Two Hearts Holby City

-Are you OK?

-Someone help him!

-I had liposuction.

-Why?

-Why do you think?

Is this the flatmate you were telling me about?

Jac, please, I never lied.

There are things, memories, I have to leave behind.

Everything all right?

The relationship between two surgeons needs to be one of respect

and trust, and it appears Mr Rossini and I have neither.

Can I get some help, a crash trolley, please?

Nothing like making an entrance.

He collapsed just outside the ward.

I could have wasted time resuscitating him

-on a cold floor or...

-Roger that.

Let's see if we can get him back, shall we?

DOOR OPENS AND CLOSES

-Hi.

-Hey.

-You OK?

Yeah, yeah, I just need some coffee that's all.

-I'll see you at the coalface.

-Mm-hm.

Charge.

Clear.

Shock.

He's back in sinus. Let's get him on to a bed, please.

Listen, don't tell Jac I said this,

but you've been on a proper roll since she's been gone.

Working without her looking over your shoulder obviously suits you.

All I want to do is focus on the work.

Great.

You are going to have a scar, I'm afraid,

but it might serve as a reminder

not to go running into any more plate glass windows.

Great. Right, we're off. Darwin are ready, Theatre 1's prepped.

-Mind your backs!

-Mr Coates! Mr Coates!

Mr Coates, Mr Coates, look, look, look,

look, I told you already, can you get back into bed, please?

-He's quick for an old fella, isn't he?

-Oh, you've got no idea.

Last time he managed to get to the main reception

without anyone catching him.

Well, look who it is.

You been gambling up a storm in Vegas?

Yeah, something like that.

Well, it's good to see that nothing much has changed in my absence.

Well, chaos... it's good for the soul.

At least that's what I used to tell my teachers.

Ah, Mr Griffin, you must be the cavalry

Mr Hanssen's been promising us.

Well, I'm glad to be back somewhere where I'm needed.

Did he fill you in on the change of personnel around here?

Yeah. How are you finding it flying solo?

On the home front - no comment.

But keeping this place firing on all cylinders

is what gets me out of bed in the morning.

Firing on all cylinders?

The locum I was promised never materialised

and the trauma unit is my priority.

-Everything else has been...

-De-prioritised?

Well, no disasters so far. Bay 3.

Um, did you wear that shirt yesterday?

You see, these bold patterns all look the same to most people.

Not to me.

Nice hair. New do?

What can I say? I'm just a trendy guy.

That or you left your comb in the same place

that you left your clean shirt.

-So where do we start?

-Wherever you want.

Oh, Mr Scott called in sick and asked if you could look after

Laura Banner, she's an elective patient

and he felt it important that a consultant handle her care.

So...the polyp on the bowel.

Don't say I don't know how to spoil you.

Tell me if I'm overthinking this, but what I said about Jac before,

I wasn't implying that anything had happened between you two.

I didn't think you were.

Because as far as I'm concerned you two are happy as Larry,

no awkwardness, no bad atmosphere.

Hard to keep a secret around here, isn't it?

Yeah, well, no-one knows what they're talking about -

-least of all me.

-But you know all is not well.

Well, there is this nasty rumour going around

that you and the Ice Queen had a little tiff

before she went off to Copenhagen.

But I just want to let you know I wasn't fishing.

-Your business is your business.

-Oh, that's good to hear.

But, word of advice?

See, now, Jac, she likes to pretend she's a one-woman country

made entirely of ice and everything,

but break through that...she's actually really sensitive.

And the advice?

Stick with it. Whatever it is, it'll blow over.

Oh, since we're being mates and everything.

A patient who's on the transplant list for a new heart is in again.

I've got a ventricular aneurysm repair scheduled in 20 minutes,

so I'm reluctantly handing him over to you.

A 69-year-old on the transplant list?

Yeah, he's as tough as old boots, Jimmy. Fit as any 40-year-old.

Course, the chest pains would suggest otherwise.

Just assess him and keep him comfy.

-You're back.

-Ten points for observation.

Sorry about the mess. I don't go anywhere without my craft things.

-Keeps me busy.

-I bet.

I'm going to have 20 home-made Christmas cards done

by the time I get out of here. I've set myself a challenge.

You do know that Christmas is quite a few months away yet.

I think I was a Boy Scout in a previous life. Always be prepared.

Oh, I am so sorry, doctor!

It's fine, don't worry about it.

