One Day at a Time

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0:00:02 > 0:00:04I'm a religious man. Can you imagine meeting someone

0:00:04 > 0:00:06who tells you he can make you walk again?

0:00:06 > 0:00:09The professor did this. Come...

0:00:09 > 0:00:11HE SOBS

0:00:13 > 0:00:15Mr Gaskell.

0:00:15 > 0:00:17Close.

0:00:17 > 0:00:18Raf's inheritance,

0:00:18 > 0:00:22I'm going to donate it to Professor Gaskell's stem cell research.

0:00:22 > 0:00:27When can we discuss how you're going to save my life, sexy man?

0:00:31 > 0:00:32Jac?

0:00:32 > 0:00:36- It's none of your business. - I need you to stay in your job.

0:00:36 > 0:00:37I want to learn from the best

0:00:37 > 0:00:40and if you get fired I'll be stuck with your replacement.

0:00:42 > 0:00:45I've spent a lifetime being passed from one specialist

0:00:45 > 0:00:48to another without a sniff of a diagnosis.

0:00:48 > 0:00:52You're suffering with something known as Wegener's Granulomatosis,

0:00:52 > 0:00:55which has now been more conveniently renamed GPA.

0:00:55 > 0:00:57- You ready?- Ready!

0:00:58 > 0:01:00HE EXHALES

0:01:00 > 0:01:03DISTANT SIRENS WAIL

0:01:51 > 0:01:55Tyger, Tyger, burning bright

0:01:55 > 0:01:57In the forests of the night

0:01:59 > 0:02:03What immortal hand or eye

0:02:03 > 0:02:06Could frame thy fearful symmetry?

0:02:08 > 0:02:11In what distant deeps or skies

0:02:12 > 0:02:14Burnt the fire of thine eyes?

0:02:16 > 0:02:20On what wings dare he aspire?

0:02:21 > 0:02:25What the hand, dare seize the fire?

0:02:27 > 0:02:30And what shoulder, and what art

0:02:31 > 0:02:33Could twist the sinews of thy heart?

0:02:35 > 0:02:37And when thy heart began to beat

0:02:39 > 0:02:43What dread hand? And what dread feet?

0:02:45 > 0:02:47WHIRRING

0:02:54 > 0:02:57Why exactly are you in an out-of-order toilet?

0:02:57 > 0:02:59Saw the sign, needed five minutes.

0:02:59 > 0:03:00Already?

0:03:01 > 0:03:05Essie had me in at five, obsessing over every detail.

0:03:05 > 0:03:07You should be chuffed you're involved.

0:03:07 > 0:03:11Not after a string of nights followed by three 12-hour days.

0:03:11 > 0:03:13Can you see these bags?!

0:03:13 > 0:03:15You know, it's pretty rare an F1 gets to assist

0:03:15 > 0:03:16on stem cell procedure.

0:03:16 > 0:03:19Nerve extraction actually today.

0:03:19 > 0:03:21The stem cell bit isn't until...

0:03:21 > 0:03:22I'm not sure when.

0:03:22 > 0:03:25Do you think Hanssen will be back?

0:03:25 > 0:03:27It's a big day - you'd think he'd want to be here for it.

0:03:28 > 0:03:30Oh... Are they going to attach the stem cells

0:03:30 > 0:03:33to the end of the nerve or throughout the whole substrate?

0:03:33 > 0:03:35Because I've been doing some research

0:03:35 > 0:03:36and a peripheral nerve graft is pretty big

0:03:36 > 0:03:40but to attempt a spinal stem graft, that's just insane...

0:03:40 > 0:03:42Seriously, do you ever stop?

0:03:42 > 0:03:44I sneaked into Gaskell's wet lab yesterday.

0:03:44 > 0:03:47It's incredible. Have you seen his stuff?!

0:03:47 > 0:03:50Yeah, and I don't know what any of it does.

0:03:50 > 0:03:52Even the thought of going down there makes me...

0:03:52 > 0:03:54I wish my day was going to be as exciting as yours.

0:03:54 > 0:03:56BEEPING She can't be here yet!

0:03:56 > 0:03:59- Who?- The patient's in reception.

0:03:59 > 0:04:01And they're sending you?

0:04:01 > 0:04:05Does it look like I've slept for more than three hours?

0:04:05 > 0:04:06Almost.

0:04:11 > 0:04:14The whole hospital's talking about it.

0:04:14 > 0:04:17Probably won't surprise you - you know what this place is like.

0:04:20 > 0:04:21I really need it to go well.

0:04:23 > 0:04:25I just wish Hanssen was here.

0:04:27 > 0:04:29Anyway, the patient's due in so...

0:04:31 > 0:04:34..I just wanted to say hi.

0:04:42 > 0:04:44What is this?

0:04:44 > 0:04:48Self-defence classes. The information is very clear.

0:04:48 > 0:04:50I just thought people might feel safer after a class.

0:04:50 > 0:04:53- You know, just the basics. - When did you have time to do these?

0:04:53 > 0:04:56Mikey showed me on the computer last night. Impressive, eh?

0:04:58 > 0:05:01- You're not keen?- No.

0:05:01 > 0:05:04Is there a reason you're not ready to for your shift?

0:05:04 > 0:05:05I have five minutes.

0:05:05 > 0:05:08Three minutes, if we're going by my watch, which we are.

0:05:08 > 0:05:11And I prefer those I'm teaching to be on the ward 15 minutes early,

0:05:11 > 0:05:13looking willing. So, you are late.

0:05:13 > 0:05:16Well, the ninja classes, they weren't my idea.

0:05:17 > 0:05:19No word on Hanssen?

0:05:22 > 0:05:25With such a public case, he should be here.

0:05:25 > 0:05:28Do we know where we're putting the patient? She's due any minute.

0:05:28 > 0:05:31- Everything's ready for her. - BEEPING

0:05:34 > 0:05:37Are you sure you don't want me to...?

0:05:37 > 0:05:39I've done this before, promise.

0:05:39 > 0:05:42You didn't need to get a taxi. We had the ambulance booked.

0:05:42 > 0:05:43A taxi fare for me

0:05:43 > 0:05:46is a fraction of the cost of an ambulance for the NHS.

0:05:46 > 0:05:48And much more incognito.

0:05:48 > 0:05:52You need to get used to the star treatment, you're the VIP today.

0:05:54 > 0:05:57- Oh...- Let me help. Oh!

0:05:57 > 0:06:00- I'm so sorry! That must have hurt. - Not one bit.

0:06:00 > 0:06:03One of the few perks of having no feeling in my legs.

0:06:03 > 0:06:04I didn't mean that.

0:06:04 > 0:06:07It's OK, Meena. I can take it from here.

0:06:07 > 0:06:10These wheels have a life of their own sometimes. No harm done.

0:06:11 > 0:06:15Well, let's just check anyway. We can't be too sure today.

0:06:15 > 0:06:16SHE MOUTHS SILENTLY

0:06:18 > 0:06:23Nurse Fletcher wants us to nominate a safety officer.

0:06:23 > 0:06:25OK, all the information's in here.

0:06:26 > 0:06:28So, any takers?

0:06:28 > 0:06:31Great. Well, that's it.

0:06:31 > 0:06:32Thank you.

0:06:32 > 0:06:35That must have taken Fletch hours.

0:06:35 > 0:06:37It's cathartic, I think.

0:06:37 > 0:06:39You don't fancy being Dr Safety then?

0:06:39 > 0:06:42HE SCOFFS As exciting as that sounds...

0:06:43 > 0:06:44SHE LAUGHS

0:06:44 > 0:06:45I've got so much paperwork

0:06:45 > 0:06:48and also I've somehow agreed to hold the fort when Hanssen's away.

0:06:48 > 0:06:51- Still no word from him?- No.

0:06:51 > 0:06:54- Well, we're all here to support each other.- Yeah. Absolutely.

