What It Takes Holby City


What It Takes

Arthur finds he has a lot of ground to make up with Morven. Guy is forced to face his demons when a neuro case comes into the hospital.


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Transcript


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You should have the surgery, Mills.

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Guy...

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You told me that the op would work.

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I think you need to step away.

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I think a leave of absence is in order.

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Arthur.

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I don't know what you think you saw,

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but you've got the wrong end of the stick.

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Stealing medication?

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..is unforgivable.

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You wouldn't accept help with your issues.

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I'm not going to stick around and see you kill somebody.

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SHIPPING FORECAST ON RADIO

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I looked up "counselling" in the dictionary. Oxford English.

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Obviously.

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"The giving of advice on personal, social and psychological problems."

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So far I seem to be doing all the talking.

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And if the point's to... to lead me towards some sort of

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self-awareness, believe me, I am well aware of my own shortcomings.

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Most days, I wish I could be someone else.

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I could retrain.

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I'm young enough.

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I could, erm, move to Australia and, I dunno, take up marine biology.

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But it wouldn't make any difference.

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I'd still be me.

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The truth is, if I'm not a doctor...

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I don't know who I am.

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This is Walter Dunn, 55.

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Car came off the road into a ditch and he was trapped for two days.

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Now, he's no obvious injuries, just cuts and bruises,

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but he's hypernatremic and clinically dehydrated

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so the ED have sent him through for fluid resuscitation.

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Nice contacts.

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Thank you.

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Hello there, I'm Dr Digby.

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You're not THE Walter Dunn, are you?

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As in Cambridge Professor of stem cell research?

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Er... Yes.

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Good grief. Um, it's an honour.

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I've read all your papers.

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-Walter, you never told me you were famous.

-I didn't know.

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-He's going to cure Parkinson's.

-Well, I don't know about that,

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but I appreciate the vote of confidence, Dr Digby.

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Arthur, please.

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Well, look, Arthur.

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It's been quite a couple of days and I really want to get home.

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Of course, of course, erm...

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Ah, Dr Digby! Welcome back.

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Um, Dr Shreve? Could you take over here, please?

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Oh, no, it's fine, we were just, er...I was...

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There's something different about you. Have you changed your hair?

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-Uh, no...

-Contacts.

-Oh, yes! Suits you.

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I think.

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Now then, I'm afraid we're a little short-staffed today.

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Mr Di Lucca's claimed all his unused annual leave.

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As he's about to lose his entitlement to it,

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I couldn't really say no.

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But it does mean I'm spinning rather a lot of plates this morning.

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So I just need to go and check on a patient for a minute.

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I'll be back with you as soon as I can.

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-Do you want to go and wait in my office?

-Right, um...

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Morning, darling. You waiting for someone?

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Yes. You. Would you like a coffee before you go in?

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Oh, I'll be fine. It's just a formality.

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I know. I was here early anyway. I'm hoping to bag some theatre time.

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There's a bilateral lung transplant coming in.

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Can we get a soya latte, extra shot, extra foam, hazelnut syrup and a...?

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-A coffee.

-I'll bring it over to you.

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So who's going to be there, do you know?

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The usual suspects.

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The root cause analysis has been done,

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the report's been written, I've had a psych review, which was fine,

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so this is just a box-ticking exercise, really.

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Good. There's nothing to worry about, then.

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No.

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18-year-old male.

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Found unconscious on a playing field with a GCS of three.

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Uh, intubated at the scene.

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BP 165 over 70,

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pulse 65, sats 98 and ventilation.

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No obvious injuries, query neurological event.

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Right, FBC, LFTs, U&Es, clotting, group and save, please,

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and an urgent head CT.

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Thanks, Jamie. Any name on the notes?

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Um...can't see anything.

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OK, can I have his ID, please? Thank you.

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Right, can you see if Mr Self is still in the building?

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And then can you call Mr Hanssen and say we've got a situation?

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OK.

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You're out already. How'd it go?

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There's no referral to the GMC and I can resume clinical duties

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-whenever I'm ready.

-That's great.

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-Isn't it?

-Yeah.

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Just a second.

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You know what the Clinical Governance Committee are like.

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-They choose their words carefully.

-OK...?

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They said that there was no negligence but, in hindsight,

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said that the judgment call I made

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on the Renwick case was the wrong one.

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Wow, they actually said that?

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Yep. Not in so many words, but you know what they're like.

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-Well, we can always make the right decision in hindsight.

-Exactly.

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-You're not letting this get to you, are you?

-No. No, no, no.

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Darling, I probably shouldn't talk to you about this here.

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-I'll go.

-No, no, no. Let's talk about this properly.

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Tell me exactly what they said.

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Everything all right there, Professor?

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Ah, good. I was just coming to find you.

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I'd rather we actually kept that in just for a minute.

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Honestly, I'm feeling so much better.

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Just tired.

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So if you don't mind discharging me, I'll get out of your hair.

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I just want to make sure that you're definitely OK first. OK?

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All I need is a hot shower and my own bed.

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Really. Thank you.

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Any headache? Dizziness?

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No.

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Your fluids haven't finished running through yet.

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I'll have a drink at home.

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-A glass of water won't cut it, I'm afraid.

-I'll have two.

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Um, listen, just give me two hours.

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We'll finish running the rest of those fluids through.

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Check your bloods are back to normal, and then you can go.

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Right.

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I'll just go and grab another cannula and I'll be right back.

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Cara, keep an eye on Professor Dunn, will you?

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Just do his obs or something?

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Sure.

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Walter? How about we see how your blood pressure's doing?

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If you insist.

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I think you're reading into this much more than you should.

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They're not neurosurgeons.

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It's not for them to say whether you made the right call or not.

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Well, yeah - I don't need them to tell me I got it wrong.

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I know. I feel bad enough as it is. I couldn't feel any worse.

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I mean, how do they expect me to go to theatre every day

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and make these decisions...

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I mean, the consequences can spiral out of control at any...

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Listen, this is what you do.

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Someone has to make these very difficult choices.

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And as long as, at that moment, when you're making that decision,

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you feel sure you're doing the right thing...

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I don't think anyone can ask any more of you than that.

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-But they do.

-Well, they shouldn't. You're only human.

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Who? What? Me?

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Yes, I'm sorry to break it to you, but there it is.

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Listen, thanks, darling. I'm sorry to have off-loaded all this on you.

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No, no, I'm glad you did. Anyway, I'd better get on.

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-Yeah, yeah, of course. I'll head home.

-Good idea.

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BEEPING

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-Excuse me, Dr March.

-Ah yes, of course, thanks.

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So, a bilateral lung transplant, eh?

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I was thinking of asking Zosia to scrub in, if you can spare her?

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-HE CHUCKLES

-What?

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-Oh, she said you'd ask.

-Did she?

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She already got me to clear her schedule.

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Oh, did she now? Little Miss Presumptuous.

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She wouldn't have that much brass with Jac. Am I a soft touch?

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Come on. It would be good for her portfolio.

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All right, but I'm not going to wrap it up in a bow

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-and hand it to her on a silver platter.

-Meaning?

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Meaning I've got more work than time to do it in and a very able

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and keen junior at my disposal.

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Quid pro quo, my funny Valentine. Quid pro quo.

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Ms Effanga...

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Selfie Junior! You've got a big day with me today.

