Hoops Holby City

You are a natural.

You need to start thinking about stepping it up to the next level.

Next level?

I am acutely aware that I have issues that I need to work through.

Promoting you was a logical decision.

Managing your own ward

is the next natural step in your career progression.

-FLETCH:

-Colette does know that this is happening, right?

ARTHUR: What has happened, it's happened,

but we have got to entrust ourselves to our work and our patients.

-You agreed?

-# Riding high in April, shot down in May... #

It's hardly the Colosseum. But it's home.

-You OK?

-Yeah, yeah, just, er, stuff on my mind.

We've all been there.

-The transition to CT1's never easy.

-No.

Bigger balls to juggle. More pressure to make the right call.

Just don't let yourself get distracted.

Seize the chance to shine. That's what you're here for.

OK, I'm going to grab a word with the head honcho.

Yeah? I'll see you up there. Yeah?

You're a good doctor.

-You genuinely don't get it, do you?

-Of course I do...

Why anyone would actually care about improving themselves.

Um, just not first thing in the morning

when I've been hauled out of bed and refused a single drop of caffeine!

My car, my rules. You be late on your own time, girl.

You are just pure evil, do you know that?

Well, maybe if you and half the cast of Magaluf Weekender

hadn't drowned out my research all night, I might be nicer.

-Jonny Mac'll back me up.

-Oh, no, don't include me in this!

When have you ever known my kid sister to show an ounce of ambition?

Um, excuse me.

Just because I know how to have a good time,

it doesn't mean that I haven't got any drive!

And so what happened to taking it to the next level -

that course description Jonny gave you?

I'm reviewing my options.

Whilst using it to prop up the coffee table? Yeah.

Um, no. We decided not to bother!

So, Jonny and I were chatting

and I'm thinking of applying straight for the nursing training.

-A nursing degree?

-Mmm...

Mmm... We've more homework planned today. She's showing real promise.

Right, well, you do know what's involved?

Uh, yeah.

Great. Good for you!

-SHE SIGHS

-I need some chocolate.

You're cutting it fine.

We can't all be up with the birdies, can we?

So what's the latest with Sacha and Essie?

Ooh...

-Morning, Mr Levy!

-Morning, morning.

Zosia not with you?

Last time I saw Dr March,

she was falling into an unlicensed cab with a bearded Russian

and half a bottle of home-made vodka.

Right. Team Levy. Gather round!

A day of unmitigated optimism.

Erm... I have a very full theatre schedule.

In my absence, I have decided to leave

our resident CT1, Dr Digby, in charge.

I want you all to report to him,

and I expect your full cooperation.

Good. Put your best foot forward and good luck!

You're going to need it.

This is the time to put those leadership skills into action, OK?

Now, there'll be spot checks throughout the day, but...

I'm joking.

Oh...! OK. HE LAUGHS NERVOUSLY

So where's, er, Zosia?

Zosia? Not sure.

-Right. First on your list, locate your junior doctor.

-OK.

OK. Good.

Breathe in...

And out...

Imagine the sand beneath your feet. Feel the warmth of it.

The grains between your toes.

Let your heels sink into the ground

-as deep as they'll go. Deeper and deeper.

-Zosia?

You OK?

Practising visualisation techniques.

Yeah, I can see that.

Mr Benson was experiencing anxiety about his hernia op.

Right, what time does your shift start?

They'll cope.

I won't be long.

-OK, one more time...

-SHE BREATHES IN

Just once more. For me?

Mum, I know what to do.

I can do it meself.

I said, I can manage, you silly cow!

Do you people get, like, special training or what?

-Don't speak to her like that.

-And you are?

-Never mind who I am.

But touch her again, we'll have you transferred before the blood dries.

-Now sit down.

-I'm OK to walk.

Yep -

that's great, but do me a favour. Get back on the trolley.

OK. Come on.

Right, I can take it from here. Thank you.

So you're just off the plane?

What happened to your head?

I stood up too fast.

Says here that you jumped over railings. Were you messing about?

What are you, me mum?

Nurse Morley?

Right, this is Laini Stevenson, 18 years old,

referred from the ED with a 4cm laceration to her head.

Let's clean the wound, fetch a suture trolley

-and tell Mr Di Lucca that she's here.

-OK.

And, Nurse...? Where is everyone?

Bloods for Mrs Patel, bed six. Can you check her IV, please?

Yes. Zosia, it's Arthur. OK...

-Where are you? We need you here. Just call...

-Dr Digby...!

-Yep!

Now, this is Abi McBride, she's 12 years old. This is her mum, Kate.

Abi's just been referred from the ED with stomach pains,

er, fatigue, diarrhoea and...

Burning pains in her hands and feet.

Now, unfortunately for her, Paeds is currently full

so until we can get her transferred...

You're stuck with us, I'm afraid.

But, this is Dr Digby. He's going to be in charge.

Any problems, he's going to refer them to me. OK?

Ah - yes. Can we get her changed and find her a bed, please? Thank you.

Nice glasses, by the way!

Right. Thoughts?

