0:00:38 > 0:00:40- I know what I'm doing. - Just stop! Stop!
0:00:40 > 0:00:43- Let go or I'll call security! - Zoshi? Hey.
0:00:43 > 0:00:46- 71.- 75.- Have you lost your mind?
0:00:46 > 0:00:50Sold! To the surgeon with brooding Mediterranean looks.
0:01:25 > 0:01:27Bless me, Father, for I have sinned.
0:01:27 > 0:01:31It's been three years since my last confession.
0:01:35 > 0:01:43I have bad thoughts, Father. Thoughts about hurting a man...
0:01:43 > 0:01:45a colleague...
0:01:46 > 0:01:48Hurting?
0:01:49 > 0:01:52..or killing, really, Father. I thought...
0:01:54 > 0:01:57I think...about killing him.
0:02:03 > 0:02:06MUSIC: Lovely Day by Bill Withers
0:02:16 > 0:02:20- Bummer. Not having much luck with that car. Need a hand?- No. I'm good.
0:02:20 > 0:02:23- What's the problem? - Well, I don't know...yet!
0:02:23 > 0:02:26Bet it's the cylinder cap.
0:02:26 > 0:02:29If the filler head is coated with a sort of white gunge,
0:02:29 > 0:02:31then it's a warped head.
0:02:31 > 0:02:33Yeah, bit of a design flaw, to be honest.
0:02:33 > 0:02:37I mean, that's why I didn't go gang-busters on it at the auction.
0:02:37 > 0:02:38You didn't...?
0:02:38 > 0:02:40Guess I just got lucky.
0:02:42 > 0:02:44# A lovely day, lovely day... #
0:02:48 > 0:02:49Where are my clothes?
0:02:51 > 0:02:53What? Oh, I did a wash.
0:02:53 > 0:02:55Ah, I did a few washes actually.
0:02:55 > 0:02:57But I left something on your bed.
0:02:57 > 0:03:00Yeah, I found it, um...
0:03:00 > 0:03:01Her room is disgusting.
0:03:04 > 0:03:06Oh, yeah, it suits you.
0:03:06 > 0:03:08I found the source of the stench.
0:03:08 > 0:03:10- It's one of Jesse's T-shirts. - Yeah, but what's inside it?
0:03:12 > 0:03:15- Curry?- Er, you hope.
0:03:15 > 0:03:18You know what? Never thought I would say this,
0:03:18 > 0:03:22but I am so enjoying her not being here at the moment.
0:03:23 > 0:03:27- So is she still staying at her dad's?- Far as I know. Yeah.
0:03:27 > 0:03:30- Perfect.- Peace.
0:03:33 > 0:03:37You go... You...
0:03:41 > 0:03:43Oh, yep. Hmm. What is that?
0:03:43 > 0:03:47- What have you got round your face? Mucky mole!- Stop it...
0:03:47 > 0:03:49DOOR CLOSES
0:03:54 > 0:03:56Morning. Er, cappuccino, please.
0:04:00 > 0:04:03Is that your baby? She's lovely.
0:04:03 > 0:04:06Aw, thank you! Um, name's Emma.
0:04:07 > 0:04:11- Babe magnet.- Hardly. - Like wasps to a picnic.
0:04:11 > 0:04:13What, two women checking out his baby photos?
0:04:13 > 0:04:16- They're checking out something, all right.- He's not ready.
0:04:16 > 0:04:19Ready or not, pretty soon he's going to have zero choice -
0:04:19 > 0:04:23- that whole wounded single-father thing...- He's still grieving.
0:04:23 > 0:04:24..like catnip.
0:04:27 > 0:04:28Nice talking to you.
0:04:33 > 0:04:35Morning.
0:04:44 > 0:04:46Believe me, I know what it's like getting your heart broken.
0:04:46 > 0:04:50- Is it just clothes, or...?- Um... - How long's she staying with you?
0:04:50 > 0:04:54Well, I think she's too exhausted to study so...
0:04:55 > 0:04:58Getting your heart ripped out your chest
0:04:58 > 0:05:00and stood on by a man is pretty exhausting.
0:05:00 > 0:05:03Yes, well, she collapsed last night.
0:05:04 > 0:05:06Well, early hours of this morning,
0:05:06 > 0:05:08actually, not so early.
0:05:10 > 0:05:11Underwear. Is there, um...?
0:05:12 > 0:05:15I wouldn't know. Maybe try this one...
0:05:15 > 0:05:17- Ah, there you go.- Oh, right.
0:05:21 > 0:05:25I thought you said she hadn't been drinking?
0:05:25 > 0:05:27Ah, yeah. No. Well, no more than...
0:05:27 > 0:05:31Yeah, a bit. Like I said, she'd been drowning her...
0:05:31 > 0:05:33So what's the time frame on her stay with you?
0:05:34 > 0:05:36Well, she's shattered,
0:05:36 > 0:05:43so I just wanted to come round here and...get some of her things.
0:05:43 > 0:05:46She should take as long as she needs.
0:05:46 > 0:05:48She won't be going to work today.
0:05:49 > 0:05:51If you read the Framework Policy...
0:05:51 > 0:05:54- You've read the Framework Policy?! - Yes. Haven't you?- What? All of it?
0:05:54 > 0:05:56To understand how the legislation is being put into practice.
0:05:56 > 0:05:59When do you get time to read the whole Framework Policy?
0:05:59 > 0:06:00When everyone else is asleep.
0:06:00 > 0:06:03Right, you do know you have an important clinical skills project..
0:06:03 > 0:06:07- Test me.- What?- On anything - anything I'm supposed to have read.
0:06:07 > 0:06:09OK, look...this isn't me,
0:06:09 > 0:06:13- you know, I'm not trying to accuse you of anything.- Anything. Come on.
0:06:13 > 0:06:17OK. What's the surface markings of a posterior tibial artery?
0:06:17 > 0:06:20Halfway between the posterior border of the medial malleolus
0:06:20 > 0:06:23- and the anterior border of the tendon Achilles.- Very good.- Next.
0:06:24 > 0:06:26Describe the course of a parotid duct?
0:06:26 > 0:06:29It follows an imaginary line between the tragus and the philtrum
0:06:29 > 0:06:32- until it enters the mouth near the second molar tooth.- Very good.
0:06:32 > 0:06:36- Excellent.- Next.- No, no, no. That's excellent. That's absolutely enough.
0:06:36 > 0:06:38Now, look. This...is Nigel Timpson. OK?
0:06:38 > 0:06:41Mr Timpson is suffering from very severe abdominal pains.
0:06:41 > 0:06:44Now, we have no way of treating him because he's also hyper allergenic
0:06:44 > 0:06:48and St James's Special Allergies Unit drew a blank. So...
0:06:48 > 0:06:51- No-one knows what's wrong with you? - I'm a mystery.
0:06:53 > 0:06:57I don't deny, being a widower did make me a sort of, um,
0:06:57 > 0:06:59target for some women. I was broken.
0:06:59 > 0:07:01And they wanted to mend you?
0:07:01 > 0:07:02And feed me.
0:07:02 > 0:07:06Honestly, the number of casseroles that friends, neighbours,
0:07:06 > 0:07:08women I hardly knew, brought round.
0:07:10 > 0:07:13So they were attracted to your vulnerability?
0:07:13 > 0:07:15Something about a man who's hurting inside.
0:07:18 > 0:07:21Yeah, so how long before you...?
0:07:21 > 0:07:23- I, er...?- You know...um...
0:07:25 > 0:07:28..stuck your head out the trench?
0:07:28 > 0:07:30Um, climbed back in the saddle?
0:07:30 > 0:07:35Oh. Long, long, long time.
0:07:36 > 0:07:39- Weren't you lonely? - I had my work...um...
0:07:41 > 0:07:45I have a lecture to deliver at St James's. I'll be away all day.
0:07:50 > 0:07:53You, nursey, big fat surprise.
0:07:55 > 0:07:57What things do I hate the most?
0:07:57 > 0:07:59That's a pretty big list. How long have we got?
0:07:59 > 0:08:05Managers, drugs reps, puy lentils, British wine, whiners, Americans,
0:08:05 > 0:08:09- the French, any pastry with a French name.- Idiots.
0:08:09 > 0:08:11SHOUTING
0:08:15 > 0:08:17- Hello, lovers!- Awright!- Idiots...
0:08:21 > 0:08:25We did good. That was one spleen I never thought we'd salvage.
0:08:25 > 0:08:27- You did good.- It's teamwork.
0:08:29 > 0:08:32- What? - You know, when I see you in there,
0:08:32 > 0:08:36knife and fork in hand, doing what you do,
0:08:36 > 0:08:38frankly, and I don't say this often, I'm in awe...
0:08:40 > 0:08:42Thanks, Mr Griffin, your praise...
0:08:42 > 0:08:44- ..but...- Ouch! There's a but?!
0:08:44 > 0:08:47..knife and fork skills, fellowships,
0:08:47 > 0:08:49that's only half this job.
