Heart of Hope Holby City

You only asked for group and save, see?

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

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

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

Let's stop messing around and go back to mine.

There are going to be some changes around here.

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

I don't suffer fools, I don't suffer laziness,

I don't suffer ineptitude or incompetence.

One of us has to move on.

And it's got to be me.

This is it, Stephen. A new beginning.

-It's really happening.

-It is. It really is.

OK, let's get him through.

Morning!

You do know it's December, right?

-Ouch.

-Yeah, thanks for that.

So, you saw your sister off in style, then?

Well, the ceremony, I remember. Everything else...not so much.

Tequila? Sambuca?

-All of the above.

-Lethal.

And my new boss starts today.

Colette Sheward, Director of Nursing.

-Hmm.

-Sounds like a dragon.

Caffeine?

Intravenously.

I will see what I can do.

Oh, er, we've got an elective aortic replacement in bed three

and a pleural effusion in six...

-And a very good morning to you too, Jac.

-Good morning.

Do we have an ETA on Stephen Parker's heart?

Yes, St Phil's are doing a final examination as we speak.

-You've also got...

-Today we're going to give a young man his life back.

-There's somebody...

-No matter how many people I perform this procedure on,

it always humbles me every single time.

-Elliot!

-Mr Self.

I hope you don't mind me letting myself in.

No, no, no, not at all.

Thought I'd pop up, see how the other half lives.

Um...not in trouble, I hope?

On the contrary. I've been swatting up on you, Professor.

-Don't believe everything you read.

-It's all hugely impressive.

So we've got a dilated cardiomyopathy

due for transplant today? And he's Asperger's, right?

-That's correct.

-Mind if I scrub in?

-Watch the esteemed professor work his magic?

-Well...

Great, and in the meantime, you can show me around the ward.

Right.

OK, bed six has multiple facial abrasions.

Because it's a head injury, we should run a CT on that.

The other thing I was going to say was...

Who is the muppet?

Finn's dad.

Ah.

Seven years ago he pops out for a packet of salt'n'vinegar and never comes home.

Now, suddenly, the wind changes and he wants to be back in our lives.

-Not going to happen?

-Nope.

Did he bring back the crisps at least?

Yes, we have room.

Yes, just send him on over.

That's no problem. Thank you.

Why do people have to speak so loudly?

Hey.

Well, cheers, then.

-Sorry?

-The other night. You left me hanging.

-I looked a right Billy no mates.

-I'm sorry. There was an emergency.

-There was...a laparotomy. Sorry.

-Is that right?

-Well, you could have let me know.

-Why?

-Because of us?

-Us?

-OK, I know you need to be on good terms with your ex-wife

for your daughter's sake, but come on, we can still be friends?

Sweetheart, listen, this is not going to happen.

I need you to back off now.

Thank you, Nurse Carter. I'll assess the patient now.

They're not allowed on the ward.

Who buys flowers these days anyway?

They're more of a garnish than a present.

I hate Christmas.

Must be getting unbearable, all that extra weight.

Keep talking, F1, see what happens.

And this is Dr Frost.

Oh, just what I need! Our great leader, come to greet his minions.

-Why are they lining up anyway? It's not like he's the bloody Prime Minister.

-Oh, back in your box.

-I think you've already met Jac Naylor.

-Indeed.

-Hello.

-Phone call for Mr Hope.

I'll get that.

This is Zosia March, one of our newest junior doctors.

Excuse me, I have a new patient in bed ten.

Dr March...

I'm so sorry, I don't know what's got into everybody.

Don't worry. Prioritising patients is encouraging to see.

Is she showing promise - Dr March?

Well, yes, she certainly has potential.

-She just needs to sort out what she really wants.

-OK.

-She has a penchant for psychiatrics.

-Right.

I'm trying to steer her back to surgery.

I think she has real talent.

Yep, thank you. Elliot, the heart is healthy and competent,

-they're about to pack it and send it over.

-Great news.

-Yes, it is. It means we can operate early this afternoon.

-Good.

So, what shall we do in the meantime, Professor Hope?

"Dear Chantelle. I know you must be very busy..."

Ah, shnoockums!

So, bad news, my cowboy landlord - out of blue -

-has decided to sell up.

-Oh, bummer.

Yes, Arthur, it is. And I need to find alternative accommodation ASAP.

Know of any rooms going?

-Er, no.

-Liar!

-What?

-I saw your ad.

Right, I don't think it'd be a very good idea -

-you and me, living together.

-Why?

Because... Because you're not over the pink princess?

Hey, guys.

Congratulations, boss, on your new promotion. Head of Clinical Skills.

Thank you, Zosia.

Dr Digby, I was thinking we should get together

-in about an hour or so, have a little team meeting.

-Sure.

BLEEPING

Aw, not her.

The poor little lamb isn't really with us today, I'm afraid.

