We Need to Talk About Fredrik Holby City

Physical signs of psychomotor agitation indicating barely

repressed, depressive tendencies.

Psychiatrists - always leaping to a clinical observation.

The betrayal of a loved one.

What have you done, Fredrik?

It's Jac!

This family of yours, I'm not part of that.

-Please, no.

-But you aren't either.

He's shooting staff. He's actually targeting them.

Shots fired.

Oliver's been shot in the head.

Fredrik!

I'm here to end this.

Raf!

David, he, um, he didn't make it.

-ECHOING:

-Two people died

and several wounded in a shooting at Holby City Hospital last night...

Among the casualties was Surgical Registrar Raffaello Di Lucca, 41.

54-year-old David Hopkins also died...

At least two other hospital staff were critically wounded.

The shooter has been named as 26-year-old

Swedish national, Fredrik Johanssen, a former doctor at the hospital...

Motives remain unclear at this stage...

Surgical staff continue to work...

..just weeks after a former colleague went on a murderous rampage.

..Police investigation is ongoing but sources confirm no other people are expected to be charged...

-Funerals were held for Raffaello Di Luca...

-Questions still surround the future of Henrik Hanssen,

hospital CEO and father of the shooter,

despite the continued support of the Trust and senior colleagues...

I was wondering if you'd come.

I beg your pardon?

I said I was wondering if you'd come.

We have unfinished business.

As much as I've come to enjoy our occasional jousts, it's just a game.

It can wait.

No, I don't like loose ends.

I can't imagine what these last three weeks must have

been like for you...

Irrelevant. What matters is the hospital and my staff.

You're still working?

Of course.

Someone had to assert authority.

Take...

Responsibility?

Bring order to the chaos.

And is there now "order" at the hospital?

Well, there's still a great deal to do.

And yet you're here. Why?

What happened today that brought you here to...play chess?

CLOCK CLICKS

Three new surgeons began work this morning...

"What type of suture would you use to secure

"apposition of edges of a surgical or traumatic wound?"

-How do I look?

-Perfect.

You didn't even look.

I don't have to. You always look perfect.

It's your superpower.

My superpower is to apply complimentary make-up?

Your superpower is the ability to melt hearts and befuddle minds

with nothing more than a dimpled smile and batting of an eyelash.

Do I get a shield and bracelets?

-No.

-Worst superpower ever.

-How do I look?

-Like you drank too much last night.

Correction. I drank exactly as much as required last night.

Required to achieve what?

A mild state of euphoria, decreased anxiety, lowered social inhibitions

while avoiding ataxia, bouts of emesis and lapses in consciousness.

You managed not to fall down in a puddle of your own vomit?

It's a delicate balance. You didn't answer my question.

What question?

What type of suture would you use to secure

apposition of the edges of a surgical or traumatic wound?

Thought it was rhetorical.

I don't think they're going to spot test us on our first day.

-Meena...

-Something which allows perfect eversion

and vertical opposition

of the superficial skin edges, such as a vertical mattress suture.

Not just a pretty face, huh?

Scared?

Terrified.

You ready?

Ready.

-Do you think he'll be here?

-Who?

Hanssen.

Sure. Why not?

Um...maybe because his son killed someone and shot several others.

How do you get past something like that?

Who says he's "past" it?

I guess he'll just want to get things back to

normal as soon as poss...

Normal, you say?

KNOCK ON DOOR

ICP is 15. Brain function appears nominal on EEG.

For the first time we have positive indicators for potential recovery.

I want to wake him up. Today.

Who?

Oliver Valentine.

I see.

I just need your permission to move him from ITU to Keller.

What does John think of your plan?

What Professor John Gaskell thinks is irrelevant.

Mr Valentine is my patient.

Nobody is disputing that.

OK. Good.

Right. Well, I'll inform ITU of the transfer.

Thank you.

When it's time, will you come?

I am required on AAU. But keep me informed, please.

Of course.

