Another Day in Paradise: Part One

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0:00:02 > 0:00:04Haven't they already done this in Berlin?

0:00:04 > 0:00:06Naomi Palmer.

0:00:06 > 0:00:07Psychiatric consultant?

0:00:07 > 0:00:10I hope you guys haven't been waiting too long.

0:00:10 > 0:00:12The stents are identical.

0:00:12 > 0:00:15Only someone from within our research team

0:00:15 > 0:00:17could've passed that information on to them.

0:00:21 > 0:00:22Thanks for the present.

0:00:24 > 0:00:26And the party.

0:00:26 > 0:00:28Come on. That was all Fletch.

0:00:28 > 0:00:30He was...

0:00:30 > 0:00:32the best friend that I had.

0:00:32 > 0:00:33To Dr Arthur Digby.

0:00:33 > 0:00:36You couldn't stab me in the front, so you had to go the long way round.

0:00:36 > 0:00:39Paranoia is not a good colour on you, Jac.

0:00:39 > 0:00:41She is a good mate of mine,

0:00:41 > 0:00:44so I know you can trust her, and she's good.

0:00:44 > 0:00:45Trust her with what, exactly?

0:00:45 > 0:00:47As a grief counsellor.

0:01:31 > 0:01:34# In the summertime When the weather is hot

0:01:34 > 0:01:37# You can stretch right up And touch the sky

0:01:37 > 0:01:40# When the weather's fine You got women... #

0:01:40 > 0:01:41- RADIO:- Another scorcher!

0:01:41 > 0:01:43Once again, record temperatures in Holby.

0:01:43 > 0:01:46Railway lines are buckling, road tar is melting,

0:01:46 > 0:01:47and here, on Holby FM...

0:01:47 > 0:01:49PHONE RINGS

0:01:52 > 0:01:55Oh, look at you, Mr-Keen-As-Mustard.

0:01:56 > 0:01:58Talk about smitten.

0:02:03 > 0:02:04Don't you start.

0:02:04 > 0:02:08We both know that I've always wanted a handsome surgeon to adore me.

0:02:08 > 0:02:10But...

0:02:10 > 0:02:11timing.

0:02:12 > 0:02:13You've just died.

0:02:15 > 0:02:17Now I'm diving into...

0:02:19 > 0:02:20..whatever.

0:02:20 > 0:02:22It's just not good timing.

0:02:26 > 0:02:27Do you know what really annoys me?

0:02:29 > 0:02:30People who talk to dead people.

0:02:32 > 0:02:35Whereas you and I both know when you're dead, you're dead. That's it.

0:02:37 > 0:02:39No use to anyone.

0:02:44 > 0:02:46- How excited must you be?- Yeah...

0:02:46 > 0:02:49Feeling a bit of a buzz. Only the third hospital in the country.

0:02:49 > 0:02:51- I remember when he first came over. - Totally new approach,

0:02:51 > 0:02:53- the pericardial staple device. - Used to wear flip-flops.

0:02:53 > 0:02:56Minimally invasive, ground-breaking approach to PVA...

0:02:56 > 0:02:58Any trainers, he still chose flip-flops...

0:02:58 > 0:03:02You know they'll exclude the aneurysm from the ventricle without even cracking the chest?

0:03:02 > 0:03:04- Yeah... Wait, what? - Flip-flops, you said "flip-flops".

0:03:04 > 0:03:07- Yeah, I was talking about Yasmani Arriaga.- Exactly.

0:03:07 > 0:03:12Laparoscopic repair of the posterior ventricular aneurysm.

0:03:12 > 0:03:15- Yasmani Arriaga. - Huh? The very same.

0:03:15 > 0:03:18- You do know who he is, right? - Tennis player, right?

0:03:18 > 0:03:20Tennis player? That's like calling Darcey Bussell a hoofer.

0:03:20 > 0:03:24- You know he's Cuban? - Everybody knows he's Cuban, that's why he's called "The Cuban Missile".

0:03:24 > 0:03:26OK, Spanish passport. Private health insurance.

0:03:26 > 0:03:29Famous, or so you say. Jac's done it again.

0:03:29 > 0:03:30And after stent-gate,

0:03:30 > 0:03:32she'll want to make sure everything is perfect.

0:03:34 > 0:03:37- That man makes me want to comfort eat...- Pulses?

0:03:37 > 0:03:41- Bacon buttie with brown sauce. Interested?- Ooh...

0:03:41 > 0:03:43Actually, I'll pass.

0:03:43 > 0:03:45Mo says no to fried bacon?

0:03:45 > 0:03:47Well, it is 100 degrees in the shade.

0:03:47 > 0:03:50Oh, FYI, Jac's got a dental appointment this morning.

0:03:50 > 0:03:52- Root canal.- Shoot me now.

0:03:56 > 0:03:58What's your poison?

0:03:58 > 0:04:00Iced coffee, please.

0:04:00 > 0:04:02You'll be lucky. The ice machine broke yesterday

0:04:02 > 0:04:04and the air-con today.

0:04:04 > 0:04:06So, no air conditioning, no ice machine?

0:04:06 > 0:04:10No, Julie can do you an instant soup or a baked potato. Take your pick.

0:04:10 > 0:04:14- Didn't have you down as a hobby modeller.- Oh, no, it's Arthur's.

0:04:14 > 0:04:15Oh.

0:04:15 > 0:04:18I'm going to give it to elderly care. Maybe they can fix the sail.

0:04:18 > 0:04:22They've done all the jigsaws. Anyway, look, what's the ETA going to be on the air-con?

0:04:22 > 0:04:23Well, a bloke's starting on AAU,

0:04:23 > 0:04:26so I imagine it'll be ready in time for Christmas.

0:04:28 > 0:04:31- Oi, Fletch!- Sol, mate. How's it hanging?

0:04:31 > 0:04:33- Hot mate. Hot. - Yeah, you said it.- Mr Fletch...

0:04:33 > 0:04:36I'm so sorry. I'm late, all right? I got to go.

0:04:36 > 0:04:37Raf!

0:04:37 > 0:04:39Would it kill you to answer your phone every once in a while?

0:04:39 > 0:04:44- Excuse me?!- What if I needed to talk to you about one of the kids?

0:04:44 > 0:04:49FBC, U and Es, LFT, amylase, clotting, group and save bloods.

0:04:49 > 0:04:53- Yup.- Urine test. Book chest X-ray. Order MRI.

0:04:53 > 0:04:56- Do regular 30-minute ECG monitoring. - What time is she coming?

0:04:56 > 0:04:59How long's a piece of string? Or a root canal repair?

0:04:59 > 0:05:01She just e-mailed me the list.

0:05:01 > 0:05:04Yeah, it's just that the timing for the booking of equipment is critical.

0:05:04 > 0:05:06Well, it'll be after 12 and before 1,

0:05:06 > 0:05:08and half an hour after she walks through the door

0:05:08 > 0:05:10she's going to want knife and fork in hand.

0:05:10 > 0:05:13- And she wants me to prepare... - Everything.

0:05:13 > 0:05:16Sounds like someone's getting his little to-do list.

0:05:16 > 0:05:19Better not get anything wrong, Valentine.

0:05:20 > 0:05:22But then, CT's already lost its funding, hasn't it,

0:05:22 > 0:05:25so I guess there's nothing else to lose?

0:05:26 > 0:05:30- It's even too hot to hate Guy Self. - I like to see him as a kind of spot.

0:05:30 > 0:05:33- Huh?- If you ignore it long enough, eventually it'll go away.

0:05:33 > 0:05:37- So, pre-operative cardiopulmonary exercise testing.- Right.

0:05:37 > 0:05:40Lung function, specifically spirometry and ECG.

0:05:40 > 0:05:41On treadmill.

0:05:41 > 0:05:44Put all results into online system. Explain procedure to patient.

0:05:44 > 0:05:46Outline consent form procedure.

0:05:46 > 0:05:48Sign in a C arm. Make sure the radiologist is on hand...

0:05:48 > 0:05:51- And make sure the staple kit is delivered.- Oh, catch on fast.

0:05:51 > 0:05:53- That it?- No, there's something else... Er...

0:05:54 > 0:05:57Ha. Well, the gist of it is, um,

0:05:57 > 0:06:00do not let Guy Self anywhere near my patient.

0:06:07 > 0:06:08Ow.

0:06:10 > 0:06:11Phew.

0:06:11 > 0:06:14And I thought menopause was hot.

0:06:14 > 0:06:15Nits.

0:06:15 > 0:06:18That takes me back.

0:06:18 > 0:06:20Summer camp, Eleanor was like a magnet.

0:06:20 > 0:06:22Evie's got nits,

0:06:22 > 0:06:24- so Ella's got nits...- It happens.

0:06:24 > 0:06:27- ..so Theo's got nits.- And you?

0:06:27 > 0:06:32- Not yet.- All part of the fun of being a parent.

0:06:32 > 0:06:33Except I'm not, am I?

0:06:33 > 0:06:37They're Fletch's, but muggins here ends up having to look after them

0:06:37 > 0:06:39while he goes on another hot date.

