Fait Accompli Holby City


Fait Accompli

Guy is determined to make a fresh start, but when his past follows him, will he be able to maintain his resolve? Jac and Jonny struggle over some difficult news.


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Transcript


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Having this baby, if she survives, will change your whole life.

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I didn't do it. I'm still pregnant.

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I want this baby. I have always wanted this baby.

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

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He's signed and sealed?

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So a Harvard MBA counts for nothing.

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Darling, I'm so sorry.

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No, last thing I need is pity. I had presumed this kind of procedure

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-would be second nature to you.

-Yes, it is.

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Complicated by the fact that I haven't

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lifted a scalpel for eight months.

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Still, they tell me it's like riding a bike.

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What?

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Come here.

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ELECTRONIC VOICE: Sixth floor.

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Doors opening.

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Lift going down.

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Morning.

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So, you're up for round five then?

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Easy tiger. I've not been back to my flat for five days!

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I need some fresh clobber.

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I could always rent you a drawer, I suppose...

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Whoa! Whoa! Whoa!

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What's your second name again?

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Strange bird that I date...

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PAGER BEEPS

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Sorry.

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Ah...

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Mr Thompson wants to see us.

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-Us?

-Me and Jac.

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You'd better go then.

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Sorry.

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Oi, any chance of a wheelchair over here?

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No set of wheels, I'll walk in.

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-Sam...

-I'll walk in...

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and I'll run out!

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Get me someone out from ED now!

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I need some oxygen and some Lorazepam.

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Sam! I told him not to do too much, didn't I?

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What have I been saying for weeks now? Sam!

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Come on, Angie. Let's not get all Meryl Streep.

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-He needs some space, come on, love.

-Right, let's get him over.

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Give him four milligrams.

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My call?

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If you prefer, doctor. But just do it, please.

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Do you want him intubated?

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No, he'll be fine in 30.

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It's all right, it's all right.

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Sorry, I didn't catch your names?

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I'm Gemma, this is Harry, we're on AAU.

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Aggro and Abuse Unlimited? Good luck with that!

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And you are? You can't just swing in here like you own the place.

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You just look pretty and let me do the thinking, all right, Hazzer?

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Now can you tell me where I can find Guy Self?

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So, given your most recent scan,

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and after talking things through with your medical team,

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we feel that 38 weeks would be the optimal time

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for the birth of your baby...

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or the fourth of February, to be exact.

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Um...I'll give you a bit of time to talk things through.

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Just so you know, we do have a bit of wiggle room on the dates, so...

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Fourth of February will be fine.

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OK then, well, I shall go and make the necessary arrangements.

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15 minutes obs, please. Thank you.

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I'm going to spoil that kid rotten when she gets through this.

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That'll really help with her upbringing.

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Puppies, ponies, Disney...

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On your salary?

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I mean, we know when her birthday is so just think about it.

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Every year, like a massive cake, ice cream, jelly,

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more presents than she can open, like...

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That's if she makes it to her first one.

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Ah, Gemma, Harry.

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Mr Self, someone was looking for you actually.

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I directed them to your office.

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Hope it's not the bailiffs!

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See you later.

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You're such a brown noser!

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Call it career development.

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Morning.

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Morning.

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Nice tux.

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The theatre.

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So, what do you make of him?

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Well, I think it's more a case of what he makes of US that matters.

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He's already asked for a meeting to discuss the department.

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Meaning?

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Meaning that despite that dazzling smile,

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we should expect to be kept on our toes.

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Two coffees, please.

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JAZZY LOUNGE MUSIC PLAYS

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Argh...

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Oh, God.

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Thank you.

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What is up with you today?

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Does it not bother you that the object of your affection

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-is having a baby with a senior colleague?

-No.

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Is that because you feel empowered by Jonny's choice to be with you?

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Jonny and I are just a casual thing.

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But your body language suggests you want so much more than that.

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Can we stop with the therapy session and crack on, please?

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Cancer scare, approaching retirement.

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You're not tempted by the golf course?

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My handicap's rubbish.

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Are you happy with your people on AAU?

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We have a nice balance - age and treachery

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versus youth and enthusiasm.

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I'm looking to build a strong team around you, Ric.

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You'll have some say as to who those people will be,

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but I'll be making the final appointments.

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So there will be some changes then?

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Well, I need to know the future of AAU is secure

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and that might mean some tough calls on my part.

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I hope you understand?

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MACHINE BEEPS

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Hey, you know we're all here for you, yeah? Whatever you need.

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I'm fine.

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We had some pretty tough news today.

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We always knew it was coming, but now it's here, so...

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Do me a favour.

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-Can you just keep an eye out for her today?

-Yeah, sure.

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You'll be glad to know we'll be working together today.

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Here, let me help you with those. I just wanted to say...

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I don't know what your problem with me is, but...

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You're sleeping with Jonny? The father of my child?

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-And you think it bothers me?

-It seems to bother him...

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I've been there, got the T-shirt, I won't be going back

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so you can just rest easy.

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-Are you a consultant?

-Yes.

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Look, Gary, doctor's pregnant, just like us!

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Can I have a word?

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What, are you stupid?

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I...I'm sorry.

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Zosia handled the transfer from ED.

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-Right, you're working with Mo today.

-But...

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Just do it, Bonnie, will you?!

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Hello, I'm Jonny. I'll be your trolley dolly for the day.

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So, anything you need, then I'm your man.

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You fainted at home, Lara?

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Yeah.

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She's tachycardic. ECG and echocardiogram when you're ready.

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So this is where you've been hiding?

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Would've been easier to track down Bin Laden.

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Nice to see you too, Colette...

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You're an idiot, Guy.

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Return of the rottweiler.

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I wondered when you'd bare your teeth.

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Is this your first?

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You should have seen Gary's face when I showed him the pregnancy test!

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Never thought it would finally happen for us. You got kids?

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One on the way actually.

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Another proud parent to be! Must be catching in this place!

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Oh, Gary, have you rung the B&B?

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I think that's the least of our worries now.

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The curse strikes again.

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You off anywhere nice?

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South Wales... It's where we think, you know...

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Can't call her Tenby though, can we?

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Bonnie? Where's the fluid balance chart?

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Sorry, I've been rushed off my feet. I'll get one started now.

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No, you forgot, didn't you?

