0:00:02 > 0:00:05- You told me I had it in the bag. - Rossini came with something we couldn't ignore.
0:00:05 > 0:00:07- Not the point!- A genuine game-changer...- What about our idea?
0:00:07 > 0:00:09What about the weeks of work we put in?
0:00:09 > 0:00:12Alex Lambert? Wasn't he the one who leaked Zosia's name to the papers?
0:00:12 > 0:00:15Raf ended it with me. I've just lost the best thing I ever had.
0:00:15 > 0:00:20The best thing you ever had, and still have, is Parker.
0:00:20 > 0:00:21- BOTH:- Left!
0:00:21 > 0:00:22Ted's nice!
0:00:22 > 0:00:23And Michael!
0:00:23 > 0:00:25Michael's just a random guy.
0:00:25 > 0:00:27But that's the point - they're random guys
0:00:27 > 0:00:29and then you meet them and they become a bit less random.
0:00:29 > 0:00:31Don't be blinded by detail, see the bigger picture.
0:00:31 > 0:00:33Perhaps you might consider opening the chest.
0:00:33 > 0:00:35I could clamp the chest drain.
0:00:35 > 0:00:36Is that going to help?
0:01:19 > 0:01:22MUSIC: If You Were A Sailboat by Katie Melua
0:01:35 > 0:01:37PHONE BEEPS
0:02:21 > 0:02:22That was awesome!
0:02:22 > 0:02:25That was a carotid endarterectomy.
0:02:25 > 0:02:26And I smashed it.
0:02:26 > 0:02:28Yeah, well, remember, surgery on a mannequin
0:02:28 > 0:02:30is never the same as the real thing.
0:02:30 > 0:02:32I get it - don't run before I can walk.
0:02:32 > 0:02:35Well, actually next week, AAU and Darwin are pooling
0:02:35 > 0:02:39their skills to perform a thoracoabdominal aneurysm repair.
0:02:39 > 0:02:40And you want me to observe?
0:02:40 > 0:02:41I want you in the room.
0:02:41 > 0:02:42If you feel up to it.
0:02:42 > 0:02:45Are you kidding? Of course.
0:02:45 > 0:02:47There will be some important surgeons involved.
0:02:47 > 0:02:49I won't have you embarrassing yourself.
0:02:49 > 0:02:52Or me, for that matter, so you'll need to know the procedure
0:02:52 > 0:02:53inside and out.
0:02:53 > 0:02:55When do we start?
0:02:55 > 0:02:56Tomorrow.
0:02:56 > 0:03:00Jasmine, you've done 16 hours a day, four days straight.
0:03:00 > 0:03:02I applaud the dedication, but now it's time to go home
0:03:02 > 0:03:04and get some sleep.
0:03:04 > 0:03:05You look tired.
0:03:05 > 0:03:06I know I am.
0:03:11 > 0:03:13PHONE BEEPS
0:03:34 > 0:03:35No, please!
0:03:35 > 0:03:38Ah, good morning.
0:03:38 > 0:03:40Good? This is a great morning.
0:03:40 > 0:03:45- It is?- I've just been in an immersion ice spa.
0:03:45 > 0:03:47Well, how very metrosexual of you. Listen, there's something I need...
0:03:47 > 0:03:50While I was lying there, just floating in this bath
0:03:50 > 0:03:53of imported Icelandic glacial melt, they told me,
0:03:53 > 0:03:55I had this...well, epiphany,
0:03:55 > 0:03:57and I just thought...
0:03:57 > 0:03:58I'm letting go.
0:03:58 > 0:04:00- Of what?- Hmm?
0:04:00 > 0:04:02Anger. Resentment. Petty grievances.
0:04:02 > 0:04:05Obsessing over thwarted career ambitions.
0:04:07 > 0:04:10Negative influences. I just thought, well, I'm setting aside
0:04:10 > 0:04:13these childish things and I am going to focus on the positive.
0:04:17 > 0:04:20Well, that's a relief.
0:04:20 > 0:04:23I was worried about how you'd react.
0:04:23 > 0:04:24To what?
0:04:26 > 0:04:27To that.
0:04:31 > 0:04:32What are we celebrating?
0:04:32 > 0:04:35Jac and I have received approval and funding for the first phase
0:04:35 > 0:04:36of our stent project.
0:04:39 > 0:04:41That is...
0:04:41 > 0:04:43..fantastic news.
0:04:43 > 0:04:44Well done, both of you. Really.
0:04:44 > 0:04:47You took that better than expected, given how you've been recently.
0:04:47 > 0:04:50Well, life's too short for petty squabbles.
0:04:52 > 0:04:53OK.
0:04:53 > 0:04:54Show's over.
0:04:54 > 0:04:58Anyone who placed bets on Valentine spitting the dummy, pay up.
0:04:59 > 0:05:01ED have sent up a gift. Can I dump him on you?
0:05:01 > 0:05:04- There's something I need to do. - Oh, dump away.
0:05:04 > 0:05:06Once you've assessed, come and find me. I need to talk to you.
0:05:06 > 0:05:08Your wish, my command.
0:05:08 > 0:05:10Wow, you really have had an epiphany.
0:05:10 > 0:05:12Wonder what her "thing" is.
0:05:12 > 0:05:17Apparently she and AAU have a thoracoabdominal aneurysm repair coming in.
0:05:17 > 0:05:19What I'd give to be in the room for that one.
0:05:30 > 0:05:36Parker, school tie - yes. Parker, class trip release - signed.
0:05:36 > 0:05:38Parker, gym clothes - launder.
0:05:39 > 0:05:41Oh, you silly mare!
0:05:43 > 0:05:45Bad start to the day?
0:05:45 > 0:05:47Oh, you scared the life out of me. What are you doing here?
0:05:47 > 0:05:50Well, I'm a man of ritual, Nurse Harrison.
0:05:50 > 0:05:52I like to begin my day with tea and a biscuit.
0:05:52 > 0:05:54However, my office is being repainted
0:05:54 > 0:05:56so I've been forced to take my repast elsewhere.
0:05:56 > 0:05:59However, it's not my intention to interfere with the rituals
0:05:59 > 0:06:00of Keller staff.
0:06:00 > 0:06:03So pray continue with your self-castigation.
0:06:03 > 0:06:06Well, I'm sorry. I've got Parker, my emergency foster kid.
0:06:06 > 0:06:09His mum was taken into custody last week, flight risk.
0:06:09 > 0:06:11Ah, the travails of being in loco parentis.
0:06:11 > 0:06:13Yes, I gave him the wrong lunch.
0:06:13 > 0:06:15A grave error indeed.
0:06:15 > 0:06:17Well, I don't think Parker will see the funny side
0:06:17 > 0:06:19when he sees my quinoa and lentil salad.
0:06:19 > 0:06:21What was the alternative?
0:06:21 > 0:06:24- Cheese and tomato sandwiches.- Ugh!
0:06:24 > 0:06:28Well, it seems that Parker may have been spared a fate worse than death.
0:06:28 > 0:06:29What, you don't like cheese?
0:06:29 > 0:06:32No, tomatoes, Nurse Harrison. They're the work of the devil.
0:06:32 > 0:06:35I'd be forced to inform Social Services of this crime
0:06:35 > 0:06:37against the palate.
0:06:37 > 0:06:39Oh.
0:06:39 > 0:06:41I'm sorry. Have I spoken out of turn?
0:06:41 > 0:06:44I've got a meeting with Parker's caseworker this afternoon.
0:06:44 > 0:06:47A "see how it's going" type thing.
0:06:47 > 0:06:49I'm certain Social Services will think you're
0:06:49 > 0:06:53a dedicated person wanting to do your best for this young man.
0:06:55 > 0:06:57Tomatoes notwithstanding.
0:06:57 > 0:06:59- Hey.- Hey.
0:06:59 > 0:07:02Raf's looking for you. He's clerking in a difficult patient.
0:07:02 > 0:07:04Right, I'll just get changed.
0:07:06 > 0:07:07Agh!
0:07:10 > 0:07:11Mr Hanssen.
0:07:11 > 0:07:12What are you doing here?
0:07:12 > 0:07:14Spying.
0:07:15 > 0:07:16SNORING
0:07:16 > 0:07:20WHISTLE Fine, I was just closing my eyes...
0:07:20 > 0:07:23What are you doing? You're not on call.
0:07:24 > 0:07:27I just needed somewhere quiet to study.
0:07:28 > 0:07:32Thoracoabdominal aneurysm repair.
0:07:32 > 0:07:35That's a bit above your pay grade, isn't it?
0:07:35 > 0:07:36Not if I play my cards right.
0:07:36 > 0:07:38Come on. Ms Wolfe's been wondering where you are.
0:07:38 > 0:07:41What time did you get to sleep last night?
0:07:41 > 0:07:43Technically, it wasn't "last night".
0:07:47 > 0:07:50You can't get by on an hour's sleep, Jasmine.
0:07:50 > 0:07:52I should send you home. We can't afford to take risks.
0:07:52 > 0:07:54And I can't afford to look weak!
0:07:54 > 0:07:57Admitting you're tired is not a sign of weakness.
0:07:58 > 0:08:01Is Ms Campbell putting pressure on you again?
0:08:01 > 0:08:04No! In fact, she tried to send me home last night.
0:08:04 > 0:08:07Look, things are finally working out for me here. Please.