0:06:39 > 0:06:41Well, if you're fed up of them...

0:06:41 > 0:06:44I'm not. I love them to bits. It's just...

0:06:44 > 0:06:46Nits.

0:06:46 > 0:06:49Not just that.

0:06:49 > 0:06:50I don't know...

0:06:51 > 0:06:53He gets to go on dates.

0:06:53 > 0:06:56Ah, so it's not so much being the baby-sitter

0:06:56 > 0:06:58as always being the bridesmaid.

0:07:00 > 0:07:03Yeah, that sounded so much better in my head.

0:07:03 > 0:07:04You know what you need?

0:07:04 > 0:07:06What?

0:07:06 > 0:07:09Some raw, sweaty,

0:07:09 > 0:07:11unadulterated,

0:07:11 > 0:07:13vigorous passion.

0:07:15 > 0:07:17Sorry, it's, er,

0:07:17 > 0:07:18it's the heat.

0:07:20 > 0:07:21Phew.

0:07:23 > 0:07:26What's the last thing you remember before you passed out?

0:07:26 > 0:07:30Erm, thinking I could murder a ciggie.

0:07:30 > 0:07:32So you smoke, I take it?

0:07:32 > 0:07:34Like a diesel tractor in February.

0:07:34 > 0:07:35When I get the chance.

0:07:35 > 0:07:38This day and age, smokers are treated worse than lepers.

0:07:38 > 0:07:41So, what, you're just not aware of the negative health implications?

0:07:41 > 0:07:43I was a teenager in the '60s.

0:07:43 > 0:07:45Everybody smoked, all the time.

0:07:45 > 0:07:47Not our Mr Levy.

0:07:47 > 0:07:49I wasn't even born, thank you very much.

0:07:49 > 0:07:51And, newsflash, it's not the '60s any more.

0:07:51 > 0:07:54Er, newsflash, I'm not obese,

0:07:54 > 0:07:57don't drink and I gave up the ganja 20 years ago.

0:07:58 > 0:08:01Well, I would still like to refer you to one of our quit programmes.

0:08:01 > 0:08:03Blame Big Tobacco.

0:08:03 > 0:08:05I grew up singing along to fag adverts.

0:08:07 > 0:08:08OK, FBC, U&Es, urine test.

0:08:08 > 0:08:10Something about the abdominal pain.

0:08:10 > 0:08:12- CT scan?- Mm-hm,

0:08:12 > 0:08:16and check the white blood cell count as well. What did the people who brought her in have to say?

0:08:16 > 0:08:18Well, from what I can gather, they just stood around and watched

0:08:18 > 0:08:20as Mary lay on a cold wooden floor, unconscious

0:08:20 > 0:08:22for the best part of an hour.

0:08:22 > 0:08:23I thought I was a bad friend.

0:08:23 > 0:08:25So they just stood around?

0:08:25 > 0:08:28Well, they thought that she was still in her trance.

0:08:30 > 0:08:31Trance?

0:08:32 > 0:08:35No, you sit in the chair!

0:08:35 > 0:08:37Make me, sunshine. Go on!

0:08:37 > 0:08:40How many times do I have to tell you? I'm 110%!

0:08:40 > 0:08:42There's no such thing.

0:08:42 > 0:08:45I could dance you off the floor and drink you under the table...

0:08:45 > 0:08:47- Oh, don't even go there. - ..any day of any week.

0:08:47 > 0:08:49You've got no idea who you're dealing with, have you?

0:08:49 > 0:08:50I'm as fit as a flea. Watch.

0:08:50 > 0:08:51No. Sit!

0:08:51 > 0:08:56Mr Fletcher, do we have to be quite so loud?

0:08:56 > 0:08:58No, not if our patients did as they were told!

0:08:58 > 0:09:01He was found collapsed by a dog walker on the edge of the forest.

0:09:01 > 0:09:03The ED sent him up with an erratic heart rate.

0:09:03 > 0:09:06- I was only having 40 winks. - Oh, what, face down in the brambles?

0:09:06 > 0:09:08You've got lacerations, a sprained wrist

0:09:08 > 0:09:09and maybe a dodgy ticker, all right?

0:09:09 > 0:09:12I cut myself shaving, if you must know.

0:09:15 > 0:09:16You're bleeding.

0:09:17 > 0:09:19You're bleeding.

0:09:19 > 0:09:21Get your mucky hands off me.

0:09:23 > 0:09:25Right, let me have a look at you.

0:09:29 > 0:09:32- Nothing.- My bag has split.

0:09:33 > 0:09:37- What in heaven's name is that? - Stewing steak.

0:09:37 > 0:09:39What you got a pocket full of stewing steak for?

0:09:39 > 0:09:42Why have you got a face like a ferret's bum?

0:09:42 > 0:09:45- Sit down.- Come on, Fletch, it's OK. Take a seat.

0:09:45 > 0:09:47No, he won't sit down. He keeps calling me sunshine

0:09:47 > 0:09:49and now he's bleeding beef blood all over my floor!

0:09:49 > 0:09:53OK. Sharon, could you take this gentleman to Bed One, please?

0:09:53 > 0:09:55At least someone's got some manners.

0:09:58 > 0:10:00Right, I don't know what's got underneath your skin today.

0:10:00 > 0:10:03Well, apart from it being as hot as a basted turkey.

0:10:03 > 0:10:06- But whatever it is, it stops now. Agreed?- Yeah.- Right.

0:10:10 > 0:10:11What's up, mate?

0:10:11 > 0:10:14Why are you biting everyone's head off?

0:10:14 > 0:10:16If you want to know,

0:10:16 > 0:10:21my super-hot date with the super-hot Naomi last night, well...

0:10:21 > 0:10:22She dumped me.

0:10:33 > 0:10:36I told you Jac didn't want Guy anywhere near Yasmani.

0:10:36 > 0:10:38- What part of that wasn't clear? - He slithered in.

0:10:38 > 0:10:41Started giving the Guy Self Centre for Neurological Surgery

0:10:41 > 0:10:43promotion pitch, before I could stop him.

0:10:43 > 0:10:45- At the risk of stating the obvious...- Yasmani's a CT patient?

0:10:45 > 0:10:48Yeah, but Guy sees Arriaga and he thinks, "Ker-ching!

0:10:48 > 0:10:51"I'll throw logic out the window and use him to try and make money."

0:10:51 > 0:10:52Look, focus on the big picture.

0:10:52 > 0:10:54Not only is Jac going to come in expecting you to have done

0:10:54 > 0:10:57everything on her list to the most meticulous detail...

0:10:57 > 0:10:58You think I don't know that?

0:10:58 > 0:11:01..she's also going to have toothache.

0:11:01 > 0:11:04- OK, bear with a sore head. I get it.- You wish.

0:11:04 > 0:11:06A grizzly bear with chronic migraine is like a fluffy kitten

0:11:06 > 0:11:09compared to Jac Naylor coming down off lignocaine!

0:11:09 > 0:11:11OK, I'll do every test. I'll have it all squared. Everything.

0:11:11 > 0:11:13Ollie, big picture. Guy Self.

0:11:13 > 0:11:16Any whiff that he's closing in on her high-profile patient,

0:11:16 > 0:11:17she is going to flip.

0:11:19 > 0:11:20Roger that.

0:11:25 > 0:11:30- So the pain occurs up to an hour after eating?- Give or take.

0:11:30 > 0:11:32So, a trance, as in a hypnotic state?

0:11:32 > 0:11:35I don't really like to call it a trance.

0:11:35 > 0:11:38- It just sounds sort of... - But it was during a seance?

0:11:38 > 0:11:42Nobody calls it a seance any more. It just sounds creepy.

0:11:42 > 0:11:43But that's why they were there?

0:11:43 > 0:11:46For me to channel...

0:11:46 > 0:11:48Dead spirits?

0:11:48 > 0:11:50They're very much alive in me.

0:11:50 > 0:11:52Too alive sometimes.

0:11:52 > 0:11:53Do you hear them?

0:11:53 > 0:11:56Hear them. Feel them. Sense them.

0:12:00 > 0:12:03Has someone here lost someone recently?

0:12:07 > 0:12:09Bowel movements?

0:12:09 > 0:12:11They've been better.

0:12:11 > 0:12:14Not often? Too often? Hard? Soft?

0:12:14 > 0:12:16Er, bit of everything, really.

0:12:16 > 0:12:20- And there's also been some recent weight loss?- Some.

0:12:20 > 0:12:23My mother loves nothing better than a night in some hall somewhere

0:12:23 > 0:12:25with her cronies, waiting for a message.

0:12:25 > 0:12:28A lot of people seek answers.

0:12:28 > 0:12:31Says when she dies, if there's a telephone in heaven,

0:12:31 > 0:12:33she's going to ring me.

0:12:34 > 0:12:36I find the prospect quite horrifying,

0:12:36 > 0:12:38to be totally honest with you!

0:12:38 > 0:12:42You have a high pulse and your chest is crackling slightly.

0:12:42 > 0:12:44Now, that's probably just smoking related.

