0:00:02 > 0:00:05- Earn his trust and he will help. - I can't wait. His recommendation is only the first part.
0:00:05 > 0:00:09The merger process with St Francis is under way.
0:00:09 > 0:00:12Holby is in danger of being closed down.
0:00:12 > 0:00:13Jeremy Warren?
0:00:13 > 0:00:15Elaine Warren was my mum.
0:00:15 > 0:00:16I was in a hurry to get away that day.
0:00:16 > 0:00:18But you know me.
0:00:18 > 0:00:21I would never leave a patient in that condition.
0:00:21 > 0:00:23I simply don't make those kind of mistakes.
0:00:23 > 0:00:26I can't stop taking steroids.
0:00:26 > 0:00:28So we'll get you help.
0:00:28 > 0:00:30Oh, and apparently you gave her some sob story about having
0:00:30 > 0:00:32an incurable heart condition.
0:00:32 > 0:00:35Never share with clients, it freaks them out.
0:01:17 > 0:01:20I think we all know the seriousness of the situation we face today.
0:01:22 > 0:01:27Whatever happens - whatever the outcome - one thing is certain.
0:01:29 > 0:01:34Over the past weeks, the CCG assessors have seen us at our best.
0:01:36 > 0:01:40They have seen some of the best surgeons in the country,
0:01:40 > 0:01:42at the top of their game.
0:01:42 > 0:01:44We don't claim to be perfect.
0:01:44 > 0:01:47Ours is a very high-stakes profession.
0:01:47 > 0:01:51We deal with life and death, day in, day out.
0:01:52 > 0:01:55Nevertheless, I think
0:01:55 > 0:01:58we can all be proud of the way we rose to this challenge.
0:02:00 > 0:02:03These are uncertain times and it behoves us to be realistic.
0:02:03 > 0:02:09So, whichever way the decision goes, there are likely to be
0:02:09 > 0:02:15redundancies, a re-appraisal of staff structures and, yes,
0:02:15 > 0:02:18a reappointment of the Trust board.
0:02:25 > 0:02:27Hey.
0:02:31 > 0:02:35When I was a junior doctor, all the surgeons smoked 40 a day
0:02:35 > 0:02:39and drank like fishes, and we did the same.
0:02:39 > 0:02:42Now we're supposed to set a good example.
0:02:43 > 0:02:45How are you?
0:02:47 > 0:02:50Do you fancy a quick coffee?
0:02:50 > 0:02:54I cannot set foot inside hospital premises while I'm still suspended.
0:02:55 > 0:02:58I was hoping to catch Donna.
0:02:58 > 0:03:00I got in late and missed her.
0:03:00 > 0:03:04Of course. It's her interview this morning.
0:03:04 > 0:03:07I got in around four and her light was still on.
0:03:09 > 0:03:10Are you worried?
0:03:12 > 0:03:15I know she can be a bit of a wild card.
0:03:15 > 0:03:19Which of course is what we all love about her, normally.
0:03:19 > 0:03:21She won't let you down.
0:03:21 > 0:03:23I'm sure of it.
0:03:23 > 0:03:26And as soon as you hear of anything...
0:03:26 > 0:03:31If they decide to prosecute, I won't have to say anything -
0:03:31 > 0:03:33it'll be front-page news.
0:03:33 > 0:03:36So has he said anything about the junior-doctor prize?
0:03:36 > 0:03:39No, I think he's got more pressing things on his mind right now.
0:03:39 > 0:03:41Fredrik will probably get it, anyway.
0:03:41 > 0:03:44Actually, speaking of which his placement ends next week -
0:03:44 > 0:03:46so if he does get it, he'll be staying on.
0:03:46 > 0:03:48You would have thought a guy with a wife
0:03:48 > 0:03:50and a kid in Sweden would be slightly eager to...
0:03:50 > 0:03:52Ah, Mr Johanssen!
0:03:52 > 0:03:53Ooh! What have you got there?
0:03:53 > 0:03:55Just a few cakes from...
0:03:55 > 0:03:56Patisserie Linzer.
0:03:56 > 0:03:57Oh!
0:03:59 > 0:04:00The smell of my childhood.
0:04:00 > 0:04:02What, a cardboard box?
0:04:02 > 0:04:04No, high tea at Great Aunt Maria's.
0:04:04 > 0:04:06You can help yourself.
0:04:06 > 0:04:09Ah, look at that! Strudel. Sachertorte.
0:04:09 > 0:04:12Kipferl... Well, if you're bribing us, then well done.
0:04:12 > 0:04:14I've never needed to resort to bribery.
0:04:14 > 0:04:17It's more of a thank you. Is Ms Karnik around?
0:04:17 > 0:04:20No, she's in a meeting with Hanssen about the merger.
0:04:20 > 0:04:24That's very sweet of you, Fredrik. Celebrating something?
0:04:24 > 0:04:26Not yet.
0:04:26 > 0:04:28Ric said you didn't get much sleep last night.
0:04:28 > 0:04:30Where did you see Ric?
0:04:30 > 0:04:32Outside. He was waiting to hear about the merger.
0:04:34 > 0:04:37I think he was hoping to catch you before your interview, too.
0:04:38 > 0:04:40How are you feeling?
0:04:40 > 0:04:42Fine, you know, done it before.
0:04:42 > 0:04:44Yeah, but that was the coroner, this is the police...
0:04:44 > 0:04:46It's the same testimony, so...
0:04:46 > 0:04:49Well, maybe we can grab ten minutes later and go through it all,
0:04:49 > 0:04:51sequence of events, that kind of thing, yeah?
0:04:51 > 0:04:54Yeah, so you were saying something about a patella fracture?
0:04:54 > 0:04:58Yes. Pregnant woman fell over in...Rumpelstiltskin's?
0:04:58 > 0:04:59Is that some kind of joke?
0:04:59 > 0:05:03No, it's a kids shop with cute clothing,
0:05:03 > 0:05:05not that I can afford anything there any more.
0:05:05 > 0:05:07- There she is.- She must be loaded.
0:05:07 > 0:05:10Correction - she is loaded.
0:05:10 > 0:05:12Oh! You two know each other?
0:05:12 > 0:05:13Yeah, we go a long way back.
0:05:13 > 0:05:15All the way back to Heathview Estate.
0:05:15 > 0:05:17Wondered if you'd be in today.
0:05:17 > 0:05:19They get their money's worth out of you, don't they?
0:05:19 > 0:05:22It's called a job, Chevonne. Remember them?
0:05:22 > 0:05:23So, what happened?
0:05:23 > 0:05:26Tripped over a train track. Toy train.
0:05:26 > 0:05:29Don't tell me you were wearing your Louboutins!
0:05:29 > 0:05:30See for yourself.
0:05:30 > 0:05:34You are kidding. I didn't even know you could wear flats.
0:05:34 > 0:05:38- I thought when you took your shoes off your feet stayed that shape, like Barbie.- Very funny.
0:05:38 > 0:05:41You may not have noticed but my centre of gravity has shifted a bit.
0:05:41 > 0:05:45Yeah, you're quite big for 20 weeks. Not carrying twins, are you?
0:05:45 > 0:05:47No, actually.
0:05:47 > 0:05:48So what's the verdict?
0:05:48 > 0:05:51So it looks to me like you might have a hairline fracture,
0:05:51 > 0:05:53but orthopaedics to confirm.
0:05:53 > 0:05:56We'll obviously try and avoid surgery because of the pregnancy.
0:05:56 > 0:06:01Let's get an X-ray and possibly an ultrasound, too, belt and braces.
0:06:01 > 0:06:03- Over to you, Nurse Jackson.- Sure.
0:06:05 > 0:06:08I'll try and grab you before the interview, yeah?
0:06:08 > 0:06:10Is anyone going with you?
0:06:10 > 0:06:11- Fletch.- Great.
0:06:16 > 0:06:19Ah, Mr Hanssen. Any news?
0:06:19 > 0:06:23No, not yet. Anyway, it's Mr Johanssen I've come to see.
0:06:23 > 0:06:25Oh, the junior-doctor prize.
0:06:25 > 0:06:28Yeah, and Mr Copeland? Where's he? There you are.
0:06:28 > 0:06:31So, I'll keep this very swift.
0:06:31 > 0:06:35It was, apparently, not an easy decision, but "Mr Copeland's
0:06:35 > 0:06:38"research was more methodical and therefore more convincing,
0:06:38 > 0:06:41"though Mr Johanssen's showed great flair."
0:06:43 > 0:06:47Mr Copeland, congratulations, you have won the junior-doctor prize.
0:06:47 > 0:06:48Thank you.
0:06:51 > 0:06:54Well done. We should share our data.
0:07:01 > 0:07:03Oh, it was a very close call.
0:07:03 > 0:07:06I was rooting for you, if that's any consolation.
