Thicker than Water Holby City

-It didn't mean anything. It's not going to work.

-All right. Sure.

-Giuseppe?

-Big man!

The prodigal brother returns.

You smell like a pub toilet.

Of course, we'd have to issue a public apology

for the failure of the Oxamamorl trial.

It was the drug in its most rudimentary form that caused those deaths.

Deaths, Fredrik?

My reputation in Sweden is compromised.

I can understand that.

-I was acquitted.

-I know.

Earn his trust back and he will help.

I can't wait that long.

His recommendation is only the first part.

PHONE RINGS OUT

-FEMALE ON PHONE: Halla.

-Hej, det ar jag.

Jag ar orolig.

Oroa dig inte, du ar i goda hander.

Hurdan ar han?

Han ar den basta, jag lovar.

OK.

Ja. Vi ses dar inne.

Huh!

I thought you said he wasn't going to be late.

Once he is out on the lash, that's that.

He's incapable of picking up a phone?

-Wouldn't even occur to him.

-Ignorant sod.

Well, that's Giuseppe for you.

And you let him get away with it?

We had a nice night in on our own, didn't we?

-I suppose so.

-You suppose so?

-PHONE RINGS

-Oh. That'll be him now. Uh-oh.

Hello, Shona. No, no, I haven't spoken to him.

Yeah, yeah, he is, but, well,

he must have rolled in around dawn and crashed.

You know what these conferences are like. How are the kids?

Yep, look, I'm just on my way into work, so... See you.

Rolled in at dawn?

What was I supposed to say?

Didn't realise you were such a good liar.

-I'm not.

-I'm going to have to keep my eye on you.

I'm going to kill him when I see him.

You left your keys in the car.

There's a spare on top of the fridge.

Lock up with that and I'll give you yours when you get here. Bye.

-Mr Johansson, good morning.

-Good morning.

Actually, I wonder if you could help me.

Mrs Johansson seems to have put an appointment in my diary with Mr Harvey.

Do you know what that might be about?

No. Sorry. She'll be in later this morning.

Oh, well, I'll try asking her, then.

She certainly seems to have approached this fundraising

with quite some enthusiasm.

When she commits to something, she really commits to it.

Well, it's very much appreciated.

COMPUTERISED VOICE: Doors opening. Lift going up.

Doors closing.

Giuseppe, it's me, fresh from telling your wife

you're safely tucked up in bed at my place.

Now, if you are still in the country and not in a coma,

then I'd appreciate a call.

-Sounds interesting.

-It's just my idiot brother.

-So back where the action is.

-Don't speak too soon.

No, I love it down here.

Even if I told you there was an audit to organise?

I'll fit it in.

-I also need you to sort out a teaching programme.

-Yeah?

-Complaints from deanery trainees.

-Bring it on.

And then there's the catheter situation.

-Why? What's...?

-Product recall.

Cross-matching patients with serial numbers.

-I need them out and replaced by the end of the day.

-OK.

Hey.

Anna...Szhuberg?

Sjob-Sjoburg?

Dom, how's your Swedish?

-Sjoberg.

-Bless you.

You've either got it or you haven't.

Well, you could have just asked the patient, like I did.

Ah, Mr Johansson.

Um...Anna Sjober...

-Sjoberg.

-Thank you. Just admitted.

She's got abdominal pain, bloating and nausea.

Tack.

Tack. That, I can manage.

And...out.

PATIENT EXHALES

Can you tell me what happened?

I was making a cup of tea. I couldn't lift the milk to put it in.

-Which arm?

-My right. It's fine now.

Anything else?

Vision got a bit blurry, like I was going to pass out.

-How long did that last?

-Couple of minutes.

First time?

Third or fourth. I thought I'd better come in.

Do you get any chest pains?

Yeah, quite a bit.

Dizziness? Shortness of breath?

It's not looking good, is it?

U&Es, LFTs, standard bloods and an ECG to look for clots.

Am I going to be in all day? Only, I've got tickets to the football tonight.

I'm taking my young lad.

It could take a while, yeah, until we figure out what's wrong.

Oh, great(!)

How did you get tickets? I've tried everywhere. Isn't it sold out?

I know a bloke.

I never know a bloke. How do you meet him?

-I know a bloke, he introduced me.

-Hm-hm-hm.

We'll be back with your results.

There you go, you see? You know one bloke, you know all the blokes.

Right, let's do an FBC for bed three.

-Do a group and save and cross-match two units of blood.

-Sure.

-Great kid.

-How's the mentoring going?

Ooo, fantastic. Yeah.

I think he's going to get quite a lot out of being my protege.

Hm.

What?

I just had an opportunity to talk to him about it. Informally, of course.

Yes, of course. What did he say?

He said that you were clearly a very capable surgeon.

Bit more than capable, but, er...OK. And...?

-And that was it.

-That's it?

I was expecting some negatives.

He did mention that you were very devoted to your professional life.

-I am.

-Perhaps at the expense of anything else.

He thinks I'm dull.

I'm as shocked as you are.

-So, what's the problem?

-I don't know the details,

just every patient with a faulty catheter needs a new one fitted.

