Serenity Holby City

-I'm sorry, I can't quite place you.

-Janice Butler's daughter.

I didn't realise that you knew my mother so well.

I used to run errands for her.

The card just says, "Happy birthday, darling,"

but that...that is definitely my mother's handwriting.

I think I've got a sister.

I need someone to challenge me and push me

and make me a better surgeon.

-Well, yes, that's me.

-No. I need a mentor, not a father.

I can do both.

I love you.

-What's all this?

-Oh, well, I heard you were planning something,

so I thought I'd make a contribution.

It's just as well if that's all you've got to offer.

You do realise that helium's a finite natural resource

better spent running MRI machines?

Mm.

PAGER BEEPS

Duty calls.

He's done this on purpose. This was my idea and he's

-cocked his leg all over it.

-Ooh.

-Traitor.

-Party's a party.

PAGER BEEPS

Got to go.

Hey, the thought that counts.

Morning treats.

Ooh, hello.

Skive off. Come out and play.

That'd be nice.

Is it life or death?

Oh, no. Today's all about meetings.

So you're not saving lives, then.

Well, if I'm not there, there'll be

a bare-knuckle boxing match between two eminent surgeons, so...

Right. Are you one of them?

No.

Shame. I reckon you could take 'em.

Damn right, I could.

-Just breakfast, then?

-Lovely.

-Morning.

-Good morning.

-Hello.

-Hello.

Any sign?

They should be here any minute actually.

Always one step behind.

-So what do we know?

-I don't think I'll be needed.

If she wasn't relatively stable

they wouldn't have brought her all the way here.

We know she's got an unstable C5/C6 neck fracture.

BPs slightly dropped en route and she's mildly tachycardic with

ECG changes. That's why I thought you should both be involved.

Ah, here they are.

Right, shall we?

-The whole day off?

-Yep.

Lucky you.

Apart from flirting with type-2 diabetes,

what other exciting plans lie in store?

Well, I had hoped to spend the whole day with this beautiful,

intelligent and slightly mysterious woman.

But she blew me off for some boring budget meeting.

Oh, dear.

Yeah. So I dunno... I thought I might look up an old contact.

Oh, yes. Nothing like spending quality time with an old "contact".

He works at the records office.

Maybe I could run your situation by him,

see if we can't find something on this sister of yours.

Didn't ask you to do that.

Happy to.

Well, I'd really rather you didn't.

ALARM BEEPS

That's the ED. I've got to go.

Right, erm...

No, no. It's OK, you have your breakfast.

I'll call you later.

Welcome to Holby Major.

This is Mr Self, neurosurgical consultant,

and Mr Valentine, cardiothoracic registrar.

They'll take you up onto our Darwin ward.

Ah. The great Guy Self.

Good to meet you.

I'm sorry it's not under better circumstances.

Your reputation is formidable.

As is yours.

Right. Darwin, please.

Over to you gentlemen.

Thank you, Mr Di Lucca.

I don't get your problem with Chinese food.

Watch it!

TYRES SCREECH

Seen it.

Military ambulance.

Really?

Army, I think.

Mm... Maybe there'll be some hot army guys around.

Please say that didn't just happen?

That just happened.

No, you can't just drive off.

-I don't even know whose car it is.

-Then leave a note!

I'll come down later. We're already running late.

I don't know about you,

but I don't want Ric Griffin breathing down my neck all day.

You're never driving my car again.

MUSIC PLAYS: Brown Eyed Girl by Van Morrison

Surprise!

Yeah, obviously everyone else was supposed to be here

but an emergency came in, so.

Who did all this?

Your dad. But it was Ollie's idea.

Right. Bit over the top, isn't it?

Yeah, to be honest, I think there was a sort of birthday

banners at dawn thing going on.

What does that mean?

Like a Mexican stand-off but with balloons. And cake.

PAGER BEEPS

Happy birthday, Selfie J.

Thank you.

Right, Dave, nice and easy, please.

OK, Major, we're going to get you settled into HDU.

Well?

ST depression and T wave inversion in leads one to three.

There's definitely something going on.

Well, get it sorted. I don't want any delays.

Unidentified male approximately mid-20s, found unconscious

and extremely hypothermic, intubated at the scene.

Apparently he arrested once en route and once in the ED,

so keep on your toes, everyone.

We'll set him up in theatre until ITU can clear a bed.

X-rays and CT revealed multiple trauma injuries,

but we won't know how bad it is until he's been warmed up.

Can you get him on ECMO please,

and I'd like an up-to-date blood gas

and core temperature reading, please.

-Do you want me to page the ITU consultant?

-Yes, please.

-What happened to him?

-No idea.

He was found in the middle of a field somewhere, apparently.

Don't even know his name.

Hello. This is Charge Nurse Fletcher on AAU,

can I get the ITU consultant down here as soon as possible, please?