0:07:06 > 0:07:08Well, there's always an element of luck where these
0:07:08 > 0:07:10things are concerned,
0:07:10 > 0:07:13and having my elective temporarily shelved didn't help.
0:07:13 > 0:07:15- I don't think that made any difference.- Who knows?
0:07:15 > 0:07:18Have you thought about getting your paper published?
0:07:18 > 0:07:21What, in some tiny little journal that no-one reads?
0:07:21 > 0:07:26I'm sorry. I just... I put a lot of work into that project.
0:07:26 > 0:07:29And the registrar post that's coming up, have you applied for that?
0:07:29 > 0:07:30No.
0:07:30 > 0:07:32It's not too late.
0:07:32 > 0:07:34My placement ends in a week. What's the point?
0:07:34 > 0:07:36Maybe if I'd won the junior-doctor prize.
0:07:36 > 0:07:40It's not a requirement. I'd be happy to support your application.
0:07:40 > 0:07:42It's not a prize, I know, but...
0:07:42 > 0:07:44Seriously, think about it.
0:07:44 > 0:07:46You'd be a great addition to our team.
0:07:51 > 0:07:53Yes, he's expecting my call.
0:07:54 > 0:07:56Damon Ford.
0:07:57 > 0:07:58Thanks.
0:07:58 > 0:08:00There you are.
0:08:00 > 0:08:03No, I can't. I'm at work.
0:08:03 > 0:08:07Yes, that's right - no, no,
0:08:07 > 0:08:09Nasidi - N for November.
0:08:09 > 0:08:11Thanks.
0:08:11 > 0:08:12What's up?
0:08:12 > 0:08:15Mr Valentine says you're going to do the ECG on Mr Kitson.
0:08:15 > 0:08:17The mini maze op for...
0:08:17 > 0:08:18That's the one.
0:08:18 > 0:08:20I'm on it. Just give me five?
0:08:20 > 0:08:21Sure.
0:08:23 > 0:08:26Mr Nasidi? Damon Ford.
0:08:26 > 0:08:29Yes, I got your message.
0:08:29 > 0:08:32I might need a little more thinking time, if that's possible?
0:08:37 > 0:08:39I would like your opinion on this.
0:08:39 > 0:08:42Sean Hagerty - orthopaedics repaired a compound fracture
0:08:42 > 0:08:45three months ago and now there's swelling at the fracture site,
0:08:45 > 0:08:49so could be excess bone production, it could be fibrosis scar tissue.
0:08:49 > 0:08:50Or a cyst?
0:08:50 > 0:08:53Possibly. Not entirely clear from the X-ray
0:08:53 > 0:08:55so we need to do a biopsy. Would you like to assist?
0:08:55 > 0:08:58Sure. But isn't that Mr Copeland's handwriting?
0:08:58 > 0:09:01Mr Copeland, would you mind if Mr Johanssen assisted me?
0:09:01 > 0:09:05Be my guest. Have you met Mr Hagerty?
0:09:05 > 0:09:10- No.- Let's just say he's not your usual patient.
0:09:10 > 0:09:12You were going to call me - what happened?
0:09:12 > 0:09:17Morning sickness, and afternoon sickness, and night sickness.
0:09:17 > 0:09:19Is Victor coping?
0:09:19 > 0:09:20Oh, he's loving all of it.
0:09:20 > 0:09:21Really?
0:09:21 > 0:09:24Yeah! You'd swear no-one had ever had a kid before.
0:09:24 > 0:09:28He's following me round the house making sure I don't lift anything up.
0:09:28 > 0:09:30He's waiting on me hand and foot.
0:09:30 > 0:09:33- And you're complaining? - He's driving me nuts, Donna.
0:09:33 > 0:09:34Last time I saw you,
0:09:34 > 0:09:37you were having a moan cos he wasn't paying you enough attention.
0:09:37 > 0:09:40Careful what you wish for - that's what they say, isn't it?
0:09:40 > 0:09:42He's bored, Donna.
0:09:42 > 0:09:46He's having a rough season and now all he thinks about is me and baby.
0:09:46 > 0:09:49So he should be bursting through these doors any minute now.
0:09:49 > 0:09:52No, he won't, actually, cos he doesn't know I'm here.
0:09:52 > 0:09:54You haven't told him?
0:09:54 > 0:09:57I'm fed up, Donna.
0:09:58 > 0:10:02I told him I was popping out and I switched off my phone.
0:10:02 > 0:10:04I am officially AWOL.
0:10:04 > 0:10:06Is that a good idea?
0:10:06 > 0:10:08I don't care.
0:10:08 > 0:10:09He's probably going frantic.
0:10:09 > 0:10:12Not half as frantic as if he knew I was here.
0:10:12 > 0:10:14I just... I can't stick it at the moment.
0:10:14 > 0:10:16I need some peace and quiet.
0:10:16 > 0:10:19Yeah, cos you're going to get that here!
0:10:20 > 0:10:22Don't you think he should know you've hurt yourself?
0:10:22 > 0:10:24He will, eventually.
0:10:24 > 0:10:27It's not as if it's a life-threatening injury, is it?
0:10:27 > 0:10:29I'm fine.
0:10:29 > 0:10:31If you say so.
0:10:31 > 0:10:32Right, I have to be somewhere,
0:10:32 > 0:10:35so Lou here is going to do your ultrasound. See you soon.
0:10:35 > 0:10:38Please, take as long as you like.
0:10:40 > 0:10:41Long-time, no see.
0:10:41 > 0:10:44Mr Hagerty. How've you been?
0:10:44 > 0:10:47Grand. We've been grand. Apart from this, of course!
0:10:47 > 0:10:51Mr Hagerty is a singer with... I can't remember.
0:10:51 > 0:10:53- What's the name?- Sound Escape.
0:10:53 > 0:10:54Sorry, Sound Escape.
0:10:54 > 0:10:55You see? He's heard of us!
0:10:55 > 0:10:57I have.
0:10:57 > 0:10:59So how have you been leaping around the stage, then?
0:10:59 > 0:11:02I'm not. Not just the leg. My asthma's been playing up, as well.
0:11:02 > 0:11:05Wait till you see.
0:11:05 > 0:11:07# Let's waste time
0:11:07 > 0:11:10# Chasing cars
0:11:10 > 0:11:12# Around our... #
0:11:12 > 0:11:13WHEEZING
0:11:13 > 0:11:17Clinic gave me this big shiny new inhaler but it's useless.
0:11:17 > 0:11:18OK, one thing at a time.
0:11:18 > 0:11:21Let's take a look at your leg, shall we?
0:11:24 > 0:11:26This is Bella, my wife, by the way.
0:11:26 > 0:11:28In case you thought she might be a groupie.
0:11:28 > 0:11:30Come to think of it, she was, weren't you?
0:11:30 > 0:11:33You were my one and only groupie. When I was a star...
0:11:33 > 0:11:35When I was...wasting time.
0:11:35 > 0:11:37You have lovely hands.
0:11:37 > 0:11:39In fact, you're lovely all over. What do you think, Bella?
0:11:39 > 0:11:41He really looks like a rock star.
0:11:41 > 0:11:43My husband was in a car crash five years ago.
0:11:43 > 0:11:45He fractured his skull.
0:11:45 > 0:11:48Wasting time, chasing cars, as the song says.
0:11:48 > 0:11:49How did you get this fracture?
0:11:49 > 0:11:51Crowd surfing.
0:11:51 > 0:11:52Without a crowd.
0:11:52 > 0:11:54No risk, no fun!
0:11:54 > 0:11:55What do you do now?
0:11:55 > 0:11:58- Covers, mostly. But I used to write my own.- He's an amazing writer.
0:11:58 > 0:12:00She's very loyal. You're very loyal, aren't you?
0:12:00 > 0:12:03Even if I don't love you. I don't, do I?
0:12:03 > 0:12:04Not any more.
0:12:04 > 0:12:05No.
0:12:05 > 0:12:06So what is it?
0:12:06 > 0:12:09The X-ray seems to indicate that you have excess bone
0:12:09 > 0:12:11production from the fracture site.
0:12:11 > 0:12:14So we need to do a biopsy. Don't worry, it's absolutely fine.
0:12:14 > 0:12:17It's just routine - it's the best way to find out how to treat it.
0:12:17 > 0:12:19And don't worry about the anaesthetic
0:12:19 > 0:12:20because we're going to do it under local.
0:12:20 > 0:12:22So you've no idea, basically.
0:12:22 > 0:12:24It could be a number of things.
0:12:24 > 0:12:26But we don't want to speculate at the moment.
0:12:26 > 0:12:27I think I know what it is.
0:12:27 > 0:12:29I think it's all the songs I'll never write,
0:12:29 > 0:12:32compacted into a wee lump. And you should take it out.
0:12:32 > 0:12:35I mean, whatever it is, it's not doing me any good,
0:12:35 > 0:12:36is it, Mr Rock Star Doctor?
