Sink or Swim Holby City


Sink or Swim

Malick's inability to face up to his situation brings him to breaking point. Serena's world is turned upside down when a new face lands at Holby City hospital.


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Transcript


LineFromTo

-So it was my fault?

-It's not about fault.

-But...?

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It could've happened to anyone.

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So you're the boss.

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Certainly am, at least for the time being.

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Good luck with your interview.

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Good afternoon.

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I believe you're a surgeon.

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Greatest job in the world.

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-Diggerz, this is our chance!

-Our chance?

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We're a team, right?

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What did you do to me, Digs?

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What did you do?

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MUSIC: "I Feel Good" by James Brown

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Your patient's on the table, bleeding out in front of you.

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An artery blows. All that's standing between life and death

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is the one Arthur Algernon Digby, F2.

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Right, this music...

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Is there any chance...? I can't really concentrate.

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This is the Godfather of Soul, my brother.

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This song was written so that mere mortals like us

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could perfect our suturing.

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# ..I feel nice... #

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Digs, your patient just bled out in front of you.

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# ..Like sugar and spice... #

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Move.

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# ..I feel nice

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# Like sugar and spice... #

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Well, you know what they say, if you can't handle the heat...

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You know what to do.

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HE LAUGHS

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Awesome, ladies. Awesome. Thank you so much.

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Oh, hello. Feeling generous?

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Don't tell me - sponsored skydive?

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Kilimanjaro? Everyone else gets to pay for your adventure holiday.

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No, Elliot has been mending hearts for 25 years.

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COINS RATTLE

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It's his medical birthday.

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He's been a CT surgeon for a quarter of a century!

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-His medical birthday?

-Yeah.

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Yeah, that is lame.

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How are those night classes in tact working out for you?

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-Come on, man.

-No, thanks.

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You don't get to say no. This is what we do here. It's tradition.

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The communal gesture is all a bit cloying, isn't it?

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DOOR OPENS

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You can't just walk in here.

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Sorry. I keep forgetting how important you are these days.

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Not that important. Not yet anyway.

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-You've done it.

-Let's not jump to conclusions.

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Why else would they be asking for a meeting?

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Well, it's about time. I need the keys to the castle

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if I'm going to make a real difference here.

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That's almost a regal metaphor. Very apt.

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Drug rep gave me a few of these. Perfect for the high-powered exec.

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-Very thoughtful of you.

-Dinner tonight?

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We still haven't talked about Ellie's Christmas plans.

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-I am rather busy.

-OK.

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PHONE RINGS

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Yep?

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Is it confirmed?

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Right, thank you.

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Come on.

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Alert the blood bank that we're going to need additional bloods,

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and make sure the duty nurse contacts all off-duty consultants.

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Get her to tell them, from me, it's all hands on deck.

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-Do you mind heading up the theatre schedule?

-Happy to help.

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Can everyone quieten down, please?

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So, at approximately 8.30am,

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the roof of the swimming pool of the Latimer Road leisure centre

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collapsed on both swimmers and spectators.

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Emergency services, including the air ambulance,

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are on their way and AAU is the designated take ward,

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so let's continue to discharge patients

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as swiftly as possible, please.

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And remember, all eyes will be on us!

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Let's go save some lives.

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Did you really just say that?

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No! Listen to me.

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Airways are patent on both patients

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but I'm guessing that won't be for long.

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Oi! Careful!

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You wouldn't bash the Ark of the Covenant on the kerb, would you?

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Any more mistakes and it's back to your paper rounds!

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You see? You're medical royalty now.

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It's what I always dreamed of.

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It's worse than they thought.

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OK. Page cardio urgently.

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-He's asked us to clear a theatre.

-Who's he?

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Welcome party. How touching.

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Sorry, sir, would you mind stepping to one side?

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-We're just waiting for...

-Yeah, they're just behind me.

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OK, get them to theatre straightaway, please.

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Becca, stay with me, girl.

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Just wishing I'd shaved my legs.

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That's the spirit. Stick with me. Everything will work out fine.

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Can you find...Stevie, my boy? He was looking after his mate.

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Of course. Is there anybody I can call for you?

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No. Might put my mum off Skype for life. Don't you think?

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We'll be lucky if either of them makes it.

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The boys'll fill you in on the details.

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I'm sorry. Who are you, exactly?

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The name's Guy Self, and as of next week, I'm your new CEO.

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You know that Hanssen isn't going to give up,

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not until I at least reply to one of his letters.

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It's a teaching post, Ric. Last time I checked, I was still a consultant.

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Like it or not, you're a great teacher.

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Look, we've been through this.

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You know what the statistics are for a full recovery.

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Thanks for being positive. How could I leave Jake?

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I busted a gut convincing him to go to college.

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Jake's here.

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Jake? No, he's got exams.

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He started on Keller today. He's one of the new HCAs.

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What?

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PAGERS BEEP

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OK, let's do this!

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Digs, do the honours.

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OK, Caitlin McAndrew. 18.

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Complaining of severe abdominal pain caused by falling debris.

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Any idea what fell on you, Caitlin?

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No, I had my eyes shut. It's the chlorine.

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My eyes go bloodshot then I look like a freak.

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I always shut my eyes.

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I can recommend an excellent pair of non-steam goggles.

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Yeah, he forgot to mention he still wears armbands.

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Right, where's it hurt?

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-Here.

-SHE PANTS

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Have they found Tony? Tony Wilkinson.

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The paramedic said she'd let me know.

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-OK, let's get...

-An abdominal CT and a half hour obs?

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I've always wanted someone who could finish my sentences for me.

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Sorry.

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Anybody else you want us to contact? Your parents?

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Are you kidding? They're, like, massive worriers.

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My mum's going to have to neck a ton of Valium just to cope with

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-the drive down.

-Well, we'll make you more comfortable,

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and then you really should call them.

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-Parents get a raw deal in my book.

-I just need to know he's all right.

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Hey, Oga. What is this? Can't take the pace in AAU?

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Serena insisted I babysit you.

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-Plus, she wants you to head up patient liaison.

-Me?

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All for one... Dr Digby! I'm going to need you in theatre.

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-Cooking lessons?

-Cooking? Elliot?

-Hence the lessons...

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This guy needs to stay on the ward.

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Gardening? He loves gardening.

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I thought he was dropping hints the other day for one of those...

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you know...for grass...

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-I don't know, a six iron?

-Come on! You know...

