The Hard Way Home Holby City

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'll see what I can do.

Do you have any more on you?

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.

DOOR SLAMS

-I swear, if you do that one more time...

-Sorry.

You know, you could lose your job over this.

To Jac, half-sister, colleague and fraud.

BICYCLE BELL RINGS

Whoa!

Yes, the Clinical Lead Post...

Oi! Numbnuts! Headphones!

No, not you! Sorry.

Morv!

-Hey!

-Hey.

-What happened? You were gone when I woke up this morning.

You all right?

Yeah, I'm cool.

You're still OK with me leaving?

Yeah, course I am.

Hi!

PHONE RINGS

PHONE CONTINUES TO RING

Whoa!

Someone should put a sign up.

Yeah, well, that's why they keep me up here.

To warn people how dangerous it is.

Well, they should have you patrolling the car park.

It's killer down there.

Darwin Ward?

-Sixth floor.

-Thanks?

Try and keep still, Mr Baskin.

I can't believe you're back at work so quickly!

I know! I know! Amazing. I feel amazing.

Jac Naylor can mend a busted heart like no-one else.

She can break a few too...

New job. New flat. New heart. All down to her.

You're very lucky.

We're very lucky, the three of us. All here together.

-You sure you're up for this?

-Bring it on!

Low BP, elevated heart rate, caused by...

-Large exsanguinating chest wound.

-Right, we need another line.

FBC, U&Es, LFTs, clotting,

group and save and activate major haemorrhage protocol.

-Yeah, got it.

-You are a very lucky man, Keith.

How is this lucky?

I have a foot of steel sticking out my chest!

Tell me how this is lucky?

-You could be dead.

-We could all be dead.

Not being dead is not lucky.

Winning the lottery is lucky

or having a thick head of hair when you're 50 is lucky.

Marrying your childhood sweetheart,

who grows up to be Beyonce, that's lucky.

No, seriously, if this was half an inch further to the right...

-I'd be dead.

-It would've severed your aorta.

-And I'd be dead.

Yep, bled out on the hard shoulder.

Like I said, not being dead is not lucky.

Being rear-ended by your very own bubble-headed little sister?

-That's not lucky!

-We need an X-ray.

And a sedative.

-Excuse me.

-You're Damon Ford.

-Do I know you?

I was talking to Sadiq in security when he was making your pass.

Right.

-You don't happen to know where I'm working, do you?

-No.

I mean, I know where I'm working, obviously. Looking for Darwin Ward?

There are lots of signs.

I'm having a problem with those today.

They're very clear.

Well, there aren't any on this corridor,

so maybe you could show me?

Follow me.

-Good morning, Master Copeland.

-What time do you call this?

-"A time to every purpose under heaven."

-What?

Ecclesiastes. "A time to be born and a time to die."

-Not so loud perhaps.

-Ah! "A time to heal!"

Why are you quoting the Bible?

Oh, it's very beautiful.

-Sounds like a cheesy greetings card.

-That's a bit harsh.

All right, OK, while you stand there quoting cliches,

I'm going to go and do some work.

Good morning, I'm Dr Copeland. You must be Miriam?

Mim.

Right, can you tell me what happened, please?

I've already told about three people. Hashtag oversharing!

Mim collapsed in the kitchen.

Right, after suffering prolonged and persistent bowel movements.

Ew!

The paramedics had to break in. It must have been very distressing.

I can imagine it was.

Right, I'm going to need to feel your abdomen.

Well, there's plenty of it.

-Has this happened before?

-No.

Any history of blackouts? Seizures? Palpitations?

Irregular heart beat?

It's diarrhoea!

Yeah, but it's so severe you've ended up in hospital.

-It's been a few days. Happy?

-Painful?

I've spent the best part of a week on the loo. What do you think?

You should have probably gone to your GP before it got this bad.

But you're here now and Dr Copeland is going to sort you out.

Right, Nurse Chiltern, can I get FBC, LFTs, U&Es and let's get

the patient on IV fluids asap, please.

-I'm surprised these came up with you.

-Burn them!

Sooner rather than later, Nurse Chiltern.

-I do have a dehydrated patient here.

-Sure.

Now.

No, no! I don't want that! Yuck!

-No offence.

-None taken.

This is Darwin.

I find this particular corridor quite hard to negotiate,

especially pushing a bed and a lot of additional equipment.

Some very difficult corners.

Thanks, J, I can take it from here.

Who are you meeting?

Director of Cardiothoracics... Jac Naylor.

Then it's a good job you saw me first

because she was demoted and Mr Rossini was given her job.

You wouldn't want to make that kind of mistake on your first day.

You're obviously the guy to know.

