Out of Sight Out of Mind Holby City

You have secondaries. In your lungs.

Anything is better than living a lie.

You just have to be honest with yourself.

What are the odds of me getting a new liver?

I'm afraid you're not compatible.

What?

You can't donate.

Mr Tyler, suspected appendicitis.

Yeah, just waiting on his ultrasound.

I need one myself.

I'm still stuffed!

I've got to say, that shepherd's pie you made was absolutely outstanding.

Well, they say the best way to a man's heart is through his stomach...

Preferably with a nine-inch bread knife.

Man trouble, Dominic?

Of sorts.

He had a really bad night last night.

I don't think his meds are agreeing with him.

He shouldn't be here.

Try telling him that.

What's he saying to his GP?

Cancer shmancer. That's all I'm getting from him.

I'm going to talk to Occupational Health and Oncology,

-get them to reassess his meds and give him something to help him sleep.

-And what about today?

Got a job for you.

-OK, well, look, I need to finish off...

-Can you just get your coat?

Arthur? Can I see you in my office, please?

Ahhh! Thanks for filling the breach,

we're really stretched with Mr Di Lucca off sick.

Glad to be of service.

Sooner have someone who knows what they're doing than Larry Locum.

Um, Fletch will get you up to speed.

-Major Berenice Griselda Wolfe?

-Yep.

Also known as Ms Berenice Griselda Wolfe?

Yes, who wants to know?

Could we possibly speak somewhere private?

Tone, how you doing, mate?

I-I'm good, Fletch, how's the kids?

Bleeding me dry, but keeping me young.

This is a fairly sensitive issue, Ms Wolfe,

I really think we should, er...

Forgive me for my impatience, but I'm at work and you're eating

into my day, so whoever you are, just say whatever it is

-you have to say.

-As you insist.

I've been instructed by your husband's lawyer to serve you with this divorce petition.

Are you...

Are you for real?

You bring this to my place of work?

You're currently No Fixed Abode,

so where else am I supposed to find you?

I'm sorry to be the bearer of bad news.

When Edward and I divorced he said, "You'll never find anyone else like me!"

I said, "Yes, that's the point."

Cup of tea?

Well, it wasn't my decision, was it? I mean,

apparently you're indispensable and therefore treated with kid gloves,

-but it's fine for me to take time off to take you home!

-I really don't need you to babysit me, it's fine.

Yeah, well, I'm under strict orders to get you home, tucked in

and dreaming of Austerlitz before I can come back here and save lives.

Wow! You look how I feel.

Oh, charming! Another ray of sunshine.

I'm assuming that Ollie's finally given you a knicker drawer, then?

-Yeah, how's it going with you two?

-Um...

The taxi's here, Diggers. So do I need to buy a hat or what?

No, we're not quite at that stage yet. Keep you posted.

Whoa... What happened?

Minor RTC. Paramedics say that Dad passed out at the wheel.

He shouldn't be driving.

Yes, I know, my thoughts exactly!

They're going to take him straight up to Keller, given his previous.

Diggers, taxi!

I need to get on shift. Why don't you talk him round? He looks wrecked.

I'll do my best. But thanks for the input.

Your doing or Marcus's?

Mine.

Irreconcilable differences, apparently.

He's obviously hurting and getting his retaliation in early.

Edward did exactly the same.

You finished it?

Well, he was the one having the affair,

so I felt quite within my rights.

So where are you living? I take it you've moved out?

Splashed out on a four-star.

Mmm! Nice to have a swim in the morning and breakfast in bed?

Ha!

It's not going to be for very long.

Ah. The house?

His dead mother's.

-Assets?

-Joint and frozen, according to this.

State of mind?

Bloody furious. How dare he send some bailiff to my place of...

You know, I found I only learnt about my husband's real character

once the gloves were well and truly off.

Expect the worst.

Anything less is a bonus.

Dr March, have you checked over the manufacturer's testing report?

Jac got you burning the candle at both ends, has she?

Er, yes, you could say that.

Here, Mia Rowberts, foster carer,

diagnosed with tracheal chondrosarcoma 18 months ago.

That's a rare thing to find in the trachea.

Yeah, I thought it might be of interest, given your research.

The tumour's aggressive and it will eventually cut off her airway if we don't excise.

Martin, listen to me... Whoa, Mr!

You need to calm down, love.

What did I do to you when you were playing truant, all those years ago?

Then there's your answer.

Tell him I'll be round to give him earache if he doesn't pack it in.

I have GOT to ask. What did you do?

Sent him to school in odd trainers for a week.

Didn't want to hang with the cool kids in them, did he?

So, what's the plan, Stan?

Well, we need to do some more tests, find out what's going on and then we will talk through your options.

Can you hurry it up? Got a Zumba class in an hour.

Morning, petal, how are you?

