0:00:02 > 0:00:06I am willing to ask the board for funds for a complete overhaul of the trauma system on AAU.
0:00:06 > 0:00:09- How you feeling?- Excited, terrified, wondering what I've got myself into.
0:00:09 > 0:00:13Is this where you tell me you want to go on a sabbatical?
0:00:13 > 0:00:14Something like that.
0:00:14 > 0:00:17Any room for me in your future plans?
0:00:17 > 0:00:19Congratulations, Mr Self.
0:00:19 > 0:00:22Thank you, Henrik. Looking forward to working with you again.
0:00:25 > 0:00:28I think congratulations are in order.
0:00:28 > 0:00:30- You know he's the real deal. - Oh, please.
0:00:30 > 0:00:32Either give him a chance or back off.
0:00:35 > 0:00:38- What was that? - I just felt that...- Felt what?
0:00:39 > 0:00:42That it was a moment between us.
0:01:32 > 0:01:35- Stop swinging your hips like a catwalk model. - Sorry, er...headlights?
0:01:35 > 0:01:38Headlights! Imagine there are headlights on both of your hips.
0:01:38 > 0:01:41- You've got to keep the beams going forwards at all times.- Right.
0:01:41 > 0:01:45- And swing your arms!- OK! - Almost looks like running to me.
0:01:45 > 0:01:47- Sprint to the van!- OK, cool!
0:01:47 > 0:01:49Sprint to the van!
0:01:57 > 0:02:00Seriously, you're looking great, guys.
0:02:00 > 0:02:02Is this all for the half marathon?
0:02:11 > 0:02:12LAUGHTER
0:02:12 > 0:02:14- Feeling all right?- Oh, God.
0:02:19 > 0:02:20You want me to do it?
0:02:22 > 0:02:23No.
0:02:24 > 0:02:27I think I should do it. Two reasons.
0:02:27 > 0:02:29One, I haven't had to exercise any authority down there yet.
0:02:29 > 0:02:32You'd like this to be your introduction, would you?
0:02:32 > 0:02:34And two, it keeps you clean.
0:02:34 > 0:02:38I could be the fall guy. Keep you out of the blast zone.
0:02:38 > 0:02:39Why would you do that?
0:02:39 > 0:02:43- In case we need you to be good cop later.- Good cop?
0:02:43 > 0:02:46There's no point both of us being bad cop. Is there?
0:02:58 > 0:03:00Wait!
0:03:00 > 0:03:02THEY LAUGH
0:03:02 > 0:03:05You can't quite get to that perfect wedding weight.
0:03:05 > 0:03:08Hey! If I said that I'd be called a sexist.
0:03:08 > 0:03:11- Why don't you talk to my fine, firm, peach-like...- Zoshy!- ..bum.
0:03:11 > 0:03:13Dad. I'm late.
0:03:13 > 0:03:14About your wedding.
0:03:14 > 0:03:16SHE SIGHS Not again.
0:03:16 > 0:03:19If you haven't finalised things I'd still like to help.
0:03:19 > 0:03:21What, sewing on sequins?
0:03:21 > 0:03:23I'd like to pay for it. All of it.
0:03:23 > 0:03:24Really?
0:03:25 > 0:03:27OK.
0:03:28 > 0:03:29I promised your mother.
0:03:36 > 0:03:38You are joking me?
0:03:38 > 0:03:41- No. Sorry.- Mitch and Jimmer?
0:03:41 > 0:03:44Woke up pierced with a pair of cow ear tags after me stag night?
0:03:44 > 0:03:46Before my time.
0:03:46 > 0:03:49Swallowed an electronic dog zapper?
0:03:49 > 0:03:52- Were these suicide attempts? - Rampisham Young Farmers.
0:03:54 > 0:03:57So today you have a large lipoma under your armpit that needs
0:03:57 > 0:03:59- to be surgically... - You want to do your homework, bud.
0:03:59 > 0:04:03Ask Jac Naylor, ask Jonny what's-his-face up on Dartmoor.
0:04:03 > 0:04:05Darwin?
0:04:05 > 0:04:09I'm a frequent flyer, me. Loyalty card, got all me stamps.
0:04:10 > 0:04:12The lipoma?
0:04:13 > 0:04:15One of them two, the knife juggler.
0:04:18 > 0:04:21- The knife juggler? - Billy the butcher?
0:04:21 > 0:04:23The Wolverine? Sshht!
0:04:23 > 0:04:26- Oh, you mean the surgeon. - Duh!- Both.
0:04:26 > 0:04:30So which'd you trust most waving a blade around your googlies -
0:04:30 > 0:04:31Cheech or Chong?
0:04:33 > 0:04:35I really need to see your lipoma, please.
0:04:38 > 0:04:39Mitch's work.
0:04:41 > 0:04:43It's a Smurf.
0:04:46 > 0:04:48Hello!
0:04:48 > 0:04:51Just because you have some weird obsession with strange food...
0:04:51 > 0:04:53Vegan is not strange food.
0:04:53 > 0:04:55- Yes, it is.- Yeah, it is.
0:04:55 > 0:04:57He's James Maryfield, the Vegan Warrior.
0:04:57 > 0:05:00Do you have any idea what eating that many lentils does
0:05:00 > 0:05:02to your personal air quality?
0:05:02 > 0:05:05His wife. Bay two. Chest pain and recurring migraine.
0:05:05 > 0:05:09OK. Well, speaking of headaches... Lost again, Valentine?
0:05:09 > 0:05:12Hanssen wants Matteo to run the Hertzig software. So I'm your cover.
0:05:12 > 0:05:16Ah-ha. I get asked to solve Henrik's problems once again.
0:05:16 > 0:05:19HE SPEAKS IN ITALIAN
0:05:19 > 0:05:22- Sorry?- Don't ask. - No, what did that mean?
0:05:22 > 0:05:26Again, it is Matteo who is chosen to take the chestnuts from the fire.
0:05:26 > 0:05:28Try not to break anything.
0:05:28 > 0:05:29You're on Darwin!
0:05:29 > 0:05:34- Yay! So we get to talk about the wedding all day...- Oh! Get off.
0:05:34 > 0:05:35Right, so where are we going?
0:05:47 > 0:05:48Olive oil?
0:05:48 > 0:05:52Extra virgin olive oil. Cold-pressed.
0:05:53 > 0:05:57Very rich in antioxidants and monounsaturated fats.
0:05:57 > 0:06:00Yes, yes, all right, Grandad, but wine gets you drunk.
0:06:00 > 0:06:02Did she say where she is?
0:06:02 > 0:06:04Er, Northern Rhone.
0:06:04 > 0:06:07French Shiraz country. She misses Marmite.
0:06:07 > 0:06:10Next season she's thinking of leasing a vineyard.
0:06:10 > 0:06:13Guzzling herself into an early grave, more like it.
0:06:13 > 0:06:15Now, that looks like quality olive oil.
0:06:15 > 0:06:20Extra virgin olive oil, from..."Aglandau".
0:06:20 > 0:06:22French or Italian?
0:06:22 > 0:06:26French. Our consultant, Ms Campbell, moved to the south of France.
0:06:26 > 0:06:28- Living the dream.- Yeah.
0:06:28 > 0:06:32Was there something specific? Or can I give you the tour?
0:06:32 > 0:06:35Do you think we might have a word? Ms Wolfe, will you join us?
0:06:35 > 0:06:37If it's just admin-related, Ric's your man.
0:06:37 > 0:06:39- I want to do a patient transfer. - It isn't.
0:06:47 > 0:06:50- Sorry to miss the talk of wedding plans.- I hate weddings.
0:06:51 > 0:06:56I can see a little ancient thatched church, marquee by a lake...
0:06:56 > 0:06:58Bride sets marquee alight with a flame thrower.
0:06:58 > 0:07:01I think Zosia's more London Hotel. Chilled champagne, rooftop terrace.
0:07:01 > 0:07:04- Am I?- The logo on the salad bags looks like a dope leaf.
0:07:05 > 0:07:08Yes, I know it's supposed to look like a nettle but...
0:07:09 > 0:07:11Ah.
0:07:11 > 0:07:13Hi, guys. James Maryfield.
0:07:13 > 0:07:16So Jammy's pain encircles her ribcage
0:07:16 > 0:07:18and radiates downward into her abdomen.
0:07:19 > 0:07:22- Jammy?- Jemima, it's...
0:07:22 > 0:07:23Oh, short for Jemima, her nickname.
0:07:23 > 0:07:26It's from when we first got together. Everyone calls her it.
0:07:26 > 0:07:29- Would you like- us- to call you... - Jemima's fine.
0:07:29 > 0:07:30Sadly I have to go.