A lot of the porters are scared of Ms Naylor

because she's sarcastic and rude.

She doesn't do it to me because she knows I don't really get sarcasm,

which I suppose is a way of being polite.

It must be useful.

I don't think of it as useful.

That's Mr Rossini over there.

Thanks.

Mr Rossini, this is Damon Ford one of your new F1s.

Ah. You're late.

-The reason he's late is because...

-Actually, Jason, mate...

..he got lost and went to the roof.

Headphones on, not looking where he was going. How surprising.

That's Ms Effanga. She had a baby,

but if she's grumpy it's because she just split up with her partner,

Mr Thompson.

-Thank you, Jason.

-That's all right.

As you can see, your colleagues are already hard at work.

If someone can show me where the locker room is...?

Ah! This way!

Follow him.

I've lost the most beautiful car I ever had.

Well, look on the bright side, you survived a...

Do you know what Jeremy Clarkson said about that car?

No, I do not.

Driving it "is like wearing velvet underpants".

-Lovely.

-I'm going to sue.

-Who?

My sister and her husband, Edgar.

He "mended" the brakes.

Please try to breathe and maybe not talk.

I'm going to sue.

I spoke to the lovely Will in ortho...

The boneheads want to know when your leaving do's going to be.

-Leaving do?

-Yeah, haven't you heard?

X-ray. Everybody out.

Right, Keith...

Why are you leaving?

You and Jac have only just got back together.

We were never together, our mother made sure of that.

-You came here to find her.

-It didn't work out.

We're all she's got. We're like family.

-I actually am family, and...

-All the more reason to stay.

She doesn't want to know. She's made that quite clear.

Let me talk to her.

I'm pretty sure that train has already left the station.

Mate, I know she's joking and stuff,

but I think Mim's feeling a little sensitive.

Perceptive of you.

Little bedside manner, maybe?

What is that?

-IV fluids.

-So, you've not done it yet?

There was a crisis with Mrs Kaminski's catheter.

And you have the gall to tell me that I'm being insensitive

when you've left an acutely dehydrated patient

without any fluids.

I'm so sorry, Ms Sugarman, for the delay.

I don't want you to think that we're not taking your condition seriously.

Whoo! Is something really wrong with me?

Well, my first guess would be that it's

a nasty case of gastroenteritis,

but we'll know more once we've got the bloods back.

The thing is...

What?

Thing is, you might not actually find anything.

And why would that be?

Promise not to get mad at me?

Why would I get mad?

I've been taking stuff.

What stuff?

Stuff to help me lose weight.

-Diet pills?

-Not exactly.

-Then what?

Laxatives.

For God's sake!

You said you wouldn't get mad at her.

That's before I found out that the patient's condition

-was entirely self-inflicted!

-I had a tummy bug before.

-I lost a bit of weight, so I thought...

-So what?

You thought that you'd flush the rest of your guts down the toilet?

I didn't ask to come to the hospital!

-Dr Copeland...

-Do you know what?

Your persistent dawdling is really starting to irritate me.

I'm starting to see now why you didn't return to the ED.

Now, can you come round here and do the job

that you were actually meant to have done? Thank you.

-Can I have your hand, please?

-No. I want a different doctor.

Don't worry, it's me he's annoyed at.

Actually, it's a pretty closely run race.

-Can I have your hand, please?

-Don't touch me!

Is everything OK?

Your mission - should you decide to accept it - is to examine

a selection of patients and make a differential diagnosis.

And then I get to see their test results,

make a final diagnosis and suggest some treatment options, yeah?

-Of course, you've done this before.

-Not in CT.

And not with a very special prize if you get all of them.

Free Nando's?

Three full days scrubbed in with me,

observing a range of cardiothoracic surgery.

Three days?

-On your marks, get set...

-Bake!

I love that show.

-Oh.

-You know she's leaving?

Yeah. St Catherine's, Paediatrics, London.

You knew and you didn't say anything?

-Do you want me to throw a party?

-Convince her to stay.

-Why?

So we can be together. Solidarity. Strength in numbers.

-She hates me, as much as said so.

-She came here to find you.

-She got a job in the same hospital.

-And now she's leaving.

Because you're pushing her away like you always do.

There you go, then, that train has already left the station.

-That's exactly what she said.

-What?

No. I mean, exactly. Word for word. You're two peas.

Look, forget that for a moment, something more important.

That arrived for you this morning. I think it's about the court case.

Something I should know about?

Miriam Sugarman got caught up in a bit of

a misunderstanding between me and Dr Copeland.

What did he say to you?

It's nothing.

I'm not getting nothing.

Getting definite notes of something a little spikier?

"Doctor Gets A Bit Rude With Nurse." Hold the front page.

He's not always like that, you know.