You look like one of my cat's toys.

Um...

So, the polyp on the bowel.

You sure we can't go back to talking about Christmas cards?

I've got a glue gun I can show you.

Er...it's an elective procedure, so you're aware of the risks.

Our aim is to remove the polyp

and ensure it doesn't develop into something nastier,

if it hasn't already.

-The "Big C" in other words.

-Yeah.

And when you say "remove," you mean, what,

just get in there and cut it out?

No, we'll be doing a thing called a laparoscopic right hemicolectomy.

And will I be under the whole time?

Well, we find that's the best way, yes.

So that's a definite, then, the general?

Well, I think the most important thing is we remove the polyp.

We don't worry about anything else, just-just leave it to me.

No, but what I mean is, could you do it without the anaesthetic?

KNOCK ON DOOR

Can we talk?

About?

Jac...

Look, unless you have a patient or some other departmental matter

you'd like to discuss, then I suggest you go back to doing

what you're paid for.

I thought you might have calmed down after some time away.

Was there anything else?

Whenever you're ready to let me explain, you just let me know.

Mr Hanssen, it's Ms Naylor.

I'd like to find some time this morning

to discuss last week's untoward incident involving Mr Rossini.

Psst.

Psst.

Has she seen sense?

I've tried talking to her about everything, but she won't budge.

You have a go.

Are you sure you want me in on this after what happened last week?

You made a mistake.

The best way to learn is to get back on the horse.

-Call it a clean slate.

-You read my mind.

This is where he's supposed to be, but...

You looking for me?

Don't worry about this, I do this all the time.

Keeps the old blood flowing of a morning.

To be honest, it's best not to get the "blood flowing"

when you're on a transplant list.

My old dad lived till he was 85,

and I intend to outdo him.

But what's the point of a long life

if you can't have a little laugh along the way?

My name is Mr Rossini, this is Mr Valentine.

Ms Effanga's been held up in theatre,

so we're going to be heading up the investigation in the meantime.

Find out what's going on with the old ticker.

Which is hopefully as little as possible.

How would you suggest we proceed?

Amylase. Echocardiogram, chest CT.

Oh, sounds like a lot of fuss for a bit of indigestion.

Let us run our tests.

We'll have a much better picture of what's going on after that.

Well, for the record, I want to be back in full working order soon.

I know I probably look about a hundred to you,

but there's plenty I still want to do with my life.

We'll be back. Hang tight, Mr Hornby.

I-I-I don't suppose you've got a potato

and a drinking straw knocking around, do you?

It's just that I taught science to kids for 50 years -

and I still do two days a week at an after-school club.

I promised Mo the next time I came in

I'd show her some tricks of the trade.

-A potato and a straw.

-Mm.

We'll see what we can do.

In the meantime let's get you back to bed. Nurse, please.

So, what, you're saying you won't undergo a general anaesthetic?

I just think you should be able to find another way.

That's all. I was going to mention all this to Dr Scott.

This is the only way I'm going to get you into theatre?

OK.

So, I am prepared to try and remove this polyp endoscopically

using a mild sedative.

-So, no general?

-No, no general.

Well, that would be amazing.

-Great. Good. I'll speak to you later.

-Hang on.

You're not just going to leave it at that?

The polyp might not even be cancerous.

But if it is then you're going to have to go laparoscopic

and put her under a general anaesthetic.

Go and talk to her again and find out why she's so set against it.

Jimmy Hornby's test results.

15% ejection fraction.

Yeah, it's not good. Do you want me to tell him?

Let's try treating him medically and hope the heart output improves.

I don't want to discuss desperate measures until we're sure.

Diuretics, dopamine, oxygen?

And cross our fingers.

So, stab the potato with the straw.

-It can't be done.

-Are you sure?

This potato is rock solid.

I did study some science in my six years or so at university -

maybe I missed that class.

But put your thumb over the end of the straw and try again.

My thumb.

The magic of science!

Well, I stand corrected.

The kids at your school must feel very lucky to have you.

Try telling that to the new headmistress.

The old headmaster was keen for me to set up the after-school club

when I retired.

This new one is doing all she can to faze me out.

-That's outrageous.

-Mm.

Ah!

I suppose you want me back in my bed?

Call me old-fashioned,

but I think it's the best place for people with dodgy hearts.

Get him to show you how to bend water next time.

Ah, science geek.

Don't tell anyone, but there was a time you couldn't separate me

from my chemistry set.

