0:00:40 > 0:00:43Ah. There's your baby. Congratulations.
0:00:45 > 0:00:47My boss is committed to the Herzig.
0:00:47 > 0:00:50He wants whoever is best placed to ensure its success to lead it.
0:00:50 > 0:00:51He's very impressed with you.
0:00:51 > 0:00:54Dr Tressler isn't ready for this fellowship.
0:00:54 > 0:00:55It could be embarrassing for us.
0:00:55 > 0:00:59- Zosia, it's over!- I love you!
0:00:59 > 0:01:02I'm afraid you won't be continuing your training on Neurosurgery.
0:01:06 > 0:01:10Try not to look like a child who has lost his mother in the supermarket.
0:01:10 > 0:01:11Look, Zosia,
0:01:11 > 0:01:14fun as this is shaping up, I would quite like to get to the
0:01:14 > 0:01:16canteen before they run out of tuna sandwiches.
0:01:16 > 0:01:20OK, we're rolling. Be quiet. Interview 3.
0:01:20 > 0:01:24Behavioural therapy, releasing your past, dealing with your present.
0:01:24 > 0:01:27Now. Talk me through an event in your life.
0:01:27 > 0:01:30One that significantly changed your outlook.
0:01:30 > 0:01:33I don't know...erm...
0:01:33 > 0:01:38Well...last week's a good example isn't it? The end of term?
0:01:38 > 0:01:43That was...a lively day, wouldn't you say?
0:01:54 > 0:01:56Urgh!
0:02:04 > 0:02:07Spoiled milk can lead to Salmonella and E-coli.
0:02:07 > 0:02:12And Listeria and Campylobacter if I'm not mistaken.
0:02:12 > 0:02:16This place is a landfill. I mean, look at that.
0:02:16 > 0:02:18"Advances in Neurology."
0:02:18 > 0:02:21Well, you're not going to need that anymore, are you?
0:02:21 > 0:02:23Some way to finish the year, huh?
0:02:23 > 0:02:25- Last year of term, let's get it over with.- What's that, Arthur?
0:02:25 > 0:02:29You're making bacon sandwiches for everyone? How thoughtful.
0:02:29 > 0:02:33Yeah, no. No, because I can't actually even make a cup of tea.
0:02:33 > 0:02:36Ooh! Who's is this?
0:02:36 > 0:02:38That's mine. Leave it.
0:02:38 > 0:02:41I'm trying clock-up 50 hours of material for my psych portfolio.
0:02:41 > 0:02:43Morning.
0:02:43 > 0:02:44Morning.
0:02:47 > 0:02:49- Hope you're not too tired? - No.
0:02:51 > 0:02:55- Wait, wait. - See you later.
0:02:55 > 0:02:57And he is...?
0:02:57 > 0:03:01I want to say Jason. But I think it's James.
0:03:01 > 0:03:04I'm surprised your bedpost has room for any more notches.
0:03:04 > 0:03:09Oh, I've got a wall-chart now. I can keep a much more accurate tally.
0:03:09 > 0:03:11Ooh. Nice stunners.
0:03:12 > 0:03:14I didn't buy them for me.
0:03:14 > 0:03:16Oh. It's his loss, Zosh.
0:03:21 > 0:03:24- Look. Just you so you know... - Harry's back today?
0:03:24 > 0:03:27Oh. So, you're in the loop.
0:03:27 > 0:03:30It's been nice not having him in our faces, hasn't it?
0:03:30 > 0:03:32Yes.
0:03:34 > 0:03:37- You ruined his career. - Hardly.
0:03:37 > 0:03:41Morning, Doc! You seen this?! I wore it special.
0:03:41 > 0:03:43Patrick "The Grenade" Grenville wore this
0:03:43 > 0:03:46when he KO'd Jimmy Rushent for the Super Welterweight Belt.
0:03:46 > 0:03:49- Very nice. I'll be with you in a minute.- Made a friend?
0:03:49 > 0:03:52A carotid endarterectomy that I'm booked in for.
0:03:52 > 0:03:55Look, I'll admit, that when they eventually write
0:03:55 > 0:03:56my glowing obituary
0:03:56 > 0:04:00they probably won't mention this particular blooper,
0:04:00 > 0:04:04but I don't see why we can't just move on and get back to...
0:04:04 > 0:04:06To what?
0:04:06 > 0:04:09To how things are meant to be with us.
0:04:09 > 0:04:12And re-routing Harry back to AAU would support that theory how?
0:04:12 > 0:04:16I thought the whole point was to get rid of HIM to make our lives easier?
0:04:16 > 0:04:19All YOU had to do was write him a reference.
0:04:19 > 0:04:23So you think I've cut off my nose to spite my face, is that it?
0:04:23 > 0:04:24Your words.
0:04:24 > 0:04:26You need to show me you're capable of moving forward
0:04:26 > 0:04:30and that you're committed to me and this baby.
0:04:30 > 0:04:33Look, I get it. And I'm on it, I promise.
0:04:33 > 0:04:35I'll show you.
0:04:37 > 0:04:38Hi. Morning, guys.
0:04:40 > 0:04:44Right. Big day today, so let's go out with a bang.
0:04:44 > 0:04:48Yes? Give it some wallop. Arthur, can I have a word, please?
0:04:55 > 0:04:58There is life after Neuro, you know.
0:04:58 > 0:05:00No, no, I know. I do.
0:05:00 > 0:05:02In fact I'm thinking that in the long wrong run -
0:05:02 > 0:05:05a general surgery placement is going to be better for me.
0:05:05 > 0:05:09Oh, wow. That's great. That's...that's great.
0:05:09 > 0:05:14Now, your time on Neuro has meant you've lost some GS air miles, OK?
0:05:14 > 0:05:17Which means you need to bolster your GS portfolio, OK?
0:05:17 > 0:05:23- Right.- So I just need to see exceptional ability in all areas.
0:05:23 > 0:05:27- OK?- OK.- OK, good.
0:05:32 > 0:05:34Can I help you?
0:05:34 > 0:05:39Cut from the same cloth, you and I, Ms Naylor.
0:05:39 > 0:05:43You exhibit a drive and single mindedness
0:05:43 > 0:05:45that appeals to people at the top
0:05:45 > 0:05:47because people at the top have it themselves.
0:05:47 > 0:05:50Can you cut to the punch line, Mr Self, I have a ward to run.
0:05:50 > 0:05:53How would you like to do that full-time?
0:05:53 > 0:05:55Painful though it is to admit,
0:05:55 > 0:06:00our dear Professor Hope is fast approaching his sell-by date.
0:06:00 > 0:06:06And I have targets to meet, so it's hunting season, I'm afraid.
0:06:06 > 0:06:10I would like you to lead Darwin and the Herzig campaign...
0:06:11 > 0:06:13- The answer's no.- Why?
0:06:13 > 0:06:16Think of what would be at your disposal.
0:06:16 > 0:06:18Because I refuse to impale a spear
0:06:18 > 0:06:20between Professor Hope's shoulder blades
0:06:20 > 0:06:21and frankly I resent...
0:06:21 > 0:06:26Being flattered sideways, offered a promotion? More money, more power.
0:06:26 > 0:06:28As I said, it's a no.
0:06:28 > 0:06:30What I really want is a spare pair of hands.
0:06:30 > 0:06:33I have a pulmonary endarterectomy this afternoon.
0:06:33 > 0:06:35And as you know, Professor Hope is laid up.
0:06:35 > 0:06:40OK. I'll see what I can rustle up.
0:06:43 > 0:06:44Thank you.
0:06:48 > 0:06:53Born in Boston, Massachusetts, in February '88 which would make him...
0:06:53 > 0:06:5526.
0:06:55 > 0:06:57Well done.
0:06:57 > 0:07:00OK. Mr Farnum. I'm Dr Digby. Are you diabetic?
0:07:00 > 0:07:02How we doing?
0:07:02 > 0:07:0526-year-old male found collapsed on the street
0:07:05 > 0:07:08with feverish symptoms and abdominal pains.
0:07:08 > 0:07:10Good. Thoughts?
0:07:10 > 0:07:14Er...possible gastroenteritis or other infection.
0:07:14 > 0:07:17It's on the list, but it's not at the top. Dr March?
0:07:17 > 0:07:20High core temperature, which could indicate an appendicitis.
0:07:20 > 0:07:23Good. Arthur, how do you want to proceed?
0:07:23 > 0:07:29Erm... Right, FBCs, ABGs, chest and abdo X-rays.
0:07:29 > 0:07:31Oh, thank you.
0:07:31 > 0:07:34Mr Levy. You're wanted on ED.
0:07:34 > 0:07:36Thank you.
0:07:36 > 0:07:42Just so you know... If someone were to try and ask me out again,
0:07:42 > 0:07:44they might be surprised by the outcome.
0:07:44 > 0:07:47Pleasantly surprised?