Roxanna, I've had a note from HR telling me that you haven't

taken up the counselling sessions the hospital offered you.

I went last night.

You did?

Wanted to wait until after David's funeral.

Of course.

Look, if you need some time...

I'll take time when you do.

We both need to keep busy, Henrik.

David would understand that more than anyone.

The counselling?

Did it help?

Has it helped you?

PHONE RINGS

Hanssen.

I'll be right there.

Newbie scoop?

-Yep.

-Detained by security?

Fletch's Fascists strike again.

Bit harsh. These things take time to settle in.

I'm grateful for the added protection, really I am,

but this is getting out of hand.

Relatives being turned away. Patients being frisked.

It does seem to be causing more problems than it's solving.

I know why Fletch is acting the way he is.

What I don't get is why Hanssen's letting him do it...

Because Mr Fletcher has assumed responsibility for patient

safety and staff security.

It is not a responsibility Mr Fletcher relishes,

but it's one that he takes seriously and so should we.

Right. Let's go and collect our new colleagues...

-Get your hands off her!

-Really, this is so unnecessary...

You touch her with that wand and I'll shove it so far up your...

That's enough!

Mr Hanssen, they took my...

Are you quite finished?

There are new security protocols in place.

You will get used to them.

Meena Chowdhury?

Your first rotation is general surgery on Keller.

Your consultant is Mr Levy.

He's on leave, so you will report to Mr Copeland.

Nurse Chiltern here will show you around.

Nicole McKendrick?

Nicky. Please.

No-one calls me Nicole, except my step-brother

and he's a wind-up mer...

You will be on acute admissions. Nurse Jackson will show you around.

And my consultant?

You will answer to me.

It'll be an honour, sir. I've always wanted...

They say first impressions count.

They say that it takes as little as one-tenth of a second for us

to meet someone and make a judgment.

Mr Hanssen, what happened here at reception, that was

completely my fault.

I was belligerent and I escalated a situation that could easily

-HER VOICE FADES:

-..have resolved itself...

Hang on. That's not fair. "Mainly" your fault, perhaps...

You are here to observe, to listen and to obey.

You will not treat, diagnose,

or otherwise interfere with any patients.

You will not attempt any displays of unearned or uninvited initiative.

And you will speak only when you're spoken to.

Break any of these rules and I will send you back to the Deanery,

where you will immediately be reassigned to another hospital.

Understood?

Yeah.

-JERRY:

-Wow. That certainly told them...

-You disapprove?

On the contrary. I think it's a marvellous management technique.

Give the new kids on the block an arbitrary set of rules

both contradictory and impossible.

Sisyphus would be proud.

Where's the contradiction?

Rules that are almost impossible not to break.

And, yet, by not breaking them, they prove themselves

unequal to the task of becoming the kind of surgeon they need to be.

After all, what is a surgeon without initiative?

A surgeon who learns to walk before they run.

Who doesn't race headlong into mistakes. One that I can protect.

Protect? From what?

Themselves.

CLOCK CLICKS

Who was the other one?

You said there were three new surgeons started work this morning.

Who was the third?

SIREN WAILS

Well, that's not very mature, is it?

You know what they say about doctors making the worst patients.

You know what they say about nurses being patronising bores.

Imaging indicates you've got pulmonary function deficit,

so today you will undergo a transoesophageal echocardiogram...

-Those scans don't indicate anything, they're inconclusive...

-..if necessary corrective surgery.

If you think I'm letting some two-bit hack come near me with a scalpel...

-..by a surgeon assigned by Mr Hanssen...

-Over my dead body.

-What do you think we're worried about,

-you numpty?

-"Numpty"? That's a new one...

SHE COUGHS

All right.

It's all right.

Why do you do this? Why do you put up with this?

It's my job as Director of Patronising Bores.

Besides, nobody else will do it - you've scared everyone else away.

But not you.

Not yet.

Who?

What?

You said Hanssen had assigned a surgeon. Who?

Are you Mr Fletcher?

