From Bournemouth with Love

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0:00:02 > 0:00:04Bournemouth. And she drove there one day, and I was in Borneo,

0:00:04 > 0:00:06and I thought it was funny.

0:00:06 > 0:00:08Bournemouth and Borneo.

0:00:08 > 0:00:09Well, you should go.

0:00:09 > 0:00:12You were supposed to be meeting that porter, you know.

0:00:12 > 0:00:15The one with the bear tattoo? Yeah, been there, done that.

0:00:17 > 0:00:18Gentlemen.

0:00:18 > 0:00:23I'm really late. I'm meeting my mentor, Valentine. What's he like?

0:00:23 > 0:00:26Name's a bit of a giveaway. Oliver Valentine? Arrogant,

0:00:26 > 0:00:28public school knobhead. Jasmine Burrows, F1.

0:00:28 > 0:00:31Maybe we could go for a drink some time.

0:00:31 > 0:00:33Oliver Valentine.

0:00:33 > 0:00:35I'm pregnant.

0:00:35 > 0:00:40- So, as things stand, Ms Naylor and I are the only people who know.- Yeah.

0:01:31 > 0:01:33Swipe left, left, left...

0:01:33 > 0:01:35What are you doing creeping around so early?

0:01:35 > 0:01:38- Oh, don't stop on my account.- I was reading a patient's notes in peace,

0:01:38 > 0:01:40before you rudely interrupted.

0:01:40 > 0:01:43That's what you call it. Someone's a bit snippy this morning.

0:01:43 > 0:01:47Snippy? I may be stressed, angry, grouchy, sometimes grumpy,

0:01:47 > 0:01:50but I am never snippy.

0:01:50 > 0:01:51Zosia, August 15th.

0:01:51 > 0:01:54I've put you down for the Cardiac Device Implantation course.

0:01:54 > 0:01:58- Ah, thank you.- I'm not supposed to put anyone below registrar level,

0:01:58 > 0:02:00but since you'd expressed interest, I thought, "Why not?"

0:02:00 > 0:02:02And for those of us who are registrar level,

0:02:02 > 0:02:05- are we deliberately overlooked? - Places were limited.

0:02:07 > 0:02:10- Elliot's e-mailed me. - Yeah, he e-mailed me too.

0:02:10 > 0:02:12Did he tell you about the time he fell out the boat into the

0:02:12 > 0:02:16muddy water and had to be rescued by those village women?

0:02:16 > 0:02:17No.

0:02:17 > 0:02:19- He's offered me a job.- What?

0:02:19 > 0:02:21In Pakistan.

0:02:26 > 0:02:29This was given to me by a patient.

0:02:29 > 0:02:31"The charm of fishing is that

0:02:31 > 0:02:35"it is a perpetual series of occasions for hope."

0:02:35 > 0:02:37Much like being a doctor.

0:02:37 > 0:02:42So, your second year as a foundation doctor. Enthusiasm is important,

0:02:42 > 0:02:47as are observation, judgment, patience.

0:02:47 > 0:02:50Now, you have a rather more difficult beginning to the year

0:02:50 > 0:02:52than the others.

0:02:52 > 0:02:56Like a fisherman, one must become accustomed to weathering the storm.

0:02:57 > 0:03:00Is there anything you'd like to ask?

0:03:02 > 0:03:03The storm...

0:03:06 > 0:03:07How long will it last?

0:03:09 > 0:03:11Each storm is particular.

0:03:13 > 0:03:15Only you can find the answer to your question.

0:03:22 > 0:03:25There's me thinking that he's sending you news about his latest

0:03:25 > 0:03:27escapade with a mountain goat,

0:03:27 > 0:03:30but, oh, no, he's pinching you right from underneath my very nose.

0:03:30 > 0:03:31That pesky professor!

0:03:31 > 0:03:34I wonder if he's found a decent doughnut place yet.

0:03:34 > 0:03:36Yes, that's just what I was wondering too.

0:03:36 > 0:03:38- Oh, now you've gone and put me in the mind for a doughnut now.- Me?

0:03:38 > 0:03:40Good morning! This is for you.

0:03:40 > 0:03:43Ah, thank you. Aw, you didn't have to do that.

0:03:45 > 0:03:47Ooh, caramel drizzle, my favourite.

0:03:47 > 0:03:50- Caramel drizzle? Since when? - Zip it.

0:03:51 > 0:03:53It's a great offer though.

0:03:53 > 0:03:55Just think, you could be the Jac Naylor of Karachi.

0:03:55 > 0:03:57You're not going to take it though, are you?

0:03:57 > 0:03:59Astrid Adams. Sent up from the ED.

0:03:59 > 0:04:02Collapsed in the street with possible loss of consciousness.

0:04:02 > 0:04:04GCS 14-15, BP 110/60,

0:04:04 > 0:04:07pulse 98, sats 90%.

0:04:07 > 0:04:08Astrid, I'm Ms Effanga.

0:04:08 > 0:04:11I'm Mr Valentine, this is Dr Burrows.

0:04:11 > 0:04:12She's in VF.

0:04:12 > 0:04:14Crash trolley, please, quickly.

0:04:17 > 0:04:19- Charge to 100, please.- Charging.

0:04:21 > 0:04:23OK, stand clear, please.

0:04:23 > 0:04:25Shocking.

0:04:27 > 0:04:29She's back in sinus.

0:04:29 > 0:04:32OK, let's repeat the echo, ECG, and X-ray.

0:04:32 > 0:04:36Do a chest, neck and head CT and all the usual bloods. Thanks.

0:04:38 > 0:04:40Get on with it then.

0:04:44 > 0:04:46HE CHUCKLES

0:04:46 > 0:04:47OK, colourful.

0:04:49 > 0:04:55So, there's a school with 1,000 students and 1,000 lockers.

0:04:55 > 0:05:00The headmaster asks the first student to open every single locker.

0:05:00 > 0:05:03Then he asks the second student to close every second locker.

0:05:03 > 0:05:06The third student has to go to every third locker,

0:05:06 > 0:05:08close it if it's open or open it if it's shut.

0:05:08 > 0:05:10The fourth student goes to the fourth locker, and so on.

0:05:10 > 0:05:13After all 1,000 students have completed the process,

0:05:13 > 0:05:15how many lockers remain open?

0:05:16 > 0:05:18What?

0:05:18 > 0:05:20Humour me. I heard it on the radio this morning.

0:05:20 > 0:05:22I haven't even had my coffee yet.

0:05:22 > 0:05:26Well, solve it by the end of the day and one of these could be yours.

0:05:27 > 0:05:31Fellows and Members black-tie ball at the Gorston tonight.

0:05:31 > 0:05:33The Gorston's in London.

0:05:33 > 0:05:36Correct.

0:05:36 > 0:05:38So, what, are we just going to stay over?

0:05:38 > 0:05:40What are hotels designed for?

0:05:42 > 0:05:45Um, I can't. I'm busy.

0:05:45 > 0:05:47Well, cancel whatever it is.

0:05:47 > 0:05:50Well, I would but it's just not really my scene, you know,

0:05:50 > 0:05:52room full of stuffed shirts.

0:05:53 > 0:05:55Sorry.

0:05:55 > 0:05:57Your loss.

0:06:01 > 0:06:03Sorry to love you and leave you but I've got to go to

0:06:03 > 0:06:05a Mindfulness Leadership Course.

0:06:05 > 0:06:08Naomi raves about that. I've been thinking about doing it myself.

0:06:08 > 0:06:11Oh. Go instead of me? Morven.

0:06:11 > 0:06:14- Hi, welcome back. - Thank you, Ms Campbell.

0:06:14 > 0:06:16- It's good to see you. - Now, everyone's here for you,

0:06:16 > 0:06:19so if you need to take some time out, just ask.

0:06:19 > 0:06:21Thank you. I'm fine.

0:06:21 > 0:06:23Right, wish me luck.

0:06:26 > 0:06:29OK, we've got Lily Musgrove, 50 years old,

0:06:29 > 0:06:31transfer from the ED. Severe abdo pain.

0:06:31 > 0:06:35Suspected reducible umbilical hernia.

0:06:35 > 0:06:37Mr Musgrove, what are you doing here?

0:06:37 > 0:06:40Oh, Dr Shreve, I'm so pleased to see you.

0:06:40 > 0:06:42I'm here with my wife.

0:06:42 > 0:06:46She collapsed up on the allotment, gave me a terrible shock.

0:06:46 > 0:06:48She's got this pain in her stomach...

0:06:48 > 0:06:52Do you think you could just have a look at her for me, please?

0:06:52 > 0:06:54Of course.

