Unbreakable Holby City

The reason I know Elinor Campbell couldn't have made any calls between

the 1st and the 28th of February is because

she has been dead since January.

At what point did you determine that this patient was fit for discharge?

I'm sorry. I don't know what I was thinking.

I was pregnant. I had a termination.

You did this behind my back

and then you carried on like nothing had happened.

I know, I've acted appallingly

and I know I have issues letting people in.

Ever since we first met,

I've been terrified about you seeing the real me.

Trouble in paradise?

Come on, pull up a pillow. We can be tragic losers together.

Oh, this is not my first rodeo.

Oh, Mr Valentine.

I really don't know what you're so worried about,

it's a storm in a teacup.

Well, why has Hanssen asked to see me, then?

Oh, relax, it'll be tea and biscuits.

You'd know by now if you were facing a disciplinary.

Anyway, where were you last night when I was stressing?

What? Stuff I had to do.

Oh, well, I'm glad you found something more interesting to do

-than saving my sanity.

-You know what?

A week of watching daytime television

has left you somewhat paranoid, Dominic.

-Zosia, wait up.

-Please don't.

You've understandably been avoiding me,

but I just wanted to say how sorry I am about...

Well, let's just say unfortunate events.

We both are, Zosh.

Neither of us meant to cause any harm.

I do hope we can put all this behind us.

Of course.

I'm glad to hear it.

I'd appreciate it if you'd kept your mouth shut in case

the entire hospital doesn't already know.

Oh, come on, you're amongst friends!

Really?

You would have thought she would have thawed a little bit by now.

Well, you were going to find out sooner or later.

Zosia's had a termination.

And you didn't think it was important to tell me

that piece of vital information?

Well, you know me, I'm not one to gossip.

Look, I know how close you two were.

I've done everything I can to make this right.

The rest is down to her.

SNORING

PHONE RINGS

MAN GROANS

-What time is it?

-Oh, God!

It's just gone 8.30.

Oh, God! I'm late again. Ms Campbell's going to kill me.

OK...

We didn't, you know...

have...

What? You can't remember?

I'm a tad hazy.

Really? Didn't I do it for you?

Don't, OK?

I don't make a habit of chasing exes.

Really?

Even when you're at an all-time low and you've had a skin full?

You should hit the bottle more often, mate,

you were really drunk in love last night!

Your actions last week were out of character

and beyond any normal reasoning,

so I will not be giving you any further chance to explain.

I can only hope that your leave of absence has given you the chance

for reflection on your questionable decision to discharge the patient.

-It has, Mr Hanssen.

-Good.

Well, there will be no further measures taken against you

at this time.

-Thank you. And I can assure...

-That it will never happen again!

Is that what you were going to say?

You have made me question the efficiency and professionalism

of every member of this ward.

Hang on. This was clearly a one-off incident.

Which I can't and won't take lightly, Mr Levy, and after all,

as his consultant the buck stops with you.

Are you questioning my ability now?

Not until you give me reason to, no.

But the trust that was built between junior doctor and senior colleagues

clearly needs to be re-built, and that will take time, I imagine.

I trust Dominic implicitly.

In that case, let's hope it was but a single blot

on Dr Copeland's copybook.

Having said which,

I will be keeping a very close eye on Keller over the coming weeks

to make sure that is the case and that this is not a global matter.

Sorry, what's that meant to mean?

I will require a team job plan, appraisals for everyone

and annual mandatory training to be completed, please!

Hey, come here.

Come on. Chin up, OK?

Back on the horse and get out there.

We've got a full day's work to do.

All right? OK.

It's funny because it's true.

Let me guess.

Two herbal teas watching Grand Designs and then bed at 9.30?

Yeah, my neighbour's car alarm was going on and off all night.

Hm, and I must have missed the memo that Monday is the new Friday.

Take ten to sort yourself out,

slap some life into your face and go heavy on the concealer.

So...that's it? No detention?

Well, I am trying to have a better attitude to your misdemeanours.

I am attempting to inject a little serenity into our relationship.

No calls? No texts?

-My battery died.

-Are you OK?

Well, seeing as you didn't trust me to tell me that you were pregnant,

no, I'm not sure I am.

-Ollie, I don't know what to say. I...

-Look...

..I still can't quite get my head around this, to be honest.

No, neither can I.

I just think we need to be a little less reckless in the future,

until we're both ready, I guess.

Yeah. Sounds like a plan.

Where were you last night?

Uh...

I was...with a friend.

Do I know him?

Sam, from uni. Don't think you've met him.

