Jac's job and livelihood are at risk when a mystery patient arrives on Darwin and seeks her help. A short-staffed Keller welcomes a new face to the team.
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-Look, it's not that I don't think you're a good doctor.
-Just not good enough.
As of tomorrow, I no longer work on Darwin.
AAU is short-staffed and I'll be filling a gap down there.
That man ruined my life.
Just take my hand, I won't turn away this time. I promise.
Can she survive this?
Not many people would, but she's a very determined woman,
-tougher than most.
-She's had to be.
-VOICES IN HEAD:
-Si vis pacem, para bellum.
Did you ever discuss options?
Don't look back. You should do the same.
That's double the risk of mortality.
This is completely unjustified, completely without merit.
Quite right, you should make restitution...
Come to check up on me?
You must've started early.
Who said I went home?
There's no substitute for hard work,
and you do have a lot riding on today.
I'll bring home the bacon.
It's the least you could do.
You were responsible for the stent project falling by the wayside.
Quite right you should make restitution.
Lucky we had something else up our sleeves.
Isn't it just?
Well, the technology is transformative.
If we can harness the lessons from chemotherapy,
making surgical oncology interventions more effective...
And secure a share in the billion-dollar nanocomposite market.
So this is Darwin's pot of gold?
-Ah, top of the morning to you.
I believe the correct response is, "And the rest of the day to yourself."
Someone's in a good mood.
It's a nice day, the birds are singing.
Yeah, and have been since stupid o'clock.
Are you eating cake for breakfast?
Yeah, I am revolting against this healthy eating.
-You are indeed revolting.
-Yes, you're welcome!
-Are you coming up?
No, I'm waiting for a VIP - a very important package.
-I can't reveal the details.
All will become clear. You're on Darwin today?
Yeah, I'm doing some cover.
Ah, did you know it's the big funding day today?
-Jac's showing potential partners around the department.
Why are you so calm?
Because someone might have had an interview for
a London rotation and they might have loved someone.
Oh. So it's Darwin that needs to impress, and not vice versa?
Happiness delivered in three to five working days.
Come to Papa.
OK, so we're nearly there.
What's with the T-rex arms?
I overdid it working my triceps at the gym last night.
It actually took me about an hour to wash my hair this morning.
-I thought you were looking a little bit...
Manly? Butch? Shredded?
Dishevelled, but, yes, all of those.
Mr Downing needs to be prepped for his elective and Ms Laskey is ready to be discharged.
-OK, well, I've only got one pair of hands.
Seriously, Sacha, this is ridiculous,
we've been rushed off our feet for days.
Don't worry about it. There's an agency nurse on their way up as we speak.
-It's the first I've heard of it.
-Ah, special case.
He's here for one shift only, so if we work our magic, you never know.
Need help here. Go, go, go! All hands on!
-Arrest call. Pupils fixed and dilated.
He lost consciousness in the lift. Low GCS, unresponsive. Ambu-bag!
-Teddy Groves. Transferred from the ED with abdominal cramps.
History of ischemic heart disease.
-Do you want me to take over?
-No, I've got this. Can we get a cannula in please?
OK, handing over.
Ah, sorry. Eh, I'm looking for Mr Levy.
I was hoping you were going to say that. And it's Lee-vy.
-Pleased to meet you.
Rochelle, if this stuff isn't cleared,
filed or burned by the time I get back...
Jac, we need to talk.
-Did you get my e-mail?
I found this amazing article which will enhance our pitch.
It's in the CT Journal of Surgery on patient outcome measures
after nanoneedle treatment.
-The pitch is done.
-I need to talk to you about it.
I thought you'd have more pressing concerns.
Today's pitch is my priority.
Fine, but make it quick.
I've been looking for you.
Here I am. What'll you do with your other two wishes?
I'll save them for later if that's all right.
I've got a lady in, minor RTC, collapse query cause.
All observations are fine, but she's nearly 80.
You want someone to dot the I's and cross the T's?
-If you wouldn't mind.
-I'd be delighted.
KNOCK AT DOOR
How are you getting on with the reports for the M&M?
Ah, not as well as I'd like.
Well, I need them on my desk by the end of the day.
-End of the day today?
You can use the consultants' office so you won't be disturbed.
Patient outcomes are improving as the method of delivery and
targeting the nanobead location becomes easier to predict.
Hanssen should have never involved you in this.
-Because I don't agree with you?
-Because I work better on my own.
I made a valuable contribution to this project.
And I know when to cut my losses.
-Your services are no longer required.
You can't make that decision.
I'm the head of this department, I can do what I want.
-Why's everyone more tightly wound than usual?
You do know there's a big shiny meeting and a departmental tour?
You do know you're overreacting?
