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Holby Wiki - Casualty and Holby City
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{{icons|expand}}{{Character Infobox
{{eras|mprot|jac}}
 
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|job = cardiothoracics
{{HolbyCharacterBoxNew
 
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|image = JacNaylorS22E02Infobox.png
|job=holby
 
 
|name = Jacqueline Naylor
|sub1=''[[Holby City]]'' character
 
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|born = {{Birth date and age|df=y|1974|3|31}}
|image=Jac_Naylor_2.png
 
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|children = [[Emma Naylor-Maconie|Emma]] <small>({{b}} 2014)</small>
|first=[[Hearts and Flowers]]
 
 
|parents = [[Paula Burrows]]
|firstdate=13 February 2016
 
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|grandparents = [[Henry Burrows]]
|portrayed=[[Rosie Marcel]]
 
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|siblings = [[Jasmine Burrows]] <small>(half-sister)</small>
|series=[[Series 30|30]] • [[Series 31|31]] • [[Series 32|32]]
 
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|occupation = [[Director of Cardiothoracic Surgery]]
|name=Jacqueline Naylor
 
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|former_occupation = [[General surgery|General surgeon]]
|born=19 April
 
|placeofwork=[[hc:Darwin|Darwin Ward]], [[Holby General Hospital]]
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|placeofwork = [[Darwin Ward]], [[Holby City Hospital]]
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|former_placeofwork = [[Keller Ward]], Holby City Hospital
|occupation=Consultant cardiothoracic surgeon<br>[[hc:Darwin Clinical Lead|Lead Consultant in Cardiothoracics]] (2014-17)
 
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|former_placeofwork2 = [[St James' Hospital]]
|children=Emma ({{b}} 2014)
 
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|first = [[Bird on a Wire]]
|parents=Paula Burrows
 
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|firstdate = 22 November 2005
|relatives=[[hc:Jasmine Burrows|Jasmine Burrows]] <small>(half sister)</small><br>Henry Burrows <small>(grandfather)</small>
 
 
|portrayed = [[Rosie Marcel]]
|sub3=[[hc:Jac_Naylor|''Holby City'' Wiki profile]]}}
 
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|casualty = [[Series 30 (Casualty)|30]] • [[Series 31 (Casualty)|31]] • [[Series 32 (Casualty)|32]] • [[Series 33 (Casualty)|33]] • [[Series 34 (Casualty)|34]]
'''Jacqueline '''"'''Jac'''"''' Naylor''' (born 19 April)<ref>"[[hc:X-Y Factor|X-Y Factor]]" (HC S12, E29)</ref> is a consultant cardiothoracic surgeon and Clinical Lead of the [[hc:Darwin|Darwin]] ward of [[Holby General Hospital]]. She visited the [[Emergency Department|ED]] several times in 2016 to assist with various procedures.
 
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|holby_city = [[Series 8 (Holby City)|8]] • [[Series 9 (Holby City)|9]] • [[Series 10 (Holby City)|10]] • [[Series 11 (Holby City)|11]] • [[Series 12 (Holby City)|12]] • [[Series 13 (Holby City)|13]] • [[Series 14 (Holby City)|14]] • [[Series 15 (Holby City)|15]] • [[Series 16 (Holby City)|16]] • [[Series 17 (Holby City)|17]] • [[Series 18 (Holby City)|18]] • [[Series 19 (Holby City)|19]] • [[Series 20 (Holby City)|20]] • [[Series 21 (Holby City)|21]] • [[Series 22 (Holby City)|22]]
==References==
 
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|holbyblue = [[Series 2 (HolbyBlue)|2]]
{{reflist|2}}
 
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}}'''Jacqueline''' "'''Jac'''" '''Naylor''' <small>MBBS MS FRCS (Eng) FRCSTh</small> (born [[31 March]] [[1974]]) is a [[consultant]] [[cardiothoracic surgery|cardiothoracic surgeon]] who works on [[Holby City Hospital]]'s [[Darwin Ward]].
{{Holby Characters}}
 
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{{Guests31}}
 
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== Biography ==
{{DEFAULTSORT:Naylor, Jac}}
 
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=== Arrival ===
[[Category:Characters]]
 
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On [[21 November]] [[2005]], Jac - a locum [[registrar]] in [[general surgery]] - arrived on [[Holby City Hospital]]'s [[Keller Ward]] to assist with performing a [[hemicorporectomy]] on [[Billy Finch]], but Billy crashed his motorbike before undergoing surgery. [[Consultant]] [[Ric Griffin]] was forced to postpone the operation, and the multi-disciplinary team warned the surgeons that the hemicorporectomy would not be rescheduled due to its financial cost. Determined to allow the procedure to go ahead to impress her peers and secure a full-time placement at the hospital, Jac decided to break the rules and brought Billy's wife [[Melissa Finch|Melissa]] to the multi-disciplinary meeting. Swayed by Melissa's emotional appeal, the team decided to go ahead with the operation.
[[Category:Guest characters]]
 
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[[Category:Female characters]]
 
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The [[22 November|next day]], as fellow registrar [[Diane Lloyd]] was busy assisting on the [[Maternity Ward]], Jac volunteered to assume her role in Billy's operation. Following the successful completion of the operation, Jac confronted Ric about her remaining on his surgical team full-time, but Ric declined. ([[Holby City|HC]]: "[[Bird on a Wire]]")
[[Category:Holby City characters]]
 