0:12:45 > 0:12:46Mum!
0:12:51 > 0:12:53They were here yesterday, weren't they?
0:12:53 > 0:12:56And the day before. All day.
0:12:56 > 0:12:57They'd set up camp if they could.
0:12:57 > 0:12:59Protective?
0:12:59 > 0:13:01Just a bit. Dad's the worst.
0:13:01 > 0:13:03So you're Ms MacMillan's patient?
0:13:03 > 0:13:07First time over here. I was with the children's unit before.
0:13:07 > 0:13:09I'm with the trans something...
0:13:09 > 0:13:11Transition team. How's that going?
0:13:11 > 0:13:14OK. They were really nice over there, though.
0:13:14 > 0:13:16We're nice here, too.
0:13:16 > 0:13:18I'll tell you what, I could always pop over
0:13:18 > 0:13:22and get you a couple of cuddly toys.
0:13:22 > 0:13:23Oh!
0:13:25 > 0:13:28Hold that.
0:13:28 > 0:13:31The anaesthetic should kick in soon.
0:13:31 > 0:13:34I'm trying to place that accent. I'm good with accents.
0:13:34 > 0:13:35Is it Denmark?
0:13:35 > 0:13:37Sweden.
0:13:37 > 0:13:40Ah, Sweden, I love Sweden. Did a couple of tours with the old band,
0:13:40 > 0:13:42the ones who dumped me when I fell on my head.
0:13:42 > 0:13:46We played this massive venue in Malmo, I think it was,
0:13:46 > 0:13:48- or was it Stockholm? - No, it was Malmo.
0:13:48 > 0:13:51Would you stop doing that? Stop correcting me! Who cares?
0:13:51 > 0:13:52Do you think he cares?
0:13:52 > 0:13:54Sean... I'm so sorry.
0:13:54 > 0:13:56You don't have to apologise.
0:13:56 > 0:13:58Mr Hagerty? Everything all right?
0:13:58 > 0:14:02Fantastic. I've got this handsome fella sticking needles in me today.
0:14:02 > 0:14:04I thought you were assisting Mr Levy today, Mr Copeland?
0:14:04 > 0:14:06No. Mr Johanssen is.
0:14:06 > 0:14:07That's right.
0:14:07 > 0:14:10I don't want him. He's got no charisma, none at all.
0:14:10 > 0:14:12I know when I'm not wanted!
0:14:12 > 0:14:13This one's Swedish, you know.
0:14:13 > 0:14:15I did know, yes.
0:14:15 > 0:14:17Don't tell me you're Swedish, too!
0:14:17 > 0:14:19Hey, you're not related, are you?
0:14:20 > 0:14:25Good. Well, I will leave you in Mr Johanssen's capable hands.
0:14:30 > 0:14:33Lumionne? He's been rubbish all season.
0:14:33 > 0:14:37Minor setback. He's a definite for the Arsenal match, I'm telling you...
0:14:37 > 0:14:39Don't rush off, Dr Ford.
0:14:39 > 0:14:43I expect you noticed that Tiago's in for an occipito-cervical fusion?
0:14:43 > 0:14:47Yeah, impressive. Sort of a cross between surgery and metal work.
0:14:47 > 0:14:49I loved metal work at school.
0:14:49 > 0:14:53Tiago's had vertebrobasilar insufficiency since he was 12...
0:14:53 > 0:14:55from a fight, wasn't it?
0:14:55 > 0:14:56Makes me sound hard.
0:14:56 > 0:14:59We were just mucking about in the playground - play fighting.
0:14:59 > 0:15:04I twisted my neck, next thing, the place is crawling with paramedics.
0:15:04 > 0:15:06You must have scared the other kid.
0:15:06 > 0:15:08Yeah! I milked it for years!
0:15:08 > 0:15:11So, you get drop attacks?
0:15:11 > 0:15:12Yeah, all the time.
0:15:12 > 0:15:14Only when I turn my head a certain way.
0:15:14 > 0:15:16The vertebral artery gets squeezed,
0:15:16 > 0:15:19my blood supply gets cut off and I hit the floor.
0:15:19 > 0:15:21He's becoming a bit of an expert.
0:15:21 > 0:15:25Tiago's coped really well, but now we need to think about the future.
0:15:25 > 0:15:27Not a good look, fainting.
0:15:27 > 0:15:31Last year I was at a festival, turned my neck and bam,
0:15:31 > 0:15:32I'm on the floor.
0:15:32 > 0:15:35Anyway, I came to tell you that we've had a cancellation, Tiago.
0:15:35 > 0:15:38I want to bring your op forward to this afternoon.
0:15:38 > 0:15:40How do you feel about that?
0:15:42 > 0:15:44Fine. Yeah.
0:15:44 > 0:15:47Good. I'll bring you a consent form.
0:15:47 > 0:15:50Dr Ford?
0:15:50 > 0:15:53Would you be interested in assisting in the occipito-cervical fusion?
0:15:53 > 0:15:55Dr Ford - ECG?
0:15:55 > 0:15:57Yeah, doing it now.
0:15:57 > 0:16:01I was just asking Dr Ford if he wanted to assist me this afternoon.
0:16:01 > 0:16:03I'm already booked to assist Mr Valentine.
0:16:03 > 0:16:05Oh. Shame.
0:16:05 > 0:16:08Mini maze operation with a radio frequency ablation.
0:16:08 > 0:16:12Fascinating. Almost as interesting as an occipital-cervical fusion.
0:16:13 > 0:16:14Well, I beg to differ.
0:16:16 > 0:16:18Sorry, I'll be right back.
0:16:23 > 0:16:26You know someone once asked me if I wanted a hole drilled in my skull?
0:16:26 > 0:16:30You know, trepanning. Shamans do it, apparently.
0:16:30 > 0:16:33Maybe they should have left the crack in my skull.
0:16:33 > 0:16:36I could have let my brain expand into the gap.
0:16:36 > 0:16:38I'd probably be giving the Dalai Lama a run for his money.
0:16:38 > 0:16:41Label that and send it up to histology.
0:16:41 > 0:16:43Fibroma would be my guess.
0:16:43 > 0:16:46Has Mr Hagerty had a full body CT?
0:16:47 > 0:16:49No.
0:16:56 > 0:16:57How did it go?
0:16:57 > 0:17:00I'm sorry I didn't get to see you before, but seriously, Ric,
0:17:00 > 0:17:03it was fine - they were really helpful and really friendly.
0:17:03 > 0:17:05Well, that's good to hear.
0:17:05 > 0:17:09I know it's easy for me to say, but please, don't worry.
0:17:11 > 0:17:14I haven't seen you much this week.
0:17:14 > 0:17:16Well, I've had some things to do.
0:17:16 > 0:17:18What, until four o'clock in the morning?
0:17:20 > 0:17:22I just... I wanted to reassure you.
0:17:22 > 0:17:25Why don't you go home and get some sleep?
0:17:25 > 0:17:28Sleep? Really?
0:17:37 > 0:17:40Is it true? Victor Lumionne's wife is in today?
0:17:40 > 0:17:42I couldn't possibly comment.
0:17:42 > 0:17:44Could you let me know if hubby turns up?
0:17:44 > 0:17:46Are you actually being serious?
0:17:46 > 0:17:48What are you going to do?
0:17:48 > 0:17:50Go and ask for his autograph or something?
0:17:50 > 0:17:52We've got the merger decision hanging over us today
0:17:52 > 0:17:55and you're going on about some footballer?
0:17:55 > 0:17:59Oh. Have you rang Nasidi yet?
0:17:59 > 0:18:00Yeah.
0:18:00 > 0:18:02And?
0:18:02 > 0:18:04I asked him for more time to think about it.
0:18:04 > 0:18:06There's no reason to assume the bone mass is malignant,
0:18:06 > 0:18:08let alone that it's a secondary.
0:18:08 > 0:18:10I think he should have a full body CT.
0:18:11 > 0:18:13Why? We've done a biopsy.
0:18:13 > 0:18:15Let's just wait for the results.
0:18:15 > 0:18:17I'm not very good at waiting. I never have been.
0:18:19 > 0:18:22As your mentor, I can tell you that a rushed diagnosis
0:18:22 > 0:18:25can do more harm than good.
0:18:25 > 0:18:27A bit of patience can go a long way.
0:18:28 > 0:18:33I also wanted to say, don't be too hard on your father.
0:18:35 > 0:18:40This merger, it's been like living in the shadow of a rumbling volcano.
0:18:44 > 0:18:49Nice splint - very sexy! I take it that means no operation?
0:18:49 > 0:18:50Apparently.
0:18:50 > 0:18:53You've been gone for ages! I thought we could have had a catch-up.
0:18:53 > 0:18:57I'm working, Chevonne. I can't just down tools and chat.
0:18:57 > 0:18:58Right, I am going to do your obs
0:18:58 > 0:19:00and then I will get Dr Digby to discharge you.