0:07:49 > 0:07:52- Do you like seafood? - Apropos of...?
0:07:52 > 0:07:56It's just a useful thing to know about someone.
0:07:56 > 0:07:58Mmm.
0:08:05 > 0:08:08Arthur, all of those things might lead you nowhere,
0:08:08 > 0:08:11so thinking cap, get it on.
0:08:11 > 0:08:13- OK.- OK.
0:08:17 > 0:08:19Morning, morning.
0:08:19 > 0:08:21Pop quiz.
0:08:21 > 0:08:25Transurethral prostatectomy remains the treatment of choice for...
0:08:25 > 0:08:28Uh... Symptomatic benign prostatic hyperplasia,
0:08:28 > 0:08:31unless the prostate is large enough to warrant the retropubic approach.
0:08:31 > 0:08:33Excellent.
0:08:33 > 0:08:35What's the most important rule of Advance Trauma Life Support?
0:08:35 > 0:08:37I really should know this one.
0:08:37 > 0:08:40Assess, reassess, and reassess again.
0:08:40 > 0:08:41Argh, I KNEW that!
0:08:41 > 0:08:44Procedure for a subtotal thyroidectomy?
0:08:44 > 0:08:46Erm...
0:08:46 > 0:08:48At ease. You did well.
0:08:48 > 0:08:51And I know you must be disappointed about UCLA.
0:08:51 > 0:08:54Well, you take the "Raf" with the smooth, right?
0:08:54 > 0:08:56It's a joke.
0:08:56 > 0:08:59You know, for a second I thought that you'd had a hand in it.
0:08:59 > 0:09:02- But I'm just being paranoid, right? - Yeah, that you are.
0:09:02 > 0:09:04Anyway, it is what it is, so let's look to the future.
0:09:04 > 0:09:07If you put the work in, there's no reason why you can't step up
0:09:07 > 0:09:10and have another swing at the Fellowship.
0:09:10 > 0:09:12There could be a bleed in his digestive system.
0:09:12 > 0:09:13I'm thinking gastroscopy.
0:09:13 > 0:09:16What do you say to a blow-out of epic proportions? A house party.
0:09:16 > 0:09:18Can we focus, please, guys?
0:09:18 > 0:09:20We'd have to actually clean the house if we did that.
0:09:20 > 0:09:23- Not that house. (This house.) - You're an evil genius!
0:09:23 > 0:09:25Right, if they were handing out awards for terrible ideas,
0:09:25 > 0:09:27this would be RIGHT up there, so...
0:09:27 > 0:09:29OK, Mr Farnum, your notes say
0:09:29 > 0:09:33you've recently had an MRI and an Ultrasound.
0:09:33 > 0:09:38Yeah. That was to check that I don't have an arteriovenous malformation.
0:09:38 > 0:09:39Sorry, a what?
0:09:39 > 0:09:42AVM. An abnormality that doesn't show up on Earth,
0:09:42 > 0:09:45but in space...
0:09:45 > 0:09:47I'm starting a course at The Kennedy Center to
0:09:47 > 0:09:51train as a prime contractor for NASA's Space Station Program.
0:09:51 > 0:09:55- You're an astronaut?! - No. Well, not yet anyway.
0:09:55 > 0:09:59I mean, the odds of going to orbit are one in 42,000.
0:09:59 > 0:10:02I'll be accountable for the day-to-day operation
0:10:02 > 0:10:05of the space shuttle fleet. I'm a mechanic, at best.
0:10:05 > 0:10:08Still. Nothing to be sniffed at.
0:10:08 > 0:10:11So, what brings you to Holby?
0:10:11 > 0:10:14Do you have any relatives or friends we can call?
0:10:14 > 0:10:16Yeah, my mom, she's English.
0:10:16 > 0:10:19We came over to visit my grandma.
0:10:19 > 0:10:23OK, have you taken any anabolic steroids or narcotics?
0:10:23 > 0:10:26No, sir. They have zero tolerance on all that.
0:10:26 > 0:10:29- I don't drink. I don't smoke. - Regular exercise?
0:10:29 > 0:10:32I got 10K down in 40 minutes flat.
0:10:32 > 0:10:35You certainly look like you look after yourself.
0:10:36 > 0:10:40OK, right, so...blood test results and X-rays are normal,
0:10:40 > 0:10:42but I want to order a gastroscopy.
0:10:42 > 0:10:45Good. Excellent. Zosia, Dom, can you...?
0:10:47 > 0:10:49Hello?
0:10:51 > 0:10:54Yes, so, that is where we stick a camera down your throat
0:10:54 > 0:10:58and then we take a look inside your digestive system.
0:10:58 > 0:11:02- So I'll book a room in theatre. - Sorry, excuse me a second.
0:11:02 > 0:11:05- Arthur?- Yes.- Can I...?
0:11:06 > 0:11:08I think we've been here before, haven't we?
0:11:08 > 0:11:12It's not just diagnostic aptitude that I'm looking for.
0:11:12 > 0:11:15You've got to stop treating your patients like an experiment.
0:11:21 > 0:11:24So, he shrugs him off, buys himself a yard.
0:11:24 > 0:11:27Then...BOOF! Kick's like an Ox.
0:11:27 > 0:11:31Hits him so hard, blood sprayed all across the judges' clipboards.
0:11:31 > 0:11:33Another charming story, Mr Matterson.
0:11:33 > 0:11:35- You think that's bad... - Full set of obs, please.
0:11:35 > 0:11:37This guy doesn't come up for air.
0:11:37 > 0:11:39How did you get on with Mr Bleetman?
0:11:39 > 0:11:41Yes. Only took the three attempts.
0:11:41 > 0:11:44Good. Now, I'm performing a carotid endarterectomy this afternoon,
0:11:44 > 0:11:47perhaps you'd like to observe, Dr Tressler?
0:11:47 > 0:11:50- Sure. But how about I assist? - Erm...
0:11:50 > 0:11:52Look, I know you think I'm a mediocre surgeon,
0:11:52 > 0:11:56but if I'm going to improve then, surely I need some theatre time.
0:11:57 > 0:12:00- I'll think about it, OK? - Thank you.
0:12:01 > 0:12:05I was going to ask. Your Fellowship. How hard was it?
0:12:05 > 0:12:07I mean, are we talking blood, sweat and tears?
0:12:07 > 0:12:10And the rest. They're extremely selective, as they should be.
0:12:10 > 0:12:13They want high achievers with good backgrounds.
0:12:13 > 0:12:16Well, I'd hardly consider myself as hoi polloi.
0:12:16 > 0:12:20Good medical backgrounds. Class has got nothing to do with it.
0:12:20 > 0:12:2525th July, 1990, me and a field full of highland bulls,
0:12:25 > 0:12:26where were youse then, eh?
0:12:26 > 0:12:29Shattered my kneecap, and lost three pints of blood.
0:12:29 > 0:12:32- This? This is nothing. - Giuseppe?!
0:12:32 > 0:12:36There he is! And skinny as a racing snake...
0:12:36 > 0:12:38Come here, you!
0:12:40 > 0:12:42Thanks so much for coming in at such short notice.
0:12:42 > 0:12:44It's a big procedure,
0:12:44 > 0:12:47and Jac Naylor's going to need all the help she can get.
0:12:49 > 0:12:55OK, there's the oesophagus. Down we go. You're doing excellently.
0:12:57 > 0:12:59Now, let's take a look around your abdomen.
0:12:59 > 0:13:02There's no sign of any ulcer on the stomach lining.
0:13:02 > 0:13:04Yep, I can see the monitor, thank you.
0:13:06 > 0:13:09HE CHOKES
0:13:09 > 0:13:11Right, OK, Noah, OK, right, just stay calm.
0:13:11 > 0:13:13- We just need to remove the endoscope! OK, Noah.- Noah!
0:13:13 > 0:13:16What's wrong with him?! I'm his mother!
0:13:16 > 0:13:19Right, I need to remove the endoscope, so let go of my hand.
0:13:19 > 0:13:21No, that's it. Step aside, step aside, that's it.
0:13:21 > 0:13:24OK, look at me, look at me. OK, nice deep breaths.
0:13:24 > 0:13:28There we go. There we go. Nice deep breaths.
0:13:28 > 0:13:33Repeat bloods and CTs. Now, please. Thank you. That's it, that's it.
0:13:36 > 0:13:37Will you stop your fussing, you?
0:13:37 > 0:13:40Stop babbling and tell me what you're doing here?!
0:13:40 > 0:13:42Look, where is the mum-to-be?
0:13:42 > 0:13:44She's around here somewhere. Listen...
0:13:44 > 0:13:46- Hang on. Are you two related? - Can you not tell?!
0:13:46 > 0:13:49I mean, admittedly, he got Dad's brains,
0:13:49 > 0:13:51but I won the looks war hands down.
0:13:51 > 0:13:54Giuseppe! Answer me.
