The Heart Is a Small Thing

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0:00:02 > 0:00:04You're a liar, Jasmine, with the ability to turn

0:00:04 > 0:00:06every relationship you make into something toxic.

0:00:06 > 0:00:08There was no lie - my marriage is over.

0:00:08 > 0:00:10What difference would telling you about it have made?

0:00:10 > 0:00:14I haven't got feelings for you -

0:00:14 > 0:00:16not those kind of feelings, anyway.

0:00:16 > 0:00:18I feel fine.

0:00:18 > 0:00:22I just want to put all of this behind me.

0:00:22 > 0:00:23I have a past, Jac.

0:00:23 > 0:00:25I thought you of all people might understand.

0:00:25 > 0:00:27What else are you hiding?

0:01:06 > 0:01:08OK, here we go.

0:01:08 > 0:01:09OK.

0:01:09 > 0:01:11Yeah.

0:01:11 > 0:01:12Yes!

0:01:14 > 0:01:15Yes!

0:01:15 > 0:01:17No, no...

0:01:20 > 0:01:22HE GRUNTS

0:01:25 > 0:01:27Listen, about Isaac,

0:01:27 > 0:01:30you know, we had no idea that he was...

0:01:30 > 0:01:32you know...

0:01:32 > 0:01:34Well, why would you?

0:01:34 > 0:01:36I didn't know.

0:01:36 > 0:01:37Ladies and gentlemen,

0:01:37 > 0:01:40I am very happy to welcome my colleagues,

0:01:40 > 0:01:42and, indeed, my fellow countrymen,

0:01:42 > 0:01:45as part of our Sustainability Challenge Week.

0:01:45 > 0:01:51The University Hospital in Tornesvig has led some remarkable initiatives

0:01:51 > 0:01:54in the field of green hospital practices.

0:01:54 > 0:01:59We hope to show our Swedish colleagues that we too can

0:01:59 > 0:02:02improve efficiency and eliminate waste.

0:02:02 > 0:02:04This is his first echo...

0:02:04 > 0:02:06Tetralogy of Fallot.

0:02:06 > 0:02:08It was repaired when he was three months old.

0:02:08 > 0:02:10Which was 38 years ago.

0:02:10 > 0:02:12Yeah, we need to repeat the echo.

0:02:12 > 0:02:13Maybe a TOE too?

0:02:15 > 0:02:18I kept it warm for you -

0:02:18 > 0:02:21a little trick I learned when I worked in Iceland.

0:02:21 > 0:02:23Where's the sugar?

0:02:23 > 0:02:25I have to nominate one of you to write a report

0:02:25 > 0:02:28on how we intend to improve the ward's environmental strategy.

0:02:28 > 0:02:30It's going to be you, Mr Rossini.

0:02:30 > 0:02:32What an honour(!)

0:02:32 > 0:02:35So this guy's been asymptomatic all these years?

0:02:35 > 0:02:38Must be like carrying a ticking time bomb inside you.

0:02:38 > 0:02:39Well, I think the bomb's already gone off.

0:02:39 > 0:02:41He's lucky to be here at all.

0:02:41 > 0:02:43When he had his heart attack, the friend he was with

0:02:43 > 0:02:45just happened to be a doctor.

0:02:45 > 0:02:47Does the patient have a name?

0:02:47 > 0:02:49It's right there - Luke Puri.

0:02:52 > 0:02:54I wasn't ill.

0:02:54 > 0:02:55No, no, of course not.

0:02:55 > 0:02:56And I'm not sad.

0:02:57 > 0:03:00I'm angry, but I'll deal with that.

0:03:01 > 0:03:04I just want to get back to doing what I do best - work.

0:03:04 > 0:03:06I'm sorry, what is that?

0:03:06 > 0:03:11Oh, well, it's traditional - typically Swedish.

0:03:12 > 0:03:13OK.

0:03:13 > 0:03:18So, when did you first know that you wanted to be a doctor?

0:03:18 > 0:03:22When I was a kid, watching ER.

0:03:22 > 0:03:24Hmm...

0:03:24 > 0:03:25You?

0:03:25 > 0:03:30Ah, well, my father was a doctor, my grandfather was a doctor...

0:03:33 > 0:03:38So, are you ready to go back to work?

0:03:38 > 0:03:40Yes.

0:03:41 > 0:03:43Good.

0:03:43 > 0:03:46Oh, Ric, the mentee scheme -

0:03:46 > 0:03:48I thought I'd have mine in to observe this afternoon.

0:03:48 > 0:03:50You... You don't mind, do you?

0:03:50 > 0:03:53It's not often you get a carotid pseudoaneurysm.

0:03:53 > 0:03:54Sure.

0:03:54 > 0:03:57There's nothing to stop me having my mentee in, is there?

0:03:57 > 0:04:00Just the fact you haven't got one.

0:04:00 > 0:04:05Morven, I'm inviting you to observe in theatre this afternoon,

0:04:05 > 0:04:06as my mentee.

0:04:06 > 0:04:09It's not a competition.

0:04:09 > 0:04:11Isn't it?

0:04:11 > 0:04:15Oh, you are playing a very dangerous game if you're going to press

0:04:15 > 0:04:16my competitive button.

0:04:16 > 0:04:18I like to live dangerously.

0:04:18 > 0:04:21Who is your mentee, by the way?

0:04:21 > 0:04:23Oh, he's a wild card.

0:04:24 > 0:04:27Well, there's nothing to say that the mentee has to come from Holby.

0:04:27 > 0:04:29Or that he can't be the consultant's son?

0:04:29 > 0:04:32What's the matter? Are you worried your protegee won't measure up?

0:04:32 > 0:04:34Not at all...

0:04:34 > 0:04:36I'm just admiring your blatant disregard for

0:04:36 > 0:04:38the rules of fair play.

0:04:38 > 0:04:40Hi. What are you doing here?

0:04:40 > 0:04:43I am observing on a carotid pseudoaneurysm.

0:04:43 > 0:04:44Who's leading, your mum?

0:04:46 > 0:04:47Hi, Morven.

0:04:47 > 0:04:49Oh, hi. Hi, Cam.

0:04:51 > 0:04:52So, how's London?

0:04:52 > 0:04:54Great! A fantastic challenge.

0:04:54 > 0:04:57What is? Fighting off all the cute nurses?

0:04:57 > 0:04:59Oh, look, he's blushing.

0:04:59 > 0:05:01Cameron the love machine...

0:05:04 > 0:05:06What's up with you two?

0:05:06 > 0:05:07It's a long story.

0:05:13 > 0:05:14What's all this?

0:05:14 > 0:05:16It's for Dom.

0:05:16 > 0:05:19Right, I think we should keep things as normal as possible, OK?

0:05:19 > 0:05:21So if he wants time out, we give him time out,

0:05:21 > 0:05:23if he wants chocolates, we give him chocolates...

0:05:23 > 0:05:26- There isn't any chocolate. - Erm...fruit, then?

0:05:28 > 0:05:29What's that?

0:05:29 > 0:05:31Head massager - it relaxes you.

0:05:31 > 0:05:34Oh, looks terrifying.

0:05:34 > 0:05:36This is great, but I think we should put it away.

0:05:36 > 0:05:39- OK.- All right.

0:05:39 > 0:05:41Sacha, you know this report thing...

0:05:41 > 0:05:43Oh, yes, the report.

0:05:43 > 0:05:45Yeah, I did a quick bit of research over the weekend

0:05:45 > 0:05:47- on push-pull flow. - What's that?

0:05:47 > 0:05:50Flow - it's having the right equipment, the right personnel,

0:05:50 > 0:05:52and the right treatment at the exact moment of need.

0:05:52 > 0:05:54It saves time - and money, of course.

0:05:54 > 0:05:56Well, in your capable hands.

0:05:56 > 0:05:58- Yeah.- Good.- Oh...

0:05:58 > 0:06:00- Hey.- Hi.

0:06:00 > 0:06:01Hi!

0:06:01 > 0:06:04Just to let everyone know, the staff shower seems to be on the blink.

0:06:04 > 0:06:06Yes, it's part of the Sustainable Week -

0:06:06 > 0:06:08it's hot water for five minutes per person.

0:06:08 > 0:06:09Classic push-pull flow.

0:06:09 > 0:06:10Exactly.

0:06:10 > 0:06:12So, is there a prize?

0:06:12 > 0:06:13A weekend for two in Malmo.

0:06:13 > 0:06:15Why do you think I've been doing the research?

0:06:15 > 0:06:17Ah, OK.

0:06:18 > 0:06:21Here, we've got Lisa, 36, abdominal pain,

0:06:21 > 0:06:23- admitted to us for investigation. - OK.

0:06:26 > 0:06:28Oh...

0:06:28 > 0:06:30Oh, wait, I know her, Lisa Eldridge.

0:06:30 > 0:06:33Sacha and I performed an apronectomy on her.

0:06:33 > 0:06:35She's had a boob job and two nose jobs -

0:06:35 > 0:06:37all on the NHS.

0:06:37 > 0:06:39Dom, it's your first day back...

0:06:39 > 0:06:41Don't do that. This is what I do.

0:06:41 > 0:06:43It's what I'm good at, OK?

0:06:43 > 0:06:46She's a bit of a charmer, but it doesn't tend to work on me.

0:06:48 > 0:06:51Well, it's working on Sacha...

