Original subtitles

[Music playing]

[Music playing]

Ok.

Basic stages of inserting a shunt.

Hockey stick scalp incision, strip pericranium, then...

[inaudible] To expose the peritoneal...

Channel past the peritoneal catheter,

secure valve to catheter...

Connect the catheter to the valve, check csf.

Drop distal catheter into peritoneal

cavity and close with 2-0 vicryl and clips [inaudible]..

Brilliant. Both of you.

Thank you.

Thanks.

Pity your patient dies of an infection within three months.

What?

You didn't prepare the shunt by priming it

and soaking it in gentamicin.

Therefore, I can only assume you didn't do it.

What's all this about? All this testing?

You know we know this stuff.

I can't think of a better way to decide which one of you

I sack.

No, really.

What's it about?

I've been told I can only keep one registrar.

I have to let one of you go.

[Music playing]

Let's try to stay civil about this situation.

Yeah, well we've always been in competition haven't we.

Nothing's really changed.

Passive aggressive.

So that's how you want to play it.

Gabriel Monroe: I'm glad to see the healthy eating

policy's making inroads.

I'm no more than 100 yards from cardiology.

Can't be a safer place in the world to eat a fried breakfast.

How are they coping?

Gabriel Monroe: Well Wilson is trying to win through increased

dedication and practice.

Springer is trying to win by becoming Wilson.

An elegant solution.

Murder.

What is wrong with you?

I think he's trying to tell you

that you're lactating, Jenny.

Oh, god.

Did you not express before you come out?

My misses was exactly the same.

Only had to hear a baby cry, like vesuvius.

Very tricky time for a woman.

You want to be more sensitive, mate.

Gabriel Monroe: Two years ago Lynn monkford had a low grade

bioma, maximally debulked.

Now it has come back as a much more aggressive malignant tumor

in the medial temporal region.

She's young, otherwise healthy.

I've spoken with oncology and I think we should operate, remove

what we can, give her some quality

of life for her last 12 months.

Does she understand what this means?

That she's going to die of cancer within a year?

Yeah, she gets it.

Only too well.

You sure about that?

She's a very strong woman.

Very clear headed.

She will have understood.

She'll need to be strong, poor her.

Wilson, springer, risks of surgery.

Potential complications can be divided into early and late,

local and systemic.

Let's cut to the chase.

Increased risk to residual scar tissue

from her previous operations.

Thank you.

Causing distortions in the surgical anatomy,

Gabriel Monroe: Yes, thank you, both of you.

Hope you're happy with the battle you've

unleashed between my trainees.

Junior surgeons with a competitive attitude,

I'm not sure you can lay that one on my door.

Jill, thanks for backing me up in there.

Gillespie sometimes leaves his card marking.

Just because he annoys us both,

don't think that gives us a bonding moment.

I do love you, you know that don't you?

If you were more of a man, I'd sue for sexual harassment.

Jenny.

I'm so sorry about before.

I really don't want to discuss it.

Well, I gave the secret signal.

What?

I'm just saying, I think...

I gave the secret signal.

Thank you.

So Graham, you all set?

Bit nervous, you know.

He's having a bypass, then he'll

be able to come fishing again.

Well, I hope he'll be up to something a little bit

more strenuous than fishing.

You've clearly never been fishing with Jeffrey.

Well, you're up first.

So you shouldn't have too long to wait.

All right.

I'm good for the bypass by the way.

I'm sure you are, which is why I shall

enjoy working on it with you.

I did fly solo on a bypass while you

were on maternity leave.

If you wanted to check with Mr. Gillespie...

I don't need reminding that I was on maternity leave.

And I don't need reminding that i'm

answerable to Mr. Gillespie.

Perhaps you need reminding that you're answerable to me.

Are you clear that this operation won't cure you?

Yes.

Yes, I am.

We hope it will extend your life.

But the operation itself still carries some risks.