We've got a level three ITU patient on ventilation.

Yeah, I know you haven't got any

beds so we're blocking off a theatre...

Tell me about it. So as quick as you can, please.

You could run his description against missing persons?

Yeah, all right, Columbo. Let's see

if we can get him to wake up first, eh?

Well, you still need to know.

Well, not really. If he survives, we'll ask him.

And if he doesn't, unfortunately that will be for the coroner.

And you're not a little bit curious?

Well, of course I am, for the poor fella's family.

When they cut his clothes off in the ED,

there was this stuff packed between the layers.

-What kind of stuff?

-Leaves and dry grass.

Where did you say they found him?

Great. Thank you.

Thank you. Don't worry.

We'll take good care of her.

-Major.

-Bernie's fine.

Bernie. Do you mind if I examine you?

Go ahead.

SHE GROANS

Does that hurt?

Bit tender.

Pseudoaneurysm?

That is my concern, yes. Thank you.

Do you mind if I...?

How are you?

Oh, peachy.

Good. Well, I have your scans.

As I'm sure you know, the CT shows an unstable C5/C6 spinal

fracture. MRI confirms that there's a traumatised cervical

disc in the same region.

So any neurological symptoms?

No.

Good.

No weakness? Pins and needles, no?

-No.

-Good.

Well, I'll need to do a more

thorough examination once Mr Valentine here has finished,

but I'd like to get you into theatre as soon as possible.

What's the verdict?

You were right. Pseudoaneurysm.

Your right ventricle must've been damaged on impact.

Well, that complicates things slightly.

It certainly does.

So what's the plan, boys?

Mr Valentine?

Excuse us one moment.

Prothrombin?

No, if she throws off a clot we'll give her a PE.

-And we won't be able to thrombolise.

-So it's surgery, then.

After you've stabilised her neck.

I'm not going to operate on her spine

if there's a pseudoaneurysm in play.

What if it ruptures while she's on the table?

Well, I'm not going to open up her chest

while her spinal cord's at risk.

One jolt and she's paralysed.

So don't jolt her.

OK, look.

Cardiothoracics isn't like neurosurgery.

It's not all microscopic instruments and delicate manoeuvring,

it's brutal.

Just opening up her chest alone involves...

Yes, I know what it involves,

and thank you for the patronising summary.

Everything all right?

Sorry to interrupt.

I do apologise, we were just debating...

Look, not to blow my own trumpet, but I am generally

regarded as one of the country's best front-line surgeons.

This is sort of my bread and butter.

Yes, of course. If there's anything we could do...

Work together. Both scrub in.

Monitor the pseudoaneurysm with an echo,

and while you stabilise the neck, once it's safe,

open the chest and repair the bleed.

Works for me.

What if it blows before I've finished?

I thought you were meant to be the great risk taker?

I am prepared to take a calculated risk

when it's my skills that I'm relying on.

Are you saying that Mr Valentine isn't up to the job?

Yes, is that what you're saying?

Mr Valentine is a registrar.

What if there's an emergency and he has to

jump in the middle of my procedure, I cannot guarantee the outcome.

You can't "guarantee" the outcome anyway. No surgeon could.

And I'd rather be dead than paralysed.

I really have to insist that it would be better for you...

What do you think, Mr Valentine?

Are you up to it?

Absolutely.

Good. That's settled, then.

Right.

Fine.

Shall we compare our theatre schedules?

FBC, U & E's, LFT's, clotting and two units cross match?

You took the words right out of my mouth.

What's the deal with those two, then?

Sorry?

They don't like each other much, do they?

Right, OK, Mr Straton. Now he needs his bloods chasing...

Can you do an ECG for Mr Kapoor?

Oh, right, Ted Tomlin. Now, he's a new admission.

He's 74 years old. He's suffering from acute dementia.

Swallowed a small metal window key, apparently.

Right, he needs clerking and a repeat abdominal X-ray.

-Yeah, we're on it.

-Yep.

Hang on, what? No complaints? No witty repartee?

Can't believe it. They actually respect my authority.

-Look at this!

-Oh...

I left the budget paperwork for my meeting with Hanssen in the car,

went back down to get it and this has happened!

How? I thought you had a designated space.

Someone else had parked in it.

Don't even get me started on that.

What a bummer.

Didn't even leave a note!

I mean, is it too much to ask that people conduct themselves

with a bit of common decency?

Yes, I mean... Pfff. What can you do?

I'll tell you what I can do.

I've had security send the CCTV footage from the car park.

Really?

Yeah, they're not getting away with this.

Ruptured spleen, lacerated liver, a T10 and T11 spinal fracture,

four broken ribs, a fractured femur, a dislocated shoulder,

a perforated eardrum and a fairly large cerebral contusion.

Blimey. Can you cross-match four units

and get some o-neg just in case?

