From Bournemouth with Love Holby City

Bournemouth. And she drove there one day, and I was in Borneo,

and I thought it was funny.

Bournemouth and Borneo.

Well, you should go.

You were supposed to be meeting that porter, you know.

The one with the bear tattoo? Yeah, been there, done that.

Gentlemen.

I'm really late. I'm meeting my mentor, Valentine. What's he like?

Name's a bit of a giveaway. Oliver Valentine? Arrogant,

public school knobhead. Jasmine Burrows, F1.

Maybe we could go for a drink some time.

Oliver Valentine.

I'm pregnant.

-So, as things stand, Ms Naylor and I are the only people who know.

-Yeah.

Swipe left, left, left...

What are you doing creeping around so early?

-Oh, don't stop on my account.

-I was reading a patient's notes in peace,

before you rudely interrupted.

That's what you call it. Someone's a bit snippy this morning.

Snippy? I may be stressed, angry, grouchy, sometimes grumpy,

but I am never snippy.

Zosia, August 15th.

I've put you down for the Cardiac Device Implantation course.

-Ah, thank you.

-I'm not supposed to put anyone below registrar level,

but since you'd expressed interest, I thought, "Why not?"

And for those of us who are registrar level,

-are we deliberately overlooked?

-Places were limited.

-Elliot's e-mailed me.

-Yeah, he e-mailed me too.

Did he tell you about the time he fell out the boat into the

muddy water and had to be rescued by those village women?

No.

-He's offered me a job.

-What?

In Pakistan.

This was given to me by a patient.

"The charm of fishing is that

"it is a perpetual series of occasions for hope."

Much like being a doctor.

So, your second year as a foundation doctor. Enthusiasm is important,

as are observation, judgment, patience.

Now, you have a rather more difficult beginning to the year

than the others.

Like a fisherman, one must become accustomed to weathering the storm.

Is there anything you'd like to ask?

The storm...

How long will it last?

Each storm is particular.

Only you can find the answer to your question.

There's me thinking that he's sending you news about his latest

escapade with a mountain goat,

but, oh, no, he's pinching you right from underneath my very nose.

That pesky professor!

I wonder if he's found a decent doughnut place yet.

Yes, that's just what I was wondering too.

-Oh, now you've gone and put me in the mind for a doughnut now.

-Me?

Good morning! This is for you.

Ah, thank you. Aw, you didn't have to do that.

Ooh, caramel drizzle, my favourite.

-Caramel drizzle? Since when?

-Zip it.

It's a great offer though.

Just think, you could be the Jac Naylor of Karachi.

You're not going to take it though, are you?

Astrid Adams. Sent up from the ED.

Collapsed in the street with possible loss of consciousness.

GCS 14-15, BP 110/60,

pulse 98, sats 90%.

Astrid, I'm Ms Effanga.

I'm Mr Valentine, this is Dr Burrows.

She's in VF.

Crash trolley, please, quickly.

-Charge to 100, please.

-Charging.

OK, stand clear, please.

Shocking.

She's back in sinus.

OK, let's repeat the echo, ECG, and X-ray.

Do a chest, neck and head CT and all the usual bloods. Thanks.

Get on with it then.

HE CHUCKLES

OK, colourful.

So, there's a school with 1,000 students and 1,000 lockers.

The headmaster asks the first student to open every single locker.

Then he asks the second student to close every second locker.

The third student has to go to every third locker,

close it if it's open or open it if it's shut.

The fourth student goes to the fourth locker, and so on.

After all 1,000 students have completed the process,

how many lockers remain open?

What?

Humour me. I heard it on the radio this morning.

I haven't even had my coffee yet.

Well, solve it by the end of the day and one of these could be yours.

Fellows and Members black-tie ball at the Gorston tonight.

The Gorston's in London.

Correct.

So, what, are we just going to stay over?

What are hotels designed for?

Um, I can't. I'm busy.

Well, cancel whatever it is.

Well, I would but it's just not really my scene, you know,

room full of stuffed shirts.

Sorry.

Your loss.

Sorry to love you and leave you but I've got to go to

a Mindfulness Leadership Course.

Naomi raves about that. I've been thinking about doing it myself.

Oh. Go instead of me? Morven.

-Hi, welcome back.

-Thank you, Ms Campbell.

-It's good to see you.

-Now, everyone's here for you,

so if you need to take some time out, just ask.

Thank you. I'm fine.

Right, wish me luck.

OK, we've got Lily Musgrove, 50 years old,

transfer from the ED. Severe abdo pain.

Suspected reducible umbilical hernia.

Mr Musgrove, what are you doing here?

Oh, Dr Shreve, I'm so pleased to see you.

I'm here with my wife.

She collapsed up on the allotment, gave me a terrible shock.

She's got this pain in her stomach...

