All That Glitters Holby City

You have end-stage liver disease.

He's got a chance.

-No, it's just an agreement.

-An agreement? Yeah.

But you're OK with it?

We're just...making a baby.

Nothing.

Yeah. Yeah, me, too.

Whoa! OK, OK, Lee... Lee, put the knife down!

Urgh!

Argh!

Here, Dad, give me your arm.

I can get out of a taxi!

All right.

Morven!

TYRES SQUEAL

Sorry! Sorry! Sorry...

Tell me again how he became a doctor.

Hey, you're back.

Hey.

Sorry.

-Oh, for God's sake, man! Kiss her, will you?

-Yes. Yeah.

-Morning, Mr Shreve.

-Morning, Brains.

Everything all right?

My dad's got an appointment at the outpatients' clinic.

-And your dad can speak for himself.

-All right.

-It's good to see you again.

-Ah, thank you!

It's good to see you, too.

Oooh... Transmyocardial revascularisation.

There's days when I love this job.

Oh, donor 127 looks like a hottie.

Nigerian, works in IT.

IQ off the scale.

Hm... Yeah, nerd sperm doesn't appeal.

-What time's your appointment?

-After work.

Check this baby out!

Greek, 6'2", athletic build.

Oh, and he's got a cheeky smile

and a strong belief in family values.

-You should meet him.

-What?

Mr Greek God needs to go on your list.

Yeah, I don't like athletic bodies.

They give me an inferiority complex.

-OK, what's your problem?

-I don't have one.

Mo, there are over 2,000 potential baby daddies on this list!

One of them must fit the bill.

Look, you are still up for this, aren't you?

I know things didn't work out with Mr T...

It's got nothing to do with Mr T.

But let's face it, he kind of jumped into the gene pool

when the lifeguard wasn't looking.

Yeah. Can we just leave Mr T out of it, please?

Stand by your beds, boys. Sergeant Griffin on the warpath...

How is he?

Physically, he came off a lot worse than me last week.

Oh, he was back in the next day. Yeah, business as usual.

-You wouldn't know anything had happened.

-Great.

So now I look like I can't cope.

Dr Digby, Mr Levy has you down for an inguinal hernia repair,

for which you haven't completed the admission or the pre-op assessment.

Dr Copeland, stapled haemorrhoidectomy

followed by a laparoscopic cholecystectomy.

Both routine surgeries. Shouldn't be anything untoward.

Look, Mr Griffin. I know we haven't spoken since last week,

but I just want to say I'm really sorry about...

Mr Morrissey, this is Dr Copeland.

He'll be performing your haemorrhoidectomy.

Dom, when you've finished,

Mr Hanssen would like to see us both in his office.

Ric, he'd like to see you there, too.

And we have a manual evacuation in bay six.

Would you like to prescribe anything to prevent a reoccurrence?

Just send him home with some sodium docusate and some Movicol.

-Welcome back.

-Thank you.

-How's your dad?

-Bad-tempered, stubborn, arrogant...

Pretty much his usual self, really.

-Any news on the transplant front?

-Not yet.

But I have high hopes. I don't think we'll be waiting long.

Jane Rutherford, 56, RTC.

BP 190 over 110.

-Jane, can you hear me?

-Quite loud voice.

Hi, Jane. I'm Dr Shreve.

I just need to listen to your chest...

You're just a child.

Can I have a proper doctor?

Right can we get her to a bed, please?

Bed? I can't go to bed. I have rehearsals!

You're in hospital now.

We're going to get you on oxygen. That'll help you to breathe.

But the children!

Your children will be fine.

-How many kids have you got?

-30.

-Really?

-Erm, Mrs Rutherford, we're going to move you

onto the bed when you're ready.

-Right, are we all set to move?

-Yeah.

Right, OK, if you can wriggle over. Gently...

Take your time.

There we go. OK?

What happened to me?

You had an accident.

Erm, you had a bump in your car.

I just need you to lie still so we can get you checked over, OK?

Well, despite the incident last week, I've been given indication

that we will be receiving a clean bill of health from the CQC.

However, as a separate issue,

the hospital trust is in receipt of a complaint against Dr Copeland.

What, a complaint?

From Lee?

Hang on, I... I have been interviewed by the police.

-We both were.

-I was under the impression this was dealt with.

They were satisfied that I didn't use unreasonable force.

No, Mr Cannon's complaint relates to the care he received

when he was admitted to the hospital

for cancer treatment in November 2015

and your conduct when his wife was admitted as a patient.

-What? I...

-Well, he's hardly a reliable witness.

He alleges that you abused your position

and that you pressurised him into having a relationship.

We had a relationship, yes.

But it was after he had been discharged.

Mr Levy, I'd be grateful for a report by the end of today, please,

detailing the circumstances leading up to the incident last week.

Do I have to be involved?

Well, I would appreciate your input, Mr Griffin.

Then I can decide whether or not to conduct a formal investigation

and refer the matter to the Deanery and the GMC.

Could I lose my job over this?

Yes, you could.

But if it goes to a formal investigation,

you will, of course, be entitled to legal representation

from your professional indemnity company.

Any other questions?