0:08:49 > 0:08:51It is teamwork. You're part of a ward.
0:08:51 > 0:08:54Thank you. Part of a department. Part of a Trust.
0:08:54 > 0:08:56Of course. I don't quite see...
0:08:56 > 0:09:01While I'm in Ghana, I need you to focus on how to manage people.
0:09:01 > 0:09:02Is that for me? Thank you.
0:09:02 > 0:09:04I like to think that I look after my team.
0:09:06 > 0:09:11I need you to learn how to manage Dr Tressler better.
0:09:11 > 0:09:12- Has he complained?- Watch out.
0:09:16 > 0:09:19Harry Tressler complained about me?
0:09:19 > 0:09:22He's a Registrar now. You helped to make him one.
0:09:22 > 0:09:25- Yeah, I know, that was... - So treat him like one.
0:09:25 > 0:09:27He wants more autonomy,. more responsibility.
0:09:27 > 0:09:29- I don't think he's ready. - I think he's ready.
0:09:32 > 0:09:38- If you like, I could show you all my scars.- Scars?
0:09:38 > 0:09:41We'll go to my office and I show you all my battle scars,.
0:09:41 > 0:09:43where I've gone head-to-head with Registrars,
0:09:43 > 0:09:47and Consultants, Directors of Surgery, CEOs...
0:09:48 > 0:09:52- I respect your authority, but I... - This isn't about pulling rank.
0:09:52 > 0:09:57I'm just trying to suggest that some battles aren't worth fighting.
0:09:57 > 0:10:01Tressler and I, that isn't a battle.
0:10:01 > 0:10:02- Isn't it?- No, it's not.
0:10:06 > 0:10:10You know, Raf, you're gold dust. As far as AAU surgeons go,
0:10:10 > 0:10:12you're innovative, you're forward-thinking,
0:10:12 > 0:10:16- you're brilliant.- Thank you.
0:10:16 > 0:10:20I would hate you to take your eye off what the real work is here.
0:10:21 > 0:10:23- I won't.- So...
0:10:23 > 0:10:26I won't need to worry that your wife has asked for a transfer
0:10:26 > 0:10:27out of your department?
0:10:33 > 0:10:36- No.- But...- You completely cocked-up my oesophageal replacement
0:10:36 > 0:10:38- and made me look a right...- Prat.
0:10:38 > 0:10:39Yes. Thank you. And goodbye.
0:10:39 > 0:10:41Not you! Him! He's the prat
0:10:41 > 0:10:44cos he's gone and got himself in a bit of medical bother again.
0:10:44 > 0:10:47- I got myself in?- OK...you had help. - I don't care.
0:10:47 > 0:10:49Oh, don't be such a she-beast!
0:10:49 > 0:10:52- What did you call me?- A...she beast.
0:10:52 > 0:10:55But for Pan's sake, just have a look at him.
0:10:57 > 0:10:59No, no, no, no, you don't examine him.
0:10:59 > 0:11:01If you examine him, he becomes our patient.
0:11:01 > 0:11:04And then we have the situation all day where we're...
0:11:04 > 0:11:06Oh...my...God.
0:11:06 > 0:11:08She's Friesian.
0:11:08 > 0:11:10THEY MOO
0:11:13 > 0:11:15THEY GRUNT AND SNORT
0:11:15 > 0:11:17- Penicillin?- Yes.
0:11:17 > 0:11:19- Paracetemol?- Yes.
0:11:19 > 0:11:20- Peanuts?- Of course.
0:11:20 > 0:11:22- Lactose?- And fructose.
0:11:22 > 0:11:23- Gluten?- Oh, please.
0:11:23 > 0:11:27- Soya?- Makes me sweat and retch.
0:11:27 > 0:11:29- Aspartame?- Gives me hives.
0:11:29 > 0:11:31- Pollen?- Asthma.
0:11:31 > 0:11:33Is there anything else you're allergic to?
0:11:33 > 0:11:37Haven't even scratched the surface. Honey.
0:11:37 > 0:11:38Please don't call me Honey.
0:11:38 > 0:11:41No. Honey. Honey gives me skin boils.
0:11:41 > 0:11:43And fabric conditioner,
0:11:43 > 0:11:47fabric softener, wash powder - bio and non-bio -
0:11:47 > 0:11:50house dust, house mites,
0:11:50 > 0:11:52er, foam bath, foam pillows, kapok.
0:11:56 > 0:11:58I do not know what you stuff in these things,
0:11:58 > 0:12:00but I can feel my eyeballs itch.
0:12:00 > 0:12:03Basically, you name it, I'm allergic to it.
0:12:06 > 0:12:08- Cow tags.- Stag do.- Cocktails.
0:12:08 > 0:12:12- Creme de menthe and advocaat. - Class.- Blacked-out. Woke up.
0:12:12 > 0:12:13- # Ta-da! #- Tagged.- Wicked.
0:12:13 > 0:12:17Does hurt, though, like I just stuck me Bilbo Baggins in a cattle crush.
0:12:17 > 0:12:20Funnily enough, we did think of cow-tagging his Baggins too. Only...
0:12:20 > 0:12:23Stop! Please. Hold on.
0:12:23 > 0:12:25Whose stag do?
0:12:25 > 0:12:28Me. Sorry, you missed your chance, my little fire queen.
0:12:30 > 0:12:33- Some poor girl has actually agreed to marry you?- Heidi.
0:12:33 > 0:12:35Proper lush. Lovely.
0:12:35 > 0:12:38'Bout as much sense of humour as a badger on crack.
0:12:38 > 0:12:40- Get them out.- No, no. We...
0:12:40 > 0:12:44No, no, no. Not on my ward. On your bike.
0:12:44 > 0:12:46It's not like we're...
0:12:46 > 0:12:48Can we get help here, please?
0:12:51 > 0:12:54So you are professionally unchallenged in your role
0:12:54 > 0:12:57- and you feel that's my fault? - Professionally unchallenged is...
0:12:57 > 0:13:00So much so that you go and complain to Mr Griffin?
0:13:00 > 0:13:03Look, let's just take a look at my current stock, shall we?
0:13:03 > 0:13:06Mrs Pollard, a verruca. No, actually that's not true.
0:13:06 > 0:13:09A nest of verrucas. Infected, yes.
0:13:09 > 0:13:11But still verrucas, nonetheless.
0:13:11 > 0:13:15Mr Taylor, a 75-year-old with a urinary tract infection.
0:13:15 > 0:13:18Mrs Smallwood, an 83-year-old with a urinary tract infection.
0:13:18 > 0:13:21And finally, the piece de resistance,
0:13:21 > 0:13:25an ingrown toenail with a possible vascular compromise.
0:13:25 > 0:13:26Oooh, exciting(!)
0:13:26 > 0:13:29- We take what the ED pass on to us because that is...- Yeah.
0:13:29 > 0:13:31And you take anything interesting.
0:13:31 > 0:13:34Meanwhile I, even though I'm now a fully-fledged registrar,
0:13:34 > 0:13:36who came 15th in the National Examinations,
0:13:36 > 0:13:39I have to beg for the crumbs under your table.
0:13:40 > 0:13:43Look, I think you and I both know what this is really about.
0:13:43 > 0:13:46Isn't it time we put what happened behind us?
0:13:46 > 0:13:48You complained to Griffin.
0:13:48 > 0:13:50- Even Amy can't work with you.- Don't.
0:13:50 > 0:13:54Your wife asked for a transfer out of your ward.
0:14:04 > 0:14:06I got my first rash at about 16.
0:14:06 > 0:14:10Rash at 16. Right. And where exactly was that?
0:14:11 > 0:14:13So much for her being exhausted.
0:14:15 > 0:14:17If only.
0:14:17 > 0:14:20Well, she bounced in, bright as a button...early.
0:14:20 > 0:14:23- Early?- Yeah, she was already here when I got here.
0:14:23 > 0:14:27It's just that she's taken this thing with Jesse rather badly.
0:14:27 > 0:14:29Well, she's totally raring to go.
0:14:29 > 0:14:33So I put her on Mr Allergy. He'll keep her guessing.
0:14:37 > 0:14:40'So what are we thinking here?'
0:14:40 > 0:14:43A mini stroke? Has anything like this ever happened to you before?
0:14:43 > 0:14:45Er, last time, we had menu cards.
0:14:45 > 0:14:48- We need to do an echo and an ECG. - No, he's right.
0:14:48 > 0:14:51Choice for lunch and tea, had to tick boxes with our selection.
0:14:51 > 0:14:54- If we didn't tick no boxes... - Didn't get no grub. I'm starving.
0:14:54 > 0:14:57- I want to know about any fluctuations. - I want to know about lunch.
0:14:57 > 0:14:59Yeah, and me. We got to tick those boxes, Jim Bob.
0:14:59 > 0:15:01Do you want me to arrange getting those ear tags taken out?
0:15:01 > 0:15:04No. Let's see what's wrong with his heart first.
