In Which We Serve Holby City

-So, your maternity leave...

-Is over.

Finger painting doesn't quite compare

to holding a man's heart in your hand.

We are not supposed to be friends with our patients.

Do you always do what you're supposed to?

To hell with Jac!

If she thinks treating people badly is going to get the best

out of them, then more fool her.

Oh, you've been playing me. All day.

It's come to my attention that I'll need a team around me.

-Are you in?

-100%.

Doctor Digby doesn't think we should do any more surgery, Hugh.

-It's my time, love.

-Just because we didn't save her,

that doesn't lessen the good that we did.

You just think I'm some naive,

little kid that'll get used to this sort of thing eventually, don't you?

You're cold, Arthur.

DOOR OPENS

Are you reading or hiding?

I'm reading... and I'm doing paperwork.

Self-help, is it?

Philosophy.

Nice.

This needs a signature while you're sitting there.

And when you get a chance, we could do with some help out here.

Thank you.

Oh, um...good hair, by the way.

She dropped the clamps in theatre twice, apparently.

Wow, second one this week.

Third, actually. Alan? Adam?

Laughs like a seal?

Yeah, him. He walked too.

Silver lining - we don't have to sponsor any more of his "fun runs".

The king is dead. Long live the queen.

Thank you. I will.

Not even the slightest bit nervous?

It's not like you two have ever seen eye to eye.

-Well, it's hardly the point, is it?

-Oh, really? The knives are out.

Yes, for dweebs who can't hack it. Jac values ambition, talent.

Skill.

Oh, you won't have any problems.

Look, we won't be braiding each other's hair any time soon

but Jac needs me on this team.

You need to learn from the master.

Busy?

Yep, just doing the rounds. You know.

Great. Getting stuck in there.

Um, Cara, can you get some oxygen to Mr Stark, please?

-On it.

-Thank you.

-Eh...

-Arthur, I'm actually trying to do some work.

Right. Right. It's just we haven't had chance to talk since erm...

-Well, according to you, I'm "naive".

-I didn't say that.

Let's just keep things professional, yeah?

HE SIGHS

Well, it could be a boot.

It looks like a badger.

Why would it be a badger?

I don't know. But then why would it be a boot?

It's a donkey.

Oi!

Apart from opening the door on chocolates,

we are also here to open the door on Adele's first day on Keller.

-Whoo!

-Regretting it already, aren't you?

No, it's great to be here.

Now, just remember - she's here to learn, OK?

I know. Milk, sweetener and just a wisp of cinnamon, please.

Thank you.

I don't think so.

So, bed one, Mrs Melvin has a subhepatic abscess

and she's due in for a percutaneous drainage.

We'll do that by ultrasound, I think.

Now, Mr Cannon, if his infection's cleared up, then he's good to go.

So, Dom, would you care to deal with that?

Thank you very much. And Mr Lemmon is due in for thyroidectomy

You know that, don't you?

Good, OK, so I'll leave all of that

and the beautiful Adele in your capable hands.

Why do you look so happy?

It's nearly Christmas.

Knock knock.

SHE SIGHS

MRI for Mr Westlake.

So what happened with Nurse Murray?

Does it look like we're in a hairdressers?

No, I'm just curious.

Mr Westlake. Your thoughts?

Um, it would appear he has...

hypertrophic obstructive cardiomyopathy.

And you would recommend?

-Septal myectomy.

-Good.

Thanks for dropping by.

No problem.

Make sure you knock properly next time.

She says she's fine with not having any big presents this year.

Oh, that's sweet.

No, it's a warning.

See, no woman, even as young as Evie, has said "fine"

and meant "fine".

Right, you say you're "fine" but you're anything but.

Well, that's a lie.

Diggers, help us out here, mate.

Have you ever had a woman say she was fine about something

that didn't expect you to figure out what the problem was on your own?

OK, when Zosia says she's fine,

-Dom and I tend to hide in our rooms.

-There you are.

So, when someone might need your emotional support,

your solution is to run away?

Exactly.

Have you two fallen out?

Uh, well, technically, we now have

a "professional working relationship".

Well, you did the right thing, you know, with the old dear.

Every time we lose a patient, it's very sad.

And the more time Morven spends on here, the more she'll realise that.

Yeah. She'll get used to it.

And then she'll get jaded, and then cold.

But you're all right, though, yeah?

Oh, yeah, I'm fine.

See what I did there?

A question mark.

In blood-red pen.

-Maybe she's forgotten how to spell your name?

-That's not funny.

So she's not sure about you.

It's hardly a surprise, is it? She didn't pick you.

There was probably a question mark against my name at some point too.

Yes. And then you had your moment in the sun.

Your little chance to impress.

Just be grateful it's not a big black X, or a skull and crossbones.

SHE SIGHS

It's probably just a wind-up. She wanted you to see it.

Now she's got her castle,

she's got to be all Game Of Thrones or she'll get bored.

