The Heart Is a Small Thing Holby City

You're a liar, Jasmine, with the ability to turn

every relationship you make into something toxic.

There was no lie - my marriage is over.

What difference would telling you about it have made?

I haven't got feelings for you -

not those kind of feelings, anyway.

I feel fine.

I just want to put all of this behind me.

I have a past, Jac.

I thought you of all people might understand.

What else are you hiding?

OK, here we go.

OK.

Yeah.

Yes!

Yes!

No, no...

HE GRUNTS

Listen, about Isaac,

you know, we had no idea that he was...

you know...

Well, why would you?

I didn't know.

Ladies and gentlemen,

I am very happy to welcome my colleagues,

and, indeed, my fellow countrymen,

as part of our Sustainability Challenge Week.

The University Hospital in Tornesvig has led some remarkable initiatives

in the field of green hospital practices.

We hope to show our Swedish colleagues that we too can

improve efficiency and eliminate waste.

This is his first echo...

Tetralogy of Fallot.

It was repaired when he was three months old.

Which was 38 years ago.

Yeah, we need to repeat the echo.

Maybe a TOE too?

I kept it warm for you -

a little trick I learned when I worked in Iceland.

Where's the sugar?

I have to nominate one of you to write a report

on how we intend to improve the ward's environmental strategy.

It's going to be you, Mr Rossini.

What an honour(!)

So this guy's been asymptomatic all these years?

Must be like carrying a ticking time bomb inside you.

Well, I think the bomb's already gone off.

He's lucky to be here at all.

When he had his heart attack, the friend he was with

just happened to be a doctor.

Does the patient have a name?

It's right there - Luke Puri.

I wasn't ill.

No, no, of course not.

And I'm not sad.

I'm angry, but I'll deal with that.

I just want to get back to doing what I do best - work.

I'm sorry, what is that?

Oh, well, it's traditional - typically Swedish.

OK.

So, when did you first know that you wanted to be a doctor?

When I was a kid, watching ER.

Hmm...

You?

Ah, well, my father was a doctor, my grandfather was a doctor...

So, are you ready to go back to work?

Yes.

Good.

Oh, Ric, the mentee scheme -

I thought I'd have mine in to observe this afternoon.

You... You don't mind, do you?

It's not often you get a carotid pseudoaneurysm.

Sure.

There's nothing to stop me having my mentee in, is there?

Just the fact you haven't got one.

Morven, I'm inviting you to observe in theatre this afternoon,

as my mentee.

It's not a competition.

Isn't it?

Oh, you are playing a very dangerous game if you're going to press

my competitive button.

I like to live dangerously.

Who is your mentee, by the way?

Oh, he's a wild card.

Well, there's nothing to say that the mentee has to come from Holby.

Or that he can't be the consultant's son?

What's the matter? Are you worried your protegee won't measure up?

Not at all...

I'm just admiring your blatant disregard for

the rules of fair play.

Hi. What are you doing here?

I am observing on a carotid pseudoaneurysm.

Who's leading, your mum?

Hi, Morven.

Oh, hi. Hi, Cam.

So, how's London?

Great! A fantastic challenge.

What is? Fighting off all the cute nurses?

Oh, look, he's blushing.

Cameron the love machine...

What's up with you two?

It's a long story.

What's all this?

It's for Dom.

Right, I think we should keep things as normal as possible, OK?

So if he wants time out, we give him time out,

if he wants chocolates, we give him chocolates...

-There isn't any chocolate.

-Erm...fruit, then?

What's that?

Head massager - it relaxes you.

Oh, looks terrifying.

This is great, but I think we should put it away.

-OK.

-All right.

Sacha, you know this report thing...

Oh, yes, the report.

Yeah, I did a quick bit of research over the weekend

-on push-pull flow.

-What's that?

Flow - it's having the right equipment, the right personnel,

and the right treatment at the exact moment of need.

It saves time - and money, of course.

Well, in your capable hands.

-Yeah.

-Good.

-Oh...

-Hey.

-Hi.

Hi!

Just to let everyone know, the staff shower seems to be on the blink.

Yes, it's part of the Sustainable Week -

it's hot water for five minutes per person.

Classic push-pull flow.

Exactly.

So, is there a prize?

A weekend for two in Malmo.

Why do you think I've been doing the research?

Ah, OK.

Here, we've got Lisa, 36, abdominal pain,

-admitted to us for investigation.

-OK.

Oh...

Oh, wait, I know her, Lisa Eldridge.

Sacha and I performed an apronectomy on her.

She's had a boob job and two nose jobs -

all on the NHS.

Dom, it's your first day back...

Don't do that. This is what I do.

It's what I'm good at, OK?

She's a bit of a charmer, but it doesn't tend to work on me.

Well, it's working on Sacha...

The echo we've just done is a lot more detailed.

