'The Spirit...' Holby City

Are they alive?

-Somehow. One of yours?

-Yeah.

-How the hell did this happen?

You can't go, please.

Emma needs me to go. You'll be a great dad, Jonny.

Did you give him anything?

You are always doing this! Always pinning things on me!

-Zosia, it's over!

-But I love you.

Congratulations, everyone. The Herzig 5 is born.

This is Professor Hope.

I'd like to arrange an MRI scan, please. Confidentially.

Elliot. Looking good.

As long as the real thing doesn't disappoint.

Oh, not a chance. The take-up's excellent -

we've got Saudis, Russians, Bahrainis,

Americans all in, plus the national delegations. It's happening.

You OK with the schedule? Technical presentation in the boardroom,

followed by a demonstration op, and then drinks reception with a Q&A.

Absolutely. As long as there's not too much disruption to Darwin.

I think we can rely on your staff to keep that low-key.

STAFF: Wahey!

PARTY HOOTERS

We're proud of you, Prof.

If you want me emptying the pockets of the world's CT consultants,

then I have to pick up my dry cleaning.

Serena, the Herzig launch is not your priority today.

Martha Keane - the woman's husband took a dive off the roof -

is making a negligence claim against us. Strangely, it only names you.

How many times can I say there is no way...

"Our client contends that Miss Campbell's dismissive attitude

-"escalated tensions, leading to..."

-This is ridiculous.

-Save it.

-I won't let you blame me for this.

Serena, I am very busy today trying to sell an artificial heart.

I'm asking you, as Deputy CEO, to go through this,

tell me we can refute it.

I want to kill this by close of play.

MOBILE PHONE RINGS

Serena, I'm focused on making money for this hospital. Where are you?

Right, sort out this claim then drop by the Herzig drinks.

Nice blouse, by the way.

I thought you wanted all senior management at this thing tonight?

Funny, cos I didn't get an e-mail.

-Must be an oversight.

-Oh, come on, Guy.

It was none of my business what Jesse and Zosia got up to.

All right, Colette. No need to explain yourself.

I thought you'd forgotten me!

I'm at work, I'm not supposed to be baby-sitting my dotty mother.

-Shift yourself.

-Oh...

-Up to speed?

-Huh!

I've asked Elliot for a refresher, but he keeps forgetting.

You know, I'm not even allowed near Herzig

until Jadis, Queen of Narnia,

-vanishes to the land of eternal winter...

-Sweden.

..and now I've got to perform it

in front of every CT consultant in the world.

-Yeah, thanks, Jac.

-She not replied to your e-mails yet?

Oh, no, she has. "Do as you're told." Witch.

-How's single-daddying?

-Oh, yeah, you know.

She's sitting up and giggling away.

As you can see. So I must be doing something right, right?

Yeah, that or she's laughing at you.

You know, Jac hasn't done much more Herzig than you.

You'll be fine.

-I can take him from here.

-No, she's a terrible driver!

-Ow!

-Deserved.

-Don't overdo it, yeah?

-I'm fine.

Hey, it's the Iron Man! How you guys doing?

-Good.

-All right.

-So we'll walk this way.

You forgot your lunch, lady. You'll waste away.

Oh, "love", eh? Who is he?

-A lady doesn't say.

-Pfft! Please, you're no lady - spill.

You hold the fort while I'm in Paeds, please? Good. Thank you.

Minor elective prep and some AAU referrals.

-Not exactly brain surgery.

-You have the bridge, Dr Digby!

Did he say any more about Dr Law?

No. He's as in the dark as any of us.

We've lost her to a mystery man.

-New beau?

-Ahem. Same one.

-OK, why don't

-I

-know anything about this guy?!

Bed three... Cast, please.

Great, send me to choke in a haze of deodorant.

Well, I was hoping for some neuro cases but, hey, there you go!

Why is she confiding in the world's worst agony aunt and not me?

Don't know, don't care. Bed five, varicose ulcer needs assessing.

Whoa there, Tony Stark.

Let's do this together, shall we? So, on three.

One, two, three...

Are you some sort of superhero?

Yeah, Ironic Man.

THEY LAUGH

Justin's an endurance runner, so back-to-back marathons.

-Wow, you're a machine!

-And Ruth. The, er, Iron Couple!

That's us - Solid Steel.

TWO endurance experts, eh? You must have all sorts of fun.

Not at the minute.

What was your record? Seven marathons in seven days, is that right?

And all this just a year after recovering from stomach cancer.

-It's amazing.

-Wow, that's insane!

-Nah.

Just eat, sleep, train, eat, sleep, train,

eat, eat, sleep, sleep...

Just breathe, darling. Shh.

-Sorry.

-We'll be back in a minute.

Oh, hi. This is Serena Campbell, Mrs McKinney's daughter...

Yes, AGAIN.

Any luck finding us a replacement?

Well, it's quite a big inconvenience, actually.

