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[Logo music playing]
Oh, shit.
Man: It's my fault, you're average.
- Should I scrub in too? - No.
No. No.
I think Dr. Wilson has this one.
We're all holding out forsome miracle in the end.
Not me.
It's better if we stop seeing each other.
Again?
Man: Is it "lion king 2, simba's pride"?
Brain surgeon's daughterdies of a brain tumor.
Long odds by anybody's book.
If you leave this house, it doesn't
mean you're leaving Charlotte.
[Theme music]
[Music playing]
[Phone ringing]
Hello.
Well, I know it's not there.
Well, what do you suggest ido, you cheeky little bollocks?
Wow.
Uh, why are you just waving your flag
that says midlife crisis on it?
Nick's borrowed the car.
You do realize it's afternoon, don't you?
What time did you set up?
That's very funny.
I'm covering fortune's on call.
That's just sad.
I know.
Here, I think you shouldchange your route and join me.
What?
Well, you know, let's face it.
You've nothing else to dowith your nights, have you?
Don't do that, mullery.
It diminishes you, and it embarrasses me.
Mullery: Blood test, good.
Started out on iv heparin, yesterday.
Due a status with the physio today.
Patient passed a regular, solid stool
last night at around 2:00 am.
All right.
Thank you, mullery.
Admirable and dispassionateeye for detail.
How are you feeling?
I think any lingering pain has been blocked
out by acute embarrassment.
Yeah, well, unfortunately, i can't treat you for that.
How's your left side?
I'm going down to physio this afternoon.
Hoping it will be good news.
Feel free to hit mullery, if you think it might help.
Bradley: Assessments.
That time of year, already?
I hate them.
Planning, dexterity, teamwork, how to cope under pressure?
I mean, what pressure?
I'm hardly allowed to bully them anymore.
You bully them all the time.
No, no, no.
That's good old-natured verbal humiliation.
Speaking of which, how is it with you
when you bump into bremner?
It's like trying toavoid the [inaudible] that
dumped you at school disco.
If you just go up to her and say,
you could mend all the heartsin the world, apart from mine.
Monroe: Don't worry.
You'll get over bremner.
Just try to avoid crying in front of her.
There's a better way of getting over her.
Monroe: Uh-huh.
I'm leaving.
Leaving?
You'll never leave.
Mrs. Graves, due forcoronary artery bypass today.
Originally due for surgery six weeks ago.
Then last week got cancelledfor the second time.
Acute angina.
Mrs. Graves: And now dying of starvation.
Mrs. Graves, we're sorry, we're running a bit late.
But we will have you downto surgery within the hour.
I look forward to it.
One of you can harvest a vein for the bypass,
but I don't know which one of you yet.
I don't understand.
Is it part of the assessment?
I don't believe in assessments, Dr. Witney.
I believe in competition.
Monroe: Well, normally, I'd getmy theatre nurse to do this.
But as wickens hates you, i thought it might put
you at an unfair disadvantage.
I know you're joking.
You'd have got rid of me by now, if you thought
I was completely hopeless.
Have you any idea of how hard it
is to sack anyone around here?
Especially underprivilegedminorities like yourself.
It's like I always say, the hardest
thing you can be these days iswhite, middle class, and male.
It's comments like thatthat have earned you an a-plus
for minority awareness.
Really?
No, not really.
Still plenty of points to play for.
Excuse me for a moment.
Oi, here, you.
You're not serious about leaving, are you?
If this stuff withbremner's taught me anything,
it's that I need a change.
Lawrence Shepherd, you are a loser.
Wherever you go, you will be a loser.
So why not be a loser, whereyou are at least respected?
Shepherd: I'm serious.
I've had enough.
[Music playing]
Bremner: Ok, Dr. Witney, tell meyour plans for harvesting Mrs.
Graves vein.
Clean incision with a 23 blade.
Problems with that, mullery?
You're just creating flapsif the course of the vein
deviates a lot.
Any thoughts on exposure?
Start one fingerette anteriorto the medial malleolus.
Give me one good reason, why you should harvest
the vein and not witney.
I can tie a better surgical knots.
Even witney would say so.
And bad ligatures can cause bleeding
leading to resternotomy.
Ah, we're gonna have towatch this one, Dr. Witney.
