0:00:02 > 0:00:04I owe you an apology.
0:00:04 > 0:00:07You mean you're not the power-crazed megalomaniac that I took you for?
0:00:07 > 0:00:08Maybe we're more alike than you think.
0:00:08 > 0:00:11- Sir Dennis hasn't been in the theatre in five years.- Sabbatical.
0:00:11 > 0:00:13Yeah, but voluntary or forced?
0:00:13 > 0:00:15You were ready to leave that man on the table untreated?
0:00:15 > 0:00:18Was that incompetence or just plain indifference?
0:00:18 > 0:00:20Everyone leaves.
0:00:20 > 0:00:24My grandmother, who practically raised me, died. And now my dad.
0:00:24 > 0:00:27No. You're not rushing me into this like you do with everything else.
0:00:27 > 0:00:30The engagement, the big ring, the house...
0:00:30 > 0:00:34- I thought that's what you wanted. - Did you stop for a minute to ask?
0:00:35 > 0:00:37- What's wrong?- It's my mum.
0:00:37 > 0:00:39She's dead.
0:01:19 > 0:01:21Morning, Mr Hanssen!
0:01:21 > 0:01:24Oh, dear. Was it trouble on the night shift?
0:01:31 > 0:01:33Have a good day, Mr Levy.
0:01:44 > 0:01:48- Night.- Night.- I think we should call it a day.
0:01:48 > 0:01:52- Straight through please, Tony. Thank you.- You jinxed it.
0:01:52 > 0:01:56OK, this is Billy Salman, 47 years old today, actually.
0:01:56 > 0:01:58Today is his birthday.
0:01:58 > 0:02:02Our gift to him is surgical intervention for a fractured penis.
0:02:02 > 0:02:05Oh. Happy birthday!
0:02:05 > 0:02:09Apparently he sustained the injury whilst getting slightly adventurous
0:02:09 > 0:02:13with his wife, when he heard a loud crack.
0:02:13 > 0:02:16- SHE LAUGHS - Would you find it so amusing
0:02:16 > 0:02:19if it were a female patient with a genital injury?
0:02:19 > 0:02:23In fairness, he's finding it quite funny himself.
0:02:23 > 0:02:26Which one of you would like it? Or do you want me to call Urology?
0:02:26 > 0:02:29I've done it before. I can take him if you want to get off?
0:02:29 > 0:02:31I've got paperwork I have to finish anyway.
0:02:31 > 0:02:35No, it's all right, I'll take him. You finish your paperwork.
0:02:35 > 0:02:37To my wonderful wife.
0:02:37 > 0:02:41- To Mum.- To Joy.- Joy.
0:02:44 > 0:02:46Dad, take it easy, yeah?
0:02:50 > 0:02:53So, you all set for the boat tomorrow?
0:02:53 > 0:02:56She wanted to be scattered in the Caribbean.
0:02:56 > 0:02:58Not some murky shipping canal.
0:03:00 > 0:03:03Come on, Dad, that's enough. Let's go back to the flat, yeah?
0:03:03 > 0:03:06I'm happy here.
0:03:06 > 0:03:08Yeah, but I think Ina and Mo want to get home.
0:03:11 > 0:03:14- Thank you for coming. - It was a lovely service.
0:03:14 > 0:03:16- It was lovely.- Yes.
0:03:18 > 0:03:22- Shall I take this to the car? - Stop fussing, boy. We're OK.
0:03:26 > 0:03:28(Sorry about...) LOUD CRASH
0:03:28 > 0:03:34- Dad!- We have significant ecchymosis of the shaft and the scrotum.
0:03:34 > 0:03:38- HE GRUNTS - There's obvious penile angulation.
0:03:38 > 0:03:40Two centimetre swelling with...
0:03:41 > 0:03:45- ..retractable foreskin. - HE LAUGHS
0:03:47 > 0:03:51- Mr Salman...- Doc, we just went to third base. Call me Billy.
0:03:52 > 0:03:55Billy. I don't think you appreciate
0:03:55 > 0:03:58the potential seriousness of this injury.
0:03:58 > 0:03:59Oh, I do.
0:03:59 > 0:04:03- You may have torn your urethra. - HE GIGGLES
0:04:05 > 0:04:07- Why is that funny?- I don't know.
0:04:09 > 0:04:13He's probably had enough nitrous oxide. Let's move him onto morphine.
0:04:13 > 0:04:16- Has he passed urine since the injury?- Yes.
0:04:16 > 0:04:19We need to do an urgent urine analysis.
0:04:19 > 0:04:21If there's blood in the urine,
0:04:21 > 0:04:24then we need to book a retrograde urethrogram ASAP.
0:04:24 > 0:04:26Once we've established the full extent of the damage
0:04:26 > 0:04:28then we'll take you into theatre.
0:04:30 > 0:04:32And, er, many happy returns.
0:04:36 > 0:04:38He's a bit of a stiff.
0:04:43 > 0:04:47HE GROANS All right, Dad, don't ham it up.
0:04:50 > 0:04:53- Jesse.- Hm?
0:04:57 > 0:04:59Right, let's get you home.
0:04:59 > 0:05:01Oh, our bags are in Jesse's boot.
0:05:03 > 0:05:06- You OK?- Just need to catch my breath.- Here.
0:05:08 > 0:05:12- Don't fuss, Maureen. - Let me have a look? Mum!
0:05:15 > 0:05:19OK. I think we're just going to take a little trip up to the sixth floor.
0:05:19 > 0:05:23- No, we are not. I want to go home. - Tough. Come on. Come on.
0:05:23 > 0:05:25Honestly, the pair of them!
0:05:29 > 0:05:31Ms Effanga!
0:05:32 > 0:05:36- And who is this?- Ina Effanga.
0:05:36 > 0:05:38Maureen's sister?
0:05:38 > 0:05:42What a pleasure. Sir Dennis Hopkins-Clark.
0:05:42 > 0:05:44Cardiothoracic consultant.
0:05:44 > 0:05:47Mum had a valve replacement about a year and a half ago
0:05:47 > 0:05:50and a tamponade last March. She's breathless and tachycardic.
0:05:50 > 0:05:52A little unorthodox.
0:05:52 > 0:05:55A visit to the GP for a referral tomorrow morning
0:05:55 > 0:05:58- would have been more appropriate. - Hiya, Mo.- Hey.
0:05:58 > 0:06:01I think Mr Valentine might be able to take a quick look.
0:06:04 > 0:06:06Please. Allow me.
0:06:09 > 0:06:14There, Mum. Nothing Steri-Strips and skin glue can't fix.
0:06:14 > 0:06:16Jesse?
0:06:16 > 0:06:19Hey, Raf. Dad, this is Mr Di Lucca.
0:06:19 > 0:06:21I'm sorry to hear about your wife, Mr Law.
0:06:21 > 0:06:24- Thank you.- Could have been worse.
0:06:24 > 0:06:28Mum nearly ended up all over the floor of Albie's, didn't she?
0:06:28 > 0:06:31Right. Done.
0:06:31 > 0:06:33We'll get you some painkillers
0:06:33 > 0:06:36and then we'll get you to X-ray to see how that ankle's doing, OK?
0:06:36 > 0:06:40- Just in case.- Thanks for this. I really appreciate it.- No problem.
0:06:40 > 0:06:43Right, I'm starving. I'm going to get myself something to eat.
0:06:43 > 0:06:46Go and get us a kebab. No salad.
0:06:46 > 0:06:49- And garlic sauce.- Dad, I can't bring that kind of food in here.- Why not?
0:06:49 > 0:06:53- That's all right, isn't it? - I don't see why not.- You sure?
0:06:53 > 0:06:56- Right, kebabs it is. - Get us a lemonade.
0:06:56 > 0:07:00A proper one, none of that diet rubbish.