0:07:01 > 0:07:05Mr Levy, hi. Just wanted to let you know I'm here to pitch in wherever

0:07:05 > 0:07:07you need me. Just point me in the right direction.

0:07:07 > 0:07:12That's great, thank you. There is something, actually.

0:07:12 > 0:07:15This is patient information that needs to be collated for everyone

0:07:15 > 0:07:18admitted overnight. The night shift were completely snowed under.

0:07:18 > 0:07:20- Right.- Great.

0:07:20 > 0:07:25Also...do you fancy being a safety officer as well?

0:07:25 > 0:07:30- Oh, I'm not... - That would be really, really great.

0:07:30 > 0:07:32Thank you. Thank you.

0:07:38 > 0:07:40Yeah, there's a little bit of redness there,

0:07:40 > 0:07:43so I'm going to do an X-ray just to be sure.

0:07:43 > 0:07:45There's really no need.

0:07:45 > 0:07:48I don't want to take the risk. This trial is far too important.

0:07:48 > 0:07:51- A lot of time and money. - I know. Precisely.

0:07:51 > 0:07:55And we can't have our trailblazer anything less than 100%.

0:07:55 > 0:07:58Professor Gaskell's the trailblazer, not me.

0:08:00 > 0:08:03It's normally 113 over 65, or thereabouts.

0:08:03 > 0:08:06Spot-on.

0:08:06 > 0:08:08One thing about my body I CAN rely on.

0:08:08 > 0:08:11OK, so Professor Gaskell will be down to talk to you shortly.

0:08:11 > 0:08:14- Is there anything I can get you in the meantime?- I'm fine.

0:08:18 > 0:08:22- How is she? - She's fine. Very positive, actually.

0:08:22 > 0:08:24Did you page Professor Gaskell?

0:08:24 > 0:08:26I found it on his desk. He must have popped out.

0:08:26 > 0:08:28Oh, right. He must be in the wet lab.

0:08:28 > 0:08:30Could you go down and tell him that she's here?

0:08:30 > 0:08:33Sure, I'll do that right now.

0:08:34 > 0:08:38This is the third text from Darla this morning, asking to see Ric.

0:08:38 > 0:08:39What, he's still not seeing visitors?

0:08:41 > 0:08:44OK. Ring the prison, tell Ric how much Darla misses him.

0:08:44 > 0:08:47- That'll sway him.- Good idea.

0:08:51 > 0:08:53Right. What have we got?

0:08:55 > 0:08:56It's Adina, isn't it?

0:08:56 > 0:08:57You remembered!

0:08:57 > 0:08:58How could I forget?

0:08:59 > 0:09:02My mother, her stomach is not good.

0:09:02 > 0:09:05All right. Er, Mrs Salu. Sorry, do you mind if I call you Dorina?

0:09:05 > 0:09:07ADINA TRANSLATES TO ROMANIAN

0:09:07 > 0:09:11Da. Imi place camasa ta.

0:09:11 > 0:09:14Yes. She says yes. Her English is not great.

0:09:14 > 0:09:16She also says she likes your shirt.

0:09:16 > 0:09:18Thank you very much. Very kind of you.

0:09:20 > 0:09:22Does she understand any English?

0:09:22 > 0:09:24When she wants to.

0:09:24 > 0:09:26OK, well, thank God we've got you.

0:09:26 > 0:09:29Right, let's get you settled into a bay.

0:09:29 > 0:09:32- One? He's ready to be discharged. - Great.

0:09:33 > 0:09:35What can I do?

0:09:35 > 0:09:38Paperwork to discharge bay one would be great.

0:09:38 > 0:09:41And as quick as you can, OK?

0:09:46 > 0:09:48Is this the best bed you've got?

0:09:48 > 0:09:50It's as good as any other.

0:09:50 > 0:09:52Where does all the action happen?

0:09:52 > 0:09:54Mr Sparkes...

0:09:54 > 0:09:56Thomas. Tommy to mates.

0:09:57 > 0:09:59I see you have a history of heart problems,

0:09:59 > 0:10:02including a heart attack a few weeks ago.

0:10:02 > 0:10:06- "Nine lives Tommy" they call me. - And this morning you had a fall.

0:10:06 > 0:10:08You sure you can't move me?

0:10:08 > 0:10:11Yes. Absolutely sure.

0:10:11 > 0:10:12What are these?

0:10:12 > 0:10:15- Ah, self portraits, they're, uh... - Nude.

0:10:15 > 0:10:18I've always wanted to try a bit of life modelling.

0:10:19 > 0:10:23But I'm not sure that I've got the proportions quite right.

0:10:23 > 0:10:26FRIEDA SNIGGERS

0:10:26 > 0:10:29Well, seeing as you're finding this so funny, Ms Petrenko...

0:10:30 > 0:10:33Ms Petrenko, this is Mr Sparkes.

0:10:33 > 0:10:34She looks fun.

0:10:34 > 0:10:36We can hear you.

0:10:36 > 0:10:38Let's have FBC, U&Es, LFTs, clotting.

0:10:38 > 0:10:41But before all that, please take these and put them somewhere

0:10:41 > 0:10:44no-one's accidentally going to get an eyeful. For all our sakes.

0:10:57 > 0:10:58The time is 08:59.

0:11:01 > 0:11:05Connecting the irrigant, growth factor and catalyser tubules.

0:11:14 > 0:11:19Once the solutions are added, these will provide an optimum balance

0:11:19 > 0:11:22between nutrient supply and metabolite removal...

0:11:26 > 0:11:28..or so I sincerely hope.

0:11:31 > 0:11:33LOUD CLATTERING

0:11:33 > 0:11:35- I'm sorry, I didn't even see it! I'll get it...- Leave it.

0:12:07 > 0:12:10Where's my knight in shining armour? My Stefan.

0:12:10 > 0:12:11Dominic?

0:12:11 > 0:12:14He's taking a well-earned week off. Visiting his mum, I think he said.

0:12:14 > 0:12:18He never text to invite me. Maybe it's too soon to meet the parents.

0:12:20 > 0:12:24Right, Dorina - does she have abdominal pain and nausea?

0:12:24 > 0:12:26ADINA TRANSLATES TO ROMANIAN

0:12:28 > 0:12:31- DORINA SPEAKS IN ROMANIAN - She says, "A little".

0:12:31 > 0:12:32May I examine her?

0:12:32 > 0:12:35I hope your hands are warm when you touch my mother, Mr Levy.

0:12:35 > 0:12:38Optimum mother-touching temperature. Right.

0:12:42 > 0:12:43DORINA GROANS

0:12:44 > 0:12:47LFT, U&Es, and FBC to start.

0:12:53 > 0:12:57She never complains, always smiles but I don't want her to be unwell.

0:12:57 > 0:13:00My daughter, she adores her bunica, her grandmother.

0:13:00 > 0:13:02I told her the hospital will make her better.

0:13:02 > 0:13:05We'll do our best.

0:13:05 > 0:13:07SHE SPEAKS IN ROMANIAN

0:13:07 > 0:13:09Looks like you've got a fan.

0:13:09 > 0:13:11Could be a duodenal ulcer, maybe?

0:13:11 > 0:13:13I've read up on them but I've never seen one.

0:13:13 > 0:13:16Let's not jump the gun, let's just do some tests first, OK?

0:13:16 > 0:13:20Right, I'm going to nip upstairs, don my lederhosen

0:13:20 > 0:13:21and I'm going to do my best

0:13:21 > 0:13:24all-singing, all-dancing Hanssen impression.

0:13:25 > 0:13:28Lederhosen? Sweden? No?

0:13:29 > 0:13:32Don't they wear lederhosen in Bavaria?

0:13:32 > 0:13:34Of course they do.

0:13:38 > 0:13:39Hello.

0:13:53 > 0:13:56Fiona, good to see you again.

0:13:56 > 0:13:57Likewise.

