Casualty - Season 40 Episode 7
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00:00Our electrics are shot, our equipment's broken.
00:02Resource is literally overflowing.
00:04I put the team first.
00:05Samantha Hardy, now she's on ITU.
00:08I'm responsive.
00:09Just talk us through it.
00:10I don't know if I can do this anymore.
00:12I don't think I should try.
00:13But I can't be here.
00:14The people I work for kill me for losing so much product.
00:18Is that going to happen to me?
00:19Is my heart going to stop?
00:21Maybe this is your chance to get away from them.
00:25So there's a program going out on TV tonight
00:29about us.
00:30How did they get the footage?
00:31You sent it to everyone, remember?
00:33A whistleblower.
00:34Nobody in the department would do this.
00:36I'd stake my reputation on it.
00:45Okay, thanks.
00:49Set.
00:51Set.
00:53One take two.
00:54A mark.
00:55And go to B cam.
00:57Just a reminder of your position.
01:00And action.
01:03Every day I go home and I think, what's the point?
01:13I came into this job because I wanted to help people.
01:15But right now I feel like I can't.
01:19Everyone knows the problems.
01:22But management?
01:25Don't do anything about it.
01:27I've been sitting in that disgusting waiting room for 12 hours.
01:3112 hours!
01:32Just calm down.
01:33Don't tell me...
01:33It's like we are all screaming for help but no one's listening.
01:37We try as hard as we can to deliver the care that the patients deserve.
01:45But it's never enough.
01:47I said management.
01:49That's us.
01:49That's us.
01:50They made us look like incompetent idiots.
01:55Thanks.
01:57Forwarding the email wasn't your finest hour, let's be honest.
02:00And what they showed on the TV didn't make you and Cam look great.
02:05How is Cam?
02:06You spoken to him?
02:10I've only been here five minutes and I'm being held to account
02:13because someone wondered the limelight.
02:14It's all over social media.
02:16My phone hasn't stopped.
02:18What they said was genuinely upsetting.
02:20Undoubtedly.
02:22We'll have to be assessed.
02:24Fingers crossed they don't shut us down.
02:25They wouldn't.
02:26Let's hope not.
02:28If they do it'll be our heads on the block.
02:31So...
02:32So we do everything we can to sort this mess out.
03:18So...
03:38Oh hey, a female head injury.
03:39There's no room in chemicals so I've asked for a space in resus.
03:42Okay, how's everyone doing?
03:44Look, I know it's not ideal but let's just focus on the patients.
03:48We've got a full debrief soon but if anyone needs to speak to me before then
03:52I need them to feel like they can.
03:54Yeah, okay, well I think this one's going to take more than a group hug though.
03:57Well, it's got to start somewhere.
03:59Ferality?
04:00And what was in that, you know, see that leaky pipe?
04:02What was that, sewage?
04:04No idea.
04:04But you know what?
04:05Fair play to the whistleblower because that took some balls.
04:08You know the porters are taking a bit.
04:10Is that silly?
04:10How many of us are there?
04:11Does it really matter who it was?
04:14No.
04:16Siobhan, update.
04:18They're sending in inspectors ASAP to assess if we're fit to carry on.
04:22We'll have to let the team know.
04:24When I find out who did this.
04:26Stevie?
04:27Yep.
04:29Floor's all yours.
04:30We're a consultant, eh?
04:31Not anymore.
04:33Took themselves off leave apparently.
04:34I'm not sure we need another loose cannon about the place with everything else going on
04:38but beggars can't be choosers.
04:40Okay, I'll keep an eye on him.
04:41Great.
04:43Oh, yep.
04:46Hey Dylan, you okay?
04:47See it? You see the program?
04:49Uh, bits of it.
04:50Is that what you were talking to Patrick about?
04:51Well, the board are giving him a rough ride.
04:53They should be.
04:54Seven minutes in.
04:55You see that bit?
04:56I don't know.
04:57Okay, well I'll show you.
04:58Dylan, hi.
04:59Uh, Stevie, you're needed in recess.
05:01Yeah, okay.
05:02Can I show you?
05:02Look, it's chaos at the minute so can you show me later?
05:05Yeah, all right.
05:08Right, guys, uh, let's get her into bay four, please, okay?
05:12Right, uh, this is Sheena, 58.
05:14Lacerations to the left side of her head,
05:16approximately three centimeters long after a fall at the supermarket.
05:20If you just pop yourself on the edge of that bed.
05:22You're welcome.
05:24Denying a collapse or any LOC.
05:26She says 15 throughout.
05:27BP's 160 over 90.
05:29Heart rate 92.
05:30Sat's 98 on air and resp's 18 with normal blood glucose level.
05:34We've given her one gram of paracetamol and five milligrams of oral morphine.
05:37Okay, thanks, Teddy.
05:38Um, okay, Sheena?
05:40Yeah, I'm Dr. Nash.
05:41Can you just take your glasses off for me?
05:43Okay, it's been quite a nasty fall.
05:46I told him I didn't want her to be sent here.
05:48So?
05:48All them patients on the telly last night,
05:50they were just left in the corridor dying.
05:51Zoe!
05:52You're not taking out your arse from your elbow from what I saw.
05:56Let me reassure you we'll make sure your mom gets the best possible care.
05:59Right, Sheena, can you just lie back for me?
