Who You Are Holby City

-He was a good dad to you?

-Better than my mother. She walked out when I was eight.

-I trust Morven's instincts.

-I don't need a lecture, Mr Shreve.

-Sir Dennis Hopkins-Clarke.

-THE Hopkins-Clarke?

Who trained Jac Naylor?

So the old boy network strikes again.

So your refusal to entertain viewpoints other than your own

can verge on paranoia at times.

Sir Dennis was very impressed with your work in theatre -

-we both think you should be involved.

-But I thought...

You jumped to conclusions -

assumed that you'd been deliberately sidelined.

Are you asking me to properly be on board?

I mean, obviously we were both terrified -

-didn't know what to do.

-I was not terrified.

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

Ric's had a hard time with it lately.

We can confirm that you have end-stage liver disease.

You will look after him, won't you?

Come on.

SHE EXHALES Right, that should be everything,

except for the odd stray sock or pair of knickers.

Well, don't worry. I'll send them on to you as and when, so...

Thank you for letting me stay.

Erm, it feels like it's been forever...

Hardly been forever,

though, obviously, you have been here every night this week,

and most of last week as well but...

What he means to say is it's been a pleasure.

-Breakfast?

-No, it's OK. I'm actually meeting my dad.

It's kind of an anniversary-type thing.

Really? What kind of anniversary...?

Well, do say hi to Austin for me,

erm, and I'll see you tonight, yeah?

Help you drop off your stuff at Cara's.

Bye!

-DOOR SLAMS

-Worst poker-faces ever.

You with your sly little hints and leading questions,

and you look like some kind of spaniel

-who's about to do a massive poo.

-I'm not very good with secrets.

Then, why do it, then?

Because it's Morven's 25th birthday,

and it's going to be special.

I said "special"!

You're jealous.

I am? Of what?

Because I have been hand-picked

by none other than Sir Dennis Hopkins-Clarke

to be part of his and Naylor's research team.

Hand-picked by the very guy who pipped you to the consultant's post?

Yeah, yeah, but he won that fair and square.

You know, I'm not one for obsessing about missed opportunities or

being paranoid about professional disagreements.

This is a whole new you.

You know, I'm going to be a professor before long.

Nobel Laureate Effanga...

Hmm, well, if I am 100% honest, I am a bit jealous...

Told you.

Although, if it was me being made

Research Fellow to the high and mighty,

I'd want to at least make sure I was on time.

-What? Sir Dennis is here?

-Oh, yes, been holed up with Jac since 7am.

-You didn't get the memo?

-No.

Oh, I'm sure it was just an oversight.

There's been some really exciting new breakthroughs

in stem cell treatment in some types of liver disease.

I sent through a request for information about trials

but, in the meantime, I've got some data that you can have a look at...

Morven, stop.

It's not about me.

How are you?

Well, erm... I'm moving to a new place today.

With Arthur?

No, Dad, not with Arthur.

Don't give yourself an aneurysm, please.

-Although, I wouldn't mind you moving in with Arthur.

-Why?

What makes Arthur so different from every other boyfriend I've ever had?

He makes you smile.

Hmm, well, that's a bit of a moot point, actually.

-He forgot that it's my birthday today so...

-Did you tell him?

Dad, he's my boyfriend.

He's supposed to know when my birthday is.

Erm, talking of which, I take it that's for me?

I thought long and hard about bringing this.

Why? What is it?

In that envelope is an address, her recent photograph,

and the name that your mother now lives by.

Happy Birthday, Squirt.

LAUGHTER

Knock-knock.

What's the craic?

I was just giving Jac some good news.

Sir Dennis had dinner with Malcolm Bartlett last night.

THE Malcolm Bartlett? Cool.

You don't know who that is, do you?

No.

Malcolm is a senior member of

the Medicines & Healthcare Products Regulatory Agency.

And, as of last night,

-he's very amenable to an application for our little project.

-Oh.

It's not what you know - it's who you know.

Yeah, but "what you know" certainly helps!

Indeed.

Speaking of which - I think it's best if I get back on to the wards.

-I'll join you.

-Of course.

You weren't thinking of stopping by the kitchen, by any chance?

I wasn't, but I can.

Tea?

You're a treasure.

Milk, no sugar, and a biscuit wouldn't come amiss.

Digestives?

Surprise me.

Please, don't be angry...

After all this time, Dad, why?

What were you thinking?

That she's your mother.

I don't know her.

You never had a choice. She didn't give you one.

She left. We coped. We had to.

But I always thought that you should have the chance of finding her -

getting to know her.

This is you having that choice now, Morven.

I'm going to be late.

Morven...

-Morven.