Well, she got the office chairs dry cleaned last week.
-Yeah, she's being a bit OCD.
-It's good to have you back for the day.
-It's good to be back. Any Darwin dirt to dish?
Well, do you know about the ex-ex-wife and the missing kid?
Who doesn't? How's she dealing with it?
Pretty chilled, yeah, she's being really adult about it.
Ah! Mi hai veramente rotto le scatole...
Yes, that's right!
-Ms Effanga, your desk - I will not ask again.
Dr March, where's your name badge?
Oh, I meant to say, I'm really sorry about...
Stop talking. Whatever it is you want to say,
I'm sure it can wait until you're smarter.
Check the notice boards, the leaflet information stands.
-Isn't there a patient...?
Take a seat.
Mr Groves is in intensive care, but he's stable.
Listen, I just wanted a quick chat, you know,
before you get properly stuck in.
Just to let you know...
I am aware of what happened in the ED.
I was working the day Nurse Stuart died.
It was such a terrible accident.
But I just wanted to reassure you that as far as I'm concerned
the past's the past, you know,
what's done is done, we keep calm, we carry on, etc, etc.
I appreciate that.
But, having said that,
I just wanted to make sure you're feeling OK about being back.
Now, I understand that you're interested in becoming a counsellor.
Not any more.
Oh, well, look, there's a permanent position here.
You know, I'm sure you'd be an absolute asset, given your...
To be honest, Mr Levy, I'm...
Call me Sacha.
-To be honest, Sacha, I'm not planning on sticking around.
No, as soon as I've got my visa together and enough cash,
I'm going to be straight on that plane to Oz.
-Caught the travel bug, have you?
Ah, to be 20 years younger.
Yeah, what've we got? Erm, bed eight.
Fran Reynolds, signs of ischemic heart disease and an ST depression.
Right, thanks. Something tells me this isn't your first trip round the block?
Let's just say I've graced these halls before.
-Does Jac Naylor still work here?
-Are you a patient of hers?
She's an old friend.
Eh, when you say friend...?
Is she here?
Yeah. Did you want me to have a word?
Please. It would be great to catch up.
These are our beds...
Which is obviously where we keep the sick people.
Less said about them, the better.
Where we bitch and moan.
Report any gossip here.
Not any, all!
And last but not least, the locker room.
-This is yours.
Right, well, we will leave you to it.
So, what's the hourly rate like in Oz?
I hear it's much better over there.
-It's a pretty great lifestyle.
-Well, they had me at g'day.
Shall we, Nurse Harrison?
-What? I was just being friendly.
Yeah, and then some.
Oh, no! You've got to be kidding - he's a five.
Are you blind?
KNOCK AT DOOR Go away.
There's a patient asking for you.
-I'm not doing surgery today.
-Well, she says you're old friends.
-It's a "no" from me.
-Fran. Fran Reynolds.
Where's Mr Rossini?
I don't know. So you do know her then?
That's not your concern.
She was referred from the ED. She self-admitted.
She's got chest pain and shortness of breath.
Did they do an ECG?
Yeah, she's showing signs of ischemic heart disease and an ST depression.
BP is 120/80.
Ah, you look terrible.
Oh, thanks, Jacqui. You look amazing, as always.
-So how do you two...?
-We used to work together.
She got me the sack.
She also saved my life.
So how long have you had the symptoms?
A few weeks.
And you didn't think to get yourself checked out?
I've been at sea, literally. I'm a cruise ship nurse.
-The stories I could tell you.
Don't you have work to do?
-This is my case.
-Did you finish the leaflets?
-So carry on, Dr Burrows.
Ready for your first patient?
Bring it on.
This is Chloe Ruperts, Chloe is here with epigastric pain and reflux.
I would've gone to my GP but I don't have one yet.
You new to the area then, Chloe?
Yep. Just one zumba class away from making my first friend.
What brought you here?
My husband got a new job, so we moved -
lock, stock and two Highland terriers.
Now, Chloe, how are your toilet habits at the moment?
Erm, not great - we haven't had a chance to unpack the kitchen yet.
So if you are what you eat, I'm basically a Hawaiian pizza.
Right, Nurse Chiltern, we will need FBCs, LFT, U&Es, CRP,
amylase and an abdominal X-ray please, thank you.
-Are you good with needles?
Would you like us to call your husband for you, let him know you're here?
-He's in the office.
-I'm sure, given the circumstances...
Well, it's a new job, big promotion -
regional operations manager, whatever that means.
He'll be in meetings all day.
You've moved the vein.
I'm so sorry.
Have you done this before?
Absolutely. It won't happen again.
What's this all about, Fran?
I was in the neighbourhood.
This place isn't exactly a cruise ship destination.
You never call, you never write.
I came to ask you a favour.