-Acute case of a broken heart syndrome.

-Just leave it, Zosia.

See you later, roomie.

Sorry.

That's all right, that's fine.

-Listen, come on, let's go and impress those F1s?

-OK.

Yeah, good.

-Ah, Mrs Claydon's file.

-Mrs Claydon, how lovely to see you again.

-How's the little one?

-Don't ask!

We don't need to frisk you, do we?

-I left the rifle at home this time.

-Phew!

-And you must be the son?

-Joseph Claydon.

Lovely to meet you. Need to start wrapping you in cotton wool.

-What happened this time?

-I fell, hit my head.

I think we'll need to suture that.

She passed out from stomach pain, then hit her head.

I think it's gastro flu

or whatever they're calling it these days.

Or something I ate. I've been vomiting too.

-Cramps?

-Mmm.

Can I just examine your tummy?

-It's healed nicely.

-You did a fine job.

-Any blood in the vomit, Nurse Carter?

-Nope. Fluids?

Please. I just want to do some tests just to be on the safe side.

I really don't think that's necessary.

Let them do their jobs, Mum.

-Any blurred vision, dizziness?

-No.

-Have you had an eye infection at all?

-No.

-Can we keep 15-minute obs, please?

-No problem.

-Mr Griffin, Emma Claydon - bed one.

-I know that name.

Gored by a buck. Didn't want any anaesthetic.

Yes. Yes, of course. Tough cookie.

She has persistent vomiting, stomach cramps. She pretty dehydrated.

-She suspects she's got gastroenteritis.

-You don't agree?

There's abdominal distension, her temperature is slightly raised.

-Well, that fits.

-But she's also got inflammation in the left eye.

You're thinking Crohn's?

All right. Let's do an FBC, LFT, Us and Es, blood cultures and tox screen.

Then let's organise an endoscopy.

You should go, darling.

I can get a later flight.

You need me here. I'll sort it out.

-Sorry, d'you know how long these tests will take?

-Joe, it's fine.

-Look, I'll try and find out for you.

-Thank you.

-Come on, then.

-Come on, then, what?

You and Edward Campbell.

I don't know what you mean.

Yeah, right, you could cut the sexual tension back there with a knife.

No!

Not here, OK?

Come on, then...spill!

Well, we went for a drink, and one thing led to another and...

-He ended up in your pants!

-Gemma!

So have you been seeing him?

Well, a few times.

And now he's back with the old ball and chain.

-Are you OK with that?

-He's back with her?

-Looks like it.

Well, if he prefers the more mature lady, that's up to him, right?

So, basically, he's been using you until he got what he really wanted.

Don't sugar-coat it, will you!

Well, it's not like we were exclusive or anything.

Ah, here you are. Lord Griffin's been looking for the pair of you.

Tell him.

-Tell me what?

-Her and Edward Campbell.

MC.

OMG!

So what happens now?

Oh, come on. You're better than him anyway.

I clearly have "mug" written right across my forehead.

You're not a mug.

Imagine if Serena found out he was he playing you both.

-Yeah, thanks for that, Harry.

-BLEEPING

Come on.

Yeah, OK, thank you.

I'll pass it on to him.

Finally managed to shake off my shadow.

You know, I don't understand why he's taken such a keen interest

in Darwin all of a sudden.

-Elliot, that was St Phil's.

-Problem?

They've had a high-risk admission, they might need Stephen's heart.

-What's happened?

-RTC.

17-year-old female with myocardial infarction

-after a blunt chest trauma.

-Right.

-Has she arrested?

-Not yet.

It can't be game over already.

There's still a good chance she'll pull through.

Stay positive, Elliot, all will be well.

Mr Levy! Here, you've put on weight.

Frequent flyer from AAU. How are you doing, Reg?

Rubbish, otherwise I wouldn't be in here, would I?

But glad I've got you to fix me up.

No, not today. I'm here in a teaching capacity, I'm afraid.

Dr Digby.

Dr Digby? Sorry, could you do the honours, please?

Right.

Doctor? You're joking. He looks about 10!

Reg Douglas, 67, presenting with an acute case of onychocryptosis.

Otherwise known as...

an ingrowing toenail.

It just needs a new dressing.

Probably get a nurse to deal with that.

As you can see, there is possible infection setting in,

so we'll need some antibiotics and a possible avulsion of the nail.

Dr Digby, could you focus, please?

Thank you.

Right, Reg, we'll get you sorted out as soon as possible.

I'm in no rush.

Rigby.

Digby.

Whilst you're here... I think one of me piles has burst.

Could you take a look?

-LAUGHS

-I'm only messing, son. You should have seen your face.

-How are you feeling?

-Much better, thanks.

Good, let's get that cut sorted out, shall we?

Here you go.

Oh, thanks, darling.

