0:00:02 > 0:00:04The man you dismissed as an oddball has been managing undiagnosed
0:00:04 > 0:00:07autism and you discharged him when he needed a critical operation.
0:00:07 > 0:00:11All I wanted to be able to do was provide for my kids, and I failed.
0:00:11 > 0:00:15- You're not staying another night in a B&B.- Thanks.
0:00:15 > 0:00:18I don't want you to leave. This hospital needs you.
0:00:18 > 0:00:20You're my kind of bloke.
0:00:20 > 0:00:23The last time somebody looked at me the way he has just looked at you,
0:00:23 > 0:00:25I ended up moving in with him.
0:00:27 > 0:00:29There is a complaint of negligence against you.
0:00:29 > 0:00:31You have been here all of five minutes.
0:00:31 > 0:00:33What the hell do you know about me?
0:00:33 > 0:00:34The complaint stands.
0:01:15 > 0:01:17If I ever need a reason to get out of bed in the morning
0:01:17 > 0:01:18and come to work...
0:01:18 > 0:01:21- Mm, it is beautiful. - The perfect storm.
0:01:21 > 0:01:25Large distal arch and proximal descending aortic aneurysm.
0:01:25 > 0:01:26Pure joy.
0:01:26 > 0:01:28How can something so deadly...
0:01:28 > 0:01:30Just look so beautiful?
0:01:30 > 0:01:33It's kind of a beauty-in-the-eye-of-the-beholder
0:01:33 > 0:01:34situation, I think.
0:01:34 > 0:01:36You don't think this is beautiful?
0:01:36 > 0:01:39It could explode at any moment and kill your patient.
0:01:39 > 0:01:41Just makes it more beautiful.
0:01:41 > 0:01:42In your opinion.
0:01:42 > 0:01:44This is exactly what I've been waiting for.
0:01:44 > 0:01:47For months. Years.
0:01:47 > 0:01:49Since Seoul, Korea, 2014.
0:01:49 > 0:01:52An aneurysm so perfectly deadly.
0:01:52 > 0:01:54You got something special up your sleeve?
0:01:58 > 0:02:01Total arch replacement and descending aortic repair
0:02:01 > 0:02:04with a brand-new frozen elephant trunk.
0:02:05 > 0:02:07- It's transformative.- It's noisy.
0:02:07 > 0:02:08It's refreshing.
0:02:08 > 0:02:09It's reenergising.
0:02:09 > 0:02:10It's very noisy.
0:02:10 > 0:02:12It's, erm, disturbingly noisy.
0:02:12 > 0:02:14The sort of noises that I'd really rather not, erm...
0:02:14 > 0:02:18I can't eat. I can't concentrate.
0:02:18 > 0:02:20I'm definitely not getting enough sleep.
0:02:20 > 0:02:23- Me neither. - It's just so...- Noisy!
0:02:23 > 0:02:24Would you keep it down, please?
0:02:24 > 0:02:28He's still sleeping. The poor thing's exhausted.
0:02:28 > 0:02:30Right, can we just get to work? Come on.
0:02:30 > 0:02:32You know, for years I've been so cynical,
0:02:32 > 0:02:35just thinking that love was something to sell
0:02:35 > 0:02:39Valentine's Day cards or stupid heart-shaped jewellery.
0:02:39 > 0:02:41Can't you stay at his place occasionally?
0:02:41 > 0:02:45He's very picky about who he invites to his own private environs.
0:02:45 > 0:02:48Meanwhile he's all over our "environs" like a fungal rash.
0:02:48 > 0:02:51But I am definitely due a visit soon.
0:02:51 > 0:02:52Not soon enough.
0:02:52 > 0:02:54Oh, you know, what is it?
0:02:54 > 0:02:56You just can't see me happy, can you?
0:02:56 > 0:02:58Is that just too hard to swallow?
0:02:58 > 0:03:00Quiet happy, good.
0:03:00 > 0:03:03All night long, noisy happy, not good!
0:03:03 > 0:03:05You could suck the ho-ho-ho out of Christmas.
0:03:07 > 0:03:10We're just not used to seeing you so... Whoa!
0:03:10 > 0:03:14What? Happy? Content? In love? You know what?
0:03:14 > 0:03:17You'd just prefer it if I was just "Sad-Sack" Dom.
0:03:17 > 0:03:20Desperate, depressed, lonely Dominic.
0:03:20 > 0:03:24Well, you know what? You can kiss my figgy pudding.
0:03:28 > 0:03:33Well, you have collated a series of figures outlining Ms Naylor's
0:03:33 > 0:03:36mortality rates relating to operating schedules over...
0:03:38 > 0:03:41..eight years of cardiac procedures.
0:03:41 > 0:03:43Just because people are in a position of power
0:03:43 > 0:03:47doesn't mean they're good people. Or should be trusted.
0:03:47 > 0:03:51Well, I understand you may be a little disappointed by this result
0:03:51 > 0:03:56but Mr Orson's case notes have been carefully reviewed
0:03:56 > 0:03:59and Ms Naylor's clinical care was entirely appropriate.
0:04:01 > 0:04:05And I would trust her and her ability in the operating theatre
0:04:05 > 0:04:08over any cardiac surgeon in the country.
0:04:08 > 0:04:11Well, look at the figures. Maybe you wouldn't
0:04:11 > 0:04:14if you looked into how many patients die at her hand.
0:04:14 > 0:04:19Yes, but she operates on diseased and damaged hearts every day.
0:04:19 > 0:04:22Many of the patients in most parlous condition.
0:04:22 > 0:04:25- And they die! - Yes. Sometimes they do.
0:04:25 > 0:04:29Now, if you'll excuse me, I need to get to a departmental meeting.
0:04:29 > 0:04:33318 operations in 2013 with a mortality rate of 4.85%.
0:04:35 > 0:04:37Many patients who are so near to death
0:04:37 > 0:04:40have only a one in ten chance of survival, don't they?
0:04:40 > 0:04:41The figures speak for themselves!
0:04:41 > 0:04:44No, these don't.
0:04:44 > 0:04:46By the Society for Cardiothoracic Surgery data,
0:04:46 > 0:04:50she falls well within the two standard deviations of risk.
0:04:53 > 0:04:55Why are you doing this?
0:04:57 > 0:04:59Someone has to stand up.
0:04:59 > 0:05:00Expose the lies.
0:05:02 > 0:05:08Silence and secrets. That's how abusers of power stay in power.
0:05:09 > 0:05:10Excuse me.
0:05:16 > 0:05:19Hogmanay was always a bigger thing than Christmas Day in our house.
0:05:19 > 0:05:22It was Giuseppe's big night. He was in demand all up the street.
0:05:22 > 0:05:24- Gigolo, was he?- First-footing.
0:05:24 > 0:05:26Eh?
0:05:26 > 0:05:28First man through the door after midnight.
0:05:28 > 0:05:30Usually carrying a lump of coal.
0:05:30 > 0:05:32Coal? Do you know what? Stuff independence.
0:05:32 > 0:05:35We should have just done a massive refurb on Hadrian's Wall.
0:05:35 > 0:05:38It meant good luck to the household for the rest of the year.
0:05:38 > 0:05:40The darker the first-footer's hair, the better the luck.
0:05:40 > 0:05:43Now, that - I could do with a house full of good luck for a change.
0:05:43 > 0:05:44You have had a bit of a rough year.
0:05:44 > 0:05:47Yeah, and I told the kids that we'd be in our own house by Christmas.
0:05:47 > 0:05:48I'm a bit disappointed.
0:05:48 > 0:05:51Oh, I get it. You lot can't wait to be away from me, is that it?
0:05:51 > 0:05:53No, not at all. You're a top man.
0:05:53 > 0:05:55I just feel like I'm letting them down.
0:05:55 > 0:05:58I can't wait to see the back of 2015.
0:05:58 > 0:06:00Good luck was definitely out of fashion.
0:06:00 > 0:06:03- Is this him...? - A bit like that fur coat.
0:06:03 > 0:06:05A & E didn't get a surname. They think his name is Aubrey.
0:06:05 > 0:06:08- Not making a lot of sense, is he? - Seems very confused.
0:06:08 > 0:06:11Also complained of severe headaches, and he's quite dehydrated as well.
0:06:11 > 0:06:13Had a bit of a tumble, did you, Aubrey?
0:06:13 > 0:06:16Turns out he was knocked over by a bike. Hit and run.
0:06:16 > 0:06:19A bike? Here's me thinking I had bad luck.
0:06:20 > 0:06:22I saw it.
0:06:22 > 0:06:23The bike?
0:06:24 > 0:06:25The light, my dear boy!
0:06:26 > 0:06:28I saw the light.
0:06:35 > 0:06:36Frozen what?
0:06:36 > 0:06:38Kathryn. Chill!
0:06:38 > 0:06:41"Frozen Elephant Trunk" is the name given to this procedure
0:06:41 > 0:06:43because the graft device we fit looks like...
0:06:43 > 0:06:45An elephant's trunk!
0:06:45 > 0:06:46Only it's frozen.
0:06:48 > 0:06:51This is a state-of-the-art, fifth generation, complex graft design.
0:06:51 > 0:06:54In my business, "redesign" means there was something wrong
0:06:54 > 0:06:56with the last go round.
0:06:56 > 0:06:59This just gets better and better. It's a piece of genius.