-HE SIGHS

And, the next thing I know, this lioness has her paws up on

the Jeep's bonnet, and is roaring at me

through a millimetre-thick window.

So what did you do?

What do you do with any young woman

who you've made incandescent with rage, Mr Valentine?

I scarpered!

Sir Dennis, your tea and biscuits...

Oh, erm, at the nurses' station, please.

Can't have food and drink around the patients.

Really?

Oh, yeah.

Yeah, it's a lovely country, Zimbabwe. Lovely people.

But you have to watch the native fauna,

especially the females - they have teeth.

Ah, Mo, I'd like you to meet Jem Browne.

Jem has a history of aortic stenosis.

-Hi.

-Hi.

Jem's left ventricle has thickened, enlarged and weakened significantly.

On the plus, I have maintained my stiff upper lip -

as Dennis well knows, that's half the battle, eh?

So. could you start prepping Mr Browne?

Erm, surely a nurse can do that?

I'd very much like for you to join me in theatre.

Yeah, I would be honoured.

I'll go and get the checklist

-and then we'll start getting you prepped.

-Thanks.

Ah, Dr Shreve. Bit late, aren't you?

-I'm so sorry I'm late, Mr Di Lucca.

-This is Belinda Bell Humphries.

Trauma injury to the abdomen, caused by a falling pergola.

It was a Hendon walk-through, actually...

What's the difference?

If one's going to have a garden feature fall,

then one wants to have a high-quality wood finish.

ED have run all the usual tests, which have come back normal.

However, there are concerns that

internal injuries have been sustained.

-OK, Ms Bell Humphries...

-Mrs!

50 years married!

Not prepared to give up that honorific just yet.

OK, Mrs Bell Humphries, we're going to need a CT scan, just...

I'm not going anywhere.

As I told Chuckles here -

I am not going anywhere until I see my Thomas.

Thomas?

Thomas Bell Humphries Esquire -

the light of my life, the love of my heart,

faithful, devoted husband for 52 years.

He was taken into the ED too,

but no-one seems to know where he is now.

Look, Fletch is on it but, in the meantime, can I leave this with you?

Look, is this my punishment for being late?

Yep. Look, find the husband or find a way to get her to have that scan.

Then you will be back in my good books.

Find my husband or...

I shall not... I shall not be moved!

Aw, these are cute.

Yeah, they belong to my girls.

How old are they?

Tessa's ten, and Jennifer...

Jennifer will be eight in a couple of weeks.

Did they give you those for good luck?

Yes, they did.

Yes, they did...

My wife, she... She calls them my mementos.

Mementos? What, is she not expecting you to come back?

She's pretty certain of it.

Well, let me assure you that Sir Dennis is a fine surgeon

-and the procedure...

-But there's a strong chance that I might

need a blood transfusion during my surgery.

I've accepted that, but my wife cannot.

You're a Jehovah's Witness.

That's me, but perhaps not for much longer, right?

No luck?

Not yet, but we really need to get you to that CT scanner.

Not till I look him in the eye!

-I found your husband.

-Oh!

Yeah, the ED was flat out so they moved him to Orthopaedics.

He's fine, apart from a hairline fracture,

which they are putting in a cast as we speak.

See? All's well that ends well. Now, can we...?

He's not here.

He will be when you get back. I'll see to it personally.

-Do you promise?

-Cross my heart and hope to die.

I will hold you to that.

How does a pergola fall on you, anyhow?

Thomas drove his ride-on lawnmower straight into it, in a fit of rage.

To be fair...

50 years of marriage

and it's the first time my husband's actually tried to kill me!

Oh, yahoo!

-Oh.

-Well, takes all sorts.

-Mm-hmm.

How'd you end up with that one?

Well, it's a punishment for being late.

Anyway, I'd better get to Ortho to check for our wife murderer.

Hey, Squirt...

Right, this is from HR.

It's a proposed psychological evaluation for new staff.

And, apparently, I am a Dominant D-type task-oriented personality,

with a borderline obsessive work compulsion, possibly driven

by an underlying desire to satisfy personal needs and appetites.

But, lucky for you, I am a passive, people-oriented personality

who is highly suggestible.

I've got a suggestion for you...

Excuse me.

Mr Griffin. Great. Have you got a minute?

I've got an interesting case I could do with your expertise on.

I'm a little busy at the moment. Ms Wolfe should be available.

Yes, she's gone for her staff induction.

Well, Mr Levy was just in here...

He's heading to surgery.

-Dr Digby...

-He's got an emergency on AAU,

and if you suggest Dr Copeland,

I'm going to start thinking this is personal.

"Interesting", you say?

Katherine Rice, 22, admitted with abdominal pain,

difficulty swallowing and repeated retching.

