Lofty is forced to finally confront his feelings for Dominic. Fletch enlists Jac's help to treat a single father. Guy puts Zosia to the test.
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Do you still have feelings for me?
-You don't at all, do you?
I have a date tonight. Freddie.
Adrian's applying for a Director of Nursing position.
Well, I think you should apply. You're qualified.
Oh. Hadn't really thought about it.
Zosia, I'm seeing a psychotherapist.
Nina's condition for hiring me.
They're worried you're not fit for work.
I suppose Cardio's loss is Neuro's gain.
So I guess we'll be seeing quite a lot of each other.
Yeah, I expect so.
I just really hope he's not boring.
Ends up talking about his ex the whole time.
Or his mother.
-Thank you. Thank you very much.
-Did you lose a bet?
Well, it'll all make sense when Dom gets here.
All right. Who's right behind you?
Are you serious?
He was going to be an egg. We were going to see who came first.
It was a joke!
I text you, saying I had my costume.
I thought you were being funny!
Wow. That's embarrassing, dude.
I'm sorry. Guys, this is Freddie.
Freddie, this is everyone.
-Hi, how you doing?
-Nice to meet you.
I can't believe this has happened again.
Did you seriously think I was going to run
all the way around Holby dressed as an egg?
I've known him a week, and even I know that's never going to happen.
-You guys have any shorts?
What a FOWL-up!
Did they have a man's one, or...?
-This is a man's one!
-Oh, OK, sorry.
So, Freddie, are you running as well?
Yeah, I stayed at Dom's last night, so...
Yeah, he decided to tag along.
"Tag along"? On a half marathon?
Yeah. Disgusting, isn't it?
It's only 13 miles. All you need is a bit of stamina.
-Well, then, you'll be all right.
Right. Well, guys, catch you up in a bit, yeah?
-See you later.
This doesn't look like a woman's costume, does it?
No! Course not!
No, mate! You look great.
Oh. You got an interview as well?
Well, there's no need to sound so surprised.
No, I didn't mean it like that. I mean, I even said you should, so...
See you managed to borrow a suit.
I've got suits.
Actually, I've got A suit.
I don't believe it.
Is that jam?
That's because I wouldn't let Theo have sweets with milk on
for breakfast. And I bet it was his brother Mikey's idea.
I'm going to kill them.
What a bummer. This is a nightmare!
How's Dr Burton?
Nina, if you want to find out how my psychotherapy sessions are going,
-don't beat about the bush.
-How are they going?
Privately. But thanks for asking.
It's part of my remit to keep an eye on the health
and wellbeing of my staff.
Your locum contract is almost up. It'd be a shame to lose you,
particularly as we're about to expand our neuro department.
Actually, I was just about to call Dr Burton
to schedule my next appointment.
I'll be sure to pass on your regards.
-Thank you. Have a good day.
Zosia not with you?
She came in early to go to the medical library.
Yes, she wanted to brush up on her neuro,
given she's spent the last few years working towards a career in CT.
Look, I know you want what's best for her. So do I.
We both know this isn't it.
You clearly think that I'm behind this switch,
but that is not the case.
Oh, it is. Whether you know it or not.
My question is, what are you going to do when your locum contract ends?
Well, I'm not planning on going anywhere.
Well, we'll see, won't we?
Oh, hello, could I make an appointment with
Dr Burton as soon as possible, please?
I feel terrible.
I was the one that talked you into it, and now I can't do it.
It's fine. It's fine. It'll be worth it.
-I hope so.
-You can do this. Good luck.
Good luck, everyone.
Wahey! Nice pins, man!
Thanks, same to you.
Yes, I'm dressed as a chicken.
-Any particular reason?
-No, apparently not.
Look, it's not my fault, OK?
Now, you might not be taking this seriously, but I am.
I'm doing it for Arthur.
I AM taking it seriously.
I think Arthur would have absolutely loved the costume.
I could easily see him accidentally turning up dressed like a chicken.
The only way Arthur would be caught doing 13 miles
is if he was being chased by bears.
Anyway, my love, I don't think you're the only one in costume.
I bet he feels like a right wally!
Right, everyone! On your marks..
Right, here we go!
CHEERING AND APPLAUSE
-Sorry! Where's Raf?
He's running the marathon.
-I forgot that was today.
-What's the matter?
Well, I've tried to clean it, and now I've made it all sticky...
Well, I was hoping Raf would be able to lend me a shirt.
Oh. You're going for the...
I suppose, you know, good news for you.
Oh, don't be daft!
I think I know where I might be able to get you a shirt.
You look bright-eyed and bushy-tailed.
Ah, sleep. The great panacea.
Listen, I thought we'd do a case review today, ease you in gently.