It doesn't have to wait until you're at death's door.
A happy coincidence.
So? I haven't got all day.
I've hired a lawyer.
She says we've got a realistic prospect of winning the case.
I don't know what you're talking about.
-Dead people can't stand trial...
-We're going after the home.
-They must've known something was going on...
-Wait, don't, Jac...
I'm sorry, Fran, this isn't a good time. Today's a very big day for me.
I need you to take over here, complete the CVS exam.
Mr Rossini's one of our best.
-I wanted you to treat me...
I can't be your doctor today,
but I'm leaving you in very capable hands.
Keep me in the loop.
Oh. Is this the doctor?
Oliver Valentine, at your service.
Why, you took your sweet time.
Jenny Cox, 80, had a minor prang in her car on the way to the shops.
Eggs, milk, oh, and that cereal with the...with the idiot tiger.
Very confused at the scene. Resps 30, pulse 80, BP is 150/80.
I keep telling the nurse that I am much better,
but she won't let me go.
All bloods and obs normal?
I mean, you're her boss, why can't you tell her where to stick it?
I'm not sure it works like that.
Hey, hey! Don't you patronise me.
I may be old, but I'm not stupid.
Point taken. Have you chased any hospital notes?
She's not local. We're reaching out to reach her GP now.
My daughters joined me on holiday.
They're still comatose in the caravan, mind you.
Lazyitis - explains why they can't keep a man between them.
-Chase up those notes?
-Won't be a minute.
I'll be in the office.
I see what she means about capable hands.
I'm concerned about your popliteal pulse.
You'll talk to Jac about these results?
If that's what you'd like.
She said she wanted to be kept informed, so...
So, you and the boss?
She's a heartbreaker, isn't she?
She'll chew you up and spit you out.
Never mind, eh?
According to chemistry, alcohol is the answer.
If you'll excuse me.
I need to fast track the angio.
-Could you keep an eye on Ms Reynolds for me?
What on earth did Jac do to him?
Not a clue. She may be my sister but she doesn't exactly tell me anything.
-You're Jac's sister?
Oh. I'm Fran.
I was Dawn back then. We were in the children's home together.
She must've mentioned me?
Well, you know Jac. She's not big on introductions.
Hey, how is it going?
Fine. Totally fine.
It's like riding a bike.
You don't fall off unless you stop pedalling.
I better just...
Yes, yes, of course, yeah. You know where I am? Good.
How's your arm?
It's fine, honestly.
I'm sorry again.
We all get a few bumps and bruises along the way.
What's the latest?
All I heard was dilated bowel.
They'll probably want to do a CT scan,
and check the findings on the X-ray.
Are you sure you don't want me to call your husband?
For a bit of moral support, or...
You just want to know if you're in with a chance, don't you?
Something like that.
No, he's away all week, so...
I thought you said he was in the office, back-to-back meetings?
Did I say that...?
Well, he travels around a lot, so I lose track.
Friends? Your parents?
All miles away.
I'm basically a regional operations widow -
have you ever heard anything so tragic?
Sounds a bit lonely.
Well, there are times when alone is the best place to be.
Take a nice deep breath for me.
It's OK, I know the drill.
This isn't an exercise in redistributing clutter.
What are you doing? This isn't your case.
I asked Dr Burrows to keep an eye.
Well, you're back now, so she can make herself useful.
Whatever you say, boss.
I guess I'll see you later then.
I'll be here.
I've spoken to Mrs Cox's GP.
Osteoporosis, some issues with arthritis.
OK, nothing to explain her disorientation then?
Right, let's get her a head CT,
rule out a cerebral bleed or clot, please.
OK. Thank you.
Is that everything? Sorry, I've just got to sort this out by the end of the day.
What's the rush?
Hm? Oh, I'm seeing Zosia later.
What, you going to dim sum the lights and leave her wonton more?
Good afternoon, Mr Rossini.
Good afternoon. Can I have a word?
Yes, of course. I wanted to check in with you, actually,
to see how you were faring.
-Jac kicked me off the project.
-I'm sure it's nothing personal.
Don't I have a say? I've put a lot of work into this too.
-As head of CT, she...
-Can act with impunity?
..wants what's best for the department.
What this department needs is unity, esprit de corps.
Things our gracious leader knows nothing about.
All right, I understand how you feel but the final decision
rests with her.
It looks like I'm going to need a really filthy martini.
I'm afraid it's not good news.
But we'll look at your options, work on this together.
You don't need to butter me up. Give it to me straight.
You've got coronary artery disease and a myocardial infarct.
You've also developed an aneurysm on your left ventricle.
I'm going to need surgery.
I've booked theatre for this afternoon.
-Have you told Jac?
Could you let her know please?
