0:00:02 > 0:00:03Who is Guy Self?
0:00:03 > 0:00:07Brash, arrogant surgeon, skilful, ruthless political animal,
0:00:07 > 0:00:08empire builder.
0:00:08 > 0:00:12Sometimes when I'm in the throes of passion I'm minded of Napoleon's
0:00:12 > 0:00:16great love for Josephine, but that's a compliment, if anything.
0:00:16 > 0:00:19When are you going to tell your Jewish children that I'm related to a Nazi?
0:00:19 > 0:00:22- Did you ever think of Fredrik? - Every day.
0:00:22 > 0:00:26When you said to think about where Guy would spend his funds,
0:00:26 > 0:00:28he wants Darwin.
0:00:28 > 0:00:30I suspect it's not just Darwin Ward, Ms Naylor.
0:00:30 > 0:00:33- What else could he want?- Everything.
0:01:22 > 0:01:25Henrik, I'm so sorry, I thought you were on leave,
0:01:25 > 0:01:28I would've parked elsewhere if I had known.
0:01:28 > 0:01:31- Just clearing my desk. You have guests, I see.- Oh, yes.
0:01:31 > 0:01:33I've just invited a few people to come
0:01:33 > 0:01:35and watch some snippets from the documentary.
0:01:35 > 0:01:37Footage from the operation.
0:01:37 > 0:01:41Why don't you join us, maybe say a few words? Kick-off's at midday.
0:01:41 > 0:01:43I'll see what I can do.
0:01:43 > 0:01:45It's good to remind them all that you're the boss
0:01:45 > 0:01:47and I'm just a small cog in the machine.
0:01:53 > 0:01:54PHONE RINGS
0:02:10 > 0:02:13Now, do you remember, we have to leave straight after the shift.
0:02:13 > 0:02:16- Sacha, you're doing it again. - Am I? I'm sorry!
0:02:16 > 0:02:18It's just I'm so excited you're going to meet her.
0:02:18 > 0:02:20Well, I'm not. I'm terrified!
0:02:20 > 0:02:22Our family trees aren't exactly compatible.
0:02:22 > 0:02:24- Now, we talked about this. - Did we?
0:02:24 > 0:02:27I'm not sure "It's going to be fine" counts.
0:02:27 > 0:02:29- Your Great Aunt Maria... - Will love you.
0:02:35 > 0:02:37Mr Hanssen! I just wanted a very quick word?
0:02:37 > 0:02:40Well, it will have to be very quick.
0:02:40 > 0:02:44Essentially the problem is... Well, it's not a problem as such,
0:02:44 > 0:02:48but, um, I'm not really moving forwards career-wise.
0:02:48 > 0:02:49And why's that?
0:02:50 > 0:02:52Well, I'm not sure if you're aware,
0:02:52 > 0:02:55but I'm no longer mentoring Dr Shreve.
0:02:55 > 0:02:57Then my advice would be to use the extra time available to you,
0:02:57 > 0:02:59why don't you write a paper for publication?
0:02:59 > 0:03:02You are already behind many of your peers in that regard.
0:03:02 > 0:03:05Seize the initiative, Dr Digby. Now, if you'll excuse me.
0:03:16 > 0:03:18You can't stay here, I'm afraid.
0:03:18 > 0:03:22Forget about me. Save him.
0:03:28 > 0:03:30Excuse me, may I?
0:03:31 > 0:03:32Name?
0:03:32 > 0:03:34Owen.
0:03:34 > 0:03:35Owen what?
0:03:35 > 0:03:37Trent.
0:03:37 > 0:03:38Mr Trent?
0:03:46 > 0:03:48Are you the BFG?
0:03:52 > 0:03:54Home-made shortbread?
0:03:54 > 0:03:57Ha-ha! You baked?
0:03:57 > 0:04:00My counsellor recommended it. "Meditation through distraction."
0:04:00 > 0:04:02But I though they turned out quite well.
0:04:06 > 0:04:07Hm. Lovely.
0:04:10 > 0:04:15While I'm here, I was wondering if I could talk to you about my future?
0:04:15 > 0:04:18My clairvoyant skills are a little rusty, but I'll do my best.
0:04:18 > 0:04:21I'd like to be a consultant one day.
0:04:21 > 0:04:25In fact, I want to be an exceptional doctor of acute and emergency care.
0:04:25 > 0:04:30So I was hoping you'd let me take the lead on some more complex cases,
0:04:30 > 0:04:32maybe trial a few new surgical techniques and...
0:04:32 > 0:04:36Whilst I applaud your ambition, you have only just finished your CBT.
0:04:36 > 0:04:39Might it not be better just to keep your head down for a few months?
0:04:39 > 0:04:43I think I want to put my anxiety behind me and move forward.
0:04:43 > 0:04:45Mr Hanssen - he suggested writing an article but...
0:04:45 > 0:04:48- That's an excellent idea! - What I had in mind was more...
0:04:48 > 0:04:49What's your topic going to be?
0:04:49 > 0:04:52Well, I haven't really had any time to...
0:04:52 > 0:04:54Well, what aspects of our work on AAU most excites you?
0:04:56 > 0:05:00The...variety?
0:05:00 > 0:05:03Well, that's not going to get you published in The Lancet, is it?
0:05:03 > 0:05:05Get an idea to me by the end of the day.
0:05:05 > 0:05:09If you're serious about moving up the ladder, prove it.
0:05:12 > 0:05:14This is Joselyn Meeres.
0:05:14 > 0:05:16Urgent referral for a colonoscopy to investigate
0:05:16 > 0:05:19a lesion in the large intestine.
0:05:19 > 0:05:20And this is Ryan.
0:05:20 > 0:05:23- Joselyn's...?- Partner! That's right.
0:05:24 > 0:05:27We're not a firm of solicitors! He's my boyfriend.
0:05:28 > 0:05:30And you can call me Jos.
0:05:30 > 0:05:34- Hi.- If I'd known what was in store today,
0:05:34 > 0:05:36I think I'd've kept my mouth shut.
0:05:36 > 0:05:38It is a little intrusive, yes,
0:05:38 > 0:05:40but we're going to give you a painkiller,
0:05:40 > 0:05:43it's with a mild sedative called Midazolam.
0:05:43 > 0:05:45The camera goes right up...
0:05:46 > 0:05:48I think that's all I need to hear.
0:05:48 > 0:05:53Let's just say, you'll be boldly going where no man's gone before.
0:05:53 > 0:05:55You'll be fine, hun.
0:05:59 > 0:06:03Good stuff. Right, um, excellent.
0:06:03 > 0:06:05Usual tests, FBC, U&E's, LFTs, and Amylase.
0:06:05 > 0:06:08I'm going to dig out a consent form.
0:06:08 > 0:06:11PHONE RINGS
0:06:11 > 0:06:15Excuse me.
0:06:15 > 0:06:17Mum. Yes, I was just about to ring you.
0:06:17 > 0:06:20Is there anything you want us to bring tonight?
0:06:20 > 0:06:22What?
0:06:25 > 0:06:27But if she met her...
0:06:27 > 0:06:31That's easy, there's a million things you can write about.
0:06:31 > 0:06:34I've got to prove to Ms Campbell that I can get to that next level.
0:06:34 > 0:06:37I've got to show her I can handle the stuff AAU throws at you.
0:06:37 > 0:06:40Mr Di Lucca, would you like me to take over?
0:06:40 > 0:06:43Yeah, that would be good. I'm due in theatre, but it looks like anaphylaxis...
0:06:43 > 0:06:45- Don't worry, don't worry, I've got it!- See you soon, then.
0:06:45 > 0:06:48- Cara, hit me!- Chloe Adie, 17.
0:06:48 > 0:06:52Brought into the ED with respiratory distress, tachycardia and abdo pain.
0:06:52 > 0:06:54Severe peanut allergy with underlying asthma.
0:06:54 > 0:06:57She self-administered an EpiPen at the scene and...
0:06:57 > 0:07:00Friend's sleep-over. I told her she should take her own food!
0:07:00 > 0:07:03Right, could you hold that for me, please? Do help yourself.
0:07:03 > 0:07:07I'm just going to have a little listen to your chest.
0:07:07 > 0:07:11Seriously, it's a complement. It was my favourite book as a kid.
0:07:12 > 0:07:15I've gotta go, sweetheart.
0:07:15 > 0:07:17But, look, I promise you...
0:07:17 > 0:07:20No, look, I promise that we will take some flowers over there
0:07:20 > 0:07:23as soon as I am done here, OK?
0:07:23 > 0:07:26Love you. Bye
0:07:26 > 0:07:28Sorry, domestic emergency.
