Thank you.
♪ When I was a boy
♪ I saw the light
♪ Sold it to you
♪ I Wanted to say ♪
I thought man's greatest achievement was space travel but that's genius!
So, when man discovered how to suck tea through a chocolate straw,
everything else seemed meaningless, didn't it? - Pretty much.
- Little things please little minds, don't they? - Yeah.
The only reason boys grow up is to populate the world.
But with the wonders of modern fertility...
Yeah, one day we won't need you at all, will we?
We'll get you all to deposit a healthy amount into a freezer.
Touched a raw nerve there, girls!
You couldn't touch a raw nerve.
- What's up with him? - You alright, Al?
- Get a doctor! - I am a doctor!
It's peanuts!
- He's allergic! What do I do? - Adrenaline!
Epipen, back pocket.
Pull his trousers down!
I thought it was pate!
- After the third bite? - I couldn't stop!
- I haven't had nuts for years. - There's a reason for that!
- I forgot how good they were. - Or how deadly!
I know. Thank god for modern medicine or I'd be a goner.
Then again, if I carry this there shouldn't be a problem.
You wouldn't want it on your death certificate.
- We've got to go somehow. - By all means, knock yourself out.
Literally, and if you ever died you could come back as a squirrel!
- That's a good idea! - I was joking, you peanut!
- Not dead yet, then? - No, lucky I'm a doctor.
Get him down to A&E, will you?
- Doctor Mowad can get back to saving proper lives. - Will do.
Brian Howells, 73. Losing a lot of blood through his stomach.
FBC results just came back. We've ordered two units of blood.
Can you supervise the transfusion.
I just need to know what's at stake.
What do we do if the tests prove that I'm the problem?
Trade me in for a younger model? We could spend years in fertility.
I don't want other people knowing our private business!
I don't give a damn what other people think.
I'm zinced up to my eyeballs. I'm not going through this again.
Look, we'll deal with it.
If we can't have children, we'll just carry on as before.
What? And that'll make you happy, will it?
I really don't know, David. We'll have to wait and see, won't we?
What do you think that was about with Mary and His Lordship?
We're all human. They were just having a row.
A fertility row! Can't be anything to do with his testosterone!
Her ovaries must have gone into meltdown.
Um, I hear you've got a mid-term with mild discomfort in the iliac fossa.
Yes. Fever, diarrhoea.
Sounds like classic symptoms to me. Why the wait?
She's worried about the baby.
That's understandable. Would you like me to have a word?
No. We're dealing with it.
OK. Don't leave it too long.
Remember you're dealing with two lives.
I'll be in to see her shortly.
'Is it more tender there or there?'
- You're being very brave, Rachel. - I slept with him, that was brave!
There's only one way we will know if it is appendicitis.
- We'd have to operate. - Can you do that?
It's a routine operation.
But because you're pregnant, you might go into pre-term labour.
But I'm only 25 weeks gone.
If it is appendicitis and you don't do anything,
you run the risk of it rupturing.
That could be fatal for you and your baby.
Can't we just wait? We've had five years of IVF to get this far.
- I realise this is hard for you... - No, you don't.
This child is still growing.
If anything happens to it, it's our responsibility, not yours.
- Have I got appendicitis, yes or no? - We don't know.
Then we'll wait.
If she's got appendicitis, she needs an op.
That's easier said than done. What would you do in her place?
I'd do what's best for my baby.
I'd put my trust in the doctors and hope for the best.
- Simon's on anaesthetics. I'll get him to talk to them. - Good idea.
Hello. Ralph, is it?
Hi, I'm Doctor Mowad.
Is this your grandfather?
We can't wait any longer, Rachel.
You've got to let us take over.
When's the last time she ate or drank?
Few sips of water but nothing for over 12 hours.
OK, let's get her prepped.
- You need to sign the consent form. - We can't. We're not signing it.
Rachel, maybe we should trust them.
You're asking us to risk everything. Surely, there's tests you can do!
Scans aren't accurate enough to diagnose.
This is our baby! Can you guarantee it'll be fine?
I know you're doing your job but with respect,
you both look like you're just out of nappies yourselves.
This is our last chance to have a baby. My last chance.
I want to see a senior doctor. Now.
- Whose blood are you giving him? - It's from anonymous donors.