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Ward round in five minutes.

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Do you know who's on duty?

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No, sorry, Sacha's ringing now.

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Good. OK, let's get a central line in. He'll need catheterising.

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-Let's get some more fluids up. Do we have an ABG?

-Yes, sir.

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OK. Have our anaesthetic team seen this?

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-Yes, sir.

-Good. Is his mother here?

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-Not yet.

-But she's been informed?

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-As far as I know.

-OK, good.

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Good morning, Mr Osborne, you're looking perkier.

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Let's chase his bloods and do a repeat ECG.

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FBC, U&Es, LFTs, and clotting. Run an ECG and organise an echo.

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Ah, Mr Iqbal. Nice to see you.

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Bay one, please.

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We're going to need IV access.

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Put a catheter in, run some fluids and do a spirometry test.

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Mrs McArdle.

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Doctor March here is going to remove your surgical drain,

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dress your wound and then we'll see about getting you discharged, OK?

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Ah, the lovely Mrs Monroe.

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OK, let's do an INR, adjust her warfarin dose,

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and then call H-COP and see if they've got a bed free.

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Good morning, Mrs Adejoke. Has the nausea subsided?

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SHE VOMITS

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Guess that's a no, then.

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Get a nurse to clean that up, put her on nil by mouth,

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increase fluids, give her an anti-emetic.

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20 milligrams of metoclopramide should do the trick.

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Sorry to have kept you. It's getting a bit hectic out there.

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Well, I'm here and ready to roll my sleeves up, so...

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Great! Though obviously you can't just pick up where you left off.

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Can't I? Why not?

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Um, my GP's prescribed me citalopram,

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which I've been taking, referred me to counselling,

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which I've been attending

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and I've been interviewed by HR and occupational health,

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and Mr Hanssen...

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I appreciate you've already jumped through a lot of hoops

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and that medically speaking you've been cleared to come back.

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-But that's not all there is to it.

-What else is there?

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Well, you don't exist in a bubble, Arthur.

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This is a front-line department,

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which means we sometimes have to deal with difficult situations

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in a professional and diplomatic manner.

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No, I understand that...

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Hang on there, tiger, I haven't quite finished.

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We also have to work as a team.

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And as the consultant ultimately responsible for everything that

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happens here, I need to be convinced that you have the right attitude.

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Of course. Yep. I understand.

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And can I just say that I am really sorry for my previous behaviour.

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I'm sure you are.

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Um, obviously at the time I wasn't myself,

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but now I have my condition under control

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so I can assure you that nothing like that will ever happen again.

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No. It won't.

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You're going to be under my direct supervision

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until I'm satisfied that there is indeed a place for you on AAU.

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Is that really necessary?

0:11:540:11:56

I think it is.

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You have some bridges to build, Arthur. Don't take that lightly.

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I've never really been a people person.

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How can I explain it?

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Um, I have this...aunt, who, well, she gets very nervous around dogs

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because she says she can never tell what they're thinking.

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That's how I feel about people.

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They change their mind from one moment to the next.

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They say one thing when they mean another.

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You never quite know where you are.

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And throughout school and university it didn't matter, you know.

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I didn't need to make friends.

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I absorbed myself in my work. In my books. In my exams.

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And everyone said "you'll go far" because I was doing so well.

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But it's not enough, is it? It's not enough.

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OK, thank you.

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McKenna is on call but he's been pulled into surgery.

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They said he's going to ring as soon as he gets out.

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-McKenna.

-Yes.

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Well, we're going to have to tread very carefully, Mr Levy.

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With the mother's influence,

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things could spiral out of control very quickly.

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Yes, yes. I understand.

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We must ensure that we have the right man for the job.

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I can't tell you how grateful I am not to be a neurosurgeon right now.

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Indeed. You and me both.

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-Where is he?

-Ms Brassvine.

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-Where's my son?

-He's in ITU. Guy's with him.

0:13:300:13:34

Oh, my God.

0:13:340:13:35

Nurse Reynolds, would you escort Ms Brassvine to ITU, please.

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Yeah, of course. This way.

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Right, well, I'll go and make a few phone calls and you let me know

0:13:420:13:45

as soon as McKenna's out of surgery, please.

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Yes. Of course.

0:13:460:13:48

-Everything all right?

-Yeah, fine, thank you.

0:14:020:14:04

I just thought Professor Dunn had already been cannulated in the ED?

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That was my fault, I'm afraid. I...I jumped the gun.

0:14:080:14:11

Does that happen often, Professor? The tremor?

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No, it's just come on. Sorry. I don't know why.

0:14:140:14:16

Hey, it's to be expected after the shock you've had.

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It's bound to catch up with you.

0:14:190:14:21

-May I?

-Sorry.

0:14:210:14:24

No, it's my fault. Silly.

0:14:240:14:25

I see you've got a cut on your head there.

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Was that during the accident?

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Just on the air bag. It's fine.

0:14:330:14:36

OK, and you didn't hit your head on anything else?

0:14:360:14:38

-Miracle, isn't it?

-Sounds like you had a lucky escape.

0:14:380:14:41

Just humour me for a minute. Just bend your arms.

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And then back down again.

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OK, and pull me towards you... And push away...

0:14:510:14:54

Just get rid of this.

0:14:560:14:57

OK, touch your nose and then touch my finger.

0:14:570:15:00

There we go. And then palms,

0:15:050:15:07

OK, then pat your head and rub your tummy.

0:15:070:15:11

Just kidding.

0:15:110:15:13

Um, what's his temperature?

0:15:150:15:17

Is all this really necessary? It's just a superficial head injury.

0:15:170:15:20

No, I'm sure, I'm sure. It's just I wouldn't want to miss anything.

0:15:200:15:23

-The Medical Research Council would never forgive me.

-37.6.

0:15:230:15:26

OK, let's do a CRP then,

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and just to be on the safe side, can we order a head CT as well, please?

0:15:290:15:32

I'd just as soon get home.

0:15:320:15:34

-I don't want to cause any trouble.

-Oh, no, it's no trouble at all!

0:15:340:15:37

A head CT? Don't you think that's a bit over the top?

0:15:370:15:40

No, I don't think so.

0:15:400:15:41

He's very fit.

0:15:450:15:48

I don't know how this has happened.

0:15:480:15:50

What are you doing here, J?

0:15:540:15:56

Just here to observe, help out where I can.

0:15:560:15:59

Kai's head CT.

0:15:590:16:01

Well?

0:16:060:16:08

There's a bleed.

0:16:100:16:12

In the brainstem, here.

0:16:120:16:15

Caused by?

0:16:150:16:17

An MRI should answer that.

0:16:170:16:18

I'll call down now.

0:16:180:16:20

Tell them it's urgent.

0:16:200:16:21

Will he need surgery?

0:16:240:16:26

One step at a time.

0:16:260:16:27

I'm so glad you're here. I wasn't sure you would be after...

0:16:290:16:33

everything that happened.

0:16:340:16:36

Just so you know, Patsy, once the on-call neurosurgical

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consultant arrives, I'll be handing over.

0:16:400:16:43

Why?

0:16:440:16:46

You're well known to me, as is Kai.

0:16:460:16:49

It would be much better to have a fresh pair of eyes,

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someone who can be truly objective.

0:16:510:16:54

In case there are any... difficult decisions to make.

