Parasite

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0:00:02 > 0:00:05- I didn't know you worked at Holby. - Yeah.- My mum's Berenice Wolfe.

0:00:09 > 0:00:12- For bravery.- Thank you.

0:00:12 > 0:00:15I was hoping to find a candidate to help me with collating research.

0:00:15 > 0:00:18Jasmine, you're about to embark on

0:00:18 > 0:00:21a very tough and demanding journey with me.

0:00:21 > 0:00:23It was...close.

0:00:27 > 0:00:28Did I just hear you right?

0:00:28 > 0:00:31- Maybe my ears are a little bit wonky, but...- Yes.

0:00:32 > 0:00:34You did.

0:01:15 > 0:01:17POUNDING HEARTBEAT

0:01:28 > 0:01:29SHE SIGHS

0:01:29 > 0:01:31Bad news?

0:01:31 > 0:01:33AAU. Patient's collapsed on the way in.

0:01:33 > 0:01:34To what do I owe the pleasure?

0:01:34 > 0:01:37Oh, the pleasure is all yours, I can assure you.

0:01:37 > 0:01:39I was hoping to catch the new locum before he started.

0:01:39 > 0:01:41He's late. I don't like him already.

0:01:41 > 0:01:45Well, I'm sure there's a perfectly reasonable explanation.

0:01:45 > 0:01:47I'm sure there is. I still don't want to hear it.

0:01:47 > 0:01:49I wanted to give him a warm welcome

0:01:49 > 0:01:52before you give him the inevitable cold one.

0:01:52 > 0:01:54He's late for his first shift. Do you want me to put a balloon out?

0:01:54 > 0:01:57Well, Jac, perhaps if you would've helped sort through the CVs...

0:01:57 > 0:01:59You're the CEO, it's your choice.

0:01:59 > 0:02:03Then you'll just have to hope that I picked a suitable candidate.

0:02:03 > 0:02:06The agency has informed me that Mr Rossini

0:02:06 > 0:02:08has a certain presence about him.

0:02:08 > 0:02:11Well, his presence seems to be the one thing I'm missing.

0:02:11 > 0:02:15- Jac...- Look, he's going to have to do a lot to impress me after this.

0:02:19 > 0:02:21Oh! I think I'm actually dying.

0:02:21 > 0:02:25Please, be more dramatic, patients in Oncology can't quite hear you(!)

0:02:25 > 0:02:27Why don't you feel as bad as I do?

0:02:27 > 0:02:30- Because I can handle my drink. - No, you can't.

0:02:30 > 0:02:33- I switched to water halfway through the night.- Oh!

0:02:33 > 0:02:37I'm not sure vomiting on a patient in front of a live audience

0:02:37 > 0:02:39is going to do anything for my funding prospects.

0:02:39 > 0:02:42- Oh, the live stream.- Yeah. Come on.

0:02:42 > 0:02:45No! No, two more minutes. Two more minutes.

0:02:51 > 0:02:53You're supposed to be unconscious.

0:02:53 > 0:02:56Do you two know what unconscious means?

0:02:56 > 0:02:58I'll be your consultant. My name's Ja...

0:02:58 > 0:03:00Jac Naylor. Yes, I know who you are.

0:03:00 > 0:03:01Well, someone's done their homework.

0:03:01 > 0:03:04I've always wanted to meet a heart surgeon.

0:03:04 > 0:03:07I wouldn't exactly say it's your lucky day.

0:03:07 > 0:03:09Right, let's get her admitted and taken up to Darwin, please.

0:03:20 > 0:03:23- You in a hurry?- Oh, well, you know me, like to lead by example.

0:03:23 > 0:03:24Well, we're half an hour early.

0:03:24 > 0:03:26Well, as my mother used to say,

0:03:26 > 0:03:28punctuality is the art of waiting for the careless.

0:03:28 > 0:03:29I see.

0:03:29 > 0:03:31No. Bernie...?

0:03:31 > 0:03:36It only takes one monkey for the jungle drums to start beating here.

0:03:36 > 0:03:37Yeah, I remember.

0:03:37 > 0:03:39Let's enjoy the peace while we can.

0:03:41 > 0:03:44I tell you what, if tongues do start wagging around here,

0:03:44 > 0:03:45it won't be because of us.

0:03:50 > 0:03:52HORSE WHINNIES

0:03:54 > 0:03:56Easy.

0:03:56 > 0:03:58- Oh!- All right?

0:03:58 > 0:03:59She fell from the horse.

0:03:59 > 0:04:01- What's your name, love?- Jenny.

0:04:01 > 0:04:03Well, Jenny, it looks like you've had a bit of a bump,

0:04:03 > 0:04:05so we'll get you inside and checked over, OK?

0:04:05 > 0:04:07My horse, is he OK?

0:04:07 > 0:04:09Don't worry, we'll get him taken care of. I'll get a wheelchair.

0:04:09 > 0:04:11I just don't know what happened.

0:04:11 > 0:04:13- Excuse me?- Hello.- That's a horse.

0:04:13 > 0:04:16Encouraging to see the doctors here have such a keen eye for detail.

0:04:16 > 0:04:19You've risked exacerbating her injuries.

0:04:19 > 0:04:21I cleared her neck at the scene.

0:04:21 > 0:04:23Well, I'm sure you're very proud of your first-aid certificate,

0:04:23 > 0:04:26but we can take care of it now. Please sort out your horse.

0:04:26 > 0:04:27Jenny Osborne, 62.

0:04:27 > 0:04:30Fell from a moving horse roughly 20 minutes ago.

0:04:30 > 0:04:32Briefly KO'd, GCS 15.

0:04:32 > 0:04:34BP 120/80, pulse 70.

0:04:34 > 0:04:36And it is not my horse.

0:04:36 > 0:04:39We've got it from here, thank you very much. Er...

0:04:39 > 0:04:42Matteo. Matteo Rossini.

0:04:43 > 0:04:46Now, could one of you point me in the direction of Darwin ward?

0:04:46 > 0:04:48I believe I'm late for my first day.

0:04:50 > 0:04:53Yes, Mr Griffin, I'm sure he's here somewhere.

0:04:59 > 0:05:00Busted.

0:05:00 > 0:05:02That's really mean.

0:05:02 > 0:05:04I'm just, um...

0:05:06 > 0:05:09What, you're not worried about a dressing-down from me?

0:05:09 > 0:05:12Well, maybe when you had your nifty dye job, but not now.

0:05:15 > 0:05:19I'm not exactly a stickler for the rules myself, would you believe,

0:05:19 > 0:05:20but this is pretty inappropriate.

0:05:20 > 0:05:22The bag's nearly empty.

0:05:22 > 0:05:25So, this debauchery, is it to do with the research project?

0:05:25 > 0:05:28- I thought you were cool with Isaac's decision.- No!

0:05:28 > 0:05:31What is with everyone in this hospital psychoanalysing each other?

0:05:31 > 0:05:34- It's weird! - There's a live-stream operation.

0:05:34 > 0:05:35You don't get that every day.

0:05:35 > 0:05:38Yeah, I can think of a lot better things to do with a webcam, thanks.

0:05:38 > 0:05:40No. It's a hangover, I'll be fine.

0:05:40 > 0:05:42Excellent. Well, if you're feeling better,

0:05:42 > 0:05:45there's a patient with a perforated viscus in bed seven.

0:05:45 > 0:05:47Come on, lickety-split.

0:05:48 > 0:05:51- Don't do that! Don't...! - SACHA CHUCKLES

0:05:51 > 0:05:53Ahem!

0:05:53 > 0:05:54Morning, Mrs Porter.

0:05:57 > 0:05:58We have two state-of-the-art theatres

0:05:58 > 0:06:00and funding in line with our status

0:06:00 > 0:06:03as a centre of excellence for cardiothoracics.

0:06:03 > 0:06:08We perform 1,000 cardio and 800 thoracic surgeries per year.

0:06:08 > 0:06:09And the canteen?

0:06:09 > 0:06:11I'm sorry?

0:06:11 > 0:06:13- The food.- I'd rather eat roadkill.

0:06:15 > 0:06:17We have three bays, ten beds.

0:06:17 > 0:06:19HDU is in there, my office is down here.

0:06:20 > 0:06:22She really shouldn't be here.

0:06:22 > 0:06:23Yeah, well, CPS don't agree.

0:06:23 > 0:06:26- It's only been a few weeks. - Or her lawyers.

0:06:26 > 0:06:28It's looking like she won't be charged...though.

0:06:28 > 0:06:31If I say I'm fit for work, I'm fit for work.

0:06:31 > 0:06:32Thanks for the support(!)

0:06:32 > 0:06:35These are your colleagues. Miss Maureen Effanga, consultant.

0:06:35 > 0:06:37A pleasure, Ms Effanga.

0:06:37 > 0:06:38Mo's fine.

0:06:38 > 0:06:40Ahem!

0:06:40 > 0:06:42Specialist registrar, Dr Valentine.

0:06:42 > 0:06:44And CT2, Dr March.

0:06:44 > 0:06:46I can see I'm going to like working here.

0:06:46 > 0:06:49I'd like to hear you say that by the end of the day...mate.

0:06:49 > 0:06:52If we've quite finished, you're going to shadow Ms Effanga today.

