Four Letter Word Holby City

You've danced around each other since you met.

You're all she talks about.

Well, you know where I am if you need anything.

I think you've done enough. Thank you, Raf.

-Are you in?

-I'm not sure.

-Step aside.

-No, wait, I can...

Step aside and let Ms Wolfe complete the procedure.

Cruel. I know what you're doing.

You wanted me to teach, I'm teaching Dr Burrows a lesson.

-You don't want people to find out?

-There's nothing to find out.

Your problem, Jac, is that you live life

as if you're constantly waiting for a declaration of war.

You set me up to fail!

Why'd you do it? That is not fair!

Life isn't fair!

You don't get second chances!

One accident, one knock and all that potential is just gone, wasted!

-Aw!

-Yeah, and she had the back engraved.

-Yeah? What's it say?

-Oh, I'm not showing you.

-Oh, come on!

-Jealous?

-Yeah, that's the thing about Valentine's Day -

it's a bit like, er...Christmas. It's very hard on the lonely.

Please! You two are like deluded teenagers.

-Somebody messed up.

-Excuse me?

I mean, dumping your man a week before Valentine's.

Schoolboy error.

And he is Italian, the most romantic men in the world. Fact.

Fact. Probably would've serenaded you with an opera.

Paddled a gondola down Holby Creek.

Written your name in rose petals in the Holby car park.

Oh! Tip of the iceberg.

When a true Italian man wants to show his desire to a woman,

there's no limit.

Hm. OK, so you got a naff card and some helium and you...

-Oh, don't...

-You'll get a rash when the cheap chrome wears off.

You're just jealous, bambina. Mwah!

We've got a patient here from ED.

Oh, thank goodness! It's a bunfight out there.

That's very lovely. I've never seen you wear that before.

Oh, well, I'm just full of surprises.

Well, you're not kidding!

Oh, yeah, just walking to work.

-That would take you...

-One hour and 16 minutes.

13 with the wind behind me.

Exercise - one of life's unfortunate necessities.

"The aim, Serena, is to take pleasure in the mundane.

"Stimulate the pituitary to trigger the endorphins."

Talking of which, you've, um...

Got a mentee to mentor.

Can't all be about me.

-I can't breathe!

-All right, give her some oxygen, please.

Ah! My chest! My neck!

She presented with epigastric pain, suspected angina.

OK. Usual bloods, cardiac enzymes.

Start her on a GTN infusion, please.

Looks like it is unstable angina.

-Let's see what the ECG says. Name?

-Sandy.

Sandy, try and relax, let us do our jobs, OK?

-No knives.

-What's she saying?

-No knives.

-Don't cut me! Please, don't cut me!

We're not going to cut you, Sandy. It's OK. These are just electrodes.

-Just don't cut me.

-We won't, I promise.

-Let's keep the ECG running, OK?

-Mm-hm.

-Jac? You're going to want to hear this.

-Matteo?

-She's in a medical law suit with St Jude's.

-And...?

-Gender-reassignment surgery.

-Sandy used to be a man?

It's more complicated.

For me, that's complicated enough.

She was born with ambiguous genitalia.

-What happened?

-The surgeon made the decision to make her female.

-No knives.

-Mm.

It's Helicobacter eradication therapy, Mr Warren.

So that means no smoking, no vaping

and no sucking fumes from exhaust pipes, please!

MORVEN CHUCKLES

What do you think, Ms Wolfe, should we sign him off?

Absolutely. Would you excuse me one moment?

Before you go, can you sign the occupational health clearances?

Of course.

Great! Signed, sealed, delivered, sir. We'll be checking up on you.

The cyclist who had the emergency splenectomy, did he get physio?

As far as I know. Um...but the important thing is...

Five days post, he gets vaccinations for haemophilus and meningococcus.

Ooh, someone's been cramming.

Think we're going to need a bigger boat.

She's really pushing you, then.

If I say yes...?

I can keep a secret.

Well, in that case, I think I enjoy the pain.

-That's great!

-Yeah.

-No, seriously, dude, I'm made up.

-Thank you.

So let's crack open the bubbly and let's go skinny-dipping.

-I'm not completely sure that...

-Why so happy?

Hanssen has offered Matteo a permanent post.

-Really?

-Mm-hm.

Congratulations.

I haven't accepted his offer yet.

What, he didn't make you an "offer you can't refuse"?

No.

-You see what I did there? I referenced The Godfather.

-Mm.

-Why haven't you accepted?

-Keeping my options open.

You two, just because you didn't get any Valentines,

doesn't mean you have to suck the fun out for everybody else.

You have options, then?