So I suggest we reconvene at close of play today, gentlemen.

Thank you.

Mrs Rutherford, we've had your chest X-ray back.

And it seems you have a small pneumothorax,

which means there's some air that's trapped

between your lung and chest wall.

-What are you going to do about it?

-Well, erm...

it's too small to treat for now,

so we're just going to have to keep an eye.

So...you're putting on a school play?

If they allow me to continue.

The head teacher thinks the children

should be chained to their school desks

revising for their Sats for the next three months.

No doubt, my plans will be dismantled in my absence.

Do you remember anything about the accident?

I don't remember getting in the car.

Was anyone hurt?

Well, only you.

Which is lucky, considering that you were just outside the school.

Outside school?

So everyone knows?

Well, I doubt they're going to hold a car accident against you.

-You'd be surprised.

-Right.

All done.

SHE HICCUPS

Excuse me.

I think the police may need to talk to you at some point.

They were in earlier,

but at the time, you were in no fit state to talk.

Do I have to speak to them?

They just need to file a report or something.

There's nothing to worry about.

I used to have a teacher like her for chemistry.

She was a witch.

Used to scare the bejesus out of us.

I like her.

Mind your backs!

Essie phoned. She's got your dad in the staffroom.

She said you can go down, if you want.

But if it gets referred to the GMC, you could be taken off the register.

Yes, Arthur. I am aware of that.

Sorry. I just mean...

it's bad.

Put it this way, I can't afford to make any more mistakes, can I?

Toby Squire, 29, paraplegic since birth.

Normally a wheelchair user.

Found at the bottom of the stairs where he trains.

Blood pressure 95 over 50. Tachycardic.

-Distended abdomen and pain to the upper left shoulder.

-OK.

Toby, can you hear me?

Yeah.

OK, I'll take it over from here.

-Are you sure?

-Yeah.

Tony, can we get him into bed seven, please?

And we'll need an FBC, U and Es, LFT, clotting, group and save.

Toby, I'm Dr Copeland. I'll be looking after you.

And out...

OK, you have a slight abnormality in your heart rhythm.

How long have you been having palpitations?

-Erm, well, it's been like this since the middle of last night.

-Mm-hm.

Before that, I was aware of palpitations occasionally,

but you know what it's like when you've got kids.

You just get on with it, don't you?

-How many have you got?

-Four.

Oh, ouch!

Eight, ten, 13 and 14.

My mum always used to say never let them outnumber you.

And now I know why.

PHONE RINGS

Oh, sorry.

Molly!

Where are you?

I was at school first thing this morning.

I dropped the bag off!

Yeah, I'll pick you up after school.

Bye.

Bye.

Why didn't you say you were in hospital?

I'm not going to be in here that long, am I?

-Well, long enough for us to do some tests.

-No. Erm...

Er, I haven't thought this through.

Wednesday is a much better day for me.

-My husband...

-Amy, have you not heard a word I've just said?

You don't understand. I don't have time to do this.

And have you ever considered the fact

-that your palpations could be stress related?

-Stressed?

I'm not stressed!

Dr March, could you organise full bloods, an ECG, ultrasound

and a chest X-ray, please?

Well, how long will that take?

Well, the sooner we get you looked at, the sooner you can go.

So what happened to the healthy eating, then, hey?

The phrase "shutting the stable door after the horse has bolted"

springs to mind.

-I hope he hasn't been giving you too much trouble, Essie.

-No.

No trouble at all.

So what's your plans for today?

And before you say anything,

an eight-mile hike is definitely out of the question.

Actually, your dad needs to stick around while we run some more tests.

There's no need to bother our busy junior doctor with all of this.

-What tests?

-It's just routine.

I can sit here and stare you out all day, if I have to.

I'm afraid I've disappointed our lovely Essie here.

Your dad's bilirubin levels are very high.

His liver function shows further signs of deterioration.

That has raised his UK end-stage liver disease score,

so now we need to prioritise him on the list.

So, Toby, how are you feeling?

The bottom half's fine. The top half's killing me.

Do you remember anything about the incident?

I was at the training track.

I remember feeling a bit dizzy.

The next minute, the paramedics are picking me up off the floor.

What sport is it that you participate in?

Wheelchair racing. 800 metres.

Oh, wow. Impressive.

That's how I roll.

OK. Erm...

are there any family members that you'd like us to contact

whilst you're in here?

I won't be in for long, will I?

-There's no point in worrying anybody.

-Well, I...

I heard that we had a Paralympic hopeful on our hands.

Not yet.

Some day, maybe.

Well, I'm sure that Dr Copeland will take good care of you.

Excuse me a moment.

Mr Griffin...

His blood count is quite low.

His abdomen is distended and he's in quite a lot of pain.

So as far as a treatment plan is concerned, erm...

Yes?

Well, I was going to suggest

that perhaps we repeat bloods in, say, two hours

and if the levels are any lower, then we consider a CT.

You seem to have everything in hand.

Have you managed to examine her yet?

Yes, she's trying to fit me in between Molly's karate

and George's conversational Urdu.

Oh, note to self. Don't sign baby Effanga up to anything.

-Who? Is that still a...?