0:06:54 > 0:06:57- He's gorgeous, intelligent, charismatic.- Exactly.

0:06:57 > 0:07:01- No, sorry, you've lost me. - Look at my track record.

0:07:01 > 0:07:04A gorgeous guy comes along and I either mess it up

0:07:04 > 0:07:07and scare them away, or they end up being a knife-wielding psycho.

0:07:07 > 0:07:10- But this is Isaac. He's dif... - Don't say different!

0:07:10 > 0:07:13They're all different, but they always work out the same.

0:07:13 > 0:07:15But they were different. You were incompatible.

0:07:15 > 0:07:17Just because you're trying to live your love life

0:07:17 > 0:07:19vicariously through mine...

0:07:19 > 0:07:22You are so going back to him now and accepting, or I will.

0:07:22 > 0:07:23Hello, Mr Jacobs.

0:07:25 > 0:07:29Stomach is distended and tense, possible incarceration.

0:07:29 > 0:07:32She'll need IV fluids, cross match and clotting,

0:07:32 > 0:07:36FBC, U&Es, LFTs, and an abdo CT, please.

0:07:36 > 0:07:38Why didn't you come in sooner?

0:07:38 > 0:07:43- I told her to.- It wasn't so bad, just a slight pain.

0:07:43 > 0:07:45And today, I could hardly move.

0:07:45 > 0:07:48And you haven't injured the area in any way?

0:07:48 > 0:07:52No. I noticed it was swollen, but didn't think anything of it.

0:07:52 > 0:07:56OK, well, Dr Digby here, will make sure that you're comfortable,

0:07:56 > 0:07:58while we wait on the results of those tests.

0:07:58 > 0:08:01Dr Digby?

0:08:01 > 0:08:03Yes, I'm Dr Digby now.

0:08:04 > 0:08:09Oh, so you got married? Congratulations. That's lovely news.

0:08:09 > 0:08:13We got married a month ago, didn't we, love?

0:08:13 > 0:08:18Yeah, in a beautiful hotel in Bournemouth. It was perfect.

0:08:18 > 0:08:21You must tell us all about your wedding. Where is Arthur?

0:08:23 > 0:08:26Arthur sorted me out the last time I was in here.

0:08:26 > 0:08:30He knew exactly what words to use with an old soldier like me.

0:08:30 > 0:08:32SHE CRIES OUT

0:08:32 > 0:08:34Are you all right, love?

0:08:34 > 0:08:36Do you think you get her something for the pain?

0:08:36 > 0:08:39Yes, of course. I'll be right back.

0:08:41 > 0:08:44Could we get Mrs Musgrove on 10mg of morphine, please?

0:08:44 > 0:08:47And would you mind keeping an eye on her, just while I pop out?

0:08:47 > 0:08:48Yeah, sure.

0:08:52 > 0:08:56I don't get it, cos I passed my last medical with full marks.

0:08:56 > 0:08:57OK, what medical was this?

0:08:57 > 0:08:59I'm a gymnastics coach.

0:08:59 > 0:09:02Right. Nothing's happened before?

0:09:02 > 0:09:05No. Well, I had a silly fall in training yesterday.

0:09:05 > 0:09:08Then I collapsed on my way to my German class this morning,

0:09:08 > 0:09:10and next thing I know I'm in hospital.

0:09:10 > 0:09:12Geht es gut?

0:09:12 > 0:09:15Ich habe mich schon besser gefuhlt.

0:09:15 > 0:09:16Show off.

0:09:22 > 0:09:23Wie geht es dir?

0:09:25 > 0:09:27No, no, I'm absolutely fine, thank you.

0:09:27 > 0:09:32Um, so, why German?

0:09:32 > 0:09:34My boyfriend's German.

0:09:34 > 0:09:37I'm moving to Berlin next month to open a gymnastics school.

0:09:37 > 0:09:39So cool! I used to have a German boyfriend.

0:09:39 > 0:09:42Well, he wasn't really my boyfriend, but I loved when he spoke

0:09:42 > 0:09:44to me in German.

0:09:44 > 0:09:47"Jasmine, liebling, kommen here. Jasmine, bring me ein bier.

0:09:47 > 0:09:49- "Jasmine..."- OK, that's enough!

0:09:51 > 0:09:53Astrid, it looks like your heart is slightly enlarged.

0:09:53 > 0:09:57Now, I'll need to look at your scans to assess why you collapsed

0:09:57 > 0:10:00and suffered a subsequent cardiac arrest.

0:10:00 > 0:10:02Is that what's causing my back pain?

0:10:04 > 0:10:07Might be. Where's the pain?

0:10:07 > 0:10:09- Here.- OK, lean forward for me. That's it.

0:10:11 > 0:10:13And you don't normally suffer from back pain?

0:10:13 > 0:10:17No. Well, I have in the past.

0:10:19 > 0:10:22Right, we'll organise an MRI for that too. Thank you.

0:10:26 > 0:10:29Someone's got the hots for you.

0:10:29 > 0:10:32Well, yes, I have that effect on most women.

0:11:16 > 0:11:21Oh, thank you, Tom. Brilliant. Bye.

0:11:21 > 0:11:24Well, I won't have to wait for test results all day.

0:11:24 > 0:11:27I can hopefully move Mr Oesophageal Varices into HDU even sooner.

0:11:27 > 0:11:30Well, I can save you from your varices hell.

0:11:30 > 0:11:33I've been called in to do an emergency atherectomy,

0:11:33 > 0:11:37so you will be assisting Mr Valentine with Astrid Adams' case.

0:11:37 > 0:11:38How's she doing?

0:11:38 > 0:11:41Oh, she's stable. I'm waiting on her scans,

0:11:41 > 0:11:44but my guess is it's a tear on the aorta.

0:11:44 > 0:11:46Don't just sit there waiting, chase it up.

0:11:47 > 0:11:50Why's she gone all Jac Naylor on us?

0:11:50 > 0:11:52Not enough caramel drizzle on her latte?

0:11:52 > 0:11:54So, is this the...?

0:11:54 > 0:11:56Yep. Yep, that's the notes.

0:11:57 > 0:12:00Thank you, Mr Valentine.

0:12:07 > 0:12:09Strong tea and sugar,

0:12:09 > 0:12:13what every good soldier needs to get them through the day.

0:12:13 > 0:12:17A Napoleon cake. That's Arthur's favourite.

0:12:17 > 0:12:18Indeed.

0:12:19 > 0:12:24Mr Musgrove is asking...about Arthur.

0:12:26 > 0:12:27I just don't know how to tell him.

0:12:30 > 0:12:33Arthur and I treated his wife about eight months ago now.

0:12:35 > 0:12:37She was a lovely woman. She died.

0:12:38 > 0:12:42- Poor man. Lily's quick work then. - Mm-hm.

0:12:43 > 0:12:47Then Hugh was admitted about a week after she died.

0:12:49 > 0:12:51He was in a real state.

0:12:52 > 0:12:55Arthur helped him. We both did.

0:12:56 > 0:12:58Do you want me to tell him for you?

0:12:58 > 0:13:00No, no, no, it's OK. I will.

0:13:01 > 0:13:04After tea and cake, then you can face anything.

0:13:08 > 0:13:12If every locker is open, then every third is shut...

0:13:12 > 0:13:15Is this why the locker room's full of neon sticky notes?

0:13:15 > 0:13:18I love a challenge. I won't rest till I've cracked this little baby.

0:13:18 > 0:13:21Well, a problem shared is a problem halved.

0:13:21 > 0:13:22OK.

0:13:22 > 0:13:25Right, so there's a school, 1,000 students,

0:13:25 > 0:13:271,000 lockers, headmaster...

0:13:29 > 0:13:32I'm going to be away for some of the day

0:13:32 > 0:13:34on the Mindful Leadership course,

0:13:34 > 0:13:37so I'll be assigning my elective to you, Mr Mayfield,

0:13:37 > 0:13:43as you, Mr Levy, will be joining us on the mindful yoga session

0:13:43 > 0:13:45at lunchtime.

0:13:45 > 0:13:47Also known as Levy's nap time.

0:13:47 > 0:13:50The hospital is taking this programme very seriously,

0:13:50 > 0:13:53and you will be expected to pass on the techniques

0:13:53 > 0:13:56to the staff of Keller.

0:13:56 > 0:14:00By the way, did you take the packet of sticky notes from my desk?

0:14:00 > 0:14:03Me? No.

0:14:03 > 0:14:05Well, I expect they'll turn up.

0:14:05 > 0:14:09Dr Copeland, I'd like you to assist Mr Mayfield on my elective.

0:14:09 > 0:14:12Vince Hardy, he's come in for a bowel resection.