-Ollie! These two, right...

-Sandy's ECG.

It's definitely unstable angina. It's quite advanced.

We need to get her to X-ray for an angiogram.

Well, that's unlikely. She's trying to discharge herself.

Then stop her.

Yes. Right.

-So, er...got time for coffee?

-Yeah, good idea.

TEXT ALERT

Oh, well, that's it. Looks like Fletch has got himself a house.

Don't get me wrong, I'm pleased for him,

but I'm going to be rattling around in my place now.

Well, you'll still be Uncle Raf.

It won't be the same, though, will it?

THEY BREATHE HARD

Do you know what?

I think it's true what they say about the endorphins kicking in.

I'm actually really starting to enjoy it.

Oh, shut up. That's just the gym's version of Stockholm Syndrome.

If you believe that,

next, you'll be posting about Leg Day all over social media.

Oh!

Do you know what? Forget it.

Just get me a hot chocolate, will you?

DOM CHUCKLES

See you around.

Oh, are you done already?

-Who was that?

-Ben.

Or Hotbod24, as he prefers to be known.

This time last year, I was buying Sacha chocolate body paint.

-Aw.

-Aw?

He ate the whole tub before it even got near my body.

HE LAUGHS Don't laugh.

PHONE RINGS Is that Fletch again?

Oh.

Well, aren't you going to answer it?

After 10 weeks of radio silence? No, I don't think so.

Honestly, for your own good, I'd just stay where you are. Sorry.

I hate hospitals.

-I had a transgender patient recently.

-Oh. Good for you(!)

I helped him through his, er...pregnancy.

Yeah, I realise that transgender and intersex are not the same thing.

Just a bit.

So, is it all right if I tick female?

I'm sorry, we don't have an intersex box.

Just go ahead and tick it.

Who knows? One day, they might actually admit I exist.

Yes, I think it's shameful. I mean, how hard is it to amend a form?

We're the NHS, we should set a precedent, right?

Tell me about it. I'd get more recognition if I was a horse.

-Mr Valentine?

-Yes?

Excuse me.

So, ST depression. I'll sort that angiogram.

She has a Dictaphone, she's actively litigious

and you're already criticising our hospital protocol.

Do you think it's right that we exclude her gender from a form?

Unlike you, I don't have an opinion on the matter.

ESSIE CHUCKLES Thanks.

Oh, wait!

-OK, I'll see you up there.

-Sorry!

Raf?

Kim?

Look, I'm sorry I never got back to you, I...

Huh! I see you've spotted the deliberate mistake.

-You're...

-Huge. I know.

-That's second babies for you. Huh!

-Oh.

What are you doing here?

I've not been feeling so well today. I've been throwing up and...

Could be morning sickness,

but we'd better make sure it's not related to the dialysis.

Oh, no, no, no, that's fine. They've reduced my sessions.

My kidney's healing.

Kim, you're a pregnant dialysis patient, you can't be too careful.

Make sure your electrolytes haven't gone out of order.

You really are very sweet to me.

I've totally messed things up, haven't I?

-How many beds do we have?

-None.

We're going to have to start using ITU or Recovery.

Dr Digby? Mr Jones, get him out of here,

and clear as many beds as you can. We're close to capacity.

-Where's...where's Ms Campbell?

-She's there.

-Oh.

Er...sorry to be the bearer of bad news, but the ship's going down.

I could do with a hand drowning the women and small children.

-Hm!

-Ms Wolfe, this is Jake Simpson.

He was admitted with pins and needles in his arm.

He fell asleep with it over the back of a chair.

He hasn't experienced any speech disturbance,

visual disturbance and he's got no weakness in his legs.

-Any other observations?

-We can rule out a stroke,

because it should be cold, but it's warm.

It's classic Saturday night palsy.

I just woke up and it was like this.

-Now, we've diagnosed it...

-You can you fix it?

-Well, we'll do our best.

-It's, um...it's common enough.

Ms Campbell, could I...? Thank you.

She is quite the student.

Got an edge to her and talks back, needs to learn when to stop,

but I quite like that, and she's sticking to the tasks like a limpet.

Oh, what you're doing with her is fantastic, but...

What I'm doing with her is giving this hospital

a much-needed injection of talent.

-Rough night?

-Sorry?

Ms Campbell, they found it in the taxi.

-One of the agency nurses gave it to...

-Ah, right, good.

Thank you, Jasmine. Thank you.

Right, er...better get on.

So, it's not just the vomiting?

Look, I'm going to be shattered...and breathless.

I'm the size of an elephant.

But I promise you, I've only been sick today.

