The Sky Is Falling Holby City


The Sky Is Falling

Zosia has to make a tough choice between Arthur and her career. Dom's loyalty is tested by a familiar face. Bernie and Serena lock horns over Jason's wellbeing.


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Transcript


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APPLAUSE

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They got hold of the fact that we have some staff taking

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medication for mental health issues.

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I'm resigning due to ill health.

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You've made a considerable contribution to this hospital.

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Zosia, that...

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"Wasn't what it looked like"?

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-Absolutely not.

-Not such a martyr, after all.

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Sorry to break it to you, Doctor,

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but you're just another one of his men.

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I see you're taking Ms Wolfe's presence with such good grace.

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Were you ever going to tell me you're here to baby-sit?

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It appears you're pregnant.

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It can't be.

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I have cancer.

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The fact is...

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..I'm going to die.

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In any battle, it's not enough just to survive.

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You have to deserve it.

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You have to ask,

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"Why me?"

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'We begin with self-fulfilment and end with self-satisfaction.

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'That seems to be the message.

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'To finally make it to that point where you can leave saying,

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'"I gave something back."

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'Are you selfless enough to ask not what you want from life,

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'but what life wants from you?

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'Perhaps there's some truth in the idea that everything has

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'happened before.

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'But would you try and live your life differently, if you had a second chance?'

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Ah, Morven, just the girl I'm looking for.

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Would you mind taking those for me? He's in bed three. I'm going to get a coffee, do you want one?

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Yes, please. Thank you.

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'Risk not meeting the same people that you love?'

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Then again, I suppose the stakes are slightly higher

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in an intergalactic war.

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Sorry, I get the sci-fi nerd rants from my girlfriend.

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SIREN BLARES

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Wife!

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I'm still getting used to that.

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OK, just try and keep your head still.

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They'll take it from here.

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This is Ruth, she's got pain in her abdomen and I think she's in shock.

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Are YOU OK?

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I'm fine.

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You missed your...

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There'll be others.

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Mr Malone. I am Dr March,

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I'll be looking after you today.

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-Oh, so it's still a possibility then?

-Sorry?

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-I've just been reading...

-I can assure you, those press reports have been blown out of all proportion.

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Sorry. What I meant was, that this puts pressure on me to deliver.

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Please take a seat.

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But there is pressure to get it right.

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Making me your prize guinea pig.

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I've been working on this case day and night for the last four months,

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alongside the best heart surgeon in the business.

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If Ms Naylor has selected you, it's because you are the best candidate.

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I'm sorry. I'm just a stickler for these details.

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It's what a life spent as a bureaucrat gets you, I suppose.

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That and a distrust of brown M&Ms.

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We just need to run a few more tests to make sure you're the ideal fit for the stent.

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Then all Ms Naylor needs is for it to be signed off by the powers that be.

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As I'm sure you're aware, there have been discussions,

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most of which took place, I regret, above my head.

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Do we have another shot?

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-We have another patient, yes.

-Mr Malone.

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You're aware of the sensitivities involved?

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He's a good candidate.

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He needs to be the best. As does your team,

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if you're to prove this stent is viable.

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We need a positive press if the board are to continue funding this.

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I see.

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So they want me to choose -

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the stent or Dr March.

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Unfortunately, I have to leave the specifics of your team to you, Ms Naylor.

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OK, how do you want to do this?

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I'm not about to deny that it happened.

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Obviously, it wasn't my finest hour.

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It was crazy. I was just...

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Cara was...

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Please spare yourself the pain. I have work.

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And even though I am mildly offended, that's the end of it.

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Zosia, look...

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Eke out whatever punishment you see fit,

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but I need to know that you're not going to take it out on her.

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It's not fair.

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No, you're right.

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It's not.

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-Zosia...

-Dr March. I need to speak to you in private, please.

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I'm serious. The matter's closed.

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I bet that stack of paperwork's exactly what you thought

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you'd be doing this time last year, isn't it, "Sarge"?

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I'm really sorry. You must be so tired of us

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going on about the Army the whole time.

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I used to work in an ice cream van, so feel free to make Mr Whippy jokes whenever you like...

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Oh, gosh, not that working in an ice cream van is anything like the Army!

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-I just thought that...

-No, I know what you meant. And thank you.

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Could you give me a hand with these?

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Back's giving me gyp.

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Nothing serious. Had to give my osteo the boot though,

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turns out I'm fussier than I thought about who puts their hands on me.

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Must be an Army thing.

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Charts are up from the ED, Ruth Adami.

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She was found at a bus stop with severe abdo pain.

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Her temperature's 38, she's hypotensive and tachycardic.

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Um, bay four, please, Nurse Fletcher.

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FBC, U&Es, LFT, CRP, clotting and abdo X-ray, please.

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-Hello, Ruth, I'm Dr Digby.

-Hi.

-Do call me Morven, if you prefer.

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Right, we'll do our best to get you comfortable

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-and find out exactly what's going on with you.

-Bernie.

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I, er, I spoke to Hanssen and we think it's best if

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I'm around Dr Digby for now,

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given what she's having to go through with Arthur.

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Right. Just don't mention the summer of 2009.

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Nationwide raspberry ripple shortage.

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Right...

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Hello there, let's have a look at this abdomen.

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Did they say anything else?

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I'm sorry.

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I know how much this meant to you, but if it goes well, there will be others.

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No, no, don't you apologise.

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No junior doctors.

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That makes sense.

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If it was up to me... The board just...

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Well, obviously, I am disappointed, but it is what it is.

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You have a legacy to protect.

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As a registrar, I'll be asking Mr Valentine to assist instead.

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And he'll be great.

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There you are. Right, what do you think?

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Do I do a suspected perforated duodenum or do I assist on colectomy?

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-Now take into consideration that the illeal inflammation on this one is huge.

-Dom, I need...

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There's a diagnostic laparoscopy, which would show off that my technique has improved

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-and there is also the possibility of a bad prognosis to deliver...

-Dom.

-No, wait, wait. Here she is.

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Femoral hernia repair from start to finish, with Griffin as my assistant!

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What are you doing?

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I'm erasing the future.

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You're looking at the sole inheritor of Digby's list of sexy meds

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that he's been stashing away somewhere.

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Right, well, when you've finished playing Top Trumps

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with your friend's misfortune, you've got a visitor.

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-Can you...?

-No.

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Well, where's Sacha? Can he...?

