0:00:02 > 0:00:05If we're going to work together, I need to know you're going to be OK.
0:00:05 > 0:00:07Occupational health?
0:00:08 > 0:00:11If I say, "Jump," you say, "How high?" Is that clear?
0:00:11 > 0:00:12Crystal.
0:00:15 > 0:00:16What was that?
0:00:16 > 0:00:20I kissed you because I find you attractive.
0:00:21 > 0:00:24These scans are from a woman in her late 20s
0:00:24 > 0:00:26who presented with a brain tumour.
0:00:26 > 0:00:27How dare you use my wife like that!
0:00:27 > 0:00:29It was a horrible, upsetting mistake,
0:00:29 > 0:00:31but it doesn't need to be any more to it than that,
0:00:31 > 0:00:35unless Tara does still mean more to you than you're willing to admit.
0:01:18 > 0:01:20So, how long do you think I should leave it,
0:01:20 > 0:01:23if Jac doesn't say anything?
0:01:23 > 0:01:25Oh, don't worry about it. You don't need a strategy.
0:01:25 > 0:01:28It's my ST3 placement - I don't want to wait the entire day.
0:01:28 > 0:01:30SIRENS WAIL
0:01:30 > 0:01:31Hello?
0:01:31 > 0:01:33Sorry - miles away.
0:01:33 > 0:01:35Last day on AAU, you know?
0:01:35 > 0:01:38Right, and you couldn't possibly be thinking about anything else?
0:01:38 > 0:01:40Listen, I get it...about Tara.
0:01:40 > 0:01:41You're right to care.
0:01:41 > 0:01:43It's why I love you.
0:01:43 > 0:01:46You sure you don't want to ask Dad about the scans?
0:01:46 > 0:01:47I love the way you are completely sure
0:01:47 > 0:01:50that your dad's going to make himself scarce after we're married.
0:01:50 > 0:01:52Oh, and I love the way you beat your chest
0:01:52 > 0:01:55like a big silverback gorilla whenever he's around...
0:01:55 > 0:01:57- Morning.- Morning.- Morning.
0:01:57 > 0:01:59Do you think he heard that?
0:01:59 > 0:02:00I hope so.
0:02:08 > 0:02:09I thought I'd see you out there this morning.
0:02:09 > 0:02:11Look, if we're running together,
0:02:11 > 0:02:13it won't be much fun if you're lagging behind.
0:02:13 > 0:02:15I won't be lagging behind.
0:02:15 > 0:02:16I just started a little later.
0:02:18 > 0:02:20I've been trying to fit training around
0:02:20 > 0:02:23my very busy and important schedule.
0:02:23 > 0:02:26What, like spending the entire lunch break gossiping on WhatsApp?
0:02:26 > 0:02:27I'm in training -
0:02:27 > 0:02:29gossip is my only sustenance!
0:02:30 > 0:02:31Shallow? Much?
0:02:31 > 0:02:33I am not shallow.
0:02:33 > 0:02:36- Race you up the stairs!- Oh, no...
0:02:36 > 0:02:38You've got to see this - world's clumsiest man ever.
0:02:38 > 0:02:40- Have you seen Ms Naylor? - What, you in trouble?
0:02:40 > 0:02:42What? No.
0:02:42 > 0:02:43- Dr March.- Yes.- We need to talk.- OK.
0:02:43 > 0:02:45Claire Hatbridge. Minor RTC.
0:02:45 > 0:02:48AAU are sending her up - palpitations, tachycardic,
0:02:48 > 0:02:50chest pain intensified when supine.
0:02:50 > 0:02:52- Oh, and, Dr March?- Yes? - Be ready for rounds in ten.
0:02:54 > 0:02:56Was not the "big chat" I was hoping for.
0:02:56 > 0:02:58MATTEO CLEARS HIS THROAT
0:02:58 > 0:02:59She's got to have decided by now.
0:02:59 > 0:03:01I would say so.
0:03:01 > 0:03:03- You think she's playing me? - She's Jac Naylor.
0:03:03 > 0:03:04Let her have her fun.
0:03:06 > 0:03:07SHE SIGHS
0:03:09 > 0:03:10Yes!
0:03:18 > 0:03:20OK. I'll see you on the, er...
0:03:25 > 0:03:27And look left for me.
0:03:27 > 0:03:29Have you seen my sister? She was just here.
0:03:29 > 0:03:30Her name's Claire.
0:03:30 > 0:03:33She's being examined on another ward as a precaution.
0:03:33 > 0:03:35Could you tell me what this is?
0:03:35 > 0:03:37Low-cost home.
0:03:37 > 0:03:40High ceilings for a spacious feel...
0:03:40 > 0:03:42No, I mean, what is that?
0:03:44 > 0:03:46Erm, that's a door?
0:03:46 > 0:03:49Mm. I'm just testing your cognitive function.
0:03:49 > 0:03:50Got you. Erm...
0:03:50 > 0:03:53That's a door, those are windows.
0:03:53 > 0:03:54OK, that's fine.
0:03:54 > 0:03:56I'll need to do a few more tests, but the good news is,
0:03:56 > 0:03:59I'm going to send you up to join your sister on Darwin.
0:03:59 > 0:04:01So, you've seen her? She's OK, right?
0:04:01 > 0:04:04Well, I'm sure my colleagues in CT will be looking after her.
0:04:04 > 0:04:05Excuse me for one moment.
0:04:07 > 0:04:08I hear you've nailed down the venue.
0:04:08 > 0:04:11Stunning manor house, great photos on the site.
0:04:11 > 0:04:12We're pretty happy with it.
0:04:12 > 0:04:14Oliver, about those scans...
0:04:15 > 0:04:17I sent them for a second opinion.
0:04:17 > 0:04:19Right, I think that's a good idea.
0:04:19 > 0:04:21I thought so too.
0:04:21 > 0:04:23It's just a shame a second opinion wasn't asked for at the time.
0:04:26 > 0:04:29It's only a bruise. Hit my chest on the steering wheel.
0:04:29 > 0:04:31We still need to check it out.
0:04:31 > 0:04:32Echo, CT scan and X-ray?
0:04:32 > 0:04:35- Yeah. Let's start with that. - How long before I can go?
0:04:35 > 0:04:36We'll know more soon.
0:04:36 > 0:04:38Ms Naylor, what's your schedule like today?
0:04:38 > 0:04:40- Very busy.- Hey, Doctor...
0:04:40 > 0:04:41- Zosia...- Oh, f...
0:04:43 > 0:04:45Bit of a frosty one.
0:04:45 > 0:04:47Look, can you help me out?
0:04:47 > 0:04:50Me and my sister have got this massive presentation.
0:04:50 > 0:04:52I think you need to consider postponing it.
0:04:52 > 0:04:55I'm not sure I can guarantee when you'll be discharged.
0:04:55 > 0:04:58I can't. Today's the big pitch day. It's a tender.
0:04:58 > 0:05:00Five of us contractors bidding to build 80 homes.
0:05:00 > 0:05:03- Wow, big business. - Oh, Claire! Are you OK?
0:05:03 > 0:05:04Of course I am.
0:05:04 > 0:05:07At least it was us that got bashed up and not our pitch material.
0:05:08 > 0:05:11You look like a lady who'd do me a nice little favour.
0:05:11 > 0:05:12Would you slip my tests in first?
0:05:12 > 0:05:14Claire!
0:05:14 > 0:05:15Sorry about her.
0:05:15 > 0:05:16I can't let you skip the queue.
0:05:16 > 0:05:19But I can get your tests started as soon as possible.
0:05:19 > 0:05:21Can't blame me for trying.
0:05:34 > 0:05:36Ah, there you are. Been looking for you.
0:05:36 > 0:05:38Need you out there as soon as possible, mate.
0:05:38 > 0:05:39Coming.
0:05:39 > 0:05:42You're not dabbling in a bit of neurosurgery on the side, are you?
0:05:43 > 0:05:44These are Tara's scans.
0:05:44 > 0:05:46Oh, erm...
0:05:46 > 0:05:50Guy thinks that Roxanna MacMillan, her surgeon, made a mistake.
0:05:50 > 0:05:53Some vital pre-op tests were missed.
0:05:55 > 0:05:56Well, that's potentially massive.
0:05:56 > 0:05:58It's potentially negligent, so...
0:05:58 > 0:06:01I have someone at St James's taking a look at them for me.
0:06:01 > 0:06:04Should have the verdict in a couple of days or so.
0:06:05 > 0:06:09Erm, why don't you try and just put this to one side, you know,
0:06:09 > 0:06:12at least until you get the report back? I mean...
0:06:12 > 0:06:14I want to make sure that I haven't missed anything.
0:06:14 > 0:06:18But torturing yourself isn't going to help you.
0:06:19 > 0:06:22Try and give yourself a break from it, that's all.
0:06:29 > 0:06:30OK.
0:06:32 > 0:06:33See you on the dance floor.
0:06:35 > 0:06:38We're just waiting for the results of the CT scan
0:06:38 > 0:06:39and the lumbar puncture
0:06:39 > 0:06:42to make absolutely certain that everything is fine.
