All Fall Down Holby City

Thanks for your concern. It was a great help.

I just need to call my commanding officer

and say I won't be back for a while.

I'm your nephew, Jason.

If I'm a bit direct it's because I have Asperger's syndrome

but you said you wanted to meet me.

Miss Wolfe?

If you're sticking around, and I assume someone of your

frustrating ability will be looking for some employment somewhere?

If you want to be Jason's aunt then you have to be all the way in

and if you want to say goodbye, walk away,

then you shouldn't feel guilty about that.

He's lucky that he came in today.

If he'd left it any longer then he wouldn't have,

but he's lucky in another way...

cos he's got me looking after him.

# Ring a ring o' roses

# A pocket full of posies

# A-tishoo, a-tishoo...#

We all fall down.

It's a really creepy song, that one, actually. It's all about death.

The Black Death.

-Actually, it's not.

-Yes, it is.

The ring of roses is the creeping red rash.

A pocket full of posies were used to ward off the stench of death.

A-tishoo - well, that's pretty self-explanatory.

And we all fall down - that's death.

Inevitable.

Once you got sick, you were a goner.

Well, my Dad used to sing it to me before I went to bed every night...

-That's pretty grim.

-Haven't you got somewhere to be, Dom?

Yes.

Bye.

It's just a story. It's an old wives' tale.

It's not a metaphor for the Black Death or anything.

He has advanced liver disease, Arthur.

He's dying and there's nothing you or I can do about it.

Feels pretty inevitable to me.

MOBILE RINGS

SHE CHUCKLES

Don't worry, I'm here.

What does it look like?

Civilian.

I know.

Ditto.

Welcoming committee, Mr Hanssen?

As it's your first day, Ms Wolfe, I thought an introduction

to your new colleagues on Keller would be in order.

No need. We'll get to know each other soon enough.

CLEANER TAPS MOBILE PHONE KEYS

Ready, aim and fire!

SHE LAUGHS

Right, Dom! Dom!

EQUIPMENT CLATTERS

Sorry.

Ms Wolfe?

Eric Griffin.

Bernie, please.

-Keller Ward.

-Welcome to Keller, Bernie.

-First impressions?

-It's got character.

Mr Griffin, there's a major RTC from the ED.

Ms Naylor needs a Trauma Consult in surgery.

-I'll go.

-Wouldn't you prefer to ease yourself in?

It's trauma. It's what I do.

Eager. Who's she?

Major Berenice Wolfe.

Former Consultant Trauma Surgeon, British Army,

ex-Iraq, ex-Afghanistan.

Now Locum GS Consultant on Keller Ward.

Choccy?

Ms Naylor.

Well, well, well, look who it is.

I understand you have an RTC en route from ED?

-You requested a GS Trauma consult.

-Are you sure you're up to this?

You were only a patient on this ward a few weeks ago.

-I've always been a fast healer.

-Ah, Ms Wolfe.

Thought we'd agreed it was Bernie? Is this the RTC?

Er, yes, Tamsin Wright. 33.

Car drove off a road bridge at high speed, smashed through the barriers

and then rolled before catching fire.

She's lucky to have made it to ED, let alone here.

Yes, the Good Samaritan dragged her out of the burning car

and administered CPR until the paramedics arrived.

Someone should buy that man a drink.

Well, you can do it yourself. She's over there.

Once the paramedics arrived she then collapsed.

If you two are quite finished with the fascinating back-story,

we have a massive right haemothorax to the chest.

Probably a torn pulmonary vein.

Tell theatre to prep for a right anterolateral thoracotomy.

Oh, really?

-You have an objection?

-More an observation.

-ED fast scan shows free fluid in the abdomen.

-Theory?

The bleed might be coming from the liver, passing from the abdomen

to the chest via a torn diaphragm,

in which case we SHOULD be prepping for an abdominal exploration.

Or it could be the pulmonary vein.

Or it could be the pulmonary vein.

Good. I'm glad we agree. We should probably get to theatre.

-I'm really sorry.

-It's fine.

I watched my brothers fiddle around with engines for years.

Just figured, how hard can it be, you know?

Turns out harder than it looks.

-Perhaps Mr Di Lucca or Nurse Fletcher can...

-Men?!

The car could be targeted by a drone missile strike, and they'd

just smugly ask if you'd checked the oil or if the battery was flat?

There you are.

Mr Griffin asked if you can send a doctor to help him on Keller.

His locum's been seconded to Darwin apparently.

I'm not supposed to be here.

I'm supposed to be driving to Cambridge to watch my daughter

in an am-dram production of Les Mis, which promises to be

only slightly less excruciating than Elinor's reaction if I let her down.