0:07:00 > 0:07:02Yeah, Dad. OK.
0:07:02 > 0:07:08Thanks for this. I won't be long. I could do with a break.
0:07:08 > 0:07:11- And the tamponade, was that... - Pacing wire bleed.
0:07:11 > 0:07:14Hmm.
0:07:15 > 0:07:18An FBC, U&Es and an ECG please, nurse.
0:07:18 > 0:07:23And, Mr Valentine, if you'd be so kind as to do an echocardiogram.
0:07:23 > 0:07:27- Of course.- Don't worry, Mrs Effanga. I'll take good care of you.
0:07:29 > 0:07:31Excuse us.
0:07:34 > 0:07:40I've never met anyone who's been knighted. He must be very good.
0:07:46 > 0:07:50- Ah. Ruptured corpus cavernosum. - Ouch.
0:07:50 > 0:07:52There was a small amount of blood in the urine
0:07:52 > 0:07:55but the RUG's come back inconclusive.
0:07:55 > 0:07:58There was a large clot obscuring our view of the urethra.
0:07:59 > 0:08:06- OK. So...- So we're going to have to do a degloving.
0:08:07 > 0:08:11- By we, you mean... - Sorry, I meant you.
0:08:13 > 0:08:17It's a great urology case for your portfolio. It's a quiet night.
0:08:17 > 0:08:19I can't think of a single good reason why
0:08:19 > 0:08:22you shouldn't take the lead, can you?
0:08:24 > 0:08:27Give me a minute, I'm still thinking.
0:08:29 > 0:08:31I'll let you explain it to him.
0:08:43 > 0:08:48You OK, Mr Law? Is Jesse not back yet?
0:08:48 > 0:08:52Oh, no, he'll be halfway across town by now.
0:08:52 > 0:08:54The takeaway's just down the road.
0:08:54 > 0:08:59He'll have some excuse about why he had to go to so-and-so place.
0:08:59 > 0:09:04He's like a shark. He has to keep moving or he'll drown.
0:09:05 > 0:09:10- Ah. My chariot, I presume? - Yes.
0:09:11 > 0:09:15HE GROANS
0:09:15 > 0:09:17To X-ray. Thank you.
0:09:22 > 0:09:27- Are you mad? You're going to peel... - Shush, shush. Don't say peel.
0:09:27 > 0:09:29No, no, no, no. No way.
0:09:32 > 0:09:37Mr Salman, if we don't surgically repair this injury, it could lead
0:09:37 > 0:09:41to the formation of fibrotic plaques, penile abscesses,
0:09:41 > 0:09:46urethrocutaneous fistula, painful penile nodules,
0:09:46 > 0:09:51- abnormal penile curvature, erectile dysfunction...- OK, OK.
0:09:53 > 0:09:55Where do I sign?
0:09:57 > 0:10:01- Here you go. - I can't drink caffeine at this hour.
0:10:01 > 0:10:03It's redbush. It was Adele's.
0:10:03 > 0:10:06- How long has it been open?- No idea.
0:10:08 > 0:10:12- Let's have a look then. - How are we getting on, Mr Valentine?
0:10:12 > 0:10:14Excuse me, please.
0:10:16 > 0:10:18Anything on the ECG?
0:10:18 > 0:10:21No. But these parameters give a fairly clear picture.
0:10:21 > 0:10:23Clear picture of what?
0:10:24 > 0:10:28Mrs Effanga. Your heart disease has progressed to what's known
0:10:28 > 0:10:32as left ventricular systolic dysfunction, or LVSD.
0:10:32 > 0:10:36In a nutshell, it means your left ventricle has weakened
0:10:36 > 0:10:39and is causing your heart to pump less effectively.
0:10:39 > 0:10:43Now, in some cases this means it could stop quite suddenly.
0:10:43 > 0:10:46It's all right, it's treatable.
0:10:46 > 0:10:50- Will I have to have another operation?- No.- Yes.
0:10:50 > 0:10:54No, I wouldn't recommend any further surgical intervention.
0:10:54 > 0:10:57- We can treat you with drugs. - Hang on a minute.
0:10:57 > 0:11:00I'll prescribe you some tablets for you to take home.
0:11:00 > 0:11:03For now, we'll give you something to slow your heart rate down.
0:11:03 > 0:11:06- She needs an ICD. - Maureen, stop interrupting.
0:11:06 > 0:11:09I'll also refer you for an EP study.
0:11:09 > 0:11:11That'll give us a better picture of what's going on.
0:11:11 > 0:11:15- Thank you.- You should be fine to go home in the morning.
0:11:20 > 0:11:24She's at risk of sudden cardiac arrest, she needs an ICD.
0:11:24 > 0:11:27You'd put your mother through cardiac surgery for the third
0:11:27 > 0:11:30- time in under two years?- Yeah. If it means it'll save her life.
0:11:30 > 0:11:33You know she's not a suitable candidate for transplant.
0:11:33 > 0:11:35Who said anything about a transplant?
0:11:35 > 0:11:37It's the only cure for end-stage heart failure.
0:11:37 > 0:11:40Everything else is just a sticking plaster.
0:11:41 > 0:11:44Look, I'm sorry. I know how difficult this is,
0:11:44 > 0:11:48but there's nothing that can't be managed with medication.
0:11:49 > 0:11:52Why don't you go and be with your mum?
0:12:03 > 0:12:05Can you believe that bloke?
0:12:05 > 0:12:08"She's old and she'll die sooner or later, so what's the point?"
0:12:08 > 0:12:10What would you do?
0:12:11 > 0:12:14I'd give her an ICD. But it is borderline.
0:12:14 > 0:12:16And it is his call.
0:12:20 > 0:12:22You should show more respect to Sir Dennis.
0:12:22 > 0:12:25- Just hear me out.- No.
0:12:25 > 0:12:27I know you think you know everything,
0:12:27 > 0:12:31but he has probably been a doctor longer than you've been alive.
0:12:31 > 0:12:34Do you really think that you know better than him?
0:12:37 > 0:12:42- Right. I'll go call Celia and Adele. - Don't bother them now, it's late.
0:12:42 > 0:12:44They need to know what's going on.
0:12:47 > 0:12:51Corpus cavernosum. Sounds like a Harry Potter spell.
0:12:52 > 0:12:54Corpus cavernosum!
0:12:57 > 0:13:01- How goes Billy's willy? - I don't want to talk about it.
0:13:01 > 0:13:03- He's got to do a degloving.- Really?
0:13:04 > 0:13:08- Mr Griffin? Billy Salman.- Yes.
0:13:08 > 0:13:11- What's wrong with a transverse incision?- Excuse me?
0:13:11 > 0:13:14Well, it's less invasive, more likely to maintain correct organ
0:13:14 > 0:13:16function, less likely to reduce sensitivity.
0:13:16 > 0:13:19I appreciate that but, well, we can't make his sex life
0:13:19 > 0:13:21our only priority in making our decision.
0:13:21 > 0:13:23Just because you're not getting any
0:13:23 > 0:13:25doesn't mean you have to write him off.
0:13:28 > 0:13:31- I beg your pardon? - I'm just saying...
0:13:31 > 0:13:33We need to protect the urethra or he could spend
0:13:33 > 0:13:36the rest of his life with an indwelling catheter.
0:13:36 > 0:13:39And I don't suppose that's going to do his marriage much good either.
0:13:39 > 0:13:41You don't even know if there is urethral damage.
0:13:41 > 0:13:43- I don't want to take the risk. - It's not that risky.
0:13:43 > 0:13:46You incise the Buck's fascia, evacuate the clot
0:13:46 > 0:13:48and examine the fracture site.
0:13:48 > 0:13:50At that point, if the urethra is torn
0:13:50 > 0:13:53and you really can't access it, then consider degloving.
0:13:53 > 0:13:56Come on, Ric. It's the man's birthday.