Do you think you could just have a look at her for me, please?

Of course.

-He's gorgeous, intelligent, charismatic.

-Exactly.

-No, sorry, you've lost me.

-Look at my track record.

A gorgeous guy comes along and I either mess it up

and scare them away, or they end up being a knife-wielding psycho.

-But this is Isaac. He's dif...

-Don't say different!

They're all different, but they always work out the same.

But they were different. You were incompatible.

Just because you're trying to live your love life

vicariously through mine...

You are so going back to him now and accepting, or I will.

Hello, Mr Jacobs.

Stomach is distended and tense, possible incarceration.

She'll need IV fluids, cross match and clotting,

FBC, U&Es, LFTs, and an abdo CT, please.

Why didn't you come in sooner?

-I told her to.

-It wasn't so bad, just a slight pain.

And today, I could hardly move.

And you haven't injured the area in any way?

No. I noticed it was swollen, but didn't think anything of it.

OK, well, Dr Digby here, will make sure that you're comfortable,

while we wait on the results of those tests.

Dr Digby?

Yes, I'm Dr Digby now.

Oh, so you got married? Congratulations. That's lovely news.

We got married a month ago, didn't we, love?

Yeah, in a beautiful hotel in Bournemouth. It was perfect.

You must tell us all about your wedding. Where is Arthur?

Arthur sorted me out the last time I was in here.

He knew exactly what words to use with an old soldier like me.

SHE CRIES OUT

Are you all right, love?

Do you think you get her something for the pain?

Yes, of course. I'll be right back.

Could we get Mrs Musgrove on 10mg of morphine, please?

And would you mind keeping an eye on her, just while I pop out?

Yeah, sure.

I don't get it, cos I passed my last medical with full marks.

OK, what medical was this?

I'm a gymnastics coach.

Right. Nothing's happened before?

No. Well, I had a silly fall in training yesterday.

Then I collapsed on my way to my German class this morning,

and next thing I know I'm in hospital.

Geht es gut?

Ich habe mich schon besser gefuhlt.

Show off.

Wie geht es dir?

No, no, I'm absolutely fine, thank you.

Um, so, why German?

My boyfriend's German.

I'm moving to Berlin next month to open a gymnastics school.

So cool! I used to have a German boyfriend.

Well, he wasn't really my boyfriend, but I loved when he spoke

to me in German.

"Jasmine, liebling, kommen here. Jasmine, bring me ein bier.

-"Jasmine..."

-OK, that's enough!

Astrid, it looks like your heart is slightly enlarged.

Now, I'll need to look at your scans to assess why you collapsed

and suffered a subsequent cardiac arrest.

Is that what's causing my back pain?

Might be. Where's the pain?

-Here.

-OK, lean forward for me. That's it.

And you don't normally suffer from back pain?

No. Well, I have in the past.

Right, we'll organise an MRI for that too. Thank you.

Someone's got the hots for you.

Well, yes, I have that effect on most women.

Oh, thank you, Tom. Brilliant. Bye.

Well, I won't have to wait for test results all day.

I can hopefully move Mr Oesophageal Varices into HDU even sooner.

Well, I can save you from your varices hell.

I've been called in to do an emergency atherectomy,

so you will be assisting Mr Valentine with Astrid Adams' case.

How's she doing?

Oh, she's stable. I'm waiting on her scans,

but my guess is it's a tear on the aorta.

Don't just sit there waiting, chase it up.

Why's she gone all Jac Naylor on us?

Not enough caramel drizzle on her latte?

So, is this the...?

Yep. Yep, that's the notes.

Thank you, Mr Valentine.

Strong tea and sugar,

what every good soldier needs to get them through the day.

A Napoleon cake. That's Arthur's favourite.

Indeed.

Mr Musgrove is asking...about Arthur.

I just don't know how to tell him.

Arthur and I treated his wife about eight months ago now.

She was a lovely woman. She died.

-Poor man. Lily's quick work then.

-Mm-hm.

Then Hugh was admitted about a week after she died.

He was in a real state.

Arthur helped him. We both did.

Do you want me to tell him for you?

No, no, no, it's OK. I will.

After tea and cake, then you can face anything.

If every locker is open, then every third is shut...

Is this why the locker room's full of neon sticky notes?

I love a challenge. I won't rest till I've cracked this little baby.

Well, a problem shared is a problem halved.

OK.

Right, so there's a school, 1,000 students,

1,000 lockers, headmaster...

I'm going to be away for some of the day

on the Mindful Leadership course,

so I'll be assigning my elective to you, Mr Mayfield,

as you, Mr Levy, will be joining us on the mindful yoga session

at lunchtime.

Also known as Levy's nap time.

The hospital is taking this programme very seriously,

and you will be expected to pass on the techniques

to the staff of Keller.