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=== Locuming on Keller ===
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On [[17 January]] [[2006]], due to a shortage of beds at [[St James' Hospital]], Jac returned to Keller with a patient with [[ulcerative colitis]] named [[Leon Harris|Leon]]. Given Leon's copious rectal bleeding and the risk of [[colonic perforation]], Jac believed that a subtotal [[colectomy]] was his best option, but Diane was more inclined to respect his wish not risk having him fitted with an [[ileostomy]] bag for the sake of his marriage and proposed performing a rigid [[sigmoidoscopy]] to investigate further; Diane asked Ric for his opinion, and he concurred with her.
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Following the sigmoidoscopy, Diane was confident that surgery was unnecessary, but Leon perforated his bowel and was rushed into theatre. In surgery, Diane was still determined to avoid resorting to an ileostomy bag, but Jac deemed the bowel untenable and told her to staple Leon's [[rectal sigmoid junction]]; Diane conceded and went with Jac's approach, leading to Leon's recovery. ([[Holby City|HC]]: "[[Yesterday Once More]]")
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On [[24 January]], Jac learned from medical student [[Matt Parker]] that there was a vacancy for a permanent job on Keller and decided to apply for it. On the ward, Jac and Matt treated a patient named [[Gerry Cassidy|Gerry]] who was complaining of abdominal pain, and his test results showed that he was suffering from [[lead poisoning]]. When Gerry's X-ray showed the presence of a foreign body, Jac and Matt found that Gerry had been shot in the buttocks while serving in the Territorial Army. Once the bullet was removed, Jac expressed her interest in the vacant registrar job to Ric who was already pleased with her mentoring of Matt. ([[Holby City|HC]]: "[[Brother's Keeper]]")
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=== First permanent shifts ===
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By [[2 February]], Jac had convinced Ric to give her the full-time registrar job. In theatre, Ric informed Jac that there was a vacant consultant post, and Jac expressed a keen interest in applying. Later that day, when Diane was struggling to control a [[David Farmer|firefighter]]'s internal bleeding, Jac suggested performing a partial [[hepatectomy]]. Diane insisted that they wait for a consultant to arrive, but Jac claimed that she was familiar with the procedure. Diane allowed Jac to take over, but Jac failed to locate the source of the bleed and admitted that she had only read about the procedure. Furious, Diane ordered her to step away from the table and managed to stop the bleed with clamps. Out of theatre, after Jac attempted to impress Ric by taking credit for the procedure, Diane decided to challenge her for the consultancy. ([[Holby City|HC]]: "[[I'll Be Back]]")
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On [[20 February]], Jac attended an interview of the consultant post and was confident that she impressed the panel, but fellow registrar [[Sam Strachan]] warned her [[21 February|the next day]] that Diane appeared to be the favoured candidate. While Jac was in the lift, it suddenly ground to a halt, and she noticed blood dripping onto her patient notes. Above, Jac found a man named [[Billy Wintergreen|Billy]] whose arm had been severed and promised to find and reattach it. Once they were freed from the lift, Billy was rushed into theatre and stabilised. After finding his arm, Jac proceeded to reattach it, but Ric asked her to allow Diane to take over due to her expertise in vascular surgery, leaving Jac feeling cheated.
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[[File:0819JacMeetsNick.png|thumb|left|Jac greets [[Nick Jordan]] - Keller's new consultant. ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]")]]
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After the surgery, Diane was concerned about the poor blood supply to Billy's arm, but Jac asserted that she was being pessimistic and insisted on waiting for signs of improvement. However, when Billy's wife [[Jane Wintergreen|Jane]]'s condition suddenly deteriorated, Billy hit his arm while attempting to stand by her bedside and damaged it further. In theatre, Diane contended that the attachment was compromised, but Jac insisted on redoing the [[anastomosis]]; Billy soon became [[sepsis|septic]], and the arm was deemed unviable. However, as Diane took over the operation, Ric arrived, and Jac allowed Diane to take the blame for endangering Billy's life. In the locker room, Jac took responsibility for the incident and admitted to Ric that she just wanted to impress him. Jac expected to be fired, but she was surprised when Ric praised her tenacity and assured her that both she and Diane would make fine consultants. Outside the hospital, Jac was taken aback when Ric introduced [[Nick Jordan]] as Keller's new consultant general surgeon. ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]")
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=== Conflict with Nick Jordan ===
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On [[14 March]], Ric asked Jac to keep him informed of Nick's activities on Keller while he was at [[St James' Hospital|St James']], suspecting that he would take an interest in [[Carlo Cominetti]], a patient scheduled for an [[aortic valve replacement]] on [[Darwin]] presenting with a [[duodenal ulcer]]. When Carlo began to suffer from [[peritonitis]], Jac confronted Nick about his decision to operate on Darwin and suggested that he would rather be a [[cardiothoracic surgery|cardiothoracic surgeon]] than a general surgeon. After learning that Carlo had previously undergone a [[laparotomy]], Jac warned Nick of the risk of scar tissue being a hindrance and threatened to tell Ric if he did not properly inform Carlo of the risks.
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In theatre, Carlo developed [[aortic stenosis]], and Nick decided to put him on [[coronary artery bypass graft|bypass]]. Frustrated, Jac brought in cardiothoracic surgeon [[Connie Beauchamp]], but Connie was impressed by Nick's adaptability and allowed him to assist on the valve replacement. After the surgery, Jac accused Nick of setting up the situation in theatre to impress Connie and get back into cardiothoracics, and Nick threatened to disclose her inexperience in the procedure if she reported his behaviour to Ric. Once Ric returned, Jac told him that there was nothing to report about Nick. ([[Holby City|HC]]: "[[Let It Shine]]")
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On [[30 March]], as Jac and Nick performed a laparotomy on a patient named [[Philip Jennssen|Philip]], Jac suggested that there may have been some trauma to his [[oesophagus]]; Nick posited that the air in Philip's [[mediastinum]] may have been caused by something further up and decided to investigate without getting cardiothoracics involved. Out of theatre, Jac criticised Nick's eagerness to attempt cardiothoracic procedures, but he reaffirmed his authority and told her to concentrate on refining her own skills. On the ward, Philip's condition began to worsen, so Jac decided to page someone from Darwin instead of Nick who was attending a cocktail party. Upon reviewing Philip's X-ray, registrar [[Joseph Byrne]] found a [[tracheobronchial injury|large tear]] to his [[tracheobronchial junction]] and rushed to Darwin for surgery.
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Once Nick arrived in theatre, he berated Jac for not informing him of further complications to Philip's health and blamed her for the incident. Nick prepared to scrub up, but Connie reminded him that cardiothoracics was no longer his field. Afterwards, Nick informed Jac that Ric wanted to speak to her in the morning about her version of events. On Keller, Jac insisted that there was nothing more that she could have done for Philip, but Nick told her that Philip now required [[dialysis]] and a [[transplant]] due to the renal damage he sustained from [[hypoxia]] and [[hypotension]]. The [[31 March|following morning]], Jac explained her actions to Ric, and Ric reminded her that she needed to confer with senior colleagues from her own department and work entirely off of facts. ([[Holby City|HC]]: "[[Snake in the Grass]]")
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On [[18 April]], Jac overheard Nick undermining Ric's clinical skills and professionalism to his patient [[Jenny Logan|Jenny]] following a failed [[small bowel transplant]]. She warned Ric about Nick attempting to "[carve] out his own niche" and urged him to consider the threat he posed to his career and his relationship with Diane. ([[Holby City|HC]]: "[[Honesty]]") On [[6 July]], when Nick was vying for a cardiothoracic consultant post at [[St Luke's Hospital]], Jac and Ric informed [[Lord Byrne]] and Connie that Nick was dismissed from [[St Damian's Hospital]] after his patient died from a swab being left inside of them. ([[Holby City|HC]]: "[[The Truth Will Out]]") Despite the revelation, Nick was still offered the post and accepted it. ([[Holby City|HC]]: "[[Extreme Measures]]")
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=== Summer shifts ===
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On [[25 July]], Jac treated a girl named [[Pheona Allen|Pheona]] who was experiencing severe stomach pains. After diagnosing her with [[peritonitis]], Ric decided to take Pheona into theatre despite the staunch objections of her father [[George Allen|George]]. However, as Jac and Ric operated, the theatre's air vents began leaking dust; Jac suggested moving Pheona, but Ric instead carrying on with the procedure and fitting Pheona with a [[colostomy bag]], leading Jac to believe that he was rushing through the operation in order to cover Diane and Nick's waiting lists. Shortly after Pheona was taken back onto Keller, her surgical wound split open, and Jac found that Pheona's stitches were placed incorrectly. Jac confronted Ric about his waiting list decision, and he decided to reject the proposal. ([[Holby City|HC]]: "[[Looking after Number One]]")
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On [[1 August]], in Ric's absence, Jac was made the acting consultant on Keller. She and Joseph treated a patient named [[Mik Cronin]] who was impaled by a tree branch. Joseph insisted on ordering an [[aortogram]] to rule out any tears in Mik's [[descending aorta]], but Jac was more concerned about his potentially fatal liver laceration. Mik ultimately opted for Jac's course of treatment and was taken straight to theatre. Joseph's concerns were soon proven right when an aortic tear was detected, and, with no bypass machine or available theatres on Darwin, they were forced to risk the condition of Mik's [[kidney]]s to fix the tear. Later, Jac praised Joseph's diagnostic skills and suggested working together again some other time. ([[Holby City|HC]]: "[[Conscience]]")
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=== Interference with the Byrne family ===
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[[File:0901JacRevivesJoseph.png|thumb|right|Jac tries to save Joseph after overdosing on [[fentanyl]]. ([[Holby City|HC]]: "[[Before a Fall (Holby City)|Before a Fall]]")]]
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On [[24 October]], while Keller was cleaned up following a major incident exercise, Darwin covered all non-elective general surgical admissions. There, Jac and Joseph treated a patient with [[peripheral vascular disease]] named [[Richard Price-Thomas|Richard]] who had attempted [[suicide]] by jumping into the docks. Jac was surprised when Joseph lost his temper with [[nurse]] [[Tricia Williams]] and soon found him unconscious in the staff room after he overdosed on [[fentanyl]]. Jac managed to reverse the effects of the drug and revive Joseph, but he insisted on no one finding out about the incident; Jac informed his father Charles regardless, but he reprimanded her for trying to "curry favour" with him and advised her to contact Joseph's superiors in future. Jac tried to apologise to Joseph, but he informed her that [[Elliot Hope|Elliot]] had barred him from operating for a week, and her intervention had not helped his relationship with his father. ([[Holby City|HC]]: "[[Before a Fall (Holby City)|Before a Fall]]")