0:06:42 > 0:06:44- You mean she's going to be OK? - Well, if the tests are clear,
0:06:44 > 0:06:46I'll observe you for a couple of hours and then you can go.
0:06:46 > 0:06:49So when do I get the green light?
0:06:49 > 0:06:50I'm sure CT will be as quick as they can.
0:06:50 > 0:06:52You have to let them check you over properly.
0:06:52 > 0:06:54Fine, but can they get a wiggle on?
0:06:54 > 0:06:56We can't miss this pitch.
0:06:56 > 0:06:58We'll phone. Surely they'll understand?
0:06:58 > 0:07:00There's no point unless this lot pull their fingers out.
0:07:00 > 0:07:02- Doctor?- Yeah?
0:07:02 > 0:07:05She's had her results already. Any sign of mine?
0:07:05 > 0:07:06Just be patient, will you?
0:07:06 > 0:07:08This is important.
0:07:08 > 0:07:09It was you jumping that light
0:07:09 > 0:07:11that got us in this mess in the first place.
0:07:11 > 0:07:13- Excuse me!- I'll call the lab.
0:07:13 > 0:07:15WHISPERS: I did not jump the light.
0:07:15 > 0:07:17- Yes, you did, you were distracted!- Shh!
0:07:17 > 0:07:20Still waiting for Jac to deliver her verdict.
0:07:20 > 0:07:21I will wait her out!
0:07:21 > 0:07:23Well, she'd be mad to let you go.
0:07:23 > 0:07:25Oh, thanks, Dad.
0:07:25 > 0:07:28Listen, um, Ollie told me about Tara's scans.
0:07:28 > 0:07:30Are you all right?
0:07:30 > 0:07:32Well, if it's important to him, it's important to me.
0:07:34 > 0:07:35- You all right?- Yeah.
0:07:35 > 0:07:38It's just that I missed my morning double espresso.
0:07:43 > 0:07:45THEY CHEER
0:07:45 > 0:07:47OK. OK. Better late than never.
0:07:51 > 0:07:53This is getting weird now.
0:07:53 > 0:07:56These are my special brownies. I made them for you.
0:07:56 > 0:07:58- Why?- Because it's your last day, wally!
0:07:58 > 0:08:00You did this for me?
0:08:00 > 0:08:02And, er, your card, m'lord.
0:08:02 > 0:08:04Oh!
0:08:04 > 0:08:07And, listen, I just wanted to say, from all of us, a massive thank you.
0:08:07 > 0:08:10You've been... Well, you've been solid, mate.
0:08:10 > 0:08:12THEY CHEER
0:08:13 > 0:08:16It's from the hospital shop. I mean, we don't love you that much,
0:08:16 > 0:08:18otherwise we would have gone designer.
0:08:21 > 0:08:23Leave it.
0:08:23 > 0:08:24The surgeon's doing his rounds.
0:08:24 > 0:08:26OK. Whatever.
0:08:27 > 0:08:29Cool cap.
0:08:29 > 0:08:32Listen, mate, I know you're trying to do the whole
0:08:32 > 0:08:34matey nurse-patient-bonding thing,
0:08:34 > 0:08:36but I'm not really in the mood.
0:08:36 > 0:08:37Toby Price?
0:08:37 > 0:08:39Hi, I'm Sacha Levy, this is Dr Copeland.
0:08:39 > 0:08:42We're going to be doing your varicose-vein surgery today.
0:08:42 > 0:08:43All right. Keep it down.
0:08:43 > 0:08:46Mr Price is concerned about his privacy.
0:08:46 > 0:08:50It's fine. I just don't like people staring at me.
0:08:50 > 0:08:53Oh, I thought you were just hiding an ugly haircut.
0:08:53 > 0:08:54The haircut the girls like -
0:08:54 > 0:08:57the lumpy veins, not so much.
0:08:57 > 0:08:59Could you stand for me, please?
0:09:03 > 0:09:04Right...
0:09:06 > 0:09:08An old ulcer on that one.
0:09:08 > 0:09:10Did you get a cut or a knock of some kind?
0:09:10 > 0:09:13Fell over. Can't believe I've got varicose veins at my age.
0:09:15 > 0:09:17You are a...removal man.
0:09:17 > 0:09:19Well, it's not completely unheard of
0:09:19 > 0:09:21for somebody in their 20s to get varicose veins,
0:09:21 > 0:09:23especially when they're on their feet all day.
0:09:23 > 0:09:25And I suppose you thought that sweat patches
0:09:25 > 0:09:27were the worst of your occupational hazards.
0:09:27 > 0:09:29On the bed for me.
0:09:30 > 0:09:32You try smelling fresh, mate,
0:09:32 > 0:09:34after you've shifted the entire contents of a flat
0:09:34 > 0:09:36down five flights of stairs.
0:09:36 > 0:09:39We're going to perform a high tie and strip on the right leg.
0:09:39 > 0:09:42We're going to remove the veins and then your problems will be over.
0:09:44 > 0:09:46Can you close the curtains now, please?
0:09:46 > 0:09:47Yeah, sure.
0:09:55 > 0:09:56We're OK, right?
0:09:56 > 0:09:58Yeah, of course. Why wouldn't we be?
0:10:05 > 0:10:06I know you've made a decision
0:10:06 > 0:10:08and I'd like you to put me out of my misery.
0:10:08 > 0:10:10OK.
0:10:10 > 0:10:12You might want to sit down for this.
0:10:16 > 0:10:18Congratulations.
0:10:18 > 0:10:21You've been accepted for the neuro placement you applied for.
0:10:24 > 0:10:25That was strictly a backup.
0:10:26 > 0:10:29My passion is cardiothoracics, you know that.
0:10:29 > 0:10:33Good. Because the CT interview panel were bowled over too.
0:10:33 > 0:10:37I'm delighted to offer you an ST3 cardiothoracic placement on Darwin.
0:10:37 > 0:10:38SHE SIGHS
0:10:38 > 0:10:41There was a nice way of doing that.
0:10:41 > 0:10:43I've been in touch with an old colleague of mine, Ellen Peltz.
0:10:43 > 0:10:47- She's...- One of the world's leading cardiothoracic surgeons.
0:10:47 > 0:10:51I've put together a very attractive Out of Programme Experience for you.
0:10:51 > 0:10:55Ms Peltz has agreed to offer you a six-month residential placement
0:10:55 > 0:10:58at Yale School of Medicine.
0:10:59 > 0:11:00Yale?
0:11:02 > 0:11:04That's amazing.
0:11:04 > 0:11:06This is your ticket to a seat at the big girls' table.
0:11:07 > 0:11:09Six months living in the States.
0:11:09 > 0:11:12Well... Thank you.
0:11:12 > 0:11:14Sorry, it's quite a lot to take in.
0:11:14 > 0:11:17Well, you'd better get used to it - you start in a fortnight.
0:11:19 > 0:11:21Any flexibility on the dates?
0:11:22 > 0:11:24Why would you ask?
0:11:24 > 0:11:27It's just Ollie and I are getting married in a month.
0:11:27 > 0:11:28- And?- And...
0:11:28 > 0:11:31I totally understand if the placement can't be moved.
0:11:31 > 0:11:32It can't.
0:11:32 > 0:11:35And to be absolutely clear with you,
0:11:35 > 0:11:38this is an integral part of your ST3 placement.
0:11:38 > 0:11:40I've worked for months to make this happen -
0:11:40 > 0:11:42so, no Yale, no Darwin.
0:11:42 > 0:11:44Right, of course.
0:11:44 > 0:11:46Ollie and I will sort something out.
0:11:46 > 0:11:49I would just like to let him know the change of plan
0:11:49 > 0:11:50before I commit 100%.
0:11:50 > 0:11:53Well, the offer's open till the end of the day. Goodbye.
0:11:59 > 0:12:02Well, it looks like someone's been enjoying themselves.
0:12:02 > 0:12:04There are women who pride themselves
0:12:04 > 0:12:08on their pared-down, minimalist capsule wardrobe.
0:12:08 > 0:12:09I am not one of them.
0:12:12 > 0:12:15I fainted and fell down some steps at the mall.
0:12:15 > 0:12:17Stupid.
0:12:17 > 0:12:19Have you fainted more than once recently?
0:12:19 > 0:12:20Couple of times maybe.
0:12:20 > 0:12:23Didn't want to make a big old drama out of it.
0:12:23 > 0:12:25PHONE RINGS
0:12:25 > 0:12:27PHONE SWITCHED OFF Ow!
0:12:27 > 0:12:30OK, yeah. We've got some abdominal pain and high temperature
0:12:30 > 0:12:31as well as the fainting spells.
0:12:31 > 0:12:33Well, I'm staying optimistic.
0:12:33 > 0:12:36If you believe everything will work out fine, it generally does.
0:12:36 > 0:12:38Well, if that strategy works for you.
0:12:38 > 0:12:40Cynics can be so adorable.
0:12:42 > 0:12:47LFT, FBC, abdominal ultrasound and a head CT scan.
0:12:47 > 0:12:50Mr Valentine will be back to run some tests.
0:12:51 > 0:12:52We'll be sorry to lose you.
0:12:52 > 0:12:54I'll be sorry to go.
0:12:54 > 0:12:56Didn't expect to enjoy it quite so much.
