0:00:03 > 0:00:06I am demoting you from head of CT effective immediately.
0:00:06 > 0:00:07You're not serious?
0:00:07 > 0:00:09Everything all right, Mr Rossini?
0:00:09 > 0:00:11Of course.
0:00:11 > 0:00:12You just look a little deflated,
0:00:12 > 0:00:14not your usual swash and buckle, I thought.
0:00:14 > 0:00:16Is leadership not suiting you?
0:00:16 > 0:00:18I think the most important thing to me...
0:00:18 > 0:00:20is to see you happy again,
0:00:20 > 0:00:23and if that's with Raf, then so be it.
0:00:24 > 0:00:26One step at a time.
0:00:26 > 0:00:28Tell me what you know!
0:00:28 > 0:00:31I'm putting you on compassionate leave as of this moment.
0:00:31 > 0:00:32Is there anything you want to say?
0:01:17 > 0:01:20Morven, mind if I join you?
0:01:20 > 0:01:21Oh, please. Sorry,
0:01:21 > 0:01:24it's not very ladylike, is it?
0:01:24 > 0:01:27Oh, well, we all enjoy a little comfort food now and again.
0:01:27 > 0:01:32Oh, it's not comfort food. I eat like this every breakfast time.
0:01:32 > 0:01:33Very good.
0:01:33 > 0:01:36So, I wanted to welcome you back firstly,
0:01:36 > 0:01:40and also to update you on Nurse Reynolds. Thank you.
0:01:40 > 0:01:44The CPS are deciding whether to prosecute or not.
0:01:46 > 0:01:48OK. Um...
0:01:49 > 0:01:51Is she OK?
0:01:51 > 0:01:54She's getting all the help she needs.
0:01:54 > 0:01:56Good.
0:01:56 > 0:02:00If there is anything I can do, let me know, won't you?
0:02:00 > 0:02:04And I hope that the events haven't affected your grieving in any way.
0:02:04 > 0:02:08No. Me and grief, we're like that, best of friends.
0:02:10 > 0:02:11Anyway.
0:02:12 > 0:02:14I'll...
0:02:14 > 0:02:16Enjoy. Thank you, Mr Hanssen.
0:02:21 > 0:02:23Thank you.
0:02:25 > 0:02:26Ms Naylor.
0:02:28 > 0:02:33I received a letter of condolence. Oh. Good.
0:02:34 > 0:02:36From Elliot Hope?
0:02:36 > 0:02:37It's the stamp, you see.
0:02:37 > 0:02:39Commissioned to celebrate the Golden Jubilee
0:02:39 > 0:02:42of Pakistan's Ayub Bridge, I believe.
0:02:44 > 0:02:46Is he well?
0:02:46 > 0:02:47Busy.
0:02:47 > 0:02:49Understaffed.
0:02:49 > 0:02:51Happy.
0:02:51 > 0:02:53He said to say hello.
0:03:10 > 0:03:13Just the person. This is for you.
0:03:13 > 0:03:16For me? Hm. Punchbag.
0:03:16 > 0:03:17Er, you think?
0:03:17 > 0:03:19It's a present.
0:03:19 > 0:03:21You know, in case you want to let off a bit of steam.
0:03:21 > 0:03:23Might avoid... Controversy.
0:03:24 > 0:03:27Yeah, and I'm sorry for, you know.
0:03:27 > 0:03:32So, actually, it's you who I should be punching?
0:03:32 > 0:03:35You wouldn't even get close. Chance would be a fine thing.
0:03:35 > 0:03:38So, go on, give it your best shot. Hard as you like.
0:03:43 > 0:03:45What was that? Oh, come on, you can do better than that.
0:03:45 > 0:03:47I'm so sorry I'm late. I've been up all night with Amber.
0:03:47 > 0:03:49I've barely slept a wink.
0:03:49 > 0:03:51Look, come on, I can take it.
0:03:51 > 0:03:53Like Ali said, "Float like a butterfly, sting like..."
0:03:58 > 0:04:01"And hit the deck like a tonne of bricks."
0:04:04 > 0:04:06THEY LAUGH
0:04:06 > 0:04:08It's Parker's summer holiday, isn't it?
0:04:08 > 0:04:10Would've thought the prospect of all that freedom
0:04:10 > 0:04:12would have cheered him up. That's what worries me.
0:04:12 > 0:04:14I'm not home that much. What's he going to do?
0:04:14 > 0:04:17Am I meant to be encouraging him to do things
0:04:17 > 0:04:19like get a job or washing cars or something?
0:04:19 > 0:04:22Not if you ever want to see him again. What about a hobby?
0:04:22 > 0:04:25Kids don't have hobbies these days. They've got screens.
0:04:25 > 0:04:29Well, that's the problem. He's on his own, not doing very much.
0:04:29 > 0:04:30Which I think you'll find is
0:04:30 > 0:04:33the definition of a perfect school summer holiday.
0:04:33 > 0:04:35I used to spend days on end holed up in my room.
0:04:35 > 0:04:39Doing what? Just lying there staring into space.
0:04:39 > 0:04:42The male teenage spine can't sustain being upright for too long.
0:04:42 > 0:04:44It's a biological thing.
0:04:44 > 0:04:47You're not taking this seriously. It's my first summer with him.
0:04:47 > 0:04:49I've got nothing to measure it against.
0:04:49 > 0:04:52Yes, you do. You've got your own experience. What did you do?
0:04:53 > 0:04:55This is Roma Portman and her son.
0:04:55 > 0:04:58She has relapsing remitting MS, fell at home.
0:04:58 > 0:05:01GP noted a slight chest infection and deterioration in movement.
0:05:01 > 0:05:04Requested a proper assessment. I'm so sorry.
0:05:04 > 0:05:06My GP is so overreacting.
0:05:06 > 0:05:08This is a complete waste of your time.
0:05:08 > 0:05:11I'm just very clumsy, missed my footing on the stairs.
0:05:11 > 0:05:13Didn't I, Lewis?
0:05:14 > 0:05:17OK, so, we'll see to your mum straight away. Hm.
0:05:20 > 0:05:22It's me. I'm clearly a natural.
0:05:26 > 0:05:29Che barba! Basta non me ne frega niente!
0:05:29 > 0:05:31Why do I not think that means,
0:05:31 > 0:05:33"Good morning! What a lovely day it is?"
0:05:33 > 0:05:36Great, it's my F1 assessment today.
0:05:36 > 0:05:37Oh. Good luck.
0:05:39 > 0:05:43Morning. Reporting for duty. My assessment...
0:05:43 > 0:05:46I forgot. I can't do it.
0:05:46 > 0:05:47But we spoke about it.
0:05:47 > 0:05:48Not today. I'm too busy.
0:05:48 > 0:05:50But today's the deadline.
0:05:50 > 0:05:52I'm in theatre with Zosia.
0:05:52 > 0:05:54Someone else will have to do it for you. Who?
0:05:56 > 0:05:57Your favourite person.
0:05:57 > 0:05:59Jac, good morning to you.
0:05:59 > 0:06:01I have something very special for you today.
0:06:01 > 0:06:02Oh?
0:06:02 > 0:06:04I want you to oversee a CABG.
0:06:04 > 0:06:06A CABG! Something "special"!
0:06:06 > 0:06:09No, no. It's not the procedure what's special about it.
0:06:09 > 0:06:11It's who you will be performing it with.
0:06:13 > 0:06:15Dr Ford.
0:06:15 > 0:06:17And the fact that today is his F1 assessment.
0:06:19 > 0:06:20What better procedure?
0:06:20 > 0:06:22What better person to assess?
0:06:22 > 0:06:23What do you say?
0:06:23 > 0:06:26Bring it on. Me and you. Dream team.
0:06:30 > 0:06:31Make it quick.
0:06:31 > 0:06:33I knew you'd be pleased.
0:06:37 > 0:06:40Any tiredness? Problems with vision or numbness?
0:06:40 > 0:06:41Nothing to write home about.
0:06:41 > 0:06:43Honestly, this has less to do with my having MS
0:06:43 > 0:06:45and more to do with being a dizzy mare.
0:06:45 > 0:06:46How can you be so sure?
0:06:46 > 0:06:49That I'm a dizzy mare? Believe me. Years of practice.
0:06:49 > 0:06:52What am I, Lewis? A dizzy mare.
0:06:52 > 0:06:55I mean, about your illness. It's early stages.
0:06:55 > 0:06:59Even though you've already been prescribed beta interferon? A DMT.
0:06:59 > 0:07:01Well, who isn't with MS?
0:07:01 > 0:07:04Do you have any muscle spasms or stiffness at all?
0:07:04 > 0:07:06Right arm's a bit weird, but...
