Twist of the Knife Holby City

I'm really worried. I'm concerned about her workload.

She had a patient, Trixie Colfox.

I need time and I need to know that you support me.

Yeah, of course.

Speak to Matteo. I'm not the boss any more.

-Is she really your wife?

-Yes.

-Maybe it's time to move on.

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

what we have been through.

I thought your marriage was over.

It's his last link with our son.

He disappeared when he was five, that was ten years ago.

He's never been found.

# The wheels on the bus go round and round

# Round and round, round and round

# The wheels on the bus go round and round

# All day long. #

Oh, give it a rest, Hector.

BABY CRIES

SCREECHING

Oh, no, no, no! Not again.

BABY CRIES

BABY CRIES

-Derwood.

-Oh, what's happened?

What didn't happen? Blood, toil, tears and sick,

and why do they put car-parking spaces right next to bollards?

-Oh, no, not again!

-How was the night shift?

Oh, it was going really well until a six-centimetre-dilated

pre-eclampsia arrived at four o'clock this morning.

First day back, I'm late already. Hey.

BABY VOMITS Oh, what the hell?!

-It's all right.

-I have a tissue.

-He does it on purpose. He knows I'm late!

-Come on.

It's all right, little man.

Right. Mr Raffles.

-Snuggles. Breast milk.

-Breast milk...

This is...warm.

Yeah, I had to do it in the car. Hands-free, I promise.

Ms Effanga, good to see you back. I hope you've had a relaxing break.

It won't exactly say it's relaxing,

but it was nice to spend time with my boy.

-So, we should debrief when you have a moment, please.

-Sure.

Mo, Mo!

We need to talk about something.

Can it wait till later?

No, it can't, I'm sorry.

See, the thing is, I spoke to Hanssen about you.

I said to him that I didn't think that you were right

for the Director job.

I'm sorry, but I was thinking of you.

I thought you were under enough pressure already.

And then you pulled out of the running yourself.

It's like you knew what I was thinking.

I just don't want there to be any secrets between us. Total honesty.

Am I in trouble?

Course not. You know me better than I know myself sometimes.

Bye.

Aren't you lucky, having such a lovely mummy? Phew!

Do you have any more on you?

-Hello. I'm glad I caught you before your shift.

-Hi.

I thought you agreed to leave this.

Oh, just a few things I want the police to check up on.

Don't look so worried. I'm fine.

-Good luck.

-Don't even think about checking up on me!

I don't want to see you until the end of the day.

Oh, and by the way, thank you.

They do come back down, you know.

Have you heard from Mo?

Good morning to you too. Not since last week. Why?

Just checking she's coming in.

I've scheduled her for a ventricular reconstruction this morning.

If you've scheduled her, she'll be in.

She's OK, isn't she? Nothing I should worry about?

Only a week in the job and already sounding like management.

I couldn't believe it when she dropped out of the running.

Oh, come on, could you try and sound more pleased with yourself?

-Mind your backs!

-Can I help?

I don't know, can you?

-I'm Nina Karnik. The new locum.

-Oh, Matteo's missus?

Yeah, he said he'd arranged for you to help us out.

You'll find that's I'm his ex-missus.

Yeah, just ignore me.

I've been diagnosed with a serious case of foot-in-mouth disease.

Paramedics found her collapsed in the shopping centre.

Give him 1mg of midazolam and make sure he's stable

-before you transfer him.

-Ms Wolfe?

-Yep?

Ms Wolfe? Can we grab ya?

She's breathing, but tachycardic. BP's 100/80. Resps 30. Pulse 128.

Sats 93.

She had no phone on her. No ID. No nothing.

-Let's try some sedative.

-Evan!

You are going to be OK. You are going to be OK.

Please, calm down. It's OK.

She's pyrexic and dehydrated.

Cellulitis - probably an infection caused by this.

Let's get her on IV fluid, antibiotics,

oxygen and let's get ABG, FBC, U&Es, clotting and LFTs.

-You must be Nina.

-You must be Ms Wolfe.

-Call me Bernie.

It's good to have a locum who doesn't need their hand holding.

15-minute obs. Let's hope for some improvement.

-Feel free to use my office. Oh, and welcome to AAU.

-Thank you.

It's not the patient's fault. I put that prescription in your hand.

Now I'm going to have to ring her GP.

You promised me we wouldn't have that nurse again.

Got enough on my plate without Nurse Jamie getting under my feet.

If you wanted to call the shots on this ward,

you passed up the perfect opportunity.

That was my way of asking what's going on with you.

Nothing.