-Huh!

-Marvellous. It's not like I'm at all busy.

No-one. You'll have to stay here.

I'll do my back in on this chair!

Here. Just...read your paper.

-Here you go. Vehicle reversing.

-Oh, Rena!

SHE LAUGHS

Ooh. Oh, dear.

Oh, disgusting.

Really?

Mum. Ten seconds, and I've read this sentence three times.

I'm sorry I'm such an inconvenience.

KNOCK ON DOOR

You talking to yourself? First sign of madness.

Ghosts of Deputy CEOs past -

sacrificed to the Gods of litigation.

-This claim's absolute nonsense.

-Her lawyer's convinced otherwise.

Truth will out.

HE SIGHS

KNOCK ON DOOR Yes?

Em, Justin's here.

-How is he?

-Ah...

-Running out of time?

-It's looking that way.

Right, let's go fix that.

This was always a risk with your cancer treatment,

but your cardiomyopathy is deteriorating

far more rapidly than we'd expected.

Bad?

Well, let's put it this way. I'm glad we're doing this today.

Hopefully there will be a happy outcome for you both.

This is still a new treatment,

and there are still unknowns regarding the scope of the

device's performance, but you should be able to live a near-normal life.

No more marathons for you, but the Herzig should get you

back on your feet enough to watch Ruth run one.

Oh, no, I'm calling it quits too.

Oh, right. I know how much that means to you.

Well, some things are more important.

I don't mean you!

If this goes well, we're going to try to start a family.

Reckon I can manage that, Prof?

I think that should be within your range of activities.

HE CHUCKLES

As discussed, you have, erm...

You've shown a commitment to maintaining a healthy lifestyle.

We just need your consent.

-Miss Effanga, would you do the honours?

-Sure.

-Thank you.

You can't be serious, Rena! Have you so little time for me?

No, I just need a couple of hours to work.

You get comfy, do your crossword.

You're not supposed to be here, so stay put.

-Ring me if you need anything.

-Yes, Matron(!)

Patient's exhausted, I'm, erm...

I'm just chasing her notes, but get me if there's any problems.

Heads up!

-What is it?

-Teenage girl caught by a motorbike.

And the driver, male, 40s, came off, lacerations on both patients.

-Who's more critical?

-Driver.

Can you take him? I'm swamped.

OK, boys and girls. Let's stop this blood-loss.

OK, no, just a second.

Right, my name is Ms Campbell and you are in Holby City hospital.

-Do you understand?

-Where's my shopping?

Good responses anyway. I don't know...

Is this it?

OK. Can you tell me your name?

Is that a can't or a won't?

It's a won't.

Fine. You're a child, social services can take responsibility...

I'm 18, you can't do that!

Gabriella Emile Mendoza,

date of birth, June 12th,

year of our Lord 1996.

Want my National Insurance number too?

Can you fetch Ms Mendoza's notes, please?

Right, can you touch your nose?

And now your elbow?

Good. Cognitive, visual, and motor are fine.

It's all looking superficial but I'd like to order a CT scan

just in case.

Gabbi Mendoza?

No swimming, then!

Sorry. More cafe time, though.

I wanted to see you in your trunks! We fly tomorrow. Japan.

-Big on sushi?

-No, cats!

They have cafes full of cats - you can stay for hours, pet them.

-You don't have any of your own?

-I've two, and she has four.

-I mean, we've only just got together.

-We've yet to combine...cats.

So you're leaving them to go see more cats...?

It's a bit mad, you know, but it is fun.

Would have made sense to take Mr Smith's shirt off?

He asked not to remove it.

Yeah, I have an allergy.

Right. Carry on.

Just a minute. Actually, Arthur?

Have you heard from Jesse since he's left?

Er... No. Why?

He's not answering my calls.

Right, and you're surprised?

You're not still upset?

No, I've just left stuff at his house, which I need

and I just wondered if he'd started a new job?

No, no, but if you find out, let me know

so I can avoid ever working in the same hospital.

You look...well.

I mean, I... well, I didn't recognise you.

Are you...still at home?

Good.

I'm staying with friends. It's all right.

Well, you certainly seem to be eating well.

And in the nicest possible way, I'm glad I haven't seen you for a while.

Me too.

Now, Steph's going to clean you up.

It doesn't look serious but you probably should call someone.

I'm fine.

You're going to be quite sore for a while.

I don't need anyone.

OK. Well, come and knock on my door when you're done.

DOOR OPENS

HE SIGHS

KEYS CLATTER ON TABLE

I wondered where you'd got to.

Sutures? Come on, Elliot!

It's the most important operation of my career.

I have to rehearse every single detail.

I'm the one who's rusty.

My lifetime's work.

I get this wrong - what was the point?

There'll be other demo ops.

I'm running out of time.

And I can't even suture!

I know what this is.

Performance anxiety - happens to the best of men.

It's just stage fright.

