Someone to Look After Me Holby City


Someone to Look After Me

Dominic and Isaac's toxic relationship reaches breaking point. Fletch is shattered by a life-changing revelation. Matteo tries to reunite Jac and Jasmine.


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Transcript


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-He hit you.

-He loves me.

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-And he's not afraid of showing it.

-Dom, please!

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He left you his winnings, Fletch. It's a lot of money.

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-I've resigned.

-Well, un-resign.

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-Are you going to bully me into staying?

-I said stay!

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You lay another finger on her and I will snap it clean off!

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-Let me do that.

-No, it's fine, it's fine.

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Dom. Let me do it, please.

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I'm sorry.

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You know me.

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My temper. I lash out.

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Then I hate myself so much.

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Don't.

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Don't...

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don't hate yourself.

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But look what I did to you.

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And what if it happens again?

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I couldn't live with myself.

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Well, then, we just make sure that it doesn't happen again.

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MUSIC: Driving In My Car By Madness

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# I'm driving in my car

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# It's not quite a Jaguar

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# I bought it in Primrose Hill... #

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-BEEP

-# From a man from Brazil... #

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Hey.

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-What's this?

-Don't play dumb. I found it in my locker.

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And you thought I put it there?

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Well, who else would?

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Someone who cares about you? Who's worried there's something wrong,

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thinks you might need help?

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I don't need help and there is nothing wrong.

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Isaac and I are fine.

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I wish I could believe that.

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No, you don't. You've never liked him.

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-You've always wanted us to fail.

-That's not true!

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Cos you need someone to fail.

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It is my life. Stay out of it.

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You've been off all week. Why's that?

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More of that "intense love"?

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-Dom.

-Yeah?

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-You OK?

-Yeah, yeah. Fine.

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-Just leaving.

-Good. Hanssen wants to see us.

-About what?

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I don't know for certain. But I suspect good news

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for both of us.

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Dr March.

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You know the Dandelion Group of private care homes?

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-Yeah, quality care for those that can afford it.

-Mm.

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Please don't spoil my happy place.

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Spot of food poisoning.

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-You spoiled my happy place.

-ED's overflowing. Black alert.

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So when you say "a spot of food poisoning"...

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Yeah, more like a flood. Of biblical proportions...

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So which one of their day centres has been affected?

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All of them.

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VOMITING

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We're going to be short-staffed again today.

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Perhaps if you stopped scaring all the juniors they'd be more willing

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-to help clerk on Darwin.

-It's a surgical ward, not a creche.

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I hear Serena Campbell's taken a sabbatical.

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-You were right to be concerned.

-Concerned?

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You stood up for Dr Burrows, didn't you?

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Not so you'd notice.

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Holby's been invited to participate in a multi-centre study

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into stent modifications for non-palliative patients.

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And your research puts you at the head of this hospital's effort,

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-Mr Mayfield.

-Our research.

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It's a team effort, Mr Hanssen.

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Indeed.

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I don't need to explain what this represents to both the hospital

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-and indeed yourselves.

-No, you don't.

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Right. As you were.

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May I have a moment please, Dr Copeland?

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You've been off work?

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I was sick.

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Nothing serious, I hope?

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Nothing I can't survive.

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Very well.

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Sorry, why the sudden interest?

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People are off sick all the time.

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Well, I can't speak for others but I think recent events have proved

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to me that this hospital's pastoral care requires improvement.

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Recent events? You mean Ms Campbell?

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Amongst other things, yes.

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Her daughter died and she went mad with grief. I mean...

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what kind of pastoral care could you possibly provide for that?

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Better than she got.

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Grief manifests itself in all sorts of different ways, Dr Copeland.

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We could all be better at recognising it.

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This is the second time in a month that we've been swamped.

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I'm sorry, but we're not a dumping ground for every care home

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with lax health and safety protocols, all right?

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I just don't have the nurses,

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or the clerking, and I certainly don't have the beds to contain

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all of this.

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One second. Can I help you?

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I need a bed.

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Take a number.

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It's really quite important.

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VOMITING

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Have you had a trauma that requires life-saving surgery?

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No, no... The bed's not for me. It's for my patient.

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You're a nurse?

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Ta-da!

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Only when I have to be. I picked up some shifts at Dandelions...

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Right, I understand you are very, very busy, but Eric's been having

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some stomach pains and he's a bit of a special case so...

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I don't have the ability to admit my surgical patients,

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let alone all the victims of the Dandelions lasagne scandal.

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-Chicken terrine.

-Eh?

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Well, that's what they think caused all this.

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I mean, that, or the goat ragu.

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OK, whatever.

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Look...

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Mr Mancroft requires a particular kind of comfortable environment,

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-so...

-But this isn't Dandelions, is it? This is the NHS.

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So if you want comfort,

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show some initiative and grab him some pillows.

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But he'll have to wait in line like everyone else, capiche?

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Hello, yeah. Sorry about that.

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No, it's just some agency nurse that's doing her best to break my...

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Do you know what? I'm really sorry but I'll have to call you back.

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Um... What do you think you're playing at?

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-Showing initiative.

-See, you can't just take a bed.

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-Nurse Somers...?

-Possession's 9/10 of the law so...

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Just cos he's got a few quid he can't rock up here and...

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-I need to go. Too loud.

-All right, Eric. It's OK. Come on.

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The nasty shouty man's leaving now.

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Hang on. You steal a bed and I'm the bad guy?

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I did not steal a bed.

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I used it for my patient who has dementia, is distressed, confused

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and in an alien, hostile and, quite frankly, very smelly environment.

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So, until better arrangements can be made, my patient stays right here.

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Huh? Capiche?!

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Dom! We'll need to gather all the research and hand it over

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to the coordinating body.

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Can you pull the data on every oncology patient admitted

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over the last few months?

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Dom?

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Yeah, yeah, sorry. Data.

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What did the Iceman want to talk to you about?

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Pastoral care.

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-Doesn't matter.

-Well, it does if it's distracting you.

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There are no distractions.

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This is it, Dom. This is everything we've been working towards.

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It's all going to be worth it.

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Hey, I've got a case that might interest you.

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Well, actually I need to...

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I think you'll want to jump in on this one.

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Sam MacIntosh, 34. Large bowel Crohn's disease.

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Managed since his teens with azathioprine and mesalasine.