There's going to be some pretty nasty internal bleeding once

he's defrosted.

Oh, and call neuro to assess the contusion.

They may need to put in an ICP bolt.

-No problem.

-Look at his ABG.

Gross respiratory acidosis with raised lactate and deranged U&E's.

He is a mess.

This is exactly why we need better trauma facilities down here.

Something for you to mention at your budget meeting this afternoon.

Indeed I will. Has Fletch heard back from ITU?

I can go and ask him? He's just outside talking to Robbie.

What do you mean talking to Robbie? He's still here?

They're investigating.

Investigating? Oh, for...

I can take over here if you need to get on?

No, it's OK.

ALARM

Heart rate's 150 and his BP's dropping.

And so it begins. Ultrasound, please.

We need to know what's going on inside his abdomen.

Yep. There's a bleed... It's big...

I can't see where it's coming from.

OK, let's scrub in for an ex-lap.

So what's it like?

Afghanistan?

Front-line surgery. It must be pretty exciting.

454 British servicemen

and women died in Afghanistan.

Some of them were my friends. No, it's not exciting.

Sorry. I didn't mean...

I know what you meant. It's an adrenaline-fuelled existence.

There's no denying that.

What were you still doing out there?

I thought British troops were out of Afghanistan?

They are, mostly.

I was part of a team sent to train new medics in Kabul.

What happened?

Roadside IED. Didn't see it till the last second.

Swerved to avoid the explosion.

Rolled. Ended up upside down in a poppy field.

Wow.

Is there any news about Alex?

Alex?

Dawson. The other medic. We were...close.

Were you in the car together?

Yes.

I'll find out for you.

Dr March?

Self and Valentine. How well do you know them?

Pretty well.

I don't have much patience for ego politics. Especially in theatre.

No, I understand.

I just want to get back on my feet as soon as possible.

Of course. I'll have a word.

So what time's your big meeting with Hanssen?

4:30.

Just to remind you, you know I'm in theatre all day, don't you?

-Fine.

-Doctors Digby and Copeland are on top of things,

but if they need anything then...

Look at this.

Is that who I think it is?

Could that be Dr Copeland?

Erm... No... No. I don't think so.

It could be anyone.

Right, Ted, so I'm just going to take some bloods from you

and then we're going to take you back down to X-ray,

just to check where we are with things at the moment, OK?

Ooh. X-ray.

-Yes.

-Why?

Because you swallowed a key.

Did I?

You did.

What did I do that for?

Dr Copeland.

Excuse me a second.

Mr Griffin.

What car do you own?

I don't own a car.

I travel in with Arthur. Arthur has a car, don't you?

That is true.

Why?

Never mind.

-It was you, wasn't it?

-It was an accident!

He loves that car.

I didn't know it was his! Did I?

Hello, Mr Tomlin, sorry.

Do you know he's got CCTV footage, don't you?

What! How?

He got it from the security guard.

For a wing mirror? Who even does that?

It's a bit blurry, to be honest...

-You should have just written him a note.

-I told him that.

Yes. All right, thank you. Pipe down.

Well, what do I do now?

-Well, you've got to confess.

-No!

No, you do. You have to confess and apologise.

I have just denied it to his face.

Well, if I were you, I would not put a foot wrong for the rest

of the day because if you do, he'll be down on you like a ton of bricks.

Can you not speak to him? Please?

And say what?

I don't know... Something.

No. No, no.

You're not involving me in your web of deceit.

I've got to get to theatre anyway.

Please... Come on, Mr Levy.

No, no, I'm not here!

I said you should have left a note.

Are you in hot water, son?

I'm afraid I think I am, Ted.

Oh, dear.

-Whoa.

-OK, swabs, please.

Come on. Come on.

I can't see a bloody thing. Suction.

Is everything OK?

Well, I don't know where it's all coming from.

I meant with you. I can take over if you like?

There's a retroperitoneal bleed in the pelvis. More packing.

And there's a small liver laceration

but it's not enough to cause all this.

OK, here we go.

It's the ruptured spleen. Prepare for a splenectomy, please.

Hey.

Oh, hey, birthday girl.

Sorry about earlier. Things went a bit pear-shaped.

I'll make it up to you.

I told you, I don't want a big fuss. It's just another day.

Nonsense.

Is everything all right?

In what way?

Between you and my dad.

I heard there was some sort of tension.

Well, there may have been a small difference of opinion.

His opinion is that I'm a complete waste of space. I disagree.

It would mean a lot to me if you two got along.

-Well, you should tell him that.

-I will.

But you know what he's like.

I do.

So will you just try? Please?

Course.

Thank you.

X-ray?

Oh. Yes, that is for Mr Tomlin, right...

Oh, Mr Tomlin?

Hello, lad.

Hello. You ready for your X-ray?

-X-ray?

-Yes.

Why?

Well, because you swallowed a key.

Did I?