0:12:56 > 0:12:58I'm going to have some difficulty replacing you.
0:12:58 > 0:13:00With Trauma closing and Bernie gone,
0:13:00 > 0:13:03I'm going to need a good right-hand man that I can trust.
0:13:03 > 0:13:07Have you thought about making a permanent move to AAU?
0:13:07 > 0:13:08You mean retrain?
0:13:08 > 0:13:13You'd have to clear it with the Deanery and with Ms Naylor.
0:13:13 > 0:13:15But if it's something that you wanted,
0:13:15 > 0:13:18I'd be very happy to support your application.
0:13:19 > 0:13:21Well, I'm flattered.
0:13:22 > 0:13:26But...I can't change at this point in my career.
0:13:26 > 0:13:28Cardiothoracics, it's...
0:13:28 > 0:13:30it's just my path.
0:13:30 > 0:13:33Well, don't dismiss it out of hand.
0:13:33 > 0:13:35You've shown a real passion for this work,
0:13:35 > 0:13:38and all I ask is that you give it some thought.
0:13:45 > 0:13:46Ollie is going to understand -
0:13:46 > 0:13:48he's going to be really happy for you.
0:13:48 > 0:13:52You just need to be straight with him, and don't apologise!
0:13:52 > 0:13:55This is your big chance to go and become a world-famous CT surgeon.
0:13:55 > 0:13:58Makes my placement on Keller seem a tad pedestrian.
0:13:58 > 0:14:02Yes, but uprooting my life and moving 3,000 miles away
0:14:02 > 0:14:04when I might not even cut it!
0:14:06 > 0:14:09Plus, I was kind of looking forward to the reception.
0:14:09 > 0:14:10Is Ollie DJ'ing?
0:14:10 > 0:14:12- Yes.- Oh!
0:14:12 > 0:14:16Ever since Mo's leaving do, he thinks he's DJ Yoda.
0:14:20 > 0:14:24But that would free me up for a first dance with my best man.
0:14:28 > 0:14:30I'm going to really miss you.
0:14:31 > 0:14:34But I'm going to Skype you every single day.
0:14:34 > 0:14:35There will be no escape.
0:14:37 > 0:14:39Maybe you can keep Ollie on track with the wedding plans
0:14:39 > 0:14:40till I get back.
0:14:42 > 0:14:43Right, I need to get on.
0:14:43 > 0:14:46Since you've made this conversation entirely about you,
0:14:46 > 0:14:48you will have to wait to hear about my exciting,
0:14:48 > 0:14:51if somewhat weird, romantic developments.
0:14:51 > 0:14:52Love you.
0:14:52 > 0:14:54Oh, don't! I'm going to end up having an emotional.
0:14:55 > 0:14:59And remember what I said about Ollie. When you talk to him...
0:14:59 > 0:15:02Tell him straight and do not apologise.
0:15:02 > 0:15:04Excellent. Well done.
0:15:06 > 0:15:11I don't normally like being around cynical people. They drag you down.
0:15:11 > 0:15:13But you're OK, for a pessimist.
0:15:13 > 0:15:16I prefer the term realist.
0:15:16 > 0:15:18How long have you had the fainting spells?
0:15:19 > 0:15:21Couple of weeks, maybe.
0:15:21 > 0:15:23And "fainting spells" makes me
0:15:23 > 0:15:26sound like a corseted lady in a Victorian novel.
0:15:26 > 0:15:28I should be so lucky.
0:15:28 > 0:15:30So you're under a bit of stress right now?
0:15:31 > 0:15:35Only if you count starting a new career.
0:15:35 > 0:15:38I've set myself up as a financial astrologer.
0:15:38 > 0:15:41Oh, tell me, am I going to be fabulously wealthy?
0:15:41 > 0:15:43Serious investors only.
0:15:45 > 0:15:47I'm guessing, financially speaking,
0:15:47 > 0:15:49you and I are probably on different planets.
0:15:49 > 0:15:51Oh, we're in separate galaxies.
0:15:53 > 0:15:57I've just booked my dream safari holiday as a little reward.
0:15:57 > 0:16:01Well, your scans are clear.
0:16:01 > 0:16:02No head injury.
0:16:03 > 0:16:06See? Trust the future.
0:16:07 > 0:16:09Thank you.
0:16:16 > 0:16:19PHONE RINGS
0:16:23 > 0:16:26Small hitch, but if they could see us last up?
0:16:26 > 0:16:28At the end of the day?
0:16:32 > 0:16:34Lovely! You're a star!
0:16:35 > 0:16:38- So?- He'll put it to the panel and get back to us.
0:16:38 > 0:16:41Ms Hatbridge, we're here to talk about your test results.
0:16:41 > 0:16:43Your scans show a pericardial effusion,
0:16:43 > 0:16:45caused by the chest trauma.
0:16:45 > 0:16:48It's an accumulation of fluid in the sac around the heart.
0:16:48 > 0:16:50We need to perform an operation
0:16:50 > 0:16:53to drain the fluid from the pericardium.
0:16:53 > 0:16:54Not now?
0:16:54 > 0:16:56The pressure of the fluid
0:16:56 > 0:16:59means that the chambers in the heart can't fill up properly.
0:16:59 > 0:17:01You're at risk of heart failure and stroke.
0:17:01 > 0:17:05If you've any interest in living, then you'll have the operation.
0:17:05 > 0:17:07I practically sold myself to get our meeting moved.
0:17:07 > 0:17:09Oh. Jumped the gun, then, haven't you?
0:17:09 > 0:17:10Have you seen him?
0:17:10 > 0:17:13Yes! My niece showed me this guy on her laptop.
0:17:13 > 0:17:15Have you seen the one where he trips over the cat?
0:17:15 > 0:17:16It's priceless! Really good.
0:17:16 > 0:17:18- PHONE RINGS Ooh. Your dad's ringing.- Oh.
0:17:20 > 0:17:24- That's not my dad. It's his care home.- Oh.
0:17:24 > 0:17:27Your spleen's looking healthy. Good arterial flow.
0:17:27 > 0:17:28Can I...? Do you mind?
0:17:28 > 0:17:30Go ahead.
0:17:32 > 0:17:37Wow! Now, my wardrobe is fierce, but this is gorgeous. Well done!
0:17:37 > 0:17:40And it also cost more than my last holiday.
0:17:40 > 0:17:43Just because I'm an astrologer doesn't mean
0:17:43 > 0:17:46I have to go around wearing crushed velvet and wacky wooden jewellery.
0:17:46 > 0:17:49OK, your ultrasound's showing you have a gallbladder infection.
0:17:49 > 0:17:51Oh, you guys'll sort that out, right?
0:17:52 > 0:17:54I'll go and talk to the consultant
0:17:54 > 0:17:57and we'll be back to discuss your treatment plan.
0:17:57 > 0:17:59Nurse, could you...?
0:17:59 > 0:18:00Yes.
0:18:00 > 0:18:03- Congratulations! Yale is a...- Shh!
0:18:03 > 0:18:07Just don't say anything to Ollie, OK? I haven't told him yet.
0:18:07 > 0:18:10- Because it clashes with your wedding?- Oh!
0:18:10 > 0:18:13That must be tough, to have all your plans thrown up in the air.
0:18:15 > 0:18:18I'd hate to land this on him now. He's got a lot on his mind.
0:18:18 > 0:18:20Hm. Do you think it would it help
0:18:20 > 0:18:23if I were to apologise again about the scans?
0:18:23 > 0:18:24Just let it go.
0:18:24 > 0:18:27As soon as he gets the answers to his questions,
0:18:27 > 0:18:28he'll feel a lot lighter.
0:18:28 > 0:18:30Of course. I'll be guided by you.
0:18:38 > 0:18:39Clumsy Guy!
0:18:39 > 0:18:41It was in the Holby Gazette.
0:18:41 > 0:18:43Bunch of bloopers gone viral.
0:18:43 > 0:18:45This one's had over 100,000 hits, look!
0:18:45 > 0:18:50'Here he comes. Here he comes. I swear... I swear, every time...
0:18:51 > 0:18:54'Ow! What an idiot!'
0:18:54 > 0:18:55Brilliant.
0:18:55 > 0:18:58Looks like Toby's mates been playing pranks on him and putting it online.
0:18:58 > 0:18:59He's got a whole channel!
0:18:59 > 0:19:01And Toby's the star.
0:19:01 > 0:19:04Well, I'm glad I've got no-one following me around
0:19:04 > 0:19:06filming every stupid thing that I do.
0:19:07 > 0:19:09Kayleigh, I have your results.
0:19:09 > 0:19:12Good news. The CT scan and the lumbar puncture are fine.
0:19:12 > 0:19:13Lovely. Thank you.
0:19:13 > 0:19:15Wow, Kayl. Your lucky day.
0:19:15 > 0:19:17Well, if your luck holds out I should be able...
0:19:17 > 0:19:20So, do you want to start going through the pitch?
0:19:20 > 0:19:21Are you serious?
0:19:21 > 0:19:23Deadly. It looks like I'm going to be our only chance.
0:19:23 > 0:19:25You've got to be direct. Focused.
0:19:25 > 0:19:28I only said I thought the windows should be bigger.
