Hungry Heart Holby City

-Earn his trust and he will help.

-I can't wait. His recommendation is only the first part.

The merger process with St Francis is under way.

Holby is in danger of being closed down.

Jeremy Warren?

Elaine Warren was my mum.

I was in a hurry to get away that day.

But you know me.

I would never leave a patient in that condition.

I simply don't make those kind of mistakes.

I can't stop taking steroids.

So we'll get you help.

Oh, and apparently you gave her some sob story about having

an incurable heart condition.

Never share with clients, it freaks them out.

I think we all know the seriousness of the situation we face today.

Whatever happens - whatever the outcome - one thing is certain.

Over the past weeks, the CCG assessors have seen us at our best.

They have seen some of the best surgeons in the country,

at the top of their game.

We don't claim to be perfect.

Ours is a very high-stakes profession.

We deal with life and death, day in, day out.

Nevertheless, I think

we can all be proud of the way we rose to this challenge.

These are uncertain times and it behoves us to be realistic.

So, whichever way the decision goes, there are likely to be

redundancies, a re-appraisal of staff structures and, yes,

a reappointment of the Trust board.

Hey.

When I was a junior doctor, all the surgeons smoked 40 a day

and drank like fishes, and we did the same.

Now we're supposed to set a good example.

How are you?

Do you fancy a quick coffee?

I cannot set foot inside hospital premises while I'm still suspended.

I was hoping to catch Donna.

I got in late and missed her.

Of course. It's her interview this morning.

I got in around four and her light was still on.

Are you worried?

I know she can be a bit of a wild card.

Which of course is what we all love about her, normally.

She won't let you down.

I'm sure of it.

And as soon as you hear of anything...

If they decide to prosecute, I won't have to say anything -

it'll be front-page news.

So has he said anything about the junior-doctor prize?

No, I think he's got more pressing things on his mind right now.

Fredrik will probably get it, anyway.

Actually, speaking of which his placement ends next week -

so if he does get it, he'll be staying on.

You would have thought a guy with a wife

and a kid in Sweden would be slightly eager to...

Ah, Mr Johanssen!

Ooh! What have you got there?

Just a few cakes from...

Patisserie Linzer.

Oh!

The smell of my childhood.

What, a cardboard box?

No, high tea at Great Aunt Maria's.

You can help yourself.

Ah, look at that! Strudel. Sachertorte.

Kipferl... Well, if you're bribing us, then well done.

I've never needed to resort to bribery.

It's more of a thank you. Is Ms Karnik around?

No, she's in a meeting with Hanssen about the merger.

That's very sweet of you, Fredrik. Celebrating something?

Not yet.

Ric said you didn't get much sleep last night.

Where did you see Ric?

Outside. He was waiting to hear about the merger.

I think he was hoping to catch you before your interview, too.

How are you feeling?

Fine, you know, done it before.

Yeah, but that was the coroner, this is the police...

It's the same testimony, so...

Well, maybe we can grab ten minutes later and go through it all,

sequence of events, that kind of thing, yeah?

Yeah, so you were saying something about a patella fracture?

Yes. Pregnant woman fell over in...Rumpelstiltskin's?

Is that some kind of joke?

No, it's a kids shop with cute clothing,

not that I can afford anything there any more.

-There she is.

-She must be loaded.

Correction - she is loaded.

Oh! You two know each other?

Yeah, we go a long way back.

All the way back to Heathview Estate.

Wondered if you'd be in today.

They get their money's worth out of you, don't they?

It's called a job, Chevonne. Remember them?

So, what happened?

Tripped over a train track. Toy train.

Don't tell me you were wearing your Louboutins!

See for yourself.

You are kidding. I didn't even know you could wear flats.

-I thought when you took your shoes off your feet stayed that shape, like Barbie.

-Very funny.

You may not have noticed but my centre of gravity has shifted a bit.

Yeah, you're quite big for 20 weeks. Not carrying twins, are you?

No, actually.

So what's the verdict?

So it looks to me like you might have a hairline fracture,

but orthopaedics to confirm.

We'll obviously try and avoid surgery because of the pregnancy.

Let's get an X-ray and possibly an ultrasound, too, belt and braces.

-Over to you, Nurse Jackson.

-Sure.

I'll try and grab you before the interview, yeah?

Is anyone going with you?

-Fletch.

-Great.

Ah, Mr Hanssen. Any news?

No, not yet. Anyway, it's Mr Johanssen I've come to see.

Oh, the junior-doctor prize.

Yeah, and Mr Copeland? Where's he? There you are.

So, I'll keep this very swift.

It was, apparently, not an easy decision, but "Mr Copeland's

"research was more methodical and therefore more convincing,

"though Mr Johanssen's showed great flair."

