Just Get on With It Holby City

When were you going to tell me Jasmine had erased months of work? I fired her, by the way.

Been calling eight times a day for the last week now - Mr T.

-HANSSEN:

-'A complaint has been made by a junior doctor

'and the board has decided to suspend you

'whilst the complaint is being investigated.'

ESSIE: 'I'm taking Parker this weekend.'

-DOMINIC:

-'You must really love that kid.'

'Well, I've really enjoyed having him around.'

Lee Cannon - come back to haunt me like the Ghost of Christmas Past.

He's clearly still in love with you.

Has he any idea what a common little loser you really are?

Why do hospitals struggle in the winter?

It's the same reason we struggle the rest of the year.

It starts in the ED...

the so-called "safety net".

But too many people are coming through the doors.

That's nothing in itself, that's every day.

And nine out of ten times they cope.

Only some days...they don't.

The NHS is a victim of its own success.

People are just...living longer.

But that doesn't mean they don't still get sick.

Thank you very much. Swing your leg in.

Well, most of the people don't even need to be here in the first place,

they're just using us as a second opinion to Google.

But the ones that do... Well, there's no room for them.

Well, what do you expect when social care is cut to its bones?

No, these people, they need nursing homes to go to,

or special assistance, modifications for their homes...

And that stuff...takes time.

-ELINOR:

-And how do you manage when things get like that?

Well, you...kind of just... get on with it.

You just get on with it.

You just get on with it.

# Ding dong merrily on high In heav'n the bells are ringing

# Ding dong! Verily the sky Is riv'n with angel singing

# Glo-o-o-o-o... #

Seriously? Christmas is over.

# Hosanna in excelsis!

# Glo-o-o-o-o... #

Well, we have a fractured femur in two,

an elderly lady with chest pains in three,

a tension pneumothorax in seven and if the ED get their way,

half the victims of a norovirus will have set up camp in my office

by lunchtime!

Oh, Panorama are here to tell us how bad we all are at our jobs.

ELINOR: Don't mind me. I'm not here.

If only. Elinor will be with us for the day, filming.

Uni project - 24 Hours In Holby City.

Well, you could have picked a better day for it.

Are you kidding? This is perfect. NHS winter crisis, first hand...

And the Trust gave you permission for this?

Yes, I have full disclosure, thanks.

Well, I wouldn't go quite that far.

No, I'll be reviewing the footage at the end of the day

so we can edit out any potential lawsuits!

Oh, and just so you know,

we have Dr Burrows starting with us this morning.

-I have no problems showing her the ropes.

-Mm, I thought you wouldn't.

Right then, folks, once more unto the breach!

Uh, perhaps you'd like to shadow me this morning?

I was thinking more of a nurse-eye view would be good, actually.

-Maybe later, though?

-Absolutely.

There we go.

Three, Dom. Three first days in six months.

I must be cursed or something.

Listen, you just need to look at it

as if you have an access-all-areas pass

to the whole hospital and you're just trying to find out

where you fit best.

It's not a problem.

Nah, I need to smash today. Like, properly smash it.

And you will. Look, Ms Campbell is great,

as long as you're on the right side of her.

-Really?

-Yeah. Her and Ric have done amazing things for this place.

Ric?

Oh! I might just... take up painting instead.

-I always got really good grades in art.

-A hidden talent?

No. No, my teacher fancied me.

The lower the top, the higher the grade.

Oh, well, there you go then.

You can just try that on Ms Campbell.

Yes, the bank holiday cricket match is a Valentine family tradition.

Well, if it's good enough for Boris...

Please, Boris is probably batting.

Seriously, though, thanks for having me over this Christmas.

-I had a really good time.

-Aw!

Well, you either have very low expectations

or had a very sad childhood.

Although you nearly lost me with those frozen roast potatoes.

Yeah, we are more about the festive booze!

Yeah, I remember. That private dance scarred me for life!

BOTH LAUGH He gets carried away.

-Hey! Did you have a good one then?

-Yeah, it was good, thanks.

HE LAUGHS

I wonder how many times we'll hear that today.

Oh, if only I had a penny!

AWKWARD LAUGHTER

-Nerves getting the better of you, or...?

-Me? Oh, no.

-Steady as a rock. Look.

-HE LAUGHS

Yeah...

Um, we should hook up and have a coffee later on.

Inga's coming in around lunchtime, if that suits you?

Yeah, sure. Cos it's your...birthday?

What?! No. No! No, no, no, to talk about your best man duties!

-Ah.

-Yeah. How is the speech coming on?

Oh, you know the rules, no sneak previews.

-TEXT MESSAGE ALERT BEEPS

-Sorry. Excuse me.

Uh, no, scratch that, it's just going to be me, I'm afraid,

-Inga is sick.

-Shame.

I'll have to cancel that appointment.

Appointment?

Yeah. Um, it's early days, but...

thought I'd better get her booked in.

-She's pregnant?

-Hmm.

Oh!

-LIFT:

-'Doors closing.'

Judging by my stocking, Santa doesn't have my back any more.

I never knew Santa Claus was such a stickler for personal hygiene.

Or that you've still got a stocking. What age are you, 12?

Anyway, I think I win. From Fletch, with love.