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-Do you know how important it is in a case like this...?

-I didn't forget!

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OK, she made a mistake, let's just get it sorted.

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I didn't make a mistake!

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Little bit feistier than usual today, Miss Naylor?

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Apart from the obvious, our new CEO has demanded a meeting.

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He wants reports on all the oesophagectomy patients

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that I've treated using the new Japanese technique.

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Can you not put him off?

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Not if I want a job to come back to after my maternity leave.

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OK, OK, go to your office, get them done.

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I'll keep an eye out here,

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and I'll let you know when the results come in.

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Come on, Jac, she's a wee bit tachycardic, right?

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Not exactly taxing for you,

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so let me do your legwork and you can finish the reports.

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-You'll let me know if there's any change in her condition?

-Of course.

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The tumour's back. Benson's told his mother to prepare for the worst.

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Colette...

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He said the same when Sam Cummings first came to Northchurch.

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But you operated successfully regardless.

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I'm CEO here now.

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We went to Sam's 16th birthday party, do you remember?

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Angie wouldn't take no for an answer.

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You remember his mum? I think she fancied you.

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Yeah, I really don't think it's appropriate...

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Come on, you know I've dealt with every outpatient appointment he's ever had.

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I've watched him grow.

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You did too until you vanished off the planet.

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Look, what have I told you about getting emotionally involved?

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Sue me. The kid begged me to find you.

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As far as he's concerned, you fly round in a cape...

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Mr Self.

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I've got a fairly hostile Mr Benson,

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Head of Neurosurgery, from Northchurch here.

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Says you have "abducted" one of his patients?

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It's been referred, all kosher.

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He can't possibly be admitted here

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if this is another consultant's case.

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What was that fool Benson doing Head of Neurosurgery?

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Er, you left.

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Sorry, you do realise how many protocols this would break?

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Yes, Serena, I'll deal with this, it's really not your problem.

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OK. Oh, and there's a situation developing on AAU.

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A patient's threatening to sue Sacha Levy.

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I'm happy to handle it if you are.

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Oh, yes, yes, it'll be good to see you earn your corn.

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Blimey, who's the face like the smell of gas?

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Serena Campbell, she's been keeping my office chair warm recently.

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Ah, rug been pulled?

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Yes, she's right though, all I can really do

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is ask Holby Neurology for a second opinion.

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Didn't you always say rules were there to be broken?

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Sam...

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-Angie.

-Judas.

-Sam!

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How about... How about dinner at Pushka's?

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You'll never be able to do up the buttons on your fancy shirts

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-with one arm.

-Sorry?

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Don't you think this lot have got enough to gossip about?

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Ah, commiserations on the demotion.

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But hey, it happens to all of us.

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I was only ever acting CEO so I'd hardly call it a demotion.

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Where's your complainer hiding?

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Mark Edwards.

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Dislocated his shoulder after he collapsed at the airport.

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He took full advantage of the free in-flight beverages.

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Sacha had to cut his jacket, so tread carefully, he's a tad testy.

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-I feel sorry for the bloke.

-MAN: Are you calling me a liar?

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-NURSE:

-I'm not calling you a liar!

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That's a 900 quid suit in anyone's money!

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Bob! Yeah, it's very good to be back. Hang on a sec.

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Excuse me...

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Bob, I'm sorry...

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Can you open the door please?

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Oh, for heaven's sake.

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Open the door.

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-Sorry about that - bad reception.

-Mr Edwards, Serena Campbell.

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Is that supposed to mean something to me?

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It'll mean something to you

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if you don't get back to your bay immediately.

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This area is off limits.

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Thank you.

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Hmm.

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-Oh, dear.

-How up to date are these?

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Benson's been sitting on them for three weeks just to say no.

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PAGER BEEPS

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Well, he might have a point this time.

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It's true then, they can clone.

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Will the real Guy Self please step forward?

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Yeah, Emily!

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I know, tell them patience is a virtue.

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Yes, quote me.

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Are you really going to make me trek all the way back to Northchurch

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just to tell Benson he was right?

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That's a conversation I would pay good money to see.

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I'd rather eat my own liver.

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Oh, come on, Guy.

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I'm bringing my patient to the best possible chance of survival.

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Correct me if I'm wrong, but I'd say that was me doing my job.

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Don't you think you've been hiding long enough?

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He calls you the "Special One", you know?

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-Who? Benson?

-Sam, you twit!

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Not one of them docs gave me a chance.

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Not even a sniff.

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Then he rocks up in his Chelsea top.

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Just came out with it!

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Let's do this. I mean, Chelsea, sad sell-outs or what?

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-Oh, God, yeah.

-Knows his footy though, doesn't he, Mum?

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Sam, you should be resting.

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Telling war stories again, Sam?

0:15:530:15:55

-So, you going to help me or what?

-Sam...

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I didn't come here for you to say no.

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Don't make me slap some sense into you.

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Forgive me, I'm new here. What's your name?

0:16:070:16:09

Arthur Digby, sir.

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-Dr Digby.

-Could you clerk Sam in?

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I want MRI scans with contrast and make it a priority on my authority.

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Us & Es, FBC, clotting and cross-match four units.

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Yes! I told you, Mum!

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-Guy, I don't know how to thank you.

-You know the rules, Angie.

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Not till he's sitting up in bed, begging for a fried chicken and Match Of The Day.

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Rotator cuff and labrum seem fine.

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He was in a lot of pain.

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And there was no other way to get it off.

0:16:430:16:45

Could you take the jacket off, Mr Edwards, please.

0:16:460:16:49

Oh, yeah, certainly, be my pleasure. HE GROANS

0:16:490:16:51

You're in pain?

0:16:510:16:53

Wow, you're quite the doctor!

0:16:530:16:55

I'm going to have to examine you, OK? Excuse me.

0:16:550:16:58

Surely you have to wine and dine me first, I'm not that kind of girl.

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Let's have an FBC, Us & Es, amylase,

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clotting and abdominal X-ray.

0:17:070:17:10

How long have you been like this?

0:17:100:17:13

Since my suit got ruined!

0:17:130:17:14

Has this happened before?

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No, no-one's ever cut up my threads before.

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Apart from a couple of exes.

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So, if you just write me up a healthy cheque...

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..I shall be on my way.