Don't tell me, he's nice to animals.

He's had a rough time of it recently.

It was a relationship thing.

I heard he was going out with a registrar. Mr Mayfield?

Yeah. Yeah, he was.

-When you say rough?

-I think I've probably said enough.

Is that why you're cutting him so much slack.

Dom's an acquired taste, but he's our acquired taste.

Sacha, about Miss Sugarman.

Mitral valve prolapse. The regurgitation isn't mega.

You definitely don't want mega regurgitation.

Beta-blockers should deal with it for the time being.

Well done. And what about Mrs Wilcox?

Sick sinus syndrome.

Also known as?

Sinoatrial node disease. On the ECG...

she's getting the arrhythmia because of the faulty sinus node.

-And the treatment?

-Pacemaker?

These are far too easy for you.

Which is why you need to meet Mr Lumsden.

Hello, again.

Mark is just back from having a chest X-ray.

You won't mind Dr Ford asking you a few questions,

doing a little examination?

He's very young.

Dr Ford is a new F1.

That means he's still training, but don't worry,

all the real decisions will be made by Mr Rossini.

Thank you, Jason.

Is that all right with you, Mark?

As long as you're sure he's not going to meddle with anything.

She cuts off her nose to spite her face.

You know that about her.

I really don't know anything about her.

-She didn't know you were leaving.

-Everyone knows.

When I told her, I could see the shock in her eyes.

-Shock?

-Mm-hm.

You can't read her like I can.

I've seen how she operates since before you were born.

I want the insurance claim going from, like, yesterday!

Yeah. And I want a courtesy car. Top of the range.

And when I get out of here - taxis.

Everywhere. A claim for everything.

Please, Mr Baskin, can you put the phone down?

-Wear and tear on my shoes.

-Mr Baskin!

My shirt was ripped to shreds.

HE COUGHS

And I put new speakers in the back.

I want new-for-old on them.

I'll take that. Thank you very much.

Yes, you've had general anaesthetic and lengthy theatre.

HE COUGHS AGAIN

Keith, just try and take a deep breath. Lean back.

-What happened?

-I don't know. He just started coughing.

It might be an obstruction.

Could be a foreign body in the bronchus.

Have we got a CT doctor on the ward?

I just saw Ms Naylor in the pharmacy.

Jasmine, go and get Jac Naylor, and don't take no for an answer.

COUGHING CONTINUES

OK.

How's it going?

Well, as my mum would always say,

"If you want something done properly, do it yourself."

I wanted to say, maybe we could kind of start again?

Do we have to?

Sacha told me about what happened to you recently.

He did what?

Dominic...

When did I give you permission to go telling the first grunt nurse

that comes along all about my personal life?

About how I recently got slapped around by my ex-boyfriend?

I've probably still got a couple of bruises, actually, Lofty,

-if you want to have a look.

-Let's take this to the office.

No, a public apology will do just fine. Thank you.

Miriam Sugarman has made a complaint about your behaviour.

OK.

-So, this lets you off the hook?

-Come on. Let's go to the office.

Why? Because it's private? No, no, thanks.

I'm not in the mood for a cuddly Sacha moment right now, thank you.

-You trying to wind me up?

-No. Why would I bother?

You never actually confront or deal with anything anyway, do you?

Dom...

Do what you have to do.

So, this pain in your upper back, is it continuous?

Sort of.

Well, is it or isn't it?

Depends.

On what?

Whether I'm thinking about it.

I mean, it's not that bad.

On a scale of one to ten, where ten is, like, agony.

I don't know. Six.

Two.

Depends what you mean by agony.

It was bad enough to bring you to hospital.

-Well, the GP sent me.

-OK, so why did you go to your GP?

Felt a bit...funny.

How are we doing?

Erm, well, it could be a lot of things.

Such as?

Angina, but he doesn't have a history of it.

Gastro-oesophageal reflux? Gastric ulcer?

Pulmonary embolism?

So, here are Mr Lumsden's test results and the chest X-ray.

Three days in theatre, Dr Ford.

Such a prize.

PHONE BEEPS

-Mate.

-I am not your mate, OK? We never will be.

We just work together.

I just wanted to see you were OK.

Yeah, well, you can see that I'm not, so you can go.

-Everyone says you're a decent guy.

-Everyone lied.

I almost blew it a year ago. It's no secret.

I just don't want to see anyone destroy their own career...

..even if they are a...

..git.

Why don't you speak to Mr Levy?

He's clearly got a lot of time for you.

I don't need your help!

And don't even think about following me!

DOOR SLAMS

Where's Valentine, then?

You don't need to call me for this kind of low-hanging fruit.

He's not totally without skills, you know.

Consulting in ED.

