Go Ugly Early Holby City


Go Ugly Early

It is sink or swim for Bernie, who is confronted with an impossible situation - will she pick up the gauntlet and accept her challenge?


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I am willing to ask the board for funds for a complete overhaul of the trauma system on AAU.

0:00:020:00:06

-How you feeling?

-Excited, terrified, wondering what I've got myself into.

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Is this where you tell me you want to go on a sabbatical?

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Something like that.

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Any room for me in your future plans?

0:00:140:00:17

Congratulations, Mr Self.

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Thank you, Henrik. Looking forward to working with you again.

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I think congratulations are in order.

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-You know he's the real deal.

-Oh, please.

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Either give him a chance or back off.

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-What was that?

-I just felt that...

-Felt what?

0:00:350:00:38

That it was a moment between us.

0:00:390:00:42

-Stop swinging your hips like a catwalk model.

-Sorry, er...headlights?

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Headlights! Imagine there are headlights on both of your hips.

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-You've got to keep the beams going forwards at all times.

-Right.

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-And swing your arms!

-OK!

-Almost looks like running to me.

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-Sprint to the van!

-OK, cool!

0:01:450:01:47

Sprint to the van!

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Seriously, you're looking great, guys.

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Is this all for the half marathon?

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LAUGHTER

0:02:110:02:12

-Feeling all right?

-Oh, God.

0:02:120:02:14

You want me to do it?

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No.

0:02:220:02:23

I think I should do it. Two reasons.

0:02:240:02:27

One, I haven't had to exercise any authority down there yet.

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You'd like this to be your introduction, would you?

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And two, it keeps you clean.

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I could be the fall guy. Keep you out of the blast zone.

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Why would you do that?

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-In case we need you to be good cop later.

-Good cop?

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There's no point both of us being bad cop. Is there?

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Wait!

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THEY LAUGH

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You can't quite get to that perfect wedding weight.

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Hey! If I said that I'd be called a sexist.

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-Why don't you talk to my fine, firm, peach-like...

-Zoshy!

-..bum.

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Dad. I'm late.

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About your wedding.

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SHE SIGHS Not again.

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If you haven't finalised things I'd still like to help.

0:03:160:03:19

What, sewing on sequins?

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I'd like to pay for it. All of it.

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Really?

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OK.

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I promised your mother.

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You are joking me?

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-No. Sorry.

-Mitch and Jimmer?

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Woke up pierced with a pair of cow ear tags after me stag night?

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Before my time.

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Swallowed an electronic dog zapper?

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-Were these suicide attempts?

-Rampisham Young Farmers.

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So today you have a large lipoma under your armpit that needs

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-to be surgically...

-You want to do your homework, bud.

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Ask Jac Naylor, ask Jonny what's-his-face up on Dartmoor.

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Darwin?

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I'm a frequent flyer, me. Loyalty card, got all me stamps.

0:04:050:04:09

The lipoma?

0:04:100:04:12

One of them two, the knife juggler.

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-The knife juggler?

-Billy the butcher?

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The Wolverine? Sshht!

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-Oh, you mean the surgeon.

-Duh!

-Both.

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So which'd you trust most waving a blade around your googlies -

0:04:260:04:30

Cheech or Chong?

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I really need to see your lipoma, please.

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Mitch's work.

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It's a Smurf.

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Hello!

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Just because you have some weird obsession with strange food...

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Vegan is not strange food.

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-Yes, it is.

-Yeah, it is.

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He's James Maryfield, the Vegan Warrior.

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Do you have any idea what eating that many lentils does

0:04:570:05:00

to your personal air quality?

0:05:000:05:02

His wife. Bay two. Chest pain and recurring migraine.

0:05:020:05:05

OK. Well, speaking of headaches... Lost again, Valentine?

0:05:050:05:09

Hanssen wants Matteo to run the Hertzig software. So I'm your cover.

0:05:090:05:12

Ah-ha. I get asked to solve Henrik's problems once again.

0:05:120:05:16

HE SPEAKS IN ITALIAN

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-Sorry?

-Don't ask.

-No, what did that mean?

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Again, it is Matteo who is chosen to take the chestnuts from the fire.

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Try not to break anything.

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You're on Darwin!

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-Yay! So we get to talk about the wedding all day...

-Oh! Get off.

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Right, so where are we going?

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Olive oil?

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Extra virgin olive oil. Cold-pressed.

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Very rich in antioxidants and monounsaturated fats.

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Yes, yes, all right, Grandad, but wine gets you drunk.

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Did she say where she is?

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Er, Northern Rhone.

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French Shiraz country. She misses Marmite.

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Next season she's thinking of leasing a vineyard.

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Guzzling herself into an early grave, more like it.

0:06:100:06:13

Now, that looks like quality olive oil.

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Extra virgin olive oil, from..."Aglandau".

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French or Italian?

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French. Our consultant, Ms Campbell, moved to the south of France.

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-Living the dream.

-Yeah.

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Was there something specific? Or can I give you the tour?

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Do you think we might have a word? Ms Wolfe, will you join us?

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If it's just admin-related, Ric's your man.

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-I want to do a patient transfer.

-It isn't.

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-Sorry to miss the talk of wedding plans.

-I hate weddings.

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I can see a little ancient thatched church, marquee by a lake...

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Bride sets marquee alight with a flame thrower.

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I think Zosia's more London Hotel. Chilled champagne, rooftop terrace.

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-Am I?

-The logo on the salad bags looks like a dope leaf.

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Yes, I know it's supposed to look like a nettle but...

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Ah.

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Hi, guys. James Maryfield.

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So Jammy's pain encircles her ribcage

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and radiates downward into her abdomen.

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-Jammy?

-Jemima, it's...

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Oh, short for Jemima, her nickname.

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It's from when we first got together. Everyone calls her it.

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-Would you like

-us

-to call you...

-Jemima's fine.

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Sadly I have to go.

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-But just wanted to say I love Way Of The Vegan Warrior.

-Oh!

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Fantastic recipes.

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I tell everyone this.

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The Vegan Warrior is not just a recipe book,

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it's a way of life.

0:07:400:07:42

Heart sounds normal. There's a slight systolic murmur

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-and click in the pulmonary area, though.

-OK, echo and ECG.

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Order a cardiac enzyme run.

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When does your head hurt the most?

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The migraines are worst in the evenings, when I get home.

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Oh, I'm treating her migraines with cayenne pepper and water.

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Almonds, obviously, for their salicin content. Oh, and feverfew.

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Migraines hurt so much.

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OK, right. We'll run those tests. Let's start with oxygen,

0:08:020:08:05

-50mg of Tramadol.

-Ooh, let me just check those first.

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Oh, you wouldn't believe how many pharmaceuticals

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are still tested on animals.

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Well, I was seriously hoping I'd never have to say these words again,

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-but let's get Guy in here.

-Guy? Why's that?

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For a full neuro consult for the migraines.

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They all say it's the adrenaline hit they miss most of all.

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-Who, sorry?

-Army surgeons. Civvy street.

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The NHS doesn't quite match the buzz.

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-Do you know a lot of army surgeons?

-Not as many as I'd like.

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But, hands down, they are the best A&E and trauma surgeons

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-you'll ever hope to find.

-Training's pretty intense.

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It's not just their surgical skills. It's their attitude,

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sense of responsibility.

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Why do I get the feeling you're blowing warm smoke up my...