06:01Um, once we've done a full examination,
06:04Siobhan, can we do bloods, BM, ECG?
06:08We'll check the cut for any foreign bodies,
06:10but if it's clear, we'll be good to clean and stitch,
06:12and we'll keep her on close orbs for now, okay?
06:14Look at you, getting the full resource treatment.
06:19I don't like the feeling you're being watched.
06:22Zoe, I don't get it.
06:23The program wasn't saying it's about us.
06:26It's about management.
06:27Yeah, well, at least we weren't the ones on it.
06:30What cam?
06:31How's he doing?
06:33I mean, he spends his whole life paranoid he's getting everything wrong,
06:36and now he's on the telly.
06:38It's not fair.
06:39No, no.
06:46It really isn't.
06:48Okay, that's you.
06:51Dr. Nash has sold more people up than I've had hot dinners.
06:54What, and all of them survived?
06:57Right, your mom's blood pressure is a bit on the high side,
07:00so I want to keep her in for observation.
07:02No, I don't want her in this death trap any longer than she has to be.
07:04Stop fussing, love.
07:06Sheena, are you okay? Are you in pain?
07:08Headache.
07:09Um, no surprise, really.
07:11Yeah, any, um, dizziness, nausea?
07:13Uh, yeah, a bit.
07:15Right, okay.
07:15Siobhan, let's get her bricked in for a head CT, just to be sure.
07:18No, can't she go somewhere else for that?
07:20Love, please stop.
07:22Why don't we go out, have a little chat outside?
07:23I don't want to leave my mum.
07:25I don't want to leave her.
07:26She's not going anywhere.
07:27Listen, I just want to talk to you, okay?
07:29I, uh, I know how worried you must be.
07:33Was your mum in there?
07:34You would be exactly the same.
07:36I know how bad we looked last night.
07:39I personally have never felt so ashamed.
07:42But despite what it looked like, the staff here, nothing short of brilliant.
07:47It's not just the staff, though, is it?
07:49I want to take her someplace that's not falling to pieces.
07:52Honestly, moving your mum now might jeopardise her care.
07:56You'll have to wait to be seen again.
07:58That could be all day.
07:59Here, she's already being treated.
08:07I just want my mum to be safe.
08:09That's all any of us want.
08:16Ow!
08:18Sorry about that, chap.
08:20This is Abe Burrows, 19 years old.
08:23Punch-wound upper right leg.
08:25Knife is still in situ.
08:27Ow!
08:28Ready?
08:30One, two, three, slow.
08:32Ow!
08:34Five milligrams of morphine.
08:37Haemodynamically stable.
08:39GCS is 15.
08:40Ow!
08:41OK, mate, we're going to look after you now.
08:44OK, that's us.
08:46Good to have you back, Dylan.
08:48Thank you, it's very good to be back.
08:50All right, let's get some morphine for him as soon as we can before we do anything else.
08:53See how deeply that knife's gone in.
08:55OK, so how did this happen?
08:58Do you want to tell me?
08:59He shanked me!
09:01I did everything they asked and they still...
09:03Ow!
09:05Well, we're going to sort you out, obviously.
09:07As you know, I have a duty to report it, but we'll worry about that later.
09:10OK?
09:11What can I do?
09:12Dizzy.
09:13All right, OK, if you lie back for me.
09:16All right, let me get you some oxygen, all right?
09:18Thank you, Dr Sen.
09:19Why don't you organise some bloods and imaging, please?
09:24Hey, guys, sorry, there is a meeting in the staff room in 10 minutes
09:26for as many people as possible, all right?
09:31OK, take nice, deep breaths on that, uh...
09:35..on that oxygen for me.
09:44You're bound to feel upset. I feel exactly the same as you.
09:47I don't feel upset. I feel absolutely livid.
09:50I mean, look, I get why somebody might come forward with this kind of stuff.
09:53Fair enough, but it's the way it's been done.
09:55We look totally incompetent.
09:57There are bigger issues.
09:58It wasn't a personal attack.
10:01Try telling the patients that.
10:03No-one's pretending this isn't tough.
10:05Wait, what about our jobs?
10:06Does anyone actually care?
10:08We care. We care.
10:10And we will fight tooth and nail before they close this place down.
10:14OK, but what about the Trust? Are they behind us?
10:16Probably not. They'll just be out looking for a name.
10:19I'm in regular contact with the Trust, and they're being non-committal.
10:25They're keeping an eye on an ever-evolving situation.
10:29You've probably all seen the inspectors on the floor.
10:33We've asked them to stay in the background as much as possible.
10:36We keep calm, and we carry on.
10:38Right, everyone back to their stations.
10:40Remember, we're being watched.
10:42Cam, listen, actually sit down a minute.
10:46The way they edit these things, it's never the full picture.
10:50But if you need any extra support...
10:52I'm fine, OK.
10:54Right, away you go.
10:59Chin up.
11:04There is a system in place where you can report maintenance issues.
11:10But once you report it, you never hear about it again.
11:16It's frustrating.
11:17You're going in shift after shift, and nothing gets done.
11:21And we just have to work around it, which makes everything that much harder.
11:27Oh!
11:28We're just waiting for a porter to take you to CT now.
11:31Abe!
11:32What are you doing here?
11:33I wasn't going to leave you on your own, was I?