0:07:28 > 0:07:30Owen Trent. Lacerations on both hands.
0:07:30 > 0:07:33Can't seem to remember how he got them, apparently.
0:07:33 > 0:07:36GCS 13 upon discovery since improved.
0:07:36 > 0:07:39But considering the agitated state he's in,
0:07:39 > 0:07:41I think he may be eager for his next hit.
0:07:41 > 0:07:44You're a doctor, ain't you, BFG? Can't you treat me?
0:07:44 > 0:07:46My name is Mr Hanssen
0:07:46 > 0:07:48and I have many duties to attend to as CEO.
0:07:50 > 0:07:54CEO? So, what, you only treat the posh patients?
0:07:54 > 0:07:57Did your father never teach you to wait your turn?
0:07:58 > 0:08:00So, get an X-ray, please.
0:08:00 > 0:08:03Check there aren't any foreign bodies left in the wounds,
0:08:03 > 0:08:05run FBC, LFTs and U&E's. And do a tox screen.
0:08:07 > 0:08:09Hold up! BFG!
0:08:10 > 0:08:12Mr Hanssen!
0:08:12 > 0:08:14Mr Trent!
0:08:15 > 0:08:18I reckon 50 people walked past me outside
0:08:18 > 0:08:23without even seeing I was there, so...thanks.
0:08:23 > 0:08:25You're welcome.
0:08:25 > 0:08:30And cheer up. If life as a CEO is that bad, maybe you should quit?
0:08:35 > 0:08:38Right your blood pressure's a smidge high,
0:08:38 > 0:08:39but looks like we're good to go.
0:08:39 > 0:08:42PHONE RINGS
0:08:45 > 0:08:46It's just the pub.
0:08:46 > 0:08:48He's probably forgotten how to open the safe again.
0:08:48 > 0:08:50I'll call them back in a bit.
0:08:50 > 0:08:52Do you work together?
0:08:52 > 0:08:54That's how we met.
0:08:54 > 0:08:57All the girls flirting with this one behind the bar, but...
0:08:57 > 0:09:00I only had eyes for the landlady.
0:09:00 > 0:09:05- I'll let you know when we can take you through.- Thanks. Cheers.
0:09:10 > 0:09:13I've had some bad news about the party.
0:09:15 > 0:09:18- Great Aunt Maria... - Is she all right?
0:09:18 > 0:09:19Yes, she's OK,
0:09:19 > 0:09:23but she's just not really up to dealing with so many people.
0:09:23 > 0:09:24She's cancelled?
0:09:24 > 0:09:26She's...down-sizing.
0:09:28 > 0:09:29I mean, she is 90.
0:09:29 > 0:09:33- Maybe we can visit when she's feeling a bit better?- OK.
0:09:40 > 0:09:43KNOCK ON DOOR
0:09:43 > 0:09:46Oh, good, I thought you might of gone on leave already.
0:09:46 > 0:09:47No, not yet.
0:09:47 > 0:09:50Have you seen that? Guy's financial proposal.
0:09:50 > 0:09:53Please tell me you're not going to approve it.
0:09:53 > 0:09:55You have objections?
0:09:55 > 0:09:59He's laid claim to our entire research and development budget!
0:09:59 > 0:10:01The money is ring-fenced for research.
0:10:01 > 0:10:03So without alternative proposals,
0:10:03 > 0:10:06how can I justify withholding the funds?
0:10:06 > 0:10:09Because he's already strutting around as though he's running the place!
0:10:09 > 0:10:12What about this screening he's arranged behind your back?
0:10:12 > 0:10:15He has invited everyone -
0:10:15 > 0:10:18board members, the local MP, councillors, pharmaceuticals.
0:10:18 > 0:10:20He's "lobbying"?
0:10:20 > 0:10:25- Lobbying?- Open your eyes, he's after your job!
0:10:25 > 0:10:27He had my job. He gave it up.
0:10:27 > 0:10:29You need to shore up your position.
0:10:29 > 0:10:32This is not the Battle of Ragnarok.
0:10:32 > 0:10:35Now, I have a hospital to run.
0:10:35 > 0:10:36- But you...- That will be all.
0:10:38 > 0:10:39Right.
0:10:41 > 0:10:44Look, it pains me to say this,
0:10:44 > 0:10:47but you're the best thing that ever happened to this hospital.
0:10:47 > 0:10:49Are you really just going to roll over
0:10:49 > 0:10:53and let Guy Self destroy everything that we've worked for?
0:10:55 > 0:10:57OK.
0:10:57 > 0:10:58Oh, there's one other thing.
0:10:58 > 0:11:02- Nurse Fletcher had a message about a Mr Trent.- Oh, yes,
0:11:02 > 0:11:05the young gentleman suffering from withdrawal symptoms.
0:11:05 > 0:11:07Apparently not. His tox screen's clear.
0:11:07 > 0:11:11So whatever's wrong with him, it's got nothing to do with drugs.
0:11:17 > 0:11:20Chatty bloke, aren't you?
0:11:20 > 0:11:21Sorry.
0:11:24 > 0:11:26Just got a bit of a guilty conscience.
0:11:26 > 0:11:29I should be at home spending the day with the kids,
0:11:29 > 0:11:33but I left it a bit late to book the day off.
0:11:33 > 0:11:35You should tell the BFG to stick it.
0:11:35 > 0:11:38Mr Hanssen? I don't think so.
0:11:38 > 0:11:41He's got that Nordic ice-man thing going on.
0:11:41 > 0:11:43You know like one of those Scandinavian dramas.
0:11:43 > 0:11:46Only you can't work out whether he's a goody or a baddie.
0:11:46 > 0:11:48One of the good guys.
0:11:49 > 0:11:51He looks too unhappy to be a bad guy.
0:11:53 > 0:11:56Do you have any idea what set the reaction off?
0:11:56 > 0:11:58She'd breakfast at her friend's house.
0:11:58 > 0:12:01When I got there to pick her up she had the weird taste in her mouth,
0:12:01 > 0:12:05her lips started going and she was sick everywhere. Look.
0:12:06 > 0:12:10I wrapped all the food items individually. For testing.
0:12:10 > 0:12:13OK. Well, hopefully that won't be necessary.
0:12:13 > 0:12:15But thanks for the thought.
0:12:17 > 0:12:20OK, well, her breathing's improving,
0:12:20 > 0:12:22but we will need to keep her in for monitoring.
0:12:24 > 0:12:27Want some breakfast?
0:12:27 > 0:12:29So anyway I've been thinking... For your paper...
0:12:29 > 0:12:33maybe you could look at severe anaphylaxis in relation to
0:12:33 > 0:12:35underlying respiratory conditions.
0:12:35 > 0:12:38"To intubate or not to intubate, that is the question."
0:12:38 > 0:12:41Yeah, yeah. That's not quite right.
0:12:41 > 0:12:43Don't forget the mast cell tryptase,
0:12:43 > 0:12:45we still need to check that's an allergic reaction.
0:12:45 > 0:12:48I think I'm gonna go and round up some more patients.
0:12:48 > 0:12:51At this rate, I'm gonna be setting the AAU record for
0:12:51 > 0:12:53most people treated in one day!
0:13:02 > 0:13:04You said it was urgent?
0:13:06 > 0:13:08It's about your research project.
0:13:09 > 0:13:12- I may be going away... - Going away? Where?
0:13:12 > 0:13:15A private matter.
0:13:15 > 0:13:18But I wish to tie up certain loose ends before I go.
0:13:18 > 0:13:22I may be able to find some research and development money for you.
0:13:22 > 0:13:26But I would need an outline on paper today.
0:13:26 > 0:13:27If we delay,
0:13:27 > 0:13:31I may no longer be in control of where the funds are allocated.
0:13:32 > 0:13:36I was under the impression you were working on something with Professor Hope?
0:13:37 > 0:13:39The Stent Project?
0:13:39 > 0:13:41Nothing there you could breathe further life into?
0:13:41 > 0:13:43I haven't even looked at that for a very long time.
0:13:43 > 0:13:45Well, I'm not expecting a thesis.
0:13:47 > 0:13:48I'll see what I can do, but...
0:13:48 > 0:13:51Good. I'll look forward to hearing from you.
0:13:55 > 0:13:58PHONE BEEPS
0:14:09 > 0:14:11How are we doing?
0:14:11 > 0:14:14Well, apparently Chloe here is going to work with orang-utans.
0:14:14 > 0:14:17It's a sanctuary in Borneo. Dad's freaking right out though.
0:14:17 > 0:14:20Not everywhere is as strict about food preparation as the UK.