Er, possible appendicitis? Gastroenteritis, maybe?

-But the pain in the hands and feet is odd.

-Mm.

OK, what do you suggest?

Er, full history, examination of all relevant areas, FBC,

U and Es, LFTs, amylase, stool sample for analysis and...

abdominal ultrasound?

Excellent. Excellent.

So. Everything fine? All in control?

-Yeah, absolutely.

-OK. Where's Zosia?

-Oh...

Right. Today is about taking responsibility.

Managing your juniors.

-"Oh..." is not an option.

-OK.

ROCK MUSIC OVER EARPHONES

Morning, everyone! There you go!

Oh, nice one. Er, Nurse Fletcher...

Tell me this isn't the rota.

Morning to you too, gorgeous. Fancy a doughnut?

Look. I've got a system.

Right, so Sarah's in today, is she?

Uh...Majorca.

-Ruth?

-Still off sick?

-OK. So you've called in Chloe?

-OK. OK.

You know Ric is going to have a canary?

I will sort it.

-Why? You going to put your pinny on?

-If you'd like me to.

Nurse Fletcher...

Ooh, I love when you get all headmistress with me.

Nurse Fletcher, if you value your job...

Is that what this is all about?

-Aw, Collywobble...

-OK, don't call me that!

-Are you worried that you're going to lose me?

-Oh, please.

-Oh, come on, I am growing on you!

-Yeah, like fungus.

You love having me here. I can tell.

You know what?

It's your funeral.

What? No detention? No lines to write?

(Right...)

And apply pressure... Excellent!

Did it!

-You OK to go on?

-Yep.

OK. Up next we have protecting the airways.

So, who are we dealing with?

Patients prone to respiratory problems.

Correct. And what is our aim?

To make sure that she doesn't choke or drown in her own saliva.

Also correct. Although you may want to tone down the graphics

when the patient is present.

With your permission...?

Right. You tilt the head back, pushing the lower jaw forward

like so.

The mouth is placed downwards,

ensuring the fluids drain from the airways.

Lastly, we keep the patient's chin well up to keep the epiglottis open.

There.

You gotta stay sharp when you're ordering different cocktails

-for every punter on the bus.

-Wow.

It's hardly rocket science, is it?

Obviously there are people that'll make out

it's a much bigger deal than it really is.

You know - the people that like to throw their weight around,

giving it the big "I am"...

But - no offence, but 95% of this nursing stuff,

a performing seal could do.

JAC CLEARS HER THROAT

Ms Naylor! You all right?

Lobectomy candidate, possible TB, Bay Two.

I'll introduce you, then I'll need you to run the prelims.

Oh, and, er, you can bring the performing seal.

GASPING AND CHOKING

He's having a heart attack!

Dave Robson, 53. Scheduled for a bypass.

Supposed to be nil by mouth.

'Any problems like this before?'

Nothing. Abi's never even set foot in a hospital.

Oh, you don't know what you're missing. I pretty much live here.

Do you, er, live nearby, or...?

She's very shy. We haven't long moved here.

We wanted to be nearer Granny and Grandad.

OK. Do you want to pop up onto the bed, Abi?

I'm just going to er...give your tummy a little feel.

But I think you're going to need to help me out with this one.

So, this pain in your hands and feet...

..can you, er, describe it for me?

It tingles. Sometimes it feels like burning.

And how long has it been going on for?

A couple of weeks or so. She's getting worse.

Um, well - we're going to need to run a few tests.

That may take some time.

Would you like us to call anyone for you? Abi's father, or...?

Abi's dad isn't around.

Sorry.

Right, well - don't worry, we're going to get to the bottom of it.

And we'll get someone to come and run those blood tests shortly. OK?

Wow. Psycho Mum. No wonder the kid doesn't speak.

There's no pain in the lower right quadrant

and there wasn't any guarding...

What? Do you think the mother's making it up? Munchausen by proxy?

OK, well, let's just get those blood tests sent off,

see if that throws up any clues.

Clues?

Zosia! Where have you been

and what did you do to yourself?

Oh, Arthur. All those hours spent honing your social skills.

So, a mystery case?

How are you feeling?

Top of the world, Ms Naylor.

Any pain? Nausea?

Oh - nothing a couple of antacids wouldn't sort out.

Judging by your entrance, you're sticking to the diet.

Dave's lifestyle is an ongoing issue.

Too much time on the road.

Nothing better to do than snack?

-We haven't been introduced. Nurse, Doctor...?

-Actually I just...

I hate to interrupt

this no doubt scintillating insight into the art of pillow-plumping

but I must get on.

5mg of morphine. Check his fluids.

FBCs, Us and Es, cardiac enzyme, X-ray, full chest X-rays.

He's showing signs of arrhythmia so keep a close eye on him.

Where do you think you're going?

Full patient history. Temperature. Weight. Pulse.

You can finally put all that nursing expertise to good use.

Right, so bed five needs mobilising, bed seven needs a discharge

and bed six, that's Mrs Fieber,

she needs fluids and 5mg of morphine. Thanks.