0:06:51 > 0:06:53The echo we've just done is a lot more detailed.

0:06:53 > 0:06:56We'll be able to get a much better view of your valve function.

0:06:56 > 0:06:59A friend told me that if I had to have heart surgery,

0:06:59 > 0:07:01I couldn't be in safer hands.

0:07:01 > 0:07:03There's no "if", I'm afraid.

0:07:03 > 0:07:05The repair you had done as a baby has got you this far, but...

0:07:05 > 0:07:07It's hit the buffers?

0:07:07 > 0:07:09Yeah. Don't worry -

0:07:09 > 0:07:11we're a team with a great deal of experience between us.

0:07:11 > 0:07:13I'll go and chase up those results.

0:07:15 > 0:07:17Jac, a word?

0:07:17 > 0:07:18Make it snappy.

0:07:18 > 0:07:19I've had a cancellation.

0:07:19 > 0:07:21I thought I could lighten your load...

0:07:21 > 0:07:23Is that what you say?

0:07:23 > 0:07:26Mr Puri, for example?

0:07:26 > 0:07:28Well, we don't have his echo results,

0:07:28 > 0:07:30so we don't even know what we're treating.

0:07:30 > 0:07:33Fine. You obviously think I'm not up to it. Forget I asked.

0:07:33 > 0:07:36Well, don't put words in my mouth, and I don't think for one moment

0:07:36 > 0:07:37that you're trying to lighten my load.

0:07:37 > 0:07:38No?

0:07:38 > 0:07:41You want the credit.

0:07:41 > 0:07:42Am I that transparent?

0:07:42 > 0:07:43Yes.

0:07:43 > 0:07:46Fine, but he thinks I'm leading.

0:07:46 > 0:07:48I'll tell him we work as a team.

0:07:48 > 0:07:50Which we do. I'm not saying yes.

0:07:50 > 0:07:51But you're not saying no.

0:07:51 > 0:07:52Keep me in the loop.

0:08:00 > 0:08:02Matteo Rossini.

0:08:04 > 0:08:06I know I'm not dreaming.

0:08:06 > 0:08:11I've heard lack of oxygen can induce some pretty ghastly hallucinations.

0:08:11 > 0:08:12I'm quite real, you'll find.

0:08:12 > 0:08:14You haven't changed a bit.

0:08:14 > 0:08:15How's the cut and thrust of accountancy?

0:08:15 > 0:08:17I retrained as a therapist.

0:08:17 > 0:08:20Hypnotherapy, perhaps? You'd be good at sending people to sleep.

0:08:20 > 0:08:22You find the idea of therapy threatening?

0:08:22 > 0:08:25Please! Getting in touch with one's inner child?

0:08:25 > 0:08:28I think you and your inner child are on very good terms...

0:08:28 > 0:08:29MATTEO EXHALES

0:08:29 > 0:08:32I see you haven't lost your fiery Mediterranean charm.

0:08:32 > 0:08:35That, from the man who put the Luke into lukewarm!

0:08:35 > 0:08:37What do you want?

0:08:37 > 0:08:38Erm...

0:08:38 > 0:08:41Jac asked me to sort an ECG for Mr Puri.

0:08:41 > 0:08:43Leave it for the moment. He's my patient now.

0:08:43 > 0:08:45Let's see the echo results first.

0:08:45 > 0:08:47Right. Is everything OK?

0:08:47 > 0:08:49Fine. He's a friend of a friend...

0:08:49 > 0:08:50Doesn't sound very friendly.

0:08:50 > 0:08:51No.

0:08:51 > 0:08:53- Hi.- Hi.

0:08:53 > 0:08:55Oh...

0:08:55 > 0:08:57- Hello.- How are you doing?

0:08:57 > 0:08:59Oh, hello! Are you still here?

0:08:59 > 0:09:00I thought you were a student or something...

0:09:00 > 0:09:03I've been fully qualified for four years now.

0:09:03 > 0:09:06Oh. Well, it must be your baby face.

0:09:06 > 0:09:09Some people never age, while the rest of us just fall apart.

0:09:09 > 0:09:11- Yeah, tell me about it.- Oh, no. SHE LAUGHS

0:09:11 > 0:09:14So, how long have you had this pain for?

0:09:14 > 0:09:17Oh, erm, a couple of days.

0:09:17 > 0:09:18Any other symptoms?

0:09:18 > 0:09:20I felt a bit fluey.

0:09:20 > 0:09:22Do you mind if I take a look?

0:09:22 > 0:09:24Oh, be my guest.

0:09:33 > 0:09:35How long has the scar looked like that?

0:09:35 > 0:09:37Not very pretty, is it?

0:09:37 > 0:09:38Do you think you'll have to redo it?

0:09:38 > 0:09:41Well, it might be treatable with antibiotics.

0:09:41 > 0:09:43Oh.

0:09:43 > 0:09:44Excuse me.

0:09:44 > 0:09:46Um...

0:09:49 > 0:09:52SHE SCREAMS Whoa! Sorry.

0:09:52 > 0:09:54OK, let's stop there, I think.

0:09:54 > 0:09:55Usual bloods.

0:10:00 > 0:10:02Could be an incisional hernia -

0:10:02 > 0:10:04tender, not cellulitic, but the BP's running low,

0:10:04 > 0:10:06so, in the meantime, just go gently.

0:10:06 > 0:10:07OK.

0:10:09 > 0:10:11And the Oscar for Best Actress goes to...

0:10:14 > 0:10:15Great!

0:10:15 > 0:10:18I'll let you know when the patient's on his way.

0:10:18 > 0:10:19Bye.

0:10:29 > 0:10:31KNOCK AT DOOR

0:10:31 > 0:10:34I thought you'd like to know Mr Puri's echo results are back.

0:10:34 > 0:10:35It's a personal call.

0:10:40 > 0:10:42It's Matteo...

0:10:42 > 0:10:45Luke has been admitted to Holby, but I thought you should know,

0:10:45 > 0:10:47he's being transferred to St James' -

0:10:47 > 0:10:48should save you a journey.

0:10:52 > 0:10:53Right, give us your phone.

0:10:53 > 0:10:54There you go.

0:10:54 > 0:10:56Ah...

0:10:58 > 0:10:59Big smile.

0:10:59 > 0:11:01THEY LAUGH

0:11:07 > 0:11:08Can I help you?

0:11:08 > 0:11:10I'm fine, thank you.

0:11:18 > 0:11:19Who was that?

0:11:21 > 0:11:23You think we should do it again, don't you?

0:11:23 > 0:11:27All I'm saying is, it clearly wasn't our finest hour.

0:11:27 > 0:11:29Her temperature's high, BP's abnormally low,

0:11:29 > 0:11:31and if she's faking it, I want to know how.

0:11:31 > 0:11:33Voodoo magic?

0:11:33 > 0:11:36Simmering some herbs over a low heat whilst mumbling an incantation?

0:11:36 > 0:11:37Newt optional.

0:11:39 > 0:11:42Dom, it's your first day back, so if you want to...

0:11:42 > 0:11:44It was a joke, Sacha. Where is your sense of humour?

0:11:47 > 0:11:49That's the TOE, too.

0:11:49 > 0:11:51SHE SIGHS

0:11:51 > 0:11:54Right ventricular hypertrophy. He's going to need a cardiac MRI.

0:11:54 > 0:11:56Did you do the ECG?

0:11:56 > 0:11:57Matteo told me to hold off.

0:11:57 > 0:11:59He said he wanted to see the results first.

0:11:59 > 0:12:01Well, where is he?

0:12:01 > 0:12:03Right, just do it. I'll deal with Matteo.

0:12:05 > 0:12:06Wow.

0:12:06 > 0:12:08Aortic stenosis, pulmonary regurgitation...

0:12:08 > 0:12:10That is one sick heart.

0:12:10 > 0:12:12Mmm.

0:12:12 > 0:12:14Ah, we're just looking at your patient's results.

0:12:14 > 0:12:15Here, take a look.

0:12:15 > 0:12:18It's irrelevant. He's being transferred to St James'.

0:12:18 > 0:12:20Why?

0:12:20 > 0:12:23We're overstretched. St James' is closer to his home.

0:12:23 > 0:12:24Have a look at the echoes.

0:12:24 > 0:12:26You're going to need to replace both those valves.

0:12:26 > 0:12:28Not to mention the TOE.

0:12:28 > 0:12:30You want to put this guy in an ambulance,

0:12:30 > 0:12:32take him to a different hospital - so you want to kill him?

0:12:32 > 0:12:35Maybe. Zosia did say she heard them snapping at each other

0:12:35 > 0:12:37like a pair of alligators.

0:12:37 > 0:12:39What's this?

0:12:39 > 0:12:40What's going on?

0:12:40 > 0:12:43I do happen to know the patient, vaguely,

0:12:43 > 0:12:45but that has nothing to do with it.

0:12:45 > 0:12:46Is he a doctor?

0:12:46 > 0:12:47A therapist.

0:12:47 > 0:12:49Your therapist?

0:12:49 > 0:12:50Why would I need a therapist?

0:12:50 > 0:12:51I can't imagine(!)

0:12:51 > 0:12:53MO STIFLES A LAUGH

0:12:53 > 0:12:55Well, that settles it, then. He's staying.

0:12:55 > 0:12:56I'll order the MRI.

