0:00:02 > 0:00:05- He was a good dad to you? - Better than my mother. She walked out when I was eight.
0:00:05 > 0:00:08- I trust Morven's instincts. - I don't need a lecture, Mr Shreve.
0:00:08 > 0:00:10- Sir Dennis Hopkins-Clarke. - THE Hopkins-Clarke?
0:00:10 > 0:00:12Who trained Jac Naylor?
0:00:12 > 0:00:14So the old boy network strikes again.
0:00:14 > 0:00:17So your refusal to entertain viewpoints other than your own
0:00:17 > 0:00:19can verge on paranoia at times.
0:00:19 > 0:00:21Sir Dennis was very impressed with your work in theatre -
0:00:21 > 0:00:23- we both think you should be involved.- But I thought...
0:00:23 > 0:00:25You jumped to conclusions -
0:00:25 > 0:00:27assumed that you'd been deliberately sidelined.
0:00:27 > 0:00:29Are you asking me to properly be on board?
0:00:29 > 0:00:30I mean, obviously we were both terrified -
0:00:30 > 0:00:32- didn't know what to do. - I was not terrified.
0:00:32 > 0:00:35Just don't underestimate the effect that can have on you.
0:00:35 > 0:00:37Ric's had a hard time with it lately.
0:00:37 > 0:00:40We can confirm that you have end-stage liver disease.
0:00:40 > 0:00:42You will look after him, won't you?
0:00:42 > 0:00:44Come on.
0:01:24 > 0:01:27SHE EXHALES Right, that should be everything,
0:01:27 > 0:01:30except for the odd stray sock or pair of knickers.
0:01:30 > 0:01:34Well, don't worry. I'll send them on to you as and when, so...
0:01:34 > 0:01:36Thank you for letting me stay.
0:01:36 > 0:01:38Erm, it feels like it's been forever...
0:01:38 > 0:01:39Hardly been forever,
0:01:39 > 0:01:42though, obviously, you have been here every night this week,
0:01:42 > 0:01:44and most of last week as well but...
0:01:44 > 0:01:46What he means to say is it's been a pleasure.
0:01:48 > 0:01:52- Breakfast?- No, it's OK. I'm actually meeting my dad.
0:01:52 > 0:01:54It's kind of an anniversary-type thing.
0:01:54 > 0:01:56Really? What kind of anniversary...?
0:01:56 > 0:01:58Well, do say hi to Austin for me,
0:01:58 > 0:02:00erm, and I'll see you tonight, yeah?
0:02:02 > 0:02:04Help you drop off your stuff at Cara's.
0:02:10 > 0:02:11Bye!
0:02:16 > 0:02:18- DOOR SLAMS - Worst poker-faces ever.
0:02:18 > 0:02:21You with your sly little hints and leading questions,
0:02:21 > 0:02:23and you look like some kind of spaniel
0:02:23 > 0:02:25- who's about to do a massive poo. - I'm not very good with secrets.
0:02:25 > 0:02:27Then, why do it, then?
0:02:27 > 0:02:30Because it's Morven's 25th birthday,
0:02:30 > 0:02:34and it's going to be special.
0:02:34 > 0:02:35I said "special"!
0:02:35 > 0:02:36You're jealous.
0:02:36 > 0:02:38I am? Of what?
0:02:38 > 0:02:39Because I have been hand-picked
0:02:39 > 0:02:42by none other than Sir Dennis Hopkins-Clarke
0:02:42 > 0:02:44to be part of his and Naylor's research team.
0:02:44 > 0:02:47Hand-picked by the very guy who pipped you to the consultant's post?
0:02:47 > 0:02:49Yeah, yeah, but he won that fair and square.
0:02:49 > 0:02:51You know, I'm not one for obsessing about missed opportunities or
0:02:51 > 0:02:54being paranoid about professional disagreements.
0:02:54 > 0:02:56This is a whole new you.
0:02:56 > 0:02:59You know, I'm going to be a professor before long.
0:02:59 > 0:03:02Nobel Laureate Effanga...
0:03:02 > 0:03:06Hmm, well, if I am 100% honest, I am a bit jealous...
0:03:06 > 0:03:07Told you.
0:03:07 > 0:03:08Although, if it was me being made
0:03:08 > 0:03:10Research Fellow to the high and mighty,
0:03:10 > 0:03:12I'd want to at least make sure I was on time.
0:03:12 > 0:03:16- What? Sir Dennis is here?- Oh, yes, been holed up with Jac since 7am.
0:03:16 > 0:03:17- You didn't get the memo?- No.
0:03:17 > 0:03:19Oh, I'm sure it was just an oversight.
0:03:21 > 0:03:23There's been some really exciting new breakthroughs
0:03:23 > 0:03:26in stem cell treatment in some types of liver disease.
0:03:26 > 0:03:28I sent through a request for information about trials
0:03:28 > 0:03:31but, in the meantime, I've got some data that you can have a look at...
0:03:31 > 0:03:33Morven, stop.
0:03:33 > 0:03:35It's not about me.
0:03:35 > 0:03:36How are you?
0:03:36 > 0:03:39Well, erm... I'm moving to a new place today.
0:03:39 > 0:03:40With Arthur?
0:03:40 > 0:03:42No, Dad, not with Arthur.
0:03:42 > 0:03:44Don't give yourself an aneurysm, please.
0:03:44 > 0:03:47- Although, I wouldn't mind you moving in with Arthur.- Why?
0:03:47 > 0:03:50What makes Arthur so different from every other boyfriend I've ever had?
0:03:50 > 0:03:53He makes you smile.
0:03:53 > 0:03:57Hmm, well, that's a bit of a moot point, actually.
0:03:57 > 0:04:00- He forgot that it's my birthday today so...- Did you tell him?
0:04:00 > 0:04:01Dad, he's my boyfriend.
0:04:01 > 0:04:04He's supposed to know when my birthday is.
0:04:04 > 0:04:07Erm, talking of which, I take it that's for me?
0:04:10 > 0:04:12I thought long and hard about bringing this.
0:04:12 > 0:04:14Why? What is it?
0:04:16 > 0:04:19In that envelope is an address, her recent photograph,
0:04:19 > 0:04:22and the name that your mother now lives by.
0:04:24 > 0:04:25Happy Birthday, Squirt.
0:04:28 > 0:04:30LAUGHTER
0:04:33 > 0:04:35Knock-knock.
0:04:35 > 0:04:36What's the craic?
0:04:36 > 0:04:38I was just giving Jac some good news.
0:04:38 > 0:04:41Sir Dennis had dinner with Malcolm Bartlett last night.
0:04:41 > 0:04:44THE Malcolm Bartlett? Cool.
0:04:44 > 0:04:46You don't know who that is, do you?
0:04:46 > 0:04:47No.
0:04:47 > 0:04:50Malcolm is a senior member of
0:04:50 > 0:04:53the Medicines & Healthcare Products Regulatory Agency.
0:04:53 > 0:04:54And, as of last night,
0:04:54 > 0:04:57- he's very amenable to an application for our little project.- Oh.
0:04:57 > 0:05:00It's not what you know - it's who you know.
0:05:00 > 0:05:02Yeah, but "what you know" certainly helps!
0:05:04 > 0:05:06Indeed.
0:05:06 > 0:05:09Speaking of which - I think it's best if I get back on to the wards.
0:05:09 > 0:05:12- I'll join you.- Of course.
0:05:12 > 0:05:15You weren't thinking of stopping by the kitchen, by any chance?
0:05:15 > 0:05:17I wasn't, but I can.
0:05:17 > 0:05:18Tea?
0:05:18 > 0:05:20You're a treasure.
0:05:20 > 0:05:23Milk, no sugar, and a biscuit wouldn't come amiss.
0:05:23 > 0:05:24Digestives?
0:05:24 > 0:05:25Surprise me.
0:05:27 > 0:05:28Please, don't be angry...
0:05:28 > 0:05:30After all this time, Dad, why?
0:05:30 > 0:05:32What were you thinking?
0:05:32 > 0:05:33That she's your mother.
0:05:33 > 0:05:35I don't know her.
0:05:35 > 0:05:37You never had a choice. She didn't give you one.
0:05:37 > 0:05:39She left. We coped. We had to.
0:05:39 > 0:05:42But I always thought that you should have the chance of finding her -
0:05:42 > 0:05:44getting to know her.
0:05:44 > 0:05:47This is you having that choice now, Morven.
0:05:52 > 0:05:53I'm going to be late.
0:05:53 > 0:05:55Morven...
0:05:55 > 0:05:57- Morven. - HE SIGHS
0:05:57 > 0:06:00And, the next thing I know, this lioness has her paws up on
0:06:00 > 0:06:03the Jeep's bonnet, and is roaring at me
0:06:03 > 0:06:05through a millimetre-thick window.