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You personally initiated Holby City's trauma unit.

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With a lot of help from others.

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Army surgeons. Always think in terms of the team.

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I'm saying it wasn't just me that made it happen.

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Won't believe the narcissism and God complexes

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I deal with in some surgeons.

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Is it just me, or do you feel a "but" coming?

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The model of your trauma unit is something that the trust

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admires very much.

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-The way it functions is very...

-If it's coming, it's coming soon...

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At some point in the future they hope to roll out the model

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in other hospitals.

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Well, it makes sense.

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It takes a lot of pressure off AAU and ED.

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In the future, yes.

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-But, for now, I'm afraid...

-Ah...there it is.

-There it is.

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As of this morning, because of a very real threat

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of departmental closure and imposition of special measures,

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Holby City's trauma unit has been closed...permanently.

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Me mum had a lipoma. Twice this size.

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Practically see it on Google Earth.

0:10:040:10:06

-This paint, does it...

-Not paint. Ram dye.

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-Ram dye.

-From Rambo's raddle.

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From his raddle. You know, mark his ewes.

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Show's you which ones he's covered.

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-Am I being really dense?

-I get it. It's one of those things.

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-Thing you strap onto a boy sheep so when he...

-..does his bizzo.

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-..mounts the girl sheep, the dye from the...

-..raddle...

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..leaves a mark on her back.

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And that's the way you know which one has...?

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Does it come off? We need to clean it off.

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-Nah. Not this side of Christmas.

-So it doesn't come off?

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Wouldn't be much good if it did, would it?

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How'd you know who'd been tupped and who hadn't?

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You've got to think about these things.

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We need FBCs, LFTs, U&Es and group and save.

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That's insanity!

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We have no choice, but if we did...

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The choice is that you don't roll over every time they cry closure.

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-You fight.

-Clinical Care Group inspection shows that Trauma

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is eating up £750,000 of AAU's total annual budget

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-in staffing costs alone.

-Yes, by saving lives!

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The alternative is that we close the whole department

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and use the beds for Care patients awaiting placement.

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Become a bed and breakfast for patients who should already

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-have been discharged?

-But if we fight, we will lose.

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Sorry, where's the "we" in this? It's us and them.

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-And you, Ms Karnik, appear to be them.

-I am not the problem.

0:11:230:11:27

-Don't tell me you're the solution!

-What happens to the trauma patients?

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That is not your concern.

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Patients are my concern.

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A redirect has already been issued. Patients will no longer be sent

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-to Holby City Trauma.

-Sorry to interrupt. Ms Wolfe, red phone.

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Air ambulance scoop from Warwick Downs Army Base.

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Severe leg fractures, blast injuries.

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Ms Wolfe, we are not done here!

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As head of this department

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I think you know what you have to do.

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Go and treat our patient?

0:11:550:11:57

Well, have you had words? Does he seem a bit off to you?

0:12:000:12:04

Well, maybe it's cos of the running. He's taking it very seriously.

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It's only cos he wants to raise as much money as he can.

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My idea of exercise is jogging home from the chippy

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so my saveloy doesn't get cold.

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But I'll be honest, I'd quite like to get involved.

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Well, do it.

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I've kind of dropped a few hints already.

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Is everything OK?

0:12:280:12:29

You look like you've got the hump about something.

0:12:310:12:34

I'm absolutely fine, so you can stop giving me those worried eyes.

0:12:340:12:37

I just don't appreciate patients making our jobs harder

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with their infantile practical jokes, that's all.

0:12:420:12:45

So was it with or without anaesthetic?

0:12:450:12:48

What, the lipoma?

0:12:500:12:51

-No, your sense-of-humour by-pass.

-Ha-ha.

0:12:510:12:54

-I meant hump with Lofty.

-No.

0:12:540:12:56

-It's just, you seem a bit...frosty.

-No.

0:12:570:13:01

He keeps dropping hints about joining our training

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-and you're all...

-Well, if he wants to join, he can ask.

0:13:040:13:07

And, no, I'm not being frosty.

0:13:070:13:09

They send me a soldier?

0:13:140:13:15

-Who?

-They're trying to shut us down and they send me a soldier.

0:13:150:13:19

Do you see any irony in that?

0:13:190:13:21

I didn't think we did irony any more.

0:13:210:13:23

OK, Sergeant Jerry McKee, Tank Unit. Age 25, leg fracture...

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live ammunition wound.

0:13:260:13:28

-Hello, Jerry, I'm Bernie Wolfe.

-You the boss?

-I am.

0:13:280:13:31

How's the pain, Jerry?

0:13:310:13:32

-Let me tell you, morphine is amazing.

-Yep.

0:13:320:13:35

You ever seen anything like this before?

0:13:350:13:37

More times than you can imagine.

0:13:370:13:39

Live tank round. Faulty percussion plate.

0:13:390:13:41

As workplace accidents go, this is a bloody peach, eh?

0:13:410:13:44

-You're in good hands.

-Don't chop this leg off, though, all right?

0:13:440:13:46

-We need to get plasma and crossmatch.

-Did you hear what I said?

-We'll do our best.

0:13:460:13:50

-Mobile X-ray and vascular CT.

-I need this leg. I need both of them.

0:13:500:13:52

-I've become very attached to both.

-All right, Jerry. Just try and relax.

0:13:520:13:55

-Did she just say that?

-Breathe for me, please.

-Tell me what you need.

0:13:550:13:58

Check for genital injury and gain initial proximal control of the blood vessels in the groin.

0:13:580:14:02

When I think of relax, I think of a cold beer. Sunday footie.

0:14:020:14:06

Bad choice of words.

0:14:060:14:08

Might need to do a vertical midline to clamp the vessels in the groin.

0:14:080:14:11

Everything above the thigh is yours.

0:14:110:14:13

Blood. I'm going to need blood. Lots of it.

0:14:130:14:16

We need to manage a massive transfusion.

0:14:160:14:18

O-positive blood and plasma.

0:14:180:14:20

Fletch, in charge of checking blood products and feeding them

0:14:200:14:22

-through a Level One blood warmer.

-On it like a car bonnet, boss.

0:14:220:14:25

Morven, take blood for a TEG. Test for coagulopathy

0:14:250:14:28

-and we can tailor blood replacement.

-Yep, I'm already on it.

0:14:280:14:30

You know that Nina Karnik was just the messenger,

0:14:300:14:34

-and you just shot her.

-So bite me.

0:14:340:14:36

-If you bite her you've got to bite me and all.

-Easy, tiger...

0:14:360:14:40

OK, lovely.

0:14:400:14:42

Look right.

0:14:480:14:49

Look left.

0:14:490:14:50

Follow my finger.

0:14:510:14:53

BP's consistently low. Migraines fluctuate.

0:14:530:14:56

There's no specific pattern.

0:14:560:14:57

BOTH: What triggers them?

0:14:570:14:59

Noises. Strip lighting.

0:15:000:15:03

When I'm tired.

0:15:030:15:05

Are you two related?

0:15:070:15:08

-Why?

-I'm her father.

0:15:090:15:11

There's something similar about you both. Not looks so much, but...

0:15:110:15:15

There's an affinity.

0:15:150:15:17

-HE LAUGHS

-Do you have children?

0:15:170:15:19

Two. Small. Eldest is just about to start school.

0:15:190:15:23

Already reading a bit.