You've wanted to leap into my shoes for months.

-Well, it wasn't the right time for us.

-"Us?"

-Hm.

-Oh, you mean you and that wobbly blancmange of a life partner.

-Oi!

I've got a baby that won't sleep, a job that won't put me down.

That wobbly blancmange is the rock that I'm clinging to,

so please be careful what you say.

Morning, ladies.

Oh, ladies, how very Mediterranean of you.

I wondered if you'd like to lead in theatre, if everything's OK?

-What, because of last week?

-Wow! Hm.

I thought I was supposed to be the tactless one round here.

Yeah, I'll lead, thanks for asking.

PHONE RINGS

'BABY CRIES'

Oh, come on now, little man! It's all right.

It's all right.

Ba-ba-ba-joo! Come on now, Hector.

Oh, who's this? Wow! Look!

It's Mr Raffles! "Hello, Hector.

"How about you and me have a spoonful of liquid paracetamol

"and we can get some sleep?"

BABY CRIES

HE SNORTS

Ah, what's going on there?

HE SNORTS

Calm yourself, Derwood. That's fine.

That's just a normal baby thing, isn't it? Yeah!

Hector's a lovely, healthy baby boy.

Just with a very thready pulse and...

..really odd chest movements.

It's all right, it's all right. Keep calm, Derwood. Keep calm.

BABY CRIES

Right.

I know how you feel. Come on. Come on.

As soon as you've got a moment - bed two.

Abdominal pain following an appendectomy.

Is it always like this?

How long has it since you were at the sharp end?

It's been a while. Does it show?

Not at all. Very impressive.

It takes some people a lot longer to get up to speed.

What's happening?

Whoa, whoa, whoa, whoa! Hold your horses.

You're not going anywhere until I've examined you properly.

I'm Ms Karnik. You collapsed in the town centre.

-Do you remember anything?

-I can't be here.

Your botched tattoo hasn't done you any favours at all.

We need to get that dressed ASAP.

-You don't understand.

-This is serious.

We need to make sure you haven't done yourself any long-term damage.

Lie down, please.

You got a name?

Charity.

Pretty name.

Do you want me to call anyone for you?

Who's Evan?

You mentioned his name when you came in. Is he your boyfriend?

Are you hungry?

Just do what you need to do then get me out of here.

Nina.

I thought I said I didn't want to see you.

I need to talk to you.

BABY CRIES

Oh, anxious parent approaching fast at nine o'clock.

-Is Mo around?

-She's in theatre.

BABY CRIES

Go on, then. What's wrong with him?

His breathing's not right and his pulse is fast.

Oh, he's a crying baby, his pulse is bound to be fast.

No, I don't mean just a little bit fast. Very fast.

Hasn't this happened before?

Yes, it has happened before, but this is different, OK?

I mean, I am a doctor, you know!

With all the panic and bluster, it's so easy to forget.

Shall I call Mo?

No, no, no. I don't want to worry her.

-Can you stop wittering, please?

-Yeah, sorry.

But there is something wrong, isn't there?

I don't know. Let's get him in to a cubicle.

Can we get some monitoring on him and put a call in to Paeds?

How long's he been breathing like this?

Just now... I've just noticed it literally just now.

-But there is something wrong, isn't there?

-Just calm down.

They're calling off the search?

They're scaling back the operation.

Can they do that?

Just like that?

They will make an official announcement next week,

but the DCI wanted us to know before the press get hold of it.

But what about all the stuff in here?

There's still things I need to discuss with them.

Leads they have not pursued, people they have not spoken to.

It's been ten years, Nina.

You're right.

Of course, you're right.

I should get back. We're rushed off our feet.

You sure you're all right?

It had to happen sometime.

If you need to hide, there are better places.

Dom's on the warpath.

He's looking for volunteers for his half-marathon.

I would have thought that'd be right up your street.

Yeah, 13 miles of Lycra-clad embarrassment.

-Yes, right up my street.

-Oh, heads up, here he comes.

I make it my personal mission to get as many people

to sign up to this as possible.

Darwin already have five. Paediatrics have three.

Raf, have you seen Sacha?

-Hi.

-Sign this.

Listen, man, I'd love to, but I can't. I've got a slipped disc.

There's no running allowed, unfortunately.

First I've heard of it.

And I am in Scotland that weekend.

Oh, come on, guys, I need eight people to form a team.

This is for charity.

I'd sponsor you, but I can't...run, unfortunately.

You're rubbish.

Wrong side of the bed or what?!

Spoilsports. I was looking forward to finding a new running buddy.

-You're doing it?