0:08:08 > 0:08:10I've barely seen you.
0:08:10 > 0:08:13Have you been lonely?
0:08:13 > 0:08:16I was, until Nathan messaged me.
0:08:16 > 0:08:19Ah! And how is the mysterious Nathan?
0:08:19 > 0:08:23Perfect. Until I suggest that we meet up IRL.
0:08:23 > 0:08:27Hmm, yeah, real life does tend to disappoint.
0:08:27 > 0:08:29If he keeps playing hard to get,
0:08:29 > 0:08:32there are plenty more fish in the virtual sea.
0:08:32 > 0:08:33Oh, wow!
0:08:35 > 0:08:36Ah!
0:08:36 > 0:08:39Wait all day for a junior, then two come along at once.
0:08:39 > 0:08:41This is Kieran Lambert, he is an elite athlete.
0:08:41 > 0:08:43- Athlete? Right. - Hadn't noticed that.
0:08:43 > 0:08:45He has been sent to us with abdominal pains.
0:08:45 > 0:08:46- Oh, that's terrible.- Shame.
0:08:46 > 0:08:49Who would like to examine him first?
0:08:52 > 0:08:54If you could just let me see quickly?
0:08:54 > 0:08:56You are coming nowhere near my hand until you can guarantee
0:08:56 > 0:08:57I'll be able to play again!
0:08:57 > 0:09:00I can't guarantee anything until you let me have a look.
0:09:00 > 0:09:02This is Jess Tyler, 17 - waiting for ortho.
0:09:02 > 0:09:06She has an elective surgery for stenosing tenosynovitis.
0:09:06 > 0:09:08Trigger finger? You shoot guns?
0:09:08 > 0:09:09Kind of. I'm a gamer.
0:09:11 > 0:09:14Video games. First person shooters.
0:09:14 > 0:09:16Halo, Titanfall.
0:09:16 > 0:09:18Xenoblast is my speciality.
0:09:18 > 0:09:21Currently ranked 45th UK-wide, known for headshots.
0:09:21 > 0:09:23Where do you find the time?
0:09:23 > 0:09:25Left school when I turned 16.
0:09:25 > 0:09:26Every parent's dream.
0:09:27 > 0:09:30Right, would you like me to call anyone for you?
0:09:30 > 0:09:31I can look after myself.
0:09:31 > 0:09:32Then you'll let us operate?
0:09:32 > 0:09:34Not until you guarantee no side effects.
0:09:34 > 0:09:36Look, it's a simple procedure.
0:09:36 > 0:09:37I've heard that one before.
0:09:37 > 0:09:42Right, why don't you just let us do the pre-op tests for now?
0:09:42 > 0:09:43Right, well, we'll get that organised.
0:09:43 > 0:09:45How's Parker?
0:09:45 > 0:09:47Discovering the pleasures of quinoa.
0:09:47 > 0:09:49Private joke. He's fine.
0:09:49 > 0:09:52I'm thinking of arranging an access visit for him to see Kim in remand
0:09:52 > 0:09:56but I want to talk to him first, let him know what to expect.
0:09:56 > 0:09:57Um...what is it?
0:09:57 > 0:10:00Well, I haven't told him that Kim's in jail.
0:10:00 > 0:10:02I tried to tell him, but things got in the way.
0:10:02 > 0:10:03Where does he think that she is?
0:10:03 > 0:10:06Well, I've told him that Kim's getting treatment.
0:10:06 > 0:10:07You told him that she's sick?!
0:10:07 > 0:10:09That she was getting help.
0:10:09 > 0:10:11His caseworker's coming this afternoon,
0:10:11 > 0:10:13we'll explain it all together then.
0:10:13 > 0:10:14That's if someone else doesn't tell him first.
0:10:14 > 0:10:19- Who?- The CPS? The school? You lied to him, Essie.
0:10:19 > 0:10:20Don't you think he's had enough of that?
0:10:20 > 0:10:22I said I would sort it, OK. What?!
0:10:22 > 0:10:23It's Parker's school.
0:10:23 > 0:10:25He's gone missing.
0:10:31 > 0:10:34Can you tell me how the pain started?
0:10:34 > 0:10:38Training day like any other - 10 by 50 free warm-up laps.
0:10:38 > 0:10:39Oh, you're a swimmer?
0:10:39 > 0:10:43Yeah, competition. 200 free and 100 butterfly.
0:10:43 > 0:10:46Yeah, coach wants me to try out for the individual medley
0:10:46 > 0:10:48but, well, my backstroke's always been weak.
0:10:48 > 0:10:51- Yeah, mine too.- You swim? - Yeah, breast stroke champion.
0:10:51 > 0:10:52Oh, what length?
0:10:52 > 0:10:54Paddling pool.
0:10:54 > 0:10:55I'll get me coat.
0:10:55 > 0:11:00Anyway, I was feeling good. Flying, in fact, and then, bam!
0:11:00 > 0:11:02Stabbing pain. Here.
0:11:02 > 0:11:06You've experienced similar pain before, haven't you...?
0:11:06 > 0:11:08Dr Burrows, are we keeping you awake?
0:11:08 > 0:11:11Sorry. I...had an early start.
0:11:11 > 0:11:13Any distension in the right iliac fossa?
0:11:13 > 0:11:15No, I didn't notice any.
0:11:22 > 0:11:23Excuse me.
0:11:25 > 0:11:27Well, I'd say there is.
0:11:27 > 0:11:31You were diagnosed with Crohn's disease a year ago?
0:11:31 > 0:11:33How have you managed your symptoms?
0:11:33 > 0:11:37Diet. Some medications. Mindfulness for the pain.
0:11:37 > 0:11:41- He helped me with that. - ED said you'd been moved here.
0:11:41 > 0:11:42Sorry, you are?
0:11:42 > 0:11:44Alex Lambert.
0:11:44 > 0:11:45Mindfulness practitioner,
0:11:45 > 0:11:48Kieran's brother and member of his support staff.
0:11:48 > 0:11:50Is it the Crohn's? It's been in remission.
0:11:50 > 0:11:52It's likely there's been a flare-up.
0:11:52 > 0:11:55You've been using mindfulness as pain relief?
0:11:55 > 0:11:58Pain management when needed. It's been enough, thankfully.
0:11:58 > 0:12:00Until today. Is that right, Kieran?
0:12:02 > 0:12:04What pain relief would you recommend, Dr Burrows?
0:12:04 > 0:12:06Diclofenac...
0:12:06 > 0:12:09Oh. NSAIDs not so good for Crohn's -
0:12:09 > 0:12:10makes it worse.
0:12:10 > 0:12:1360 mgs of codeine, now, please.
0:12:15 > 0:12:17Have you had any other symptoms in the last few days?
0:12:17 > 0:12:19Nausea? Blood in your stool?
0:12:19 > 0:12:20No. No, just the pain today.
0:12:20 > 0:12:23He's never been in better health. Two PBs back-to-back.
0:12:24 > 0:12:27Well, we'll see what the test results say.
0:12:31 > 0:12:34Take these and let me know how you feel in an hour.
0:12:34 > 0:12:36Might be overdoing it a little.
0:12:36 > 0:12:38I know a bit about medications.
0:12:38 > 0:12:40More than a consultant? Ms Wolfe said 60 milligrams.
0:12:40 > 0:12:43And those are 30 milligram tablets and 30 times four isn't 60.
0:12:43 > 0:12:47I'm...I'm so sorry. My consultant... I was distracted.
0:12:47 > 0:12:50Dr Burrows? A word, please.
0:12:50 > 0:12:52It's OK. We all make mistakes.
0:12:54 > 0:12:56Order the tests for Ms Wolfe, and then go home.
0:12:56 > 0:12:58- No, I... - Look, in the last two minutes,
0:12:58 > 0:13:00you've missed a distended right iliac fossa,
0:13:00 > 0:13:03prescribed contraindicated medication
0:13:03 > 0:13:06and nearly given a patient an opiate overdose.
0:13:06 > 0:13:08Go home, Jasmine.
0:13:13 > 0:13:15He was fine this morning.
0:13:15 > 0:13:16I'm sure he was.
0:13:17 > 0:13:20Look, I know you're worried,
0:13:20 > 0:13:22but this isn't going to become a thing, is it?
0:13:22 > 0:13:24- A thing?- It's just...
0:13:24 > 0:13:27You know, Hanssen's hanging around, looming.
0:13:27 > 0:13:30He said he was spying, but I think that was a joke.
0:13:30 > 0:13:32I don't want this to become a domestic drama on the ward today.
0:13:32 > 0:13:34It's not a "thing".
0:13:35 > 0:13:38- OK.- Raf. Anything?
0:13:38 > 0:13:40It keeps going straight to voicemail.
0:13:40 > 0:13:42Maybe we should think about ringing the police.
0:13:42 > 0:13:44Have you lost your son?
0:13:44 > 0:13:47- How old?- 14.
0:13:47 > 0:13:49He'll be off smoking blunts or grinding out some XP
0:13:49 > 0:13:51on Warcraft or something.
0:13:51 > 0:13:54I've no idea what you just said, but I'm sure it's not helpful.
0:13:54 > 0:13:56I'm saying he can take care of himself.
0:13:56 > 0:13:58Just get off his back.