0:13:54 > 0:13:56I came to surprise you, didn't I?
0:13:56 > 0:13:58Wet the baby's head and all that!
0:13:58 > 0:14:01And look, from here on out, it's Uncle Giuseppe,
0:14:01 > 0:14:04unless of course Amy had a whoopsie with the milkman.
0:14:04 > 0:14:08Can you just pipe down for a second and tell me what happened?
0:14:08 > 0:14:12I got jumped this morning outside my B&B. Four of them.
0:14:12 > 0:14:17On those little ped things. They took my wallet and my phone.
0:14:17 > 0:14:19Left me face down in the gravel.
0:14:19 > 0:14:21- You should call the police. - He's right.
0:14:21 > 0:14:25Ah, there's no point, I didn't really get a good look at them,
0:14:25 > 0:14:28plus I've got a couple of unpaid parking tickets
0:14:28 > 0:14:30I'd rather keep on the DL.
0:14:30 > 0:14:32Right, well, this cheek needs stitching.
0:14:32 > 0:14:35Actually, it's my ribs that are doing me in.
0:14:38 > 0:14:40I bet that Amy and Raf
0:14:40 > 0:14:44are like Holby City's very own Kanye and Kim, am I right?
0:14:44 > 0:14:46Minus the banks accounts, maybe.
0:14:46 > 0:14:50Right well, it looks as though you've busted a few ribs.
0:14:50 > 0:14:53Hello, there, I'm Ms Campbell. How are we faring here?
0:14:53 > 0:14:55Are you the big boss lady?
0:14:55 > 0:14:59Actually, I prefer Deputy Chief Executive Officer, it's less formal.
0:14:59 > 0:15:01I like her already.
0:15:01 > 0:15:05OK, fast scan shows trace amounts free fluid in the abdominal cavity.
0:15:05 > 0:15:07Could order a chest and abdo CT?
0:15:07 > 0:15:10Oh and I could take the wheel from here, if you like,
0:15:10 > 0:15:13given that it's against protocol for staff to treat family members.
0:15:13 > 0:15:16- Family members? - Yeah, he's...my little brother.
0:15:16 > 0:15:20- There are two of you?! What a treat. - I'm sure we can make an exception.
0:15:20 > 0:15:24- No, we can't. - Rules is rules, Raf.
0:15:24 > 0:15:28Darcy and Nurse Ratched here can take care of me.
0:15:28 > 0:15:30Make sure you do full bloods, LFTs, Us and Es.
0:15:30 > 0:15:35Thank you, Mr Di Lucca. We will take excellent care of him.
0:15:35 > 0:15:40Hey, I hope you realise how momentous all of this is.
0:15:40 > 0:15:44The pack is growing, pal, and you are going to make one heck of a dad.
0:15:46 > 0:15:47Why's it taking so long?
0:15:47 > 0:15:50It's not a race against the Russians, Arthur.
0:15:50 > 0:15:53So, do you think Buzz Nice Rear
0:15:53 > 0:15:55dances on my side of the ballroom then?
0:15:55 > 0:16:00- You wish! Jane, Albie's tonight. You in?- I'm in.
0:16:00 > 0:16:02Sorry, what are you planning?
0:16:02 > 0:16:04We're entitled to let our hair down, aren't we?
0:16:09 > 0:16:14Look. OK, right, I know you've got me pegged as the fun police.
0:16:14 > 0:16:17But I actually agree, I think it's really important that you wind down.
0:16:17 > 0:16:19You know, you deserve it. You've had a really rough year.
0:16:19 > 0:16:22We all have.
0:16:22 > 0:16:26But dishing out corporal punishment to our livers
0:16:26 > 0:16:30the day before we start our new roles - that is not exactly a...
0:16:30 > 0:16:33Thank you. What?!
0:16:41 > 0:16:43Awww, look at him.
0:16:43 > 0:16:47Chocolate in his beard. And his wee belly full of fizzy pop.
0:16:47 > 0:16:50His nose was doing that whistling thing when he was dozing earlier.
0:16:50 > 0:16:52You do know that lemonade doesn't count as one of his five-a-day.
0:16:52 > 0:16:55He's hardly a beetroot smoothie kind of guy though.
0:16:55 > 0:16:58Do you know how many grams of sugar there are in one of those things?
0:16:58 > 0:16:59- 15?- Try 25.
0:16:59 > 0:17:03Actually, they use fructose not glucose, but I do like your point.
0:17:03 > 0:17:04Connie.
0:17:04 > 0:17:06Jac!
0:17:06 > 0:17:07- This IS a surprise.- Mmm!
0:17:07 > 0:17:11- Whoa. So, you're Mrs Beauchamp! - And you are?
0:17:11 > 0:17:16- Humbled to meet you. Nurse Maconie. - Oh.
0:17:16 > 0:17:18Mo Effanga. CT Registrar.
0:17:18 > 0:17:20I've seen you in the lift a couple of times.
0:17:20 > 0:17:24So you and the Professor go way back. Do you want to pop in and see him...?
0:17:24 > 0:17:27No, I wouldn't like to rouse him from his slumber,
0:17:27 > 0:17:29I'll speak to him later.
0:17:29 > 0:17:31I hope you're all giving him the five-star treatment.
0:17:31 > 0:17:33He's an extraordinary man.
0:17:33 > 0:17:35Ah! We're at his every beck and call.
0:17:35 > 0:17:37- He may as well be at The Savoy. - Well, I'd hardly go that far.
0:17:37 > 0:17:41It's more like roadside B&B here at the moment. No offence.
0:17:41 > 0:17:45- BOTH: None taken. - So, run out of bedpans on ED?
0:17:45 > 0:17:49Actually, Guy asked me to help you with your pulmonary endarterectomy.
0:17:49 > 0:17:52- Really? - I gather you've only done a few?
0:17:52 > 0:17:53Where as you've performed...
0:17:53 > 0:17:5614, yeah. Well, 15 if you count Jo-burg.
0:17:56 > 0:17:58But, really, who's counting?
0:17:58 > 0:18:01Well, you've been around longer. A LOT longer.
0:18:01 > 0:18:05Right, this is a very complex operation,
0:18:05 > 0:18:07we're going to have to work together throughout.
0:18:07 > 0:18:09It's like The Avengers!
0:18:09 > 0:18:11- Have you done a heart catheterization?- Yes.
0:18:11 > 0:18:15I can see the CT, V/Q,
0:18:15 > 0:18:18Pulmonary Function test, but no TTE.
0:18:18 > 0:18:19Shall we order one in?
0:18:19 > 0:18:21As you'd expect, I'm across all the detail.
0:18:21 > 0:18:24I'll let you know if anything relevant crops up.
0:18:24 > 0:18:27You've been out of CT for a while. You sure you're up to this?
0:18:27 > 0:18:29I think I'll manage. That was that THE Nurse Maconie?
0:18:29 > 0:18:32I mean, he seemed like a nice guy.
0:18:32 > 0:18:36- He's an idiot.- Hmm. And the father of your child.
0:18:36 > 0:18:42- Aw, it's good to have you back. - Isn't it?! Shall we? Oh.
0:18:42 > 0:18:45It's an anatomical abnormality of the intestine.
0:18:45 > 0:18:47Present in around 2% of the population.
0:18:47 > 0:18:50It can cause bleeding and blockages in the bowel.
0:18:50 > 0:18:53So, I'm afraid that you're going to need a laparascopic operation.
0:18:53 > 0:18:55Have you done all the tests?
0:18:55 > 0:18:57I mean, are you positive that you know that that's what it is?
0:18:57 > 0:19:00- The technical term is... - Meckels Diverticulum.
0:19:00 > 0:19:02Have you run repeat bloods, and angio CT?
0:19:02 > 0:19:05Yes, yes, we have. That's how we found the blockage.
0:19:05 > 0:19:08What does it mean in the long run? I mean will he still...
0:19:08 > 0:19:10It's OK. You can lay it on the line.
0:19:10 > 0:19:14We'll do everything we can to make sure the procedure goes smoothly.
0:19:14 > 0:19:15Yeah, obviously.
0:19:15 > 0:19:19OK, so in theory, the beauty of it being an anatomical issue
0:19:19 > 0:19:22rather than an underlying condition is that it shouldn't affect
0:19:22 > 0:19:25your chances of certifying with NASA.
0:19:25 > 0:19:28Physically, you are in excellent shape.
0:19:28 > 0:19:30So, erm...yeah, all that work is going to pay off.
0:19:30 > 0:19:32We should ring Dad?
0:19:32 > 0:19:35There's not a lot he can do from Boston, darling.
0:19:35 > 0:19:37Yeah, but he's going to want to know, right?
0:19:37 > 0:19:40If he can tear himself away from work.
0:19:40 > 0:19:42OK, team. Follow me.
0:19:44 > 0:19:49- SHE COUGHS VIOLENTLY - Did you finish your antibiotics?