My money's on a chunk of tooth.

I'm leaving, you know.

St Catherine's, Paeds. I know.

Right.

Be careful. Children.

They like to get diseases just for the fun of it.

And they bite.

-No regrets?

-Do I look like Edith Piaf?

You manipulated me into performing the procedure on Fran.

"Manipulated?"

Yeah, tricked. You weren't being honest.

Oh, heavens, I did, didn't I? And what kind of an evil cow am I?

You just didn't want anyone to know what you were up to.

Ah, there it is! I knew it. I told you. I'm never wrong!

Never. Tooth.

He's going on about the damage to his car whilst there's

a piece of metal sticking out of his chest.

His sister's probably in shock and he's going on about

the wax job on his body...

SLAMS TABLE

..work.

DOOR SLAMS

-Can I eat in here?

-Erm...

The porters' room is being painted and I don't like the smell.

Sure.

-Eugh!

-All right?

I definitely said, "No cucumber."

What are you doing?

Mark Lumsden's test results.

So, what's wrong with him, then?

That's the weird thing. These are all pretty normal.

Perhaps it's not weird.

What?

-It could be a trick.

-A trick.

Mr Rossini might be testing you to see if you can spot that he's

actually completely healthy.

Do you think he'd do that?

No.

-Actually, Jason, mate...

-You know it's not true about the EU

saying all cucumbers have to be identical.

That's just made up, and it would be impossible anyway

because like all living things every cucumber is unique.

I'm trying to get some work done.

People always say things are identical when they're not.

It's very annoying.

-If you want to chat, you need to go somewhere else.

-OK.

Identical cucumbers!

Yours, I think.

-Thank you.

-What are you doing?

-Is this part of some kind of fitness thing?

-Obviously.

Anabolic steroids? Seriously?

You're not bothered about heart disease, loss of bone density...

Kidney, liver? Yadda, yadda, yadda!

-Impotence?

-Yadda!

-Baldness?

Paranoia?

I'm not going to do them forever, Lofty, OK?

Back in the ED, if I had a quid for every fight or failed

-suicide attempt I had to clean up...

-You'd have about a fiver.

Well, it probably explains why you're being so bad-tempered.

Nope. I don't need medication to help me with that.

Dom, you're putting me in a difficult position.

-It isn't illegal if it's for personal use, OK?

-It's addictive.

Here you go. I'm not addicted. Are you happy now?

How are you feeling?

Like a prize mug.

Mug?

Nothing. It's fine. Throat's sore.

He can have some water. And, Fran, can you take a sample of blood,

check his arterial oxygen saturation levels?

-Nurse Reynolds.

-Sorry, yes.

-You all right?

-Yeah.

-You look a bit...

-I'm all right!

It's my own fault.

I thought your sister ran into the back of you.

Over-responsible big brother. Little Big Man syndrome.

Little Big Man?

Cos me dad was away, so I ended up doing everything for them.

-Dependable big brother Keith.

-Good for you.

It's bad for me. Keith is a big mug. Take 'em here.

Take 'em there. Help with their homework. Lend 'em money.

-Fight their fights.

-Being supportive.

Get their sis to follow him to a proper mechanic

because her muscle-headed hubby couldn't organise

a pie-eating contest in a pie factory.

-Fran?

-Mm-hm?

Ms Wolfe asked for arterial blood gas.

Yeah, I know.

Arterial.

I'm not deaf.

Just give us a minute. Fran?

Ms Wolfe asked for arterial blood gas

and you're taking blood from his vein.

Lou, could you finish up? Arterial blood gas. Thank you. Come on.

-It's blood!

-Try not to worry.

Is it cos I took the laxatives?

I doubt it.

8mg of Ondansetron and 40mg of Pantoprazole, please, IV.

-It's fine, I'll take it.

-I'm on it.

-Miry?

-Yes.

-Can you take that to the lab to be tested, please?

-Thank you.

-Of course.

Was that Mim's?

She's made it pretty clear that

she doesn't want you involved in the case.

Look, Sacha... Mr Levy...

And you made it pretty clear that you don't want to discuss it.

I think she needs a CT scan.

And there's a discharging perianal sinus right over there

-with your name on it.

-I'm just trying to be helpful.

Well, be helpful by doing the perianal sinus.

As much as I like being the centre of attention,

I didn't set out to waste anybody's time.

There's nothing to apologise for.

But I want you to know, in case he says anything.

He's not coming near you.

-Actually, Dr Copeland!

-Mim...

-Come here.

-Ms Sugarman?

-Do you want to know why I took the laxatives?

I used to be 17 stone.

Well, that makes two of us. And?

Anyway, so I was at my sister's.