No, I just thought you'd throw me in at the deep end, that's all.
Well, I'm just being prudent.
I mean, I want you to be absolutely sure
-that you're making the right decision.
-I AM sure.
-Ooh, just a sec.
-Yeah, she's had some.
-I'll see you in the office, then?
-No, no, no. I'm coming.
She's a frequent flyer. Everyone's favourite.
See? I told you this was a bad idea.
Ignore her. It's fine.
I'm sorry, but she's stitching you up, mate.
I can see I'm going to have to keep my eye on you.
Dirty tactics like that!
What have you got there?
Oh, it's just a bit of homework.
"The hospital spent £8.4 million on agency nurses last year..."
-Did you know that?
Have YOU got cue cards?
My transplant co-ordinator interview was a nightmare.
I was underdressed and underprepared.
It's not happening again.
You'll be fine.
I can't run this slow. I need to pick up the pace.
Fine, you go ahead.
All right, well, we'll see you at the finish line.
How you doing?
Cos I tell you what - these trousers are starting to chafe.
I've had a spandex wedgie the last two miles.
This was my kids' idea,
so they can spot me when we run past the baby-sitter's.
What's your excuse?
Oh, I'm just an idiot.
Ha! Well, all in a good cause, eh?
Who you running for?
Holby City Hospice. Yeah, they looked after my wife.
-I'm Ben, by the way.
KIDS CHEER Here we go. Excuse me.
Come on, Freddie, where's your stamina? It's only 13 miles!
Ow, ow, ow, ow!
It's just a cramp.
And even though our vacancy rate fell by 7.3% last year,
9.2% of all nursing staff are due to retire in the next 12 months.
That is going to create a problem if we don't get on top of it now.
Well, you've certainly done your homework, Nurse Jackson.
It's a serious job, Mr Hanssen, and I'm taking it very seriously.
I see you've recently returned from a rather lengthy career break.
Are you sure you have the management experience for this role?
All nurses are managers, Ms Karnik. We manage people every day.
Junior doctors who don't know nearly as much as they think they do,
registrars trying to get ahead who'll throw their colleagues under
a bus as soon as look at them, consultants and their ego wars,
and don't even get me started on the patients.
Everyone knows it's really the nurses that keep this place running.
I know I'm not the obvious choice,
but isn't that what we need? Someone different? To try different things?
It must be going well. She's been in there ages.
I don't know, Donna can talk.
-Thank you very much.
-Thank you, Nurse Jackson.
She's wasting her time. I nailed it!
I'll be right there.
-Considering you hadn't trained...
-I DID train!
-..and you had a curry last night...
-Look who it is!
Well done, mate. Get that down you.
I don't know. Freddie got cramp.
That's what happens when you don't prepare, man.
I passed them about an hour ago. They should be here by now.
Well, we're due on shift soon.
Should we go back and find them?
I've just run that once, I am not doing it again!
I'm reckon they'll be all right, anyway.
And I am dying for a coffee.
-Where else? Well done, guys!
And with a 10% increase of permanent nursing posts,
this could also reduce waiting times,
alleviate the burden on the wards, and improve bed flow.
And how do you propose to pay for these plans?
-May I speak frankly?
We have freelance project managers on very lucrative contracts.
They've never worked in a hospital before.
They have no idea how or why things are done,
and they're brought in to find cost efficiencies and help us
meet our STP targets.
We don't need them.
The staff in this hospital are its greatest asset.
They are good, hard-working, intelligent people.
If you want to know how to cut the cost of domestic services, or lower
the linen budget, or reduce the food waste, then ask the cleaners,
ask the laundry assistants, and the catering teams.
Don't ask some guy sat in an ivory tower earning 600 grand a year.
I'm so sorry. What happened?
Got into some sort of squabble with one of the other kids. He's fine.
Who have you been fighting with, eh? Eh?
All right, can we all please just stay calm?
Is it broken?
-Sprained. Lucky for you.
-Well, I'm sorry. You know...
Well, that's not good enough. I want him expelled.
Firstly, nobody's said "expelled" since the '50s.
-Ah, well, you would know.
Second of all, it's a hospital creche.
No-one's going to get excluded from a ho...
I don't want him anywhere near my child again. Are we clear?
-We don't know what happened yet.
-You think this was Emma's fault?
-I didn't say that. I'm just...
-Your toe-rag son sprains her wrist and
suddenly it's her fault? Everyone knows your children are trouble.
Don't start bad-mouthing my kids, I don't care who you are.
-You're lucky I don't press charges.
-Let's take it down a bit.
Is that Sacha's shirt? You look ridiculous.
Lou, can you take these two back down to the creche, please,
-Go with Lou.
Oh, here they are! Won't ask about the outfit.