0:07:06 > 0:07:08You're like a dog with a bone, aren't you?
0:07:08 > 0:07:10Is he always like this?
0:07:10 > 0:07:11He just wants to make sure.
0:07:11 > 0:07:14Well, I'm a little concerned why the right side of your body
0:07:14 > 0:07:16isn't moving as freely as the left.
0:07:16 > 0:07:17That's the side I fell on.
0:07:17 > 0:07:19I bounced all the way down the stairs on it. Didn't I, Lewis?
0:07:19 > 0:07:22Yeah, I thought the roof had fallen in. Thanks for that.
0:07:22 > 0:07:25I'd like to run a few checks and hopefully get you home as soon as.
0:07:25 > 0:07:28And in the meantime, can we clean that burn up?
0:07:28 > 0:07:32FBC, U, LSTs and a bone biochemistry profile, please.
0:07:35 > 0:07:37Seems like a sweet kid.
0:07:39 > 0:07:40You caught me off-guard, that's all.
0:07:40 > 0:07:43There must have been something slippy on the floor.
0:07:43 > 0:07:45The only thing on the floor was you and your reputation, mate.
0:07:45 > 0:07:46It was a one-off. You got lucky.
0:07:46 > 0:07:49Happy for a rematch, any time you like. Anyone? Problem?
0:07:49 > 0:07:53No, not with me there isn't. Oh, Fletch, Morven OK?
0:07:53 > 0:07:55If she's not, she's doing a good job of pretending.
0:07:55 > 0:07:59Morning. Dr Digby, Nurse Jackson.
0:07:59 > 0:08:00We've met.
0:08:00 > 0:08:03Right. Pneumonia and COPD in one.
0:08:03 > 0:08:05Acute coronary syndrome in two.
0:08:05 > 0:08:07Three needs and echo and an ECG.
0:08:07 > 0:08:10Four, pyelonephritis and acute urine retention.
0:08:10 > 0:08:12That's got my name written all over it.
0:08:12 > 0:08:14And, Morven.... ED need to send a trauma victim through.
0:08:14 > 0:08:17Male, stab wound to the chest, unresponsive, low BP.
0:08:17 > 0:08:20We'll take that. Morven, Zach Hagenbach, bay five.
0:08:20 > 0:08:23Crohn's disease and upper GI bleed. Cool.
0:08:23 > 0:08:26Um, Donna, keep an eye.
0:08:26 > 0:08:30Me? I barely know the woman. Chance to rectify that, then.
0:08:34 > 0:08:35There you go.
0:08:40 > 0:08:42Got it, Mum.
0:08:44 > 0:08:46Does that happen often?
0:08:46 > 0:08:49No. I think it's the DMT drugs they give me.
0:08:50 > 0:08:53Get me a drink, love? Done.
0:08:54 > 0:08:56Ah, he's a nice young man. He'll do.
0:08:58 > 0:09:01Is it just you guys? Dad around?
0:09:01 > 0:09:02No, it's just us.
0:09:04 > 0:09:06Do you get much medical support?
0:09:06 > 0:09:08Yeah, loads.
0:09:08 > 0:09:13I've got the social services and a MS specialist nurse
0:09:13 > 0:09:19and a GP who's gorgeous, worth throwing myself down the stairs for.
0:09:19 > 0:09:22And Lewis, he's great, he's my rock.
0:09:22 > 0:09:24That is quite some responsibility.
0:09:24 > 0:09:27I guess he's got some exams coming up too?
0:09:27 > 0:09:31Yeah. And the report last year was great. Higher grades than ever.
0:09:33 > 0:09:35Right, I'll be back in a minute.
0:09:35 > 0:09:38PHONE BEEPS
0:09:49 > 0:09:52Mr Hagenbach. Zach.
0:09:52 > 0:09:55Zach. Hi. I'm Dr Digby.
0:09:55 > 0:09:57This is Nurse Jackson. Hello.
0:09:57 > 0:10:02So, I gather you have Crohn's and you've had a bit of a bleed. OK.
0:10:02 > 0:10:04You've been vomiting blood,
0:10:04 > 0:10:07your haemoglobin levels are low and you've had some abdominal pain.
0:10:07 > 0:10:09That's about the size of it, yeah.
0:10:09 > 0:10:12OK. Whereabouts is the pain exactly?
0:10:12 > 0:10:13OK.
0:10:13 > 0:10:16Right. It's possibly an ulcer,
0:10:16 > 0:10:19it's usually the cause of upper GI bleeding.
0:10:19 > 0:10:21We can perform a gastroscopy to find out for sure.
0:10:22 > 0:10:24So, you're a photographer?
0:10:24 > 0:10:28Oh, it's just a hobby, just catching moments.
0:10:28 > 0:10:31Click. Gone. Like life.
0:10:31 > 0:10:34This place is great for it. The pain.
0:10:34 > 0:10:36The boredom.
0:10:36 > 0:10:38The beauty.
0:10:38 > 0:10:39Oh, aren't you the little charmer?
0:10:46 > 0:10:48Stop. Not in here, thank you.
0:10:50 > 0:10:51What can I do?
0:10:51 > 0:10:56OK. Let's get him on I/V fluids and monitor his urine output. OK.
0:10:57 > 0:11:01I'm just going to take a closer look at your notes. Be my guest.
0:11:01 > 0:11:03So, coronary artery bypass graft.
0:11:03 > 0:11:05Not a great fan of hospitals, if I'm honest.
0:11:05 > 0:11:07Think it goes back to when I was little
0:11:07 > 0:11:10and a nurse stuck a thermometer where the sun don't shine.
0:11:10 > 0:11:12You're not going to do that, are you?
0:11:12 > 0:11:15No, I'm not a nurse. I'm a cardiothoracic consultant.
0:11:15 > 0:11:17Good. You'll be quick, then?
0:11:17 > 0:11:19I've got a load on at work that I need to get back to.
0:11:19 > 0:11:21Explain.
0:11:21 > 0:11:24After your operation you're going to be in hospital
0:11:24 > 0:11:25for at least a week
0:11:25 > 0:11:29and then recovering for probably another ten to 12.
0:11:29 > 0:11:31You do know that, I take it?
0:11:31 > 0:11:34Yeah, but...really? Yes, really.
0:11:34 > 0:11:39The thing is, my job, I don't think Jeff'll be able to cope without me.
0:11:39 > 0:11:40What is it you do?
0:11:40 > 0:11:44I'm PA for an international human rights lawyer, and his wife.
0:11:44 > 0:11:45Sounds interesting.
0:11:45 > 0:11:49They're partners at the same firm. I do absolutely everything for them.
0:11:49 > 0:11:52They'll never cope without me. Well, for the time being,
0:11:52 > 0:11:54you'll have to think about yourself first and foremost.
0:11:54 > 0:11:56And perhaps you'll find that...
0:11:56 > 0:11:58in your absence, people will cope better than you think.
0:12:01 > 0:12:04Any history of cardiac issues in your family? No.
0:12:06 > 0:12:10Any lifestyle issues to speak of? Smoking? Drinking?
0:12:10 > 0:12:11Nope.
0:12:11 > 0:12:14And you're...30?
0:12:14 > 0:12:15Two weeks ago.
0:12:15 > 0:12:17Jeff threw me a surprise party.
0:12:17 > 0:12:20Well, I had to ring round and check numbers,
0:12:20 > 0:12:21but it's the thought, isn't it?
0:12:21 > 0:12:23OK. Enough of the chat.
0:12:23 > 0:12:26If there are no more questions, I'll call theatre,
0:12:26 > 0:12:29get you in as soon as humanly possible.
0:12:37 > 0:12:40They're great together, aren't they?
0:12:40 > 0:12:42I wish me and Parker were more like that.
0:12:42 > 0:12:45Him feeding you sugary drinks while you lie in a hospital bed?
0:12:45 > 0:12:49Easy banter and open communication.
0:12:49 > 0:12:51I think. You think?
0:12:51 > 0:12:53She was drooling earlier.
0:12:53 > 0:12:57She blamed the DMT, but he came over in a flash with a tissue.
0:12:57 > 0:12:58So?
0:12:58 > 0:13:00Well, surely it must have happened a lot for him to come armed,
0:13:00 > 0:13:02only she said it didn't.
0:13:02 > 0:13:05Well, she's fallen down the stairs, maybe she's confused.
0:13:08 > 0:13:12Ah, hi. To what do I owe the pleasure?
0:13:12 > 0:13:14Do you know Lewis? Not really.
0:13:14 > 0:13:17He's at school, but we're not mates or anything.
0:13:17 > 0:13:19What's he doing here?
0:13:19 > 0:13:20Do I get a "hello"?