Mr Copeland, congratulations, you have won the junior-doctor prize.

Thank you.

Well done. We should share our data.

Oh, it was a very close call.

I was rooting for you, if that's any consolation.

Well, there's always an element of luck where these

things are concerned,

and having my elective temporarily shelved didn't help.

-I don't think that made any difference.

-Who knows?

Have you thought about getting your paper published?

What, in some tiny little journal that no-one reads?

I'm sorry. I just... I put a lot of work into that project.

And the registrar post that's coming up, have you applied for that?

No.

It's not too late.

My placement ends in a week. What's the point?

Maybe if I'd won the junior-doctor prize.

It's not a requirement. I'd be happy to support your application.

It's not a prize, I know, but...

Seriously, think about it.

You'd be a great addition to our team.

Yes, he's expecting my call.

Damon Ford.

Thanks.

There you are.

No, I can't. I'm at work.

Yes, that's right - no, no,

Nasidi - N for November.

Thanks.

What's up?

Mr Valentine says you're going to do the ECG on Mr Kitson.

The mini maze op for...

That's the one.

I'm on it. Just give me five?

Sure.

Mr Nasidi? Damon Ford.

Yes, I got your message.

I might need a little more thinking time, if that's possible?

I would like your opinion on this.

Sean Hagerty - orthopaedics repaired a compound fracture

three months ago and now there's swelling at the fracture site,

so could be excess bone production, it could be fibrosis scar tissue.

Or a cyst?

Possibly. Not entirely clear from the X-ray

so we need to do a biopsy. Would you like to assist?

Sure. But isn't that Mr Copeland's handwriting?

Mr Copeland, would you mind if Mr Johanssen assisted me?

Be my guest. Have you met Mr Hagerty?

-No.

-Let's just say he's not your usual patient.

You were going to call me - what happened?

Morning sickness, and afternoon sickness, and night sickness.

Is Victor coping?

Oh, he's loving all of it.

Really?

Yeah! You'd swear no-one had ever had a kid before.

He's following me round the house making sure I don't lift anything up.

He's waiting on me hand and foot.

-And you're complaining?

-He's driving me nuts, Donna.

Last time I saw you,

you were having a moan cos he wasn't paying you enough attention.

Careful what you wish for - that's what they say, isn't it?

He's bored, Donna.

He's having a rough season and now all he thinks about is me and baby.

So he should be bursting through these doors any minute now.

No, he won't, actually, cos he doesn't know I'm here.

You haven't told him?

I'm fed up, Donna.

I told him I was popping out and I switched off my phone.

I am officially AWOL.

Is that a good idea?

I don't care.

He's probably going frantic.

Not half as frantic as if he knew I was here.

I just... I can't stick it at the moment.

I need some peace and quiet.

Yeah, cos you're going to get that here!

Don't you think he should know you've hurt yourself?

He will, eventually.

It's not as if it's a life-threatening injury, is it?

I'm fine.

If you say so.

Right, I have to be somewhere,

so Lou here is going to do your ultrasound. See you soon.

Please, take as long as you like.

Long-time, no see.

Mr Hagerty. How've you been?

Grand. We've been grand. Apart from this, of course!

Mr Hagerty is a singer with... I can't remember.

-What's the name?

-Sound Escape.

Sorry, Sound Escape.

You see? He's heard of us!

I have.

So how have you been leaping around the stage, then?

I'm not. Not just the leg. My asthma's been playing up, as well.

Wait till you see.

# Let's waste time

# Chasing cars

# Around our... #

WHEEZING

Clinic gave me this big shiny new inhaler but it's useless.

OK, one thing at a time.

Let's take a look at your leg, shall we?

This is Bella, my wife, by the way.

In case you thought she might be a groupie.

Come to think of it, she was, weren't you?

You were my one and only groupie. When I was a star...

When I was...wasting time.

You have lovely hands.

In fact, you're lovely all over. What do you think, Bella?

He really looks like a rock star.

My husband was in a car crash five years ago.

He fractured his skull.

Wasting time, chasing cars, as the song says.

How did you get this fracture?

Crowd surfing.

Without a crowd.

No risk, no fun!

What do you do now?

-Covers, mostly. But I used to write my own.

-He's an amazing writer.

She's very loyal. You're very loyal, aren't you?

Even if I don't love you. I don't, do I?

Not any more.

No.

So what is it?

The X-ray seems to indicate that you have excess bone

production from the fracture site.

So we need to do a biopsy. Don't worry, it's absolutely fine.

It's just routine - it's the best way to find out how to treat it.

And don't worry about the anaesthetic

because we're going to do it under local.

So you've no idea, basically.

It could be a number of things.

But we don't want to speculate at the moment.

I think I know what it is.

I think it's all the songs I'll never write,

compacted into a wee lump. And you should take it out.