0:14:20 > 0:14:22- They also have dengue fever. - And earthquakes...
0:14:22 > 0:14:25- Cockroaches the size of rats! - OK, you two just stop!
0:14:27 > 0:14:29You're going to have an amazing time.
0:14:29 > 0:14:32So how are you feeling now?
0:14:32 > 0:14:34My tummy still hurts.
0:14:34 > 0:14:36Do you mind if I take a quick feel?
0:14:38 > 0:14:41A little bit tender. OK, we'll be back soon.
0:14:41 > 0:14:45- Do you want me to take over? - No, nothing I can't cope with.
0:14:45 > 0:14:46- What about your paper? - It's fine.
0:14:46 > 0:14:49- So what's the plan? - Well, airway sounds better.
0:14:49 > 0:14:51We haven't had the mast cell tryptase back yet,
0:14:51 > 0:14:53so keep her under observation for now.
0:14:53 > 0:14:55I would've expected these obs to have improved more...
0:14:55 > 0:14:57Anaphylaxis can take a while to settle.
0:14:57 > 0:14:59OK. She's your patient.
0:15:01 > 0:15:03Fletch, have you got a moment?
0:15:03 > 0:15:05Anything for you. Excuse me.
0:15:07 > 0:15:10So I looked up Owen Trent's medical records, like you asked,
0:15:10 > 0:15:12and I found something...surprising.
0:15:16 > 0:15:18Anything exciting?
0:15:18 > 0:15:19Just looking for some old files.
0:15:19 > 0:15:22"Malleable tracheal stents." Wow.
0:15:23 > 0:15:25Never has scaffolding sounded sexier.
0:15:25 > 0:15:28How would you like it if I shoved a metal rod in your windpipe?
0:15:28 > 0:15:32The old stents can cause bleeds, infections.
0:15:32 > 0:15:34Hanssen wants me to come up with something to compete for prestige
0:15:34 > 0:15:36with Guy's Neuro Centre.
0:15:36 > 0:15:38Yes, but if it doesn't excite you...
0:15:38 > 0:15:40That's your excited face?
0:15:40 > 0:15:43Actually, it's my going-to-punch-you-in-the-face face.
0:15:43 > 0:15:46The idea's great, but Elliot was the mad professor who came up with
0:15:46 > 0:15:48the gadgets, I just did the research.
0:15:48 > 0:15:52Hm. Well, if tracheal stents are your thing, I've got good news...
0:15:54 > 0:15:57A gift from an admirer.
0:15:57 > 0:16:00- Oh, he's back? - And he's only got giraffes for you.
0:16:06 > 0:16:07I hate balloons.
0:16:31 > 0:16:33A flower for a flower.
0:16:33 > 0:16:36If it comes near me, I'll stick a pin in it.
0:16:36 > 0:16:38And that goes for the balloon too.
0:16:40 > 0:16:42So, Mr Esslin, welcome back.
0:16:42 > 0:16:45I told you last time you can call me Bob.
0:16:45 > 0:16:46Mr Esslin, just to confirm,
0:16:46 > 0:16:49you had a bi-lateral lung transplant two years ago.
0:16:49 > 0:16:52You then developed bronchial stenosis
0:16:52 > 0:16:56- and had a stent put in six months ago.- By your good self.
0:16:56 > 0:16:58So what brings you back? Not the catering, I assume.
0:16:58 > 0:17:02Ha-ha. You told me to come back if my symptoms returned,
0:17:02 > 0:17:05persistent cough, wheeziness, shortness of breath...
0:17:05 > 0:17:07Right. Any fever?
0:17:07 > 0:17:10Not that I've noticed. Oh, I have been feeling a bit...
0:17:10 > 0:17:12deflated.
0:17:16 > 0:17:17Sounds constricted.
0:17:19 > 0:17:21It's amazing what you lot do.
0:17:21 > 0:17:25I could've been a surgeon, I reckon. I've got the nimble fingers.
0:17:25 > 0:17:26Yes, I'm sure you do,
0:17:26 > 0:17:29but it does require a couple of other attributes.
0:17:29 > 0:17:34And who would fill the world with deformed inflatable animals?
0:17:34 > 0:17:36I'm going to order you a chest X-ray.
0:17:42 > 0:17:44I hope you let him down gently.
0:17:47 > 0:17:51Shame, he's quite an interesting bloke when you get chatting to him.
0:17:51 > 0:17:52By your standards, maybe.
0:17:52 > 0:17:57Apparently he's won prizes for his balloon modelling.
0:17:57 > 0:17:59Really? Shoot me now.
0:17:59 > 0:18:02How can you hate balloons? It's like hating fun.
0:18:02 > 0:18:03Because they're pointless.
0:18:03 > 0:18:05You give them to Emma.
0:18:05 > 0:18:08Yes, I buy her baby food, too. Doesn't mean I like the taste.
0:18:09 > 0:18:11You'll have to do better than that.
0:18:11 > 0:18:12Seriously?
0:18:14 > 0:18:16Fine. If it will get rid of you.
0:18:16 > 0:18:18I hate balloons because they remind me
0:18:18 > 0:18:22of endless miserable parties at the home when I was a kid,
0:18:22 > 0:18:25with some creep in a clown costume playing The Birdie Song,
0:18:25 > 0:18:28while the birthday child blew out candles on a stale cake
0:18:28 > 0:18:32and wished they had parents around to buy them a decent present.
0:18:32 > 0:18:33Is that good enough for you?
0:18:35 > 0:18:37BALLOON DEFLATES
0:18:41 > 0:18:43How'd it go? Any news?
0:18:43 > 0:18:46I'm afraid I'll have to talk to Jos first.
0:18:46 > 0:18:47PHONE RINGS
0:18:47 > 0:18:50- Sorry, do you mind if I take this? - No, not at all.
0:18:52 > 0:18:53Hey.
0:18:54 > 0:18:56Whoa, slow down.
0:18:56 > 0:18:59This isn't exactly the way I planned it either!
0:18:59 > 0:19:01She's ill. I can't just walk out!
0:19:05 > 0:19:07All right, look, go to my flat.
0:19:07 > 0:19:09I'll call if I can get away all right?
0:19:09 > 0:19:11Love you.
0:19:15 > 0:19:17Worst timing ever.
0:19:18 > 0:19:20Problem?
0:19:20 > 0:19:21No, not at all.
0:19:21 > 0:19:23Bed eight - mast cell tryptase is positive,
0:19:23 > 0:19:25so it's definitely anaphylaxis.
0:19:27 > 0:19:30Urine test shows microscopic haematuria.
0:19:30 > 0:19:32With low blood pressure and severe stomach pain...
0:19:32 > 0:19:34This isn't just an allergic reaction.
0:19:34 > 0:19:37You're right, you're right. I'll book an abdominal CT.
0:19:37 > 0:19:39Let's narrow it down before bringing out the big guns.
0:19:39 > 0:19:41Morven, what do you think?
0:19:41 > 0:19:45Well, generalised abdominal pain could be a whole number of things
0:19:45 > 0:19:47so I would start with full blood tests,
0:19:47 > 0:19:50including HCG to check for pregnancy.
0:19:50 > 0:19:52Excellent! Let's do that.
0:19:52 > 0:19:54Great...more work to do!
0:19:55 > 0:19:58Talking of which, you could do an article on
0:19:58 > 0:20:02increased pressures on acute care during winter months?
0:20:02 > 0:20:04Call it "The Winters Of Discontent"!
0:20:06 > 0:20:09I think it has to be a bit more...special.
0:20:09 > 0:20:10Like what?
0:20:14 > 0:20:15I don't know...
0:20:16 > 0:20:18..but it's got to be perfect.
0:20:20 > 0:20:21Lied about what?
0:20:22 > 0:20:26Great Aunt Maria. She isn't ill.
0:20:26 > 0:20:28She's asked...
0:20:31 > 0:20:33We're no longer invited.
0:20:33 > 0:20:34Because of me?
0:20:37 > 0:20:39Because of him.
0:20:42 > 0:20:46So we've not been uninvited. I have.
0:20:49 > 0:20:52Obviously I am not gonna go.
0:20:52 > 0:20:56- Because you are my fiancee and... - No, you should go.
0:20:56 > 0:21:00Aunt Maria has lived through things that you and I could only imagine.
0:21:00 > 0:21:04She's earned the right to choose who comes to her birthday party.
0:21:08 > 0:21:10That's decided, then.
0:21:15 > 0:21:20VIOLIN MUSIC
0:21:52 > 0:21:54Thank you, thank you.
