A Heart Man Holby City

-Looking good.

-As long as the real thing doesn't disappoint.

I told Harry it's not his baby.

Why did you do that?

You were right. We shouldn't find out. I want us to have a family.

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

-Elliot?

-Professor Hope, take a break.

I'm sorry.

Are we continuing, Ms Naylor?

Of course. Why wouldn't we be?

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

What did it show?

A growth. On the brain.

Mmm!

LIGHT SWITCH SNAPS

Bed.

CHAIR BUZZES NOISILY

-Bed.

-I can't sleep.

Natural predators.

Fascinating. Absolutely fascinating.

You know, I thought of becoming a palaeontologist when I was a boy.

You still could. After the op.

Or you could go on that road trip around America that you

and Charlie Fairhead are always talking about.

Or you could start that jazz band.

The world definitely doesn't have enough of those.

No, no. I'm a hearts man.

Scrubs on. Back to work.

That would suit me to a T.

Ah, here. Cute, fluffy seals being eaten alive?

Mr Self. I've booked Professor Hope's pre-op MRI.

Love the way you find joy in the simple things.

What's this I hear about you getting cold feet?

Thanks, Dom(!)

Speak up, people in comas didn't hear you twist my words.

I'm more than approachable, am I not?

I operated on someone I cared about once...

It wasn't my finest hour.

You won't need your smelling salts. Professor Hope is not going to die.

The doughnut that's going to get him has not yet been fried.

Now, watch out if Sister Javi offers you a bed bath.

She loves a man in jeans.

Is that who the chocolates are for, you old devil, you?

Oh, Emma made you a card.

Oh, fantastic. Young British artists.

Jac, look isn't that wonderful?

A sixth-month-old wrote words. Really?

No. But she is doing lots of things.

Well, I shall treasure it. Thank you.

We'll see you back up here after recovery. You'll do great.

Right. Bye, then. No wild parties while I'm away.

-Thank you.

-Bye.

Here we are.

Thanks.

Peppermint tea? Operation pregnancy well under way, I see.

And iron-rich roughage too?

-It was a pint of stout when I was expecting Elinor.

-Ssh!

Don't worry. Secret Squirrel won't breathe a word. Ssh.

Though I take it this time you've both got booked off this afternoon for the 12-week scan?

Right, well, we're going to need a good cover story.

I've got it. Code word "Zumba class" it is.

She'll be giving us Granny Campbell's placenta recipes next.

In just a few hours we can tell the whole world.

Make all this real, yeah?

Go on without me.

Right, we'll take an MRI now.

Then when we're in theatre we'll download it

on to a navigation machine, so we can pinpoint the tumour, blah, blah...

Don't know why I'm telling the basics to a Professor.

Very whizzy bits of kit.

Will your children be here?

No, I didn't want to worry them over a routine procedure.

Right. You will have someone, though?

-Yes. Jac Naylor.

-Oh.

She's quite the desert island comrade.

Capable of building rafts and foraging for food.

OK. Shall we?

Beam me up, Scotty!

Amy?

What are you doing?

Are you OK?

I'll get you some hydrosalts.

Why don't you just take the day off and I'll meet you at the scan.

When are you going to get real?

Professor Hope?

Professor Hope?

You nodded off.

Oh, I'm sorry.

Not to worry.

Patients ruining hundreds of pounds' worth of MRI footage, happens all the time.

The, er...

sorry, the magic of dinosaurs kept me awake on a school night.

OK. Let's go again, please, and this time with no motion artefact.

At least he hasn't fallen asleep this time.

Ah.

-That's...

-Yes.

Do you wish this wasn't happening?

No.

-You wouldn't change it?

-No.

Look, what do you want me to do? Leave you?

That is what men do, isn't it?

I mean, if that's what you want, do it now. Please.

Before we start making announcements and playing happy families.

Do you want to stop telling me how I should act?

The baby's here. Right here. Do you get it?

Please God, two arms, two legs and a face.

I do have a grasp of biology.

This child is going to be bang in the middle of us,

every day for the rest of our lives.

Do you really get it? I'm worried sick about this scan.

What if there's a problem? This child deserves all my worry.

All my care.

I can't be pregnant and waiting for us to fall apart too.

What you and he did means nothing. I know that.

Yep, who'd have thunk it?

I know, honestly, it's crazy. I can't believe it.

It's good, you did really well.

-Yes, he not just a pretty face after all.

-Well done.

-Cheers.

-What's this? Has Brown Owl given him his needlework badge?

I came 15th in the National Exams.

Ms Campbell wants to put me forward for the UCLA fellowship.

UCLA? Wow... Well done.

He's a dark horse.