Golf putting kit - for when nature calls.

Yes!

Here she is, just in time.

-For?

-Crap Christmas presents. Did you get my text?

Oh, yeah, that. Uh, I had a good haul this year, actually.

-Sorry, boys.

-Did... Did Parker ring you?

Not that...I'm aware of.

Well, that's funny, he told me he was going to.

Oh, he got me this.

Who knew he was capable of independent thought?

-Who knew he had his own bank card?

-What did he get you?

Clearly saving all his pennies for you.

So, full capacity out there?

Bursting at the seams. I'll see you on the other side.

Can't leave Isaac on his own.

Isaac's here?

Surprised?

Um, no. No, I just thought he was non-clinical today.

Did you have a good Christmas?

Magical. I got up when I wanted, watched what I wanted.

It was just what I needed. Yours?

Yeah, yeah... Um, we didn't make it to Lapland, but...

..yeah, it was pretty perfect, just the two of us.

You got a little bit of a hangover today?

Mm. Last of the Christmas gin.

Right, come on. Let's get this show on the road, shall we?

DOOR OPENS

Ms Campbell?

Tracey Owen, 39, admitted from the ED four hours ago with abdo pain.

BP's 140/90, pulse is 79 and she's a little bit inebriated.

Oh, please! After four hours in A&E...

You owe me a night out. Or at least a drink.

It's meant to be my day off.

-How long have you been having these pains?

-A few weeks, on and off.

OK, well, we'll have to put her over here for now, Fletch.

Let's get some bloods off -

-FBC, U&Es, glucose, blood gases and a group and save, please.

-OK.

Sukes, when you've got a minute.

Excuse me... Hi, Elinor Campbell.

I'm doing some filming for a student documentary project...

Yeah, I don't think now's the right time.

Oh, it's the perfect time.

Chuck us a banana and I'll show you a party trick.

Not that kind of documentary!

You go and get me a packet of fags

and I'll say whatever you want me to say.

-Uh, you know that new F1 that we've got starting today?

-Yeah?

Why don't you talk to your mum, see if you can shadow her instead?

Oh, here she is... my favourite blonde.

-In general or just today?

-Oh, of all time, babe.

-What have you done now?

-Had a fight with the kerb.

Well, you lost.

Ah, Essie, you've met Mr Harris.

It's all right, boss, me and Legs go way back.

-You know each other?

-For my sins.

Ben is on the list for a liver transplant. Hep C.

Magaluf 2015. Hit it big time, didn't we?

Well, that could have been useful to know.

Must have slipped my mind.

Well, your X-ray shows a tibial plateau fracture.

That's where the shin bone has broken at the knee joint

upon impact with the ground.

Yeah, felt that.

We'll get you into theatre, we'll take a closer look.

Essie, can we run some tests, please?

FBC, U&Es, LFTs, clotting and group and save.

Oh, and let's get him consented

for viral load and screening tests too, please.

You know, I woke up this morning

with a craving for a bird in uniform...

and here you are.

-You looking after yourself then?

-Yeah, always.

What about my number one cougar, hm?

-YOU, behave.

-Oh, come on, admit it.

I'm the first thing you've smiled at today.

Now, how about a cup of tea? You remember how I like it?

Mm. One drop of arsenic or two?

It's not rude if I ask for a bite, is it?

Not at all. I love to share food.

I mean, we've probably saved her life at some point today.

-Mild angina.

-Could have been life-threatening.

Did your mystery man not shower you with food and love over Christmas?

-I don't have a mystery man.

-I forget, you are in denial.

-SHE LAUGHS

-Get stuffed.

-Gretchen Casey, 35. She has mitral valve stenosis.

-Hi.

Gretchen, this is Ms Effanga - she'll be looking after you today.

-My Mattie did this for me.

-It's lovely.

Load of crap, if you ask me.

Love him to bits, but can't wait till he realises...

Picasso - he ain't.

-How are you feeling today?

-GRETCHEN COUGHS

-Ah. OK.

-Yeah...

..tip-top(!)

Right, she's a bit tachycardic - 105 BPM. I'll order an echo.

Straight down the line...

I'm not just here to talk about my heart.

My husband always jokes he wants enough kids for a football team.

In all honesty, I... I don't think my ticker can take it.

I want to talk sterilisation.

Well, that's a big decision, Mrs Casey.

Are you sure you've thought this through?

-I'm open to ideas.

-We can only advise you on your heart.

To talk medical sterilisation

we will need someone from Obs and Gynae.

-I'll just sit pretty then. Nice break from the kids, this!

-Hm!

Can you get on the phone to Obs and Gynae?

Let them know we have a patient wanting a referral.

Yeah, sure. Do you know who's on call today?

I believe it is a certain Mr Thompson.

-Is that a problem?

-No, not at all! Love Mr T!

Don't tell me you're bored already?

The great unwashed not fulfilling your journalistic needs?

Can you say that again with the camera on?

I can always withdraw permission, you know.

No, you can't. Not after that Christmas.

-SHE SIGHS

-Elinor, I really am failing to see

what the problem is.

Remember when I was 17 and I came home with my tongue pierced?

It's like that... apart from you're a lesbian.

Well, forgive me for thinking that you'd gone away to university

and blossomed into a progressive and liberal young woman.