0:12:44 > 0:12:46Yes, we'll get you a scan as soon as we can and find out

0:12:46 > 0:12:48what's going on with your abdomen.

0:12:48 > 0:12:51So, you do believe in life after death?

0:12:51 > 0:12:52I believe we're not alone.

0:12:54 > 0:12:58Mary, you collapsed on the floor of a St John Ambulance hall,

0:12:58 > 0:13:00seemingly left for dead.

0:13:00 > 0:13:03If your spirits were watching over you,

0:13:03 > 0:13:06do you not think they're doing a bit of a bad job?

0:13:06 > 0:13:10- I didn't say they were watching. - So you've lost weight

0:13:10 > 0:13:12and you have a low blood sugar.

0:13:12 > 0:13:17That is the reason why you are hearing voices and feeling shivers.

0:13:17 > 0:13:21When I'm going through a time of visits I forget to eat.

0:13:21 > 0:13:24My advice is get a few more pies inside you, then.

0:13:24 > 0:13:26Maybe the spirits will then stop bothering you.

0:13:32 > 0:13:34- I did not see that coming. - Yeah, well.

0:13:34 > 0:13:36Now, I'm left licking my wounds

0:13:36 > 0:13:39and I'm taking my frustrations out on anyone stupid enough to cross me.

0:13:39 > 0:13:42- Well, that's not going to work. Not here.- I know.

0:13:44 > 0:13:47Right, so, what were you doing in the forest?

0:13:47 > 0:13:49Mind your own beeswax.

0:13:49 > 0:13:52- With a bag full of steak? - Keep your beak out.

0:13:52 > 0:13:55- Has this ever happened before? - Collapsing?

0:13:55 > 0:13:57You calling me an old fart?

0:13:57 > 0:13:59Cos I can still get up and box your...

0:13:59 > 0:14:01I'm just doing a medical history.

0:14:01 > 0:14:04Well, I don't have history,

0:14:04 > 0:14:07so you can stick your pencil back behind your ear and jog on!

0:14:09 > 0:14:13OK. FBC, U&Es, LFTs and a cardiac enzyme test, please.

0:14:13 > 0:14:14Whoa!

0:14:14 > 0:14:16Hold it right there now, Sonny Jim.

0:14:16 > 0:14:20- I don't want any needles or... - No, you hold it

0:14:20 > 0:14:23cos I'm not having you talk to a registrar in my hospital like...

0:14:23 > 0:14:26Whoa, whoa, Fletch. I can fight my own battles.

0:14:26 > 0:14:27It's the heat.

0:14:29 > 0:14:31So, shall we start again, sir?

0:14:36 > 0:14:37Dr Copeland.

0:14:39 > 0:14:40Yes?

0:14:41 > 0:14:44I know it is as hot as Hell's Kitchen up here

0:14:44 > 0:14:46and everyone is super cranky,

0:14:46 > 0:14:49- but there's no need to rip Mary's head off.- I'm not!

0:14:49 > 0:14:50Or mine, for that matter.

0:14:50 > 0:14:53I just happen to think what she does is disgusting, immoral

0:14:53 > 0:14:55and shouldn't be allowed.

0:14:56 > 0:14:57Well, I think the same about VAT inspectors,

0:14:57 > 0:15:01but if one was in my ward, I'd treat him like any other patient.

0:15:01 > 0:15:03You're right. It's just with all the Arthur stuff and

0:15:03 > 0:15:06spirits from the other side. I mean, come on.

0:15:06 > 0:15:07It's perfectly OK.

0:15:07 > 0:15:10If you want me to assign another doctor to Mary, that's fine.

0:15:10 > 0:15:13No. No, you're right. I just need to chill out.

0:15:15 > 0:15:17Consummate professional.

0:15:17 > 0:15:19- Life goes on.- Well, look around you. You know it does.

0:15:19 > 0:15:21Watch me.

0:15:21 > 0:15:22Detached.

0:15:22 > 0:15:23An island.

0:15:26 > 0:15:29Right, Mary, I'm going to need you to take these,

0:15:29 > 0:15:31then we'll carry out a few more obs and trot...

0:15:31 > 0:15:32Why do you feel threatened by me?

0:15:32 > 0:15:34Threatened? I don't.

0:15:34 > 0:15:37Is it because I already know you talk to dead people?

0:15:43 > 0:15:47- Have you got a minute?- I was just on my way to see Dylan.

0:15:47 > 0:15:49- Can we talk?- About what?

0:15:51 > 0:15:54Oh. Sure. Where?

0:15:54 > 0:15:58A couple of aspirin and half a dozen plasters and I'm on me bike.

0:15:59 > 0:16:01How did you get to the forest?

0:16:01 > 0:16:04I don't honestly remember.

0:16:04 > 0:16:06Bus?

0:16:06 > 0:16:08Is there anyone that you'd like us to call for you?

0:16:08 > 0:16:10You know, let them know that you're here?

0:16:10 > 0:16:12No, thank you very much.

0:16:12 > 0:16:15There's a letter there that says Kitty McDonald. That your wife?

0:16:15 > 0:16:16Daughter.

0:16:16 > 0:16:18Do you want me to contact your daughter?

0:16:18 > 0:16:23Don't under any circumstances let my Kitty know I'm here.

0:16:25 > 0:16:28So when did you first know you'd got powers?

0:16:28 > 0:16:31Well, everyone experiences it in some little way.

0:16:33 > 0:16:34Premonitions.

0:16:34 > 0:16:37Deja vu. Prickles down the neck.

0:16:37 > 0:16:40Everyone does not experience it.

0:16:40 > 0:16:43Deja vu? Excuse me, I get that all the time.

0:16:43 > 0:16:46Right. Mary, we are going to take you for an abdominal scan,

0:16:46 > 0:16:49which will give us a clearer overall image of your intestine

0:16:49 > 0:16:52and, therefore, highlight any problems that you might be having.

0:16:52 > 0:16:53Not everyone sees it as a gift.

0:16:54 > 0:16:56So, what do you feel when you get a visit?

0:16:56 > 0:17:01Sometimes it's like a needy toddler trying to get my attention.

0:17:01 > 0:17:04Making me sneeze or cough.

0:17:04 > 0:17:05Recently, it's wind.

0:17:07 > 0:17:09Seriously?

0:17:09 > 0:17:13Farts give you an indication of a message from the other side?

0:17:18 > 0:17:20Just lean forward for me. That's it.

0:17:20 > 0:17:23Help! Get me out of here!

0:17:23 > 0:17:25No. You need to stay in bed, all right?

0:17:25 > 0:17:27If I get my hands on you!

0:17:27 > 0:17:29You stay there. Who are you? The daughter?

0:17:29 > 0:17:33- Worst luck.- OK, we didn't call her. - Your father is very ill.

0:17:33 > 0:17:37- Is he going to die?- No.- More's the pity. Wait till I get you home.

0:17:37 > 0:17:41- What's he been up to now? - Nothing!- Not asking you.

0:17:41 > 0:17:43- As far as we know, he just collapsed.- Where?

0:17:43 > 0:17:44- Don't tell her.- The forest.

0:17:44 > 0:17:46I said not to tell her.

0:17:46 > 0:17:50You got any idea why he might have half a pound of beef in his pocket?

0:17:51 > 0:17:54If you was doing what I think you was doing.

0:17:54 > 0:17:56I was bird-spotting.

0:18:04 > 0:18:08I am going to kill you. I am going to kill you!

0:18:08 > 0:18:11OK, er, Sukie, would you mind taking this lady to the office, please?

0:18:11 > 0:18:14Just try and keep calm for me, mate, OK?

0:18:16 > 0:18:21See, no matter how bad it is, there's always someone worse off.

0:18:21 > 0:18:24- What's that supposed to mean? - Well, you know,

0:18:24 > 0:18:26just when you think you're having the worst day possible,

0:18:26 > 0:18:29you meet someone who's having an even worse one.

0:18:29 > 0:18:31And that's supposed to cheer me up, is it?

0:18:38 > 0:18:40MARY GROANS

0:18:41 > 0:18:42You all right?

0:18:42 > 0:18:45I've got really bad pain.

0:18:45 > 0:18:47- What is it, wind?- Yes.

0:18:47 > 0:18:51You sure it's not just some missive from the hereafter?

0:18:51 > 0:18:53I'm going to be sick.

0:18:53 > 0:18:54OK, hold on.

0:18:54 > 0:18:57- I'm going to be sick!- OK. Wait, wait, wait, wait.

0:18:57 > 0:18:58Coming, coming, coming.

0:18:58 > 0:19:00Oh, go.

0:19:01 > 0:19:03Oh, Mary.

0:19:03 > 0:19:05Can we get an IV emetic?

0:19:05 > 0:19:0710mgs of cyclizine, please.

0:19:10 > 0:19:11- Here you go.- Thank you.

0:19:12 > 0:19:14I can feel it.

0:19:14 > 0:19:16Like a fluttering in my belly. Ah.

0:19:16 > 0:19:18Is it a pain you've had before?

