Affair of the Mind Holby City

The poor boy's still getting over not getting into Neuro

-and he had a massive man crush on Jesse.

-Argh!

Can you repeat the last three things I asked you to remember?

A ball...

Blast, it's gone.

Zosh, wake up! Zosh?

I'm becoming a senile old lady.

Come on.

Right, Zosia, do you actually realise that you nearly died last night?

You took narcotics and you overdosed.

All right, Arthur.

Shut up, all right? It's not all right!

DANCE MUSIC PLAYS

LOUD DANCE MUSIC PLAYS

Excuse me, excuse me.

Is this wise on a school night?

Have you any idea what time it is?

Sorry, mate, I don't think we've met.

Arthur, this is the very handsome and charismatic Mark.

Ah, you must be Diggers!

Top man, Zosia's told me all about you.

Right, er, who is everyone else?

You can't have a bash without bodies...

why don't you go and get changed. This isn't a pyjama party!

Can you get her admitted as a priority?

I need bloods, imaging and I/V access.

Who the lead consultant on AAU today?

I guess that would be me.

What have we got here?

Adrienne, how nice to see you again.

You look as if you've been in the wars.

Well, don't just stand there, get this thing out of me!

It hurts like hell!

How did this happen?

I was trying to stab her to death but she was too quick for me.

Jonny, I need a full copy of today's theatre lists.

What we can cope with, and what needs to be farmed out to St James.

Well, actually I took the liberty of doing that myself.

I know you were going to be up against it with Jac away.

Yeah, with all due respect I think it's up to me

to decide what I do or don't take.

Well, then I will get you the list.

Mmm-hmm.

I don't know how you put up with her attitude.

Someone needs to have a word!

Yeah, well, it ain't going to be me.

Adele!

Look, we've all had a rough week, Jonny.

How did last night's date go? You seem really happy-go-lucky today?

-You seeing him again?

-Yeah, could you get this to HR, soon as poss, thanks.

I take that as a big fat "no"?

Why did you just rip Jonny's head off when he was only trying to help?

Do you have you any idea how much work...

It's not his fault you're not getting any.

OK, less of that and more of that. Thank you.

Your list.

So how did the peace talks go?

You do your best Kofi Annan?

Adele.

I feel a disturbance in the Force, young one.

I think our Mo may have finally gone over to the dark side.

Now, I've given you a little local anaesthetic, Adrienne,

but you might still feel a little movement as the shard comes out.

It's Mrs McKinnie, if you don't mind.

Mum, it's Ric. Ric Griffin?

He's a Consultant. You've met him before.

Noooo, no, I'm sure I'd remember such a fine figure of a man.

I do have a penchant for a silver fox, though.

Are you married?

Oh, Ric's had several successful marriages, haven't you, Ric?

Let's just say I haven't met the right girl yet.

Well, Serena's single, you know.

A bit on the feisty side but I hear a lot of men like that these days.

Here we go.

Well, she's no spring chicken.

I mean, if you were thinking of having children.

Mother! That's enough!

I'm only trying to help!

Let's get the wound cleaned out

and then send her along to X-ray, please.

Let's just make sure there are no particles in there

before we close up.

Well, I'll see you later, Mrs McKinnie,

it's been an absolute pleasure meeting you.

The pleasure's all mine, let me assure you.

How long's she been like this?

What? Bossy and infuriating? All her life!

No, the confusion, the forgetfulness?

She was diagnosed with vascular dementia three months ago

after Guy referred her to Neurology.

They're meant to be assessing her again this afternoon

and she's decided to have a fruitcake day.

Look, could we have a head MRI?

It's just she has declined so rapidly recently.

Consider it done and I'll order full bloods

and a urine screen just to be on the safe side.

May as well give her the full MOT.

Good to have you back by the way. Jess all right?

I wouldn't be here if she wasn't.

PHONE RINGS

Serena Campbell.

Yes, I'm Mrs McKinnie's daughter.

What?

You OK?

Yeah, yeah, fine.

Good. This is your newbie intake of fresh faced F1s, OK?

And as CT1, you are their Yoda for the day.

Teach them wisely.

OK.

OK, listen up, everyone.

Listen up, everyone! Bed one, please, to start.

Thank you very much.

That was a late one, wasn't it, last night, I think,

even by your standards. I think we're meant to be setting a good example to the new intake,

-not...

-Better to weed out the lightweights sooner than later.

Yeah, never trust a doctor who doesn't drink.

Zosia, OK, I know that you're still hurting over Jesse

but do you not maybe think you've been hitting it a little bit hard?

I mean, you have been out practically every night.

Can't a girl let off some steam?

How much sleep have you had this week?

More than when I was cramming for exams.

-And that didn't seem to affect my results.

-OK, Zosia.

Right, last week, you nearly died in our arms.