Right, well, you're burning up.

We're going to need an FBC, U&Es, LFTs, bone profile,

CRP and a septic screen, please.

-We'll find you a bed, OK?

-Thank you.

-Look, I can't keep apologising.

-It's fine.

Well, clearly, it's not.

I'm sorry, I tried, but I...

I just don't like those sort of parties.

I told you, I get it.

What about if I just had a drink with Ben tonight

-and spent the night at his?

-What?!

I'm sorry, I couldn't resist.

I love it when you get jealous, your ears go all red.

That's not funny.

Like I'd want to spend tonight with anyone else.

Mm.

Oh, Mr Di Lucca, Bay Four is for Mr Mayfield.

-Mrs Hutton?

-Yep.

-OK, I'll sort it. Just a sec.

So...do you know who the father is?

Some one-night stand, I expect.

Are you OK with that?

It's none of my business. She's a free agent.

Well, I suppose you had your own share of fun, too.

Hi, this is Mr Di Lucca.

I'm afraid I'm going to have to cancel Mrs Hutton.

The bed's no longer available.

Thanks, Robyn, you're a star.

Who's in Bay Four?

Can you imagine actually walking into a shop

with your photos and ordering those?

-Want to hear something really sad?

-Try me.

What they were saying about Italian men...

Aw, serenades and rose petals?

All true.

So, if I hadn't done the decent thing

and kicked our relationship into the long grass last week,

you'd have paddled me up a creek in a gondola?

Kicked it into the long grass?

It's an expression. It means...

I get what it means, I'm just amazed by your...

What? Pragmatism? Good sense?

Icy-heartedness.

-Is that a word?

-No.

You think those balloons are sad?

Though we were together for only a nanosecond,

I saw St Valentine's Day coming and I thought...

I thought of waking up beside you near the Piazza di Spagna.

The musical sound of the campanile,

taking breakfast at Caffe Greco in Via dei Condotti,

watching the city come to life.

You bought me a ticket to Rome?

Us. For St Valentine.

Una noche de amore.

Well, that was very...

As you said, how sad is that?

Dr Burrows?

Oh, sorry, Ms Campbell needs me to do an urgent ABG

and then I've got to run up to X-ray

to discuss these CT requests for Mrs Patel.

-The conductor.

-Yeah, it's for the Saturday night palsy case.

Yeah, obviously. Let's take him first.

-Oh, but Ms Campbell wants me to...

-No, with me.

Mr Simpson.

Um...

So the, er...the posture you fell asleep in

puts pressure on the radial nerve,

which causes inflammation in the nerve wall.

So, you want to wire me up like a toy train?

Yeah, something like that.

-Test the conduction.

-You know your science.

My wife, she's a teacher.

Was a teacher.

Oh, we should, um...get someone to call her. Is she at home?

-I'm at home most days, just me, but, um...

-Freelancer?

Well, I'm sure she's wondering where you are, I'll get someone to call.

Just wire me up.

Ms Campbell's purse, she left it in a taxi?

Yeah. She's been working hard. Most nights, she's stayed behind.

She's working late?

Coming up with tasks to trip me up for the most part, but...

-Are you worried?

-No, no, not at all. Run the tests.

We could be dealing with uraemia, pericarditis, Hepatitis.

All of which are going to jeopardise an already-vulnerable unborn baby.

And all of which are complete conjecture.

-You don't have any results yet.

-She might need emergency dialysis

or have to go back on the transplant list.

-Exactly. Might.

-The woman is at risk of infection.

She's a prime candidate for obstetric complications.

And you also happen to be personally involved with her.

-Personally involved?

-All right, all right. All right.

-Mrs Hutton, she's the gallstone patient?

-Kidney stones.

I think in this case, Mr Di Lucca is right.

-I think Ms Whitfield needs to be bubble-wrapped.

-Thank you.

But as Mr Mayfield is the doctor on duty,

I think it only fair that he deals with the patient.

-OK?

-Of course.

Good.

Can you change my next of kin?

You know, in case anything happens.

Of course.

Hey, nothing's going to happen.

My ex is still down on the form. We split up a few weeks back.

Sorry to hear that.

My fault. I can be a right cow.

You've got a lot on your plate, with the court case and everything.

Mr Rossini, I think it would be better if we didn't make any comment

about an ongoing medical litigation.

I'm sorry.

No, don't be, really.

Most of my anger is because no-one ever does talk about it.

-Anger?

-Ewan, bless him, he was a keeper,

but he just wanted to see me as Sandy.

His sexy Sandy.

So, the court case...?

-Mr Rossini, this is none of our business.

-Isn't it?