You did.

What would I do that for?

Removing clamps.

Right, if you could finish up

so we can move on to the liver laceration, please.

Sounds to me like Robbie was just trying to help.

But without asking me first?

I wouldn't poke around in his private life like that.

-You must want to meet her, though?

-Why must I?

-She's your sister.

-We're not sisters. We're strangers.

Nothing's changed.

She might want to meet you.

She returned my mother's letters. She doesn't want to be in contact.

How do you know that was her?

It might have been her parents who returned it.

Yeah, in which case, she might not even know she's adopted.

Don't you think she's got a right to?

Wouldn't be fair on her. She'll be in her sixties.

She doesn't need her entire life turning upside down.

-Have you said all this to Robbie?

-No.

I've hardly talked to him about it at all. That's what I mean!

He's just taken it upon himself to get involved.

Maybe if he knew this was how you felt, then he wouldn't have.

-Ready.

-Thank you.

OK. 3-0 vicryl, please.

We're just prepping theatre. Won't be long.

OK. Thanks.

Bernie?

Hello you.

I was in surgery. They pulled me out.

I came home early. Surprise!

-Look at you.

-I'm all right.

You're not all right.

Sorry, Marcus Dunn. Bernie's husband.

Mr Dunn, Orthopaedic Consultant at St James'?

Yes.

I didn't realise you were local.

I rarely am.

Well, you've got good timing. I'll give you that.

What are you, four weeks until the end of your contract?

At least you won't have to apply for a medical discharge.

They've offered me a full commission. Ten more years.

And obviously you said no?

Sorry, we're ready.

We need to tape up her wedding ring.

And do you have any micropore?

It's OK. Here.

Sorry. We really need to...

Yup, let's go.

See what I mean? There's nothing there. It's just a field.

So what else do we know?

Well, he was wearing leathers. Could have come off a motorbike.

Yeah, but the road's right back here.

Right, then a dirt bike. You know a bit of off-roading.

Did the paramedics find a bike?

No.

And they would have said if they had?

Yeah.

There they are.

You're still here.

Yeah, I am.

Doing what exactly? Apart from breaking data protection rules.

Yeah, sorry.

We're just looking at a map from where the John Doe was found.

We're trying to find out what happened to him.

-Have you got a theory?

-Oh, for heaven's sake.

I feel like I've fallen into an Agatha Christie.

Why must you all need answers to everything?

Fletch, can you please go and do some work?

Robbie, I'm sorry, but I'm going to have to ask you leave.

Right. OK.

-Well, that was a bit harsh, don't you think?

-What?

I'm just saying. Robbie seems like a nice bloke.

I'm sure he didn't mean to upset you this morning.

If that's what this is about, then you need to talk to him.

It is weird, though.

Because if you look at the map, it's like he just fell out the sky.

It's my job, Marcus.

What about the kids?

They've got their own lives. They don't need me here all the time.

What about me?

I can't do ten more years.

So, what? You want me to choose between you and my career?

What would you do if I said that to you?

I'd choose you. Every time.

OK. Thank you.

Right, shall we get you a cup of tea?

No, I'm going.

Can't do this. I'm sorry.

Mr Dunn. Mr Dunn, you should be here when she wakes up.

She might need you.

Mr Dunn.

Shall we?

I knew something like this would happen one day.

They know what they're doing. She's in good hands.

Do you know how often I've used those exact words to relatives?

Sorry. Force of habit.

I don't know what's worse. Losing her to this,

or watching her recover and then losing her anyway.

Ten more years.

We'll barely recognise each other.

She's facing paralysis from the neck down.

She's probably seen a lot of people go through this.

I can understand why she'd cling to the idea that life

goes on once this is all over.

Things might look different on the other side.

Oh, good. Thanks Pete.

I'll see you shortly.

Look, I know this isn't exactly how you'd prefer to do things

but now that we're both here,

let me just say that I'm excited to see you in action.

I'm trying to extend an olive branch here.

Don't bother.

OK.

You know that Zosia would quite like to see you and I get along.

Yeah, I'm sure she would.

So what's the problem?

I don't like you, Valentine.

OK.

You're a flake. Running away to Mexico. Living like some hobo.

The baggage of a dead wife.

Well, that's something you'd know all about.

Yes, I would.

Anything else?

You're just not good enough for her. Simple as that.

Robbie.

Don't worry, I'm leaving.

You don't have to escort me off the premises.

I'm sorry. I shouldn't have spoken to you like that.

What's wrong, Serena?

Can we go back inside, please?

Milk, no sugar.

Thank you.

-Is there anyone you'd like me to call?

-No, it's fine.

Oh, God, I should phone the kids.

How old are they?

20 and 24.

Maybe I'll wait. Call when we know more.

Don't want to panic them.

Whatever my wife might think, they do still need her.

You're never too old to miss your mum.

