Sins of Our Fathers Holby City

Who is Guy Self?

Brash, arrogant surgeon, skilful, ruthless political animal,

empire builder.

Sometimes when I'm in the throes of passion I'm minded of Napoleon's

great love for Josephine, but that's a compliment, if anything.

When are you going to tell your Jewish children that I'm related to a Nazi?

-Did you ever think of Fredrik?

-Every day.

When you said to think about where Guy would spend his funds,

he wants Darwin.

I suspect it's not just Darwin Ward, Ms Naylor.

-What else could he want?

-Everything.

Henrik, I'm so sorry, I thought you were on leave,

I would've parked elsewhere if I had known.

-Just clearing my desk. You have guests, I see.

-Oh, yes.

I've just invited a few people to come

and watch some snippets from the documentary.

Footage from the operation.

Why don't you join us, maybe say a few words? Kick-off's at midday.

I'll see what I can do.

It's good to remind them all that you're the boss

and I'm just a small cog in the machine.

PHONE RINGS

Now, do you remember, we have to leave straight after the shift.

-Sacha, you're doing it again.

-Am I? I'm sorry!

It's just I'm so excited you're going to meet her.

Well, I'm not. I'm terrified!

Our family trees aren't exactly compatible.

-Now, we talked about this.

-Did we?

I'm not sure "It's going to be fine" counts.

-Your Great Aunt Maria...

-Will love you.

Mr Hanssen! I just wanted a very quick word?

Well, it will have to be very quick.

Essentially the problem is... Well, it's not a problem as such,

but, um, I'm not really moving forwards career-wise.

And why's that?

Well, I'm not sure if you're aware,

but I'm no longer mentoring Dr Shreve.

Then my advice would be to use the extra time available to you,

why don't you write a paper for publication?

You are already behind many of your peers in that regard.

Seize the initiative, Dr Digby. Now, if you'll excuse me.

You can't stay here, I'm afraid.

Forget about me. Save him.

Excuse me, may I?

Name?

Owen.

Owen what?

Trent.

Mr Trent?

Are you the BFG?

Home-made shortbread?

Ha-ha! You baked?

My counsellor recommended it. "Meditation through distraction."

But I though they turned out quite well.

Hm. Lovely.

While I'm here, I was wondering if I could talk to you about my future?

My clairvoyant skills are a little rusty, but I'll do my best.

I'd like to be a consultant one day.

In fact, I want to be an exceptional doctor of acute and emergency care.

So I was hoping you'd let me take the lead on some more complex cases,

maybe trial a few new surgical techniques and...

Whilst I applaud your ambition, you have only just finished your CBT.

Might it not be better just to keep your head down for a few months?

I think I want to put my anxiety behind me and move forward.

Mr Hanssen - he suggested writing an article but...

-That's an excellent idea!

-What I had in mind was more...

What's your topic going to be?

Well, I haven't really had any time to...

Well, what aspects of our work on AAU most excites you?

The...variety?

Well, that's not going to get you published in The Lancet, is it?

Get an idea to me by the end of the day.

If you're serious about moving up the ladder, prove it.

This is Joselyn Meeres.

Urgent referral for a colonoscopy to investigate

a lesion in the large intestine.

And this is Ryan.

-Joselyn's...?

-Partner! That's right.

We're not a firm of solicitors! He's my boyfriend.

And you can call me Jos.

-Hi.

-If I'd known what was in store today,

I think I'd've kept my mouth shut.

It is a little intrusive, yes,

but we're going to give you a painkiller,

it's with a mild sedative called Midazolam.

The camera goes right up...

I think that's all I need to hear.

Let's just say, you'll be boldly going where no man's gone before.

You'll be fine, hun.

Good stuff. Right, um, excellent.

Usual tests, FBC, U&E's, LFTs, and Amylase.

I'm going to dig out a consent form.

PHONE RINGS

Excuse me.

Mum. Yes, I was just about to ring you.

Is there anything you want us to bring tonight?

What?

But if she met her...

That's easy, there's a million things you can write about.

I've got to prove to Ms Campbell that I can get to that next level.

I've got to show her I can handle the stuff AAU throws at you.

Mr Di Lucca, would you like me to take over?

Yeah, that would be good. I'm due in theatre, but it looks like anaphylaxis...

-Don't worry, don't worry, I've got it!

-See you soon, then.

-Cara, hit me!

-Chloe Adie, 17.

Brought into the ED with respiratory distress, tachycardia and abdo pain.

Severe peanut allergy with underlying asthma.

She self-administered an EpiPen at the scene and...

Friend's sleep-over. I told her she should take her own food!

Right, could you hold that for me, please? Do help yourself.

I'm just going to have a little listen to your chest.