0:13:59 > 0:14:04Well, thank you for your input, Ms Wolfe. We'll be doing a degloving.
0:14:07 > 0:14:09Is he always this uptight?
0:14:12 > 0:14:15What does Billy think?
0:14:15 > 0:14:17He wasn't really given much of a choice.
0:14:17 > 0:14:20- Right.- What are you doing?
0:14:20 > 0:14:24Essie's right. It's the patient's choice, not Griffin's.
0:14:24 > 0:14:27Did I say that? I don't think that's what I said.
0:14:27 > 0:14:31What do we do? Get involved or...stay out of it?
0:14:31 > 0:14:33BOTH: Stay out of it.
0:14:34 > 0:14:39Don't question me, please. Just do as I asked. It's not complicated.
0:14:41 > 0:14:45Erm, Mr Hopkins-Clarke, sorry. Ina Effanga.
0:14:45 > 0:14:47Are you sure that you don't want to consider the ICD?
0:14:47 > 0:14:50Yes, Mr Valentine. I'm quite sure, thank you.
0:14:58 > 0:15:00Let's see how you get on with this, shall we?
0:15:02 > 0:15:06In the meantime, try and get some sleep.
0:15:06 > 0:15:08I'm dying, aren't I?
0:15:08 > 0:15:10Not today.
0:15:10 > 0:15:13How long do you think I've got?
0:15:13 > 0:15:16I can't tell you that, I'm afraid. I wish I could.
0:15:18 > 0:15:23When the time comes, I don't want to drag things out.
0:15:23 > 0:15:26- I want a DNR.- A DNR?
0:15:26 > 0:15:28I know what it is.
0:15:29 > 0:15:33I'm not sure we need to be having this conversation just yet.
0:15:34 > 0:15:36Maureen thinks that I don't listen to her
0:15:36 > 0:15:39when she talks about her work, but I do.
0:15:41 > 0:15:43I know how bad things can get.
0:15:43 > 0:15:46Mrs Effanga. Nothing's going to happen to you.
0:15:46 > 0:15:50- Not tonight.- No, but it pays to be prepared, don't you think?
0:15:52 > 0:15:54If that's really what you want,
0:15:54 > 0:15:57I'm perfectly happy to arrange things for you.
0:15:57 > 0:16:00- And I can still take the tablets? - Of course.
0:16:02 > 0:16:04What would you do if it was you?
0:16:06 > 0:16:10Well, modern medicine is miraculous. But no-one lives forever.
0:16:23 > 0:16:26- Ms Wolfe?- Ah. Ah, Mr Griffin.
0:16:26 > 0:16:30I was just outlining the alternative procedure for Billy
0:16:30 > 0:16:35- so he can make an informed decision. - I like this one. She can do it.
0:16:35 > 0:16:38Mr Salman, just to be clear...
0:16:38 > 0:16:42It's all right, Doc. You don't need to tell me it all again, I get it.
0:16:42 > 0:16:46If we do it her way, there's a chance I'll end up peeing
0:16:46 > 0:16:48through a tube for the rest of my life.
0:16:48 > 0:16:52We do it your way, I'll be able to pee, but not much else.
0:16:52 > 0:16:54That's the worst case scenario.
0:16:54 > 0:16:56And there are medications that can deal with that.
0:16:56 > 0:17:01Yeah, but, how did you put it? Loss of sensation?
0:17:01 > 0:17:05There's no pill for that. And, you know, it's just this...
0:17:07 > 0:17:10- Degloving. - It's not a good word, is it?
0:17:10 > 0:17:13It's the stuff of nightmares, that.
0:17:13 > 0:17:15No, I'd rather give this a go.
0:17:17 > 0:17:21OK. Well, in that case, I'll take over from here
0:17:21 > 0:17:23and we'll get you into theatre ASAP.
0:17:30 > 0:17:32What just happened?
0:17:32 > 0:17:34Look, I've seen enough guys with lower torso injuries
0:17:34 > 0:17:36to know that nine out of ten of them
0:17:36 > 0:17:39would rather lose their legs than the use of their penis.
0:17:39 > 0:17:41And I mean that most sincerely.
0:17:41 > 0:17:43It can cause genuine psychological trauma.
0:17:43 > 0:17:47You'll be going in blind. You have no idea what's behind that clot.
0:17:47 > 0:17:49In that case, I'll deal with it.
0:17:49 > 0:17:52But let's at least give him a chance.
0:17:53 > 0:17:55I offered him a choice. And it is his decision.
0:17:55 > 0:17:59You may disagree, but you have to respect the patient's wishes.
0:18:02 > 0:18:05Fine. I'll get changed.
0:18:10 > 0:18:13Ah. I was beginning to think you'd got lost.
0:18:15 > 0:18:20- What's all this?- Ah, he's got a UTI. Hence the abdo pains.
0:18:20 > 0:18:24So I've put fluids up and also put him on co-amoxyclav.
0:18:25 > 0:18:27Right. Sorry.
0:18:27 > 0:18:30Better to keep on top of it, eh?
0:18:30 > 0:18:34How's his general health?
0:18:34 > 0:18:36Does he take care of himself? Eats properly?
0:18:36 > 0:18:39Listen, that man's been doing all the cooking and the cleaning
0:18:39 > 0:18:41- since Mum's first stroke. - Is that a kebab?
0:18:41 > 0:18:44Yeah, why? Do you want some?
0:18:44 > 0:18:46Oh, no. I've not long eaten.
0:18:50 > 0:18:52I see you've been getting the VIP treatment.
0:18:52 > 0:18:55Ah, finally. I could eat a scabby horse.
0:18:55 > 0:18:58Well, you might be about to.
0:18:58 > 0:19:01Sorry I was gone a while, I went to that place near the flat.
0:19:01 > 0:19:05They do the best hot sauce in all of Holby.
0:19:05 > 0:19:07You're going to love it.
0:19:10 > 0:19:15- Is there anything we've discussed that you want me to clarify?- No.- OK.
0:19:15 > 0:19:18Are you sure you want me to sign?
0:19:18 > 0:19:21Right. Adele has told me to tell you
0:19:21 > 0:19:24that she opened that redbush three weeks ago, so...
0:19:26 > 0:19:30- What you doing with that? - Your mother has opted for a DNR.
0:19:30 > 0:19:33- No!- Maureen. People are sleeping. - Don't sign that.
0:19:35 > 0:19:38I don't think you realise just how serious this is.
0:19:38 > 0:19:42Until we get things under control, your heart could stop at any time.
0:19:42 > 0:19:46Exactly. Do you remember Rosa from my church group?
0:19:46 > 0:19:49Covered in wires and tubes, breathing through a machine.
0:19:49 > 0:19:52It took months for her to die. I don't want to end up like that.
0:19:52 > 0:19:55- You won't. Listen...- Maureen. - No, just listen to me.
0:19:57 > 0:19:59I want you to have surgery.
0:19:59 > 0:20:03There's a device we can put in your chest, it's a tiny defibrillator.
0:20:03 > 0:20:06It monitors your heart and if it needs to,
0:20:06 > 0:20:09it automatically delivers a small shock so that you don't arrest.
0:20:09 > 0:20:13- Like a robot? - It's just like a pacemaker.
0:20:13 > 0:20:16It keeps your heart beating the way it's supposed to.
0:20:16 > 0:20:18But not the way the Lord intended.
0:20:18 > 0:20:20So what? You're just going to give up, then?
0:20:20 > 0:20:25Don't be dramatic. Look, I'm taking my tablets.
0:20:25 > 0:20:28I am going to the hospital for my appointments.
0:20:28 > 0:20:31But when my time comes, Maureen, I just want to be prepared.
0:20:31 > 0:20:33That's all. Sign, please.
0:20:38 > 0:20:42OK, clot's out. Right. Let's see what we've got.