I mean, whatever it is, it's not doing me any good,

is it, Mr Rock Star Doctor?

Mum!

They were here yesterday, weren't they?

And the day before. All day.

They'd set up camp if they could.

Protective?

Just a bit. Dad's the worst.

So you're Ms MacMillan's patient?

First time over here. I was with the children's unit before.

I'm with the trans something...

Transition team. How's that going?

OK. They were really nice over there, though.

We're nice here, too.

I'll tell you what, I could always pop over

and get you a couple of cuddly toys.

Oh!

Hold that.

The anaesthetic should kick in soon.

I'm trying to place that accent. I'm good with accents.

Is it Denmark?

Sweden.

Ah, Sweden, I love Sweden. Did a couple of tours with the old band,

the ones who dumped me when I fell on my head.

We played this massive venue in Malmo, I think it was,

-or was it Stockholm?

-No, it was Malmo.

Would you stop doing that? Stop correcting me! Who cares?

Do you think he cares?

Sean... I'm so sorry.

You don't have to apologise.

Mr Hagerty? Everything all right?

Fantastic. I've got this handsome fella sticking needles in me today.

I thought you were assisting Mr Levy today, Mr Copeland?

No. Mr Johanssen is.

That's right.

I don't want him. He's got no charisma, none at all.

I know when I'm not wanted!

This one's Swedish, you know.

I did know, yes.

Don't tell me you're Swedish, too!

Hey, you're not related, are you?

Good. Well, I will leave you in Mr Johanssen's capable hands.

Lumionne? He's been rubbish all season.

Minor setback. He's a definite for the Arsenal match, I'm telling you...

Don't rush off, Dr Ford.

I expect you noticed that Tiago's in for an occipito-cervical fusion?

Yeah, impressive. Sort of a cross between surgery and metal work.

I loved metal work at school.

Tiago's had vertebrobasilar insufficiency since he was 12...

from a fight, wasn't it?

Makes me sound hard.

We were just mucking about in the playground - play fighting.

I twisted my neck, next thing, the place is crawling with paramedics.

You must have scared the other kid.

Yeah! I milked it for years!

So, you get drop attacks?

Yeah, all the time.

Only when I turn my head a certain way.

The vertebral artery gets squeezed,

my blood supply gets cut off and I hit the floor.

He's becoming a bit of an expert.

Tiago's coped really well, but now we need to think about the future.

Not a good look, fainting.

Last year I was at a festival, turned my neck and bam,

I'm on the floor.

Anyway, I came to tell you that we've had a cancellation, Tiago.

I want to bring your op forward to this afternoon.

How do you feel about that?

Fine. Yeah.

Good. I'll bring you a consent form.

Dr Ford?

Would you be interested in assisting in the occipito-cervical fusion?

Dr Ford - ECG?

Yeah, doing it now.

I was just asking Dr Ford if he wanted to assist me this afternoon.

I'm already booked to assist Mr Valentine.

Oh. Shame.

Mini maze operation with a radio frequency ablation.

Fascinating. Almost as interesting as an occipital-cervical fusion.

Well, I beg to differ.

Sorry, I'll be right back.

You know someone once asked me if I wanted a hole drilled in my skull?

You know, trepanning. Shamans do it, apparently.

Maybe they should have left the crack in my skull.

I could have let my brain expand into the gap.

I'd probably be giving the Dalai Lama a run for his money.

Label that and send it up to histology.

Fibroma would be my guess.

Has Mr Hagerty had a full body CT?

No.

How did it go?

I'm sorry I didn't get to see you before, but seriously, Ric,

it was fine - they were really helpful and really friendly.

Well, that's good to hear.

I know it's easy for me to say, but please, don't worry.

I haven't seen you much this week.

Well, I've had some things to do.

What, until four o'clock in the morning?

I just... I wanted to reassure you.

Why don't you go home and get some sleep?

Sleep? Really?

Is it true? Victor Lumionne's wife is in today?

I couldn't possibly comment.

Could you let me know if hubby turns up?

Are you actually being serious?

What are you going to do?

Go and ask for his autograph or something?

We've got the merger decision hanging over us today

and you're going on about some footballer?

Oh. Have you rang Nasidi yet?

Yeah.

And?

I asked him for more time to think about it.

There's no reason to assume the bone mass is malignant,

let alone that it's a secondary.

I think he should have a full body CT.

Why? We've done a biopsy.

Let's just wait for the results.

I'm not very good at waiting. I never have been.

As your mentor, I can tell you that a rushed diagnosis

can do more harm than good.

A bit of patience can go a long way.

I also wanted to say, don't be too hard on your father.

This merger, it's been like living in the shadow of a rumbling volcano.