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On [[7 November]], Jac treated a patient named [[Gareth Jenkins]] who had been injured in a cycling accident. When his father [[Arthur Lewis|Arthur]] — a patient of Charles — was admitted for a [[heart transplant]], Gareth begged Jac to have his heart donated only to Arthur if he died; Gareth was soon left brainstem dead, making him an ideal donor for Arthur. Joseph refused Jac's proposal of fulfilling Gareth's wish and wanted to comply with legal guidelines, but Charles was receptive of the idea and decided to go ahead with the transplant. After Jac convinced Joseph that their actions were morally right, the two decided to put their disagreements behind them. When Joseph mentioned that he was attending a [[Holby Cardiac Foundation]] get-together, Jac volunteered to pretend to be his girlfriend to attend the gathering and appease Charles. ([[Holby City|HC]]: "[[Sins of the Father (series 9)|Sins of the Father]]") On [[14 December]], Joseph felt that he and Jac had taken their fake relationship too far, but Jac asserted that she was not pretending and said that she wanted them to be a couple. A surprised Joseph was receptive of the idea, and the two shared a kiss. ([[Holby City|HC]]: "[[Crossing the Line (series 9)|Crossing the Line]]")
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On [[9 January]] [[2007]], Jac learned that there was a vacancy for a general secretary position at the [[Surgical Association]], and Charles was on the selection committee. After Elliot's daughter [[Martha Hope|Martha]] warned Joseph that Jac was using him for Charles' status, Joseph confronted her; she asserted that Martha was playing games with him. After Jac assured Joseph that she knew Martha initiated the kiss, the two had sex in the on-call room. Later, Joseph decided to withhold his application to focus on improving his surgical skills and recommended Jac to Charles. ([[Holby City|HC]]: "[[The End of the World as We Know It]]")
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[[16 January|The following week]], Jac discovered that Joseph was accompanying Charles and a team of surgeons to [[Dubai]] to resect a bowel tumour and urged him to take her with him, but he did not feel that it was appropriate. Consequently, Jac decided to focus on impressing [[Dan Clifford]] in order to secure [[consultant]] [[Percy "Abra" Durant]]'s old position on Keller. On AAU, she and new [[SHO]] [[Maddy Young]] treated a security guard named [[Jake Hammond|Jake]] who was allergic to [[anaesthetic]] and decided to employ [[hypnoanalgesia]] to ease him as they inserted an [[endoscope]]. Despite their success, Dan appointed Diane as the new locum consultant. Feigning tears, Jac told Joseph that she felt he did not believe in her, prompting him to call Charles about allowing her to assist in Dubai. ([[Holby City|HC]]: "[[Face Value (Holby City)|Face Value]]")
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=== Hospital shooting ===
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On [[5 December]] [[2017]], the team of new [[neurosurgery|neurosurgeon]] and [[Director of Surgical Innovation]] [[John Gaskell]] asked Jac to assist with operating on [[Michael Ambrose]], a man with a spindle cell [[tumour]] that was compressing his spinal cord. On the ward, [[Oliver Valentine|Ollie]] confronted Jac about her decision to offload all of her procedures onto him, but she ultimately ordered him to stand down during an [[aortic valve replacement]]. Ollie challenged her, and she bluntly told him that he lacked the "mettle, the drive" and the "ability", and would never have "even the slightest chance of saving [his] pathetic excuse of a career" if he continued to oppose her.
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Later, in her office, Ollie told Jac that he felt "empty" on Darwin and ordered her to acknowledge his resignation. Despite her efforts to discuss Michael's case and the potential pitfalls of Gaskell's trial, Ollie insisted that she owed him an apology and suggested that she was "terrified". [[Sacha Levy|Sacha]] later attempted to express his concerns about Gaskell's reluctance to share his research amongst the medical community, but Jac, overridden with anxiety, sat outside the Darwin theatre, where she was consoled by [[Adrian "Fletch" Fletcher|Fletch]].
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In theatre, Jac reluctantly proceeded to insert Michael's aortic graft, but she felt that she was unable to complete the procedure and walked out. In a confrontation with Gaskell, she accused him of being unethical and feeding off the uncertainty of his colleagues, but Gaskell insisted on having the likes of [[Henrik Hanssen|Hanssen]] witness his work and urged her to help him. Upon their return, as Gaskell attempted to insert the tissue scaffold, Michael's [[artery of Adamkiewicz]] became unclipped, forcing Jac, who was on the verge of tears, to plug it with a pledget. Once the bleed stopped, Jac ran out of the room and broke down in Fletch's arms.
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[[File:1961JacShot.png|thumb|left|Jac collapses after being shot in the back. ([[Holby City|HC]]: "[[Group Animal - Part One]]")]]
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Following a moment of clarity, Jac decided to leave [[Holby]] and apologised to Ollie, insisting that it was his duty to remain at the hospital and become the consultant he "should be". On the stairs, she bumped into [[Raffaello Di Lucca|Raf]] and asked him to hand Hanssen her letter of resignation. However, in the basement, Jac encountered Hanssen's son [[Fredrik Johanssen|Fredrik]] who proceeded to shoot her in the back. ([[Holby City|HC]]: "[[Group Animal - Part One]]") She was soon discovered by Sacha, Hanssen, Gaskell and [[Essie Harrison|Essie]] who rushed her into the [[wet laboratory]].
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Using breathing equipment from a teaching aid and chloroform as anaesthesia, Sacha reluctantly performed a [[thoracotomy]] on her and discovered that one of her major vessels had been injured. Gaskell proposed printing an experimental patch to stop the bleed, but Sacha vehemently disagreed and insisted on waiting for more equipment to arrive. However, with Hanssen having left to confront Fredrik, Sacha eventually allowed Gaskell to insert the matrix, and Jac's pulse soon returned. Once Fredrik was neutralised by armed police, and the hospital's lifts were reinstated, Jac was taken to [[ITU]]. ([[Holby City|HC]]: "[[Group Animal - Part Two]]")
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== Personality ==
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As the [[general surgery|general surgical]] ward at [[St James' Hospital]] was being downsized, Jac was keen to impress [[Ric Griffin]] in order to acquire a permanent position on [[Holby City Hospital]]'s newly-expanded [[Keller Ward]] ([[Holby City|HC]]: "[[Bird on a Wire]]") and managed to convince him to give her the [[registrar]] job there. Her ambitions grew upon learning of a [[consultant]] general surgeon vacancy, and she began to take credit for her colleague's procedures after lying about having experience performing complex operations. ([[Holby City|HC]]: "[[I'll Be Back]]") Fearing that fellow registrar [[Diane Lloyd]] was more likely to be given the job due to nepotism, Jac allowed Diane to take the blame for endangering a [[Billy Wintergreen|patient]]'s life after reattaching an unviable arm. However, Jac felt guilty and eventually took responsibility for the incident. ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]") Her sense of empathy also extended to recognising issues in her colleagues' private lives, as she realised that Ric possessed feelings for Diane and urged him to act on them before [[Nick Jordan]] could sully their relationship. ([[Holby City|HC]]: "[[Honesty]]")
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== Relationships ==
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=== Romantic ===
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==== [[Joseph Byrne]] ====
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[[File:0840JacJoseph.png|thumb|right|Jac suggests that she and Joseph work together again. ([[Holby City|HC]]: "[[Conscience]]")]]
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On [[1 August]] [[2006]], Jac and Joseph treated an environmental protestor named [[Mik Cronin|Mik]] who had been impaled by a tree branch. Joseph insisted on ordering an [[aortogram]] to rule out any tears in Mik's [[descending aorta]], but Jac was more concerned about his potentially fatal liver laceration. In theatre, an aortic tear was detected, and, with no bypass machine or available theatres on Darwin, they were forced to risk the condition of Mik's [[kidney]]s to fix the tear. Later, Jac praised Joseph's diagnostic skills and suggested working together again some other time. ([[Holby City|HC]]: "[[Conscience]]")
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On [[24 October]], Jac found Joseph unconscious in the Darwin staff room after he overdosed on [[fentanyl]]. Jac managed to reverse the effects of the drug and revive Joseph, but he insisted on no one finding out about the incident; Jac informed his father [[Charles Byrne|Charles]] regardless, resulting in Joseph being barred from operating for a week. Jac tried to apologise to Joseph, but he told her that her intervention had not helped his relationship with his father. ([[Holby City|HC]]: "[[Before a Fall (Holby City)|Before a Fall]]")
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On [[7 November]], Joseph refused Jac's proposal of fulfilling [[Gareth Jenkins]]' wish to donate his heart to his father [[Arthur Lewis|Arthur]], but Charles was receptive of the idea and decided to go ahead with the transplant. After Jac convinced Joseph that their actions were morally right, the two decided to put their disagreements behind them. When Joseph mentioned that he was attending a [[Holby Cardiac Foundation]] get-together, Jac volunteered to pretend to be his girlfriend to attend the gathering and appease Charles. ([[Holby City|HC]]: "[[Sins of the Father (series 9)|Sins of the Father]]") On [[28 November]], Jac told Joseph that she was happy about maintaining the facade and persuaded him to join her for a drink. ([[Holby City|HC]]: "[[It's Been a Long Day]]")
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On [[14 December]], Joseph intended to invite Jac to a gathering involving Charles and his peers, but she unwittingly declined. She soon noticed Joseph's friendship with [[Elliot Hope]]'s daughter [[Martha Hope|Martha]] and was disappointed to hear that Joseph had invited Martha instead. That evening, Joseph felt that he and Jac had taken their fake relationship too far, but Jac asserted that she was not pretending and said that she wanted them to be a couple. A surprised Joseph was receptive of the idea, and the two shared a kiss. ([[Holby City|HC]]: "[[Crossing the Line (series 9)|Crossing the Line]]") On [[19 December]], Joseph suggested that they spend Christmas with his parents in the [[Cotswolds]], but, as Jac did not want to sleep with him, she claimed that she was not comfortable with his parents being in their vicinity and opted for a guest room; Joseph ultimately abandoned the idea. ([[Holby City|HC]]: "[[The Good Fight]]") On [[28 December]], after Martha gave Joseph a Christmas present, Jac told him to "put things straight" with Martha. ([[Holby City|HC]]: "[[The Very Thought of You]]") On [[4 January]] [[2007]], after Jac's actions resulted in Martha cutting her hand on a vase, she informed Elliot of the incident, resulting in him catching Joseph and Martha kissing. ([[Holby City|HC]]: "[[The Games People Play]]")
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[[File:0914JacJosephKiss.png|thumb|left|Jac and Joseph passionately kiss in the on-call room. ([[Holby City|HC]]: "[[The End of the World as We Know It]]")]]
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On 9 January, [[Dan Clifford]] approached Joseph about a general secretary position at the [[Surgical Association]]; Jac told Joseph that he was the perfect man for the job and encouraged him to apply for it. After Martha warned Joseph that Jac was using him for his family's status, he confronted Jac; she asserted that Martha was playing games with him. After Jac assured Joseph that she knew Martha initiated the kiss, the two had sex in the on-call room. Later, Joseph decided to withhold his application to focus on improving his surgical skills and recommended Jac to Charles. ([[Holby City|HC]]: "[[The End of the World as We Know It]]")
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[[16 January|The following week]], Jac discovered that Joseph was accompanying Charles and a team of surgeons to [[Dubai]] to resect a bowel tumour and urged him to take her with him, but he did not feel that it was appropriate. Later, after Dan appointed [[Diane Lloyd]] as Keller's locum consultant, Jac — feigning tears — told Joseph that she felt he did not believe in her, prompting him to call Charles about allowing her to assist in Dubai; Jac was delighted when Charles gave her permission. ([[Holby City|HC]]: "[[Face Value (Holby City)|Face Value]]")
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==== [[Charles Byrne]] ====
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In October 2006, Jac found Charles' son Joseph unresponsive after accidentally overdosing on fentanyl. Despite Joseph's wishes, Jac informed Charles about the incident, but he reprimanded her for trying to "curry favour" with him and advised her to speak to Joseph's supervisors in future. ([[Holby City|HC]]: "[[Before a Fall (Holby City)|Before a Fall]]")