0:19:49 > 0:19:52You got to complete the whole course, every last pill, Mom.
0:19:53 > 0:19:55What are you now, a doctor?
0:19:59 > 0:20:02You need to get some rest, before they take you in.
0:20:07 > 0:20:08Now, actually,
0:20:08 > 0:20:11this procedure is a very good training case
0:20:11 > 0:20:14for you all to step up.
0:20:14 > 0:20:18So, Arthur, you can lead in theatre.
0:20:18 > 0:20:21Will and Grace, you can observe.
0:20:22 > 0:20:24OK, guys, guys, guys.
0:20:24 > 0:20:27Just so both of you know, there's to be absolutely no merrymaking
0:20:27 > 0:20:30until we've seen Noah's case through to the end, OK.
0:20:30 > 0:20:33I'm actually going to pull rank on this particular...
0:20:35 > 0:20:38Don't tell him I told you so, but those two have only ever been
0:20:38 > 0:20:41with each other, if you catch my drift?
0:20:41 > 0:20:43University sweethearts.
0:20:44 > 0:20:46There's tiny bits of glass in here.
0:20:46 > 0:20:49Aye, yeah, one of them walloped me with a cola bottle.
0:20:51 > 0:20:54- So what do you do for a living? - I'm an offshore driller.
0:20:54 > 0:20:57I work on a platform in the North Sea.
0:20:57 > 0:20:59- How's it going over here? - Yeah, fine.
0:20:59 > 0:21:03So, you, what's the score?
0:21:03 > 0:21:05Did you break your dial finger, or something?
0:21:05 > 0:21:08Haven't heard a word from you or Amy since the news.
0:21:08 > 0:21:11- Am I the only one rejoicing here? - No. Of course not.
0:21:13 > 0:21:15Just give us a sec here, Darcy, pal, eh?
0:21:15 > 0:21:17I need to look Raf in the eyes,
0:21:17 > 0:21:20I can see when he's at sixes and sevens.
0:21:20 > 0:21:23I'm not. It's just, working here, mate, it's been...
0:21:23 > 0:21:26Darcy, have you taken him out to celebrate yet?
0:21:26 > 0:21:28Not yet. Nose to the grindstone.
0:21:28 > 0:21:31Trying to stay ahead of the competition.
0:21:31 > 0:21:36- Amy!- Giuseppe! Are you all right?
0:21:36 > 0:21:40Look at you! All aglow. And bearing new Di Lucca blood... Argh!
0:21:40 > 0:21:43Giuseppe, are you all right?
0:21:43 > 0:21:46- I'm all right, I'm all right. - Pulse is a little high.
0:21:46 > 0:21:47Yes, thank you, Mr Di Lucca.
0:21:47 > 0:21:50Harry, let's get him on his feet, please.
0:21:50 > 0:21:52It's all right, calm your jets, team, I'm fine.
0:21:52 > 0:21:55Let's get an ECG. And repeat chest and abdominal X-ray.
0:21:55 > 0:21:58Mr Di Lucca, take a break, I won't ask again.
0:21:58 > 0:22:01Raf, Come on. You know you can't treat him.
0:22:01 > 0:22:05Let them get on with their jobs. It'll be OK.
0:22:05 > 0:22:09Raf, look at me. It'll be OK.
0:22:09 > 0:22:10OK. HE SIGHS HEAVILY
0:22:10 > 0:22:13We'll go for a partial circulatory arrest.
0:22:13 > 0:22:15A full arrest would be the best option.
0:22:15 > 0:22:19- It'll give us more time to operate. - Yes, but with reduced visibility.
0:22:19 > 0:22:22There's no chain of command here, I'm not your registrar anymore.
0:22:22 > 0:22:24No, of course not.
0:22:24 > 0:22:26Oh, I like what you've done with the place.
0:22:26 > 0:22:28Organised chaos.
0:22:28 > 0:22:32Must be a bit of a come-down for you, slogging it out on the ED?
0:22:32 > 0:22:34Oh, trust me, that's where the action is.
0:22:34 > 0:22:37Plus I can always pop up and help you.
0:22:37 > 0:22:39Tell me, how's Sam?
0:22:39 > 0:22:42Fine. He's living in the Big Apple.
0:22:42 > 0:22:45I hear Joseph's got a LOVELY new wife.
0:22:49 > 0:22:51Right. Let's do this your way.
0:22:51 > 0:22:55We'll put her under in a few hours, we'll go for an all night procedure.
0:22:55 > 0:22:58- We'll do it together and in shifts. - Fine.- Good.
0:22:58 > 0:23:03Connie! Thanks again. Talk about a star substitution eh?
0:23:03 > 0:23:07Remind me to remember never to let you leave.
0:23:07 > 0:23:09So nice to be wanted, isn't it?
0:23:14 > 0:23:16There it is...
0:23:18 > 0:23:21But I just want to, I just want to keep looking
0:23:21 > 0:23:23just to be EXTRA sure.
0:23:23 > 0:23:26Arthur, we've seen the CT scan, we know where the affected area is.
0:23:26 > 0:23:29We don't want to delay things unnecessarily by...
0:23:29 > 0:23:32No. We because we want to see if there's any more haemorrhaging.
0:23:32 > 0:23:34OK?
0:23:36 > 0:23:38Right, and there's the appendix.
0:23:38 > 0:23:44Appears normal, and there's the diverticulum,
0:23:44 > 0:23:47OK, so let's use the staple gun to resect before we close up.
0:23:47 > 0:23:50That's very good, very thorough, Dr Digby. Well done.
0:23:50 > 0:23:52Thank you. I don't really like taking short cuts.
0:23:52 > 0:23:55I wasn't suggesting we take short cuts, I was MERELY suggest...!
0:23:55 > 0:23:58I need to concentrate, please!
0:23:58 > 0:24:02Giuseppe doesn't want to call the police. He's rather stubborn.
0:24:02 > 0:24:05Must run in the family. Thank you.
0:24:12 > 0:24:13What's up? Is everything OK?
0:24:13 > 0:24:17There's a bleed in Giuseppe's kidney, a grade II haematoma.
0:24:17 > 0:24:21We'll keep on top of his obs and order another CT scan in an hour.
0:24:21 > 0:24:24I'm just keeping you in the fold.
0:24:24 > 0:24:29- If that gets any worse, then... - Potentially, yes.
0:24:29 > 0:24:31Are you sure you considered every option before you operated?
0:24:31 > 0:24:34Absolutely. He's going to be fine.
0:24:34 > 0:24:37Famous last words. Never know with you doctors.
0:24:37 > 0:24:40- SHE COUGHS AND WHEEZES - Are you all right?
0:24:40 > 0:24:43Would you like me to take a look at your...?
0:24:43 > 0:24:45It's fine. It's a chest infection, I get one every year.
0:24:45 > 0:24:48You could set your watch to it.
0:24:48 > 0:24:50Mr Farnum?
0:24:50 > 0:24:52Noah? How are you feeling?
0:24:52 > 0:24:54Good, I think.
0:24:54 > 0:24:56Oh, thank God for that!
0:24:56 > 0:24:57B/P's stable.
0:24:57 > 0:25:01OK, pulse is nice and steady too. That's good. Really good.
0:25:03 > 0:25:07So, I'm just going to have a little feel of your abdomen.
0:25:07 > 0:25:10Some cold hands coming.
0:25:12 > 0:25:14That's not a good face.
0:25:18 > 0:25:22You'll need foam-edge protectors, guard-rails, baby monitors.
0:25:22 > 0:25:24Amy's only 12 weeks, you know?
0:25:24 > 0:25:27We probably should start clearing a room out for the cot though.
0:25:27 > 0:25:29You haven't even cleared out a room yet?
0:25:29 > 0:25:31Man! What planet are you on?
0:25:31 > 0:25:33All right, well I've got the weekend off.
0:25:33 > 0:25:34So I'll get the overalls on
0:25:34 > 0:25:37and I'll and take the paint roller to the spare room.
0:25:37 > 0:25:38Well, you better get on it.
0:25:38 > 0:25:40You need to get in a family state of mind.
0:25:40 > 0:25:43Speaking of which, how's Shona and the kids?
0:25:43 > 0:25:45Ah, yeah, they're fine. They send their love.
0:25:45 > 0:25:48Now, listen. I'm not stupid. Something's going on.
0:25:48 > 0:25:51You two look as miserable as sin.
0:25:51 > 0:25:54And when are youse going to go and visit Mama Di Lucca?
0:25:54 > 0:25:55Another grandchild on the way
0:25:55 > 0:25:59and she's got nothing to tell the ladies down at the salon.
0:25:59 > 0:26:03Look, it's just, we've... been buried alive here, haven't we?
0:26:03 > 0:26:08So, spill. Is everything all right?
0:26:08 > 0:26:11- It's fine.- Yeah.
0:26:11 > 0:26:13Well, I hope you two never need to lie under oath.