0:15:230:15:25

-Remember reading Jack And The Beanstalk?

-Of course.

0:15:270:15:31

-Loved fairy tales.

-My two, as well.

0:15:310:15:34

-Always used to get irate about that one.

-Why?

0:15:340:15:36

Because it's fundamentally racist. Or sizeist at least.

0:15:360:15:39

-The giant?

-Just because he's big,

0:15:390:15:41

this Jack-the-lad thinks he can steal his chickens and his gold.

0:15:410:15:45

And then when the poor man finally gives chase...

0:15:450:15:47

-..Jack chops down the beanstalk.

-..and the giant falls to his death

0:15:470:15:49

-and all the villagers think this little thief is a hero.

-Dr March?

0:15:490:15:53

What made you think of that?

0:15:530:15:54

Oh, it's just that I found the old copy.

0:15:540:15:57

You should drop by, pick it up.

0:15:570:15:59

I think we should get Jemima downstairs for a full CT scan.

0:15:590:16:02

-How bad is it, boss?

-Well, we won't know until we've seen the scans.

0:16:020:16:05

You're stalling.

0:16:050:16:06

-Haemoglobin's six, BP is dropping.

-We're losing too much blood.

0:16:060:16:10

I can see bits of bone from here!

0:16:100:16:12

-Just, please, tell me the truth.

-All right, honestly, Jerry...

0:16:120:16:14

-BEEP Jerry... Jerry... Jerry...

-OK, pressure's tanking...

-Come on.

0:16:140:16:18

Tourniquet's not holding.

0:16:180:16:19

Pressure. I need something to press down here hard.

0:16:190:16:22

We need to reinforce the tourniquet. Scan, please.

0:16:220:16:24

Right, four more units. Packed cells, platelets and plasma.

0:16:240:16:28

You need to get rid of the trousers.

0:16:280:16:31

Oh, crap.

0:16:310:16:33

Ever since you were little, you've known exactly what you wanted -

0:16:330:16:36

-exactly.

-Yes, but there are two of us now.

0:16:360:16:38

I'm just saying, if ever you get cold feet

0:16:380:16:40

or need a listening ear, I'd never judge you.

0:16:400:16:43

-Er...!

-Hey, I'm your dad. Proudest man alive.

0:16:430:16:45

It'll be an honour for me to pay for your wedding.

0:16:450:16:47

I promise to keep my nose out, unless I'm asked, of course,

0:16:470:16:50

Oh, yeah, it's going to have to be a traditional three-day

0:16:500:16:53

Polish wedding. I know this amazing Podhale folk band

0:16:530:16:56

we can bring over from Zakopane.

0:16:560:16:58

I blame Brexit. And Trump.

0:17:050:17:08

And Greek yoghurt.

0:17:080:17:10

-For...?

-Milk prices. Bottle of water costs twice as much.

0:17:100:17:14

Don't need cows to make water.

0:17:140:17:16

-That's why you're not just farming?

-Diversification.

0:17:160:17:19

The future is bright. The future is canine.

0:17:190:17:23

Dogs?

0:17:230:17:24

Breeding, grooming?

0:17:240:17:26

Cardiovascular aerobic stimulation.

0:17:260:17:29

-Which is?

-Mitch's idea. Let you into a little trade secret.

0:17:290:17:32

Right, Mr Victor, you're booked in on today's list

0:17:320:17:35

for a large lipoma excise under general anaesthetic.

0:17:350:17:38

Just waiting on your pre-op blood tests.

0:17:380:17:40

-You the butcher or the butcher's dog?

-I beg your pardon.

0:17:400:17:43

I think he means will you doing the procedure, or Mr Levi?

0:17:430:17:46

You's learning, bud.

0:17:460:17:48

It's not yet confirmed but I will probably be leading.

0:17:480:17:51

-And what time is Smurf o'clock?

-I don't know yet.

0:17:510:17:54

Know what an entrepreneur is?

0:17:550:17:57

-Yes, I believe I know what...

-Cos you're looking at one.

0:17:570:17:59

Farmer-turned-entrepreneur.

0:17:590:18:01

And time is money, bud. Places to see, people to be.

0:18:010:18:06

So put Jimmer in pole position.

0:18:060:18:09

Can you get him consented? And ask pharmacy what's in that dye.

0:18:090:18:14

Also make sure he stays nil by mouth.

0:18:140:18:16

Do a lot of sheep fencing, your mate?

0:18:180:18:20

I don't think Dom would know a sheep or a fence

0:18:200:18:23

if it came up and bit him.

0:18:230:18:24

Just wondered how he managed to get a fence post stuck so far up his...

0:18:240:18:27

Dom's OK. He's a good guy.

0:18:270:18:30

He's just quite stressed at the moment.

0:18:300:18:32

A man who doesn't laugh at a painted lipoma

0:18:320:18:35

-is not all right.

-Seriously.

0:18:350:18:37

He a mate?

0:18:390:18:40

Yeah.

0:18:410:18:43

Yes.

0:18:430:18:45

You want to find out what's bugging him before the wind changes

0:18:450:18:48

and his face stays looking like that.

0:18:480:18:50

OK, I'm just going to come out and say this. There's a ship,

0:18:570:19:00

moored on the Thames. Built in 1918.

0:19:000:19:03

It's got a ballroom and a presidential suite.

0:19:040:19:07

What do you think?

0:19:070:19:09

-Well, it sounds...presidential.

-Do you think he'd go for it?

0:19:090:19:13

-My dad?

-Hm.

0:19:130:19:15

Yeah, maybe I should have a word with him. Talk it through a little bit. Bond.

0:19:180:19:21

I went through that whole disapproving father-in-law thing

0:19:210:19:24

with Tara. I really don't need to go through it again.

0:19:240:19:27

Something leaping out at you?

0:19:290:19:31

Something like an aneurysm on the septal atrium.

0:19:310:19:35

-No, is that a...

-Yes, it's a patent foramen ovale.

0:19:360:19:39

-How bad do you think it is?

-It's a stroke waiting to happen.

0:19:410:19:44

Bud as in real bud or bud as in,

0:19:510:19:54

wave from one tractor to another on the top road, kind of bud?

0:19:540:19:58

-Real bud.

-Real bud?

0:19:590:20:02

Well, you know. More than just a tractor wave.

0:20:040:20:07

-Then you've got to front it, bud.

-You think?

0:20:070:20:10

Definitely. Over a pint, game of skittles.

0:20:100:20:13

Hog roast. Whatever doctors...

0:20:130:20:16

Cocktail party! "Got to say, bud. What's bugging you, bud?"

0:20:180:20:22

Yeah?

0:20:220:20:24

It's food for thought. Thanks.

0:20:240:20:27

Don't mention it. Always got free advice for my doctor man.

0:20:270:20:31

I'm a nurse, actually.

0:20:310:20:33

Jonny up on Darwood, he was a nurse.

0:20:350:20:38

-Oh, right. Good.

-And he was a bloke too. See, and I'm OK with that.

0:20:390:20:43

Man of the world, eh?

0:20:440:20:46

Seeing as I done you a favour, mano-a-mano,

0:20:470:20:50

there is something you could do for me.

0:20:500:20:52

HE HUMS

0:20:530:20:56

Something maybe you wanted to ask?

0:21:000:21:02

Hm? No...

0:21:040:21:05

Are you sure?

0:21:070:21:08

Yeah.