No, no, you're not.

I don't think she realises the hole she leaves behind when she goes.

We sort of...

Splinter without her.

The kids just do their thing.

I come home to an empty house.

I mean, I love my job but when that's all there is...

I don't think she understands how lonely it gets.

You OK?

Yes. Sorry. Just something you said... it doesn't matter.

Have you told her how you feel?

She'd tell me to grow a pair.

She might feel the same.

She must get lonely too.

No. It's so communal, what she does.

You know, they all eat together, bunk down together.

She probably feels lonelier at home.

I'm sure she misses you as much as you miss her.

I'm sorry. I don't know why I'm telling you all this.

It's OK.

Relatives unload on me and I think

I'd never say all this stuff

to a complete stranger and yet here I am, and it's all tumbling out.

I don't know.

In a way, maybe it's good this has happened.

For better or worse...

At least things are going to change.

OK, diathermy, please.

I hope you've booked somewhere half-decent to take Zosia tonight.

No.

What do you mean, no?

She said she wasn't bothered about going out.

Ha! You really don't understand women at all, do you?

You know, maybe I shouldn't worry.

Carry on like this and she'll probably dump you herself.

Well, for what it's worth, I don't much like you either.

I'm devastated.

Microscope in, please.

OK. Yes, I know.

I'm an excellent boyfriend, aren't I?

OK, I miss you too. Love you.

Bye-bye-bye.

Right, dose checks are done.

Mr Kapoor's ECG is absolutely fine,

and Mr Straton's bloods are...

Well, they've not really changed but that's to be expected.

Good. OK, well, I'm just going to go out for a few minutes.

-Sorry. What? Where?

-I need to go and

pick up a prescription for Morven's dad and then pop it over.

No! What are you mad? You can't leave me here on my own.

-Mr Griffin's here.

-Exactly.

-Come on. You just said we were on top of everything.

-For now.

So what's the problem?

Problem?

-No, not at all.

-You sure?

Absolutely. In fact, we're pretty much ahead of schedule.

Good. I need to talk to Ms Campbell before the budget meeting.

Right, I am really sorry to do this but if you don't let me go

and get that prescription, then I will tell him

-it was you who broke the wing mirror off.

-You wouldn't.

I think I would.

Right, you've got half an hour. If you're not back by then,

I'm going to tell him that it was you that distracted me.

I've never really been very good at family stuff.

Work always comes first somehow.

Even when my mother was ill, by the time I really...

Well, it was too late.

And now I find out that there's this whole part of her life

I know nothing about.

And I can't ask her what happened

or why she did it or how she felt about it.

So what's the point?

I won't get the answers I'm looking for.

Just more questions.

I have enough trouble juggling work and the family I've already got,

without adding more to the mix.

Does that include me?

I didn't mean that.

No, but it's a fair question, though.

Yes, you're right. It is a fair question.

Well...

I've never been particularly good at this either.

But I want to be.

I do like you.

Quite a lot, actually.

Well, I'm sorry I poked my nose in.

I'm sorry I shut you out.

Can we start again?

Good. Get the cage and plates ready.

ALARM

Excuse me. We need to open her up.

Right now? I've just removed the disc!

You better hold the neck steady, because this won't wait.

Scalpel, please. Quickly.

Thank you. Ready?

Wait. Ready.

Cutting the drapes.

So Berenice Wolf's here?

Yes.

She's a ledge. Hope I get to meet her.

I hope you do too.

Yeah?

Dad and Ollie, they're in theatre with her now.

-Your dad and Ollie?

-Yes.

So what did you do, bash their heads together and tell them to play nice?

No, I spoke to Ollie. Asked him to make an effort.

No offence, but I really don't think

-Ollie's the one you need to be talking to.

-Yes, I know...

So why aren't you taking his side?

Firstly, there are no "sides".

And second...

-I think Dad's just a little bit...

-What?

Lonely. OK...

I just realised ever since my mum died,

I'm all he's really got.

Yeah, I understand.

But it's really no reason for him to act like a complete...

I know, I know,

but I just think it's time to cut him a bit of slack, OK?

OK, well. Let's hope Ollie's one hell of a smooth talker.

Either that or he's got the patience of a saint.

Ready.

Gently. Don't jolt her.

Careful!

-I have to get in!

-You could paralyse her!

Just keep her head steady, please.

Don't you worry about me.

The pericardium is full of blood.

OK, we need to get her on bypass. Everybody get ready, please.

Our John Doe. I think I know what happened to him.

Oh, go on, then.

Do you remember a couple of years back we treated that guy who'd

-stowed away in the cargo hold of a plane?

-No.

Well, I did. He was massively hypothermic, he was hypoxic,

and his blood gas showed a very similar picture.

So you think he stowed away in a cargo hold?

No. I think he climbed up into the wheel well.

And when the landing gear came back down, he fell out.