-Bile?

-No, just saliva at the moment.

She was fitted with a gastric band 18 months ago.

I'm thinking the band might have slipped.

I'm thinking you're probably right,

but I'm wondering just what you think is

so "interesting" about a gastric band slip?

-What's the Wi-Fi code?

-Excuse me?

Wi-Fi code.

You know, internet.

I'd use my 4G but the reception in here is terrible.

Oh, well, my sympathies,

but Mr Law tells me that you have abdominal pains,

difficulty swallowing, and retching up saliva...

Amongst other things.

..and that you're fitted with a gastric band.

You're not making me sound very attractive.

It's probable that the band has slipped

but we won't know for sure until we do an X-ray.

Will that take long? I'm on a promise...

It'll take as long as it takes.

Erm, I think it's a bit more complicated than that.

Ms Rice here is 27 weeks pregnant.

Well, in that case, I should inform you know that there is

a chance of slight risk to the baby...

Whatever it takes to stop me hurking up spit, big man.

All right, FBC, U&Es, and arterial blood gases,

and better call Obs & Gynae to check on the baby

once the X-ray's done.

Sure thing.

PHONE RINGS

PHONE BEEPS

Temperature's 38.5. Abdomen's tender and slightly enlarged...

It's ascites. You'll have to do an ascitic tap immediately.

He's had it before so...

Slow down, OK? You're already two steps ahead.

I'm going to run the tests, diagnose and then going to treat him. OK?

But we're wasting time. Look, we know what it is.

We know what it must be...

Arthur's agreed to stay on AAU today to take personal care of your dad.

Perhaps you should take the rest of the day.

-I'm sure Serena would understand.

-Why?

Being a doctor and being a patient relative -

those two things aren't always compatible...

No, it's fine, Mr Di Lucca. I'd rather keep busy. Thank you.

Keeping busy isn't the problem -

it's keeping focused that can be a bit harder.

I'll be fine.

I found him in reception.

Is everything all right between you two?

Breakfast went OK?

Yeah, it was great, actually. Yeah. Why?

It's just that I spoke to him before he collapsed,

and he seemed a little bit...wan.

"Wan"?

Yeah, wan. Yes, it means sad. Melancholy.

He's got liver disease, Arthur.

What do you expect?

Just keep me in the loop, yeah?

Of course, absolutely.

I was planning on doing a robotic mitral valve surgery.

Hmm, I can see no reason not to.

Well, great. Well, I've got a slot free at 4 o'clock if you're free?

I'm not, actually, but I see no reason why that should stop you.

You want me to fly solo?

I have every confidence in you, Mr Valentine,

and, if you get into trouble,

-I'm always at the end of my pager.

-Thank you.

A robotic mitral valve, at his level?

I would have killed for that kind of opportunity.

Times change.

Yes, speaking of opportunities,

I've been reviewing Jem Brown's treatment plan...

Reviewing how, exactly?

Well, in light of his religious beliefs.

-He's a Jehovah's Witness.

-I'm aware of that.

Right, it's just that, well...

an aortic valve replacement has a high associated risk

of bleeding during surgery.

And your point being?

Well, if that happens, then he'll need to be transfused,

and you know he stands to lose his wife, his family...

I'll cost him everything.

It will save his life. That's all that matters. No?

Yes, of course, but there is an alternative procedure -

a transapical transcatheter aortic valve implantation that I think...

It's very late in the day to be changing theatre plans.

Jem and I have discussed this.

An NVR is the right course of action.

He's made his choice, and it's the right one.

-ELEVATOR BEEPS

-Let's just get into theatre, shall we?

'Doors closing. Going down.'

Be careful with what you're doing!

You nearly crashed into that door.

Ah, Mrs Bell Humphries, how was your scan?

-It was quick and relatively noiseless.

-Good.

-Speaking of which, where's Thomas?

-Thomas?

Yes, my husband.

You swore he'd be here when I returned.

Look, I know I did, and I'm so sorry...

You know what that makes you don't you? A liar!

Mrs Bell Humphries, please lower your voice.

I will not lower my voice!

I want to know where my husband is!

Right here, you daft tart!

Thomas...

Thomas, Thomas, there you are!

Well, I could hardly run away, could I?

Congratulations, you've crippled me!

Well, it's nothing less than you deserve, dear heart.

I've broken my bloody leg!

Well, what do you think I'm doing lying here? Having fun?

-Well, you can only blame yourself for that.

-I'm confused.

-Blame myself?!

-Who's supposed to be murdering who, here?

-Goodness knows.

-It was not my fault.

-It was, indeed.

-It certainly was not my fault.

-It's always your fault.