0:06:59 > 0:07:02Does in one operation what is usually a two-stage procedure.
0:07:02 > 0:07:03I'm sold!
0:07:03 > 0:07:05No, hang on a minute.
0:07:05 > 0:07:08How many of these have you done?
0:07:08 > 0:07:11Using the previous device, lots.
0:07:11 > 0:07:14Using the new device, she will be the first.
0:07:15 > 0:07:17Ever?
0:07:17 > 0:07:19At Holby, yes, but we have governance approval
0:07:19 > 0:07:22and I've performed the surgery in South Korea under supervision.
0:07:22 > 0:07:26- The first?- I am positively thrilled to be the first.
0:07:26 > 0:07:27Alice, you don't know what...
0:07:27 > 0:07:28Bring it on!
0:07:30 > 0:07:34Consent to her is just a piece of paper that needs to be signed.
0:07:34 > 0:07:35Now, that simply isn't true.
0:07:35 > 0:07:37Tell that to your past patients.
0:07:38 > 0:07:41Are you refusing to consider seriously
0:07:41 > 0:07:44my submission of evidence, which I believe exposes
0:07:44 > 0:07:47unsafe practice in your Cardiothoracic Department?
0:07:47 > 0:07:49- No, of course that is not what I'm doing.- Good.
0:07:49 > 0:07:52However, I think that while you're making these accusations,
0:07:52 > 0:07:54you might be happier working on another ward.
0:07:54 > 0:07:57No. Absolutely not.
0:07:57 > 0:08:01Move me and it'll look like you're trying to gag a whistle-blower.
0:08:02 > 0:08:04Is that what you're trying to do?
0:08:07 > 0:08:10The ED couldn't find any ID on him.
0:08:10 > 0:08:11What, no bag?
0:08:11 > 0:08:13Did you have a bag, Aubrey?
0:08:13 > 0:08:15Did someone steal your bag?
0:08:15 > 0:08:17Hit and run and mugged. See, that IS cruel.
0:08:17 > 0:08:19It was beautiful.
0:08:19 > 0:08:21- What, your bag?- The light.
0:08:22 > 0:08:23Glimmered...
0:08:25 > 0:08:26..and shimmered...
0:08:28 > 0:08:29..and glistened.
0:08:29 > 0:08:32Yeah, I forgot about the light(!)
0:08:32 > 0:08:35- What sort of fur do you reckon that is?- Wolf?
0:08:35 > 0:08:39Bear? Maybe like a brown bear or Prussian black? I don't...
0:08:39 > 0:08:41Well, the label says Savile Row.
0:08:41 > 0:08:43So whatever animal it was, it cost an arm and a leg.
0:08:43 > 0:08:45Push plenty of fluids.
0:08:45 > 0:08:4930 minute obs and can you clean up that head wound, please?
0:08:49 > 0:08:51Are you from London, Aubrey?
0:08:51 > 0:08:54Or are you an international playboy, just stopping off in Holby
0:08:54 > 0:08:56- on his way to Monte Carlo? - SHE LAUGHS
0:08:56 > 0:08:58I wanted to go towards the light.
0:09:00 > 0:09:04But...behind the light was a face.
0:09:04 > 0:09:08Listen, try and think back to before the light.
0:09:08 > 0:09:11So this morning, when you woke up.
0:09:11 > 0:09:13Where were you?
0:09:13 > 0:09:14Where's home?
0:09:16 > 0:09:18Face.
0:09:18 > 0:09:20Peering down at me.
0:09:21 > 0:09:22Smiling.
0:09:22 > 0:09:24Was it the cyclist?
0:09:24 > 0:09:25Probably the paramedic.
0:09:26 > 0:09:28It was an angel.
0:09:29 > 0:09:31An angel.
0:09:31 > 0:09:32Let me guess.
0:09:32 > 0:09:36The angel said to you, "Don't go towards the light, Aubrey?"
0:09:36 > 0:09:40She said she'd call down her father.
0:09:40 > 0:09:41Maybe God?
0:09:41 > 0:09:43And...
0:09:44 > 0:09:46..that I shouldn't wear fur.
0:09:47 > 0:09:49HE CHORTLES
0:09:51 > 0:09:54HE COUGHS VIOLENTLY
0:09:56 > 0:10:01# There is just one thing I need, I don't care... #
0:10:01 > 0:10:02- Oh!- Whoa, whoa!
0:10:07 > 0:10:09Oh! Silly me.
0:10:11 > 0:10:14Must've taken a wrong turning after the ladies' room.
0:10:14 > 0:10:15Yeah, right(!)
0:10:17 > 0:10:21- Fletch, there's a call for you at the desk.- Eh?
0:10:21 > 0:10:25It's school. About Evie. And they say it's urgent.
0:10:25 > 0:10:26Thanks.
0:10:30 > 0:10:32Hello?
0:10:32 > 0:10:35So, let's talk through Ms Naylor's plan.
0:10:35 > 0:10:41The frozen elephant's trunk is a hybrid vascular prosthesis
0:10:41 > 0:10:43consisting of a tube graft, here,
0:10:43 > 0:10:47but also an extra endovascular stent graft here,
0:10:47 > 0:10:51which can be inserted into your descending aorta.
0:10:51 > 0:10:54Are you going to stick all of that inside of me?
0:10:54 > 0:10:55Said the actress to the bishop!
0:10:55 > 0:10:57Yes, well, not this exact one, of course,
0:10:57 > 0:10:59but one that looks a little like it.
0:10:59 > 0:11:01We will cut the great vena cava...
0:11:01 > 0:11:03Kat, it's just so weird they're going to, like,
0:11:03 > 0:11:05stick all of that inside of my chest.
0:11:05 > 0:11:07Are you sure this is a good procedure?
0:11:07 > 0:11:10Um, I'm just worried you're not taking this seriously.
0:11:10 > 0:11:12This is major surgery. You do realise that...
0:11:12 > 0:11:16Zosia? I think Alice understands perfectly.
0:11:16 > 0:11:19Right, we're going to cut you open. Spread your chest bones...
0:11:19 > 0:11:21Yes, thank you!
0:11:21 > 0:11:24- If I worry, is it going to help? - No...
0:11:24 > 0:11:29No, well, always look for the positive. That's my motto.
0:11:29 > 0:11:30Good motto.
0:11:32 > 0:11:36So a friend saw her arrive, but she didn't make it to registration?
0:11:37 > 0:11:39I don't get it. That's not truancy.
0:11:42 > 0:11:45There will be a perfectly reasonable...
0:11:45 > 0:11:47I just think that you're over-reacting.
0:11:49 > 0:11:51No! Bloody stupid is what I call...
0:11:51 > 0:11:52Nurse Fletcher!
0:11:52 > 0:11:56What are you doing with your back to the ward? For heaven's sake!
0:11:56 > 0:11:58It's all right, it's all right. OK. Can you help me here, please?
0:11:58 > 0:12:01Sorry. On three. One, two, three.
0:12:02 > 0:12:04There we are.
0:12:04 > 0:12:08Well, you definitely don't look like you need to shoplift.
0:12:08 > 0:12:13I don't look like I need to shoplift, because I shoplift!
0:12:13 > 0:12:16No-one normal can afford these labels, unless they steal them,
0:12:16 > 0:12:18or pay someone like me to steal for them.
0:12:18 > 0:12:21So that's...that's what you do?
0:12:21 > 0:12:23Hmmm. "Liberate" to order.
0:12:23 > 0:12:25Yes, I am like a personal shopper.
0:12:25 > 0:12:30I do dressing, styling, fashion advice, colour consultancy...
0:12:30 > 0:12:33So more like a personal shoplifter...?
0:12:33 > 0:12:36Customised purchases to suit the client.
0:12:36 > 0:12:39Just, I don't do the... purchasing bit.
0:12:40 > 0:12:42Robbing?
0:12:42 > 0:12:45I'm a professional thief. Yes, I am.
0:12:45 > 0:12:47Robin Hood of retail.
0:12:47 > 0:12:51Taking haute couture from the rich designer brands and...
0:12:51 > 0:12:53Giving them to the poor?
0:12:53 > 0:12:56Mmm, not exactly "giving". No.
0:12:56 > 0:12:59That bit I don't really do either.
0:13:03 > 0:13:05Could you chase Alice's bloods?
0:13:05 > 0:13:08Check in with Anaesthetics, see what time they're coming down?
0:13:08 > 0:13:10Hmm, sure.
0:13:11 > 0:13:12Everything OK?
0:13:14 > 0:13:16Yeah. Your patient, Alice Thorne.
0:13:16 > 0:13:19She seems surprisingly upbeat for someone about to have
0:13:19 > 0:13:20a major procedure.
0:13:20 > 0:13:23Yes. She has a very positive outlook on life.
0:13:23 > 0:13:27Hmm. Which can sometimes be a mask for hidden fears.
0:13:27 > 0:13:30I guess everyone has their own coping mechanisms.
0:13:30 > 0:13:34Ms Naylor doesn't seem too concerned, does she?
0:13:34 > 0:13:38Ms Naylor would prefer all her patients to be unconscious.
0:13:38 > 0:13:41OK, I'll be there in a minute. Cheers.
0:13:42 > 0:13:43I didn't mean to snap.
0:13:43 > 0:13:46I get it. You know what? I'd be narked with me, too, if I was you.