0:20:45 > 0:20:48- You can't see anything from over there, Dr Copeland.- I know.
0:20:48 > 0:20:50Oh, for heaven's sake, man up.
0:20:50 > 0:20:52You think this is the worst thing that can happen to a man's bits?
0:20:52 > 0:20:56You should see the poor sods who've stepped on a land mine.
0:20:59 > 0:21:01Right, tell me what you can see.
0:21:01 > 0:21:05Erm, I can see the fracture and the urethra, which is intact.
0:21:06 > 0:21:09Yeah, it's actually not that bad at all.
0:21:09 > 0:21:14Yeah. You see? All that worry for nothing. Next step?
0:21:14 > 0:21:21We expose the cavity and repair with...three interrupted sutures?
0:21:21 > 0:21:25- Using?- 5-0 Prolene. - Perfect. Off you go then.
0:21:35 > 0:21:37So. You seeing anyone?
0:21:41 > 0:21:44You can't mope forever.
0:21:44 > 0:21:47I'm not moping. Why would I be moping?
0:21:47 > 0:21:50I'm back doing a job that I love, I'm making new friends,
0:21:50 > 0:21:53I'm enjoying myself. HE LAUGHS
0:21:53 > 0:21:56- What?- Something your mum said, after the "wedding".
0:21:56 > 0:21:59- Don't do that.- What?
0:21:59 > 0:22:01That. "Wedding".
0:22:02 > 0:22:04Do you want to hear what your mum said or not?
0:22:04 > 0:22:07You know what? I'm going outside for some fresh air.
0:22:37 > 0:22:41- Isn't digoxin usually prescribed in micrograms?- Yes, why?
0:22:41 > 0:22:43Mr Hopkins-Clarke gave Ina 25 milligrams.
0:22:43 > 0:22:46- Micrograms.- No, milligrams.
0:22:52 > 0:22:54What's going on?
0:22:54 > 0:22:56What?
0:22:56 > 0:23:00OK, get me one milligram of IV atropine, quick as you can, please.
0:23:00 > 0:23:05- Need to get her into HDU, Mo. Are you good?- Yeah.
0:23:07 > 0:23:09- What's happening? - It's all right, Mum,
0:23:09 > 0:23:12we're just going to get you into your own room. Just try and relax.
0:23:17 > 0:23:22- Oh, Jesse. Hi.- All right, mate. Isn't it way past your bedtime?
0:23:22 > 0:23:26Listen, I heard about your mum. I am sorry.
0:23:26 > 0:23:28Yeah. Thanks.
0:23:28 > 0:23:31- What happened?- Another stroke.
0:23:33 > 0:23:38- Right. And how's your dad? - He's on AAU.
0:23:38 > 0:23:41Had a few rum shots too many and took a fall.
0:23:41 > 0:23:43And you're sitting out here?
0:23:43 > 0:23:46Yeah. It's fine, it's nothing serious.
0:23:46 > 0:23:48Well, his wife has just died.
0:23:48 > 0:23:51Yes, thank you, Guy. I'm aware of that.
0:23:51 > 0:23:54I'm just saying. I mean, I remember after Anya died...
0:23:54 > 0:23:56Oh, Guy. Come on, please.
0:23:56 > 0:23:58Can we have one conversation that doesn't come back
0:23:58 > 0:24:00to the fact your wife's dead?
0:24:00 > 0:24:02Yeah, OK, Jesse. You know what?
0:24:02 > 0:24:04You just sit out here on your own
0:24:04 > 0:24:06and pretend that normal human emotion is beneath you.
0:24:06 > 0:24:10It's a strategy that's worked out pretty well for you so far.
0:24:13 > 0:24:16She grabbed him by his collar and marched him
0:24:16 > 0:24:18straight to the nearest policeman.
0:24:18 > 0:24:20His face!
0:24:22 > 0:24:25- Course, he never did it again. - I bet he didn't.
0:24:27 > 0:24:29She was a spirited woman.
0:24:37 > 0:24:41Can you get me another one of those, please? I'm parched.
0:24:41 > 0:24:44- There's some water here. - I'd prefer lemonade.
0:24:44 > 0:24:47And maybe a bit of chocolate.
0:24:48 > 0:24:50OK. Just bear with me.
0:24:56 > 0:24:58Mrs Warren's finally gone off to sleep.
0:24:58 > 0:25:01I thought I was going to have to read her a bedtime story.
0:25:01 > 0:25:06Mr Law is complaining that he's thirsty, even though he's on fluids.
0:25:06 > 0:25:11I think we should run bloods. FBC, U&Es and HbA1cs?
0:25:11 > 0:25:15- What does Jesse think? - Well, I'd ask him if he was here.
0:25:15 > 0:25:18- Where's he gone?- I don't know.
0:25:18 > 0:25:20OK then, yeah, yeah. Run some bloods.
0:25:26 > 0:25:29This is not your fault. Do you want to take a break?
0:25:29 > 0:25:32And can you fill out an untoward incident form, please?
0:25:32 > 0:25:36OK. Heart rate's coming back up.
0:25:36 > 0:25:38- Can you keep an eye on her?- Sure.
0:25:38 > 0:25:41- I'll go and try find Dennis. - Ollie. Steth.
0:25:53 > 0:25:55Beautiful!
0:25:57 > 0:26:00- I meant your suture work. - Mm-hmm.
0:26:00 > 0:26:04- Right. Gittes test.- Eugh. - Choose your weapon.- Do we have to?
0:26:04 > 0:26:07Well, simulating an erection is the only way we can test
0:26:07 > 0:26:09if everything's back in working order.
0:26:14 > 0:26:16Good choice.
0:26:17 > 0:26:19OK.
0:26:31 > 0:26:35- I say. Ding, dong! - HE LAUGHS
0:26:35 > 0:26:37- We seem to have a winner! - THEY LAUGH
0:26:38 > 0:26:42If you see him can you get him to call me back as soon as possible?
0:26:42 > 0:26:45Heart rate's rising, it's over 100, and she's a widening QRS.
0:26:45 > 0:26:48And she's struggling to breathe. Where's Dennis?
0:26:48 > 0:26:51He left the ITU an hour ago. We can't get a hold of him.
0:26:51 > 0:26:53Mr Hopkins-Clark, this is Mr Valentine.
0:26:53 > 0:26:55Please can you call me back?
0:26:56 > 0:27:00OK, 40 milligrams of furosemide and let's keep paging him.
0:27:00 > 0:27:02We can't keep throwing drugs at her, Ollie, she needs stability.
0:27:02 > 0:27:04A DNR does not stop us from operating.
0:27:04 > 0:27:08- Dennis ruled out surgery.- Before he made that almighty cock-up.
0:27:08 > 0:27:10The picture's changed.
0:27:10 > 0:27:12Look, her heart can't take much more of this.
0:27:12 > 0:27:14She will arrest if we don't do something.
0:27:14 > 0:27:16We both know an ICD's her best chance.
0:27:16 > 0:27:20I'm sorry, I can't go against his direct instructions. I'm not Jac.
0:27:20 > 0:27:23- Jac! Ollie, you're a genius!- Mo...
0:27:26 > 0:27:28Whoa!
0:27:28 > 0:27:31- What's happening?- Jesse.
0:27:33 > 0:27:35KNOCK ON DOOR
0:27:35 > 0:27:41Fracture's repaired. No urethral damage.
0:27:41 > 0:27:46- He should be fine. - Good. That's excellent news.
0:27:48 > 0:27:50I, erm...
0:27:51 > 0:27:54..did it again, didn't I?
0:27:54 > 0:27:56I told you I would.
0:27:56 > 0:28:01What was it you called me? A power-crazed megalomaniac?
0:28:02 > 0:28:07Look, I'm really not interested in playing power games.
0:28:07 > 0:28:10I only care about what's in the patient's best interest.
