0:00:03 > 0:00:06Why is it called Traffic Lite Night? Red is no, green is go.
0:00:09 > 0:00:11Because friends go speed dating together, don't they(?)
0:00:11 > 0:00:14You ended us. What difference is it to you who I take speed dating?
0:00:14 > 0:00:17I'm worrying whether Evie's coping, whether Mikey's coping.
0:00:17 > 0:00:19My little one is barely sleeping through the night.
0:00:19 > 0:00:21I can't ask Raf to do any more than he is.
0:00:21 > 0:00:25If there is another problem to add to my list, get it off your chest.
0:00:25 > 0:00:27I need some space. Argh!
0:00:27 > 0:00:30Ah! Ah.
0:00:31 > 0:00:35Well, hello, Fletch. I must say, I'm glad to see you.
0:00:35 > 0:00:38You deserve to live the life you want.
0:00:38 > 0:00:40But the things that I want...
0:00:43 > 0:00:45..aren't the things that you want.
0:01:29 > 0:01:31BEEPING
0:01:31 > 0:01:33HEARTBEAT
0:01:35 > 0:01:37Mikey?! Argh!
0:01:37 > 0:01:39Yeah, I'm coming.
0:01:43 > 0:01:45HIGH-PITCHED RAPID BEEPING
0:01:49 > 0:01:51SIREN WAILS
0:01:54 > 0:01:56RAF YAWNS
0:01:59 > 0:02:01Morning. Hey.
0:02:01 > 0:02:03Oh.
0:02:03 > 0:02:06Here. Extra shot.
0:02:06 > 0:02:09Your need is greater than mine. Thanks.
0:02:09 > 0:02:10Did you get any sleep at all?
0:02:10 > 0:02:12I had this horrible dream where I was drowning
0:02:12 > 0:02:15and then I woke up and the wee one was crying, so...
0:02:15 > 0:02:17Poor little thing.
0:02:17 > 0:02:19God, life is cruel, isn't it?
0:02:21 > 0:02:23Oooh!
0:02:25 > 0:02:27Ah, Mr...
0:02:27 > 0:02:30Mr Levy. I didn't, er...expect to see you here this morning.
0:02:30 > 0:02:32Yeah, sorry, last minute change of shift.
0:02:32 > 0:02:34And shirt, by the look of it.
0:02:34 > 0:02:35Bit OTT, isn't it? Well...
0:02:35 > 0:02:38Huh! Oh, that's a cool shirt!
0:02:38 > 0:02:40Thank you.
0:02:40 > 0:02:43Yes, I think Dr Copeland is probably a better arbiter
0:02:43 > 0:02:45of the sartorial zeitgeist than am I.
0:02:49 > 0:02:50Morning. Morning.
0:02:53 > 0:02:55Hi. Hi.
0:02:55 > 0:02:57I thought you were on a late? I thought you were.
0:02:57 > 0:02:59HE SIGHS
0:03:03 > 0:03:05What exactly happened? No idea.
0:03:05 > 0:03:07He must have tried to get out of bed and just hit the deck.
0:03:07 > 0:03:10Have you done a head CT? Yeah, yeah, it's all clear.
0:03:10 > 0:03:14Well, his temperature was up. Maybe he got confused.
0:03:14 > 0:03:17Look, we have to go, we have a consult...now.
0:03:17 > 0:03:19OK, I'll keep an eye on him. Raf? Are you coming?
0:03:22 > 0:03:23HE SIGHS
0:03:27 > 0:03:29So, when are you going to tell Zosia?
0:03:29 > 0:03:32Hey! You all right? Yeah, just pregnant.
0:03:33 > 0:03:35Nice skirt. You said that yesterday.
0:03:35 > 0:03:37I know. It's the same skirt.
0:03:37 > 0:03:39Well, I was wined and dined by Mr Valentine.
0:03:39 > 0:03:41Aha! New Moroccan place.
0:03:41 > 0:03:44Nice! Hot, was it? The food, I mean.
0:03:44 > 0:03:47If that look was more penetrating, they'd use it on radiology.
0:03:47 > 0:03:49I think he found it just spicy enough.
0:03:49 > 0:03:51I don't think I should have had that last pastry.
0:03:51 > 0:03:54What's that? Hm? Pigging out again, Ollie?
0:03:54 > 0:03:56Oh, you know, greasy food.
0:03:56 > 0:03:58Always makes me feel a bit queasy in the morning.
0:03:58 > 0:04:01Can we talk about the lung reduction, please? Yes, sure.
0:04:01 > 0:04:03Nice skirt! Thanks.
0:04:10 > 0:04:13He was asleep when the duty nurse left him.
0:04:13 > 0:04:14And we've no idea how he fell?
0:04:14 > 0:04:16No. He hadn't rung for anyone,
0:04:16 > 0:04:20there was no equipment in the way, the floor was clean and dry.
0:04:20 > 0:04:22The board, of course, will want to ask questions,
0:04:22 > 0:04:23as they have every right to do.
0:04:23 > 0:04:25Yeah. I'll do the report.
0:04:25 > 0:04:28That would be very helpful, thank you.
0:04:32 > 0:04:34DOOR SLAMS
0:04:35 > 0:04:38Whose is this? It's mine.
0:04:38 > 0:04:40Yours? I didn't know you sing.
0:04:40 > 0:04:43Yeah. I thought I might try out for the hospital choir.
0:04:43 > 0:04:45Oh. OK, well, good luck.
0:04:45 > 0:04:47They're actually quite good.
0:04:47 > 0:04:49Oh, really? Yeah.
0:04:51 > 0:04:53So, who've we got? What?
0:04:53 > 0:04:56Oh, yes! Er...it's Becky Schama. Yeah, she's on the way up.
0:04:56 > 0:04:58I've been trying to chase her up,
0:04:58 > 0:05:00she missed her last check-up. I'll take it.
0:05:00 > 0:05:02It's an emergency admission. She's been severely vomiting,
0:05:02 > 0:05:06so I think I should probably come with you. Yeah, of course.
0:05:08 > 0:05:11I always thought we had a lot in common with Becky and Simon.
0:05:11 > 0:05:14You know, similar age, similar family background.
0:05:14 > 0:05:15Yep.
0:05:17 > 0:05:19Your hair looks lovely, by the way.
0:05:19 > 0:05:21Thank you. I thought I would try something different.
0:05:21 > 0:05:23Yeah, same here.
0:05:28 > 0:05:30Carla Arenas.
0:05:30 > 0:05:3378 years old, chronic obstructive pulmonary disease.
0:05:33 > 0:05:36Don't tell me, she's been smoking 40 a day for 30 years?
0:05:36 > 0:05:3940 years, actually. Gave up 10 years ago. Hurrah!
0:05:39 > 0:05:43And since then, she's become a bit of a fitness freak, until the COPD.
0:05:43 > 0:05:46She's been responding well to treatment, attending physio,
0:05:46 > 0:05:49being an all-round good girl. Better late than never.
0:05:49 > 0:05:52So, what makes you think a lung reduction's her best option?
0:05:52 > 0:05:55Well, I think it will hugely improve her quality of life.
0:05:55 > 0:05:59And when we did an X-ray, we found this...there.
0:05:59 > 0:06:01That's tiny!
0:06:01 > 0:06:04A lung reduction could prevent it from being life-threatening.
0:06:04 > 0:06:05It might be benign.
0:06:05 > 0:06:08Just a question of killing two birds with one stone.
0:06:08 > 0:06:10Good luck getting an anaesthetist on board.
0:06:10 > 0:06:12You know how much they love COPD. Just leave that with me.
0:06:12 > 0:06:15It'll take a lot more than your admittedly considerable charm.
0:06:15 > 0:06:19Well, I want Ms Jackson, and I'm not going to ask, Ollie is.
0:06:19 > 0:06:22Ooh, you're pimping Ollie! Yeah. He loves it.
0:06:22 > 0:06:23Huh!
0:06:28 > 0:06:31Fletch? W-What's going on?
0:06:31 > 0:06:34Back and neck pain. And now I can't feel my feet.
0:06:34 > 0:06:35Full spinal precautions.
0:06:35 > 0:06:37I've requested a spine MRI and CT scans.
0:06:37 > 0:06:40Spinal fracture? But wouldn't I be in more pain?
0:06:40 > 0:06:42Won't do any harm to be 100% sure.
0:06:42 > 0:06:45Have you done bloods? Yep. I'll see if there's a scanner free.
0:06:46 > 0:06:50Tone, coordination, power, reflexes,
0:06:50 > 0:06:54normal bilaterally, but there is definite loss of sensation
0:06:54 > 0:06:55to light touch and pinpricks.
0:06:55 > 0:06:57And it's bilateral? Yep.
0:06:57 > 0:06:59It's not a stroke. Definitely not.
0:06:59 > 0:07:01You're not diabetic, are you?