0:21:090:21:12

Actually, um... There is one thing...

0:21:190:21:22

..Mr Self.

0:21:230:21:24

I know this is going come out in the wrong order, a bit post facto,

0:21:240:21:27

but I'd like to ask for your blessing.

0:21:270:21:32

My blessing?

0:21:320:21:33

For Zosia's hand in marriage.

0:21:340:21:36

Know what Zosia's grandfather made me do

0:21:380:21:41

when I asked if I could marry Anya?

0:21:410:21:43

-Zosia's mother? No.

-Help him skin a roe buck.

0:21:430:21:45

A deer?

0:21:460:21:48

Shot in the forest that morning.

0:21:480:21:50

Oh! Yeah, like a male-bonding thing?

0:21:510:21:54

He had a frying pan and a charcoal burner

0:21:540:21:57

and we cooked the liver straight from the bloody carcass.

0:21:570:22:00

-OK.

-We ate the liver. Then he offered me the kidneys.

0:22:010:22:05

Very generous of him.

0:22:070:22:08

What do you think he would've said if I had refused?

0:22:080:22:12

I don't know.

0:22:140:22:16

No, nor do I.

0:22:160:22:18

But I knew I didn't want to risk finding out.

0:22:200:22:22

Sorry, um...

0:22:260:22:28

Do you want to eat kidneys with me?

0:22:290:22:32

Pretty sure Albie's has an all-day breakfast

0:22:320:22:34

and they've got black pudding. Pretty sure of that.

0:22:340:22:37

Love black pudding.

0:22:370:22:39

Great. Good, yeah.

0:22:390:22:41

That kidney thing, was it true?

0:22:420:22:44

So the reason I didn't ask your permission before was that

0:22:470:22:50

Zosia and I were kind of in a bad patch, so it happened on an impulse.

0:22:500:22:54

It was a good impulse. Morning.

0:22:540:22:56

Um, and... Yeah, I mean...

0:22:560:23:00

I kind of seized the moment and asked her to marry me.

0:23:000:23:03

-Mm-hm.

-It was...rather lovely, really.

0:23:030:23:08

Tell me, what kind of bad patch, exactly?

0:23:080:23:11

Well, maybe something you should talk to Zosia about.

0:23:120:23:17

Oh, come on, Ollie. I mean, we're practically family now.

0:23:180:23:21

We need to be on the same page in case Zosia needs our help.

0:23:220:23:25

We are in this together.

0:23:250:23:27

So what kind of a bad patch?

0:23:270:23:28

She was pregnant.

0:23:300:23:32

Was?

0:23:330:23:34

She miscarried?

0:23:340:23:36

She had a termination?

0:23:390:23:40

Your child?

0:23:420:23:44

My grandchild.

0:23:470:23:49

In the field we have a maxim.

0:23:540:23:56

Remove the hamburger. Cut back to the fillet steak.

0:23:560:23:59

The mush, the mince. All it's ever going to do is attract infection.

0:23:590:24:02

-Can we mend the breaks?

-No.

0:24:020:24:03

Well, it doesn't look like we're getting any more consultants

0:24:030:24:06

down here. This isn't really coagulating.

0:24:060:24:08

Can we check the TEG, please?

0:24:080:24:10

OK, it's low on the functional fibrinogen read-out.

0:24:110:24:14

The only pertinent question is where to start sawing.

0:24:150:24:19

-Go ugly early.

-What?

0:24:190:24:21

With blast damage the blast forces particles -

0:24:210:24:23

earth, dirt, shrapnel - deep into the tissue.

0:24:230:24:26

There's an ortho team on the south coast that can take him.

0:24:260:24:29

Ms Karnik says we can have a chopper in 20 minutes.

0:24:290:24:32

He could be on their table in an hour.

0:24:320:24:33

You think a normal ortho unit knows blast damage?

0:24:330:24:37

You think they ate, breathed and slept this for four tours solid?

0:24:370:24:42

Give me a full vascular set, please.

0:24:450:24:47

He's not going anywhere.

0:24:490:24:51

Um, Ms Wolfe. Next of kin.

0:24:550:24:58

-He's 100% behind us, whatever we choose.

-OK.

-So let's choose!

0:24:590:25:03

-Or not.

-No, I want to... I just...

-No pressure. This is us.

0:25:030:25:08

We only have ourselves to please.

0:25:080:25:10

Once we've opened up we'll expose and excise the aneurysm.

0:25:120:25:15

What do you mean by "excise"?

0:25:150:25:17

Effectively we cut open the atrial septum and suck out the contents

0:25:170:25:20

so they don't spill out everywhere.

0:25:200:25:22

-And then we sew a patch onto the...

-A patch?

0:25:220:25:24

It's just a simple bovine patch to cover the hole.

0:25:240:25:27

-In time the heart tissue'll grow into the patch.

-Sorry, bovine?

0:25:270:25:30

-As in beef animal?

-Yes.

0:25:300:25:33

Bovine, as in related to sub family bovini

0:25:330:25:35

which includes cattle, buffalo and kudus?

0:25:350:25:38

-It's a surgical scaffolding patch.

-Made from a cow?

0:25:380:25:40

-It's the best way...

-You are not putting a piece of dead animal

0:25:400:25:43

inside my wife.

0:25:430:25:45

-It's...

-Is that absolutely clear?!

0:25:450:25:48

Girlfriend.

0:25:500:25:52

Technically fiancee, I suppose.

0:25:520:25:54

To be fair, I did give the ring back.

0:25:550:25:57

Er, we found it in his pocket.

0:25:570:26:00

Not so much "give".

0:26:040:26:05

Chucked it at his head, to be more accurate.

0:26:060:26:08

-Sorry.

-Don't be silly.

0:26:100:26:12

He'll lose his leg?

0:26:140:26:15

-Die?

-He's young. He's fit.

0:26:210:26:24

-We're trying to control the bleeding.

-That a yes or no?

0:26:240:26:27

We're doing everything we can. The next hour is critical.

0:26:270:26:31

-Can I see him?

-Not yet.

0:26:310:26:33

I'll let you know when he's stable.

0:26:330:26:35

If he wakes up, tell him...

0:26:350:26:37

Tell him, if he dies, I'll bloody kill him.

0:26:420:26:44

Will do, Corporal.

0:26:450:26:47

Military?

0:26:470:26:49

Major, Berkshire Rifles.

0:26:490:26:50

Always tell. Can take the girl out the military...

0:26:520:26:55

..can't take the military out of the girl.

0:26:550:26:57

Where is he? We're ahead of schedule and I have a slot available now.

0:27:100:27:13

-Lofty's looking after him. Bathroom?

-Looked.

0:27:130:27:16

-Visitor's room?

-Looked.

0:27:160:27:17

Call Lofty. He'll know where Jimmer is.

0:27:170:27:20

-BEEPING

-Otherwise I'm just going to take in Mr Harman's hernia.

0:27:200:27:22

Just call him.

0:27:220:27:23

Right, Mr Harman.

0:27:410:27:43

Do you even know who I am?

0:27:450:27:47

-To be perfectly honest, I couldn't...

-The Vegan Warrior.

0:27:470:27:50

It would be the same procedure no matter who...

0:27:500:27:53

"Warrior" as in I battle to protect my principles.

0:27:530:27:56

-I protest against man's abuse of the animal kingdom.

-I understand.