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Prof Hope has asked me

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to look out for Mr Banister coming up from AAU.

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Let me know when he arrives.

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Decided what to get him yet?

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No, and we don't need input from those who are

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not willing to contribute.

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-Strimmer!

-Stripper?

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-No!

-Yes! Yes!

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That is an excellent idea, because we got him a stripper once

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and he never stopped talking about it.

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Prof Hope?

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Oh, yeah, he's kind of a dark horse, really.

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I think I've still got some of the photos.

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Dr March!

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You reap what you sow.

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Oi! You! Play nice! HE CACKLES

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Tony Wilkinson. No, Tony Wilkinson.

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Yeah, could you just... Yeah, just give us a call.

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Yeah. Cheers, mate, thank you.

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No signs. They're going to call if he shows.

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And slots for the CT are backed up.

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-Is that all you're going to say?

-Look, I knew you'd be mad...

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One notch below incandescent is where I'm at.

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-Look, college was doing my head in.

-So?

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-I haven't got your brains.

-It's about application.

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-I'm applying myself now. This is what I want to do.

-Since when?

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When do you ever listen to me? You won't even go and see Nan.

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What? Who's the parent here? I'll speak to my mum when I...

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Sorry! Sorry, love!

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They're telling us diddly-squat down there!

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I mean, am I invisible?

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-Caitlin!

-Where've you been?

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I asked the ambulance to stop off for some fags

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and they kicked me out.

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SHE SOBS

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Hey, look! I'm here now, aren't I?

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-Look, we'll need to get you back down to ED.

-Mate.

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The only way you're getting me away from her is feet first!

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It's important to get you triaged.

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You look like a man who runs the shop, so bend the rules for once.

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It's relatives only at the moment.

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-He's my dad.

-What?

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My real dad!

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-Crash!

-ALARM RINGS

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He's arresting! Call the crash team!

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Come on!

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Come on!

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-Digby! He needs...

-CPR. Yes, I know.

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Mr Malick, what do I, er...?

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-VOICE ECHOES:

-Mr Malick?!

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There was this groan of metal, then suddenly the whole place is

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vibrating and I'm thinking it's an earthquake.

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And then...and then BOOM!

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-Any nausea? Blurred vision?

-Nope.

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SHE COUGHS

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Then what?

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Screaming. Dust. The water turned pink with all the blood.

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Dizziness? And confusion?

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No. That's when I started pulling them out.

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You didn't run?

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No. Your adrenalin kicks in. I'm fully trained, you know!

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NPLQ. Top of my class.

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Top of your class. Me too. Keep your head still.

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Management said I was too old for this job but I showed them!

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PHONE RINGS

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Could you find out if he's all right? The lad that carried me out?

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I can ask around. It's no problem. You said he had a purple top...

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A purple top with a big "42" on the back

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was the last thing I saw when he ran back in.

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He was so brave.

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He carried me out then went back for some others.

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We'll look into it.

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This is a busy hospital, not a missing persons' bureau.

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Order a head CT scan.

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I need to make sure all that babbling is actually normal.

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-You know I told you to play nice?

-Uh-huh.

-Scratch that.

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Scores on the doors?

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I'd say 2-0 to Ms Campbell, but the bald guy's winning on aggregate.

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And?

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Oh, the full set of grovelling apologies.

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He's signed and sealed?

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Yeah, they inducted him last week.

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He was at the Latimer for a game of squash when it happened.

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Of course he was. I checked him out.

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He's got a neurosurgical CV as long as your arm,

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but no track record in management. None at all.

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Great. So a Harvard MBA counts for nothing.

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-Darling, I'm so sorry.

-Nope. The last thing I need is pity.

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Not here, and especially not from you.

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The fire crew are ten minutes away with their cutting equipment.

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Self's keen to separate them as soon as possible.

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Yeah, well, Mr Self isn't in charge yet.

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They need to know which one you want moved

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-so they can get the cutting equipment in.

-Who's more stable?

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Toss of a coin - there's no way of calling it without an X-ray or CT.

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-Then page the radiographer.

-Ultrasound?

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-Will that work, given their positioning?

-It's better than tossing a coin.

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-Any change in their conditions, page me!

-Yes, Herr Kapitan.

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SHE GRUNTS

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I still can't find this boy.

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You know that one that rescued her, I thought we could reunite them.

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Yeah, and I thought we had better things to do.

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Her cough's getting worse. Shall I order a chest X-ray?

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No. I want you to discharge her. Her head CT came back clear.

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I could let one of the registrars take a look...?

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-I'm telling you, no.

-PHONE RINGS

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Yes.

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-FAKE ACCENT:

-Hello. This is Whisperz...

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UK premier Adult Entertainment Service.

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We are calling about the booking of a stripper this evening?

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Sorry. Adult entertainment what?

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Yeah, we are wondering what type you prefer? You prefer redhead?

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Blonde? Well-built? Chunky? You prefer that she go the whole way...?

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No, no... I'm afraid...

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We are a hospital and we are in the middle of a major incident.

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Hello?

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THEY LAUGH

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You never told me you could do Welsh.

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Mr Self! Great to meet you. Harry Tressler, CT2.

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I was actually going to say I'm thinking of specialising

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in neurosurgery so, er...

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Was that before or after I entered the building?

0:14:110:14:13

Dr Tressler, can you find out how surgery's going for my patients?

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Oh, I don't think they've even started yet.

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A lot of responsibility, being a dad.

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No, we're more like best mates.

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She's lived this buttoned-up life -

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got this rare blood type, same as me.

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Yeah, I saw on your notes.

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Parents kept her wrapped up in cotton wool cos of it.

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I'm going to show her the world.

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The festival circuit next year. Maybe Ibiza year after that.

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And how do her adopted parents feel about all this?

0:14:460:14:50

They're over the moon, pal(!) Who wouldn't be?

0:14:500:14:53

If you'll excuse me.

0:14:530:14:55

You walked away.

0:15:000:15:02

Mr Malick, you walked away and left me on my own.

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You didn't need my help.

0:15:060:15:08

I was serious about those armbands. They have to come off some time.

0:15:080:15:11

-BECCA:

-Get me off here, please!

0:15:140:15:16

You need to get me off here or I'll...

0:15:160:15:18

Becca, you need to keep calm,

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and you really, REALLY need to keep still, OK?

0:15:190:15:21

This is not working.