Keep your head down, get on with it, don't draw attention,

don't put a thorn in her side that you...

have been in the past.

Let her eat the other fish.

What other fish? There aren't any left.

-I earned my cut.

-We all have.

Yes, and she needs to know that.

I'm not on this team just to make up the numbers.

I am on this team because of what I can do.

She'll see.

Doctor Digby. Unconscious male. No ID.

Found by some railings,

looks like he's partially impaled himself on them.

And they think he was outside all night.

BP's 110/80, and pulse is 96.

OK, have we any signs of consciousness, any response at all?

Crew said he was out the whole time.

He woke up in the ED but not for long.

Right, we need to get FBC, U & E's, clotting and cross match.

We need to assess how much blood he's lost.

Hugh? Mr Musgrove?

OK, we need theatre space now.

What have we got here?

Um, it's fine. We're dealing with it.

-How long's he been like this?

-We're trying to stop the bleed, so...

-It's Hugh.

-Keep moving, please. Keep moving.

But, Arthur, I need to know what happened.

OK, Morven, I'm dealing with it. OK?

No green stuff?

No green stuff.

All right, you can put your top down.

I can stop holding my gut in, you mean.

Be good to get some exercise.

Burn off some of these hospital carbs.

You look fine to me.

Not much. Just a thank you.

Thank you.

Mr Glenn's got his oxygen. What now?

Tea?

Oh, come on. I need to get my teeth into something.

Well, no-one's looking at the moment so just ease off a little bit.

I like to just get stuck in, you know?

I like to have stuff to do.

Yes. Good, well, that was a test and you've passed.

So, well done.

Oh, hello. You must be Ms Blenheim, our thyroidectomy.

Hello. Welcome.

Hello, Trish. Um, well, Adele, bed four, please.

This way.

Nurse Reynolds, welcome to Darwin for the day.

Thank you. I've got that first-day-of-school thing where

I can't remember anyone's names, or the way back from the loos...

Can you change the bed pan in Bay Four

and get the discharge letters ready?

Yeah.

Tobey Dreyfus. Ready for admission!

Uh-huh, you know the routine by now, surely.

Something like that. Bed ten again, is it?

Doctor March. Tobey Dreyfus.

Fainted at work.

Under a car. Reliant Scimitar.

Right, we'll schedule in for a chest X-ray and a CT.

It's more than likely it's simply time for another chest drain.

Quite.

We'll get you settled in, and have a nurse come see you shortly.

-Valentine. Is Mr Westlake prepped?

-Good to go.

Good. You're in on the myectomy.

Zosia, you can stick with Mr Dreyfus and his cysts.

I thought I was on the myectomy?

No, I'm pretty certain I just told you that you were on the cysts.

And given how eager you were to jump all over Tobey's diagnosis

a minute ago, I'd thought you'd relish it.

See? Why's she taken me off Mr Westlake's case?

I've been working on that all morning

and she's just given it to you.

-Why? Why you?

-Look on the bright side. She's given you some work.

Yeah, sucking air out of a pleural cavity.

The patient could do it himself with a mirror and a long enough stick.

Look, with my experience,

it's often better to go for the quieter, simpler jobs.

The alternative simply isn't worth it.

Yes. I'm not playing along. I am worth more than this.

I have arrived at obligatory crossroads, haven't I?

So, how long's he been like this?

Eh, my guess? 12 - 15 hours, maybe more.

And what else do we know?

He's Hugh Musgrove. Suction.

His wife was in last week, Beth. She had mesenteric ischemia.

The one who passed away?

He's bleeding from both axillary and brachial veins.

We need to do a transfusion.

OK, let's start with that. Let's get this controlled and stitched up.

MONITOR BEEPS

He's arrhythmic.

1.2 milligrams of Digoxin, please.

How's he doing?

He's stable. Where are we with that transfusion?

It's coming.

Yeah, so's Christmas.

Did it, brah.

Sorry. I'm Dean.

How is it?

This ultrasound should give us

an idea of how many cysts we're dealing with.

-Right.

-We'll soon get a sense of how many there are

and the pressure they're putting on the pleural cavity.

-Could you move... Thank you.

-So, how'd he take it?

Well, he tried to act like it was no skin,

but you know he's not going to find anyone as good as me.

Forget him. I've moved out - handed in my notice.

-So, we're good?

-Dude, I'm free as a bird.

We're all set, as long as you get the all-clear.

All set for what?

Thunder Road.

Last of the V8 Interceptors.

Wrong movie, you fool.

-Yeah, but it sounds cool.

-Does it?

Ha! Dissed and dismissed.

So what is it, then?

Well, we just won it on auction.

We're going to tune her up and then cruise along Petaluma

and then down 1 to the LA river basin.

We're going to race it around the West Coast

and then just take it from there.

Which is why my man, here, just quit his job.

That's it. Ditched the job. Sold my bike. Hitting the road.

