Bad Blood, Fake Snow Holby City


Bad Blood, Fake Snow

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The man you dismissed as an oddball has been managing undiagnosed

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autism and you discharged him when he needed a critical operation.

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All I wanted to be able to do was provide for my kids, and I failed.

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-You're not staying another night in a B&B.

-Thanks.

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I don't want you to leave. This hospital needs you.

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You're my kind of bloke.

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The last time somebody looked at me the way he has just looked at you,

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I ended up moving in with him.

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There is a complaint of negligence against you.

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You have been here all of five minutes.

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What the hell do you know about me?

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The complaint stands.

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If I ever need a reason to get out of bed in the morning

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and come to work...

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-Mm, it is beautiful.

-The perfect storm.

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Large distal arch and proximal descending aortic aneurysm.

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Pure joy.

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How can something so deadly...

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Just look so beautiful?

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It's kind of a beauty-in-the-eye-of-the-beholder

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situation, I think.

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You don't think this is beautiful?

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It could explode at any moment and kill your patient.

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Just makes it more beautiful.

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In your opinion.

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This is exactly what I've been waiting for.

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For months. Years.

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Since Seoul, Korea, 2014.

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An aneurysm so perfectly deadly.

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You got something special up your sleeve?

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Total arch replacement and descending aortic repair

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with a brand-new frozen elephant trunk.

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-It's transformative.

-It's noisy.

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It's refreshing.

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It's reenergising.

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It's very noisy.

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It's, erm, disturbingly noisy.

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The sort of noises that I'd really rather not, erm...

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I can't eat. I can't concentrate.

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I'm definitely not getting enough sleep.

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-Me neither.

-It's just so...

-Noisy!

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Would you keep it down, please?

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He's still sleeping. The poor thing's exhausted.

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Right, can we just get to work? Come on.

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You know, for years I've been so cynical,

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just thinking that love was something to sell

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Valentine's Day cards or stupid heart-shaped jewellery.

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Can't you stay at his place occasionally?

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He's very picky about who he invites to his own private environs.

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Meanwhile he's all over our "environs" like a fungal rash.

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But I am definitely due a visit soon.

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Not soon enough.

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Oh, you know, what is it?

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You just can't see me happy, can you?

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Is that just too hard to swallow?

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Quiet happy, good.

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All night long, noisy happy, not good!

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You could suck the ho-ho-ho out of Christmas.

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We're just not used to seeing you so... Whoa!

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What? Happy? Content? In love? You know what?

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You'd just prefer it if I was just "Sad-Sack" Dom.

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Desperate, depressed, lonely Dominic.

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Well, you know what? You can kiss my figgy pudding.

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Well, you have collated a series of figures outlining Ms Naylor's

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mortality rates relating to operating schedules over...

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..eight years of cardiac procedures.

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Just because people are in a position of power

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doesn't mean they're good people. Or should be trusted.

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Well, I understand you may be a little disappointed by this result

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but Mr Orson's case notes have been carefully reviewed

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and Ms Naylor's clinical care was entirely appropriate.

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And I would trust her and her ability in the operating theatre

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over any cardiac surgeon in the country.

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Well, look at the figures. Maybe you wouldn't

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if you looked into how many patients die at her hand.

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Yes, but she operates on diseased and damaged hearts every day.

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Many of the patients in most parlous condition.

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-And they die!

-Yes. Sometimes they do.

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Now, if you'll excuse me, I need to get to a departmental meeting.

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318 operations in 2013 with a mortality rate of 4.85%.

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Many patients who are so near to death

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have only a one in ten chance of survival, don't they?

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The figures speak for themselves!

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No, these don't.

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By the Society for Cardiothoracic Surgery data,

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she falls well within the two standard deviations of risk.

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Why are you doing this?

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Someone has to stand up.

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Expose the lies.

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Silence and secrets. That's how abusers of power stay in power.

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Excuse me.

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Hogmanay was always a bigger thing than Christmas Day in our house.

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It was Giuseppe's big night. He was in demand all up the street.

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-Gigolo, was he?

-First-footing.

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Eh?

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First man through the door after midnight.

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Usually carrying a lump of coal.

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Coal? Do you know what? Stuff independence.

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We should have just done a massive refurb on Hadrian's Wall.

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It meant good luck to the household for the rest of the year.

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The darker the first-footer's hair, the better the luck.

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Now, that - I could do with a house full of good luck for a change.

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You have had a bit of a rough year.

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Yeah, and I told the kids that we'd be in our own house by Christmas.

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I'm a bit disappointed.

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Oh, I get it. You lot can't wait to be away from me, is that it?

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No, not at all. You're a top man.

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I just feel like I'm letting them down.

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I can't wait to see the back of 2015.

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Good luck was definitely out of fashion.

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-Is this him...?

-A bit like that fur coat.

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A & E didn't get a surname. They think his name is Aubrey.

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-Not making a lot of sense, is he?

-Seems very confused.

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Also complained of severe headaches, and he's quite dehydrated as well.

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Had a bit of a tumble, did you, Aubrey?

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Turns out he was knocked over by a bike. Hit and run.

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A bike? Here's me thinking I had bad luck.

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I saw it.

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The bike?

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The light, my dear boy!

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I saw the light.

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Frozen what?

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Kathryn. Chill!

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"Frozen Elephant Trunk" is the name given to this procedure

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because the graft device we fit looks like...

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An elephant's trunk!

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Only it's frozen.

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This is a state-of-the-art, fifth generation, complex graft design.

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In my business, "redesign" means there was something wrong

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with the last go round.

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This just gets better and better. It's a piece of genius.

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Does in one operation what is usually a two-stage procedure.

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I'm sold!

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No, hang on a minute.

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How many of these have you done?

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Using the previous device, lots.

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Using the new device, she will be the first.

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Ever?

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At Holby, yes, but we have governance approval

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and I've performed the surgery in South Korea under supervision.

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-The first?

-I am positively thrilled to be the first.

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Alice, you don't know what...

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Bring it on!

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Consent to her is just a piece of paper that needs to be signed.

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Now, that simply isn't true.

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Tell that to your past patients.

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Are you refusing to consider seriously

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my submission of evidence, which I believe exposes

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unsafe practice in your Cardiothoracic Department?

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-No, of course that is not what I'm doing.

-Good.

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However, I think that while you're making these accusations,

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you might be happier working on another ward.

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No. Absolutely not.

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Move me and it'll look like you're trying to gag a whistle-blower.

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Is that what you're trying to do?

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The ED couldn't find any ID on him.

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What, no bag?

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Did you have a bag, Aubrey?

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Did someone steal your bag?

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Hit and run and mugged. See, that IS cruel.

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It was beautiful.

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-What, your bag?

-The light.

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Glimmered...

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..and shimmered...

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..and glistened.

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Yeah, I forgot about the light(!)

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-What sort of fur do you reckon that is?

-Wolf?

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Bear? Maybe like a brown bear or Prussian black? I don't...

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Well, the label says Savile Row.

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So whatever animal it was, it cost an arm and a leg.

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Push plenty of fluids.

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30 minute obs and can you clean up that head wound, please?

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Are you from London, Aubrey?

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Or are you an international playboy, just stopping off in Holby

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-on his way to Monte Carlo?

-SHE LAUGHS

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I wanted to go towards the light.

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But...behind the light was a face.

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Listen, try and think back to before the light.

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So this morning, when you woke up.

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Where were you?

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Where's home?

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Face.

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Peering down at me.