0:21:54 > 0:21:58Well, as demonstrated through our violinist,
0:21:58 > 0:22:01the neuro centre is all about nurturing talent.
0:22:01 > 0:22:05Through pioneering surgical techniques, strong leadership,
0:22:05 > 0:22:10and ambition, it is this very talent that can raise Holby's profile
0:22:10 > 0:22:13to an international level.
0:22:13 > 0:22:16But we must not be afraid to make big changes.
0:22:18 > 0:22:21And now a few words from our current CEO.
0:22:26 > 0:22:30Mr Self has clearly been very busy with his brain-child.
0:22:30 > 0:22:34An apt term, because we're dealing with the intricacies of
0:22:34 > 0:22:40the human brain and the centre itself is in its infancy,
0:22:40 > 0:22:42and therefore will require...
0:22:46 > 0:22:52..support and nurture in order to make it flourish...
0:22:57 > 0:23:00Excuse me, there's somewhere I need to be.
0:23:03 > 0:23:07Shall we all just take ten minutes and then we can launch into the Q&A?
0:23:16 > 0:23:18Are you all right?
0:23:18 > 0:23:20Yes, why? Have I said something wrong?
0:23:21 > 0:23:25Look, if Guy wins the support of the people in that room,
0:23:25 > 0:23:26he could get you removed as CEO.
0:23:26 > 0:23:29Aren't you even going to try to stop him?
0:23:29 > 0:23:32I have no evidence that the board lacks trust in my leadership.
0:23:32 > 0:23:34It's got nothing to do with trust.
0:23:34 > 0:23:37You heard him in there - he's selling them a fantasy!
0:23:37 > 0:23:40Guy Self, superhero, sent to Earth to save Holby City
0:23:40 > 0:23:41Hospital from the evil Ice Giant!
0:23:43 > 0:23:44You know what I mean.
0:23:44 > 0:23:46As deputy CEO, I'm sure you are more than equipped
0:23:46 > 0:23:49to deal with any such difficulties in my absence.
0:23:49 > 0:23:52We need you here! What am I supposed to tell everyone?
0:23:52 > 0:23:56You must do what's best for the hospital and for yourself.
0:23:56 > 0:24:01And, when you return to AAU, would you send Nurse Fletcher home please?
0:24:01 > 0:24:03Why? Is this a disciplinary issue? We're short-staffed as it is.
0:24:03 > 0:24:05Do as I ask, please.
0:24:08 > 0:24:10We'd remove the large intestine
0:24:10 > 0:24:13and rejoin the small intestine directly to the rectum.
0:24:13 > 0:24:16Can't you just cut out the tumour?
0:24:16 > 0:24:19We can't guarantee we could actually remove all the potentially
0:24:19 > 0:24:25cancerous polyps, but even if we could the danger is still present.
0:24:25 > 0:24:30And this total...thingy. Colectomy.
0:24:30 > 0:24:32Surely there must be risks?
0:24:32 > 0:24:36All operations carry risks. Bleeding. Infections.
0:24:36 > 0:24:39You could suffer from diarrhoea, some level of incontinence...
0:24:39 > 0:24:44And there is a remote chance you may need a permanent stoma.
0:24:44 > 0:24:47- Stoma?- An ileostomy bag.
0:24:47 > 0:24:50I don't want it. Jos, if we don't deal with this now...
0:24:50 > 0:24:55This is the first time in my life I've felt sexy.
0:24:56 > 0:24:58How's he going to feel when we're getting frisky
0:24:58 > 0:25:01and there's a plastic bag sticking out of me?
0:25:03 > 0:25:05There must be another way.
0:25:05 > 0:25:07We could try to handle it endoscopically,
0:25:07 > 0:25:09but there are numerous,
0:25:09 > 0:25:12- long procedures with absolutely no guarantee of success.- Do that.
0:25:14 > 0:25:19I'll take my chances. And I don't want you saying anything to Ryan.
0:25:22 > 0:25:25Could you find him for me?
0:25:25 > 0:25:28- I think he's gone for a coffee. - Of course.
0:25:31 > 0:25:33He's leaving.
0:25:33 > 0:25:36- For how long?- Who knows?
0:25:36 > 0:25:40"In order to obtain and hold power, a man must love it."
0:25:42 > 0:25:43Tolstoy.
0:25:45 > 0:25:47So what's Guy offered you?
0:25:49 > 0:25:53Come on, Ric. We both know this coup d'etat's entering its endgame.
0:25:55 > 0:25:59More autonomy and an upgrade of all the theatre equipment on Keller.
0:25:59 > 0:26:01The latest, state-of-the-art tech.
0:26:01 > 0:26:04Wow! What are you going to do?
0:26:05 > 0:26:08Well, you know I'm not Guy's greatest fan,
0:26:08 > 0:26:09but what choice do we have?
0:26:10 > 0:26:13So you're going to back Guy?
0:26:13 > 0:26:15I'm going to do exactly what you should be doing.
0:26:15 > 0:26:18Hope for the best, prepare for the worst.
0:26:28 > 0:26:30Mr Hanssen!
0:26:30 > 0:26:33- Am I in trouble? - Trouble?
0:26:33 > 0:26:35Ms Campbell told me what you said.
0:26:35 > 0:26:37And if I've done something wrong then I'm...
0:26:37 > 0:26:39Oh, yes. Call it compassionate leave.
0:26:39 > 0:26:41When I saw you earlier, it occurred to me
0:26:41 > 0:26:44that Mrs Fletcher passed away a year ago today.
0:26:44 > 0:26:47So you should be with your family.
0:26:47 > 0:26:50I didn't think anyone would remember.
0:26:50 > 0:26:54I can't tell you how much I appreciate that so thank you.
0:26:55 > 0:26:57Owen was right.
0:26:57 > 0:27:00You're definitely one of the good guys.
0:27:02 > 0:27:05So how is the young patient?
0:27:05 > 0:27:07Dead, apparently.
0:27:07 > 0:27:09Not actually dead.
0:27:09 > 0:27:12But the only records I could find that matched his name
0:27:12 > 0:27:16and date of birth said that he died two years ago.
0:27:16 > 0:27:19And it is him because I image searched his name and...
0:27:21 > 0:27:23All right. Well, leave it with me, please.
0:27:23 > 0:27:26He's gonna be transferred to Darwin, suspected pneumonia.
0:27:26 > 0:27:29He's lucky that you found him when you did.
0:27:38 > 0:27:42"Sweet Sorrow: Tackling the rise in acute diabetes
0:27:42 > 0:27:44"admissions in young adults."
0:27:44 > 0:27:47Right, are all of these going to have a Shakespeare theme?
0:27:47 > 0:27:50Well, at least I'm trying! What have you come up with?
0:27:50 > 0:27:53Nothing. Nothing at all! And it's already halfway through the day.
0:27:53 > 0:27:55CHLOE GROANS IN PAIN
0:27:55 > 0:27:58OK. Just lean back for me, lean back. I'm just going to feel your abdomen.
0:27:58 > 0:28:01OK. It's getting more distended.
0:28:04 > 0:28:07- What's this rash? - I knew it! It's meningitis!
0:28:07 > 0:28:09No, she's been meeting those Borneo people.
0:28:09 > 0:28:12Maybe one of them brought back some sort of tropical parasite.
0:28:12 > 0:28:13It's more like ecchymosis.
0:28:15 > 0:28:18Chloe, have you had an injury to that area? Any blunt trauma?
0:28:22 > 0:28:23OK, it's really important.
0:28:23 > 0:28:25Fell running.
0:28:25 > 0:28:26You fell when you were running?
0:28:26 > 0:28:29No. Yes. I was fell-running.
0:28:29 > 0:28:33Training. I slipped on some loose stones, landed on my side.
0:28:33 > 0:28:35Right. Can you show me? Where?
0:28:35 > 0:28:37Training for what?
0:28:37 > 0:28:39Peaks and Troughs. It's an endurance race.
0:28:39 > 0:28:41With your asthma?
0:28:41 > 0:28:44Do you have any idea how many elite athletes have asthma, Dad?
0:28:44 > 0:28:46The running helps us manage it.
0:28:47 > 0:28:50Part of the Borneo trip is climbing Mount Kinabalu.
0:28:50 > 0:28:52But I'm under 18 and Dad won't sign my consent form.
0:28:52 > 0:28:54It's my job to keep you safe.
0:28:54 > 0:28:56I wanted to prove that I could do it.
0:28:56 > 0:28:57You're worse than Mum!
0:28:57 > 0:29:01She wrapped us up in cotton wool, but you have a panic attack every time I sneeze!
0:29:01 > 0:29:03So you went running over hills by yourself?