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She wants you.

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OK, so suspected endocarditis to get us started then.

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Look, Zosia, about the other night...

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It's got nothing to do with you.

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Let's just get through this as quick as we can, shall we?

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Mr Trueman, Nurse Martinez here has been looking at your bloods.

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Now, you might have a slight infection.

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Actually, it's a little bit more serious than that,

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but I think I can treat you with a course of I/V antibiotics.

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-We'll have you out of here in no time!

-No. No, we won't.

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I'm going to have to keep you here under observation,

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make sure there's no further tissue damage.

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-Um, sorry, I just thought...

-But you got it wrong.

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So I'm going to need blood cultures, B/P,

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oxygenation sats and monitoring.

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Thank you, Nurse Martinez.

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Well, that was motivational.

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This is not the time for your sarcasm.

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You're not doing yourself any favours.

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You need to keep a cool head through this.

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Through what, exactly?

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I know what it means to you, the stent case, and working with Jac.

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But I wouldn't be angry.

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From what I hear, she did exactly what she had to do.

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I'm not angry. It's temporary, it's the board who...

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"Did what she had to do"?

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It wasn't her decision.

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You say there's pain everywhere?

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It moves about. But it's always cramps.

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It's mostly in my stomach.

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Well, looking at your U&Es, it looks like dehydration.

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We'll also sort out an obs referral to check on the baby.

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I've been sick. More sick than usual.

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Yes, that too. Alison, that is just morning sickness.

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OK, well, if that's what you think,

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but, just, I know how difficult it can be getting these things right.

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Oh, I didn't mean...

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Just, are there no other tests you can do?

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Alison, you have a GP. This is a busy hospital.

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-We have emergencies coming in. I have enough...

-Please!

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If there's anything else.

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I will put you on IV fluids for the dehydration and anti-emetics.

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That should sort you out.

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Dom...

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you look really well.

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-What took you so long?

-I had to... I was speaking with someone.

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I'm delighted you could tear yourself away.

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-And I need to talk to you.

-It's going to have to wait.

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This one needs to go straight up.

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Actually, I don't think this can wait.

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Arthur?

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He was so kind. He sat with me, talked for ages.

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Well, I hope you got his number?

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He was taken, of course.

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But long-term relationships, not my thing.

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-Prefer a string of followers instead?

-Exactly!

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SHE WINCES

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-It's sore just there?

-Mmm.

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Well, do you know what, it's a comfort to know there's still

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some good people around.

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Everyone's trying to do their best.

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Yes, surviving however we can.

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Oh, no, got better things to do than survive.

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Now you're talking.

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That's one of his. Battlestar Galactica, I think.

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BUZZING

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A wasp.

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Thank you. He's not a Cylon, is he?

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-Sorry.

-Do you work here?

-Er, yes, I do.

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Then can you tell me why you don't keep all the magazines in one place?

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I mean, True Crime here and Transport by the coffee shop?

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It's very frustrating if you like both.

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Well, I'm a doctor, so, um...

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"Ms Berenice Wolfe."

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-Bernie.

-Oh, Auntie Serena's friend Bernie!

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Reporting for duty, sir!

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Ah, you must be Jason?

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Auntie Serena's told me all about you.

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She said you're both at the same level,

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but that she's been here longer so she has more power.

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Did she?

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Your hair is much better than she described, though.

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THEY LAUGH

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After you.

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Jason? What are you doing here?

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-I've finished college now.

-Yes, I'm aware of that.

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I spoke to the career advisor and he said to get a job,

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so...I thought I could work with you.

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He's already sorted the magazines.

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Black, no sugar, right?

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Er, one of you might want to just take Morven to one side.

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-Arthur's been brought in by the paramedics.

-What?

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Breathing difficulties, but...

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Is Arthur the doctor that is dying from cancer?

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Thanks, Fletch. I'll let Morven know.

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If you don't mind, I think I should tell her.

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I could let her know, if you like?

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Why don't you help me out, Jason?

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Yes, thank you, thank you.

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Er, coffee?

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Oh, er, I don't like coffee.

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-Right.

-So you'll need three ports.

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You push the hernia back, insert the synthetic mesh, close up.

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Couldn't be simpler...

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Dr Copeland.

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Think you'd make an excellent assistant, Mr Griffin.

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Is that who I think it is?

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It's just pregnancy symptoms. I think she's just dehydrated.

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I see.

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She's claiming she's got cramps all over, back pain

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and she's adamant that her right leg is weak.

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In all honesty, I don't think it's anything other than

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a worried new mum-to-be.

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So get her up to maternity. We've got electives to get through.

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I'll see you in there.

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Thanks a lot. Cheers.

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I know what you're going to say but I'm fine with this. It's cool.

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It's nothing to worry about, but Arthur's been admitted to Darwin.

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Darwin?

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Now, if you want, you could...

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No, no, it's fine.

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I'm sure Zosia is perfectly capable of looking after him herself.

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He was just at home, called it in himself.

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Shortness of breath, chest pains, swollen lymph nodes.

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Does Morven know?

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Let's work out what's happening before we start worrying people, OK?

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Let's get him scanned soon as possible.

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-He'll probably need a bronchoscopy.

-Yes, thank you, Dr Valentine.

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How is Mr Malone?

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OK, let's get him on some prednisone.

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We'll have ECMO on standby, please.

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How's that oxygen working out for you, Arthur?

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-Dr March?

-Yes, I can take it from here.

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We should really tell Morven.

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We need to get a CT scan booked, lung function tests.

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Missed the place, did you? You've only been gone a few days.

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They picked him up at home. Don't worry, we've got him.

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Let's get him on IV fluids and a course of IV antibiotics.

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Breathing problems now, eh?

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Can't help yourself, can you?

0:15:400:15:42

Let's get that chest X-ray done.

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-I can't discuss Ruth's results with you.

-I won't tell anyone.

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-We have to run more tests.

-You do a lot of tests, don't you?

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Is it because you don't really know?

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The machines are definitely on our side, Jason, yes.

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I think I'm getting the hang of this.

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So, earlier, did you really think I'd sorted out the magazines?

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Ruth, how are you doing? Anyone checked your obs lately?

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Dr Morven, is she OK?

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She's fine. Let's just focus on you for now, shall we?

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So did you? Think that I'd done the magazines?

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I hadn't, but I will tell you this, I would really sort this place out.

