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