0:07:30 > 0:07:34- But just wanted to say I love Way Of The Vegan Warrior.- Oh!
0:07:34 > 0:07:36Fantastic recipes.
0:07:36 > 0:07:37I tell everyone this.
0:07:37 > 0:07:40The Vegan Warrior is not just a recipe book,
0:07:40 > 0:07:42it's a way of life.
0:07:42 > 0:07:44Heart sounds normal. There's a slight systolic murmur
0:07:44 > 0:07:47- and click in the pulmonary area, though.- OK, echo and ECG.
0:07:47 > 0:07:49Order a cardiac enzyme run.
0:07:49 > 0:07:50When does your head hurt the most?
0:07:50 > 0:07:53The migraines are worst in the evenings, when I get home.
0:07:53 > 0:07:57Oh, I'm treating her migraines with cayenne pepper and water.
0:07:57 > 0:08:00Almonds, obviously, for their salicin content. Oh, and feverfew.
0:08:00 > 0:08:02Migraines hurt so much.
0:08:02 > 0:08:05OK, right. We'll run those tests. Let's start with oxygen,
0:08:05 > 0:08:08- 50mg of Tramadol. - Ooh, let me just check those first.
0:08:09 > 0:08:12Oh, you wouldn't believe how many pharmaceuticals
0:08:12 > 0:08:14are still tested on animals.
0:08:14 > 0:08:17Well, I was seriously hoping I'd never have to say these words again,
0:08:17 > 0:08:20- but let's get Guy in here. - Guy? Why's that?
0:08:20 > 0:08:23For a full neuro consult for the migraines.
0:08:26 > 0:08:29They all say it's the adrenaline hit they miss most of all.
0:08:30 > 0:08:34- Who, sorry? - Army surgeons. Civvy street.
0:08:34 > 0:08:37The NHS doesn't quite match the buzz.
0:08:37 > 0:08:40- Do you know a lot of army surgeons? - Not as many as I'd like.
0:08:40 > 0:08:43But, hands down, they are the best A&E and trauma surgeons
0:08:43 > 0:08:46- you'll ever hope to find. - Training's pretty intense.
0:08:46 > 0:08:49It's not just their surgical skills. It's their attitude,
0:08:49 > 0:08:51sense of responsibility.
0:08:52 > 0:08:55Why do I get the feeling you're blowing warm smoke up my...
0:08:55 > 0:08:58You personally initiated Holby City's trauma unit.
0:08:59 > 0:09:01With a lot of help from others.
0:09:01 > 0:09:04Army surgeons. Always think in terms of the team.
0:09:04 > 0:09:08I'm saying it wasn't just me that made it happen.
0:09:08 > 0:09:12Won't believe the narcissism and God complexes
0:09:12 > 0:09:14I deal with in some surgeons.
0:09:16 > 0:09:19Is it just me, or do you feel a "but" coming?
0:09:19 > 0:09:22The model of your trauma unit is something that the trust
0:09:22 > 0:09:23admires very much.
0:09:23 > 0:09:26- The way it functions is very... - If it's coming, it's coming soon...
0:09:28 > 0:09:30At some point in the future they hope to roll out the model
0:09:30 > 0:09:32in other hospitals.
0:09:32 > 0:09:33Well, it makes sense.
0:09:34 > 0:09:37It takes a lot of pressure off AAU and ED.
0:09:37 > 0:09:40In the future, yes.
0:09:40 > 0:09:44- But, for now, I'm afraid... - Ah...there it is.- There it is.
0:09:46 > 0:09:48As of this morning, because of a very real threat
0:09:48 > 0:09:52of departmental closure and imposition of special measures,
0:09:52 > 0:09:56Holby City's trauma unit has been closed...permanently.
0:10:01 > 0:10:04Me mum had a lipoma. Twice this size.
0:10:04 > 0:10:06Practically see it on Google Earth.
0:10:06 > 0:10:08- This paint, does it... - Not paint. Ram dye.
0:10:09 > 0:10:11- Ram dye.- From Rambo's raddle.
0:10:13 > 0:10:16From his raddle. You know, mark his ewes.
0:10:16 > 0:10:18Show's you which ones he's covered.
0:10:20 > 0:10:23- Am I being really dense? - I get it. It's one of those things.
0:10:23 > 0:10:26- Thing you strap onto a boy sheep so when he...- ..does his bizzo.
0:10:26 > 0:10:29- ..mounts the girl sheep, the dye from the...- ..raddle...
0:10:29 > 0:10:31..leaves a mark on her back.
0:10:31 > 0:10:33And that's the way you know which one has...?
0:10:33 > 0:10:36Does it come off? We need to clean it off.
0:10:36 > 0:10:39- Nah. Not this side of Christmas. - So it doesn't come off?
0:10:39 > 0:10:42Wouldn't be much good if it did, would it?
0:10:42 > 0:10:44How'd you know who'd been tupped and who hadn't?
0:10:44 > 0:10:46You've got to think about these things.
0:10:46 > 0:10:50We need FBCs, LFTs, U&Es and group and save.
0:10:53 > 0:10:55That's insanity!
0:10:55 > 0:10:57We have no choice, but if we did...
0:10:57 > 0:11:01The choice is that you don't roll over every time they cry closure.
0:11:01 > 0:11:04- You fight.- Clinical Care Group inspection shows that Trauma
0:11:04 > 0:11:08is eating up £750,000 of AAU's total annual budget
0:11:08 > 0:11:11- in staffing costs alone. - Yes, by saving lives!
0:11:11 > 0:11:13The alternative is that we close the whole department
0:11:13 > 0:11:16and use the beds for Care patients awaiting placement.
0:11:16 > 0:11:18Become a bed and breakfast for patients who should already
0:11:18 > 0:11:21- have been discharged? - But if we fight, we will lose.
0:11:21 > 0:11:23Sorry, where's the "we" in this? It's us and them.
0:11:23 > 0:11:27- And you, Ms Karnik, appear to be them.- I am not the problem.
0:11:27 > 0:11:30- Don't tell me you're the solution! - What happens to the trauma patients?
0:11:30 > 0:11:32That is not your concern.
0:11:32 > 0:11:35Patients are my concern.
0:11:35 > 0:11:39A redirect has already been issued. Patients will no longer be sent
0:11:39 > 0:11:42- to Holby City Trauma.- Sorry to interrupt. Ms Wolfe, red phone.
0:11:42 > 0:11:44Air ambulance scoop from Warwick Downs Army Base.
0:11:44 > 0:11:47Severe leg fractures, blast injuries.
0:11:47 > 0:11:48Ms Wolfe, we are not done here!
0:11:51 > 0:11:53As head of this department
0:11:53 > 0:11:55I think you know what you have to do.
0:11:55 > 0:11:57Go and treat our patient?
0:12:00 > 0:12:04Well, have you had words? Does he seem a bit off to you?
0:12:05 > 0:12:08Well, maybe it's cos of the running. He's taking it very seriously.
0:12:08 > 0:12:11It's only cos he wants to raise as much money as he can.
0:12:11 > 0:12:13My idea of exercise is jogging home from the chippy
0:12:13 > 0:12:15so my saveloy doesn't get cold.
0:12:16 > 0:12:19But I'll be honest, I'd quite like to get involved.
0:12:19 > 0:12:21Well, do it.
0:12:21 > 0:12:23I've kind of dropped a few hints already.
0:12:28 > 0:12:29Is everything OK?
0:12:31 > 0:12:34You look like you've got the hump about something.
0:12:34 > 0:12:37I'm absolutely fine, so you can stop giving me those worried eyes.
0:12:39 > 0:12:42I just don't appreciate patients making our jobs harder
0:12:42 > 0:12:45with their infantile practical jokes, that's all.
0:12:45 > 0:12:48So was it with or without anaesthetic?
0:12:50 > 0:12:51What, the lipoma?
0:12:51 > 0:12:54- No, your sense-of-humour by-pass. - Ha-ha.
0:12:54 > 0:12:56- I meant hump with Lofty.- No.
0:12:57 > 0:13:01- It's just, you seem a bit...frosty. - No.
0:13:02 > 0:13:04He keeps dropping hints about joining our training
0:13:04 > 0:13:07- and you're all...- Well, if he wants to join, he can ask.
0:13:07 > 0:13:09And, no, I'm not being frosty.
0:13:14 > 0:13:15They send me a soldier?
0:13:15 > 0:13:19- Who?- They're trying to shut us down and they send me a soldier.
0:13:19 > 0:13:21Do you see any irony in that?
0:13:21 > 0:13:23I didn't think we did irony any more.