0:13:46 > 0:13:49I'm just sick of personal matters interfering with the running of the ward.
0:13:49 > 0:13:52But of course, you've got to go find out where Evie's gone.
0:13:52 > 0:13:54She'll be at school. She's not one for bunking off.
0:13:54 > 0:13:56Anyway, I've got to get Aubrey's chest X-rays.
0:13:56 > 0:13:59- I do appreciate your children only have you.- Yeah,
0:13:59 > 0:14:01but I can't just keep dropping everything - including
0:14:01 > 0:14:05my patients - every time there's a Fletcher family crisis, can I?
0:14:05 > 0:14:06I am truly sorry.
0:14:06 > 0:14:10To be honest, I'm not angry at you, I'm disappointed...
0:14:10 > 0:14:12Me too. I'm not achieving...
0:14:12 > 0:14:14..at my own situation.
0:14:15 > 0:14:17OK. In what way?
0:14:18 > 0:14:20Well, it's just that...
0:14:21 > 0:14:22..Evie.
0:14:24 > 0:14:25What is she...?
0:14:28 > 0:14:30Fletch, sorry I lost my temper.
0:14:30 > 0:14:32You know what? Don't worry about it.
0:14:32 > 0:14:34Anyway, I'm about to lose mine.
0:14:41 > 0:14:43What are you doing here?
0:14:43 > 0:14:45You are in so much trouble, young lady.
0:14:45 > 0:14:47We've spoken about this before. You do not leave school.
0:14:47 > 0:14:49Not for any reason whatsoever.
0:14:49 > 0:14:51My angel! It's her!
0:14:51 > 0:14:53- Hey, Aubrey.- My angel!
0:14:53 > 0:14:55Told you my dad'd fix you up, didn't I?
0:14:55 > 0:14:58Look! No fur!
0:15:01 > 0:15:04- Turquoise? - Tetanus?- Or teal?
0:15:04 > 0:15:06Still in date until 2017.
0:15:06 > 0:15:08OK. Who's this for now?
0:15:10 > 0:15:12Helen. I thought the earrings were for Helen.
0:15:12 > 0:15:15No, no. Chrissie. Chrissie. Earrings for Chrissie to keep her sweet,
0:15:15 > 0:15:17for Daniel's sake. Chrissie's easy.
0:15:17 > 0:15:20Buy anything gold, doesn't matter what it is.
0:15:20 > 0:15:25- Yeah, but the pashminas, though? Really?- FBC Us and Es?
0:15:25 > 0:15:29They've been taken and sent off. Just waiting for results.
0:15:29 > 0:15:31Pashminas always go down really well, don't they?
0:15:31 > 0:15:32Do they?
0:15:34 > 0:15:36A woman of a certain age.
0:15:36 > 0:15:39You can't have too many expensive scarves, can you?
0:15:39 > 0:15:42Anyway, this site's great because, you know, if there's a problem,
0:15:42 > 0:15:45instant credit gift voucher. So, it's easy.
0:15:45 > 0:15:47Contra-indicated medicines?
0:15:47 > 0:15:50Nothing in the history, apart from an allergy to penicillin.
0:15:50 > 0:15:52Although her hands were a little bit shaky.
0:15:52 > 0:15:55But that could just be the anxiety from being arrested.
0:15:55 > 0:15:57Right, let's run a urine test and check
0:15:57 > 0:15:59if there's any problems with her kidneys or dehydration.
0:15:59 > 0:16:01OK.
0:16:01 > 0:16:04Why don't you just get a gift voucher in the first place?
0:16:04 > 0:16:06Do you know nothing about middle-aged ex-wives?
0:16:06 > 0:16:08Do you know me?
0:16:09 > 0:16:10Touche.
0:16:10 > 0:16:13Now, Essie. She's the wild card.
0:16:13 > 0:16:16History's short and gift success rate is quite mixed.
0:16:16 > 0:16:18But of all the women I'm buying Christmas presents for,
0:16:18 > 0:16:21she's the one I most want to really, really want to impress.
0:16:21 > 0:16:22What scent does she wear?
0:16:23 > 0:16:26Um...French.
0:16:26 > 0:16:29Citrus, floral or musk?
0:16:29 > 0:16:31- Er...- Start from basics.
0:16:31 > 0:16:35- OK, does she prefer red wine or white?- Rose.
0:16:35 > 0:16:37- Age?- Early 40s.
0:16:37 > 0:16:40- Last record she bought? - Carly Simon's Greatest Hits.
0:16:40 > 0:16:43And how does she feel about chick lit?
0:16:43 > 0:16:47Loves it openly, loves it secretly? Would never read chick lit?
0:16:48 > 0:16:52Um... Wow.
0:16:52 > 0:16:54And nobody else saw him get hit by the bike?
0:16:54 > 0:16:57Charmayne and Honey Mae. I told them to tell Miss Atkinson.
0:16:57 > 0:16:59Well, obviously they didn't.
0:16:59 > 0:17:01Probably forgot. Attention span of a gnat.
0:17:01 > 0:17:03The school thought that you'd done a bunk, love.
0:17:03 > 0:17:05Cyclist done a bunk. I saw him.
0:17:05 > 0:17:08Just left Aubrey lying there on the ground.
0:17:08 > 0:17:10Well why didn't you go and tell a teacher then?
0:17:10 > 0:17:11Recovery position. Clear the airway.
0:17:11 > 0:17:14Don't move any more than necessary. Dial 999.
0:17:14 > 0:17:18Stay put until paramedics arrive. It's what you've always taught me.
0:17:18 > 0:17:20Position. Airway. Ambulance.
0:17:20 > 0:17:22I just wish you'd gone back to school after.
0:17:22 > 0:17:24Paramedic said I done brilliant.
0:17:25 > 0:17:28Yeah, I mean... You did do brilliant...
0:17:28 > 0:17:31Wouldn't let me ride in the ambo, though. So I walked.
0:17:31 > 0:17:34- What do you mean, you walked?- I wanted to see how Aubrey was doing.
0:17:34 > 0:17:36Lovely. Right - school.
0:17:36 > 0:17:39Aubrey had a pulse of 100 at the scoop.
0:17:39 > 0:17:42Medic said BP was 100 over 60.
0:17:42 > 0:17:43How's he doing now?
0:17:46 > 0:17:51I do know he'd be a lot worse off if it wasn't for you, so...
0:17:51 > 0:17:53let's go and see.
0:17:53 > 0:17:56Milk, dark or white chocolate?
0:17:56 > 0:17:59Milk. Tonnes of it. Big chunks.
0:17:59 > 0:18:01None of that sort of wafer-thin stuff.
0:18:01 > 0:18:03Last time you took her somewhere and she loved it -
0:18:03 > 0:18:05really loved it?
0:18:05 > 0:18:07I mean, when you cuddled up in bed that night,
0:18:07 > 0:18:09she whispered, "You're a wonderful man,"
0:18:09 > 0:18:11and stuck her tongue in your ear?
0:18:13 > 0:18:16- I took her to the theatre. Just once.- OK, OK, OK.
0:18:16 > 0:18:18Here's what you do.
0:18:19 > 0:18:22You buy an evening clutch bag
0:18:22 > 0:18:25in Italian kid leather.
0:18:25 > 0:18:26In...
0:18:28 > 0:18:29..thistle purple.
0:18:31 > 0:18:33Thistle. Hang on, sorry.
0:18:33 > 0:18:35Thistle...
0:18:35 > 0:18:38- purple.- Remember "thistle". - I will, I will.
0:18:38 > 0:18:44And in it you put two tickets to The Nutcracker at the Coliseum
0:18:44 > 0:18:50and a tiny pair of white gold diamond stud earrings.
0:18:50 > 0:18:52That's amazing.
0:18:52 > 0:18:54Oh, that's...
0:18:55 > 0:18:57You're a genius. Thank you so much.
0:18:59 > 0:19:02Right, whatever's the matter with you, we're going to mend you.
0:19:02 > 0:19:06OK, you're going to go out of here like new.
0:19:06 > 0:19:08Thank you.
0:19:11 > 0:19:14Oh, that is quite some gift.
0:19:14 > 0:19:15Yes, it'll work.
0:19:15 > 0:19:17No, I meant what you just did for Mr Levy.
0:19:17 > 0:19:20Reading his girlfriend like that and working out what she'd want.
0:19:20 > 0:19:24I wasn't always a thief. I worked in Beauty and Accessories
0:19:24 > 0:19:27- at a London department store through my- 20s. Really?
0:19:27 > 0:19:31Hm. Learn a lot about people in retail.
0:19:31 > 0:19:34Well, your blood test results are back.
0:19:34 > 0:19:38You do have an elevated white blood cell count at the moment,
0:19:38 > 0:19:40and your haemoglobin levels are low.
0:19:40 > 0:19:43Now, that, coupled with the lethargy and the aching,
0:19:43 > 0:19:45leads me to believe that this could be anaemia.
0:19:45 > 0:19:48- You want to know what I think it is? - What?
0:19:50 > 0:19:52I think I've got a brain tumour.
0:19:52 > 0:19:54'Forgive me if I'm speaking out of turn.'
0:19:54 > 0:19:57- I just thought you should know. - Guinea pig?
0:19:57 > 0:19:59I didn't want to say anything in front of your sister
0:19:59 > 0:20:02- because it's her decision. - Yeah, guinea pig?