-Did you do it?
All 13 miles. Come on, cough up.
-Oh, I didn't sponsor you.
Well, until I get the big promotion, I can't afford to splash the cash,
can I? So I sponsored Morven.
Oh, come on, mate. That's, like, 38 pence per mile.
Well, it's for a good cause.
OK, the side room's ready, but let's prep both theatres, OK?
And somebody phone ITU and see how many beds they've got available.
-Yeah, I'm on it.
-Oh, thank God.
-What's going on?
Quickly. I need a second pair of hands here.
Dr Digby, can you get changed and scrub in, please?
A 4x4 lost control and went into the half marathon.
-Definitely a haemothorax.
-Side room, then, please.
-We need a chest drain, Fletch.
Right, everyone, it's going to be busy, so let's stay
on top of things. Dot your I's and cross your T's, please.
It's definitely an intra-abdominal haemorrhage.
There's a lot of blood, and I don't know where it's coming from.
-Toni! Right, haemoglobin?
Let's get him into theatre, please, for an emergency laparotomy.
Hey. Why are you running around like a headless chicken?
Have you heard from Dom?
Is that Freddie?
I don't know. There was an accident.
What do you mean, "Where's Dom?" What's going on?
Have you got your phone?
OK, listen. If there was something serious, then we'd know about it.
-Hey. Where is he?
-Are you all right?
Yeah, I'm fine, I'm fine. Where's Freddie?
We've taken him into theatre.
He's haemorrhaging, but we don't know where from yet.
-Is he a friend of yours?
-I'd better get changed.
Lofty, can you take a look at that shoulder for me, please?
If there's any news, I will let you know.
It's going to be all right, OK?
-Have you seen Nurse Fletcher?
Sorry. Look, a car drove into the half marathon.
-It was an accident.
-Right. Is everything under control here?
Absolutely. You can rest assured our SHMI remains at 102.
We are a little bit backed up,
but we've avoided declaring a Major Incident.
-Good. Are you ready to come in for your interview now?
His drain's not slowing, and his BP's still low.
-I need to take him to theatre.
-Well, we can transfer him upstairs.
There are no beds. We'll have to do it here. Can you scrub in?
Actually, Nurse Fletcher is needed for an interview.
Really? That would be for the Director of Nursing post?
I really would appreciate Nurse Fletcher's help.
You are the best CT surgeon in the entire hospital.
You don't need my help.
Well, that's very kind of you, but I do need someone in with me,
and as you can see, everyone else is busy.
All right. I can see you need all hands on deck.
I'm going to push your meeting to the end of the day.
If you're not in the boardroom by five o'clock...
I will be there.
This is because of the kids fighting, isn't it?
You're going to keep me busy past five, aren't you?
Was he drunk, the driver?
I overheard the paramedics say he'd been fitting,
so I'm assuming it was some sort of seizure.
-Is he all right?
-I don't know.
I hope Freddie's OK.
You two seem pretty close, eh?
Why, because I don't want him to bleed to death?
It's not that. It's just the two of you seem to be moving pretty fast,
-We're hardly picking out curtains, Lofty.
-Look, there's no need to be so...
-Look, can we just hurry this up,
please, so I can go and find out what's going on?
Let's give him the recovery room, and keep an eye on him.
So, how did it go?
Oh, the interview, of course.
-It went very well.
-Yeah? When do you hear by?
By the end of the day, apparently.
How is he?
There was a tear in an omental vessel.
He lost a lot of blood, but he's stable.
Ah, there it is. Intercostal artery's damaged.
Good. 6/0 prolene.
Stop sulking. You'll make your interview.
Although I really don't know how you intend to manage an entire
hospital of nurses, when you can't even manage your own children.
Well, that's kids, innit? I mean, kids fight.
Maybe YOUR kids.
I'll talk to Theo.
Yes, that's going to make ALL the difference!
And what's that supposed to mean?
This isn't the first time your children have caused trouble.
Whatever you're saying to them in these talks obviously isn't working.
What do you want me to do?
-Take my belt off and beat him? Lock him in a cupboard?
-Fine by me.
Kids need boundaries.
I only have to raise an eyebrow at Emma,
and she knows she's gone too far.
That's because she respects that I'm the authority in our relationship.
Of course, if your children don't respect you...
Erm, my children do respect me.
Oh, hang on a minute.
Descending aortic aneurysm. He didn't get that in the crash.
How bad is it?
He'll definitely need another surgery.
We'll finish off here, and send him to Darwin.
I didn't think there were any beds left.
Well, Mr Griffin's taken the last ITU bed.
So on top of your authority issues we have a defeatist attitude,
no problem solving skills, and a total lack of initiative.
