Say a Little Prayer Holby City


Say a Little Prayer

Fletch is in the grip of a creeping paralysis, and Raf struggles to make the diagnosis that will save his life. Ollie attempts to tell Zosia about Jasmine.


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Transcript


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Why is it called Traffic Lite Night? Red is no, green is go.

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Because friends go speed dating together, don't they(?)

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You ended us. What difference is it to you who I take speed dating?

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I'm worrying whether Evie's coping, whether Mikey's coping.

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My little one is barely sleeping through the night.

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I can't ask Raf to do any more than he is.

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If there is another problem to add to my list, get it off your chest.

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I need some space. Argh!

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Ah! Ah.

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Well, hello, Fletch. I must say, I'm glad to see you.

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You deserve to live the life you want.

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But the things that I want...

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..aren't the things that you want.

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BEEPING

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HEARTBEAT

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Mikey?! Argh!

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Yeah, I'm coming.

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HIGH-PITCHED RAPID BEEPING

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SIREN WAILS

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RAF YAWNS

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Morning. Hey.

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Oh.

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Here. Extra shot.

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Your need is greater than mine. Thanks.

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Did you get any sleep at all?

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I had this horrible dream where I was drowning

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and then I woke up and the wee one was crying, so...

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Poor little thing.

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God, life is cruel, isn't it?

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Oooh!

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Ah, Mr...

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Mr Levy. I didn't, er...expect to see you here this morning.

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Yeah, sorry, last minute change of shift.

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And shirt, by the look of it.

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Bit OTT, isn't it? Well...

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Huh! Oh, that's a cool shirt!

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Thank you.

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Yes, I think Dr Copeland is probably a better arbiter

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of the sartorial zeitgeist than am I.

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Morning. Morning.

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Hi. Hi.

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I thought you were on a late? I thought you were.

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HE SIGHS

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What exactly happened? No idea.

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He must have tried to get out of bed and just hit the deck.

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Have you done a head CT? Yeah, yeah, it's all clear.

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Well, his temperature was up. Maybe he got confused.

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Look, we have to go, we have a consult...now.

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OK, I'll keep an eye on him. Raf? Are you coming?

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HE SIGHS

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So, when are you going to tell Zosia?

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Hey! You all right? Yeah, just pregnant.

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Nice skirt. You said that yesterday.

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I know. It's the same skirt.

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Well, I was wined and dined by Mr Valentine.

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Aha! New Moroccan place.

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Nice! Hot, was it? The food, I mean.

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If that look was more penetrating, they'd use it on radiology.

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I think he found it just spicy enough.

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I don't think I should have had that last pastry.

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What's that? Hm? Pigging out again, Ollie?

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Oh, you know, greasy food.

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Always makes me feel a bit queasy in the morning.

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Can we talk about the lung reduction, please? Yes, sure.

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Nice skirt! Thanks.

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He was asleep when the duty nurse left him.

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And we've no idea how he fell?

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No. He hadn't rung for anyone,

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there was no equipment in the way, the floor was clean and dry.

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The board, of course, will want to ask questions,

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as they have every right to do.

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Yeah. I'll do the report.

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That would be very helpful, thank you.

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DOOR SLAMS

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Whose is this? It's mine.

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Yours? I didn't know you sing.

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Yeah. I thought I might try out for the hospital choir.

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Oh. OK, well, good luck.

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They're actually quite good.

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Oh, really? Yeah.

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So, who've we got? What?

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Oh, yes! Er...it's Becky Schama. Yeah, she's on the way up.

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I've been trying to chase her up,

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she missed her last check-up. I'll take it.

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It's an emergency admission. She's been severely vomiting,

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so I think I should probably come with you. Yeah, of course.

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I always thought we had a lot in common with Becky and Simon.

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You know, similar age, similar family background.

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Yep.

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Your hair looks lovely, by the way.

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Thank you. I thought I would try something different.

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Yeah, same here.

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Carla Arenas.

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78 years old, chronic obstructive pulmonary disease.

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Don't tell me, she's been smoking 40 a day for 30 years?

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40 years, actually. Gave up 10 years ago. Hurrah!

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And since then, she's become a bit of a fitness freak, until the COPD.

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She's been responding well to treatment, attending physio,

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being an all-round good girl. Better late than never.

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So, what makes you think a lung reduction's her best option?

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Well, I think it will hugely improve her quality of life.

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And when we did an X-ray, we found this...there.

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That's tiny!

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A lung reduction could prevent it from being life-threatening.

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It might be benign.

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Just a question of killing two birds with one stone.

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Good luck getting an anaesthetist on board.

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You know how much they love COPD. Just leave that with me.

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It'll take a lot more than your admittedly considerable charm.

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Well, I want Ms Jackson, and I'm not going to ask, Ollie is.

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Ooh, you're pimping Ollie! Yeah. He loves it.

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Huh!

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Fletch? W-What's going on?

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Back and neck pain. And now I can't feel my feet.

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Full spinal precautions.

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I've requested a spine MRI and CT scans.

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Spinal fracture? But wouldn't I be in more pain?

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Won't do any harm to be 100% sure.

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Have you done bloods? Yep. I'll see if there's a scanner free.

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Tone, coordination, power, reflexes,

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normal bilaterally, but there is definite loss of sensation

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to light touch and pinpricks.

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And it's bilateral? Yep.

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It's not a stroke. Definitely not.

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You're not diabetic, are you?

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No, but my old man is. I test myself regular.

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Mate, how's the head? Sore.

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And have you any idea why you fell last night?

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I haven't got a clue what happened.

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Yesterday, it was just pins and needles.

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There's one free now. I'll take him.

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Can we get some help in here, please? Quick as you can.

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Mission accomplished.

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Ah! Well done!

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See, she's the top man. Mm.

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Even with Jackson, it's still a risk.

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Well, I'm with Zosia. I think it could improve her quality of life.

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So, shall we go and meet her? Sure!

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Wow! Was that your stomach? Yeah. No breakfast.

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Greasy food queasy, eh? Yeah. Zosia, I need to, um...talk to you later.

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OK. What, about the op, or...?

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No.

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It's personal.

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Sure.

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Oliver Valentine...

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I know what you're going to say and it's under control. Good.

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Because this is going to be a tricky one for Zosia

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and I do not want a messy fallout over the patient.

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Message received and understood.

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Hello, Carla. Hi!

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This is Ms Effanga and Mr Valentine.

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That's quite a name to live up to.

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Carla is a publisher.

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Oh, really? I love reading.

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Do you? What sort of things?

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Don't mind, as long as it sends me to sleep.

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I have a book by my bed for precisely the same reasons.

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OK, there are a few things before we go ahead.

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Um...the surgery carries a certain risk. I know.

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I could die on the table.

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Is that what you're trying to say?

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If my future is stuck in a chair watching daytime TV,

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well, frankly, I'd rather be dead.

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Have you talked to your family about this?

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My friends are my family.

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And we've talked about nothing else for weeks.

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I'm ready for the next big adventure, whatever it is.