0:15:04 > 0:15:07So, catch-up time. Who's doing it with who now, then?
0:15:07 > 0:15:09Last time Jonny was doing it with scary Dr Jac.
0:15:09 > 0:15:12- Oh, and time before that... - Mo weren't doing it with no-one.
0:15:12 > 0:15:15Yeah, but you was on the radio. Sorting out old men's haemorrhoids.
0:15:15 > 0:15:18- Yeah, well, nothing much has changed there.- Still with Morticia?
0:15:18 > 0:15:20Um, will you just leave it, yeah?
0:15:20 > 0:15:23You're joking, ain't you? This is like a live episode of Doctors.
0:15:23 > 0:15:28- Don't go there.- He-llo? I 'aven't got Where Angels Fear To Tread tattooed on me buttocks for nothing.
0:15:28 > 0:15:30Thought you 'ad Young Farmers Do It In Wellies?
0:15:30 > 0:15:32- Figure of speech, mate. - Just leave it.
0:15:32 > 0:15:35No. It really doesn't matter.
0:15:35 > 0:15:39Ms Naylor and I had a baby together, Emma, and then we broke up.
0:15:39 > 0:15:44And then I became engaged to another nurse, and then she died.
0:15:48 > 0:15:50Snap! I got engaged.
0:15:50 > 0:15:52- Not a nurse, though.- No.
0:15:52 > 0:15:56Cos that'd be cool. Heidi isn't.
0:15:57 > 0:16:00Bad luck, though. The breaking up and dying bit.
0:16:01 > 0:16:02Not ideal, no.
0:16:09 > 0:16:11I'm still single.
0:16:19 > 0:16:20For you.
0:16:23 > 0:16:25OK, I think we're done.
0:16:25 > 0:16:28Well, you won't be kick-boxing for a little while,
0:16:28 > 0:16:30but you'll feel a lot more comfortable.
0:16:32 > 0:16:34Right, um, I've finished cutting around
0:16:34 > 0:16:38- and cauterising Mrs Pollard's verrucas.- Good.
0:16:38 > 0:16:41- Now I'm on to my urinary tract infection.- Harry, I'd like to...
0:16:41 > 0:16:45- What? Come to rub my nose in it? - I'd like to apologise.
0:16:45 > 0:16:48I'm sorry. You were right... to complain.
0:16:48 > 0:16:52Mr Griffin and I agree, you should be given greater autonomy
0:16:52 > 0:16:55and responsibility in choice and treatment of patients in AAU.
0:16:57 > 0:17:00Are you a Cyborg clone of Mr Di Lucca?
0:17:00 > 0:17:02Cos if you are, you're not a very good one.
0:17:04 > 0:17:06- I mean it.- Prove it.
0:17:07 > 0:17:10OK. Next patient to come through those doors is yours.
0:17:11 > 0:17:15- And you can choose to give me any of your current cases.- Any?
0:17:15 > 0:17:20- Mmm. How about your ingrown toenail? - Fine. He's yours.
0:17:20 > 0:17:24What? So the next person who walks through those doors is...
0:17:26 > 0:17:29This is Joy. She's been stabbed... again.
0:17:29 > 0:17:32Stabbed. Joy.
0:17:32 > 0:17:34Hello. My name's Dr Tressler. I'll be treating you today.
0:17:34 > 0:17:38- Can I see your...?- Oi! - Careful, Posh Boy. She's a biter!
0:17:42 > 0:17:45Right. Let's get her into the side room, please.
0:17:47 > 0:17:51- You know that I know.- I know. - You know that I get it.
0:17:51 > 0:17:53I appreciate that.
0:17:53 > 0:17:55- Family's precious.- Of course.
0:17:55 > 0:17:57- Family is difficult.- Say that again.
0:17:57 > 0:18:01Family at work, sharing professional space and dynamics
0:18:01 > 0:18:02with your nearest and dearest...
0:18:02 > 0:18:06Hopefully, moving up here will give Raf and me a bit of perspective.
0:18:06 > 0:18:10Good. Well, you are welcome on Keller for as long as you like.
0:18:10 > 0:18:14- Thank you.- We need you.- Great.
0:18:14 > 0:18:17I need you...seriously.
0:18:18 > 0:18:20What sort of weapon were you stabbed with?
0:18:20 > 0:18:23Bet you've never had your hands on a real woman before, huh?
0:18:23 > 0:18:27- Do you know?- Some home-made shank. We never saw it.
0:18:27 > 0:18:28Right, did you see it?
0:18:28 > 0:18:31Skinny wee posh totty. All white teeth and sports bras.
0:18:33 > 0:18:36Aw, is that all you've ever had? Am I right?
0:18:36 > 0:18:38What size was the blade?
0:18:38 > 0:18:40- I'll tell you...- Yes.
0:18:40 > 0:18:43- ..if you tell me how long your... - Joy! Shut it!
0:18:43 > 0:18:45- You answer his questions... - Joy, thank you.
0:18:46 > 0:18:50Come 'ere. Come close. And I'll whisper it in your ear.
0:18:50 > 0:18:53- You do. She'll bite it off. - This is ridiculous.
0:18:53 > 0:18:56You don't believe me? How many ears you bitten off, Joy?
0:18:56 > 0:18:59Er, whole ones or just chunks?
0:18:59 > 0:19:01Look, er, I don't mean to be funny, love,
0:19:01 > 0:19:04but do you need to go and get one of the grown-ups?
0:19:05 > 0:19:06I'm fine. Thank you.
0:19:09 > 0:19:11Right, I'm going to inspect the wound.
0:19:11 > 0:19:14I'm going to kick you where it hurts if you do.
0:19:14 > 0:19:16- Want me to cuff her legs? - Yes...please.
0:19:21 > 0:19:25I don't diagnose. I'm a Consultant Pharmacist.
0:19:25 > 0:19:28Yes. Who deals with a broad range of patients
0:19:28 > 0:19:31with physical and mental problems.
0:19:31 > 0:19:35I'm not a psychiatrist. You're asking me to assess her...
0:19:35 > 0:19:37unofficially.
0:19:37 > 0:19:39That's too formal a definition.
0:19:41 > 0:19:43- Your own daughter?- Yes.
0:19:43 > 0:19:46So you can see why this needs to be dealt with sensitively.
0:19:46 > 0:19:48- Without her knowledge?- Precisely.
0:19:51 > 0:19:52I don't think...
0:19:52 > 0:19:54She's just been through...
0:19:57 > 0:20:03..a very traumatic break-up with a man...who behaved very badly.
0:20:03 > 0:20:06- I'm sorry about that... - Very inappropriately.
0:20:06 > 0:20:08For any emotional upset she...
0:20:08 > 0:20:11You yourself know what it's like. Family issues.
0:20:11 > 0:20:13Yes, of course, but...
0:20:13 > 0:20:17He was a doctor who was working at this hospital at the time,
0:20:17 > 0:20:20so the fallout is very close to home.
0:20:20 > 0:20:22- I can see...- ..not dissimilar
0:20:22 > 0:20:25to what you yourself are going through right now.
0:20:28 > 0:20:32I wouldn't normally ask and I hate to impose, but...
0:20:34 > 0:20:36..you, of all people, understand.
0:20:42 > 0:20:43Once the local's taken hold,
0:20:43 > 0:20:46I should be able to cut around the nail and just pop it right off.
0:20:46 > 0:20:52- Glasgow?- Yeah. Southside. Govanhill.
0:20:52 > 0:20:54Do you know it?
0:20:54 > 0:20:58Chaplain of Victoria Infirmary for nine years.
0:21:01 > 0:21:03Huh. Do you always wear your collar in bed?
0:21:03 > 0:21:05- Only in public.- Always on duty.
0:21:05 > 0:21:08It's a vocation, not a job,
0:21:08 > 0:21:10probably a bit like your game.
0:21:10 > 0:21:17Oh, no, being a surgeon, it's just a job, a profession, like any other.
0:21:17 > 0:21:20- Ah, but not for you. - How do you mean?
0:21:20 > 0:21:23Well, I can see it in your eyes. You're no nine-to-five man.
0:21:23 > 0:21:26You can tell that from my eyes?
0:21:26 > 0:21:28Oh, yeah, a lot more besides.
0:21:30 > 0:21:33- Like?- Well, you're Catholic.
0:21:35 > 0:21:40Can you smell the incense from the long-distant Masses?
0:21:40 > 0:21:45It's a look, a reflex, call it. A priest knows, my son.
0:21:49 > 0:21:53And of course, you carry your guilt in plain sight.
0:21:53 > 0:21:55You can see my guilt?
0:21:55 > 0:21:58Guilt...anger...hatred.
0:22:01 > 0:22:04Tell me, you see a man limp,
0:22:04 > 0:22:09can you tell the difference between an ingrown toenail limp and a...
0:22:09 > 0:22:12- hip replacement limp?- Yes.
0:22:12 > 0:22:14I can recognise a limp too...