0:16:210:16:27

Well, now we're talking to Ruth about her medical condition, Jason,

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-so could you just...

-He can stay.

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I'd much rather talk about magazines.

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-You like spies?

-Mm-hm.

0:16:360:16:38

Have you ever thought about being a spy, Jason?

0:16:380:16:40

I don't think Auntie Serena would be too pleased about that.

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His auntie is one of the doctors treating you.

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-Oh, Auntie has lots of secrets, does she?

-Not that I know about.

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Will they need to operate?

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Well, everything looks all right...

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If they DO need to operate,

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I will bring you another book for afterwards.

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I'm hoping to get a job in the shop.

0:17:000:17:03

Why don't you go away and put together a CV, Jason?

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You could list the skills that you have.

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Things you like, things you don't like.

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I used to teach my students. Be happy to help.

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-Really?

-Hmm, of course.

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Great.

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Take a seat.

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Your last MDT meeting, what did they say?

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I don't get what you mean.

0:17:260:17:28

What did they say about the cancer?

0:17:280:17:31

Er, I can't remember. No biscuits and the tea was cold, apparently.

0:17:310:17:35

Arthur, how long have you had a breathing problem?

0:17:350:17:38

You know this, Zosia. I don't get...

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PATIENT DROPS WALKING STICK

0:17:400:17:41

-Let me.

-Sorry, thank you.

0:17:410:17:44

All doctors, are we?

0:17:460:17:47

Yes, well, we're trying.

0:17:480:17:51

I can tell. It's the teeth.

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All furred up.

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Smoke a cigarette, save a life, have a cocktail. That's your lot.

0:17:560:18:02

Well, it's not quite as glamorous as that.

0:18:020:18:04

Oh, you don't do the smoking so much?

0:18:040:18:07

Don't really do the life-saving so much.

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Do you mind, we're just...?

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I'm sorry. Sorry.

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I'll be back.

0:18:150:18:17

I don't mind them leaving.

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It's the not knowing where you stand that kills you.

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-Mr Levy?

-Yes.

0:18:280:18:30

I'm probably going to regret asking this,

0:18:300:18:32

but is there another surgeon who can take on this list?

0:18:320:18:36

I have another patient.

0:18:360:18:38

-Dom, I don't mind treating Alison if it's...

-No, it's fine.

0:18:380:18:42

-Would you just apologise to Mr Griffin for me?

-OK.

0:18:420:18:46

Sorry, sorry, there's been a change of plan.

0:18:480:18:50

-This patient needs to stay for further tests.

-Thank you.

0:18:500:18:54

I'm going to get you in for an MRI and an ultrasound, OK?

0:18:540:18:58

I need to do my hair if I'm having my photo taken.

0:18:580:19:02

-You look fine.

-Gee, thanks.

0:19:020:19:04

Still tripping over themselves for that silver tongue, are they?

0:19:040:19:08

He's at a recovery house.

0:19:120:19:15

I'll get a porter to take you down.

0:19:180:19:21

-Dad, it's Arthur.

-Yes, I heard he was in.

0:19:240:19:27

-He's got breathing difficulties.

-And you're telling me because?

0:19:270:19:31

Because I thought you'd be interested.

0:19:310:19:33

-Because I think I can help him.

-Zosia...

0:19:350:19:38

There's only one shot at getting approval for this stent.

0:19:380:19:42

And Arthur should be getting it, not Mr Malone.

0:19:420:19:44

-Then you need to speak to Jac.

-And say what exactly?

0:19:440:19:46

That instead of this perfectly viable candidate that we've

0:19:460:19:49

been carefully monitoring all this time,

0:19:490:19:52

I, junior Dr March, want to give her pet project to my friend?!

0:19:520:19:55

-That's your argument?

-That's what it's going to sound like to her.

0:19:550:19:59

Darling, Arthur is a terminally-ill patient.

0:19:590:20:02

He's also your friend. He's on our team.

0:20:020:20:03

It doesn't get any more dangerous to a PR campaign than that.

0:20:030:20:07

Yes, I know. Something she knows all about.

0:20:070:20:10

Please, I need your advice.

0:20:100:20:12

So he lists his skills as punctuality, fact-checking,

0:20:140:20:19

list-making and...bravery.

0:20:190:20:22

-I don't think I told him that.

-SHE CLEARS THROAT

0:20:230:20:26

"Hobbies - reading magazines, solving puzzles.

0:20:260:20:30

"Dream job - secret agent or world's strongest man."

0:20:300:20:35

-Well, he doesn't lack ambition.

-You really shouldn't encourage him.

0:20:350:20:39

He said there was a job going at the coffee shop.

0:20:390:20:41

You don't know his limitations.

0:20:410:20:43

There might be a case to say that you don't know his...

0:20:430:20:45

I wouldn't expect you to understand.

0:20:450:20:47

I need some help out here.

0:20:470:20:49

-What have we got?

-Ulcer's perforated. CT scan.

0:20:490:20:53

SHE GROANS

0:20:530:20:55

-Right, let's get her moved, please, quickly as possible.

-I'll take this.

0:20:550:20:59

Call ahead and get them prepped, would you, Fletch?

0:20:590:21:01

I can take Ruth from here. Can we get a little help here, please?

0:21:010:21:05

SHE GROANS

0:21:050:21:08

Put yourself in her shoes.

0:21:080:21:10

She did what was necessary to give her project life again.

0:21:100:21:12

-This isn't about me and Jac any more.

-It's ALWAYS about Jac.

0:21:120:21:16

You need to think objectively.

0:21:160:21:18

And who's thinking objectively about me?

0:21:180:21:20

Look, take emotion out of the equation

0:21:200:21:22

and argue your case for Arthur rationally.

0:21:220:21:25

-Politics?

-Yes, Jac is a politician.

0:21:250:21:28

I don't want to take her on. I want to work WITH her.

0:21:280:21:31

Then show her who you are

0:21:310:21:33

and stop screaming that the sky is falling in.

0:21:330:21:37

Seriously?

0:21:370:21:39

Zoshy, how many times did you ask me to read that bloody book

0:21:390:21:41

when you were a kid?

0:21:410:21:43

-Oh, clearly too many!

-And what did I always say at the end?

0:21:430:21:45

-This is ridiculous.

-It's a political fable.

0:21:450:21:48

I'm not running for office, Dad!