0:13:23 > 0:13:26OK, Sergeant Jerry McKee, Tank Unit. Age 25, leg fracture...
0:13:26 > 0:13:28live ammunition wound.
0:13:28 > 0:13:31- Hello, Jerry, I'm Bernie Wolfe. - You the boss?- I am.
0:13:31 > 0:13:32How's the pain, Jerry?
0:13:32 > 0:13:35- Let me tell you, morphine is amazing.- Yep.
0:13:35 > 0:13:37You ever seen anything like this before?
0:13:37 > 0:13:39More times than you can imagine.
0:13:39 > 0:13:41Live tank round. Faulty percussion plate.
0:13:41 > 0:13:44As workplace accidents go, this is a bloody peach, eh?
0:13:44 > 0:13:46- You're in good hands.- Don't chop this leg off, though, all right?
0:13:46 > 0:13:50- We need to get plasma and crossmatch.- Did you hear what I said?- We'll do our best.
0:13:50 > 0:13:52- Mobile X-ray and vascular CT.- I need this leg. I need both of them.
0:13:52 > 0:13:55- I've become very attached to both. - All right, Jerry. Just try and relax.
0:13:55 > 0:13:58- Did she just say that?- Breathe for me, please.- Tell me what you need.
0:13:58 > 0:14:02Check for genital injury and gain initial proximal control of the blood vessels in the groin.
0:14:02 > 0:14:06When I think of relax, I think of a cold beer. Sunday footie.
0:14:06 > 0:14:08Bad choice of words.
0:14:08 > 0:14:11Might need to do a vertical midline to clamp the vessels in the groin.
0:14:11 > 0:14:13Everything above the thigh is yours.
0:14:13 > 0:14:16Blood. I'm going to need blood. Lots of it.
0:14:16 > 0:14:18We need to manage a massive transfusion.
0:14:18 > 0:14:20O-positive blood and plasma.
0:14:20 > 0:14:22Fletch, in charge of checking blood products and feeding them
0:14:22 > 0:14:25- through a Level One blood warmer. - On it like a car bonnet, boss.
0:14:25 > 0:14:28Morven, take blood for a TEG. Test for coagulopathy
0:14:28 > 0:14:30- and we can tailor blood replacement. - Yep, I'm already on it.
0:14:30 > 0:14:34You know that Nina Karnik was just the messenger,
0:14:34 > 0:14:36- and you just shot her.- So bite me.
0:14:36 > 0:14:40- If you bite her you've got to bite me and all.- Easy, tiger...
0:14:40 > 0:14:42OK, lovely.
0:14:48 > 0:14:49Look right.
0:14:49 > 0:14:50Look left.
0:14:51 > 0:14:53Follow my finger.
0:14:53 > 0:14:56BP's consistently low. Migraines fluctuate.
0:14:56 > 0:14:57There's no specific pattern.
0:14:57 > 0:14:59BOTH: What triggers them?
0:15:00 > 0:15:03Noises. Strip lighting.
0:15:03 > 0:15:05When I'm tired.
0:15:07 > 0:15:08Are you two related?
0:15:09 > 0:15:11- Why?- I'm her father.
0:15:11 > 0:15:15There's something similar about you both. Not looks so much, but...
0:15:15 > 0:15:17There's an affinity.
0:15:17 > 0:15:19- HE LAUGHS - Do you have children?
0:15:19 > 0:15:23Two. Small. Eldest is just about to start school.
0:15:23 > 0:15:25Already reading a bit.
0:15:27 > 0:15:31- Remember reading Jack And The Beanstalk?- Of course.
0:15:31 > 0:15:34- Loved fairy tales.- My two, as well.
0:15:34 > 0:15:36- Always used to get irate about that one.- Why?
0:15:36 > 0:15:39Because it's fundamentally racist. Or sizeist at least.
0:15:39 > 0:15:41- The giant? - Just because he's big,
0:15:41 > 0:15:45this Jack-the-lad thinks he can steal his chickens and his gold.
0:15:45 > 0:15:47And then when the poor man finally gives chase...
0:15:47 > 0:15:49- ..Jack chops down the beanstalk. - ..and the giant falls to his death
0:15:49 > 0:15:53- and all the villagers think this little thief is a hero.- Dr March?
0:15:53 > 0:15:54What made you think of that?
0:15:54 > 0:15:57Oh, it's just that I found the old copy.
0:15:57 > 0:15:59You should drop by, pick it up.
0:15:59 > 0:16:02I think we should get Jemima downstairs for a full CT scan.
0:16:02 > 0:16:05- How bad is it, boss?- Well, we won't know until we've seen the scans.
0:16:05 > 0:16:06You're stalling.
0:16:06 > 0:16:10- Haemoglobin's six, BP is dropping. - We're losing too much blood.
0:16:10 > 0:16:12I can see bits of bone from here!
0:16:12 > 0:16:14- Just, please, tell me the truth. - All right, honestly, Jerry...
0:16:14 > 0:16:18- BEEP Jerry... Jerry... Jerry...- OK, pressure's tanking...- Come on.
0:16:18 > 0:16:19Tourniquet's not holding.
0:16:19 > 0:16:22Pressure. I need something to press down here hard.
0:16:22 > 0:16:24We need to reinforce the tourniquet. Scan, please.
0:16:24 > 0:16:28Right, four more units. Packed cells, platelets and plasma.
0:16:28 > 0:16:31You need to get rid of the trousers.
0:16:31 > 0:16:33Oh, crap.
0:16:33 > 0:16:36Ever since you were little, you've known exactly what you wanted -
0:16:36 > 0:16:38- exactly. - Yes, but there are two of us now.
0:16:38 > 0:16:40I'm just saying, if ever you get cold feet
0:16:40 > 0:16:43or need a listening ear, I'd never judge you.
0:16:43 > 0:16:45- Er...!- Hey, I'm your dad. Proudest man alive.
0:16:45 > 0:16:47It'll be an honour for me to pay for your wedding.
0:16:47 > 0:16:50I promise to keep my nose out, unless I'm asked, of course,
0:16:50 > 0:16:53Oh, yeah, it's going to have to be a traditional three-day
0:16:53 > 0:16:56Polish wedding. I know this amazing Podhale folk band
0:16:56 > 0:16:58we can bring over from Zakopane.
0:17:05 > 0:17:08I blame Brexit. And Trump.
0:17:08 > 0:17:10And Greek yoghurt.
0:17:10 > 0:17:14- For...?- Milk prices. Bottle of water costs twice as much.
0:17:14 > 0:17:16Don't need cows to make water.
0:17:16 > 0:17:19- That's why you're not just farming?- Diversification.
0:17:19 > 0:17:23The future is bright. The future is canine.
0:17:23 > 0:17:24Dogs?
0:17:24 > 0:17:26Breeding, grooming?
0:17:26 > 0:17:29Cardiovascular aerobic stimulation.
0:17:29 > 0:17:32- Which is?- Mitch's idea. Let you into a little trade secret.
0:17:32 > 0:17:35Right, Mr Victor, you're booked in on today's list
0:17:35 > 0:17:38for a large lipoma excise under general anaesthetic.
0:17:38 > 0:17:40Just waiting on your pre-op blood tests.
0:17:40 > 0:17:43- You the butcher or the butcher's dog?- I beg your pardon.
0:17:43 > 0:17:46I think he means will you doing the procedure, or Mr Levi?
0:17:46 > 0:17:48You's learning, bud.
0:17:48 > 0:17:51It's not yet confirmed but I will probably be leading.
0:17:51 > 0:17:54- And what time is Smurf o'clock? - I don't know yet.
0:17:55 > 0:17:57Know what an entrepreneur is?
0:17:57 > 0:17:59- Yes, I believe I know what... - Cos you're looking at one.
0:17:59 > 0:18:01Farmer-turned-entrepreneur.
0:18:01 > 0:18:06And time is money, bud. Places to see, people to be.
0:18:06 > 0:18:09So put Jimmer in pole position.
0:18:09 > 0:18:14Can you get him consented? And ask pharmacy what's in that dye.
0:18:14 > 0:18:16Also make sure he stays nil by mouth.
0:18:18 > 0:18:20Do a lot of sheep fencing, your mate?
0:18:20 > 0:18:23I don't think Dom would know a sheep or a fence
0:18:23 > 0:18:24if it came up and bit him.
0:18:24 > 0:18:27Just wondered how he managed to get a fence post stuck so far up his...
0:18:27 > 0:18:30Dom's OK. He's a good guy.
0:18:30 > 0:18:32He's just quite stressed at the moment.
0:18:32 > 0:18:35A man who doesn't laugh at a painted lipoma
0:18:35 > 0:18:37- is not all right.- Seriously.