Nothing to worry about. He'll be like a new grandfather soon.
It's not as bad as it looks.
Wait! He's not allowed!
We're not allowed.
How's it going in there?
Pilonidal sinus. It was touch and go.
You'll have an ingrowing toenail next!
As a matter of fact, I'm expecting a pregnant lady with acute appendicitis.
Entering the third trimester and terrified of losing the child.
Right.
Look, have you had the results back yet or not?
They said they'd call when they come through.
I understand what you're saying, Mr Johnson,
but if I had my way, this operation would be underway.
Look, this is a unique situation.
But your wife is our paramount concern, not the child.
Your baby shouldn't be affected by the operation
but the longer you leave it, the more chance there is of losing them both.
This child might be the only thing she'll have left when I'm...
I've got leukaemia.
It's under control, that's why we had to have fertility treatment.
Chemo kills everything, doesn't it?
Anyway, I'm alive. For today, a year, maybe ten.
Who knows? But I'm alive.
I'm sorry, I just want to do the right thing, that's all.
You are. You are doing the right thing.
Have you got kids?
No, not yet.
Sister, Mr Howells is a Jehovah's Witness.
He won't be having his transfusion.
- What's happened? - Don't do anything until I get back!
I can't take it anymore!
I can't give you more painkillers.
We're going to have to do it the old-fashioned way.
I think you should have the operation.
I'm scared!
Sit down, Cath. You're hyperventilating.
Hi, Rachel. I'm your attending registrar.
I'm just going to examine you, OK?
Listen, Rachel. The chances are this baby won't come now
but whether it's born today or in three months,
the important thing is that you will love it.
So please, don't jeopardise your chances for a stupid appendix.
Well done, everyone. Meet you at theatre.
I'll go get Simon.
If they're worried the anaesthetic will harm the baby, I'll have a word.
Thanks.
'Hello. '
I think you've had enough nuts for one day, don't you?
Not when you've got an epipen.
We're a caring hospital but don't push your luck!
Caring? I should be getting the same treatment as patients,
not stuck in here!
We don't have any beds!
Surely they're going to want to observe me overnight. I almost died!
You're going to have to wait!
Well, it's lucky Ameer was so quick to act.
He really had that situation under control.
He saved my life, not you! You're so jealous!
Well, I hope you feel forever indebted to him.
- I'll page you if I need you. - OK.
What? Forbidden fruits, pal!
There must be something in the air!
Where are your parents, Ralph?
We really need to talk to them.
This situation is hard enough for an adult to deal with.
He's going to need you at his side.
Why? Just so I can watch him die?
- How old are you, Ralph? - Twelve.
We really need to contact your parents.
There's no need. Mum's coming back from a meeting. She'll be here soon.
That might not be soon enough. Is your dad about?
He's dead.
So where are you taking me now?
I'll be back now.
In a minute.
In a minute? You can't just leave me here!
His grandfather means a lot to him.
He's already lost his father.
Doesn't seem fair.
This isn't your problem, Ams.
It's just the way some of the world goes around.
- You have to respect it. - What if I don't respect it?
What's the point in having all this equipment, skill
and god knows what else, if we're not going to use it?
Alright. Well, I can give him the blood and just turn a blind eye.
You know that's not an option.
Then you need to speak to the granddad.
Might be too late for that.
Studies have shown that anaesthesia is generally safe when pregnant.
And if she suffers a drop in blood pressure or oxygen saturation,
- I'll be the first to know. - OK.
- She's in good hands. - So who are you?
Doctor Strettle, trainee anaesthetist.
He is deteriorating. His haemoglobin is dangerously low.
- He's not going to last long. - What can we do?
Keep him as comfortable as possible.
- Can I go in with her? - You'll have to say goodbye outside.
Oh god! Right.
- Nobody's cared for me like you have. - I love you.
I love you too.
Thanks. We can take it from here.
Sorry! Sorry.
Why doesn't he light a candle?
We don't have them in prayer rooms anymore.
He doesn't look like he believes in God.
Flame can be for someone you love, someone you care about,
a memory of someone who's gone.
- Like my father? - Exactly.
He could be the flame.
So what happens when the flame runs out?
You could carry it around inside you, wherever you go.
Like indigestion?
