Black Dog Holby City

Hatred and fear, especially when rooted in the sins of our

fathers, should never go unchallenged.

Frederik is coming down. Perhaps you'd like to meet him.

Another time, perhaps.

Now, I suggest that you just stay out of my way.

Escaping the wrath of Ric? Is he always that harsh on you?

I guess I find him a bit intimidating.

A complaint has been made by a junior doctor.

The board has decided to suspend you.

I'm jealous.

It was you, wasn't it? You leaked my name.

Zosia, are you OK?

No. I'm not OK.

TAPPING

PHONE RINGS

Hanssen.

HE SPEAKS SWEDISH

No, I'm needed here. Good day.

You ever get the feeling that you're being watched? Like, judged...

Since this whole thing happened with Mr Griffin, I feel like I'm

the bad guy.

I didn't mean for him to get suspended. You know that, right?

Look, listen. Thank you for last night.

I really needed the diversion.

Diversion, that's what you're calling it?

Do we need to put a label on it?

Dr Burrows, Mr Valentine...

That's my shirt.

Is it? I found it dumped in the back of Ollie's wardrobe.

I must have left it there when we were...

You can have it back.

It might need a dry-clean.

You're late and Keller's a consultant down.

We need to talk.

See? I am the bad guy.

I wouldn't worry about it. It'll blow over.

Will it?

Well, you told the truth, right?

I didn't...

Thanks, Mr Valentine, you're a rock!

Jas.... I wasn't questioning you.

It was the recommendation of this board that Mr Griffin be suspended

following the incident with junior doctor Jasmine Burrows...

A few days ago, Mr Hanssen descended from his ivory tower to

suggest a review of all aspects of consultant/junior doctor

training, oversight and comportment...

The hospital is blessed with a chairman who agrees that this

matter merits thorough investigation.

In fact, I have taken the liberty of adding a few minor details.

Intriguing.

I have hand-picked a team of neutral experts who will be observing

each surgical ward today.

Are there any questions? Clarifications?

Objections?

HE TAPS PENCIL

Henrik.

What can I do for you, Mr Wood?

I was just a little surprised at your reaction to my additions

to your review.

I gave no reaction.

I was just worried you might think I was treading on your toes.

I want to be clear, this was in

no way intended as a slight against your staff.

Or you.

No, of course not. You could not have been more transparent.

Lessons must be learned and all that.

A fish rots from the head down, after all.

Indeed it does.

Hey...

Listen, about before. The whole "shirt" thing.

Well, I wouldn't want you to get the wrong idea.

It's...not what it looks like. That's all.

OK. What is it then?

-I don't know.

-Don't you think you ought to?

Oh, good. There you are. I need to talk to you.

Are you OK?

Yeah, of course. Never better.

Mo...

It's not me. It's this.

Hormones.

One flipping rom-com and I'm going to be in tears all day.

-Rom-com?

-When Harry met Sally.

-Hm.

-Oh, silly girl.

"When you realise you want to spend the rest of your life with someone..."

-BOTH:

-"You want the rest of your life to start as soon as possible."

Sorry. Traffic was murder.

This is Mr Clark.

He's been referred to us from the ED after vomiting up blood.

Mr Clark is a consultant psychiatrist.

But don't hold that against me. I stopped practising some years ago.

Why?

Same reason, I suspect, as I'm vomiting up blood.

I am irredeemably alcoholic,

and I've just come off an almighty binge.

I'm being reviewed.

The review was my idea.

Why would you do that?

Oh, I see. You're up to something.

Well, you could have warned me. I could have helped you.

You CAN help. I want you to go to Sweden.

The new CEO of Lovborg Biotek wants to discuss current

and future partnerships.

New CEO?

I heard Nils had taken a sabbatical due to illness but...

Nils Johannsen passed away at 7.15 this morning.

I want you to be Holby's representative

at the funeral, please.

You're not going?

Is that a problem?

Well, Nils was married to Maja.

He brought up your son as his own

and you gifted him your father's company.

You asked me to act like a CEO.

That is what I intend to do.

That will be all. Thank you.

Alex Lambert.

Isn't he the one who leaked Zosia's name to the papers?

"The Bipolar Doctor"?

Developed Long QT syndrome after not disclosing that

he was addicted to anti-depressants.

Shortness of breath, palpitations.

Slight fever. Rash on his arms.

You think he might be using again?

Well, I'm not ruling it out.

Nice to see the place hasn't changed.

Some things never do.