-You're taking the...?

-Yeah, laugh it up.

Get all of the jokes out of the way now.

-I don't think...

-Excuse me.

-Oh, charming.

Hi. This is Cindy Miller, 39. Collapsed on a night out.

Bang to the head and loss of consciousness.

-Hello, Cindy.

-This is Mr Di Lucca.

Oh. You've got the same name as...

Aye. What a coincidence.

-Oh, are you two...?

-Brothers, yes.

Look, can we have full bloods, ECG and a head scan, please?

Of course.

Not you, numpty.

HE SIGHS

Do you have to press so hard?!

How are things in Jonkoping?

Fine.

Have you lived there long?

Yeah. All my life.

Same house. Same mother.

Well, she's not so well now, so...

-What's the matter with her?

-Diabetes, and old.

I have to put her in care to go away. It's not easy.

Yeah, yeah, I'm sure.

-I lived there for a while, in Jonkoping.

-Really?

Mm. I loved it. Running along the Vatterstranden.

-Feera on a Wednesday night.

-Feera!

-Is it still there?

-What's Feera?

-A terrible bar.

-Awful!

But it didn't stop me from practically living there.

-Ha-ha!

-May I?

-Quite bloated.

-Mm.

-Any problems eating?

-Yes.

-Any nausea or vomiting?

-Both.

-Nurse Chiltern?

Let's get U&Es, LFTs, standard bloods

-and I think a gastroscopy.

-Yep.

-Sure.

-We'll figure it out.

That's lovely work.

Patient care is just as important as medicine.

It's a compliment, Fredrik, you can say thank you.

Tack.

What you experienced when making your cup of tea

was a transient ischemic attack, or TIA.

It's basically a ministroke.

-Oh, blimey!

-It's caused by a clot in your left atrial appendage.

Yeah, but can you fix it?

Yes, but it's going to require surgery.

We can exclude the appendage and prevent further clots

from reaching your brain, and we'll do it as soon as possible.

-Today?

-It is serious, so within the hour or so.

Guess I'm not going to the football.

I'm sorry, mate.

PATIENT SIGHS

-I'll let theatre know he's on his way.

-Thank you.

So, what'd you get up to at the weekend?

-What?

-The weekend, what did you do?

I went to a gig with some mates.

-Who'd you see?

-The Local.

Sweet! Love them!

It's just one guy.

Yeah, I knew that.

-What'd you do?

-Hm?

Oh, I just, er...chilled at home.

Caught up with a bit of...of...of work.

-Cool.

-Yeah.

-I've got to, er...

-Yeah, you go.

-Oh!

-Stop whingeing, you big wuss.

-It stings!

-What've you got yourself mixed up in now?

-Nothing.

This is me you're talking to.

We hit the bevvy after the conference.

I planned to show up at yours, but things got a bit out of hand.

So, who's Cindy?

One of the bosses.

-You're joking?

-No.

What, lead by example, does she?

She is seriously hard-core.

All right, well, we know that she took a fall,

but what happened to you?

I saw her going down and I tried to save her.

-Seriously?

-She took me down with her.

-Yeah?

-You don't seem convinced.

So, it wasn't a scrap with an irate husband, then?

Look, I was trying to be chivalrous, you cheeky wee...!

First time for everything.

Aye, well, look where it got me.

So, why didn't you call?

Cindy asked me to go in the ambulance and we were stuck in the ED after that.

-So...?

-Then my phone died.

What, and you couldn't ask to borrow hers?

Well, she was totally smashed!

You've got an answer for everything, haven't you?

Look, I'm sorry that I never made it to yours

for some cheese on toast and a wee gab.

-I'm not bothered about that.

-Well, then, what is it with the face?

Shona rang, looking for you.

What did you say?

I told her you were asleep.

Right. Well, that's probably the best thing.

No, the best thing would be if you kept your wife in the picture.

Argh!

-Where were they?

-In the middle bit.

-How did I not see them?

-I can't imagine.

I think I may have found our patient.

-Really?

-Possibly.

Ah, Mrs Johansson, I was hoping I might find you.

There's a meeting with you and a Mr Harvey in my diary.

Any guidance on who he might be?

He owns GPL, the logistics company.

Didn't they already turn the hospital down for funding?

They did, but I can be very persuasive when I need to be.

-Ah.

-As you know, his company has a lot of money.

Let's see if I can convince him to give it to us.

Sounds promising.

Fredrik.

Oh! Please tell me Fletch sent you.

-Yeah, he just called to say you're short-staffed.

-Great.

WOMAN COUGHS

-Ooo! She looks rough.

-Still drunk from last night.

Huh. Right, where do I start?

We've got about a million catheters to do, so if you could just take...

I'll get on with it, then, shall I?

So you must be the unreliable brother.

The better-looking unreliable brother.

-Essie, Giuseppe.

-Sep.

-Pleased to finally meet you.

-Likewise.

-Heavy night?

-Don't ask.

Weren't you going off for a gallon of coffee?

-Sorry about the no-show.

-No worries.

Babe?

Pep?

-Yes?

-Is she with you?

Get us a bottle of water.

