How Loud It Is Holby City

Of course we'd have to issue a public apology for the failure of the examiner on the trial.

It was the drug in its most rudimentary form

that caused those deaths.

Deaths, Fredrik?

What do you say, Fletch?

Do you want to be the Director of Nursing?

-Yale?

-This is your ticket to a seat at the big girls' table.

Zosia, I'm seeing a psychotherapist.

They're worried you're not fit for work.

Your fiance has just turned down my elite CT placement

and is switching to Neuro.

Anabolic steroids.

There you go.

I'm not addicted. Are you happy now?

You'll never see us again.

That is the price I have to pay for my humanity.

Of course, the outcome would be different this time.

That would be guaranteed.

This can do it.

Really... do it.

It could be the breakthrough.

But I'm sure you have anticipated by now that...

..it also needs you...

..to, once again, safeguard the future of this family.

Your family.

But in the name of progress...

..because I hope you can understand my reputation in Sweden...

No. No.

I should state the science first.

-There's nothing like this on the market.

-You have 12 weeks.

-There's plenty of time to get that bit right.

-It is right.

So, earn his trust back and he will help.

It can't wait that long.

His recommendation is only the first part...

Yes, but it's the most important.

12 weeks. It's enough time to make it feel natural enough.

But, for now, your first day...?

You're determined to humiliate me.

Fredrik, you promised.

Because...I hope you can understand the position I'm in.

My reputation in Sweden is compromised...

-..despite my acquittal...

-Fredrik.

But I understand why you did what you did.

Dominic Copeland, registrar.

Hm.

Just feels like another one of those "and then there were two" moments.

Going to be plenty more of those.

He would have been so proud today.

-I need staff.

-I have that covered.

Three electives, a full clinic this afternoon, limited resources.

-Is there no way you can start Darwin?

-Orders. Not mine.

-That means the Trust.

-That means I can't say.

Ward by ward, consultant by consultant,

that's all anyone needs to know.

Great, so the wheel stops with me.

Sacha, it is one day under the microscope.

Which we all know leads to a lifetime of problems.

Career of problems.

Is there a difference?

That's the spirit.

Please. Come on, one day to clear my electives.

You're up first. Rally the Keller troops.

Did you say you had that covered?

Of course you did.

Hey, I found this gentleman struggling with

one of the lockers. Apparently he's one of us.

Fredrik Johanssen. Wow, that's an interactive resume.

I see your name and you pop up!

So, what do you prefer - Mr Johanssen, Fred, Freddie?

Fredrik is fine.

Great, super.

Where shall I start?

Um...

My...

..office?

Therapy. That's what they should give me.

How many years serving like a butler to that woman's every whim?

I take one break from her and she fills my return with

the equivalent of slopping out the outhouse.

-Your decision, I recall.

-Stockholm syndrome.

Though even on AAU I'd wake up

in the middle of the night with a cold sweat.

Post traumatic Jac syndrome.

What can I say - I'm a woman on the verge of having it all?

Oh and how lucky am I to be a little wedge in your little pie chart?

"WHO ARE YOU" BY THE WHO BLARES

Hey, Zosh! Just in time.

What do you think? King or The Boss?

For Lord Fletcher? Of course. Three bags full.

Apparently, his brand spanking Darwin office isn't up

to his standard yet so he's slumming it with us proles for another day.

By "not up to standards" I take it you mean not ready?

Honestly, even if it was ready I don't think he'd sign off on it.

You seen my list?

And, by the way, that was a nurse calling for him.

He's already bagged himself a secretary.

Mr Brown needs his ECG.

In the meantime, his highness has sent down a list of tasks

he wants doing on top of the everyday survival of AAU.

Well, I wish him luck with that. So what have we got?

Two hot gallbladders and an incarcerated hernia.

-Donna!

-Oh, here we go.

-Can you give me a shout when you've done

the off duty? And there's rumours flying around that Darwin's next

on this merry-go-round of assessments so I need you

to plug the gap here while I dance between both wards, OK?

-Sorry. You're a life-saver!

-I'm a life-saver, apparently.

If they bump up my pay-grade, I'll even do mouth-to-mouth.

Elective after elective, discharge times we have to

stick to or else we face a mountain of paperwork

explaining why we couldn't.

And the usual, no beds, no slots, no time...

Everything has to be meticulously planned or not at all.

Theatre lists need to be reviewed and noted.

OK, er, this pile underneath are dictations

for transplant assessments.

Good luck.

Well, these beds won't change themselves.