I've just come in to pick up a pair of shoes and I'd have been long gone

if it weren't for the fact that my stupid car has broken down.

-Have you checked the oil?

-The battery could be flat?

I would look at it, but I just can't spare the time.

Thank you, no, but I'm already late. What's this all about?

ED referral.

Suspected deep vein thrombosis,

only it's not responding to warfarin or thrombolysis.

Yeah, I'm about to send him up to Keller for exploration.

And it takes three nurses for a sore leg?

They're more interested in him than the leg. Shapely though it is.

Right, Fletch, come on.

Thank you, ladies. I'm sure it doesn't require all of you to...

Oh, my!

Er, Nurse Fletcher, could you please arrange for Mr, um...

Barnes.

..Barnes to be transferred up to Keller, please?

-Ulysses?

-Morven?

-Hi.

-It's been...

-Three years.

You're still as beautiful as ever.

-You know each other?

-Intimately.

Intimately, ooh, lucky.

Anyway. Two birds, one stone.

Dr Shreve, you will accompany Mr, erm, Barnes up to Keller

for an investigation of that leg.

Fletch, please, I'm going to call a mechanic.

-If anyone wants me, I don't care, I am not here. Understood?

-OK.

What was it about the huge salary that first attracted you to

working as a locum in the NHS?

It wasn't the money.

What was it then?

Oh, the people?

Ah, there it is.

Tear in the pulmonary vein. Small but it's there.

Thank you.

Sorry if I was brusque earlier.

Don't be. I like brusque. Saves time.

Good, then you and I will get on like a house on fire.

Scissors, please.

Good. Pulmonary vein is stitched.

-Would you like to close?

-BP's falling.

MACHINE BEEPS

-She's bleeding out.

-No, that's not possible.

We just turned off the tap.

Bleed's not coming from the pulmonary vein. Look.

It's coming up from the abdomen through a tear in the diaphragm.

Step aside.

At the risk of sounding brusque, step aside, Naylor, now.

Scalpel.

Sorry, I'm late.

It's fine. Now, Arthur, I wanted to speak to you...

What are you doing?

Getting ready for the blood test.

-That's how you check compatibility, right?

-Er, yeah.

I know you normally just roll up a sleeve but sometimes I have an

involuntary reflex reaction to the sight of needles and blood.

My blood, that is.

Anyway, just thought it would save on laundry if I'm unencumbered

so to speak.

Arthur, we're not here for the blood-test.

OK, what are we here for then?

A second opinion.

Mr Hanssen? I wanted to keep this hush-hush.

Given the impact live donation has,

Nurse Harrison felt obliged to widen your circle of trust.

On the evidence of the last 30 seconds,

I think we can safely say she made a wise decision.

My office, please.

And Dr Digby...

you might want to get dressed first.

Multiple tears to the hepatic veins. Suction, please.

Clamp, please.

Pringle manoeuvre?

-A variation of.

-You're not worried about liver ischaemia?

More worried about the patient bleeding to death.

Atraumatic haemostat, please.

Can you press on the liver, here?

OK. Good. That's bought us some time. Let's see what we can see.

Page Mr Kennedy, please.

-Who's he?

-Liver specialist. You don't mind, do you?

I could use all the help I can get.

-How did you know the liver was bleeding?

-I didn't.

-You guessed?

-Educated one.

Zosia mentioned her car rolled.

We used to see similar bleeds caused by IED's rolling armoured vehicles.

Sometimes it pays to listen to the fascinating back-story.

Consider me duly chastised.

-I wasn't chas... Damn it.

-What now?

Inferior vena cava is also torn.

-How big a problem is that for you?

-Pretty big.

Mr Kennedy's ETA - 30 minutes.

Can you isolate the bleed? Contain it until Kennedy gets here?

-I can try.

-Well, then try. It's not like we have an alternative.

Might be. You've already done the thoracotomy.

-Endotracheal tube, please.

-An atriocaval shunt?

-I learned it as a Shrock shunt.

There have been more papers written about this procedure than

-people who have survived it.

-People should write less papers. Might improve the odds.

No, put the tube down. I will keep pressure on the liver

-until Mr Kennedy gets here.

-She doesn't have time.

I'm afraid I can't sanction this.

I wasn't asking your permission.

I'm really not sure this is necessary. It's my decision. You won't be talking me out of it.

You are incorrect - it is not simply your decision.

There is a recipient to consider, is there not?

-Does Mr Shreve know of your intention to be a live donor on his behalf?

-Not yet.

And his daughter, your girlfriend, Dr Shreve?

-Have you discussed this with her?

-No, I don't want to give her false hope.

You don't want to give Dr Shreve false hope?

I want to get tested for compatibility.