11:35Sorry, who are you?
11:36Mia. Abe and I are exclusive.
11:38You're exclusive? Oh, you're exclusive. How romantic.
11:41It hasn't hit anything bad, has it?
11:43We're just waiting to send you for CT now.
11:45Once we've got that, hopefully things will be OK.
11:47I'm sorry, I've got to go.
11:48I'm sorry, I've got to go.
11:50I'm sorry, I've got to go.
11:51I'm sorry, I've got to go.
11:52I'm sorry, I've got to go.
11:54I'm sorry, I've got to go.
11:55Once we've got that, hopefully things will be a bit clearer.
11:57Didn't I tell you something like this would happen, B?
11:59Mia. No.
12:00Then pretend to be your mates.
12:01But mates don't do this.
12:03You've got to get all this... I know!
12:05All right?
12:06OK, it's patients only in CT, I'm afraid,
12:08but if you want to wait in the corridor here, you'll be very welcome.
12:10Oh, Stevie.
12:12Stevie, have you got a minute?
12:14No, not really.
12:16Bedlam here?
12:18Well, I wouldn't be asking if it wasn't important.
12:20Please, just give me a couple of minutes.
12:22Thank you. Have a look at this.
12:25What am I looking at?
12:27OK.
12:28That is Samantha Hardy in this bed right here.
12:31Ignore the leaky pipe.
12:33That is Patrick.
12:35OK.
12:36So, for all we know, he could have administered the penicillin.
12:41Yeah, but, Dylan, I'm not seeing a guy administer penicillin...
12:43No, no, he didn't say that he had any contact with the patient at all, yeah?
12:47It's not what it proves, it's what it disproves.
12:49Stevie. He didn't even say that he had anything to do with her.
12:51He can't get away with this, Stevie.
12:54Stevie, he can't get away with this.
12:56Right, just wait till after work, then come and find me.
13:02I'm just saying, what's the point of wearing Tom's face
13:04if you can still see who it is?
13:06I really don't think it was very obvious.
13:08Hey, here he is, nurse of the year.
13:12OK, too soon.
13:14Look, come on, man, I could do with a hand, yeah?
13:16You are a really good nurse, yeah?
13:18Don't let this worry you.
13:24Oh, what's the matter with you?
13:26OK, so Jordan here got into a bit of a fight.
13:28He was asking for it.
13:30Look, we can't do anything if you don't take a seat, mate.
13:32Come on.
13:34Hi, Jordan, I'm Kyle. Nice to meet you.
13:36How about we start you on some pain relief, yeah?
13:38Free drugs?
13:40Yeah, free drugs, but only if you take a seat for us, all right?
13:46Whatever you say.
13:50Paracetamol is, then?
13:53All right, I'll leave you to clean them up.
13:57OK.
13:59That's a nice seat.
14:01Funeral, innit?
14:03Not that I made it.
14:05All kicked off in the pub before.
14:07I see.
14:09What time's the service?
14:11Forget it.
14:13I'm not pulling.
14:19Well, um, if you just put your head back.
14:23This might sting a tiny bit.
14:25I'm just going to check you over.
14:27Sorry.
14:29Hey, right, we have a suspected TIA.
14:31They've just dropped someone on their way
14:33and I'm trying to find her CT scan now.
14:35OK, Sheena?
14:37Sheena, can you smile for me?
14:39Can you squeeze my hands?
14:41Is it the headache? Mum, she said she had a headache.
14:43OK, Stevie, results are in.
14:45OK, yeah, she's going to need a thrombectomy.
14:47Can you call interventional radiology, please?
14:49Sheena, any loss of vision, any blurring?
14:52What's going on, please? Just tell me what's going on.
14:54OK, I think your mum's fall may have been caused
14:56by a mini stroke and I'm just concerned
14:58she's having another one.
15:00I'm so sorry.
15:02I'm not going to have my baby, please.
15:04I can't be of my own, darling.
15:06I'm so sorry.
15:08Let's prep some mirazapam.
15:10Leslie.
15:12That is my mum.
15:14Trust me.
15:16Listen, remember what I said to you.
15:18If it was my mum, I'd want her to be here, OK?
15:21Trust me.
15:23Dr Nash, top drawer.
15:25Take deep breaths.
15:27OK, Sarah, if you just tilt your head back
15:29and open your mouth for me, please.
15:31I'm going to take a look.
15:33Ah, yeah, OK.
15:35If you just keep your head very still for me.
15:37I'm just going to...
15:39Is that OK?
15:41That's it.
15:43Sorry, I, um...
15:47Are you choking? Stand up.
15:50So, can you try and cough for me, please?
15:52Big cough, darling, big cough.
15:54There we go.
15:56One for the tooth fairy, eh?
16:04Are you all right? Get away.
16:08Let's have a little look. Open up.
16:10Oh, yeah.
16:12The tooth went through the side of the tongue.
16:14All right, can you grab me some TXA soap, please?
16:16Yeah, of course.
16:20What's wrong with that guy?
16:22No clue what you're doing.
16:24Sorry. I'm sorry.
16:26What kind of a nurse are you?
16:28Um, you got that gauze?
16:30Yeah.
16:34Keep your mouth open.
16:36Going to put gauze in. Bite down.
16:38Hard, great.
