0:00:02 > 0:00:05- It didn't mean anything. It's not going to work.- All right. Sure.
0:00:05 > 0:00:07- Giuseppe?- Big man!
0:00:07 > 0:00:09The prodigal brother returns.
0:00:09 > 0:00:11You smell like a pub toilet.
0:00:11 > 0:00:14Of course, we'd have to issue a public apology
0:00:14 > 0:00:16for the failure of the Oxamamorl trial.
0:00:16 > 0:00:19It was the drug in its most rudimentary form that caused those deaths.
0:00:19 > 0:00:21Deaths, Fredrik?
0:00:21 > 0:00:23My reputation in Sweden is compromised.
0:00:23 > 0:00:24I can understand that.
0:00:24 > 0:00:26- I was acquitted.- I know.
0:00:26 > 0:00:29Earn his trust back and he will help.
0:00:29 > 0:00:30I can't wait that long.
0:00:30 > 0:00:33His recommendation is only the first part.
0:01:14 > 0:01:16PHONE RINGS OUT
0:01:19 > 0:01:22- FEMALE ON PHONE: Halla. - Hej, det ar jag.
0:01:22 > 0:01:24Jag ar orolig.
0:01:24 > 0:01:26Oroa dig inte, du ar i goda hander.
0:01:26 > 0:01:28Hurdan ar han?
0:01:28 > 0:01:30Han ar den basta, jag lovar.
0:01:30 > 0:01:31OK.
0:01:31 > 0:01:33Ja. Vi ses dar inne.
0:01:38 > 0:01:40Huh!
0:01:47 > 0:01:49I thought you said he wasn't going to be late.
0:01:49 > 0:01:51Once he is out on the lash, that's that.
0:01:51 > 0:01:53He's incapable of picking up a phone?
0:01:53 > 0:01:56- Wouldn't even occur to him. - Ignorant sod.
0:01:56 > 0:01:57Well, that's Giuseppe for you.
0:01:57 > 0:02:00And you let him get away with it?
0:02:00 > 0:02:02We had a nice night in on our own, didn't we?
0:02:02 > 0:02:03- I suppose so.- You suppose so?
0:02:03 > 0:02:07- PHONE RINGS - Oh. That'll be him now. Uh-oh.
0:02:07 > 0:02:10Hello, Shona. No, no, I haven't spoken to him.
0:02:11 > 0:02:13Yeah, yeah, he is, but, well,
0:02:13 > 0:02:16he must have rolled in around dawn and crashed.
0:02:16 > 0:02:19You know what these conferences are like. How are the kids?
0:02:21 > 0:02:24Yep, look, I'm just on my way into work, so... See you.
0:02:24 > 0:02:26Rolled in at dawn?
0:02:26 > 0:02:28What was I supposed to say?
0:02:28 > 0:02:30Didn't realise you were such a good liar.
0:02:30 > 0:02:33- I'm not.- I'm going to have to keep my eye on you.
0:02:33 > 0:02:35I'm going to kill him when I see him.
0:02:35 > 0:02:37You left your keys in the car.
0:02:38 > 0:02:40There's a spare on top of the fridge.
0:02:40 > 0:02:43Lock up with that and I'll give you yours when you get here. Bye.
0:02:46 > 0:02:48- Mr Johansson, good morning. - Good morning.
0:02:51 > 0:02:53Actually, I wonder if you could help me.
0:02:53 > 0:02:56Mrs Johansson seems to have put an appointment in my diary with Mr Harvey.
0:02:56 > 0:02:58Do you know what that might be about?
0:02:58 > 0:03:01No. Sorry. She'll be in later this morning.
0:03:02 > 0:03:04Oh, well, I'll try asking her, then.
0:03:04 > 0:03:08She certainly seems to have approached this fundraising
0:03:08 > 0:03:10with quite some enthusiasm.
0:03:10 > 0:03:13When she commits to something, she really commits to it.
0:03:13 > 0:03:15Well, it's very much appreciated.
0:03:15 > 0:03:18COMPUTERISED VOICE: Doors opening. Lift going up.
0:03:22 > 0:03:23Doors closing.
0:03:28 > 0:03:30Giuseppe, it's me, fresh from telling your wife
0:03:30 > 0:03:32you're safely tucked up in bed at my place.
0:03:32 > 0:03:34Now, if you are still in the country and not in a coma,
0:03:34 > 0:03:36then I'd appreciate a call.
0:03:36 > 0:03:38- Sounds interesting. - It's just my idiot brother.
0:03:38 > 0:03:41- So back where the action is. - Don't speak too soon.
0:03:41 > 0:03:43No, I love it down here.
0:03:43 > 0:03:45Even if I told you there was an audit to organise?
0:03:45 > 0:03:47I'll fit it in.
0:03:47 > 0:03:50- I also need you to sort out a teaching programme.- Yeah?
0:03:50 > 0:03:53- Complaints from deanery trainees. - Bring it on.
0:03:53 > 0:03:55And then there's the catheter situation.
0:03:55 > 0:03:57- Why? What's...?- Product recall.
0:03:57 > 0:03:59Cross-matching patients with serial numbers.
0:03:59 > 0:04:02- I need them out and replaced by the end of the day.- OK.
0:04:04 > 0:04:05Hey.
0:04:05 > 0:04:08Anna...Szhuberg?
0:04:08 > 0:04:10Sjob-Sjoburg?
0:04:12 > 0:04:14Dom, how's your Swedish?
0:04:14 > 0:04:16- Sjoberg.- Bless you.
0:04:16 > 0:04:19You've either got it or you haven't.
0:04:19 > 0:04:22Well, you could have just asked the patient, like I did.
0:04:24 > 0:04:25Ah, Mr Johansson.
0:04:25 > 0:04:28Um...Anna Sjober...
0:04:28 > 0:04:32- Sjoberg.- Thank you. Just admitted.
0:04:32 > 0:04:35She's got abdominal pain, bloating and nausea.
0:04:35 > 0:04:37Tack.
0:04:37 > 0:04:39Tack. That, I can manage.
0:04:41 > 0:04:43And...out.
0:04:43 > 0:04:44PATIENT EXHALES
0:04:46 > 0:04:48Can you tell me what happened?
0:04:48 > 0:04:51I was making a cup of tea. I couldn't lift the milk to put it in.
0:04:51 > 0:04:55- Which arm?- My right. It's fine now.
0:04:55 > 0:04:56Anything else?
0:04:56 > 0:04:59Vision got a bit blurry, like I was going to pass out.
0:04:59 > 0:05:02- How long did that last? - Couple of minutes.
0:05:02 > 0:05:03First time?
0:05:03 > 0:05:06Third or fourth. I thought I'd better come in.
0:05:08 > 0:05:10Do you get any chest pains?
0:05:10 > 0:05:11Yeah, quite a bit.
0:05:11 > 0:05:14Dizziness? Shortness of breath?
0:05:14 > 0:05:15It's not looking good, is it?
0:05:15 > 0:05:20U&Es, LFTs, standard bloods and an ECG to look for clots.
0:05:20 > 0:05:23Am I going to be in all day? Only, I've got tickets to the football tonight.
0:05:23 > 0:05:24I'm taking my young lad.
0:05:24 > 0:05:27It could take a while, yeah, until we figure out what's wrong.
0:05:27 > 0:05:29Oh, great(!)
0:05:29 > 0:05:33How did you get tickets? I've tried everywhere. Isn't it sold out?
0:05:34 > 0:05:36I know a bloke.
0:05:36 > 0:05:38I never know a bloke. How do you meet him?
0:05:38 > 0:05:41- I know a bloke, he introduced me. - Hm-hm-hm.
0:05:41 > 0:05:43We'll be back with your results.
0:05:46 > 0:05:49There you go, you see? You know one bloke, you know all the blokes.
0:05:49 > 0:05:52Right, let's do an FBC for bed three.
0:05:52 > 0:05:55- Do a group and save and cross-match two units of blood.- Sure.
0:05:57 > 0:06:00- Great kid. - How's the mentoring going?
0:06:00 > 0:06:01Ooo, fantastic. Yeah.
0:06:01 > 0:06:04I think he's going to get quite a lot out of being my protege.
0:06:04 > 0:06:06Hm.
0:06:06 > 0:06:08What?
0:06:08 > 0:06:11I just had an opportunity to talk to him about it. Informally, of course.
0:06:11 > 0:06:14Yes, of course. What did he say?
0:06:14 > 0:06:17He said that you were clearly a very capable surgeon.
0:06:17 > 0:06:20Bit more than capable, but, er...OK. And...?
0:06:20 > 0:06:23- And that was it.- That's it?
0:06:23 > 0:06:25I was expecting some negatives.
0:06:25 > 0:06:29He did mention that you were very devoted to your professional life.
0:06:29 > 0:06:33- I am.- Perhaps at the expense of anything else.
0:06:35 > 0:06:37He thinks I'm dull.
0:06:37 > 0:06:39I'm as shocked as you are.
0:06:42 > 0:06:44- So, what's the problem? - I don't know the details,
0:06:44 > 0:06:47just every patient with a faulty catheter needs a new one fitted.
0:06:47 > 0:06:49- You're taking the...? - Yeah, laugh it up.