0:19:18 > 0:19:22And what would you say the pain is on a scale of one to ten?

0:19:22 > 0:19:24I'd say that was a high eight.

0:19:24 > 0:19:26Can we get 10mgs of IV morphine, please? Thank you.

0:19:26 > 0:19:28So what did it say on the CT scan?

0:19:28 > 0:19:31There's not a clear enough image to be able to make a diagnosis.

0:19:31 > 0:19:33I can't see the SMA.

0:19:33 > 0:19:36No. No, not much to go on. So, thoughts?

0:19:36 > 0:19:38Ischemic bowel?

0:19:38 > 0:19:40It's possible. Nausea, vomiting, diarrhoea.

0:19:40 > 0:19:44Temperature's up. Blood pressure's down. White cell count is 14.

0:19:44 > 0:19:46Can we check and see if we can get her into theatre?

0:19:46 > 0:19:48- For a mesenteric angio?- Uh-huh. - OK, yeah.

0:19:48 > 0:19:50Catherine, would you mind making sure

0:19:50 > 0:19:52we get the next available theatre slot, please? Thank you.

0:19:52 > 0:19:54Mary.

0:19:54 > 0:19:58Mary, we think this might have something to do with your bowel.

0:19:58 > 0:20:01You have a blood supply problem and maybe a piece of it has died.

0:20:01 > 0:20:03- Died? - Yeah. It's a thing called necrosis,

0:20:03 > 0:20:07- but it means we need to have a look. - Something inside me has died?

0:20:07 > 0:20:08Well, unfortunately, this can happen

0:20:08 > 0:20:12when the blood supply gets constricted and can cause infection.

0:20:12 > 0:20:15But don't worry about it. We're here to help.

0:20:19 > 0:20:21PHONE RINGS

0:20:26 > 0:20:27He wants you to finish something

0:20:27 > 0:20:31and he won't stop nagging me until I tell you.

0:20:31 > 0:20:32Who?

0:20:34 > 0:20:35Who?

0:20:36 > 0:20:38He wants you to sail his ship.

0:20:45 > 0:20:49OK, so I have the pain relief.

0:20:49 > 0:20:50Essie.

0:20:50 > 0:20:53Have you told Mary anything about Arthur's ship?

0:20:53 > 0:20:54The Superb? No.

0:20:56 > 0:20:58Superb?

0:21:05 > 0:21:07This is for you.

0:21:07 > 0:21:11- Thanks! I'll pay you,- No, no. Wouldn't hear of it.

0:21:11 > 0:21:13Thanks, Raf.

0:21:13 > 0:21:16So, Fletch told me

0:21:16 > 0:21:18about you two.

0:21:18 > 0:21:22I was surprised. I thought you really got on.

0:21:22 > 0:21:26Like a house on fire. There were times I thought I'd die.

0:21:26 > 0:21:27What?

0:21:27 > 0:21:29From laughing.

0:21:29 > 0:21:30He can be very funny.

0:21:30 > 0:21:33Some of the stories about his wild days...

0:21:34 > 0:21:38I think I've heard most of the classic Fletcher repertoire.

0:21:38 > 0:21:40All I'm saying is,

0:21:40 > 0:21:42good sense of humour...

0:21:42 > 0:21:43Is essential.

0:21:43 > 0:21:44..isn't everything.

0:21:47 > 0:21:48Ah. Right.

0:21:50 > 0:21:52He makes me laugh.

0:21:53 > 0:21:55But?

0:21:55 > 0:21:56But...

0:21:56 > 0:21:58like a mate, which is great...

0:22:00 > 0:22:01..but not enough.

0:22:04 > 0:22:06I was surprised that you split up.

0:22:07 > 0:22:09Surprised, happy?

0:22:11 > 0:22:13Happy that my best mate is in bits?

0:22:13 > 0:22:15No, of course not.

0:22:15 > 0:22:17- In bits?- Yeah.

0:22:17 > 0:22:20Shouting at patients. Doing his best Gruffalo impersonation.

0:22:23 > 0:22:26So you read a lot of children's books, do you?

0:22:26 > 0:22:29Me and Theo are currently studying The Very Hungry Caterpillar.

0:22:29 > 0:22:31You can test me if you want.

0:22:32 > 0:22:35I didn't mean are you happy that Fletch is sad.

0:22:35 > 0:22:39No. I know.

0:22:39 > 0:22:41I meant,

0:22:41 > 0:22:43are you happy that I'm single again?

0:22:47 > 0:22:48Should I be?

0:22:55 > 0:22:57- Is that what I think it is?- I'll give you a clue. It's not iced tea.

0:22:57 > 0:22:59- Yasmani's...- Urine sample.

0:22:59 > 0:23:02To be treated like gold-dust, to be written up and processed

0:23:02 > 0:23:03and ready for Jac Naylor.

0:23:06 > 0:23:08Hey. Do you think I could get a selfie?

0:23:08 > 0:23:10With a urine sample? Bit twisted but...

0:23:10 > 0:23:13You do know you're not funny, right?

0:23:13 > 0:23:15You might as well. Everyone else in this hospital is.

0:23:15 > 0:23:17Oh, porters, nurses... I don't really like to ask.

0:23:17 > 0:23:20Oh, because you're a big consultant now?

0:23:20 > 0:23:21You don't ask, you don't get.

0:23:21 > 0:23:24- Could you ask?- For a selfie?- Yes.

0:23:24 > 0:23:27And what good is it to you if I get a selfie with him?

0:23:29 > 0:23:31Look, just because Jac's going to spit-roast you for dinner,

0:23:31 > 0:23:34- doesn't mean you have to get all cheeky.- Look, if I'm honest, Mo,

0:23:34 > 0:23:38I don't think he's really enjoying the attention.

0:23:38 > 0:23:39Let me just snap his neck.

0:23:41 > 0:23:44Family can be testing. Believe me, I get it.

0:23:47 > 0:23:49What's the story with your neck?

0:23:49 > 0:23:51Coming off in a couple of days. I fell.

0:23:51 > 0:23:53Like, fell off a kerb fell?

0:23:53 > 0:23:54What's it to you?

0:23:56 > 0:23:58I see you and your dad are not big on sharing.

0:23:58 > 0:23:59Where's his van?

0:23:59 > 0:24:01He said he got the bus.

0:24:01 > 0:24:03And he's a lying old sod.

0:24:06 > 0:24:09Yeah, just try and stay calm, though.

0:24:11 > 0:24:12Everything OK?

0:24:12 > 0:24:14I don't know. You tell me.

0:24:16 > 0:24:17Hey?

0:24:17 > 0:24:19Well, you're my mate, right?

0:24:19 > 0:24:22And any shoulder crying, it should be mine on yours, yeah?

0:24:23 > 0:24:24I saw you in Pulses.

0:24:27 > 0:24:28Oh, right.

0:24:30 > 0:24:31Did she talk about me?

0:24:33 > 0:24:35Yeah.

0:24:35 > 0:24:38She said you really make her laugh.

0:24:38 > 0:24:40See! Good sense of humour.

0:24:40 > 0:24:43Doesn't matter how deep your pockets are or even what the face looks like,

0:24:43 > 0:24:45as long as you can make the ladies laugh, mate.

0:24:45 > 0:24:48Now, if she's having second thoughts, you tell her from me

0:24:48 > 0:24:49I'm not too proud to have her back.

0:25:40 > 0:25:42Pulse rate's still increasing

0:25:42 > 0:25:45and he's complaining of palpitations and shortness of breath.

0:25:45 > 0:25:48Well, she reckons this isn't his first blackout.

0:25:48 > 0:25:51Well, let's book an echo and we'll take him for an MRI.

0:25:51 > 0:25:53Is the daughter OK, do you think?

0:25:53 > 0:25:56She seems more worried about what he got up to in the forest.

0:25:56 > 0:25:58What did he get up to in the forest?

0:25:58 > 0:26:02There appears to be a terrible mix up of names on Mr McDonald's form.

0:26:02 > 0:26:05Crossed out and rewritten three times!

0:26:06 > 0:26:08Yeah. I, er, well...

0:26:08 > 0:26:10Ah, that was me. Sorry.

0:26:10 > 0:26:12Practising my illegible handwriting.

0:26:12 > 0:26:14Doctor's prerogative.

0:26:14 > 0:26:16Calligraphy, origami and decorative knot-tying

0:26:16 > 0:26:19are all leisure activities to be practised on your own time.

0:26:19 > 0:26:22I shall leave my potter's wheel at home in future.

0:26:24 > 0:26:27See, now that was weird. Why are you covering for me with Serena?

0:26:27 > 0:26:31Well, I know you're not having the best day so...

0:26:31 > 0:26:33Why is it so hot in here?

0:26:33 > 0:26:35Look, I can appreciate that the last thing I need

0:26:35 > 0:26:38is more grief about paperwork,

0:26:38 > 0:26:40but you're covering for me because I got dumped?

0:26:40 > 0:26:43- When you say it like that... - Mate, I'm a grown man.- I know that.