0:13:57 > 0:13:59I imagine you're keen to get going?

0:13:59 > 0:14:01Any new demyelinating events?

0:14:01 > 0:14:03I've probably had about a 20% degradation

0:14:03 > 0:14:05in my spinothalamic function.

0:14:05 > 0:14:08Er, Fiona's pre-op assessment...

0:14:08 > 0:14:10What are these?

0:14:10 > 0:14:12Oh, I was just being over-cautious.

0:14:12 > 0:14:14Both ankles are absolutely fine.

0:14:14 > 0:14:16Thorough, good.

0:14:16 > 0:14:19Today we harvest the peripheral nerve, which will act as

0:14:19 > 0:14:22an axonal conduit once we implant it into your spine in a couple of days.

0:14:22 > 0:14:25Now, which ankle would you prefer the nerve to come from?

0:14:25 > 0:14:27It's absolutely up to you.

0:14:27 > 0:14:29I'm left-footed, so let's go with the right.

0:14:31 > 0:14:32There we are.

0:14:32 > 0:14:35We'll look after you in theatre. I shall see you in recovery.

0:14:38 > 0:14:40Is there anything to add to the checklist before we go into theatre?

0:14:40 > 0:14:42I think you have it all covered.

0:14:42 > 0:14:45- She seems very at ease. - She's remarkable,

0:14:45 > 0:14:48able to handle the pressure of an operation this significant.

0:14:48 > 0:14:50As are you.

0:14:50 > 0:14:52I'm satisfied our trial is at the best place

0:14:52 > 0:14:54- that it could be at this stage. - Me too.

0:14:59 > 0:15:01How's our resident Michelangelo?

0:15:01 > 0:15:05His heart rate has normalised, BP 120 over 80.

0:15:05 > 0:15:08Bloods are clear and he says his pain has subsided.

0:15:08 > 0:15:11OK, let's have an ECG and a chest X-ray - see where we are.

0:15:11 > 0:15:15- I can't, my elective has arrived. - You can't multi-task?

0:15:15 > 0:15:19Yes. Well, er, Thomas has asked particularly for you.

0:15:19 > 0:15:22Something about the sunshine on a cloudy day.

0:15:22 > 0:15:24Couldn't possibly imagine what he meant.

0:15:24 > 0:15:25Thomas!

0:15:28 > 0:15:29Everyone OK in here?

0:15:31 > 0:15:35Much better. I can see all the comings and goings from here.

0:15:35 > 0:15:39You were in a little while ago, weren't you? It's Tommy.

0:15:39 > 0:15:41You've smartened up a bit.

0:15:41 > 0:15:44Tell me about it. Your wife - Reenie?

0:15:44 > 0:15:47Carked it about a month back.

0:15:47 > 0:15:49Oh. Sorry about that.

0:15:49 > 0:15:53Well, we had 50 beautiful years together

0:15:53 > 0:15:58but we made a pact - I'm not going to wallow.

0:15:58 > 0:16:00Hard not to, though.

0:16:00 > 0:16:04She made me write out one of those bucket lists.

0:16:05 > 0:16:09All the things that we'd have liked to have done.

0:16:09 > 0:16:10Get you, eh?

0:16:12 > 0:16:18Now all we need is for that firecracker over there

0:16:18 > 0:16:20to make my ticker all right.

0:16:23 > 0:16:25And I'm just standing there, stuff all over the floor,

0:16:25 > 0:16:28wondering whether he wants me to leave, or stay.

0:16:28 > 0:16:31- Complete silence. - At least you're doing stuff.

0:16:31 > 0:16:34I'll be lucky if I get my hands on a patient by the end of this rotation,

0:16:34 > 0:16:37and then clinically I'm going to be way behind everyone else.

0:16:37 > 0:16:40As if you'd ever be behind any of us.

0:16:40 > 0:16:41I swear Mr Levy doesn't trust me.

0:16:41 > 0:16:44It's like he doesn't think I'm capable or something.

0:16:44 > 0:16:47- We all have to do admin. - Not for a whole shift!

0:16:47 > 0:16:50It's like 2013 all over again, except I don't even have

0:16:50 > 0:16:53cadaver dissection classes to look forward to.

0:16:53 > 0:16:56You looked forward to those? You're so weird.

0:16:56 > 0:16:58I'd lap up a day of admin right now!

0:16:58 > 0:17:01Seriously, I'm the queen of sulking, not you!

0:17:01 > 0:17:04So don't even try to steal my crown.

0:17:04 > 0:17:05Come here...

0:17:07 > 0:17:09You just need to prove to Mr Levy

0:17:09 > 0:17:11that you're more than an admin monkey...

0:17:12 > 0:17:15..and he'll have you assisting before you know it.

0:17:17 > 0:17:19OK. Come on.

0:17:25 > 0:17:29Er, I was... When nature calls and all that.

0:17:29 > 0:17:31Is everything all right, Dr Chowdhury?

0:17:34 > 0:17:38Can I just say? Your work so far has been commendable.

0:17:38 > 0:17:40Channel any nerves you might feel today into energy.

0:17:40 > 0:17:42Theatre is a great calmer.

0:17:42 > 0:17:44I will.

0:17:44 > 0:17:46And remember, you're part of a team.

0:17:46 > 0:17:48At no point will you be on your own.

0:17:54 > 0:17:57Oh, yeah, yeah, he totally hates you.

0:17:57 > 0:17:59How did he know I was in there?

0:18:02 > 0:18:05- Can't we go back to your ward? - They need the bed.

0:18:05 > 0:18:08Until there's space on HCOP you'll have to stay here.

0:18:08 > 0:18:11- It's hardly a thrill a minute is it? - Slight detour.

0:18:11 > 0:18:16Ooh, except for this young lady. She's hot property.

0:18:16 > 0:18:18Hello. You must be Professor Gaskell's trial patient?

0:18:18 > 0:18:21Yes, but how did you know?

0:18:21 > 0:18:24I'm a nurse here. My day off, when I visit clumsy gardeners.

0:18:24 > 0:18:27I wish you'd stop telling people that!

0:18:27 > 0:18:29It's hardly the most exciting injury.

0:18:29 > 0:18:31What would you prefer?

0:18:31 > 0:18:32Ooh, I don't know.

0:18:32 > 0:18:36Something involving being experimental with a younger man?

0:18:36 > 0:18:38THEY LAUGH

0:18:38 > 0:18:41Anyway. The whole hospital is behind you,

0:18:41 > 0:18:44wishing you the best of luck with the operation.

0:18:44 > 0:18:46See you.

0:18:46 > 0:18:50All right. Let's get this hot property off to theatre.

0:18:50 > 0:18:53Seems everyone in the hospital knows about this trial.

0:18:53 > 0:18:57It's a big day for Holby but, as Lofty said, we're all behind you.

0:19:12 > 0:19:14Everything OK?

0:19:14 > 0:19:17All as it should be.

0:19:17 > 0:19:19Except Henrik isn't here...

0:19:19 > 0:19:21He signed the operation off before he left.

0:19:23 > 0:19:24That's not what I meant.

0:19:26 > 0:19:29Well, I'm here for you, whatever you need.

0:19:34 > 0:19:35It has to go to plan.

0:19:36 > 0:19:39With you leading, I have no doubt it will.

0:19:39 > 0:19:42Thank you, all, for your work so far.

0:19:42 > 0:19:46As you know, this is the second phase of a three-phase process,

0:19:46 > 0:19:48no less crucial than the first.

0:19:48 > 0:19:51Without the successful harvesting of the nerve,

0:19:51 > 0:19:53there won't be a phase three.

0:19:53 > 0:19:57I have chosen you all for your skill, your expertise,

0:19:57 > 0:19:59your determination.

0:19:59 > 0:20:01I believe in every one of you

0:20:01 > 0:20:04and I know you have the capacity to do extraordinary things.