0:20:02 > 0:20:06Of course, the hybrid graft goes through rigorous testing.
0:20:06 > 0:20:09It's just, a complex graft like that, it only works
0:20:09 > 0:20:11if it's fitted properly.
0:20:11 > 0:20:13She did say she'd...
0:20:13 > 0:20:15Well, that they'd never done one before, at Holby.
0:20:17 > 0:20:20And she outlined the huge risks the procedure carries?
0:20:20 > 0:20:22She mentioned pros and cons.
0:20:22 > 0:20:26OK. Well, there's this website. It's American.
0:20:26 > 0:20:29Lots of theorists and patients.
0:20:29 > 0:20:33The blog is full of case histories. I can give you the link.
0:20:33 > 0:20:36The other doctors though did seem to think Jac Naylor is the best
0:20:36 > 0:20:37consultant to be doing this.
0:20:37 > 0:20:40- She's their boss. - Yeah, I get that, but...
0:20:40 > 0:20:42I mean, she's been to international conferences, and...
0:20:42 > 0:20:46Where medical reps encourage them to try out their new products.
0:20:48 > 0:20:51So, this graft, it's...
0:20:51 > 0:20:53Well, it's new.
0:20:53 > 0:20:55So they're keen to try it out on guinea pig patients.
0:20:57 > 0:21:01Also, and I hope you don't mind me saying, Alice seems very upbeat.
0:21:01 > 0:21:03- Very positive.- Always.
0:21:03 > 0:21:05Like maybe she's in some sort of denial?
0:21:05 > 0:21:08- She lives in a state of denial. - Uh-huh.
0:21:08 > 0:21:10And you feel that Jac Naylor
0:21:10 > 0:21:12has taken this into serious consideration?
0:21:12 > 0:21:14Oh, I don't know.
0:21:14 > 0:21:17Even her colleagues think she's trigger happy
0:21:17 > 0:21:20when it comes to experimental procedures.
0:21:22 > 0:21:24- It's not... - It's... It's not what?
0:21:27 > 0:21:30It's not the first time Jac Naylor's done something like this.
0:21:43 > 0:21:48Right, OK, so did you bang your head today at all?
0:21:48 > 0:21:51I fell down a flight of stairs and an escalator.
0:21:51 > 0:21:53Not much of me I didn't get banged.
0:21:54 > 0:21:56Right, well, what I can do is
0:21:56 > 0:22:00when Neuro come down, I will strongly recommend a scan.
0:22:00 > 0:22:03Oh, would you? I'd be so grateful.
0:22:03 > 0:22:05It'll put my mind at rest.
0:22:06 > 0:22:11And, in return, I'll tell you what to buy your boyfriend for Christmas.
0:22:13 > 0:22:16I'm sorry, I don't remember mentioning that.
0:22:16 > 0:22:18Don't be silly, a boy like you.
0:22:21 > 0:22:26Um, but I did think about it. I just...
0:22:27 > 0:22:30I don't know, I didn't want to go over the top
0:22:30 > 0:22:34and end up coming across as clingy and weird.
0:22:34 > 0:22:36SHE PATS HER BED
0:22:45 > 0:22:47His name is Lee.
0:22:47 > 0:22:50The Rothschilds, Barclays, Sopwiths.
0:22:50 > 0:22:55They'd all come up from London in their Rolls-Royces and Bentleys.
0:22:55 > 0:22:57For what?
0:22:57 > 0:23:01Shoot grouse, of course, you dolt.
0:23:01 > 0:23:02Shoot grouse?
0:23:02 > 0:23:07Terribly exclusive. Creme de la creme.
0:23:07 > 0:23:09Topmost of the top drawer.
0:23:09 > 0:23:10Did you shoot grouse?
0:23:10 > 0:23:15Hardly. I was a little further down the drawers, in those days.
0:23:15 > 0:23:16When was this exactly?
0:23:16 > 0:23:23Before my "indiscretion" with Lady Cholmondeley's daughter, of course.
0:23:23 > 0:23:25Quelle horreur!
0:23:26 > 0:23:28"Indiscretion?"
0:23:28 > 0:23:29The lovely Araminta.
0:23:31 > 0:23:33She didn't need to hunt for grouse.
0:23:33 > 0:23:37Her smile could tempt birds from the trees.
0:23:37 > 0:23:39What happened with Araminta?
0:23:39 > 0:23:41Let's just say...
0:23:42 > 0:23:44..my sojourn
0:23:44 > 0:23:47to the rubber plantations of southern Sri Lanka
0:23:47 > 0:23:49was not entirely voluntary.
0:23:49 > 0:23:51Oh, sh!
0:23:51 > 0:23:53Hey, you.
0:23:57 > 0:24:00Aubrey's GCS's at 14, but he's complaining of headaches.
0:24:00 > 0:24:03OK, Well, I think it'd be wise to get him a head CT.
0:24:03 > 0:24:05Will do. And if it's all right with you, I was thinking
0:24:05 > 0:24:07in my lunch break I'd take Evie back to school,
0:24:07 > 0:24:09- explain what happened.- Course, yeah.
0:24:09 > 0:24:11But I do promise it won't take more than an hour.
0:24:11 > 0:24:13It's fine. Look, the reason I bit your head off earlier...
0:24:13 > 0:24:16You were absolutely right to.
0:24:16 > 0:24:20Elinor had just bailed on our long-planned Christmas together.
0:24:20 > 0:24:21Oh. Bummer.
0:24:21 > 0:24:25By text. Apparently, her boyfriend's parents have taken
0:24:25 > 0:24:28a mountain-view chalet in Val-d'Isere
0:24:28 > 0:24:30with VIP platinum service.
0:24:30 > 0:24:32Well, I'd love to pretend that I knew what any of that means.
0:24:32 > 0:24:36Well, it means that Mum and her turkey and her stuffing
0:24:36 > 0:24:38and her cranberry sauce and her Christmas pudding
0:24:38 > 0:24:42and her mince pies and her honey-glazed ham...
0:24:42 > 0:24:46- have been given the elbow. - Wow. Someone's been online shopping.
0:24:46 > 0:24:49No. I'm going to make it myself... Well, I was going to make it myself.
0:24:49 > 0:24:52- You're joking, right?- There were so many years when I didn't.
0:24:52 > 0:24:54You know, working. This year, I thought - ta-da!
0:24:54 > 0:24:56Yeah.
0:25:02 > 0:25:05'We need to reduce carbon dioxide emissions now.
0:25:05 > 0:25:07'It's absolutely critical.'
0:25:07 > 0:25:10It says all sorts of different things.
0:25:10 > 0:25:12'The ice caps are melting because of ozone depletion.'
0:25:12 > 0:25:14I can see that.
0:25:14 > 0:25:17It's to encourage more girls to become scientists.
0:25:17 > 0:25:20- I get the picture. - Evie's bright as a button.
0:25:20 > 0:25:23I wanted to encourage any aspirations.
0:25:23 > 0:25:26Yeah, I don't think you could actually be any more of a nerd.
0:25:26 > 0:25:31Bless. So, wait, you're asking me if I think Fletch is going to mind?
0:25:31 > 0:25:34Yeah, you don't think that I'm stepping on his toes
0:25:34 > 0:25:36- with all this, do you? - Raf, come on!
0:25:36 > 0:25:39I'm not even going to be there over Crimbo to give them.
0:25:39 > 0:25:41You can pop them under the tree.
0:25:41 > 0:25:43Ah, don't have one.
0:25:43 > 0:25:44No tree?
0:25:44 > 0:25:47Like I said, I'm not actually going to be there over Christmas.
0:25:47 > 0:25:49Are you going home to your dad's?
0:25:49 > 0:25:53We're meeting at a hotel. Me, Giuseppe, Dad.
0:25:53 > 0:25:54Nice.
0:25:54 > 0:25:56Sounds better than mine.
0:25:56 > 0:26:01Couldn't face being at the family home at Christmas, without Mum.
0:26:01 > 0:26:03It's a good alternative.
0:26:03 > 0:26:06I am kind of dreading it, to be honest.
0:26:10 > 0:26:13She's now starting to have doubts. She's been given some file.
0:26:13 > 0:26:16Ollie's talking to them both. The sister is now trying to
0:26:16 > 0:26:18- persuade her to refuse... - Hang on. What file?
0:26:18 > 0:26:20'I don't care.'
0:26:20 > 0:26:22How can you not care?
0:26:22 > 0:26:24I have a good feeling about it.
0:26:24 > 0:26:27- Then care for your kid. - Kat. Come on.
0:26:27 > 0:26:29You know I do nothing but care for my baby.
0:26:29 > 0:26:31Then don't take this massive risk.
0:26:31 > 0:26:36Don't let her do this elephant thing to you. It's not safe.
0:26:36 > 0:26:37I don't know what you've heard.
0:26:37 > 0:26:41But the honest truth is, no heart surgery is safe.
0:26:41 > 0:26:45Well, what I've read suggests my sister isn't safe in your hands.
0:26:45 > 0:26:48I can assure you that this procedure, in my opinion,
0:26:48 > 0:26:51is the best possible choice for you and your family.
0:26:51 > 0:26:53That's fine. I'm sold.
0:26:53 > 0:26:58No, hang on, how many of these aneurysms do you see in a year?
0:26:58 > 0:26:59Maybe ten.
0:26:59 > 0:27:01And how many suitable for this graft?