-Rubbish.

JEM: I've been told if I don't have this surgery, I'll die.

Not today or tomorrow - but sooner rather than later.

Well, I shouldn't be afraid of that - death -

and I never was until I...

Until you had your children?

I just want to be there for them,

see them grow up,

and yet, I won't be the dad that they've known or

the man my wife agreed to marry.

But there's a chance, right?

I mean, in time, they'll understand and forgive me.

This is the first real test of my faith in my life...

and I feel like I've failed.

But there's no alternative.

What if there was?

PHONE RINGS

PHONE KEYPAD BEEPS

Katherine Rice is back from Radiology

and the obstetrician's here.

Oh, right, erm...

-Right, let's chase up her test results.

-Sure.

You came right at me with that monstrosity you call a lawnmower.

"Right at you"? Bella has a top speed of 5mph...

He calls his mower "Bella". Ha!

He spends more time with her than his actual wife.

Well, maybe Bella's nicer company and more pleasant to be around...

Well, I'm... I'm sure she is.

She, at least, gets a good ride every now and again!

-Oh...

-Oh, dear lord, please stop.

-CT results.

-Thank you.

You're hardly one to talk about infidelity.

Did you tell them why I crashed into the bloody pergola, eh?

Hendon walk-through!

OK, that's enough.

Did she tell you about the flowers? About Samuel Sanders?

I said, that's enough!

Mrs Bell Humphries,

the CT scan shows that you have a perforation of the bowel.

Is it...?

Is it serious?

Well, it will require surgery.

Oh, so, so, it's...

It's not serious.

All surgery is serious.

But not life-threatening?

No.

Good.

Samuel Sanders is more man than you could ever dream of being!

Well, he'll need to be.

More thick-skinned, more patient,

and more able to cope with your constant chitchat!

-Oh, shove it, Lawnmower Man!

-Can you take that?

SHE BREATHES DEEPLY

Any heartburn?

Pretty much the second I conceived,

and the morning sickness is 24/7 hell.

My daughter was the same.

She wasn't much older than you when she had her first child.

If it's any consolation, she swears that it was all worthwhile.

I'll keep that in mind when going through the agony of childbirth.

Thank you. Do you want a scan photo?

Nah. Once you've seen one ultrasound of an alien-type creature

in your stomach, you have seen them all.

X-ray's back from radiology.

Well, you were right, Mr Law. The band has slipped.

But you can fix it, right?

There's no complications with the baby?

The baby will be just fine.

We'll do a band deflation - it's a fairly routine procedure.

You don't have to worry.

Should you be making promises?

I mean, we haven't got bloods or arterial gases back yet.

It could be an infection or...

It'll be just fine. You were right.

She is an interesting case,

and I'm not going to let anything happen to her.

Mrs Tinker's scans show multiple cysts.

She'll need lung volume reduction surgery.

Why don't you find a slot, then come to me with a theatre plan?

Do it on my own? That's a step up from last time.

Why not?

A good chance to show me your... How do you kids say it? Mad skillz?

HE CHUCKLES

Sir Dennis, I've been looking into the transapical TAVI procedure.

-We've discussed this, haven't we?

-Well, not in any detail.

-Ah, detail.

Well, a transapical TAVI is suitable for older patients

with aortic stenosis. Jem Brown does not fall into this category.

Except the risk of requiring a transfusion is reduced.

And the chance of stroke or the need for a pacemaker is increased.

But those risks are minimal.

I've discussed it both with Mr Brown and Ms Naylor.

Could you, um, take a look at these, please?

I've already taken the three measurements

for the sinotubular junction and the CT of the vascular tree.

Well, you've certainly done your homework.

But did I hear correctly - you've spoken to Ms Naylor?

And my patient?

Yeah, I just wanted to make sure I had everything before I came to you.

Very well.

Let's see what Jem has to say.

Jem, I believe Ms Effanga has been discussing aortic valve implantation with you?

Well, if that's what it's called. I mean, she just mentioned

that maybe there's a way to avoid a transfusion.

It can only reduce the likelihood of a bleed, not remove it.

An aortic valve replacement is your best option for a good outcome.

That's what we want, isn't it?

Of course. I just...

You never mentioned there could be an alternative.

You know what this means. What the consequences could be for me.

I understand the cost of the choice you're making. I do.

But as I discussed with you and your Health Liaison Committee,

in all good conscience, I can't sanction a high-risk procedure

simply to satisfy your religious prohibitions.

However, if that's what you want,

I'm willing to step aside and let Ms Effanga take over.

Is that what you want?

No.

I'll do what you think is best.

Good.

I guess that's settled, then.

Belinda Bell Humphries' CT scan.