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Smiling.

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Was it the cyclist?

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Probably the paramedic.

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It was an angel.

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An angel.

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Let me guess.

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The angel said to you, "Don't go towards the light, Aubrey?"

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She said she'd call down her father.

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Maybe God?

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And...

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..that I shouldn't wear fur.

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HE CHORTLES

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HE COUGHS VIOLENTLY

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# There is just one thing I need, I don't care... #

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-Oh!

-Whoa, whoa!

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Oh! Silly me.

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Must've taken a wrong turning after the ladies' room.

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Yeah, right(!)

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-Fletch, there's a call for you at the desk.

-Eh?

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It's school. About Evie. And they say it's urgent.

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Thanks.

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Hello?

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So, let's talk through Ms Naylor's plan.

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The frozen elephant's trunk is a hybrid vascular prosthesis

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consisting of a tube graft, here,

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but also an extra endovascular stent graft here,

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which can be inserted into your descending aorta.

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Are you going to stick all of that inside of me?

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Said the actress to the bishop!

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Yes, well, not this exact one, of course,

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but one that looks a little like it.

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We will cut the great vena cava...

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Kat, it's just so weird they're going to, like,

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stick all of that inside of my chest.

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Are you sure this is a good procedure?

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Um, I'm just worried you're not taking this seriously.

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This is major surgery. You do realise that...

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Zosia? I think Alice understands perfectly.

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Right, we're going to cut you open. Spread your chest bones...

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Yes, thank you!

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-If I worry, is it going to help?

-No...

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No, well, always look for the positive. That's my motto.

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Good motto.

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So a friend saw her arrive, but she didn't make it to registration?

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I don't get it. That's not truancy.

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There will be a perfectly reasonable...

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I just think that you're over-reacting.

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No! Bloody stupid is what I call...

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Nurse Fletcher!

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What are you doing with your back to the ward? For heaven's sake!

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It's all right, it's all right. OK. Can you help me here, please?

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Sorry. On three. One, two, three.

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There we are.

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Well, you definitely don't look like you need to shoplift.

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I don't look like I need to shoplift, because I shoplift!

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No-one normal can afford these labels, unless they steal them,

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or pay someone like me to steal for them.

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So that's...that's what you do?

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Hmmm. "Liberate" to order.

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Yes, I am like a personal shopper.

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I do dressing, styling, fashion advice, colour consultancy...

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So more like a personal shoplifter...?

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Customised purchases to suit the client.

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Just, I don't do the... purchasing bit.

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Robbing?

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I'm a professional thief. Yes, I am.

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Robin Hood of retail.

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Taking haute couture from the rich designer brands and...

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Giving them to the poor?

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Mmm, not exactly "giving". No.

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That bit I don't really do either.

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Could you chase Alice's bloods?

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Check in with Anaesthetics, see what time they're coming down?

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Hmm, sure.

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Everything OK?

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Yeah. Your patient, Alice Thorne.

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She seems surprisingly upbeat for someone about to have

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a major procedure.

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Yes. She has a very positive outlook on life.

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Hmm. Which can sometimes be a mask for hidden fears.

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I guess everyone has their own coping mechanisms.

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Ms Naylor doesn't seem too concerned, does she?

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Ms Naylor would prefer all her patients to be unconscious.

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OK, I'll be there in a minute. Cheers.

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I didn't mean to snap.

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I get it. You know what? I'd be narked with me, too, if I was you.

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I'm just sick of personal matters interfering with the running of the ward.

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But of course, you've got to go find out where Evie's gone.

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She'll be at school. She's not one for bunking off.

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Anyway, I've got to get Aubrey's chest X-rays.

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-I do appreciate your children only have you.

-Yeah,

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but I can't just keep dropping everything - including

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my patients - every time there's a Fletcher family crisis, can I?

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I am truly sorry.

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To be honest, I'm not angry at you, I'm disappointed...

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Me too. I'm not achieving...

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..at my own situation.

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OK. In what way?

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Well, it's just that...

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..Evie.

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What is she...?

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Fletch, sorry I lost my temper.

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You know what? Don't worry about it.

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Anyway, I'm about to lose mine.

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What are you doing here?

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You are in so much trouble, young lady.

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We've spoken about this before. You do not leave school.

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Not for any reason whatsoever.

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My angel! It's her!

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-Hey, Aubrey.

-My angel!

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Told you my dad'd fix you up, didn't I?

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Look! No fur!

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-Turquoise?

-Tetanus?

-Or teal?

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Still in date until 2017.

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OK. Who's this for now?

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Helen. I thought the earrings were for Helen.

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No, no. Chrissie. Chrissie. Earrings for Chrissie to keep her sweet,

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for Daniel's sake. Chrissie's easy.

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Buy anything gold, doesn't matter what it is.

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-Yeah, but the pashminas, though? Really?

-FBC Us and Es?

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They've been taken and sent off. Just waiting for results.

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Pashminas always go down really well, don't they?

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Do they?

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A woman of a certain age.

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You can't have too many expensive scarves, can you?

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Anyway, this site's great because, you know, if there's a problem,

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instant credit gift voucher. So, it's easy.

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Contra-indicated medicines?

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Nothing in the history, apart from an allergy to penicillin.

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Although her hands were a little bit shaky.

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But that could just be the anxiety from being arrested.

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Right, let's run a urine test and check

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if there's any problems with her kidneys or dehydration.

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OK.

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Why don't you just get a gift voucher in the first place?

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Do you know nothing about middle-aged ex-wives?

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Do you know me?

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Touche.

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Now, Essie. She's the wild card.

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History's short and gift success rate is quite mixed.

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But of all the women I'm buying Christmas presents for,

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she's the one I most want to really, really want to impress.

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What scent does she wear?

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Um...French.

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Citrus, floral or musk?

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-Er...

-Start from basics.

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-OK, does she prefer red wine or white?

-Rose.

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-Age?

-Early 40s.

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-Last record she bought?

-Carly Simon's Greatest Hits.

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And how does she feel about chick lit?

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Loves it openly, loves it secretly? Would never read chick lit?

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Um... Wow.

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And nobody else saw him get hit by the bike?

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Charmayne and Honey Mae. I told them to tell Miss Atkinson.

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Well, obviously they didn't.

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Probably forgot. Attention span of a gnat.

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The school thought that you'd done a bunk, love.

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Cyclist done a bunk. I saw him.

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Just left Aubrey lying there on the ground.

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Well why didn't you go and tell a teacher then?

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Recovery position. Clear the airway.

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Don't move any more than necessary. Dial 999.

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Stay put until paramedics arrive. It's what you've always taught me.

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Position. Airway. Ambulance.

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I just wish you'd gone back to school after.

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Paramedic said I done brilliant.

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Yeah, I mean... You did do brilliant...

0:17:250:17:28

Wouldn't let me ride in the ambo, though. So I walked.

0:17:280:17:31

-What do you mean, you walked?

-I wanted to see how Aubrey was doing.

0:17:310:17:34

Lovely. Right - school.

0:17:340:17:36

Aubrey had a pulse of 100 at the scoop.

0:17:360:17:39

Medic said BP was 100 over 60.

0:17:390:17:42

How's he doing now?

0:17:420:17:43

I do know he'd be a lot worse off if it wasn't for you, so...

0:17:460:17:51

let's go and see.

0:17:510:17:53

Milk, dark or white chocolate?

0:17:530:17:56

Milk. Tonnes of it. Big chunks.

0:17:560:17:59

None of that sort of wafer-thin stuff.