0:28:10 > 0:28:12And on this occasion?
0:28:12 > 0:28:15On this occasion, you gambled and it paid off.
0:28:16 > 0:28:19But don't push your luck. Not with the patients.
0:28:19 > 0:28:21Not with me.
0:28:23 > 0:28:26All right. Leave it at that?
0:28:28 > 0:28:30Still friends?
0:28:31 > 0:28:33Let's say colleagues.
0:28:34 > 0:28:36Respected colleagues?
0:28:37 > 0:28:39I'll take that.
0:28:44 > 0:28:46For now.
0:28:54 > 0:28:57KNOCK ON DOOR Hey, you.
0:28:59 > 0:29:03- How's Thomas?- Oh, he's all right. It's you we're worried about.
0:29:04 > 0:29:10- What's all this about a DNR? - Has Maureen sent you in here?
0:29:10 > 0:29:13No, she told me what was going on.
0:29:15 > 0:29:18You don't need to be here, fussing around me.
0:29:18 > 0:29:20- You should be with your father. - Yeah, well,
0:29:20 > 0:29:23he's getting on my nerves at the moment.
0:29:23 > 0:29:26- You can't hide up here all night. - I'm not hiding.
0:29:28 > 0:29:32I know you, Jesse. You feel guilty.
0:29:33 > 0:29:36- You weren't there when Joy died, so you're blaming yourself.- No.
0:29:36 > 0:29:40You've barely looked your father in the eye all day.
0:29:40 > 0:29:43You think he blames you as well.
0:29:43 > 0:29:47Ina, you're changing the subject. I know you too, remember.
0:29:47 > 0:29:50You're being stubborn.
0:29:50 > 0:29:52- Takes one to know one. - Yes, it does.
0:29:53 > 0:29:55What if Adele was here?
0:29:55 > 0:29:58She'd tell me to get my butt in here and make you see sense.
0:29:58 > 0:30:00So, here I am.
0:30:00 > 0:30:02Have you spoken to her?
0:30:03 > 0:30:06- No.- So why are you here?
0:30:09 > 0:30:12It meant a lot to me that you came to Mum's funeral.
0:30:14 > 0:30:17Especially after...you know.
0:30:19 > 0:30:23And I don't fancy returning the favour for Mo next week.
0:30:23 > 0:30:26You do get how serious this is, don't you?
0:30:28 > 0:30:34Jesse. When my time comes, it comes.
0:30:34 > 0:30:37Ina, you're talking about this like it's some distant future thing.
0:30:39 > 0:30:42And maybe it was when you spoke to Mr Hopkins-Clark earlier.
0:30:42 > 0:30:45But things have changed since then.
0:30:45 > 0:30:49And I'm not trying to scare you, but you need to revoke the DNR.
0:30:49 > 0:30:52Maybe reconsider it further down the line if you want,
0:30:52 > 0:30:56but if something happens tonight, we need to be able to put it right.
0:30:58 > 0:31:00Do you understand?
0:31:05 > 0:31:09- And you're not ready to go just yet, are you?- No.
0:31:09 > 0:31:11Right then, it's settled.
0:31:11 > 0:31:15Now, are you going to tell me why you don't want this surgery?
0:31:15 > 0:31:18She needs the ICD. It's the only way to get her stable.
0:31:18 > 0:31:22Well, Mr Hopkins-Clark obviously disagrees.
0:31:22 > 0:31:26Mr Hopkins-Clark just gave her a massive overdose of digoxin.
0:31:26 > 0:31:28Drug errors happen, Mo.
0:31:28 > 0:31:31- The agency nurse, whoever she is, should have...- Yeah, she tried.
0:31:31 > 0:31:34- But he bit her head off apparently. - What do you want me to do?
0:31:34 > 0:31:36Tell Ollie to take her into theatre.
0:31:36 > 0:31:39Without seeing the patient or reading her notes, I can't comment.
0:31:39 > 0:31:42Can't you step out for minute?
0:31:42 > 0:31:45Oh, that's a good idea(!) Why didn't I think of that?
0:31:45 > 0:31:48Here you go, Dave, can you take over for a bit?
0:31:48 > 0:31:51- Please, Jac.- I'm sorry. Find Dennis.
0:31:51 > 0:31:53Let's carry on, please. Forceps.
0:31:56 > 0:31:59- You found him?- No. What did Jac say?
0:31:59 > 0:32:01Ina's withdrawing the DNR. She's open to the surgery.
0:32:01 > 0:32:04- What? How do you manage that? - MACHINE BEEPS
0:32:10 > 0:32:13- Mum?- Her heart rate's 200.
0:32:13 > 0:32:15VT. 200 milligrams of IV lignocaine. Quickly, please.
0:32:15 > 0:32:18- She's peri-arrest. - Mo, you shouldn't be here for this.
0:32:18 > 0:32:21- Jesse, the DNR stands until I hear it from her.- What?
0:32:21 > 0:32:23I'm sorry, you're not the doctor on this ward, you're not on duty.
0:32:23 > 0:32:25The both of you are here as family and friends.
0:32:25 > 0:32:30- Ollie!- Some space, please. We need to get her back into sinus.
0:32:30 > 0:32:32- Come on, come on. - Don't you dare, Ina.
0:32:32 > 0:32:34HIGH PITCHED TONE
0:32:35 > 0:32:37- No!- Come on, Ollie. She's arresting. Start CPR.- I can't!
0:32:37 > 0:32:39- Ollie!- Are you serious?- I can't! I'm sorry, Mo.
0:32:39 > 0:32:42I'll be struck off. I really am.
0:32:42 > 0:32:47- Crash trolley!- Jesse, wait!
0:32:48 > 0:32:52- Stop.- I've already lost my mum, Mo's not losing hers.- Move.
0:32:56 > 0:32:59- Charge at 150.- Mo, think about it. This is your mum.
0:32:59 > 0:33:02There is documented proof that she doesn't want this.
0:33:02 > 0:33:04- Charged?- Charged!
0:33:04 > 0:33:06Stand clear.
0:33:06 > 0:33:08Clear!
0:33:08 > 0:33:11HIGH PITCHED TONE CONTINUES
0:33:17 > 0:33:19- Charge again.- Mo!
0:33:19 > 0:33:22Please, this is not what she wants.
0:33:22 > 0:33:26- Don't make it any worse than it already is.- Mo.
0:33:26 > 0:33:28- Mo!- Charging.
0:33:31 > 0:33:33Stand clear!
0:33:33 > 0:33:35Shocking!
0:33:37 > 0:33:41MACHINE BEEPS
0:33:42 > 0:33:44Sinus.
0:33:47 > 0:33:50If anyone has any suggestions how we get out of this,
0:33:50 > 0:33:52- feel free to speak up now. - It's on me.- Yes, too right it is.
0:33:52 > 0:33:55As soon as she wakes up, she'll confirm what she told me earlier
0:33:55 > 0:33:57- and everything will be fine. - If she wakes up.
0:33:57 > 0:34:00I'm sorry, Mo. I'm just saying it as it is.
0:34:00 > 0:34:02- We need to give her an ICD. - No. We don't have consent.
0:34:02 > 0:34:05- It's what she wants. - That isn't the same thing.
0:34:05 > 0:34:09It is the same thing. OK, she didn't sign the consent form.
0:34:09 > 0:34:11But she would have done if she had the chance.
0:34:11 > 0:34:13- I need to find Sir Dennis. - He'll never agree to it.
0:34:13 > 0:34:17I can't go into theatre and leave the ward without coverage.
0:34:17 > 0:34:22- Someone has to be here. - Tell theatre we're coming.
0:34:22 > 0:34:25Please tell me that isn't... Mo!
0:34:25 > 0:34:27- Absolutely not.- The only way, Ollie.
0:34:30 > 0:34:33OK, wait. Just wait.