0:15:210:15:23

It must have missed his heart by millimetres

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and it doesn't seem to have caused an internal bleed.

0:15:270:15:29

-It's miraculous, really.

-We'll get out of this.

0:15:290:15:32

I know. You're the luckiest guy alive.

0:15:330:15:36

Six-car pile-up. Walked out. Broken pinkie.

0:15:360:15:39

Fell out of a two-storey building. Sprained my ankle.

0:15:390:15:43

Who do we move first?

0:15:430:15:45

Let's do a DPL on Ms Wilson to check for any

0:15:450:15:47

signs of intra-abdominal bleeding. I need to be sure.

0:15:470:15:50

Smell that, Ms Campbell? If I'm not mistaken, that's Rome burning.

0:15:500:15:54

I made you some lunch. Left it in the nurses' office.

0:15:570:16:01

You made me food?

0:16:010:16:03

Yeah, well, you ain't been eating.

0:16:030:16:05

I've had a lot going on.

0:16:050:16:07

We're done, Caitlin. You're finished now.

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Look, maybe you need a break.

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A proper break.

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What? Slack off together?

0:16:200:16:23

SHE MOANS

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Go fishing, drink some beer, have us some real man talk.

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You don't get me at all, do you?

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I can't breathe!

0:16:330:16:35

OK, we're going to need to prep a chest drain kit in here.

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Quickly! The other way!

0:16:410:16:44

Right, they're going to need antiseptic wipes and a scalpel. Now!

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Stay calm. Stay with me, all right.

0:16:540:16:57

-SELF:

-I mean, an ultrasound? Really?

0:16:570:16:59

Why not check their tonsils whilst you're at it(?)

0:16:590:17:01

I don't have to justify my decisions to you. Not yet anyway.

0:17:010:17:03

-I'm not playing politics here.

-Good, because neither am I.

0:17:030:17:07

Message from ED. Mr Hazlitt's son died 30 minutes ago.

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Head injury.

0:17:110:17:12

He never regained consciousness. How do we tell him?

0:17:120:17:15

We don't.

0:17:150:17:17

-But I'm not really sure...

-Ms Campbell is right.

0:17:170:17:19

My guess is that it's so close to his heart that

0:17:190:17:22

-if we move him an inch, he'll arrest.

-And the woman?

0:17:220:17:24

There's a chance it's missed her internal organs.

0:17:240:17:27

I'm going to use DPL to see if there's an internal bleed.

0:17:270:17:29

If you move her now, you could cause an iatrogenic injury.

0:17:290:17:32

It's that or watch him arrest.

0:17:320:17:34

So you're prepared to risk her even though

0:17:340:17:36

-he stands a greater chance of dying?

-That's my decision.

0:17:360:17:39

If you're wrong, they could both die in that room.

0:17:390:17:41

Yes, I am aware of the risks. Thank you.

0:17:410:17:44

I hope you are.

0:17:440:17:45

There's no-one.

0:17:470:17:49

ALARM RINGS

0:17:490:17:50

SHE WHIMPERS

0:17:500:17:52

Wipes.

0:17:520:17:53

Come on.

0:17:540:17:56

Are you sure you can do this?

0:18:010:18:04

You got any better ideas?

0:18:040:18:05

She needs a doctor!

0:18:090:18:11

HE GROANS

0:18:210:18:23

-Hold this.

-Me?

-Come on!

0:18:270:18:29

Keep her still!

0:18:360:18:38

SHE GASPS

0:18:420:18:45

Ewan's BP's dropping. You need to operate.

0:18:470:18:49

You'll be fine.

0:18:510:18:53

-I don't need fine, I need brilliant.

-You will be.

0:18:530:18:56

I'd like you in there.

0:19:010:19:03

I've still got a lot of theatre to schedule.

0:19:030:19:05

-Yes, of course.

-No, no, if you need me, I'll be there.

0:19:050:19:08

Thanks.

0:19:100:19:11

How do you fancy assisting me in a surgery of a lifetime?

0:19:150:19:17

You serious?

0:19:170:19:19

You can pay me back in favours.

0:19:190:19:22

Order those up for me, will you?

0:19:220:19:24

It is tacky and degrading.

0:19:320:19:34

Well, last time, he didn't find it tacky or degrading in the slightest.

0:19:340:19:37

Last time? You were being serious?

0:19:370:19:39

Oh, yeah. Ask him yourself. He lapped it up. Excuse the pun,

0:19:390:19:43

although she looked a lot like his ex-girlfriend Sharon.

0:19:430:19:47

Ah, I do not want these images in my head.

0:19:470:19:50

You have to find something else.

0:19:500:19:52

Oh, no, you didn't contribute

0:19:520:19:54

so you don't get a say in what we get him.

0:19:540:19:57

Have you found him yet?

0:19:570:19:59

Why is she wandering around the ward? I thought I'd discharged her.

0:19:590:20:02

Her cough was worrying me so I paged the registrar.

0:20:020:20:05

You did what?

0:20:050:20:06

Just so we're clear, you are a nurse, and I am a doctor.

0:20:060:20:09

He was the sweetest lad. Short brown hair.

0:20:090:20:14

Simon I think his name was...

0:20:140:20:15

SHE COUGHS

0:20:150:20:17

Now aren't you glad this dim little nurse paged the registrar?

0:20:210:20:24

Hey, hey, what happened?

0:20:240:20:26

-She's had what is called a tension pneumothorax.

-Yeah, but she'll be all right?

0:20:260:20:30

They needed to insert a chest drain but she's stable now.

0:20:300:20:32

-Thanks, mate. You're a star.

-Look, look, look...

0:20:320:20:35

Her scans show that her injuries are worse than we thought.

0:20:350:20:37

We need to do further investigation.

0:20:370:20:39

Look, I think her parents deserve to know what's going on now, don't you?

0:20:390:20:42

Caitlin hasn't talked to them much since I showed up.

0:20:420:20:44

-They think I'm a bad influence.

-Somebody should call them.

0:20:440:20:47

She doesn't need them. She's doing fine with me.

0:20:470:20:50

You have to move me to cut this?

0:20:540:20:55

Moving you is going to be our best option.

0:20:550:20:58

What if it makes it worse?

0:20:580:20:59

I'm here to make sure it won't.

0:20:590:21:01

-Promise?

-I promise.

0:21:010:21:04

Stevie... Where's my boy? I need to see him.

0:21:040:21:07

Er, well, um, we're actually, um...