0:13:58 > 0:14:00How is it going to look if his caseworker turns up
0:14:00 > 0:14:02and not only is Parker missing,
0:14:02 > 0:14:04but you knew and you didn't tell them?
0:14:04 > 0:14:06Essie.
0:14:07 > 0:14:09Parker!
0:14:09 > 0:14:10What are you playing at?!
0:14:15 > 0:14:18Look, sorry, it's my theatre and I will decide who's involved.
0:14:18 > 0:14:21Clear? Marvellous.
0:14:21 > 0:14:25Our aneurysm repair has been moved forward.
0:14:25 > 0:14:26- To when?- This afternoon.
0:14:26 > 0:14:30Which doesn't leave you much time to study the procedure.
0:14:30 > 0:14:32Well, you will be anastomosing the renal arteries to the aorta.
0:14:32 > 0:14:35CT will do the coeliac and SMA,
0:14:35 > 0:14:38and my role would be to provide suction.
0:14:38 > 0:14:40But you haven't had a chance to practise.
0:14:40 > 0:14:44There's no shame in taking a pass on this one.
0:14:44 > 0:14:46- I can do it.- Good.
0:14:54 > 0:14:56This was Elinor's.
0:14:58 > 0:15:00"In Somnis Avolavimus".
0:15:02 > 0:15:04"In our dreams, we fly."
0:15:04 > 0:15:05School motto.
0:15:08 > 0:15:09I'd like you to have it.
0:15:12 > 0:15:13I'd be honoured.
0:15:15 > 0:15:18And, Dr Burrows, make sure you're ready.
0:15:18 > 0:15:21"In Somnis Avolavimus" also describes Icarus.
0:15:22 > 0:15:24I'm ready.
0:15:33 > 0:15:36Richard Cuthbert? What seems to be the problem?
0:15:36 > 0:15:38Fence-lines.
0:15:38 > 0:15:39Sorry?
0:15:39 > 0:15:40Fence-lines
0:15:40 > 0:15:42and sly, cheating neighbours
0:15:42 > 0:15:45and poorly written local planning laws
0:15:45 > 0:15:47and spineless council officials...
0:15:47 > 0:15:48What's wrong with your heart?
0:15:48 > 0:15:49It hurts.
0:15:50 > 0:15:53I see. What sort of "hurts"?
0:15:53 > 0:15:55Dull ache, sharp stabbing, burning...?
0:15:55 > 0:15:57Yeah, all of those, when I breathe in.
0:15:57 > 0:16:00I see from your notes there's a history of pleurisy here.
0:16:00 > 0:16:01Does it feel anything like that?
0:16:01 > 0:16:05- A bit, yeah.- Have you had a chest infection or cold recently?
0:16:05 > 0:16:06How'd you know that?
0:16:08 > 0:16:10Wild guess.
0:16:10 > 0:16:12OK, I'll run some tests, an ECG, see what's what.
0:16:12 > 0:16:14I'm not going to die though, Doc, am I?
0:16:14 > 0:16:16I should think not.
0:16:20 > 0:16:23I swore I wasn't going to let you get to me, but are you serious?
0:16:23 > 0:16:25On the day you get your funding for stabbing me in the back,
0:16:25 > 0:16:27you dump a pleurisy on me while wowing everyone
0:16:27 > 0:16:28with a crossover aneurysm repair?
0:16:28 > 0:16:30Meet the new Valentine, same as the old one.
0:16:30 > 0:16:32- Who you taking in? Matteo? - And you.
0:16:32 > 0:16:34Or some other bright, new shiny toy...
0:16:34 > 0:16:35What? What?!
0:16:35 > 0:16:38The op's this afternoon, so clear your fat pleurisy patient
0:16:38 > 0:16:39and you can assist - deal?
0:16:39 > 0:16:41Deal.
0:16:44 > 0:16:45Sorry, Richard, where were we?
0:16:45 > 0:16:47PHONE RINGS
0:16:47 > 0:16:48Naylor.
0:16:50 > 0:16:52No, I've already got people assigned.
0:16:52 > 0:16:54Serena will just have to deal with it.
0:16:55 > 0:16:58Well, who exactly does she want in the room?
0:17:18 > 0:17:22I'm fine. I've got my second wind and I'll sleep on my break.
0:17:22 > 0:17:24Kieran Lambert's test results.
0:17:26 > 0:17:28Break it to him gently, yeah?
0:17:30 > 0:17:32Jas, any more mistakes
0:17:32 > 0:17:35and I'll have to go to Serena myself.
0:17:36 > 0:17:37OK?
0:17:50 > 0:17:51Parker, what happened?
0:17:51 > 0:17:56Some guys at school have seen you dropping me off, saying things.
0:17:56 > 0:17:58That Mum's using drugs again.
0:17:58 > 0:18:00That she's abandoned me.
0:18:00 > 0:18:01Again.
0:18:02 > 0:18:04I got angry, there was a fight.
0:18:06 > 0:18:09She's not, is she? Cos you can tell me if she is.
0:18:09 > 0:18:11Parker, your mum...
0:18:11 > 0:18:13Your mum hasn't abandoned you.
0:18:13 > 0:18:15She's safe and she's getting treatment.
0:18:15 > 0:18:17I promise, OK.
0:18:18 > 0:18:19I knew it.
0:18:19 > 0:18:22Your caseworker's coming in later and we'll discuss everything then.
0:18:22 > 0:18:23OK?
0:18:24 > 0:18:27No way. That's Dreadshot16!
0:18:28 > 0:18:30Who?
0:18:30 > 0:18:31Are you Dreadshot16?
0:18:31 > 0:18:33Depends who's asking?
0:18:33 > 0:18:36I'm a fan, a subscriber. I watch you online.
0:18:36 > 0:18:37Can I get a selfie?
0:18:37 > 0:18:38Yeah, all right.
0:18:40 > 0:18:44The CT scan indicates multi-segment Crohn's inflammation
0:18:44 > 0:18:45with intramural stricturing.
0:18:47 > 0:18:48Meaning?
0:18:48 > 0:18:51He's the ex-medical student, not me.
0:18:51 > 0:18:52They think your Crohn's has flared.
0:18:52 > 0:18:54You said it was in remission.
0:18:54 > 0:18:56It was and it can be again.
0:18:56 > 0:18:58The mindfulness is helpful,
0:18:58 > 0:19:00but the disease appears to have progressed.
0:19:00 > 0:19:03We need to do a colonoscopy.
0:19:03 > 0:19:05Not injurious, won't affect your preparation.
0:19:05 > 0:19:10But what we find might, so you may want to think about options.
0:19:10 > 0:19:13I have national trials in two weeks.
0:19:13 > 0:19:14I don't have options.
0:19:14 > 0:19:16Yes, I understand that, but nevertheless...
0:19:16 > 0:19:18Well, most flare-ups can be treated medically
0:19:18 > 0:19:20without surgery so you can still swim.
0:19:20 > 0:19:22And what medications perform these miracles?
0:19:22 > 0:19:25Immunosuppressants, corticosteroids...
0:19:25 > 0:19:28Oh, yeah, Olympians can't use steroids, can they?
0:19:28 > 0:19:29Do I look Russian to you?
0:19:29 > 0:19:33Book the colonoscopy please, Dr Burrows, as soon as possible.
0:19:40 > 0:19:43Dr Burrows, can you take these theatre plans up to Darwin
0:19:43 > 0:19:45so we're all on the same page and keep a copy for yourself.
0:19:45 > 0:19:47I'm just booking a colonoscopy.
0:19:47 > 0:19:50- Then run.- Who's the CT lead?
0:19:50 > 0:19:52Check the cover.
0:19:58 > 0:20:00Yeah, I've lived there 30 years.
0:20:00 > 0:20:02Then this muppet moves in
0:20:02 > 0:20:05and builds a fence at the bottom of our gardens
0:20:05 > 0:20:08and then has the cheek to ask me to pay for half of it.
0:20:08 > 0:20:11I mean, I said to him, "We've had no reason for fences before,
0:20:11 > 0:20:12"I can't see any reason now!"
0:20:12 > 0:20:14No, no reason.
0:20:14 > 0:20:16So then he says to me that my Fraxinus excelsior
0:20:16 > 0:20:18is cutting the dividing line.
0:20:18 > 0:20:19Fraxinus...?
0:20:19 > 0:20:20It's an ash tree.
0:20:20 > 0:20:23Ash tree. Anyway, I must...
0:20:23 > 0:20:26Two weeks later, me and the missus get back from holiday
0:20:26 > 0:20:28to find he's thrown up a fence
0:20:28 > 0:20:31and taken a sizeable chunk of my property,
0:20:31 > 0:20:33not to mention the Fraxinus excelsior!
0:20:33 > 0:20:34Now, that is out of order.
0:20:34 > 0:20:37It's theft! Anyway, to cut a long story short...
0:20:37 > 0:20:39- Oh, good. - ..I complained to the council.
0:20:39 > 0:20:40Did you win?
0:20:40 > 0:20:42No, those idiots found against me.
0:20:42 > 0:20:45Just how much land did your neighbour acquire
0:20:45 > 0:20:46from putting up this fence?
0:20:46 > 0:20:48A foot.
0:20:50 > 0:20:52Well, it's the principle, isn't it?
0:20:52 > 0:20:54Sometimes you've got to know
0:20:54 > 0:20:56if you're fighting the right fight at the right time.