0:27:03 > 0:27:05- One or two.- You see? Guinea pig!
0:27:05 > 0:27:07Exactly as Nurse Reynolds said.
0:27:07 > 0:27:10She's desperate to get her hands on one.
0:27:12 > 0:27:14Can I trust you?
0:27:15 > 0:27:16Yes.
0:27:16 > 0:27:19- Oh, great. That's it! - Look, I'm happy to sign,
0:27:19 > 0:27:22because I'm happy for Ms Naylor to do what she thinks is best.
0:27:22 > 0:27:23Read the file.
0:27:23 > 0:27:26I don't want to. I don't need to.
0:27:26 > 0:27:27I've got my faith.
0:27:27 > 0:27:31Don't come at me with your higher power, positive energy gibberish,
0:27:31 > 0:27:34- Alice, just read the file. - No!- Can I read it?
0:27:45 > 0:27:49Look, I, erm... I don't know why you've been given this.
0:27:49 > 0:27:53But if you don't want to go ahead with the procedure, then that's fine.
0:27:53 > 0:27:55- I can't make you. - I do want to proceed.
0:27:55 > 0:27:59There are alternatives and you can always request another surgeon.
0:27:59 > 0:28:01No I...I want to keep going.
0:28:01 > 0:28:03Paralysed from the neck down!
0:28:03 > 0:28:06Ah, just one of the risks of this frozen elephant thing.
0:28:06 > 0:28:08Who told you that?
0:28:08 > 0:28:11I saw it on the website that the nurse showed me.
0:28:11 > 0:28:14Something goes wrong, it affects the blood supply to your spine.
0:28:15 > 0:28:18- Is that true?- Potentially.
0:28:18 > 0:28:21But it's more or less the same risk as any other procedure.
0:28:21 > 0:28:24Do you want to discuss this with somebody else? Your mother?
0:28:24 > 0:28:26Your GP? Your husband?
0:28:26 > 0:28:27Dead.
0:28:27 > 0:28:29Useless.
0:28:29 > 0:28:31- Dead.- I'm sorry?
0:28:31 > 0:28:34Mum had familial TAAD, too.
0:28:34 > 0:28:36My GP's a lovable idiot.
0:28:36 > 0:28:39And James died in a climbing accident 20 months ago.
0:28:39 > 0:28:42- I'm sorry.- Don't be. We were married six years.
0:28:42 > 0:28:44And I couldn't have been happier.
0:28:44 > 0:28:46Like I said,
0:28:46 > 0:28:49- I'm the luckiest woman I know. - Oh, yeah, with an aneurysm
0:28:49 > 0:28:52the size of a tennis ball and connective tissues as soft
0:28:52 > 0:28:55- as boiled spaghetti.- Which is why I'm happy to let them operate.
0:28:55 > 0:28:56I just know it will be fine.
0:28:59 > 0:29:01And what if it isn't?
0:29:01 > 0:29:04If it isn't... Well, that will be fine, too.
0:29:04 > 0:29:08Kathryn, it is what it is. Accept it.
0:29:08 > 0:29:10I do.
0:29:12 > 0:29:14Where do I sign?
0:29:26 > 0:29:28I know I come across like I'm tough as Teflon.
0:29:28 > 0:29:31But I'm worried. Really worried.
0:29:31 > 0:29:34I'm losing little tufts of hair.
0:29:34 > 0:29:38I'm scared it's some kind of payback for all my dishonesty.
0:29:38 > 0:29:41- I mean, stealing isn't very Zen. - Angela, do you have any idea
0:29:41 > 0:29:44how relatively rare brain tumours actually are?
0:29:45 > 0:29:46LIFT BEEPS
0:29:46 > 0:29:48Thanks.
0:29:48 > 0:29:50MOBILE RINGS
0:29:51 > 0:29:54I'm going to have to take this. You go on ahead. I'll catch you up.
0:29:56 > 0:29:58Hello.
0:29:58 > 0:30:00Yes. No, thank you very much for calling me back.
0:30:00 > 0:30:03Um, yeah, as I was saying to your colleague, I was trying to
0:30:03 > 0:30:09make a purchase online and for some reason my credit card was declined.
0:30:11 > 0:30:13Er, yeah, no, absolutely.
0:30:13 > 0:30:18Well, it was a gift, a Christmas present for my partner, erm..
0:30:18 > 0:30:21Yeah, I know, that's what I thought. Erm, but...
0:30:21 > 0:30:24I'm sorry?
0:30:24 > 0:30:26What? No.
0:30:26 > 0:30:29Sorry, what do you mean I've reached the end of my limit?
0:30:29 > 0:30:31But that's impossible. I haven't...
0:30:31 > 0:30:33No, but I...
0:30:33 > 0:30:37OK, yeah, no. Of course I'm going to speak to my bank. Absolutely.
0:30:37 > 0:30:39OK, thank you.
0:30:41 > 0:30:42Idiots!
0:30:42 > 0:30:45OK, Aubrey, all you've got to do is lie still.
0:30:45 > 0:30:47They're not venomous, you know.
0:30:47 > 0:30:49Try not to move.
0:30:51 > 0:30:53What isn't?
0:30:53 > 0:30:56The snakes. Native snakes.
0:30:56 > 0:30:59Look frightful, I agree. But lack any venom.
0:30:59 > 0:31:04Except the yellow ones. They are devilish blighters.
0:31:05 > 0:31:09I'm afraid to ask, but I'm going to. Aubrey, where are we now?
0:31:10 > 0:31:14Kenya, dear boy. Kenya, of course.
0:31:14 > 0:31:16Of course.
0:31:18 > 0:31:20He's got a ventriculoperitoneal shunt in situ.
0:31:20 > 0:31:22Is that going to be a problem?
0:31:22 > 0:31:26Ventricles are very enlarged. Looks like gross hydrocephalus.
0:31:26 > 0:31:29How can he have hydrocephalus if he's got a shunt?
0:31:29 > 0:31:30Cos it's not working properly.
0:31:30 > 0:31:32It's either blocked or it's been disconnected.
0:31:32 > 0:31:35Things would be much easier if we had his medical history.
0:31:35 > 0:31:38Yeah, I am trying, but it's really hard to get information out of him.
0:31:38 > 0:31:41Any concrete information, he keeps wandering off into the '50s.
0:31:41 > 0:31:44You know, off playing polo with the Shah of Persia, dear boy.
0:31:44 > 0:31:46The increased pressure certainly could cause
0:31:46 > 0:31:48the headaches and confusion.
0:31:48 > 0:31:50Call Neurosurgery. He needs a shunt revision quickly.
0:31:53 > 0:31:56Shoo-shoo! Ssss!
0:31:56 > 0:31:58HE LAUGHS TO HIMSELF
0:32:06 > 0:32:07Lemon and ginger?
0:32:07 > 0:32:08Yep.
0:32:08 > 0:32:10Make me one.
0:32:10 > 0:32:11There's no more hot water.
0:32:14 > 0:32:15So, boil it again.
0:32:27 > 0:32:29Very interesting read.
0:32:32 > 0:32:34Mr Hanssen seemed to think so.
0:32:34 > 0:32:37Well, he needs to look like he's taking it seriously.
0:32:37 > 0:32:39But he knows what really matters in surgery.
0:32:39 > 0:32:42And what matters to you is you get to show off.
0:32:42 > 0:32:44Use new toys.
0:32:44 > 0:32:47A simple pulmonary valve replacement like Seymour Orson needed
0:32:47 > 0:32:49is so dull, you're happy to send him home.
0:32:49 > 0:32:51Whether he needs the operation or not.
0:32:51 > 0:32:54You're making a study of all my patients, now?
0:32:54 > 0:32:55The ones you want,
0:32:55 > 0:32:58you bully into letting you do experimental procedures that...
0:32:58 > 0:33:01- That save their lives. - That promote Jac Naylor.
0:33:01 > 0:33:03Make you look so special.
0:33:05 > 0:33:07I'm a leading heart surgeon. I AM special.
0:33:09 > 0:33:10It's what you've always done.
0:33:11 > 0:33:14Excuse me? You know precisely nothing about me.
0:33:17 > 0:33:18Don't be too sure.
0:33:20 > 0:33:22Why not just ask to be transferred to another ward?
0:33:22 > 0:33:24Why? Am I supposed to be scared of you?
0:33:24 > 0:33:27No. Not in the slightest. How's my herbal getting on?
0:33:27 > 0:33:31- Got to wait for it to boil. - Do you think you're the first?
0:33:31 > 0:33:36- To do what?- Make accusations? The NHS is rabidly litigious.
0:33:36 > 0:33:38Surgeons get accused of all sorts, all the time.
0:33:38 > 0:33:42And they get off because of insufficient evidence.
0:33:42 > 0:33:44Cos no-one on the inside is keeping a close enough watch.
0:33:44 > 0:33:46And that'll be you, will it?
0:33:48 > 0:33:51You think because I'm a nurse, no-one's going to listen to me.
0:33:51 > 0:33:54I think people will see that you have trouble working with
0:33:54 > 0:33:57- strong women and prefer male bosses. - That's a lie.
0:33:57 > 0:34:00Because then you can flutter your eyelids and flash some cleavage.
0:34:00 > 0:34:01I am a professional.
0:34:01 > 0:34:04Who's sleeping with a senior male colleague.