0:06:05 > 0:06:06So what did you do?
0:06:06 > 0:06:08What do you do with any young woman
0:06:08 > 0:06:11who you've made incandescent with rage, Mr Valentine?
0:06:11 > 0:06:13I scarpered!
0:06:13 > 0:06:14Sir Dennis, your tea and biscuits...
0:06:14 > 0:06:17Oh, erm, at the nurses' station, please.
0:06:17 > 0:06:19Can't have food and drink around the patients.
0:06:19 > 0:06:21Really?
0:06:23 > 0:06:24Oh, yeah.
0:06:26 > 0:06:29Yeah, it's a lovely country, Zimbabwe. Lovely people.
0:06:29 > 0:06:32But you have to watch the native fauna,
0:06:32 > 0:06:35especially the females - they have teeth.
0:06:35 > 0:06:38Ah, Mo, I'd like you to meet Jem Browne.
0:06:38 > 0:06:41Jem has a history of aortic stenosis.
0:06:41 > 0:06:42- Hi.- Hi.
0:06:42 > 0:06:46Jem's left ventricle has thickened, enlarged and weakened significantly.
0:06:46 > 0:06:49On the plus, I have maintained my stiff upper lip -
0:06:49 > 0:06:52as Dennis well knows, that's half the battle, eh?
0:06:52 > 0:06:54So. could you start prepping Mr Browne?
0:06:54 > 0:06:56Erm, surely a nurse can do that?
0:06:56 > 0:07:00I'd very much like for you to join me in theatre.
0:07:00 > 0:07:02Yeah, I would be honoured.
0:07:05 > 0:07:06I'll go and get the checklist
0:07:06 > 0:07:09- and then we'll start getting you prepped.- Thanks.
0:07:18 > 0:07:20Ah, Dr Shreve. Bit late, aren't you?
0:07:20 > 0:07:24- I'm so sorry I'm late, Mr Di Lucca. - This is Belinda Bell Humphries.
0:07:24 > 0:07:27Trauma injury to the abdomen, caused by a falling pergola.
0:07:27 > 0:07:29It was a Hendon walk-through, actually...
0:07:29 > 0:07:32What's the difference?
0:07:32 > 0:07:33If one's going to have a garden feature fall,
0:07:33 > 0:07:37then one wants to have a high-quality wood finish.
0:07:37 > 0:07:39ED have run all the usual tests, which have come back normal.
0:07:39 > 0:07:41However, there are concerns that
0:07:41 > 0:07:43internal injuries have been sustained.
0:07:43 > 0:07:45- OK, Ms Bell Humphries...- Mrs!
0:07:45 > 0:07:4750 years married!
0:07:47 > 0:07:50Not prepared to give up that honorific just yet.
0:07:50 > 0:07:53OK, Mrs Bell Humphries, we're going to need a CT scan, just...
0:07:53 > 0:07:56I'm not going anywhere.
0:07:56 > 0:07:58As I told Chuckles here -
0:07:58 > 0:08:02I am not going anywhere until I see my Thomas.
0:08:02 > 0:08:03Thomas?
0:08:03 > 0:08:05Thomas Bell Humphries Esquire -
0:08:05 > 0:08:08the light of my life, the love of my heart,
0:08:08 > 0:08:12faithful, devoted husband for 52 years.
0:08:12 > 0:08:14He was taken into the ED too,
0:08:14 > 0:08:16but no-one seems to know where he is now.
0:08:16 > 0:08:19Look, Fletch is on it but, in the meantime, can I leave this with you?
0:08:19 > 0:08:21Look, is this my punishment for being late?
0:08:21 > 0:08:25Yep. Look, find the husband or find a way to get her to have that scan.
0:08:25 > 0:08:29Then you will be back in my good books.
0:08:29 > 0:08:32Find my husband or...
0:08:32 > 0:08:36I shall not... I shall not be moved!
0:08:36 > 0:08:38Aw, these are cute.
0:08:38 > 0:08:40Yeah, they belong to my girls.
0:08:40 > 0:08:42How old are they?
0:08:42 > 0:08:45Tessa's ten, and Jennifer...
0:08:45 > 0:08:47Jennifer will be eight in a couple of weeks.
0:08:47 > 0:08:48Did they give you those for good luck?
0:08:48 > 0:08:50Yes, they did.
0:08:51 > 0:08:54Yes, they did...
0:08:54 > 0:08:56My wife, she... She calls them my mementos.
0:08:56 > 0:08:59Mementos? What, is she not expecting you to come back?
0:08:59 > 0:09:00She's pretty certain of it.
0:09:00 > 0:09:03Well, let me assure you that Sir Dennis is a fine surgeon
0:09:03 > 0:09:06- and the procedure...- But there's a strong chance that I might
0:09:06 > 0:09:08need a blood transfusion during my surgery.
0:09:08 > 0:09:12I've accepted that, but my wife cannot.
0:09:12 > 0:09:14You're a Jehovah's Witness.
0:09:14 > 0:09:18That's me, but perhaps not for much longer, right?
0:09:18 > 0:09:19No luck?
0:09:19 > 0:09:21Not yet, but we really need to get you to that CT scanner.
0:09:21 > 0:09:25Not till I look him in the eye!
0:09:25 > 0:09:26- I found your husband.- Oh!
0:09:26 > 0:09:29Yeah, the ED was flat out so they moved him to Orthopaedics.
0:09:29 > 0:09:31He's fine, apart from a hairline fracture,
0:09:31 > 0:09:33which they are putting in a cast as we speak.
0:09:33 > 0:09:35See? All's well that ends well. Now, can we...?
0:09:35 > 0:09:37He's not here.
0:09:37 > 0:09:39He will be when you get back. I'll see to it personally.
0:09:39 > 0:09:42- Do you promise? - Cross my heart and hope to die.
0:09:42 > 0:09:43I will hold you to that.
0:09:43 > 0:09:45How does a pergola fall on you, anyhow?
0:09:45 > 0:09:51Thomas drove his ride-on lawnmower straight into it, in a fit of rage.
0:09:51 > 0:09:53To be fair...
0:09:53 > 0:09:5550 years of marriage
0:09:55 > 0:09:59and it's the first time my husband's actually tried to kill me!
0:10:00 > 0:10:02Oh, yahoo!
0:10:02 > 0:10:04- Oh.- Well, takes all sorts.- Mm-hmm.
0:10:04 > 0:10:06How'd you end up with that one?
0:10:06 > 0:10:08Well, it's a punishment for being late.
0:10:08 > 0:10:12Anyway, I'd better get to Ortho to check for our wife murderer.
0:10:18 > 0:10:20Hey, Squirt...
0:10:20 > 0:10:21Right, this is from HR.
0:10:21 > 0:10:25It's a proposed psychological evaluation for new staff.
0:10:25 > 0:10:29And, apparently, I am a Dominant D-type task-oriented personality,
0:10:29 > 0:10:32with a borderline obsessive work compulsion, possibly driven
0:10:32 > 0:10:37by an underlying desire to satisfy personal needs and appetites.
0:10:37 > 0:10:41But, lucky for you, I am a passive, people-oriented personality
0:10:41 > 0:10:44who is highly suggestible.
0:10:44 > 0:10:45I've got a suggestion for you...
0:10:53 > 0:10:54Excuse me.
0:11:02 > 0:11:03Mr Griffin. Great. Have you got a minute?
0:11:03 > 0:11:06I've got an interesting case I could do with your expertise on.
0:11:06 > 0:11:09I'm a little busy at the moment. Ms Wolfe should be available.
0:11:09 > 0:11:10Yes, she's gone for her staff induction.
0:11:10 > 0:11:12Well, Mr Levy was just in here...
0:11:12 > 0:11:14He's heading to surgery.
0:11:14 > 0:11:16- Dr Digby... - He's got an emergency on AAU,
0:11:16 > 0:11:18and if you suggest Dr Copeland,
0:11:18 > 0:11:21I'm going to start thinking this is personal.
0:11:22 > 0:11:24"Interesting", you say?
0:11:24 > 0:11:27Katherine Rice, 22, admitted with abdominal pain,
0:11:27 > 0:11:29difficulty swallowing and repeated retching.
0:11:29 > 0:11:32- Bile?- No, just saliva at the moment.
0:11:32 > 0:11:34She was fitted with a gastric band 18 months ago.
0:11:34 > 0:11:35I'm thinking the band might have slipped.
0:11:35 > 0:11:37I'm thinking you're probably right,
0:11:37 > 0:11:39but I'm wondering just what you think is
0:11:39 > 0:11:41so "interesting" about a gastric band slip?
0:11:41 > 0:11:43- What's the Wi-Fi code?- Excuse me?
0:11:43 > 0:11:45Wi-Fi code.