She's got a beautiful little girl, Libby, she's four,

and Libby says to her, "Please, can you ask Auntie Mim not to sit

"on my special chair cos she'll break it?"

She don't mean anything by it. She loves me.

And I love her to bits.

But she thinks I'm going to break her special chair

and her little face looked so... frightened.

Now, bugger off.

It's all right.

I just want to be heard.

I want them to know what he did to me.

Yeah, of course.

But he's dead.

The manager of the care home, Daniel Brown, is still alive.

So, you want to see him and the council taken to court?

Jac's made a statement to the police about what happened to me.

And didn't that help?

"There were significant evidential weaknesses."

-What did Jac say?

-She doesn't know yet.

She didn't want to make a statement in the first place.

Her own skeletons are securely locked away.

But she did it anyway.

She did it for me.

She must really care about you.

What do I do now?

Tell Jac.

You're in this together.

Yeah, you're right.

What do you think she'll say?

"Prepare for war."

-Sorry for chucking you out.

-Did you chuck me out?

I owe you for the cucumbers.

Eugh. You didn't eat them, did you?

No! About them not being identical.

You're being cryptic.

On the X-ray, the mediastinum, this bit here,

it's a bit wider than normal, a few millimetres.

You can hardly see it unless you compare it to a normal one.

Is that important?

Could be an aortic dissection.

That would kill you very quickly, although I don't know what it is.

-Shouldn't you be showing this to Mr Rossini?

-That's the thing.

If it is a dissected aorta, he'd have Mark in theatre by now.

That's true. Unless Mr Rossini hasn't spotted it.

So, I go and tell the head of CT that he hasn't been doing his job

properly on my first day as an F1 on his ward?

You need more evidence.

I've done an examination.

You know he's been lying to you?

-What, Mark Lumsden?

-He's scared of doctors.

He's not going to be scared of me, though, is he?

People don't talk to people who don't talk to them,

unless it's me, of course.

Have they found anything?

What?

Mim's CT.

I'm not talking to you about Mim.

Oh, come on, Lofty, look, I'm trying to put things right.

MIM GROANS IN PAIN

-Dom!

-He can't!

-Sacha's in theatre.

I thought I told you, I don't want him.

-Well, it's him or no-one.

-You need Dr Copeland to look at you.

Mim, may I have a look at your abdomen?

Right, has this happened before?

Never with this pain.

Right, Nurse Chiltern, can I get another 10mg of IV morphine?

Thank you.

Now, you were telling me how you lose weight every time you get

a tummy bug. Is that specifically diarrhoea?

Yeah, lots of times.

No, no, you didn't say lots of times.

I thought it was just this week.

I lose three or four pounds every time it happens.

-It's been going on for months.

-I thought I made myself clear.

You were in theatre.

Look, Mim was in acute pain. I've just ordered some more morphine.

Thank you, but I'm here now, so...

-I need you to do me a favour.

-Really?

-For Mim, not me.

-Dr Copeland!

I'm going!

So, what do we do next?

This is the CPS saying they don't have enough evidence

-to construct a robust prosecution.

-Yeah, but you know that's not true.

-It's not about what I know, it's...

-You saw.

Look, it's not that they don't believe you,

it's about what they can prove.

Yes. I saw Brown and Yates go into your room.

But what they're saying is my seeing only that isn't sufficient.

-You know the truth!

-I know, Fran, but...

You know what this means to me, to us, to our lives, our past.

OK. OK. Let's throw some more money at the problem.

-We'll get the lawyers to dig as deep as they can.

-The problem...

Reading that, that we don't fit their "burden of proof"...

..it tears me up inside.

Well, hopefully some more money will help with that.

-Mark?

-Hi.

Is it OK if I have another little check over?

If you like.

So, Jason told me you have a daughter.

She was only little when I last saw her.

Sorry. That was... Can I...?

He also told me you smoke.

-A bit more than you told us.

-Did he?

It's not going to affect your treatment, not at this stage.

You see it in the news.

It'll be really helpful if you're honest with me.

I'm not trying to catch you out. I promise.

Really?

He also said something about you getting your blood pressure

checked at the gym?

Bit of a blabbermouth, isn't he?

Can you remember what it was?

Yeah. Just a bit high, that's all.

Just going to take your pulse.

Everything all right?

Yeah.

Yeah. That was really helpful, cheers.

Mr Rossini?

-I'm a little busy, Dr Ford.

-It's Mark Lumsden.

Make it quick.

On the X-ray - the mediastinum...

I went back and checked the pulses.

There's a delay on the left side.

-Are you sure?

-100%.

Contact radiography,

I want Mark Lumsden booked in for a CT scan right away,

and I mean right away.

-Thank you.

