One Under Holby City

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

How long have you had this mole?

In a world of biology those who adapt to change thrive

and those who don't die out.

Is there something that you're not telling me?

Bernie, you're a consultant, right?

What are the perks?

Naylor can't tell you what to do.

Sold.

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

You think it's cancer?

Everybody in da house!

Um, liver disease, more specifically how you combat it,

is a cause that's close to my heart.

Hey. I'll have three... No, make that four tequilas, please.

-Thank you.

-MICROPHONE FEEDBACK

And, erm, it means the world to me

that so many of you took the time to be here tonight.

Thanks.

OK. So, without further ado,

let's get on with some bidding.

Ooh. Bananas.

Yeah, I like Bananaman.

Digby.

What, er...

What are you doing here?

Well, there's been a run of lung cancer cases,

so I'm shadowing in oncology to boost my portfolio.

Is that what you're doing?

Er...

Er, ladies and gentlemen.

I do think we have time for one more lot.

It's a date with this handsome bachelor.

The original Italian stallion.

-Mate...

-And I'm going start the bidding at £20.

SHE LAUGHS

Oh, erm, Cara.

OK. £5.

£500.

£500, going once, going twice, sold.

Wow. Someone's keen.

Pimping me out now, are you?

Mate, it's for charity. And to be honest,

you could do with the action.

Hey, well done.

Listen, for someone who hates public speaking, that was fantastic.

Have you seen Arthur?

No.

When will you get the results?

Thursday.

Normandy.

A region in France?

No, I mean, erm, the Normandy landings.

D-Day. Thursday's D-Day.

Is Morven going with you?

She doesn't know yet.

OK, well, I can come.

Thanks, but I'm...

It's... I'm fine.

Arthur?

Erm....

SIRENS

PAGER BEEPS

PAGERS BEEP

Hm. Bananaman?

Hey, what you doing up here?

Ms Wolfe bleeped for extra staff.

Pretty unheroic, your no-show last night.

Yeah, sorry.

I had to work late.

Campers. Ms Wolfe wants the whole team mobilised.

They're bringing in a "one under".

I spoke to Hanssen earlier.

He's asked to do your consultation today, with your results.

My results aren't due until Thursday.

He's fast-tracked them. The Hanssen touch.

1pm, his office

and you can bring Morven with you for support.

"One under" what?

A train. One under a train.

Most one unders don't survive the impact, let alone the first hour.

He's got through that, let's get him all the way.

Ciaran Massey, 17. It wasn't a full-frontal impact.

He was trying to pull himself off the tracks. The train caught him side on.

-How is he even conscious?

-He's had a distal tib fib fracture. That's why.

And a traumatic aortic injury, currently stable.

Suggesting the train only clipped him low down?

-Lucky boy.

-Yeah.

You guys, I have to tell you.

I'm feeling seriously serendipitous right now.

Y'know, like, when a bird...

On your head.

It's that kind of luck.

Excremental luck.

We'll contact your parents.

Dad.

I was bunking off school. He's going to be mad with me.

He'll just want to see you.

Bruv? Can you...?

Front pocket.

Hold on to that for me, yeah?

We're going to get you through this. OK?

Thanks, man. Appreciate it.

Not for me, just...

I don't want to give my dad any more grief than I already do.

Ciaran? Ciaran?

Right, he's losing consciousness.

The aorta must have ruptured. OK, let's get him into theatre.

Guys. Thank you.

-Who's cutting?

-Well, I think you owe me, for last night.

-I am.

-I'm on this case.

-Good.

You think that's a good idea? Today?

Yeah, I'm fine.

Ah, my head.

Sh.

Erm, excuse me, Deborah Meaden? What's the occasion?

Consultant's interview.

Oh, yes.

Yeah, I'm not worried. Let's be honest...

TOGETHER: I'm gonna smash it.

Speaking of smashed...

I take it you had fun at the charity auction last night?

Free bar, Maureen. It would have been rude not to.

I'm going to stick to light tasks today, I think.

What on earth do you think you're doing?

Look I'm sorry, Amanda. It's just one incompetence too many.

You don't know how good you've got it with me, girl.

You wouldn't get away with light tasks

if you were working for Nero of Neuro.

Well, Maureen, its lucky, then, that I'm not.

Ciaran's fathers on his way in.

I think it will be a good idea

if Arthur were to take a less involved case today.

Why so?

There's, er....

There's somewhere important that he needs to be later.

More important than saving the life of a 17-year-old on the brink of death?

He's getting some test results.

I see.

-Hm?