0:18:39 > 0:18:40He a mate?
0:18:41 > 0:18:43Yeah.
0:18:43 > 0:18:45Yes.
0:18:45 > 0:18:48You want to find out what's bugging him before the wind changes
0:18:48 > 0:18:50and his face stays looking like that.
0:18:57 > 0:19:00OK, I'm just going to come out and say this. There's a ship,
0:19:00 > 0:19:03moored on the Thames. Built in 1918.
0:19:04 > 0:19:07It's got a ballroom and a presidential suite.
0:19:07 > 0:19:09What do you think?
0:19:09 > 0:19:13- Well, it sounds...presidential. - Do you think he'd go for it?
0:19:13 > 0:19:15- My dad?- Hm.
0:19:18 > 0:19:21Yeah, maybe I should have a word with him. Talk it through a little bit. Bond.
0:19:21 > 0:19:24I went through that whole disapproving father-in-law thing
0:19:24 > 0:19:27with Tara. I really don't need to go through it again.
0:19:29 > 0:19:31Something leaping out at you?
0:19:31 > 0:19:35Something like an aneurysm on the septal atrium.
0:19:36 > 0:19:39- No, is that a... - Yes, it's a patent foramen ovale.
0:19:41 > 0:19:44- How bad do you think it is? - It's a stroke waiting to happen.
0:19:51 > 0:19:54Bud as in real bud or bud as in,
0:19:54 > 0:19:58wave from one tractor to another on the top road, kind of bud?
0:19:59 > 0:20:02- Real bud.- Real bud?
0:20:04 > 0:20:07Well, you know. More than just a tractor wave.
0:20:07 > 0:20:10- Then you've got to front it, bud. - You think?
0:20:10 > 0:20:13Definitely. Over a pint, game of skittles.
0:20:13 > 0:20:16Hog roast. Whatever doctors...
0:20:18 > 0:20:22Cocktail party! "Got to say, bud. What's bugging you, bud?"
0:20:22 > 0:20:24Yeah?
0:20:24 > 0:20:27It's food for thought. Thanks.
0:20:27 > 0:20:31Don't mention it. Always got free advice for my doctor man.
0:20:31 > 0:20:33I'm a nurse, actually.
0:20:35 > 0:20:38Jonny up on Darwood, he was a nurse.
0:20:39 > 0:20:43- Oh, right. Good.- And he was a bloke too. See, and I'm OK with that.
0:20:44 > 0:20:46Man of the world, eh?
0:20:47 > 0:20:50Seeing as I done you a favour, mano-a-mano,
0:20:50 > 0:20:52there is something you could do for me.
0:20:53 > 0:20:56HE HUMS
0:21:00 > 0:21:02Something maybe you wanted to ask?
0:21:04 > 0:21:05Hm? No...
0:21:07 > 0:21:08Are you sure?
0:21:09 > 0:21:12Yeah.
0:21:19 > 0:21:22Actually, um... There is one thing...
0:21:23 > 0:21:24..Mr Self.
0:21:24 > 0:21:27I know this is going come out in the wrong order, a bit post facto,
0:21:27 > 0:21:32but I'd like to ask for your blessing.
0:21:32 > 0:21:33My blessing?
0:21:34 > 0:21:36For Zosia's hand in marriage.
0:21:38 > 0:21:41Know what Zosia's grandfather made me do
0:21:41 > 0:21:43when I asked if I could marry Anya?
0:21:43 > 0:21:45- Zosia's mother? No. - Help him skin a roe buck.
0:21:46 > 0:21:48A deer?
0:21:48 > 0:21:50Shot in the forest that morning.
0:21:51 > 0:21:54Oh! Yeah, like a male-bonding thing?
0:21:54 > 0:21:57He had a frying pan and a charcoal burner
0:21:57 > 0:22:00and we cooked the liver straight from the bloody carcass.
0:22:01 > 0:22:05- OK.- We ate the liver. Then he offered me the kidneys.
0:22:07 > 0:22:08Very generous of him.
0:22:08 > 0:22:12What do you think he would've said if I had refused?
0:22:14 > 0:22:16I don't know.
0:22:16 > 0:22:18No, nor do I.
0:22:20 > 0:22:22But I knew I didn't want to risk finding out.
0:22:26 > 0:22:28Sorry, um...
0:22:29 > 0:22:32Do you want to eat kidneys with me?
0:22:32 > 0:22:34Pretty sure Albie's has an all-day breakfast
0:22:34 > 0:22:37and they've got black pudding. Pretty sure of that.
0:22:37 > 0:22:39Love black pudding.
0:22:39 > 0:22:41Great. Good, yeah.
0:22:42 > 0:22:44That kidney thing, was it true?
0:22:47 > 0:22:50So the reason I didn't ask your permission before was that
0:22:50 > 0:22:54Zosia and I were kind of in a bad patch, so it happened on an impulse.
0:22:54 > 0:22:56It was a good impulse. Morning.
0:22:56 > 0:23:00Um, and... Yeah, I mean...
0:23:00 > 0:23:03I kind of seized the moment and asked her to marry me.
0:23:03 > 0:23:08- Mm-hm. - It was...rather lovely, really.
0:23:08 > 0:23:11Tell me, what kind of bad patch, exactly?
0:23:12 > 0:23:17Well, maybe something you should talk to Zosia about.
0:23:18 > 0:23:21Oh, come on, Ollie. I mean, we're practically family now.
0:23:22 > 0:23:25We need to be on the same page in case Zosia needs our help.
0:23:25 > 0:23:27We are in this together.
0:23:27 > 0:23:28So what kind of a bad patch?
0:23:30 > 0:23:32She was pregnant.
0:23:33 > 0:23:34Was?
0:23:34 > 0:23:36She miscarried?
0:23:39 > 0:23:40She had a termination?
0:23:42 > 0:23:44Your child?
0:23:47 > 0:23:49My grandchild.
0:23:54 > 0:23:56In the field we have a maxim.
0:23:56 > 0:23:59Remove the hamburger. Cut back to the fillet steak.
0:23:59 > 0:24:02The mush, the mince. All it's ever going to do is attract infection.
0:24:02 > 0:24:03- Can we mend the breaks?- No.
0:24:03 > 0:24:06Well, it doesn't look like we're getting any more consultants
0:24:06 > 0:24:08down here. This isn't really coagulating.
0:24:08 > 0:24:10Can we check the TEG, please?
0:24:11 > 0:24:14OK, it's low on the functional fibrinogen read-out.
0:24:15 > 0:24:19The only pertinent question is where to start sawing.
0:24:19 > 0:24:21- Go ugly early.- What?
0:24:21 > 0:24:23With blast damage the blast forces particles -
0:24:23 > 0:24:26earth, dirt, shrapnel - deep into the tissue.
0:24:26 > 0:24:29There's an ortho team on the south coast that can take him.
0:24:29 > 0:24:32Ms Karnik says we can have a chopper in 20 minutes.
0:24:32 > 0:24:33He could be on their table in an hour.
0:24:33 > 0:24:37You think a normal ortho unit knows blast damage?
0:24:37 > 0:24:42You think they ate, breathed and slept this for four tours solid?
0:24:45 > 0:24:47Give me a full vascular set, please.
0:24:49 > 0:24:51He's not going anywhere.
0:24:55 > 0:24:58Um, Ms Wolfe. Next of kin.
0:24:59 > 0:25:03- He's 100% behind us, whatever we choose.- OK.- So let's choose!
0:25:03 > 0:25:08- Or not.- No, I want to... I just... - No pressure. This is us.
0:25:08 > 0:25:10We only have ourselves to please.
0:25:12 > 0:25:15Once we've opened up we'll expose and excise the aneurysm.
0:25:15 > 0:25:17What do you mean by "excise"?
0:25:17 > 0:25:20Effectively we cut open the atrial septum and suck out the contents
0:25:20 > 0:25:22so they don't spill out everywhere.
0:25:22 > 0:25:24- And then we sew a patch onto the... - A patch?
0:25:24 > 0:25:27It's just a simple bovine patch to cover the hole.
0:25:27 > 0:25:30- In time the heart tissue'll grow into the patch.- Sorry, bovine?
0:25:30 > 0:25:33- As in beef animal?- Yes.
0:25:33 > 0:25:35Bovine, as in related to sub family bovini
0:25:35 > 0:25:38which includes cattle, buffalo and kudus?
0:25:38 > 0:25:40- It's a surgical scaffolding patch. - Made from a cow?
0:25:40 > 0:25:43- It's the best way...- You are not putting a piece of dead animal
0:25:43 > 0:25:45inside my wife.