0:26:43 > 0:26:45- I'm not nine.- Sorry.

0:26:47 > 0:26:49Raf. Raf, I'm mucking about. I'm having a la...

0:26:56 > 0:26:58No.

0:26:58 > 0:26:59Uh-uh.

0:26:59 > 0:27:01See, look at the plan.

0:27:01 > 0:27:04That bit there doesn't go like that.

0:27:06 > 0:27:09Actually, I think you'll find it does.

0:27:09 > 0:27:11It might not look like it,

0:27:11 > 0:27:15but if I just pull on this bit of string here...

0:27:15 > 0:27:17PIECE CLATTERS TO FLOOR

0:27:17 > 0:27:19No, no.

0:27:19 > 0:27:20That's not good.

0:27:21 > 0:27:25At what point did our patients become Spanish galleons?

0:27:25 > 0:27:29- Sorry, sorry, we were just... - About to go back to work?- Gone.

0:27:39 > 0:27:43I'm sorry. Can I just ask? That scan thing tells you what?

0:27:43 > 0:27:46- It tells us what the inside of his heart is like.- Black.

0:27:46 > 0:27:48And festering.

0:27:48 > 0:27:51What exactly is it you're so worried that he was doing up there in the forest?

0:27:51 > 0:27:54I mean, he's not your average hoodie, is he? He's 74.

0:27:54 > 0:27:57- So what you so worried about? - Stealing dogs, of course.

0:27:58 > 0:27:59- Dogs?- Dogs?

0:27:59 > 0:28:01Racing dogs.

0:28:01 > 0:28:05- Amazing.- Uh-huh.- I feel amazing.

0:28:05 > 0:28:08Maybe you feel a lot better since you dumped your message on me.

0:28:08 > 0:28:10- What?- You might feel great,

0:28:10 > 0:28:13- but it's kind of messed things up for me.- No.

0:28:13 > 0:28:15I... I just wanted you to know that your...

0:28:15 > 0:28:17"Finish something," you said.

0:28:17 > 0:28:22So I tried to finish his stupid boat and guess what?

0:28:22 > 0:28:23I broke it.

0:28:23 > 0:28:26No, I didn't mean... I just meant...

0:28:26 > 0:28:29All it means is that when it comes to model-making,

0:28:29 > 0:28:31I'm as dextrous as a walrus.

0:28:33 > 0:28:36Well, obviously, I was right.

0:28:36 > 0:28:38There is someone you've lost

0:28:38 > 0:28:40and he is trying to contact you.

0:28:40 > 0:28:43No. No, in fact, you're wrong.

0:28:43 > 0:28:47- And all that stuff is just stupid... - You took the message.

0:28:47 > 0:28:48Took?

0:28:48 > 0:28:49Understood it.

0:28:49 > 0:28:54No. No. What I said was that I didn't.

0:28:54 > 0:28:57I said I had tried something but I sucked at it,

0:28:57 > 0:29:02so whilst you might be feeling a lot better, I

0:29:02 > 0:29:04feel a lot worse.

0:29:04 > 0:29:06Yes, no, absolutely.

0:29:06 > 0:29:09Yes, heavy motorway traffic should definitely take priority

0:29:09 > 0:29:10over heart surgery.

0:29:10 > 0:29:13Listen, this isn't my online grocery shopping here.

0:29:13 > 0:29:17This is an operating theatre with a whole team of surgeons

0:29:17 > 0:29:20and doctors on standby while your van is...

0:29:22 > 0:29:24I don't care if he has to get out and walk.

0:29:24 > 0:29:26That kit has to be here at 11 o'clock.

0:29:28 > 0:29:31- Ooh, you sound so butch when you're angry.- Drives me so mad.

0:29:31 > 0:29:35Seems like some of Jac's alpha has rubbed off on you at last.

0:29:36 > 0:29:38Did you say he could get up?

0:29:38 > 0:29:39- No.- Where's he going?

0:29:41 > 0:29:43I don't know.

0:29:43 > 0:29:46Not losing your patient, are you, Valentine?

0:29:46 > 0:29:48Jac Naylor's going to love this.

0:29:57 > 0:29:59What's the matter?

0:29:59 > 0:30:01I just don't feel like I should be here.

0:30:02 > 0:30:05OK. Just sit down for me, two minutes.

0:30:07 > 0:30:08I'll be back, OK?

0:30:10 > 0:30:11This is your fault!

0:30:11 > 0:30:13- Me?- You, Guy, fans.

0:30:13 > 0:30:15I didn't know who he was when he came in.

0:30:15 > 0:30:17Couldn't give a monkey's about tennis,

0:30:17 > 0:30:20but you with your selfies and selfie with his tennis balls.

0:30:20 > 0:30:24- Yeah, I didn't ask. It wasn't me. - Look, he leaves, Naylor kills me.

0:30:24 > 0:30:26You and Guy have a big laugh at me being under the cosh.

0:30:26 > 0:30:27But guess what? I am.

0:30:30 > 0:30:31You crying?

0:30:33 > 0:30:34M...

0:30:46 > 0:30:48- I think we're nearly there.- Good.

0:30:48 > 0:30:51Once we inject the dye, we're looking for signs.

0:30:51 > 0:30:54- Signs?- Yes, clots or something unusual.- Oh.

0:30:54 > 0:30:56Yeah.

0:30:56 > 0:30:57I can't advance any further.

0:30:57 > 0:31:00I'm afraid we're going to have to abandon and reassess.

0:31:00 > 0:31:03Oh, great. More time with her on the ward.

0:31:05 > 0:31:06What? I can't help it.

0:31:06 > 0:31:08She gives me the creeps.

0:31:09 > 0:31:14Surely, if she told you that she'd heard from

0:31:14 > 0:31:17a dead loved one and she said they were happy

0:31:17 > 0:31:22in wherever it might be - Heaven, Valhalla, Nirvana -

0:31:22 > 0:31:24and that gave you peace of mind,

0:31:24 > 0:31:26surely that's a good thing?

0:31:27 > 0:31:28The dead are dead.

0:31:30 > 0:31:34People grieve. They cry. They get angry.

0:31:34 > 0:31:35They live in denial,

0:31:35 > 0:31:38but ultimately they feel a connection with the dead,

0:31:38 > 0:31:39with the loved one they've lost.

0:31:39 > 0:31:41Arthur is gone.

0:31:41 > 0:31:43My flat is empty.

0:31:43 > 0:31:45His ship will never get finished

0:31:45 > 0:31:49and I will probably never shed a tear about the entire thing.

0:31:51 > 0:31:53You haven't cried yet?

0:31:53 > 0:31:55No. No, why?

0:31:55 > 0:31:58Does that make me some sort of heartless monster?

0:31:58 > 0:32:00No. No, no, it's just...

0:32:01 > 0:32:04Maybe that's what mediums do.

0:32:04 > 0:32:07- They help people feel... - It's not real.

0:32:07 > 0:32:09It's not scientific.

0:32:09 > 0:32:14This... This is real life. This is life and death.

0:32:14 > 0:32:18All right, OK, but apart from all this science, there's nothing else?

0:32:18 > 0:32:20Not if it can't be explained.

0:32:20 > 0:32:23Just black and white?

0:32:23 > 0:32:25- No grey areas?- No.

0:32:25 > 0:32:29Why? Grey areas are just grey.

0:32:30 > 0:32:33Their kennels are on the edge of the forest.

0:32:33 > 0:32:35Upside is, if he collapsed in a bush

0:32:35 > 0:32:38he probably didn't get round to doing anything, like

0:32:38 > 0:32:41stealing one of their stud dogs.

0:32:41 > 0:32:44Oh, the paramedics didn't mention a dog, so...

0:32:44 > 0:32:47So long as they don't ever find out he was up there.

0:32:48 > 0:32:51Cardiac enzyme tests are back.

0:32:51 > 0:32:54Looks like a hypertrophic cardiomyopathy.

0:32:54 > 0:32:56IV morphine and send him up to Darwin?

0:32:56 > 0:32:59They should see him, sooner rather than later.

0:32:59 > 0:33:02Look, I appreciate you didn't have the best of nights

0:33:02 > 0:33:04last night with the kids,

0:33:04 > 0:33:06- but, I'm grateful. - Yeah, don't worry about it.

0:33:06 > 0:33:10And I'm also grateful for that weird little cover-up you tried to pull earlier.

0:33:10 > 0:33:13No! No! You pillock!

0:33:13 > 0:33:16You first-class, Grade-A, deep-fried pillock!

0:33:18 > 0:33:20You left it up there!

0:33:20 > 0:33:22They found your van!

0:33:22 > 0:33:25Those maniacs are looking for you now.

0:33:25 > 0:33:26It's like a sauna in here.

0:33:26 > 0:33:28Oh, yes, spot on.

0:33:28 > 0:33:31Except it's not cosy. It's definitely not relaxing

0:33:31 > 0:33:33and no-one is having any fun.

0:33:35 > 0:33:37Well, it's definitely not intestinal ischemia

0:33:37 > 0:33:40because none of the larger vessels are blocked.