You're way over-thinking this, if you're worried about sutures!

You're right. It'll be fine.

You'll be more than fine. We're going to nail this!

Does "erogenous" have two Rs or one?

Making friends?

She's not bothering you, is she?

Really, Serena, you'd think you were ashamed of me!

Elinor has time for me even if you don't.

No, this is Gabbi, Mum.

Elinor's my daughter. My mother is a bit...

A bit senile, dear.

We should have you discharged in a bit.

Serena, can I have a word?

You're back sooner than I thought.

-You're not treating your mum?

-No, no. I'm not treating her.

There's nothing wrong.

Her carer's off sick. And I really need to concentrate on this claim,

so it was either an empty bed or the creche.

She just mixes things up, there's nothing to worry about.

All right, I'll get my nurses to take care of her,

but if Guy finds out, I'm going to deny all knowledge.

-Thank you.

-How do you know our RTC girl?

Oh, frequent flyer. Was. Cutting herself.

Ric had to section her last time.

Poor thing.

-You take care of that, I'll look after those two.

-Thanks.

So what made you get into running, then?

Ruth initially - she competed, I fancied her, so...

Was just a hobby till the cancer.

Then my body turned against me and I just wasn't having it.

Training kept me positive, got me through.

Gosh. Must kill! I run for the bus and I'm like...

You can't make pain the enemy.

What is it, then?

It's going to hurt - trick is to use it, not fight it.

Control the breathing,

visualise it in one place and then you can disassociate it

like it's just happening in that part of the body.

And it works?

Top 15 in the Cairo Endurance 2013,

top 10% in the London Marathon, Dubai Treble.

How's our star striker?

Best form all season.

Actually, erm...

Hypnotic techniques in pain management can be effective

but they'll only take you so far.

Yeah. To the finish line.

Sorry, would you excuse me?

Let me know if you need anything.

Good to go?

Absolutely.

Come on, then.

'Hi, this is Jesse Law's phone. Please leave a message.'

Look, I'm not asking anything of you.

I just want to know if you're OK.

I miss you.

KNOCK AT DOOR

Where have you been? Arthur's been going nuts.

It's been kind of funny, but still...

Er... Hello! Revolting! Since when did you smoke?

Look, what's wrong? Is it this guy?

Right, Mr Smith's been waiting 40 minutes for you to finish his cast.

Come on. Now! Let's go.

OK!

Back to the cutesy cat people!

Please, she's still moping about Jesse.

-Why?

-"Friends with benefits ends badly" shocker(!)

Wait, back up. Her and Dr Law?! Since when...?

And how come YOU knew about this?!

It's honestly too mind-numbing to recount.

Is that why he left?!

Oh! The poor thing.

Come on. She's hardly sentimental when it comes to S-E-X, is she?

She's known him forever!

Smoking, not eating...

She's heartbroken, you idiot!

Every one of these men and women are now living lives that ten years ago

would have been impossible.

This afternoon, my team and I will fit Herzig 5 to Justin Culver.

36.

A man who ran endurance events, overcome cancer,

only to be bedridden by cardiomyopathy.

I invite you to watch as we give him back his life.

And I hope that very soon you will do the same

for many, many of your patients.

Thank you.

APPLAUSE

I'll catch up with you in a minute.

Always a pleasure, I'll see you in about ten minutes.

-Was that OK?

-Absolutely fantastic! No need for the jitters.

-Jitters?

Well, it's just that Mo Effanga said you might feel a bit, you know,

like a deer in the headlights.

But, no, you absolutely smashed it.

-Well done, Elliot.

-Thank you. Thank you.

-What?

-Tell her what you told me.

-It's not what you think.

She's eating out of bins!

Not out of bins. "Skipping" - stuff that supermarkets throw out.

I'm a Freegan, OK? Freegans try not to buy into the system,

we rescue stuff that gets chucked rather than add to the waste.

Look, if you're not earning enough to eat properly...

No, it's my choice. It's fine!

People go out to the restaurants and buy that.

I got this from the skip from the supermarket

next door to that restaurant. I know what I'd rather eat.

-But, if your mother knew...

-Yeah, well, my mother can go...

-Whoa!

Gabbi? A little help here, please.

-Gabbi, can you hear me?

-Nurse!

Pulse is at 60.

Abdomen's distended. How did we miss that?

Doesn't make sense, there were no signs of trauma.

What's wrong with her?

I don't know, Mum. Get Mr Di Lucca,

he'll have to take her in on his own. I just don't have the time.

Can't you do something to help Elinor?

Actually, d'you know what, no. I'll lead. Organise an emergency theatre.

-Um...

-Hey, how'd it go?

It's fine, thank you, Ms Effanga.

It's my mum - sends her love.

We'll be ready to take you in in ten minutes, OK?

You'll be fine. We washed our hands and everything.

Five-star treatment, eh?

Hey, no worrying! OK?

He will have the best of the best working on him.