Think you're being liberal enough for the both of us, Mum.

Look, I appreciate it's a lot to take in.

But you could at least make the effort.

Perhaps you could shadow Bernie later.

Fletch mentioned that newbie you've got starting today.

I thought it would make a perfect story...

A junior doctor's journey.

Yes, well, under normal circumstances

that would be an excellent idea,

but this particular junior doctor has sabotaged a leading registrar's

research project and got our current CEO suspended,

so I can assure you, Jasmine Burrows is anything BUT perfect.

Apart from at timings, apparently.

Where do you want me?

Ah.

Essie? Uh, Magaluf boy over there...

Bit more than a tibial injury and failing liver going on.

Bloods look stable. So we can go to theatre?

Look a little closer.

Oh, no.

Hi...

Hey!

-How are your mum and dad?

-S-Sorry?

I assumed you went to stay with your parents...

I did...

I thought we had a fight.

Oh, come on, Dominic, you must be over your little hissy fit by now.

Look, I've got a laparotomy at two, if you'd like to assist?

We can catch up properly later.

I want to hear all about your Christmas.

Don't tell me...

you've got me a liver sorted and you want to take me out on a date.

You should know I don't do commitment.

Ben, I've got your bloods back.

Did you know you're HIV-positive?

French is my main degree, but this is my thing.

Wow! You can afford to dabble. Don't fancy your tuition fees.

That's what daddies are for, aren't they?

-Did you join the picket line during the strike?

-Yeah.

Well, I meant to, but we had this social thing the night before and...

-You were hungover?

-Well, still drunk.

Every time?

One of the biggest political assaults on the NHS in our lifetime

and you were in bed being sick?

Excuse me... Dr Burrows, your first patient.

Tracey Owen - referred from the ED roughly 30 minutes ago

with severe abdominal pains.

-Her bloods have come back showing she has pancreatitis.

-Right.

Blue Peter badge if you can tell me what her modified

Glasgow Coma score is.

Yeah, of course. Um...

P-A-N-C-R-E-A-S. Uh, P is for oxygen concentration...

A is age...

Neutrophils... Um... Calcium, 2.4.

Urea, 14. Albumin, 36, and...

Sugar!

Eight?

Close, but no cigar. You forgot enzymes. Nice try, though.

Him over there, what's his name?

Oh, I'm afraid I can't discuss other patients...

Oi! You. Yeah, you.

-What's your name?

-Miss Owen...

Hello?

Your results have come back.

I'm afraid your pancreas has become inflamed.

Now, this is most typically caused...

It's usually caused by enzymes in the pancreas

trying to digest the organ.

More than half of diagnoses turn out to be gallstone-related.

Well, would you look at that,

the apprentice has become the master already.

Can you get Miss Owen booked in for an ultrasound, please?

I've ballsed it up now, haven't I?

HIV is a very treatable condition these days.

We have medication available that can ensure patients live

a completely normal life.

I was doing so well.

Honest, Essie, I was...behaving, sticking to the meds,

laying off the booze.

-And then?

-And then I realised - I'm 23 with a manky liver.

I mean, it's unlucky to get HIV off a woman, isn't it?

But you have Hepatitis C, which you can pass on to others.

Have you slept with anyone else?

Not apart from her, no.

There was me thinking you were a commitment-phobe.

We're hardly star-crossed lovers, are we? She gave me Aids.

-You haven't got Aids, Ben.

-Might as well have.

We'll need to speak to the infectious disease teams.

But don't worry, Ben, we're dealing with this now.

Yeah, I was wondering if you could send someone a bit sooner?

Mr Thompson's on his way? Yeah... Ah, that's great. Thanks.

-SHE SIGHS

-Hmm...

-What you writing?

-Uh, speech for a friend's wedding.

It's not that common, a woman making a speech.

Well, I'm the best man.

Oh, I... I had no idea.

OK, first off, quite clearly pregnant, and second - careful!

Sorry, must be the meds, I... I don't know what I'm saying!

Relax, I'm messing with you.

Gay best friend?

Actually, he's your Obs and Gynae consultant.

Well, let's see what you've got then.

You don't mind me prying? It's...

It's nice to talk about anything other than...

who the best Avenger is!

Nah, of course not. And it's Black Widow, FYI.

You'd get on well with my son.

Don't worry about trying to be too funny or embarrassing him, just...

tell him how happy you are for him and wish him all the best.

Yeah, that's easier said than done.

His viral count is up, but his CD4 is lower than expected.

He won't have an immune system left at this rate.

Oh, and his leg... It's a compression injury.

-He fell from something.

-Or jumped.

Can you help me have a word?

I mean, he's fine, but he tends to talk to here and not my face.

Di Lucca, up here.

Ah, yeah, sorry! I'd love to help,

-but I thought you knew that he's gone for a wander.

-Oh...

"Save my seat".

Cheeky boy.

Oh. See he's off for his scan.

Yeah, we're pretty busy! There's a bit of a queue.

So how long have you had this pain?

Two years. GP normally just hands out pills, no questions asked.

-So why come here?

-Well, I couldn't get an appointment, could I?

Why do you think that is?

Ah, no. I see what you're trying to do.