0:21:480:21:50

What did I always say at the end, when we'd finished,

0:21:500:21:52

when you asked what happened to the ones who blindly followed?

0:21:520:21:55

The fox is unscrupulous.

0:21:550:21:57

Better to BE the fox.

0:21:570:22:00

I know what he's capable of.

0:22:010:22:03

Even if his skills do match a lot of the job description,

0:22:030:22:05

who knows what's going to happen?

0:22:050:22:07

-Precisely.

-He might even be overqualified in some respects.

0:22:070:22:11

-The patients seem to love him, though...

-Diathermy.

0:22:120:22:15

-..especially this one.

-Mmm.

0:22:180:22:21

Culture swab.

0:22:210:22:23

Let's just hope that someone's looking out for her the same way

0:22:230:22:26

you're looking out for him.

0:22:260:22:28

You think I'm being over-protective.

0:22:280:22:31

-Did I say that?

-Hmm.

0:22:310:22:33

I think your Auntie Serena already explained.

0:22:330:22:36

There is no job at Pulses.

0:22:360:22:38

Auntie Serena is always stopping me from doing things.

0:22:380:22:41

Well, not everything has to be done the way your auntie says.

0:22:410:22:44

In our house it does.

0:22:440:22:46

What is it your auntie is stopping you from doing?

0:22:460:22:48

I just want to get a job, have some independence, go places.

0:22:480:22:52

What's stopping you apart from your Auntie Serena?

0:22:520:22:55

I don't know how to drive.

0:22:550:22:56

-So learn the Highway Code and take it from there.

-Really?

0:22:560:23:00

There's always different ways to approach things, Jason.

0:23:000:23:04

-BREATHLESSLY:

-When you were a kid you dreamt of flying cars, right?

0:23:050:23:10

I know my kids did.

0:23:100:23:12

Forcefields, immortality meds.

0:23:140:23:18

Colonies on new planets.

0:23:190:23:22

This is the age of technological dissatisfaction.

0:23:220:23:26

It's all just around the corner, they tell us.

0:23:260:23:28

How long have they been selling that to us?

0:23:300:23:33

And we're supposed to be so satisfied

0:23:330:23:37

with the wonders of the internet.

0:23:370:23:40

-Hey.

-Doc...

0:23:410:23:44

I did give him an out.

0:23:440:23:46

I said, just nod when the old man waffle gets too much to bear.

0:23:460:23:51

Unfortunately, you keep picking his kind of topics, Mr Malone.

0:23:510:23:55

Thank you.

0:23:560:23:58

I'll be back in a sec.

0:24:010:24:04

See where retirement gets you?

0:24:070:24:10

There's nothing I haven't thought of in the bath

0:24:100:24:14

that I haven't tried at least once.

0:24:140:24:16

Zosia.

0:24:180:24:20

Hey.

0:24:200:24:22

I just wondered how you were.

0:24:220:24:25

You know, you seem so together.

0:24:250:24:27

I'm his doctor.

0:24:270:24:29

-Yes, I know that, but you're also his friend. You know...

-Excuse me.

0:24:290:24:34

Zosia?

0:24:350:24:37

Morven.

0:24:400:24:42

He doesn't need to know yet.

0:24:430:24:46

Of course he needs to know.

0:24:460:24:48

It's spread again.

0:24:490:24:51

This won't take long, will it?

0:24:550:24:57

Unless Mr Griffin finds out you've been handing out free MRI scans.

0:24:570:25:02

She's on her own with a baby due.

0:25:020:25:04

Oh, no Lee?

0:25:040:25:06

Sorry.

0:25:070:25:09

It must be strange for both of you.

0:25:090:25:13

She came up positive on the Hoover test.

0:25:130:25:16

She's claiming she's got pain in her foot but I can't find anything.

0:25:160:25:19

-It's all clear.

-All psychological?

0:25:190:25:22

And the stomach pains?

0:25:230:25:25

Yes, but she didn't need to come here, did she?

0:25:250:25:27

She's on her own with a baby due.

0:25:270:25:30

Yes, I know, I know,

0:25:300:25:32

but I just feel like she wants something from me

0:25:320:25:35

and I don't know what it is.

0:25:350:25:37

MACHINE BEEPS

0:25:370:25:39

Dom.

0:25:390:25:41

I think my chances of seeing the flying car just went down.

0:25:450:25:49

I reckon you dodged a bullet.

0:25:490:25:50

Reckon the insurance on those things would be crazy(!)

0:25:500:25:53

Can we just focus, please?

0:25:530:25:55

Sorry, I...

0:25:560:25:58

Look, I think we should get Jac to take a look as well.

0:25:580:26:00

He might need a tracheotomy. The stenosis is severe enough, right?

0:26:000:26:03

No, it's too low down. Tracheotomy is not a solution at this point.

0:26:030:26:06

-Well, Zosia...

-I'm doing all I can, OK?!

0:26:060:26:08

Morven.

0:26:080:26:10

What if I said I could get him the new stent?

0:26:130:26:15

Jac's stent?

0:26:150:26:17

It could avoid intubation. He wouldn't need any more medication.

0:26:170:26:20

-He could breathe normally.

-What about...

0:26:200:26:23

That would be...

0:26:250:26:27

Can you?

0:26:290:26:31

We think it may be abdominal adhesions from the splenectomy.

0:26:330:26:36

From the last operation I had here?

0:26:360:26:39

Dom, please, I'm not blaming anyone. I just want to know.

0:26:390:26:42

This is something that can happen with splenectomies,

0:26:420:26:45

but we do need to fix it or it can have very serious consequences.

0:26:450:26:48

We can give you some medication for the pain but you will need surgery.

0:26:480:26:52

-We don't have long...

-Give me the medication and I'll go.

0:26:520:26:55

Alison, I understand that you're nervous but your bowel could die.

0:27:010:27:04

You could die.

0:27:040:27:06

Your baby.

0:27:070:27:09

You need this surgery.

0:27:090:27:11

I don't want to see his face again.

0:27:110:27:13

PHONE BEEPS

0:27:130:27:16

This pain is only going to get worse

0:27:190:27:21

and I'm afraid I'm not willing to risk it.

0:27:210:27:24

How did you get over it?

0:27:240:27:26

I need to know how you did it.

0:27:290:27:31

How you forgot about him.

0:27:310:27:33

PHONE BEEPS

0:27:330:27:35

SHE SOBS

0:27:380:27:41

PHONE BEEPS

0:27:490:27:51

I...