Nice splint - very sexy! I take it that means no operation?

Apparently.

You've been gone for ages! I thought we could have had a catch-up.

I'm working, Chevonne. I can't just down tools and chat.

Right, I am going to do your obs

and then I will get Dr Digby to discharge you.

We can have a chat next time, OK?

-There was something else, actually.

-Oh?

I've had this pain,

for about a week. On and off.

On and off. Where?

I spoke to the midwife, she checked me out,

she said the baby's fine.

-Right, well, it could just be trapped wind.

-Please!

I had it when I was pregnant. It was agony.

OK, your temperature is raised, but not a lot.

Everything else is fine.

So I will still need to be seen by a doctor, anyway?

This is not a spa, Chevonne - you can't just book in for the day.

That's a shame - nails need doing.

Yeah, I noticed!

Um... Ah. I'm going to be two seconds, OK?

-Hey.

-Hi.

How did the interview go?

Sorry I didn't get to talk things through with you earlier.

It's fine. I just told them what I remembered.

Chevonne.

Leukocytosis.

Yes, slight. And she's complaining of abdominal discomfort.

-She'd like to talk to you about it.

-Trapped wind?

Apparently the Chevonnes of this world don't get trapped wind.

The baby seems fine, no other gynae issues.

No, but, um...

What?

She's in no hurry to get home.

Her hubby seems to think she's made of glass.

High-tensile steel, more like.

Keep an eye on her

and I'll have a check on her after I've dealt with Mrs Tandon.

OK.

Are you worried about Ric?

No - of course not.

Ah, I've got a heart scan here for Ms Naylor for a Mr Klein?

That's the valve replacement - give it to me.

That's the second operation she's offloaded this week.

You want to watch out for that, mate!

-She's finishing a paper, apparently.

-Which one? The Holby Gazette?

What was the name of that doctor that sorted Damon out?

Was it Yasidi, or Hasidi?

Mr Nasidi at the Royal Infirmary.

He was on the phone to him earlier and he was looking pretty stressed.

I think they keep in touch, doesn't mean anything.

Damon seemed fine this morning.

Maybe you should stop listening to other people's private phone calls, Fletch.

Point taken.

You think we've been working him too hard?

He's a junior doctor - goes with the territory.

If Damon had a problem, I think he would have told us.

I'm sorry to keep you hanging about, mate.

Don't apologise - it's bliss.

Dr Digby is still in theatre

and then she'll be along to see you afterwards, OK?

What is with that phone?

It's a spare. It works.

And it has no GPS.

-Ooh!

-What was that?

Oh, it's just that pain I was telling you about. Comes and goes.

-It's easing off now.

-On a scale of one to ten, how painful is it?

It's not so bad. RINGING

I'm so sorry, mate, I'm going to have to get this.

-Are you OK?

-Yeah. Yeah. As I said, it's easing off.

Hi, Donna, it's Jeremy. I thought you should know,

they're going to prosecute - gross negligence, manslaughter.

Can we talk?

So Mr Kitson's had atrial fibrillation for some time now.

Normally we treat that, obviously, with medication, but...

-He has a history of bleeding ulcers, so we can't.

-Exactly.

He can't tolerate the anti-coagulants

so we have to go down the ablation route.

We're using a radio frequency clamp via the lower chest, is that right?

Spot on!

-I read a few papers last night.

-Hm.

Tiago's got cold feet all of a sudden -

he's not signing the consent form.

What?

Maybe you could speak to him. Reassure him?

Yeah, of course. Is that OK?

Still reading Fredrik's paper?

It's... It's actually brilliant.

I'm starting to think I won the prize just out of sympathy.

Right, you listen to me.

You did amazing work and you won that prize,

so, you know, enjoy it.

Hm. Well, I do think there are some things that we could

implement from this.

Oh, practical application. Yes, the Holy Grail of research.

Hm. Like SAINT?

Exactly! Exactly. Oh, is that Mrs Cudlip?

Is she ready to be discharged? Good. You see?

-Research in action!

-Hm.

I think it's about time you and I parted ways.

Did I leave my paper here?

Erm...

Oh, yeah, here.

Donna?

What's wrong?

Thought you'd be in theatre.

It got bumped - emergency splenectomy. What is it?

It's Ric.

They're going ahead with gross negligence, manslaughter.

That's crazy!

Are you sure?

It must have been something that I said.

How can it be?

What did you tell them?

Nothing! The truth.

I've gone over it and over it in my head.

There was nothing to say.

Are you sure this can't wait, Fredrik?

It's a particularly bad time.

It's about Dominic.

Oh, what about Mr Copeland?

I don't know how to put this.

He's been taking steroids.

I found these.

I wasn't sure if I should tell you -

I was wrong to talk to you about Mr Levy but this is different.