Trying to trick me into saying something un-PC...

End up like that tram lady or the woman who shoved a cat in the bin.

OK, I'll be back to take you for your ultrasound asap, all right?

I'm calling it... Racist. JASMINE SIGHS

She's not said anything the least bit contentious.

It's OK, I get it, you don't do politics.

You're a good-time girl. We can make a story out of that.

OK, this better be good.

Nice to see you too(!)

Sorry, it's rammed up there and I wouldn't be surprised if Jac's installed cameras, so...

Well, no need. Naylor developed the power of omnipresence years ago.

BOTH CHUCKLE

How was your Christmas in Lapland?

My Facebook and Instagram feeds were disappointedly devoid of you two

-wearing furs and riding huskies!

-Hmm...

Well, we...

-Hello!

-Hm?

Somebody's been a good girl this year.

-Mm, if only that were true.

-Mm! Is that from your funny Valentine?

The boy did good. For a change.

So, you had a nice Christmas?

It was strangely perfect, actually.

Good. I'm glad.

So, what's so important you couldn't wait till the pub?

I just missed you.

You're kidding?

You're so annoying. Move!

BOTH LAUGH

Look, I'm telling you, right.

I know a guy who knows a guy and he could hook you right up.

-Come on, look at you...

-Can you get back to the ward?

The drugs round's about to start.

Oh, come on, we're only chatting.

Yeah, I move fast, but even I'm not that good!

Are you going to tell me what happened with your leg?

I told ya, I tripped.

Jumped off a balcony.

Well, I was thrown, some would say.

I didn't even do nothing!

Well, nothing she'd normally complain about anyway.

Her boyfriend came back and we were...

..compromised.

Well, I'm assuming you used protection?

You actually think I wouldn't? I'm not some kind of psycho.

I know you're not.

Come on, then. Let's get you back.

Suspected pneumonia in bed five. Could do with your help.

You want me? My opinion?

You are a doctor, aren't you?

Yeah, of course.

Wet latte with sugar-free vanilla for you!

Americano with cold milk for Fletch, and a skinny cappuccino for Mum.

Do you want any cash for these?

God, don't be silly. I've got a budget for this.

Got to keep the talent happy.

-You guys work so hard.

-Cheers.

-Am I looking all right?

-Babe, you're killing it.

Seriously, you're coming off great.

I'll catch you up.

And then we pull the Fallopian tubes through

and run a single stitch across both tubes, and that's it, really.

The whole process takes about ten minutes.

And it's...irreversible? No more babies?

The procedure to reverse a sterilisation is complicated.

We wouldn't advise you to do it unless you're 100% sure.

Ah! Mo. We're just running through some available options here.

It's a bit of a no-brainer, isn't it?

I'm not sure that's necessarily the case, actually.

Gretchen, as you know, your mitral valve doesn't open wide enough,

restricting the flow of blood to your heart.

The patients with this kind of valve disease -

we wouldn't recommend anything too active or strenuous,

which would put you under additional pressure.

There are other ways to prevent pregnancy, of course.

My husband... Allergy to latex.

I've never managed to find a pill that works for me.

Has he considered a vasectomy?

Come off it. He won't even get the dog done!

-BOTH CHUCKLE

-I suppose that's fair enough.

So it's all right for him to go around sowing his seed, is it?

Hang on, I thought you were

-all in favour of the sterilisation, aren't you?

-Yeah, I am.

It would negate the inevitable risk of heart failure down the line.

But it still doesn't mean he shouldn't consider it.

Blokes - very attached to their testicles, aren't they?

HE CHUCKLES

Right, um... Well, I'm going to leave you there for a bit

to think about things.

We wouldn't be able to fit you in until the end of the week anyway.

The most important thing to remember is that it's your choice. OK?

SHE CHUCKLES

Oh! FYI - your best man speech, it's going to be great.

Oh... You've heard it?

Oh... Fantastic.

-She's very happy for you. You picked a good 'un.

-The very best.

-Stop it, you'll make me blush!

-BOTH LAUGH

I, for one, cannot wait to hear it.

PAGER ALERT BEEPS

Sorry, excuse me.

SHE MOUTHS

We're going to fix your fracture using a plate and screws,

a specialist orthopaedic consultant will be leading the surgery

once a theatre slot becomes available.

What about my liver?

Bottom of the pile now, is it?

Your HIV status doesn't stop you getting a transplant.

But it does present additional barriers.

You'll have to be reassessed by the transplant team to make sure

that your immune system can handle the transplant.

-You should have been more careful.

-Who's this? Resident monk?

All I'm saying is that this could have been avoided.

Well, in some ways, it might have actually increased your chances

of finding a match.

I'm listening.

Well, now we can look for matches with donors who are also infected.

-Well, talk about every cloud(!)

-We haven't given up on you yet, Ben.

-Miss Owen's test results.

-Thank you.

Miss Owen, your ultrasound has tested positive for gallstones.

That is what's causing your pancreatitis.

Look at ya, all pleased with yourself.

We'll need to keep you in for observation.

Fletch, can we get some fluids up, please, and patient-controlled analgesia?

Right. You'll be pleased to know we've got a proper bay for you now.

So, Steve? Going to move her to bay two, please?