0:22:16 > 0:22:19..only I see the emotional ones.
0:22:22 > 0:22:23Sorry...
0:22:23 > 0:22:25So am I.
0:22:28 > 0:22:31Your echo's come back as normal.
0:22:31 > 0:22:34Quite frankly, I'm surprised to find anything normal about you.
0:22:34 > 0:22:37She sounds like Miss Thornby at our primary.
0:22:37 > 0:22:40- "Doug Mitchell, you are an idiot!" - Shut up!- See?
0:22:40 > 0:22:42Nurse Maconie has sent down to maintenance
0:22:42 > 0:22:45- for a set of bolt cutters... - Good man, John-Boy.
0:22:45 > 0:22:49- ..to cut through the steel pins in the ear tags.- Nice.
0:22:49 > 0:22:52I have to say, bolt cutters are a first on Darwin.
0:22:52 > 0:22:54Back of the net!
0:22:54 > 0:22:57I give up. You're not going to die, but it will hurt.
0:23:01 > 0:23:03Sorry about your fiancee.
0:23:03 > 0:23:05Thanks.
0:23:05 > 0:23:07And thanks for the bolt cutters. That's cool.
0:23:07 > 0:23:11Well, let's hope we don't chop off one of your ears accidentally.
0:23:11 > 0:23:13Oh, come on! That would be awesome!
0:23:17 > 0:23:19Are you OK?
0:23:19 > 0:23:24- Yeah. No. To be honest, it's kind of refreshing, really.- Yeah?
0:23:24 > 0:23:27Yeah, well, everyone else treats me like I'm made of cut crystal,
0:23:27 > 0:23:30like I'm going to break into a million pieces any minute.
0:23:30 > 0:23:33- But you're not?- No, surprisingly,
0:23:33 > 0:23:36most of the time I'm really not.
0:23:36 > 0:23:38I've got family, I've got friends,
0:23:38 > 0:23:39I've got Emma.
0:23:41 > 0:23:43And, um, beyond that?
0:23:43 > 0:23:46What, you mean like another relationship?
0:23:46 > 0:23:49Well, unless you're still into Jac and...?
0:23:49 > 0:23:52Oh, no, no, no, no, twice-bitten. I've taken the antidote.
0:23:52 > 0:23:55- You know what I mean? - Yep. Understood.
0:23:56 > 0:24:00I guess I'm just really not looking for anything at the moment.
0:24:05 > 0:24:09Um...well, I'd better go and...
0:24:14 > 0:24:16Were you slashed or were you stabbed?
0:24:16 > 0:24:19Were you breast-fed or were you bottle-fed?
0:24:19 > 0:24:22Look, I need to know which direction the knife went in so I can see...
0:24:22 > 0:24:25What d'you think, Belle? Bosom or bottle?
0:24:25 > 0:24:27Posh don't do bosom, do they? Get Nanny to do it.
0:24:27 > 0:24:30- Were you sucking on your nanny's...? - Do you want me to treat you or not?
0:24:30 > 0:24:33I don't care. If you don't treat me, I can always sue you.
0:24:33 > 0:24:36- Oh, you'll sue me? - Why not? What've I got to lose?
0:24:36 > 0:24:39Your life maybe, if you're not treated properly.
0:24:39 > 0:24:42- He talks nice doesn't he, Belle? - Very plummy.
0:24:42 > 0:24:44Bet you get by on bedside charm. Don't have to know diddly.
0:24:44 > 0:24:48Just a pretty face. It is a pretty wee face, though, Belle?
0:24:48 > 0:24:51- Mmm, if you like that sort of thing. - Could you please be quiet?!- Oooh...
0:24:54 > 0:24:58- Everything OK in here?- He's just put his fingers all over me.
0:24:58 > 0:24:59And told me to be quiet about it.
0:24:59 > 0:25:02- Does that sound OK to you? - Dr Tressler?
0:25:02 > 0:25:05Everything's fine. I'm determining what kind of stab wound it is.
0:25:05 > 0:25:07- Weapon?- TBD.
0:25:07 > 0:25:10- Well, make sure you determine... - Yes, I will.
0:25:10 > 0:25:12The prison rang. Her notes are on their way.
0:25:14 > 0:25:15Is that your boss?
0:25:15 > 0:25:18Did you hear him? He's doing my admin.
0:25:18 > 0:25:22Do you know what size of blade you were attacked with?
0:25:22 > 0:25:24Are you trying to look at my boobs?
0:25:24 > 0:25:29Is he? Is he trying to cop an eyeful? Nurse!
0:25:29 > 0:25:33OK, Mitch. I'm going to need you to stay very still. Understood?
0:25:35 > 0:25:37So when's the wedding?
0:25:37 > 0:25:40- Er, can't remember...- You don't know when your wedding is?
0:25:42 > 0:25:46Yeah. It's after the spud harvest and before we cut the barley.
0:25:46 > 0:25:48- A date?- Yeah. There is one.
0:25:49 > 0:25:51What? And your girlfriend,
0:25:51 > 0:25:55I mean, fiancee's OK with you behaving like a complete numpty?
0:25:55 > 0:25:59What? Heidi. Yeah. She's dead sound, she... Aaargh!
0:25:59 > 0:26:02What was that?! Right, where's the pain, mate?
0:26:02 > 0:26:05- Me chest. Me belly and me... Aaargh!- What is going on?
0:26:05 > 0:26:09Right, these electrical impulses are crazy. None of this makes any sense.
0:26:09 > 0:26:11Mitch, I'm going to need you to lie back and take some deep breaths.
0:26:11 > 0:26:14Go and get Jac. Never seen anything like this.
0:26:14 > 0:26:16It's flipping agony, mate. Me chest's all twitchy
0:26:16 > 0:26:21and me stomach's knitting-up tighter than a duck's... Aaargh!
0:26:26 > 0:26:29- What've you got in there? - In my pants?!
0:26:29 > 0:26:32Well, JB, you've seen Snakes On A Plane, right?
0:26:32 > 0:26:34- Remember the python?- In the pocket!
0:26:36 > 0:26:38Busted, mate.
0:26:42 > 0:26:44- What is that?- Dog shocker.
0:26:47 > 0:26:51- How are you feeling? - Raring to go.- Excellent.
0:26:54 > 0:26:58Reckon I could be salsa dancing before the week's out.
0:26:58 > 0:27:00OK. Well, I'll say goodbye, then.
0:27:01 > 0:27:05You know you can see my church from the top floor of this hospital.
0:27:05 > 0:27:11- Really?- Yeah. St Giles. Not more than ten minutes' walk.
0:27:11 > 0:27:14I think you'd be better using the hospital transport.
0:27:14 > 0:27:16Oh, yes. But you could.
0:27:18 > 0:27:21- Why would I want to do that? - You tell me.
0:27:23 > 0:27:25OK. Well, goodbye, then.
0:27:25 > 0:27:29- I look forward to it.- To what? - Your visit.
0:27:33 > 0:27:36Sheep dogs...gun dogs...pointers...
0:27:36 > 0:27:40ferreting dogs, like terriers an' that...all need training, right?
0:27:40 > 0:27:43- Yeah, we get the concept.- Some trainers, usually rubbish ones,
0:27:43 > 0:27:46what don't know how to talk to a dog proper, use shockers -
0:27:46 > 0:27:48electric training devices on a collar.
0:27:48 > 0:27:51The dog goes somewhere wrong or does something wrong...
0:27:51 > 0:27:53Zapp! Give it a blast. Soon learns to do right.
0:27:53 > 0:27:55Or it lights up like a Christmas tree.
0:27:55 > 0:27:58- Wouldn't never do that to no dog, me.- But yet you'd do it to...
0:27:58 > 0:28:00Aw. Yeah. But Mitch is me bezzer.
0:28:00 > 0:28:02- Zap him any day.- Cheers, mate.
0:28:02 > 0:28:05Let me, er, let me get this straight.
0:28:05 > 0:28:10You come in here, to a very busy, very underfunded, NHS hospital,
0:28:10 > 0:28:15and you totally waste our time, by secretly zapping him...
0:28:15 > 0:28:20Only every time you mention marriage, or fiancee, or Heidi,
0:28:20 > 0:28:24or wedding dates...or...well, any time I feel like it, really.
0:28:24 > 0:28:26You zapped him with a dog training device to make us believe
0:28:26 > 0:28:29- he had a heart condition? - Well, when you put it like that,
0:28:29 > 0:28:33it don't do justice to the real humour of the situation, does it?
0:28:33 > 0:28:37OK. Where is it? Where is it? Where is it? Where's the zapping device?
0:28:37 > 0:28:40Ah, well, y'see that's where the stag-do bet comes in, isn't it?
0:28:40 > 0:28:42It must be on him somewhere.
0:28:42 > 0:28:47Hey, give off. You're tickling me, you naughty nursey. I swallowed it.
0:28:47 > 0:28:51- What?! - He swallowed it. Didn't force him.