0:20:56 > 0:20:58Excuse me.
0:21:00 > 0:21:02Well, I'm loving this new Zen Ollie.
0:21:02 > 0:21:03And it's getting results.
0:21:03 > 0:21:06I'm assisting on the thoracoabdominal aneurism.
0:21:06 > 0:21:08You're not! How'd you manage that?
0:21:08 > 0:21:11By being a forgiving man. By being the bigger man.
0:21:13 > 0:21:15I just need to get rid of Richard and I'm all set.
0:21:15 > 0:21:17I thought you decided it was pleurisy.
0:21:17 > 0:21:19I thought so, but there's something going on with this ECG.
0:21:19 > 0:21:22Not enough to suggest anything more than pleurisy.
0:21:22 > 0:21:24But not little enough to be sure.
0:21:24 > 0:21:26So I'm going to run a few more tests.
0:21:26 > 0:21:28Don't overcomplicate things.
0:21:28 > 0:21:30I don't do that.
0:21:30 > 0:21:32- Really?- Ollie.
0:21:32 > 0:21:33When do I do that?
0:21:36 > 0:21:37Check this out.
0:21:37 > 0:21:41In my day, kids bonded over football cards and conkers.
0:21:41 > 0:21:43Looking good for a man who grew up in the Dark Ages.
0:21:43 > 0:21:47VIDEO: Headshot! Look at those Xeno brains go splat.
0:21:47 > 0:21:49Right, that's enough of that.
0:21:49 > 0:21:50It's a game!
0:21:50 > 0:21:52And it's not suitable for minors.
0:21:52 > 0:21:54Is this the son you lost then?
0:21:54 > 0:21:56- Uh...- You said you're my mum?
0:21:56 > 0:22:00Misunderstanding. I'm just looking after Parker while his mum's away.
0:22:00 > 0:22:02Whatever. Parents are overrated.
0:22:02 > 0:22:05Jess, we've had a look at your X-ray and you really need me
0:22:05 > 0:22:06to fix that hand of yours.
0:22:06 > 0:22:08Have you got that guarantee...?
0:22:08 > 0:22:10If you don't let Mr Di Lucca operate,
0:22:10 > 0:22:12you'll lose the use of your finger.
0:22:12 > 0:22:14You're just trying to scare me.
0:22:14 > 0:22:16I know he might look like he's got a cricket bat stuck up his...
0:22:16 > 0:22:18Parker.
0:22:18 > 0:22:21Raf's one of the good guys. Essie too.
0:22:21 > 0:22:22Trust them.
0:22:23 > 0:22:25Do what you have to do, then.
0:22:26 > 0:22:27You can't watch.
0:22:32 > 0:22:34And we need to talk about your mum.
0:22:34 > 0:22:36Follow me.
0:22:36 > 0:22:38Is Serena having a laugh?
0:22:38 > 0:22:40I don't know what you're talking about.
0:22:40 > 0:22:42She's got you down assisting.
0:22:42 > 0:22:43Yep, that is right.
0:22:43 > 0:22:45Is she drunk?
0:22:45 > 0:22:47That is really nice...
0:22:47 > 0:22:50There are dozens of surgeons more qualified and more deserving,
0:22:50 > 0:22:52gagging to be in the room for this one,
0:22:52 > 0:22:53and Serena's pushing for you - why?
0:22:53 > 0:22:54Maybe she believes in me.
0:22:54 > 0:22:57A week ago, she believed that your negligence killed her daughter.
0:22:57 > 0:22:59- Go to hell.- I'm serious.
0:22:59 > 0:23:02For a month, Serena has used you as a punch bag
0:23:02 > 0:23:05while repeatedly undermining you as a doctor - why the change?
0:23:05 > 0:23:07That is all you've done since I got here!
0:23:07 > 0:23:09At least she's got the excuse of being mad with grief.
0:23:09 > 0:23:11Stop being dramatic. I'm trying to protect you.
0:23:11 > 0:23:13- Oh, don't make me laugh. - You're not ready for this.
0:23:13 > 0:23:17How do you know? You know nothing about me.
0:23:17 > 0:23:20In an open thoracoabdominal aneurism repair,
0:23:20 > 0:23:22where is the large incision made from and to?
0:23:22 > 0:23:24From the xiphisternum to symphysis pubis.
0:23:24 > 0:23:27- Where would we put the graft? - From the infrarenal aorta to the bifurcation of the aorta.
0:23:27 > 0:23:30- How do you prevent emboli from entering the lower limbs?- You...
0:23:30 > 0:23:32Tick-tock, circulation compromised...
0:23:32 > 0:23:34You release the clamps on the legs
0:23:34 > 0:23:36and then wait for a back-flow of blood
0:23:36 > 0:23:38and then flush with heparin saline.
0:23:38 > 0:23:39The top end starts to hose. What do you do?
0:23:39 > 0:23:41Buttress stitch. No, clamp higher...
0:23:41 > 0:23:45Bzzt. Mr Aneurysm Repair is now dead.
0:23:45 > 0:23:47Thank you for playing I'm An F1, Get Me Out Of Here.
0:23:47 > 0:23:50That's not fair. That'd be the lead's responsibility and you know it.
0:23:50 > 0:23:52What if Serena collapses and you have to step in?
0:23:52 > 0:23:53I can't help you, my hands are full.
0:23:55 > 0:23:56You are being set up to fail.
0:23:58 > 0:24:01The only question is, is Serena doing it to you,
0:24:01 > 0:24:03or are you doing it to yourself?
0:24:03 > 0:24:05I guess we'll just have to take our chances.
0:24:05 > 0:24:07Don't risk your career on some ridiculous effort
0:24:07 > 0:24:10to try and prove something to me.
0:24:10 > 0:24:12I am not trying to prove myself to you!
0:24:14 > 0:24:15Then why?
0:24:17 > 0:24:19PHONE BEEPS
0:24:20 > 0:24:22I've got a colonoscopy, I'll see you in theatre.
0:24:36 > 0:24:38SOUNDS BECOME DISTORTED
0:24:38 > 0:24:40- MUFFLED:- Dr Burrows, I was wondering if I could ask you
0:24:40 > 0:24:42about Kieran's prognosis.
0:24:42 > 0:24:44Are you OK?
0:24:44 > 0:24:45Yeah, I'm fine...
0:24:47 > 0:24:49Mum's in jail?!
0:24:49 > 0:24:51On remand.
0:24:51 > 0:24:52Awaiting trial.
0:24:53 > 0:24:55For stealing?
0:24:55 > 0:24:57Embezzling.
0:24:57 > 0:24:58Helping to, yes.
0:25:01 > 0:25:02This is...
0:25:04 > 0:25:05I don't even...
0:25:10 > 0:25:12Shouldn't she be out on bail or whatever?
0:25:12 > 0:25:15Raf's organised an access visit for you.
0:25:16 > 0:25:18And she can explain it to you, then.
0:25:20 > 0:25:21Why didn't you tell me?
0:25:23 > 0:25:25I wanted to.
0:25:26 > 0:25:28I just couldn't find a way.
0:25:31 > 0:25:35What's important is that you know your mum hasn't abandoned you.
0:25:37 > 0:25:38She loves you very much.
0:25:42 > 0:25:43We all do.
0:25:47 > 0:25:48I need to...
0:25:49 > 0:25:50..move.
0:25:51 > 0:25:53Think.
0:25:53 > 0:25:54Please don't run away.
0:25:54 > 0:25:56That's the last thing I'm thinking right now.
0:25:56 > 0:25:57- Parker.- Leave me alone!
0:26:16 > 0:26:18What the hell is this?
0:26:19 > 0:26:22That is quinoa and lentil salad.
0:26:22 > 0:26:24What?
0:26:24 > 0:26:25Superfoods.
0:26:25 > 0:26:29Which is to say, trendy stuff for people who are pretending to diet.
0:26:29 > 0:26:31Yuck.
0:26:31 > 0:26:33Not to my taste either, though I must say,
0:26:33 > 0:26:36infinitely preferable to what you were supposed to have been given for lunch.
0:26:37 > 0:26:39You're Parker, I presume?
0:26:39 > 0:26:42What are you? Some sort of narc?
0:26:42 > 0:26:46Narc? Oh, I know - a word sufficing for any authority figure.
0:26:47 > 0:26:50Well, I am Henrik Hanssen, CEO.
0:26:50 > 0:26:52Essie's boss?
0:26:52 > 0:26:53Indeed.
0:26:56 > 0:26:57She told you about me?
0:26:57 > 0:26:59She told me of you.
0:26:59 > 0:27:02There's was no "narcing" going on.
0:27:02 > 0:27:03What did she say?
0:27:03 > 0:27:05She said that she was concerned about you.
0:27:05 > 0:27:06She lied to me.
0:27:06 > 0:27:10Did she? Ah, well, none of us is without flaws.
0:27:10 > 0:27:11But I'm sure, rightly or wrongly,
0:27:11 > 0:27:14she did so with your interests at heart.
0:27:14 > 0:27:17That is the Estelle Harrison I know.
0:27:19 > 0:27:22Mind you, I would advise that, in future, you pack your own lunch.
0:27:29 > 0:27:31Oh, what was that?
0:27:31 > 0:27:32Syncope.
0:27:33 > 0:27:35You fainted.
0:27:35 > 0:27:37I meant more, where did it come from?