Yes, and you are?

-There's a goon.

-It's OK. She's with me.

Sorry, they should have had your pass downstairs.

I'll find out what happened.

But, Jac, I'd like to introduce you to...

Petrenko.

Miss Naylor.

-You know each other?

-What are you doing here?

You haven't told her?

Oh, dear God, no...

Today, Miss Naylor, I will be playing the part of your surgeon.

It must have been difficult. The merger...

starting at a new hospital only to move again?

I always wanted to come to Holby. To work with Mr Hanssen.

They say you should never meet your heroes.

Just give it time. It's difficult circumstances.

Right.

Our new F1... Dr Nicole McKendrick, Dr Morven Digby.

Hi. It's Nicky.

No-one calls me Nicole except my step brother.

OK. This is Trinity Mathews, 30.

Mrs Mathews has been referred to us

after an RTI with facial lacerations.

Have you removed glass from a wound before?

I have, but...

Hanssen has benched both the new F1s. Observe only.

Thomas, honey? Don't do that.

Thomas!

His father should be here soon.

Great.

Would you mind observing him for a bit, please?

Just keep him out of my hair?

I'm not really good with kids.

Just while I patch her up.

OK.

Fab.

I'm sorry if Mr Hanssen was a little harsh.

It might not seem it right now but he's very protective of his staff.

Especially the juniors.

It's fine. I'm happy to sit back and observe.

Nicky, however...

The hare to your tortoise?

Let's just say I'm fine taking things slowly.

Nurse Chiltern, can I get a hand, please?

Bring her.

Name?

What?

Never mind. Tell me what you see?

A naked behind?

Yes, well done. You're going to have to try a little harder than that.

You're in the process of inserting a flatus tube,

probably to alleviate a subacute volvulus.

Right, I've inserted the sigmoidoscope to approximately

15cms but Mr Greening's volvulus is actually slightly higher

so I am going to need you to insert the flatus to just past the twist.

I'd love to. But I can't.

-What?

-Hanssen's orders. Observation only.

OK, well, we have neither the time or staff for "observation only",

so pinny on.

Mr Hanssen was pretty firm about it.

Right, Mr Greening, we're about to insert the second tube.

Inserting...

HE BREAKS WIND

OK, that's my cue..

Right, removing the sigmoidoscope...being careful

not to dislodge the flatus and the collection bag.

Collection bag? Wait. What?

SQUELCHY FLATULENCE

Oh!

Er... I'll get a wash basin.

Maybe two.

Are you all right in there?

Won't be long.

WHIRRING

Right. Start again.

-So, you used to work here?

-Yeah.

-In CT?

-No.

That came later.

When you went to St Francis?

Yeah.

It's just...

if you used to work here and then changed specialities

and had to retrain in CT - why choose St Francis and not Holby?

Memories.

Memories?

Yes.

Bad ones?

Not all. Some.

Do you have Miss Naylor's X-rays?

I do. So, has this place changed much?

There are guards at the front door.

When did that become someone's idea of good hospital policy?

When someone killed my best friend

and tried to kill several other people that I care about.

Of course. I'm sorry.

It's just, where I come from, men in uniforms

asking for identifications...

Oliver Valentine.

Is he...?

Stable. Improving.

They're going to try and bring him out of his coma today.

That's good to hear.

So, Ollie... was he one of those memories?

Miss Naylor, your spinal inflammation has begun to recede

but your chest X-ray confirms build up of fluid...

Welcome to this episode of Stuff We Knew Already.

My legs are aching just sitting here.

Your mobility is supposed to return once you

resume your physiotherapy sessions, but first we need to fix your chest.

It could be a simple effusion

but from the range of symptoms, I suspect it's something more serious.

So I will be performing a TOE...

No. You won't.

The last I heard, you were wiping third world kids'

snotty noses, not becoming a highly trained expert in complex

cardiothoracic procedures.

I don't know what Hanssen's thinking and I don't care -

you're not coming anywhere near me.