-I think the pressure might just be too much.

OK. Thanks for informing me.

The swabs are soaking straight through.

Dr Digby.

Ruptured aortic injury, packing's not working, what do we do next?

-Hm?

-He's haemorrhaging.

If you can't handle this, I need to know now.

-Sure, sure.

-OK.

-Yeah, you

cross-clamp the aorta above the tear?

Go on, then.

Clamp please.

So remind me what was wrong with the five previous

-neurosurgical nurses you couldn't work with?

-Oh, various issues.

Hm. And one common factor.

Look, all I need is someone with two brain cells between their ears

and a discernible work ethic.

Ms Effanga, how is your neurosurgery knowledge?

No, no, no. you can't be serious.

Erm. I know that right now, I feel like a bullet's been put through my head.

Case in point.

And my body's decided to steal all the water from my brain,

and now it's pulling on all the membranes

connecting it to my skull.

Ooh, hark at her. She knows the pathology of a hangover.

You seem well-informed and diligent. Your criteria. That's decided, then.

What is?

You're going to spend the day covering

as Mr Self's neurosurgical nurse.

-Absolutely not.

-Yeah, I don't think that's a good idea.

-What she said.

A cacophony of assent. Thank you.

Bon appetit.

Hi, I need four units of O Negative, theatre one, please.

Ms Wolfe already asked me to order four red, one platelets and two FFP.

You OK?

Oh, yeah. Yeah, I'm cool, yeah. I'm totally groovy, baby.

Apart from Arthur's being really off with me

and I think I've ruined things.

He's under a lot of strain at the moment.

Yeah, and it's all my fault.

What he's going through is no-one's fault.

Well, I obviously made him feel that he had to donate for my dad.

And he worked late instead of coming to my charity auction last night.

And he's just obviously fed up with it all, which I totally get.

Morven, I think you should talk to Arthur.

Yes. Can I help you?

I had a call about my son. Ciaran. Ciaran Massey.

Can we get more blood in?

He's had 12 units, six FFP, three platelets.

Bleeding is just too heavy.

This boy has got further than 85% of one under traumas.

-He's going to die.

-I will not lose him!

OK, got it. Proximal and distal control.

Aorta successfully clamped.

Come on!

BP rising.

BP steady.

Good job.

OK, we have less than 30 minutes to restore blood flow to the lower limbs.

Ciaran's dad's arrived. Dr Digby.

Do you want to come and give him an update with me?

I'm sort of involved here, actually.

Arthur.

Ground rules. I don't like being questioned.

It wastes valuable time.

I have a question.

What if you're wrong, but no-one questions you

because of ground rules.

The probability of me being wrong is minuscule.

Far less likely than, say,

the probability of you slamming multiple tequilas in quick succession...

YOLO.

..and compromising your mental acuity the following day. YOLO?

You only live once.

Ms Saharan, sorry about the delay. Staffing issues.

My finals are next term.

I've been taking all my meds,

but I'm still getting at least one fit a day.

If this persist, I can't sit them.

Final what?

Finals? Uni?

Miss Effanga is covering from cardiothoracics.

Madhu here has epilepsy

but the medication is not controlling her fits

so she's been referred to me for possible surgery.

I can assure you'll get five-star treatment here

and we'll get to the bottom of this.

Soz.

Order an MRI

and there are a few gaps in Madhu's history I'd like you to go over.

-OK, cool.

-Oh, and Adele.

I would really appreciate it if, for once today, you don't balls up.

You've missed the cerebellum.

No offence, but do you actually know what you're doing?

Yeah, I actually do.

Bring it on.

Leah Oppenheimer. 31.

She's got abdominal pain that's got worse over the last few days

and a high temperature. She's been at a five-day rave.

Ah, that makes me feel very old. Do you mind if I?

-SHE WINCES

-Oh, sorry.

YOLO. YOLO?

All the usual bloods to check for infection, please.

-And can you get the sonographer to do an ultrasound.

-I can.

How's my glamorous assistant this morning?

Yeah, that was for one night only, mister.

Isn't that your date?

I don't think she was serious about the date.

She's a hospital patron. Serena's mate. She's here all the time.

Yeah, you're right. That was just an excuse to give away money.

I don't know. She looks like she's after you.

What's it to you, curious cupid?

Gave you the chance to bid.

Nothing! Just funny.

What, that someone finds me irresistible?

It's perfectly plausible, I'd say.

Absolutely.

Ah, Sian.

I've decided to make an additional donation to AAU,

so I thought I'd drop by and get some grass-roots experience.