Bet it's not like that in Sweden. Reckon you're mad coming here.

12-week attachment. Little time for madness.

Few people would disagree with you there.

Him being one?

Mr Levy? He's really copping it today.

Bit tense. Apparently there's some kind of assessment

from the Trust, or the enigmatic Mr Hanssen.

He's Swedish as well. You might know him!

Bit weird.

Well, not weird, just... he's my boss so... Shut up, Lofty!

He's got ears everywhere, though.

I'm going to look into these electives, prepare myself.

Harvest, though, not Gold Rush. Needs the extra emotional depth.

They're both here somewhere.

I thought you'd done hundreds of subdural haematomas?

Thousands, probably.

But this is a microvascular decompression to cure

trigeminal neuralgia.

Extreme facial pain. And it requires a soundtrack.

-Yes, I know what it is.

-It's a referral from the Lexington Neuro.

And did they ask for you specifically?

Well, they always ask for me specifically,

I just can't always say yes.

This, however, is what in Brain Geek Creek

we would call "irresistible."

And what in the Creek would they call this?

It's, er... just something that, um...

Dr Burton had me do. It's the rest of your mother's family.

You won't remember them.

-That's Auntie Chris?

-That's right.

Yeah, I know. I stayed with her. And her daughter.

I should have invited them to the wedding.

Um, well, I don't think so.

Why not?

You're doing great, I'm doing great, it would be nice

to meet the rest of that side of the family...

Yes, but we have an operation to prepare for!

What about something classical?

Something with a bit of status, what do you think?

I had no idea he was your son.

No. Why would you?

Just, I had no idea he was coming, that's all.

KNOCK ON DOOR Come in.

Thank you, Ms Karnik.

So...

I get summoned like all the rest?

What are you here for, Fredrik?

A 12-week attachment. I need the practical experience.

Yes, I know what it says on the form but what I want to know is

what are you here for?

OK...

I was hoping you'd understand the position I'm in.

My reputation in Sweden is compromised...

-I can understand that.

-I was acquitted!

I know.

You followed the trial?

Of course.

Hoping for what outcome?

Look, I know why you did what you did...

All right, we'll get you your practical experience,

if that's what you need.

What else would I need?

Oh, a set of scrubs for a start.

You look like you've come dressed for a funeral.

Fredrik.

I hope you know what you're doing.

You don't think I can do it?

What's this?

-Place settings.

-For our wedding?

No, for the teddy bears' picnic in the woods.

-Yes! For our wedding.

-Sorry, maybe my intonation was wrong.

For OUR wedding?

It's funny. I've seen them do it before.

Old photos of strangers in uncompromising positions.

-My family.

-Oh! Family... in compromising positions.

-Those two are not related.

-A family I never knew you had.

My mum's side. After she died I hardly saw them.

I met some, but...

So, what do you think?

We find the funniest photo and we use it as a place setting.

Sorry, so these old semi-naked Polish people that you barely know,

I've never met, let alone budgeted for, suddenly on top table?

I have to invite them first.

Assuming they're still alive.

Unless that's a problem?

We're at capacity.

If it's a cost thing, I'm sure my dad will help.

It's a capacity thing. Sorry, what about my family?

-And my extras?

-Well, then you have to find some funny photos, too.

Oh, we don't have any funny photos.

And therein lies the problem with the Valentine family.

OK.

Far be it for me to be question the sudden shift from laissez-faire

to bridezilla, but...

why the sudden shift to bridezilla?

Hardly.

I just realised that maybe I was focusing a little bit too much on...

me.

Well you certainly look a lot different than the last time

I saw you.

Dr Copeland.

It's actually Mr now. Well, that was some pancreatic tear I treated.

-It must have taken you some time to get over...

-Some.

Yeah, I'm not a great one for wallowing in self-pity.

Sacha and Lofty had absolutely no idea who you were.

They were both mortified, Lofty especially.

-Friendly guy.

-Yeah, friendliest. And I'm going to come across

as the opposite of that now, but, I'm sorry, would you mind

if we give you a different locker?

They shouldn't have given that one out. We retired it

a little while ago. It belonged to a friend of ours.

Oh. Of course. Consider it done.

-Sorry, I know it's really weird.

-No, I'm only here

for a few weeks, so I really don't care where I go, and...

And sorry about your friend.

Thank you.

I know he was like another son to my father.

Straight through to bay three, please. Dr Digby, I need you

to do an ABPI and check his lower limb pulse.

-We're waiting for an RTA.

-Double leg fracture falling off a phone box.