0:21:070:21:10

He suffered a concussion. He's resting.

0:21:100:21:14

I need to see him. I won't go under without...

0:21:140:21:16

-Now, listen, every second we wait...

-Stevie, you sure it was him?

0:21:160:21:20

Purple top. "42" on the back?

0:21:200:21:23

Hey. Can't jinx your lucky streak now.

0:21:230:21:26

But he's my boy. I'm all he's got.

0:21:270:21:31

No "what ifs". This is my lucky day.

0:21:310:21:35

Bex... Favour? If I don't make it, you'll tell him...

0:21:360:21:41

You'd like him. He's a good lad.

0:21:420:21:45

Deal.

0:21:470:21:49

Can I help you?

0:21:490:21:51

Hope you don't mind. I'm keen to observe the top team at work.

0:21:510:21:54

Be my guest.

0:21:540:21:55

I don't get this theatre thing. An hour ago you were fine.

0:21:580:22:00

The CT scan revealed something that may be of concern.

0:22:000:22:03

Have you felt tired recently?

0:22:040:22:06

Noticed any muscle spasms, itchy skin?

0:22:060:22:10

Not really.

0:22:100:22:12

Why don't you go and get a coffee?

0:22:140:22:16

You sure you don't...?

0:22:160:22:18

Do you mind?

0:22:250:22:27

Geoff Jones, bed three. Discharge him, please.

0:22:450:22:48

I've put Vicki Maitlis on CPAP, 8cm PEEP and 100mg furosemide,

0:22:480:22:52

-as prescribed. Sats now 100%.

-Thank you.

0:22:520:22:54

Oh, and some bloke called for you. Said he'd call back.

0:22:540:22:59

On the ward phone? Did he give a name?

0:22:590:23:01

Don't think he said. I'm a bit busy for 20 questions.

0:23:030:23:06

To incur the wrath of one nurse may be considered unfortunate,

0:23:080:23:11

to incur the wrath of two...

0:23:110:23:13

Prof Hope, I was wondering if we could talk.

0:23:160:23:19

Is this about your lifeguard? Sounds like pulmonary oedema to me.

0:23:190:23:22

-Yes, I agree. But, no, it's not...

-Cardiogenic, neurogenic?

0:23:220:23:26

Head scan came back clear so I've ordered some chest scan

0:23:260:23:28

and some blood tests.

0:23:280:23:30

Sounds like you don't need me at all.

0:23:300:23:32

Professor!

0:23:320:23:34

-Something worrying you?

-Um...

0:23:350:23:37

I know that you are a widower

0:23:390:23:41

and that must necessitate the craving for...excitement...

0:23:410:23:47

but the psychological effects of indulging in certain

0:23:470:23:51

kinds of behaviour can be harmful.

0:23:510:23:54

Even self-destructive.

0:23:540:23:57

Sorry, I don't...?

0:23:570:23:59

The strippers, or the lap dancers, whatever you want to call them.

0:23:590:24:03

Dr March?

0:24:050:24:06

Help!

0:24:120:24:14

SHE COUGHS

0:24:150:24:18

-What happened?

-You said it was nothing to worry about.

0:24:180:24:21

Can you give the doctors some space, please?

0:24:210:24:23

-Heart rate of 120.

-Distended abdomen.

0:24:230:24:25

Internal bleeding? SHE MOANS

0:24:250:24:27

This is a mess.

0:24:290:24:30

If this has caused a haemothorax, it would explain everything.

0:24:300:24:33

She'll be all right?

0:24:330:24:34

Whose handiwork is this?

0:24:340:24:36

Call theatre. Let them know we're on our way. And page cardio.

0:24:360:24:38

We'll have to take this drain out in theatre, see what damage it's done.

0:24:380:24:42

If you'd like to follow me,

0:24:440:24:46

I'll give you an update as soon as I know more.

0:24:460:24:49

Why?!

0:24:510:24:53

It was a bit of fun.

0:24:530:24:54

At my expense! We are in the middle of a MAJAX!

0:24:540:24:59

Did you really say that you thought Sharon looked like a stripper?

0:24:590:25:02

No. It was NOT like that.

0:25:020:25:05

I think apologies are in order, don't you?

0:25:060:25:09

-Yes. I'm sorry.

-I'm sorry.

0:25:090:25:11

Not to me!

0:25:110:25:13

Sorry, yes. Sorry that we tried to do a nice thing

0:25:280:25:32

for our beloved professor, and you managed to ruin it.

0:25:320:25:34

-Is this what this is about?

-Oh, no, you don't. No way.

0:25:340:25:38

-What do you want, then?

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

0:25:380:25:40

What don't I get?

0:25:400:25:42

We have to be on the same side in this place.

0:25:420:25:45

It's the only way it works.

0:25:450:25:47

Right, any sign of either of them crashing and we go to plan B.

0:26:000:26:03

Just get them off there. Understood?

0:26:030:26:06

Right, on my count - one, two, three.

0:26:080:26:12

Careful, quickly.

0:26:130:26:15

MACHINES BEEP

0:26:150:26:16

BP's 94/59.

0:26:160:26:18

He's tachycardic.

0:26:190:26:20

Sats falling. BP 76/44.

0:26:200:26:22

I can't go any faster.

0:26:240:26:26

MACHINES BEEP RAPIDLY

0:26:260:26:27

-He's crashing.

-Mr Self! This is my theatre, thank you!

0:26:270:26:30

BEEPING SLOWS

0:26:350:26:36

They're stable. You've done it.

0:26:380:26:41

Alert Prof Hope, let him know his thoracotomy is on its way through.

0:26:410:26:45

Brilliant.

0:26:450:26:46

Malick.

0:26:510:26:52

There was severe bleeding into the peritoneal cavity,

0:26:520:26:55

-caused by damage to the kidney.

-Idiopathic thrombocytopenic purpura?

0:26:550:26:59

It's a possibility. Let's give haematology a call.

0:26:590:27:01

She clearly has polycystic kidneys.

0:27:010:27:03

And the haemothorax?

0:27:030:27:04

Now, that was caused by a rupture to the inter-costal artery.

0:27:040:27:07

It's stable now but whoever inserted that drain...

0:27:070:27:09

I'm looking into it. We've all been a little bit busy.

0:27:090:27:12

I want a name.

0:27:120:27:13

I won't have this hospital's reputation ruined by sloppy work.