0:06:52 > 0:06:54She treats, you watch.

0:06:54 > 0:06:55You can afford the luxury of an induction?

0:06:55 > 0:06:58It's my department, my rules.

0:06:58 > 0:07:00- If you say so, Boss.- A-huh.

0:07:02 > 0:07:04And you don't remember falling at all?

0:07:04 > 0:07:08No, I remember, just can't for the life of me think why.

0:07:08 > 0:07:12OK. Fletch, FBC, U&Es, LFTs, blood gases and a head CT.

0:07:12 > 0:07:16- Oh, and a nasal tampon for the, um...- Various.- Yeah.

0:07:16 > 0:07:19On your right, you'll find Ms Campbell and Ms Wolfe,

0:07:19 > 0:07:22clinical leads of the Acute Admissions Unit.

0:07:22 > 0:07:24They're both kind of big deals, so look lively, yeah?

0:07:24 > 0:07:27- Good morning.- Morning.

0:07:27 > 0:07:29Any pearls of wisdom for the new rotation?

0:07:29 > 0:07:32Yes. The pay is better abroad.

0:07:32 > 0:07:35Observe, learn and always question your own decisions.

0:07:35 > 0:07:39I couldn't have put it better myself. Follow me.

0:07:39 > 0:07:41Oh, and never leave a man behind.

0:07:41 > 0:07:43Or was that the previous career?

0:07:43 > 0:07:45Yeah, that was the previous career.

0:07:45 > 0:07:47OK to leave a family behind, though?

0:07:48 > 0:07:50Hi, Mum.

0:07:53 > 0:07:55Is she always like this, your boss?

0:07:55 > 0:07:57Like what?

0:07:57 > 0:07:58HE HISSES

0:07:58 > 0:08:00You haven't seen nothing. Today's a good day.

0:08:00 > 0:08:02And what's a bad day like?

0:08:02 > 0:08:04All in good time, Mr Rossini.

0:08:04 > 0:08:07I do hope so.

0:08:07 > 0:08:09Right, 105 BPM. You're tachycardic.

0:08:09 > 0:08:10We're going to have to run some more tests.

0:08:10 > 0:08:14- I'm not going home any time soon? - It doesn't look like it.

0:08:15 > 0:08:17I need to cancel on a client.

0:08:17 > 0:08:20Bit of a relief, to be honest. I barely looked at their case.

0:08:20 > 0:08:22Is there anyone we can ring for you?

0:08:22 > 0:08:24I think I've got this, thanks.

0:08:24 > 0:08:27Fine. Let's send her for an echo, upper chest X-ray.

0:08:29 > 0:08:31- Excuse me.- Um...

0:08:33 > 0:08:35Here he is, Butch Cassidy(!)

0:08:35 > 0:08:37Who turns up to their first day at work on a horse?

0:08:37 > 0:08:40- A stable hand.- A narcissist.

0:08:41 > 0:08:43How long have you had these heart symptoms?

0:08:43 > 0:08:46What is this, medicine in the round?

0:08:46 > 0:08:47I thought I already had a doctor.

0:08:47 > 0:08:48Two heads are better than one, no?

0:08:50 > 0:08:52Lean forward for me.

0:09:03 > 0:09:05Everything OK?

0:09:05 > 0:09:06If you'd like my professional opinion...

0:09:06 > 0:09:08If she doesn't, I would.

0:09:10 > 0:09:13Mr Jakeman has a malignant thyroid tumour we'll be extracting today

0:09:13 > 0:09:14with a total thyroidectomy.

0:09:14 > 0:09:17Trust you're OK performing in front of an audience?

0:09:17 > 0:09:19All the world's a stage, Mr Jakeman.

0:09:19 > 0:09:22To have a benign tumour which turns malignant is pretty unlucky.

0:09:22 > 0:09:24Well, isn't that good to know(!)

0:09:24 > 0:09:26Are you're sure there's no-one you want us to call?

0:09:26 > 0:09:30I'm a lone ranger. I don't want anyone here.

0:09:30 > 0:09:32(A little overly dramatic.)

0:09:32 > 0:09:35Call from the Ivory Tower. Mr Griffin has a job for you.

0:09:37 > 0:09:39But we're doing the live stream today. I'm a bit busy.

0:09:39 > 0:09:41So is the ED. They need you on the front line.

0:09:41 > 0:09:44Today? He's seriously calling my research assistant away today?

0:09:44 > 0:09:47Yes. Don't blame me. Remember your stab vest.

0:09:47 > 0:09:49Who am I to argue with hospital hierarchy?

0:09:49 > 0:09:52Go on. I'll update you on the procedure later.

0:09:52 > 0:09:55Oh. Well, at least I might get to see Caleb Knight.

0:09:55 > 0:09:59Sorry, Mr Jakeman, I'm off, but you're in good hands.

0:10:04 > 0:10:08Hm. Looking at the scan, the tumour seems to be less than...

0:10:08 > 0:10:09Dr Copeland?

0:10:09 > 0:10:12Yes? What? I thought you needed an assistant.

0:10:14 > 0:10:17All right, fine. I'll see you in about an hour,

0:10:17 > 0:10:20when you come crawling to me, begging for my help.

0:10:25 > 0:10:28I'm not one for repeating myself, so if I were you, I'd listen up.

0:10:28 > 0:10:30This is MY department

0:10:30 > 0:10:33and I demand a general level of compliance from my staff.

0:10:33 > 0:10:35- Don't touch that!- What is this?

0:10:35 > 0:10:36It's expensive.

0:10:36 > 0:10:38Don't sit there!

0:10:38 > 0:10:40SHE SIGHS

0:10:41 > 0:10:45It is admirable, such a devotion to one's career.

0:10:45 > 0:10:47But I have one question.

0:10:47 > 0:10:49Why no pictures of your child?

0:10:50 > 0:10:54You like to keep your private life private. OK.

0:10:54 > 0:10:57So you stalked me. That's not creepy at all(!)

0:10:57 > 0:10:59- Mrs Naylor...- Miss!

0:10:59 > 0:11:01Sorry. Miss Naylor...

0:11:02 > 0:11:05..I wasn't asked to work at this hospital

0:11:05 > 0:11:08for a significantly lower sum of money than I am worth

0:11:08 > 0:11:09so I can shadow.

0:11:09 > 0:11:13Ms Effanga is a highly-experienced surgeon, whom I trust implicitly.

0:11:13 > 0:11:16And I still believe that to be a colossal waste of mine,

0:11:16 > 0:11:18the NHS' and the patients' time.

0:11:18 > 0:11:22The heart here is the same as in Rome, no?

0:11:22 > 0:11:23I look forward to working with you.

0:11:23 > 0:11:25To achieving great things with you.

0:11:25 > 0:11:27And, no doubt, learning from you.

0:11:28 > 0:11:30But I will not be scared by you.

0:11:40 > 0:11:41Can I help you?

0:11:41 > 0:11:44My mate, no visitors, apparently.

0:11:44 > 0:11:46Oh, um...Mr Jakeman.

0:11:46 > 0:11:50I've sent him messages all week, but he's got his blue ticks turned off.

0:11:50 > 0:11:52Huh! I need to do that.

0:11:52 > 0:11:54I don't get it.

0:11:54 > 0:11:57I was there when he had cancer the last time. We were solid.

0:11:58 > 0:12:01You know, sometimes people need to do these things alone.

0:12:10 > 0:12:12Ahem!

0:12:12 > 0:12:14- This could get me in big trouble. - Nice one.

0:12:16 > 0:12:18You could have at least left a note.

0:12:18 > 0:12:21- I said I didn't want any visitors! - Dude said it was OK.

0:12:25 > 0:12:28Is it...back, mate?

0:12:29 > 0:12:32Because if it is, it's cool, yeah? It'll be like last time.

0:12:32 > 0:12:38FIFA, beers, all the 9/11 conspiracy documentaries you want.

0:12:38 > 0:12:41And...I bought you a survival kit. Heh!

0:12:43 > 0:12:45You can't get involved clinically,

0:12:45 > 0:12:47so, you have to attach yourself emotionally instead?

0:12:47 > 0:12:49That's a little bit of a leap.

0:12:49 > 0:12:52Two men united by cancer and you have to parachute into their lives

0:12:52 > 0:12:55- like a medical equivalent of Mary Poppins.- That's camp.

0:12:55 > 0:12:58My patient needs objectivity and a focused mind.

0:12:58 > 0:13:00You went out and got smashed last night because

0:13:00 > 0:13:03it was the anniversary of you and Arthur becoming Facebook friends.

0:13:03 > 0:13:05Nice to know I have your support(!)

0:13:05 > 0:13:09This is a man's medical wellbeing, Dom. Not everything's about you.

0:13:12 > 0:13:15Come on, then, Poirot, pericardial cyst or tumour. Anything to add?

0:13:15 > 0:13:18Yes. Poirot is not Italian.

0:13:21 > 0:13:23Our scans confirm your raised heartbeat is being caused

0:13:23 > 0:13:26- by a mass on the right ventricular outflow track of your heart.- Right.

0:13:26 > 0:13:29We need to run a few more tests before we consider how to treat it.

0:13:29 > 0:13:33Let's have a CT scan, FBCs, please, Rochelle. Yes, Mr Rossini?