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Jose Fuentas? Yes.

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I published his first novel.

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You discovered Jose Fuentas?

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I suppose you could put it like that. Huh!

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His stuff's amazing. It's even better in Spanish.

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Yeah, I read it in Spanish.

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Darling, let's hope I survive.

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This looks fine, too.

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Yeah. I wasn't exactly looking forward to telling him

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he might have a spinal fracture.

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CT and MRI both good, Fletch.

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So, I can take this thing off now, can I? Yeah. Here.

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Oh! Cheers.

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You didn't slice through my spine, then? Just managed to miss it.

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Some might think you didn't have any faith in me.

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I'll chase bloods.

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How are the kids? Yeah, top form.

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I'm running the show with military precision.

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Bernie would be proud of me. What about Mikey?

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Mikey got twice my score on the computer last night. He's OK.

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What's his behaviour like? It's all under control.

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I even managed to clean out the fridge last weekend.

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Some of the food in there had sell-by dates in Roman numerals.

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Very funny. So, he's not acting up? No, he is good as gold.

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I dropped him off at school today and he ran off with his mates.

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He's a popular kid.

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OK, let's get you back on the ward.

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Swing your legs over.

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Fletch?

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I can't move them.

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Ah, Becky, excusez-moi!

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Hello! Ah! Hello, strangers!

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Hi, Essie. I'm really sorry about last month.

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Oh, look at you!

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Oh, do you like it? Yes, I thought it might cheer everyone up a bit.

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Either that, or they'll think they're delirious.

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Becky! Tact is not one of her strongest points.

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You can't afford it in my job. You're not back at work, are you?

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No, not yet, but I cannot wait.

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I have got to get out from under Mary Berry's feet.

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I've just signed up for a cookery course.

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Have you? Have you? Yeah.

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Southeast Asian cuisine. Oh, I love cooking Thai food.

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I love French food. I love eating it.

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THEY LAUGH

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So you've been vomiting. Mm. For three days? Mm-hm.

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It's not a sign of rejection, is it? Not necessarily, no.

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There, now, you have it from the horse's mouth.

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He's fussing more than my mother.

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Your blood pressure is a bit low.

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Can I take a look? OK?

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OK, well, it's a nice clean wound.

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May I have a feel of your abdomen?

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Essie, can we see if the scanner room's free?

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We need to do an urine test and an ultrasound.

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Will do, Sacha.

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So, how's the family situation?

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Ah! So this, you will not believe.

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Mother rings two weeks ago. "Come for Shabbat, bring Simon with you."

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That's amazing! And the big news is...

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We've decided to get married! Ah, amazing! Congratulations!

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I'm off to Paris this weekend with a new person.

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No way! Oooh!

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So...we would like you both to come to the wedding.

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Oh, that...that's really kind of you.

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Well, Mother's always moaning,

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"It's not going to work. Different culture, different faith."

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And she needs to see other couples like us.

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Actually, Becky, we...

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Yeah, um... Um...it's...

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They broke up.

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You're joking?

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ANIMATED CHATTER

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LAUGHTER

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Ahem!

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Whoops!

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And you are? Bernard Montefiore.

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Oh. Ms Effanga.

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And this is...Dr March.

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Are you the surgeons? Uh-huh.

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Carla, darling, I feel so much better!

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You look like human beings! Don't they?

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Bernard is an old friend of mine.

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A very, very old friend.

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THEY CHUCKLE

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Is that alcohol?

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Er...no. It's rum punch without the rum.

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Right. I'm afraid Carla has to be nil by mouth before her operation.

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I haven't touched it. Try it.

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No, thank you. It does look the business, though.

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Taught to me by... Luis? Luis.

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Barman at the Varadero, Havana, where we stayed last year.

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Right. We have to prepare Carla for surgery.

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Oooh! Yeah. I think you have to go.

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Oh, of course. Of course.

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Al igual que los zarcillos de la vid.

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Nuestras almas nacen de una raiz comun.

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I'll be back.

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Line from Fuentas.

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Like the tendrils of the vine, our souls...

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..spring from the same root.

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Aw! Hm.

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He's not been exposed to anything toxic?

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Like what - uranium?

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I haven't noticed any leaking nuclear facilities around here(!)

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Sorry.

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He's usually a pretty healthy guy.

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Except for the fact that his legs don't work.

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Could it be psychological, the effects of the trauma?

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Look, Fletch is not your typical hysteric.

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I keep paging Guy, but he's not answering.

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I'll go and find him.

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Mikey? I'll leave you to it.

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Hey. What happened? Ah, I fell against a tree.

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Yeah, right(!) Where's Dad? I want to tell him something.

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No, no. Not like that, you don't.

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Er... Look, Sharon, could you take this young man,

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clean him up and then put him in Ms Campbell's office?

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You, wait for me there!

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HE SIGHS

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MONITOR BEEPS

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How you doing?

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Not quite as straightforward as it looked on the video last night.

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I think that's enough.

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Removing grasper and port.

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Backhands and clip, please. Thank you.

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Thank you.

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Thank you.

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And there's the lesion.

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Yeah. It doesn't look good.

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That's one little baby she's better off without. Send it to Pathology.

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LOW-PITCHED BEEPING Hang on. Her BP's falling.

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We've got a bleed from pleura. Diathermy, please.

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Come on, Carla.

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BP's rising.

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Well done, Dr March.

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When you're ready, Mr Valentine, could you close up for me?

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I love saying that. Hm!

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She is going to be unbearable for the next few days.

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Yes, it'll be the coronary artery bypass graft all over again.

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I did wake up once and I couldn't move.

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When was this? Years ago.

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I must have been asleep.

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You know, sleep paralysis.

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I've never had it.

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It's as creepy as hell.

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Just thinking about it freaks me out.

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Look, we can rule out some real nasties,

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like spine compression, fractures...

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Yeah. Where's Raf?

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He's gone to talk to Guy.

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Because he's really worried. I know he is, I can tell.

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He wants to do his best for you.

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Fear doesn't help anyone, Fletch.

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Well, I am going to be here for quite some time.

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Have you done a lumbar puncture?

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Not yet. I just wanted you to check him over.

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Mr di Lucca, I really wish I could,

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but I am right in the middle of a very delicate procedure

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and I have to concentrate on the matter in hand.

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Better get them all in before next Pesach.

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Amen to that! THEY CHUCKLE

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Simon? Look, I'm sorry about earlier on - Essie and me.

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It's all been fairly recent.

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I wasn't expecting your news. That's...

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About, you know, what with Becky's family.

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Mm. Neither was I! So, are you converting?

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Going for the full snip?

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HE WHEEZES Sorry.

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Yes. I am.

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I've sort of fought against the idea for years.

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Not the culture. I love the culture. Just the religious side of things.

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But I feel different now.

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Not that I'd do anything to make her happy, but...

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Almost anything. Yeah.

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Same with you and Essie. I mean...

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Sorry. What I mean by that is...

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Simon, Simon, it's absolutely fine. It's fine.

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Listen, I'll see you back there in a minute, OK? Oh, and Simon? What?