Tell her I need to speak to her, it's in her best interests.
He was being argumentative, petulant. Blatant glory seeking.
Well, he's got rather a lot on his plate as you know.
Mr Rossini will always be linked with the Berlin debacle.
We need to do whatever we can to distance ourselves...
Sorry to interrupt. I've got Fran Reynolds' results.
Right, thank you.
-Is that our Ms Reynolds?
-Yes, an ED referral.
And I trust that you will be operating?
The echo and the angio confirms the preliminary diagnosis of
advanced coronary disease with a left ventricle aneurysm.
She asked to speak with you,
suggested it was in your best interests.
The funders will be arriving shortly.
Yes, but if she wants my counsel...
All right. Whatever you think best.
You've booked a theatre slot at least?
-And discussed surgery?
-What are you planning?
-An off-pump CABG.
Well, that's not a good idea.
Beating-heart surgeries have shown much lower stroke rates,
with faster recovery and shorter hospital stays.
You'd really consider putting a 40-year-old woman on
-warfarin for the rest of her life?
-What would you suggest?
An aneurysmectomy with the Dor procedure to restore the ventricle.
On bypass? That's double the risk of mortality.
She'd come out of it with the same life expectancy as someone
else her age. She wouldn't have to change her entire lifestyle.
Perhaps she would benefit from changing her habits?
Don't you dare judge her.
OK. But she's my patient.
Will you come in and hold my hand?
I'm afraid I can't be in the room with you, but I'll be there the whole time, OK?
Slow down your breath, make it nice and shallow.
It's not the scanner, it's just...
It's going to be bad, I know it.
You need to try and stay positive, OK?
Yeah, she's worked herself up. Convinced it's something bad.
She's not wrong.
She has a large tumour in the hepatic flexure,
obstructing the bowel.
You spoke to Matteo?
Why did you ignore the symptoms for so long?
You know me - can't stop, won't stop.
I'm supposed to be cruising the Bahamas next week.
You're looking at a long recovery time.
What are you suggesting?
An aneurysmectomy with CABG and the Dor procedure.
You always were trigger-happy with the experimental stuff.
Well, it's tricky but it'll restore the shape and geometry
of your ventricle, decrease the volume.
I just have to get through the court case.
-Please, just hear me out.
What has any of this got to do with me?
I need you to testify.
-You said you would never let him win.
And he won't.
Because I don't look back.
You should do the same.
When I was 13...
..I remember wanting to get pregnant.
I thought then...
Then he would marry me...
..and that would make what he was doing to me normal.
Why dredge all of this up now?
-You need to focus on your recovery.
-You wouldn't understand.
If Yates were alive, I would.
I should've spoken out sooner.
Well, you can't change that now.
-We'll talk later, when you're feeling better.
-No. Don't go.
A bit of a Keller tradition.
The optimist sees the doughnut, the pessimist, the hole, Dr Copeland.
Keep up the good work.
What have you done?
Well, does Sacha look like the kind of guy that shares doughnuts?
-Why is he so keen to sign you up?
-My charm and good looks?
No, he's immune to that. Believe me.
Let me guess...
Once upon a time, there was a beautiful princess who ate too many stuffed crusts.
I was right, wasn't I?
There's a large obstruction in your bowel.
Now, we will need to operate in order to remove it.
It's quite a big procedure but we're hopeful that we can remove all of the tumour.
Tumour is just another word for an abnormal growth.
There is a possibility that it could be malignant.
are you saying I've got...
Not necessarily, no.
But we won't know for sure until we've removed it and examined it.
Can I just have a moment?
Absolutely, of course. I'll leave you to it.
-If there's anything I can do...
-Can you call a taxi?
-Do you not want to see a counsellor or...?
We should book your date for your outpatient's appointment.
I'll come back tomorrow. I...
I just want to go home.
How's Emma? Do you think she still remembers me?
I hope not.
Up on the roof...
..you said you would never turn away from me again.
We're different in so many ways, but deep down, we're the same.
I should get your doctor.
You were one of the lucky ones,
but you knew what was going on...
..what our "uncle" was doing.
Don't you want to make that right?
I need to update Mr Rossini.
Don't bother. I can't have this operation.
I've got nowhere to stay, my money's all tied up.
I'll find you a place.
-I could stay with you?
-No, that's not a good idea.
I better go.
-I want you to do the operation.
-I have other commitments.
You're dyspneic and tachycardic, we can't delay this procedure.
I'm ready when you are.
That's not how it works, you know that.
You're good at keeping quiet, but I'm not.
You wouldn't want everyone round here knowing you stood by and did nothing, would you?
I was just a kid.
He threatened me.
He told me no-one would believe a little slut like me.
What's your excuse?
I'll see what I can do.