We're kindred spirits, then.

No...pressure, but I'm counting on you to bring me through this.

Sounds like a little bit of pressure to me.

You're right.

Forget about that. Just keep me alive.

Deal?

I thought army life was all about spit and polish?

Oh, everything in here is meticulously organised,

but there's only one of me

and I've got better things to do than paperwork.

Well, far be it from me to parachute in and start passing judgment...

It... It's basic triage.

Deal with the things that need dealing with first

and everything else, admin, for example, can wait.

AAU needs a firm hand.

Rules.

Boundaries.

Well, maybe now you're here you can help

to take some of the pressure off.

Or I could step up... give you a break...

if that would be useful?

Oh, I know that face.

Someone steal your favourite scalpel, did they?

Either that or you're here to deliver bad news.

Tests have shown you also have pulmonary hypertension.

Which means doing a heart transplant might no longer be an option.

And without one of those, I won't last long.

Well, that's it, then. I'm off to the scrapheap.

Maybe, maybe not. I have an idea.

We could put you on what's called an assist device...

No machines. Not ever.

Jimmy, it could be your best chance.

Let science give you a helping hand.

Have you seen one of these?

It demonstrates the... The magic of air pressure.

-We need to talk about this.

-Yeah, in a minute.

Watch.

Your hypertension rules out an orthotopic transplant.

This could be your only chance.

At my age I've seen too many of my friends die hooked up to machines.

I'd rather go out the way I am.

If you want to save me,

looks like you're going to have to think of something else.

No. Absolutely, 100% no way.

So you're still on the fence, then?

What part of risking a patient's life,

not to mention the good name of this hospital, do you find funny?

He's trying to do exactly the opposite.

I suggest you keep your mouth shut, Mr Valentine.

This is called a Consultants' office for a reason.

Got your page. What's up?

Mr Rossini is trying to torture your patient

by sticking two hearts in his chest.

He's my patient now, and I'm trying to save his life.

My plan is a heterotopic transplant.

Why heterotopic? Surely an assist device would make more sense.

He refuses point blank.

And his pulmonary hypertension rules him out

of having an orthotopic transplant.

Well, the other alternative is a heart and lung transplant.

He doesn't have time to wait for that.

So your suggestion is to perform an outdated procedure

-on a patient that's too old.

-I can do it.

You might think you can do it, but the fact is you've never tried.

And the chance of finding a heart in time is incredibly low.

Mr Levy's just guiding the device through your bowel.

My Steve was always such a healthy bloke.

Even when he started with stomach pains he put it down to nothing.

You'd be surprised what people can put up with sometimes.

I ran him a hot bath, you know, to help.

He had to call on me to ring an ambulance

cos the pain was so bad he couldn't get up again.

Sounds like you did the right thing.

Took one look at him in the A&E and said it was his appendix.

"Silly to wait so long," they said.

"It's such a simple procedure."

Could you be quiet, please?

So they then took him to theatre?

We had a few seconds before they put him under.

I said something daft about the phone bill.

I just wanted to keep things light.

If I'd have known it was the last time we'd speak...

..I would have tried to have done better.

That's why you didn't want to go under anaesthetic.

Great, it's all done.

Now you can be footloose and polyp-free.

We've been contacted by a hospital in Cardiff.

Their patient died on the table

before he could receive his donor heart.

They need a new recipient fast

and we are one of the only hospitals who might have a suitable patient

-ready in time to accept.

-Is Jimmy...?

-He's a match.

-Brilliant!

Unfortunately, they're at hour one of the four-hour window.

We'll have to check his recent tests,

but assuming the heart's viable once it gets here...

Two against one. All systems go!

In what world is this department a democracy?

I'm a Consultant.

I have a right to operate on my patients as I see fit.

Not if it hikes up our mortality stats

and compromises the reputation of Darwin.

From now on, AAU will run like a well-oiled machine.

Ordered and efficient.

Well, you can't make a ward be something that it's not, though.

I've drawn up outline rotas for the next three months.

I would advise you strongly not to allow any shift changes

without express permission being given.

No-one will clock off

until and unless they are completely up to date with their paperwork.

I feel sure that the extra hour or so you spend after every shift

will be filed under the category of time well spent.

I don't suppose slipping you a fiver would make this go away, would it?

Absolutely not, I'm having way too much fun for that.

I'm simply asking that we all give our complete focus

and attention to AAU.