FBC, U&Es, LFTs and clotting, please, Nurse.

That's a lot of tests for what's almost certainly an infection.

Maybe I should order a tox screen?

If you're expecting to find benzodiazepine, you won't.

I'm a reformed character.

Is that so?

I had what you might call an intervention.

I'm very glad to hear it.

Excuse me...

Is Dr March about?

-Why?

-I want to talk to her about my blog...

Are you kidding me? After what you did to her last time?

I don't think you understand...

I understand perfectly.

I was there, remember?

Stay away from her.

Review into what?

Consultant/junior training interface...that kind of thing.

So we're supposed to interface with the juniors?

Wow, I thought that kind of thing was frowned upon!

Good. So you'll be monitoring us, then?

I will be monitoring this ward on behalf of the hospital.

If transparency is a concern, Mr Maynard is welcome to observe me.

Maybe we'll pop our heads in once or twice.

I wouldn't try interfacing with him, if I were you.

26, 27...

Exactly one hour, 42 minutes and 28 seconds late.

I'm the head of department, I don't keep a time sheet.

Maybe that's why we're always late.

Well, I need my morning coffee, Jason.

You know I'm a terrible grump without it.

Has there been a national shortage of coffee recently?

No. Why?

You've been grumpy for weeks.

That's what Dr Digby and Mr Di Lucca say.

Maybe that's because I'm understaffed.

Why have we suddenly got a shortage of porters?!

They think you're angry Ms Wolfe left,

but maybe you just need more coffee.

THEY SNIGGER

Ignore them, Jason. Some people are just plain rude.

They're laughing about you.

-What?

-And Ms Wolfe.

"Crazy Campbell, pudding and pie Kissed the girl and made her cry."

Is that true, Auntie Serena? Do you kiss girls now?

'Doors closing.'

You asked to see me?

Yes, I have to go to Sweden.

OK.

You need help packing? Travel agent? Map?

Dr March has requested a transfer to continue her CT2 rotation elsewhere.

Why?

She has found things... difficult here recently.

Me and Jasmine?

It's more than that.

She has some issues that she needs to sort out and she thinks it

would be best to do that somewhere fresh.

And you want me to help talk her out of it?

No. I want you to promise that you won't.

You want to lose Zosia from Darwin?

No, I don't.

Then why?

Because I want what's best for her. Not best for me.

-Or the hospital.

-And you think I don't?

I don't know. Do you?

Ms Campbell?

Is there any particular reason people are just standing around,

Dr Digby?

I mean, God forbid anyone do any actual patient care...

This is Ms Cousins.

It's OK, Dr Digby, Serena and I are...intimately acquainted.

Intimately?!

She just means we go back a long way.

Oh. You're old friends!

Let's not go overboard.

Fancy seeing you again, Imelda. What are you doing here?

Ms Cousins is here as part of the trust-wide review of

consultant/junior doctor training, oversight and comportment.

Hmm.

It'll be just like old times.

Oh, goodie(!)

Is this all really necessary?

What, the review?

Yeah. Is it because of what happened with Mr Griffin?

Cos everyone makes mistakes.

A hospital is much like a patient.

If it becomes unwell it is my duty to treat it.

MR CLARK LAUGHS

Surgeons - always looking to cut out what they can't understand.

Do you ever stop to ask yourself whether your

interventions cause more harm than good?

Mr Clark's a consultant psychiatrist. This is Mr Hanssen...

Henrik Hanssen needs no introduction to me.

Nor I to him.

I would like to see Mr Clark's lab results ASAP, please.

That means now, Dr Burrows.

What's she done wrong?

Spent long enough in the NHS to recognise when

a junior's been sent to Coventry.

That would constitute bullying. I don't tolerate bullying, Mr Clark.

So all that was the stick?

When do you deploy the carrot?

Mr Clark's lab results. Flag's been raised on LFTs.

So I'm thinking variceal bleeding as a complication of cirrhosis.

Ah, so he's an alcoholic?

Well, it explains why he stopped practising.

Do you know Mr Clark professionally?

Of him. Yes, he helped Luc Hemingway.

Gemma Wilde as well.

Maybe these days, diagnosing and treating Holby surgeons is

its own speciality?

So complete medical history and full clotting screen ahead of

a gastroscopy.

Understood?

Sore throat yesterday. Thought nothing of it.

Then... Mr Valentine.

Zosh, have you got a sec?

Sorry, I didn't mean to step on your toes.

His lab results came back inconclusive so I presumed

a bedside echo would be the next move.