0:28:52 > 0:28:55And it weren't easy. It was a womper.
0:29:08 > 0:29:09Any sign of those records?
0:29:09 > 0:29:14- No. Not yet. Can I ask, what category is your nick?- Cat B. Why?
0:29:14 > 0:29:17- I worked a rotation in HMP Vernmount.- Cat A?
0:29:17 > 0:29:22- Yeah. That was a busy hospital wing. - See a lot of action?
0:29:22 > 0:29:24- Lot of violence.- Hmm.
0:29:24 > 0:29:25Where was Joy stabbed?
0:29:27 > 0:29:30Belly. You got her X-rays. You not worked that one out yet?
0:29:30 > 0:29:32No. Where, in the prison?
0:29:32 > 0:29:33She works in the laundry.
0:29:33 > 0:29:35Oh, right. That's a nice job.
0:29:35 > 0:29:39Mmm. When she can be trusted not to bite someone.
0:29:39 > 0:29:41Do they have coat hangers in your laundry?
0:29:41 > 0:29:43Does a fat baby fart?
0:29:43 > 0:29:46This is brilliant. This has to work. Pharmaceutical brain.
0:29:46 > 0:29:49- Clinical brain. Patient brain. One problem.- I've read the notes.
0:29:49 > 0:29:52Nigel has a history of progressive abdominal pain,
0:29:52 > 0:29:53significantly worse on his right side.
0:29:53 > 0:29:56He's had multiple admissions with similar symptoms but we can't
0:29:56 > 0:30:00- treat him conventionally because he is so allergic to...- Everything.
0:30:00 > 0:30:02- Have you tried...?- Everything. - Amitriptyline?- Everything.
0:30:02 > 0:30:05- And the pain is...- Agony. - What do we do?- Do a FEIA test
0:30:05 > 0:30:08- and consult the Immunologist.- All these tests show normal readings.
0:30:08 > 0:30:11They don't give any clue to the source of the pain. They only confirm
0:30:11 > 0:30:14- that Nigel is reacting allergically to...- Everything.
0:30:14 > 0:30:17Need to think out of the box. Blue sky. Parallel universe. Flip side.
0:30:17 > 0:30:20- Parallel universe? - Way, way, way, way out of the box.
0:30:20 > 0:30:22- I'm not... - So what have you got? Anything?
0:30:22 > 0:30:28- I still think we should do some more tests.- Egg head! - You see? I'm an enigma.
0:30:29 > 0:30:33So from what I can ascertain from the X-ray and the FAST scan,
0:30:33 > 0:30:36there appears to be no deeper puncture than the already obvious shallow wound.
0:30:36 > 0:30:39What d'you want - a medal?
0:30:39 > 0:30:43You could really make my job a lot easier if you could tell me anything
0:30:43 > 0:30:45about what happened and who stabbed you.
0:30:47 > 0:30:50- It was my girlfriend with a pork skewer.- Really?
0:30:50 > 0:30:54No, it my skank-junkie cell mate with a box cutter.
0:30:54 > 0:30:57It was Professor Plum in the conservatory with a carving knife.
0:30:57 > 0:30:59Right, I'm going to clean the wound and stitch you up.
0:30:59 > 0:31:02You see that bloke, who, er, very definitely isn't your boss,
0:31:02 > 0:31:03likes to keep an eye on you.
0:31:03 > 0:31:08I'm not checking up. I just thought you might like a second opinion?
0:31:08 > 0:31:11Slash wound to the lower abdomen, 10 centimetres, X-rayed, FAST scan.
0:31:11 > 0:31:16- Examined the wound digitally.- Oh, he's got the touch of an embalmer.
0:31:18 > 0:31:20Slash? Are you not going to do a CT?
0:31:20 > 0:31:24- I've already given her a bedside FAST scan.- And you think...?- Happy?
0:31:27 > 0:31:30Your patient. Your call.
0:31:30 > 0:31:31I trust your judgment.
0:31:31 > 0:31:34At last! Hooray. The words I never thought I'd hear you say.
0:31:34 > 0:31:37Did he really just say, "Hooray"?
0:31:37 > 0:31:40SHE LAUGHS
0:31:40 > 0:31:42His eosinophil levels are through the thatch and his IGE count
0:31:42 > 0:31:45is also on the roof. That means he is definitely allergic.
0:31:45 > 0:31:48- Yes, he's got a raging eosinophilia. - Yes. I know that, Dumbo. What else?
0:31:48 > 0:31:51He's probably got damage to his oesophagus and his stomach?
0:31:51 > 0:31:53Eosinophilic gastroenteritis! Good! I like it.
0:31:53 > 0:31:56- Histamine can ease gastro-intestinal symptoms.- Yes, possibly.
0:31:56 > 0:31:58Maybe Nigel's impressively comprehensive allergies
0:31:58 > 0:32:01aren't causing his eosinophilic gastroenteritis.
0:32:01 > 0:32:04Maybe it isn't causing any of the pain at all. This was great! Thanks.
0:32:08 > 0:32:12- I'm gay.- What?- That's basically what you're saying.- You're gay?
0:32:12 > 0:32:15- You said it.- No. It isn't... That's not what I'm saying.
0:32:15 > 0:32:18- I'm saying...- I have a warped relationship with my main man Mitch.
0:32:18 > 0:32:20First of all, there is nothing warped about being gay.
0:32:20 > 0:32:22Secondly, you do make him do things...
0:32:22 > 0:32:25I'm not spraying him with fake tan and dressing him in a tankini!
0:32:25 > 0:32:28These things that would suggest that you're caught in some...
0:32:28 > 0:32:31Although come to think if it, Next Evershot Carnival Day...
0:32:31 > 0:32:35..bizarre, escalating, tit-for-tat game of physical dare.
0:32:35 > 0:32:37He'll do anything - Mitch.
0:32:37 > 0:32:41- Which will end...- Not gay stuff, mind.- ..with one of you dying.
0:32:41 > 0:32:44Now who's being a drama queen!
0:32:45 > 0:32:47He has a damaged and repaired oesophagus...
0:32:48 > 0:32:53..that will leak corrosive stomach acid into his organs.
0:32:53 > 0:32:58- That will kill him. Do you want him dead?- Course not. No. I...
0:32:59 > 0:33:02..I just don't want him to marry Heidi.
0:33:02 > 0:33:05So first, I just did a bedside FAST scan because it looked like
0:33:05 > 0:33:08a fairly superficial slash-type wound to the abdomen muscle.
0:33:08 > 0:33:11- Weapon?- Ah, well. Wouldn't we all like to know?
0:33:11 > 0:33:14Prisoner code of silence. Don't be a squealer, and all that.
0:33:14 > 0:33:18So, just before I took her to theatre, I had a bit of a wobble
0:33:18 > 0:33:19and I thought, belt and braces,
0:33:19 > 0:33:23what does a good surgeon do? What would Mr Griffin do?
0:33:23 > 0:33:28Double-check. So I ordered a bedside CT scan. And...
0:33:28 > 0:33:30Ah. Yes. I see...
0:33:30 > 0:33:35- Here...and here...and just, that here.- Pooling blood.
0:33:35 > 0:33:39Yeah, it looks like a fairly superficial wound, but it could have pierced anything.
0:33:39 > 0:33:41What d'you make of this, Mr Di Lucca?
0:33:41 > 0:33:43Yeah, could be a massive internal bleed.
0:33:43 > 0:33:46Could have been very dangerous.
0:33:46 > 0:33:49- Good catch, Dr Tressler.- Thank you. - No, really. Good work.
0:33:49 > 0:33:52If you'd just settled for the FAST scan and stitched her up,
0:33:52 > 0:33:55she would've continued to bleed internally.
0:33:55 > 0:34:01- Now we just have to prevent her from exsanguinating.- We?- Yes.
0:34:01 > 0:34:04I think that you're more than capable of performing
0:34:04 > 0:34:09an emergency exploratory operation with a little back-seat guidance.
0:34:09 > 0:34:11Don't you agree, Mr Di Lucca?
0:34:11 > 0:34:14- Definitely. - Right. I'll see you in theatre.
0:34:17 > 0:34:20My Heidi, she has to wear a uniform, you see -
0:34:20 > 0:34:23polo shirt with cargo trousers and big clumpy work boots,
0:34:23 > 0:34:26steel toe caps.
0:34:26 > 0:34:32You know, she can carry two 25 kilo bags of cattle cake on each shoulder at a time. It's amazing.
0:34:33 > 0:34:36It's wedged in the tail of the neo-oesophagus.
0:34:36 > 0:34:38- Bad?- Long way from good.
0:34:38 > 0:34:43See. Because she's wearing this polo shirt with Vole Valley Feeds across the front...
0:34:43 > 0:34:45nobody has ever noticed her.
0:34:45 > 0:34:49But if you see her without the polo shirt and steel toe caps,
0:34:49 > 0:34:53I mean, not naked, just in normal clothes...she's beautiful.