I'm worried about Dominic, after what he's been through.

He told you, did he?

Yes, and he seemed to be coping.

The prize today will certainly help his confidence.

And from what I heard, very well-deserved.

Absolutely. But when I saw him throw this in the bin...

He threw it away, did he?

It's empty.

He's a really nice guy. I'm not judging.

I just want to help.

Well, I'm sorry, but I must go. They're waiting for me.

Thank you very much, Fredrik.

Do you want me to talk to him?

No, no, no, that won't be necessary.

Henrik - any news?

I'm just on my way there now.

I heard your Mr Copeland has won junior-doctor prize -

-you must be proud.

-Ah.

Oh. Hello.

This is Mr Johanssen.

Fredrik.

I heard you were here! Where have you been hiding him?

Oh, my goodness, Henrik.

It's like looking at a carbon copy of you at that age.

He was rather good-looking, your father.

-Still is.

-I really must go...

Of course. Nice to meet you, Fredrik.

It's incredible, really!

And then finally we put the screws in here so that the base

of your skull is attached to your spine and controls the angle

of movement so that your vertebral artery doesn't get squeezed.

It's a pretty cool procedure.

I'll be a sort of cyborg.

Yeah. They explained that there's a very small risk of stroke,

but it will change your life, Tiago.

My life's not so bad. I've got used to it.

Really? Don't you want to do what your mates are doing?

Drive, go to uni, get a job?

Yeah, but like I said, I've got used to it.

They already know, but Mum and Dad can't get back till tonight,

after the op.

Do you want to talk it through with them before you sign?

So what is it?

I don't know. It's a major surgery.

There's a lot of people here in the same situation.

I don't care about them, they're old...

It's tough for everyone.

You don't know that! You can't unless you've been through it.

Without this op, Tiago, it'll be very hard for you to travel,

leave home, have an independent life.

I can't imagine living on my own.

You'll love it.

And if your mum is anything like mine,

you won't get rid of her that easily.

I've got this uncle in Rio who keeps asking me to go

and visit him, but...

..you know...I couldn't go.

Hey, you're joking? Brazil? Book two seats - I'm coming with you!

Will you be helping out - in the operation?

Would you like me to?

Yeah.

So it is cancer? It's not cancer?

Sean...

Come on, why else would you do a biopsy?

We don't know yet.

What about you? You're keeping very quiet.

Mr Levy's right.

Nothing's confirmed until we get the biopsy results.

Though there could be other diagnostic indicators.

Such as?

Stop hassling them! They're just doing their job.

Don't you want to know if I have cancer?

Sooner we know the better - I want the funeral of the century.

Black horses with those big feather things on their heads

and a gospel choir belting it out.

HE WHEEZES

What's the matter with her now?

I thought maybe you'd have gone.

How did you hear?

Bad news travels fast.

And you really had no sense that this might happen?

No!

What?

They kept asking me why you weren't on the ward

and I told them it must have been for a very good reason.

They know we share a house and they thought you might have told me.

If you were in theatre, there'll be a record.

You can tell them.

It wouldn't make any difference.

Why not?

They can't punish you for being called away on an emergency.

You-You were on an emergency, weren't you?

You were in the hospital?

No.

Then where were you?

I was helping a friend.

What friend?

-It doesn't matter.

-You don't have to tell me, but you have to tell them,

-you have to explain!

-No, Donna.

RINGING

Excuse me. I have to take this.

He doesn't understand the impact of what he says.

As far as he's concerned, he's just being honest.

And if the truth hurts well, that's too bad.

Is it the truth? You must have some idea.

Mr Levy is very...

..old-school. He's a "patience is a virtue" kind of guy.

There's no way we could find out any quicker?

Not from the biopsy.

But... I think we should go ahead and do some further investigation.

And will you?

I'm new here, and sometimes I find the...

..complacency among my colleagues disappointing.

Mr Levy's always been so kind.

He's a nice man, but I think we need to get to the

root of the problem as quickly as possible.

Do you know what? I need a smoke.

Can I ask, how do you cope dealing with Sean, day after day?

I mean, when he says things like, "I don't love you"?

He means not like he did before the accident.

And it's not the same.

But you stayed with him.

It's not easy to stop loving someone just because they can't love you.

That's the last occipital screw in place.

Can we have an X-ray, please? Check we're all lined up correctly.

Now, this is where your love of metal work will come in handy.

We need to change the curvature of the rod.

I'll do this one, you can do the other.

Don't like pre-bent rods - never get the right angle.

I want to nestle this up just below the inion

so I can have three connectors in place before the bend at C1.

Thanks for convincing Tiago to go ahead.

He'd never signed a consent form before.

Between you and me, it's better that Mum and Dad aren't here.

Dad was more nervous about the op than Tiago.