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Shall we say 950? HE GROANS

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Come on, Mr Edwards. Mr Edwards, sorry.

0:17:300:17:32

Let's get you back into bed, shall we?

0:17:320:17:33

You're going nowhere, Mr Edwards.

0:17:330:17:36

Hourly obs, and 10mg of morphine.

0:17:360:17:38

Severe stenosis?

0:17:400:17:42

Comprehensive evaluation of the tricuspid

0:17:420:17:45

and aortic valves needs to be done first.

0:17:450:17:47

Stenosis might not be the underlying problem.

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I've checked Lara's paediatric notes,

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she had a bad streptococcal infection aged 12.

0:17:530:17:56

Well, that would certainly explain how the stenosis started.

0:17:560:18:00

Unbelievable how these things can go undiagnosed for so long.

0:18:000:18:03

Well, most of her more serious symptoms

0:18:030:18:05

could be put down to the fact that she was pregnant.

0:18:050:18:07

Well, that's no excuse,

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it should have been picked up on her first check-up!

0:18:080:18:11

-Maybe, but here we are.

-Right, I'll talk to them.

0:18:110:18:14

No need, no need, I've asked Mo to talk them through their options.

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I can handle this.

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Under your authority, of course.

0:18:200:18:23

You deal with the new CEO.

0:18:230:18:25

Who has now asked Elliot for a full departmental report,

0:18:250:18:28

-just so you know.

-Stay frosty, Naylor.

0:18:280:18:30

We're a centre of cardiac excellence, remember.

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That's mostly thanks to me.

0:18:340:18:36

-Keep me informed of any complications.

-Of course.

0:18:360:18:39

Lara's mitral valve is extremely constricted.

0:18:420:18:45

In normal circumstances, I'd recommend an immediate replacement.

0:18:450:18:48

The risk to the baby's too high.

0:18:480:18:49

Right, then we go for a premature birth

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then replace it once she's recovered.

0:18:510:18:53

Erm, she's 29 weeks...

0:18:530:18:55

The chances of her survival without serious problems is pretty slim.

0:18:550:18:58

So you're suggesting we wait to give the baby a better chance?

0:18:580:19:01

Her condition will deteriorate, maybe rapidly.

0:19:010:19:04

That's a fine line between managing her illness medically

0:19:040:19:07

and buying the baby some time.

0:19:070:19:09

Lara's 41, right, this is probably their one shot

0:19:090:19:13

at having a healthy child.

0:19:130:19:14

Listen, I might need some help prescribing Lara's medication.

0:19:160:19:19

Whoa, look, it's one thing going through her notes, but...

0:19:190:19:23

Mo, I don't want Jac involved any more, OK?

0:19:230:19:26

She has a lot on her plate.

0:19:260:19:28

And whatever her face is saying...

0:19:280:19:30

All right. You owe me, Maconie.

0:19:310:19:33

-Lead the way.

-Just through here.

0:19:330:19:36

Listen, if this starts to go pear-shaped, I wasn't here, OK?

0:19:370:19:41

-Of course.

-Uh-huh.

0:19:410:19:42

Hi, I'm Ms Effanga. I just need to examine you.

0:19:450:19:47

I don't care what you've got to say, just make it happen!

0:19:550:19:59

You breaking hearts all ready?

0:20:020:20:04

Oh, just some red tape mumbo jumbo with HR.

0:20:040:20:08

-Apparently you shouldn't be here.

-Well, we already knew that...

0:20:080:20:11

So, Sam's operation...

0:20:130:20:16

If you've lost your nerve, and you botch this up...

0:20:170:20:20

I will kill you.

0:20:200:20:22

Speak your mind, why don't you.

0:20:240:20:26

Emily, cancel my meetings this afternoon.

0:20:290:20:32

Yes, including the departmental on Darwin.

0:20:320:20:35

Tell Jac Naylor I still want her report

0:20:350:20:37

and gently remind Patricia in HR

0:20:370:20:40

that I want Colette Sheward cleared for purpose on my authority.

0:20:400:20:44

Very Obama.

0:20:480:20:50

Well, you have an obstruction, Mr Edwards.

0:20:500:20:54

I think we all know what's happened here.

0:20:540:20:56

But if it isn't drugs, maybe it got up there by accident...

0:20:560:21:01

-Care to enlighten me?

-Well...

0:21:010:21:04

I had some particularly indigestible bhajis on the flight.

0:21:060:21:11

I did complain.

0:21:110:21:12

You seem very good at complaining.

0:21:120:21:15

Are you married?

0:21:160:21:18

What exactly are we dealing with here?

0:21:180:21:19

It might affect your treatment.

0:21:190:21:22

-Miss, Mrs?

-Ms...

0:21:220:21:24

Ms.

0:21:240:21:26

Ms Campbell...

0:21:270:21:29

I'm sure you can appreciate, this is a very delicate matter for me.

0:21:310:21:35

But I want to assure you, there is nothing...

0:21:350:21:38

..let's say "dangerous" up there.

0:21:390:21:42

Well, your results say otherwise.

0:21:420:21:44

Whatever's inside you is causing some kind of infection.

0:21:440:21:47

Shall we say £650 for the suit then?

0:21:540:21:56

Colonoscopy under sedative if we can't find any other means

0:21:560:21:59

and keep me posted if there is a change to his condition.

0:21:590:22:01

I'm afraid you could be here for a long time, Mr Edwards.

0:22:010:22:05

I'll check the list.

0:22:060:22:07

So what happens when we do pop out exhibit A?

0:22:090:22:12

Well, let me assure you.

0:22:120:22:13

Whatever comes out of there will be tested.

0:22:130:22:16

No, we can't go all CSI on this.

0:22:160:22:18

-We have procedures.

-Look, how about we just call it quits on the suit

0:22:180:22:21

and I'm out of here once this is all done, I mean...

0:22:210:22:24

I could make it worth your while.

0:22:280:22:30

I don't know who you think you're dealing with here

0:22:360:22:39

but I am Deputy CEO of this hospital

0:22:390:22:41

and whatever is inside you

0:22:410:22:42

will be dealt with under full and proper protocol.

0:22:420:22:45

I like a feisty woman.

0:22:450:22:47

How about you and me go for a few Dirty Martinis

0:22:500:22:53

when this is all over? Hmm? Hmm?