By the way, did you take the packet of sticky notes from my desk?

Me? No.

Well, I expect they'll turn up.

Dr Copeland, I'd like you to assist Mr Mayfield on my elective.

Vince Hardy, he's come in for a bowel resection.

I was meant to be assisting Nurse Harrison on an adrenalectomy.

I think she could probably do with the support this week.

It's OK, I've already spoken to her and she can spare you.

Besides, you and Mr Mayfield make a good team.

Vince, hello there. Good to see you again.

Unfortunately, I will be attending a course for most of the day,

so Mr Mayfield and Dr Copeland will be looking after you, all right?

Your chance to shine, Dr Copeland.

Hello, Vince. I'm just going to check your abdomen.

Tell me if it hurts.

How's that?

It's fine.

HE GASPS

OK, Dr Copeland, run FBC, LFTs, U&Es, and order an abdo scan.

It's not what you think.

Lily, do you still have pain in your stomach?

Mm...

OK, we'll up your pain relief.

Where's your other half been hiding then?

I haven't seen sight or sound of him.

He's not hiding anywhere.

Arthur is dead.

No, I'm sure bird-watching is a fine hobby...

if you're over 50 and lack social skills.

Actually, it's making a revival amongst the under-30s.

Oh, please. You won't catch me freezing my bum off in a wooden shed

in the middle of nowhere waiting for the lesser-spotted pecker

to make an appearance.

After Lucy and I split up, I did try a number of different things

-to meet people.

-Like what?

Well, online dating, which was a disaster.

Speed dating - embarrassing.

Single parties. That was really awkward.

And then I did wine tasting, but you get too drunk.

And, um, bird-watching?

The calming influence of the birds, it really helped me get over Lucy.

I've been happy ever since. In fact, I think this is

the happiest I've ever been.

Well, yes, I'd be slightly more inclined to believe that

if you had been smiling when you said it.

There's this girl - Pamela.

-Who's Pamela?

-Pamela is a rare breed of beauty, intelligence, humour,

and she knows all the calls.

Calls?

BIRDSONG

She can tell the pied wagtail from the mistle thrush.

Sounds like a catch.

-HE SHOUTS

-You OK?

His bowel could be perforated.

Give him 5mg of morphine and, Dr Copeland, chase up that scan.

Vince? Vince, how are you?

We are just about to administer him some pain relief

and we're waiting on the scans.

-U&Es back?

-No, not yet.

Keep an eye on his potassium levels,

he had problems with potassium in the past.

Vince, don't worry. It won't be long now.

If you look very closely, you can see a tiny tear

-on the descending aorta.

-It's barely visible.

Easy to miss. It's sealed by a pseudo-aneurysm.

She'll need a stent.

I thought you'd like to know Astrid's bloods came back

with a raised ALT.

Good. Right, clotting screen, please, and a LFT.

Already done it.

Obs?

On my way.

So, are you going to accept Elliot's offer.

Ha, well...a lot to consider.

Yes. Quite a career shift.

Yeah. Not to mention quite far away.

Well, you'd better pack your walking boots.

There are some gorgeous valleys there. Neelum, Hunza...

Are you planning a trekking holiday in Pakistan, by any chance?

No, Elliot has offered him a job there.

Oh, escaping to a far-flung place?

That's your speciality, isn't it, Valentine? What's he offering?

He needs a doctor to run cardiothoracics in one of the

hospitals he's set up.

Excellent. A job like that will give you invaluable experience.

To think, if you weren't such a flake, you could be back here

in five years' time and running this hospital.

And if I do, I'll hold on to it for more than five minutes.

Come on, you two.

As Zosia says, there are some lovely valleys to explore,

so it's a no-brainer.

I really don't think my career is any of your business.

Sometimes an outsider's perspective is useful in forcing

these difficult decisions.

I mean, from where I'm standing, I can just see a surgeon

who's playing it safe.

I'm not playing it safe, I'm working as part of a team.

Mo is enjoying having you as her whipping boy.

The question is, when are you going to take these life and death

decisions on your own terms?

Because that is what Elliot is offering you.

If you can't see that,

then maybe having your wings clipped by Mo is more your thing.

Have Mrs Musgrove's results come back yet?

Yes. LFTs, U&Es all clear,

we're just waiting on the rest of the bloods.

OK. Could you prep her for her scan, please?

Hi.

I'm sorry about Arthur. You two were so young.

It seems unfair.

But I do know what you've been going through.

Thank you, Mr Musgrove.

So, how did you two meet?

Bournemouth Pier.

I'd only just arrived,

I treated myself to an ice cream cornet and a deckchair.

I put the deck chair up, lovely, looking into the sun,

and then suddenly "crack"!

The whole thing fell apart.

I finished up on me bum on the pier,

arms and legs waving about like a stag beetle.