-Yep.

-But not with...?

-No!

Why does everyone keep banging on about Mr T?

How are we doing?

I've managed to rearrange pick-up for science club

and I'm just waiting on piano.

I was talking about your ECG.

Oh...

OK. It looks like you have an atrial fibrillation.

That's a problem with the way the heart is beating.

The electrics, not the plumbing.

Now, without treatment,

it does mean it'll keep flipping back into an abnormal rhythm.

And that's the palpitations you've been getting.

-Is it dangerous?

-Well, we can try and treat it with medication.

We'll keep you in overnight for observation

and start you on amiodarone...

-Overnight?!

-Mm-hm.

No, no, no. Absolutely not. Out of the question.

-I can't stay in hospital overnight.

-Why not?

-Because my family needs me!

-I'm sure they'll cope.

Oh, good God!

Adam's school project!

I must have left it in A&E.

-Mrs Stirling...

-No, no, you don't understand.

He needs to get a good mark for this.

It's got to be in tomorrow. Sorry, I need to leave.

Well, he'll just have to hand it in late.

Are you serious?

No-one at Thomas Bishop hands homework in late.

-Give me your stuff, please.

-No. Thank you.

Thank you for all your help. I need to leave.

Right, you really shouldn't leave.

Look, I'll get his project sent up and I'll do it myself, if I have to!

You'll do it?

Yeah.

Yeah, I'll do it. Mm-hm.

Erm, Adele...

Could you go down to the ED

and bring Mrs Stirling's son's school project, please?

And, yeah, I will do it myself.

What?

Now, please, back into bed and don't move.

You're going to do her kid's project?

Yeah, I'll do it in my break. It'll take me five minutes.

It's a kid's homework. How hard could it be?

MONITOR BEEPS

Dr Copeland, can I have some painkillers, please?

OK. Whereabouts is the pain?

My side and up here.

OK. Kathy, can we get Mr Squire's ten milligrams of morphine, please?

Thank you.

Toby, have you noticed a change in your feet recently?

What?

Oh, that. It's nothing. It's fine.

Well, it looks broken.

Honestly, I must have knocked it when I came out of my chair.

Right. Well, we'll we need to get that X-rayed just in case.

Erm, Arthur, has Mr Squire's second set of bloods come back yet?

No, I'll chase it up. And, yes, your father rang.

He's going to be coming in, OK?

My dad?

I said I didn't want to bother anybody.

I'm sure he'd like to know that you're OK.

He's got a lot on his plate at the moment.

I'm not the only athlete he looks after.

Your father's your coach?

If he phones back, can someone please tell him not to come?

I know how upset you are about your dad.

But a live donation isn't something you choose to do on a whim.

A whim?!

We're talking about my dad here.

There is a rigorous assessment procedure we need to go through.

I know. I'm aware of that.

You know, he raised me and my brothers

to be able to face exactly this type of thing. So...

In fact, we can start the assessment procedure now, if you like.

-You know, where are the forms?

-Morven...

Look, I'm young, I'm fit, no significant medical history, so...

It isn't as straightforward as that.

Well, it would be if you weren't making it so difficult!

You have to abide by the rules.

Or you won't have a hope of being considered.

And we need to make sure that you're doing this for the right reasons.

He's my dad! What other reasons could there possibly be?

I need for you to talk to him and tell him this is what I want to do.

You want me to talk to him?

He's a scientist. He needs to deal in facts.

I think it will be better coming from you.

Let me give you the information. Have a read through of this and...

I'm a doctor. I'm aware of the procedures, thank you.

This isn't just about practicalities.

This is about whether you're strong enough emotionally

to get through this.

I will do...whatever it takes to save him.

Please.

Let me fill out the forms and... then we can do the blood tests

and get the ball rolling.

One step at a time.

I will speak to your dad.

But in the meantime, you need to read this...

..and then come back to me.

Excuse me. I'm looking for my son - Toby Squire.

Oh, yes, Mr Squire.

-I think Toby might still be in X-ray at the moment.

-Toby!

Why the hell didn't you ring me, son?

-I didn't want to panic you.

-You didn't want to panic me?

-They're worried sick back at the club.

-I'm fine.

You don't look fine!

Is he all right, Doc?

Well, we need to wait on Toby's X-ray and test results

to figure out what's causing his shortness of breath

and high blood pressure.

So...

Toby tells me you have a couple of other athletes

-competing for a place on the national team?

-Yes.

But keep an eye on him.

He might not have made it this time, but the way he's improved lately...

-Dad...

-What?

I've told you. If you keep working hard...

2020 will be his year.

He's going to be the next David Weir, aren't you, son?

Toby Squire. Remember that name.

Sorry...

Dom, when you're finished here, come through to the office

and we can make a start on that report.

Sure.

Excuse me.

I think that's brilliant.

Anyone else'd do the same.

I wouldn't give my old goat of a father a push off the side!

And I certainly won't be replacing his liver once he's worn it out.

Which shouldn't be too long now.

That's 36.2.

-Excuse me, Doctor?

-Are you OK?

I can't find my handbag. Do you know where it is?

Right. Erm...

Yep, it's here.