He was in town for a conference, we went out for a few beers,

crashed at his hotel.

Do you think you'll ever forgive me for keeping it from you?

Well, it still hurts, but I'm rationalising that you thought

what you did was for the best, that you were trying to protect me...us.

Come home? Please, I miss you.

I can't cook and I don't know how the washing machine works

and I hate having the bed all to myself.

You seem in better spirits?

First decent night's sleep.

Ah...

Lavender pillows working?

No. Temazepam and Shiraz.

I'm joking, before you give me another lecture.

What is it?

Serena, are you OK?

It's a thank you letter from the recipient of Elinor's heart.

I think it's a good thing NHS Blood and Transplant

allow anonymous contact.

Yeah, they... They probably think it dulls the pain a bit.

Does it?

Not really, my daughter's still dead.

Auntie Serena, you forgot to buy peanut butter,

so I couldn't make my sandwiches this morning.

Oh, sorry, Jason, you'll have to make do with Pulses' finest today.

Well, you can't beat a caramel latte with an extra shot first thing.

It's just a coffee.

Oh, come on, Dom, lighten up. This is all yesterday's news.

Yeah, this goes on my record.

Well, everybody's got a little bit of a past. Nobody's perfect.

This is all down to you, though.

Have you finished with that?

Every time I bring this up, you change the subject.

Right. Well, actually, if you must know, I spoke to Hanssen at length

last night on your behalf in case you were wondering where I was.

-What?

-I didn't want to tell you in case you thought

-I was making matters worse.

-Well, what did you say to him?

How tired you've been,

how desperately you've needed a break.

How I should have been the one to pick up on it, not Sacha.

Everyone's got your back, Dom.

Especially me.

The sooner you start realising that and stop moping around...

Open the envelope.

You got me tickets to New York?

It's my little thank you for you taking a bullet.

You two made your peace yet?

Sorry?

Ollie was in a right state last night.

He was with you?

Just a shoulder to cry on, though.

Not that he remembers anything.

Sorry, what's that supposed to mean?

Well, he drank a lot last night and he can't remember if we...

And did you?

Do you really need to ask me that question?

He lied to me.

It's understandable, I suppose.

I guess he's got 'til the end of the day to tell me the truth.

So, you suitably buoyed?

My head's above water.

You fancy that Italian place later?

Yes, but only if you have the garlic dough balls with me this time.

-Last time you didn't come near me for two days.

-Deal.

There you are.

Morning.

Derek Myers, diagnosed with bladder cancer last year.

He had a radical cystectomy and radiotherapy as curative treatment,

but since then we've found an isolated deposit

on his pelvic side wall.

-DEREK SINGS

-That's him now.

Bit of a crooner?

Local celebrity apparently.

Happy soul, I thought he'd be up your street.

Thank you.

OK, well, I'm assuming if I have any problems that I come to you?

Nope, nope, usual chain of command. So that's Isaac first, then me.

Nothing's changed as far as I'm concerned,

so it's business as usual.

DEREK SINGS

Well, what are you waiting for?

Let's make Hanssen believe in you again.

# And all the roads we have to walk are winding

# And all the lights that lead us there are blinding

# There are many things that I would like to say to you

# But I don't know how

# I said maybe

# You're going to be the one that saves... #

George, have you paid for me to go private?

Look, they've sent us the pretty docs!

Thanks.

Ah, that's more like it. Less vagrant, more fragrant.

Yeah, sorry about this morning.

Let's not dwell on the past.

Right, so first up is Jo Welsh, RTC.

Suffered a pneumothorax in the trauma bay.

Accident? I really don't care if your driver's under a bus, mate.

If I don't get my order today, I'm looking for another supplier,

you get me?

PHONE RINGS

Hello, precious. No, no, Mummy's going to be fine,

just a little bump in the car, that's all.

Ah, Ms Welsh, we really could use your full attention.

I'm pretty sure if you were lying here,

you'd want to let your kid know you're OK.

No, it's all right, sweet cheeks, your nan will take you to hockey.

I'll catch you later, yeah? Have chilli for tea. Bye. Bye.

Right, what do you need from me?

OK, well, you have been admitted with a fractured leg and chest pain

after losing consciousness at the wheel of your car...

PHONE RINGS For heaven's sake.

Hello, Ink Rebel. Yeah, well, is it just a sleeve?

Let me see. I can fit you in for a consult Thursday 2pm.

-Ms Welsh, please, could we just...

-Cool, fine, see you then.

So here's where I'm at.