I saw the whole thing happen.

She came to my rescue!

Heave ho, picked me up like a sack of turnips.

We spent the rest of the day seeing the sights.

Where are you from?

-Ukraine.

-How long have you been here?

About six months.

Mrs Musgrove, they've come to take you for your scan.

-Won't be long, darling.

-Hmm, OK.

You're surprised. I can see it on your face.

No.

Well, yes. I am.

I'm surprised you got married again so quickly.

When you're my age and you've gone through what I've gone through,

it's only then that you realise how precious time is.

All this is due to you and Arthur.

Me and Arthur?

When I came back from hospital, I organised Beth's funeral.

I pulled myself up with my bootstraps,

like you and Arthur told me to do.

I told him about the two Bs,

about me being in Borneo and Beth being in Bournemouth and how

she had always wanted to take me there and I never did.

"Go now," he said. And that's when I found Lily.

If you had told me any of this six months ago,

I wouldn't have believed any of this.

When Lily asked me to marry her, I thought I was dreaming.

She's an angel.

She asked you?

I guess she's a modern woman.

Don't give me that look, love.

I've found happiness and I just wish you the same.

And who knows, in time, you might meet someone who loves you just as

much as Arthur did.

I have to go and get Mrs Musgrove's test results.

-Thank you.

-This test has nothing to do with my heart?

No. This is to check your back.

Your aorta has a tiny tear which we will repair today,

and afterwards, it won't cause you any more problems.

How long have you been coaching?

Years.

I was a professional gymnast but had to give up when I injured my back.

Gymnast? That's my secret Olympic sport.

Everyone has a secret Olympic sport, right?

No, just you.

OK, then what would yours be?

I think with his lean physique he'd make a good javelin thrower.

Nah, you need upper body strength for that.

I think you'll find I have hidden strength.

-High jumper.

-Very good.

-Totally.

You're all wrong. I'd be a sprint cyclist.

-Push up.

-Your back injury, what is it?

Prolapsed disc. But it was years ago.

OK. The scan will tell us more, but the ankle reflex is diminished and

there are some lower motor neurone signs including mild weakness.

Thank you.

Have you noticed any other problems?

Since I fell in training, my legs have kind of been giving way.

Right. You should have mentioned that before.

I just thought I was tired, or weak. I hadn't eaten much...

OK. Try not to worry. All right? Have some rest.

Those symptoms and signs are concerning.

It could potentially be cauda equina.

Let's push for that MRI and inform neuro. Thank you.

When I listened to Mrs Musgrove's chest I heard what I thought

was a pericardial rub.

OK. Well, let's get a CRP then.

Shouldn't I organise an echo too?

No, no. Let's wait and see what the CRP tells us.

Is...is everything OK with you?

Yeah...

It's just that Hugh said that it was because of Arthur and I that

he met Lily.

That's nice. Isn't it?

I just don't get why he couldn't just be happy having had Beth?

He's an old man who is going to spend his last years being

loved by someone.

Let's do our best to help him have that?

A herniated disc?

The scan shows a large sequestrated disc in the lower back with

severe canal stenosis,

significant nerve compression and clinically, cauda equina syndrome.

-She must be in agony.

-Cauda equina's serious. It's going to impact on her job if not treated,

and even then, it could prevent her from continuing?

In an ideal world, we'd combine the skills of cardiothoracics and

neurosurgery and get her straight into theatre. But there's a slight catch.

We need to get some help.

Guy Self.

Off you go, then.

We have confirmed that you have an incarcerated hernia which is

going to require an urgent operation.

OK, Doctor. Thank you.

When will you do the operation?

A theatre slot has just become available.

But in the meantime, Dr Digby is going to give you an echocardiogram.

-What's that?

-It just monitors your heart activity to tell us everything

that we need to know before we operate.

-Do you mind undoing your gown, please?

-No. I don't want the test.

-It doesn't hurt or anything.

-I don't want it.

Come on love. You've got to do what they say.

Mrs Musgrove, it's very important that we do this.

No. I don't want it.

OK. If that's how you feel.

Doesn't she need the test?

I'm certain there's something wrong with her heart.

Well, our priority is to operate on the hernia.

I'm not going to miss a theatre slot

while we argue about having an echo or not.

No, no. That's fine. I know what my mother can be like.

Just let me know if her condition changes.

Thanks. Bye.

Yes, Valentine? What do you want?

My patient has an aortic tear and cauda equina syndrome.

I'm proposing stenting the aortic tear while you perform

a laminectomy and discectomy.

What did the scan show?

A large herniated disc with significant neural compression.

In that case, I'll do my part first, and you can go in after.

Well, I'd need to do the stent procedure first because her

blood pressure is fluctuating and the tear on her aorta is sealed

with a clot which could bleed at any time.