0:12:59 > 0:13:01So, who is he?

0:13:01 > 0:13:03No-one.

0:13:03 > 0:13:05An acquaintance.

0:13:18 > 0:13:19I brought you some green tea.

0:13:19 > 0:13:22Ah, thank you, but Essie beat you to it.

0:13:22 > 0:13:25- DOM CLEARS HIS THROAT - As did Raf, actually.

0:13:25 > 0:13:27That's berry, I think.

0:13:27 > 0:13:29I was going to get you some chocolate, but...

0:13:29 > 0:13:32Sugar-free day, which is a great idea -

0:13:32 > 0:13:34I might hopefully lose a little bit of weight.

0:13:34 > 0:13:36You're not overweight.

0:13:36 > 0:13:37All right, I'll drink it myself.

0:13:37 > 0:13:39Oh, it smells delicious.

0:13:39 > 0:13:41Mustn't waste it - today of all days.

0:13:45 > 0:13:48So, Mr Cushion came in last week, complaining of neck pain,

0:13:48 > 0:13:49for a post-op check.

0:13:49 > 0:13:52We'd recently repaired a penetrating neck injury

0:13:52 > 0:13:54resulting from a workplace accident.

0:13:54 > 0:13:56Sorry I'm late.

0:13:56 > 0:13:59As I was saying, we repaired the neck injury the week before.

0:13:59 > 0:14:02Nearly crossed the bar.

0:14:02 > 0:14:03Here's the latest scan.

0:14:03 > 0:14:05What's our main concern?

0:14:05 > 0:14:07Avoiding the nerves in the neck in case of paralysis.

0:14:07 > 0:14:08I am here, you know.

0:14:08 > 0:14:10- Sorry. Sorry...- It's all right.

0:14:10 > 0:14:14I think you meant to say "compromising the cervical spine".

0:14:15 > 0:14:17And what are our options?

0:14:17 > 0:14:18Surgical repair?

0:14:18 > 0:14:19Or stent placement...

0:14:19 > 0:14:20Very good.

0:14:20 > 0:14:22We'll see later which is the most appropriate.

0:14:22 > 0:14:25In the meantime, it would be good to have a follow-up scan.

0:14:25 > 0:14:26I could do that.

0:14:26 > 0:14:28Thank you, Dr Digby.

0:14:28 > 0:14:31We'll leave you in the capable hands of Dr Digby, Mr Cushion.

0:14:37 > 0:14:41So are you looking forward to this afternoon, Dr Dunn?

0:14:41 > 0:14:44It seems a long way to come just to observe.

0:14:44 > 0:14:47Well, he's very keen to be a trauma surgeon -

0:14:47 > 0:14:49this'll look very good on his CV.

0:14:52 > 0:14:53Is London going all right?

0:14:53 > 0:14:55Yes, yes.

0:14:55 > 0:14:57Ghastly new girlfriend, though.

0:14:59 > 0:15:02I'm so sorry.

0:15:02 > 0:15:05Now, that's an accident waiting to happen...

0:15:06 > 0:15:08Is Cam shadowing you?

0:15:08 > 0:15:11No.

0:15:11 > 0:15:12I told him I'm not interested.

0:15:12 > 0:15:14Really?

0:15:16 > 0:15:18So, we'll do the cardiac MRI as soon as possible.

0:15:18 > 0:15:20But you think it's aortic stenosis?

0:15:20 > 0:15:23On the left, and pulmonary valve regurgitation on the right.

0:15:23 > 0:15:25There's also significant scarring left over

0:15:25 > 0:15:27from the previous operation.

0:15:27 > 0:15:29My parents used to call it "bad plumbing".

0:15:29 > 0:15:30That's one way of putting it.

0:15:30 > 0:15:32Are you sure it isn't just easier to get a new heart?

0:15:32 > 0:15:36In some ways it would, but there's always the problem of a rejection.

0:15:36 > 0:15:39Is that your speciality, Mr Rossini?

0:15:39 > 0:15:41It's complex.

0:15:41 > 0:15:42It's the only way, Luke.

0:15:42 > 0:15:45Without the surgery, your heart failure will only get worse.

0:15:45 > 0:15:48I only just got your voicemail, by the way.

0:15:48 > 0:15:53So, after the op, assuming that it goes fine,

0:15:53 > 0:15:55will I be on more medication?

0:15:55 > 0:15:58Ah, sorry. Yes, medication...

0:15:58 > 0:16:00Erm...

0:16:00 > 0:16:02Blood pressure, blood thinner, statins...

0:16:02 > 0:16:03For how long?

0:16:03 > 0:16:05For life.

0:16:05 > 0:16:07If you'll excuse me...

0:16:07 > 0:16:09Jac.

0:16:12 > 0:16:13So, you finally called me back.

0:16:13 > 0:16:15Now is neither the time nor the place.

0:16:15 > 0:16:17It never is, though, is it, Matteo?

0:16:17 > 0:16:18I'm busy, can't you see?

0:16:18 > 0:16:20I want to sell the house.

0:16:23 > 0:16:24Will you talk to me now?

0:16:27 > 0:16:29You disapprove of my surgery?

0:16:31 > 0:16:34Yeah, no matter what you say, it's written all over your face.

0:16:34 > 0:16:36- You're a hypocrite. - And how did you work that out?

0:16:36 > 0:16:39Because you're just as self-conscious as me.

0:16:39 > 0:16:41I bet you belong to some fancy gym.

0:16:41 > 0:16:42I wish.

0:16:42 > 0:16:44Yeah, and that haircut probably cost a bomb.

0:16:44 > 0:16:46Ten years from now, you'll be first in line for a bit of botox

0:16:46 > 0:16:50and a pec implant.

0:16:50 > 0:16:52- Hi.- Hi.

0:16:52 > 0:16:54- How's your pain? Any more pain? - SHE SIGHS

0:16:54 > 0:16:58No. It's just a bit sore from the prodding.

0:17:00 > 0:17:02Can we get Ms Eldrige some more pain relief?

0:17:02 > 0:17:04- My pleasure.- (Thanks.)

0:17:04 > 0:17:05Nurse?

0:17:05 > 0:17:07The driver of the truck came straight at me.

0:17:07 > 0:17:11I made a leap for it but he'd pinned me to the wall by the neck.

0:17:11 > 0:17:13Oh, I can manage now, thanks.

0:17:13 > 0:17:15It's either this or hang out with my mother.

0:17:20 > 0:17:21Oh.

0:17:25 > 0:17:26All in?

0:17:30 > 0:17:33So how fast was the truck going?

0:17:33 > 0:17:37Well, it must have been at least 6mph.

0:17:37 > 0:17:386mph?!

0:17:38 > 0:17:42- Fork lift truck.- Oh, I see.

0:17:42 > 0:17:44Visibility on those machines is abysmal.

0:17:44 > 0:17:46You deliberately put yourself in harm's way?

0:17:46 > 0:17:49No, the manager was supposed to shout stop.

0:17:49 > 0:17:51But Daz the driver had his headphones in.

0:17:51 > 0:17:57The manager, he was upset, but he had to admit there is a hazard.

0:17:57 > 0:18:00- Yeah, it's called Garry Cushion. - What's that?

0:18:10 > 0:18:12You can still go to St James'.

0:18:12 > 0:18:13It's not too late.

0:18:13 > 0:18:16Jac Naylor is one of the best heart surgeons in the country.

0:18:16 > 0:18:19I came to save Luke's life. It's not always about you, Matteo.

0:18:22 > 0:18:24You can't sell the house.

0:18:24 > 0:18:27It's a family home. We're not a family.

0:18:27 > 0:18:29Is this Luke's idea?

0:18:29 > 0:18:32Luke has been an amazing friend to me.

0:18:32 > 0:18:35For completely selfless motives.

0:18:35 > 0:18:38Just because you're an opportunist doesn't mean everyone is.

0:18:38 > 0:18:40Are you seeing him?

0:18:40 > 0:18:42That's none of your business, Matteo.

0:18:43 > 0:18:46Well, he played the waiting game, I'll give him that.

0:18:46 > 0:18:49- What do you mean?- He's been in love with you for years.

0:18:50 > 0:18:53I guess even therapists are fallible.

0:18:53 > 0:18:54What kind of therapist, may I ask?

0:18:54 > 0:18:56Interpersonal psychotherapy.

0:18:56 > 0:19:01He helps people cope after traumatic events. People like us.

0:19:01 > 0:19:02I don't need therapy.

0:19:11 > 0:19:14And because of that, there's something wrong with me?

0:19:14 > 0:19:16So, you've suddenly come to terms with it all?

0:19:18 > 0:19:20I've had a valuation done. You need to phone them.

0:19:20 > 0:19:21I'll text you the number.

0:19:28 > 0:19:31So you're not going to redo it? Tidy it up a bit?

0:19:31 > 0:19:33Only I was...

0:19:33 > 0:19:36I was thinking, just while I was under, if you could...

0:19:36 > 0:19:37Could what?

0:19:41 > 0:19:43You know, this is...

0:19:43 > 0:19:47this is the first time I have left the house in the last three months.

0:19:49 > 0:19:53I just feel like everyone's staring at them, laughing...

0:19:53 > 0:19:55Staring at... Sorry?

0:19:55 > 0:19:58Well, I mean, look at them.