-Yes. Why not me?

-I've seen you run for the bus.

-Fair point.

Right, well, it says in here that losing your drive

and ambition is a sign of ageing.

I've not lost my amb... I'm not old! What is this anyway?

It's a gift from your 11 o'clock angioplasty. He wrote it.

"The choices that you make are

"the only limiting factor in your life."

Yeah, right. Why'd he give it to you?

Cos he's looking for a title and he wants my opinion.

Don't knock it before you've tried it

or I'll tell him that his doctor's a non-believer.

Just pulled off a bit of the Mo magic. No biggie.

I can do that op in my sleep. BABY CRIES

What is it? Where's Hector?

He wouldn't calm down. His breathing was all over the place.

He's in respiratory distress. Let's have some high-flow oxygen.

-He's tachycardic and cyanotic.

-What is it? What's wrong with him?

Ms Karnik?

Any chest pain recently?

Yeah. Across here. Why, what is that?

Your blood results show a depletion in iron,

which could explain the dizziness. How's your diet?

I eat to live, not live to eat.

You know what I'm on about.

The whole world stuffing their face.

Obesity crisis, ain't there?

I've detected a murmur. We'll have to investigate that further.

I thought you said that this wasn't going to take very long.

Are you sure you don't want me to call someone for you?

It's a lot less boring with somebody by your bedside.

Is this yours? That looks interesting.

Thanks.

What is it? A festival?

Science, politics, religion, ideas. Everything.

A bit beyond me, all that.

You shouldn't be too hard on yourself. Everybody's welcome.

Clever guy like you would fit right in.

That is the nicest thing anyone's said to me all week.

We'll do your echocardiogram as soon as we can.

Sats rising. 96.

Reduced air intake into the left lung.

-What do you think it is?

-Could be a chest infection.

We'll need to get him X-rayed as soon as possible.

I'll call for a portable X-ray.

It's all right, little man. It's going to be OK.

Mummy and Daddy are here now.

These good doctors are going to get you better.

-When did you notice his breathing?

-When I was getting him into the car.

And how was he last night?

It was fine. Same as usual, I think.

He was crying, but that's normal.

Shouldn't we talk to Paeds, see if they've got a bed?

I have Paeds experience. He can stay here.

Yeah, but they're better equipped to deal with something like this.

No, I want my colleagues treating him. People I can trust.

CLATTERING

BABY CRIES

BABY CRIES

OK, Mr Osmond, we have you booked in for an angioplasty.

Call me Ozzie.

The sun is shining and the birds are singing.

Face it, doc, it couldn't be a better day for it.

OK. Has everything's been explained to you?

Yup. Can't wait for you to fix it. I spend a lot of time on my feet.

I do talks these days, you know. I like to pace.

Nurse Harrison will take you through to theatre as soon as it's free.

I see that you've met Mr Di Lucca.

He's the one that I mentioned to you earlier.

Oh, right. You're the guy who needs the positivity coaching.

Well, I tell you what, first session's free,

and I can do you a discount.

Maybe you could fulfil your potential.

My potential is right on track, thanks very much.

There's always room for improvement. You got to dare to dream!

Hang on a sec, that's a pretty good title, that.

Dare To Dream. What do you reckon? Really catchy?

I'm not sure I'm your demographic.

I won't give up that easily, doc. Ozzie loves a challenge!

I'll be back in a minute.

Hey. You got him to sign up yet?

Give me a chance.

All right, well, just don't let me down.

I need to work my charms on Captain Floral.

Hi. DCI Farmer, please?

When will he be out of that meeting?

Can you tell him I need to speak to him?

Yes, he has my number.

I've asked for an echo for the young girl in bed eight.

Right?

She's showing an odd murmur on the left side.

She seems edgy, nervous. She's malnourished.

I'm a bit worried about her.

We tend to fix them up and send them on their way.

-It's brutal, I know, but it is the way it has to be.

-I understand.

SHE CLEARS THROAT

Forgive me.

I'm aware - we all are - of...

..what happened to your family.

If there's a case you feel uncomfortable with

-or you need to take a break...

-Has he put you up to this? Matteo?

What? No, I...

-Has he asked you to check up on me? Scared I might go off on one.

-No.

No, not at all. I probably...

-I shouldn't have said anything.

-It's kind of you to worry.

But if I thought it would interfere in any kind of way,

I wouldn't be here.

I spent all night wishing he'd give me some peace and quiet.

He's my own son, and I just thought he was playing up.

No, it's not your fault.

Has he got a favourite toy? Sometimes that can help.