So have Oncology ruled out radiotherapy and chemo?

Try and shrink the tumour before we attempt surgery?

They're both ineffective on her type of cancer.

The side effects far outweigh the benefits.

But Mia took the treatment anyway.

Think we could all learn quite a lot from her.

Hmm. So we're it?

Organise a navigational bronchoscopy as well as the fresh CT and PET scans.

-We need to know exactly what we're dealing with.

-OK.

Kathy, could you check his ammonia levels,

get FBCs, U&Es, LFTs, coag and group and save, please. Thank you.

Any injuries from the crash?

His stomach is very swollen.

But I've ordered a chest X-ray and abdominal CT to check

the bleeding, which is very superficial at the moment, so...

And you've managed to get renal protection fluids in to him?

-Well, he's had a litre so far, and then I'll send him off to imaging as soon as possible. OK?

-Mm-hm.

What were you thinking, driving your car, Dad?

I'm a grown man, Morven.

Where the hell was AJ?

Arthur, I can understand your concern, but I think it's time you went...

-Look, can you keep an eye on things here, please, while I go and make a few calls?

-Of course, yeah.

We do have a taxi waiting.

Arthur, you're running on adrenaline. Just because this is Morven's dad doesn't...

It comes and goes. I'm on my second wind. Please, can you just let me do this?

-OK. All right, but the minute it gets too much...

-I'm fine.

Don't fret.

Can you just keep them off my case, please?

What's all this?

Tracheal stent proposal is going to the board for approval

now we have a viable prototype.

So I need you to address as many of these postmortem case studies

as possible, where the device could have helped to prove our cause.

SHE SIGHS HEAVILY

"Naylor Tracheal Stent" waits for no girl, apparently.

It's got a certain ring to it, don't you think?

With all the time in the world, I am never going to get through all this.

Then what difference will one day make? Plus Mia's an ongoing live case.

Now as her consultant, I could have you back and say I pulled you in.

How long are you going to let her walk all over you?

I do not like those tube things, freak me right out!

SNAPS: Yes, well, they are a necessary evil, I'm afraid.

I'm so sorry.

How long have you been fostering?

Forever and a day.

Only do respite for other carers now, though, since...you know.

Got a set of unruly triplets due in at the end of the week.

Don't know how I'm going to tell them apart.

Suppose I could always brand them.

Sounds like a plan.

Arthur? Austin is showing signs of more confusion.

The encephalopathy is clearly worsening.

I've tried to drain the ascites as much as possible,

but the fluid just keeps accumulating.

Right, so you're aware of these results?

Well, his end stage liver disease score is 69,

so he's an even higher priority.

Good to see you again, Arthur.

You too, Austin.

Wish it was under better circumstances.

So, what's the verdict?

Your liver function is deteriorating

and your prognosis without transplant is poor, so we've

made the decision to increase your priority on our waiting list.

There's not much else I can do?

It's a waiting game. Hopefully we can get an offer soon.

Yep, whoever meets the criteria gets it. Fully aware.

I take it you want to stay with him for Morven's sake?

Right, today is just like any other day.

Austin is just any other patient, OK?

Well, if the fatigue gets too much,

I've set a little quiet space in the staffroom for you to have a rest.

Right, OK, listen up, toots.

Arthur is far too polite to say any of this.

But as much as he appreciates our concerns, he does not need

-wrapping in cotton wool. Capiche? Get it?

-Got it.

-Good.

Thank you.

Zosia, Mia's tumour

Smack bang in the middle of her trachea.

See, just there.

Well, that's good, isn't it? Easier access for surgery.

The problem is the lesion is coming straight from the cartilage.

The trachea would collapse if we tried to excise it.

So, no other options?

Not unless we can get the whole thing out at its root.

It'll only grow back.

Best we can offer is to make her as comfortable as possible.

How much time has she got?

Difficult to say. All attempts to shrink it have failed.

We struggled to even get a stent in where it's situated.

I'll be recommending palliative care from here on in.

His bilirubin level is now over 150.

He is coagulopathic and his renal function is off.

We need to get him stabilised as quickly as possible

while we're waiting for an organ to become available.

He's already on lactulose.

We've stopped the spironolactone and the antibiotic prophylaxis.

Let's see how he reacts and keep him on 15 minute obs.

Kate just called. Another get well message says,

"I hope your toe feels better soon."

She dropped me off this morning.

Told her I've got an ingrown toenail.

Are we going to have to find some new chairs for

when they all come visiting?

Had 27 for Christmas dinner last year!

All foster children you've helped?

14 were. My little posse, I call them.

And have you got children of your own as well?

Couldn't have them. I saw this young girl out on the streets one day.

She was begging, only about 11.

Took her home, you know, for a warm and a cup of tea.

No-one to take care of her?

She had me, Suzanne was the reason I got into fostering.