0:14:12 > 0:14:15I was meant to be assisting Nurse Harrison on an adrenalectomy.

0:14:15 > 0:14:18I think she could probably do with the support this week.

0:14:18 > 0:14:21It's OK, I've already spoken to her and she can spare you.

0:14:21 > 0:14:23Besides, you and Mr Mayfield make a good team.

0:14:28 > 0:14:31Vince, hello there. Good to see you again.

0:14:32 > 0:14:36Unfortunately, I will be attending a course for most of the day,

0:14:36 > 0:14:41so Mr Mayfield and Dr Copeland will be looking after you, all right?

0:14:45 > 0:14:47Your chance to shine, Dr Copeland.

0:14:48 > 0:14:52Hello, Vince. I'm just going to check your abdomen.

0:14:52 > 0:14:54Tell me if it hurts.

0:14:54 > 0:14:55How's that?

0:14:55 > 0:14:57It's fine.

0:14:57 > 0:14:58HE GASPS

0:14:58 > 0:15:04OK, Dr Copeland, run FBC, LFTs, U&Es, and order an abdo scan.

0:15:11 > 0:15:13It's not what you think.

0:15:15 > 0:15:19Lily, do you still have pain in your stomach?

0:15:19 > 0:15:20Mm...

0:15:20 > 0:15:22OK, we'll up your pain relief.

0:15:24 > 0:15:28Where's your other half been hiding then?

0:15:28 > 0:15:30I haven't seen sight or sound of him.

0:15:30 > 0:15:32He's not hiding anywhere.

0:15:35 > 0:15:37Arthur is dead.

0:15:41 > 0:15:44No, I'm sure bird-watching is a fine hobby...

0:15:44 > 0:15:47if you're over 50 and lack social skills.

0:15:47 > 0:15:51Actually, it's making a revival amongst the under-30s.

0:15:51 > 0:15:54Oh, please. You won't catch me freezing my bum off in a wooden shed

0:15:54 > 0:15:58in the middle of nowhere waiting for the lesser-spotted pecker

0:15:58 > 0:15:59to make an appearance.

0:15:59 > 0:16:02After Lucy and I split up, I did try a number of different things

0:16:02 > 0:16:04- to meet people.- Like what?

0:16:04 > 0:16:08Well, online dating, which was a disaster.

0:16:08 > 0:16:11Speed dating - embarrassing.

0:16:11 > 0:16:14Single parties. That was really awkward.

0:16:14 > 0:16:19And then I did wine tasting, but you get too drunk.

0:16:19 > 0:16:23And, um, bird-watching?

0:16:23 > 0:16:26The calming influence of the birds, it really helped me get over Lucy.

0:16:26 > 0:16:30I've been happy ever since. In fact, I think this is

0:16:30 > 0:16:32the happiest I've ever been.

0:16:32 > 0:16:36Well, yes, I'd be slightly more inclined to believe that

0:16:36 > 0:16:38if you had been smiling when you said it.

0:16:38 > 0:16:41There's this girl - Pamela.

0:16:41 > 0:16:45- Who's Pamela?- Pamela is a rare breed of beauty, intelligence, humour,

0:16:45 > 0:16:48and she knows all the calls.

0:16:48 > 0:16:50Calls?

0:16:50 > 0:16:52BIRDSONG

0:16:52 > 0:16:55She can tell the pied wagtail from the mistle thrush.

0:16:58 > 0:17:00Sounds like a catch.

0:17:00 > 0:17:02- HE SHOUTS - You OK?

0:17:02 > 0:17:03His bowel could be perforated.

0:17:03 > 0:17:07Give him 5mg of morphine and, Dr Copeland, chase up that scan.

0:17:09 > 0:17:13Vince? Vince, how are you?

0:17:13 > 0:17:16We are just about to administer him some pain relief

0:17:16 > 0:17:18and we're waiting on the scans.

0:17:18 > 0:17:19- U&Es back?- No, not yet.

0:17:19 > 0:17:21Keep an eye on his potassium levels,

0:17:21 > 0:17:24he had problems with potassium in the past.

0:17:24 > 0:17:27Vince, don't worry. It won't be long now.

0:17:30 > 0:17:33If you look very closely, you can see a tiny tear

0:17:33 > 0:17:36- on the descending aorta. - It's barely visible.

0:17:36 > 0:17:40Easy to miss. It's sealed by a pseudo-aneurysm.

0:17:40 > 0:17:42She'll need a stent.

0:17:42 > 0:17:45I thought you'd like to know Astrid's bloods came back

0:17:45 > 0:17:46with a raised ALT.

0:17:46 > 0:17:50Good. Right, clotting screen, please, and a LFT.

0:17:50 > 0:17:52Already done it.

0:17:52 > 0:17:53Obs?

0:17:53 > 0:17:55On my way.

0:17:55 > 0:17:58So, are you going to accept Elliot's offer.

0:17:58 > 0:18:01Ha, well...a lot to consider.

0:18:01 > 0:18:03Yes. Quite a career shift.

0:18:03 > 0:18:06Yeah. Not to mention quite far away.

0:18:07 > 0:18:09Well, you'd better pack your walking boots.

0:18:09 > 0:18:13There are some gorgeous valleys there. Neelum, Hunza...

0:18:13 > 0:18:17Are you planning a trekking holiday in Pakistan, by any chance?

0:18:17 > 0:18:19No, Elliot has offered him a job there.

0:18:21 > 0:18:23Oh, escaping to a far-flung place?

0:18:23 > 0:18:26That's your speciality, isn't it, Valentine? What's he offering?

0:18:26 > 0:18:28He needs a doctor to run cardiothoracics in one of the

0:18:28 > 0:18:30hospitals he's set up.

0:18:30 > 0:18:34Excellent. A job like that will give you invaluable experience.

0:18:34 > 0:18:37To think, if you weren't such a flake, you could be back here

0:18:37 > 0:18:39in five years' time and running this hospital.

0:18:39 > 0:18:42And if I do, I'll hold on to it for more than five minutes.

0:18:42 > 0:18:43Come on, you two.

0:18:43 > 0:18:46As Zosia says, there are some lovely valleys to explore,

0:18:46 > 0:18:48so it's a no-brainer.

0:18:48 > 0:18:50I really don't think my career is any of your business.

0:18:50 > 0:18:54Sometimes an outsider's perspective is useful in forcing

0:18:54 > 0:18:56these difficult decisions.

0:18:56 > 0:18:59I mean, from where I'm standing, I can just see a surgeon

0:18:59 > 0:19:00who's playing it safe.

0:19:00 > 0:19:03I'm not playing it safe, I'm working as part of a team.

0:19:03 > 0:19:06Mo is enjoying having you as her whipping boy.

0:19:06 > 0:19:09The question is, when are you going to take these life and death

0:19:09 > 0:19:11decisions on your own terms?

0:19:11 > 0:19:13Because that is what Elliot is offering you.

0:19:13 > 0:19:15If you can't see that,

0:19:15 > 0:19:18then maybe having your wings clipped by Mo is more your thing.

0:19:26 > 0:19:28Have Mrs Musgrove's results come back yet?

0:19:28 > 0:19:31Yes. LFTs, U&Es all clear,

0:19:31 > 0:19:33we're just waiting on the rest of the bloods.

0:19:33 > 0:19:36OK. Could you prep her for her scan, please?

0:19:39 > 0:19:40Hi.

0:19:42 > 0:19:47I'm sorry about Arthur. You two were so young.

0:19:47 > 0:19:49It seems unfair.

0:19:49 > 0:19:52But I do know what you've been going through.

0:19:53 > 0:19:55Thank you, Mr Musgrove.

0:19:56 > 0:19:58So, how did you two meet?

0:20:00 > 0:20:02Bournemouth Pier.

0:20:02 > 0:20:04I'd only just arrived,

0:20:04 > 0:20:07I treated myself to an ice cream cornet and a deckchair.

0:20:07 > 0:20:11I put the deck chair up, lovely, looking into the sun,

0:20:11 > 0:20:12and then suddenly "crack"!

0:20:12 > 0:20:14The whole thing fell apart.

0:20:14 > 0:20:18I finished up on me bum on the pier,

0:20:18 > 0:20:22arms and legs waving about like a stag beetle.

0:20:22 > 0:20:24I saw the whole thing happen.

0:20:24 > 0:20:26She came to my rescue!

0:20:26 > 0:20:31Heave ho, picked me up like a sack of turnips.

0:20:34 > 0:20:37We spent the rest of the day seeing the sights.

0:20:42 > 0:20:44Where are you from?