-Please give it to me.

-No!

Thomas, come on!

Dr McKendrick. Who is this child

and why is he carrying an expensive hospital-issue tablet?

This is Thomas.

He's carrying the tablet because I was trying to distract him

with it and now he won't give it back.

Dad!

All right, mate? What's wrong?

What did you do?

You must be looking for Trinity Mathews?

Yes. We were...

She was in an accident?

I'll take you to her.

How's Essie? She still staying with Sacha?

She was meant to go back to Raf's after the funeral but...

I need the obs on bed four, please,

Done. When's Sacha back?

Don't know. Why? What does that matter?

Because you haven't had a day off in three weeks.

You need time to stop and assess what happened.

I know what's happened. We move on. We get to. Others don't.

-Where's that F1?

-Here.

Right. Good. What was your name?

Meena Chowdhury.

Did you re-do your make-up?

Yes...

OK. Right, bed five needs a catheter.

I need the patient notes for six and seven as well as the transfer information.

Once you've done that, can you prepare

the notes for the clinical rounds and chase up haematology for me?

Questions?

-No.

-OK.

He doesn't like me?

Come on. I'll help you with the catheter.

Mr Sonley can be a bit tricky.

You need to talk to her.

I've tried. It didn't work.

Try harder. You must know what she's like.

I know exactly what she's like.

And you're just giving up?

No.

I can't force her to accept treatment.

But I might know somebody who can.

Oh... She's going on the lam.

-What are you doing?

-What's it look like?

-I need the loo.

-I'll get you a bed pan.

No, not in front of Darwin Ward again.

In this lifetime or the next.

OK, well, then, let me help you.

I am fine.

Do you know what?

You are the most stubborn, insufferable,

pig-headed woman I have ever met.

There are mules that are more open to reason than you.

There are peacocks with less pride than you.

There's even Cocker Spaniels with more common sense than you.

You are infuriating, you are feckless and,

you are completely and utterly off your rocker!

Well, I love you too, Fletcher.

Dave? Chair, please. Come on.

Is that King's Hospital in Lahore?

It's not that he doesn't like you.

It's complicated. He's complicated.

Are you and Mr Copeland...?

What?

Together?

No. Well, yes...

Sometimes. I think.

But not now.

I think.

I hope it works out for the two of you.

You don't seem complicated at all. Maybe exactly what he needs?

I'm sorry. I shouldn't have said...

The police found a list of names.

Targets.

And Mr Copeland was...

I don't... I can't imagine what knowing that must feel like.

I don't think anyone can.

Hey, sorry to interrupt

but Mrs McMillan's just about to bring him out.

Bring who out of what?

Mr Valentine. They're going to bring him out of his coma.

I've got it.

No. My bad...

HE VOMITS

Oh!

Oh, dear.

WHIRRING

It's going great, Dad. Everyone's just lovely.

Couldn't be going better!

WHIRRING STOPS

WHIRRING STARTS

Where have you been?

I went to the ED. I thought... they said you were here.

Trin... I'm so sorry.

It's not as bad as it looks.

I'll be fixed up in no time.

Not if you keep talking so much.

Where's Thomas?

He's in the office. If you could just let Dr Digby do her job.

Trin... The police...

The police. Did they talk to you?

No, not yet. It was an accident, Zach.

-It'll be fine.

-SHE WINCES

What are you doing? You're hurting her!

OK, I need you to calm down. Why don't you come with me?

I'm not going anywhere!

Dr McKendrick, there appears to be a child in my office.

-That's me. I...

-Remove him. Immediately.

What is your problem, eh?

This is not a creche. And kindly keep your voice down.

-Who do you think...

-Mr Mathews, I think...

Get off!

SUSTAINED RINGING

-JERRY:

-How did that make you feel?

Feel?

I don't understand the question.

You had gone out of your way to make this new F1 passive,

to remove any sense of agency or freewill from her.

"To protect them from themselves".