-No more distractions.

-Ric Griffin?

Wow! You look older than you do in your photos.

Is this a friend of yours, Ric?

I'm not his friend. I'm his granddaughter.

Well, any other day you'd have got her to open up about her husband

before you went into theatre

and you'd have done the procedure that you wanted to do.

Still, no harm, no foul.

That's not the point I'm trying to make. Are you all right?

-You seem all out of sorts.

-Yes, I'm running late.

-Sacha?

Places to go, people to see.

Yeah, and they're all on this ward! Where are you going?

I know it might not work out, but for what it's worth,

I really admire what you've achieved today.

Jimmy came in with chest pains and now his days are numbered.

I haven't done anything.

Well, you tried. You thought outside the box.

The innovation was there, just like it was with your stent idea.

-Still smarting about that?

-Absolutely.

Though even I can admit that the better man won.

Give me time and I'll give you a run for your money.

Forward me your CV.

-Hm?

-You're talented. You work hard.

I think it would be best for all of us if you make Consultant

sooner rather than later.

You'd seriously be up for seeing me in the right direction?

I'll warn you.

The answer is nearly always, "Work harder, get more experience."

I'm not afraid of hard graft.

Then send it over. Something good should come out of today.

Take a seat.

Well, you've grown since the last time I saw you.

Don't pretend like you recognised me.

I could tell from your face that you didn't.

Look, Darla, clearly you and I have a lot of catching up to do,

but this isn't the right time.

-Why aren't you at school?

-Inset day. Next question?

Why are you here? Where's your father?

-You take your pick.

-He's at work.

He trusted me to stay at home alone,

but I got bored and thought I'd look for my long lost grandad.

What can I say? I'm trouble.

I'll give him a call and get him to come and pick you up.

He doesn't answer the phone when he's working.

Anyway, he wouldn't recognise your number.

We haven't seen you in, like, ten years, remember?

Look, I...

admit that the years have gone by rather more quickly

-than I would have liked.

-Then let me stay.

We can get to know each other.

It's really not appropriate to have a child on the ward.

-Besides, I really am very busy...

-Busy bossing people about, you mean?

I thought you were some hotshot surgeon.

Turns out all you do is shuffle papers and shout orders.

First impressions can be deceptive.

Why don't we give your father the opportunity to come and pick you up?

What's his number?

CONNECTING TONE

BEEP

Now you can't just chuck me out.

I'm a minor and you can't reach my dad.

Looks like you've got a duty of care, Grandad.

What made you leap to the idea of having two hearts in one patient?

-Was it a flash of inspiration?

-Not quite.

I could show you a really cool trick, but I'm not in the mood now.

Ah, Mr Rossini, the man I was on my way to see.

I just wanted to catch up with you

regarding last week's tricuspid valve regurgitation.

It appears that Ms Naylor is moving forward with her formal complaint.

HE CLEARS THROAT

Hey. Um... Ploughman's lunch, please, thank you.

A formal complaint? Really?

Mistakes have consequences - or haven't you learnt that by now?

One false move and Hanssen will have me off the ward.

But that's what you wanted all along, isn't it?

-I don't know what game you think I'm playing here...

-I'm married.

I know I should have told you,

but surely the fact that the marriage is over

-counts for something?

-It's a departmental issue. Nothing more.

I'm putting a hold on that heart.

I'm doing this transplant, whether you like or not.

You can't push me out, I'm too good. Watch me prove it.

Mrs Boyce in bed three needs her seroma draining.

Mr Connors needs his discharge papers signed.

Yeah, I know, I know, I...I'm way behind.

It's just that, well, basically I was meant to be going to do...

Are those excuses that you're searching for, Dr Digby?

Nope. I'll do all of the above in record-quick time!

If he wants something doing he should just do it himself.

Darla...

Why don't you just tell him how annoying he is?

Well, mostly because he's my boss's boss.

And, well more importantly, it's because I don't find him...

I don't find you annoying at all, actually, in any way, so...

Good save, Dr Digby.

-Shall I just...?

-Go.

-Right.

Right. Well, now that you've seen

the sort of excitement that my job entails...

Yep. You're like a teacher, only much more pointless.

Maybe it's time for you to go home.

I can call a neighbour or a friend's parent?

You're exactly like Dad said. Always got something better to do

than spend time with your own family.

Are you still here?

School will have something to say about that, I should think.