With my amigo, of course.

-You sure you're up to it?

-How's it look?

Well, there are more cysts than we expected.

But the drain should help.

Dude. I'll just do more of the driving.

Oh, yeah. Perfect.

That is if we do the drain.

What's that mean?

So I take it that Mr Levy's already talked you through the procedure?

OK, is that you not understanding, not hearing me, or not knowing?

Adele, would you mind finishing up on obs for Mr Cannon, please?

Yeah. 'Course.

Hello.

Are you all right, Mr Cannon?

Looking forward to being set free.

Cut, please.

Yes, that looks like it's going to hold. OK, let's get him closed up.

Over to you, Arthur. Unless you would rather someone else did it?

No. I can do it.

I know him and, er, I owe it to him.

It doesn't quite work like that.

Look, I know the patient

so he's not going to have to go over old ground with me.

I'm across it.

2-0 Prolene, please.

-Have you worked with Jac Naylor long?

-Um...mm-hmm.

Does she like anyone in this hospital? At all.

Yes, absolutely.

Really? Who?

Herself. Very much in love.

-Oliver.

-Yeah?

Um, Tobey has more cysts than we expected.

Oh, it happens.

Has anyone considered lung volume reduction?

I imagine so, yeah.

A sternotomy and bilateral surgery could be a better mid-term solution.

He has bilateral cysts and is on a transplant list.

Anything drastic will affect not only his chance at transplant,

but also his health long-term.

Yes, but if we get it wrong, which we won't.

But if we get it right... we could change his life.

OK, why the urgency?

He's about to go on a once-in-a-lifetime road trip

with his best friend,

and he plans to take early nights and a folding chair.

And you get to trial some innovative surgery with Jac Naylor

and prove yourself as a little shining star in the process.

It's a win-win. What's the big deal?

Beth?

Beth, love.

Fletch? Mr Musgrove, you're in hospital. You're safe.

Oh, you.

Hello, again. How are you feeling?

I don't suppose the other one's here? The girl.

The one Beth liked?

Shall I go and grab Morven?

No. No. No.

So, Mr Musgrove, you had an impalement injury.

But we managed to stop the bleed,

so you should be OK now. Any idea what might have happened?

Well, I was on the allotment.

We'd already put parsnips in ready for Christmas and...

Well, I just lost track of time.

They'd already locked the gates so I had to climb out.

Must've fallen. Bit embarrassing, really.

OK. Um, is there anyone you need us to contact?

No. You're all right.

OK. Can you try just raising your right arm for me?

That's it. How's that?

Oh, fine.

Oh, Teddy Boy - you must have a comb.

Beth would kill me if I went home looking this scruffy.

Well, I'll see if I can get you one, eh?

How's that, Mr Musgrove? Any pain there?

Any pins and needles?

Just not as young as I used to be.

Nothing that a cuppa won't fix.

Well, I'm your man for that.

And you give me a shout if you need anything else, OK?

-We need to keep an eye on him.

-Agreed, yep.

The mobility in his arm, plus his heart, so we need to...

No, we need to keep an eye on HIM, all right?

He's too bright. He's too cheery.

Now he's going on about how embarrassing this all is?

The state of his hair? It's not right. He's not grieving.

-Well, we don't really know what he's going through...

-Mate. Trust me.

If his wife died, he should be grieving.

Yep, sorry. Yeah, we need to keep on top of everything.

-And if he's asking for Morven then maybe we should bring her...

-We shouldn't.

Nothing against her, it's just... she was too emotionally involved

before and I can't have her getting attached.

It's just not going to help anything.

Whatever you say, mate.

I knew we had one somewhere.

Ooh, thank you so much. Thank you, thank you, thank you.

Oi! A whole week. That's not how this works!

Don't look at me.

Trish. Ta-da!

This should make life a little bit easier.

Give it a try.

OK, I'm assuming that means it's good.

I'm just going to have a little listen to your chest, OK?

It must be so annoying not being able to speak

and having all those sermons to do.

Not that you do sermons, obviously, because you're not a vicar...

and I'm sure there's a lot more to your job than just reading...

and...singing?

Whatever it is you do.

That's sounding OK at the moment, so...

sit tight.

Have you got my meds yet?

You're going to need to chill out a little bit, OK?

You can't rush these things. Don't want you racing off prematurely.

Is it normal? This wait?

Nothing in this hospital is normal. Just try not to worry.

Maybe I should go for a drink after this. Deserve one, right?

You fancy it?

You assume I'm free?

Mate, I'm just looking for a place to crash.

I don't really care who with.

Oh. I see. That kind of guy, huh?

I got you pegged.

I asked for her. She was very good with my Beth.

Yes, yes. Of course.

It's OK, Mr Musgrove. I'm here now.

Um, I've got you that comb, Hugh.

Do you want me to, er...

And the paper.

It's looking a right state.

Keep that arm resting, Mr Musgrove, and I'll just do this.