0:33:40 > 0:33:42Well, what is it then?

0:33:43 > 0:33:48No kidney stones. No renal failure. Diabetes?

0:33:51 > 0:33:55Something bad is definitely going on inside of her.

0:33:55 > 0:33:57Well, I'll tell you what, let's put her on 20-minute obs

0:33:57 > 0:33:59and see where we are in an hour.

0:34:01 > 0:34:04Well, that's if I'm still working here.

0:34:04 > 0:34:05What?

0:34:05 > 0:34:08I've been summoned to Mr Hanssen's office.

0:34:08 > 0:34:09And when is that ever good?

0:34:16 > 0:34:19CLASSICAL MUSIC PLAYS

0:34:32 > 0:34:33KNOCK ON DOOR

0:34:33 > 0:34:35Come in.

0:34:40 > 0:34:42Ah, Dr Copeland, good.

0:34:42 > 0:34:45Would you like to add the finishing touch?

0:34:50 > 0:34:51Come and sit here.

0:35:03 > 0:35:06Don't forget to breathe.

0:35:07 > 0:35:10Did I do anything wrong?

0:35:10 > 0:35:11Why do you think you did wrong?

0:35:11 > 0:35:14Do you want me to explain the procedure in any more detail?

0:35:14 > 0:35:17- To me it looks like you're working very hard.- OK.

0:35:17 > 0:35:21Look, the reason why the laparoscopic procedure is so,

0:35:21 > 0:35:23so much better than the normal open chest one

0:35:23 > 0:35:27is that we can have you back in training in two weeks.

0:35:27 > 0:35:29- Tennis training. - Or competing, or whatever.

0:35:29 > 0:35:32I hit a ball around a rectangle in Spain for most of the year.

0:35:32 > 0:35:36- Very well, from what I gather. I'm sorry I'm not much...- It's a game.

0:35:36 > 0:35:38Tennis.

0:35:38 > 0:35:42This, what you do, this is life and death.

0:35:42 > 0:35:45You save lives. I have a nice forehand.

0:35:45 > 0:35:47Oh, we'll have you back on the court

0:35:47 > 0:35:50- playing that nice forehand very quickly.- A game.

0:35:50 > 0:35:52I'm just a big kid in shorts.

0:35:52 > 0:35:54And for that, all those people want to take my picture,

0:35:54 > 0:35:56get an autograph.

0:35:56 > 0:35:57It doesn't seem right.

0:35:59 > 0:36:02Oh, you don't think you deserve this?

0:36:02 > 0:36:05I'm not old. I'm not young. I'm not fighting for my every breath.

0:36:05 > 0:36:08I get dizzy when I play too fast.

0:36:08 > 0:36:10I fainted on TV a couple of times.

0:36:10 > 0:36:12- It's not such a big deal.- Oh, no.

0:36:12 > 0:36:14If the aneurysm ruptures it's a big deal.

0:36:14 > 0:36:16- Are you frightened by this surgery? - No.

0:36:16 > 0:36:19I'm frightened that you're going to put all this time and energy

0:36:19 > 0:36:21into me instead of someone else.

0:36:22 > 0:36:25Go do your magic on someone who deserves it.

0:36:25 > 0:36:27Oh, no, hang on.

0:36:27 > 0:36:29Yasmani, no. It doesn't work like that.

0:36:29 > 0:36:32The first time we need someone fit, strong, able to recover

0:36:32 > 0:36:35in case we don't get it absolutely right.

0:36:35 > 0:36:36A gerbil pig?

0:36:36 > 0:36:37Yes. Uh-huh.

0:36:37 > 0:36:40I'm strong, so I make a good gerbil pig?

0:36:40 > 0:36:42And many other patients, sick patients,

0:36:42 > 0:36:44will benefit from what we learn, operating on you.

0:36:44 > 0:36:47You experiment on me, other people benefit?

0:36:47 > 0:36:49Er...

0:36:49 > 0:36:52This is how I'm able to give something back.

0:36:56 > 0:36:58Excellent work.

0:36:58 > 0:37:00It's good...

0:37:02 > 0:37:05- ..but it's not enough. - It's finished.

0:37:05 > 0:37:08You have completed the Superb. Arthur would be very pleased.

0:37:08 > 0:37:09We need to sail it.

0:37:10 > 0:37:12Sail it?

0:37:12 > 0:37:14We need to sail it. "Sail my ship."

0:37:14 > 0:37:16Arthur wanted me to sail it.

0:37:16 > 0:37:18No, it's a model ship, Dr Copeland.

0:37:18 > 0:37:21It's one intended to be kept in a display case on a shelf.

0:37:21 > 0:37:25- It's not the sort of thing you'd ever sail.- We need to sail it.

0:37:25 > 0:37:28Don't ask me why. There's this crazy woman up on the ward

0:37:28 > 0:37:33and the photo that I keep talking to and my fridge.

0:37:33 > 0:37:34Fridge?

0:37:38 > 0:37:41Just forget I said anything. Ignore me.

0:37:41 > 0:37:44I just need to totally forget Arthur.

0:37:53 > 0:37:56So, we need to sail this ship?

0:37:57 > 0:37:59Hm.

0:37:59 > 0:38:02Do you have any particular location in mind?

0:38:02 > 0:38:04Right, and how's Mr McDonald doing?

0:38:04 > 0:38:08Ah, his ECG and enzyme tests suggest he has hypertrophic cardiomyopathy.

0:38:08 > 0:38:10He's had a heart attack?

0:38:10 > 0:38:12No, it's a bulge in one of the chambers of the heart,

0:38:12 > 0:38:14making it not perform as it should.

0:38:14 > 0:38:15Bulge?

0:38:15 > 0:38:18- A thickening of the heart muscle wall.- Can it be fixed?

0:38:18 > 0:38:20Oh, yes, it can. You're in safe hands with these two.

0:38:20 > 0:38:23We'll have to get him up to our CT ward eventually,

0:38:23 > 0:38:27but, for the moment, we'll just have to keep a close eye on you here.

0:38:27 > 0:38:29- BP's still going up. - And his heart rate.

0:38:29 > 0:38:32Could you increase his obs, please?

0:38:32 > 0:38:33They found me van.

0:38:33 > 0:38:36Ah, yes. Now, I've heard about this trouble, but, for the sake

0:38:36 > 0:38:39of your heart, you're going to have to keep yourself calm.

0:38:39 > 0:38:41Absolutely no harm'll come to you while you're in here.

0:38:41 > 0:38:44That's right. That's why we have security. It'll be all right.

0:38:44 > 0:38:45OK. I'll leave you to it. Thanks.

0:38:52 > 0:38:53They've torched your van,

0:38:53 > 0:38:55and they're on their way.

0:38:57 > 0:38:58Aaaargh!

0:38:58 > 0:38:59Dad, no!

0:39:03 > 0:39:04Dad!

0:39:17 > 0:39:20Sail it. He said "Sail it," not...

0:39:20 > 0:39:25"Dunk my favourite three-masted tall ship in a goldfish pond."

0:39:27 > 0:39:30Right, go and get your civvies on, please.

0:39:42 > 0:39:43What's happening to him?

0:39:43 > 0:39:44What've you done?

0:39:45 > 0:39:48- What's he doing? Does he know what he's doing?- Yeah.

0:39:48 > 0:39:50Naomi?

0:39:50 > 0:39:52- Do you mind?- Take a step back.

0:39:52 > 0:39:55Let me go. I need to see what they're doing.

0:39:55 > 0:39:57You're not helping. You need to step back.

0:39:57 > 0:39:59You need to let them work.

0:39:59 > 0:40:01Could be SVT. Let's get him back on the ECG, please.

0:40:01 > 0:40:03And yes, they absolutely do know what they're doing.

0:40:03 > 0:40:05Better than anyone...

0:40:05 > 0:40:07He's in the best hands.

0:40:07 > 0:40:09I'm going to try a carotid sinus massage.

0:40:09 > 0:40:12- Right. What do you need?- Let's get the pillows under his shoulders,

0:40:12 > 0:40:14extend the neck and keep him on the pulse oximeter, please...

0:40:14 > 0:40:16What are they doing to him?

0:40:16 > 0:40:18They're going to massage an artery in his neck.

0:40:18 > 0:40:21Massage?! He's having a bloody heart attack!

0:40:22 > 0:40:23No...

0:40:27 > 0:40:29That's it. We've got him back. We've got a rhythm.

0:40:29 > 0:40:32Let's get him a CT consult as quick as we can...

0:40:34 > 0:40:35- Well done.- Yeah.

0:40:44 > 0:40:45There.

0:40:45 > 0:40:47See, now that, that is sailing.

0:40:50 > 0:40:52Well, you did Arthur proud.

0:40:52 > 0:40:53We did.

0:40:53 > 0:40:55You honoured his memory.

0:40:55 > 0:40:57We did.

0:40:57 > 0:40:58His final wishes.

0:41:03 > 0:41:05Arthur would look at that

0:41:05 > 0:41:07and see his ship sailing

0:41:07 > 0:41:10majestically across the ocean.