0:26:13 > 0:26:16Look. Seppy. It's just...
0:26:16 > 0:26:19It's taking me a while to get my head around all of this.
0:26:19 > 0:26:22And I'm still trying to balance things out.
0:26:22 > 0:26:25Well, get balancing, pal, because in six months' time,
0:26:25 > 0:26:28your world's going to be turned downside-up.
0:26:28 > 0:26:31You're suppose to be enjoying this part, you know?
0:26:33 > 0:26:36Hey, I imagine you do quite well round here, Darcy,
0:26:36 > 0:26:39with those pin-up boy good looks?
0:26:39 > 0:26:41Actually, I'm having a bit of a dry spell at the moment.
0:26:41 > 0:26:43Aye, right! I imagine someone like you
0:26:43 > 0:26:45has had a fair bit of squeaky mattress
0:26:45 > 0:26:49with half the female workforce in this place, am I right?
0:26:49 > 0:26:52- Look at him, he's blushing. - Yeah, he's a regular heart-breaker.
0:26:52 > 0:26:56- Seconds out, Doc. You ready? - Ah! My carotid endarterectomy.
0:26:59 > 0:27:01Raf, am I in?
0:27:02 > 0:27:03Yeah, fine.
0:27:03 > 0:27:06Excellent! Nice one.
0:27:08 > 0:27:10- MONITOR BLEEPS - Raf!
0:27:10 > 0:27:15- Giuseppe?!- Pulse 120.- He's going into shock!- Fluids!
0:27:18 > 0:27:21OK, B/P 119/90. Pulse steady.
0:27:21 > 0:27:25Let's have the pump at the ready, people, please.
0:27:25 > 0:27:29Must be nice keeping Elliot's seat warm.
0:27:29 > 0:27:32I must say, the crown sits nicely on your head.
0:27:32 > 0:27:34Actually, I've been made an offer elsewhere.
0:27:34 > 0:27:38- Knife. - Oh. Canula, please.
0:27:38 > 0:27:42Right, headhunters are out already are they?
0:27:42 > 0:27:44Something like that.
0:27:50 > 0:27:53OK, ready on bypass, cardioplegia as standard.
0:27:53 > 0:27:56And I'm sure I don't need to remind everyone
0:27:56 > 0:27:58to keep an eye on her temperature.
0:27:58 > 0:28:00So, are you going to take them up on their offer?
0:28:00 > 0:28:03It means selling someone down the river.
0:28:03 > 0:28:05- Ooh. Juicy. Is it someone I know? - No.
0:28:05 > 0:28:07Well, there are few enough opportunities for us women
0:28:07 > 0:28:10at this level, don't get sentimental.
0:28:10 > 0:28:13But, as my father used to say, if you can't fish, cut bait.
0:28:13 > 0:28:18All right, ladies and gentlemen, I will need vitals and temps, please.
0:28:19 > 0:28:21I did it blow-by-blow.
0:28:21 > 0:28:23Speak to Sacha before you get yourself all worked up.
0:28:23 > 0:28:25- I'm not getting worked up. - Yes, you are.
0:28:25 > 0:28:28I am NOT getting worked up, I am trying to work it out.
0:28:28 > 0:28:31- Dr Digby... - SHE COUGHS
0:28:31 > 0:28:34Are you all right?
0:28:34 > 0:28:39Sorry, do you mind? What stage are you?
0:28:41 > 0:28:45Three. It's spread to my bones.
0:28:45 > 0:28:46I've had every test under the sun
0:28:46 > 0:28:48but it just wasn't detected early enough.
0:28:48 > 0:28:51Why do you think my medical glossary is so red-hot?
0:28:51 > 0:28:54I'm so sorry. If there's anything we can do?
0:28:54 > 0:28:57Don't tell Noah. He's moved mountains to get where he is.
0:28:57 > 0:29:00- I can imagine. - You have to tell him.
0:29:00 > 0:29:04I don't want him worrying when he's so close to certifying.
0:29:04 > 0:29:07- Promise me, won't you. - Yeah, of course.
0:29:07 > 0:29:10- You don't think he deserves know? - Zosia!
0:29:10 > 0:29:13Look, don't worry. Of course we'll respect your wishes.
0:29:13 > 0:29:16- It's fine.- Thank you.- OK.
0:29:19 > 0:29:22Right, you can't say a word, Zosia.
0:29:22 > 0:29:25It's a very slippery slope, so just, PLEASE, do not interfere.
0:29:27 > 0:29:31- You've gone quiet on me. - Time of my life, Doc.
0:29:31 > 0:29:34Here, look. I wanted to give you this.
0:29:34 > 0:29:36This is Henry Armstrong Jr's gumshield. You know who he was?
0:29:36 > 0:29:38How did you get that in here?
0:29:38 > 0:29:42He was the only boxer to hold three world titles at the same time.
0:29:42 > 0:29:45Homicide Hank they used to call him. My uncle gave me it.
0:29:45 > 0:29:46Here.
0:29:46 > 0:29:49Haven't you... got some kids you give it to?
0:29:49 > 0:29:52No. Two boys.
0:29:52 > 0:29:54They're all grown-up now,
0:29:54 > 0:29:57don't think they can be bothered with their old man,
0:29:57 > 0:30:00I think they're scared I'll bore 'em silly with tales of the ring.
0:30:00 > 0:30:04- It's just me.- You might be able to sell it one day.
0:30:04 > 0:30:07Treat yourself to a Vegas holiday. Fight night at the MGM or something?
0:30:07 > 0:30:11- Yeah, that'd be nice. - Now, how about a bit of hush?
0:30:11 > 0:30:15Could you clean the blood around the incision for me?
0:30:15 > 0:30:18I've told doctor Tressler to stay with your brother.
0:30:18 > 0:30:21He's stable.
0:30:21 > 0:30:24However, the bleed IS present, so we will have to remove the kidney.
0:30:24 > 0:30:29- OK.- Good. He's booked in for this evening. Dr Tressler will assist.
0:30:29 > 0:30:31- Absolutely not! He isn't good enough. - Excuse me?!
0:30:31 > 0:30:36I'm sorry but could we... discuss this afterwards, please?
0:30:36 > 0:30:39- All right. - OK, first things first, clamps.
0:30:39 > 0:30:43I'm going to root out this blocked carotid artery.
0:30:43 > 0:30:44There you go. And the other.
0:30:47 > 0:30:50- You OK, Walt?- Yeah, fine. Fine.
0:30:50 > 0:30:53We'll have you back in the ring in no time my friend. Scalpel.
0:30:53 > 0:30:55Making light work of it.
0:30:55 > 0:30:57Right, we're going to peel the plaque deposit
0:30:57 > 0:30:59by removing the lining
0:30:59 > 0:31:00of the diseased section
0:31:00 > 0:31:04- of the artery containing the plaque. - You clearly don't need MY hands.
0:31:04 > 0:31:06Zosia and Dom, can you finish up as normal?
0:31:06 > 0:31:10Arthur, I need you on call, but get plenty of rest, OK?
0:31:10 > 0:31:13Everyone in, 7:30am, raring to go. Good.
0:31:16 > 0:31:18So, are you coming for a drink, Penfold, or not.
0:31:18 > 0:31:21No, you heard Sacha, we've all got to be alert
0:31:21 > 0:31:24and I've got to go and explain this to Noah.
0:31:26 > 0:31:30You need to talk to your mother, there's something...
0:31:30 > 0:31:32Dr March, can I just, can I just have a quick word?
0:31:32 > 0:31:34- Why should I talk to my mom? - Have you lost your mind?
0:31:34 > 0:31:37- He has a right to know! - It's none of our business.
0:31:37 > 0:31:40He has to spend more time with her. Make preparations, say goodbye.
0:31:40 > 0:31:43OK. Look, look! I completely get it,
0:31:43 > 0:31:46it is so difficult for you, but you just have to...separate.
0:31:46 > 0:31:48You have to compartmentalise.
0:31:48 > 0:31:50No. He has a right to know! He has a right to know!
0:31:50 > 0:31:53Stop, stop, stop! It's amazing how you find a way to make it about you.
0:31:53 > 0:31:58You cannot play God in other people's lives. So self-absorbed.
0:31:58 > 0:32:01And you wonder why Jesse ran for the hills.
0:32:01 > 0:32:03SHE GASPS
0:32:06 > 0:32:09I need a drink, right now.
0:32:09 > 0:32:11Let me assist with Giuseppe.
0:32:11 > 0:32:14- Forget about the red flags for a minute.- I don't think so.
0:32:14 > 0:32:17Then as next of kin, I don't give consent for Tressler to operate.
0:32:17 > 0:32:21- Really?!- My brother's life is at stake. He's not experienced enough.
0:32:21 > 0:32:23- He won't be leading, I will. Am- I- experienced enough for you?
0:32:23 > 0:32:25Yes, of course!