Well, the idea of you becoming the next DON
gets more terrifying by the minute.
Listen, why don't you take the rest of the shift off?
I'll get agency in. I'll say the same to Dom.
You've had quite a shock.
I wasn't even there.
I saw how you reacted when you thought that Dom was hurt.
He's my friend.
OK. Look, take a few minutes.
Just go and get a coffee or something.
It's a Chiari malformation. Do you see the syrinx in the brain-stem?
I'll show you the cine phase contrast.
What, 4.00pm today? That's very short notice.
Yes, OK, I'll be there. Thanks.
-Was that your...?
-How's it all going?
Well, it seems to be having some kind of effect.
I don't think I've ever known you to be quite this "prudent"
in all my life.
Well, it's your career on the line now, not just mine.
Ah, here it is.
You're kidding me?
-Zosh, you need to hear this!
Some guy passed out at the wheel. Crashed into the half marathon.
What? Was anyone hurt? PHONE RINGS
At least three people needed surgery.
-Is Dom OK?
He's fine. His new fella got hit, though.
-Oh, my God.
-OK. I'll be right there.
That was radiology. Dr March, could you follow me, please?
-How is he?
-Not too bad. He's had surgery.
Just trying to find him a bed, but CT and ITU are full, and nobody
seems to want a surgical patient with an untreated aortic aneurysm.
Jac found it when she was repairing an artery.
-Well, that was lucky.
-That's one way to put it.
He's a single dad. Three little kids.
They're with a baby-sitter.
Have you got the baby-sitter's details?
No. But she lives in Mercer Street.
I ran past it, but I can't remember the number.
I'll talk to the police.
-Keep us posted?
-Yeah, sure. How's Robyn?
She's all right. A bit shaken up, obviously.
-Will you send her my love?
Oh, how was your interview?
Oh, they moved it to 5.00, but...
I don't know if I'm going to go.
Just not sure what the best thing is for me right now.
Seems to be a lot of that going round today.
What is it?
This is the driver who crashed into the half marathon.
They're sending him up now. His name is Jonas Jaques.
I've haven't seen anything like it before. Have you?
-You know what it is?
Well, I've got a good idea. So, what's your first step, Dr March?
Well, you wanted in at the deep end. This is it. Sink or swim.
Right. OK. Erm...
Bloods, FBC, U&Es, LFTs...
Cross-match? Group and save?
-We're taking him to theatre?
-As soon as we can get a slot.
Well, I've seen the schedule today, and it's back-to-back.
OK, well, I understand he's stable, so we can afford to wait for a bit.
Give you time to catch me up.
Dad, if you know the answer, just tell me.
Look, he's your patient, Zosia.
You need a full diagnosis, and a plan of action.
Take it easy, take it easy.
Right, Mr McKenzie? You're in Holby City Hospital.
What can you remember?
Yeah, that's right. You've had surgery.
-I need to go.
-You can't, OK?
Because you're not very well, and you need another operation.
-No, my kids...
No, there's no-one...
Social Services are picking them up, OK? They're taking care of them.
They've found an emergency foster placement just until you get better.
-All right. I really need you to lie back.
I really need you to lie back. Try and relax.
Mark, listen, I know exactly how you're feeling,
because I'm a single dad meself, but honestly,
the best thing for you is to rest, get better, so you can go home.
Well, like I said, you need another operation.
After that, it's going to be four or five days.
Four or fi...?
From when you have the operation.
And that won't be today?
No, I don't think it will.
-They'll be terrified. Their mum...
They need me. I've got to get home.
I'll have a word with the surgeon.
Thank you. Thank you.
Don't you think we should have a bit more urgency about
dealing with his aneurysm?
You can go at any point. I mean, I've seen it before.
There was a bloke over there, had exactly the same thing...
I've looked at it. It's not that big, it looks stable. It can wait.
I'd just be happier if it was dealt with.
He's a single father with three young kids...
There are no theatres - it's that simple
Well, can't you squeeze him in?
-"Squeeze him in"?
-It's major thoracic surgery, not a haircut.
Look, I can get him a bed, but only after he's had the surgery,
otherwise he's going to be stuck down in here,
-and we're not exactly...
-Will you shut up?!
This may be hard for you to believe,
but I'm not just being difficult here.
There are no theatres available, not without cancelling someone else,
which I can't do unless it's medically justified.
If you can magic a theatre out of thin air, be my guest.
It's just an antibiotic. How are you feeling?
Like I've been run over.
Well, you've had some pretty major surgery, so you'll have to
take it easy for a while, OK?
Well, luckily, my boyfriend's a doctor, so I'll be in good hands.
-You've never had a seizure before?
-And you said the headaches started eight weeks ago?
No, sorry. You, go ahead.