0:20:44 > 0:20:47- Ukraine. - How long have you been here?

0:20:47 > 0:20:48About six months.

0:20:50 > 0:20:53Mrs Musgrove, they've come to take you for your scan.

0:20:53 > 0:20:55- Won't be long, darling.- Hmm, OK.

0:21:00 > 0:21:04You're surprised. I can see it on your face.

0:21:04 > 0:21:05No.

0:21:07 > 0:21:08Well, yes. I am.

0:21:09 > 0:21:11I'm surprised you got married again so quickly.

0:21:11 > 0:21:15When you're my age and you've gone through what I've gone through,

0:21:15 > 0:21:19it's only then that you realise how precious time is.

0:21:21 > 0:21:24All this is due to you and Arthur.

0:21:24 > 0:21:25Me and Arthur?

0:21:25 > 0:21:30When I came back from hospital, I organised Beth's funeral.

0:21:30 > 0:21:33I pulled myself up with my bootstraps,

0:21:33 > 0:21:36like you and Arthur told me to do.

0:21:36 > 0:21:37I told him about the two Bs,

0:21:37 > 0:21:42about me being in Borneo and Beth being in Bournemouth and how

0:21:42 > 0:21:45she had always wanted to take me there and I never did.

0:21:45 > 0:21:50"Go now," he said. And that's when I found Lily.

0:21:51 > 0:21:55If you had told me any of this six months ago,

0:21:55 > 0:21:58I wouldn't have believed any of this.

0:21:58 > 0:22:03When Lily asked me to marry her, I thought I was dreaming.

0:22:04 > 0:22:06She's an angel.

0:22:07 > 0:22:09She asked you?

0:22:09 > 0:22:12I guess she's a modern woman.

0:22:14 > 0:22:15Don't give me that look, love.

0:22:16 > 0:22:20I've found happiness and I just wish you the same.

0:22:20 > 0:22:25And who knows, in time, you might meet someone who loves you just as

0:22:25 > 0:22:27much as Arthur did.

0:22:31 > 0:22:34I have to go and get Mrs Musgrove's test results.

0:22:37 > 0:22:39- Thank you.- This test has nothing to do with my heart?

0:22:39 > 0:22:41No. This is to check your back.

0:22:41 > 0:22:44Your aorta has a tiny tear which we will repair today,

0:22:44 > 0:22:46and afterwards, it won't cause you any more problems.

0:22:46 > 0:22:48How long have you been coaching?

0:22:48 > 0:22:49Years.

0:22:49 > 0:22:52I was a professional gymnast but had to give up when I injured my back.

0:22:52 > 0:22:55Gymnast? That's my secret Olympic sport.

0:22:55 > 0:22:58Everyone has a secret Olympic sport, right?

0:22:58 > 0:22:59No, just you.

0:22:59 > 0:23:01OK, then what would yours be?

0:23:04 > 0:23:07I think with his lean physique he'd make a good javelin thrower.

0:23:07 > 0:23:10Nah, you need upper body strength for that.

0:23:10 > 0:23:13I think you'll find I have hidden strength.

0:23:13 > 0:23:15- High jumper. - Very good.- Totally.

0:23:15 > 0:23:17You're all wrong. I'd be a sprint cyclist.

0:23:19 > 0:23:22- Push up. - Your back injury, what is it?

0:23:22 > 0:23:24Prolapsed disc. But it was years ago.

0:23:24 > 0:23:29OK. The scan will tell us more, but the ankle reflex is diminished and

0:23:29 > 0:23:32there are some lower motor neurone signs including mild weakness.

0:23:32 > 0:23:34Thank you.

0:23:34 > 0:23:36Have you noticed any other problems?

0:23:36 > 0:23:40Since I fell in training, my legs have kind of been giving way.

0:23:40 > 0:23:44Right. You should have mentioned that before.

0:23:44 > 0:23:47I just thought I was tired, or weak. I hadn't eaten much...

0:23:47 > 0:23:51OK. Try not to worry. All right? Have some rest.

0:23:56 > 0:23:58Those symptoms and signs are concerning.

0:23:58 > 0:24:00It could potentially be cauda equina.

0:24:00 > 0:24:03Let's push for that MRI and inform neuro. Thank you.

0:24:04 > 0:24:08When I listened to Mrs Musgrove's chest I heard what I thought

0:24:08 > 0:24:09was a pericardial rub.

0:24:09 > 0:24:11OK. Well, let's get a CRP then.

0:24:11 > 0:24:13Shouldn't I organise an echo too?

0:24:13 > 0:24:17No, no. Let's wait and see what the CRP tells us.

0:24:17 > 0:24:18Is...is everything OK with you?

0:24:19 > 0:24:21Yeah...

0:24:22 > 0:24:26It's just that Hugh said that it was because of Arthur and I that

0:24:26 > 0:24:28he met Lily.

0:24:28 > 0:24:29That's nice. Isn't it?

0:24:29 > 0:24:33I just don't get why he couldn't just be happy having had Beth?

0:24:33 > 0:24:37He's an old man who is going to spend his last years being

0:24:37 > 0:24:38loved by someone.

0:24:38 > 0:24:41Let's do our best to help him have that?

0:24:43 > 0:24:45A herniated disc?

0:24:45 > 0:24:48The scan shows a large sequestrated disc in the lower back with

0:24:48 > 0:24:50severe canal stenosis,

0:24:50 > 0:24:53significant nerve compression and clinically, cauda equina syndrome.

0:24:53 > 0:24:57- She must be in agony.- Cauda equina's serious. It's going to impact on her job if not treated,

0:24:57 > 0:24:59and even then, it could prevent her from continuing?

0:24:59 > 0:25:02In an ideal world, we'd combine the skills of cardiothoracics and

0:25:02 > 0:25:06neurosurgery and get her straight into theatre. But there's a slight catch.

0:25:07 > 0:25:08We need to get some help.

0:25:08 > 0:25:10Guy Self.

0:25:11 > 0:25:13Off you go, then.

0:25:19 > 0:25:23We have confirmed that you have an incarcerated hernia which is

0:25:23 > 0:25:25going to require an urgent operation.

0:25:25 > 0:25:27OK, Doctor. Thank you.

0:25:27 > 0:25:28When will you do the operation?

0:25:28 > 0:25:30A theatre slot has just become available.

0:25:30 > 0:25:33But in the meantime, Dr Digby is going to give you an echocardiogram.

0:25:33 > 0:25:37- What's that?- It just monitors your heart activity to tell us everything

0:25:37 > 0:25:39that we need to know before we operate.

0:25:39 > 0:25:42- Do you mind undoing your gown, please?- No. I don't want the test.

0:25:42 > 0:25:44- It doesn't hurt or anything. - I don't want it.

0:25:44 > 0:25:47Come on love. You've got to do what they say.

0:25:47 > 0:25:49Mrs Musgrove, it's very important that we do this.

0:25:49 > 0:25:51No. I don't want it.

0:25:53 > 0:25:56OK. If that's how you feel.

0:25:58 > 0:26:00Doesn't she need the test?

0:26:00 > 0:26:02I'm certain there's something wrong with her heart.

0:26:02 > 0:26:04Well, our priority is to operate on the hernia.

0:26:04 > 0:26:06I'm not going to miss a theatre slot

0:26:06 > 0:26:09while we argue about having an echo or not.

0:26:12 > 0:26:15No, no. That's fine. I know what my mother can be like.

0:26:15 > 0:26:18Just let me know if her condition changes.

0:26:18 > 0:26:19Thanks. Bye.

0:26:20 > 0:26:22Yes, Valentine? What do you want?

0:26:22 > 0:26:25My patient has an aortic tear and cauda equina syndrome.

0:26:25 > 0:26:28I'm proposing stenting the aortic tear while you perform

0:26:28 > 0:26:29a laminectomy and discectomy.

0:26:29 > 0:26:32What did the scan show?

0:26:32 > 0:26:35A large herniated disc with significant neural compression.

0:26:35 > 0:26:38In that case, I'll do my part first, and you can go in after.

0:26:38 > 0:26:41Well, I'd need to do the stent procedure first because her

0:26:41 > 0:26:43blood pressure is fluctuating and the tear on her aorta is sealed

0:26:43 > 0:26:45with a clot which could bleed at any time.

0:26:45 > 0:26:49So I suggest we do a joint operation with the patient on her side.

0:26:49 > 0:26:52Absolutely not. She needs to be on her front.

0:26:52 > 0:26:53OK, well I'll go first.

0:26:53 > 0:26:57No, that'll take too long. I can be in and out in less than 30 minutes.

0:26:57 > 0:27:00But, Mr Self, we can decrease the anaesthetic time this way.