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Right, and what's so fascinating about Crohn's disease?

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Well, not what, but who.

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Excuse me? Nurse.

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Kyle?

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It's good to see you.

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And you. What are you...

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Is this your patient?

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Beginning to feel that way.

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Hush, you. Dom, this is Sam.

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My fiance.

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They've got three beds available in angio recovery.

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Come on, Brian, before they change their mind, mate!

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Excuse me. Where's the bank?

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-Sorry, what?

-The bank? I... I need to make a deposit.

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-Well, surely that can wait, can't it?

-I don't think so.

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We haven't got a bank. But I tell you what,

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why don't you go back to bed? I'll have a little chat with Nurse Somers

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and we'll see what we can come up with, all right?

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Good man.

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-Why's HE got a bed?

-Long story or short?

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He's got dementia and, well, just trying to keep him comfortable.

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Ooh, rebate season?

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Let's hope so.

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SHE LAUGHS

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What is it?

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I'm being investigated.

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-What's she doing here?

-You moaned about being short-staffed.

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You requested a junior doctor. Here is a junior doctor.

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I didn't mean that one. I don't want that one.

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-Get me another one.

-Requested me personally, did she?

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In her heart. In your heart.

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-TOGETHER: She doesn't have one.

-I don't have one.

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Wonderful! See? Already consensus forms. Alliances are made.

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Because you're sisters.

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-TOGETHER:

-Half-sisters.

-Half-sisters.

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When something is only half of itself it is, by definition, broken.

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But what is broken can be reforged. Made whole.

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-Stronger than ever.

-Oh, good grief....

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Look, it's not that I don't think you're a good doctor...

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-Just not good enough?

-Exactly. See, she gets it.

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I certainly do.

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Basta.

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Fine. Your petty squabbling means that you cannot work together.

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However, you will work adjacent to each other.

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Dr Burrows. With me.

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Su dai. Andiamo!

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Do you experience many Crohn's flares?

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Every 10 months. Like clockwork.

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But with the azathioprine he manages a fairly normal life.

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"Fairly". Small adverb, vast implications.

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-You're mobile?

-Independent. Able to work.

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For how much longer, though? That's the question.

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Always has been.

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Whatever happens, we're in it together. Right?

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Well, I believe what you are experiencing is a flare.

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We will need to assess the severity of it by running a few tests.

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So if we could get a chest and abdo scan, please?

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-Sure.

-Thank you.

-Oh, Isaac's looking for you.

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Excuse me.

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So...getting married?

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When you meet the one, right?

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Yeah. I guess so.

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And you? With anyone?

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Yeah, yeah, I have a boyfriend.

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He's a surgeon. Well, he's actually a registrar, senior registrar.

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I don't need his CV, Dom.

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As long as you're happy.

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You are happy?

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Yeah. Yeah, of course.

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Dr Copeland.

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Yes, I was just about to send you the data you asked for.

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-It's OK. I'm not...

-This is Kyle Greenham.

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Kyle is in with his partner who is suffering with a Crohn's flare.

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-Yes, I...

-Kyle used to work here, so we...

-Dom, I've spoken to Sacha.

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I know exactly who Kyle is.

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Isaac Mayfield, Dominic's partner.

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Oh, don't feel too bad. The last ex Dom didn't want to introduce me to

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turned out to be a criminal!

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Whereas you're a surgeon, I hear? Registrar.

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-Sorry, senior registrar.

-Has Dominic been playing

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"I'll show you my status if you show me yours" again?

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I think he just wanted me to know exactly what kind of man

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he's fallen for.

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If you will excuse me, I have stuff to do.

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I'll be back when we've organised the scans.

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Why are you doing this?

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There are plenty of other junior doctors in this hospital...

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-This is true.

-..who Jac doesn't hate quite so much.

-This is...debatable.

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Why me?

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When you see someone who is lost, do you just walk on by?

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Or do you help them find their way?

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What makes you think I'm lost?

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What makes you think I'm talking about you?

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This is Toni Richards. Toni, too, was lost.

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She was found wandering deep in the woods.

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I went out for a walk back of the estate and stumbled into

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an overgrown park.

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When she was found, Toni fainted. Palpitations, shortness of breath...

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Last night's curry repeating on me, big time.

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You will lead Ms Richards out of the woods and back to the light.

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Is he always like that?

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You have no idea.

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Can you pop your cardie off for me?

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How can I be investigated for making a donation?

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Well, how was I supposed to know that it was an unregistered charity?

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Look, just give me a second, please. Don't put me on hold.

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The...the bank? I really need to make a deposit.

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Right, look, if there is something that you want me

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to take care of for you, we can put it in there all right?

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But can we please do it in five minutes? Thank you.

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Right, where were we?

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I said don't put me on hold!

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I've been out of the NHS for a while but management technique

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hasn't really changed. SHE LAUGHS

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If it helps, I have good news.

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They know what caused the outbreak.

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-OK, what was it? Chicken or ragu?

-Both.

-And how is that good news?

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According to Eric's night nurse, he didn't eat either.

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In fact, he ate nothing at all, which is very unlike him,

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but it seems to have saved him. I can take him out your hair.

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He'll be over the moon. Now you can take him to the bank.

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What?

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Well, it's just that he's been banging on about making a deposit,

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so... It's all good.

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-Where are you going?

-He's gone. Where's he gone?

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-I don't know.

-But how do you not know?

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He was here a minute ago. What is it?

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He just wants to go to the bank.

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"Bank" doesn't mean what you think it does. Not to him.

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He has dementia. He has trouble expressing himself.

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Bank is his word for bog...toilet.

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Oh, and a deposit is the...

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SCREAM

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Sorry. I... I didn't mean to scream. I... I...

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I'm sorry. But I just had to go.

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It's all right, Eric.

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Just move back here, darling, and we'll get you cleaned up.

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I...I'm just e-mailing you those stats that you wanted.

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Why didn't you want to tell me about Kyle?

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I... I didn't want you to feel threatened.

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That is so sweet.

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No, Dom.

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That's the last thing you need to be worried about. But thank you.

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Threatened? He's a nurse.

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I asked him to marry me.

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The last time I saw him.

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Well, so what? You're both still practically kids.

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Kids make mistakes, especially when they think they're in love.

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You don't understand.

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I treated him...

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..awfully. I told the most hideous, hurtful lies.

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And when...