0:17:590:18:01

Last time you took her somewhere and she loved it -

0:18:010:18:03

really loved it?

0:18:030:18:05

I mean, when you cuddled up in bed that night,

0:18:050:18:07

she whispered, "You're a wonderful man,"

0:18:070:18:09

and stuck her tongue in your ear?

0:18:090:18:11

-I took her to the theatre. Just once.

-OK, OK, OK.

0:18:130:18:16

Here's what you do.

0:18:160:18:18

You buy an evening clutch bag

0:18:190:18:22

in Italian kid leather.

0:18:220:18:25

In...

0:18:250:18:26

..thistle purple.

0:18:280:18:29

Thistle. Hang on, sorry.

0:18:310:18:33

Thistle...

0:18:330:18:35

-purple.

-Remember "thistle".

-I will, I will.

0:18:350:18:38

And in it you put two tickets to The Nutcracker at the Coliseum

0:18:380:18:44

and a tiny pair of white gold diamond stud earrings.

0:18:440:18:50

That's amazing.

0:18:500:18:52

Oh, that's...

0:18:520:18:54

You're a genius. Thank you so much.

0:18:550:18:57

Right, whatever's the matter with you, we're going to mend you.

0:18:590:19:02

OK, you're going to go out of here like new.

0:19:020:19:06

Thank you.

0:19:060:19:08

Oh, that is quite some gift.

0:19:110:19:14

Yes, it'll work.

0:19:140:19:15

No, I meant what you just did for Mr Levy.

0:19:150:19:17

Reading his girlfriend like that and working out what she'd want.

0:19:170:19:20

I wasn't always a thief. I worked in Beauty and Accessories

0:19:200:19:24

-at a London department store through my

-20s. Really?

0:19:240:19:27

Hm. Learn a lot about people in retail.

0:19:270:19:31

Well, your blood test results are back.

0:19:310:19:34

You do have an elevated white blood cell count at the moment,

0:19:340:19:38

and your haemoglobin levels are low.

0:19:380:19:40

Now, that, coupled with the lethargy and the aching,

0:19:400:19:43

leads me to believe that this could be anaemia.

0:19:430:19:45

-You want to know what I think it is?

-What?

0:19:450:19:48

I think I've got a brain tumour.

0:19:500:19:52

'Forgive me if I'm speaking out of turn.'

0:19:520:19:54

-I just thought you should know.

-Guinea pig?

0:19:540:19:57

I didn't want to say anything in front of your sister

0:19:570:19:59

-because it's her decision.

-Yeah, guinea pig?

0:19:590:20:02

Of course, the hybrid graft goes through rigorous testing.

0:20:020:20:06

It's just, a complex graft like that, it only works

0:20:060:20:09

if it's fitted properly.

0:20:090:20:11

She did say she'd...

0:20:110:20:13

Well, that they'd never done one before, at Holby.

0:20:130:20:15

And she outlined the huge risks the procedure carries?

0:20:170:20:20

She mentioned pros and cons.

0:20:200:20:22

OK. Well, there's this website. It's American.

0:20:220:20:26

Lots of theorists and patients.

0:20:260:20:29

The blog is full of case histories. I can give you the link.

0:20:290:20:33

The other doctors though did seem to think Jac Naylor is the best

0:20:330:20:36

consultant to be doing this.

0:20:360:20:37

-She's their boss.

-Yeah, I get that, but...

0:20:370:20:40

I mean, she's been to international conferences, and...

0:20:400:20:42

Where medical reps encourage them to try out their new products.

0:20:420:20:46

So, this graft, it's...

0:20:480:20:51

Well, it's new.

0:20:510:20:53

So they're keen to try it out on guinea pig patients.

0:20:530:20:55

Also, and I hope you don't mind me saying, Alice seems very upbeat.

0:20:570:21:01

-Very positive.

-Always.

0:21:010:21:03

Like maybe she's in some sort of denial?

0:21:030:21:05

-She lives in a state of denial.

-Uh-huh.

0:21:050:21:08

And you feel that Jac Naylor

0:21:080:21:10

has taken this into serious consideration?

0:21:100:21:12

Oh, I don't know.

0:21:120:21:14

Even her colleagues think she's trigger happy

0:21:140:21:17

when it comes to experimental procedures.

0:21:170:21:20

-It's not...

-It's... It's not what?

0:21:220:21:24

It's not the first time Jac Naylor's done something like this.

0:21:270:21:30

Right, OK, so did you bang your head today at all?

0:21:430:21:48

I fell down a flight of stairs and an escalator.

0:21:480:21:51

Not much of me I didn't get banged.

0:21:510:21:53

Right, well, what I can do is

0:21:540:21:56

when Neuro come down, I will strongly recommend a scan.

0:21:560:22:00

Oh, would you? I'd be so grateful.

0:22:000:22:03

It'll put my mind at rest.

0:22:030:22:05

And, in return, I'll tell you what to buy your boyfriend for Christmas.

0:22:060:22:11

I'm sorry, I don't remember mentioning that.

0:22:130:22:16

Don't be silly, a boy like you.

0:22:160:22:18

Um, but I did think about it. I just...

0:22:210:22:26

I don't know, I didn't want to go over the top

0:22:270:22:30

and end up coming across as clingy and weird.

0:22:300:22:34

SHE PATS HER BED

0:22:340:22:36

His name is Lee.

0:22:450:22:47

The Rothschilds, Barclays, Sopwiths.

0:22:470:22:50

They'd all come up from London in their Rolls-Royces and Bentleys.

0:22:500:22:55

For what?

0:22:550:22:57

Shoot grouse, of course, you dolt.

0:22:570:23:01

Shoot grouse?

0:23:010:23:02

Terribly exclusive. Creme de la creme.

0:23:020:23:07

Topmost of the top drawer.

0:23:070:23:09

Did you shoot grouse?

0:23:090:23:10

Hardly. I was a little further down the drawers, in those days.

0:23:100:23:15

When was this exactly?

0:23:150:23:16

Before my "indiscretion" with Lady Cholmondeley's daughter, of course.

0:23:160:23:23

Quelle horreur!

0:23:230:23:25

"Indiscretion?"

0:23:260:23:28

The lovely Araminta.

0:23:280:23:29

She didn't need to hunt for grouse.

0:23:310:23:33

Her smile could tempt birds from the trees.

0:23:330:23:37

What happened with Araminta?

0:23:370:23:39

Let's just say...

0:23:390:23:41

..my sojourn

0:23:420:23:44

to the rubber plantations of southern Sri Lanka

0:23:440:23:47

was not entirely voluntary.

0:23:470:23:49

Oh, sh!

0:23:490:23:51

Hey, you.

0:23:510:23:53

Aubrey's GCS's at 14, but he's complaining of headaches.

0:23:570:24:00

OK, Well, I think it'd be wise to get him a head CT.

0:24:000:24:03

Will do. And if it's all right with you, I was thinking

0:24:030:24:05

in my lunch break I'd take Evie back to school,

0:24:050:24:07

-explain what happened.

-Course, yeah.

0:24:070:24:09

But I do promise it won't take more than an hour.

0:24:090:24:11

It's fine. Look, the reason I bit your head off earlier...

0:24:110:24:13

You were absolutely right to.

0:24:130:24:16

Elinor had just bailed on our long-planned Christmas together.

0:24:160:24:20

Oh. Bummer.