Tell me, Dr Ford, have you thought about working in...

Very good!

Yeah. Have you ever thought about working with us in neuro?

I'd be very happy to have you in my team.

Think about it.

A little bird told me congratulations are in order,

so I thought I'd bask in your reflected glory.

Bask away.

Hey, come here. I told you the best man would win.

-Thank you.

-Well done.

Don't mind me.

So are we going to celebrate after work?

Yeah, it depends on how the merger meeting goes.

Well, in that case, I'll definitely need a drink.

-Yeah.

-I'd better get back.

-All right. I'll see you later.

-See you in a bit.

BEEP

Must be yours.

It's probably my son, it's his birthday tomorrow.

That's sweet. How old is he?

Five.

So, how are you getting on with Sean Hagerty?

We took a biopsy from the bone mass in the femur.

OK, well, there's no point in checking now.

You need to wait at least 24 hours.

I'm not checking. I'm booking a full body scan.

-Before you've had the biopsy results?

-Yes.

That's not hospital procedure.

Well, it should be.

Ooh! You look like a man on a mission.

The registrar job - you said you'd support my application?

Absolutely. You decided to apply? That's great.

Where the hell were you?

I-I went to see Ric.

You were supposed to be on the ward!

Chevonne was fine when I left.

She's not fine now. She's been asking for you.

Chevonne?

Where's the ultrasound report? I couldn't find it anywhere.

Oh!

What is it?

What's it look like?

Er, free fluid...

That's what it is. We weren't looking for it before.

Could be enteritis?

I think it's her appendix.

We need to get her into theatre and check it out.

But the pain's on the wrong side.

She's pregnant, it changes everything.

There's nothing on the ultrasound.

She could be retrocecal. I'm going to do a laparoscopy.

What about the baby?

Well, what do you suggest? If it is her appendix and it ruptures...

Look, Donna, I know you're worried about this and about Ric, too,

-but we're going to get through this, all right?

-Hm-mm.

Right. I'll go and check if theatre's free.

Chevonne, don't worry.

We're going to take you into theatre and see what's going on, OK?

It won't hurt the baby, will it?

No.

Guess this is what it feels like to be in a coffin,

except the lining will be comfier.

Don't mind me - we musicians are a morbid lot.

Suppose it comes with the territory.

Can you keep quite still, please?

What are you doing?

I told you to wait until we had the biopsy results.

This is completely unnecessary.

I suspect that Mr Hagerty has ACC. Adenoid cystic carcinoma.

You suspect? Based on what?

That's incredibly rare - I've never even seen a case.

I know it's rare, but I've seen it, at close quarters, last year.

-So why didn't you tell me about it?

-Because I wasn't sure - I needed to do the scan.

-So you just thought, "Oh, I'll go over your head"?

-Look, ACC metastasizes quickly.

There. That's what I was looking for.

Lung lesions.

The case I saw - by the time it was diagnosed there was little

we could do - he had multiple metastases.

I still think we're jumping the gun a little.

You don't understand. This can be very aggressive.

The sooner we start treating him the better.

OK, I'll see what I can do to hurry things along.

But you've got to promise me you will not say a word to him

until we get a proper diagnosis.

It's definitely a retrocecal appendix. It's still intact.

But if we leave it and it ruptures, we're looking at peritonisis,

abscess formation, sepsis...

OK, point taken.

Sorry, Donna, but you really need to trust me on this one, yeah?

I do, but... we can all make mistakes.

Appendix pain is pretty severe. She didn't say?

No.

Don't feel bad.

If she didn't say anything, how you were meant to know?

Everything's shifted because of the pregnancy.

I want to keep away from the uterus.

Right, let's get this monster out.

Stapler, please.

Baby's showing signs of distress.

I won't be much longer.

Specimen bag, please?

Foetal heart rate's dropping.

Gotcha.

I promised her nothing would happen to the baby.

You can't promise, you know that.

But it won't if I can help it.

There are just two small growths on your left lung.

It explains why you've been so breathless.

One growth is obstructing the flow of air into your lungs.

So that's the source, in the lung? And it's spread to my leg?

The primary? Not sure.

So it might have started somewhere else?

It usually starts in the salivary glands.

I did check your neck earlier, but...

Well, I've had this feeling for a while now, like there's a lump when I swallow.

It doesn't hurt so I didn't think anything of it.

Will he need chemo?

If the biopsy confirms what I believe,

then this cancer does not respond well to chemotherapy.

There is another treatment that I'm looking into.

As long as it's not beetroot juice therapy. I hate beetroot.

Oh, just listen, Sean!

It's called stereotactic body radiation.

It was pioneered in Sweden but you can get it over here.

I've checked. If I'm right, this is a pretty aggressive cancer.

