0:00:39 > 0:00:41The poor boy's still getting over not getting into Neuro
0:00:41 > 0:00:45- and he had a massive man crush on Jesse.- Argh!
0:00:45 > 0:00:48Can you repeat the last three things I asked you to remember?
0:00:48 > 0:00:50A ball...
0:00:51 > 0:00:53Blast, it's gone.
0:00:53 > 0:00:56Zosh, wake up! Zosh?
0:00:56 > 0:00:59I'm becoming a senile old lady.
0:01:01 > 0:01:02Come on.
0:01:02 > 0:01:05Right, Zosia, do you actually realise that you nearly died last night?
0:01:05 > 0:01:07You took narcotics and you overdosed.
0:01:07 > 0:01:08All right, Arthur.
0:01:08 > 0:01:10Shut up, all right? It's not all right!
0:01:29 > 0:01:35DANCE MUSIC PLAYS
0:01:42 > 0:01:46LOUD DANCE MUSIC PLAYS
0:01:52 > 0:01:54Excuse me, excuse me.
0:02:03 > 0:02:05Is this wise on a school night?
0:02:08 > 0:02:11Have you any idea what time it is?
0:02:11 > 0:02:13Sorry, mate, I don't think we've met.
0:02:13 > 0:02:19Arthur, this is the very handsome and charismatic Mark.
0:02:19 > 0:02:21Ah, you must be Diggers!
0:02:21 > 0:02:23Top man, Zosia's told me all about you.
0:02:23 > 0:02:24Right, er, who is everyone else?
0:02:24 > 0:02:26You can't have a bash without bodies...
0:02:26 > 0:02:29why don't you go and get changed. This isn't a pyjama party!
0:03:02 > 0:03:04Can you get her admitted as a priority?
0:03:04 > 0:03:06I need bloods, imaging and I/V access.
0:03:06 > 0:03:08Who the lead consultant on AAU today?
0:03:08 > 0:03:11I guess that would be me.
0:03:12 > 0:03:14What have we got here?
0:03:14 > 0:03:17Adrienne, how nice to see you again.
0:03:17 > 0:03:19You look as if you've been in the wars.
0:03:19 > 0:03:21Well, don't just stand there, get this thing out of me!
0:03:21 > 0:03:23It hurts like hell!
0:03:26 > 0:03:27How did this happen?
0:03:27 > 0:03:31I was trying to stab her to death but she was too quick for me.
0:03:32 > 0:03:35Jonny, I need a full copy of today's theatre lists.
0:03:35 > 0:03:37What we can cope with, and what needs to be farmed out to St James.
0:03:37 > 0:03:40Well, actually I took the liberty of doing that myself.
0:03:40 > 0:03:42I know you were going to be up against it with Jac away.
0:03:42 > 0:03:44Yeah, with all due respect I think it's up to me
0:03:44 > 0:03:46to decide what I do or don't take.
0:03:46 > 0:03:48Well, then I will get you the list.
0:03:48 > 0:03:50Mmm-hmm.
0:03:50 > 0:03:52I don't know how you put up with her attitude.
0:03:52 > 0:03:54Someone needs to have a word!
0:03:54 > 0:03:56Yeah, well, it ain't going to be me.
0:03:58 > 0:04:00Adele!
0:04:00 > 0:04:02Look, we've all had a rough week, Jonny.
0:04:04 > 0:04:07How did last night's date go? You seem really happy-go-lucky today?
0:04:07 > 0:04:10- You seeing him again?- Yeah, could you get this to HR, soon as poss, thanks.
0:04:10 > 0:04:12I take that as a big fat "no"?
0:04:12 > 0:04:15Why did you just rip Jonny's head off when he was only trying to help?
0:04:15 > 0:04:17Do you have you any idea how much work...
0:04:17 > 0:04:19It's not his fault you're not getting any.
0:04:19 > 0:04:21OK, less of that and more of that. Thank you.
0:04:21 > 0:04:23Your list.
0:04:23 > 0:04:25So how did the peace talks go?
0:04:25 > 0:04:27You do your best Kofi Annan?
0:04:27 > 0:04:29Adele.
0:04:29 > 0:04:32I feel a disturbance in the Force, young one.
0:04:32 > 0:04:36I think our Mo may have finally gone over to the dark side.
0:04:36 > 0:04:39Now, I've given you a little local anaesthetic, Adrienne,
0:04:39 > 0:04:47but you might still feel a little movement as the shard comes out.
0:04:49 > 0:04:53It's Mrs McKinnie, if you don't mind.
0:04:53 > 0:04:55Mum, it's Ric. Ric Griffin?
0:04:55 > 0:04:58He's a Consultant. You've met him before.
0:04:58 > 0:05:04Noooo, no, I'm sure I'd remember such a fine figure of a man.
0:05:04 > 0:05:08I do have a penchant for a silver fox, though.
0:05:09 > 0:05:11Are you married?
0:05:11 > 0:05:14Oh, Ric's had several successful marriages, haven't you, Ric?
0:05:16 > 0:05:20Let's just say I haven't met the right girl yet.
0:05:20 > 0:05:22Well, Serena's single, you know.
0:05:22 > 0:05:27A bit on the feisty side but I hear a lot of men like that these days.
0:05:27 > 0:05:29Here we go.
0:05:29 > 0:05:31Well, she's no spring chicken.
0:05:31 > 0:05:33I mean, if you were thinking of having children.
0:05:33 > 0:05:35Mother! That's enough!
0:05:35 > 0:05:37I'm only trying to help!
0:05:37 > 0:05:39Let's get the wound cleaned out
0:05:39 > 0:05:41and then send her along to X-ray, please.
0:05:41 > 0:05:43Let's just make sure there are no particles in there
0:05:43 > 0:05:46before we close up.
0:05:46 > 0:05:50Well, I'll see you later, Mrs McKinnie,
0:05:50 > 0:05:52it's been an absolute pleasure meeting you.
0:05:52 > 0:05:55The pleasure's all mine, let me assure you.
0:05:58 > 0:06:00How long's she been like this?
0:06:00 > 0:06:02What? Bossy and infuriating? All her life!
0:06:02 > 0:06:05No, the confusion, the forgetfulness?
0:06:05 > 0:06:08She was diagnosed with vascular dementia three months ago
0:06:08 > 0:06:10after Guy referred her to Neurology.
0:06:10 > 0:06:13They're meant to be assessing her again this afternoon
0:06:13 > 0:06:16and she's decided to have a fruitcake day.
0:06:16 > 0:06:20Look, could we have a head MRI?
0:06:20 > 0:06:22It's just she has declined so rapidly recently.
0:06:22 > 0:06:25Consider it done and I'll order full bloods
0:06:25 > 0:06:28and a urine screen just to be on the safe side.
0:06:28 > 0:06:30May as well give her the full MOT.
0:06:30 > 0:06:35Good to have you back by the way. Jess all right?
0:06:35 > 0:06:37I wouldn't be here if she wasn't.
0:06:37 > 0:06:39PHONE RINGS
0:06:42 > 0:06:43Serena Campbell.
0:06:45 > 0:06:48Yes, I'm Mrs McKinnie's daughter.
0:06:51 > 0:06:53What?
0:06:58 > 0:06:59You OK?
0:06:59 > 0:07:01Yeah, yeah, fine.
0:07:01 > 0:07:05Good. This is your newbie intake of fresh faced F1s, OK?
0:07:05 > 0:07:08And as CT1, you are their Yoda for the day.
0:07:08 > 0:07:10Teach them wisely.
0:07:10 > 0:07:11OK.
0:07:18 > 0:07:21OK, listen up, everyone.
0:07:21 > 0:07:24Listen up, everyone! Bed one, please, to start.
0:07:24 > 0:07:25Thank you very much.
0:07:29 > 0:07:32That was a late one, wasn't it, last night, I think,
0:07:32 > 0:07:36even by your standards. I think we're meant to be setting a good example to the new intake,
0:07:36 > 0:07:40- not...- Better to weed out the lightweights sooner than later.
0:07:40 > 0:07:42Yeah, never trust a doctor who doesn't drink.
0:07:42 > 0:07:47Zosia, OK, I know that you're still hurting over Jesse
0:07:47 > 0:07:50but do you not maybe think you've been hitting it a little bit hard?
0:07:50 > 0:07:52I mean, you have been out practically every night.
0:07:52 > 0:07:53Can't a girl let off some steam?
0:07:53 > 0:07:55How much sleep have you had this week?
0:07:55 > 0:07:57More than when I was cramming for exams.
0:07:57 > 0:08:00- And that didn't seem to affect my results.- OK, Zosia.
0:08:01 > 0:08:04Right, last week, you nearly died in our arms.
0:08:11 > 0:08:13HE SIGHS LOUDLY
0:08:14 > 0:08:15OK, Ms Cruikshank.