Yeah, I know. Cheers, Jonny.

Darling, please, I can explain...

Time for that refresher?

You're assisting me, Ms Effanga.

You've done so before, you're more than capable.

Follow my lead, you'll be fine.

Have I done something?

If you have concerns about my ability,

I'd hope that you'd have enough respect to say so to my face,

rather than complain behind my back

and undermine my confidence on the most important day of my career!

I didn't complain, Elliot.

-Frankly, I'm concerned about you.

-I'll see you in theatre, Ms Effanga.

There's something you need to know.

SHE COUGHS

It's to stop him sweating. He has cholinergic urticaria.

Hives of the sweat glands brought on by stress or physical activity.

Very uncomfortable. Must make things awkward if you're...

-No, well... It's early days.

-Are we nearly done?

-There.

PHONE RINGS

Hello?

I'll just be one second.

-All right, lovely?

-A PPI call.

Right, um... I didn't realise you were so...emotional.

Upset!

Look, OK, look, when things aren't going my way, I always think...

keep on doctoring. Yeah? Just keep your mind off it.

-MAN GROANS

-Like now, for instance.

-What happened?

-Mr Smith, did you injure yourself anywhere else?

-I might've jarred my shoulder.

-Why didn't you say?

I wanted home. Hey, car's nearly out - can you put more on?

-But...

-Please, Clara!

-I'm sure it's nothing.

-Yeah, course.

The cast is still wet, so we'll need to cut your top.

Close the curtains and make this quick. I don't want her seeing.

He's going to run again. Can you make him understand?

Justin, the Herzig is not a miracle cure.

It is not designed for this sort of activity.

If I don't think that you fully understand

the implications of this operation...

then I will delay it until you've had extra counselling.

-Wait, how long would that take?

-Days, maybe weeks.

Elliot! He could go into failure at any moment.

Can I get a word in?

I like to look at the running sites, OK?

That's all.

I'm sorry.

I freaked out, went one click too far on a naughty website.

Justin, there are no ifs, no buts, no exceptions.

You will never run again.

I know that.

Has he ever done anything remotely reckless to endanger himself?

No. He gets frustrated, but, no.

Ms Effanga?

It's your call.

OK. We go ahead.

Small bowel and mesentery are fine, liver too.

It's just the contusion to the spleen. Suction.

I'd expect a bruise, but not this.

INR results. She's 3.5 - blood's not clotting.

That nick to the spleen could have killed her. Haemophilia?

Very unusual in women

and unlikely we'd have missed that with her history.

We need four packs of FFP and two platelets.

I want to know she's clotting before we close her up properly.

We'll suture the spleen, leave her packed and finish this in 24 hours.

Get Ms Teo onto it as a matter of urgency.

We need to find out what's causing this.

Emergency?

Nothing I can't handle.

How's the Martha Keane case going?

You'll have my response by the end of the Herzig op.

Oh, good. I'll save you a drink at the after-event.

OK, will you excuse me? I need to make a call.

Where is she?

Don't worry, we'll find her.

My mother, Adrienne, bed seven. Anybody seen her?

-No, sorry.

-You said you'd keep an eye on her.

Hi, Security, it's Colette from AAU.

We've got a lady gone walkabout - she's 70s, grey hair, slim,

possible cognitive impairment.

Thanks.

PHONE RINGS

THEY COUGH

Stinks, I know. The spray's to cover it.

Right, how did you...? You're like this all over or...?

Saggy, yeah. It's only funny on this arm.

This abscess must be causing him the pain. I think it's wet gangrene.

-How did you...?

-I was 21 stone. Did a crash diet.

Didn't know I'd be left like this.

It can be the case if you lose weight too quickly.

I asked the NHS for skin removal surgery. Don't qualify apparently.

That's a cosmetic procedure. You need to let your skin breathe.

We need to drain this first.

Right, Mr Smith, we're going to keep you in, and check you over, OK?

-But she'll see! We fly tomorrow.

-She really doesn't know?

I'd never had a girlfriend, OK? Size I was...

Then two months ago, my Terry gets into a fight with her Jasper.

-Right, these are your kids?

-Cats.

It's all happening - a love story, like a film or something, but to me!

The real thing - I like her, she likes me.

But before I know it, she's planning holidays and wanting to...

So you made up an allergy to put her off anything physical?

-No girl wants this.

-Geoff?

Um...Mr Smith is getting changed.

Yeah, OK, right, we can ask her to leave

-or explain the situation.

-No, no, no.

OK, let's just...

They need to keep me in.

What's wrong with him?

Er...

Adrienne!

Adrienne?

Adrienne?

Can you get that, please? Here you go.

It's Colette. It's Serena's friend.

What you playing at, love?

I don't know where I am.

Come on, come with me. We'll go and find Serena, OK?

Thanks.

Come on. It's all right.

I'm just going to go in ahead of you

and check that they're ready for you.