0:27:510:27:53

I just had to put him out of my mind.

0:27:540:27:57

I still need to have a chat with you when you have a moment.

0:27:570:27:59

And I need to write a report for Hanssen.

0:27:590:28:02

I know that you had the chance to fight for me

0:28:020:28:03

to be on that stent case and you decided not to.

0:28:030:28:07

I know why. I get it.

0:28:070:28:10

But, I have a better patient for your stent than Mr Malone.

0:28:100:28:13

-It's anonymous.

-And that's exactly how I'd treat it.

0:28:140:28:18

Just let me show you why it's a better case.

0:28:180:28:21

I just want to forget about him.

0:28:230:28:26

How can I now?

0:28:260:28:28

-I don't want it.

-You don't mean that.

0:28:300:28:32

I don't care any more, Dom.

0:28:320:28:35

This isn't the time to be thinking like that. You need to...

0:28:350:28:38

OK, Alison. Jane, can we get theatre mobilised?

0:28:380:28:42

Essie, can you phone Mr Griffin

0:28:420:28:44

and tell him we need to do this operation now?

0:28:440:28:47

We could provide Mr Malone

0:28:510:28:52

with a surgical excision of his tumour instead.

0:28:520:28:55

It would reduce the risk of the cancer spreading

0:28:550:28:57

and prevent further restriction of the trachea.

0:28:570:28:59

-Your enthusiasm is draining. Please stop.

-So you agree?

0:28:590:29:03

I didn't say that,

0:29:030:29:04

but you've done enough to seed doubt in my convictions that I relent.

0:29:040:29:08

Is there a "yes" buried in that?

0:29:080:29:11

If we're to work together again, I need to go to the board.

0:29:120:29:15

So, I'm back on the team?

0:29:150:29:18

-I'll let them know.

-Wait, let who know what?

0:29:180:29:21

Arthur and Morven. That he's getting the stent. Your stent.

0:29:210:29:24

No!

0:29:240:29:26

You know where we are PR-wise with this. We only have one shot.

0:29:260:29:30

-Yes, so...

-I thought this was about the future, Zosia. YOUR future.

0:29:300:29:34

About showing that nothing is more important than your career.

0:29:340:29:37

Proving how much you wanted to work on the stent?

0:29:370:29:39

That is what you want?

0:29:390:29:42

I can only fight for one of you.

0:29:430:29:47

And there are only so many fights you can take to the board.

0:29:480:29:52

So if I'm to be back involved then Arthur can't...

0:29:530:29:56

That tickles me. Hah!

0:30:010:30:03

MORVEN CHUCKLES

0:30:060:30:07

Well, don't just give it away.

0:30:120:30:14

It's not good news, is it?

0:30:160:30:17

Sorry, we're going to have to give you the more traditional device.

0:30:180:30:23

So, not the all-singing, all-dancing one?

0:30:230:30:26

OK.

0:30:270:30:29

I'm sure you did all you could.

0:30:290:30:32

Yeah.

0:30:320:30:33

Zosia, it's a medical decision.

0:30:350:30:37

Never been one for pioneering studies, anyway, give me the...

0:30:380:30:42

tried and tested, please.

0:30:420:30:44

-Yeah, h-honestly, Zosia, this really isn't your...

-I'm so sorry!

0:30:440:30:47

Zosia?

0:30:490:30:50

-Foetal heart rate dropping.

-She's too distressed.

0:30:550:30:58

You're doing well, just stay focused.

0:30:580:31:00

MACHINE BEEPS

0:31:000:31:01

POUNDING HEARTBEAT

0:31:010:31:03

How much time do we have?

0:31:050:31:07

I really think we're going to need to...

0:31:070:31:09

She needs a C-section. This baby needs to come out now.

0:31:090:31:12

Stand down, Dr Copeland.

0:31:120:31:14

-Zosia?

-It's all a mess!

0:31:160:31:18

-Not here. Come on.

-What have I done?!

0:31:180:31:21

I shouldn't have listened to you. It's all gone horribly wrong!

0:31:210:31:23

-What is it? What happened, darling?

-I sold my friend out!

0:31:230:31:26

That's what happened!

0:31:260:31:28

Jac gave me the opportunity to get back on that stent team and I took it!

0:31:280:31:33

-What did you do?

-I did exactly what YOU told me to do!

0:31:330:31:35

I played it objectively, I took all the emotion out of it

0:31:350:31:38

and then she just turned it around on me!

0:31:380:31:40

-You pitched your argument for Arthur.

-I didn't even fight for Arthur!

0:31:400:31:43

I could have done, but I didn't.

0:31:450:31:48

I took the prize. I took my involvement in the project.

0:31:480:31:51

Yes, a project you've been working hard on for the last six months.

0:31:510:31:55

Not now. Leave us, please!

0:31:550:31:57

OK, I need to tell her I want out. Arthur needs that stent!

0:32:000:32:03

Arthur is terminal!

0:32:030:32:05

Listen to me. Whatever you think,

0:32:050:32:07

Jac will have based this decision on medical opinion.

0:32:070:32:10

But if it really means that much to you, then go and take it back.

0:32:100:32:13

You're scared of her. She offered you the chance

0:32:170:32:19

to show another side of yourself and you bottled it.

0:32:190:32:21

She made it quite clear that she couldn't take the fight any higher.

0:32:210:32:25

It is either me or it's Arthur. The board...

0:32:250:32:27

When did Jac Naylor ever care about the board?!

0:32:270:32:29

Look around you! People think of this as her theatre.

0:32:290:32:32

But she had to fight for it. From the bottom. From where you are now!

0:32:320:32:36

-Thanks(!)

-Look, lose the medical school naivety, Zosia.

0:32:360:32:39

She wants you to find a way to win. She wants you to fight for this.

0:32:390:32:42

It's what drives her. This is the prize!

0:32:420:32:44

You don't get it by playing black and white with your morals.

0:32:440:32:47

You find her weakness, the same way she found yours.

0:32:470:32:50

You're in a battle that you started.

0:32:540:32:56

Make sure you finish it.

0:32:560:32:57

DOOR CLOSES

0:33:010:33:02

-Is the baby OK?

-Dr Copeland!

0:33:020:33:04

We need to find this bleed.

0:33:060:33:08

I can't see. Suction.

0:33:090:33:11

Is there more than one?