Stayed for eight years.

Happily married with a family of her own now.

The first of many?

You wouldn't believe the number of troubled kids out there,

too old to adopt.

No-one wants them when all they need is a smile and a hug

half the time.

So, dear, you come to any conclusions,

or are we still at judges' houses?

I just need to discuss your test results.

Let me speak to your consultant and I'll be back.

I'll be waiting.

-So how did she take the news?

-Erm...

What you plotting, Zosia?

Why don't we use a stent?

It's not going to save her life but it could buy her more time.

It comes with a whole host of problems.

It can collapse, it can't be removed once the tumour grows around it.

Yes that's the rigid variety, I'm talking about Jac's new prototype.

It's like a balloon, it can inflate

and deflate with the flow of the tumour, it can be removed.

-Is Jac behind this?

-No.

Cos I'd hate to think that you were trying to score points with her.

You said earlier that we could all learn something from her.

She's given her entire life to help other people.

Why don't we give something back, what has she got to lose?

The right to the dignified, pain-free death she deserves.

Believe me, this is for the best. We'll tell her together.

Arthur! I got here as soon as I heard.

What's the latest with Dad?

He's still very poorly but he is relatively stable now.

But he's going to pull through, right?

Well, he's in dire need of a donor liver, AJ.

-So if we don't keep him stable, then we...

-What, you let him drive?!

-Sis.

-You were supposed to be looking after him!

-You know that was the deal.

-I popped out for a couple hours.

-I can't be with him 24/7!

-More like Stephanie texts you and you

-go running.

-Give it a rest!

Guys, we're being considered for a liver offer for Austin.

That's... That's fantastic!

Let's not get too excited just yet. It is only provisional.

There's an urgent case at St James' that's being considered first.

When will that decision be made?

They're making that assessment now, but if we do get the offer of the

organ, then Austin is our recipient.

Look, I'm sorry for flying off the handle like that...

Look, I get it.

My watch, Dad decides to go for a joyride. Bad AJ.

Tony, what happened?

-Someone's Chihuahua take umbrage did they?

-Something like that.

Bay five, please.

The ED think that his wound needs reconstructive surgery.

You know him well?

Tony? Yeah he's all right.

No offence given today's little showdown but, yeah he's all right.

Did you hire him for something?

Er, no. He served me papers on a debt.

And now you're bosom buddies?

Well, it's a dirty job but someone's got to do it.

Well, I hope this isn't an elaborate ruse to serve me with more fubar?

Just doing my job. Can you do yours, please?

Well, you'll be ecstatic to hear that I'm your consultant today.

Tetanus and antibiotics stats, please.

I'll try not to enjoy giving you some needle.

They say I'm going to need surgery.

Her bark's worse than her bite, mate.

-So Morven gave you the hairdryer treatment as well?

-Yeah.

Good job I did crash the car in hindsight.

We would have found you face down in your own cornflakes otherwise.

What's so funny?

Life is.

Any news yet?

Let's treat no news as good news, yeah?

It's so frustrating.

You know all three of us and not one of us a match.

Sometimes that's the way it goes.

Let's just concentrate on what we can do, yeah?

So what happens to the other person if... You know if Dad gets the nod?

There's no way of knowing.

I'm really sorry, Mia.

But I genuinely think palliative care is your only option now.

Well that's put paid to my to-do list.

Have to let Social Services know I can't look after those

triplets now.

Their foster carer was going on holiday too.

Hey, we've always known this day was coming.

Just didn't expect it to be so soon.

Still, all my affairs are in order.

Might have to cancel that mini-break to Budapest

with Gerard Butler, though.

Do you get away much?

Not as much as I'd like to.

I do love my little trips. Embrace the culture, try new things.

You should see the world whilst you're young enough to enjoy it.

What's your favourite place?

Scarborough. My dad used to take me every summer.

We'd build sand castles, skip stones in the sea

and trough ice cream by the gallon.

He was a bugger. Nothing but a big kid himself.

I need to go back there.

Mia, with your condition. I really don't think...

Going out the same way I came in, Mo. Kicking and screaming.

You've known me too long to expect me to go out without a fight!

How's your mum, by the way?

She's good thanks, I'll tell her you were asking after her.

You all right?

You must be delivering news like this on a regular basis.

Doesn't make it any easier, Mia.

Come on, what's really eating you?

You don't get far in my line of work if you can't read the signs.

I have a friend who's ill...

..and I don't know what's wrong with me, but I don't seem

-to be able to...

-To engage with them?

How sick are they?

He'll be fine, the prognosis is very positive.

So why the long face?

I'm not sure, um...

I suppose it's because I feel like I'm a spectator.

When you're used to diving in and saving the day, I suppose?

Yeah. I need to go and talk to Oncology.

I lost Thomas to leukaemia when he was 12 years old.