Let me guess - his echo was inconclusive too?

Yes. So I've ordered a new series of blood cultures.

Zosia, I've got this. You don't have to deal with him.

It's fine. We're fine.

Dr March? With me.

I've had to move my descending aorta up the list.

I thought I made myself clear.

You have every reason to distrust me. I get that.

But we should really try and move on.

Especially as we may be working together.

What are you talking about?

I'm now a trained practitioner in the Mindfulness programme.

If my proposal is accepted, I'll be running the programme at Holby.

Who on earth suggested you?

She really didn't tell you?

Zosia.

Awkward...

Tox screen, please, for Mr Lambert. Blood and urine.

You're wasting your time.

Imelda Cousins. I forced her out!

Why is she back? I mean, what's Tristan up to?

Aren't you even the tiniest bit concerned about this review?

Our job is to educate and inspire junior doctors.

I have every faith in the staff of this hospital, including you.

Look, I'm a consultant down. Raf's on leave,

Fletch is still recovering, I can't afford any more hospital porters and

Jason's banging on at me to action a highly critical audit of AAU.

The last thing I need is Imelda Cousins following

me around with a clipboard and her infuriating air of condescension.

Ms Bernie Wolfe's e-mail in Ukraine.

I think someone should remind her that her presence is very

much required at Holby City.

You do it. You sent her there.

Actually, her work was completed a week ago. She's chosen to stay.

You are angry with Ms Wolfe?

Not at all.

I just don't know what makes you think that I care in the

slightest whether she comes back or not.

Because this hospital needs it, even if your pride thinks you don't.

Family?

A daughter. Stephanie. She'd be about your age now.

Does she know you're here?

I'm a functioning alcoholic, not a functioning parent.

Wife?

Estranged.

See above answer.

What happened?

I missed a diagnosis.

That's it? One mistake?

The consequences were severe.

HE MOANS

You in pain?

I took some tablets when the ED sent me home.

They must be wearing off.

Dr Burrows.

Mr Wood...

Mr Hanssen?

He was called away.

Carry on.

Excuse me.

Mr Wood.

Can I talk to you, please?

You're bringing Alex Lambert back here.

"Hi, Zosia. Good luck in theatre, Zosia."

That man took your secrets and splashed them to the world.

How could you let him back into your life?

He wrote to me a couple of months ago.

Said he'd taken my advice, seen a psychiatrist. Got help.

You forgave him? You forgive him and you won't forgive me? Still won't.

-He apologised...

-So did I! 100 times.

He meant it.

I've got to go.

What if he's lying to you, like he did before?

This whole thing has gone way too far.

I never meant for Mr Griffin to be suspended...

Of course you didn't. And his suspension was not your fault.

Then why do I have Hanssen breathing down my neck?

Sorry, I didn't mean that.

I understand you're feeling alone and I'm sorry. It's not fair.

I want to protect talented junior doctors from the bullying

culture of the old NHS.

Who said anything about bullying?

You said you were feeling intimidated.

Yeah, but...

I would hope that if anyone were to be a victim of any type of

intimidation, they would have the courage to report it.

I am not being bullied.

Good.

You have done nothing wrong, Dr Burrows. You have my full support.

I trust I have yours?

TAPPING

Where's Dr Burrows?

She was seconded.

By whom?

A man with a lot of power but not much subtlety.

Tristan Wood.

Our chairman of the board.

Ah...poor girl.

Caught up in a terrible old narcissists' power struggle.

Psychiatrists - always leaping to a clinical observation.

Acute lack of empathy, borderline sociopathic need for

immediate and total obedience, physical signs of psychomotor

agitation indicating barely repressed depressive tendencies...

Tristan Wood

has many interesting qualities but he's never struck me as depressive.

I wasn't talking about him.

Have you spoken to someone?

About what?

Your depression.

That won't be necessary, thank you.

Mr Hanssen. I was called away.

Prep Mr Clark for an immediate gastroscopy.

But I haven't finished...

Now, please, Dr Burrows.

If it's any consolation, I think it's me he's annoyed with.

I know how all this must look.

Pretend I'm not even here.

This is Nathan Solanski. 44. Suspected pancreatitis.

We need to do a femoral stab to confirm.

OK. Away you go.

I'm having trouble finding the femoral vessel...

Auntie Serena!

Just a minute, Jason.

Here, let me show you.

Unlike you to have trouble getting under someone's skin, Serena.

Pretending you're not here, Imelda.

Perhaps you'd find the stab easier to perform if Mr Solanski's

back was turned to you?