We'll be able to get a much better view of your valve function.

A friend told me that if I had to have heart surgery,

I couldn't be in safer hands.

There's no "if", I'm afraid.

The repair you had done as a baby has got you this far, but...

It's hit the buffers?

Yeah. Don't worry -

we're a team with a great deal of experience between us.

I'll go and chase up those results.

Jac, a word?

Make it snappy.

I've had a cancellation.

I thought I could lighten your load...

Is that what you say?

Mr Puri, for example?

Well, we don't have his echo results,

so we don't even know what we're treating.

Fine. You obviously think I'm not up to it. Forget I asked.

Well, don't put words in my mouth, and I don't think for one moment

that you're trying to lighten my load.

No?

You want the credit.

Am I that transparent?

Yes.

Fine, but he thinks I'm leading.

I'll tell him we work as a team.

Which we do. I'm not saying yes.

But you're not saying no.

Keep me in the loop.

Matteo Rossini.

I know I'm not dreaming.

I've heard lack of oxygen can induce some pretty ghastly hallucinations.

I'm quite real, you'll find.

You haven't changed a bit.

How's the cut and thrust of accountancy?

I retrained as a therapist.

Hypnotherapy, perhaps? You'd be good at sending people to sleep.

You find the idea of therapy threatening?

Please! Getting in touch with one's inner child?

I think you and your inner child are on very good terms...

MATTEO EXHALES

I see you haven't lost your fiery Mediterranean charm.

That, from the man who put the Luke into lukewarm!

What do you want?

Erm...

Jac asked me to sort an ECG for Mr Puri.

Leave it for the moment. He's my patient now.

Let's see the echo results first.

Right. Is everything OK?

Fine. He's a friend of a friend...

Doesn't sound very friendly.

No.

-Hi.

-Hi.

Oh...

-Hello.

-How are you doing?

Oh, hello! Are you still here?

I thought you were a student or something...

I've been fully qualified for four years now.

Oh. Well, it must be your baby face.

Some people never age, while the rest of us just fall apart.

-Yeah, tell me about it.

-Oh, no. SHE LAUGHS

So, how long have you had this pain for?

Oh, erm, a couple of days.

Any other symptoms?

I felt a bit fluey.

Do you mind if I take a look?

Oh, be my guest.

How long has the scar looked like that?

Not very pretty, is it?

Do you think you'll have to redo it?

Well, it might be treatable with antibiotics.

Oh.

Excuse me.

Um...

SHE SCREAMS Whoa! Sorry.

OK, let's stop there, I think.

Usual bloods.

Could be an incisional hernia -

tender, not cellulitic, but the BP's running low,

so, in the meantime, just go gently.

OK.

And the Oscar for Best Actress goes to...

Great!

I'll let you know when the patient's on his way.

Bye.

KNOCK AT DOOR

I thought you'd like to know Mr Puri's echo results are back.

It's a personal call.

It's Matteo...

Luke has been admitted to Holby, but I thought you should know,

he's being transferred to St James' -

should save you a journey.

Right, give us your phone.

There you go.

Ah...

Big smile.

THEY LAUGH

Can I help you?

I'm fine, thank you.

Who was that?

You think we should do it again, don't you?

All I'm saying is, it clearly wasn't our finest hour.

Her temperature's high, BP's abnormally low,

and if she's faking it, I want to know how.

Voodoo magic?

Simmering some herbs over a low heat whilst mumbling an incantation?

Newt optional.

Dom, it's your first day back, so if you want to...

It was a joke, Sacha. Where is your sense of humour?

That's the TOE, too.

SHE SIGHS

Right ventricular hypertrophy. He's going to need a cardiac MRI.

Did you do the ECG?

Matteo told me to hold off.

He said he wanted to see the results first.

Well, where is he?

Right, just do it. I'll deal with Matteo.

Wow.

Aortic stenosis, pulmonary regurgitation...

That is one sick heart.

Mmm.

Ah, we're just looking at your patient's results.

Here, take a look.

It's irrelevant. He's being transferred to St James'.

Why?

We're overstretched. St James' is closer to his home.

Have a look at the echoes.

You're going to need to replace both those valves.

Not to mention the TOE.

You want to put this guy in an ambulance,

take him to a different hospital - so you want to kill him?

Maybe. Zosia did say she heard them snapping at each other

like a pair of alligators.

What's this?

What's going on?

I do happen to know the patient, vaguely,

but that has nothing to do with it.

Is he a doctor?

A therapist.

Your therapist?

Why would I need a therapist?

I can't imagine(!)

MO STIFLES A LAUGH

Well, that settles it, then. He's staying.

I'll order the MRI.

So, who is he?

No-one.

An acquaintance.

I brought you some green tea.

Ah, thank you, but Essie beat you to it.

-DOM CLEARS HIS THROAT

-As did Raf, actually.