Came out of left field and looks like he might just have

stolen your "hot young talent" crown.

Come on. Let's get on with the paperwork.

He'll be on another continent. This is what we want.

Ayuda, por favor. Ayuda!

Here we have an unconscious pedestrian from an RTC.

ED have done an FBC, Us and Es, LFTs, clotting, group and save.

Pelvic X-ray shows a shattered pelvis.

-Se esta muriendo?

-Move.

-Is she dead? Dying?

-Move.

KNOCK ON DOOR

-Mm?

-Sorry, did you...? Hi.

Oh, hi, Elliot. I trust you're rested after your MRI siesta.

Do take a seat.

I confess, I've been holding a flame for Doctor Digby to join the Darwin throng.

Neuro have the coolest toys.

Yes, but hearts are the miracle of life.

You can't have a brain without a heart.

The radiologist and I have studied your MRI.

I dipped my toe in Neurology in my student days.

Oh, really?

-Carry on. I'm curious.

-Barts Neurosurgery. '74.

It was like the Amazon to us - and I was Frodo of the Amazon.

The great unmapped human brain. The quest.

-What happened?

-Well...

No, no, no. no. It's OK, just leave it. Leave it, I'll sort it out later.

That's fine.

FYI, I'm afraid the MRI showed your carotids are very medial.

-Right.

-Obviously I'll remove as much of the tumour as I can

but with medially positioned carotids like this,

I'll have to take extra care to avoid a haemorrhage.

-Haemorrhage?

-It's not a risk that is modified, I'm afraid.

I shall just have to be on my "A" game.

Right, well, Thank you for letting me know.

Er... don't you have any questions before I talk you through the consent process?

Thank you.

ED fast scan shows shattered pelvis, kidney and lung contusion...

Kristina. Kristina.

Possible head injury. And a soppy boyfriend who isn't helping.

Look, could you move, please?

Doctor Tressler, please.

Sure. Excuse me. Can you come with me, sir? Please. Thank you.

BEEPING

OK, let's get into theatre.

Kristina. Kristina.

Look, just leave her with us. OK?

Raf? Any chance of a solo spot?

-Could really help my UCLA application.

-Scrub in.

Some bird is having a hissy fit downstairs.

Wonders why Elliot hasn't cleared her at reception?

Something to do with the Herzig - Patsy Brassvine?

Yes, erm...

Hi, Ms Brassvine, it's Jac Naylor.

It's an excellent idea. Mo, picture this for a get well present.

Scalectrix.

Because nothing says "fighting fit" like a really wee car

whizzing around a track that you made with your own two hands.

No, but Mr T's talking about getting a kitten for Professor Hope.

Look, he practically killed me

for first dibs on looking after Gary the dog.

Elliot?

How was the scan?

Yes, fine. Sorry, excuse me.

When a Paulette and Patsy come up, Elliot is not to know.

Colon's mobilised. Doctor Tressler, will you clip the artery?

You wanted a solo spot.

Yeah, sorry, I thought you meant mobilising the colon or something.

I've never done a trauma nephrectomy before.

It's UCLA. Not the St John's Ambulance.

Do you want to hold hands and get to know her first?

Now clip the vein and divide it with the Nelsons.

Stop.

Precise movements. No tension.

Sorry. I just couldn't get the right grip on it.

Congratulations. Your first trauma nephrectomy.

There's a medical innovations

and devices conference I've got to apply for in Munich.

Was the scan not good news, then?

I don't think so, no.

What did the MRI show?

Well, that's for the neuros to crack.

Meanwhile, I've got to get the Herzig up to speed for the Herrs and Fraus of Munich.

Elliot, you already applied for the pitch six months ago.

What did Guy say?

I'm a non-modified brain haemorrhage risk. He laughed at me.

What did he actually say?

I'm not really sure.

Did you not think it pertinent to listen?

What happened to Tara. This is completely different.

No, I'd never compare myself to that poor child. That was tragic...

The Herzig is so close to triumph.

I haven't even thanked my team. I've got obligations to my patients.

Patsy Brassvine. I've got an appointment.

I cancelled that. Do you want me to call Guy to explain the risks?

No. Not yet, thank you.

Cushing's disease isn't going away just because you want it to.

If wishing things away worked, then why is Mo still here?

Jac, please.

If you don't cure this, everything that you love,

your work - it's gone.

Ms Naylor. Those people are here.

I thought you'd taken the day off?

Just something I've got to do quickly.

Right, staying down here is not going to help, is it?

I know he doesn't mean to but Guy just makes me feel so silly.

Well, I won't let him. You're just going to go for a little chat.

-And you'll be...?