-Is that all you're having for your lunch?
-Do I need to ask how many doughnuts you've had?
Touche. Right, Mrs Ruperts' urgent hemicolectomy.
Where's she gone? Lofty, where's your patient?
She left a few minutes ago.
-What do you mean, she left?
-I booked her a taxi.
She's due in theatre.
She told me she was back tomorrow as an outpatient.
-I've done all the paperwork.
-You've discharged her?
Right, this is serious, because your patient is gravely ill.
I'm sure she couldn't have gone far, I'll give her a call.
Now we're going to have to re-admit her and she'll be bumped down the theatre list.
-When did she leave?
-Five minutes ago.
We need to find her because her bowel could perforate at any time.
-Right, let's split up and search.
-It's not Scooby-Doo. Just find her.
How are you getting on with that scan?
We're in a queue, but we shouldn't be much longer.
They do know the patient's nearly 80 with possible head trauma?
I'll... I'll call you back.
-See, I don't really need you to tell me how to do my job.
-That wasn't my intention...
Look, you're new to this department, so let me just explain how it works, OK?
First of all, we all just get stuck in - there's no hierarchy, there's no us and them.
Doctors don't get to cherry pick their cases
and drop all the grunt work down on the lowly nurses,
and they don't get to sit in their ivory towers ordering Chinese.
-Well, look, I can explain.
-You don't need to explain.
-You're just being a bit of a snob.
-That isn't true.
OK, Fletch, look...
I don't know what to say - it's all a bit sudden, ain't it?
Sorry, mate, I was distracted.
I've been trying to get this report done by the end of the day...
-You should've said.
-Well, I thought Zosia might want to be the first person to know.
So you're going to pop the big one?
Well, I've already asked her to marry me, she's already said yes, so it's not a big deal.
Yes, it is. What've you got planned?
Chinese, a bit of poetry.
Are you kidding me?
This is something that she's going to remember for the rest of her life.
When are you going to see her?
-A couple of hours.
-Right. I'll put my thinking cap on.
No, there's no need.
Listen, let the razzle see the dazzle, sunshine, I'm on it.
-What's the matter?
-Your operation - it's scheduled for today.
What? It's that serious?
You're a priority case. I shouldn't have discharged you.
-My taxi will be here in a minute.
-I can give them a call, cancel.
No, I just want to stick to the plan.
But your surgery?
It's going to be bad, whatever I do,
so I'm just going to take my chances.
What's going on, Chloe?
I tried to call you, but you gave us the wrong number.
You can talk to me.
There's no point.
Karma hunts you down in the end.
I don't believe in karma.
I've seen too many bad things happen to good people.
Chloe, if you don't have this surgery, you'll die.
Your family? Your husband?
He's in prison.
A guy hit him in a bar.
Steve was just defending himself.
But the guy's head got split open, it was bad.
So you moved away, fresh start?
New neighbours think that he's either away on business trips
or visiting his sick mum.
When he gets out next week, he'll slot right in and it'll be
back to happily ever after.
But that doesn't mean you are responsible.
He was chatting me up.
Steve asked him to stop.
It's not your fault.
I should have walked away.
It doesn't matter what you or anyone else thinks.
It's how I feel.
What, and you think it's going to make it right by laying down your life?
-It's out of my hands now.
-No, it's not.
OK, listen, if you want to make amends,
make amends, but what you're doing won't help anyone, OK?
I know you're scared, OK?
I can't do it on my own.
You don't have to. You don't have to.
It's all right.
Ah, Mr V.
The scans are clear - no bleed, no clot.
Ah. Does that mean I can get out of this dump?
Well, I'd like to run a couple more blood tests,
keep an eye on you for the next few hours or so.
Which reminds me, you need to text Zosia to meet you
in the On-Call Room.
Ooh, why is he so giddy?
Mr Valentine is proposing to his girlfriend today.
I've already proposed, it's just a gesture.
Oh, pull your finger out, for goodness' sake.
You know, the day my Robert asked me to marry him,
that was the happiest day of my life.
And you're a tough audience. No offence.
If he were here today, he'd give you a few pointers,
he'd knock you into shape.
The way he held my hand and looked into my eyes...
I'm sorry, Mrs C, I didn't mean to upset you.
Oh, you haven't upset me.
I mean, I could talk about him every hour of every day,
-but nobody wants to listen.
-I'm sure that's not true.
My girls keep telling me he's not here any more.
"You ought to buck up and move on."
Buck up and move on.
They say I'm, erm, depressed.
When did he pass away?
Oh, seven months ago.
And do you feel like you are depressed?
No, do you know, I can't eat and I can't sleep.
We could put you in touch with a grief counsellor?
Don't you dare!
That is the last thing I need is some hippy-dippy vegan
telling me how I should be feeling.