Thanks. For not saying.

I know I should have gone easier on the cancer meds.

By easier, you mean stuck to the dose?

I kept quiet cos you promised me you were done.

It's the only time I feel in control. I thought you understood.

What about having a future, a baby?

Are you going to stop the operation?

You could kill yourself if I don't.

I could die waiting for counselling.

How can you put me in this position? How dare you?!

I just want my life back, Ruth.

OK, we're good to go.

Good luck.

Thank you.

-She's fine.

-You really scared me, Mum.

I just got lost in this maze.

OK, well, if you could just go back to bed and try and stay put.

Can you close the curtains around her?

Can your staff please keep an eye on her?

They have patients to see.

Fine. Mrs McKinney, Bed 7.

I need FBCs, LFTs and Us and Es done right away.

-I'm kind of busy.

-She has abdominal discomfort.

From sitting in bed all day?

-Fine. Perfect use of my time.

-Be thorough.

Look, I'm sorry we lost her.

But you told me she was fine to be on the ward.

How are you coping, really?

We're fine.

She's not...

..difficult at all, she's just...

The moments when she's not "her" are getting closer together.

And I know that time is short, but all I want to do is avoid her

because looking at her when she's...

There's nothing I can do to make a difference.

Ms Campbell, I know why your girl's bleeding.

There's definitely an anticoagulant present.

I'm chasing the lab on the exact chemical.

Left inflow looks good.

It's a perfect match.

OK, the device is fully attached to the patient's cardiovascular system.

We're good to come off bypass.

OK, can we go down on flow, please?

And we're off bypass.

And increase, please. 100ml.

Output's good.

BEEPING

There's a bleed in the suture line. BP's falling.

7-0 prolene. Quickly.

OK, Ruth. Ruth, just wait here for me. All right?

More packs. Suction.

Professor, you need to suture.

I am aware of that, Ms Effanga!

-BEEPING CONTINUES

-Elliot?

Ms Effanga, everything's under control, yes?

I'm pulling the sutures closed to reduce the leak.

We can return to bypass, but I...

What's wrong, what's happening?

I'm sure he's going to be all right.

Ms Effanga, are we returning to bypass?

Ms Effanga, hold on, I'll be with you in a moment.

-Of course.

-Professor Hope, please take a break. Scrub out.

-No, I'm fine.

-Take a break.

-Elliot?

-Professor, what...? Is he OK?

I'm sorry.

-Are we continuing, Ms Naylor?

-Of course. Why wouldn't we be?

Good afternoon. My name is Jac Naylor.

I'm a consultant cardiothoracic surgeon.

I'm Professor Hope's colleague.

Unfortunately he's been taken unwell but I want to reassure you

there is no cause for concern.

The Herzig device is functioning perfectly -

we simply need to rework a suture.

When I say move, you go.

Go.

-LOUD BEEP

-Pressure's dropping.

OK, let's come down on the flow.

Pressure's restoring. 40...50...60.

Patient's stable.

This man now has a functioning artificial heart.

-I'm sorry I ranted at your mum.

-Oh, she gives much worse.

Now, there was a minor injury to your spleen.

-OK.

-The bleeding was caused by a chemical thinning your blood.

Are you taking any anticoagulants or any other kind of medication?

No. Nothing.

As well as medicines, there's a number of household products

that contain these chemicals.

Gabbi...

-have you been hurting yourself again?

-No.

Try not to move, your stitches are just temporary.

-I'm going to get someone from our psychiatric department to come...

-No.

-I don't have an alternative.

-Yes, you do.

You could believe me when I'm telling the truth.

I have a duty to help you.

Can you put a call in to Psych?

Gabbi Mendoza, suspected self-harm - ingesting household products.

Really, you think so?

I thought you said she was a cutter.

She's a vulnerable young girl, I'm trying to get her some help.

You know, I am sick of being interrogated

for doing the right thing.

Rena, how much longer?

-How is he?

-The Herzig's functioning fine.

-Jonny, where is he?

-Er...

Ms Naylor?

It would reassure our guests

if you were to explain your involvement with the Herzig.

Jonny, how is Professor Hope?

He has a migraine, or so he says, but he couldn't hold himself up.

-He collapsed.

-OK, I want you to look after him, tell him to stay put,

I'll be there ASAP.

Ms Naylor? The Herzig.

-Hi, by the way.

-Hi.

-Er, Emma...she's doing well, I think.

-I don't doubt it.

-So how come you came back?

-Something isn't right.

-LIFT PINGS

-'Doors opening. Lift going down.'

How is the patient?

Alive. Thanks to my frankly miraculous timing. It's all fine.

-Right, good.

-Er...

Ms Effanga, can you see to my patient, please?

How are the guests?

Nervy. Guy's placating.

-OK, well, I'll go and explain...

-No.

Elliot, you're to stay put.

What happened? You'd never freeze over a burst suture.

Headache.

Maconie says you fell.