Between us, I promise...

Yeah, I know I did.

It's just that this sickness thing has wiped us out.

Look, I'll tell you what -

how about I have them now and we put them down for next week?

Yeah. OK. No worries.

I appear to be a scrub nurse down for my final theatre slot.

Er, yes, and I am going to sort that out for you straightaway.

In fact we seem to be a bit thin on the ground generally.

-Er, we... OK, we have had a couple of staffing issues...

-Issues?

-Well, more like blips, but I'm on it.

-Good.

Because I'm sure I don't need to remind you about the importance

of maintaining a full nursing quota.

Absolutely not.

Right, well, er... I'll leave it with you. Ms Sheward.

What's going on in her head, do you think?

Boys. Shoes. Drink. More boys.

Right. I was talking about Zosia.

DOMINIC LAUGHS SARCASTICALLY

Seriously, I think this might be more than, er...

She's just moving on.

-OK. She was really late.

-And...?

And, I practically had to wrestle this off her.

Oh, cos heaven forbid she steal some of your thunder from Poppa Levy.

How come you're so blase about it all of a sudden?

Because if we don't stop talking about it,

people are going to notice!

Look at you, you're running around like a demented rodent

-checking on her every move...

-I care what happens to her!

We just act normal. Ride this out. She'll get over it.

Look at her. Does that look like a girl in crisis to you?

One patient history, two cannulations,

a fluid balance chart and a chest drain.

-Do you really think that's the best use of my time?

-One second.

I was wondering how soon Abi's ultrasound might be.

Yep, I'm going to be right over. It's next on my list.

Er...

..nasogastric tube. Bed seven.

# At the end of a storm

# There's a golden sky And the sweet... #

Rough night?

-Sorry! Just a few mates over from my last job.

-Holiday reps.

Ooh - where were you based?

Spain and Greece mainly.

Oh, what I wouldn't do for a day on the beach now with a bottle of ouzo.

Driving take you far?

Most of Europe. It's a young man's game now, though.

Played havoc with me family life.

My missus gave it up in the end.

Did well to get out now. Make a career for yourself.

-So. Male nurse, eh?

-Uh-huh.

-Bet you get loads of stick, don't you?

Er, only from Ms Naylor.

DAVE LAUGHS

Excuse me.

Present from me youngest. Lucky charm.

My grandad was a Red. Didn't miss a match,

until he got sick.

Is he...?

Yeah, a few years back. Emphysema.

What's with the three?

It's a nickname. Stupid.

Dave's bloods and ECG.

-Thanks... How's Florence Nightingale coming along?

-Great!

Right, his thyroxine is elevated, there's no sign of infection.

-Let's get an angiogram.

-Mm-hm.

So you genuinely believe she can't hack this?

-Course she can. She's an Effanga.

-So...?

Come on! There's no way she's taking this seriously.

I think you underestimate her.

Right. Better get you weighed!

My favourite bit.

Swing your legs out. You OK to walk?

Why? Where are we going?

Treatment Room. Up the ward.

Right-ho... Kiss goodbye to the last of my self-respect.

Actually, stay there. Wait a sec.

-Lost something?

-Er, yeah. The ultrasound machine.

It was here earlier.

Maybe the phantom pregnancy took it.

Or... Wait a minute, maybe it was Dr March...

Dr Digby! You joining us?

Yes. Thank you, Dr March. I'll take over from here.

Sorry, mate, no can do. Erm, have you spoken to HR?

I'm over my quota.

Look, a loan. A couple of hours. That's all I need.

Just to get them off my back till it's sorted.

-Is it really that bad?

-Mate, you got no idea.

-Don't I? Jac! This is...

Adrian Fletcher. I'm the new Ward Manager on AAU.

Have we met?

I'd remember. Let me guess -

either you're here to pick the brains

of the Clinical Nursing Manager of the Year...

-You know what, Jac...?

-Which strikes me as unlikely.

Or you're canvassing support for yet another intoxicating night of bingo.

-Or, you're looking for sponsorship.

-You know, Jac, this is not your...

Well, besides appearances,

Nurse Maconie here does actually have a job to do.

So unless there's some pressing business that I've failed to cover,

I suggest you scurry on back to the emergency room

and raise funds for your half marathon on your own time.

That's... That's not your call!

-Nothing showing up.

-What does that mean?

It means we're able to rule out appendicitis.

We should order a CT.

Yes. Thank you, Dr March.

I think actually in this case an MRI would be more suitable.

What's a CT for?

To highlight any bowel pathology.

Right, OK. Why don't you help Abi clean up, yeah?

How long will an MRI be?

Er, right, yeah. I'm going to order it now,

and then, um... yeah,

we've got the bloods coming back

so we should know more when those come through.

OK. Dr March...?

OK, right. You want to go back

for the first bit of bread before you start going over the cactuses.

-And try and keep your energy levels about half, yeah?

-Thanks.

Um... Yep!

Right, er... What are you doing?

We needed to get going.

Right, you're not qualified to interpret an ultrasound!