Yeah, loads. His favourite one's Monkey.

Maybe you need to take a break. Let us do the X-ray?

He needs us.

-No, no. Zosia's right.

-Trust us?

Let's up his pain relief and keep him on half-hour obs.

Hey. Theatre's free for Ozzie.

Let's get him prepped and I'll be through in a minute.

There's some amazing things in here.

-Neuro-Linguistic Programming techniques...

-NLP.

-Body language tips...

-It's bunkum...

It's a whole industry based on amateur psychology.

OK, I give up.

So, I am intrigued why a guy like you

doesn't want to do the half-marathon.

A guy like me?

Yeah. You're fit. You've got nothing to worry about.

-You think?

-Hm.

OK.

There we go.

-Are you sure you gave Monkey to me?

-Yes!

He was with Snuggles and Raffles, I put him in your hand.

I remember doing it.

-Look, maybe you dropped him.

-I didn't drop Monkey!

-You know what you're like when you panic.

-I didn't panic!

Nope. He's not here!

I just said that!

You sure you're remembering things right?

You saying I'm lying?

No, I'm saying that you've been all over the place

for the last couple of weeks. Maybe you've left him at home.

I definitely gave him to you.

You've lost him. Hector's best friend. Don't go blaming me.

Hey, hey, hey. It's all right. He'll turn up. I know he will.

Mo, come on, now.

Hi. I'm looking for a friend of mine. Her name's Charity.

Evan?

Hi.

I'm Evan. I'm her fiance.

I'm Ms Karnik. I've been dealing with Charity's case.

The tattoo got infected.

Is this Augmentin?

Yes. You're very well informed.

Health and wellbeing is a personal interest of mine.

We're treating the cellulitis,

but I've detected an abnormal heart rhythm.

It looks as if the infection may have passed to your heart, Charity.

My heart?

I told you this would happen if you played around with needles.

I'm sorry.

I need to get a second opinion from a cardiovascular specialist.

I'll let you know that happens.

I don't know how to thank you enough for taking care of her.

A pleasure.

A pneumothorax?! How did that happen?

The X-ray was inconclusive.

When he's stable, we'll send him for a CT.

Nothing's happened recently? Any falls?

-Any bumps in the last 12 hours?

-No, why?

I noticed this earlier.

It's got worse in the last hour, which means it's recent.

Anything at all happen last night?

Don't you think I would've mentioned it if it had?

Just trying to help.

And you think the bruising's got something to do

-with the pneumothorax.

-It's possible.

He's only been with us. We'd know if something had happened.

What about a pathological fracture?

-Have we done a skin biopsy?

-Not yet.

First things first, I need to get a chest drain in.

Thank you.

-You don't need to be here for this.

-We know what to expect.

It's different when it's your own child.

Sorry, I can't do this.

I'm fine, if you need to go.

No. I want to be here for Hector.

Oh! What's happened to your IV?

Sorry. I caught it with my hand.

This is important if we are going to get on top of this infection.

She's feeling all right now.

It's amazing how the body fights back given half a chance.

That's not the body fighting back, it's the antibiotics.

-Charity's IV's fallen out. Do you mind replacing it?

-Yeah, sure.

Is it just me or does that guy give you the creeps?

I've met worse.

Ms Wolfe tells me you've got off to a flying start.

-That's very kind.

-She doesn't praise lightly,

so I imagine there's more to it than that.

I'm thrilled to be here.

With the departure of Ms Campbell,

there's a permanent opening on this ward

and I wondered if you would consider applying.

I hadn't planned on coming back full-time so soon,

-but if you're serious...

-If we do work together,

you'll quickly discover I'm rarely anything but.

Let me hear it loud and clear, doc.

"This will be a successful op."

"This will be a successful op."

-Thanks, Nurse Harrison.

-My pleasure.

We don't often see this problem in healthy guys like you, Ozzie.

Appearances are deceptive. I spent a lot of time on the dark side.

I read about that. Interesting life story.

-Inspirational stuff.

-There's an idea.

I could call it From Pentonville To A Penthouse.

-What do you reckon?

-OK, I'm putting the wire down now.

Actually, I was thinking of doing this half-marathon after all.

-Really?

-Show you how it's done.

That's the spirit, doc!

Well, that'd be great.

It'd be lonely pounding those streets on my own.

I'm getting some resistance.

I'll try anyway.

OK, it's through.

Deploying the stent.

And inflating the balloon.

No. The stent's kinked.

It's obstructing the artery.

We're going to have to do a bypass.

Look, can you let the consultant know, please?

It's nothing to worry about.