0:19:58 > 0:20:02They're fine. Yeah, they're within the normal range, Ms Eldridge.

0:20:02 > 0:20:03SHE SIGHS

0:20:03 > 0:20:06Well, you should have seen mine.

0:20:06 > 0:20:07Yours are fine.

0:20:08 > 0:20:10No, I had them pinned back when I was a kid.

0:20:11 > 0:20:14My nickname at school was...

0:20:14 > 0:20:15Dumbo.

0:20:17 > 0:20:18You know, for the last week,

0:20:18 > 0:20:21I haven't even been able to answer my own front door.

0:20:21 > 0:20:23Jade, my daughter, had to do it for me

0:20:23 > 0:20:26and she must just think I'm so useless.

0:20:26 > 0:20:27I'm sorry... SHE SOBS

0:20:27 > 0:20:29It's all right. No need to apologise.

0:20:31 > 0:20:33It's all right. It's all right.

0:20:34 > 0:20:36What is it now? More lipo?

0:20:36 > 0:20:37Eye lift?

0:20:37 > 0:20:38Ears pinned?

0:20:38 > 0:20:39SHE SOBS

0:20:42 > 0:20:44Dr Copeland. My office.

0:20:49 > 0:20:51We've got the results of your MRI back

0:20:51 > 0:20:53and it's confirmed my diagnosis.

0:20:53 > 0:20:55Your valve has dangerously narrowed

0:20:55 > 0:20:57and both sides of your heart have thickened.

0:20:57 > 0:20:59I'd like to operate on you today.

0:20:59 > 0:21:01Right.

0:21:01 > 0:21:02Has your friend gone home?

0:21:02 > 0:21:05Nina? No. She's getting a coffee.

0:21:05 > 0:21:08You've put her down as next of kin. Will she be taking you home?

0:21:08 > 0:21:12Yes. Listen, I'm sorry about all that stuff.

0:21:12 > 0:21:13All what?

0:21:13 > 0:21:16Between me and Matteo. Mr Rossini.

0:21:16 > 0:21:18- It's really none of our business. - Nina's his wife.

0:21:19 > 0:21:21Really?

0:21:21 > 0:21:26When I see that smug face of his, I just want to punch it.

0:21:26 > 0:21:29Actually I did, once. Knocked him out.

0:21:30 > 0:21:33They've split up and got back together

0:21:33 > 0:21:34so many times I've lost count.

0:21:34 > 0:21:36Well, I guess, under the circumstances...

0:21:36 > 0:21:38How do you mean?

0:21:38 > 0:21:40Sorry, it's their business. I've said too much already.

0:21:40 > 0:21:42I... I should know better.

0:21:42 > 0:21:44So, you have no objections to Mr Rossini operating?

0:21:44 > 0:21:47- You're running the show, though, aren't you?- I am.

0:21:47 > 0:21:49What are my chances?

0:21:49 > 0:21:51I don't leave anything to chance, Mr Puri.

0:21:51 > 0:21:52See you later.

0:21:55 > 0:21:58What do you think he meant by "under the circumstances"?

0:21:58 > 0:22:01I have no idea. Why would I want to know about Mr Rossini's marriage?

0:22:01 > 0:22:03- DOM:- 'I don't want her to abuse your trust!'

0:22:03 > 0:22:05- This has nothing to do with Lisa. - What?

0:22:05 > 0:22:07Well, you told me explicitly you were ready to come back to work.

0:22:07 > 0:22:09- And I am!- Well, I disagree

0:22:09 > 0:22:11because the way you spoke to Ms Eldridge just now,

0:22:11 > 0:22:13I really should send you home.

0:22:13 > 0:22:15You've got to be kidding me.

0:22:15 > 0:22:16Dom...

0:22:19 > 0:22:21White chocolate chip muffin.

0:22:21 > 0:22:23Where DID you get it?

0:22:24 > 0:22:26Why are you assuming it's me?

0:22:27 > 0:22:29OK. Paul from the canteen smuggled it out for me.

0:22:29 > 0:22:32Yes, you see, this is a terrible example to be setting

0:22:32 > 0:22:33all of our patients.

0:22:33 > 0:22:38- (Is that the only one?)- Afraid so.

0:22:38 > 0:22:39- Wow.- Oh, is that Mexico?

0:22:39 > 0:22:43I went on an amazing holiday there. Well, what I can remember of it.

0:22:43 > 0:22:44This isn't a holiday!

0:22:44 > 0:22:46It's a conservation project in Costa Rica.

0:22:46 > 0:22:49Three months with the option to extend at the end of it.

0:22:49 > 0:22:52I thought you were dead set on becoming a trauma surgeon?

0:22:52 > 0:22:54- Says who?- Hm?

0:22:54 > 0:22:56Your mum.

0:22:56 > 0:23:00Yeah, well, sometimes you just want to do the unexpected.

0:23:00 > 0:23:03Especially when you feel your future is being mapped out for you...

0:23:05 > 0:23:07Three months? What'll your girlfriend say?

0:23:09 > 0:23:10No-one owns me.

0:23:10 > 0:23:13Just think, three months of sun, sea, sand...

0:23:13 > 0:23:14And tortoises.

0:23:17 > 0:23:18You all right?

0:23:28 > 0:23:30So her coming to Holby is coincidence?

0:23:30 > 0:23:32It's you.

0:23:32 > 0:23:34She wants you to do Luke's surgery.

0:23:34 > 0:23:37Should I be flattered she wants me to operate on her boyfriend?

0:23:37 > 0:23:38He's not her boyfriend.

0:23:38 > 0:23:39Whatever.

0:23:39 > 0:23:42You know, the only good thing about this is hearing that

0:23:42 > 0:23:43he once punched your lights out.

0:23:43 > 0:23:45Jac, you don't know everything.

0:23:45 > 0:23:47I know you were willing to risk Luke Puri's life.

0:23:47 > 0:23:48Don't exaggerate.

0:23:48 > 0:23:52You know, I don't care about your domestic dramas.

0:23:52 > 0:23:53Just keep them off my ward.

0:23:58 > 0:24:00I owe you an apology.

0:24:05 > 0:24:06Fine, suit yourself.

0:24:06 > 0:24:07I can hear you.

0:24:13 > 0:24:14You think I'm a fraud.

0:24:14 > 0:24:18I think there was no excuse for the way I spoke to you.

0:24:18 > 0:24:20No hard feelings?

0:24:21 > 0:24:23Suppose not.

0:24:23 > 0:24:25You really don't have a clue, do you?

0:24:25 > 0:24:27Beg your pardon?

0:24:27 > 0:24:29You think you know who I am but you don't.

0:24:30 > 0:24:32You're probably right.

0:24:32 > 0:24:37You have a nice, comfortable life, hm? Well educated, well paid.

0:24:37 > 0:24:40Nice holidays? Paris, is it?

0:24:40 > 0:24:42New York, maybe?

0:24:42 > 0:24:45I don't need to know all the finer details of your life

0:24:45 > 0:24:47and nor you of mine in order for me to treat you.

0:24:47 > 0:24:49No. You should treat everyone the same.

0:24:49 > 0:24:50I like to think that I do.

0:24:53 > 0:24:57You think people like me are milking the system.

0:24:57 > 0:25:00I think we should be here for those who need us the most.

0:25:00 > 0:25:03People who are seriously ill in chronic pain.

0:25:03 > 0:25:05- I AM in pain!- You might be now.

0:25:05 > 0:25:08But all of your previous surgeries have all been cosmetic.

0:25:08 > 0:25:11Well, I get a pain every time I look in the mirror.

0:25:11 > 0:25:14You... You try being old and fat and ugly.

0:25:14 > 0:25:16- You are none of those things. - Well, that is how I feel.

0:25:18 > 0:25:21That's what I see when I look in the mirror.

0:25:22 > 0:25:25I just think if I get this stuff done...

0:25:25 > 0:25:26things will change.

0:25:29 > 0:25:33You know, I'll get more respect, people will treat me different.

0:25:33 > 0:25:36I know it's not going to happen like that but...

0:25:36 > 0:25:38But it makes you feel better anyway.

0:25:38 > 0:25:42See, we're not that different...

0:25:42 > 0:25:43you and me.

0:25:46 > 0:25:47SHE RETCHES

0:25:49 > 0:25:52OK. OK. All right, Lisa. OK. OK.

0:25:52 > 0:25:55There is definitely something there, Morven.

0:25:55 > 0:25:57Like chemistry and body language.

0:25:57 > 0:26:00He's planning a trip 6,000 miles away, Jas.

0:26:00 > 0:26:02That's more to just get away from his mum.

0:26:02 > 0:26:03I mean, who wouldn't want to go?

0:26:03 > 0:26:04I don't know.

0:26:04 > 0:26:06Do you ever just do anything for fun, ever,

0:26:06 > 0:26:08just for the joy of it?

0:26:08 > 0:26:10Why don't you let your hair down for once?

0:26:11 > 0:26:13Morv, I'm sorry. Don't...

0:26:13 > 0:26:17OK, so I've managed to source three companies that can

0:26:17 > 0:26:20supply us with PVC and latex-free...

0:26:20 > 0:26:21products.

0:26:21 > 0:26:24Has someone been booking their holidays on this computer?

0:26:25 > 0:26:30Oh, no. That's... That is... is mine and it's not a holiday.

0:26:30 > 0:26:33It's a... It's a conservation project in Costa Rica.