0:07:01 > 0:07:04No, but my old man is. I test myself regular.
0:07:04 > 0:07:08Mate, how's the head? Sore.
0:07:08 > 0:07:11And have you any idea why you fell last night?
0:07:11 > 0:07:13I haven't got a clue what happened.
0:07:13 > 0:07:16Yesterday, it was just pins and needles.
0:07:16 > 0:07:19There's one free now. I'll take him.
0:07:19 > 0:07:22Can we get some help in here, please? Quick as you can.
0:07:22 > 0:07:24Mission accomplished.
0:07:24 > 0:07:26Ah! Well done!
0:07:26 > 0:07:28See, she's the top man. Mm.
0:07:28 > 0:07:30Even with Jackson, it's still a risk.
0:07:30 > 0:07:33Well, I'm with Zosia. I think it could improve her quality of life.
0:07:33 > 0:07:35So, shall we go and meet her? Sure!
0:07:36 > 0:07:39Wow! Was that your stomach? Yeah. No breakfast.
0:07:39 > 0:07:43Greasy food queasy, eh? Yeah. Zosia, I need to, um...talk to you later.
0:07:43 > 0:07:46OK. What, about the op, or...?
0:07:46 > 0:07:48No.
0:07:49 > 0:07:51It's personal.
0:07:54 > 0:07:55Sure.
0:08:02 > 0:08:04Oliver Valentine...
0:08:04 > 0:08:06I know what you're going to say and it's under control. Good.
0:08:06 > 0:08:09Because this is going to be a tricky one for Zosia
0:08:09 > 0:08:11and I do not want a messy fallout over the patient.
0:08:12 > 0:08:14Message received and understood.
0:08:18 > 0:08:21Hello, Carla. Hi!
0:08:21 > 0:08:24This is Ms Effanga and Mr Valentine.
0:08:24 > 0:08:27That's quite a name to live up to.
0:08:27 > 0:08:28Carla is a publisher.
0:08:28 > 0:08:30Oh, really? I love reading.
0:08:30 > 0:08:32Do you? What sort of things?
0:08:32 > 0:08:34Don't mind, as long as it sends me to sleep.
0:08:34 > 0:08:39I have a book by my bed for precisely the same reasons.
0:08:39 > 0:08:41OK, there are a few things before we go ahead.
0:08:41 > 0:08:45Um...the surgery carries a certain risk. I know.
0:08:45 > 0:08:47I could die on the table.
0:08:47 > 0:08:49Is that what you're trying to say?
0:08:49 > 0:08:53If my future is stuck in a chair watching daytime TV,
0:08:53 > 0:08:56well, frankly, I'd rather be dead.
0:08:56 > 0:08:58Have you talked to your family about this?
0:08:58 > 0:09:00My friends are my family.
0:09:00 > 0:09:04And we've talked about nothing else for weeks.
0:09:04 > 0:09:08I'm ready for the next big adventure, whatever it is.
0:09:08 > 0:09:11Jose Fuentas? Yes.
0:09:11 > 0:09:14I published his first novel.
0:09:14 > 0:09:16You discovered Jose Fuentas?
0:09:16 > 0:09:19I suppose you could put it like that. Huh!
0:09:20 > 0:09:24His stuff's amazing. It's even better in Spanish.
0:09:24 > 0:09:25Yeah, I read it in Spanish.
0:09:25 > 0:09:29Darling, let's hope I survive.
0:09:37 > 0:09:39This looks fine, too.
0:09:39 > 0:09:41Yeah. I wasn't exactly looking forward to telling him
0:09:41 > 0:09:43he might have a spinal fracture.
0:09:45 > 0:09:48CT and MRI both good, Fletch.
0:09:48 > 0:09:50So, I can take this thing off now, can I? Yeah. Here.
0:09:52 > 0:09:54Oh! Cheers.
0:09:54 > 0:09:57You didn't slice through my spine, then? Just managed to miss it.
0:09:57 > 0:09:59Some might think you didn't have any faith in me.
0:09:59 > 0:10:02I'll chase bloods.
0:10:02 > 0:10:04How are the kids? Yeah, top form.
0:10:04 > 0:10:06I'm running the show with military precision.
0:10:06 > 0:10:09Bernie would be proud of me. What about Mikey?
0:10:09 > 0:10:12Mikey got twice my score on the computer last night. He's OK.
0:10:12 > 0:10:14What's his behaviour like? It's all under control.
0:10:14 > 0:10:17I even managed to clean out the fridge last weekend.
0:10:17 > 0:10:20Some of the food in there had sell-by dates in Roman numerals.
0:10:20 > 0:10:24Very funny. So, he's not acting up? No, he is good as gold.
0:10:24 > 0:10:27I dropped him off at school today and he ran off with his mates.
0:10:27 > 0:10:28He's a popular kid.
0:10:28 > 0:10:30OK, let's get you back on the ward.
0:10:30 > 0:10:32Swing your legs over.
0:10:36 > 0:10:37Fletch?
0:10:41 > 0:10:43I can't move them.
0:10:44 > 0:10:46Ah, Becky, excusez-moi!
0:10:48 > 0:10:49Hello! Ah! Hello, strangers!
0:10:49 > 0:10:52Hi, Essie. I'm really sorry about last month.
0:10:52 > 0:10:54Oh, look at you!
0:10:54 > 0:10:57Oh, do you like it? Yes, I thought it might cheer everyone up a bit.
0:10:57 > 0:11:00Either that, or they'll think they're delirious.
0:11:00 > 0:11:02Becky! Tact is not one of her strongest points.
0:11:02 > 0:11:04You can't afford it in my job. You're not back at work, are you?
0:11:04 > 0:11:06No, not yet, but I cannot wait.
0:11:06 > 0:11:10I have got to get out from under Mary Berry's feet.
0:11:10 > 0:11:12I've just signed up for a cookery course.
0:11:12 > 0:11:13Have you? Have you? Yeah.
0:11:13 > 0:11:16Southeast Asian cuisine. Oh, I love cooking Thai food.
0:11:16 > 0:11:18I love French food. I love eating it.
0:11:18 > 0:11:20THEY LAUGH
0:11:20 > 0:11:23So you've been vomiting. Mm. For three days? Mm-hm.
0:11:23 > 0:11:26It's not a sign of rejection, is it? Not necessarily, no.
0:11:26 > 0:11:28There, now, you have it from the horse's mouth.
0:11:28 > 0:11:29He's fussing more than my mother.
0:11:29 > 0:11:31Your blood pressure is a bit low.
0:11:31 > 0:11:33Can I take a look? OK?
0:11:35 > 0:11:37OK, well, it's a nice clean wound.
0:11:37 > 0:11:40May I have a feel of your abdomen?
0:11:42 > 0:11:46Essie, can we see if the scanner room's free?
0:11:46 > 0:11:49We need to do an urine test and an ultrasound.
0:11:49 > 0:11:51Will do, Sacha.
0:11:54 > 0:11:55So, how's the family situation?
0:11:55 > 0:11:58Ah! So this, you will not believe.
0:11:58 > 0:12:02Mother rings two weeks ago. "Come for Shabbat, bring Simon with you."
0:12:02 > 0:12:05That's amazing! And the big news is...
0:12:05 > 0:12:08We've decided to get married! Ah, amazing! Congratulations!
0:12:08 > 0:12:11I'm off to Paris this weekend with a new person.
0:12:11 > 0:12:13No way! Oooh!
0:12:13 > 0:12:17So...we would like you both to come to the wedding.
0:12:17 > 0:12:19Oh, that...that's really kind of you.
0:12:19 > 0:12:20Well, Mother's always moaning,
0:12:20 > 0:12:23"It's not going to work. Different culture, different faith."
0:12:23 > 0:12:25And she needs to see other couples like us.
0:12:28 > 0:12:30Actually, Becky, we...
0:12:30 > 0:12:33Yeah, um... Um...it's...
0:12:33 > 0:12:35They broke up.
0:12:36 > 0:12:38You're joking?
0:12:40 > 0:12:42ANIMATED CHATTER
0:12:42 > 0:12:44LAUGHTER
0:12:47 > 0:12:48Ahem!
0:12:48 > 0:12:50Whoops!
0:12:50 > 0:12:53And you are? Bernard Montefiore.
0:12:53 > 0:12:54Oh. Ms Effanga.
0:12:54 > 0:12:58And this is...Dr March.
0:12:58 > 0:13:01Are you the surgeons? Uh-huh.
0:13:01 > 0:13:04Carla, darling, I feel so much better!
0:13:04 > 0:13:07You look like human beings! Don't they?
0:13:07 > 0:13:09Bernard is an old friend of mine.
0:13:09 > 0:13:12A very, very old friend.
0:13:12 > 0:13:14THEY CHUCKLE
0:13:14 > 0:13:16Is that alcohol?