Inset day, apparently.

And... And you knew he'd fall for that

because he's never done the school run in his life, am I right?

Ric, inset days are at the beginning and end of term,

not bang in the middle, as we are now.

It's a boarding school. They're different.

Boarding school.

Right, but near enough that you could get here on your own.

Well, it must be St Cuthbert's, right?

And there'll definitely be someone in the office

-to answer the phone, inset day or not.

-All right, young lady,

we're going to get to the bottom of this right now.

SHE GROANS IN PAIN

Darla...

-Agh!

-Darla. It's all right. Darla, my name's Bernie.

Where's the pain?

Well, it could be her appendix.

Can I have a trolley, please?

All right, all right. Ric, I'll deal with this.

SHE SCREAMS IN PAIN

Hey, it's me.

Could you come to Albie's for me, please?

There's a... There's a bit of a...situation.

Yeah.

Could you... And could you bring your purse?

We have the heart. It's on its way here now.

Go. I'll draft in another registrar.

Matteo.

Where are we in the four-hour window?

We're borderline.

And if Jac asks?

Jac'll haul you over the coals for this. You know that, right?

I'm not letting my patient down.

If that means Jac gets her wish

and I end up looking for other work...so be it.

You're upset about this, aren't you?

No, I would just like you to admit that it's odd behaviour, that's all.

Oh, come on. I see you nipping off to the vending machine

practically every day.

Yeah, but not out of the hospital grounds in the middle of a shift.

All right, OK, I hold my hands up, I should've waited.

But me stealing from Albie's?

Oh, come on, you've got to see the funny side of it.

Well, if you're worried

I'm not going to pay you back for the wine...

-Mr Valentine?

-Sorry, can't stop. I'm on my way to...

Collect Mr Hornby's defective heart?

No-one's saying we're not out on a limb here.

It's more than that. Mr Rossini is risking his patient's life.

He's close to death. This is his last chance.

He's also risking every penny of funding this department gets.

You know the board go through mortality stats

with a fine-tooth comb.

I know you and Matteo are having personal issues.

I haven't a clue what they're about and I don't care -

but be reasonable. This is exactly the sort of move you'd make.

He is being negligent.

One mistake can be forgiven, but two in as many weeks...

We both know that last week wasn't his fault.

A formal complaint has been made following last week's incident.

If he puts one more foot wrong,

like doing an outdated procedure on an unsuitable patient, for example,

I can argue for his dismissal.

Why are you telling me this?

Think very carefully about whose side you're on, Mr Valentine.

You have a promising career ahead of you.

I hate to see all that potential go to waste.

I've done a thorough examination and I've ordered an ultrasound,

but as far as I can tell there's nothing to worry about.

She doesn't have appendicitis?

No. She's faking it.

Ric, kids do it all the time.

Mine did.

A lot of army friends put their kids in boarding school.

Well, running away is not at all uncommon.

Though in Darla's case, if I had to hazard a guess,

I'd say that all she wants is to spend some time with you.

Rather sweet, when you come to think of it.

There are a couple of other words I can think of to describe it.

I've never been much good at hospitals.

Give me a Bunsen burner and a mouldy old shed any day.

Try not to worry.

Maybe I should give up the after-school club

and just enjoy my retirement.

Tell me I've still got a chance of making it through this thing.

With me on your side I'd call it more than a chance.

Blind optimism.

Another reason I like you.

SIRENS WAIL

Come on, come on, come on...

Cheers, thank you.

Thank you!

Hold the lift, please! Thank you!

Ric, go easy on her, will you? Look, I've...

I've enjoyed having her around. She's a live wire, that one.

Must take after her mother's side of the family.

Ah.

Yes, I...

I did wonder if she cottoned on to the fact I'd rumbled her.

Smart girl.

What's happening to me?

Severe abdominal pain! Started a few minutes ago.

This level of pain isn't normal.

Right, can we call X-ray and tell them we're on our way?

Can I get 10mg of morphine

and can I get some help here, please? Thank you.

Hello, X-ray, this is Keller...

She's a 13-year-old girl who just wants to spend

a little bit of time with her grandpa.

Trust me, she won't have got far.

You'd be basing this on what exactly?

Feminine intuition?

This is killing you, isn't it?

A little ball of chaos

exploding in the middle of your perfectly ordered day.

You're enjoying this, aren't you?

Well, let's just say, if Darla teaches you the art

of flying by the seat of your pants,

I don't think it'd be such a bad thing.