Oh, yes. Possible perforation of the bowel.

I've already told her she'll require surgery.

Take another look.

-Oh, no...

-You see it?

Abdominal aneurysm.

Big one. At least seven centimetres.

I don't know how I missed that.

-Morven...

-I haven't once been to see my dad.

Well, maybe that's part of the problem.

Seriously, your head is not in the game and it needs to be.

Look, let me make up for this. I need to make amends.

OK, you can start by explaining to Mr and Mrs Bell Humphries how

we're now dealing with a large and potentially fatal aneurysm.

OK.

Hi, Jess. It's me. Your father.

Well, obviously, you know it's me because you've been trying to call.

Um...

Look, I was glad that you tried

because I know things didn't end too well last time. Um...

Anyway, it'll be good to talk, hear your voice.

So, um...

Give me a call.

Mr Law. Are we ready for Ms Rice's band deflation?

Afraid not. Her bloods just came back.

-Increased white cell count, lowered metabolic PH.

-Infection.

Right, we need to get that band out now.

Hey, Griffin. Day's getting on.

I thought you were going to fix me right up and send me on my way.

I'm afraid there's been a complication.

Tests show an infection, so we suspect the band has slipped

much further than we originally thought. Drainage isn't an option.

We need to get you into theatre and take the band out.

And then you replace it?

You put the band back in once you've done whatever.

I'm afraid that's not going to be possible, Katherine.

Not until after you've had the baby.

The baby's causing the complication?

The baby's at risk.

Well, get rid of it. I want it gone.

-Well, that's what we plan to do.

-She doesn't mean the band.

-What?

-Katherine, we can't do that.

Our job is to protect you and the baby.

I can't lose it.

You want us to abort the baby so that you can keep the band?

Are you mad?

-Mr Griffin...

-You cannot possibly be so selfish!

-Mr Griffin.

-You're carrying a child! You're supposed to protect it.

To nurture it. You're a parent.

-You're supposed to be strong!

-Hey!

Zosia's just scrubbed in on the lung reduction.

Lucky for some.

Well, well, well. Sir Dennis hasn't been in the theatre in five years.

Now, why do you think that is?

-Sabbatical?

-Yeah, but voluntary? Or forced?

Careful. That bee in your bonnet's growing into a hornet.

Ah, Ms Effanga?

Sir Dennis.

Jem Brown's ready for theatre.

-You still want me to assist?

-Of course.

I couldn't do it without you.

What?

All right, OK. There's no bee, no hornets, no bonnet.

You said it wasn't serious.

You said she was going to be fine.

Thomas, she made a mistake. Went off too soon.

You know all about going off too soon!

SHE CHUCKLES

He'll be back.

How do you know?

Been with me 50 years.

Not going to abandon me now.

Morven!

Excuse me.

You were right. The ultrasound showed fluid in the abdomen.

-Ascites?

-Yep. So we've sent a sample off for infection testing.

Is he...?

He's fine. Grumpy, but he's fine.

He wants to see you.

Hey, Squirt.

Here we are again.

Arthur says you've been a bit grumpy.

Arthur should let me stick a large needle into his stomach

and then we'll see how cheery he is afterwards.

They've got you on spironolactone.

-Let me go and check the dosage for that.

-Morven, stop.

Arthur's taking care of me. You don't have to.

Don't be ridiculous, Dad, of course I have to. It's my job.

No, it's not.

You're my daughter, not my doctor.

And I don't want to spend what time we have left together

with you feeling responsible for my treatment plans.

What time we have left?

You know what I mean.

No. No, Dad. I don't know what do you mean.

Why did you track Mum down?

I told you - I felt that you needed to have a choice.

Why now? Why not last year? Why not next year?

You know...

You didn't think there'd be a next year, did you?

You have to deal with the way the world is, Morven,

not the way you want it to be. This is how it is.

Hope for the best and prepare for the worst.

I'm preparing for the worst. So should you.

I'm sorry, Mo.

I had another chance to stand up for my beliefs, and...

..yet here we are.

Well, you can only do what's right for you.

What's right for me?

I went out to the "multi-faith room", as they call it.

I wanted to pray.

Did you find any comfort?

I found nothing.

I was empty.

I mean, I'm a coward, Mo.

You know, I used to be loved and respected

because I was a man of principle.

I mean, look at me now. I'm alone.

Whatever happens in there, whatever the outcome,

you're not alone.

SIREN WAILS

SHE BREATHES HEAVILY

SHE YELLS

Whoa!

I'm sorry. I'm a bit...stressed.

I noticed.

What was all that about?

I don't know.

Look, Katherine isn't selfish. She's terrified.

-She's responsible.