-So, Joe, where are you flying off to?

-Kabul.

So brave. Love a man in uniform!

-It's just a job.

-He's very modest.

What's it like?

I mean, we see it on the TV all the time,

but it must be terrifying in real life.

You hear all these awful stories about these poor squaddies.

Sorry. Me and my big gob.

It sometimes happens.

-Joe lost one of his best friends last year.

-I'm so sorry.

Hi.

So, the good news is, it's not Crohn's.

-Just a bad stomach, then.

-You don't look so sure?

Well, because of the amount of swelling around the stomach,

we do want to follow it up further, take a look inside.

-An operation?

-What we do is we put a very small camera in the throat.

It isn't painful. Just a bit uncomfortable.

-And unnecessary.

-Mum...

OK, we'll get you booked in.

Right, well... You need to report for duty.

-I've still got time.

-No, you haven't!

We'll look after her, I promise.

I'll be fine.

OK.

But I'll phone you as soon as I get to base, all right?

I love you.

I love you too.

-And remember...

-Yes, Mum.

-Joe...

Don't be a hero.

Go!

Can I have a glass of water, please?

Of course.

Oh, um...I wondered if you were free at lunchtime.

-Depends.

-I've got something I want to run past you.

-Albie's at two?

-Excuse me.

Great.

Get off me, I don't know you!

-It's all right, Stephen.

-He won't let me examine him.

Stephen won't let anyone he's not familiar with touch him.

I'll do it. Thank you.

Everything OK?

One, two, three, four...

Hello, Stephen. My name's Guy.

Professor Hope is going to open up my chest

and take out my heart and replace it with another one.

That's right, a much better one.

Is it with us?

-Soon.

-All OK?

They've just been held up by some paperwork a tad.

-You know how it is.

-I really do.

So, Stephen, what are these?

-Ingredients.

-Pizza toppings?

Blackberry and fennel?

We like to be original.

He works in an Italian takeaway.

One day I'll run my own.

I'm sure you will.

PAGER BEEPS

Oh, looks like our time's come to a premature end, Professor.

That is a shame.

I'll see you in theatre.

Indeed you will.

Professor Hope?

I'm getting a new heart.

Rotation schedule and study plan for your brood.

Thank you very much, Dr March.

Come on, Digby - two birds, one stone.

I'm house-trained and everything.

Ooh! What's all this?

He won't let me rent Nurse Lane's old boudoir.

But he's perfectly happy to let a total stranger move in.

-Well, that doesn't sound very fair.

-He thinks I'll taint her memory.

She's not dead! And that's not it.

Do you think he's over Chantelle?

Actually, I'm not so sure he is.

-I'm sorry.

-That's ridiculous!

Why all the e-mails, then?

We're friends! Friends keep in touch.

Right. Friends(!)

Mr Levy, do you think he can get through an entire day without mentioning her name?

Please, leave me out of this.

And if you get back to work some time soon, that'd be great.

-I'm totally over her.

-Prove it.

I'm not going to bet you.

Because you can't do it.

-And no e-mails or texts.

-Fine.

-And if you do...

-You're not getting the room.

We'll see!

-I'm meeting other candidates!

-Whatever.

Elliot.

Oh, Jac. Theatre's booked for 1pm. Any joy with Stephen's sister?

No, I can't get hold of her.

-Elliot, I...

-Hopefully she'll make it in time.

Jac, I wonder if you would assist me.

I know it's a little bit beneath you,

but as Mr Self is taking a personal interest,

-Dr March will scrub in...

-Elliot!

What?

Right.

OK.

I'll tell him.

You know, I've always thought that my mum's favourite chicken recipe

would make a good pizza topping.

She picked it up whilst on holiday in Antigua once.

Chicken in a peach and cider vinegar marinade.

And every pizza needs jalapeno peppers and Worcester sauce...

-Stephen...

-I didn't get the heart.

I'm so sorry.

It's OK.

Mrs Claydon, I understand you're due to have an endoscopy.

It's just a bit of stomach flu.

I'm sure it is, but if it's causing you to pass out, I think

we'd better have a proper look. Belts and braces and all that.

Nurse Carter, notes?

Sorry, they were being updated.

Well, can you get them, please?

Sorry about that, amateur hour at the moment.

Now if you could lean your head back for me, please. Thank you.

Open wide.

Everything nice and clear.

Mr Campbell, the notes.

Well, put them down.

Look at me.

That is a blow. So what's plan B?

-Sorry?

-For Stephen? What are we going to do next?

We send him home. We don't have any other options.

You know, this could be a blessing in a kind of messed-up way.

I don't see how.

We could give Stephen a Herzig.

Well, we're not at that point yet.

I was going to bring this up at a later stage, when things were more concrete, Elliot,

but seeing as our hands are somewhat forced...

-I really don't follow.