0:19:00 > 0:19:03We can have a chat next time, OK?
0:19:03 > 0:19:06- There was something else, actually. - Oh?
0:19:06 > 0:19:08I've had this pain,
0:19:08 > 0:19:09for about a week. On and off.
0:19:09 > 0:19:11On and off. Where?
0:19:11 > 0:19:14I spoke to the midwife, she checked me out,
0:19:14 > 0:19:15she said the baby's fine.
0:19:15 > 0:19:17- Right, well, it could just be trapped wind.- Please!
0:19:17 > 0:19:20I had it when I was pregnant. It was agony.
0:19:20 > 0:19:23OK, your temperature is raised, but not a lot.
0:19:23 > 0:19:24Everything else is fine.
0:19:24 > 0:19:27So I will still need to be seen by a doctor, anyway?
0:19:27 > 0:19:30This is not a spa, Chevonne - you can't just book in for the day.
0:19:30 > 0:19:32That's a shame - nails need doing.
0:19:32 > 0:19:33Yeah, I noticed!
0:19:33 > 0:19:36Um... Ah. I'm going to be two seconds, OK?
0:19:38 > 0:19:39- Hey.- Hi.
0:19:39 > 0:19:40How did the interview go?
0:19:40 > 0:19:43Sorry I didn't get to talk things through with you earlier.
0:19:43 > 0:19:45It's fine. I just told them what I remembered.
0:19:45 > 0:19:46Chevonne.
0:19:46 > 0:19:47Leukocytosis.
0:19:47 > 0:19:51Yes, slight. And she's complaining of abdominal discomfort.
0:19:51 > 0:19:53- She'd like to talk to you about it. - Trapped wind?
0:19:53 > 0:19:56Apparently the Chevonnes of this world don't get trapped wind.
0:19:56 > 0:19:59The baby seems fine, no other gynae issues.
0:19:59 > 0:20:01No, but, um...
0:20:01 > 0:20:02What?
0:20:02 > 0:20:04She's in no hurry to get home.
0:20:04 > 0:20:06Her hubby seems to think she's made of glass.
0:20:06 > 0:20:08High-tensile steel, more like.
0:20:08 > 0:20:10Keep an eye on her
0:20:10 > 0:20:12and I'll have a check on her after I've dealt with Mrs Tandon.
0:20:12 > 0:20:15OK.
0:20:15 > 0:20:16Are you worried about Ric?
0:20:16 > 0:20:18No - of course not.
0:20:19 > 0:20:22Ah, I've got a heart scan here for Ms Naylor for a Mr Klein?
0:20:22 > 0:20:24That's the valve replacement - give it to me.
0:20:24 > 0:20:27That's the second operation she's offloaded this week.
0:20:27 > 0:20:28You want to watch out for that, mate!
0:20:28 > 0:20:31- She's finishing a paper, apparently. - Which one? The Holby Gazette?
0:20:31 > 0:20:35What was the name of that doctor that sorted Damon out?
0:20:35 > 0:20:37Was it Yasidi, or Hasidi?
0:20:37 > 0:20:39Mr Nasidi at the Royal Infirmary.
0:20:39 > 0:20:42He was on the phone to him earlier and he was looking pretty stressed.
0:20:42 > 0:20:44I think they keep in touch, doesn't mean anything.
0:20:44 > 0:20:47Damon seemed fine this morning.
0:20:47 > 0:20:50Maybe you should stop listening to other people's private phone calls, Fletch.
0:20:50 > 0:20:52Point taken.
0:20:53 > 0:20:56You think we've been working him too hard?
0:20:56 > 0:20:58He's a junior doctor - goes with the territory.
0:20:58 > 0:21:01If Damon had a problem, I think he would have told us.
0:21:02 > 0:21:04I'm sorry to keep you hanging about, mate.
0:21:04 > 0:21:07Don't apologise - it's bliss.
0:21:07 > 0:21:08Dr Digby is still in theatre
0:21:08 > 0:21:11and then she'll be along to see you afterwards, OK?
0:21:11 > 0:21:12What is with that phone?
0:21:12 > 0:21:15It's a spare. It works.
0:21:16 > 0:21:18And it has no GPS.
0:21:18 > 0:21:20- Ooh!- What was that?
0:21:20 > 0:21:23Oh, it's just that pain I was telling you about. Comes and goes.
0:21:23 > 0:21:26- It's easing off now.- On a scale of one to ten, how painful is it?
0:21:26 > 0:21:28It's not so bad. RINGING
0:21:30 > 0:21:32I'm so sorry, mate, I'm going to have to get this.
0:21:32 > 0:21:35- Are you OK?- Yeah. Yeah. As I said, it's easing off.
0:21:37 > 0:21:40Hi, Donna, it's Jeremy. I thought you should know,
0:21:40 > 0:21:44they're going to prosecute - gross negligence, manslaughter.
0:21:44 > 0:21:46Can we talk?
0:21:48 > 0:21:51So Mr Kitson's had atrial fibrillation for some time now.
0:21:51 > 0:21:54Normally we treat that, obviously, with medication, but...
0:21:54 > 0:21:58- He has a history of bleeding ulcers, so we can't.- Exactly.
0:21:58 > 0:22:00He can't tolerate the anti-coagulants
0:22:00 > 0:22:02so we have to go down the ablation route.
0:22:02 > 0:22:06We're using a radio frequency clamp via the lower chest, is that right?
0:22:06 > 0:22:07Spot on!
0:22:07 > 0:22:09- I read a few papers last night.- Hm.
0:22:09 > 0:22:11Tiago's got cold feet all of a sudden -
0:22:11 > 0:22:12he's not signing the consent form.
0:22:12 > 0:22:14What?
0:22:14 > 0:22:17Maybe you could speak to him. Reassure him?
0:22:18 > 0:22:21Yeah, of course. Is that OK?
0:22:28 > 0:22:30Still reading Fredrik's paper?
0:22:31 > 0:22:34It's... It's actually brilliant.
0:22:34 > 0:22:37I'm starting to think I won the prize just out of sympathy.
0:22:39 > 0:22:41Right, you listen to me.
0:22:41 > 0:22:45You did amazing work and you won that prize,
0:22:45 > 0:22:48so, you know, enjoy it.
0:22:48 > 0:22:52Hm. Well, I do think there are some things that we could
0:22:52 > 0:22:54implement from this.
0:22:54 > 0:22:58Oh, practical application. Yes, the Holy Grail of research.
0:22:58 > 0:22:59Hm. Like SAINT?
0:22:59 > 0:23:03Exactly! Exactly. Oh, is that Mrs Cudlip?
0:23:03 > 0:23:05Is she ready to be discharged? Good. You see?
0:23:05 > 0:23:06- Research in action!- Hm.
0:23:23 > 0:23:26I think it's about time you and I parted ways.
0:23:29 > 0:23:31Did I leave my paper here?
0:23:32 > 0:23:33Erm...
0:23:34 > 0:23:36Oh, yeah, here.
0:24:35 > 0:24:37Donna?
0:24:39 > 0:24:41What's wrong?
0:24:41 > 0:24:43Thought you'd be in theatre.
0:24:44 > 0:24:48It got bumped - emergency splenectomy. What is it?
0:24:50 > 0:24:52It's Ric.
0:24:52 > 0:24:58They're going ahead with gross negligence, manslaughter.
0:24:58 > 0:25:00That's crazy!
0:25:02 > 0:25:04Are you sure?
0:25:06 > 0:25:09It must have been something that I said.
0:25:09 > 0:25:11How can it be?
0:25:14 > 0:25:16What did you tell them?
0:25:18 > 0:25:20Nothing! The truth.
0:25:21 > 0:25:23I've gone over it and over it in my head.
0:25:26 > 0:25:28There was nothing to say.
0:25:32 > 0:25:34Are you sure this can't wait, Fredrik?
0:25:34 > 0:25:36It's a particularly bad time.
0:25:36 > 0:25:38It's about Dominic.
0:25:38 > 0:25:39Oh, what about Mr Copeland?
0:25:39 > 0:25:42I don't know how to put this.
0:25:42 > 0:25:44He's been taking steroids.
0:25:44 > 0:25:45I found these.
0:25:47 > 0:25:49I wasn't sure if I should tell you -
0:25:49 > 0:25:51I was wrong to talk to you about Mr Levy but this is different.
0:25:51 > 0:25:54I'm worried about Dominic, after what he's been through.
0:25:54 > 0:25:55He told you, did he?
0:25:55 > 0:25:57Yes, and he seemed to be coping.
0:25:57 > 0:26:00The prize today will certainly help his confidence.
0:26:00 > 0:26:02And from what I heard, very well-deserved.
0:26:02 > 0:26:06Absolutely. But when I saw him throw this in the bin...
0:26:06 > 0:26:07He threw it away, did he?
0:26:09 > 0:26:11It's empty.