So I suggest we do a joint operation with the patient on her side.

Absolutely not. She needs to be on her front.

OK, well I'll go first.

No, that'll take too long. I can be in and out in less than 30 minutes.

But, Mr Self, we can decrease the anaesthetic time this way.

Oh, very good, Valentine,

using the F1 to try and gain the sympathy vote.

No, cardio and neuro procedures are not an option.

And whilst you've been arguing the toss, I could have operated.

Still, I have to go first.

Not when the patient is displaying neurological compromise.

Wow! He is...

A narcissist? Yeah.

Looks like free fluid. We can take you to theatre now.

Do you mind if we turn that off now, please?

It reminds me of Pamela.

We were listening to the reed warbler when she asked me out.

But I said no.

You see Lucy left me because I was, and I quote, she said I was,

"boring, mind-numbingly so, tedious..."

-Sad?

-Yeah. She said I was sad, insipid...

That's quite a considerable list.

"Dumb". And the nail in the coffin was, "unhygienic."

Oh, unhygienic. Gets me every time.

When I see Pamela, the list,

it comes charging racing back and I get this knot in my stomach.

You need to forget Lucy and her negativity and take

a leap of faith with Pamela.

Sharing a common interest is the first step to a successful pairing.

Successful pairing? Aw, you're starting to sound like a twitcher.

You may mock me. But Vince knows what I'm talking about, don't you, Vince?

Mr Self insists on doing his procedure first.

Is the patient stable?

Well...there's risk she could arrest on the table.

My worry is that her heart won't hold up.

The neuro op will be fast.

Why are you siding with Guy?

I just told you.

Neither Jac nor Elliot would ever let this happen!

Then you know what you should do.

Get on a plane to Pakistan and go and work with Elliot.

She'll not listen to me.

But if she's got a heart problem, we really need to know about it.

Look. I agree with you.

But if Mrs Musgrove doesn't want the test, then we can't force her.

You don't want to help her because really,

you don't like her because she's not Beth.

-That's not true.

-Yes, it is true.

I know what you're all thinking and saying about her.

She's come over here, taken advantage of the system.

Taken advantage of me!

We don't think that.

Do you know why she doesn't want the test?

What's she afraid of?

That's what I need you to find out.

If she were British you'd be pulling out all the stops,

like you did with Beth.

-But she's not Beth.

-Oh!

I'm really sorry...

Hey, what's going on?

At last! A doctor who will help us.

She won't help Lily.

That's not true.

All right. All right, Mr Musgrove.

-Come on, let's go and see your wife, eh?

-Oh...

You may have to postpone your trip.

Your boyfriend will understand.

Moving to a new country, learning a new language,

setting up your own business, these are big steps,

not to mention recovering from heart and spinal surgery.

What do you think, Mr Valentine?

Dr March is right.

But it's my life...

If I don't do this, then what's the point?

BEEPING

-BP's rising.

-OK.

Increasing oxygen.

SHE GASPS

Hand me the steth, please.

Deep breaths, Astrid...

Sorry to interrupt, Ms Effanga,

but I really need you to reconsider your decision about Astrid Adams.

The chest X-ray showed a pleural effusion on the left side,

which wasn't there before.

If the BP is stable, and heart rate and haemoglobin are normal,

then there won't be any bleeding.

The effusion may be as a result of the initial trauma.

We can hold off on the op until Guy's done.

Do I have to take this further?

For crying out loud, Ollie.

I have better things to be doing

than refereeing an ego clash between you and Guy.

Put your differences aside and get on with your job.

I'm not going anywhere until I have your approval

to operate before neuro.

Could you take over please? Do I have to do everything myself?

Ollie, you're off the case.

Wow. You really don't trust me at all, do you?

I've been looking for you.

I came here to clear my mind.

I just can't see the wood from the trees.

How's Lily?

Still refusing an echo,

but we're going to get her into theatre as soon as it's available.

I just don't get it.

She's hiding something from Hugh.

I hope she doesn't hurt him.

Why would she do that?

Hugh was a soldier. He can handle anything.

Not all soldiers are strong.

No, that's true, they're not.

I've seen lots fall apart, when they saw their friends die.

But the ones who managed to put themselves together,

they could get through anything.

They wanted to make sense of the loss of all those young lives.

They were soldiers with a job to do...

They were going to make that job count.

Arthur would know what to do.

What would you say to him if he was here now?

How can I help Hugh?

That's easy.

By doing your job and saving Lily.

Ms Effanga's going to take over your case.

Why?

She has her way of doing things, and my way isn't working for her.

But will I be OK?

You will. She's a fantastic surgeon.

So what's the problem?

You're your own boss?

I will be when I open the school.

And at the school, you'll train the gymnasts as you see best

without interference from anyone else?