0:25:45 > 0:25:48- It's...- Is that absolutely clear?!
0:25:50 > 0:25:52Girlfriend.
0:25:52 > 0:25:54Technically fiancee, I suppose.
0:25:55 > 0:25:57To be fair, I did give the ring back.
0:25:57 > 0:26:00Er, we found it in his pocket.
0:26:04 > 0:26:05Not so much "give".
0:26:06 > 0:26:08Chucked it at his head, to be more accurate.
0:26:10 > 0:26:12- Sorry.- Don't be silly.
0:26:14 > 0:26:15He'll lose his leg?
0:26:21 > 0:26:24- Die?- He's young. He's fit.
0:26:24 > 0:26:27- We're trying to control the bleeding.- That a yes or no?
0:26:27 > 0:26:31We're doing everything we can. The next hour is critical.
0:26:31 > 0:26:33- Can I see him?- Not yet.
0:26:33 > 0:26:35I'll let you know when he's stable.
0:26:35 > 0:26:37If he wakes up, tell him...
0:26:42 > 0:26:44Tell him, if he dies, I'll bloody kill him.
0:26:45 > 0:26:47Will do, Corporal.
0:26:47 > 0:26:49Military?
0:26:49 > 0:26:50Major, Berkshire Rifles.
0:26:52 > 0:26:55Always tell. Can take the girl out the military...
0:26:55 > 0:26:57..can't take the military out of the girl.
0:27:10 > 0:27:13Where is he? We're ahead of schedule and I have a slot available now.
0:27:13 > 0:27:16- Lofty's looking after him. Bathroom?- Looked.
0:27:16 > 0:27:17- Visitor's room?- Looked.
0:27:17 > 0:27:20Call Lofty. He'll know where Jimmer is.
0:27:20 > 0:27:22- BEEPING - Otherwise I'm just going to take in Mr Harman's hernia.
0:27:22 > 0:27:23Just call him.
0:27:41 > 0:27:43Right, Mr Harman.
0:27:45 > 0:27:47Do you even know who I am?
0:27:47 > 0:27:50- To be perfectly honest, I couldn't...- The Vegan Warrior.
0:27:50 > 0:27:53It would be the same procedure no matter who...
0:27:53 > 0:27:56"Warrior" as in I battle to protect my principles.
0:27:57 > 0:28:01- I protest against man's abuse of the animal kingdom.- I understand.
0:28:01 > 0:28:05You see, I wouldn't suggest it if there was a viable alternative.
0:28:05 > 0:28:08Are you seriously telling me, 2017,
0:28:08 > 0:28:12and the best thing that you can come up with to repair my wife's heart
0:28:12 > 0:28:14is a leather patch?
0:28:14 > 0:28:17- There are alternatives.- Finally, someone with ethical perspective.
0:28:17 > 0:28:19Number one is a porcine patch.
0:28:19 > 0:28:22- Porcine? - Yes, a patch made out of pig tissue.
0:28:22 > 0:28:25- It's not as effective as cow. - That is not an alternative
0:28:25 > 0:28:28- if it's derived from an animal. - Then there's Teflon.- Teflon?
0:28:28 > 0:28:31Why didn't you mention that before? The obvious choice.
0:28:31 > 0:28:32The body tends to reject it.
0:28:32 > 0:28:35The argument for using bovine patches over Teflon ones
0:28:35 > 0:28:37is there's no need to take anticoagulation.
0:28:37 > 0:28:40There's also a greater risk of infection and possible embolism.
0:28:40 > 0:28:44With all due respect, Mr Maryfield,
0:28:44 > 0:28:46the patch isn't to be fitted inside YOUR body.
0:28:46 > 0:28:49So it's a decision your wife will have to make.
0:28:49 > 0:28:52Well, there is no way that she will allow you
0:28:52 > 0:28:55to sew a piece of animal inside her. No way!
0:28:57 > 0:29:00- There's no question. I'm having the bovine patch.- You can't.
0:29:01 > 0:29:04Well, what if I find I can't...love you any more?
0:29:04 > 0:29:07What, because I've got a bit of bovine membrane inside me?
0:29:07 > 0:29:09Yes.
0:29:09 > 0:29:11What if I can...sense it?
0:29:11 > 0:29:13Feel it?
0:29:13 > 0:29:17- Thursday nights, yoga...- What? - ..with Suzie.- So?
0:29:17 > 0:29:19After I've dropped her off
0:29:19 > 0:29:22I sit in my car at Beaminster Market Square,
0:29:22 > 0:29:25listen to the Red Hot Chili Peppers and I eat a sausage roll.
0:29:26 > 0:29:28You do...what?
0:29:28 > 0:29:32Yeah. Every Thursday for the last...ooh, two to three years.
0:29:32 > 0:29:34I can't believe you could...
0:29:34 > 0:29:36And I've got to be honest with you, James,
0:29:36 > 0:29:39it's the highlight of my week.
0:29:39 > 0:29:42I've had four inches of pig mince inside me every Thursday
0:29:42 > 0:29:44and you never knew.
0:29:44 > 0:29:47So I can hardly see how a slice of beef will make any difference.
0:29:47 > 0:29:49I'm all yours. Let's go.
0:29:59 > 0:30:01Hello.
0:30:01 > 0:30:03Thought you might like a cup of tea.
0:30:05 > 0:30:08I...
0:30:08 > 0:30:11I had a fella in the Cumberland Artillery.
0:30:12 > 0:30:15- He lost his leg in Afghanistan. - Sorry.
0:30:15 > 0:30:18No, I'm just saying
0:30:18 > 0:30:21I have a lot of sympathy for what you're going through.
0:30:21 > 0:30:23Did he ask you to marry him?
0:30:23 > 0:30:24Yeah, he did, actually.
0:30:26 > 0:30:28And how'd that work out?
0:30:28 > 0:30:31- I think if you love someone...- Did he want you to stop being a nurse?
0:30:31 > 0:30:32No, not at all.
0:30:32 > 0:30:35Did you tell him to stick his ring where the sun don't shine?
0:30:35 > 0:30:37- Not exactly, no... - Were you pregnant?
0:30:39 > 0:30:41No.
0:30:41 > 0:30:42No, I wasn't.
0:30:50 > 0:30:52More suction, please.
0:30:57 > 0:30:59I need this area clear.
0:31:00 > 0:31:03It provides a gold-standard service,
0:31:03 > 0:31:05excellent training for our junior surgeons...
0:31:05 > 0:31:06None of that is in question.
0:31:06 > 0:31:08All clinicians would agree this is exactly how trauma care
0:31:08 > 0:31:12- should be delivered. - So I came to observe how morale
0:31:12 > 0:31:14is faring now that people have heard
0:31:14 > 0:31:16that the Trauma Unit is closed...
0:31:16 > 0:31:18Ms Wolfe's reaction was hardly surprising.
0:31:18 > 0:31:20..and in all truth I can't really say
0:31:20 > 0:31:23that I've ever seen it more busy.
0:31:23 > 0:31:25She continues to admit patients.
0:31:25 > 0:31:27Ms Wolfe is now treating a blast victim.
0:31:27 > 0:31:30Denial, the first stage of grief.
0:31:30 > 0:31:33There's another patient there on their way to theatre
0:31:33 > 0:31:35from the defunct Trauma department?
0:31:35 > 0:31:37I can't physically stop her.
0:31:37 > 0:31:39So how's the bad-cop thing going?
0:31:40 > 0:31:41She's refusing to listen.
0:31:41 > 0:31:45And the reluctance of other consultants to rush to the aid
0:31:45 > 0:31:48of Trauma today? Is that part of the bad-cop plan, too?
0:31:49 > 0:31:51I would never endanger a patient.
0:31:51 > 0:31:54It doesn't exactly help the patient, though, does it?
0:32:05 > 0:32:07Ah. Where have you been?
0:32:07 > 0:32:09I had to see a man about a dog.
0:32:09 > 0:32:11- Well, you've missed your theatre slot.- What?
0:32:11 > 0:32:13Grumpy doc said one o'clock.
0:32:13 > 0:32:15No, what he said is theatre times are fluid
0:32:15 > 0:32:18- according to priorities. - I'm ready now.
0:32:18 > 0:32:21You've missed it. Why are you so hot?
0:32:21 > 0:32:24I'm not used to being cooped up. Outdoors man, see?
0:32:24 > 0:32:29- Where have you been?- Bog. - Just checked.- Downstairs bog.
0:32:29 > 0:32:32Laying a cable. You know the saying, "Never dump where..."
0:32:32 > 0:32:35- Where's Nurse Chiltern? - Who?- Lofty?- Oh, right, he...
0:32:35 > 0:32:38Where were you? You missed your slot.