0:22:530:22:56

-I've overstepped the mark, haven't I?

-By a long chalk.

0:23:030:23:07

Actually, why don't we just press on.

0:23:090:23:11

Starting with a full rectal examination.

0:23:110:23:15

-Easy, tiger!

-See if we can't dislodge your guilty little secret.

0:23:170:23:21

Left untreated, the stenosis is life-threatening.

0:23:300:23:34

That said, the surgery to replace the mitral valve

0:23:340:23:36

is relatively straightforward.

0:23:360:23:39

It's the baby that you need to consider.

0:23:390:23:42

Now that we know the stenosis is there, we can prescribe diuretics

0:23:420:23:46

and Digoxin to keep it at bay...

0:23:460:23:49

But to leave things as they are...?

0:23:490:23:51

It would mean a prolonged stay in the hospital, constant observation.

0:23:510:23:56

Gary...

0:23:560:23:57

..come and see your baby.

0:23:580:23:59

Heart beat's nice and strong...

0:24:010:24:03

Oh, look, Lara, you can see her little fingers!

0:24:030:24:07

Right, let me know your decision, OK?

0:24:070:24:09

Isn't she beautiful?

0:24:140:24:15

Does this give my baby her best chance?

0:24:170:24:19

We haven't even talked about this, Lara...

0:24:190:24:21

-Without a doubt, but...

-Then that's what we're doing.

-Lara...

0:24:210:24:25

It's my op, Gary...

0:24:250:24:28

my call.

0:24:280:24:29

You need to take the risk to your own health into consideration, Lara...

0:24:290:24:32

Are you even listening to him?!

0:24:320:24:34

What other option do we have, Gary?

0:24:340:24:37

Look.

0:24:370:24:38

Jonny.

0:24:420:24:43

She has an arrhythmia and a tight mitral stenosis.

0:24:480:24:51

She could go into low output status any time.

0:24:510:24:53

There's another problem you might want to take into consideration...

0:24:530:24:56

What's wrong?

0:24:560:24:57

I'm concerned there may be an increased amount of nuchal fluid

0:24:570:25:00

under the skin at the back of the baby's neck.

0:25:000:25:02

Lara's a primip, she's over 35.

0:25:020:25:05

It's Down's Syndrome?

0:25:050:25:06

Look, I'm happy to talk to them alone...

0:25:090:25:11

No, I want to be there.

0:25:110:25:13

I want to be there.

0:25:130:25:15

So Mr Edwards still not coughing up on what's in there?

0:25:160:25:20

No, but I think all is forgiven on the suit front.

0:25:200:25:23

How did you get him to drop the complaint?

0:25:230:25:25

I have my ways...

0:25:250:25:27

-Ms Campbell?

-Mmm.

0:25:270:25:29

Our new CEO would like to see you ASAP.

0:25:310:25:36

-Why?

-It seems that your putative drug mule in bay eight

0:25:360:25:40

has made an official complaint against you, sexual misconduct.

0:25:400:25:45

What?!

0:25:450:25:46

The amnio test, if you decide to have it,

0:25:480:25:50

will give a clear indication.

0:25:500:25:51

I'm so sorry.

0:25:530:25:55

You could, of course,

0:25:570:25:58

decide to proceed with your pregnancy regardless

0:25:580:26:00

but, given your condition...

0:26:000:26:02

What do you mean?

0:26:020:26:03

Well, you may want to consider different treatment options

0:26:060:26:09

if the test comes back positive.

0:26:090:26:11

-If you choose to have the test...?

-Choose?

0:26:130:26:16

You don't leave us much choice, do you?

0:26:160:26:18

Why is this happening to us?

0:26:200:26:22

I hate this part of the job.

0:26:340:26:36

There's no easy way to approach these things.

0:26:370:26:39

KNOCK AT DOOR Yeah?

0:26:450:26:47

You wanted to see me?

0:26:500:26:52

Er, Mark Edwards says you touched him inappropriately.

0:26:520:26:55

That complaint carries automatic suspension pending full inquiry.

0:26:550:26:59

This is ludicrous!

0:26:590:27:00

Agreed, total waste of resources...

0:27:000:27:03

You said you would handle this,

0:27:030:27:04

you seem to have made it ten times worse.

0:27:040:27:06

You can't possibly believe him, it's ridiculous, he tried to bribe me...

0:27:060:27:09

What is a consultant of your experience doing

0:27:090:27:12

putting yourself in a situation like that in the first place?

0:27:120:27:15

-Come on!

-You were alone with a male patient in a curtained bay.

0:27:150:27:20

Why? That is the only question the board will ask you - protocol.

0:27:200:27:24

Protocol! Oh, I see...

0:27:240:27:27

So it's all right for you to ignore HR rules,

0:27:270:27:31

nick patients from other trusts

0:27:310:27:33

and indeed ditch your duties as CEO

0:27:330:27:35

to play brain surgeon on your first day.

0:27:350:27:38

How long did you say your probationary period was?

0:27:380:27:41

You get this sorted, Serena,

0:27:420:27:43

or I will need your report on the incident by the end of play.

0:27:430:27:46

"We must flow like water...

0:27:540:27:56

"..choose the path of least resistance."

0:27:580:28:00

Sun Tzu, Art of War?

0:28:010:28:02

Mr Miyagi, Karate Kid.

0:28:060:28:08

Never seen it.

0:28:100:28:11

Erm, Sam Cumming's latest bloods and scans.

0:28:110:28:14

Sun Tzu, though, now there's a man who knew his onions.

0:28:250:28:28

"Strategy without tactics is the slowest way to victory.

0:28:290:28:33

"Tactics without strategy is the quickest way to defeat."

0:28:330:28:36

That's what neurosurgery is all about.

0:28:400:28:42

We make our decisions here.

0:28:420:28:44

Then, when we get to operate, we know our path of least resistance.

0:28:440:28:49

Come and have a look at this.

0:28:490:28:51

It's a recurrent cerebellar.

0:28:530:28:56

Quite close to the brain stem.

0:28:580:29:01

And many of the lower-cranial nerves.

0:29:010:29:03

It's very complex.

0:29:030:29:04

Yeah, I think I have a solution, it's not without considerable risk,

0:29:060:29:11

but until Sam says otherwise I'm going to offer it to him.