Why aren't you in Stockholm?

You stopped answering my e-mails after Guy announced the launch.

Then Mo starts bombarding me for advice

because you're not preparing her properly.

I knew something was wrong so I got a flight.

And you are insanely lucky I did.

Why the hell are you doing this without me? What couldn't wait?

The CEO of the hospital decided to make a move on a project

I have given my life to, so I said yes.

Sorry I didn't run it past you, but you're the one who disappeared

without a thought for those you left behind!

Jac...

..please take care of my patient.

I need to prepare for this Q&A.

My life's work, Jac.

KNOCK AT DOOR

Look, Ruth, I am so sorry...

-I lied.

-What?

To make sure he got the op.

He is planning to run again. He told me before you took him in.

-You deceived me.

-I believed him.

You deceived me!

You let me put his face to our launch.

-We made him our poster boy.

-I'm sorry.

I have been slogging my guts to get this project off the ground.

And now my case study is... going to kill himself.

For God's sake!

Elliot, mate, calm down.

I am not your mate.

I am your superior. Please treat me with respect!

Elliot, this isn't you.

Why is everyone trying to sabotage my day?

Jonny, call Mr Self, get him up here now.

It's just that right arm that's necrotic.

I'll remove the section tomorrow in surgery.

I've got to get back to Paeds - can you and Dr March brief him

-and assess that abscess?

-Mr Levy?

-Sorry, Zosia, not now.

Er...

Mr Smith...

OK, Mr Smith, we are going to remove the damaged skin

on your right arm tomorrow.

Great, I'll be an asymmetric freak.

Actually, I think we can do better than that.

I need to run this by Mr Levy, but there's a good case

-for overturning the decision on your skin removal.

-Are you serious?

It's preliminary, but it's clear the excess skin is causing you some

psychiatric damage, something we'd compound by failing to remove it.

-That's amazing!

-Mr Smith, I'm afraid Dr March is mistaken,

-that is not...

-I...

-That is NOT something that we're considering.

Outside...now, Dr March.

He is depressed - lying to his girlfriend,

effectively self-harming.

Right, he's unhappy, yes, OK? Wrapping himself up was stupid.

But nothing in his behaviour is alarming.

It just makes your job easier, doesn't it?

Who cares about the guy left in limbo?

OK, right. Do not project your situation onto a patient.

Jesse was a knob, all right? You're better off without him, just...

He was my first love, Arthur.

I can't just shut it down.

And I don't understand what I've done

-to not even deserve a phone call!

-Ssh!

You've been like this for a while.

That day you lost Emma, I thought it was diabetes, but...

I've had enough intrusion from them, I don't need it from you.

Elliot...

we have a mountain to climb.

He's seriously unwell. I think it may be neurological.

I am standing here, Ms Naylor.

Don't treat me like one of your patients.

In nine years, I've never seen him behave as he has today.

Pull me towards you.

Elliot, I want to do a neurological examination. Pull me towards you.

Can we leave this until after the Q&A?

No, I'm sorry. I can't afford to have you collapse again.

Get me a nurse, I want a random cortisol test now.

And fast-track an MRI, I have to find out what's going on.

I don't want an MRI. I need to know that the Herzig is secure.

Elliot... until I know what's wrong with you,

you're suspended from practising medicine.

-Guy, please...

-Whatever it is, it's better that we know.

Elliot! We need to know.

I don't want an MRI because I've already had one.

OK. When?

Three weeks ago.

Can I see it?

I threw it away.

What did it show?

A growth.

On the brain.

I need to see that.

I want you to have an MRI scan, with and without contrast,

then stay in one of our beds.

I'll speed your results through.

I'm sorry, I...

I can't let you walk.

I'll be right back.

Is there anything you can tell me?

-Patient confidentiality. I'm sorry.

-Ms Lyth?

Um...Mr Smith has asked that you leave, that you go home.

We have to honour his wishes.

I don't care what's wrong. I love him.

I'm staying until he's better.

Guys?

Professor? What's wrong with him?

I'll take him.

Er, no, Ms Naylor, I need you to help me host our reception.

I stay with HIM.

If you want to help me, save the Herzig.

Boardroom...five minutes.

Please.

Well, I appreciate that, Martha. Thanks, bye.

You'll be pleased to hear your mother's results are clear

across the board - she's ready to be discharged.

Aaargh!

Ohh!

Wound's split. We need pressure. Can you get a trolley?

-You did this.

-Do you want me to take her?

-No, no. She's my responsibility.

-What's wrong with Elinor?

Just give me a second.

Elinor's fine, Mum! She's fine, it's not her. Come on, back to bed.

Quick, quick. There you go.

Er, Serena, I need you upstairs now.

Elliot has just collapsed in theatre.

-He's having an MRI as we speak.

-Oh, God!

Yes, I know, Jac Naylor is handling the Q&A,

but she's got the people skills of the ebola virus,

so I need someone to smooth the fallout.