0:08:16 > 0:08:18Er...
0:08:18 > 0:08:20Any initial thoughts?
0:08:20 > 0:08:22Fracture?
0:08:22 > 0:08:23Yes, very good.
0:08:23 > 0:08:26Are you sure you're OK to work today?
0:08:26 > 0:08:28Yes, yes, yes.
0:08:28 > 0:08:30Mum's up in X-ray, what else am I going to do,
0:08:30 > 0:08:31paint my nails?
0:08:31 > 0:08:33You don't have to, there's nothing here that I can't cover.
0:08:33 > 0:08:35Please just keep me busy, Ric.
0:08:36 > 0:08:40OK, Bed 4 when you're ready.
0:08:40 > 0:08:44Angela Doyle, she's been complaining of severe abdominal pain.
0:08:44 > 0:08:49I'll let you know when Adrienne's tests results are back.
0:08:49 > 0:08:53Hello, Angela. I'm Miss Campbell, I'll be taking care of you today.
0:08:53 > 0:08:55Now that's good bedside manner.
0:08:55 > 0:08:59Oh, hospital protocol, they expect us to be nice to patients these
0:08:59 > 0:09:01days. Bit strange to me, but who am I to argue?
0:09:01 > 0:09:04Service with a smile!
0:09:04 > 0:09:07So, you were found collapsed at home with severe abdominal pains.
0:09:07 > 0:09:10Looks like we're still waiting for your notes to surface,
0:09:10 > 0:09:13so any ongoing issues that might be a factor?
0:09:13 > 0:09:16Well, I've been told I can be quite opinionated and outspoken.
0:09:16 > 0:09:20Haven't we all? But maybe we should stick to the medical?
0:09:20 > 0:09:23I have had bouts of irritable bowel syndrome in the past.
0:09:23 > 0:09:26This feels different, the pain took my breath away.
0:09:26 > 0:09:29Right, OK, well, let's take a look at you, shall we?
0:09:29 > 0:09:31Could you pop your feet up for me, please?
0:09:32 > 0:09:33Thank you.
0:09:35 > 0:09:38Right, and this came on you suddenly?
0:09:38 > 0:09:43Yes, last couple of days. Yeah, it hurts so much right here.
0:09:43 > 0:09:45And down my legs too...
0:09:45 > 0:09:48OK, sorry about this.
0:09:50 > 0:09:51Are you all right?
0:09:51 > 0:09:54Me? Er, yes. Why do you ask?
0:09:54 > 0:09:56You just look so stressed...
0:09:58 > 0:10:00Comes with the territory, I'm afraid.
0:10:00 > 0:10:03Let's just concentrate on getting you right, shall we?
0:10:03 > 0:10:07Can I have FBC, LFT, U and E's, amylase and CRP,
0:10:07 > 0:10:10and can you rush her notes up, please?
0:10:10 > 0:10:12Right, I'll come back to you
0:10:12 > 0:10:14when we've got your test results through.
0:10:14 > 0:10:17Is there anyone you'd like me to contact for you?
0:10:17 > 0:10:20I do have a little thing for Brad Pitt but if he's busy,
0:10:20 > 0:10:22Gorgeous George will have to do.
0:10:22 > 0:10:24Right, well I can't make any promises
0:10:24 > 0:10:27but I'll put a call into their agent for you.
0:10:32 > 0:10:35Tim, if you want to go next.
0:10:35 > 0:10:37Dom, Dom. One second, please.
0:10:40 > 0:10:42She's acting like nothing happened.
0:10:42 > 0:10:44Nothing did happen, remember?
0:10:44 > 0:10:47Right, is she still taking drugs? I mean, was she on them last night?
0:10:47 > 0:10:49Nah, I didn't see her take any.
0:10:49 > 0:10:50How can you be sure of that?
0:10:50 > 0:10:51Trust me. I know.
0:10:51 > 0:10:54But it's OK for her to turn up hungover and tired, is it?
0:10:54 > 0:10:56Do you think I don't care?
0:10:56 > 0:10:58That's not what I'm saying at all.
0:10:58 > 0:11:01Well, that's exactly how it sounds to me and I don't see you staying up
0:11:01 > 0:11:04until all hours of the morning listening to her wax on about Jesse!
0:11:04 > 0:11:06Look, I just don't think we can keep covering for her
0:11:06 > 0:11:08until something bad happens again.
0:11:08 > 0:11:11Well, what do you suggest, Arthur? An intervention? A stint in rehab?
0:11:11 > 0:11:13If it hadn't escaped your notice,
0:11:13 > 0:11:15she doesn't really respond well to authority.
0:11:17 > 0:11:19Look, I get that she's in a mess right now.
0:11:19 > 0:11:22I know she's hurting and this is her way of dealing with it.
0:11:22 > 0:11:23Then YOU deal with it.
0:11:27 > 0:11:29He is kind of hot, though.
0:11:29 > 0:11:32First in a succession of rebound beef, no doubt.
0:11:32 > 0:11:34He was a bet, my gaydar was way off.
0:11:34 > 0:11:38Anyway, at least he'll keep her occupied, for a while...
0:11:38 > 0:11:40Hey, Starfish.
0:11:40 > 0:11:42Maria?
0:11:44 > 0:11:48Not very flattering, these hospital gowns, are they?
0:11:48 > 0:11:51The NHS don't do a fashion line, I'm afraid.
0:11:51 > 0:11:53Well, maybe they should.
0:11:53 > 0:11:57Would it do any harm for people to feel good about themselves?
0:11:57 > 0:11:59These beds are rock hard.
0:11:59 > 0:12:02- Mum... - No oomph in these pillows.
0:12:02 > 0:12:05Mum. Look, I hope you don't mind but I rang your solicitor
0:12:05 > 0:12:10because I'm just a little bit worried about your finances.
0:12:10 > 0:12:14Well, don't be - you know Euan takes care of all my affairs.
0:12:14 > 0:12:17Well, a journalist rang me earlier.
0:12:17 > 0:12:21She wanted to do a piece on the woman who donated £30,000
0:12:21 > 0:12:23to help build a school in Somalia.
0:12:23 > 0:12:27Oh, what a lovely thing to do.
0:12:27 > 0:12:29Your leg, do you remember how you hurt your leg?
0:12:29 > 0:12:31How you ended up in here?
0:12:31 > 0:12:32I...
0:12:32 > 0:12:34I must have slipped.
0:12:34 > 0:12:36The mirrors? Do you remember the mirrors?
0:12:36 > 0:12:40You donated the money for the school, Mum.
0:12:40 > 0:12:43What a fantastic gesture.
0:12:43 > 0:12:46You must be very proud of your mother, Ms Campbell?
0:12:46 > 0:12:49I mean, we all talk about these grand gestures for those
0:12:49 > 0:12:51less fortunate, but to actually do it...
0:12:51 > 0:12:55Well, thank you, I'm glad someone appreciates me.
0:12:55 > 0:12:56Excuse me a minute please, Mum.
0:12:56 > 0:12:58I'm sorry, do you make a habit of
0:12:58 > 0:13:00eavesdropping on other peoples conversations?
0:13:00 > 0:13:02Confrontation of behaviour in a person with dementia should
0:13:02 > 0:13:04only be used as a last resort.
0:13:04 > 0:13:08It can cause distress, and let's face it, at what value?
0:13:08 > 0:13:11Right, back into bed with you, please.
0:13:12 > 0:13:15I've... I've been watching you...
0:13:16 > 0:13:18..trying to ascertain the source of your stress.
0:13:19 > 0:13:22- She's lying right there. - And why would you do that?
0:13:22 > 0:13:25Always been inquisitive, some say plain nosy.
0:13:25 > 0:13:29Oh, that and the fact I'm a qualified psychologist who's
0:13:29 > 0:13:32worked extensively in this field.
0:13:33 > 0:13:35I've been feeling queasy for days.
0:13:35 > 0:13:37Your temperature's a little high.
0:13:37 > 0:13:39I threw up on the bus, then had this terrible pain.
0:13:39 > 0:13:42Bus driver took me straight to A&E, it was so embarrassing.
0:13:42 > 0:13:45The other passengers must have loved you(!)
0:13:45 > 0:13:47Are you still in pain now?
0:13:47 > 0:13:48It comes and goes.
0:13:48 > 0:13:53OK, well er... Don't worry Clamshell, we'll get you sorted.
0:13:53 > 0:13:54Clamshell?
0:13:54 > 0:13:57A term of endearment. Maria is Dr Digby's girlfriend...
0:13:57 > 0:13:59Hey, Maria.
0:13:59 > 0:14:02It's the lovely Maria. It's nice to meet you finally.
0:14:02 > 0:14:05Now, unfortunately because you're having a relationship
0:14:05 > 0:14:08with Dr Digby here, he isn't allowed to treat you so...