Seriously, it's a complement. It was my favourite book as a kid.

I've gotta go, sweetheart.

But, look, I promise you...

No, look, I promise that we will take some flowers over there

as soon as I am done here, OK?

Love you. Bye

Sorry, domestic emergency.

Owen Trent. Lacerations on both hands.

Can't seem to remember how he got them, apparently.

GCS 13 upon discovery since improved.

But considering the agitated state he's in,

I think he may be eager for his next hit.

You're a doctor, ain't you, BFG? Can't you treat me?

My name is Mr Hanssen

and I have many duties to attend to as CEO.

CEO? So, what, you only treat the posh patients?

Did your father never teach you to wait your turn?

So, get an X-ray, please.

Check there aren't any foreign bodies left in the wounds,

run FBC, LFTs and U&E's. And do a tox screen.

Hold up! BFG!

Mr Hanssen!

Mr Trent!

I reckon 50 people walked past me outside

without even seeing I was there, so...thanks.

You're welcome.

And cheer up. If life as a CEO is that bad, maybe you should quit?

Right your blood pressure's a smidge high,

but looks like we're good to go.

PHONE RINGS

It's just the pub.

He's probably forgotten how to open the safe again.

I'll call them back in a bit.

Do you work together?

That's how we met.

All the girls flirting with this one behind the bar, but...

I only had eyes for the landlady.

-I'll let you know when we can take you through.

-Thanks. Cheers.

I've had some bad news about the party.

-Great Aunt Maria...

-Is she all right?

Yes, she's OK,

but she's just not really up to dealing with so many people.

She's cancelled?

She's...down-sizing.

I mean, she is 90.

-Maybe we can visit when she's feeling a bit better?

-OK.

KNOCK ON DOOR

Oh, good, I thought you might of gone on leave already.

No, not yet.

Have you seen that? Guy's financial proposal.

Please tell me you're not going to approve it.

You have objections?

He's laid claim to our entire research and development budget!

The money is ring-fenced for research.

So without alternative proposals,

how can I justify withholding the funds?

Because he's already strutting around as though he's running the place!

What about this screening he's arranged behind your back?

He has invited everyone -

board members, the local MP, councillors, pharmaceuticals.

He's "lobbying"?

-Lobbying?

-Open your eyes, he's after your job!

He had my job. He gave it up.

You need to shore up your position.

This is not the Battle of Ragnarok.

Now, I have a hospital to run.

-But you...

-That will be all.

Right.

Look, it pains me to say this,

but you're the best thing that ever happened to this hospital.

Are you really just going to roll over

and let Guy Self destroy everything that we've worked for?

OK.

Oh, there's one other thing.

-Nurse Fletcher had a message about a Mr Trent.

-Oh, yes,

the young gentleman suffering from withdrawal symptoms.

Apparently not. His tox screen's clear.

So whatever's wrong with him, it's got nothing to do with drugs.

Chatty bloke, aren't you?

Sorry.

Just got a bit of a guilty conscience.

I should be at home spending the day with the kids,

but I left it a bit late to book the day off.

You should tell the BFG to stick it.

Mr Hanssen? I don't think so.

He's got that Nordic ice-man thing going on.

You know like one of those Scandinavian dramas.

Only you can't work out whether he's a goody or a baddie.

One of the good guys.

He looks too unhappy to be a bad guy.

Do you have any idea what set the reaction off?

She'd breakfast at her friend's house.

When I got there to pick her up she had the weird taste in her mouth,

her lips started going and she was sick everywhere. Look.

I wrapped all the food items individually. For testing.

OK. Well, hopefully that won't be necessary.

But thanks for the thought.

OK, well, her breathing's improving,

but we will need to keep her in for monitoring.

Want some breakfast?

So anyway I've been thinking... For your paper...

maybe you could look at severe anaphylaxis in relation to

underlying respiratory conditions.

"To intubate or not to intubate, that is the question."

Yeah, yeah. That's not quite right.

Don't forget the mast cell tryptase,

we still need to check that's an allergic reaction.

I think I'm gonna go and round up some more patients.

At this rate, I'm gonna be setting the AAU record for

most people treated in one day!

You said it was urgent?

It's about your research project.

-I may be going away...

-Going away? Where?

A private matter.

But I wish to tie up certain loose ends before I go.

I may be able to find some research and development money for you.

But I would need an outline on paper today.

If we delay,

I may no longer be in control of where the funds are allocated.

I was under the impression you were working on something with Professor Hope?

The Stent Project?

Nothing there you could breathe further life into?

I haven't even looked at that for a very long time.

Well, I'm not expecting a thesis.

I'll see what I can do, but...

Good. I'll look forward to hearing from you.

PHONE BEEPS

How are we doing?