0:13:33 > 0:13:35- Just one question.- Go for it.

0:13:35 > 0:13:37- You like animals?- Excuse me?

0:13:37 > 0:13:39You know, like, cats, dogs, fish?

0:13:39 > 0:13:41Where exactly are you going with this?

0:13:41 > 0:13:45I have been exposed to animals in the past, yes.

0:13:46 > 0:13:47Excellent.

0:13:50 > 0:13:52Something you'd like to share with the class?

0:13:52 > 0:13:53Oh, so, now you want my opinion?

0:13:53 > 0:13:57Heh-heh! You know, this smart guy routine, it's intoxicating(!)

0:13:57 > 0:13:59I need to check a few things.

0:13:59 > 0:14:02Wouldn't want to make a fool out of myself on my first day.

0:14:06 > 0:14:08Just never seemed like a good time.

0:14:08 > 0:14:11The middle of a shift felt right, though, did it?

0:14:12 > 0:14:14Surprise!

0:14:15 > 0:14:17It's good to see you, Cam.

0:14:18 > 0:14:22So, er...are you and Serena serious?

0:14:24 > 0:14:28This is not an appropriate workplace conversation.

0:14:28 > 0:14:32Shame. You'll have to have an actual conversation with me

0:14:32 > 0:14:33outside the workplace, then.

0:14:33 > 0:14:36Ah. Sorry. Er...Mrs Osborne's file.

0:14:36 > 0:14:38She was admitted last week with a minor CVA.

0:14:39 > 0:14:41Would have been good to know.

0:14:41 > 0:14:44Er...Jenny, why didn't you mention your stroke?

0:14:44 > 0:14:46- Because I'm fine. - I can't say I don't admire

0:14:46 > 0:14:49your determination to get back in the saddle,

0:14:49 > 0:14:51but a little R&R would have gone a long way.

0:14:51 > 0:14:53I wanted to prove it hadn't beaten me.

0:14:53 > 0:14:55Well, you certainly gave it a good go, didn't you?

0:14:55 > 0:14:57Is there anyone at home looking after you?

0:14:57 > 0:15:00There's someone at home, don't know if you'd say he's looking after me.

0:15:00 > 0:15:03- Well, shall we give him a bell? - It's worth a try.

0:15:03 > 0:15:05We'll keep you under observation until we get your results back.

0:15:05 > 0:15:07- Mum?- Sorry, what?

0:15:07 > 0:15:09Er...Ms Wolfe.

0:15:09 > 0:15:12Mrs Osborne's ocular movements,

0:15:12 > 0:15:14the way she looked at you seems a bit off.

0:15:14 > 0:15:16Ten points for enthusiasm, Cam,

0:15:16 > 0:15:18but I examined her eyes when she arrived.

0:15:18 > 0:15:20The patient had a stroke a week ago,

0:15:20 > 0:15:22I think we can safely assume this is related.

0:15:22 > 0:15:25- You're the boss.- Wow!

0:15:25 > 0:15:28If I'd known it was that easy to get you to listen to me,

0:15:28 > 0:15:30I'd have brought you into work years ago.

0:15:30 > 0:15:32- I wasn't that bad.- He was a terror.

0:15:32 > 0:15:35- Apple doesn't fall far from the tree.- Oi!

0:15:35 > 0:15:37You're right. Taught me every trick in the book, she did.

0:15:37 > 0:15:41It makes much more sense to treat her symptoms non-surgically

0:15:41 > 0:15:43to avoid putting her at greater risk of heart failure.

0:15:43 > 0:15:46- Unless anyone's got a better idea? - I do.

0:15:48 > 0:15:51JAC SIGHS Are you waiting for a drumroll?

0:15:52 > 0:15:54It's a cyst caused by hydatid disease.

0:15:54 > 0:15:57It's rare in the heart, but not unheard of.

0:15:57 > 0:16:00Hydatid disease? Isn't that caused by an infestation of tapeworm?

0:16:00 > 0:16:01She has a parasite.

0:16:01 > 0:16:05I'm sure your internet-browsing skills are second to none,

0:16:05 > 0:16:06but we need a little more than that.

0:16:06 > 0:16:09It's particularly endemic to North Africa.

0:16:09 > 0:16:10You worked in North Africa?

0:16:10 > 0:16:13North Africa, Syria, Chile. Medecins Sans Frontieres.

0:16:13 > 0:16:16We'll continue as planned.

0:16:16 > 0:16:18Medecins Sans Frontieres.

0:16:18 > 0:16:20Well, we've all been travelling.

0:16:20 > 0:16:24Yes. You came home with cirrhosis of the liver and an exotic disease.

0:16:24 > 0:16:26Very desirable(!)

0:16:26 > 0:16:30So, you're fairly certain that it's hydatid disease?

0:16:30 > 0:16:32I'm fairly certain of a lot of things.

0:16:35 > 0:16:37- He doesn't like me. - Well, he's just jealous.

0:16:37 > 0:16:39A handsome doctor talking to his ex-girlfriend.

0:16:39 > 0:16:41He's not gay?

0:16:41 > 0:16:43No, he's not gay.

0:16:43 > 0:16:45He is a very lucky man.

0:16:45 > 0:16:48He was a very lucky man.

0:16:48 > 0:16:52So, tell me, Mr Rossini, how does one go from

0:16:52 > 0:16:57fighting the good fight in Syria to the backstreets of Holby?

0:16:57 > 0:17:02A story for another day, and lots of wine.

0:17:05 > 0:17:09If I wanted a serological test, could you do that for me?

0:17:09 > 0:17:11In theory, yes.

0:17:11 > 0:17:14Going behind Jac's back is the workplace equivalent

0:17:14 > 0:17:16of poking a bear with a big stick.

0:17:16 > 0:17:19- Hm.- A big bear. Grizzly.

0:17:19 > 0:17:23As your superior, I request that you order the test.

0:17:25 > 0:17:27What is this, divide and conquer, or...?

0:17:27 > 0:17:29I'm just doing my job.

0:17:29 > 0:17:31You're going to get me in trouble.

0:17:34 > 0:17:37- I'm sorry.- Well, this is big.

0:17:37 > 0:17:39- Fine, taking it back.- Too late now.

0:17:39 > 0:17:41So, why the change of heart?

0:17:41 > 0:17:45Maybe I realised that you did have the patient's interests at heart

0:17:45 > 0:17:48and that I was focusing too much on personal gain.

0:17:48 > 0:17:50Self-reflection, as well? You must be hungover.

0:17:50 > 0:17:53- PAGER BLEEPS - Ooh! Excuse me.

0:17:54 > 0:17:57- What's in the bag, then? - What isn't in the bag, my friend?

0:18:00 > 0:18:03Lads' mags, a Gameboy,

0:18:03 > 0:18:05a couple of bottles of beer,

0:18:05 > 0:18:08a bottle opener, pack of Johnnys.

0:18:08 > 0:18:12Crisps, selfie stick, Vitamin C tablets. Think I've got you covered.

0:18:14 > 0:18:17- Wow! That's some friend you have. - Just doing my duty.

0:18:19 > 0:18:22Right, you'd better scrub up, then. My last resort has just failed.

0:18:22 > 0:18:26That's weird. I don't think you're on your hands and knees.

0:18:26 > 0:18:28Don't push it.

0:18:28 > 0:18:32Can you check his group and save results are back, please? Spit-spot.

0:18:35 > 0:18:36Good-luck charm?

0:18:36 > 0:18:39Um...yeah, something like that.

0:18:41 > 0:18:42Where is he, Romeo?

0:18:42 > 0:18:45Romeo, wherefore art thou, Romeo? Why are we doing Shakespeare?

0:18:45 > 0:18:49- That's his name, my horse. - Now, that would make more sense.

0:18:49 > 0:18:51A mate of mine from the ED is looking after him.

0:18:51 > 0:18:53He's away from the road, he's got plenty of water

0:18:53 > 0:18:56- and about 20 packets of Polos. - Thank you.

0:18:56 > 0:18:58- Could you pass my phone? It's in my puffer.- Yeah.

0:19:02 > 0:19:04Got it. There you go. Right, I'll be back in a minute.

0:19:11 > 0:19:12What are you doing?

0:19:12 > 0:19:14Treating her nosebleed.

0:19:14 > 0:19:17- Unsupervised? - Yeah. Fletch just went.

0:19:17 > 0:19:20Yes, to get the adrenaline you clearly need.

0:19:20 > 0:19:24- Ah!- You're going to have to sharpen up, or you're going to fail...again.

0:19:26 > 0:19:27Thank you.

0:19:29 > 0:19:31JAC SIGHS

0:19:31 > 0:19:32Was I right?

0:19:33 > 0:19:35An educated guess, nothing more.

0:19:35 > 0:19:38Isn't that what medicine is?

0:19:38 > 0:19:40If only I was as smart as you think you are.

0:19:42 > 0:19:44- Question. - Well, if it's a stupid one,

0:19:44 > 0:19:46you're going to get a stupid answer.

0:19:46 > 0:19:48How long can you work alongside your family

0:19:48 > 0:19:50without one of you spontaneously combusting?

0:19:50 > 0:19:54Hm! In most cases, probably about five minutes.

0:19:54 > 0:19:56You did it with your husband.

0:19:56 > 0:19:57Yeah, well, not for long.