0:14:08 > 0:14:11Abdominal pain, vomiting, constipation.
0:14:11 > 0:14:13Arthur! TMI!
0:14:13 > 0:14:16Yeah, and temperature's a little bit above 38 degrees.
0:14:16 > 0:14:18Well, classic symptoms of a grumbling appendix.
0:14:18 > 0:14:21I'd recommend FBC, U and E's, LFT, amylase and CRP.
0:14:21 > 0:14:23An abdominal CT scan might also be prudent.
0:14:23 > 0:14:26Very good. Let me know when her results are in please, Zosia.
0:14:26 > 0:14:30Arthur, can you over see Mark while he's examines Mr Robinson?
0:14:30 > 0:14:32Please, thank you. Good.
0:14:34 > 0:14:37Can I get you anything, paper, magazine?
0:14:37 > 0:14:38I'm fine, thanks.
0:14:38 > 0:14:42Just as well. Don't think the shop stretches to National Geographic.
0:14:43 > 0:14:45Right, I want you to swap with
0:14:45 > 0:14:47Dominic, I don't want you treating Maria.
0:14:47 > 0:14:49You really think he's a better doctor than me?
0:14:49 > 0:14:51No! OK, you've had two hours' kip.
0:14:51 > 0:14:54Don't worry Starfish, Clamshell is safe in my hands.
0:14:56 > 0:15:00It's not the person's fault but they demand attention.
0:15:00 > 0:15:04More so as the dementia progresses.
0:15:04 > 0:15:08I think carers sometimes take their eye off the ball.
0:15:08 > 0:15:12Stop caring for themselves. I've seen so many case studies.
0:15:12 > 0:15:13SHE GASPS
0:15:13 > 0:15:15Are you still in pain?
0:15:15 > 0:15:16It's worse in my legs now.
0:15:16 > 0:15:19Right, thank you.
0:15:19 > 0:15:22Well, you'll be pleased to hear your white cell count's normal
0:15:22 > 0:15:23so we can rule out infection.
0:15:23 > 0:15:26Does that mean two paracetamol and I can go home?
0:15:26 > 0:15:28I'm afraid not.
0:15:28 > 0:15:30Your liver function test is a bit on the low side.
0:15:30 > 0:15:31I'd like to do an abdominal CT.
0:15:31 > 0:15:34I think there's a bit of a wait on the scanner. I'll see what
0:15:34 > 0:15:36I can do to jump you up the queue.
0:15:36 > 0:15:38Your mum's quite a character.
0:15:39 > 0:15:43You know, there are so many new therapies out there that
0:15:43 > 0:15:44can improve retention?
0:15:44 > 0:15:46Such as?
0:15:46 > 0:15:49Listening to music and poetry, for instance.
0:15:49 > 0:15:53Old videos, photos of happy memories, that kind of thing.
0:15:53 > 0:15:56You just need to keep it positive.
0:15:56 > 0:15:59Not bawl her out for throwing 30 grand at a charity, you mean?
0:15:59 > 0:16:01Well, we all have our moments, don't we?
0:16:03 > 0:16:07If I were you, I'd make a huge deal of it,
0:16:07 > 0:16:09show her how proud you are.
0:16:09 > 0:16:12Let Adrienne have a say in her future
0:16:12 > 0:16:14while she still has her faculties.
0:16:15 > 0:16:20All the things she really wants to do, how she'd like to be treated.
0:16:20 > 0:16:23You want to be able to say you did your best by her.
0:16:25 > 0:16:26Thanks.
0:16:27 > 0:16:30OK, let's get you settled, shall we, Mia?
0:16:30 > 0:16:32And then we'll have a doctor come and...
0:16:32 > 0:16:34What's taken so long?
0:16:34 > 0:16:37Sorry, but we had to wait for Mia's referral to be signed off by AAU.
0:16:37 > 0:16:40Yeah, so if you've got a problem you need to take it up with them.
0:16:40 > 0:16:42OK, I apologise for the wait, Miss Conrad.
0:16:42 > 0:16:46I will remonstrate with my colleagues downstairs on your behalf.
0:16:46 > 0:16:48Oh, don't bother. I just want to find out what's wrong with me.
0:16:48 > 0:16:50You've reported slight chest pains
0:16:50 > 0:16:52and you've been coughing up blood for a couple of days, yes?
0:16:52 > 0:16:54Wow, OK, straight to business then.
0:16:54 > 0:16:56Sorry, this is Ms Effanga. She'll be treating you today.
0:16:56 > 0:16:58Pleased to meet you.
0:16:58 > 0:17:00Is this the first time this has happened?
0:17:00 > 0:17:01It's been a couple of times now.
0:17:01 > 0:17:03First time was on a photo shoot.
0:17:03 > 0:17:05Ended up looking like the bride of Dracula!
0:17:05 > 0:17:06Not a good look for me.
0:17:06 > 0:17:09You're a model, fascinating...
0:17:09 > 0:17:10Yeah, it has its moments.
0:17:10 > 0:17:13Any other symptoms?
0:17:13 > 0:17:14Um...
0:17:14 > 0:17:15SHE CLEARS THROAT
0:17:15 > 0:17:19Well, I have been having a few... problems, like...
0:17:19 > 0:17:21"down below".
0:17:21 > 0:17:23Can you be more specific?
0:17:23 > 0:17:25I've just been having really bad period pain,
0:17:25 > 0:17:28and the flow's been really heavy as well.
0:17:28 > 0:17:30Right, could you page Mr Thompson, tell him
0:17:30 > 0:17:32there's a patient that needs a gynae consult.
0:17:32 > 0:17:36- Then FBC Us and Es, LFTs, a chest CT scan. Thank you.- Sure.
0:17:36 > 0:17:37Anything else?
0:17:39 > 0:17:42Are you always like this or you just having a rough day?
0:17:45 > 0:17:48She's already killed off two day carers, they just couldn't hack it.
0:17:48 > 0:17:52But most of the time she's tickety boo, all sweetness and light.
0:17:52 > 0:17:54And then?
0:17:54 > 0:17:55She threw a plate at one of them,
0:17:55 > 0:17:58and accused the other one of stealing her antique silver cutlery.
0:17:58 > 0:17:59Wouldn't believe me even
0:17:59 > 0:18:01when I showed her it was all safe and sound.
0:18:01 > 0:18:04Plus it happens to be my cutlery.
0:18:04 > 0:18:09Not unusual with the progression of vascular dementia, I'm afraid.
0:18:09 > 0:18:14This is Adrienne's head MRI and her last one for comparison.
0:18:14 > 0:18:18I think there are peri ventricular white matter lesions here.
0:18:18 > 0:18:20New areas of infarct.
0:18:20 > 0:18:22Silent strokes?
0:18:22 > 0:18:25I think we're clearly dealing with multi-infarct vascular dementia.
0:18:25 > 0:18:28Neurology will tell you more but I think you're going to have to
0:18:28 > 0:18:31accept that your mother's condition may deteriorate rapidly.
0:18:32 > 0:18:34Right.
0:18:42 > 0:18:47Serena, this is not easy for me to say
0:18:47 > 0:18:52but I think you're going to have to consider your own choices.
0:18:52 > 0:18:55I'm worried that your mother's situation may continue to
0:18:55 > 0:18:58affect your performance here.
0:18:58 > 0:19:02Oh, I see. Ric's back, so I'm surplus to requirements?
0:19:02 > 0:19:06No. Nobody is saying that.
0:19:06 > 0:19:08Adrienne's condition has, at times,
0:19:08 > 0:19:10been an understandable distraction for you.
0:19:10 > 0:19:14I have already apologised for missing your little cocktail party.
0:19:14 > 0:19:17You know that that's not the only occasion that's been
0:19:17 > 0:19:18a cause for concern.
0:19:18 > 0:19:23I'm just trying to point out that you should consider your options.
0:19:29 > 0:19:32Right, white blood cell count is high which suggests
0:19:32 > 0:19:34an infection as expected.
0:19:34 > 0:19:36I'll prescribe some antibiotics to combat that.
0:19:36 > 0:19:38But you still think it's just my appendix?
0:19:38 > 0:19:40Well, your CT is still pending, I'm afraid.
0:19:40 > 0:19:42Process of elimination at this stage.
0:19:42 > 0:19:44I'm going to have to ask you a few questions.
0:19:44 > 0:19:46Why does Arthur keep on staring at you?
0:19:46 > 0:19:49- Have you two had a row or something? - If you'd like to come round, please.
0:19:49 > 0:19:51You know what a worry monger he is!
0:19:51 > 0:19:52SHE WINCES
0:19:54 > 0:19:57It's OK, it's passing...
0:19:57 > 0:19:59You've been feeling nauseous recently?