0:27:570:28:01

You see, I wouldn't suggest it if there was a viable alternative.

0:28:010:28:05

Are you seriously telling me, 2017,

0:28:050:28:08

and the best thing that you can come up with to repair my wife's heart

0:28:080:28:12

is a leather patch?

0:28:120:28:14

-There are alternatives.

-Finally, someone with ethical perspective.

0:28:140:28:17

Number one is a porcine patch.

0:28:170:28:19

-Porcine?

-Yes, a patch made out of pig tissue.

0:28:190:28:22

-It's not as effective as cow.

-That is not an alternative

0:28:220:28:25

-if it's derived from an animal.

-Then there's Teflon.

-Teflon?

0:28:250:28:28

Why didn't you mention that before? The obvious choice.

0:28:280:28:31

The body tends to reject it.

0:28:310:28:32

The argument for using bovine patches over Teflon ones

0:28:320:28:35

is there's no need to take anticoagulation.

0:28:350:28:37

There's also a greater risk of infection and possible embolism.

0:28:370:28:40

With all due respect, Mr Maryfield,

0:28:400:28:44

the patch isn't to be fitted inside YOUR body.

0:28:440:28:46

So it's a decision your wife will have to make.

0:28:460:28:49

Well, there is no way that she will allow you

0:28:490:28:52

to sew a piece of animal inside her. No way!

0:28:520:28:55

-There's no question. I'm having the bovine patch.

-You can't.

0:28:570:29:00

Well, what if I find I can't...love you any more?

0:29:010:29:04

What, because I've got a bit of bovine membrane inside me?

0:29:040:29:07

Yes.

0:29:070:29:09

What if I can...sense it?

0:29:090:29:11

Feel it?

0:29:110:29:13

-Thursday nights, yoga...

-What?

-..with Suzie.

-So?

0:29:130:29:17

After I've dropped her off

0:29:170:29:19

I sit in my car at Beaminster Market Square,

0:29:190:29:22

listen to the Red Hot Chili Peppers and I eat a sausage roll.

0:29:220:29:25

You do...what?

0:29:260:29:28

Yeah. Every Thursday for the last...ooh, two to three years.

0:29:280:29:32

I can't believe you could...

0:29:320:29:34

And I've got to be honest with you, James,

0:29:340:29:36

it's the highlight of my week.

0:29:360:29:39

I've had four inches of pig mince inside me every Thursday

0:29:390:29:42

and you never knew.

0:29:420:29:44

So I can hardly see how a slice of beef will make any difference.

0:29:440:29:47

I'm all yours. Let's go.

0:29:470:29:49

Hello.

0:29:590:30:01

Thought you might like a cup of tea.

0:30:010:30:03

I...

0:30:050:30:08

I had a fella in the Cumberland Artillery.

0:30:080:30:11

-He lost his leg in Afghanistan.

-Sorry.

0:30:120:30:15

No, I'm just saying

0:30:150:30:18

I have a lot of sympathy for what you're going through.

0:30:180:30:21

Did he ask you to marry him?

0:30:210:30:23

Yeah, he did, actually.

0:30:230:30:24

And how'd that work out?

0:30:260:30:28

-I think if you love someone...

-Did he want you to stop being a nurse?

0:30:280:30:31

No, not at all.

0:30:310:30:32

Did you tell him to stick his ring where the sun don't shine?

0:30:320:30:35

-Not exactly, no...

-Were you pregnant?

0:30:350:30:37

No.

0:30:390:30:41

No, I wasn't.

0:30:410:30:42

More suction, please.

0:30:500:30:52

I need this area clear.

0:30:570:30:59

It provides a gold-standard service,

0:31:000:31:03

excellent training for our junior surgeons...

0:31:030:31:05

None of that is in question.

0:31:050:31:06

All clinicians would agree this is exactly how trauma care

0:31:060:31:08

-should be delivered.

-So I came to observe how morale

0:31:080:31:12

is faring now that people have heard

0:31:120:31:14

that the Trauma Unit is closed...

0:31:140:31:16

Ms Wolfe's reaction was hardly surprising.

0:31:160:31:18

..and in all truth I can't really say

0:31:180:31:20

that I've ever seen it more busy.

0:31:200:31:23

She continues to admit patients.

0:31:230:31:25

Ms Wolfe is now treating a blast victim.

0:31:250:31:27

Denial, the first stage of grief.

0:31:270:31:30

There's another patient there on their way to theatre

0:31:300:31:33

from the defunct Trauma department?

0:31:330:31:35

I can't physically stop her.

0:31:350:31:37

So how's the bad-cop thing going?

0:31:370:31:39

She's refusing to listen.

0:31:400:31:41

And the reluctance of other consultants to rush to the aid

0:31:410:31:45

of Trauma today? Is that part of the bad-cop plan, too?

0:31:450:31:48

I would never endanger a patient.

0:31:490:31:51

It doesn't exactly help the patient, though, does it?

0:31:510:31:54

Ah. Where have you been?

0:32:050:32:07

I had to see a man about a dog.

0:32:070:32:09

-Well, you've missed your theatre slot.

-What?

0:32:090:32:11

Grumpy doc said one o'clock.

0:32:110:32:13

No, what he said is theatre times are fluid

0:32:130:32:15

-according to priorities.

-I'm ready now.

0:32:150:32:18

You've missed it. Why are you so hot?

0:32:180:32:21

I'm not used to being cooped up. Outdoors man, see?

0:32:210:32:24

-Where have you been?

-Bog.

-Just checked.

-Downstairs bog.

0:32:240:32:29

Laying a cable. You know the saying, "Never dump where..."

0:32:290:32:32

-Where's Nurse Chiltern?

-Who?

-Lofty?

-Oh, right, he...

0:32:320:32:35

Where were you? You missed your slot.

0:32:350:32:38

-You lot ask a lot of questions.

-Where's Nurse Chiltern?

0:32:380:32:40

-I've just asked him that.

-She just asked that.

0:32:400:32:43

Well, do you know where he is?

0:32:430:32:45

YOU'RE his bud, right?

0:32:450:32:47

Do you know where he is?

0:32:470:32:48

-He said you were his bud.

-Did he now?

-Deffo. Big. But...

0:32:480:32:52

there's something he's been keeping from you.

0:32:520:32:54

-Couldn't bring himself to tell you.

-And what would that be?

0:32:540:32:57

-Just came out. Schoom! Like a ferret out a badger sett.

-What did?

0:32:570:33:01

-His dog...

-What dog?

0:33:020:33:05

..died.

0:33:070:33:09

Loss of soft tissue over the anterior aspect of the ankle

0:33:150:33:19

with loss of the tibial pilon and exposed fragments of bone distally.

0:33:190:33:24

No palpable pulses.

0:33:240:33:26

Preferred treatment is amputation. Agreed?

0:33:260:33:29

I'll need to clamp the vessels on the groin upstream of the wound.

0:33:290:33:32

-Just give me the word.

-Principles of amputation are...?

0:33:320:33:35

To preserve the limb length.

0:33:350:33:37

Below the knee much better long term than above the knee. And?

0:33:370:33:40

Aim to ensure that the amputated stump is as painless as possible?

0:33:400:33:43

Painless, well-padded and easy to fit into a prosthetic.

0:33:430:33:45

No use preserving limb length if the stump's going to be agony.

0:33:450:33:49

Where shall we cut?