0:11:45 > 0:11:47You know, internet.
0:11:47 > 0:11:50I'd use my 4G but the reception in here is terrible.
0:11:50 > 0:11:51Oh, well, my sympathies,
0:11:51 > 0:11:54but Mr Law tells me that you have abdominal pains,
0:11:54 > 0:11:57difficulty swallowing, and retching up saliva...
0:11:57 > 0:11:58Amongst other things.
0:11:58 > 0:12:00..and that you're fitted with a gastric band.
0:12:00 > 0:12:02You're not making me sound very attractive.
0:12:02 > 0:12:04It's probable that the band has slipped
0:12:04 > 0:12:07but we won't know for sure until we do an X-ray.
0:12:07 > 0:12:09Will that take long? I'm on a promise...
0:12:09 > 0:12:10It'll take as long as it takes.
0:12:10 > 0:12:13Erm, I think it's a bit more complicated than that.
0:12:13 > 0:12:15Ms Rice here is 27 weeks pregnant.
0:12:19 > 0:12:22Well, in that case, I should inform you know that there is
0:12:22 > 0:12:24a chance of slight risk to the baby...
0:12:24 > 0:12:26Whatever it takes to stop me hurking up spit, big man.
0:12:26 > 0:12:30All right, FBC, U&Es, and arterial blood gases,
0:12:30 > 0:12:33and better call Obs & Gynae to check on the baby
0:12:33 > 0:12:34once the X-ray's done.
0:12:34 > 0:12:35Sure thing.
0:12:37 > 0:12:40PHONE RINGS
0:12:40 > 0:12:42PHONE BEEPS
0:12:50 > 0:12:53Temperature's 38.5. Abdomen's tender and slightly enlarged...
0:12:53 > 0:12:56It's ascites. You'll have to do an ascitic tap immediately.
0:12:56 > 0:12:58He's had it before so...
0:12:58 > 0:13:00Slow down, OK? You're already two steps ahead.
0:13:00 > 0:13:03I'm going to run the tests, diagnose and then going to treat him. OK?
0:13:03 > 0:13:06But we're wasting time. Look, we know what it is.
0:13:06 > 0:13:07We know what it must be...
0:13:07 > 0:13:11Arthur's agreed to stay on AAU today to take personal care of your dad.
0:13:11 > 0:13:13Perhaps you should take the rest of the day.
0:13:13 > 0:13:16- I'm sure Serena would understand. - Why?
0:13:16 > 0:13:19Being a doctor and being a patient relative -
0:13:19 > 0:13:21those two things aren't always compatible...
0:13:21 > 0:13:24No, it's fine, Mr Di Lucca. I'd rather keep busy. Thank you.
0:13:24 > 0:13:25Keeping busy isn't the problem -
0:13:25 > 0:13:27it's keeping focused that can be a bit harder.
0:13:27 > 0:13:29I'll be fine.
0:13:34 > 0:13:36I found him in reception.
0:13:36 > 0:13:38Is everything all right between you two?
0:13:38 > 0:13:39Breakfast went OK?
0:13:39 > 0:13:41Yeah, it was great, actually. Yeah. Why?
0:13:41 > 0:13:43It's just that I spoke to him before he collapsed,
0:13:43 > 0:13:47and he seemed a little bit...wan.
0:13:47 > 0:13:48"Wan"?
0:13:48 > 0:13:53Yeah, wan. Yes, it means sad. Melancholy.
0:13:53 > 0:13:55He's got liver disease, Arthur.
0:13:55 > 0:13:57What do you expect?
0:13:57 > 0:13:59Just keep me in the loop, yeah?
0:13:59 > 0:14:01Of course, absolutely.
0:14:03 > 0:14:06I was planning on doing a robotic mitral valve surgery.
0:14:06 > 0:14:08Hmm, I can see no reason not to.
0:14:08 > 0:14:14Well, great. Well, I've got a slot free at 4 o'clock if you're free?
0:14:14 > 0:14:17I'm not, actually, but I see no reason why that should stop you.
0:14:17 > 0:14:19You want me to fly solo?
0:14:19 > 0:14:22I have every confidence in you, Mr Valentine,
0:14:22 > 0:14:23and, if you get into trouble,
0:14:23 > 0:14:26- I'm always at the end of my pager. - Thank you.
0:14:26 > 0:14:27A robotic mitral valve, at his level?
0:14:27 > 0:14:30I would have killed for that kind of opportunity.
0:14:30 > 0:14:31Times change.
0:14:31 > 0:14:32Yes, speaking of opportunities,
0:14:32 > 0:14:35I've been reviewing Jem Brown's treatment plan...
0:14:35 > 0:14:36Reviewing how, exactly?
0:14:36 > 0:14:38Well, in light of his religious beliefs.
0:14:38 > 0:14:41- He's a Jehovah's Witness. - I'm aware of that.
0:14:41 > 0:14:43Right, it's just that, well...
0:14:43 > 0:14:46an aortic valve replacement has a high associated risk
0:14:46 > 0:14:47of bleeding during surgery.
0:14:47 > 0:14:49And your point being?
0:14:49 > 0:14:51Well, if that happens, then he'll need to be transfused,
0:14:51 > 0:14:54and you know he stands to lose his wife, his family...
0:14:54 > 0:14:55I'll cost him everything.
0:14:55 > 0:14:58It will save his life. That's all that matters. No?
0:14:58 > 0:15:01Yes, of course, but there is an alternative procedure -
0:15:01 > 0:15:05a transapical transcatheter aortic valve implantation that I think...
0:15:05 > 0:15:08It's very late in the day to be changing theatre plans.
0:15:08 > 0:15:09Jem and I have discussed this.
0:15:09 > 0:15:11An NVR is the right course of action.
0:15:11 > 0:15:14He's made his choice, and it's the right one.
0:15:14 > 0:15:16- ELEVATOR BEEPS - Let's just get into theatre, shall we?
0:15:16 > 0:15:19'Doors closing. Going down.'
0:15:27 > 0:15:30Be careful with what you're doing!
0:15:30 > 0:15:32You nearly crashed into that door.
0:15:32 > 0:15:35Ah, Mrs Bell Humphries, how was your scan?
0:15:35 > 0:15:38- It was quick and relatively noiseless.- Good.
0:15:38 > 0:15:42- Speaking of which, where's Thomas? - Thomas?
0:15:42 > 0:15:44Yes, my husband.
0:15:44 > 0:15:46You swore he'd be here when I returned.
0:15:46 > 0:15:48Look, I know I did, and I'm so sorry...
0:15:48 > 0:15:51You know what that makes you don't you? A liar!
0:15:51 > 0:15:54Mrs Bell Humphries, please lower your voice.
0:15:54 > 0:15:55I will not lower my voice!
0:15:55 > 0:15:58I want to know where my husband is!
0:15:58 > 0:16:00Right here, you daft tart!
0:16:00 > 0:16:01Thomas...
0:16:01 > 0:16:03Thomas, Thomas, there you are!
0:16:03 > 0:16:05Well, I could hardly run away, could I?
0:16:05 > 0:16:07Congratulations, you've crippled me!
0:16:07 > 0:16:10Well, it's nothing less than you deserve, dear heart.
0:16:10 > 0:16:12I've broken my bloody leg!
0:16:12 > 0:16:14Well, what do you think I'm doing lying here? Having fun?
0:16:14 > 0:16:16- Well, you can only blame yourself for that.- I'm confused.
0:16:16 > 0:16:19- Blame myself?!- Who's supposed to be murdering who, here?
0:16:19 > 0:16:21- Goodness knows.- It was not my fault. - It was, indeed.
0:16:21 > 0:16:24- It certainly was not my fault. - It's always your fault.- Rubbish.
0:16:24 > 0:16:28JEM: I've been told if I don't have this surgery, I'll die.
0:16:28 > 0:16:32Not today or tomorrow - but sooner rather than later.
0:16:32 > 0:16:37Well, I shouldn't be afraid of that - death -
0:16:37 > 0:16:39and I never was until I...
0:16:39 > 0:16:42Until you had your children?
0:16:42 > 0:16:44I just want to be there for them,
0:16:44 > 0:16:46see them grow up,
0:16:46 > 0:16:50and yet, I won't be the dad that they've known or
0:16:50 > 0:16:53the man my wife agreed to marry.
0:16:53 > 0:16:55But there's a chance, right?
0:16:55 > 0:16:58I mean, in time, they'll understand and forgive me.
0:16:59 > 0:17:05This is the first real test of my faith in my life...
0:17:05 > 0:17:07and I feel like I've failed.
0:17:11 > 0:17:14But there's no alternative.
0:17:14 > 0:17:16What if there was?
0:17:22 > 0:17:29PHONE RINGS
0:17:34 > 0:17:37PHONE KEYPAD BEEPS
0:17:39 > 0:17:41Katherine Rice is back from Radiology
0:17:41 > 0:17:44and the obstetrician's here.