I wait six hours in here and you're putting me near him?

-Have you got a problem with that?

-Forget it.

Look, the sooner we move you, the sooner we can start

the appropriate treatment, the sooner you can go home.

At least shut the curtain, yeah?

-Sorry, am I missing something?

-I heard him talking earlier. Polish.

Do you know how many flags they've got

on those check-in machines in A&E?

14. 14 different languages to choose from.

And you had trouble finding the Union flag?

I ain't talking to him.

-Yeah, keep an eye on that one.

-Mm.

You were a bit harsh on him back there.

Someone's got to be. He's being reckless.

Careful, Raf, your halo is slipping(!)

People screw up. You should try it sometime.

I just don't think you should be making false promises.

Kid's clearly messed up.

He needs cold facts, not flights of fancy about being the next

HIV-to-HIV donor recipient.

We've barely begun them in the UK.

Since when did you become an expert?

-I'm not...

-Right, so let's just focus on the leg, shall we?

Right, just so I know I'm not completely crazy...

The last thing I remember is us having a huge fight.

And as I said, I let you have your little flounce and now everything's fine.

But where did you go? What did you do?

I stayed at home and had a quiet, private Christmas.

It was very nice. It was...relaxing.

Isaac, I spent the whole of Christmas thinking we had broken up.

Look, you've been in relationships before, right?

-You know how fights work.

-But the things you said to me...

Could have been a lot worse.

Pub after work... We can get an early night.

What the...?

-SACHA:

-Sorry. Sorry, I thought you'd gone.

I didn't hear a thing, by the way.

Can't be dead. Supposed to wake up surrounded by virgins.

Watch your mouth, sunshine.

No chance you popped a new liver in there as well?

No. But I've informed the transplant team.

They'll let us know if there's a match.

So how much longer are we looking at?

-Couple of weeks?

-It's not quite that simple.

Patients with HIV don't tend to die any quicker.

You said I had a better chance.

I said there was a possibility you may match with organs

from a pool most recipients can't use.

So you lied.

Ah. Good news. Looks like the surgery went well.

-We'll get you fitted with a knee brace...

-You sure?

Or did you just chop it off and you don't want me to feel sad?

That's what you lot do, isn't it?

Well, there's the petulant child I know and love!

How about this for petulant?

She wasn't the only girl I've slept with since.

And I'm drinking like a fish.

If I'm going to screw things up then I better do it properly, hadn't I?

So, overall, how have you found your experience with the NHS today?

A complete and utter shambles, my love.

And do you have a solution to this?

Some people have suggested charging people for services.

Oh, no, we shouldn't have to pay.

But he should. Or go home, to Poland.

Do you have a response to that, sir?

I have lived in this country for over ten years.

And I'm Romanian, not Polish.

Yeah, yeah, that's ten years sponging off our economy, pal.

I assume you pay taxes and contribute to society?

Yeah, yes, he does. They send it all back home, don't they?

Meanwhile, us lot, we can't get any work.

And have you actually had a job available to you

that was taken by somebody from Europe?

No. Not personally.

But it's everywhere. It's all over.

Look, calm down.

Are you getting this, girl? He's going to assault me!

-HE MUTTERS IN OWN LANGUAGE

-Say that again.

-Look, Tracey...

-What did you say?

-No, Tracey, get back into bed.

Are you thick? Nobody wants you here!

METALLIC CLANG

-He started it.

-You, back in bed, now.

-Are you all right?

-I think so.

-I'm so sorry, Ms Campbell, I was just doing Mr Hunt's ECG...

It's quite all right, you're a doctor, not a bouncer.

Besides, I'm guessing my daughter might be responsible for this one.

Jobsworth.

That's the last time I'm polite to his wife at a fundraiser.

Our Jack-the-lad, I'm guessing?

SHE SIGHS I was just asking in principle

if they could see past a one-off slip-up.

These rules are in place for a reason.

Does this holier-than-thou act ever get tiring for you?

Being right all the time tends to counterbalance that!

-Raf, you could help me.

-And how could I do that?

He's a good guy deep down.

It's not in his best interests to officially declare

that he's fallen off the wagon.

Even if I could see past the fact that he's drinking with his

liver problems, he's HIV-positive and he's sleeping around...

He's jumping out of windows drunk.

If it's all the same to you,

I'd like to keep my medical integrity intact.

Is it lonely up there on your high horse?

He's going to have to face up to the consequences sooner or later.

Being in a hospital is a frightening and traumatic experience

at the best of times.

You stirring up hatred for the sake of your project

is just irresponsible.

Oh, here we go. Knew it wouldn't be long!

If the next words to come out of your mouth are,

"What are you doing with your life?" I'll scream.

Oh, well, I would be delighted to hear you say, "I told you so,"

but I'll be pushing up daises before that.

Well, at least I won't be able to disappoint you from there.

You know, you can be just like your father at times.

-KNOCKING AT DOOR

-Uh-huh?

So, you read her my speech...

I needed an impartial ear. And stop digging!

No, no, I'm not going to interfere or anything like that, no.

I just... I thought you should know that I've got a couple of cousins

who are a little bit on the old...evangelical side,

that's all, just FYI.

So, no Jesus walks into a bar jokes?