0:24:200:24:21

By text. Apparently, her boyfriend's parents have taken

0:24:210:24:25

a mountain-view chalet in Val-d'Isere

0:24:250:24:28

with VIP platinum service.

0:24:280:24:30

Well, I'd love to pretend that I knew what any of that means.

0:24:300:24:32

Well, it means that Mum and her turkey and her stuffing

0:24:320:24:36

and her cranberry sauce and her Christmas pudding

0:24:360:24:38

and her mince pies and her honey-glazed ham...

0:24:380:24:42

-have been given the elbow.

-Wow. Someone's been online shopping.

0:24:420:24:46

No. I'm going to make it myself... Well, I was going to make it myself.

0:24:460:24:49

-You're joking, right?

-There were so many years when I didn't.

0:24:490:24:52

You know, working. This year, I thought - ta-da!

0:24:520:24:54

Yeah.

0:24:540:24:56

'We need to reduce carbon dioxide emissions now.

0:25:020:25:05

'It's absolutely critical.'

0:25:050:25:07

It says all sorts of different things.

0:25:070:25:10

'The ice caps are melting because of ozone depletion.'

0:25:100:25:12

I can see that.

0:25:120:25:14

It's to encourage more girls to become scientists.

0:25:140:25:17

-I get the picture.

-Evie's bright as a button.

0:25:170:25:20

I wanted to encourage any aspirations.

0:25:200:25:23

Yeah, I don't think you could actually be any more of a nerd.

0:25:230:25:26

Bless. So, wait, you're asking me if I think Fletch is going to mind?

0:25:260:25:31

Yeah, you don't think that I'm stepping on his toes

0:25:310:25:34

-with all this, do you?

-Raf, come on!

0:25:340:25:36

I'm not even going to be there over Crimbo to give them.

0:25:360:25:39

You can pop them under the tree.

0:25:390:25:41

Ah, don't have one.

0:25:410:25:43

No tree?

0:25:430:25:44

Like I said, I'm not actually going to be there over Christmas.

0:25:440:25:47

Are you going home to your dad's?

0:25:470:25:49

We're meeting at a hotel. Me, Giuseppe, Dad.

0:25:490:25:53

Nice.

0:25:530:25:54

Sounds better than mine.

0:25:540:25:56

Couldn't face being at the family home at Christmas, without Mum.

0:25:560:26:01

It's a good alternative.

0:26:010:26:03

I am kind of dreading it, to be honest.

0:26:030:26:06

She's now starting to have doubts. She's been given some file.

0:26:100:26:13

Ollie's talking to them both. The sister is now trying to

0:26:130:26:16

-persuade her to refuse...

-Hang on. What file?

0:26:160:26:18

'I don't care.'

0:26:180:26:20

How can you not care?

0:26:200:26:22

I have a good feeling about it.

0:26:220:26:24

-Then care for your kid.

-Kat. Come on.

0:26:240:26:27

You know I do nothing but care for my baby.

0:26:270:26:29

Then don't take this massive risk.

0:26:290:26:31

Don't let her do this elephant thing to you. It's not safe.

0:26:310:26:36

I don't know what you've heard.

0:26:360:26:37

But the honest truth is, no heart surgery is safe.

0:26:370:26:41

Well, what I've read suggests my sister isn't safe in your hands.

0:26:410:26:45

I can assure you that this procedure, in my opinion,

0:26:450:26:48

is the best possible choice for you and your family.

0:26:480:26:51

That's fine. I'm sold.

0:26:510:26:53

No, hang on, how many of these aneurysms do you see in a year?

0:26:530:26:58

Maybe ten.

0:26:580:26:59

And how many suitable for this graft?

0:26:590:27:01

-One or two.

-You see? Guinea pig!

0:27:030:27:05

Exactly as Nurse Reynolds said.

0:27:050:27:07

She's desperate to get her hands on one.

0:27:070:27:10

Can I trust you?

0:27:120:27:14

Yes.

0:27:150:27:16

-Oh, great. That's it!

-Look, I'm happy to sign,

0:27:160:27:19

because I'm happy for Ms Naylor to do what she thinks is best.

0:27:190:27:22

Read the file.

0:27:220:27:23

I don't want to. I don't need to.

0:27:230:27:26

I've got my faith.

0:27:260:27:27

Don't come at me with your higher power, positive energy gibberish,

0:27:270:27:31

-Alice, just read the file.

-No!

-Can I read it?

0:27:310:27:34

Look, I, erm... I don't know why you've been given this.

0:27:450:27:49

But if you don't want to go ahead with the procedure, then that's fine.

0:27:490:27:53

-I can't make you.

-I do want to proceed.

0:27:530:27:55

There are alternatives and you can always request another surgeon.

0:27:550:27:59

No I...I want to keep going.

0:27:590:28:01

Paralysed from the neck down!

0:28:010:28:03

Ah, just one of the risks of this frozen elephant thing.

0:28:030:28:06

Who told you that?

0:28:060:28:08

I saw it on the website that the nurse showed me.

0:28:080:28:11

Something goes wrong, it affects the blood supply to your spine.

0:28:110:28:14

-Is that true?

-Potentially.

0:28:150:28:18

But it's more or less the same risk as any other procedure.

0:28:180:28:21

Do you want to discuss this with somebody else? Your mother?

0:28:210:28:24

Your GP? Your husband?

0:28:240:28:26

Dead.

0:28:260:28:27

Useless.

0:28:270:28:29

-Dead.

-I'm sorry?

0:28:290:28:31

Mum had familial TAAD, too.

0:28:310:28:34

My GP's a lovable idiot.

0:28:340:28:36

And James died in a climbing accident 20 months ago.

0:28:360:28:39

-I'm sorry.

-Don't be. We were married six years.

0:28:390:28:42

And I couldn't have been happier.

0:28:420:28:44

Like I said,

0:28:440:28:46

-I'm the luckiest woman I know.

-Oh, yeah, with an aneurysm

0:28:460:28:49

the size of a tennis ball and connective tissues as soft

0:28:490:28:52

-as boiled spaghetti.

-Which is why I'm happy to let them operate.

0:28:520:28:55

I just know it will be fine.

0:28:550:28:56

And what if it isn't?

0:28:590:29:01

If it isn't... Well, that will be fine, too.

0:29:010:29:04

Kathryn, it is what it is. Accept it.

0:29:040:29:08

I do.

0:29:080:29:10

Where do I sign?

0:29:120:29:14

I know I come across like I'm tough as Teflon.

0:29:260:29:28

But I'm worried. Really worried.

0:29:280:29:31

I'm losing little tufts of hair.

0:29:310:29:34

I'm scared it's some kind of payback for all my dishonesty.

0:29:340:29:38

-I mean, stealing isn't very Zen.

-Angela, do you have any idea

0:29:380:29:41

how relatively rare brain tumours actually are?

0:29:410:29:44

LIFT BEEPS

0:29:450:29:46

Thanks.

0:29:460:29:48

MOBILE RINGS

0:29:480:29:50

I'm going to have to take this. You go on ahead. I'll catch you up.

0:29:510:29:54

Hello.

0:29:560:29:58

Yes. No, thank you very much for calling me back.

0:29:580:30:00

Um, yeah, as I was saying to your colleague, I was trying to

0:30:000:30:03

make a purchase online and for some reason my credit card was declined.

0:30:030:30:09

Er, yeah, no, absolutely.

0:30:110:30:13

Well, it was a gift, a Christmas present for my partner, erm..

0:30:130:30:18

Yeah, I know, that's what I thought. Erm, but...