To keep her out of the firing line, in fact.

Yet, here she is, lying at your feet. Injured. Vulnerable.

I'm interested to know how that made you feel.

I called security

and had the assailant ejected from the building as per hospital policy.

That's not what I asked.

But, you know...

PENCIL CLACKS ON TABLE

Whatever.

SHE COUGHS

DOOR OPENS

SHE COUGHS

You need help.

No. I'm fine.

You have pressure in your chest. Syncope, palpitations, dyspnoea.

A worsening cough.

This is fluid in the pericardium. You are not "fine".

You think it's pericardial effusion.

I know it's pericardial effusion and so do you.

But we still have to do TOE to make sure.

What are you doing here, Petrenko?

Mr Hope asked me.

Elliot?

Mr Hanssen was worried that you are not acknowledging

a secondary complication,

so he got in touch with Mr Hope.

Elliot looked at your notes and called me.

Why?

You know.

Your experience with TB.

Well, you can tell Elliot thanks but no, thanks.

I can find my own solutions.

Tell him yourself. He's right here waiting to Facetime with you.

No.

Why?

You don't want him to see you like this? Weak. Vulnerable.

I don't want anyone to see me like this.

Not Elliot, not Emma. No-one.

Then let me help you.

One condition...

-There you go.

-It's fine, really, I'm OK. It was an accident.

You keep saying that, but as long as you're sure.

Mrs Mathews had bruising from the top left to

the bottom right of her chest.

The lacerations are on the left side of her face.

Imagine you're driving a car. Either she was driving

-a left-hand drive car, or she wasn't driving...

-At all.

You knew? Why didn't you say anything?

We're not police. No-one else was involved, so...

There was someone involved.

The person who was actually driving the car. Mr Mathews.

But he hasn't got any injuries.

No visible injuries. But what about internal ones?

Another impromptu visit, John?

Anyone would think you were keeping an eye on me.

Peritonitis. Appendectomy.

Anyone would think you weren't one of the world's foremost

hepatobiliary surgeons.

AAU is where the hospital needs me now.

Is it?

Ms Naylor? Are you keeping an eye on her too?

All I did was patch her up, hand her over

to our exemplary CT team.

They tell me she's doing well. Ms Naylor is not my patient.

-Nor am I.

-KNOCK ON DOOR

Sorry. Mr Hanssen, Ms MacMillan has just called to say they're

reducing Mr Valentine's sedatives now.

Right, thank you. Would you like to attend?

I think I'll check on him later.

You're not going?

John, the hospital as part of its pastoral care is offering

counselling to those who were involved in the incident

-three weeks ago.

-Excellent idea.

The offer is open to your good self.

That won't be necessary. I wasn't shot at.

Hurt. I just did what I could to help.

KNOCK ON DOOR

Nicky has a convincing theory that Zachary Mathews was

actually in the car accident that injured his wife

and is suffering from an undiagnosed head injury.

Based on what?

Observations. Mr Mathews was unable to carry his son's weight.

This could be a sign of hemiparesis.

I also witnessed him slurring his speech slightly,

he held his head as if in pain and I don't believe he meant to strike me.

It was an involuntary action.

An exaggerated reflex response? What makes you think this?

When I approached him, I should have been clear in his peripheral vision.

But it was only when I touched him that he realised that I was there.

That's when he struck out.

You made all these observations

but you didn't think to mention it sooner?

Right, I should examine this man immediately. Come.

Security, please.

So why now?

Oliver's intracranial pressure has stabilised over the last few days.

His EEG shows distinct bursts of synchronous activity with

evidence of modulation by external stimuli.

Good signs?

Hopeful signs.

Do you think he's going to be OK?

There's no way of knowing.

So?

We wait.

Haven't you got better things to be doing, Dr Chowdhury?

-I...

-Have you done everything I asked you to?

-Yes.

So you prepared all the notes for the clinical rounds?

Yes. Well, I didn't.

Nurse Chiltern did the notes while I...