0:19:28 > 0:19:30- Could we, erm...?- We're not chasing the oligarchs' wives market!
0:19:30 > 0:19:32This is affordable housing.
0:19:32 > 0:19:35Then you didn't need to go and crash the car over it, did you?
0:19:35 > 0:19:37- Ladies, please. - We agreed on the design.
0:19:37 > 0:19:39You bulldozed it through. You always do.
0:19:39 > 0:19:41What do you think of the model?
0:19:42 > 0:19:45Er, well, it looks practical. A bit boxy.
0:19:45 > 0:19:48And I argued for thinking outside the box.
0:19:48 > 0:19:50Well, excuse me for actually trying to make a profit here.
0:19:50 > 0:19:52Look, I'll get back to you in a couple of hours.
0:19:52 > 0:19:55If all goes well, I'll discharge you then.
0:20:01 > 0:20:04OK, your operation shouldn't be too long.
0:20:10 > 0:20:13Look, er, I think I know why you're on edge,
0:20:13 > 0:20:14and I want you to know
0:20:14 > 0:20:17- there's absolutely no reason why you should feel bad.- Great.
0:20:17 > 0:20:19That's exactly what Jamal says every time
0:20:19 > 0:20:21he posts one of his stupid little clips.
0:20:21 > 0:20:24No, I just mean...a lot of people would enjoy the celeb attention.
0:20:24 > 0:20:25Can't talk to a girl in the pub
0:20:25 > 0:20:27without her sniggering at me with her mates.
0:20:27 > 0:20:30Buy a pint of milk and some bloke in the shop yells, "Hey, Clumsy Guy!"
0:20:30 > 0:20:33And everyone thinks they're the first one to make the joke!
0:20:33 > 0:20:35I'm sorry. I guess it can be a bit overwhelming.
0:20:35 > 0:20:37And you! Do you have to keep going on about it?
0:20:37 > 0:20:38Coming in here for the day,
0:20:38 > 0:20:40I thought I was going to get some peace.
0:20:40 > 0:20:42So, thanks, mate, for bringing the subject up.
0:20:42 > 0:20:44Really appreciate it!
0:20:44 > 0:20:46Sorry. I didn't mean to...
0:20:53 > 0:20:55What can you say to her you can't say to me?
0:20:55 > 0:20:56Nothing.
0:21:03 > 0:21:07Right, I have your consent form... Where is she?
0:21:07 > 0:21:09Don't know.
0:21:09 > 0:21:10Loo?
0:21:11 > 0:21:12Looks impressive.
0:21:12 > 0:21:14It's just a work in progress.
0:21:16 > 0:21:19What's the point if you're not constantly stretching yourself?
0:21:19 > 0:21:21Trying to make the most beautiful thing possible
0:21:21 > 0:21:23for other people to enjoy.
0:21:28 > 0:21:32You know, about twice a year I get so annoyed with her,
0:21:32 > 0:21:33I fantasise about quitting,
0:21:33 > 0:21:35starting my own business.
0:21:35 > 0:21:38Well, it's worth thinking about. You do have a great talent.
0:21:38 > 0:21:42I've got lots of grand plans, only they're all in my head.
0:21:42 > 0:21:43SHE VOMITS
0:21:43 > 0:21:45Mr Self!
0:21:45 > 0:21:46Some help here!
0:21:46 > 0:21:48Pulse is really fast.
0:21:48 > 0:21:50OK. Do you have a headache?
0:21:50 > 0:21:51Yeah.
0:21:51 > 0:21:53I need an emergency CTA of the head.
0:21:57 > 0:21:59What is it?
0:21:59 > 0:22:02It must be a spontaneous subarachnoid haemorrhage.
0:22:02 > 0:22:05- OK.- I mean, too subtle to show up on the first scan
0:22:05 > 0:22:08and it's likely that we did the lumbar puncture too soon.
0:22:08 > 0:22:10- Is it a re-bleed?- Looks like it.
0:22:10 > 0:22:11Damn! I should have spotted it.
0:22:11 > 0:22:14Well, you yourself said the SAH was too small, so...
0:22:14 > 0:22:15Yeah.
0:22:17 > 0:22:20I'm afraid the infection is quite severe.
0:22:20 > 0:22:23We're going to have to remove the gallbladder.
0:22:23 > 0:22:25Surgery?
0:22:25 > 0:22:27I know it's not what you were expecting,
0:22:27 > 0:22:31but it will be a keyhole procedure. Minimally invasive.
0:22:31 > 0:22:35So I'm going to have cute little puncture marks. That's body art.
0:22:35 > 0:22:37Beats a bad tattoo any day.
0:22:39 > 0:22:41PHONE RINGS
0:22:41 > 0:22:44They will not stop bothering me!
0:22:44 > 0:22:46PHONE SWITCHED OFF
0:22:46 > 0:22:48Are you sure everything's OK with your dad?
0:22:48 > 0:22:50Something might have happened to him.
0:22:50 > 0:22:53Believe me, my father is absolutely fine.
0:22:54 > 0:22:56Sorry.
0:22:57 > 0:22:59Kayleigh Hatbridge.
0:22:59 > 0:23:02I need to get her into theatre as soon as possible.
0:23:02 > 0:23:04It was a re-bleed.
0:23:04 > 0:23:08I'm going to be clipping a middle cerebral artery aneurysm.
0:23:09 > 0:23:11So why don't you put her in two hours earlier?
0:23:12 > 0:23:16Oh! I don't know why I didn't spot that.
0:23:16 > 0:23:17Yeah.
0:23:17 > 0:23:20OK... There you go.
0:23:20 > 0:23:22No harm done.
0:23:29 > 0:23:32Anyone can make a mistake. Not one I've ever made.
0:23:33 > 0:23:37Congratulation on Yale, by the way. What a fantastic experience.
0:23:37 > 0:23:38Did Jac tell you?
0:23:38 > 0:23:42She's told everyone. It's her triumph.
0:23:42 > 0:23:45One of her students with a placement at Yale.
0:23:47 > 0:23:50Maya Horton's cholecystectomy. Shall we do an MRCP?
0:23:50 > 0:23:52Check there aren't any gallstones in the common bile duct?
0:23:52 > 0:23:53It's a good thought
0:23:53 > 0:23:56but we'll be trawling the duct as part of the procedure.
0:23:56 > 0:23:58Still, it will give us an extra perspective.
0:23:58 > 0:24:00Valid idea, but since her LFT was normal,
0:24:00 > 0:24:03the likelihood of finding any stones in the duct are pretty low.
0:24:03 > 0:24:06Look... I know I'm springing this on you,
0:24:06 > 0:24:09but I would like you to perform the cholecystectomy.
0:24:09 > 0:24:10Oh, I'd love to.
0:24:10 > 0:24:12This wouldn't be your way of trying to tempt me
0:24:12 > 0:24:15- to take your offer, would it? - No. No. No, no, no, no, no.
0:24:15 > 0:24:17Well, yes, maybe just a little bit.
0:24:21 > 0:24:22From St James's.
0:24:23 > 0:24:26OK. Wasn't expecting that so soon.
0:24:26 > 0:24:31Um... Sorry, Fletch, I've got to prep for the cholecystectomy.
0:24:31 > 0:24:34- No hurry, all right. They'll be here when you're ready.- Cool, thanks.
0:24:36 > 0:24:38Mr Price's repeat bloods.
0:24:38 > 0:24:39Oh, great, thanks.
0:24:39 > 0:24:41Normal range - haemoglobin 13.5.
0:24:41 > 0:24:43Let's get him prepped for theatre.
0:24:44 > 0:24:45You're...you're hovering.
0:24:45 > 0:24:48Can I ask you something? It's about me and Dom.
0:24:48 > 0:24:51I've got two bowel resections back to back. Can it wait?
0:24:51 > 0:24:52It won't take a minute. It's...
0:24:55 > 0:25:00Dom... Dom's got feelings for me, and I thought he'd moved on,
0:25:00 > 0:25:02but he clearly hasn't.
0:25:04 > 0:25:07It's just become very awkward and it's affecting our work.
0:25:08 > 0:25:09Wow, OK.
0:25:09 > 0:25:11Listen, I may be incredibly slow here,
0:25:11 > 0:25:13but how is it affecting your work?
0:25:13 > 0:25:15I just want us to be comfortable as friends.
0:25:15 > 0:25:17So, not at all, then, really?
0:25:18 > 0:25:20Listen, you're both adults.
0:25:20 > 0:25:22Grab a coffee, clear the air.
0:25:22 > 0:25:24Well, I tried that. He just ran away.
0:25:26 > 0:25:27Knowing you both as I do,
0:25:27 > 0:25:30I have every faith that you can sort this out.
0:25:30 > 0:25:33Now, I've got to go cos my bowels won't wait.
0:25:38 > 0:25:42Busy morning? You didn't return my calls.
0:25:42 > 0:25:44Sorry, it's been mad.
0:25:44 > 0:25:47But I am getting a pericardial window this afternoon!
0:25:47 > 0:25:49Wow, that is amazing.
0:25:49 > 0:25:52That's because she is amazing. She makes everything look easy.
0:25:52 > 0:25:55And those six months will fly by.