Done. Apologies for any discomfort, Mr Solanski.

Some people's arteries are trickier than others.

"Blames patient for poor arteries."

Yes, I am aware that that didn't look great but we do usually run

a tight ship.

"Run a tight ship." Idiom. Auntie Serena runs a tight ship.

My nephew, Jason.

Apart from poor time-keeping, endemic lateness,

frequent grumpiness, failure to write an action plan despite

repeated requests, this is a very tight ship indeed.

Well, thank you, Jason...

Action plan!

KNOCK ON DOOR

Alex Lambert?

Coming here?

No decision has been made...

-Why is it even being considered?!

-PHONE RINGS

Dr March came to me with a proposal, which I agreed to look at.

Zosia isn't thinking straight.

And you know that, how?

The fact she's transferring her CT2 rotation out of Darwin, for a start.

You didn't know?

No, I did not.

PHONE CONTINUES TO RING

Are you going to answer that?

Dr March is free to make whatever decision she may see fit.

You can't let her go.

Well, one of us certainly can't. That much is clear.

PHONE BEEPS

What happened?

Pulse and B/P suddenly dipped.

Soft systolic murmur...

I'm sorry, Mr Valentine.

You have every reason to hate me.

Why would I hate you?

For what happened with Zosia. You two breaking up.

She told you?

Well, I know it was partly because of me.

You give yourself too much credit.

Fluids, please. Push saline.

The lies I told. What I did.

Oxygen, please. Eight litres, quickly.

Breathe in for me.

Better?

Yes. Thank you.

If it helps, I don't think she blames you.

What would help is if you told us what you've taken.

-Oliver...

-Your labs are clear

but you're sweating, you're feverish,

you've got uncontrolled tremors. Your heartbeat's irregular.

Signs of a man taking drugs, or withdrawing from them.

Mr Valentine.

Tox screen. It's clear.

Reformed character.

Rosie, full spectrum blood cultures, please.

My office.

There's a bleeding ulcer.

Isolate the bleed.

Blue pedal and stop.

Mr Wood wanted to discuss the review with you. Did he?

He called you away.

Yes.

You should know that this review is just as much about

me as it is about you.

I don't understand.

You've heard the expression - a fish rots from the head.

Well, the responsibility

for what happened between you and Mr Griffin ultimately falls to me.

Why?

I set the compass.

The bleeding's stopped.

Inject adrenaline.

Nice job, Dr Burrows. Well done.

You know, you can't take responsibility for everything.

Look at Mr Clark.

He feels responsible for one mistake and it's ruined his life.

Three years ago, Mr Clark's daughter took her own life.

But he said he missed a diagnosis.

Yes. His own daughter's depression.

He feels responsible.

He feels guilty. That's why he drinks.

It's an abrogation of responsibility.

In a sense, it's not making a mistake that matters.

It's how you deal with it. Facing up to it.

Not running away.

Removing scope...

Now, I think we are forgetting the abnormal LFTs.

Prepare for a liver ultrasound, please.

He pushes my buttons.

You blame him for what happened with Zosia?

He certainly didn't help.

And why aren't you with Zosia?

She dumped me.

Fight for her. Win her back.

That ship has sailed.

You still love her, though, right?

I care about her.

You always do that. Procrastinate.

Don't make the same mistake I did.

You end up watching the person you love with someone else.

The father of your baby.

I thought you didn't know the father.

I see him every day.

Mr T...

Does he know?

-How can I tell him?

-How could you not?

Because he's happy. For the first time in forever.

-KNOCK ON DOOR

-Come in.

-Mr Lambert's blood cultures.

-Oh.

Your nephew said you could use it.

You seem tense, Serena.

We're understaffed. Nurses, consultants, porters...

I'd like to become a porter.

Why? You've got a perfectly good job.

-To help.

-You do help.

No. My job is to point out other people's mistakes.

I make people miserable.

Like she does.

Ouch!

You don't want to be a porter, Jason.

Why?

You're above that.

Maybe that attitude is why AAU has a shortage of porters.

Ouch!

I wish Ms Wolfe was here. She would understand.

Can we please go five minutes without somebody mentioning

Berenice bloody Wolfe?!

Bernie Wolfe, trauma specialist?

Don't you start...

Do you know her?

Our husbands knew each other.

Ms Wolfe kisses girls now.

-She what?

-Kisses girls. Like Aunt...

Yes, thank you, Jason. We can discuss you becoming a porter later.