-She's a kid.

A messed-up, traumatised kid.

This is her psychological assessment pre the gastric band being fitted.

SHE SIGHS

Morven?

-Morven, are you OK?

-Yeah...

-I'm fine.

-Why were you screaming?

I was just, um...

Where did you guys come from?

And what were you doing?

-Going for a walk...

-Planning a pub quiz.

-Planning a pub quiz...

-Going for a walk.

You guys are so busted!

And in the peace garden?

Everything all right, Sir Dennis?

Is it hot in here?

Damn.

-Calcification.

-It's everywhere.

It was to be expected.

Not to this extent.

I can't even put a cannula in for bypass.

I...

I'm going to have to close.

-What?

-There's nothing I can do. I can't access the aortic valve.

Well, surely doing nothing isn't an option?

We need...another pathway.

Yeah, a transapical TAVI.

We can feed the guide wire through the left ventricular apex.

Could you prepare a purse string, please?

And the heightened risk of stroke, a pacemaker?

Acceptable risks under the circumstances.

Show me what you've got, Ms Effanga.

OK, going to need a balloon catheter and a C arm, please.

Summon any F1s and F2s that are not otherwise engaged.

This is an excellent teaching opportunity.

My dad thinks we need to prepare for the worst.

That's a bit dramatic.

Maybe.

But it certainly focuses things.

The last few months, I've been...

all over the place.

I need to focus now.

See the world how it really is.

I need to be with my dad.

-I need to focus on him.

-Of course.

And I'm going to be there with you.

No, Arthur. You won't.

It's not fair on you.

Morven?

Are you breaking up with me?

Dr Shreve?

Time for theatre.

Morven?

I'm sorry, Arthur.

Katherine, I'm sorry.

I didn't comprehend what you must have gone through to feel this way.

I was 116 kilos when I got the gastric band fitted.

I was nearly 30 kilos by the age of five.

First year of secondary school I was a size 16.

You heard the one about Katherine?

Katherine's so fat that she left the house in high heels

and when she came back she had on flip-flops.

Katherine's so fat

she sat on an smartphone and turned it into an tablet.

Katherine is so fat...

Katherine, stop.

But then I got the band, and everything changed.

Friends. Boys.

Sex.

For the first time in my life, I had a life.

I'm sorry. You're right.

I'm supposed to be strong. But I'm not.

You're stronger than you think you are.

Look...

I promise that I will do everything I can to help.

The band has to come out. It's not just about the baby.

If it stays in, your life and the baby's are in danger.

Please, let me help you.

Antibiotics given?

You ready?

Maybe I should sit this one out.

And why on earth would you do that?

First my husband skives off and now my doctor's bailing out as well!

Your husband's right here.

Thomas... What is this?

Your anniversary present. All expenses paid.

Let's see Samuel Sanders top that!

There's nothing going on between Samuel Sanders and me,

you great plonker.

I sent those flowers to myself.

Why would you do a daft thing like that?

Why do you think? To get a rise out of you.

In more ways than one.

-Silly old sausage.

-Oh...

Take care of her.

Dr Shreve?

We will.

I just want you to know that I'm going to have footage of that

-sent to every teaching hospital in the country.

-Thanks.

So when was the last time you performed a transapical TAVI?

A year ago, at a hospital in upstate New York.

No calcification, though. Not a patch on what you did.

New York? Thought you'd been focusing on research for some time.

Like a dog with a bone, aren't you?

From aggressive stock.

Used wisely, that's a good trait to have.

We've got faecal peritonitis because of the perforation.

We need to resect the damaged bowel. Let's wash it out, Dr Shreve.

What about the aneurysm?

We can't risk operating on it, due to the infection.

Suction, please.

Is everything all right with you and Dr Digby?

You were right. About being either a doctor or a patient relative.

I'm going to ask Serena for some time off. I need to be with my dad.

I need to focus on him now.

Where does Arthur fit into all this?

He doesn't.

It's not fair on him.

If you feel you need to look after your father,

that's what you should do.

But I don't see why you have to do it alone. Swabs.

SHE SIGHS

-AUTOMATED VOICE:

-'The number you have dialled is not in use. Please check the number and dial again.'

'The number you have dialled is not in use.

'Please check the number and dial again.'

They're ready for us in theatre.

JESSE'S VOICE ECHOES: Mr Griffin?

Mr Griffin!

Mr Griffin?

Let's just focus on Katherine.

Her necrosis is everywhere.

Is there enough to perform a partial gastrectomy?

All right.

Let's get rid of this band. Scissors!

Now, once I've removed the lower part of the stomach,

I'm going to need you to close off the duodenum.

You're going to need to oversew the duodenal stump. Are you up for that?