0:16:540:16:58

What do you mean by difficult decisions?

0:16:580:17:01

Kai's situation is very serious.

0:17:010:17:03

We're not sure what damage there's been...

0:17:030:17:06

or whether this is something that he will survive.

0:17:060:17:09

Right, Mrs Choudry's back from X-ray when you're ready.

0:17:130:17:16

Mr Goodwin's catheter's back in and his bloods have gone off.

0:17:160:17:18

Miss Lyons asked for some more pain relief and I said you'd check.

0:17:180:17:21

-All right?

-Thanks.

-Now, leave me to it.

0:17:210:17:23

-I've got a mountain of paperwork to get through.

-Sure.

0:17:230:17:26

-Shout if you need me.

-I will. Do you know when Mr Di Lucca's coming back?

0:17:260:17:29

No idea. But that is the luxury of having a holiday with no end date...

0:17:290:17:33

-Professor Dunn's blood results.

-Ah, excellent.

0:17:330:17:36

Ah, I thought he was Dr Shreve's patient?

0:17:360:17:38

Oh, yes. OK.

0:17:380:17:39

Thank you.

0:17:390:17:41

OK, so CRP's up.

0:17:410:17:44

-OK. Has he been for his head CT yet?

-Still waiting for a slot.

0:17:440:17:47

You think, because of his tremor, he's got Parkinson's.

0:17:470:17:51

Well, not just cos of the tremors.

0:17:510:17:52

He's also got signs of muscle wastage,

0:17:520:17:55

and he's got poor co-ordination.

0:17:550:17:57

He's a single man in his fifties who lives alone,

0:17:570:17:59

and he's exhausted and dehydrated from spending two days in a ditch.

0:17:590:18:02

Yes, but if they're pre-existing symptoms,

0:18:020:18:05

that might be why his car ended up in the ditch in the first place.

0:18:050:18:07

The CT won't tell us he's got Parkinson's.

0:18:070:18:11

-No, but it will rule out some other things.

-OK.

0:18:110:18:15

He wouldn't be the first doctor who's dedicated himself

0:18:150:18:17

-to curing his own disease.

-Sure. But why would he keep it a secret?

0:18:170:18:20

Well, to stay on his research. It'd be a conflict of interest, surely.

0:18:200:18:24

But he retired. Last year.

0:18:240:18:25

Listen, I think you might be looking for a mystery where there isn't one.

0:18:250:18:30

Most cases aren't as complicated as that.

0:18:300:18:34

Sometimes people just crash their car.

0:18:340:18:36

Am I missing something?

0:18:380:18:39

You are kind of stealing her thunder.

0:18:410:18:43

What?

0:18:430:18:44

She had everything under control,

0:18:440:18:46

then you came in and sort of took over.

0:18:460:18:49

No, I was trying to help.

0:18:490:18:51

I know. but I think you might have...

0:18:510:18:53

What?

0:18:530:18:55

Embarrassed her. Maybe. Just saying.

0:18:550:18:59

The worst part is, it's as if everyone else instinctively

0:19:030:19:07

knows how to navigate these social minefields.

0:19:070:19:09

And it's not as if I don't try. I do.

0:19:110:19:13

I just always manage to get the wrong end of the stick or...

0:19:150:19:19

say the exact wrong thing.

0:19:210:19:23

-Dr Shreve. Morven?

-Look, can it wait?

0:19:230:19:26

I think we might have had a little misunderstanding.

0:19:260:19:28

-I didn't mean to upset you.

-You haven't.

0:19:280:19:30

OK, look, I don't want to get off on the wrong foot here.

0:19:300:19:34

And I owe you an apology. For before.

0:19:350:19:38

OK.

0:19:390:19:40

I apologise for what happened. I wasn't myself.

0:19:440:19:47

I was suffering from a condition which obviously

0:19:470:19:50

affected my behaviour.

0:19:500:19:51

So it won't happen again. OK?

0:19:540:19:57

Excuse me, Professor. I'm sorry to wake you, I know you're tired.

0:20:050:20:09

I've had your blood results back.

0:20:090:20:12

I was just thinking about you.

0:20:120:20:14

Do you remember when we went to Margate?

0:20:140:20:17

-Margate?

-Yes, with Peter and Claire.

0:20:170:20:20

You won the roller derby, you remember?

0:20:230:20:25

-Yeah. That wasn't me.

-Yes! Silly girl. Ha!

0:20:250:20:29

Are you all right, Professor? Do you know where you are?

0:20:290:20:32

Of course I do, I'm in the hospital.

0:20:320:20:34

What time is my meeting with the board?

0:20:340:20:37

Oh. I've lost the stethoscope.

0:20:370:20:40

I've lost my stethoscope.

0:20:400:20:42

Can I borrow yours?

0:20:440:20:45

Not just at the minute.

0:20:450:20:47

-I can't lie around here all day, I've got work...

-OK, Professor.

0:20:470:20:50

It's OK, Professor, you don't have to work today.

0:20:500:20:52

-Everything OK?

-Yes. He's got some confusion. It's just come on.

0:20:520:20:55

He's tachycardic and pyrexic. Bloods showed raised CRP.

0:20:550:20:59

I think he's septic.

0:20:590:21:00

So?

0:21:000:21:01

Breathe in for me.

0:21:080:21:10

And out again.

0:21:100:21:12

And again.

0:21:130:21:15

Bilateral basal crackles. Maybe pneumonia?

0:21:170:21:20

Suggest we start him on IV tazocin.

0:21:200:21:22

Yes, good.

0:21:230:21:25

Radiology just called. They're ready for Walter's head CT now.

0:21:250:21:28

-What head CT?

-Uh, well, I was concerned

0:21:280:21:30

that there was an underlying cause. Possibly Parkinson's.

0:21:300:21:33

-And how would a head CT help?

-Well, no, I wanted to rule out...

0:21:330:21:37

Cancel it. Get the antibiotics started - let's see

0:21:370:21:39

if we can get on top of this infection.

0:21:390:21:42

Quick word please, Dr Digby?

0:21:420:21:44

It's Guy Self. Is McKenna coming?

0:21:480:21:50

Well, can somebody please call and find out what is going on?

0:21:510:21:54

Thank you.

0:21:540:21:56

What have you found?

0:21:570:21:59

Patsy, you really shouldn't be in here.

0:21:590:22:01

Someone will come and talk you through everything in a moment.

0:22:010:22:04

Don't patronise me, Guy.

0:22:040:22:05

If it wasn't for the money I brought in,

0:22:050:22:07

this hospital wouldn't even have that scanner.

0:22:070:22:09

I want answers.

0:22:090:22:11

OK, there's a cavernous malformation in the brainstem.

0:22:140:22:17

A cavernoma.

0:22:170:22:19

It's a cluster of abnormal blood vessels.

0:22:190:22:22

The cells that line them are thinner than they should be

0:22:220:22:24

so they're prone to leak blood into the surrounding brain tissue.

0:22:240:22:29

Can you fix it?

0:22:290:22:30

Well, it is possible for someone to remove a cavernoma with surgery

0:22:300:22:34

but it's extremely risky, especially in the brainstem.

0:22:340:22:37

And if you don't remove it? Will it keep bleeding?

0:22:370:22:40

Or bleed again further down the line?

0:22:400:22:43

Well, yes, if he survives this one then it could happen again.