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On 7 November, the son of Arthur Lewis — a patient of Charles' who required a heart transplant — suffered a catastrophic stroke and was left braindead, making him a prime candidate for donation. Despite Joseph's objections to the plan, Charles agreed with Jac and decided to perform the transplant. Later that day, as Charles believed that Jac and Joseph were a couple, and Jac wanted to attend the Holby Cardiac Foundation gathering, she agreed to pretend to be Joseph's girlfriend and accompanied him to the get-together. ([[Holby City|HC]]: "[[Sins of the Father (series 9)|Sins of the Father]]")
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On 9 January 2007, when Joseph was approached about applying for a general secretary position at the Surgical Association, he ultimately decided to turn down the opportunity and instead recommended Jac to Charles. ([[Holby City|HC]]: "[[The End of the World as We Know It]]") The following week, Charles allowed Jac to assist in a bowel tumour resection in Dubai. ([[Holby City|HC]]: "[[Face Value (Holby City)|Face Value]]")
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=== Professional ===
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==== [[Ric Griffin]] ====
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Jac viewed Ric as one of the greatest surgeons in his field and was eager to work with him full-time. Following the successful [[hemicorporectomy]] in [[November]] [[2005]], Jac approached him about remaining on his surgical team, but Ric initially declined. ([[Holby City|HC]]: "[[Bird on a Wire]]") When Jac locumed on [[Keller]] again in [[January]] [[2006]], Jac impressed Ric with her diagnostic skills and mentoring abilities, ([[Holby City|HC]]: "[[Brother's Keeper]]") and she successfully secured a permanent job at Holby City. ([[Holby City|HC]]: "[[I'll Be Back]]") When a consultancy was made available, Jac tried to impress Ric by reattaching a [[Billy Wintergreen|patient]]'s arm, but the injury later became [[sepsis|septic]] and nearly killed the patient. Regardless, Ric admired Jac's tenacity and believed that she would make for a fine consultant. ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]")
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In [[March]], Ric asked Jac to keep an eye on [[Nick Jordan]], who had a tendency to take over his cases in his absence, as he appeared to take a keen interest in his patient [[Carlo Cominetti|Carlo]]. ([[Holby City|HC]]: "[[Let It Shine]]") [[31 March|Later that month]], Ric reprimanded Jac after she failed to inform Nick of a [[Philip Jennssen|patient's deterioration]]. ([[Holby City|HC]]: "[[Snake in the Grass]]") In [[April]], following an unsuccessful small bowel transplant, Jac overheard Nick attempting to soil Ric's reputation in front of the [[Jenny Logan|patient]] and warned Ric. ([[Holby City|HC]]: "[[Honesty]]")
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On [[16 July]], Jac felt that Ric was rushing through surgery to take on Diane and Nick's waiting lists and confronted him when his haste resulted in a [[Pheona Allen|patient]]'s stitches being placed incorrectly; he ultimately decided to reject [[Bradley Hume]]'s proposal of taking on the waiting lists. ([[Holby City|HC]]: "[[Looking after Number One]]")
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==== [[Diane Lloyd]] ====
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Upon Jac's return to Holby City in [[January]] [[2006]], she and Diane clashed over the treatment of a [[Leon Harris|patient]] with [[ulcerative colitis]], and, after Diane agreed to lie to the patient's [[Carla Harris|spouse]] about his admission, Diane took umbrage when Jac suggested her judgement was being clouded by the recent breakdown of her marriage to [[Owen Davis]]. In a conversation with Ric, Diane branded Jac as "blunt", "abrasive" and "patronising", and said that she would not be happy with Jac locuming on Keller again. However, following Jac's success in theatre, Diane praised her surgical skills and claimed that she was pleased that Jac was Keller's locum. ([[Holby City|HC]]: "[[Yesterday Once More]]")
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After returning to work from weeks of research, Diane was surprised to hear that Jac had secured a permanent post on Keller, and she was irritated when Jac continued calling her "Di" despite being corrected numerous times. In theatre, when Diane struggled to control a [[David Farmer|patient]]'s internal bleeding, Jac claimed that she could perform a partial [[hepatectomy]] and took over. However, Diane was furious when Jac admitted that she had only read about the procedure and managed to stop the bleeds herself. Out of theatre, after overhearing Jac take credit for the procedure, Diane decided to challenge her for the vacant [[consultant]] job. ([[Holby City|HC]]: "[[I'll Be Back]]")
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Feeling as though Diane had favoured status among the panel, Jac was determined to win Ric over by reattaching the arm of a man named [[Billy Wintergreen|Billy]]. Diane was not optimistic about the blood supply to the arm post-op, but Jac insisted on waiting for signs of improvement. Ultimately, Billy's arm became ischemic and was deemed unviable. As Diane took over the operation from Jac, Ric arrived and mistakenly reprimanded her for endangering Billy's life. Later, Jac admitted that she was responsible. In the end, the consultant job was awarded to an outside candidate - [[Nick Jordan]]. ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]")
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In October, Jac felt jealous of Diane when she returned from her sabbatical as a close colleague of the eminent Lord Byrne. ([[Holby City|HC]]: "[[Before a Fall (Holby City)|Before a Fall]]") In January 2007, when Jac expressed her frustration with Dan Clifford and decided to confront him, Diane urged her not to and elected to talk to him on her behalf. However, Jac was disappointed when Dan appointed Diane as Keller's locum consultant. ([[Holby City|HC]]: "[[Face Value (Holby City)|Face Value]]")
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==== [[Nick Jordan]] ====
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[[File:0822NickBlackmailsJac.png|thumb|right|Nick blackmails Jac into not reporting his actions to Ric. ([[Holby City|HC]]: "[[Let It Shine]]")]]
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Sharing a history with Nick, Jac was unhappy to learn in [[February]] [[2006]] that he had been appointed as Keller's new consultant general surgeon ([[Holby City|HC]]: "[[Out on a Limb (series 8)|Out on a Limb]]") and suspicious of his change in specialities. ([[Holby City|HC]]: "[[We Gave Her All Our Love]]") In [[March]], Nick took a keen interest in a [[Carlo Cominetti|patient]] with a [[duodenal ulcer]] who was scheduled for an [[aortic valve replacement]] and decided to operate on [[Darwin]], leading Jac to suspect that he was planning on getting back into [[cardiothoracic surgery]]. In theatre, Carlo's condition deteriorated, and Nick decided to put him on [[coronary artery bypass graft|bypass]]. Frustrated and concerned about Carlo's wellbeing, Jac brought [[Connie Beauchamp]] to the table, but Connie was impressed by Nick's adaptability and allowed him to assist on the valve replacement. After surgery, Nick admitted that he wanted to return to cardiothoracics and threatened to report Jac for failing to disclose her lack of experience in Carlo's procedure if she informed Ric of his actions. ([[Holby City|HC]]: "[[Let It Shine]]")
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Later that month, Nick continued to show an interest in performing cardiothoracic procedures, and Jac confronted him, but he reasserted his authority and told her to focus on her own pitfalls. When their [[Philip Jennssen|patient]]'s condition deteriorated further, Jac, instead of consulting Nick, paged [[Joseph Byrne]], a registrar on Darwin who rushed the patient to Darwin for surgery. Once Nick found out, he berated Jac for not informing him and blamed her for the patient's overlooked cardiac issues. ([[Holby City|HC]]: "[[Snake in the Grass]]")
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In [[April]], following an unsuccessful small bowel transplant, Jac overheard Nick attempting to soil Ric's reputation in front of the patient and warned Ric. ([[Holby City|HC]]: "[[Honesty]]") After Nick allowed Diane to take the blame for [[Helena Bosman]]'s death, Jac viewed Nick as being disloyal and decided to assist Abra out of spite. ([[Holby City|HC]]: "[[Invasion]]") Later that month, Jac threatened to disclose the circumstances behind Nick's return to Holby to [[Lord Byrne]] to stop him securing the cardiothoracic consultant post at [[St Luke's Hospital]], but Nick suggested that it was a "risky" move and attempted to entice her with the idea of a consultant vacancy on Keller. Regardless, Jac and Ric publicly stated that Nick was fired from [[St Damian's Hospital]] after a patient died from a faulty swab count. ([[Holby City|HC]]: "[[The Truth Will Out]]") Nick later departed from the hospital after being offered the CT consultant post at St Luke's. ([[Holby City|HC]]: "[[Extreme Measures]]")
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==== [[Dan Clifford]] ====
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When Dan arrived on Keller in November 2006, Jac took issue with his condescending attitude and — feeling that he was brought in to replace Ric — did not trust him. On the same day, Jac spoke to Dan's ex-fianceé [[Camilla Patterson]] who he jilted at the altar, and she was left speechless when Camilla publicly confronted Dan on Keller. ([[Holby City|HC]]: "[[It's Been a Long Day]]") Later, Dan suggested that Jac was trying to "create drama" by winding Camilla up, but she denied it. However, as Camilla was being removed from the hospital after tearing up Dan's clothes on the ward, Jac suggested that she report him to the trust. ([[Holby City|HC]]: "[[The Bitterest Pill]]")
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On 9 January 2007, Jac felt insulted when Dan scathingly said that there was no point in approaching her about applying for a general secretary vacancy at the Surgical Association after she was briefly distracted in theatre. ([[Holby City|HC]]: "[[The End of the World as We Know It]]") However, following Abra's resignation, Jac tried to impress Dan by using hypnosis to anaesthetise a [[Jake Hammond|patient]], but he ultimately appointed Diane. ([[Holby City|HC]]: "[[Face Value (Holby City)|Face Value]]")
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==== [[Martha Hope]] ====
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On 14 December 2006, Jac noticed Joseph's friendship with [[Elliot Hope]]'s daughter [[Martha Hope|Martha]] and was disappointed to hear that Joseph had invited Martha to a gathering with Lord Byrne and his peers instead. After Martha expressed an interest in dropping out of university and working at the hospital as a [[healthcare assistant]], Jac contacted [[Andy Zimmerman]] — an old colleague from [[St James' Hospital]] — and managed to secure her a job interview there to separate her from Joseph. However, Elliot informed Martha of a position on Darwin, and she decided to pursue it. ([[Holby City|HC]]: "[[Crossing the Line (series 9)|Crossing the Line]]")
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On 28 December, Jac told Elliot that she had witnessed Joseph and Martha kissing at the Christmas dinner. Later, Martha told Jac that she thought Joseph liked her, but Jac informed her that they were a couple. ([[Holby City|HC]]: "[[The Very Thought of You]]") On 4 January 2007, as an errand, Jac told Martha to replace the water in all of the vases on Darwin, resulting in Martha smashing a vase in frustration and cutting her hand. Jac informed Elliot of the incident, and he was horrified to find Joseph and Martha kissing. ([[Holby City|HC]]: "[[The Games People Play]]") On 9 January, Martha learned that Jac was the one who brought Elliot to her and Joseph; she tried to warn Joseph that Jac was using him for his family's status, but he refused to listen. ([[Holby City|HC]]: "[[The End of the World as We Know It]]")
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== Trivia ==
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* Jac is an atheist as she could never reconcile science with religion. ([[Holby City|HC]]: "[[Bird on a Wire]]")
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== Behind the scenes ==
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[[Rosie Marcel]] has portrayed Jac on ''[[Holby City]]'' since 2005.
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{{Nav-Jac}}
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{{NameSort}}
 