Well, apparently Chloe here is going to work with orang-utans.

It's a sanctuary in Borneo. Dad's freaking right out though.

Not everywhere is as strict about food preparation as the UK.

-They also have dengue fever.

-And earthquakes...

-Cockroaches the size of rats!

-OK, you two just stop!

You're going to have an amazing time.

So how are you feeling now?

My tummy still hurts.

Do you mind if I take a quick feel?

A little bit tender. OK, we'll be back soon.

-Do you want me to take over?

-No, nothing I can't cope with.

-What about your paper?

-It's fine.

-So what's the plan?

-Well, airway sounds better.

We haven't had the mast cell tryptase back yet,

so keep her under observation for now.

I would've expected these obs to have improved more...

Anaphylaxis can take a while to settle.

OK. She's your patient.

Fletch, have you got a moment?

Anything for you. Excuse me.

So I looked up Owen Trent's medical records, like you asked,

and I found something...surprising.

Anything exciting?

Just looking for some old files.

"Malleable tracheal stents." Wow.

Never has scaffolding sounded sexier.

How would you like it if I shoved a metal rod in your windpipe?

The old stents can cause bleeds, infections.

Hanssen wants me to come up with something to compete for prestige

with Guy's Neuro Centre.

Yes, but if it doesn't excite you...

That's your excited face?

Actually, it's my going-to-punch-you-in-the-face face.

The idea's great, but Elliot was the mad professor who came up with

the gadgets, I just did the research.

Hm. Well, if tracheal stents are your thing, I've got good news...

A gift from an admirer.

-Oh, he's back?

-And he's only got giraffes for you.

I hate balloons.

A flower for a flower.

If it comes near me, I'll stick a pin in it.

And that goes for the balloon too.

So, Mr Esslin, welcome back.

I told you last time you can call me Bob.

Mr Esslin, just to confirm,

you had a bi-lateral lung transplant two years ago.

You then developed bronchial stenosis

-and had a stent put in six months ago.

-By your good self.

So what brings you back? Not the catering, I assume.

Ha-ha. You told me to come back if my symptoms returned,

persistent cough, wheeziness, shortness of breath...

Right. Any fever?

Not that I've noticed. Oh, I have been feeling a bit...

deflated.

Sounds constricted.

It's amazing what you lot do.

I could've been a surgeon, I reckon. I've got the nimble fingers.

Yes, I'm sure you do,

but it does require a couple of other attributes.

And who would fill the world with deformed inflatable animals?

I'm going to order you a chest X-ray.

I hope you let him down gently.

Shame, he's quite an interesting bloke when you get chatting to him.

By your standards, maybe.

Apparently he's won prizes for his balloon modelling.

Really? Shoot me now.

How can you hate balloons? It's like hating fun.

Because they're pointless.

You give them to Emma.

Yes, I buy her baby food, too. Doesn't mean I like the taste.

You'll have to do better than that.

Seriously?

Fine. If it will get rid of you.

I hate balloons because they remind me

of endless miserable parties at the home when I was a kid,

with some creep in a clown costume playing The Birdie Song,

while the birthday child blew out candles on a stale cake

and wished they had parents around to buy them a decent present.

Is that good enough for you?

BALLOON DEFLATES

How'd it go? Any news?

I'm afraid I'll have to talk to Jos first.

PHONE RINGS

-Sorry, do you mind if I take this?

-No, not at all.

Hey.

Whoa, slow down.

This isn't exactly the way I planned it either!

She's ill. I can't just walk out!

All right, look, go to my flat.

I'll call if I can get away all right?

Love you.

Worst timing ever.

Problem?

No, not at all.

Bed eight - mast cell tryptase is positive,

so it's definitely anaphylaxis.

Urine test shows microscopic haematuria.

With low blood pressure and severe stomach pain...

This isn't just an allergic reaction.

You're right, you're right. I'll book an abdominal CT.

Let's narrow it down before bringing out the big guns.

Morven, what do you think?

Well, generalised abdominal pain could be a whole number of things

so I would start with full blood tests,

including HCG to check for pregnancy.

Excellent! Let's do that.

Great...more work to do!

Talking of which, you could do an article on

increased pressures on acute care during winter months?

Call it "The Winters Of Discontent"!

I think it has to be a bit more...special.

Like what?

I don't know...

..but it's got to be perfect.

Lied about what?

Great Aunt Maria. She isn't ill.

She's asked...

We're no longer invited.

Because of me?

Because of him.

So we've not been uninvited. I have.

Obviously I am not gonna go.

-Because you are my fiancee and...

-No, you should go.

Aunt Maria has lived through things that you and I could only imagine.

She's earned the right to choose who comes to her birthday party.

That's decided, then.