0:27:37 > 0:27:39You're not diabetic?
0:27:40 > 0:27:46Then I'm guessing it's dehydration, exhaustion and these caffeine pills.
0:27:47 > 0:27:51That's my...guilty secret.
0:27:51 > 0:27:53Thanks for bringing me in here.
0:27:53 > 0:27:56I figured you wouldn't want the bosses to see you.
0:27:56 > 0:27:59Always looking for signs of weakness in young doctors.
0:27:59 > 0:28:02Yeah, well, thanks.
0:28:02 > 0:28:04No worries. Who knows?
0:28:04 > 0:28:07Maybe you can help me at some point in the future.
0:28:07 > 0:28:11There you are! I've been looking everywhere.
0:28:11 > 0:28:14Ms Wolfe is waiting to do the colonoscopy on Kieran Lambert.
0:28:14 > 0:28:15This is my fault.
0:28:15 > 0:28:19Dr Burrows was just taking me through the prognosis.
0:28:19 > 0:28:20Thank you.
0:28:21 > 0:28:22Any time.
0:28:27 > 0:28:29- What's this?- Pleurisy bloke's chest scan - what do you see?
0:28:29 > 0:28:32- Fluid.- Exactly, so not pleurisy.
0:28:32 > 0:28:34Congratulations, you've diagnosed pleural effusion.
0:28:34 > 0:28:35Now treat him and street him.
0:28:35 > 0:28:39Except there's no pneumonia. So, well, what's causing it?
0:28:39 > 0:28:41Oliver, I don't have time for this.
0:28:41 > 0:28:44I have to do a pre-op report for the thoracic-abdo aneurism team.
0:28:44 > 0:28:47That's me. I'm assisting, remember?
0:28:47 > 0:28:49- About that.- What about that?
0:28:49 > 0:28:51Serena's thrown a spanner in the works.
0:28:51 > 0:28:52I can only take one assistant from Darwin.
0:28:52 > 0:28:55- Me.- Or...? - Or Matteo.- Sorry.
0:28:55 > 0:28:56Are you?
0:28:56 > 0:28:59I'm trying really hard to be Zen Ollie right now.
0:28:59 > 0:29:01Well, blame Serena.
0:29:01 > 0:29:03However, Matteo is stuck in theatre with a tricky
0:29:03 > 0:29:04type-A aortic dissection.
0:29:04 > 0:29:07So if he's not done and you're finished with pleurisy guy...
0:29:07 > 0:29:09- Pleural effusion.- Pleural effusion. - Maybe pleural effusion...
0:29:09 > 0:29:13Yes, whatever! It's your case. Sort it, don't complicate it.
0:29:13 > 0:29:15- Start by finding him.- Huh?
0:29:18 > 0:29:21Right, talk me through what we're seeing.
0:29:21 > 0:29:25Pushing through a structured segment of transverse colon.
0:29:25 > 0:29:28Good. Let's get round the hepatic flexure and see what
0:29:28 > 0:29:32the terminal ileum looks like.
0:29:33 > 0:29:38So how's the mentoring...going with Ms Campbell?
0:29:38 > 0:29:41Fine. Amazing actually. We've made great progress.
0:29:42 > 0:29:46One would hope so, the amount of hours you two have been putting in.
0:29:48 > 0:29:50If there's been any suggestion that Ms Campbell is putting
0:29:50 > 0:29:52undue pressure on me, then that is not the case.
0:29:52 > 0:29:57I'm worried you might be putting undue pressure on her.
0:29:57 > 0:29:59What?
0:29:59 > 0:30:01Serena's working through things.
0:30:01 > 0:30:03Part of that is looking for...
0:30:03 > 0:30:05A project.
0:30:05 > 0:30:07A replacement.
0:30:07 > 0:30:08For what?
0:30:08 > 0:30:12It's not what, it's who.
0:30:12 > 0:30:15I don't mean to be rude, Ms Wolfe, but the idea that Ms Campbell
0:30:15 > 0:30:18sees me as some sort of daughter figure is ridiculous.
0:30:20 > 0:30:24How about the idea that you see her as some sort of mother figure?
0:30:24 > 0:30:27- This is not the problem that you think it is.- Good.
0:30:28 > 0:30:29Good.
0:30:29 > 0:30:31Carry on.
0:30:32 > 0:30:37Moving the scope into the terminal ileum.
0:30:39 > 0:30:41Is that mucosal ulceration?
0:30:44 > 0:30:46Yes, it is.
0:30:46 > 0:30:48You did the right thing.
0:30:48 > 0:30:50Doesn't feel like it. He's so angry.
0:30:52 > 0:30:53Jess, how are you feeling?
0:30:53 > 0:30:55I'm alive, so that's a start.
0:30:55 > 0:30:57- Any pain at all?- No.
0:30:57 > 0:31:00OK, well, I'm just going to run through some mobility tests, OK.
0:31:00 > 0:31:01Where's Parker?
0:31:01 > 0:31:03- Hey.- Oh, hey.
0:31:05 > 0:31:07- Thank you.- What for?
0:31:07 > 0:31:09Making me go through with this.
0:31:09 > 0:31:12You were right about Crusty - he knows his stuff.
0:31:12 > 0:31:13Well, that's what years of training
0:31:13 > 0:31:16and hundreds of thousands of pounds' worth of investment
0:31:16 > 0:31:18gets you these days - a skilled "Crusty".
0:31:18 > 0:31:21Like I said, they're good people.
0:31:21 > 0:31:23I'm just going to raise your arm and extend it, OK.
0:31:25 > 0:31:27OK, that's interesting.
0:31:27 > 0:31:29Interesting? What...?
0:31:29 > 0:31:31- What happened?- You fainted.
0:31:31 > 0:31:34- Why?- I don't know yet, but I'll just do some tests
0:31:34 > 0:31:35and check your blood pressure.
0:31:35 > 0:31:37Could you give us some space please?
0:31:39 > 0:31:41You OK?
0:31:42 > 0:31:44I have a favour to ask you.
0:31:45 > 0:31:46OK.
0:31:48 > 0:31:50You tell that slimy piece of filth
0:31:50 > 0:31:53that if he touches one twig on that tree,
0:31:53 > 0:31:55I will burn his fence down.
0:31:55 > 0:31:59- Mr Cuthbert.- And I will take a golf club to his hydrangeas,
0:31:59 > 0:32:02a mallet to his garden gnome, and I will urinate in his pond.
0:32:02 > 0:32:04Mr Cuthbert!
0:32:04 > 0:32:06Got to go, it's the doctor.
0:32:06 > 0:32:08You need to come back to the ward now.
0:32:08 > 0:32:11No, I can't. I've got to get home and stop that psycho
0:32:11 > 0:32:12carrying out his threat.
0:32:12 > 0:32:15- Threat? - Yeah. Look what he sent me now.
0:32:19 > 0:32:20HE CHUCKLES
0:32:20 > 0:32:22So this is funny now, is it?
0:32:22 > 0:32:23It is quite...
0:32:23 > 0:32:27No. No, no, it's not funny at all.
0:32:27 > 0:32:28I take it that's the...
0:32:28 > 0:32:31Fraxinus excelsior, yeah.
0:32:31 > 0:32:34Look, don't you think by being so angry
0:32:34 > 0:32:36you're giving him exactly what he wants?
0:32:36 > 0:32:38All this tit for tat. Over what?
0:32:38 > 0:32:41One foot of land and an ash tree?
0:32:41 > 0:32:44It's not just a tree to me, though, is it?
0:32:44 > 0:32:47That's where my dearest Betty's ashes are scattered.
0:32:47 > 0:32:49It was her favourite place.
0:32:51 > 0:32:53Yeah, that is cruel.
0:32:53 > 0:32:55I'm sorry.
0:32:58 > 0:32:59Where did this come from?
0:32:59 > 0:33:02Well, I don't know - you're the doctor, aren't you?
0:33:02 > 0:33:04The colonoscopy has revealed
0:33:04 > 0:33:07that not only has the Crohn's flared,
0:33:07 > 0:33:09it's strictured.
0:33:09 > 0:33:10- Strictured?- Where?
0:33:10 > 0:33:14It mean an obstruction in the transverse colon.
0:33:14 > 0:33:16OK, but we need a way to manage this for the next two weeks
0:33:16 > 0:33:18so he can compete in the trials.
0:33:18 > 0:33:19I'm afraid Mr Lambert needs
0:33:19 > 0:33:22an immediate laparoscopic right hemicolectomy.
0:33:22 > 0:33:24No, that can't happen.
0:33:24 > 0:33:26It has happened, Alex.
0:33:26 > 0:33:27Well, we still have options.
0:33:27 > 0:33:30No, we don't.
0:33:30 > 0:33:31It's over.
0:33:32 > 0:33:33We'll book it now.
0:33:34 > 0:33:37See if you can find a slot today.
0:33:37 > 0:33:39Shouldn't we give him some time to think about it?
0:33:39 > 0:33:42Dr Burrows, you saw the damage.
0:33:42 > 0:33:46Bad enough his dream's over without giving him time to stew on it.
0:33:46 > 0:33:47No, it's better to rip the Band-Aid off.
0:33:47 > 0:33:50The sooner we get him fixed, the sooner he can start again.
0:33:50 > 0:33:53ED sent through the ECG.