0:29:03 > 0:29:05Have you got any idea how dangerous that is?!
0:29:05 > 0:29:08What if you'd twisted your ankle and couldn't get back and there was
0:29:08 > 0:29:11a snow storm and you're lying on the ground miles from anywhere,
0:29:11 > 0:29:15getting frost-bite and hypothermia and being attacked by wild animals?
0:29:15 > 0:29:17- Please...?- I can't cope with this! The whole trip's off!
0:29:17 > 0:29:19- That's not fair! - OK, can we not do this now?
0:29:19 > 0:29:22We need to order an abdominal ultrasound straight away.
0:29:22 > 0:29:24Why didn't you tell us?
0:29:24 > 0:29:27- It was a couple of weeks ago. - OK, and you didn't think at any point
0:29:27 > 0:29:30that would be useful information for us to know?!
0:29:36 > 0:29:38I'm sorry.
0:29:41 > 0:29:43I'm just gonna be back in a few minutes.
0:29:50 > 0:29:52BFG!
0:29:53 > 0:29:55Very much alive, I see.
0:29:55 > 0:29:57Must be some mix-up.
0:29:57 > 0:30:01Yes, I tried to call your GP surgery, but they seem to have closed.
0:30:01 > 0:30:02Still, we'll get to the truth.
0:30:05 > 0:30:08So, you were in the Army?
0:30:08 > 0:30:10I didn't take you for a soldier.
0:30:11 > 0:30:14I wasn't one for long. First trip home I crashed my car.
0:30:14 > 0:30:16Ended up doing a few months and got a double-D.
0:30:16 > 0:30:18A what?
0:30:18 > 0:30:19Dishonourable discharge.
0:30:19 > 0:30:22Mr Hanssen, to what do we owe the pleasure?
0:30:22 > 0:30:27Just clearing up an administrative error. Pneumonia, I hear?
0:30:27 > 0:30:29Possibly not.
0:30:29 > 0:30:32The X-ray showed pleural effusion, but I aspirated some pleural
0:30:32 > 0:30:36fluid and it's showed up negative for both pneumococcus and legionella.
0:30:36 > 0:30:38Thank you.
0:30:40 > 0:30:41May I?
0:30:44 > 0:30:48So, you've been sleeping rough since you left prison, have you?
0:30:48 > 0:30:50About eight months.
0:30:50 > 0:30:53Don't like to stay in the same place too long.
0:30:54 > 0:30:56No family to go back to?
0:30:56 > 0:30:59Just my mum, but...it's difficult.
0:30:59 > 0:31:03Surely your mother would like to know where you were?
0:31:04 > 0:31:06Thought you were the busy boss man?
0:31:06 > 0:31:07Nothing wrong with the CEO
0:31:07 > 0:31:09taking a little interest in his patients, is there?
0:31:09 > 0:31:13So it's professional duty? Here's me thinking you were just lonely.
0:31:15 > 0:31:18Actually, I'm killing time until my plane leaves.
0:31:18 > 0:31:22Plane? Lucky you. Lanzarote, is it?
0:31:24 > 0:31:26Somewhere far colder. Thank you.
0:31:31 > 0:31:33CT scan of Mr Trent's abdomen, please.
0:31:33 > 0:31:36And could you find contact details for his mother.
0:31:36 > 0:31:39He did ask that we didn't make contact with her.
0:31:39 > 0:31:41Well, I'm hoping you'll change his mind.
0:31:41 > 0:31:44It's preferable to discharging him back onto the streets, isn't it?
0:31:49 > 0:31:54Yes, it's Mr Valentine. Oliver, yes. Can I arrange a CT scan, please?
0:31:54 > 0:31:55How's Balloon Boy?
0:31:55 > 0:31:59The metallic stent has eroded and is dangerously close to his aorta.
0:31:59 > 0:32:03Er, Owen Trent. Well, I've got the 2nd June, 1993.
0:32:05 > 0:32:06Sounds like he's got a puncture?
0:32:06 > 0:32:09You're not funny. He's going to need an operation to fix it
0:32:09 > 0:32:11and I doubt very much it'll be his last one.
0:32:11 > 0:32:12Thank you very much.
0:32:12 > 0:32:17If I'd just finished what Elliot and I had started, then he wouldn't have to be going through any of this.
0:32:17 > 0:32:19So why did you abandon it, then?
0:32:19 > 0:32:21Because other things got in the way.
0:32:22 > 0:32:26Because after the way I treated Elliot, I couldn't bring myself to
0:32:26 > 0:32:27look at any of it.
0:32:27 > 0:32:30The professor would never have let a good idea go to waste.
0:32:30 > 0:32:33You know his archives are still in his lab.
0:32:35 > 0:32:36That's not a stupid idea.
0:32:40 > 0:32:41HE STARTS
0:32:41 > 0:32:42Wakey-wakey!
0:32:44 > 0:32:45You doze off there for a second?
0:32:45 > 0:32:48No, I wasn't... Ah, doesn't matter.
0:32:51 > 0:32:56No, I'm just looking for somebody. But...they're not here.
0:32:56 > 0:32:58How's AAU?
0:32:58 > 0:33:03It's good, it's good, it's just...I've got to think of an article topic
0:33:03 > 0:33:07by the end of the day and I don't really seem to have time to think down there, so...
0:33:09 > 0:33:11That's what I love about Keller,
0:33:11 > 0:33:13because it gives you more space to breathe.
0:33:14 > 0:33:16As you know.
0:33:16 > 0:33:17LIFT BEEPS
0:33:17 > 0:33:18Ah...
0:33:18 > 0:33:20- Hey.- Hey!- I'll um...go.
0:33:20 > 0:33:21See you in a bit.
0:33:36 > 0:33:38Look, don't get me wrong,
0:33:38 > 0:33:41I'm flattered that you've taken such a keen interest in my patient, but...
0:33:41 > 0:33:45"I will remember that I remain a member of society,
0:33:45 > 0:33:47"with special obligations to
0:33:47 > 0:33:50"all my fellow human beings."
0:33:50 > 0:33:51The Hippocratic Oath.
0:33:53 > 0:33:56When I first saw him this morning, I didn't see a human being,
0:33:56 > 0:33:58I saw an inconvenience.
0:33:58 > 0:34:00It's my duty to make it up to him.
0:34:02 > 0:34:04But for the grace of God, eh? OK.
0:34:04 > 0:34:09I'll be honest with you, I thought you might be using him as an excuse to spy on Mr Self's Neuro Centre.
0:34:11 > 0:34:13Just the rumours that I've heard.
0:34:15 > 0:34:16- And what rumours are those?- Hm?
0:34:18 > 0:34:22That Mr Self might have ambitions to retake the reins.
0:34:26 > 0:34:29After everything you've done for me.
0:34:29 > 0:34:31Did you get a number for his mother?
0:34:34 > 0:34:35Not yet.
0:34:37 > 0:34:39What's that?
0:34:41 > 0:34:44That is a large abscess on the right side of the liver.
0:34:44 > 0:34:50It'll require surgery. An urgent transfer to Keller, please.
0:34:50 > 0:34:52I hope you know where my loyalties lie.
0:34:56 > 0:34:59Sorry, Ryan, could I have a little word in private?
0:34:59 > 0:35:00What's this about?
0:35:02 > 0:35:04I'd really like to talk to you on your own.
0:35:06 > 0:35:07Ryan?
0:35:07 > 0:35:09Don't look at me!
0:35:09 > 0:35:12She has a right to know. It could affect her decision.
0:35:12 > 0:35:13What could?!
0:35:14 > 0:35:15I saw you.
0:35:18 > 0:35:19With her.
0:35:21 > 0:35:23What's he mean, "with her"?
0:35:23 > 0:35:26I don't want her refusing a life-saving operation because of a lie!
0:35:26 > 0:35:28- Who is she?- It was Phoebe.
0:35:28 > 0:35:30Your sister? Don't give me that, she's in Birmingham!
0:35:30 > 0:35:31She drove down for the party.
0:35:31 > 0:35:33The engagement party.
0:35:33 > 0:35:34Whose...?
0:35:43 > 0:35:46When you were admitted, I cancelled.
0:35:46 > 0:35:48Then as soon as I realised how serious things were,
0:35:48 > 0:35:50I rang Pheebs and I got her to pick this up for me.
0:35:50 > 0:35:52- Ryan, I'm so sorry. - You asking me to marry you?
0:35:52 > 0:35:56Only if you stop being such a muppet and let him sort you out.
0:36:01 > 0:36:02I've been worried about you.
0:36:02 > 0:36:04OK. No need. No need, OK?