I'll pop it in the locker for you.

Oh, no, I'll keep hold of it, if that's OK?

I keep losing things.

Got to keep track.

There's a notebook in here.

-How long has that been going on for, Jane?

-I don't know.

I can't remember.

Jane...?

-Fletch!

-I can't breathe.

-I think we need to aspirate.

Jane, if you can just pop your arm up like that? Thank you.

Jane, I think your pneumothorax has increased,

so we need to release the air in your chest

to relieve the pressure, OK?

Thank you very much.

Sharp scratch.

Thank you.

JANE PANTS AND GASPS

Urgh! Argh! Argh!

Argh! Argh! Urgh!

-Are you OK?

-Oh, yes.

-It's draining.

OK, can you finish off for me, please? Thank you.

We'll soon have you sorted, all right?

Cara, can we get Mrs Rutherford a second chest X-ray, please?

Yeah, her blood results came back.

Turns out Trunchbull's not quite as innocent as she makes out.

She was three times over the limit.

There you are. Ollie's just told me about the Hector case.

-Apparently it's just come up from ED?

-Yeah. Hector.

So where's the paperwork?

You've only got yourself to blame on this one.

Meet Hector - the school project.

You'll feel a lot better once this starts going through.

My head is banging.

Well, you know, of course it is.

Alcohol's a diuretic.

-Which means you go to the loo a lot more.

-I'm sorry?

-You're dehydrated.

-You're saying I've been drinking?

It came up in your bloods, yes.

Not this again...!

You were three times over the limit.

I wouldn't drink and get in a car!

Well, I'm sorry, but you must have done.

I didn't! I wouldn't do that!

Why don't I get one of the care assistants

to get you something to eat and a cup of tea?

Why won't anybody believe me?

Well, because blood tests don't lie.

Neither do I.

You said yourself that you keep forgetting things.

Maybe you just lost track on how much you'd had?

Why would I be drinking at eight o'clock in the morning?

Will you do it again, the blood test?

I want you to be sure that it was definitely my test.

They wouldn't get blood tests mixed up.

Please, the police will be back soon.

You tell them I was over the limit...

..I'll lose my job!

OK.

OK, fine.

We'll do another test.

He's been in there a long time.

Listen, don't worry about it, OK? It'll be fine.

So, Mr Deary, I'm afraid we've had a few delays in theatre,

but we're still hoping to have you fitted in this afternoon.

Ah!

Mr Griffin...

Do you know what time Mr Deary's theatre slot is now?

Perforated appendix.

Interval appendectomy.

Oh, sorry. Interval appendectomy.

Erm, well, let's aim for three o'clock.

Actually, three o'clock is the time for the clinical meeting.

-Remember, you changed it this morning.

-Oh, yeah, yeah. Of course.

-Look, I'll get back to you about the, er...

-Appendectomy.

Apparently, looking after Hector teaches empathy, communication

and develops a sense of responsibility.

Not if the kid's mum and dad do it.

It's not as simple as shoving a few sunflower seeds in a bowl

and letting him bury himself in a heap of sawdust.

Oh, no. Not at Thomas Bishop.

Faye Bass did a 20-minute presentation

and Sue Hemmings, she produced a fully-edited film.

No pressure, then.

Well, maybe you should quit while you're ahead.

Look, I'm sure you've got a million and one

more important things to be doing than my son's school project.

No, I said I'll help and I will.

I think I can manage a patient assessment.

Plus it's only a few paragraphs.

Plus photos. You mustn't forget the photos.

Pass me my bag.

And he'll need a bit of a run around, as well.

Right...

How'd it go, on a scale of one to ten?

Can we go into minus figures?

Listen, mate.

Sacha wouldn't do you over, OK?

No, but Sacha has been told to deal in facts.

And the biggest fact is that I have messed up on an unholy scale.

Stay strong, remember.

Was it that bad?

Well, I guess that's what you get for playing...

fast and loose with a homicidal maniac.

You weren't to know.

I'm just struggling to trust my own judgement.

Come and look at this.

-Just keep nice and still for me...

-Sorry about this.

Now, you might get a slightly different result this time around

as your body will have processed some of the alcohol.

As I said to Dr Shreve, I didn't drink anything.

Maybe you forgot. You might've blacked out.

-That sometimes happens.

-No, no, no. I would remember.

All done.

Mrs Rutherford's second blood test.

Although I really think our time would be better spent

getting her some proper help.

-Can we do another test.

-On her?

I need my checks done as soon as possible.

Er, that really needs to go through Essie.

Please, Cara.

The longer this takes, the sicker he's going to get.

All right, in here.

HE TAPS ON THE DOOR

-Sorry to disturb you, Mr Griffin.

-I've got a meeting.

I just wondered if you'd be able to take a look

at Toby Squire's X-ray results.

The fracture to his toe is not the only one.

He has numerous pre-existing injuries.

And they don't all look like the result of a fall.

Some of them look like they've never even been treated.

He's a Paralympian.

He's going to be pushing the boundaries in training.

Absolutely. But why would he have untreated fractures?

It just doesn't make sense.

Dr Copeland...

I would caution, given recent events...