0:19:59 > 0:20:02The last few days.
0:20:02 > 0:20:03With intermittent pain?
0:20:03 > 0:20:06Yes, but nothing like today.
0:20:06 > 0:20:08Have you been having unprotected sex?
0:20:08 > 0:20:11Zosia! Of course not, we're always careful.
0:20:11 > 0:20:13Sorry, I have to ask.
0:20:13 > 0:20:15Is there any chance you might be pregnant?
0:20:15 > 0:20:17No contraception is ever 100 percent...
0:20:19 > 0:20:20I'm a few days late.
0:20:23 > 0:20:25I'll organise a urine test.
0:20:28 > 0:20:31I'll have to give up my research.
0:20:31 > 0:20:35I'm on this great gig right now looking at cod breeding habits in the North Atlantic.
0:20:35 > 0:20:38- You know...- Let's keep focused on what's happening here.
0:20:44 > 0:20:46How do you think Arthur would take it?
0:20:50 > 0:20:53I think Arthur would be a great dad.
0:20:53 > 0:20:57He is a real nurturer and he clearly cares a lot about you
0:20:57 > 0:20:59but the facts are...
0:20:59 > 0:21:00I've only known him two months.
0:21:00 > 0:21:03It's a bit of a whirlwind if you are...
0:21:08 > 0:21:10What if he's the one, though?
0:21:13 > 0:21:18You never know if they're the one or if they're just the one for now.
0:21:27 > 0:21:30Well, there's nothing showing on your ultrasound I'm pleased to say.
0:21:30 > 0:21:33And here's me hoping for octuplets.
0:21:33 > 0:21:35What were those swabs that you took earlier?
0:21:35 > 0:21:37Oh, they were just standard tests,
0:21:37 > 0:21:39checking for any infection that might be causing your period pains.
0:21:39 > 0:21:41Are you testing me for STIs?
0:21:41 > 0:21:44There's really nothing for you to worry about at this stage.
0:21:45 > 0:21:50Actually, there is one more test you could do for me if you don't mind.
0:21:50 > 0:21:53Could you provide me with a sputum sample, please?
0:21:53 > 0:21:55Ah, come on. You're having a laugh now!
0:21:55 > 0:21:56Sadly not, no...
0:21:58 > 0:22:01So what's this I hear about you being Britain's next top model
0:22:01 > 0:22:04- or something?- Are you trying to butter me up?
0:22:04 > 0:22:07No! No, no, no not at all. No. It's a serious question.
0:22:07 > 0:22:10Believe it or not, I don't get to meet very many celebrities.
0:22:10 > 0:22:15Oh, you're good... Shy quiet exterior with a cheesy centre.
0:22:15 > 0:22:17Mozzarella man!
0:22:17 > 0:22:20Did you hurt yourself when you fell from heaven?
0:22:20 > 0:22:22Nah. There's loads of pretty girls out there
0:22:22 > 0:22:25but I'm just going to give it a go, and see what happens.
0:22:25 > 0:22:27So can you spit into that, please?
0:22:29 > 0:22:30So tell me Miss Conrad,
0:22:30 > 0:22:34what first attracted you to the eminent and highly paid Consultant?
0:22:34 > 0:22:35Don't be silly.
0:22:35 > 0:22:39She must earn way more than Mr T doing her glam shoots.
0:22:39 > 0:22:40She's just a glorified clothes horse.
0:22:40 > 0:22:43Yeah, but it must be nice getting all those freebies.
0:22:43 > 0:22:45Yeah, until she's not pick of the week and the work dries up
0:22:45 > 0:22:47and she's back to flipping burgers.
0:22:47 > 0:22:48Erm, she's not stupid.
0:22:48 > 0:22:52Is Mia doing a wee bit of pension planning, is she?
0:22:52 > 0:22:55Sorry, can we just can the gossip and actually do some work today, please?
0:22:57 > 0:22:58Wow!
0:22:58 > 0:23:02Jac Naylor, please come back. All is forgiven.
0:23:02 > 0:23:04Well, we do need to give the antibiotics the time to fight
0:23:04 > 0:23:06the infection.
0:23:06 > 0:23:08But her temperature's not dropping, so?
0:23:08 > 0:23:11We'll keep you on 30 minute observations for now, OK, Maria?
0:23:11 > 0:23:13And see how we go from there.
0:23:14 > 0:23:16Dom. Dom, Dom, Dom, Dom, Dom.
0:23:16 > 0:23:19Will you stop flapping? You're making her nervous.
0:23:19 > 0:23:21- Look, where's Zosia? - I don't know, OK?
0:23:21 > 0:23:24She's on her break. She asked me to cover.
0:23:25 > 0:23:29Look, Maria is stable, OK? I will go find Zosia.
0:23:29 > 0:23:32You get back to your F1s. Everything will be fine.
0:23:36 > 0:23:38I am going to be all right, aren't I?
0:23:38 > 0:23:40Of course you are.
0:23:40 > 0:23:42So Zosia is doing the right thing?
0:23:42 > 0:23:45Please, just try not to worry.
0:23:45 > 0:23:48I'm going to keep on top of this.
0:23:48 > 0:23:50On top of what, Arthur?
0:23:50 > 0:23:52It's like you think she doesn't know what she's doing.
0:23:52 > 0:23:57Look, OK, Zosia's had a few problems recently.
0:23:57 > 0:24:00Her behaviour's been a bit erratic, even for her.
0:24:00 > 0:24:02What's wrong with her?
0:24:02 > 0:24:05Well, it's all this stuff with Jesse, I think.
0:24:05 > 0:24:07She was out partying last night.
0:24:07 > 0:24:10So you're basically saying she's a bit upset over the break up
0:24:10 > 0:24:12and now having too much of a good time for your liking?
0:24:12 > 0:24:14Er... How concise.
0:24:14 > 0:24:16Arthur, she's been lovely to me.
0:24:16 > 0:24:18Yeah, OK, well, just try not to worry. Relax.
0:24:18 > 0:24:20I'm all over this.
0:24:20 > 0:24:23She's our friend. Don't you think you're overreacting?
0:24:23 > 0:24:25Why? Because I'm looking out for you?
0:24:25 > 0:24:28Why would you think she'd ever dream of compromising my care?
0:24:31 > 0:24:34Just stop putting pressure on her, she knows what she's doing.
0:24:34 > 0:24:36OK, OK.
0:24:38 > 0:24:42OK, OK. I'm going to increase your pain relief just...
0:24:42 > 0:24:44And please, please, please, please, please, just
0:24:44 > 0:24:48don't mention this to Zosia because I only told you so that... You know.
0:24:48 > 0:24:49You're looking out for me?
0:24:49 > 0:24:51I know you are.
0:24:51 > 0:24:53I know you always will do, but I trust her.
0:24:53 > 0:24:55Yeah, OK.
0:25:05 > 0:25:09OK, still waiting on your CT scan
0:25:09 > 0:25:13but your notes have finally come through.
0:25:13 > 0:25:16You were admitted eight months ago with stomach problems,
0:25:16 > 0:25:19vomiting blood, found collapsed at work.
0:25:19 > 0:25:21Probable cause prolonged alcohol abuse,
0:25:21 > 0:25:25though you were dry at the time.
0:25:25 > 0:25:28You didn't think this was worth mentioning?
0:25:28 > 0:25:32Angela, I really need you to be honest with me.
0:25:32 > 0:25:34What do you want to say?
0:25:34 > 0:25:36Are you getting any counselling... Any therapy?
0:25:36 > 0:25:38When I feel I need it.
0:25:38 > 0:25:40Are you still drinking?
0:25:40 > 0:25:44Life can be easier sometimes when it's a little fuzzy.
0:25:44 > 0:25:48But you're functioning at work, still practising?
0:25:48 > 0:25:52My glittering trophy cabinet attracts funding for the university.
0:25:52 > 0:25:55I'm not deemed fit to teach any more, apparently.
0:25:57 > 0:25:59That must be hard for you.
0:26:00 > 0:26:03I work mostly from home these days.
0:26:03 > 0:26:06People can be horribly judgmental.
0:26:06 > 0:26:08Not everyone. I've got my supporters...
0:26:10 > 0:26:13But strangely it's their sympathy I have the biggest problem
0:26:13 > 0:26:16dealing with.
0:26:16 > 0:26:18So you hide yourself away?
0:26:23 > 0:26:26Look, I can have you reassessed for counselling.
0:26:26 > 0:26:30Did I not say it's the sympathy I have the greatest issue with?
0:26:31 > 0:26:34You think I've taken the easy option?
0:26:34 > 0:26:36I think people make mistakes.
0:26:36 > 0:26:38It's how we deal with them that really matters.
0:26:38 > 0:26:41True. But you're really not that different from me.