0:26:33 > 0:26:35Saving the tortoises.

0:26:35 > 0:26:37Turtles. You'd give all this up?

0:26:37 > 0:26:42Yeah... No... No, I'm... I'm just very into conserving things.

0:26:42 > 0:26:47For example, all the non-recyclables go into Elsa

0:26:47 > 0:26:52and all the recyclables and paper and stuff go into...

0:26:52 > 0:26:55- What did you call him? - Theodore?- Yes.

0:26:55 > 0:26:57Good. Very good.

0:27:03 > 0:27:05No, thank you.

0:27:05 > 0:27:06Where did you get that?

0:27:06 > 0:27:09- Secret Jammy Dodger stash. - Any luck with those results?

0:27:09 > 0:27:13Yeah, CRP, LFT, U&A all normal.

0:27:13 > 0:27:16FBC, white blood cell count's raised slightly.

0:27:18 > 0:27:20- Good. Can you check if a theatre is free, please?- Mm-hm.

0:27:23 > 0:27:25Still think she's faking?

0:27:25 > 0:27:26No. I was wrong.

0:27:28 > 0:27:30Maybe I'm not such a good doctor either.

0:27:30 > 0:27:32Come on, no need for self-blame. We all make mistakes.

0:27:33 > 0:27:36I need you in theatre to assist with Ms Eldridge.

0:27:36 > 0:27:38Yeah.

0:27:40 > 0:27:41Is she really your wife?

0:27:42 > 0:27:43Yes.

0:27:43 > 0:27:45And Luke Puri's her boyfriend?

0:27:45 > 0:27:48He's not her boyfriend, just an old friend.

0:27:48 > 0:27:50We couldn't help overhearing earlier.

0:27:50 > 0:27:52Zosia, please, don't try and play the agonised aunt.

0:27:52 > 0:27:54Agony aunt.

0:27:54 > 0:27:56It's not like you haven't interfered in MY private life.

0:27:56 > 0:27:59That's different. She wants to sell our family home.

0:28:01 > 0:28:02Maybe it's time to move on.

0:28:02 > 0:28:05Move on - why does everyone use that term?

0:28:05 > 0:28:07What does it even mean?

0:28:07 > 0:28:10You can't possibly know what I feel, what she feels,

0:28:10 > 0:28:11what we've been through!

0:28:11 > 0:28:14These things are not for public discussion.

0:28:14 > 0:28:16Dr Copeland. How fortuitous.

0:28:16 > 0:28:17A good day so far?

0:28:17 > 0:28:18Yes. Of course.

0:28:18 > 0:28:22Now, I thought it'd be useful for you to report back your progress

0:28:22 > 0:28:25to someone outside your clinical team.

0:28:25 > 0:28:26What... What do you mean?

0:28:26 > 0:28:30That I shall manage your rehabilitation myself.

0:28:30 > 0:28:32Why? Has somebody made a complaint about me?

0:28:32 > 0:28:35No, no. So we'll have a meeting regularly -

0:28:35 > 0:28:38once a week, perhaps - until you feel more settled.

0:28:39 > 0:28:40But I... I do feel settled.

0:28:40 > 0:28:42Good. Then the meetings should be very short,

0:28:42 > 0:28:44which will suit me, too.

0:28:54 > 0:28:56I don't expect you to like me.

0:28:56 > 0:28:58Like you?

0:28:58 > 0:29:00That's pushing it a bit.

0:29:00 > 0:29:02You're entitled to your opinion.

0:29:02 > 0:29:04I am.

0:29:04 > 0:29:06And this may be my last chance to express it.

0:29:08 > 0:29:10Nina is beautiful, clever, talented.

0:29:10 > 0:29:12She deserves better.

0:29:12 > 0:29:15If being with me was so bad, why did she keep taking me back?

0:29:15 > 0:29:17- Who knows? - I didn't come to pick a fight.

0:29:17 > 0:29:19Good. Now can you please leave me alone?

0:29:19 > 0:29:21She wants to sell the house.

0:29:23 > 0:29:27It's for the best, Matteo. I know it must be incredibly painful...

0:29:27 > 0:29:30With respect, you don't know anything.

0:29:30 > 0:29:33She's been ringing me for weeks about a new lead.

0:29:33 > 0:29:36Listen, talk to Nina. It won't go away until you do.

0:29:36 > 0:29:38You think you can talk these feelings away?

0:29:38 > 0:29:40You can either try and face it,

0:29:40 > 0:29:41or you can run away.

0:29:41 > 0:29:43You have no idea!

0:29:43 > 0:29:45When have you ever had to face something like this?!

0:29:45 > 0:29:47HE PANTS

0:29:47 > 0:29:48Crash team here!

0:29:54 > 0:29:56She's right. It's not pretty.

0:29:56 > 0:29:59Well, she's going to have her wish to get it redone.

0:29:59 > 0:30:02Once we get this cleaned, we can see how much tissue

0:30:02 > 0:30:03needs to be debrided...

0:30:03 > 0:30:04OK?

0:30:06 > 0:30:09- Great.- It's quite deep.

0:30:09 > 0:30:11What's this?

0:30:18 > 0:30:21- It's a surgical ruler. - Yeah, yeah, I know what it is.

0:30:22 > 0:30:28OK. Essie, can you check the date of Ms Eldridge's apronectomy?

0:30:28 > 0:30:29OK, it's about six months or so ago.

0:30:29 > 0:30:31And can you do an appraisal of everything in the operation

0:30:31 > 0:30:34- to see if anything's missing? - Clearly something's missing.

0:30:34 > 0:30:35Nothing goes missing on my watch.

0:30:35 > 0:30:38- Yeah, but you're not the only nurse who does the checks.- He's right.

0:30:38 > 0:30:41Cos if there's a flaw in the system, this might not just be a one-off.

0:30:41 > 0:30:43- Well, are you going to tell her? - We have to.

0:30:43 > 0:30:46- Yeah, but can we not delay it?- No.

0:30:46 > 0:30:47Wait until we get all the information?

0:30:47 > 0:30:51- Well, there's the evidence. Did you not see this?- What?

0:30:51 > 0:30:52Well, I was in charge of the operation

0:30:52 > 0:30:54but, off the record, I let you close.

0:30:54 > 0:30:57That's... That's irrelevant. This was on your watch!

0:30:57 > 0:31:00All I'm asking - was correct procedure followed after I left?

0:31:00 > 0:31:03You really think I'm the kind of doctor who would leave

0:31:03 > 0:31:06surgical instruments strewn around inside a patient?

0:31:09 > 0:31:11- How is he?- Stable.

0:31:11 > 0:31:14I've booked theatre. I'd like to bring surgery forward but I'm having

0:31:14 > 0:31:17a problem locating your husband. Any ideas?

0:31:17 > 0:31:18Why are you asking me?

0:31:18 > 0:31:21I haven't seen him in more than six months. You could try his mobile -

0:31:21 > 0:31:23not that he's good at answering his messages.

0:31:23 > 0:31:26You know the building better than me, and you probably know Matteo

0:31:26 > 0:31:29pretty well, too. His female colleagues usually do.

0:31:29 > 0:31:31I'm not his colleague.

0:31:31 > 0:31:33I'm his boss...

0:31:33 > 0:31:35and it's likely he just caused my patient to arrest.

0:31:36 > 0:31:39I'm talking about your boyfriend. Don't you care?

0:31:39 > 0:31:41Yes, I care.

0:31:41 > 0:31:44- I care about Matteo, too. He's upset.- Upset?

0:31:44 > 0:31:46I'm selling the family home.

0:31:46 > 0:31:47Big deal.

0:31:47 > 0:31:51- It's his last link... - I thought your marriage was over.

0:31:51 > 0:31:52It's his last link with our son.

0:31:55 > 0:31:56Your son?

0:31:56 > 0:32:00He disappeared when he was five. That was ten years ago.

0:32:00 > 0:32:01He's never been found.

0:32:01 > 0:32:02Not yet.

0:32:04 > 0:32:07Matteo is probably in his "nascondiglio", his sanctum.

0:32:07 > 0:32:08And where's that?

0:32:08 > 0:32:10Anywhere. Anywhere there's Handel.

0:32:10 > 0:32:12Is Matteo OK?

0:32:12 > 0:32:15I just saw him get into his car. Looked like he was leaving.

0:32:16 > 0:32:17So YOU did it?

0:32:17 > 0:32:19I was in charge, yes.

0:32:19 > 0:32:22What would have happened if you hadn't found it?

0:32:22 > 0:32:23Say I was on holiday somewhere.

0:32:23 > 0:32:26You would have been given a course of antibiotics.

0:32:26 > 0:32:28Don't people die from this sort of thing?

0:32:28 > 0:32:31It's rare, but it can happen, yes.

0:32:31 > 0:32:33I could have died?

0:32:33 > 0:32:35Like Mr Levy said, it is rare.

0:32:36 > 0:32:38Every operation carries risks.

0:32:38 > 0:32:40That's why we get you to sign a consent form.

0:32:40 > 0:32:42No. This is negligence.

0:32:43 > 0:32:45I can sue you.

0:32:50 > 0:32:51Dom?

0:32:57 > 0:33:01I didn't believe her and I insulted her

0:33:01 > 0:33:03and now she's threatening to sue us all because of me.