Something to do with a couple of funny cigarettes,

-a stick of rock and a bottle of Remy Martin. Go figure.

-Incoming!

-Here come the rest of So Solid Crew.

-Give me strength.

Whoa, whoa, whoa! Can I stop you there, fellas?

Whose bright idea was it to redecorate

the penthouse during an amber alert?

I think you must be confused. We're doing a job for Budgie.

He's moving in to the big office here, just while upstairs

-get their act together.

-Budgie?

Yeah, he's the new Director of Nursing.

Do you know what? He, um, he told me about this.

Why don't you pop that back and I'll take over?

I would love to help him out.

If you say so. To me, to me.

To you.

Mr Levy. I need to know which operations I'll be assisting on.

Ms Easterman, this is Mr Johanssen. He's going to be talking you

through everything before your operation, all right?

Ah, yes, you're the adrenalectomy for phaeochromocytoma.

-You've been experiencing anxiety, panic attacks.

-Oh, he's cute.

I'm not great company at the best of times

but, yes, they call it anxiety.

Though, honestly, if you ask Mr Levy here,

I'm sure he can attest I'm much, much darker than that.

Right, I shall leave you in his capable hands.

Have I seen you here before?

I think I just have one of those faces.

-Fredrik, I'm mortified.

-And I'm Ms Easterman.

I had no idea who you were and when I said "weird," I didn't...

Who is he? Good or bad?

I need to know if I'm being treated by a bad one.

Are you important Dr Johanssen?

I'm the opposite.

Mr Levy, I've done your dictations, referrals to transfer,

patient lists, everything asked of me, and, to be frank,

I feel a little like a second class citizen here

as everyone else disappears into surgery.

Well, I'm very sorry to hear that.

I don't see my name down even to assist.

The truth is we're still waiting on some paperwork.

Paperwork? I don't think so.

Some documentation has been held up,

your occupational health clearance or something,

and until that comes, I'm afraid I can't let you into theatre.

Sorry.

Marco has been bounced from specialist to specialist.

Fluid on the brain.

Yes. Hydrocephalus. And you had a shunt fitted a few weeks ago.

Turns out number one dad is also number one neuro surgeon.

He really came to my rescue with this shunt thing.

The sodium levels in the blood are normal,

but we will have to do a CT to check the shunt is in place.

So, we'll be back.

My opinion? Safe money is on a virus.

Based on his history?

Or the fact that he's reported drowsiness and headaches since he had it put in?

Based on the freezing cold temperatures he works in.

In Scotland?

Is that the coldest place you can think of?

No. Fish market. Marco is one of the last of the great fish porters.

Family business, lovely man. But we have bigger fish to fry.

Microvascular decompression awaits.

And I have just the piece to accompany it.

I'm more than happy to make this a silent relationship if you prefer?

Lean forward, please.

Your heart rate fluctuate much?

Everything that can go wrong does go wrong. I'd like an end.

That's the tumour talking.

You know that, do you?

Unless you really are as dark minded as you say.

I didn't mean that kind of end.

Though I suppose it's inevitable.

I have to ask.

Have you ever had suicidal thoughts?

No.

Have you?

Never.

You eating properly?

I don't do anything properly.

Apart from lying in bed and feeling sorry for yourself.

You know you have a strange sense of humour.

So much for that silent relationship.

Feeling sleepy?

OK, I've got you.

Just lay still.

Weirdo! Why would I say that? To his son!

I need to go and find that locker, the poor guy's...

Lofty, please, just give it a rest for a bit, will you, please?

-Sorry.

-Are you all right?

Look, it's just...it's my first day as a registrar,

there are all these rumours going around the hospital,

Sacha's under pressure.

And now we've got Doctor Doom stalking the ward.

-Doctor Doom?

-You do know that he conducted a drug trial that

resulted in the death of six people.

Six - I mean, call me old-fashioned but I'm not the kind of doctor

who believes in collateral when it comes to some sort of greater...

I don't think Dom, er...

Fredrik, I'm...I'm sorry, that was really insensitive of me.

I'm just, you know...

No, you're right. Six of them...

The first one had a peripheral vascular shutdown

causing paraesthesia.

The blood supply to his limbs was cut off,

which led to infection, amputation and a painful death.

I'm sorry, I...

The second was a myocardial infarction due to

lack of blood supply in the heart muscles.

Third one went blind due to ophthalmic problems. Should I go on?

The fourth one was found...

Fredrik. Honestly, it was a mistake.

It's just after everything today...