0:34:34 > 0:34:37I'll do the surgery. You cover the ward.
0:34:37 > 0:34:39That is the least bad version of this.
0:34:39 > 0:34:42- No, it's not. I should do it.- What?
0:34:42 > 0:34:44I'm the only one who can say I'm acting on her wishes.
0:34:44 > 0:34:47- You're not in enough trouble as it is?- It can't get any worse, can it?
0:34:47 > 0:34:50- I beg to differ.- I can do it. OK.
0:34:50 > 0:34:52So long as Mo doesn't touch her
0:34:52 > 0:34:56- then technically she's not breaking any rules.- He's right. Let's go.
0:34:56 > 0:34:58I am really, really not happy with this.
0:34:58 > 0:35:01If you see Dennis tell him you tried to talk us out of it.
0:35:01 > 0:35:04- I am trying to talk you out of it! - There you go. You'll be all right.
0:35:04 > 0:35:06Mo!
0:35:06 > 0:35:08We've just had your blood results back.
0:35:08 > 0:35:11I think it may explain why you need to go so often.
0:35:11 > 0:35:13It's the diabetes, is it?
0:35:13 > 0:35:18- What? You knew?- Course I knew. My GP told me.
0:35:18 > 0:35:23- And were you prescribed any tablets? - Yes.- And have you been taking them?
0:35:23 > 0:35:26I haven't had a chance to pick them up yet.
0:35:26 > 0:35:29I was looking after Joy. And then with the funeral...
0:35:29 > 0:35:33Mr Law, you really can't just ignore this.
0:35:33 > 0:35:37If I cut out the booze and eat rabbit food
0:35:37 > 0:35:40and start exercising, how long will I live then?
0:35:40 > 0:35:42There's no reason why you can't keep on going
0:35:42 > 0:35:45- for another 20 years or so. - 20 years!
0:35:46 > 0:35:48Rattling around the house on my own,
0:35:48 > 0:35:52eating lentils and chickpeas. Without scotch?
0:35:52 > 0:35:56There are worse things than dying, you know.
0:35:56 > 0:35:59Besides, my Joy is waiting for me.
0:36:06 > 0:36:11Relax, all right? I've got this. I've seen it done 100 times.
0:36:11 > 0:36:14Just talk me through it. OK?
0:36:16 > 0:36:20Start by making a two-inch incision, just underneath the left clavicle.
0:36:27 > 0:36:30Perfect. Self-retainer.
0:36:31 > 0:36:33Self-retainer, please.
0:36:40 > 0:36:44- Now, identify the left subclavian vein.- Clips.
0:36:46 > 0:36:48What the hell is going on here?
0:36:48 > 0:36:51Close her up and take her back to the ward immediately.
0:36:55 > 0:36:58Sorry. No. She needs this.
0:37:00 > 0:37:03Look, just stop! I'll scrub in.
0:37:03 > 0:37:06If this is happening, it at least needs to be done properly.
0:37:10 > 0:37:14If he's refusing treatment, there's not a lot you can do.
0:37:14 > 0:37:18It's just, you think of Arthur and everything he's going through
0:37:18 > 0:37:22and just how much he wants to live...
0:37:22 > 0:37:24It's very different. He's an old man.
0:37:24 > 0:37:28His life revolved around caring for his wife and now she's gone.
0:37:28 > 0:37:31He probably can't imagine what the future even looks like.
0:37:31 > 0:37:33Yeah, I suppose.
0:37:35 > 0:37:38And where's Jesse?
0:37:38 > 0:37:42You know, my dad drives me mad half the time, but he's not well
0:37:42 > 0:37:45and he needs me, so I'm there for him.
0:37:46 > 0:37:50- Sorry. It's just... - Have you tried his mobile?
0:37:50 > 0:37:53Three times, it just goes straight to voicemail.
0:37:53 > 0:37:55Maybe you should try Darwin?
0:38:02 > 0:38:05I think I owe you an apology.
0:38:06 > 0:38:11Ms Wolfe was quite right to offer the alternative procedure.
0:38:11 > 0:38:14And I'm just glad it was a success.
0:38:14 > 0:38:18- Not as glad as me, I can tell you. - I'm sure.
0:38:19 > 0:38:25- Perhaps next time, try something a little less adventurous.- Eh?
0:38:27 > 0:38:29Oh!
0:38:29 > 0:38:31No, I made it up.
0:38:33 > 0:38:35It was a regular, common or garden effort, I'm afraid.
0:38:36 > 0:38:38I just sort of...slipped.
0:38:40 > 0:38:44- Right. Erm... - Guess I'm out of practice.
0:38:44 > 0:38:49- Birthdays and Christmas is about the only time we ever...- I see.
0:38:49 > 0:38:52I wasn't going to admit that to the young lad. What's his name? Dominic.
0:38:52 > 0:38:56- Say no more. - You know, back in the day,
0:38:56 > 0:39:00- me and the boys used to get to Vegas once a year.- Yeah?
0:39:01 > 0:39:05Blow off some steam. Watch some boxing, play some cards, you know.
0:39:07 > 0:39:09- I do.- Yeah.
0:39:11 > 0:39:13Then after we all got married,
0:39:13 > 0:39:16it was just cards round Dave's house every now and then.
0:39:17 > 0:39:21Kids came along, we stopped playing for money.
0:39:21 > 0:39:24And then eventually, we just stopped.
0:39:26 > 0:39:28It happens so gradually, you don't even notice.
0:39:30 > 0:39:33Do you know what I did for my birthday last year?
0:39:33 > 0:39:36- No, what?- No idea! Can't remember.
0:39:37 > 0:39:40Or the year before. Or the year before that.
0:39:42 > 0:39:45I can remember what all the kids did on their birthdays.
0:39:45 > 0:39:48- Comes with the territory.- Yeah.
0:39:50 > 0:39:53I'm not complaining. I love having a family.
0:39:55 > 0:39:58But nobody tells you this is what happens.
0:40:00 > 0:40:05You hit middle-age and you just forget how to have fun.
0:40:07 > 0:40:10Maybe it's for the best, though.
0:40:10 > 0:40:12Look what happens when you try, eh?
0:40:13 > 0:40:15Happy birthday, me.
0:40:17 > 0:40:20Well, I wouldn't deal yourself out just yet.
0:40:22 > 0:40:25Think of it as a bad beat on the river.
0:40:26 > 0:40:28So, you're a poker man?
0:40:28 > 0:40:30Jac. We had no choice.
0:40:30 > 0:40:34I'm not sure the GMC will agree with you, but we'll soon find out.
0:40:34 > 0:40:36He's not answering his phone or his bleep.
0:40:41 > 0:40:44MOBILE PHONE VIBRATES I looked in there. I did!
0:40:49 > 0:40:51- SHE CLEARS HER THROAT - What?
0:40:52 > 0:40:54Oh, there he is. Jesse, it's Morven.
0:40:54 > 0:40:57She's wondering when you're going to be back down?
0:40:57 > 0:41:00- Not now.- I want her notes. Now. All of them.
0:41:00 > 0:41:03- Jesse, you're suspended. Effective immediately.- Hang on!
0:41:03 > 0:41:06Until we know if there's going to be a formal investigation,
0:41:06 > 0:41:08you do not touch another patient.
0:41:08 > 0:41:11And you two better get your story straight.
0:41:12 > 0:41:17Caesar's Palace, 1981, Sugar Ray Leonard versus Tommy Hearns.
0:41:17 > 0:41:21- I was there!- Tommy "The Hitman" Hearns!- That was a fight.
0:41:21 > 0:41:25After the twelfth round and Sugar Ray's behind on all three scorecards
0:41:25 > 0:41:29and his eye is all messed up, and Angelo Dundee gives him that...
0:41:29 > 0:41:32"You're blowing it now, son, you're blowing it!"