In a manner of speaking.

My mouth feels like the bottom of a bird cage.

-MESSAGE ALERT

-Nice.

I'd better go. I'll see you later...Pep.

Coming right up.

Ah, is that Ms Sjoberg's results?

Pretty good pronunciation.

Well, you know, I've got a flair for Scandinavian phonics.

-Blood count very low.

-Hm.

Given her abdominal pain, I'd be looking at something biliary.

-Amylase raised?

-The amylase does go up with peptic ulcer disease.

But we have one of the country's

foremost pancreatic specialists just upstairs.

-Why don't we ask him?

-Good plan.

Cheers. Thanks.

Oi! Got you a cappuccino.

Think you'd be better off drinking both of them.

-Hey. How's the audit stuff going?

-I am just about to start it.

-Ideally, I'd like to see something by close of play.

-OK, I'm on it.

Local ballbreaker?

I could do without your particular brand of BS today.

-Don't be like that, bro.

-Turning up here with your latest squeeze.

I told you, she's from head office.

-She called you "Babe".

-She calls everybody "Babe".

I can't believe I fell for your nonsense.

I'm a Good Samaritan here.

Shona will kill us both if she finds out you're at it again.

-I'm not.

-And I lied for you.

-GIUSEPPE SIGHS

-Look, I've learnt my lesson.

-Looks like it!

-Shona and me, we're solid.

Well, maybe we're not completely solid, but...

How's the catheter count going?

Yeah, yeah. Getting there.

Raf?

Cindy's results.

We did a CT. No ulcer,

but it looks like something is altering the contour of her stomach.

-Had you considered pancreatic necrosis?

-We hadn't, no.

-Well, come back to me when the scan's been reviewed.

-Will do.

What about a pancreatic pseudocyst?

-Go on.

-It's the way she talked about Feera.

It's a bar in Jonkoping.

I got the feeling she wasn't just a recreational drinker,

which could put her at increased risk of pancreatitis.

-Which could be followed by...

-A pancreatic pseudocyst.

Given the time imperative if that's the case,

I thought it's worth a try.

-That it is.

-We'll book another scan and we'll take a look.

-Can you organise that for me?

-Hm.

Right, the appendage looks big, so we'll come in at the neck of it.

-We'll put in a clip to isolate it.

-Very good.

-Nice and straightforward.

-Very.

-Not the most interesting problem, I suppose.

-Hm?

You might even call it boring.

-You told him.

-Told me what?

That was confidential professional feedback.

I don't need Jac to tell me that you're not naturally a...

How should we say? Thrill a minute.

I have a very interesting life, with lots of interesting...interests.

Like what? Sitting at home all weekend,

-catching up on Call The Midwife?

-Again.

Scalpel, please.

Pancreatic pseudocyst indeed.

Credit to Mr Johansson here for that one. It's a great catch.

Who will be performing the procedure?

I was hoping you would.

I'm sure I can handle it, but it's not really my area.

Right.

So, Mr Johansson, what will I be doing?

It was your inspired diagnosis. How am I going to treat it?

Endoscopic cystogastrostomy?

So, shall we go and take Ms Sjoberg through it?

He's on fire today.

-Hey.

-Hey.

What's going on with those two, then?

-Nothing, as far as I know.

-That's what your brother's telling you?

It was only last Christmas I saw him on his knees,

-begging Shona to take him back.

-Right.

Besides, his story actually adds up for once.

Unlike Cindy Miller's bloods.

Do you mind if we speak to Cindy alone for a minute?

She's all yours.

How are you feeling?

Like I've been dragged backwards through a triplex mud pump.

-We've had some of your test results back.

-And...?

Have you passed much urine since you were admitted?

-Not really.

-I'm not surprised.

Your heart rate's up and you have raised creatinine and urea levels.

-Which means...?

-Your kidneys aren't working properly.

Ah. That why I'm so thirsty.

I have to ask, did you take any drugs at all last night?

-No.

-Are you sure?

-I think I'd know if I had.

-Your test results suggest otherwise.

Well, they're wrong.

And we can't treat you properly

if we don't know exactly what we're dealing with.

This could be really serious, Cindy.

Appetite suppressants.

Don't say anything to Pep - big mouth.

How long have you been taking them?

Um...18 months to two years.

OK. Well, thanks for your honesty.

That's me, honest to a fault.

You should be aware that if you keep taking them,

you're at risk of high blood pressure and liver damage.

I know, I know.

OK. Well, if you talk Nurse Harrison through dosage

-and any side effects, then we will take it from there.

-Right.

-Excuse me!

-Here. You want one?

Of my own crisps? Thanks very much!

Nurse Jackson, no eating on the ward, please.

We give you a short anaesthetic,

then we feed an endoscope, a little camera, down your throat

and into your stomach to locate the cyst.

Then we push drains through the stomach wall

and into the cyst to create a channel.

The drains stay in there, so the cyst will drain through

and eventually just fall out.

-Will you be doing it?

-No, Mr Hanssen will.

Holby CEO and one of the best pancreatic surgeons

in this country, or any other.

You couldn't be in better hands.

-And I'll be back in three days, yeah?