0:26:43 > 0:26:46I bet you're sick of hearing, "Are you all right?
0:26:46 > 0:26:50"How are you coping?" The little head tilt of worthiness.
0:26:50 > 0:26:53Long working days.
0:26:53 > 0:26:58Get home, turn on the goggle box, yap to Mum, meal for one
0:26:58 > 0:27:00and a glass of Merlot?
0:27:06 > 0:27:09Hey, hey...
0:27:09 > 0:27:10What's up? You need to be somewhere?
0:27:10 > 0:27:14No flowers, no chocolates. I like to be wined and dined.
0:27:14 > 0:27:15KNOCK AT DOOR
0:27:18 > 0:27:21If you could return Mark when you've finished with him?
0:27:21 > 0:27:23Preferably not in a body bag. Sacha's wondering where he is.
0:27:23 > 0:27:26And Diggers is looking for you too.
0:27:31 > 0:27:33Hold that thought till tonight?
0:27:33 > 0:27:36- No, it's either now or not at all. - Zosia...- What is your problem?
0:27:36 > 0:27:39I need to get to the ward. Time and a place...
0:27:40 > 0:27:44It's been fun but you're kind of weirding me out now.
0:27:45 > 0:27:48Right. Let's get back to the ward, then.
0:27:48 > 0:27:52You need to write up your abstract audit for your portfolio anyway.
0:27:59 > 0:28:02How old are you, Adrienne?
0:28:02 > 0:28:06Now that's a question you should never ask a lady!
0:28:06 > 0:28:08How old are you, Mister?
0:28:09 > 0:28:15Mid-40's, no wedding band, playing the field, I imagine.
0:28:15 > 0:28:18I can tell by your face I'm right!
0:28:18 > 0:28:22OK, let's try something else, shall we?
0:28:22 > 0:28:27Can you draw this for me
0:28:27 > 0:28:31whilst I ask you some more questions?
0:28:33 > 0:28:36What's your favourite colour again?
0:28:36 > 0:28:38Red, of course.
0:28:38 > 0:28:42I love roses if you're thinking of buttering me up.
0:28:42 > 0:28:46Subtract seven from 100?
0:28:46 > 0:28:4897.
0:28:49 > 0:28:51Do you know what year it is?
0:28:51 > 0:28:562004, of course. Stupid question.
0:28:56 > 0:28:59What is that address I asked you to remember earlier?
0:29:02 > 0:29:0322...
0:29:05 > 0:29:07Kenilworth Street...
0:29:09 > 0:29:11No, no...
0:29:11 > 0:29:1428!
0:29:14 > 0:29:17Difficult one to finish up with...
0:29:17 > 0:29:19When did the Second World War end?
0:29:19 > 0:29:23Victory in Europe or victory in Japan?
0:29:23 > 0:29:24Victory in Europe.
0:29:24 > 0:29:30Well, 1945 of course, but that's not what you asked me!
0:29:34 > 0:29:38The CT shows inflammatory stranding in the right iliac fossa.
0:29:38 > 0:29:39What does that mean to me?
0:29:39 > 0:29:41The appendix is swollen and turgid.
0:29:41 > 0:29:43We'll continue treating you
0:29:43 > 0:29:46medically with a more focused antibiotic.
0:29:47 > 0:29:51What about... You know?
0:29:51 > 0:29:55I'll phone up the lab, and try and rush it up for you.
0:29:55 > 0:29:57Have you had time to think about it?
0:29:57 > 0:30:00Just been wondering what I'd say to him if I was pregnant?
0:30:00 > 0:30:03"Congratulations Arthur, you better dip into your ISA for a cot..."
0:30:03 > 0:30:04Good luck with that!
0:30:10 > 0:30:14You know, I've always been a bit jealous of you.
0:30:14 > 0:30:16Why on earth would that be?
0:30:16 > 0:30:19You're just so focused, you know what you want.
0:30:19 > 0:30:23Career girl, you don't let your emotions get in the way like I do.
0:30:23 > 0:30:25Doesn't always work out for me.
0:30:25 > 0:30:27I'm sure the right man's out there somewhere...
0:30:27 > 0:30:29I don't need a man to make me happy.
0:30:29 > 0:30:30I never meant you did.
0:30:33 > 0:30:35How are you and Arthur?
0:30:35 > 0:30:40We're good... Unless you know different?
0:30:40 > 0:30:43No, he's ecstatic, he doesn't shut up about you.
0:30:43 > 0:30:44What does he say?
0:30:45 > 0:30:50It's usually along the lines of "Maria's researching how the
0:30:50 > 0:30:55"skin bacteria of hunchback whales can be an indicator of overall pod health"...
0:30:55 > 0:30:57But he says it in a very fond way.
0:30:57 > 0:30:59You must think we're so boring.
0:30:59 > 0:31:01Every Yin has their Yang.
0:31:01 > 0:31:03I'll let you into a little secret.
0:31:05 > 0:31:08He's a bit of a surprise package, if you know what I mean...
0:31:08 > 0:31:10Oh, don't worry. I'm well aware.
0:31:10 > 0:31:11What?
0:31:14 > 0:31:16Have you got something to tell me?
0:31:17 > 0:31:19It was nothing...
0:31:20 > 0:31:22You've been with him, haven't you?
0:31:24 > 0:31:26It was just a fling, a one-off.
0:31:26 > 0:31:29Nothing like what you've got, it was way before you were on the scene...
0:31:33 > 0:31:35I thought you knew.
0:31:35 > 0:31:37Why's he never told me?
0:31:41 > 0:31:45It's a significantly low score, I'm afraid, Serena, and from what you're telling me,
0:31:45 > 0:31:48your mother is showing signs of delusion and paranoia.
0:31:48 > 0:31:52This, along with the multiple infarcts, does indicate that
0:31:52 > 0:31:56her mental health is deteriorating rapidly.
0:31:56 > 0:31:58I mean, at this point her neurologist does think
0:31:58 > 0:32:01she has the capacity to make her own life choices.
0:32:01 > 0:32:05But I think you need to talk with your mother about managing
0:32:05 > 0:32:07her future welfare.
0:32:07 > 0:32:10I'm really sorry to interrupt but it is quite urgent...
0:32:10 > 0:32:15Angela Doyle's CT scan. She has a saddle embolus of the aorta.
0:32:15 > 0:32:17Oh, no.
0:32:17 > 0:32:20Mo, have you got a copy of Miss Conrad's chest CT?
0:32:20 > 0:32:21- I have.- Great, can I...
0:32:21 > 0:32:23Well, unless I'm very much mistaken
0:32:23 > 0:32:25her main concern is a cardio problem?
0:32:25 > 0:32:27Yeah, but I'm just waiting for test results.
0:32:27 > 0:32:29But you can wait somewhere else though, right?
0:32:29 > 0:32:30Cheers for popping over.
0:32:30 > 0:32:35Call me old-fashioned but isn't fairly normal to share findings?
0:32:35 > 0:32:37Great, thank you.
0:32:37 > 0:32:40Any particular reason you're all over this one like a rash?
0:32:40 > 0:32:43Right, you're confusing my duty to patient care with something
0:32:43 > 0:32:45- else here, clearly.- Don't you think she's a little bit "Gen Y" for you?
0:32:45 > 0:32:48"Gen Y"? Sorry I'm not going to even pretend to be
0:32:48 > 0:32:50up on your favourite pop stars, who's that?
0:32:50 > 0:32:51- For real? - Is that one of theirs?
0:32:51 > 0:32:54Hey, I've got an idea, why don't you get your elf costume
0:32:54 > 0:32:57out of the dry cleaners, ask her what she wants for Christmas!
0:32:57 > 0:32:59Oh, you're implying because she's a beautiful young woman
0:32:59 > 0:33:01and I'm a stereotypically older man,
0:33:01 > 0:33:03somehow I should be immediately attracted to her?
0:33:03 > 0:33:06- Just put your tongue back in your mouth, OK?- Mo...
0:33:06 > 0:33:09Mia, I have some news.
0:33:09 > 0:33:13We've found a rounded shadow on your right lung.
0:33:13 > 0:33:16Does that mean that I've got cancer?
0:33:16 > 0:33:20I believe it to be an extremely rare type of fistula.
0:33:20 > 0:33:24So rare I've never actually seen one before.
0:33:24 > 0:33:26You're not making any sense!
0:33:26 > 0:33:29It's an abnormally developed blood vessel in the lung.
0:33:29 > 0:33:31It's not cancer, just try and relax, Mia.
0:33:31 > 0:33:33You're going to need surgery to remove it.
0:33:33 > 0:33:35I can perform the procedure this afternoon.
0:33:35 > 0:33:38I'll get the consent forms prepared for you.
0:33:43 > 0:33:47Wow. Don't you think you could have delivered that a little bit better?