0:13:16 > 0:13:19Er...no. It's rum punch without the rum.
0:13:19 > 0:13:22Right. I'm afraid Carla has to be nil by mouth before her operation.
0:13:22 > 0:13:24I haven't touched it. Try it.
0:13:24 > 0:13:28No, thank you. It does look the business, though.
0:13:28 > 0:13:31Taught to me by... Luis? Luis.
0:13:31 > 0:13:33Barman at the Varadero, Havana, where we stayed last year.
0:13:33 > 0:13:37Right. We have to prepare Carla for surgery.
0:13:37 > 0:13:40Oooh! Yeah. I think you have to go.
0:13:41 > 0:13:44Oh, of course. Of course.
0:13:44 > 0:13:47Al igual que los zarcillos de la vid.
0:13:47 > 0:13:53Nuestras almas nacen de una raiz comun.
0:13:57 > 0:13:58I'll be back.
0:14:02 > 0:14:03Line from Fuentas.
0:14:04 > 0:14:07Like the tendrils of the vine, our souls...
0:14:09 > 0:14:10..spring from the same root.
0:14:12 > 0:14:14Aw! Hm.
0:14:16 > 0:14:19He's not been exposed to anything toxic?
0:14:19 > 0:14:20Like what - uranium?
0:14:20 > 0:14:23I haven't noticed any leaking nuclear facilities around here(!)
0:14:23 > 0:14:25Sorry.
0:14:25 > 0:14:27He's usually a pretty healthy guy.
0:14:27 > 0:14:29Except for the fact that his legs don't work.
0:14:29 > 0:14:31Could it be psychological, the effects of the trauma?
0:14:31 > 0:14:33Look, Fletch is not your typical hysteric.
0:14:33 > 0:14:35I keep paging Guy, but he's not answering.
0:14:35 > 0:14:36I'll go and find him.
0:14:39 > 0:14:40Mikey? I'll leave you to it.
0:14:42 > 0:14:45Hey. What happened? Ah, I fell against a tree.
0:14:45 > 0:14:47Yeah, right(!) Where's Dad? I want to tell him something.
0:14:47 > 0:14:49No, no. Not like that, you don't.
0:14:49 > 0:14:52Er... Look, Sharon, could you take this young man,
0:14:52 > 0:14:54clean him up and then put him in Ms Campbell's office?
0:14:54 > 0:14:56You, wait for me there!
0:14:57 > 0:14:59HE SIGHS
0:15:00 > 0:15:02MONITOR BEEPS
0:15:02 > 0:15:03How you doing?
0:15:03 > 0:15:07Not quite as straightforward as it looked on the video last night.
0:15:07 > 0:15:09I think that's enough.
0:15:09 > 0:15:11Removing grasper and port.
0:15:12 > 0:15:15Backhands and clip, please. Thank you.
0:15:16 > 0:15:18Thank you.
0:15:19 > 0:15:21Thank you.
0:15:27 > 0:15:29And there's the lesion.
0:15:29 > 0:15:30Yeah. It doesn't look good.
0:15:30 > 0:15:34That's one little baby she's better off without. Send it to Pathology.
0:15:34 > 0:15:35LOW-PITCHED BEEPING Hang on. Her BP's falling.
0:15:35 > 0:15:38We've got a bleed from pleura. Diathermy, please.
0:15:38 > 0:15:39Come on, Carla.
0:15:50 > 0:15:52BP's rising.
0:15:52 > 0:15:54Well done, Dr March.
0:15:54 > 0:15:57When you're ready, Mr Valentine, could you close up for me?
0:15:57 > 0:16:00I love saying that. Hm!
0:16:00 > 0:16:02She is going to be unbearable for the next few days.
0:16:02 > 0:16:05Yes, it'll be the coronary artery bypass graft all over again.
0:16:11 > 0:16:13I did wake up once and I couldn't move.
0:16:17 > 0:16:19When was this? Years ago.
0:16:19 > 0:16:22I must have been asleep.
0:16:22 > 0:16:24You know, sleep paralysis.
0:16:24 > 0:16:26I've never had it.
0:16:28 > 0:16:30It's as creepy as hell.
0:16:33 > 0:16:35Just thinking about it freaks me out.
0:16:35 > 0:16:38Look, we can rule out some real nasties,
0:16:38 > 0:16:41like spine compression, fractures...
0:16:41 > 0:16:43Yeah. Where's Raf?
0:16:43 > 0:16:45He's gone to talk to Guy.
0:16:45 > 0:16:49Because he's really worried. I know he is, I can tell.
0:16:49 > 0:16:50He wants to do his best for you.
0:16:50 > 0:16:53Fear doesn't help anyone, Fletch.
0:17:00 > 0:17:03Well, I am going to be here for quite some time.
0:17:03 > 0:17:05Have you done a lumbar puncture?
0:17:05 > 0:17:08Not yet. I just wanted you to check him over.
0:17:08 > 0:17:10Mr di Lucca, I really wish I could,
0:17:10 > 0:17:13but I am right in the middle of a very delicate procedure
0:17:13 > 0:17:15and I have to concentrate on the matter in hand.
0:17:20 > 0:17:23Better get them all in before next Pesach.
0:17:23 > 0:17:26Amen to that! THEY CHUCKLE
0:17:26 > 0:17:31Simon? Look, I'm sorry about earlier on - Essie and me.
0:17:31 > 0:17:33It's all been fairly recent.
0:17:33 > 0:17:36I wasn't expecting your news. That's...
0:17:36 > 0:17:38About, you know, what with Becky's family.
0:17:38 > 0:17:41Mm. Neither was I! So, are you converting?
0:17:41 > 0:17:43Going for the full snip?
0:17:43 > 0:17:45HE WHEEZES Sorry.
0:17:45 > 0:17:47Yes. I am.
0:17:47 > 0:17:50I've sort of fought against the idea for years.
0:17:50 > 0:17:53Not the culture. I love the culture. Just the religious side of things.
0:17:53 > 0:17:55But I feel different now.
0:17:55 > 0:17:58Not that I'd do anything to make her happy, but...
0:17:58 > 0:17:59Almost anything. Yeah.
0:17:59 > 0:18:01Same with you and Essie. I mean...
0:18:01 > 0:18:04Sorry. What I mean by that is...
0:18:04 > 0:18:07Simon, Simon, it's absolutely fine. It's fine.
0:18:07 > 0:18:10Listen, I'll see you back there in a minute, OK? Oh, and Simon? What?
0:18:10 > 0:18:12Mazel tov.
0:18:14 > 0:18:16Mazel tov!
0:18:20 > 0:18:21That was very impressive, Zosia.
0:18:21 > 0:18:24Thank you. Carla is one tough lady.
0:18:24 > 0:18:27She was born in Havana, apparently.
0:18:27 > 0:18:28Her mother was Cuban.
0:18:28 > 0:18:32Wouldn't be great to get a job that takes you all over the world?
0:18:32 > 0:18:34Holby giving you cabin fever?
0:18:34 > 0:18:37Well, no.
0:18:37 > 0:18:40But, um... Well, there's not much to keep me here, is there?
0:18:40 > 0:18:44I wonder what it would've been like if I'd taken that job in Pakistan.
0:18:44 > 0:18:47But, er... Well, we have such a great team here.
0:18:49 > 0:18:52You wanted to talk? Yes.
0:18:52 > 0:18:53Huh!
0:18:54 > 0:18:58You remember what it was like when we started seeing each other?
0:18:58 > 0:19:00Um...yeah, pretty intense. Yes. Yeah.
0:19:02 > 0:19:05Because we were, you know, working together.
0:19:05 > 0:19:09And when you're dating someone that you're working with,
0:19:09 > 0:19:12things can move quickly. What are you trying to say?
0:19:12 > 0:19:13PAGER BEEPS
0:19:13 > 0:19:16Sorry.
0:19:16 > 0:19:19Er...got to go. Can we talk later?
0:19:19 > 0:19:21Yeah, sure. OK.
0:19:25 > 0:19:27You told them he was an accountant?
0:19:27 > 0:19:30Well, it's half true. He does do his own accounts!
0:19:30 > 0:19:31THEY LAUGH
0:19:31 > 0:19:34But they know now? Sort of. Ha!
0:19:34 > 0:19:36She hasn't mentioned the pigs.
0:19:36 > 0:19:38Oh, can you blame me?
0:19:38 > 0:19:41Just imagine - "Rabbi, meet the son-in-law, the pig farmer"!
0:19:41 > 0:19:44Oi! I'm diversifying. Goats and sheep.
0:19:44 > 0:19:47And if that doesn't work, there's always the stand-up.
0:19:47 > 0:19:50Heard the one about the rabbi, the priest and the pig farmer?
0:19:51 > 0:19:54It's blood! She's...! It's all right, it's all right.