0:33:140:33:15

That's what we need to find out.

0:33:150:33:17

I've got it. Mesenteric vessel.

0:33:240:33:26

Can I get a clip and 3-0 Vicryl, please? Thank you.

0:33:260:33:28

Right. Keep it steady.

0:33:340:33:35

MACHINE BEEPS

0:33:410:33:43

She's stabilising.

0:34:040:34:06

Stable?

0:34:060:34:07

Right. Divide the adhesions and close up...Doctor.

0:34:110:34:15

-Clinical Audit Assistant.

-Sounds fancy, right?

0:34:170:34:19

And he'd just have to put data into a computer?

0:34:190:34:22

Spreadsheets, questionnaires, categorising stuff.

0:34:220:34:25

Oh! Three of his favourite things.

0:34:250:34:28

Auntie Serena! This lady knows how to drive.

0:34:290:34:32

She's testing me on the Highway Code. I printed it off.

0:34:320:34:35

You see, I would have asked Ruth, but...

0:34:350:34:37

Jason, just give it to me, please.

0:34:370:34:39

Bernie says there are different ways of looking at every opportunity.

0:34:410:34:44

Does she? You really are determined to...

0:34:440:34:47

Serena?

0:34:470:34:48

-Morven?

-He's getting the stent. Um...

0:34:500:34:53

They wanted to give him the removable one,

0:34:530:34:55

you know, give him a better quality of life.

0:34:550:34:57

-It's spread further?

-Mm-hm.

0:34:570:35:00

Oh, Morven, I'm so sorry.

0:35:000:35:02

Still, he didn't have it at the start of the day,

0:35:020:35:04

so, why so different now, you know?

0:35:040:35:06

Sorry.

0:35:070:35:09

Serena? Serena, let her go!

0:35:090:35:11

Excuse me?

0:35:110:35:12

Morven, Jason, Fletch. You have to loosen your grip.

0:35:140:35:18

You'd do well to remember who you're talking to.

0:35:200:35:23

Dr March, why don't you break the good news?

0:35:310:35:34

We're going ahead with your treatment, Mr Malone.

0:35:360:35:38

You are the perfect fit for the new, removable stent.

0:35:380:35:41

And Arthur?

0:35:410:35:43

For obvious reasons, we can't discuss other patients.

0:35:430:35:46

But as Dr March has said, you are the perfect fit,

0:35:460:35:48

so as soon as we have your signature, we can get it countersigned by the CEO...

0:35:480:35:52

Sorry, I-I didn't mean to pry.

0:35:520:35:54

Thank you. I'll take the forms and give them a good read.

0:35:540:35:58

I like to know all the details.

0:35:590:36:00

Hm. Let me guess, you've made a career out of it?

0:36:000:36:03

I'll leave you to cross all the Ts.

0:36:050:36:07

I'll come back with some more information.

0:36:100:36:12

You'll need to read all the risks.

0:36:120:36:15

Jason?

0:36:280:36:30

Ah! Dr Bernie!

0:36:300:36:32

What are you doing here?

0:36:320:36:34

Auntie Serena gave me some surveys to see if I like doing them.

0:36:340:36:38

Right. And, um...and do you?

0:36:380:36:40

Well, I don't really get to do anything,

0:36:400:36:42

it's more for the patients, but we'll see.

0:36:420:36:45

I'm pleased for you. If you need any help, you let me know.

0:36:450:36:48

That is, um...if Auntie Serena says it's OK.

0:36:480:36:51

Auntie Serena says you're trying to criticise her

0:36:520:36:54

because your own life is going so badly.

0:36:540:36:57

Right.

0:36:580:37:00

Well, you let...you let her know I'm sorry she thinks that.

0:37:020:37:06

I will. See you, Ruth.

0:37:070:37:10

How are you feeling? Sorry, stupid question.

0:37:160:37:19

Um...is there anyone we can call for you?

0:37:190:37:22

Lots of people.

0:37:230:37:25

But not just yet.

0:37:250:37:27

-Actually, um...do you mind if I sit down?

-Mm.

0:37:270:37:32

Ooh!

0:37:360:37:38

Hm.

0:37:420:37:43

Jac wants you to finalise and submit her report

0:37:460:37:48

that recommends Mr Malone as the recipient of her device.

0:37:480:37:51

-Yes, I know.

-I have no idea what you sacrificed to get this,

0:37:510:37:54

but I hope it was worth it.

0:37:540:37:56

I am back on that stent case because I fought for it.

0:37:560:37:58

I imagine you did.

0:37:580:38:00

When does this end?

0:38:010:38:03

ZOSIA LAUGHS

0:38:030:38:04

I don't know whether to laugh at your vanity

0:38:060:38:08

or cry at the sorry state you must think I'm in.

0:38:080:38:10

Making them think they had a chance of that removable stent and then taking it away,

0:38:100:38:15

that is cruel, Zosia. Even for you!

0:38:150:38:16

This is not about you, Ollie, it never has been!

0:38:160:38:19

Have you...have you read them all?

0:38:300:38:32

Every last one.

0:38:350:38:37

You haven't signed.

0:38:430:38:45

I suppose you have to get something to your CEO, though, right?

0:38:450:38:49

Find that Patient X.

0:38:510:38:54

You're doing fine.

0:39:180:39:20

There was quite a heavy bleed that we managed to stop.

0:39:240:39:28

And your body was under a lot of stress.

0:39:280:39:32

So the baby's heart rate began to drop.

0:39:340:39:36

We...we didn't have a choice.

0:39:400:39:42

You have a baby boy.

0:39:480:39:50

We'll have to keep him in for a few weeks to monitor him, but...

0:39:550:39:58

he's alive and he's well.

0:39:580:40:00

You're tired.

0:40:090:40:11

You'll get to see him soon.

0:40:110:40:13

Alison, I wasn't completely honest with you earlier.

0:40:200:40:23

About...trying to put him out of my mind.

0:40:280:40:31

Because the truth is...

0:40:340:40:36

..I struggle...even now.

0:40:380:40:41

You can't just shut people out.

0:40:460:40:48

You need to go and see your son.

0:40:490:40:51

HE SIGHS

0:40:580:40:59

You have either made a shocking error, or a big mistake.

0:41:170:41:20

Ms Naylor, I was just heading to update Arthur.

0:41:200:41:22

-So, Patient X has a name?

-He needs this.