0:17:44 > 0:17:46Oh, right, erm...
0:17:46 > 0:17:48- Right, let's chase up her test results.- Sure.
0:17:52 > 0:17:56You came right at me with that monstrosity you call a lawnmower.
0:17:56 > 0:17:59"Right at you"? Bella has a top speed of 5mph...
0:17:59 > 0:18:01He calls his mower "Bella". Ha!
0:18:01 > 0:18:04He spends more time with her than his actual wife.
0:18:04 > 0:18:07Well, maybe Bella's nicer company and more pleasant to be around...
0:18:07 > 0:18:10Well, I'm... I'm sure she is.
0:18:10 > 0:18:12She, at least, gets a good ride every now and again!
0:18:12 > 0:18:16- Oh...- Oh, dear lord, please stop. - CT results.- Thank you.
0:18:16 > 0:18:18You're hardly one to talk about infidelity.
0:18:18 > 0:18:21Did you tell them why I crashed into the bloody pergola, eh?
0:18:21 > 0:18:22Hendon walk-through!
0:18:22 > 0:18:24OK, that's enough.
0:18:24 > 0:18:27Did she tell you about the flowers? About Samuel Sanders?
0:18:27 > 0:18:28I said, that's enough!
0:18:31 > 0:18:33Mrs Bell Humphries,
0:18:33 > 0:18:36the CT scan shows that you have a perforation of the bowel.
0:18:37 > 0:18:38Is it...?
0:18:38 > 0:18:40Is it serious?
0:18:40 > 0:18:42Well, it will require surgery.
0:18:42 > 0:18:44Oh, so, so, it's...
0:18:44 > 0:18:46It's not serious.
0:18:46 > 0:18:47All surgery is serious.
0:18:47 > 0:18:49But not life-threatening?
0:18:49 > 0:18:50No.
0:18:50 > 0:18:51Good.
0:18:53 > 0:18:57Samuel Sanders is more man than you could ever dream of being!
0:18:57 > 0:18:59Well, he'll need to be.
0:18:59 > 0:19:01More thick-skinned, more patient,
0:19:01 > 0:19:03and more able to cope with your constant chitchat!
0:19:03 > 0:19:06- Oh, shove it, Lawnmower Man! - Can you take that?
0:19:06 > 0:19:09SHE BREATHES DEEPLY
0:19:09 > 0:19:11Any heartburn?
0:19:11 > 0:19:13Pretty much the second I conceived,
0:19:13 > 0:19:16and the morning sickness is 24/7 hell.
0:19:16 > 0:19:18My daughter was the same.
0:19:18 > 0:19:23She wasn't much older than you when she had her first child.
0:19:23 > 0:19:27If it's any consolation, she swears that it was all worthwhile.
0:19:27 > 0:19:30I'll keep that in mind when going through the agony of childbirth.
0:19:30 > 0:19:33Thank you. Do you want a scan photo?
0:19:33 > 0:19:36Nah. Once you've seen one ultrasound of an alien-type creature
0:19:36 > 0:19:38in your stomach, you have seen them all.
0:19:38 > 0:19:40X-ray's back from radiology.
0:19:40 > 0:19:43Well, you were right, Mr Law. The band has slipped.
0:19:43 > 0:19:45But you can fix it, right?
0:19:45 > 0:19:47There's no complications with the baby?
0:19:47 > 0:19:49The baby will be just fine.
0:19:49 > 0:19:52We'll do a band deflation - it's a fairly routine procedure.
0:19:52 > 0:19:54You don't have to worry.
0:19:54 > 0:19:56Should you be making promises?
0:19:56 > 0:19:58I mean, we haven't got bloods or arterial gases back yet.
0:19:58 > 0:20:00It could be an infection or...
0:20:00 > 0:20:02It'll be just fine. You were right.
0:20:02 > 0:20:04She is an interesting case,
0:20:04 > 0:20:07and I'm not going to let anything happen to her.
0:20:08 > 0:20:10Mrs Tinker's scans show multiple cysts.
0:20:10 > 0:20:12She'll need lung volume reduction surgery.
0:20:12 > 0:20:16Why don't you find a slot, then come to me with a theatre plan?
0:20:16 > 0:20:19Do it on my own? That's a step up from last time.
0:20:19 > 0:20:21Why not?
0:20:21 > 0:20:25A good chance to show me your... How do you kids say it? Mad skillz?
0:20:26 > 0:20:28HE CHUCKLES
0:20:28 > 0:20:32Sir Dennis, I've been looking into the transapical TAVI procedure.
0:20:32 > 0:20:36- We've discussed this, haven't we? - Well, not in any detail.- Ah, detail.
0:20:36 > 0:20:39Well, a transapical TAVI is suitable for older patients
0:20:39 > 0:20:43with aortic stenosis. Jem Brown does not fall into this category.
0:20:43 > 0:20:46Except the risk of requiring a transfusion is reduced.
0:20:46 > 0:20:49And the chance of stroke or the need for a pacemaker is increased.
0:20:49 > 0:20:51But those risks are minimal.
0:20:51 > 0:20:54I've discussed it both with Mr Brown and Ms Naylor.
0:20:57 > 0:21:00Could you, um, take a look at these, please?
0:21:01 > 0:21:03I've already taken the three measurements
0:21:03 > 0:21:07for the sinotubular junction and the CT of the vascular tree.
0:21:07 > 0:21:09Well, you've certainly done your homework.
0:21:09 > 0:21:12But did I hear correctly - you've spoken to Ms Naylor?
0:21:12 > 0:21:13And my patient?
0:21:13 > 0:21:17Yeah, I just wanted to make sure I had everything before I came to you.
0:21:17 > 0:21:18Very well.
0:21:18 > 0:21:20Let's see what Jem has to say.
0:21:24 > 0:21:30Jem, I believe Ms Effanga has been discussing aortic valve implantation with you?
0:21:30 > 0:21:33Well, if that's what it's called. I mean, she just mentioned
0:21:33 > 0:21:35that maybe there's a way to avoid a transfusion.
0:21:35 > 0:21:38It can only reduce the likelihood of a bleed, not remove it.
0:21:38 > 0:21:42An aortic valve replacement is your best option for a good outcome.
0:21:42 > 0:21:44That's what we want, isn't it?
0:21:44 > 0:21:45Of course. I just...
0:21:45 > 0:21:48You never mentioned there could be an alternative.
0:21:48 > 0:21:51You know what this means. What the consequences could be for me.
0:21:51 > 0:21:55I understand the cost of the choice you're making. I do.
0:21:55 > 0:21:59But as I discussed with you and your Health Liaison Committee,
0:21:59 > 0:22:03in all good conscience, I can't sanction a high-risk procedure
0:22:03 > 0:22:07simply to satisfy your religious prohibitions.
0:22:07 > 0:22:10However, if that's what you want,
0:22:10 > 0:22:14I'm willing to step aside and let Ms Effanga take over.
0:22:16 > 0:22:17Is that what you want?
0:22:22 > 0:22:24No.
0:22:24 > 0:22:25I'll do what you think is best.
0:22:25 > 0:22:26Good.
0:22:28 > 0:22:29I guess that's settled, then.
0:22:33 > 0:22:35Belinda Bell Humphries' CT scan.
0:22:35 > 0:22:37Oh, yes. Possible perforation of the bowel.
0:22:37 > 0:22:40I've already told her she'll require surgery.
0:22:40 > 0:22:41Take another look.
0:22:43 > 0:22:45- Oh, no...- You see it?
0:22:45 > 0:22:47Abdominal aneurysm.
0:22:47 > 0:22:49Big one. At least seven centimetres.
0:22:49 > 0:22:51I don't know how I missed that.
0:22:51 > 0:22:53- Morven... - I haven't once been to see my dad.
0:22:53 > 0:22:55Well, maybe that's part of the problem.
0:22:55 > 0:22:59Seriously, your head is not in the game and it needs to be.
0:22:59 > 0:23:03Look, let me make up for this. I need to make amends.
0:23:03 > 0:23:06OK, you can start by explaining to Mr and Mrs Bell Humphries how
0:23:06 > 0:23:09we're now dealing with a large and potentially fatal aneurysm.
0:23:11 > 0:23:12OK.
0:23:24 > 0:23:27Hi, Jess. It's me. Your father.
0:23:27 > 0:23:31Well, obviously, you know it's me because you've been trying to call.
0:23:31 > 0:23:33Um...
0:23:33 > 0:23:35Look, I was glad that you tried
0:23:35 > 0:23:41because I know things didn't end too well last time. Um...
0:23:42 > 0:23:45Anyway, it'll be good to talk, hear your voice.
0:23:47 > 0:23:48So, um...