-I hope you don't mind,

I took the liberty of speaking to a mate of mine in the States...

-OK.

-..and he's keen on taking your baby on trial.

-Fantastic opportunity.

-Well...

I guess I could speak to him about the possibility,

although it would take some organisation.

-I could arrange for a video link-up to the States for today.

-Today?!

So that he can watch you do the operation on Stephen.

Imagine it - worldwide recognition of all your hard work.

Think of the PR potential for this hospital and the Herzig.

Well, we'd need to clear it with the board,

-but that would take some time.

-Leave the board to me.

-OK.

-Good man.

I'll get it sorted.

Yeah, get me Dr Mulholland in Chicago, please.

HE GROANS

Doctor! My stomach hurts.

I thought it was your toe?

HE GASPS

OK. OK. Lie still for a minute.

Dr Digby? Is everything OK?

Mr Douglas is now complaining of abdominal pain.

So I'm thinking indigestion.

Rubbish! It's more serious than that.

I think Rigby wants to get rid of me! Ship me out of here.

Um, how long have you had these pains, Reg?

A little while. Three or four days?

That probably rules out indigestion, then.

Right, can I have a feel?

Yeah, of course, Doctor.

Just feel that for me.

Swelling, tender.

So, what do we do now?

Erm, full bloods, Us and Es, LFT, amylase.

Group and save and clotting.

That's great. 5mg of morphine as well, and IV fluids.

And let's book an abdo X-ray.

Told you I was ill.

Possible causes?

-Erm... bowel obstruction and appendicitis.

-So I get to stay?

Yes, Reg! Yes, yes, you get to stay.

I just thought...

-What, that he was faking it?

-Well...

His wife died 11 months ago.

They'd been married for 45 years. 45 years. No kids, not many friends,

just the two of them.

Imagine that, all that time together and then suddenly you're alone.

Reg doesn't complain, but every now and then,

he just wants some company.

-That's fair enough, isn't it?

-Mmm.

But it doesn't necessarily mean he's faking it.

No.

Right, X-ray, please.

Mr Campbell?

You had to wait approximately one minute on those notes,

-that's not exactly a hanging offence.

-It looked unprofessional.

-Coming from you?

-Excuse me?

Mixing up bloods, me taking the rap for you -

-or had you conveniently forgotten?

-Still on about that?

I'm always professional, Edward.

You're the one who keeps crossing the line.

I haven't got time for this now.

Got yourself a cushy little number, haven't you?

Nice job, back with the ex who just happens to be deputy CEO,

or isn't that what they call nepotism?

Serena and I are a team. We go back. You are just...

You are just a nurse.

It'd be pretty awkward for you if she found out about us, wouldn't it?

You say anything - ANYTHING - and you are out of a job by Christmas.

Do you understand?

Do you want to take your hand off me, Mr Campbell?

-It's ridiculous.

-Why so?

Because the Herzig is a last resort. And an extremely costly one.

-It doesn't have to be.

-And this was all your idea, was it?

Mm-hm. Guy Self.

He may have suggested it,

but I happen to think it's a very good option.

So where do we draw the line?

We can't dish these things out willy-nilly, like sweeties.

"Oh, I've got a heart murmur." "Here, have a Herzig."

No need to be facetious, Jac.

These things cost 200 grand a pop. So why would a bean-counting CEO,

and let's face it, that's what they all are,

want to use one unless it was absolutely necessary?

It doesn't add up.

All I know is that there is a 21-year-old boy out there

who was promised a new heart today,

and five minutes later, it was snatched away from him.

If this is purely for the patient, then fine.

Of course I'm doing it for the patient!

Then I'll back you all the way.

Thank you.

Hold that thought. Kathy, thank you very much.

Nothing.

Strange.

Have his labs come back?

I was waiting for Chantelle... the X-rays!

Right.

Get those bloods done, and then you're going to come with me.

We need to get you sorted out.

OK, guys, come with me.

Are you OK?

Earth to Mary-Claire!

Yeah, fine.

-What's happened?

-Nothing.

-It doesn't look like nothing.

-Gemma, just leave it!

OK!

Ric wants me to speak to Emma Claydon.

Will you come with me?

Um, Emma, love...

We've got the results of your endoscopy.

It's not stomach flu.

No.

How long?

Sorry?

I know I have gastric cancer,

so I'm asking how long I have to live.

So, I wanted you to see something, it's a kind of handmade heart...

Well, who made it?

I did.

It's called the Herzig.

It looks like a robot heart.

-It does, in a way.

-That's cool.

Stephen, unfortunately it would mean

that you would have to come off the transplant list.

I need you to be absolutely sure.

What do you think?

I think it would significantly improve your quality of life.

OK, then.

-Put it inside me.

-Right...

Should we wait until your sister gets here, perhaps?

No.

She'll stop it from happening.