0:34:04 > 0:34:07And you didn't when he was CEO?
0:34:08 > 0:34:12I think we both know exactly how you got promoted
0:34:12 > 0:34:14to director of the Cardiothoracic Department,
0:34:14 > 0:34:18and it wasn't to do with your performance in the theatre, was it?
0:34:26 > 0:34:28Where did you get that?
0:34:28 > 0:34:30Aubrey gave it to me.
0:34:30 > 0:34:33- You do know you can't keep it, right?- I know, I told him.
0:34:33 > 0:34:36But he just went off on one.
0:34:36 > 0:34:38Said it belonged to his great aunt, Lady Painswick.
0:34:39 > 0:34:43- Now, I can't get it off. - Here, let me have a go.
0:34:44 > 0:34:46Oh, it's moving.
0:34:47 > 0:34:49- There you go.- Thanks.
0:34:49 > 0:34:51Fletch. His GCS has dropped to 12 post scan.
0:34:51 > 0:34:54Do 15 minute neuro obs and keep a close eye on him, please,
0:34:54 > 0:34:55until Neuro get here.
0:34:57 > 0:34:58Aubrey, I've got your brooch.
0:34:58 > 0:35:01Not now, love. I don't think he's doing too well.
0:35:01 > 0:35:04Aubrey, can you open your eyes for me, please?
0:35:04 > 0:35:06Why won't he open his eyes?
0:35:08 > 0:35:11Raf? Open your eyes for me.
0:35:11 > 0:35:14Why isn't he talking? Your brooch, Aubrey.
0:35:14 > 0:35:15Open your eyes.
0:35:15 > 0:35:17What's happening?
0:35:18 > 0:35:20Aubrey? You OK? Aubrey!
0:35:20 > 0:35:23No pulse! He's in VF. get the crash trolley, please.
0:35:23 > 0:35:25Right, you need to disappear now, darling.
0:35:27 > 0:35:30Evie, can you go, please?
0:35:30 > 0:35:31Evie - go!
0:35:43 > 0:35:47- I thought you weren't operating today.- So, I'm looking at the theatre list.
0:35:47 > 0:35:50And you know it's the same old, same old. Stents, stents and more stents.
0:35:50 > 0:35:52And then I see, "Ms Naylor.
0:35:52 > 0:35:56"Latest design frozen elephant trunk graft," and I'm like, "Wait, What?"
0:35:56 > 0:35:59- Afternoon, Maureen.- And you don't think I'm not thinking,
0:35:59 > 0:36:01"When, oh, when is she going to fit one of those?
0:36:01 > 0:36:04"Because when she does, I'm all over that like bears on a picnic."
0:36:04 > 0:36:06And it's a good thing I'm here cos you're going to need
0:36:06 > 0:36:10more dexterous digits than these two clowns have got. No offence.
0:36:10 > 0:36:12- None taken.- Come on, then.
0:36:12 > 0:36:16While we're cooling, you can complete the proximal anastomosis.
0:36:16 > 0:36:19- Connect the arteries with 2.0 Prolene.- Right.
0:36:20 > 0:36:22Suction, please.
0:36:22 > 0:36:24The aortic arch is very dilated so we need to replace it.
0:36:24 > 0:36:26And a retrograde perfusion?
0:36:26 > 0:36:28That'd be fantastic. If we want to kill our patient.
0:36:28 > 0:36:31But we'd like to keep her brain alive so we'll go for
0:36:31 > 0:36:34- cerebral perfusion anyway. - Yeah. Fair enough.
0:36:34 > 0:36:36- I'm all for keeping her alive. - The joy of this thing is,
0:36:36 > 0:36:38once we go to circulatory arrest, we open the aorta,
0:36:38 > 0:36:41insert the trunk into the distal end of the aneurysm.
0:36:41 > 0:36:45With the new insertion device then we can basically place
0:36:45 > 0:36:46the trunk wherever we want it,
0:36:46 > 0:36:49attach it to the landing zone and then retract the applicator.
0:36:49 > 0:36:51Seriously. You had me at "trunk".
0:36:51 > 0:36:53Well, this is obviously some mistake
0:36:53 > 0:36:55so can you please just... Yes, please.
0:36:55 > 0:36:58Neuro came back with a CT, and it's all-clear.
0:36:58 > 0:37:01OK, well... Yes. I... Yes, I can hold.
0:37:01 > 0:37:04And I agree with you about the blood work, by the way.
0:37:04 > 0:37:07Anaemia's too severe to cause double vision and muscle weakness.
0:37:07 > 0:37:10And it wouldn't explain the sweating and shaky hands.
0:37:10 > 0:37:13It's obviously not right. So just check again.
0:37:13 > 0:37:16I don't care! Just check again!
0:37:20 > 0:37:22What's happened?
0:37:22 > 0:37:24It's...it's all gone.
0:37:25 > 0:37:27Right, OK, what's all gone?
0:37:27 > 0:37:29My bank account has been emptied.
0:37:30 > 0:37:32- You're kidding me.- No.
0:37:32 > 0:37:35Online this morning, apparently. Passwords, dongle, everything.
0:37:36 > 0:37:38It could be an error, have you checked that?
0:37:38 > 0:37:41Well, that's what I've said to them, no-one else has access to...
0:37:47 > 0:37:49Oh, God, no. Please. Please, no, please, no.
0:37:53 > 0:37:56- The neurosurgeons are all in theatre.- Right, he's in cardiac arrest.
0:37:56 > 0:37:59We're never going to get him back unless we relieve the pressure
0:37:59 > 0:38:02- in his brain ourselves.- In theatre? - No, no time.- What, in here?
0:38:02 > 0:38:03We've got no choice. Glove-up!
0:38:03 > 0:38:07- OK, what do you need? Er, Lou! - Large syringe. Full bore needle.
0:38:07 > 0:38:09Swabs. And a lot of luck.
0:38:09 > 0:38:11Well, don't look at me for that, mate.
0:38:11 > 0:38:14So, shunt's supposed to be draining the excess cerebrospinal fluid
0:38:14 > 0:38:16away from the brain ventricles and into his abdominal cavity.
0:38:16 > 0:38:19Hydrocephalus is occurring cos the shunt's not working.
0:38:19 > 0:38:20Give me your hand.
0:38:21 > 0:38:23- Fluid. Feel it?- Yes.
0:38:23 > 0:38:26OK, that's a burr hole that was cut when the VP shunt was first fitted.
0:38:26 > 0:38:28If I could just ask you to hold the hair out of the way,
0:38:28 > 0:38:31I will attempt to go through the burr hole
0:38:31 > 0:38:33and hopefully into the ventricle.
0:38:44 > 0:38:47Right. Now, all I have to do is get his heart started again.
0:38:47 > 0:38:48Charge to 100, please.
0:38:50 > 0:38:52Charging.
0:38:52 > 0:38:54Clear.
0:38:56 > 0:38:57Charge to 150.
0:39:01 > 0:39:02Clear.
0:39:04 > 0:39:06Hey, why don't we go outside?
0:39:06 > 0:39:09No, I want to stay.
0:39:09 > 0:39:12I promised him my dad would make him better.
0:39:12 > 0:39:14Well, they'll do everything possible.
0:39:14 > 0:39:19And my dad promised us we'd be in our own house by Christmas.
0:39:19 > 0:39:22- Right, look, why don't we just go and sit down?- But I want to stay.
0:39:23 > 0:39:25Right, I'm going back in.
0:39:31 > 0:39:34That's all I'm going to get, I'm meeting resistance.
0:39:34 > 0:39:36Come on, mate, you can do it.
0:39:38 > 0:39:39Charging.
0:39:41 > 0:39:43Clear.
0:39:43 > 0:39:46MACHINE BEEPS WITH HEARTBEAT And, we have rhythm.
0:39:49 > 0:39:53- Did...did that remind you of your...?- Of Mum?
0:39:57 > 0:40:00Aubrey told me this brooch was given to his half-brother, Matthew.
0:40:00 > 0:40:02Really?
0:40:02 > 0:40:05Who was a solicitor from Manchester
0:40:05 > 0:40:08who inherited this massive mansion.
0:40:08 > 0:40:13From his cousin. Lord something.
0:40:13 > 0:40:17Who hated Matthew because he wasn't posh.
0:40:17 > 0:40:20But he fell in love with the posh lord's daughter.
0:40:20 > 0:40:22- And then...- Grantham?
0:40:22 > 0:40:25Lord Grantham! That's it.
0:40:25 > 0:40:27You heard of him?
0:40:30 > 0:40:32"Made In China"?
0:40:48 > 0:40:50My grandfather's medals.
0:40:52 > 0:40:56He stole my grandfather's medals.
0:40:56 > 0:40:58He's trashed Zosia's room as well.
0:40:58 > 0:41:01He's taken my passport and my birth certificate.
0:41:01 > 0:41:05Do you have any idea what Grandad Clarence had to go through
0:41:05 > 0:41:08to win the Companion of the Distinguished Service Order?
0:41:08 > 0:41:12Italy Star? The Croix de Guerre?
0:41:12 > 0:41:15I'm sorry. OK? I am sorry.
0:41:17 > 0:41:19I feel so violated...
0:41:19 > 0:41:22He was parachuted behind enemy lines.
0:41:22 > 0:41:26Recruited resistance fighters. Was hunted down.
0:41:26 > 0:41:29- Captured...- I'm sorry, OK? I'm sorry!