0:33:490:33:50

Well, perhaps our corporate assassin would like to give us her opinion.

0:33:530:33:57

Ms Karnik, you're good at chopping things off.

0:33:570:34:00

30% overlap at least.

0:34:070:34:09

None of you got dogs, do you?

0:34:250:34:26

See, takes one to know one. Speak the same language.

0:34:270:34:31

Why did he tell YOU about his dog?

0:34:310:34:34

Like... It's like...Albanians.

0:34:340:34:37

An Albanian could talk to another Albanian all day,

0:34:370:34:41

but put him in a room with a...a...Danish...

0:34:410:34:45

nothing.

0:34:450:34:47

-So he told you his dog had died?

-Whole story. Heartbreaking.

0:34:470:34:51

-Was this recent? Cos he's not said anything.

-Today.

0:34:510:34:54

About an hour ago.

0:34:540:34:55

-So an hour ago his dog died?

-He told me.

0:34:570:35:01

When did it die, the dog?

0:35:020:35:03

See, what you don't understand is how to talk to him about it.

0:35:030:35:08

He never once mentioned that...

0:35:080:35:11

See you... This, bud. All snappy and vinegar-faced at work...

0:35:110:35:15

"Do this, Nurse, do that, Nurse."

0:35:150:35:17

He's never going to open up to you.

0:35:170:35:19

What, he mentioned me specifically?

0:35:190:35:23

Where, if you sat down,

0:35:230:35:24

two pints of cider, two bags of pork scratchings...

0:35:240:35:27

Did he say he wanted to talk to me?

0:35:270:35:29

Come to think of it, might need some pies, too.

0:35:290:35:31

If it's a session, like.

0:35:310:35:33

I just... I don't understand why he never mentioned anything,

0:35:330:35:35

-that's all.

-Everything all right?

0:35:350:35:38

Yeah, er... He missed his slot.

0:35:380:35:40

Yeah, it was brought forward.

0:35:410:35:44

Oh, no. I'm so sorry.

0:35:440:35:45

-It's fine. We'll fit him in.

-It's OK, there'll be another slot.

0:35:470:35:50

It's no big deal.

0:35:510:35:53

What just happened?

0:35:540:35:55

-The bleeding is...?

-Shrapnel damage to the superficial femoral artery.

0:36:010:36:05

-Dealing with that now or later?

-Which would you suggest?

0:36:050:36:08

Quickest way would be to tie off the femoral artery.

0:36:080:36:10

Which I would not want to do because...?

0:36:100:36:12

It would starve the whole limb of blood

0:36:120:36:14

and we would prefer to amputate below the knee.

0:36:140:36:17

I think anyone would prefer to amputate below the knee.

0:36:170:36:19

So that's a no to tying-off. Knees are good.

0:36:190:36:22

If it was me, I'd perform a embolectomy,

0:36:230:36:26

-restore the blood flow to the SFA with a shunt.

-Would you?

0:36:260:36:29

Then we would feed the catheter into the artery

0:36:290:36:32

-to extract the clot distally.

-Ever done one of those, Ms Karnik?

0:36:320:36:35

Pass the scalpel, please.

0:36:370:36:38

This could get messy.

0:36:420:36:44

OK, now the moment of truth.

0:36:470:36:49

-Release the clamp?

-Yep, this is just to check for leaks.

0:36:500:36:53

We need to be quick to close the right atrium. Prepare to perfuse.

0:36:530:36:55

Clamp off.

0:36:550:36:58

Well, that's got to feel good.

0:37:050:37:07

-Not a single drop.

-No leaks.

-No stretch.

0:37:070:37:10

All it takes is the right kind of patch.

0:37:110:37:13

Very nearly....

0:37:190:37:21

-That is your clot, I believe.

-And we have circulation.

0:37:230:37:28

Neat work, Ms Karnik.

0:37:300:37:32

And it looks like the artery is back to normal.

0:37:320:37:35

Suture, please.

0:37:360:37:37

Be my guest.

0:37:410:37:43

Saw.

0:37:440:37:46

Two knees are better than one.

0:37:480:37:50

ELECTRIC SAW WHIRRS

0:37:530:37:56

There's absolutely no reason why you can't walk.

0:37:560:37:59

-He's looking this way.

-Is he?

0:37:590:38:01

All worried about you and everything.

0:38:050:38:07

He seriously believed I had a dog and the dog died?

0:38:070:38:10

-They all did.

-I love it.

0:38:100:38:12

Genius or what?

0:38:120:38:14

I've got to tell him the truth.

0:38:140:38:16

You've got to milk it like a nanny goat.

0:38:160:38:18

It just doesn't feel right.

0:38:180:38:19

Come on.

0:38:210:38:23

I know you hate grapes.

0:38:450:38:47

Thanks.

0:38:480:38:49

"Like crunching little monkey eyeballs."

0:38:500:38:53

How can anyone hate grapes?

0:38:550:38:57

What am I going to do?

0:38:580:39:00

-About the pineapple?

-This.

0:39:000:39:01

This doctor told me, halfway through the operation they found this.

0:39:070:39:11

Jammed up your loading hatch.

0:39:110:39:13

You know that's not true.

0:39:130:39:15

If you had it your way they'd be surgically removing it

0:39:170:39:20

from my eye socket.

0:39:200:39:21

Nah. Loading hatch is about right.

0:39:210:39:24

I thought I was doing the right thing.

0:39:240:39:27

Asking me to marry you? You were.

0:39:270:39:29

It was the bit after that you messed up.

0:39:290:39:31

Expecting you to quit your commission and leave the Army?

0:39:310:39:34

Bull's-eye.

0:39:340:39:35

-You're going to be a mum.

-You're going to be a dad.

0:39:350:39:38

Most mums don't want to spend their days getting shot at.

0:39:380:39:41

You saying I'm like most mums?

0:39:410:39:42

Most definitely am not.

0:39:440:39:46

So, are you still asking me to marry you, or not?

0:39:520:39:54

Why? Do you want me to be asking?

0:39:550:39:58

-Do you want to ask?

-If I was asking, what would you be answering?

0:39:590:40:03

-Oh, for God's sake! Ask her.

-I'm asking.

0:40:030:40:05

Well, if you're asking, I'm saying yes.

0:40:070:40:10

Really?

0:40:110:40:13

No, mate. I'm just pulling your leg.

0:40:130:40:15

Too soon?

0:40:180:40:20

Better get used to it, I suppose.

0:40:200:40:21

Right, so...this is how it goes.

0:40:320:40:35

No marquee. No big dress.

0:40:360:40:39

No stupid shoes. No speeches.

0:40:390:40:42

No cake. Profiterole volcano.

0:40:420:40:45

And it happens on Borth beach,

0:40:450:40:46

A 15-minute service followed by a two-day piss-up. Any questions?

0:40:460:40:51

None, Corporal.

0:40:510:40:53

Good, now just hold up your hands for me like you're holding a tray.

0:41:010:41:04

OK, that's very good, Jemima. I'll see you later.

0:41:070:41:10

Cerebral profusion normal on both sides.

0:41:130:41:16

-OK, thanks for helping out.

-Pleasure.

0:41:160:41:18

-Hey, what do you think?

-Of...?

0:41:180:41:21

Commissioning an exact copy - in silk, of course.

0:41:210:41:24

-You're not serious?

-Ivory rather than white?