Arthur, it's a glorified TV set, not the dashboard of Apollo 13.

-What is your problem today?

-Whe...

-I'm afraid these are going to have to go.

-No!

But they can't run the test with them on.

Could you touch your nose for me, please?

Excuse me.

Any headaches? Vomiting?

-Sometimes.

-Do you mean BEFORE you hit your head?

How often?

Most days.

How's your appetite?

Well, I'm not anorexic, if that's what you're getting at.

OK, FBC, U and Es, LFT

and let's play it safe and order a head CT.

You mean...stick me in a tube?

Yeah, it's just to rule out anything serious.

Oh, you're the expert now, are you?

No. But I will be sticking you back together.

-Any changes, let me know, yeah?

-Yup.

-Were you on your own when you fell?

-Why?

Well, I just thought maybe you were pushed.

I was with my boyfriend.

Where's he now?

The ED. He hurt his ankle,

-he'll be here soon.

-You both fell?

He was...he was trying to catch me.

Right. Just need to let that set.

Do your parents know you're here?

I doubt it. Me dad's dead.

Right, well, what about your mum?

-Do you want us to call her?

-No.

-Boyfriend?

-Hardly!

Sorry, excuse me. Nurse Fletcher...?

Sorted. Half an hour.

Right, cos we really need you here.

You can start with Lisbeth Salander over here.

Who?

Sorry. Forgot you can't read. Second coat and a head CT.

-Ah. Excuse me...

-Yep?

-Erm...

-I won't be a moment. Sorry, won't be a moment.

Just bear with me. Zosia, Zosia!

Ah... Look, OK. Um, maybe I... Er,

I haven't handled the past few weeks as well as I could have...

-Thank you.

-..but, um... Sorry, what are these?

Abi's test results.

-Er...how did you get those?

-I told them who my father was.

-Any news?

-Results came back clear.

Maybe it's time you called one of the other doctors.

I think we should chase the MRI.

Like Mr Levy, or a consultant.

OK, erm - Kate,

um, how would you... How would you like a little break?

I'm fine.

No, er, but Dr March perhaps could take you for a cup of tea,

and then I can sort all of this out.

Digby! General surgery. Anything jumping off the treadmill?

-ALARMS SOUND

-What's going on?

-Pulse 120, BP 130/100.

-Dave?

I need to get an IV... And we need 250mg of digoxin.

Coming right up.

All right, Dave. I need you to calm down for me, OK?

No pulmonary or respiratory problems.

Ultrasound, blood tests were clear and, er, I've ordered an MRI.

Any other symptoms?

She's complaining of pain in her hands and feet...

So I was thinking, er, acroparesthesia maybe?

-Hmm. How long's this been going on for?

-Well, a week or two,

but it's a bit difficult to tell cos the mum's quite...

Have you spoken to the child?

Well, no, cos the mum's quite...

I understand Mr Levy has you managing the juniors?

Yeah. Yeah.

Are you on top of that?

Yeah, absolutely! It's all, er... tickety-boo.

Get an EMG, let me know what shows up on the MRI

and talk to your patient.

Great.

Tickety-boo.

Hi, Abi. Can I take a seat?

OK.

Right, you're doing very well.

Being a... Being a doctor sometimes feels like that.

Lots of hidden obstacles and missing links.

You see, working here, you need facts.

It's a bit like being a detective.

Is that why you wanted to be one? Because of all the facts?

Yes, but also I wanted to... to help people too.

But you can't always. Can you?

Doctors can't always cure people.

What makes you say that?

Do you think you can cure ME?

Yes. If I have all the information, I can.

I got to level five.

Dad's going to be really annoyed.

Dad?

I thought your mum said...

Your pulse rate is a bit high but apart from that...

Is there someone we can call? A friend...

No! I'm fine as I am, thank you.

Let's get 2.5mg of bisoprolol.

What happened?

-Precursor to a heart attack.

-Why?

Atherosclerosis. Reason he's here.

But why now?

Oh, I don't know. His smoking, his weight...

His weight?

Well, you weighed him! Didn't you notice?

We'll know more when we get his results.

-Well, shouldn't we be observing him or something?

-Whoa!

You're not a Ward Sister yet, you know!

By the way, it was really good what you did with Jonny earlier.

You might just end up getting a degree after all. At a push...

So she's secretly in contact with her father -

it's none of our business.

It is if the mother's lying.

Then why don't you ask her?

-Might I have a quick word?

-Abnormal muscle function.

Polyarteritis nodosa. Trichinosis. Muscular dystrophy.

Right, I'm not sure we should...

Dr Digby, we need to arrange a muscle biopsy.

That's ridiculous. So he's 37?

And how old are you?

Age is irrelevant.

Now, I thought that was size...

You do know he's old enough to be your dad, right?

-You know who you sound like?

-OK, very funny. On the stairs, please.

Right, park your bum there for me.

I'm taking it that your mum doesn't approve?

Didn't approve of his lifestyle.

-And how did you meet?

-Online.

Er, dating website?

Kind of.

What about you and Nanny McPhee?