HE SIGHS LOUDLY

OK, Ms Cruikshank.

Er...

Any initial thoughts?

Fracture?

Yes, very good.

Are you sure you're OK to work today?

Yes, yes, yes.

Mum's up in X-ray, what else am I going to do,

paint my nails?

You don't have to, there's nothing here that I can't cover.

Please just keep me busy, Ric.

OK, Bed 4 when you're ready.

Angela Doyle, she's been complaining of severe abdominal pain.

I'll let you know when Adrienne's tests results are back.

Hello, Angela. I'm Miss Campbell, I'll be taking care of you today.

Now that's good bedside manner.

Oh, hospital protocol, they expect us to be nice to patients these

days. Bit strange to me, but who am I to argue?

Service with a smile!

So, you were found collapsed at home with severe abdominal pains.

Looks like we're still waiting for your notes to surface,

so any ongoing issues that might be a factor?

Well, I've been told I can be quite opinionated and outspoken.

Haven't we all? But maybe we should stick to the medical?

I have had bouts of irritable bowel syndrome in the past.

This feels different, the pain took my breath away.

Right, OK, well, let's take a look at you, shall we?

Could you pop your feet up for me, please?

Thank you.

Right, and this came on you suddenly?

Yes, last couple of days. Yeah, it hurts so much right here.

And down my legs too...

OK, sorry about this.

Are you all right?

Me? Er, yes. Why do you ask?

You just look so stressed...

Comes with the territory, I'm afraid.

Let's just concentrate on getting you right, shall we?

Can I have FBC, LFT, U and E's, amylase and CRP,

and can you rush her notes up, please?

Right, I'll come back to you

when we've got your test results through.

Is there anyone you'd like me to contact for you?

I do have a little thing for Brad Pitt but if he's busy,

Gorgeous George will have to do.

Right, well I can't make any promises

but I'll put a call into their agent for you.

Tim, if you want to go next.

Dom, Dom. One second, please.

She's acting like nothing happened.

Nothing did happen, remember?

Right, is she still taking drugs? I mean, was she on them last night?

Nah, I didn't see her take any.

How can you be sure of that?

Trust me. I know.

But it's OK for her to turn up hungover and tired, is it?

Do you think I don't care?

That's not what I'm saying at all.

Well, that's exactly how it sounds to me and I don't see you staying up

until all hours of the morning listening to her wax on about Jesse!

Look, I just don't think we can keep covering for her

until something bad happens again.

Well, what do you suggest, Arthur? An intervention? A stint in rehab?

If it hadn't escaped your notice,

she doesn't really respond well to authority.

Look, I get that she's in a mess right now.

I know she's hurting and this is her way of dealing with it.

Then YOU deal with it.

He is kind of hot, though.

First in a succession of rebound beef, no doubt.

He was a bet, my gaydar was way off.

Anyway, at least he'll keep her occupied, for a while...

Hey, Starfish.

Maria?

Not very flattering, these hospital gowns, are they?

The NHS don't do a fashion line, I'm afraid.

Well, maybe they should.

Would it do any harm for people to feel good about themselves?

These beds are rock hard.

-Mum...

-No oomph in these pillows.

Mum. Look, I hope you don't mind but I rang your solicitor

because I'm just a little bit worried about your finances.

Well, don't be - you know Euan takes care of all my affairs.

Well, a journalist rang me earlier.

She wanted to do a piece on the woman who donated £30,000

to help build a school in Somalia.

Oh, what a lovely thing to do.

Your leg, do you remember how you hurt your leg?

How you ended up in here?

I...

I must have slipped.

The mirrors? Do you remember the mirrors?

You donated the money for the school, Mum.

What a fantastic gesture.

You must be very proud of your mother, Ms Campbell?

I mean, we all talk about these grand gestures for those

less fortunate, but to actually do it...

Well, thank you, I'm glad someone appreciates me.

Excuse me a minute please, Mum.

I'm sorry, do you make a habit of

eavesdropping on other peoples conversations?

Confrontation of behaviour in a person with dementia should

only be used as a last resort.

It can cause distress, and let's face it, at what value?

Right, back into bed with you, please.

I've... I've been watching you...

..trying to ascertain the source of your stress.

-She's lying right there.

-And why would you do that?

Always been inquisitive, some say plain nosy.

Oh, that and the fact I'm a qualified psychologist who's

worked extensively in this field.

I've been feeling queasy for days.

Your temperature's a little high.

I threw up on the bus, then had this terrible pain.

Bus driver took me straight to A&E, it was so embarrassing.

The other passengers must have loved you(!)

Are you still in pain now?

It comes and goes.

OK, well er... Don't worry Clamshell, we'll get you sorted.

Clamshell?

A term of endearment. Maria is Dr Digby's girlfriend...

Hey, Maria.