..against getting emotionally involved with a patient.

Have another chat with him.

I'm sure there's a logical explanation.

Morven! I was going to ring...

Oh, sorry, sorry, sorry. Are these going to the lab?

I've got them. It's fine.

What's that?

It's just for my patient, Jane Rutherford.

Basically, everyone thinks she's a raving alcoholic,

but I'm willing to give her the benefit of the doubt.

I saw your name on one of the blood samples.

It's just...

I just need to check something.

Morven! What? Tell me!

Check what?

Toby, your X-ray results have come back.

Is it bad news, Doc? Should I be sitting down for this?

Your toe is broken.

And I can see from this that you've had several other past fractures.

I'm paraplegic. I bump into things with my chair.

Understandable.

But that can't be how you got all of these fractures.

All right, lads, I'm back.

Come on, Doc.

How soon can we get this champ back on the track?

OK, let me run this by you.

"Despite being a little overweight for his size..."

Mainly in the gonad area.

"..Hector's vital signs are strong.

"He is alert, responsive and managing his personal hygiene well."

-Is this really the best use of your time?

-Probably not.

-What about that list?

-I should really start on the photos.

One thing to say to you...

Greek god.

Take no notice of Auntie Adele, Hector.

Come on. Say cheese...

Mo, you're needed on the ward.

Amy Stirling's having a prolonged palpitation. It's not going down.

I don't understand. This Jane Rutherford is absolutely adamant

that she hasn't drunk alcohol.

OK, OK, OK, I don't care about this Jane whatever her name is.

I care about you, OK?

So what you're contemplating is, erm...

..it's amazing and it's a truly selfless act.

I'm not actually contemplating it. I'm doing it.

I'm going to donate.

Which is amazing and selfless and admirable and...

Yeah, you've said that.

Have you really thought it through?

I mean, you could be off work for months

and then you'd have to repeat a year through a different rotation.

Yes, I know that.

Right. And you do realise what's involved with a...?

Look, Arthur, I may not have got Junior Doctor of the Year,

but I do realise what's involved in live liver donation.

No, I don't mean that. OK, bigger picture...

There are massive risks.

Yes, there are risks attached to every operation.

But this isn't an operation that you need to have.

My dad needs to have it!

Yes, but your dad is 57. You're only 24.

You did not just say that.

OK, no, I didn't mean that. I didn't mean that.

Look, my dad and Jane Rutherford are both worth fighting for.

-No matter what you think.

-Morven, please...

Thanks for your support, Arthur!

Erm, Mr Squire...

I'm just off for a coffee.

I can pick you up a double espresso, if you want.

Is there anything wrong?

I'm concerned about Toby.

Concerned?

I know you're aware that he has a foot injury.

Oh, that. Well, yeah, it's nothing.

Well, he does have several undiagnosed fractures.

Why are we talking about past injuries?

The lad fell out of his wheelchair this morning. He can barely move.

Do you realise what my son's had to go through

to get where he is today?

-I don't deny that it's been difficult.

-Born like that.

Hardly any feeling in his legs.

The amount of effort and hard work the two of us have had to put in

to achieve what he's achieving

and you're going on about the odd broken toe?!

Dom...

Toby Squire's second FBC has come through.

His blood count's dropped again.

Right.

Where's Ric?

I'm not sure.

Right, well, I don't know whether to send him for a CT or not.

Oi...

Go with your judgement.

No. I'll hang on.

I'll wait until Ric gets back.

Jane, we've got the results of your second blood test back.

And?

Well, the level of alcohol was slightly lower than it was before,

but that could be because some time had passed

since the previous test.

I can give you the number for an alcohol support group.

I'm going to end up in prison.

What's happened to me?

Sometimes, the first step towards getting better

is admitting that you have a problem.

Nobody will listen to me!

The head teacher gave me a written warning last week.

My first black mark in 35 years.

-There are places where you can get help.

-But I love my job.

I would never, ever jeopardise the safety of my children.

Mrs Rutherford, we've done two blood tests now, so...

Then it must be something else.

Alzheimer's or dementia or something because I...

I don't remember!

Dr Shreve...

Morven...

There is something wrong with me.

I'm not the person I was. Something's changed.

-Mrs Rutherford...

-Nobody will listen to me!

I feel as if I'm losing my mind.

You have to help me.

Please...

-How are we doing?

-178.

She's at risk of going into VF.

-What's happening?

-Amy, can you hear me?

We need to get your heart back to a normal rhythm.

It's not coming down.

Right, let's do the cardio version. Charge to 100.

Charging.

Clear.

ELECTRIC THUMP

181.

-Charge to 150.

-Charging.

-Clear.

-ELECTRIC THUMP

Normal rhythm restored.

This is more than just stress induced.

Fletch, are you busy?

Why, have you got me a broom, and all?

Right, I need a gastroscopy with duodenal aspirates,

a thyroid function test, a blood glucose test

and hydrogen, fructose and lactose breath tests, please.

-For which patients?

-Jane Rutherford.

Are you kidding me?

PHONE RINGS

Does Serena know about these?

Soon as you can, please.

How's my heart rate?

-It's high.