-What are colleagues for?

-Yes!

-Sh!

If Sacha finds out I've been doing blood tests on the sly...

He'll do what?

So, whose bloods were you testing "on the sly"? Or can I guess?

I'm sorry, Mr Levy.

What part of "stay away from Miriam Sugarman" don't you understand?

The part where you keep misdiagnosing her!

I cannot have this on this ward!

-Dom, you need to listen to him.

-I had a look at Mim's CT scan.

You are creating a catalogue of personal

-and professional misconduct.

-Now, I know that this looks benign...

-You're going to have to resolve it off the ward!

-Why won't you just listen to me?!

Go on. Go on.

Miriam confessed to me that she's been having these extended

bouts of diarrhoea for months,

so I had a look through her old notes,

and I found an old manometry test from years back.

Her pH levels were abnormally low.

So I ordered a gastrin test,

yes, fine, that was behind your back, but...

she has tumours,

and the gastrin that they are secreting is

stimulating the acids in her stomach.

-Which can cause ulcers...

-And persistent...

BOTH: Diarrhoea.

-PHONE RINGS

-Don't answer that.

Remember what happened last time.

It's my sister.

The one that crashed into you? Do you need to speak to her?

Never again, not for as long as I live.

I meant more, maybe you should wait an hour or two.

She's dead to me now.

Let's not be dramatic.

Just try and relax and I'm going to send your tooth off to the lab.

Take some deep breaths.

Go to your happy place, OK?

Can you send that to the lab for me? Thank you.

So...?

She gave you money?

To pay for a lawyer.

Money?!

Jac always looks after me.

-By giving you money?

-She sorts things out.

Did you explain what this is doing to you?

Of course.

You nearly made a very serious mistake.

-If you had reported...

-Shh! I know.

So, what did she say?

That's not good enough, Fran,

just giving you that...

No-one else is giving me anything.

Well, I mean, she went as far as making a statement -

the least she could do is offer some emotional support.

You know, Jac doesn't really do emotional support.

What are you saying? The laxatives gave me cancer?

No, no, absolutely not.

No, it's very rare to have a perforated tumour,

but that was what was making you want to go to

the toilet all the time.

You thought it was helping you lose weight.

But the important thing is we got there in the end.

When someone put the grown-ups back in charge.

Actually, it was Dr Copeland who made the diagnosis.

So you just ignored my complaint?

Despite his unfortunate manner, we're actually very, very lucky

we found it in time for it to be treatable.

-"Shut up and be grateful"?

-No, of course not.

Don't get me wrong, I know he's done me a favour...

So would it be fair if Dr Copeland assisted in surgery?

Yeah, whatever.

Good.

So, this aortic thing, is it really serious, then?

We'll see what comes back from the CT.

Jason said it was something to do with cucumbers.

Huh. Not exactly.

But I'm...I'm going to need an operation?

Well, is there someone you'd like us to ring?

I don't know.

Well, what about your daughter?

Right, Mark, I'm afraid it's not good news.

Actually, yeah, can you ring Sheila?

I need you to listen to me.

The CT scan confirms a type-A aortic dissection, which is very

serious, and we need to get you straight into theatre.

There's something important that I need to tell her...

-Do we have her number?

-We really need to get moving.

Dr Ford, we have to step away. Out of the way! Come on!

-Yeah, but...

-If she rings, then tell her...

-MARK GROANS, MONITOR BEEPS

-Come on, he's arresting!

Let's go, let's go!

PILLS RATTLE

DOOR OPENS

I figured it'd be pretty irresponsible of me to

dispose of potent pharmaceuticals in a public litter bin.

Sacha just gave you a second chance.

Exactly. That's why I need to be on my A game.

And you say you're not addicted?

What're you going to do about it, Lofty?

You tell me.

What? So you're going to grass up a doctor within

a few weeks of being on a new ward?

That's going to make you really popular, isn't it?

And what if something happens to Mim, and they find out that I knew?

What's this, Lofty's Choice?

I really want to believe this isn't who you are.

I don't care what you think I am.

Nurse Chiltern...

Yeah?

Everything all right?

Definitely.

We're down a theatre nurse and Essie said she could spare you.

Sure.

Ten minutes?

-I'll be there.

-OK.

Me too.

DOOR SLAMS

HE TAKES A DEEP BREATH

Obstruction's out of the way.

Blood vessels look good. Everything's back to normal.

Ship him out when you're ready. Where's Fran?

Oh, she's cashing in your cheque.

What's it to you?

She's told me about the case.

There is no case, and none of this -

nothing that's happened with me and Fran in our lives,

while you were with that woman -

has anything to do with you.

Our mother?

Look, this is our business, me and Fran.