It's the lovely Maria. It's nice to meet you finally.

Now, unfortunately because you're having a relationship

with Dr Digby here, he isn't allowed to treat you so...

Abdominal pain, vomiting, constipation.

Arthur! TMI!

Yeah, and temperature's a little bit above 38 degrees.

Well, classic symptoms of a grumbling appendix.

I'd recommend FBC, U and E's, LFT, amylase and CRP.

An abdominal CT scan might also be prudent.

Very good. Let me know when her results are in please, Zosia.

Arthur, can you over see Mark while he's examines Mr Robinson?

Please, thank you. Good.

Can I get you anything, paper, magazine?

I'm fine, thanks.

Just as well. Don't think the shop stretches to National Geographic.

Right, I want you to swap with

Dominic, I don't want you treating Maria.

You really think he's a better doctor than me?

No! OK, you've had two hours' kip.

Don't worry Starfish, Clamshell is safe in my hands.

It's not the person's fault but they demand attention.

More so as the dementia progresses.

I think carers sometimes take their eye off the ball.

Stop caring for themselves. I've seen so many case studies.

SHE GASPS

Are you still in pain?

It's worse in my legs now.

Right, thank you.

Well, you'll be pleased to hear your white cell count's normal

so we can rule out infection.

Does that mean two paracetamol and I can go home?

I'm afraid not.

Your liver function test is a bit on the low side.

I'd like to do an abdominal CT.

I think there's a bit of a wait on the scanner. I'll see what

I can do to jump you up the queue.

Your mum's quite a character.

You know, there are so many new therapies out there that

can improve retention?

Such as?

Listening to music and poetry, for instance.

Old videos, photos of happy memories, that kind of thing.

You just need to keep it positive.

Not bawl her out for throwing 30 grand at a charity, you mean?

Well, we all have our moments, don't we?

If I were you, I'd make a huge deal of it,

show her how proud you are.

Let Adrienne have a say in her future

while she still has her faculties.

All the things she really wants to do, how she'd like to be treated.

You want to be able to say you did your best by her.

Thanks.

OK, let's get you settled, shall we, Mia?

And then we'll have a doctor come and...

What's taken so long?

Sorry, but we had to wait for Mia's referral to be signed off by AAU.

Yeah, so if you've got a problem you need to take it up with them.

OK, I apologise for the wait, Miss Conrad.

I will remonstrate with my colleagues downstairs on your behalf.

Oh, don't bother. I just want to find out what's wrong with me.

You've reported slight chest pains

and you've been coughing up blood for a couple of days, yes?

Wow, OK, straight to business then.

Sorry, this is Ms Effanga. She'll be treating you today.

Pleased to meet you.

Is this the first time this has happened?

It's been a couple of times now.

First time was on a photo shoot.

Ended up looking like the bride of Dracula!

Not a good look for me.

You're a model, fascinating...

Yeah, it has its moments.

Any other symptoms?

Um...

SHE CLEARS THROAT

Well, I have been having a few... problems, like...

"down below".

Can you be more specific?

I've just been having really bad period pain,

and the flow's been really heavy as well.

Right, could you page Mr Thompson, tell him

there's a patient that needs a gynae consult.

-Then FBC Us and Es, LFTs, a chest CT scan. Thank you.

-Sure.

Anything else?

Are you always like this or you just having a rough day?

She's already killed off two day carers, they just couldn't hack it.

But most of the time she's tickety boo, all sweetness and light.

And then?

She threw a plate at one of them,

and accused the other one of stealing her antique silver cutlery.

Wouldn't believe me even

when I showed her it was all safe and sound.

Plus it happens to be my cutlery.

Not unusual with the progression of vascular dementia, I'm afraid.

This is Adrienne's head MRI and her last one for comparison.

I think there are peri ventricular white matter lesions here.

New areas of infarct.

Silent strokes?

I think we're clearly dealing with multi-infarct vascular dementia.

Neurology will tell you more but I think you're going to have to

accept that your mother's condition may deteriorate rapidly.

Right.

Serena, this is not easy for me to say

but I think you're going to have to consider your own choices.

I'm worried that your mother's situation may continue to

affect your performance here.

Oh, I see. Ric's back, so I'm surplus to requirements?

No. Nobody is saying that.

Adrienne's condition has, at times,

been an understandable distraction for you.

I have already apologised for missing your little cocktail party.

You know that that's not the only occasion that's been

a cause for concern.

I'm just trying to point out that you should consider your options.

Right, white blood cell count is high which suggests

an infection as expected.

I'll prescribe some antibiotics to combat that.

But you still think it's just my appendix?

Well, your CT is still pending, I'm afraid.

Process of elimination at this stage.

I'm going to have to ask you a few questions.

Why does Arthur keep on staring at you?

-Have you two had a row or something?

-If you'd like to come round, please.