I'm going with last night's leftover chicken tikka masala,

felt queasy all morning. Must have fainted.

-Never reheat rice.

-You're on my wavelength, babe.

So if you could just sort my leg out,

give me something to kill the pain, I'll get out your hair.

You'll have to forgive Ms Welsh here.

She likes to think she knows better than we mere medics.

Get me out of here, Rossini. You know I hate hospitals.

Not before we've done a few tests, Jo.

You should know the drill by now.

I'd like an ECG, echo, MRI scan, FBC and ABG.

My hero, here to save the day.

Do you think she might have been sent here to test our serenity?

Inner peace. Inner peace.

Hilarious, and I said to him, "That's not a pillow."

417 likes since I flashed your sympathy face.

Sympathy what now?

Georgie thinks we should milk the cancer card for all it's worth

now I'm pretty much out of the woods.

Vera and Big Paula have started a whip round for flowers.

Blimey! How ill have you said I am?

Are they relatives?

Derek's bingo groupies.

Be murder when they find out I'm gay.

Well, after 20 years of camping it up,

I think they might have guessed by now.

I can see from your notes

that you missed your last oncology appointment.

Can you tell me why that was?

Sorry, he had a prior engagement booked in.

Opening the new Assisted Living shop on the corner of Chadwick Road.

Cheeky things! Offered a mobility scooter as payment!

Would have got more for it online than your actual fee.

Hey, I used to be someone, you know.

Came third in the last series of New Faces.

I'm sorry, I've no idea what that is.

-Think Britain's Got Talent about 75 years ago.

-Oi!

Well, I'm also going to have to do a fresh MRI as it seems

your last one was approximately four months ago.

I did tell you to reschedule.

Aww, that dad voice.

Could you put up with that?

Oh, I have one of my own.

That other young doc your beau?

Yeah. How could you tell?

He has very good queer stare, don't you, Derek?

It's our 20th affair-free anniversary this year...

Well, if God spares me.

Oh, stop it, you big drama queen.

Well, look, congratulations in advance

and I shall be back shortly once I've organised your scans, OK?

Have you enjoyed your time off, then?

Haven't you heard? I was hit by a car and nearly died.

Oh, what's all this, Jason?

My little tribute to Elinor. I'm taking round a book of condolences.

Will you both write something in it, please?

I...I barely knew Elinor, so...

Are you feeling OK?

Never better, Jason, why do you ask?

Well, you and Serena aren't getting any younger

and I was just wondering which one of you will die first.

Well, hopefully I won't be popping my clogs any time too soon, Jason.

What are you sorry for?

My apologies for earlier,

I will never forget your peanut butter again.

Thank you.

How did it go with the grief counsellor?

I went to see Alan instead.

He helped me after Mum passed away.

-Oh! Well, what did he say?

-That I need to pay my respects.

Oh! And look out for you and Bernie as I'm the man of the house.

A little misogynistic, but I can see where he's heading.

I want you to take me to the cemetery.

You know I was too ill to go to the funeral.

Right. Well, I... I...

I haven't been back to the cemetery myself yet...

Then we can cry together later. See you after work.

We can get pizza or something.

The 3rd of January?

Do you ever wonder what life would be like at that age,

where you'll be, who you'll be with?

Well, probably on our own private island.

Well, obviously, but let's just suppose for a moment that

your plans for world domination fail.

Dom, I consider it a success if I know what I'm doing for the weekend.

Anything beyond that is shrouded in mystery,

-and that's just the way I like it.

-But do you not think it's amazing

that they've been together for 20 years?

Too old and scared to live apart, I should imagine. Institutionalised.

Right, so love can't last that long, obviously?

Can't we just live a little while we're still young and beautiful?

Well, that's the whole point.

You know, in the future, we're going to be

looking at each other thinking...

"What the hell have I signed up for?"

Oh, bless.

Two old queens come in with a bit of banter

-and you think it's the romance of the century.

-Don't be like that.

-I bet you deep down they loathe each other with a passion.

-Stop it.

Just too stuck in a rut to do anything about it.

-Well, I for one firmly believe...

-Oh, shut up.

Listen, I was in the zone, adrenaline pumping,

you must feel it when you're in theatre.

This is Sonny Lomax, he collapsed at work.

He's tachycardic, had palpitations and is hypertensive.

I had them wrapped round my little finger,

contract ready to sign, I was reaching for the pen when...pfft!

Out went the lights!

Sounds like a big deal, what is it you do, Mr Lomax?

Global telecommunications. What you packing? Apple or Android?