So you got someone else to do your job for you?

-I offered.

-Of course you did.

OK, well, seeing as you're free, if you'd like to go to the

-pharmacy for some discharge medications?

-Um, OK...

Is there a problem with that?

No. It's just I'm an F1 not an HCA.

OK, and Nurse Chiltern's not an F1,

but seeing as we're job-sharing today. Excuse me.

I just want to say I think it's brilliant you've found a compromise.

But I have one tiny question.

Why is she still conscious?!

So that she can keep an eye on me.

I need you to be still now.

You're biting down on the scope.

I see it. Stop biting.

3mls midazolam, please.

Jac, no, no. Don't pull the scope.

Night, night, Miss Naylor.

Impossible woman.

OK. We need to operate. ASAP.

I'm telling you this is unnecessary. I was never driving...

Mr Mathews, I really couldn't care less

about your culpability or otherwise in this situation.

But it appears to me that Dr McKendrick here has acute powers

of observation, so, if you would kindly follow the line of my finger.

Is that Professor Gaskell?

Yeah.

Cranial nerve examination?

-Yeah.

-Awesome.

Yeah. How's Keller?

Great. Fantastic. Keeping busy, you know. How about you?

Nurse Jackson.

He has superior quadrantanopia.

He needs an immediate head CT.

I will need a theatre booked, ASAP,

for when he's diagnosed with the arachnoid cyst

which is almost certainly expanding due to haemorrhage.

Congratulations, Dr McKendrick. You can scrub in.

You're scrubbing in with Professor Gaskell?!

McKendrick!

MONITOR BEEPS STEADILY

HE GASPS

MONITOR BEEPS RAPIDLY

Help!

-What's happening?

-He just started fitting.

4mgs I/V lorazepam and levetiracetam, one gram.

-What's happening to him?

-Seizure. He's just...not ready.

You know how to do an endotracheal tube?

Yes.

Do it. We need to protect his airway.

-Dr Chowdhury?

-Maybe...?

I'll show you.

Restart his propofol infusion.

RAPID BEEPING STOPS

STEADY BEEPING RESUMES

He just wasn't ready, Dom. That's all it means.

No more, no less.

Why did you stop?

You waited for someone to jump in.

And Lofty did as Lofty does. Why did you wait?

Mr Hanssen said...

Don't use him as a crutch.

Your first instinct cannot be to shirk all responsibility.

You've got to be better than that.

You've got to be better than that.

It's not your fault.

What?

What happened to Mr Valentine. What happened at this hospital...

Lofty told me about the list the police found.

I can't imagine what that must be like for you

but you can't blame yourself.

Get out.

What?

You're done for the day. Go get changed.

I don't understand...

No. You don't.

Go.

Oh, and Dr Chowdhury?

You're make-up is smudged.

I'm only telling you that because you seem like

the kind of person to whom that would be important.

He wasn't ready.

Right, I understand.

Your new F1 - Dr Chowdhury. She was there when it happened.

Henrik?

Er... Right. Keep me informed of Mr Valentine's status, please.

What happened to your arm?

My arm?

Nothing. Just a silly accident.

I'm liking the idea of these new kids you've got.

-Strong, independent...

-Flawed.

It is the nature of the young to be flawed.

They need to be led.

I saw a video the other day.

Apparently it's gone "viral".

There was a line of eight baby ducks. On a bridge.

With their mother.

Or father?

Perhaps.

Anyway...the parent suddenly leaps off the bridge into the unknown.

An apparent act of wanton abandonment.

The video goes on to feature all the baby ducks, one by one,

hurling themselves off this bridge.

You can't see what they face.

You don't know the outcome of that choice.

They just leap blindly into the abyss.

To an uncertain fate.

Judging by the comments, I think we're supposed to find

the video humorous.

It was supposed to be "cute".

I found it horrific.

CLOCK CLICKS

Check.

Meena's in bits. What are you doing?

I could ask you the same thing.