0:32:38 > 0:32:40- You lot ask a lot of questions. - Where's Nurse Chiltern?
0:32:40 > 0:32:43- I've just asked him that. - She just asked that.
0:32:43 > 0:32:45Well, do you know where he is?
0:32:45 > 0:32:47YOU'RE his bud, right?
0:32:47 > 0:32:48Do you know where he is?
0:32:48 > 0:32:52- He said you were his bud. - Did he now?- Deffo. Big. But...
0:32:52 > 0:32:54there's something he's been keeping from you.
0:32:54 > 0:32:57- Couldn't bring himself to tell you.- And what would that be?
0:32:57 > 0:33:01- Just came out. Schoom! Like a ferret out a badger sett.- What did?
0:33:02 > 0:33:05- His dog...- What dog?
0:33:07 > 0:33:09..died.
0:33:15 > 0:33:19Loss of soft tissue over the anterior aspect of the ankle
0:33:19 > 0:33:24with loss of the tibial pilon and exposed fragments of bone distally.
0:33:24 > 0:33:26No palpable pulses.
0:33:26 > 0:33:29Preferred treatment is amputation. Agreed?
0:33:29 > 0:33:32I'll need to clamp the vessels on the groin upstream of the wound.
0:33:32 > 0:33:35- Just give me the word. - Principles of amputation are...?
0:33:35 > 0:33:37To preserve the limb length.
0:33:37 > 0:33:40Below the knee much better long term than above the knee. And?
0:33:40 > 0:33:43Aim to ensure that the amputated stump is as painless as possible?
0:33:43 > 0:33:45Painless, well-padded and easy to fit into a prosthetic.
0:33:45 > 0:33:49No use preserving limb length if the stump's going to be agony.
0:33:49 > 0:33:50Where shall we cut?
0:33:53 > 0:33:57Well, perhaps our corporate assassin would like to give us her opinion.
0:33:57 > 0:34:00Ms Karnik, you're good at chopping things off.
0:34:07 > 0:34:0930% overlap at least.
0:34:25 > 0:34:26None of you got dogs, do you?
0:34:27 > 0:34:31See, takes one to know one. Speak the same language.
0:34:31 > 0:34:34Why did he tell YOU about his dog?
0:34:34 > 0:34:37Like... It's like...Albanians.
0:34:37 > 0:34:41An Albanian could talk to another Albanian all day,
0:34:41 > 0:34:45but put him in a room with a...a...Danish...
0:34:45 > 0:34:47nothing.
0:34:47 > 0:34:51- So he told you his dog had died? - Whole story. Heartbreaking.
0:34:51 > 0:34:54- Was this recent? Cos he's not said anything.- Today.
0:34:54 > 0:34:55About an hour ago.
0:34:57 > 0:35:01- So an hour ago his dog died? - He told me.
0:35:02 > 0:35:03When did it die, the dog?
0:35:03 > 0:35:08See, what you don't understand is how to talk to him about it.
0:35:08 > 0:35:11He never once mentioned that...
0:35:11 > 0:35:15See you... This, bud. All snappy and vinegar-faced at work...
0:35:15 > 0:35:17"Do this, Nurse, do that, Nurse."
0:35:17 > 0:35:19He's never going to open up to you.
0:35:19 > 0:35:23What, he mentioned me specifically?
0:35:23 > 0:35:24Where, if you sat down,
0:35:24 > 0:35:27two pints of cider, two bags of pork scratchings...
0:35:27 > 0:35:29Did he say he wanted to talk to me?
0:35:29 > 0:35:31Come to think of it, might need some pies, too.
0:35:31 > 0:35:33If it's a session, like.
0:35:33 > 0:35:35I just... I don't understand why he never mentioned anything,
0:35:35 > 0:35:38- that's all.- Everything all right?
0:35:38 > 0:35:40Yeah, er... He missed his slot.
0:35:41 > 0:35:44Yeah, it was brought forward.
0:35:44 > 0:35:45Oh, no. I'm so sorry.
0:35:47 > 0:35:50- It's fine. We'll fit him in. - It's OK, there'll be another slot.
0:35:51 > 0:35:53It's no big deal.
0:35:54 > 0:35:55What just happened?
0:36:01 > 0:36:05- The bleeding is...?- Shrapnel damage to the superficial femoral artery.
0:36:05 > 0:36:08- Dealing with that now or later? - Which would you suggest?
0:36:08 > 0:36:10Quickest way would be to tie off the femoral artery.
0:36:10 > 0:36:12Which I would not want to do because...?
0:36:12 > 0:36:14It would starve the whole limb of blood
0:36:14 > 0:36:17and we would prefer to amputate below the knee.
0:36:17 > 0:36:19I think anyone would prefer to amputate below the knee.
0:36:19 > 0:36:22So that's a no to tying-off. Knees are good.
0:36:23 > 0:36:26If it was me, I'd perform a embolectomy,
0:36:26 > 0:36:29- restore the blood flow to the SFA with a shunt.- Would you?
0:36:29 > 0:36:32Then we would feed the catheter into the artery
0:36:32 > 0:36:35- to extract the clot distally. - Ever done one of those, Ms Karnik?
0:36:37 > 0:36:38Pass the scalpel, please.
0:36:42 > 0:36:44This could get messy.
0:36:47 > 0:36:49OK, now the moment of truth.
0:36:50 > 0:36:53- Release the clamp?- Yep, this is just to check for leaks.
0:36:53 > 0:36:55We need to be quick to close the right atrium. Prepare to perfuse.
0:36:55 > 0:36:58Clamp off.
0:37:05 > 0:37:07Well, that's got to feel good.
0:37:07 > 0:37:10- Not a single drop.- No leaks. - No stretch.
0:37:11 > 0:37:13All it takes is the right kind of patch.
0:37:19 > 0:37:21Very nearly....
0:37:23 > 0:37:28- That is your clot, I believe. - And we have circulation.
0:37:30 > 0:37:32Neat work, Ms Karnik.
0:37:32 > 0:37:35And it looks like the artery is back to normal.
0:37:36 > 0:37:37Suture, please.
0:37:41 > 0:37:43Be my guest.
0:37:44 > 0:37:46Saw.
0:37:48 > 0:37:50Two knees are better than one.
0:37:53 > 0:37:56ELECTRIC SAW WHIRRS
0:37:56 > 0:37:59There's absolutely no reason why you can't walk.
0:37:59 > 0:38:01- He's looking this way.- Is he?
0:38:05 > 0:38:07All worried about you and everything.
0:38:07 > 0:38:10He seriously believed I had a dog and the dog died?
0:38:10 > 0:38:12- They all did.- I love it.
0:38:12 > 0:38:14Genius or what?
0:38:14 > 0:38:16I've got to tell him the truth.
0:38:16 > 0:38:18You've got to milk it like a nanny goat.
0:38:18 > 0:38:19It just doesn't feel right.
0:38:21 > 0:38:23Come on.
0:38:45 > 0:38:47I know you hate grapes.
0:38:48 > 0:38:49Thanks.
0:38:50 > 0:38:53"Like crunching little monkey eyeballs."
0:38:55 > 0:38:57How can anyone hate grapes?
0:38:58 > 0:39:00What am I going to do?
0:39:00 > 0:39:01- About the pineapple?- This.
0:39:07 > 0:39:11This doctor told me, halfway through the operation they found this.
0:39:11 > 0:39:13Jammed up your loading hatch.
0:39:13 > 0:39:15You know that's not true.
0:39:17 > 0:39:20If you had it your way they'd be surgically removing it
0:39:20 > 0:39:21from my eye socket.
0:39:21 > 0:39:24Nah. Loading hatch is about right.
0:39:24 > 0:39:27I thought I was doing the right thing.
0:39:27 > 0:39:29Asking me to marry you? You were.
0:39:29 > 0:39:31It was the bit after that you messed up.
0:39:31 > 0:39:34Expecting you to quit your commission and leave the Army?
0:39:34 > 0:39:35Bull's-eye.
0:39:35 > 0:39:38- You're going to be a mum. - You're going to be a dad.
0:39:38 > 0:39:41Most mums don't want to spend their days getting shot at.
0:39:41 > 0:39:42You saying I'm like most mums?
0:39:44 > 0:39:46Most definitely am not.
0:39:52 > 0:39:54So, are you still asking me to marry you, or not?
0:39:55 > 0:39:58Why? Do you want me to be asking?
0:39:59 > 0:40:03- Do you want to ask?- If I was asking, what would you be answering?
0:40:03 > 0:40:05- Oh, for God's sake! Ask her. - I'm asking.