And if I'm a match, then -

and only then - is it worth broaching it with Morven.

So I don't really see what the problem is.

You're not donating to Morven.

-Er...

-What is your motive?

Um, I want to help.

Who? Dr Shreve or her father?

Can't it be both?

There are hundreds of people who live donate

all the time for all sorts of reasons.

I don't see why am I being treated any differently to them.

Because they're not suffering from a serious general anxiety disorder.

And that is something that should be

explored as part of your assessment as a suitable live donor.

Nurse Harrison has been arguing for you to be given a chance.

Look, I understand the process and consequences of live donation.

I want to do this. Please.

It seems I'm required on Darwin.

So, Nurse Harrison - you may proceed with the compatibility test.

And if you are a match, then we'll review.

Thank you.

You are aware of the hero syndrome?

The unconscious need to be valued, which disguises

itself as a good thing but threatens to destroy you.

You think that's what this is?

That I want to be a hero?

There's a fine line between altruism and validation.

Tread carefully, Dr Digby.

HEARTBEAT SOUND EFFECT

SHE SIGHS

Liver fully excluded. Haemorrhage should be under control. BP stabilising.

SHE SIGHS

Good work.

Thank you, Ms Wolfe. Mr Kennedy will continue from here.

But I haven't finished.

Your job here is done, Ms Wolfe.

Please step out of the theatre. I'd like a word with you.

I'm not trying to be a hero.

I wouldn't know where to start, would I?

I think you would.

Look, I will come and find you when I'm ready to do your blood tests.

OK, thank you.

-Ooh!

-Don't worry.

Hey! Can you get your hands off her please!

Arthur! What are you doing?

Trying to protect you!

You know this person, Morven?

Yes. Let him go. He's a doctor.

-And her boyfriend.

-Really?

Yes. Really. Do you know this thug, Morven?

He's not a thug. He's a patient.

And Morven's ex-boyfriend.

Pleased to meet you!

Yeah.

An atriocaval shunt has been performed 31 times

in the last 11 years.

Six patients survived.

Anything you'd like to say, Ms Wolfe?

Now it's 32 times with seven survivors? Touch wood.

You had no other option? You couldn't have waited for assistance?

I couldn't be sure there was time.

Mr Kennedy - a specialist - had been paged, had he not?

In my experience of NHS consultants, there's a difference

between being paged and being available. In the Army,

we don't have time for such distinctions.

You are no longer in the Army, Ms Wolfe.

You are in the NHS, where there are different rules of engagement.

Yes, of course. I'm sorry.

If the patient had died and there had been a viable, less dangerous,

alternative, this hospital - and you - could be subject to legal action.

-You've made your point, Mr Hanssen. I get it.

-I don't think you do.

You came with impeccable references.

Your colleagues and senior officers were

glowing in their assessment of your skills and character.

But...?

Not one of them could quite believe you'd made the decision to leave the Army.

Perhaps you don't quite believe it, either.

I do understand that they are different worlds.

But you have to choose one and live by its rules.

Do I make myself clear?

You didn't tell me you had an ex-boyfriend.

Well, it was way back in university.

Right - so a lifetime ago, then.

What happened?

We just...drifted apart.

So - what, did you break up with him, or...?

Well, it was more of a mutual thing.

Anyway, what's with the inquisition?

I just think it's something you should have told me, that's all.

Given me a bit of warning.

What, warn you about an ex-boyfriend

that I haven't seen in three years, in the unlikely event that he'll

turn up unannounced and that you would decide to attack him?

Yeah, precisely.

What kind of name is Ulysses anyway?

It's an heroic name! A name for a king.

The Latinised version of Odysseus - King of Ithaca,

hero of Homer's Odyssey.

I'm getting the sense that that was a rhetorical question.

Dr Digby - AAU have sent up a possible ileofemoral DVT

by the name of...isn't that a coincidence - Ulysses Barnes.

If you need any help, let me know.

Look after Ulysses for me, please.

He meant a lot to me once.

TEXT MESSAGE

Which part of "I need my car today" are you struggling to understand?

Hello?

Engine been growling or whining?

Any intermittent smell of hot or burning rubber?

Define intermittent.

Alternator might be cactus.

Sounds bad.

It is, if you want to drive anywhere.

Funny. You don't look like a mechanic.

Well, apart from the fag.

I'm not a mechanic. I'm a trauma surgeon.

Ah, you must be Berenice Wolfe?

Serena Campbell. I think you're meant to light it.

I've had this cigarette for two years.

My husband made me quit when British forces left Helmand.

So I tore up every cigarette I had. Except this one.

Thought I'd keep it as a symbol...of my freedom.

My old independent self.