That's, er, very diligent.

I was hoping that maybe you'd show me around?

Serena did offer, but you know what these consultants are like.

Never really like getting their hands dirty.

Shall we?

Mm.

How regularly would you say these fits occur?

I presume what you actually mean is how frequently?

Regularly denotes a consistency of interval.

Frequently means how often.

Not getting very far with that, are you?

How frequently do the fits occur?

It depends.

On?

Madhu?

OK. This is going to sound really stupid.

Heaven forbid.

Mr Massey.

We've managed to stem the abdominal bleed.

Sorry.

I've told him before not to cut across the rails.

I know where he was going.

Bunking off to see some girl that lives over that way.

He, erm... He seems like a very thoughtful teenager, Mr Massey.

Mum's not long passed.

Think he'd cut me some slack.

Oh.

I've got the cavalry, fresh from theatre.

Is he...?

Is he going to die?

Well, it's early to...

No. We've managed to get Ciaran this far against the odds.

There's every hope.

Can I see him?

Someone will come and get you as soon as he's out of theatre.

Excuse me.

OK, OK, I know I may have been a bit too...

Ciaran Massey is still critical.

Well, he's young. He'll get through this, surely?

He was hit by a train.

You've got to engage with reality.

Have you spoken to Morven yet?

I don't want to worry her prematurely.

Your mole was irregular and irritable.

It's nothing. It'll be benign.

How many times have you seen that happen?

Well, how many times have you seen someone hit by a train and survive?

None.

He's stable.

But I think you need to swap out of the case.

Dr Digby? HDU.

Look, I promised Ciaran that I'd get him through.

You need to be there at one.

MUSIC: Temperature by Sean Paul

I love this song.

# Oh, lord, gal, I got the right tactics to turn you on. #

Yes.

Look, I ask you to take a history

and you bring me what is apparently brain-altering...rap, is it?

Look, I'm just repeating what she told me.

She hasn't got a life. She can't go into uni

because she might hear a song that triggers of a seizure.

Look, I've got the songs on my phone, so we can...

Let me be quite clear about this.

If you are wasting my time,

I will pull no punches. I will go straight to Mr Hanssen.

I'll leave you to it.

Likes to party, that one.

So, we've dealt with the Sciences.

How about the Arts?

I'm sorry?

Carmen. Tonight.

I've never been to the opera before.

Well, it's time to pop your cherry, then, isn't it?

Pop your cherry, eh, mate?

The opera, huh?

Looks like she was serious.

Yeah, seems that way.

All these years of nursing and it still gets to you when it's a kid.

I know.

What's this? Paint by numbers?

Actually, it's a menstrual chart.

Hm.

And when did ovulation surveillance become your area of expertise?

I just want to maximise our chances of getting pregnant.

As do I,

which is why I keep a diary.

Oh. Well that's great,

but this is an empirical recording of compound data

with a tri-coloured system denoting the best times for intercourse.

Well, after wine.

Right, now, it's the 25th normally, isn't it?

-What?

-Well, you tend to get a little dramatic around then, don't you.

Dramatic?

I'll just put the 25th for now.

-KNOCK ON DOOR

-Hello. Ooh, is that the rota?

-Didn't know you were in.

-Yeah, Griffin's got me covering in bariatrics.

Do you have any idea how difficult it is to get those people

to adhere to nil by mouth?

Can you put me down for

graveyard, on call,

anything just so long as I don't have to go back to fat camp again.

-Uh, it's not...

-Where am I?

Who's P? Who's P?

OK. That's not a work rota, Dom.

That is my menstrual cycle.

Does anyone in this hospital possess a modicum of dignity?

Right, we're going to have to cancel those theatre tickets, I think,

because we're going to be in the green zone, OK,

and we're going to be busy that night.

You both disgust me.

THEY LAUGH

The tube is so we can breathe for him until he's able to breathe for himself.

His mum had one of...

She had motor neurone disease.

Do you think he can hear me?

It's possible he can hear you.

It's been so hard since Maddy...

Expulsions,

lies,

smoking all sorts of...

He seems like a really good kid, Mr Massey.

EQUIPMENT BEEPS

What's happening? I thought he was stable?

OK, can I ask you to wait outside, please?

He's crashing.

They used to play it in the union, outside the exam hall.

It's like, hello, not helpful.

Right, well, I've got a surgical list as long as my arm, so shall we?

Yes, of course, sorry.

MUSIC PLAYS

Well, as I suspected,

there's no epileptiform activity with the music.