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Mazel tov.

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Mazel tov!

0:18:140:18:16

That was very impressive, Zosia.

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Thank you. Carla is one tough lady.

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She was born in Havana, apparently.

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Her mother was Cuban.

0:18:270:18:28

Wouldn't be great to get a job that takes you all over the world?

0:18:280:18:32

Holby giving you cabin fever?

0:18:320:18:34

Well, no.

0:18:340:18:37

But, um... Well, there's not much to keep me here, is there?

0:18:370:18:40

I wonder what it would've been like if I'd taken that job in Pakistan.

0:18:400:18:44

But, er... Well, we have such a great team here.

0:18:440:18:47

You wanted to talk? Yes.

0:18:490:18:52

Huh!

0:18:520:18:53

You remember what it was like when we started seeing each other?

0:18:540:18:58

Um...yeah, pretty intense. Yes. Yeah.

0:18:580:19:00

Because we were, you know, working together.

0:19:020:19:05

And when you're dating someone that you're working with,

0:19:050:19:09

things can move quickly. What are you trying to say?

0:19:090:19:12

PAGER BEEPS

0:19:120:19:13

Sorry.

0:19:130:19:16

Er...got to go. Can we talk later?

0:19:160:19:19

Yeah, sure. OK.

0:19:190:19:21

You told them he was an accountant?

0:19:250:19:27

Well, it's half true. He does do his own accounts!

0:19:270:19:30

THEY LAUGH

0:19:300:19:31

But they know now? Sort of. Ha!

0:19:310:19:34

She hasn't mentioned the pigs.

0:19:340:19:36

Oh, can you blame me?

0:19:360:19:38

Just imagine - "Rabbi, meet the son-in-law, the pig farmer"!

0:19:380:19:41

Oi! I'm diversifying. Goats and sheep.

0:19:410:19:44

And if that doesn't work, there's always the stand-up.

0:19:440:19:47

Heard the one about the rabbi, the priest and the pig farmer?

0:19:470:19:50

It's blood! She's...! It's all right, it's all right.

0:19:510:19:54

No spinal fracture on the CT, MRI normal, no longer pyrexial,

0:19:540:19:58

all obs are normal, but it's gone from his feet to his legs!

0:19:580:20:01

How are we supposed to treat him when we don't know what's wrong?

0:20:010:20:03

That's why we're doing the lumbar puncture.

0:20:030:20:05

It's a process of elimination. Could it be MS?

0:20:050:20:07

It's a possibility. It's one of many.

0:20:070:20:09

How can you be so calm?

0:20:090:20:11

I've seen a lot, Raf. You'll have to keep a steady nerve.

0:20:110:20:14

Maybe I need to spend some time in a war zone. No.

0:20:140:20:16

No, you don't.

0:20:160:20:18

You're his mate. Of course you're worried about him.

0:20:180:20:20

The trick is not to let him see it.

0:20:200:20:22

I mean, I've been just been sat at home chilling.

0:20:250:20:29

Is that code for onesie wearing and binge eating burritos?

0:20:290:20:32

Course not!

0:20:320:20:34

Listen, do you really think when Taylor and Burton split up,

0:20:340:20:38

Liz sat around moping?

0:20:380:20:39

Counting and polishing her diamonds?

0:20:390:20:41

Look, I don't need to do a course to teach me to cook.

0:20:410:20:44

All right. Well, I'm just saying you

0:20:440:20:45

might want to put yourself out there, like Sacha is.

0:20:450:20:48

Do you think that's why he's joining the choir, to meet other women?

0:20:490:20:52

No, gay men.

0:20:520:20:54

What? I'm kidding, I'm kidding.

0:20:540:20:56

Look if you're not ready, you're not ready.

0:20:560:20:59

Well, I've not been completely idle.

0:20:590:21:02

I was doing a clear-out.

0:21:020:21:04

What the merry hell is that?

0:21:070:21:09

Sacha gave to me.

0:21:090:21:11

It belonged to his mother.

0:21:110:21:12

Well, that's sweet.

0:21:120:21:14

Would Isaac like it?

0:21:140:21:15

Absolutely not!

0:21:150:21:17

I wanted to give it him back. Do you think he'll be hurt?

0:21:180:21:20

Yes.

0:21:200:21:21

Are you OK?

0:21:260:21:27

Yeah. Becky's ultrasound is all right but she's vomiting blood

0:21:270:21:30

so we need to do a gastroscopy ASAP. Are the bloods back?

0:21:300:21:32

Yeah, I was just checking.

0:21:320:21:34

Right, I'll inform theatre. Do you want to scrub in? Sure, yeah.

0:21:340:21:37

Oh, here they are.

0:21:380:21:39

She's pregnant.

0:21:450:21:46

All right, I'm going to give you a local, Fletch, OK?

0:21:470:21:50

Small scratch coming up.

0:21:500:21:52

So everything's negative so far?

0:21:520:21:54

Yeah, that's right. This will rule out an infection in the CSF.

0:21:540:21:58

Why would I have an infection?

0:21:580:22:00

It's unlikely. We're just ruling things out at the moment.

0:22:000:22:03

Well, come on, hurry up. Are you going to give me this local or what?

0:22:030:22:07

Told you it wouldn't hurt.

0:22:110:22:12

Either that was the most skilful jab I've ever had or I didn't feel it.

0:22:180:22:23

Right, I'm going to get this off to the lab ASAP.

0:22:230:22:26

Could you take over, please, Raf?

0:22:260:22:28

My age is typical for MS onset.

0:22:360:22:38

Yeah, but the presentation is too quick

0:22:400:22:42

and we didn't see anything on your MRI.

0:22:420:22:44

But you haven't ruled it out.

0:22:450:22:47

Let's just wait for the lumbar puncture results

0:22:470:22:50

before we jump to any conclusions.

0:22:500:22:51

It was malignant, the lesion.

0:22:540:22:57

Well done. Caught early, she stands a really good chance.

0:22:570:23:01

Thank you.

0:23:010:23:02

LIVELY LATIN MUSIC PLAYS

0:23:020:23:04

Sorry. Dodgy volume control.

0:23:130:23:15

How are you feeling, Carla?

0:23:150:23:17

Like when I was trekking in the Andes

0:23:170:23:19

and got kicked in the chest by a mule.

0:23:190:23:21

But the breathing does seem easier.

0:23:220:23:25

That's wonderful. I do hear that people feel a change straightaway.

0:23:250:23:29

Right, Bernard, could we keep the noise down?

0:23:290:23:32

Absolutely.

0:23:320:23:33

Cool track, though.

0:23:330:23:35

Well, allow me.

0:23:350:23:36

Mr Montefiore, can I have a quick word?

0:23:480:23:52

Just this way. Come, yes.

0:23:520:23:54

So the vomiting was morning sickness.

0:24:000:24:03

Yeah. I guess you were focused

0:24:030:24:04

on the kidney when you did the ultrasound.

0:24:040:24:06

It's bleeding from the duodenum.