0:36:04 > 0:36:07Why aren't they doing anything? She's in so much pain.
0:36:07 > 0:36:10We're keeping a very close eye on your daughter, Mr Adie.
0:36:10 > 0:36:13Her ultrasound showed free fluid on her abdomen.
0:36:13 > 0:36:14What does that mean?
0:36:14 > 0:36:18I think it means that Chloe might have caused herself some internal damage during the fall.
0:36:18 > 0:36:20She said it was two weeks ago.
0:36:20 > 0:36:22Sometimes these injuries can heal themselves
0:36:22 > 0:36:23and then they reopen later.
0:36:23 > 0:36:26I promised her mother that if Chloe came to live with me
0:36:26 > 0:36:28I wouldn't let anything bad happen to her.
0:36:28 > 0:36:31- It's only been a month! - OK, and I said that I will look after her and I will.
0:36:31 > 0:36:33Arthur, how's it going?
0:36:33 > 0:36:36- What's happening with Chloe? - Well, I was about to book her in for a CT...
0:36:36 > 0:36:37I'm going to go and do it myself.
0:36:50 > 0:36:55Ah. Mr Valentine said I'd find you here. Just wanted a quick word.
0:36:55 > 0:36:56I'm busy.
0:36:57 > 0:37:01Isn't it funny, how we struggle to let go of the past,
0:37:01 > 0:37:03surround ourselves with relics...
0:37:03 > 0:37:05You know, we really should clear out some of this junk.
0:37:05 > 0:37:08I'm sure we could find a better use for the space.
0:37:08 > 0:37:12- What do you want, Guy?- I want to make you an offer you can't refuse.
0:37:12 > 0:37:16Clinical Ambassador, responsible for promoting our work internationally.
0:37:16 > 0:37:19I'm sure the board will still approve your own research budget,
0:37:19 > 0:37:21as well as an increase in salary.
0:37:22 > 0:37:24And in return?
0:37:24 > 0:37:26Simple. Your support.
0:37:27 > 0:37:30Look, Hanssen is in the last quarter of his contract.
0:37:30 > 0:37:33And as Clinical Lead on Darwin, you need my vote?
0:37:33 > 0:37:38Exactly. So the question is who would you prefer as CEO?
0:37:38 > 0:37:41A dynamic leader with the world's media knocking at his door,
0:37:41 > 0:37:44or a bean-counting beanpole from Sweden?
0:37:47 > 0:37:51Her BP has now fallen to 90 over 50, she's tachycardic.
0:37:52 > 0:37:56CT is backed up. Keep giving her oxygen and push IV fluids.
0:37:59 > 0:38:00Mr Di Lucca!
0:38:04 > 0:38:07Miss Adie has increased abdominal distension and tenderness,
0:38:07 > 0:38:09muscular rigidity and ecchymosis.
0:38:09 > 0:38:12She's hypotensive and tachycardic and her breathing is deteriorating.
0:38:12 > 0:38:15I want you to do an emergency exploratory laparotomy with me.
0:38:15 > 0:38:16What happened to her CT?
0:38:16 > 0:38:19That is just going to prove what we already know.
0:38:19 > 0:38:21Please, we have to do this.
0:38:21 > 0:38:24Look, I'll give you the rest of my biscuits.
0:38:24 > 0:38:27That's very generous, but, look, there's no need for bribery.
0:38:27 > 0:38:30No, I trust your instincts. Let's get scrubbed in.
0:38:36 > 0:38:38If you see Mr Griffin, would you tell him
0:38:38 > 0:38:41there's a patient I'd like to discuss with him.
0:38:41 > 0:38:43Owen Trent, just been transferred from Darwin.
0:38:43 > 0:38:44Yes, yes, I will.
0:38:45 > 0:38:48Now, I assume you are hiding in here for a reason?
0:38:50 > 0:38:52No, no, no, I'm just...
0:38:55 > 0:38:56Yes.
0:39:00 > 0:39:01May I?
0:39:01 > 0:39:03Absolutely.
0:39:04 > 0:39:05Well?
0:39:06 > 0:39:08It's complicated.
0:39:12 > 0:39:14My Great Aunt Maria...
0:39:14 > 0:39:17Ah, yes, I remember you mentioning her.
0:39:17 > 0:39:19You know that she...?
0:39:20 > 0:39:24Well, it seems she's made it very clear that she doesn't want
0:39:24 > 0:39:26Essie as part of the family.
0:39:27 > 0:39:31I see. Complicated indeed.
0:39:32 > 0:39:36Your great aunt's feelings are understandable.
0:39:38 > 0:39:41- What do I do?- But that doesn't mean they shouldn't be challenged.
0:39:41 > 0:39:42Challenged?
0:39:44 > 0:39:47Hatred and fear, especially when rooted in the sins
0:39:47 > 0:39:51of our fathers, should never go unchallenged.
0:39:51 > 0:39:54Otherwise, too much may be lost.
0:39:56 > 0:40:01And some things may never be retrieved.
0:40:04 > 0:40:06Can I have some help, please?
0:40:14 > 0:40:18Tox screen's clear. He was in a car accident two years ago.
0:40:18 > 0:40:21So let's get a brain MRI done, see if anything was missed.
0:40:21 > 0:40:23Shall I get Mr Self?
0:40:24 > 0:40:27I just thought, seeing as it's a neuro issue...
0:40:27 > 0:40:28he's the man to go to.
0:40:30 > 0:40:31Mr Hanssen?
0:40:31 > 0:40:33All right. I'll do it.
0:40:39 > 0:40:41Stent research going well, then?
0:40:41 > 0:40:43It would be going better if you weren't distracting me.
0:40:43 > 0:40:46If you want to be useful?
0:40:47 > 0:40:51Tell me what that says? Elliot's handwriting is driving me mad.
0:40:52 > 0:40:54It says... "Don't...forget...
0:40:54 > 0:40:55"tiramisu."
0:40:56 > 0:40:58"Observed JN in theatre this morning.
0:40:58 > 0:41:01"So much talent crammed into such a tiny thing."
0:41:01 > 0:41:04He can't possibly be talking about you.
0:41:04 > 0:41:06Ah, yes, here we go,
0:41:06 > 0:41:11"Golden rules for research. One, always respect the patient.
0:41:13 > 0:41:17"Two, don't reinvent the wheel. Three, never admit defeat."
0:41:17 > 0:41:20Very helpful as usual, Elliot.
0:41:20 > 0:41:21BANG!
0:41:28 > 0:41:30That's it. No more balloons.
0:41:30 > 0:41:31In fact, they are banned.
0:41:31 > 0:41:33You can't do that!
0:41:34 > 0:41:37I most definitely can. In fact...
0:41:40 > 0:41:42You know, I feel sorry for you.
0:41:42 > 0:41:43You feel sorry for me?
0:41:43 > 0:41:45A man who plays with balloons for a living?
0:41:45 > 0:41:47Oh, yeah, and runs the third largest parties
0:41:47 > 0:41:49and events business in the whole of the UK.
0:41:49 > 0:41:51You see, that's the thing about balloons -
0:41:51 > 0:41:54- they just keep getting bigger. - I thought...
0:41:54 > 0:41:58Yeah, you thought I was an idiot just because I try to bring a little bit of joy into people's lives,
0:41:58 > 0:42:00even though this stupid bit of metal hurts
0:42:00 > 0:42:01all the time.
0:42:01 > 0:42:03I'm not the idiot.
0:42:04 > 0:42:07Yes, well, I'm going to fix that stupid bit of metal.
0:42:13 > 0:42:15"Always respect the patient."
0:42:17 > 0:42:20Well, could it be related to the accident?
0:42:20 > 0:42:22Well, it's possible, but it's more likely down to the tumour.
0:42:22 > 0:42:24He has a tumour?
0:42:24 > 0:42:27Had. See this area here?
0:42:27 > 0:42:31Postoperative changes consistent with a previous craniotomy.
0:42:31 > 0:42:35There's some residual tumour but it's low grade.
0:42:35 > 0:42:37Well, there's nothing in his records.
0:42:37 > 0:42:40- No history of fits or black-outs? - None reported,
0:42:40 > 0:42:43but then he's on the streets, so I suppose he might not be aware.
0:42:43 > 0:42:46When I found him first thing this morning he suddenly became
0:42:46 > 0:42:49very absent and he can't even remember how he cut his hands.
0:42:49 > 0:42:52My guess is the tumour, or the operation to remove it,
0:42:52 > 0:42:54caused symptomatic epilepsy.
0:42:54 > 0:42:55So, let's get him to Darwin.