Never felt so helpless in my whole life.

Couldn't bear seeing him lying in the hospital bed.

Used to kill me going to that children's ward.

He was a proper little scrapper, though. Learnt a lot from him.

We used to play hide 'n' seek with the other kids.

Sister used to go mad at us, right miserable cow!

You know, it was only after he'd gone

I actually realised he'd gotten me through it all.

A smile...

..a kind word goes an awful long way.

You'll find a path.

You're looking a bit wiped out, matey boy.

Seen you looking better.

You shouldn't be here fretting over me.

You should be looking after yourself.

Someone's got to.

I'm a goner, aren't I, Arthur?

On the contrary. If the offer of the liver comes through...

You get nothing for finishing second, Arthur.

I know there's a more deserving patient in front of me.

What's your prognosis?

Very good.

The drugs are getting you down, then?

I'm not letting them.

And you and Morven?

Business as usual, why wouldn't we be?

My little girl seems pretty smitten with you.

Promise me something. You'll look after her when all this is done.

Austin, I really don't think...

Come on, Arthur. We both know how this ends for me.

-Owww, oww, oww!!

-Come on Tony, man up.

I've got to get the wound, mate.

Charming, is this what I pay my taxes for?!

Yeah, sue me.

How did you get into this mess, Mr Bradbury?

Big fan of The Rockford Files. The rest is history.

Rhodesian Ridgeback named Flynn. Gentle giant normally,

partial to an ear fondle.

Owned by a regular customer of mine

who unfortunately forgot to tell me about its raging ear infection.

You spoken to the police? They going to put the dog down?

Ah, no way. Flynn's the only company she's got!

It's not the dog's fault he's sick or that his owner has

catalogue shopping issues.

That's very understanding of you, Mr Bradbury.

-Can you make a fist for me?

-Please, call me Tony.

Well, Tony, I think that mutt has given you some severe tendon

and ligament damage.

Will you prep him for theatre?

Wound will need debriding so we can see the extent of...

But you'll get me up and running again?

I mean, like today.

Why? You got an important darts match or something?

You know how it is, Fletch. I don't get paid

unless I'm spreading misery.

All right, Mrs D. Bunions acting up again, eh?

You take care now.

Another satisfied customer?

Had to repo her telly right in the middle of her watching Pointless.

She wasn't happy.

I'm sure you get a lot of job satisfaction.

From 18 hours of grief a day?

On my toes half the time.

Not the first time a dog's bitten me. Cost me my marriage.

Why do you do it then? Why don't you just find another career?

Well, he's the caring, sharing type aren't you, Tone?

You must get some perverted joy from it?

People are people in my book, whatever mess they're in.

Quite the caped crusader?

I know I'm probably not on your Christmas list right now,

but are you OK?

I mean, if you need any legal help, I've got a couple of family

lawyers on the books.

I might take you up on that, Tony.

But let's see if we can get you back on the mean streets of Holby

first, shall we?

Don't say it I don't want to hear it.

Well you know Essie's got that nice little creche for you.

-All those fluffy cushions.

-Yep, she means well.

Listen, Arthur. Sacha has had to change Austin's meds.

Is he responding?

In a fashion, yes, but we don't know how long we can keep him

stable enough for surgery.

Essie's currently getting an update from Bloods and Transplant.

And the donor organ?

It's still up for grabs but the clock is ticking.

Austin basically just told me that he's expecting to die, so...

Oh, nice, OK, so you've just had that chat.

Is Morven aware that his condition's declining?

Morven is being stoic as only Morven can be.

I think it's AJ who is starting to crack.

-So you might want to have a chat.

-Thanks Dom.

And I know the last few days have been hard for you back at the flat.

Don't say it, don't want to hear it.

I was debriding dead tissue and looking to repair the tendon

when I found the damaged artery.

We'll need to restore the blood supply

if he's ever going to play snooker again?

Rocking the Mr Magoo look, if you don't mind me saying.

I could do it blindfold if you'd prefer?

Wonder what he does for fun?

Takes candy from babies?

Did you have a few choice words for him?

I'm trying really hard to despise him

but I think he might actually be quite a nice guy.

5-0 Prolene, please. Thank you.

You've spoken to you-know-who?

We're keeping it to a war of words by text.

Most of mine end with "off".

How civilised. Who's getting custody of the cat?

We don't have one, but if we did,

he'd have to prise it from my cold, dead hands.

That's the spirit! Go for his golf clubs too.

Remind me never to cross you.

Hey.

Hey. You spoken to Arthur since this morning?

I haven't really had the time, if I'm honest.

Arthur needs to be at home, you saw how exhausted he was this morning.

Well, he clearly wants to be with Morven.

Yeah, obviously, but he's not doing anyone any favours

-by running on empty is he.

-He wouldn't be there if he couldn't...