0:19:57 > 0:19:59Sorry, I didn't...

0:19:59 > 0:20:02I haven't seen you around the shelter for a little while.

0:20:02 > 0:20:05- Where have you been?- Studying.

0:20:05 > 0:20:08It was you that gave me the kick up the arse I needed, actually.

0:20:08 > 0:20:09Really?

0:20:11 > 0:20:14Um...so, do you think you made the right decision?

0:20:15 > 0:20:17Jury's still out on that one.

0:20:19 > 0:20:21Who knew I was going out with such a swot?

0:20:21 > 0:20:24You do know you're only onboard for today

0:20:24 > 0:20:27because of the lack of another suitable candidate?

0:20:27 > 0:20:29- My hands are tied. - Just how I like them.

0:20:29 > 0:20:31What have I created?

0:20:31 > 0:20:34You are not taking credit for this.

0:20:34 > 0:20:37Don't tell me you're wearing that at work now?

0:20:37 > 0:20:40- I forgot I had it on.- Liar.

0:20:40 > 0:20:43Well, today was becoming a really bad day.

0:20:43 > 0:20:47I woke up with a stonking hangover and Jasmine was your assistant.

0:20:47 > 0:20:49I just wanted to get through the day in one piece.

0:20:49 > 0:20:51And then I put this on and...

0:20:52 > 0:20:53I don't know.

0:20:53 > 0:20:56Like a good-luck charm?

0:20:56 > 0:20:59Well, my hangover has now gone,

0:20:59 > 0:21:02Jasmine is otherwise engaged

0:21:02 > 0:21:04and I get to spend the day working with you.

0:21:05 > 0:21:07So it's gone from a bad day to a good day.

0:21:07 > 0:21:10- You're not wearing that in theatre. - It'll be in my pocket.

0:21:10 > 0:21:12No, it's not coming in at all.

0:21:12 > 0:21:15I'm upholding a very high set of standards for this trial.

0:21:15 > 0:21:17Fine.

0:21:18 > 0:21:20This doesn't make any sense.

0:21:21 > 0:21:24He doesn't have a very detailed patient history at all.

0:21:24 > 0:21:28Well, looks about right for a benign tumour to me.

0:21:28 > 0:21:30Benign?

0:21:30 > 0:21:32I thought you'd read his notes?

0:21:32 > 0:21:34The previous tumour was non-malignant.

0:21:35 > 0:21:37Yeah, but his mate said that...

0:21:43 > 0:21:45You're just going to leave it there?

0:21:45 > 0:21:47You're not critically ill, Miss Wilson.

0:21:47 > 0:21:49The risks of surgery far outweigh any improvements

0:21:49 > 0:21:51we can make to your quality of life.

0:21:51 > 0:21:53- Is she telling the truth? - I'm just here to observe.

0:21:53 > 0:21:55Well, this has been a waste of time.

0:21:55 > 0:21:59If you hold my name in such high regard, then trust my decision.

0:21:59 > 0:22:02OK, so you give me more meds. What if I don't take them?

0:22:02 > 0:22:04I'll just end up back in here every week, anyway.

0:22:04 > 0:22:08- There's another option.- Mr Rossini?! - I'm listening.

0:22:08 > 0:22:11The cyst is on the right ventricular outflow track.

0:22:11 > 0:22:13We aspirate and peel off from the right ventricle.

0:22:13 > 0:22:17If we preserve the heart muscle, heart failure will not be a problem.

0:22:17 > 0:22:19And if you excise the muscle wall?

0:22:19 > 0:22:22As with a Tetralogy of Fallot, we put a pericardial patch on the RVOT.

0:22:22 > 0:22:24A patch that large will cause heart failure.

0:22:24 > 0:22:27Congratulations, you've just killed our patient(!)

0:22:27 > 0:22:29I'm a glass half-full kind of man.

0:22:29 > 0:22:31Sold. Where do I sign?

0:22:31 > 0:22:34You don't get to decide what treatment you have!

0:22:34 > 0:22:36But I can decide WHO treats me.

0:22:36 > 0:22:38Piacere di conoscerti.

0:22:38 > 0:22:40Piacere e mio.

0:22:42 > 0:22:45I know it looks dishonest, but you don't have any of the facts.

0:22:45 > 0:22:47Should I just file that under Please Don't Ruin My Trial?

0:22:47 > 0:22:51Please tell me I can trust you. I've got to go brief the web team.

0:22:51 > 0:22:53Yes, yes, you can trust me. I'm not an idiot.

0:22:55 > 0:22:58I'll talk to my boss, see if I can get more time off.

0:22:58 > 0:22:59You don't have to do that.

0:22:59 > 0:23:02Mate, you could barely make a brew last time.

0:23:02 > 0:23:03Sorry to interrupt you, guys.

0:23:03 > 0:23:06David, may I ask you a few questions about your previous treatment?

0:23:10 > 0:23:12All right, OK.

0:23:12 > 0:23:14So, after the tumour was removed,

0:23:14 > 0:23:18you underwent chemotherapy and radiotherapy, yes?

0:23:18 > 0:23:21- Correct.- OK. And what kind of chemotherapy was that?

0:23:23 > 0:23:27BEP. Bleomycin, etoposide and cisplatin.

0:23:27 > 0:23:29I know what that is. Thank you.

0:23:33 > 0:23:36I'm really sorry. Paul, do you mind just giving us a few minutes?

0:23:46 > 0:23:49Do have any idea how many people walk through these doors

0:23:49 > 0:23:52each and every day, never to leave again because of cancer?

0:23:52 > 0:23:55How many cups of tea I've made for relatives sitting here,

0:23:55 > 0:23:59having to accept that their loved ones are living on borrowed time?

0:23:59 > 0:24:00All right, keep it down.

0:24:00 > 0:24:02You've been lying to your best mate for three years.

0:24:02 > 0:24:04Yeah, and now I'm paying for it, aren't I?

0:24:04 > 0:24:07Ah, well, poor you(!) The little boy who cried cancer.

0:24:07 > 0:24:10You can't make me feel any worse than I already do.

0:24:10 > 0:24:11You want a bet?

0:24:13 > 0:24:16When I got the all-clear, he was the first person I saw.

0:24:16 > 0:24:18He saw my face, assumed the worst...

0:24:19 > 0:24:21..and I never corrected him.

0:24:21 > 0:24:22Lying by omission is still lying.

0:24:22 > 0:24:23It was a difficult time.

0:24:23 > 0:24:25My girlfriend left me, I'd been made redundant.

0:24:25 > 0:24:29And now three years on, the girl is gone, you've got a nice cushy job

0:24:29 > 0:24:31but you're still taking your mate for a mug.

0:24:31 > 0:24:32You can't tell him!

0:24:32 > 0:24:34Patient confidentiality!

0:24:34 > 0:24:36I know my rights!

0:24:38 > 0:24:40So, exposure to animals...

0:24:40 > 0:24:42My parents. They live on a farm by the Brecon Beacons.

0:24:42 > 0:24:45- And when were you last there? - About seven, eight years ago.

0:24:45 > 0:24:47You haven't been home since?

0:24:47 > 0:24:48It's not my home.

0:24:48 > 0:24:52I should be clear, Ms Naylor was not wrong when she spoke of risks.

0:24:52 > 0:24:55The cyst is built from your own tissue and larval origin.

0:24:55 > 0:24:59Full of fluid. If it bursts, the parasite will spread.

0:24:59 > 0:25:01Just get it out. That was the deal.

0:25:06 > 0:25:09Can I just ask, why such determination?

0:25:09 > 0:25:12The cyst is growing at less than one centimetre in diameter a year.

0:25:12 > 0:25:15It's not like you don't have the time to consider other options.

0:25:15 > 0:25:18I have a parasite living inside my heart.

0:25:18 > 0:25:21I'll take the risk. Thanks.

0:25:28 > 0:25:30SHE SIGHS

0:25:31 > 0:25:33Oh!

0:25:33 > 0:25:35- Everything all right?- It's fine!

0:25:35 > 0:25:37Only I think you've got steam coming out your ears.

0:25:37 > 0:25:39It's just this useless piece of...

0:25:39 > 0:25:41He's just seeing what he can get away with.

0:25:41 > 0:25:45Give him two weeks and he'll be signed up to the Cult of Jac Naylor.

0:25:45 > 0:25:48- This is why I hate locums. - So, what are you doing?

0:25:48 > 0:25:51A search to see if he's leading a double life as a serial killer?

0:25:51 > 0:25:53- Maybe.- Whilst he's out there taking patients off you.

0:25:53 > 0:25:55That's not the Jac I know.

0:25:55 > 0:25:56JAC SIGHS

0:25:59 > 0:26:00Matteo Rossini. I knew it!

0:26:02 > 0:26:04He's the one who stole the Digby stent.

0:26:05 > 0:26:07Oh, he's finished.

0:26:16 > 0:26:17- Where is it?- What?

0:26:17 > 0:26:20Arthur's medal. I hung it up in here.

0:26:20 > 0:26:23- Well, it can't have gone far. - I'm going to need to find it.

0:26:23 > 0:26:26We're on in 20 minutes, it'll have to wait. Dom!

0:26:28 > 0:26:30Argh!

0:26:33 > 0:26:34You like what you do?