0:06:49 > 0:06:51Get all of the jokes out of the way now.
0:06:51 > 0:06:53- I don't think...- Excuse me. - Oh, charming.
0:06:53 > 0:06:57Hi. This is Cindy Miller, 39. Collapsed on a night out.
0:06:57 > 0:06:59Bang to the head and loss of consciousness.
0:06:59 > 0:07:01- Hello, Cindy.- This is Mr Di Lucca.
0:07:01 > 0:07:04Oh. You've got the same name as...
0:07:04 > 0:07:06Aye. What a coincidence.
0:07:06 > 0:07:08- Oh, are you two...?- Brothers, yes.
0:07:08 > 0:07:11Look, can we have full bloods, ECG and a head scan, please?
0:07:11 > 0:07:13Of course.
0:07:13 > 0:07:15Not you, numpty.
0:07:20 > 0:07:21HE SIGHS
0:07:24 > 0:07:26Do you have to press so hard?!
0:07:33 > 0:07:35How are things in Jonkoping?
0:07:35 > 0:07:36Fine.
0:07:36 > 0:07:38Have you lived there long?
0:07:38 > 0:07:40Yeah. All my life.
0:07:40 > 0:07:42Same house. Same mother.
0:07:43 > 0:07:46Well, she's not so well now, so...
0:07:46 > 0:07:49- What's the matter with her? - Diabetes, and old.
0:07:49 > 0:07:53I have to put her in care to go away. It's not easy.
0:07:53 > 0:07:55Yeah, yeah, I'm sure.
0:07:55 > 0:07:58- I lived there for a while, in Jonkoping.- Really?
0:07:58 > 0:08:00Mm. I loved it. Running along the Vatterstranden.
0:08:00 > 0:08:03- Feera on a Wednesday night.- Feera!
0:08:03 > 0:08:05- Is it still there?- What's Feera?
0:08:05 > 0:08:08- A terrible bar.- Awful!
0:08:08 > 0:08:11But it didn't stop me from practically living there.
0:08:11 > 0:08:13- Ha-ha!- May I?
0:08:19 > 0:08:22- Quite bloated.- Mm. - Any problems eating?
0:08:22 > 0:08:24- Yes.- Any nausea or vomiting?
0:08:24 > 0:08:26- Both.- Nurse Chiltern?
0:08:28 > 0:08:30Let's get U&Es, LFTs, standard bloods
0:08:30 > 0:08:33- and I think a gastroscopy.- Yep.
0:08:33 > 0:08:36- Sure.- We'll figure it out.
0:08:41 > 0:08:43That's lovely work.
0:08:43 > 0:08:46Patient care is just as important as medicine.
0:08:46 > 0:08:48It's a compliment, Fredrik, you can say thank you.
0:08:50 > 0:08:51Tack.
0:08:54 > 0:08:56What you experienced when making your cup of tea
0:08:56 > 0:09:00was a transient ischemic attack, or TIA.
0:09:00 > 0:09:02It's basically a ministroke.
0:09:02 > 0:09:07- Oh, blimey!- It's caused by a clot in your left atrial appendage.
0:09:07 > 0:09:08Yeah, but can you fix it?
0:09:08 > 0:09:11Yes, but it's going to require surgery.
0:09:11 > 0:09:14We can exclude the appendage and prevent further clots
0:09:14 > 0:09:17from reaching your brain, and we'll do it as soon as possible.
0:09:17 > 0:09:21- Today?- It is serious, so within the hour or so.
0:09:21 > 0:09:24Guess I'm not going to the football.
0:09:24 > 0:09:25I'm sorry, mate.
0:09:25 > 0:09:27PATIENT SIGHS
0:09:30 > 0:09:32- I'll let theatre know he's on his way.- Thank you.
0:09:32 > 0:09:35So, what'd you get up to at the weekend?
0:09:36 > 0:09:39- What?- The weekend, what did you do?
0:09:40 > 0:09:42I went to a gig with some mates.
0:09:42 > 0:09:44- Who'd you see?- The Local.
0:09:44 > 0:09:46Sweet! Love them!
0:09:47 > 0:09:49It's just one guy.
0:09:49 > 0:09:51Yeah, I knew that.
0:09:54 > 0:09:55- What'd you do?- Hm?
0:09:55 > 0:09:59Oh, I just, er...chilled at home.
0:09:59 > 0:10:02Caught up with a bit of...of...of work.
0:10:02 > 0:10:04- Cool.- Yeah.
0:10:07 > 0:10:09- I've got to, er...- Yeah, you go.
0:10:16 > 0:10:19- Oh!- Stop whingeing, you big wuss. - It stings!
0:10:19 > 0:10:22- What've you got yourself mixed up in now?- Nothing.
0:10:22 > 0:10:23This is me you're talking to.
0:10:23 > 0:10:26We hit the bevvy after the conference.
0:10:26 > 0:10:30I planned to show up at yours, but things got a bit out of hand.
0:10:30 > 0:10:32So, who's Cindy?
0:10:32 > 0:10:34One of the bosses.
0:10:34 > 0:10:36- You're joking?- No.
0:10:36 > 0:10:38What, lead by example, does she?
0:10:38 > 0:10:40She is seriously hard-core.
0:10:40 > 0:10:43All right, well, we know that she took a fall,
0:10:43 > 0:10:45but what happened to you?
0:10:45 > 0:10:48I saw her going down and I tried to save her.
0:10:48 > 0:10:50- Seriously? - She took me down with her.
0:10:50 > 0:10:53- Yeah?- You don't seem convinced.
0:10:53 > 0:10:55So, it wasn't a scrap with an irate husband, then?
0:10:55 > 0:10:57Look, I was trying to be chivalrous, you cheeky wee...!
0:10:57 > 0:10:59First time for everything.
0:10:59 > 0:11:01Aye, well, look where it got me.
0:11:01 > 0:11:03So, why didn't you call?
0:11:04 > 0:11:08Cindy asked me to go in the ambulance and we were stuck in the ED after that.
0:11:08 > 0:11:11- So...?- Then my phone died.
0:11:11 > 0:11:13What, and you couldn't ask to borrow hers?
0:11:13 > 0:11:15Well, she was totally smashed!
0:11:15 > 0:11:17You've got an answer for everything, haven't you?
0:11:17 > 0:11:20Look, I'm sorry that I never made it to yours
0:11:20 > 0:11:22for some cheese on toast and a wee gab.
0:11:22 > 0:11:25- I'm not bothered about that.- Well, then, what is it with the face?
0:11:25 > 0:11:27Shona rang, looking for you.
0:11:27 > 0:11:30What did you say?
0:11:30 > 0:11:31I told her you were asleep.
0:11:31 > 0:11:35Right. Well, that's probably the best thing.
0:11:35 > 0:11:38No, the best thing would be if you kept your wife in the picture.
0:11:38 > 0:11:40Argh!
0:11:40 > 0:11:43- Where were they?- In the middle bit.
0:11:43 > 0:11:45- How did I not see them? - I can't imagine.
0:11:48 > 0:11:50I think I may have found our patient.
0:11:50 > 0:11:52- Really?- Possibly.
0:11:52 > 0:11:54Ah, Mrs Johansson, I was hoping I might find you.
0:11:54 > 0:11:57There's a meeting with you and a Mr Harvey in my diary.
0:11:57 > 0:11:59Any guidance on who he might be?
0:11:59 > 0:12:02He owns GPL, the logistics company.
0:12:02 > 0:12:04Didn't they already turn the hospital down for funding?
0:12:04 > 0:12:08They did, but I can be very persuasive when I need to be.
0:12:08 > 0:12:11- Ah.- As you know, his company has a lot of money.
0:12:11 > 0:12:13Let's see if I can convince him to give it to us.
0:12:13 > 0:12:15Sounds promising.
0:12:15 > 0:12:16Fredrik.
0:12:23 > 0:12:26Oh! Please tell me Fletch sent you.
0:12:26 > 0:12:28- Yeah, he just called to say you're short-staffed.- Great.
0:12:28 > 0:12:30WOMAN COUGHS
0:12:30 > 0:12:33- Ooo! She looks rough. - Still drunk from last night.
0:12:33 > 0:12:34Huh. Right, where do I start?
0:12:34 > 0:12:39We've got about a million catheters to do, so if you could just take...
0:12:39 > 0:12:41I'll get on with it, then, shall I?
0:12:41 > 0:12:44So you must be the unreliable brother.
0:12:44 > 0:12:46The better-looking unreliable brother.
0:12:46 > 0:12:49- Essie, Giuseppe.- Sep.
0:12:49 > 0:12:51- Pleased to finally meet you. - Likewise.
0:12:51 > 0:12:53- Heavy night?- Don't ask.
0:12:53 > 0:12:56Weren't you going off for a gallon of coffee?
0:12:56 > 0:12:58- Sorry about the no-show.- No worries.
0:12:58 > 0:13:00Babe?
0:13:00 > 0:13:02Pep?
0:13:02 > 0:13:04- Yes?- Is she with you?
0:13:04 > 0:13:06Get us a bottle of water.
0:13:06 > 0:13:08In a manner of speaking.
0:13:08 > 0:13:10My mouth feels like the bottom of a bird cage.