You know what a worry monger he is!

SHE WINCES

It's OK, it's passing...

You've been feeling nauseous recently?

The last few days.

With intermittent pain?

Yes, but nothing like today.

Have you been having unprotected sex?

Zosia! Of course not, we're always careful.

Sorry, I have to ask.

Is there any chance you might be pregnant?

No contraception is ever 100 percent...

I'm a few days late.

I'll organise a urine test.

I'll have to give up my research.

I'm on this great gig right now looking at cod breeding habits in the North Atlantic.

-You know...

-Let's keep focused on what's happening here.

How do you think Arthur would take it?

I think Arthur would be a great dad.

He is a real nurturer and he clearly cares a lot about you

but the facts are...

I've only known him two months.

It's a bit of a whirlwind if you are...

What if he's the one, though?

You never know if they're the one or if they're just the one for now.

Well, there's nothing showing on your ultrasound I'm pleased to say.

And here's me hoping for octuplets.

What were those swabs that you took earlier?

Oh, they were just standard tests,

checking for any infection that might be causing your period pains.

Are you testing me for STIs?

There's really nothing for you to worry about at this stage.

Actually, there is one more test you could do for me if you don't mind.

Could you provide me with a sputum sample, please?

Ah, come on. You're having a laugh now!

Sadly not, no...

So what's this I hear about you being Britain's next top model

-or something?

-Are you trying to butter me up?

No! No, no, no not at all. No. It's a serious question.

Believe it or not, I don't get to meet very many celebrities.

Oh, you're good... Shy quiet exterior with a cheesy centre.

Mozzarella man!

Did you hurt yourself when you fell from heaven?

Nah. There's loads of pretty girls out there

but I'm just going to give it a go, and see what happens.

So can you spit into that, please?

So tell me Miss Conrad,

what first attracted you to the eminent and highly paid Consultant?

Don't be silly.

She must earn way more than Mr T doing her glam shoots.

She's just a glorified clothes horse.

Yeah, but it must be nice getting all those freebies.

Yeah, until she's not pick of the week and the work dries up

and she's back to flipping burgers.

Erm, she's not stupid.

Is Mia doing a wee bit of pension planning, is she?

Sorry, can we just can the gossip and actually do some work today, please?

Wow!

Jac Naylor, please come back. All is forgiven.

Well, we do need to give the antibiotics the time to fight

the infection.

But her temperature's not dropping, so?

We'll keep you on 30 minute observations for now, OK, Maria?

And see how we go from there.

Dom. Dom, Dom, Dom, Dom, Dom.

Will you stop flapping? You're making her nervous.

-Look, where's Zosia?

-I don't know, OK?

She's on her break. She asked me to cover.

Look, Maria is stable, OK? I will go find Zosia.

You get back to your F1s. Everything will be fine.

I am going to be all right, aren't I?

Of course you are.

So Zosia is doing the right thing?

Please, just try not to worry.

I'm going to keep on top of this.

On top of what, Arthur?

It's like you think she doesn't know what she's doing.

Look, OK, Zosia's had a few problems recently.

Her behaviour's been a bit erratic, even for her.

What's wrong with her?

Well, it's all this stuff with Jesse, I think.

She was out partying last night.

So you're basically saying she's a bit upset over the break up

and now having too much of a good time for your liking?

Er... How concise.

Arthur, she's been lovely to me.

Yeah, OK, well, just try not to worry. Relax.

I'm all over this.

She's our friend. Don't you think you're overreacting?

Why? Because I'm looking out for you?

Why would you think she'd ever dream of compromising my care?

Just stop putting pressure on her, she knows what she's doing.

OK, OK.

OK, OK. I'm going to increase your pain relief just...

And please, please, please, please, please, just

don't mention this to Zosia because I only told you so that... You know.

You're looking out for me?

I know you are.

I know you always will do, but I trust her.

Yeah, OK.

OK, still waiting on your CT scan

but your notes have finally come through.

You were admitted eight months ago with stomach problems,

vomiting blood, found collapsed at work.

Probable cause prolonged alcohol abuse,

though you were dry at the time.

You didn't think this was worth mentioning?

Angela, I really need you to be honest with me.

What do you want to say?

Are you getting any counselling... Any therapy?

When I feel I need it.

Are you still drinking?

Life can be easier sometimes when it's a little fuzzy.

But you're functioning at work, still practising?

My glittering trophy cabinet attracts funding for the university.

I'm not deemed fit to teach any more, apparently.

That must be hard for you.

I work mostly from home these days.

People can be horribly judgmental.

Not everyone. I've got my supporters...

But strangely it's their sympathy I have the biggest problem

dealing with.

So you hide yourself away?

Look, I can have you reassessed for counselling.

Did I not say it's the sympathy I have the greatest issue with?

You think I've taken the easy option?