-Your mother can count on it.

Ms Sjoberg, excuse me, please.

Morning.

We'll take you through to surgery soon.

Thank you, Fredrik.

First-name terms already. That's quick work.

Right, let's get you ready.

So, the big boss is doing your surgery?

He's the best, according to Fredrik.

-Keeping it in the family.

-What do you mean?

Mr Hanssen is Mr Johansson's father.

His father?

Mm. Gold star treatment for you.

So, you struggle with your weight?

I was a right porker as a teenager.

Not any more.

-Do you know much about the oil business?

-No.

-It's a man's world.

-What isn't?

Mm. I'm senior buyer for our UK operation.

Which means working breakfasts,

hotel dinners and matching the clients drink for drink.

-Sounds like fun.

-Mm.

Until you're expected to show up the next morning

and flash the thousand-watt smile.

Well, appetite suppressants aren't the answer.

They are, but, like everything, it comes at a price.

-Does your other half know what you're doing?

-Other half?

-Like I'm not a whole person on my own?

-Sorry.

-I steer clear of all that.

-Right.

That's why I like Pep.

-Yeah?

-Yeah. We get our kicks,

then he goes home to his wife for the boring stuff.

The brother's not too shabby, either.

Yeah, I like to think so.

-Ooo, are you an item?

-Yep.

Lucky girl!

This is Keller ward, for general surgical cases.

And this is Mr Hanssen, Holby CEO.

-Mr Harvey.

-Pleased to meet you.

-And you.

I was just telling Mr Harvey that we have a patient here today

who could directly benefit from the new CT equipment

his support could provide.

Indeed we do.

And, of course, we'd be happy to feature you and GPL in our promotional materials.

And I'm sure some of the staff you just met on AAU

-would be delighted to be part of any photos.

-That's great.

Mr Hanssen, you'll join us to discuss Mr Harvey's involvement further?

Of course. I have surgery imminently, but I'll be with you as soon as I can.

If you could please take Mr Harvey up to CTL? I'll come and find you.

Thank you.

A little close to the wind, offering our staff for a photoshoot.

Well, if it lands us new CT equipment, I'm sure they'll cope.

-They're ready for you in surgery.

-Thank you.

Let me scrub in?

It was my diagnosis.

I've spent the last two years researching pancreatic insufficiency.

Very well.

It all seems fine.

Do you require any assistance, Dr Di Lucca?

-Mister.

-Oh, sorry. I'm new here.

Thank you, Mr Sarkar.

-Right, who's next?

-You pull another stunt like that...

-And what?

-I will strangle you with a stethoscope.

Hey, is that not against the "hypocritic" oath?

Have you phoned that missus of yours yet?

-Phone's still charging.

-Yeah, yeah, yeah.

Um...how's Cindy?

Yeah, she's fine.

What was the private chat all about earlier?

The private chat? Ah, that was about things that are private.

-Be like that!

-You're very concerned about someone who's just your boss.

Employee of the month, me.

How are you and Shona doing?

-We're trying.

-And the kids?

As long as they've got their Instachat and their Snappogram, they're fine.

I would hate to see you turning into one of those bedsit Saturday dads.

You worry too much, brother dearest.

In Rome, I did one in the helicopter.

-No way!

-I had no choice.

If I'd waited to get her to theatre, she would have been dead.

And it turned out her brother-in-law was in a band I used to play in.

-You were in a band?!

-For a while, when I was young.

-Next time I do one, you can scrub in.

-Really?

Can't promise helicopters, though.

What are you doing?

Just discussing a frozen-elephant-trunk operation.

-You're trying to be more interesting than me.

-I don't have to try.

It's so obvious, it's almost pathetic how competitive you are.

OK. Good chat.

STEADY BLEEPING

OK. Ready to go?

Yes. Mr Johansson, where do we start?

Endoscope. With the side-viewing scope to get a good look from all angles.

-And then?

-Once it's in position,

-it should be pretty straightforward to make the puncture.

-Off you go.

Endoscope, please.

-Giuseppe?

-Yeah?

-Can I have a word?

Just give me a minute.

HE VOMITS

-WHISPERS:

-Classy(!)

HE COUGHS

-You all right?

-Aye. Tickety-boo.

-Are you sure?

-Aye, I'm fine.

You don't sound it.

See? Right as rain.

HE SIGHS

Almost ready to make the cut into the stomach.

Should be around here somewhere.

-Whoa!

-Huh.

First time for this, is it, Nurse Chiltern?

First time I've seen bulging like that in a posterior wall.

Yes, well, same procedure, no matter what the size.

So, what do we do now?

-Make the cut.

-Go on, then.

SLOW BLEEPING

-BP's falling.

-Looks like we have a bleed.

-Blood out the back wall of the stomach.

-I haven't touched anything!

That you noticed. You're not going to stop that with an endoscope.

-Of course. Sorry.

-Quickly, please.

Convert to open. Get her prepped and draped.

It went well and we'll keep an eye on you, but you should be fine.

Ah, fantastic. Can I just make doubly sure...?

-You can't go to the football, no.

-Right you are.

-Thank you.