As symbols of freedom go, it's a bit pants.

A nice bottle of Shiraz, however...

Goes really nicely with a fag.

Oh, dear, you've clearly made a great sacrifice for your husband.

-I wish you'd tell him.

-Hah!

This may hurt. I apologise.

I have a high pain threshold.

Of course you do.

-Sorry?

-Nothing.

Prothrombin time, thrombophilia test and FBC.

Today would be nice.

Ah, come on.

-Sorry about that.

-It's fine.

-Krav Maga hold.

Targets the radial nerve.

Krav Maga? You in the Israeli army, were you?

No, no. Spent some time on a kibbutz.

Just picked up a few tips.

Gap year, was it? So that why you and Morven broke up?

Because she was in med school,

needed support but you wanted to go gallivanting around on Thai beaches?

Actually I joined the Peace Corps.

Helped develop Ebola programmes in Sierra Leone.

Of course you did.

But you're right - Morven went to medical school and we just...

grew apart.

What a shame. Er, excuse me.

-Ready when you are.

-Let's do it.

Who's that?

Everything I'm not.

I have a standing rule - when I meet a hero, I buy them a drink.

Then you'd better find yourself a hero.

Pulling a woman from a burning car and performing CPR doesn't qualify?

I just did what anyone would've done.

I don't think so.

And I don't think you're just anyone.

Soldier?

Artillery. Once upon a time.

Me too.

-You're Forces?

-Yes. No...um...

Until very recently.

You got anything stronger?

Not in here, I'm afraid.

-SHE COUGHS

-And certainly not until you're better. That sounds nasty.

I'll be fine.

I've survived worse.

Is there anyone we can call? Family? Friends?

No. No family.

My friends are all still serving.

Why did you leave?

Why did you?

Save my marriage.

That's as good a reason as any.

That woman.

Is she going to make it?

Thanks to you.

I'd prefer it if people didn't know. About me being in the Forces.

-About any of it.

-Understood.

You get some rest, soldier.

Elinor, darling. Bad news. The car's broken down.

I'm not going to make the matinee.

I'm hoping to make the evening show but just in case I don't - break a leg.

Oh, Jason! You scared me half to death.

Who is Elinor? And why do you want to break her leg?

Well, she's...I don't, I don't! Jason, what are you doing here?

-I can explain.

-You can? Good.

-I fell off my bike.

-Yes, I can see that.

What I don't understand is why you're here instead of in the ED.

Don't blame them. Jason insisted that we come here.

Auntie Serena is a doctor.

When you're hurt, you go to the doctor. Allan got hurt.

We have to go to Auntie Serena.

I tried to explain but...

Jason, there are many doctors.

And there are many hospitals with doctors.

-Do you understand?

-Yes.

And there are many departments in those hospitals.

And it's important that people go to the right department.

And see the right kind of doctor.

There are rules, do you understand?

-Yes.

-There you are, see? Wasn't so difficult.

I wanted him to come here because I've seen you help people

and I want you to do that for Allan.

I don't want some strange doctor doing a bad job.

It's OK. I'll be able to explain it to him.

It'll just take time.

Yes, well - time's something that we're often rather short of around here. I'm sure you understand that.

Is she angry with me?

No, she's not angry, mate.

Don't let her break my leg.

-What?

-Jason.

She's wants to break Elinor's leg.

Who's Elinor?

She's my dau...and I don't, I didn't...

Fletch - can you just take Jason to get something to eat

and drink from the vending machine, please.

We only came here because he was getting upset.

I'm sorry if I didn't follow the rules.

But we've seen you now and I'm all patched up.

OK, were you wearing a helmet when you came off that bike?

No. Right, back to bed, please.

-We need to examine you to rule out concussion.

-C'mon, mate.

Mind your leg.

You're being ridiculous.

You saw the guy. Even his name is heroic.

Ulysses - King of Ithaca.

You're named after Britain's most famous king, remember - Camelot?

No, actually I'm named after Arthur C Clarke. Emperor of Nerds.

He's her ex for a reason. Everybody's got a flaw.

Even Ulysses.

How long have you had this mole?

I dunno. Sure it's not a freckle?

Another genetic gift from the gods - skin so white

and pasty, you could blind a bat from a thousand paces.

I think you should get it looked at.

Bet Ulysses doesn't have any unsightly skin defections.

Ms Effanga, isn't it? I'm Bernie.

-Yeah, I know who you are. Word definitely travels fast round here.

-It has?

An atriocaval shunt? Telling Naylor you don't answer to her!

I would have paid good money to have been in that theatre.

It wasn't really like that.

I wanted to ask about your patient, Danielle Gordon.

-Yeah. The pericarditis.

-You've made a diagnosis, then?