0:23:49 > 0:23:51Give me a call.
0:23:58 > 0:24:02Mr Law. Are we ready for Ms Rice's band deflation?
0:24:02 > 0:24:06Afraid not. Her bloods just came back.
0:24:06 > 0:24:09- Increased white cell count, lowered metabolic PH.- Infection.
0:24:12 > 0:24:15Right, we need to get that band out now.
0:24:19 > 0:24:21Hey, Griffin. Day's getting on.
0:24:21 > 0:24:24I thought you were going to fix me right up and send me on my way.
0:24:24 > 0:24:26I'm afraid there's been a complication.
0:24:26 > 0:24:29Tests show an infection, so we suspect the band has slipped
0:24:29 > 0:24:32much further than we originally thought. Drainage isn't an option.
0:24:32 > 0:24:34We need to get you into theatre and take the band out.
0:24:34 > 0:24:36And then you replace it?
0:24:36 > 0:24:39You put the band back in once you've done whatever.
0:24:39 > 0:24:42I'm afraid that's not going to be possible, Katherine.
0:24:42 > 0:24:44Not until after you've had the baby.
0:24:44 > 0:24:46The baby's causing the complication?
0:24:46 > 0:24:47The baby's at risk.
0:24:49 > 0:24:51Well, get rid of it. I want it gone.
0:24:51 > 0:24:55- Well, that's what we plan to do. - She doesn't mean the band.
0:24:55 > 0:24:57- What?- Katherine, we can't do that.
0:24:57 > 0:24:59Our job is to protect you and the baby.
0:24:59 > 0:25:00I can't lose it.
0:25:00 > 0:25:05You want us to abort the baby so that you can keep the band?
0:25:05 > 0:25:07Are you mad?
0:25:07 > 0:25:10- Mr Griffin... - You cannot possibly be so selfish!
0:25:10 > 0:25:14- Mr Griffin.- You're carrying a child! You're supposed to protect it.
0:25:14 > 0:25:16To nurture it. You're a parent.
0:25:16 > 0:25:18- You're supposed to be strong!- Hey!
0:25:22 > 0:25:24Zosia's just scrubbed in on the lung reduction.
0:25:24 > 0:25:25Lucky for some.
0:25:26 > 0:25:30Well, well, well. Sir Dennis hasn't been in the theatre in five years.
0:25:30 > 0:25:31Now, why do you think that is?
0:25:31 > 0:25:33- Sabbatical? - Yeah, but voluntary? Or forced?
0:25:33 > 0:25:37Careful. That bee in your bonnet's growing into a hornet.
0:25:37 > 0:25:38Ah, Ms Effanga?
0:25:38 > 0:25:40Sir Dennis.
0:25:40 > 0:25:42Jem Brown's ready for theatre.
0:25:42 > 0:25:45- You still want me to assist? - Of course.
0:25:45 > 0:25:46I couldn't do it without you.
0:25:49 > 0:25:51What?
0:25:51 > 0:25:54All right, OK. There's no bee, no hornets, no bonnet.
0:25:54 > 0:25:58You said it wasn't serious.
0:25:58 > 0:26:00You said she was going to be fine.
0:26:00 > 0:26:04Thomas, she made a mistake. Went off too soon.
0:26:04 > 0:26:07You know all about going off too soon!
0:26:07 > 0:26:10SHE CHUCKLES
0:26:10 > 0:26:11He'll be back.
0:26:11 > 0:26:13How do you know?
0:26:13 > 0:26:15Been with me 50 years.
0:26:15 > 0:26:17Not going to abandon me now.
0:26:17 > 0:26:18Morven!
0:26:20 > 0:26:22Excuse me.
0:26:25 > 0:26:28You were right. The ultrasound showed fluid in the abdomen.
0:26:28 > 0:26:32- Ascites?- Yep. So we've sent a sample off for infection testing.
0:26:32 > 0:26:33Is he...?
0:26:33 > 0:26:37He's fine. Grumpy, but he's fine.
0:26:37 > 0:26:38He wants to see you.
0:26:47 > 0:26:48Hey, Squirt.
0:26:50 > 0:26:51Here we are again.
0:26:53 > 0:26:55Arthur says you've been a bit grumpy.
0:26:55 > 0:26:58Arthur should let me stick a large needle into his stomach
0:26:58 > 0:27:01and then we'll see how cheery he is afterwards.
0:27:01 > 0:27:03They've got you on spironolactone.
0:27:03 > 0:27:06- Let me go and check the dosage for that.- Morven, stop.
0:27:06 > 0:27:09Arthur's taking care of me. You don't have to.
0:27:09 > 0:27:12Don't be ridiculous, Dad, of course I have to. It's my job.
0:27:12 > 0:27:14No, it's not.
0:27:14 > 0:27:17You're my daughter, not my doctor.
0:27:17 > 0:27:20And I don't want to spend what time we have left together
0:27:20 > 0:27:24with you feeling responsible for my treatment plans.
0:27:24 > 0:27:26What time we have left?
0:27:26 > 0:27:27You know what I mean.
0:27:27 > 0:27:31No. No, Dad. I don't know what do you mean.
0:27:34 > 0:27:36Why did you track Mum down?
0:27:36 > 0:27:39I told you - I felt that you needed to have a choice.
0:27:39 > 0:27:44Why now? Why not last year? Why not next year?
0:27:44 > 0:27:45You know...
0:27:50 > 0:27:52You didn't think there'd be a next year, did you?
0:27:52 > 0:27:56You have to deal with the way the world is, Morven,
0:27:56 > 0:28:00not the way you want it to be. This is how it is.
0:28:00 > 0:28:03Hope for the best and prepare for the worst.
0:28:05 > 0:28:07I'm preparing for the worst. So should you.
0:28:15 > 0:28:16I'm sorry, Mo.
0:28:16 > 0:28:19I had another chance to stand up for my beliefs, and...
0:28:22 > 0:28:23..yet here we are.
0:28:23 > 0:28:26Well, you can only do what's right for you.
0:28:26 > 0:28:28What's right for me?
0:28:28 > 0:28:30I went out to the "multi-faith room", as they call it.
0:28:30 > 0:28:32I wanted to pray.
0:28:32 > 0:28:33Did you find any comfort?
0:28:35 > 0:28:36I found nothing.
0:28:38 > 0:28:39I was empty.
0:28:41 > 0:28:42I mean, I'm a coward, Mo.
0:28:42 > 0:28:44You know, I used to be loved and respected
0:28:44 > 0:28:46because I was a man of principle.
0:28:46 > 0:28:48I mean, look at me now. I'm alone.
0:28:49 > 0:28:52Whatever happens in there, whatever the outcome,
0:28:52 > 0:28:54you're not alone.
0:28:57 > 0:29:00SIREN WAILS
0:29:00 > 0:29:03SHE BREATHES HEAVILY
0:29:03 > 0:29:07SHE YELLS
0:29:14 > 0:29:15Whoa!
0:29:15 > 0:29:19I'm sorry. I'm a bit...stressed.
0:29:19 > 0:29:20I noticed.
0:29:20 > 0:29:22What was all that about?
0:29:22 > 0:29:23I don't know.
0:29:25 > 0:29:28Look, Katherine isn't selfish. She's terrified.
0:29:28 > 0:29:30- She's responsible.- She's a kid.
0:29:30 > 0:29:34A messed-up, traumatised kid.
0:29:34 > 0:29:37This is her psychological assessment pre the gastric band being fitted.
0:29:44 > 0:29:47SHE SIGHS
0:29:47 > 0:29:48Morven?
0:29:49 > 0:29:51- Morven, are you OK?- Yeah...
0:29:51 > 0:29:54- I'm fine.- Why were you screaming?
0:29:54 > 0:29:55I was just, um...
0:29:57 > 0:29:59Where did you guys come from?
0:29:59 > 0:30:01And what were you doing?
0:30:01 > 0:30:03- Going for a walk... - Planning a pub quiz.
0:30:03 > 0:30:06- Planning a pub quiz... - Going for a walk.
0:30:06 > 0:30:08You guys are so busted!
0:30:08 > 0:30:09And in the peace garden?
0:30:25 > 0:30:27Everything all right, Sir Dennis?
0:30:28 > 0:30:30Is it hot in here?
0:30:35 > 0:30:36Damn.
0:30:36 > 0:30:39- Calcification.- It's everywhere.
0:30:39 > 0:30:40It was to be expected.
0:30:40 > 0:30:42Not to this extent.
0:30:42 > 0:30:44I can't even put a cannula in for bypass.
0:30:46 > 0:30:48I...
0:30:48 > 0:30:49I'm going to have to close.
0:30:49 > 0:30:53- What?- There's nothing I can do. I can't access the aortic valve.