Who?

-Ms Sheward. She's got her eye on you.

-You reckon?

-You going to make a move?

-Um... (We've got previous.)

So - when was the last time you saw your mum?

Four months ago. Day I moved in with Jace.

OK. Now, perfectly still.

Bring it on.

It's by far the most direct route. Simple procedure,

-local anaesthetic...

-And quite possibly painful.

It's worth it.

-She's a child.

-So?

Right, even if you're right, there's no guarantee

we can keep her still long enough to take the sample.

Then we give her a general. We can do it together,

-I'm familiar with the theory.

-Right, Zosia, just stop!

Are you sure you're up to this?

What?

Managing and medicine.

Course I am. Just...

There's no shame in asking for help, you know.

-I'll page Sacha.

-No! Just...

Look, Abi's my patient, OK?

Just, please... Just trust me to do my job.

Jonny. Chest drain, Bay Two. Thought our girl could observe.

Dave Robson's angiogram.

Thanks. Where's his history?

Erm, I put it in his file.

Come with me.

Your weight. It's exactly the same as last month.

That's convenient.

Don't blame the girl. Couldn't face the walk of shame.

If anything I'd say you've lost a few pounds.

Why didn't you say?

-I'd be shouting it from the rooftops!

-Um...

Levothyroxine.

You've been taking thyroid tablets to lose weight?

I read about them on the internet.

Me mate got them for me.

Well, it'll explain the arrhythmia.

Won't affect the op, will it?

Let's up his beta-blockers. With me.

-Congratulations.

-I thought...

You are aware that idiocy of this magnitude

could mean the difference between life and death?

Um, what was that?

To be fair it was the tablets that made him collapse.

May I remind you how entirely dependant you are on my goodwill?

If you want a career in this hospital, any career,

I recommend you hold that thought.

Kate. Hello. Can I just have a...

Right, we've actually decided not to proceed with the muscle biopsy.

-Why not?

-Well, I'd like to run another test. EMG.

-Oh, no.

You're familiar with it? Nerve conduction studies, yep.

-Well...

-Er...

Right, when I spoke to Abi earlier, she mentioned her dad.

So?

Well, I'd understood that he wasn't around.

Well, she sees him occasionally. Is that a problem?

No. It's just that, um...if he's involved in Abi's life...

Which he's not.

OK. But we really need to contact him

-before going ahead with any treatment.

-Why?

I'd understood only one signature is required...

Unless you have reason to doubt my mental state. Do you?

No. No, no, no, um...

I'm going to arrange the test and then I'll come back...

I need to get hold of the dad.

I thought you were meant to be managing this rabble.

She knew what the tests were.

OK, well, then I suggest chasing the transfer up with Paeds.

Or, if not, then phone St James's. We don't need this.

Seriously, what were you thinking?

It wasn't that big a deal!

Fudging medical notes! Talking back to Jac...

Um, she was on one!

She's Director of Cardiothoracic Surgery! She's allowed to be!

Ah, you're your own worst enemy, you know that?

HORN BLARING

Come on!

Jonny? It's Dave. I think he's in trouble. He's in his lorry.

Yeah, he's here. OK...

Dave? Dave!

Please, wake up! Oh, gosh.

Come here...

One, two, three... Come on!

Four, five, six, seven...

Get out of the way!

I can't feel a pulse.

-What do you think you were playing at?

-He wasn't breathing,

-I was trying to save his life!

-By shattering his ribcage?

There was no-one here! What was I supposed to do?

-You get some training, or you call for help!

-I did!

Any response?

We might need to intubate. Consider this an official warning.

If you so much as touch a patient from now on, you are out!

-You OK?

-Yeah, I'm just short a couple of nurses.

-Never have guessed!

Management are out for my blood.

Do you know what, I'm not sure how much longer I'm going to last.

-Nice pinny.

-Sorry. Must dash.

-Do you often fall asleep in the day?

-Why?

Your head CT has come back clear but your calcium is way up.

Which would explain the vomiting and the loss of appetite.

One possible explanation could be a long term overdosage

of vitamin D3. Do you take any supplements?

I don't get out much in the sun.

Why? Do you start to glitter?

See, this is why we don't tell anyone.

We?

Me and Jace. And the others.

We're nocturnals...

Creatures of the night.

-It's a real thing!

-Yes, we know.

The problem is that you're taking too much.

Not only will D3 increase your need for daytime sleep

but it could be doing lasting damage.

I'm more tired because of it?

Come off it straightaway and if you don't feel better

in a couple of days, then contact your GP.

So I can go?

We still are waiting for your LFT results,

and I'd like to keep an eye on that head wound, but

should be a couple of hours max.

Have you heard anything from the ED about my boyfriend?

No. But I'll let you know if we do.

-Still no sign of the cavalry.

-They'll be here.

About a 1.5cm incision along the outer thigh.

Minimal scarring.

-Any sign of Zosia?

-No.

-OK. So clear so far?

-Er, yeah.

Right, so then we take two samples, small samples.

About one centimetre squared.