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when he found out...

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I tried to stop him from leaving me by asking him to marry me.

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I'm guessing he said no.

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Obviously, but he forgave me.

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And he told me that clearly I had something wrong with me

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and that I should get help.

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-And he was right.

-Do you have a point, Dom?

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Because I don't see what any of this has to do with us.

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I found that in my locker.

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I don't know who put it there.

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There's something wrong with us.

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We need help.

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I'm so sorry for causing a mess.

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Eric, listen, you've got nothing to be sorry about, mate, all right?

0:18:490:18:52

I got confused. I mean, that poor doctor.

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-What was she thinking?

-Dr Digby's seen it all, all right?

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I promise you, all she cares about is that you're being looked after.

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-It's not your fault, Eric.

-It's not?

-It's mine.

-It's mine.

0:19:000:19:04

It's more his fault than mine. But it's definitely not yours.

0:19:050:19:08

-I'm tired of making mistakes.

-We all make mistakes.

0:19:080:19:11

Right, I've just got a fine from the taxman because I gave money

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to a charity, and I didn't check the small print.

0:19:130:19:16

-You gave to charity, yeah?

-Well, I came into some money.

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Windfall?

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Something like that.

0:19:220:19:24

-The charity was unregistered?

-Yeah, it was.

0:19:240:19:27

Ah, that's like when you're pretending to be all virtuous

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but actually it's a massive tax dodge.

0:19:300:19:32

Compromise agreement, that's what you need. Voluntary disclosure.

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Signed declaration.

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And make sure your SA100's rock solid. I can check it if you like.

0:19:370:19:41

-Can you?

-30 years in the city.

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I know a bit about dealing with the taxman.

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I'll get you a bit of paper.

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Oh!

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Eric, are you feeling sick, love?

0:19:480:19:50

Quick! Sick bowl, please! Quick!

0:19:500:19:52

-Sorry...

-It's...

0:19:560:19:58

It's perfectly fine, Eric.

0:19:580:20:00

Sorry...

0:20:030:20:04

Say something.

0:20:080:20:09

Please?

0:20:120:20:14

Is this how you view me?

0:20:180:20:20

Is this how you view us? This?

0:20:220:20:24

Like I'm some sort of monster?

0:20:250:20:27

No.

0:20:270:20:29

I just think that we need to have a conversation.

0:20:320:20:36

-An honest one.

-Because that's what this is, Dominic. It's monstrous.

0:20:390:20:44

If that's how I've made you feel... Are you scared of me?

0:20:440:20:47

Sometimes...

0:20:530:20:54

..yes.

0:20:560:20:57

I know I have a temper.

0:21:000:21:02

You've known that from the start. I have flaws. We both do.

0:21:040:21:08

-But isn't that what love is about? Overcoming flaws.

-I...

0:21:080:21:12

You hide behind lies.

0:21:120:21:13

Like you did with Kyle. That's your flaw.

0:21:150:21:18

Maybe...you've been lying to me too?

0:21:200:21:24

Maybe your love isn't genuine.

0:21:260:21:28

-No...

-Unless...

0:21:280:21:29

Unless what?

0:21:320:21:33

What? Say it.

0:21:360:21:37

You lied to Kyle because you were scared, right?

0:21:400:21:43

You were a scared kid who didn't understand what he was feeling.

0:21:430:21:47

What we have is grown-up.

0:21:480:21:52

It's crazy and passionate and scary.

0:21:540:21:56

Because that's what grown-up love is.

0:21:580:22:01

It's scary.

0:22:020:22:03

Because it's real.

0:22:050:22:07

Is it possible that you're not scared of me,

0:22:090:22:12

but you're scared of being in love with me?

0:22:120:22:16

Because loving you scares me sometimes.

0:22:180:22:21

Is that possible?

0:22:210:22:23

I guess.

0:22:290:22:30

Sure.

0:22:340:22:36

Sorry.

0:22:370:22:38

You don't need to apologise for loving me, Dom.

0:22:380:22:41

Ever.

0:22:430:22:45

DOOR OPENS

0:22:460:22:48

Hey. Sam Mackintosh's scan results.

0:22:480:22:51

Thank you, Nurse Harrison.

0:22:510:22:53

It's bad news, I'm afraid.

0:23:020:23:04

I can tell them if you'd like?

0:23:090:23:11

No.

0:23:130:23:16

No, I should do it.

0:23:160:23:17

Well, if you need my help, ask.

0:23:170:23:19

Kyle is important to you.

0:23:200:23:22

We'll help them any way we can.

0:23:240:23:26

Dom?

0:23:350:23:36

Was it Zosia?

0:23:390:23:40

She said it wasn't.

0:23:430:23:44

PAPER CRUMPLES

0:23:570:23:59

So magnesium is high, potassium is low, blood sugar's slightly off.

0:24:020:24:06

Her iron is a bit deficient and her BP is high.

0:24:060:24:09

-So it's exactly what you'd expect, really.

-This is normal?

0:24:090:24:13

Well, yeah, for a 57-year-old battle-axe who smokes 20 a day

0:24:130:24:16

and drinks like a fish.

0:24:160:24:18

What?

0:24:180:24:20

I don't think you are shining a light.

0:24:200:24:22

-What does she think it is?

-Who?

-The patient.

-I didn't ask her.

0:24:220:24:27

-Why not?

-Well, isn't that what we're supposed to find out?

0:24:270:24:29

Look, I've asked for her symptoms, her lifestyle, contributing

0:24:290:24:32

factors. What else am I supposed to do?

0:24:320:24:34

-Shine a light.

-What does that even mean?

0:24:340:24:37

It's her body. Her heart. She's lived in it her entire life.

0:24:370:24:42

With our tests and our machines we can only get a glimpse

0:24:420:24:45

at what's inside. She can tell us.

0:24:450:24:47

Run an ECG

0:24:490:24:51

and shine a light.

0:24:510:24:52

The abdominal X-ray shows that the entire large bowel

0:24:590:25:02

and indeed parts of the small bowel are dilated.

0:25:020:25:05

Can we increase medication?

0:25:050:25:07

I'm afraid we're beyond that point now.

0:25:070:25:09

You are going to need surgery, Mr MacIntosh.

0:25:100:25:13

Defunctioning end colostomy?

0:25:130:25:15

Adominoperineal excision of the rectum.