Yeah, we're just waiting for the tests to see how serious it is.

It's just I couldn't help noticing she's got a nasty chest cough and sweats.

Yeah, it's definitely an indication of infection.

We've got her on broad spectrum antibiotics

and I've asked for a culture and sensitivity test on her sputum.

You suspect TB?

Well, it's not uncommon with the homeless. Especially junkies.

But she's not homeless, is she? And a heroin addict?

-She told you this?

-No, course not.

But she's using a fake name - and there are track marks.

That's what the sweats are - withdrawal.

Did you really do an atriocaval shunt?

Um, ED sent these up. Danielle Gordon's belongings.

-Right.

-Do you mind if I give them to her? I...

-I feel I owe her for saving that woman's life.

-Sure.

Dr Digby - where are we with Mr Barnes?

Have you not seen his bloods?

No. I've...been busy. Um...

His clotting's deranged. And his WBC is up.

Let's do a duplex ultrasound on his lower limbs.

Might be worth doing an auto-immune screen to check we're not

dealing with anything weird and wonderful.

Can I help you?

I'm looking for Ulysses Barnes.

Of course you are.

Sorry. Yes, he's here. You are?

Kali Simpson. I'm his fiancee.

That is amazing. That is great news!

He is this way.

So er, when's the big day?

We haven't set a date.

Right, well, you should do. Quick smart. Snap that man up!

-Oh!

-Who is that?

-Oh!

That is my girlfriend.

Oh, Uly, that is soooo good. Mmm.

Kali.

-I'd like you to meet Morven.

-Hi.

-Hi.

Morven was once the love of my life.

Is that so?

Um, but now Kali is the love of his life.

Which is why they're getting married! Hooray!

Yeah, they're getting married. That's nice, isn't it?

I had a migraine, so um, Uly here was doing Tok Sen.

-It's amazing.

-Isn't it just!

Tok Sen?

It's a Thai massage.

I learnt it from this Buddhist monk whilst trekking in Borneo.

-Of course you did.

-Uly, your leg! What's wrong with it?

It might be a severe venous thrombosis

but I'll need to do a few further tests to find out.

Why don't we let these two love birds catch up first. OK?

-She seems nice.

-Mmm.

Are you OK?

Tok Sen, huh?

Oh, my goodness. You're jealous! You're jealous of Ulysses.

No, I'm not.

Why would I be jealous of a muscly Adonis-like creature with

perfect hair and smouldering eyes?

-That's just ridiculous.

-Oh, my goodness. You are so adorable!

Well, what's wrong with this one? There's no peanuts in this one.

That one has Arachis hypogaea as an ingredient.

Arachis hypogaea?

Peanut protein.

-Oh, so you're allergic to peanuts, then?

-No.

-Is it all right if I get something?

-Sure. Who is Elinor?

Um, Serena's daughter.

Why would Auntie Serena want her daughter to break a leg?

No, it's because she's in a play.

And Auntie Serena doesn't like plays?

No - well, not this one.

In fact, to use her exact words this is going to be excruciating.

HE LAUGHS

Jason?

Yeah, definite concussion. We may need to keep you in overnight.

I would have thought you'd have set Jason an example by wearing a helmet.

He's not a child, Serena.

Jason's perfectly capable of making his own informed

choices about things like bike safety.

So why does he find it so hard to learn rules. And structure.

Cos I think we're going to need to set some boundaries here.

He does have rules, structure - and he most definitely has boundaries.

They're just his own.

And, yeah, they take time to learn. Time to adapt to.

And it's hard. But it's possible.

And worth it.

What would he do without you?

Survive, I guess. We've never had to find out.

Though we might, if I'm here overnight.

-Is that going to be a problem?

-Not necessarily.

It might be really helpful if YOU could run him home.

-Once he's there he'll be fine.

-Me?

No, I can't. My car's broken down and I'm not even supposed to be here.

I'm supposed to be with my daughter watching her attempt to sing.

-Does your daughter know about Jason?

-No. Not yet.

How can I explain any of this to her

when I can't even explain it to myself.

And now I feel bad.

Don't. It's hard.

Maybe if we both spoke to Jason, we might work something out -

at least for tonight.

I only took my eye off him for a second.

Kali seems nice.

We complement each other well.

It's good to see Morven again. But...

There's a sadness about her. Some sort of spiritual pain.

Her father has advanced liver disease.

Without a transplant, he'll die.

That's why she's in pain. It's not spiritual.

It's...it's all too real.

Austin's dying?

-You know him?

-We used to play competition backgammon together.

Of course you did.

This is so terrible. I wish there was something I could do.

There isn't. Maybe give Morven some space.

OK?