0:26:38 > 0:26:39It is what I live for.

0:26:40 > 0:26:43I always liked taking things apart, just to see how they ticked.

0:26:43 > 0:26:47It is so much more than seeing how things tick.

0:26:47 > 0:26:49Have you ever seen a heartbeat, Miss Wilson?

0:26:49 > 0:26:51Not in real life.

0:26:51 > 0:26:57Waves spread from the base to apex.

0:26:57 > 0:27:01It is dynamic, intrinsic,

0:27:01 > 0:27:03clear and beautiful.

0:27:03 > 0:27:05The rhythm of the engine of life.

0:27:07 > 0:27:08Mr Rossini?

0:27:09 > 0:27:11Excuse me.

0:27:11 > 0:27:13Oh! Sorry.

0:27:19 > 0:27:21Thanks.

0:27:25 > 0:27:30While I'd be happy to let you make a huge mistake on your first day,

0:27:30 > 0:27:34believe it or not, I don't enjoy seeing patients die unnecessarily.

0:27:34 > 0:27:37We need governance lead. Ric can sign off.

0:27:37 > 0:27:40- But I have her full consent. - Yes, but you don't have mine.

0:27:40 > 0:27:42Trust me, Ric will appreciate

0:27:42 > 0:27:45a less cavalier attitude towards patient safety.

0:27:45 > 0:27:47And now you have my back?

0:27:47 > 0:27:50I haven't fallen for your charms, if that's what you're thinking.

0:27:50 > 0:27:52He's expecting us.

0:27:52 > 0:27:54Maybe try for a more low-key entrance than this morning.

0:27:57 > 0:27:59Zosh! Hey!

0:27:59 > 0:28:03Ah! Aren't you a little old to be getting drunk on a school night?

0:28:03 > 0:28:05Seven missed calls. Seven!

0:28:05 > 0:28:06Yes. Huh!

0:28:06 > 0:28:09- What's up with you? - I've lost Arthur's medal.

0:28:10 > 0:28:12- You brought it to work? - Yes. I don't need a lecture.

0:28:12 > 0:28:15- How could you be so careless? - This sounds like a lecture.

0:28:15 > 0:28:17Look, would you just please help me find it?

0:28:17 > 0:28:19No, I can't. A new locum started today.

0:28:19 > 0:28:20Jac just sent me that.

0:28:22 > 0:28:24- Cute.- Look at who he's with.

0:28:25 > 0:28:26Oh!

0:28:26 > 0:28:29Yeah. He's the one who patented the tech for the Digby stent.

0:28:29 > 0:28:31Well, enjoy those particular fireworks.

0:28:31 > 0:28:33- Can you find that medal?- Yes.

0:28:33 > 0:28:36Ms Naylor tells me we've already reached an impasse,

0:28:36 > 0:28:39and much sooner than I had expected. Not even lunchtime.

0:28:39 > 0:28:41A difference of opinion.

0:28:41 > 0:28:45- Of course, I hugely respect Mrs Naylor's...- Miss!

0:28:45 > 0:28:47Sorry. Sometimes I forget you are single.

0:28:47 > 0:28:51..Miss Naylor's approach, but I believe there to be an alternative.

0:28:51 > 0:28:54If the patient has given consent,

0:28:54 > 0:28:57then I don't see why we shouldn't proceed.

0:28:57 > 0:29:00- Excuse me? - We've identified the cyst,

0:29:00 > 0:29:03it has the potential to grow and cause problems.

0:29:03 > 0:29:05Why not act now?

0:29:05 > 0:29:08Expanding the RVOT for the Tetralogy of Fallot

0:29:08 > 0:29:09will give her a good chance.

0:29:11 > 0:29:12Perhaps you'd like to watch.

0:29:13 > 0:29:17That may not be such a bad idea. It may help you understand

0:29:17 > 0:29:19Ms Naylor's decision-making as clinical lead.

0:29:21 > 0:29:22Oh, I'll be watching.

0:29:25 > 0:29:28I've been trying to put my finger on it.

0:29:28 > 0:29:31You are the spit of this lad I went to school with.

0:29:31 > 0:29:34- Handsome lad, was he? - Oh, very much so.

0:29:34 > 0:29:35Shall I give you two a minute?

0:29:35 > 0:29:39Craig Miles, his name was. Lovely boy.

0:29:39 > 0:29:41He had the bluest blue eyes.

0:29:43 > 0:29:45- You called your husband yet? - No point.

0:29:45 > 0:29:47He'll be propping up the bar by now, no doubt.

0:29:47 > 0:29:49Bit early to be in the pub.

0:29:49 > 0:29:52Wild horses wouldn't keep him from that place.

0:29:52 > 0:29:53Literally, come to think of it.

0:29:53 > 0:29:57Jenny, good news. Your CT has come back clear.

0:29:57 > 0:30:01You were sent to the acute stroke centre last time you were admitted.

0:30:01 > 0:30:03They said I'd made a great recovery.

0:30:03 > 0:30:04- And were prescribed warfarin?- Mm-hm.

0:30:04 > 0:30:07- You've been keeping up with the dosages, I trust.- Of course.

0:30:07 > 0:30:10Then I think we can rule out a second stroke.

0:30:10 > 0:30:12We'll keep you under observation for a few more hours,

0:30:12 > 0:30:15- until your nosebleed settles, all right?- Mm-hm.- Good.

0:30:18 > 0:30:19Mum?

0:30:19 > 0:30:21Keep calling me Mum, I'll tell everyone

0:30:21 > 0:30:23- how old you were when you stopped wetting the bed.- Ouch!

0:30:23 > 0:30:26- Mm.- Are you sure it's not worth checking her vision?

0:30:26 > 0:30:28A couple of things, they just don't seem right.

0:30:28 > 0:30:30Cameron, we've been through this.

0:30:30 > 0:30:32Any neuro problems would have shown up on the CT.

0:30:37 > 0:30:40- Ms Campbell? Have you got a moment? - Of course.

0:30:40 > 0:30:42I'd like to order Mrs Osborne an MRI.

0:30:42 > 0:30:44On a whim, or for a particular reason?

0:30:44 > 0:30:46I think she may have some kind of neuro injury

0:30:46 > 0:30:48- that wasn't picked up on the CT. - Such as...?

0:30:50 > 0:30:53I don't know. It's just the way she looks at people.

0:30:53 > 0:30:56She tried to use her phone earlier, but she couldn't.

0:30:56 > 0:30:58Right, and you've run this past Ms Wolfe?

0:30:58 > 0:31:01Because I really don't want to get in the middle of a family dispute.

0:31:01 > 0:31:02It's a bit late for that.

0:31:04 > 0:31:05Careful.

0:31:05 > 0:31:07Sorry.

0:31:07 > 0:31:10It's just she'll shoot me down in seconds.

0:31:11 > 0:31:14Well, as your superior, I can't ignore your concerns,

0:31:14 > 0:31:15so, yep, leave it with me.

0:31:17 > 0:31:20- MATTEO APPLAUDS - Bravo!

0:31:20 > 0:31:24What is it? Do I threaten you? Frustrate you?

0:31:24 > 0:31:27It's not nice when someone passes off your work as their own.

0:31:28 > 0:31:29Looks like a swanky do.

0:31:31 > 0:31:33It was Paris, not Berlin.

0:31:33 > 0:31:36Guy did mention I should keep our acquaintance private.

0:31:36 > 0:31:38Make a career out of plagiarism?

0:31:38 > 0:31:42The tech for the stent you passed off as your own, that was mine!

0:31:42 > 0:31:44That was not how the information was presented to me.

0:31:44 > 0:31:46What is your big head compensating for?

0:31:46 > 0:31:49- Are you calling me a liar?- No! That would be an insult to liars!

0:31:49 > 0:31:53To have the audacity to walk into my department after what you did?!

0:31:53 > 0:31:56I could have your contract terminated right here, right now.

0:31:56 > 0:31:58Then why don't you?

0:31:58 > 0:32:00I told you, I did not know.

0:32:00 > 0:32:03Let me check if I care. No!

0:32:03 > 0:32:05Such petulance. You surprise me.

0:32:05 > 0:32:07I'm full of surprises.

0:32:07 > 0:32:10It's just a shame you're not going to be around to see them.

0:32:10 > 0:32:12We will look for it after the shift.

0:32:18 > 0:32:21So, this will sort him out, will it? He'll be all clear?

0:32:21 > 0:32:24The thyroidectomy should remove most of the cancerous cells.

0:32:24 > 0:32:27- And how long will he be out of action for?- Depends on his recovery,

0:32:27 > 0:32:30- but I'd recommend at least six weeks off work.- Every cloud.

0:32:30 > 0:32:32You can do one if you think I'm spotting your rent again, though.

0:32:32 > 0:32:34I've got that covered, don't worry.

0:32:34 > 0:32:37How long did you have off last time, David?

0:32:37 > 0:32:39It was about four, five months, wasn't it?

0:32:39 > 0:32:41And you covered his rent for him?

0:32:41 > 0:32:44I helped him out. It's what mates do, innit?

0:32:44 > 0:32:45Yeah.

0:32:47 > 0:32:49You need to tell him.

0:32:49 > 0:32:51Dr Copeland?

0:32:51 > 0:32:53- Tell me what?- The truth.