0:26:17 > 0:26:19He's a really nice guy. I'm not judging.
0:26:19 > 0:26:21I just want to help.
0:26:21 > 0:26:24Well, I'm sorry, but I must go. They're waiting for me.
0:26:24 > 0:26:26Thank you very much, Fredrik.
0:26:26 > 0:26:27Do you want me to talk to him?
0:26:27 > 0:26:29No, no, no, that won't be necessary.
0:26:29 > 0:26:30Henrik - any news?
0:26:30 > 0:26:32I'm just on my way there now.
0:26:32 > 0:26:35I heard your Mr Copeland has won junior-doctor prize -
0:26:35 > 0:26:37- you must be proud.- Ah.
0:26:37 > 0:26:39Oh. Hello.
0:26:39 > 0:26:40This is Mr Johanssen.
0:26:42 > 0:26:43Fredrik.
0:26:43 > 0:26:47I heard you were here! Where have you been hiding him?
0:26:47 > 0:26:48Oh, my goodness, Henrik.
0:26:48 > 0:26:51It's like looking at a carbon copy of you at that age.
0:26:51 > 0:26:53He was rather good-looking, your father.
0:26:53 > 0:26:55- Still is.- I really must go...
0:26:55 > 0:26:58Of course. Nice to meet you, Fredrik.
0:26:58 > 0:27:00It's incredible, really!
0:27:02 > 0:27:05And then finally we put the screws in here so that the base
0:27:05 > 0:27:09of your skull is attached to your spine and controls the angle
0:27:09 > 0:27:13of movement so that your vertebral artery doesn't get squeezed.
0:27:13 > 0:27:15It's a pretty cool procedure.
0:27:15 > 0:27:17I'll be a sort of cyborg.
0:27:17 > 0:27:20Yeah. They explained that there's a very small risk of stroke,
0:27:20 > 0:27:23but it will change your life, Tiago.
0:27:24 > 0:27:27My life's not so bad. I've got used to it.
0:27:27 > 0:27:30Really? Don't you want to do what your mates are doing?
0:27:30 > 0:27:32Drive, go to uni, get a job?
0:27:32 > 0:27:35Yeah, but like I said, I've got used to it.
0:27:35 > 0:27:39They already know, but Mum and Dad can't get back till tonight,
0:27:39 > 0:27:41after the op.
0:27:41 > 0:27:43Do you want to talk it through with them before you sign?
0:27:43 > 0:27:45So what is it?
0:27:45 > 0:27:47I don't know. It's a major surgery.
0:27:47 > 0:27:49There's a lot of people here in the same situation.
0:27:49 > 0:27:51I don't care about them, they're old...
0:27:51 > 0:27:53It's tough for everyone.
0:27:53 > 0:27:56You don't know that! You can't unless you've been through it.
0:28:01 > 0:28:04Without this op, Tiago, it'll be very hard for you to travel,
0:28:04 > 0:28:08leave home, have an independent life.
0:28:08 > 0:28:09I can't imagine living on my own.
0:28:11 > 0:28:12You'll love it.
0:28:12 > 0:28:14And if your mum is anything like mine,
0:28:14 > 0:28:17you won't get rid of her that easily.
0:28:17 > 0:28:21I've got this uncle in Rio who keeps asking me to go
0:28:21 > 0:28:23and visit him, but...
0:28:23 > 0:28:24..you know...I couldn't go.
0:28:24 > 0:28:29Hey, you're joking? Brazil? Book two seats - I'm coming with you!
0:28:30 > 0:28:34Will you be helping out - in the operation?
0:28:37 > 0:28:39Would you like me to?
0:28:40 > 0:28:42Yeah.
0:28:42 > 0:28:45So it is cancer? It's not cancer?
0:28:45 > 0:28:46Sean...
0:28:46 > 0:28:49Come on, why else would you do a biopsy?
0:28:49 > 0:28:51We don't know yet.
0:28:51 > 0:28:53What about you? You're keeping very quiet.
0:28:53 > 0:28:55Mr Levy's right.
0:28:55 > 0:28:57Nothing's confirmed until we get the biopsy results.
0:28:57 > 0:29:01Though there could be other diagnostic indicators.
0:29:01 > 0:29:03Such as?
0:29:03 > 0:29:05Stop hassling them! They're just doing their job.
0:29:05 > 0:29:07Don't you want to know if I have cancer?
0:29:07 > 0:29:10Sooner we know the better - I want the funeral of the century.
0:29:10 > 0:29:13Black horses with those big feather things on their heads
0:29:13 > 0:29:15and a gospel choir belting it out.
0:29:15 > 0:29:17HE WHEEZES
0:29:25 > 0:29:26What's the matter with her now?
0:29:33 > 0:29:35I thought maybe you'd have gone.
0:29:36 > 0:29:37How did you hear?
0:29:37 > 0:29:39Bad news travels fast.
0:29:42 > 0:29:45And you really had no sense that this might happen?
0:29:45 > 0:29:47No!
0:29:50 > 0:29:52What?
0:29:53 > 0:29:56They kept asking me why you weren't on the ward
0:29:56 > 0:30:00and I told them it must have been for a very good reason.
0:30:00 > 0:30:05They know we share a house and they thought you might have told me.
0:30:05 > 0:30:07If you were in theatre, there'll be a record.
0:30:07 > 0:30:09You can tell them.
0:30:10 > 0:30:12It wouldn't make any difference.
0:30:12 > 0:30:13Why not?
0:30:13 > 0:30:16They can't punish you for being called away on an emergency.
0:30:18 > 0:30:21You-You were on an emergency, weren't you?
0:30:23 > 0:30:24You were in the hospital?
0:30:26 > 0:30:27No.
0:30:29 > 0:30:30Then where were you?
0:30:30 > 0:30:32I was helping a friend.
0:30:32 > 0:30:33What friend?
0:30:33 > 0:30:37- It doesn't matter.- You don't have to tell me, but you have to tell them,
0:30:37 > 0:30:38- you have to explain!- No, Donna.
0:30:38 > 0:30:40RINGING
0:30:43 > 0:30:45Excuse me. I have to take this.
0:30:50 > 0:30:53He doesn't understand the impact of what he says.
0:30:53 > 0:30:56As far as he's concerned, he's just being honest.
0:30:56 > 0:31:01And if the truth hurts well, that's too bad.
0:31:03 > 0:31:06Is it the truth? You must have some idea.
0:31:07 > 0:31:09Mr Levy is very...
0:31:09 > 0:31:12..old-school. He's a "patience is a virtue" kind of guy.
0:31:12 > 0:31:14There's no way we could find out any quicker?
0:31:14 > 0:31:16Not from the biopsy.
0:31:16 > 0:31:20But... I think we should go ahead and do some further investigation.
0:31:20 > 0:31:22And will you?
0:31:22 > 0:31:26I'm new here, and sometimes I find the...
0:31:26 > 0:31:30..complacency among my colleagues disappointing.
0:31:31 > 0:31:33Mr Levy's always been so kind.
0:31:33 > 0:31:36He's a nice man, but I think we need to get to the
0:31:36 > 0:31:38root of the problem as quickly as possible.
0:31:40 > 0:31:43Do you know what? I need a smoke.
0:31:43 > 0:31:48Can I ask, how do you cope dealing with Sean, day after day?
0:31:49 > 0:31:54I mean, when he says things like, "I don't love you"?
0:31:56 > 0:32:01He means not like he did before the accident.
0:32:02 > 0:32:04And it's not the same.
0:32:04 > 0:32:06But you stayed with him.
0:32:08 > 0:32:13It's not easy to stop loving someone just because they can't love you.
0:32:25 > 0:32:28That's the last occipital screw in place.
0:32:28 > 0:32:32Can we have an X-ray, please? Check we're all lined up correctly.
0:32:32 > 0:32:36Now, this is where your love of metal work will come in handy.
0:32:36 > 0:32:39We need to change the curvature of the rod.
0:32:39 > 0:32:42I'll do this one, you can do the other.
0:32:42 > 0:32:45Don't like pre-bent rods - never get the right angle.
0:32:46 > 0:32:50I want to nestle this up just below the inion
0:32:50 > 0:32:54so I can have three connectors in place before the bend at C1.
0:32:57 > 0:33:00Thanks for convincing Tiago to go ahead.
0:33:00 > 0:33:03He'd never signed a consent form before.
0:33:03 > 0:33:06Between you and me, it's better that Mum and Dad aren't here.
0:33:06 > 0:33:09Dad was more nervous about the op than Tiago.
0:33:10 > 0:33:14Tell me, Dr Ford, have you thought about working in...
0:33:15 > 0:33:16Very good!
0:33:16 > 0:33:20Yeah. Have you ever thought about working with us in neuro?
0:33:20 > 0:33:23I'd be very happy to have you in my team.
0:33:23 > 0:33:26Think about it.