0:33:05 > 0:33:11You know I can deal with the Isaac thing if...

0:33:11 > 0:33:15if I have this, if I have my work.

0:33:15 > 0:33:16If not...

0:33:18 > 0:33:20..what am I?

0:33:31 > 0:33:33CALM CLASSICAL MUSIC PLAYS

0:33:41 > 0:33:43MUSIC VOLUME LOWERS

0:33:45 > 0:33:47What the hell are you doing?

0:33:47 > 0:33:48I can't operate on him.

0:33:49 > 0:33:51Exactly how unprofessional are you?

0:33:51 > 0:33:54This isn't about professionalism.

0:33:54 > 0:33:56You're going to come back upstairs with me

0:33:56 > 0:33:59and you're going to help me repair Luke Puri's heart.

0:33:59 > 0:34:00I don't care what just happened.

0:34:00 > 0:34:04You have a job to do. You can't just run away from it.

0:34:04 > 0:34:06I want you back upstairs now.

0:34:16 > 0:34:18See what you can do.

0:34:20 > 0:34:23You don't think that Cameron's getting enough challenges in London?

0:34:23 > 0:34:27Oh, come on. The facilities here are way better.

0:34:27 > 0:34:31Sure. And of course he's much closer to the mother ship.

0:34:31 > 0:34:34I'm just trying to give him new experiences, you know,

0:34:34 > 0:34:35feed his ambition.

0:34:36 > 0:34:40OK, maybe get him out of the clutches of the ghastly girlfriend.

0:34:41 > 0:34:43There are some things that you can't control.

0:34:43 > 0:34:44Such as?

0:34:45 > 0:34:47Falling in love.

0:34:47 > 0:34:49With a ghastly girlfriend?

0:34:49 > 0:34:51Oh, no. No, no, no, no.

0:34:52 > 0:34:53Have you asked him?

0:34:53 > 0:34:54No, he'd say I was prying.

0:34:56 > 0:34:59Well, if you like, I could talk to him.

0:34:59 > 0:35:00Oh, that's a good idea.

0:35:00 > 0:35:03Yes. No, no, I'm trying to imagine how that conversation would go.

0:35:03 > 0:35:06How many times is it you've been married, Ric? Is it four or five?

0:35:06 > 0:35:11Well, I'm sure that Cameron can find his own way without our help.

0:35:12 > 0:35:15Cameron, you must tell us all about New Green.

0:35:15 > 0:35:18Aren't they pioneering a big, new DNA project?

0:35:18 > 0:35:21Yeah, but it'll take years and I don't imagine I'll still be there.

0:35:24 > 0:35:27Applying push-pull flow to equipment storage

0:35:27 > 0:35:29would save so much time!

0:35:29 > 0:35:31That ruler that was left inside Lisa Eldridge?

0:35:31 > 0:35:33Ah, it's over there.

0:35:35 > 0:35:39Actually, could I have a look before you go?

0:35:39 > 0:35:43Where is it? Ah, here we go.

0:35:43 > 0:35:44OK.

0:35:45 > 0:35:47They're identical, aren't they?

0:35:47 > 0:35:50Well, that's what I'm just checking.

0:35:50 > 0:35:52Do we always order these from the same supplier?

0:35:52 > 0:35:53As far as I know.

0:35:53 > 0:35:56Oh, no. Hang on. We changed earlier this year.

0:35:56 > 0:36:01Yep. Look. Lettering. It's different.

0:36:01 > 0:36:02Oh, yeah.

0:36:02 > 0:36:04Could you find out when we changed?

0:36:04 > 0:36:06Because if we've been using these for over six months,

0:36:06 > 0:36:08there's no way that this can be ours.

0:36:10 > 0:36:13Common carotid pseudoaneurysms are rare and, as we know,

0:36:13 > 0:36:17potentially lethal which is why we've given this surgery priority.

0:36:17 > 0:36:20Right, special care needs to be taken to avoid...

0:36:20 > 0:36:23An uncontrollable haemorrhage.

0:36:23 > 0:36:25Dr Digby?

0:36:25 > 0:36:28To avoid rupture or neurologic sequelae.

0:36:30 > 0:36:33Dr Dunn, I'm afraid that since you're not a member

0:36:33 > 0:36:36of the Holby surgical team, you won't be able to assist.

0:36:36 > 0:36:39But, Dr Digby...

0:36:39 > 0:36:41What's this? A free-for-all?

0:36:41 > 0:36:42Can anyone join in?

0:36:42 > 0:36:43I assure you, Mr Cushion,

0:36:43 > 0:36:46that Dr Digby is a very talented young surgeon.

0:36:48 > 0:36:49Good!

0:36:51 > 0:36:56There isn't sufficient circulation of air around here.

0:36:56 > 0:36:58- I've got a thumping headache. - OK, stop, stop.

0:36:58 > 0:37:01We need to perform an immediate intracranial angiogram.

0:37:01 > 0:37:03Prepare 5ml of Alteplase, just in case.

0:37:09 > 0:37:12As I thought. Thrombus in the middle cerebral artery.

0:37:13 > 0:37:18OK, Garry, you let me know when your headache eases off.

0:37:20 > 0:37:22I think it's been already.

0:37:25 > 0:37:27He's a good man.

0:37:27 > 0:37:28You think I don't know that?

0:37:28 > 0:37:33He looked after me when you wouldn't, or couldn't.

0:37:35 > 0:37:37Will you move in with him?

0:37:37 > 0:37:39Don't know.

0:37:42 > 0:37:43What do you want, Nina?

0:37:45 > 0:37:48I want what I can never have.

0:37:48 > 0:37:49That it never happened.

0:37:50 > 0:37:53That we were all together still, the three of us.

0:37:58 > 0:38:00What about the two of us?

0:38:00 > 0:38:03If it hadn't happened would we still be together?

0:38:03 > 0:38:06You have it in your power to help save his life...

0:38:07 > 0:38:09..and you owe him.

0:38:17 > 0:38:19Look, I may not be Alexander McQueen

0:38:19 > 0:38:23but I have never, ever, stitched anyone up as badly as that.

0:38:23 > 0:38:26You must have gone somewhere else for surgery.

0:38:28 > 0:38:31Lisa, do you not realise the repercussions of you suing us?

0:38:31 > 0:38:32You should have thought of that

0:38:32 > 0:38:34before you left a ruler in my stomach.

0:38:34 > 0:38:39Sacha... Mr Levy, he is a brilliant doctor

0:38:39 > 0:38:41with an impeccable record

0:38:41 > 0:38:45and he really, really cares about his patients.

0:38:45 > 0:38:47This... This could end his career.

0:38:47 > 0:38:49Look, if I...

0:38:49 > 0:38:52If I did it then I'm willing to take the blame,

0:38:52 > 0:38:54even if my work is the only thing

0:38:54 > 0:38:56that I'm clinging on to at the moment. But...

0:38:56 > 0:38:59if there is something that you aren't telling us,

0:38:59 > 0:39:01something else that you know then just, please...

0:39:01 > 0:39:04- Sorry, excuse me a second. Dom, what are you doing?- I'm trying to...

0:39:04 > 0:39:06OK. It was the Hazewood Clinic.

0:39:09 > 0:39:13I lost more weight and there was more loose skin and...

0:39:13 > 0:39:16and this woman on YouTube said this place was brilliant.

0:39:16 > 0:39:19Yeah, and she'd done these videos and she looked fantastic.

0:39:19 > 0:39:21But they made a right mess of the scar

0:39:21 > 0:39:23and they took every penny I had,

0:39:23 > 0:39:25and now I find they left a ruler inside me!

0:39:25 > 0:39:28But you... You were going to go ahead and sue us?

0:39:28 > 0:39:30Well, I...

0:39:30 > 0:39:32I wasn't thinking straight.

0:39:35 > 0:39:37There you are.

0:39:37 > 0:39:40So what did you think of the surgery?

0:39:40 > 0:39:42Yeah, it was... It was fascinating.

0:39:42 > 0:39:44You can tell me the truth.

0:39:46 > 0:39:47Well, I just...

0:39:48 > 0:39:50What?

0:39:50 > 0:39:51I messed up.

0:39:51 > 0:39:52No, you didn't.

0:39:52 > 0:39:53But it went wrong.

0:39:53 > 0:39:55As things invariably do.

0:39:55 > 0:39:59But it's not what goes wrong that matters -

0:39:59 > 0:40:01it's how you deal with it.

0:40:03 > 0:40:05Look, that could have happened to any of us.

0:40:05 > 0:40:09Bernie was quick thinking but that's largely down to experience.

0:40:09 > 0:40:11She's battle-hardened.

0:40:14 > 0:40:18Life always has the potential to surprise,

0:40:18 > 0:40:19and that's scary,

0:40:19 > 0:40:21but it can be wonderful too.

0:40:36 > 0:40:38Are we ready to go on bypass?

0:40:38 > 0:40:40Good. I want complete focus here, please.

0:40:40 > 0:40:41I'm amazed he was still walking around.

0:40:41 > 0:40:44Yeah - the MRI didn't do it justice.

0:40:44 > 0:40:48The aorta is thickened, the heart wall has hypertrophied.

0:40:48 > 0:40:51Right, the clamp is on - let's start cardioplegia.

0:40:51 > 0:40:53MACHINES BLEEP

0:40:53 > 0:40:55Eyes on the prize, please.