You...sell phones?

Well, I did.

This is it for me, isn't it? I'm on my way out.

Unless you just fainted.

We'll run a few tests just to be on the safe side.

Can we have an echo, an ECG and a chest X-ray, please?

So you think it's bad?

-That... That sounds bad!

-It's a precautionary measure.

There could be any number of reasons for your symptoms.

-Anxiety, stress...

-Don't talk to me about stress,

I wake up screaming and realise I hadn't even been asleep.

Well, the sales room can be very stressful, I've heard.

-AMERICAN ACCENT:

-Put the coffee down.

-What's that?

-AMERICAN ACCENT:

-Coffee's for closers.

It's Alec Baldwin in Glengarry Glen Ross.

Regional Sales Manager makes us watch it every week.

Quite. Well, we'll be back with your test results. Excuse us.

Well, there's one big burning ball of neurosis.

Topped off with a very impressive wig.

What is it with men and baldness?

Well, that's luckily not a cross I have to bear.

Oh, I don't know.

PHONE BEEPS

Well, as you can see from the MRI report, it's not great news.

The lymph node metastasis has completely encased

the external iliac artery.

So there's a very good chance he'll lose his leg

if we try to reset the tumour?

Well, it's either that or palliative chemo and radiotherapy

and hope for the best.

-What does his anaesthetist say?

-He's worried about his BP.

He has high cholesterol, his liver function isn't great,

his lung function was actually worse than his last test.

And he's still smoking?

Look, I say we've missed the boat. Refer him back to oncology.

It's still technically resectable.

-Sorry?

-Well, it just means the stakes are higher.

SERENA: How are we doing?

Yeah, white blood count is slightly raised, which suggests infection.

I've noticed that Jo's abdomen is a slightly distended

and her ECG makes for interesting reading.

Have you been taking your anti-rejection meds properly?

Religiously!

Well, your ECG shows reduced output

and the MRI suggests a slight thickening in

the left ventricular wall.

Let's get Mr Rossini to take a look at this

and order an abdominal CT, please.

Aww, you're going to have me trapped in here forever!

Where does she get off accusing me like that?!

I've followed my meds, stuck to the diet.

Everyone deserves a second chance, you know!

OK, it's all right.

It really freaked me out when the doc said I needed a transplant.

I can imagine.

The thought of having someone else's heart made me really squirm.

But the moment I woke up from the op, everything just felt...

right.

That'll be the good drugs.

Ah, it's all soppy nonsense.

Tell me, I'm curious.

I can't describe it, I felt a spark like I haven't felt in years.

I knew whoever it was that lost their life to save mine

had a real thirst for life.

You promised me, no fags or booze.

I didn't do it in front of you and I was down to ten a day.

-Is that cigarettes?

-Pints.

Look, Derek, your general health really isn't great.

What about that diet we did together? We went raw.

I... I can't live on that rabbit food.

And don't get me started on those kale smoothies.

The bog looked like my backside had sneezed!

That's delightful, but regardless of the state of your...movements,

this whole situation has become a lot more serious.

Live with the chance of the cancer spreading or probably lose a leg?

Hey, I can put it in the act.

Legs 11, number one.

That's not even funny, Derek.

I can't even look at you right now!

George! George...

Derek, can we cut the act, just for now?

Is this where you give it to me straight?

This isn't just a question of you losing a leg.

The operation carries a lot of other risks

which are due to you not taking care of yourself...

I've beaten this cancer once, I'll beat it again.

It isn't that simple, this has become a much bigger deal.

How long have I got?

Unlikely more than two years

and your quality of life will be severely...

All right, all right, I get the picture.

And with the surgery?

Well, if successful, we could still be looking at a cure.

I could live forever?

I think you need to talk to George about this.

Will you speak to him for me?

I can only tell him what I've already told you.

I... I want to go for the surgery whatever the cost.

And that is your decision to make.

He... He'll bite my head off.

You're scared of pushing him away?

He won't leave me, no matter what.

I'm always letting him down.

Hey, I could murder a drink.

Don't suppose there's a bar round here?

Do you think Elinor wasted her life?

How do you mean?

"One of our brightest stars, you had so much to give the world."

Life is a precious and precarious thing.

Yeah, none of us know how long we've got.

It's important to seize the day.

What do you mean?

Live life to the fullest,

Elinor wouldn't want you moping around over her like this.

But I'm grieving.

Alan said it's good to grieve.

Don't you care how I feel?

Yes, of course I do, Jason.