Now, I read about a similar case a couple months back.

It all fits.

And his injuries are consistent with that fall.

Not from a height like that onto solid ground.

He'd have died instantly.

The field where he was found is used for agricultural drainage.

This time of year, it'd be more like a bog.

Yeah, I spoke to the airport manager.

He said none of their flight paths go anywhere near that field.

Oh.

Right, Cagney and Lacey, can we just stop it now, please?

Cagney and Lacey?

-Holmes and Watson, surely?

-Yeah, I'm Holmes, he's Watson.

Excuse me?

Mate. That face could never pull off a deerstalker.

We don't need to know what happened to him to treat his injuries,

-so can we just get on with it, please?

-Yes. OK.

Mr Griffin's in your office. He said you had a pre-meeting meeting?

Oh, crikey, I completely forgot.

Can you let me know if anything changes?

Sorry, mate. Good theory, though.

Elementary, my dear Fletcher.

OK, so if you'd like to hop up on the bed for me.

Mr Tomlin, because of swallowing this key,

I'm going to need to do an ultrasound on you, OK?

Key?

Yes.

So if you'd just like to sit and wait there for me,

I'll be back in a jiffy.

OK. Taking her off bypass.

ALARM

Paddles, please. Quickly.

Stand clear.

Shocking.

OK, shocking again.

Stand clear.

Clear.

Come on, don't do this to me.

This is exactly why I...

Shut up.

That good enough for you?

Easy when you can get your hands in there.

I make it look easy. There's a difference.

OK. Good work, everyone.

Let's close up and Mr Self can continue.

Marvellous.

Clip, please. Thank you, Kate.

Good grief. What's all this about?

Hello, Ted.

Hello.

-Sarah, sorry, can you get Mr Tomlin back to his bed?

-Yes.

And can you also tell Dom this is the kind of thing that I meant.

I will.

This is no place for a young lady. Are you all right?

I'm fine, I'm fine.

Anything?

No, no, no... Please don't tell me he went into theatre?

Look, apologise to Mr Levy for me.

Tell him it won't happen again.

You, young man, have given me a fright.

-Did I?

-You did.

Do we know each other?

Yes, I'm Doctor Copeland.

Oh, a doctor. That's good.

Printing and box-making. That was my game.

Tell you what - you can tell me all about it

if you pop your feet up on the bed

and I'm going to do your ultrasound, OK?

We led the field in corrugated cardboard...

Hey, Zoshy. Happy birthday.

-Thank you.

-Sorry I haven't seen you all day.

That's OK. So how did it go?

Er, well, there were a couple of bumps,

but we'll have to wait and see.

Right, I've got to go to AAU. I need to check on a patient.

OK. Well, catch you later.

Darling, I was talking to Oliver earlier

and apparently he hasn't arranged anything for tonight,

so I'll book us a table at The Olive Garden.

Oh, no, don't worry, it's...

Don't be daft. You can't stay in on your birthday!

Er... OK.

So what happened?

Pseudoaneurysm ruptured before he could finish the disc repair.

Is she OK?

I don't know. We'll find out.

Have you booked anywhere for tonight?

You said you didn't want to go out?

I know, I know. It's fine.

It's just my father wants to take me out for dinner, so...

I was going to cook.

Really?

Spaghetti alla vongole.

Wow, my favourite.

I know. I bought clams.

You bought clams.

And I learnt how to make pasta from scratch. I've been practising.

-You have?

-I got one of those rolly-out pasta things.

Takes a bit of getting used to. What?

Nothing.

But if you want to hang out with your dad, that's fine.

It's just I think he's arranging something, that's all.

OK, well, another time then.

She was the brains behind the outfit.

She's the reason the company was so successful.

She sounds amazing.

Wonderful woman.

Warm heart, you know.

Finally.

Sorry, it took a bit longer than I thought it would.

Right, I think we're all done here, Ted.

And I'm also going to chase up that X-ray.

X-ray?

Yes, you just sit tight. Don't go anywhere.

Jane, would you mind finishing up for me? Thank you.

What's going on?

Well, he's still complaining of pain in his lower abdomen,

but I can't see anything on the ultrasound.

He isn't bleeding, so that's a good thing.

OK, surely it's just irritating his bowel as it moves through.

Yeah. I'm just...I'm really worried about missing something.

OK, do you want me to ring X-ray?

Yes, actually that would be a really good help.

And I will go and sort out the painkillers, but just please

promise me you will keep an eye on him because the man is like Houdini.

Well, I think we're ready.

You will be there? You left me hanging last time.

I'll do my best. As you say, patients before politics.

Ah. Mr Self.

Ms Campbell. Your John Doe. I've put an ICP bolt in.

The pressures are fine for now.

There's really not much more I can do from a neurosurgical point of view.

He should be in ITU.

-We're waiting for a bed.