Nice kid. Perceptive.

What happened to that pharmaceutical job I got for you?

We...parted ways, by mutual agreement, about 18 months ago.

Right. But why do this?

Imelda!

I'm sorry. What?

Why are you doing Tristan Wood's donkey work.

Just wanted to take some time out from the...hurly-burly.

It's Mr Solanski...

Right. Excuse me.

I know what staph is. Infection, huh?

What's causing it?

We'll need to book you in for a TOE.

That will reveal more.

In the meantime, the IV antibiotics will deal with the sepsis.

Thank you.

I owe you an apology.

Mr Valentine. Oliver, please.

You were just looking out for Zosia, right?

Yes, I guess so.

You and me both, then. I've come to care for her too.

If it wasn't for her,

I wouldn't have got into the whole Mindfulness thing.

The Mindfulness "thing"?

She helped me believe in myself. She likes that, I think.

To help people. To be...

-..needed.

-Right, well, I better sort out your TOE.

Is there anything else I can do for you?

There is one thing.

It's a bit awkward, so I'll just say it - I want to ask Zosia out

but I wanted to see if it was OK with you first.

It's a bit weird...

No.

It's not OK.

It's not? Why?

Thing is, erm, Zosia and I...

..we're in the process of reconciling.

-You are?

-Yes. Sorry.

Well, that's great news. Good for you.

A bit embarrassing for me.

Well, you weren't to know.

No. I wasn't.

Congratulations.

So, Dr Burrows has cauterised the bleed.

However, I'm afraid a secondary condition has been revealed.

It appears you have end-stage liver disease.

I see.

You are not surprised.

I suspected.

And did nothing.

I self-medicated... What's your excuse?

For what?

Ignoring your symptoms.

Your OCD. It's been getting worse, hasn't it?

Eruptions here and there...

I'm afraid I don't know what you're saying.

There. Are you aware you're doing that?

Tapping to stave off intrusive thoughts.

There are no intrusive thoughts.

The manifestation of a desire to avoid some guilt-inducing

burden or expectation...

There is no burden.

The betrayal of a loved one. Wife?

I am unmarried.

Parent?

Both dead.

Child?

That's enough!

I'm sorry. I had no right to cause you pain.

If you'll excuse me. I have a hospital to save.

"Save"? You mean "run".

Or perhaps not?

Perhaps there really are dark forces assailing

a kingdom that only you can save.

You need to talk to someone, Mr Hanssen. Sooner rather than later.

Would you have Mr Clark transferred to St James'

at the earliest possible convenience?

-Congratulations.

-Mm?

Your apparent promotion to consultant.

I'm just doing some research.

Do it elsewhere.

Hello. Yes, this is Jac Naylor, from Holby City Hospital.

I'll be meeting with your new CEO.

Can you tell me who is taking over from Nils, please?

I think I may have hurt Mr Hanssen.

I shouldn't have done that.

He's got a pretty thick skin.

Not as thick as you think.

Look, tell Henrik I'm sorry, would you? That...

Oh, OK. There we go.

I need some help here, please.

What happened?

I don't know. He's re-bleeding.

BP's dropping.

Right, can we get a litre of saline, please.

And can you get Hanssen?

It is customary to knock, isn't it?

The new CEO of Lovborg Biotek is Fredrik Johannsen.

I am aware...

Your son.

Your point?

Henrik, he's just lost the man who raised him.

Do you not think Fredrik might be expecting his actual father

to come and see him?

TELEPHONE RINGS

Look, Fredrik neither requires nor desires any attempts at solace.

Especially from me.

Hanssen speaking.

Right. Just on my way.

Expanding haematoma?

Looks like it.

This is all my fault.

Not necessarily. Femoral stab's are notoriously...

Imelda, if you want to help, you could pass me the ultrasound probe.

Oh, great. Yes, I'd forgotten we're pretending you're not here.

Auntie Serena?

Not now, Jason. I'm busy.

Can you walk?

OK, focused compression for five minutes.

Although, of course,

Imelda would insist upon the full 15 minutes,

as per the book, Best Practice

which has zero value in the modern world.

But, of course, for jobsworths and pencil pushers,

it's not important how things work, but how they are mandated,

because process is more important than result.

And yet, ah, yes,

as you can see, the bleeding has already almost stopped...

Here endeth the lesson, Dr Digby.

Oh.

He shocked. BP 80/40.

Pulse 120, and he's had two litres of saline.

So, what happened, Dr Burrows?

I don't know.

Think. What were his symptoms?