-I'll be right behind you. Ten minutes away.

So... Did that really just count as my first solo trauma nephrectomy?

Sure, if you'll put it on your UCLA application.

Ah, Ms Campbell wanted me to ask you

whether you'd be one of my referees for UCLA.

I thought she was summoning the bigwigs?

Yeah, no. She is.

But apparently it looks a bit dodgeville

if there isn't a shop floor referee.

Well, I'm chock-a-block all week. But I'll write something up over the weekend.

Actually, sorry to be a pain. We kind of need it for tomorrow.

MACHINE BEEPS RAPIDLY

90/60.

What's wrong with her?

She's tachycardic.

Ms Brassvine? We met at the Luton clinical presentation.

The time of my life(!) You'll recall I'm the European Development Manager

for the University Hospital Trusts Midwest.

We're trialling the Herzig in North America.

That's right - I knew you had a very important job title.

So he's sent the nurse to take the hit?

Professor Hope's a coward as well as a liar?

Professor Hope was a no-show for our fact-finding appointment.

He's poorly today.

Paulette was forced to track me down from a press release

because she'd lost faith in your end.

I'm here because our American Innovations Director takes

the safety of the Herzig patients incredibly seriously.

Professor Hope's Herzig surgery and aftercare were faultless.

Where is he? It's my kids who are suffering.

You go to the golf course and tell him.

Patsy. You're looking great as usual.

Paulette, hello. I'm Guy Self, CEO of this hospital,

Starship Commander of the Herzig Enterprise, if you will.

Look, I'm so sorry about the mix-up with Professor Hope's schedule.

It's really not on.

Thank you - thanks for making the effort to talk to me.

I'm sorry for getting emotional, it's just when you think you've

escaped death and then you wake up one day, back at square one...

I thought I could give my kids proper birthday parties this year.

Ms Naylor is one of our best.

She's at your disposal until we get to the bottom of your symptoms.

I'll arrange one of the registrars to examine Paulette.

According to our records, she didn't make her last appointment.

I'm needed on Keller.

I think patient care for our brave Herzig trialist is what

Professor Hope would rather you prioritised right now.

Her heart rate's going nuts. BP dropping as well.

Get the boyfriend.

No meds at the scene and nothing from the ambulance crew.

-Here?

-Nothing in ED. Just drugs for the operation and post-op medication.

-Pulse 120.

-Que pasa?

Does your girlfriend have any allergies?

No la dejen morir. Que le han hecho?

-Where's the interpreter?

-On their way.

-Allergies? Alergias? Si?

-No. Alergias? No.

-What about drugs? Droga?

-No.

-Pills? Medication?

-No. Stop dying. Stop now.

Any ideas? Harry?

I'm thinking. Illness?

-La enfermedad?

-Good.

-La enfermedad - tiene problemas del corazon.

-Corazon? Heart?

-Heart. Heart. Si.

-What about her heart?

-We're losing her.

-No. No. You mustn't die.

-No me dejes.

-Life isn't fair, I know.

Sometimes you have to man up and deal with the situation.

What is wrong with her heart?

Enfermedad de Addison. Addison disease.

Hydrocortisone.

Move!

RAPID BEEPING STOPS

Ah, Patsy. Have a seat. I'm so sorry about the mix-up.

Organisation is not Professor Hope's forte.

I trust that Jac Naylor has been more than her normal reassuring self?

Dealing with a gravely ill woman's missed appointment?

Drama queen or not - this is bad.

We have serious reservations about Professor Hope's leadership of the project.

Yes, well, he has been going through a period of illness.

But he'll be back to his jammy-doughnut-stained best very soon.

Why are we only hearing about his increasingly serious illness from you now?

Look, I'm sorry. I have to prepare for surgery.

I can't discuss Professor Hope's future today.

I came here to help him smooth over a surgical complaint.

And he's made it worse.

And to top it off, his health's on the slide.

Now if you want our American arm to roll out the Herzig...

..we will talk now.

We've had concerns about Professor Hope for a while.

Surgical trials are too litigious for sentiment.

He is a lovely man...

-And the Herzig is his life's work.

-He's a weak link.

Who may well have a Herzig patient's blood on his hands by the end of the day.

It's time to action his removal.

Doctor Digby. Just had one or two silly questions.

Mr Self's in his office.

I know...no harm in consulting the mind of our leading light, though, is there?

Is that my brain?

Yes.

Hello, brain.

It's incredible, isn't it?

Every memory over all these years, all stored on the head of a pin.

Well, not quite stored on the head of a pin, actually.

Memory depends on permanent changes in neural connections.

The pituitary gland's rather close to the carotid artery, is it not?