Sort of.
Only this type of indigestion burns in a different way,
a good way.
Ten, nine, eight, seven...
The muscle belly of the internal oblique is retracted.
Clamp, please.
Do you think I'd make a good mum?
Yeah.
God, this appendix is about to burst.
We were right to intervene. How's baby doing?
Beating like a drum.
- Do you believe in God? - I do.
Do you talk to him?
Try to talk to him five times a day.
Just don't get time in this job.
So you bend the rules?
Try and live by them. It's just isn't always possible.
Thanks, everyone. Can you finish up here?
Miss Finch?
Her waters have broken. I'll have to do a C section.
Get a neonatal team here.
Do you want me to leave you to pray?
I've already asked God what I want.
And what's that?
For you to change your mind and help my Granddad.
What's happening?
We took out the appendix, which was nearly at bursting point
and then her waters broke.
She's in labour. We could do with a hand in there, Rhi.
Okay. I'll find Anthony and tell him.
Anthony, we've removed the appendix successfully.
But I'm afraid she has gone into early labour.
Hi! It's Mr David Hill. I was in this morning.
Yeah.
Yeah. And?
Makes you feel useless, doesn't it?
Order four units of blood, set up a central line, check fluids,
and I'll review him in a few minutes. - You can't do that.
I take full responsibility.
Don't start the transfusion until I give you the word. Okay?
Happy, Doctor Strettle?
Everything looks normal. No sign that the baby is in distress.
Where's Anthony?
He's here with Cath.
So you know nothing about the transfusion?
I came in to wash my face, Ameer. What transfusion?
I think we're almost ready here. Prepare for delivery.
He may die at any moment if we don't do anything.
And you want to do something?
It's good to question things
but you can't help someone who doesn't want to be helped.
But the boy deserves better.
Most of us deserve better, Ameer.
As doctors, we try to preserve life as best we can
but it isn't always as clear cut as that.
Sometimes life conspires against us.
Some people make us feel useless because they reject our help
for whatever reason.
Some people find it hard to trust us,
which can be frustrating to say the least.
But it's up to the individual how they wish to live or die,
whether we like it or not.
But then others expect us to work miracles,
even when the situation seems hopeless.
We are pulled in all directions, Ameer.
While we're here, we might as well get on with it.
Even if life isn't perfect, because we are not perfect.
Even I'm not perfect.
Far from it, in fact.
Even with all this knowledge and experience,
we can still get it wrong.
We want things we can't have,
things we believe will make us happier.
In the end, we all have to live with the choices we make.
But your patient is proud of what he is,
of who he is.
I'd still like to hear him say it.
Well then, you must do what you feel is right.
That's your only salvation.
Sister, can you find Ralff and bring him here?
Mr Howells? My name is Dr Mowad. You're in hospital.
You arrived today. Your grandson phoned an ambulance.
You've been given fluids and an IV drip has been set up
in preparation for a transfusion.
Don't be alarmed, Mr Howells.
Ralff's told us about your religious beliefs.
We respect that.
He's an amazing little man and has had to cope with many problems
at such a young age.
But now he's struggling.
He sees life in black and white, like all good kids should.
But when it comes to faith, it's all a bit grey for him.
He doesn't know what it means.
All he does know, Mr Howells, is that he loves you
and he wants you to live.
I have faith too and I respect yours,
but as a doctor, all I can give you is a choice.
This valve will save your life.
If you press the button,
you will allow blood to flow into your system.
Whatever you decide is up to you.
Ralff understands whose decision this is. We all do.
But I must give you the option.
It's a boy!
There's a baby boy in there, who really needs his dad.
Alun, I think we've found you a bed at last.
Mum!
Well, we tried.
That's all I ever wanted us to do was try.
And the fact that you've done that makes you enough of a man for me.
Walk me home, David.
Happy birthday, lovely!
- Truth or dare? - Dare.
We just found out what happened.
Gabby Morgan was stabbed breaking up a fight on the school yard.
- She's on her own. - Whatever you do, don't let her drink any tequila.
Damn, you're cute.
This Dr thing, I don't want it.
What are you talking about? Quitting?
- I have quit! - You're running away.
I want to go out with a bang!
I love you.
Then why do you look so sad?
Corrected by Lauta