I think people make mistakes.

It's how we deal with them that really matters.

True. But you're really not that different from me.

I bet you're sick of hearing, "Are you all right?

"How are you coping?" The little head tilt of worthiness.

Long working days.

Get home, turn on the goggle box, yap to Mum, meal for one

and a glass of Merlot?

Hey, hey...

What's up? You need to be somewhere?

No flowers, no chocolates. I like to be wined and dined.

KNOCK AT DOOR

If you could return Mark when you've finished with him?

Preferably not in a body bag. Sacha's wondering where he is.

And Diggers is looking for you too.

Hold that thought till tonight?

-No, it's either now or not at all.

-Zosia...

-What is your problem?

I need to get to the ward. Time and a place...

It's been fun but you're kind of weirding me out now.

Right. Let's get back to the ward, then.

You need to write up your abstract audit for your portfolio anyway.

How old are you, Adrienne?

Now that's a question you should never ask a lady!

How old are you, Mister?

Mid-40's, no wedding band, playing the field, I imagine.

I can tell by your face I'm right!

OK, let's try something else, shall we?

Can you draw this for me

whilst I ask you some more questions?

What's your favourite colour again?

Red, of course.

I love roses if you're thinking of buttering me up.

Subtract seven from 100?

97.

Do you know what year it is?

2004, of course. Stupid question.

What is that address I asked you to remember earlier?

22...

Kenilworth Street...

No, no...

28!

Difficult one to finish up with...

When did the Second World War end?

Victory in Europe or victory in Japan?

Victory in Europe.

Well, 1945 of course, but that's not what you asked me!

The CT shows inflammatory stranding in the right iliac fossa.

What does that mean to me?

The appendix is swollen and turgid.

We'll continue treating you

medically with a more focused antibiotic.

What about... You know?

I'll phone up the lab, and try and rush it up for you.

Have you had time to think about it?

Just been wondering what I'd say to him if I was pregnant?

"Congratulations Arthur, you better dip into your ISA for a cot..."

Good luck with that!

You know, I've always been a bit jealous of you.

Why on earth would that be?

You're just so focused, you know what you want.

Career girl, you don't let your emotions get in the way like I do.

Doesn't always work out for me.

I'm sure the right man's out there somewhere...

I don't need a man to make me happy.

I never meant you did.

How are you and Arthur?

We're good... Unless you know different?

No, he's ecstatic, he doesn't shut up about you.

What does he say?

It's usually along the lines of "Maria's researching how the

"skin bacteria of hunchback whales can be an indicator of overall pod health"...

But he says it in a very fond way.

You must think we're so boring.

Every Yin has their Yang.

I'll let you into a little secret.

He's a bit of a surprise package, if you know what I mean...

Oh, don't worry. I'm well aware.

What?

Have you got something to tell me?

It was nothing...

You've been with him, haven't you?

It was just a fling, a one-off.

Nothing like what you've got, it was way before you were on the scene...

I thought you knew.

Why's he never told me?

It's a significantly low score, I'm afraid, Serena, and from what you're telling me,

your mother is showing signs of delusion and paranoia.

This, along with the multiple infarcts, does indicate that

her mental health is deteriorating rapidly.

I mean, at this point her neurologist does think

she has the capacity to make her own life choices.

But I think you need to talk with your mother about managing

her future welfare.

I'm really sorry to interrupt but it is quite urgent...

Angela Doyle's CT scan. She has a saddle embolus of the aorta.

Oh, no.

Mo, have you got a copy of Miss Conrad's chest CT?

-I have.

-Great, can I...

Well, unless I'm very much mistaken

her main concern is a cardio problem?

Yeah, but I'm just waiting for test results.

But you can wait somewhere else though, right?

Cheers for popping over.

Call me old-fashioned but isn't fairly normal to share findings?

Great, thank you.

Any particular reason you're all over this one like a rash?

Right, you're confusing my duty to patient care with something

-else here, clearly.

-Don't you think she's a little bit "Gen Y" for you?

"Gen Y"? Sorry I'm not going to even pretend to be

up on your favourite pop stars, who's that?

-For real?

-Is that one of theirs?

Hey, I've got an idea, why don't you get your elf costume

out of the dry cleaners, ask her what she wants for Christmas!

Oh, you're implying because she's a beautiful young woman

and I'm a stereotypically older man,

somehow I should be immediately attracted to her?

-Just put your tongue back in your mouth, OK?

-Mo...

Mia, I have some news.

We've found a rounded shadow on your right lung.

Does that mean that I've got cancer?

I believe it to be an extremely rare type of fistula.

So rare I've never actually seen one before.

You're not making any sense!

It's an abnormally developed blood vessel in the lung.

It's not cancer, just try and relax, Mia.

You're going to need surgery to remove it.

I can perform the procedure this afternoon.