It's all messed up because

some random surgeon in a hospital in Kent -

one morning in the 1980s -

decided to take his scalpel and make me a woman.

You'd rather be a man?

I'd rather I'd had the choice.

Me, when I was old enough to choose,

not some old guy with a knife

decides this bit goes, this bit stays.

So your next of kin is no longer Ewan.

Who would you like us to put down, your parents?

Huh! I'm suing them.

They'd throw a party if I carked it.

-Really?

-They gave the surgeon permission to cut me.

They signed the consent forms.

Surely they did it, because they thought it was for the best.

They did it because they thought they'd given birth to a monster.

We need to run an angiogram, Sandy.

We inject dye to measure the thickness of your arteries.

-No knives?

-No knives.

The accelerated atherosclerosis has blocked your arteries.

-This one here has narrowed critically.

-It's no wonder.

It's all the stress I've been through with this court case.

And you're also a smoker.

Two a day.

I have two before breakfast.

Well, maybe you shouldn't.

So, this court case, you have a good lawyer?

Yeah, he's not bad.

A good lawyer should take the stress out of the situation.

You haven't got a date yet?

Oh!

Sorry, two minutes.

Why did you just look at him like that, like he'd just broke ranks?

-Sorry?

-You're just worried he might say something

that I jump on and use in my lawsuit?

-Your ongoing legal suit is none of our business.

-Oh, I bet!

Heaven forbid you might disagree with something

another doctor said or did.

Our business here today, our only business,

is persuading you to have surgery.

YOU put me under and cut me open?

You need a coronary-artery bypass graft,

-or you run the risk of cardiac arrest.

-Nah. You're all the same.

-Who?

-Surgeons.

Covering each other's backs.

Sandy, please, I know you've been traumatised...

You're ALL the same!

Except him. He's different.

-Mr Rossini?

-He's not afraid to talk to me.

Would you like me to call him back over for you?

No. We'll go for a fag.

-Ms Campbell?

-How are we doing?

Saturday night palsy, it feels like a branding.

It's called that for a reason.

It's also known as honeymoon palsy

when one partner falls asleep on the other one's limb.

Could use that for sympathy with the wife.

-And we'll be treating him with...?

-Um...anti-inflammatories,

and I'll just finish checks, and then steroids for recovery.

-And the control?

-Using the radial and femoral nerve in the other leg.

I'll be in my office if anyone needs me.

-PHONE RINGS

-Hello? Yes?

Right, well, did you pass on the message I left?

This really as common as they reckon?

This is my first one, but there's nothing they haven't seen.

RATTLING

OK, look, I REALLY need to speak to him,

so, can you tell him it is extremely important, please?!

Yes!

Thank you!

Lost your purse...did you? I wonder where.

And, er...the change of coat, you left the other one

in a bar, I suppose.

Well, I...

Walking to work's the new you, is it?

Except there's nothing new about this, Serena.

Except that you seem to have a whole vineyard in your office.

Oh, and perhaps you ought to check your clothes for evidence

before you set off for work.

No, no, you need to stop. You need to stop right now.

Do you have any understanding how serious this is?!

-Oh, who do you think you're talking to?

-My partner.

Where does this stop? How many late-night sessions have you had?!

She was with me.

What?

Helping me.

I-I got her those.

To say thank you for mentoring me.

-It's none of my business, I should just...

-No, no, wait, wait. Um...

What did you want?

Sorry for interrupting, it's just, um...Mr Simpson.

I need confirmation. He has these black spots on his toes.

Show me.

-Well, can I open it?

-Nuh-huh. Later.

At least give me a clue.

Let's just say...commitment.

-I don't see why you can't just treat me.

-You know why.

OK, let's have a look at this little one, shall we?

-I'll leave you to it.

-Oh, no. No, stay. I want you to stay. Please.

OK. Well, just for a few minutes then.

Right, well, that looks good.

Can you see him?

It's a boy, I can feel it.

Right.

Is something wrong?

No, no, nothing sinister.

But you have found something?

-Well...

-Twins?

Sorry, I didn't mean to do that.

The obstetrician said nothing about twins.

They don't always show up on early scans.

How many weeks pregnant are you, 11? 12?

Um...10.

10?

A surgical consultation over a cigarette.

I like it.

Hm. Most irregular.

Hm.

That's why I like it.

Because it's nothing like...

..like normal, like hospital normal.

No.

I hate hospitals.

Everybody hates hospitals.

I hate surgeons.

You said.

Present company excluded.

Hm. I'm honoured.

But you know, the very best heart surgeon,

probably in the world, certainly in Holby, is Jac Naylor.