[[Category:1974 births]]
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[[Category:Consultant cardiothoracic surgeons]]
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[[Category:Registrars in general surgery]]
 
[[Category:Female consultants]]
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[[Category:Directors of Cardiothoracic Surgery]]
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[[Category:2005 arrivals]]
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[[Category:Foster children]]
 
[[Category:Atheists]]
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[[Category:Perpetrators of assault]]
 
[[Category:Victims of assault]]
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[[Category:Victims of sexual assault]]
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[[Category:Victims of poisoning]]
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[[Category:Shooting victims]]

Revision as of 17:49, 30 May 2020

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Jacqueline "Jac" Naylor MBBS MS FRCS (Eng) FRCSTh (born 31 March 1974) is a consultant cardiothoracic surgeon who works on Holby City Hospital's Darwin Ward.

Biography

Arrival

On 21 November 2005, Jac - a locum registrar in general surgery - arrived on Holby City Hospital's Keller Ward to assist with performing a hemicorporectomy on Billy Finch, but Billy crashed his motorbike before undergoing surgery. Consultant Ric Griffin was forced to postpone the operation, and the multi-disciplinary team warned the surgeons that the hemicorporectomy would not be rescheduled due to its financial cost. Determined to allow the procedure to go ahead to impress her peers and secure a full-time placement at the hospital, Jac decided to break the rules and brought Billy's wife Melissa to the multi-disciplinary meeting. Swayed by Melissa's emotional appeal, the team decided to go ahead with the operation.

The next day, as fellow registrar Diane Lloyd was busy assisting on the Maternity Ward, Jac volunteered to assume her role in Billy's operation. Following the successful completion of the operation, Jac confronted Ric about her remaining on his surgical team full-time, but Ric declined. (HC: "Bird on a Wire")

Locuming on Keller

On 17 January 2006, due to a shortage of beds at St James' Hospital, Jac returned to Keller with a patient with ulcerative colitis named Leon. Given Leon's copious rectal bleeding and the risk of colonic perforation, Jac believed that a subtotal colectomy was his best option, but Diane was more inclined to respect his wish not risk having him fitted with an ileostomy bag for the sake of his marriage and proposed performing a rigid sigmoidoscopy to investigate further; Diane asked Ric for his opinion, and he concurred with her.

Following the sigmoidoscopy, Diane was confident that surgery was unnecessary, but Leon perforated his bowel and was rushed into theatre. In surgery, Diane was still determined to avoid resorting to an ileostomy bag, but Jac deemed the bowel untenable and told her to staple Leon's rectal sigmoid junction; Diane conceded and went with Jac's approach, leading to Leon's recovery. (HC: "Yesterday Once More")

On 24 January, Jac learned from medical student Matt Parker that there was a vacancy for a permanent job on Keller and decided to apply for it. On the ward, Jac and Matt treated a patient named Gerry who was complaining of abdominal pain, and his test results showed that he was suffering from lead poisoning. When Gerry's X-ray showed the presence of a foreign body, Jac and Matt found that Gerry had been shot in the buttocks while serving in the Territorial Army. Once the bullet was removed, Jac expressed her interest in the vacant registrar job to Ric who was already pleased with her mentoring of Matt. (HC: "Brother's Keeper")

First permanent shifts

By 2 February, Jac had convinced Ric to give her the full-time registrar job. In theatre, Ric informed Jac that there was a vacant consultant post, and Jac expressed a keen interest in applying. Later that day, when Diane was struggling to control a firefighter's internal bleeding, Jac suggested performing a partial hepatectomy. Diane insisted that they wait for a consultant to arrive, but Jac claimed that she was familiar with the procedure. Diane allowed Jac to take over, but Jac failed to locate the source of the bleed and admitted that she had only read about the procedure. Furious, Diane ordered her to step away from the table and managed to stop the bleed with clamps. Out of theatre, after Jac attempted to impress Ric by taking credit for the procedure, Diane decided to challenge her for the consultancy. (HC: "I'll Be Back")

On 20 February, Jac attended an interview of the consultant post and was confident that she impressed the panel, but fellow registrar Sam Strachan warned her the next day that Diane appeared to be the favoured candidate. While Jac was in the lift, it suddenly ground to a halt, and she noticed blood dripping onto her patient notes. Above, Jac found a man named Billy whose arm had been severed and promised to find and reattach it. Once they were freed from the lift, Billy was rushed into theatre and stabilised. After finding his arm, Jac proceeded to reattach it, but Ric asked her to allow Diane to take over due to her expertise in vascular surgery, leaving Jac feeling cheated.