0:34:53 > 0:34:55Prep him for theatre.
0:34:57 > 0:34:58Hello?
0:34:58 > 0:34:59Anybody there?
0:35:01 > 0:35:02Hello?
0:35:04 > 0:35:07- This is Joy Merton's paperwork. - Thank you.
0:35:37 > 0:35:41Wow. Really? You don't think I'd be allergic to that?
0:35:41 > 0:35:42What even is that anyway?
0:35:42 > 0:35:45- Clear ultrasound jelly.- No. Can feel my skin react from here.
0:35:45 > 0:35:47- It's still in the tube!- I know it.
0:35:47 > 0:35:49Go ahead, smear it all over me
0:35:49 > 0:35:52and then when I go into anaphylactic shock, you...
0:35:52 > 0:35:55Fine. No jelly. Dry ultrasound.
0:35:55 > 0:35:58But I have to do this to rule out appendicitis, Crohn's disease
0:35:58 > 0:36:00and Meckel's diverticulum.
0:36:04 > 0:36:07You have experienced anaphylactic shock?
0:36:07 > 0:36:10Sometimes it feels like life is a state of anaphylactic shock.
0:36:10 > 0:36:13Nothing. No fluid. No dilated bowel.
0:36:13 > 0:36:15You're quite the rare beast.
0:36:16 > 0:36:17Too rare for my own good.
0:36:18 > 0:36:22Have you ever spoken with a psychiatrist about how you feel?
0:36:22 > 0:36:25That's your problem, isn't it, Mr Timpson?
0:36:26 > 0:36:30You enjoy...no, you thrive on being rare and different.
0:36:30 > 0:36:32I wonder what your life would be like
0:36:32 > 0:36:36if you were just plain old normal Nigel.
0:36:38 > 0:36:40Excuse me.
0:36:42 > 0:36:45- Theatre team's ready and your patient's prepped.- Nice one.
0:36:45 > 0:36:49- Anything else?- Er, no. I think we're all good here, mate. No surprises.
0:36:49 > 0:36:51I'm going to crack on.
0:36:55 > 0:36:58He said it himself. Delivered it to us on a plate.
0:36:58 > 0:37:01He's too rare, too special, too different. Not of this world.
0:37:01 > 0:37:04Right. So you're saying your patient's an alien?
0:37:04 > 0:37:06Because of his allergies. He thinks he is a medical enigma.
0:37:06 > 0:37:09He wants to be an enigma. On Earth, he is a tax accountant.
0:37:09 > 0:37:12On Planet Nigel, he's a mysterious synthesis of conflicting reactions.
0:37:12 > 0:37:15Right, so he is an alien?
0:37:15 > 0:37:19No, not literally. But he might as well be from Mars.
0:37:19 > 0:37:22Or is that women? Venus? Anyway, the allergies and the pain.
0:37:22 > 0:37:26Some of it is connected. Some of it isn't. Some of it is real and some of it is only real to Nigel.
0:37:26 > 0:37:27So he's not an alien.
0:37:27 > 0:37:29No, but he is special. He is rare.
0:37:29 > 0:37:31Of and from another world. He does not fit in.
0:37:31 > 0:37:36- Some of us don't, you know.- Dr March...before you...- Some of us are not quite meant for this world.
0:37:36 > 0:37:39Even Earth medicines don't quite work. The air, the dust, the pollen,
0:37:39 > 0:37:43the everything, causes allergy in these rare people. Because they are meant to be elsewhere. Excuse me.
0:37:47 > 0:37:51- Did that make any, er...- No. - ..sense, to you?
0:37:53 > 0:37:57Well, if it was up to me and given that the CT scan showed some internal bleeding,
0:37:57 > 0:38:02I'd be checking the mesenteric vessels, the liver and the great vessels.
0:38:02 > 0:38:04Well, it is up to you, Dr Tressler.
0:38:04 > 0:38:07And that sounds like a perfectly good way to proceed.
0:38:07 > 0:38:12Great, thanks. So, scissors and forceps ready, please.
0:38:14 > 0:38:15Thank you.
0:38:20 > 0:38:25And what if we find that the mesenteric vessels have been damaged?
0:38:26 > 0:38:30- We suture and then we see if we need to resect the bowel.- Good.
0:38:33 > 0:38:37Friends - they look out for each other, they help each other,
0:38:37 > 0:38:39they care about each other...
0:38:39 > 0:38:41He's got this whole gay theory. I'll tell you later.
0:38:41 > 0:38:43They do not do stuff to each other
0:38:43 > 0:38:46which later requires surgical intervention!
0:38:46 > 0:38:49Yeah, but friends don't suddenly abandon best friends
0:38:49 > 0:38:52because they've got a whiff of skirt, do they?
0:38:52 > 0:38:55- He's getting married, man! - That's what I'm saying.
0:38:55 > 0:38:57Can you not just be happy for him?
0:38:57 > 0:39:00What d'you mean? I booked the strippers for his stag night!
0:39:00 > 0:39:03- Er, yeah, male strippers! - Boo-yah! Classic!
0:39:03 > 0:39:08OK, Jimmer, I get it. I totally understand
0:39:08 > 0:39:12your whole Starsky and Hutch thing is under threat here.
0:39:13 > 0:39:20But Mitch marrying Heidi...it's a potentially wonderful thing.
0:39:20 > 0:39:28It is potentially Mitch - your man - living the rest of his life
0:39:28 > 0:39:32with a woman that he loves and who loves him back.
0:39:34 > 0:39:35Now, that...
0:39:37 > 0:39:39..that really is weird.
0:39:45 > 0:39:48Nigel, in my opinion, you have simple neuralgia.
0:39:48 > 0:39:52Simple? There is nothing simple about anything...
0:39:52 > 0:39:55So this boring old local anaesthetic should take your pain away.
0:39:55 > 0:39:58And this average steroid should help your inflammation.
0:39:58 > 0:40:03If you inject me with those common, ordinary things, I'll probably die.
0:40:03 > 0:40:08Ha! Luckily I printed this out... to give you more time to plan.
0:40:10 > 0:40:12- What?- Your funeral.- What?!
0:40:12 > 0:40:16You can choose a church. Crematorium. Coffin. The music.
0:40:16 > 0:40:19You can even have a motorcycle with a coffin-carrying sidecar.
0:40:19 > 0:40:22Isn't that amazing? So...we don't need this, do we?
0:40:23 > 0:40:25Dr March!
0:40:25 > 0:40:28As I see it, this is the way forward. We can do nothing.
0:40:28 > 0:40:33You have to accept that you are just too rare. This world is not meant for you.
0:40:33 > 0:40:36- Dr March, could we speak outside, please?- No. I'm busy.
0:40:36 > 0:40:39Jesus. Allah. Krishna. Pick a god.
0:40:39 > 0:40:42Could be the pearly gates or 72 vestal virgins.
0:40:42 > 0:40:45- It's up to you. It's all in the choosing.- Plan my funeral?!
0:40:45 > 0:40:48- Dr March?!- I'm sorry, why are you following me today, Pharmacist Lady?
0:40:48 > 0:40:51Did I ask you to? No. Or did someone else?
0:40:53 > 0:40:57Right. Time is of the essence. Tick tock. Make a bucket list.
0:40:57 > 0:41:00Invite your friends. Best tell them no flowers, though.
0:41:00 > 0:41:03You don't want any sneezy pollen sufferers messing up your services.
0:41:03 > 0:41:06Right. Now. Go. The next world awaits!
0:41:09 > 0:41:12The peritoneal cavity seems to be full of blood,
0:41:12 > 0:41:14but we sort of expected that.
0:41:15 > 0:41:17We're losing BP, fast.
0:41:17 > 0:41:20- Push more bloods. - We have to pack the abdomen.
0:41:20 > 0:41:22- Packs, please.- Quickly, please.
0:41:25 > 0:41:28- BP's still going south. More packs? - Pack tightly.
0:41:30 > 0:41:32Keep pushing bloods!
0:41:40 > 0:41:43- Train wreck. I've repaired this once. - Losing BP.
0:41:43 > 0:41:47- Yeah. He's bleeding like a stuck pig. - We going in?- Let me see if I can get the device out first.
0:41:47 > 0:41:51If I can pull it back up the pipe, we'll do a lot less damage than cutting it out.
0:41:51 > 0:41:53Right, his BP's through the floor. We need more fluids.
0:41:53 > 0:41:56Can you believe these idiots? I can't even see it.
0:41:56 > 0:41:59We're going to need to slice and dice. Thoracoabdominal incision.
0:41:59 > 0:42:02In like Flynn, stop the bleed.
0:42:05 > 0:42:08- Peritoneal cavity still filling up. - Bleeding from everywhere.
0:42:08 > 0:42:10- What was her clotting?- Normal.
0:42:10 > 0:42:13- No history? No anticoagulants? - Nothing. I double checked.
0:42:13 > 0:42:17- She's clearly coagulopathic.- Belt and braces, Mr Griffin. Honestly.