0:25:55 > 0:25:57Flights are pretty cheap at the moment as well.
0:25:57 > 0:25:59I told you there was nothing to worry...
0:26:04 > 0:26:06SHE SIGHS
0:26:06 > 0:26:08Flights?
0:26:10 > 0:26:13I've been offered a six-month placement...
0:26:13 > 0:26:14at Yale.
0:26:19 > 0:26:24Right. So you'd be living in the States.
0:26:26 > 0:26:29It starts in two weeks, and Jac has made it really clear...
0:26:29 > 0:26:30Jac!
0:26:30 > 0:26:31No Yale, no Darwin.
0:26:31 > 0:26:33Flexible as a steel girder.
0:26:37 > 0:26:41OK, so we push the wedding back six months.
0:26:41 > 0:26:43- Do you think?- Well, I admit, I'm not entirely sure
0:26:43 > 0:26:46how I'm going to cope watching Game Of Thrones by myself.
0:26:46 > 0:26:49Who's going to explain how all those Targaryens
0:26:49 > 0:26:50are related to one another?
0:26:50 > 0:26:53Look at the upside - there'll be no-one there
0:26:53 > 0:26:57stealing your pretentious black peppercorn crisps.
0:26:59 > 0:27:00Zosh, this is...
0:27:02 > 0:27:04..an unmissable opportunity for you,
0:27:04 > 0:27:07and even though I'm going to loathe us being apart...
0:27:10 > 0:27:12..I support you.
0:27:14 > 0:27:16- I'm OK with it.- Thank you.
0:27:18 > 0:27:19So, I have a question for you.
0:27:19 > 0:27:22- Yes?- Ric's offered me a permanent position on AAU
0:27:22 > 0:27:25and I think I'm going to take it. What do you think?
0:27:25 > 0:27:27- Changing specialties?- Hm.
0:27:27 > 0:27:28Well, that's huge.
0:27:28 > 0:27:30That's great!
0:27:30 > 0:27:33I really feel like I'm in my element.
0:27:34 > 0:27:38For once, I feel appreciated. I mean, there are no games.
0:27:38 > 0:27:40Well, then, you should do it.
0:27:40 > 0:27:42Maybe I should.
0:27:42 > 0:27:43Hm.
0:27:50 > 0:27:53Dom, we need to have a conversation...
0:27:53 > 0:27:55about our personal space.
0:27:55 > 0:27:57How weird it's been between us.
0:27:58 > 0:28:00We've been weird?
0:28:00 > 0:28:02Yeah. Since that hug this morning,
0:28:02 > 0:28:05it just feels like you've been really awkward around me.
0:28:05 > 0:28:06No, I haven't.
0:28:09 > 0:28:11Dom, this is really awkward, but, er...
0:28:14 > 0:28:16..do...do you still have feelings for me?
0:28:23 > 0:28:24You don't at all, do you?
0:28:24 > 0:28:26No!
0:28:26 > 0:28:28I have a date tonight.
0:28:28 > 0:28:31Freddie. Actually, it's looking rather promising.
0:28:31 > 0:28:33That's what you were talking to...
0:28:33 > 0:28:36Talking to Essie about, yeah. Yeah.
0:28:36 > 0:28:39I didn't want to go blabbing to anyone until he'd confirmed.
0:28:39 > 0:28:42So you could have saved yourself getting all prickly.
0:28:42 > 0:28:45You really thought that I was being weird about a hug?
0:28:45 > 0:28:46Yeah.
0:28:48 > 0:28:51Well, I'm pleased that's sorted out.
0:28:51 > 0:28:53Just don't make us hug it out.
0:28:53 > 0:28:54Yeah!
0:28:57 > 0:29:00So we'll make some small incisions in between your ribs
0:29:00 > 0:29:03on the left-hand side, and then we'll insert a...
0:29:03 > 0:29:04PHONE RINGS
0:29:04 > 0:29:07..needle into the pericardial space...
0:29:07 > 0:29:08Oh, that lousy...
0:29:08 > 0:29:10- What is it? What's going on? - Nothing for you to worry about.
0:29:10 > 0:29:13Don't give me that control rubbish. What have they said?
0:29:13 > 0:29:14Ms Hatbridge, you need to remain in bed.
0:29:14 > 0:29:16They won't give us the extension. It's over.
0:29:16 > 0:29:18All that time and money wasted.
0:29:18 > 0:29:21I knew it! You put all our eggs in one basket.
0:29:21 > 0:29:24We should have gone for smaller, bespoke projects,
0:29:24 > 0:29:26- showcase our quality.- Ladies, could you please keep it down?
0:29:26 > 0:29:28Are you going to listen to the doctor?
0:29:28 > 0:29:30You're scheduled for brain surgery.
0:29:30 > 0:29:31At least it means I have a brain!
0:29:31 > 0:29:33I never said you didn't.
0:29:33 > 0:29:36But you sit there daydreaming,
0:29:36 > 0:29:39tinkering with your precious designs that no-one can afford.
0:29:39 > 0:29:41I'm doing what I love!
0:29:41 > 0:29:42Only because of me!
0:29:42 > 0:29:46I'm the one that makes the tough choices!
0:29:46 > 0:29:48I'm the one that keep us from going under!
0:29:48 > 0:29:50Well, how's this for a tough choice?
0:29:50 > 0:29:51I'm quitting.
0:29:51 > 0:29:52Starting up on my own!
0:29:52 > 0:29:54You both need to keep calm down
0:29:54 > 0:29:57or you risk jeopardising both your surgeries.
0:29:57 > 0:30:00The best thing you can do is give each other some support.
0:30:08 > 0:30:10Your consent form.
0:30:14 > 0:30:16So, note to self...
0:30:18 > 0:30:20Must remember not to bite the concerned,
0:30:20 > 0:30:22reasonable doctor's head off.
0:30:22 > 0:30:24I think I might have overstepped.
0:30:24 > 0:30:25It's just, er...
0:30:27 > 0:30:30..been a bit difficult to see my dad these last few months.
0:30:31 > 0:30:33Old age is so unfair.
0:30:33 > 0:30:35He used to be a great talker, my dad.
0:30:35 > 0:30:38Now it's like he's just slipping away from me.
0:30:40 > 0:30:43I imagine it might be difficult seeing someone change so...
0:30:45 > 0:30:46..drastically.
0:30:48 > 0:30:51- I can see why you'd want throw yourself into...- My work?
0:30:51 > 0:30:54Want to know why I'm so relentlessly focused on making it all work out?
0:30:54 > 0:30:57- Why?- Because I have no choice.
0:30:57 > 0:31:00Two years ago I worked for a City investment bank.
0:31:00 > 0:31:02Elite executive PA.
0:31:03 > 0:31:06- Then they made me redundant. - That's tough.
0:31:07 > 0:31:09So I started the astrology gig.
0:31:09 > 0:31:11Chance of a fresh start.
0:31:12 > 0:31:15Well, I think it's brave.
0:31:15 > 0:31:17You have to see the glass as half full.
0:31:17 > 0:31:23You never know what's coming, so the trick is to learn from the past.
0:31:25 > 0:31:26Endo scissors.
0:31:29 > 0:31:32- Cut a piece of the pericardium. - I'm on it.
0:31:33 > 0:31:35Looking good.
0:31:35 > 0:31:38MACHINE BEEPS
0:31:38 > 0:31:40She's gone into AF. Defib, please.
0:31:42 > 0:31:45Charge to 50. Clear.
0:31:45 > 0:31:47Shock.
0:31:47 > 0:31:48THUD
0:31:48 > 0:31:49ZOSIA SIGHS
0:31:49 > 0:31:51Charge to 100.
0:31:52 > 0:31:53Clear.
0:31:54 > 0:31:56Shock. THUD
0:31:57 > 0:31:58Charge to 200.
0:31:59 > 0:32:01Clear.
0:32:01 > 0:32:02Shock.
0:32:02 > 0:32:03THUD
0:32:05 > 0:32:08BEEPING STOPS
0:32:08 > 0:32:10She's stabilised. Finish the window.
0:32:12 > 0:32:13Scissors.
0:32:15 > 0:32:17Good work, Dr March.
0:32:18 > 0:32:20Just so you know...
0:32:21 > 0:32:23..I'd like to accept your offer.
0:32:45 > 0:32:47MACHINE BEEPS
0:32:47 > 0:32:49- Maya Horton.- One minute.
0:32:49 > 0:32:50She's tachycardic.
0:32:51 > 0:32:54- Ollie. You all right to do this? - Yeah.
0:32:54 > 0:32:56- Fine.- Good, cos the BP's through the floor.
0:32:59 > 0:33:00Whoa!
0:33:00 > 0:33:03SHE GASPS
0:33:03 > 0:33:06She's in clinical shock. We need a bag of Hartmann's stat and call Ric.
0:33:06 > 0:33:07Tell him we need to expedite her theatre.
0:33:07 > 0:33:10So, in terms of the restructuring at St James's,
0:33:10 > 0:33:13- it's finally been confirmed that... - Sorry. Overran in theatre.