16:40Going to keep it like that to stem the bleed, yeah?
16:42We'll, um, give Max Vax a call
16:44and we'll be right back, yeah?
16:46OK. Uh, Jess,
16:48do you mind just being with this gentleman?
16:50He's just got a bit of gauze in his mouth.
16:52That tooth was already out.
16:56Cam, I'll take over, yeah?
17:00It's OK. It's OK, Rita.
17:02I'll just, um...
17:04Can you just give me a minute? I'll be back.
17:10The blade's quite deep.
17:12It's clear of the femoral artery, though.
17:14Oh, that's something, isn't it? You've been quite lucky, I think.
17:17I'm going to give you some pain relief, all right?
17:19OK?
17:21See? I'm going to be fine.
17:23Obviously, we still need to remove the knife.
17:25I can.
17:27You can stitch.
17:29It's got to stop, Abe. It's too far now.
17:31Aye, no snitch. Abe.
17:33If I go to the police, then I'm as good as dead.
17:35There is no way out, Mia.
17:37OK, so I'm just going to put a little bit of
17:39local anaesthetic around the base
17:41of the knife to make your leg
17:43nice and numb, OK?
17:46Can you help us?
17:48That's more math for police,
17:50I'm afraid.
17:52All right, so you may feel a little discomfort,
17:54but it shouldn't be too painful, all right?
18:00Nearly there.
18:02You're doing great.
18:06There we go.
18:08All right.
18:10Can you just check whether that's bleeding?
18:13Yeah, nothing.
18:15Please.
18:17I can't be with you, Abe,
18:19not if you don't do anything about this.
18:25Fine.
18:27Then go.
18:43We'll look after you while you're with us,
18:45all right?
18:47OK, so what we need to do is pack that
18:49and let's have some more swabs, please.
18:51We'll get you stitched up, all right?
19:05It's just Mum's luck to end up in here.
19:07I had a bad run.
19:09We lost Dad
19:12earlier in the year.
19:16Mum couldn't afford the rent,
19:18so she squeezed into my place and now this.
19:24Is it really as awful here as it looked on the telly?
19:26No, no, it is not,
19:28and I wouldn't say that if it wasn't true.
19:30Hey, Zoe.
19:32Your mum is stable.
19:34We've given her some medication to help control the seizure.
19:36She's still really unwell,
19:38but at least now we've diagnosed the problem
19:41with the best possible treatment,
19:43which I will see to personally.
19:47That's OK.
19:49Right, my pleasure.
19:51OK, look, we're taking her back to CT.
19:53Do you want to come with me?
19:55Thank you. Thank you so much.
19:57Another patient or so the programme isn't happy?
19:59Yeah, my cubicle floor is adamant
20:01they want to be transferred,
20:03and I've tried everything.
20:05I wouldn't give to find out who did this.
20:07I think they thought they were helping.
20:10What is it this time?
20:12Hmm?
20:14Come on.
20:16My patient is refusing treatment without a second opinion.
20:18Once that transfusion's run through,
20:20can you let me know, cos I want to run some more bloods, please?
20:22Dr Keogh?
20:24What am I looking at?
20:26That's a broken finger, so that means strapping
20:28and referring to the fractured lily.
20:30Thank you. Never worry about asking.
20:34How's everyone else doing?
20:36Check on Karen. He went outside.
20:39So morale at an all-time low?
20:41TLC only goes so far.
20:43Well, at least you're trying.
20:45All we can do.
20:47It's good to have you back, Dylan.
20:49We needed a bit of sanity today.
21:03How is he on?
21:05Good job. Very neat.
21:08Um, so you'll be feeling
21:10a little bit tender for a while,
21:12so try and stay out of trouble if you can.
21:14You think she's right, don't you?
21:16That's absolutely none of my business.
21:20But if you were to push me for an answer,
21:22then I would say, yeah, absolutely.
21:24She has a point.
21:26Now, once the anaesthetic wears off,
21:28you'll need some pain relief,
21:30so doctors...
21:32Adam, mate.
21:34I was brought to this place because of those same guys.
21:36Any love left?
21:40Yeah.
21:44As I say, Dr. Hussain
21:46will fetch you some medication.
21:48Um, we'll have this cannula taken out,
21:50and then you'll be free to go.
21:52Okay?
22:06It's heartbreaking
22:08to know that patients
22:10are falling through the cracks every day.
22:12Turn it off!
22:14But they are.
22:18Excuse me.
22:20Can someone see her, please?
22:22Um, I'll be back.
22:26And mistakes are costing lives.
22:36Mm, fresh air.
22:42Siobhan, did that patient
22:44really die on the trolley?
22:46Yes.
22:48She died
22:50but later on a ward
22:52surrounded by a family I checked.
22:54It wasn't your fault.
22:56No.
22:58You were dealing with that baby in Rhesus, remember?
23:00Yes, you said he'd be back.
23:02But we had agency nurses
23:05who are meant to be monitoring the corridor patients regularly.
23:09What happened?
23:11For six hours?
23:13There will be a formal investigation.
23:15But you won't be held accountable.
23:17Trust me.
23:21I know this is hard.
23:23Do you need some time off?
23:25No, no, it's okay.
23:27Listen,
23:29please don't beat yourself up.
23:31You're a bloody good nurse.
23:35Okay.