0:29:110:29:14

You truly believe you can do this, don't you?

0:29:140:29:16

This is all about confidence.

0:29:160:29:18

Hi.

0:29:330:29:34

All right.

0:29:360:29:37

I think you're doing the right thing,

0:29:420:29:44

getting the amnio done by the way.

0:29:440:29:47

-You reckon?

-Mm-hm.

0:29:470:29:49

I spoke to that obstetrician...

0:29:510:29:55

I know what he's saying, I'm not stupid.

0:29:550:29:58

If it means saving Lara, then...

0:29:580:30:00

We nearly split up over this baby.

0:30:080:30:10

Well...there's certainly a lot of pressure to making babies.

0:30:110:30:17

She wants a kid so badly.

0:30:170:30:18

This isn't over by a long way, Gary...

0:30:200:30:25

you can still have a perfectly healthy baby.

0:30:250:30:27

I was going to ask her to marry me.

0:30:290:30:31

Sorry.

0:30:350:30:36

You don't need this, you're expecting your own.

0:30:390:30:41

Yeah, but I don't pretend

0:30:410:30:42

to understand what you're going through.

0:30:420:30:45

You know, until this morning...

0:30:450:30:47

I felt in control.

0:30:470:30:48

Hey, sexy, you can't stay away?

0:31:010:31:04

What do you think you're playing at?

0:31:040:31:05

Black Jack, do you play, Serena?

0:31:050:31:07

Your lies could cost me my job.

0:31:070:31:09

This is the only game in Vegas where you CAN actually have an edge...

0:31:090:31:13

..and I like to have an edge.

0:31:140:31:16

You know what I want.

0:31:180:31:19

Seems like a very small thing for you to lose your job over.

0:31:190:31:22

-What's inside you?

-My business.

0:31:220:31:25

You just get it out.

0:31:250:31:27

Well, you're a surgeon, aren't you?

0:31:270:31:29

Eh? Oh, how are you with a needle and thread?

0:31:300:31:33

Do you really think...

0:31:380:31:40

a man of my means...

0:31:400:31:42

is some kind of drug runner?

0:31:420:31:44

Nothing you're doing is telling me any different.

0:31:440:31:46

Well, that's the gamble, isn't it?

0:31:460:31:48

I'm not playing, Mr Edwards.

0:31:480:31:49

I'd sooner take my chances with what comes out of your backside.

0:31:490:31:52

Right, ready to perform the colonoscopy.

0:31:550:31:57

Does everyone know?

0:31:570:31:59

He's a chancer, no-one believes him.

0:31:590:32:01

Anything I can do to help.

0:32:010:32:03

-Oh, my stupidity, my problem.

-Listen...

0:32:030:32:06

You should not be anywhere near this bloke, you know that, don't you?

0:32:060:32:10

Which is why you're performing the procedure.

0:32:100:32:12

But whatever comes out of his backside, bring it to me first.

0:32:120:32:15

Right, Mr Edwards.

0:32:190:32:20

So what do you reckon he's hiding up his bottom?

0:32:200:32:23

Well, hopefully several ounces of pure Colombian, for Serena's sake.

0:32:230:32:28

The amniocentesis has confirmed that your daughter

0:32:280:32:31

has Down's Syndrome, yes.

0:32:310:32:33

I've got some numbers here from Down's Syndrome charities.

0:32:340:32:38

I think they will be able to help you

0:32:380:32:42

in terms of explaining what your options are.

0:32:420:32:45

Given your condition...

0:32:450:32:47

So, support groups if you want to keep the baby.

0:32:470:32:50

Or adoption or fostering if you want to go down that...

0:32:500:32:54

OK, what we're going to do is give you some time to think things over.

0:32:540:32:57

OK?

0:32:570:32:58

HE SNIFFS

0:33:140:33:16

You're letting yourself get emotionally involved.

0:33:160:33:19

-Am I now?

-Yeah, you are.

0:33:190:33:21

Look, between me, Mo and Mr T, we've got it covered.

0:33:210:33:24

-I'll speak to...

-Not happening.

0:33:240:33:26

I'm trying to help you, what...?

0:33:260:33:27

Listen, just because we've bumped uglies a few times

0:33:270:33:30

doesn't mean YOU own me!

0:33:300:33:33

Bonnie...

0:33:330:33:34

Bonnie!

0:33:340:33:36

2004 European Championships, against us! We took the lead!

0:33:360:33:40

Zidane puked up on the penalty spot he was that nervous!

0:33:400:33:43

Then he stepped up and slotted it like it was nothing.

0:33:430:33:46

Took full responsibility in front of a watching world.

0:33:460:33:49

I'm not big on football

0:33:490:33:52

but are you saying that nerves are a good thing in the big games?

0:33:520:33:55

Oh, no, no, no, it's not nerves,

0:33:550:33:56

it's fear of failure that sharpens the mind.

0:33:560:33:58

Arthur, could you leave us for a moment, please?

0:34:010:34:04

Oh, yeah, sorry.

0:34:040:34:06

So...

0:34:080:34:09

..you and me.

0:34:100:34:12

Back on this journey again?

0:34:120:34:14

You don't have to be a frequent flyer, Sam.

0:34:140:34:18

We could treat you medically...

0:34:180:34:20

And let my mum watch me slowly die?

0:34:200:34:22

Oh, erm, your PA Emily is on the phone...

0:34:240:34:27

Said there's a meeting, you're not answering your mobile.

0:34:270:34:30

There's a reason for that, you idiot...

0:34:300:34:33

Why don't I deal with Emily?

0:34:330:34:34

So you're doing this for your mum?

0:34:390:34:41

I can't put her through any more.

0:34:410:34:44

I wake up, she's there in the chair, watching me sleep.

0:34:450:34:49

Not slept herself.

0:34:490:34:50

-Every night's the same.

-She's your mother, Sam.

0:34:500:34:54

That doesn't make it right though, does it?

0:34:540:34:56

She's given up everything for me...

0:34:590:35:02

One way or another, that all stops today.

0:35:020:35:04

I need to know, do you understand the risks involved here?

0:35:060:35:10

I HAVE to know.

0:35:100:35:12

I want it done!

0:35:120:35:14

Don't go all soft on me like Benson did!

0:35:140:35:16

Hey, that was Benson...