0:30:53 > 0:30:55Well, surely doing nothing isn't an option?
0:30:55 > 0:30:57We need...another pathway.
0:30:57 > 0:30:59Yeah, a transapical TAVI.
0:31:00 > 0:31:04We can feed the guide wire through the left ventricular apex.
0:31:04 > 0:31:06Could you prepare a purse string, please?
0:31:06 > 0:31:09And the heightened risk of stroke, a pacemaker?
0:31:09 > 0:31:11Acceptable risks under the circumstances.
0:31:17 > 0:31:19Show me what you've got, Ms Effanga.
0:31:21 > 0:31:25OK, going to need a balloon catheter and a C arm, please.
0:31:25 > 0:31:29Summon any F1s and F2s that are not otherwise engaged.
0:31:29 > 0:31:31This is an excellent teaching opportunity.
0:31:40 > 0:31:43My dad thinks we need to prepare for the worst.
0:31:43 > 0:31:46That's a bit dramatic.
0:31:46 > 0:31:47Maybe.
0:31:49 > 0:31:52But it certainly focuses things.
0:31:56 > 0:31:59The last few months, I've been...
0:31:59 > 0:32:01all over the place.
0:32:01 > 0:32:03I need to focus now.
0:32:05 > 0:32:06See the world how it really is.
0:32:09 > 0:32:11I need to be with my dad.
0:32:12 > 0:32:15- I need to focus on him.- Of course.
0:32:15 > 0:32:17And I'm going to be there with you.
0:32:17 > 0:32:19No, Arthur. You won't.
0:32:20 > 0:32:22It's not fair on you.
0:32:26 > 0:32:28Morven?
0:32:30 > 0:32:32Are you breaking up with me?
0:32:33 > 0:32:35Dr Shreve?
0:32:35 > 0:32:36Time for theatre.
0:32:40 > 0:32:41Morven?
0:32:42 > 0:32:44I'm sorry, Arthur.
0:32:55 > 0:32:56Katherine, I'm sorry.
0:32:57 > 0:33:03I didn't comprehend what you must have gone through to feel this way.
0:33:03 > 0:33:07I was 116 kilos when I got the gastric band fitted.
0:33:07 > 0:33:10I was nearly 30 kilos by the age of five.
0:33:10 > 0:33:14First year of secondary school I was a size 16.
0:33:15 > 0:33:17You heard the one about Katherine?
0:33:17 > 0:33:21Katherine's so fat that she left the house in high heels
0:33:21 > 0:33:23and when she came back she had on flip-flops.
0:33:23 > 0:33:25Katherine's so fat
0:33:25 > 0:33:29she sat on an smartphone and turned it into an tablet.
0:33:29 > 0:33:30Katherine is so fat...
0:33:30 > 0:33:33Katherine, stop.
0:33:33 > 0:33:38But then I got the band, and everything changed.
0:33:38 > 0:33:40Friends. Boys.
0:33:40 > 0:33:41Sex.
0:33:41 > 0:33:46For the first time in my life, I had a life.
0:33:46 > 0:33:49I'm sorry. You're right.
0:33:51 > 0:33:54I'm supposed to be strong. But I'm not.
0:33:55 > 0:33:58You're stronger than you think you are.
0:34:00 > 0:34:01Look...
0:34:02 > 0:34:06I promise that I will do everything I can to help.
0:34:08 > 0:34:12The band has to come out. It's not just about the baby.
0:34:12 > 0:34:17If it stays in, your life and the baby's are in danger.
0:34:19 > 0:34:22Please, let me help you.
0:34:32 > 0:34:33Antibiotics given?
0:34:37 > 0:34:39You ready?
0:34:39 > 0:34:41Maybe I should sit this one out.
0:34:41 > 0:34:43And why on earth would you do that?
0:34:43 > 0:34:48First my husband skives off and now my doctor's bailing out as well!
0:34:48 > 0:34:50Your husband's right here.
0:34:50 > 0:34:53Thomas... What is this?
0:34:53 > 0:34:56Your anniversary present. All expenses paid.
0:34:56 > 0:34:58Let's see Samuel Sanders top that!
0:34:58 > 0:35:02There's nothing going on between Samuel Sanders and me,
0:35:02 > 0:35:03you great plonker.
0:35:05 > 0:35:08I sent those flowers to myself.
0:35:08 > 0:35:10Why would you do a daft thing like that?
0:35:10 > 0:35:14Why do you think? To get a rise out of you.
0:35:15 > 0:35:17In more ways than one.
0:35:18 > 0:35:20- Silly old sausage.- Oh...
0:35:23 > 0:35:25Take care of her.
0:35:25 > 0:35:26Dr Shreve?
0:35:28 > 0:35:29We will.
0:35:41 > 0:35:44I just want you to know that I'm going to have footage of that
0:35:44 > 0:35:47- sent to every teaching hospital in the country.- Thanks.
0:35:49 > 0:35:53So when was the last time you performed a transapical TAVI?
0:35:53 > 0:35:56A year ago, at a hospital in upstate New York.
0:35:56 > 0:36:00No calcification, though. Not a patch on what you did.
0:36:00 > 0:36:03New York? Thought you'd been focusing on research for some time.
0:36:06 > 0:36:08Like a dog with a bone, aren't you?
0:36:08 > 0:36:11From aggressive stock.
0:36:11 > 0:36:14Used wisely, that's a good trait to have.
0:36:19 > 0:36:22We've got faecal peritonitis because of the perforation.
0:36:22 > 0:36:26We need to resect the damaged bowel. Let's wash it out, Dr Shreve.
0:36:26 > 0:36:28What about the aneurysm?
0:36:28 > 0:36:31We can't risk operating on it, due to the infection.
0:36:31 > 0:36:32Suction, please.
0:36:36 > 0:36:39Is everything all right with you and Dr Digby?
0:36:41 > 0:36:45You were right. About being either a doctor or a patient relative.
0:36:46 > 0:36:50I'm going to ask Serena for some time off. I need to be with my dad.
0:36:50 > 0:36:52I need to focus on him now.
0:36:53 > 0:36:55Where does Arthur fit into all this?
0:36:55 > 0:36:56He doesn't.
0:36:58 > 0:36:59It's not fair on him.
0:36:59 > 0:37:01If you feel you need to look after your father,
0:37:01 > 0:37:03that's what you should do.
0:37:03 > 0:37:06But I don't see why you have to do it alone. Swabs.
0:37:27 > 0:37:30SHE SIGHS
0:38:03 > 0:38:08- AUTOMATED VOICE:- 'The number you have dialled is not in use. Please check the number and dial again.'
0:38:13 > 0:38:15'The number you have dialled is not in use.
0:38:15 > 0:38:17'Please check the number and dial again.'
0:38:18 > 0:38:20They're ready for us in theatre.
0:38:29 > 0:38:32JESSE'S VOICE ECHOES: Mr Griffin?
0:38:32 > 0:38:34Mr Griffin!
0:38:34 > 0:38:36Mr Griffin?
0:38:37 > 0:38:40Let's just focus on Katherine.
0:38:40 > 0:38:41Her necrosis is everywhere.
0:38:41 > 0:38:45Is there enough to perform a partial gastrectomy?
0:38:45 > 0:38:46All right.
0:38:46 > 0:38:49Let's get rid of this band. Scissors!
0:38:49 > 0:38:51Now, once I've removed the lower part of the stomach,
0:38:51 > 0:38:53I'm going to need you to close off the duodenum.
0:38:53 > 0:38:56You're going to need to oversew the duodenal stump. Are you up for that?
0:38:56 > 0:38:59- Yeah.- Good, because we can't afford to risk a stump blow-out.
0:38:59 > 0:39:01MONITOR BEEPS
0:39:01 > 0:39:02BP crashing.
0:39:04 > 0:39:05Is she bleeding?
0:39:10 > 0:39:12There's a tear in the superior mesenteric vein.
0:39:12 > 0:39:13Press on that swab.
0:39:13 > 0:39:15Liga clip, please. Thank you.
0:39:17 > 0:39:18OK.
0:39:19 > 0:39:21MORE BEEPING
0:39:23 > 0:39:25Should have stopped bleeding.
0:39:25 > 0:39:26BP's still falling.
0:39:28 > 0:39:30Come on.
0:39:31 > 0:39:32Come back.
0:39:34 > 0:39:36Come back, Jess...
0:39:36 > 0:39:37What?
0:39:42 > 0:39:44BP's rising.
0:39:44 > 0:39:46BEEPING STABILISES
0:39:46 > 0:39:48She's back.
0:39:48 > 0:39:51OK. Let's get to work.
0:39:58 > 0:40:00It's so sad.
0:40:01 > 0:40:02Excuse me?