0:27:00 > 0:27:01Oh, very good, Valentine,

0:27:01 > 0:27:04using the F1 to try and gain the sympathy vote.

0:27:04 > 0:27:08No, cardio and neuro procedures are not an option.

0:27:08 > 0:27:11And whilst you've been arguing the toss, I could have operated.

0:27:11 > 0:27:13Still, I have to go first.

0:27:13 > 0:27:17Not when the patient is displaying neurological compromise.

0:27:18 > 0:27:20Wow! He is...

0:27:20 > 0:27:22A narcissist? Yeah.

0:27:27 > 0:27:31Looks like free fluid. We can take you to theatre now.

0:27:31 > 0:27:34Do you mind if we turn that off now, please?

0:27:34 > 0:27:35It reminds me of Pamela.

0:27:35 > 0:27:38We were listening to the reed warbler when she asked me out.

0:27:38 > 0:27:39But I said no.

0:27:39 > 0:27:43You see Lucy left me because I was, and I quote, she said I was,

0:27:43 > 0:27:46"boring, mind-numbingly so, tedious..."

0:27:46 > 0:27:49- Sad?- Yeah. She said I was sad, insipid...

0:27:49 > 0:27:51That's quite a considerable list.

0:27:51 > 0:27:55"Dumb". And the nail in the coffin was, "unhygienic."

0:27:55 > 0:27:56Oh, unhygienic. Gets me every time.

0:27:56 > 0:27:58When I see Pamela, the list,

0:27:58 > 0:28:02it comes charging racing back and I get this knot in my stomach.

0:28:02 > 0:28:04You need to forget Lucy and her negativity and take

0:28:04 > 0:28:06a leap of faith with Pamela.

0:28:06 > 0:28:09Sharing a common interest is the first step to a successful pairing.

0:28:09 > 0:28:13Successful pairing? Aw, you're starting to sound like a twitcher.

0:28:13 > 0:28:17You may mock me. But Vince knows what I'm talking about, don't you, Vince?

0:28:24 > 0:28:27Mr Self insists on doing his procedure first.

0:28:27 > 0:28:28Is the patient stable?

0:28:28 > 0:28:30Well...there's risk she could arrest on the table.

0:28:30 > 0:28:33My worry is that her heart won't hold up.

0:28:33 > 0:28:35The neuro op will be fast.

0:28:35 > 0:28:36Why are you siding with Guy?

0:28:36 > 0:28:38I just told you.

0:28:38 > 0:28:42Neither Jac nor Elliot would ever let this happen!

0:28:44 > 0:28:46Then you know what you should do.

0:28:46 > 0:28:49Get on a plane to Pakistan and go and work with Elliot.

0:28:55 > 0:28:57She'll not listen to me.

0:28:57 > 0:29:01But if she's got a heart problem, we really need to know about it.

0:29:01 > 0:29:03Look. I agree with you.

0:29:03 > 0:29:06But if Mrs Musgrove doesn't want the test, then we can't force her.

0:29:06 > 0:29:09You don't want to help her because really,

0:29:09 > 0:29:11you don't like her because she's not Beth.

0:29:11 > 0:29:13- That's not true.- Yes, it is true.

0:29:13 > 0:29:15I know what you're all thinking and saying about her.

0:29:15 > 0:29:18She's come over here, taken advantage of the system.

0:29:18 > 0:29:20Taken advantage of me!

0:29:20 > 0:29:21We don't think that.

0:29:21 > 0:29:23Do you know why she doesn't want the test?

0:29:23 > 0:29:25What's she afraid of?

0:29:25 > 0:29:27That's what I need you to find out.

0:29:27 > 0:29:31If she were British you'd be pulling out all the stops,

0:29:31 > 0:29:33like you did with Beth.

0:29:33 > 0:29:35- But she's not Beth.- Oh!

0:29:37 > 0:29:38I'm really sorry...

0:29:38 > 0:29:40Hey, what's going on?

0:29:40 > 0:29:42At last! A doctor who will help us.

0:29:42 > 0:29:44She won't help Lily.

0:29:44 > 0:29:46That's not true.

0:29:46 > 0:29:48All right. All right, Mr Musgrove.

0:29:48 > 0:29:50- Come on, let's go and see your wife, eh?- Oh...

0:29:57 > 0:29:59You may have to postpone your trip.

0:29:59 > 0:30:01Your boyfriend will understand.

0:30:01 > 0:30:03Moving to a new country, learning a new language,

0:30:03 > 0:30:07setting up your own business, these are big steps,

0:30:07 > 0:30:10not to mention recovering from heart and spinal surgery.

0:30:10 > 0:30:12What do you think, Mr Valentine?

0:30:12 > 0:30:14Dr March is right.

0:30:14 > 0:30:15But it's my life...

0:30:15 > 0:30:17If I don't do this, then what's the point?

0:30:17 > 0:30:19BEEPING

0:30:19 > 0:30:21- BP's rising.- OK.

0:30:21 > 0:30:22Increasing oxygen.

0:30:22 > 0:30:25SHE GASPS

0:30:27 > 0:30:29Hand me the steth, please.

0:30:32 > 0:30:34Deep breaths, Astrid...

0:30:41 > 0:30:43Sorry to interrupt, Ms Effanga,

0:30:43 > 0:30:46but I really need you to reconsider your decision about Astrid Adams.

0:30:46 > 0:30:49The chest X-ray showed a pleural effusion on the left side,

0:30:49 > 0:30:50which wasn't there before.

0:30:50 > 0:30:53If the BP is stable, and heart rate and haemoglobin are normal,

0:30:53 > 0:30:55then there won't be any bleeding.

0:30:55 > 0:30:59The effusion may be as a result of the initial trauma.

0:30:59 > 0:31:01We can hold off on the op until Guy's done.

0:31:01 > 0:31:03Do I have to take this further?

0:31:03 > 0:31:04For crying out loud, Ollie.

0:31:04 > 0:31:06I have better things to be doing

0:31:06 > 0:31:09than refereeing an ego clash between you and Guy.

0:31:09 > 0:31:12Put your differences aside and get on with your job.

0:31:12 > 0:31:14I'm not going anywhere until I have your approval

0:31:14 > 0:31:16to operate before neuro.

0:31:16 > 0:31:20Could you take over please? Do I have to do everything myself?

0:31:20 > 0:31:23Ollie, you're off the case.

0:31:24 > 0:31:28Wow. You really don't trust me at all, do you?

0:31:42 > 0:31:44I've been looking for you.

0:31:45 > 0:31:48I came here to clear my mind.

0:31:50 > 0:31:53I just can't see the wood from the trees.

0:31:59 > 0:32:01How's Lily?

0:32:01 > 0:32:02Still refusing an echo,

0:32:02 > 0:32:06but we're going to get her into theatre as soon as it's available.

0:32:06 > 0:32:07I just don't get it.

0:32:09 > 0:32:12She's hiding something from Hugh.

0:32:14 > 0:32:16I hope she doesn't hurt him.

0:32:16 > 0:32:18Why would she do that?

0:32:20 > 0:32:23Hugh was a soldier. He can handle anything.

0:32:23 > 0:32:26Not all soldiers are strong.

0:32:26 > 0:32:28No, that's true, they're not.

0:32:28 > 0:32:32I've seen lots fall apart, when they saw their friends die.

0:32:34 > 0:32:37But the ones who managed to put themselves together,

0:32:37 > 0:32:39they could get through anything.

0:32:42 > 0:32:46They wanted to make sense of the loss of all those young lives.

0:32:48 > 0:32:51They were soldiers with a job to do...

0:32:51 > 0:32:54They were going to make that job count.

0:32:54 > 0:32:57Arthur would know what to do.

0:32:59 > 0:33:03What would you say to him if he was here now?

0:33:07 > 0:33:09How can I help Hugh?

0:33:11 > 0:33:12That's easy.

0:33:14 > 0:33:17By doing your job and saving Lily.

0:33:28 > 0:33:30Ms Effanga's going to take over your case.

0:33:30 > 0:33:31Why?

0:33:31 > 0:33:35She has her way of doing things, and my way isn't working for her.

0:33:35 > 0:33:36But will I be OK?

0:33:36 > 0:33:38You will. She's a fantastic surgeon.

0:33:40 > 0:33:42So what's the problem?

0:33:42 > 0:33:44You're your own boss?

0:33:44 > 0:33:46I will be when I open the school.

0:33:46 > 0:33:49And at the school, you'll train the gymnasts as you see best

0:33:49 > 0:33:52without interference from anyone else?

0:33:52 > 0:33:54Yes.

0:33:54 > 0:33:56Well, that's what I don't have here.