0:19:54 > 0:19:58No spinal fracture on the CT, MRI normal, no longer pyrexial,
0:19:58 > 0:20:01all obs are normal, but it's gone from his feet to his legs!
0:20:01 > 0:20:03How are we supposed to treat him when we don't know what's wrong?
0:20:03 > 0:20:05That's why we're doing the lumbar puncture.
0:20:05 > 0:20:07It's a process of elimination. Could it be MS?
0:20:07 > 0:20:09It's a possibility. It's one of many.
0:20:09 > 0:20:11How can you be so calm?
0:20:11 > 0:20:14I've seen a lot, Raf. You'll have to keep a steady nerve.
0:20:14 > 0:20:16Maybe I need to spend some time in a war zone. No.
0:20:16 > 0:20:18No, you don't.
0:20:18 > 0:20:20You're his mate. Of course you're worried about him.
0:20:20 > 0:20:22The trick is not to let him see it.
0:20:25 > 0:20:29I mean, I've been just been sat at home chilling.
0:20:29 > 0:20:32Is that code for onesie wearing and binge eating burritos?
0:20:32 > 0:20:34Course not!
0:20:34 > 0:20:38Listen, do you really think when Taylor and Burton split up,
0:20:38 > 0:20:39Liz sat around moping?
0:20:39 > 0:20:41Counting and polishing her diamonds?
0:20:41 > 0:20:44Look, I don't need to do a course to teach me to cook.
0:20:44 > 0:20:45All right. Well, I'm just saying you
0:20:45 > 0:20:48might want to put yourself out there, like Sacha is.
0:20:49 > 0:20:52Do you think that's why he's joining the choir, to meet other women?
0:20:52 > 0:20:54No, gay men.
0:20:54 > 0:20:56What? I'm kidding, I'm kidding.
0:20:56 > 0:20:59Look if you're not ready, you're not ready.
0:20:59 > 0:21:02Well, I've not been completely idle.
0:21:02 > 0:21:04I was doing a clear-out.
0:21:07 > 0:21:09What the merry hell is that?
0:21:09 > 0:21:11Sacha gave to me.
0:21:11 > 0:21:12It belonged to his mother.
0:21:12 > 0:21:14Well, that's sweet.
0:21:14 > 0:21:15Would Isaac like it?
0:21:15 > 0:21:17Absolutely not!
0:21:18 > 0:21:20I wanted to give it him back. Do you think he'll be hurt?
0:21:20 > 0:21:21Yes.
0:21:26 > 0:21:27Are you OK?
0:21:27 > 0:21:30Yeah. Becky's ultrasound is all right but she's vomiting blood
0:21:30 > 0:21:32so we need to do a gastroscopy ASAP. Are the bloods back?
0:21:32 > 0:21:34Yeah, I was just checking.
0:21:34 > 0:21:37Right, I'll inform theatre. Do you want to scrub in? Sure, yeah.
0:21:38 > 0:21:39Oh, here they are.
0:21:45 > 0:21:46She's pregnant.
0:21:47 > 0:21:50All right, I'm going to give you a local, Fletch, OK?
0:21:50 > 0:21:52Small scratch coming up.
0:21:52 > 0:21:54So everything's negative so far?
0:21:54 > 0:21:58Yeah, that's right. This will rule out an infection in the CSF.
0:21:58 > 0:22:00Why would I have an infection?
0:22:00 > 0:22:03It's unlikely. We're just ruling things out at the moment.
0:22:03 > 0:22:07Well, come on, hurry up. Are you going to give me this local or what?
0:22:11 > 0:22:12Told you it wouldn't hurt.
0:22:18 > 0:22:23Either that was the most skilful jab I've ever had or I didn't feel it.
0:22:23 > 0:22:26Right, I'm going to get this off to the lab ASAP.
0:22:26 > 0:22:28Could you take over, please, Raf?
0:22:36 > 0:22:38My age is typical for MS onset.
0:22:40 > 0:22:42Yeah, but the presentation is too quick
0:22:42 > 0:22:44and we didn't see anything on your MRI.
0:22:45 > 0:22:47But you haven't ruled it out.
0:22:47 > 0:22:50Let's just wait for the lumbar puncture results
0:22:50 > 0:22:51before we jump to any conclusions.
0:22:54 > 0:22:57It was malignant, the lesion.
0:22:57 > 0:23:01Well done. Caught early, she stands a really good chance.
0:23:01 > 0:23:02Thank you.
0:23:02 > 0:23:04LIVELY LATIN MUSIC PLAYS
0:23:13 > 0:23:15Sorry. Dodgy volume control.
0:23:15 > 0:23:17How are you feeling, Carla?
0:23:17 > 0:23:19Like when I was trekking in the Andes
0:23:19 > 0:23:21and got kicked in the chest by a mule.
0:23:22 > 0:23:25But the breathing does seem easier.
0:23:25 > 0:23:29That's wonderful. I do hear that people feel a change straightaway.
0:23:29 > 0:23:32Right, Bernard, could we keep the noise down?
0:23:32 > 0:23:33Absolutely.
0:23:33 > 0:23:35Cool track, though.
0:23:35 > 0:23:36Well, allow me.
0:23:48 > 0:23:52Mr Montefiore, can I have a quick word?
0:23:52 > 0:23:54Just this way. Come, yes.
0:24:00 > 0:24:03So the vomiting was morning sickness.
0:24:03 > 0:24:04Yeah. I guess you were focused
0:24:04 > 0:24:06on the kidney when you did the ultrasound.
0:24:06 > 0:24:07It's bleeding from the duodenum.
0:24:07 > 0:24:10The vomiting was a red herring? Yeah, could have been.
0:24:10 > 0:24:13So we inject adrenaline?
0:24:13 > 0:24:14Yeah, let's do that first,
0:24:14 > 0:24:18saline and adrenaline solution, please. Thank you.
0:24:18 > 0:24:21So come on, then. What are you going to do for your audition?
0:24:21 > 0:24:23Well, it's hardly an audition.
0:24:23 > 0:24:25Oh, please.
0:24:25 > 0:24:29I think you should do that one...um...Salad Days.
0:24:29 > 0:24:31# Look at me Oh, look at me
0:24:31 > 0:24:33# Oh, look at me, I'm dancing. #
0:24:33 > 0:24:35You're very good. Thanks.
0:24:37 > 0:24:37Yes...
0:24:40 > 0:24:42Nope. Nope, it's not working.
0:24:42 > 0:24:44LOW-PITCHED BEEPING
0:24:44 > 0:24:46Blood pressure's falling.
0:24:46 > 0:24:49Shall we get some blood cross-matched? Yeah. Just in case.
0:24:49 > 0:24:51Let's get a thermal probe, please.
0:24:51 > 0:24:53What about a laparotomy?
0:24:53 > 0:24:55No, we're going to try clipping first.
0:24:55 > 0:24:58I'd rather not do a laparotomy on a pregnant woman if I can help it.
0:24:58 > 0:25:03Don't touch anything. How's Fletch?
0:25:03 > 0:25:05It'll be a couple of hours before we get the count.
0:25:05 > 0:25:06Just keep doing the obs.
0:25:06 > 0:25:08That is the last thing he needs at the moment.
0:25:08 > 0:25:11I want to see Dad. It's really important.
0:25:11 > 0:25:13Your dad is resting right now, Mikey.
0:25:13 > 0:25:17Hey! Mikey, calm down.
0:25:17 > 0:25:18Do you mind?
0:25:18 > 0:25:20Please do.
0:25:20 > 0:25:21In here, come on.
0:25:29 > 0:25:32I really don't want to have to risk doing a laparotomy.
0:25:32 > 0:25:35Well, she's still bleeding and her BP is still falling
0:25:35 > 0:25:37so we don't really have much choice.
0:25:37 > 0:25:41She told me that her and Simon given up the idea of having kids.
0:25:41 > 0:25:44It's barely six months since the transplant and she's
0:25:44 > 0:25:47already on heavy immunosuppressants.
0:25:47 > 0:25:51That's hardly the ideal conditions for a pregnancy.
0:25:51 > 0:25:52Shall I go scrub in?
0:25:54 > 0:25:55Yeah...
0:25:55 > 0:25:57Yeah.
0:25:57 > 0:25:59Removing the scope.
0:25:59 > 0:26:00We're going to open her up
0:26:00 > 0:26:02and we're going to under-run the bleeding vessel.
0:26:02 > 0:26:04OK?
0:26:06 > 0:26:08How long have they been trying for a baby?
0:26:08 > 0:26:10A long time.
0:26:14 > 0:26:16I want to tell my dad something.
0:26:16 > 0:26:20Look, Mikey, you know there are doctors here
0:26:20 > 0:26:24who people can talk to if they are upset or angry.
0:26:24 > 0:26:27What do they do to them?
0:26:27 > 0:26:31They just talk to them, find out why they're angry.
0:26:31 > 0:26:33Where did that come from?