I'm fed up with people making choices for me.

My sister...

my psychologists.

It's my life, not anybody else's.

And I don't want to die.

So, if this is really going to work...

I want it.

Right, there we are.

I thought you wanted some fresh air!

You shouldn't be doing that.

What, in case they give me cancer?

That's a good one.

It killed my mother.

And four others from her side.

So, I got tested for the gene, and guess what?

You should have said earlier.

-You know, the quicker we can start treatment...

-No.

Sorry?

I don't want any.

Why not?

They all had surgery, chemo... they died anyway.

All it did was cause more pain. So, I think I'll pass...

Everybody reacts differently.

Why prolong it?

If death is inevitable, let nature take its course.

What will be, will be.

I don't want my kids to go through what I did.

This way - yes, they'll be sad for a while...

..and then they'll move on.

I don't want to be a burden to them.

Right, better get you back inside. I don't want to get in trouble.

Oh, Dr March,

could you ask medical physics to run diagnostics on a Herzig, please?

Ah - so you're letting Mr Self

-push you into something you're not comfortable with?

-Not you, as well.

Thank you for your concerns, I do know what I'm doing.

OK. So, shall I call Psych for Stephen's evaluation?

He would have had an MTS assessment

prior to his addition to the transplant list.

That was almost three years ago. Surely he needs a new one?

Asperger's can alter with age.

Stephen has an extremely high level of intelligence,

and, having spoken to him,

he more than comprehends what this operation entails.

Shouldn't a psychologist determine that?

Can you tell me why everyone seems hellbent

on thwarting this procedure?

It's early days.

Remove the tumour, course of chemo, Bob's your uncle.

-She won't do that.

-Understandable, given her family history.

She'd prefer to die?

Her body, her choice.

So, what do we do? Just let her go home?

-I think I might have another option.

-PAGER BEEPS

Can you chase up the bloods? And then we'll go and talk to her.

Um, I was just thinking... Outside, I've just seen...

Sorry, I've got to go and deal with this.

ELEVATOR DINGS

Ms Campbell, can I have a quick word?

Actually, can I push in here? It's a rather pressing matter.

Can it wait?

Course. Nothing urgent.

-Well?

-Well, it's just that, er...

I... I'm sorry but I have to cancel lunch. Work.

Oh.

Was it important?

-Um...

-Are you all right? Do you want go somewhere else?

No, no, it's just, um...

I had another thought about Christmas...

I just wondered if you'd like to spend it with me.

Well, not just with me. Ellie, too, of course.

And your mother...

And my mother.

Just think about it.

Let me know.

Serena...

I would love to.

Good.

-Get off!

-Aah!

Are you all right?

I was checking his line. He was asleep.

He's tachycardic.

Systolic in the 60s.

Pulmonary oedema.

Switch him to nesiritide?

Please. Then start him on furosemide.

Increase the oxygen.

Right, Stephen, nice and easy.

We should have got the psych report, like I said...

Oh, it's amazing, isn't it?

Um...no, not really.

Well, you haven't got to the good bit yet.

-There's a good bit?

-Yeah!

You know, when things get too much for me down there,

and I want a break from it all, clear my head...

this is where I come.

Right.

And shout.

-Shout?!

-Yeah.

Top of my lungs, just let it all out.

-Right, I really don't think...

-AAAARGH!

Ahh! Ah, that's better.

I'm not doing that.

Oh, come on.

Only I think you should say it...

-Say what?

-You know.

But then I'd lose the bet.

Well, then I won't tell. Scout's honour.

OK...

-Chantel...

-No.

You've just got to...go for it, OK?

Come on.

-CHANTELLE!

-Yes! Good! Good!

You...heartbreaking blonde parasite!

Whew!

Woo!

That's a bit harsh.

Not really. She walked out.

Just like Chrissie did to you.

No, it's not the same thing.

Yes, cos you had babies, you were married. Blah, blah, blah.

No, no, no, no.

I don't have some gorgeous, young, hot female doctor

practically begging me to have my spare room.

-I mean, what are you, blind?!

-Oh...

What are you, crazy?!

The results of your frozen section

confirm that the tumour is malignant.

I'm really very sorry.

However, we would still like to operate.

As I told Nurse Carter, I'm not going through that.

I understand your concerns, I really do.

But what we're proposing is something much more radical.

If we operate now, it's likely to be curative.

We don't just want to take out the tumour...

We want to remove your stomach.

SHE SCOFFS

Normally, this procedure wouldn't be viable, but we've caught it early.

I know all this.

If the operation's successful, it could give you years, Emma.

She's right.

Now, I can't give you a solid guarantee,

but all the evidence suggests that surgery is the best option.

I'm sorry. It's still a no.

SHE COUGHS

And with all due respect...

I wish you would stop pressurising me.

Excuse me.