24:05Oh, God.
24:23Rita?
24:25Yeah.
24:27Why are we infusing her?
24:29Uh, she came in with a sprained ankle
24:31after a fall.
24:34Yeah, but Dr. Keir ran some blood.
24:36She is low on iron.
24:38Hardly.
24:40She's having an elective C-section
24:42with twins at the end of the week.
24:44Shouldn't she be upstairs?
24:46They're struggling for beds.
24:48This is classic Dr. Keir.
24:50Okay.
24:52I do need a signature
24:54to give her another bag of Ferringer.
24:56Guys, are we going to keep that on all afternoon
24:58just to torture everyone?
25:00One bag will suffice.
25:03Okay, then.
25:05She's fine to go.
25:07Uh, just hang tight.
25:09And, Patrick,
25:11I don't want to interfere,
25:13but there's nothing unusual
25:15about an infusion
25:17for gestational iron deficiency,
25:19particularly if antenatal's full.
25:21There is if her ferrous levels
25:23have barely dropped.
25:25Yeah, but what I'm saying is
25:27that Dylan wouldn't have made the call
25:29without good reason.
25:32He's not going to be very happy.
25:34No, no, he's not.
25:36Look, um, yeah, discharge her.
25:38I'll try and talk to Dylan.
25:42Curtain.
25:46DIY SOS.
25:48If it helps.
25:50I'm also going to make a list
25:52of all the broken equipment
25:54in the department while I'm at it,
25:56so if you've got anything you want to add.
25:58All right, finally.
26:01You took someone to go public
26:03before they did anything.
26:05I'm as frustrated as you are.
26:07Doubt it.
26:09Is there something you want to tell me?
26:11Oh, come on, what,
26:13you think it was me?
26:15Well, I don't know, was it?
26:17No, Siobhan, it was not me.
26:19Well, our whistleblowing policy
26:21is very clear.
26:23If you speak up,
26:25your job won't be at risk.
26:27Mm-hmm.
26:30They needn't be, okay?
26:32Because I stand by that.
26:34Anybody who thinks I don't,
26:36well, they really don't know me.
26:38Now, uh, nothing else.
26:40I've got a department to sort out.
26:42Thanks, Jess.
26:44Hi, Jordan.
26:46Um...
26:48Listen, I'm really sorry about earlier.
26:50I, uh, want you to know
26:52you can trust me, I promise.
26:54I just need to take that gauze out your mouth.
26:56Are you happy for me to do that?
26:59All right. Just open slowly for me.
27:03There we go.
27:05Now, that cut might feel
27:07a bit odd for a while,
27:09but that's normal. You just rinse it out with salt water.
27:11But I would avoid hot drinks.
27:13Okay.
27:15I've spoken to Max Vax, and they're happy to see you
27:17as an outpatient in a couple of days.
27:19All right, then.
27:21I've just got to take your cannula out.
27:23All right.
27:29Listen, mate,
27:31are you sure there's no one I can call for you?
27:33Friends, family?
27:35Usually I'd sign me old man, but...
27:37he's gone now.
27:41No one else really gives a damn.
27:45I just want to get back to the pub.
27:47I don't think that's a good idea.
27:49You've done your job, pal.
27:51I don't need extra.
27:53Fine. But we do see it all the time.
27:55Yeah, grief can eat people up.
27:57What time's the funeral?
27:59Too late.
28:03No good crying over it.
28:07Okay, I see.
28:11I'm just going to go and get your discharge summary
28:13and your prescription, and I'll be back.
28:15All right?
28:21Are you okay?
28:23Yes. Well...
28:26No.
28:28Well, you see, it's...
28:30Take it away.
28:32A few weeks ago,
28:34I found something.
28:36What?
28:38A camera.
28:40I thought it belonged to a patient.
28:42You know, a relative.
28:44Where did you find it?
28:46In recess behind some monitoring.
28:48What did you do with it?
28:52I know I should have done something.
28:55I'm sorry. I was so busy.
28:57I just forgot about it.
28:59I'm so sorry. I know I should have come to you.
29:01I could have stopped all this.
29:03But, please, am I going to lose my job?
29:05No. No, of course not.
29:07I'll have to log it,
29:09but if you don't want your name mentioning...
29:11No.
29:13No, don't worry about it. Come here.
29:15Okay.
29:17All right? Don't worry.
29:19I really appreciate you telling me.
29:21Okay.
29:24Dylan.
29:28You discharged my patient.
29:30You're using a hammer to crack a nut.
29:32We need the beds.
29:34Okay. Funny, that, isn't it?
29:36First time you've meddled with all my patients.
29:38There is a system in place
29:40where you can report maintenance issues.
29:42What am I looking at?
29:44Why didn't you tell me that you treated Samantha Hardy?
29:46Why did you leave me hanging out to dry
29:48at the M&M meeting?
29:50I don't see why it matters.
29:53You don't see that it matters?
29:55Dylan, maybe don't do this now.
29:57I thought you meant to be keeping an eye.
29:59Is this pedantry going to take long, Dr Keir?
30:01No, I just want to know what else you don't think matters.
30:03Somebody administered penicillin
30:05to a patient that was known to have a penicillin allergy.
30:07Hold on.
30:09Shut the door.
30:17Are you accusing me
30:19of medical negligence?
30:22Have you finally lost all sense?