0:13:21 > 0:13:25Fletch, bay three needs to be transferred for his CT.
0:13:25 > 0:13:26Right you are.
0:13:26 > 0:13:28I'll take him for his scan.
0:13:28 > 0:13:30So, what happened to him?
0:13:30 > 0:13:31Domestic.
0:13:31 > 0:13:33And? How bad is it?
0:13:33 > 0:13:36BP's stable, but the stab wound's deep.
0:13:36 > 0:13:39It's not likely to be without complications. How's our Crohn's?
0:13:39 > 0:13:41Oh, yeah, I'm still going through his notes.
0:13:44 > 0:13:46I'm here if you need.
0:13:46 > 0:13:49No, no, it's fine. He's not my patient.
0:13:51 > 0:13:52Whereas...
0:13:52 > 0:13:54Excuse me, excuse me,
0:13:54 > 0:13:57can you stop that, please, or I'll have to confiscate it?
0:13:57 > 0:13:59It's an invasion of people's privacy, it's not on. So is Crohn's.
0:13:59 > 0:14:01I mean, you know,
0:14:01 > 0:14:03I have quite a record of a life lived with the condition.
0:14:03 > 0:14:05Owning it.
0:14:05 > 0:14:06Hey, you got me figured yet?
0:14:06 > 0:14:09No, not yet,
0:14:09 > 0:14:12although have you thought of immunotherapy?
0:14:12 > 0:14:14Or a small bowel MRI?
0:14:14 > 0:14:16Yeah, been there, done that, got the T-shirt.
0:14:16 > 0:14:19Had the tests done, but they didn't go ahead
0:14:19 > 0:14:21cos of concerns about the state of my bowel.
0:14:21 > 0:14:23Well, an MRI can assess specifically how bad the bowel is.
0:14:23 > 0:14:26I know how bad my bowel is, I've had nine operations.
0:14:26 > 0:14:29Well, that's just greedy. Yeah. It gets in the way of work as well.
0:14:29 > 0:14:32Hey, do you know how long the average small bowel is?
0:14:32 > 0:14:37Four metres? Yeah. I have 1.2 metres left. That's more than enough.
0:14:37 > 0:14:40I was told last time that any more operations
0:14:40 > 0:14:42and I might be fed through a tube for the rest of my life.
0:14:44 > 0:14:47So, what do you do for work? You didn't say.
0:14:47 > 0:14:50Oh, I run a smallholding. Yeah, only bought it recently.
0:14:50 > 0:14:52How many acres?
0:14:52 > 0:14:55It's more like a vegetable garden, with some animals attached.
0:14:55 > 0:14:5932 in total. I got chickens, a sheep, goat
0:14:59 > 0:15:02and about 3,000 bees. A couple of pigs soon.
0:15:02 > 0:15:03Sounds idyllic.
0:15:03 > 0:15:07It is, yeah. I used to work in tech and hated it.
0:15:07 > 0:15:11But this, I just love it.
0:15:11 > 0:15:15Just me, my animals and no-one else to answer to.
0:15:15 > 0:15:16Nice.
0:15:16 > 0:15:20Immunomodulators! What about them? Has anyone spoken to you about them?
0:15:20 > 0:15:22They didn't just speak to me. They tried one out.
0:15:22 > 0:15:24See? Lost cause.
0:15:25 > 0:15:28Well, look, there are advances the whole time,
0:15:28 > 0:15:30and I'm sure there's lots of other options.
0:15:30 > 0:15:32Want to bet?
0:15:32 > 0:15:35Sure. What've you got?
0:15:36 > 0:15:39A camera. Or a pig?
0:15:39 > 0:15:42I think a pig might be a bit of a commitment.
0:15:42 > 0:15:44All right, camera it is, then.
0:15:44 > 0:15:46Fix me and it's yours.
0:15:49 > 0:15:51All right.
0:16:01 > 0:16:05So, the guys are going to the game shop... Are they now?
0:16:05 > 0:16:06..and I was wondering if I could...
0:16:06 > 0:16:09Fleece some money out of the Royal Bank of Essie.
0:16:09 > 0:16:13No, no, I was just checking that me going was OK with you. Parker.
0:16:13 > 0:16:16You did say we could introduce some kind of allowance system.
0:16:16 > 0:16:18How do I know it's for computer games?
0:16:18 > 0:16:20Oh, because we got all the drink and drugs we needed yesterday.
0:16:22 > 0:16:25Well, in that case, seeing as you put it so openly.
0:16:26 > 0:16:29But there are conditions.
0:16:29 > 0:16:31I want you to meet me after my shift
0:16:31 > 0:16:33and then we're going to go home together
0:16:33 > 0:16:35and we're going to have pizza, OK?
0:16:38 > 0:16:41Games, yes? Yes!
0:16:41 > 0:16:42Can I go now?
0:16:44 > 0:16:46Don't be late. Or else!
0:16:46 > 0:16:48Hey, mate, how's it going?
0:16:49 > 0:16:50Something I said?
0:16:50 > 0:16:52Nope, that would be me it seems.
0:16:52 > 0:16:55Can't seem to say or do the right thing,
0:16:55 > 0:16:56unless I'm handing out money.
0:16:57 > 0:17:00Are you sure you don't want me to talk to him?
0:17:00 > 0:17:04I'm happy to. I mean, he's cool about us, right?
0:17:04 > 0:17:05Yeah, yeah, he's fine.
0:17:06 > 0:17:09Just a pity he doesn't come with a manual, though.
0:17:17 > 0:17:19KNOCK ON DOOR
0:17:21 > 0:17:22Got a mo? No.
0:17:24 > 0:17:25It's about Helena Cork.
0:17:27 > 0:17:29Don't you think she's a bit young for a CABG?
0:17:29 > 0:17:31Young people get heart issues.
0:17:32 > 0:17:34Just because of the assessment...
0:17:36 > 0:17:39..how best do I convey that she needs a change of lifestyle?
0:17:39 > 0:17:42Give her the facts and move on. She's the nanny, not you.
0:17:48 > 0:17:50You're still here.
0:17:50 > 0:17:52That's the Hertzig, isn't it?
0:17:52 > 0:17:56You developed it with Professor Elliot Hope. Your mentor, right?
0:17:56 > 0:17:58Are you stalking me? No.
0:17:58 > 0:18:00Then you need to get out more.
0:18:01 > 0:18:05Her job is not the issue. Her heart is. Hence the CABG.
0:18:05 > 0:18:08No. Her heart. She's in love with her boss.
0:18:08 > 0:18:10She's endlessly hoping he'll ring
0:18:10 > 0:18:13even though he either doesn't care or he's too scared of wifey,
0:18:13 > 0:18:17whose name she can't bring herself to utter, to bother.
0:18:18 > 0:18:20Wow! Liking the holistic approach.
0:18:21 > 0:18:26Don't ever, ever use the word "holistic" in my presence again.
0:18:28 > 0:18:30I don't care that she's in love with him,
0:18:30 > 0:18:32but it adds to the picture of stress -
0:18:32 > 0:18:35the wanting, the guilt, the relentless obsessive giving.
0:18:35 > 0:18:38It's a relevant clinical concern.
0:18:38 > 0:18:40So, how do I make her see that?
0:18:40 > 0:18:41Tell it like it is.
0:18:43 > 0:18:45Come on. No time like the present.
0:18:48 > 0:18:52Oh, I hate surprises. Cheers, love, I'll have that.
0:18:52 > 0:18:55Bay four, little Miss Prom Queen one minute, the next, bam...
0:18:55 > 0:18:58no warning, nothing, just sick everywhere.
0:19:00 > 0:19:01You all right?
0:19:05 > 0:19:07OK, I'll be going.
0:19:07 > 0:19:10Actually, Nurse Jackson, there is something.
0:19:11 > 0:19:14Right, er. Do you want to talk about it?
0:19:14 > 0:19:15Do you mind?
0:19:15 > 0:19:19No. Hit me. Not literally, obviously.
0:19:19 > 0:19:21Well, this Zach Hagenbach.
0:19:21 > 0:19:22Right, what about him?
0:19:22 > 0:19:24Right, he's got this condition yeah, chronic Crohn's.
0:19:24 > 0:19:27He's had more operations than you can shake a stick at.
0:19:27 > 0:19:31He's got about a metre of bowel left... Hardly worth having it.
0:19:31 > 0:19:33He's had more treatments than he's had operations
0:19:33 > 0:19:35and none of them are working.
0:19:35 > 0:19:38Because his bowel is so compromised, right? Exactly.
0:19:38 > 0:19:40So, why not take it out?
0:19:41 > 0:19:44OK. That's radical.