0:32:25 > 0:32:28Mr Di Lucca, despite your brilliant skills in theatre just now,
0:32:28 > 0:32:30I sense today isn't your day. We all have them.
0:32:30 > 0:32:33And need I remind you that you were not happy endorsing
0:32:33 > 0:32:36Dr Tressler's UCLA application and as a consequence,
0:32:36 > 0:32:39he is still on AAU, and yet you don't seem happy about that either!
0:32:39 > 0:32:42- I mean, what's going on? - Nothing. It's just...
0:32:42 > 0:32:45Look, he has a way of... involving himself too much.
0:32:45 > 0:32:46Well, that clarifies very little.
0:32:46 > 0:32:49You DO realise you're virtually handing Doctor Tressler
0:32:49 > 0:32:51leeway to file for workplace harassment?
0:32:51 > 0:32:53And indeed, from where I'm standing
0:32:53 > 0:32:56your unethical and CONTRADICTORY behaviour
0:32:56 > 0:32:58is bordering on the unacceptable.
0:32:58 > 0:33:00In fact should it continue I won't hesitate to suspend you,
0:33:00 > 0:33:02pending further enquiries.
0:33:02 > 0:33:05I'll let you know how the operation goes.
0:33:05 > 0:33:07HE SIGHS
0:33:08 > 0:33:10OK. The area in question, it needs monitoring,
0:33:10 > 0:33:14before Noah can board a plane or even get on a treadmill.
0:33:14 > 0:33:15But fear not.
0:33:15 > 0:33:18We're going to watch it and hopefully it should resolve itself.
0:33:18 > 0:33:20- "Hopefully"?!- Mom.
0:33:20 > 0:33:23Can you get me some magazines, please?
0:33:29 > 0:33:32I know what she's hiding from me.
0:33:32 > 0:33:34Her and Dad haven't got on for years.
0:33:34 > 0:33:38I guess being from a broken home will be good for my street cred.
0:33:38 > 0:33:41Just, get me into orbit as soon as possible, man!
0:33:41 > 0:33:45I think your mum is... very proud of you, Noah.
0:33:45 > 0:33:47I know.
0:33:47 > 0:33:50And don't get me wrong, she's the reason I've made it this far.
0:33:50 > 0:33:53College fees, driving me to my circuit training,
0:33:53 > 0:33:55pushing me, but not forcing me.
0:33:56 > 0:33:59- I'm going to be OK, right? - Yeah, I'll make sure of it.
0:34:01 > 0:34:04And, remember what I said about your mum.
0:34:09 > 0:34:12BOTH: Three, two, one...
0:34:15 > 0:34:17- Again.- Urgh!
0:34:17 > 0:34:20They're going to name a hurricane after you at this rate.
0:34:20 > 0:34:23MOBILE BLEEPS
0:34:23 > 0:34:25You meeting someone?
0:34:25 > 0:34:27You know, just an old friend.
0:34:29 > 0:34:34Right, this is to Annus Horribilis.
0:34:40 > 0:34:43I feel a bit bad for Arthur.
0:34:43 > 0:34:46- Speak for yourself. - I know he was out of order,
0:34:46 > 0:34:49but you DO have to stop taking things so personally.
0:34:49 > 0:34:54Look, the poor boy is still getting over not getting into to Neuro,
0:34:54 > 0:34:56and he had a massive man-crush on Jesse!
0:34:56 > 0:34:59- Argh!- Sorry, sorry.
0:34:59 > 0:35:02It's OK. You CAN say his name. Shall we have another one?
0:35:02 > 0:35:06Slow down. I don't fancy hugging the toilet again tonight.
0:35:06 > 0:35:11Ever feel like booze isn't quiet scratching your itch?
0:35:11 > 0:35:13Are you OK, Zosh?
0:35:13 > 0:35:18Yeah. Ignore me. I'm, er... you know, a broken heart.
0:35:18 > 0:35:22I'm just going to powder my nose, you get us some drinks in.
0:35:30 > 0:35:33Why have you really crashed this party?
0:35:33 > 0:35:37I'm still one of the most experienced CT surgeons in the hospital.
0:35:37 > 0:35:39Why? Where would you have me ply my trade?
0:35:39 > 0:35:42I think there's an opening in the canteen.
0:35:42 > 0:35:47Cooking's the one thing I CAN'T do. How's Emma?
0:35:49 > 0:35:52She's with her father now.
0:35:52 > 0:35:55- I'm sorry.- And Grace?
0:35:55 > 0:36:00Yeah, she's gorgeous. And loud and perfect.
0:36:00 > 0:36:04I'm sorry, I can't imagine what that must be like for you,
0:36:04 > 0:36:07I'm sure the sacrifice will be worth it professionally.
0:36:07 > 0:36:10You're an excellent surgeon.
0:36:10 > 0:36:13Of course my experience puts me way out ahead, but...
0:36:17 > 0:36:19Right, let's get her out the fridge.
0:36:19 > 0:36:23One hour to dissect, let's make it count.
0:36:23 > 0:36:25We may not get another opportunity.
0:36:32 > 0:36:36LAUGHTER
0:36:40 > 0:36:42Diggers!
0:36:42 > 0:36:45You two are wasted! What are you doing here?
0:36:45 > 0:36:47We wanted to see Buzz Nice Rear!
0:36:47 > 0:36:50No, no, no. OK. He's asleep!
0:36:52 > 0:36:54Seriously!
0:36:55 > 0:36:58You guys are drunk in your place of work, which is a hospital.
0:36:58 > 0:36:59If Sacha sees you...
0:36:59 > 0:37:02He's not going to see us, we're special ninjas!
0:37:02 > 0:37:04What have we got here?!
0:37:04 > 0:37:07They're bowel resection papers. Just give them back...
0:37:11 > 0:37:15Right, time to give Noah some home truths about deceitful parents.
0:37:15 > 0:37:17Dom! Just get her off the ward.
0:37:17 > 0:37:21OK, let's...let's go and leave Arthur to his homework.
0:37:21 > 0:37:24And we'll go have some fun, elsewhere.
0:37:33 > 0:37:36There's haemorrhaging around the renal pedicle.
0:37:36 > 0:37:40OK. Gently clamp the ureter and vein.
0:37:45 > 0:37:47Careful.
0:37:55 > 0:37:58That's it. Now put an incision in both.
0:38:08 > 0:38:11Eyes on the prize, Dr Tressler.
0:38:11 > 0:38:13Careful of the adrenal gland.
0:38:15 > 0:38:18Focus. That's it.
0:38:19 > 0:38:21And now remove the kidney.
0:38:29 > 0:38:32Pulse is stable. B/P normal.
0:38:32 > 0:38:34- Good. I think we're done. - Hold on.
0:38:34 > 0:38:37I think there's a tear in the renal vein.
0:38:37 > 0:38:40I need a clip to tie of the bleed before suturing.
0:38:40 > 0:38:42Quite the spot.
0:38:42 > 0:38:46Yes, more often than not it's the small things that are important.
0:38:46 > 0:38:49Assess, reassess, and reassess again.
0:38:49 > 0:38:51Exactly.
0:38:53 > 0:38:56- How's Giuseppe doing? - So far so good.
0:38:56 > 0:38:59He dropped his phone on the ward.
0:38:59 > 0:39:02- What?- He said it got stolen.
0:39:02 > 0:39:05It's funny you say that - I was in ED earlier
0:39:05 > 0:39:09and two males were admitted, steaming drunk and beaten to a pulp.
0:39:09 > 0:39:11One of them kept going on about
0:39:11 > 0:39:13"A Scotsman with a mouth like a Tommy gun."
0:39:13 > 0:39:15I'll have a word with him when he comes around.
0:39:18 > 0:39:21I heard you didn't want him to operate?
0:39:22 > 0:39:25You can understand that, right?
0:39:25 > 0:39:28I'm doing my best here, Amy.
0:39:31 > 0:39:36Let's play Snog, Marry, Kill.
0:39:36 > 0:39:40I'll go first. Dr Tressler.
0:39:42 > 0:39:46Hey! Don't be daft! Zosh? Wake up!
0:39:49 > 0:39:53Zosh?! Wake up! Zosh?
0:39:59 > 0:40:02SHALLOW BREATHS
0:40:08 > 0:40:09What? What happened?!
0:40:09 > 0:40:12I don't even know, she just collapsed.
0:40:12 > 0:40:14Zosia! Zosia!
0:40:14 > 0:40:18OK, we have to get her to the ED.
0:40:18 > 0:40:20No! Wait! She's taken something.
0:40:25 > 0:40:27Pulse is barely registering. We have to get her to ED!
0:40:27 > 0:40:31No, we can't! Her career will be ruined!
0:40:31 > 0:40:35- WE have to do this! Me and you! - But you're...- We HAVE to!
0:40:40 > 0:40:41OK, lift her head up.
0:40:41 > 0:40:44It's not like I told her to take the bloody stuff?