Hugh.

Um, when you were brought in,

you didn't have anything on you - keys, wallet, that kind of thing...

Do you know where they might be?

I had a bag. But I threw it over the fence first.

OK, I'll go and see what's happened to that.

I'm just going to borrow Doctor Shreve for a moment.

I won't be long.

I'll be right back, OK?

Right, he's my patient and Raf is expecting me to look after him, so...

He needs more than just meds. You know that, don't you?

Right. OK. Just, please - one thing at a time, so...

OK.

I have an idea. Bilateral lung volume reduction surgery.

Instead of the chest drain.

Yeah. LVR. I've heard of it.

You'd be left with better lung function. Less shortness of breath.

Higher capacity for exercise.

It's not our first rodeo. We've done this before.

So you know it could seriously help.

No more passing out when things get good.

Except it's dangerous.

Right. Do you want your friend to get back behind the wheel?

Enjoy life?

I want what's best for my friend.

This is best. The risk is manageable.

But it's there.

And it's just a temporary fix until the transplant anyway.

So you'd be happy to go on a road-trip of a lifetime

in the passenger seat?

He doesn't need it.

Wait, dude. I can answer for myself.

But you don't need it.

And anyway, we can't do this now.

The recovery - it puts everything off.

The recovery is long, yes.

But the long-term benefits... Surely you see?

Look, you can't do this now. I've just quit my job.

I don't have the money to put this off.

OK, dude, back off a bit, man.

Yeah, cut him some slack, please.

Since when have things been so bad that you have to derail everything?

Since forever, man. I've been sick the whole time, remember?

Look, I need some time to just talk to my man here,

so could you just...

Of course. But I need you to have faith in this.

I can't be your doctor if you don't trust me with your health.

I've got it.

No. They've still not arrived yet.

Er, yes, as soon as possible.

Yeah, yeah, I'll hold.

Yeah, well, can you just hurry up and do it, please?

And stop making excuses. Thank you.

Not a fan of the, um...

Actually, I don't know what that is. Spinach and...

I ate rat-packs for 20 years - I never liked them then.

This is worse.

40 Commando.

You must have seen quite a bit.

-Aden?

-You look that up?

Well, no, I sort of specialise a bit in military history.

I rather hoped you specialised in medicine, son.

Yeah. Sorry. It's a hobby.

My grandfather served. 51st Highland.

Oh, "The Ladies from Hell".

Did he also do the long march with Monty?

He did. And he met my grandmother in France.

I married first and then went to fight.

Months away at a time.

But maybe that's why I got home again.

Wanting to see her.

Well, we're all here for you.

Have you managed to sort out the funeral?

Well, I've got my niece helping out at the moment.

She's a Godsend.

Oh, the man in charge!

How's that arm doing?

Well, thanks to you.

And the doctor says that I might be out of here soon.

You are strong as an ox, Mr Musgrove.

You put up a real fight in surgery.

I just want to get on with things.

Of course. We totally understand.

We appear to be short of three nurses.

What's happening, cabinet reshuffle?

You know what my role is here.

To remove useless or harmful tissue.

We also repair, don't forget.

We're better off without them

and there's probably more to come, if I'm honest.

So what am I supposed to do?

Put Post-it Notes on the ones I'd like to keep?

Nepotism's not dead, then.

-What is the story there?

-What's that?

Naylor. Even you're getting it in the neck.

Jac? Oh, she's just... Look, she doesn't suffer fools gladly.

The trick is never take it personally.

Have you had much experience with that?

Oh, yeah, I can show you the scars, if you'd like.

Better get on. She's got a thing about small-talk.

Zosia, what about you? How are you coping with your new overlord?

"Ours is not to reason why."

Jac winning hearts and minds all over, is she?

I'm qualified, I'm experienced

and yet she treats me like a bet she has lost.

Pushing me into whatever corner she cares for the least.

Look, don't let her railroad you.

She doesn't get to say how good you are. Only you do.

You can probably rub that off now.

Tut-tut. You were meant to be nil by mouth.

Why am I not surprised?

What's she been saying? I deny everything.

Yeah, of course you do. So, these drinks tonight,

I'm assuming they're going to be a wild one.

Nah. Cheeky half down the Kaz. Chips and naan, maybe.

Sounds a little bit lame.

Come on, do you not fancy going somewhere loud, dark,

hot, having a pina colada?

I kind of want to keep it low-key.

Just get away from it. Put it all behind me.

Can't have all been that bad.

It's not going to feel like it's out my system,

until it's all out of my system.

No, of course. Absolutely.

Anyway, I best be getting on.

Look, before you ask, I had five minutes,

and I wanted to check on Mr Musgrove.

OK, he's sleeping so I'd rather he rest.

OK, fine. Well, um, now's probably a good time to get the Duty Psyche in.

-Brief them before he wakes up.

-Sorry?

You have spoken to them, haven't you?