Precision neurosurgery - it's light-years ahead of where it was.

You're a very clever bunch.

There was something I noticed on the MRI.

This is going to sound a little bit strange

but you have unusually large frontal lobes.

I wasn't surprised at all, of course, but it reminded me of Einstein's brain.

I don't know about that...

Well, you know. 30 years at the head of CT, transplant.

You know, you've invented a stent. You don't stop.

It's good to have been of some use.

'The scans do show'

bleeding in your pelvis.

This may be due to the Herzig battery pack becoming detached,

which is why you've been feeling faint.

I knew a miracle cure was too good to be true.

He didn't cure me, did he? He doesn't care.

Paulette. Have you been taking your warfarin as Professor Hope directed?

Yes. Just like I was told.

Do you think I don't want to get better? I'm on Mumsgate.

You think four walls can shut me up? Elliot Hope is dangerous.

Back up. He missed one, informal, unscheduled chat with Patsy Brassvine today.

It was you who missed your last clotting clinic.

I missed it because he didn't show up to the one before.

Look, why don't you listen?

He didn't show up to my appointment last month.

That's why I went to Patsy. Don't you get why I'm fuming?

I'll take her into theatre as soon as there's a slot.

Do you think that's wise? She's an unsettled safety complaint.

You wanted me to sort it - I'm sorting it.

-KNOCK ON DOOR

-Not now.

Sorry, Guy. Do you think we might be able to have a chat later?

Professor Hope, please do come in.

Actually, I've had some...

Sorry, may I go first?

I don't think I ever fully decided that

I wanted this operation to happen.

I mean, having your mind cut into.

It's not, it's not something that you should be sleepwalked into.

Or maybe it is?

I've often thought that the luckiest patients were those who had

been brought in unconscious. Eternal sleep or cure?

Elliot?

Sorry. I'm afraid I didn't quite take things in at our last meeting.

The carotids being medial..?

Yes, I just have to take extra removing your pituitary tumour.

And we just have to be mindful of the medial carotids

because of the risk of a haemorrhage.

-I'm sorry if I didn't make that clear.

-Lovely, thank you.

However... I have been made aware of your overnight obs.

And your blood pressure.

Goodness. That's high.

Yes, it's not unusual with a patient who's anxious about an operation.

I just think with your history of angina, it's probably

not in your best interests to have the operation today.

But I've built myself up now...

I've got patients to treat. I've got work to do.

The Herzig's at a crucial stage.

Jac's already cancelled my meeting with Patsy Brassvine.

Yes, that's all very noble, Elliot, but you really don't have to rush back to work here.

But I've so much to do. Leading Darwin, the Herzig.

Are you putting me on scrap heap, Guy?

No. Of course not!

I just don't think you should have the operation today.

I do think you should talk to your children.

They've got nothing to do with this.

The fact that you haven't spoken to your children shows

that you don't seem to have come to terms with having the procedure.

I want to have the operation today and resume my duties as soon as possible.

Elliot. I'm really not happy with your blood pressure.

I've made my decision. You do what you need to do.

Jane, could you please dig out

the Intellectual Property Rights contracts for the Herzig.

Thank you.

Addisons Disease. You saved her life, you know?

You were a bit in shock before.

Yes. I feel nothing. My English, I forget.

She can't die.

I love her.

Kristina's medical notes. Not much to go on, I'm afraid.

She's only been here a few months.

And we haven't got her Spanish history so...

So you moved here together?

From Spain. Yes. For work - nothing much back home.

-Not much here too.

-Who's her next of kin. Is it her mother?

Pilar. In Sitges.

Will she be needing a translator?

I'm sorry?

A translator?

Pilar is dead now.

Oh. Is there anyone else that we should call?

-No.

-You're sure? No-one at all?

She doesn't want that. People don't like us.

What people? Why?

Does this have something to do with the hit and run?

No.

Well, the police are here to speak to you.

They've caught the driver but they still need to take a witness statement.

And if there's anything else you need to speak about?

People don't like us. She doesn't want police here. We don't want help.

OK, OK, pal. The police can wait.

Heart rate more normal now.

That "me and Kristina against the world" shtick - it's a bit creepy, isn't it?

That man came this close to losing everything.

But then you wouldn't understand that.

You ready? For the appointment?

Zumba class. Just a Zumba class.

It's just a routine brain surgery... there was no point worrying you.

Er, blood pressure's a little bit high.

And my artery's in a tricky place but... You know me.

Always living on the edge.

Martha's on her travels so if you get this, it would be lovely

to see if you wanted to pop in this afternoon.

Don't go to any trouble.

I love you both very much.

Ms Campbell thinks Harry has a real shot at being her superstar in LA.