I'm all right.
It's Dr Numpty here needs all the help he can get.
I mean, I ask you.
I'm sure Ms Naylor will be with us shortly. Now, this way...
Sorry. I'm disgusting.
You said it. I was hoping you'd be free to scrub in.
About time we stitched and bitched.
Shouldn't you be with the fat cats and the posh biscuits?
I'm giving the tour a miss.
Fran's asked me to do her surgery.
Wow. OK. Does Matteo know?
I couldn't exactly turn her down, could I?
So you're going to do both?
Are you in or out?
So, earnest eyes, down on one knee, and it's not, "Would you marry me,"
it's, "Would you do me the honour of..."
-According to Robert.
-Yeah, and Robert smashed it.
Now, I may have set the scene for you a little bit here.
You shouldn't have.
Oh, you really shouldn't have.
So what's yours and Zosia's song then?
We don't have one.
Hey, You're My Best Friend.
No, you weirdo, it's by Queen.
Right, it was mine, but you can have it.
Right, anything by Al Green, Luther Vandross.
I've got it.
It can be...this one.
MUSIC: I'm Your Man by Wham!
-All right, relax, take a deep breath, you'll be fine.
Sorry, me again.
I wanted to see what it would look from the other side.
And, to be honest,
-you might want to smile a little bit when she comes in.
Oh, thank you, God.
Thank you, Dr Pegram.
Are you ready to count with me?
I'm sorry, Jac.
But you understand, don't you?
Look at what you've done to yourself.
You're letting him win.
OK, she's under.
What time is your meeting?
Let me worry about that. Let's get a move on, shall we?
Oh, that was quick.
The old in and out, was it?
-What? I'm old, not dead.
How did it go?
Zosia couldn't make it. She was stuck in surgery.
-Well, that's a relief, ain't it?
Well, I mean, I had a go, but it was a bit chicken chow meiny in there.
Sounded completely hooey.
-Now we've got more time, we can really push the boat out.
-OK, listen, Fletch...
-You know, come up
with something the kids, I mean, the grandkids can talk about, right, Mrs C?
Yeah, if they even listen.
-Are you all right?
Uh, no, my chest.
Is the pain going in your jaw or is it going down your left arm?
Arm. My arm.
Yeah, it looks like a case of angina.
Pull up that blood gas report, would you?
We need a 12-lead please, quickly.
-Could this be her second event?
-Might explain the RTC.
Carboxy-haemoglobin level's 35.
Get her on high-flow oxygen.
It's all right.
-Lift your head.
-You said when you left, your family was still asleep, is that right?
We need to get the Fire Service out to the caravan, now.
Where's that 12-lead?
Sacha's given you the green light for theatre.
-Chloe wants you in there with her. She was pretty insistent.
-I'm supposed to be on the ward...
-I don't really have time to argue about it.
We're already behind schedule, as well you know.
I'll be right there.
I'm having to do an endarterectomy on this artery.
She's young. How did it get this bad?
She smokes, drinks, eats at the Captain's table.
She's like a walking government health warning.
Stick that on your fag packet and smoke it.
I need a phone.
Are you deaf? I said I need a phone!
Right, come and take a picture.
Right, now put the flash on and get it in focus.
Yep, one more.
Good, go and upload those to the server, please.
What was that about?
Ah, just a little something for show and tell.
Lofty? Is that you?
Oh, look at you, all tanned and gorgeous.
What are you doing here?
Bit of agency work came up on Keller.
We've really missed you.
I didn't think you'd be back.
Oh, I'm not. I popped in to see the gang.
Charlotte's with Charlie - I don't think he's going to give her back, though.
She's snoring her head off, bless her.
Actually, I put her in the car to get her to sleep.
She nodded off and we ended up here.
Congratulations, by the way.
-I bet she's beautiful.
-Thanks, she is.
You should come down and see her some time.
I heard about Cal.
How's Ethan doing?
Are you going to come to the funeral?
I've sort of been off-grid.
I couldn't face anyone that knew and everybody knew, so...
What happened wasn't your fault.
It doesn't matter what anyone else thinks. It's how I feel.
Are you on your break?
OK, well, wait here, don't move.
Well, it seems Golden Boy left his golden balls at home.
That's enough. Are you OK to scrub in?
Yep, I'll get changed.
Caramel latte, three sugars, and half a cheese and pickle.
What's really going on, Lofty?
I walked out. Couldn't face my patient's surgery.
I told everyone I'd been nursing in Australia but I'd actually
been working in bars.
So you're a bit rusty.
It's not that. I came back to see if I could be a nurse again.
The ultimate test.
But I failed.
No, you haven't failed until you stop trying.
-I walked out in the middle of a shift.