Yes.

Well, that's what I don't have here.

So, time to run your own hospital?

Yes. I guess you're right.

Staple gun, please.

We'll have Vince as good as new and dating fellow twitchers in no time.

Suggesting his perfect partner based on a hobby?

What attraction amounts to is basic symmetry. Suction, please.

So if Vince has enough mental and physical connection with Pamela,

bingo.

BEEPING

The BP's dropping. Why?

-An arrhythmia?

-No. This isn't right. Check his notes.

-Oh, no...

-What?

It's his potassium levels.

I completely forgot to check them, and they're low. They're really low.

We'd better get them up again or he's in danger of going into cardiac arrest.

Insert a neckline.

'How's it going, Mr Mayfield?'

Couldn't be better.

'Why are you inserting a neckline?'

His potassium levels were down.

'I specifically asked Dr Copeland to keep a close eye on his potassium levels.'

-I...

-Yes, and he did,

but the initial tests didn't show there was anything to worry about.

'OK. As long as you've got it under control.'

Yes, we do.

What he doesn't know, will be better for his blood pressure.

The bowel wasn't just perforated, it was tissue paper thin.

I can't see a thing. You need to protect the ureter.

-I can't see it.

-More suction.

Look, here's the right ureter. I'll give you a clue...

It'll be in the same place as the right one, but on the left.

Got it. Diathermy, please.

There we go.

And the bleed has stopped.

Isn't symmetry a beautiful thing?

FRANTIC TYPING

Wow! Don't need to take it out on the keyboard.

This is my happy face, Dr Burrows.

Unless you've got resting bitch face, you don't look very happy.

This is my resignation.

I'm not staying here.

Valentine, how can you break a girl's heart like that?

-We've only just met!

-Is it true you're no longer on Astrid's case?

I'm currently planning on going trekking, in Pakistan.

I hear the Neelum Valley's pretty nice.

How's Lily?

She's due in theatre any minute.

What are you doing?

I'm just looking for an old case.

The patient came in with chest pain.

Their CRP was elevated and they had a pericardial rub too.

But I can't remember what the outcome was.

Could I have some help here, please!

Stand back, Mr Musgrove.

The hernia's strangulated. We need to operate straight away.

Lou, can you help over here, please?

We need to get her straight into theatre.

All right, let's do it.

SHE GROANS

Don't worry. It's going to be OK.

I'm happy for Mr Self to take her in.

Mo, while I agree with your decision about Astrid, I'm slightly concerned

that my father only insisted on going first cos Olly asked him to.

If I thought your dad's intentions were purely personal,

I would've intervened.

But it is good to see you looking out for a "colleague".

SHE LAUGHS

-Ex-colleague.

-What do you mean?

I think you'll find his resignation letter on your desk.

Oh.

HEART MONITOR BEEPS

-FASTER BEEPING

-Oh, she's tachycardic.

Push more fluids. We need to get her BP up.

Mrs Musgrove has pericardial effusion.

-What?

-I found an old case of Arthur's.

A hernia patient presented with pain in his chest and tachycardia.

His CRP was elevated, but his initial ECG was clear.

Finally, an echo showed pericardial effusion.

It certainly would explain the tachycardia.

Good spot, Dr Digby.

Can you get onto Darwin? Tell them I need someone down here immediately.

Oh and, Dr Digby? Scrub in.

I wonder why she refused the echo? It doesn't make any sense.

-ALARM BEEPS

-BP's dropping.

-It's her heart. She's arresting!

-HEART MONITOR FLATLINES

KNOCK ON DOOR

Quick! Take this while the coast is clear.

Ms Effanga is costing me a fortune in coffee.

You shouldn't have.

I'm trying to bribe you to stay.

Well, it'll take a whole lot more than a latte,

even if it does have caramel drizzle.

Astrid's boyfriend.

She's happy to talk about him, but when I do, she gets cagey.

-Something's not right.

-The only thing that's not right is that,

whatever Guy Self wants, he gets.

So what would it take to get to do what you want?

-HE SIGHS

-Jac Naylor.

She's all right, is she? Cos I've heard she's a proper cow.

Well, she's like Jadis on a good day and Maleficent on a bad one.

They're witches.

Well, if she's so evil,

why would she have let you do what you wanted today?

Because she loves nothing more

than giving people the opportunity to mess up.

-Except you wouldn't have messed up.

-HE LAUGHS

No. You don't get to mess up more than once with her.

So...leaving...

I mean, will it really be all that different?

New job, new colleagues, a whole new world of problems.

As someone just starting their training in the country's

leading cardiothoracic department, hoping to be where you are one day,

it seems crazy to throw it all in.

PAGER BEEPS

We're needed, on AAU.

HE LAUGHS

Sorry, do you mind if I borrow these for just one moment?