Pallor, sweating, nausea, pain.

He vomited blood and then went into shock.

Tablets.

What tablets?

Can you do a Point of Care INR test, please, Nurse Harrison?

When I was doing his history he said he took something

after the ED sent him home this morning.

INR levels abnormally high.

OK, can we start him off on FFP platelets,

an albumin infusion and vitamin K.

ASAP.

Severe liver failure? Caused by?

I think he's taken Paracetamol. It's hepatoxic.

That would explain why he's coagulopathic.

That's a nice catch.

OK, so we need an abdo CT...

No mention of Mr Clark taking Paracetamol in this history?

I was called away...

And where are the results of the full clotting that I asked

you for earlier?

You ordered me to prep...

Are you blaming someone else again?

I'm sorry, I just...

Are you incapable of taking responsibility, Dr Burrows?

Mr Hanssen, is this really necessary?

A word in private?

Goodness. Where...?

You're unwell.

Yes.

Then you should tell Auntie Serena.

No. That won't be necessary.

But Auntie Serena helps people.

She can't help me.

I'm sorry. I'd like to help if I can.

You already have. I think you'd make a great porter, Jason.

Auntie Serena doesn't.

Well, there's probably something you should know

about your Auntie Serena.

Henrik?

You've not been yourself recently.

I'm perfectly fine, thank you.

Maybe a little time off to let the dust settle.

No. That will not be necessary.

You just won't be helped, will you?

The board is due to meet at the end of the day.

How will we explain all this?

I will explain that Dr Burrows failed to complete

a medical history because she was called away from her duties by

a senior member of management.

Called away by who?

You, Mr Wood. You spoke to Dr Burrows, didn't you?

Dr Burrows came to me.

She was concerned that she was being scapegoated

for Mr Griffin's suspension.

I assured her that there is no place for bullying in my hospital.

At the end of the day, the board will hear from yourself

and Dr Burrows.

I hope we can salvage something.

Hey, you got a minute?

Yeah.

You look tired.

I am tired. How are you?

Confirmed staph infection. Cause not so confirmed.

Well, I'm sure, Mr Valentine will be on it.

I just...

Are those...?

I wanted to say how happy I am for you.

Both of you. Really.

Both of who?

You and Ollie.

It's really great that you could get past your differences.

What are you talking about?

Status?

Another episode of melina and his BP has dropped.

We're taking him to theatre now.

Thank you, Mr Levy, but I will perform this surgery.

I can assist.

No, this is a teaching hospital after all.

Dr Burrows, would you care to scrub in.

Good, see you on the ice.

Got a minute?

Do I have a choice?

I should tell you the real reason I'm here. Full disclosure.

Go on...

Yes, Jason. I am doing the Action Plan now.

Look.

Oh. I don't care about that any more. Not my job.

I quit.

You did what?

Quit. I've got an application from HR, for a porter's position.

I need a reference from you.

What? Oh for heaven's... Have you lost your mind? You've got a job.

You were right. She is a snob.

You had to be there for context.

Look, I have every respect for porters.

But they work long hours in a busy and stressful environment.

Ms Wolfe says...

I don't care what Ms Wolfe says. She's not here, is she?

Serena...

Oh, not another word!

Why are you really here, Imelda? What's Tristan offered you?

CEO? Why else would you be pushing pencils round a clipboard?

She's sick, Auntie Serena!

Sick? Well, that's a bit harsh, Jason. Conniving, perhaps.

You're not listening!

Absence seizures.

What?

I am experiencing absence seizures. Jason noticed.

Took care of me.

You have epilepsy?

That is why I am here pushing pencils around a clipboard.

Right.

So, the ulcer has reopened and is bleeding heavily. Why?

The Paracetamol, combined with the alcoholic liver disease,

has pushed him over the edge into formal hepatotoxic failure.

It's destroyed his ability to clot.

Very good, Dr Burrows. Suture with 2/0 vicryl, please.

The bleeding has stopped.

Will he be OK?

Well, for now.

So I understand that Mr Wood did not call you away.

In fact, you went to see him.

Now, we spoke earlier about

a fish rotting from the head down, did we not?

-Yes...

-This is actually not true.

Rot sets in from the inside, from the gut.

Mortification spreads from there,

throughout the entire organism, engulfing everything.

So just one tiny bacteria leads to the rotting corpse of the whole.

You may now close, Dr Burrows.

Nothing at all? Thank you.

Alex has endocarditis.

Mo's done the TOE?