0:24:060:24:07

The vomiting was a red herring? Yeah, could have been.

0:24:070:24:10

So we inject adrenaline?

0:24:100:24:13

Yeah, let's do that first,

0:24:130:24:14

saline and adrenaline solution, please. Thank you.

0:24:140:24:18

So come on, then. What are you going to do for your audition?

0:24:180:24:21

Well, it's hardly an audition.

0:24:210:24:23

Oh, please.

0:24:230:24:25

I think you should do that one...um...Salad Days.

0:24:250:24:29

# Look at me Oh, look at me

0:24:290:24:31

# Oh, look at me, I'm dancing. #

0:24:310:24:33

You're very good. Thanks.

0:24:330:24:35

Yes...

0:24:370:24:37

Nope. Nope, it's not working.

0:24:400:24:42

LOW-PITCHED BEEPING

0:24:420:24:44

Blood pressure's falling.

0:24:440:24:46

Shall we get some blood cross-matched? Yeah. Just in case.

0:24:460:24:49

Let's get a thermal probe, please.

0:24:490:24:51

What about a laparotomy?

0:24:510:24:53

No, we're going to try clipping first.

0:24:530:24:55

I'd rather not do a laparotomy on a pregnant woman if I can help it.

0:24:550:24:58

Don't touch anything. How's Fletch?

0:24:580:25:03

It'll be a couple of hours before we get the count.

0:25:030:25:05

Just keep doing the obs.

0:25:050:25:06

That is the last thing he needs at the moment.

0:25:060:25:08

I want to see Dad. It's really important.

0:25:080:25:11

Your dad is resting right now, Mikey.

0:25:110:25:13

Hey! Mikey, calm down.

0:25:130:25:17

Do you mind?

0:25:170:25:18

Please do.

0:25:180:25:20

In here, come on.

0:25:200:25:21

I really don't want to have to risk doing a laparotomy.

0:25:290:25:32

Well, she's still bleeding and her BP is still falling

0:25:320:25:35

so we don't really have much choice.

0:25:350:25:37

She told me that her and Simon given up the idea of having kids.

0:25:370:25:41

It's barely six months since the transplant and she's

0:25:410:25:44

already on heavy immunosuppressants.

0:25:440:25:47

That's hardly the ideal conditions for a pregnancy.

0:25:470:25:51

Shall I go scrub in?

0:25:510:25:52

Yeah...

0:25:540:25:55

Yeah.

0:25:550:25:57

Removing the scope.

0:25:570:25:59

We're going to open her up

0:25:590:26:00

and we're going to under-run the bleeding vessel.

0:26:000:26:02

OK?

0:26:020:26:04

How long have they been trying for a baby?

0:26:060:26:08

A long time.

0:26:080:26:10

I want to tell my dad something.

0:26:140:26:16

Look, Mikey, you know there are doctors here

0:26:160:26:20

who people can talk to if they are upset or angry.

0:26:200:26:24

What do they do to them?

0:26:240:26:27

They just talk to them, find out why they're angry.

0:26:270:26:31

Where did that come from?

0:26:310:26:33

Dunno. Was here.

0:26:330:26:34

Show me.

0:26:340:26:35

What is it?

0:26:390:26:40

It's Cosmas and Damian. They were twins, doctors, a long time ago.

0:26:400:26:46

Look, I need to know that you are on side,

0:26:490:26:53

doing what's best for your dad. OK?

0:26:530:26:55

OK.

0:26:550:26:56

Right. You're some man. Stay here, OK?

0:26:560:26:59

LATIN MUSIC PLAYS

0:27:040:27:05

Bernard, what are you up to?

0:27:090:27:13

BERNARD SINGS IN SPANISH

0:27:140:27:17

Marry me, Carla!

0:28:030:28:05

HE SPEAKS SPANISH

0:28:070:28:10

Ah.

0:28:160:28:17

What does that mean?

0:28:180:28:21

Um...

0:28:210:28:22

..one's first love is a thread

0:28:240:28:26

woven into the soul...

0:28:260:28:28

..forever.

0:28:310:28:32

Hey. What did you want?

0:28:450:28:47

I am not going to be your dirty little secret.

0:28:470:28:49

Look, I was in the middle of telling her, OK, when you paged me.

0:28:490:28:54

Stop! Someone could see. OK?

0:28:580:29:02

Isn't that the point?

0:29:020:29:04

Isn't that why we're doctors? The risks, the thrills?

0:29:040:29:06

And here was I thinking it was about healing the sick.

0:29:060:29:08

Aw! How sweet!

0:29:080:29:10

But let's leave that to the GPs and district nurses,

0:29:100:29:13

chugging along in their Morris Travellers.

0:29:130:29:15

I used to have a Morris Traveller. It was a good car.

0:29:150:29:17

Aw, and now you're more of an E-type. Elegant, shiny, sleek...

0:29:170:29:22

HE CLEARS HIS THROAT

0:29:390:29:41

Oh, sorry.

0:29:440:29:45

Carla's stopped breathing.

0:29:540:29:56

How's that?

0:29:580:29:59

If this is MS...

0:30:060:30:07

..then what's the best possible outcome?

0:30:090:30:12

I spend the rest of my life in a wheelchair?

0:30:120:30:15

I've got four kids, Raf.

0:30:160:30:17

Right, I play football with Mikey, I take all four kids swimming.

0:30:190:30:22

What if this doesn't stop at my legs?

0:30:240:30:28

What if I can never hold my kids again?

0:30:280:30:31

We don't know what it is yet.

0:30:310:30:33

Always look on the bright side, eh?

0:30:340:30:36

What's the alternative?

0:30:370:30:39

HE COUGHS

0:30:410:30:42

That is just anxiety.

0:30:490:30:51

The lumbar puncture results will be back soon and then we'll have

0:30:510:30:55

a better picture of what's going on.

0:30:550:30:57

Sorry about the state of the fridge, mate.

0:31:030:31:06

There was enough mould in there to set up your own pharma company.

0:31:060:31:10

Everything else is fine.

0:31:100:31:12

Evie came top of her class in French.

0:31:120:31:16

Obviously takes after me.

0:31:170:31:19

Yeah, obviously.

0:31:190:31:21

You could teach her Italian.

0:31:210:31:23

Raf...

0:31:250:31:26

What?

0:31:300:31:31

Not looking at the bright side...

0:31:380:31:40

..if something happens to me...

0:31:450:31:47

..I'd love it if you took the kids.

0:31:510:31:53

Took them where?

0:31:550:31:56

For you to look after them.

0:31:590:32:00

Of course I would if I had to...

0:32:050:32:08

..but I won't have to.

0:32:090:32:10

You are their dad and you are going to keep being their dad.

0:32:120:32:16

But you don't know that, do you?

0:32:160:32:18

Cos this is a really fast progression.

0:32:180:32:20

What's going to stop it?

0:32:200:32:22

You can't stand there and tell me that this isn't going to kill me.

0:32:230:32:27

All right, Dad.

0:32:290:32:30

Well, if this is the state of you, what's the state of the other kid?