0:25:150:25:17

So much for mobility and independence.

0:25:170:25:20

-We knew this was coming.

-That doesn't make it better.

0:25:200:25:23

I'll be with you.

0:25:230:25:24

There must be another way.

0:25:260:25:29

I'm so sorry.

0:25:290:25:31

Actually, there might just be.

0:25:310:25:33

Mr Mayfield?

0:25:330:25:35

Well, Dr Copeland and I are part of a research project, the

0:25:350:25:37

long-term objective of which is the development of a new kind of stent.

0:25:370:25:41

I believe this stent can be modified for use in rectal strictures.

0:25:410:25:45

-No permanent bag?

-Well, if successful, no bag at all.

0:25:450:25:49

-If successful?

-Well, all surgery is risky.

0:25:490:25:52

You said long-term objective.

0:25:530:25:54

Well, the stent is currently used as a temporary end-of-life measure

0:25:540:25:57

to improve the comfort in cancer patients.

0:25:570:25:59

I believe it can be adapted.

0:25:590:26:01

-But it hasn't been done before.

-Well, it would be a first, yes.

0:26:010:26:05

Why don't you talk it through?

0:26:070:26:08

Dr Copeland, come and see me when you've got a minute.

0:26:100:26:13

So you were out for a walk.

0:26:170:26:18

Do you usually do that at the crack of dawn?

0:26:180:26:20

Oh, yeah, I look like a nature rambler.

0:26:200:26:23

No, I haven't been sleeping well recently.

0:26:230:26:27

Why not?

0:26:280:26:30

Dreams.

0:26:300:26:31

Bad ones?

0:26:320:26:33

-What about?

-My sister.

0:26:350:26:37

-Ah...

-She...

0:26:380:26:40

..haunts me.

0:26:410:26:43

I know that feeling.

0:26:440:26:46

-It says on here you haven't got any next of kin.

-No, I don't.

0:26:490:26:52

My father died ten years ago. My mum died last month.

0:26:520:26:56

What about your sister?

0:26:570:26:59

She's dead too.

0:26:590:27:00

I'm sorry.

0:27:010:27:03

Never really knew her.

0:27:030:27:04

I don't know who you are! My stomach...

0:27:070:27:09

We need to move him now...

0:27:090:27:11

Eric, Eric, look at me, mate. Look, it's Fletcher all right?

0:27:110:27:14

-Do you remember?

-No, he doesn't remember. That's the point.

0:27:140:27:18

Excuse me.

0:27:180:27:20

Eric, I'm Nurse Somers.

0:27:200:27:22

Are you feeling a little poorly?

0:27:220:27:23

Yes. My stomach. Where are we?

0:27:230:27:26

We're in hospital, sweetheart, right? You're a bit sick.

0:27:260:27:29

But these people are going to help you.

0:27:290:27:31

But I need your help, Eric.

0:27:310:27:34

-I need some advice.

-What with?

0:27:340:27:36

Well, Nurse Fletcher here reckons himself a bit of a finance guru.

0:27:360:27:40

He reckons that I should unlock my pension early for a cash lump sum.

0:27:400:27:44

-What, cash?

-Mm.

0:27:440:27:46

That's the stupidest possible move you could make in today's market.

0:27:460:27:50

Well, I suspect Nurse Fletcher's not the sharpest knife in the drawer.

0:27:500:27:53

So maybe you could give me a few pointers on investment.

0:27:530:27:56

Well, annuity rates aren't very good at the moment

0:27:560:27:58

so leave your pension where it is.

0:27:580:28:00

Shares, however, three letters, one word. ISA!

0:28:000:28:04

Eric, love. Do you think maybe we could continue this conversation

0:28:040:28:07

on the way to the scan room?

0:28:070:28:08

-Will you be with me?

-I'll be right here. OK?

0:28:080:28:11

Here we go.

0:28:150:28:16

You know, it never ceases to amaze me how determined you are

0:28:190:28:21

to shoot yourself in the foot.

0:28:210:28:23

-What?

-I propose a high-risk procedure, putting my reputation

0:28:240:28:27

on the line in order to give YOUR friends a chance at a normal life

0:28:270:28:30

and you question me?

0:28:300:28:31

I was just surprised, that's...that's all.

0:28:310:28:35

We still don't know if it's sustainable long-term.

0:28:350:28:37

Do you have so little faith in me?

0:28:370:28:38

-In our work?

-I'm just saying we don't know for sure.

0:28:400:28:43

Presently the stent is self-expanding.

0:28:430:28:45

Give it about three years and it could perforate,

0:28:450:28:48

and then he'd end up back at square one or even worse.

0:28:480:28:52

-I just think the safer option is that...

-Listen to yourself.

0:28:520:28:55

The safer option?

0:28:550:28:56

Do you really think Sam wants to spend married life

0:28:560:28:59

having his husband wait on him hand and foot?

0:28:590:29:01

Look, whether you do this for us, or you do this for them,

0:29:030:29:05

you need to get them to agree to this procedure.

0:29:050:29:07

Are we a team or not?

0:29:090:29:10

Kyle is a nurse. He's going to know the risks.

0:29:100:29:13

Then don't try and convince Kyle.

0:29:130:29:16

-What did you find out from her ECG?

-Some subtle tachycardia.

0:29:190:29:23

-Any arrhythmia?

-Not that I can see. Not constant.

0:29:240:29:27

Not that you can see, or not constant? It's one or the other.

0:29:280:29:32

There's a spike. A sporadic burst.

0:29:320:29:35

But it's so small and it doesn't reoccur.

0:29:350:29:37

Anything else you've observed?

0:29:370:29:39

She's been having dreams. Nightmares, I think.

0:29:400:29:43

About her sister.

0:29:430:29:45

Yes, the irony was not lost on me, either.

0:29:450:29:47

-You think Jacqueline has nightmares?

-Jac causes them.

0:29:470:29:51

Toni's sister's dead. She's actually got no family left at all.

0:29:520:29:56

-I think she might be lonely.

-Now you are shining a light.

0:29:560:29:59

And how may this affect her heart?

0:30:010:30:03

I don't know.

0:30:030:30:05

But maybe there's something hereditary at work?

0:30:050:30:09

Can't hurt to investigate.

0:30:090:30:10

Tell me, were you talking about the sister

0:30:130:30:15

when the ST elevation occurred?