0:41:02 > 0:41:06I'm sorry - I probably overstepped a boundary.

0:41:06 > 0:41:08Don't worry about it.

0:41:10 > 0:41:13So, what was going through her mind?

0:41:13 > 0:41:15Why wouldn't she go back to them?

0:41:15 > 0:41:18Money? Lack of trust?

0:41:20 > 0:41:22Knowing we'd do a better job

0:41:22 > 0:41:25and she'd probably get a free treatment thrown in?

0:41:26 > 0:41:30She's not going to stop. She hates herself.

0:41:32 > 0:41:33Almost done here.

0:41:36 > 0:41:39The stenosis here isn't as bad as I'd first anticipated.

0:41:39 > 0:41:40How's the pulmonary valve look?

0:41:40 > 0:41:42There's no valve.

0:41:42 > 0:41:45- What?- It's disintegrated. There's nothing here.

0:41:45 > 0:41:48OK, so open up the right ventricle.

0:41:52 > 0:41:53Matteo?

0:41:56 > 0:41:58It's bleeding.

0:42:00 > 0:42:01I need some help.

0:42:01 > 0:42:03Just watch the coronary artery.

0:42:06 > 0:42:07You take over.

0:42:07 > 0:42:09No, this is your call.

0:42:17 > 0:42:18We need to insert a new valve.

0:42:18 > 0:42:20Yes, you will.

0:42:21 > 0:42:23Why Costa Rica?

0:42:23 > 0:42:25Why not? I want to feel alive, Morven.

0:42:25 > 0:42:27I want to be shaken up, challenged.

0:42:27 > 0:42:29But the...the Zika virus? Dengue fever?

0:42:29 > 0:42:32So what? Life is one big risk.

0:42:32 > 0:42:34Hundreds of people end up in A&E every week

0:42:34 > 0:42:35after falling off a ladder.

0:42:35 > 0:42:38Look at Garry - I bet he's never been further than Weston-super-Mare

0:42:38 > 0:42:41and he still managed to crush his carotid artery.

0:42:41 > 0:42:45Hey, come with me. To Costa Rica.

0:42:45 > 0:42:47Ah... You're mad.

0:42:47 > 0:42:50Good - mad is good. You could take a leave of absence or just do

0:42:50 > 0:42:51something crazy for once - come on.

0:42:51 > 0:42:54Have you been speaking to Jasmine, by any chance?

0:42:54 > 0:42:58No. But it sounds like she's been giving you good advice.

0:42:58 > 0:43:01Wow, that is something I never thought I would say.

0:43:02 > 0:43:06OK, moment of truth. Let's take him off bypass.

0:43:11 > 0:43:13Patient is stable.

0:43:13 > 0:43:14It's looking good.

0:43:14 > 0:43:17Dr March, can you close up, please?

0:43:17 > 0:43:18Of course.

0:43:20 > 0:43:21HE EXHALES

0:43:32 > 0:43:35Did you want me to rinse them out and recycle?

0:43:35 > 0:43:36That's very funny.

0:43:38 > 0:43:40Nina told me. About your son.

0:43:43 > 0:43:44I'm sorry.

0:43:47 > 0:43:50Would you do the post-op check on Luke Puri?

0:43:50 > 0:43:51Why?

0:43:51 > 0:43:53Because I'm shattered.

0:43:53 > 0:43:56Sorry. He's still your responsibility.

0:43:56 > 0:44:01I suppose you want me to do the sustainability report, as well?

0:44:01 > 0:44:04- I think we can pass on that one.- Hm.

0:44:04 > 0:44:06So, when can I go home?

0:44:06 > 0:44:08Oh, not for a couple of days, I'm afraid.

0:44:08 > 0:44:12We need to monitor your progress before we can discharge you.

0:44:12 > 0:44:15Longer I'm in, more chance of picking up some hospital bug.

0:44:15 > 0:44:18We do our best to eliminate cross-infection, Mr Cushion.

0:44:18 > 0:44:21It's a case of weighing the risks against the benefits.

0:44:21 > 0:44:23Oh, I know all about risk.

0:44:23 > 0:44:26I'm sure you do. How long were you in the Navy?

0:44:26 > 0:44:28How did you know I was in the Navy?

0:44:28 > 0:44:31It was when you said you nearly crossed the bar,

0:44:31 > 0:44:36nearly died - I've only ever heard sailors say that.

0:44:36 > 0:44:40I was in for 15 years. Went all around the world.

0:44:40 > 0:44:41I nearly died of cholera in India,

0:44:41 > 0:44:45had dysentery in Egypt, Hepatitis A in Sumatra...

0:44:45 > 0:44:48Is that why you went into health and safety?

0:44:48 > 0:44:54No. I forgot to check a gantline and my mate fell overboard.

0:44:54 > 0:44:55He drowned.

0:44:55 > 0:44:57I'm so sorry.

0:44:57 > 0:44:59Everyone makes mistakes,

0:44:59 > 0:45:02but some of us pay a very, very high price for them.

0:45:03 > 0:45:06I took a little time to look through your medical history,

0:45:06 > 0:45:09and it seems you've had several cosmetic procedures.

0:45:09 > 0:45:12I had good reasons for all of them.

0:45:12 > 0:45:14This is not a judgment on you.

0:45:14 > 0:45:16I'm simply trying to think of the best way to help.

0:45:16 > 0:45:20Surgery's usually the last resort - it puts a lot of stress on the body.

0:45:22 > 0:45:25Have you heard of a condition called body dysmorphia?

0:45:27 > 0:45:30It's where a person who has a perfectly normal body

0:45:30 > 0:45:34can think that they appear grotesque and worthless.

0:45:35 > 0:45:36I need to get on.

0:45:36 > 0:45:39So I'd like to order a psychiatric assessment.

0:45:39 > 0:45:41Would you agree to that?

0:45:43 > 0:45:47Good. Well, that's all. Good to meet you, Ms Eldridge.

0:45:47 > 0:45:49Thank you, for everything.

0:45:49 > 0:45:50You're welcome.

0:45:59 > 0:46:00How is he?

0:46:00 > 0:46:02Hanging in there.

0:46:03 > 0:46:06I didn't mean him to arrest, you know that.

0:46:06 > 0:46:08Sure.

0:46:08 > 0:46:10He is still crazy about you.

0:46:10 > 0:46:11Are you jealous?

0:46:11 > 0:46:12No.

0:46:16 > 0:46:18A little.

0:46:20 > 0:46:22Don't take this the wrong way,

0:46:22 > 0:46:24but I don't want you to throw yourself away.

0:46:24 > 0:46:26Why would I do that?

0:46:27 > 0:46:29I don't think you love him.

0:46:31 > 0:46:34Maybe not. Maybe not the way we loved each other,

0:46:34 > 0:46:37but then look at us now.

0:46:37 > 0:46:40Maybe what I have with Luke is... enough.

0:46:40 > 0:46:44Enough for you, but not for him.

0:46:44 > 0:46:47His heart is in enough of a mess as it is.

0:46:51 > 0:46:53Have you seen Morven?

0:46:53 > 0:46:55No, her shift's finished.

0:46:55 > 0:46:57You're joking. Look, if... If you see her...

0:46:57 > 0:47:00Unlikely. We... We don't live together any more.

0:47:00 > 0:47:02- What?- Morven chucked her out.

0:47:02 > 0:47:03That's awful!

0:47:03 > 0:47:04Oh, she had it coming to her.

0:47:04 > 0:47:06Thanks!

0:47:09 > 0:47:11Cam...

0:47:11 > 0:47:13Look, I know I probably shouldn't

0:47:13 > 0:47:16interfere and that's what got me into trouble before, but...

0:47:16 > 0:47:19Morven - I think she's had a change of heart.

0:47:19 > 0:47:23About me? Yeah, you know what happened before.

0:47:23 > 0:47:26Yeah, but that was then and this is now.

0:47:27 > 0:47:30Do you know what? Forget it. You two make me want to scream!

0:47:33 > 0:47:35Where are you going?

0:47:39 > 0:47:41Costa Rica. All right for some, eh?

0:47:41 > 0:47:43What's wrong? Itchy feet?

0:47:43 > 0:47:46Nothing wrong with keeping my options open.

0:47:46 > 0:47:49Yeah, that's true. It can take a long time to find one's niche.

0:47:49 > 0:47:51You sound like such an old man!

0:47:53 > 0:47:55Is this yours?

0:47:55 > 0:47:58You know they're doing an inspection in 15 minutes?

0:47:58 > 0:48:00Thank you.

0:48:08 > 0:48:12Herr Valentine. I don't think you like Theodore very much.

0:48:12 > 0:48:16The local police have called off the search due to bad weather.

0:48:18 > 0:48:19What are you doing?

0:48:19 > 0:48:21Matteo's kid - look...

0:48:21 > 0:48:23I mean, seriously, he's the last person

0:48:23 > 0:48:25I'd expect to have that in his closet.

0:48:25 > 0:48:28The guy's all so laid back... always cracking jokes.

0:48:28 > 0:48:29- Flirting.- Right?

0:48:29 > 0:48:32How do you get over something like this?

0:48:32 > 0:48:34It's bad enough when your kid gets sick and dies.

0:48:34 > 0:48:36A proper garden on the roof.

0:48:36 > 0:48:39Lots of plants would generate oxygen and reduce ultraviolet impact.