Zosia, you and I both know that all the positive

thinking in the world cannot save someone from a disease.

He needs to be at home, he needs rest.

He's not in control of how this is going to pan out.

And he's got everyone up there pussyfooting around him

when he needs me and you to just give it to him straight.

His prognosis is better than good

but everyone is just too damn scared of mentioning the C-word!

What are we even doing here

if we don't believe we can really make a difference, Dom?

Hey. There's no easy way of putting this.

But the liver has gone to another recipient.

So, er, what happens now?

Well, you're still a priority patient at the top of the local

transplant list.

If and when another organ becomes available we'll do everything

we can for you.

I'm really sorry.

Well, that's it? We're done for?

OK. As long as we can keep him stable enough for surgery,

there's still a chance.

Look at him, Arthur. What's he got left?

What? Two, three days tops?

Right, OK, come here. Go home, get some clothes and some food,

cos we're going to be here for the long haul, yeah?

Go on, nothing you can do here now.

-Whoa!

-Whoa! OK. This has got to stop.

Just take your hands off of me, take your hands off me.

-You need to at least take a break.

-I'm OK, honestly.

Just, er, just don't tell Morven, yeah?

You set me a task today, to lay out the case to back clinical trials

-for the new tracheal stent.

-This is Ms Effanga's patient, shouldn't...

Yes, I'm the one you've had studying the damn thing morning,

noon and night, seven days a week.

Mia is the perfect candidate for the clinical trial.

The prototype could extend her life by months.

All I'm asking is for you to look at the scan

and give me your professional opinion.

Is the tumour low grade?

Intermediate.

You know Mo's not going to appreciate you going over her

head like this.

Well, I can't stand by and do nothing

knowing that we might have the tools to make a difference

to the quality of her remaining life.

This tumour is well established.

So you excise what you can, without collapsing

the cartilage in the trachea.

Making it sound easy.

We then have to somehow insert the stent around the damaged tissue.

Isn't that exactly what it's designed for?

Flexibility and manoeuvrability?

Your prototype is worthless if not tested.

I'll have to clear it with Hanssen.

Speak to the patient, offer her the treatment.

But make sure she is in full knowledge that this is

an untested prototype.

What did AJ want with you?

More questions I can't give answers to.

Like who got the liver? Why not his dad? Etc.

Just excuse me a minute.

Some nameless, faceless person plays God today

and just decides someone else should live.

It's a really carefully monitored and assessed process.

It's not just a case of bad luck.

I know this is really stressful for you...

Me and my dad had a massive row today.

Ah, OK.

I lied to him.

I told him that I got my place for my Masters

and I didn't even go to the interview.

He called my senior lecturer and you can guess the rest.

That's why he was in the car. He came looking for me.

Well there's a lot more at stake than your education here.

I know that.

Never should have let it come to this.

What do you mean?

Morven says I have a habit of making the wrong choices in life.

Your colleague, Essie knows.

There's no point trying to hide it any more.

Tell me.

Arthur, I was a match.

I was a match for live liver donation.

How long will it give me?

Months definitely, years if the tumour remains localised.

But I have to tell you, that this device is untried and untested.

You want me to be a guinea pig? Hit me with it.

What are the risks?

As with all operations, going under anaesthesia can

have its complications. Bleeding, ECMO, death.

Sorry I asked!

I just need you to understand there are no guarantees.

We will do our level best.

Can't remember the last time I took a breath without

wheezing like I was on 40 a day.

It will definitely improve your breathing.

Then that's all I need to know.

Let's get on with it.

I just need you to fully understand that this is completely

uncharted territory for us. We'll be pioneering.

Death doesn't scare me.

I made a date with him a long time ago but he can wait.

It's life I'm craving.

What's going on?

So all this time, you knew you could save him?

Why do you think I've come clean, Morven?

What? But it didn't enter your head yesterday or any other day?!

Morven, look, this really isn't helping.

Look, you need to stay out of this!

Dad was doing OK. There was every reason to believe

another donor would come along.

You're going to see Essie right now and you'll come forward! OK?

You can't force him.

Morven, I'm sorry, I...

You must have had your reasons for bowing out.

I absolutely don't need to know them

but you just need to listen to me now.

Here we go. You think I don't understand what's at stake

-here, Arthur?

-No, no, I'm saying that you need to think very

carefully about what you're getting yourself into.

Well it's not like I have a choice now, is it?

Not trialled, not tested.

And by the time the prototype is, it will be all too late for Mia.

The cells of the tumour are becoming malignant.

Even if you're confident you could perform this little miracle...

Could the use of the new stent buy her time?

You cannot possibly give Mia any hard and fast guarantees.

You've spelt that out to the patient?

Mia is completely aware of the and wants to proceed regardless.

Good. Leave us, please.

Do you not recognise a bit of yourself in her today?

