Sink or Swim Holby City


Sink or Swim

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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?

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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?

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

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If you'll excuse me.

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You walked away.

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

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You didn't need my help.

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

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-BECCA:

-Get me off here, please!

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

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Becca, you need to keep calm,

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

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This is not working.

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It must have missed his heart by millimetres

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

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-It's miraculous, really.

-We'll get out of this.

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I know. You're the luckiest guy alive.

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

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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

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

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

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

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You made me food?

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Yeah, well, you ain't been eating.

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I've had a lot going on.

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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?

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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!

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

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Quickly! The other way!

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

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Stay calm. Stay with me, all right.

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-SELF:

-I mean, an ultrasound? Really?

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

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

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-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.

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He never regained consciousness. How do we tell him?

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We don't.

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-But I'm not really sure...

-Ms Campbell is right.

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

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

-And the woman?

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

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

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

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It's that or watch him arrest.

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So you're prepared to risk her even though

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-he stands a greater chance of dying?

-That's my decision.

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

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

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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

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