0:33:47 > 0:33:51- Becoming a member of the zipper club is going to kill her career, you know?- Does that make a difference?
0:33:51 > 0:33:55- Do you concur that this clearly looks to be a pulmonary AV fistula? - It's not my area of expertise,
0:33:55 > 0:33:59- but it does look that way.- Right, then she needs the surgery.- But it's not an emergency, is it?
0:33:59 > 0:34:03- She's stable, you've got options. We're still waiting on test results! - Not from a CT point of view.
0:34:03 > 0:34:06Look, I'm dealing with this, please let me get on with my job!
0:34:16 > 0:34:19Sarah, hello, it's Derwood Thompson here. Could you do me a favour?
0:34:19 > 0:34:23Could you prioritise Mia Conrad's sputum test results for me?
0:34:23 > 0:34:25Great, thank you.
0:34:27 > 0:34:29Your CT scan shows you have a clotted aorta,
0:34:29 > 0:34:32known as a saddle embolus.
0:34:32 > 0:34:35And both your femoral arteries are almost completely blocked.
0:34:35 > 0:34:37Hence the pain in your legs.
0:34:37 > 0:34:40The fact is, Angela, you are extremely lucky to be alive.
0:34:43 > 0:34:46But you can fix me?
0:34:46 > 0:34:49Well, surgery really is your only option and we have to act quickly.
0:34:49 > 0:34:51I'll need your consent so we can proceed.
0:34:54 > 0:34:56Angela, listen to me.
0:34:56 > 0:35:01The longer we leave this, the greater the chance I may have to amputate your legs.
0:35:01 > 0:35:03What happened to the bedside manner?
0:35:03 > 0:35:05I'm sorry, but time really isn't on our side.
0:35:08 > 0:35:12You will die if we don't do this soon, so please see sense -
0:35:12 > 0:35:13you want to live, don't you?
0:35:13 > 0:35:17- You know, now it's come to it... - Not what I want to hear, Angela.
0:35:19 > 0:35:23Look, I'm this hospital's vascular specialist.
0:35:23 > 0:35:26I promise I will do everything I can for you.
0:35:31 > 0:35:34I know you will.
0:35:34 > 0:35:36Good.
0:35:36 > 0:35:40Can you get consent forms signed and prep theatre for me, please?
0:35:40 > 0:35:43When are we going home? You know I hate to miss Eggheads.
0:35:43 > 0:35:45It's OK, I can take care of things here.
0:35:45 > 0:35:48No, no. Please just buy me a few minutes while I see
0:35:48 > 0:35:51if someone's free to keep an eye on her.
0:35:51 > 0:35:53Having a busy day, darling?
0:35:53 > 0:35:54Same as usual, Mum.
0:35:54 > 0:35:58Look, maybe we can go somewhere nice to eat when I'm done here?
0:35:58 > 0:36:00I need the little girl's room.
0:36:00 > 0:36:03OK, you wait there, I'll get someone to take you.
0:36:03 > 0:36:05Look, can you keep an eye on my mum for a bit
0:36:05 > 0:36:07and she needs the loo.
0:36:07 > 0:36:10Thanks.
0:36:10 > 0:36:13The results you ordered for Mia Conrad.
0:36:13 > 0:36:18She has endometrial cells in her sputum test. Isn't that weird?
0:36:18 > 0:36:22No, no. Mia has a condition known as pulmonary endometriosis.
0:36:22 > 0:36:24It's just as rare as the fistula,
0:36:24 > 0:36:27difference is, of course, we can treat it medically.
0:36:28 > 0:36:31When were you going to tell me you two had slept together?
0:36:36 > 0:36:37That was an age ago...
0:36:37 > 0:36:39I might be having our baby.
0:36:54 > 0:36:56- Arthur...- I'm not freaking out, I'm just, erm...
0:36:59 > 0:37:00You can't even look at me.
0:37:11 > 0:37:14I'm just thinking, you know...
0:37:14 > 0:37:17Who's going to save the planet if you're playing mummy?
0:37:18 > 0:37:20You don't want a baby?
0:37:20 > 0:37:22That's not what I said, no.
0:37:22 > 0:37:24I'd understand if you didn't, you know.
0:37:24 > 0:37:26I mean, we've only just met.
0:37:27 > 0:37:29You know, I just need a bit of time to
0:37:29 > 0:37:33get my head around the possibility of that idea.
0:37:33 > 0:37:37You know, the patter of tiny feet, that's, er...
0:37:37 > 0:37:39It's a huge commitment...
0:37:39 > 0:37:43You know, which of my favourite Napoleonic battlefield sites will
0:37:43 > 0:37:45I take them to first, you know?
0:37:45 > 0:37:46Austerlitz or Dresden?
0:37:46 > 0:37:48Arthur...
0:37:48 > 0:37:50Because at Dresden, you know he was out-gunned,
0:37:50 > 0:37:51outmanned but never out-thought.
0:37:51 > 0:37:55- But in contrast, at Austerlitz... - I don't feel so good.
0:37:55 > 0:37:56Are you sure Zosia's got this right?
0:37:56 > 0:37:58PATIENT ALARM RINGS
0:37:58 > 0:38:00Maria! Maria!
0:38:01 > 0:38:03OK, her BP's low, her responsiveness down,
0:38:03 > 0:38:05her pulse is OK.
0:38:05 > 0:38:07We need to raise her blood pressure!
0:38:07 > 0:38:10She's gone into septic shock, she must have intra-abdominal sepsis.
0:38:10 > 0:38:12Let's get her prepped for theatre...
0:38:12 > 0:38:14You know she might be pregnant?
0:38:14 > 0:38:18Zosia! OK, the antibiotics, she's only had them for two hours.
0:38:18 > 0:38:20You need to give her body a chance to react!
0:38:20 > 0:38:21OK, listen, my patient, my call.
0:38:21 > 0:38:25If you want to do something useful, you go and get some porters or page Mr Levy.
0:38:25 > 0:38:28OK, you stay here and I'll sort it.
0:38:33 > 0:38:35- She still in there?- Yeah.
0:38:35 > 0:38:38You're not me! You're not me!
0:38:38 > 0:38:41Mum... Are you OK?
0:38:42 > 0:38:44That's not me... That's not me!
0:38:44 > 0:38:45SHE SOBS
0:38:47 > 0:38:52It's OK, Adrienne, it's OK. I've got you, it's OK now.
0:38:52 > 0:38:55I want to go home... Take me home.
0:38:55 > 0:38:57Yes, yes, yes, of course. Of course.
0:38:57 > 0:38:58It's OK.
0:39:01 > 0:39:03Let's get you back up to bed.
0:39:13 > 0:39:15She, erm...
0:39:15 > 0:39:20She broke pretty much every mirror at home last night...
0:39:22 > 0:39:25She doesn't really sleep,
0:39:25 > 0:39:30she just...prowls around the house.
0:39:34 > 0:39:38Serena, I think you could be in this for the long haul.
0:39:38 > 0:39:41Dementia is a horribly selfish disease.
0:39:41 > 0:39:45It does nothing but take from everyone involved.
0:39:45 > 0:39:48Tell me something I don't know.
0:39:48 > 0:39:52The way you spoke to Angela Doyle was totally unprofessional
0:39:52 > 0:39:56and clearly driven by the stress of having your mum here.
0:39:56 > 0:39:59You need to seriously reassess your situation.
0:39:59 > 0:40:01Are you a carer or a consultant?
0:40:03 > 0:40:05Can't I be both?
0:40:05 > 0:40:07Not from what I've seen today.
0:40:35 > 0:40:37Have you got a minute?
0:40:37 > 0:40:38Yep.
0:40:39 > 0:40:42Mate, I think you need to watch out for your friend.
0:40:42 > 0:40:45Seriously, she's in a pretty bad place right now.
0:40:45 > 0:40:48Right, and why would that be?
0:40:48 > 0:40:51You don't meet girls like Zosia every day.
0:40:51 > 0:40:54She kind of swept me away and I went with it.
0:40:54 > 0:40:56She's pretty hard to resist...
0:40:56 > 0:41:01Trouble is, there's no off switch with her. No rules...
0:41:01 > 0:41:04Either it's full-on, or it's dullsville.
0:41:05 > 0:41:07She's so far off-piste, mate, I had to bail.
0:41:07 > 0:41:10She was scaring me.
0:41:10 > 0:41:13Well, you know, if it's about last night's revelries then
0:41:13 > 0:41:15I do seem to remember you being there as well.
0:41:15 > 0:41:18Yeah, the difference being, I'm not about to go into theatre
0:41:18 > 0:41:20sleep-deprived with a massive hangover.
0:41:20 > 0:41:21What do you mean?
0:41:21 > 0:41:23Mr Levy's just asked Zosia
0:41:23 > 0:41:26if she wants to assist on your girlfriend's appendectomy.