0:41:32 > 0:41:34THEY LAUGH
0:41:34 > 0:41:37SHE CLEARS HER THROAT
0:41:39 > 0:41:41Yeah. It's his birthday.
0:41:42 > 0:41:45Well, is it a private party, or can anyone join in?
0:41:45 > 0:41:48- Tell me why you ruled out the ICD. - Oh, come on, Jac.
0:41:48 > 0:41:51She's only 65. She has a good quality of life.
0:41:51 > 0:41:55If you define advancing heart disease and LVSD as good quality.
0:41:55 > 0:41:57She's already had two operations.
0:41:57 > 0:41:59Well, the second was due to a complication
0:41:59 > 0:42:01- caused by the valve replacement. - Exactly.
0:42:01 > 0:42:04And what's to say there aren't complications from this
0:42:04 > 0:42:07that mean we have to bring her in again and again and again?
0:42:07 > 0:42:09And what's to say the ICD doesn't solve the problem
0:42:09 > 0:42:11and her condition is stabilised?
0:42:11 > 0:42:13If that's what it takes to keep someone alive,
0:42:13 > 0:42:17a machine to shock her back into sinus every time she needs it.
0:42:17 > 0:42:21Come on, Dennis. An ICD is hardly radical.
0:42:21 > 0:42:24Is there a problem here? Are you questioning my judgment?
0:42:24 > 0:42:27Because I seem to recall there was a time
0:42:27 > 0:42:29when everyone said I was wrong about you.
0:42:29 > 0:42:33When I was paying your fees, writing you references,
0:42:33 > 0:42:37- mentoring you, supporting you. - You know how grateful I am.
0:42:37 > 0:42:39Then don't bite the hand that fed you.
0:42:40 > 0:42:44You wouldn't be where you are today if it wasn't for me.
0:42:44 > 0:42:47And look at where that is.
0:42:48 > 0:42:50I really am so proud of you.
0:42:50 > 0:42:52All right, then.
0:43:17 > 0:43:20Hey, I heard about Ina. Is she OK?
0:43:20 > 0:43:25Yeah, yeah. She's fine now. Listen, can we get my dad discharged?
0:43:25 > 0:43:29- I'd like to take him home. - Yeah, I'll get the paperwork sorted.
0:43:31 > 0:43:38- Did you know he has type 2 diabetes? - What? No, he doesn't.
0:43:38 > 0:43:42He does. He's refusing treatment at the moment.
0:43:42 > 0:43:45I've explained what the consequences will be, but...
0:43:47 > 0:43:51..I think he feels like he doesn't have anything left to live for.
0:43:54 > 0:43:56Thanks.
0:44:11 > 0:44:17- Dad?- Leave me alone, Jesse. That's what you're good at.
0:44:17 > 0:44:19HE SOBS
0:44:29 > 0:44:33- What happened?- Hey.
0:44:33 > 0:44:36It's all right, just relax. Relax.
0:44:40 > 0:44:43Listen, Mum.
0:44:43 > 0:44:46When you spoke to Jesse earlier, did you tell him
0:44:46 > 0:44:48you wanted to withdraw the DNR?
0:44:50 > 0:44:55- Hm?- This is important. Can you remember what you said?
0:44:55 > 0:44:57Word for word.
0:44:58 > 0:45:02I swear, that's exactly how it happened.
0:45:02 > 0:45:04Now, there's a guy at my boxing gym that I think you'd really
0:45:04 > 0:45:07- get on with...- Boxing gym?
0:45:07 > 0:45:09Yeah, well, I go to keep fit.
0:45:09 > 0:45:13It's bag work - punch bags, that sort of thing.
0:45:13 > 0:45:18- So, boxercise, then?- I'm not flouncing around in a leotard, no.
0:45:18 > 0:45:20Aw, that's a shame.
0:45:20 > 0:45:25It's about strength and stamina, reflexes, hand-eye co-ordination.
0:45:25 > 0:45:29- How long you been doing that? - Couple of months.
0:45:29 > 0:45:34- Go on, then, Doc. Give us a demo. - Oh, yes. Come on.- Erm...no.
0:45:34 > 0:45:38- Oh, come on.- Yeah, go on. - Oh, come on. Please.
0:45:38 > 0:45:40- Just a quick one. Oh, please. - All right.
0:45:40 > 0:45:43THEY BANG TABLE
0:45:43 > 0:45:45- Pay attention. - SHE WHISTLES
0:45:45 > 0:45:50First thing is your stance. You've got to keep your guard up.
0:45:50 > 0:45:53Protect your head, your body and your...bits.
0:45:53 > 0:45:56Right now, you've got to find a balance between mobility,
0:45:56 > 0:45:58speed and power.
0:45:58 > 0:46:00So you jab, jab, hook...jab, jab.
0:46:00 > 0:46:03The greatest exponent of this art was, of course,
0:46:03 > 0:46:06The Greatest, Muhammad Ali.
0:46:06 > 0:46:09You remember the rope-a-dope when you just draw your opponent in,
0:46:09 > 0:46:14wear him out, you do the shuffle, draw him in,
0:46:14 > 0:46:18bobbing and weaving, and then you turn and you hit him with the...
0:46:18 > 0:46:20Whoa!
0:46:20 > 0:46:22Oh, whoops.
0:46:22 > 0:46:25Boy, I remember this day.
0:46:25 > 0:46:31It was a disaster, but Mum thought it was the best birthday ever.
0:46:33 > 0:46:36Of course she did. We were all together.
0:46:43 > 0:46:46What did Mum say about the "wedding"?
0:46:49 > 0:46:52She said you'll act as if nothing had happened.
0:46:53 > 0:46:56Plough on to some new project.
0:46:59 > 0:47:01Like going back to surgery?
0:47:07 > 0:47:09She wanted grandchildren, you know.
0:47:11 > 0:47:14- More than anything. - Sorry to disappoint.
0:47:16 > 0:47:19She blamed me.
0:47:19 > 0:47:23Said I pushed you all too hard to be successful.
0:47:23 > 0:47:27- To have good jobs, good careers. - No, that's not true.
0:47:27 > 0:47:29Isn't it?
0:47:30 > 0:47:33Work. Always work.
0:47:36 > 0:47:38But that's not why you stayed away. Is it?
0:47:42 > 0:47:46None of us wanted to see her like that, Jesse.
0:47:50 > 0:47:53Anyway. What's done is done.
0:47:56 > 0:48:02Maybe if I was around more, I might have seen something.
0:48:02 > 0:48:05Noticed that she was... I could have...
0:48:05 > 0:48:07There was nothing anyone could do.
0:48:09 > 0:48:11Hey. Look at me.
0:48:14 > 0:48:18It wasn't anyone's fault. It was just her time.
0:48:30 > 0:48:34- Let's go to Trinidad.- What?
0:48:35 > 0:48:38Take her back home. Like she wanted.
0:48:40 > 0:48:43- You mean that?- Yeah.
0:48:46 > 0:48:51I know it's a bit late and it doesn't make up for anything, but...
0:48:53 > 0:48:56..I want to do something for her, you know?
0:48:57 > 0:49:02- As long as you still want to?- Yes.
0:49:02 > 0:49:04All right, then.
0:49:07 > 0:49:12There's just something that I need to do and then we're out of here.
0:49:20 > 0:49:23- I really am so sorry. - Yes, you keep saying.
0:49:25 > 0:49:28It's not even half past six. What are you doing here?
0:49:29 > 0:49:33Oh, Ms Naylor called me. There's a situation on Darwin
0:49:33 > 0:49:35which requires the attention of senior management.
0:49:35 > 0:49:38Can you be in the boardroom in half an hour?
0:49:38 > 0:49:40Yes. Yes, of course.
0:49:55 > 0:49:58Morning, Mr Hanssen!