0:30:150:30:18

-I'm not sure.

-Interesting question, no?

0:30:180:30:21

No Kyle?

0:30:310:30:33

He's gone for a walk.

0:30:330:30:34

We had an argument.

0:30:360:30:37

Well, it is a big decision.

0:30:390:30:41

He's right. Like he always is.

0:30:430:30:45

I'm...looking for a miracle.

0:30:460:30:49

That's not a bad thing, though.

0:30:510:30:52

You think I should do this experimental technique?

0:30:520:30:55

I think you should do what is best for you.

0:30:570:31:00

Kyle thinks it's too risky.

0:31:030:31:06

He says we've prepared for the worst.

0:31:070:31:10

That we're ready for it.

0:31:120:31:13

-Better the devil you know?

-Something like that.

0:31:140:31:17

Except that Kyle isn't the one who's going to end up being a burden

0:31:200:31:24

for the rest of his life.

0:31:240:31:25

What did you say?

0:31:260:31:29

Sam, Kyle is a nurse.

0:31:290:31:31

He's gentle and loving and compassionate.

0:31:320:31:35

All the things that make him wonderful with patients.

0:31:350:31:39

But, at the moment, when Kyle leaves work

0:31:410:31:43

he gets to leave his patients behind him.

0:31:430:31:46

Which of course is the difference between being a patient

0:31:470:31:53

and being a burden.

0:31:530:31:55

I'm going to leave these consent forms here.

0:32:010:32:04

Like I said, I think you should just do what's best for you.

0:32:040:32:09

-What are you doing?

-I'm just doing my job. Excuse me.

0:32:090:32:13

You call what you just did your job?

0:32:130:32:15

I am just giving Mr MacIntosh alternatives.

0:32:150:32:19

"The difference between a patient and a burden" - what the hell?!

0:32:190:32:22

Look, if you have a problem with the way that I'm doing my job

0:32:240:32:26

-then maybe...

-This is not you talking.

0:32:260:32:29

It's him. That Mayfield.

0:32:290:32:31

-What's he's done to you?

-Nothing. This is me.

0:32:320:32:35

You've never been cruel.

0:32:350:32:37

Why are you wearing make-up?

0:32:410:32:42

-I can help.

-I don't need your help.

0:32:440:32:46

I know people who can help.

0:32:460:32:48

Oh, how'd it go?

0:32:520:32:54

Well, Eric had his scans and I now know more about ISAs

0:32:550:32:59

than I'll ever need to. FLETCH LAUGHS

0:32:590:33:01

Now, for someone that claims they hate nursing, you're not bad at it.

0:33:010:33:06

So what agency do you use?

0:33:060:33:07

Tele-nursing. Why?

0:33:070:33:09

Oh, you know, you play your cards right, I could...

0:33:090:33:11

I could put in a good word for you.

0:33:110:33:13

SHE LAUGHS Sorry, but what on earth would make you think that I'd ever want

0:33:130:33:17

-to work here?

-Well, there's got to be one or two perks.

0:33:170:33:20

What perks?

0:33:200:33:21

Oh, if you want to ask me out, Fletcher,

0:33:230:33:25

just have the cojones to do it.

0:33:250:33:27

You know what, love? You are way off.

0:33:270:33:29

When you two are finished flirting,

0:33:290:33:30

Mr Mancroft's scans have come through.

0:33:300:33:33

Sigmoid volvulus?

0:33:340:33:36

Acute colonic obstruction here.

0:33:360:33:38

Idiopathic mega colon?

0:33:390:33:40

It's the people I don't like. I mean, the medicine I get.

0:33:420:33:46

Book theatre for a decompression.

0:33:460:33:48

Would you care to join us, Nurse Somers?

0:33:480:33:51

Endoscopy under sedation.

0:33:510:33:52

Could use your help to keep Mr Mancroft calm and reassured.

0:33:520:33:55

Then count me in.

0:33:550:33:57

Hello. Tele-nursing? Yeah, it's Adrian Fletcher here.

0:34:070:34:10

Could you send me the CV for a Nurse Sydney Somers, please?

0:34:100:34:14

That'll be great, thanks.

0:34:160:34:17

You still here?

0:34:230:34:25

-Mr Rossini wants me to shine a light.

-On what?

0:34:250:34:29

Your guess is as good as mine.

0:34:290:34:32

-Is this your patient?

-Checking hereditary influences.

0:34:320:34:35

-On what grounds?

-There's some activity on the ECG.

0:34:350:34:38

I think she's experiencing ventricular tachycardia.

0:34:380:34:40

Mr Rossini thinks there's more to it and she's been having dreams

0:34:400:34:43

about her deceased sister, so...

0:34:430:34:45

There's not.

0:34:460:34:48

-Not what?

-More to it.

0:34:480:34:49

It's not VT. It's a broad complex SVT. Supraventricular tachycardia.

0:34:490:34:54

Mr Rossini would have noticed it immediately.

0:34:540:34:57

Why's he asked me to keep checking if it's so simple?

0:34:570:34:59

Who knows? More importantly, who cares?

0:34:590:35:01

Give Ms Richards some amiodorone for the SVT. If things improve, get rid.

0:35:010:35:05

Sometimes things are really just that simple.

0:35:050:35:08

Simple, but not straightforward.

0:35:090:35:12

Toni's been having dreams about her deceased sister,

0:35:120:35:15

but according to this, there's no record of any sister,

0:35:150:35:17

dead or alive.

0:35:170:35:19

Is that it? Can I go?

0:35:260:35:28

Heart rate's controlled at 60 beats a minute.

0:35:280:35:30

The amiodarone seems to have done the trick.

0:35:300:35:32

Told you it was the curry.

0:35:320:35:33

Just one thing. You said you'd been having dreams about your sister.

0:35:330:35:37

She's been...visiting.

0:35:370:35:39

Toni, hospital records indicate you don't have sister.

0:35:410:35:45

You never did.

0:35:450:35:46

She never existed.

0:35:480:35:49

Except in here.

0:35:510:35:53

I don't under...

0:35:540:35:56

BEEPING OK, we need some help in here...

0:35:560:35:58

-What happened?

-Whatever happened before has happened again.

0:35:580:36:01

Zosia?

0:36:100:36:11

Kyle? What are you doing here?

0:36:130:36:16

What's going on with Dom?