I know you'd prefer me to be truthful.

Baby's fine,

but you should have told me the pain was that bad.

I didn't want to make a fuss.

Come on, Donna, we're Heathview girls! You understand.

I could have lost the baby, couldn't I?

Yeah.

Look, I know Victor's fussing winds you up.

He doesn't get me.

It's how a lot of people show their love, Chevonne.

I don't know what to tell him.

Tell him the truth, that you needed time out.

And the next time you need time out, call me.

I will.

Did you send Sean Hagerty for more tests?

Bella, where's Sean?

No idea. He was here when I went to get a coffee.

After what you said, I wondered if I should leave him alone.

What did you say?

That the cancer had spread.

The cancer? Right.

He said he wanted the truth.

Bella, sorry, nothing has been confirmed yet.

-What?!

-Don't worry about it, it's fine. We'll find him.

OK?

Can I have a word, please?

What the hell were you thinking?!

What people want and what people need are not the same thing!

I need to be somewhere else.

Get security on to it and keep me posted.

They're having a quiet day here.

I was hoping to have someone to talk to, ask a few questions.

It's not completely hopeless, Sean.

You're a funny guy! There's something about you.

"Not completely hopeless." What does that even mean?

If I'm going to go, I just want to go.

I don't want to live my life on death row.

Is that how you see lifesaving treatment?

Don't be so touchy!

You know, for a second there you looked just like that other guy, the one with the poker up his...

My father.

You're kidding! You're not kidding?

Why didn't he say? That's weird.

You're the one who tells his wife he doesn't love her.

I fell out of a speeding car onto my head.

It's freezing in here.

OK - so this cancer will kill you.

That's more like it.

But with treatment you could have ten, even 20 years.

Can I put Bella through all that?

Ask her.

She'll say that she loves me. I just don't understand why.

Because it's not easy to stop loving people.

You keep on loving whether or not you're loved back.

I want to love her. I just can't.

Sean? Sean?

Sean?

Well, as you all know,

this has been a momentous week for Holby -

a week of intense negotiations.

Some things are still in a state of flux, but I don't feel

I can delay announcing the findings of the Trust,

partly because certain procedures need to be put in place straight away.

BEEPING

Now, you've all been very patient over the past weeks,

maintaining a professional standard of care

while working under this terrible cloud of uncertainty.

But finally, I have had a decision.

Holby Trust remains.

St Francis will merge with us.

Yes!

Could we spare a thought, though, for our colleagues at St Francis?

It's a hospital which has been at the heart of its community for many years.

So, new challenges ahead as we assume responsibility

for their patients, and indeed welcome many of their staff.

There's no doubt, however, that you have all contributed to the outcome

today and you should be very proud of yourselves.

He was in the mortuary.

The mortuary? What on earth was he doing there?

He has right frontal lobe damage from a car accident.

His behaviour can be very unpredictable.

Diathermy, please.

He was anxious to know if there was any hope,

if he had a future.

Mr Levy tells me we were able to locate the obstruction quickly

because you'd already made a diagnosis.

That's not yet confirmed.

Mr Levy's right. It was an educated guess.

Based on clinical experience.

Yes.

My patient in Sweden presented in a very similar way -

secondary growths on bone and lung.

Primary?

In his case it was the parotid gland.

ACC is very rare.

One of those things.

Credit where credit is due.

You're clocking up brownie points thick and fast I'll be sure to mention that in my reference.

Mr Johanssen has decided to apply for the registrar post.

Good.

I have an elective in 20 minutes can I leave you to it?

Sure. Thank you.

Well done again.

I know it was an accurate diagnosis in the end,

but I still can't approve of your process.

And I-I know I keep banging on about it but we work as a team here.

BEEPING

So what's your plan?

Tell me. There's got to be a way around this.

Donna, stop. Let's just be grateful that Holby's future is secure.

I'm not going to evade justice.

How is this justice? What about your future?

So that's it? You're just going to let them put you in jail?

Why won't you tell them where you were?

Why won't you tell me?

Is it so bad you can't tell me?

I hope you understand, I had no choice but to step in.

You saved his life! We're not complaining.

And we've decided to do the surgery and the stero-whatsit.

I'll try anything to make her happy.

Just keep Gwyneth Paltrow away from me.

You wish!

If we come back here for surgery, would you still be here?

He likes you, and that's very important.

I hope so. Yes.

He's... He's a very lucky man.

I don't know what you think, but I'm no saint.

Mr Johanssen, may I have a word?

I heard what happened today. Ms Karnik was very impressed.

There was some luck involved.

Nevertheless, her praise was quite emphatic, and it made me very...

Proud is the word I'm looking for.

I am curious, though - adenoid cystic carcinoma?

That's something I've never encountered in practice.