0:13:10 > 0:13:11- MESSAGE ALERT - Nice.
0:13:11 > 0:13:16I'd better go. I'll see you later...Pep.
0:13:18 > 0:13:20Coming right up.
0:13:20 > 0:13:22Ah, is that Ms Sjoberg's results?
0:13:22 > 0:13:24Pretty good pronunciation.
0:13:24 > 0:13:27Well, you know, I've got a flair for Scandinavian phonics.
0:13:29 > 0:13:30- Blood count very low.- Hm.
0:13:30 > 0:13:34Given her abdominal pain, I'd be looking at something biliary.
0:13:35 > 0:13:39- Amylase raised?- The amylase does go up with peptic ulcer disease.
0:13:39 > 0:13:41But we have one of the country's
0:13:41 > 0:13:43foremost pancreatic specialists just upstairs.
0:13:43 > 0:13:46- Why don't we ask him?- Good plan.
0:13:48 > 0:13:50Cheers. Thanks.
0:13:50 > 0:13:52Oi! Got you a cappuccino.
0:13:52 > 0:13:54Think you'd be better off drinking both of them.
0:13:54 > 0:13:57- Hey. How's the audit stuff going? - I am just about to start it.
0:13:57 > 0:13:59- Ideally, I'd like to see something by close of play.- OK, I'm on it.
0:14:00 > 0:14:02Local ballbreaker?
0:14:02 > 0:14:04I could do without your particular brand of BS today.
0:14:04 > 0:14:08- Don't be like that, bro.- Turning up here with your latest squeeze.
0:14:08 > 0:14:09I told you, she's from head office.
0:14:09 > 0:14:12- She called you "Babe". - She calls everybody "Babe".
0:14:12 > 0:14:14I can't believe I fell for your nonsense.
0:14:14 > 0:14:16I'm a Good Samaritan here.
0:14:16 > 0:14:18Shona will kill us both if she finds out you're at it again.
0:14:18 > 0:14:20- I'm not.- And I lied for you.
0:14:20 > 0:14:23- GIUSEPPE SIGHS - Look, I've learnt my lesson.
0:14:23 > 0:14:26- Looks like it! - Shona and me, we're solid.
0:14:26 > 0:14:29Well, maybe we're not completely solid, but...
0:14:29 > 0:14:31How's the catheter count going?
0:14:31 > 0:14:33Yeah, yeah. Getting there.
0:14:34 > 0:14:36Raf?
0:14:39 > 0:14:41Cindy's results.
0:14:46 > 0:14:48We did a CT. No ulcer,
0:14:48 > 0:14:51but it looks like something is altering the contour of her stomach.
0:14:51 > 0:14:56- Had you considered pancreatic necrosis?- We hadn't, no.
0:14:56 > 0:14:59- Well, come back to me when the scan's been reviewed.- Will do.
0:14:59 > 0:15:01What about a pancreatic pseudocyst?
0:15:01 > 0:15:05- Go on.- It's the way she talked about Feera.
0:15:05 > 0:15:07It's a bar in Jonkoping.
0:15:07 > 0:15:10I got the feeling she wasn't just a recreational drinker,
0:15:10 > 0:15:13which could put her at increased risk of pancreatitis.
0:15:13 > 0:15:16- Which could be followed by... - A pancreatic pseudocyst.
0:15:16 > 0:15:18Given the time imperative if that's the case,
0:15:18 > 0:15:19I thought it's worth a try.
0:15:21 > 0:15:24- That it is.- We'll book another scan and we'll take a look.
0:15:28 > 0:15:30- Can you organise that for me?- Hm.
0:15:32 > 0:15:35Right, the appendage looks big, so we'll come in at the neck of it.
0:15:35 > 0:15:37- We'll put in a clip to isolate it. - Very good.
0:15:37 > 0:15:40- Nice and straightforward.- Very.
0:15:40 > 0:15:44- Not the most interesting problem, I suppose.- Hm?
0:15:44 > 0:15:47You might even call it boring.
0:15:48 > 0:15:50- You told him.- Told me what?
0:15:50 > 0:15:52That was confidential professional feedback.
0:15:52 > 0:15:56I don't need Jac to tell me that you're not naturally a...
0:15:56 > 0:15:58How should we say? Thrill a minute.
0:15:58 > 0:16:04I have a very interesting life, with lots of interesting...interests.
0:16:04 > 0:16:06Like what? Sitting at home all weekend,
0:16:06 > 0:16:09- catching up on Call The Midwife? - Again.
0:16:12 > 0:16:13Scalpel, please.
0:16:18 > 0:16:20Pancreatic pseudocyst indeed.
0:16:20 > 0:16:24Credit to Mr Johansson here for that one. It's a great catch.
0:16:24 > 0:16:26Who will be performing the procedure?
0:16:26 > 0:16:28I was hoping you would.
0:16:28 > 0:16:31I'm sure I can handle it, but it's not really my area.
0:16:31 > 0:16:32Right.
0:16:32 > 0:16:35So, Mr Johansson, what will I be doing?
0:16:36 > 0:16:39It was your inspired diagnosis. How am I going to treat it?
0:16:40 > 0:16:43Endoscopic cystogastrostomy?
0:16:44 > 0:16:46So, shall we go and take Ms Sjoberg through it?
0:16:51 > 0:16:53He's on fire today.
0:16:57 > 0:16:59- Hey.- Hey.
0:16:59 > 0:17:01What's going on with those two, then?
0:17:01 > 0:17:04- Nothing, as far as I know.- That's what your brother's telling you?
0:17:04 > 0:17:06It was only last Christmas I saw him on his knees,
0:17:06 > 0:17:09- begging Shona to take him back. - Right.
0:17:09 > 0:17:11Besides, his story actually adds up for once.
0:17:11 > 0:17:13Unlike Cindy Miller's bloods.
0:17:18 > 0:17:21Do you mind if we speak to Cindy alone for a minute?
0:17:21 > 0:17:22She's all yours.
0:17:24 > 0:17:25How are you feeling?
0:17:25 > 0:17:29Like I've been dragged backwards through a triplex mud pump.
0:17:29 > 0:17:32- We've had some of your test results back.- And...?
0:17:32 > 0:17:35Have you passed much urine since you were admitted?
0:17:35 > 0:17:36- Not really.- I'm not surprised.
0:17:36 > 0:17:40Your heart rate's up and you have raised creatinine and urea levels.
0:17:40 > 0:17:43- Which means...?- Your kidneys aren't working properly.
0:17:43 > 0:17:45Ah. That why I'm so thirsty.
0:17:45 > 0:17:48I have to ask, did you take any drugs at all last night?
0:17:48 > 0:17:50- No.- Are you sure?
0:17:50 > 0:17:53- I think I'd know if I had. - Your test results suggest otherwise.
0:17:53 > 0:17:55Well, they're wrong.
0:17:55 > 0:17:57And we can't treat you properly
0:17:57 > 0:17:59if we don't know exactly what we're dealing with.
0:18:02 > 0:18:04This could be really serious, Cindy.
0:18:06 > 0:18:08Appetite suppressants.
0:18:08 > 0:18:11Don't say anything to Pep - big mouth.
0:18:14 > 0:18:16How long have you been taking them?
0:18:16 > 0:18:18Um...18 months to two years.
0:18:18 > 0:18:20OK. Well, thanks for your honesty.
0:18:20 > 0:18:21That's me, honest to a fault.
0:18:21 > 0:18:23You should be aware that if you keep taking them,
0:18:23 > 0:18:26you're at risk of high blood pressure and liver damage.
0:18:26 > 0:18:28I know, I know.
0:18:28 > 0:18:30OK. Well, if you talk Nurse Harrison through dosage
0:18:30 > 0:18:34- and any side effects, then we will take it from there.- Right.
0:18:37 > 0:18:39- Excuse me!- Here. You want one?
0:18:39 > 0:18:41Of my own crisps? Thanks very much!
0:18:41 > 0:18:44Nurse Jackson, no eating on the ward, please.
0:18:49 > 0:18:51We give you a short anaesthetic,
0:18:51 > 0:18:55then we feed an endoscope, a little camera, down your throat
0:18:55 > 0:18:57and into your stomach to locate the cyst.
0:18:57 > 0:18:59Then we push drains through the stomach wall
0:18:59 > 0:19:01and into the cyst to create a channel.
0:19:01 > 0:19:03The drains stay in there, so the cyst will drain through
0:19:03 > 0:19:06and eventually just fall out.
0:19:06 > 0:19:09- Will you be doing it? - No, Mr Hanssen will.
0:19:09 > 0:19:12Holby CEO and one of the best pancreatic surgeons
0:19:12 > 0:19:14in this country, or any other.
0:19:14 > 0:19:16You couldn't be in better hands.
0:19:16 > 0:19:19- And I'll be back in three days, yeah?- Your mother can count on it.
0:19:19 > 0:19:21Ms Sjoberg, excuse me, please.
0:19:22 > 0:19:25Morning.
0:19:25 > 0:19:27We'll take you through to surgery soon.
0:19:27 > 0:19:29Thank you, Fredrik.
0:19:30 > 0:19:33First-name terms already. That's quick work.
0:19:33 > 0:19:35Right, let's get you ready.
0:19:35 > 0:19:37So, the big boss is doing your surgery?