0:27:130:27:16

MACHINE BEEPS

0:27:290:27:30

-She's bradycardic.

-BP's 140/90 and unstable.

0:27:300:27:35

-Could be Cushing's reflex.

-What?!

0:27:350:27:37

Her pupil's blown. Pack her up and get a head CT.

0:27:370:27:40

Tell CT we're on our way. Going to need more blood, please!

0:27:430:27:47

There isn't any. You didn't order any.

0:27:470:27:51

-I told you to order six units.

-I said more blood, please!

0:27:510:27:55

There isn't any more.

0:27:550:27:56

You better cross-match some as if your life depends on it! Hers certainly does.

0:27:560:27:59

How long will the results be? Yes, it's urgent.

0:28:050:28:09

SHREDDER WHIRRS

0:28:090:28:10

Tell them to call me as soon as they possibly can, please. Thank you.

0:28:100:28:14

PHONE RINGS

0:28:190:28:21

Finally. Yes?

0:28:210:28:23

Why are you calling me here?

0:28:250:28:27

I don't care what you have to tell me. No.

0:28:280:28:32

No. Don't call this number again.

0:28:340:28:37

Oh!

0:28:410:28:43

She's on her way from CT now.

0:28:470:28:48

You want to tell me what happened in there?

0:28:480:28:50

It takes some doing to run out of blood in theatre...

0:28:500:28:53

Yes, I'll get to the bottom of it.

0:28:530:28:54

Extradural haematoma. How far away are the neurosurgical team?

0:28:540:28:58

Ten, maybe 15. I was hoping you'd be happy to step in.

0:28:580:29:01

Well, I don't appear to have much choice

0:29:010:29:03

unless you want her to spend the rest of her days on life support.

0:29:030:29:05

I presumed this kind of procedure would be second nature to you.

0:29:050:29:08

Yes, it is, complicated by the fact that I haven't lifted a scalpel

0:29:080:29:11

for eight months, but still, they tell me it's like riding a bike.

0:29:110:29:15

One minute she's laughing and chatting,

0:29:170:29:18

you take her for that scan and it's all going wrong.

0:29:180:29:21

-Now she's having surgery.

-Caitlin had some internal bleeding.

0:29:210:29:24

But in stemming that bleed, we discovered cysts on her kidneys.

0:29:240:29:27

Stop talking all these words at me. Can you fix her or not?

0:29:270:29:30

She needs dialysis. And her only real option is a transplant.

0:29:300:29:34

She was fine this morning.

0:29:340:29:36

Given her rare blood type,

0:29:360:29:37

we'll be advising her to go on the donor list immediately.

0:29:370:29:40

Blood type? Does that mean I could be a donor?

0:29:400:29:43

Possibly.

0:29:430:29:45

If I am a match, you can have it.

0:29:480:29:51

Well, if you can't, then maybe you need to repair the damage

0:29:590:30:03

and get her real parents here.

0:30:030:30:04

Problem?

0:30:090:30:11

A lecture on parenthood from you. What could be wrong?

0:30:110:30:14

Excuse me?

0:30:140:30:16

You're hardly Father of the Year, are you?

0:30:160:30:19

After what I've been through...

0:30:190:30:21

What about Jake? Loses his mum, moves in with his dad, who hardly ever wants to see him.

0:30:210:30:25

The only reason he's here is because he wants to be close to you

0:30:250:30:28

-and you can't see that.

-Did...did Jake said all this?

0:30:280:30:32

He didn't have to say it, it's written all over him.

0:30:320:30:34

There's a lot of blood in the abdomen.

0:30:430:30:45

We may need more packs. The bowel's been speared.

0:30:450:30:47

-Colectomy?

-Not full.

0:30:470:30:50

You're a lucky man, Dr Tressler.

0:30:500:30:53

Maybe neurosurgery for you after all.

0:30:540:30:57

Brain retractor.

0:30:570:30:59

Top row, second left. You winning, Ms Campbell?

0:31:000:31:05

Yes. Indeed.

0:31:050:31:06

Diathermy.

0:31:060:31:08

You haven't touched your lunch.

0:31:260:31:27

I've had a lot of things on my mind, Jake.

0:31:270:31:30

Look, just tell Mr Griffin what happened. You had to do it.

0:31:340:31:38

HE LAUGHS It's not that simple.

0:31:390:31:43

Ric's on the war path and he won't understand.

0:31:440:31:48

I need a favour.

0:31:500:31:51

I'm not lying. Not to Mr Griffin.

0:31:510:31:54

You just say it was done in ED

0:31:540:31:56

and you brought her up before she was ready.

0:31:560:31:59

-If I do that, my career's dead.

-What about my career? Hmm?

0:31:590:32:04

Look, I need you to do this for me.

0:32:070:32:10

Jake, son, we've got to stick together on this.

0:32:120:32:16

I'm not doing it.

0:32:180:32:20

After everything I've done for you?

0:32:200:32:22

What have you done for me?

0:32:230:32:26

All you ever think about is you.

0:32:260:32:29

Not for one split second do you think about anyone but yourself.

0:32:290:32:32

I'm sorry.

0:32:360:32:38

I know I've got things wrong. I've pushed you away.

0:32:400:32:45

I pushed my mum away.

0:32:450:32:47

I've been wanting to hide ever since this happened.

0:32:480:32:51

But I'm coming to you now and I'm begging you.

0:32:510:32:57

I need your help, Jake.

0:32:570:32:59

I've got no-one else I can turn to.

0:33:000:33:02

-Them results from the lab...

-Yeah, thanks.

0:33:250:33:27

How's your first day been?

0:33:320:33:34

Bit of a whirlwind. I think that's why...

0:33:340:33:37

Spit it out, Jake.

0:33:400:33:41

I made a bit of a mistake.

0:33:450:33:47

The girl in bed four - I brought her up from ED,

0:33:470:33:51

but I don't think she was ready to be discharged.

0:33:510:33:53

Her notes weren't signed off.

0:33:530:33:55

They didn't say that you could take her?

0:33:550:33:57

I got a bit carried away, you know, with the urgency, the MAJAX...

0:33:570:34:01

So I hope it's cool.

0:34:010:34:03

No, it is not cool. You could have caused that girl severe damage.

0:34:030:34:07

-You cannot be so casual!

-I'm not.

0:34:070:34:10

Did you know about this?

0:34:120:34:13

Come on, Ric. It's his first day.

0:34:130:34:15

He shouldn't be here. Consider this a formal warning.