30:24I think the thing that doesn't make sense
30:26is that you're still practising.
30:28Meanwhile, you've been at home
30:30taking a break to assess your neurodivergence.
30:32To what conclusion?
30:34Patrick, come on.
30:36To the conclusion it's completely irrelevant.
30:38All I'm saying...
30:40Oh, sorry, just a pre-alert for a female, early 20s.
30:42She's got severe lacerations on her feet.
30:44Okay, yeah, I'll be with you in five, okay?
30:46Okay.
30:48All I'm saying is you seem a little obsessive.
30:51Well, why don't you ask Stevie?
30:53She's seen the video. I don't think she's obsessive.
30:55Dr Nash,
30:57did you see anything
30:59in the television programme
31:01that suggested any medical negligence on my part?
31:07No.
31:09No.
31:13It could just as easily
31:15have been your mistake.
31:17Checking IV lines
31:20is very different to being the doctor
31:22responsible for a patient's overall care,
31:24don't you think?
31:26Now, if you don't mind,
31:28I've got a proper crisis to deal with.
31:30Shut the door on your way out.
31:32Yeah.
31:34When?
31:50All right, Mia.
31:52All right. We've got you.
31:54You're going to be okay.
31:56You're okay. All right.
31:58Nice, deep breaths.
32:00Mia, we can't keep you locked up.
32:02Do you understand that?
32:04Hi, this is Mia Almada.
32:06She's 18 years old.
32:08She's got multiple wounds
32:10on both of her feet.
32:12Her estimate blood loss is around 100 ml.
32:14Right, let's get her into B3, please, Jan.
32:16BP's stable.
32:18She's been very agitated
32:20since we found her.
32:22Right, okay.
32:24Mia, try and stay nice and calm for me.
32:26Here we go.
32:28Nice and steady.
32:30Just stop fighting us, Mia.
32:32You're okay.
32:34Just stay nice and calm.
32:36Cheers. Thanks, guys.
32:38We've got her up here. Thank you.
32:40Okay, Mia.
32:42Mia.
32:44That's it.
32:47Help me, help me, help me, help me.
32:49Help me!
32:51Just try and keep her nice and still, Mia.
32:53I'm just going to check your pulse, okay?
32:55Right, Tarek, as soon as she's calm,
32:57let's get bilateral IV access
32:59and can we get this other cannula in?
33:01We'll do Colag and VBG, please.
33:03Okay.
33:05Mia?
33:07That's it. Nice and calm.
33:09Listen to your chest, okay?
33:11You're safe now.
33:13Okay, you're safe.
33:16It's okay.
33:18That's it, breathe.
33:20Good girl, good girl.
33:22I'm right here.
33:36Hey.
33:38Heads up.
33:40I just spoke to the CEO
33:42and they are very concerned
33:45about your part in last night's proceedings.
33:47It had been a really long shift.
33:49I know. I defended you as best I could.
33:53Looks like we are going to avoid special measures
33:55by some miracle,
33:57although we do have to reassure the CQC
33:59that this won't happen again.
34:01So we still don't know who did this.
34:03Uh-uh, no.
34:11Siobhan?
34:14Well, um,
34:16as it happens,
34:18a staff member has
34:20come forward with something.
34:22Get off me!
34:24Get off me!
34:26Just try and relax, Mia.
34:28This is them. They do this, Mia.
34:30I said I didn't want them to come near you again.
34:32I said no, please, but...
34:34Right, okay, guys, that's enough for me.
34:36Can we just get them out, please, Karen?
34:38Is she going to be okay?
34:40Let's get on top of this.
34:43Karen, can you get me some fentanyl
34:45because I'll be doing this sedating.
34:47Uh, Patrick normally lets me, so...
34:49That's lovely, okay, but I'm trauma lead,
34:51so come around here, please.
34:53Yeah, whatever you want to do.
34:55That's right.
34:57Go to her foot, please.
34:59Right, okay, Mia, stay nice and still for me, okay?
35:01Just help you calm down, all right?
35:03Rita, any idea
35:05why Mr. Arnold's blood results
35:07aren't in the system yet?
35:09Lab's backed up.
35:12Raj, anything to add
35:14to the broken equipment list?
35:16I'm sending it off this afternoon
35:18while upstairs are paying attention.
35:20I'm sure you've covered most things.
35:22Look, I know it's a tough shift
35:24for everybody, so if there's anything
35:26I can do to help...
35:28Fund the department properly,
35:30close the doors when we're full?
35:32Obviously there's limitations,
35:34but I'm prepared to fight for anything
35:36to make life easier.
35:38That's very noble, Siobhan,
35:41but the cracks are too big.
35:43We might have hit an iceberg,
35:45but it's not everyone for himself just yet.
35:47Raj, the lab forgot to update the system
35:49with the blood results, and seeing as it's time critical,
35:51they asked, can you do another blood test?
35:53They did say sorry, but they are skeleton staff
35:55at the moment.
35:57We've still got a job to do regardless.
35:59I know, we're trying to do it,
36:01but it's going to take more than some shiny new equipment
36:03and a hug to make a difference, Siobhan,
36:05and if you can't see that, then really,
36:07you're adding to the problem.
36:10But doing something's better than doing nothing.
36:12That's always been the way I work,
36:14and this is no exception.