0:36:160:36:18

What's that man done to him?

0:36:190:36:20

Ah, there's a narrowing. Must be the volvulus.

0:36:220:36:25

-Oh, Nurse Fletcher. You made it.

-Yeah, housekeeping.

0:36:250:36:28

Writing a grovelling letter to Her Majesty's Revenue and Customs?

0:36:280:36:31

-Isn't that right, Eric?

-Sorry, what's this?

-Oh,

0:36:310:36:33

Nurse Fletcher has been giving cash to dodgy enterprises

0:36:330:36:37

-and then claiming it back as tax relief.

-How's he doing?

0:36:370:36:40

Well, there's no sign of perforation at the volvulus.

0:36:400:36:43

It's all good, Eric. We'll have you out of here soon.

0:36:430:36:45

Very good. We'll keep him on the ward for observation.

0:36:450:36:49

There's always a small risk of perforation post-endoscopy.

0:36:490:36:52

So Eric's a bit of a financial whizz, is he?

0:36:520:36:56

Yes, Eric Mancroft was the city's foremost finance expert

0:36:560:37:01

in offshore tax evasion schemes.

0:37:010:37:03

I mean, it just goes to show, really.

0:37:030:37:05

You never know what people are. SHE CHUCKLES

0:37:050:37:07

And you'd know all about that, wouldn't you?

0:37:070:37:09

-Have you been doing some digging?

-Just a bit of due diligence.

0:37:110:37:14

Sorry, am I missing something?

0:37:160:37:18

Sydney Somers. No. Sydney Chernik.

0:37:180:37:22

Chernik... Artem Chernik's daughter?

0:37:220:37:24

Yeah, she's the heartless cow that wouldn't come and see her dad

0:37:240:37:27

-on his deathbed.

-And you, Nurse Adrian Fletcher,

0:37:270:37:30

are the conniving weasel who conned him out of all of his money.

0:37:300:37:32

Wow. That escalated fast.

0:37:320:37:35

He's hitting him?

0:37:390:37:40

Just once, as far as I know.

0:37:410:37:43

If it's once, it's more.

0:37:430:37:46

-This is all my fault.

-No. It's not.

0:37:460:37:48

I knew something was wrong and I... I did nothing...

0:37:480:37:51

-You tried.

-Not hard enough.

0:37:510:37:53

I feel so helpless, but he...he won't listen.

0:37:550:37:58

He will. But...you can't do this alone. No-one can.

0:37:580:38:03

KNOCK ON DOOR

0:38:070:38:10

You asked to see me, Mr Levy?

0:38:110:38:13

What's this? No. What's going on?

0:38:130:38:17

Zosia has raised some concerns.

0:38:170:38:20

About Isaac.

0:38:200:38:21

Well, then you need to speak to Isaac, don't you?

0:38:240:38:27

Is it true? Is he hurting you?

0:38:270:38:30

No.

0:38:300:38:31

Yes.

0:38:310:38:32

He wouldn't.

0:38:320:38:34

He has.

0:38:340:38:35

-Why didn't you tell us?

-Because it's not true.

0:38:350:38:38

Dom, it's OK.

0:38:380:38:39

No. No, it's not OK. None of this is OK.

0:38:390:38:42

None of you have any idea about my relationship with Isaac.

0:38:420:38:47

I told you, it's intense!

0:38:470:38:48

It's abuse. It's control.

0:38:480:38:51

-It's passion.

-It's violence!

0:38:510:38:53

It's... It's not his fault.

0:39:050:39:07

He just gets really...

0:39:080:39:10

..angry and...

0:39:110:39:13

He doesn't mean it.

0:39:150:39:16

Counselling. He's agreed to go to counselling.

0:39:190:39:22

He's lying. Why do you keep protecting him?

0:39:220:39:25

Because I love him.

0:39:250:39:26

Well, if you're all quite finished.

0:39:310:39:33

Dr Copeland and I are required in theatre. Dom?

0:39:330:39:36

This ends right here, right now.

0:39:420:39:46

If it does not, I will be contacting a BMA representative

0:39:460:39:49

and initiating harassment charges. Is that understood?

0:39:490:39:51

Good.

0:39:540:39:55

As long as we all understand each other.

0:39:560:39:59

Your maiden name was on your CV. I'm not stupid.

0:40:040:40:07

Careful, cos you might strain a brain cell.

0:40:070:40:10

So, what do you do? Come down here to spy on me?

0:40:100:40:12

What, have a little laugh at my expense?

0:40:120:40:14

Yes, of course. Brilliant.

0:40:140:40:15

I mean, I manufactured a whole food poisoning incident just so I could

0:40:150:40:18

secretly hang around with the bloke who took my family's inheritance.

0:40:180:40:21

I mean, it's like the Secret Millionaire

0:40:210:40:23

except I get to be a secret and you get to be the millionaire!

0:40:230:40:26

Why didn't you just say something?

0:40:260:40:28

Maybe because I didn't want to be called a stone-hearted cow

0:40:280:40:31

by the man who took my family's inheritance.

0:40:310:40:33

Right, will you stop saying that?

0:40:330:40:34

-Will you stop saying it like I ripped him off?

-Well,

0:40:340:40:36

-how should I make it sound?

-Like it was.

0:40:360:40:39

All right? We tried so hard to find you.

0:40:390:40:41

For you to get in contact with him.

0:40:410:40:43

It meant the world to him. And you kept saying no.

0:40:430:40:46

Come here.

0:40:480:40:49

Terry.

0:40:510:40:52

He left me that money because he died thinking there was

0:40:550:40:58

nobody else in the world that loved him.

0:40:580:41:00

Right? He was alone and broken-hearted. You broke his heart.

0:41:000:41:04

Yeah, well, he broke mine first.

0:41:080:41:10

SHOUTING, BEEPING Eric? Eric, what is it? Where's the pain?

0:41:110:41:16

-Right, his BP's crashing. He's tachycardiac.

-What's happened?

0:41:160:41:19

Severe onset of pain, grabbing his abdomen.

0:41:190:41:22

-I think his bowel's perforated.

-His abdomen's hard. Peritonitis?

0:41:220:41:25

OK, let's get him into theatre again. Quick as you can, please.

0:41:250:41:27

Porters!

0:41:270:41:28

-SHOUTING CONTINUES

-Right, OK, let's go.