Before you say anything, I approached Dr March.

I want the procedure to go ahead.

Right. Kate, um... The muscle biopsy is...

Why are you so determined not to treat my child?

OK, that's not...

Who's the Head of Neurosurgery?

-Mr Self. Our CEO.

-I want to see him.

Right, I don't think it's going to make any difference.

-I don't care what you think! I want a third opinion!

-Kate...

Have you got me that scrub nurse yet?

Er, yeah. All sorted.

No-one mentioned that the dress code had changed.

It's, erm, a back to basics day!

In fact, I've got a sponsorship form in my office if you want to...

-No. That's OK. Catch me later.

-OK.

Great! Could you hand one of them out?

-No, look, I have to go.

-Why?

Urgent paperwork, but... backup'll be here soon.

-Yeah! Yeah, any minute.

-Good luck!

-Thanks.

I COULD stay if you really need me to.

No. You're all right. Get yourself off.

Laini?

Laini... Laini. Laini.

Lying. Denying my existence. Forcing Abi to lie...

I'm not doing this.

What? All so we can end up back where we started?

You were contemplating surgery!

Not surgery. A test.

Just another test.

We had an agreement.

You had an agreement.

How many more times, Katie?

Well, we'll never know, will we? Because you haven't got the...

So Abi's been ill for how long?

She first got the pain in her arms just before her eighth birthday.

And she's been through all the relevant neurological tests?

Are you a registrar?

I've met enough consultants to know you're not one of them.

Abi was diagnosed with psychosomatic disorder.

-Katie has had trouble accepting this.

-Don't, Adam...

She's struggled with depression and anxiety since her father...

..her father took his own life.

I'm sorry.

This isn't about me. Abi's illness is not psychosomatic.

Yes, it is.

And every time we go through this,

every time we pitch up at a new hospital, we only make it worse.

Perhaps you need some time alone. Dr March...?

-This test...

-Not now, Zosia.

-I still think it's worth considering...

-Please.

-Zosia!

Sorry.

How long ago did it start?

-It's had two coats of glue. It should have stayed.

-Thanks.

No. That level of bleeding's not normal. Looks like a haematoma.

-We'll need to evacuate.

-What does that mean?

Oh, it's nothing to worry about.

-It's just a simple operation under a general anaesthetic.

-Gas?

You'll be in and out before you know it.

Can you call your ED?

-I still can't get through to Jace on his mobile.

-Yeah, OK.

-You want us to call your mum?

-No.

She needs someone here to look after her.

Someone who's not a thirtysomething-year-old flake.

We need to respect her wishes.

It's up to the nurses to look after her.

If only we had any.

-Fletch...?

-There she is! That's her.

-You just accept it?

-I didn't say that...

The verdict of a distraught father and a bunch of faceless consultants?

It makes a difference.

This is because of Kate's mental health issues.

Of course it's not! It's because Abi's been seen, over and over,

-by people far more qualified than us!

-Do you know your problem, Arthur?

Why in 30 years' time, I'll be running this place

and you'll still be bumbling about in registrar's clothes

-like sad old Mr Levy?

-OK, keep your voice down!

-You haven't got a spine! You just follow the herd...

-That's not true.

Taking everything at face value. Admit it.

You can't cope so you're just giving up!

-I have no intention of giving up!

-Then let me do the biopsy!

You're exhausted and you're overwrought.

Certainly in no condition to operate.

So go home. Relax.

Come back tomorrow.

That's not a request, Dr March.

No use playing dumb, girlie. It was me that called the ambulance!

What do you want? A medal?

So come on, where do you stash it?

Maybe you should talk to the boyfriend.

I would, only he's gone!

I went to your ED first.

-Said he'd gone home with a twisted ankle.

-When?

Hour ago, maybe?

Fuss he was making, I was hoping he'd broke it.

-Nice.

-You don't know the half of it. He's a nasty piece.

Been robbing us off for months.

Always with a different scrap in tow.

You all right?

Scowl at me all you like!

Every night he was in last week and it wasn't you with him.

-You need to calm down just a little bit.

-Oh, no, you don't!

Yeah, come on. Let's talk about this somewhere else.

I know your game. There's a principle here!

She's just a kid, mate!

Oh, really? Well, we'll see about that!

-No, you can't go in her bag!

-I'll prove it! What a nasty, lying...

Ha!

Tinned spaghetti.

So. Who's the bad guy now?

Collapse in the street and any Tom, Dick or Harry can do what I did

-but it happens in a hospital...

-I get it! I get it!

-But still, you have no training. Jac was right.

-Seriously?

There's a protocol.

-Yeah, well, you know where she can stick it!

-Maconie. He's stable.

15 minute obs, repeat cardiac enzyme and prep for theatre.

Thank you.

Listen, you need to get yourself calm,

lie low for a few days and THEN have a word with her.

Hmph.

Look, don't give up. Not now. OK?

You do know how dangerous it is not to drink anything, don't you?

Worth the risk.

You have no idea, boy, what a slippery customer he is!

Well, technically, not a customer at all.