That's berry, I think.

I was going to get you some chocolate, but...

Sugar-free day, which is a great idea -

I might hopefully lose a little bit of weight.

You're not overweight.

All right, I'll drink it myself.

Oh, it smells delicious.

Mustn't waste it - today of all days.

So, Mr Cushion came in last week, complaining of neck pain,

for a post-op check.

We'd recently repaired a penetrating neck injury

resulting from a workplace accident.

Sorry I'm late.

As I was saying, we repaired the neck injury the week before.

Nearly crossed the bar.

Here's the latest scan.

What's our main concern?

Avoiding the nerves in the neck in case of paralysis.

I am here, you know.

-Sorry. Sorry...

-It's all right.

I think you meant to say "compromising the cervical spine".

And what are our options?

Surgical repair?

Or stent placement...

Very good.

We'll see later which is the most appropriate.

In the meantime, it would be good to have a follow-up scan.

I could do that.

Thank you, Dr Digby.

We'll leave you in the capable hands of Dr Digby, Mr Cushion.

So are you looking forward to this afternoon, Dr Dunn?

It seems a long way to come just to observe.

Well, he's very keen to be a trauma surgeon -

this'll look very good on his CV.

Is London going all right?

Yes, yes.

Ghastly new girlfriend, though.

I'm so sorry.

Now, that's an accident waiting to happen...

Is Cam shadowing you?

No.

I told him I'm not interested.

Really?

So, we'll do the cardiac MRI as soon as possible.

But you think it's aortic stenosis?

On the left, and pulmonary valve regurgitation on the right.

There's also significant scarring left over

from the previous operation.

My parents used to call it "bad plumbing".

That's one way of putting it.

Are you sure it isn't just easier to get a new heart?

In some ways it would, but there's always the problem of a rejection.

Is that your speciality, Mr Rossini?

It's complex.

It's the only way, Luke.

Without the surgery, your heart failure will only get worse.

I only just got your voicemail, by the way.

So, after the op, assuming that it goes fine,

will I be on more medication?

Ah, sorry. Yes, medication...

Erm...

Blood pressure, blood thinner, statins...

For how long?

For life.

If you'll excuse me...

Jac.

So, you finally called me back.

Now is neither the time nor the place.

It never is, though, is it, Matteo?

I'm busy, can't you see?

I want to sell the house.

Will you talk to me now?

You disapprove of my surgery?

Yeah, no matter what you say, it's written all over your face.

-You're a hypocrite.

-And how did you work that out?

Because you're just as self-conscious as me.

I bet you belong to some fancy gym.

I wish.

Yeah, and that haircut probably cost a bomb.

Ten years from now, you'll be first in line for a bit of botox

and a pec implant.

-Hi.

-Hi.

-How's your pain? Any more pain?

-SHE SIGHS

No. It's just a bit sore from the prodding.

Can we get Ms Eldrige some more pain relief?

-My pleasure.

-(Thanks.)

Nurse?

The driver of the truck came straight at me.

I made a leap for it but he'd pinned me to the wall by the neck.

Oh, I can manage now, thanks.

It's either this or hang out with my mother.

Oh.

All in?

So how fast was the truck going?

Well, it must have been at least 6mph.

6mph?!

-Fork lift truck.

-Oh, I see.

Visibility on those machines is abysmal.

You deliberately put yourself in harm's way?

No, the manager was supposed to shout stop.

But Daz the driver had his headphones in.

The manager, he was upset, but he had to admit there is a hazard.

-Yeah, it's called Garry Cushion.

-What's that?

You can still go to St James'.

It's not too late.

Jac Naylor is one of the best heart surgeons in the country.

I came to save Luke's life. It's not always about you, Matteo.

You can't sell the house.

It's a family home. We're not a family.

Is this Luke's idea?

Luke has been an amazing friend to me.

For completely selfless motives.

Just because you're an opportunist doesn't mean everyone is.

Are you seeing him?

That's none of your business, Matteo.

Well, he played the waiting game, I'll give him that.

-What do you mean?

-He's been in love with you for years.

I guess even therapists are fallible.

What kind of therapist, may I ask?

Interpersonal psychotherapy.

He helps people cope after traumatic events. People like us.

I don't need therapy.

And because of that, there's something wrong with me?

So, you've suddenly come to terms with it all?

I've had a valuation done. You need to phone them.

I'll text you the number.

So you're not going to redo it? Tidy it up a bit?

Only I was...

I was thinking, just while I was under, if you could...

Could what?

You know, this is...

this is the first time I have left the house in the last three months.

I just feel like everyone's staring at them, laughing...

Staring at... Sorry?

Well, I mean, look at them.

They're fine. Yeah, they're within the normal range, Ms Eldridge.

SHE SIGHS

Well, you should have seen mine.

Yours are fine.