No. Why? He doesn't need... Look, I've been talking to him.

He's coping.

No. He needs grief counselling.

He's got a niece, um, who's looking after him.

-Really?

-Mm-hmm.

So now he's got her, my job is just to make sure his arm

and his heart are well enough for him to go home.

Um, Mr Di Lucca? Um, sorry. Excuse me. Uh, about Mr Musgrove.

He's really not well.

-I think he knows that.

-No.

I mean it - it's more than the heart and the arm.

He really needs someone to talk to.

Arthur was talking to him earlier.

Yeah. Absolutely. And we were talking about his army days...

And he seemed all right to you, didn't he?

Well, I mean, he's been through a lot,

but, yeah, he's on the mend. We're doing well.

Well, he was close to tears with me.

Well, it might be because you and Beth were close.

You know, you remind him of what happened.

So perhaps your presence is making him upset.

Well, it looks like everything's in hand. Excuse me.

He'll be fine. Trust me.

Mr Dreyfus' chest drain. He missed his slot.

Uh, yes. The patient was complaining of dizziness.

I thought it best for him to rest.

He can rest as much as he wants when he's off the ward.

I want cases turned around, targets hit and exceeded.

This isn't cosy Care Bear hour with Sacha Levy any more.

Yes. Understood.

They're a bit wet, but they found his stuff. Outside, though.

So he must have dropped it before he started to climb over. All right?

Brilliant. Thanks very much.

Hugh? Looks like we've found some of your things.

Would you like me to...

Oh. Yeah, go on.

Ooh, look at this.

Meritorious Service. Always said she should've been awarded that.

She could have had any man in the world.

But she picked you.

Oh, the sweets, yes.

I used to bring them home on the train and she kept them in the car.

HE WINCES Do you want some more pain relief?

No, no. It's just old bones.

I should be more careful, not to throw my memories about.

Climbing in places at night.

Sorry. Climbing in?

You what?

Earlier, you said you got locked in and that you climbed out.

Oh, in and out.

Surely I'm allowed a senior moment after the day that I've had.

It'll be good when I just get home and get on and...

get these things back where they belong.

Er, of course, but...

I really need to rest now. It's been quite a day.

OK.

When I find out which one of you has been at them...

Do you have time for a quick chat? Or...a listen?

It's a little bit personal, so it's probably beyond your normal remit.

So, spare me the psalms and the hymns, but I was wondering if...

She's not cheating again, is she?

Habit or not, I don't trust this one.

Yeah... Crafty. Look, I'll check on you in a little while, OK?

"Do not be ashamed of help."

-Morven.

-Arthur.

-About Hugh.

Apparently, you're doing a great job there. Keep it up!

Has he said anything about the funeral?

No, he didn't.

Right, and Beth never mentioned any family?

I get the impression all they had was each other.

Why? You don't believe him, either, do you?

Look, we really need to get someone for him to talk to.

We need to get the duty psyche here.

If we get the duty psyche in, we just make all this worse.

How do you know that?

Right. We'll be suggesting that he's mad, OK?

That's how it will look to him. Trust me, OK?

My grandfather was like this,

proud and absolutely determined not to show any weakness.

Hugh's a man who's lived three times the lives we have

and we go up to him and tell him he can't manage?

That's just going to push him further away, any confidence he has, it goes.

No, no, no. He's been through too much.

So we just need to make sure the arm and heart is healed

and anything else is just secondary.

What, so we wait until he's beyond our care?

Well, you can't get involved in the life of every patient.

You just can't. There has to be a cut-off point.

It's not about us.

You just protect yourself, Arthur.

Oh...

So I quit my job and lost my bike.

I never asked you to do any of that.

Zosia, what are you doing?

-This is ridiculous.

-The "win-win".

Wow. Excellent timing.

I wanted to talk to you on your own.

Why? So that you can pressure me without him here?

So you could make a decision on your own.

Consent rests solely with you.

Look, man. Your boss - Jac - I've dealt with her a few times.

She ain't never once wanted me to do this

and she seems pretty good at her job.

Well, you must be tempted, otherwise you'd just say no.

I thought we had.

Listen to yourself. "We had" - it's not about him, it's about you.

Isn't it time you came out from under his shadow?

I thought you were resting.

Well, I used to be able to sleep where I stood.

You stuck?

She made me do them to keep me sharp.

I don't know how she ever did it.

Listen, how long do I have to stay here?

Well, we need to monitor you a little while longer.

You were bleeding out in the open for some time.

We need to check there's no infection

and be sure that the arrhythmia isn't an ongoing problem.

Even prisoners get to walk in the yard -

a bit of sky, a bit of fresh air.

Well, when we're ready.

If you could get me something to help me sleep,

that would be very nice.

We'll get you out of here as soon as we can.

See? Don't you want to be in the driving seat for that?

-What's this?

-The V-8 in action.

Oh, right. Nice. So when are we out of here, brah?