0:19:44 > 0:19:47They're pretty handy things to have, aren't they?
0:19:47 > 0:19:52Bowels... Unless you're talking about...giving him a new one.
0:19:52 > 0:19:55Exactly. A bowel transplant.
0:20:02 > 0:20:04SHE COUGHS
0:20:04 > 0:20:06You OK? Yes.
0:20:08 > 0:20:11Fizz is right up my nose, I think.
0:20:11 > 0:20:12Down the wrong way.
0:20:14 > 0:20:16Are you sure? Mm-hm. Yes.
0:20:16 > 0:20:18Have you been having any difficulties?
0:20:18 > 0:20:21No. Ask the boss.
0:20:21 > 0:20:23It's a new one on me.
0:20:25 > 0:20:29OK, so this DMT that you're on.
0:20:29 > 0:20:31Is injected, right, so who does the injections?
0:20:31 > 0:20:33Me. How often?
0:20:33 > 0:20:36Every other day. Nurse showed me how.
0:20:36 > 0:20:37Why? Do you want some tips?
0:20:39 > 0:20:41Look, I get that you're on top of this, OK,
0:20:41 > 0:20:46but if you do need any extra advice or help, then Holby has a carer
0:20:46 > 0:20:49support worker and they can maybe introduce you to a wider support...
0:20:49 > 0:20:51Thanks, but we're cool.
0:20:53 > 0:20:54Is the patient prepped?
0:20:54 > 0:20:57What I'm trying to say is when you go back to your job,
0:20:57 > 0:20:59you might want to think about ways you can help yourself,
0:20:59 > 0:21:00put yourself first and foremost.
0:21:00 > 0:21:04I could work out a bit, I suppose. Is that what you mean?
0:21:04 > 0:21:06Not exactly, no. Ostrich.
0:21:06 > 0:21:09Exactly, ostrich, meant to be good for you.
0:21:09 > 0:21:11As in you are being one.
0:21:11 > 0:21:13What's he called - Jeff?
0:21:13 > 0:21:17Stop waiting for him to do something he might never do.
0:21:17 > 0:21:18Stop giving. Start taking.
0:21:18 > 0:21:21Make the world work for you, not the other way round.
0:21:21 > 0:21:23What she means is... Exactly what I'm saying.
0:21:25 > 0:21:28In case you hadn't noticed, goodness doesn't get rewarded.
0:21:28 > 0:21:30See you in theatre.
0:21:35 > 0:21:38Ah! Ms Wolfe. Zach Hagenbach.
0:21:38 > 0:21:41I think we should apply for a bowel transplant.
0:21:41 > 0:21:44All things considered, it seems to be the best way forward.
0:21:46 > 0:21:48Right, well, two minor glitches -
0:21:48 > 0:21:50one, it's a highly specialised procedure.
0:21:50 > 0:21:53Well, we do highly specialised procedures the whole time.
0:21:53 > 0:21:55Yeah, two, it's a highly specialised procedure
0:21:55 > 0:21:57that Holby doesn't happen to offer.
0:21:57 > 0:22:00Yeah, there is that.
0:22:00 > 0:22:01But I've looked into it
0:22:01 > 0:22:04and there are four centres in the UK that carry it out.
0:22:04 > 0:22:07I could contact them and then I could take it from there.
0:22:07 > 0:22:10I do, Morven, I admire your optimism enormously.
0:22:10 > 0:22:12Great. Thank you.
0:22:12 > 0:22:15But what makes you think that one of those centres will just jump
0:22:15 > 0:22:17when an F2 from Holby makes contact?
0:22:17 > 0:22:18Well, obviously they're not,
0:22:18 > 0:22:22so I was thinking maybe you could make the call.
0:22:24 > 0:22:27CAMERA CLICKS
0:22:28 > 0:22:29All right, all right.
0:22:30 > 0:22:33Come back when you have the results of his gastroscopy.
0:22:33 > 0:22:36If it shows a bleed, then you have your answer.
0:22:36 > 0:22:39If not, he needs a CT angiogram.
0:22:39 > 0:22:44If both are clear and his symptoms subside then we can talk.
0:22:44 > 0:22:46Great. Thanks, Ms Wolfe.
0:22:53 > 0:22:55Could you take another look at Roma Portman for me?
0:22:55 > 0:22:56Sure, what's the problem?
0:22:56 > 0:22:59Possible dysphagia. She had a coughing episode a few minutes ago.
0:22:59 > 0:23:02I don't think it's the first time. What does she say?
0:23:02 > 0:23:04Otherwise. Both of them did.
0:23:04 > 0:23:06But Sixth Sense Harrison senses otherwise.
0:23:06 > 0:23:09Nurse Harrison tells me you've been having some problem swallowing.
0:23:09 > 0:23:11Do you mind if I just take a look?
0:23:11 > 0:23:14No. It's worse when I'm tired.
0:23:14 > 0:23:16Throat issues aren't just about discomfort.
0:23:16 > 0:23:20Problems swallowing can affect the intake of nutrients into your body.
0:23:20 > 0:23:21But I'm OK. Look.
0:23:25 > 0:23:27It's OK! Take a mo.
0:23:27 > 0:23:29Excuse me. Right, take a breath.
0:23:29 > 0:23:31Let's raise her up.
0:23:31 > 0:23:34She'll be OK in a mo. It's fine. I don't think this is fine.
0:23:34 > 0:23:36How many times has this happened, really?
0:23:39 > 0:23:41This is important, Lewis.
0:23:41 > 0:23:44It started a few weeks ago. I've logged every occasion.
0:23:44 > 0:23:47So, this is what you've been doing on your computer.
0:23:47 > 0:23:49I've got files on the muscle spasms, the vision glitches,
0:23:49 > 0:23:52the numbness. He's on top of it.
0:23:52 > 0:23:54Want to do a good job. Well, this indicates that
0:23:54 > 0:23:56the swallowing issue's been happening quite a lot.
0:23:56 > 0:23:59What about the falls? Have you got a file on them?
0:23:59 > 0:24:00Third time this week.
0:24:00 > 0:24:04Right. Well, I want a full formal speech and language assessment
0:24:04 > 0:24:06and we're going to have to do some extra tests.
0:24:06 > 0:24:07It will be OK, though, won't it?
0:24:07 > 0:24:09Yeah, we're on top of this, OK?
0:24:09 > 0:24:11It's really important that you tell us what's happened,
0:24:11 > 0:24:13so thank you for being straight with us.
0:24:15 > 0:24:18A bowel transplant? You can do that?
0:24:18 > 0:24:21Yeah, of course we can. I mean, I can't.
0:24:21 > 0:24:25In fact, we can't, but someone else can at a different hospital.
0:24:25 > 0:24:27We can contact them.
0:24:27 > 0:24:30You'd have to be assessed, which can take a few weeks.
0:24:30 > 0:24:34And then if you're successful, you'd then go on to a waiting list.
0:24:34 > 0:24:37Do you know how long I'd need to be in hospital for?
0:24:37 > 0:24:41About four to six weeks and then recovery time on top of that.
0:24:41 > 0:24:43That's quite a long time.
0:24:43 > 0:24:45It is, but just think it'd be worth it.
0:24:45 > 0:24:48If it was successful, you'd have no more of this.
0:24:48 > 0:24:52Um, what about risks? Are there...?
0:24:52 > 0:24:56OK, so, with a bowel transplant there are risks of heart
0:24:56 > 0:24:57and breathing problems.
0:24:57 > 0:25:03Right. And with any major operation there is of course risk of infection
0:25:03 > 0:25:06and or the body rejecting the donor organ,
0:25:06 > 0:25:09which can, in extreme cases, lead to organ failure.
0:25:11 > 0:25:15Well, you're not exactly selling it. I'm not trying to.
0:25:15 > 0:25:17I'm just saying exactly how it is
0:25:17 > 0:25:19because I think it's the best option for you.
0:25:20 > 0:25:22I just...
0:25:22 > 0:25:26I don't know if I can take that kind of time out, you know?
0:25:26 > 0:25:27I'm sure your animals won't mind.
0:25:27 > 0:25:30I don't know. This lot can be pretty demanding.
0:25:30 > 0:25:32They need round-the-clock care.
0:25:32 > 0:25:36Well, is there anyone else that can help? No, it's just me.
0:25:36 > 0:25:39Me and my wife, we split a couple of years ago.
0:25:39 > 0:25:40I'm really sorry to hear that.
0:25:40 > 0:25:44Yeah, and I've deliberately kept myself to myself since.
0:25:44 > 0:25:47Look, I admire your independence but, I mean,
0:25:47 > 0:25:49surely some friends could cover for you.
0:25:49 > 0:25:51Where there's a will, there's a way.