No, I had them pinned back when I was a kid.

My nickname at school was...

Dumbo.

You know, for the last week,

I haven't even been able to answer my own front door.

Jade, my daughter, had to do it for me

and she must just think I'm so useless.

I'm sorry... SHE SOBS

It's all right. No need to apologise.

It's all right. It's all right.

What is it now? More lipo?

Eye lift?

Ears pinned?

SHE SOBS

Dr Copeland. My office.

We've got the results of your MRI back

and it's confirmed my diagnosis.

Your valve has dangerously narrowed

and both sides of your heart have thickened.

I'd like to operate on you today.

Right.

Has your friend gone home?

Nina? No. She's getting a coffee.

You've put her down as next of kin. Will she be taking you home?

Yes. Listen, I'm sorry about all that stuff.

All what?

Between me and Matteo. Mr Rossini.

-It's really none of our business.

-Nina's his wife.

Really?

When I see that smug face of his, I just want to punch it.

Actually I did, once. Knocked him out.

They've split up and got back together

so many times I've lost count.

Well, I guess, under the circumstances...

How do you mean?

Sorry, it's their business. I've said too much already.

I... I should know better.

So, you have no objections to Mr Rossini operating?

-You're running the show, though, aren't you?

-I am.

What are my chances?

I don't leave anything to chance, Mr Puri.

See you later.

What do you think he meant by "under the circumstances"?

I have no idea. Why would I want to know about Mr Rossini's marriage?

-DOM:

-'I don't want her to abuse your trust!'

-This has nothing to do with Lisa.

-What?

Well, you told me explicitly you were ready to come back to work.

-And I am!

-Well, I disagree

because the way you spoke to Ms Eldridge just now,

I really should send you home.

You've got to be kidding me.

Dom...

White chocolate chip muffin.

Where DID you get it?

Why are you assuming it's me?

OK. Paul from the canteen smuggled it out for me.

Yes, you see, this is a terrible example to be setting

all of our patients.

-(Is that the only one?)

-Afraid so.

-Wow.

-Oh, is that Mexico?

I went on an amazing holiday there. Well, what I can remember of it.

This isn't a holiday!

It's a conservation project in Costa Rica.

Three months with the option to extend at the end of it.

I thought you were dead set on becoming a trauma surgeon?

-Says who?

-Hm?

Your mum.

Yeah, well, sometimes you just want to do the unexpected.

Especially when you feel your future is being mapped out for you...

Three months? What'll your girlfriend say?

No-one owns me.

Just think, three months of sun, sea, sand...

And tortoises.

You all right?

So her coming to Holby is coincidence?

It's you.

She wants you to do Luke's surgery.

Should I be flattered she wants me to operate on her boyfriend?

He's not her boyfriend.

Whatever.

You know, the only good thing about this is hearing that

he once punched your lights out.

Jac, you don't know everything.

I know you were willing to risk Luke Puri's life.

Don't exaggerate.

You know, I don't care about your domestic dramas.

Just keep them off my ward.

I owe you an apology.

Fine, suit yourself.

I can hear you.

You think I'm a fraud.

I think there was no excuse for the way I spoke to you.

No hard feelings?

Suppose not.

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

Beg your pardon?

You think you know who I am but you don't.

You're probably right.

You have a nice, comfortable life, hm? Well educated, well paid.

Nice holidays? Paris, is it?

New York, maybe?

I don't need to know all the finer details of your life

and nor you of mine in order for me to treat you.

No. You should treat everyone the same.

I like to think that I do.

You think people like me are milking the system.

I think we should be here for those who need us the most.

People who are seriously ill in chronic pain.

-I AM in pain!

-You might be now.

But all of your previous surgeries have all been cosmetic.

Well, I get a pain every time I look in the mirror.

You... You try being old and fat and ugly.

-You are none of those things.

-Well, that is how I feel.

That's what I see when I look in the mirror.

I just think if I get this stuff done...

things will change.

You know, I'll get more respect, people will treat me different.

I know it's not going to happen like that but...

But it makes you feel better anyway.

See, we're not that different...

you and me.

SHE RETCHES

OK. OK. All right, Lisa. OK. OK.

There is definitely something there, Morven.

Like chemistry and body language.

He's planning a trip 6,000 miles away, Jas.

That's more to just get away from his mum.

I mean, who wouldn't want to go?

I don't know.

Do you ever just do anything for fun, ever,

just for the joy of it?

Why don't you let your hair down for once?

Morv, I'm sorry. Don't...

OK, so I've managed to source three companies that can

supply us with PVC and latex-free...

products.

Has someone been booking their holidays on this computer?

Oh, no. That's... That is... is mine and it's not a holiday.

It's a... It's a conservation project in Costa Rica.

Saving the tortoises.

Turtles. You'd give all this up?

Yeah... No... No, I'm... I'm just very into conserving things.