0:35:160:35:19

This is Mourinho talking. ANGIE CRIES

0:35:190:35:22

See you in theatre.

0:35:220:35:23

-Problem?

-Yep, Angie - she's gone all water feature on us.

0:35:270:35:31

It's what he wants. It's what he wants.

0:35:340:35:37

Talk to me, Angie.

0:35:370:35:39

Everything's different here...

0:35:390:35:41

you're different!

0:35:410:35:42

All I've ever known is Northchurch and Sam was always safe there.

0:35:450:35:49

Even when they told you there was nothing more they could do for him?

0:35:490:35:51

That's the problem, isn't it?

0:35:510:35:54

I believe them!

0:35:540:35:55

He's going to die today, I know he is...

0:35:570:35:59

You said that...

0:36:020:36:04

-I seemed different?

-You just seem so...

0:36:040:36:07

So what?

0:36:080:36:09

Benson told me you'd lost your wife...

0:36:110:36:13

That's got to affect a person.

0:36:140:36:16

You barely left Sam's bedside the last time.

0:36:180:36:22

You waited with us, you slept there.

0:36:240:36:27

You think...

0:36:290:36:30

that Sam doesn't have my full attention?

0:36:300:36:32

I want to be able to trust you, I just don't know if I can.

0:36:340:36:37

You know what, Mr Benson? You probably get this all the time

0:37:230:37:26

but has anyone ever told you you're a complete...

0:37:260:37:28

Incompetent control freak!

0:37:280:37:30

Right, let's do this.

0:37:300:37:32

MACHINE BEEPS

0:37:360:37:39

Suction ready?

0:37:390:37:41

Right. I'm starting the corticotomy...

0:37:500:37:53

Bipolar diathermy.

0:38:000:38:01

Get that to the lab for me.

0:38:220:38:23

Like you were never away.

0:38:230:38:26

PHONE RINGS

0:38:260:38:27

Come to see some real surgery, Digby?

0:38:300:38:32

How long do you think it'll take?

0:38:320:38:34

Why? What's the problem? You got a date to get to or something?

0:38:340:38:37

-Er, no.

-Would you...?

0:38:370:38:39

Serena Campbell wants to talk to you about the complaint.

0:38:410:38:43

I said you had your hands full.

0:38:430:38:45

Oh, well, it'll have to wait.

0:38:450:38:47

She can call me this evening, she's got my number.

0:38:470:38:49

Oh, so you do still own a phone?

0:38:490:38:52

So, don't you want to know what I've been getting up to?

0:39:020:39:06

Oh, I'm sure if it was anything exciting, you'd have called me.

0:39:060:39:09

Hm, going all ice queen on me?

0:39:090:39:11

Now, now, let's not get nasty in front of the children.

0:39:120:39:16

We're just not geared up for this.

0:39:160:39:17

I'm in sales.

0:39:210:39:22

I work all over the country.

0:39:220:39:25

Sometimes I'm away for weeks at a time.

0:39:250:39:28

She's still my baby.

0:39:280:39:30

We have talked about this, love.

0:39:300:39:33

Lara is planning to go back to work, we need the wages.

0:39:330:39:37

Her mother is going to come and help, but I...

0:39:370:39:39

CANNOT ask her to deal with this.

0:39:390:39:42

There was a boy...

0:39:420:39:45

on our street when I was little...

0:39:450:39:47

Michael, his name was...

0:39:480:39:51

He used to stand at the corner by the bus stop.

0:39:510:39:55

And he'd just wave and... smile at the passengers.

0:39:550:40:00

Put a little cross on his notepad when they waved back...

0:40:000:40:03

That was it. That was all he had.

0:40:050:40:09

And his mum looked after him all his life.

0:40:100:40:13

It really doesn't have to be like that.

0:40:130:40:15

The families of children with Down's Syndrome

0:40:150:40:17

-receive much more support than they used to...

-Jonny.

0:40:170:40:20

We've discussed this...

0:40:200:40:22

-Many kids receive...

-Jonny!

0:40:220:40:23

..mainstream education, right, they hold down jobs,

0:40:230:40:26

they have relationships, live happy lives...

0:40:260:40:29

Nurse!

0:40:290:40:31

I don't care about all that!

0:40:310:40:33

-Gary!

-I know this is hard for you both

0:40:330:40:35

but you must consider all the facts before making any decision.

0:40:350:40:38

It's not about the baby any more! It is about getting you well.

0:40:380:40:45

Could I have a word outside, please?

0:40:500:40:52

Yeah.

0:40:520:40:54

What does Ms Naylor think?

0:41:020:41:04

I was waiting for their decision on the termination before I told her.

0:41:040:41:08

Right. Well, she needs to know about this.

0:41:080:41:11

She's up the wall with these reports for the new CEO, I didn't want to

0:41:110:41:17

bother her with this until we knew exactly what we're dealing with...

0:41:170:41:20

Jonny, there's only so much Mo and I can do before we cross the line.

0:41:200:41:23

Now, either you go and talk to her or I will.

0:41:230:41:26

I've removed the bulk of the tumour, but this bit here...

0:41:330:41:37

It's much closer to the brain stem than I'd anticipated.

0:41:390:41:43

The risk of recurrence could be less than the risk of harm.

0:41:430:41:46

So what you saying?

0:41:460:41:48

I'm going to have to call it a day.

0:41:480:41:50

Sam knows the risks, so does Angie.

0:41:500:41:53

Neither of them are expecting this to be a good day.

0:41:530:41:56

Why go this far and not try and finish the job?

0:41:560:41:59

I could excise the rest with a CUSA.

0:42:010:42:03

Then it's time to man up and get this done.

0:42:050:42:07

Do something with your face, will you? The troops need a pep talk.

0:42:130:42:16

Right, everyone, let's do this. Digby's got a date to go to.

0:42:190:42:25

CUSA.

0:42:270:42:28

I've been kept completely in the dark.

0:42:310:42:32

As far as I knew, we were looking at balancing out

0:42:320:42:35

the health of the mother against the survival of the child.

0:42:350:42:38

You have made me look like an idiot in front of my patient.

0:42:380:42:41

Care to explain?

0:42:410:42:44

Something's wrong, can you please help us?

0:42:440:42:47

We were talking, then she just clutched her chest

0:42:470:42:49

-then the monitor started going off...