I'll get the consent forms prepared for you.

Wow. Don't you think you could have delivered that a little bit better?

-Becoming a member of the zipper club is going to kill her career, you know?

-Does that make a difference?

-Do you concur that this clearly looks to be a pulmonary AV fistula?

-It's not my area of expertise,

-but it does look that way.

-Right, then she needs the surgery.

-But it's not an emergency, is it?

-She's stable, you've got options. We're still waiting on test results!

-Not from a CT point of view.

Look, I'm dealing with this, please let me get on with my job!

Sarah, hello, it's Derwood Thompson here. Could you do me a favour?

Could you prioritise Mia Conrad's sputum test results for me?

Great, thank you.

Your CT scan shows you have a clotted aorta,

known as a saddle embolus.

And both your femoral arteries are almost completely blocked.

Hence the pain in your legs.

The fact is, Angela, you are extremely lucky to be alive.

But you can fix me?

Well, surgery really is your only option and we have to act quickly.

I'll need your consent so we can proceed.

Angela, listen to me.

The longer we leave this, the greater the chance I may have to amputate your legs.

What happened to the bedside manner?

I'm sorry, but time really isn't on our side.

You will die if we don't do this soon, so please see sense -

you want to live, don't you?

-You know, now it's come to it...

-Not what I want to hear, Angela.

Look, I'm this hospital's vascular specialist.

I promise I will do everything I can for you.

I know you will.

Good.

Can you get consent forms signed and prep theatre for me, please?

When are we going home? You know I hate to miss Eggheads.

It's OK, I can take care of things here.

No, no. Please just buy me a few minutes while I see

if someone's free to keep an eye on her.

Having a busy day, darling?

Same as usual, Mum.

Look, maybe we can go somewhere nice to eat when I'm done here?

I need the little girl's room.

OK, you wait there, I'll get someone to take you.

Look, can you keep an eye on my mum for a bit

and she needs the loo.

Thanks.

The results you ordered for Mia Conrad.

She has endometrial cells in her sputum test. Isn't that weird?

No, no. Mia has a condition known as pulmonary endometriosis.

It's just as rare as the fistula,

difference is, of course, we can treat it medically.

When were you going to tell me you two had slept together?

That was an age ago...

I might be having our baby.

-Arthur...

-I'm not freaking out, I'm just, erm...

You can't even look at me.

I'm just thinking, you know...

Who's going to save the planet if you're playing mummy?

You don't want a baby?

That's not what I said, no.

I'd understand if you didn't, you know.

I mean, we've only just met.

You know, I just need a bit of time to

get my head around the possibility of that idea.

You know, the patter of tiny feet, that's, er...

It's a huge commitment...

You know, which of my favourite Napoleonic battlefield sites will

I take them to first, you know?

Austerlitz or Dresden?

Arthur...

Because at Dresden, you know he was out-gunned,

outmanned but never out-thought.

-But in contrast, at Austerlitz...

-I don't feel so good.

Are you sure Zosia's got this right?

PATIENT ALARM RINGS

Maria! Maria!

OK, her BP's low, her responsiveness down,

her pulse is OK.

We need to raise her blood pressure!

She's gone into septic shock, she must have intra-abdominal sepsis.

Let's get her prepped for theatre...

You know she might be pregnant?

Zosia! OK, the antibiotics, she's only had them for two hours.

You need to give her body a chance to react!

OK, listen, my patient, my call.

If you want to do something useful, you go and get some porters or page Mr Levy.

OK, you stay here and I'll sort it.

-She still in there?

-Yeah.

You're not me! You're not me!

Mum... Are you OK?

That's not me... That's not me!

SHE SOBS

It's OK, Adrienne, it's OK. I've got you, it's OK now.

I want to go home... Take me home.

Yes, yes, yes, of course. Of course.

It's OK.

Let's get you back up to bed.

She, erm...

She broke pretty much every mirror at home last night...

She doesn't really sleep,

she just...prowls around the house.

Serena, I think you could be in this for the long haul.

Dementia is a horribly selfish disease.

It does nothing but take from everyone involved.

Tell me something I don't know.

The way you spoke to Angela Doyle was totally unprofessional

and clearly driven by the stress of having your mum here.

You need to seriously reassess your situation.

Are you a carer or a consultant?

Can't I be both?

Not from what I've seen today.

Have you got a minute?

Yep.

Mate, I think you need to watch out for your friend.

Seriously, she's in a pretty bad place right now.

Right, and why would that be?

You don't meet girls like Zosia every day.

She kind of swept me away and I went with it.

She's pretty hard to resist...

Trouble is, there's no off switch with her. No rules...

Either it's full-on, or it's dullsville.

She's so far off-piste, mate, I had to bail.

She was scaring me.

Well, you know, if it's about last night's revelries then

I do seem to remember you being there as well.