0:33:14 > 0:33:17..that they will be closing their neuro unit
0:33:17 > 0:33:19to make way for other disciplines,
0:33:19 > 0:33:21and as some of you may know,
0:33:21 > 0:33:24Ms Karnik and I put together a neuro bid,
0:33:24 > 0:33:26and I'm happy to say we've won,
0:33:26 > 0:33:31so we will be expanding our neuro unit here at Holby.
0:33:32 > 0:33:35THEY ALL TALK AT ONCE
0:33:38 > 0:33:41May I make a plea for civilised discourse, please?
0:33:41 > 0:33:45Is this the beginning of an entire hospital being dismantled?
0:33:45 > 0:33:47Because we're already stretched as it is.
0:33:47 > 0:33:51Well, we may be working in a resource-constrained environment,
0:33:51 > 0:33:55but I hardly think that makes doom-mongering a helpful strategy,
0:33:55 > 0:33:58do you? And as for your query, Ms Naylor,
0:33:58 > 0:34:01Holby's neuro unit will remain on Darwin for now.
0:34:01 > 0:34:04Well, I'm sure Guy Self is rubbing his hands in glee.
0:34:04 > 0:34:06he shouldn't have been allowed to come back in the first place.
0:34:06 > 0:34:09Mr Self's employment is not your concern, it's Ms Karnik's,
0:34:09 > 0:34:11and I'm quite sure she'll be able to keep
0:34:11 > 0:34:13- his rampant ego in line.- Of course.
0:34:16 > 0:34:18We've drained the fluid from around your heart.
0:34:18 > 0:34:22You're going to be fine, but you just need to rest for a week.
0:34:22 > 0:34:24I heard him say something...
0:34:26 > 0:34:28..about speak...speech.
0:34:28 > 0:34:30Kayleigh...
0:34:30 > 0:34:32She'll be OK?
0:34:33 > 0:34:35What exactly did he say?
0:34:35 > 0:34:36Er...
0:34:36 > 0:34:39Verbal something. A risk.
0:34:41 > 0:34:43She's so creation... Creative.
0:34:45 > 0:34:47I don't blame her for leaving.
0:34:47 > 0:34:50She's talented. Really.
0:34:50 > 0:34:52SHE SOBS
0:34:52 > 0:34:55This is the anaesthetic talking, isn't it?
0:34:55 > 0:34:57Let me have a word with the surgeon.
0:34:58 > 0:35:00OK, well, I'll deal with it on my rounds tomorrow.
0:35:00 > 0:35:02That'd be great, thank you.
0:35:03 > 0:35:06My patient is worried her sister might lose some function
0:35:06 > 0:35:08when you secure her aneurysm.
0:35:08 > 0:35:11Well, the aneurysm is in a very difficult place to access,
0:35:11 > 0:35:15and there's a very small chance of a stroke to the parietal lobe,
0:35:15 > 0:35:18which would affect her visuospatial function.
0:35:18 > 0:35:22So, there's no risk her speech would be adversely affected?
0:35:22 > 0:35:24Why would you think that?
0:35:24 > 0:35:27Well, Claire thought you told Kayleigh that there might be
0:35:27 > 0:35:29a risk to her speech centre.
0:35:29 > 0:35:30But then I thought the aneurysm
0:35:30 > 0:35:33was on the right side of the circulation, so...
0:35:33 > 0:35:34Well, yeah, it is.
0:35:34 > 0:35:37I mean, your patient must have misunderstood.
0:35:37 > 0:35:39She is still recovering from the anaesthetic.
0:35:39 > 0:35:41Dad, are you OK?
0:35:42 > 0:35:44Yeah, of course. Why wouldn't I be?
0:35:44 > 0:35:45All day you've been acting...
0:35:47 > 0:35:51- ..not yourself. - Oh, truth is, I'm a bit tired.
0:35:51 > 0:35:53Haven't been sleeping very well recently.
0:35:53 > 0:35:57- Why, what's keeping you awake? - Oh, nothing in particular,
0:35:57 > 0:36:00unless you count the cricket on the World Service at 2am.
0:36:02 > 0:36:06- Is this your way of getting me back? - No, seriously, it's for charity.
0:36:06 > 0:36:08We should do the race in costume.
0:36:08 > 0:36:10- I'll be the chicken, you be the egg! - Oh, sure.
0:36:10 > 0:36:12And we'll see who comes first.
0:36:15 > 0:36:18Turns out I have an overactive imagination.
0:36:18 > 0:36:20He has a date.
0:36:21 > 0:36:24Hmm. Well, at least you got it sorted out.
0:36:25 > 0:36:28Right, to business. Mr Price's operation went very well.
0:36:28 > 0:36:31I just want you to reiterate his post-op care, make sure he's got it.
0:36:31 > 0:36:34- So it's compression stockings and it's no exercise.- Will do.
0:36:37 > 0:36:39There must be a reason why he keeps tripping and falling over
0:36:39 > 0:36:42- all the time.- There's nothing to suggest it's anything physiological.
0:36:42 > 0:36:45And we can only treat the symptoms in front of us, so...
0:36:59 > 0:37:01HE LAUGHS
0:37:03 > 0:37:05Ms Karnik?
0:37:06 > 0:37:10- Could I ask you something, er, in private?- Of course.
0:37:14 > 0:37:16This might sound a bit odd.
0:37:16 > 0:37:18It's about Mr Self.
0:37:18 > 0:37:22I just, er... I wondered if he'd mentioned his workload.
0:37:22 > 0:37:24- Has something happened?- No, no, no. I, erm...
0:37:26 > 0:37:30- He's been through quite a lot recently.- Yes?
0:37:30 > 0:37:32And, erm, I just...
0:37:34 > 0:37:38..wanted to double-check if he seemed...capable.
0:37:38 > 0:37:40If you had any reason to be concerned about Mr Self,
0:37:40 > 0:37:42I'd like to know about it.
0:37:43 > 0:37:47No. You know what, I'm sure I'm just being an overprotective daughter.
0:37:47 > 0:37:48SHE LAUGHS
0:37:48 > 0:37:51I'm always available. If you want to talk.
0:37:55 > 0:37:57Wise move to do the cholangiogram.
0:38:01 > 0:38:04That bulge in the CBD doesn't look good.
0:38:04 > 0:38:07There are stones in the common bile duct.
0:38:08 > 0:38:09We'll have to trawl the duct.
0:38:09 > 0:38:11Balloon catheter, please, thank you.
0:38:15 > 0:38:17- Inflate the balloon.- OK.
0:38:24 > 0:38:25OK.
0:38:25 > 0:38:28Now...start to remove the stones.
0:38:35 > 0:38:36Ah!
0:38:37 > 0:38:39The common bile duct's torn.
0:38:39 > 0:38:42We'll have to open her up. Step aside, please, Mr Valentine.
0:38:44 > 0:38:46I'll need to do a micro anastomosis.
0:38:46 > 0:38:49I need loupes. Scalpel, please.
0:38:50 > 0:38:52And have some 5-0 PDS ready.
0:38:52 > 0:38:54Claire!
0:38:55 > 0:38:57KAYLEIGH MOANS
0:38:59 > 0:39:01Doctor!
0:39:01 > 0:39:03She just started slurring.
0:39:03 > 0:39:04Mr Self!
0:39:04 > 0:39:06Give me some IV fluids, please.
0:39:06 > 0:39:08What's wrong with her?
0:39:08 > 0:39:10- Where's Claire?- Kayleigh?
0:39:10 > 0:39:12Could be another re-bleed.
0:39:12 > 0:39:15- Pre-op bloods, cross-match 10. Get her into Theatre 2. Now.- Kay...
0:39:17 > 0:39:19I'm coming in with you. I'm observing.
0:39:19 > 0:39:21Zosia, I can't just pull you out of Cardio.
0:39:21 > 0:39:22It'll be fine. I'll square it with Jac.
0:39:22 > 0:39:24HE SIGHS
0:39:26 > 0:39:28How long have you had these eye movements?
0:39:28 > 0:39:30- What are you doing? - Toby, this is important.
0:39:30 > 0:39:32What, you're forcing me to watch this now?
0:39:32 > 0:39:34You've been banging on about those clips all day.
0:39:34 > 0:39:36- Could you just, for once, leave it alone!- I've got this.
0:39:36 > 0:39:38- I was just trying to help.- Just hang back on this.
0:39:38 > 0:39:43- Are you going to sort this man out?! - Can you please calm down, Mr Price?
0:39:43 > 0:39:44Hey, hey, what was that about?
0:39:44 > 0:39:46- It doesn't matter.- No, come on, let me have a look.
0:39:48 > 0:39:50And Toby's the guy from the Gazette?
0:39:50 > 0:39:52How did I miss that?
0:39:52 > 0:39:54Look at the involuntary eye movement.
0:39:57 > 0:39:58Nystagmus.
0:40:00 > 0:40:02That's a really good spot.
0:40:03 > 0:40:05Erm, all right, look, leave this with me
0:40:05 > 0:40:07and I'll see where to go from here.
0:40:10 > 0:40:11Suction.
0:40:16 > 0:40:17There's the aneurysm.
0:40:19 > 0:40:20Look.
0:40:22 > 0:40:26I'm now going to place a clip on the internal carotid artery. Why?