I don't know why it's not working this time.

And they say neurosurgery's not real medicine.

Maureen? Sorry to rain on your keep calm parade,

but two candidates have dropped out, so it looks like you're up next.

Adele, can we cut the music now, please?

Oh, no.

One second.

Can I turn it off now?

Yes, yes. OK.

Told you.

Yep, it's cardiac tamponade.

-You think the train hit higher up, the chest?

-Must've done.

I'll beep CT cos there's no space in theatre.

We can't wait. He's arresting. The bloods compressing his heart.

He needs a pericardiectomy now.

Arthur,

do you think Morven should do this?

Dr Digby this boy is dying. Are you here or not?

Well, I'm sorry I couldn't take you around myself.

I trust you enjoyed your tour?

Very enlightening, Rena.

Oh, by the way, I'm going to have to renege on that opera invite.

Oh, well, not to worry. I'm busy.

Oh, Sian, come on now.

Raf's a colleague.

It's just a bit of opera, Serena.

It's never just a bit of anything with you.

Have you shaved your legs?

I'm sorry? If you've shaved your legs,

then it's a clear sign of your intentions.

Don't be so ridiculous.

I haven't had any body hair since the '90s.

Anywhere.

Right.

Leah Oppenheimer's bloods are back.

She's running high for white cells and high CRP.

It is an infection, then.

Could you go over her sexual history

and run the relevant tests, please?

So, you really are going?

HE SIGHS

Mate, I'm not being funny, but I don't see what the problem is.

Your love life is non-existent.

-Yeah, because you've been living with me.

-Exactly.

I mean, people are going to think we're a couple with four kids, darling.

Sian is successful, she's intelligent

and she's absolutely smoking hot.

Well, if that's your type.

This is the perfect opportunity for you to get yourself back out there.

Don't you think so?

Um, yeah.

Absolutely.

I guess?

So, you think I should go?

Well, I mean, there's nothing stopping you.

It's not like there's anyone else.

Is there?

-No.

-No, I suppose not.

Fine. If you think I should, then,

yeah, why not? I'll go.

Tamponade released.

No output back.

Theatre's free.

Ms Naylor will be there shortly.

-Everyone ready?

-I'll go and update his dad.

Dr Digby, I need you to put your hand around his heart.

-Got it?

-Mm-hm.

-And pump. Pump for him.

Let's go.

Come on. Come on, Ciaran.

Musico-what?

Musicogenic epilepsy.

OK, so if you knew that this condition existed,

why were you so suspicious?

There have only ever been a handful of cases reported.

It's a question of believing it when you see it. Ah!

What? That's crazy.

So, what triggers it off?

It's an emotional reaction to music.

Seriously?

Well, the fits appear to arise in the temporal lobe,

so if the SPECT scan and neurological tests show

it's localised, I'll be able to do a temporal lobectomy.

And that'll be a cure?

Nothing's ever a guaranteed cure, Adele,

but you are removing the part of the brain

that causes the seizures, so...

So, she'll be able to sit her precious finals.

Yay, team neurosurgery. High five.

This is not the NFL.

Very straight pencils.

It's nice to have a collection as well, isn't it?

In case one breaks.

So, this is your one under?

You wait all day for a surgeon and two come along at once.

Mr Levy, good of you to join us.

I have an elective list and when I left he was stable.

Right, time out.

No output. What happened?

He crashed in HDU We performed the pericardiectomy.

Yes, it's a mess.

You did this yourself? On the ward?

We had no choice.

Is Mr Hanssen aware you're treating this place like it's Camp Bastion?

How long down?

13 minutes.

OK, and still no output. I don't see the point in shocking.

We should call it a day.

I think she's right.

I'm sorry. There's no consensus among team members

to just call it a day, so we carry on.

This is ludicrous.

It's protocol.

Dr Digby, it's been too long.

It's, uh...

Take your hands away.

MONITOR BEEPS

Sinus rhythm.

If you want to beat death, Ms Naylor,

you have to be prepared to fight it.

Victory belongs to the most persevering.

To the most persevering.

Doctor Digby?

Well, that's great. I'll be back later to consent you.

I knew it. I'm going to have to pull out of my finals.

Madhu! You heard what Mr Self said.

The operation should cure you entirely.

None of my previous doctors have even mentioned surgery.

They used medication and it's not working any more.

None of them could diagnose the cause of your fits.

Look, Mr Self is one of the best.

And are there any risks with surgery?

Well, I mean, all surgeries carry some risk, but...

Mr Self will be over to consent you shortly, so you can ask him anything.