Can't you do it?

I'm off to Italy today.

And much as my ego would deny this,

Ms Naylor will do a better job.

How am I meant to trust her?

She's just like him.

And look what happened there.

All for a vagina that doesn't even work.

Doesn't work?

There's no sensation.

Well, except pain.

All I want is an apology and they can't even give me that.

They should have just left me as I was.

It must've been hard for you, and Ewan.

-Why don't you call him?

-No.

No, it's too late.

Huh! You're giving me a fag?

Surgeons don't all play God.

Besides, like you, I'm more of a live fast, die young kind of guy.

I don't want to die young.

Then...you have to learn to trust.

Popliteal aneurysm.

He said the spots were new.

I just never looked. What does it mean?

And there's the pink colouring. And I've checked the pulse in both

and the one in this leg is so much weaker.

And so that, the pink colouring, the spots,

it led me up the leg to the diagnosis.

-What's the matter?

-How did you miss this?

Well, I found it as soon as I could.

I've only just seen the spots. You were there when we...

Get him the next available theatre slot.

Serena? Serena, wait!

Serena?

I'm sorry, I...

Surely you can understand why I was concerned.

Look, I know I shouldn't have gone through your stuff,

but it was coming from a place of...

How very contrite of you.

I'm sorry, but you can't take my mistake out on me here.

This is work, you have to treat it like work.

If you're going to mentor Jasmine...

I think you just lost the right to give me advice...don't you?

I'll be back to check up on you later.

Well, no prizes for guessing

what you were doing when you weren't picking up my calls.

What?

It didn't take you long to move on.

They're yours, you idiot.

-Mine?

-Yes.

I wasn't going to tell you, but...

No. No, that's impossible.

They...they...they can't be mine.

Me and Amy tried for years.

-There's...there's no way...

-There's been no-one else, Raf.

Don't you believe me?

No...no, of course I do, it's just...

Well, it's a shock, that's all.

You're telling me.

I'm really going to be a dad?

Did she sign the consent?

I tried my best to persuade her, but she's fixated.

She's buried herself in the past.

Well, we both know who's to blame for that.

Oh, come on, it's hardly her parents' fault.

No wonder they didn't want her to go public.

Besides, she needed those operations.

Are you actually serious?

Do you have any idea the confusion, suffering and pain

that patient has gone through?

And all to make her fit into a nice, neat, little box!

A human needs a definite sex.

I mean, intersex, what is that?

Without a defined sex, you'd be an outcast,

and an outcast can't live within a society.

And heaven forbid society should accept nature(!)

Honestly, is this how you really think?

What about before, when she was talking to you about her parents?

-You were...

-Slapping on the charm. Just persuading her.

You should try it sometime.

Oh, you're just a total fraud.

And you're just an idealist.

It's cute, but imagine if Emma had been born that way.

I would take a rusty scalpel

to any megalomaniac surgeon who went anywhere near her.

-Now, get out!

-Sorry?

I don't want you within 10 metres of Sandy Delaney!

Do I make myself clear?!

Sure.

Hi. I've done the pre-op blood tests for Mr Thorpe,

I've chased the ultrasound report for the gallstone patient

and I've done the discharge notes for the splenectomy.

Great. Get to ITU, make sure Mrs Harris gets her enoxaparin

-and then get back here, please.

-OK.

And, um... you didn't hear this from me,

but I think Dr Burrows could do with a hand.

You need to get a move on, Dr Burrows.

Jake Simpson's due in theatre in 20 minutes.

I've redone his bloods, his renal function is normal

and his potassium level is 4.4.

-Echocardiogram?

-They're giving me the run-around.

Right. Where's Serena?

I've tried calling, I've tried paging, no-one will listen to me.

The anaesthetist is threatening to cancel.

OK. You find Ms Campbell and I'll deal with this.

Yes, hello. This is Ms Wolfe, consultant surgeon, Trauma Unit.

I need the echo Dr Burrows requested immediately for limb-saving surgery.

Yes. Yes, now, please!

-DICTAPHONE:

-Imagine if Emma had been born that way.

I'd take a rusty scalpel

to any megalomaniac surgeon who went near her.

-Now, get out!

-Sorry?

I don't want you within 10 metres of Sandy Delaney! Do I make my...?!

That recording happened without my knowledge

and has been taken completely out of context.

I can assure you that recording private conversations about patients

is not standard practice in this hospital.

Thank you. That was so lovely.

I take it Emma's your daughter?

In my life, no doctor has ever...

I wasn't commenting in any way about your specific procedure.