-How many beats?

I'm an athlete.

I like to keep track of what's going on in my body.

OK, well, it's well over 100.

Do you always monitor your heart rate?

I monitor everything.

It's the only way of knowing if there's any improvement.

That's what makes this even more frustrating.

And my training regime's going to go right down the pan.

Yeah, well, you are going to need to give yourself

plenty of time to recuperate.

Ha! Yeah, right...

Toby, is there something you're not telling us?

-We do have counsellors here at the hospital...

-Counsellors?

Well, yes. Your dad doesn't have to know.

And what's it got to do with my dad?

Well, just in case he's pushing you too hard.

Look, this is nothing to do with my dad, OK?

You don't say one word to him!

Mr Squire, when it comes to abuse of staff,

we operate a zero-tolerance policy, all right?

-You OK?

-Yeah, fine. Fine.

My stomach!

HE VOMITS

His blood pressure's dropping. He's tachycardic.

-What happened to the CT scan?

-I was waiting for a second opinion.

Let's get him scanned!

You should've brought him up as soon as the blood tests came back!

Get him into theatre ASAP. Dr Copeland, you're assisting.

Oh, no, not today. Not in my theatre.

Come on, give him a break.

-Ready?

-Yeah.

He needs to get a grip.

You'll be all right, son.

Well, don't just stand there, Dr Copeland.

I don't suppose I can talk you out of this?

That's not the way you brought me up.

That's my girl.

Never take anything lying down, never give up.

Fight to the bitter end.

I've never been an emotional man...

Don't let emotions get in the way of success.

That's what you always told me, wasn't it?

But there are times when emotions are necessary.

Dad, please, we don't need to talk about this right...

I've done some wonderful things in my life.

I've climbed Everest.

I've explored places that only a handful of people have visited.

But nothing that I have done...

could make me prouder than having produced you.

Look, let's just get this transplant out of the way, eh?

Some things need to be said.

There's no guarantee it'll work.

I've had a good life.

If this is where it ends, this is where it ends.

Dad, please, don't say that!

This could be the mountain that defeats me, Morven.

No!

You're not going to die!

I won't let you.

Amy...

-How are you feeling?

-Can I go home?

We've managed to get your heart back into a normal rhythm.

Yeah, the palpitations have stopped.

I think I was only getting them

because I just felt really stressed out being in here.

I'm afraid it's a bit more serious than that.

-You're going to need surgery.

-Surgery?

And, basically, what we do is make a number of incisions in your chest

so that we can reach the affected portion of your heart wall.

Heart surgery?

Yes, it's the only way to stop what's going on.

Look...

..without it, you're at risk of having a stroke and even dying.

Now, you're going to be in hospital for about ten days.

-No, I can't be in here that long.

-You're going to have to be.

They won't cope.

Or maybe they'll all start doing things for themselves.

-Mo...

-Yes?

-There's a problem in the staffroom.

OK, thanks.

What did he say?

That he wants to go ahead.

-Just like that?

-No, actually, Arthur.

No, it wasn't just like that.

OK, no. Look, I know that came out wrong.

Despite what you think, my dad's not some kind of monster!

I know that. I know that. I know that.

Look, it's you I'm worried about, OK?

So with everything going on emotionally,

look, it's no wonder that you're not thinking straight.

OK, when I say not thinking straight...

I've never thought more clearly about anything in my entire life.

I just mean, your head, it must be all over the place.

-You think I'm not up to this, don't you?

-No, I didn't say that.

Because I tell you now, Arthur, I have never been stronger,

more determined, more focused about anything in my entire life.

And if you can't back me on that, well...

you're not the man I thought you were.

Talk me through the procedure, Dr Copeland.

It's a grade-four liver laceration

with an upper midline incision.

And, Mr Griffin, I do feel I need to tell you

I noticed some marks on the patient's legs in my pre-op checks.

The admission assessment's been done.

Let's concentrate on the here and now.

This is where we'll make the initial incision.

The first thing we're going to do is pack all four quadrants

and then apply manual compression to the liver

for approximately 15 minutes.

Scalpel, please.

Everyone, concentrate.

Another scalpel, please, Nurse.

Come on, come on. We haven't got time to waste.

Has anything downloaded yet for Jane Rutherford?

Well, her hearing test hasn't come through yet,

but she's definitely got dyslexia.

OK, Fletch. I may have been a bit over-enthusiastic.

So negative, negative and...

-Oh, wait a minute... Negative.

-Negative.

-Apart from the booze cruise test.

-Which came back definitely positive.

I just don't get it, you know? She seems so plausible.

Earth to Morven. Alcoholics are fantastic liars.

Look, you did your best,

but it might be time to give up on this one.

Fletch...

What are you doing?

-Leaving.

-Come on, Jane.

You know you need to wait to be discharged.

I've said, I'm going home!

Have you been drinking?

Haven't we had this conversation?

No! No! Where is it?

Where is it? Where have you been hiding it?

Do you have any idea how lucky you are?

What some people would give to be in your position?

No, Fletch, it's not fair!

It's people like you that should be dying, not my dad!

Morven...

So grade-four laceration.