0:41:280:41:30

Sorry, you want to dress me to look exactly like my mother did

0:41:320:41:36

when she got married?

0:41:360:41:38

Everyone said how gorgeous she looked.

0:41:380:41:40

No strings, remember?

0:41:410:41:43

You're doing exactly what I asked you not to do.

0:41:430:41:46

-Or are you finding excuses to delay your wedding...

-What?

0:41:460:41:49

..because you have doubts about what you're about to do?

0:41:490:41:51

CRASH

0:41:510:41:53

Well, every single one is different

0:41:550:41:57

and they flip-flop from day to day.

0:41:570:42:01

-He's tough, Jerry.

-It's often the tough that take it hardest.

0:42:010:42:05

They feel like they've lost the most.

0:42:050:42:07

He'll adapt. Change direction. You'll see.

0:42:080:42:11

If nothing else, Army prepares you to be flexible.

0:42:120:42:15

And you?

0:42:160:42:17

-Sure. I'm flexible, so long as I get my own way.

-Ha!

0:42:190:42:24

What you were talking about earlier...

0:42:250:42:29

About me wanting to go back to the Middle East, after....

0:42:300:42:33

I was in Kandahar when my kids were in Cheltenham.

0:42:340:42:37

And?

0:42:390:42:40

Well, it was definitely harder on them than it was on me.

0:42:400:42:44

I defuse bombs. I remove land mines.

0:42:460:42:49

Combat engineer?

0:42:500:42:52

I stop people - many of them children - from getting hurt.

0:42:520:42:55

Thing is, you get shot at, too..

0:42:570:43:00

It's what I'm trained for. Humanitarian initiative.

0:43:000:43:04

-Save lives, not take them.

-And you love what you do?

0:43:040:43:07

Nothing else comes near.

0:43:070:43:09

So far.

0:43:100:43:12

Are you saying that when I become a mum, that'll be better

0:43:130:43:16

than anything else ever and I'll just want to stay home and bake?

0:43:160:43:19

Well, it didn't happen like that for me.

0:43:190:43:22

Anyway, if he's as good a dad as he is a soldier, should be no problem.

0:43:230:43:27

Good luck.

0:43:280:43:29

-You ever miss it?

-The Army?

0:43:330:43:35

Like you wouldn't believe.

0:43:370:43:38

What?

0:44:040:44:06

-It's over.

-It's so not over.

0:44:060:44:08

However we play it, Trauma's going to close.

0:44:080:44:12

Over my dead body.

0:44:120:44:13

Let it go, Bernie. Just give it time.

0:44:130:44:17

We'll think of something new.

0:44:170:44:20

Is that it?

0:44:200:44:22

Is that all the fight you've got?

0:44:220:44:24

Sometimes it takes more than just fight.

0:44:240:44:27

Sometimes you have to know when to step back.

0:44:270:44:30

Do you know what you sound like?

0:44:330:44:35

An old man.

0:44:360:44:37

A sad, weak old man.

0:44:380:44:42

You've just closed my unit.

0:44:450:44:47

Ms Wolfe. I was rather expecting a visit, I must say.

0:44:470:44:49

Pick your fights, Ms Wolfe.

0:44:490:44:50

You of all people must know how important that is.

0:44:500:44:52

-Would you like some green tea?

-You closed my unit.

0:44:520:44:55

-You think

-I

-did that?

0:44:550:44:56

-Well, you rubber-stamped it.

-I had to comply

0:44:560:44:59

because I, like you, like everybody in the NHS of today,

0:44:590:45:02

-learns to fight the fights we can win.

-So you rolled over?

0:45:020:45:07

-Have you never cut off a foot to save a leg?

-All the time.

0:45:070:45:10

-A septic finger to save a hand?

-Yes, I get the point, Henrik!

0:45:100:45:13

The trauma unit was haemorrhaging money, draining funds from the AAU

0:45:130:45:16

to the point there was a danger the whole department

0:45:160:45:19

would have had to close.

0:45:190:45:20

So that's it. That's why Ric Griffin just caved.

0:45:220:45:26

He was scared of losing his department.

0:45:260:45:28

Ric Griffin caved, did he?

0:45:280:45:30

There was a time when our job was treating human beings,

0:45:300:45:34

was mending bodies, not brown-nosing bureaucrats.

0:45:340:45:37

Well, I'm quite sure I shouldn't tell you this

0:45:370:45:39

but Mr Griffin just came to me and offered his resignation

0:45:390:45:42

if by so doing the salary saving would secure your job.

0:45:420:45:45

Ric offered to leave to save me?

0:45:490:45:51

And I told him that we could of course find you another role

0:45:510:45:54

on an equal pay grade.

0:45:540:45:56

What other role? What another ward?

0:46:040:46:07

I'm trained to do trauma.

0:46:080:46:11

Yes, but there are departments within the hospital that could use

0:46:110:46:16

-your tremendous expertise.

-Name one.

0:46:160:46:19

Er, I'd have to just check the list of...

0:46:190:46:22

Name one!

0:46:220:46:24

Well, the hospital is now of course a centre of excellence

0:46:260:46:29

for hip-replacement revision.

0:46:290:46:30

And, um, they are planning an expansion of the...

0:46:320:46:36

FOOTSTEPS, DOOR SLAMS

0:46:360:46:39

Did you dream of bacon butties and chipolatas?

0:46:530:46:57

Oh, I'm sorry, James, I didn't...

0:46:570:46:59

Anyway, since your operation, I've thought of a new nickname for you.

0:46:590:47:05

Je-moo-mah.

0:47:050:47:06

Oh...

0:47:090:47:10

I think I did have a dream.

0:47:110:47:14

Something about a princess making a terrible mistake.

0:47:150:47:20

You're doing fine.

0:47:200:47:21

Better than that, the scan looks very good.

0:47:210:47:24

Ooh, I've got a surprise for you.

0:47:240:47:27

Jumbo sausage roll.

0:47:300:47:32

Why are we here?

0:47:360:47:38

Canine aerobic stimulation.

0:47:380:47:41

Dog walking.

0:47:440:47:46

Right, so this is what you were doing when you missed your slot?

0:47:520:47:54

Well, someone had to walk 'em.

0:47:540:47:56

Can't let my clients down. These dogs belong to busy people.

0:47:560:47:59

Judge, bank manager, chef, nurse, pole dancer.

0:47:590:48:03

Air conditioned, too. It's great, innit?

0:48:040:48:06

You both really, really like dogs?

0:48:060:48:09

Well, who doesn't?

0:48:090:48:10

Sorry, what are those?

0:48:110:48:13

I run, they chase. Just trying to reawaken a little bloodlust

0:48:140:48:18

in all those pampered city dogs.

0:48:180:48:20

I suppose you know what you look like in those.

0:48:200:48:24

-Rabbit, yeah.

-Yeah...

0:48:240:48:26

Look, Lofty, I'm sorry... I didn't know about your dog dying.

0:48:270:48:33

Yeah, er.. That's why I brought you here.

0:48:350:48:38

-You see, Jimmer was, um...

-Jerking your chain, bud. Big time.

0:48:380:48:44

Well, I'm sorry about charging in trying to rescue your wedding...

0:48:510:48:54

-That's it, you see.

-..and your relationship.

0:48:540:48:56

It doesn't need rescuing!

0:48:560:48:57

It's just that I know you've been going through

0:48:570:49:00

a tough time recently.