0819JacMeetsNick

Jac greets Nick Jordan - Keller's new consultant. (HC: "Out on a Limb")

After the surgery, Diane was concerned about the poor blood supply to Billy's arm, but Jac asserted that she was being pessimistic and insisted on waiting for signs of improvement. However, when Billy's wife Jane's condition suddenly deteriorated, Billy hit his arm while attempting to stand by her bedside and damaged it further. In theatre, Diane contended that the attachment was compromised, but Jac insisted on redoing the anastomosis; Billy soon became septic, and the arm was deemed unviable. However, as Diane took over the operation, Ric arrived, and Jac allowed Diane to take the blame for endangering Billy's life. In the locker room, Jac took responsibility for the incident and admitted to Ric that she just wanted to impress him. Jac expected to be fired, but she was surprised when Ric praised her tenacity and assured her that both she and Diane would make fine consultants. Outside the hospital, Jac was taken aback when Ric introduced Nick Jordan as Keller's new consultant general surgeon. (HC: "Out on a Limb")

Conflict with Nick Jordan

On 14 March, Ric asked Jac to keep him informed of Nick's activities on Keller while he was at St James', suspecting that he would take an interest in Carlo Cominetti, a patient scheduled for an aortic valve replacement on Darwin presenting with a duodenal ulcer. When Carlo began to suffer from peritonitis, Jac confronted Nick about his decision to operate on Darwin and suggested that he would rather be a cardiothoracic surgeon than a general surgeon. After learning that Carlo had previously undergone a laparotomy, Jac warned Nick of the risk of scar tissue being a hindrance and threatened to tell Ric if he did not properly inform Carlo of the risks.

In theatre, Carlo developed aortic stenosis, and Nick decided to put him on bypass. Frustrated, Jac brought in cardiothoracic surgeon Connie Beauchamp, but Connie was impressed by Nick's adaptability and allowed him to assist on the valve replacement. After the surgery, Jac accused Nick of setting up the situation in theatre to impress Connie and get back into cardiothoracics, and Nick threatened to disclose her inexperience in the procedure if she reported his behaviour to Ric. Once Ric returned, Jac told him that there was nothing to report about Nick. (HC: "Let It Shine")

On 30 March, as Jac and Nick performed a laparotomy on a patient named Philip, Jac suggested that there may have been some trauma to his oesophagus; Nick posited that the air in Philip's mediastinum may have been caused by something further up and decided to investigate without getting cardiothoracics involved. Out of theatre, Jac criticised Nick's eagerness to attempt cardiothoracic procedures, but he reaffirmed his authority and told her to concentrate on refining her own skills. On the ward, Philip's condition began to worsen, so Jac decided to page someone from Darwin instead of Nick who was attending a cocktail party. Upon reviewing Philip's X-ray, registrar Joseph Byrne found a large tear to his tracheobronchial junction and rushed to Darwin for surgery.

Once Nick arrived in theatre, he berated Jac for not informing him of further complications to Philip's health and blamed her for the incident. Nick prepared to scrub up, but Connie reminded him that cardiothoracics was no longer his field. Afterwards, Nick informed Jac that Ric wanted to speak to her in the morning about her version of events. On Keller, Jac insisted that there was nothing more that she could have done for Philip, but Nick told her that Philip now required dialysis and a transplant due to the renal damage he sustained from hypoxia and hypotension. The following morning, Jac explained her actions to Ric, and Ric reminded her that she needed to confer with senior colleagues from her own department and work entirely off of facts. (HC: "Snake in the Grass")

On 18 April, Jac overheard Nick undermining Ric's clinical skills and professionalism to his patient Jenny following a failed small bowel transplant. She warned Ric about Nick attempting to "[carve] out his own niche" and urged him to consider the threat he posed to his career and his relationship with Diane. (HC: "Honesty") On 6 July, when Nick was vying for a cardiothoracic consultant post at St Luke's Hospital, Jac and Ric informed Lord Byrne and Connie that Nick was dismissed from St Damian's Hospital after his patient died from a swab being left inside of them. (HC: "The Truth Will Out") Despite the revelation, Nick was still offered the post and accepted it. (HC: "Extreme Measures")

Summer shifts

On 25 July, Jac treated a girl named Pheona who was experiencing severe stomach pains. After diagnosing her with peritonitis, Ric decided to take Pheona into theatre despite the staunch objections of her father George. However, as Jac and Ric operated, the theatre's air vents began leaking dust; Jac suggested moving Pheona, but Ric instead carrying on with the procedure and fitting Pheona with a colostomy bag, leading Jac to believe that he was rushing through the operation in order to cover Diane and Nick's waiting lists. Shortly after Pheona was taken back onto Keller, her surgical wound split open, and Jac found that Pheona's stitches were placed incorrectly. Jac confronted Ric about his waiting list decision, and he decided to reject the proposal. (HC: "Looking after Number One")

On 1 August, in Ric's absence, Jac was made the acting consultant on Keller. She and Joseph treated a patient named Mik Cronin who was impaled by a tree branch. Joseph insisted on ordering an aortogram to rule out any tears in Mik's descending aorta, but Jac was more concerned about his potentially fatal liver laceration. Mik ultimately opted for Jac's course of treatment and was taken straight to theatre. Joseph's concerns were soon proven right when an aortic tear was detected, and, with no bypass machine or available theatres on Darwin, they were forced to risk the condition of Mik's kidneys to fix the tear. Later, Jac praised Joseph's diagnostic skills and suggested working together again some other time. (HC: "Conscience")

Interference with the Byrne family

0901JacRevivesJoseph

Jac tries to save Joseph after overdosing on fentanyl. (HC: "Before a Fall")

On 24 October, while Keller was cleaned up following a major incident exercise, Darwin covered all non-elective general surgical admissions. There, Jac and Joseph treated a patient with peripheral vascular disease named Richard who had attempted suicide by jumping into the docks. Jac was surprised when Joseph lost his temper with nurse Tricia Williams and soon found him unconscious in the staff room after he overdosed on fentanyl. Jac managed to reverse the effects of the drug and revive Joseph, but he insisted on no one finding out about the incident; Jac informed his father Charles regardless, but he reprimanded her for trying to "curry favour" with him and advised her to contact Joseph's superiors in future. Jac tried to apologise to Joseph, but he informed her that Elliot had barred him from operating for a week, and her intervention had not helped his relationship with his father. (HC: "Before a Fall")

On 7 November, Jac treated a patient named Gareth Jenkins who had been injured in a cycling accident. When his father Arthur — a patient of Charles — was admitted for a heart transplant, Gareth begged Jac to have his heart donated only to Arthur if he died; Gareth was soon left brainstem dead, making him an ideal donor for Arthur. Joseph refused Jac's proposal of fulfilling Gareth's wish and wanted to comply with legal guidelines, but Charles was receptive of the idea and decided to go ahead with the transplant. After Jac convinced Joseph that their actions were morally right, the two decided to put their disagreements behind them. When Joseph mentioned that he was attending a Holby Cardiac Foundation get-together, Jac volunteered to pretend to be his girlfriend to attend the gathering and appease Charles. (HC: "Sins of the Father") On 14 December, Joseph felt that he and Jac had taken their fake relationship too far, but Jac asserted that she was not pretending and said that she wanted them to be a couple. A surprised Joseph was receptive of the idea, and the two shared a kiss. (HC: "Crossing the Line")

On 9 January 2007, Jac learned that there was a vacancy for a general secretary position at the Surgical Association, and Charles was on the selection committee. After Elliot's daughter Martha warned Joseph that Jac was using him for Charles' status, Joseph confronted her; she asserted that Martha was playing games with him. After Jac assured Joseph that she knew Martha initiated the kiss, the two had sex in the on-call room. Later, Joseph decided to withhold his application to focus on improving his surgical skills and recommended Jac to Charles. (HC: "The End of the World as We Know It")

The following week, Jac discovered that Joseph was accompanying Charles and a team of surgeons to Dubai to resect a bowel tumour and urged him to take her with him, but he did not feel that it was appropriate. Consequently, Jac decided to focus on impressing Dan Clifford in order to secure consultant Percy "Abra" Durant's old position on Keller. On AAU, she and new SHO Maddy Young treated a security guard named Jake who was allergic to anaesthetic and decided to employ hypnoanalgesia to ease him as they inserted an endoscope. Despite their success, Dan appointed Diane as the new locum consultant. Feigning tears, Jac told Joseph that she felt he did not believe in her, prompting him to call Charles about allowing her to assist in Dubai. (HC: "Face Value")

Hospital shooting

On 5 December 2017, the team of new neurosurgeon and Director of Surgical Innovation John Gaskell asked Jac to assist with operating on Michael Ambrose, a man with a spindle cell tumour that was compressing his spinal cord. On the ward, Ollie confronted Jac about her decision to offload all of her procedures onto him, but she ultimately ordered him to stand down during an aortic valve replacement. Ollie challenged her, and she bluntly told him that he lacked the "mettle, the drive" and the "ability", and would never have "even the slightest chance of saving [his] pathetic excuse of a career" if he continued to oppose her.