0:25:51 > 0:25:53And you're taking time out anyway.
0:25:53 > 0:25:56A few days here and there, yeah, I can manage that, but...
0:25:58 > 0:26:00Look, if it's successful,
0:26:00 > 0:26:02the transplant can massively improve your quality of life.
0:26:04 > 0:26:07And even if your ulcer heals you'll still have Crohn's
0:26:07 > 0:26:10and all the problems associated with the operations. Exactly.
0:26:14 > 0:26:16You win.
0:26:16 > 0:26:17Yeah. Why not? Great.
0:26:17 > 0:26:20Right, let's get you to your gastroscopy
0:26:20 > 0:26:22and if you're lucky I'll let you take a few pics.
0:26:22 > 0:26:24Oh, I'll do one now if you want.
0:26:24 > 0:26:26Donna. Hop in. Oh.
0:26:28 > 0:26:29And snap. Aw.
0:26:31 > 0:26:32He's arresting.
0:26:32 > 0:26:35Right, page CT. We need to get him straight into theatre.
0:26:35 > 0:26:38And I need someone to help with a clamshell incision. I'm in.
0:26:38 > 0:26:40And someone to manually massage his heart.
0:26:41 > 0:26:44I can deal with this. You go.
0:26:44 > 0:26:46You needn't worry because I've been giving her softer foods
0:26:46 > 0:26:48to help with the swallowing.
0:26:48 > 0:26:50Liquids, soups, mashed-up vegetables.
0:26:50 > 0:26:52My concern is the risk of further chest infections.
0:26:52 > 0:26:55How many of those have you had? This is my first proper one.
0:26:55 > 0:26:56"Proper one"?
0:26:56 > 0:26:59She had a mild one last month, lasted about three days,
0:26:59 > 0:27:02but we saw that off with antibiotics. We're coping.
0:27:02 > 0:27:04But Lewis is having to do more, presumably?
0:27:04 > 0:27:06I'm fine. I enjoy it.
0:27:07 > 0:27:09Look, apart from all the statistics,
0:27:09 > 0:27:11what else are you doing on that thing?
0:27:11 > 0:27:13Reading up on stuff.
0:27:13 > 0:27:16You might have to take a look at your overall care package.
0:27:16 > 0:27:18We don't want to. We don't want to do that.
0:27:18 > 0:27:20We're fine, OK?
0:27:20 > 0:27:22What are you worried about?
0:27:22 > 0:27:23We want to stay at home.
0:27:27 > 0:27:29We want to stay together.
0:27:30 > 0:27:31We understand that.
0:27:31 > 0:27:35But you do understand that your MS could develop from...
0:27:35 > 0:27:38Relapsing, remitting... To progressive, we all know that.
0:27:38 > 0:27:41And we know that ultimately things will change for us,
0:27:41 > 0:27:43but ultimately is a long way off, OK?
0:27:46 > 0:27:49Massive haemorrhage caused by the wound. Cardiac massage now.
0:27:49 > 0:27:50Yeah, I've got it.
0:27:57 > 0:28:00You OK? Yep.
0:28:00 > 0:28:02I can see where the wound is penetrating the lung.
0:28:04 > 0:28:06What's his name? Pete. Pete Kingston.
0:28:07 > 0:28:10Come on, Pete. Stop mucking about now.
0:28:15 > 0:28:16More adrenaline?
0:28:16 > 0:28:20Yes, and Amiodarone to stabilise the dysrhythmia, please.
0:28:20 > 0:28:21What can you feel?
0:28:23 > 0:28:25Nothing. OK. Shock paddles.
0:28:26 > 0:28:27Charge to 30.
0:28:31 > 0:28:32Stand back.
0:28:38 > 0:28:40Go again.
0:28:49 > 0:28:51What?
0:28:51 > 0:28:54You can't knock his conscientiousness, can you? No.
0:28:54 > 0:28:56But keeping a detailed record of everything doesn't mean
0:28:56 > 0:28:59his mum's necessarily getting the medical care that she needs.
0:28:59 > 0:29:01Lewis obviously knows his stuff.
0:29:01 > 0:29:04Let's just wait for the assessors' report.
0:29:04 > 0:29:07Lewis could do with some of what Parker's got.
0:29:07 > 0:29:09A carefree summer holiday?
0:29:09 > 0:29:10No, someone like you.
0:29:10 > 0:29:12To worry about him.
0:29:12 > 0:29:15Now you're just trying to get around me.
0:29:17 > 0:29:19MACHINE BEEPS
0:29:21 > 0:29:22Nothing.
0:29:22 > 0:29:24Pacing wires?
0:29:24 > 0:29:25More compressions.
0:29:26 > 0:29:29Do you want to swap? I can take over.
0:29:29 > 0:29:32Nope. Pete's just about to resurface. Aren't you, Pete?
0:29:33 > 0:29:36Any time now. Today would be good.
0:29:40 > 0:29:42Perhaps we should call it.
0:29:42 > 0:29:43No. He's still here.
0:29:46 > 0:29:48Come on, come on.
0:29:50 > 0:29:54Don't let me down, don't let me down...
0:29:55 > 0:29:57MACHINE BEEPS
0:29:57 > 0:29:58Gotcha.
0:30:03 > 0:30:05Regular function. BP rising.
0:30:11 > 0:30:14Speech and language assessment, neurology assessment and MRI scan.
0:30:14 > 0:30:16Bad news, I'm afraid. Shall we?
0:30:16 > 0:30:18I'm back, like you insisted.
0:30:18 > 0:30:21I'm still a bit tied up at the minute.
0:30:23 > 0:30:26Your swallowing, speech and general mobility
0:30:26 > 0:30:29have been gradually worsening for some time.
0:30:29 > 0:30:32I'm sorry to say, but your condition has deteriorated
0:30:32 > 0:30:35from relapsing remitting to progressive MS.
0:30:41 > 0:30:43Are you sure?
0:30:43 > 0:30:46The speech and language therapist and the neurologist were both
0:30:46 > 0:30:50very clear, you're going to have to have a thing called a PEG.
0:30:50 > 0:30:52It's a feeding tube that will take food and fluids
0:30:52 > 0:30:54and medicines into your stomach.
0:30:54 > 0:30:57Yeah, we know what it is. A percutaneous endoscopic gastrostomy.
0:30:57 > 0:31:00She doesn't need that. I'm afraid that you do.
0:31:00 > 0:31:02Apart from the chest infection, you're aspirating,
0:31:02 > 0:31:04you're not swallowing properly.
0:31:04 > 0:31:07You should have this procedure as a matter of urgency.
0:31:07 > 0:31:09Well, thanks for your opinion. We'll look into it.
0:31:09 > 0:31:12We're a bit past the point of looking into things.
0:31:12 > 0:31:16I can do this procedure today, here, but I do need your consent.
0:31:17 > 0:31:19What about aftercare? Can Lewis do that?
0:31:19 > 0:31:22You won't need aftercare cos you won't need the procedure.
0:31:22 > 0:31:25Not on his own, no. You'll have to have visits from physio,
0:31:25 > 0:31:27and an occupational therapist.
0:31:27 > 0:31:30Mrs Portman, perhaps now is the time
0:31:30 > 0:31:32to start handing over some responsibility.
0:31:34 > 0:31:36It's in your best interests.
0:31:36 > 0:31:37Well, we don't want it.
0:31:40 > 0:31:42I'm sorry, Lew.
0:31:42 > 0:31:44I think we should listen to them.
0:31:47 > 0:31:49I'll have it.
0:31:51 > 0:31:53What is wrong with everyone? We can manage.
0:31:58 > 0:32:01I'll be back with some forms to sign. You OK?
0:32:01 > 0:32:05I'm sorry. Can you wait in the cafe?
0:32:05 > 0:32:07I'll try and make it as quick as I can.
0:32:07 > 0:32:09You go, I've got this.
0:32:10 > 0:32:11Go on.
0:32:14 > 0:32:16I mean, I bought it for Morven, really,
0:32:16 > 0:32:18but I do think every ward should have one.
0:32:20 > 0:32:22Whoa! OK! Whoa!
0:32:22 > 0:32:24See, no-one's getting up from that.
0:32:24 > 0:32:27Quick hands and a granite chin. I could have been a contender.
0:32:27 > 0:32:28Lightweight?
0:32:28 > 0:32:30Erm! Middleweight, thank you very much.
0:32:30 > 0:32:33Adrian "The Force" Fletcher, pleased to meet you. What about yourself?
0:32:33 > 0:32:35Me? Oliver "Handbags" Valentine.
0:32:35 > 0:32:37Wasn't really my thing, I was a chess club man.