For a soldier, you're pretty rubbish at camouflage.

Why are you still here, Joe?

Er, just...just wanted to make sure Mum was all right.

I do actually have to go, though, now, or I'll be in deep...

You know...

I need you to come back in with me.

Why?

She's not well.

Your mum has cancer, Joe.

You, er...

..said she was fine earlier.

We did some more tests.

Does she need chemo?

-She's refusing all treatment.

-Why?

Doesn't think it'll work.

Why didn't you phone me?

She told me not to say anything. She didn't want to worry you.

I need you to come back inside and help me talk her round.

Mr Self...

Ah, Elliot. Good news.

The board have given us the green light for the Herzig,

-so we're good to go.

-Mr Self...

-Guy, please.

We had to cancel the operation.

There was an incident with Dr March.

Stephen pushed her, for very little reason...

-Is she all right?

-She's fine.

But we will have to re-evaluate Stephen's mental capacity

to understand the procedure, which could take some time.

Professor, how bad is Stephen's heart?

His left ventricle has dilated further,

but it's being managed with medication.

So he could deteriorate? Sudden heart failure?

-Mitral regurgitation?

-Of course.

Elliot, everything is in place. It seems crazy to deny him now.

I mean, one three-hour op, he's back tossing pizza,

living his life like a 21-year-old should be.

Not stuck on bed rest, doped up to the eye-balls

and praying for some miracle.

We can give him that miracle -

right here, right now.

But it's totally up to you.

And if you want to cancel, we'll cancel.

It's your call. Let me know.

Joe...?

You just let me leave?

Well, there's nothing to worry about...

Mum, they told me.

It's OK to be scared, you know.

Hey!

Why aren't you with your unit?

-What is it?

-I don't want to go back.

To Kabul?

T-To the army.

Why?

How long have you felt like this?

Six tours in six years, Mum, I can't keep doing it.

I just...

-I want a life, you know?

-Oh, Joe.

You're disappointed.

Relieved, more like.

What?

You think I enjoy all those sleepless nights while you're away?

Blood turning cold every time the phone rings.

But you practically forced me out the door.

I was trying to be supportive.

-So if I resign, you won't...

-No!

What else would I do, though?

You can start by getting a girlfriend.

I wouldn't mind a grandchild before I get too old.

They told me that you're refusing treatment.

You know why.

Come on, Mum.

Please.

Joe...

That's why I didn't want to tell you I wanted out the Army.

You told me never to quit.

Ever.

My little boy.

All grown up.

Oh...

OK.

I'll tell Mr Griffin.

Ah, Rigby.

Dig... Oh, don't worry.

Um, we were unable to find the cause of your problem.

Your blood tests came back normal,

so we need to do an exploratory procedure,

have a look inside your bowel

-and find out what's causing you so much pain.

-An operation?

Yes.

Thanks, Digby.

So, tell me, have you got a girlfriend?

Er, no.

-Ah, you're a gay.

-No!

OK, no need to be homophobic.

I'm not! I'm just...

So why haven't you got anyone, then?

I mean, granted, you are a bit weedy, but you're a doctor.

The ladies love a doctor.

Well...

actually, I... I did have a girlfriend.

She was, er... beautiful, funny, caring.

Very kind. But...

But we split up.

Well, actually, not so much a split,

cos technically we were never together. But we did kiss.

Oh, yeah.

But then she left.

Left?

The country. The continent.

Oh, that's a shame. So, what was her name?

Chan...

Did someone put you up to this?

I'm sorry, Digby.

She was very persuasive, that young female doctor.

-I'm just putty in the hands of a pretty girl.

-Mm.

We're giving Stephen the Herzig this afternoon.

Wait, Elliot...

-What's changed?

-Guy Self.

He's making you do it?

Give me some credit, Jac.

So, what about Psych?

He'll get the assessment.

This isn't like you, Elliot. Steaming in like this.

He wants to send the Herzig to America.

Oh, so now it's about money?

It's clear he doesn't think it's paying its way.

So, if we fail, and his global master plan doesn't come off,

it could all be over, Jac.

A lifetime of work gone in the blink of an eye.

Hi, um...

We have some very good news for you.

PHONE VIBRATES

It's my CO. I really do need to go now.

Your mum's about to have major surgery.

Can you not get compassionate leave or something?

As long as there's someone to look after her post op,

I still need to report.

My daughter's getting the next flight out of Munich.

I know you need to do this properly, Joe.

Report back, hand in your PVR and do your notice.

Will you phone me as soon as she's out?

Promise.

Let's not do that whole goodbye thing again, OK?

My God...

I don't want you to go.

I love you...

..so much, Mum.

My little boy is coming home.

Yes, he is.

OK, Mrs Claydon. You ready?

Submucosa looks healthy.

Is there any sign of diverticular disease?

No, all clear. Bowel looks healthy.