Let's do a chest X-ray, an ECG and repeat the echo tomorrow.

-Got it.

-That was a very kind offer of Mr Rossini, wasn't it,

to let you scrub in on his next frozen-elephant-trunk operation?

Yeah, it's amazing. He's a pretty good guy, isn't he, Mr Rossini?

-He's terrific.

-And he played in a band.

Yes. Course he did.

-Mr Parsons, those football tickets?

-Yeah?

What do you want for them?

OK.

-BP 80/50. She's tachycardic.

-I can get to the cyst, but this bleeding is...

-Is it from the splenic artery?

-I think it is.

We need to underrun and perform a splenectomy, and we need to do it quickly.

Let me do it.

-Mr Johansson?

-Why not?

-Fredrik...

-If I do the splenectomy,

Mr Levy takes care of diathermy with you on the clamp.

You can do it yourself one by one, but every second that ticks by

means greater risk of poor outcome, and you know that.

I don't think that's a good idea.

-It was my mistake, let me fix it.

-All right.

-Mr Hanssen, I think there's too much going on.

-I've made my decision.

Mr Levy, do you mind retracting here?

Could you kindly put the clamp across here?

Long tie on the clip, please.

-How long have you been vomiting?

-I don't know.

-You must have some idea.

-A couple of weeks.

-How often?

-Every now and again.

Is he always this vague?

-Is there blood in it every time?

-Pretty much.

You didn't think to mention it?!

You'd have been on my case, wouldn't you?

-Too right, I would.

-Does your wife know?

There's no point. She's got enough on her plate with the kids.

You thought you'd leave it until you coughed up a vital organ?

-Drama queen!

-Moron!

-Now, now, boys.

-And don't go telling Cindy either.

-What's she got to do with any of this?

-She's like the town crier.

Last thing I need is being signed off on the sick.

Look, can you just hold still for one second, please?

He's got a lovely bedside manner.

-What?

-You have small bowel volvulus.

-Go on.

-The bowel's twisted.

Nothing's going down and that is why it's coming straight back up again.

-So, what about the blood?

-Caused by internal damage.

Right. What do I take for it?

-No, you need surgery.

-You what?

-Today.

-No chance!

-It's an emergency.

-Well, I want a second opinion!

-Ha-ha-ha! Dream on.

-You are not slicing me open.

No, I'm not, but I know someone who is.

Can you get him prepped, please, Essie?

We're taking her through to Recovery.

Haemoglobin's very low,

but we're working on it and she's stable for now.

What's her latest lactate and white blood cell count?

Lactate's coming down, white count the same.

So she's going to be on antibiotics for some time.

Could have been worse.

Right. When you're finished here, we have a gall bladder to take out.

-Right. Keep me informed of her progress, will you?

-I will.

-Fredrik?

-Yes?

-That was good work.

-Thank you.

OK. £50, here we go.

Sorry, mate, I got a better offer.

What? Who from?

Don't you just love football?

The discipline, the patience.

Il catenaccio. What an experience!

How fun. I wonder who I'll take?

-What's he paying you?

-100.

I'll give you 150.

Wait, Norman, we had a deal.

-I did promise him.

-200.

-But I am only human.

-250.

400!

-All yours, mate.

-Ah!

He let me do the splenectomy and it went perfectly.

But it didn't, did it?

Surgically, there were some complications.

The cyst was much bigger than we thought.

We got a bleed, we had to do an open-cyst gastrostomy.

She lost a lot of blood.

-How's her pancreatic function?

-It'll be fine.

Will it, Fredrik?

We couldn't have a better advertisement for the possibilities of Tannahillamyde.

She's not an advertisement, Fredrik, she's a person!

Once I give him the documentation

and he sees the potential for people like Anna,

he'll see we didn't have to let it get this far.

He'll have to support Phase Four trials.

What do you mean, let it get this far?

It would have been better to get that cyst out two months ago.

How do you know?

It was obvious.

Do you know the patient?

-Have you treated her before?

-Briefly. In Sweden.

-Did you tell her to come over here?

-She needed surgery!

But should she have had it earlier?

Do you want a Phase Four trial, or not?

Yeah, of course I do.

Then we're almost there.

HE SPEAKS SWEDISH

Don't mind me.

I was just trying to learn a few phrases in Swedish for Ms...

Our patient.

Professional development, really.

It's always good to try and learn something new.

Try and make people feel more comfortable.

Free app, if you're interested.

I don't really have the time.

Of course. All so busy these days, aren't we?

What with Raf and Essie disappearing to AAU.

Right.

-Oh, right. I should get out there.

-Yeah, if you could.

Right.

LOFTY SIGHS

Can you get them to put a rush on that, please? Cheers. Thank you.

-Ah! Is he all booked in?

-Yeah. Nina's on the case.

-Great.

-Should be going in within the hour.

OK. Well, I'd better call Shona.

-Oh, um...I was going to tell you this later, but...

-What now?

Giuseppe and Cindy, they are together.

What? How do you know that?

She just admitted it.

Oh, for crying out loud!

He really can't keep it in his pants, can he?

I must have "Mug" written across my forehead.