0:40:48 > 0:40:53Oh, God. OK, right.
0:40:53 > 0:40:57We need to get to her oxygen, so let's just, er...
0:40:57 > 0:41:01- Let's get her into to theatre. Move, move.- OK. OK.
0:41:05 > 0:41:07We've got another 30 seconds, maximum,
0:41:07 > 0:41:10- before he we have to bring her core up.- Then we have to stop,
0:41:10 > 0:41:12because I can't access the emboli on the left artery.
0:41:12 > 0:41:1420 seconds. There are two left. Come on.
0:41:14 > 0:41:17Got one. Right, I can't see a thing here.
0:41:17 > 0:41:20Suction! Really we're going to have to cool her down again.
0:41:20 > 0:41:23No, 12 seconds. There's one left. I can see it.
0:41:23 > 0:41:28- COUNTDOWN BLEEPS - My hand's gone, my hand's gone.
0:41:28 > 0:41:30Five seconds.
0:41:30 > 0:41:33Come on.
0:41:33 > 0:41:35I've got it!
0:41:35 > 0:41:41Oof! No arguing with that. Well done!
0:41:42 > 0:41:48She said they were called, erm, Misties, MSTs.
0:41:50 > 0:41:53OK. That's an opiate!
0:41:53 > 0:41:58So... OK, respiration drops, cause unconsciousness...
0:41:59 > 0:42:02..can be fatal when combined with alcohol.
0:42:06 > 0:42:12OK, OK, I think she needs... Naloxone.
0:42:13 > 0:42:15It's on the arrest trolley.
0:42:15 > 0:42:18OK, well stop staring and go get it.
0:42:21 > 0:42:24SACHA: They do the best seafood platter I've ever had.
0:42:24 > 0:42:27They've got all the props, lobster forks, you know,
0:42:27 > 0:42:30the crab mallets. We could go if you want?
0:42:30 > 0:42:34I wouldn't have to pick out my lobster though, would I?
0:42:34 > 0:42:36I'm not sure I can look my supper in the eye
0:42:36 > 0:42:39before it's dropped into boiling water.
0:42:39 > 0:42:41Well, maybe Thai food, instead?
0:42:50 > 0:42:52She's slipping into respiratory depression.
0:42:52 > 0:42:54We're running out of time.
0:43:11 > 0:43:14Dr Digby, what are you up to?
0:43:14 > 0:43:18Shona turfed me out few weeks ago. Served me with papers.
0:43:18 > 0:43:21- It's finished.- What did you do?
0:43:22 > 0:43:24It's what I didn't do.
0:43:25 > 0:43:27Away for weeks on end.
0:43:27 > 0:43:31Come home, eat, sleep, drink, ship out again.
0:43:32 > 0:43:36She got bored, who can blame her?
0:43:36 > 0:43:39- Have you talked to her? - She turned a corner.
0:43:39 > 0:43:43It's what people do if you give them enough reason to.
0:43:43 > 0:43:45I was just too caught up in my own world,
0:43:45 > 0:43:50too stubborn to realise how much of a good thing I had going.
0:43:52 > 0:43:56You know - medical reps, big expense accounts.
0:43:56 > 0:43:58Zero sense of humour.
0:43:58 > 0:44:01Sounds kinda painful. So, what you doing?
0:44:01 > 0:44:03So what you doing just checking the barracks, or...?
0:44:03 > 0:44:10I rather like it here at night. Place has a different pulse to it.
0:44:10 > 0:44:14Yeah, I know what you mean. It's like the erm...
0:44:14 > 0:44:17the outback, isn't it? Or the open country.
0:44:17 > 0:44:20Except instead of crickets chirping,
0:44:20 > 0:44:23it's ECG machines and it's ventilators.
0:44:23 > 0:44:26I better go, so...
0:44:26 > 0:44:28- Arthur?- Yep.
0:44:28 > 0:44:33Is everything OK with you three at the flat?
0:44:33 > 0:44:36The flat. Yeah, yeah, it's great.
0:44:38 > 0:44:41- Where have you been?! - OK, I've got it.
0:44:41 > 0:44:44Her respiratory rate is only eight, so come on!
0:44:44 > 0:44:49Yeah, OK, I'm trying to get the blasted...! Come on, come on!
0:44:53 > 0:44:55We're way out of our depth here,
0:44:55 > 0:44:58I think maybe I should go and get Sacha...
0:44:58 > 0:45:01No! We're not U-turning now, OK? We've come this far.
0:45:01 > 0:45:04Arthur. You're a good doctor, OK?
0:45:04 > 0:45:08Don't let me or anyone else tell you otherwise.
0:45:08 > 0:45:11Now, come on! Do this!
0:45:26 > 0:45:29SHE GASPS FOR BREATH AND COUGHS
0:45:29 > 0:45:31Zosia! Zosia! Can you hear me?
0:45:31 > 0:45:34Are you all right? Are you OK?
0:45:34 > 0:45:36- SHE COUGHS - Oh, thank God.
0:45:36 > 0:45:41- OK, what's the capital of Romania? - What? Even I don't know that!
0:45:41 > 0:45:46- Look, what day is it? - Tuesday. Bucharest.
0:45:51 > 0:45:53We had a good night then, I take it?
0:46:01 > 0:46:03Guess who?
0:46:03 > 0:46:09Connie! Oh! To what do we owe the pleasure?
0:46:09 > 0:46:12Oh, you know, you can take the girl out of Darwin.
0:46:12 > 0:46:16Actually Jac and I were doing a pulmonary endarterectomy.
0:46:16 > 0:46:20- How are your hands? - D'you know what? Sore. I got cramp.
0:46:20 > 0:46:22Pulmonary endarterectomys should come
0:46:22 > 0:46:25with a complimentary bucket of ice.
0:46:26 > 0:46:31- Ah, that's lovely. You all right? You feeling better?- I am.
0:46:31 > 0:46:38Though Mr Self has stressed that he wants me to take as long as I need.
0:46:38 > 0:46:42Jac seems to be doing an excellent job as my stand-in.
0:46:42 > 0:46:44He's a very big fan of hers.
0:46:46 > 0:46:52Ah, of course. Well, Emma's with her father.
0:46:52 > 0:46:55Yes?
0:46:55 > 0:46:58Jac's always been a go-getter, Elliot.
0:47:00 > 0:47:03Right, come on. You need to get some sleep.
0:47:03 > 0:47:05So do I.
0:47:05 > 0:47:08- Thank you so much. Thank you. - Look after yourself.
0:47:08 > 0:47:11- See you soon.- Yeah.
0:47:15 > 0:47:18- Jac. Always a pleasure, never a chore.- Absolutely.
0:47:18 > 0:47:21We should do it again sometime.
0:47:21 > 0:47:24Remember, Autumn tones.
0:47:26 > 0:47:29I know something's going on with you and Amy.
0:47:29 > 0:47:34It worries me, so Lord knows how it makes you feel.
0:47:36 > 0:47:39Whatever it is, I want you to know that there's a...
0:47:39 > 0:47:43there's an ear and a shoulder here, all right?
0:47:43 > 0:47:45Giuseppe. Listen...
0:47:45 > 0:47:50Remember, Raf, a man is nothing without his family.
0:47:50 > 0:47:58You, me, Mama, Amy, the bump, that's the pack now.
0:47:58 > 0:48:03So whatever it is that's bothering you and the missus, make it work.
0:48:03 > 0:48:05Sort it out.
0:48:05 > 0:48:12Life is too cruel and too short for petty grievances,
0:48:12 > 0:48:14really, it is.
0:48:14 > 0:48:16Remember, big picture.
0:48:18 > 0:48:21It's not too late for you.
0:48:24 > 0:48:26Amy, what are you doing here?
0:48:26 > 0:48:30Hi. Sorry. I couldn't sleep and...
0:48:30 > 0:48:33I just wanted to check my brother-in-law was OK.
0:48:33 > 0:48:36Principessa! What a woman!
0:48:36 > 0:48:40One Fiorentina and one Quattro Stagioni.
0:48:40 > 0:48:42Fantastico!
0:48:45 > 0:48:48I'm sorry. What was it you were going to say?
0:48:48 > 0:48:49I keep banging on.
0:48:49 > 0:48:52It doesn't matter, bro.
0:48:52 > 0:48:56Jac, I'm glad you're here. I wonder if I might bend your ear.
0:48:56 > 0:48:59I've been... Some thoughts have been fermenting as to how I can,
0:48:59 > 0:49:04- well, you know, shake the snow-globe up a bit!- OK.
0:49:04 > 0:49:07I think the power-broker's upstairs need to see that
0:49:07 > 0:49:12I mean business, so first up, a new secretary to help with dictating.
0:49:12 > 0:49:15Then nominated nurses for each individual patient
0:49:15 > 0:49:18and then I was thinking of assigning junior doctors
0:49:18 > 0:49:20to specific consultants,
0:49:20 > 0:49:24thus bringing back the age of the protege!