She's summoning the forces.

Yeah, she's got me jumping through hoops too.

I'm the "shop floor" reference.

The humble mentor who's been blown away by his potential.

But America's a long way away.

So I'll write him a glowing reference.

I love you so much.

I'm not going to let this destroy us.

Sorry to have kept you waiting. Anyone looking for a baby?

Hi. Patient Hope reporting for duty.

Just a few choccies for my keep.

Oh, Elliot.

Is Ms Naylor here?

No.

We were beginning to think you'd run away to work on your music.

Call the paparazzi - it is Elliot Hope in this season's must-haves!

Welcome!

So we had to go 12 rounds with the ward manager

but the Presidential Suite is all yours.

Your gown, Sir. There you go.

Ah, lovely.

SACHA MIMICS A FANFARE

For me? You silly sausages.

Thank you.

I'm told you've lost your solo trauma nephrectomy cherry?

Need to step up to the plate if I want the UCLA fellowship.

A carrot, not a rod man? Duly noted.

Oh, by the way, the police want to chase up the boyfriend's witness statement.

Yeah, Raf says he's not ready.

Really? Oh, well. It's Mr Di Lucca's case.

Maybe he's going all mother hen on us for "personal reasons".

-They told you?

-Well, how come you're in the loop?

-I'm not.

-It's no secret.

Lou. Tell whoever organises these things we need a card round robined.

PHONE RINGS

Pero por que me haces esto?

Oh! It's from Donna and Kieran. Lovely couple.

Yes. Can I be Robin?

Er, is Dr Joseph Byrne from this century?

You're kidding me. He didn't sign it "Dr Joseph Byrne", did he?

Bet he's sexy and doesn't know it.

Well, he learnt from the master.

-Tickets...

-Two tickets to Status Faux.

Well, you never know your luck, you might not be on your feet in time.

"For when you're rocking again. Love, Charlie." He loves his Quo.

Open this one. It's heavy.

"An incentive to get better. I've perfected the recipe.

"Faithfully, HH."

It's Hanssen.

Baklava.

I miss him.

"Get Guy to dust out the cobwebs while he's in there.

"With love, Connie."

Connie, don't you sound lovely?

All these lovely presents and cards. I'm so touched.

Well, we need the hearts man to get better, don't we?

Would it be possible to let Ms Naylor know that I'm here now?

I think we must have missed each other.

Yeah. Yeah, I'll chase her up.

Come on, let's get your cape on.

ELLIOT HUMS THE BATMAN THEME

Very nice. Your consent form, Professor Hope.

Brain surgery? You just leave me a message?

What is this?

Let's try and get a clear view of your baby, shall we?

Come out, come out, wherever you are!

MR THOMPSON LAUGHS

Your last patient didn't make it, then?

Oh, what, the bone? No, no, that's for Gary.

-Gary?

-Yeah, Professor Hope's pooch. I've been looking after him.

I'm a cat man, myself.

Catman! Meowwwww!

I've been pitching a kitten as Elliot's get-well pressie.

Oh, hello!

Ah! There's your baby. Congratulations.

Is that the head?

One of them, yeah.

-LAUGHS

-Sorry, that's my little joke.

Er, two little legs, two little arms

and a little face there, look.

Hello, little one.

Oh, he's doing the rumba, look!

Beautiful.

Got a strong, regular heartbeat as well. Listen to that.

-HEARTBEAT

-Hey? We're fine.

Have you thought about any names at all?

Look, I'm sorry, I've got a post-op patient to get back to.

Sorry.

Everything appears to be developing normally.

I'll print you off a couple of scans,

but I think you're safe to celebrate.

My mother's going to be so happy!

Hey, look, if there's anything you want to discuss at all,

just know that it will be in absolute confidence.

Thanks.

But we've talked. Everything's fine.

This is worse than we thought.

Better let Mr Self know we might have an issue.

Everything's fine. The team are looking after me.

I'll be back fighting fit on Darwin in no time.

You are not ready. If you were ready, you'd have called us.

-Who's pushed you into this?

-I am ready.

I'm not. Martha's not.

How could you not think about us?

You're having brain surgery. You have a tumour.

-Why didn't you even tell us?

-I tried.

-No, you didn't!

This operation, James, is the only way to cure your father.

Sorry, do I know you?

-James!

-Do I have to speak through your work buddies now?

Are these the people that will be looking after you

if you're brain damaged?

No. They're just like you. Think they're so clever and brave.

Come on, what was going to happen, then?

Were we just going to get a phone call

saying that you'd died on the operating table?

Or that you were so brain damaged that they just switched you off

and that was it?