You just see the best in people.

-My brother doesn't have a best.

-Well, that's what I love about you.

-What, that I'm Mr Gullible?

-No.

Well, I'm calling her, anyway. She's got a right to know he's sick.

How is Ms Sjoberg?

Still in recovery, being monitored.

Very good. Keep me updated, please.

You're aware of the trial Sara and I are hoping to carry out?

The C1 Esterase Inhibitor, yes.

Tannahillamyde.

I don't think it's overstating it to say that if it was on the market,

Ms Sjoberg would never have needed surgery.

-How so?

-We could have inhibited the Kallikrein-Kinin

and complement system to stop the destructive enzymes

from being released when pancreatitis was first diagnosed.

Remind me of the results so far, please?

Phase Three showed consistent suppression of adaptive immune cells

with significant reduction in inflammatory markers.

That's very impressive.

We're in a position to move to a Phase Four trial and...

..we were hoping for your support.

Is that something you think you'd be able to help with?

-Send me the documentation, I'll take a look.

-Thank you.

Looks like a pretty straightforward resection.

Can you make sure there's no tension in the join?

-I intend to.

-This has to work.

-I know.

-There's no way he'll be able to cope with a stoma.

Leave it to me, he'll be fine.

Dr Di Lucca, who do I have to pay to get a cup of tea?

And then he put his hands on me, right? So, anyway, I said,

-"How would you like me to cure your piles by kicking them straight back up your..."

-Donna?

-I'm on my break.

-How about you two?

-Any chance of leading from the front?

-DONNA SIGHS

Everything OK?

Fine. Thank you.

Listen, I wasn't being hypercritical of you in theatre earlier.

It didn't occur to me that you were.

-It was a tricky call.

-Absolutely.

My objections weren't intended as a slight on your abilities.

-They weren't taken as such.

-It was a clinical difference of opinion.

Hm. Between yourself and Mr Hanssen.

Exactly.

I was happy to follow the instruction of whoever won the day.

I just wanted to make sure that you know

that I have every confidence in you.

I know. Thank you.

Good. That's a relief.

-They'll be taking you through soon.

-Right.

-No need to be nervous.

-That's easy for you to say.

-I've spoken to Ms Karnik.

-The ballbreaker?

She's a brilliant surgeon.

-Do me a favour, will you?

-What's that?

Phone Shona and tell her there's no need to come down.

-Why not?

-It's a long way to travel if there's nothing to worry about.

-Is that all?

-How do you mean?

I thought you might want to avoid her meeting your new girlfriend.

-What?!

-Don't even start, Giuseppe.

-Honestly, seriously, I...

-Giuseppe!

All right, you got me.

This is all a big joke to you, isn't it?

Not a joke.

A bit of fun.

Fun? And is it fun for your wife and for your kids?

Oh, please, please, not the high horse.

-I thought you wanted to save your marriage.

-I do.

By screwing your boss?

Shona knows nothing about this.

And what if she did?

Cindy's not some bunny boiler who's going to turn up on my doorstep.

How do you know that?

We understand each other.

You are a walking cliche, mate.

What I've been walking on for the past 18 months is eggshells.

-Whose fault is that?

-I'm away on rigs for months at a time, right?

And then I come home and it's like I'm on permanent probation.

How do you mean?

No booze, no bets and certainly no...

Yeah, all right, all right. Why don't you just leave?

I can't.

Why not?

I love my children.

What about you wife?

I love her, too. Or at least I would, given half a chance.

You've already put that poor girl through the mill.

Aye, well, there's two sides to every story.

Hm. Not this story, there isn't.

So, what are you going to do about it?

-I don't know.

-Are you going to phone her and blab

and deprive my kids of their father?

-If our mum was...

-Aye, aye, she'd be turning in her grave.

How the hell did we come out of the same womb?

No idea whatsoever, pal.

Is that Ms Sjoberg's results? Great.

Heart rate 88. That's good.

BP 110/70.

It was impressive stuff in there.

Any surgeon could have done it.

But they didn't, did they? You did.

Plenty have frozen under the glare of the big man.

Let me know when she's awake, would you?

Dom, can I have a quick chat?

I'm actually a little bit busy at the moment.

-Of course. Whenever.

-Soon, yeah?

We'll get you back in a few weeks for a check,

but you shouldn't get any attacks any more.

Try not to put any stress on your heart.

-So, no football?

-Probably best not, just for now.

-This, of course, doesn't apply to you.

-What?

-What are you doing later?

-Nothing.

-Wrong answer.

You'll be joining me for the fully sold-out match at Ashton Road.

-What?!

-Mr Parsons didn't need his tickets, so I took them off his hands.

-But I'm broke.

-My shout.

-Are you serious?

-Of course. It'll be fun.

I never thought of you as the football type.

Oh, man, I love football.

Terraces, swearing, knee-deep in beer cans. It's brilliant.

-This is amazing!

-Chill out, mate, it's not a big deal.

-How much did you pay for the tickets?

-What's that?

Not much. So, we'll go for a pint first at Albie's?

-Absolutely.

-Cool.

White count 19, haemoglobin 82, lactate 2.3.