-Yeah.

-Good, because we can't afford to risk a stump blow-out.

MONITOR BEEPS

BP crashing.

Is she bleeding?

There's a tear in the superior mesenteric vein.

Press on that swab.

Liga clip, please. Thank you.

OK.

MORE BEEPING

Should have stopped bleeding.

BP's still falling.

Come on.

Come back.

Come back, Jess...

What?

BP's rising.

BEEPING STABILISES

She's back.

OK. Let's get to work.

It's so sad.

Excuse me?

We've progressed so far in science, medicine,

the understanding of our world, and there are still so many people

who remain slaves to basic primitive belief systems.

Maybe he can escape it.

I fear for his children, though.

How dare you?!

I'm sorry?

Where do you get off? What gives you the right to be so judgmental?

-Mo...

-That man put his life in your hands

and you treat that responsibility with contempt?

I don't know what you're talking about.

You were ready to leave that man on the table untreated.

Now, what I want to know is,

was that incompetence or just plain indifference?

That is enough!

My office, now, both of you.

Thomas, this gown is so uncomfortable.

Hasn't the National Health Service heard of silk?

What is this device thing doing on my finger?

No, no. You must leave it on.

Mr and Mrs Bell Humphries... An update.

While the surgery to the bowel was a perfect success,

the infection was too bad to risk repairing the aneurysm.

-It's still in there?

-Yes, indeed.

And could burst at any time?

Well, we're monitoring.

As soon as the infection is under control,

then we can repair the aneurysm.

With the Sword of Damocles hanging over my wife's head?

Enough is enough, Thomas. It is what it is.

I don't want to lose you.

You won't lose me, Thomas. I'll be there, chit-chattering away.

I never stopped loving you.

Nor I you, Thomas.

Oh, what a pair.

I shouldn't have lost my temper on the ward and I apologise.

But I was under severe provocation.

What's this about, Mo?

Where to start?

His reluctance to take on board any of my opinions, and at the same time

elevating junior doctors, Dr March and Mr Valentine,

to responsibilities and procedures way above their levels.

Mo, if you feel I've slighted you in any way, I can only apologise

and assure you it was not intentional.

It's not just about me.

It's a matter of competence.

Competence? You think I can't handle myself in theatre?

I have concerns, yeah.

You froze today.

I hesitated.

When you suggested a course of action, I backed you immediately.

You froze.

Sir Dennis hasn't operated in five years.

When I asked, he lied about it.

He needs to account for that.

Dennis?

This is my fault.

Mo is correct. I haven't performed surgery for five years.

But not for reasons of inability.

My son died, five years ago.

I took it very hard.

He was our only child.

There was nothing I could do.

My family and I decided that it would be best

if I took a sabbatical.

It wasn't until your call came, Jac,

that I felt ready to return to the coalface.

I apologise for lying to you.

I'm so sorry.

You weren't to know.

But we have a situation now.

If you don't feel you can work with me, I must offer my resignation.

I don't think that will be necessary.

Mo?

No. No, of course not.

Start over?

Start over.

ALARM BEEPS

SHE WHEEZES

Excuse me! Sorry!

Cheers, thank you.

Belinda? What's happening to her?

Her aneurysm is leaking.

-Why aren't they taking her to theatre?

-They will.

But she's gone into cardiac arrest,

so they need to resuscitate her first.

Starting compressions.

I want to see her.

We need to let them get on with their work.

I can't lose her now. I'm not ready.

Charging. Stand clear.

Shocking.

No output. Restarting compressions.

Come back to me, Belinda, come back.

Charging. Stand clear.

Shocking.

No output. Restarting compressions.

Charging. Stand clear. Shocking.

DEFIBRILLATOR THUMPS

Very nice work in there, Mr Law.

Thank you. Got a bit hairy, though, didn't it?

Was touch and go for a while.

Comes with the territory.

So...

Who's Jess?

What?

-Why?

-Well, at one point in there you called Katherine Jess.

I mean, I thought you were talking to me at first

but no, it was definitely Katherine you were talking to.

Jess is my daughter.

She called earlier today and I missed it.

But you can call her back, though, right?

I did. I left a message.

But when I tried again, her phone was dead.

You think she's in some sort of trouble?

Maybe.

But it's more likely that she gave me one chance to be there,

to answer the phone, and when I didn't...

She wouldn't cut off all contact, would she?

Last time I saw her, we fell out. Pretty badly.

I said some things that I deeply regret.

Mr Law...

Jesse, I would greatly appreciate it...

No worries, chief.

Look, what happens in the scrub room stays in the scrub room. Yeah?