Yes, of course. You must be worried.

What do you mean by that?

Just the age of uncertainty in this country. Takeovers, mergers,

people having to re-apply for their own roles.

Well, I love my job. And I'm very good at it.

Oh, I don't doubt that.

Staying good, though...

..that's the important thing.

Which theatre is Mr Levy in?

This way...

-Miss Jackson.

-Bloody hell, you gave me a fright.

There's a man over there saying he has an online order for you.

Something about free recycling?

Is that for Donna Jackson? That's me.

-All yours.

-Thank you. Ah!

Let's have a look. Ah! How great is that?

-Is that what I think it is?

-Certainly is.

It's going to a good home so thank you for coming all the way in.

-What is that?

-Oh, it's just a scratch.

Hop on a stool in triage and I'll get someone to see you.

Ms Easterman, the phaeochromocytoma,

she's experiencing strange symptoms that...

Yes, that's what the tumour will do.

But unrelated. Drooling, memory problems, drowsiness,

-muscle weakness...

-Panic attacks, feelings of gloom?

-She's been experiencing them for weeks.

-Emotions all over the place,

I agree, but these are all specifically different

to anything she should be experiencing.

Once we do the operation, it should fix all of that.

I'm saying I don't think we should be operating yet until we know.

But I can help.

I know you think this is me delaying to get theatre time but, please...

I have to go, all right? We'll talk later.

You OK?

I need you to take the bloods from Ms Easterman

and send them to the lab.

I didn't want to knock on your door because it felt a little bit formal,

and I'd much rather this was off the record, if that's OK?

It's all right.

HE SIGHS

With everything that's been happening with me recently...

..I just didn't want to be the cause of any more...

You were never the cause.

I can't stop taking steroids.

I've been taking them for a while.

No-one knows.

I don't have symptoms, you know. I'm not angry.

I'm not going to get all psychotic.

I just wanted to come to you now

because I want to stay on top.

I want to...stay as good at my job as I always am.

And I'm always burdening Sacha with these things, so...

So I'm the only person you've told?

Well, this is an illness. You're ill.

And I can't ignore it, I'm afraid.

You know what, this was probably a bad idea.

It's my first day as registrar and I've already come to you for help.

So, we'll get you help from Occupational Therapy.

They'll do a psychological assessment

and report back to me in confidence.

I want you to do exactly as they say, please.

I'll monitor you on a weekly basis.

The fact that you came forward is important.

Thank you.

Is it because of Isaac?

It's just an illness.

Now, look.

You are a good doctor.

I believe in you.

CLASSICAL MUSIC: Spiegel Im Spiegel by Arvo Part

Through the archway...

and under.

Softly...

lift.

And lay her down.

There's that the buzz for you.

A thing of beauty, wasn't it?

Yes. It really was.

AMBULANCE SIREN BLARES THROUGH MUSIC

PHONE RINGS

Fredrik?

It's not as easy as I thought.

I think we're going to have to rethink.

Maybe look at another way of convincing him.

There are too many factors against, Sara!

Maybe we look for help from someone else. I don't know, I just...

I have to go.

Mr Johanssen! Ms Easterman,

pulse is low, BP through the roof.

How many fingers?

Five.

Which symptom of the tumour was worse? Crying? Panic attacks?

Benzodiazepines in your blood.

You're self-medicating.

I was right. These symptoms,

they're nothing to do with the phaeochromocytoma.

She's been self-medicating.

At a guess, it's safe to rule her out as a heroin, cocaine type.

So, which is it, diazepam?

And I'm going to hazard, stolen from a relative who was prescribed?

Who was it?

Mother.

Back pain.

Mr Levy.

Ms Easterman is using diazepam to combat the symptoms of the tumour.

Fredrik was right.

Double vision, memory loss, muscle fatigue. It all makes sense now.

-When is she due in theatre?

-As soon as Theatre One is free.

We have to switch to alpha then beta blockers to get her BP down

to get the operation done in time.

Where's Mr Copeland?

I assumed with you.

-Lofty, can you inform the anaesthetist?

-Great.

Well done.

Mr Levy?

I just want to be a part of this team.

I'll see what I can do.

Naylor's in theatre.

Yeah. I just came in to get these for a case coming up.

-Did you want something?

-Microvascular decompression.

Yes. You should have seen him -

over, under, lifting these tiny veins with a feather touch.

His hand so still. It was him at his best.

He doesn't seem...off?

No. Quite the opposite. He seemed on.

-Hence the microvascular decompression.