0:32:360:32:40

I'll go and check on those lab results.

0:32:400:32:43

Pneumothorax? Yes. Which side? Left.

0:32:480:32:51

OK, we'll need to do a percutaneous drainage

0:32:510:32:53

and can we get an ultrasound, please? Yes.

0:32:530:32:57

What's happening? Her left lung's collapsed.

0:32:570:33:00

Carla, darling, can you hear me?

0:33:000:33:02

I love you with all my heart.

0:33:020:33:03

We need to insert a chest drain.

0:33:030:33:05

Why did she have the lung reduction?

0:33:050:33:08

Surely the risks outweigh the benefits?

0:33:080:33:10

Jasmine, I think we know what we're doing.

0:33:100:33:11

Sorry. I'm just here to listen and learn.

0:33:110:33:13

Yes, you are. So be quiet.

0:33:130:33:15

When are you coming home? We'll look after you.

0:33:180:33:22

Not for a little bit.

0:33:220:33:24

Your dad's going to take a little bit longer than we thought

0:33:240:33:27

to get better. It's all right with Raf, innit?

0:33:270:33:30

Yeah. His cooking's good.

0:33:300:33:32

He lets us have chocolate spread on toast.

0:33:320:33:34

Good old Raf.

0:33:340:33:36

I brought you some. Well tasty.

0:33:360:33:39

Yeah. Listen...

0:33:440:33:47

do you mind... do you mind if I eat that later?

0:33:470:33:50

Are you angry with me?

0:33:530:33:55

No.

0:33:560:33:58

I mean, you drive me crazy. But then you all do that.

0:34:000:34:04

You know, you kids...

0:34:090:34:11

..you're the only thing I'm really, really proud of.

0:34:130:34:17

Even me?

0:34:200:34:21

Even you, mate.

0:34:260:34:27

I didn't hit anyone. You told me not to and I didn't.

0:34:310:34:34

I won't push Evie again either, I promise.

0:34:350:34:39

OK.

0:34:390:34:41

I don't want to fight any more. I want to stop.

0:34:410:34:43

Do you believe me? I won't make you ill again.

0:34:460:34:48

Mate...

0:34:500:34:51

..this isn't your fault. It is.

0:34:530:34:55

LOW-PITCHED BEEPING Dad?

0:34:550:34:57

Dad!

0:34:570:34:58

Raf! Raf! Anyone! Dad!

0:34:580:35:01

All right, Fletch, OK. Here we go. Breathe deeply. Breathe deeply.

0:35:010:35:07

All right. That's it. Well done.

0:35:090:35:11

You still haven't given me an answer.

0:35:120:35:14

No, but I thought your song was fabulous, darling. Thank you.

0:35:140:35:18

Oh.

0:35:200:35:22

They say if you sit on the fence, the iron enters your soul.

0:35:220:35:26

Well, we radicals suffer too.

0:35:260:35:30

Must be all those afternoons

0:35:300:35:31

spent outside the South African embassy in the rain.

0:35:310:35:35

You need a stick.

0:35:350:35:37

A stick!

0:35:370:35:39

Can you imagine Che with a stick?

0:35:390:35:42

Poor man. Never got the chance.

0:35:420:35:45

So when's the big day?

0:35:450:35:47

Oh, I persist but she always says no.

0:35:470:35:50

What, you've asked before?

0:35:500:35:52

Many times.

0:35:520:35:54

I feel compelled to from time to time.

0:35:540:35:58

She does say no and then life settles back down to normal.

0:35:580:36:02

I don't want to get married.

0:36:020:36:04

I'm perfectly happy as I am.

0:36:040:36:06

You infuriating, beautiful, fascinating woman.

0:36:070:36:12

Hello. Hi.

0:36:250:36:27

You're Nurse Fletcher's son.

0:36:280:36:30

Are you a doctor? You don't look like one.

0:36:300:36:33

Don't I?

0:36:330:36:34

What are you doing?

0:36:380:36:39

Just mending this.

0:36:390:36:41

Can I help, do you think?

0:36:420:36:44

It's just a paperclip.

0:36:440:36:45

Thank you.

0:36:480:36:49

So, how is your father?

0:36:520:36:55

He thinks he's going to die but Raf says he isn't.

0:36:550:36:58

Well, you know, sometimes when people are ill

0:36:580:37:01

they become frightened.

0:37:010:37:02

I would say Mr Di Lucca

0:37:020:37:06

certainly has a good idea of what's wrong with your dad.

0:37:060:37:09

Are you one of the doctors that talk to people when they're angry?

0:37:100:37:14

You mean a psychiatrist?

0:37:150:37:17

No, I'm not.

0:37:170:37:19

Why?

0:37:200:37:21

They find out why people get angry.

0:37:210:37:23

Well, I think...that'll do it.

0:37:250:37:29

There you go. Thanks.

0:37:290:37:31

Now I have to go, if you'll excuse me.

0:37:310:37:34

Good to meet you.

0:37:340:37:35

Have you seen Raf?

0:37:370:37:39

He's around here somewhere.

0:37:390:37:41

Why isn't he answering his pager?

0:37:410:37:42

Any news on the lumbar puncture?

0:37:420:37:44

That's why I'm trying to find him.

0:37:440:37:46

Normal white cell count, CSF slightly elevated,

0:37:460:37:49

nothing on the gram stain. OK, well, that's good.

0:37:490:37:52

Could you do Fletch's lung function tests for me? Sure. Thanks.

0:37:520:37:56

Raf?

0:38:010:38:02

Raf, I've been paging you. Have you read the lab report?

0:38:020:38:06

Normal white blood cell count, normal antibody levels,

0:38:060:38:09

so we can rule out MS.

0:38:090:38:10

The CSF protein levels were elevated, though.

0:38:100:38:12

Why would the CSF protein be elevated with

0:38:120:38:14

a normal blood white cell count?

0:38:140:38:16

We have to keep investigating to find out.

0:38:160:38:18

Raf...

0:38:180:38:20

Fletch is lying on AAU

0:38:200:38:22

with a creeping paralysis that could kill him.

0:38:220:38:24

Do you think I don't know that?

0:38:240:38:26

So it's not a spinal injury, it's not diabetes,

0:38:260:38:28

it's not an infection, it's not a stroke.

0:38:280:38:30

Could it be something weird like...like shellfish poisoning?

0:38:300:38:33

Fletch hates shellfish. I feel like we're running out of time.

0:38:330:38:37

It's progressing too fast! So what are you saying?

0:38:370:38:39

Everything was getting better. Why should this happen?

0:38:390:38:42

I don't understand! Neither do I. I can only do.

0:38:420:38:45

We keep trying or we give up.

0:38:450:38:47

Is that some kind of parade-ground pep talk?

0:38:470:38:50

Well, it works for me.

0:38:500:38:51

I don't know what works for you but you'd better find it, fast.

0:38:510:38:56

I'm sorry.

0:38:560:38:58

I'm pregnant?

0:39:020:39:03

You understand, Becky?