Yeah, the difference being, I'm not about to go into theatre

sleep-deprived with a massive hangover.

What do you mean?

Mr Levy's just asked Zosia

if she wants to assist on your girlfriend's appendectomy.

Mr Levy!!

You OK? Is there a problem on the ward?

What? Yeah, no, everything's fine, it's fine.

Erm... Sorry. How is she?

Well, there's a fair amount of free fluid in the pelvic area.

We're going to drain the sepsis and remove the offending appendix.

But Maria's going to be fine thanks to Zosia's quick action.

Thank you. Good. Sorry.

Thanks for opening her up, I'll take it from here.

You all right?

Mr Self's questioned my position here.

He thinks me caring for my mother is hindering my performance.

Maybe he's right?

Angela said she trusted you just before she went under.

Let's prove Mr Self wrong.

OK, I think we're ready to tunnel the graft.

You've done this procedure before?

Once.

Successfully?

Lost them on the table.

Second time lucky then.

Oh, please, let's make sure luck's got nothing to do with it.

So I don't need surgery?

I don't understand? Ms Effanga said...

No, she made a perfectly plausible diagnosis

but the tests have proved it wrong.

You're sure?

There's no reason why you can't make a full recovery.

Have you back on the catwalk in no time.

-I don't know what to say...

-SHE COUGHS

I'll organise your prescription and then we'll get you discharged, eh?

That was quite a diagnosis, how did you know?

Well, it's just a hunch, really, when she told me the bleeding coincided with her cycle.

Well, as much as I'd like to take her down a peg or two, I think

I'll let you have the honour of breaking the news to Mo.

Mr Thompson.

Can you tell Ms Effanga that I'd like to have a word with her?

She could hardly say no to Mr Levy inviting her into theatre.

There's a fine line between confidence and recklessness.

-She's careful.

-She's a liability!

This is all going to come crashing down on us

if she continues like this!

You're not helping, taking her out every night!

Well, I'd sooner be with her than wondering where she is.

Look, she did have a little bit of a craving last night the first

time since... You know when.

After everything that happened.

-I gave her a little something to scratch the itch.

-You did what?

Relax, it was an ibuprofen with a little bit of food dye.

So better it coming from me than some random.

Placebo effect? Brilliant.

So if she had been tinkering around with Maria's intestines today,

she probably would have been fine.

If you say so.

Look, the fact is, she didn't. She chose to observe.

This time...

I'm just sick of trying to preempt the unpredictable.

Well, what other choice do we have?

We have to talk to Mr Levy.

OK. I'm not going to betray her. And neither are you.

You know you won't.

I don't believe this.

Don't shoot the messengers!

We're just saying you might want to tread carefully with Mia...

Yeah, I mean, I've tried to defuse the situation, haven't I?

Do you think I'm in the wrong here?

-Well, I...

-I think you could have handled things a bit better, if you want an honest opinion.

We're just saying a bit of tact and diplomacy

might be prudent when you see her.

Oh, just tell her straight.

You've been a total cow since you've stepped up.

Whoa, whoa.

Look, it needed saying!

I know your heart's in the right place,

but you clearly cannot take the responsibility.

So why don't you just be yourself and let us help you?

Have you got a minute?

I'll go and get changed. I'll catch you down there.

I'll get a round in.

I'll have my usual, going to go out later, right?

Another big night out for the Inbetweeners, is it?

You should join us. The nerdy one.

No, I need to be with Maria...

When are you going to stop looking for Jesse replacements

and start being yourself again?

When I get bored of them.

Thank you for what you did for Maria today.

Arthur, I'm not an idiot.

I would never have touched Maria in theatre after last night.

You don't get it, do you?

OK, the fact is I was afraid that you would.

It's not what you're doing,

it's the constant fear of what you're on the edge of doing...

It's all a bit overdramatic, isn't it?

OK. You are driving me insane.

I'm sick of trying to second guess you, Zosia.

And I can't do this any more. You're just going to drag us all down with you.

Don't let Guy Self take the decision for you.

Take a sabbatical, annual leave.

Whatever you need, but let it be your decision.

He'll offer you AAU, and sweeten it with the Deputy CEO position.

And I shall tell him

I'm simply keeping the chair warm for you, don't worry.

Ready?

I think so...

Right. Moment of truth. Let's re-perfuse.

Clamps off...

Great flow... BP's steady.

Pulse is good.

MACHINES BEEP

She's gone into VF. Get the arrest trolley please!

You asked to see me?

Glad you could spare me the time.

I realise, as a cardiothoracic surgeon,

you probably see modelling as a fairly shallow

and vacuous career reserved for brain dead bimbos?

The thought never even entered my head.

This could have got a lot uglier for you

if you'd actually gone through with the procedure.

But I'm willing to let it slide.