0:19:37 > 0:19:39He's the best, according to Fredrik.
0:19:39 > 0:19:42- Keeping it in the family. - What do you mean?
0:19:42 > 0:19:45Mr Hanssen is Mr Johansson's father.
0:19:45 > 0:19:46His father?
0:19:46 > 0:19:49Mm. Gold star treatment for you.
0:19:51 > 0:19:53So, you struggle with your weight?
0:19:53 > 0:19:55I was a right porker as a teenager.
0:19:55 > 0:19:57Not any more.
0:19:57 > 0:20:00- Do you know much about the oil business?- No.
0:20:00 > 0:20:03- It's a man's world.- What isn't?
0:20:03 > 0:20:06Mm. I'm senior buyer for our UK operation.
0:20:06 > 0:20:09Which means working breakfasts,
0:20:09 > 0:20:12hotel dinners and matching the clients drink for drink.
0:20:12 > 0:20:14- Sounds like fun.- Mm.
0:20:14 > 0:20:16Until you're expected to show up the next morning
0:20:16 > 0:20:18and flash the thousand-watt smile.
0:20:18 > 0:20:21Well, appetite suppressants aren't the answer.
0:20:21 > 0:20:24They are, but, like everything, it comes at a price.
0:20:24 > 0:20:27- Does your other half know what you're doing?- Other half?
0:20:27 > 0:20:30- Like I'm not a whole person on my own?- Sorry.
0:20:30 > 0:20:33- I steer clear of all that.- Right.
0:20:33 > 0:20:34That's why I like Pep.
0:20:36 > 0:20:38- Yeah?- Yeah. We get our kicks,
0:20:38 > 0:20:41then he goes home to his wife for the boring stuff.
0:20:41 > 0:20:45The brother's not too shabby, either.
0:20:45 > 0:20:48Yeah, I like to think so.
0:20:48 > 0:20:50- Ooo, are you an item?- Yep.
0:20:50 > 0:20:52Lucky girl!
0:20:54 > 0:20:57This is Keller ward, for general surgical cases.
0:20:57 > 0:21:00And this is Mr Hanssen, Holby CEO.
0:21:00 > 0:21:02- Mr Harvey.- Pleased to meet you. - And you.
0:21:02 > 0:21:05I was just telling Mr Harvey that we have a patient here today
0:21:05 > 0:21:07who could directly benefit from the new CT equipment
0:21:07 > 0:21:09his support could provide.
0:21:09 > 0:21:11Indeed we do.
0:21:11 > 0:21:15And, of course, we'd be happy to feature you and GPL in our promotional materials.
0:21:15 > 0:21:18And I'm sure some of the staff you just met on AAU
0:21:18 > 0:21:21- would be delighted to be part of any photos.- That's great.
0:21:21 > 0:21:26Mr Hanssen, you'll join us to discuss Mr Harvey's involvement further?
0:21:26 > 0:21:30Of course. I have surgery imminently, but I'll be with you as soon as I can.
0:21:30 > 0:21:33If you could please take Mr Harvey up to CTL? I'll come and find you.
0:21:33 > 0:21:35Thank you.
0:21:37 > 0:21:41A little close to the wind, offering our staff for a photoshoot.
0:21:41 > 0:21:45Well, if it lands us new CT equipment, I'm sure they'll cope.
0:21:45 > 0:21:47- They're ready for you in surgery. - Thank you.
0:21:49 > 0:21:51Let me scrub in?
0:21:52 > 0:21:54It was my diagnosis.
0:21:54 > 0:21:57I've spent the last two years researching pancreatic insufficiency.
0:21:59 > 0:22:01Very well.
0:22:05 > 0:22:07It all seems fine.
0:22:07 > 0:22:10Do you require any assistance, Dr Di Lucca?
0:22:10 > 0:22:13- Mister.- Oh, sorry. I'm new here.
0:22:13 > 0:22:15Thank you, Mr Sarkar.
0:22:16 > 0:22:19- Right, who's next? - You pull another stunt like that...
0:22:19 > 0:22:22- And what?- I will strangle you with a stethoscope.
0:22:22 > 0:22:26Hey, is that not against the "hypocritic" oath?
0:22:26 > 0:22:29Have you phoned that missus of yours yet?
0:22:29 > 0:22:31- Phone's still charging. - Yeah, yeah, yeah.
0:22:32 > 0:22:35Um...how's Cindy?
0:22:36 > 0:22:37Yeah, she's fine.
0:22:37 > 0:22:39What was the private chat all about earlier?
0:22:39 > 0:22:43The private chat? Ah, that was about things that are private.
0:22:43 > 0:22:47- Be like that!- You're very concerned about someone who's just your boss.
0:22:47 > 0:22:49Employee of the month, me.
0:22:49 > 0:22:51How are you and Shona doing?
0:22:51 > 0:22:54- We're trying.- And the kids?
0:22:54 > 0:22:58As long as they've got their Instachat and their Snappogram, they're fine.
0:22:58 > 0:23:04I would hate to see you turning into one of those bedsit Saturday dads.
0:23:04 > 0:23:06You worry too much, brother dearest.
0:23:13 > 0:23:15In Rome, I did one in the helicopter.
0:23:15 > 0:23:17- No way!- I had no choice.
0:23:17 > 0:23:20If I'd waited to get her to theatre, she would have been dead.
0:23:20 > 0:23:23And it turned out her brother-in-law was in a band I used to play in.
0:23:23 > 0:23:26- You were in a band?! - For a while, when I was young.
0:23:26 > 0:23:29- Next time I do one, you can scrub in.- Really?
0:23:29 > 0:23:31Can't promise helicopters, though.
0:23:34 > 0:23:35What are you doing?
0:23:35 > 0:23:38Just discussing a frozen-elephant-trunk operation.
0:23:38 > 0:23:40- You're trying to be more interesting than me.- I don't have to try.
0:23:40 > 0:23:43It's so obvious, it's almost pathetic how competitive you are.
0:23:45 > 0:23:47OK. Good chat.
0:23:51 > 0:23:54STEADY BLEEPING
0:24:02 > 0:24:04OK. Ready to go?
0:24:04 > 0:24:07Yes. Mr Johansson, where do we start?
0:24:09 > 0:24:12Endoscope. With the side-viewing scope to get a good look from all angles.
0:24:12 > 0:24:14- And then?- Once it's in position,
0:24:14 > 0:24:18- it should be pretty straightforward to make the puncture.- Off you go.
0:24:24 > 0:24:26Endoscope, please.
0:24:41 > 0:24:44- Giuseppe?- Yeah?- Can I have a word?
0:24:44 > 0:24:47Just give me a minute.
0:24:48 > 0:24:50HE VOMITS
0:24:50 > 0:24:52- WHISPERS:- Classy(!)
0:24:52 > 0:24:54HE COUGHS
0:24:57 > 0:24:59- You all right?- Aye. Tickety-boo.
0:25:00 > 0:25:02- Are you sure?- Aye, I'm fine.
0:25:04 > 0:25:05You don't sound it.
0:25:07 > 0:25:09See? Right as rain.
0:25:12 > 0:25:14HE SIGHS
0:25:14 > 0:25:17Almost ready to make the cut into the stomach.
0:25:18 > 0:25:21Should be around here somewhere.
0:25:21 > 0:25:23- Whoa!- Huh.
0:25:23 > 0:25:26First time for this, is it, Nurse Chiltern?
0:25:26 > 0:25:28First time I've seen bulging like that in a posterior wall.
0:25:28 > 0:25:31Yes, well, same procedure, no matter what the size.
0:25:31 > 0:25:34So, what do we do now?
0:25:34 > 0:25:36- Make the cut.- Go on, then.
0:25:41 > 0:25:43SLOW BLEEPING
0:25:43 > 0:25:45- BP's falling. - Looks like we have a bleed.
0:25:45 > 0:25:49- Blood out the back wall of the stomach.- I haven't touched anything!
0:25:49 > 0:25:52That you noticed. You're not going to stop that with an endoscope.
0:25:52 > 0:25:54- Of course. Sorry.- Quickly, please.
0:25:54 > 0:25:57Convert to open. Get her prepped and draped.
0:26:02 > 0:26:06It went well and we'll keep an eye on you, but you should be fine.
0:26:06 > 0:26:09Ah, fantastic. Can I just make doubly sure...?
0:26:09 > 0:26:12- You can't go to the football, no. - Right you are.- Thank you.
0:26:14 > 0:26:17Let's do a chest X-ray, an ECG and repeat the echo tomorrow.
0:26:17 > 0:26:20- Got it.- That was a very kind offer of Mr Rossini, wasn't it,
0:26:20 > 0:26:23to let you scrub in on his next frozen-elephant-trunk operation?
0:26:23 > 0:26:27Yeah, it's amazing. He's a pretty good guy, isn't he, Mr Rossini?
0:26:27 > 0:26:29- He's terrific. - And he played in a band.
0:26:29 > 0:26:31Yes. Course he did.
0:26:37 > 0:26:39- Mr Parsons, those football tickets? - Yeah?
0:26:39 > 0:26:41What do you want for them?
0:26:44 > 0:26:46OK.