What do you suggest, Dr Copeland?

Er, well, direct suture ligation.

Blunt needle. Which gauge?

I don't know.

Through your arm. Absorbable.

Are you up to this or not?

Mr Griffin, I've never even observed this procedure.

Dr Copeland, you can't let what happened affect your performance.

I'll talk you through it.

Or are you going to walk out of my theatre again?

Now, watch it, watch it.

The liver will fracture if the stitches don't go deep enough.

You need to go in deeper or it'll break apart and keep on bleeding.

Go further in.

That's it.

Good.

The bleeding's stopping.

And BP's coming back up.

You see?

Mind over matter.

KNOCKING ON DOOR

I was just...about to come out.

Look, why don't you go home? You've had a really tough day.

No, I need to finish my shift.

OK, then.

Have a look at these...

Look, Mrs Rutherford's gastroscopy results.

Come on.

Looks a bit of a weird one.

Where is he?

Hamsterdam?

Oh, a joke! Yeah, that's great, Adele.

Really useful when we've got a rodent loose on the cardiothoracic ward!

How's he doing?

-Well, we've managed to repair the laceration.

-Oh, thank God.

I thought it was a bit touch-and-go back there.

The recovery period will be approximately two to three months.

But that's not taking into consideration the other injuries.

Why are you hurting him?

I'm not hurting him.

Well, I've seen the burn marks on his legs.

You think I'm abusing my own son?

My God! You couldn't be further from the truth.

I told him I never wanted to see him do anything like that ever again!

Jane, I just have a few questions...

I'm sorry, I'm feeling a bit fuzzy right now.

Have you eaten anything today?

Sandwiches. A few biscuits.

-Right. And when was that?

-I'm not sure.

An hour or so ago.

OK. And, Jane, have you had any other treatment recently?

Anything that may require antibiotics?

I had an abscess on my tooth a couple of months ago.

And do you remember what medication the dentist put you on?

-Was it Augmentin?

-I'm not sure.

Would you say you eat a lot of carbs?

Excuse me.

It was about 18 months ago.

I walked in on him just before a race

and caught him messing with his foot.

I hadn't a clue what he was doing at first.

I thought...

Well, all sorts of things go through your mind.

What was he doing?

It's a tricky thing, para sports.

Sometimes, if you're in a wheelchair,

you can't get the response from your body that you need.

That's why Toby is boosting.

It's a short cut to get the adrenaline pumping

and raise blood pressure.

-So...

-So he's hurting himself...

..to...

to boost his performance?

The adrenaline is increasing the flow of oxygen to the blood

and, therefore, he can train and push himself.

I swear, I thought he'd only done it the once.

Then, when I came in today and you told me about those other fractures,

well, I knew it must've started up again.

So he's breaking his bones to improve his performance.

I mean, that's pretty hardcore.

I told him, over and over.

I even threatened to stop training him altogether. I wish I had now.

It's my fault.

I've been spending too much time with the other lads.

I took my eye off the ball.

But this can't get out, Doc.

If anyone was to find out, that would be it.

His career would be over.

She's just been on a strong course of antibiotics,

she has a high carb diet

and she has 400 times the amount of yeast in her gut

than what you'd usually expect to find.

Jane...I think I may know what's wrong with you.

-You do?

-I think you may be suffering with a condition

known as auto-brewery syndrome.

Basically, all the good bacteria in your gut

has been killed off by antibiotics

and you've been left with a huge amount of yeast in your stomach.

That yeast then mixes with sugars, ferments and produces ethanol.

Ethanol?

Alcohol, basically.

Wow...

You hear that? She's a walking brewery!

I know. Some people have all the luck.

We'll have to do further investigations

and it's by no means a definitive answer but,

in my opinion, I think we're on to something.

Thank you for believing in me.

Dr Shreve... A word in my office, please?

Ms Effanga...

When you have room in your diary, we should go through

the heart disease and stroke mortality figures.

I've extracted the figures.

I'll pass them on to your secretary.

Well, why don't we go through the main points now?

Dr Copeland...

What happened?

You went into shock from internal bleeding.

You had a laceration on your liver,

which I can only assume came from the fall.

What was it that made you collapse, Toby?

-I don't know what you're...

-Yes, you do.

And I think it is amazing what lengths some people will go to

to get their...heart pumping.

My dad's not involved.

He is now.

I just wanted to reach my full potential.

-By cheating?

-It's not cheating.

It's part of my training.

Training? By seriously injuring yourself?

Why do you think athletes do altitude training?

To get more oxygen to their muscles.

Maximising potential.

Just what I'm doing.

Right. So you think what happened here today

is you maximising your potential?

I think sometimes people need to accept their limitations.

It's not just about me, though.

Sport's my dad's life.

He must've been gutted when his only son was born disabled.

So like any obsessive, he started coaching.

Could you imagine how terrible it must be...

when everyone around you succeeds, apart from your own son?

I know I was wrong to have a go at Mrs Rutherford,

but I promise I'm OK.

Yeah, that isn't what we want to speak to you about.

The lab rang earlier.

Apparently, someone put in a group and save.

Right, about that. I'm sorry about going behind your back.

-It's fine.