You're very welcome, Madhu.

Can I offer you tea or squash?

This is my fault.

We argued this morning.

Mr Massey.

Please, don't tell me that's the last time I'll speak to my son.

He made it. It was touch-and-go but...

We're winning.

-Thank you.

-Ooh.

Thank you.

Well, I'll come and get you when he's out of theatre.

-I'm going, I'm going.

-Where are you going? Lunch break?

-Er...

-I can come with you?

Later, OK?

Yes, I do. It's a temporal lobectomy operation,

performed by Mr Guy Self.

Adele?

Thanks so much.

You do realise I wasn't on the phone for my own amusement.

What the hell do you think you're playing at?

I was booking in your temporal lobectomy.

Yes, that Madhu Saharan is getting cold feet about.

Apparently, you told her the surgery was risky.

What? No, that's not what...

She mentioned risk

and I explained to her that all surgeries carry some risk.

You clearly emphasised the cons. If you'd had more nous...

I'm sorry? More nous?

Instead of your usual slapdash, hung-over ways.

Well, maybe you need to just get another minion to obey your ground rules.

Fine. Have it your own way.

Mo, did you just...

Not now, Adele. Can't you see I'm busy?

-Yes, but...

-Whatever your little drama is, I'll sort it later.

KNOCK ON DOOR

Come in.

Dr Digby.

A man of science who refuses to conform to space and time.

I was more, er, wishfully chasing wormholes.

To go forwards or to go backwards?

Depends.

This?

Now, the good news is

that the primary source has been removed successfully,

but I would strongly advise we run a chest,

abdo and pelvis CT scan just to make sure that the disease hasn't spread.

So that's it then?

Unequivocal.

Cancer. Melanoma.

Yes.

There are no wormholes here, Arthur.

OK. Madhu, can we just get one thing straight?

Because you know I never said that the surgery...

Adele, I'm sorry.

Don't worry. I'm sorting it myself.

No, no. You don't understand.

I don't think I can do this.

I've arranged to fast-track the results for the end of today.

In the meantime, I know the anticipation of this kind

can be difficult to deal with.

So, if you wish to take the rest of the afternoon.

PAGER BEEPS

Excuse me.

My office, end of the day, then, Dr Digby.

You seemed so confident about this interview.

I would never have guessed.

Yeah, I'm just going to pull out.

I'll tell them I'm not ready, that I'm a fraud.

-Mo.

-I probably shouldn't even be a registrar.

They've just got it wrong all these years.

OK, fine. Yeah, pull out.

-What?

-I mean, you're such a perfectionist in everything that you do.

Just give yourself a break. Don't go for the interview.

Well, I'm not just going bail, Adele.

Bailing would be the easy option.

Sorry. I've got to...

Arthur.

So, I was thinking.

-ADOPTS AMERICAN ACCENT:

-So, I got to thinking.

That is so Carrie, which is weird, cos I'm, like,

totally Miranda in, like, everyway.

Morven.

-SHE SINGS:

-Holiday!

You and me?

Because I know things have been really, like,

HEAVY, recently and, er...

And if I put too much pressure on you...

Sorry, Morven. I can't really think about future stuff right now.

Look, I apologise if I walked out abruptly but...

I've been made aware that extra theatre time has been

requested on numerous occasions for one particular patient.

Ciaran Massey.

Can you run me through the patient's pathology, please?

Certainly. One under.

Severe abdo trauma with aortic injury with resultant bleeding.

Patient's had 22 units of blood.

22 units?

Yeah. There was extensive bleeding.

You telling me he's still alive?

Yes.

Thank you for putting the brain back together for me.

Pig's brain, human brain. Largely the same.

I knew it!

So, you're training to be a vet.

And so you did know that all surgery carries some risk.

And you must know that leaving your seizures untreated

is far more dangerous.

Actually, I came to you for help, not an interrogation.

I knew you had to be a medic of some kind,

piecing that brain back together like that.

But what I couldn't work out was why on Earth that someone

with your understanding wouldn't want to have surgery.

Leave me alone.

Risking your health and your beloved finals.

Help, anyone? Harassment.

But that's just it, isn't it?

You don't want to sit these exams.

You literally don't know what you're talking about.

-Come on!

-Being ill. Not being able to leave the house.

It's the perfect excuse to bail out.

Madhu?

I, er...

He was fine.

He's arrested repeatedly in the last hour and 20 minutes.

We've managed to get an output each time, but...

He develops an arrhythmia.

Mr Hanssen?