I'm about to go into theatre.

The event starts in an hour. Can you be there?

-Elinor! Elinor!

-Mum! It's not Elinor. It's not her.

-No.

-No.

Come on, let's get you back to bed.

Your office...now.

I'm not treating her. Mr Di Lucca is.

Mm-hm. Well, he seems to have been pretty thorough.

So, tell me, what exactly were her symptoms?

Her carer called in sick.

This is an emergency surgical ward,

you cannot have a dementia sufferer interfering with other patients.

Oh, go to hell, Guy!

Oh, and, er, by the way...

Martha Keane is dropping the action.

She was pressured into it by a claims lawyer, she's letting it go.

-And you know this how?

-You asked me to kill it - I have.

She agrees with my assessment, there's nothing

anyone could have done to have prevented her husband's fall.

It had better not get out that you've been talking with her.

Oh, don't sit there judging me with your pressed suit

and your little silk hanky.

I've been doing what a good Deputy CEO should do -

I have been protecting this hospital from a baseless accusation

while simultaneously saving the life of a vulnerable young woman.

I had no option but to bring my mother in today,

but I am very good at my job

and so very tired with your lack of respect for me!

OK.

Have your mother discharged.

Patch up that young girl.

I need your considerable abilities upstairs within the hour.

Deal?

Yeah.

Aaargh!

Aaargh!

OK, Mr Smith. Stop, stop. OK, please let go.

I don't want this. I don't want this.

Calm down. Stop, stop. Sit down, sit down, please.

Hold my hand. Hold my hand. Breathe.

I think Dr March might be correct.

I think you need reassessing. OK?

OK? But... Listen to me, listen to me.

A full body-skin removal -

that is going to require significant recovery time.

So even if... Even if it is approved,

-there's no way you can keep it a secret.

-He's right.

-Clara loves you.

-How could she love this?

If she means it, she deserves to know.

If she doesn't, then you accept that and you move forward.

But you cannot stay like this.

Can you?

-No.

-No.

So are you ready to show her?

-You are?

-Yeah.

OK.

All right, er... you should prepare yourself.

You OK?

Oh.

So...I'm alive?

I told them. They're going to make you take counselling.

I didn't want to have to do this. But...

You go running again and we're over.

You started running for me. Why won't you stop for me?

Because when I run...

..I'm not an invalid.

I'm alive, and nothing else makes me feel like that.

You can't even pick up a glass of water.

How are you going to run a marathon?

Go on, Justin! Prove us all wrong.

Wait, Professor Hope,

I'm under strictest orders to get you into bed.

Has the reception begun?

-Jac has your notes.

-You should be in bed.

Revised figures - I couldn't find them.

They're separate...somewhere.

BEEPING

Professor Hope, leave it, we have this.

Jonny, what have we got?

Pulse 160, BP 137 over 116.

Right, you need to calm down.

-Stop it!

-BP's still climbing.

-Justin!

-Ahhh!

And...BP is levelling out.

You really can't do this to yourself.

Actually, you can. But I'm not staying around to watch.

You can have me and a life and a family...or you can run.

But you can't have both.

I thought it was me.

I was starting to think you didn't fancy me, or...

I was just after your cats?

Is it disgusting?

It is completely horrific...

but will this mean you won't need as much deodorant?

Cos it was killing me!

Once you're of here, how about we combine litters?

Make our own cat cafe?

SHE LAUGHS

Hang on.

That arm can't wait and I think I'll get Psych to talk to him afterwards.

You were right on the need to reassess.

It's good work, you two.

-Thanks.

-For what?

For doctoring us both.

What are you going to do now?

Gym, then bed. Looking after myself.

I've got that chicken...?

Then it's a date, Dr Digby.

PHONE MESSAGE BEEPS

What's wrong?

There - deleted. Dealt with.

Mean boys mess you about.

You don't turn to cancer sticks and starve yourself.

-You come to Auntie Dom and he takes you dancing.

-I'll be fine.

Not taking no for an answer. We're going to Albie's.

I didn't know I could be trusted to be home alone.

I'll nail you to your chair.

Don't worry, it won't be for long.

-Oh, glasses.

-Oh, thank you.

Er, Serena, theatre's nearly ready.

Can you tell Mr Di Lucca that he'll have to take her.

I'm going to drop my mum home, then come back for the launch.

If Guy asks, I'm on my way up.

Come on, hurry up.

Ms Teo. Anticoagulants - would there any be any in rat poison?

It's a main component. Kills rats by making them bleed internally.

Gabbi Mendoza - she's been eating out of the skips next to this place.

Look, test these, see if it's present.

-Right.

-Thanks.

And Colette, um... tell Psych to hang fire.

I don't have the figures to hand on that.

As I said, I didn't design the device, so that question's defunct.

Well, I can only repeat myself so many times.

'This is Serena Campbell. Please leave a massage and I'll get back to you.'