For example, all the non-recyclables go into Elsa

and all the recyclables and paper and stuff go into...

-What did you call him?

-Theodore?

-Yes.

Good. Very good.

No, thank you.

Where did you get that?

-Secret Jammy Dodger stash.

-Any luck with those results?

Yeah, CRP, LFT, U&A all normal.

FBC, white blood cell count's raised slightly.

-Good. Can you check if a theatre is free, please?

-Mm-hm.

Still think she's faking?

No. I was wrong.

Maybe I'm not such a good doctor either.

Come on, no need for self-blame. We all make mistakes.

I need you in theatre to assist with Ms Eldridge.

Yeah.

Is she really your wife?

Yes.

And Luke Puri's her boyfriend?

He's not her boyfriend, just an old friend.

We couldn't help overhearing earlier.

Zosia, please, don't try and play the agonised aunt.

Agony aunt.

It's not like you haven't interfered in MY private life.

That's different. She wants to sell our family home.

Maybe it's time to move on.

Move on - why does everyone use that term?

What does it even mean?

You can't possibly know what I feel, what she feels,

what we've been through!

These things are not for public discussion.

Dr Copeland. How fortuitous.

A good day so far?

Yes. Of course.

Now, I thought it'd be useful for you to report back your progress

to someone outside your clinical team.

What... What do you mean?

That I shall manage your rehabilitation myself.

Why? Has somebody made a complaint about me?

No, no. So we'll have a meeting regularly -

once a week, perhaps - until you feel more settled.

But I... I do feel settled.

Good. Then the meetings should be very short,

which will suit me, too.

I don't expect you to like me.

Like you?

That's pushing it a bit.

You're entitled to your opinion.

I am.

And this may be my last chance to express it.

Nina is beautiful, clever, talented.

She deserves better.

If being with me was so bad, why did she keep taking me back?

-Who knows?

-I didn't come to pick a fight.

Good. Now can you please leave me alone?

She wants to sell the house.

It's for the best, Matteo. I know it must be incredibly painful...

With respect, you don't know anything.

She's been ringing me for weeks about a new lead.

Listen, talk to Nina. It won't go away until you do.

You think you can talk these feelings away?

You can either try and face it,

or you can run away.

You have no idea!

When have you ever had to face something like this?!

HE PANTS

Crash team here!

She's right. It's not pretty.

Well, she's going to have her wish to get it redone.

Once we get this cleaned, we can see how much tissue

needs to be debrided...

OK?

-Great.

-It's quite deep.

What's this?

-It's a surgical ruler.

-Yeah, yeah, I know what it is.

OK. Essie, can you check the date of Ms Eldridge's apronectomy?

OK, it's about six months or so ago.

And can you do an appraisal of everything in the operation

-to see if anything's missing?

-Clearly something's missing.

Nothing goes missing on my watch.

-Yeah, but you're not the only nurse who does the checks.

-He's right.

Cos if there's a flaw in the system, this might not just be a one-off.

-Well, are you going to tell her?

-We have to.

-Yeah, but can we not delay it?

-No.

Wait until we get all the information?

-Well, there's the evidence. Did you not see this?

-What?

Well, I was in charge of the operation

but, off the record, I let you close.

That's... That's irrelevant. This was on your watch!

All I'm asking - was correct procedure followed after I left?

You really think I'm the kind of doctor who would leave

surgical instruments strewn around inside a patient?

-How is he?

-Stable.

I've booked theatre. I'd like to bring surgery forward but I'm having

a problem locating your husband. Any ideas?

Why are you asking me?

I haven't seen him in more than six months. You could try his mobile -

not that he's good at answering his messages.

You know the building better than me, and you probably know Matteo

pretty well, too. His female colleagues usually do.

I'm not his colleague.

I'm his boss...

and it's likely he just caused my patient to arrest.

I'm talking about your boyfriend. Don't you care?

Yes, I care.

-I care about Matteo, too. He's upset.

-Upset?

I'm selling the family home.

Big deal.

-It's his last link...

-I thought your marriage was over.

It's his last link with our son.

Your son?

He disappeared when he was five. That was ten years ago.

He's never been found.

Not yet.

Matteo is probably in his "nascondiglio", his sanctum.

And where's that?

Anywhere. Anywhere there's Handel.

Is Matteo OK?

I just saw him get into his car. Looked like he was leaving.

So YOU did it?

I was in charge, yes.

What would have happened if you hadn't found it?

Say I was on holiday somewhere.

You would have been given a course of antibiotics.

Don't people die from this sort of thing?

It's rare, but it can happen, yes.

I could have died?

Like Mr Levy said, it is rare.

Every operation carries risks.

That's why we get you to sign a consent form.

No. This is negligence.

I can sue you.

Dom?

I didn't believe her and I insulted her

and now she's threatening to sue us all because of me.