Still talking it through.

-Do you get a commission for the riskier ones?

-N-No, I...

It's, um, just part of my job.

Well, I have to hand it to you, you do the hard sell pretty good.

Dean, man. We're just talking.

He has more cysts on his lungs than we anticipated.

If he has a lung collapse, he could quite possibly die.

These are worst-case scenarios, of course.

Which we risk, by not taking action.

We can't guarantee what's going to happen.

Do you want to gamble with your friend's health?

Why are you so set against this?

It would be cool if I wasn't so ill all the time.

And if it makes you worse? You passed out.

-Are you really up to hardcore surgery?

-Dude...

if you're trying to hold me back, because you sold your bike...

-Is that what you think?

-I don't get why you're so set against this?

None of us do.

I think we should all take a moment and discuss it properly.

-Doctor March?

-No, it's cool.

Discussion over. I'm doing it.

-For real?

-Yeah. You had to be a jerk about it, didn't you?

Well, you can sort yourself out afterwards, man. I'm out.

Sign me up. Let's do it.

No.

No?

You asked. I answered.

I would be there to supervise. It can be done.

-It could change Tobey's life.

-Undoubtedly.

He bleeds too much while his chest is open, develops an air leak,

and infection and dies. Merry Christmas.

Which is the worst-case scenario.

Which we don't even risk if we stick with a chest drain.

What are you failing to understand, here?

Is it the language I'm using, or the authority?

Because either one are a concern.

What?

-We might have already sold him on the idea.

-Why?

I was letting him know his options.

There are no options. You do what I say.

Which for you right now, is to go and explain to Mr Dreyfus

why we'll be sticking with the chest drain. Thank you.

He fell out with his best friend over this.

Oh, well, if that's the case then let's scrub in.

Page Connie, page Guy. We can't have two boys in a tiff, can we?

We'll let the patient know.

Professor Hope would have agreed to this.

Well, he's left the building.

Yes, we'd noticed.

-Hey.

-Hey. I'm just taking Trish over to radiology.

OK, I can do that.

-No, it's no problem.

-No, I'd quite like to.

So would I.

I don't want to pull rank, but...

Good. Because Sacha asked me to do it and I think he out-ranks you.

Look, it's just a trip to radiology. What's the big deal?

-Fine. I'll do the five tea runs.

-Ten.

-Eh, seven.

-Well, if you're not serious, excuse me.

-Uh, fine. Ten.

Deal. But I thought you'd rather hang out with Mr Cannon, though?

I mean, fit plumber versus nun?

You surprise me.

Yeah, well, I work in mysterious ways.

I'm sorry.

You're thorough.

Yeah, well, you're not my only patient.

DOOR OPENS

He hasn't made any plans.

For Beth.

He's just ignoring it.

He's not arranged the funeral.

There is no niece, is there?

I don't think so, no.

So he's on his own.

I need your help.

So now I'm useful to you?

I just got it wrong.

About you.

Please.

This is so stupid.

I'm being punished for using my initiative.

-What could that possibly encourage?

-Unquestioning obedience?

-Ah!

-This is Jac's ship, after all.

So, what, I just put up and walk the plank?

-Has Dean been in touch since...

-No chance.

Well, I hate to say it and drop this bombshell

but after some consideration,

we've decided to not go ahead with the LVR.

-I'm so sorry.

-What?

We believe, uh, there is too much risk involved.

You were just in here, selling me on this.

Yes, there were other factors to consider.

You mean you didn't check with the boss first.

I got ahead of myself. I hadn't thought it all through.

LABOURED BREATHING

HE GASPS AND STRUGGLES

Do you mind if I bend your ear?

Have you ever dealt with anyone who's been involved

in conflict or trauma?

You know, real, gritty life situations?

OK, so do these people ever really

completely get over it?

For example, there are two soldiers.

One of them is badly injured and nearly dies.

And the other one saves his life.

And when they get back home,

even though they were really close,

these soldiers, they never wanted to spend any more time with each other

because it just brought back too many bad memories.

'Doors opening, lift going down...'

'Doors closing.'

So if you were this soldier...

and you felt your friend was...

hiding away and you were scared that you were going to lose him

and you didn't want to and...

Oh...

Right.

Don't panic, look, he won't have gone far.

Stop worrying.

OK, if you turn Miss Carter and meet me by Mr Reeves

when you're ready. Thank you.

-Mr Dreyfus scheduled for his chest drain?

-Yeah, yes, he is.

-Does he know?

-He does.

-Good. So you can follow simple instructions.

-That's very reassuring.

-He's crashing!

Tension pneumothorax.

His lung's completely collapsed. Let's get him back on the bed.

Get a porter. Get an angiocath, now.

HE BREATHES WHEEZILY

HE GROANS

HE STRUGGLES TO SPEAK

HE CRIES OUT

Agh!

What do you mean? The whole doctor/patient thing?

Oh, well yeah, absolutely.