No, but you did say you'd fight dirty

to let your daughter be whoever she wanted to be.

Well, Mr Rossini tricked me.

But what you said is true?

Yes.

SANDY EXHALES

Do you want me to delete the recording?

Yes. Thank you.

If I agreed to the operation, would you still do it?

PHONE: The person you are calling knows you are waiting.

So answer me, then!

SHE SIGHS

SHE SIGHS

She could have handed that recording to a tabloid rag during the trial!

Well, it worked, that was my only intention.

You're like a snowplough with no brakes.

She didn't trust you.

She still wants you in theatre.

I already told her I was going to Rome.

-You're still going?

-Of course.

-That's a romantic night alone.

-Who said I'd be alone?

No, honestly. I'm meeting with Professor Di Grassi

from the Salvator Mundi International Hospital.

Really? I love his work.

To discuss their cardio consultant job.

Job?

I told you I had options.

In Rome.

You sound sad.

-Surprised.

-Why?

Rome or Holby?

Like, how could I possibly choose?

Arterial clamp, arterectomy blade and suction, please.

You sure you shouldn't wait in case Ms Campbell...

You don't need to cover for her, you know.

Cover for her?

No, no, no, no! It hasn't worked.

The clot won't shift. We're going to have to bypass. Damn it!

What did I miss?

The LAD looks like distal stenosis.

Oh, my giddy aunt, you smell gorgeous!

Right coronary artery has a proximal stenosis.

Where you going, part-timer?

Italy. Flying visit.

Oh, yeah, to see your mum.

-Job interview.

-You've got a job here.

I like to keep my options open.

That's what I said when Derwood asked me

if I wanted to go to Albie's, Chicken Heaven and a movie night.

-Right.

-I said Albie's, yes. Chicken Heaven, yes.

-Movie night, maybe.

-But I don't see...

All I'm saying is that you and I, we live such similar lives...

Derwood is a very lucky man.

Yeah? With that aftershave, so could you be.

She's a little complex and fractured this one.

After Jac's exercised her God complex in theatre,

post-op, she might be better with someone more...gentle.

I will smother her in marshmallows.

Thank you.

I've got to see Hanssen.

Come say bye before you go.

OK, extended.

Right, I'll need that tube.

Quickly, thank you!

Arteriotomy into the CFA.

Dr Burrows, why don't you harvest the LSV for the vein cuff?

Sorry, I'm not sure now is the time.

Now is exactly the time. Dr Burrows, please.

Yeah, I can do it.

No injuries to the vein.

Not too short and no side branches.

They don't change, do they? Operating theatres.

The smell, lights -

still like something out of a sci-fi movie.

It'll all be over soon.

Jac...

Matteo. OK, look he was stupid.

He made a mistake, but let's face it, the man is sex on legs.

And you are definitely punching above your weight.

Granted, he's pretty, but he's feckless, juvenile, manipulative

and cannot be trusted. What?

MACHINE BEEPS

She's arresting! OK, stand by, we're going to have to crack her chest!

-Shall I remove the clamp?

-Yep, yep.

-It's leaking.

-OK, give it to me, give it to me.

-Ms Campbell.

-It's all right.

-Serena.

-Yeah?

Step aside, please.

-Step aside now, please!

-OK!

5-0 Prolene, please.

No, we're losing the leg!

No, you've got this.

OK, here we go.

Bleed stopped.

STEADY BEATING

Profusion is good.

-Excellent.

-Well done, team, well done.

So, um, give me a call when you get this, Parker.

I always thought, if I had a boy, I'd like to call him Giuseppe.

After my grandad, you know?

What am I saying? This is too good to be true.

I can't be a dad!

Look, I know what you're thinking, but...

maybe we're both looking for problems where there aren't any?

So you don't think I should ask for a paternity test?

Not all women lie, Raf.

I know, but what are the chances?

OK, your sperm count is low, we know that, and who knows?

Amy might have had a hostile womb.

-PHONE RINGS

-That wouldn't surprise me.

Hello, Keller.

SHE GROANS

It's getting worse! My body's not coping with two babies.

I'm losing them, aren't I?

No. No. No, you're not.

Just relax. I'll get Mr Mayfield.

-Come on, Sandy!

-Still no response.

-Work with me.

Jac, it's been ten minutes - do you think we should...?

Nope, she'll come through. Come on, show me some fight!

I hate to say, it's not looking good.

She will be fine she just has this whole surgeons are bastards

-thing going on.

-Still no output.

-And I want to prove her wrong.

-So it's all about you?

STEADY HEARTBEAT

-Good, we have lift-off.

-Who said a God complex was a bad thing?