0:26:33 > 0:26:34Dunno. Was here.
0:26:34 > 0:26:35Show me.
0:26:39 > 0:26:40What is it?
0:26:40 > 0:26:46It's Cosmas and Damian. They were twins, doctors, a long time ago.
0:26:49 > 0:26:53Look, I need to know that you are on side,
0:26:53 > 0:26:55doing what's best for your dad. OK?
0:26:55 > 0:26:56OK.
0:26:56 > 0:26:59Right. You're some man. Stay here, OK?
0:27:04 > 0:27:05LATIN MUSIC PLAYS
0:27:09 > 0:27:13Bernard, what are you up to?
0:27:14 > 0:27:17BERNARD SINGS IN SPANISH
0:28:03 > 0:28:05Marry me, Carla!
0:28:07 > 0:28:10HE SPEAKS SPANISH
0:28:16 > 0:28:17Ah.
0:28:18 > 0:28:21What does that mean?
0:28:21 > 0:28:22Um...
0:28:24 > 0:28:26..one's first love is a thread
0:28:26 > 0:28:28woven into the soul...
0:28:31 > 0:28:32..forever.
0:28:45 > 0:28:47Hey. What did you want?
0:28:47 > 0:28:49I am not going to be your dirty little secret.
0:28:49 > 0:28:54Look, I was in the middle of telling her, OK, when you paged me.
0:28:58 > 0:29:02Stop! Someone could see. OK?
0:29:02 > 0:29:04Isn't that the point?
0:29:04 > 0:29:06Isn't that why we're doctors? The risks, the thrills?
0:29:06 > 0:29:08And here was I thinking it was about healing the sick.
0:29:08 > 0:29:10Aw! How sweet!
0:29:10 > 0:29:13But let's leave that to the GPs and district nurses,
0:29:13 > 0:29:15chugging along in their Morris Travellers.
0:29:15 > 0:29:17I used to have a Morris Traveller. It was a good car.
0:29:17 > 0:29:22Aw, and now you're more of an E-type. Elegant, shiny, sleek...
0:29:39 > 0:29:41HE CLEARS HIS THROAT
0:29:44 > 0:29:45Oh, sorry.
0:29:54 > 0:29:56Carla's stopped breathing.
0:29:58 > 0:29:59How's that?
0:30:06 > 0:30:07If this is MS...
0:30:09 > 0:30:12..then what's the best possible outcome?
0:30:12 > 0:30:15I spend the rest of my life in a wheelchair?
0:30:16 > 0:30:17I've got four kids, Raf.
0:30:19 > 0:30:22Right, I play football with Mikey, I take all four kids swimming.
0:30:24 > 0:30:28What if this doesn't stop at my legs?
0:30:28 > 0:30:31What if I can never hold my kids again?
0:30:31 > 0:30:33We don't know what it is yet.
0:30:34 > 0:30:36Always look on the bright side, eh?
0:30:37 > 0:30:39What's the alternative?
0:30:41 > 0:30:42HE COUGHS
0:30:49 > 0:30:51That is just anxiety.
0:30:51 > 0:30:55The lumbar puncture results will be back soon and then we'll have
0:30:55 > 0:30:57a better picture of what's going on.
0:31:03 > 0:31:06Sorry about the state of the fridge, mate.
0:31:06 > 0:31:10There was enough mould in there to set up your own pharma company.
0:31:10 > 0:31:12Everything else is fine.
0:31:12 > 0:31:16Evie came top of her class in French.
0:31:17 > 0:31:19Obviously takes after me.
0:31:19 > 0:31:21Yeah, obviously.
0:31:21 > 0:31:23You could teach her Italian.
0:31:25 > 0:31:26Raf...
0:31:30 > 0:31:31What?
0:31:38 > 0:31:40Not looking at the bright side...
0:31:45 > 0:31:47..if something happens to me...
0:31:51 > 0:31:53..I'd love it if you took the kids.
0:31:55 > 0:31:56Took them where?
0:31:59 > 0:32:00For you to look after them.
0:32:05 > 0:32:08Of course I would if I had to...
0:32:09 > 0:32:10..but I won't have to.
0:32:12 > 0:32:16You are their dad and you are going to keep being their dad.
0:32:16 > 0:32:18But you don't know that, do you?
0:32:18 > 0:32:20Cos this is a really fast progression.
0:32:20 > 0:32:22What's going to stop it?
0:32:23 > 0:32:27You can't stand there and tell me that this isn't going to kill me.
0:32:29 > 0:32:30All right, Dad.
0:32:36 > 0:32:40Well, if this is the state of you, what's the state of the other kid?
0:32:40 > 0:32:43I'll go and check on those lab results.
0:32:48 > 0:32:51Pneumothorax? Yes. Which side? Left.
0:32:51 > 0:32:53OK, we'll need to do a percutaneous drainage
0:32:53 > 0:32:57and can we get an ultrasound, please? Yes.
0:32:57 > 0:33:00What's happening? Her left lung's collapsed.
0:33:00 > 0:33:02Carla, darling, can you hear me?
0:33:02 > 0:33:03I love you with all my heart.
0:33:03 > 0:33:05We need to insert a chest drain.
0:33:05 > 0:33:08Why did she have the lung reduction?
0:33:08 > 0:33:10Surely the risks outweigh the benefits?
0:33:10 > 0:33:11Jasmine, I think we know what we're doing.
0:33:11 > 0:33:13Sorry. I'm just here to listen and learn.
0:33:13 > 0:33:15Yes, you are. So be quiet.
0:33:18 > 0:33:22When are you coming home? We'll look after you.
0:33:22 > 0:33:24Not for a little bit.
0:33:24 > 0:33:27Your dad's going to take a little bit longer than we thought
0:33:27 > 0:33:30to get better. It's all right with Raf, innit?
0:33:30 > 0:33:32Yeah. His cooking's good.
0:33:32 > 0:33:34He lets us have chocolate spread on toast.
0:33:34 > 0:33:36Good old Raf.
0:33:36 > 0:33:39I brought you some. Well tasty.
0:33:44 > 0:33:47Yeah. Listen...
0:33:47 > 0:33:50do you mind... do you mind if I eat that later?
0:33:53 > 0:33:55Are you angry with me?
0:33:56 > 0:33:58No.
0:34:00 > 0:34:04I mean, you drive me crazy. But then you all do that.
0:34:09 > 0:34:11You know, you kids...
0:34:13 > 0:34:17..you're the only thing I'm really, really proud of.
0:34:20 > 0:34:21Even me?
0:34:26 > 0:34:27Even you, mate.
0:34:31 > 0:34:34I didn't hit anyone. You told me not to and I didn't.
0:34:35 > 0:34:39I won't push Evie again either, I promise.
0:34:39 > 0:34:41OK.
0:34:41 > 0:34:43I don't want to fight any more. I want to stop.
0:34:46 > 0:34:48Do you believe me? I won't make you ill again.
0:34:50 > 0:34:51Mate...
0:34:53 > 0:34:55..this isn't your fault. It is.
0:34:55 > 0:34:57LOW-PITCHED BEEPING Dad?
0:34:57 > 0:34:58Dad!
0:34:58 > 0:35:01Raf! Raf! Anyone! Dad!
0:35:01 > 0:35:07All right, Fletch, OK. Here we go. Breathe deeply. Breathe deeply.
0:35:09 > 0:35:11All right. That's it. Well done.
0:35:12 > 0:35:14You still haven't given me an answer.
0:35:14 > 0:35:18No, but I thought your song was fabulous, darling. Thank you.
0:35:20 > 0:35:22Oh.
0:35:22 > 0:35:26They say if you sit on the fence, the iron enters your soul.
0:35:26 > 0:35:30Well, we radicals suffer too.
0:35:30 > 0:35:31Must be all those afternoons
0:35:31 > 0:35:35spent outside the South African embassy in the rain.
0:35:35 > 0:35:37You need a stick.
0:35:37 > 0:35:39A stick!
0:35:39 > 0:35:42Can you imagine Che with a stick?
0:35:42 > 0:35:45Poor man. Never got the chance.
0:35:45 > 0:35:47So when's the big day?
0:35:47 > 0:35:50Oh, I persist but she always says no.
0:35:50 > 0:35:52What, you've asked before?
0:35:52 > 0:35:54Many times.
0:35:54 > 0:35:58I feel compelled to from time to time.
0:35:58 > 0:36:02She does say no and then life settles back down to normal.
0:36:02 > 0:36:04I don't want to get married.
0:36:04 > 0:36:06I'm perfectly happy as I am.
0:36:07 > 0:36:12You infuriating, beautiful, fascinating woman.
0:36:25 > 0:36:27Hello. Hi.
0:36:28 > 0:36:30You're Nurse Fletcher's son.
0:36:30 > 0:36:33Are you a doctor? You don't look like one.
0:36:33 > 0:36:34Don't I?