0:32:55 > 0:32:56You're not allowed to do this.

0:32:57 > 0:33:00I'd think very carefully before you proceed.

0:33:00 > 0:33:01What the hell's going on?

0:33:04 > 0:33:06David's tumour was benign.

0:33:08 > 0:33:11The cancer that you nursed him through?

0:33:11 > 0:33:13I've had more toxic cocktails.

0:33:15 > 0:33:17Is this true?

0:33:21 > 0:33:24I will still be there, but only to watch.

0:33:24 > 0:33:26- Is there a particular reason? - Mainly one.

0:33:29 > 0:33:31You don't seem too disappointed.

0:33:31 > 0:33:33I hear Ms Naylor is very capable.

0:33:33 > 0:33:36So they tell me. Excuse me.

0:33:39 > 0:33:41Must look like we don't know what we're doing.

0:33:41 > 0:33:44Good job I do. I made sure I got what I wanted.

0:33:44 > 0:33:47I get the operation I want with the surgeon I chose.

0:33:47 > 0:33:48How do you figure that?

0:33:48 > 0:33:52Hm! Surgeons lead a life of such vanity.

0:33:52 > 0:33:54There's no way she'd let him do this surgery over her.

0:33:54 > 0:33:56Why so set on Jac in the first place?

0:33:56 > 0:34:00She's the most competent surgeon I could find.

0:34:01 > 0:34:04But you didn't know you needed surgery until this morning.

0:34:07 > 0:34:09Ah!

0:34:09 > 0:34:10He's refusing the operation.

0:34:10 > 0:34:13Great(!) As if today needed any more bad omens.

0:34:13 > 0:34:15What are you talking about?

0:34:15 > 0:34:18The inspirational young guy who's fighting cancer

0:34:18 > 0:34:20turns out to be a sadistic liar,

0:34:20 > 0:34:24the doctor who shafted Darwin for the Digby stent is in the building

0:34:24 > 0:34:27and now I've lost Arthur's medal.

0:34:27 > 0:34:29There's a therapist out there who would kill to write a paper on you.

0:34:29 > 0:34:31Aw, thanks, babe(!)

0:34:31 > 0:34:33The new consultant arriving, coincidence.

0:34:33 > 0:34:35David lying about having cancer, the human condition.

0:34:35 > 0:34:37And you breaking patient confidentiality,

0:34:37 > 0:34:39a blatant attempt at self-sabotage!

0:34:39 > 0:34:41I don't need you to psychoanalyse me, thank you!

0:34:41 > 0:34:44Arthur gave you that medal to remember him by.

0:34:44 > 0:34:46How do you think he'd feel if he knew it'd come to symbolise

0:34:46 > 0:34:48your own self-destruction?

0:34:51 > 0:34:52It's time to move on, Dom.

0:34:54 > 0:34:56I need you to fix this.

0:35:08 > 0:35:10KNOCK AT DOOR

0:35:12 > 0:35:13Comfortable?

0:35:15 > 0:35:19Miss Wilson, she knew she had hydatid disease.

0:35:19 > 0:35:22I know. I saw her old notes.

0:35:22 > 0:35:24And you didn't think to say anything?

0:35:24 > 0:35:25I didn't care.

0:35:28 > 0:35:30You know I know your father?

0:35:30 > 0:35:31Yes, I did hear that.

0:35:31 > 0:35:33He is a good man.

0:35:33 > 0:35:34Debateable.

0:35:34 > 0:35:37He told me about you. The mountains you've had to climb.

0:35:37 > 0:35:39Yes, well, he shouldn't have.

0:35:39 > 0:35:43He spoke very highly of you, Zosia.

0:35:43 > 0:35:45He's a very proud dad.

0:35:45 > 0:35:48You can't say I didn't warn you, about Jac.

0:35:48 > 0:35:49She puts up a good fight.

0:35:49 > 0:35:52Why is everyone so scared of her?

0:35:52 > 0:35:55She's been around a long time. Outlived them all.

0:35:55 > 0:35:58Elliot Hope, Connie Beauchamp, my dad.

0:35:58 > 0:35:59It gives her some status.

0:35:59 > 0:36:03I guess you have to be a psychopath to survive around here.

0:36:04 > 0:36:06A clear lack of remorse.

0:36:06 > 0:36:10Manipulative, superficial charm.

0:36:10 > 0:36:12You shouldn't speak about your boss like that.

0:36:12 > 0:36:13I'm not talking about Ms Naylor.

0:36:16 > 0:36:20An MRI scan is an expensive and frivolous waste of resources.

0:36:20 > 0:36:22What was it you said, question every decision you make?

0:36:22 > 0:36:26Yes! Yes! Question every decision you make, not every decision I make!

0:36:26 > 0:36:28This is typical of you, Cameron.

0:36:28 > 0:36:30- Sorry to interrupt. - Oh, no, no, by all means.

0:36:30 > 0:36:33You two clearly have quite the working relationship.

0:36:33 > 0:36:37Well, it turns out Cameron's fears may not be completely unfounded.

0:36:37 > 0:36:40As you can see, there's significant damage to the occipital cortex.

0:36:42 > 0:36:44I don't understand. This doesn't make sense.

0:36:44 > 0:36:46That's what I thought.

0:36:55 > 0:36:57David, a lot of planning has gone into this.

0:36:57 > 0:36:59You need to be thinking rationally.

0:36:59 > 0:37:01I am. For the first time in years.

0:37:01 > 0:37:06It's like my nan used to say, the best pillow is a clear conscience.

0:37:06 > 0:37:08I'm glad someone could sleep easily.

0:37:08 > 0:37:10That's not what I meant.

0:37:10 > 0:37:11I don't want to hear it.

0:37:11 > 0:37:15Just...let these gents get on with sorting you out,

0:37:15 > 0:37:17free up a bed for the more deserving.

0:37:20 > 0:37:23Will you be here, when I wake up?

0:37:26 > 0:37:28Good luck with it, mate.

0:37:33 > 0:37:34You OK?

0:37:34 > 0:37:36Yeah, I think so.

0:37:36 > 0:37:37I was talking to David.

0:37:40 > 0:37:44- Yeah.- Dr Copeland, find a porter to take the patient through to theatre.

0:37:44 > 0:37:46Let's get this show on the road.

0:37:46 > 0:37:50She wanted you as her surgeon before she even knew she needed surgery.

0:37:50 > 0:37:53She's received treatment at four different hospitals over two years.

0:37:53 > 0:37:56And repeated psychiatric treatment.

0:37:56 > 0:37:58She's a psychopath.

0:38:01 > 0:38:04I won't be manipulated into surgery.

0:38:04 > 0:38:06Three referrals not enough for you?

0:38:06 > 0:38:08I'm entitled to a fourth opinion.

0:38:09 > 0:38:12I'll leave you in Mr Rossini's assuredly less-capable hands.

0:38:16 > 0:38:18You already knew, didn't you?

0:38:18 > 0:38:20Your life story is of no interest to me.

0:38:22 > 0:38:23I prefer sociopath.

0:38:23 > 0:38:25It's Less Norman Bates-y.

0:38:25 > 0:38:27How long have you known?

0:38:27 > 0:38:28All my life.

0:38:28 > 0:38:31But if you're asking when I got the diagnosis, about ten years ago.

0:38:31 > 0:38:34That must have been hard to hear.

0:38:34 > 0:38:37It was liberating. I wasn't choosing to behave how I do,

0:38:37 > 0:38:40my condition just gives me a bigger range of choices

0:38:40 > 0:38:42than a neurotypical human.

0:38:42 > 0:38:44Through manipulating others?

0:38:44 > 0:38:46Some people play sports, I play people.

0:38:48 > 0:38:50My name is Mr Mayfield, and today,

0:38:50 > 0:38:52I will be performing a total thyroidectomy

0:38:52 > 0:38:54on the patient, Mr David Jakeman.

0:38:54 > 0:38:56Anticipated critical events are limited,

0:38:56 > 0:38:59and include injury to the recurrent laryngeal nerve,

0:38:59 > 0:39:00or bleeding around the neck.

0:39:00 > 0:39:03The surgery should last about an hour.

0:39:03 > 0:39:05Right, let's get started. Scalpel.

0:39:16 > 0:39:20I will be using a bipolar diathermy to remove the thyroid.

0:39:20 > 0:39:22A current passes through the instrument only,

0:39:22 > 0:39:25minimising any spread to surrounding structures.

0:39:27 > 0:39:28Hm!

0:39:30 > 0:39:31Oh. Sorry. Sorry.

0:39:35 > 0:39:38I mean, seriously, who would steal someone's grapes?

0:39:38 > 0:39:41I mean, you come into work and someone nicks your fruit!

0:39:41 > 0:39:43It's not what you want, is it, Mr Griffin?

0:39:43 > 0:39:45No.

0:39:45 > 0:39:47Do you have a moment?

0:39:48 > 0:39:49Oh. Yeah, sure.

0:39:49 > 0:39:52I've been hearing good things about you today from the F1s.

0:39:52 > 0:39:54I promise, I didn't pay them.

0:39:54 > 0:39:57How would you feel about applying for the position

0:39:57 > 0:40:00of departmental foundation doctor representative?

0:40:00 > 0:40:02Wow!