Later, in her office, Ollie told Jac that he felt "empty" on Darwin and ordered her to acknowledge his resignation. Despite her efforts to discuss Michael's case and the potential pitfalls of Gaskell's trial, Ollie insisted that she owed him an apology and suggested that she was "terrified". Sacha later attempted to express his concerns about Gaskell's reluctance to share his research amongst the medical community, but Jac, overridden with anxiety, sat outside the Darwin theatre, where she was consoled by Fletch.

In theatre, Jac reluctantly proceeded to insert Michael's aortic graft, but she felt that she was unable to complete the procedure and walked out. In a confrontation with Gaskell, she accused him of being unethical and feeding off the uncertainty of his colleagues, but Gaskell insisted on having the likes of Hanssen witness his work and urged her to help him. Upon their return, as Gaskell attempted to insert the tissue scaffold, Michael's artery of Adamkiewicz became unclipped, forcing Jac, who was on the verge of tears, to plug it with a pledget. Once the bleed stopped, Jac ran out of the room and broke down in Fletch's arms.

1961JacShot

Jac collapses after being shot in the back. (HC: "Group Animal - Part One")

Following a moment of clarity, Jac decided to leave Holby and apologised to Ollie, insisting that it was his duty to remain at the hospital and become the consultant he "should be". On the stairs, she bumped into Raf and asked him to hand Hanssen her letter of resignation. However, in the basement, Jac encountered Hanssen's son Fredrik who proceeded to shoot her in the back. (HC: "Group Animal - Part One") She was soon discovered by Sacha, Hanssen, Gaskell and Essie who rushed her into the wet laboratory.

Using breathing equipment from a teaching aid and chloroform as anaesthesia, Sacha reluctantly performed a thoracotomy on her and discovered that one of her major vessels had been injured. Gaskell proposed printing an experimental patch to stop the bleed, but Sacha vehemently disagreed and insisted on waiting for more equipment to arrive. However, with Hanssen having left to confront Fredrik, Sacha eventually allowed Gaskell to insert the matrix, and Jac's pulse soon returned. Once Fredrik was neutralised by armed police, and the hospital's lifts were reinstated, Jac was taken to ITU. (HC: "Group Animal - Part Two")

Personality

As the general surgical ward at St James' Hospital was being downsized, Jac was keen to impress Ric Griffin in order to acquire a permanent position on Holby City Hospital's newly-expanded Keller Ward (HC: "Bird on a Wire") and managed to convince him to give her the registrar job there. Her ambitions grew upon learning of a consultant general surgeon vacancy, and she began to take credit for her colleague's procedures after lying about having experience performing complex operations. (HC: "I'll Be Back") Fearing that fellow registrar Diane Lloyd was more likely to be given the job due to nepotism, Jac allowed Diane to take the blame for endangering a patient's life after reattaching an unviable arm. However, Jac felt guilty and eventually took responsibility for the incident. (HC: "Out on a Limb") Her sense of empathy also extended to recognising issues in her colleagues' private lives, as she realised that Ric possessed feelings for Diane and urged him to act on them before Nick Jordan could sully their relationship. (HC: "Honesty")

Relationships

Romantic

Joseph Byrne

0840JacJoseph

Jac suggests that she and Joseph work together again. (HC: "Conscience")

On 1 August 2006, Jac and Joseph treated an environmental protestor named Mik who had been impaled by a tree branch. Joseph insisted on ordering an aortogram to rule out any tears in Mik's descending aorta, but Jac was more concerned about his potentially fatal liver laceration. In theatre, an aortic tear was detected, and, with no bypass machine or available theatres on Darwin, they were forced to risk the condition of Mik's kidneys to fix the tear. Later, Jac praised Joseph's diagnostic skills and suggested working together again some other time. (HC: "Conscience")

On 24 October, Jac found Joseph unconscious in the Darwin staff room after he overdosed on fentanyl. Jac managed to reverse the effects of the drug and revive Joseph, but he insisted on no one finding out about the incident; Jac informed his father Charles regardless, resulting in Joseph being barred from operating for a week. Jac tried to apologise to Joseph, but he told her that her intervention had not helped his relationship with his father. (HC: "Before a Fall")

On 7 November, Joseph refused Jac's proposal of fulfilling Gareth Jenkins' wish to donate his heart to his father Arthur, but Charles was receptive of the idea and decided to go ahead with the transplant. After Jac convinced Joseph that their actions were morally right, the two decided to put their disagreements behind them. When Joseph mentioned that he was attending a Holby Cardiac Foundation get-together, Jac volunteered to pretend to be his girlfriend to attend the gathering and appease Charles. (HC: "Sins of the Father") On 28 November, Jac told Joseph that she was happy about maintaining the facade and persuaded him to join her for a drink. (HC: "It's Been a Long Day")

On 14 December, Joseph intended to invite Jac to a gathering involving Charles and his peers, but she unwittingly declined. She soon noticed Joseph's friendship with Elliot Hope's daughter Martha and was disappointed to hear that Joseph had invited Martha instead. That evening, Joseph felt that he and Jac had taken their fake relationship too far, but Jac asserted that she was not pretending and said that she wanted them to be a couple. A surprised Joseph was receptive of the idea, and the two shared a kiss. (HC: "Crossing the Line") On 19 December, Joseph suggested that they spend Christmas with his parents in the Cotswolds, but, as Jac did not want to sleep with him, she claimed that she was not comfortable with his parents being in their vicinity and opted for a guest room; Joseph ultimately abandoned the idea. (HC: "The Good Fight") On 28 December, after Martha gave Joseph a Christmas present, Jac told him to "put things straight" with Martha. (HC: "The Very Thought of You") On 4 January 2007, after Jac's actions resulted in Martha cutting her hand on a vase, she informed Elliot of the incident, resulting in him catching Joseph and Martha kissing. (HC: "The Games People Play")

0914JacJosephKiss

Jac and Joseph passionately kiss in the on-call room. (HC: "The End of the World as We Know It")

On 9 January, Dan Clifford approached Joseph about a general secretary position at the Surgical Association; Jac told Joseph that he was the perfect man for the job and encouraged him to apply for it. After Martha warned Joseph that Jac was using him for his family's status, he confronted Jac; she asserted that Martha was playing games with him. After Jac assured Joseph that she knew Martha initiated the kiss, the two had sex in the on-call room. Later, Joseph decided to withhold his application to focus on improving his surgical skills and recommended Jac to Charles. (HC: "The End of the World as We Know It")

The following week, Jac discovered that Joseph was accompanying Charles and a team of surgeons to Dubai to resect a bowel tumour and urged him to take her with him, but he did not feel that it was appropriate. Later, after Dan appointed Diane Lloyd as Keller's locum consultant, Jac — feigning tears — told Joseph that she felt he did not believe in her, prompting him to call Charles about allowing her to assist in Dubai; Jac was delighted when Charles gave her permission. (HC: "Face Value")

Charles Byrne

In October 2006, Jac found Charles' son Joseph unresponsive after accidentally overdosing on fentanyl. Despite Joseph's wishes, Jac informed Charles about the incident, but he reprimanded her for trying to "curry favour" with him and advised her to speak to Joseph's supervisors in future. (HC: "Before a Fall")

On 7 November, the son of Arthur Lewis — a patient of Charles' who required a heart transplant — suffered a catastrophic stroke and was left braindead, making him a prime candidate for donation. Despite Joseph's objections to the plan, Charles agreed with Jac and decided to perform the transplant. Later that day, as Charles believed that Jac and Joseph were a couple, and Jac wanted to attend the Holby Cardiac Foundation gathering, she agreed to pretend to be Joseph's girlfriend and accompanied him to the get-together. (HC: "Sins of the Father")