0:33:32 > 0:33:34A little bird told me congratulations are in order,
0:33:34 > 0:33:37so I thought I'd bask in your reflected glory.
0:33:37 > 0:33:38Bask away.
0:33:38 > 0:33:41Hey, come here. I told you the best man would win.
0:33:41 > 0:33:43- Thank you.- Well done.
0:33:43 > 0:33:44Don't mind me.
0:33:45 > 0:33:48So are we going to celebrate after work?
0:33:48 > 0:33:50Yeah, it depends on how the merger meeting goes.
0:33:50 > 0:33:52Well, in that case, I'll definitely need a drink.
0:33:52 > 0:33:54- Yeah.- I'd better get back.
0:33:54 > 0:33:56- All right. I'll see you later. - See you in a bit.
0:33:58 > 0:34:00BEEP
0:34:01 > 0:34:03Must be yours.
0:34:03 > 0:34:07It's probably my son, it's his birthday tomorrow.
0:34:08 > 0:34:10That's sweet. How old is he?
0:34:13 > 0:34:14Five.
0:34:17 > 0:34:20So, how are you getting on with Sean Hagerty?
0:34:20 > 0:34:23We took a biopsy from the bone mass in the femur.
0:34:23 > 0:34:27OK, well, there's no point in checking now.
0:34:27 > 0:34:28You need to wait at least 24 hours.
0:34:28 > 0:34:31I'm not checking. I'm booking a full body scan.
0:34:31 > 0:34:33- Before you've had the biopsy results?- Yes.
0:34:33 > 0:34:35That's not hospital procedure.
0:34:35 > 0:34:37Well, it should be.
0:34:41 > 0:34:44Ooh! You look like a man on a mission.
0:34:44 > 0:34:46The registrar job - you said you'd support my application?
0:34:46 > 0:34:49Absolutely. You decided to apply? That's great.
0:34:55 > 0:34:57Where the hell were you?
0:34:57 > 0:34:58I-I went to see Ric.
0:34:58 > 0:34:59You were supposed to be on the ward!
0:34:59 > 0:35:01Chevonne was fine when I left.
0:35:01 > 0:35:03She's not fine now. She's been asking for you.
0:35:03 > 0:35:05Chevonne?
0:35:05 > 0:35:07Where's the ultrasound report? I couldn't find it anywhere.
0:35:07 > 0:35:09Oh!
0:35:11 > 0:35:13What is it?
0:35:13 > 0:35:15What's it look like?
0:35:15 > 0:35:16Er, free fluid...
0:35:16 > 0:35:19That's what it is. We weren't looking for it before.
0:35:19 > 0:35:20Could be enteritis?
0:35:20 > 0:35:22I think it's her appendix.
0:35:22 > 0:35:24We need to get her into theatre and check it out.
0:35:24 > 0:35:25But the pain's on the wrong side.
0:35:25 > 0:35:27She's pregnant, it changes everything.
0:35:27 > 0:35:29There's nothing on the ultrasound.
0:35:29 > 0:35:32She could be retrocecal. I'm going to do a laparoscopy.
0:35:32 > 0:35:34What about the baby?
0:35:34 > 0:35:38Well, what do you suggest? If it is her appendix and it ruptures...
0:35:39 > 0:35:43Look, Donna, I know you're worried about this and about Ric, too,
0:35:43 > 0:35:46- but we're going to get through this, all right?- Hm-mm.
0:35:46 > 0:35:47Right. I'll go and check if theatre's free.
0:35:47 > 0:35:49Chevonne, don't worry.
0:35:49 > 0:35:52We're going to take you into theatre and see what's going on, OK?
0:35:52 > 0:35:53It won't hurt the baby, will it?
0:35:55 > 0:35:57No.
0:35:57 > 0:35:59Guess this is what it feels like to be in a coffin,
0:35:59 > 0:36:01except the lining will be comfier.
0:36:02 > 0:36:06Don't mind me - we musicians are a morbid lot.
0:36:06 > 0:36:08Suppose it comes with the territory.
0:36:08 > 0:36:10Can you keep quite still, please?
0:36:11 > 0:36:13What are you doing?
0:36:13 > 0:36:15I told you to wait until we had the biopsy results.
0:36:15 > 0:36:17This is completely unnecessary.
0:36:17 > 0:36:21I suspect that Mr Hagerty has ACC. Adenoid cystic carcinoma.
0:36:21 > 0:36:23You suspect? Based on what?
0:36:23 > 0:36:26That's incredibly rare - I've never even seen a case.
0:36:26 > 0:36:29I know it's rare, but I've seen it, at close quarters, last year.
0:36:29 > 0:36:32- So why didn't you tell me about it? - Because I wasn't sure - I needed to do the scan.
0:36:32 > 0:36:37- So you just thought, "Oh, I'll go over your head"? - Look, ACC metastasizes quickly.
0:36:37 > 0:36:39There. That's what I was looking for.
0:36:41 > 0:36:42Lung lesions.
0:36:42 > 0:36:45The case I saw - by the time it was diagnosed there was little
0:36:45 > 0:36:48we could do - he had multiple metastases.
0:36:48 > 0:36:50I still think we're jumping the gun a little.
0:36:50 > 0:36:52You don't understand. This can be very aggressive.
0:36:52 > 0:36:55The sooner we start treating him the better.
0:36:57 > 0:37:00OK, I'll see what I can do to hurry things along.
0:37:00 > 0:37:02But you've got to promise me you will not say a word to him
0:37:02 > 0:37:04until we get a proper diagnosis.
0:37:06 > 0:37:11It's definitely a retrocecal appendix. It's still intact.
0:37:11 > 0:37:16But if we leave it and it ruptures, we're looking at peritonisis,
0:37:16 > 0:37:18abscess formation, sepsis...
0:37:18 > 0:37:19OK, point taken.
0:37:20 > 0:37:24Sorry, Donna, but you really need to trust me on this one, yeah?
0:37:24 > 0:37:28I do, but... we can all make mistakes.
0:37:29 > 0:37:33Appendix pain is pretty severe. She didn't say?
0:37:34 > 0:37:36No.
0:37:36 > 0:37:37Don't feel bad.
0:37:37 > 0:37:40If she didn't say anything, how you were meant to know?
0:37:44 > 0:37:47Everything's shifted because of the pregnancy.
0:37:47 > 0:37:49I want to keep away from the uterus.
0:37:52 > 0:37:54Right, let's get this monster out.
0:37:54 > 0:37:56Stapler, please.
0:37:57 > 0:37:59Baby's showing signs of distress.
0:37:59 > 0:38:00I won't be much longer.
0:38:02 > 0:38:03Specimen bag, please?
0:38:07 > 0:38:10Foetal heart rate's dropping.
0:38:10 > 0:38:11Gotcha.
0:38:11 > 0:38:14I promised her nothing would happen to the baby.
0:38:14 > 0:38:17You can't promise, you know that.
0:38:17 > 0:38:19But it won't if I can help it.
0:38:21 > 0:38:25There are just two small growths on your left lung.
0:38:25 > 0:38:27It explains why you've been so breathless.
0:38:27 > 0:38:30One growth is obstructing the flow of air into your lungs.
0:38:30 > 0:38:33So that's the source, in the lung? And it's spread to my leg?
0:38:33 > 0:38:36The primary? Not sure.
0:38:36 > 0:38:38So it might have started somewhere else?
0:38:38 > 0:38:41It usually starts in the salivary glands.
0:38:41 > 0:38:44I did check your neck earlier, but...
0:38:44 > 0:38:47Well, I've had this feeling for a while now, like there's a lump when I swallow.
0:38:47 > 0:38:49It doesn't hurt so I didn't think anything of it.
0:38:50 > 0:38:51Will he need chemo?
0:38:53 > 0:38:56If the biopsy confirms what I believe,
0:38:56 > 0:38:59then this cancer does not respond well to chemotherapy.
0:39:01 > 0:39:04There is another treatment that I'm looking into.
0:39:04 > 0:39:07As long as it's not beetroot juice therapy. I hate beetroot.
0:39:07 > 0:39:09Oh, just listen, Sean!
0:39:09 > 0:39:11It's called stereotactic body radiation.
0:39:11 > 0:39:14It was pioneered in Sweden but you can get it over here.
0:39:14 > 0:39:19I've checked. If I'm right, this is a pretty aggressive cancer.
0:39:20 > 0:39:22I know you'd prefer me to be truthful.
0:39:25 > 0:39:26Baby's fine,
0:39:26 > 0:39:29but you should have told me the pain was that bad.
0:39:29 > 0:39:31I didn't want to make a fuss.
0:39:33 > 0:39:37Come on, Donna, we're Heathview girls! You understand.
0:39:39 > 0:39:42I could have lost the baby, couldn't I?
0:39:43 > 0:39:44Yeah.
0:39:46 > 0:39:49Look, I know Victor's fussing winds you up.