0:40:03 > 0:40:06I don't know, I mean, do you think I'd be any good at it?

0:40:06 > 0:40:08I wouldn't be asking if I didn't.

0:40:10 > 0:40:12Your INR is normal.

0:40:12 > 0:40:14Jenny, you haven't been taking your warfarin, have you?

0:40:14 > 0:40:16I kept bruising when I was riding.

0:40:16 > 0:40:18Failure to take the medicine

0:40:18 > 0:40:20increases the risk of a secondary stroke.

0:40:20 > 0:40:23What's all this got to do with my eyes?

0:40:23 > 0:40:26Cameron, do you want to explain?

0:40:26 > 0:40:27Yeah, sure.

0:40:27 > 0:40:30Um...Mrs Osborne, we think you may have suffered

0:40:30 > 0:40:33a second stroke sometime after you were discharged.

0:40:33 > 0:40:35Surely I would have known.

0:40:35 > 0:40:36Not necessarily.

0:40:36 > 0:40:39They're called incidental strokes.

0:40:39 > 0:40:41They can pass largely unnoticed.

0:40:41 > 0:40:45A blood clot has travelled from your heart to the back of your brain.

0:40:45 > 0:40:47Now, it wasn't large enough to cause a major stroke,

0:40:47 > 0:40:52but the reduced blood flow to your occipital lobe has caused damage.

0:40:53 > 0:40:54Irreparable damage.

0:40:54 > 0:40:57Yeah, yeah, yeah, yeah, what does all this mean?

0:40:59 > 0:41:03Mrs Osborne, can you take the pen torch out of my hand?

0:41:10 > 0:41:12What torch?

0:41:12 > 0:41:14I'm not holding one.

0:41:16 > 0:41:20We think you may be suffering from a rare neurological condition

0:41:20 > 0:41:22known as Anton-Babinski syndrome.

0:41:23 > 0:41:26It occurs in patients such as yourself, where,

0:41:26 > 0:41:29despite irrefutable cortical blindness,

0:41:29 > 0:41:31the patient insists they can see.

0:41:32 > 0:41:34I'm blind?

0:41:34 > 0:41:37Mm. We think you have been for a few days.

0:41:37 > 0:41:40But I can see. I can see perfectly.

0:41:40 > 0:41:43What you're seeing are confabulations.

0:41:43 > 0:41:45You saw the torch because I told you there was a torch.

0:41:45 > 0:41:47When the eyes stop relaying images,

0:41:47 > 0:41:52the brain relies on the other senses to piece everything together.

0:41:52 > 0:41:56How can I live at home for a week and not realise I was blind?

0:41:56 > 0:41:58Or get on a bloody horse?

0:41:58 > 0:41:59You know your own home.

0:41:59 > 0:42:02You could see because you know where everything is.

0:42:02 > 0:42:05I presume you're used to getting up in the dark?

0:42:05 > 0:42:07Yes.

0:42:07 > 0:42:10And you had some help getting on your horse this morning?

0:42:15 > 0:42:17I'm sorry it's not better news.

0:42:19 > 0:42:20I think I'd like a moment, please.

0:42:22 > 0:42:23On my own.

0:42:25 > 0:42:27Yes. Yes, of course.

0:42:33 > 0:42:38I have to say, Cam...I'm impressed.

0:42:38 > 0:42:40It was just a hunch.

0:42:40 > 0:42:42You were right.

0:42:42 > 0:42:43That's what matters.

0:42:44 > 0:42:46And I'm sorry for doubting you.

0:42:46 > 0:42:48High praise indeed.

0:42:48 > 0:42:50Is it too much to say that I told you so?

0:42:50 > 0:42:52No, don't push your luck.

0:42:57 > 0:43:00- How do you think it went? - Hm! Perfect.

0:43:00 > 0:43:03I'm really sorry for how I was acting earlier.

0:43:03 > 0:43:05Well, we might need the crash trolley.

0:43:05 > 0:43:07That's the second apology I've had from you today.

0:43:07 > 0:43:10I'm trying to be humble, you could at least try to not be unbearable.

0:43:10 > 0:43:13Only if you admit you didn't need the medal.

0:43:13 > 0:43:17Fine. But I'm not saying the words, "You were right".

0:43:17 > 0:43:18How about now?

0:43:35 > 0:43:39This sight, it will never stop taking my breath away.

0:43:49 > 0:43:51- Do you mind?- Yes!

0:43:52 > 0:43:55Diggers and I used to sit here.

0:43:55 > 0:43:57I don't do shoulders to cry on.

0:43:57 > 0:44:00If you want to off-load, write a blog or something.

0:44:00 > 0:44:02Zosia told me about your new guy.

0:44:03 > 0:44:06You know what they say, keep your friends close, keep your enemies...

0:44:06 > 0:44:08Locked in the boot of your car.

0:44:08 > 0:44:10DOM CHUCKLES

0:44:10 > 0:44:12I thought it was a sign.

0:44:12 > 0:44:13What?

0:44:14 > 0:44:16I lost Arthur's medal today.

0:44:18 > 0:44:21Well, I didn't lose it, Isaac hid it from me.

0:44:22 > 0:44:24This story doesn't sound like it's going to interest me.

0:44:24 > 0:44:26Wrap it up, Copeland.

0:44:26 > 0:44:29Well...he mocked me.

0:44:30 > 0:44:34The medal gives me comfort, and he mocked me for it.

0:44:36 > 0:44:39Attributing luck or comfort to an inanimate object

0:44:39 > 0:44:42should be restricted to teenage girls practising Wicca,

0:44:42 > 0:44:45or gambling addicts. Mr Mayfield is right.

0:44:48 > 0:44:51You really don't do shoulders to cry on, do you?

0:44:51 > 0:44:53If you weren't as self-absorbed as a sponge,

0:44:53 > 0:44:56you might see that he was trying to help you.

0:44:58 > 0:45:01- Are we done?- Yeah.

0:45:01 > 0:45:03HORSE WHINNIES

0:45:05 > 0:45:06DOM CHUCKLES

0:45:08 > 0:45:10Aorta clamped. Scalpel, please.

0:45:10 > 0:45:14So she's a psychopath. Should fit in perfectly around here.

0:45:14 > 0:45:17To not experience empathy or morality.

0:45:17 > 0:45:19To be free of irrational emotions.

0:45:19 > 0:45:21She was right, it must be liberating.

0:45:24 > 0:45:26Aspirating the cyst of larva fluid.

0:45:30 > 0:45:31Saline.

0:45:43 > 0:45:45Dissecting around the cyst.

0:45:45 > 0:45:49The wall is very thin. Wish we had a cryo.

0:45:49 > 0:45:53- It's perforated. - It's OK, the swabs will get it.

0:45:53 > 0:45:54She could become anaphylactic.

0:45:54 > 0:45:57We finish extracting the main cyst, then we clean up the rest.

0:45:57 > 0:45:58Right, we need to page Jac.

0:45:58 > 0:46:01Why? Does she have your nuts in her purse?

0:46:01 > 0:46:02We can do this.

0:46:04 > 0:46:06I think we're good. Sats are fine.

0:46:06 > 0:46:07- MOCKS OLLIE:- "Call Jac, call Jac!"

0:46:07 > 0:46:09The patient could have died.

0:46:09 > 0:46:11But she didn't. We've got this.

0:46:13 > 0:46:16So you don't look like Craig Miles.

0:46:17 > 0:46:19I might sound like him.

0:46:19 > 0:46:22All of us here, we are an amalgamation of accents,

0:46:22 > 0:46:25smells, doctors you've had treat you in the past.

0:46:25 > 0:46:28So, nothing that I see is real?

0:46:28 > 0:46:31Well, no, I wouldn't say it was like that.

0:46:31 > 0:46:33I mean, it seems to me that you're...

0:46:33 > 0:46:35Well, you're quite literally seeing your memories.

0:46:35 > 0:46:37You know, so it's not made up,

0:46:37 > 0:46:39it's just your own interpretation of the world.

0:46:42 > 0:46:44My husband. He isn't coming.

0:46:45 > 0:46:46Still in the pub?

0:46:46 > 0:46:49Still in Spain with one of the riding instructors.

0:46:53 > 0:46:55It's funny.

0:46:55 > 0:46:57Took me going blind

0:46:57 > 0:47:01to make me realise I won't be seeing him again.

0:47:02 > 0:47:05Or, look at it this way.

0:47:06 > 0:47:08It took you going blind to realise

0:47:08 > 0:47:12you didn't need him in the first place.

0:47:15 > 0:47:16Maybe you're right.

0:47:33 > 0:47:35Surgery went well.

0:47:35 > 0:47:36He should be awake soon.

0:47:40 > 0:47:43Two weeks after he told me, I got this phone call.

0:47:45 > 0:47:46Job offer down in Bournemouth.

0:47:48 > 0:47:49Lifeguard on the beach.

0:47:50 > 0:47:53The Magaluf of the British coast, apparently.

0:47:53 > 0:47:55Proper dream job.

0:47:55 > 0:47:58- Sounds perfect. - I turned it down, didn't I?

0:47:58 > 0:48:00Couldn't leave him.

0:48:00 > 0:48:03- I'm not going to defend him.- Good.

0:48:04 > 0:48:07He did say that his girlfriend had just left him.