Ah, and there she is.

The lesser-spotted teenager loitering by the watering hole

in the middle of the savanna.

You can thank me later.

Where are we on the clock?

One hour, 12 minutes.

It's pink. Looks healthy.

Mr Rossini?

We're within a reasonable window. I'm happy to go ahead.

Two hearts.

Cooley clamp, please?

What is this?

If you're going to ruin the reputation of my department,

the least I can do is be here.

And him?

Impartial witness. In case any mistakes are made.

-Right. Because doing this procedure wasn't pressure enough.

-Jac...

you know that without him the patient wouldn't have got this far.

Thank you, Mr Valentine, but your presence is no longer required.

That means you can go now.

Proceed, Mr Rossini.

Scalpel, please.

Now, sit there.

Look, I may not know you that well,

but I do know that you're a smart girl

and you know how serious it is to waste NHS resources like that.

If you hadn't have tried to kick me out the second I showed up here,

I wouldn't have had to.

-Fine. I'll go.

-Oh, sit down.

I'm going to try your father again. What's the number?

You really don't have a clue, do you?

Why do you think I came here?

Dad didn't show to collect me for the Easter holidays.

What...Kofi left you for two weeks without a word?

Well, I mean, he sent Auntie Irene to come and pick me up,

but I hate her! She's so strict.

All I got off Dad was some lame apology.

Dad acts like he cares more about his work than he does about me.

Like father, like son, I guess.

It was dumb of me to come here.

You haven't sent me a birthday card in, like, a decade.

Why would you want to help?

Look, I know that I may not have been the best father...

grandfather...

but even if I haven't been present in my family's lives...

..they're always here in my mind.

Cheesy. A bit cliche. Three out of ten.

You're really not going to give me a break, are you?

You know, Dad never said anything bad about you.

He just said you were too busy saving lives.

I wondered what everyone else had that we didn't.

Look, here's my card. Take it.

It's got all my numbers on it.

Now that way, the next time you want to speak to me,

you won't have to come down with a strange bout

of phantom appendicitis.

Like I'd want to speak to you again.

Shall I call someone from the school to come and collect you?

I just really miss my dad, that's all.

Time to take him off bypass.

You've been lucky so far. Let's hope it holds.

Come on, come on...

Internal paddles!

Move. Starting internal massage. Charge ten joules.

Clear.

Shock.

-I have to shock it again.

-Wait.

Charge to 20 joules.

Clear.

Shock.

-It's not working.

-Just be patient.

-SHE SHOUTS:

-Just, please, will you just stop?! Please!

Laura, Laura, the time for talking now is over, OK?

You're going to put me under, make me count backwards

and then I'll never wake up again, I know I won't.

Listen to me, your X-ray shows that your bowel is perforated.

If I don't get you in there now you will die.

I can't risk it, I've got so much I still want to do,

just like Steve, and look what happened to him.

Is this your husband Steve?

He was only 52.

It's not fair, is it?

No, no, it's absolutely not fair...

..but it would be doubly unfair

if your family was to lose you, as well.

I know what you're trying to do,

I've heard all this before, remember?

"Simple procedure. Home in no time."

Obviously I wasn't your husband's doctor, but I am yours.

To have your whole life thrown up in the air like that,

at our age...

..it's terribly disorientating.

I mean, it's easy to be scared.

I'm scared.

It feels like everything scares me these days.

To not be able to see the future

is the most terrifying thing there is, but...

I...

I'm sorry I can't put this in a kinder way.

If you don't let me help you...

you won't have a future.

It's as simple as that.

And I don't think Steve would want that for you. Do you?

So come on, let's be brave.

Together.

Glad to see you're as shocked as I am that that worked.

You're right. I wasn't sure I could pull it off.

But sometimes that's a place worth going to,

with the right people by your side.

If this is where you tell me you couldn't have done it without me...

I wasn't. We would have muddled through somehow.

But we're better together.

You're the most infuriating, bloody-minded,

gifted woman I've ever met.

I never thought I'd fall for someone like you, but...

Excellent work in there.

If I may be so bold as to say so,

you two seem to work rather well together.

Perhaps you might like to reconsider your concerns, Ms Naylor?

The matron from Darla's school has come to collect her.

Full of apologies.

She talked to me, you know.

Wild horses wouldn't have kept her from spending time with you today.