0:36:38 > 0:36:39What are you doing?
0:36:39 > 0:36:41Just mending this.
0:36:42 > 0:36:44Can I help, do you think?
0:36:44 > 0:36:45It's just a paperclip.
0:36:48 > 0:36:49Thank you.
0:36:52 > 0:36:55So, how is your father?
0:36:55 > 0:36:58He thinks he's going to die but Raf says he isn't.
0:36:58 > 0:37:01Well, you know, sometimes when people are ill
0:37:01 > 0:37:02they become frightened.
0:37:02 > 0:37:06I would say Mr Di Lucca
0:37:06 > 0:37:09certainly has a good idea of what's wrong with your dad.
0:37:10 > 0:37:14Are you one of the doctors that talk to people when they're angry?
0:37:15 > 0:37:17You mean a psychiatrist?
0:37:17 > 0:37:19No, I'm not.
0:37:20 > 0:37:21Why?
0:37:21 > 0:37:23They find out why people get angry.
0:37:25 > 0:37:29Well, I think...that'll do it.
0:37:29 > 0:37:31There you go. Thanks.
0:37:31 > 0:37:34Now I have to go, if you'll excuse me.
0:37:34 > 0:37:35Good to meet you.
0:37:37 > 0:37:39Have you seen Raf?
0:37:39 > 0:37:41He's around here somewhere.
0:37:41 > 0:37:42Why isn't he answering his pager?
0:37:42 > 0:37:44Any news on the lumbar puncture?
0:37:44 > 0:37:46That's why I'm trying to find him.
0:37:46 > 0:37:49Normal white cell count, CSF slightly elevated,
0:37:49 > 0:37:52nothing on the gram stain. OK, well, that's good.
0:37:52 > 0:37:56Could you do Fletch's lung function tests for me? Sure. Thanks.
0:38:01 > 0:38:02Raf?
0:38:02 > 0:38:06Raf, I've been paging you. Have you read the lab report?
0:38:06 > 0:38:09Normal white blood cell count, normal antibody levels,
0:38:09 > 0:38:10so we can rule out MS.
0:38:10 > 0:38:12The CSF protein levels were elevated, though.
0:38:12 > 0:38:14Why would the CSF protein be elevated with
0:38:14 > 0:38:16a normal blood white cell count?
0:38:16 > 0:38:18We have to keep investigating to find out.
0:38:18 > 0:38:20Raf...
0:38:20 > 0:38:22Fletch is lying on AAU
0:38:22 > 0:38:24with a creeping paralysis that could kill him.
0:38:24 > 0:38:26Do you think I don't know that?
0:38:26 > 0:38:28So it's not a spinal injury, it's not diabetes,
0:38:28 > 0:38:30it's not an infection, it's not a stroke.
0:38:30 > 0:38:33Could it be something weird like...like shellfish poisoning?
0:38:33 > 0:38:37Fletch hates shellfish. I feel like we're running out of time.
0:38:37 > 0:38:39It's progressing too fast! So what are you saying?
0:38:39 > 0:38:42Everything was getting better. Why should this happen?
0:38:42 > 0:38:45I don't understand! Neither do I. I can only do.
0:38:45 > 0:38:47We keep trying or we give up.
0:38:47 > 0:38:50Is that some kind of parade-ground pep talk?
0:38:50 > 0:38:51Well, it works for me.
0:38:51 > 0:38:56I don't know what works for you but you'd better find it, fast.
0:38:56 > 0:38:58I'm sorry.
0:39:02 > 0:39:03I'm pregnant?
0:39:04 > 0:39:06You understand, Becky?
0:39:06 > 0:39:09You understand we had to go ahead with this procedure because
0:39:09 > 0:39:11we wanted to save you and the baby?
0:39:11 > 0:39:16You saved my life again, Sacha. It's getting to be a habit.
0:39:18 > 0:39:19I'm pregnant?
0:39:21 > 0:39:23I'm 46!
0:39:23 > 0:39:25Come on. Stop that.
0:39:26 > 0:39:28I'm the one who's normally the crybaby.
0:39:36 > 0:39:38Hey, mate. Raf, where were you?
0:39:38 > 0:39:41Dad couldn't breathe. They had to give him oxygen.
0:39:41 > 0:39:44He started coughing like before.
0:39:44 > 0:39:47He's OK now. I'm looking out for him.
0:39:48 > 0:39:52I'm so sorry you had to see that.
0:39:52 > 0:39:55What do you mean "before"? When he had that cough.
0:39:57 > 0:40:00On holiday?
0:40:00 > 0:40:02Oh, yeah. I remember.
0:40:04 > 0:40:07Look...could you wait here?
0:40:09 > 0:40:12It's just the new kidney, the marriage and now this.
0:40:13 > 0:40:16I'm used to things going wrong.
0:40:16 > 0:40:19Becky, we do need to make you aware,
0:40:19 > 0:40:22carrying a child to full term with a new kidney
0:40:22 > 0:40:25and under immunosuppressant therapy
0:40:25 > 0:40:26does carry great risks,
0:40:26 > 0:40:28for both yourself and for the baby.
0:40:30 > 0:40:33We will support you, whatever choice you make.
0:40:35 > 0:40:37I'm not sure I want to take that risk.
0:40:40 > 0:40:42I do. I do.
0:40:45 > 0:40:46OK.
0:40:47 > 0:40:48Then let's do it.
0:40:54 > 0:40:55PHONE RINGS
0:40:57 > 0:40:59Mother.
0:40:59 > 0:41:00Give it here.
0:41:03 > 0:41:05Tell her she's given me an ulcer.
0:41:05 > 0:41:07Hi, yeah, it's Simon.
0:41:08 > 0:41:09Simon.
0:41:11 > 0:41:12Yeah, we're at the hospital.
0:41:12 > 0:41:13Hospital.
0:41:16 > 0:41:19It's just a check-up.
0:41:19 > 0:41:21No, I haven't thought about using Uncle Leo's place
0:41:21 > 0:41:23as a venue for the reception.
0:41:26 > 0:41:30Alvina, Becky and I can sort out the arrangements.
0:41:32 > 0:41:34OK?
0:41:34 > 0:41:35OK.
0:41:35 > 0:41:36Speak later.
0:41:38 > 0:41:42You see what kind of man I'm marrying?
0:41:42 > 0:41:43He's a mensch.
0:41:47 > 0:41:49I had a case about five years ago.
0:41:49 > 0:41:51Similar partial paralysis, bilateral -
0:41:51 > 0:41:53Guillain-Barre syndrome.
0:41:53 > 0:41:54Well, it could be one of a number of things.
0:41:54 > 0:41:56What's your reasoning?
0:41:56 > 0:42:00It fits. It crossed my mind before but it usually comes after
0:42:00 > 0:42:03a respiratory illness and Fletch hadn't been ill but then
0:42:03 > 0:42:06Mikey reminded me that he'd had a chest infection about a month ago.
0:42:06 > 0:42:11It would explain the raised protein levels in his CSF too.
0:42:11 > 0:42:13I'll get someone to do the nerve conduction study.
0:42:13 > 0:42:15That would help with diagnosis.
0:42:15 > 0:42:17Where are you going?
0:42:17 > 0:42:18To see Guy.
0:42:21 > 0:42:23You OK?
0:42:23 > 0:42:24Yeah. Never better.
0:42:26 > 0:42:29You could have taken a slice out of the atmosphere earlier.
0:42:29 > 0:42:31Is that to do with Ollie?
0:42:31 > 0:42:35I interrupted a passionate embrace between him and that F1, Jasmine.
0:42:36 > 0:42:38Ollie and Jasmine?
0:42:38 > 0:42:40I'm so sorry, Zosh.
0:42:40 > 0:42:42You knew, didn't you?
0:42:43 > 0:42:45I was just trying to be protective.
0:42:45 > 0:42:48You could have stopped me looking like a complete idiot.
0:42:48 > 0:42:50Who else knows? No-one. How could they?
0:42:50 > 0:42:54She lives with Morven. OK, maybe Morven. Does Dom know?
0:42:54 > 0:42:56I don't know. Look, I'll tell you what, I'll tell you what.
0:42:56 > 0:42:58Why don't you come round to mine tonight?
0:42:58 > 0:43:01We'll have a girlie night in, a movie and a pizza.
0:43:01 > 0:43:03No. I don't need a shoulder to cry on.
0:43:03 > 0:43:05And even if I did, you're my boss.
0:43:09 > 0:43:11Guillain-Barre?
0:43:11 > 0:43:14What about the lumbar puncture? Was the protein raised?
0:43:14 > 0:43:16Yes.
0:43:16 > 0:43:19OK, well, I suppose it's possible, but without examining him myself,
0:43:19 > 0:43:21I can't be sure.
0:43:21 > 0:43:22Get the neurophysiologists.