The tumor is not in a great place.

We know the risks.

But you know, mr Monroe, what have I got to lose, really,

when all's said and done?

Ok.

That's got it done.

My thoughts exactly.

All right, then, Jeffrey.

Right now.

Listen.

I want you to eat stuff that's good for you, all right?

I will, yes.

No fretting.

Now promise me.

Ok.

Jeffery, this is a no fret zone, love.

Why don't I get someone to show you the canteen, yeah?

Graham.

They've got a canteen.

I'll get you a sandwich for when you come around.

Right.

Come on.

Shelly Maxwell, superstar.

How long has it been?

Three months.

Mrs. Springer, don't laugh.

Shelly is 15 years old.

Repeated shunt failures, infections, and this time

she has a blockage and would seem

a suitable candidate for etv. - Elaborate.

We make a small hole in the floor of the third ventricle

to bypass the obstruction, meaning she

doesn't need a shunt anymore.

Meaning we don't have to see shelley ever, ever again,

which I call win-win.

Have you any questions?

Yeah.

Can someone help me with the biology homework?

I think Dr. Wilson's who you need.

I got an a [inaudible]

Your listen for today, shelley,

never trust a grown man who can remember his grades.

By the way, I got an in English when a still meant something.

See you later.

The parents only ever meet by the hospital bed,

so try and be tactful if that's possible.

I'm middle class.

I invented domestic divorce.

See that?

We've got rapport.

You can't buy that.

Used to come up here last time around.

Well, as you can see, we've had it upgraded since.

I haven't told anybody what's happening.

My mother.

Her mother.

The kids.

Well, I say kids but they're all grown up.

They think she's just coming in for a checkup.

It's up to you.

The more people I tell, the more true it is.

I don't want it to be true.

What about Lynn?

What does she want?

Why isn't she scared?

I'd be scared.

I am scared.

Can't answer that.

If you were going to die, would you want to know?

No, thank you.

All that stuff but letting our loved ones

say goodbye, well unlucky them.

I mean, they get to live.

Whatever their emotional problems are,

I reckon they still got the best part of the deal.

So that makes us a pair of cowards.

We've known that for a long time.

You only just getting there?

Let's get back.

She'll be accusing me of neglecting her.

Hey, mate.

You might be scared but you're a brave bastard.

You should know that.

Just doing me best.

Shouldn't one of us answer that?

It's Whitney's.

Don't look at me.

I'm not authorized to answer a registrar's phone.

And it's disturbing my ward.

Hello.

It's mullery.

Right.

Well, the phone was ringing out.

Yeah I'll come now, right now.

So tell me, how would you position

the heart to do the lad graft.

Slide my hand under the heart, palm up.

Lift the ventricles up and rotate them towards the right

so that the lad comes into view.

Right.

Come on then.

I thought you didn't trust me with this.

Well, you talk a good operation, ms Whitney.

I want to see you live up to your opinion of yourself.

All right.

[Phone rings]

I'm the one with the free hands.

Theater 2.

Hang on.

Hello.

Bremner.

Forceps and damp swabs please.

Hand deep in Mr. Birdwell's chest, I'm afraid.

It's your lucky day.

Bremner and Whitney are in theater.

And this clever boy has got himself shot by a nail gun.

We have a fast, thready pulse and no recordable blood

pressure.

Suggestions?

Um, tamponade?

Quickly.

Get on with it.

He's arrested. Hang on.

Mullery, he's arrested.

Can we get him to theatre on time?

He'd die on the way.

Tell me the procedure for clamshell.

Bilateral thoracotamies.

Deep skin incision.

As I cut through the muscle, keep

the knife away from the lungs.

Crack rib cages and have the scissors open

using rib spreaders, get access to all areas.

Yep. Off you go.

What, here?

Doesn't have to be pretty.

It just has to be quick.

Andrew mullery: Size seven gloves.

Alistair Gillespie: Now tent the pericardium using the forceps.