-Look, I'm aware I have to go through the proper channels,

but I'm also aware that these things take time

and that's the one thing he hasn't got. You know, time.

Morven...

I've had your results back.

I'm afraid you're not compatible.

What?

You can't donate.

I'm very sorry.

-So, yeah...

-You'll be pleased to know that my husband and Adam

-are on their way to pick up Hector now.

-About that...

I bet there won't be many kids

who've had their project done by a top surgeon.

He went on a bit of a walkabout.

-Walkabout?

-Yeah, I was exercising him, as per instructions...

And he covered quite a lot of ground.

All the way to the sluice room.

Luckily, he's back in his cage now.

Right. Yep. Very good.

So what did you want to talk about?

Just that I've got a few last-minute tweaks to do

to Adam's project, then we're good to go.

Mum!

Hey! Oh...

Wait until you see what Ms Effanga's done for you.

Any news from on high?

I'm just deciding on my final meal.

The jury's still out. Justice will prevail, OK?

It's going to be a long road back but...he'll make it.

Will he?

Or will he kill himself trying?

I'm going to make sure he never does anything like that ever again.

We'll get his fitness levels back up, get him back out on the track.

He's not doing it to win races.

I think you need to talk to him.

Thanks for all your help, Dr Copeland.

Just had the call from upstairs.

He wants to see us now.

Morven...

Morven!

What's wrong?

I'm not compatible.

Neither are my brothers, apparently. So, erm...

It's OK. It's OK. It's OK. Come on.

It's not... It's not actually OK.

My dad is going to die, Arthur.

Well, at least he's still on the transplant list. He's...

I need to find my dad.

Look, just wait.

Let me come with you. I can tell him, if you want.

Stop pretending that you care!

I do care. More than you...

You never wanted this to happen, Arthur!

Well, I didn't want you to put yourself in danger.

Isn't that what life's about?

Putting yourself out there for the ones that you love?

I'm sorry.

It doesn't matter.

It's not going to happen now, anyway.

I need to find my dad.

So I've now had a chance to digest your report, Mr Levy. Thank you.

I know, also, that you're aware that Dr Copeland performed

a particularly difficult procedure in surgery this afternoon

very successfully.

Yes, well, we're not here to discuss Dr Copeland's performance today,

nor his rather chequered history, luckily for him.

What is relevant is that Dr Copeland's conduct

regarding Mr Cannon and Miss Jones

appears to have been sufficiently robust

until the unfortunate event of last week.

Now, I'm still a little hazy about what happened in that staffroom.

Dr Copeland?

Lee... Mr Cannon and I were having a personal altercation.

His wife had just found out about our relationship and...

he lost it and that's when he went for me.

At that point, Mr Griffin had just walked in

and made a grab for Lee.

And then things just went crazy.

Mr Griffin ended up on the floor

and as he was trying to get up, that's when Lee went for the knife.

And we were both terrified and...

-with Mr Griffin on the floor...

-I was not terrified!

-Well, you were laying...

-I was not terrified!

-You were in a bad way.

-Mr Griffin...!

Mr Griffin, you will have your say in a moment.

You brought this on yourself!

-There's nobody to blame for this but you, for any of this.

-Mr Griffin!

Are you saying that you do not give Dr Copeland your full support?

Right, well, would you be kind enough

to leave us alone for a moment, please?

Thank you, Dr Copeland. I'll let you have my decision.

Dad...

I need to speak to you.

I got the results of the compatibility test and...

..I'm really sorry, Dad.

But we're not compatible.

I'm so sorry.

It's OK. It's OK.

Hey!

Shouldn't you be gone?

I cancelled my appointment.

You cancelled it?

I went over that brochure from cover to cover. No-one jumped out at me.

Uh-huh...

This isn't about Mr T.

I like my life the way it is and babies and hamsters,

well, they can wait.

Ah, here they are. Search and rescue.

And for all your small rodent needs.

Who wants to get ratted?

Oh, yes, please! Come on, team.

Drinks are on me.

-Nice one.

-Well, first round, first round.

Any news on Dom?

Not yet.

No, he's getting ready to go home.

You burning the midnight oil?

I've got to get these reports back before the weekend.

How's Morven?

She's, erm...spoken to her dad.

They've got a tough few months ahead.

There is a way we can get him transplanted.

Not without a match.

What if I am?

What?

You?

Yeah, I'm young. I'm fit.

Sort of.

You know, I'm the perfect candidate.

But have you thought about...

I just want to give him the best possible outcome, Essie.

I want them to be happy.

I want to do this.

Ah, there you are. Good.

Regarding the complaint against you.

I sought clarification from Mr Griffin

and...

I have decided to give you the benefit of the doubt.

Thank you.

Right.

I advise you to tread carefully in the future.

You can't afford to make any more mistakes.

Did you hear about Dr Copeland?

-Yes, I heard.

-Hanssen's not referring the complaint to the...

Are you all right?

I'm fine.

I know that you and Dominic have been through this massive ordeal.

Just don't underestimate the effect that can have on you.

I mean, there are people you can talk to about it.

I'm fine.

Anything I can do, just...

I'm fine.