0:49:000:49:01

So sorry to hear about the abortion.

0:49:010:49:03

It's not something for you to be sorry about. We...

0:49:070:49:09

My grandchild, no, sure. And Ollie's affair with Jasmine.

0:49:090:49:13

I mean, these are very difficult things to have to deal with.

0:49:130:49:15

It was not an affair. It was when we were on a break.

0:49:150:49:18

We were on a definite break.

0:49:180:49:20

Was this before or after the abortion?

0:49:200:49:23

Don't do this.

0:49:230:49:24

Don't judge my relationship

0:49:240:49:26

by your weird view of what a relationship is.

0:49:260:49:28

Don't you think I know a thing or two

0:49:280:49:30

-about papering over cracks?

-I'm not papering over any cracks!

0:49:300:49:32

You are scared to your core about marrying Oliver Valentine.

0:49:320:49:35

I am not scared. You're jealous!

0:49:350:49:39

Of what? A life of mediocrity settling for second best?

0:49:390:49:42

-Ollie is not second best.

-Who said I was talking about Ollie?

0:49:440:49:47

-Well, then who are you...

-He's the one who's already lost

0:49:470:49:50

the love of his life.

0:49:500:49:51

Tara?

0:49:550:49:56

-You're saying I'm second best?

-I don't know, Zosia. You tell me.

0:49:590:50:02

You seem to be frightened of something.

0:50:030:50:06

So, Dr Copeland, can you take me through the procedure, please?

0:50:130:50:16

Sure. First we will make an incision through the epidermis,

0:50:160:50:19

the dermis and the fatty layer until we reach the fibrous capsule

0:50:190:50:24

-and we will shell it.

-Great.

0:50:240:50:25

HE LAUGHS

0:50:370:50:39

THEY ALL LAUGH

0:50:410:50:44

Ric, I...

0:51:010:51:03

You didn't have to rip it all out before the last patient's

0:51:030:51:06

even left the building.

0:51:060:51:07

Do you know how much those machines cost to lease,

0:51:070:51:09

-even just for one day?

-Nope. But I'm sure you do.

0:51:090:51:12

I do. Mr Griffin, I know exactly where every single pound is spent

0:51:120:51:17

and it scares me. It scares me the running of this department,

0:51:170:51:20

even the running of this hospital, is fast becoming untenable.

0:51:200:51:23

So you're doing us a service?

0:51:230:51:25

You think I'm the grim reaper?

0:51:260:51:28

-If the cap fits...

-Believe me, I am the fairy godmother.

0:51:280:51:33

There are shadows above me that would close Holby in a blink.

0:51:330:51:36

They'll never close Holby.

0:51:360:51:39

The amount of talent under this one roof...

0:51:390:51:41

It's not about talent, Mr Griffin. It's not about innovation

0:51:410:51:45

or even medicine. It is about targets and money.

0:51:450:51:48

You succeed or fail as a hospital on these. Nothing else.

0:51:490:51:53

If you believe that, then you have absolutely no right running...

0:51:530:51:55

-Leave it. Leave it, Ric.

-No, no.

-She's right.

0:51:550:51:57

It's a shame for you, a surgeon...

0:51:570:51:59

And if she is half as good an administrator as she is a surgeon,

0:51:590:52:03

she's exactly what you need.

0:52:030:52:05

-Exactly what

-I

-need?

0:52:090:52:11

We're all going to go and do a fun run after work today,

0:52:180:52:22

-pre-marathon.

-Cool, I'd love to join in.

0:52:220:52:25

Yeah, well, it's a dress rehearsal before the main event.

0:52:250:52:29

Good.

0:52:290:52:31

So we're going to keep him in for 24 hours and as long as there's no

0:52:310:52:34

major fluid leakage, then he can go.

0:52:340:52:37

On it.

0:52:370:52:38

Dress rehearsal?

0:52:390:52:40

Yeah.

0:52:400:52:42

Yeah, so people can try out their costumes.

0:52:420:52:45

Well, it's a charity thing.

0:52:460:52:47

-People like to dress up as silly things.

-Course, yeah.

0:52:470:52:52

Star Wars characters, animal costumes, that kind of thing.

0:52:520:52:55

Well, don't worry if you're the only one that hasn't got a costume.

0:52:570:53:00

-No...

-Bunny ears.

0:53:000:53:01

-Yes!

-Yeah, that could work.

-Got a bunny tail, too.

0:53:020:53:06

-Great. Can I...?

-Natch.

0:53:060:53:08

Right, save the date. 19th September is our wedding

0:53:210:53:25

and you're all invited.

0:53:250:53:27

I hate weddings.

0:53:290:53:31

-Che bello. Congratulations.

-Thank you.

0:53:310:53:34

Congratulations. Great photo.

0:53:340:53:35

-Congratulations.

-Don't think I don't know what you're doing.

0:53:380:53:41

Trying to get your hooks into me. It won't work.

0:53:410:53:43

I only want you to be happy,

0:53:430:53:45

-and if you think you can be happy with him...

-With Ollie?

0:53:450:53:47

Yes, and I will be marrying him.

0:53:470:53:49

So stop trying to force your memories of my mother onto me -

0:53:490:53:52

I have my own. And I have future memories to make with Ollie.

0:53:520:53:55

Well, good luck.

0:53:550:53:56

You've just forfeited any right to be a part of that.

0:53:560:53:59

Remember, everyone, it's just for fun, so don't go mad, yeah?

0:54:100:54:14

All your fivers need to go in the Holby marathon bucket.

0:54:140:54:17

And remember to stretch before and after.

0:54:170:54:20

-Hey, Lofty!

-LAUGHTER

0:54:220:54:26

I thought we were all wearing silly costumes.

0:54:260:54:29

It's game on, OK?

0:54:300:54:32

Serena said to show you this...

0:54:350:54:37

I take it that you're not going to hip replacement, then?

0:54:400:54:43

..and get back to us...

0:54:430:54:45

So...

0:54:460:54:48

where are you going?

0:54:480:54:49

Eurostar. South of France. Tomorrow morning.

0:54:490:54:53

Grape picking? That's brilliant.

0:54:530:54:56

And then Sudan.

0:54:560:54:58

Not the front line?

0:54:580:55:00

Military field hospital.

0:55:000:55:02

Humanitarian medicine.

0:55:020:55:04

Going soft?

0:55:060:55:08

Heading back to a war zone with a piece of Holby in my heart.

0:55:080:55:11

Helping with civilians who need help the most.

0:55:130:55:16

It's like a little bit of Ric Griffin rubbed off on me.

0:55:190:55:22

HORN

0:55:240:55:26

-We're off!

-Come on, then.

0:55:270:55:29

Hello!

0:55:350:55:37

Oh...

0:55:460:55:48

This is where I... This is where I go.

0:55:480:55:51

Aren't you going to say goodbye?

0:55:540:55:55

Think we've had enough of goodbyes.

0:55:570:55:59

Serena wants you to come, too. Pick some grapes.

0:56:010:56:05

Do a proper day's graft for once in your life.

0:56:050:56:07

Bernie's mettle is put to the test when a trauma patient forces her to reconsider what she wants out of life.

Ollie and Zosia are caught off guard when they are made a surprise offer by Guy, but is all as it seems?

Lofty tries to win Dominic round when he realises he's on the receiving end of the cold shoulder.