0:33:53 > 0:33:54But he was in for an abdo.
0:33:54 > 0:33:57It was a precaution. One of their consultants flagged it.
0:33:57 > 0:33:59It shows left-sided strain.
0:33:59 > 0:34:02I'll see if Darwin can spare someone to take a look.
0:34:02 > 0:34:05So, have you had a chance to sleep yet?
0:34:05 > 0:34:06Oh, I've been busy.
0:34:06 > 0:34:08What, flirting?
0:34:08 > 0:34:10Can't blame you.
0:34:10 > 0:34:12At least he's flesh and blood.
0:34:12 > 0:34:15Not quite as flesh and blood as his brother though.
0:34:15 > 0:34:17You should ask him out.
0:34:17 > 0:34:18Are you kidding me?
0:34:18 > 0:34:19Why not?
0:34:19 > 0:34:22Well, because he's a patient?
0:34:22 > 0:34:24And besides, I've got Nathan now.
0:34:24 > 0:34:26You've been talking to Nathan for weeks
0:34:26 > 0:34:28and you know next to nothing about him.
0:34:28 > 0:34:30I say pull the plug.
0:34:30 > 0:34:32Maybe.
0:34:32 > 0:34:34Look, you go and get some rest, missy.
0:34:34 > 0:34:36OK? Go on, go.
0:34:36 > 0:34:38Go. I'll cover for you.
0:34:40 > 0:34:43I was speaking to Jess earlier.
0:34:43 > 0:34:44You know she's moved out of home?
0:34:44 > 0:34:46Well, she is 17.
0:34:46 > 0:34:48Hasn't seen or spoken to her parents.
0:34:48 > 0:34:50Did she say why?
0:34:50 > 0:34:51They let her down.
0:34:51 > 0:34:53Lied to her, betrayed her.
0:34:54 > 0:34:57Until she just snapped.
0:34:57 > 0:34:59Well, that happens.
0:34:59 > 0:35:00I know you're angry with me.
0:35:00 > 0:35:01I'm angry at Mum.
0:35:04 > 0:35:07- Things are never going to get better.- That's not true.
0:35:07 > 0:35:10Look me in the eye and tell me Mum's going to change.
0:35:10 > 0:35:12She loves you.
0:35:13 > 0:35:14That's not enough.
0:35:15 > 0:35:16This last week with you
0:35:16 > 0:35:19has been the most stable and safe week since...
0:35:20 > 0:35:22..since ever.
0:35:24 > 0:35:26Which is why I want to make it permanent.
0:35:26 > 0:35:28I want to live with you.
0:35:30 > 0:35:31What do you say?
0:35:34 > 0:35:35I...
0:35:35 > 0:35:37PHONE BEEPS
0:35:37 > 0:35:38Sorry.
0:35:40 > 0:35:41Think about it?
0:35:55 > 0:35:56Is it serious, Doc?
0:35:58 > 0:36:01Oh, the antihistamine seems to be doing its job,
0:36:01 > 0:36:02so that's a good sign.
0:36:05 > 0:36:06Yeah, be right back.
0:36:10 > 0:36:12What do you think?
0:36:12 > 0:36:15Well, if I didn't know any better and if you weren't so concerned,
0:36:15 > 0:36:17I'd suggest it was urticaria?
0:36:17 > 0:36:19Oh, yes, it looks like hives, but is it?
0:36:19 > 0:36:21Um...yes?
0:36:21 > 0:36:23Or perhaps it's toxoplasmosis?
0:36:23 > 0:36:26That is a possibility, I guess,
0:36:26 > 0:36:27but another possibility is that Mr Cuthbert
0:36:27 > 0:36:32has a spot of pleural effusion brought on by a cold last week,
0:36:32 > 0:36:33exacerbated by the stress
0:36:33 > 0:36:35of being a naturally excitable personality
0:36:35 > 0:36:37prone to extremes of anger
0:36:37 > 0:36:39and overinflated sense of personal grievance?
0:36:41 > 0:36:43Or toxoplasmosis.
0:36:43 > 0:36:45Nurse, get PCR levels please,
0:36:45 > 0:36:51serum complement levels, C3, C4 please, and an ESR.
0:36:51 > 0:36:54Where is Zen Ollie? I miss Zen Ollie.
0:36:55 > 0:36:57Valentine, AAU need a consult - you're up.
0:36:57 > 0:36:59Why can't you send Rossini?
0:36:59 > 0:37:02He's still in theatre, doing surgeon things.
0:37:04 > 0:37:07Zen Ollie doesn't live here any more.
0:37:35 > 0:37:38He looks so young when he sleeping.
0:37:38 > 0:37:39So peaceful.
0:37:43 > 0:37:48Elite athletes push themselves to the utter extremes of endurance.
0:37:48 > 0:37:50For what?
0:37:50 > 0:37:53Erm...glory?
0:37:53 > 0:37:55For a chance of glory.
0:37:55 > 0:37:59Maybe three chances in a whole lifetime of training.
0:37:59 > 0:38:02I was actually a better swimmer at his age.
0:38:02 > 0:38:05Could have been a contender - was a contender, actually.
0:38:05 > 0:38:07What happened?
0:38:07 > 0:38:09Same thing that ended my medical career.
0:38:09 > 0:38:11Genetics.
0:38:11 > 0:38:14Random mutations that can bestow incredible gifts
0:38:14 > 0:38:16or inflict terrible burdens.
0:38:18 > 0:38:22Kieran always lived in my shadow.
0:38:22 > 0:38:24Even when I had to give up, he could never get near my pace.
0:38:24 > 0:38:27All that training, all that pain,
0:38:27 > 0:38:28for nothing.
0:38:28 > 0:38:30I'm sure it was something to him.
0:38:30 > 0:38:33Yes, you would see it like that, wouldn't you?
0:38:34 > 0:38:38You've got a big sister here, right? High flyer?
0:38:38 > 0:38:39Casts a big shadow?
0:38:39 > 0:38:40How do you know that?
0:38:40 > 0:38:42The internet's a powerful tool.
0:38:42 > 0:38:43Why would you look me up?
0:38:43 > 0:38:45For him.
0:38:45 > 0:38:47I don't understand.
0:38:47 > 0:38:49When Kieran was diagnosed with Crohn's,
0:38:49 > 0:38:51everyone expected him to quit.
0:38:51 > 0:38:53I went to him and I explained that with careful diet -
0:38:53 > 0:38:56and using my mindfulness expertise -
0:38:56 > 0:38:58we could induce remission and manage his pain.
0:39:00 > 0:39:03Kieran is on the cusp of achieving something that is going to
0:39:03 > 0:39:05define him for the rest of his life.
0:39:08 > 0:39:09He has one chance.
0:39:11 > 0:39:14I'm not going to let anyone take that away from him.
0:39:15 > 0:39:17Neither are you.
0:39:17 > 0:39:20He has agreed to surgery. He goes in at the end of the list.
0:39:20 > 0:39:23You're going to cancel the operation.
0:39:23 > 0:39:26Help convince Kieran to hang on, use mindfulness to get him
0:39:26 > 0:39:28through the next couple of weeks until he qualifies.
0:39:28 > 0:39:30Then he can have the operation.
0:39:30 > 0:39:34He's come back from this before. We can do it again.
0:39:34 > 0:39:36Why would I do that?
0:39:36 > 0:39:41Because, if you don't, I'm going to tell your consultant
0:39:41 > 0:39:45about your little fainting episode and your little pill habit.
0:39:45 > 0:39:46How would your chances
0:39:46 > 0:39:49of stepping out of big sister's shadow look then?
0:39:50 > 0:39:53Why are you doing this?
0:39:53 > 0:39:57In Somnis Avolavimus - in our dreams, we fly.
0:40:00 > 0:40:01When your own dreams are finished,
0:40:01 > 0:40:03all you've got left are someone else's.
0:40:07 > 0:40:09Stay with you permanently?
0:40:09 > 0:40:12- Yeah.- What does that even mean? Like you were adopting him?
0:40:12 > 0:40:14Well, he didn't say that, but I guess so, yeah.
0:40:14 > 0:40:16- Is that possible?- I don't know.
0:40:16 > 0:40:18He has a mum, Essie, and she's expecting to see him.
0:40:18 > 0:40:20- I know!- Did you explain that?
0:40:20 > 0:40:22Look, you're acting like I'm in control here, Raf.
0:40:22 > 0:40:23I'm completely out of my depth.
0:40:23 > 0:40:27OK, I get that, but you're going to have to find a way to explain it to him.
0:40:27 > 0:40:30- Explain what? - That he's in the wrong.
0:40:30 > 0:40:33- But he's got a point, doesn't he? - No, he doesn't.
0:40:33 > 0:40:35We're the reason that Kim is in custody.
0:40:35 > 0:40:38We didn't make her steal, make her run.
0:40:38 > 0:40:41Look, you're not his mother and you never can be.
0:40:43 > 0:40:44I know.
0:40:47 > 0:40:49Everything OK?
0:40:49 > 0:40:50BOTH: Yeah.
0:40:51 > 0:40:53It's become a thing, hasn't it?
0:40:53 > 0:40:55BOTH: No!
0:40:55 > 0:40:56Excellent.
0:40:56 > 0:40:59Right, Jess Tyler's CT angiograph.
0:41:00 > 0:41:02Oh.