Fredrik's in post-surgery now.

I thought he performed very well in surgery.

You should be proud.

I understand there were, um...difficulties in his last job.

Well, I think scandal is probably the word.

It was a remarkable diagnosis, wasn't it,

-the pancreatic pseudocyst?

-Mm.

Not something I would have looked for.

No, me neither. Not so soon, anyway.

When you're hot, you're hot.

Mm.

Has he talked to you about Tannahillamyde?

-No.

-It's a drug he's been trialling.

A C1 esterase inhibitor

which could perhaps have treated Ms Sjoberg before she needed surgery.

-Does it work?

-Well, Phase Three results are very strong

and he would like to do Phase Four trials here.

I see.

What are you going to do?

Do you have any idea where Giuseppe's disappeared to?

He's been taken ill.

Seriously?

We've had to admit him.

-What's up?

-Bowel problem.

-Oh, right.

-He needs an op.

Good God! No wonder his brother looked right through me.

Did he?

You told him about us, didn't you?

Giuseppe's wife's on her way here.

Yes. Of course.

How would you feel about a transfer to another ward?

Last thing I want's trouble.

We had to remove your spleen,

but that is something you will recover from fairly quickly.

However, the damage to your pancreas from the cyst

means you will need to take medication.

For how long?

Fredrik?

Possibly up to a year.

What, you don't know?!

We'll just have to see.

We'll keep you in here for a couple of weeks to observe.

You said I would be home in three days.

Because of the open surgery,

the recovery is longer than we anticipated.

My mother! I can't afford to keep her in care for that long.

Is there no-one else she could stay with?

She's an 84-year-old diabetic, she can't just go anywhere!

-Mm.

-Fredrik, you said it would be fine.

You said to trust you.

-This is a good outcome.

-Is it?!

I don't know what I'm going to do!

My mother...

I should have had this done in Sweden when I had a chance.

Perhaps we could have done it earlier,

but things don't always go as planned in surgery.

And if things went wrong, like they did,

we wouldn't have had the best pancreatic surgeon in Europe standing over you.

Yes, your father. Why didn't you tell me?

Because it's not important.

Anna, it could have been much worse.

It was the right decision.

Do you agree?

-So, she's finished now?

-Yep.

-Good. Thank you.

-Any news?

-No, nothing.

-Where's, um...?

-Checked out.

-Really?

-Private health care, apparently.

Just like that?

Chauffeur-driven ambulance whisked her away.

Ah. Small mercies, eh?

-Have you seen Donna around?

-No.

-Is everything all right with you two?

-Yeah.

Keep me posted about Giuseppe.

-KNOCK AT DOOR

-Come in.

Ah. There isn't a problem with Ms Sjoberg, is there?

No, I just...

How did you go on with that documentation for the trial?

-Ah, yes, I did have had a look. Very impressive, isn't it?

-Thank you.

Particularly the adaptive immunological data. Very promising.

Does that mean Holby will host it?

I wonder if you might like to look further afield.

-I see.

-I'd be happy to set up a meeting

with an excellent facility in Birmingham.

You saw what I did in there.

-I know you were impressed.

-Yes.

I was so impressed, I wondered

if perhaps you'd had a bit of a head start.

What?

Did you perhaps encounter Ms Sjoberg in Sweden?

Of course I did.

Yes.

And you didn't think to tell us?

I wanted you to give Tannahillamyde a chance.

So you thought that I would agree to host your trial

if I saw you were a good surgeon.

I see.

Well, unfortunately,

I can't allow any suggestion of nepotism.

And, of course, there is the question of what happened in the past.

This is my chance to make it right.

Hm. No, I'm sorry, but at this stage,

I can't give you the support you need.

Ms Karnik, how did it go?

-Unqualified success.

-Oh, thank God!

Had to remove about a foot of his intestine.

-But he's OK?

-A few days in bed and he'll be fine.

Thank you. Thank you so much.

Don't thank me, do my audit.

-Well?

-Flying colours.

-Brilliant!

-Yeah.

Bet he's going to be a nightmare patient.

Essie, did you have anything to do with Cindy Miller's transfer?

What makes you say that?

Just with Shona on her way here,

the timing really couldn't have been any better.

Happy coincidence.

-You reckon?

-Absolutely.

HE SIGHS

-You think there's still a chance?

-He said "at this stage".

If we keep working together, building our relationship...

He just flat out rejected the proposal!

I know I can bring him around.

But you delayed life-saving surgery?

There's a bigger picture here.

I think we should consider leaving.

Pack up, go back to Sweden, find another hospital for the trial.

Well, that would take months.

It doesn't matter!

We're not leaving.

-You could have killed her.

-She'll be fine.

Yeah, but she might not have been, and that terrifies me!

-I... I am not doing this again!

-Sara...

You have to decide who's more important to you.

Stay here, or...come with us!

Fredrik? Hi, Sara.

-Time to check on Ms Sjoberg. Ready?

-One second.

I have to go.

Oh, no, you don't!

I'm sorry.

Yeah, there should be a pizza in the freezer for them.

OK, I've got to go.

OK, bye.