I think love has made him ruthless.
Congratulations, mullery, you get to harvest the vein.
And you better be as good as you say you are.
See you at theatre in an hour.
Go on.
Monroe: Ok, if I was goingto die of a hybrid glioma,
how would you go about telling me?
And try not to smile whilstimagining such a thing.
I wouldn't leave you waiting.
I'd be factual but sympathetic. I'd give time...
Oh, here, bremner. 10 minutes of your time.
I'll liaise aboutfortune after the weekend.
I'm out to buy a bed.
It isn't about fortune.
I'm excited about tonight.
Are you excited about tonight?
Is this part of the assessment?
Oh, Wilson, you worry too much.
That's my assessment of you.
You have a great knowledge.
Your decision making is spot on.
You've got the stitching skillsof a child sweatshop worker.
So why are you not more confident?
I think there might be a bit of a bullying
culture in surgery.
A bullying culture?
I realize that you're a rarity in surgery.
And I think that's wrong.
And I try to acknowledge that.
It's not me I'm worried about.
It's springer.
I think you pick on him.
Well, of course, I pick on him.
He's springer.
But I think you're doing it for my benefit.
To reassure me that you aren't favoring
the white public school boy.
I don't need reassuring on that front.
Wilson.
You don't express one opinion in six months.
And now they all come out at once.
And more to the point, they're all wrong.
Sorry.
Maybe it's a generational thing.
[Music playing]
This can mean only one thing, you're getting the strength
back in your left side.
Or you're very, very bored indeed.
What do you think?
Good, eh?
I think it's the best news I've had all week.
Do you want to scrub in for later?
You know I would if you'd let me.
Ah, the good news is you can still be
involved in the vital front-line work
of the neurosurgery department.
Trainee assessments, 26sections from clinical judgment
to breaking bad news.
Be good for your fine motor skills,
turning all those pages, ticking all those boxes.
Fortune: Just so you know, I'll be
giving springer all excellents.
He will be rated so highly, you'll
never be able to shake him off.
What cruel and unnatural revenge.
You can take as much timeas you want, you know?
I'm not going to replace you.
Why do you think i'mcovering your night shift?
That's for me?
How sweet.
I thought it was because you were sad and lonely.
[Music playing]
Bremner: We want the patientto make a rapid recovery.
Easier to do if her leg isn'tmauled by bad blade work.
K, Mayo scissors.
You happy with the light?
Shouldn't I be?
Mm, there is no right or wrong, Dr. Mullery.
There is judgment.
It's your call.
Can we bring the lightdown a little, Dr. Witney?
Thank you.
Even through a mask, I candetect attitude, Dr. Witney.
Can we have a little less, please?
Swab [inaudible] Dr. Witney.
Small scissors.
I don't want to talk about it anymore.
So you clearly sailedthrough your assessment then.
He didn't treat the assessmentas that much of a big deal.
Didn't he?
He's made up his mind already.
What?
You must have heard.
Mullery's pissed off bremnerand been getting in with Monroe.
He'll join our team and one of us
is going to be out in the cold.
No guesses for who?
Why do you assume it willbe you that he gets rid of?
Ha, well, i'm sorry, but, well, I
mean, without wishing tobe offensive or anything,
you do have some advantages in these politically
correct times.
I spent most of my assessmentdefending you to Monroe.
And you turn around and you say that?
Well that's a worry.
Mm.
If you're defending me, then that means he's
already decided to sack me.
Great.
[Music playing]
Ok, that's the last of the grafts done.
Cut there, please.
Ok, let's get the clamp off.
See if we've done any good in there.
[Machine beeping]
Looking good.
Good.
[Heart beating]
Is there something wrong?
No, I'm just enjoying watching the heart
do what it's supposed to do.
Bremner, can I have 10 minutes of your time,
please, that might change your life?
Is this about a mutual colleague?
I swear, if you hear me, I don't want
to ever mention Shepard again.
And we can return to our previous state
of hostility and suspicion.
There's this brain imaging thing they're
doing in neuroscience now.
And they find that whenpeople who have been blind
all their lives read braille, the occipital area here,
the back of the brain, it lights up.
It's the same area that lights up
when the sighted are reading.
Your point being?