Precision neurosurgery is light years ahead of where it was.

It's a big adventure!

It took a lot for your dad to build himself up for this procedure.

Now, as I said before, it is the only cure.

Dr Digby?

OK. Time for pre-op clerking.

Unless, erm, you're thinking of delaying.

Jac Naylor? She said she was ten minutes behind.

Of course. Why talk to me when you've got her(?)

Right, er, well, do you want me to chase her?

Or get someone who's never met her to chase her?

OK, Team Keller, please, Team Keller.

Can you prepare for pre-op clerking?

And can you bring me Jazz FM?

Right...

Erm, yeah, it's just Mr Self's busy in a Darwin theatre crisis

and so I am actually in charge of clerking.

Yeah, you heard the big man. Get the laptop.

DOOR OPENS

She looks happy in her sleep. I'm happy for her.

I know you're protecting her from something. I just want to help.

I can't live like this any more.

Live like what? Whatever it is, you don't have to.

-She makes me.

-KNOCK ON DOOR

We've been summoned to the staff room.

Excuse me.

The crazy summer of 1984. Had my appendix out.

But that trippy juice

will make you play guitar riffs that will just blow your mind.

HE IMITATES JAZZ RIFF PLAYING ON RADIO

You hear that, Elliot?

You'll be teaching that Status Quo tribute act a thing or two.

Well, that's not hard. Chocolate?

-Status Quo. Who are they?

-Ah! James, did you hear that? Scandalous.

First song I ever taught you. Rockin' All Over The World.

-Ooh, the girls must have loved you(!)

-On recorder.

LAUGHTER

Very well managed, Dr Digby(!)

This is not a school disco. Everybody out.

-For heaven's sake, Guy.

-They're no trouble.

-Come on, Elliot doesn't mind.

-Look, will everyone please leave?

My patient's clerking in.

Thank you.

I said I wanted them here.

Guy, I won't be bullied by you. I won't...

Elliot?

ALL: Congratulations!

You fainted.

I'm sorry I got a little cross with you.

So am I. Don't worry. It's quite common.

Yes, it is, isn't it? I'd forgotten that.

The hospital looks so different today.

Well, today, Professor, you are a patient.

Would you like a pre-med? Helps with the nerves.

No, no, no, no, no.

I had a little wacky baccy once. Party. '76.

No, made my head feel fuzzy.

Guy, please don't take my work away from me.

No, of course not.

You know...

you never finished telling me about your time at Barts

in neuro rotation.

The great adventure into the mind?

The neurosurgeon told me there was no such thing as a mind, just an...

an organ called the brain.

-Ah! So you became a heart man?

-Mm.

I saw a heart giving life back to someone.

No fuss. No secrets. Just a humble beat that made him live again.

Well, you have saved plenty of lives.

And my work...has saved me, too.

When my wife died...

..life held very little for me.

But I worked and I worked and I perfected the Herzig.

And I knew then, as long as I was of use, I could find joy again...

..even though I was all on my own.

So, you ready for this operation, then?

It's a horrible feeling...

..waiting for something terrible.

I've often found...

when the loss comes, it's a relief to the ones left behind.

Well, if it makes you feel any better...

my position here will be untenable if I harm a hair on your head.

You are the most loved man in this hospital.

I'm sorry. I forgot to consider the pressure that you're under.

Don't consider it.

Ready?

Ready.

Thank you.

-You're going to make fantastic parents.

-Thank you so much.

-That's my boy!

-Lucky boy.

You'll be able to tell him

you once worked with the Nobel Prize-winning Dr Tressler.

Of course, if he's really lucky, he'll be a she.

I couldn't care less. I just want them to finally get here!

Life's never the same once you see that blue line.

Nothing compares with that tiny person you've made.

Yes.

It's more than that. It's a dream.

It certainly is.

Our star pupil, Dr Tressler, you two getting pregnant.

We are a dream factory.

I'm not in UCLA yet.

Oh, you'll be all right.

And I think you have a certain lovely lady

to thank for the private tutorials.

Yes, thank you, Amy. And congratulations.

Yes. Everyone, to Amy, Harry and Raf.

Congratulations. You have done us proud.

-ALL: Cheers!

-Well done.

It's Kristina! Please, quick!

Paulette's INR is eight.

She's been taking triple the amount of warfarin prescribed.

She's to blame for the battery fault, not Professor Hope.

She failed to attend her last clotting clinic.

I checked the records,

and Elliot didn't miss the previous clinic, as she claimed.

She was 40 minutes late, so she lost her slot.

I'll be delighted to pass the good news on to Mr Self.

And I'll see you at the next trials.