0:20:04 > 0:20:08So now, together, we prove it. Everybody ready?

0:20:18 > 0:20:21- Good news? - Certainly is. Ric's agreed.

0:20:21 > 0:20:24My mother, she is in pain. Mr Levy?

0:20:24 > 0:20:26Oh, OK. He's just had to pop out.

0:20:26 > 0:20:29She is not talking, and when she's quiet, I know there is a problem.

0:20:29 > 0:20:33- OK.- All right. Page Mr Levy. I'll take a look at her.

0:20:39 > 0:20:41OK. Dorina, can I...?

0:20:42 > 0:20:46Sacha's signed off on Omeprazole. So, 20mg?

0:20:52 > 0:20:55Dorina has myasthenia gravis. She can't have Omeprazole.

0:20:55 > 0:20:58- What is this?- MG - it was noted when she was admitted.

0:20:58 > 0:21:00How do I not know about this?

0:21:00 > 0:21:03Omeprazole is contraindicated in this case, she needs Ranitidine.

0:21:03 > 0:21:04You're certain?

0:21:04 > 0:21:06I did a myasthenia gravis case study in my final year,

0:21:06 > 0:21:09- I know exactly the drugs you can and can't use.- OK.

0:21:09 > 0:21:13- An expert, that's what I like. - Don't worry, Dorina.

0:21:13 > 0:21:15We're going to have you feeling more comfortable, OK?

0:21:15 > 0:21:19- THEY SPEAK IN ROMANIAN - She says, "Thank you".

0:21:19 > 0:21:21MONITOR BEEPS STEADILY

0:21:21 > 0:21:23The nerve is exposed. Retract.

0:21:27 > 0:21:28Scalpel, please?

0:21:44 > 0:21:46It's caught.

0:21:46 > 0:21:48Can anybody see where?

0:21:50 > 0:21:51Dr Chowdhury?

0:21:56 > 0:21:59Er... Lower right side, underneath...

0:21:59 > 0:22:01Left a bit... No, no.

0:22:01 > 0:22:03Whose left, Dr Chowdhury? Yours or mine?

0:22:03 > 0:22:05My left. My left.

0:22:11 > 0:22:13Got it.

0:22:26 > 0:22:28Could you close?

0:22:30 > 0:22:32I have to get this back to the lab immediately.

0:22:32 > 0:22:34Good work, everybody, thank you.

0:22:38 > 0:22:40All I need is the name of your rep from Darwin.

0:22:40 > 0:22:41What kind of safety procedures?

0:22:41 > 0:22:43All in there.

0:22:43 > 0:22:46When did you have time to do this?

0:22:46 > 0:22:48Between you and me, I'm not actually sleeping.

0:22:48 > 0:22:51I'd rather be doing stuff than just staring at the ceiling.

0:22:51 > 0:22:53Thomas's test results.

0:22:55 > 0:22:57- Oh...- Take it it's not good news?

0:22:57 > 0:22:58No, it's not ideal.

0:22:58 > 0:23:01Poor fella. Been through a lot lately.

0:23:01 > 0:23:04- Jac. Your rep? - Petrenko will do it.- Ah.

0:23:05 > 0:23:09Argh! Don't tell me, I'm dying?

0:23:09 > 0:23:10Not quite.

0:23:10 > 0:23:13But given your recent heart attack I do want to keep you in.

0:23:13 > 0:23:17- Oh! Getting fond of me already? - Something like that.

0:23:17 > 0:23:20We'd like to get you on stabilising medication and run some more tests.

0:23:20 > 0:23:22I'll take my chances if it's all the same with you.

0:23:22 > 0:23:24It isn't. We're doing our best for you,

0:23:24 > 0:23:27so the least you can do is let us.

0:23:27 > 0:23:28Sounds like you're stuck with me.

0:23:30 > 0:23:32Nice.

0:23:32 > 0:23:35- Was that a compliment?- No.

0:23:35 > 0:23:36Ms Petrenko?

0:23:44 > 0:23:45Incredible.

0:23:46 > 0:23:49The human body IS incredible.

0:23:49 > 0:23:51Is there anything else I can do?

0:23:51 > 0:23:53You've been a great help already.

0:23:53 > 0:23:54I want to check in with Oliver.

0:23:54 > 0:23:57He's with physio having his hydrotherapy session today.

0:23:57 > 0:23:59Any improvement?

0:23:59 > 0:24:01Slow progress.

0:24:01 > 0:24:03Take as much time as you need.

0:24:04 > 0:24:07All that remains here is for the stem cells to bed in...

0:24:08 > 0:24:10..and then we await phase three.

0:24:20 > 0:24:23- So I told Nurse Jackson to give... - Ranitidine, yes.

0:24:23 > 0:24:25But Omeprazole would have been much more suitable.

0:24:25 > 0:24:27Good job I saw MG in her notes then.

0:24:27 > 0:24:30What is this "MG"? We knew nothing about this.

0:24:30 > 0:24:32Dorina doesn't have myasthenia gravis...

0:24:32 > 0:24:33What?

0:24:34 > 0:24:37MG are the initials of the doctor who clerked her notes

0:24:37 > 0:24:39when she was in A&E.

0:24:39 > 0:24:41- I can't believe I did that. - No, it's fine.

0:24:41 > 0:24:44Er, nothing to worry about, both drugs are very similar

0:24:44 > 0:24:47and they will both provide the pain relief she needs.

0:24:47 > 0:24:49But another case and this would be...

0:24:49 > 0:24:52- Yeah. I know. - I know I can be a pain,

0:24:52 > 0:24:54but I didn't imagine you'd try and kill my mother.

0:24:54 > 0:24:57Ranitidine will cause her no harm at all. I promise you.

0:24:57 > 0:24:59Well, it worked. The pain has gone apparently.

0:24:59 > 0:25:02- She's saying now she wants to go home.- Home?

0:25:02 > 0:25:05- Dorina, are you sure? - Da. I am fine.

0:25:07 > 0:25:11Ideally I'd like to keep you in to do some more tests, if that's OK?

0:25:11 > 0:25:13ADINA TRANSLATES TO ROMANIAN

0:25:13 > 0:25:16No, no need. No need. OK.

0:25:17 > 0:25:19It's your decision.

0:25:19 > 0:25:21She wants to see her grandchild.

0:25:21 > 0:25:24All right. Well, let me the discharge form.

0:25:27 > 0:25:29It's my fault she wants to be discharged. I'm sorry.

0:25:29 > 0:25:33It's fine. You've just got to make sure that you make patient

0:25:33 > 0:25:38- safety the centre of every single decision you make. OK?- Yeah.

0:25:39 > 0:25:42It was a mistake. Just don't worry about it, all right?

0:25:42 > 0:25:44Just next time you take an interest,

0:25:44 > 0:25:48make sure you come and find me and ask me to observe, OK?

0:25:48 > 0:25:50- Yeah.- OK. All right.

0:25:54 > 0:25:56All right.

0:25:58 > 0:26:02My heart aches and a drowsy numbness pains

0:26:02 > 0:26:07My sense as though of hemlock I'd drunk

0:26:07 > 0:26:10Or emptied some dull opiate to the drains

0:26:10 > 0:26:15One minute past and Lethe-wards had sunk.

0:26:16 > 0:26:18Keates.

0:26:18 > 0:26:19Of course!

0:26:21 > 0:26:25You've certainly made an impression in your new job,

0:26:25 > 0:26:28I've never seen a doctor whose team is quite so...

0:26:29 > 0:26:31..smitten.

0:26:31 > 0:26:33They're a pretty accepting bunch.

0:26:35 > 0:26:38When will you know if the nerve will allow us to progress?

0:26:41 > 0:26:43Two days, maybe three.

0:26:43 > 0:26:44It's all looking favourable.

0:26:46 > 0:26:50- You just need to focus on rest and recovery.- Thank you.

0:26:50 > 0:26:51You've done all the hard work.