Because she will always be dead and I will always grieve for her.

He's really struggling with this.

Have you thought of showing him the letter from the heart recipient?

And open another can of worms?

Well, it's your call, but I think knowing that a little part of Elinor

lives on in someone else could help ease his pain.

Hm.

I've stood by him every step of the way.

The highs, the lows.

And this is how he repays me?

How did you two meet?

Our flights were delayed.

Stuck in an airport lounge, that's very Brief Encounter.

"I've fallen in love.

"I didn't think such violent things could happen to ordinary people."

Laura's line.

In the space of two hours, I'd binned off

Los Cristianos and switched my flight to go to Mykonos with him.

"It's awfully easy to lie when you know that you're trusted implicitly.

"So very easy, and so very degrading."

Is that from the film too?

They don't make them like they used to.

You do realise that...

..even though he may have told you a few porkies...

but it doesn't mean he doesn't love you.

Why do you stay with him?

I love him...end of.

Well, you'll be pleased to know that your bloods,

your ECG, all your tests...

Tests are coming back fairly normal. So...it's good.

-So I haven't had a heart attack?

-No.

Am I likely to have a heart attack?

You're in rude health, Mr Lomax.

Good, because the mere thought of it was giving me a heart attack!

So I can only assume that there's something else that's causing your symptoms.

You mentioned that job stress might be a factor.

Are you taking something to get you through the day?

What do you mean?

Right, we can either run a tox screen or you can come clean.

Could you draw the curtains, please?

Well?

I had no idea, it looked so natural.

I went out to Vegas to buy this, only the best there.

I even had it sun bleached for that natural look.

I... I fail to see what this little revelation

has to do with your symptoms?

Got myself a girlfriend.

Still not with you.

This little beauty might look good during the day,

but at some point it's gotta come off...

if know what I mean?

You're worried about her running her fingers through your...locks?

How do I tell her I'm really a total slaphead?

I decided to hit the hair growth products pretty hard.

-Clinodoxidil?

-Yeah.

I'd read about the possible side effects, but I figured

the rewards were worth it.

If you've been overdosing on the stuff, it could easily be

the cause of your symptoms.

Not exactly working for me, is it?

I've seen more hair on a bar of soap!

-Maybe you should come clean.

-And watch her run for the hills?

I don't think so!

But I want to proceed.

Well, I'm sorry, but we're struggling to control

your blood pressure, amongst other factors.

Derek, we both feel it's prudent to refer you back to oncology.

I'm not scared of dying.

I just don't want to be there when it happens.

If you don't help him today, this situation will only get worse.

There is another option.

We could resect the tumour.

Will you excuse me for a minute, please?

What are you putting your head on the block for, today of all days?

Because I think it should be the patient's decision.

We've just had to make a very difficult call

and explain it to the patient...

-GEORGE:

-Excuse me! Derek came here to be cured.

He said that's still an option.

I know Dr Copeland has your best interests at heart,

but I'm in charge here.

That's it? That's all you have to say?

Mr Ridgeley, I'm a specialist cancer surgeon and consultant,

and I promise you I have not taken this decision lightly.

Come on.

I did not pull all of those strings with Hanssen for you to mess up.

You are giving him a death sentence, and a painful one at that.

-Oh, Dom!

-He is going to end up losing that leg

as soon as the cancer strangles his artery.

That is a distinct possibility, but it's mine

and Mr Levy's informed decision that we give oncology a chance

to do their thing first.

Am I making myself clear?

Can't you see I'm trying to protect you here?

Oh, because you've been doing

such a good job of that recently, haven't you?

-So Elinor gave up her organs when she died?

-Yeah.

Yes, it's our choice, while we're alive,

to donate them so other people can live when we die.

I know it's for a good cause, just feels a bit Frankenstein.

Oh, no, not really,

Elinor's healthy heart has helped someone else live a normal life.

This really is a very kind letter.

-Such a nice thing to do.

-Yes, yes, I know.

"Everyone deserves a second chance."

I imagine Mr Levy would be fairly livid

if he found out you were going behind his back like this.

Well, I'm simply asking for a second opinion.

What were anaesthetic's thoughts on the surgery?

They were pretty damning, but he said it would be the call of

the consultant, but he would be happy to oblige.

Could you tell me why I should get involved in this case, please?

Because we have one opportunity to give a patient his life back.

At some notable risk.

Absolutely, of course.

And what's his prognosis without the surgery?

Most likely palliative care with a rapidly diminishing quality of life.

Probable leg amputation, which in itself may kill him.