Because I certainly do.

Do you remember that registrar who was willing to

take on the world no matter what?

There's so many more hurdles to jump than simply being a match.

OK, it's scans and medicals and physiological

and psychological assessments.

And it was just easier to tell them that...

That you didn't fit the criteria rather than face all

the endless questioning.

They told me that he would still have a good chance

with a cadaveric organ and that if I had any doubts at all then

I shouldn't go through with it.

How far along did you get?

I... I was just waiting for my interview with

the IA by the Human Tissue Authority when I backed out.

We all got tested, even you.

Any one of us would have seen it through given half the chance.

Yeah, but do you honestly know that to be true

if none of us even got past the first hurdle?

Did you not feel a hint of relief when they told you

you weren't a match?

Arthur, you're really not helping.

I'm just trying to make sense of it for you.

And AJ, he must have been under a huge amount of peer pressure.

This is just another in a long legacy of AJ's selfish acts

and failures!

My Dad's always overindulged him,

-cut him slack when we got absolutely nothing.

-OK. OK.

I just don't think now is a time for a sibling rivalry.

I will never forgive him for this, Arthur!

You felt sorry for him?

Well, it's a bit of a grim existence, his line of work.

He seems to get something out of it, though.

I think he's essentially lonely.

Aren't we all? Right, normal service appears to be resumed.

Save the tendon and you'll have him

back ruining people's lives in no time.

-I like your tactics, by the way.

-I'm sorry?

Butter him up, get him on side, find out what Marcus is plotting.

Oh, trust me, I'm not that devious.

I just want to get it over with and move on.

See if you're still saying that when the court gets involved.

Don't be bitter.

I'm sure you're very happy for Edward and his new spouse?

Ecstatic. Hopefully she'll bleed him dry and leave him an empty husk.

-You don't mean that.

-What can I say? I have a passion for bearing

lifelong-take-it-to-the-grave grudges.

Don't look at me like that, every girl needs a hobby.

Yes, I know that.

But he's come forward now, so what's the problem?!

I don't mean to sound callous, but I'm not at liberty to discuss

-it with you, only AJ.

-Right! Tell her!

I want to go through with it.

OK, but your Living Donor Coordinator may want you

reassessed, given your previous issues with the donation process.

But he's good to go now.

Morven, this simply isn't your call.

Look, you have to stop this.

You have got to be kidding me!

I will never forgive you if anything happens to him.

OK, you can't bully him into donating!

Can we just... Can we at least start the process with

the Living Donor Coordinator, please?

You're sure?

AJ, just don't beat yourself up over this.

Being a live donor is never a done deal.

And there were a lot of factors you had to consider before you

-made your choice.

-Like what?

That's really not for me to say.

So I just need you to sign the consent forms.

Absolving you of all responsibility?

Yeah, that's the one. Just put your mark there.

So how many kids have you fostered over the years?

47 and counting!

Some for years, some for just a few days.

Do you consider yourself a mother to them?

Friend, confidante, a shoulder to cry on,

a person to giggle with, but never mum.

That's the trick to it.

You don't get emotionally attached?

Course I do, love them all to bits.

Even Georgie, he's doing a three stretch

but his heart's in the right place.

Just a pity his brain isn't at times!

Doctor March, Jac's scrubbing in. She wants you to observe.

See you in theatre.

That young doctor's pulled out all the stops for me today, hasn't she?

Well, she certainly did a number on our glorious leader to convince her.

You're sure you don't want me to get the clan in?

Maybe just the favourites?

Nobody outside this hospital knows how sick I am.

Is that selfish of me?

What if I never see any of them again?

They'll be furious but what will you care?

I've written a round robin that's with my will,

mentions all of them.

I really do want to see Scarborough again, you know.

Well, it's my job to make sure you get there.

I'll let Ms Naylor know you're ready for theatre.

Just one more thing, before you go.

For her, you know. If the worst happens.

So what's the verdict?

Well, we repaired the tendon damage

and restored blood supply to the arm.

Mind, he'll need some physio-terrorism

if he wants to arm wrestle again.

He did really help me out, you know.

Is that your way of telling me to be nice to him?

No, but my head was well and truly buried in the sand till

he turned up.

Things OK now?

Well, me and my four kids, we live with Mr Di Lucca.

He took us in, saved us from the work house.

And she's been great about the whole lot as well.

A lot of nice people around here.

What about your partner?

Er, she died. I couldn't cope.

It all got a bit on top but, yeah, that was that.

Oh, I'm so sorry.

No, listen, what about your fella? How do you see that panning out?

The good ship matrimony is well and truly holed below the water line

and going down fast. You dating?

I don't think I'm ready for all of that just yet.

-But, er, single.

-Snap.

-Snap.

-Full house.

Looks like AAU is a sex-free zone.