0:26:59 > 0:27:02'Tis not through envy of thy happy lot

0:27:02 > 0:27:05But being too happy in thine happiness

0:27:05 > 0:27:08That thou, light-winged Dryad of the trees

0:27:08 > 0:27:09In some melodious plot.

0:27:11 > 0:27:15I bet you thought this day would never come.

0:27:15 > 0:27:18I hadn't considered if it would or it wouldn't.

0:27:18 > 0:27:20It's a trial, that's all.

0:27:20 > 0:27:23Well, Professor Gaskell's worked miracles before.

0:27:23 > 0:27:25I've no doubt he can do it again.

0:27:27 > 0:27:29- You OK?- Of course.

0:27:45 > 0:27:47What are you doing?

0:27:48 > 0:27:51They've fixed them, haven't they? Out of order sign's gone.

0:27:51 > 0:27:55So you're blocking the loo in case you need a hiding place?

0:27:55 > 0:27:57Some of us haven't had a day off.

0:27:57 > 0:28:00I'm in the double-vision stage of tiredness.

0:28:00 > 0:28:04Oh, yeah. Must be tough assisting on a medical first.

0:28:04 > 0:28:07At least you haven't let down the nicest consultant in the hospital

0:28:07 > 0:28:10and had a patient's family who think you're completely incompetent.

0:28:10 > 0:28:13Well, there's no way they're going to let me back into theatre,

0:28:13 > 0:28:16not after direction-gate.

0:28:16 > 0:28:18"Whose left Dr Chowdhury? Yours or mine?"

0:28:18 > 0:28:21Ha-ha. Not that it'd be a bad thing.

0:28:21 > 0:28:25Did I mention there's a global live link? As in on camera.

0:28:25 > 0:28:28Only about six times.

0:28:28 > 0:28:31I can see Gaskell's beady eyes now, waiting for me to mess up again.

0:28:32 > 0:28:34The time is 07:59.

0:28:35 > 0:28:37the NMR-S system is signalling there is sufficient

0:28:37 > 0:28:40neuroepilethelial mass.

0:28:40 > 0:28:44I'm satisfied the seeding process is complete.

0:28:44 > 0:28:45The graft is ready.

0:28:55 > 0:28:58Someone's a keen bean this morning.

0:28:58 > 0:29:00Got some ground to make up with Sacha.

0:29:00 > 0:29:03Honestly, he's really not like that.

0:29:04 > 0:29:07Look, why don't you ask him to get a little bit more involved?

0:29:07 > 0:29:09You know, show him what a great doctor you are.

0:29:09 > 0:29:12Honestly, I'll take that. Go.

0:29:13 > 0:29:18- Mr Levy?- Yes?- I just wanted to apologise again about the other day.

0:29:18 > 0:29:21I haven't given it another thought and neither should you.

0:29:22 > 0:29:25Well, I'd still like to make it up to you, erm, maybe take you up

0:29:25 > 0:29:27on your offer to observe a patient?

0:29:27 > 0:29:31I don't see why not. Erm...

0:29:31 > 0:29:32An obvious candidate.

0:29:42 > 0:29:43We meet again.

0:29:48 > 0:29:49How is Fiona doing?

0:29:49 > 0:29:51She seems well.

0:29:51 > 0:29:53You looking forward to another day in theatre?

0:29:53 > 0:29:55- Yeah?- Good.

0:29:55 > 0:29:57All the obs are done and she's prepped and ready to go.

0:29:57 > 0:29:59Perfect.

0:30:06 > 0:30:10I'm really sorry. I can't go through with the operation.

0:30:14 > 0:30:17He arrested overnight. They had to shock him.

0:30:17 > 0:30:19His STs are up, he's still ischemic.

0:30:19 > 0:30:22I don't think medication alone is working. He needs surgery.

0:30:22 > 0:30:24He's not going to like it.

0:30:24 > 0:30:26- BIRDS TWEET - What's that noise?

0:30:26 > 0:30:29Sh!

0:30:29 > 0:30:32Chaffinches, blackbirds and wrens.

0:30:33 > 0:30:35Three days I've been stuck in here.

0:30:35 > 0:30:39Three days of listening to that.

0:30:39 > 0:30:40HE SNORES

0:30:44 > 0:30:50Still, nice to see you two so chirpy.

0:30:50 > 0:30:53Like two robin red breasts.

0:30:56 > 0:30:59It seems your condition isn't improving,

0:30:59 > 0:31:01so we need to consider surgery.

0:31:01 > 0:31:03Isn't there anything else? She says you're the best in the business.

0:31:03 > 0:31:06It's true.

0:31:06 > 0:31:10I've got a bucket list. I promised Reenie.

0:31:10 > 0:31:13Any operation on your heart will means a significant recovery time.

0:31:13 > 0:31:15Who's going to climb Scafell Pike?

0:31:15 > 0:31:18And you might have to reconsider some of your challenges.

0:31:18 > 0:31:21- HE SCOFFS - May as well order my coffin now.

0:31:21 > 0:31:23Yeah, this is exactly what we're trying to avoid.

0:31:23 > 0:31:25Are you...

0:31:25 > 0:31:28Are you sure there isn't another option?

0:31:30 > 0:31:33All right, let's run a contrast CMR and I'll make a final decision.

0:31:33 > 0:31:35But no promises.

0:31:38 > 0:31:41I'm not here to judge you, Fiona.

0:31:41 > 0:31:42I'm here to listen.

0:31:49 > 0:31:52This has always been a trial.

0:31:52 > 0:31:55Research to help develop

0:31:55 > 0:31:58the possibility of a successful procedure in the future.

0:31:58 > 0:32:00That's what I signed up for.

0:32:00 > 0:32:02Fundamentally, that's what it is.

0:32:02 > 0:32:04No, it isn't.

0:32:04 > 0:32:06Your team are convinced this will work.

0:32:06 > 0:32:09Well, they're optimistic, but they know the limitations.

0:32:09 > 0:32:14And they don't expect any. We all know the doctor you are.

0:32:14 > 0:32:18You understand MS as well as I do. I've lived with it for half my life.

0:32:18 > 0:32:20You've helped me understand.

0:32:21 > 0:32:24Through it, I've met some incredible people,

0:32:24 > 0:32:27people I'm proud to call my friends.

0:32:27 > 0:32:30I don't deserve this any more than any one of them.

0:32:30 > 0:32:34It's not about...who deserves what.

0:32:34 > 0:32:38Fine, I don't NEED it any more than any one of them.

0:32:39 > 0:32:40I am who I am.

0:32:40 > 0:32:43I live a full and decent life.

0:32:44 > 0:32:47There are other people for whom this would change so much,

0:32:47 > 0:32:49given the chance.

0:32:49 > 0:32:53You may know who you are with MS but that's not your fear, is it?

0:32:56 > 0:33:00You're scared this might work.

0:33:00 > 0:33:02You hadn't planned for this eventuality.

0:33:06 > 0:33:07It's OK if you get better.

0:33:11 > 0:33:12How did you know?

0:33:14 > 0:33:18I will do my very best for you, IF you let me.

0:33:22 > 0:33:23How does he do it?

0:33:23 > 0:33:26I have no idea.

0:33:28 > 0:33:31- Ready?- As I'll ever be.

0:33:39 > 0:33:44Right, LFT, U&Es, FBC and X-ray.

0:33:44 > 0:33:46SHE SPEAKS IN ROMANIAN

0:33:46 > 0:33:49Dr McKendrick is going to take your bloods now.

0:33:50 > 0:33:54And you're staying in, all right? My rules.

0:33:54 > 0:33:57You are as kind as you are handsome...

0:33:57 > 0:34:00..for the older lady, of course.

0:34:00 > 0:34:01Of course.

0:34:04 > 0:34:07I realise we didn't get off to a great start before.

0:34:07 > 0:34:11- All I care about is my mother.- Same.