0:41:10 > 0:41:11It's a park lake.

0:41:12 > 0:41:15He would see it and be thinking...

0:41:16 > 0:41:18GURGLING

0:41:18 > 0:41:20No.

0:41:20 > 0:41:21No, no, no, no...

0:41:21 > 0:41:22No, no, no, no...

0:41:22 > 0:41:24No, no!

0:41:24 > 0:41:25HE SIGHS HEAVILY

0:41:49 > 0:41:51I just wish...

0:41:51 > 0:41:52everything were different.

0:41:53 > 0:41:54I don't know, just...

0:41:56 > 0:41:57..better.

0:42:01 > 0:42:03Arthur deserved better. He deserved a better friend.

0:42:04 > 0:42:06A proper friend.

0:42:07 > 0:42:10I think Arthur thought you were a proper friend.

0:42:10 > 0:42:12I was always taking the mick out of him.

0:42:14 > 0:42:15His hair,

0:42:15 > 0:42:17his stupid glasses,

0:42:17 > 0:42:18his trousers,

0:42:18 > 0:42:19his weirdly...

0:42:20 > 0:42:22Just everything.

0:42:24 > 0:42:27I think Arthur liked that.

0:42:27 > 0:42:29I think he wanted that.

0:42:29 > 0:42:30Proper friend?

0:42:30 > 0:42:32You think so?

0:42:32 > 0:42:33Yes.

0:42:35 > 0:42:36Proper?

0:42:38 > 0:42:39Proper.

0:42:40 > 0:42:41Really?

0:42:44 > 0:42:46Well...

0:42:46 > 0:42:47you sailed his ship.

0:42:47 > 0:42:48I sank his ship.

0:42:50 > 0:42:52HE SOBS

0:42:55 > 0:42:57Unquestionably,

0:42:57 > 0:42:59you loved him.

0:43:00 > 0:43:01I did.

0:43:04 > 0:43:05I still do.

0:43:09 > 0:43:11Well, what more could any friend want?

0:43:27 > 0:43:28Excessively flatulent.

0:43:34 > 0:43:37Fluttery feelings and

0:43:37 > 0:43:39uncontrollable, excessive flatulence.

0:43:42 > 0:43:44Fluttery abdominal sensations

0:43:44 > 0:43:47accompanied by excessive flatulence.

0:43:47 > 0:43:50When she has "a visit", she said she felt flutterings.

0:43:50 > 0:43:54Heavy smoker, over 60, claims it hurts when she eats...

0:43:54 > 0:43:55So, she doesn't eat.

0:43:55 > 0:43:57Hence the weight loss.

0:43:59 > 0:44:00Pain in the upper abdomen.

0:44:00 > 0:44:01Nausea.

0:44:01 > 0:44:03- Diarrhoea.- Constipation.

0:44:03 > 0:44:05Hard and soft.

0:44:05 > 0:44:07See, that still points to bowel.

0:44:07 > 0:44:10But, what if it wasn't in the bowel itself?

0:44:11 > 0:44:13What, you mean...

0:44:13 > 0:44:14blood supply?

0:44:14 > 0:44:16A clot in the...

0:44:18 > 0:44:20- Mesenteric ischemia. - ..mesenteric ischemia.

0:44:21 > 0:44:22Hah!

0:44:23 > 0:44:24No, but it's very rare.

0:44:25 > 0:44:280.1% of hospital admissions.

0:44:29 > 0:44:31Well, it's possible, I suppose.

0:44:31 > 0:44:33Yeah. I mean, heavy smoker,

0:44:33 > 0:44:36- and...- It wouldn't show up on the scans.

0:44:36 > 0:44:37No. So...

0:44:38 > 0:44:40We need to get her into theatre,

0:44:40 > 0:44:42and, this time, we need to open her up.

0:44:43 > 0:44:44Excellent.

0:44:45 > 0:44:48So, Mr Arriaga has now agreed

0:44:48 > 0:44:52to stay to experience our laparoscopic PVA repair.

0:44:52 > 0:44:54- Yay!- In the interest of medical science.

0:44:54 > 0:44:56So, you're staying now?

0:44:56 > 0:44:58Wise man. We're one of the only hospitals in the country

0:44:58 > 0:45:00who would even attempt this.

0:45:00 > 0:45:03And the only hospital with such professional and beautiful medics...

0:45:03 > 0:45:05- Got any brothers at home?- Six.

0:45:05 > 0:45:08Send them my way, please.

0:45:08 > 0:45:10OK, that puts us officially up against the clock

0:45:10 > 0:45:12to get prepped before Naylor arrives.

0:45:12 > 0:45:14I'll get to the scanner and get him MRI'd.

0:45:14 > 0:45:17- Could you please chase his bloods and urine?- Sure.

0:45:17 > 0:45:20Mr Arriaga, seeing as you're going to be here after all,

0:45:20 > 0:45:23permit me to give you a lightning quick tour of my neurological facility.

0:45:23 > 0:45:24No, he has to get scanned.

0:45:24 > 0:45:25Ten minutes, tops.

0:45:25 > 0:45:28If you're prepared to endorse our facility, then your name, your fame,

0:45:28 > 0:45:31will be associated with an international service

0:45:31 > 0:45:32for neurological problems.

0:45:32 > 0:45:33He has to go downst...

0:45:33 > 0:45:35CRASH

0:45:35 > 0:45:36Functional neurosurgery,

0:45:36 > 0:45:38skull base surgery, neuroendoscopy,

0:45:38 > 0:45:42complex craniofacial, complex spine, neuro-oncology...

0:45:42 > 0:45:43No, Senor Self.

0:45:43 > 0:45:45I would not like to.

0:45:45 > 0:45:46But you haven't even seen the...

0:45:46 > 0:45:49If I was lending my name to anything, it would be heart surgery,

0:45:49 > 0:45:52not brain. My heart is very dear to me.

0:45:52 > 0:45:56- I see.- I have to be in the scanner with my friend, Mr Valentine.

0:45:56 > 0:45:57Friend?

0:45:59 > 0:46:00Friend.

0:46:02 > 0:46:04You already looked inside me...

0:46:04 > 0:46:06I'm afraid the angiogram didn't have a clear outcome.

0:46:06 > 0:46:07You looked at my insides.

0:46:07 > 0:46:10Do you have any idea how weird that makes me feel?

0:46:10 > 0:46:13- What, that I've seen your insides? - You saw bits of me I've never seen.

0:46:13 > 0:46:16Well, isn't that what you claim to do?

0:46:16 > 0:46:18To see inside people, see hidden things?

0:46:18 > 0:46:21It's the same as us. It's just we need to take another look.

0:46:22 > 0:46:25I know something's happened, because your friend's gone very quiet.

0:46:27 > 0:46:28You look different.

0:46:32 > 0:46:33It's the fresh air.

0:46:41 > 0:46:43Erm, nice job in there.

0:46:43 > 0:46:45Oh, thanks.

0:46:45 > 0:46:47Quite the George Clooney, aren't you?

0:46:47 > 0:46:48I try.

0:46:48 > 0:46:50Naomi obviously thinks so.

0:46:50 > 0:46:51Naomi?

0:46:53 > 0:46:55Were you going to get round to telling me?

0:46:55 > 0:46:56- What?- "What?"

0:46:56 > 0:46:57About you and Naomi.

0:46:58 > 0:47:00You like her, don't you?

0:47:01 > 0:47:03Do I have to go under again?

0:47:04 > 0:47:07Well, I wouldn't recommend being opened up with a local.

0:47:09 > 0:47:13Earlier, that was first time I've ever had a general anaesthetic.

0:47:13 > 0:47:16Well, your stats are all fine now. So, there's nothing to worry about.

0:47:16 > 0:47:18But, I feel different.

0:47:18 > 0:47:20It does take a while for the after-effects to wear off.

0:47:20 > 0:47:22And it's not just your friend who's gone quiet.

0:47:24 > 0:47:25You mean...?

0:47:25 > 0:47:27I've heard of other psychics who had

0:47:27 > 0:47:30operations or head injuries and their visits just stopped.

0:47:31 > 0:47:33And you're worried that's going to happen to you?

0:47:35 > 0:47:38Well, Mary, if you don't go under again, then we can't carry

0:47:38 > 0:47:41out the procedure to inspect your potentially rotted bowel.

0:47:42 > 0:47:44And if you can't?

0:47:44 > 0:47:46Well, if we can't, then I think,

0:47:46 > 0:47:49very soon, one of your mates is soon going to be channelling you!

0:47:53 > 0:47:55Here you are.

0:47:55 > 0:47:56Fletch, look, I am sorry.

0:47:56 > 0:47:57You're always sorry.

0:47:57 > 0:48:00But I don't know what it is that you think that I've done.

0:48:00 > 0:48:02What have you done?

0:48:02 > 0:48:03Nothing.

0:48:03 > 0:48:05You and Naomi in Pulses, right?

0:48:05 > 0:48:08You obviously weren't talking about me.

0:48:08 > 0:48:10We were just talking.