VIOLIN MUSIC

Thank you, thank you.

Well, as demonstrated through our violinist,

the neuro centre is all about nurturing talent.

Through pioneering surgical techniques, strong leadership,

and ambition, it is this very talent that can raise Holby's profile

to an international level.

But we must not be afraid to make big changes.

And now a few words from our current CEO.

Mr Self has clearly been very busy with his brain-child.

An apt term, because we're dealing with the intricacies of

the human brain and the centre itself is in its infancy,

and therefore will require...

..support and nurture in order to make it flourish...

Excuse me, there's somewhere I need to be.

Shall we all just take ten minutes and then we can launch into the Q&A?

Are you all right?

Yes, why? Have I said something wrong?

Look, if Guy wins the support of the people in that room,

he could get you removed as CEO.

Aren't you even going to try to stop him?

I have no evidence that the board lacks trust in my leadership.

It's got nothing to do with trust.

You heard him in there - he's selling them a fantasy!

Guy Self, superhero, sent to Earth to save Holby City

Hospital from the evil Ice Giant!

You know what I mean.

As deputy CEO, I'm sure you are more than equipped

to deal with any such difficulties in my absence.

We need you here! What am I supposed to tell everyone?

You must do what's best for the hospital and for yourself.

And, when you return to AAU, would you send Nurse Fletcher home please?

Why? Is this a disciplinary issue? We're short-staffed as it is.

Do as I ask, please.

We'd remove the large intestine

and rejoin the small intestine directly to the rectum.

Can't you just cut out the tumour?

We can't guarantee we could actually remove all the potentially

cancerous polyps, but even if we could the danger is still present.

And this total...thingy. Colectomy.

Surely there must be risks?

All operations carry risks. Bleeding. Infections.

You could suffer from diarrhoea, some level of incontinence...

And there is a remote chance you may need a permanent stoma.

-Stoma?

-An ileostomy bag.

I don't want it. Jos, if we don't deal with this now...

This is the first time in my life I've felt sexy.

How's he going to feel when we're getting frisky

and there's a plastic bag sticking out of me?

There must be another way.

We could try to handle it endoscopically,

but there are numerous,

-long procedures with absolutely no guarantee of success.

-Do that.

I'll take my chances. And I don't want you saying anything to Ryan.

Could you find him for me?

-I think he's gone for a coffee.

-Of course.

He's leaving.

-For how long?

-Who knows?

"In order to obtain and hold power, a man must love it."

Tolstoy.

So what's Guy offered you?

Come on, Ric. We both know this coup d'etat's entering its endgame.

More autonomy and an upgrade of all the theatre equipment on Keller.

The latest, state-of-the-art tech.

Wow! What are you going to do?

Well, you know I'm not Guy's greatest fan,

but what choice do we have?

So you're going to back Guy?

I'm going to do exactly what you should be doing.

Hope for the best, prepare for the worst.

Mr Hanssen!

-Am I in trouble?

-Trouble?

Ms Campbell told me what you said.

And if I've done something wrong then I'm...

Oh, yes. Call it compassionate leave.

When I saw you earlier, it occurred to me

that Mrs Fletcher passed away a year ago today.

So you should be with your family.

I didn't think anyone would remember.

I can't tell you how much I appreciate that so thank you.

Owen was right.

You're definitely one of the good guys.

So how is the young patient?

Dead, apparently.

Not actually dead.

But the only records I could find that matched his name

and date of birth said that he died two years ago.

And it is him because I image searched his name and...

All right. Well, leave it with me, please.

He's gonna be transferred to Darwin, suspected pneumonia.

He's lucky that you found him when you did.

"Sweet Sorrow: Tackling the rise in acute diabetes

"admissions in young adults."

Right, are all of these going to have a Shakespeare theme?

Well, at least I'm trying! What have you come up with?

Nothing. Nothing at all! And it's already halfway through the day.

CHLOE GROANS IN PAIN

OK. Just lean back for me, lean back. I'm just going to feel your abdomen.

OK. It's getting more distended.

-What's this rash?

-I knew it! It's meningitis!

No, she's been meeting those Borneo people.

Maybe one of them brought back some sort of tropical parasite.

It's more like ecchymosis.

Chloe, have you had an injury to that area? Any blunt trauma?

OK, it's really important.

Fell running.

You fell when you were running?

No. Yes. I was fell-running.

Training. I slipped on some loose stones, landed on my side.

Right. Can you show me? Where?

Training for what?

Peaks and Troughs. It's an endurance race.

With your asthma?

Do you have any idea how many elite athletes have asthma, Dad?

The running helps us manage it.

Part of the Borneo trip is climbing Mount Kinabalu.

But I'm under 18 and Dad won't sign my consent form.