0:41:50 > 0:41:52Ice bags on head. Lower theatre temperature.
0:41:52 > 0:41:54Patient is at 17 degrees.
0:41:54 > 0:41:56Start the stop clock.
0:41:59 > 0:42:02OK, that gives us between 30 and 45 minutes.
0:42:02 > 0:42:03Taking off the clamp.
0:42:06 > 0:42:09With the old two stage procedure, we'd still have to
0:42:09 > 0:42:12stitch the graft in place for the descending aorta.
0:42:12 > 0:42:14But with this...
0:42:14 > 0:42:17it should just slide...
0:42:18 > 0:42:20..right in.
0:42:20 > 0:42:22There we go.
0:42:22 > 0:42:29OK. Trunk is in place, removing the outer sheath.
0:42:35 > 0:42:38Holding the inner sheath steady.
0:42:42 > 0:42:44What about the Staff, Friends and Family Test?
0:42:44 > 0:42:46It's an important survey.
0:42:46 > 0:42:49Into whether patients would actually recommend the services
0:42:49 > 0:42:51we provide to their friends and family.
0:43:02 > 0:43:04Everything OK?
0:43:04 > 0:43:06No, it's stuck.
0:43:12 > 0:43:14Just hold it there.
0:43:14 > 0:43:17OK. Well, look if you can't get it out, what you going to do?
0:43:17 > 0:43:20- Have you got a backup plan? - Do you want me to have a go?
0:43:20 > 0:43:22- Maybe there's another way of releasing it?- Shut up!
0:43:22 > 0:43:25Could you just shut up and let me concentrate
0:43:25 > 0:43:28without the background hum of inane questions?
0:43:34 > 0:43:38You think people who have been bullied and insulted
0:43:38 > 0:43:41and ignored during her working day would actually recommend her
0:43:41 > 0:43:43to their loved ones?
0:43:43 > 0:43:44I'd be very surprised
0:43:44 > 0:43:47if this patient's sister doesn't make a formal complaint.
0:43:51 > 0:43:53The alternative is we backpedal
0:43:53 > 0:43:55and do an old-fashioned fully open procedure.
0:43:55 > 0:43:58After convincing her to go with the frozen elephant trunk?
0:43:58 > 0:44:01Well, if you can't work the applicator properly...
0:44:01 > 0:44:04- Just one more go.- She's been on circulatory arrest for 20 minutes.
0:44:04 > 0:44:06- We are running out of time. - I said one more go!
0:44:24 > 0:44:26There's another label in this coat, you know.
0:44:30 > 0:44:33It's a retired aluminium welder from Weston.
0:44:34 > 0:44:38- Alan?- I guess being Aubrey was just a bit more fun.
0:44:38 > 0:44:41Yes, well, sometimes I wish it was as easy as just
0:44:41 > 0:44:44- slipping on a different coat. - I know exactly what you mean.
0:44:44 > 0:44:46Oh, come on, Fletch. You don't want to be anyone different.
0:44:46 > 0:44:49I'm a widower with four kids, no money
0:44:49 > 0:44:52and Christmas looming like Frankenstein's monster.
0:44:52 > 0:44:53In fact, who'd want to be me?
0:44:53 > 0:44:56Divorcee with an empty nest, too much time on her hands,
0:44:56 > 0:44:59and no-one left in the world who actually needs her?
0:45:06 > 0:45:09It's been nearly 30 minutes. We need to start circulation soon.
0:45:09 > 0:45:11If it doesn't want to come out,
0:45:11 > 0:45:13- then we should seriously... - Be quiet!
0:45:29 > 0:45:30It's out.
0:45:32 > 0:45:34Graft is in place.
0:45:34 > 0:45:36Nice, Naylor. Nice.
0:45:36 > 0:45:38If that doesn't get you out of bed and into work in the morning,
0:45:38 > 0:45:40I don't know what does.
0:45:40 > 0:45:41That is perfection.
0:45:49 > 0:45:51It's a pay-as-you-go mobile.
0:45:51 > 0:45:53Every time I phone through, it just says,
0:45:53 > 0:45:56"The mobile number you have called is not available."
0:45:56 > 0:46:00Oh, Dom. I'm really, really sorry.
0:46:00 > 0:46:04I was just such a fool. I'm so trusting.
0:46:04 > 0:46:07I gave him free run of my flat. All my stuff.
0:46:12 > 0:46:19Hello, Angela. OK, you definitely do have an iron deficiency.
0:46:19 > 0:46:22But your blood glucose levels are actually fine.
0:46:22 > 0:46:25So we're just going to wait on the thyroid function test.
0:46:25 > 0:46:28You're right. You were a fool.
0:46:28 > 0:46:33Thank you. But I don't need you to tell me that. OK?
0:46:33 > 0:46:36Er, so we just need to wait for the thyroid hormone levels.
0:46:36 > 0:46:40You can't trust someone you don't really know like that.
0:46:40 > 0:46:44You don't just open up your life to a total stranger.
0:46:44 > 0:46:47Not everyone's a thief. Not everyone can't be trusted.
0:46:47 > 0:46:50Not everyone thinks that stealing
0:46:50 > 0:46:53is a perfectly acceptable way of making a living.
0:46:53 > 0:46:54Well, clearly Lee does.
0:46:57 > 0:46:59Right, well, when we've discharged you -
0:46:59 > 0:47:02into police custody and then onwards to prison -
0:47:02 > 0:47:05you'll need to take iron supplements.
0:47:05 > 0:47:10I'm not criticising you. I'm just saying your lifestyle,
0:47:10 > 0:47:13- the way you choose to... - Whoa, I'm sorry, lifestyle?
0:47:13 > 0:47:16You want to talk about lifestyle?
0:47:16 > 0:47:19OK, erm... You worry.
0:47:19 > 0:47:21You think you've got a brain tumour.
0:47:21 > 0:47:24Now, when do these "symptoms" tend to occur, Angela?
0:47:24 > 0:47:28Is it when you walk into a shop and decide to steal things?
0:47:28 > 0:47:34Is it when you are hiding from CCTV, from shop security, from the police?
0:47:34 > 0:47:38Is it when you're pretending to be a perfectly normal member of society
0:47:38 > 0:47:41whereas, actually, you're just a little thief?
0:47:41 > 0:47:44Dominic, I'm sorry.
0:47:44 > 0:47:47I didn't mean to insult you.
0:47:47 > 0:47:53It's stress. The wobbles, the hand shakes, the uncontrollable sweating.
0:47:53 > 0:47:56My guess is it's stressed-induced anxiety
0:47:56 > 0:47:58caused by your lifestyle choices.
0:48:00 > 0:48:05I'm sorry what I said about, Lee.
0:48:05 > 0:48:07Look...
0:48:07 > 0:48:10in my handbag, hidden in the lining, I've got money.
0:48:10 > 0:48:14- If you need cash, you... - I don't want your dirty money.
0:48:21 > 0:48:22Guy, it's Fran.
0:48:22 > 0:48:25Please say you're free tonight for a large glass of red.
0:48:25 > 0:48:28I need one. I need you.
0:48:37 > 0:48:39Not quite as smooth as one might expect of you.
0:48:39 > 0:48:42I couldn't work the new delivery device at first. My fault.
0:48:42 > 0:48:44- Not the graft. It is fantastic. - Duly noted.
0:48:44 > 0:48:46And then there is this.
0:48:46 > 0:48:48Your patient's sister is making noises
0:48:48 > 0:48:49about pursuing a formal complaint,
0:48:49 > 0:48:52so you need to talk to the patient and her sister
0:48:52 > 0:48:54and perhaps apologise about not being more inclusive.
0:48:54 > 0:48:58- I have a team to do that.- And that is part of the sister's complaint.
0:48:58 > 0:49:01I'm afraid being a brilliant surgeon isn't enough.
0:49:01 > 0:49:03Well, I was busy planning it. Prepping for theatre.
0:49:03 > 0:49:04And I reiterate,
0:49:04 > 0:49:08being brilliant in theatre doesn't always satisfy the patient's needs.
0:49:08 > 0:49:11She's alive. Her heart will now last decades.
0:49:11 > 0:49:12That is enough.
0:49:12 > 0:49:15What I can't believe is you're taking this seriously.
0:49:15 > 0:49:16I have to.
0:49:17 > 0:49:20If you hadn't been able to release the applicator,
0:49:20 > 0:49:22- what would you have done? - I did release it.
0:49:22 > 0:49:24But that's what you do, isn't it?
0:49:24 > 0:49:28You experiment on patients with such serious problems
0:49:28 > 0:49:31and poor prognosis, that no-one's surprised if they die.
0:49:31 > 0:49:33Nurse Reynolds, don't antagonise, please.
0:49:33 > 0:49:35Mr Hanssen, why in heaven's name is she still here?
0:49:35 > 0:49:37Can't you just get rid?
0:49:37 > 0:49:40You'd like that, wouldn't you? No-one to keep a close eye.
0:49:40 > 0:49:43Just everyone patting your back and kissing your feet.
0:49:43 > 0:49:44Can't you just transfer her?
0:49:44 > 0:49:46Let's not have this conversation here, please.
0:49:46 > 0:49:48Put her down on AAU
0:49:48 > 0:49:51amongst the verrucas and vomiters where she belongs.
0:49:51 > 0:49:53Let's proceed to your office, shall we?