0:42:55 > 0:42:57No, that won't be possible, I'm afraid.
0:42:57 > 0:43:00My Neuro Centre cost a lot of money, it would be a shame not
0:43:00 > 0:43:01to put it to good use.
0:43:01 > 0:43:03The liver is the priority right now.
0:43:03 > 0:43:05And you're willing to explain that to the board?
0:43:06 > 0:43:09I'm the CEO. I don't have to explain myself to anybody!
0:43:09 > 0:43:11Thank you for your assistance.
0:43:14 > 0:43:16I thought you said he'd gone?
0:43:16 > 0:43:17I thought he had.
0:43:19 > 0:43:23Oh, Mr Hanssen? Mr Valentine found contact details
0:43:23 > 0:43:25of Owen Trent's family.
0:43:28 > 0:43:30There's a number for his mother
0:43:30 > 0:43:33and a brother is also registered at the same address.
0:43:33 > 0:43:35Brother?
0:43:35 > 0:43:36Twin.
0:43:39 > 0:43:40Scissors.
0:43:47 > 0:43:51OK, we've got a large, expanding retroperitoneal haematoma.
0:43:51 > 0:43:52Suction, please.
0:43:56 > 0:43:59Here we go. Left kidney's damaged.
0:43:59 > 0:44:02Her father said she was violently sick this morning.
0:44:02 > 0:44:05So, if she ruptured her kidney during the fall then,
0:44:05 > 0:44:07it could have been reopened with the retching.
0:44:07 > 0:44:09How's her BP?
0:44:09 > 0:44:10BP's still falling.
0:44:10 > 0:44:12We need a urologist in here.
0:44:12 > 0:44:14Look there's no time. I can fix this.
0:44:14 > 0:44:16We wait for the experts.
0:44:16 > 0:44:17Thank you.
0:44:17 > 0:44:20And that's the last flight, is it?
0:44:22 > 0:44:24No, no, that's fine. Thank you.
0:44:34 > 0:44:36Hello, Jamie.
0:44:36 > 0:44:39- Owen.- You weren't telling me your name this morning.
0:44:39 > 0:44:41You were asking me to help your twin brother.
0:44:41 > 0:44:45You had a low grade glioma removed when you were 17.
0:44:45 > 0:44:47Enough to keep you out of the Army.
0:44:47 > 0:44:49It's all in your file.
0:44:49 > 0:44:52Why didn't you tell us we were calling you by the wrong name?
0:44:52 > 0:44:55Because... I dunno.
0:44:57 > 0:44:59I've wanted to swap places ever since it happened.
0:44:59 > 0:45:01The car accident?
0:45:01 > 0:45:05He was back on leave. I picked him up from the station.
0:45:05 > 0:45:10Next thing, there's flashing lights, broken glass
0:45:10 > 0:45:13and Owen dead on the seat next to me.
0:45:15 > 0:45:19Witnesses reckon I drove straight into oncoming traffic.
0:45:19 > 0:45:20You don't remember?
0:45:20 > 0:45:21Small blessings, eh?
0:45:22 > 0:45:29Mum tried to visit me in jail but I couldn't look her in the eye.
0:45:29 > 0:45:31So, as soon as I got out, I hit the road.
0:45:32 > 0:45:36Well, I've been talking to a neurosurgeon about you.
0:45:36 > 0:45:41He believes you may have symptomatic epilepsy related to your tumour.
0:45:41 > 0:45:44So the car accident may have been caused by you having a seizure.
0:45:47 > 0:45:50You may have been blaming yourself for something that was not your fault.
0:45:54 > 0:45:55We'll never know.
0:45:56 > 0:45:58It takes the risk out of surgery, though.
0:46:00 > 0:46:04If Owen Trent is already dead, what's the worst that could happen?
0:46:06 > 0:46:08HE LAUGHS
0:46:08 > 0:46:09HE GROANS
0:46:09 > 0:46:11Feels like I've been stabbed.
0:46:11 > 0:46:15Nurse Harrison, how long are they going to be in theatre, do you think?
0:46:15 > 0:46:16About 15 minutes.
0:46:16 > 0:46:19All right, well, get them to hurry up if you can, please.
0:46:19 > 0:46:20MONITOR BEEPS RAPIDLY
0:46:23 > 0:46:25'BP's still going down.'
0:46:25 > 0:46:29The packs are soaking through. We're losing her. Where the hell are urology?
0:46:29 > 0:46:31This is my fault. If I'd have spent more time with her...
0:46:31 > 0:46:34That's AAU for you. There's never enough time.
0:46:34 > 0:46:37We diagnose, keep them alive, and we pass them on.
0:46:37 > 0:46:39What if that's not good enough for me?
0:46:42 > 0:46:45We need to remove this kidney before she bleeds out.
0:46:45 > 0:46:47It might be salvageable.
0:46:47 > 0:46:49That's not going to be much good to her if she's dead.
0:46:53 > 0:46:55All right, we'll go ahead.
0:46:57 > 0:46:58Clear. Shocking.
0:46:59 > 0:47:01Still in VF.
0:47:01 > 0:47:04Continuing chest compressions. More adrenaline, please.
0:47:04 > 0:47:06The abscess must have ruptured.
0:47:07 > 0:47:09When he's stable, I'm going to get him straight into theatre.
0:47:09 > 0:47:11Care to assist?
0:47:11 > 0:47:14Assist? I'd rather assume that I would be leading.
0:47:14 > 0:47:15No, I'll take the lead on this one.
0:47:17 > 0:47:19Charging... Clear...
0:47:19 > 0:47:22Shocking.
0:47:22 > 0:47:23Sinus.
0:47:23 > 0:47:25Right, checking output.
0:47:25 > 0:47:28We have spontaneous circulation.
0:47:28 > 0:47:31Well, it is my specialism.
0:47:31 > 0:47:35No-one knows that better than I do, Henrik, it's just that, well,
0:47:35 > 0:47:38I haven't seen you with scalpel in hand for a while.
0:47:38 > 0:47:41Well, perhaps it's time to take up arms once more.
0:47:41 > 0:47:42See you on the ice.
0:47:48 > 0:47:50I thought you said you'd done this before?
0:47:50 > 0:47:53This whole section is closing up.
0:47:53 > 0:47:56At this rate, Balloon Boy's going to need another transplant.
0:47:56 > 0:47:59He's right. I am an idiot.
0:47:59 > 0:48:02I could have had a device ready for testing by now.
0:48:02 > 0:48:06I'm about as much use as one of his stupid inflatable animals.
0:48:06 > 0:48:08Hm.
0:48:08 > 0:48:11- What? - "Don't reinvent the wheel."
0:48:17 > 0:48:20Right, ready to remove section six.
0:48:20 > 0:48:21Harmonic.
0:48:28 > 0:48:30I take it you've cancelled your trip, then?
0:48:34 > 0:48:38I had hoped to discuss the upgrade of our theatre equipment.
0:48:41 > 0:48:43We could get through our lists a lot more easily.
0:48:43 > 0:48:47There are plenty of hospitals who do excellent work with less.
0:48:47 > 0:48:50MONITOR BEEPS RAPIDLY Hit an artery. Patch.
0:48:50 > 0:48:51BP and heart-rate both crashing.
0:48:51 > 0:48:52Suction, please.
0:48:55 > 0:48:56SUSTAINED BEEP FROM MONITOR
0:49:00 > 0:49:02No output.
0:49:06 > 0:49:07With the strain already on his...
0:49:07 > 0:49:09Yes, I know the situation is dire,
0:49:09 > 0:49:11but that doesn't mean we should give up.
0:49:11 > 0:49:13Get the crash team in here, please!
0:49:15 > 0:49:18What would Bob do if I gave him a balloon?
0:49:18 > 0:49:21I'd turn it into something else.
0:49:21 > 0:49:22Exactly.
0:49:22 > 0:49:25Stents are designed to hold the airway open with
0:49:25 > 0:49:26- the use of the balloon, yes?- Yeah.
0:49:26 > 0:49:30But what if a balloon could also be used to deliver radiation
0:49:30 > 0:49:31treatment for lung cancer?
0:49:31 > 0:49:33Or, in your case, stem cells.
0:49:33 > 0:49:36And because it's a balloon, when we're finished with it,
0:49:36 > 0:49:39we can just deflate the device and remove it.
0:49:39 > 0:49:41Sounds amazing.
0:49:43 > 0:49:46So would you be willing to be a case study?
0:49:46 > 0:49:49Would I get first dibs? When you're ready to test.
0:49:50 > 0:49:53It could take a long time to get to that stage.