That said, I can still refer you to the GMC.

Domain four of Good Medical Practice, paragraph 59,

states that "you must not unfairly discriminate against patients

"by allowing your personal views, which includes lifestyle,

"culture, or social-economic status, to affect the treatment you provide".

Always knew my law degree would come in handy.

You know, just in case the shallow modelling didn't work out.

OK, it has been brought to my attention that

I may have been a little officious today.

And, OK, for that I apologise personally.

Are trying to tell me you're not normally like this...?

Do you really think that's going to wash with me?

Or your boss?

All I'm asking is for you to reconsider your intentions.

To try and appreciate the stresses of running an under-staffed ward.

Darwin... We're already two consultants down today... What?

You should see your face...

I'm sorry, guys, I can't keep this up.

What, this was a set up?

They thought you could do with a little bit of loosening up.

Apparently you're a lot of fun in real life.

Run, run away!

Hello.

Hey, you're going to be fine, OK?

Just gave us quite a scare, that's all.

What happened to me?

Well, the antibiotics weren't doing enough to combat the infection.

You went into toxic shock, and then you passed out.

Is this Zosia's fault?

No... No, she gave you the right treatment

and then she had you rushed into theatre.

So just a few weeks' rest, and then you'll have you back watching

cod mating rituals in no time.

Does that mean I'm not pregnant...?

Test came back negative.

Did you know a large female Gadus Morhua can lay up to six

million eggs per season!

I do now.

THEY CHUCKLE

Look, why don't I...

Why don't I give you my tablet, you can catch up on your research?

-Maria, I...

-It was in New Scientist.

Erm, there's something you need to know.

Er...

You are my obsession, my addiction...

Napoleon once wrote to Josephine telling her this

and now I'm telling you.

Didn't she cheat on him?

He could never forgive her and so had numerous affairs...?

Yeah, it's a bad analogy really, erm...

..but there's probably still some romance in there somewhere.

I mean, he never found a love like theirs again.

I just want you to know that that's

how I feel about you.

So, what went wrong?

Bleed in the left femoral, I suspect she sustained a re-perfusion injury.

Arrested when I released the aorta clamp to test the graft.

So there may be some neurological damage.

We did what we could... I just hope it was enough.

So do I Serena, for your sake.

Are you still questioning my ability?

Errors bring law suits. That's all I'm saying.

The left artery was my responsibility.

And I checked Mr Griffin's work thoroughly before re-perfusion...

Angela?

You saved my legs?

Ms Campbell has pulled you through a very tricky procedure.

How's your mother?

She's doing fine, Angela. Thank you for asking.

I'll need to organise some more tests

but it looks like the graft has been a success.

I'll be able to walk?

Well, you might need some physio but that's the plan.

Is that counselling referral still on offer?

Hey.

Hey.

Look, I'm sorry about earlier.

You know me. I could never resist a jape.

Oh, no, I should be saying sorry, and thanks.

My pleasure.

Oh, and I looked up 'Gen Y'.

Turns out they're not actually a band after all.

Look, I know that this isn't your favourite time of year.

What do you mean?

Well... Two years ago, you were giving birth, weren't you?

You remembered?

Yeah, I do miss him.

And is it that what's been on your mind?

To be honest, I'm glad I've been busy.

It's stopped me thinking about him too much.

And forget "Gen Y", you're "Gen T". A true gent.

Do you remember when that one was?

Elinor's birthday, of course, last year!

We were in Anglesey.

Edward made a barbecue on the beach!

Burnt the sausages!

Can we go again?

I loved watching the waves rolling on the shore,

the seagulls flying...

So peaceful.

Well, that's an easy one. We can go next weekend.

Can we?

Yes, and I've got a little surprise for you.

Look South West want to do a piece on you.

I'm going to be on the television?

What on earth do they want to talk to me for?

Well, you've helped pay for a school in Africa, remember?

Well, somebody has to do something...

My hair? Have you got a mirror?

Well, it's not quite yet, Mum. But you look lovely.

Ah, there you are. Got you a voddy...

What did Spock want?

Not doing it for you any more?

I've got an early start in the morning, so...

Right.

MUSIC PLAYS: "Moon River"

When did it go all "Strictly"?

Music therapy - apparently it helps with memory retention.

I haven't seen her dance in years.

Have you come to a decision?

I'm not leaving, Guy.

It'll mean round the clock nursing care but I need to have a life too.

I think it's just as important to look after me as well as my mother.

How expensive will that be?

It's only money.

Bottom line is I've been treading water,

just reacting to her condition instead of being in control of it.

Dementia's been winning.

It always does, Serena.

Not this time, Guy.

Oh, I love this one.

MUSIC PLAYS: "Somebody To Watch Over Me" by Ella Fitzgerald

She's still got it all right.

She certainly has.

# Someone who'll watch over me... #