I got all faith in you, doc.

He's breathing normally again. Sats are fine.

Sorry. I thought I could watch, but I just couldn't.

They're taking him down for a chest CT scan.

We should find out what's caused the pneumothorax.

I just don't understand how this could have happened.

Let's wait for the results, shall we?

He must have been in so much pain.

PHONE RINGS

-Oh, it's Mum. She's worried sick.

-Sure.

When I asked for a consultant,

I didn't expect a visit from the big boss.

Nothing less than the best on your first day.

Is that so?

Woman, 20s. Collapsed earlier. Her echo shows some sort of abnormality.

I suspect it's a heart infection, maybe the valves,

but I wanted a second opinion.

Looks like tricuspid endocarditis.

That was my guess. Young girl.

Underweight, no immediate family.

Not everybody who doesn't have a family is lost.

Maybe they haven't given up on her.

Come on, that's not fair.

Crash team!

Raf? Gastric ulcer? Bernie phoned?

Oh, yeah. Bay six.

Actually, can I run something past you?

Yeah, go on.

If a woman says that you are athletic - you know, fit -

she's...hitting on you, right?

Well, either that or she's your personal trainer.

Who's the lucky lady?

I thought that ship had sailed.

Yeah, so did I, after the whole Kim thing.

But now she says she wants us to train together.

Well, once you flip the switch, mate. So, what's next your move?

No. No, I can't.

There's too much water under the bridge.

Don't give me that old flannel.

Get your running shoes on, get out there,

all those endorphins flying about. You never know your luck.

-Essie.

-Hi.

Hec!

Do we know what's caused it?

The CT shows that Hector has a broken rib.

-What? How?

-It's a clean break.

His fourth intercostal on the left, where the bruising is located.

It perforated the lung and caused the pneumothorax.

Given his age and size, we'd prefer to observe him,

-give him pain relief to avoid surgery.

-How did it happen?

In our opinion, from this scan,

the location and type of fracture indicate a blunt trauma injury.

That's impossible.

You're saying somebody hit him?

Maybe he's fallen or something's banged into him.

What about osteogenesis imperfecta?

I'll get on those tests right now.

But there's no history of brittle bones in your family.

And there's no evidence of any previous fractures in the CT

or any weakness in the bones.

Yes, but it can occur by spontaneous mutation.

You'll know more once you've done the skin biopsy.

There's something else, isn't there?

You need to inform Social Services.

-What?!

-It's procedure. They don't have an option.

They're saying that we hurt Hector? That we hurt our son?

That's what you're saying, isn't it?

We are doing everything to find out how this happened.

But at the moment, there is only one explanation.

Accidents happen.

We've all changed a vest too roughly or too quickly.

Perhaps he fell.

Look, nothing happened last night. He did not fall.

I did not change his vest too quickly. Do your tests.

There's something wrong with Hector and we need to find out what.

-Can I have a word?

-Yeah.

I've just gone to change Charity's IV and her fella said

you told them she didn't need it any more.

She said it was making her nauseous.

-We never discussed any nausea.

-Yeah, I didn't think so.

So, then I started to think about what you said,

so I looked up the K for Karma festival thing, from the flyer,

and take a look.

They believe in what?!

They believe in no artificial products or impurities,

that the body will heal itself and that modern medicine is poison.

This man says he lost years of his life.

It's a cult.

There's no other word for it.

We are going to graft a vein onto the femoral artery

to bypass the blockage.

OK. You've done this before, haven't you?

It's a very common procedure, it's nothing to worry about.

That's what I like to see. Positive mental attitude.

It's all NLP, that, you know, people buzz when you buzz.

Meet them in the eye, copy their body language.

You'll have people in the palm of your hand.

Chapter six. You should read it.

Anyway...

Worst case with the surgery? Just so I know.

Complications are extremely unlikely.

But absolute worst case scenario. Come on.

If the blood fails to reconfigure in the new flow route,

it could lead to amputation, but that...

Won't happen. You don't get to where I am thinking the worst.

Shoot for the moon, doc!

I want you aiming to win.

Come here.

Come on.

Yes!

They're going to rush them through, yeah?

-They know we're waiting for the results?

-They know.

Look, I'll get these done quickly.

I might not be the head of CT any more, but I pack a mean punch.

You look shattered.

Why don't you go and get a coffee?

No, I'm fine, thank you.

As soon as the results come I'll give you a call.

No. I want to stay here with Hector.

I'm never going to let him out of my sight ever again.

Great! Charity can go for her MRI now.

Have you worked out what you're going to say to her?