0:41:220:41:24

Mr Malone has mysteriously withdrawn consent.

0:41:240:41:26

Well, he's very nervous.

0:41:260:41:28

I would be, too, if someone presented me with these risks.

0:41:280:41:30

I just outlined the risks. I haven't broken any rules.

0:41:300:41:34

You specifically defied me. I know you gave Hanssen that proposal.

0:41:340:41:37

(He's my friend.)

0:41:370:41:39

That's the problem.

0:41:390:41:41

Tell me you wouldn't do the same for Elliot.

0:41:410:41:43

MACHINE BEEPS

0:41:430:41:45

Respiratory arrest! Crash team!

0:41:450:41:47

He's becoming cyanotic!

0:41:470:41:49

-I can't hear anything!

-We need to intubate! Get him ready for surgery!

0:41:500:41:53

-I'm coming with you.

-You're staying here!

-Excuse me.

0:41:530:41:55

Valentine, make sure ECMO's on standby.

0:41:550:41:58

(Jac, please!)

0:42:000:42:02

They've just started.

0:42:110:42:12

I'm sorry, I haven't been...

0:42:150:42:17

Will you let me know?

0:42:230:42:24

I'm sorry.

0:42:300:42:32

MACHINE BEEPS

0:42:380:42:40

It's ECMO, or...

0:42:430:42:45

Your stent...

0:42:450:42:46

..your choice.

0:42:490:42:50

They say that even at this early stage,

0:43:090:43:13

they can make out your facial expressions.

0:43:130:43:15

I hope not.

0:43:150:43:16

I haven't been in control of mine.

0:43:160:43:18

Lord knows what he thinks I'm saying.

0:43:180:43:21

I can't believe he's mine.

0:43:240:43:26

I think you're right.

0:43:280:43:30

He needs a family.

0:43:310:43:32

I need to see Lee, but I can't do it alone.

0:43:360:43:38

Look, Alison, you shouldn't even be out of bed.

0:43:380:43:41

Come with me, Dom. Let's do it together.

0:43:410:43:44

That would be completely inappropriate.

0:43:440:43:47

And besides, this isn't my family.

0:43:470:43:50

But it could be.

0:43:500:43:52

-What?!

-I'm scared, Dom.

0:43:520:43:54

I don't know what he's like now, what his status is,

0:43:540:43:57

-how his mind is.

-Alison, please, you need to stop.

0:43:570:43:59

I can't go through it again.

0:43:590:44:01

You know what that's like.

0:44:010:44:03

What I went through, I mean.

0:44:030:44:04

Alison, do you realise my best friend is upstairs being operated on?

0:44:040:44:08

And all the while, I'm down here talking to you

0:44:080:44:11

about your sorry excuse for an existence

0:44:110:44:13

because you refuse to leave the past!

0:44:130:44:15

Now, I'm sorry, but what hope does your child have

0:44:150:44:19

if you won't even help yourself?

0:44:190:44:20

BABY WAILS

0:44:220:44:24

Why is it taking so long?

0:44:320:44:34

She hasn't given it to him, has she?

0:44:340:44:36

I know a stent wouldn't take as long as this!

0:44:360:44:39

They've got him on ECMO instead.

0:44:420:44:44

-DOOR OPENS

-Oh, please, no!

0:44:440:44:46

He's going to be fine.

0:44:530:44:55

Oh!

0:44:550:44:57

(She gave it to him.)

0:44:580:45:00

-ZOSIA LAUGHS

-Thank you!

0:45:000:45:01

THEY SOB

0:45:080:45:11

Have you heard?

0:45:240:45:25

Yes. Yes, I have.

0:45:250:45:27

So, he got it, then?

0:45:310:45:33

Yeah. Removable stent.

0:45:330:45:36

Typical Digby. Always wants to make a fuss.

0:45:360:45:38

I really hate this.

0:45:420:45:43

I know.

0:45:460:45:48

HE SIGHS

0:45:480:45:50

Ruth? Someone wants to see you.

0:46:170:46:18

Morven. Did he...?

0:46:200:46:22

Yes. They got him the one we wanted.

0:46:220:46:26

I think he's going to be fine.

0:46:280:46:30

(Come here.)

0:46:300:46:32

It's just going to make such a difference, you know.

0:46:360:46:39

And you? I hear that they...

0:46:390:46:41

It's a perforated ulcer, they say.

0:46:410:46:43

What, and you didn't feel anything before?

0:46:430:46:46

You didn't think to tell anybody?

0:46:460:46:48

I told you, I prefer followers to friends.

0:46:480:46:51

Well, don't go running around

0:46:520:46:54

looking for that Prince Charming who brought you in.

0:46:540:46:57

I kind of like it here, anyway.

0:46:570:46:59

An operation is still necessary, Mr Malone,

0:47:010:47:03

but we can go down a more traditional route this time.

0:47:030:47:06

Ah, the tried and tested.

0:47:060:47:07

Precisely.

0:47:070:47:09

-Why did you...?

-Your job is difficult enough.

0:47:100:47:14

You put the stent in the best candidate.

0:47:150:47:18

The person who needed it the most.

0:47:180:47:20

-You know, I never intended to...

-46 years, I spent in the force.

0:47:220:47:27

Investigating my colleagues.

0:47:270:47:29

Friends were in short supply, as you can imagine.

0:47:310:47:35

Eventually, it even cost me my marriage, too.

0:47:370:47:40

But I'd do it all again.

0:47:400:47:43

Because I believed in it.

0:47:430:47:45

I believed that what I was doing was right.

0:47:470:47:50

My work was my life.

0:47:510:47:54

And I'm proud of that.

0:47:550:47:57

Antiquated gossip rags!

0:48:010:48:02

Who needs them?

0:48:030:48:05

I'll need to get you a new consent form.

0:48:070:48:09

-I'm sorry.

-Don't be. You're right.

0:48:270:48:31

My head's all over the place right now.

0:48:310:48:33

I had no idea about your friend.

0:48:350:48:37

-I-I shouldn't have even mentioned it.

-Still.

0:48:370:48:40

So you'll be discharged in a few days.

0:48:420:48:45

We will have to keep the baby in a little longer, but...

0:48:450:48:48

Sorry, I-I keep calling it "it."

0:48:480:48:51

Have you even thought about a name?

0:48:510:48:54

I thought I might call it Lee.

0:48:540:48:56

SHE LAUGHS

0:48:590:49:00

I'm kidding, Dom!