-So walk back in again.
Why? What's the point?
I'm not over what happened with Glen but...
..I think it's made me a better nurse.
I think I'm a better barman than I am a nurse.
Then why'd you come back?
Giving up's easy. Anyone can do that.
Why don't you stick around, finish your shift at least?
The cavity's closed with a patch according to the size of the defect.
So you've created a left ventricle?
The gortex makes it smooth, stops the clots from reforming.
Someone paged me?
Ah, Mr Rossini, you're just in time.
What are you doing with my patient?
I'm afraid Ms Reynolds went into crisis while
Dr Burrows and I were with her - we had no choice but to step in.
You should have paged me immediately.
Our hands were full.
You're doing an aneurysmectomy?
An emergency aneurysmectomy, yes. We've done Dr Dor proud.
Did you even discuss options?
We didn't have time.
Calm down, Mr Rossini. As soon as I've finished this, she's all yours.
All you have to do is take her off bypass and close up.
I'm sure you're more than capable.
-You're not serious?
-Like you said,
she's your patient and I have an important meeting to get to.
This is ridiculous. I won't do it.
Well, ready or not, I'm downing tools.
Thank you, everyone.
What...? What's going on?
You had a mild heart attack.
But my heart's fine.
Well, you've been suffering with carbon monoxide poisoning.
My daughters? Oh, my grandson!
They were admitted in to the ED, but they're doing really, really well.
Wha...? How did this happen?
Well, the fire brigade suspect a faulty boiler.
That ancient rust-bucket.
The family's carboxyhaemoglobin level was only 8%, though.
Well, why are her levels so much higher?
Is she asthmatic? Anaemic?
How long have you been sleeping in the caravan?
Seven months, give or take.
Chronic exposure could explain the...
the tiredness, the loss of appetite.
You mean I'm not depressed?
Well, no, it's just that there could be another explanation for
-It doesn't mean to say that we should ignore your emotional state, though.
Yes, but, do you know, I feel so much better today.
Yeah, because your body needed oxygen.
No, no, no! It's because I talked about him.
It made me feel as if... if he was still with me,
that he hadn't just left entirely.
Well, then you need to speak up and tell your daughters that.
They think they know best.
Look, there isn't a right way or a wrong way to...
deal with grief.
You've just got to do what feels right to you.
Sorry I'm late. Shall we?
Where the hell have you been?
Not in front of the children.
I'm a working surgeon, I make no apologies for that.
Right, this is what I was facing on my table half an hour ago.
As you can see, the artery is completely blocked.
Waiting until a patient is at this stage
has major consequences in terms of surgical risk and recovery.
This is what makes the technology behind the Aurous Project
so important - it's minimally invasive, it's targeted.
For our future partners, it's a chance to be at the forefront
of cardiothoracic nano delivery.
For surgeons like me, it's a life-saver, the gold standard.
She said you were there.
That you saw Ms Reynolds deteriorate.
You know you could lose your job over this.
You need to speak up.
I've got nothing to say.
Why are you protecting her?
You think she cares about you?
She'd happily destroy us both.
There's a clot. It's travelling away from the aorta.
We'll need to clamp the aorta then fibrillate the heart.
What if there are more clots, or this one splits?
Then we deal with it.
There's a problem on a ward.
We're short-staffed on the floor.
I'm going to have to ring an agency and get a replacement for Lofty.
Don't be too hasty.
I do believe in second chances.
Sure, your ward, your choice.
Are you OK to be here?
I think we're covered.
Well, I'm very concerned to hear that, Mr Rossini.
I'll get right back to you.
I can explain.
Looks like karma let you off the hook.
I won't forget what you said...
..about making amends.
What've you got planned?
This was your first day back and you saved my life.
I stabbed you with a needle,
discharged you too soon, and couldn't face your surgery.
-You weren't there?
-I missed most of it.
You've seen too many bad things happen to good people.
Something like that, yeah.
Must make your job difficult.
I've actually been thinking about a career change.
But you're a great nurse.
Kind, compassionate, patient.
-Like me earlier.
Turns out what you're most afraid of doing is...
..usually what you most need to do.
Would you excuse me for a minute?
Mr Levy. Ah, can I have a word?
I want to apologise for what happened earlier.
No need. I understand - it's your first day back.
Does that mean the offer for the job still stands?
Sorry, why the change of heart?
Need the money.
Great, well, let's go and talk to HR. Fantastic.
Maybe we should take her off sedation, wake her up.
We could do a CT.
No, we wouldn't be any the wiser.
Let's wait, we'll do a CT later if we have to.
We don't know if her clot's moved further, if she's had a stroke, if she's paralysed.
Well, that's part of the risk of this surgery.
What surgery was Matteo planning?