You know I can deal with the Isaac thing if...

if I have this, if I have my work.

If not...

..what am I?

CALM CLASSICAL MUSIC PLAYS

MUSIC VOLUME LOWERS

What the hell are you doing?

I can't operate on him.

Exactly how unprofessional are you?

This isn't about professionalism.

You're going to come back upstairs with me

and you're going to help me repair Luke Puri's heart.

I don't care what just happened.

You have a job to do. You can't just run away from it.

I want you back upstairs now.

See what you can do.

You don't think that Cameron's getting enough challenges in London?

Oh, come on. The facilities here are way better.

Sure. And of course he's much closer to the mother ship.

I'm just trying to give him new experiences, you know,

feed his ambition.

OK, maybe get him out of the clutches of the ghastly girlfriend.

There are some things that you can't control.

Such as?

Falling in love.

With a ghastly girlfriend?

Oh, no. No, no, no, no.

Have you asked him?

No, he'd say I was prying.

Well, if you like, I could talk to him.

Oh, that's a good idea.

Yes. No, no, I'm trying to imagine how that conversation would go.

How many times is it you've been married, Ric? Is it four or five?

Well, I'm sure that Cameron can find his own way without our help.

Cameron, you must tell us all about New Green.

Aren't they pioneering a big, new DNA project?

Yeah, but it'll take years and I don't imagine I'll still be there.

Applying push-pull flow to equipment storage

would save so much time!

That ruler that was left inside Lisa Eldridge?

Ah, it's over there.

Actually, could I have a look before you go?

Where is it? Ah, here we go.

OK.

They're identical, aren't they?

Well, that's what I'm just checking.

Do we always order these from the same supplier?

As far as I know.

Oh, no. Hang on. We changed earlier this year.

Yep. Look. Lettering. It's different.

Oh, yeah.

Could you find out when we changed?

Because if we've been using these for over six months,

there's no way that this can be ours.

Common carotid pseudoaneurysms are rare and, as we know,

potentially lethal which is why we've given this surgery priority.

Right, special care needs to be taken to avoid...

An uncontrollable haemorrhage.

Dr Digby?

To avoid rupture or neurologic sequelae.

Dr Dunn, I'm afraid that since you're not a member

of the Holby surgical team, you won't be able to assist.

But, Dr Digby...

What's this? A free-for-all?

Can anyone join in?

I assure you, Mr Cushion,

that Dr Digby is a very talented young surgeon.

Good!

There isn't sufficient circulation of air around here.

-I've got a thumping headache.

-OK, stop, stop.

We need to perform an immediate intracranial angiogram.

Prepare 5ml of Alteplase, just in case.

As I thought. Thrombus in the middle cerebral artery.

OK, Garry, you let me know when your headache eases off.

I think it's been already.

He's a good man.

You think I don't know that?

He looked after me when you wouldn't, or couldn't.

Will you move in with him?

Don't know.

What do you want, Nina?

I want what I can never have.

That it never happened.

That we were all together still, the three of us.

What about the two of us?

If it hadn't happened would we still be together?

You have it in your power to help save his life...

..and you owe him.

Look, I may not be Alexander McQueen

but I have never, ever, stitched anyone up as badly as that.

You must have gone somewhere else for surgery.

Lisa, do you not realise the repercussions of you suing us?

You should have thought of that

before you left a ruler in my stomach.

Sacha... Mr Levy, he is a brilliant doctor

with an impeccable record

and he really, really cares about his patients.

This... This could end his career.

Look, if I...

If I did it then I'm willing to take the blame,

even if my work is the only thing

that I'm clinging on to at the moment. But...

if there is something that you aren't telling us,

something else that you know then just, please...

-Sorry, excuse me a second. Dom, what are you doing?

-I'm trying to...

OK. It was the Hazewood Clinic.

I lost more weight and there was more loose skin and...

and this woman on YouTube said this place was brilliant.

Yeah, and she'd done these videos and she looked fantastic.

But they made a right mess of the scar

and they took every penny I had,

and now I find they left a ruler inside me!

But you... You were going to go ahead and sue us?

Well, I...

I wasn't thinking straight.

There you are.

So what did you think of the surgery?

Yeah, it was... It was fascinating.

You can tell me the truth.

Well, I just...

What?

I messed up.

No, you didn't.

But it went wrong.

As things invariably do.

But it's not what goes wrong that matters -

it's how you deal with it.

Look, that could have happened to any of us.

Bernie was quick thinking but that's largely down to experience.

She's battle-hardened.

Life always has the potential to surprise,

and that's scary,

but it can be wonderful too.

Are we ready to go on bypass?

Good. I want complete focus here, please.

I'm amazed he was still walking around.

Yeah - the MRI didn't do it justice.

The aorta is thickened, the heart wall has hypertrophied.