-Well, I hope you don't have to wait long.

With injuries like that, it's a miracle he's still alive.

-What happened to him?

-I have no idea.

All right. Well, if you do get him to wake up, give me a call.

But I seriously doubt he'll get that far.

-Hey. How's your army medic?

-I'm about to find out.

Army medic?

Yeah. Unstable neck fracture. Repatriated this morning.

-From?

-Afghanistan.

Do you know where they landed?

Mr Self! Can you wait a minute!

That's very good...

Arthur!

He never came out.

Oh, well where is he, then? Is he under the bed?

Shall we have a little look? No, he doesn't seem to be!

I didn't see him go!

That's why I told you specifically you need to keep an eye on him.

Right you go that way and look there, and I'll go this way.

-Mr Griffin!

-Everything all right?

-Yeah, absolutely.

-Good.

Dr Copeland?

Oh. Hello.

Hello.

I am so sorry.

Ooh!

-What's wrong with him?

-He swallowed a small window key.

-Have you done an ultrasound?

-Just now.

-And?

HE BREAKS WIND LOUDLY

Oh, that's better.

Oh, I think I need to go to the toilet.

I will sort you out a new chair.

Right, come along, Mr Tomlin.

I'm going to take you to the bathroom.

He didn't mean to do this, you know.

It was an accident.

See me at the end of the shift.

That, you remember?

You're in hot water, lad.

That's really helpful, thank you. I appreciate it.

Bye.

Here.

It's not marked on this map, but it's a private landing site.

-So they'd be coming in low?

-Right around where he was found.

You solved it.

And do you feel any better?

At least now we know what he's been through,

we might not have any nasty surprises.

A little help in here, please!

Bend your leg.

Push.

Mm-hm. Good. Push down.

Excellent.

What did I tell you? Teamwork. Makes the dream work.

Or something to that effect.

Congratulations, Mr Valentine.

Looks like you didn't let the team down after all.

What do you think?

Has he impressed you yet?

Oh, I wouldn't go that far.

Blimey, what did you do? Sleep with his daughter or something?

Oh. Sorry.

Knock, knock.

I'll leave you to it.

I hope you like grapes.

Someone thinks they're funny. Who are they from?

Alex.

"Get well soon. Then get back here.

"On the double, soldier."

Shall I leave them here?

Yes. Thank you.

Marcus is in the waiting room. Shall I tell him you're awake?

Could you do me a favour?

Could you give me half an hour and then tell him?

Course.

Thanks.

I know it's none of my business but, what he said earlier...

I don't think he meant it as an ultimatum.

Oh, I think he did.

The thing is, you can't live your life to please other people

or you just make yourself miserable.

And then everyone's miserable.

There's no compromise to be had?

Can I ask you something, Dr March?

Sure.

You don't happen to be Guy Self's daughter, by any chance, do you?

Yes. Actually.

A-ha. And you and Mr Valentine...

OK. It's all beginning to make sense now.

It's not comfortable being in the crossfire, is it?

Can I give you some advice?

Do what makes you happy and let everything else take care of itself.

Life's just too short.

-Still no output.

-OK.

He's suffering multi-organ failure

and there's no reversible cause. I think this is unsurvivable.

Do we all agree?

Time of death, 13:41.

You were right. Knowing what happened to him didn't help.

It's such a suicidal thing to do, when he knew enough about the risks

to pack his clothes with extra insulation.

What on earth would make someone do something that...desperate?

I guess we can't answer that one.

I guess we can't.

Hi.

Hi.

Ollie has planned something for tonight

so I'll be spending the evening with him.

Oh, I've already booked the table.

Cancel it.

OK.

You know, I think I understand why you're giving him a harder time

-than anyone else I've been out with.

-Do you?

-You know he's the real deal. SCOFFS:

-Please!

Don't do that.

Zosia, I just want what's best for you.

Yes, and I'm happy.

Happier than I've been in a really long time.

So either give him a chance...

or back off.

-Ms Campbell.

-Yeah?

I've got John Doe's belongings.

Right, OK.

I think there's something you should see.

Thank you.

-Your wife's a tough cookie.

-Tell me about it. Thank you.

I'm sorry.

I love you so much.

I know you do. It's OK.

John Doe's gone down to the morgue.

What's that?

It was found hidden in his shoe.

"Dear Assam..."

"Your father left Kabul before you were born. We have never met.

"I am his brother, your uncle.

"The young man in front of you is my son Fazal.

"He needs your help..." This was in his shoe?

It's quite a story, but the short version is

the family are desperate for money and send him out here to find work.

Apparently he's a trained flight engineer. Was.

That would explain how he managed to access the plane

while it was on the runway.

And how he knew to stuff his clothes with extra insulation.

-Is there an address for his family?

-No.

So no way to let them know what happened.

If I had a son...

I can't imagine asking him to do something like this.