0:40:27 > 0:40:32- So you can manipulate the aneurysm without it rupturing.- Good. Clip.
0:40:41 > 0:40:45- Mr Self, could I ask you a quick question?- What?
0:40:45 > 0:40:49The internal carotid - it doesn't seem to be pulsatile.
0:40:49 > 0:40:52Is that due to localised vasospasm?
0:40:58 > 0:41:02That would be the optic nerve. It's an easy mistake to make.
0:41:05 > 0:41:07Look, Ollie, don't feel bad.
0:41:07 > 0:41:09- You've done nothing wrong. - Nothing wrong?
0:41:09 > 0:41:12I tore my patient's bile duct.
0:41:12 > 0:41:13You were unlucky.
0:41:13 > 0:41:16The important thing is that the gallbladder's been removed
0:41:16 > 0:41:19- and the patient will make a full recovery.- We had to open her up.
0:41:19 > 0:41:23A contained laparoscopic procedure that became hugely invasive surgery.
0:41:23 > 0:41:25It wasn't ideal,
0:41:25 > 0:41:29but there was no way of predicting that the CBD was going to tear.
0:41:31 > 0:41:32If we'd ordered that extra scan,
0:41:32 > 0:41:35we'd have been aware in advance of the stones in her bile duct.
0:41:35 > 0:41:37And I'd have been more comfortable
0:41:37 > 0:41:40doing an ERCP pre-operatively to remove the stones.
0:41:42 > 0:41:48- We need to remember that this was a positive outcome.- Positive out...?
0:41:48 > 0:41:50I don't think we should be so easily satisfied.
0:41:50 > 0:41:53- That's enough. - We could have lost her.
0:41:53 > 0:41:55And if we had, I'd have had to tell her father that she was dead,
0:41:55 > 0:41:58- knowing that another scan could have been done.- Mr Valentine...
0:41:58 > 0:42:01- A scan that could have helped save her life.- Mr Valentine...
0:42:01 > 0:42:02That's negligence!
0:42:05 > 0:42:07Oliver....
0:42:08 > 0:42:11..be very careful what you say next.
0:42:22 > 0:42:24Well, that all went rather smoothly.
0:42:26 > 0:42:29Just now, if I hadn't stepped in,
0:42:29 > 0:42:32you might have mistakenly put a clip on the optic nerve.
0:42:32 > 0:42:34Don't be ridiculous, I'd have done nothing of the sort.
0:42:34 > 0:42:36You could have blinded your patient.
0:42:38 > 0:42:40I was taking a moment to prepare.
0:42:40 > 0:42:43Neurosurgery is about precision and patience.
0:42:43 > 0:42:46This goes way beyond patience.
0:42:46 > 0:42:48You totally lost focus. What is going on?
0:42:50 > 0:42:52HE SIGHS
0:42:57 > 0:42:59I have been a bit distracted.
0:43:02 > 0:43:03Leaving here under a cloud.
0:43:05 > 0:43:08The private sector was disappointing.
0:43:08 > 0:43:09My return has...
0:43:10 > 0:43:11..felt pressured.
0:43:11 > 0:43:14From who? From Nina?
0:43:14 > 0:43:16- I thought you were old friends.- Hmm.
0:43:19 > 0:43:23Zosia, I'm seeing a psychotherapist. Nina's condition for hiring me.
0:43:25 > 0:43:29- They're worried you're not fit for work.- No, of course not.
0:43:29 > 0:43:31It's just a few sessions. Occupational health.
0:43:31 > 0:43:34What about your support group?
0:43:34 > 0:43:37Well, I was finding it hard to commit in between private patients.
0:43:37 > 0:43:39I needed something more flexible.
0:43:41 > 0:43:44But it did bring up some uncomfortable truths.
0:43:44 > 0:43:46Such as?
0:43:48 > 0:43:50It's occurred to me that...
0:43:51 > 0:43:55..I'm older now than your grandfather was when he...
0:43:58 > 0:44:01I don't have a road map for..
0:44:03 > 0:44:05..what happens next.
0:44:05 > 0:44:06It's hard.
0:44:07 > 0:44:09It's really hard.
0:44:10 > 0:44:12Why didn't you tell me?
0:44:14 > 0:44:16Because everything's back on track, I'm fine.
0:44:16 > 0:44:19Zosia, you're making too much of this.
0:44:19 > 0:44:21You know, this is a pivotal moment in your career.
0:44:21 > 0:44:24- You need to put all your energy into Yale.- Really?
0:44:24 > 0:44:27Because the last time you told me to focus on my studies
0:44:27 > 0:44:29was when my mother was dying of cancer.
0:44:29 > 0:44:32- This is not the same thing. - I put my head in my books.
0:44:32 > 0:44:36You told me everything was going be fine. But you knew how ill she was.
0:44:36 > 0:44:38- And you hid it from me.- It's because I wanted to protect you.
0:44:38 > 0:44:40Anya and I both wanted to protect you.
0:44:40 > 0:44:44But I don't need you to protect me. I need you to tell me the truth!
0:44:44 > 0:44:47- The truth is that I'm fine! - HE LAUGHS
0:44:47 > 0:44:50Honestly, these sessions are really helping, I promise you.
0:44:50 > 0:44:53I mean, if there was anything wrong, I wouldn't hide it from you.
0:45:00 > 0:45:03How long will it take to recover?
0:45:03 > 0:45:07Most patients are back on their feet within four to six...weeks.
0:45:07 > 0:45:10It wasn't...what we were expecting.
0:45:10 > 0:45:12Consultant told me what happened.
0:45:13 > 0:45:16Seems like, if it hadn't been for all of you,
0:45:16 > 0:45:19I might not even be here.
0:45:19 > 0:45:23Nothing like a 15cm scar to give you a reality check.
0:45:23 > 0:45:26Well, won't be long before you're able to wear
0:45:26 > 0:45:28all those lovely new clothes.
0:45:28 > 0:45:31I won't be wearing them at all.
0:45:31 > 0:45:33I'm sending them back.
0:45:33 > 0:45:35Cancelling that safari, too.
0:45:37 > 0:45:40- You want to know the real reason I can't see my dad?- Mm.
0:45:43 > 0:45:45I daren't show my face there.
0:45:49 > 0:45:51I'm 30 grand in debt.
0:45:51 > 0:45:54Three months behind on the care home fees.
0:45:54 > 0:45:56That's why they keep calling me.
0:45:56 > 0:45:58I thought you said your new career was working out.
0:45:58 > 0:46:03Oh, astrology's going fine. Makes me enough to live on, it's just...
0:46:05 > 0:46:09..seeing my dad declining like that, so frail and withdrawn,
0:46:09 > 0:46:13it made me so furious that I couldn't do anything.
0:46:14 > 0:46:20I slipped into some... old, unhealthy habits.
0:46:21 > 0:46:25Out-of-control spending. My go-to self medication.
0:46:25 > 0:46:27Not the cure you'd hoped for.
0:46:27 > 0:46:29I'm in a terrible mess.
0:46:29 > 0:46:33The more I spent, the more I got in arrears, the guiltier I felt.
0:46:34 > 0:46:35I've failed my dad.
0:46:37 > 0:46:42Maybe...he'd actually be proud of you.
0:46:44 > 0:46:47Facing up to this and having the guts to...
0:46:49 > 0:46:51..sort it out.
0:46:53 > 0:46:57Can't waste my time thinking about what we've lost.
0:46:58 > 0:47:01The most important thing is what we have now.
0:47:04 > 0:47:08Those involuntary eye movements that we spotted in your video,
0:47:08 > 0:47:11I'm pretty sure that you've been suffering from something
0:47:11 > 0:47:15known as BPPV, which is benign paroxysmal positional vertigo,
0:47:15 > 0:47:18which is where tiny little crystals in your inner ear are causing
0:47:18 > 0:47:19you to lose your balance.
0:47:19 > 0:47:23Vertigo? As in... I'm not naturally clumsy?
0:47:23 > 0:47:26No, no. Now, there is a simple procedure that we can do,
0:47:26 > 0:47:28which is called the Epley manoeuvre,
0:47:28 > 0:47:30which is where we dislodge those crystals
0:47:30 > 0:47:33and hopefully it should be a permanent fix.
0:47:33 > 0:47:36Now, did you not think to go and see your GP about your clumsiness?
0:47:36 > 0:47:40Oh, once Jamal stuck me with the label, I thought it was all me.
0:47:40 > 0:47:42Thought I was a bit pathetic.
0:47:44 > 0:47:47Well, as far as I'm concerned, Jamal is the pathetic one.
0:47:47 > 0:47:50What kind of friend just waits for their mate to make a mistake?
0:47:50 > 0:47:53Oh, we're not friends. Not really.
0:47:53 > 0:47:56Spends more time on his phone than he does lugging sofas.
0:47:56 > 0:47:58Might be time to chuck him.
0:47:59 > 0:48:02So, you're good at more than just clever comebacks.
0:48:02 > 0:48:04Well...
0:48:04 > 0:48:05Erm...
0:48:07 > 0:48:09Actually...
0:48:09 > 0:48:13it was Nurse Chiltern that spotted the problem.
0:48:13 > 0:48:16And despite the fact that you have been taking your hurt
0:48:16 > 0:48:20out on him all day, he's not once stopped trying to help you.