0:32:37 > 0:32:40You're just putting yourself down. You just need a few pointers, son.
0:32:40 > 0:32:43So, come on, get your hands up.
0:32:43 > 0:32:45Come on, then. Come on, big boy.
0:32:47 > 0:32:49Harder. Go on. Harder!
0:32:49 > 0:32:51Oh, yeah, go on, that's the way.
0:32:51 > 0:32:55No, no, no. Slow down, slow down. Watch me. Breathe, breathe, breathe.
0:32:55 > 0:32:57Now come in big over the top.
0:33:01 > 0:33:04Hi. Bernie. Hi.
0:33:05 > 0:33:10I hope you don't mind me asking, but what are you doing in here?
0:33:10 > 0:33:12Us?
0:33:12 > 0:33:15Yes, you.
0:33:15 > 0:33:16Nothing.
0:33:16 > 0:33:17Didn't sound like nothing.
0:33:17 > 0:33:19Oh, was just blowing off some steam.
0:33:19 > 0:33:21Yeah, won't take long.
0:33:22 > 0:33:26Don't suppose it will. Well, quick as you can then, boys.
0:33:38 > 0:33:40Not talking any more now, are you?
0:33:41 > 0:33:44Do you always just make the world do your bidding?
0:33:44 > 0:33:47When I know what I want. Which is?
0:33:48 > 0:33:50Right, let's try and take her off bypass again.
0:33:53 > 0:33:55Stop the pump.
0:33:55 > 0:33:58MACHINE BEEPS
0:33:59 > 0:34:02Nope, still not working and this is the third time we've tried.
0:34:02 > 0:34:03Her heart's distending.
0:34:03 > 0:34:07Yeah, and the BP's dropping. Great. Let's get her back on bypass.
0:34:07 > 0:34:10Going to have to insert an aortic balloon pump.
0:34:21 > 0:34:24Come on, ten thumbs. A four-year-old could do that.
0:34:24 > 0:34:27I'm struggling to push the balloon upwards on to the artery.
0:34:27 > 0:34:29I think it's just nerves. It can't be.
0:34:29 > 0:34:32You wouldn't have got this far if you had a problem with nerves.
0:34:32 > 0:34:34It's never happened to me before.
0:34:34 > 0:34:39Why do men who can't perform always say that? It must be you.
0:34:39 > 0:34:41They say that too.
0:34:41 > 0:34:44The uniqueness of this situation is there is someone else in the room
0:34:44 > 0:34:46on the operating table,
0:34:46 > 0:34:48and I'd rather they didn't die on my watch.
0:34:52 > 0:34:54I can't be in two places at once.
0:34:54 > 0:34:56You need to do that and you need to do it now.
0:34:56 > 0:34:58I can't do it!
0:34:58 > 0:34:59You can and you will.
0:35:05 > 0:35:08Thank you for looking out for Dr Digby.
0:35:08 > 0:35:12Oh. Oh, and, fellas, what you get up to in the privacy of the Locker Room
0:35:12 > 0:35:14is your own business, but try and keep
0:35:14 > 0:35:16the noise down next time, please?
0:35:16 > 0:35:18Boys have been playing again, have they? Well... What?
0:35:18 > 0:35:20Fletch is just working on his technique
0:35:20 > 0:35:22before having another pop at me. Ready when you are.
0:35:22 > 0:35:25Yeah? Come on, then. Let's do it.
0:35:25 > 0:35:27Dr Digby! I thought you'd like to know.
0:35:27 > 0:35:28Mr Kingston is stable.
0:35:28 > 0:35:31Great. What about longer term?
0:35:31 > 0:35:34Well, we've done the best we could under the circumstances,
0:35:34 > 0:35:35but he's a fighter.
0:35:36 > 0:35:39You performed brilliantly today.
0:35:39 > 0:35:41I was just doing my job.
0:35:42 > 0:35:45And doing it quite well. Nice work.
0:35:50 > 0:35:53Any time you're ready will be fine by me.
0:35:53 > 0:35:55I'm trying. Try harder.
0:36:00 > 0:36:03Look at me. Forget everything else.
0:36:04 > 0:36:06This is about you.
0:36:06 > 0:36:08Your skill. Your talent.
0:36:09 > 0:36:13Clear your head, take a breath and go again.
0:36:13 > 0:36:16Make it happen. Connect the balloon pump.
0:36:29 > 0:36:31You in?
0:36:34 > 0:36:36Good. Inflate.
0:36:46 > 0:36:51Your mum does need this operation and you will need help.
0:36:51 > 0:36:54Yeah, and what if she gets taken away as a result?
0:36:54 > 0:36:55No-one's going to take her away.
0:36:55 > 0:36:57Why don't you think I can look after her?
0:36:57 > 0:36:59I do think you can look after her.
0:36:59 > 0:37:01I just don't think you can do it on your own.
0:37:01 > 0:37:04But I know what's best for her, what's best for us.
0:37:07 > 0:37:09When was the last time you had a holiday?
0:37:09 > 0:37:11I'm on holiday now.
0:37:11 > 0:37:13You should be with your mates.
0:37:14 > 0:37:17Did you go on that school trip that Parker did last week?
0:37:18 > 0:37:20No.
0:37:21 > 0:37:24Because you were looking after your mum, presumably.
0:37:24 > 0:37:25And what about the studies?
0:37:25 > 0:37:27Your mum said you're doing really well.
0:37:27 > 0:37:30That your grades are the best they've ever been.
0:37:33 > 0:37:35Has she actually seen the report?
0:37:38 > 0:37:41The last month or so has just been tough, that's all.
0:37:41 > 0:37:43And that's why you need the support.
0:37:43 > 0:37:45And that's why she needs the procedure.
0:37:46 > 0:37:49The PEG will actually make things easier.
0:37:49 > 0:37:52She'll get nutrients from the tube.
0:37:52 > 0:37:55That'll take the pressure off you feeding her, and free you up.
0:37:57 > 0:37:59Asking for help is not a weakness, you know.
0:37:59 > 0:38:01It's a sign of strength.
0:38:02 > 0:38:04Parker and I need help. Everyone needs help sometimes.
0:38:04 > 0:38:06It's not that I don't want help.
0:38:07 > 0:38:10It's more, it's just always been me and Mum.
0:38:11 > 0:38:14And I don't want anyone taking over.
0:38:15 > 0:38:16I want us to have the final say.
0:38:17 > 0:38:20You can and you will.
0:38:26 > 0:38:30So, we're just waiting to speak to the specialist.
0:38:30 > 0:38:32Cheers, Doc.
0:38:32 > 0:38:34Please, call me Morven.
0:38:34 > 0:38:37If he accepts you, there'll be a six-month waiting list,
0:38:37 > 0:38:40then hopefully we can wave goodbye to your small bowel issues.
0:38:40 > 0:38:43How weird would that be?
0:38:43 > 0:38:46I owe it, really. Owe it?
0:38:46 > 0:38:49If it wasn't for Crohn's, I'd probably still be in tech.
0:38:49 > 0:38:50How so?
0:38:50 > 0:38:53Well, a smallholding was my long-term dream,
0:38:53 > 0:38:58but as the operations mounted up, and then my marriage went south,
0:38:58 > 0:39:00I decided to just get on with it.
0:39:00 > 0:39:04So, you carped that diem. Nice one.
0:39:04 > 0:39:07It was you that did that, though, not your condition.
0:39:07 > 0:39:10Thank you. Good for you.
0:39:11 > 0:39:15Right, you might want to put something down to cushion the fall.
0:39:15 > 0:39:18I told you, lightning doesn't strike twice. Mm-hm.
0:39:18 > 0:39:21Beginner's luck, it was a one-off.
0:39:21 > 0:39:25So, Morven, she's... I mean, she's a bit kooky, right?
0:39:25 > 0:39:28Yeah, I know. Exactly the way we like 'em.
0:39:28 > 0:39:31Right, come on, then. Seconds out.
0:39:31 > 0:39:33Round two, come on.
0:39:34 > 0:39:37Right. Go on, then! That's it.
0:39:37 > 0:39:38See? Yeah? Yeah?
0:39:38 > 0:39:41Knees of steel. Knees of steel.
0:39:41 > 0:39:42Yeah, is that what you reckon is it?
0:39:42 > 0:39:44Excuse me? Hello?
0:39:47 > 0:39:49SHE CHUCKLES
0:39:59 > 0:40:01What game did you get? Is it all explosions and guns and...
0:40:03 > 0:40:07Wow, a romcom?
0:40:08 > 0:40:10For a mate.
0:40:12 > 0:40:14You bought a romcom for one of your mates?
0:40:16 > 0:40:19OK. It's for a girl that I like.