0:22:430:22:46

Causing more damage?

0:22:460:22:47

Yes.

0:22:470:22:49

And potentially...kill him.

0:22:490:22:52

Yes.

0:22:540:22:55

Better to act then, surely?

0:22:550:22:58

What's going on? You've never shied away from a surgery before.

0:23:010:23:06

We can't just do nothing and hope for the best.

0:23:060:23:09

Look, Patsy, they're taking Kai back to ITU.

0:23:090:23:12

Why don't you go and be with him

0:23:120:23:14

and I will come and join you as soon as I can.

0:23:140:23:16

We're short-staffed and the department's almost at capacity.

0:23:270:23:30

Don't you think we've got enough to do without ordering

0:23:300:23:33

unjustified investigations?

0:23:330:23:34

Not to mention exposing a patient to unnecessary radiation.

0:23:340:23:37

Well, I didn't want to miss anything.

0:23:370:23:38

I told you to build bridges and be part of a team.

0:23:380:23:41

Not start a one-man crusade to diagnose one of the most

0:23:410:23:43

notoriously difficult conditions to identify.

0:23:430:23:46

Well, he does have...

0:23:460:23:48

Please, Dr Digby. Don't argue with me.

0:23:480:23:51

I really need everyone pulling together here.

0:23:510:23:53

Now, for the rest of the day,

0:23:530:23:55

I want you to run all clinical decisions past me first.

0:23:550:23:58

Surely that's not practical?

0:23:580:23:59

No, it isn't really, but I'd like you to do it anyway.

0:23:590:24:01

And I have to say, Arthur, I had expected a little more

0:24:010:24:05

humility from you today.

0:24:050:24:07

Excuse me? I had a call from someone in A & E.

0:24:080:24:10

Apparently my brother's been brought in. Walter Dunn.

0:24:100:24:13

Oh, yes. Um...I'll take you to him.

0:24:130:24:18

Is he ready to leave?

0:24:180:24:19

Oh, I'm afraid not.

0:24:190:24:21

-Did A & E explain he'd been in a car accident?

-Yes.

0:24:210:24:25

And that he was trapped for some days before he was found?

0:24:250:24:28

-This is Professor Dunn's sister.

-Hello. Mary.

0:24:300:24:33

Hello, Dr Shreve.

0:24:330:24:35

-Professor?

-Walter?

0:24:350:24:37

OK, so this isn't from the sepsis.

0:24:370:24:38

Go and fetch Ms Campbell, please,

0:24:380:24:40

and can I get me five milligrams of diazepam?

0:24:400:24:42

-What's happening?

-I'm not sure...

0:24:420:24:44

Is there any other medical condition that we might not be aware of?

0:24:440:24:47

-Anything neurological?

-Not that I know of.

0:24:470:24:49

And it's self-terminating.

0:24:490:24:51

What?

0:24:520:24:53

I'd move the rest of them if I were you,

0:24:570:24:59

before he comes round.

0:24:590:25:01

Why don't you take a break?

0:25:030:25:05

Go and get some fresh air, then come back and we'll start again.

0:25:050:25:08

We need a little help out here, please.

0:25:080:25:10

Can you make sure these other bottles are out of reach as well, please?

0:25:100:25:14

Torch, please.

0:25:140:25:15

It was alcohol withdrawal. Explains the seizure and his earlier tremors.

0:25:150:25:20

He's just helped himself to

0:25:200:25:21

three-quarters of a bottle of hand gel, which is 85% ethanol.

0:25:210:25:26

I've given him 50 milligrams of chlordiazepoxide.

0:25:260:25:29

-Good.

-His blood alcohol test did come back negative,

0:25:290:25:32

but um, he's been at least two days without a drink.

0:25:320:25:35

Hence the reason why he was so keen to leave.

0:25:350:25:38

I am worried, though, that his confusion is

0:25:380:25:42

the start of Wernicke-Korsakoff's.

0:25:420:25:44

I've starting IV pabrinex.

0:25:440:25:46

Well, looks like you didn't need me after all, Dr Shreve.

0:25:460:25:48

Well done.

0:25:480:25:50

When you've sobered him up, tell him to take a taxi home.

0:25:530:25:56

I've got to get back to work.

0:25:560:25:58

-Well done.

-Thanks.

0:26:080:26:10

I really thought that he was...

0:26:110:26:13

Yeah. I know you did. Sorry.

0:26:130:26:15

Sorry. Force of habit.

0:26:290:26:32

I'm heading down to Keller now.

0:26:360:26:37

Is there anything I can get you?

0:26:370:26:39

No. Thank you. How are you finding your new surgical role?

0:26:390:26:45

Yeah, it's great. It's different.

0:26:450:26:48

Why are you really observing today, Mr Law? Is Guy OK?

0:26:500:26:54

He doesn't seem to be himself.

0:26:540:26:57

I know he's been through quite an ordeal but...

0:26:570:27:01

is there anything else I should know?

0:27:010:27:04

My son's life is at stake here.

0:27:060:27:09

Well, McKenna's surgery has run into complications.

0:27:100:27:13

He's going to be tied up for the rest of the day.

0:27:130:27:16

So who's coming?

0:27:160:27:18

Mr Levy is ringing around.

0:27:180:27:20

You're not looking at me for this, are you?

0:27:200:27:22

Because I'm simply not ready.

0:27:220:27:24

Don't worry, your reluctance is patently obvious.

0:27:240:27:26

I'd like you to talk me through the options, though, please.

0:27:260:27:29

OK well, the bleed does come to the surface of the brainstem,

0:27:290:27:32

so surgery is a possibility.

0:27:320:27:34

Given his age and general good health, a successful operation

0:27:340:27:37

could prevent any further damage and remove the risk of a re-bleed.

0:27:370:27:41

-But?

-It's not run of the mill.

0:27:410:27:43

There's only a handful of surgeons in the country who would

0:27:430:27:46

attempt such a high-risk operation

0:27:460:27:47

in such a difficult-to-access part of the brain.

0:27:470:27:50

The potential for catastrophic damage is extremely high.

0:27:500:27:52

You've done it before, though, I recall.

0:27:520:27:55

Yes, and the patient had multiple issues.

0:27:550:27:57

Issues which were caused by the initial bleed, though, not the surgery.

0:27:570:28:01

I'm not asking you to perform the surgery, Mr Self.

0:28:010:28:03

I'm just asking whether or not, in your professional opinion,

0:28:030:28:06

you think it should be performed.

0:28:060:28:08

That is up to the surgeon who is going to be

0:28:080:28:10

responsible for the outcome.

0:28:100:28:12

Patsy knows you. She trusts you.

0:28:130:28:15

She would value your opinion.

0:28:150:28:17

Well, I'm not going to give it.

0:28:170:28:18

I'm sorry, I'm not going to responsibility for this. Not right now.

0:28:180:28:22

I will tell Patsy I've done everything I can

0:28:220:28:24

to make him stable, and that another surgeon will be taking over.

0:28:240:28:28

Send them immediately.

0:28:310:28:34

-I don't want you treating my son.

-I have no intention of...

0:28:350:28:39

You lied to me.

0:28:390:28:41

I asked you why you wanted to hand over this case

0:28:410:28:43

and you said it was about objectivity.

0:28:430:28:46

You never told me you had a nervous breakdown!