Right, the clamp is on - let's start cardioplegia.

MACHINES BLEEP

Eyes on the prize, please.

I'm sorry - I probably overstepped a boundary.

Don't worry about it.

So, what was going through her mind?

Why wouldn't she go back to them?

Money? Lack of trust?

Knowing we'd do a better job

and she'd probably get a free treatment thrown in?

She's not going to stop. She hates herself.

Almost done here.

The stenosis here isn't as bad as I'd first anticipated.

How's the pulmonary valve look?

There's no valve.

-What?

-It's disintegrated. There's nothing here.

OK, so open up the right ventricle.

Matteo?

It's bleeding.

I need some help.

Just watch the coronary artery.

You take over.

No, this is your call.

We need to insert a new valve.

Yes, you will.

Why Costa Rica?

Why not? I want to feel alive, Morven.

I want to be shaken up, challenged.

But the...the Zika virus? Dengue fever?

So what? Life is one big risk.

Hundreds of people end up in A&E every week

after falling off a ladder.

Look at Garry - I bet he's never been further than Weston-super-Mare

and he still managed to crush his carotid artery.

Hey, come with me. To Costa Rica.

Ah... You're mad.

Good - mad is good. You could take a leave of absence or just do

something crazy for once - come on.

Have you been speaking to Jasmine, by any chance?

No. But it sounds like she's been giving you good advice.

Wow, that is something I never thought I would say.

OK, moment of truth. Let's take him off bypass.

Patient is stable.

It's looking good.

Dr March, can you close up, please?

Of course.

HE EXHALES

Did you want me to rinse them out and recycle?

That's very funny.

Nina told me. About your son.

I'm sorry.

Would you do the post-op check on Luke Puri?

Why?

Because I'm shattered.

Sorry. He's still your responsibility.

I suppose you want me to do the sustainability report, as well?

-I think we can pass on that one.

-Hm.

So, when can I go home?

Oh, not for a couple of days, I'm afraid.

We need to monitor your progress before we can discharge you.

Longer I'm in, more chance of picking up some hospital bug.

We do our best to eliminate cross-infection, Mr Cushion.

It's a case of weighing the risks against the benefits.

Oh, I know all about risk.

I'm sure you do. How long were you in the Navy?

How did you know I was in the Navy?

It was when you said you nearly crossed the bar,

nearly died - I've only ever heard sailors say that.

I was in for 15 years. Went all around the world.

I nearly died of cholera in India,

had dysentery in Egypt, Hepatitis A in Sumatra...

Is that why you went into health and safety?

No. I forgot to check a gantline and my mate fell overboard.

He drowned.

I'm so sorry.

Everyone makes mistakes,

but some of us pay a very, very high price for them.

I took a little time to look through your medical history,

and it seems you've had several cosmetic procedures.

I had good reasons for all of them.

This is not a judgment on you.

I'm simply trying to think of the best way to help.

Surgery's usually the last resort - it puts a lot of stress on the body.

Have you heard of a condition called body dysmorphia?

It's where a person who has a perfectly normal body

can think that they appear grotesque and worthless.

I need to get on.

So I'd like to order a psychiatric assessment.

Would you agree to that?

Good. Well, that's all. Good to meet you, Ms Eldridge.

Thank you, for everything.

You're welcome.

How is he?

Hanging in there.

I didn't mean him to arrest, you know that.

Sure.

He is still crazy about you.

Are you jealous?

No.

A little.

Don't take this the wrong way,

but I don't want you to throw yourself away.

Why would I do that?

I don't think you love him.

Maybe not. Maybe not the way we loved each other,

but then look at us now.

Maybe what I have with Luke is... enough.

Enough for you, but not for him.

His heart is in enough of a mess as it is.

Have you seen Morven?

No, her shift's finished.

You're joking. Look, if... If you see her...

Unlikely. We... We don't live together any more.

-What?

-Morven chucked her out.

That's awful!

Oh, she had it coming to her.

Thanks!

Cam...

Look, I know I probably shouldn't

interfere and that's what got me into trouble before, but...

Morven - I think she's had a change of heart.

About me? Yeah, you know what happened before.

Yeah, but that was then and this is now.

Do you know what? Forget it. You two make me want to scream!

Where are you going?

Costa Rica. All right for some, eh?

What's wrong? Itchy feet?

Nothing wrong with keeping my options open.

Yeah, that's true. It can take a long time to find one's niche.

You sound like such an old man!

Is this yours?

You know they're doing an inspection in 15 minutes?

Thank you.

Herr Valentine. I don't think you like Theodore very much.

The local police have called off the search due to bad weather.

What are you doing?

Matteo's kid - look...

I mean, seriously, he's the last person

I'd expect to have that in his closet.

The guy's all so laid back... always cracking jokes.

-Flirting.

-Right?