Not me. Let's get her on bypass.

What's going on?

Believe me, it'll lessen your guilt.

You need to calm down.

No, I need to borrow your car.

OK.

I was prepared to let some of this slide,

but you're putting people at risk!

You abandon an F1 to do pre-op work in just 45 minutes

that's impossible to complete without senior sign-off,

you swan into theatre late, pull some kind of weird power play

with Jasmine before disappearing into yourself,

-and now this?!

-It isn't about me!

Serena...

Ms Wolfe, we've had Edward Campbell's wife on the phone.

She wants to speak to you about Serena.

It's always very satisfying

to know that really clever people can be so stupid...

Why is this light so dim?

I might as well wear a blindfold and stitch it by feel.

To have a man who smells better than warm banana bread

want to whisk you off to Rome for a night of pillow-biting passion...

-Leave it, Effanga.

-To dump him, because...

Do I sound like I'm joking?

To dump him because what exactly?

Because you're too cool to be seen in the playground with a boyfriend?

-Now that's stupid.

-Graft is nearly in place.

"Cutting your nose off to spite your face."

Wonder how you say that in Italian?

Scissors.

You see, people like Sandy,

they're born with the odds stacked against them.

No, nature deals them a tricky hand.

She'll manage. She's surprisingly resilient.

Whereas other people spend their whole lives

making simple things complicated.

Stupid.

Serena! Where are you going?

-I need to find Edward! OK?

-That's not my car.

He isn't coping and I have to help him. Why isn't this working?!

-CAR ALARM BLARES Serena, that's not my car.

-What?

Look at it.

My car's parked around the corner, the traffic was...

Edward called. His wife called too.

He called back?

He wants you to stop.

Serena, you need to stop calling him.

Can you see them?

Yes, yes.

To the right, Nurse Harrison.

That's good, isn't it?

Why is no-one saying anything?

We're trying to locate the second heartbeat.

Well, you found it easy enough before. Why can't you find it now?

Raf?

40 minutes for a cab, are you kidding?

No, I don't want it. It'd be quicker by mule.

-Oh, Mo! Mo! Give me your car keys!

-What?

Come on, come on, come on, come on, come on!

-Did you just clap your hands at me?

-Look, it's an emergency.

Clap all you want. But unlike you, I'm off to get my freak on.

-I need to get to the airport.

-And I need to run my hands

through Brad Pitt's hair, but it won't happen.

-Fine, drive me, I'll pay you £100

-Nope.

-200.

-Nah.

-What, then?

All I want from you is one big arse-kissing.

-"Oh, please, Mo, please."

-No!

Say please.

-All right, get a taxi.

-OK!

OK. Mo. Mo. OK, Mo, please will you take me to the airport?

See? No-one died.

-Where's your car?

-Derwood's got it.

Here we go, that's it, that's it.

-Er, can you...?

-OK.

What?

You locked the keys in the boot, Einstein.

Oh, if it isn't the golden girl.

Oh, shut up!

I hear Ms Wolfe's pretty impressed by your mettle too.

Are we killing it?

Remind me again, why are we single?

Oh, sorry.

It's all right, don't worry about it.

Oh, God!

Mr Simpson, I am so sorry, I never got round to calling your wife.

-It's fine.

-No, it's not fine at all, because you're here all by yourself.

Please, it's no big deal.

Hello, Mr Simpson, I'm Dr Digby, so you're the Saturday night...

Saturday Night Palsy case. Yeah, that's me.

Well, except you're not just that, are you?

How did you ignore a lump that big?

Did your wife not notice?

There's no-one at home, is there?

I tried to tell you earlier, but...

I am so sorry... I just assumed.

I had a wife.

She died.

And now, I don't.

It's dead, isn't it?

No! No, these two are little miracles. They can survive anything.

But where's the second heartbeat?

Well, it can be difficult to find when there's two of them.

They're probably just moving around in there, hiding from us.

Isaac, um...do you mind?

-Raf?

-Please.

OK.

SINGLE STEADY HEARTBEAT

TWO STEADY HEARTBEATS

There's two heartbeats?

I told you.

They're little miracles.

Aw!

No, OK.

-Um, do you have spare keys?

-Yeah. At home.

-Well, call Derwood, dummy, and get them.

-Um, rude!

-Plus my phone's in the boot, so I can't.

-Oh. OK.

Stop! Stop, stop, stop, I need your phone, please, it's an emergency.

OK, there you go.

-What are you waiting for?

-I don't know his number.

-What?

-I don't know his number.

Oh, you're unbelievable! What about the landline?

Oh, come on, landlines are for old people.