Fighting fire in here while Rome burns outside.

I assume this is the patient that you were calling me about, Mr Levy?

There's no reason to give up. The patient is a 17-year-old boy.

Who won't maintain cardiac output.

Yeah, but the fundamental point remains. He has an output now.

There's no pulse in his legs.

We had to put in a graft to restore flow to his legs,

but when he lost cardiac output, it must have clotted off.

He's arresting again.

Shock to 150.

-We've done this too many ti...

-Shock to 150.

Clear.

Shocking now.

-Very faint output.

-But is this him, or is this aftershock?

So, how many times have you resuscitated?

Ms Wolfe?

Six in the last hour and a half.

Why is everyone just standing around?

The patient has chest trauma, multi-organ failure,

malignant cardiac rhythm,

coagulopathy, vascular trauma, ischemic legs.

The injuries are too severe to continue.

No, no, no. He's a young person.

And he has a pulse.

You said that we don't stop till everyone agrees.

It's protocol.

Very well.

Dr Digby, in your medical opinion,

-should we stop resuscitating Ciaran Massey?

-No.

Mr Levy?

Yes.

Nurse Harrison?

Yes.

He's gone, Arthur.

So, Ms Wolfe.

Considering the pathology here...

OK, bearing in mind that we've beaten the odds, time and time again.

Do you think we should stop resuscitation?

I do.

How did you work it out?

That I was trying to avoid my finals?

Like I said, I know someone just like you.

Head girl syndrome.

So, listen.

Earlier, I did a bit of extra reading on musicogenic epilepsy.

I like to read around my subjects, too.

People that suffer from it have seriously impaired lives, Madhu.

And you've been lucky enough to find someone who can cure all this.

And you're willing to risk your health because of some exams?

If I don't get a first, my life will be over.

-Says who?

-I do.

Look. OK, yes, they are called finals.

But this is just the beginning.

"Got your whole life ahead, the world is your oyster."

Blah, blah, blah.

No. I was going to say this is just the beginning.

So, if you don't face these exams, you won't face anything.

Trust me.

Mate. Leah Oppenheimer - negative on all STIs.

And on a pregnancy test.

What's going on..?

-That's the ultrasound report.

-Thanks.

A fair amount of fluid in her uterus.

So we've got discharge, lower pelvic pain.

Could be Pelvic Inflammatory Disease, but that would have shown up on the STI tests.

Look can you book her a theatre slot, and we'll do an EUA

and we'll do some samples for labs.

Bizet?

So, the whole thing's going to be in...

French, apparently.

Sure.

How's your French?

I know some key phrases.

Oh, yeah? Like what?

Je voudrais une biere.

Une biere, s'il vous plait?

I'd better...

Raf? Just going to pop upstairs,

go through some numbers with your higher ups.

I'll see you in Seville, mon amour.

Actually, Sian...

About tonight. Erm...

I'm not sure...

I understand.

The older woman thing, not your scene.

No! God, no.

It's nothing like that.

Hm.

Girlfriend?

HE SIGHS

Well, there is someone though, right?

It's complicated.

I should have said all this before.

I'm really sorry to have messed you about.

Don't be so ridiculous.

They're comp tickets anyway.

You're sure that I haven't offended you?

No, honey.

She's lovely.

I know!

HE SIGHS I mean...

My motto?

Life's too short to make things more complicated than they need be.

Oh, sorry, I...

I'm not a religious man.

But sometimes you just need someone to say thank you to, don't you?

He's out, I take it?

I'm, I'm afraid Ciaran's injuries were too much to, er...

You got his heart beating?

We did get his heart beating again.

So, I can go and see him now?

Mr Massey...

Because I've been a really bad father recently.

I'd really like the chance just to say sorry to my little boy.

Please?

Mr Massey, Ciaran is dead.

He suffered multiple cardiac arrests.

We resuscitated him six times.

But, ultimately, he couldn't survive the severity of his injuries.

I'm sorry.

I'm so sorry.

So, what time's the pumpkin picking you up, Cinders?

It isn't.

What, you're not going with her?

No.

How did she take that?

Actually, she gave me the tickets.

She sort of intuited that there was someone else that I'd rather take.

Oh.

You're going with someone else then?

If she'll go with me.

Oh.

Well, whoever the lucky lady is,

I hope her French is better than yours!

I think they're ready for us.

Battling against the odds, day in, day out, in a field hospital

must skewer one's sense of reality, I suppose.

I don't catch your meaning.

22 units of blood, six arrests.

OK.

OK, we brought that boy back from the brink.