0:28:460:28:48

-What?

-He told me everything.

0:28:480:28:51

Hang on a minute - that's not what I said.

0:28:510:28:52

As good as. I've sent his scans to Greg Cawley.

0:28:520:28:55

Fine. If you want to go private, that's your prerogative.

0:28:560:28:59

I'll leave you to it.

0:28:590:29:00

Guy. She's misrepresenting what I said.

0:29:000:29:03

It's fine. She's getting Greg Cawley - problem solved.

0:29:030:29:06

'Doors closing. Lift going down.'

0:29:100:29:12

PHONE BEEPS

0:29:120:29:13

-Ms Effanga.

-Selfie Junior!

0:29:190:29:22

-Mr Osborne's ECG. Perfectly normal.

-OK.

0:29:220:29:24

As were his bloods.

0:29:240:29:25

-Get his TTOs done, then get him discharged.

-OK.

0:29:250:29:28

Mrs McArdle's drain came out fine,

0:29:280:29:31

although the site's still a little unfinished.

0:29:310:29:33

Do a CRP and check her inflammatory markers.

0:29:330:29:35

If they're all right, then send her home with a course of amoxicillin

0:29:350:29:39

and that's two beds cleared. I am on fire. Next!

0:29:390:29:42

-Mrs Monroe.

-Please tell me H-COP are taking her?

0:29:420:29:44

They're waiting for a hospice transfer.

0:29:440:29:46

-There should be a bed this afternoon, though.

-Yes! Hat-trick!

0:29:460:29:49

Selfie, with these cleared beds you're really spoiling me!

0:29:490:29:52

What about Mrs Adejoke? She still hurling up?

0:29:520:29:55

No, actually - she just asked for a jacket potato.

0:29:550:29:59

-Excellent! Give the woman a potato!

-Really?

-No.

0:29:590:30:02

Start her off on a small amount of fluids and then we'll see how we go.

0:30:020:30:06

Right. OK. Sorry.

0:30:060:30:08

Anything else? I've got a transplant coming soon...

0:30:080:30:10

Yes. Mr Iqbal. I got the catheter in, and his fluids up.

0:30:100:30:14

Urine output is normal and that's all fine.

0:30:140:30:17

But I did his spirometry test and his FVC is 61%.

0:30:170:30:21

He's also complaining of right-sided chest pain

0:30:210:30:24

and there are pleural rubs on auscultation.

0:30:240:30:26

-Am I all right to send him for a chest X-ray?

-Absolutely.

0:30:260:30:29

Ah, there he is! My favourite patient.

0:30:290:30:31

Ms Effanga, I wondered if I...

0:30:310:30:33

Hey, Charlie. Looking forward to a breath of fresh air? HDU, please.

0:30:330:30:37

Hop to it, Selfie Junior.

0:30:370:30:39

Mr Iqbal's X-ray's not going to order itself.

0:30:390:30:41

-Arthur?

-Mr Self!

0:30:530:30:55

I nearly didn't recognise you without your, erm...

0:30:560:30:59

Dare I ask...?

0:31:010:31:02

Popping candy.

0:31:020:31:03

OK...?

0:31:050:31:06

It's a mindfulness exercise.

0:31:060:31:08

Focusing on a unique sound and sensation blocks out...

0:31:090:31:13

unwelcome thoughts. It clears the mind.

0:31:130:31:15

Sound good to me.

0:31:170:31:18

Would you like some?

0:31:220:31:24

Yeah, why not?

0:31:240:31:25

-How do they make this stuff?

-I've no idea.

0:31:410:31:44

Listen, I hear you've been having a pretty hard time recently so...

0:31:480:31:51

Well, if this helps then, eh...

0:31:510:31:53

No, it's fine. I'm on top of it.

0:31:530:31:55

Actually, that's not true. But I'm trying.

0:31:570:32:00

Well, there's nothing to be ashamed of.

0:32:000:32:02

I mean, look at Zosia.

0:32:020:32:03

If she can overcome, then...

0:32:030:32:06

Actually, she uses similar techniques -

0:32:060:32:08

mindfulness and so on.

0:32:080:32:10

-She was the one who taught me.

-Did she?

0:32:100:32:13

As soon as you can would be great, thank you.

0:32:140:32:17

All right?

0:32:190:32:20

Yes, fine.

0:32:200:32:21

Fine. Yes, you seem fine. It's that cheery air that you have(!)

0:32:210:32:25

Have you seen this list of jobs Ms Effanga has given me?

0:32:250:32:28

How am I supposed to impress if all she ever gives me

0:32:280:32:30

-is this menial grunt work?

-Impress her?

0:32:300:32:32

You know what I mean.

0:32:320:32:33

I'm sure you'll get your moment in the transplant.

0:32:330:32:37

I'm not on the transplant.

0:32:370:32:38

I haven't even had time to ask her about it!

0:32:380:32:40

OK. Breathe.

0:32:400:32:42

Right. I'm going to go and get a cup of coffee.

0:32:440:32:47

-Good.

-Is this yours?

-Yes.

0:32:470:32:50

He's good to go as soon as the lungs arrive.

0:32:500:32:52

Good. Um... Is, er, Zosia assisting today?

0:32:520:32:59

I don't know, she's pretty busy. We'll have to see if she's got time.

0:32:590:33:02

He's a drunk. Of long standing, and he's got early signs of Korsakoff's.

0:33:040:33:09

I just can't help seeing wasted potential.

0:33:090:33:14

You know, he was top of his class at UCL.

0:33:140:33:17

He was a Cambridge fellow. Countless prizes.

0:33:170:33:19

Probably would have won a Nobel if he'd have carried on.

0:33:190:33:21

And then... pfft. You know, it all just went away.

0:33:210:33:25

Hmm. Well, maybe he'd given all he had to give.

0:33:250:33:28

You know, sometimes people's expectations are overinflated.

0:33:300:33:34

So you think, subconscious self-sabotage rather than

0:33:340:33:39

admit that he'd peaked?

0:33:390:33:41

It's a bit vain, isn't it?

0:33:410:33:44

No, it's fear.

0:33:440:33:47

Who wants to admit they're not as capable as everyone thinks?

0:33:470:33:51

But how is that not vanity?

0:33:510:33:53

Well, what about his sense of identity, of self-worth?

0:33:550:33:58

I mean, if he's not this genius curing an incurable disease,

0:34:000:34:04

then who is he?

0:34:040:34:06

Yeah, maybe I'm being a bit unfair. I just can't help thinking...

0:34:060:34:09

it's not a good way to go out.

0:34:090:34:11

-I should get back.

-Oh, here.

0:34:150:34:18

Oh, no, you keep it. You keep it.

0:34:180:34:19

We've got a whole box at home so...

0:34:190:34:21

Mr Self? Are you OK?

0:34:240:34:26

Yes, I'm fine.

0:34:260:34:29

Really? It's just that this was a bit unusual.

0:34:290:34:32

You get back to work, Dr Digby.

0:34:320:34:34

Hi.

0:34:470:34:48

Hi.

0:34:500:34:51

I should have listened to you. But, hey, we were both wrong.

0:34:530:34:58

You know, there was something more to it.

0:34:580:35:00

Look, I know that you're still angry with me

0:35:020:35:04

but we do have to work together.

0:35:040:35:08

And I really need the rest of this shift to go smoothly.