0:39:040:39:06

You understand we had to go ahead with this procedure because

0:39:060:39:09

we wanted to save you and the baby?

0:39:090:39:11

You saved my life again, Sacha. It's getting to be a habit.

0:39:110:39:16

I'm pregnant?

0:39:180:39:19

I'm 46!

0:39:210:39:23

Come on. Stop that.

0:39:230:39:25

I'm the one who's normally the crybaby.

0:39:260:39:28

Hey, mate. Raf, where were you?

0:39:360:39:38

Dad couldn't breathe. They had to give him oxygen.

0:39:380:39:41

He started coughing like before.

0:39:410:39:44

He's OK now. I'm looking out for him.

0:39:440:39:47

I'm so sorry you had to see that.

0:39:480:39:52

What do you mean "before"? When he had that cough.

0:39:520:39:55

On holiday?

0:39:570:40:00

Oh, yeah. I remember.

0:40:000:40:02

Look...could you wait here?

0:40:040:40:07

It's just the new kidney, the marriage and now this.

0:40:090:40:12

I'm used to things going wrong.

0:40:130:40:16

Becky, we do need to make you aware,

0:40:160:40:19

carrying a child to full term with a new kidney

0:40:190:40:22

and under immunosuppressant therapy

0:40:220:40:25

does carry great risks,

0:40:250:40:26

for both yourself and for the baby.

0:40:260:40:28

We will support you, whatever choice you make.

0:40:300:40:33

I'm not sure I want to take that risk.

0:40:350:40:37

I do. I do.

0:40:400:40:42

OK.

0:40:450:40:46

Then let's do it.

0:40:470:40:48

PHONE RINGS

0:40:540:40:55

Mother.

0:40:570:40:59

Give it here.

0:40:590:41:00

Tell her she's given me an ulcer.

0:41:030:41:05

Hi, yeah, it's Simon.

0:41:050:41:07

Simon.

0:41:080:41:09

Yeah, we're at the hospital.

0:41:110:41:12

Hospital.

0:41:120:41:13

It's just a check-up.

0:41:160:41:19

No, I haven't thought about using Uncle Leo's place

0:41:190:41:21

as a venue for the reception.

0:41:210:41:23

Alvina, Becky and I can sort out the arrangements.

0:41:260:41:30

OK?

0:41:320:41:34

OK.

0:41:340:41:35

Speak later.

0:41:350:41:36

You see what kind of man I'm marrying?

0:41:380:41:42

He's a mensch.

0:41:420:41:43

I had a case about five years ago.

0:41:470:41:49

Similar partial paralysis, bilateral -

0:41:490:41:51

Guillain-Barre syndrome.

0:41:510:41:53

Well, it could be one of a number of things.

0:41:530:41:54

What's your reasoning?

0:41:540:41:56

It fits. It crossed my mind before but it usually comes after

0:41:560:42:00

a respiratory illness and Fletch hadn't been ill but then

0:42:000:42:03

Mikey reminded me that he'd had a chest infection about a month ago.

0:42:030:42:06

It would explain the raised protein levels in his CSF too.

0:42:060:42:11

I'll get someone to do the nerve conduction study.

0:42:110:42:13

That would help with diagnosis.

0:42:130:42:15

Where are you going?

0:42:150:42:17

To see Guy.

0:42:170:42:18

You OK?

0:42:210:42:23

Yeah. Never better.

0:42:230:42:24

You could have taken a slice out of the atmosphere earlier.

0:42:260:42:29

Is that to do with Ollie?

0:42:290:42:31

I interrupted a passionate embrace between him and that F1, Jasmine.

0:42:310:42:35

Ollie and Jasmine?

0:42:360:42:38

I'm so sorry, Zosh.

0:42:380:42:40

You knew, didn't you?

0:42:400:42:42

I was just trying to be protective.

0:42:430:42:45

You could have stopped me looking like a complete idiot.

0:42:450:42:48

Who else knows? No-one. How could they?

0:42:480:42:50

She lives with Morven. OK, maybe Morven. Does Dom know?

0:42:500:42:54

I don't know. Look, I'll tell you what, I'll tell you what.

0:42:540:42:56

Why don't you come round to mine tonight?

0:42:560:42:58

We'll have a girlie night in, a movie and a pizza.

0:42:580:43:01

No. I don't need a shoulder to cry on.

0:43:010:43:03

And even if I did, you're my boss.

0:43:030:43:05

Guillain-Barre?

0:43:090:43:11

What about the lumbar puncture? Was the protein raised?

0:43:110:43:14

Yes.

0:43:140:43:16

OK, well, I suppose it's possible, but without examining him myself,

0:43:160:43:19

I can't be sure.

0:43:190:43:21

Get the neurophysiologists.

0:43:210:43:22

Bernie's organising that now

0:43:220:43:24

but if it is Guillain-Barre, what's the next step?

0:43:240:43:27

It's plasmaphoresis, right?

0:43:270:43:29

You'll need to do the nerve conduction studies first.

0:43:290:43:32

We're running out of time.

0:43:320:43:33

Look, Raf, I should be finished here shortly

0:43:330:43:36

so if you can wait, then I'll come and assess Fletch myself.

0:43:360:43:39

I don't want to wait until we have to intubate him.

0:43:390:43:42

Is that likely?

0:43:420:43:44

The way things are looking, yes.

0:43:440:43:46

Is there any reason why we shouldn't do this if we're not 100% certain?

0:43:460:43:50

Well, yes.

0:43:500:43:51

I mean, there is no guarantee that his lung function won't

0:43:510:43:54

deteriorate but, you know... MONITOR BEEPS

0:43:540:43:56

Oh, fantastic(!)

0:43:560:43:58

That'll add at least another hour.

0:43:590:44:00

Look, if you see Hanssen,

0:44:000:44:02

tell him that my facial nerve monitor has packed in!

0:44:020:44:04

# Look at me Oh, look at me

0:44:070:44:10

BOTH: # Oh, look at me, I'm dancing!

0:44:100:44:12

# I'm gay and I'm breathless and I'm jubilant

0:44:120:44:15

# And I'm dancing dancing, dancing. #

0:44:150:44:18

So?

0:44:200:44:21

I just don't think singing is your thing.

0:44:210:44:23

Well, you know, practice makes perfect.

0:44:230:44:25

It's going to need a lot of practice.

0:44:250:44:27

Look, you do realise you don't have to do things every single night.

0:44:270:44:32

It makes you seem a little bit desperate.

0:44:320:44:35

Why don't you just watch a movie, stay at home,

0:44:350:44:38

order takeout, chill out?

0:44:380:44:41

That's what I do every night. Hm!

0:44:410:44:42

Is that what you did before you met Isaac?

0:44:440:44:46

Oh, Lord, no.

0:44:460:44:47

No, I was out most nights, but it's different - I'm younger.

0:44:470:44:51

Oh, thank you so much(!)

0:44:510:44:53

PHONE RINGS

0:44:530:44:55

Speak of the devil!

0:44:550:44:56

LIFT: 'Doors opening. Lift going up.'