0:48:39 > 0:48:41Doing the report?

0:48:41 > 0:48:43Yes. Anything you'd like to add?

0:48:45 > 0:48:47Can I see you...in private?

0:48:47 > 0:48:48Sure.

0:48:56 > 0:49:00I bet the night sky in Costa Rica is amazing.

0:49:00 > 0:49:02Beautiful.

0:49:06 > 0:49:09How did you know that I'd be out here?

0:49:09 > 0:49:11Actually, Jasmine gave me the idea.

0:49:12 > 0:49:14Jasmine!

0:49:14 > 0:49:17Look, I don't know why you two have fallen out,

0:49:17 > 0:49:19but is it really so unforgiveable?

0:49:19 > 0:49:23I mean, I know she can be a pain, but her heart is in the right place.

0:49:25 > 0:49:31Maybe. Cam, are you serious about this Costa Rica idea?

0:49:33 > 0:49:35I just wanted to get away.

0:49:35 > 0:49:37I'm so fed up with Mum trying to control my life.

0:49:40 > 0:49:42I nearly didn't come today.

0:49:42 > 0:49:44Then why did you?

0:49:44 > 0:49:45To see you...

0:49:47 > 0:49:49..I think.

0:49:51 > 0:49:54I think I feel a scream coming on.

0:50:03 > 0:50:04My judgment was flawed.

0:50:04 > 0:50:07So...what, you just resign?

0:50:07 > 0:50:11You go home, you avoid my calls, you avoid Nina's calls,

0:50:11 > 0:50:14you get another job and nothing is resolved.

0:50:14 > 0:50:16That's my business.

0:50:16 > 0:50:18No, it's...

0:50:18 > 0:50:20It's never just your business!

0:50:20 > 0:50:23You can't keep these worlds separate.

0:50:23 > 0:50:27They bleed into each other until you deal with it.

0:50:27 > 0:50:28Look...

0:50:31 > 0:50:34Matteo, I can't imagine what it's like to lose a child

0:50:34 > 0:50:37and not know what happened to them.

0:50:37 > 0:50:38We do know.

0:50:40 > 0:50:42What?

0:50:43 > 0:50:47Realistically, Nico disappeared next to a river.

0:50:47 > 0:50:49There had been a lot of rain the night before, and...

0:50:49 > 0:50:53Nina won't accept he's dead. They never found his body.

0:50:53 > 0:50:55So you just gave up hope?

0:50:58 > 0:51:00I sealed it off.

0:51:00 > 0:51:01Hermetically.

0:51:03 > 0:51:05So there's not even the tiniest gap.

0:51:06 > 0:51:08Or so I thought.

0:51:11 > 0:51:14It's not me you should be talking to.

0:51:14 > 0:51:17And no, I don't accept your resignation.

0:51:19 > 0:51:24This is... This is Dr Burrows, who is very keen on conservation.

0:51:24 > 0:51:25Is that so?

0:51:25 > 0:51:29Er...yes, yes, I am very interested in conserving...things

0:51:29 > 0:51:30and recycling,

0:51:30 > 0:51:32and cycling, in fact.

0:51:34 > 0:51:37IN SWEDISH

0:51:37 > 0:51:38Ah!

0:51:38 > 0:51:39- Hejsan!- Ah.

0:51:42 > 0:51:47Hejsan? Hm? I'm the one who sorted out all this recycling,

0:51:47 > 0:51:50I'm the one who compiled this report - you don't know

0:51:50 > 0:51:53the difference between a tortoise and a turtle!

0:51:53 > 0:51:55Well, turtles are the ones they make a soup out of.

0:51:55 > 0:51:58And if you don't mind,

0:51:58 > 0:52:02I'm going to take this back cos I might need it later.

0:52:02 > 0:52:07I need to speak with someone about arrangements for when I get home.

0:52:07 > 0:52:09Would you like me to contact social services?

0:52:09 > 0:52:12There's no need for social services. He's got me.

0:52:12 > 0:52:15I don't want you there, Nina.

0:52:15 > 0:52:16Maybe I should go.

0:52:16 > 0:52:19No. It's finished.

0:52:19 > 0:52:23For years I've been waiting for the two of you to make a decision.

0:52:24 > 0:52:28Today I realised I don't need to wait for you.

0:52:28 > 0:52:31I can make a decision.

0:52:31 > 0:52:33It's up to the two of you now.

0:52:52 > 0:52:53Albies?

0:52:53 > 0:52:58Oh, not tonight. I'm pretty busy with Elsa and Theodore.

0:52:58 > 0:52:59Oh.

0:52:59 > 0:53:04Well, after you're done, would you like a lift home?

0:53:04 > 0:53:07It's not too far to go.

0:53:07 > 0:53:09No...

0:53:09 > 0:53:14I mean, a lift back to our home.

0:53:14 > 0:53:16Hm?

0:53:23 > 0:53:25Coming to the reception for the Swedes?

0:53:25 > 0:53:26Probably not.

0:53:26 > 0:53:28We might win a prize.

0:53:28 > 0:53:31What, a romantic weekend away for two?

0:53:31 > 0:53:34Yeah. Fair point. Come, anyway.

0:53:35 > 0:53:38Nah.

0:53:38 > 0:53:40You OK?

0:53:40 > 0:53:41Yeah.

0:53:57 > 0:53:59Dom, I just wanted to say...

0:53:59 > 0:54:01Hm?

0:54:01 > 0:54:02What are those?

0:54:03 > 0:54:04Vitamins.

0:54:06 > 0:54:08Look, I'm just trying to get back on top, OK?

0:54:08 > 0:54:11So that the next time somebody decides to try beating me up...

0:54:11 > 0:54:13You know that had nothing to do with it, don't you?

0:54:13 > 0:54:15Because it wasn't your fault.

0:54:17 > 0:54:20Nina, wait.

0:54:23 > 0:54:24About the house.

0:54:24 > 0:54:26What about it?

0:54:26 > 0:54:28I'll ring the estate agent tomorrow.

0:54:29 > 0:54:31That's good.

0:54:31 > 0:54:32Let me give you a lift.

0:54:32 > 0:54:34It's OK. I'll get a cab.

0:54:34 > 0:54:37No, I want to. You mentioned a lead.

0:54:37 > 0:54:39Maybe you could tell me about it.

0:54:39 > 0:54:41Are you sure?

0:54:41 > 0:54:44Yes. Yes, I'm ready.

0:54:47 > 0:54:49Skal!

0:54:49 > 0:54:51Are you happy now?

0:54:51 > 0:54:54Yes, thank you. I'm very happy.

0:54:54 > 0:54:56You think he's going to come back to Holby,

0:54:56 > 0:54:59but what if the two of them decide to go to London?

0:55:01 > 0:55:04Ah, ladies and gentlemen, if I may, our Swedish guests

0:55:04 > 0:55:10have organized a little game for later - the Surstromming Challenge.

0:55:10 > 0:55:13We'll come to that shortly, but first, the reports.

0:55:13 > 0:55:17So AAU and Mr Valentine's plan for a roof garden was very impressive.

0:55:19 > 0:55:21Wasn't that Zosia's idea?

0:55:21 > 0:55:24Ah, there's no copyright on an idea.

0:55:24 > 0:55:29But from Keller it was Mr Di Lucca's strategy of using

0:55:29 > 0:55:30the lean production principles

0:55:30 > 0:55:33that really caught the attention of my colleagues,

0:55:33 > 0:55:38so if I may present you with this little fellow.

0:55:39 > 0:55:42I thought the prize was a weekend for two in Malmo?

0:55:42 > 0:55:43Well, giving plane tickets away

0:55:43 > 0:55:46we thought was rather against the spirit of the project.

0:55:46 > 0:55:49Well, let's face it - none of us have got anyone to go with, anyway.

0:55:49 > 0:55:51We could still all go. We could take Dom. Where is Dom?

0:55:51 > 0:55:52Talk of the devil.

0:55:53 > 0:55:57I don't know who left this in the office, but it's mine now.

0:55:57 > 0:55:58Feel.

0:55:59 > 0:56:02Oh, that's rather nice, actually...

0:56:02 > 0:56:03So what's the challenge?

0:56:03 > 0:56:05Ah, the challenge...

0:56:05 > 0:56:08Mr Levy, would you like to be the first to try?

0:56:08 > 0:56:09Mr Griffin, if I may?

0:56:12 > 0:56:15So, what am I meant to do?

0:56:15 > 0:56:20Well, it's a Swedish delicacy. Open the tin and try it.

0:56:20 > 0:56:22Is it herring? Because I love herring.

0:56:24 > 0:56:25Good.

0:56:31 > 0:56:34ALL REEL AND RETCH

0:56:37 > 0:56:40That's the most disgusting thing I've ever had in my life!

0:56:42 > 0:56:45Then of course, Mr Levy, you have to eat it.

0:56:53 > 0:56:54Hm.

0:56:56 > 0:56:59You know why I didn't want to sell?

0:56:59 > 0:57:00Nico's room?

0:57:00 > 0:57:02No.

0:57:02 > 0:57:05What happens if Nico comes back?

0:57:06 > 0:57:09He might think we don't remember him any more.

0:57:16 > 0:57:18I couldn't bear it.

0:57:19 > 0:57:22My son thinks Papa has forgotten him.