0:35:080:35:11

Uh, I'm not trying to be funny, but... Where's Walter?

0:35:120:35:16

Ah, you all right?

0:35:380:35:40

Yeah. Can you see a confused man anywhere?

0:35:400:35:42

Yes.

0:35:420:35:43

SIREN SOUNDS

0:35:450:35:46

He could be anywhere.

0:35:480:35:49

This is bad. We've got to tell Ms Campbell.

0:35:490:35:52

Well, I appreciate the courtesy, Mr Cawley. Thank you.

0:35:590:36:02

-Goodbye.

-Is Cawley is on his way?

0:36:020:36:04

No. He's not going to take the case.

0:36:040:36:07

That was just a heads-up before he breaks the news.

0:36:070:36:10

Yes, Mr Cawley?

0:36:100:36:13

Well, if Cawley isn't doing it, who is?

0:36:130:36:15

Patsy Brassvine is a very powerful woman.

0:36:150:36:18

I'm afraid in this case, her influence is working against her.

0:36:180:36:22

Nobody wants her son dying on them. It's career suicide, isn't it?

0:36:220:36:26

SHE SOBS

0:36:260:36:27

When did we all become such bloody politicians?

0:36:290:36:32

Excuse me.

0:36:320:36:33

Patsy, if you want Kai to have this operation, I will do it.

0:36:400:36:45

Look me in the eyes.

0:36:490:36:51

Tell me you're up to this.

0:36:510:36:53

Yes. I am.

0:36:550:36:57

And it's the right decision? To go ahead?

0:36:580:37:02

If it was Zosia, would you do it?

0:37:030:37:07

Yes, I'd do it.

0:37:110:37:13

Don't make me regret this.

0:37:130:37:16

Let's prep him for theatre.

0:37:180:37:21

I'm sorry.

0:37:210:37:22

-Any sign?

-No.

-Where's Ms Campbell?

0:37:370:37:40

-OK, just wait, wait, wait, wait.

-What?

-I don't know, just...

0:37:400:37:42

-There she is.

-Oi. You lot.

0:37:420:37:45

Isn't that your Professor?

0:37:450:37:46

-Professor!

-Professor! Whoa! Professor, wait!

0:37:520:37:55

Help me! Help me!

0:37:570:37:59

Help me! Security! I am a doctor!

0:37:590:38:01

Help me!

0:38:010:38:03

OK, he's fine. He's not a doctor.

0:38:100:38:12

I am a doctor!

0:38:120:38:14

Well, yeah, technically he is a doctor, but he's also a patient.

0:38:140:38:16

These people are chasing me!

0:38:160:38:18

OK, Professor, we just need to get you back to the ward.

0:38:180:38:21

Why? What do you want?

0:38:210:38:23

-I just want to make you better.

-Liar! I don't know who you are!

0:38:250:38:29

-OK.

-No! Don't come near me.

0:38:320:38:36

Morven. I don't...

0:38:390:38:42

Can you help me, please?

0:38:440:38:45

Professor Dunn, we've been trying to bleep you.

0:38:480:38:51

A patient has presented with bradykinesia, muscle rigidity

0:38:510:38:54

and dystonia. Query Parkinson's.

0:38:540:38:58

Book an MRI. And let's do a lumbar puncture.

0:39:030:39:07

Right. Um... She's this way.

0:39:090:39:11

-You found him, then?

-Yes. Thank you.

0:39:200:39:23

Mary?

0:39:250:39:27

Mr Hanssen. You're sure about this, yeah?

0:39:340:39:38

Because if... if something goes wrong in there,

0:39:380:39:41

Guy's not going to get over it. He'll be done.

0:39:410:39:44

Mary, wait.

0:39:480:39:50

I'm really sorry you had to see that.

0:39:520:39:54

Oh, believe me, I've seen all sorts from my brother.

0:39:570:40:00

Um, do you wanna...

0:40:000:40:02

Are you OK?

0:40:020:40:03

You're probably wondering how he could be missing for two days

0:40:030:40:07

without me noticing...

0:40:070:40:08

but he isolated himself.

0:40:100:40:12

You don't have to explain. I'm sure you care about him.

0:40:120:40:15

I adored him. I looked up to him.

0:40:150:40:19

He always took care of me.

0:40:190:40:21

And then suddenly... I was the one taking care of him.

0:40:210:40:27

Picking him up when he'd been arrested,

0:40:270:40:29

or when he was drunk at work.

0:40:290:40:31

I cleaned his house. I cooked his meals.

0:40:310:40:33

I tried to help him to stop.

0:40:330:40:35

Time and again I kept coming back and he kept pushing me away.

0:40:370:40:41

You can only take so much.

0:40:430:40:44

Of course.

0:40:440:40:45

Is there any family or anyone else that can support you?

0:40:470:40:51

No. There's just the two of us.

0:40:510:40:55

-Would you like to come back inside?

-No. I don't think so.

0:40:570:41:02

OK.

0:41:020:41:04

-Is that his chest X-ray?

-Yes.

0:41:120:41:15

Thank you.

0:41:150:41:16

Mr Iqbal? How are you feeling?

0:41:180:41:20

You OK?

0:41:200:41:22

Right, mind if I have a listen to your chest for a moment?

0:41:220:41:25

OK, there is some air trapped between your lung

0:41:270:41:30

and your chest wall which is making it difficult for you to breathe.

0:41:300:41:33

Rachelle? Can I get a drain set and trolley, please?

0:41:330:41:36

And can you pass me that oxygen?

0:41:360:41:38

Thank you.

0:41:380:41:41

Rachelle, if you can keep him in position, please.

0:41:410:41:44

OK. Now, short, sharp scratch.

0:41:480:41:51

You're doing brilliantly.

0:41:540:41:56

Now, you're going to feel some pushing.

0:41:570:42:00

One, two, three...

0:42:000:42:03

AIR HISSES

0:42:030:42:05

Well done.

0:42:060:42:08

Now pain relief - five milligrams of oramorph, please.

0:42:080:42:10

Sit back for me. You can relax.

0:42:100:42:13

Uh, Ms Effanga, I'm sorry.

0:42:140:42:16

I know I should have come and found you but um...

0:42:160:42:19

Early tension pneumothorax. I panicked.

0:42:190:42:22

Didn't look like you panicked to me. Good job, Dr March.

0:42:220:42:25

OK, Little Miss Presumptuous. You can scrub in. You've earned it.

0:42:260:42:30

But next time, just ask, eh?

0:42:300:42:33

-Sorry, what?

-Ollie.

0:42:330:42:34

He told me that you asked him to clear your schedule

0:42:340:42:37

-so you could assist on the transplant.

-Uh, no...

0:42:370:42:40

I asked him to clear my schedule because I was hoping

0:42:400:42:43

you'd ask me and I wanted to be available just in case you did.

0:42:430:42:46

OK, I think there's been a little misunderstanding.

0:42:460:42:48

What exactly did Ollie say?

0:42:480:42:50

BEEPING

0:42:530:42:57

Can we get some help over here, please?

0:42:570:42:59

-Where's Ms Campbell?

-She stepped out.

0:43:000:43:03

Arthur. I need your help.

0:43:030:43:05

He's bleeding from somewhere.

0:43:050:43:07

-I-I don't know, his throat or his stomach.

-OK.