SHE SIGHS

I called everywhere.

His work...

..his home.

What kind of person goes away when...

..when something like this happens?

He's finding a way to cope.

On holiday?

Well, that's his way.

He gave me this coat for our anniversary.

I used to wear it with such pride.

SHE LAUGHS TO HERSELF

Elinor said it made me look like I was in a magazine.

Vogue or Just 17?

THEY CHUCKLE

It's so hard!

That's why you need help.

You need to talk to a professional, Serena.

(I know.)

DOOR OPENS

-Oh sorry, it's Mr Simpson.

-It's not a haematoma?

No, no, it's nothing medical, it's just, um...

Go on.

OK, Derwood's sending the spare key in a cab

and I've got Valentine's phone, so we can keep in touch.

And how long's it going to be?

How am I supposed to know? I'm not your personal traffic reporter.

I can't believe this!

You're such a spoilt brat. You didn't want to go, remember?

And anyway, what about my Valentine's night?

This was supposed to be our first one together.

I'm glad to say all your test results have come back normal.

Oh, that's great.

Sorry.

What, does this mean this is just really bad morning sickness?

Well, we'll have to investigate further,

-but the next course of action is to rerun the bloods.

-Er, no need.

Parker's just called, he's at the vets.

Raf has been sick all morning.

Raf?

Our new dog. Parker named him.

What do you mean, Raf's been sick?

Apparently, Parker gave him some of your chicken lasagne last night.

What, food poisoning?

OK, well, we'll give her some more IV fluids, then, shall we?

No. No, I'm sorry, that can't be right.

-Parker ate it and he's fine.

-Uh-huh!

No, he did. He said it was lovely.

Come on, chicken lasagne? That would make me vomit.

OK, I know I'm no Nigella, but I was trying.

-Did you cook the chicken?

-Yes.

-Thoroughly?

Yes! I think.

Right, well, from now on,

if Parker's not doing the cooking, I am.

Have you got a problem with that?

No.

-How much longer?

-Oh, again with the questions!

The gate will be closed by now.

-Pity.

-Thanks.

-Probably for the best.

-Really?

Yeah, nice man like that doesn't deserve to be eviscerated by some Arctic shrew.

Arctic shrew? What in heaven's name is an Arctic shrew?

No idea, but whatever it is, it's got a very tiny and very cold heart.

Maybe I actually liked him.

Oh, the ice melts! She finally admits the bleeding obvious.

What next, we break into song?

Maybe that sort of feeling

isn't something I'm good at expressing verbally,

Maybe that's why I was rushing to the airport.

Actions speak louder than words, huh?

Maybe I wanted to show him my feelings,

rather than blab about them.

-You don't have feelings for him.

-I bloody well do!

-Language!

You sly dog!

If you tell him, I'll kill you.

If you wait five minutes, I'll give you a lift home.

I think I'll walk.

OK.

Bernie.

You will come round later, though?

I don't want us to fall apart.

Everything's going to be OK.

I'll see you soon.

-Hi.

-Hello.

I see you've had a visitor?

That was Ewan, my ex.

I can't believe he came.

-Well, presumably, you called him.

-No.

-I didn't dare after some of the things I said.

-So how did he know?

A "foreign-sounding doctor" called him.

-I'm sorry. Mr Rossini should not have done that.

-No, I'm grateful.

-We might be getting back together.

-Oh, good.

Doctors, eh? Maybe I don't hate them.

HE LAUGHS

Well, I mean, I'm not saying there's not some bad eggs,

but, er, all in all, on average, we're all right.

I'll check on you later, all right?

Go on, then - aren't you going to open it?

A key?

Don't look so glum. See if it fits my locker.

It weighs a tonne.

Let me help you with that.

Sit down.

I know you don't like going to the gym,

so I thought you could work out from home.

That's...really thoughtful.

Ah-ah, there's more.

Inspiration.

You put in the work and you too could have a body like that.

All it takes is a bit of commitment.

I'll let you buy me a drink to say thank you later.

Thanks.

-Oh, and so near and yet so far.

-What a total waste of time.

And a happy Valentine's to you too!

-Well, I hope you choke on your Chicken Heaven!

-Forget that.

I need to make up for lost time. Gotta get my sexy on.

I got your message.

You missed your flight?

Postponed it.

-What message?

-Until the morning.

-I didn't send you a message.

-No. I know.

I did. From Valentine's phone.

ON PHONE:

-'You don't have feelings for him.

-I bloody well do!

-Language!

'If you tell him, I'll kill you.'

OK. So...?

What?

There's something you wanted to show me?

I'm just going to...