0:49:53 > 0:49:56I've compiled a file that shows your mortality rate
0:49:56 > 0:49:58is double the national average.
0:49:58 > 0:50:03That you coerce vulnerable patients into experimental procedures.
0:50:03 > 0:50:04If I'm forcibly transferred,
0:50:04 > 0:50:07how would that look?
0:50:07 > 0:50:10You're right. It wouldn't look good.
0:50:11 > 0:50:13It would look like we were trying to cover something up.
0:50:13 > 0:50:16It would look like we actually cared
0:50:16 > 0:50:19what some chippy little doctor-bonking nurse thinks.
0:50:19 > 0:50:22- Ms Naylor, please!- I'm sorry. Consultant-bonking nurse.
0:50:22 > 0:50:25I forgot you managed to hook your claws around the rungs
0:50:25 > 0:50:26of the sleep-your-way-up ladder.
0:50:26 > 0:50:30Ms Naylor, it ill behoves you to behave in this manner.
0:50:30 > 0:50:33I couldn't care less about Guy Self.
0:50:33 > 0:50:36I care about what you're doing here.
0:50:36 > 0:50:39And you can't bear working with a successful female boss
0:50:39 > 0:50:44because you can't use your charms, fading though they are.
0:50:44 > 0:50:46And it just highlights what a loser you are.
0:50:46 > 0:50:49Successful means putting your patients' lives at risk
0:50:49 > 0:50:50so you can score points.
0:50:50 > 0:50:55Instead of having a life that is pathetically pointless.
0:50:55 > 0:50:57Living from shift to shift.
0:50:57 > 0:51:01Shag to shag, with increasingly older doctors.
0:51:01 > 0:51:04Jealous of anyone who wields more power than you.
0:51:04 > 0:51:07You are such a vicious cow!
0:51:07 > 0:51:12- Ladies, stop it now.- And you are a bitter, frightened little nothing
0:51:12 > 0:51:14who will always be nothing
0:51:14 > 0:51:18because all you're good for is moaning and whining...
0:51:27 > 0:51:28And there you have it!
0:51:29 > 0:51:34Physical assault of a senior consultant in the workplace.
0:51:34 > 0:51:36Did anyone miss that? No?
0:51:38 > 0:51:39Thank you.
0:51:41 > 0:51:44That should be more than enough to suspend her. Agreed?
0:51:53 > 0:51:57Then she offered me money - from her secret going-to-prison stash.
0:51:57 > 0:51:59That's incredible.
0:51:59 > 0:52:00That's rather sweet, actually.
0:52:00 > 0:52:02She's a professional thief.
0:52:02 > 0:52:06Oh, but apparently she only steals from the larger department stores.
0:52:06 > 0:52:10Well, thief or not, she's been amazing for my Christmas list.
0:52:10 > 0:52:12I got the lot done. Even Rachel.
0:52:12 > 0:52:13Oh, well, good for you(!)
0:52:13 > 0:52:15Well, I'm just saying.
0:52:16 > 0:52:19Well, her life of crime has left her an anxious mess.
0:52:19 > 0:52:22Shaking hands, sweating, loss of weight.
0:52:22 > 0:52:24Mood swings? Muscle weakness?
0:52:24 > 0:52:26She said she felt like a kitten with the flu.
0:52:26 > 0:52:28Blurred vision?
0:52:28 > 0:52:30She did fall over and crack her head.
0:52:30 > 0:52:32Sounds a lot like thyroid to me.
0:52:32 > 0:52:34But you did run a thyroid function test, didn't you?
0:52:34 > 0:52:36Yeah. The results haven't been posted yet.
0:52:36 > 0:52:40Oh, well, your shift's over. The night doctor will pick it up.
0:52:40 > 0:52:42Really, she should be taking beta blockers
0:52:42 > 0:52:45and being referred for thioamides treatment.
0:52:45 > 0:52:48That'll happen all after her police custody, I suppose.
0:52:50 > 0:52:54Well, it would happen a lot quicker if I just wrote up a treatment plan
0:52:54 > 0:52:57and paid a visit to the prison doctor though, wouldn't it?
0:52:57 > 0:52:59You?
0:52:59 > 0:53:01What else am I going to do at Christmas?
0:53:01 > 0:53:03I'm penniless and heartbroken.
0:53:08 > 0:53:11- Another, I think.- Definitely. - Yes, definitely.
0:53:11 > 0:53:13I went mad trying to compensate.
0:53:13 > 0:53:15I've got a freezer groaning with food.
0:53:15 > 0:53:18Not after my little swarm of locusts descend on you, you won't.
0:53:18 > 0:53:20Good! I want it eaten. That's why I bought it.
0:53:20 > 0:53:23Look, Giuseppe's not in exactly a good place at the moment.
0:53:23 > 0:53:27Because your mother died. News flash - so did mine.
0:53:27 > 0:53:28And mine.
0:53:29 > 0:53:32Look, think of it as the Dead Mothers Christmas Club
0:53:32 > 0:53:33annual get-together.
0:53:33 > 0:53:35- We'll drive you mad. - Mad? You want to see mad.
0:53:35 > 0:53:38Come and see what I'll look like on Boxing Day night
0:53:38 > 0:53:41after three long days on my own with the Downton Abbey boxset
0:53:41 > 0:53:42and a crate of Shiraz!
0:53:43 > 0:53:48So...actually we'd be, well, saving you from yourself, really?
0:53:48 > 0:53:51- We'd be doing you a favour?- Yup.
0:53:51 > 0:53:53I suppose we've got nothing else planned.
0:53:53 > 0:53:55I've got two trees.
0:53:55 > 0:54:00Two. One in the kitchen and one in the sitting room.
0:54:00 > 0:54:03- There's only me.- You've got trees?
0:54:03 > 0:54:05Yeah, it is Christmas.
0:54:05 > 0:54:08And we'd be able to put our presents under the tree?
0:54:08 > 0:54:12Yes, you can dance around it with nothing but a Santa hat
0:54:12 > 0:54:16and a tinsel jockstrap, if you like.
0:54:16 > 0:54:18Yeah, I actually haven't got round to getting a tree, yet.
0:54:18 > 0:54:21So? Look, I'm asking Cara.
0:54:21 > 0:54:23Apparently she's on her own this year.
0:54:23 > 0:54:25Well, look, I could suggest it.
0:54:25 > 0:54:27And we could consider it.
0:54:27 > 0:54:29I won't take no for an answer.
0:54:32 > 0:54:34Yeah, go on, then.
0:54:34 > 0:54:36OK. Why not? Let's do it.
0:54:36 > 0:54:38Is that all right with you, Evie?
0:54:38 > 0:54:42Yeah. Sure. Sounds nice.
0:54:42 > 0:54:43Something wrong?
0:54:43 > 0:54:45It's just...
0:54:45 > 0:54:46Go on. Tell me.
0:54:46 > 0:54:51I thought we were staying at home in Raf's house. Just us.
0:54:51 > 0:54:56Oh, you want to be just on your own as a family?
0:54:56 > 0:54:58No. No.
0:54:58 > 0:55:01I kind of wanted to invite Aubrey to come to us as well.
0:55:01 > 0:55:04- Aubrey?! - It's rubbish in their care home.
0:55:04 > 0:55:05They make them dance the Hokey-Cokey
0:55:05 > 0:55:07all sitting down in their wheelie chairs.
0:55:07 > 0:55:11No question then. That's a clear infringement of his human rights.
0:55:11 > 0:55:14If he's well enough, Aubrey's coming too.
0:55:14 > 0:55:16- Really?- Yes.
0:55:18 > 0:55:21Aww! How exciting.
0:55:21 > 0:55:23SHE CHUCKLES
0:55:23 > 0:55:26Let's get her a referral to the endocrinologist.
0:55:26 > 0:55:29They'll want her on a high dosage of Carbimazole.
0:55:29 > 0:55:34But in the meantime, can we write her up for 40 mg of Propranolol
0:55:34 > 0:55:38twice daily? That should hopefully keep the shakes under control.
0:55:39 > 0:55:43Oh, and can we also put her down for oral iron supplements?
0:55:43 > 0:55:46Might as well put a spring back in her step.
0:55:46 > 0:55:49Oh, and Lawrence, would you let the prison doctor know
0:55:49 > 0:55:50that I will be chasing it up?
0:56:44 > 0:56:47These gentlemen are going to escort you off the hospital premises
0:56:47 > 0:56:50and you are not to return until invited to for your HR hearing.
0:56:50 > 0:56:53We operate a no tolerance of violence policy here
0:56:53 > 0:56:56and this incident will be reported to the police.
0:56:56 > 0:56:57Am I perfectly clear?
0:56:59 > 0:57:01Thank you, gentlemen.
0:57:03 > 0:57:07Oh, Guy. Guy, thank God you're here. Can you do something about this?
0:57:07 > 0:57:10Erm, could you give us a moment, please?
0:57:18 > 0:57:22I've been informed about today's events. So, you and me,
0:57:22 > 0:57:26this...whatever it is - was -
0:57:26 > 0:57:27we should end it.
0:57:29 > 0:57:32Guy! Don't walk away from me.
0:57:32 > 0:57:35Guy?
0:57:35 > 0:57:37DO NOT walk away from me!
0:57:40 > 0:57:41Guy!
0:57:42 > 0:57:44GUY!