It's my job to keep you safe.

I wanted to prove that I could do it.

You're worse than Mum!

She wrapped us up in cotton wool, but you have a panic attack every time I sneeze!

So you went running over hills by yourself?

Have you got any idea how dangerous that is?!

What if you'd twisted your ankle and couldn't get back and there was

a snow storm and you're lying on the ground miles from anywhere,

getting frost-bite and hypothermia and being attacked by wild animals?

-Please...?

-I can't cope with this! The whole trip's off!

-That's not fair!

-OK, can we not do this now?

We need to order an abdominal ultrasound straight away.

Why didn't you tell us?

-It was a couple of weeks ago.

-OK, and you didn't think at any point

that would be useful information for us to know?!

I'm sorry.

I'm just gonna be back in a few minutes.

BFG!

Very much alive, I see.

Must be some mix-up.

Yes, I tried to call your GP surgery, but they seem to have closed.

Still, we'll get to the truth.

So, you were in the Army?

I didn't take you for a soldier.

I wasn't one for long. First trip home I crashed my car.

Ended up doing a few months and got a double-D.

A what?

Dishonourable discharge.

Mr Hanssen, to what do we owe the pleasure?

Just clearing up an administrative error. Pneumonia, I hear?

Possibly not.

The X-ray showed pleural effusion, but I aspirated some pleural

fluid and it's showed up negative for both pneumococcus and legionella.

Thank you.

May I?

So, you've been sleeping rough since you left prison, have you?

About eight months.

Don't like to stay in the same place too long.

No family to go back to?

Just my mum, but...it's difficult.

Surely your mother would like to know where you were?

Thought you were the busy boss man?

Nothing wrong with the CEO

taking a little interest in his patients, is there?

So it's professional duty? Here's me thinking you were just lonely.

Actually, I'm killing time until my plane leaves.

Plane? Lucky you. Lanzarote, is it?

Somewhere far colder. Thank you.

CT scan of Mr Trent's abdomen, please.

And could you find contact details for his mother.

He did ask that we didn't make contact with her.

Well, I'm hoping you'll change his mind.

It's preferable to discharging him back onto the streets, isn't it?

Yes, it's Mr Valentine. Oliver, yes. Can I arrange a CT scan, please?

How's Balloon Boy?

The metallic stent has eroded and is dangerously close to his aorta.

Er, Owen Trent. Well, I've got the 2nd June, 1993.

Sounds like he's got a puncture?

You're not funny. He's going to need an operation to fix it

and I doubt very much it'll be his last one.

Thank you very much.

If I'd just finished what Elliot and I had started, then he wouldn't have to be going through any of this.

So why did you abandon it, then?

Because other things got in the way.

Because after the way I treated Elliot, I couldn't bring myself to

look at any of it.

The professor would never have let a good idea go to waste.

You know his archives are still in his lab.

That's not a stupid idea.

HE STARTS

Wakey-wakey!

You doze off there for a second?

No, I wasn't... Ah, doesn't matter.

No, I'm just looking for somebody. But...they're not here.

How's AAU?

It's good, it's good, it's just...I've got to think of an article topic

by the end of the day and I don't really seem to have time to think down there, so...

That's what I love about Keller,

because it gives you more space to breathe.

As you know.

LIFT BEEPS

Ah...

-Hey.

-Hey!

-I'll um...go.

See you in a bit.

Look, don't get me wrong,

I'm flattered that you've taken such a keen interest in my patient, but...

"I will remember that I remain a member of society,

"with special obligations to

"all my fellow human beings."

The Hippocratic Oath.

When I first saw him this morning, I didn't see a human being,

I saw an inconvenience.

It's my duty to make it up to him.

But for the grace of God, eh? OK.

I'll be honest with you, I thought you might be using him as an excuse to spy on Mr Self's Neuro Centre.

Just the rumours that I've heard.

-And what rumours are those?

-Hm?

That Mr Self might have ambitions to retake the reins.

After everything you've done for me.

Did you get a number for his mother?

Not yet.

What's that?

That is a large abscess on the right side of the liver.

It'll require surgery. An urgent transfer to Keller, please.

I hope you know where my loyalties lie.

Sorry, Ryan, could I have a little word in private?

What's this about?

I'd really like to talk to you on your own.

Ryan?

Don't look at me!

She has a right to know. It could affect her decision.

What could?!

I saw you.

With her.

What's he mean, "with her"?

I don't want her refusing a life-saving operation because of a lie!

-Who is she?

-It was Phoebe.

Your sister? Don't give me that, she's in Birmingham!

She drove down for the party.

The engagement party.

Whose...?

When you were admitted, I cancelled.

Then as soon as I realised how serious things were,

I rang Pheebs and I got her to pick this up for me.