Well, I think the area of your brain
that lights up when you'rein love, still lights up,
but you've lost the ability to show it.
Oh, a neurologicalexplanation for my mysterious
desire to make my own choices.
Well, you can't argue with science.
I spend every workinghour arguing with science,
and so do you.
You're both damaged.
You could make one great big damaged thing.
Like a good car, weldedtogether from two [inaudible]..
[Bremner laughs]
Did I make you laugh?
Is that some kind of breakthrough?
He is lovely.
He's funny.
He's bright.
He's considerate.
He's just wrong.
I think you're making excusesbecause you are fundamentally
afraid of intimacy.
So.
Well, so why?
I can't think of a singlegood reason to tell you that.
Why are we walking around in circles?
Because I'm trying to shake you off.
Just think about what I said, eh?
Hello, Nick.
I leave you alone for five minutes,
and you're chasing a strangewoman around the hospital.
They don't come any stranger, believe me.
I thought you might need these.
Ah, thank you.
And for the record, that pneumatic woman that
disappeared into the lift, she's Shepherd's lost object,
not mine.
For the record, i'm your son, not your mate.
So for future reference, I'd rather you didn't talk
about sex, drugs, or rap music.
Not even Joe dolce's "shaddap you face"?
That's a dad joke. Come on, hmm.
[Music playing]
You are going to be all right on your own
in the house, aren't you?
Course, I am.
I've got an hd screen, atoastie maker, what more could
a man want?
It's not your job to worry about me.
It's my job to worry about you.
Here, so that I've gotsomething else to worry about.
Take them.
I want you to have the car, really.
I think you should.
Go on.
The car?
Is this another dad joke?
Just take it before I change my mind.
Bradley: He's leaving.
You're giving away your possessions.
I'm not sure I can take this much uncertainty.
Yeah, well, I kept my bike.
You know, I'm always telling my patients
that regular exercise will add an extra two
years to their life.
Bradley: Yeah, but if those extra two
years are spent doing exercise, where is the advantage?
I think you did it to upset Anna.
No, I wouldn't do that.
Nick reminded you that she's seeing other men.
You gave him the car.
You just want revenge.
Nick never said she was seeing other men.
Bradley: Only a matterof time though, isn't it?
Good looking woman.
They get the second wind about her age.
We've split up.
You know, I no longer have the right to feel
anything about her love life.
Apart from annoying jealousyand heart-churning insecurity.
Yeah, well, obviously, that's a given.
Somebody else wants her, and now you want her too.
See it all the time in bookmaking.
The odds shorten on some unfancied nag,
suddenly everybody startsthrowing their money at it.
Yeah, well, thank you for thattouching and sensitive image.
Right on time.
That'll be Anna.
Ready and waiting for me.
Very funny.
What are you doing?
I'm having a kip before an emergency arrives.
I sometimes suspect you'reabusing my hospitality.
Well, switch the light off on your way out, eh?
Uh.
Well, I have to say, I didn't see this coming.
I don't do preamble.
I know.
So I'm going to tell you something,
and then you're going to understand.
When I was 16, my father left us.
Oh.
His business had failed.
And all he saw before him was more failure.
So he took a decision, decisiveand brutal for all of us.
Well, I can see why youended up becoming a surgeon.
Hmm, yeah, you're probably right.
It confirms some other things too.
Male idiocy, the perils oflove, and the dependency
that comes with that.
Just 'cause you've had some bad luck with men,
doesn't necessarily mean you should give up.
Yes.
I thought you'd say that.
Well, I'm nothing if not predictable.
When I said that he left, what I
meant was that he really left.
Killed himself.
Why didn't you tell me that before?
Because I thought that if youknew, you'd set out to cure me.
[Music playing]
I know your type.
You're kind.
You're a rescuer.
And I don't need rescuing.
There, said you'd understand.
Hey, how did the assessment go?
Mullery seems to have snatched my crown.
How about you?
I'm behind on points, and there's
not much left in the locker.
I can hardly play the ethnic card, can I?
The ethnic card.
Yeah.
Maybe I should try that.
You're not ethnic, ethnic.
Oh.
Besides mullery's dating fortune,
so he's working the ethnicangle by association.
I'm not sure mullery's working on any angle
where fortune's concerned.
How naive are you?
He's ruthless.