0:26:57 > 0:27:00- BP 80/50. She's tachycardic. - I can get to the cyst, but this bleeding is...
0:27:00 > 0:27:02- Is it from the splenic artery? - I think it is.
0:27:02 > 0:27:06We need to underrun and perform a splenectomy, and we need to do it quickly.
0:27:07 > 0:27:09Let me do it.
0:27:11 > 0:27:12- Mr Johansson?- Why not?
0:27:12 > 0:27:15- Fredrik...- If I do the splenectomy,
0:27:15 > 0:27:17Mr Levy takes care of diathermy with you on the clamp.
0:27:17 > 0:27:20You can do it yourself one by one, but every second that ticks by
0:27:20 > 0:27:23means greater risk of poor outcome, and you know that.
0:27:23 > 0:27:24I don't think that's a good idea.
0:27:24 > 0:27:26- It was my mistake, let me fix it. - All right.
0:27:26 > 0:27:30- Mr Hanssen, I think there's too much going on.- I've made my decision.
0:27:30 > 0:27:33Mr Levy, do you mind retracting here?
0:27:33 > 0:27:35Could you kindly put the clamp across here?
0:27:35 > 0:27:36Long tie on the clip, please.
0:27:39 > 0:27:42- How long have you been vomiting? - I don't know.
0:27:42 > 0:27:44- You must have some idea. - A couple of weeks.
0:27:44 > 0:27:47- How often?- Every now and again.
0:27:47 > 0:27:48Is he always this vague?
0:27:48 > 0:27:51- Is there blood in it every time? - Pretty much.
0:27:51 > 0:27:52You didn't think to mention it?!
0:27:52 > 0:27:54You'd have been on my case, wouldn't you?
0:27:54 > 0:27:56- Too right, I would. - Does your wife know?
0:27:56 > 0:27:59There's no point. She's got enough on her plate with the kids.
0:27:59 > 0:28:02You thought you'd leave it until you coughed up a vital organ?
0:28:02 > 0:28:04- Drama queen!- Moron!
0:28:04 > 0:28:07- Now, now, boys. - And don't go telling Cindy either.
0:28:07 > 0:28:11- What's she got to do with any of this?- She's like the town crier.
0:28:11 > 0:28:14Last thing I need is being signed off on the sick.
0:28:14 > 0:28:16Look, can you just hold still for one second, please?
0:28:16 > 0:28:18He's got a lovely bedside manner.
0:28:18 > 0:28:21- What?- You have small bowel volvulus.
0:28:23 > 0:28:25- Go on.- The bowel's twisted.
0:28:25 > 0:28:28Nothing's going down and that is why it's coming straight back up again.
0:28:28 > 0:28:31- So, what about the blood? - Caused by internal damage.
0:28:31 > 0:28:33Right. What do I take for it?
0:28:33 > 0:28:35- No, you need surgery.- You what?
0:28:35 > 0:28:37- Today.- No chance!
0:28:37 > 0:28:39- It's an emergency. - Well, I want a second opinion!
0:28:39 > 0:28:42- Ha-ha-ha! Dream on. - You are not slicing me open.
0:28:42 > 0:28:44No, I'm not, but I know someone who is.
0:28:44 > 0:28:46Can you get him prepped, please, Essie?
0:28:58 > 0:29:00We're taking her through to Recovery.
0:29:00 > 0:29:02Haemoglobin's very low,
0:29:02 > 0:29:04but we're working on it and she's stable for now.
0:29:04 > 0:29:07What's her latest lactate and white blood cell count?
0:29:07 > 0:29:10Lactate's coming down, white count the same.
0:29:10 > 0:29:13So she's going to be on antibiotics for some time.
0:29:14 > 0:29:16Could have been worse.
0:29:16 > 0:29:20Right. When you're finished here, we have a gall bladder to take out.
0:29:24 > 0:29:27- Right. Keep me informed of her progress, will you?- I will.
0:29:28 > 0:29:30- Fredrik?- Yes?
0:29:30 > 0:29:33- That was good work.- Thank you.
0:29:41 > 0:29:43OK. £50, here we go.
0:29:43 > 0:29:45Sorry, mate, I got a better offer.
0:29:45 > 0:29:47What? Who from?
0:29:47 > 0:29:49Don't you just love football?
0:29:49 > 0:29:51The discipline, the patience.
0:29:51 > 0:29:53Il catenaccio. What an experience!
0:29:53 > 0:29:56How fun. I wonder who I'll take?
0:29:56 > 0:29:58- What's he paying you?- 100.
0:29:58 > 0:30:00I'll give you 150.
0:30:00 > 0:30:02Wait, Norman, we had a deal.
0:30:02 > 0:30:05- I did promise him.- 200.
0:30:05 > 0:30:07- But I am only human.- 250.
0:30:07 > 0:30:09400!
0:30:11 > 0:30:13- All yours, mate.- Ah!
0:30:20 > 0:30:23He let me do the splenectomy and it went perfectly.
0:30:23 > 0:30:24But it didn't, did it?
0:30:24 > 0:30:26Surgically, there were some complications.
0:30:26 > 0:30:28The cyst was much bigger than we thought.
0:30:28 > 0:30:32We got a bleed, we had to do an open-cyst gastrostomy.
0:30:32 > 0:30:33She lost a lot of blood.
0:30:33 > 0:30:37- How's her pancreatic function? - It'll be fine.
0:30:37 > 0:30:39Will it, Fredrik?
0:30:39 > 0:30:42We couldn't have a better advertisement for the possibilities of Tannahillamyde.
0:30:42 > 0:30:45She's not an advertisement, Fredrik, she's a person!
0:30:45 > 0:30:46Once I give him the documentation
0:30:46 > 0:30:48and he sees the potential for people like Anna,
0:30:48 > 0:30:50he'll see we didn't have to let it get this far.
0:30:50 > 0:30:52He'll have to support Phase Four trials.
0:30:52 > 0:30:54What do you mean, let it get this far?
0:30:56 > 0:30:59It would have been better to get that cyst out two months ago.
0:30:59 > 0:31:01How do you know?
0:31:02 > 0:31:03It was obvious.
0:31:03 > 0:31:05Do you know the patient?
0:31:08 > 0:31:11- Have you treated her before? - Briefly. In Sweden.
0:31:11 > 0:31:13- Did you tell her to come over here? - She needed surgery!
0:31:13 > 0:31:15But should she have had it earlier?
0:31:15 > 0:31:17Do you want a Phase Four trial, or not?
0:31:19 > 0:31:21Yeah, of course I do.
0:31:21 > 0:31:22Then we're almost there.
0:31:29 > 0:31:32HE SPEAKS SWEDISH
0:31:35 > 0:31:37Don't mind me.
0:31:37 > 0:31:41I was just trying to learn a few phrases in Swedish for Ms...
0:31:41 > 0:31:43Our patient.
0:31:43 > 0:31:45Professional development, really.
0:31:45 > 0:31:47It's always good to try and learn something new.
0:31:47 > 0:31:50Try and make people feel more comfortable.
0:31:51 > 0:31:53Free app, if you're interested.
0:31:53 > 0:31:56I don't really have the time.
0:31:56 > 0:32:00Of course. All so busy these days, aren't we?
0:32:00 > 0:32:04What with Raf and Essie disappearing to AAU.
0:32:04 > 0:32:05Right.
0:32:08 > 0:32:11- Oh, right. I should get out there. - Yeah, if you could.
0:32:12 > 0:32:14Right.
0:32:15 > 0:32:17LOFTY SIGHS
0:32:20 > 0:32:23Can you get them to put a rush on that, please? Cheers. Thank you.
0:32:23 > 0:32:25- Ah! Is he all booked in? - Yeah. Nina's on the case.
0:32:25 > 0:32:28- Great.- Should be going in within the hour.
0:32:28 > 0:32:30OK. Well, I'd better call Shona.
0:32:30 > 0:32:34- Oh, um...I was going to tell you this later, but...- What now?
0:32:36 > 0:32:39Giuseppe and Cindy, they are together.
0:32:39 > 0:32:42What? How do you know that?
0:32:42 > 0:32:44She just admitted it.
0:32:44 > 0:32:46Oh, for crying out loud!
0:32:46 > 0:32:48He really can't keep it in his pants, can he?
0:32:48 > 0:32:51I must have "Mug" written across my forehead.
0:32:51 > 0:32:53You just see the best in people.
0:32:53 > 0:32:56- My brother doesn't have a best. - Well, that's what I love about you.
0:32:56 > 0:32:58- What, that I'm Mr Gullible?- No.
0:32:58 > 0:33:01Well, I'm calling her, anyway. She's got a right to know he's sick.
0:33:08 > 0:33:09How is Ms Sjoberg?
0:33:09 > 0:33:12Still in recovery, being monitored.
0:33:12 > 0:33:14Very good. Keep me updated, please.
0:33:18 > 0:33:21You're aware of the trial Sara and I are hoping to carry out?
0:33:21 > 0:33:24The C1 Esterase Inhibitor, yes.
0:33:24 > 0:33:26Tannahillamyde.
0:33:26 > 0:33:28I don't think it's overstating it to say that if it was on the market,
0:33:28 > 0:33:31Ms Sjoberg would never have needed surgery.