Did anything change at that time?
Your diet? Medication?
No. I just hit my head at work.
But in my job, it's like getting a paper cut.
Happens all the time.
-And what is it you do?
-I'm a stuntman.
The numb-nuts they get to do the dangerous stuff,
so that real people don't get hurt, yeah.
I can't believe I...
-Not that we know of, no,
but I'm sure it's not your fault.
What's wrong with me?
Well, that's what we're going to find out.
We're going to drain the liquid off,
and work out what's caused it to accumulate,
-and we'll take it from there.
-You must travel a lot, yeah?
And is it true they do a lot of this stuff in Eastern Europe?
Yeah. Romania, Croatia, but I go all over.
London, LA, Germany, you name it, really.
And that's air travel, I suppose?
-I'm going to get your bloods.
-Yes, you're back. What do you want, balloons?
Mrs Adleman's bloods.
Where is she?
I thought I told you to stop cluttering up my ward.
MRS ADLEMAN LAUGHS JAC LAUGHS
She has got an infectious laugh.
-Yeah. It even works on Jac.
Are they there?
Yes. The eosinophil's quite high, but...
So, have you figured it out?
Come on, Zosia. I can't do everything for you.
-Either you're serious about this, or you're not.
OK, well, keep going. Come and see me if you need anything.
Dom, do you want to ring Freddie's parents, or shall I do it?
Er, that would be you.
And if they plan on coming in, can you let me know,
so I can make myself scarce?
Oh, too soon to meet the parents?
About a year too soon. I've only just learnt the guy's surname.
I don't know, I think it's a good thing to meet
a new boyfriend's parents early on,
cos you can learn a lot from a man's relationship with his mother.
I have known him a week. He is not my boyfriend.
That's not what he thinks.
He referred to you as his boyfriend just a few minutes ago.
Maybe you should have a chat with him.
Let him know that you're not on the same page.
-What was that?
You don't like Freddie?
I don't know the guy, to be honest, and neither does Dom.
So why are you meddling?
I'm not meddling, I'm just being a mate.
By trying to ruin his new relationship
before it's even started?
By making sure he's not pressured into anything serious
-before he's ready.
-Don't you think Dom should decide?
Hang on, hang on. Can I see your work order?
And is this the only thing that needs doing in here?
-As far as I know, yeah.
-OK, great. Well, it can't happen today.
All right? I need you to pack up all your stuff, and get it
out of here, and I need everything back how it was.
-No, seriously, I'm not mucking about, all right?
I've got a team turning up in ten minutes to do a deep clean,
so quick as you can.
OK, thank you.
Right, Freddie's parents are on their way in,
but they're going to be a few hours yet,
because they're coming from Sunderland.
I know this is a little bit barbaric,
but I've just ended things with him.
Because I just didn't see it going anywhere.
Oh, run over and dumped on the same day?
-That is a bit harsh.
-You broke up with Freddie?
We're not Brad and Angelina. We only had a couple of dates.
He's a really nice guy, but you were right -
it was just going bit too fast.
Dominic? Ward round?
I didn't mean he should dump him!
Well, that all seems fine.
I'm still working on it, so don't get your hopes up,
but I'm going to get you prepped anyway
-Don't thank me yet.
-Could you do a little call round for me,
see if you can get me an anaesthetist
and an ODP from somewhere?
-A call around?
-Yeah, I don't care where they come from,
just try all the surgical wards until you find someone.
-Why can't you do it?
-It's called delegating.
-All right, fine.
But, you know, you can't boss me around when I'm Director of Nursing.
Fine, but I'm still Ward Manager, so could you just do as I asked?
Sorry about that.
I really am grateful. I can see the effort you're going to.
Yeah, well, I know what you're going through.
So, how many you got?
-Oh. That's a handful!
Yeah, you're telling me.
I've been lying here, just trying to think of someone
I could ask to take them for a bit, but...
I thought, I'd better get myself in shape, you know, make sure
I'm fit and healthy, so nothing happens to me,
make sure I'm going be there for the kids.
At least, that's what I told myself.
Really, I think I just wanted that bit of time to myself.
-No. Kids are demanding.
Well, yeah, but...
I took it too far. Started running more and more.
Signing up to charity runs, a 10k here, half marathon there.
hiding, really, from everything. Everyone.
I get it. I do. All right?
Me and the kids were staying at a mate's until recently,
and now that I've got them on my own...
You know what?
Sometimes I sign meself up for an extra shift just to have a break.
Maybe you and I should face up to our responsibilities.
I've booked a theatre slot in the morning,
which means you'll be nil by mouth overnight,
so I imagine you'd like something to eat now?
-That'd be great.
-OK, I'll have a word at the desk.
So, stuntman, eh? Interesting career choice.