You saw the way she looked at us. She needs help.

She seemed fairly happy to me.

Could someone tell us what's happening? We've been waiting hours.

The nurse mentioned the antibiotics are making you feel a bit nauseous.

She went a terrible colour. Tell them.

Charity?

I felt better before you put that stuff in me. That's all.

We can give you some antiemetics to fight the nausea.

-Drugs on top of drugs?

-It's perfectly normal.

-But first, we need to take you through for an MRI.

-Why?

The echo showed severe anomalies.

We need to check the extent of the damage.

She seems fine.

Let the body work its own miracle. That's my advice.

We're talking about damage to your heart.

It's a condition that could be very debilitating.

It might require regular checkups from

a district nurse after discharge.

It's just a scan, isn't it?

It won't be long.

There you are.

I've been looking for you everywhere.

The results are going to be here in a couple of minutes.

I just needed to get out of there.

Well, if anyone will get to the bottom of this, Jac will.

-Look, Mo, you know that you can be honest with me, right?

-What?

Is there anything that you need to tell me?

Like what?

Like anything.

I know that you would never hurt Hector deliberately

and that you absolutely adore him,

but like Matteo said it, it could have happened by accident.

There was no accident! Why are you even asking me this?

Because ever since Trixie died you haven't been yourself, have you?

-Here, at home, anywhere.

-That's not true.

It is true, Mo!

Look at yourself, you don't know whether you're coming or going.

Look at how you barked at Hector this morning

or how angry you got at me because of Monkey.

-I was upset about Hector!

-Really?

Well, if you're that worried about our son

then why are you out here whilst he's in there?

Don't you trust me?

Of course I trust you, Mo.

Then believe me when I say I did not hurt my son!

Before we get back to the ward I just thought I'd let you know...

..you don't need to be scared.

I know about this clean-living group you're part of.

I can help.

I don't want your help.

You don't need to be scared of him any more.

I know how hard it is when someone gets in to your head.

You have no idea what you're talking about.

You know you're ill.

You know you need medical treatment to get better.

You think I don't know he removed your IV?

He does not care if you get better.

If you have family, I will call them.

You think they care?

They do. I promise you they do.

You don't know me.

You don't know anything about me.

I didn't ask to be your pet project, so go and save someone else.

I'm freezing and I can't breathe.

What's happening to me?

Your BP's dropping. I'll get you back to the ward.

Jac, are those the results? It's brittle bones, right?

The bloods were normal. They didn't find anything.

No. This isn't right. They can't be. Do them again. It's not right.

Look, no-one's jumping to any conclusions.

-No-one's judging anyone.

-I don't care that I'm being judged.

I care that my son has a disease that means he could be in pain

or could injure himself and nobody's doing anything about it!

The medical evidence suggests it was an impact trauma.

I don't care about the medical evidence!

We have to care. It's all we have.

Yeah. It's all we have.

Three. Three! And I had to guilt trip Sacha...

Thank you. ..into chipping in 500 quid.

Oh, Dom! You've gone too far.

Oh, please! Pot calling the kettle black.

You had to honey trap Raf to sign up!

I wasn't like that!

I said twist his arm, not prostitute yourself.

I did NLP on him as a joke, it's not my fault that he didn't get it.

Look! Eye contact, mirror body language, give compliments, smile.

That's how you do NLP.

-That's also how you pick up strangers in bars.

-Shut up!

Anyway, I think he signed up for a little more than just

a casual run in the park.

I'm going to have to set him straight, aren't I?

No, don't you dare! I've only got three, and it's for charity.

Ah, there you are.

Could you let theatre know that we're going to be delayed?

-Ozzie has gone walkabout.

-What?

Yeah, so much for the positive mental attitude.

I told you that book was a load of rubbish.

HE LAUGHS

Nothing happened. You know nothing happened. He was crying

and then you picked him up. You rocked him to sleep.

And then you put him down. And then... Oh...

And then you got a coffee.

You got yourself a coffee and you went back to work.

Or did you sleep? Did you sleep?

Oh, no, no, no, no!

I put this in Derwood's hand.

I gave this to him.

Look who it is! Look! Mr Snuggles has come to see Hector.

Mr Snuggles is going to make sure that Hector gets better.

Mr Snuggles isn't going to go anywhere until his Hector's better.

Safe at home in his snuggly bed.

The social worker's here.

I'll ask him to wait in the Relatives' Room. Where's Mo?

I've no idea.

What's happening?

Your system's shutting down. We need to get you treated.

Could you please take her through to the side room?

It's definitely endocarditis. The infection's moved to her heart.