0:33:31 > 0:33:34- How so?- We could have inhibited the Kallikrein-Kinin
0:33:34 > 0:33:37and complement system to stop the destructive enzymes
0:33:37 > 0:33:41from being released when pancreatitis was first diagnosed.
0:33:41 > 0:33:43Remind me of the results so far, please?
0:33:43 > 0:33:47Phase Three showed consistent suppression of adaptive immune cells
0:33:47 > 0:33:49with significant reduction in inflammatory markers.
0:33:49 > 0:33:51That's very impressive.
0:33:52 > 0:33:56We're in a position to move to a Phase Four trial and...
0:33:57 > 0:33:59..we were hoping for your support.
0:34:01 > 0:34:04Is that something you think you'd be able to help with?
0:34:08 > 0:34:11- Send me the documentation, I'll take a look.- Thank you.
0:34:15 > 0:34:17Looks like a pretty straightforward resection.
0:34:17 > 0:34:19Can you make sure there's no tension in the join?
0:34:19 > 0:34:21- I intend to.- This has to work.
0:34:21 > 0:34:24- I know.- There's no way he'll be able to cope with a stoma.
0:34:24 > 0:34:26Leave it to me, he'll be fine.
0:34:30 > 0:34:33Dr Di Lucca, who do I have to pay to get a cup of tea?
0:34:34 > 0:34:37And then he put his hands on me, right? So, anyway, I said,
0:34:37 > 0:34:41- "How would you like me to cure your piles by kicking them straight back up your..."- Donna?
0:34:41 > 0:34:44- I'm on my break.- How about you two?
0:34:44 > 0:34:47- Any chance of leading from the front? - DONNA SIGHS
0:35:06 > 0:35:08Everything OK?
0:35:08 > 0:35:09Fine. Thank you.
0:35:14 > 0:35:17Listen, I wasn't being hypercritical of you in theatre earlier.
0:35:17 > 0:35:20It didn't occur to me that you were.
0:35:21 > 0:35:24- It was a tricky call.- Absolutely.
0:35:25 > 0:35:29My objections weren't intended as a slight on your abilities.
0:35:29 > 0:35:31- They weren't taken as such.- It was a clinical difference of opinion.
0:35:31 > 0:35:33Hm. Between yourself and Mr Hanssen.
0:35:35 > 0:35:36Exactly.
0:35:36 > 0:35:40I was happy to follow the instruction of whoever won the day.
0:35:43 > 0:35:45I just wanted to make sure that you know
0:35:45 > 0:35:47that I have every confidence in you.
0:35:48 > 0:35:50I know. Thank you.
0:35:52 > 0:35:54Good. That's a relief.
0:36:07 > 0:36:09- They'll be taking you through soon. - Right.
0:36:09 > 0:36:12- No need to be nervous. - That's easy for you to say.
0:36:12 > 0:36:15- I've spoken to Ms Karnik. - The ballbreaker?
0:36:15 > 0:36:17She's a brilliant surgeon.
0:36:18 > 0:36:21- Do me a favour, will you? - What's that?
0:36:21 > 0:36:24Phone Shona and tell her there's no need to come down.
0:36:24 > 0:36:28- Why not?- It's a long way to travel if there's nothing to worry about.
0:36:28 > 0:36:31- Is that all?- How do you mean?
0:36:31 > 0:36:33I thought you might want to avoid her meeting your new girlfriend.
0:36:33 > 0:36:36- What?!- Don't even start, Giuseppe.
0:36:36 > 0:36:38- Honestly, seriously, I...- Giuseppe!
0:36:38 > 0:36:40All right, you got me.
0:36:40 > 0:36:42This is all a big joke to you, isn't it?
0:36:42 > 0:36:44Not a joke.
0:36:44 > 0:36:45A bit of fun.
0:36:45 > 0:36:49Fun? And is it fun for your wife and for your kids?
0:36:49 > 0:36:51Oh, please, please, not the high horse.
0:36:51 > 0:36:53- I thought you wanted to save your marriage.- I do.
0:36:53 > 0:36:55By screwing your boss?
0:36:55 > 0:36:57Shona knows nothing about this.
0:36:57 > 0:36:59And what if she did?
0:36:59 > 0:37:02Cindy's not some bunny boiler who's going to turn up on my doorstep.
0:37:02 > 0:37:03How do you know that?
0:37:03 > 0:37:05We understand each other.
0:37:06 > 0:37:08You are a walking cliche, mate.
0:37:08 > 0:37:11What I've been walking on for the past 18 months is eggshells.
0:37:11 > 0:37:15- Whose fault is that?- I'm away on rigs for months at a time, right?
0:37:15 > 0:37:19And then I come home and it's like I'm on permanent probation.
0:37:19 > 0:37:21How do you mean?
0:37:21 > 0:37:24No booze, no bets and certainly no...
0:37:24 > 0:37:27Yeah, all right, all right. Why don't you just leave?
0:37:27 > 0:37:28I can't.
0:37:28 > 0:37:30Why not?
0:37:30 > 0:37:32I love my children.
0:37:32 > 0:37:33What about you wife?
0:37:33 > 0:37:36I love her, too. Or at least I would, given half a chance.
0:37:36 > 0:37:39You've already put that poor girl through the mill.
0:37:39 > 0:37:41Aye, well, there's two sides to every story.
0:37:41 > 0:37:43Hm. Not this story, there isn't.
0:37:47 > 0:37:49So, what are you going to do about it?
0:37:51 > 0:37:53- I don't know. - Are you going to phone her and blab
0:37:53 > 0:37:55and deprive my kids of their father?
0:37:56 > 0:37:59- If our mum was...- Aye, aye, she'd be turning in her grave.
0:38:01 > 0:38:03How the hell did we come out of the same womb?
0:38:03 > 0:38:05No idea whatsoever, pal.
0:38:11 > 0:38:13Is that Ms Sjoberg's results? Great.
0:38:16 > 0:38:19Heart rate 88. That's good.
0:38:19 > 0:38:21BP 110/70.
0:38:21 > 0:38:23It was impressive stuff in there.
0:38:23 > 0:38:25Any surgeon could have done it.
0:38:25 > 0:38:27But they didn't, did they? You did.
0:38:27 > 0:38:31Plenty have frozen under the glare of the big man.
0:38:31 > 0:38:33Let me know when she's awake, would you?
0:38:33 > 0:38:34Dom, can I have a quick chat?
0:38:34 > 0:38:36I'm actually a little bit busy at the moment.
0:38:36 > 0:38:38- Of course. Whenever.- Soon, yeah?
0:38:41 > 0:38:43We'll get you back in a few weeks for a check,
0:38:43 > 0:38:45but you shouldn't get any attacks any more.
0:38:45 > 0:38:47Try not to put any stress on your heart.
0:38:47 > 0:38:50- So, no football? - Probably best not, just for now.
0:38:54 > 0:38:56- This, of course, doesn't apply to you.- What?
0:38:56 > 0:38:59- What are you doing later? - Nothing.- Wrong answer.
0:38:59 > 0:39:01You'll be joining me for the fully sold-out match at Ashton Road.
0:39:01 > 0:39:04- What?!- Mr Parsons didn't need his tickets, so I took them off his hands.
0:39:04 > 0:39:06- But I'm broke.- My shout.
0:39:06 > 0:39:09- Are you serious? - Of course. It'll be fun.
0:39:09 > 0:39:11I never thought of you as the football type.
0:39:11 > 0:39:13Oh, man, I love football.
0:39:13 > 0:39:18Terraces, swearing, knee-deep in beer cans. It's brilliant.
0:39:18 > 0:39:20- This is amazing!- Chill out, mate, it's not a big deal.
0:39:20 > 0:39:22- How much did you pay for the tickets?- What's that?
0:39:22 > 0:39:28Not much. So, we'll go for a pint first at Albie's?
0:39:28 > 0:39:30- Absolutely.- Cool.
0:39:38 > 0:39:42White count 19, haemoglobin 82, lactate 2.3.
0:39:42 > 0:39:44Fredrik's in post-surgery now.
0:39:45 > 0:39:48I thought he performed very well in surgery.
0:39:48 > 0:39:51You should be proud.
0:39:51 > 0:39:55I understand there were, um...difficulties in his last job.
0:39:55 > 0:39:58Well, I think scandal is probably the word.
0:40:00 > 0:40:02It was a remarkable diagnosis, wasn't it,
0:40:02 > 0:40:04- the pancreatic pseudocyst?- Mm.
0:40:05 > 0:40:07Not something I would have looked for.
0:40:07 > 0:40:10No, me neither. Not so soon, anyway.
0:40:10 > 0:40:13When you're hot, you're hot.
0:40:13 > 0:40:15Mm.
0:40:15 > 0:40:17Has he talked to you about Tannahillamyde?
0:40:19 > 0:40:21- No. - It's a drug he's been trialling.
0:40:21 > 0:40:23A C1 esterase inhibitor
0:40:23 > 0:40:27which could perhaps have treated Ms Sjoberg before she needed surgery.
0:40:27 > 0:40:30- Does it work?- Well, Phase Three results are very strong
0:40:30 > 0:40:34and he would like to do Phase Four trials here.
0:40:35 > 0:40:36I see.
0:40:39 > 0:40:41What are you going to do?