0:40:07 > 0:40:10Well, if you're asking, I'm saying yes.
0:40:11 > 0:40:13Really?
0:40:13 > 0:40:15No, mate. I'm just pulling your leg.
0:40:18 > 0:40:20Too soon?
0:40:20 > 0:40:21Better get used to it, I suppose.
0:40:32 > 0:40:35Right, so...this is how it goes.
0:40:36 > 0:40:39No marquee. No big dress.
0:40:39 > 0:40:42No stupid shoes. No speeches.
0:40:42 > 0:40:45No cake. Profiterole volcano.
0:40:45 > 0:40:46And it happens on Borth beach,
0:40:46 > 0:40:51A 15-minute service followed by a two-day piss-up. Any questions?
0:40:51 > 0:40:53None, Corporal.
0:41:01 > 0:41:04Good, now just hold up your hands for me like you're holding a tray.
0:41:07 > 0:41:10OK, that's very good, Jemima. I'll see you later.
0:41:13 > 0:41:16Cerebral profusion normal on both sides.
0:41:16 > 0:41:18- OK, thanks for helping out. - Pleasure.
0:41:18 > 0:41:21- Hey, what do you think?- Of...?
0:41:21 > 0:41:24Commissioning an exact copy - in silk, of course.
0:41:28 > 0:41:30- You're not serious? - Ivory rather than white?
0:41:32 > 0:41:36Sorry, you want to dress me to look exactly like my mother did
0:41:36 > 0:41:38when she got married?
0:41:38 > 0:41:40Everyone said how gorgeous she looked.
0:41:41 > 0:41:43No strings, remember?
0:41:43 > 0:41:46You're doing exactly what I asked you not to do.
0:41:46 > 0:41:49- Or are you finding excuses to delay your wedding...- What?
0:41:49 > 0:41:51..because you have doubts about what you're about to do?
0:41:51 > 0:41:53CRASH
0:41:55 > 0:41:57Well, every single one is different
0:41:57 > 0:42:01and they flip-flop from day to day.
0:42:01 > 0:42:05- He's tough, Jerry.- It's often the tough that take it hardest.
0:42:05 > 0:42:07They feel like they've lost the most.
0:42:08 > 0:42:11He'll adapt. Change direction. You'll see.
0:42:12 > 0:42:15If nothing else, Army prepares you to be flexible.
0:42:16 > 0:42:17And you?
0:42:19 > 0:42:24- Sure. I'm flexible, so long as I get my own way.- Ha!
0:42:25 > 0:42:29What you were talking about earlier...
0:42:30 > 0:42:33About me wanting to go back to the Middle East, after....
0:42:34 > 0:42:37I was in Kandahar when my kids were in Cheltenham.
0:42:39 > 0:42:40And?
0:42:40 > 0:42:44Well, it was definitely harder on them than it was on me.
0:42:46 > 0:42:49I defuse bombs. I remove land mines.
0:42:50 > 0:42:52Combat engineer?
0:42:52 > 0:42:55I stop people - many of them children - from getting hurt.
0:42:57 > 0:43:00Thing is, you get shot at, too..
0:43:00 > 0:43:04It's what I'm trained for. Humanitarian initiative.
0:43:04 > 0:43:07- Save lives, not take them. - And you love what you do?
0:43:07 > 0:43:09Nothing else comes near.
0:43:10 > 0:43:12So far.
0:43:13 > 0:43:16Are you saying that when I become a mum, that'll be better
0:43:16 > 0:43:19than anything else ever and I'll just want to stay home and bake?
0:43:19 > 0:43:22Well, it didn't happen like that for me.
0:43:23 > 0:43:27Anyway, if he's as good a dad as he is a soldier, should be no problem.
0:43:28 > 0:43:29Good luck.
0:43:33 > 0:43:35- You ever miss it?- The Army?
0:43:37 > 0:43:38Like you wouldn't believe.
0:44:04 > 0:44:06What?
0:44:06 > 0:44:08- It's over.- It's so not over.
0:44:08 > 0:44:12However we play it, Trauma's going to close.
0:44:12 > 0:44:13Over my dead body.
0:44:13 > 0:44:17Let it go, Bernie. Just give it time.
0:44:17 > 0:44:20We'll think of something new.
0:44:20 > 0:44:22Is that it?
0:44:22 > 0:44:24Is that all the fight you've got?
0:44:24 > 0:44:27Sometimes it takes more than just fight.
0:44:27 > 0:44:30Sometimes you have to know when to step back.
0:44:33 > 0:44:35Do you know what you sound like?
0:44:36 > 0:44:37An old man.
0:44:38 > 0:44:42A sad, weak old man.
0:44:45 > 0:44:47You've just closed my unit.
0:44:47 > 0:44:49Ms Wolfe. I was rather expecting a visit, I must say.
0:44:49 > 0:44:50Pick your fights, Ms Wolfe.
0:44:50 > 0:44:52You of all people must know how important that is.
0:44:52 > 0:44:55- Would you like some green tea? - You closed my unit.
0:44:55 > 0:44:56- You think- I- did that?
0:44:56 > 0:44:59- Well, you rubber-stamped it. - I had to comply
0:44:59 > 0:45:02because I, like you, like everybody in the NHS of today,
0:45:02 > 0:45:07- learns to fight the fights we can win.- So you rolled over?
0:45:07 > 0:45:10- Have you never cut off a foot to save a leg?- All the time.
0:45:10 > 0:45:13- A septic finger to save a hand? - Yes, I get the point, Henrik!
0:45:13 > 0:45:16The trauma unit was haemorrhaging money, draining funds from the AAU
0:45:16 > 0:45:19to the point there was a danger the whole department
0:45:19 > 0:45:20would have had to close.
0:45:22 > 0:45:26So that's it. That's why Ric Griffin just caved.
0:45:26 > 0:45:28He was scared of losing his department.
0:45:28 > 0:45:30Ric Griffin caved, did he?
0:45:30 > 0:45:34There was a time when our job was treating human beings,
0:45:34 > 0:45:37was mending bodies, not brown-nosing bureaucrats.
0:45:37 > 0:45:39Well, I'm quite sure I shouldn't tell you this
0:45:39 > 0:45:42but Mr Griffin just came to me and offered his resignation
0:45:42 > 0:45:45if by so doing the salary saving would secure your job.
0:45:49 > 0:45:51Ric offered to leave to save me?
0:45:51 > 0:45:54And I told him that we could of course find you another role
0:45:54 > 0:45:56on an equal pay grade.
0:46:04 > 0:46:07What other role? What another ward?
0:46:08 > 0:46:11I'm trained to do trauma.
0:46:11 > 0:46:16Yes, but there are departments within the hospital that could use
0:46:16 > 0:46:19- your tremendous expertise.- Name one.
0:46:19 > 0:46:22Er, I'd have to just check the list of...
0:46:22 > 0:46:24Name one!
0:46:26 > 0:46:29Well, the hospital is now of course a centre of excellence
0:46:29 > 0:46:30for hip-replacement revision.
0:46:32 > 0:46:36And, um, they are planning an expansion of the...
0:46:36 > 0:46:39FOOTSTEPS, DOOR SLAMS
0:46:53 > 0:46:57Did you dream of bacon butties and chipolatas?
0:46:57 > 0:46:59Oh, I'm sorry, James, I didn't...
0:46:59 > 0:47:05Anyway, since your operation, I've thought of a new nickname for you.
0:47:05 > 0:47:06Je-moo-mah.
0:47:09 > 0:47:10Oh...
0:47:11 > 0:47:14I think I did have a dream.
0:47:15 > 0:47:20Something about a princess making a terrible mistake.
0:47:20 > 0:47:21You're doing fine.
0:47:21 > 0:47:24Better than that, the scan looks very good.
0:47:24 > 0:47:27Ooh, I've got a surprise for you.
0:47:30 > 0:47:32Jumbo sausage roll.
0:47:36 > 0:47:38Why are we here?
0:47:38 > 0:47:41Canine aerobic stimulation.
0:47:44 > 0:47:46Dog walking.
0:47:52 > 0:47:54Right, so this is what you were doing when you missed your slot?
0:47:54 > 0:47:56Well, someone had to walk 'em.
0:47:56 > 0:47:59Can't let my clients down. These dogs belong to busy people.
0:47:59 > 0:48:03Judge, bank manager, chef, nurse, pole dancer.
0:48:04 > 0:48:06Air conditioned, too. It's great, innit?
0:48:06 > 0:48:09You both really, really like dogs?
0:48:09 > 0:48:10Well, who doesn't?
0:48:11 > 0:48:13Sorry, what are those?