How can I dumb today's events down

to a level that Patsy and the Americans will understand?

My CEO follows the Herzig's development very closely.

He was very impressed with your procedure last week.

Professor Hope's?

Not so impressed.

Get it off your chest.

My boss is committed to the Herzig.

He wants whoever's best placed to ensure its success to lead it.

He's very impressed with you.

And when I tell him how you nipped the Paulette issue in the bud,

well, his admiration will only grow.

Try and steal the Herzig from Professor Hope

and I'll use this meeting

as evidence of intellectual property theft.

Don't test me.

My direct line. When you wish to talk.

Phone her mother. Pilar.

OK... Hasn't she been called already?

-I don't think so.

-Right.

Sats 73 and 100% oxygen.

I can read the machines, thanks.

It must be a mucus plug.

Suction.

I go now. Tell her goodbye.

No, you should stay. Wait outside.

Your girlfriend needs you.

It's an elective. You can delay. Why wouldn't you want more time?

Time for what?

To be my dad for a bit longer!

James, I have a brain tumour. It's going to get worse.

Worrying about this day arriving is going to cause you pain.

Useless pain.

I can take a deep breath and do this today

and be your dad again.

James, don't ever think I don't love you with all my heart.

You and Martha are my treasures. I miss you every day.

I always miss you.

I just...

I just wish I could have spent more time with you.

We've just lost Mum.

Well, feels like it.

I know.

Without this operation, I'll die.

This disease is stopping me doing all the things that make me happy,

my work...

Can't you delay? They can do the operation next week.

Please.

James, everything your mother gave you, every cuddle,

is safe, right there in your memory.

-And when I go...

-Don't say that.

..whenever that may be, all my cuddles will be safe too.

The mind is a wonderful thing.

And today...

..I've got to make my mind better...

..so that your mum can stay right here with me...

..and I can still have the privilege of being your dad...

..and of being some use in the world.

Jac was right. Without this operation, I lose everything.

Sats are still falling. 64 now.

I think we should get the police to speak to the boyfriend.

The witness statement can wait.

Well, he tried to leave. I mean, it's a bit weird, isn't it?

For whatever reason, he is scared.

Now is not the time to make things worse.

And can you not contradict your senior doctor, please?

Elliot!

Jac...

I thought I'd missed you.

I just, er... I couldn't get away.

Well, I know how busy things can get.

Look, there's nothing to worry about. It's safe.

Guy knows what he's doing.

It'll be what it'll be.

Jac, you have it in you to be a fantastic mother.

Emma loves you so.

Her stats are in her boots.

The ET tube's slipped down into the left lung. Listen.

You're right! There's no air entry.

I'll ease back the ET tube.

I think you'll find that this is my procedure.

Look, can you just get out?

I've, erm...

I've prepared some words, if you don't mind.

Please.

"I do not think there is any thrill that can go through the human heart

"like that felt by the inventor...

"as he sees some creation of the brain unfolding to success."

Nikola Tesla?

My legacy, the Herzig...

..if I'm not around...

I entrust to Jac Naylor.

Of course.

You warned me about my carotids, blood pressure.

Don't feel bad if there's a misfortune.

Thank you.

And if an old man may offer some advice...

..if things should get tricky...

don't do something special for me. Do what you do every day.

So, he'll be under by now, won't he?

You know, Emma loves glitter. Or anything sparkly, really.

And Saturday's the day I usually take her to the park,

and if you were ever...

-We'll arrange something.

-OK.

Right...

I'll get the pharmacist to come and remind you how to take warfarin

in case "one pill a day" isn't quite obvious enough.

I'm sorry. But it was so good to feel better.

I got muddled with the pills.

Well, you didn't ruin the career of the man who saved your life.

No harm done.

-You pushed him!

-Excuse me, not in here.

Did you not think he might want to spend more time

with me and my sister?

I was trying to help him.

You were trying to help him?

"Oh, Jac needs me. Poor Jac can't cope.

"Poor Jac treats her kid like she's dead."

You're a mum?

Yeah, that's right. He tells us everything about you.

And your demands.

You actually believe that you matter? You don't.

Dad pities you.

"My girlfriend, Kristina." No, no, "My wife, Kristina".

Mi mujer.

"Hola. This is my wife."

"Such nice couple!"

Are you all right?

I'm just waiting for my...

Yes.

Digby, take over the endoscope, please.

Pituitary rongeurs and curette.

Still some more...

tumour...

..to get to.

Damn!

LOWPITCHED BEEPING

Mr Self?

Venous bleed. Get me some Surgicel.

Suction.

Quickly.

Digby, concentrate. I can't see a bloody thing.

Sorry. I'm so sorry.