0:48:07 > 0:48:08The first time.

0:48:10 > 0:48:12Alexa, yeah.

0:48:12 > 0:48:14He was, like, obsessed.

0:48:17 > 0:48:20People do crazy things when they're heartbroken.

0:48:20 > 0:48:22Seems to be the only time in life

0:48:22 > 0:48:26where it's perfectly acceptable to just act completely crazy.

0:48:26 > 0:48:27THIS is acceptable?

0:48:27 > 0:48:29No, no. Not at all.

0:48:29 > 0:48:32But I do understand it.

0:48:35 > 0:48:38He might have been lying then.

0:48:40 > 0:48:42But he does have cancer now.

0:48:42 > 0:48:44Could say he deserves it.

0:48:44 > 0:48:46Yeah, you could. You absolutely could.

0:48:47 > 0:48:50But speaking from experience...

0:48:51 > 0:48:54..I wouldn't wish it on my worst enemy.

0:48:57 > 0:48:59You didn't kill me, then.

0:49:00 > 0:49:04Quite the contrary. Your heart is once again unblemished.

0:49:04 > 0:49:05One moment.

0:49:17 > 0:49:20So why did you never go home?

0:49:20 > 0:49:22It's personal.

0:49:22 > 0:49:24Indulge me.

0:49:26 > 0:49:30The last time that I went home...

0:49:33 > 0:49:37..my parents were fussing over their old sheepdog.

0:49:39 > 0:49:40Long past retirement.

0:49:42 > 0:49:44A bag of bones.

0:49:44 > 0:49:46So don't tell me, you felt empathy.

0:49:48 > 0:49:49I killed it.

0:49:51 > 0:49:54The dog was old,

0:49:54 > 0:49:57and my parents were too sentimental to do what needed doing.

0:49:59 > 0:50:02Well, I can see why they didn't stay in touch.

0:50:02 > 0:50:04SHE SNORTS WITH LAUGHTER

0:50:05 > 0:50:08Please. That choice was all mine.

0:50:11 > 0:50:16Now, how about we discuss

0:50:16 > 0:50:19your unresolved daddy issues?

0:50:24 > 0:50:26They're all resolved, actually.

0:50:34 > 0:50:38Nothing you can say can make me feel any worse than I already do.

0:50:40 > 0:50:42I'll come back when you're out of isolation.

0:50:43 > 0:50:46Here, you can keep this and all.

0:50:47 > 0:50:49Why are you being so nice to me?

0:50:49 > 0:50:50I'm moving out.

0:50:52 > 0:50:55Your friend's just been through some pretty intensive surgery.

0:50:55 > 0:50:57It's not advisable he's left to fend for himself.

0:50:57 > 0:51:00You don't have to do that.

0:51:01 > 0:51:02I've called my parents.

0:51:04 > 0:51:07Time for them to share some of the burden.

0:51:08 > 0:51:10Right, let's get you upstairs.

0:51:29 > 0:51:31I think I owe you an apology.

0:51:32 > 0:51:34Peace offering?

0:51:34 > 0:51:36I only accept cold, hard cash as an apology.

0:51:38 > 0:51:41Look, I may have possibly overreacted slightly today

0:51:41 > 0:51:45about the whole medal thing.

0:51:45 > 0:51:47Are you being serious?

0:51:47 > 0:51:49It has been said very occasionally

0:51:49 > 0:51:53that I am prone to blowing things out of proportion.

0:51:53 > 0:51:55A drama queen, some might say?

0:51:55 > 0:51:56No. No-one's ever said that.

0:51:58 > 0:52:04Proper drink? You're on baby-sitting duties because I am celebrating.

0:52:04 > 0:52:06And if you want to bring your medal, then fine,

0:52:06 > 0:52:10but try not to convince people you fought in Afghanistan this time.

0:52:10 > 0:52:12Pretty sure impersonating a serviceman is illegal.

0:52:12 > 0:52:15You don't normally complain.

0:52:15 > 0:52:17THEY LAUGH

0:52:21 > 0:52:23SHE MOANS IN PAIN

0:52:26 > 0:52:28SHE GROANS

0:52:40 > 0:52:42I could have managed.

0:52:43 > 0:52:46Do you feel any different?

0:52:46 > 0:52:50I'm content knowing it's no longer there.

0:52:50 > 0:52:53So you're going to stick around here then?

0:52:53 > 0:52:55Any reason why I shouldn't?

0:52:56 > 0:52:57Mainly one.

0:53:01 > 0:53:03Would that be how you dealt with it?

0:53:03 > 0:53:05- By running away?- No.

0:53:07 > 0:53:08But you're not like me.

0:53:11 > 0:53:15Do you feel ashamed? That you lost at your own game?

0:53:16 > 0:53:19I got the surgery that I wanted.

0:53:20 > 0:53:22Sounds like a win to me.

0:53:22 > 0:53:25But not in the manner of your choosing. You wanted Ms Naylor...

0:53:25 > 0:53:26I'd like to rest now.

0:53:28 > 0:53:30Or how about this?

0:53:30 > 0:53:34I performed the surgery I wanted, on the patient I chose,

0:53:34 > 0:53:37asserting my presence in the department

0:53:37 > 0:53:39and making some allies along the way.

0:53:39 > 0:53:43And yet you still think you manipulated me.

0:53:45 > 0:53:47Perhaps I am a lot like you.

0:53:51 > 0:53:53Enjoy your victory.

0:54:07 > 0:54:08So...

0:54:10 > 0:54:13Orange Is The New Black?

0:54:13 > 0:54:15Didn't have you down as a fashion guru.

0:54:15 > 0:54:19No, no, it's a TV series. It's about lesbi...

0:54:19 > 0:54:21About female prisoners.

0:54:21 > 0:54:23Is that my speciality now?

0:54:25 > 0:54:26Sorry.

0:54:26 > 0:54:28Just trying to get to know you.

0:54:28 > 0:54:31Not great at icebreakers.

0:54:31 > 0:54:33No. I'll go and wait with your mother.

0:54:33 > 0:54:34Oh, and for your information,

0:54:34 > 0:54:38I binge-watched the entire boxset in three days.

0:54:46 > 0:54:48Icebreakers are my speciality.

0:54:48 > 0:54:50Heard you were here now.

0:54:50 > 0:54:52I'm drowning my sorrows, what about you?

0:54:52 > 0:54:55Your sorrows? Just be thankful you don't have to work with your mother.

0:54:55 > 0:54:58My sister is director of cardiothoracic surgery.

0:54:58 > 0:55:01And today I missed out on a live stream of a thyroidectomy.

0:55:01 > 0:55:04You win. You want one?

0:55:04 > 0:55:08No, this round is on Mr Levy.

0:55:08 > 0:55:10But you can get the next one, though.

0:55:10 > 0:55:13You should probably get back to Ms Wolfe. Mummy's boy.

0:55:18 > 0:55:21I think that's the first time you've ever bought me a drink.

0:55:21 > 0:55:23First day for everything.

0:55:23 > 0:55:27Your mum was just saying how nice it was to work alongside you today.

0:55:27 > 0:55:29I did. I underestimated you.

0:55:29 > 0:55:33Well, two compliments in one day! Cheers.

0:55:33 > 0:55:35Cheers.

0:55:35 > 0:55:37Oh, I know there's a vodka in that Coke.

0:55:37 > 0:55:40If you want to make it this time, you can't be drinking every night.

0:55:40 > 0:55:42No more distractions.

0:55:42 > 0:55:44CORK POPS

0:55:44 > 0:55:45E viva!

0:55:47 > 0:55:49ALL: Cheers!

0:55:49 > 0:55:52You know, it is superstition that if you don't make eye contact

0:55:52 > 0:55:54when you say cheers, you will have seven years of bad sex.

0:55:54 > 0:55:57Every day's a school day.

0:55:59 > 0:56:01Excuse me.

0:56:06 > 0:56:09It's the end of the day. I'm going home.

0:56:09 > 0:56:11Thank you. For letting me do the operation.

0:56:13 > 0:56:15I hope we can continue working together.

0:56:15 > 0:56:17CT funding is hard to come by.

0:56:17 > 0:56:20I wouldn't have been doing myself any favours by putting my dislike

0:56:20 > 0:56:24of your grating personality above your skills as a clinician.

0:56:24 > 0:56:26Look, I am an ass. But so are you.

0:56:26 > 0:56:28Good night, Mr Rossini.

0:56:31 > 0:56:35Cards on the table. I guessed Guy's offer was disingenuous.

0:56:35 > 0:56:39But if you were in the same boat, wouldn't you have done the same?

0:56:39 > 0:56:42I guess you'll never know.

0:56:42 > 0:56:45How was I to know fate would bring us together so soon?

0:56:45 > 0:56:46Are you drunk?

0:56:47 > 0:56:50The universe works in mysterious ways, Ms Naylor.

0:56:51 > 0:56:54Well, the universe has its eye on you.

0:56:54 > 0:56:56Good!

0:56:59 > 0:57:02Let me know if it sees anything out of the ordinary.

0:57:11 > 0:57:13Hello, you.

0:57:18 > 0:57:19HORSE WHINNIES

0:57:23 > 0:57:25I think I'm going to like it here.

0:57:27 > 0:57:29Let's get you back home.