0:42:17 > 0:42:19- I've double checked everything. - What's her INR?
0:42:19 > 0:42:23I did an INR soon as she came in. There was nothing abnormal.
0:42:23 > 0:42:26We're losing her! Why is this?
0:42:26 > 0:42:27Somebody get her file.
0:42:29 > 0:42:32There's a lot of blood. Prep five units.
0:42:32 > 0:42:33Mo.
0:42:34 > 0:42:35This is so cool!
0:42:37 > 0:42:40- More suction.- I'm pumped, man, that you let me look.
0:42:40 > 0:42:43I need more suction or I'm not going to be able to see anything.
0:42:43 > 0:42:44Can I take pictures?
0:42:44 > 0:42:46Oh, aye, knock yourself out.
0:42:46 > 0:42:49In fact, you get a better view from that monitor there and the one at the back.
0:42:49 > 0:42:51Like a knife fight in an abattoir.
0:42:53 > 0:42:54Do you recognise that dude?
0:42:55 > 0:42:59That's right. It's your old pal, Mitch.
0:43:02 > 0:43:04- OVER INTERCOM:- Thought I'd bring someone to have a look.
0:43:04 > 0:43:07Have a look at what you bad boys have achieved.
0:43:07 > 0:43:08Ah! Got it.
0:43:12 > 0:43:15You see this? Leaking like a drain.
0:43:15 > 0:43:17Oesophagus...here...shredded.
0:43:17 > 0:43:20He's going to be sucking pizza through a straw for months.
0:43:22 > 0:43:25- Do you want to take a photograph? - No.
0:43:25 > 0:43:27No? No, no, have a good look. Go on.
0:43:27 > 0:43:30Come on, have a look. And that one over there and there.
0:43:32 > 0:43:35- Get him out of here.- I'm sorry.
0:43:38 > 0:43:41- She's packed and still bleeding out! Why?- I don't know.
0:43:41 > 0:43:43Well, it's got to be a clotting issue.
0:43:43 > 0:43:46Honestly, I know it's not the meds. Could it be something else?
0:43:46 > 0:43:48- Do you need a hand?- Yes.- No.
0:43:48 > 0:43:49We can't stop the bleed.
0:43:49 > 0:43:52Because of the heparin? We need FFP and cryo.
0:43:52 > 0:43:56- She's not on heparin. Dr Tressler's checked.- She is. 120mg every day.
0:43:56 > 0:44:00- No, she's not.- She is. And that's exactly why she'll be bleeding out like a sieve.
0:44:00 > 0:44:01I've read the notes.
0:44:01 > 0:44:05And it says in green ink - 120mg low molecular weight heparin every day,
0:44:05 > 0:44:07to treat her deep vein thrombosis.
0:44:07 > 0:44:10- No. It does not say that in the notes.- Where's that file?
0:44:10 > 0:44:13- There's nothing about heparin in her file!- Open it up, come on.
0:44:16 > 0:44:20Turn...turn... Look. What's this?
0:44:20 > 0:44:24That was not in the file. I've checked the whole of the document.
0:44:24 > 0:44:27Get some factor VIII concentrate... MONITOR BEEPS
0:44:27 > 0:44:31- Have we got any FFP yet?- Mr Griffin, honest...- Stand back, Dr Tressler.
0:44:31 > 0:44:33- No. I read the file! - If we can get on top of the clotting,
0:44:33 > 0:44:36- I can get in there and fix the mesenteric bleed.- Mr Griffin...
0:44:36 > 0:44:40Stand back. This patient could die, because you didn't read a file.
0:44:40 > 0:44:42Mr Griffin...
0:44:46 > 0:44:48She told him to go home and arrange his funeral.
0:44:48 > 0:44:51Her colleague seems very concerned about her.
0:44:51 > 0:44:54And she had a bit of a go at me.
0:44:54 > 0:44:55I see.
0:44:55 > 0:44:59You're asking me to make a judgment outside my skill set.
0:44:59 > 0:45:01Well, you have worked with a great many psychiatrists.
0:45:04 > 0:45:07I think she should consider seeing one.
0:45:10 > 0:45:12What about meds?
0:45:12 > 0:45:16You know, something to take the edge off her anxiety?
0:45:16 > 0:45:19Only a psychiatrist can prescribe, and only after consultation.
0:45:19 > 0:45:23Except a consultation will go down on her records
0:45:23 > 0:45:25and if a junior doctor gets a psyche condition
0:45:25 > 0:45:28referenced on their record, then, frankly, they're doomed.
0:45:28 > 0:45:30I disagree. There are very many doctors
0:45:30 > 0:45:33who, in the course of their careers, potentially seek psychiatric help.
0:45:33 > 0:45:35It doesn't mean...
0:45:35 > 0:45:36Not in my world.
0:45:39 > 0:45:41She could just be very wound up.
0:45:41 > 0:45:43She's had a bad break-up,
0:45:43 > 0:45:46she's obviously throwing herself into her work.
0:45:46 > 0:45:49Yes, well, that's not a bad thing, is it?
0:45:49 > 0:45:52- But if she is having some kind of episode...- Episode?
0:45:52 > 0:45:56No, no, no. I think we're getting way beyond of ourselves here.
0:45:57 > 0:46:00You asked for my opinion. I've given it.
0:46:03 > 0:46:04Right.
0:46:07 > 0:46:08Thank you.
0:46:08 > 0:46:10This conversation never happened.
0:46:10 > 0:46:13Some people want to hear a different noise, need to hear a different truth.
0:46:13 > 0:46:17Some people want to have the person behind the person they show to the world seen.
0:46:17 > 0:46:22- And allergic Nigel is one of those people.- Dr March. You can't let him go.- He's perfectly happy.
0:46:22 > 0:46:25- Your patient needs to be treated. - Done. Finished. Cured. Bye-bye.
0:46:25 > 0:46:31Sending a patient home to arrange his funeral is not a recognised treatment in this NHS Trust.
0:46:31 > 0:46:35Ah, you've been telling tales out of school? You watching me?
0:46:35 > 0:46:37- Reporting me to the boss man? - I was asked...
0:46:37 > 0:46:39Because, to me, that sounds sneaky.
0:46:39 > 0:46:43- Arthur, does that sound sneaky?- He can't be sent home.- Can. And is.
0:46:43 > 0:46:45- To plan his funeral? - I used reverse psychology.
0:46:45 > 0:46:49By humouring him and validating his irrational point of view
0:46:49 > 0:46:51and taking it to its ultimate resolution,
0:46:51 > 0:46:54he recognised it was, in fact, irrational.
0:46:54 > 0:46:57Nigel willingly took the injection.
0:46:57 > 0:47:00It's an anaesthetic and steroid mix.
0:47:00 > 0:47:02Common or garden. Bog-standard.
0:47:02 > 0:47:05And, um, Dr March ruled out appendicitis...
0:47:05 > 0:47:09Meckel's diverticulum...Crohn's disease and diagnosed neuralgia.
0:47:09 > 0:47:11Trapped nerve. Who would've thought it?
0:47:11 > 0:47:16And plain old out-of-the-packet painkiller. Gone. Cured.
0:47:16 > 0:47:18Another day, eh?
0:47:18 > 0:47:20Are you sure you're feeling better?
0:47:20 > 0:47:23She is a genius. Amazing.
0:47:23 > 0:47:25A very rare type of doctor.
0:47:25 > 0:47:30Very special. No other doctor ever got me...like Dr March does.
0:47:30 > 0:47:31Right.
0:47:31 > 0:47:33You should be very proud.
0:47:33 > 0:47:38Look. No pain. First time in over a decade.
0:47:38 > 0:47:40Do you want to come with me?
0:47:40 > 0:47:42You heard the man. Special.
0:47:44 > 0:47:47OK. I think we're done here, don't you?
0:47:51 > 0:47:54Bleed's stopped. She's clotting.
0:47:54 > 0:47:55We have pressure.
0:47:57 > 0:47:59The injury must have been caused
0:47:59 > 0:48:01by something like a sharpened piece of wire
0:48:01 > 0:48:03to have perforated that deep.
0:48:03 > 0:48:08That...was close. Would you close up, please?
0:48:08 > 0:48:11In fairness, Dr Tressler couldn't be expected to know
0:48:11 > 0:48:13about a prison weapon like this.
0:48:13 > 0:48:18- No. But he should be able to read a file!- Granted.
0:48:18 > 0:48:22- It wasn't...- Please, Dr Tressler. Don't make this any worse.
0:48:43 > 0:48:45He's going to be all right, though, isn't he?
0:49:28 > 0:49:30You seen Heidi? She's a lovely wee thing.
0:49:30 > 0:49:32Think she'd know better.
0:49:32 > 0:49:34What? Falling for Mitch?
0:49:34 > 0:49:37Yeah, I suppose sometimes you can't help yourself.
0:49:39 > 0:49:42- Are they for them? I'll take them for you if you want?- No, it's OK...