0:41:280:41:31

What you did was very brave, Dominic.

0:41:370:41:39

The way they ambushed you in there, attacked you, was despicable.

0:41:420:41:47

It was weak.

0:41:490:41:50

But you were strong.

0:41:520:41:53

You stood up for yourself.

0:41:560:41:57

For us.

0:41:590:42:00

I'm proud of you.

0:42:020:42:03

I love you.

0:42:060:42:08

OK, we're in position.

0:42:130:42:15

Ready to deploy stent.

0:42:150:42:17

Stop.

0:42:270:42:28

-Stop what?

-The procedure.

0:42:280:42:30

-Why?

-It's not right.

0:42:300:42:32

It's reckless, it is untested

0:42:320:42:35

and the patient hasn't been properly informed.

0:42:350:42:37

What do you think you're doing?

0:42:370:42:39

I'm doing the right thing.

0:42:410:42:43

For the patient and...for us.

0:42:430:42:45

You know I'm right.

0:42:490:42:51

And you will stop.

0:42:530:42:54

Talk to me about your sister.

0:42:580:43:00

-She was born a minute before me.

-Twins.

0:43:000:43:04

-She didn't make it.

-She was stillborn?

0:43:040:43:07

I came out next, alive and kicking.

0:43:080:43:11

I never knew, till just before my mother died.

0:43:120:43:15

Deathbed confession.

0:43:170:43:18

My parents never even named her.

0:43:210:43:23

-I guess it was too painful for them.

-Maybe they wanted to protect you.

0:43:250:43:29

Maybe. But all my life I've...

0:43:290:43:32

..I've felt an emptiness.

0:43:330:43:35

A lack. You know?

0:43:360:43:37

When Mum told me it seemed to explain everything.

0:43:390:43:41

My lost twin.

0:43:430:43:44

My big sister, who was never there to protect me.

0:43:460:43:49

Explain why all my life I've had moments of faintness,

0:43:510:43:56

of feeling like...

0:43:560:43:58

..there was something missing in my heart.

0:44:000:44:02

BEEP

0:44:030:44:05

-BEEP

-What?

0:44:130:44:15

You have a condition called Wolff-Parkinson-White syndrome.

0:44:150:44:18

It basically means that every so often your heart adds an extra beat.

0:44:180:44:22

Adds?

0:44:220:44:24

Like it's beating for two?

0:44:260:44:28

-Yeah, something like that.

-Exactly like that.

0:44:300:44:33

Back in one second.

0:44:330:44:35

You knew. You saw it on the first ECG.

0:44:390:44:42

Why didn't you tell me?

0:44:420:44:43

Sometimes in order to learn something, you have to see it

0:44:430:44:47

for yourself first.

0:44:470:44:48

I've just had to explain to the patient,

0:44:590:45:02

that smug little bitch Kyle

0:45:020:45:03

and Mr Hanssen why we pulled the plug on a consented procedure.

0:45:030:45:07

Do you have any idea how humiliating that was for me?

0:45:080:45:11

Yes.

0:45:120:45:13

-I'm sorry.

-You made me look like an idiot.

0:45:160:45:18

I made you do the right thing.

0:45:210:45:23

And you did.

0:45:250:45:26

I'm proud of you.

0:45:300:45:31

Proud?!

0:45:350:45:36

Could you be any more patronising?

0:45:380:45:42

You're making me do this, Dominic.

0:45:440:45:46

No, I'm not!

0:45:470:45:49

YOU'RE doing this.

0:45:510:45:53

I'm sorry.

0:45:590:46:00

I've booked us in for counselling.

0:46:020:46:04

-You've what?

-I went ahead and I made an appointment.

0:46:050:46:08

You... You need help, Isaac.

0:46:120:46:15

We...we can get through this. We can do it together.

0:46:160:46:19

Can't you hear how pathetic you sound?

0:46:190:46:22

I. Do. Not. Need. Help.

0:46:260:46:31

Dom!

0:46:370:46:38

Dom? Dom!

0:46:380:46:41

Dom.

0:46:420:46:44

Someone help! Please, help!

0:46:440:46:47

Dom... Dom...

0:46:480:46:53

Dom.

0:46:530:46:55

Dom!

0:46:550:46:56

Fell... Steps....

0:46:580:47:00

Transient and falling GCS. Was at seven when he was found.

0:47:010:47:05

Did he do this? Was it Isaac?

0:47:060:47:08

No.

0:47:080:47:10

It's going to be OK, Dom. It looks worse than it is.

0:47:100:47:13

Stay strong.

0:47:150:47:16

Mr MacIntosh has been taken to theatre. You are required there.

0:47:160:47:20

It appears you've had a remarkable escape, Dr Copeland.

0:47:200:47:23

We're taking you to X-ray, just to be sure.

0:47:230:47:26

The IDVA is aware. Rest now.

0:47:260:47:29

You're safe.

0:47:300:47:32

Sh.

0:47:410:47:43

You should have seen the other guy.

0:47:540:47:56

I did see the other guy.

0:47:580:48:00

Was it him?

0:48:030:48:04

No.

0:48:050:48:07

I know you won't believe me, but it was an accident.

0:48:080:48:11

Maybe the police don't need to know that.

0:48:110:48:14

No.

0:48:190:48:20

I'm not doing that.

0:48:220:48:24

So, Dr Copeland.

0:48:240:48:26

I have your X-ray results, and you have severe bruising

0:48:260:48:30

which will require further observation in hospital.

0:48:300:48:33

Lucky me.

0:48:360:48:38

Yes, there is the matter, however, of several other injuries

0:48:380:48:42

which seem to have been sustained over the last few weeks.

0:48:420:48:46

Left untreated..

0:48:460:48:48

..and unexplained.

0:48:490:48:51

OK...

0:48:540:48:56

I'm ready.

0:48:590:49:00

Wolff-Parkinson-White syndrome, really?

0:49:040:49:07

-Well, how are you going to treat it?

-We're not.

-What?

0:49:070:49:10

We're going to manage it.

0:49:100:49:11

Toni has decided the extra heart beat is for her twin sister.

0:49:110:49:14

She's always been with me.

0:49:140:49:16

One heart, two souls.

0:49:160:49:19

And neither of you called psych?

0:49:240:49:27

I know it's irregular, but there's something quite sweet about it.

0:49:270:49:30

Something poetic.