You told her about Fredrik's list. Why would you do that?

-I was trying to explain...

-Explain what?

Why you're behaving so coldly. Why you're so tense and torn up.

You don't get to do that, Lofty.

You don't get to explain me, to justify me.

I'm beginning to understand that.

Right.

Meena didn't deserve the way you spoke to her.

She's using you, Lofty. To hide behind.

To cover for her failings.

-How do you know that?

-Because I recognise it.

-And I can't?

-No.

-Why not?

-Because you're naive. That's why she gets to use you.

That's what people do to you.

Poor, sweet, lovable, innocent, naive Lofty.

I didn't mean that.

I think you did.

If you can recognise her failings, why don't you do something to help?

Help her do what?

Become better.

Or is that just naive?

Is it true you saved Ms Naylor's life the night of the shooting?

Yes, with Mr Levy's help.

The procedure was experimental?

Unorthodox, but then the circumstances were unorthodox.

Of course.

It must have been terrifying.

Probably.

I can't believe somebody could be so evil.

You believe in something as binary as good and evil?

Well...I guess. You don't?

I think the human condition is a bit more complicated than that.

A man is defined by the choices he makes over years.

Decades. One choice begets another. Eventually there's an outcome.

It could be malign, it could be benign.

But it's definitely more complicated,

more sophisticated even, than good and evil.

-But...

-I think we're done here.

Did I say something out of turn?

No, no. I'm just finished.

You may leave.

Dr McKendrick?

You saved this man's life.

You should be proud.

You make it look effortless.

I'm sorry?

The make-up. Your "thing". You make it look effortless.

It's not, though, is it?

-No.

-It's quite the art form.

Yes.

It's all part of the package, though.

It's what makes Meena Chowdhury greater than the sum of all

her parts.

Makes people like you. Makes people want to help you.

It also means it makes people not expect that much of you.

It's my superpower.

And are you happy with that?

Could use a shield and bracelets.

How did you know?

That I doubt myself.

You just remind me of someone.

While I am your mentor, I will expect things of you, Dr Chowdhury.

And when you give them to me, I will then expect more from you.

Is that understood?

Yes.

Well, you can begin by taking this down to AAU

and giving it to Mr Hanssen.

It's Oliver Valentine's blood chemistry.

Thank you.

You're back.

What happened?

Well, there's the long story or the...

Petrenko! She put me under.

She did more than that.

-She operated on me?

-She had to.

-Without consent?

-She saved your life.

Don't be ridiculous. There was nothing on the TOE to...

You were tamponading.

The right ventricle wasn't collapsing

and the right atrium was filling well...

Whatever. It's done now.

The operation was a complete success.

The pericardial effusion is fixed

and you will begin to feel better almost immediately.

OK. Thank you.

Miss Naylor, there's something I wanted to talk to you...

-Now I want you to get the hell off my ward.

-What?

You operated without gaining my consent.

I thank you for not killing me,

but I can't overlook such a flagrant disregard for procedure.

Adios.

It's been emotional.

Ms Petrenko? Frieda?

PHONE RINGS

Mr Fletcher?

I think you need to get up here.

Why? Is Ms Naylor...

Operation went fine. But there's a problem with Jac and Petrenko.

So you need to get up here.

All right, well, I understand. Thank you for keeping me informed.

You can't just ignore...

PERSISTENT RINGING

ECHOING FOOTSTEPS

ECHOING BANGING

BANGING

GUNSHOT

GUNSHOTS

GUNSHOTS CONTINUE

Bang!

Bang!

-Bang!

-Thomas!

-Control him.

Bang. Bang. Bang.

Control your son!

-JERRY:

-It was the child?

A child.

Wilful. Lacking boundaries. Control.

You couldn't control him, Henrik.

A child with ADHD. Shocked from being in a car accident,

seeing his mother injured and his father walk away...

Avoid responsibility.

Your arm, Henrik. What happened to your arm?

It's you.

It's you from the telly.

He's the one from the news.