I just sort of fell into it.
I was into extreme sports as a kid. All started form there, really.
What's that saying? "Life begins at the end of your comfort zone"?
I mean, if it starts to get easy
it's time to do something else, right?
I'll see what I can do about getting you something to eat.
And only 0.54% of those were cancelled for
non-clinical reasons... Hello, yes, I'm still waiting.
Uh-huh. Great. Thank you.
Oh, here he is. All sorted.
-Just beep them when you're ready.
-Ah, that's great! You're a star.
You know me, Fletch, I like to get things done.
-Ooh, good luck for the interview!
-You're helping him as well?
What? No, I...
You're supposed to be on MY team, Morven. I'm disappointed.
So that's where she's getting all of her stats from, is it?
I've created a monster.
I can't go to the toilet without her telling me to the
nearest decimal point how many hours are lost to comfort breaks.
Seriously, Fletch, you've got to get this job,
or she's going to be an absolute nightmare.
actually, I'm going to withdraw.
-I've got enough responsibility.
Look, can you assist Ms Naylor on an aortic aneurysm?
Well, I'll speak to Mr Griffin, but I don't see why not.
That'd be great.
for what it's worth, I really think you should go for the interview.
Yeah, hello, you just spoke to a colleague of mine on AAU.
-Just need to do your obs.
I heard about you and Dom.
Did he say anything to you?
He just gave me the usual bull, you know.
"It's not you, it's me,"
he's sorry he led me on,
blah, blah, blah.
Things were fine this morning.
I don't know what happened.
Are you all right?
-I just don't understand.
I'll be right back, OK?
-How did you do this?
So, are we on?
I'll go and get changed.
His BP's dropped, and he's really drowsy.
It might be the anaesthetic still.
You were right to flag it up. Let's take a look at him.
Freddie? Freddie, can you hear me?
-He's bleeding again.
-Can we get some help here, please?
We need to take him back into theatre straight away.
Yeah, OK, I'll call you back, and let you know what he says. Thanks.
I just spoke to Social Services,
-and Hannah's your baby-sitter, right?
Well, her mum used to foster kids, and all of her paperwork's still
up to date, so they said, if you prefer it, the kids can stay
with her until you're better,
and Hannah'll stay there as well so they've got someone that they know.
I don't know what to say. Thank you.
And the good news is, the kids and everyone,
-they're going to come and see you tomorrow.
-Really, mate, thank you.
It's all part of the service.
You're back, and now you've got her,
and you don't know what to do with her, do you?
She's on a case. And it was her choice, Jac, not mine.
Why would she turn down the opportunity of a lifetime?
Maybe she wanted to push herself in a more challenging field.
She had the makings of an extraordinary CT surgeon.
She'll be an average neurosurgeon at best, and she knows it.
Whatever she's given her life up for, I hope it's worth it.
How are you getting on?
Erm, well, I think it could be a degenerative disease...
Come on, Zosia, look at the scan! You're better than this!
-You're not trying hard enough!
-Dad, are you OK?
-I will be when you start focusing on the job at hand.
No-one forced you to be here.
-Then apply yourself!
Otherwise, you're just throwing away your career.
OK, graft is in.
3/0 pro...lene. Thank you.
How does Ric feel about you going for DON?
Seems a shame to lose a perfectly competent theatre nurse
to a management post.
-Sorry, are my ears playing up? Was that a compliment?
Does that mean that you've changed your mind about withdrawing?
-No, I haven't, no.
-Never had you down as a quitter.
Yeah, well. You don't know me very well, do you?
If it's because of what I said earlier...
Don't flatter yourself.
Let me guess.
You've decided it's not fair on your children for you to
take on more responsibility at work, blah, blah.
Not that it's any of your business but actually, yeah.
You're an idiot.
I beg your pardon?
You do 12-hour shifts now, right? Nights. Weekends.
-And the rest.
The hours are more convenient, but it's not as simple as that.
You don't like money? That makes sense.
I've seen the hand-me-downs you dress Theo in.
I can't go home only thinking of work every night.
Dr Digby, you're an F2,
you're responsible for a small handful of patients every shift,
working under the supervision of a consultant.
I'm the Consultant Clinical Lead on one of the country's foremost
When you go home at night, do you think you spend more or less time
thinking about work than I do?
Never mind, there's no good answer to that.
Either you don't care enough or I'm a heartless bitch.
My point is,
it doesn't matter if you're thinking about one patient, or a unit full.
One ward, or a hospital. You're still thinking about it.
For the record, I don't think you're all that bad.
Clearly you have some management skills. And I know...
I know you look out for your people.
Whatever, it's your choice. I don't care.
The bleed's not coming from the vessel,
I don't know where it's coming from.