-Ryan, I'm so sorry.

-You asking me to marry you?

Only if you stop being such a muppet and let him sort you out.

I've been worried about you.

OK. No need. No need, OK?

Why aren't they doing anything? She's in so much pain.

We're keeping a very close eye on your daughter, Mr Adie.

Her ultrasound showed free fluid on her abdomen.

What does that mean?

I think it means that Chloe might have caused herself some internal damage during the fall.

She said it was two weeks ago.

Sometimes these injuries can heal themselves

and then they reopen later.

I promised her mother that if Chloe came to live with me

I wouldn't let anything bad happen to her.

-It's only been a month!

-OK, and I said that I will look after her and I will.

Arthur, how's it going?

-What's happening with Chloe?

-Well, I was about to book her in for a CT...

I'm going to go and do it myself.

Ah. Mr Valentine said I'd find you here. Just wanted a quick word.

I'm busy.

Isn't it funny, how we struggle to let go of the past,

surround ourselves with relics...

You know, we really should clear out some of this junk.

I'm sure we could find a better use for the space.

-What do you want, Guy?

-I want to make you an offer you can't refuse.

Clinical Ambassador, responsible for promoting our work internationally.

I'm sure the board will still approve your own research budget,

as well as an increase in salary.

And in return?

Simple. Your support.

Look, Hanssen is in the last quarter of his contract.

And as Clinical Lead on Darwin, you need my vote?

Exactly. So the question is who would you prefer as CEO?

A dynamic leader with the world's media knocking at his door,

or a bean-counting beanpole from Sweden?

Her BP has now fallen to 90 over 50, she's tachycardic.

CT is backed up. Keep giving her oxygen and push IV fluids.

Mr Di Lucca!

Miss Adie has increased abdominal distension and tenderness,

muscular rigidity and ecchymosis.

She's hypotensive and tachycardic and her breathing is deteriorating.

I want you to do an emergency exploratory laparotomy with me.

What happened to her CT?

That is just going to prove what we already know.

Please, we have to do this.

Look, I'll give you the rest of my biscuits.

That's very generous, but, look, there's no need for bribery.

No, I trust your instincts. Let's get scrubbed in.

If you see Mr Griffin, would you tell him

there's a patient I'd like to discuss with him.

Owen Trent, just been transferred from Darwin.

Yes, yes, I will.

Now, I assume you are hiding in here for a reason?

No, no, no, I'm just...

Yes.

May I?

Absolutely.

Well?

It's complicated.

My Great Aunt Maria...

Ah, yes, I remember you mentioning her.

You know that she...?

Well, it seems she's made it very clear that she doesn't want

Essie as part of the family.

I see. Complicated indeed.

Your great aunt's feelings are understandable.

-What do I do?

-But that doesn't mean they shouldn't be challenged.

Challenged?

Hatred and fear, especially when rooted in the sins

of our fathers, should never go unchallenged.

Otherwise, too much may be lost.

And some things may never be retrieved.

Can I have some help, please?

Tox screen's clear. He was in a car accident two years ago.

So let's get a brain MRI done, see if anything was missed.

Shall I get Mr Self?

I just thought, seeing as it's a neuro issue...

he's the man to go to.

Mr Hanssen?

All right. I'll do it.

Stent research going well, then?

It would be going better if you weren't distracting me.

If you want to be useful?

Tell me what that says? Elliot's handwriting is driving me mad.

It says... "Don't...forget...

"tiramisu."

"Observed JN in theatre this morning.

"So much talent crammed into such a tiny thing."

He can't possibly be talking about you.

Ah, yes, here we go,

"Golden rules for research. One, always respect the patient.

"Two, don't reinvent the wheel. Three, never admit defeat."

Very helpful as usual, Elliot.

BANG!

That's it. No more balloons.

In fact, they are banned.

You can't do that!

I most definitely can. In fact...

You know, I feel sorry for you.

You feel sorry for me?

A man who plays with balloons for a living?

Oh, yeah, and runs the third largest parties

and events business in the whole of the UK.

You see, that's the thing about balloons -

-they just keep getting bigger.

-I thought...

Yeah, you thought I was an idiot just because I try to bring a little bit of joy into people's lives,

even though this stupid bit of metal hurts

all the time.

I'm not the idiot.

Yes, well, I'm going to fix that stupid bit of metal.

"Always respect the patient."

Well, could it be related to the accident?

Well, it's possible, but it's more likely down to the tumour.

He has a tumour?

Had. See this area here?

Postoperative changes consistent with a previous craniotomy.

There's some residual tumour but it's low grade.

Well, there's nothing in his records.

-No history of fits or black-outs?

-None reported,

but then he's on the streets, so I suppose he might not be aware.