0:34:11 > 0:34:13Dorina, can I take your arm?

0:34:13 > 0:34:17- Erm... "Brat"? - Vorbiti limba romana?

0:34:17 > 0:34:20Oh. A little.

0:34:20 > 0:34:22I went to med school with a girl who was from Romania.

0:34:22 > 0:34:26She, erm, she was wild.

0:34:26 > 0:34:27All the best ones are.

0:34:29 > 0:34:32SHE SPEAKS IN ROMANIAN

0:34:32 > 0:34:34- Erm... Cap?- Mm-hm.

0:34:36 > 0:34:39- Gura.- Gura.- Gura.

0:34:39 > 0:34:40DORINA CHUCKLES

0:34:41 > 0:34:43Mm?

0:34:43 > 0:34:45Er... Ochi?

0:34:45 > 0:34:47- Yes! - THEY LAUGH

0:34:47 > 0:34:49SHE SPEAKS IN ROMANIAN

0:34:50 > 0:34:52Erm, you're clammy, erm...

0:34:52 > 0:34:54SHE SPEAKS IN ROMANIAN

0:34:55 > 0:34:58Hot. Cold. Sometimes.

0:35:00 > 0:35:02- Ah...- OK.

0:35:08 > 0:35:10MONITOR BEEPS STEADILY

0:35:12 > 0:35:16Global experts watching your every move.

0:35:16 > 0:35:18You must have nerves of steel.

0:35:18 > 0:35:20I'll just scrub in.

0:35:20 > 0:35:22I focus merely on what's in front of me.

0:35:23 > 0:35:26- LOUDSPEAKER:- Just checking the new microscope meets your expectations?

0:35:26 > 0:35:28It's ideal Mr Fletcher, thank you.

0:35:28 > 0:35:30This op's going to be the main talking point

0:35:30 > 0:35:34in the board meeting later. Best of luck.

0:35:34 > 0:35:35Is our nerve standing by?

0:35:36 > 0:35:38Scalpel, please.

0:35:53 > 0:35:56Hardly ground-breaking so far.

0:35:56 > 0:35:58It is no comparison to heart surgery.

0:36:01 > 0:36:02There is just nothing like

0:36:02 > 0:36:05the feeling of a beating heart in your hand,

0:36:05 > 0:36:09knowing that without it, there would be just nothing else.

0:36:10 > 0:36:14But then, you know, it takes a certain type to be a heart surgeon.

0:36:23 > 0:36:28Debriding the scar tissue to create a fresh plane of neural tissue.

0:36:30 > 0:36:35The area is fragile. Precision is key...

0:36:36 > 0:36:39I've caught an intercostal artery. Suction, please.

0:36:39 > 0:36:44Let's get some haemostatic activator to stop the bleed.

0:36:44 > 0:36:46DEVICE SUCTIONS LIQUID

0:36:49 > 0:36:51There's more scar material than I anticipated.

0:36:51 > 0:36:53If I cut, will you remove?

0:36:57 > 0:36:59SUCTIONING CONTINUES

0:37:02 > 0:37:03There.

0:37:05 > 0:37:08I can see the fresh tissue. One more piece...

0:37:11 > 0:37:13..and the ends of the damaged section are clear.

0:37:13 > 0:37:14Good.

0:37:20 > 0:37:22Dr Chowdhury, the graft.

0:37:22 > 0:37:25Quickly, please.

0:37:28 > 0:37:31MONITOR CONTINUES TO BEEP

0:38:05 > 0:38:07- I can come back, if you're busy? - No, no, it's fine.

0:38:09 > 0:38:11Dorina's blood results.

0:38:15 > 0:38:16OK.

0:38:18 > 0:38:21Erm... Well, that's not much to go on, is it?

0:38:21 > 0:38:25She's clammy, and she's complained of hot and cold sweats.

0:38:25 > 0:38:26Could be gastroenteritis.

0:38:29 > 0:38:31- Hi.- Hi.- I like your hair.

0:38:31 > 0:38:34Mama. Bobby Ewing.

0:38:34 > 0:38:35In Dallas.

0:38:36 > 0:38:38Bobby Ewing from Dallas?

0:38:38 > 0:38:41- Yes.- OK! Erm...

0:38:41 > 0:38:44Thank you very much. Very kind.

0:38:44 > 0:38:48Right. So, the bloods have come back inconclusive.

0:38:48 > 0:38:50ADINA TRANSLATES TO ROMANIAN

0:38:52 > 0:38:56Er...I would like to ask about your...stools.

0:38:56 > 0:38:58Unconventional, after a compliment.

0:39:01 > 0:39:05Erm... Yes, so... Is it painful passing stools?

0:39:05 > 0:39:07THE SPEAK IN ROMANIAN

0:39:09 > 0:39:12She says the pain comes and goes.

0:39:12 > 0:39:13Putin sau mult?

0:39:15 > 0:39:19Just a little thing I learned. I asked if it hurts a little or a lot?

0:39:19 > 0:39:20Mult.

0:39:21 > 0:39:23- A lot.- A lot?

0:39:25 > 0:39:30Right. Let's get a CT and an MRI. OK? Also...

0:39:31 > 0:39:34..I'm going to need an amended ward list, OK?

0:39:34 > 0:39:37In print and on my desk, as soon as possible.

0:39:37 > 0:39:38Sure.

0:39:43 > 0:39:45Lists are boring.

0:39:45 > 0:39:48It's fine. But my flatmate and I were at the same level

0:39:48 > 0:39:52and she's on a really complex case today, so...

0:39:52 > 0:39:54And you're dealing with my mother's stools.

0:39:54 > 0:39:56I want to help Dorina, honestly.

0:39:56 > 0:39:59You know what I do? I'm a dental hygienist.

0:39:59 > 0:40:02I look into people's mouths who say they floss, even though they don't,

0:40:02 > 0:40:06and I say the same thing - brush your teeth and no problems.

0:40:06 > 0:40:08And you'd rather be a dentist?

0:40:08 > 0:40:10Not at all! I love my job.

0:40:10 > 0:40:13When a mouth is clean, a smile is special.

0:40:14 > 0:40:17Sometimes it's OK to do the small things.

0:40:25 > 0:40:27The nerve is in place.

0:40:28 > 0:40:32Now to stitch the incubated sections

0:40:32 > 0:40:34of the nerve to bridge the gap...

0:40:36 > 0:40:40The correct placing of every stitch is paramount.

0:40:42 > 0:40:43Everybody ready?

0:40:48 > 0:40:50Lost it.

0:40:57 > 0:41:01Slow...and steady.

0:41:06 > 0:41:09And...the knot.

0:41:16 > 0:41:18Irrigation, please, Ms MacMillan.

0:41:29 > 0:41:31HE EXHALES

0:41:33 > 0:41:35Doctor.

0:41:39 > 0:41:42Everything OK, Dorina?

0:41:42 > 0:41:44- Cap. - DORINA GROANS

0:41:44 > 0:41:47And here? The Ochi?

0:41:47 > 0:41:49Sometimes black.

0:41:49 > 0:41:54I'll talk to Mr Levy, about getting you some pain relief, yeah?

0:41:54 > 0:41:57Adina, she has...

0:41:57 > 0:42:01- GPA.- I no want her worry.

0:42:01 > 0:42:04Of course, but I don't want you to worry either.

0:42:11 > 0:42:15- Mr Levy?- Yep? - Dorina been complaining of...

0:42:15 > 0:42:18- Her results? - No, they're not back yet,

0:42:18 > 0:42:20but she's complaining of headaches

0:42:20 > 0:42:23and I don't think she's telling Adina everything...

0:42:23 > 0:42:25OK. Go on.

0:42:25 > 0:42:28Well, she says the headaches are so bad she loses vision sometimes,

0:42:28 > 0:42:32and with the nausea, the stomach pain, the pain while passing stools

0:42:32 > 0:42:34and the night sweats,

0:42:34 > 0:42:37it sounds more hormonal than gastroenteritis.