-Yep, I know, I know.
I've got it, I've got it.
It's coming from the closure stitch into the rectus sheath.
We must have hit a perforating vessel.
Not we, Raf. Me.
-It happens. It's a known risk.
-I'm sorry, Dom.
-Don't be silly.
Sacha, you're not God.
OK, crisis over.
Are you OK, mate?
I'll be right back.
Good. Let's close up.
Maybe not. Let's have some swabs in there, please.
Dr Digby, put some pressure there.
Can I have some protamine?
It's Mr Valentine, he says it's urgent.
Put him on speaker phone.
'How long are you going to be?'
I have an aortic bleed here, I've no idea. Is it Adleman?
'Yeah. She's not good.'
Just don't let her arrest. She's on a DNR.
I'll be up there as soon as I can.
'Hang on. Hang on...'
OK. Let's have a look. No. More pressure.
OK. Let's finish this.
You don't have to do this.
Actually, you'll find that dehydration
is one of the biggest causes of...
You don't have to put your guard up. It's me. OK?
It's all right to admit that you care about him.
You seem to be taking a lot of interest in my love life recently.
Well, there is a middle ground between a serious relationship
Yeah, I believe I was telling you that earlier.
Why'd you dump him, then?
Because. He's not my type.
And why'd you REALLY dump him?
Because it's too soon.
I thought I was ready, but...
You just need to take it slow, that's all.
Yeah. Try telling him that.
No, you try telling him that. Instead of panicking all the time.
So let me get his straight. You've spent the entire day making it
abundantly clear that you disapprove of him and that you think he and I
are going too fast. But now you're saying...
You're missing the point. It doesn't matter what I think.
If you like him, give him a chance. If you don't, don't.
It's your life. OK? Just don't be pressured by anything or anyone.
What, not even you?
Especially not me. I shouldn't have interfered today.
Then why did you?
Surely you've got more important things to be thinking about.
Actually two of my best mates, from the ED,
Max and Robyn were in a fire on Saturday.
Robyn's baby nearly died.
Lofty, I'm so sorry. I had no idea.
Look, Dom - my friends are really important to me, OK,
I was just trying to be there for you. That was all.
Did you know that Jonas guy was in Thrones?
How cool is that?
I tell you what though, for a skinny guy he can't half put it away.
I just saw him eat four sandwiches. Four.
You know what, it's really not a good time, Damon.
Egg and cress, cheese and ham, chicken and sweetcorn
and prawn something.
Personally I think prawns in a sandwich are the devil's work,
but each to their own.
KNOCK ON DOOR
It's a tape worm! Cysticercosis.
Which is more prevalent in Eastern Europe.
It's been blocking the ventricles in the brain,
that's what's caused the fluid to build up.
They're not holes, they're cysts.
So what are we going to do about it?
We put in a ventriculoperitoneal shunt to divert
the build-up of CSF in the abdomen and ease the hydrocephalus.
And we treat the cysticercosis with albendazole.
Excellent. Good work.
-Right, shall we go and tell him?
Morven told me everything. How's he doing?
Yeah. He'll be fine.
A Darwin patient died because I talked Jac into this.
I'm kind of feeling like I robbed Peter to pay Paul right now.
She wouldn't have agreed to it if that was a possibility.
It wouldn't have made a difference.
That's what she said.
She also told me to grow a thicker skin and stop thinking
so highly of myself.
Haven't you got an interview?
I don't know.
I mean, if I can't get this right...
You didn't get it wrong, Fletch. You put your patient first.
But how do I upscale that?
I can't put every patient first, can I?
I haven't got the answers.
I don't think anyone does.
Do you think I should go for it?
Only you know what's best for you.
Hey. You're OK.
What are you doing here?
I came to say I'm sorry.
And that perhaps I was a little bit hasty.
And maybe when you're up for it...we can talk?
We all know that we need more staff, more training,
more beds, more equipment,
but we can't keep shrinking teams and cutting services,
trying to save a few quid here and there, moving money and
people from one place to the other
and hoping that it's going to fix it.
It's like stacking deckchairs on the Titanic while it's sinking.
I'm not going to sit here and tell you that I've got all the answers
Anyone that says there's a quick fix or an obvious solution is
But we do need to be able to do more with less somehow.
So we've got to be cleverer, more creative, less
stuck in our ways, otherwise in ten years' time
we're all going to be f...
We're all going to find ourselves in trouble.
And you're the man to lead the charge, are you, Nurse Fletcher?
I'm a single dad with four kids,
so I know what it's like to have to do more with less.
I also know what it's like to lead a team through the most
terrible of circumstances and come out the other side.
I don't think it's going to be easy.
And I don't know if I can do it any better than anyone else would.