0:30:180:30:21

I'm sorry?

0:30:210:30:24

What? No.

0:30:240:30:26

Sorry, what do you mean I've reached the end of my limit?

0:30:260:30:29

But that's impossible. I haven't...

0:30:290:30:31

No, but I...

0:30:310:30:33

OK, yeah, no. Of course I'm going to speak to my bank. Absolutely.

0:30:330:30:37

OK, thank you.

0:30:370:30:39

Idiots!

0:30:410:30:42

OK, Aubrey, all you've got to do is lie still.

0:30:420:30:45

They're not venomous, you know.

0:30:450:30:47

Try not to move.

0:30:470:30:49

What isn't?

0:30:510:30:53

The snakes. Native snakes.

0:30:530:30:56

Look frightful, I agree. But lack any venom.

0:30:560:30:59

Except the yellow ones. They are devilish blighters.

0:30:590:31:04

I'm afraid to ask, but I'm going to. Aubrey, where are we now?

0:31:050:31:09

Kenya, dear boy. Kenya, of course.

0:31:100:31:14

Of course.

0:31:140:31:16

He's got a ventriculoperitoneal shunt in situ.

0:31:180:31:20

Is that going to be a problem?

0:31:200:31:22

Ventricles are very enlarged. Looks like gross hydrocephalus.

0:31:220:31:26

How can he have hydrocephalus if he's got a shunt?

0:31:260:31:29

Cos it's not working properly.

0:31:290:31:30

It's either blocked or it's been disconnected.

0:31:300:31:32

Things would be much easier if we had his medical history.

0:31:320:31:35

Yeah, I am trying, but it's really hard to get information out of him.

0:31:350:31:38

Any concrete information, he keeps wandering off into the '50s.

0:31:380:31:41

You know, off playing polo with the Shah of Persia, dear boy.

0:31:410:31:44

The increased pressure certainly could cause

0:31:440:31:46

the headaches and confusion.

0:31:460:31:48

Call Neurosurgery. He needs a shunt revision quickly.

0:31:480:31:50

Shoo-shoo! Ssss!

0:31:530:31:56

HE LAUGHS TO HIMSELF

0:31:560:31:58

Lemon and ginger?

0:32:060:32:07

Yep.

0:32:070:32:08

Make me one.

0:32:080:32:10

There's no more hot water.

0:32:100:32:11

So, boil it again.

0:32:140:32:15

Very interesting read.

0:32:270:32:29

Mr Hanssen seemed to think so.

0:32:320:32:34

Well, he needs to look like he's taking it seriously.

0:32:340:32:37

But he knows what really matters in surgery.

0:32:370:32:39

And what matters to you is you get to show off.

0:32:390:32:42

Use new toys.

0:32:420:32:44

A simple pulmonary valve replacement like Seymour Orson needed

0:32:440:32:47

is so dull, you're happy to send him home.

0:32:470:32:49

Whether he needs the operation or not.

0:32:490:32:51

You're making a study of all my patients, now?

0:32:510:32:54

The ones you want,

0:32:540:32:55

you bully into letting you do experimental procedures that...

0:32:550:32:58

-That save their lives.

-That promote Jac Naylor.

0:32:580:33:01

Make you look so special.

0:33:010:33:03

I'm a leading heart surgeon. I AM special.

0:33:050:33:07

It's what you've always done.

0:33:090:33:10

Excuse me? You know precisely nothing about me.

0:33:110:33:14

Don't be too sure.

0:33:170:33:18

Why not just ask to be transferred to another ward?

0:33:200:33:22

Why? Am I supposed to be scared of you?

0:33:220:33:24

No. Not in the slightest. How's my herbal getting on?

0:33:240:33:27

-Got to wait for it to boil.

-Do you think you're the first?

0:33:270:33:31

-To do what?

-Make accusations? The NHS is rabidly litigious.

0:33:310:33:36

Surgeons get accused of all sorts, all the time.

0:33:360:33:38

And they get off because of insufficient evidence.

0:33:380:33:42

Cos no-one on the inside is keeping a close enough watch.

0:33:420:33:44

And that'll be you, will it?

0:33:440:33:46

You think because I'm a nurse, no-one's going to listen to me.

0:33:480:33:51

I think people will see that you have trouble working with

0:33:510:33:54

-strong women and prefer male bosses.

-That's a lie.

0:33:540:33:57

Because then you can flutter your eyelids and flash some cleavage.

0:33:570:34:00

I am a professional.

0:34:000:34:01

Who's sleeping with a senior male colleague.

0:34:010:34:04

And you didn't when he was CEO?

0:34:040:34:07

I think we both know exactly how you got promoted

0:34:080:34:12

to director of the Cardiothoracic Department,

0:34:120:34:14

and it wasn't to do with your performance in the theatre, was it?

0:34:140:34:18

Where did you get that?

0:34:260:34:28

Aubrey gave it to me.

0:34:280:34:30

-You do know you can't keep it, right?

-I know, I told him.

0:34:300:34:33

But he just went off on one.

0:34:330:34:36

Said it belonged to his great aunt, Lady Painswick.

0:34:360:34:38

-Now, I can't get it off.

-Here, let me have a go.

0:34:390:34:43

Oh, it's moving.

0:34:440:34:46

-There you go.

-Thanks.

0:34:470:34:49

Fletch. His GCS has dropped to 12 post scan.

0:34:490:34:51

Do 15 minute neuro obs and keep a close eye on him, please,

0:34:510:34:54

until Neuro get here.

0:34:540:34:55

Aubrey, I've got your brooch.

0:34:570:34:58

Not now, love. I don't think he's doing too well.

0:34:580:35:01

Aubrey, can you open your eyes for me, please?

0:35:010:35:04

Why won't he open his eyes?

0:35:040:35:06

Raf? Open your eyes for me.

0:35:080:35:11

Why isn't he talking? Your brooch, Aubrey.

0:35:110:35:14

Open your eyes.

0:35:140:35:15

What's happening?

0:35:150:35:17

Aubrey? You OK? Aubrey!

0:35:180:35:20

No pulse! He's in VF. get the crash trolley, please.

0:35:200:35:23

Right, you need to disappear now, darling.

0:35:230:35:25

Evie, can you go, please?

0:35:270:35:30

Evie - go!

0:35:300:35:31

-I thought you weren't operating today.

-So, I'm looking at the theatre list.

0:35:430:35:47

And you know it's the same old, same old. Stents, stents and more stents.

0:35:470:35:50

And then I see, "Ms Naylor.

0:35:500:35:52

"Latest design frozen elephant trunk graft," and I'm like, "Wait, What?"

0:35:520:35:56

-Afternoon, Maureen.

-And you don't think I'm not thinking,

0:35:560:35:59

"When, oh, when is she going to fit one of those?

0:35:590:36:01

"Because when she does, I'm all over that like bears on a picnic."

0:36:010:36:04

And it's a good thing I'm here cos you're going to need

0:36:040:36:06

more dexterous digits than these two clowns have got. No offence.

0:36:060:36:10

-None taken.

-Come on, then.

0:36:100:36:12

While we're cooling, you can complete the proximal anastomosis.

0:36:120:36:16

-Connect the arteries with 2.0 Prolene.

-Right.

0:36:160:36:19

Suction, please.

0:36:200:36:22

The aortic arch is very dilated so we need to replace it.

0:36:220:36:24

And a retrograde perfusion?

0:36:240:36:26

That'd be fantastic. If we want to kill our patient.