0:33:57 > 0:33:59So, time to run your own hospital?

0:34:04 > 0:34:06Yes. I guess you're right.

0:34:08 > 0:34:10Staple gun, please.

0:34:19 > 0:34:24We'll have Vince as good as new and dating fellow twitchers in no time.

0:34:24 > 0:34:28Suggesting his perfect partner based on a hobby?

0:34:28 > 0:34:34What attraction amounts to is basic symmetry. Suction, please.

0:34:34 > 0:34:37So if Vince has enough mental and physical connection with Pamela,

0:34:37 > 0:34:38bingo.

0:34:39 > 0:34:41BEEPING

0:34:41 > 0:34:43The BP's dropping. Why?

0:34:43 > 0:34:46- An arrhythmia?- No. This isn't right. Check his notes.

0:34:47 > 0:34:50- Oh, no...- What?

0:34:50 > 0:34:52It's his potassium levels.

0:34:52 > 0:34:55I completely forgot to check them, and they're low. They're really low.

0:34:55 > 0:34:59We'd better get them up again or he's in danger of going into cardiac arrest.

0:34:59 > 0:35:01Insert a neckline.

0:35:03 > 0:35:05'How's it going, Mr Mayfield?'

0:35:05 > 0:35:07Couldn't be better.

0:35:09 > 0:35:11'Why are you inserting a neckline?'

0:35:11 > 0:35:13His potassium levels were down.

0:35:13 > 0:35:17'I specifically asked Dr Copeland to keep a close eye on his potassium levels.'

0:35:17 > 0:35:19- I...- Yes, and he did,

0:35:19 > 0:35:22but the initial tests didn't show there was anything to worry about.

0:35:22 > 0:35:26'OK. As long as you've got it under control.'

0:35:26 > 0:35:28Yes, we do.

0:35:32 > 0:35:35What he doesn't know, will be better for his blood pressure.

0:35:35 > 0:35:37The bowel wasn't just perforated, it was tissue paper thin.

0:35:37 > 0:35:40I can't see a thing. You need to protect the ureter.

0:35:40 > 0:35:42- I can't see it. - More suction.

0:35:45 > 0:35:48Look, here's the right ureter. I'll give you a clue...

0:35:48 > 0:35:51It'll be in the same place as the right one, but on the left.

0:35:55 > 0:35:57Got it. Diathermy, please.

0:35:58 > 0:35:59There we go.

0:36:02 > 0:36:04And the bleed has stopped.

0:36:06 > 0:36:08Isn't symmetry a beautiful thing?

0:36:11 > 0:36:13FRANTIC TYPING

0:36:15 > 0:36:17Wow! Don't need to take it out on the keyboard.

0:36:17 > 0:36:19This is my happy face, Dr Burrows.

0:36:19 > 0:36:22Unless you've got resting bitch face, you don't look very happy.

0:36:22 > 0:36:25This is my resignation.

0:36:25 > 0:36:26I'm not staying here.

0:36:26 > 0:36:29Valentine, how can you break a girl's heart like that?

0:36:29 > 0:36:32- We've only just met!- Is it true you're no longer on Astrid's case?

0:36:32 > 0:36:36I'm currently planning on going trekking, in Pakistan.

0:36:38 > 0:36:40I hear the Neelum Valley's pretty nice.

0:36:45 > 0:36:46How's Lily?

0:36:47 > 0:36:50She's due in theatre any minute.

0:36:50 > 0:36:51What are you doing?

0:36:51 > 0:36:54I'm just looking for an old case.

0:36:55 > 0:36:57The patient came in with chest pain.

0:36:57 > 0:37:01Their CRP was elevated and they had a pericardial rub too.

0:37:02 > 0:37:04But I can't remember what the outcome was.

0:37:04 > 0:37:05Could I have some help here, please!

0:37:09 > 0:37:10Stand back, Mr Musgrove.

0:37:10 > 0:37:13The hernia's strangulated. We need to operate straight away.

0:37:13 > 0:37:15Lou, can you help over here, please?

0:37:15 > 0:37:17We need to get her straight into theatre.

0:37:17 > 0:37:20All right, let's do it.

0:37:20 > 0:37:21SHE GROANS

0:37:23 > 0:37:26Don't worry. It's going to be OK.

0:37:27 > 0:37:29I'm happy for Mr Self to take her in.

0:37:32 > 0:37:37Mo, while I agree with your decision about Astrid, I'm slightly concerned

0:37:37 > 0:37:40that my father only insisted on going first cos Olly asked him to.

0:37:40 > 0:37:43If I thought your dad's intentions were purely personal,

0:37:43 > 0:37:44I would've intervened.

0:37:44 > 0:37:48But it is good to see you looking out for a "colleague".

0:37:48 > 0:37:49SHE LAUGHS

0:37:49 > 0:37:52- Ex-colleague.- What do you mean?

0:37:52 > 0:37:55I think you'll find his resignation letter on your desk.

0:37:57 > 0:37:58Oh.

0:37:58 > 0:38:00HEART MONITOR BEEPS

0:38:04 > 0:38:08- FASTER BEEPING - Oh, she's tachycardic.

0:38:08 > 0:38:10Push more fluids. We need to get her BP up.

0:38:12 > 0:38:15Mrs Musgrove has pericardial effusion.

0:38:15 > 0:38:18- What? - I found an old case of Arthur's.

0:38:18 > 0:38:22A hernia patient presented with pain in his chest and tachycardia.

0:38:22 > 0:38:25His CRP was elevated, but his initial ECG was clear.

0:38:25 > 0:38:27Finally, an echo showed pericardial effusion.

0:38:27 > 0:38:30It certainly would explain the tachycardia.

0:38:30 > 0:38:32Good spot, Dr Digby.

0:38:32 > 0:38:35Can you get onto Darwin? Tell them I need someone down here immediately.

0:38:35 > 0:38:38Oh and, Dr Digby? Scrub in.

0:38:41 > 0:38:44I wonder why she refused the echo? It doesn't make any sense.

0:38:44 > 0:38:47- ALARM BEEPS - BP's dropping.

0:38:48 > 0:38:51- It's her heart. She's arresting! - HEART MONITOR FLATLINES

0:38:57 > 0:38:58KNOCK ON DOOR

0:39:01 > 0:39:03Quick! Take this while the coast is clear.

0:39:03 > 0:39:05Ms Effanga is costing me a fortune in coffee.

0:39:05 > 0:39:07You shouldn't have.

0:39:07 > 0:39:09I'm trying to bribe you to stay.

0:39:09 > 0:39:11Well, it'll take a whole lot more than a latte,

0:39:11 > 0:39:14even if it does have caramel drizzle.

0:39:14 > 0:39:16Astrid's boyfriend.

0:39:16 > 0:39:19She's happy to talk about him, but when I do, she gets cagey.

0:39:19 > 0:39:21- Something's not right.- The only thing that's not right is that,

0:39:21 > 0:39:23whatever Guy Self wants, he gets.

0:39:23 > 0:39:26So what would it take to get to do what you want?

0:39:26 > 0:39:28- HE SIGHS - Jac Naylor.

0:39:30 > 0:39:33She's all right, is she? Cos I've heard she's a proper cow.

0:39:33 > 0:39:36Well, she's like Jadis on a good day and Maleficent on a bad one.

0:39:38 > 0:39:40They're witches.

0:39:40 > 0:39:41Well, if she's so evil,

0:39:41 > 0:39:44why would she have let you do what you wanted today?

0:39:44 > 0:39:45Because she loves nothing more

0:39:45 > 0:39:49than giving people the opportunity to mess up.

0:39:49 > 0:39:51- Except you wouldn't have messed up. - HE LAUGHS

0:39:51 > 0:39:55No. You don't get to mess up more than once with her.

0:39:56 > 0:40:00So...leaving...

0:40:00 > 0:40:03I mean, will it really be all that different?

0:40:03 > 0:40:07New job, new colleagues, a whole new world of problems.

0:40:07 > 0:40:10As someone just starting their training in the country's

0:40:10 > 0:40:15leading cardiothoracic department, hoping to be where you are one day,

0:40:15 > 0:40:17it seems crazy to throw it all in.

0:40:19 > 0:40:20PAGER BEEPS

0:40:22 > 0:40:25We're needed, on AAU.

0:40:33 > 0:40:36HE LAUGHS

0:40:37 > 0:40:40Sorry, do you mind if I borrow these for just one moment?

0:40:44 > 0:40:47HE LAUGHS

0:40:47 > 0:40:50- Aw, this is priceless.- What is?

0:40:51 > 0:40:53Have a look at that.