0:43:070:43:09

Tachy at 130, BP 70 over 40.

0:43:090:43:12

-He's peripherally shut down.

-Where's Ms Campbell?

0:43:120:43:14

-She's not on the ward.

-OK, can you phone her? Get her back. Quickly, please.

0:43:140:43:17

BP 70 over 35. He's going to arrest.

0:43:170:43:20

We've got to do something, Arthur.

0:43:200:43:22

-OK, I can't, not without Ms Campbell.

-What??

0:43:220:43:24

It's...it's literally more than my job's worth, OK?

0:43:240:43:26

You did not just say that.

0:43:260:43:28

No. OK. Suction. Let's get his airway clear.

0:43:280:43:32

-She's on her way.

-Right, we need to transfuse him so can you get O-neg?

0:43:320:43:35

-As much as you can, fast as you can.

-Look at this.

0:43:350:43:38

-It looks like burns. Chemical burns.

-He must've swallowed something.

0:43:380:43:42

What's that?

0:43:420:43:44

-It's pure ethanol.

-For god's sake.

0:43:470:43:50

Here you go.

0:43:500:43:52

OK, well done. Let's get it rigged up.

0:43:520:43:54

Thank you.

0:43:580:43:59

-OK, look, I had no choice.

-What happened?

0:44:010:44:03

-He was peri-arrest.

-It's from our pharmacy.

0:44:030:44:06

He had a gastrointestinal bleed. He needs an urgent gastroscopy.

0:44:060:44:10

OK, let's get him straight into theatre, quickly please.

0:44:100:44:13

Well done, both of you. Good teamwork.

0:44:130:44:15

-Scrub in, Dr Digby.

-Um, I think Dr Shreve should scrub in.

0:44:150:44:18

He's her patient.

0:44:180:44:20

OK. You ready for some hands-on surgical experience, Dr Shreve?

0:44:210:44:25

I still see him as a little boy.

0:44:300:44:33

I've been away so much with work,

0:44:330:44:35

I didn't notice he'd turned into a man.

0:44:350:44:38

He's my son...and I don't know him.

0:44:500:44:56

I wish that I could tell you it's going to be OK.

0:44:580:45:01

I really, really do. What I can say is...

0:45:010:45:05

I know what this means to Mr Self, personally and professionally.

0:45:050:45:10

And if Kai was my son,

0:45:100:45:12

there isn't a surgeon on the planet I'd rather have in there with him.

0:45:120:45:16

We're bleeding. Diathermy.

0:45:200:45:21

Still bleeding.

0:45:260:45:30

I can't stop it.

0:45:300:45:32

Surgicell. Quick!

0:45:320:45:34

Come on, come on.

0:45:360:45:37

Guy, you all right there, mate?

0:45:420:45:45

Guy, it was just a small bleed. You're doing great.

0:45:450:45:49

Come on, mate, you're nearly there. Let's finish this.

0:45:520:45:58

Mr Self, just take a few moments, please, and then you'll be fine.

0:45:590:46:03

Micro dissector.

0:46:120:46:14

Just let me know, please. Thank you.

0:46:530:46:56

Right, then. You ready for your first bilateral lung transplant, Selfie?

0:46:560:46:59

-Hey, you're assisting.

-Well, actually, I'm taking the lead.

0:46:590:47:03

Yeah, it's true. She's got skills, this one.

0:47:030:47:06

And she's impressed all day so I thought...

0:47:060:47:08

why not give her have a go?

0:47:080:47:09

Give her a go? At a bilateral lung transplant?

0:47:090:47:12

Ah, it's a piece of cake.

0:47:120:47:14

In fact, I don't even think I need to come in with you.

0:47:140:47:16

I've got loads of paperwork to do.

0:47:160:47:18

That's fine, I can always give you a shout if I get stuck.

0:47:180:47:21

-You sure?

-Yeah! No problem.

-Great.

-Is that such a great...

0:47:210:47:24

Ah... Oh, you're joking.

0:47:270:47:30

You're an idiot.

0:47:300:47:32

What have I done?

0:47:350:47:37

I never assumed she'd ask me to assist.

0:47:370:47:39

How big-headed do you think I am?

0:47:390:47:40

And I gave her hell today because of what you said.

0:47:400:47:43

You owe this woman a drink.

0:47:430:47:44

And you can buy me one and all. After work. Tonight.

0:47:440:47:48

-Fine.

-Good. Come on, Selfie.

0:47:480:47:51

Patsy, both the haematoma

0:48:020:48:05

and the cavernous angioma have been successfully removed.

0:48:050:48:09

His vital signs are good. It couldn't have gone better.

0:48:090:48:12

He's going to be OK?

0:48:150:48:17

We can't say what damage was caused by the initial bleed, but...

0:48:170:48:20

time will tell.

0:48:200:48:21

Thank you.

0:48:230:48:25

Thank you so much.

0:48:250:48:26

-I'm so sorry...

-No, no, please. Thank me when he's awake.

0:48:280:48:33

-Where is Kai? Can I see him?

-Yes, of course.

0:48:350:48:38

Yeah, he's in recovery. I'll take you through.

0:48:380:48:41

Congratulations.

0:48:480:48:49

Thank you. For everything.

0:48:490:48:52

Multiple necrotic patches.

0:48:580:49:00

Here's the perforation.

0:49:000:49:02

He's burnt right through his stomach.

0:49:020:49:04

We can't repair this. Moving on to a partial gastrectomy.

0:49:040:49:07

I should have kept a closer eye on him.

0:49:070:49:09

If he hadn't left the ward, this would never have happened.

0:49:090:49:12

This is the result of years of abuse.

0:49:120:49:14

What happened this afternoon was just the final straw.

0:49:140:49:16

You mustn't blame yourself.

0:49:160:49:18

Stapler, please.

0:49:180:49:19

You go ahead.

0:49:220:49:23

That's it. And now the top.

0:49:270:49:29

Excellent. Now remove the excised portion of the stomach.

0:49:300:49:34

Very good, Dr Shreve. Nerves of steel.

0:49:410:49:45

Right, let's close up, shall we?

0:49:450:49:46

I suppose some people just have what it takes.

0:49:510:49:53

And some people don't.

0:49:550:49:56

He's just through here.

0:50:050:50:07

Dr Digby?

0:50:070:50:09

Please.

0:50:090:50:12

He's still sedated, but, er...

0:50:120:50:14

She said you took away his stomach?

0:50:160:50:19

A good portion of it, yes.

0:50:190:50:20

And something about... brain damage?

0:50:200:50:23

It's called Korsakoff's Syndrome.

0:50:230:50:26

It affects part of the brain that deals with memory.

0:50:260:50:29

The symptoms are similar to dementia.

0:50:290:50:31

And it's permanent.

0:50:310:50:33

Well, it may improve over time with treatment,

0:50:330:50:36

but, there is likely to be some permanent damage, yes.

0:50:360:50:40

You stupid, stupid...

0:50:440:50:46

Why can't you just die if you're going to...

0:50:460:50:49

You foolish, selfish...

0:50:500:50:52

OK, come on.

0:50:520:50:54

SHE SOBS

0:50:560:50:58

It's all right.

0:51:000:51:01

-I'm sorry.

-Don't worry. It's fine.

0:51:030:51:05

I'm sorry.

0:51:090:51:10

I've been given so many opportunities.