Get the scissors in. - Scissors.

We got a pulse yet?

Yep.

Well done, Mr. Mullery.

His heart is beating again.

Get that clot out of the way.

There's the nail.

Got it.

Ok.

Now you found the hole in the ventricle.

Need to get your finger and some gauze over it.

Got it.

Good.

Let's get him to theater.

Hey, why are you looking so glum?

You just saved his life.

Clamshell incision.

Whitney will kill me when she finds out.

That's fascinating.

By the way, your patient is waking up

and you've got your hand in his heart.

He might get a bit distressed about that.

Anesthesist.

Gabriel Monroe: No, no, no.

No.

I think you'll find hospital regulations

forbid offensive banners.

That's my faith, respect it.

So, is there anything you want to ask me about the operation?

Well, if anything happens, you know,

goes wrong like, you will keep an eye

on [inaudible] won't you?

Of course.

Yes because I'm not as tough as I pretend to be.

You think I don't know that.

It's Mike.

I can't let him see.

I can't put him through that.

I know.

Clamshell.

I can't believe you did a clamshell.

Rather well.

You must miss him, Jenny.

Well, I take it you had good reason

and it wasn't just a boy thing.

Penetrating nail gun injury to the chest

with no cardiac output.

Quick and ugly surgery.

The daily burden of a&e.

I got his heart restarted.

He actually woke up for a few seconds.

Unbelievable.

That's so lucky.

I've waited forever to do one.

If your Mickey hadn't made me answer your phone

then I might have missed out too.

My phone.

It was my clamshell.

Yeah, but you were already in theater 1, [inaudible]..

I'm sure you'll get to do one soon.

Yeah.

I'm sure I will.

We get about one a year.

Oops.

Hey, shelley, old sap.

Are the strange family still following me?

Don't worry.

We've got armed guards beyond the double doors.

Shoot to kill.

Ok, right frontal incision and burr hole.

5 millimeter endoscope.

Travel through the foramen of Monroe,

appropriately enough, before encountering them mamiliary

bodies, every schoolboy's dream, and the fornix,

named after the Roman arches were prostitutes

used to see their clients.

And that is relevant, why?

Altogether now.

That's the area of the brain which gets screwed.

Daniel springer: Aren't you scrubbing in?

No. Not unless you need me.

And you don't.

Time for you two to grow up.

All right.

I'll start you off.

Then you really are on your own.

Lights.

You ok?

He's doing well.

He won't like any of the sandwiches you've got.

So I bought some rolos.

Did the social worker come down and talk to you

about maybe finding you somewhere

to stay while Graham's in here?

Yes.

I didn't fancy it.

I'm all right here.

Gabriel Monroe: Excellent job, you two.

You been up to closing her up?

Don't push it, springer.

Anna Monroe: We have to support him.

Why?

Why is there this fetish for supporting

your children even when what they are doing is wrong.

He's too young. They're both too young.

Are you going to tell him that?

Of course I am.

That's exactly what I'm going to tell him.

I'm delighted for you both.

Really I am.

Nick Monroe: Good.

Is that why you both wanted to see me on my own?

Or was it to ask if Donna's pregnant?

She isn't, by the way.

Look.

We both know we've really given you a shit time,

you know, spitting up, dragging you into it.

And we're really sorry.

Thanks.

But I'm not getting married to get my own back.

Anna Monroe: We're not saying that you

are doing it on purpose, but subconsciously perhaps.

I just want to be with her all the time.

And she wants to be with me.

We can talk about anything.

And we make each other happy.

We are in love.

Well, which is all really great.

But why the rush to get married?

Why the delay?

Hi.

Hi, Gabriel.

Hi, Anna.

It was like we thought.

They were trying to bring me to my senses.

But I put them right.

No.

Not at all.

Are we having starters?

You on a very early shift or a very late one?

Neither.