How do you get over something like this?

It's bad enough when your kid gets sick and dies.

A proper garden on the roof.

Lots of plants would generate oxygen and reduce ultraviolet impact.

Doing the report?

Yes. Anything you'd like to add?

Can I see you...in private?

Sure.

I bet the night sky in Costa Rica is amazing.

Beautiful.

How did you know that I'd be out here?

Actually, Jasmine gave me the idea.

Jasmine!

Look, I don't know why you two have fallen out,

but is it really so unforgiveable?

I mean, I know she can be a pain, but her heart is in the right place.

Maybe. Cam, are you serious about this Costa Rica idea?

I just wanted to get away.

I'm so fed up with Mum trying to control my life.

I nearly didn't come today.

Then why did you?

To see you...

..I think.

I think I feel a scream coming on.

My judgment was flawed.

So...what, you just resign?

You go home, you avoid my calls, you avoid Nina's calls,

you get another job and nothing is resolved.

That's my business.

No, it's...

It's never just your business!

You can't keep these worlds separate.

They bleed into each other until you deal with it.

Look...

Matteo, I can't imagine what it's like to lose a child

and not know what happened to them.

We do know.

What?

Realistically, Nico disappeared next to a river.

There had been a lot of rain the night before, and...

Nina won't accept he's dead. They never found his body.

So you just gave up hope?

I sealed it off.

Hermetically.

So there's not even the tiniest gap.

Or so I thought.

It's not me you should be talking to.

And no, I don't accept your resignation.

This is... This is Dr Burrows, who is very keen on conservation.

Is that so?

Er...yes, yes, I am very interested in conserving...things

and recycling,

and cycling, in fact.

IN SWEDISH

Ah!

-Hejsan!

-Ah.

Hejsan? Hm? I'm the one who sorted out all this recycling,

I'm the one who compiled this report - you don't know

the difference between a tortoise and a turtle!

Well, turtles are the ones they make a soup out of.

And if you don't mind,

I'm going to take this back cos I might need it later.

I need to speak with someone about arrangements for when I get home.

Would you like me to contact social services?

There's no need for social services. He's got me.

I don't want you there, Nina.

Maybe I should go.

No. It's finished.

For years I've been waiting for the two of you to make a decision.

Today I realised I don't need to wait for you.

I can make a decision.

It's up to the two of you now.

Albies?

Oh, not tonight. I'm pretty busy with Elsa and Theodore.

Oh.

Well, after you're done, would you like a lift home?

It's not too far to go.

No...

I mean, a lift back to our home.

Hm?

Coming to the reception for the Swedes?

Probably not.

We might win a prize.

What, a romantic weekend away for two?

Yeah. Fair point. Come, anyway.

Nah.

You OK?

Yeah.

Dom, I just wanted to say...

Hm?

What are those?

Vitamins.

Look, I'm just trying to get back on top, OK?

So that the next time somebody decides to try beating me up...

You know that had nothing to do with it, don't you?

Because it wasn't your fault.

Nina, wait.

About the house.

What about it?

I'll ring the estate agent tomorrow.

That's good.

Let me give you a lift.

It's OK. I'll get a cab.

No, I want to. You mentioned a lead.

Maybe you could tell me about it.

Are you sure?

Yes. Yes, I'm ready.

Skal!

Are you happy now?

Yes, thank you. I'm very happy.

You think he's going to come back to Holby,

but what if the two of them decide to go to London?

Ah, ladies and gentlemen, if I may, our Swedish guests

have organized a little game for later - the Surstromming Challenge.

We'll come to that shortly, but first, the reports.

So AAU and Mr Valentine's plan for a roof garden was very impressive.

Wasn't that Zosia's idea?

Ah, there's no copyright on an idea.

But from Keller it was Mr Di Lucca's strategy of using

the lean production principles

that really caught the attention of my colleagues,

so if I may present you with this little fellow.

I thought the prize was a weekend for two in Malmo?

Well, giving plane tickets away

we thought was rather against the spirit of the project.

Well, let's face it - none of us have got anyone to go with, anyway.

We could still all go. We could take Dom. Where is Dom?

Talk of the devil.

I don't know who left this in the office, but it's mine now.

Feel.

Oh, that's rather nice, actually...

So what's the challenge?

Ah, the challenge...

Mr Levy, would you like to be the first to try?

Mr Griffin, if I may?

So, what am I meant to do?

Well, it's a Swedish delicacy. Open the tin and try it.

Is it herring? Because I love herring.

Good.

ALL REEL AND RETCH

That's the most disgusting thing I've ever had in my life!

Then of course, Mr Levy, you have to eat it.

Hm.

You know why I didn't want to sell?

Nico's room?

No.

What happens if Nico comes back?

He might think we don't remember him any more.

I couldn't bear it.

My son thinks Papa has forgotten him.