I mean, aside from the whole professional faux pas,

the abuse of power, you then wander into really murky

Florence Nightingale territory, you know?

Is it gratitude or is it genuine?

Does he think the same about me as he does about Sacha?

I mean, what if I just constantly remind him of illness?

Thank you very much, thank you.

You think I should take the risk, right?

Oh, no, I'm not scared but...

Thank you. I've just got a lot to lose.

I'm not very good at this kind of thing, either.

I mean, what if you're wrong?

What if he just wants to get away from here as quick as he can?

And away from me as quickly as he can?

Fletch! Fletch, is anyone in there with you?

-Eh?

-Hugh? Is Hugh in there?

-No, it's empty, mate.

He said it was like a prison.

That he wanted exercise and sky so...

He's probably just gone outside.

I'll wait on the ward and let you know if he comes back.

OK, can you call security and Fletch? Can you come with me?

Angiocath.

Syringe.

Steady.

The LVR. Did you look into keyhole reduction

or just the bilateral procedure?

Mostly bilateral. Why?

Because you're with me now and we're fixing this. Emergency surgery.

Keyhole. Get him prepped.

Mr Musgrove. Hugh?

It's Dr Digby. Can you hear me?

Can we get some help down here, please?

We're right here. We've got you.

-Ready for diathermy.

-All yours.

Are you taking the scenic route?

You do know what you're doing, don't you?

-We're ready.

-Are you sure?

-Yes.

-Why the right lung?

It's the more inflated of the two. Reduction here will help both.

Gold star.

If you really want to impress, you can staple and cut.

Cheer up, Dr March. You've got your wish.

He's arrested but he's stable. Substantial abdominal bleed.

All right, straight into theatre, please.

Hey. I'm going to fix him. I promise.

All done.

Going somewhere?

You can finish off. Close him up. Get him back on the ward.

Stitch.

So, we are in for a splenectomy. I'll do that laparoscopically.

I think poor Hugh's been through enough already.

Poor bloke hasn't had much luck, has he?

I don't mean anything other than...

No, he's taken an absolute beating.

My grandfather, he took a bayonet in the lung, he had cancer

in the other but he made it through to 88

so Hugh's going to beat that. He has to.

Are you sure you don't want to clear your head?

Sit this out? Arthur?

I'm not going anywhere.

-Knew it!

-What?

I told you, I don't want your poxy chocolates.

It's Sacha you should be keeping an eye on.

Well, erm, finally got Mr Cannon's heparin.

-I just need to do his discharge papers.

-OK. Thank you.

Can't all be Scotch eggs on the roof.

I'm not hungry. I just need to get out of here.

OK. Um, well, uh,

we have your meds now. So that's it. You're good to go.

About time.

Right. Well...

-call me.

-Doctor Copeland?!

Trish, what is it?

OK, OK. Take deep breaths, Trish.

All right? What's wrong?

She's just got herself all worked up.

What is it? What...

Oh...

You meant you.

Trish, I'm so sorry. What's been scaring you?

No! No, look. That isn't going to happen.

You've got your big guy upstairs. Even better than that,

you've got me with Mr Levy, here, you've got the Holy Trinity.

We're in miracle city.

We need to move things along.

Mr Cannon should be long gone by now, OK? Good.

See you in theatre.

What is that?

It's a thumbs up.

-It looks more like a...

-No, it does not!

-How's he looking?

-BP and pulse are steady.

Hang in there, Hugh. You can do it.

Arthur, what was your grandad, then?

He was an Infantryman. Marched from Africa to Berlin.

Stapler, please.

Can't imagine it, can you? What they went through.

What about Hugh, what was he up to?

Aden. Singapore. Ireland. Falklands.

So fought long and hard, from the sound of things.

Stapling across the hilar vessels.

I've got nothing on these fellas. I mean how does this even compare?

What we do is like a front-line. People die.

Things we see every day - it takes real courage to keep coming back.

Don't sell yourself short.

I don't care what anyone thinks.

Heroes, any of that sort of stuff.

I just want to save lives.

Just got to focus on getting that bit right.

OK. Looks like we're done. Let's close him up.

Sutures, please.

Swabs.

Arthur, it's fine. We've done it.

Look, we did good here today.

-He'll be back on his feet in a few days.

-And then what?

As it turns out, we did do the Lung Volume Reduction in the end.

-For real?

-Only one lung though.

We're going to have to bring you back in to do the other.

Right. So thanks, I guess.

-Back in the driving seat.

-Yeah. All yours.

He didn't come back to check on me?

No. I'm sorry.

Have a near-death experience and no-one to share it with.

Kind of think I need him more than he needs me.

You made a decision, your own decision,

and if he resents that then forget him.

Easy for you to say.

Dude, you know I'm terrible with directions.

There you go.

Do you know how long Doctor Copeland might be?

Um, I'm afraid I don't, no.

Do you want me to give him a message?