0:40:20 > 0:40:23I was hoping to see her, but now I don't know.
0:40:23 > 0:40:25Ah, right.
0:40:25 > 0:40:27It's complicated.
0:40:27 > 0:40:30Do you...? Do you want to talk about it? No.
0:40:36 > 0:40:38She used to go out with a mate.
0:40:38 > 0:40:41Now he's kicking off at her about seeing me
0:40:41 > 0:40:45and she doesn't know if she should or not.
0:40:45 > 0:40:49And I like her, I really like her.
0:40:49 > 0:40:54I got her the DVD cos I thought... Now I don't know.
0:40:54 > 0:40:55Why not?
0:40:57 > 0:40:59What's the point?
0:40:59 > 0:41:03OK. So, she's definitely finished with this mate of yours, right?
0:41:03 > 0:41:06Now she's into you?
0:41:06 > 0:41:09OK. When did she finish with your friend?
0:41:09 > 0:41:10A couple weeks back.
0:41:10 > 0:41:16That's a lifetime ago at your age. You are in the clear.
0:41:16 > 0:41:18Do you want to know what I would do?
0:41:18 > 0:41:22Keep clear lines of communication, talk to your mate.
0:41:22 > 0:41:24Do you think? Yeah, text him now.
0:41:24 > 0:41:26Talk to him while you're waiting for Essie.
0:41:26 > 0:41:29Honesty is the best policy.
0:41:29 > 0:41:31You can beat around the bush too long with these things.
0:41:31 > 0:41:34Me and Essie were the same, took us ages before we...
0:41:37 > 0:41:39She hasn't told you, has she?
0:41:40 > 0:41:42So, Lewis has just gone back upstairs.
0:41:42 > 0:41:44PHONE BEEPS OK.
0:41:44 > 0:41:47I better get up there too.
0:41:47 > 0:41:48Just checking that you're OK.
0:41:48 > 0:41:51Why didn't you tell me you two were seeing each other?
0:41:55 > 0:41:57We have Mr Hagenbach's angiogram.
0:41:58 > 0:42:00Yep?
0:42:00 > 0:42:02The bleed wasn't the result of an ulcer.
0:42:02 > 0:42:04It was a herald bleed,
0:42:04 > 0:42:07characteristic of an aortoenteric fistula.
0:42:07 > 0:42:10He hasn't had any aortic surgery?
0:42:10 > 0:42:12No, however he has developed a fistula between
0:42:12 > 0:42:16the small bowel and the aorta and we're going to have to operate.
0:42:16 > 0:42:18It's not going to be easy, is it?
0:42:18 > 0:42:20No, it's going to be anything but.
0:42:23 > 0:42:26SIREN BLARES
0:42:26 > 0:42:29I just haven't had a chance to tell you.
0:42:29 > 0:42:31Of course you have! We live in the same house.
0:42:31 > 0:42:34You're the one always going on about being more open with each other.
0:42:34 > 0:42:38I know, and I was going to. I just, I didn't get round to it.
0:42:39 > 0:42:41I don't know what's wrong at the moment,
0:42:41 > 0:42:45but I know there's something. Talk to me. Ask Raf.
0:42:45 > 0:42:49Ask Raf what? Is it his fault? No. I told him.
0:42:50 > 0:42:53Something you haven't told me? Why not tell me?
0:42:53 > 0:42:54Annoying, isn't it?
0:42:56 > 0:42:59There's something I have to do. I'll see you later.
0:43:07 > 0:43:10So, what does this do to my chances of a transplant?
0:43:10 > 0:43:15I'm afraid this is a life-threatening emergency.
0:43:15 > 0:43:19You should know the operation is complex and potentially unsafe...
0:43:21 > 0:43:24..and there is a chance of mortality if it's unsuccessful.
0:43:28 > 0:43:31Look, why don't I just wait for the transplant?
0:43:33 > 0:43:34You can't afford to.
0:43:36 > 0:43:38The bleed won't stop without surgery.
0:43:40 > 0:43:44So, you're telling me that I'm going to die if I don't have surgery.
0:43:46 > 0:43:50But if I do, the surgery might kill me anyway.
0:43:50 > 0:43:53Look, I know it's not an ideal situation,
0:43:53 > 0:43:55but it is the only way forward.
0:43:58 > 0:44:00OK.
0:44:00 > 0:44:03Do I get some time to think about this? Yeah, of course.
0:44:03 > 0:44:05We'll leave you to do that now.
0:44:07 > 0:44:08Hey.
0:44:10 > 0:44:12Looks like my camera's safe, then.
0:44:28 > 0:44:31Dr Ford tells me everything went OK.
0:44:31 > 0:44:33In the end.
0:44:33 > 0:44:34Yeah, he did good.
0:44:36 > 0:44:38Couple of months R and then back to you.
0:44:40 > 0:44:43Plenty of time to put myself first.
0:44:43 > 0:44:46Exactly. Dr Ford?
0:44:50 > 0:44:54So, why cardiothoracics?
0:44:54 > 0:44:55Subject close to my heart.
0:45:05 > 0:45:07More paperwork for you.
0:45:19 > 0:45:22I hear you knocked that cardiac massage right out the park.
0:45:25 > 0:45:27You're going to do the same with Mr Hagenbach, right?
0:45:27 > 0:45:30You reckon? I reckon.
0:45:31 > 0:45:33If I don't?
0:45:33 > 0:45:35Then you did everything you could.
0:45:35 > 0:45:38Sometimes we lose.
0:45:38 > 0:45:40We all do. Doesn't mean it's your fault.
0:45:51 > 0:45:53I'm so sorry. Don't be, and thank you.
0:45:53 > 0:45:56It was a good idea, and we can still do it.
0:45:56 > 0:46:00As long as the surgery works, right? Then the transplant's still on.
0:46:00 > 0:46:02Sure. Let's hope so.
0:46:02 > 0:46:07Hope being a good thing, right? Which I'll be telling my kids.
0:46:07 > 0:46:08I didn't know you had kids.
0:46:08 > 0:46:12Yeah, two. They're with their mum. I'm about to phone them.
0:46:12 > 0:46:16Encourage them to be positive, make sure they live their lives,
0:46:16 > 0:46:19live their dreams and never give up.
0:46:22 > 0:46:24Life is precious.
0:46:29 > 0:46:31The procedure was a success.
0:46:35 > 0:46:38Look, I'm sorry if I put my foot in it with Parker.
0:46:38 > 0:46:41Why did you tell him about us? That was for me to do.
0:46:41 > 0:46:43I thought you had. You told me you had!
0:46:45 > 0:46:47Why didn't you? I don't know.
0:46:47 > 0:46:50I guess I was just waiting for the right moment,
0:46:50 > 0:46:52but there's never a right moment.
0:46:53 > 0:46:55How did he take it? I'm not sure.
0:46:57 > 0:46:59I should have just told him, shouldn't I?
0:47:01 > 0:47:03Er, you should take a look at this.
0:47:05 > 0:47:07Occupational Therapy?
0:47:07 > 0:47:10Yeah, they paid a visit to Mrs Portman's house.
0:47:10 > 0:47:12Does Lewis know about this?
0:47:13 > 0:47:15Great!
0:47:15 > 0:47:18The abdomen's hostile, to say the least.
0:47:18 > 0:47:20There are too many adhesions.
0:47:20 > 0:47:23I'm struggling to delineate the anatomy. You have to.
0:47:24 > 0:47:26Oh! What is it?
0:47:26 > 0:47:28It's a bleed.
0:47:28 > 0:47:30OK, erm, shall we, erm, clamp the aorta?
0:47:30 > 0:47:32Even if we do, I can't get to the fistula.
0:47:32 > 0:47:34How many units has he had? 30.
0:47:34 > 0:47:36MACHINE BEEPS
0:47:36 > 0:47:38He's going into VF.
0:47:42 > 0:47:46Hi, I am happy to say that the PEG procedure went well.
0:47:47 > 0:47:50But we have feedback from our occupational therapist.
0:47:50 > 0:47:52Occupational therapist, what do you mean?
0:47:52 > 0:47:55They say that your home isn't suitable for your condition.
0:47:55 > 0:47:59Hang on. What are you on about? When did they do that?
0:47:59 > 0:48:01What right do you have sending people nosing about our home?!
0:48:01 > 0:48:04They weren't nosing, they were just doing their job.
0:48:04 > 0:48:07You said we'd decide. You promised me.
0:48:07 > 0:48:09I didn't promise anything.
0:48:09 > 0:48:11I said you needed to look into what was best for your mum.
0:48:11 > 0:48:14Says who? You? Lewis...
0:48:14 > 0:48:17But they're going behind our backs. You said you'd help.