0:49:24 > 0:49:26What do you think?
0:49:28 > 0:49:29- That's just for starters.- Mmm.
0:49:31 > 0:49:35They're not done with me yet, I tell you.
0:49:35 > 0:49:38SHE SIGHS
0:49:40 > 0:49:45Zosia! Zosia! No, stay awake. Stay awake. You're dribbling on me.
0:49:57 > 0:49:59Ah, Danny, how are you? Good to see you.
0:49:59 > 0:50:02- How are you? Good?- Yeah!
0:50:06 > 0:50:10Ah, there you are! Listen, I think you dropped this before.
0:50:11 > 0:50:13No, I didn't.
0:50:13 > 0:50:17- I'm sure you did.- Glasgow?
0:50:17 > 0:50:20Yeah, Mama Di Lucca needs to feed you both up on pasta
0:50:20 > 0:50:23and play Sinatra records to the bump!
0:50:23 > 0:50:27- Is that all right? - When?- Weekend after next.
0:50:27 > 0:50:30This weekend, I'm a bit tied up, painting the spare room.
0:50:32 > 0:50:33OK!
0:50:33 > 0:50:36And this morning, I thought we might start a new Di Lucca tradition
0:50:36 > 0:50:38of coffee and Cannolis.
0:50:38 > 0:50:41Sounds nice. Sure you're not too tired?
0:50:41 > 0:50:43- I'm shattered.- So am I!
0:50:44 > 0:50:48Give me 20 minutes to finish up here and triple shots are on me.
0:50:54 > 0:50:57Thank you...both.
0:51:00 > 0:51:02I assume nobody has any interest
0:51:02 > 0:51:06in letting this particular cat out the bag
0:51:06 > 0:51:08for a whole host of patently obvious reasons?
0:51:13 > 0:51:16I'm sorry, guys, but this isn't a cub camp, OK?
0:51:16 > 0:51:20Right, Zosia, do you actually REALISE that you nearly died last night?!
0:51:20 > 0:51:22You took narcotics and you overdosed!
0:51:22 > 0:51:26- All right, Arthur... - SHUT UP! It is NOT all right! OK.
0:51:28 > 0:51:31What if I'd given you the wrong meds? What then?
0:51:33 > 0:51:36What happened last night is monumentally serious,
0:51:36 > 0:51:39it was the stuff of nightmares. And I don't EVER want to have to...
0:51:39 > 0:51:42I was in a car crash! And this was...
0:51:42 > 0:51:46I'm sorry for putting you through such an ordeal!
0:51:46 > 0:51:51I am acutely aware that I have issues I need to work through...
0:51:53 > 0:51:55..but if it is any consolation
0:51:55 > 0:51:58there's nobody I'd rather OD around than you, Arthur Digby.
0:52:05 > 0:52:11Right. OK. We have to draw a line in the sand.
0:52:11 > 0:52:14What has happened, it's happened, OK?
0:52:14 > 0:52:17But there is the future.
0:52:17 > 0:52:19And the past is not going to define us,
0:52:19 > 0:52:24but we have got to entrust ourselves to our work and to our patients.
0:52:24 > 0:52:28You agreed? So...
0:52:53 > 0:52:54Morning.
0:53:01 > 0:53:05Look, Raf, this whole train wreck,
0:53:05 > 0:53:08I'm glad it hasn't affected our work.
0:53:08 > 0:53:11And, as you know, I'm going to be here for another year,
0:53:11 > 0:53:13so I hope we can let sleeping dogs lie.
0:53:13 > 0:53:15What do you say?
0:53:15 > 0:53:18HE SIGHS Look, I'm not a monster, Harry.
0:53:18 > 0:53:20I can, and I WILL move on.
0:53:23 > 0:53:25But I can't forgive you.
0:53:32 > 0:53:36I'm glad we're all singing from the same hymn sheet on this one.
0:53:36 > 0:53:37Well, we don't have much choice.
0:53:38 > 0:53:42Illicitly treating a colleague with stolen meds
0:53:42 > 0:53:46is at least a GMC hearing, if not a spell in prison.
0:53:50 > 0:53:52- Are you going to get it right this time?- Mom?
0:53:52 > 0:53:55Absolutely. And it wasn't that we got it wrong, just...
0:53:55 > 0:53:58- SHE COUGHS - Hey. You OK?
0:53:58 > 0:54:02Yep. I'll see you afterwards. Be brave.
0:54:05 > 0:54:08OK, hang on in there. You're going to be absolutely fine, OK?
0:54:08 > 0:54:10Thanks, man. You're a good guy.
0:54:17 > 0:54:19DOOR OPENS
0:54:22 > 0:54:27Oh, Ms Naylor, I hear the endarterectomy was a success.
0:54:28 > 0:54:29We got through it.
0:54:29 > 0:54:33Good. So...
0:54:35 > 0:54:37I'm in. But I have terms.
0:54:40 > 0:54:43Excellent. They'll all be addressed.
0:54:43 > 0:54:46In the meantime pack your things,
0:54:46 > 0:54:50you're going to Pittsburgh on the campaign trail for three weeks.
0:54:52 > 0:54:54You have to tell him, OK?
0:54:55 > 0:54:57Yeah, consider it done.
0:55:00 > 0:55:04You know that feeling you get when know you've made the right decision?
0:55:06 > 0:55:08There was never a decision to make.
0:55:17 > 0:55:19Thank you, Cathy.
0:55:19 > 0:55:24All clear. No rips, no tears, full MOT of the abdomen.
0:55:24 > 0:55:27Obviously, we'll keep him in under obs for a few days then,
0:55:27 > 0:55:29but then he's good to go.
0:55:29 > 0:55:31Thanks, Jane.
0:55:31 > 0:55:35CT1. Sounds a bit like a robot, doesn't it?
0:55:39 > 0:55:40Well done, Arthur.
0:55:51 > 0:55:54- How did it go?- Yeah, it couldn't have gone any better.
0:55:54 > 0:55:57We need to keep you in for a few days, plenty of rest, but...
0:55:57 > 0:56:00- So, you reckon I'll be able to start my course?- Yes.
0:56:00 > 0:56:05- Houston, we don't have a problem! - Good job, man.- Yes!
0:56:05 > 0:56:08I'll leave you to it.
0:56:09 > 0:56:11Hey! Come on, this great news.
0:56:11 > 0:56:14- I know. - Come here, give me a hug.
0:56:14 > 0:56:18No, I can't. I'm sorry.
0:56:22 > 0:56:25I know about you and Dad splitting up.
0:56:26 > 0:56:29Noah, I didn't leave the US because of your father.
0:56:31 > 0:56:32Well, not really.
0:56:34 > 0:56:37I left, because the divorce means
0:56:37 > 0:56:40my US insurer won't pay for my chemotherapy.
0:56:42 > 0:56:44Chemotherapy?
0:56:44 > 0:56:47I've been getting treatment on the NHS from an oncologist.
0:56:48 > 0:56:51Noah, I have lung cancer.
0:56:53 > 0:56:55I'm sorry.
0:56:58 > 0:57:01Oh, I'm sorry. I'm sorry.
0:57:01 > 0:57:05I'm sorry! I'm sorry! I'm sorry!
0:57:05 > 0:57:07BOTH SOB
0:57:15 > 0:57:16He'll get to say goodbye.
0:57:19 > 0:57:20That's something, isn't it?
0:57:27 > 0:57:30Bet you wished you hadn't asked now.
0:57:30 > 0:57:33I mean you spoke of a single event,
0:57:33 > 0:57:35but it's more a series of little insights
0:57:35 > 0:57:41into people around you that form a much bigger, messier picture.
0:57:41 > 0:57:45I'll call my report officer. Cancel my enrolment.
0:57:45 > 0:57:47No, you won't!
0:57:47 > 0:57:49But I can't just leave you here.
0:57:49 > 0:57:51I'll come with you.
0:57:51 > 0:57:54You don't start until September,
0:57:54 > 0:57:56we can go to Louisiana, hear some bluegrass.
0:57:58 > 0:58:01OK! San Francisco and Yosemite...
0:58:01 > 0:58:05And I still haven't been to the Grand Canyon.
0:58:05 > 0:58:07I want to see the Grand Canyon.
0:58:07 > 0:58:09You could do some rafting.
0:58:13 > 0:58:16'So, you see, Zosia, "The web of our life is of a mingled yarn.
0:58:16 > 0:58:19'"Good and ill together."
0:58:19 > 0:58:21'It's a quote. Shakespeare. Oh, are we done?'
0:58:21 > 0:58:25Great, so, missed all the tuna sandwiches,
0:58:25 > 0:58:29and I'm definitely not one of your case studies now, Zosia, so...
0:58:29 > 0:58:32Actually you really can't show anyone that,
0:58:32 > 0:58:36because I did just confess to the whole thing, so...