Except she's falling apart on the job.

Should she even be back at work?

Well, she has a job. She's lucky.

Yeah, thanks to you, because you've got her one,

-cos you bankroll her and prop her up.

-Hey!

That is not "looking out for someone".

Come on, don't do this. Please, don't argue over me.

-We're not arguing, we're just...

-We're not arguing over you.

Specifically.

We're just arguing.

You're all I've got. Both of you.

Come on. Let's not do this out here.

"A time to rend and a time to sew..."

and a time to dissect the lower duodenum.

Dr Copeland...

Thank you.

No, it's your diagnosis. You deserve it.

Diathermy.

Hang on. No.

Are you sure about that?

Yes. Diathermy.

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

No. Scissors, please.

But the diathermy will be a lot more efficient.

You're not experienced enough to dissect with a diathermy.

Oh, don't be ridiculous.

Scissors. Thank you.

Dr Copeland will use the forceps to retract

while I begin the dissection.

Right, so, what, I'm just going to stand here and watch, am I?

You're lucky to be in my theatre at all.

I just diagnosed a rare cancer!

What more do you want from me?

I don't know. Humility, maturity, remorse?

Can you retract, please? Thank you.

How about being a good doctor?

You know what I think of you as a doctor.

Can you retract, please?

MONITOR BEEPS STEADILY

What's wrong with you?

There's nothing wrong with me, OK? I'm fine.

Well, something's up.

Dom...

What? What do you want from me?

Do you want me to look at you adoringly, batting my eyelids?

-Please, let's not do this here.

-Oh, you are so pathetic.

It is so glaringly obvious the only reason you put up with me

is because deep down you need someone to be paternal with.

You barely see your own son, so you've found yourself

a nice young lad who can big you up and make you feel like less of

-a failure as a father.

-Dom...

If you had any balls at all, you would have fired me years ago.

Maybe you're right.

Maybe I have tolerated your behaviour for too long.

Page Dr Webber, please. Nurse Chiltern, suction.

MONITOR ALARM BEEPS

-Get out.

-Look, let me help...

Too late! Get out!

METAL CLATTERS

She's going to live in London.

Do you really want to leave it like this between you?

She's going to London, so what does it matter?

Don't you want me to go?

I didn't want you come in the first place.

But I did.

And now you're leaving...

I came here because when I found out I had a sister...

Half-sister.

..I wanted to know what she was like.

Well, now you do.

Yeah, and unfortunately, it turns out she's

a manipulative, scheming, cold...

Heartless?

Yeah, heartless, brutal, bitter...

Don't forget "dishonest".

..narcissistic, unfeeling, selfish...

Ruthless! A lot of people say I'm ruthless.

-..vindictive...

-Good.

-..spiteful...

-Nice.

..manipulative...

You already said that.

Erm...

Mean? Nasty? Shrewish?

Yeah, all of those things.

-Evil!

-Evil.

Well, you may be all of those things, Jac, but I still love you.

What?

What?

I don't get it.

I don't get it.

Did you tell him?

-What?

-You know full well what I'm talking about. Did you tell him?

-As if anything I say...

-Did you tell him?!

Dom...

DOOR OPENS

WOMAN SOBS

SHE SNIFFLES

SHE SOBS

I'm really sorry, mate.

Maybe if I'd got my head out of those books...

Mark was dead before he came through the doors.

He was young, his symptoms were vague,

and we didn't have a complete history.

What we did was by the book.

Next of kin was someone called Leroy from a hostel he lived in

when he came out of the psych unit.

He'd never heard of Sheila.

What did Mark want to say to Sheila?

We are plagued by unanswered questions every day.

It's part of the job. You get used to it.

I should have come to you sooner.

There's no guarantee we would have got him through surgery, even then.

No, you don't understand.

I'd worked it out...

..but you seemed so chilled,

and I thought I'd look like I was completely up myself.

What was the task I set you?

Diagnosis.

Of the patient -

not me, or you, or what I think of you,

or what you think I think of you.

You're right.

I'm sorry.

I messed up.

You learned something,

and your diagnostic skills are excellent.

I was assuming you wouldn't get that one,

because I was still fishing myself.

I'll know better when I see you in theatre, Dr Ford.

You're kidding?

I shall look forward to working with you in two weeks.

Give it time. It'll heal.

I didn't realise it was going to be quite that...

I took a peek, that's all.

It's huge.

It won't always stay like that.

Some people get tattoos, and make a feature of them.

Yeah, what doesn't kill you makes you stronger.

But it is still a scar...

-..and it is red and it is sore...

-Dom, not now.

..and it's going to be a conversation piece

for quite some time to come,

but there is no point in pretending that it is something that it isn't.