0:49:53 > 0:49:55I can't promise...
0:49:58 > 0:50:00Count me in.
0:50:00 > 0:50:01You spread the joy.
0:50:02 > 0:50:06In that case, I need one more thing from you.
0:50:08 > 0:50:10Can you do it?
0:50:16 > 0:50:17Don't say it.
0:50:19 > 0:50:20"Never admit defeat."
0:50:20 > 0:50:21I will kill you.
0:50:49 > 0:50:50Before you say anything...
0:50:50 > 0:50:52It is totally my fault.
0:50:54 > 0:50:57If I'd been honest from the start then everything would have been fine.
0:50:57 > 0:50:59No, we've both been idiots.
0:51:01 > 0:51:02I spoke to Great Aunt Maria.
0:51:02 > 0:51:05She's 90! She's not going to change her mind now.
0:51:05 > 0:51:09She thought you were Chrissie. And she hated Chrissie with a passion.
0:51:11 > 0:51:13So...what did she say about me?
0:51:14 > 0:51:19She said that she can't be any worse than Chrissie,
0:51:19 > 0:51:20even if she is a German.
0:51:28 > 0:51:33So. If you want to make a good first impression...
0:51:37 > 0:51:40I think you should wear something special.
0:51:44 > 0:51:45Oh...
0:51:52 > 0:51:55Courage is better than the sharp sword.
0:51:56 > 0:51:58Sigurd The Volsung, Mr Levy.
0:52:00 > 0:52:01Miss Harrison.
0:52:06 > 0:52:08What if she damages the other one?
0:52:08 > 0:52:11You can get kidney damage through blood poisoning, can't you?
0:52:11 > 0:52:12Yes, but it's very...
0:52:12 > 0:52:14I did this to her.
0:52:15 > 0:52:19I'm the sort of bloke people leave. I hold on too tightly.
0:52:19 > 0:52:21Something breaks.
0:52:21 > 0:52:22OK, this was a freak accident.
0:52:22 > 0:52:25When Chloe said she didn't want to live with her mum any more,
0:52:25 > 0:52:27I thought for the first time in my life,
0:52:27 > 0:52:29"Someone is choosing me."
0:52:29 > 0:52:31Stop doing this to yourself, OK?
0:52:31 > 0:52:35Bad things happen and you can't always control them or predict them.
0:52:35 > 0:52:38But normally things turn out OK.
0:52:38 > 0:52:40So, you've just got to...go with it.
0:52:42 > 0:52:44If it gets too much,
0:52:44 > 0:52:48that's when you've got to find yourself some space to breathe.
0:52:55 > 0:52:57Is that it?
0:52:57 > 0:53:01It's commercial, patient-centred... It's exactly what we're looking for.
0:53:01 > 0:53:04And very cheap to manufacture by the look of it.
0:53:05 > 0:53:07Leave it with me.
0:53:07 > 0:53:10I thought you said this was urgent? I dropped everything for this.
0:53:18 > 0:53:19SHE SIGHS
0:53:19 > 0:53:20PHONE BEEPS
0:53:37 > 0:53:39I know you're a bit old for cuddly toys,
0:53:39 > 0:53:42but I just thought he could keep you company while you're getting better.
0:53:42 > 0:53:44Thanks, Dad.
0:53:44 > 0:53:47As for the real thing, I've spoken to the travel company.
0:53:47 > 0:53:50They're willing to postpone your ticket,
0:53:50 > 0:53:53just until you're strong enough to haul that enormous rucksack around.
0:53:53 > 0:53:56Just promise you'll come back in one piece?
0:54:02 > 0:54:07I'm really sorry I was dismissive about your article ideas earlier.
0:54:07 > 0:54:09It's all right. They're probably rubbish, anyway.
0:54:09 > 0:54:13They weren't rubbish. But I want that article to be exceptional.
0:54:13 > 0:54:15Because I want to be exceptional.
0:54:16 > 0:54:19And that's not going to happen down on AAU,
0:54:19 > 0:54:23because it's...it's too rushed and it's chaotic and it's messy.
0:54:24 > 0:54:26And, as much as everyone down there is amazing
0:54:26 > 0:54:28and, of course, I love working with you...
0:54:28 > 0:54:29You're leaving?
0:54:30 > 0:54:33I've learned. And I've got to move on.
0:54:35 > 0:54:38But I want to go to Keller. It's where I make sense.
0:54:38 > 0:54:40But...do you mind?
0:54:40 > 0:54:46No! No, of course I don't, I mean, of course I will miss having you
0:54:46 > 0:54:52there, but I'm sure we'll find more time to do that mentoring.
0:54:52 > 0:54:53I'm not your mentor...
0:54:53 > 0:54:56It was a little euphemism, wasn't it?
0:54:56 > 0:54:57What do you think?
0:55:04 > 0:55:07Have you got that idea for me?
0:55:07 > 0:55:10- No.- Well, I hope you're rushing off to come up with something.
0:55:10 > 0:55:12Actually, I'm going to Keller.
0:55:13 > 0:55:14Keller?
0:55:14 > 0:55:16Permanently.
0:55:16 > 0:55:19It's like Mr Hanssen said, if I want to fulfil my potential,
0:55:19 > 0:55:21- I've got to seize the initiative. - Did he now?
0:55:21 > 0:55:24But, thank you, thank you so much for everything.
0:55:24 > 0:55:27And I will pop down to AAU again and I'll bring some more biscuits.
0:55:27 > 0:55:30Because they were a hit - cos there wasn't even a crumb left!
0:55:30 > 0:55:31So...
0:55:31 > 0:55:34- Really? Who on earth ate them? They tasted like feet. - PHONE BEEPS
0:55:34 > 0:55:38Well, I may have accidentally put them in the clinical waste bin.
0:55:38 > 0:55:41Ah, good girl. You'll go far.
0:55:41 > 0:55:43Yep, I'm on my way.
0:55:43 > 0:55:46Yep. OK, I'll let you know when I've signed on the dotted line.
0:55:46 > 0:55:49- DOOR OPENS - Ooh, talking of which, I'll call you right back.
0:55:49 > 0:55:52Serena, so glad you could make it.
0:55:52 > 0:55:54Listen, when the others arrive...
0:55:54 > 0:55:56Oh, Mr Griffin and Ms Naylor send their apologies.
0:55:56 > 0:55:58But we've just had a meeting
0:55:58 > 0:56:01and they've given me permission to speak on their behalf, so...
0:56:03 > 0:56:07So, what was discussed in this meeting?
0:56:07 > 0:56:11Oh. What makes a good CEO of a hospital.
0:56:11 > 0:56:12And?
0:56:13 > 0:56:17Well, we agreed on three things.
0:56:17 > 0:56:19Firstly, it must be someone who's willing to stand up
0:56:19 > 0:56:21for the best interests of their staff.
0:56:21 > 0:56:24Oh, absolutely, I couldn't agree more.
0:56:24 > 0:56:27Someone who will support them and yet challenge them,
0:56:27 > 0:56:29if necessary.
0:56:29 > 0:56:32Secondly, it must be someone who has complete control
0:56:32 > 0:56:34over the hospital's finances.
0:56:35 > 0:56:39Oh, and I'm sorry to say,
0:56:39 > 0:56:42but you will have to review your financial proposal.
0:56:42 > 0:56:46Mr Hanssen has decided to allocate the research and development fund
0:56:46 > 0:56:50to cardiothoracics so Ms Naylor can develop her new stent.
0:56:50 > 0:56:51He can't do that. It's too late.
0:56:51 > 0:56:54I've already ring-fenced the money for the Neuro Centre.
0:56:54 > 0:56:58Hm. But the final decision as to where it goes lies with the CEO.
0:57:00 > 0:57:06Thirdly, and most importantly, it must be someone who is
0:57:06 > 0:57:10prepared to go that extra mile for their patients.
0:57:11 > 0:57:15Someone who'll make decisions based on compassion
0:57:15 > 0:57:19and professionalism, not just to further their own career.
0:57:21 > 0:57:24Someone who'll do whatever it takes to ensure the patients get
0:57:24 > 0:57:26the best possible care.
0:57:27 > 0:57:33So, I'm afraid our answer is no.
0:57:35 > 0:57:37Thank you.
0:57:37 > 0:57:40Serena, hear me out! You don't even know what I'm willing to offer you.
0:57:40 > 0:57:42Oh, it wouldn't make any difference.
0:57:42 > 0:57:49Give me a "bean-counting beanpole from Sweden" any day.
0:57:50 > 0:57:52PHONE BEEPS
0:58:11 > 0:58:15I'm sorry, though. I'm needed here.