When I found him first thing this morning he suddenly became

very absent and he can't even remember how he cut his hands.

My guess is the tumour, or the operation to remove it,

caused symptomatic epilepsy.

So, let's get him to Darwin.

No, that won't be possible, I'm afraid.

My Neuro Centre cost a lot of money, it would be a shame not

to put it to good use.

The liver is the priority right now.

And you're willing to explain that to the board?

I'm the CEO. I don't have to explain myself to anybody!

Thank you for your assistance.

I thought you said he'd gone?

I thought he had.

Oh, Mr Hanssen? Mr Valentine found contact details

of Owen Trent's family.

There's a number for his mother

and a brother is also registered at the same address.

Brother?

Twin.

Scissors.

OK, we've got a large, expanding retroperitoneal haematoma.

Suction, please.

Here we go. Left kidney's damaged.

Her father said she was violently sick this morning.

So, if she ruptured her kidney during the fall then,

it could have been reopened with the retching.

How's her BP?

BP's still falling.

We need a urologist in here.

Look there's no time. I can fix this.

We wait for the experts.

Thank you.

And that's the last flight, is it?

No, no, that's fine. Thank you.

Hello, Jamie.

-Owen.

-You weren't telling me your name this morning.

You were asking me to help your twin brother.

You had a low grade glioma removed when you were 17.

Enough to keep you out of the Army.

It's all in your file.

Why didn't you tell us we were calling you by the wrong name?

Because... I dunno.

I've wanted to swap places ever since it happened.

The car accident?

He was back on leave. I picked him up from the station.

Next thing, there's flashing lights, broken glass

and Owen dead on the seat next to me.

Witnesses reckon I drove straight into oncoming traffic.

You don't remember?

Small blessings, eh?

Mum tried to visit me in jail but I couldn't look her in the eye.

So, as soon as I got out, I hit the road.

Well, I've been talking to a neurosurgeon about you.

He believes you may have symptomatic epilepsy related to your tumour.

So the car accident may have been caused by you having a seizure.

You may have been blaming yourself for something that was not your fault.

We'll never know.

It takes the risk out of surgery, though.

If Owen Trent is already dead, what's the worst that could happen?

HE LAUGHS

HE GROANS

Feels like I've been stabbed.

Nurse Harrison, how long are they going to be in theatre, do you think?

About 15 minutes.

All right, well, get them to hurry up if you can, please.

MONITOR BEEPS RAPIDLY

'BP's still going down.'

The packs are soaking through. We're losing her. Where the hell are urology?

This is my fault. If I'd have spent more time with her...

That's AAU for you. There's never enough time.

We diagnose, keep them alive, and we pass them on.

What if that's not good enough for me?

We need to remove this kidney before she bleeds out.

It might be salvageable.

That's not going to be much good to her if she's dead.

All right, we'll go ahead.

Clear. Shocking.

Still in VF.

Continuing chest compressions. More adrenaline, please.

The abscess must have ruptured.

When he's stable, I'm going to get him straight into theatre.

Care to assist?

Assist? I'd rather assume that I would be leading.

No, I'll take the lead on this one.

Charging... Clear...

Shocking.

Sinus.

Right, checking output.

We have spontaneous circulation.

Well, it is my specialism.

No-one knows that better than I do, Henrik, it's just that, well,

I haven't seen you with scalpel in hand for a while.

Well, perhaps it's time to take up arms once more.

See you on the ice.

I thought you said you'd done this before?

This whole section is closing up.

At this rate, Balloon Boy's going to need another transplant.

He's right. I am an idiot.

I could have had a device ready for testing by now.

I'm about as much use as one of his stupid inflatable animals.

Hm.

-What?

-"Don't reinvent the wheel."

Right, ready to remove section six.

Harmonic.

I take it you've cancelled your trip, then?

I had hoped to discuss the upgrade of our theatre equipment.

We could get through our lists a lot more easily.

There are plenty of hospitals who do excellent work with less.

MONITOR BEEPS RAPIDLY Hit an artery. Patch.

BP and heart-rate both crashing.

Suction, please.

SUSTAINED BEEP FROM MONITOR

No output.

With the strain already on his...

Yes, I know the situation is dire,

but that doesn't mean we should give up.

Get the crash team in here, please!

What would Bob do if I gave him a balloon?

I'd turn it into something else.

Exactly.

Stents are designed to hold the airway open with

-the use of the balloon, yes?

-Yeah.

But what if a balloon could also be used to deliver radiation

treatment for lung cancer?

Or, in your case, stem cells.

And because it's a balloon, when we're finished with it,

we can just deflate the device and remove it.

Sounds amazing.

So would you be willing to be a case study?

Would I get first dibs? When you're ready to test.