0:48:21 > 0:48:25So if you want to direct your appreciation towards him...
0:48:27 > 0:48:29Thank you.
0:48:30 > 0:48:32See? Not so shallow now.
0:48:40 > 0:48:41KNOCK ON DOOR
0:48:43 > 0:48:45Bed 4's contrast scans.
0:48:45 > 0:48:47Mm-hm.
0:48:49 > 0:48:51Mr Valentine.
0:48:51 > 0:48:53Sit.
0:49:06 > 0:49:11If you have an issue with the way that a procedure has been handled,
0:49:11 > 0:49:14then you come and talk to me about it in private.
0:49:14 > 0:49:17You do not hurl accusations around the scrub room.
0:49:17 > 0:49:19Sorry.
0:49:19 > 0:49:20I am so sorry.
0:49:22 > 0:49:26I don't believe we're... er, negligent.
0:49:28 > 0:49:29HE SIGHS
0:49:29 > 0:49:32- Is there something I should know? - No, not at all.
0:49:34 > 0:49:36Oliver, what's the matter?
0:49:41 > 0:49:44I was given a report on Tara's operation.
0:49:46 > 0:49:51It stated unequivocally... that certain things were missed.
0:49:54 > 0:49:56- I see.- And today, I got a second opinion.
0:49:58 > 0:50:00HE SNIFFS
0:50:00 > 0:50:01They agree.
0:50:04 > 0:50:06Can I take a look?
0:50:19 > 0:50:21Hmm.
0:50:24 > 0:50:31The doctor who wrote this report says that she would have
0:50:31 > 0:50:34- ordered extra tests... - Yes, and they should have done them.
0:50:34 > 0:50:40But she also states that there's no way of proving that those
0:50:40 > 0:50:41precautions would have helped.
0:50:44 > 0:50:46There is no right or wrong here, Oliver.
0:50:47 > 0:50:50Ordering those tests was entirely a matter
0:50:50 > 0:50:52of individual professional judgment.
0:50:56 > 0:50:59That's how it is with these reports.
0:50:59 > 0:51:02There's often going to be room for different interpretations
0:51:02 > 0:51:05and misinterpretation. You know that.
0:51:05 > 0:51:10And if someone makes a definitive statement...
0:51:12 > 0:51:16..it might sometimes be because they have a particular point to prove.
0:51:18 > 0:51:20May I ask who first brought this to your attention?
0:51:25 > 0:51:26I see.
0:51:30 > 0:51:34Thank you. For your help.
0:51:36 > 0:51:39Oliver, this changes nothing.
0:51:40 > 0:51:41My offer still stands.
0:51:45 > 0:51:47I appreciate that. Thank you.
0:51:56 > 0:51:58Not my best look.
0:51:58 > 0:52:02At least the doctor says there's no impairment to my, erm...
0:52:02 > 0:52:05visi...visi-spa...
0:52:07 > 0:52:08..my brain.
0:52:08 > 0:52:11You're going to need it. Exciting times ahead for you.
0:52:12 > 0:52:15Oh, that?
0:52:15 > 0:52:18My when-I-get-really-ticked-off fairy tale.
0:52:18 > 0:52:21You're not starting up your own business?
0:52:21 > 0:52:24I'd love to, I really would, but Claire's right.
0:52:26 > 0:52:31We both know my limits - big ideas, but no plan.
0:52:31 > 0:52:34And you're happy to be led by her?
0:52:34 > 0:52:36Believe me, I know her weaknesses.
0:52:37 > 0:52:40She'd never admit it, but she needs me, too.
0:52:44 > 0:52:46Call it a necessary compromise.
0:52:48 > 0:52:50She's my sister.
0:52:51 > 0:52:53We're stronger together.
0:52:56 > 0:52:58Look, mate, I'm so sorry.
0:52:58 > 0:53:01I should never have stuffed that envelope in your face earlier,
0:53:01 > 0:53:02it was a massive clanger.
0:53:02 > 0:53:04- It's not your fault. I'm glad I know. Thanks.- So?
0:53:06 > 0:53:08There was a misunderstanding.
0:53:08 > 0:53:11Suspect there was a bit of an agenda, but it's not what I thought.
0:53:11 > 0:53:14I guess I was looking at it glass half empty.
0:53:14 > 0:53:17I'm glad. And you seem a bit more chipper.
0:53:17 > 0:53:20That's because I'm about to enjoy a very special heart-to-heart
0:53:20 > 0:53:21about my future plans.
0:53:30 > 0:53:33I've been thinking about your offer, and I'd like to thank you again,
0:53:33 > 0:53:35but I've decided to accept the neuro placement.
0:53:39 > 0:53:43Yale was obviously a step too far for your giant man-baby fiance.
0:53:43 > 0:53:46The decision was all mine.
0:53:46 > 0:53:47Think about this -
0:53:47 > 0:53:49do you really want to spend your whole life
0:53:49 > 0:53:51emotionally caretaking some man whose needs
0:53:51 > 0:53:54are always going to come before your talents?
0:53:57 > 0:53:58Jac, can I have a quick word?
0:53:58 > 0:54:00SHE SIGHS
0:54:00 > 0:54:01- Bad time?- Let me think -
0:54:01 > 0:54:04considering that your fiancee has just turned down my
0:54:04 > 0:54:08elite CT placement and is switching to neuro, yeah, it's a bad time.
0:54:11 > 0:54:12Really?
0:54:14 > 0:54:18Sorry you had to hear it from someone else first. Again.
0:54:18 > 0:54:22No, it's fine. It's your decision, of course.
0:54:24 > 0:54:27- I actually had some news of my own. - Oh, yeah?
0:54:29 > 0:54:33Neuro, I had no idea you were still thinking of pursuing that.
0:54:33 > 0:54:36Yeah, I finally admitted it to myself.
0:54:36 > 0:54:39- It's where my heart really lies. - Is it?- Mm.
0:54:41 > 0:54:44So I guess you'll be working a lot with your dad again.
0:54:44 > 0:54:46Yeah, I guess I will.
0:54:46 > 0:54:50- So, what do you want to talk about? - Oh, it's not important.
0:54:50 > 0:54:52- Talk about it in Albie's?- Yes!
0:54:52 > 0:54:54Just got to...see to a patient.
0:55:01 > 0:55:02Great T-shirt.
0:55:02 > 0:55:06Oh, thank you. I was going for that I-woke-up-like-this look.
0:55:06 > 0:55:08Well, you look...
0:55:09 > 0:55:12- ..good.- Thanks.
0:55:13 > 0:55:17- ENT confirmed Toby's diagnosis. - Oh, great. Brilliant.
0:55:18 > 0:55:21- I better get on. - Don't want to be late.
0:55:21 > 0:55:23I just really hope he's not boring.
0:55:23 > 0:55:26Ends up talking about his ex the whole time, or his mother.
0:55:28 > 0:55:30Good luck.
0:55:37 > 0:55:39Two glasses.
0:55:39 > 0:55:42I'm not going to pretend that I'm not disappointed,
0:55:42 > 0:55:46but it's important to do what matters most to you.
0:55:46 > 0:55:49Thank you...for everything you've done for me.
0:55:51 > 0:55:53MUSIC: LDN by Lily Allen
0:55:55 > 0:55:59All right, mate? The others are on their way, but, um,
0:55:59 > 0:56:02I heard a rumour that Ric made you an offer you couldn't refuse.
0:56:02 > 0:56:06Well, apparently I could. I'm going back to Darwin.
0:56:06 > 0:56:08Ah, mate, but I thought you hated working for Naylor.
0:56:08 > 0:56:10The Empress of the Gorgon Death Stare? I do.
0:56:11 > 0:56:13But you're still going to go back?
0:56:14 > 0:56:19Zosia's transferring to neuro. It's a bit out of the blue.
0:56:19 > 0:56:20And you want to keep an eye on things.
0:56:20 > 0:56:24Let's just say I'm not going to let him mess things up for her.
0:56:25 > 0:56:28I mean, it's such a sudden switch and such a shame about Yale.
0:56:28 > 0:56:31I just wanted to make my own choice.
0:56:31 > 0:56:32And in the end, there was no contest.
0:56:34 > 0:56:37Well, suppose cardio's loss is neuro's gain.
0:56:37 > 0:56:40- So I guess we'll be seeing quite a lot of each other.- I expect so.
0:56:40 > 0:56:44- Hi.- Hi.- We're celebrating. Wedding plans are go.
0:56:45 > 0:56:47I hear you got the second opinions back.
0:56:49 > 0:56:50Contacts at St James's.
0:56:52 > 0:56:53What did the report say?
0:56:56 > 0:56:57Inconclusive.
0:56:57 > 0:57:00So...neuro.
0:57:00 > 0:57:02So, cardio.
0:57:03 > 0:57:06It's a bit like AAU made you really understand
0:57:06 > 0:57:07that cardio was your passion.
0:57:09 > 0:57:11Yeah.
0:57:11 > 0:57:14What about you? That was a bit impulsive.
0:57:14 > 0:57:15Yeah.
0:57:23 > 0:57:25- To following our dreams. - To following our dreams.