All my paperwork got knocked back by mullery's clamshell.

Ah.

Yeah.

What about you?

Rta.

Helicopter never arrived.

What happened to it?

Don't worry.

It didn't get shut down by [Inaudible] or anything.

It just went to [Inaudible] instead.

Come on.

I'll give you a lift home.

Anyone who laughs at my jokes, they get a life home.

It's just a rule I have.

Put like that.

Thank you.

Something not right there?

I know something's not right there.

Don't know how to fix it.

He's my son.

Never mind your son.

There's something not right about you being on good terms

with your ex-wife.

Well, I don't have much choice.

Wouldn't happen in bramley.

I know that much.

Do you think it ever goes?

The jealousy?

I still get jealous of her first husband, even now, even here.

That sounds very healthy indeed.

You're taking a piss now, aren't you?

A little.

But here, listen.

You should feel exactly the same about her because then you'll

treat her exactly the same.

Now if there's one thing she would hate

it would be if you treated or any differently.

No, you're not wrong.

I know we found each other late, but thank god we did like.

She's amazing.

Of course she is.

She really is.

I'd say more about her, but since you've

told me about her jealousy issues,

I think I'll leave it there.

So what made you want to become an anesthetist?

I didn't.

I wanted to be an engine driver.

But I didn't get the grades.

Really?

I just chose another job that deals in pressure and gauges

and steam, and playing second fiddle

to surgeons because that's the real bonus of the job.

Is that true?

Do all anesthetists secretly hate us?

Yes.

We do. We do.

We have secret meetings and everything.

One day we're all going to rise up as one and sedate you.

I thought as much.

You know, Jenny thinks well of you.

She just...

Isn't very good at showing.

No.

She's not.

Don't let me become self pity man.

You couldn't become self pity man if you tried.

You're a great guy.

A great guy?

A great guy.

That sounds like something they'd say about a sacked dj.

Thanks for cheering me up.

It's borderline inappropriate.

- Yeah. - I think we got away with it.

- Yeah? - Mm-hm

good.

Thanks for the lift.

See ya.

You're my lovely boy.

My lovely boy, yes you are.

So Louie's the other man, is he?

Oh, really?

Yeah.

[Inaudible] You taking him up?

Five minutes.

I just miss him so much when I'm at work.

Well, who wouldn't?

I've been thinking.

And I think that we should go and talk to someone.

Talk to someone?

About the milk thing?

No.

Not about the milk thing.

About us.

Well, how about...

How about you just get a sense of humor instead.

Well, I think that comment proves my point.

I just think that at the moment we're not making

each other very happy, are we?

Do you know what?

I'm not having that.

We don't have a problem, Jenny.

You do.

Can I have a minute?

Listen to me. - I always listen to you.

I don't get any choice.

I love you.

And I'll be here for you afterwards.

I should bloody well hope so.

I love you too.

By the way, there's something you ought to know.

I've booked us a holiday.

Where?

I'll tell you when you come round.

Well, if it's a caravan in wales, I'm leaving you.

Thank you.

Go on.

Come on, all of you.

Let the girl have some rest.

I still worry about Jeffrey.

Graham's going to be in for at least a week.

Well, I thought Lizzie was looking into that.

Well, I left you a message on your phone.

Didn't you get it?

Miss Whitney doesn't always answer her phone.

You're enjoying this, aren't you?

I can enjoy anything if I put me mind to it,

so my husband tells me.

The next time you need bed to one

of your patients you might regret making

an enemy of sister mckeese.

She doesn't like me.

She makes a point of not liking me.

I suggest you make it very easy for her.

Good morning miss Whitney.

How did it go, clearing up mullery's clamshell?

Fine, yes.

Yeah.

I hate to be too demanding but with my head

of clinical services hat on, I might need just a bit more

to go on.

Sorry.

Yes.

[Inaudible] Is coming out this morning.

And transferred from itu.

Thank you so much.