0:41:02 > 0:41:04Yeah, that's my thought too. Do you want some help?
0:41:04 > 0:41:06Yes. Yes, I think I do.
0:41:14 > 0:41:15Jas.
0:41:15 > 0:41:17- I'm busy...- Alex Lambert.
0:41:17 > 0:41:19You know him?
0:41:19 > 0:41:21He was a patient, and a nasty piece of work.
0:41:21 > 0:41:22What's he doing here?
0:41:22 > 0:41:24That's his brother.
0:41:25 > 0:41:28Kieran Lambert. He's my consult.
0:41:28 > 0:41:30So go and consult.
0:41:30 > 0:41:31Yeah.
0:41:31 > 0:41:34- Are you OK?- Tired? - No, more than tired.
0:41:34 > 0:41:35Did Alex do something?
0:41:35 > 0:41:37He's not the boogey man.
0:41:37 > 0:41:38No. He's...
0:41:40 > 0:41:41..Iago.
0:41:43 > 0:41:45Look, Jas, you can say something, if anything's wrong,
0:41:45 > 0:41:46you can just tell me.
0:41:48 > 0:41:49- Nothing.- Good.
0:42:03 > 0:42:05I came in here with a sore finger and now you're saying I have
0:42:05 > 0:42:07some sort of bizarre, made-up disease.
0:42:07 > 0:42:08Yeah, I know it sounds strange,
0:42:08 > 0:42:11but subclavian steal syndrome is actually a real condition.
0:42:11 > 0:42:13Your blood pressure's currently 90/60.
0:42:13 > 0:42:15That's half what it is in the other arm.
0:42:15 > 0:42:17But when I raise it...
0:42:17 > 0:42:19You see? It drops.
0:42:19 > 0:42:21The problem is when you lift your arm,
0:42:21 > 0:42:23it causes the blood to flow back on itself,
0:42:23 > 0:42:25the brain doesn't get the oxygen it needs,
0:42:25 > 0:42:27and that's what caused you to faint before.
0:42:27 > 0:42:28- Is it fatal?- No, no, not at all.
0:42:28 > 0:42:29So I can go...?
0:42:29 > 0:42:30ALL: No!
0:42:33 > 0:42:36Why are you so scared, Jess?
0:42:36 > 0:42:38It's a simple procedure to remove the blockage.
0:42:38 > 0:42:41I want to leave. Now.
0:42:41 > 0:42:44Let me call someone. There must be someone that you trust.
0:42:44 > 0:42:46You can't call them and they can't come.
0:42:46 > 0:42:48Why not?
0:42:48 > 0:42:50They're online.
0:42:52 > 0:42:53OK, leave it with us.
0:42:57 > 0:42:58PHONE RINGS
0:43:00 > 0:43:03Parker's caseworker.
0:43:03 > 0:43:04You really need to sort this.
0:43:04 > 0:43:05Yes, I know.
0:43:07 > 0:43:10I just don't want to let him down.
0:43:10 > 0:43:12We can talk to him together if you like?
0:43:13 > 0:43:15Thank you.
0:43:21 > 0:43:24Any chest pain or palpitations?
0:43:24 > 0:43:29Non-prescription medications? Homeopathic? Health supplements?
0:43:29 > 0:43:32I don't use supplements any more, Mr Valentine.
0:43:32 > 0:43:34Not for myself and not for my brother.
0:43:34 > 0:43:37Are you sure? There's thinning, dryness of the skin.
0:43:37 > 0:43:39Odd ventricular readings on the ECG.
0:43:39 > 0:43:41You can check.
0:43:41 > 0:43:43My team keep comprehensive records
0:43:43 > 0:43:44on all my medications and medical data.
0:43:44 > 0:43:46OK. But I'm going to run another test,
0:43:46 > 0:43:48there's definitely something going on.
0:43:48 > 0:43:50Heart disease runs in the family.
0:43:50 > 0:43:52Kieran is an athlete in peak physical condition.
0:43:52 > 0:43:54- He doesn't share my weaknesses. - Until now.
0:43:54 > 0:43:56You've come too far to give up now.
0:43:56 > 0:43:57Look, stop, Alex.
0:43:58 > 0:44:00It's over.
0:44:00 > 0:44:03Nothing is over. Isn't that right, Dr Burrows?
0:44:03 > 0:44:06It's true you shouldn't give up hope, Mr Lambert.
0:44:06 > 0:44:09There are...ways you can get through this. You've done it before.
0:44:09 > 0:44:11You don't know what you're talking about.
0:44:11 > 0:44:13She's a doctor, Kieran, listen to her.
0:44:13 > 0:44:15- She's a kid! - She's a talented kid.
0:44:15 > 0:44:19A kid about to be involved in a very prestigious aneurysm procedure.
0:44:19 > 0:44:22A kid with a bright future if she chooses to grab it.
0:44:22 > 0:44:24You're the one Serena's taking in with her?
0:44:24 > 0:44:26She must have a lot of faith in you.
0:44:28 > 0:44:30Yeah, not any more.
0:44:30 > 0:44:33Mr Lambert, your procedure has been brought forward.
0:44:33 > 0:44:35Ms Wolfe will be down to get you shortly.
0:44:37 > 0:44:38Silly girl.
0:44:41 > 0:44:42Ms Campbell?
0:44:42 > 0:44:46Oh, have you had a chance to study the theatre plan?
0:44:46 > 0:44:47I have not.
0:44:49 > 0:44:51Ms Campbell, the truth is...
0:44:53 > 0:44:55..I'm exhausted.
0:44:55 > 0:44:58I've made mistakes and I've compromised myself.
0:44:58 > 0:45:00And if I go into theatre, I will compromise you as well.
0:45:00 > 0:45:02And I'm so sorry.
0:45:02 > 0:45:04That's OK.
0:45:04 > 0:45:06Thank you for your honesty.
0:45:09 > 0:45:10- I, I just... - It's fine.
0:45:26 > 0:45:29Why'd you tell him? It was private.
0:45:29 > 0:45:32Raf and I are concerned your anger at your mother is misplaced.
0:45:32 > 0:45:33My mother is a drug addict
0:45:33 > 0:45:36and she's in jail because she doesn't care about anyone.
0:45:36 > 0:45:38Kim's in jail partly because Essie and I
0:45:38 > 0:45:39convinced her to give herself up.
0:45:39 > 0:45:42- What?- She panicked and she ran and it made things worse.
0:45:42 > 0:45:46- You threatened to go to the police? - It's more complicated than that.
0:45:46 > 0:45:48She did the right thing in the end.
0:45:48 > 0:45:50And everything we did, we did for you.
0:45:50 > 0:45:51I can see that now.
0:45:51 > 0:45:52Essie?
0:45:52 > 0:45:54Just a minute, Sacha. What do you mean?
0:45:56 > 0:45:57When did you two hook up?
0:45:57 > 0:45:59What? No...
0:45:59 > 0:46:02A few days ago, you were playing happy families with my mum.
0:46:02 > 0:46:04She's in jail and we're all here.
0:46:04 > 0:46:08One big happy family, just waiting to happen.
0:46:08 > 0:46:11Raf and I are close, but we are not together.
0:46:11 > 0:46:12Nurse Harrison, Mr Di Lucca.
0:46:12 > 0:46:14Jess Tyler has gone.
0:46:14 > 0:46:17Now I've been trying to keep this at arm's length all day,
0:46:17 > 0:46:18but enough is enough.
0:46:18 > 0:46:21You have to start focusing on your patients. All right?
0:46:27 > 0:46:29Jess had a little brother once.
0:46:29 > 0:46:31He died and she wrote about it online.
0:46:40 > 0:46:43Mr Valentine. I hear you are joining us on AAU.
0:46:44 > 0:46:47I look forward to crossing scalpels with you.
0:46:47 > 0:46:48Me too.
0:46:48 > 0:46:52Might give me the chance to stop you plunging it into my back this time!
0:46:55 > 0:46:57Got a little confession for you.
0:46:57 > 0:46:59- You do?- Alex Lambert.
0:46:59 > 0:47:01He's here, in the hospital. AAU.
0:47:01 > 0:47:03I saw him when he arrived, I didn't do anything about it,
0:47:03 > 0:47:04don't know why I did that, but I did.
0:47:04 > 0:47:06Just thought you should know.
0:47:06 > 0:47:08- OK, cool.- Hmm?- Hmm?
0:47:08 > 0:47:10That's it? Cool?
0:47:10 > 0:47:14I haven't spoken to Alex in a while, but thanks for letting me know.
0:47:14 > 0:47:17Are my test results back? Mr Cuthbert.
0:47:17 > 0:47:18No, I cancelled them.
0:47:18 > 0:47:21- Why?!- Because you're acting ever so slightly insane.
0:47:22 > 0:47:24- Am I?- Yes.
0:47:29 > 0:47:30Who's that?
0:47:30 > 0:47:33Mrs Cuthbert, his beloved wife.
0:47:33 > 0:47:34Mrs Cuthbert's dead.
0:47:34 > 0:47:35No, she's not.
0:47:36 > 0:47:38Her beloved ashes are scattered
0:47:38 > 0:47:41beneath the glorious Fraxinus excelsior.
0:47:42 > 0:47:44No. At least, not yet.
0:47:54 > 0:47:55Who was that?
0:47:55 > 0:47:56My wife.