0:34:150:34:18

Isn't that a bit harsh?

0:34:180:34:19

This happens again, I'm taking it upstairs.

0:34:210:34:24

Well, you got what you wanted, didn't you?

0:34:280:34:30

I ordered six units.

0:34:400:34:41

You only asked for group and save! See?

0:34:410:34:44

I can't afford to take this in the neck for you!

0:34:470:34:49

I have to tell her.

0:34:490:34:51

No, no, no, you can't. No harm came of it.

0:34:510:34:54

-And anyway, Serena's yesterday's news.

-You're unbelievable.

0:34:540:34:57

Roger Ramjet starts next week, what does it matter what she thinks?

0:34:570:35:01

Didn't I have to cover up for you not so long ago?

0:35:010:35:03

Come on.

0:35:030:35:05

I'll even chuck in dinner at Moretti's.

0:35:100:35:12

I'll do it this once but never again.

0:35:170:35:20

That's an official document.

0:35:280:35:30

No-one's going to miss a piece of paper, are they?

0:35:300:35:33

Is that all of them? A chest drain, yeah.

0:35:340:35:38

No, right, are you sure?

0:35:380:35:41

Yeah. No, I'm looking at the scans.

0:35:410:35:43

Thank you.

0:35:430:35:44

-What is that?

-Prof Hope's medical birthday card.

0:35:470:35:50

-Is that a thing?

-It doesn't matter. I need your help.

0:35:500:35:53

Right, I haven't got time. Can't someone on Darwin?

0:35:530:35:55

We need to find another card, fake the signatures.

0:35:550:35:57

We need to do something or no-one will ever talk to me again.

0:35:570:36:00

-Not that I care.

-Right.

0:36:000:36:02

So, are you going to help me or not?

0:36:020:36:05

What? No, I can't! I'm up to my neck in stuff and...

0:36:050:36:08

drowning in patients and paperwork.

0:36:080:36:10

Drowning! Arthur Digby. You're a genius.

0:36:120:36:15

How is she?

0:36:170:36:19

I don't know, pal. I don't know.

0:36:210:36:25

They say she needs...

0:36:250:36:26

I want to help her, you know?

0:36:310:36:33

I'm sorry, mate. I'm really sorry.

0:36:350:36:38

Nah, it's not your fault. You did all you could.

0:36:400:36:42

I'm grateful to you all. It's me who's let her down.

0:36:420:36:46

You didn't let her down.

0:36:490:36:51

We did.

0:36:520:36:54

-Digs, have you seen Jake?

-I need to talk to you.

0:36:580:37:02

The chest drain's not on the CT scan.

0:37:020:37:05

It was done between CT and Keller.

0:37:050:37:08

-Thanks. I'll let Ric know.

-You did it.

0:37:090:37:12

She was suffocating.

0:37:220:37:24

I rang the alarm,

0:37:260:37:29

prepped her...but no-one came.

0:37:290:37:32

You caused her haemothorax!

0:37:330:37:36

This...is my life.

0:37:360:37:39

You know how hard I've worked to get here.

0:37:390:37:41

Which is why I know you can't stop.

0:37:410:37:43

Look, I promise. I won't touch another patient, all right?

0:37:430:37:48

You're the best doctor and the best teacher I've ever known,

0:37:520:37:57

but I wouldn't be who you taught me to be if I...

0:37:570:37:59

Don't you dare use me as your excuse.

0:37:590:38:02

Please. You need to tell Ric.

0:38:030:38:06

So you can finish what you started when you pulled me out of that car?

0:38:060:38:11

You were the Malick. Now look at you.

0:38:110:38:14

Don't pity me! I made you!

0:38:160:38:19

If you're what I've got to show for my legacy,

0:38:220:38:24

it really was a waste of time.

0:38:240:38:26

Hey! Have you seen Elliot's card?

0:38:430:38:45

Erm, I-I-I will explain later. I know what it is.

0:38:450:38:48

She's drowning! Secondary drowning.

0:38:480:38:50

I need 100mg of hydrochlorothiazide and 5mg of lorazepam now!

0:38:500:38:53

You need to help me here. Mrs Maitlis!

0:38:530:38:56

Vicki, can you hear me?

0:38:560:38:57

OK, there's no sign of laryngospasm,

0:39:010:39:03

but hold on to the lorazepam just in case.

0:39:030:39:06

That boy, he must have pulled her out of the water.

0:39:060:39:08

-But she said she never went in.

-She never knew she had.

0:39:080:39:11

-You can't be down here, mate.

-You don't get off that easily.

0:39:200:39:22

I told you everything that happened.

0:39:220:39:24

You said that doctor could have killed my Caitlin?

0:39:240:39:26

-Look, he did what he had to do.

-You make it sound like it was fine.

0:39:260:39:29

Mate, they fixed the damage. It's over.

0:39:290:39:31

-But you have to tell someone.

-Well, I can't.

0:39:310:39:34

I want to do right by Caitlin.

0:39:360:39:39

Now, what if it was your brother or sister

0:39:390:39:41

or your dad laying there like that?

0:39:410:39:43

He is my dad.

0:39:430:39:44

That's why you won't do anything.

0:39:460:39:49

Look, leave me alone. Forget I ever said anything. Get out of my way.

0:39:490:39:52

Look, that girl deserves to hear the truth.

0:39:520:39:54

Yeah, like that's ever helped anyone.

0:39:540:39:56

I said, get out of my way.

0:39:560:39:58

GLASS SHATTERS

0:40:000:40:02

HE ROARS

0:40:420:40:44

SCREAMING AND SOBBING

0:40:460:40:49

What? What? Do you know who I am? Do you know who I am?! WHAT?!

0:40:520:40:56

What the hell is wrong with you?

0:40:590:41:01

Would you wait outside, please, gentlemen?

0:41:070:41:09

You better start talking. Right now.

0:41:210:41:23

It was me.

0:41:240:41:26

I did the chest drain. I caused that girl's haemothorax

0:41:280:41:32

because of my stupid, useless, lump of a hand.

0:41:320:41:35

It was me.

0:41:380:41:40

Look, if you're building up to the "I'm disappointed in you" speech,

0:41:410:41:47

can we skip to the end?

0:41:470:41:49

You're going to walk out of that door...

0:41:520:41:54

..and you're going to keep going until you are off hospital premises.

0:41:560:42:00

You will not stop to pick up your belongings or speak to anyone.