No. No, it's OK.

All right, let me know if you need anything.

-I just need to get out of here.

-Take your time.

I'm still here.

You had a cardiac arrest, and then you had a fall.

Well, I was just taking some air.

You'll have to look after yourself more than ever, Mr Musgrove.

It was always Beth. Looking after. Holding me together.

I never knew why she waited. What did she see in me?

So young to get married and then she let me go off, well,

across half the world.

What happened last night? Why did you go to the allotment?

Well, it's where I'd always find her.

If she wasn't at home, she'd be there.

Anyway, I didn't know where else to go.

And you haven't arranged the funeral. I saw your letter.

I'm sorry.

Well, that's the end, isn't it? There's nothing after that. Nothing!

Goodbye.

There's things we didn't do.

Never saw.

Look at that. Look at that!

That's Bournemouth.

She drove there one day when I was in Borneo.

I thought it was funny.

Bournemouth and Borneo.

She said she'd take me there one day.

We'd walk on the beach and...

But I always put it off.

Oh, I looked forward to it.

But I never wanted to do it

cos I never wanted it to be over.

See, this card did so much for me.

But I don't know what's going to happen after this lot.

What am I going to look forward to now?

Well, you should go. You should see it.

See what she loved about it. That's what she wanted.

She wanted you to see what she saw.

The funeral isn't the end, Hugh. It doesn't have to be.

Oh, I just miss her so much...

in every possible way.

It sounds to me like you were the luckiest man alive. HE SCOFFS

Beth loved you, she never tired of you.

Wherever she went, she thought of you.

Now if someone like that loved you that much then you must be

a rare breed.

My perfect fit.

Well, don't disappoint her.

I'm going to make sure you've got all the help you need when you leave here.

-OK.

-You won't be on your own.

Thank you.

Thank you.

-Hey, dude.

-Hey, dude.

Dude, do you want to, like, grab a brew,

-when you're done with this place?

-Yeah, like, totally, brah.

Cool.

I've got some things to tie up so...

Great.

So... Adele's chocolates. Come on.

How many did you eat?

-Three. Four. I thought she'd blame you.

-That's OK.

I ate about 15. I knew she'd blame you.

Right. That's very big. But we'll be fine.

Same dream-team that worked on Lee.

Swab, please.

Now, if we're going to get Trish boxing in hymns and a habit,

that nerve there is the one we need to be very, very careful with.

Dom, I'm going to need your full attention. OK.

Sorry.

-Is your mind elsewhere or is it here?

-It's here.

Good.

-KNOCK AT DOOR

-Come in!

CT and X-ray for Miss Davenport.

How's Mr Dreyfus?

Better.

He thought it was "far out, man".

Anything else?

I'm sorry.

The shot about Professor Hope. It was, uh, cheap.

It was a little.

What time is it?

Time you got out of here.

Oh, come on!

Uh, Adele, is Mr Cannon still here?

No. He seemed to want to get out of here pretty sharp.

Dom, is there a problem?

No. No. I'm glad he's on his feet and heading home.

Now, Trish, you need to be careful with this voice.

But I reckon about a week or two in recovery

and you'll be back to normal, OK?

Well, I should have listened to you.

Asked him out when I had the chance.

You know, for someone with no voice, I understood you.

Loud and clear. So, thank you for that.

(Run after him, you silly fool.)

So you found a sofa, then?

Who says I'm not off somewhere hot for that pina colada?

What, without me?

Assumed you'd have plans.

-I should be going.

-Um, look, I'm sorry.

About what?

The surgery, the biopsy, the meds...

I don't blame you for wanting to get out of here as soon as you can

but I had assumed it was me. I have a habit of doing that.

It's OK.

No, it's - it's not. Um...

Don't go.

Sorry?

Why don't you come for a drink with me?

And you can stay at mine, if you want.

I completely understand if you want to close the chapter,

go and get on with your life then you can just go and do that...

Oh, there he is. Here you go, mate.

I know you don't go in for this stuff

but I'm going to toast him anyway. To Arthur.

Our ultimate hero on the ward.

-Too much! Too much!

-Bang on the money!

You all right?

Yeah. I was, erm...

I was thinking about my grandfather.

Um, so all the things he saw, and he just came home

and he hung up his uniform and just got on with life.

And that was the end of it.

And here's me, and I'm seeing a counsellor,

and, you know, my life is so easy by comparison.

Come on, you saved a man's life today.

And I don't mean just the medicine.

I... I mean his life.

Everything about it, you fought for and, well,

-if your grandfather wouldn't be proud of you for that, then...

-BLOWS RASPBERRY

Sorry!

Um, I think we got a bit off course the last few weeks, didn't we?

-A bit. Yeah.

-Friends?

Yeah. I'll take that. But...

But friends with the real you.

There's an Arthur underneath all this.

Ooh...

There.

That's better.

You do realise I've got my contacts in, I can't see a thing!