Who's the cub with the chiselled jaw?

-Cub?

-M'hm.

-You mean gay?

A certain kind of gay.

-He's not any kind of gay.

-Yes, he is.

He's got a fiance.

Have you never heard of the term beard?

As in facial hair?

As in convenient cover.

He's Morven's ex-boyfriend.

HE LAUGHS

Hmm, OK. Interesting.

Right, so you can tell just by looking.

OK. Let's test, shall we?

Open app.

Send.

Three, two, one.

PHONE MESSAGE

I don't believe it.

Oh - careful, Diggers. We don't need another Lee on our hands, do we?

Mr Barnes' lab results.

Oh, dear!

SHE COUGHS

You got that proper drink for me yet?

When did you start using, Danielle?

Don't know what you're talking about.

You do have a family, a husband, a child?

What business is it of yours? What do you care?

I patched up too many broken bodies,

only to see their minds fall apart when they got home

because they didn't get the support they needed.

But there is support out there. I can access it.

I can make calls. Let me help you.

I don't need it. Don't want it.

I don't deserve it.

The woman who pulled Tamsin Wright from a burning car is

the same as the woman in the photo.

Tell me your real name. Let me help you.

There's some news on your patient in ITU.

Excuse me, Kali. I just need to speak to Ulysses alone.

If there's a problem, then...

Oh, there's no problem as such. It's just...it's private.

It'll be fine. I'll tell you if there's anything you need to know.

OK.

You have something called anti-phospholipid syndrome.

It's a disorder of the immune system that causes an increased

risk of blood clots.

The tests produced some other, er, troubling results.

There's no easy way to say this...

Is it about my Hepatitis C?

-You know?

-That I have Hep C? Yes. Of course.

Why didn't you tell us?

I didn't realise it was relevant. Is it relevant to my leg?

Er, no, but that's not the point...

What is the point?

Do you know how you contracted it?

Needle-stick injury. I volunteered at a Johannesburg needle exchange.

Did you. Really?

Of course I did.

Does Kali know?

About my Hep C? No.

About your sex life!

I'm polysexual.

Everyone has a flaw, Arthur.

Mine is that I have a voracious and insatiable sex drive.

Of course it is.

Arthur, I value my privacy.

There's no reason for Kali to know about it. Any of it.

Isn't that a little bit irresponsible?

I'm very careful. Kali and I always use protection.

-You're lying to her.

-I'm protecting her.

-What!

I have my condition under control. Kali would only fret.

She's very sensitive.

And I love her way too much to burden her like that.

And that goes for Morven as well. You can't tell her, either.

I'm afraid I can't, in all conscience, keep this a secret.

You can and you will.

Everything I've told you is in medical confidence.

If you break that covenant, I will report you to the GMC.

I will not allow the people I care about to be hurt

just because you disapprove of my lifestyle choices.

Ah...

They say she's almost ready to be brought round.

A most remarkable recovery.

Mr Kennedy says that your atriocaval shunt is the most exquisite

piece of work he's ever seen.

I should have waited.

I did it because I could.

Because in the Army - in action - I was in total control.

And now I feel that control being stripped away and I hate it.

Maybe I should just stop fighting and accept it.

Accept that I don't belong here.

In the world of biology, those who adapt to change thrive.

And those who don't, die out.

You like her.

You like her and want her to stay.

But you don't tell her that.

Why?

How very curious.

He isn't dying, is he?

Uly - it's nothing terminal, is it?

No. It's nothing terminal. Um...

-You really need to talk to him about it.

-See I can't. He doesn't speak much about himself.

Really? I thought he spoke of little else.

I mean about real stuff. He's so busy with all his projects.

-He works at a soup kitchen, you know?

-Of course he does.

But he just keeps that part of his life separate.

And we're getting married and there's so much we haven't discussed

about the future, about having children.

That's probably not a good idea. Um...

-Why?

-It's just...population bomb.

And climate change. And the ever increasing threat of war and famine.

Um, I've just got to deal with something over here but I will, um, yep...be back.

-Boo!

-SHE LAUGHS

Saw you talking with Kali.

Not trying to make ME jealous now, are you?

No.

So what's the story with Ulysses?

Er, no story.

I meant, is he having surgery or not?

Oh, yes. Thrombectomy.

Ooh, can I assist? I'd love to get my hands into that!

No! You are not going anywhere near him.

Sorry. I just meant I don't want you involved in his care, OK?

Sure. Whatever.

-Morven.

-What?

You two um, had relations, right?

Excuse me?

You know, you two...

Yes, Arthur, we had relations.

And were you always, um...

Safe?

Do you know what, Arthur? You can go to hell.

Morven. Wait. wait. I'm sorry, I'm sorry.