No, not yet. Just good, old-fashioned visual diagnosis.

Haemorrhages have appeared under his fingernails.

You've spoken to Alex?

Oh, yes.

I don't what he's told you, but...

Apparently we're reconciling, which is news to me.

-I'm sure I've missed that memo...

-Well, he's lied to you. Again.

-I'm sorry?

-One of his mindfulness testimonials is a fabrication.

-How do you...?

-I've just spoken to the hospital...

-Ollie!

I've just spoken to the hospital. They've never heard of Alex Lambert.

If he lied about this one, he's probably lied about all of them.

My, you have been busy.

I doubt he's even mindfulness trained.

-Why would he lie about that?

-Because he's in love with you.

Or at least he thinks he is.

This is just a way of getting into your life.

So you told him that we were together

in a bid to "protect" me, I suppose.

Maybe...

-You have a girlfriend.

-It's not as simple as that.

-Why not?

Cos I don't love her.

I don't love her.

Does Jasmine know this?

When were you planning on telling her?

When were you planning on telling me that you've requested a transfer?

-Oh, Jac.

-Yeah. She's got your best interests at heart and so have I.

What does that even mean?

I don't know.

Look, Zosia, if you want to leave Darwin because you can't forgive me

or you hate me, fine. But if there are...

..other feelings going on, then maybe we do need to talk about them.

-Ah...

-PAGER BEEPS

Alex.

What happened?

He crashed. BP 70/60, pulse 100.

The antibiotics should have contained the sepsis by now.

It's not just sepsis.

Right, well, if it is endocarditis then...

He may have blown a leaflet of the prosthetic valve.

Let's get him in to theatre.

We can do the TOE to confirm.

I lied...

about Mr Griffin. I wasn't intimidated. I made a mistake,

and I was scared of getting in trouble.

And then Mr Wood just offered me a way out.

He made it sound so reasonable.

What do I do?

You tell the board. Everything.

I'll lose my job.

Well, I'm afraid there's nothing I can do to stop that now.

If I tell the truth.

And if I don't?

Endocarditis. Good catch.

-All Zosia.

-Teamwork?

-Well, good communication.

-Yeah, it's a start.

I can finish up here.

-I can't let Zosia leave.

-Why?

-I'm still in love with her.

-Is she aware of this?

Not explicitly. Not yet.

So this thing with Jasmine, what was what?

-Just a way to hurt Zosia?

-No. Of course not.

For the last three weeks,

Zosia has been on the verge of a bipolar relapse.

A relapse? I knew she was drinking a bit.

Drinking a lot. Not taking her meds.

Generally engaging in self-destructive behaviour.

OK. Um...

You're blaming me being with Jasmine for this?

No. Zosia's a grown-up.

What's your point?

That the woman you "can't let leave" almost had

a breakdown right in front of you, and you barely even noticed.

You might want to think about that before you go running to her

with claims of undying love.

Dr March.

Mr Hanssen. I was just leaving.

Yes, so I hear.

You've requested a CT2 transfer?

I'm considering it, yes.

Who told you? Ms Naylor?

Mr Valentine, actually.

I think he thinks that your decision may have something to do with him.

It probably does a bit.

He also fears that you've not been yourself.

I've not.

Well, if there's anything you need, any support.

Thank you. Ms Naylor is aware.

How do you know when the condition has taken control?

You don't. By then, it's too late.

It's just as natural as any normal day.

Although it's not. Not really.

Not in the "real" world.

And so...

..how do you proceed?

It's always there.

Always will be.

You can't run from it.

Although it doesn't stop you from trying.

Whatever decision you make, you have my full support.

Thank you.

Have you seen Zosia?

She was just here, as it happens.

Got to hand it to you - you're determined.

Like a dog with a bone!

Why did you do it? Why did you lie?

Why did YOU?

I love her.

How's that working out for you?

Not too well.

How's it working out for Zosia?

Worse.

There you go. You are capable of insight.

What do you mean?

Zosia didn't include the testimonials in the proposal

she gave to Mr Hanssen.

Even when I mess up, she's still looking out for me.

Yeah. She does that.

You know what I don't get?

You've got everything.

Every possible advantage.

And yet you somehow manage to mess it all up.

How is that even possible?

I...

..don't know.

What is it this time? Hung-over? Or just plain skiving?

I told Mr Hanssen the truth.

About Griffin?

And...?

He said I had to tell the board. Everything.

-You'll be sacked.

-Yep.

And if you grass Tristan, he'll make sure you never work again.