Look, Professor Hope's been taken ill. It happens.

I'm in the same boat as you, I didn't build the thing.

However...

you are used to seeing patients die because a suitable heart

isn't available, or a donor's next of kin has removed permission.

I see that less and less because the Herzig works.

I know the man who built it, and he's a genius.

This is history being made here.

So it's up to you - drink up and go home or form a queue.

Where are you going?

You're only suspended until you're diagnosed. You're not dying.

Well, if I am, I can't stay here.

Guy can forward the results to St James's.

I'll go there in the morning.

How was the reception?

So thrilling I was gazing out the window

when I saw you making your escape.

I found the cost projections. This just might swing it.

-Please, Jac.

-Elliot, when I left,

the Saudis, three American delegates,

NHS West Norton and some Swiss private firm were vying

to be in the first wave. There's others, I left Guy talking money.

My performance?

Your toy works perfectly - you got dizzy gluing it in.

I made sure they knew that.

Despite my cold and impassive exterior,

I am moderately fond of you.

If you'd told me, I'd have helped.

Call this staying in bed?

Honestly, surgeons are the worst patients!

I hear the event's going well.

REALLY well. Good work all round.

-So, Elliot...

-No, no. Stay.

You have a pituitary tumour - what we call a macroadenoma.

Blood results show high random cortisol, but I'll have to do

more tests to see if this is a functioning adenoma, as I suspect.

So what are you saying? Prolactinoma? Cushing's?

-Hm, not bad for a Cardio hack.

-Is it fatal?

It doesn't have to be.

These types of tumours are benign, so if I remove it,

your symptoms should improve straightaway.

Thank you, Guy.

The operation's not without risk, but I hope to take it out

without any fuss, so I'll have you in within a week.

Need my best man to be at the top of his game to roll out the Herzig.

But you should inform your children straightaway.

I will.

But there's some other people who deserve to know first.

Thank you.

I thought you had to rush me home?

I'm just waiting to hear if I'm right about something.

-Ah, well?

-It's preliminary, but, yes, the food's riddled with it.

Industrial strength warfarin, most likely.

-Supermarkets probably lace the bins with it to keep the rats down.

-Thanks.

Gabbi? Gabbi, can you hear me?

I am so very sorry.

I should have believed you.

The bleeding was caused by the food you were eating.

That skip was full of rat poison.

I'm an idiot.

You weren't to know. My fault for not listening.

My, er...my mother's right.

I never make enough time for anyone.

She thinks you're amazing.

Kept going on and on about you. Made me wish I WAS Elinor.

Oh, now, you have done remarkably well

for someone of your age all on her own.

But you are going to need some help to recover.

Now, is there anyone we can call for you?

My Aunt Linda. She's on my phone.

Right. We'll give her a call for you.

Your phone's been ringing. It's Guy.

-Time we went home, Mum.

-Ah, at last!

-Right, see you later?

-Not tonight, you won't.

Send Guy my apologies, but I have more important demands on my time.

Of course, she might drive me insane, in which case I'll be right back.

LAUGHTER, DOOR OPENS

Oh, no, I said I'd come straight home!

Aw! Digs, I'm sorry.

No, never mind, it's still tepid, so it's all right.

I will go and see if we've got some booze to go with it!

Yeah, no, there's really only enough for two, so...

You did this for me?

Well, yeah, I was going to leave the skin on the chicken,

but I thought, after today, maybe not.

So, I heard from Jesse.

He doesn't care about me in the slightest.

Right, well, at least you can, er...you can move on?

Yes, there are plenty more boys in the pond.

No, what are you doing?! OK, OK.

Right. I'm seeing Maria. Do you remember?

-Mollusc girl!

-Yeah, yeah. OK.

This is stupid, isn't it?

Just drinking and sleeping around's not going to solve anything.

What do you expect me to do?

OK, I could have sworn I had a bottle of gin in my room!

Forget about it. Let's go.

-Go where?

-Go out.

-No.

-OK, I can do that. Digs?

-No. I don't think you should.

-Don't wait up!

Of course, I worked it out ages ago, it was the food.

Bravo, Miss Marple.

Are you sure you wouldn't rather go to this party tonight?

Oddly, I'd prefer a night watching

America's Grisliest Serial Killers and arguing about politics.

Oh!

-Do you need a hand?

-Oh!

Don't crowd me!

Come on, slow coach.

Sorry.

I'm going to go back upstairs - see if I can land a few more takers.

I want you to immerse yourself in this Herzig, OK?

Keep it ticking over until he's back to full speed.

If you're staying, that is?

Fine.

Guy? The staff at the party said you'd come down.

Serena sends her apologies - she's having problems with her mum.

-Quelle surprise!

-But I could mingle, represent management if you like.

No, thank you, Nurse Sheward. I've got all the help I need.

-LIFT PINGS

-'Doors opening.

'Doors closing.'