I don't know where she gets that kind of hard-headedness from.

Perhaps I could have been a little more magnanimous with you today

and your feminine intuition.

Oh, forget it.

I know you well enough not to take your judgements personally.

Mm.

You know, after a few weeks in Australia with Jess and Jacob...

..he's my youngest grandson...

..I couldn't wait to get back here.

There's no shame in loving your job, Ric.

Even at the cost of my relationships with my children?

My grandchildren?

Well, Darla doesn't seem to be under any illusions about you

and she still wants to spend time with you.

Play your cards right, that could be the sort of fresh start

a lot of people would give their right arms for.

Well, she's put in the legwork to find me.

The least I can do is to keep in touch.

And your son?

That's trickier.

I'm hardly the one to tell him to spend more time with his family.

Well, the last time I checked, "Do as I say and not as I do,"

was at the heart of every decent parenting manual.

Oh, don't worry, I'm not giving up.

Ask me again how things are in a few weeks.

Ms Naylor! Can I have a word? It's about Sacha.

She threw me out of theatre.

I've been on that case all day. By your side every step.

I know.

It must have been difficult to take.

Did Jimmy...?

He's in recovery.

-It'll be a slow one, but...

-Oh, don't be modest.

He came in here looking at weeks, you've given him years.

You know, seeing what you've achieved today

actually made me jealous. Can you believe that?

-You were a part of it too.

-Until I wasn't.

And being part of it just doesn't seem like it's enough...any more.

Look, the last thing I want to do is get in the middle of something here,

but as far as Jac's concerned, you should watch your back.

I'm married.

The marriage is over, but Jac didn't know that.

When she found out, she was...

She was hurt.

I don't blame her for being angry.

It's a bit more than anger, don't you think?

You asked me for career advice earlier, well, here it is.

I've met surgeons like Jac before.

Either you can handle being in their orbit

and getting sucked into their games, or you can't.

What if there is a more civilised way of running a department?

Then get out now.

There's plenty of places that could use a talent like you.

When I was your age, I took a year out of cardio

and took a posting in paediatrics.

Let me guess. It changed you.

Made you a better surgeon.

No, it was hell. I hated every second.

But sometimes it's healthy to spend a little time outside

your comfort zone.

If it feels right - take a leap.

-Is that for me?

-Sit down, Sacha.

I won't, actually. I want you to explain exactly what this is.

It's an intervention.

Her idea - obviously.

I see.

What's she been saying about me?

She's worried that you might be suffering from depression.

And from what she's told me, I think she might be right.

Depression?

Why did you steal that bottle of wine earlier?

I didn't. I explained it.

Well, you tried. But your story didn't add up.

You've been scattered and out of sorts all day.

And there's what you said to Mrs Banner.

I was trying to talk the woman into saving her own life,

for heaven's sake!

You talked about how terrifying it is

to have your life thrown up in the air.

That these days how you're scared of everything.

It was just a turn of phrase. It doesn't mean I'm...

Oh, God! This is ridiculous.

Look, it's nothing to be ashamed of.

The only shameful thing would be doing nothing about it.

An NHS leaflet on depression?

You look at the list of symptoms and tell me they don't apply to you.

I think the symptoms of depression apply to most people,

especially people sitting in this room.

Except that's just my personality.

But from the way she says you've been behaving

and, I'm guessing, how you're feeling...

it's just not you.

I've spoken to occupational health

and they can get you an appointment quicker

-or we could go to your GP.

-I can't.

I can't get into this now.

Is that it?

No.

MONITOR BEEPS

This doesn't look like my idea of heaven.

Sorry. You're stuck here with us for a little while longer.

You're a genius.

And you can get back to that after-school club

once you've recovered,

which could be a while.

It's funny, isn't it?

You spend all those years working, looking forward to retirement...

..then you realise it's the work that's made you who you are.

I can't teach kids any more.

Not even one day a week.

I've got the energy upstairs, but the body...

This heart will last, what?

Ten years, if you're lucky.

Not a bad innings for a bloke my age.

I can hear them, you know. The hearts.

Both of them...going at it inside my chest there.

You'll get used to it.

And as the time goes on you'll get your old energy back.

Maybe.

But I've got to ask myself...

..why keep harking back to the past...

..trying to recapture something that's long gone?

No, I need to let go of who I was...

..and find out who I can be.

A brave new world.

Time to be honest with myself.

And with everyone else.

Excuse me.