He'll hoover us all up.
Do you really spend yournights thinking this stuff up,
don't you?
Look, I'd love to give you more advice.
But I've got an [Inaudible] to take.
Springer: Monroe.
Monroe.
Monroe?
Ah.
Springer, is this an emergency, or did I die and go to hell?
It's an emergency.
Does the patient in anyway resemble Debbie Harry?
Well, it's not exactly Debbie Harry.
On the other hand, the disk is completely
obliterating the csf space.
It is an emergency.
And I get to use a big stick.
The Cobb's elevator?
Sometimes.
Sometimes just any old big stickwe can lay our hands on, eh.
Face down, tied to a table, does the patient's position
remind you of yourassessment at all, springer?
I don't know.
I haven't seen the size of the instruments yet.
[Shepherd laughs]
Ooh, you got a laugh out of Shepherd.
You really must be coming on.
Isn't Wilson scrubbing in?
She's down at a&e, picking up the crumbs.
If I thought badly of you, I'd suspect that you hadn't even
told her about this.
You frowning for a reason, Dr. Witney?
I was just wondering about my assessment.
I didn't get to harvest thevein, and I was just won...
Here, you fill in the assessment yourself.
And I'll sign it in the morning.
I never had any doubts about you, Dr. Witney.
That's the reason why youdidn't get to harvest the vein.
Oh, man make fire.
[Laughter]
Fire is good.
No other surgeon in theworld would laugh at your jokes
like I do.
Oh.
Ok, swab.
When do we check the [inaudible] level?
When we've cleaned theremaining tissue from the bone.
What a night, eh?
We've had fire.
We've used a big stick.
Any more macho, we'd be in orthopedics.
Any more testosterone andwe'd make someone pregnant.
Do you see what you've done there, springer?
You've taking it too far.
You've let yourself down.
[Phone ringing]
Someone do the honors, please.
[Answered phone]
Hello.
Ah, Wilson, how nice to hear from you.
Right.
Go on.
Go ahead. Tell me.
Wilson [phone]: 13-year-old girl, rta.
Hit by an oncoming car as a pedestrian.
Gcs is three.
Both pupils blown.
Her father's here.
Ok.
Well, send through the scanimmediately when you get it.
Tell the father you will talkto him after I've seen the scan.
Come up and have a look at it with me.
Wilson?
Prepare him for bad news, ok?
Springer: So did she land a good case?
Can't be better than this one, can it?
Ok, let's get on with doing some good.
Can we?
C-line, please.
Monroe: Left sided frontal parietal.
Wilson?
Wilson: Subdural hematoma, crescentic and hyperdense,
significant midline shift.
Some [inaudible] blood on the right side too.
Can you go and explain to the girl's father
that her chances of survival are very poor?
If she did survive, she woulddo so with massive brain damage.
Can you handle it?
Yeah.
Good, I thought so.
Shepherd: You've done the right thing.
[Music playing]
Mr. Fraser: Love, you've gotto call me back, right away.
As soon as you get this, just call me, all right?
Do you have kids, love?
No.
If it's all the same to you, I'd rather
talk to somebody who has kids.
Clinically, it doesn't look good, I'm afraid.
I have to talk to somebody who has kids.
Monroe: When would you havethem walking again, springer?
Three to four days.
Three to four days, ifyou suture him to the bed.
[Phone ringing] Tomorrow.
Somebody get that, please.
Hello.
I'm sorry.
Who is this?
I'm sorry, Mr. Fraser.
I'm very sorry, but I thoughti got Dr. Wilson to explain.
I can do that.
Yes, I can do that.
Of course, I can.
I'll come and talk to you as soon as I can.
That was the father of the rta girl.
Wilson, put him on.
I've got to go and talk to him.
Springer, I want you to continueclosing up, Bury the knots
in the subcutaneous layer, and close
the skin using a subcuticularcontinuous stitch.
I can do that.
Monroe: Good man.
[Music playing]
Mr. Fraser, I am Mr. Monroe. I'm...
Yeah, I know. I know who you are.
You're the surgeon.
If I operate on your daughter, i think that she will either
die, or her brain damage willbe such that her quality of life
would be severely compromised.
That's what the other doctor said.
The young girl.
But I wanted to hear it from you.