0:41:40 > 0:41:41Mr Levy!!
0:41:46 > 0:41:48You OK? Is there a problem on the ward?
0:41:49 > 0:41:53What? Yeah, no, everything's fine, it's fine.
0:41:53 > 0:41:55Erm... Sorry. How is she?
0:41:57 > 0:42:02Well, there's a fair amount of free fluid in the pelvic area.
0:42:02 > 0:42:06We're going to drain the sepsis and remove the offending appendix.
0:42:06 > 0:42:10But Maria's going to be fine thanks to Zosia's quick action.
0:42:10 > 0:42:12Thank you. Good. Sorry.
0:42:32 > 0:42:36Thanks for opening her up, I'll take it from here.
0:42:36 > 0:42:38You all right?
0:42:38 > 0:42:41Mr Self's questioned my position here.
0:42:41 > 0:42:47He thinks me caring for my mother is hindering my performance.
0:42:47 > 0:42:48Maybe he's right?
0:42:48 > 0:42:53Angela said she trusted you just before she went under.
0:42:53 > 0:42:56Let's prove Mr Self wrong.
0:42:56 > 0:42:59OK, I think we're ready to tunnel the graft.
0:43:04 > 0:43:07You've done this procedure before?
0:43:07 > 0:43:08Once.
0:43:08 > 0:43:10Successfully?
0:43:10 > 0:43:12Lost them on the table.
0:43:14 > 0:43:15Second time lucky then.
0:43:15 > 0:43:19Oh, please, let's make sure luck's got nothing to do with it.
0:43:19 > 0:43:22So I don't need surgery?
0:43:22 > 0:43:24I don't understand? Ms Effanga said...
0:43:24 > 0:43:26No, she made a perfectly plausible diagnosis
0:43:26 > 0:43:28but the tests have proved it wrong.
0:43:28 > 0:43:29You're sure?
0:43:29 > 0:43:31There's no reason why you can't make a full recovery.
0:43:31 > 0:43:34Have you back on the catwalk in no time.
0:43:34 > 0:43:36- I don't know what to say... - SHE COUGHS
0:43:36 > 0:43:40I'll organise your prescription and then we'll get you discharged, eh?
0:43:42 > 0:43:44That was quite a diagnosis, how did you know?
0:43:44 > 0:43:48Well, it's just a hunch, really, when she told me the bleeding coincided with her cycle.
0:43:48 > 0:43:51Well, as much as I'd like to take her down a peg or two, I think
0:43:51 > 0:43:54I'll let you have the honour of breaking the news to Mo.
0:43:54 > 0:43:55Mr Thompson.
0:43:55 > 0:43:58Can you tell Ms Effanga that I'd like to have a word with her?
0:44:01 > 0:44:04She could hardly say no to Mr Levy inviting her into theatre.
0:44:04 > 0:44:07There's a fine line between confidence and recklessness.
0:44:07 > 0:44:09- She's careful.- She's a liability!
0:44:09 > 0:44:11This is all going to come crashing down on us
0:44:11 > 0:44:12if she continues like this!
0:44:12 > 0:44:15You're not helping, taking her out every night!
0:44:15 > 0:44:17Well, I'd sooner be with her than wondering where she is.
0:44:17 > 0:44:20Look, she did have a little bit of a craving last night the first
0:44:20 > 0:44:22time since... You know when.
0:44:22 > 0:44:24After everything that happened.
0:44:24 > 0:44:27- I gave her a little something to scratch the itch.- You did what?
0:44:27 > 0:44:30Relax, it was an ibuprofen with a little bit of food dye.
0:44:31 > 0:44:34So better it coming from me than some random.
0:44:35 > 0:44:37Placebo effect? Brilliant.
0:44:37 > 0:44:40So if she had been tinkering around with Maria's intestines today,
0:44:40 > 0:44:43she probably would have been fine.
0:44:43 > 0:44:44If you say so.
0:44:44 > 0:44:48Look, the fact is, she didn't. She chose to observe.
0:44:48 > 0:44:50This time...
0:44:52 > 0:44:54I'm just sick of trying to preempt the unpredictable.
0:44:54 > 0:44:56Well, what other choice do we have?
0:44:57 > 0:44:59We have to talk to Mr Levy.
0:44:59 > 0:45:04OK. I'm not going to betray her. And neither are you.
0:45:04 > 0:45:05You know you won't.
0:45:08 > 0:45:09I don't believe this.
0:45:09 > 0:45:11Don't shoot the messengers!
0:45:11 > 0:45:14We're just saying you might want to tread carefully with Mia...
0:45:14 > 0:45:17Yeah, I mean, I've tried to defuse the situation, haven't I?
0:45:17 > 0:45:18Do you think I'm in the wrong here?
0:45:18 > 0:45:23- Well, I...- I think you could have handled things a bit better, if you want an honest opinion.
0:45:23 > 0:45:26We're just saying a bit of tact and diplomacy
0:45:26 > 0:45:28might be prudent when you see her.
0:45:28 > 0:45:30Oh, just tell her straight.
0:45:30 > 0:45:32You've been a total cow since you've stepped up.
0:45:32 > 0:45:34Whoa, whoa.
0:45:34 > 0:45:35Look, it needed saying!
0:45:35 > 0:45:37I know your heart's in the right place,
0:45:37 > 0:45:39but you clearly cannot take the responsibility.
0:45:39 > 0:45:42So why don't you just be yourself and let us help you?
0:45:48 > 0:45:49Have you got a minute?
0:45:49 > 0:45:52I'll go and get changed. I'll catch you down there.
0:45:52 > 0:45:53I'll get a round in.
0:45:53 > 0:45:56I'll have my usual, going to go out later, right?
0:45:56 > 0:45:59Another big night out for the Inbetweeners, is it?
0:45:59 > 0:46:02You should join us. The nerdy one.
0:46:02 > 0:46:03No, I need to be with Maria...
0:46:07 > 0:46:09When are you going to stop looking for Jesse replacements
0:46:09 > 0:46:11and start being yourself again?
0:46:11 > 0:46:12When I get bored of them.
0:46:14 > 0:46:17Thank you for what you did for Maria today.
0:46:17 > 0:46:18Arthur, I'm not an idiot.
0:46:18 > 0:46:22I would never have touched Maria in theatre after last night.
0:46:22 > 0:46:23You don't get it, do you?
0:46:25 > 0:46:28OK, the fact is I was afraid that you would.
0:46:28 > 0:46:29It's not what you're doing,
0:46:29 > 0:46:32it's the constant fear of what you're on the edge of doing...
0:46:32 > 0:46:33It's all a bit overdramatic, isn't it?
0:46:33 > 0:46:35OK. You are driving me insane.
0:46:35 > 0:46:38I'm sick of trying to second guess you, Zosia.
0:46:38 > 0:46:42And I can't do this any more. You're just going to drag us all down with you.
0:46:48 > 0:46:52Don't let Guy Self take the decision for you.
0:46:52 > 0:46:55Take a sabbatical, annual leave.
0:46:55 > 0:46:57Whatever you need, but let it be your decision.
0:46:57 > 0:47:03He'll offer you AAU, and sweeten it with the Deputy CEO position.
0:47:03 > 0:47:05And I shall tell him
0:47:05 > 0:47:09I'm simply keeping the chair warm for you, don't worry.
0:47:09 > 0:47:10Ready?
0:47:10 > 0:47:12I think so...
0:47:12 > 0:47:15Right. Moment of truth. Let's re-perfuse.
0:47:15 > 0:47:17Clamps off...
0:47:29 > 0:47:34Great flow... BP's steady.
0:47:34 > 0:47:36Pulse is good.
0:47:38 > 0:47:40MACHINES BEEP
0:47:40 > 0:47:43She's gone into VF. Get the arrest trolley please!
0:47:43 > 0:47:45You asked to see me?
0:47:45 > 0:47:47Glad you could spare me the time.
0:47:49 > 0:47:51I realise, as a cardiothoracic surgeon,
0:47:51 > 0:47:54you probably see modelling as a fairly shallow
0:47:54 > 0:47:57and vacuous career reserved for brain dead bimbos?
0:47:57 > 0:47:59The thought never even entered my head.
0:47:59 > 0:48:01This could have got a lot uglier for you
0:48:01 > 0:48:03if you'd actually gone through with the procedure.
0:48:03 > 0:48:05But I'm willing to let it slide.
0:48:05 > 0:48:10That said, I can still refer you to the GMC.
0:48:10 > 0:48:14Domain four of Good Medical Practice, paragraph 59,
0:48:14 > 0:48:17states that "you must not unfairly discriminate against patients
0:48:17 > 0:48:20"by allowing your personal views, which includes lifestyle,
0:48:20 > 0:48:24"culture, or social-economic status, to affect the treatment you provide".