I know, sorry, no personal calls on the ward.

I never said a word.

Where did they move Cindy?

-She moved herself.

-Eh?

To a private hospital.

Figures.

The NHS was beneath her, it seems...

She's pretty high maintenance.

Yeah, yeah. I don't need the details, thanks.

Do you remember when we were wee and you used to lay me

out on the kitchen table and operate on me with a knife and fork?

God, I must have been unbearable.

How the tables have turned...

You are going to be sore for the next few weeks.

When can I go back to work?

When I say so.

Fair enough.

Do you ever think about what you might be throwing away?

Thinking's overrated.

The person who jumped on the first train down here worried sick,

who is going to take you home and wait on you hand and foot?

Aye... She's a good lass, I know.

Do you?

She's stuck by me through thin and thin.

You make her sound like some downtrodden skivvy.

I'm just saying...

Look, she's gorgeous, she's funny.

Well, maybe you should've married her.

She is going to kick you out for good one day.

Probably.

Do these affairs make you happy?

Momentarily.

You don't want to end up some washed-up lonely old man?

Look, I know that I'm a let-down to you.

This is not about me.

I am trying.

Yeah, and failing badly.

Well, I'll try and fail better next time.

Get some rest.

Ugh.

I've got this, Louise...

And I think I owe you an apology.

Why's that?

Coming in, first day back, shouting the odds.

Forget about it.

Can we start again tomorrow?

Buy me a packet of crisps and I'll think about it.

Consider it done.

On three...

One, two, three.

I can't wait for this. Love football.

-Really?

-Yeah. Always have. Especially nights like this.

It's going to be a huge match. Massive.

Yes, I saw the very heavy police presence outside.

Police?

Like you say. It's a huge match.

Tensions high...

I can't believe you managed to get tickets for the game.

-I've been trying all week.

-Really?

Yes, it's like the biggest game of the season.

I didn't have you down as a football fan.

I absolutely love it. Have done since I was a kid.

Love to hear that roar of the crowd...

Warm beer. Cold hot dogs.

-What's not to like?

-I'm so jealous.

-I know. Can't wait.

-Shut up.

-Well, you can tell me to shut up from home.

-Honestly, don't annoy me.

Take my ticket.

Are you being serious?

You're obviously a big fan, you should have it.

-Really, Ollie?

-Yes, really.

-Oh, thank you so much!

-Whoa, whoa, whoa!

Are you sure you won't regret it after a seven-goal thriller?

To tell you the truth, Damon, football's really not my thing.

I thought you loved it.

Well, it's OK. I prefer being in bed with a box set.

Dull, yes, maybe but there we are.

-Drink at the game?

-Yes, please. Thanks.

You're a good guy, Mr Valentine.

Have a good night.

If you're not really the football type,

why did you spend £400 on tickets?

You can't let the Italians win.

Hey, do you fancy a drink when we get off?

-Yeah, sure, I just need to...

-I've got something to celebrate.

It's not your birthday, is it?

No...

Do you want me to guess?

Sorry, I've asked for a transfer.

What?

To AAU. They pretty much said it's a done deal.

I'll let you get on.

Anna Sjoberg, she's doing well.

Excellent!

Now, look, I have to do what's best for this hospital.

-Of course.

-I, as you know, struggle with balance,

and I have devoted myself to Holby and so I think that to

introduce something else into the equation could become complicated.

I'm a complication now?

I am expressing myself poorly, aren't I?

I'd like to find another way.

It's getting late, I have to go and prep for a meeting.

Hey!

What're you doing here?

-Just wanted to catch you before you headed home?

-Yeah.

I'm going to stick around until Shona gets here.

Do you want me to wait with you?

No, no, you have done more than enough for me today.

How's Giuseppe?

Feeling sorry for himself.

Yeah, well, it's the Cindys of the world that I feel sorry for.

-Yeah?

-Running around from one bit of fun to the next.

At least she's not sneaking round behind someone else's back.

I don't like the idea of only having me to worry about.

-No?

-Just seems like a lonely life.

Yeah, I suppose so.

At least we're perfect, yeah?

Exactly...

You're missing Parker?

Yeah.

What?

You are an amazing woman.

-Yeah, yeah, yeah...

-I'm serious.

Have you been drinking?

I just wish we'd found each other years ago.

Timing's everything.

You know my mum and dad got together when they were teens.

That's amazing.

I don't think they spent a night apart until she passed away.

I wish my mum and dad had had longer together.

Life is short.

I know...

Makes me wonder what we're doing...wasting time.

How'd you mean?

I am pretty sure that I want to spend the rest of my life with you.

Are you?

Essie Harrison...

Will you marry me?

Oh, my God.

Is that a yes or a no?

It's a big fat yes.

Yeah?

Yes!

Thank you for coming down.

I'm picking Oskar up in ten minutes.

OK.

Are you coming with us?

Fredrik?

I can't.

Yes, you can. We'll go now, we'll pick up Oskar together.

But the trial.

There is no trial!

I can change his mind.

He already said no.

He's my father.

But we're your family.

Me and Oskar.

Fredrik.

I'm sorry.

CAR ENGINE STARTS