0:49:000:49:02

No. Um...no name just yet.

0:49:050:49:08

OK. Well, there's no rush.

0:49:090:49:11

Six weeks, they keep him in.

0:49:110:49:13

So you won't get rid of me that easily.

0:49:130:49:15

Unless...

0:49:170:49:19

Where is this recovery house?

0:49:200:49:23

Really?

0:49:240:49:26

Sure. I'll come with you.

0:49:260:49:28

Hm!

0:49:310:49:32

Arthur's. Um...you left them in the side room.

0:49:380:49:41

Right.

0:49:420:49:43

DOOR CLOSES

0:49:470:49:49

You care about him a great deal, don't you?

0:49:490:49:52

Arthur's...what it's all about.

0:49:540:49:57

-Is this your version of an apology?

-No, no, it's, um...

0:49:570:50:01

No, you...you were right.

0:50:030:50:05

My life is a mess.

0:50:050:50:08

I miss my kids and I transferred that on to you.

0:50:080:50:11

Bernie, I...

0:50:110:50:13

I said that to Jason in the heat of the moment. I didn't mean it.

0:50:130:50:16

No. You had every right.

0:50:160:50:18

I just thought maybe I could help somehow.

0:50:280:50:30

And you're right. Ever since Arthur's diagnosis, I've been...

0:50:320:50:35

I-I didn't realise that it had affected me so much.

0:50:390:50:42

And, um...and Jason?

0:50:470:50:49

Huh! Can I be honest?

0:50:510:50:53

People don't have a clue.

0:50:590:51:01

Not a bloody clue how hard it is

0:51:010:51:03

to keep discovering things that he can't do.

0:51:030:51:06

And to be the one who always has to tell him no.

0:51:080:51:11

I'm sorry.

0:51:130:51:15

Truce?

0:51:180:51:20

-Truce.

-Hm!

0:51:220:51:24

Oi! Mm!

0:51:260:51:29

Bad back?

0:51:290:51:30

Yeah. Did it yesterday, hefting a mattress. I felt it go.

0:51:300:51:34

Sit down, let me take a look.

0:51:340:51:36

-Really?

-Yep.

0:51:360:51:38

Well, that...that...that would be nice.

0:51:380:51:41

-Oh!

-All right?

-Yeah.

0:51:430:51:44

'Is he meant to be comforting, or something?'

0:51:490:51:52

I mean, I would've loved to have been there at the meeting

0:51:520:51:55

where they decided on him over the two polar bear cubs holding paws.

0:51:550:51:58

Well, I think he has kind eyes.

0:51:580:52:00

You thought Saddam had kind eyes.

0:52:010:52:04

What do you think, Diggers?

0:52:050:52:06

You're the one that's going to be sleeping with him for the next few days.

0:52:060:52:09

He'll be watching you while your carers sponge you down.

0:52:090:52:12

And you've got that weird night porter

0:52:120:52:15

who might sing one of his little acoustic numbers

0:52:150:52:18

about life on the gritty streets of Surbiton...or Southampton.

0:52:180:52:23

Either way.

0:52:230:52:24

Well, at least you won't be alone.

0:52:250:52:27

Right, let's give this a go.

0:52:280:52:30

Right, breathe in. Open your mouth.

0:52:320:52:35

Right, breathe in.

0:52:350:52:36

We need to get that red ball to the top of the column.

0:52:360:52:39

-Go for it.

-HE INHALES

0:52:390:52:41

-Right.

-Mm.

-OK.

0:52:410:52:43

Take a little rest and... Come on, let's repeat.

0:52:450:52:48

HE INHALES

0:52:490:52:51

HE SIGHS

0:52:510:52:53

Come on. You heard the woman.

0:52:550:52:58

You're the patient now.

0:53:000:53:01

Repeat.

0:53:010:53:03

-HE INHALES

-OK, keep trying.

0:53:110:53:13

Um...everyone's gone, so I'm going to head off, too.

0:54:040:54:08

And his last set of obs are done, if you want to...

0:54:080:54:10

No, that's fine.

0:54:100:54:12

Won't be too long before he's asleep, I reckon.

0:54:140:54:16

SHE SIGHS

0:54:180:54:20

The job was to get him the stent to prolong his quality of life.

0:54:200:54:23

And I've done that.

0:54:240:54:26

Zosia?

0:54:270:54:28

Are you sure we're OK? Just, I really need you to know that...

0:54:300:54:34

You haven't been worrying about THAT all day, have you?

0:54:340:54:37

Cara, I love my work.

0:54:380:54:40

(That's all that matters to me.)

0:54:420:54:43

Better to be...the fox.

0:54:530:54:56

Jac?

0:55:010:55:02

I bumped into Hanssen earlier.

0:55:040:55:05

He seemed surprised you went with Arthur for the trial.

0:55:050:55:08

Big risk.

0:55:080:55:10

Last-minute change, but ultimately, the right one.

0:55:100:55:13

I hear she did well today.

0:55:130:55:15

-Still Daddy's little girl?

-Huh! You tell me.

0:55:160:55:18

You know, I prefer you when you're purring, like this.

0:55:200:55:23

You seem more...I don't know, honest.

0:55:230:55:27

But please don't be dumb with it.

0:55:270:55:29

Enjoy the views from the top of the mountain, Jac.

0:55:290:55:33

Just remember, there's always someone coming up the other side

0:55:330:55:36

and there's never enough oxygen to go around.

0:55:360:55:39

Aw, cute! But save it for your princess.

0:55:390:55:42

She's going to need it.

0:55:420:55:44

TRANQUIL INSTRUMENTAL

0:55:520:55:54

On loop.

0:56:170:56:18

The repetition helps me think.

0:56:190:56:21

Never thought about it before, but...

0:56:240:56:26

..I'm sure my mum used to play it when I was small.

0:56:280:56:30

I don't know why she stopped.

0:56:450:56:47

(Goodnight, Arthur.)

0:57:020:57:04

When bad publicity threatens Zosia's participation in Jac's new stent, she fights to prove herself worthy. But when a loved one needs her help, will Zosia sacrifice her own career to help them?

Ready to prove himself the best junior doctor on Keller, Dom is unnerved by a face from his past. Can he keep it together?

Bernie struggles to find her place on AAU when an overbearing Serena insists she knows best. But will Jason become a casualty of their spat?


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