0:48:27 > 0:48:30Always knew my law degree would come in handy.
0:48:30 > 0:48:35You know, just in case the shallow modelling didn't work out.
0:48:35 > 0:48:37OK, it has been brought to my attention that
0:48:37 > 0:48:40I may have been a little officious today.
0:48:41 > 0:48:44And, OK, for that I apologise personally.
0:48:44 > 0:48:47Are trying to tell me you're not normally like this...?
0:48:47 > 0:48:50Do you really think that's going to wash with me?
0:48:50 > 0:48:51Or your boss?
0:48:54 > 0:48:59All I'm asking is for you to reconsider your intentions.
0:48:59 > 0:49:03To try and appreciate the stresses of running an under-staffed ward.
0:49:03 > 0:49:06Darwin... We're already two consultants down today... What?
0:49:06 > 0:49:09You should see your face...
0:49:09 > 0:49:12I'm sorry, guys, I can't keep this up.
0:49:12 > 0:49:14What, this was a set up?
0:49:14 > 0:49:17They thought you could do with a little bit of loosening up.
0:49:17 > 0:49:19Apparently you're a lot of fun in real life.
0:49:19 > 0:49:20Run, run away!
0:49:42 > 0:49:43Hello.
0:49:47 > 0:49:50Hey, you're going to be fine, OK?
0:49:50 > 0:49:52Just gave us quite a scare, that's all.
0:49:54 > 0:49:56What happened to me?
0:49:56 > 0:50:00Well, the antibiotics weren't doing enough to combat the infection.
0:50:00 > 0:50:03You went into toxic shock, and then you passed out.
0:50:04 > 0:50:06Is this Zosia's fault?
0:50:06 > 0:50:08No... No, she gave you the right treatment
0:50:08 > 0:50:12and then she had you rushed into theatre.
0:50:12 > 0:50:15So just a few weeks' rest, and then you'll have you back watching
0:50:15 > 0:50:17cod mating rituals in no time.
0:50:23 > 0:50:25Does that mean I'm not pregnant...?
0:50:25 > 0:50:27Test came back negative.
0:50:42 > 0:50:45Did you know a large female Gadus Morhua can lay up to six
0:50:45 > 0:50:47million eggs per season!
0:50:47 > 0:50:49I do now.
0:50:49 > 0:50:51THEY CHUCKLE
0:50:51 > 0:50:53Look, why don't I...
0:50:54 > 0:50:58Why don't I give you my tablet, you can catch up on your research?
0:50:59 > 0:51:01- Maria, I... - It was in New Scientist.
0:51:03 > 0:51:05Erm, there's something you need to know.
0:51:11 > 0:51:12Er...
0:51:15 > 0:51:19You are my obsession, my addiction...
0:51:24 > 0:51:29Napoleon once wrote to Josephine telling her this
0:51:29 > 0:51:31and now I'm telling you.
0:51:31 > 0:51:34Didn't she cheat on him?
0:51:35 > 0:51:39He could never forgive her and so had numerous affairs...?
0:51:42 > 0:51:45Yeah, it's a bad analogy really, erm...
0:51:47 > 0:51:50..but there's probably still some romance in there somewhere.
0:51:50 > 0:51:52I mean, he never found a love like theirs again.
0:51:55 > 0:51:58I just want you to know that that's
0:51:58 > 0:51:59how I feel about you.
0:52:13 > 0:52:15So, what went wrong?
0:52:17 > 0:52:21Bleed in the left femoral, I suspect she sustained a re-perfusion injury.
0:52:21 > 0:52:26Arrested when I released the aorta clamp to test the graft.
0:52:27 > 0:52:31So there may be some neurological damage.
0:52:31 > 0:52:35We did what we could... I just hope it was enough.
0:52:35 > 0:52:37So do I Serena, for your sake.
0:52:38 > 0:52:41Are you still questioning my ability?
0:52:41 > 0:52:43Errors bring law suits. That's all I'm saying.
0:52:43 > 0:52:46The left artery was my responsibility.
0:52:46 > 0:52:50And I checked Mr Griffin's work thoroughly before re-perfusion...
0:52:56 > 0:52:57Angela?
0:53:04 > 0:53:06You saved my legs?
0:53:07 > 0:53:11Ms Campbell has pulled you through a very tricky procedure.
0:53:13 > 0:53:14How's your mother?
0:53:16 > 0:53:20She's doing fine, Angela. Thank you for asking.
0:53:20 > 0:53:22I'll need to organise some more tests
0:53:22 > 0:53:25but it looks like the graft has been a success.
0:53:33 > 0:53:36I'll be able to walk?
0:53:36 > 0:53:40Well, you might need some physio but that's the plan.
0:53:44 > 0:53:48Is that counselling referral still on offer?
0:53:52 > 0:53:53Hey.
0:53:53 > 0:53:55Hey.
0:53:55 > 0:53:57Look, I'm sorry about earlier.
0:53:57 > 0:53:59You know me. I could never resist a jape.
0:53:59 > 0:54:01Oh, no, I should be saying sorry, and thanks.
0:54:01 > 0:54:04My pleasure.
0:54:04 > 0:54:06Oh, and I looked up 'Gen Y'.
0:54:06 > 0:54:09Turns out they're not actually a band after all.
0:54:15 > 0:54:19Look, I know that this isn't your favourite time of year.
0:54:19 > 0:54:21What do you mean?
0:54:21 > 0:54:24Well... Two years ago, you were giving birth, weren't you?
0:54:26 > 0:54:27You remembered?
0:54:29 > 0:54:31Yeah, I do miss him.
0:54:32 > 0:54:35And is it that what's been on your mind?
0:54:35 > 0:54:39To be honest, I'm glad I've been busy.
0:54:39 > 0:54:42It's stopped me thinking about him too much.
0:54:44 > 0:54:49And forget "Gen Y", you're "Gen T". A true gent.
0:54:52 > 0:54:55Do you remember when that one was?
0:54:57 > 0:55:01Elinor's birthday, of course, last year!
0:55:03 > 0:55:04We were in Anglesey.
0:55:07 > 0:55:11Edward made a barbecue on the beach!
0:55:11 > 0:55:13Burnt the sausages!
0:55:13 > 0:55:15Can we go again?
0:55:15 > 0:55:19I loved watching the waves rolling on the shore,
0:55:19 > 0:55:22the seagulls flying...
0:55:22 > 0:55:24So peaceful.
0:55:24 > 0:55:27Well, that's an easy one. We can go next weekend.
0:55:27 > 0:55:28Can we?
0:55:28 > 0:55:33Yes, and I've got a little surprise for you.
0:55:33 > 0:55:36Look South West want to do a piece on you.
0:55:38 > 0:55:42I'm going to be on the television?
0:55:42 > 0:55:45What on earth do they want to talk to me for?
0:55:45 > 0:55:50Well, you've helped pay for a school in Africa, remember?
0:55:55 > 0:55:58Well, somebody has to do something...
0:56:01 > 0:56:05My hair? Have you got a mirror?
0:56:05 > 0:56:09Well, it's not quite yet, Mum. But you look lovely.
0:56:28 > 0:56:31Ah, there you are. Got you a voddy...
0:56:31 > 0:56:32What did Spock want?
0:56:44 > 0:56:47Not doing it for you any more?
0:56:47 > 0:56:49I've got an early start in the morning, so...
0:56:51 > 0:56:53Right.
0:57:18 > 0:57:23MUSIC PLAYS: "Moon River"
0:57:23 > 0:57:25When did it go all "Strictly"?
0:57:25 > 0:57:30Music therapy - apparently it helps with memory retention.
0:57:30 > 0:57:33I haven't seen her dance in years.
0:57:33 > 0:57:36Have you come to a decision?
0:57:36 > 0:57:40I'm not leaving, Guy.
0:57:40 > 0:57:43It'll mean round the clock nursing care but I need to have a life too.
0:57:43 > 0:57:48I think it's just as important to look after me as well as my mother.
0:57:48 > 0:57:50How expensive will that be?
0:57:50 > 0:57:52It's only money.
0:57:52 > 0:57:56Bottom line is I've been treading water,
0:57:56 > 0:58:00just reacting to her condition instead of being in control of it.
0:58:00 > 0:58:02Dementia's been winning.
0:58:04 > 0:58:05It always does, Serena.
0:58:06 > 0:58:09Not this time, Guy.
0:58:10 > 0:58:12Oh, I love this one.
0:58:12 > 0:58:15MUSIC PLAYS: "Somebody To Watch Over Me" by Ella Fitzgerald
0:58:18 > 0:58:20She's still got it all right.
0:58:23 > 0:58:24She certainly has.
0:58:26 > 0:58:34# Someone who'll watch over me... #