-Erratic, then?

It's just...a couple of weeks ago, in theatre, there was this moment.

Panic, loss of control. I don't know what you call it.

I mean, there are many accusations I'd love to throw at your dad

but I'd never seen this before.

-Did he mess up?

-I mean, his behaviour...

Did he make an error?

No, not really.

So, a surgeon having a bad day? Hold the front page.

Yeah, it's just in hindsight, it felt like something.

Well, I think I would have noticed if it was something, don't you?

Hey, looking for Ms Naylor.

If you value your manhood,

I'd highly recommend you knocking next time.

I just want to clear the whole interview thing up with

me helping Fletch as well as you.

I don't want you to think I was being a turncoat, or anything...

Oh, honestly, you can be such a wet weekend sometimes.

-I'm moving on.

-Exactly, yes! Of course you are!

And, for what it's worth,

if Fletch's old job does come up, I think you'd be...

-What are you still doing here?

-Budgie said to wait.

But then someone was sick over there

and a fight broke out between the boys in the tracksuits.

And then he was called upstairs.

That looks very sore, how did you do it?

Pass me the chlorhexidine, please, Dr Digby?

Piece of glass from Stuart Wilson's Fanta bottle.

He went ballistic when he heard about the recruitment freeze thing

and smashed up the kitchen.

What, and they missed a bit cleaning up?

The Senior Porter role became available after Quinton

-got signed off for stress...

-Whoa. What do you mean recruitment freeze?

He had some rude words about Mr Hanssen,

which I won't repeat in front of the lady. But Stuart Wilson...

We're all gutted about the pop anarchist Stuart,

-but what exactly did they say about this freeze thing?

-Just that.

There'll be no more promotions until the uncertainty is over.

Uncertainty?

Don't say I never do anything for you.

A woman just left this at reception for Nurse Jackson.

Perhaps next time you could have your shopping

delivered directly to your home.

Thank you, Mr Griffin, you're a sweetheart.

It's just this way. Just through here.

KNOCKING ON DOOR

Mr Mereti's CT scans have come back.

And the ventricles in the brain look much larger than they should be.

Which means?

We need to relieve the pressure. We need to operate.

Shunt revision.

I'd like to know why it happened.

Agreed. So...

MRI scan?

I hear your patient's recovering beautifully.

You know...there's a point in there where you have to remain

so calm, so transfixed, it becomes meditative.

And your mind finds the quietest, calmest place...

It's almost as if you're enveloped in some kind of eternal shroud.

And you feel safe...

y'know?

To do your best work,

as if you're being guided,

encouraged...

..at peace...

Zosia, I'm so glad we got to spend this time together.

You've been a great daughter.

A great support.

I hope you'll be able to say the same thing about me one day.

OK, I think we need to get a little less Dr Burton, don't you?

I'm so proud of who you've become.

Yeah. Me, too.

OK, all set?

So, WHO checklist.

Laparoscopic adrenalectomy to remove phaeochromocytma tumour

on patient Anne-Marie Easterman, 31.

No allergies. Sacha Levy, consultant surgeon in charge.

Mr Dominic Copeland, registrar.

Mr Fredrik Johanssen, registrar.

Marco? Marco? Look at me.

Dr Ford?

Pupils have dilated. GCS is dropping.

He's losing consciousness. Find Mr Self.

Call the anaesthetist, please - we need to get him prepped for theatre as soon as possible.

Right, let's move!

Honestly, could he get any jammier?

One week before a promotion freeze

and he lands the Director of Nursing job!

Not that I'm not made up for him - obviously I am.

It's just, well, you know, what are the rest of us supposed to do?

Hand me a lemonade bottle, someone - I feel like rioting!

Look, I have to say I'm slightly more concerned

why there's a freeze in the first place.

Yeah, well, you would be.

Donna, I hope you don't mind me asking, but I don't understand

why you're slogging your guts out to do up the consultants' office,

which is only temporary, anyway,

until Fletch disappears off up to Darwin?

Now that, my friend, for once, is a very good question.

Sometimes you've just got to rise above it, haven't you?

OK, that is a brilliant dissection.

Is that the azygos vein?

Yes.

Wow! Not often that comes into view.

It's good retraction of the liver.

That's excellent use of the left hand.

Dad, where are you?

We need to do this operation and he hasn't got any time.

We're in Theatre One - can you get here as soon as you can?

-Thank you. Can you try paging him again?

-Will do.

Is Mr Self here?

He's on his way.

Can you send him to me as soon as he gets here?