What is it? You keep blowing hot then cold.

Look, is there something you're not telling me?

Dr Digby. Can I have a word?

Just...I'll talk to you later. OK?

OK.

We've got a match. You can donate.

That's amazing! Thank you!

Remember - this just the start.

Why? What happens now?

Joe? It's Bernie.

Listen, massive favour - do you still have access to personnel records?

No, I don't have a name.

But I do have search criteria that should help narrow things down.

What do you mean, you can't pull the CCTV?

That's your one job. To watch it and find stuff on it.

-I've checked the gardens, there's no sign.

-Check again.

-Yeah, but I...

He likes the garden. Check again.

What?

Oh, um, he's about 5'11", wears glasses, curly brown hair,

answers to the name of Jason -

if he answers at all, which sometimes he doesn't.

Because that's just how he rolls. And he is MY NEPHEW!

Ms Campbell.

Oh, not now, Henrik. I've got a bit of a crisis.

I believe I have something that belongs to you.

Oh, Jason! You must stop doing this.

-Thank you.

-A remarkable young man.

We've been discussing the concept and application of idiom in the English language.

Idiom - a phrase or fixed expression that has a figurative or sometimes literal meaning.

An idiom's figurative meaning is different from the literal meaning.

"To break a leg" - idiom in theatre - is to wish a performer good luck in an ironic way.

I'm glad you didn't literally want to break your daughter's leg, Auntie Serena.

Yes, I'm sure you are, Jason.

We need to have a chat.

Things seemed a bit tense back there with you and Morven.

It's cos they are.

Not still hung up on the ex, are you?

If you could make a complete opposite of me in every aspect, he would be it.

I think I hate him.

Just hold it together, Arthur. You're nearly there.

-Is this sensitive?

-It's just a bit itchy.

You need to get that looked at. Maybe you should talk to Sacha.

Don't you think I've got enough to be worrying about?

Let's get this over with, shall we?

Your name is Susan Danielle Kelly.

Your husband's name is Peter, your son's name is Michael

and you haven't seen them for five years.

-How did you...?

-On 9th September, 2010,

you went absent without leave after being recalled to Helmand Province.

If you're worried I've called military police, I have not,

and will not, until you have been treated and discharged.

I will then give you two hours' grace because you went into

a burning car and saved a life with no thought for your own.

I don't know what that means but perhaps part of "Danielle Gordon"

is becoming a better, more honourable person

than the "Susan Kelly" who deserted her comrades on the battlefield.

I don't get it.

People go AWOL, burn out. Whatever.

But to leave your family.

How could you desert your child?

You said you left to save your marriage. I tried the same thing.

Turns out you can leave the army...

..but the army never leaves you.

Arthur! I've got the most amazing news!

You too? Hang on, I think I've got the most amazing news but you first.

-Go on...

-Ulysses is going to be a live donor for my dad.

-What?

-He knows his blood type and it's a match.

It's so great, isn't it?

HE LAUGHS OK, erm... Right.

That's impossible.

He's sick. Right, Mr Barnes?

Sure. We'll have to wait until my leg is healed.

But what if there are any other, underlying conditions?

Well, it's not really very fair on Kali, is it?

If it's what Ulysses wants, then...

OK, he can't be the donor.

-Why?

-It should be me. It has to be me.

Right. This is why I couldn't tell you.

I've been tested. I'm compatible.

That's what I wanted to tell you. That's what I've been working on.

-I can't believe that you would do this for me.

-I love you.

Well, I can't let you, you know?

Besides, who will look after me while I'm looking after my dad?

-We'll make it work.

-We don't have to.

I had no hope...

..and now I've got nothing but.

OK, come with me.

Tell her why you can't be a live donor, or I will.

Arthur?

Uly?

Morven, I'm as puzzled and hurt as you are.

Arthur, we're all friends here. Think carefully.

Morven, how many games of championship backgammon did Austin win?

My dad's never played backgammon in his life.

I thought as much. That was one lie too many.

Are they all lies? Treks in Borneo?

The Kibbutz?

I bet your name's even a lie, isn't it? Ulysses? Really?

Are you kidding me?

Soup kitchens? Is that really where you think he spends his time?

-We don't have to listen to this.

-Yes. You do.

He can't be a live donor because he has Hepatitis C.

-There was this needle exchange...

-Come on! Enough!

Or it might be he contracted it from the sex he's been having with complete strangers.

-That's not true.

-Check the phone. He's got an app for it!

-Dr Digby.

You're not a hero. You're a liar with a pathological need for aggrandisement...

Nothing that you do or say is real. It's just a grand gesture...

Dr Digby!

-Mr Hanssen.