Right, we need to get him on fluids.

Er, saline drip, please, and hourly obs.

-Let me know if anything changes, will you?

-Yep.

That's a lot of trouble to go to over a tin of spaghetti.

Have you got kids?

Four. And before you start, they know not to shoplift.

Do you know how many girls like that we get through the doors?

She needs her mum, not a petty theft charge.

Why not go after the real culprit?

He's not going far on a twisted ankle.

What is she anyway? 15?

Give or take.

Tell her, call her mum.

He was pulling rank. Ordered me to go home.

Arthur?

-She was exhausted, so I, um...

-Oh, come on.

Goes with the territory, Digby. Dr March is no exception.

I thought she needed a rest.

I reached a diagnosis before you and you did not want to lose face.

This is the McBride case, right?

He was giving up.

Sucked in by the husband's negativity

and a bunch of old hospital reports.

OK, I'll check this over after my next meeting.

Why didn't you come and speak to one of us?

I'm sorry.

Sacha, this is clearly not working.

I'm relieving you of your responsibilities.

Dr March, can you take charge of the F1s till I'm out of theatre?

Any problems, page me or Mr Self.

Dr Digby, can you return to your CT1 duties?

Can't help meself! I've tried,

Lord knows.

Just like the diets, though.

Three eggs, three rashers, three sausages...

The lads wouldn't get it.

Your mates don't know you're here.

Left Doris unlocked.

I should've listened to your boss.

Listen, no-one can tell you how to live your life.

Just don't leave it too late to decide, OK?

Sleep by day, spaghetti by night...

We have to nick stuff. We can't get jobs.

You should try my line of work.

Come on, you'd be perfect! Someone who actually wants to work nights?

I'll never have a normal life.

Who told you that? Jace? Cos if he did, he's an idiot.

Mum. Said change or leave so I moved out.

Still no luck?

He wasn't trying to catch me. He just tripped running away.

He was a rubbish kisser, anyway.

You and Fletch not going to happen?

You like giving him a hard time.

Yeah, he gives as good as he gets.

He's nice. Be a shame if he left.

Why would he leave?

He thought he might get sacked.

Um, I need to get on. The porter'll be here in a minute.

Listen, my mum can be a right old cow,

but if I was going to surgery...

I'd still want her there when I woke up.

Oi!

-It's under B for...

-OK. OK.

ENGINE STARTS

Come in, come in. Ten-four, this is Huggy Bear, over...

VOICE OVER RADIO: Breaker, breaker. What's your 20?

How about ya, Number Three? Got your ears on?

Hello...?

Oh, that's great. I'll let the Ward Manager know.

Thanks. Bye.

So, Laini's mum'll be here soon.

Go on. Say it.

I know you want to.

-So, will you be getting off then?

-If that's still OK?

Yep, see you tomorrow.

-Great.

-Great.

Oh. I was on the phone to HR earlier.

They didn't seem to know about any bank nurses.

That's because I went straight to the agencies.

These agencies?

Look, what do you want from me?

D'you know what? I'm done.

I haven't paid off the deposit on the flat,

Nat won't budge on the maintenance.

I'll just talk to Ric when he comes out.

Are you crazy? What about your contract?

I'll work till the end of the month, take the money and then laters.

Why does the thought of that bother you so much?

Because I happen to think that you have the makings of a great nurse.

And we'll miss you.

Aw.

Right, I have a patient to check on, so...

Thanks for locking up. SHE CHUCKLES

So you're really going?

-I miss the sun.

-Ah.

CHOKING

Dave...? What is it?

Jonny!

Mo? Jonny! I need some help.

Dave? Dave, can you hear me?

Don't! OK, stand clear.

BP's dropping.

Right, he's hypotensive. We need to get him to theatre.

Dr Digby?

I'm sorry. There was nobody else about. It's Abi.

What's HE doing here?

She was sick. I was trying to clean her up, and...

Do you mind if I...?

How long have you had that?

I don't know.

Well?

Er...

Have you ever noticed anything unusual about um...Abi's eyes before?

Why?

Could you take her glasses off for me, please?

Going to have a really quick look in your eye. Just look straight at me.

Vortex keratopathy. It's, um... It's a whorl pattern on the cornea.

Very unusual...

Just excuse me for five minutes.

I'll be back, OK?

Fabry's disease.

Tingling pain in the arms and legs, cornea verticillata,

skin abnormalities.

Extremely rare, especially in girls.

I want to run enzymatic analysis of her plasma, and genetic testing.

Yup, all right.

Digby...?

Keep me informed this time.

OK, clamp off.

Slow switch off.

BEEPING

BP's dropping. He's arresting.

Charge to 20. Clear!

Charge again. Clear!

HEART MONITOR RESUMES

Let's get him back on bypass.

The ECG's showing inferior ischemia.

Let's have a scalpel and a balloon pump, please.

OK, so we need to arrange more specific blood tests

and we'll have to get you and Kate screened.

It's an hereditary condition.

Where is she?

Dr March took her into theatre...

Mr Self approved it.