It's still bleeding.

-So sorry, Professor Hope.

-Either calm down or leave.

This is what we do. We get control.

Mix some Floseal.

Will you call the patient's mother, please?

I don't know why she wasn't called before.

He said her mum was dead.

I don't think so. The boyfriend's just asked me to phone her.

This is for you.

Ah, thanks.

Thought we might have the neighbours round tonight, make the announcement.

You treat me so much better than I deserve.

Hey, if there's this great opportunity

to pack him off to America, who cares if he deserves it, right?

Yeah, of course.

-I'll call Mike and Becky, then, yeah?

-Great!

HE SIGHS

You OK?

When will she wake?

Soon, hopefully.

Look, is there anything that you want to tell me?

Congratulations. You're going to be a papa?

Yes. We're delighted.

My wife and I want children.

You're married? I'm sorry, I thought you were boyfriend-girlfriend.

-No, we're married. Two years ago.

-Good for you.

Raf, can I borrow you a second?

I've just been on the phone to Kristina's mum.

Her mum's dead.

No, she isn't. I've just been speaking to her.

She said Kristina has had a stalker for years.

He's followed her here from Spain.

He must have been there when she was run over

and pretended to be her boyfriend.

Er, excuse me...

'Right-angled curette.'

He could develop a post-op clot.

The bleeding has stopped.

Removing the last of the tumour.

That's a CSF leak, isn't it? Oh, my God.

His memory. He's really worried about keeping his memories.

Dr Digby, the sixth-form poetry is not useful.

Fat graft.

Forget it's Professor Hope.

I'll take over.

Glue.

Digby, insert a lumbar drain before Professor Hope leaves the theatre.

Pity we couldn't get that last bit of tumour.

"Pity"?

Damage limitation is a success.

If you want the miracle of life then you'd better become a heart surgeon.

It's all been lies?

She makes me chase her, then she screams.

She makes me do it. She knows what she's doing!

Don't you blame her, you pathetic, deluded creep.

I believed you loved her.

I'm not going to say "I told you so"!

Don't talk to me.

Look, Raf, I was nominated for UCLA fair and square.

You're a mediocre surgeon.

You probably wouldn't even be here if it wasn't for your daddy's money.

I'm not interested in Amy.

I'm not interested in wrecking your marriage.

I'm not the one who cheated on you, Raf.

Hey!

Elliot's doing really well.

Yeah. Brave man.

Essie...

Do you like...going to the cinema?

Are you asking me out?

No! Goodness, no.

We want Jac Naylor to move the Herzig going forward.

She's shown the token moral outrage,

but I've seen more sentiment on a rusty razor.

Yeah. May I remind you that Professor Hope is still in recovery?

Yes, he's a wonderful man. But...

..we're not a charity.

No.

Just need to get my neuro skills signed off for the dean,

-if you have a second.

-Thank you for your help today.

I am aware that operating on a colleague is challenging.

Yeah.

Right, am I being dropped?

As Professor Hope pointed out, you are a surgeon of sensitivities.

I'm afraid you won't be continuing your training on neurosurgery.

Chin up, Arthur. You don't want to be on his team, anyway.

Yeah...

It seemed like he really loved her.

Yeah, some would say that's stalker clue number one.

Let's leave it at that.

Oh, Dr Tressler's reference on my desk first thing, please.

Dr Tressler isn't ready for this fellowship.

Oh, come on now, Raf.

Don't let professional jealousy get in the way of his career.

This isn't personal. He's promising, but he's easily distracted.

-He makes stupid mistakes.

-You didn't have any qualms

about letting him lead a trauma nephrectomy.

Which he failed.

What?

I covered for him as a goodwill gesture.

But later, I had to throw him off my RTC case.

If you throw him in at the deep end at UCLA,

it could be embarrassing for us and unfair to him.

KNOCK ON DOOR

Erm...

what Dad told me about you and your kid...

..he didn't say it like that.

Why would I care what your dad says?

I gather you and Patsy have discussed the future of the Herzig.

If I were you, Jac, I'd give her ideas some serious thought.

I really would.

You've earned it, soldier.

I've called Mike and Becky. 8.30 all right?

Look, I'm tired.

Oh.

Do you want some help with the reference?

You know, you shout, I'll type.

Harry's not going to UCLA. He's staying right here.

On AAU.

OK?

Elliot, can you see me?

Elliot?

Yes.

I can see you.

Good.

So, back to work tomorrow, then?

Don't encourage him. He'd live here if he could.

There was one tiny piece of tumour that we couldn't reach,

but it shouldn't give you any problems.

If it does, you just let me know.

Thank you.

Welcome back, Elliot.