Right, straight in to Trauma. Is she going to let you treat her?

If I can talk to her on her own.

Tell him we've had to transfer her.

-I can't do that.

-Then stall him.

I'll see what I can do.

Thank you.

Where's Evan? If it's anything medical, he'll want to be here.

Your MRI shows you've damaged your heart so badly

you're having a septic episode. You need to let me treat you.

Get Evan. He'll know what to do.

No, he won't, so forget Evan. You don't need him.

You need me.

MAN CRIES LOUDLY

What's going on in there?

Yeah, all right, all right, you lot, show's over.

MAN CRIES LOUDLY

Ozzie? Ozzie, it's me. It's Mr Di Lucca.

-Yeah.

-Theatre is ready for you.

No, no! No! Please, no!

Do you want to tell me what the problem is?

What do you think the problem is?

You're going to amputate my leg!

How am I meant to live without my leg?

BANG

HE CRIES

Jac?

-If you see Mo, can you let her know I'm with Social Services?

-Mm-hm.

It was me, wasn't it? I did it. I hurt Hector.

You said it, Jac, the evidence speaks for itself.

The bruising, everything that happened.

It was me, wasn't it?

I know it was me.

I'm sorry. For everything.

I need to speak to Social Services.

-No, you don't. Not now.

-But...

-No, Mo!

I'm not letting you do this.

The chances of this surgery going wrong are very, very slim.

What happened to looking on the bright side? Thanks.

I am holding a book in my hand.

It says, "We are the masters of our own destiny.

"We create the conditions for our own success..."

-BOTH:

-"..by eliminating the negative".

Yeah! You wrote that!

I don't care what I wrote. It's just words.

Hello! This is real life.

And life can be hard and brutal, unfair.

-Just when you think you're on top, life...

-Shall I take that?

..kicks you in the peanuts.

Ozzie, you're right.

Sometimes life deals us a hand that we don't want

and a few empty platitudes isn't going to change that,

but I am positive that we are going to come out on top.

Now, are you with me?

You made the right decision.

Can we get Mr Osmond prepped for surgery, please, Nurse Harrison?

Come on.

Where is she? This test is taking ages.

Yeah, I'll see what I can find out.

Please sit down, Charity.

What I want to do is put in a central line

so we can administer the antibiotics faster without an IV.

Nurse Fletcher is out there dealing with Evan.

He will be none the wiser.

You just don't get it, do you? He knows everything.

What I know is that you're ill and I'm a doctor trying to do my job.

Sorry. He really wants to know where she is.

I need to go.

No, you don't. You can be free of him.

I am free! It's people like you that don't get it.

You think that freedom is out there in the world,

but real freedom is here and here.

And that's what he gives me, which is more than what you've got.

You're the saddest person I've ever seen.

Please! At least take these.

Evan!

-Charity, please.

-What happened?

She's been trying to keep you away from me.

-What are you doing to her?

-No, what are YOU doing to her?

All I've done is recommend a course of treatment. She is sick!

And you listened to this?

No! It's her, she's crazy!

Leave me alone.

We are leaving.

It must have been when I was changing him.

I had him on his mat and he was crying.

Did he fall?

I don't think so. Oh, I'm so tired.

You were right.

I haven't been seeing things straight.

This is panic talking. You'd remember it.

But you said so yourself, Jac, the evidence is the evidence.

The blood test is negative. The bruising occurred last night.

It must have been me.

Trust your instincts, Mo. You would remember something like this.

No, no. Derwood is right.

Since Trixie died, I haven't been myself.

It'll be all right.

I should go. The social worker's waiting.

No, I'll do it.

I should be the first one to talk to them.

Let's do it together, shall we?

Thanks.

Ah, Mr Symonds, bay five.

Admitted with severe lung infection.

White cell count through the roof this morning

and now is completely normal.

I mean, I know we're good,

but I didn't think we were that good.

The samples I gave you this morning, Hector's samples,

what did you do with them?

I gave them to...

her.

Well, like clockwork, just like you told him.

Thanks.

And you did a good job of talking him around back there.

Well, I used all the tricks of persuasion.

Flattery, body language... eye contact.

Raf! Please, don't be angry with me.

I just don't like being played for a mug, that's all.

It just got out of hand.

-Nah, you knew exactly what you were doing.

-I didn't!

I was doing what was in Ozzie's book and I thought you'd get it.

Look, Dom needed help. Nobody was signing, so...

-Yeah, well, they can count me out.

-You can't.

Dom's just told me we're running for Arthur.

I would happily have given money to that.