And the patient's state of mind?

Derek just wants to lead a normal life.

He came in today for elective surgery,

thinking that he had already beaten the cancer.

Fortune favours the brave?

So you'll speak to Mr Levy?

There's an etiquette to these things, Dr Copeland...

..but I shall see you on the ice.

SHE GASPS

Nothing drastic.

You may have a little fluid forming in your pericardium

that's affecting its output.

But I'll need further surgery?

We'll know more from your scan, but hopefully it'll just be

the case of adjusting your medicine.

Oh, please don't... Don't mind me... You just... You carry on.

We'll bring you upstairs when you're done here.

We just need to find out what's causing your abdominal pain,

then we can send you to the cardio unit.

What's holding up her abdominal CT scan?

Oh, Mr Rossini's requested we do a full body scan given Jo's results,

so I'm just waiting on a slot.

So, Jo, let's have a little listen

to what's going on in there, shall we?

-If you must.

-Thank you.

So does this mean I'm not going home any time soon?

HEART BEATS

We will need to keep you in for observation.

HEART BEATS

Essie! Get over here, you!

Well, I heard you'd been brought back in.

So is there anything I can help you with?

Not unless you can do great tattoos and provide 24/7 child care.

-I fail to see the need for you to be doing random spot checks?

-Really?

I thought I'd made myself quite clear this morning that Keller

would be under close and rigorous scrutiny for the time being.

It looks like Hanssen's going to be omnipresent

until your little faux pas blows over.

Your mere presence could undermine his confidence?

Those are the case files Dr Copeland has been working on today?

Yes. Yes, as requested.

Right, let's see how Mr Myers feels about his treatment, shall we?

-Which bay is he in?

-Oh, this one here.

If it's any consolation, Sacha was on the fence over Derek.

Took some convincing.

Sorry, you did what?

I made the right call.

You'll thank me for it later.

-Is that your missus?

-How did she find me?

I've been ducking her calls!

Maybe your colleagues in the shop told her what happened?

Mirror, get me a mirror!

You need to calm down or it'll be lights out again.

You must have some tape around here somewhere.

-Sonny, listen to me.

-What?!

Don't you think, after everything that's happened to you today,

it might just be fate that you might just have to give up on that...

-that thing?

-Don't be daft. She'll never understand.

-You don't know that.

-Look, she won't be able to handle the truth,

-I can't handle the truth!

-Sonny, there isn't person here today

that doesn't know you're wearing a wig.

Is... Is it that bad?

It's not bad, it's just so obviously not your real hair.

People are at best just being polite.

Goodbye, old friend.

How it should be.

Every egg has their egg cup.

Bravi.

Well, I very much concur with Mr Levy's prognosis.

The surgery carries enormous risks given your condition, Mr Myers.

Look, I'm all too aware of that.

But if it works, I walk out of here cancer-free.

That's what I came here for, nothing's changed for me.

Stuff the risks.

Well, in that case, I am prepared to offer you the surgery.

For the record, I cannot agree to this,

not when oncology have options.

I understand your reluctance, Mr Levy.

However, I've studied Mr Myers' notes carefully

and if he gives his consent, then I'm happy to take it from here.

You do give your consent, do you not?

Give me half an hour to pick out my funeral songs and I'm good to go!

-Derek!

-Oh, lighten up, George!

This could be our last few hours together.

-Could you give us five minutes, please?

-Certainly.

Hey, come on, Georgie boy.

-Do you want me to scrub in?

-No need, my call, my scalpel.

Dr Copeland, you will be assisting me.

I just need you to be the doctor that I know you really are today.

OK?

KNOCK ON DOOR

Oh, right.

I'd... I'd just like a few moments to myself, please, Jasmine.

You know...

..Jo has Elinor's heart, don't you?

I had a feeling.

Can you ask Ms Wolfe to take over the case, please?

And Jason mustn't find out.

The psychologist in me says you need to come to terms with

the fact that that's not Ellie's heart any more, it's Jo's.

If it's any consolation, I...

-I don't agree with that way of thinking.

-Your point being?

You hear the stories, don't you? About patients who...

They really believe that their lives have changed cos of their new heart.

-That they've been given more than just an extension of life.

-Myth.

Jo mentioned that she's had this new spark since the transplant

and that her donor must have had a real thirst for life.

So maybe there is a little bit of Elinor...in Jo.

This is a very smart move, even for you, albeit at Sacha's expense.

You talked to Hanssen, didn't you?

Surely you can see exactly what this operation means to Derek and George?