0:48:17 > 0:48:21You've just made things worse. Is this what you're like with Parker?
0:48:21 > 0:48:24All anyone wants to do is help.
0:48:24 > 0:48:27You need to have all the information and advice that you can
0:48:27 > 0:48:29so that you can make a decision about your mum.
0:48:29 > 0:48:31You said the PEG would free me up
0:48:31 > 0:48:33so I'd have more time to look after Mum.
0:48:33 > 0:48:35I didn't mean so that you could look after her,
0:48:35 > 0:48:37I meant so you could go out with your friends
0:48:37 > 0:48:39and go on the school trip that you missed.
0:48:39 > 0:48:41What school trip, Lewis?
0:48:41 > 0:48:43It's no big deal. I wanted to be with you.
0:48:44 > 0:48:48Roma, Lewis is struggling and he's missing out.
0:48:48 > 0:48:50What?
0:48:50 > 0:48:52Have you seen his school report?
0:48:53 > 0:48:55Report?
0:48:58 > 0:48:59I can't believe you did that!
0:49:02 > 0:49:04We have no rhythm.
0:49:05 > 0:49:07We can't just abandon him now, we have a duty.
0:49:09 > 0:49:12Morven, there's been too much damage.
0:49:14 > 0:49:16There's nothing more we can do.
0:49:16 > 0:49:20Zach, you come back to me right now, you hear?
0:49:21 > 0:49:24Remember, you've got your dream to live for. Come on.
0:49:26 > 0:49:28Come on!
0:49:43 > 0:49:45Time of death - 18.30.
0:49:50 > 0:49:53Mum, we don't have to listen to them. We do.
0:49:53 > 0:49:56It was me who said they could send occupational therapist.
0:49:56 > 0:49:59I gave permission. And look where that's got us.
0:49:59 > 0:50:02Looking after someone can be tough, but you don't have to do it alone.
0:50:03 > 0:50:05They're right.
0:50:05 > 0:50:08They'll split us up. No.
0:50:08 > 0:50:11Believe me, it is the exact opposite.
0:50:11 > 0:50:15The occupational therapist said that your house can be modified.
0:50:15 > 0:50:19Carers would come to your house four times a day.
0:50:19 > 0:50:22And you can still help out, but they'll be there when you're not,
0:50:22 > 0:50:26so you can rest, sleep, go and have fun,
0:50:26 > 0:50:28knowing that your mum's being looked after.
0:50:30 > 0:50:34Letting go will keep you together longer.
0:50:47 > 0:50:50We have to do what's best for both of us.
0:50:52 > 0:50:55It'll still be me and you. Always.
0:50:57 > 0:50:59Nothing can come between us.
0:51:00 > 0:51:02I promise.
0:51:17 > 0:51:20Dr Ford seems most inspired.
0:51:20 > 0:51:22He had a good teacher.
0:51:22 > 0:51:23So, regarding...
0:51:23 > 0:51:27Jac, I'm locked out of the system again. Can you...?
0:51:28 > 0:51:30I want my job back.
0:51:30 > 0:51:32I wasn't aware it was available.
0:51:32 > 0:51:33Nor was I.
0:51:33 > 0:51:36I'm better at it than him. Your heart's not in it.
0:51:36 > 0:51:38He hates the paperwork, the planning, the proposals.
0:51:38 > 0:51:40Who doesn't? Me.
0:51:40 > 0:51:43I can bang that stuff out in minutes whilst running a team and
0:51:43 > 0:51:47writing papers and attracting more money to Holby than he ever will.
0:51:47 > 0:51:49Look, let's be honest.
0:51:49 > 0:51:51He just wants to wallow elbow deep in a chest cavity
0:51:51 > 0:51:54and come up smelling of roses with lots of people looking at him.
0:51:54 > 0:51:56That's a little simplistic, isn't it?
0:51:56 > 0:52:00Only a bit, and don't get me wrong, it is an absolute gift.
0:52:00 > 0:52:03It is his talent, and it's a great one,
0:52:03 > 0:52:05and I want him at the top of my team.
0:52:05 > 0:52:07I'll give you as much glory as you can handle,
0:52:07 > 0:52:10but I want to be back in control. Capiche?
0:52:11 > 0:52:15Is "capiche" addressed to me or to him? Him, mainly.
0:52:17 > 0:52:21I hate to say it, Ms Naylor, but maybe you know me too well.
0:52:23 > 0:52:26So, we agreed?
0:52:26 > 0:52:29The serious incidents that led to your demotion?
0:52:29 > 0:52:31Won't happen again.
0:52:35 > 0:52:39Good. Now, if you don't mind, I have a job to do.
0:52:39 > 0:52:41Best get on. Shut the door.
0:52:52 > 0:52:54Oh, hi. Everything OK?
0:52:54 > 0:52:57Yeah, I spoke to my mate. We're cool.
0:52:57 > 0:53:00Great. Cheers. Any time. Hey.
0:53:02 > 0:53:04What's going on? Everything OK? Yeah.
0:53:04 > 0:53:08Raf just gave me some advice and it turned out to be sound.
0:53:08 > 0:53:09What kind of advice?
0:53:11 > 0:53:13About a girl.
0:53:13 > 0:53:17Yeah, you know girls, right? Arms, legs, tendency to worry too much.
0:53:19 > 0:53:20She went out with a mate of mine.
0:53:20 > 0:53:23I needed to make sure everything was over
0:53:23 > 0:53:24before I did anything, you know.
0:53:26 > 0:53:27Good for you.
0:53:28 > 0:53:31Look, I'm sorry that I didn't tell you about me and Raf sooner.
0:53:31 > 0:53:33Are you OK with it?
0:53:33 > 0:53:35You could do worse.
0:53:35 > 0:53:36Watch it.
0:53:39 > 0:53:41Is Lewis OK?
0:53:41 > 0:53:42He will be.
0:53:59 > 0:54:01He knew the risks.
0:54:04 > 0:54:05Why do we keep going?
0:54:07 > 0:54:10Loss after loss after loss.
0:54:10 > 0:54:12Because we're resilient.
0:54:13 > 0:54:15And because the alternative is worse.
0:54:17 > 0:54:18That being?
0:54:20 > 0:54:21To stop caring.
0:54:23 > 0:54:25Don't.
0:54:41 > 0:54:46Hey. I gather you've been helping Parker behave in an honourable
0:54:46 > 0:54:47and responsible manner.
0:54:47 > 0:54:49Nothing to do with me. I'm being serious.
0:54:49 > 0:54:54So am I. Parker is a good kid. He's thoughtful, he's caring,
0:54:54 > 0:54:56and the main reason for that is because he's got you.
0:54:58 > 0:55:00I'm sorry about overreacting earlier.
0:55:01 > 0:55:05It just means so much for me to get it right with him.
0:55:05 > 0:55:07You already are. You should get used to that
0:55:07 > 0:55:10because I am not going through this every day.
0:55:11 > 0:55:13Deal?
0:55:13 > 0:55:15Maybe.
0:55:23 > 0:55:26Are you OK? Yeah, I'm fine.
0:55:28 > 0:55:31It's just stuff, I guess.
0:55:31 > 0:55:33Well, I'm here if you need to talk.
0:55:37 > 0:55:41Look, I know you've been looking out for me today.
0:55:41 > 0:55:45I just want to say thanks.
0:55:45 > 0:55:47You don't stop giving, do you?
0:55:48 > 0:55:50Do you know, Zach said something.
0:55:52 > 0:55:55He said our futures are still expanding.
0:55:58 > 0:55:59We should make the most of that.
0:56:04 > 0:56:07I will not be defined by grief.
0:56:10 > 0:56:14He wanted me to give you this.
0:56:15 > 0:56:18Oh, no, no! I didn't win the bet. You still need to look.
0:56:47 > 0:56:50That's my favourite one. He's pretty good.
0:56:53 > 0:56:56Right. So, home, pizza?
0:56:56 > 0:57:00Actually, could we maybe leave it for another day? Only...
0:57:01 > 0:57:04Oh, I see. Something better come up? No, no.
0:57:04 > 0:57:07I just thought maybe you and Raf could use the time and space.
0:57:07 > 0:57:09Don't use me as an excuse.
0:57:09 > 0:57:11I'm off down the pub with some mates.
0:57:11 > 0:57:13Although, I can always make time for some pizza.
0:57:13 > 0:57:16Great. That's that, then. Not quite.
0:57:18 > 0:57:21Before you go, I want to know everything about this girl
0:57:21 > 0:57:22right from the start.
0:57:24 > 0:57:27So, where did you meet her? And what does she look like?
0:58:09 > 0:58:10We know we're the last thing
0:58:10 > 0:58:12between something disastrous...