0:36:260:36:28

But we'd like to keep her brain alive so we'll go for

0:36:280:36:31

-cerebral perfusion anyway.

-Yeah. Fair enough.

0:36:310:36:34

-I'm all for keeping her alive.

-The joy of this thing is,

0:36:340:36:36

once we go to circulatory arrest, we open the aorta,

0:36:360:36:38

insert the trunk into the distal end of the aneurysm.

0:36:380:36:41

With the new insertion device then we can basically place

0:36:410:36:45

the trunk wherever we want it,

0:36:450:36:46

attach it to the landing zone and then retract the applicator.

0:36:460:36:49

Seriously. You had me at "trunk".

0:36:490:36:51

Well, this is obviously some mistake

0:36:510:36:53

so can you please just... Yes, please.

0:36:530:36:55

Neuro came back with a CT, and it's all-clear.

0:36:550:36:58

OK, well... Yes. I... Yes, I can hold.

0:36:580:37:01

And I agree with you about the blood work, by the way.

0:37:010:37:04

Anaemia's too severe to cause double vision and muscle weakness.

0:37:040:37:07

And it wouldn't explain the sweating and shaky hands.

0:37:070:37:10

It's obviously not right. So just check again.

0:37:100:37:13

I don't care! Just check again!

0:37:130:37:16

What's happened?

0:37:200:37:22

It's...it's all gone.

0:37:220:37:24

Right, OK, what's all gone?

0:37:250:37:27

My bank account has been emptied.

0:37:270:37:29

-You're kidding me.

-No.

0:37:300:37:32

Online this morning, apparently. Passwords, dongle, everything.

0:37:320:37:35

It could be an error, have you checked that?

0:37:360:37:38

Well, that's what I've said to them, no-one else has access to...

0:37:380:37:41

Oh, God, no. Please. Please, no, please, no.

0:37:470:37:49

-The neurosurgeons are all in theatre.

-Right, he's in cardiac arrest.

0:37:530:37:56

We're never going to get him back unless we relieve the pressure

0:37:560:37:59

-in his brain ourselves.

-In theatre?

-No, no time.

-What, in here?

0:37:590:38:02

We've got no choice. Glove-up!

0:38:020:38:03

-OK, what do you need? Er, Lou!

-Large syringe. Full bore needle.

0:38:030:38:07

Swabs. And a lot of luck.

0:38:070:38:09

Well, don't look at me for that, mate.

0:38:090:38:11

So, shunt's supposed to be draining the excess cerebrospinal fluid

0:38:110:38:14

away from the brain ventricles and into his abdominal cavity.

0:38:140:38:16

Hydrocephalus is occurring cos the shunt's not working.

0:38:160:38:19

Give me your hand.

0:38:190:38:20

-Fluid. Feel it?

-Yes.

0:38:210:38:23

OK, that's a burr hole that was cut when the VP shunt was first fitted.

0:38:230:38:26

If I could just ask you to hold the hair out of the way,

0:38:260:38:28

I will attempt to go through the burr hole

0:38:280:38:31

and hopefully into the ventricle.

0:38:310:38:33

Right. Now, all I have to do is get his heart started again.

0:38:440:38:47

Charge to 100, please.

0:38:470:38:48

Charging.

0:38:500:38:52

Clear.

0:38:520:38:54

Charge to 150.

0:38:560:38:57

Clear.

0:39:010:39:02

Hey, why don't we go outside?

0:39:040:39:06

No, I want to stay.

0:39:060:39:09

I promised him my dad would make him better.

0:39:090:39:12

Well, they'll do everything possible.

0:39:120:39:14

And my dad promised us we'd be in our own house by Christmas.

0:39:140:39:19

-Right, look, why don't we just go and sit down?

-But I want to stay.

0:39:190:39:22

Right, I'm going back in.

0:39:230:39:25

That's all I'm going to get, I'm meeting resistance.

0:39:310:39:34

Come on, mate, you can do it.

0:39:340:39:36

Charging.

0:39:380:39:39

Clear.

0:39:410:39:43

MACHINE BEEPS WITH HEARTBEAT And, we have rhythm.

0:39:430:39:46

-Did...did that remind you of your...?

-Of Mum?

0:39:490:39:53

Aubrey told me this brooch was given to his half-brother, Matthew.

0:39:570:40:00

Really?

0:40:000:40:02

Who was a solicitor from Manchester

0:40:020:40:05

who inherited this massive mansion.

0:40:050:40:08

From his cousin. Lord something.

0:40:080:40:13

Who hated Matthew because he wasn't posh.

0:40:130:40:17

But he fell in love with the posh lord's daughter.

0:40:170:40:20

-And then...

-Grantham?

0:40:200:40:22

Lord Grantham! That's it.

0:40:220:40:25

You heard of him?

0:40:250:40:27

"Made In China"?

0:40:300:40:32

My grandfather's medals.

0:40:480:40:50

He stole my grandfather's medals.

0:40:520:40:56

He's trashed Zosia's room as well.

0:40:560:40:58

He's taken my passport and my birth certificate.

0:40:580:41:01

Do you have any idea what Grandad Clarence had to go through

0:41:010:41:05

to win the Companion of the Distinguished Service Order?

0:41:050:41:08

Italy Star? The Croix de Guerre?

0:41:080:41:12

I'm sorry. OK? I am sorry.

0:41:120:41:15

I feel so violated...

0:41:170:41:19

He was parachuted behind enemy lines.

0:41:190:41:22

Recruited resistance fighters. Was hunted down.

0:41:220:41:26

-Captured...

-I'm sorry, OK? I'm sorry!

0:41:260:41:29

Ice bags on head. Lower theatre temperature.

0:41:500:41:52

Patient is at 17 degrees.

0:41:520:41:54

Start the stop clock.

0:41:540:41:56

OK, that gives us between 30 and 45 minutes.

0:41:590:42:02

Taking off the clamp.

0:42:020:42:03

With the old two stage procedure, we'd still have to

0:42:060:42:09

stitch the graft in place for the descending aorta.

0:42:090:42:12

But with this...

0:42:120:42:14

it should just slide...

0:42:140:42:17

..right in.

0:42:180:42:20

There we go.

0:42:200:42:22

OK. Trunk is in place, removing the outer sheath.

0:42:220:42:29

Holding the inner sheath steady.

0:42:350:42:38

What about the Staff, Friends and Family Test?

0:42:420:42:44

It's an important survey.

0:42:440:42:46

Into whether patients would actually recommend the services

0:42:460:42:49

we provide to their friends and family.

0:42:490:42:51

Everything OK?

0:43:020:43:04

No, it's stuck.

0:43:040:43:06

Just hold it there.

0:43:120:43:14

OK. Well, look if you can't get it out, what you going to do?

0:43:140:43:17

-Have you got a backup plan?

-Do you want me to have a go?

0:43:170:43:20

-Maybe there's another way of releasing it?

-Shut up!

0:43:200:43:22

Could you just shut up and let me concentrate

0:43:220:43:25

without the background hum of inane questions?

0:43:250:43:28

You think people who have been bullied and insulted

0:43:340:43:38

and ignored during her working day would actually recommend her

0:43:380:43:41

to their loved ones?

0:43:410:43:43

I'd be very surprised

0:43:430:43:44

if this patient's sister doesn't make a formal complaint.

0:43:440:43:47

The alternative is we backpedal

0:43:510:43:53

and do an old-fashioned fully open procedure.

0:43:530:43:55

After convincing her to go with the frozen elephant trunk?