We're about to do an operation.

This can't wait.

Well, then I need to know.

He hasn't been attending his sessions with Dr Burton.

That's ridiculous. Of course he has.

He's been doing tasks for her.

This isn't the place.

Have you done this operation before?

He's on his way.

Send him to me as soon as you're finished.

We need to reopen the incision behind the ear where the

previous shunt was inserted, taking care not to dislodge the catheter,

identify the old valve and detach from the ventricular catheter,

pull out the old valve and tubing,

pass down a tunnelling device

from the cranial incision to the abdomen,

and replace with a new shunt.

If we can create a clear pathway for the fluid,

then we can release the pressure.

Music.

Clip, please.

Right, that's good stuff.

Just be careful, there's big vessels there.

I'm ligating the pedical.

The adrenal is extremely inflamed, so be careful of that renal vein.

Fredrik?

Fredrik.

MONITOR BEEPS

You've nicked it.

Suction. Argh!

Mr Copeland, can you take over the retraction and the camera, please?

Let me fix it - that wasn't my fault.

Big bleed. Tonsil swab.

Thank you.

Can you take five minutes, please?

I've got it.

Now.

Determined to humiliate me.

Actually, I'm not here for you, Fredrik.

Oh, come on! You have to admit there's an irony to that.

This is about Mr Levy.

Right. The assessment.

And it's about the team.

And that is all.

Mr Johanssen, are you OK?

I'm fine, thank you.

We're nearly there.

Would you like to take over?

Fredrik, I'm going to increase abdominal pressure

and when the bleeding stops,

I'm going to clip above and below the injury.

All right?

Yes, Mr Levy.

CLASSICAL MUSIC: Spiegel Im Spiegel by Arvo Part

Turn it off.

Turn the music off! Turn it off!

Miss March?

Miss March!

MUSIC STOPS

OK. Come on.

Come on.

OK.

The pressure's been released.

Let's close him up.

Where are you? Pick up your phone.

Have you seen Mr Self?

No.

He's not in his office. He's not picking up his phone.

Ms Easterman's X-ray?

Yes.

Hey, Fredrik.

Look, I was just chatting to Sacha about how impressive it was

how you handled earlier.

We all make mistakes... What's up? What's going on?

Ms Easterman's post-op X-ray results.

Yeah - the central line still in place?

Central line is fine. But...

I think it's a swab.

No, no, it can't be.

Look at it again.

We counted all the swabs. They were all accounted for.

Let's take her down for a CT scan to be sure.

-I don't think we should tell Mr Levy yet.

-No, no, we have to!

With the medical director breathing down his neck?

Yes! If that is a swab then this is a major mistake!

-There'll be a full investigation.

-Sacha's under assessment.

I know that, but if that's a swab and we don't tell someone now,

then we're all in big, big trouble - we'll end up having to re-operate

on a woman who barely survived the first high-risk surgery.

If it is and we leave it in then she'll get an abscess,

sepsis and in her condition there's no way she could survive.

-I agree, but...

-We have to look out for Sacha!

There's every chance it's nothing.

What's nothing?

Nurse Fletcher has had some directive from Hanssen

insisting that everybody is up-to-date with their aseptic non-touch technique

and statutory mandatory training,

and to say Fletch is eager to enforce it,

well, it would be an understatement.

Nurse Fletcher needs to pick a ward and stick with it.

There is a reason why directors of nursing get an office.

It's so they can stay in it and leave the rest of us to treat patients.

Mr Griffin, do you think she's all right about not getting the job?

She's fine.

There are worse vices than spring cleaning, believe me.

Where were you? Why haven't you been answering your phone?

That music, the music you've been playing in theatre,

that was Mama's, wasn't it? She used to listen to it.

You give me this big speech about being a good daughter and then

you do this last big operation that gets you all emotional and I thought...

Last big operation? And you thought what?

-You haven't been going to your meetings.

-Listen to me.

Is it true? Is it true?

Listen to me!

-What happened in there?

-What?

-What happened in theatre?

-I don't care about theatre!

Yes, you do. What happened to Marco?

The shunt was blocked with blood - we released the pressure,

we reversed it.

No! You released the pressure, you reversed the shunt!

You did that operation, Zosia.

You set me up. Made me do it all on my own...

Felt good, didn't it?

Yes.

It did...until...

Ms Karnik said you're not going to your meetings.

No, I went to see Dr Burton,

and knowing the finish line's in sight I stopped a few sessions early.

I mean, do I look like I need some messed-up post grad student

telling me what my brain is doing?