Kofi, hi, it's me...your father. I saw Darla today.

She's quite a girl, she's a great credit to you.

Look, I... I know that we haven't spoken in a while and...

Well, that's probably my fault...

..but I'd like to talk...

..and if...

If you want to...

Well, I'm here. OK?

We're much more alike than you care to admit, Jac.

Strong-willed, we both have ambition, both have a past.

If this is the part where you beg for forgiveness...

I told you I'm not going to do that and I meant it -

but I do want you to know how much I care about you.

For us just to throw in the towel at the first hurdle...

that's not the way we do things in theatre.

Why do it that way outside?

I told Ollie that I'm married and that the marriage is over.

Pretty soon the whole hospital will know. I'm being honest.

No more hiding.

And that's supposed to be enough, is it?

You wanted to know who I really am.

Well, now you do.

Now everyone does.

Actually, they know the same about you as I do.

Which is exactly what you what us to know.

I don't particularly care about your wife...

..but if I was to ask about her and your life together...

It's not relevant.

And there's my answer.

This isn't honesty.

This is the same routine you've been peddling since you came here.

Which leaves me wondering, what else are you hiding?

Cos'altro c'e da dire?

-Mr Valentine, how can I help?

-It's my CV.

It's come to my attention that I'm missing some, um,

general surgical experience.

Well, that's hardly an insurmountable problem, is it,

considering your extensive experience elsewhere?

Still, I'd like to avoid running into problems down the line.

I'd like to dot the Is, cross the Ts on my road to consultant.

I see. And your solution to this problem would be what exactly?

I've got a little favour to ask.

I've just clocked off,

but I'm not leaving till we sort this out.

I know that you tried to steal that bottle of wine today.

And I'm betting it's not the first time you've tried to do

something like that.

You were so amazing with Mrs Banner.

You've got a bedside manner that most doctors would kill for

in this hospital.

So why can't you be that kind to yourself

and admit that you need help?

-Because I don't.

-Sacha, please.

Oh, just...

Can you just leave me alone, please?

What else have you stolen?

I don't know what makes me.

I mean, I can afford things.

VOICE BREAKS: I just feel so empty. Just lost.

It's like the world is spinning and I...

I can barely cling on.

You know, I...

I steal things and the pain goes away.

For a few minutes, just a few short minutes,

and then this wave of shame takes over.

And...it feels like I'm drowning.

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

Here they are - the dream team back together again.

You seem upbeat for a man who's resigned himself

to a retirement filled with golf and sitting.

You're kidding? I'm a scientific marvel.

I've done an echocardiogram.

More tests?

We need to make sure that both your hearts are beating in synch.

Me and Doctor Who, an elite club - two hearts.

The last thing we want is them working against each other.

And the results?

They work in perfect harmony.

Care to double check?

No, I don't have time.

I don't want to just pop a pill

and pretend that none of this ever happened.

You couldn't even if you wanted to.

It's going to be a long road, with cognitive therapy

and who knows what else -

but the main this is that you're going to get help.

I'm going to have to take all that stuff back, aren't I?

That should be nice and mortifying.

You're not the first person to shoplift with depression.

Far from it, actually.

I'm just really sorry that I didn't know

there was anything wrong before now.

Why?

I didn't.

This is the start of the way back.

-Yeah?

-Yeah.

Yeah.

-I've just spoken to Mr Hanssen.

-There's no need.

I've informed him that I'm willing to overlook what happened last week.

Actually, we didn't talk about either of you. It's about me.

You two may as well hear this now as well.

Why do you look like you've dropped a tenner and picked up a pound?

Because I'm hugely nervous

-and I hope to hell I've done the right thing.

-Done?

As of tomorrow, I no longer work on Darwin.

AAU is short-staffed and I'll be filling a gap down there.

Don't be ridiculous, Oliver.

I need general surgical experience if I'm going to make Consultant.

Well, one phone call from me and that all goes away.

Happens all the time. Shall we get back to work?

Actually, no. I'm serious about this.

-But you love Darwin.

-Yes.

But I just think it could be beneficial to try out

a different way of doing things, that's all.

You're a cardiothoracic surgeon, for goodness' sake.

Why would you want to "try out" mending broken nails

-and handing out aspirins?

-Good for you.

I hear Bernie's done wonderful things down in the trauma unit.

She has. I'm excited.

Are you really sure this is what you want?

I'm taking a leap.