0:43:550:43:58

Well, if you can't work the applicator properly...

0:43:580:44:01

-Just one more go.

-She's been on circulatory arrest for 20 minutes.

0:44:010:44:04

-We are running out of time.

-I said one more go!

0:44:040:44:06

There's another label in this coat, you know.

0:44:240:44:26

It's a retired aluminium welder from Weston.

0:44:300:44:33

-Alan?

-I guess being Aubrey was just a bit more fun.

0:44:340:44:38

Yes, well, sometimes I wish it was as easy as just

0:44:380:44:41

-slipping on a different coat.

-I know exactly what you mean.

0:44:410:44:44

Oh, come on, Fletch. You don't want to be anyone different.

0:44:440:44:46

I'm a widower with four kids, no money

0:44:460:44:49

and Christmas looming like Frankenstein's monster.

0:44:490:44:52

In fact, who'd want to be me?

0:44:520:44:53

Divorcee with an empty nest, too much time on her hands,

0:44:530:44:56

and no-one left in the world who actually needs her?

0:44:560:44:59

It's been nearly 30 minutes. We need to start circulation soon.

0:45:060:45:09

If it doesn't want to come out,

0:45:090:45:11

-then we should seriously...

-Be quiet!

0:45:110:45:13

It's out.

0:45:290:45:30

Graft is in place.

0:45:320:45:34

Nice, Naylor. Nice.

0:45:340:45:36

If that doesn't get you out of bed and into work in the morning,

0:45:360:45:38

I don't know what does.

0:45:380:45:40

That is perfection.

0:45:400:45:41

It's a pay-as-you-go mobile.

0:45:490:45:51

Every time I phone through, it just says,

0:45:510:45:53

"The mobile number you have called is not available."

0:45:530:45:56

Oh, Dom. I'm really, really sorry.

0:45:560:46:00

I was just such a fool. I'm so trusting.

0:46:000:46:04

I gave him free run of my flat. All my stuff.

0:46:040:46:07

Hello, Angela. OK, you definitely do have an iron deficiency.

0:46:120:46:19

But your blood glucose levels are actually fine.

0:46:190:46:22

So we're just going to wait on the thyroid function test.

0:46:220:46:25

You're right. You were a fool.

0:46:250:46:28

Thank you. But I don't need you to tell me that. OK?

0:46:280:46:33

Er, so we just need to wait for the thyroid hormone levels.

0:46:330:46:36

You can't trust someone you don't really know like that.

0:46:360:46:40

You don't just open up your life to a total stranger.

0:46:400:46:44

Not everyone's a thief. Not everyone can't be trusted.

0:46:440:46:47

Not everyone thinks that stealing

0:46:470:46:50

is a perfectly acceptable way of making a living.

0:46:500:46:53

Well, clearly Lee does.

0:46:530:46:54

Right, well, when we've discharged you -

0:46:570:46:59

into police custody and then onwards to prison -

0:46:590:47:02

you'll need to take iron supplements.

0:47:020:47:05

I'm not criticising you. I'm just saying your lifestyle,

0:47:050:47:10

-the way you choose to...

-Whoa, I'm sorry, lifestyle?

0:47:100:47:13

You want to talk about lifestyle?

0:47:130:47:16

OK, erm... You worry.

0:47:160:47:19

You think you've got a brain tumour.

0:47:190:47:21

Now, when do these "symptoms" tend to occur, Angela?

0:47:210:47:24

Is it when you walk into a shop and decide to steal things?

0:47:240:47:28

Is it when you are hiding from CCTV, from shop security, from the police?

0:47:280:47:34

Is it when you're pretending to be a perfectly normal member of society

0:47:340:47:38

whereas, actually, you're just a little thief?

0:47:380:47:41

Dominic, I'm sorry.

0:47:410:47:44

I didn't mean to insult you.

0:47:440:47:47

It's stress. The wobbles, the hand shakes, the uncontrollable sweating.

0:47:470:47:53

My guess is it's stressed-induced anxiety

0:47:530:47:56

caused by your lifestyle choices.

0:47:560:47:58

I'm sorry what I said about, Lee.

0:48:000:48:05

Look...

0:48:050:48:07

in my handbag, hidden in the lining, I've got money.

0:48:070:48:10

-If you need cash, you...

-I don't want your dirty money.

0:48:100:48:14

Guy, it's Fran.

0:48:210:48:22

Please say you're free tonight for a large glass of red.

0:48:220:48:25

I need one. I need you.

0:48:250:48:28

Not quite as smooth as one might expect of you.

0:48:370:48:39

I couldn't work the new delivery device at first. My fault.

0:48:390:48:42

-Not the graft. It is fantastic.

-Duly noted.

0:48:420:48:44

And then there is this.

0:48:440:48:46

Your patient's sister is making noises

0:48:460:48:48

about pursuing a formal complaint,

0:48:480:48:49

so you need to talk to the patient and her sister

0:48:490:48:52

and perhaps apologise about not being more inclusive.

0:48:520:48:54

-I have a team to do that.

-And that is part of the sister's complaint.

0:48:540:48:58

I'm afraid being a brilliant surgeon isn't enough.

0:48:580:49:01

Well, I was busy planning it. Prepping for theatre.

0:49:010:49:03

And I reiterate,

0:49:030:49:04

being brilliant in theatre doesn't always satisfy the patient's needs.

0:49:040:49:08

She's alive. Her heart will now last decades.

0:49:080:49:11

That is enough.

0:49:110:49:12

What I can't believe is you're taking this seriously.

0:49:120:49:15

I have to.

0:49:150:49:16

If you hadn't been able to release the applicator,

0:49:170:49:20

-what would you have done?

-I did release it.

0:49:200:49:22

But that's what you do, isn't it?

0:49:220:49:24

You experiment on patients with such serious problems

0:49:240:49:28

and poor prognosis, that no-one's surprised if they die.

0:49:280:49:31

Nurse Reynolds, don't antagonise, please.

0:49:310:49:33

Mr Hanssen, why in heaven's name is she still here?

0:49:330:49:35

Can't you just get rid?

0:49:350:49:37

You'd like that, wouldn't you? No-one to keep a close eye.

0:49:370:49:40

Just everyone patting your back and kissing your feet.

0:49:400:49:43

Can't you just transfer her?

0:49:430:49:44

Let's not have this conversation here, please.

0:49:440:49:46

Put her down on AAU

0:49:460:49:48

amongst the verrucas and vomiters where she belongs.

0:49:480:49:51

Let's proceed to your office, shall we?

0:49:510:49:53

I've compiled a file that shows your mortality rate

0:49:530:49:56

is double the national average.

0:49:560:49:58

That you coerce vulnerable patients into experimental procedures.

0:49:580:50:03

If I'm forcibly transferred,

0:50:030:50:04

how would that look?

0:50:040:50:07

You're right. It wouldn't look good.

0:50:070:50:10

It would look like we were trying to cover something up.

0:50:110:50:13

It would look like we actually cared

0:50:130:50:16

what some chippy little doctor-bonking nurse thinks.

0:50:160:50:19

-Ms Naylor, please!

-I'm sorry. Consultant-bonking nurse.

0:50:190:50:22

I forgot you managed to hook your claws around the rungs

0:50:220:50:25

of the sleep-your-way-up ladder.

0:50:250:50:26

Ms Naylor, it ill behoves you to behave in this manner.

0:50:260:50:30

I couldn't care less about Guy Self.

0:50:300:50:33

I care about what you're doing here.