On 9 January 2007, when Joseph was approached about applying for a general secretary position at the Surgical Association, he ultimately decided to turn down the opportunity and instead recommended Jac to Charles. (HC: "The End of the World as We Know It") The following week, Charles allowed Jac to assist in a bowel tumour resection in Dubai. (HC: "Face Value")

Professional

Ric Griffin

Jac viewed Ric as one of the greatest surgeons in his field and was eager to work with him full-time. Following the successful hemicorporectomy in November 2005, Jac approached him about remaining on his surgical team, but Ric initially declined. (HC: "Bird on a Wire") When Jac locumed on Keller again in January 2006, Jac impressed Ric with her diagnostic skills and mentoring abilities, (HC: "Brother's Keeper") and she successfully secured a permanent job at Holby City. (HC: "I'll Be Back") When a consultancy was made available, Jac tried to impress Ric by reattaching a patient's arm, but the injury later became septic and nearly killed the patient. Regardless, Ric admired Jac's tenacity and believed that she would make for a fine consultant. (HC: "Out on a Limb")

In March, Ric asked Jac to keep an eye on Nick Jordan, who had a tendency to take over his cases in his absence, as he appeared to take a keen interest in his patient Carlo. (HC: "Let It Shine") Later that month, Ric reprimanded Jac after she failed to inform Nick of a patient's deterioration. (HC: "Snake in the Grass") In April, following an unsuccessful small bowel transplant, Jac overheard Nick attempting to soil Ric's reputation in front of the patient and warned Ric. (HC: "Honesty")

On 16 July, Jac felt that Ric was rushing through surgery to take on Diane and Nick's waiting lists and confronted him when his haste resulted in a patient's stitches being placed incorrectly; he ultimately decided to reject Bradley Hume's proposal of taking on the waiting lists. (HC: "Looking after Number One")

Diane Lloyd

Upon Jac's return to Holby City in January 2006, she and Diane clashed over the treatment of a patient with ulcerative colitis, and, after Diane agreed to lie to the patient's spouse about his admission, Diane took umbrage when Jac suggested her judgement was being clouded by the recent breakdown of her marriage to Owen Davis. In a conversation with Ric, Diane branded Jac as "blunt", "abrasive" and "patronising", and said that she would not be happy with Jac locuming on Keller again. However, following Jac's success in theatre, Diane praised her surgical skills and claimed that she was pleased that Jac was Keller's locum. (HC: "Yesterday Once More")

After returning to work from weeks of research, Diane was surprised to hear that Jac had secured a permanent post on Keller, and she was irritated when Jac continued calling her "Di" despite being corrected numerous times. In theatre, when Diane struggled to control a patient's internal bleeding, Jac claimed that she could perform a partial hepatectomy and took over. However, Diane was furious when Jac admitted that she had only read about the procedure and managed to stop the bleeds herself. Out of theatre, after overhearing Jac take credit for the procedure, Diane decided to challenge her for the vacant consultant job. (HC: "I'll Be Back")

Feeling as though Diane had favoured status among the panel, Jac was determined to win Ric over by reattaching the arm of a man named Billy. Diane was not optimistic about the blood supply to the arm post-op, but Jac insisted on waiting for signs of improvement. Ultimately, Billy's arm became ischemic and was deemed unviable. As Diane took over the operation from Jac, Ric arrived and mistakenly reprimanded her for endangering Billy's life. Later, Jac admitted that she was responsible. In the end, the consultant job was awarded to an outside candidate - Nick Jordan. (HC: "Out on a Limb")

In October, Jac felt jealous of Diane when she returned from her sabbatical as a close colleague of the eminent Lord Byrne. (HC: "Before a Fall") In January 2007, when Jac expressed her frustration with Dan Clifford and decided to confront him, Diane urged her not to and elected to talk to him on her behalf. However, Jac was disappointed when Dan appointed Diane as Keller's locum consultant. (HC: "Face Value")

Nick Jordan

0822NickBlackmailsJac

Nick blackmails Jac into not reporting his actions to Ric. (HC: "Let It Shine")

Sharing a history with Nick, Jac was unhappy to learn in February 2006 that he had been appointed as Keller's new consultant general surgeon (HC: "Out on a Limb") and suspicious of his change in specialities. (HC: "We Gave Her All Our Love") In March, Nick took a keen interest in a patient with a duodenal ulcer who was scheduled for an aortic valve replacement and decided to operate on Darwin, leading Jac to suspect that he was planning on getting back into cardiothoracic surgery. In theatre, Carlo's condition deteriorated, and Nick decided to put him on bypass. Frustrated and concerned about Carlo's wellbeing, Jac brought Connie Beauchamp to the table, but Connie was impressed by Nick's adaptability and allowed him to assist on the valve replacement. After surgery, Nick admitted that he wanted to return to cardiothoracics and threatened to report Jac for failing to disclose her lack of experience in Carlo's procedure if she informed Ric of his actions. (HC: "Let It Shine")

Later that month, Nick continued to show an interest in performing cardiothoracic procedures, and Jac confronted him, but he reasserted his authority and told her to focus on her own pitfalls. When their patient's condition deteriorated further, Jac, instead of consulting Nick, paged Joseph Byrne, a registrar on Darwin who rushed the patient to Darwin for surgery. Once Nick found out, he berated Jac for not informing him and blamed her for the patient's overlooked cardiac issues. (HC: "Snake in the Grass")

In April, following an unsuccessful small bowel transplant, Jac overheard Nick attempting to soil Ric's reputation in front of the patient and warned Ric. (HC: "Honesty") After Nick allowed Diane to take the blame for Helena Bosman's death, Jac viewed Nick as being disloyal and decided to assist Abra out of spite. (HC: "Invasion") Later that month, Jac threatened to disclose the circumstances behind Nick's return to Holby to Lord Byrne to stop him securing the cardiothoracic consultant post at St Luke's Hospital, but Nick suggested that it was a "risky" move and attempted to entice her with the idea of a consultant vacancy on Keller. Regardless, Jac and Ric publicly stated that Nick was fired from St Damian's Hospital after a patient died from a faulty swab count. (HC: "The Truth Will Out") Nick later departed from the hospital after being offered the CT consultant post at St Luke's. (HC: "Extreme Measures")

Dan Clifford

When Dan arrived on Keller in November 2006, Jac took issue with his condescending attitude and — feeling that he was brought in to replace Ric — did not trust him. On the same day, Jac spoke to Dan's ex-fianceé Camilla Patterson who he jilted at the altar, and she was left speechless when Camilla publicly confronted Dan on Keller. (HC: "It's Been a Long Day") Later, Dan suggested that Jac was trying to "create drama" by winding Camilla up, but she denied it. However, as Camilla was being removed from the hospital after tearing up Dan's clothes on the ward, Jac suggested that she report him to the trust. (HC: "The Bitterest Pill")

On 9 January 2007, Jac felt insulted when Dan scathingly said that there was no point in approaching her about applying for a general secretary vacancy at the Surgical Association after she was briefly distracted in theatre. (HC: "The End of the World as We Know It") However, following Abra's resignation, Jac tried to impress Dan by using hypnosis to anaesthetise a patient, but he ultimately appointed Diane. (HC: "Face Value")

Martha Hope

On 14 December 2006, Jac noticed Joseph's friendship with Elliot Hope's daughter Martha and was disappointed to hear that Joseph had invited Martha to a gathering with Lord Byrne and his peers instead. After Martha expressed an interest in dropping out of university and working at the hospital as a healthcare assistant, Jac contacted Andy Zimmerman — an old colleague from St James' Hospital — and managed to secure her a job interview there to separate her from Joseph. However, Elliot informed Martha of a position on Darwin, and she decided to pursue it. (HC: "Crossing the Line")

On 28 December, Jac told Elliot that she had witnessed Joseph and Martha kissing at the Christmas dinner. Later, Martha told Jac that she thought Joseph liked her, but Jac informed her that they were a couple. (HC: "The Very Thought of You") On 4 January 2007, as an errand, Jac told Martha to replace the water in all of the vases on Darwin, resulting in Martha smashing a vase in frustration and cutting her hand. Jac informed Elliot of the incident, and he was horrified to find Joseph and Martha kissing. (HC: "The Games People Play") On 9 January, Martha learned that Jac was the one who brought Elliot to her and Joseph; she tried to warn Joseph that Jac was using him for his family's status, but he refused to listen. (HC: "The End of the World as We Know It")

Trivia

  • Jac is an atheist as she could never reconcile science with religion. (HC: "Bird on a Wire")

Behind the scenes

Rosie Marcel has portrayed Jac on Holby City since 2005.