0:42:38 > 0:42:40Such as?

0:42:40 > 0:42:43An underlying tumour, it has to be.

0:42:52 > 0:42:53You knew?

0:42:53 > 0:42:55Only because of this.

0:42:55 > 0:42:59You found out by gaining the patient's trust. Well done.

0:42:59 > 0:43:01She does have a tumour.

0:43:01 > 0:43:04Yeah, but now we know what it is,

0:43:04 > 0:43:07then we know that we can deal with it.

0:43:27 > 0:43:30- Jac? Updated ward plan. - What's wrong with the one we've got?

0:43:30 > 0:43:33This one's colour-coded, it's got marked routes to emergency exits.

0:43:33 > 0:43:35I've done one for every member of staff.

0:43:35 > 0:43:37- You need to stop this.- Er, Lisa?

0:43:37 > 0:43:39Thomas's CMR results, you were right.

0:43:39 > 0:43:41Well, I'm never wrong.

0:43:41 > 0:43:43He'll have to go into surgery today, there is no other option.

0:43:43 > 0:43:45He'll take some convincing.

0:43:45 > 0:43:47Well, then we need to be clever about it.

0:43:47 > 0:43:49It's not what we tell him but how we tell him.

0:43:52 > 0:43:54It's distal sigmoid tumour,

0:43:54 > 0:43:57which is almost completely obstructing your colon.

0:43:57 > 0:43:59ADINA TRANSLATES

0:43:59 > 0:44:02It's a perfectly routine operation

0:44:02 > 0:44:05but we need to get you into theatre as soon as possible.

0:44:05 > 0:44:08- Theatre? You'll be sick of us in there.- Never.

0:44:08 > 0:44:11SHE TRANSLATES

0:44:11 > 0:44:14You must have been in a severe amount of discomfort, Dorina.

0:44:14 > 0:44:17Why didn't she tell me? De ce nu mi-ai spus?

0:44:17 > 0:44:21THEY SPEAK IN ROMANIAN

0:44:21 > 0:44:24Can we get her prepped for the next available slot, please?

0:44:24 > 0:44:27She wants to know how long she will be kept in to recover?

0:44:27 > 0:44:30I'd say a few days in hospital

0:44:30 > 0:44:34and probably just a couple of weeks at home with your feet up.

0:44:34 > 0:44:35SHE TRANSLATES

0:44:35 > 0:44:38- Weeks?- There's help available for both of you.

0:44:38 > 0:44:40I'll get you the information.

0:44:40 > 0:44:42SHE TRANSLATES

0:44:42 > 0:44:44I know you're still waiting on that ward list

0:44:44 > 0:44:45and I will have it on your desk ASAP.

0:44:45 > 0:44:49OK, and when Dorina goes into theatre, I'd like you to scrub in.

0:44:53 > 0:44:56Do you have any questions about the operation? Er... Operatie?

0:44:56 > 0:45:01Theatre lighting is so harsh. This could have done with a filter.

0:45:01 > 0:45:03Masterful though, wasn't he?

0:45:03 > 0:45:04That's why I'm watching it back.

0:45:04 > 0:45:08I don't really know what he did, I was shaking so much.

0:45:08 > 0:45:10Do you think it'll work?

0:45:10 > 0:45:14- MONITOR BEEPS STEADILY - Something tells me it will.

0:45:20 > 0:45:22ALARM TONE SOUNDS

0:45:25 > 0:45:28Help, please! Page Professor Gaskell, now!

0:45:30 > 0:45:33- MONITOR BEEPS CONTINUOUSLY - Professor Gaskell to ITU now.

0:45:41 > 0:45:44- Know what you're doing? - I'm a fast learner.

0:45:51 > 0:45:54Come to spoil the party?

0:45:54 > 0:45:58Your CMR shows you have a left ventricular aneurysm with a clot.

0:45:58 > 0:46:00- In layman's terms? - We need to take you to theatre.

0:46:04 > 0:46:06I have plans, places to be...

0:46:06 > 0:46:09Postpone them, if you want any chance at all.

0:46:09 > 0:46:11I disagree.

0:46:11 > 0:46:15We solve it with medicine - Warfarin, Ramipril, Bisoprolol.

0:46:15 > 0:46:18- For how long? - For the rest of your life.

0:46:18 > 0:46:20- Until the inevitable. - Which is?

0:46:20 > 0:46:22- Another heart attack. - Not definitely.

0:46:22 > 0:46:24A heart can only take so much stress.

0:46:24 > 0:46:26Why do a major surgery if you can avoid it?

0:46:26 > 0:46:29Medicine will give him months, enough for his bucket list.

0:46:29 > 0:46:34- Only months? - Maybe longer, it's tricky to tell.

0:46:34 > 0:46:37- Surgery?- Years. - But with months of recovery.

0:46:38 > 0:46:41- I say surgery.- I think medicine.

0:46:42 > 0:46:44HE LAUGHS

0:46:44 > 0:46:47I never thought I'd see two such plucky young ladies

0:46:47 > 0:46:50arguing over my heart.

0:46:50 > 0:46:52This plucky, is that a good thing?

0:46:53 > 0:46:56It's not up to either of us. It's your decision, Tommy.

0:46:59 > 0:47:00Well...

0:47:04 > 0:47:05..do your worst.

0:47:12 > 0:47:14CONTINUOUS MONITOR TONE, ALARM SOUNDS

0:47:14 > 0:47:17Her BP dropped, she's had inotropes and IV steroids.

0:47:17 > 0:47:21Cardiac arrhythmia. Could be an immune response to the implant.

0:47:21 > 0:47:22Stand by to shock.

0:47:24 > 0:47:27Charging to 50. Stand clear. Shocking.

0:47:30 > 0:47:31ALARM CONTINUES

0:47:33 > 0:47:34Charging again.

0:47:37 > 0:47:40Stand clear. Shocking.

0:47:49 > 0:47:51- MONITOR BEEPS STEADILY - BP has normalised.

0:47:59 > 0:48:01Good work, Dr Chowdhury.

0:48:01 > 0:48:02Credit to you.

0:48:13 > 0:48:18Right, I'm now going to manipulate the anvil at the top

0:48:18 > 0:48:21end of the bowel so it can fit in with the stapler at the bottom.

0:48:23 > 0:48:25Slightly different to how it looks in a textbook.

0:48:25 > 0:48:27Aha, yeah. All the best bowels are.

0:48:30 > 0:48:33Actually, sorry, do you mind? Can Dr McKendrick take over, please?

0:48:33 > 0:48:35- Of course.- Really?

0:48:35 > 0:48:37Yeah.

0:48:37 > 0:48:40I mean it's not neurosurgery, you know, but...

0:48:43 > 0:48:46- Right, ready?- Yeah!

0:48:46 > 0:48:49OK, that's it. OK, line it up.

0:48:51 > 0:48:53Good. Right...

0:48:55 > 0:48:58If you could fire the stapler gun...

0:48:58 > 0:48:59..now.

0:49:04 > 0:49:08Excellent. HE LAUGHS

0:49:08 > 0:49:10Yes, you're a natural colorectal surgeon.

0:49:10 > 0:49:13- I think we're there. - Wow!- Well done.

0:49:17 > 0:49:18And she's waking up.

0:49:18 > 0:49:22Page Professor Gaskell. He'll want to be here.

0:49:27 > 0:49:29She should make a full recovery.

0:49:29 > 0:49:31I could kiss you!

0:49:32 > 0:49:35Here is that information I promised on aftercare assistance?

0:49:35 > 0:49:38Your mum should also qualify for enhanced recovery too.

0:49:38 > 0:49:41Thank you. You worked a little Romanian magic on my mother.

0:49:41 > 0:49:43We're both suckers for that.