0:40:55 > 0:40:57THEY BOTH LAUGH

0:41:00 > 0:41:05Bring the elbows opposite to the leg.

0:41:11 > 0:41:13- HEART MONITOR FLATLINES - All right, charge to 150.

0:41:13 > 0:41:16DEFIBRILLATOR BEEPS

0:41:16 > 0:41:18Clear. Shock.

0:41:23 > 0:41:25HEART MONITOR BEEPS NORMALLY

0:41:25 > 0:41:26And she's back.

0:41:26 > 0:41:28Ah, Mr Valentine, there you are.

0:41:28 > 0:41:32OK, we've got a 50-year-old female, undiagnosed pericardial effusion.

0:41:32 > 0:41:35She went into cardiac arrest, but is now back in sinus rhythm.

0:41:35 > 0:41:38Right, we need to run a trans-oesophageal echo

0:41:38 > 0:41:41and hook her up for an ECG. This is Dr Burrows, our new F1.

0:41:41 > 0:41:44Right, let's run the ECG and line up for the echo, please. Needle?

0:41:46 > 0:41:47Thank you.

0:41:50 > 0:41:52Right, well, it seems the operation was a success.

0:41:52 > 0:41:54We're going to keep you in for observation,

0:41:54 > 0:41:57but I don't see any reason why you can't be back to normal very soon.

0:41:57 > 0:42:01I'm sure Pamela's already in a hide waiting for you somewhere.

0:42:01 > 0:42:05When I'm with Pamela, you know, watching the way the birds

0:42:05 > 0:42:07glide around, listening to the noises they make,

0:42:07 > 0:42:09with their beaks and feathers...

0:42:09 > 0:42:11You're describing what I've just seen.

0:42:11 > 0:42:13..I feel relaxed and then...

0:42:13 > 0:42:16then I turn and look at her and my heart just skips a beat.

0:42:17 > 0:42:19HE SIGHS

0:42:19 > 0:42:20Listen, Vince...

0:42:22 > 0:42:25- Does she make you smile 100 times a day?- 300.

0:42:25 > 0:42:30And when she looks at you, do you feel invincible?

0:42:30 > 0:42:35Could you listen to her talk for hours and hours and hours?

0:42:35 > 0:42:37- And hours. - HE LAUGHS

0:42:37 > 0:42:40So she's got you pretty hooked?

0:42:40 > 0:42:44- Yeah.- Then there's nothing else for it, really, is there?

0:42:44 > 0:42:48Just get rid of those shackles from the past.

0:42:48 > 0:42:50And be free.

0:42:50 > 0:42:52Like a bird.

0:42:52 > 0:42:53Fly to Pamela.

0:42:53 > 0:42:57RECORDING OF BIRDSONG PLAYS

0:43:01 > 0:43:02Did you do this?

0:43:03 > 0:43:06Yeah, it just... just kept me entertained.

0:43:07 > 0:43:08Do you mind?

0:43:16 > 0:43:18You're clearly besotted.

0:43:18 > 0:43:20And he saved your skin in theatre.

0:43:23 > 0:43:24What's this?

0:43:27 > 0:43:28What are you waiting for?

0:43:36 > 0:43:37HEART MONITOR BEEPS

0:43:41 > 0:43:44OK, that's the fluid drained.

0:43:44 > 0:43:45The heart should be fine.

0:43:47 > 0:43:49Thank you, Mr Valentine.

0:43:49 > 0:43:50OK, one prolene, please.

0:43:53 > 0:43:54Thank you.

0:43:58 > 0:43:59Yeah.

0:43:59 > 0:44:01I think this is going to be fine.

0:44:01 > 0:44:02Heart's stable.

0:44:04 > 0:44:06I think it's safe to say that you just saved Lily.

0:44:08 > 0:44:11So the next thing we do is use a microscope to locate the disc,

0:44:11 > 0:44:15we then remove the disc, and, hey presto, the operation is over.

0:44:15 > 0:44:19- Sounds so easy.- Well, yeah, it is actually, if you know what you're...

0:44:19 > 0:44:20ALARM BLARES Mo! She's crashing!

0:44:20 > 0:44:23- Let's get her into theatre quick. - Olly was right. The tear's leaking.

0:44:23 > 0:44:26- Sorry, Guy, we're going to have to operate first.- What's going on?

0:44:26 > 0:44:29She needs a graft via emergency thoracotomy.

0:44:41 > 0:44:43SHE SIGHS, DOOR OPENS

0:44:50 > 0:44:52I miss him, Dom.

0:44:54 > 0:44:55Me too.

0:45:00 > 0:45:06People keep saying to me, "Life is short, it's precious."

0:45:06 > 0:45:09- It doesn't really help, though, does it?- Nope.

0:45:13 > 0:45:16I couldn't bring myself to empty his locker.

0:45:16 > 0:45:20In a weird way, though, it's nice to find his stuff still there.

0:45:23 > 0:45:25We should probably take it home now, though.

0:45:28 > 0:45:29Yeah.

0:45:32 > 0:45:33I'll help you.

0:45:37 > 0:45:40Let's make every second of our lives count...

0:45:42 > 0:45:43..for Arthur.

0:45:55 > 0:45:56If we hadn't wasted so much time,

0:45:56 > 0:45:58this wouldn't be an emergency procedure.

0:45:58 > 0:45:59Now's not the time for that, Oliver.

0:45:59 > 0:46:02Let's go on bypass, please, now. Clamp.

0:46:05 > 0:46:07Looks like the tear's bigger than we thought.

0:46:07 > 0:46:11We might need to replace part of the aorta. I need a 20mm graft, please.

0:46:11 > 0:46:13ALARM BEEPS

0:46:13 > 0:46:15Mean pressure's low.

0:46:15 > 0:46:17Increase the flow, please. We need to be quick.

0:46:19 > 0:46:24Why didn't you tell us about the heart condition?

0:46:24 > 0:46:26Lily?

0:46:26 > 0:46:29It's true. I knew there was something wrong with my heart.

0:46:29 > 0:46:33Well, you're really lucky that we caught it in time.

0:46:33 > 0:46:38I'd been to my doctor in Odessa, where I'm from, in Ukraine.

0:46:38 > 0:46:41And he sent me to hospital.

0:46:41 > 0:46:43- For the hernia?- Mm-hm.

0:46:43 > 0:46:45They were going to operate,

0:46:45 > 0:46:49and then they discovered this heart condition.

0:46:49 > 0:46:52But why didn't you say something about it?

0:46:52 > 0:46:56The doctor refused to operate on me, because of the problem,

0:46:56 > 0:47:02and so I thought, if I told you, you'd say the same,

0:47:02 > 0:47:04then I can't help Hugh any more.

0:47:05 > 0:47:08We wouldn't have done that.

0:47:08 > 0:47:11Is that why you came here?

0:47:12 > 0:47:14- For treatment?- No.

0:47:17 > 0:47:22I came here after my husband and daughter were killed.

0:47:25 > 0:47:30My daughter was due to go on a trip to Bournemouth to study English.

0:47:31 > 0:47:33So I went instead.

0:47:36 > 0:47:37Then I met Hugh...

0:47:39 > 0:47:41..and I decided to stay.

0:47:41 > 0:47:44It was...just meant to be.

0:47:44 > 0:47:50We both know how precious life is, and how it can change so quickly.

0:47:51 > 0:47:53I'm pleased for you both.

0:47:54 > 0:47:55Really.

0:47:55 > 0:47:57Things will get easier for you.

0:47:57 > 0:47:59I promise.

0:48:02 > 0:48:04Um...

0:48:04 > 0:48:09I found, um, this stuck in Arthur's locker.

0:48:09 > 0:48:11- Bournemouth!- Bournemouth?

0:48:11 > 0:48:13Great place.

0:48:13 > 0:48:17Will you be going to see some of Arthur's favourite places?

0:48:19 > 0:48:20Funnily enough,

0:48:20 > 0:48:23I think this hospital was Arthur's favourite place.

0:48:26 > 0:48:27Graft's holding.

0:48:27 > 0:48:29Blood is flowing.

0:48:30 > 0:48:32OK, now for the moment of truth.

0:48:32 > 0:48:34Let's come off bypass slowly.

0:48:36 > 0:48:39BYPASS MACHINE SLOWS

0:48:39 > 0:48:42HEARTBEAT REMAINS STEADY

0:48:42 > 0:48:45- Well done.- OK, Valentine, close up and then move over.

0:48:45 > 0:48:50- With pleasure.- I'll need her heart monitored whilst I operate.

0:48:50 > 0:48:52It seems that Mr Valentine was right.