Absolutely, of course.
Her mother's away with work in Spain.
Tasha was on the phone to her, and I
was telling her off for stayingon too long, for worrying
about her homework.
She used to tie her tie on her school tie
in one of them great big fat knots.
They all do it.
It drives me mad.
It was just this morning.
Little things.
I know.
I know what's likely to happen.
But I'm saying to you thati want to take that risk.
I want you to try and save her life.
And I'll take the consequences.
Monroe: You have to ask yourselfif she'd want her life saving,
if it was going to be no life at all.
She's a 13-year-old girl.
All she has is life.
All she has is potential.
Well, in that case, thenit's up to you and me.
Her scans indicate thatthe pressure in her brain
is extremely high.
Her pupils are both fixed and dilated,
which means that the brain isso badly damaged that she's
lost the ability to constrict her pupils
in response to light.
I think that tells us that weare far too late, Mr. Fraser.
I'm sorry.
All the signs suggest that there is no hope.
I have hope.
Let me worry about hope.
I know it's hard to thinkabout anything but the here
and now, but in a year's time?
With your daughter in avegetative state or 10 years?
Are you saying that you can't save her,
or you won't save her?
I'm telling you that in my opinion,
there is a very small chance of saving her.
And the work that we would need to do
in order to save her life, won't be worth
the suffering we'll cause.
But that's not for you to judge, is it?
I'm asking you to operate.
I'm asking you to give herone last chance at life.
Not for me, for her.
We have to fight for her.
That's all I'm asking, that you help me fight.
[Machine beeping]
Don't tell me you're having second thoughts.
When I decide not tooperate, I ask myself this.
Can I explain that decision rationally
and clearly to a loved one?
And can I stick by that decisionin the face of their grief
and their wishes?
I talked to her dad.
You know what?
I couldn't do that.
So yes, I am having second thoughts.
A 13-year-old girl and agrieving father, come on.
If I can see the similarities, I'm pretty sure you can.
It has nothing to do with Charlotte.
This won't bring her back.
I am making a clinicaldecision based on emotion.
But her father's emotion, not mine.
I don't believe you.
My beautiful daughter is dead.
I know this.
I never forget this.
It is never not with me.
So why would I confuse thatfather's grief with my own?
Shepherd: You're just prolongingthe agony for her dad.
He has a lifetime of agony ahead of him.
And the one thing that mighthelp him get through that,
is that he knows that everything was
done that could have been done.
Everything has been done.
You were right the first time.
I'm going to operate.
I don't need your approval. I need your help.
Are you going to help me?
Craniotomy on evacuationof acute subdural hematoma,
agreed?
When I have washed out the clot, Wilson,
you can help me insertthe intracranial monitor.
Ok?
Ok.
You all right with that?
Yeah.
Be nice if you still faintedonce in a while, Wilson.
[Inaudible] Need some light relief.
I could say something tactless and offensive,
if that would help.
No response to painful stimulus.
Pupils nonreactive to light.
No gagging or coughing reflex present.
Shepherd: No signs of breathing on her own.
We did everything we could.
She sustained a lot ofdamage throughout her brain.
We managed to remove the clot and that
helped to reduce the pressure.
Shepard and I have justdone the first set of tests.
And she's shown no responses.
She isn't likely to do so.
I'm sorry.
Thank you.
What happens now?
In a couple of hourswe'll do the tests again.
If the results are the same, we'll
take her off the ventilatorfor a few minutes.
If she can't breathe on her own, then we'll
agree that Natasha is dead.
We'll let you say goodbye beforeturning off the ventilator
for the last time.
Do you understand?
I understand.
The thing is I don't know whenis the right time to say this.
She was always on at me to carry a donor card.
What about Tasha?
I'll get someone from the donor team
to come and talk to you.
She's a good girl.
She'd never hurt anybody.
How can she be dead, when there's
so many bad buggers alive?
I really don't know.
It's very unfair.
Did your best.
[Music playing]
Hi.
Hello, how are you?
What are you doing here?
Is it Nick?
No.
No, you called me in themiddle of the night, remember?
You rang and told me there was agirl the same age as Charlotte.
And you needed to see me.
Did I?
Yes.
Yes, you did.
When Charlotte died, I couldn't think
of anything to say to you.