That's quite a leap you made.

It's what Nils died of.

Oh, I didn't know. I'm sorry.

I, um... I helped nurse him, when he was very sick.

I did a lot of research to see

if there was anything we could do to save him, but it was too late.

Well, he was very lucky to have you, wasn't he?

I want you to know how much I've enjoyed being here, working for you.

Ms Karnik has encouraged me to apply for the registrar post.

With her backing I think I stand a good chance.

Well, Fredrik, you can't, I'm afraid.

I've called a halt to all recruitments whilst we consolidate.

It's effective as of today.

I really am very sorry.

No, I... I gave up everything to be here.

I've lost Sara and Oskar and...

Well, let's hope you can repair your relationship with both of them

when you return home.

BEEPING

Not in the party mood?

What's there to celebrate?

Quite a lot. You saved Sean Hagerty's life today,

you made a pretty amazing diagnosis, and I've just written

a glowing recommendation for the registrar job.

There is no job. My father's just told me.

Holby have stopped recruiting from today.

I'm sorry. That's a shame.

After what I saw today, Holby would be lucky to have you.

You're sweet.

Sweet? It's true.

I should have known that. I've just been so distracted

and I just wanted to show you how appreciated you are here.

I meant professionally.

Of course.

A good day, Mr Copeland?

Yes, yes, you could say that.

I really didn't expect to win the junior-doctor prize,

and now that Holby's safe...

Yes, it has been.

Oh, um...

Actually, Mr Hanssen...

Um...

I just wanted to let you know that

I threw away my last full packet of "just in case" meds today.

I realised I don't need them.

I just wanted to let you know cos you've been

so supportive of me, and I'm really grateful.

Thank you.

Have a lovely evening.

So, what did they say when you told them?

You haven't told them yet?

Damon! Go on, there's no time like the present. Go now.

Go!

You are so like my mother sometimes, it's uncanny.

I bet you haven't done the washing up, either. Oh! Just go!

Any news on Ric?

He's been charged.

Medical manslaughter?

Have you had a chance to think about what I said earlier?

Er... I'm very flattered, but I'm not sure neuro's for me.

Dr Ford has shown an outstanding aptitude for cardio thoracic surgery.

He's a very valuable member of our team.

Actually, I may not be on either team.

I've been talking to Mr Nasidi at the Royal Infirmary.

Are you all right?

No, I'm not ill. He's offering me a chance to work with him.

Well done. He's a great surgeon.

Why am I the last person to know everything here?

We should do something together before I go.

Oh, that's a bad idea, Damon, unless you're into vintage cars

and live-action role-play.

Jac, why are you still here? I thought your nanny left at seven.

I'm paying her overtime.

We could catch a film?

Sure.

There's one by the Finnish director Kaurismaki if you're interested?

I love Kaurismaki!

Leningrad Cowboys Go America has to be my favourite film,

cracks me up!

CLASSICAL MUSIC PLAYS

KNOCK

Come in.

Ah, Fredrik.

TURNS OFF MUSIC

How can I help you, Fredrik?

Well..

You're the hero of the hour. Everybody's out celebrating.

Yes, well, I certainly don't feel heroic.

You're not the only person I shall have to disappoint.

But I am sorry about the way things turned out for you today.

I suppose it's out of your hands.

Indeed it is.

But it leaves me no choice but to go back to Sweden.

Insomnia, agitation, excitement...

..as close to being entirely eliminated.

Tannahillamyde can do this. It could be the breakthrough.

And there are no cardiac or pulmonary side effects.

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

..it... I...

..also need you...

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

I hope you can understand the position I am in,

my reputation in Sweden.

I need you to back me.

No.

The answer's still no, Fredrik.

So you will do nothing to help me?

Do I mean less to you than some stranger?

That is grossly unfair.

I'm being unfair?

Fredrik.

Commiserations about the junior-doctor prize.

If it's any consolation, I've heard great things about your paper.

Did you?

We have a saying in Italy...

I expect you do.

We can't all have your good fortune.

Sorry?

I haven't congratulated you yet

because I wasn't sure how many people knew about the baby.

I hope you don't mind Nina confiding in me.

It's just we've been working together quite closely

and she was anxious to...

Well, now, strictly speaking, Mr Griffin,

you should not be in this building.

I know. I just wanted to congratulate you in person.

Holby lives to fight another day.

Fight is an appropriate word.

I'm sorry that the merger's been so all-consuming.

I haven't really been able to give you the support you needed.

These are litigious times.

Well, we must be held accountable.

Yes, but it's not over yet,

and I shall be with you every step of the way.

I'm sure that you've got plenty of other more important things to do.

No.

Your trial is Holby's trial.

Holby's success is your success.

You shouldn't have to do this alone.

I shall be there.