36:28I just want to see the boss lady,
36:30the one who threw me out.
36:32Mr Cole, she's very busy right now,
36:34but maybe I could...
36:36No, no, no, that's all right, I'll wait for her here.
36:40Sorry, Pam, sorry.
36:42Just to let you know,
36:44I've been finding your behaviour aggressive,
36:46so I've switched my body cam on.
36:48Aggressive? I've just waited to be seen, that's all.
36:50We're particularly busy at the minute, Mr Cole.
36:52Don't you think I haven't noticed?
36:54I've been sitting there for hours,
36:56watching every man and his dog go before me.
36:58I've had enough!
37:00You can read the signs.
37:02Come on, get out of here.
37:04Go and get treated somewhere else.
37:07It's not a day centre.
37:09Switch that off right now.
37:23Mr Cole, are you OK?
37:25I saw myself on the telly last night.
37:27I didn't want you lot to think
37:29I was taking the mickey.
37:31No, please, you really needn't.
37:33I'm so sorry.
37:36It's me who should be saying sorry.
37:38No, not at all.
37:40I just hope I didn't get you into trouble.
37:42I deserved to be thrown out when I was.
37:44After all, this place did well by me in the end.
37:46Thank you so much.
37:48Bye-bye.
37:50Bye-bye.
37:54Mr Cole, hang on.
37:56Is your leg OK?
37:58No, it's fine, thank you.
38:00Has anyone had a look at it?
38:02No, you're far too busy.
38:05Let's find somewhere
38:07for us to have a look at that.
38:09That's very kind of you.
38:11It's very lovely.
38:13Oh, the flat.
38:15I thought you'd be here for a moment.
38:17Is that everything booked, Dinesh?
38:19Yeah.
38:21Tariq,
38:23look,
38:25I appreciate I was a bit harsh
38:27with you there
38:29and your show initiative, which is great.
38:31But just tell me,
38:33Patrick clearly maximises
38:35his teaching opportunities.
38:37Yeah, he's one of the better ones for that.
38:39You know what I mean?
38:41It's fine.
38:43It's useful for me to,
38:45you know, to know, to learn.
38:47So what kind of stuff does he have you do?
38:49I did a chest training the other day.
38:51OK.
38:53I relocated a dislocated hip,
38:55but I did call him to check on that.
38:57So he wasn't in the hospital at the time?
38:59No, there was a night shift the weekend,
39:01but it was already done.
39:03Look, I know he's bending a few rules,
39:05but I'm not going to mess up.
39:07No, no, I'd better watch my job.
39:09OK.
39:13Let's just have a little look here.
39:15Oh, yeah, how long's it been like this?
39:17A couple of weeks.
39:19I should have come in earlier.
39:21I'm sorry to be a nuisance.
39:23I probably should look after myself a bit more,
39:25especially after the cancer.
39:27Oh, I didn't realise.
39:29I called the tumour Sheila.
39:31Sheila? OK.
39:33They got rid of her, and I got the all clear about a year ago.
39:36That's great.
39:38Yes. I know it sounds rather odd,
39:40but I do miss coming in, you know,
39:42living on my own.
39:44Well, let's get you some bloodstone now,
39:46make sure you're OK.
39:48And is there anything else that might be causing an issue?
39:50VIP treatment, eh?
39:52Since I've been on the telly.
39:54I might just give your chest a quick listen,
39:56if that's OK.
39:58Deep breath, please.
40:00HE EXHALES
40:02Yeah, it's a bit crackly.
40:04HE EXHALES
40:06Let's send him for a chest X-ray.
40:08Cover all bases.
40:10OK, I'll grab his file for you when I'm out there.
40:12Thank you. Don't worry.
40:24Is she going to walk again?
40:26Her, um...
40:28Yeah, road to recovery is going to be long,
40:30but she'll walk again.
40:32You hear that, Mia?
40:34You're going to be all right.
40:36I'm so sorry for getting you into all this.
40:40Look, Abe,
40:42now might be a good time to think about calling your family,
40:44get a safe roof over your head.
40:46And I wouldn't rule out
40:48calling the police at this stage, either.
40:50The last thing you want is to...
40:52Have either of you seen Dr Neil anywhere?
40:54Hang on a second. Patrick?
40:56Patrick? Patrick?
40:58Patrick? Yeah?
41:00Hey, look, um,
41:02I was talking to Tarek earlier,
41:04and I'm just thinking about the level of responsibility
41:06we've been given the juniors.
41:08They seem quite capable. Dr Hosseini seems especially keen.
41:10Yeah, OK, he's keen,
41:12but it's the type of procedure that...
41:14This is a teaching hospital. See one, do one.
41:16We're overstretched.
41:18The more we can offload, the better.
41:20Yeah, but the act of doing one shouldn't...
41:22It's one of those types of things that junior doctors
41:24seem pretty low-priority.
41:26There might be a bit of a wait
41:28for your results, I'm afraid.
41:30When is Beth?
41:32Uh, Javon,
41:34can I have a word with you, please, in private?
41:36Yeah, Oscar, could you tell him Max was here before?
41:38Yes.
41:40Do you want to tell me
41:42what you and Mr High and Mike are playing at?
41:44You said you cared about your juniors.
41:46I do.
41:48Then why has Ngozi been threatened with suspension?