0:49:300:49:32

You're all nuts.

0:49:320:49:33

Jac...

0:49:340:49:35

I just wanted to say thank you.

0:49:370:49:39

For standing up for me with Ms Campbell.

0:49:390:49:42

-I know it was messy and complicated.

-Fat lot of good it did.

0:49:420:49:45

You retracted the bullying statement anyway

0:49:450:49:47

so what was the point?

0:49:470:49:48

The point is you tried to help me.

0:49:490:49:51

So thank you.

0:49:530:49:55

Whatever.

0:49:570:49:58

Now you shine a light on yourself.

0:50:070:50:10

And now someone feels a little less lost than she did before.

0:50:100:50:13

You think Jac feels lost?

0:50:130:50:15

I think we all have holes in our lives that need filling.

0:50:170:50:20

Is Eric...?

0:50:270:50:28

Going to be just fine.

0:50:280:50:30

Good. I'm glad.

0:50:320:50:33

-You care about him?

-It's my job to care about him.

0:50:340:50:37

That's the bit about the job I don't like.

0:50:380:50:40

-The caring bit?

-And the rest.

0:50:400:50:43

So...

0:50:460:50:48

that offer to throw some shifts my way...

0:50:480:50:51

Come here.

0:50:530:50:54

See that bed?

0:51:000:51:01

That was Arty's.

0:51:030:51:04

That is where he asked me to do whatever it took

0:51:040:51:07

to track you down.

0:51:070:51:09

Theatre 1.

0:51:120:51:13

That's where your dad died.

0:51:150:51:16

Thanks for the tour, Fletch.

0:51:180:51:21

What I'm saying is that...

0:51:210:51:22

..given the previous tragic circumstances...

0:51:240:51:27

AAU, even Holby, I...

0:51:270:51:31

I just don't think it would be a good place for you to work.

0:51:320:51:34

What about the perks?

0:51:380:51:39

-I try not to judge.

-You've done nothing but judge me.

0:51:410:51:44

The truth is I...

0:51:460:51:47

I can't get past what you did to Arty.

0:51:470:51:49

Now I'm...sure that you had your reasons, but...

0:51:510:51:53

I was here when he died, and...

0:51:550:51:57

..I just can't get past that.

0:52:010:52:02

Well, I guess that settles it.

0:52:050:52:07

I... I had no interest in...in Artem's money.

0:52:280:52:32

I had no interest in the past.

0:52:330:52:35

Until now.

0:52:360:52:38

I am going to take you for every last penny,

0:52:390:52:43

you judgmental piece of crap.

0:52:430:52:46

Um...

0:52:530:52:55

The 28th of March...

0:52:560:52:59

..broken ribs on the left-hand side...

0:53:020:53:05

..from being kicked.

0:53:070:53:09

I had asked that our relationship...

0:53:120:53:15

..be completely monogamous.

0:53:170:53:19

The...31st of March...

0:53:220:53:27

..a chipped tooth...

0:53:300:53:31

..after having my phone shoved in my face...

0:53:330:53:38

whilst trying to make a call to my mum.

0:53:380:53:41

Isaac had spent ages making boeuf bourguignon.

0:53:430:53:46

"Time and a place, Dom."

0:53:470:53:49

The 5th of April...

0:53:500:53:53

..um...

0:53:550:53:56

..severe bruising to the left dorsal.

0:53:580:54:01

Foot stamped on.

0:54:030:54:04

I... I don't remember what that one was for.

0:54:080:54:11

The 9th of April...

0:54:130:54:15

..two days ago.

0:54:160:54:17

Depressed fracture of the left eye socket from a single punch.

0:54:190:54:24

Zosia had left me a voice message saying that she loved me.

0:54:260:54:31

She had left it months ago but I'd saved it,

0:54:340:54:36

and I played it...

0:54:360:54:38

..and Isaac heard.

0:54:390:54:41

That was really silly of me.

0:54:420:54:44

Mr Mayfield, you are suspended, with immediate effect,

0:54:480:54:51

from all clinical and research practice within this trust.

0:54:510:54:55

Criminal charges are, of course, entirely a matter for the police

0:54:550:54:59

and for Dr Copeland.

0:54:590:55:01

I, however, will be reporting you to the GMC.

0:55:010:55:04

I love you, Dom.

0:55:070:55:09

No, you don't.

0:55:120:55:13

I don't think you ever did.

0:55:140:55:16

I don't think you're capable.

0:55:190:55:21

When I met you, you were broken.

0:55:210:55:23

I fixed you.

0:55:240:55:25

I built you up.

0:55:260:55:28

You targeted me.

0:55:310:55:32

And wore me down.

0:55:350:55:36

You're a coward, Isaac.

0:55:400:55:42

You're the one who's broken.

0:55:450:55:47

You put that leaflet in my locker, didn't you?

0:56:220:56:25

Well...

0:56:290:56:30

..I've had my doubts about Mr Mayfield for some time.

0:56:310:56:34

Having no evidence, however,

0:56:360:56:38

I felt that my options were somewhat limited.

0:56:380:56:40

But it is to my deep regret and lasting shame that I didn't act

0:56:420:56:46

more swiftly and more decisively.

0:56:460:56:49

It's not your fault.

0:56:510:56:53

Right, time to be admitted, Dr Copeland.

0:56:560:56:59

There's someone I need to see.

0:57:020:57:03

You were the one who always saved us.

0:57:110:57:16

But you weren't here.

0:57:190:57:20

Look what happened.

0:57:250:57:26

You weren't supposed to go.

0:57:340:57:36

I had you to look after me.

0:57:430:57:44

Then I had Isaac to look after me.

0:57:490:57:51

Seems I'm always looking for somebody to look after me.

0:57:520:57:56

I have to look after myself now.

0:58:020:58:04

With Isaac in denial of his violent actions, a broken Dominic struggles to hold it together. But when a welcome face from the past arrives on Keller, Dominic is given an injection of strength. Will it be enough? With his fortunes finally on the up, Fletch is determined to maintain a positive outlook on life. But when a fiery new agency nurse arrives on his ward, Fletch's positivity drains away - and a revelation leaves him reeling. Matteo takes it upon himself to unite Jac and Jasmine, who are further apart then ever after Jasmine's ordeal with Serena. But are his good intentions driven by a deeper motive than might meet the eye?


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