0:48:10 > 0:48:11What have you two got to talk...

0:48:14 > 0:48:16That's why you're covering for me with Serena.

0:48:18 > 0:48:20So, when did you decide that you liked her?

0:48:22 > 0:48:24Probably about five seconds after you.

0:48:24 > 0:48:27But, you being you, you decided to just plough on in there.

0:48:27 > 0:48:28She practically asked me out.

0:48:28 > 0:48:30While I stayed at home and looked after your kids.

0:48:32 > 0:48:34- You never said.- Well, I didn't get a chance to, did I?

0:48:34 > 0:48:38Like I never do. Once you set your sights on something or somebody...

0:48:38 > 0:48:41So, what about now? You know, now that we've split up?

0:48:42 > 0:48:45- What do you mean? - What do you mean, "What do I mean?" You know exactly what I mean.

0:48:47 > 0:48:48A-ha!

0:48:49 > 0:48:52An ischemic segment, is it?

0:48:52 > 0:48:54It's a small occluded artery.

0:48:55 > 0:48:58With healthy bowel either side.

0:48:59 > 0:49:00Resect?

0:49:01 > 0:49:03Thank you.

0:49:06 > 0:49:08Yeah. We're going to take out the rotten part

0:49:08 > 0:49:09and stick the healthy bits back together.

0:49:09 > 0:49:12Did you know her biggest worry was that she was going to lose her gift

0:49:12 > 0:49:14from this operation?

0:49:16 > 0:49:20- And you?- I would be lying if I said I wouldn't be sad for her

0:49:20 > 0:49:24if going under anaesthetic affected her "powers".

0:49:24 > 0:49:25So, do you believe now?

0:49:30 > 0:49:31I cried.

0:49:33 > 0:49:34I...

0:49:35 > 0:49:37I sailed Arthur's stupid ship.

0:49:39 > 0:49:41Only because she told me to and...

0:49:41 > 0:49:42I cried.

0:49:44 > 0:49:45I also hugged Hanssen.

0:49:46 > 0:49:48What?!

0:49:48 > 0:49:49Wow.

0:49:50 > 0:49:51Do you feel better?

0:49:53 > 0:49:54Hmm.

0:49:55 > 0:49:56Text from Jac.

0:49:56 > 0:49:58ETA, 15 minutes...

0:49:58 > 0:49:59- 15?!- Mmm-hmm.

0:50:01 > 0:50:04Look, I'm sorry I made you cry.

0:50:04 > 0:50:06Oh, no. That wasn't you.

0:50:06 > 0:50:08It's just the heat kind of makes me a little bit crazy.

0:50:10 > 0:50:12This all looks good. Everything's come together.

0:50:12 > 0:50:13Good job.

0:50:13 > 0:50:15No...

0:50:15 > 0:50:16Just relax.

0:50:16 > 0:50:17..stapling kit.

0:50:17 > 0:50:19- Stapling kit! - Well, it is all here, right?

0:50:19 > 0:50:23Well, we've got the C arm, the L hook - thank you - the, er, camera.

0:50:23 > 0:50:24Good.

0:50:24 > 0:50:27But not the pericardial stapling device or the telescope.

0:50:27 > 0:50:29- No staple device? - They come together.

0:50:29 > 0:50:32- Where are they?- The last time I checked, they were on their way...

0:50:33 > 0:50:35No, no, no, no!

0:50:37 > 0:50:39Ollie!

0:50:39 > 0:50:40What's up?

0:50:40 > 0:50:43Someone tried to make a delivery to me, on AAU.

0:50:43 > 0:50:44AAU?

0:50:44 > 0:50:46An agency nurse sent them away again.

0:50:54 > 0:50:56LABOURED BREATHING

0:51:02 > 0:51:05- Oh, no. I bet... Lou, where's this patient?- Oh, I don't know.

0:51:05 > 0:51:07Right, call security immediately and, er,

0:51:07 > 0:51:08I better call the police, too.

0:51:11 > 0:51:12My truck's outside.

0:51:12 > 0:51:14We can just swap hospitals.

0:51:14 > 0:51:16Start again in A&E.

0:51:16 > 0:51:17No! Dad, sit down!

0:51:17 > 0:51:19Sit down, Dad. Keep it together.

0:51:19 > 0:51:21Dad, keep it together!

0:51:21 > 0:51:22Dad!

0:51:22 > 0:51:24- Dad!- Excuse me, please! - Oh, Dad. Please keep it together.

0:51:24 > 0:51:26All right, all right.

0:51:26 > 0:51:29- What's happening?- This time, he is having a heart attack. It's SVT.

0:51:29 > 0:51:31Guys! Can you help in here, please?!

0:51:31 > 0:51:33- Why did you move him? - Don't blame me.

0:51:33 > 0:51:34You two weren't around.

0:51:36 > 0:51:39Er, call the crash team and get me a defib quick, please!

0:51:39 > 0:51:44- PORTER: Lift up. One, two, three. - Nice and gentle.

0:51:44 > 0:51:45Oh, Dad.

0:51:45 > 0:51:47Cardiac arrest, main reception.

0:51:47 > 0:51:48DOG BARKING

0:51:51 > 0:51:52DOG BARKS AGAIN

0:51:58 > 0:51:59Right. Thank you.

0:52:03 > 0:52:05What are you doing out here?

0:52:05 > 0:52:07- I...- You're supposed to be inside prepping my theatre...

0:52:08 > 0:52:10FLATLINE

0:52:11 > 0:52:13- Right, charge to 150.- Charging.

0:52:13 > 0:52:15Charged.

0:52:15 > 0:52:16Clear.

0:52:16 > 0:52:17Shock.

0:52:20 > 0:52:21Nothing. And again. Charge to 200.

0:52:23 > 0:52:25Charging.

0:52:25 > 0:52:26- Charged.- Clear.

0:52:26 > 0:52:27Shock.

0:52:29 > 0:52:31OK, we've got rhythm.

0:52:31 > 0:52:32Let's get him up to the cath lab.

0:52:34 > 0:52:35How's your tooth?

0:52:35 > 0:52:38Sat in the waiting room for hours and then they sent me home.

0:52:38 > 0:52:40It was an epic waste of my time.

0:52:41 > 0:52:45SECURITY: Ladies and gentlemen, please can you just hold back? We have a situation going on here.

0:52:46 > 0:52:49- Get out the way. - My dad's not here. Not any more.

0:52:49 > 0:52:51So, you might as well leave.

0:52:51 > 0:52:52We don't believe you.

0:52:52 > 0:52:55Well, gross ineptitude to an episode of Jeremy Kyle.

0:52:55 > 0:52:56Yes, sorry. It's all my fault.

0:52:56 > 0:52:59Listen, right, you need to go. Now's not the time or the place.

0:52:59 > 0:53:02- Stay out of this, you.- Do yourselves a favour, right? They called the Old Bill.

0:53:02 > 0:53:03We're going to find your dad.

0:53:04 > 0:53:07SECURITY GUARD: Back up, guys. Move on.

0:53:07 > 0:53:08OK, all clear. You can go in.

0:53:14 > 0:53:15- Oh, no, you don't!- No!

0:53:19 > 0:53:21Quick, quick! Get out of the way!

0:53:24 > 0:53:25SHE COUGHS VIOLENTLY

0:53:25 > 0:53:26No!

0:53:26 > 0:53:29Argh!

0:53:29 > 0:53:30Get her on the floor!

0:53:30 > 0:53:31Someone help her!

0:53:33 > 0:53:35Don't just stand there!

0:53:53 > 0:53:54PHONE RINGS

0:53:58 > 0:53:59Hey, how are you feeling?

0:54:00 > 0:54:01Could murder a...

0:54:01 > 0:54:02Ciggie. I know.

0:54:04 > 0:54:06No.

0:54:06 > 0:54:07You know, no.

0:54:08 > 0:54:11That there's a load of horse cack.

0:54:11 > 0:54:13Really?

0:54:13 > 0:54:15I don't need a ciggie.

0:54:15 > 0:54:16I might want one,

0:54:16 > 0:54:18but I do not need one.

0:54:18 > 0:54:20- So...- So, what are you going to do? You going to give up?

0:54:20 > 0:54:22- Maybe.- Hmm.

0:54:22 > 0:54:23What, just like that?

0:54:25 > 0:54:26You fixed me up.

0:54:27 > 0:54:28Did your best work.

0:54:30 > 0:54:33If I just fire up now, it's two fingers up to you chaps.

0:54:34 > 0:54:35Fair play.

0:54:37 > 0:54:40Do you believe I experienced a connection?

0:54:41 > 0:54:42To Arthur?

0:54:50 > 0:54:52How are the voices anyway?

0:54:52 > 0:54:54- Any dead people online?- Maybe.

0:54:54 > 0:54:56- Well, not that I care, anyway.- Mmm?

0:54:56 > 0:54:57PHONE RINGS

0:54:58 > 0:54:59Oh, for pity's sake!

0:54:59 > 0:55:02Answer that phone and put that poor soul out of their misery!

0:55:06 > 0:55:07Hello, you.