0:48:14 > 0:48:18I run, they chase. Just trying to reawaken a little bloodlust
0:48:18 > 0:48:20in all those pampered city dogs.
0:48:20 > 0:48:24I suppose you know what you look like in those.
0:48:24 > 0:48:26- Rabbit, yeah.- Yeah...
0:48:27 > 0:48:33Look, Lofty, I'm sorry... I didn't know about your dog dying.
0:48:35 > 0:48:38Yeah, er.. That's why I brought you here.
0:48:38 > 0:48:44- You see, Jimmer was, um... - Jerking your chain, bud. Big time.
0:48:51 > 0:48:54Well, I'm sorry about charging in trying to rescue your wedding...
0:48:54 > 0:48:56- That's it, you see. - ..and your relationship.
0:48:56 > 0:48:57It doesn't need rescuing!
0:48:57 > 0:49:00It's just that I know you've been going through
0:49:00 > 0:49:01a tough time recently.
0:49:01 > 0:49:03So sorry to hear about the abortion.
0:49:07 > 0:49:09It's not something for you to be sorry about. We...
0:49:09 > 0:49:13My grandchild, no, sure. And Ollie's affair with Jasmine.
0:49:13 > 0:49:15I mean, these are very difficult things to have to deal with.
0:49:15 > 0:49:18It was not an affair. It was when we were on a break.
0:49:18 > 0:49:20We were on a definite break.
0:49:20 > 0:49:23Was this before or after the abortion?
0:49:23 > 0:49:24Don't do this.
0:49:24 > 0:49:26Don't judge my relationship
0:49:26 > 0:49:28by your weird view of what a relationship is.
0:49:28 > 0:49:30Don't you think I know a thing or two
0:49:30 > 0:49:32- about papering over cracks? - I'm not papering over any cracks!
0:49:32 > 0:49:35You are scared to your core about marrying Oliver Valentine.
0:49:35 > 0:49:39I am not scared. You're jealous!
0:49:39 > 0:49:42Of what? A life of mediocrity settling for second best?
0:49:44 > 0:49:47- Ollie is not second best. - Who said I was talking about Ollie?
0:49:47 > 0:49:50- Well, then who are you... - He's the one who's already lost
0:49:50 > 0:49:51the love of his life.
0:49:55 > 0:49:56Tara?
0:49:59 > 0:50:02- You're saying I'm second best? - I don't know, Zosia. You tell me.
0:50:03 > 0:50:06You seem to be frightened of something.
0:50:13 > 0:50:16So, Dr Copeland, can you take me through the procedure, please?
0:50:16 > 0:50:19Sure. First we will make an incision through the epidermis,
0:50:19 > 0:50:24the dermis and the fatty layer until we reach the fibrous capsule
0:50:24 > 0:50:25- and we will shell it.- Great.
0:50:37 > 0:50:39HE LAUGHS
0:50:41 > 0:50:44THEY ALL LAUGH
0:51:01 > 0:51:03Ric, I...
0:51:03 > 0:51:06You didn't have to rip it all out before the last patient's
0:51:06 > 0:51:07even left the building.
0:51:07 > 0:51:09Do you know how much those machines cost to lease,
0:51:09 > 0:51:12- even just for one day? - Nope. But I'm sure you do.
0:51:12 > 0:51:17I do. Mr Griffin, I know exactly where every single pound is spent
0:51:17 > 0:51:20and it scares me. It scares me the running of this department,
0:51:20 > 0:51:23even the running of this hospital, is fast becoming untenable.
0:51:23 > 0:51:25So you're doing us a service?
0:51:26 > 0:51:28You think I'm the grim reaper?
0:51:28 > 0:51:33- If the cap fits...- Believe me, I am the fairy godmother.
0:51:33 > 0:51:36There are shadows above me that would close Holby in a blink.
0:51:36 > 0:51:39They'll never close Holby.
0:51:39 > 0:51:41The amount of talent under this one roof...
0:51:41 > 0:51:45It's not about talent, Mr Griffin. It's not about innovation
0:51:45 > 0:51:48or even medicine. It is about targets and money.
0:51:49 > 0:51:53You succeed or fail as a hospital on these. Nothing else.
0:51:53 > 0:51:55If you believe that, then you have absolutely no right running...
0:51:55 > 0:51:57- Leave it. Leave it, Ric. - No, no.- She's right.
0:51:57 > 0:51:59It's a shame for you, a surgeon...
0:51:59 > 0:52:03And if she is half as good an administrator as she is a surgeon,
0:52:03 > 0:52:05she's exactly what you need.
0:52:09 > 0:52:11- Exactly what- I- need?
0:52:18 > 0:52:22We're all going to go and do a fun run after work today,
0:52:22 > 0:52:25- pre-marathon. - Cool, I'd love to join in.
0:52:25 > 0:52:29Yeah, well, it's a dress rehearsal before the main event.
0:52:29 > 0:52:31Good.
0:52:31 > 0:52:34So we're going to keep him in for 24 hours and as long as there's no
0:52:34 > 0:52:37major fluid leakage, then he can go.
0:52:37 > 0:52:38On it.
0:52:39 > 0:52:40Dress rehearsal?
0:52:40 > 0:52:42Yeah.
0:52:42 > 0:52:45Yeah, so people can try out their costumes.
0:52:46 > 0:52:47Well, it's a charity thing.
0:52:47 > 0:52:52- People like to dress up as silly things.- Course, yeah.
0:52:52 > 0:52:55Star Wars characters, animal costumes, that kind of thing.
0:52:57 > 0:53:00Well, don't worry if you're the only one that hasn't got a costume.
0:53:00 > 0:53:01- No...- Bunny ears.
0:53:02 > 0:53:06- Yes!- Yeah, that could work. - Got a bunny tail, too.
0:53:06 > 0:53:08- Great. Can I...?- Natch.
0:53:21 > 0:53:25Right, save the date. 19th September is our wedding
0:53:25 > 0:53:27and you're all invited.
0:53:29 > 0:53:31I hate weddings.
0:53:31 > 0:53:34- Che bello. Congratulations. - Thank you.
0:53:34 > 0:53:35Congratulations. Great photo.
0:53:38 > 0:53:41- Congratulations.- Don't think I don't know what you're doing.
0:53:41 > 0:53:43Trying to get your hooks into me. It won't work.
0:53:43 > 0:53:45I only want you to be happy,
0:53:45 > 0:53:47- and if you think you can be happy with him...- With Ollie?
0:53:47 > 0:53:49Yes, and I will be marrying him.
0:53:49 > 0:53:52So stop trying to force your memories of my mother onto me -
0:53:52 > 0:53:55I have my own. And I have future memories to make with Ollie.
0:53:55 > 0:53:56Well, good luck.
0:53:56 > 0:53:59You've just forfeited any right to be a part of that.
0:54:10 > 0:54:14Remember, everyone, it's just for fun, so don't go mad, yeah?
0:54:14 > 0:54:17All your fivers need to go in the Holby marathon bucket.
0:54:17 > 0:54:20And remember to stretch before and after.
0:54:22 > 0:54:26- Hey, Lofty! - LAUGHTER
0:54:26 > 0:54:29I thought we were all wearing silly costumes.
0:54:30 > 0:54:32It's game on, OK?
0:54:35 > 0:54:37Serena said to show you this...
0:54:40 > 0:54:43I take it that you're not going to hip replacement, then?
0:54:43 > 0:54:45..and get back to us...
0:54:46 > 0:54:48So...
0:54:48 > 0:54:49where are you going?
0:54:49 > 0:54:53Eurostar. South of France. Tomorrow morning.
0:54:53 > 0:54:56Grape picking? That's brilliant.
0:54:56 > 0:54:58And then Sudan.
0:54:58 > 0:55:00Not the front line?
0:55:00 > 0:55:02Military field hospital.
0:55:02 > 0:55:04Humanitarian medicine.
0:55:06 > 0:55:08Going soft?
0:55:08 > 0:55:11Heading back to a war zone with a piece of Holby in my heart.
0:55:13 > 0:55:16Helping with civilians who need help the most.
0:55:19 > 0:55:22It's like a little bit of Ric Griffin rubbed off on me.
0:55:24 > 0:55:26HORN
0:55:27 > 0:55:29- We're off!- Come on, then.
0:55:35 > 0:55:37Hello!
0:55:46 > 0:55:48Oh...
0:55:48 > 0:55:51This is where I... This is where I go.
0:55:54 > 0:55:55Aren't you going to say goodbye?
0:55:57 > 0:55:59Think we've had enough of goodbyes.
0:56:01 > 0:56:05Serena wants you to come, too. Pick some grapes.
0:56:05 > 0:56:07Do a proper day's graft for once in your life.