41:50You said this wasn't a witch hunt.
41:52It isn't!
41:54I can't believe you've done this, Javon.
41:56Everybody trusted you.
41:58I'm so disappointed in you.
42:00Javon!
42:06Jordan.
42:08These are for you.
42:10Now, this outlines your care and your treatment plan.
42:12Now, the meds will wear off in a couple of hours,
42:14so I suggest keeping on top of it.
42:16Cheers.
42:18If you need any alcohol whilst on this medication...
42:20That one just for me?
42:22No, no, I do say that to everyone,
42:24but I hope you take my advice on board.
42:26All right.
42:28Have you got any questions?
42:30OK, cool.
42:32Then once you're ready, you're free to go.
42:34You couldn't tell me which one of the buses
42:36goes past the crematorium.
42:38Pay my respects and all.
42:40Yeah, of course.
42:42The 72 goes that way.
42:44I think they're pretty regular.
42:46Thanks, mate.
43:04Give me a minute.
43:06I'll be OK.
43:08Javon, I'm really sorry.
43:10I didn't mean to upset you.
43:12No, you're right.
43:14Rasha's right.
43:16I am part of the problem.
43:18I never said that.
43:20That footage wouldn't have happened if it wasn't for me.
43:22Now, Ngozi...
43:24Leave her, Mr Cole.
43:26It's too much.
43:28Hey, it's this place.
43:30It takes its toll.
43:32I had to report what Ngozi said to me, OK?
43:34But I told him
43:36she didn't want to be named.
43:38And I made it clear to everybody,
43:40everybody,
43:42everybody,
43:44no repercussions for anybody who speaks out.
43:46I believe you.
43:48How do I fix it?
43:50Hey, come here.
43:52Stop.
43:54This is not all on you, OK?
43:56Come on, we'll work it out.
44:02Hey, Dylan?
44:04Dylan?
44:06Yes?
44:08Look, I'm sorry about earlier.
44:10You gave a direct answer.
44:12Yeah, and I got it wrong, OK?
44:14It turns out Patrick has been giving the juniors
44:16an alarming amount of responsibility.
44:18So, yeah, you have a point.
44:20If he's capable of that, the guy could be dangerous.
44:22All I know is that Samantha Hardy wasn't my fault.
44:24And I believe you.
44:26I cannot work with somebody who I think is clinically unsafe
44:28because it puts patients' lives at risk.
44:30Agreed.
44:32Right, so what are we going to do?
44:34This is Mr Cole's blood results.
44:36Yeah.
44:38I know.
44:40Do you want me to come in with you?
44:42No, I've got it.
44:44Thanks.
44:54Hiya.
44:56Come to chop my leg off, have you?
44:58Um...
45:00Yeah, your D-dimer is elevated,
45:02which indicates that the leg swelling
45:04is probably a deep vein thrombosis.
45:06Um, ultrasound will confirm.
45:10But...
45:16Sheila's come back, hasn't she?
45:18I'm afraid so.
45:26Um...
45:28A consultant will come and talk to you in more detail,
45:30and I'll speak to the team
45:32who will see you in clinic.
45:34I'll speak to the team who will see you in clinic.
45:36You won't be on your own, I promise you that.
45:40Angels in disguise,
45:42the lot of you.
45:46Um...
45:48Can I get you some water?
45:50Have you got anything stronger?
45:52No, water will be fine.
45:58You did that very well.
46:04Come on.
46:18Um, guys, can I have a word?
46:20My team, Ngozi.
46:22Yeah, I just want to put a few things straight.
46:24There's, uh...
46:26There's rumours circling,
46:28so I wanted you to hear this from me.
46:30Nobody
46:32is getting suspended for whistleblowing
46:34or anything to do with it.
46:36If anyone says otherwise,
46:38they'll have me to deal with.
46:40Without this team,
46:42there'd be no department.
46:44And I believe in every single one of you.
46:48Yeah.
46:50Well, carry on.
47:12I'm too bad with the boredom to come in quick.
47:14You spoke to Ngozi.
47:16Yeah, and?
47:18Yeah, and.
47:20And you threatened her with suspension
47:22for withholding information.
47:24That's not what we agreed.
47:26I'm trying to avoid further unnecessary scrutiny.
47:28By finding a scapegoat?
47:30Look, I know you prefer
47:32the touchy-feely approach,
47:34but we have to tell the trust and the CQC something.
47:36Right, well, tell them this.
47:38Even if I knew who did this,
47:40I wouldn't say.
47:42Because hospital policy clearly states
47:44no repercussions for whistleblowers.
47:46Though judging by your actions today,
47:48it's clearly not the case.
47:50Well, if that's how you want to play it.
47:52I'm not going to let them
47:54get away with it so easily.
47:56Well,
47:58good luck with that.
48:00You're on your own.
48:06I have never worked with a more dedicated team.
48:08We try
48:10as hard as we can
48:12to deliver the care
48:14that the patients deserve.
48:18But it's never enough.
48:20At Holby City,
48:22the problems are bigger than us.
48:24Much bigger.
48:28And mistakes are costing lives.
48:54Holby City.
48:56Holby City.
48:58Holby City.
49:00Holby City.
49:02Holby City.
49:04Holby City.
49:06Holby City.
49:08Holby City.
49:10Holby City.