0:50:330:50:36

And you can't bear working with a successful female boss

0:50:360:50:39

because you can't use your charms, fading though they are.

0:50:390:50:44

And it just highlights what a loser you are.

0:50:440:50:46

Successful means putting your patients' lives at risk

0:50:460:50:49

so you can score points.

0:50:490:50:50

Instead of having a life that is pathetically pointless.

0:50:500:50:55

Living from shift to shift.

0:50:550:50:57

Shag to shag, with increasingly older doctors.

0:50:570:51:01

Jealous of anyone who wields more power than you.

0:51:010:51:04

You are such a vicious cow!

0:51:040:51:07

-Ladies, stop it now.

-And you are a bitter, frightened little nothing

0:51:070:51:12

who will always be nothing

0:51:120:51:14

because all you're good for is moaning and whining...

0:51:140:51:18

And there you have it!

0:51:270:51:28

Physical assault of a senior consultant in the workplace.

0:51:290:51:34

Did anyone miss that? No?

0:51:340:51:36

Thank you.

0:51:380:51:39

That should be more than enough to suspend her. Agreed?

0:51:410:51:44

Then she offered me money - from her secret going-to-prison stash.

0:51:530:51:57

That's incredible.

0:51:570:51:59

That's rather sweet, actually.

0:51:590:52:00

She's a professional thief.

0:52:000:52:02

Oh, but apparently she only steals from the larger department stores.

0:52:020:52:06

Well, thief or not, she's been amazing for my Christmas list.

0:52:060:52:10

I got the lot done. Even Rachel.

0:52:100:52:12

Oh, well, good for you(!)

0:52:120:52:13

Well, I'm just saying.

0:52:130:52:15

Well, her life of crime has left her an anxious mess.

0:52:160:52:19

Shaking hands, sweating, loss of weight.

0:52:190:52:22

Mood swings? Muscle weakness?

0:52:220:52:24

She said she felt like a kitten with the flu.

0:52:240:52:26

Blurred vision?

0:52:260:52:28

She did fall over and crack her head.

0:52:280:52:30

Sounds a lot like thyroid to me.

0:52:300:52:32

But you did run a thyroid function test, didn't you?

0:52:320:52:34

Yeah. The results haven't been posted yet.

0:52:340:52:36

Oh, well, your shift's over. The night doctor will pick it up.

0:52:360:52:40

Really, she should be taking beta blockers

0:52:400:52:42

and being referred for thioamides treatment.

0:52:420:52:45

That'll happen all after her police custody, I suppose.

0:52:450:52:48

Well, it would happen a lot quicker if I just wrote up a treatment plan

0:52:500:52:54

and paid a visit to the prison doctor though, wouldn't it?

0:52:540:52:57

You?

0:52:570:52:59

What else am I going to do at Christmas?

0:52:590:53:01

I'm penniless and heartbroken.

0:53:010:53:03

-Another, I think.

-Definitely.

-Yes, definitely.

0:53:080:53:11

I went mad trying to compensate.

0:53:110:53:13

I've got a freezer groaning with food.

0:53:130:53:15

Not after my little swarm of locusts descend on you, you won't.

0:53:150:53:18

Good! I want it eaten. That's why I bought it.

0:53:180:53:20

Look, Giuseppe's not in exactly a good place at the moment.

0:53:200:53:23

Because your mother died. News flash - so did mine.

0:53:230:53:27

And mine.

0:53:270:53:28

Look, think of it as the Dead Mothers Christmas Club

0:53:290:53:32

annual get-together.

0:53:320:53:33

-We'll drive you mad.

-Mad? You want to see mad.

0:53:330:53:35

Come and see what I'll look like on Boxing Day night

0:53:350:53:38

after three long days on my own with the Downton Abbey boxset

0:53:380:53:41

and a crate of Shiraz!

0:53:410:53:42

So...actually we'd be, well, saving you from yourself, really?

0:53:430:53:48

-We'd be doing you a favour?

-Yup.

0:53:480:53:51

I suppose we've got nothing else planned.

0:53:510:53:53

I've got two trees.

0:53:530:53:55

Two. One in the kitchen and one in the sitting room.

0:53:550:54:00

-There's only me.

-You've got trees?

0:54:000:54:03

Yeah, it is Christmas.

0:54:030:54:05

And we'd be able to put our presents under the tree?

0:54:050:54:08

Yes, you can dance around it with nothing but a Santa hat

0:54:080:54:12

and a tinsel jockstrap, if you like.

0:54:120:54:16

Yeah, I actually haven't got round to getting a tree, yet.

0:54:160:54:18

So? Look, I'm asking Cara.

0:54:180:54:21

Apparently she's on her own this year.

0:54:210:54:23

Well, look, I could suggest it.

0:54:230:54:25

And we could consider it.

0:54:250:54:27

I won't take no for an answer.

0:54:270:54:29

Yeah, go on, then.

0:54:320:54:34

OK. Why not? Let's do it.

0:54:340:54:36

Is that all right with you, Evie?

0:54:360:54:38

Yeah. Sure. Sounds nice.

0:54:380:54:42

Something wrong?

0:54:420:54:43

It's just...

0:54:430:54:45

Go on. Tell me.

0:54:450:54:46

I thought we were staying at home in Raf's house. Just us.

0:54:460:54:51

Oh, you want to be just on your own as a family?

0:54:510:54:56

No. No.

0:54:560:54:58

I kind of wanted to invite Aubrey to come to us as well.

0:54:580:55:01

-Aubrey?!

-It's rubbish in their care home.

0:55:010:55:04

They make them dance the Hokey-Cokey

0:55:040:55:05

all sitting down in their wheelie chairs.

0:55:050:55:07

No question then. That's a clear infringement of his human rights.

0:55:070:55:11

If he's well enough, Aubrey's coming too.

0:55:110:55:14

-Really?

-Yes.

0:55:140:55:16

Aww! How exciting.

0:55:180:55:21

SHE CHUCKLES

0:55:210:55:23

Let's get her a referral to the endocrinologist.

0:55:230:55:26

They'll want her on a high dosage of Carbimazole.

0:55:260:55:29

But in the meantime, can we write her up for 40 mg of Propranolol

0:55:290:55:34

twice daily? That should hopefully keep the shakes under control.

0:55:340:55:38

Oh, and can we also put her down for oral iron supplements?

0:55:390:55:43

Might as well put a spring back in her step.

0:55:430:55:46

Oh, and Lawrence, would you let the prison doctor know

0:55:460:55:49

that I will be chasing it up?

0:55:490:55:50

These gentlemen are going to escort you off the hospital premises

0:56:440:56:47

and you are not to return until invited to for your HR hearing.

0:56:470:56:50

We operate a no tolerance of violence policy here

0:56:500:56:53

and this incident will be reported to the police.

0:56:530:56:56

Am I perfectly clear?

0:56:560:56:57

Thank you, gentlemen.

0:56:590:57:01

Oh, Guy. Guy, thank God you're here. Can you do something about this?

0:57:030:57:07

Erm, could you give us a moment, please?

0:57:070:57:10

I've been informed about today's events. So, you and me,

0:57:180:57:22

this...whatever it is - was -

0:57:220:57:26

we should end it.

0:57:260:57:27

Guy! Don't walk away from me.

0:57:290:57:32

Guy?

0:57:320:57:35

DO NOT walk away from me!

0:57:350:57:37

Guy!

0:57:400:57:41

GUY!

0:57:420:57:44

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