Hold on, hold on...

-There's a hole.

-Mm.

It's tiny.

That's very strange.

Look, look, look...

There's something piercing the colon.

WHAT is that?

It's the letter M...

PHONE RINGS

Hello?

Mr Griffin, it's the bloods department.

Well, would you tell them that I'm a little busy, please?

They're saying it's urgent.

Dr Tressler, would you please continue

the dissection of the greater omentum?

Carefully, slowly, until the correct vessels are exposed.

Hello? Griffin here.

You all right?

Yeah, I just hurt my wrist earlier.

MACHINE BEEPS

Mr Campbell...

20mg of labetalol, please.

Thank you.

MACHINE BEEPS LOUDLY

Splendid.

MACHINE BEEPS RAPIDLY

What's happening, guys?

-GRIFFIN:

-I have to go.

She's in distress. Airway pressure increasing.

-What happened?

-I'm not sure.

-Mr Campbell?

-Give her a couple of seconds.

BEEPING INTENSIFIES

-Sats deteriorating. We're losing her.

-Mr Campbell?!

Bronchospasm. Salbutamol, Nurse Carter, quickly.

Her pulse is 120. Quickly!

BEEPING SLOWS

Fine work, Dr Tressler. Harmonic scalpel, please.

Reg, have you been swallowing anything you shouldn't have?

Yeah, I had some cold cuts this morning

that might have been past their best.

I don't like to throw food away, you see.

More like something that could really hurt you, inside.

Like what?

Well, I'll be blowed.

My Molly's pendant.

Oh, and I thought I'd lost it.

Reg - did you swallow the pendant

so that your wife's initial could be closer to your heart?

Course I didn't! That's stupid talk.

I think what you're trying to say is, wood absorbs water,

just like human tissue, which is why it didn't show up on the X-ray.

Um, Reg...

did you try and hurt yourself to get into hospital?

-A cry for help?

-Pardon me?

Cos we can arrange for someone to come and speak to you.

You're off your rocker.

-So, what happened?

-No idea!

Oh...I did have one too many whiskies the other night,

perhaps I dropped it into me minestrone.

Yeah. Well, we've all been there.

Well, you should heal pretty quickly now that we've got it out.

But I'll still need to stay, yeah? For a little while?

Yes, yes, you will need to say. Yes.

Just for a little while.

OK, ladies and gentleman. Let's begin.

Let's bid hello to our American friends.

Er, morning. Afternoon? Hello.

INTERCOM: Their mic's down, unfortunately.

At least you won't be interrupted.

Are you not scrubbing in?

No, no. I've got some calls to make. I'll be watching, though.

Right. Scalpel, please.

Thank you.

Sternum saw.

Amazing job.

Right, close up, please, Dr Tressler.

Now, I need to know why we almost lost Mrs Claydon

when the operation had barely began.

I'd like to see everybody in my office, please.

So, as you can see, we've exposed the heart,

and now my colleague, Ms Naylor, here,

will begin to dissect the pericardial sac.

Suction.

More suction...

There's too much blood.

It's extremely brittle.

What's happening, guys?

Why doesn't he mind his own business?

Oedematous.

Where?

Pericardial adhesions.

-Are there many?

-A lot.

Stephen must have had an infection.

There's no way we can attach the full Herzig replacement.

Packs.

What are you doing?

There are too many adhesions. It could fall apart.

Suction. Give it to me.

Professor?

We're going to attach an assist device instead.

His heart is too swollen.

You know the assist will give him, what, weeks?

Days to live, even? He'll still need a heart transplant.

When we tell relatives that we did everything we could

for their loved ones, I like to think we actually mean it.

Clamps.

-I'll see you in there.

-Mm-hm.

Don't forget your hard hats.

-You're some piece of work.

-What?

-Edward...

-Mr Campbell.

You asked for labetalol when she's asthmatic.

-Is that right?

-You didn't her check notes properly, did you?

We nearly killed her!

I believe it was you who handed me the medication, Nurse Carter.

I shouldn't have to keep tabs on you all the time.

Oh, no, I am not covering for your mistakes again.

I'm not asking you to.

Good, then you'll admit it.

Admit what, exactly?

That you asked for the wrong drug!

-Did I, really?

-Yes!

Prove it.

OK, slow down, please...

and increase the vent.

Pressure's low.

The onflow and outflow are irregular.

The heart rate needs to be reduced.

Increase the delay by 100 milliseconds. Now.

Come on.

OK.

He's stable.

OK.

Thank you, everyone.

Not the result we wanted, but good job nonetheless.

The patient could have died.

I need to know what happened.

Well, she had a bronchospasm.

Yes, but why?

Was it the medication when she crashed?

-It certainly looks that way.

-What was administered?

Labetalol.

She's asthmatic. Why would you give her a beta blocker?