Your patient was never going to recover!

It was inhumane to carry on.

I appreciate you put every effort in

to trying to save a young man's life.

But it's very important to keep one eye on the bigger picture.

If we're to move forward, that is.

Come in.

Madhu Saharan's consent to the operation.

I figured the paperwork would be your domain.

How did you...?

Call it Adele's intuition.

And, by the way, it had nothing to do with me.

Or the surgical risk.

Adele?

Would you like to scrub in to Madhu's surgery?

Um... Yeah, I would.

There is a perception that I can be...exacting.

No!

Imagine a millimetre.

Teeny tiny.

In neurosurgery,

it can be the difference between saving a life and wrecking one.

Do you understand?

Mr Massey?

Ciaran asked me to hold on to this.

He was an amazing boy.

Is this some kind of a sick game you're playing with me here?

My son?

My son, who gets scuffed up down the pubs every Friday night?

Who gets banged up one night for smoking spliffs

outside a police station?

My son, who accidentally walks...

Walks, in front of a train?

-Do you think this is funny?

-Sacha. It's OK.

Tell me this is a joke?

Please..?

MR MASSEY SOBS

Arthur?

PHONE BLEEPS

Right, there's the perpetrator.

Wow.

It's insane that that tiny piece of brain is so powerful.

Mm-hm.

OK, let's prepare to close.

Dammit, I've got a bleed. Suction

Uh, me?

Yes, you. Suction now.

Um. I don't know...

Oh, for God's sake!

Well, get me a sterile one.

Come on!

One minute Ciaran Massey is a normal teenager, skiving school.

The next...

There's nothing you could've done differently.

-I couldn't get that aorta tied off for a good minute or so.

-Arthur.

There was nothing you could have done differently.

I don't smoke.

I hate the sun.

My biggest vice is overdue library books.

Why me?

Bad luck.

Excremental luck, as Ciaran would've said.

Have you cried?

Or, I don't know, shouted, or got angry?

Or have you just pounded the pavements in banana socks?

Bananaman.

It's not even a real superhero. It's a parody.

This is real, though.

And you need to face it.

And I think, telling Morven will help you do that.

I've always been the odd one out.

I've finally found this person who's...

As odd as you?

She makes me feel normal.

I just wanted to hold on to that for...

For a bit longer.

That's all.

If you've found someone who loves you, to battle with you.

That's a very great thing.

Don't push Morven away when you need her the most.

Morven?

Is Arthur around?

I can't get through to him.

OK, well, when you do, can you give this to him?

A banana?

Well, he was wearing his Bananaman socks last night.

When Eric eats a banana he turns into a hero.

He was with you last night?

Just say it's for Normandy.

Hang on!

Are you going to Normandy with Arthur?

I'm so glad you know about everything.

It's cool, bro.

Yeah, I'm totally down with the whole, open relationship thing.

Well that's what I said that to Arthur. It's best to be open.

-Yep.

-We're all in this together.

Aren't you going to ask me how the interview went?

Sorry. How did it go?

Yeah, absolutely smashed it.

Can't believe you told me not to go.

Bad advice, by the way.

No, I was...

You know what, forget it.

What's up with you, grumpy town?

I just ran out of Mr Self's theatre.

So, I guess I've screwed it for neurosurgery.

Well, it's only supposed to be for one day anyway.

Yeah. Suppose so.

Since when did you care about your professional reputation,

Tequila Tilly?

Nurse Effanga? A word in my office, please.

Morven?

OK.

Why are you stressed?

You said that you were working late last night.

Yeah, I know I...

But you were with Zosia.

You know?

How did you...?

She came to deliver this. And she told me.

She had no right.

I asked you if you wanted to go on holiday.

Huh?

But you're going to Normandy with her? On Thursday?

Oh, no.

No, no, no, Morven.

Why didn't you want to go with me?

OK.

I'm not cheating on you with Zosia.

But you're going to Normandy with her!

Normandy's a code word.

D-Day.

Look at me.

Morven, I'm not cheating on you with Zosia.

But you saw her last night?

Yes.

OK, she was shadowing in Oncology.

What, and you just happened to be there, too?

Despite the fact you have zero reason to be in Oncology.

Yeah, well.

That's the thing.

Where?

Melanoma.

It's OK.

I'm here now.

And I'm going to Normandy with you. OK?

OK?

Mr Self has had a word with your nursing manager.

Look, I freaked out, and I was a bit stressed.

He wants to offer you a placement.

What?

He wants to offer you a placement on his firm.