Dom, this isn't inappropriate.

I'm sorry about this, Mim.

No. I want to hear what he has to say.

Please.

Mim, that scar represents you being out of control.

You were trying to fix something in your life,

and it wasn't your fault, but it will always remind you of

something that you wish you never had done,

or stuff that perhaps you should have dealt with years ago.

Maybe that's a good thing.

Yeah, I'm sorry that I was rude to you.

It was only because I know all too well what it feels like to know that

control is slipping through your fingers, and no matter what

you do to try and make it better, you just end up making it worse.

Besides, look on the bright side - you might have lost a pound or two.

MIM LAUGHS

No, he's right. That crossed my mind already.

My office. Five minutes.

-Look at your face!

-No, it's disgusting!

Winding her up, and she doesn't believe me! Of course, it was...

Yeah, yeah, so he picked up the phone to his sister.

I couldn't stop him.

-He started calling her all sorts of things...

-No?

Yeah. Names, insults... Right old slanging match.

Next thing, he's bawling his eyes out, and then...

Well, then he's laughing.

-Family...

-Yeah.

20 minutes later, this lot turns up with balloons,

grapes, the whole shebang.

You've got to love it.

So, Arthur's anniversary drinks...

Yeah. I'm just...

I'm just worried that it's going to be a bit sad and sombre, you know?

Maybe Jac'll do a stand-up routine, and there's always karaoke...

I love that. What would have been Arthur's favourite song?

-Waterloo.

-Waterloo.

He was a Napoleon freak, not an ABBA freak.

Oh, right.

Oh, and I'm buying drinks.

Oh, someone's feeling flush...

Well, I've got some very exciting news.

Yeah? Spill...

So, my leaving drinks are cancelled.

Why?

That's exciting why?

-Because I'm staying!

-What? You...? You're staying here?

-Yeah!

-Oh, my goodness! Yes!

-Yeah.

-Oh, yeah.

-Mmm...

-This is slightly awkward.

You're not going to London?

No, I don't think so.

You're staying?

Yeah. Unfinished business.

You're definitely buying...?

-Definitely.

-Good.

You're now... You're staying?

Yeah, I'm staying.

Does Jac know?

Not yet, but I'll tell her.

So, are you going to come and celebrate my career suicide?

Yeah. Yeah, I'll... I'll catch you up.

Come on, then.

Always in the last place you look.

You're going to have to face Sacha at some point.

I got rid...

down the toilet.

There was a doctor from Darwin asking if I'd seen you.

Zosia...

She told me about Arthur.

We were in here on the day...

DOM TAKES A DEEP BREATH

..on his last day.

He had just told me that he wanted everything to be normal.

Were he and you...?

Were you in love with him?

DOM SCOFFS

Yeah, kind of.

Not romantically.

I just wanted today to be normal...

to be like any other day.

It's been looming for ages.

I just didn't want...

anyone to ask me if I was OK.

I didn't want to talk to anyone.

I just thought I could brave it out.

HE CHUCKLES

That worked well(!)

It's all right to be angry.

DOM CHUCKLES

No, it's not.

It makes me all blotchy.

I'm much better at being just calmly snide.

You need to speak to Sacha, and let him know what's been going on.

I don't think I can at the moment.

Hey. You haven't seen my car keys, have you?

No, sorry.

Did you sort it out with Dom?

No.

No, he's done a runner.

What are you going to do?

-I'll sort it tomorrow.

-PHONE RINGS

I've got to take this thing to Hanssen,

and that's not going to end well.

Hello, Keller?

Hey, Lofty, you haven't seen my car keys, have you?

I don't think so.

I've got a set with a gold menorah hanging from them...

Mr Levy...

Yeah?

It's about Dom...

Are you telling me what I think you're telling me?

SACHA EXHALES

OK. Leave it to me.

Thank you.

That was Morven.

She wants to know if we can go to Albie's.

I can't. I've got to find my car keys.

Look, the thing is, it's...

It's the anniversary of Arthur - a year ago today.

SACHA SIGHS

God, all that half-marathon stuff!

I'm such an idiot.

It's not as if you write it down in a diary, is it?

Not the exact date...

I'm such an idiot!

Jason!

Thanks.

What for?

Hey, you've been a real mate.

I've only known you a day.

Fancy a beer? It's on me.

No.

SIREN WAILS

Yes, it's in the car park.

Yes, but if I had the keys, I'd be in the car,

and I wouldn't be ringing you, would I?

Yes, of course it's locked.

Sorry, it doesn't matter.

Sorry.

PHONE BEEPS

DOM SNIFFLES

HE SNIFFS

I'm sorry.

Me too.

DOM SOBS

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

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

SOBBING CONTINUES