There will, of course, be a postmortem, but my guess is

that the aneurysm ruptured, causing your wife to lose a lot of blood.

Without enough blood in her system, then her heart would have stopped.

If my foot hadn't slipped on the accelerator...

Then we wouldn't have known about the aneurysm at all.

Until it was too late.

It WAS too late.

I'm sorry.

Oh, my poor darling.

Excuse me.

-AUTOMATED VOICE:

-'The number you have dialled is not in use.

'Please check the number and dial again.'

'The number you have dialled is not in use. Please check the number and dial again.'

SHE SOBS

Hello?

I know you're in there.

Please open the door.

I understand that you're shutting me out.

What I don't understand is why.

Everyone leaves.

-Leaves what?

-Me.

My mum abandoned me.

My grandmother, who practically raised me, died,

and now my dad.

Everyone leaves me.

But I won't. Ever.

How can you know that?

This is what I know.

I love you.

And I know that today has been really hard

and that you're worried about your father

and that my cancer scare rattled you.

It was more than a scare, Arthur. It was real!

And it's been dealt with.

I'm not leaving you.

And I'm not letting you push me away.

So if you want to break up with me

then you're going to have to do it properly.

You're going to have to come out here and...

let's have a fight about it. Come on!

So Sir Dennis is going to stop giving us procedures

which are "outside of our comfort zones".

Thanks for that, Mo.

We know losing out on the consultancy was a blow.

We supported you, remember? We still do.

But don't bring us into whatever this is with Sir Dennis.

Please. You don't speak for us.

Go on. Give it to me. I deserve it.

I just thought you ought to know, Jac called me in.

I've been made Research Fellow.

I'm sorry.

Don't be. I brought it all on myself.

We'll need to feed you intravenously for the next five days

while you heal.

You removed part of my stomach?

Effectively, yes.

You won't be able to have another band. But then...

you won't need to either.

Be careful what you wish for.

The new reality will be difficult

but your body will adjust eventually.

And so will your mind.

The baby?

Fine. Strong.

Like its mother.

Goodbye, Katherine.

You...

You saved my life, Mo Effanga.

Respected my faith without judgment.

I don't come across people like you too often.

Thank you. Thank you.

No biggie.

It's the reason why we do this job.

Looks like I've got a lot of thinking to do.

Just follow your heart.

The creatinine levels have stabilised

but we do need to deal with the fact

that your renal function is going to deteriorate from now on.

I've been through all of this with Arthur already.

I know. But I just...

But you want to look after me.

Well, no, thank you very much.

I've hired a full-time nurse for that job.

-Dad...

-No, Squirt.

You've got your own life to live.

What are you going to do with that?

I know who I am.

And I know what I want.

What's the game?

Patience.

Never been very good at that one.

I heard about Mr Valentine. I'm sorry.

I wanted you to know it wasn't my decision.

It wasn't a hard one for Jac to make.

We will get past this, Mo.

Yeah.

"Aggressive stock".

What did you mean when you said that?

It's just an observation.

But would you use it to describe, say, Valentine?

I mean, he's a passionate bloke. Is that aggression?

Or Zosia?

Or how about Hanssen? I mean, he comes from Vikings.

Is that what you'd call "aggressive stock"

or is it an expression that you reserve for people like me?

If you want to say something, Mo, make some sort of accusation,

come right out and say it. Or do you prefer insinuation?

I could ask the same of you, Sir Dennis.

You know the trick to patience?

If at first you don't succeed, try, try and try again.

HE HUMS "RIDE OF THE VALKYRIES"

DOOR OPENS

Is everything OK?

I just got called to see Mr Hanssen.

I'm being transferred to AAU.

That's great. Perfect fit.

Your recommendation?

I just told Mr Hanssen that you were cool under pressure,

naturally empathetic

and very inquisitive.

These are qualities which will serve you well on AAU.

But not appreciated here?

Appreciated, just unnecessary.

Right, well...

Thank you. I suppose.

You're welcome.

DOOR CLOSES

OK, so watching the step...

Ow!

-I just told you!

-I know!

OK... So I was going to throw you a big surprise party in Albies

and that's kind of why I was being a bit shifty this morning

-with Dom and Zosia...

-Stop, stop, stop! Don't ruin it.

OK. Have a seat.

-Is there one there?

-No.

THEY LAUGH

OK, you can open your eyes.

I just thought after today, you might not want a big fuss.

Also, I do hate parties.

Happy birthday.

It's perfect.

You're perfect.

Well, I have my moments.

Marry me.

Huh?

I love you and I don't want to waste another second.

I love you and I want to marry you.

What do you say?

Uh...

I say...

..yes.

Really?

-Really?

-No. Yes!

THEY LAUGH