You know, she reminds me of someone.

I can't think who.

This operation is not about making life viable.

This is about making life bearable.

To work on a patient who is dying that

is our duty and our privilege as surgeons.

This is about matching our patient's courage with our own.

If there is scarring and brain tissue

stuck to the inner table of the bone,

we may rip a cortical artery.

We don't want to do that because?

If the artery's near broca's area,

you'll wreck the patient's speech.

Correct.

Right so let's develop a plane between the brain

and the bone flap elevator.

More saline, Wilson.

Easy does it.

You ok?

Got everything you need?

I think so.

Anything you want to ask?

You know if Romeo and Juliet had bbm, do you think it would

have still worked out that way?

Cheeky.

Q any other pressing matters?

Do you think my mom and dad will still

see each other when I don't have to come

in here every six months?

They need to have a reason.

Have you told them you're worried about that?

Teenager tells the parents things.

Hm.

There's a thought.

Well, I could always tell them.

I'd have to say you mentioned it.

I can make it look as though I thought it might be an issue.

So if they think it's stupid then

it's you they think's stupid.

That's my job.

I'm your stupidity decoy.

Oh, right.

I wondered what you did.

[Music playing]

Gabriel Monroe: Wash.

Hello.

Is it Jeffrey?

What?

We're short on relatives accommodation.

It's not a guesthouse.

Gabriel Monroe: Wash.

You ok?

I don't know.

Microscissors.

More scar tissue.

Shit. Got a bleeder.

What?

We're going to have to stop, Larry.

Already? How much

Gabriel Monroe: Not enough.

Not nearly enough.

But I think I may have nicked a striated vessel.

You think you have. They're covered in scar tissue.

How can you even tell?

I know I have.

I'm going to cauterize it to control the bleeding.

And then we're going have to stop.

I'm going to have to leave most of the tumor in there.

How bad is it?

Come on.

Wash.

Will wash, hurry, springer.

Come on.

Wash.

Jesus.

Wash.

All right.

Close her up.

Hello, Lynn.

Do you know where you are?

[Mumbles]

Do you know what this is?

[Mumbles]

It's ok.

It's early days.

Don't worry.

Can you squeeze my fingers for me?

Good.

Now this one.

It was a difficult operation.

And it didn't go well.

We didn't get all of the tumor out.

I'm sorry.

Yeah, but she was slow getting back to speed last time.

Remember?

I'm sorry, but I think we may have caused

serious damage to her brain.

I don't think she'll get her speech back.

I don't think she will recover any movement

on the right side of her body.

But you've got to say all this stuff, haven't you?

I mean, legally, you know, health and safety.

Worst case scenario and all that.

I mean, you're the man aren't you.

Just have to wait, don't we.

We'll wait.

But I want you to prepare yourself, Mike.

Lynn isn't going to make a full recovery.

Do you understand what I've just told you?

Yeah, yeah.

Of course I do.

Just have to wait.

Gabriel Monroe: Expressive dysphasia.

Very little anti-gravity function on her right side.

She's unlikely to recover that.

How's her husband?

Hasn't sunk in yet.

And how are you?

My first year as a registrar, I had a patient

who got a post-op infection.

And it tore him apart bit by bit.

He came in here walking, talking, handsome.

And he left in a wheelchair with a book on sign language

and a crooked smile on his face.

Why?

Because I didn't pick up the infection soon enough.

My mistake.

The first time you wreck someone, it's hard.

First time.

This wasn't the first time.

You don't have to do this tough nut stuff for my benefit,

you know.

You asked me how i'm doing and I told you.

When you going to Polish your platitudes?

So you were right, by the way, about talking to someone.

I think we should probably do that.

Well, great. That's good.

Good. Good.

Good because I booked us an appointment with [inaudible]

Next Thursday and I've checked the shifts and we're both free,

so...

See that?

That right there.

Maybe that's something that we could talk about.