0:40:42 > 0:40:46Do you have any idea where Giuseppe's disappeared to?
0:40:46 > 0:40:47He's been taken ill.
0:40:47 > 0:40:49Seriously?
0:40:49 > 0:40:50We've had to admit him.
0:40:50 > 0:40:53- What's up?- Bowel problem.
0:40:53 > 0:40:55- Oh, right.- He needs an op.
0:40:56 > 0:40:59Good God! No wonder his brother looked right through me.
0:41:02 > 0:41:03Did he?
0:41:03 > 0:41:06You told him about us, didn't you?
0:41:08 > 0:41:10Giuseppe's wife's on her way here.
0:41:12 > 0:41:14Yes. Of course.
0:41:14 > 0:41:18How would you feel about a transfer to another ward?
0:41:21 > 0:41:23Last thing I want's trouble.
0:41:24 > 0:41:25We had to remove your spleen,
0:41:25 > 0:41:28but that is something you will recover from fairly quickly.
0:41:28 > 0:41:31However, the damage to your pancreas from the cyst
0:41:31 > 0:41:33means you will need to take medication.
0:41:33 > 0:41:34For how long?
0:41:36 > 0:41:38Fredrik?
0:41:38 > 0:41:40Possibly up to a year.
0:41:42 > 0:41:43What, you don't know?!
0:41:43 > 0:41:45We'll just have to see.
0:41:45 > 0:41:47We'll keep you in here for a couple of weeks to observe.
0:41:47 > 0:41:50You said I would be home in three days.
0:41:50 > 0:41:52Because of the open surgery,
0:41:52 > 0:41:54the recovery is longer than we anticipated.
0:41:54 > 0:41:57My mother! I can't afford to keep her in care for that long.
0:41:57 > 0:41:59Is there no-one else she could stay with?
0:41:59 > 0:42:02She's an 84-year-old diabetic, she can't just go anywhere!
0:42:02 > 0:42:05- Mm. - Fredrik, you said it would be fine.
0:42:05 > 0:42:07You said to trust you.
0:42:10 > 0:42:13- This is a good outcome.- Is it?!
0:42:14 > 0:42:16I don't know what I'm going to do!
0:42:18 > 0:42:20My mother...
0:42:20 > 0:42:23I should have had this done in Sweden when I had a chance.
0:42:26 > 0:42:28Perhaps we could have done it earlier,
0:42:28 > 0:42:31but things don't always go as planned in surgery.
0:42:32 > 0:42:35And if things went wrong, like they did,
0:42:35 > 0:42:39we wouldn't have had the best pancreatic surgeon in Europe standing over you.
0:42:39 > 0:42:42Yes, your father. Why didn't you tell me?
0:42:42 > 0:42:43Because it's not important.
0:42:45 > 0:42:49Anna, it could have been much worse.
0:42:53 > 0:42:56It was the right decision.
0:42:56 > 0:42:58Do you agree?
0:43:10 > 0:43:12- So, she's finished now? - Yep.- Good. Thank you.
0:43:14 > 0:43:16- Any news?- No, nothing.
0:43:17 > 0:43:20- Where's, um...?- Checked out.
0:43:20 > 0:43:22- Really? - Private health care, apparently.
0:43:22 > 0:43:23Just like that?
0:43:23 > 0:43:26Chauffeur-driven ambulance whisked her away.
0:43:26 > 0:43:28Ah. Small mercies, eh?
0:43:28 > 0:43:31- Have you seen Donna around?- No.
0:43:32 > 0:43:35- Is everything all right with you two?- Yeah.
0:43:35 > 0:43:37Keep me posted about Giuseppe.
0:43:47 > 0:43:49- KNOCK AT DOOR - Come in.
0:43:53 > 0:43:57Ah. There isn't a problem with Ms Sjoberg, is there?
0:43:57 > 0:43:58No, I just...
0:44:05 > 0:44:08How did you go on with that documentation for the trial?
0:44:09 > 0:44:13- Ah, yes, I did have had a look. Very impressive, isn't it?- Thank you.
0:44:13 > 0:44:16Particularly the adaptive immunological data. Very promising.
0:44:19 > 0:44:21Does that mean Holby will host it?
0:44:22 > 0:44:25I wonder if you might like to look further afield.
0:44:28 > 0:44:31- I see.- I'd be happy to set up a meeting
0:44:31 > 0:44:34with an excellent facility in Birmingham.
0:44:34 > 0:44:35You saw what I did in there.
0:44:35 > 0:44:37- I know you were impressed.- Yes.
0:44:37 > 0:44:39I was so impressed, I wondered
0:44:39 > 0:44:41if perhaps you'd had a bit of a head start.
0:44:41 > 0:44:43What?
0:44:43 > 0:44:47Did you perhaps encounter Ms Sjoberg in Sweden?
0:44:50 > 0:44:52Of course I did.
0:44:52 > 0:44:53Yes.
0:44:56 > 0:44:58And you didn't think to tell us?
0:44:58 > 0:45:02I wanted you to give Tannahillamyde a chance.
0:45:02 > 0:45:06So you thought that I would agree to host your trial
0:45:06 > 0:45:09if I saw you were a good surgeon.
0:45:15 > 0:45:16I see.
0:45:18 > 0:45:21Well, unfortunately,
0:45:21 > 0:45:23I can't allow any suggestion of nepotism.
0:45:26 > 0:45:29And, of course, there is the question of what happened in the past.
0:45:29 > 0:45:31This is my chance to make it right.
0:45:34 > 0:45:37Hm. No, I'm sorry, but at this stage,
0:45:37 > 0:45:39I can't give you the support you need.
0:45:58 > 0:46:00Ms Karnik, how did it go?
0:46:00 > 0:46:02- Unqualified success.- Oh, thank God!
0:46:02 > 0:46:04Had to remove about a foot of his intestine.
0:46:04 > 0:46:07- But he's OK? - A few days in bed and he'll be fine.
0:46:07 > 0:46:09Thank you. Thank you so much.
0:46:09 > 0:46:10Don't thank me, do my audit.
0:46:13 > 0:46:15- Well?- Flying colours.
0:46:15 > 0:46:17- Brilliant!- Yeah.
0:46:17 > 0:46:19Bet he's going to be a nightmare patient.
0:46:19 > 0:46:23Essie, did you have anything to do with Cindy Miller's transfer?
0:46:23 > 0:46:24What makes you say that?
0:46:24 > 0:46:26Just with Shona on her way here,
0:46:26 > 0:46:29the timing really couldn't have been any better.
0:46:29 > 0:46:30Happy coincidence.
0:46:30 > 0:46:32- You reckon?- Absolutely.
0:46:34 > 0:46:36HE SIGHS
0:46:36 > 0:46:40- You think there's still a chance? - He said "at this stage".
0:46:40 > 0:46:43If we keep working together, building our relationship...
0:46:43 > 0:46:46He just flat out rejected the proposal!
0:46:46 > 0:46:48I know I can bring him around.
0:46:48 > 0:46:50But you delayed life-saving surgery?
0:46:50 > 0:46:52There's a bigger picture here.
0:46:56 > 0:46:58I think we should consider leaving.
0:47:00 > 0:47:03Pack up, go back to Sweden, find another hospital for the trial.
0:47:03 > 0:47:04Well, that would take months.
0:47:04 > 0:47:06It doesn't matter!
0:47:09 > 0:47:11We're not leaving.
0:47:11 > 0:47:13- You could have killed her. - She'll be fine.
0:47:13 > 0:47:16Yeah, but she might not have been, and that terrifies me!
0:47:16 > 0:47:19- I... I am not doing this again! - Sara...
0:47:21 > 0:47:24You have to decide who's more important to you.
0:47:26 > 0:47:29Stay here, or...come with us!
0:47:33 > 0:47:34Fredrik? Hi, Sara.
0:47:34 > 0:47:38- Time to check on Ms Sjoberg. Ready? - One second.
0:47:47 > 0:47:48I have to go.
0:47:48 > 0:47:50Oh, no, you don't!
0:47:52 > 0:47:53I'm sorry.
0:48:04 > 0:48:07Yeah, there should be a pizza in the freezer for them.
0:48:07 > 0:48:09OK, I've got to go.
0:48:09 > 0:48:10OK, bye.
0:48:10 > 0:48:13I know, sorry, no personal calls on the ward.
0:48:13 > 0:48:14I never said a word.
0:48:14 > 0:48:15Where did they move Cindy?
0:48:15 > 0:48:17- She moved herself.- Eh?
0:48:17 > 0:48:19To a private hospital.
0:48:19 > 0:48:21Figures.
0:48:21 > 0:48:22The NHS was beneath her, it seems...
0:48:22 > 0:48:24She's pretty high maintenance.
0:48:24 > 0:48:27Yeah, yeah. I don't need the details, thanks.
0:48:28 > 0:48:33Do you remember when we were wee and you used to lay me
0:48:33 > 0:48:37out on the kitchen table and operate on me with a knife and fork?
0:48:37 > 0:48:39God, I must have been unbearable.
0:48:40 > 0:48:43How the tables have turned...
0:48:44 > 0:48:47You are going to be sore for the next few weeks.
0:48:48 > 0:48:49When can I go back to work?