0:40:02 > 0:40:06We've progressed so far in science, medicine,
0:40:06 > 0:40:09the understanding of our world, and there are still so many people
0:40:09 > 0:40:15who remain slaves to basic primitive belief systems.
0:40:16 > 0:40:18Maybe he can escape it.
0:40:19 > 0:40:21I fear for his children, though.
0:40:24 > 0:40:25How dare you?!
0:40:25 > 0:40:27I'm sorry?
0:40:27 > 0:40:30Where do you get off? What gives you the right to be so judgmental?
0:40:30 > 0:40:32- Mo... - That man put his life in your hands
0:40:32 > 0:40:34and you treat that responsibility with contempt?
0:40:34 > 0:40:36I don't know what you're talking about.
0:40:36 > 0:40:38You were ready to leave that man on the table untreated.
0:40:38 > 0:40:39Now, what I want to know is,
0:40:39 > 0:40:42was that incompetence or just plain indifference?
0:40:42 > 0:40:44That is enough!
0:40:44 > 0:40:45My office, now, both of you.
0:40:49 > 0:40:52Thomas, this gown is so uncomfortable.
0:40:52 > 0:40:56Hasn't the National Health Service heard of silk?
0:40:56 > 0:40:58What is this device thing doing on my finger?
0:40:58 > 0:41:01No, no. You must leave it on.
0:41:01 > 0:41:05Mr and Mrs Bell Humphries... An update.
0:41:05 > 0:41:08While the surgery to the bowel was a perfect success,
0:41:08 > 0:41:12the infection was too bad to risk repairing the aneurysm.
0:41:12 > 0:41:15- It's still in there?- Yes, indeed.
0:41:15 > 0:41:17And could burst at any time?
0:41:17 > 0:41:19Well, we're monitoring.
0:41:19 > 0:41:21As soon as the infection is under control,
0:41:21 > 0:41:23then we can repair the aneurysm.
0:41:23 > 0:41:26With the Sword of Damocles hanging over my wife's head?
0:41:26 > 0:41:30Enough is enough, Thomas. It is what it is.
0:41:30 > 0:41:32I don't want to lose you.
0:41:32 > 0:41:38You won't lose me, Thomas. I'll be there, chit-chattering away.
0:41:38 > 0:41:40I never stopped loving you.
0:41:41 > 0:41:42Nor I you, Thomas.
0:41:45 > 0:41:46Oh, what a pair.
0:41:52 > 0:41:56I shouldn't have lost my temper on the ward and I apologise.
0:41:56 > 0:41:59But I was under severe provocation.
0:41:59 > 0:42:00What's this about, Mo?
0:42:00 > 0:42:02Where to start?
0:42:03 > 0:42:07His reluctance to take on board any of my opinions, and at the same time
0:42:07 > 0:42:11elevating junior doctors, Dr March and Mr Valentine,
0:42:11 > 0:42:14to responsibilities and procedures way above their levels.
0:42:14 > 0:42:19Mo, if you feel I've slighted you in any way, I can only apologise
0:42:19 > 0:42:21and assure you it was not intentional.
0:42:21 > 0:42:23It's not just about me.
0:42:23 > 0:42:25It's a matter of competence.
0:42:25 > 0:42:28Competence? You think I can't handle myself in theatre?
0:42:28 > 0:42:30I have concerns, yeah.
0:42:31 > 0:42:32You froze today.
0:42:32 > 0:42:34I hesitated.
0:42:34 > 0:42:37When you suggested a course of action, I backed you immediately.
0:42:37 > 0:42:38You froze.
0:42:41 > 0:42:44Sir Dennis hasn't operated in five years.
0:42:44 > 0:42:47When I asked, he lied about it.
0:42:47 > 0:42:49He needs to account for that.
0:42:51 > 0:42:52Dennis?
0:42:57 > 0:42:58This is my fault.
0:42:59 > 0:43:04Mo is correct. I haven't performed surgery for five years.
0:43:05 > 0:43:07But not for reasons of inability.
0:43:11 > 0:43:14My son died, five years ago.
0:43:16 > 0:43:17I took it very hard.
0:43:17 > 0:43:19He was our only child.
0:43:22 > 0:43:24There was nothing I could do.
0:43:31 > 0:43:34My family and I decided that it would be best
0:43:34 > 0:43:36if I took a sabbatical.
0:43:36 > 0:43:38It wasn't until your call came, Jac,
0:43:38 > 0:43:41that I felt ready to return to the coalface.
0:43:45 > 0:43:47I apologise for lying to you.
0:43:48 > 0:43:50I'm so sorry.
0:43:50 > 0:43:51You weren't to know.
0:43:52 > 0:43:55But we have a situation now.
0:43:55 > 0:44:00If you don't feel you can work with me, I must offer my resignation.
0:44:00 > 0:44:02I don't think that will be necessary.
0:44:02 > 0:44:03Mo?
0:44:05 > 0:44:07No. No, of course not.
0:44:09 > 0:44:11Start over?
0:44:15 > 0:44:16Start over.
0:44:31 > 0:44:32ALARM BEEPS
0:44:34 > 0:44:37SHE WHEEZES
0:44:39 > 0:44:41Excuse me! Sorry!
0:44:41 > 0:44:43Cheers, thank you.
0:44:43 > 0:44:45Belinda? What's happening to her?
0:44:45 > 0:44:47Her aneurysm is leaking.
0:44:47 > 0:44:49- Why aren't they taking her to theatre?- They will.
0:44:49 > 0:44:52But she's gone into cardiac arrest,
0:44:52 > 0:44:54so they need to resuscitate her first.
0:44:54 > 0:44:55Starting compressions.
0:44:55 > 0:44:56I want to see her.
0:44:56 > 0:44:59We need to let them get on with their work.
0:44:59 > 0:45:02I can't lose her now. I'm not ready.
0:45:02 > 0:45:04Charging. Stand clear.
0:45:04 > 0:45:06Shocking.
0:45:06 > 0:45:08No output. Restarting compressions.
0:45:08 > 0:45:11Come back to me, Belinda, come back.
0:45:11 > 0:45:13Charging. Stand clear.
0:45:13 > 0:45:14Shocking.
0:45:14 > 0:45:17No output. Restarting compressions.
0:45:17 > 0:45:21Charging. Stand clear. Shocking.
0:45:21 > 0:45:23DEFIBRILLATOR THUMPS
0:45:23 > 0:45:25Very nice work in there, Mr Law.
0:45:25 > 0:45:28Thank you. Got a bit hairy, though, didn't it?
0:45:28 > 0:45:30Was touch and go for a while.
0:45:30 > 0:45:32Comes with the territory.
0:45:39 > 0:45:40So...
0:45:41 > 0:45:43Who's Jess?
0:45:43 > 0:45:45What?
0:45:45 > 0:45:50- Why?- Well, at one point in there you called Katherine Jess.
0:45:50 > 0:45:52I mean, I thought you were talking to me at first
0:45:52 > 0:45:55but no, it was definitely Katherine you were talking to.
0:45:55 > 0:45:58Jess is my daughter.
0:45:58 > 0:46:02She called earlier today and I missed it.
0:46:02 > 0:46:05But you can call her back, though, right?
0:46:05 > 0:46:07I did. I left a message.
0:46:07 > 0:46:10But when I tried again, her phone was dead.
0:46:10 > 0:46:14You think she's in some sort of trouble?
0:46:14 > 0:46:15Maybe.
0:46:15 > 0:46:19But it's more likely that she gave me one chance to be there,
0:46:19 > 0:46:23to answer the phone, and when I didn't...
0:46:23 > 0:46:27She wouldn't cut off all contact, would she?
0:46:27 > 0:46:31Last time I saw her, we fell out. Pretty badly.
0:46:32 > 0:46:35I said some things that I deeply regret.
0:46:39 > 0:46:41Mr Law...
0:46:41 > 0:46:44Jesse, I would greatly appreciate it...
0:46:44 > 0:46:46No worries, chief.
0:46:46 > 0:46:50Look, what happens in the scrub room stays in the scrub room. Yeah?
0:46:56 > 0:47:00There will, of course, be a postmortem, but my guess is
0:47:00 > 0:47:04that the aneurysm ruptured, causing your wife to lose a lot of blood.
0:47:04 > 0:47:08Without enough blood in her system, then her heart would have stopped.
0:47:09 > 0:47:13If my foot hadn't slipped on the accelerator...
0:47:13 > 0:47:16Then we wouldn't have known about the aneurysm at all.
0:47:16 > 0:47:18Until it was too late.
0:47:18 > 0:47:19It WAS too late.
0:47:21 > 0:47:23I'm sorry.
0:47:28 > 0:47:31Oh, my poor darling.
0:47:32 > 0:47:33Excuse me.
0:47:42 > 0:47:44- AUTOMATED VOICE:- 'The number you have dialled is not in use.