But what I can tell you is that nobody will try harder.
You feeling confident?
I suppose I am, really. You?
Yeah. Couldn't have gone better.
Well, then, may the best woman win.
Well, this is all very civilised.
-Yeah, look, whatever happens, we're all on the same side.
Yeah, but I do have some bad news.
I just bumped into Sue Stout.
She went it for it as well, apparently.
Her interview was at lunchtime.
Right. Well, that's it then, isn't it?
None of us have got it, then.
Not looking likely.
Wish I'd known earlier, I'd have spent less time worrying about it.
Right then. Onwards and upwards.
I'll drink to that.
Hi. Well, this is awkward.
Do you want me to speak to each one of you separately?
It's all right, Ms Karnik, just rip the plaster off quick.
-We can take it, can't we, guys?
All three of you were exceptional.
We'd like to offer the position, if you'll except, Nurse Fletcher.
-Did Sue Stout withdraw?
No. We just felt that Nurse Fletcher
was the best candidate for the position.
-Well done, mate.
-Well done. Dark horse, aren't you?
What do you say, Fletch?
Do you want to be the Director of Nursing?
Yeah, I would. I can't believe it.
I don't know what to say. Thank you.
You're very welcome.
Was that about...?
Fletch got the job.
Really? That's fantastic! Well done, mate!
-It's fine. I'm really happy for you.
-I can't wait to tell the kids.
Celebrate. You deserve it.
Right. Come on. Back to the ward. See you.
I'm sorry. You all right?
Don't be daft. I always knew it was a long shot.
Fletch got it.
Aw, mate! I'm so sorry.
You must be so disappointed.
No, it's fine.
I mean, the way I see it, if Fletch is moving
up in the world, than there's a promotion going on AAU.
And with all the help that you've been giving me
I'll be a shoo-in for Ward Manager.
-It's a win-win, isn't it?
Well done. You did well in there.
I feel bad for him.
I doubt having a permanent shunt will do his career any favours.
I'm sorry I was hard on you.
Maybe it was what I needed. It worked, didn't it?
You're an exceptional surgeon.
Yale don't open their doors to just anyone.
-Well, they don't.
Zosia, if this is not what you want, then I don't want you here.
I mean it.
I'll call Yale myself and smooth things over. You just say the word.
-There you are.
You missed your appointment.
I'll rebook. Don't change the subject.
I've been with the board all day
interviewing for the Nursing Director.
Between candidates we had a chance to discuss a few things.
A permanent neurosurgery department needs a permanent clinical lead.
Are you interested?
Well, well, well. A permanent contract?
I'll be able to oversee your entire neurological career.
You can teach me everything you know. How's that for a road map?
You heard my protege. Count me in.
I'll set up a meeting.
Well, this calls for a celebration.
I'll see you down there.
Just so you know, I stuck my neck out for you.
Good. That means you need me more than I need you.
PHONE STOPS RINGING
I hear congratulations are in order.
Oh, er... Thanks.
I also hear we owe you an apology.
Oh, what's this?
"To Theo. Sorry. From Emma Naylor."
Well, thank you very much, Emma. That's all right, isn't it, mate?
Turns out she may have sprained her wrist
throwing a wooden block at his head.
-I'll talk to her.
Not raise an eyebrow?
Right. Time for us to go, young lady.
I guess we'll be seeing a bit more of each other.
Yeah, the DON's based on Darwin.
You didn't know that.
Well. Too late now.
Is that Jacula?
Um... Let's go.
LAUGHTER AND CHATTER
-Yeah, yeah. Laugh it up.
Right. I'm ready.
You're allowed to take one picture.
You can post it on anywhere on social media.
-I'm not going to do that.
-I'll do it!
I acted like a bit of an idiot today. I'm sorry.
I shouldn't have stuck my nose in.
Well, Freddie and I have decided to keep going with things.
But we're just going to take it a little slower.
Oh-ho! Now, that...is a keeper.
Delete that immediately.
No, I'm going to keep this for a rainy day.
Come on. Get that down your chicken neck.
Just to also let everyone know that the casualties from the race today
-are all stable.
But on a lighter note,
who would like to know how much we raised for our skin cancer charity?
-Drum roll, please!
-Just over four grand.
-Yeah, that reminds me...
you owe me a cheque.
Well, it's worth every penny.
Aw, brilliant! Well done.
Come on. Stick your drumsticks down on there.
When events take a tragic turn during the Holby half-marathon, Lofty is forced to finally confront his feelings for Dominic.
With a shortage of theatres, Fletch must enlist Jac's help to treat a patient who desperately needs to get home to his kids.
Suspicious Guy puts Zosia to the test to prove she made the right decision to transfer to neurology.