0:48:49 > 0:48:51When I say so.
0:48:51 > 0:48:53Fair enough.
0:48:54 > 0:48:57Do you ever think about what you might be throwing away?
0:48:57 > 0:48:59Thinking's overrated.
0:48:59 > 0:49:02The person who jumped on the first train down here worried sick,
0:49:02 > 0:49:05who is going to take you home and wait on you hand and foot?
0:49:05 > 0:49:07Aye... She's a good lass, I know.
0:49:07 > 0:49:08Do you?
0:49:08 > 0:49:11She's stuck by me through thin and thin.
0:49:11 > 0:49:14You make her sound like some downtrodden skivvy.
0:49:14 > 0:49:15I'm just saying...
0:49:15 > 0:49:17Look, she's gorgeous, she's funny.
0:49:17 > 0:49:19Well, maybe you should've married her.
0:49:19 > 0:49:22She is going to kick you out for good one day.
0:49:23 > 0:49:25Probably.
0:49:25 > 0:49:27Do these affairs make you happy?
0:49:28 > 0:49:30Momentarily.
0:49:30 > 0:49:34You don't want to end up some washed-up lonely old man?
0:49:36 > 0:49:39Look, I know that I'm a let-down to you.
0:49:39 > 0:49:41This is not about me.
0:49:42 > 0:49:44I am trying.
0:49:44 > 0:49:46Yeah, and failing badly.
0:49:46 > 0:49:50Well, I'll try and fail better next time.
0:49:50 > 0:49:51Get some rest.
0:49:55 > 0:49:56Ugh.
0:50:02 > 0:50:04I've got this, Louise...
0:50:04 > 0:50:07And I think I owe you an apology.
0:50:07 > 0:50:08Why's that?
0:50:08 > 0:50:11Coming in, first day back, shouting the odds.
0:50:12 > 0:50:14Forget about it.
0:50:14 > 0:50:15Can we start again tomorrow?
0:50:18 > 0:50:20Buy me a packet of crisps and I'll think about it.
0:50:20 > 0:50:22Consider it done.
0:50:22 > 0:50:24On three...
0:50:24 > 0:50:26One, two, three.
0:50:26 > 0:50:28I can't wait for this. Love football.
0:50:28 > 0:50:31- Really?- Yeah. Always have. Especially nights like this.
0:50:31 > 0:50:33It's going to be a huge match. Massive.
0:50:33 > 0:50:37Yes, I saw the very heavy police presence outside.
0:50:37 > 0:50:39Police?
0:50:39 > 0:50:41Like you say. It's a huge match.
0:50:41 > 0:50:43Tensions high...
0:50:43 > 0:50:45I can't believe you managed to get tickets for the game.
0:50:45 > 0:50:46- I've been trying all week.- Really?
0:50:46 > 0:50:49Yes, it's like the biggest game of the season.
0:50:49 > 0:50:50I didn't have you down as a football fan.
0:50:50 > 0:50:54I absolutely love it. Have done since I was a kid.
0:50:54 > 0:50:56Love to hear that roar of the crowd...
0:50:56 > 0:50:58Warm beer. Cold hot dogs.
0:50:58 > 0:51:00- What's not to like? - I'm so jealous.
0:51:00 > 0:51:02- I know. Can't wait.- Shut up.
0:51:02 > 0:51:05- Well, you can tell me to shut up from home.- Honestly, don't annoy me.
0:51:05 > 0:51:07Take my ticket.
0:51:07 > 0:51:09Are you being serious?
0:51:09 > 0:51:12You're obviously a big fan, you should have it.
0:51:12 > 0:51:13- Really, Ollie?- Yes, really.
0:51:13 > 0:51:16- Oh, thank you so much! - Whoa, whoa, whoa!
0:51:16 > 0:51:18Are you sure you won't regret it after a seven-goal thriller?
0:51:18 > 0:51:21To tell you the truth, Damon, football's really not my thing.
0:51:21 > 0:51:22I thought you loved it.
0:51:22 > 0:51:25Well, it's OK. I prefer being in bed with a box set.
0:51:25 > 0:51:27Dull, yes, maybe but there we are.
0:51:27 > 0:51:29- Drink at the game? - Yes, please. Thanks.
0:51:32 > 0:51:34You're a good guy, Mr Valentine.
0:51:34 > 0:51:35Have a good night.
0:51:38 > 0:51:40If you're not really the football type,
0:51:40 > 0:51:43why did you spend £400 on tickets?
0:51:43 > 0:51:45You can't let the Italians win.
0:51:50 > 0:51:52Hey, do you fancy a drink when we get off?
0:51:52 > 0:51:55- Yeah, sure, I just need to... - I've got something to celebrate.
0:51:55 > 0:51:57It's not your birthday, is it?
0:51:57 > 0:51:59No...
0:51:59 > 0:52:00Do you want me to guess?
0:52:00 > 0:52:02Sorry, I've asked for a transfer.
0:52:04 > 0:52:05What?
0:52:05 > 0:52:07To AAU. They pretty much said it's a done deal.
0:52:08 > 0:52:10I'll let you get on.
0:52:19 > 0:52:21Anna Sjoberg, she's doing well.
0:52:21 > 0:52:23Excellent!
0:52:23 > 0:52:26Now, look, I have to do what's best for this hospital.
0:52:26 > 0:52:29- Of course.- I, as you know, struggle with balance,
0:52:29 > 0:52:33and I have devoted myself to Holby and so I think that to
0:52:33 > 0:52:37introduce something else into the equation could become complicated.
0:52:38 > 0:52:40I'm a complication now?
0:52:42 > 0:52:45I am expressing myself poorly, aren't I?
0:52:47 > 0:52:49I'd like to find another way.
0:52:53 > 0:52:56It's getting late, I have to go and prep for a meeting.
0:53:07 > 0:53:08Hey!
0:53:08 > 0:53:09What're you doing here?
0:53:09 > 0:53:12- Just wanted to catch you before you headed home?- Yeah.
0:53:12 > 0:53:15I'm going to stick around until Shona gets here.
0:53:15 > 0:53:17Do you want me to wait with you?
0:53:17 > 0:53:19No, no, you have done more than enough for me today.
0:53:19 > 0:53:21How's Giuseppe?
0:53:21 > 0:53:23Feeling sorry for himself.
0:53:23 > 0:53:27Yeah, well, it's the Cindys of the world that I feel sorry for.
0:53:27 > 0:53:30- Yeah?- Running around from one bit of fun to the next.
0:53:30 > 0:53:34At least she's not sneaking round behind someone else's back.
0:53:34 > 0:53:37I don't like the idea of only having me to worry about.
0:53:37 > 0:53:39- No?- Just seems like a lonely life.
0:53:41 > 0:53:43Yeah, I suppose so.
0:53:43 > 0:53:45At least we're perfect, yeah?
0:53:45 > 0:53:47Exactly...
0:53:50 > 0:53:52You're missing Parker?
0:53:54 > 0:53:55Yeah.
0:54:00 > 0:54:02What?
0:54:02 > 0:54:04You are an amazing woman.
0:54:04 > 0:54:06- Yeah, yeah, yeah...- I'm serious.
0:54:06 > 0:54:08Have you been drinking?
0:54:09 > 0:54:12I just wish we'd found each other years ago.
0:54:12 > 0:54:13Timing's everything.
0:54:13 > 0:54:17You know my mum and dad got together when they were teens.
0:54:17 > 0:54:18That's amazing.
0:54:18 > 0:54:22I don't think they spent a night apart until she passed away.
0:54:22 > 0:54:24I wish my mum and dad had had longer together.
0:54:25 > 0:54:27Life is short.
0:54:27 > 0:54:29I know...
0:54:29 > 0:54:32Makes me wonder what we're doing...wasting time.
0:54:34 > 0:54:35How'd you mean?
0:54:36 > 0:54:42I am pretty sure that I want to spend the rest of my life with you.
0:54:45 > 0:54:47Are you?
0:54:50 > 0:54:53Essie Harrison...
0:54:53 > 0:54:55Will you marry me?
0:54:58 > 0:54:59Oh, my God.
0:55:02 > 0:55:04Is that a yes or a no?
0:55:08 > 0:55:09It's a big fat yes.
0:55:09 > 0:55:11Yeah?
0:55:11 > 0:55:13Yes!
0:55:26 > 0:55:27Thank you for coming down.
0:55:30 > 0:55:33I'm picking Oskar up in ten minutes.
0:55:35 > 0:55:37OK.
0:55:39 > 0:55:40Are you coming with us?
0:55:44 > 0:55:45Fredrik?
0:55:50 > 0:55:52I can't.
0:55:52 > 0:55:56Yes, you can. We'll go now, we'll pick up Oskar together.
0:55:56 > 0:55:57But the trial.
0:55:57 > 0:55:58There is no trial!
0:55:58 > 0:56:00I can change his mind.
0:56:00 > 0:56:02He already said no.
0:56:09 > 0:56:10He's my father.
0:56:10 > 0:56:13But we're your family.
0:56:13 > 0:56:15Me and Oskar.
0:56:23 > 0:56:25Fredrik.
0:56:29 > 0:56:31I'm sorry.
0:56:49 > 0:56:51CAR ENGINE STARTS