Someone to Look After Me Holby City


Someone to Look After Me

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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?

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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.

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

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-I'm tired of making mistakes.

-We all make mistakes.

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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.

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-You gave to charity, yeah?

-Well, I came into some money.

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Windfall?

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Something like that.

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-The charity was unregistered?

-Yeah, it was.

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

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but actually it's a massive tax dodge.

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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.

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-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?

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Quick! Sick bowl, please! Quick!

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-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

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