0:43:22 > 0:43:24Bernie's organising that now
0:43:24 > 0:43:27but if it is Guillain-Barre, what's the next step?
0:43:27 > 0:43:29It's plasmaphoresis, right?
0:43:29 > 0:43:32You'll need to do the nerve conduction studies first.
0:43:32 > 0:43:33We're running out of time.
0:43:33 > 0:43:36Look, Raf, I should be finished here shortly
0:43:36 > 0:43:39so if you can wait, then I'll come and assess Fletch myself.
0:43:39 > 0:43:42I don't want to wait until we have to intubate him.
0:43:42 > 0:43:44Is that likely?
0:43:44 > 0:43:46The way things are looking, yes.
0:43:46 > 0:43:50Is there any reason why we shouldn't do this if we're not 100% certain?
0:43:50 > 0:43:51Well, yes.
0:43:51 > 0:43:54I mean, there is no guarantee that his lung function won't
0:43:54 > 0:43:56deteriorate but, you know... MONITOR BEEPS
0:43:56 > 0:43:58Oh, fantastic(!)
0:43:59 > 0:44:00That'll add at least another hour.
0:44:00 > 0:44:02Look, if you see Hanssen,
0:44:02 > 0:44:04tell him that my facial nerve monitor has packed in!
0:44:07 > 0:44:10# Look at me Oh, look at me
0:44:10 > 0:44:12BOTH: # Oh, look at me, I'm dancing!
0:44:12 > 0:44:15# I'm gay and I'm breathless and I'm jubilant
0:44:15 > 0:44:18# And I'm dancing dancing, dancing. #
0:44:20 > 0:44:21So?
0:44:21 > 0:44:23I just don't think singing is your thing.
0:44:23 > 0:44:25Well, you know, practice makes perfect.
0:44:25 > 0:44:27It's going to need a lot of practice.
0:44:27 > 0:44:32Look, you do realise you don't have to do things every single night.
0:44:32 > 0:44:35It makes you seem a little bit desperate.
0:44:35 > 0:44:38Why don't you just watch a movie, stay at home,
0:44:38 > 0:44:41order takeout, chill out?
0:44:41 > 0:44:42That's what I do every night. Hm!
0:44:44 > 0:44:46Is that what you did before you met Isaac?
0:44:46 > 0:44:47Oh, Lord, no.
0:44:47 > 0:44:51No, I was out most nights, but it's different - I'm younger.
0:44:51 > 0:44:53Oh, thank you so much(!)
0:44:53 > 0:44:55PHONE RINGS
0:44:55 > 0:44:56Speak of the devil!
0:44:58 > 0:45:02LIFT: 'Doors opening. Lift going up.'
0:45:02 > 0:45:05Preliminary NCS results are indicating Guillain-Barre.
0:45:05 > 0:45:08How long will the formal results take? About an hour.
0:45:08 > 0:45:11His breathing's deteriorating. We can't wait.
0:45:11 > 0:45:12If it's not Guillain-Barre...
0:45:12 > 0:45:14If it's not, what's the worst thing that could happen?
0:45:14 > 0:45:17It's just a plasma exchange, it's not chemo.
0:45:17 > 0:45:18But if it is...
0:45:21 > 0:45:23Right, let's do it.
0:45:23 > 0:45:26So, what are you doing at the weekend?
0:45:26 > 0:45:27Me?
0:45:27 > 0:45:32Well, I've decided to do a sub aqua course so I guess I'll be in a pool.
0:45:32 > 0:45:35Right. What about you?
0:45:35 > 0:45:39Um, I was thinking of reading that book.
0:45:39 > 0:45:41The Scandi thriller you gave me for Christmas.
0:45:41 > 0:45:43About time.
0:45:48 > 0:45:51This is just like the one I gave you.
0:45:51 > 0:45:53That is the one you gave me.
0:45:53 > 0:45:55So what's it doing here?
0:45:55 > 0:45:57Well, I just know how much it means to you
0:45:57 > 0:45:59and it doesn't feel right to keep it now.
0:45:59 > 0:46:01So you were going to give it back to me?
0:46:01 > 0:46:03I gave you this as a present.
0:46:03 > 0:46:04No, no, no. I insist.
0:46:04 > 0:46:06But it belongs to your mother.
0:46:06 > 0:46:08She'd be delighted for you to have it.
0:46:08 > 0:46:09Actually, I...
0:46:09 > 0:46:11I don't really want it.
0:46:11 > 0:46:13You don't want it?
0:46:14 > 0:46:15Well, neither do I.
0:46:15 > 0:46:17Because...
0:46:17 > 0:46:19this is the most hideous thing I have ever seen
0:46:19 > 0:46:21and I've hated it all my life.
0:46:23 > 0:46:25So why did you give it to me?
0:46:25 > 0:46:26Because I thought you wanted it!
0:46:26 > 0:46:28You think I've got that bad a taste? No.
0:46:31 > 0:46:33You told me you loved it.
0:46:33 > 0:46:35Yeah, but I only said that to please your mother. Well, I thought...
0:46:35 > 0:46:37Why do you suddenly bother
0:46:37 > 0:46:40about what she thinks? So that I could please you.
0:46:42 > 0:46:44I am so sorry.
0:46:44 > 0:46:46Sacha, that was your mother's.
0:46:46 > 0:46:48Dr Copeland, please. Yeah, one moment... Just leave it.
0:46:48 > 0:46:51I'm really sorry. Leave it. Honestly it's fine, honestly.
0:46:59 > 0:47:01Are you really going to go scuba diving?
0:47:04 > 0:47:06Do you fancy a drink after work?
0:47:06 > 0:47:09What about choir?
0:47:09 > 0:47:11I think I might just give it a miss.
0:47:11 > 0:47:11Hm. Hm.
0:47:15 > 0:47:17How are you feeling, Fletch?
0:47:17 > 0:47:19FLETCH GASPS
0:47:19 > 0:47:22Like I can't get any air down.
0:47:22 > 0:47:24If you feel your breathing is getting any worse,
0:47:24 > 0:47:25just let us know. OK?
0:47:25 > 0:47:28I think we've headed you off at the pass.
0:47:30 > 0:47:34You know about... last rites and stuff.
0:47:34 > 0:47:35It won't come to that...
0:47:35 > 0:47:36If it does.
0:47:38 > 0:47:42Look, just try and keep calm, OK? It won't help your breathing...
0:47:42 > 0:47:44Pulse is rising... What?
0:47:47 > 0:47:48I thought I told you to wait.
0:47:48 > 0:47:49Mr Self.
0:47:51 > 0:47:53Look, he's anaphylaxic. Put out a crash call.
0:47:53 > 0:47:57Fletch, you've got to help me. Fletch?
0:47:57 > 0:47:59Get some adrenaline, hydrocortisone now.
0:47:59 > 0:48:04Laryngeal oedema. His throat's swelling. We need to do a trach.
0:48:07 > 0:48:09Where's Bernard?
0:48:09 > 0:48:13Oh, he's walking somewhere.
0:48:15 > 0:48:19Do you think I should change my mind...
0:48:21 > 0:48:28..about Bernard and marriage because of this lesion thing?
0:48:28 > 0:48:31Because I won't...change my mind.
0:48:33 > 0:48:35Years ago,
0:48:35 > 0:48:41I realised that I didn't want to tie myself down to one person.
0:48:41 > 0:48:45I don't need somebody waiting about at home for me like a pet.
0:48:47 > 0:48:50Bernard doesn't belong to me...
0:48:51 > 0:48:53..nor I to him.
0:48:57 > 0:48:59LOW-PITCHED BEEPING
0:48:59 > 0:49:00Oxygen.
0:49:10 > 0:49:11Pulse stabilising.
0:49:18 > 0:49:20The paralysis was progressing so fast.
0:49:20 > 0:49:23We wanted to try something to avoid intubation.
0:49:23 > 0:49:25We had to do something.
0:49:25 > 0:49:28Yes, but this is not the battlefield, Ms Wolfe.
0:49:28 > 0:49:31We have a more measured approach here at Holby.
0:49:33 > 0:49:35Thank you. Ahem!
0:49:35 > 0:49:38The formal results from the nerve-conduction study.
0:49:38 > 0:49:42And, yes, he clinically does have Guillain-Barre. Well done.
0:49:42 > 0:49:44Plasma exchange was the right call.
0:49:44 > 0:49:47You took all the appropriate precautions.
0:49:47 > 0:49:49It was highly unlikely that he would react in this way,
0:49:49 > 0:49:52so you were all very unlucky.
0:49:52 > 0:49:55I've never encountered anaphylaxis in a situation like this.
0:49:55 > 0:49:58It is incredibly rare.
0:49:58 > 0:49:59So, what now?
0:49:59 > 0:50:03We wait, and when he's stable, we try immunoglobulin.
0:50:03 > 0:50:04How long before it plateaus?