Sorry to interrupt. It's Mrs Jakes.

I'll be right there.

Do you want me to forward this to the Coroner's Office?

I'll do it.

We got our answers.

We did.

Didn't make any difference, though.

PHONE KEYS BEEP

It's me.

KNOCK ON DOOR

Sorry to disturb you, Mr Griffin,

I just thought you might want to know

Mr Tomlin has finally passed the key.

We can keep an eye on him overnight

but we shouldn't have any more problems.

Good. Come in.

Before you say anything, I owe you a huge apology.

I should have told you this morning

that it was me that hit your car, and I am very sorry.

I will obviously pay for any damage.

Sit down.

Is that the chair that...?

-No.

-OK.

I saw you with Mr Tomlin today a couple of times.

I was impressed.

You were patient, you were sensitive to his condition,

you were compassionate.

Being a good doctor isn't all about the medicine.

Medicine can be taught.

But good bedside manner can't.

Well done.

Thank you.

I believe with a bit of guidance,

you have the makings of a very fine surgeon, Dr Copeland.

Would that you could behave

so maturely and responsibly outside of work.

Go on.

Oh. Dr Copeland?

The repair estimate. For the car.

-It's going to end up costing me £300.

-For a wing mirror?

Apparently it has sort of swizzy electrics in it or something, I don't know.

And how much for a new chair?

It's not funny.

So where are my presents?

-Ta-da!

-Ah.

Oh! I remember this day!

Thank you.

-Happy birthday.

-It's from both of us.

-No, it isn't.

-It is.

It's just I bought you something else online

-but it's just not arrived yet.

-He forgot.

Right! Fine. Thank you.

Yes, I'm an awful friend - are you happy now?

Look, I'm really sorry. I'll take you shopping this weekend.

Any pair of shoes - they're yours. And a champagne brunch.

And a unicorn? What else do you want?

Turned out to be a bit of an expensive day for you, isn't it?

Wow. That's, erm...

HE EXHALES SHARPLY

Yeah, pretty humbling, really.

Certainly puts my problems into perspective.

It's all relative.

It is. It is.

But only a few hours ago,

I was talking about sacrificing family for work

as if that was something more than, I don't know, my own ambition.

I've had my priorities wrong for a long time now.

But... maybe I can do something about it.

If it's not too late to take you up on your offer, I think

I would like to find this...

sister.

-I'll make some calls.

-Thank you.

CHEERING

-Here's some birthday highlights.

-Yeah, you look beautiful.

-I feel beautiful.

-Birthday balloons? There you go.

Have you seen Ollie?

Yeah, your dad's got him in the basement

-hooked up to a lie detector, Meet the Parents-style.

-Hilarious(!)

ALTERED IMAGES: # Happy birthday, happy birthday... #

ALL SHOUT: Happy birthday!

Oh, there you are. Don't want any cake?

-I was just going to...

-Shall we go?

I thought you had plans.

I do. I'm watching you make pasta.

-Really?

-Yes.

Well, at least watch you try, then we can order a pizza when it goes wrong.

Oh ye of little faith.

Shall we go?

Oh, hang on.

I was going to give this to you later, but...

Thank you. Can I open it now?

Yeah. If you like.

A stethoscope...

It's not just a stethoscope.

This is the Ferrari of cardiology stethoscopes.

-Trust me.

-What's this?

I just had it engraved. It means "My heart is in your hands".

-It's beautiful. Thank you.

-Happy birthday.

Hi.

Hi.

I spoke to my mate in the records office.

That was quick.

-Can I...?

-She's dead.

Yes.

Right.

Breast cancer.

I see.

About three years ago.

OK... Well, that's that, then.

I found out which cemetery she's in.

We could... Well, I could drive you over there, if you like?

Yes, I would like that. Thank you.

Do you want to go now?

I can't, I've got this budget meeting.

Do you really have to go? I mean, you've had a hell of a day.

KNOCK ON DOOR

Sorry to interrupt.

I've just spoken to Mr Griffin and he's ready when you are, apparently.

OK, thank you.

Actually, can you call him back and say I'm sorry

but I'm going to have to reschedule.

Really?

Yeah. Tell him...

I've got some family business I have to attend to.

OK.

Night.

Good night, darling. Happy birthday.

Thanks.

So, spaghetti for dinner. What's for pudding?

'Doors closing.'

There you go.

-You OK?

-Yes, yes.

Do you know the Serenity Prayer?

No, I don't think I do.

My mother used to say it sometimes.

Usually when she'd lost patience with me.

She called it the Serena Prayer.

"Grant us the serenity to accept the things we cannot change,

"the courage to change the things we can,

"and the wisdom to know the difference."

I think I can see why she was so fond of it.

Someone visits.

These flowers can't be more than a couple of weeks old.

Here's a card.

"Miss you, Mum. Love Jason."

Ha.