We're so sorry.

For what?

Your loss.

My...?

Is it so hard to accept?

Accept what?

The compassion of others.

It's what makes us human.

GLASS SHATTERS

Mr Hanssen... ?

-My apologies for the slight fracas.

-Your arm.

-A clumsy accident.

-I'll get some help.

No. That won't be necessary.

Mosquito clips and a suture pack...

No. It's just a small cut. You may return to your duties.

Right now you are "our duties".

Right, well, what type of suture would you use to secure

apposition of the edges of a traumatic wound?

-BOTH:

-Something which allows perfect eversion and vertical opposition

of the superficial skin edges such as a vertical mattress suture.

Mr Hanssen, I'm going to clip your ulnar artery.

The damage doesn't look too bad...

Start stitching.

You're leaving? You don't seem like the type who quits easily.

I'm also the type who doesn't make commitments easily.

You're a good doctor, Frieda. We need good surgeons.

We've lost so much.

We're hanging by a thread here.

I'm sorry. That's...that's unfair.

I shouldn't put that on you.

Thank you for saving her.

Oliver Valentine?

They had to put him back under. But he's fighting.

Hey.

I was just on the phone to Essie.

She OK?

No, not really.

I'm sorry.

You were right. About everything.

I have been being cold and distant and I have been pushing you away.

-Dom...

-No, let me finish.

I'm going to take Hanssen up on his offer for counselling.

I think it's about time I unpacked some of this stuff I've been

carrying around with me.

That's good. That's really great, Dom. I'm pleased for you.

Now. About us...

There is no "us", Dom.

There never has been, has there?

I mean, it's always been fits and starts.

And maybe we just need to accept that's the way it is.

I don't want to accept that.

Every time we've got close, something terrible seems to happen.

Maybe it's the universe telling us it's the way it is.

We need to listen.

I went to St Francis because there are...

ghosts here I wanted to avoid.

Mr Hope wanted me to train here... with you.

He thought we could use one other. Learn from each other.

I don't know, maybe that's ridiculous.

But that's what I wanted to tell you before you sacked me.

I have some time off. I'm thinking I won't return.

But I can't ignore what Elliot asked.

So, I will return if you agree to train me.

Ball's in your court, Naylor.

What are you doing?

Cloud watching. Seeing shapes and paintings in the sky.

Hangover's back?

With a vengeance.

Funny old day.

Yeah.

I heard Freaky Frieda's here. On Darwin.

Really? I always liked Frieda.

It's going to be OK, right?

We're going to be OK?

Yeah. We are.

Oi! Newbies. We're going for a drink.

Digby insists.

And Digby's paying. Come on.

Well, it'd be rude not to, really.

What happened to your arm?

Accident.

Been a few of those recently. Mishaps.

Mr Fletcher, the hospital is offering...

Counselling. Yeah, I know. I've already been.

Has it helped?

The bloke told me it was all right to be angry.

That it's OK to want to blame someone.

He said it was all right to feel that losing people you loved

deserved some form of retribution.

But I already know all of that.

I know every single time one of my kids tells me

how much they miss Raf...

..so I don't need some stuffed shirt telling me what I already know.

I just need a way to channel that anger.

I've just signed off on the next stage of your security operation.

Knife arch? Corridor lockdown?

Yes. All of it.

Good.

Tell me something. Have you been for counselling yet?

Can't say I blame you.

I mean, what would be the point?

Damage has already been done, right?

Do you think he's right?

Do you think there's no point?

I'm not really sure I have anything worthwhile to speak with

a counsellor about.

You can't believe that.

I thought you'd be coming here today.

Did you? Why?

You know why.

You've been talking for some time.

You haven't even mentioned him. Not once.

You haven't even said his name.

I'm afraid my time is up.

Henrik. Please...

Goodbye, Jerry. And good luck.

I hope you get the treatment you need.

I don't think we'll meet now for some time.

We need to talk about Fredrik.

You need to speak about your son.