0:44:580:45:02

Preliminary NCS results are indicating Guillain-Barre.

0:45:020:45:05

How long will the formal results take? About an hour.

0:45:050:45:08

His breathing's deteriorating. We can't wait.

0:45:080:45:11

If it's not Guillain-Barre...

0:45:110:45:12

If it's not, what's the worst thing that could happen?

0:45:120:45:14

It's just a plasma exchange, it's not chemo.

0:45:140:45:17

But if it is...

0:45:170:45:18

Right, let's do it.

0:45:210:45:23

So, what are you doing at the weekend?

0:45:230:45:26

Me?

0:45:260:45:27

Well, I've decided to do a sub aqua course so I guess I'll be in a pool.

0:45:270:45:32

Right. What about you?

0:45:320:45:35

Um, I was thinking of reading that book.

0:45:350:45:39

The Scandi thriller you gave me for Christmas.

0:45:390:45:41

About time.

0:45:410:45:43

This is just like the one I gave you.

0:45:480:45:51

That is the one you gave me.

0:45:510:45:53

So what's it doing here?

0:45:530:45:55

Well, I just know how much it means to you

0:45:550:45:57

and it doesn't feel right to keep it now.

0:45:570:45:59

So you were going to give it back to me?

0:45:590:46:01

I gave you this as a present.

0:46:010:46:03

No, no, no. I insist.

0:46:030:46:04

But it belongs to your mother.

0:46:040:46:06

She'd be delighted for you to have it.

0:46:060:46:08

Actually, I...

0:46:080:46:09

I don't really want it.

0:46:090:46:11

You don't want it?

0:46:110:46:13

Well, neither do I.

0:46:140:46:15

Because...

0:46:150:46:17

this is the most hideous thing I have ever seen

0:46:170:46:19

and I've hated it all my life.

0:46:190:46:21

So why did you give it to me?

0:46:230:46:25

Because I thought you wanted it!

0:46:250:46:26

You think I've got that bad a taste? No.

0:46:260:46:28

You told me you loved it.

0:46:310:46:33

Yeah, but I only said that to please your mother. Well, I thought...

0:46:330:46:35

Why do you suddenly bother

0:46:350:46:37

about what she thinks? So that I could please you.

0:46:370:46:40

I am so sorry.

0:46:420:46:44

Sacha, that was your mother's.

0:46:440:46:46

Dr Copeland, please. Yeah, one moment... Just leave it.

0:46:460:46:48

I'm really sorry. Leave it. Honestly it's fine, honestly.

0:46:480:46:51

Are you really going to go scuba diving?

0:46:590:47:01

Do you fancy a drink after work?

0:47:040:47:06

What about choir?

0:47:060:47:09

I think I might just give it a miss.

0:47:090:47:11

Hm. Hm.

0:47:110:47:11

How are you feeling, Fletch?

0:47:150:47:17

FLETCH GASPS

0:47:170:47:19

Like I can't get any air down.

0:47:190:47:22

If you feel your breathing is getting any worse,

0:47:220:47:24

just let us know. OK?

0:47:240:47:25

I think we've headed you off at the pass.

0:47:250:47:28

You know about... last rites and stuff.

0:47:300:47:34

It won't come to that...

0:47:340:47:35

If it does.

0:47:350:47:36

Look, just try and keep calm, OK? It won't help your breathing...

0:47:380:47:42

Pulse is rising... What?

0:47:420:47:44

I thought I told you to wait.

0:47:470:47:48

Mr Self.

0:47:480:47:49

Look, he's anaphylaxic. Put out a crash call.

0:47:510:47:53

Fletch, you've got to help me. Fletch?

0:47:530:47:57

Get some adrenaline, hydrocortisone now.

0:47:570:47:59

Laryngeal oedema. His throat's swelling. We need to do a trach.

0:47:590:48:04

Where's Bernard?

0:48:070:48:09

Oh, he's walking somewhere.

0:48:090:48:13

Do you think I should change my mind...

0:48:150:48:19

..about Bernard and marriage because of this lesion thing?

0:48:210:48:28

Because I won't...change my mind.

0:48:280:48:31

Years ago,

0:48:330:48:35

I realised that I didn't want to tie myself down to one person.

0:48:350:48:41

I don't need somebody waiting about at home for me like a pet.

0:48:410:48:45

Bernard doesn't belong to me...

0:48:470:48:50

..nor I to him.

0:48:510:48:53

LOW-PITCHED BEEPING

0:48:570:48:59

Oxygen.

0:48:590:49:00

Pulse stabilising.

0:49:100:49:11

The paralysis was progressing so fast.

0:49:180:49:20

We wanted to try something to avoid intubation.

0:49:200:49:23

We had to do something.

0:49:230:49:25

Yes, but this is not the battlefield, Ms Wolfe.

0:49:250:49:28

We have a more measured approach here at Holby.

0:49:280:49:31

Thank you. Ahem!

0:49:330:49:35

The formal results from the nerve-conduction study.

0:49:350:49:38

And, yes, he clinically does have Guillain-Barre. Well done.

0:49:380:49:42

Plasma exchange was the right call.

0:49:420:49:44

You took all the appropriate precautions.

0:49:440:49:47

It was highly unlikely that he would react in this way,

0:49:470:49:49

so you were all very unlucky.

0:49:490:49:52

I've never encountered anaphylaxis in a situation like this.

0:49:520:49:55

It is incredibly rare.

0:49:550:49:58

So, what now?

0:49:580:49:59

We wait, and when he's stable, we try immunoglobulin.

0:49:590:50:03

How long before it plateaus?

0:50:030:50:04

Well, it's difficult to say. It could be days.

0:50:060:50:08

But at least we have a diagnosis and, although it's serious,

0:50:080:50:11

it should resolve with treatment.

0:50:110:50:13

He saved my life not so long ago,

0:50:130:50:16

so we're not going to let him down.

0:50:160:50:18

You see, it belonged to my great-great-grandmother,

0:50:270:50:31

who bought it in the Paris Exhibition of 1900.

0:50:310:50:35

And then on her deathbed, she gave it to my grandmother,

0:50:350:50:38

who then gave it to my mother, who then gave it to me.

0:50:380:50:40

I don't know what to say, Sacha. I am really, truly sorry.

0:50:420:50:45

I mean, I will, of course, pay for it.

0:50:450:50:47

That's not really the point, is it?

0:50:470:50:49

You're going to Paris, yeah? Yeah.

0:50:490:50:53

Well, a couple of days scouring the antique markets in Paris

0:50:530:50:56

will probably throw up something.

0:50:560:50:58

Sure. Yeah. No, of course I can.

0:50:580:51:00

Oh, you're winding me up. I hate you both.

0:51:030:51:05

ESSIE LAUGHS How could we resist?

0:51:050:51:07

Give us a chip, then. Just the one.

0:51:200:51:23

All right, Greedy. What are you like?

0:51:230:51:26

How's Dad?

0:51:260:51:28

Yeah, he's good.

0:51:280:51:29

You know what you told me earlier about his chest infection?