HE LAUGHS

-Aw, this is priceless.

-What is?

Have a look at that.

THEY BOTH LAUGH

Bring the elbows opposite to the leg.

-HEART MONITOR FLATLINES

-All right, charge to 150.

DEFIBRILLATOR BEEPS

Clear. Shock.

HEART MONITOR BEEPS NORMALLY

And she's back.

Ah, Mr Valentine, there you are.

OK, we've got a 50-year-old female, undiagnosed pericardial effusion.

She went into cardiac arrest, but is now back in sinus rhythm.

Right, we need to run a trans-oesophageal echo

and hook her up for an ECG. This is Dr Burrows, our new F1.

Right, let's run the ECG and line up for the echo, please. Needle?

Thank you.

Right, well, it seems the operation was a success.

We're going to keep you in for observation,

but I don't see any reason why you can't be back to normal very soon.

I'm sure Pamela's already in a hide waiting for you somewhere.

When I'm with Pamela, you know, watching the way the birds

glide around, listening to the noises they make,

with their beaks and feathers...

You're describing what I've just seen.

..I feel relaxed and then...

then I turn and look at her and my heart just skips a beat.

HE SIGHS

Listen, Vince...

-Does she make you smile 100 times a day?

-300.

And when she looks at you, do you feel invincible?

Could you listen to her talk for hours and hours and hours?

-And hours.

-HE LAUGHS

So she's got you pretty hooked?

-Yeah.

-Then there's nothing else for it, really, is there?

Just get rid of those shackles from the past.

And be free.

Like a bird.

Fly to Pamela.

RECORDING OF BIRDSONG PLAYS

Did you do this?

Yeah, it just... just kept me entertained.

Do you mind?

You're clearly besotted.

And he saved your skin in theatre.

What's this?

What are you waiting for?

HEART MONITOR BEEPS

OK, that's the fluid drained.

The heart should be fine.

Thank you, Mr Valentine.

OK, one prolene, please.

Thank you.

Yeah.

I think this is going to be fine.

Heart's stable.

I think it's safe to say that you just saved Lily.

So the next thing we do is use a microscope to locate the disc,

we then remove the disc, and, hey presto, the operation is over.

-Sounds so easy.

-Well, yeah, it is actually, if you know what you're...

ALARM BLARES Mo! She's crashing!

-Let's get her into theatre quick.

-Olly was right. The tear's leaking.

-Sorry, Guy, we're going to have to operate first.

-What's going on?

She needs a graft via emergency thoracotomy.

SHE SIGHS, DOOR OPENS

I miss him, Dom.

Me too.

People keep saying to me, "Life is short, it's precious."

-It doesn't really help, though, does it?

-Nope.

I couldn't bring myself to empty his locker.

In a weird way, though, it's nice to find his stuff still there.

We should probably take it home now, though.

Yeah.

I'll help you.

Let's make every second of our lives count...

..for Arthur.

If we hadn't wasted so much time,

this wouldn't be an emergency procedure.

Now's not the time for that, Oliver.

Let's go on bypass, please, now. Clamp.

Looks like the tear's bigger than we thought.

We might need to replace part of the aorta. I need a 20mm graft, please.

ALARM BEEPS

Mean pressure's low.

Increase the flow, please. We need to be quick.

Why didn't you tell us about the heart condition?

Lily?

It's true. I knew there was something wrong with my heart.

Well, you're really lucky that we caught it in time.

I'd been to my doctor in Odessa, where I'm from, in Ukraine.

And he sent me to hospital.

-For the hernia?

-Mm-hm.

They were going to operate,

and then they discovered this heart condition.

But why didn't you say something about it?

The doctor refused to operate on me, because of the problem,

and so I thought, if I told you, you'd say the same,

then I can't help Hugh any more.

We wouldn't have done that.

Is that why you came here?

-For treatment?

-No.

I came here after my husband and daughter were killed.

My daughter was due to go on a trip to Bournemouth to study English.

So I went instead.

Then I met Hugh...

..and I decided to stay.

It was...just meant to be.

We both know how precious life is, and how it can change so quickly.

I'm pleased for you both.

Really.

Things will get easier for you.

I promise.

Um...

I found, um, this stuck in Arthur's locker.

-Bournemouth!

-Bournemouth?

Great place.

Will you be going to see some of Arthur's favourite places?

Funnily enough,

I think this hospital was Arthur's favourite place.

Graft's holding.

Blood is flowing.

OK, now for the moment of truth.

Let's come off bypass slowly.

BYPASS MACHINE SLOWS

HEARTBEAT REMAINS STEADY

-Well done.

-OK, Valentine, close up and then move over.

-With pleasure.

-I'll need her heart monitored whilst I operate.

It seems that Mr Valentine was right.