But at what cost to you, Dom?

Any reason to be here, Mr Mayfield?

Oh, no, I just came to wish you both good luck.

Break a leg and all that.

Let us make sure luck has nowhere to play in this scenario, shall we?

# Oh, doctor, doctor

# Is this love I'm feeling? #

Thanks for coming with me.

Who knew a big, white plastic doughnut could be so scary?

I once woke up on a strange bed at a house party covered in coats.

I thought I'd been buried alive!

Been there, got that T-shirt. Ah, this is really freaking me out!

It'll be over before you know it.

Just keep talking to me.

What about? My irrational fear of gnomes?

Tell me about your kids.

MACHINE BEEPS

Jo?

There's no pulse. Get the crash team, I'm starting compressions!

I need the crash team in the CT scanner room.

Come on, you can do this. Come on, you can do it.

Don't you dare. Come on. Oh, God, Jo!

-Where are they?

-One minute.

DOORS OPEN

-Come on, come on. I need some oxygen, please!

-What happened?

I don't know. She was chatting away and then she just...

Keep up the compressions. Give me 1mg of adrenaline, please.

We don't know what we're dealing with yet.

Quickly! Page Mr Rossini and get her prepped for theatre immediately!

So there's the tumour.

We are going to need to isolate the iliac above and below the mass.

Let's cut away what we can safely see first.

Dissecting scissors, please. Thank you.

You've taken quite a punt today.

You have to ask yourself -

would I have offered this surgery if I didn't have something to prove?

There's a bleed. It must be coming from the common iliac vein.

Yes, a fairly significant haemorrhage.

Clamp, please. Thank you.

5-0 Prolene. Thank you.

Do you think you can save the leg?

While we have a blood supply from the external iliac,

he's in with a fighting chance.

Normal service has been resumed.

There's a small pericardial effusion, but that's all.

Hard to explain the arrest today, though.

What's the plan?

Try a run of different anti-rejection drugs.

Failing that, she'll be looking at a Herzig or another transplant.

You're overlooking the fact she's going to need a laparotomy.

All right.

I don't understand?

Jo was in a major accident, she's unstable,

it's not coming from her head or her chest.

I'll leave you to do the maths.

But she wasn't abnormal upon examination.

She had a significant lactate.

It's standard trauma care, Jasmine.

If you can't understand this,

God knows what else you've failed to grasp.

Right, now we really need to earn our salt.

It would seem the tumour is attached to both the internal

and external iliac.

So we'll need to divide the common iliac artery.

This is exactly where we do not want to be.

The blood supply will be lost.

The chances are he'll lose the leg through ischemia.

How would you move forward, Dr Copeland?

Well, I recently assisted Isaac on a fem-fem crossover graft

which was to save a leg.

Sounds like a reasonable approach.

Complicated here, of course, by the presence of the tumour, but still...

Do you feel competent enough to assist

or would you like me to page Mr Mayfield?

And let him steal my thunder?

That's the spirit, Dr Copeland.

You got time for a chat before you go?

Thank you. Sure.

There.

So I didn't stay at my friend's last night.

Right.

I was here...

in the on-call room with Jasmine.

Jasmine told me.

And you're OK with it?

Apparently, you didn't even touch her. Not even a cuddle.

HE SIGHS

That is such a relief.

You're cutting it pretty fine,

I was going to give you till the end of the day.

Or what?

-SHE SIGHS

-Nothing.

We do need to talk, though.

So far, so good.

Yes, fortune does seem to have favoured the brave thus far.

Well, as you always taught me, if you find the right path,

no matter how narrow, you should take it.

Even if that road is laced with land mines?

HE CHUCKLES

The older you get...

..the fewer things you really love.

And by the time you get to my age, maybe it's only one or two things.

HE CHUCKLES

I didn't have you down for a fan of The Hurt Locker.

Well, the intricacies of bomb disposal are not very far removed

from what we do, are they?

Right, I think we're done.

Releasing clamp.

And the grafts seem to be holding. Very good.

So now we can continue removing the tumour and resect the iliac.

I know, I know. I panicked.

-Went into automatic.

-It's OK.

You did what you thought was right.

For us.

I just wish I'd been there for you.

To support you.

This wasn't me shutting you out.

You're my future.

I hope you still think I'm yours.

Come on, let's go... Let's go home - I'll... I'll cook!

Ah!

How would you feel about takeaway?

SHE CHUCKLES Go on.

There's no perforation so far, but the ischemia is patchy

and widespread.