0:49:42 > 0:49:46- Ow-w!- Did you feel that?- Static.
0:49:46 > 0:49:47Yeah, it must be the carpets.
0:49:47 > 0:49:50Either that or Jimmer's hiding in the cupboard and zapping us.
0:49:50 > 0:49:53- Jonny...?- What?
0:49:55 > 0:49:57- No. Nothing.- What?
0:49:58 > 0:50:00No, no. It's OK. It's...
0:50:00 > 0:50:04Come on, man. Tell me, what were you going to say?
0:50:04 > 0:50:06No. Nothing. I can't say...
0:50:06 > 0:50:09cos it's just going to sound all crazy and wrong and you'll just...
0:50:09 > 0:50:10Oh, tell me.
0:50:12 > 0:50:16Right. OK. I cannot believe I'm...
0:50:16 > 0:50:18Right, in my head is this thing, right?
0:50:18 > 0:50:22And it's all backwards and inside out.
0:50:22 > 0:50:24Because you're a mate, right?
0:50:24 > 0:50:25Yeah. Right.
0:50:27 > 0:50:30- Mo...- Mo...- ..is my sister.
0:50:30 > 0:50:33- Well, nothing gets by you, does it? - And your best friend.
0:50:33 > 0:50:34Should I be taking notes?
0:50:34 > 0:50:37And I...I...I am a mate.
0:50:39 > 0:50:42So it's officially Groundhog Day, then.
0:50:42 > 0:50:44Just a mate.
0:50:47 > 0:50:48Do you mean...?
0:50:51 > 0:50:52You are...
0:50:54 > 0:50:58- Are you..? - I knew this was a bad idea.
0:50:58 > 0:51:00- SHE SQUEAKS - What the hell was that?
0:51:00 > 0:51:04Rewind? Like rewinding back to before I opened my big mouth.
0:51:04 > 0:51:08I'm glad you did. I am. I'm glad you said it.
0:51:10 > 0:51:15Because I have had...similar thoughts.
0:51:18 > 0:51:19About me?
0:51:19 > 0:51:21I have thought...
0:51:21 > 0:51:27wondered...what it might be like if...
0:51:27 > 0:51:28If?
0:51:31 > 0:51:33If...we...
0:51:33 > 0:51:34- Kissed?- ..kissed.
0:51:56 > 0:51:59- So...?- Yeah.
0:52:00 > 0:52:01I know!
0:52:03 > 0:52:04That was...
0:52:06 > 0:52:07I mean honestly...
0:52:08 > 0:52:11- Weird.- Really weird!
0:52:11 > 0:52:13- And not even like the good weird. - No!
0:52:13 > 0:52:16Kind of like "I feel like I just kissed my cousin" weird.
0:52:16 > 0:52:19Yeah, because they do that all the time in Scotland, right?
0:52:19 > 0:52:21- No, they do not! - Oh, come on, I know they do.
0:52:29 > 0:52:31This is going to be a nightmare for the department.
0:52:31 > 0:52:36She was an abusive patient. Every time I even went to touch...every time I even went to examine her...
0:52:36 > 0:52:39That is no excuse for not properly consulting her medical file.
0:52:39 > 0:52:42She was also a biter, by the way! And you can ask the guard.
0:52:42 > 0:52:43Just be quiet.
0:52:43 > 0:52:48It doesn't look good. AAU Registrar fails to read a patient's files.
0:52:48 > 0:52:49When I looked,
0:52:49 > 0:52:52there was absolutely nothing in that file about anti-coagulant drugs.
0:52:52 > 0:52:55You're really not helping yourself, Dr Tressler.
0:52:55 > 0:52:57I was told in no uncertain terms to keep my nose out.
0:52:59 > 0:53:01This is so not how I want AAU to run.
0:53:03 > 0:53:07You come to me, you tell me that our Senior Registrar is not treating you
0:53:07 > 0:53:08with the respect that you deserve.
0:53:08 > 0:53:11Yeah, he talks to me like I'm ten years old!
0:53:11 > 0:53:13I give you responsibility. I give you autonomy
0:53:13 > 0:53:16and, within half a day, you practically kill a patient.
0:53:16 > 0:53:18- I- practically kill a patient,
0:53:18 > 0:53:20simply because you fail to read a file properly!
0:53:20 > 0:53:23I have done nothing wrong. I did an INR on admission.
0:53:23 > 0:53:26I read every inch of that file.
0:53:26 > 0:53:29Well, you can prove that at the enquiry. You're suspended.
0:53:29 > 0:53:31- What?- Until further notice.
0:53:41 > 0:53:44- Nightmare.- It's exhausting.
0:53:44 > 0:53:46Well, thank goodness she's staying at her dad's.
0:53:46 > 0:53:50Who'd have thought it? Amy Teo - Spy for Guy.
0:53:50 > 0:53:54Well, I outfoxed that fox. Good and proper. FYI, by the way,
0:53:54 > 0:53:55I'm not staying at Dad's any more.
0:53:55 > 0:53:58Too sad. Like, who am I? His new hostage?
0:53:58 > 0:54:00So I'm going to move back in tonight.
0:54:00 > 0:54:02And tonight we're going to party
0:54:02 > 0:54:05like tomorrow's the day party as a concept is being banned. Agreed?
0:54:05 > 0:54:08OK. I don't really think that's...
0:54:08 > 0:54:12I stole load of drugs from Amy's supplies. ..Ah! Look at you!
0:54:12 > 0:54:16Arthur Digby, you look like you nearly gave birth to a litter of kittens!
0:54:16 > 0:54:19But I did steal two bottles of tequila from Dad's cabinet.
0:54:19 > 0:54:22So look out, boys, It's going to be a long night! Whoo-hoo!
0:54:25 > 0:54:27You're my cheddar pink. My little jugs of love.
0:54:27 > 0:54:30- You can't use that on me. You're still in the doghouse.- Why?
0:54:31 > 0:54:34- All looking good? - Yeah. Fine, thank you.
0:54:34 > 0:54:39- And what are you going to do if he does this again?- Throttle him.
0:54:39 > 0:54:43- Oh, yeah. You wanted some tape, right?- Thanks.
0:54:43 > 0:54:44You're not going to eat it, are you?
0:54:44 > 0:54:47- Er, no, no. I promise.- Good.
0:54:49 > 0:54:50Jimmer.
0:54:56 > 0:54:59So, do you think they'll be all right?
0:54:59 > 0:55:03- Who? Mitch and Heidi? Or Mitch and Jimmer?- Well, both.
0:55:03 > 0:55:06- Yeah, I got a good feeling.- What?
0:55:06 > 0:55:08Ow-w! Hey, man.
0:55:14 > 0:55:15Truce?
0:55:20 > 0:55:21Truce.
0:55:37 > 0:55:39You're still me bezzer, mate.
0:55:44 > 0:55:45Hang in there, big man.
0:56:01 > 0:56:02Hey, Jimmer, um...
0:56:04 > 0:56:06Take care of yourself, man.
0:56:06 > 0:56:08Righto, bro! Nice one.
0:56:18 > 0:56:19What an idiot, man.
0:56:33 > 0:56:36I don't suppose you fancy giving me a lift home?
0:56:36 > 0:56:37This is because of you.
0:56:37 > 0:56:39I'm sorry, I don't know what you mean.
0:56:39 > 0:56:43This, none of this is because of my surgery, or my work.
0:56:43 > 0:56:45- Really?- This is because...
0:56:45 > 0:56:50You think that I did something to... I don't know...destroy your career?
0:56:50 > 0:56:52It's only a suspension.
0:56:52 > 0:56:54You could still lose your job. At the very least,
0:56:54 > 0:56:57you'll end up a junior doctor with a black mark against your name.
0:56:57 > 0:57:01Failing to read a patient's notes and nearly killing them -
0:57:01 > 0:57:02that's not easy to come back from.
0:57:02 > 0:57:05You haven't won. And by the way, I'm not going to apologise
0:57:05 > 0:57:08for what happened with Amy. It's your own stupid fault.
0:57:14 > 0:57:17No. When I first had these thoughts,
0:57:17 > 0:57:19that was all they were.
0:57:19 > 0:57:20Just thoughts.
0:57:21 > 0:57:23And then they grew into actions.
0:57:24 > 0:57:25Small at first.
0:57:27 > 0:57:28Then today...
0:57:29 > 0:57:31today...
0:57:32 > 0:57:36..I nearly let a patient die in my hunger for revenge.
0:57:40 > 0:57:42I feel like something inside of me's broken.
0:57:45 > 0:57:47I want your forgiveness, Father.
0:57:49 > 0:57:51I want God's forgiveness...
0:57:53 > 0:57:54..for what I did today.
0:57:56 > 0:57:59This is not who I am, or ever want to be.
0:57:59 > 0:58:02I'm a healer.
0:58:02 > 0:58:03Will you heal me, please?
0:58:03 > 0:58:05So I can keep healing others.