0:51:190:51:22

I've been given so many second chances.

0:51:220:51:25

I just keep letting everybody down.

0:51:250:51:27

I don't know why I can't change...

0:51:300:51:33

but there's no forcing myself to be something I'm not.

0:51:330:51:37

OK, so if you just push your hands up against mine as hard as you can.

0:51:370:51:40

Good. Now, shrug your shoulders.

0:51:400:51:43

Excellent. Open your mouth and go "ahhh".

0:51:450:51:48

Stick your tongue right out.

0:51:500:51:52

Whoa. Excellent. Good lad.

0:51:520:51:55

You get to sleep now and I'll see you first thing in the morning.

0:51:550:51:58

Thanks, Guy.

0:51:580:51:59

I'll be back in a minute, darling.

0:52:000:52:02

Well, the signs are good. Very good.

0:52:060:52:09

Obviously we'll keep monitoring him

0:52:090:52:11

but there's every reason to be positive.

0:52:110:52:13

Thank you. I spoke to my husband.

0:52:130:52:16

-You remember Tristan?

-Mm-hm.

0:52:160:52:18

He told me to tell you whatever you wanted, it's yours.

0:52:180:52:22

Oh, sorry - I don't quite understand.

0:52:220:52:25

I hear you've shelved your plans for the Neuro Centre.

0:52:250:52:28

Perhaps it's time they were resurrected.

0:52:280:52:31

I should never have doubted you, Guy. You're something special.

0:52:320:52:36

Don't waste that potential. Money's no object.

0:52:370:52:40

I really don't know what to say.

0:52:410:52:44

Say yes.

0:52:440:52:46

Yes!

0:52:460:52:48

Good. Because I've already told Mr Hanssen.

0:52:480:52:51

Thank you.

0:52:510:52:52

No, thank you.

0:52:520:52:55

Hey.

0:53:020:53:04

Hi.

0:53:040:53:05

I heard you've had quite a day.

0:53:050:53:07

Oh, you don't know the half of it.

0:53:070:53:09

-Are you OK?

-What time does your shift finish?

0:53:090:53:12

I'll tell you all about it over a glass of something cold and bubbly.

0:53:120:53:16

Actually, make that a bottle.

0:53:160:53:19

OK.

0:53:190:53:20

Seriously, well done for that back there.

0:53:230:53:25

With Iqbal. That's a tough spot - you did really well.

0:53:250:53:28

Thank you, Ms Effanga. That means a lot.

0:53:280:53:31

All right, let's get a few things straight, yeah?

0:53:310:53:34

Some ground rules for moving forwards.

0:53:340:53:36

First of all, you don't have to call me "Ms Effanga" all the time.

0:53:360:53:39

"Mo" is usually fine.

0:53:390:53:41

Understood.

0:53:420:53:44

Second, if you really want in on something, just ask.

0:53:440:53:47

I won't bite.

0:53:470:53:49

-OK.

-And finally, if you do want to suck up...

0:53:500:53:55

mine's a coffee with two sugars.

0:53:550:53:57

Unless we're in the pub, then it's a pint.

0:53:570:53:59

Right, let's make magic.

0:54:020:54:06

Ah, Mr Self. I hear congratulations are in order.

0:54:150:54:18

You succeeded in securing the funds for the Neuro Centre

0:54:180:54:21

all by yourself, as I predicted.

0:54:210:54:22

I look forward to working with you on the plans.

0:54:220:54:25

Do you, now?

0:54:250:54:26

Because as I recall, you didn't want anything to do with the project.

0:54:260:54:29

This is my centre. If I need your help, I'll ask for it.

0:54:290:54:32

Goodnight, Henrik.

0:54:320:54:34

Goodnight, Mr Self.

0:54:350:54:36

You look like you're off to a wedding or something.

0:54:480:54:51

Tells you all you need to know about me, doesn't it?

0:54:530:54:55

Weddings and funerals.

0:54:570:54:59

That's the only time you'll see me

0:54:590:55:01

in anything that's not scrubs or jeans.

0:55:010:55:03

Yeah, my flatmate, Dom, thought a new look would make me

0:55:030:55:07

feel more confident.

0:55:070:55:08

Right. Well, that backfired.

0:55:080:55:10

Thank you. For the theatre opportunity today.

0:55:150:55:18

That was yours. You deserved it.

0:55:180:55:21

Not really. You're the one that stopped him from arresting.

0:55:210:55:25

Only temporarily. He still would have died without the surgery.

0:55:250:55:29

You were amazing in there.

0:55:290:55:31

It was pretty mad.

0:55:310:55:33

Yeah.

0:55:330:55:34

Look, um, I really am sorry.

0:55:370:55:42

For everything.

0:55:440:55:46

And I should have apologised properly before

0:55:460:55:49

but I'm an idiot and I was embarrassed.

0:55:490:55:55

I really, really am sorry.

0:55:550:55:57

Thank you. Apology accepted.

0:55:590:56:03

You're a great doctor, Morven. And a nice person.

0:56:040:56:08

I wish you every success.

0:56:080:56:11

And that's why I have to go.

0:56:110:56:13

Jump before I'm pushed.

0:56:140:56:17

Or worse, before I fall and take someone with me.

0:56:170:56:19

I don't want that to happen.

0:56:190:56:22

Well, I appreciate your candour, Dr Digby, but let me ask you -

0:56:220:56:25

from what you know of me,

0:56:250:56:27

do you think I would consider myself a "people person", as you put it?

0:56:270:56:31

And yet here I sit.

0:56:310:56:34

Consultant General Surgeon and CEO of this fine hospital.

0:56:340:56:38

I prefer facts to emotions. Brevity to banter. Colleagues to friends.

0:56:380:56:43

Do I also lack "what it takes"?

0:56:430:56:46

I think it's different if you're the boss.

0:56:470:56:50

True. But once upon a time I was an SHO.

0:56:500:56:54

I haven't quite given up on you yet, Dr Digby.

0:56:540:56:58

Don't give up on me.

0:57:000:57:01

I put Dr Digby through the wringer a bit today.

0:57:060:57:09

He'll be fine. He's more resilient than he gives himself credit for.

0:57:090:57:12

I hope so.

0:57:120:57:15

So The Guy Self Neuro Centre?

0:57:160:57:19

You built him back up piece by piece,

0:57:190:57:22

only to discover you'd created a monster.

0:57:220:57:25

Well, it would have been an enormous waste of his talents,

0:57:250:57:28

had he hung up his scrubs for good.

0:57:280:57:29

However, I am but one man, Ms Campbell.

0:57:290:57:32

In the face of Mr Self's renewed ego, I fear that may not be enough.

0:57:320:57:36

I shouldn't worry about it too much.

0:57:360:57:37

I understand we're looking forward to the imminent return of Ms Naylor.

0:57:370:57:41

Mmm.

0:57:410:57:43

I can't wait to give her the good news.

0:57:430:57:45

HORN HOOTS

0:57:590:58:01

Oh, Arthur. Listen, you take this back.

0:58:030:58:06

I don't think I'm going to need them after all.

0:58:060:58:09

Arthur wants his first day back to go smoothly but finds he has a lot of ground to make up with Morven.

Guy is forced to face his demons when a high profile neuro case comes into the hospital.

Mo thinks Zosia is getting above her station and decides to teach her a lesson.


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