0:47:44 > 0:47:47'Please check the number and dial again.'
0:47:55 > 0:47:59'The number you have dialled is not in use. Please check the number and dial again.'
0:48:15 > 0:48:18SHE SOBS
0:48:20 > 0:48:22Hello?
0:48:30 > 0:48:32I know you're in there.
0:48:33 > 0:48:35Please open the door.
0:48:38 > 0:48:40I understand that you're shutting me out.
0:48:40 > 0:48:42What I don't understand is why.
0:48:44 > 0:48:46Everyone leaves.
0:48:47 > 0:48:49- Leaves what?- Me.
0:48:49 > 0:48:51My mum abandoned me.
0:48:53 > 0:48:56My grandmother, who practically raised me, died,
0:48:56 > 0:48:58and now my dad.
0:49:01 > 0:49:03Everyone leaves me.
0:49:04 > 0:49:06But I won't. Ever.
0:49:06 > 0:49:08How can you know that?
0:49:10 > 0:49:12This is what I know.
0:49:12 > 0:49:13I love you.
0:49:14 > 0:49:17And I know that today has been really hard
0:49:17 > 0:49:20and that you're worried about your father
0:49:20 > 0:49:22and that my cancer scare rattled you.
0:49:22 > 0:49:25It was more than a scare, Arthur. It was real!
0:49:25 > 0:49:27And it's been dealt with.
0:49:27 > 0:49:30I'm not leaving you.
0:49:30 > 0:49:32And I'm not letting you push me away.
0:49:32 > 0:49:34So if you want to break up with me
0:49:34 > 0:49:36then you're going to have to do it properly.
0:49:36 > 0:49:38You're going to have to come out here and...
0:49:38 > 0:49:40let's have a fight about it. Come on!
0:50:01 > 0:50:03So Sir Dennis is going to stop giving us procedures
0:50:03 > 0:50:06which are "outside of our comfort zones".
0:50:06 > 0:50:07Thanks for that, Mo.
0:50:07 > 0:50:10We know losing out on the consultancy was a blow.
0:50:10 > 0:50:13We supported you, remember? We still do.
0:50:13 > 0:50:16But don't bring us into whatever this is with Sir Dennis.
0:50:16 > 0:50:18Please. You don't speak for us.
0:50:26 > 0:50:28Go on. Give it to me. I deserve it.
0:50:28 > 0:50:31I just thought you ought to know, Jac called me in.
0:50:31 > 0:50:33I've been made Research Fellow.
0:50:35 > 0:50:36I'm sorry.
0:50:36 > 0:50:38Don't be. I brought it all on myself.
0:50:51 > 0:50:55We'll need to feed you intravenously for the next five days
0:50:55 > 0:50:56while you heal.
0:50:58 > 0:51:00You removed part of my stomach?
0:51:00 > 0:51:02Effectively, yes.
0:51:02 > 0:51:06You won't be able to have another band. But then...
0:51:06 > 0:51:08you won't need to either.
0:51:09 > 0:51:12Be careful what you wish for.
0:51:12 > 0:51:16The new reality will be difficult
0:51:16 > 0:51:19but your body will adjust eventually.
0:51:19 > 0:51:20And so will your mind.
0:51:22 > 0:51:23The baby?
0:51:23 > 0:51:24Fine. Strong.
0:51:26 > 0:51:27Like its mother.
0:51:33 > 0:51:35Goodbye, Katherine.
0:51:43 > 0:51:44You...
0:51:46 > 0:51:49You saved my life, Mo Effanga.
0:51:51 > 0:51:54Respected my faith without judgment.
0:51:57 > 0:51:59I don't come across people like you too often.
0:52:04 > 0:52:07Thank you. Thank you.
0:52:07 > 0:52:09No biggie.
0:52:09 > 0:52:11It's the reason why we do this job.
0:52:13 > 0:52:15Looks like I've got a lot of thinking to do.
0:52:18 > 0:52:19Just follow your heart.
0:52:22 > 0:52:24The creatinine levels have stabilised
0:52:24 > 0:52:26but we do need to deal with the fact
0:52:26 > 0:52:28that your renal function is going to deteriorate from now on.
0:52:28 > 0:52:31I've been through all of this with Arthur already.
0:52:31 > 0:52:33I know. But I just...
0:52:33 > 0:52:35But you want to look after me.
0:52:35 > 0:52:37Well, no, thank you very much.
0:52:37 > 0:52:40I've hired a full-time nurse for that job.
0:52:40 > 0:52:42- Dad...- No, Squirt.
0:52:42 > 0:52:44You've got your own life to live.
0:52:45 > 0:52:47What are you going to do with that?
0:52:58 > 0:52:59I know who I am.
0:53:05 > 0:53:06And I know what I want.
0:53:32 > 0:53:33What's the game?
0:53:33 > 0:53:35Patience.
0:53:35 > 0:53:36Never been very good at that one.
0:53:36 > 0:53:39I heard about Mr Valentine. I'm sorry.
0:53:39 > 0:53:41I wanted you to know it wasn't my decision.
0:53:41 > 0:53:43It wasn't a hard one for Jac to make.
0:53:45 > 0:53:47We will get past this, Mo.
0:53:48 > 0:53:50Yeah.
0:53:50 > 0:53:51"Aggressive stock".
0:53:53 > 0:53:56What did you mean when you said that?
0:53:56 > 0:53:57It's just an observation.
0:53:57 > 0:54:00But would you use it to describe, say, Valentine?
0:54:00 > 0:54:03I mean, he's a passionate bloke. Is that aggression?
0:54:03 > 0:54:05Or Zosia?
0:54:05 > 0:54:08Or how about Hanssen? I mean, he comes from Vikings.
0:54:08 > 0:54:11Is that what you'd call "aggressive stock"
0:54:11 > 0:54:15or is it an expression that you reserve for people like me?
0:54:15 > 0:54:19If you want to say something, Mo, make some sort of accusation,
0:54:19 > 0:54:23come right out and say it. Or do you prefer insinuation?
0:54:23 > 0:54:25I could ask the same of you, Sir Dennis.
0:54:27 > 0:54:29You know the trick to patience?
0:54:30 > 0:54:34If at first you don't succeed, try, try and try again.
0:54:35 > 0:54:40HE HUMS "RIDE OF THE VALKYRIES"
0:54:47 > 0:54:49DOOR OPENS
0:54:55 > 0:54:57Is everything OK?
0:54:57 > 0:55:00I just got called to see Mr Hanssen.
0:55:00 > 0:55:02I'm being transferred to AAU.
0:55:03 > 0:55:05That's great. Perfect fit.
0:55:08 > 0:55:09Your recommendation?
0:55:09 > 0:55:14I just told Mr Hanssen that you were cool under pressure,
0:55:14 > 0:55:16naturally empathetic
0:55:16 > 0:55:18and very inquisitive.
0:55:18 > 0:55:21These are qualities which will serve you well on AAU.
0:55:21 > 0:55:23But not appreciated here?
0:55:23 > 0:55:26Appreciated, just unnecessary.
0:55:31 > 0:55:33Right, well...
0:55:33 > 0:55:37Thank you. I suppose.
0:55:37 > 0:55:38You're welcome.
0:55:46 > 0:55:47DOOR CLOSES
0:56:07 > 0:56:09OK, so watching the step...
0:56:09 > 0:56:10Ow!
0:56:10 > 0:56:12- I just told you!- I know!
0:56:13 > 0:56:16OK... So I was going to throw you a big surprise party in Albies
0:56:16 > 0:56:19and that's kind of why I was being a bit shifty this morning
0:56:19 > 0:56:22- with Dom and Zosia... - Stop, stop, stop! Don't ruin it.
0:56:22 > 0:56:24OK. Have a seat.
0:56:24 > 0:56:26- Is there one there?- No.
0:56:26 > 0:56:28THEY LAUGH
0:56:28 > 0:56:30OK, you can open your eyes.
0:56:33 > 0:56:37I just thought after today, you might not want a big fuss.
0:56:38 > 0:56:39Also, I do hate parties.
0:56:43 > 0:56:44Happy birthday.
0:56:48 > 0:56:49It's perfect.
0:56:50 > 0:56:52You're perfect.
0:56:52 > 0:56:54Well, I have my moments.
0:56:54 > 0:56:55Marry me.
0:56:57 > 0:56:58Huh?
0:57:00 > 0:57:03I love you and I don't want to waste another second.
0:57:05 > 0:57:08I love you and I want to marry you.
0:57:13 > 0:57:14What do you say?
0:57:16 > 0:57:19Uh...
0:57:19 > 0:57:20I say...
0:57:21 > 0:57:23..yes.
0:57:23 > 0:57:24Really?
0:57:27 > 0:57:29- Really?- No. Yes!
0:57:29 > 0:57:30THEY LAUGH