0:48:52 > 0:48:55We needed to do the aortic stenting immediately.

0:48:56 > 0:48:58Actually, at the time he suggested it, we didn't.

0:48:58 > 0:49:01But the course of events changed the criteria.

0:49:01 > 0:49:03Credit where credit's due, Mr Self.

0:49:03 > 0:49:06We'll have time for that when we've finished the operation.

0:49:11 > 0:49:12Top off again?

0:49:16 > 0:49:20Thank you for saving me from the wrath of Ric Griffin earlier.

0:49:20 > 0:49:23No problem. You'd have done the same for me.

0:49:25 > 0:49:2731.

0:49:27 > 0:49:2931 lockers will be left open.

0:49:29 > 0:49:33Square numbers. I knew it. How did you work it out?

0:49:36 > 0:49:39So...is the ticket mine?

0:49:39 > 0:49:42Sorry. No, you were right about all those stuffed shirts.

0:49:42 > 0:49:44I wouldn't want to spend an evening with them,

0:49:44 > 0:49:47- so I gave the tickets away.- OK.

0:49:47 > 0:49:50How did you...solve the problem?

0:49:52 > 0:49:55- Well, I didn't. Vince did. - I'm not talking about the maths.

0:49:59 > 0:50:04Look, I know I've been reluctant to commit, but that's just because

0:50:04 > 0:50:07- I don't want this to be casual. - Then why all the drama?

0:50:07 > 0:50:11Well, because if it's not casual, then it's...serious.

0:50:11 > 0:50:15What, you can't do casual, or serious? Now, that IS a conundrum.

0:50:15 > 0:50:17I don't want it to go wrong

0:50:17 > 0:50:21and, given my track record, it inevitably would.

0:50:21 > 0:50:24Well, it's time to change that track record, then.

0:50:27 > 0:50:28Will you look at those?

0:50:31 > 0:50:33- Hmm? - HE LAUGHS

0:50:33 > 0:50:37- Do you mean...? - Yep, the ticket is yours.

0:50:37 > 0:50:39How did you know my size?

0:50:39 > 0:50:41Well, I'm pretty clear on my measurements.

0:50:55 > 0:50:57Hello, sleepy.

0:50:58 > 0:51:00Both operations went well.

0:51:00 > 0:51:05Just no backflips or somersaults for a while, please.

0:51:05 > 0:51:06Thank you.

0:51:06 > 0:51:07Aw.

0:51:09 > 0:51:12In Goa, people carry pictures of the lotus

0:51:12 > 0:51:15to remind them of their loved ones that have passed away.

0:51:15 > 0:51:17"The lotus flower blooms in the mud."

0:51:18 > 0:51:20It's a saying.

0:51:20 > 0:51:23A way of reminding people that there's...

0:51:23 > 0:51:25light at the end of the tunnel when grieving.

0:51:28 > 0:51:30Oh, why didn't you tell us he was dead?

0:51:33 > 0:51:34It was about a year ago.

0:51:36 > 0:51:37A car accident.

0:51:40 > 0:51:44- I'm sorry. - Oh, you must think I'm mad...

0:51:44 > 0:51:46speaking about him as if he's still alive.

0:51:46 > 0:51:48I recognise someone who's grieving.

0:51:51 > 0:51:53It makes us do things we wouldn't normally do.

0:51:53 > 0:51:56It's easy to run away from real life, Astrid.

0:52:02 > 0:52:05I don't know how you resisted it for so long. Ha!

0:52:08 > 0:52:10I'm told you saved Lily Musgrove's life.

0:52:11 > 0:52:13Good work, Dr Digby.

0:52:19 > 0:52:21What's that?

0:52:21 > 0:52:22I found it in Arthur's locker.

0:52:24 > 0:52:27It could be his life's work or,

0:52:27 > 0:52:32if I'm really lucky, it could be a map of the 12 Colonies of Kobol.

0:52:32 > 0:52:33What?

0:52:41 > 0:52:42Sorry about earlier.

0:52:42 > 0:52:46- I could've used your support, and your trust.- I know.

0:52:46 > 0:52:50And look, I didn't mean what I said about you going to work with Elliot.

0:52:50 > 0:52:52Which is why...

0:52:52 > 0:52:56- Ah, yeah, um, that. - Hmm, I'm not accepting it.

0:52:56 > 0:52:58We need you here too.

0:52:58 > 0:53:00I can't believe you let it get that far.

0:53:00 > 0:53:02I thought maybe it was best if I moved on.

0:53:02 > 0:53:04Maybe not to Pakistan, but somewhere.

0:53:04 > 0:53:07I mean, I know deep down you know you love working with Snippy Mo.

0:53:07 > 0:53:10Oh, you're not snippy, maybe grouchy, grumpy and stressy,

0:53:10 > 0:53:12especially lately,

0:53:12 > 0:53:14but never ever snippy.

0:53:21 > 0:53:22- ON PC:- # I got you, babe

0:53:23 > 0:53:25# I got you, babe

0:53:27 > 0:53:28# I got you, babe... #

0:53:30 > 0:53:33I'd heard there was, er, a hospital duo topping the karaoke charts.

0:53:33 > 0:53:36- I didn't know it was you two. - MORVEN LAUGHS

0:53:36 > 0:53:38Morven! You sound just like her!

0:53:38 > 0:53:42- Who?- Dusty Springfield. - LAUGHTER

0:53:44 > 0:53:45Yeah, well done.

0:53:45 > 0:53:48Oh, no, play it again. Play it again?

0:53:48 > 0:53:51And then I suggest drinks at Albie's, so I can wash away

0:53:51 > 0:53:54the mind-numbing goodness of mindfulness

0:53:54 > 0:53:57- with a healthy dose of Shiraz. - MORVEN LAUGHS

0:53:57 > 0:54:00- # They say we're young... # - Isn't it Dusty Springfield?

0:54:00 > 0:54:01No, it's not.

0:54:01 > 0:54:05# ..and won't find out until we grow... #

0:54:06 > 0:54:10# Well, I don't know if that's all true

0:54:10 > 0:54:14# Cos you got me And, baby, I got you

0:54:16 > 0:54:17# Babe

0:54:19 > 0:54:21# I got you, babe... #

0:54:21 > 0:54:23CAMERA CLICKS, LAUGHTER

0:54:23 > 0:54:25Don't forget to ask him about that doughnut place.

0:54:25 > 0:54:28Yeah, I'm hoping that's a habit he's managed to break.

0:54:29 > 0:54:30But, yeah.

0:54:32 > 0:54:35My hiking boots will be staying put for a while.

0:54:35 > 0:54:36Really?

0:54:38 > 0:54:40II was looking forward to the postcards.

0:54:40 > 0:54:43You coming for a drink to celebrate Ollie staying?

0:54:43 > 0:54:44No, I can't.

0:54:46 > 0:54:47Sorry.

0:54:49 > 0:54:51You know, earlier, Zosia asked me

0:54:51 > 0:54:55if I thought that Guy had deliberately blocked your proposal.

0:54:55 > 0:54:58She seemed genuinely concerned. Just saying.

0:55:00 > 0:55:03SHE HUMS TO HERSELF

0:55:03 > 0:55:05# Babe, I got you... #

0:55:07 > 0:55:09- Mr Hanssen.- Good night.

0:55:12 > 0:55:13- Oh, Dr Digby?- Mm-hm?

0:55:15 > 0:55:17There is life and there is new life.

0:55:17 > 0:55:20That was the end and this is the beginning.

0:55:21 > 0:55:24It's Old Norse, Dr Digby. The Battle of Ragnarok.

0:55:26 > 0:55:28Keep asking the questions.

0:55:34 > 0:55:36THEY LAUGH

0:55:38 > 0:55:40BELL RINGS

0:55:47 > 0:55:51SHE HUMS I Got You Babe

0:55:51 > 0:55:53That...is better.

0:56:00 > 0:56:05- Start the clock, mate. - OK, guv.- The fun starts here.

0:56:08 > 0:56:12What on earth is the One-legged King Eagle pose?

0:56:12 > 0:56:15- I'll be demonstrating in a bit. - I'd pay good money to see that.

0:56:15 > 0:56:18LAUGHTER I've missed you guys so much.

0:56:18 > 0:56:21- Aw!- Cheers!- Cheers.

0:56:21 > 0:56:26- To the best cardiothoracic team in the country.- I'll second that.

0:56:26 > 0:56:27HE LAUGHS

0:56:31 > 0:56:34Change of plans?

0:56:34 > 0:56:36Something like that.

0:56:36 > 0:56:38- The usual?- Yes.

0:56:48 > 0:56:50- Look at that! - WOMEN GIGGLE