0:42:000:42:06

You are banned from this hospital,

0:42:060:42:08

from any NHS hospital, from this moment.

0:42:080:42:12

You break any of these conditions, and I will personally make

0:42:120:42:16

it my business to make sure that you are struck off.

0:42:160:42:19

HE WHIMPERS

0:42:460:42:49

SIRENS WAIL

0:43:080:43:10

COUGHING AND SPUTTERING

0:43:170:43:20

-Hey! What's happened? Can you...?

-Stay away from me.

0:43:230:43:26

Look, you're bleeding. Let me take a look.

0:43:260:43:28

-Stay back. He said you could have killed her.

-Who?

0:43:280:43:30

Your boy, he said you could have killed Caitlin.

0:43:300:43:33

-Did Jake do this to you?

-Is it true?

0:43:330:43:37

-Is it true?

-Yes. It's true.

-Why?

0:43:370:43:39

I wanted to prove that nothing had changed.

0:43:420:43:45

So did I.

0:43:510:43:52

What?

0:43:540:43:55

Where is he? Where's Jake? Where is he?

0:43:580:44:03

I tried to help him...

0:44:030:44:05

It's my boy! He needs help. Get help, right!

0:44:090:44:13

Look, call upstairs. Tell them he's injured. It's Jake!

0:44:130:44:17

Bouncers! The same wherever you go!

0:44:170:44:21

That lad...

0:44:240:44:26

Did you ever find out his last name?

0:44:260:44:28

What was the boy's name? Stephen...?

0:44:310:44:34

I can give you his surname. But I can do one better than that.

0:44:340:44:37

Stephen!

0:44:390:44:41

He gave his jacket to another boy. They got the IDs mixed up.

0:44:410:44:43

A simple mistake.

0:44:430:44:44

HE PANTS

0:44:510:44:53

No! No, no, no! Jake! How long?

0:44:570:45:02

Five... Ten... I don't know.

0:45:020:45:04

It's your artery. Put the pressure on, Jake.

0:45:040:45:07

We fell. I pulled the glass out. I don't feel...

0:45:070:45:12

-I know. I know, I know, just...

-I don't feel good, Dad!

0:45:120:45:15

Stay with me, stay with me. HE SOBS

0:45:150:45:18

Jake, stay with me.

0:45:200:45:22

Help! Somebody help me!

0:45:220:45:25

-Page Ric.

-Ric's in theatre.

0:45:260:45:30

He's clipped his radial artery. It needs tying off.

0:45:300:45:32

OK, I'll call someone.

0:45:320:45:33

No, you're going to do it.

0:45:330:45:35

Me?

0:45:360:45:38

Have you ever done this before? Diggerz! Have you done this before?

0:45:430:45:46

Take a break.

0:45:460:45:47

I'm staying here.

0:45:470:45:48

And I'm telling you to leave. LEAVE!

0:45:480:45:52

HE SOBS

0:46:150:46:17

So, Becca, my dear, your carriage to St James's awaits.

0:46:190:46:23

Flown in and bussed out.

0:46:230:46:26

Becca, there's been another little miracle. That is Ewan's son.

0:46:260:46:32

-He's alive?!

-Very much so.

0:46:320:46:34

He's just given me Ewan's number.

0:46:340:46:36

Apparently he says he's going to miss his other half. Good luck.

0:46:360:46:40

Serena, are you looking into a transfer this season?

0:46:430:46:47

Meaning what, exactly?

0:46:470:46:49

Oh, just making conversation. You know, you made the right call.

0:46:490:46:53

If we'd have played it my way, one of them wouldn't be here now.

0:46:530:46:58

Is that an apology?

0:46:580:46:59

It's about as close as you're going to get.

0:46:590:47:02

I think you are a brilliant surgeon,

0:47:020:47:04

but there is a reason that I get the big office, not you,

0:47:040:47:08

and the ship is about to sail,

0:47:080:47:10

so you either get on board or you jump,

0:47:100:47:13

but you better decide pretty quick.

0:47:130:47:15

So care to explain your act of wanton vandalism?

0:47:220:47:26

I would but you wouldn't believe me if I did.

0:47:260:47:29

Just as well the garage is so nearby, isn't it?

0:47:290:47:33

By the way, the drinks are on you tonight.

0:47:350:47:37

Deal.

0:47:370:47:38

-Jonny! Bonnie! He's coming!

-Jonny! Now!

0:47:420:47:45

MUSIC: "The Stripper" by David Rose

0:47:480:47:51

We're laughing with you. Not at you.

0:47:530:47:56

HE SNIGGERS

0:47:580:48:00

CHEERS AND APPLAUSE

0:48:040:48:08

PHONE RINGS

0:48:120:48:14

-RIC:

-Jake's doing well. You need to go easy on your son.

0:48:270:48:31

Don't make my mistake.

0:48:330:48:34

He'll stand a better chance without me making his life a misery.

0:48:350:48:39

Just facing some home truths.

0:48:410:48:44

I meant what I said.

0:48:440:48:46

If there's a complaint, I may not be able to help you.

0:48:460:48:50

I think, after what you've been through,

0:48:570:49:00

we can let fate take a hand.

0:49:000:49:03

You'll need more surgery to put this arm right.

0:49:070:49:10

No, no more surgery.

0:49:110:49:14

No more turning the clocks back.

0:49:180:49:20

You good with that?

0:49:200:49:21

You know...

0:49:230:49:25

Channers is out there somewhere, walking around with

0:49:250:49:28

that gorgeous smile, brightening up people's lives.

0:49:280:49:32

If this is the price...

0:49:330:49:36

..then, yeah, I am good with that.

0:49:380:49:41

I hope you let Dr Digby know how grateful you are.

0:49:450:49:48

Thank God for Digby.

0:49:500:49:52

It's lucky you taught him so well.

0:49:520:49:55

The world needs more Arthur Digbys, don't you think?

0:50:040:50:08

Maybe.

0:50:110:50:13

Come on!

0:50:230:50:25

What are you doing?

0:50:290:50:30

Contemplating my future.

0:50:310:50:33

I meant that.

0:50:360:50:37

It's what people do, isn't it, after a day from hell.

0:50:380:50:42

You're CEO of a leading NHS hospital.

0:50:460:50:48

Acting CEO. And not for much longer.

0:50:480:50:51

I'm resigning.

0:50:570:50:59

I know. News travels fast round here.