0:49:43 > 0:49:46I'm sorry it wasn't the exciting operation of your friend...

0:49:46 > 0:49:48No, it was better.

0:49:48 > 0:49:50- Really?- Really.

0:49:50 > 0:49:54I think you might be challenging for the prize of our favourite doctor.

0:49:54 > 0:49:56No, surely no-one can knock Dom off that perch?

0:49:57 > 0:50:00And what about you, Mr Levy?

0:50:00 > 0:50:01Are you single?

0:50:02 > 0:50:04Me?

0:50:04 > 0:50:06Erm...

0:50:06 > 0:50:10Oh, well, that's a very interesting question with a very short answer.

0:50:10 > 0:50:12You are Dominic's Daddy Bear?

0:50:14 > 0:50:18His Daddy Bear? Er, no! No, no, no.

0:50:18 > 0:50:20No, no, no...

0:50:20 > 0:50:22THEY LAUGH

0:50:28 > 0:50:33- She thought - me and Dom? - Mm, yeah.- Daddy Bear?!

0:50:33 > 0:50:35God, you wait till I tell him that...

0:50:35 > 0:50:37- I can see it, though.- Really?- Yeah.

0:50:38 > 0:50:42- Oh, it's the hair. - Strong hair.- Strong hair!

0:50:42 > 0:50:46FRIEDA: You have a very robust heart and now you are clot-free.

0:50:46 > 0:50:50- Fit as a fiddle?- Maybe you haven't used up all of your nine lives

0:50:50 > 0:50:53but I would give yourself a chance to recover.

0:50:54 > 0:50:56Where's your partner in crime?

0:50:56 > 0:51:00She is taking a moment to rest. She had a very long day too.

0:51:00 > 0:51:03You make a good team, you pair.

0:51:18 > 0:51:20How did it go?

0:51:21 > 0:51:23As well as it could.

0:51:24 > 0:51:27How long until we know if it worked?

0:51:27 > 0:51:32The stem cells will take some time to make a home in your body.

0:51:32 > 0:51:36The next bit's as much of a mystery to me as it is to you.

0:51:37 > 0:51:41- Everything crossed and hope for the best, you mean?- Something like that.

0:51:42 > 0:51:45I have no doubt Nurse Di Lucca and Dr Chowdhury will take

0:51:45 > 0:51:47very good care of you over the next few days.

0:51:47 > 0:51:48SHE GASPS

0:51:48 > 0:51:52- Sorry.- No, I felt something!

0:51:52 > 0:51:55That's not possible. It's too quick.

0:51:55 > 0:51:59Ten years without sensation, I know I felt something.

0:51:59 > 0:52:03- Are you sure? - Positive, absolutely positive.

0:52:07 > 0:52:09Prison doesn't look like it looks on TV.

0:52:09 > 0:52:12You shouldn't believe everything you watch.

0:52:15 > 0:52:16You didn't have to visit.

0:52:16 > 0:52:18I wanted to see you, Grandad.

0:52:20 > 0:52:22How are you doing?

0:52:22 > 0:52:25Well, they certainly know how to look after old guys in...this place.

0:52:27 > 0:52:30I thought you might like a present. They said you were allowed books.

0:52:30 > 0:52:31It's one of your favourites.

0:52:34 > 0:52:38Crime fiction. That's very apt.

0:52:38 > 0:52:40I didn't think about that.

0:52:40 > 0:52:43I always enjoy Conan Doyle, wherever I am.

0:53:00 > 0:53:03How is everybody at Holby? Oliver?

0:53:03 > 0:53:07He's taking time, but he's fighting back stronger every day. So...

0:53:16 > 0:53:20Ric? Is everything OK?

0:53:26 > 0:53:31Erm... You know what? I'm going to need to get back.

0:53:31 > 0:53:32But you just got here.

0:53:33 > 0:53:36It's just that I'm really tired, that's all.

0:53:38 > 0:53:42I'm really pleased to see you. Both of you.

0:53:42 > 0:53:45But you need to go. Now.

0:53:47 > 0:53:49Come on, come with me now.

0:53:54 > 0:53:57So what does he do in the evenings? Gym?

0:53:57 > 0:53:59Hmm...

0:53:59 > 0:54:01- Poker?- Maybe.

0:54:01 > 0:54:05In my mind, he's a whisky and cigar man. Contemplative.

0:54:05 > 0:54:08- Listening to sounds of the sea. - Too far.

0:54:09 > 0:54:11Drink?

0:54:11 > 0:54:13Just because you've gone up in my estimations,

0:54:13 > 0:54:15doesn't mean we're going to start socialising together.

0:54:15 > 0:54:19It would take too many vodkas to let your hair down anyway.

0:54:27 > 0:54:30Don't tell me, you are re-colour-coding the ward plan?

0:54:30 > 0:54:32Baby-sitter's given me a free pass.

0:54:32 > 0:54:35Said something about me needing to get out more.

0:54:35 > 0:54:38And you took that to mean stay at work?

0:54:38 > 0:54:40HE SIGHS Do you know what?

0:54:40 > 0:54:43I'm not really in the mood for going to the pictures on my own.

0:54:44 > 0:54:47I thought you were sorting Raf's record collection?

0:54:47 > 0:54:51- I did have a look, but there's one missing.- So...

0:54:56 > 0:55:00It just made me realise there's just a lot of things that Raf's

0:55:00 > 0:55:03never going to get a chance to finish.

0:55:04 > 0:55:07Life's just not fair, is it?

0:55:07 > 0:55:09I shouldn't be standing here.

0:55:09 > 0:55:13- That's not what I meant. - But I am. And so are you.

0:55:13 > 0:55:16And if Raf decided to start up a pointless vinyl collection,

0:55:16 > 0:55:19the least you can do is finish it for him.

0:55:19 > 0:55:21Where do I start?

0:55:21 > 0:55:22Online.

0:55:24 > 0:55:25Night.

0:55:35 > 0:55:38- About time!- You'll never believe what happened.

0:55:38 > 0:55:41You probably won't either. We're going to need a bottle of wine.

0:55:41 > 0:55:43- At least one! - THEY LAUGH

0:55:43 > 0:55:47It's a good job Gaskell's buying. He left you this.

0:55:47 > 0:55:51- Get yourselves to Albie's.- Are you not coming?- No, not tonight.

0:55:51 > 0:55:55- LIFT:- Lift going down. Doors closing.

0:55:55 > 0:55:57Don't mind if I do!

0:55:57 > 0:55:59THEY LAUGH

0:56:01 > 0:56:06I only moved her blanket but she definitely felt something.

0:56:06 > 0:56:09Looks like it's all going to be worthwhile.

0:56:09 > 0:56:12Somebody's going to benefit from what happened.

0:56:14 > 0:56:16Anyway I just wanted to let you know.

0:56:17 > 0:56:19You would have loved it in theatre today...

0:56:21 > 0:56:23..so I'm going to see it through, for both of us.

0:56:24 > 0:56:27Bye, Raf. I love you.

0:56:27 > 0:56:31And give us all the strength we need and the time to heal.

0:56:32 > 0:56:34Amen.

0:56:35 > 0:56:39Hm! Look at us. Both talking to spirits.

0:56:40 > 0:56:42If you'd have told me that a year ago...

0:56:48 > 0:56:50Who knows if they can even hear us?

0:56:52 > 0:56:53We can't let it change us.

0:56:56 > 0:56:58No?

0:56:58 > 0:57:00No.

0:57:00 > 0:57:02It can't take any more lives.

0:57:02 > 0:57:05DISTANT SIRENS WAIL

0:57:11 > 0:57:14WOMAN SPEAKS PORTUGUESE

0:57:16 > 0:57:21Tyger, Tyger, burning bright

0:57:23 > 0:57:25In the forests of the night

0:57:28 > 0:57:31What immortal hand or eye

0:57:32 > 0:57:35Dare frame thy fearful symmetry?