I would even have run the thing with some gentle persuasion.

You didn't have to play with my feelings.

I didn't realise you had feelings.

Yeah, well, I don't. Not at all.

Can we just forget the whole thing?

Sorry to interrupt, but I need to speak to you.

Is it Hector? Is something wrong?

His broken rib. It's a pathological fracture.

-But I thought...

-His blood samples got mixed up.

The lab made a mistake?

No. Nurse Jamie did.

She took Hector's samples up there at

the same time as Zosia's emphysema patient.

So, what's wrong with him, then? Is it brittle bones?

He has abnormally low levels of phosphate in his blood and high ALP.

Hypophosphatemic rickets?

As you know, it's not life-threatening,

but it will need treatment.

So, my baby's in pain because of a mistake.

No, the important thing is we know what it is

and we can do something about it.

We need to be there for him. Together, yeah?

Spare me the "I told you so".

-Nina.

-You've been waiting to say it all day.

Hanssen even told me I should apply for the permanent post.

Why did you even get me this job?

-To prove to me that I couldn't do it?

-Wrong.

I wanted you to see that you could.

Maybe this mad woman should just take her file and lock herself away.

This damn file isn't our son!

This is the record of the hell we lived through!

-Put it down, please.

-No!

You can't live if you're trapped in the past, like this file.

Nico is not in these pages.

Show me, where is he?

Show me!

You think I enjoy this?

Found him.

Hello, legs.

Thank you.

You didn't let me down, doc. I'll give you that.

The operation went fine, better than fine. It went perfectly.

I'm sorry about earlier. It's was the nerves, you know.

They get you sometimes, don't they?

A healthy dose of scepticism never hurt anyone.

I've got it!

My title.

A Leap Into The Unknown...

..A Personal Journey.

What do you reckon?

Well, doesn't sound like a bestseller...

I love it.

Thank you.

It's not about being a bestseller, at least it's the truth.

It's like you said, doc,

it's not the knockbacks that count,

it's how we get back on both feet.

That's what makes the difference.

Why don't you send us a signed copy and I will do my best to read it?

You better. I want to know what you think.

Change your life, this stuff.

Let's keep Ozzie on warfarin, IV fluids and 30-minute obs, please.

Sure.

Raf, about earlier, I just wanted to talk...

Let's talk about it in the morning. 7am sharp.

We're training, aren't we?

I don't want to be pounding those lonely streets on my own.

Nina, if there's any chance that

we're going to be working together...

..I need to know what that was about.

I can't just fix them up and send them on their way.

I get involved with my patients. Always have done.

Please, don't make me ask again. It was hard enough the first time.

I have good days and bad days.

Mostly good.

But I had some news today about Nico.

I didn't deal with it very well. Sorry.

To say I don't know how you cope is...banal.

But if you're not ready to come back full-time...

I'm ready. I want to come back. I need to.

But...

..we're going to work together so if you prefer I didn't apply,

I'd understand.

You take it from me.

I've seen it much worse - much worse - than that on this ward.

Does that mean I have your support?

I'm positive you could make a success of it here.

This hospital needs doctors like you.

But it's not me that has to believe it.

They want to keep him in overnight and I've found an on-call room

that's free tonight just round the corner and I am going to get

my head down for a couple of hours, if that's all right?

You OK? What's wrong?

You should go home. I'll stay here.

Yeah. It's been a long day for both of us, really.

-We both need our rest.

-No, really.

You should go.

-What is it? What have I done?

-You really have to ask?

You made me believe I hurt my own son.

No. I didn't. Oh, come on. I mean, no.

I was just trying to understand, that was all.

Mo, we're a team.

You and me, we're Team Hector, aren't we?

-You turned on me again.

-No, I didn't.

You went to Hanssen behind my back.

Mo, you weren't coping after Trixie.

That was my choice to make, not yours.

And if you had a problem with that you should have come to me first.

I did. I tried to.

You took the easy way out, just like you did today.

All I have ever wanted is what's best for this family.

I love you, Mo.

I know you do, but when I needed you the most

you believed I could have hurt my son.

What else was I supposed to think?

Jac never thought I'd hurt him.

-Jac?

-Maybe we don't work when we're together.

Mo...

I made a mistake.

OK, so I made two mistakes,

but I will never make those mistakes again.

I won't stop you seeing Hector,

but as far as you and I are concerned,

-I think this is for the best.

-No! Mo!

-I'm sorry.

MO HUMS HUSH LITTLE BABY

# Hush, little baby, don't say a word

# Papa's gonna buy you a mocking bird. #