It could take a long time to get to that stage.

I can't promise...

Count me in.

You spread the joy.

In that case, I need one more thing from you.

Can you do it?

Don't say it.

"Never admit defeat."

I will kill you.

Before you say anything...

It is totally my fault.

If I'd been honest from the start then everything would have been fine.

No, we've both been idiots.

I spoke to Great Aunt Maria.

She's 90! She's not going to change her mind now.

She thought you were Chrissie. And she hated Chrissie with a passion.

So...what did she say about me?

She said that she can't be any worse than Chrissie,

even if she is a German.

So. If you want to make a good first impression...

I think you should wear something special.

Oh...

Courage is better than the sharp sword.

Sigurd The Volsung, Mr Levy.

Miss Harrison.

What if she damages the other one?

You can get kidney damage through blood poisoning, can't you?

Yes, but it's very...

I did this to her.

I'm the sort of bloke people leave. I hold on too tightly.

Something breaks.

OK, this was a freak accident.

When Chloe said she didn't want to live with her mum any more,

I thought for the first time in my life,

"Someone is choosing me."

Stop doing this to yourself, OK?

Bad things happen and you can't always control them or predict them.

But normally things turn out OK.

So, you've just got to...go with it.

If it gets too much,

that's when you've got to find yourself some space to breathe.

Is that it?

It's commercial, patient-centred... It's exactly what we're looking for.

And very cheap to manufacture by the look of it.

Leave it with me.

I thought you said this was urgent? I dropped everything for this.

SHE SIGHS

PHONE BEEPS

I know you're a bit old for cuddly toys,

but I just thought he could keep you company while you're getting better.

Thanks, Dad.

As for the real thing, I've spoken to the travel company.

They're willing to postpone your ticket,

just until you're strong enough to haul that enormous rucksack around.

Just promise you'll come back in one piece?

I'm really sorry I was dismissive about your article ideas earlier.

It's all right. They're probably rubbish, anyway.

They weren't rubbish. But I want that article to be exceptional.

Because I want to be exceptional.

And that's not going to happen down on AAU,

because it's...it's too rushed and it's chaotic and it's messy.

And, as much as everyone down there is amazing

and, of course, I love working with you...

You're leaving?

I've learned. And I've got to move on.

But I want to go to Keller. It's where I make sense.

But...do you mind?

No! No, of course I don't, I mean, of course I will miss having you

there, but I'm sure we'll find more time to do that mentoring.

I'm not your mentor...

It was a little euphemism, wasn't it?

What do you think?

Have you got that idea for me?

-No.

-Well, I hope you're rushing off to come up with something.

Actually, I'm going to Keller.

Keller?

Permanently.

It's like Mr Hanssen said, if I want to fulfil my potential,

-I've got to seize the initiative.

-Did he now?

But, thank you, thank you so much for everything.

And I will pop down to AAU again and I'll bring some more biscuits.

Because they were a hit - cos there wasn't even a crumb left!

So...

-Really? Who on earth ate them? They tasted like feet.

-PHONE BEEPS

Well, I may have accidentally put them in the clinical waste bin.

Ah, good girl. You'll go far.

Yep, I'm on my way.

Yep. OK, I'll let you know when I've signed on the dotted line.

-DOOR OPENS

-Ooh, talking of which, I'll call you right back.

Serena, so glad you could make it.

Listen, when the others arrive...

Oh, Mr Griffin and Ms Naylor send their apologies.

But we've just had a meeting

and they've given me permission to speak on their behalf, so...

So, what was discussed in this meeting?

Oh. What makes a good CEO of a hospital.

And?

Well, we agreed on three things.

Firstly, it must be someone who's willing to stand up

for the best interests of their staff.

Oh, absolutely, I couldn't agree more.

Someone who will support them and yet challenge them,

if necessary.

Secondly, it must be someone who has complete control

over the hospital's finances.

Oh, and I'm sorry to say,

but you will have to review your financial proposal.

Mr Hanssen has decided to allocate the research and development fund

to cardiothoracics so Ms Naylor can develop her new stent.

He can't do that. It's too late.

I've already ring-fenced the money for the Neuro Centre.

Hm. But the final decision as to where it goes lies with the CEO.

Thirdly, and most importantly, it must be someone who is

prepared to go that extra mile for their patients.

Someone who'll make decisions based on compassion

and professionalism, not just to further their own career.

Someone who'll do whatever it takes to ensure the patients get

the best possible care.

So, I'm afraid our answer is no.

Thank you.

Serena, hear me out! You don't even know what I'm willing to offer you.

Oh, it wouldn't make any difference.

Give me a "bean-counting beanpole from Sweden" any day.

PHONE BEEPS

I'm sorry, though. I'm needed here.