No. Absolutely not, no! This is a best man speech, OK?

It's not a stand-up routine.

Um... In fact, have you got a minute?

I've got the checklist here...

Oh, no-no... Oh, it's pretty busy out there.

Look, be there on time, don't lose the rings, nail the speech

and keep an eye on Uncle Alan, especially around the bridesmaids.

-See? Got it covered.

-You know what? Fine.

Don't you "fine" me.

Then when are you going to start taking my wedding day seriously?

Oh, I am taking it VERY seriously.

I've got Inga on my case every five minutes, there's still so much

to get sorted out and you are supposed to be a calming influence.

-Ah, hip flask. Knew I'd forget something.

-Oh, Mo, please!

You are so easy to wind up.

I'm sorry...

I just... I want everything to be perfect.

And it will be.

Perfect wedding day, perfect little baby on the way...

Perfect ready-made family you've got right there.

So, has Mrs Casey made a decision?

-HE CLEARS HIS THROAT

-She's having second thoughts.

I was hoping you'd speak to her again.

Well, I don't see that there's anything more for me to say, really.

It's got to be her choice.

Yeah, but a sterilisation is her best bet, you know that.

No, we can't coerce her, Mo.

It's only natural she'd have cold feet, it's a big decision.

I-I'd better get back out there.

And just try and relax. Everything'll be fine.

Just one more week and it'll all be over with.

KNOCK AT DOOR

Have you got a minute? There's a patient...

What are you doing?

-You all right?

-It's nothing.

Well, I mean, you were stirring it... But she was bang out of order.

Try telling my mum that.

By the way, if you're setting out to impress her,

there's your first mistake.

-Speaking from experience?

-And then some!

Ours was not a family of star charts and macaroni pictures on the wall.

Good work was rewarded with quiet respect.

It's when you're underperforming, that's when you'd know about it.

Well, she's still letting you film us, though.

Pure guilt trip after a... shambolic family Christmas.

It can't have been worse than mine.

Having to meet your mother's female lover

and her two snot-nosed Army kids,

on top of Cousin Jason watching every Christmas special

of Doctor Who.

How did you cope?

I got very high.

MACHINE BEEPS

The pain... It's getting worse!

SHE GROANS

-She's tachycardic. BP's dropping. Go and grab Ms Campbell.

-Of course.

-I'm dying, aren't I?

-You are not dying.

Just do something!

We're going to do everything we can to make sure you're OK, all right?

I've got you.

Her BP's dropped to 90/60,

she's tachycardic and her temperature is...38.5.

Most likely infected necrosis.

Miss Owen, we believe that some of the inflamed tissue

in your pancreas has become infected.

Let's get her booked in for a CT just to make sure

and then bring her through to theatre.

-I need an operation?

-Quite possibly, yes.

-I'll see you in there, Dr Burrows.

-Seriously?

You want me in theatre?

Well, unless you can pass a drain tube through the glass, then, yes,

I think that's a good place to start, don't you?

Committing medical fraud... What were you thinking?

You heard him. He had a couple of binges,

it hardly makes him an alcoholic.

I guess you're going to report me.

I don't know what I was thinking. It's just that he's so...lost.

I'm not going to report you.

And I know what this is about.

He's not that much older than Parker.

This has nothing to do with Parker.

Come on, I'm not stupid. You got close to him. So did I.

It's only natural that you'd want to displace those feelings.

You're way off the mark!

Look, just admit it, you got too attached to the kid.

And...you've had a tough year in what is a demanding

and an emotionally-draining job.

I get it.

I'm sorry, I didn't realise you had a psychology degree(!)

Fine...

Oh. Forgot to mention... Found this earlier.

He must have dropped it off.

Turns out he cares after all.

Ben Harris's sats are dropping.

Good job we caught this when we did. Percutaneous drainage, please.

At least we have a medical reason as to why she's so toxic.

SERENA CHUCKLES

So, Dr Burrows, have you ever seen a percutaneous drainage

of a peripancreatic collection before?

Can't say I have.

Well, first time for everything. OK, if you hold the sheath in place.

That's it.

And now remove the needle...

I say, Fletch, an F1 capable of following instructions!

Wonders will never cease.

Yep, your ECG's fine.

There's no obvious signs of deterioration to your mitral valve.

My first-born, Sarah, she was a C-section.

My husband says it was only 30 seconds before she started crying.

Longest 30 seconds of my life.

If you get pregnant now and end up with heart failure,

we'd need to fit you with a metal valve.

You may need warfarin and regular check-ups for the rest of your life.

You like playing devil's advocate, don't you?

I just don't think you should underestimate how long your kids

will need you for.

I know I'm not making sense.

I've got three beautiful babies.

It's not as though I even want another one.

-Well, there's your answer.

-I just want to have the option.

You don't have to make a decision right this minute.

I'll up your dose of beta-blockers anyway. I'll be right back.

She still hasn't decided?

She's listening to her heart instead of her head.

Not always a bad approach.

Hypothetical question...

If Jurassic Park was real, would you go?

No, I mean, I've got one. But, yeah, in a heartbeat!

Go on...

Someone's about to make a decision and you think you're OK with it.

I mean, you'll never really be OK with it,

but you've made your peace, right?

-Right.