Ah, yes, we prefer to live like nuns down here, keeps you sharp.

I had to serve a nun with papers once.

She had a terrible online bingo habit.

Really?

You're so easy to wind up.

I could lose everything today. My dad, my whole family.

I've never seen Morven so angry.

She'll come round, just give her time.

There's only one way I can put this right.

Well, there's still a chance a cadaveric organ could become

-available.

-Do you think that's going to happen?

I need to talk to my dad.

He needs to understand what they were asking of me.

OK, I wanted to go through with it, I did...

I know what you're thinking.

Spoilt rich kid just waiting for the trust fund to kick in?

Not pulling his finger out for the old man.

-That's not the case.

-Selfish.

I'm not here to judge you.

You have no idea how messed up this has been for me.

The Living Donor Coordinator said this decision was to be mine

and mine alone and that no-one should cloud it.

Well, then tell them that.

None of us can understand the enormity of what's been

asked of you.

Oh, come on, if Morven had been a match she'd have cut out her

own liver lobe with a blunt spoon.

But can you not see that is exactly where her anger is coming from?

Because she couldn't help him.

What would you have said if she had been a match?

Would you be happy for her to go under the knife?

To risk her life?

Trust me, you have no idea how you're going to react

until you're there, until it's right on top of you.

Right, there's the tumour. Ready for laser.

Thought you'd at least want to meet your patient before the operation?

I would have done if I hadn't had to spend the whole afternoon

convincing Hanssen and the board that this was viable.

We nearly didn't get here.

Besides, I didn't want to steal Zosia's thunder.

-There's a bleed.

-Suction.

There's a lot of blood vessels going into the tumour.

Jet ventilation, please.

Ventilation's not working.

She's drowning!

OK, let's put her on ECMO.

We need to increase her oxygen levels.

She's gone into VF.

Charging to 150.

Oxygen away. Clear.

Charging to 200. Clear.

She's back in sinus.

Good, let's get a small endotracheal tube in there stopping all

blood from getting into the lungs.

-You can't take any more of that tumour away.

-Agreed.

Pretty much making all this a waste of time.

Inflating the cuff.

Looks like the bleed's stopped, circulation is good.

We need to stop this and go to plan A.

The tracheal stent can still extend her life,

make her breathing more comfortable. We proceed.

Arthur, look, I told you, I don't want to speak to him.

You don't have to talk to him, you just have to listen.

-No!

-Morven!

Right, I'm really not liking this stubborn streak that I'm seeing.

Please just... Just do it for me.

If you still feel the same way after you've heard him out,

you can give him both barrels with my blessing.

Tell her. Tell her what you just told me.

You're going to be an auntie.

What, and you knew about this?

I had no idea.

Stephanie?

An albeit unexpected addition to the clan.

This... This is why you stopped the donation process?

I had a long conversation with the Living Donor Coordinator,

and well, yeah, in the end I decided best not to tell you.

Because I couldn't deal with all the repercussions.

AJ's got others to think about now.

You do know what's happening here, don't you?

He's your only chance.

If you still bear him malice, then know this.

I'd never let any of you risk your lives just to save mine.

Congratulations.

But with all due respect, Dad, this doesn't help you in the slightest.

I just want you to be happy for him.

You're going to need each other now.

How can you just lie here and accept this?

Because I know you're the strong one.

You'll get the boys through this no matter what happens next.

I'm sorry to interrupt but this can't wait.

There's been some medical complications with

the patient from St James.

The offer of the organ is now firmly back with us

and it's being biked over right now.

Morven!

Does this mean I might get to meet my grandchild?

There is a distinct possibility that we'll have you changing nappies,

Mr Shreve.

The organ's been checked and initial descriptions sound promising.

So you'll have to excuse me while I need to find you

an emergency theatre slot.

OK, let's get you prepped.

If I don't make it through this,

promise me, you'll bring them two back together.

She should have come round by now.

Pupils aren't dilating properly.

You think there's a neurological deficit?

Let's order an EEG and a CT head scan.

It might be time to call in the family.

Sure.

I can't have you feeling responsible for this.

It's easy for you to say.

If it's any consolation,

the new stent worked perfectly despite the complication.

When you're ready, I'd like you to write a report for the board.

Look, I'm really, really sorry.

You don't have to apologise to me. Have you spoken to your brother?

Yeah. I've let my rage get the better of me today.

I've put things into perspective now.

OK, for the record, I'm not sure I would have been

happy for you to come forward if you'd been a match.

You know that wouldn't have stopped me. It's my choice

and I would have expected you to respect that decision.

Like you respected AJ's?

Well, I think every couple has their first domestic at some point

don't they, so...

-So we're good?

-We were never bad.

Right, I better get ready. Austin's going to be in theatre soon.

Arthur? Listen, neither of us should be carrying the other.

We're a partnership, a team.