-What are we dealing with?

0:42:490:42:52

Lara's in her third trimester,

0:42:520:42:53

severe Mitral stenosis with a low output.

0:42:530:42:55

BEEPING

0:42:550:42:57

No pulse. She's going into VF!

0:42:570:42:59

Defib.

0:43:040:43:06

Charge to 150.

0:43:080:43:10

Charge.

0:43:100:43:12

Clear.

0:43:120:43:13

Baby's showing signs of distress.

0:43:150:43:17

Bonnie.

0:43:170:43:19

You'll have to leave us now, Gary.

0:43:190:43:20

Charge to 200.

0:43:200:43:22

She's going to live, isn't she?

0:43:220:43:23

They're doing everything they can.

0:43:230:43:25

-Charge.

-Clear.

0:43:250:43:27

OK, I need to open her up.

0:43:320:43:35

Remove the blockage.

0:43:350:43:36

Otherwise I won't be able to restore her heartbeat.

0:43:360:43:39

Mr Thompson, would you care to come with me?

0:43:390:43:42

I'll scrub in.

0:43:420:43:43

Not your patient any more, Ms Naylor.

0:43:430:43:45

What the hell did you think you were playing at?

0:43:520:43:55

There was a localised perforation leading to some infection.

0:43:550:43:58

But nothing a course of antibiotics won't take care of.

0:43:580:44:01

Is he awake?

0:44:010:44:03

He's recovering in the bay.

0:44:030:44:05

Right, moment of truth.

0:44:060:44:07

That's not the result we wanted.

0:44:190:44:21

What was the point of bringing you in

0:44:210:44:23

when the parents hadn't made a decision?

0:44:230:44:25

Is that your best answer?

0:44:250:44:26

Because you may have to put that in writing directly to the new CEO.

0:44:260:44:29

There wasn't a clinical decision to be made at that time...

0:44:290:44:32

Her heart is failing. There's no question, no debate.

0:44:320:44:36

-You save the mother.

-Just like that, yeah?

0:44:360:44:38

Just straight out tell them

0:44:380:44:39

that we want to destroy their dreams?

0:44:390:44:41

Oh, that worked out really well!

0:44:410:44:42

Now Lara's lying in theatre, we may lose her and the baby.

0:44:420:44:45

No-one, no-one could have anticipated the speed

0:44:450:44:47

at which she deteriorated!

0:44:470:44:49

And you know what, Jac?

0:44:490:44:51

Oh...

0:44:520:44:54

Istanbul was a corker, but for sheer tension...

0:44:570:45:02

Gerrard's equaliser banged in the back of the net right at the death.

0:45:020:45:07

The Gerrard final...

0:45:210:45:23

Scrunch your eyes up.

0:45:260:45:28

CRUNCHING

0:45:320:45:33

You hear that?

0:45:350:45:36

Course. Heard you boring me.

0:45:360:45:39

Stick your tongue out.

0:45:430:45:44

Oh!

0:45:460:45:47

Give it a rest, will you?!

0:45:470:45:49

Who's this?

0:45:520:45:53

Mum.

0:45:560:45:57

SHE SOBS Who am I?

0:45:570:46:00

Some quack who doesn't know what he's doing!

0:46:000:46:03

Where are you going?

0:46:070:46:08

I need to call Benson. Been looking forward to this all day.

0:46:080:46:12

Jac chew you out?

0:46:160:46:17

No, we had tea and biscuits!

0:46:170:46:19

Why didn't you tell her about the amnio?

0:46:190:46:21

I don't know! But I do know I don't want another lecture!

0:46:210:46:23

If you speak to me like that one more time today,

0:46:280:46:30

I swear I will slap you stupid.

0:46:300:46:32

Right, I tried to tell her... I-I just couldn't.

0:46:320:46:35

-I couldn't put it on her.

-Bad call.

0:46:350:46:37

Well, of course it was a bad call!

0:46:370:46:40

Don't pretend like you know what we're going through.

0:46:400:46:44

You have no idea. You're not the one who's waking up

0:46:440:46:47

with your stomach in knots every day.

0:46:470:46:49

We're going to see our baby born without joy.

0:46:490:46:51

No, I can't do this.

0:46:510:46:54

Mr Edwards...

0:47:040:47:07

Give me my money. I'll walk away, I promise.

0:47:070:47:10

Well, I'm afraid I've had to report it.

0:47:100:47:13

The finance office will be sending somebody down.

0:47:130:47:15

They'll be here shortly. You'll get a receipt.

0:47:150:47:18

You love your red tape, don't you?

0:47:180:47:19

Well, I'm sure you've got a perfectly plausible reason for

0:47:190:47:22

having the almighty dollar stuffed up your backside.

0:47:220:47:24

We're not going to fall out over this?

0:47:240:47:27

Guy Self, CEO of this hospital. Pleased to meet you, Mr Edwards.

0:47:270:47:31

You all right?

0:47:330:47:35

Never better.

0:47:370:47:39

Now then, Mark, may I call you Mark?

0:47:400:47:43

We seem to have a bit of a situation here

0:47:450:47:48

but you look like a reasonable man.

0:47:480:47:49

I can be, yeah.

0:47:490:47:52

Good, good. Serena, can you get me the money, please?

0:47:520:47:56

Now, I'm guessing Vegas?

0:47:560:47:59

Where did you stay? The Wynn? Caesar's?

0:47:590:48:02

I hear the Palms is the place to stay these days.

0:48:020:48:06

So what, you struck lucky?

0:48:060:48:10

Landed yourself a big win, didn't want to play the duty on it?

0:48:100:48:13

Well, here's what I've got to offer

0:48:130:48:16

a man like you, Mark.

0:48:160:48:18

A man with contraband stuffed up his jacksy.

0:48:180:48:21

A man who makes nasty, sordid little complaints that could

0:48:210:48:24

have cost a good doctor her job,

0:48:240:48:26

and then assaults her.

0:48:260:48:30

No, I never touched her!

0:48:320:48:33

I have two witnesses here who say you did.

0:48:330:48:37

Look, I'm going to lay my cards on the table, all right?

0:48:450:48:48

I've managed to get myself into a lot of serious trouble.

0:48:480:48:53

So this money that you're holding, that's my lifeline.