0:51:310:51:34

You might have saved his life, you know.

0:51:340:51:37

It was the missing jigsaw piece.

0:51:370:51:39

Is that sore? A bit.

0:51:390:51:41

Are you going to tell me what happened now?

0:51:420:51:44

I didn't hit anyone, they hit me.

0:51:450:51:47

Right. And, er...why was that, then?

0:51:470:51:50

Because I was crying. They were saying stuff.

0:51:500:51:53

What kind of stuff?

0:51:530:51:55

That if Dad dies, we have to go into a home.

0:51:550:51:58

Different homes.

0:51:580:52:00

What, they hit you because you wouldn't fight back?

0:52:000:52:04

You won't tell anyone?

0:52:040:52:05

No-one is going to split you and your brother and sisters up.

0:52:070:52:11

Do you understand?

0:52:110:52:13

I won't let that happen.

0:52:130:52:15

You going to finish those?

0:52:170:52:18

Oi, Raf, leave it out!

0:52:180:52:20

RAF CHUCKLES

0:52:200:52:21

Yes, yes, I know. People in love are disgusting.

0:52:210:52:25

I see it as some kind of pathology now.

0:52:260:52:28

Oh, well, thank you very much. Bursting my bubble!

0:52:280:52:32

Sorry, I'm just not in a very romantic mood.

0:52:320:52:34

Understandably. Look, I...I don't know what he sees in an F1.

0:52:340:52:38

I mean, it reeks of desperation to me.

0:52:380:52:40

Why are people so obsessed about coupling up, anyway?

0:52:420:52:45

Because.

0:52:450:52:47

It's the racing of the heart,

0:52:470:52:48

it's the butterflies in the stomach...

0:52:480:52:52

It's the stripy T-shirts. Look, I look French, OK?

0:52:520:52:55

It's like we're so obsessed by what might be out there,

0:52:580:53:01

we don't appreciate what we already have.

0:53:010:53:03

Mm.

0:53:060:53:07

I-I just spoke to Evie.

0:53:110:53:12

The neighbour has to go, but I can stay with them.

0:53:120:53:15

Oh, thanks. You're a star. Hm!

0:53:150:53:17

Hey. What's this? I mended it.

0:53:170:53:20

Yeah, I see that. With a paperclip. But it's not mine, Mikey.

0:53:200:53:23

No, it's mine. A patient gave it to me the other day. It's not valuable.

0:53:230:53:26

Do you know who they are?

0:53:260:53:28

Damian...and Cosmic?

0:53:280:53:33

Close. St Damian and St Cosmas.

0:53:330:53:36

They were supposed to have performed the first limb graft

0:53:360:53:39

and invented a cure for paralysis.

0:53:390:53:41

They made a point of not charging.

0:53:410:53:42

"Freely you have received, freely you give."

0:53:420:53:45

My mum gave me one when I first qualified.

0:53:450:53:47

It's long gone now.

0:53:470:53:49

Oh, you can keep it, if you like.

0:53:490:53:51

See you later. Come on, Trouble.

0:53:510:53:53

Right, what we having? Oh, the usual.

0:54:060:54:09

Hi. A whisky and a Pinot, please.

0:54:090:54:12

Do you think it makes me look desperate, doing all these classes?

0:54:130:54:15

Cookery's fun. Yeah.

0:54:150:54:17

Life drawing, nudes.

0:54:170:54:20

Pottery.

0:54:230:54:24

Yeah, surgeons make great potters, apparently.

0:54:240:54:27

Hm! Anything else?

0:54:270:54:28

Beginners' Russian.

0:54:280:54:30

Ukulele lessons. Huh!

0:54:300:54:32

I could play the ukulele. See?

0:54:320:54:35

Hm. Maybe going a bit overboard?

0:54:350:54:36

Well, you are free to do what you like.

0:54:360:54:39

Yes. I'll drink to that. Mm-hm.

0:54:390:54:41

Here's to the future.

0:54:410:54:44

Whatever that may bring.

0:54:440:54:46

Nasdarovya! Wow! You do learn quick.

0:54:460:54:49

You see, I do learn quick, you see? Yes!

0:54:490:54:51

MONITOR BEEPS

0:54:530:54:55

FOOTSTEPS APPROACH

0:55:060:55:08

Sorry to wake you.

0:55:120:55:15

Oh. I wasn't asleep.

0:55:150:55:17

Well, you could be forgiven for dropping off, in the circumstances.

0:55:170:55:21

Yeah. The Guillain-Barre affected Fletch's lung function,

0:55:210:55:24

so we ventilated him as a precaution. I see.

0:55:240:55:27

I bumped into Nurse Fletcher's son. I thought he might benefit

0:55:270:55:29

from meeting Dr Steven Arran, child psychologist.

0:55:290:55:33

Thank you.

0:55:330:55:35

Ms Wolfe. Thank you.

0:55:370:55:39

Any change? No.

0:55:410:55:43

All obs are stable.

0:55:450:55:47

I heard you offered to take his kids on.

0:55:500:55:52

Well, I'm sure it won't come to that.

0:55:520:55:55

Is that a clinical judgment?

0:55:550:55:56

No, it's pure intuition.

0:55:560:55:59

That and the fact I've been sat here for the past hour praying.

0:55:590:56:03

I don't care where your inspiration comes from, as long as you get it.

0:56:030:56:07

Have you eaten anything?

0:56:090:56:11

Two chips. No, I tell a lie, three.

0:56:110:56:13

Right. I'm going to have a break.

0:56:130:56:15

I've ordered pizza. Ham and pineapple.

0:56:150:56:17

Oh. Pizza snob, eh?

0:56:200:56:22

I once had a halal goat pizza.

0:56:220:56:25

It was very good, actually.

0:56:250:56:27

You're lucky because I'm starving. I'd eat anything.

0:56:270:56:30

Just don't go sprinkling the wards with holy water. Come on.

0:56:300:56:34

Get your pills! Side-effects guaranteed.

0:57:130:57:15

'I'm a doctor. I believe that many common illnesses

0:57:150:57:18

'are best treated without drugs.'

0:57:180:57:19

We're just prescribing

0:57:190:57:21

more and more pills.

0:57:210:57:22

Patients want a quick fix. We need a revolution.

0:57:220:57:25

Today is the last day that you are going to take these drugs.

0:57:250:57:29

How could this EVER be good for a human being?

0:57:290:57:32

'Persuading Britain to go cold turkey

0:57:320:57:34

'could be the hardest thing I've ever done.'

0:57:340:57:36

Fletch is recovering from being attacked. Progress stalls when he loses feeling in his feet. As the paralysis spreads, Raf struggles to diagnose the cause. Will he make a breakthrough before it is too late? The passionate courtship of a patient and her beau reminds Zosia what she has lost with Ollie. In the dark about Ollie's relationship with Jasmine, Zosia begins to think about the possibility of reconciliation.

A happily engaged patient and her partner present a vision of what might have been for Sacha and Essie. Have they made the right decision in breaking up?


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