0:39:49 > 0:39:51He doesn't get me.
0:39:52 > 0:39:55It's how a lot of people show their love, Chevonne.
0:39:57 > 0:39:59I don't know what to tell him.
0:39:59 > 0:40:02Tell him the truth, that you needed time out.
0:40:02 > 0:40:05And the next time you need time out, call me.
0:40:07 > 0:40:08I will.
0:40:17 > 0:40:19Did you send Sean Hagerty for more tests?
0:40:23 > 0:40:24Bella, where's Sean?
0:40:24 > 0:40:27No idea. He was here when I went to get a coffee.
0:40:27 > 0:40:30After what you said, I wondered if I should leave him alone.
0:40:30 > 0:40:32What did you say?
0:40:32 > 0:40:34That the cancer had spread.
0:40:34 > 0:40:36The cancer? Right.
0:40:36 > 0:40:38He said he wanted the truth.
0:40:39 > 0:40:41Bella, sorry, nothing has been confirmed yet.
0:40:41 > 0:40:44- What?!- Don't worry about it, it's fine. We'll find him.
0:40:44 > 0:40:45OK?
0:40:45 > 0:40:47Can I have a word, please?
0:40:50 > 0:40:53What the hell were you thinking?!
0:40:53 > 0:40:57What people want and what people need are not the same thing!
0:40:57 > 0:40:59I need to be somewhere else.
0:40:59 > 0:41:02Get security on to it and keep me posted.
0:41:21 > 0:41:24They're having a quiet day here.
0:41:24 > 0:41:27I was hoping to have someone to talk to, ask a few questions.
0:41:31 > 0:41:34It's not completely hopeless, Sean.
0:41:34 > 0:41:37You're a funny guy! There's something about you.
0:41:39 > 0:41:42"Not completely hopeless." What does that even mean?
0:41:42 > 0:41:44If I'm going to go, I just want to go.
0:41:44 > 0:41:46I don't want to live my life on death row.
0:41:46 > 0:41:47Is that how you see lifesaving treatment?
0:41:47 > 0:41:49Don't be so touchy!
0:41:49 > 0:41:53You know, for a second there you looked just like that other guy, the one with the poker up his...
0:41:53 > 0:41:54My father.
0:41:54 > 0:41:58You're kidding! You're not kidding?
0:41:58 > 0:42:00Why didn't he say? That's weird.
0:42:00 > 0:42:02You're the one who tells his wife he doesn't love her.
0:42:02 > 0:42:05I fell out of a speeding car onto my head.
0:42:07 > 0:42:09It's freezing in here.
0:42:11 > 0:42:15OK - so this cancer will kill you.
0:42:15 > 0:42:17That's more like it.
0:42:17 > 0:42:19But with treatment you could have ten, even 20 years.
0:42:19 > 0:42:21Can I put Bella through all that?
0:42:21 > 0:42:22Ask her.
0:42:22 > 0:42:28She'll say that she loves me. I just don't understand why.
0:42:28 > 0:42:31Because it's not easy to stop loving people.
0:42:34 > 0:42:39You keep on loving whether or not you're loved back.
0:42:41 > 0:42:44I want to love her. I just can't.
0:42:48 > 0:42:50Sean? Sean?
0:42:50 > 0:42:52Sean?
0:42:52 > 0:42:54Well, as you all know,
0:42:54 > 0:42:56this has been a momentous week for Holby -
0:42:56 > 0:42:58a week of intense negotiations.
0:42:59 > 0:43:05Some things are still in a state of flux, but I don't feel
0:43:05 > 0:43:10I can delay announcing the findings of the Trust,
0:43:10 > 0:43:16partly because certain procedures need to be put in place straight away.
0:43:16 > 0:43:18BEEPING
0:43:24 > 0:43:27Now, you've all been very patient over the past weeks,
0:43:27 > 0:43:30maintaining a professional standard of care
0:43:30 > 0:43:33while working under this terrible cloud of uncertainty.
0:43:34 > 0:43:38But finally, I have had a decision.
0:43:41 > 0:43:43Holby Trust remains.
0:43:43 > 0:43:45St Francis will merge with us.
0:43:45 > 0:43:47Yes!
0:43:52 > 0:43:56Could we spare a thought, though, for our colleagues at St Francis?
0:43:58 > 0:44:03It's a hospital which has been at the heart of its community for many years.
0:44:03 > 0:44:07So, new challenges ahead as we assume responsibility
0:44:07 > 0:44:11for their patients, and indeed welcome many of their staff.
0:44:11 > 0:44:16There's no doubt, however, that you have all contributed to the outcome
0:44:16 > 0:44:19today and you should be very proud of yourselves.
0:44:29 > 0:44:31He was in the mortuary.
0:44:31 > 0:44:35The mortuary? What on earth was he doing there?
0:44:35 > 0:44:38He has right frontal lobe damage from a car accident.
0:44:38 > 0:44:40His behaviour can be very unpredictable.
0:44:41 > 0:44:44Diathermy, please.
0:44:44 > 0:44:46He was anxious to know if there was any hope,
0:44:46 > 0:44:49if he had a future.
0:44:49 > 0:44:51Mr Levy tells me we were able to locate the obstruction quickly
0:44:51 > 0:44:54because you'd already made a diagnosis.
0:44:54 > 0:44:56That's not yet confirmed.
0:44:56 > 0:44:58Mr Levy's right. It was an educated guess.
0:44:58 > 0:45:00Based on clinical experience.
0:45:00 > 0:45:01Yes.
0:45:01 > 0:45:05My patient in Sweden presented in a very similar way -
0:45:05 > 0:45:06secondary growths on bone and lung.
0:45:06 > 0:45:08Primary?
0:45:08 > 0:45:10In his case it was the parotid gland.
0:45:10 > 0:45:12ACC is very rare.
0:45:12 > 0:45:14One of those things.
0:45:14 > 0:45:16Credit where credit is due.
0:45:16 > 0:45:19You're clocking up brownie points thick and fast I'll be sure to mention that in my reference.
0:45:19 > 0:45:23Mr Johanssen has decided to apply for the registrar post.
0:45:24 > 0:45:26Good.
0:45:26 > 0:45:28I have an elective in 20 minutes can I leave you to it?
0:45:28 > 0:45:30Sure. Thank you.
0:45:30 > 0:45:32Well done again.
0:45:34 > 0:45:37I know it was an accurate diagnosis in the end,
0:45:37 > 0:45:39but I still can't approve of your process.
0:45:40 > 0:45:44And I-I know I keep banging on about it but we work as a team here.
0:45:49 > 0:45:52BEEPING
0:46:02 > 0:46:04So what's your plan?
0:46:04 > 0:46:07Tell me. There's got to be a way around this.
0:46:07 > 0:46:12Donna, stop. Let's just be grateful that Holby's future is secure.
0:46:12 > 0:46:15I'm not going to evade justice.
0:46:15 > 0:46:19How is this justice? What about your future?
0:46:21 > 0:46:25So that's it? You're just going to let them put you in jail?
0:46:26 > 0:46:29Why won't you tell them where you were?
0:46:29 > 0:46:31Why won't you tell me?
0:46:31 > 0:46:33Is it so bad you can't tell me?
0:46:34 > 0:46:37I hope you understand, I had no choice but to step in.
0:46:37 > 0:46:41You saved his life! We're not complaining.
0:46:41 > 0:46:44And we've decided to do the surgery and the stero-whatsit.
0:46:46 > 0:46:49I'll try anything to make her happy.
0:46:49 > 0:46:51Just keep Gwyneth Paltrow away from me.
0:46:51 > 0:46:53You wish!
0:46:55 > 0:46:59If we come back here for surgery, would you still be here?
0:46:59 > 0:47:02He likes you, and that's very important.
0:47:02 > 0:47:05I hope so. Yes.
0:47:05 > 0:47:09He's... He's a very lucky man.
0:47:10 > 0:47:15I don't know what you think, but I'm no saint.
0:47:17 > 0:47:21Mr Johanssen, may I have a word?
0:47:21 > 0:47:24I heard what happened today. Ms Karnik was very impressed.
0:47:26 > 0:47:28There was some luck involved.
0:47:28 > 0:47:33Nevertheless, her praise was quite emphatic, and it made me very...
0:47:35 > 0:47:38Proud is the word I'm looking for.
0:47:41 > 0:47:45I am curious, though - adenoid cystic carcinoma?
0:47:45 > 0:47:48That's something I've never encountered in practice.
0:47:48 > 0:47:49That's quite a leap you made.
0:47:52 > 0:47:54It's what Nils died of.
0:47:54 > 0:47:56Oh, I didn't know. I'm sorry.
0:47:58 > 0:48:03I, um... I helped nurse him, when he was very sick.
0:48:03 > 0:48:06I did a lot of research to see
0:48:06 > 0:48:09if there was anything we could do to save him, but it was too late.