0:50:02 > 0:50:05Ouch. Was it trouble on the night shift?
0:50:05 > 0:50:07Have a good day, Mr Levy.
0:50:07 > 0:50:09LIFT: 'Doors closing.'
0:50:14 > 0:50:16What have I missed?
0:50:21 > 0:50:23SHE MOUTHS
0:50:25 > 0:50:27Sorry I'm late.
0:50:28 > 0:50:32A statement from Ina Effanga confirming that she verbally
0:50:32 > 0:50:34revoked the DNR and consented to surgery.
0:50:34 > 0:50:36- How convenient.- Meaning?
0:50:36 > 0:50:39Of course she's going to back him up, he's practically her son-in-law.
0:50:39 > 0:50:43- No, he isn't. If anything... - Silence, please!
0:50:43 > 0:50:48Dr Law, yes or no - at the time you performed CPR, the documented
0:50:48 > 0:50:51wishes of the patient was that she was not to be resuscitated.
0:50:51 > 0:50:56- Yes.- And you attempted a surgical procedure which was outside
0:50:56 > 0:50:58the realm of your experience.
0:50:58 > 0:51:02- Yes.- Mr Hopkins-Clarke.
0:51:02 > 0:51:05In your opinion, was the patient's arrest caused by her
0:51:05 > 0:51:08underlying condition, or by the overdose of digoxin?
0:51:08 > 0:51:10Well, that's difficult to say.
0:51:10 > 0:51:14This is the problem with using agency nurses in specialist units.
0:51:14 > 0:51:17Don't try to pass the buck. She tried to check with you.
0:51:17 > 0:51:19Not very hard, clearly!
0:51:19 > 0:51:22So you accept that if it weren't for the drug error...
0:51:22 > 0:51:25It's an easy mistake, Mr Griffin. It happens to all of us.
0:51:25 > 0:51:28It hardly excuses this sort of deliberate
0:51:28 > 0:51:30- disregard for hospital protocol. - Oh, please!
0:51:32 > 0:51:35If it wasn't for you interrupting me every five minutes...
0:51:35 > 0:51:37- So, it's my fault?- Ms Effanga.
0:51:39 > 0:51:42The M&M statistics from the CT ward at St Jude's
0:51:42 > 0:51:4512 months before he started working there.
0:51:47 > 0:51:50And these are from when he was their lead consultant.
0:51:50 > 0:51:54Those figures clearly show his appalling mortality rates.
0:51:54 > 0:51:58He said the reason he went into research was because his son died.
0:51:58 > 0:52:00- That was a load of rubbish. - That's enough.
0:52:00 > 0:52:03His son's Twitter feed.
0:52:03 > 0:52:05Lewis Hopkins is alive and well
0:52:05 > 0:52:07and living in New York with his new wife.
0:52:07 > 0:52:09He lied.
0:52:11 > 0:52:14- I can explain.- Go on, then.
0:52:14 > 0:52:16It's complicated. I don't have to answer to you.
0:52:16 > 0:52:19You're right, you don't have to explain yourself to me.
0:52:19 > 0:52:22- You have to explain yourself to Mr Hanssen.- Guys, look.
0:52:22 > 0:52:25If you're going to be getting into all of this, can I go?
0:52:25 > 0:52:29I'm sorry, Dr Law, are we keeping you from something more important?
0:52:29 > 0:52:31Yes. Actually.
0:52:31 > 0:52:34You do realise, until an investigation into this matter
0:52:34 > 0:52:37is concluded, your career at this hospital is hanging by a thread?
0:52:37 > 0:52:40Well, let me save you the trouble. I quit.
0:52:40 > 0:52:42Effective immediately.
0:52:42 > 0:52:44This is unexpected.
0:52:46 > 0:52:51Mr Hanssen, Mr Griffin. Mo.
0:52:51 > 0:52:52It's been a pleasure.
0:52:52 > 0:52:54Jac.
0:52:55 > 0:52:57Yeah.
0:53:01 > 0:53:03Excuse me.
0:53:11 > 0:53:15Jesse. Jesse, wait. What are you doing?
0:53:16 > 0:53:18Look, I'm in my 40s, yeah?
0:53:18 > 0:53:21And I'm retraining with a bunch of 20-somethings.
0:53:21 > 0:53:24I'm single... jilted at the altar.
0:53:24 > 0:53:28My only friends are you and...
0:53:28 > 0:53:30Guy Self.
0:53:31 > 0:53:35I can't go on pretending everything's all right.
0:53:35 > 0:53:37Ploughing on regardless.
0:53:39 > 0:53:42Adele was right. It doesn't work.
0:53:44 > 0:53:46So, what are you going to do?
0:53:48 > 0:53:51I'm getting my priorities in order.
0:53:55 > 0:53:57Dennis, wait.
0:54:02 > 0:54:04It'll happen to you, you know.
0:54:04 > 0:54:07You're riding high now, queen of the castle.
0:54:07 > 0:54:11But one day it'll all be irrelevant. And so will you.
0:54:12 > 0:54:17- You lied.- I had to. I was being sidelined.
0:54:17 > 0:54:19Because you were making mistakes.
0:54:22 > 0:54:26Ask yourself this, Jac. When they take this all away...
0:54:28 > 0:54:30..what will you have left?
0:54:32 > 0:54:35What would you do to hold on to it?
0:54:37 > 0:54:39Goodbye, Jac.
0:54:42 > 0:54:44Right, who's up for breakfast, then?
0:54:44 > 0:54:48There he is. It's Rocky Griffin! You are my new hero.
0:54:48 > 0:54:50You have no idea how many times I've wanted to see that man
0:54:50 > 0:54:52- get punched in the face. - Who got punched?
0:54:52 > 0:54:54- It was an accident. - It was amazing.
0:54:54 > 0:54:57We're all going for breakfast. You coming?
0:54:57 > 0:54:59Well I...don't want to intrude.
0:54:59 > 0:55:02Seriously, who got punched in the face?
0:55:08 > 0:55:10I'm going to miss you.
0:55:15 > 0:55:18All right, OK. Enough of that.
0:55:18 > 0:55:21- I'm going to miss you too, Maureen. - Oi!
0:55:24 > 0:55:27- I'll see you later, Jesse James. - See ya.
0:55:29 > 0:55:31Guy!
0:55:31 > 0:55:34One second, Dad. Just one second.
0:55:38 > 0:55:42I'm sorry, mate. I didn't mean to disrespect Anya.
0:55:43 > 0:55:45I know you didn't. Don't worry about it.
0:55:45 > 0:55:48- I'm leaving.- OK, see you tomorrow.
0:55:48 > 0:55:50No...I quit.
0:55:51 > 0:55:53- What?- Yep.
0:55:56 > 0:56:00Of course. You can't run forever, you know, Jay.
0:56:01 > 0:56:04I'm not running anywhere, my friend. Not any more.
0:56:08 > 0:56:10I'm going home.
0:56:12 > 0:56:16Right. Well, in that case, good luck.
0:56:18 > 0:56:20Cheers.
0:56:22 > 0:56:25- Take care of yourself. - Yeah, you too.
0:56:41 > 0:56:44# You know how I feel
0:56:45 > 0:56:48# It's a new dawn... # How's that?
0:56:50 > 0:56:53KNOCK ON CAR/BRAKES SCREECH
0:56:55 > 0:56:58- # And I'm feeling good... # - I left the bags in the boot.
0:57:03 > 0:57:07# Fish in the sea, you know how I feel... #
0:57:07 > 0:57:10All right, jog on.
0:57:12 > 0:57:14See you.
0:57:15 > 0:57:21# Blossom in the trees, you know how I feel
0:57:21 > 0:57:24# It's a new dawn, it's a new day
0:57:24 > 0:57:30# It's a new life for me
0:57:30 > 0:57:33# And I'm feeling good. #