0:50:06 > 0:50:08Well, it's difficult to say. It could be days.
0:50:08 > 0:50:11But at least we have a diagnosis and, although it's serious,
0:50:11 > 0:50:13it should resolve with treatment.
0:50:13 > 0:50:16He saved my life not so long ago,
0:50:16 > 0:50:18so we're not going to let him down.
0:50:27 > 0:50:31You see, it belonged to my great-great-grandmother,
0:50:31 > 0:50:35who bought it in the Paris Exhibition of 1900.
0:50:35 > 0:50:38And then on her deathbed, she gave it to my grandmother,
0:50:38 > 0:50:40who then gave it to my mother, who then gave it to me.
0:50:42 > 0:50:45I don't know what to say, Sacha. I am really, truly sorry.
0:50:45 > 0:50:47I mean, I will, of course, pay for it.
0:50:47 > 0:50:49That's not really the point, is it?
0:50:49 > 0:50:53You're going to Paris, yeah? Yeah.
0:50:53 > 0:50:56Well, a couple of days scouring the antique markets in Paris
0:50:56 > 0:50:58will probably throw up something.
0:50:58 > 0:51:00Sure. Yeah. No, of course I can.
0:51:03 > 0:51:05Oh, you're winding me up. I hate you both.
0:51:05 > 0:51:07ESSIE LAUGHS How could we resist?
0:51:20 > 0:51:23Give us a chip, then. Just the one.
0:51:23 > 0:51:26All right, Greedy. What are you like?
0:51:26 > 0:51:28How's Dad?
0:51:28 > 0:51:29Yeah, he's good.
0:51:31 > 0:51:34You know what you told me earlier about his chest infection?
0:51:34 > 0:51:37You might have saved his life, you know.
0:51:37 > 0:51:39It was the missing jigsaw piece.
0:51:39 > 0:51:41Is that sore? A bit.
0:51:42 > 0:51:44Are you going to tell me what happened now?
0:51:45 > 0:51:47I didn't hit anyone, they hit me.
0:51:47 > 0:51:50Right. And, er...why was that, then?
0:51:50 > 0:51:53Because I was crying. They were saying stuff.
0:51:53 > 0:51:55What kind of stuff?
0:51:55 > 0:51:58That if Dad dies, we have to go into a home.
0:51:58 > 0:52:00Different homes.
0:52:00 > 0:52:04What, they hit you because you wouldn't fight back?
0:52:04 > 0:52:05You won't tell anyone?
0:52:07 > 0:52:11No-one is going to split you and your brother and sisters up.
0:52:11 > 0:52:13Do you understand?
0:52:13 > 0:52:15I won't let that happen.
0:52:17 > 0:52:18You going to finish those?
0:52:18 > 0:52:20Oi, Raf, leave it out!
0:52:20 > 0:52:21RAF CHUCKLES
0:52:21 > 0:52:25Yes, yes, I know. People in love are disgusting.
0:52:26 > 0:52:28I see it as some kind of pathology now.
0:52:28 > 0:52:32Oh, well, thank you very much. Bursting my bubble!
0:52:32 > 0:52:34Sorry, I'm just not in a very romantic mood.
0:52:34 > 0:52:38Understandably. Look, I...I don't know what he sees in an F1.
0:52:38 > 0:52:40I mean, it reeks of desperation to me.
0:52:42 > 0:52:45Why are people so obsessed about coupling up, anyway?
0:52:45 > 0:52:47Because.
0:52:47 > 0:52:48It's the racing of the heart,
0:52:48 > 0:52:52it's the butterflies in the stomach...
0:52:52 > 0:52:55It's the stripy T-shirts. Look, I look French, OK?
0:52:58 > 0:53:01It's like we're so obsessed by what might be out there,
0:53:01 > 0:53:03we don't appreciate what we already have.
0:53:06 > 0:53:07Mm.
0:53:11 > 0:53:12I-I just spoke to Evie.
0:53:12 > 0:53:15The neighbour has to go, but I can stay with them.
0:53:15 > 0:53:17Oh, thanks. You're a star. Hm!
0:53:17 > 0:53:20Hey. What's this? I mended it.
0:53:20 > 0:53:23Yeah, I see that. With a paperclip. But it's not mine, Mikey.
0:53:23 > 0:53:26No, it's mine. A patient gave it to me the other day. It's not valuable.
0:53:26 > 0:53:28Do you know who they are?
0:53:28 > 0:53:33Damian...and Cosmic?
0:53:33 > 0:53:36Close. St Damian and St Cosmas.
0:53:36 > 0:53:39They were supposed to have performed the first limb graft
0:53:39 > 0:53:41and invented a cure for paralysis.
0:53:41 > 0:53:42They made a point of not charging.
0:53:42 > 0:53:45"Freely you have received, freely you give."
0:53:45 > 0:53:47My mum gave me one when I first qualified.
0:53:47 > 0:53:49It's long gone now.
0:53:49 > 0:53:51Oh, you can keep it, if you like.
0:53:51 > 0:53:53See you later. Come on, Trouble.
0:54:06 > 0:54:09Right, what we having? Oh, the usual.
0:54:09 > 0:54:12Hi. A whisky and a Pinot, please.
0:54:13 > 0:54:15Do you think it makes me look desperate, doing all these classes?
0:54:15 > 0:54:17Cookery's fun. Yeah.
0:54:17 > 0:54:20Life drawing, nudes.
0:54:23 > 0:54:24Pottery.
0:54:24 > 0:54:27Yeah, surgeons make great potters, apparently.
0:54:27 > 0:54:28Hm! Anything else?
0:54:28 > 0:54:30Beginners' Russian.
0:54:30 > 0:54:32Ukulele lessons. Huh!
0:54:32 > 0:54:35I could play the ukulele. See?
0:54:35 > 0:54:36Hm. Maybe going a bit overboard?
0:54:36 > 0:54:39Well, you are free to do what you like.
0:54:39 > 0:54:41Yes. I'll drink to that. Mm-hm.
0:54:41 > 0:54:44Here's to the future.
0:54:44 > 0:54:46Whatever that may bring.
0:54:46 > 0:54:49Nasdarovya! Wow! You do learn quick.
0:54:49 > 0:54:51You see, I do learn quick, you see? Yes!
0:54:53 > 0:54:55MONITOR BEEPS
0:55:06 > 0:55:08FOOTSTEPS APPROACH
0:55:12 > 0:55:15Sorry to wake you.
0:55:15 > 0:55:17Oh. I wasn't asleep.
0:55:17 > 0:55:21Well, you could be forgiven for dropping off, in the circumstances.
0:55:21 > 0:55:24Yeah. The Guillain-Barre affected Fletch's lung function,
0:55:24 > 0:55:27so we ventilated him as a precaution. I see.
0:55:27 > 0:55:29I bumped into Nurse Fletcher's son. I thought he might benefit
0:55:29 > 0:55:33from meeting Dr Steven Arran, child psychologist.
0:55:33 > 0:55:35Thank you.
0:55:37 > 0:55:39Ms Wolfe. Thank you.
0:55:41 > 0:55:43Any change? No.
0:55:45 > 0:55:47All obs are stable.
0:55:50 > 0:55:52I heard you offered to take his kids on.
0:55:52 > 0:55:55Well, I'm sure it won't come to that.
0:55:55 > 0:55:56Is that a clinical judgment?
0:55:56 > 0:55:59No, it's pure intuition.
0:55:59 > 0:56:03That and the fact I've been sat here for the past hour praying.
0:56:03 > 0:56:07I don't care where your inspiration comes from, as long as you get it.
0:56:09 > 0:56:11Have you eaten anything?
0:56:11 > 0:56:13Two chips. No, I tell a lie, three.
0:56:13 > 0:56:15Right. I'm going to have a break.
0:56:15 > 0:56:17I've ordered pizza. Ham and pineapple.
0:56:20 > 0:56:22Oh. Pizza snob, eh?
0:56:22 > 0:56:25I once had a halal goat pizza.
0:56:25 > 0:56:27It was very good, actually.
0:56:27 > 0:56:30You're lucky because I'm starving. I'd eat anything.
0:56:30 > 0:56:34Just don't go sprinkling the wards with holy water. Come on.
0:57:13 > 0:57:15Get your pills! Side-effects guaranteed.
0:57:15 > 0:57:18'I'm a doctor. I believe that many common illnesses
0:57:18 > 0:57:19'are best treated without drugs.'
0:57:19 > 0:57:21We're just prescribing
0:57:21 > 0:57:22more and more pills.
0:57:22 > 0:57:25Patients want a quick fix. We need a revolution.
0:57:25 > 0:57:29Today is the last day that you are going to take these drugs.
0:57:29 > 0:57:32How could this EVER be good for a human being?
0:57:32 > 0:57:34'Persuading Britain to go cold turkey
0:57:34 > 0:57:36'could be the hardest thing I've ever done.'