINE ALARM BLARES

# One more pull and then belay

# Go down you blood-red roses Go down

# Oh, you pinks and posies... #

Where?

His flat.

In bed?

Yes.

Did you stay the night?

Not all of it.

How many times?

-Raf, please don't do...

-How many?

-(Twice.)

-And since that night?

Nothing. No. I told him never...

To phone or to text you?

-(Yes.)

-Has he?

-Yes.

-Did you reply?

-No. Not properly.

Only to tell him I never want to have anything to do with him

ever again.

So, you were drunk?

-(Yes.)

-But, you weren't drinking.

I wasn't when we were trying for a baby.

So...

was it...rape? Date rape?

No!

You consented?

(Yes.)

Twice?!

Raf, please, don't...

Where is he?

Oh, hi. He's over there.

Why would my hairdresser, why would her husband shoot you in the face with a crossbow?

Have you been mucking around with Yolanda Foster?!

Whoa, whoa. It's not what you think!

-Oh, it's not that you've been screwing around with Yolanda Foster, then?

-It's over.

HE SHRIEKS

Not...ahh!!

Ahh!

SCREAMING

-Whoa, whoa, whoa!

-Watch, Vanni!

You wait till I tell me brothers what you did to me. You wait!

SCREAMING

Ah, you sealed off the old dear, then?

Well, I had to...

Boom! Into isolation.

Guy wouldn't rest if he felt there was anything

festering down here that might cause harm to his patients.

You two did always keep a tight ship. See ya.

OK, look, Jesse, I'm sorry.

For...?

Well, I feel like I've been trying to say stuff to you today...

in a sort of subtle...suggestive...

hinting at what I mean without actually just coming out and saying it, kind of thing.

-OK...?

-Does that make sense?

I don't get what you're saying, sorry.

OK, so...

What it is, I think is... that you need to know...

..is that I know what you're doing with Zosia.

And, when Guy...her father... your "friend", finds out...

what you're doing with Zosia...

he will rip off your man parts and feed them

piece-by-piece to stray dogs roaming the streets of Holby.

He will erase you from existence and wipe you from the face of the earth.

He will destroy your every atom in a volcanic rage.

(OK.)

Just wanted to make sure you've got that.

So, we going?

Yes, my love... WE most certainly are.

Don't touch me. Does it look like I need your help?

-Just calm down.

-Vanni, you're dead! You're dead!

Let me go! Let...

KNOCKING ON DOOR

Yes, come in.

Wanted to say thanks...

Oh, ticket for tomorrow night.

Oh, thank you.

We'd be made up if you'd come and see us sing.

Well, I'd love to... if I can get away.

Yeah...

-Oh!

-Oh, sorry.

CHUCKLING

Thank you.

Nah, that's enough, come on.

CHUCKLES

Thank you. Thanks...

What a bloody horror story!

After all that work... I'm gutted. I worked so hard on that.

VANNI GROANS

Do you think it's repairable?

It's never going to be the same.

I mean, how could she do that?

Who are these people?

If it wasn't bad enough that he could have died

being shot by the other woman's husband in the first place

and then she comes and rips a great big jagged hole in his face?

Maybe she wanted to leave him a little reminder.

All this over a little adultery...

-Do you want me to assist?

-No!

I'll do my best to patch it up

but it's never going to be pretty.

Do you see what she did to him?

His face. She was like some kind of psycho leopard

tearing at his flesh.

I mean...that's her husband for heaven sakes! Still...

I'm quite pleased - I got on much better with Raf today...

Yeah, it's a big surprise but he's actually been really supportive.

Think we might've turned a corner at last.

Fingers crossed for my review tomorrow.

Oh, meant to ask... How did the hearing with Serena go?

He knows.

What?

About the cover-up?

About that night.

He knows?!

# Go down you blood-red roses

# Go down

# Go down... #

HE HUMS

NOISES IN HEAD

LOUD SCRUBBING

SCRUBBING GETS LOUDER