I remember standing in the corner
of the room watching you cry, and not feeling
anything but my own pain.
I couldn't share mine withyou, and I didn't want yours.
Because I knew if I did, ifi let all that sorrow in,
really let it in, it wouldjust fucking Bury me.
And I'd never survive.
I know that that was thebeginning of the end for us.
Never mind the affair, never mind
the years after, I couldn'tshare my pain with you.
I'm sorry.
You don't have to tell me this.
I was there.
And that girl today, seeing her,
made me want to say all of this stuff to you.
Yeah.
So are you going to dosomething about the grief?
Like what?
Well, you could talk tosomeone, someone professional.
What, a therapist?
There's an idea.
Well, I was pretty skeptical too.
But I found it really helps.
You've been going to therapy?
Really?
Well, can't you tell?
Don't you think i'm a living, breathing
picture of mental health?
Ha, I was wondering how mad you'd
be if you hadn't done therapy.
I'm glad we talked about this.
I'm glad you said what you said.
Me too.
I've got to go to work.
[Music playing]
Look after yourself, eh?
Is it time?
Yes, it's time.
When I held her, you know, when she was born
I could rest her head on me hand.
Monroe: Days like today arewhat the job is really about.
You'll always fail more than you succeed.
And you will always secretly be thankful
when a patient with that much brain damage
is allowed to pass away.
Because the dying you will get used to.
The dying you'll be able to live with.
But the wrecking someone, thatyou will never get used to.
Because tomorrow, somebody else will
come through those doors with a loved one
that you have to operate on.
And they won't care about thelittle girl that we just lost.
And we won't either.
You just get on with what is in front of you.
You need four things tobecome a surgeon, memory,
manually dexterity, decision making, and most of all,
the strength to come through those doors
and do it all again after it's gone wrong.
You come back for more tomorrow morning.
That's your assessment.
Because the rest is just so much bullshit.
All right, that's morethan enough of being nice.
Go and write it off.
I'm sorry about the girl.
Me too.
Uh, have the transport team spoken to you
about the parents of our rta?
Yeah, we will get on tothat at the end of the day.
We never should have triedto save her in the first place.
Oh, I disagree.
I think we're here to make life viable.
That surprises me, coming from you.
There are two ways to driveyourself insane doing this job.
One of them is to question themorality of every operation.
And the other is not to.
Um, if you ever want to talk.
I don't know, just talk.
I'm sorry about the girl.
Mm.
What's this?
Farewell drink?
[Inaudible] Better than that.
You're right.
The thing that breaks your heart is that he
was so fucking nice about it.
So grateful.
Why couldn't he just get angry with me?
Well, not everyone's like you.
You think I'm angry?
I think you're furious.
Yeah, I think you wake up in the morning,
and if you're not angry, youcheck yourself for vital signs.
Anybody who wakes up inthe morning and isn't angry
is an idiot.
[Music playing]
You got any plans for the rest of the day.
Thought I'd go home and sleep for a week.
You've not forgottenit's poker night, have you?
Poker?
No, not tonight.
[Doorbell buzzes]
[Music - Willy Mason, "we can be strong"]
Wickens: I'm in for a fiver.
Witney: I'll raise it by three.
Monroe: I call.
If I call, then it's costingme more to stay in the game
then [inaudible] shift.
That is correct.
I may as well call, then.
I'll call 'cause I don'tthink springer is a good
enough actor to run that bluff.
Willy Mason: [Singing] Signed myself out today.
Sent a letter far away.
I said, baby I'll be good someday.
Springer: I think you should know,
I earned house colors for bridge at my school.
Monroe: Hang on.
Are you telling me thatbridge was a school sport?
Just when I thought iwas starting to like you,
you drag me back into thefoothills of class hatred.
Willy Mason: [Singing] I couldn't
take that sterile place.
In those rooms I lost my face.
And in the end, they couldn't sell me grace.
And they can't sell me tomorrow.
Money goes to money every time.
I hate you, springer.
Sorry.
I've just got to get this.
Hello.
No, no.
Nothing important.
[Inaudible]
Willy Mason: [Singing] We can be strong.
Strong.
We can be strong.
You hear that, springer.
You're sitting with the big boys now.
[Theme music]
[Logo music playing]
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