So I think we should close her up,

anti-coagulate her and give the bowel a chance to recover.

We'll look again in 48 hours.

If this is what made her arrest,

how can it be a good idea to leave it be?

Resecting all that bowel is a death sentence, Mr Rossini.

I am giving her a slim chance over no chance at all.

MACHINE BEEPS

She's arresting again.

Charge to ten.

Stand clear! Shock!

Go again at 50. Stand clear!

Shock.

There's no output. I'm going to have to call it.

No, get the perfusionist, we're putting her on bypass!

Ms Campbell...

Don't just stand there, go and get her!

This is futile.

Don't argue with me. I have seen it work before!

It's over.

-CRYING:

-I am not going to l-lose her again!

Come on, Ellie!

Come on. It's all right...

There is no output, even with the Norad.

Here we are. Come on...

I'm sorry, Ms Campbell, but that effectively leaves us

nowhere else to go... SHE SOBS

Time of death, 20.39.

We did run into an unexpected complication, but...

Will he walk again?

He'll need plenty of recovery time and perhaps some physiotherapy.

And the cancer?

Oncology will want to continue with the chemotherapy,

but we are pretty certain that we got it all.

I...

I don't know how to thank you.

SINGS WEAKLY: # You've got to search for the hero inside yourself

# Search for the secrets you hide

# Search for the hero inside yourself

# Until you find the key to your life... #

THEY CHUCKLE

You performed a minor miracle.

It's a question of belief, I think.

I was very impressed with Dr Copeland today.

I think the pressure on the ward today may have given some of us

a more cautious approach towards his surgery.

Fortune favours the brave, Mr Mayfield, and some of us

performed better than others today.

I look forward to having your report on my desk first thing.

Yes, yes, of course...

Do you have to rub him up the wrong way?

Perhaps you should ease off the singing for the time being?

SHE CRIES

I'm... I'm so sorry.

I can't even begin to imagine what you're going through right now.

Come on, we can't... We can't let Jason find you like this.

This wasn't Jo's fault, you know, she...

she really did do everything she could to take care of herself.

She knew that this was, you know, her last chance at a proper life.

There was no way we could have spotted it any sooner,

especially with the trauma...

The CT scan.

Yeah, you're right, if she hadn't crashed, then...

The original abdominal CT scan that I asked you to get on my authority.

That was Mr Rossini's decision.

I mean, who am I to question another consultant's authority?

I lost her all over again!

On your watch! Again!

I wish it was you that was in the morgue.

Still need your sugar rush?

Hangover's just not lifting. I'm officially in rehab.

-Are you?

-Yeah.

The evils of drink.

Well, I suppose Jasmine's the only who knows what really happened.

I probably bored her rigid, talking about how much you mean to me.

I think you're boring ME rigid now.

Ollie?

Marry me?

Sorry?

Are you serious?

Jewellers are quite hard to come by at this time of night.

You're not serious?

I love you, Zosia.

That's an emotion I never thought I'd feel again.

And despite your short fuse...

..I want to spend the rest of my life...

..annoying you.

You're actually doing this?

I think so.

TV ON

DOOR OPENS

I thought we had a date at the Italian?

I couldn't find you after work.

It's two courses for 15 quid with half a carafe thrown in.

Calamari was a bit rubbery, but the wine was delightful.

Much better than this muck you buy.

Well, cheers.

Here's to you.

You made a complete idiot of me today in front of Hanssen.

And what was it?

A little bit of revenge for my previous indiscretions?

You going somewhere?

Yes.

Really?

George and Mildred really got to you today, didn't they?

Look, I thought we'd been through this.

Who knows what's forever?

This has nothing to do with them.

HE CHUCKLES

So where are you off to?

I mean, you don't have your dead friend to bail you out any more,

do you?

If you must know, I'm going to Zosia's.

TEXT MESSAGE ALERT

We have a lot to catch up on.

What's that poisonous cow been saying about me?

Got us sushi for tea, Elinor's fave.

Is it really raw fish?

That's sashimi, mainly.

Oh... Healthy.

Tuna roll?

Oh, you tuck in.

It's...it's too late now, but I will take you to the cemetery one day.

Oh, no need, I don't need to go.

Why don't you want to go to the cemetery any more?

Because somewhere, in someone...

..she's not dead.

I'm so sorry, Dom.

I didn't mean it.

You just...

You just pushed me too far.

Why would you do that?

You know I love you.

Please, you have to forgive me.

Look, it's been a long day for both of us.

Let's just...

..get some sleep and we can talk in the morning.