And I need to know as soon as possible

if I need a new cardiothoracic trainee nurse.

Yeah, well, that's probably because he couldn't find anyone else.

There's never anyone one else in Guy Self's world.

He's the ultimate solipsist,

so you must have done something to impress him.

If you can get through neurosurgery, you can get through anything.

What if I don't fancy being a puppet on a string everyday?

All right, I'll go ahead and inform Mr Self you'll be staying put, then.

OK.

Cool.

Better not to try, than to fail, right?

Do you think your sister applies that philosophy to her life?

Is that why she went for a consultant's job today?

That'll be all.

Could you send those off to the lab, please?

What's that?

Looks like a foreign body.

Is that...

A condom?

I think so.

Not Pelvic Inflammatory Disease, then.

Pregnancy test came back negative.

She's a lucky girl.

Oh, to be young and carefree again, eh?

Well, you only live once, according to Leah Oppenheimer.

You only live once.

Yolo.

HE CHUCKLES I get it now.

Yolo.

Actually, could you finish up for me here, please?

To Normandy?

Just give me one second.

I'm sorry to have...

But it needs you to consent because he wasn't 18.

I called him selfish when we argued this morning.

We all say things.

When his mum was ill, Ciaran used to watch me every night.

Trawling the internet for trials, new research breakthroughs.

Anything...

I called him selfish.

But he did this for me.

I've been so hard on him.

He's just a typical teenager who lost his mum,

and had to deal with that.

On his own. Because his dad just...

No.

No, he's not just a typical teenager.

I don't know many teenagers that would think about donating

their brain to science if they died.

That's not typical.

That's pretty extraordinary.

And if he's extraordinary, that's because of you.

Hey, Adele?

-How are you feeling?

-I need...

Oi! Oi.

No, Madhu, look, I really don't think that you should do this.

-It's too soon...

-Shhhh!

DANCE MUSIC PLAYS

I don't believe it!

That is amazing, I'm so happy for you.

If I can get through brain surgery.

I can sit some pesky exams, right?

I think they're called "finals".

What you said about if I don't do the exams,

I won't be able to do anything.

Probably the most pertinent advice anyone's ever given me.

I don't even know what that means.

Really, though.

Thank you.

So, what time's the big date?

Oh, that didn't work out.

Shaved my legs for nothing.

Though, what are you and Robbie doing tonight?

What? Oh, no, that's not really our thing.

We're strictly a couples couple.

No, Serena!

I meant, do you want to have dinner or something?

Eating alone's not my thing.

Sian?

Wow.

Something tells me you won't be alone.

Well, well.

Don't you scrub up?

Going somewhere?

I was hoping to go to the opera.

-But it sort of depends.

-On?

On whether you can forgive my complete idiocy, and join me?

Well, come on then, doctor.

Don't want to be late.

Opera virgin and all.

Ms Wolfe?

Yes?

Has he talked to the brain bank nurse? Read all the information?

Yes. He wants to carry out Ciaran's wishes.

Right.

Let's get him prepped for the donation and sent down to the mortuary.

Dr Digby?

Arthur?

Sorry, I've got a consultation to do.

Ah, yes.

Yes, the consultation.

I...

I once operated on a man who'd had both of his legs blown off

when his vehicle was hit by an IED.

Turned out that someone I cared about, very deeply,

was on the same vehicle.

And I just couldn't focus.

-I'm sorry.

-So am I. I lost that man.

Turned out my friend was fine.

Toughest, most valuable lesson I ever learnt.

Focus on the job in front of you.

You kept your head today.

Not easy with everything you're going through.

You held Ciaran's heart in your hand

and you brought him back to life.

Whatever the outcome here,

you are strong enough to fight this, Dr Digby.

Why me?

Look, I don't pander to pleas for validation.

I've changed my mind.

I'll take the position in neurosurgery.

Yes, I thought you might come round in the end.

But if we are going to work together,

I've got some ground rules of my own that need respecting.

It has to be a partnership of equals.

None this dictator, "Big Hitler" business.

Little Hitler.

The phrase is "Little Hitler".

Yes, well, my point is,

I'm not going to be one of your meek-mouthed casualties. OK?

OK.

Right, I'll see you tomorrow.

Have a good night.

I will, you too.

Not too good a night, though.

Tough day tomorrow.

And in neurosurgery, to use your parlance,

you only live once.

There were no...

The CT scan's clear?

He's going to be OK?

We'll have to do a follow up scan in the next few weeks just to be sure.

But, yes.

We have every reason to be positive, Dr Shreve.