The CT scan's unmistakable. That's definitely a swab.

Myself and two nurses did the count twice.

There'll be an investigation. I'll have to let Hanssen know.

It'll then be flagged up to local councillors

and the Department of Health and that will be followed up with a full report.

This isn't just going to go away.

The patient will sue us.

OK, Sacha, I need you to remember every detail of what happened.

We closed together... as we do in every operation.

I was preparing to loop the PDS suture to close the extraction site.

And I was assisting, clearing the way.

That's the last one.

The scrub nurse called the count.

We were one down.

She thought it was in the patient.

-But somehow it ended up on the floor.

-Here!

So once that was handed over

and counted, it was the same amount as we came in with.

15 large, ten medium and ten tonsil.

And that was it. We counted again - all present.

I've absolutely no idea how this happened.

It's like there was an extra swab.

I did it.

I'm new. I messed up.

So let's just say I did it.

Fredrik, that's very honourable of you,

but I'm afraid it doesn't work that way.

Sacha's the consultant on the case.

Ultimately all responsibility falls on him, whatever happened.

I mean, there was clearly no individual error.

We all did the count, in full, twice.

We came in with 15, 10, 10.

We left with 15, 10, 10.

The clip's in a precarious enough position as it is.

If we go back in, it's going to be tight.

Well, then we have no room for error.

I'd like to inform the patient. I feel responsible for her.

No.

Nope. It has to be me.

KNOCKING

Come in.

Henrik?

Good to see you again. Sara?

Fredrik's wife.

Do they think I'm going to sue them or something?

It's a very serious matter internally - protocol, that's all.

So much for that end.

The end is in sight.

Your symptoms have been alleviated, you can go back to your old self.

Unlike the rest of us.

People like me don't just get fixed.

You seem like you know that.

No, I don't know what you mean.

I've watched you.

You're like me...a lone wolf.

I'm a family man.

It's your silence.

Believe me, I've spent a long time in a fight with silence.

There is no fix because there is no all-singing, all-dancing me.

You need medication.

Think I'm depressed?

You sound like my family.

I'm fairly sure depression is the secret every family has.

Hm.

Just don't be afraid.

Sometimes I lie alone at night and I can hear my heart beating

and I'm convinced that this is the night it stops.

Hear it thumping itself out...

..how loud it is.

I have to warn you about this second surgery...

that there is still a risk.

Well, I trust you to keep me safe.

You mustn't tell him I came in. He'd be...

He mustn't know.

I won't say.

This relationship you two have, or don't have,

I stay out of that,

but he's a good father, and a good husband. My husband.

And I stand by him.

You know he doesn't blame you for what happened.

He knows you had to do that. You had to report him.

Well, what's done is done.

The correct people decided he was innocent

and I'm not going to make a judgment about that.

Are you here for the duration of his attachment?

Where are you staying?

Just outside of town. We have Oskar here, too.

He's with a friend now, but he's four and growing -

seeing you again, I have to say he looks a lot like you.

Well, I'd like to meet him one day.

That'd be lovely.

I'm just here because...

Henrik, Fredrik is trying.

I'm sure he is.

LONG BEEPING

The clip has slipped.

Do you think we can extract the swab?

I think I can.

She's struggling.

Listen, we might have to take the kidney out.

No. Wait.

If we switch to open we can use a clip to stop the bleeding

and save the kidney.

He's right!

OK, scalpel, please.

We need to extend the incision.

Zosia?

It was fine. I was operating and it was fine.

No, it was better than fine. It was great.

And then the song came on...

-What? What song?

-In theatre.

He left me alone and the song came on and it suddenly made sense

why he didn't show up and I thought maybe he was...

He didn't show up to theatre?

He'd given me this big speech about what a great daughter I was

and how he was proud of me and the photos felt like he was

suddenly saying goodbye to everyone and as though he wanted me

to remember him through the music when he was gone...

He left you alone to operate?

He did it on purpose. And it worked.

He wanted me to operate alone and he gave me the buzz for neuro.

This is so, so wrong!

-No, you're not understanding me!

-OK, then help me!

I...

I accused him.

I made an assumption about him.

And I was wrong. Just like everyone had been with me.

OK.

You know better than anyone it's OK to be...

to be wrong...

Great, I think we're done.

Swab extracted, bleeding stopped.

Kidney intact.

Good work. Really, really good work from both of you.

Well done.

Thank you.

You know, it's funny. People here hold you in such high esteem.

They say you're always in the right place at the right time.