So that's why I'm asking you to not go into theatre.

You've done more than enough for my family today.

Is this still my decision?

It always will be but I want you to listen to reason.

You've gone over and above today. It's time to look after yourself.

Arthur, please. Go home.

I'm going to go in.

Arthur.

It's my choice and I'd like you to respect my decision.

I really think you're needed here right now.

Physio will be in touch about a rehab regime.

Once you have some mobility back in your arm

we can think about a skin graft.

Make it look a little less like dog food.

Let's hope Flynn thinks so.

Thank you for everything you've done.

Here, I've got something for you.

They'll sort you out.

And my number's on the back if you feel the need for any other advice.

-Thanks Tony, but I'm sure I'll be fine.

-Everybody says that.

Then they're stuck in front of the telly with a meal-for-one

and that second bottle of vino collapso is their only friend.

Slippery slope if you're not on top of things.

Believe me, I know from experience.

Sometimes it's better to talk things out than to reach for the corkscrew.

You don't need a corkscrew if you're drinking straight from the box.

Still wearing your wedding ring.

You sure this isn't just a lover's tiff gone pear-shaped?

You getting Freudian on me?

People make mistakes in the heat of the moment.

Say things they don't really mean.

Trust me, Tony, this has been coming on a long time.

I think I know where my head is.

That's not what your face is saying.

Yeah...

Just feels a little strange right now.

Everything you took for granted, gone overnight.

Bit scary, but I'm sure I'll manage.

Reckon you will. Strong minded girl, I can tell.

-Ah, thanks, Tony.

-See you around.

Not if I see you first!

She asked me to give you this in case anything went wrong.

Knowing Mia, it's probably a smile and some kind words for you.

I'm really sorry, Mo.

I should have listened to you.

I just couldn't stand by and do nothing.

For her sake or yours?

Mia, can you hear me?

Of course I can.

Everything's a bit blurry, though.

Mo!

Squeeze my hand?

Lift your knee up.

What is this, an aerobics class? Why can't I see properly?

Give it time, sweetheart.

It's worked, hasn't it? I can breathe!

Mia, you all right? She's gone into VF.

Charging to 150.

Clear.

Charging again at 150.

-Clear.

-Call it.

We're not going to try.

Charge to 200.

Charging at 200. Clear.

Both pupils are fixed and dilated. I said call it.

Time of death 9.03pm.

Her scan results show that she had a massive stroke in surgery.

This was inevitable.

I'm sorry, Zosia, I know how much this meant to you.

I'll take care of her.

Yeah, yeah. I'll let you know as soon as he comes out of theatre.

Yeah, it should be any time soon. OK, then.

Catch you later. Bye.

Who was that?

Auntie Karen again? Wait till she hears about the baby.

Yes, and how did this momentous occasion happen?

You're the doctor, you tell me.

You've only known her for three months.

Yeah. How long you known this muppet?

Still in the room.

You're head over heels but you can't be happy for me?

So are you going to make an honest woman of her?

Of course. I'm thinking Big Fat Gypsy Wedding style!

Very classy.

Go on, then, just give it to us? No sugar coating.

It's all good. There were no complications during surgery.

It was a big success!

Thank you. Thank you.

They're taking him to recovery soon.

So you actually had the guts to open it?

You ever had one of these?

Yeah, few years ago. It's in a drawer at home somewhere.

I wear far too much mascara for that kind of thing.

Mia's gone and there's nothing more that we can do for her.

But Jac's new toy is proven that it works.

Who knows how many people it will buy precious time for.

So chin up, yeah? Good girl.

I meant to ask this morning. How's Diggers?

He's OK...

..as far as I know.

Give him my love, yeah?

Oh, brilliant. My ex.

Nothing but grief from him all day, now he wants to talk things through.

Must have hit the whisky.

Edward used to get all maudlin and call me at 4am,

play REO Speedwagon down the phone.

Well, there's nothing to talk about. This is my doing, not Marcus'.

He can have what he wants.

He still wants you, by the sound of things.

Do you mind if I join you?

We're not talking footy if that's what you're after.

Welcome to club screw-up!

Oh, er, you might want to get rid of that card.

Why?

It's Tony's unique pulling technique.

He preys on fragile divorcees.

Catches you at your lowest ebb. Works a treat, apparently.

Well it's good to know you can still turn a head, I suppose.

Earth to Diggers? Can you hear me?

Shh, Dominic, let him sleep.

Dom, you'll always be a better doctor than I am.

-Leave him!

-What? Sacha doesn't let me do it to the patients.

Go on, make yourself scarce!

-Why? You planning on taking advantage?

-Dominic!

-Oh, look...

OK, well at least I'll get some sleep tonight.

Keep him here as long as you can.

What's that Bonaparte saying you're always quoting?

If you're afraid and still go forward, then you are truly brave.