-And then along comes this new information and - BAM!

And you realise, you're not OK with it.

You actually think it sucks big time.

Mrs Casey's medical future is hers to determine.

Think bigger picture.

Sometimes it takes a bolt from the blue to make us see clearly.

In France, they say a "coup de foudre".

A bolt of lightning, a shock to the system.

Oh... Can't I just get with you?

This choice, does it benefit you in any way?

Hypothetically, maybe.

You British.

You need to learn that when it comes to love,

sometimes it is OK to be selfish.

Who said anything about LOVE?

Sorry, hypothetically, of course. Excuse me...

SHE SCOFFS

-SERENA:

-And I'll need some 2-0 silk, please.

Is she going to be all right?

Well, it's...it's serious. She has infected tissue in her pancreas.

Could she die?

Your mother is an excellent surgeon. She's in safe hands.

I'm sorry, if I was a cow over Christmas.

It was a lot to take in.

-I get it.

-Maybe we could try again sometime?

I'd like that.

Maybe I could interview you. Talk about your time in the military?

Well, I might have some stories.

Be great to hear your take on the Chilcot report.

Uh, don't push your luck, Elinor.

Bilirubin 150, ALT 600, ALP 500.

He may have acutely decompensated.

The antibiotics and analgesia from the surgery

may have aggravated his liver.

Is there anything we can do?

Treat the symptoms and hope something comes along quickly.

In the meantime, this fella here

needs to make some New Year's resolutions.

Right, Essie, I'm going to need some vitamin K, chlorpheniramine

and some laxatives.

And let's get the hepatology team down here.

I'm scared, Essie.

We're going to take good care of you.

Well, she may have missed her chance for today's slot.

And, Mo... I really don't want to sound like

a broken record or anything like that, but, uh, I'd feel a hell of

a lot better about things

if you could just outline some of the content.

-Content?

-For the speech?

-Oh!

-I'm not a big fan of surprises, Mo, and...

Can you just shut up for a minute about your bloody speech?

You haven't started it, have you?

I wouldn't say I-I haven't actually started...

Mo, when are you going to start taking this seriously?!

-When am

-I

-going to start taking this seriously? What about you?!

Marrying some chick you've only known five minutes and now you're having a baby with her?!

I've had UTIs longer than you've known Inga.

-Well, people in glass houses, Mo!

-Right, OK, good one.

Right, so, this is how you're choosing to be

a calming influence, is it?

No, this is me choosing to be a good mate.

-What, by sabotaging my wedding day?

-You barely know the woman!

Why? Why are you saying this to me today?

Because I...

Because...

Oh... Do you know what? It's fine. Fine. You just do what you want.

-I think you're making a mistake.

-No, don't go.

Oh, I should go.

Derwood!

DOOR BANGS

SHE SIGHS

Good work, Dr Burrows. Well done.

Really? That was good work?

Well, we won't be putting up a star chart just yet.

I need hourly obs on Miss Owen

and a full theatre report on my desk by the end of play.

His stats are improving.

I think we bought him some time.

Thanks.

You can hear me down there? From my high horse.

Sorry.

I'm only messing.

And I think I owe you an apology.

Might have overstepped the mark a little.

It's fine.

The sad thing is you were spot on.

Do you know what I did for Christmas?

I stayed in by myself

and got so drunk that I had an After Eight sandwich.

How pathetic is that?

That's not pathetic.

Yes, it is.

HE STIFLES A LAUGH

I'm glad you find the Greek tragedy that is my life so funny.

HE CHUCKLES

An After Eight sandwich?

Tell me those are Irish.

Hip flask.

Thank you.

I am a terrible person.

No, you're not.

No, I am.

We...

We kissed, Mo,

a week before I'm due to get married.

Yeah. Yeah, we did.

Did you really mean all those things you said?

We...

We were both just angry.

I mean, today has been nonstop kind of manic.

That's not a no.

I just think it's just a bit fast.

It doesn't mean you don't love her or anything.

Because you do, don't you?

Of course I do.

Mo...

She's having my child.

Then you need to do what you feel is right

and I'll support you, whatever decision you make.

But we kissed.

And nobody else needs to know about it.

It's not like we haven't done it before.

Look, the way I see it, you and me,

we'll probably never be off the table.

But...but for now, you've picked one way

and I've picked another.

And...

..I'm OK with that.

I can't be your best man though. It wouldn't feel right.

You...you will still be there, though, won't you?

On the big day?

Wild horses wouldn't keep me away.

We managed to remove the contents of the abscess.

So we just need to keep the drain in place for a few days.

-OK.

-I'll prescribe you some antibiotics

and we'll get you some morphine for the pain.

Great.

I should sue this place.

Clinical negligence.

You know, I don't think I've once heard you say "thank you" today.

Why should I? This level of care.

We kind of saved your life back there?

Despite your little fight.

Well, it wouldn't have happened

if you hadn't been giving special treatment to that Romanian.

I pay my taxes. It's my right.

You really are a special kind of human, aren't you?

You want to say that again?

The paramedic that brought you in today. He's Polish.

He's a qualified doctor back there actually.

-So?

-The radiologist you met earlier today. She's French.

The registrar who looked after you in the ED, her name's Dr Chao.