0:48:11 > 0:48:14Well, he was very lucky to have you, wasn't he?
0:48:16 > 0:48:22I want you to know how much I've enjoyed being here, working for you.
0:48:23 > 0:48:26Ms Karnik has encouraged me to apply for the registrar post.
0:48:26 > 0:48:29With her backing I think I stand a good chance.
0:48:29 > 0:48:31Well, Fredrik, you can't, I'm afraid.
0:48:31 > 0:48:35I've called a halt to all recruitments whilst we consolidate.
0:48:35 > 0:48:36It's effective as of today.
0:48:38 > 0:48:41I really am very sorry.
0:48:41 > 0:48:44No, I... I gave up everything to be here.
0:48:46 > 0:48:49I've lost Sara and Oskar and...
0:48:49 > 0:48:54Well, let's hope you can repair your relationship with both of them
0:48:54 > 0:48:57when you return home.
0:49:05 > 0:49:09BEEPING
0:49:38 > 0:49:40Not in the party mood?
0:49:40 > 0:49:41What's there to celebrate?
0:49:41 > 0:49:44Quite a lot. You saved Sean Hagerty's life today,
0:49:44 > 0:49:46you made a pretty amazing diagnosis, and I've just written
0:49:46 > 0:49:49a glowing recommendation for the registrar job.
0:49:49 > 0:49:51There is no job. My father's just told me.
0:49:51 > 0:49:54Holby have stopped recruiting from today.
0:49:55 > 0:49:58I'm sorry. That's a shame.
0:49:58 > 0:50:01After what I saw today, Holby would be lucky to have you.
0:50:02 > 0:50:04You're sweet.
0:50:04 > 0:50:05Sweet? It's true.
0:50:07 > 0:50:09I should have known that. I've just been so distracted
0:50:09 > 0:50:12and I just wanted to show you how appreciated you are here.
0:50:16 > 0:50:18I meant professionally.
0:50:20 > 0:50:22Of course.
0:50:28 > 0:50:31A good day, Mr Copeland?
0:50:31 > 0:50:34Yes, yes, you could say that.
0:50:34 > 0:50:38I really didn't expect to win the junior-doctor prize,
0:50:38 > 0:50:41and now that Holby's safe...
0:50:41 > 0:50:42Yes, it has been.
0:50:47 > 0:50:48Oh, um...
0:50:48 > 0:50:50Actually, Mr Hanssen...
0:50:52 > 0:50:54Um...
0:50:54 > 0:50:57I just wanted to let you know that
0:50:57 > 0:51:04I threw away my last full packet of "just in case" meds today.
0:51:04 > 0:51:06I realised I don't need them.
0:51:06 > 0:51:08I just wanted to let you know cos you've been
0:51:08 > 0:51:11so supportive of me, and I'm really grateful.
0:51:11 > 0:51:13Thank you.
0:51:15 > 0:51:17Have a lovely evening.
0:51:21 > 0:51:24So, what did they say when you told them?
0:51:24 > 0:51:26You haven't told them yet?
0:51:26 > 0:51:30Damon! Go on, there's no time like the present. Go now.
0:51:30 > 0:51:31Go!
0:51:31 > 0:51:34You are so like my mother sometimes, it's uncanny.
0:51:34 > 0:51:38I bet you haven't done the washing up, either. Oh! Just go!
0:51:45 > 0:51:47Any news on Ric?
0:51:47 > 0:51:48He's been charged.
0:51:50 > 0:51:51Medical manslaughter?
0:51:53 > 0:51:56Have you had a chance to think about what I said earlier?
0:51:56 > 0:51:59Er... I'm very flattered, but I'm not sure neuro's for me.
0:51:59 > 0:52:04Dr Ford has shown an outstanding aptitude for cardio thoracic surgery.
0:52:04 > 0:52:07He's a very valuable member of our team.
0:52:07 > 0:52:10Actually, I may not be on either team.
0:52:11 > 0:52:15I've been talking to Mr Nasidi at the Royal Infirmary.
0:52:15 > 0:52:17Are you all right?
0:52:17 > 0:52:22No, I'm not ill. He's offering me a chance to work with him.
0:52:22 > 0:52:24Well done. He's a great surgeon.
0:52:26 > 0:52:28Why am I the last person to know everything here?
0:52:28 > 0:52:31We should do something together before I go.
0:52:31 > 0:52:34Oh, that's a bad idea, Damon, unless you're into vintage cars
0:52:34 > 0:52:36and live-action role-play.
0:52:36 > 0:52:39Jac, why are you still here? I thought your nanny left at seven.
0:52:39 > 0:52:40I'm paying her overtime.
0:52:40 > 0:52:42We could catch a film?
0:52:42 > 0:52:43Sure.
0:52:43 > 0:52:46There's one by the Finnish director Kaurismaki if you're interested?
0:52:46 > 0:52:49I love Kaurismaki!
0:52:49 > 0:52:52Leningrad Cowboys Go America has to be my favourite film,
0:52:52 > 0:52:54cracks me up!
0:52:57 > 0:53:01CLASSICAL MUSIC PLAYS
0:53:01 > 0:53:03KNOCK
0:53:03 > 0:53:05Come in.
0:53:09 > 0:53:12Ah, Fredrik.
0:53:12 > 0:53:14TURNS OFF MUSIC
0:53:17 > 0:53:20How can I help you, Fredrik?
0:53:21 > 0:53:23Well..
0:53:23 > 0:53:29You're the hero of the hour. Everybody's out celebrating.
0:53:29 > 0:53:32Yes, well, I certainly don't feel heroic.
0:53:32 > 0:53:36You're not the only person I shall have to disappoint.
0:53:36 > 0:53:40But I am sorry about the way things turned out for you today.
0:53:42 > 0:53:44I suppose it's out of your hands.
0:53:44 > 0:53:47Indeed it is.
0:53:47 > 0:53:50But it leaves me no choice but to go back to Sweden.
0:54:03 > 0:54:06Insomnia, agitation, excitement...
0:54:06 > 0:54:09..as close to being entirely eliminated.
0:54:09 > 0:54:12Tannahillamyde can do this. It could be the breakthrough.
0:54:12 > 0:54:14And there are no cardiac or pulmonary side effects.
0:54:18 > 0:54:21But I'm sure.... you have anticipated by now that...
0:54:22 > 0:54:25..it... I...
0:54:28 > 0:54:31..also need you...
0:54:31 > 0:54:36to once again safeguard the future of this family, your family.
0:54:38 > 0:54:40I hope you can understand the position I am in,
0:54:40 > 0:54:42my reputation in Sweden.
0:54:46 > 0:54:48I need you to back me.
0:54:55 > 0:54:56No.
0:54:58 > 0:55:01The answer's still no, Fredrik.
0:55:22 > 0:55:24So you will do nothing to help me?
0:55:26 > 0:55:28Do I mean less to you than some stranger?
0:55:28 > 0:55:31That is grossly unfair.
0:55:33 > 0:55:35I'm being unfair?
0:55:49 > 0:55:52Fredrik.
0:55:52 > 0:55:55Commiserations about the junior-doctor prize.
0:55:55 > 0:55:59If it's any consolation, I've heard great things about your paper.
0:55:59 > 0:56:00Did you?
0:56:00 > 0:56:02We have a saying in Italy...
0:56:02 > 0:56:03I expect you do.
0:56:06 > 0:56:08We can't all have your good fortune.
0:56:09 > 0:56:11Sorry?
0:56:11 > 0:56:13I haven't congratulated you yet
0:56:13 > 0:56:16because I wasn't sure how many people knew about the baby.
0:56:16 > 0:56:18I hope you don't mind Nina confiding in me.
0:56:18 > 0:56:21It's just we've been working together quite closely
0:56:21 > 0:56:23and she was anxious to...
0:56:36 > 0:56:39Well, now, strictly speaking, Mr Griffin,
0:56:39 > 0:56:41you should not be in this building.
0:56:41 > 0:56:46I know. I just wanted to congratulate you in person.
0:56:46 > 0:56:49Holby lives to fight another day.
0:56:49 > 0:56:52Fight is an appropriate word.
0:56:54 > 0:56:57I'm sorry that the merger's been so all-consuming.
0:56:57 > 0:57:00I haven't really been able to give you the support you needed.
0:57:01 > 0:57:04These are litigious times.
0:57:04 > 0:57:07Well, we must be held accountable.
0:57:07 > 0:57:08Yes, but it's not over yet,
0:57:08 > 0:57:12and I shall be with you every step of the way.
0:57:12 > 0:57:16I'm sure that you've got plenty of other more important things to do.
0:57:16 > 0:57:19No.
0:57:19 > 0:57:21Your trial is Holby's trial.
0:57:21 > 0:57:24Holby's success is your success.
0:57:24 > 0:57:27You shouldn't have to do this alone.
0:57:27 > 0:57:29I shall be there.