It's been a long day, I think.

Oh, been a long day in your big chair, has it?

Had some tricky decisions to make about other people's lives?

Funny how my papers seemed to get held back from theatre for a while.

Yes, I heard about today's events.

Then why is it so hard for you to say what everyone else in this place has been saying all day?

-Fredrik, I...

-I diagnosed the diazepam, I spotted the swab,

I prevented an unnecessary nephrectomy!

You're tired.

Yes, I'm tired! Because I've thought about what you did to me.

For months, it's all I've thought about.

I can't stop thinking about it.

Who does that to their own son?

Go home, Fredrik. Go to your family.

Did you get that list I sent over?

The ward is in good hands. Nurse Jackson is all over it.

Yeah, she's a firefighter, that one.

That's one word for it.

Where are you heading?

The office.

Not to be too big for my boots,

but the amount of paperwork I've got to get through...

It's just that Nurse Jackson may have a little surprise for you.

Er...Mr Griffin. How many left for theatre?

Just one to go. Thank you for checking, Nurse Fletcher.

That is still how we should address you?

Well, for now, but Lord does have quite a nice ring to it.

HE LAUGHS

In case anyone's wondering, the bearskin rug is completely fake.

Oh, go on, I'll give you that one. Got a bit carried away with myself today, didn't I?

Far be it for me to say, Lord Fletcher.

Oh. My. God!

I think this might just be the best office in the building.

Thank you!

So, all this is, what...

Just stuff people wanted to chuck out.

I know! I can't believe it, either!

So, when you go upstairs, Budgie, who gets the throne?

I got something to show you.

As if you're getting away without a photo. Come on. In there.

Hat on, please.

Oh, very good. Very good.

-Yes.

-Oh, yeah. Smile!

You so deserve it!

Mr Moretti. It went well.

And thank Mr Self for me.

Yes, I'll be sure to. Thank you.

All OK? Was it a virus?

It's just the MRI scan I ordered this morning.

It's fine. Just stay out of those freezers for a while.

What does this look like to you?

Marco Moretti? I thought it was a virus...

Just look at it!

Lines of scarring around the right lateral ventricle.

And evidence of blood tracking into the occipital lobe.

As if whoever did it created multiple puncture wounds.

It's like they've been stabbing blindly and hoping...

OK, that's enough.

Dr March?

Dr March.

Look, maybe I was a bit harsh earlier about your ideas

for the wedding. A limit of four,

you've got a big family, it's a bit unfair...

The wedding stays exactly how it is. No extra guests.

OK, well, I'll let the mariachi band

know that we can afford to feed them.

-Zosia!

-Yeah?

Look, I know how you're feeling right now,

but like I say, it's OK to feel concerned about him.

I contributed to that.

Look, the main thing is, we were wrong...

-he's fine.

-Yeah, see you later.

Well, good. Bye.

Oh, I hate doing this! OK.

-Nearly there.

-OK.

Stop.

Ooh!

Open.

SHE SIGHS

I feel like a right mug now!

Look, I know it's only pokey,

but when the ward manager job does become available...

kind of got your name all over it.

You're a good man. You know that?

Oh, shut up.

What is that?

You could at least have got a decent photo of me.

Like the one I've got of you.

BEEPING

Naylor's paging me.

Trust me, that'll be for me.

Of course, you know Fletch's old job won't really be available,

don't you?

Recruitment freeze. It's not me that I'm worried about.

It's just...

I just don't know how many more free dinners in the hotel buffet

we can handle without some glimmer of hope that something might change.

You're staying in a hotel?

Donna, I had no idea...

Come and stay with me.

I've got a big enough place.

I've got two spare rooms,

and I've got my eye on that throne.

You know that I've got royal blood?

Come on, what do you say?

As long as you need.

Night.

Night.

Hey.

I just wanted to say that I appreciate what you did for Sacha earlier - trying to take the blame.

I sometimes wonder if that's the only way we get on in this place - by looking out for each other.

I also wanted to apologise for the way I spoke about your trial.

I have a tendency to exaggerate things for dramatic effect.

It's my inner narcissist coming out.

I'm more than aware pharmaceuticals aren't all big evil corporations and mad scientists.

Also, I have this. I was reading another article in it,

but it is the last one in the building.

The last one in the building?

Yeah.

Mr Hanssen had them all banned after what they wrote about you, so...

He's a good man.

We want them to have the best bits of us, don't we?

I'm always on the lookout for those.

Just wonder if I gave her any chance at all.

BREATHES DEEPLY

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