0:47:59 > 0:48:01So who's dear Betty whose ashes are scattered underneath
0:48:01 > 0:48:02her favourite tree?
0:48:02 > 0:48:04Betty was our old cat.
0:48:06 > 0:48:07She loved that tree, Betty.
0:48:12 > 0:48:16Do you mean to tell me that all this angst, the legal wranglings,
0:48:16 > 0:48:18the tears, the gnashing of teeth, were over one foot of dirt
0:48:18 > 0:48:21and an ash tree that a cat once liked to pee on?
0:48:21 > 0:48:23It's the principle, isn't it?
0:48:23 > 0:48:26No, it isn't the principle,
0:48:26 > 0:48:28it's about you being a massive sulk!
0:48:31 > 0:48:34Not moving on. Being...
0:48:48 > 0:48:51Dr March, could you treat Mr Cuthbert
0:48:51 > 0:48:53for a pleural effusion please?
0:48:53 > 0:48:54And hives!
0:48:57 > 0:48:59I think you gave him an epiphany.
0:49:02 > 0:49:04I'm sorry for chucking a massive sulk,
0:49:04 > 0:49:06for holding a grudge and generally just being a twit.
0:49:06 > 0:49:09You did stab me in the back.
0:49:09 > 0:49:11But, fair dues, the stent is pretty awesome
0:49:11 > 0:49:13and it's not like it's out of character for you.
0:49:13 > 0:49:15This is me congratulating you...
0:49:15 > 0:49:17And moving on.
0:49:18 > 0:49:22Oh, and I totally understand about the aneurysm repair.
0:49:24 > 0:49:26Oliver? Serena called.
0:49:26 > 0:49:29The spot's become available again if you're interested.
0:49:41 > 0:49:43Next time.
0:49:43 > 0:49:44You can owe me one.
0:49:58 > 0:49:59Hey.
0:50:02 > 0:50:04Do you want to tell me about your brother?
0:50:07 > 0:50:09Mum and Dad loved him so much.
0:50:11 > 0:50:16They seemed to forget, afterwards, that I loved him too.
0:50:19 > 0:50:23One night, Mum and Dad took him to hospital with a headache.
0:50:25 > 0:50:28Eight hours later...he was dead.
0:50:28 > 0:50:29Meningitis.
0:50:32 > 0:50:34You know the worst bit?
0:50:35 > 0:50:37The silence.
0:50:37 > 0:50:40That's why I surround myself with noise.
0:50:40 > 0:50:42You need to come back inside.
0:50:44 > 0:50:48I...left a message on your channel...
0:50:50 > 0:50:52..and all your friends are here...
0:50:53 > 0:50:54..with you.
0:50:58 > 0:50:59Have the operation.
0:51:02 > 0:51:03Can we livestream it?
0:51:06 > 0:51:09OK, subclavian artery dissected. Let's find this blockage.
0:51:11 > 0:51:14- Why did you tell Parker about us? It's irrelevant.- Not to him.
0:51:14 > 0:51:18If we could concentrate on the matter at hand.
0:51:18 > 0:51:20The artery's narrowed here. Clamps.
0:51:20 > 0:51:22I'm going to make an longitudinal arteriotomy
0:51:22 > 0:51:25and close it transversely.
0:51:25 > 0:51:27- But what if he thinks...?- What?
0:51:27 > 0:51:29That we colluded in having Kim arrested so we could be -
0:51:29 > 0:51:33how did he put it? - "one big happy family"?
0:51:33 > 0:51:34Well, I'll explain that to him.
0:51:34 > 0:51:36If only you'd done that earlier.
0:51:38 > 0:51:41That wall doesn't look too bad, it should hold a suture
0:51:41 > 0:51:43and then we're on the home straight which will be great.
0:51:43 > 0:51:46Maybe we've prodded enough exposed wounds for one day.
0:51:50 > 0:51:53I heard you backed out of the op. Are you OK?
0:51:53 > 0:51:54Does it matter?
0:51:54 > 0:51:57- I think you made the right choice. - So do I.
0:51:57 > 0:51:59You'll have plenty of opportunities to prove yourself...
0:51:59 > 0:52:01What are you trying to prove, Jac?
0:52:02 > 0:52:04That I'm the best.
0:52:04 > 0:52:05Measured against what?
0:52:05 > 0:52:06The universe.
0:52:08 > 0:52:12Today's date - does it mean anything to you?
0:52:12 > 0:52:13Should it?
0:52:13 > 0:52:15It's Mum's birthday.
0:52:17 > 0:52:19You're not trying to prove yourself to the universe.
0:52:19 > 0:52:20Then who?
0:52:20 > 0:52:22Paula.
0:52:22 > 0:52:23Even after all this time.
0:52:28 > 0:52:32Oh, Ms Campbell, I just wanted to apologise again for letting you down, and give you this back.
0:52:32 > 0:52:33Why?
0:52:35 > 0:52:37I don't feel like I've earned it.
0:52:38 > 0:52:39You remind me of her.
0:52:41 > 0:52:42Elinor?
0:52:43 > 0:52:46She never liked to admit when she felt overwhelmed either.
0:52:46 > 0:52:48I'm not overwhelmed, just tired.
0:52:48 > 0:52:50And she was stubborn.
0:52:53 > 0:52:55We'll start again tomorrow.
0:53:01 > 0:53:06So I took your advice on Nathan and I swiped left.
0:53:07 > 0:53:09I want someone who I can talk to properly.
0:53:11 > 0:53:12Yeah. Don't we all?
0:53:12 > 0:53:15Oh, and Mr Valentine sent the results through
0:53:15 > 0:53:17for Kieran Lambert.
0:53:17 > 0:53:20You are not going to believe what they found.
0:53:59 > 0:54:01The resection was a success.
0:54:01 > 0:54:03The bad news is you will need to go up to Darwin
0:54:03 > 0:54:05where they have to monitor your heart.
0:54:05 > 0:54:07My heart?
0:54:07 > 0:54:09An unpleasant side effect of anabolic steroid abuse
0:54:09 > 0:54:11is left ventricular hypertrophy,
0:54:11 > 0:54:13which you happen to have.
0:54:15 > 0:54:17Do you know what it's like to live,
0:54:17 > 0:54:20knowing that you can never measure up to your heroes?
0:54:21 > 0:54:24That there's nothing you can do...
0:54:24 > 0:54:26Except cheat.
0:54:27 > 0:54:31It's in those moments that we are defined as people.
0:54:32 > 0:54:34Cheat or don't cheat?
0:54:36 > 0:54:41Accept your limits...or have the guts to risk everything.
0:54:43 > 0:54:44Do what it takes...
0:54:44 > 0:54:46Whatever the cost.
0:54:49 > 0:54:50Something funny?
0:54:50 > 0:54:52Alex.
0:54:53 > 0:54:57He's so convinced it's his therapy and faith in you
0:54:57 > 0:54:59that's inspired your rapid improvement.
0:55:00 > 0:55:02Oh, he did inspire me.
0:55:04 > 0:55:06I wanted to beat his personal best.
0:55:06 > 0:55:09- And I did. - Makes the doping worth it?
0:55:09 > 0:55:11The day I stepped out from under his shadow
0:55:11 > 0:55:13was the sweetest day of my life.
0:55:15 > 0:55:16Kier?
0:55:19 > 0:55:21You two deserve each other.
0:55:22 > 0:55:24You have a brother or sister?
0:55:27 > 0:55:29Are you telling me that you've never wanted to prove yourself to them?
0:55:29 > 0:55:31Prove yourself against them?
0:55:31 > 0:55:32Not like that.
0:55:34 > 0:55:35Not yet.
0:55:46 > 0:55:50So, you and Dr Burrows have built bridges?
0:55:50 > 0:55:51From surgical dummies
0:55:51 > 0:55:55to thoracoabdominal aneurysm repairs in a week - that's some journey.
0:55:55 > 0:55:57Dr Burrows is a talented young surgeon.
0:55:57 > 0:56:00She must be, for you to expend so much time and energy.
0:56:00 > 0:56:04She's responded well to a little care and attention.
0:56:04 > 0:56:07Oh, I understand what Jasmine gets from it. But what do you?
0:56:07 > 0:56:12Those who can, do...and teach.
0:56:12 > 0:56:13Maybe you should try it some time.
0:56:13 > 0:56:18A week ago, your "teaching" was considered akin to bullying.
0:56:18 > 0:56:19Or so I hear.
0:56:19 > 0:56:22Well, I suppose we all have something to prove.
0:56:22 > 0:56:25It's just sometimes, we go about it the wrong way.
0:56:27 > 0:56:283/0 prolene, please.
0:56:29 > 0:56:30Diathermy.
0:56:33 > 0:56:36MUSIC: The Closest Thing to Crazy by Katie Melua
0:56:43 > 0:56:46- Please.- Really?- Yeah, why not?
0:56:55 > 0:57:00# This is the closest thing to crazy I have ever been... #
0:57:00 > 0:57:02PHONE BEEPS
0:57:02 > 0:57:06# Feeling 22, acting 17
0:57:10 > 0:57:15# This is the nearest thing to crazy I have ever known
0:57:17 > 0:57:23# I was never crazy on my own
0:57:23 > 0:57:30# And now I know that there's a link between the two
0:57:33 > 0:57:39# Being close to craziness and being close to you. #