We needed to do the aortic stenting immediately.

Actually, at the time he suggested it, we didn't.

But the course of events changed the criteria.

Credit where credit's due, Mr Self.

We'll have time for that when we've finished the operation.

Top off again?

Thank you for saving me from the wrath of Ric Griffin earlier.

No problem. You'd have done the same for me.

31.

31 lockers will be left open.

Square numbers. I knew it. How did you work it out?

So...is the ticket mine?

Sorry. No, you were right about all those stuffed shirts.

I wouldn't want to spend an evening with them,

-so I gave the tickets away.

-OK.

How did you...solve the problem?

-Well, I didn't. Vince did.

-I'm not talking about the maths.

Look, I know I've been reluctant to commit, but that's just because

-I don't want this to be casual.

-Then why all the drama?

Well, because if it's not casual, then it's...serious.

What, you can't do casual, or serious? Now, that IS a conundrum.

I don't want it to go wrong

and, given my track record, it inevitably would.

Well, it's time to change that track record, then.

Will you look at those?

-Hmm?

-HE LAUGHS

-Do you mean...?

-Yep, the ticket is yours.

How did you know my size?

Well, I'm pretty clear on my measurements.

Hello, sleepy.

Both operations went well.

Just no backflips or somersaults for a while, please.

Thank you.

Aw.

In Goa, people carry pictures of the lotus

to remind them of their loved ones that have passed away.

"The lotus flower blooms in the mud."

It's a saying.

A way of reminding people that there's...

light at the end of the tunnel when grieving.

Oh, why didn't you tell us he was dead?

It was about a year ago.

A car accident.

-I'm sorry.

-Oh, you must think I'm mad...

speaking about him as if he's still alive.

I recognise someone who's grieving.

It makes us do things we wouldn't normally do.

It's easy to run away from real life, Astrid.

I don't know how you resisted it for so long. Ha!

I'm told you saved Lily Musgrove's life.

Good work, Dr Digby.

What's that?

I found it in Arthur's locker.

It could be his life's work or,

if I'm really lucky, it could be a map of the 12 Colonies of Kobol.

What?

Sorry about earlier.

-I could've used your support, and your trust.

-I know.

And look, I didn't mean what I said about you going to work with Elliot.

Which is why...

-Ah, yeah, um, that.

-Hmm, I'm not accepting it.

We need you here too.

I can't believe you let it get that far.

I thought maybe it was best if I moved on.

Maybe not to Pakistan, but somewhere.

I mean, I know deep down you know you love working with Snippy Mo.

Oh, you're not snippy, maybe grouchy, grumpy and stressy,

especially lately,

but never ever snippy.

-ON PC:

-# I got you, babe

# I got you, babe

# I got you, babe... #

I'd heard there was, er, a hospital duo topping the karaoke charts.

-I didn't know it was you two.

-MORVEN LAUGHS

Morven! You sound just like her!

-Who?

-Dusty Springfield.

-LAUGHTER

Yeah, well done.

Oh, no, play it again. Play it again?

And then I suggest drinks at Albie's, so I can wash away

the mind-numbing goodness of mindfulness

-with a healthy dose of Shiraz.

-MORVEN LAUGHS

-# They say we're young... #

-Isn't it Dusty Springfield?

No, it's not.

# ..and won't find out until we grow... #

# Well, I don't know if that's all true

# Cos you got me And, baby, I got you

# Babe

# I got you, babe... #

CAMERA CLICKS, LAUGHTER

Don't forget to ask him about that doughnut place.

Yeah, I'm hoping that's a habit he's managed to break.

But, yeah.

My hiking boots will be staying put for a while.

Really?

II was looking forward to the postcards.

You coming for a drink to celebrate Ollie staying?

No, I can't.

Sorry.

You know, earlier, Zosia asked me

if I thought that Guy had deliberately blocked your proposal.

She seemed genuinely concerned. Just saying.

SHE HUMS TO HERSELF

# Babe, I got you... #

-Mr Hanssen.

-Good night.

-Oh, Dr Digby?

-Mm-hm?

There is life and there is new life.

That was the end and this is the beginning.

It's Old Norse, Dr Digby. The Battle of Ragnarok.

Keep asking the questions.

THEY LAUGH

BELL RINGS

SHE HUMS I Got You Babe

That...is better.

-Start the clock, mate.

-OK, guv.

-The fun starts here.

What on earth is the One-legged King Eagle pose?

-I'll be demonstrating in a bit.

-I'd pay good money to see that.

LAUGHTER I've missed you guys so much.

-Aw!

-Cheers!

-Cheers.

-To the best cardiothoracic team in the country.

-I'll second that.

HE LAUGHS

Change of plans?

Something like that.

-The usual?

-Yes.

-Look at that!

-WOMEN GIGGLE