Yeah, it's Arthur. We need you in theatre right away.

Yeah, it's Zosia. It's serious.

Hurry.

OK, Dr March. Thank you, thank you.

Could you take that for me, please?

What are you doing?

Right now you could lose your job.

-You could sabotage your whole career.

-Don't be such a drama queen.

-What if someone were to catch you?

-They'd find me treating a patient.

-That's what we do.

-Yes.

You're not qualified to treat her, are you?

Even supervised, you've never done this before...

-I know what I'm doing.

-She has new symptoms.

-I'm aware of that.

-Right. But I've spoken to your dad.

And, er...we have a potential diagnosis.

Arthur, not everything is a competition!

Please... just let me pass so I can treat my patient!

-Just stop! Stop!

-Let go or I will call Security!

Zoshi...?

Hey.

You off then?

Yeah.

Before you go, say bye to your patient.

So, you finally getting off?

Yep, I called my mate in Val d'Isere.

There's jobs going for the winter.

Smoke a Gauloise for me, won't ya?

-I'll send you a carton.

-Nah.

It's for real this time.

You'll be OK.

Spent all that time worrying what I'd do if I couldn't drive

and then the decision's made for me.

Hey. Come on, number 3.

Hey! Number 3! THEY ALL CHEER

Ten-four, come in buddy. They're here for the footy.

Give them a chance, eh?

Hey, thanks for today. Lucky break getting a nurse like you.

ALL: # Walk on

# Walk on

# With hope in your heart...

# And you'll never walk alone

# You'll never walk alone... #

Ah, so you've taken over my case. Good girl.

What's the verdict?

Um, flared pain in the hands and feet,

possible muscular infection or some form of genetic disorder.

We're taking a muscle biopsy.

Excellent.

And, er, where's your team?

Your anaesthetist?

I... There was no time. It's important we move fast.

Not such good form though, now that I'm involved.

The patient's prepped.

Yeah, better still to go by the book, otherwise I'll be...

Tell you what, darling.

Why don't you and I grab a coffee - a glass of wine, even -

and talk through the procedure whilst Dr Digby here

books us a slot for, say... tomorrow morning?

Then you and I can do it together.

-Um, what about Abi?

-I'm sure she's been through enough for one day.

-Digby, could you make sure Abi gets back to the ward please?

-Yeah.

And you'll book a slot for tomorrow?

So... Father and daughter team, eh? Let's talk through the process.

-Why are you looking at a vampire website?

-Oh, I'm not,

-I'm just making some notes for Laini's mum.

-That figures.

Elisa, will you do me a favour,

will you change the saline in bed number two?

And will you let Dr Tressler know his patient's been prepped?

-Psst! Fletch!

-Yeah?

Breakfast later?

Seriously? I'm nearly divorced. Four kids.

Heaven knows what else is going wrong in my life,

so you need to pick on somebody your own age.

-Laini!

-Mum.

Nurse Fletcher!

Yes.

I've just had a very interesting conversation with Nurse Morley...

Is it true? That we've been three staff down all day?

No. We're fine.

A couple of the girls called in sick last minute, but...

Nurse Fletcher arranged backup.

Oh, look, there's two of them now.

So you're saying that there IS no problem?

No problem. Excuse me.

Well, let's just hope they've got more brains than the last one.

Close your mouth, the flies'll get in.

Cheers, Col.

Um, I'm Colette. Been looking after Laini.

It's great that you came in.

Look, I know I went against what you said earlier

and I get why that's not OK. But I helped save someone's life,

and at the end of the day, what's the point of me being here

if I can't help a person when they need it?

I'm going to be a nurse whether you like it or not.

Whether it's here or somewhere else.

Wait!

If you're going to persist in performing procedures on my ward,

then you'd better get qualified. Fast.

Thanks.

I'll ask Ms Sheward to look it over when you're done.

Whatever your instincts... resist them.

Yes!

So the results will take a few days

but if our hunch is correct then there are enzyme replacements, so...

No surgery?

Dr Digby, thank you.

Oh - OK, so when you get to level eight

there's going to be a big black spider going to come after you.

You've got to remember to attack its back legs first, OK?

-Got it.

-OK. Very important.

Dr Digby...I'm sorry.

I was looking out for my girl.

None of us have been at our best today, so...

You did the right thing. I'll take it from here.

Oh, Sacha!

Um, Dr March and I are just going to slope off.

No problems, I trust?

Oh, no, no, no. We'll make a consultant of him yet.

-Good night.

-Good night.

You seem to have wangled your way back into favour, I see.

It's nice work.

And is everything all right with you? How's the... What's the...

Yeah, yeah.

-Um, we're going to give the long distance thing a bit of a go.

-Great.

Thank you.

What did you tell him?

Just what he needed to know.

So, er, we're away to Albie's for a few pints

and we'll...see you tomorrow, I guess.

Oi!

Well, we just assumed you'd want to keep on working.

Oi! I'm doing a course, not joining a convent!

-You two are not funny!

-Did you think we were going to leave you behind?

Yeah, poor little girl!