I didn't.

Excuse me?

I asked Nurse Carter for oxacillin, and she gave me the wrong drug.

That's not true.

Then what is?

-He didn't check her notes.

-Oh, don't be ridiculous,

of course I did. Do you think I'm that inept?

He's lying!

I'm afraid SHE is lying, Ric.

How can you sit there and say that?!

Nurse Carter, calm down.

Dr Tressler...

..did you see what happened?

No. Sorry. I didn't.

PHONE RINGS

Arthur Digby. Hi.

Yes, yes, yes, it's available now. Yep.

Yep, can I just check, you're not a student, are you?

OK, good. Yeah.

OK, yep, just give me a second.

Charles...

..Lorte-Carr.

Um, well, what time would suit?

Yep, OK. And you have my address?

Ooh! Superb.

Yep. OK. I'll see you this evening.

Yep, bye.

How are you feeling?

A lot lighter.

So...

when does the chemo start?

It doesn't, we got it all.

Are you sure?

We're sure.

I phoned Joe to tell him the good news.

He's going to call as soon as he lands.

And Mr Griffin's going to pop by really soon.

Is there anything else you need?

Thank you.

You know, I reckon that Joe fancied you.

Ugh, I think I'm going to give celibacy a bash.

Yeah, right(!)

If they'd just been honest with each other, though...

Ah, well. When things are held together by a lie,

they tend to fall apart pretty quickly.

OK smarty pants... That's a bit deep for me.

It's true, though, don't you think?

Hey, Digby. I wouldn't worry, I haven't got too much to pack.

Excuse me?

Sorry.

Scout's honour?!

She has...ways.

Pathetic.

So, have you got a spare key, or shall I get one cut?

-I'm sorry, but no can do.

-Why?

I've got a guy coming to see it this evening.

He sounds like a nice chap. So, pretty much a done deal.

Er, we had a bet.

Yeah, you can't really put a wager on something like that.

Besides, we work together, so not really sure it's a good idea.

And he's back.

Win some, lose some.

Is this a game to you?

All I'm saying is that surgery is a roll of the dice.

You couldn't have known before you opened him up.

I went against my better judgment.

We should never have rushed this.

You gave him a chance.

I gave him hope. Now there might not be any.

He's back on the transplant list, though?

We'll need to assess

whether he could cope with another procedure first.

We won't know for sure for a couple of days, at least.

Not until the medication takes effect.

Pretty grim all round, really.

Thank you for that.

Keep me updated, please.

Of course.

Oh, and the American thing.

Not going to happen, I'm afraid.

Right.

DOORBELL RINGS

My kind of person.

What are you doing here?

-DEEP VOICE:

-Charles Lorte-Carr.

Pleasure to meet you.

Nice.

Mr Griffin.

I didn't tell you everything earlier.

Go on.

-Mary-Claire...

-Um...

It isn't the first time this has happened.

What do you mean?

Two weeks ago Mr Campbell mixed up bloods.

He ordered group and save instead of cross-match.

Mr Campbell told me that it was you who forgot to place the order

in the first place.

I realised at the last minute that we had the wrong blood

so I covered for him.

You got the order form to corroborate this?

He ripped it up.

Convenient.

You don't believe me?

Why would you jeopardise your job, everything that you've worked for?

I see.

Mr Griffin...

Look, what happens between two adults outside of this hospital -

I frankly don't care.

But what happened in there, in my theatre,

somebody's going to be held to account.

I.E., me.

If your conscience is clear, you have nothing to worry about.

And if I do get the blame, what's the worst-case scenario?

SHE SOBS

Mary-Claire? What's happened?

I'm finished.

That's what happened.

Wow...tears at work. Must be serious.

Let me guess - man trouble?

Oh, brilliant.

Yeah, Colette Sheward. Your boss.

Here you go. It's clean.

I'll leave you to it.

So, shall we grab a coffee, then?

Come on.

It's all right.

I'm so sorry, Stephen.

Believe it or not, I've been a big supporter of Mary-Claire.

I actually think that she's a great nurse.

But when a patient's nearly killed -

well, that's not something I can just sweep under the carpet.

Yes, but we don't know that she's at fault.

Mr Campbell says that she passed over the wrong drug...

But she says Mr Campbell asked her for it.

Mr Campbell is a consultant who's got 25 years of medicine behind him.

And Mary-Claire is just a nurse.

-That isn't what I meant.

-Yes, it is.

Look, if it's all right with you, I think that I should take this over.

It happened in my theatre.

And one of my nurses is getting hammered for it.

So, going by the book, it's my department.

Trust me, Mr Griffin,

if she's to blame, she will be dealt with. Severely.

I could get used to this.

Flatmates.

Now, about that blue room.

I need sunglasses just to look at it.

-You're going to have to repaint.

-Me?

Mmm, you.

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