The anaesthetist who looked after you in the theatre

is from Pakistan

and it's irrelevant to you,

but there's an Italian consultant up on cardiothoracics

who is really fit and he's a damned good doctor.

Are you done?

No, I am not done.

Today, you come in here and you get treatment.

Great. The system works.

It's the founding principle of the NHS that we treat everyone,

irrespective of race, nationality, sexuality, religion...

That we treat everyone who needs it,

based on their clinical need rather than their ability to pay,

which, unfortunately for me,

includes closed-minded, racist bigots such as yourself.

I'll be back with your antibiotics.

A word...

Door.

Look, I know I shouldn't have said anything, I get that.

But please, don't give me a black mark for it.

Personally, I think I showed pretty good restraint

by not smacking her down sooner.

You really don't draw breath, do you?

Sorry. Apparently, I just...

I, in no way, condone speaking to a patient like that.

But off the record...well done.

Thank you, Ms Campbell.

I look forward to seeing what you can bring to the team.

Welcome to AAU, Dr Burrows.

Whoa!

OK...

So...

On a scale of one to ten...

..how screwed am I?

That depends on you.

That's an 11, then.

You can stop the pity party right now.

Yes, positive-to-positive donation is new.

But if we can get approval,

then we can do those transplants here.

Maybe you'll get another chance to wake up with me at your bedside.

You'll need to start thinking about contacting the people

you've slept with since contracting the infection.

What do I even say?

It's OK.

We can figure that out together.

Dealing with consequences is no fun.

Nope.

But it'll make you twice the man you were this morning.

Better slow down.

You won't be able to keep your hands off me.

Better get me a pen and paper.

There's no time like the present.

You looking forward to quitting time?

Not really.

-Oh...

-Can I?

Yeah, sure.

Whoa. The baby's kicking like a donkey.

Likes to think my bladder is legitimate target practice.

I've made my decision.

And...?

I know it's nuts, but I'm out.

Let's just leave it down to Mother Nature, shall we?

And you're sure?

Not at all.

But I don't know, something...niggling me.

Something at the back of my head telling me...not to do it.

Bet you think I'm nuts.

No, not at all.

I'll call Mr Thompson.

Let him know we won't need that theatre slot.

Maybe I'll talk to the old man again about getting the snip.

You sure that'll work?

I can be VERY persuasive.

MO LAUGHS

Kidney dish please.

That reminds me.

I've still got to give you your present.

A cancerous bowel reminds you of that?

I was so excited to watch you open it.

Well, maybe if you hadn't flounced off...

Where did you go that night?

After you left?

To a bar, Dom, to cool off.

OK.

I was finding comfort in the arms of a hunky stranger.

That what you want to hear?

No.

I had a few gins, waxed lyrical to the barman for 40 minutes,

came home with a Chinese.

Guessed by that point

you'd decided we weren't worth fighting for...and left.

Is it home time yet? I could murder a drink.

SHE SIGHS

SNIFFING

Listen, do you want to go for a drink?

I need someone to celebrate my first day with.

-I, erm...

-As a mate, you wally.

Maybe another time, yeah?

The ED lot said I could stay with them for the night shift.

Wow. Talk about powering through.

You must be used to pulling all-nighters.

Normally just pulling.

Well, if you fancy a night out sometime, let me know.

You, uh, might want to lay off the naughty salt round the ED lot.

They're pretty good at spotting that sort of thing.

I don't know what you're talking about.

I'm not an idiot, Sniffy McSniff-Face.

It's fine. I'm not a grass. Each to their own.

See you around, then.

Oi. You stay away from Dr Knight.

I've got my eye on him.

So, you any plans for New Year?

Not apart from breaking all my resolutions

before the 2nd of January.

You know, you may think of yourself as a bit of a sad act,

but my festive season wasn't exactly much better.

-Really?

-Same as five years ago - in bed by nine, watching Die Hard.

Alone.

Weren't you still married five years ago?

-LAUGHING:

-Exactly.

Which is why my resolution is to get more action.

I mean, come on, I live with Fletch.

His days as a wingman are long gone.

Actually... I better be getting back.

That's not a good way to start your resolution.

It's still December.

I've got a week left of what is pretty much a sexless, gay relationship.

Actually, you've twisted my arm. I'll stay.

So...what do you fancy then?

-Can we have some shots?

-Yeah!

They are so going to get it on.

Evening, boys. Mind if I join you?

Actually, Dom and I were going home to book our New Year break.

Lapland awaits...

But I thought you...

Enough with the broken record, Dom.

Be nice to do something together, wouldn't it?

Sorry, Zosia. Another time.

-I'm sorry. Coffee tomorrow?

-Sure.

Best thing about the job?

See, I'm a people person, so I love the patients.

Don't get me wrong - sometimes you get some right di...

Difficult people.

But most of them are so grateful

just for the fact that we're here,

ready to make them better, when they're at their worst.

We see so much, day in, day out.

It's easy to forget the victories.

What do I like the most about the job?

I'm into the physical side.

We're cracking ribs, we're popping chests open.

There's this one procedure, right, called a clamshell thoracotomy.

You actually massage the heart with your own hands.

Could you say something a bit more emotive?

Emotive?

GIGGLING

Come on.