At least I know now why you picked me.
Can we save the histrionics for later?
Because you knew, or you thought you knew, I'd keep my mouth shut!
I picked you because you're a good doctor and we work well together!
You really expect me to believe that?
Jac, I want to talk to you.
The meeting was a huge success.
About Ms Reynolds.
I already told you, she went into crisis.
If she'd been off-pump, her heart wouldn't have been handled
so much, the Warfarin would have sorted the clots.
In your opinion.
Is this about us?
Yes, absolutely. It's all been about me proving myself to you.
She's coming round.
BP's still low, 90/60.
-She'll be OK.
-You don't know that.
-She's strong, a fighter...
-And that's what you're banking on?
What has rattled your cage? We should be sticking together.
Because I've got something on you.
Nah. As soon as I get another job, I'm off.
KNOCK AT DOOR
You wanted to see me?
Yes, sit down, please.
Nurse Reynolds is recovering well.
Very glad to hear it.
I don't know what Mr Rossini's told you, but Dr Burrows will verify...
I've no doubt you've covered your tracks and Dr Burrows is loyal to a fault.
Now, the UHF put in an offer to fully fund the next stage of research.
I accepted it.
Great. I'll book a team meeting next week.
No, you won't.
You're withdrawing from the project, I'm afraid.
I'm sorry, I don't understand.
Well, does today's unauthorised surgery ring any bells?
-My patient became critical...
-Mr Rossini's patient.
-As head of department, I stepped in.
-You lost focus, you let things become personal,
and not for the first time.
You seem to have forgotten that I saved Nurse Reynolds' life,
while securing a massive research grant. No ball was dropped.
I've been keeping a log of your behaviour.
What? I've given this department years at the top of my game.
-So, today's misconduct...
-Misconduct?! I saved the day.
You wilfully ignored protocol,
you put a patient's life at risk by disrupting theatre schedules,
and you deceived several members of staff.
For a good reason.
I am demoting you from head of CT, effective immediately.
You're not serious.
I have discussed the matter with HR, they're in agreement - you are
no longer able to fulfil the role of head of surgery.
This is completely unjustified, completely without merit.
Would that it were, Ms Naylor.
Now, I've prepared an e-mail informing all relevant
members of staff, so if you'll excuse me.
You know I'll fight this.
Si vis pacem, para bellum.
Lofty! I heard you were back. Good to see you, mate.
-Glad you said that. You'll be seeing a lot more of me from now on.
-You're back for good?
-I've come home.
Ah, good man. To the bar!
Seems we worked our magic. Lofty's staying permanently.
If you think that's gossip...
Did you hear about Jac?
I don't care. Come on, I've got something to give you.
I let people get in my head today,
started to think it was important what I, erm, said or did.
But this isn't about anyone else.
This is about us.
Well, open it.
Do diamonds trump demotions?
I think congratulations are in order.
It's amazing! Oh, congratulations!
Show us the rock, then. Oh, that's absolutely gorgeous.
Right, I think a toast is in order.
Jac... We're so sorry.
Why are you apologising? She got what she deserves.
-Not the time, Jas!
-How the mighty have fallen.
There you are.
Hm. You looked tired.
You're the one who's had open heart surgery.
Thank you for saving my life.
You'll stick by me, won't you?
I'll be here. Whatever you need.
Si vis pacem, para bellum.
If you want peace...
prepare for war.
Killer Koala. Bondi Blues. Didgeridoom.
Ah, Lofty, Jasmine. Jasmine, Lofty.
Are you all right?
Mm... It's been a good news, bad news kind of day.
-Listen, mate, right - a puppy dog with a ring round its neck.
A jigsaw puzzle that says, "Will you marry me?"
Right. Stretch limo, out the sunroof, champagne, ring, boom!
I had plans. Big, big plans.
Mate, I appreciate everything you did, all your suggestions. It's just... This felt right.
-Then what can I say? Congratulations.
I've got a baby-sitter, so I'm here for the long haul. Just going to make a little speech...
-Ladies and gentlemen!
He asked, she said yes.
So I'm sure you'd all like to join me in raising your glasses.
To Jac. Half-sister, colleague and fraud.
What Jasmine said - none of us think that.
This is just a set-back. You'll come back from it.
Jac, are you listening to me?
When someone from Jac's past arrives on Darwin with a medical condition, it puts her in a compromising professional position. Will she be able to juggle both the responsibilities of her job and the patient?
A mystery agency nurse arrives on a busy Keller, but they are a bit rusty. Will they be able to get through the day without making a mistake?
Oliver plans a big surprise for Zosia and ropes in Fletch who contributes a plethora of ideas, not exactly to Oliver's taste. Will he and Fletch be able to work together to crack the conundrum of a case they have on AAU?