0:48:540:48:58

The Paediatric Oncology Department of this hospital

0:49:010:49:06

thanks you for your kind donation.

0:49:060:49:09

Now, why don't you quit while you're behind...so to speak?

0:49:120:49:16

So, Serena,

0:49:450:49:47

fresh start? Whole new day tomorrow.

0:49:470:49:50

Some people think the CEO's job is just about paperwork.

0:49:520:49:57

I think I can still concentrate on medicine.

0:49:570:49:59

Hmm. Good luck with that. Thank you, Guy.

0:49:590:50:05

Any news?

0:50:130:50:16

I thought you could tell me?

0:50:160:50:18

You all right?

0:50:260:50:28

Not really.

0:50:280:50:30

I, erm... I saw you arguing with that consultant before...

0:50:320:50:37

the pregnant one.

0:50:370:50:40

You in the mire?

0:50:400:50:42

-She's... It's my baby she's carrying.

-Oh.

0:50:420:50:46

Office romance, eh?

0:50:460:50:49

We've actually got some problems of our own,

0:50:530:50:56

and um, I thought I could cope today... I came up short.

0:50:560:51:01

I've cried my eyes out today, but I never let her see me shed a tear.

0:51:060:51:12

You've got to stay strong for them, even if there's nothing you can do.

0:51:150:51:19

Is your kid going to be all right?

0:51:230:51:25

I honestly don't know... I won't know till she's born.

0:51:250:51:28

And there's not a thing I can do about that.

0:51:310:51:33

I believe you mentioned dinner?

0:52:080:52:10

Don't know what was going through my head today.

0:52:240:52:28

I guess I was just trying to protect you.

0:52:280:52:30

My knight in shining armour?

0:52:300:52:33

Maybe...

0:52:330:52:34

All I want to do is fix things for you and the baby and...

0:52:380:52:43

..I realise I can't.

0:52:450:52:46

Lara made it through the caesarean.

0:52:490:52:52

Mother and baby doing well then?

0:52:540:52:56

She's scared to see the baby.

0:52:560:52:58

It's a lot to take on. Choices were taken away...

0:52:580:53:01

It's her wee girl. So she'll come round.

0:53:010:53:04

Why? Because you only do happy endings?

0:53:040:53:07

HE LAUGHS

0:53:070:53:08

I'm just as frightened as you are, but she can't stay in there forever.

0:53:100:53:14

OK.

0:53:140:53:16

OK.

0:53:220:53:23

I acted like a Muppet today.

0:53:230:53:28

Agreed?

0:53:280:53:30

But I realise that this situation, it is what it is.

0:53:300:53:34

And there's nothing we can do about that,

0:53:340:53:36

except be brave.

0:53:360:53:39

For her.

0:53:390:53:41

Jonny?

0:53:450:53:47

Thank you for being a Muppet.

0:53:470:53:49

My back was killing me today.

0:53:490:53:52

Where is she?

0:54:120:54:14

Here.

0:54:140:54:15

There's no obvious complications from the premature birth.

0:54:220:54:25

Has Gary been in to see her yet?

0:54:270:54:29

Yeah. He's just popped out to get some things.

0:54:290:54:31

And Lara?

0:54:330:54:35

Not yet, no.

0:54:360:54:37

Lara, this is your daughter.

0:55:160:55:18

LOUD CAR ENGINE

0:55:260:55:28

How's Sam?

0:55:330:55:34

What is that thing?

0:55:340:55:36

My car.

0:55:360:55:37

Yeah, it's all good, I just couldn't be doing with all that footie yap.

0:55:380:55:42

Angie?

0:55:420:55:44

Yeah, don't worry. You're her hero again.

0:55:440:55:46

Sorry, mate, she doesn't need it any more.

0:55:460:55:48

Really sorry, there's 20 for your trouble.

0:55:480:55:50

Oi, behave yourself! I've been waiting half an hour for that ride!

0:55:500:55:54

Yeah, need to talk.

0:55:550:55:58

What?

0:55:580:56:00

SIREN BLARES

0:56:000:56:01

-Where are you going?

-I work here.

0:56:080:56:11

Thank you for kicking my butt.

0:56:110:56:12

I'd been asking for it all day.

0:56:120:56:15

Please, please forgive me. Give me a second chance, please.

0:56:150:56:19

I don't know about you, but I could really do with some breakfast.

0:56:190:56:23

I don't know what you want from me.

0:56:250:56:27

Well, maybe it's more to do with what you want from me?

0:56:270:56:31

What do you mean?

0:56:310:56:32

I mean, I don't exactly come without baggage, do I?

0:56:320:56:35

I'm having a baby with the scariest woman on the planet,

0:56:360:56:40

I don't even know if my child is going to survive.

0:56:400:56:43

And even if she does there's a long, long road ahead of us.

0:56:430:56:47

It is not going to be a hayride for us.

0:56:470:56:49

But if you're in...

0:56:510:56:53

..I'm in.

0:56:550:56:56

LIFT PINGS

0:57:010:57:02

Truth is, Col, I was in a really, really bad place, and...

0:57:100:57:14

I didn't want to drag you down with me.

0:57:140:57:16

That's why I took the desk job here.

0:57:160:57:18

You know, ease myself back in.

0:57:200:57:21

Had to do something, couldn't go back to those vultures at North Church.

0:57:210:57:25

Colette? Come and work with me.

0:57:280:57:30

I'm a surgeon, not a pen-pusher, we could really build something here.

0:57:330:57:36

Why should I?

0:57:360:57:38

Because you know that I know that you know that

0:57:380:57:42

I am nothing without you.

0:57:420:57:43

I need you. We're a double act.

0:57:450:57:48

Fred and Ginger, Bogart and Bacall...

0:57:480:57:50

Ant'n'Dec.

0:57:500:57:51

I've said it, it's out there, no way to get it back.

0:57:520:57:55

Subtitles by Red Bee Media Ltd

0:58:190:58:22

Guy is determined to get stuck in to his new plans for Holby as CEO, but when he is confronted with familiar faces from his past, will he be able to give up his old ways?

Jac is keen to impress the new boss at Holby and Jonny is determined to lighten Jac's load, but is Jonny taking too much?

A suspected smuggler is making waves on AAU. Serena is brought in to deal with him, but soon it's not clear who's handling whom.


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