What?

Efficiency.

Control.

You lucky sod.

You're not taking advantage of that poor man,

are you, Jeffrey?

I've got something for you.

Your shunt.

For old time's sake.

That would be really sweet if it wasn't so gross.

Cute.

I'm just there for people.

It's the little touches that a mum really appreciates.

I wish you could say the same about bremner.

Look, if you want to talk about stuff, stuff

you're finding difficult, that kind of stuff, I'm good,

you know?

They used to call me agony aunt at uni.

That's very sweet.

I'll bear it in mind.

Great.

I'll pick you up at 8:00.

Nothing exclusive at this stage, obviously.

But we'll see how it plays out.

Most girls tend to want me to themselves

once they've sampled the wares.

Oh, you're good, springer.

Very good.

Cheering me up already.

Mike.

I've been looking for you?

Isn't our shelley doing brilliant?

Thank you so much, Mr. Monroe.

Thank you.

It's a pleasure.

I didn't know what to get you.

And the hospital shop's full of tat, so anyhow, you do drink,

don't you?

Cheers.

Take a seat.

It's been difficult trying to choose

between you and springer.

Perhaps I should explain something.

But I'd like to offer you the registrar position.

Thank you.

But I don't want it.

Not yet.

Not yet? What do you mean?

You're practically doing the job anyway.

I'm not ready.

I say you are ready.

In Lynn's operation, when it went wrong,

I just wanted to run away.

Here's the secret.

So did I.

But you didn't.

You carried on.

And you're back at work and ready to go again.

Not me.

That's how I know I'm not ready.

I'm not asking you to be me.

I'm asking you to be my registrar.

I could stay on my current grade.

One registrar, one trainee, isn't that how it goes?

Come on?

What, and have springer as your boss?

I can handle that.

You know the springer would kill to be sitting there?

That's why you should give it to him.

Well, it makes the decision easier, that's for sure.

I just don't get it.

They're a different generation.

More thoughtful.

And more cowardly.

Is that what you really think?

Wilson's a coward?

Maybe it's a better quality than I give her credit for.

I heard about your patient.

I'm sorry.

I did the operation to give her a better quality of life

for whatever time she has left.

Instead, I don't know about you, but

as a definition of savage irony, I

think that takes some beating.

These things happen.

Oh, god. Not you as well.

Surely you can do better than that.

You made the call.

You made the cut.

You take all the blame.

See how far that gets you.

This'll buy a patient.

Mine goes another rich quick scheme.

You got more than one?

I'm still working on the designer clothes range

for the religiously devout.

Is this the burberry burka thing.

Because I don't think it's ever going to work.

[Phone beeps]

Boyfriend?

No, no.

Just a stalker.

That's a brilliant way of trying to find out if a woman

has a boyfriend, springer.

I don't think anyone saw through that.

Right.

Who am I giving a lift to?

- Me. - Not me.

On me bike. - Brought the car, love.

Me, too.

Any chance you get, beat me up, yeah?

I live to beat you up.

Thanks.

Thank you.

For what?

For rescuing me from springer.

Oh, you'd do worse than springer.

Trust me.

He's got good prospects.

That's true.

Not exactly spoiled for choice.

What?

Oh, come on.

Look at you.

You're amazing.

Thank you.

You, too.

I know.

I moisturize.

God, there you go again.

Wish we didn't get on so well.

Why?

Well, if I say why, then we'll stop being on so well.

Well, then, your wish would come true.

You're going to make me say it, aren't you?

Most definitely.

Well, I think you're lovely.

And I wish things were different.

All right?

Happy now?

No, not really.

I mean, yes, yes.

I'm very, very...

So.

What do we do now?

You're going to go inside.

I'm going to sit here, count to 100,

and pretend that that didn't happen.

Yeah.

Yeah.

[Music playing]

Repair and Synchronization by Easy Subtitles Synchronizer 1.0.0.0