Yes.

Is that the only choice that Hanssen gave you?

There is one other option.

I can do to Mr Hanssen what I've done to Mr Griffin.

I see...

What do I do?

Once upon a time, I'd have stabbed the Scandi in the back

quicker than you can say "Pass me the scalpel".

And what does that say about you?

That once upon a time, I was truly my mother's daughter.

The question is, are you?

Is it genetic?

Is what genetic?

You know what I'm referring to.

It's important to name it.

Right.

Depression. Is depression genetic?

Does it matter?

My mother took her own life.

I've never been diagnosed, but it's always been there.

For as long as I can remember.

And you think it might have come to you from her?

Or are you worried that you might have passed it on?

To answer your question, sometimes.

I never suffered from depression until my daughter took her own life.

Maybe that's why I couldn't see it in her.

Chicken or egg. You have a disease. Accept it.

Accept the issues that trigger you. Confront them.

Stop running away from them.

The hospital needs me, so I...

It's just a hospital. It's not Ragnarok.

There's no final heroic battle of the Gods to be fought here.

That's just another form of self-medication,

more poetic than alcohol, but no less destructive in the long run.

So if your advice is so sound...

..why can't you take it yourself?

Sharon?

I took the liberty of calling her.

See, your liver damage is not irreversible.

You have a second chance.

It's a last chance. Do you want to see her?

Where are you going?

To give someone else a second chance.

You'll be just fine. We're here to support you, remember?

Just like last time.

I understand, but I'm going to tell the truth.

OK. But remember, there are some things I can't protect you from.

And you won't need to, fortunately.

Dr Burrows, you are free to go.

A line has been drawn under the entire matter.

But the meeting hasn't started yet.

Oh, no, the meeting finished two minutes ago, actually.

A decision was reached by quorum.

I don't understand.

I took full responsibility for both today and the incident with

Mr Griffin.

The board has accepted extended "Gardening Leave"

as a suitable chastisement.

How?

I convinced them that a fish really does rot from the head down.

You can't leave. The hospital...

The hospital will be fine.

Indeed, I insisted on one or two stipulations

to make sure that it is.

Jason?

So when was your epilepsy diagnosed?

Two years ago.

My bosses gave me six months, then eased me out the door.

I'm sorry.

I'm sorry, too.

I was behaving appallingly passive-aggressive earlier.

Were you? I barely noticed.

When Tristan rang...

the opportunity to lord it over you was irresistible.

But Jason's right.

Who needs a life of pointing out other people's mistakes?

But you've always been so good at it.

Learned from the master.

Friends?

Yes, like I said, let's not go overboard.

Frenemies?

We'll see.

Hey.

Hey.

I was just thinking about what you were saying earlier.

I think we should talk...

You should do whatever is best for you.

You're the only person that knows what that is.

I don't want you to leave. You shouldn't have to.

But what's important is that...

..you're OK.

Alex asked me out. Can you believe that?

Yes. I can.

I'm thinking about it.

Yes, you should.

Think about it.

I'm sorry.

Why? What have you done now?

What I did before.

Thinking that I knew what was best for you.

You're right, I was never really sorry, and I am now.

Thank you.

I have had the most screwed-up day ever.

Can we go somewhere and do whatever to make it go away.

Are you sure?

Why wouldn't I be?

Well, you deserve better.

Of course I do, but so what?

It's all fun, isn't it?

Sure...

You wanted to see me?

Oh, good, there you are. Right.

Look. One Action Plan signed off.

You can give it to Audit as a leaving gift,

because here is your reference to become a porter.

Now, I can't guarantee anything, of course, but...

Does this mean you've stopped being a snob?

Yes, Jason. I have stopped being a snob.

So...

you fell on your sword?

In a manner of speaking.

I'm sorry it had to end this way.

I like to think of it as the start of a new beginning.

Where are you going?

Home. Back to Sweden. To my family.

And there was I thinking you'd sprung, fully-formed,

from the deep glacial ice core of some long forgotten fjord.

What a wonderful turn of phrase you have, Tristan!

Good luck, Henrik.

And don't worry, I'll find a suitable replacement

for you soon enough.

My cover has already been agreed. Didn't the board tell you?

No. Who?

I couldn't possibly spoil the surprise.

I warned you. He's dangerous.

Which is exactly why I need you here.

Look after the place while I'm away.

Why me?

Because...

..Holby needs its moral compass.

And when will you be back?

When you most need me, I imagine.

ENGINE STARTS

SIREN WAILS