-My office. Now.

Here you are.

-Now, I know things have got off to a rocky start...

-Yes.

I think we need to talk about some rules, some boundaries.

What's Elinor like?

Elinor?

Well, she's...feisty, talented,

obstinate, impatient, often rude.

-Sometimes lovely.

-So, she's you, but younger.

-Yes. I suppose she is.

-Why haven't I met her?

-Well, I haven't told her yet.

-About me?

-About any of it.

-Why?

-It's complicated.

-Mum used to say that about me.

She would say, you're not different, Jason, you're complicated.

Well, I think we're all rather complicated in this family.

Maybe that's why you're so difficult.

Do you know what? I think you're probably right.

Jason, I would love you to meet my daughter.

-Would you like that?

-I think so.

Good. Well, I just need someone to fix my alternator.

Disconnect the battery, remove the serpentine belt,

unbolt the alternator, remove the wiring connectors

then do everything in reverse to re-install it.

-Well, aren't you just full of surprises!

-No.

-Bernie, you're a consultant, right?

-Last time I checked.

-What are the perks?

-More paperwork, more insurance, more responsibility.

I think you need to brush up on your understanding of the word "perk".

-Naylor can't tell you what to do.

-Sold!

Tamsin, this is Ms Wolfe - the surgeon who is looking after you.

-Thank you.

-I'm just glad you pulled through.

What about the woman? Is she OK?

The woman who pulled you from the car?

Did someone pull me out of the car? I don't remember...

She must mean Danielle. She was the only one around.

She just walked out in front of my car. Like a zombie.

Are you saying she deliberately walked into oncoming traffic?

Yes. Like she wanted to die.

-Dr Digby.

-OK, I know what I did was wrong but I'd do it again in a heartbeat.

That man was going to hurt Morven.

-He was making promises he couldn't keep...

-Arthur. Stop.

Remove your top, please.

Are you kidding?

Thank you, Dr Digby.

Nurse Harrison, would you please arrange the operation

to remove the mole and the follow up tests.

What? Wait, OK.

What about the CT scan? Can I be the donor?

There will be no donation until this matter has been fully resolved, I'm afraid.

This is ridiculous.

You've been against this from the start. This is just an excuse.

It has an irregular shape and it appears to be bleeding.

You think it's cancer.

I think we'll know a lot more once we've put it under the microscope.

OK. Thank you.

-I'd better get back...

-Arthur, go home. Talk to Morven.

I spoke to the woman you saved.

You're in the army. It's your whole world, all you've ever known.

Then one day you get pregnant. So you get married.

You think it's all fine. You can live in these two worlds.

But you can't. Because now you've got something to lose.

You can't go back. Not to that.

So that's one world gone.

So you try the other world. Being a mother.

And then you realise...

-What?

-..that you don't know the rules.

I didn't know the rules. So I ran.

-And I've been running ever since.

-Then stop running.

You have pericarditis. You need to be in surgery or you could die.

That's why I was on that bridge.

There has to be a better way.

You have a husband, right? Kids? How did you make it work?

I don't think I did.

I'm just learning the rules of this world too.

Let me help you.

You don't happen to have a fag, do you?

-I can't take your last one.

-It's all right. I quit.

Me too.

Call my commanding officer.

-It's time to stop running.

-Yeah.

So, it turns out that while Jason is an autodidact on car maintenance,

he's not so big on the practical part.

Big reader. Eidetic memory.

Can be fastidious when it comes to getting his hands dirty.

And you're sure he'll be all right with this? That he'll cope?

If Jason feels he's ready. He's ready.

Are you?

-I'll have to be.

-Serena, you don't have to be anything.

-You know that, right?

-I know.

I want to be. All the way in.

Elinor, darling. I'm on my way. Yes.

And I'm bringing a special guest that I really want you to meet.

SHE HUMS "RING A RING O' ROSES"

Hey. How did it go with Hanssen? Were you in heaps?

I wasn't in trouble at all.

They wanted to talk about the CT scan

that I did as part of the compatibility.

-And?

-It turns out that I'm not compatible after all.

-Right. I'm relieved, actually.

-You sure?

Yeah, I mean, something will come up for my dad. I know it.

And I need you. Just as much as I need him.

What?

Nothing. I love you, that's all.

Excuse me. I'm just going to pop to the loo.

-She has some skill, this Effanga.

-Indeed.

Tell me, will you be back on Keller tomorrow?

And the next day.

Understood.

I'm glad.

-Interesting day.

-A difficult one.

I fear there will be many more difficult days to come.

Welcome to Holby, Ms Wolfe.

# Ring-a-ring o' roses

# A pocket full of posies

# A-tishoo! A-tishoo... #