0:51:010:51:05

I have been humiliated.

0:51:080:51:11

Hey, come on, stop feeling sorry for yourself.

0:51:130:51:17

It's not a good look.

0:51:190:51:21

This place has...exhausted me.

0:51:220:51:27

Hey, come on. Who are you trying to kid? You don't know when to give up.

0:51:280:51:32

Neither of us do.

0:51:330:51:36

What about you? You ready for another hospital?

0:51:360:51:40

Hell, yeah. Question is, will another hospital be ready for the Malick?

0:51:400:51:46

I'm already here. Yes, I know.

0:51:510:51:54

It's a very long story.

0:51:540:51:57

Ah, I presumed you wouldn't mind but I'm keen to get started.

0:51:570:52:02

Yep - heads of all departments. First thing next week.

0:52:040:52:07

Well, as soon as possible.

0:52:070:52:09

I appreciate that, Emily, but they'll just have to prioritise.

0:52:090:52:13

Yep, I don't care, send the e-mail.

0:52:140:52:16

I thought I should let you know that I'll be staying.

0:52:180:52:22

I haven't quite finished with Holby yet.

0:52:220:52:25

Sure?

0:52:250:52:27

I don't succumb to threats that easily.

0:52:280:52:30

-Good to have you on the team.

-Yeah.

0:52:310:52:33

I'll arrange for someone to pick up my things tomorrow.

0:52:360:52:39

You can keep that. It'll come in handy.

0:52:420:52:47

Mary-Claire's waiting to talk to you. Go easy on her.

0:53:050:53:09

Poor thing, she's petrified.

0:53:090:53:10

Let her stew until tomorrow.

0:53:100:53:13

Haven't seen the cruel streak for a while.

0:53:150:53:17

You fancy a proper drink?

0:53:210:53:22

Is that an offer or a proposition?

0:53:260:53:30

It's whatever you want it to be.

0:53:320:53:35

Then let's stop messing around and go back to mine.

0:53:350:53:38

I'll get my things.

0:53:410:53:43

Don't be long.

0:53:430:53:44

Don't let anybody know I'm getting you this. I'll get fired.

0:53:480:53:52

They fired you?

0:53:530:53:55

I like to think I left of my own volition.

0:53:550:53:58

So you're leaving?

0:53:580:54:00

There's a teaching post. In Sweden.

0:54:000:54:03

I'm thinking of taking it.

0:54:040:54:05

And I'll probably have to let the flat go as well.

0:54:070:54:10

Sure.

0:54:120:54:13

But I'll need an assistant. How about that?

0:54:150:54:20

You serious?

0:54:200:54:22

Mmm.

0:54:220:54:23

Serious?

0:54:230:54:25

You think they'll let you stay here after what you did to that lab?

0:54:250:54:28

JAKE LAUGHS

0:54:280:54:30

-Listen...

-Look, you don't have to invite me if...

0:54:300:54:34

That split second...

0:54:340:54:36

where I think of you...

0:54:370:54:39

it's in every minute of every day, OK.

0:54:390:54:43

Diggerz!

0:54:480:54:50

Come here.

0:55:120:55:14

Thank you.

0:55:190:55:21

OK, let's do this.

0:55:250:55:29

You know I hate a speech probably as much as the rest of you

0:55:380:55:42

but I do love the sound of my own voice,

0:55:420:55:44

something you're going to have to get used to.

0:55:440:55:47

If you were to write down what you achieved today,

0:55:470:55:51

some people would call that a miracle.

0:55:510:55:53

Our problem is...

0:55:540:55:55

that is what people expect us to do every day. Miracles!

0:55:550:56:00

MUSIC: "Papa's Got A Brand New Bag" by James Brown

0:56:010:56:05

# Ain't no drag

0:56:050:56:07

# Papa's got a brand-new bag

0:56:090:56:14

# Come here, Mama

0:56:140:56:17

# And dig this crazy scene

0:56:170:56:19

# He's not too fancy

0:56:210:56:24

# But his line is pretty clean... #

0:56:240:56:26

-SELF:

-There are going to be some changes around here.

0:56:260:56:28

Some you'll like, others you won't,

0:56:280:56:33

but everything that I want to change is

0:56:330:56:35

so that we can do every single day what we've done here today.

0:56:350:56:38

Every person who works in this hospital

0:56:410:56:43

has a right to demand the very best of me and their colleagues.

0:56:430:56:50

But with rights come duties.

0:56:500:56:53

You have a duty to each other,

0:56:530:56:55

you have a duty to the patients

0:56:550:56:58

and you have a duty to me.

0:56:580:57:01

Now, I don't suffer fools.

0:57:010:57:04

I don't suffer laziness, I don't suffer ineptitude or incompetence.

0:57:040:57:09

That's us finished, then.

0:57:090:57:11

The good thing is, I don't expect you to either.

0:57:110:57:14

And for those who'd like a drink before we start,

0:57:160:57:19

-there's a tab behind the bar at...

-Albie's.

0:57:190:57:23

Exactly.

0:57:230:57:24

# The Mashed Potatoes... #

0:57:240:57:26

Turn it up, mate.

0:57:260:57:28

# ..See you later, alligator

0:57:280:57:30

# Come here, sister

0:57:300:57:32

# Papa's in the swing... #

0:57:330:57:35

Let's go.

0:57:350:57:36

# ..He ain't too hip now

0:57:370:57:40

# But I can dig that new breed, babe... #

0:57:400:57:42

-SELF:

-I suppose what I'm saying, really, is,

0:57:420:57:45

here's to you, the miracle workers.

0:57:450:57:48

APPLAUSE

0:57:480:57:51

The king is dead, long live the king.

0:57:540:57:56

Exactly. This seems like an appropriate moment for me

0:57:560:57:59

-to the buy you a pint.

-Cheapskate.

0:57:590:58:01

Actually, no, it's Zosia who's lucking out.

0:58:010:58:03

This is supposed to be her round. Where is she?

0:58:030:58:06

THEY CHATTER

0:58:120:58:15

Subtitles by Red Bee Media Ltd

0:58:450:58:48

Malick is shocked to discover Jake is back working at Holby, but when a difficult case compromises them both will Malick step up?

With a major incident and a particularly unusual case to handle on AAU, Serena has her hands full, but does the bigger challenge come from trouble at the top?

Zosia is determined to prove her worth during the incident, but does she really understand the ways of the ward on Darwin?


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