Casualty S43E03 (29 Mar 2025) FULL HD,
Casualty S43E03,
Casualty
Casualty S43E03,
Casualty
Category
😹
FunTranscript
00:00I'm pregnant.
00:01I need you all to be free to do what you do best.
00:04If that means making some enemies, then so be it.
00:06This is the second time I've seen you buck responsibility.
00:08You're the one bucking responsibility!
00:10You're fired. Get out.
00:11You know what? Have your witch hunt without me.
00:13I quit.
00:14I can't put a roof over his head.
00:16If I can't find a suitable place, the Home Office will revoke his visa.
00:18I've got to get back up for surgery, but what about my place?
00:22My nana passed away a couple of months ago,
00:25and she was the only family I had, so...
00:27The patient you brought in, Gloria Scott, she asked me to give this to you.
00:30As your nurse, I can only give you advice, and I'd say, go for it.
00:33I now know what sort of man you really are.
00:36I always knew that you were not good enough for my daughter.
00:39But don't worry. I don't want to break Claire's heart.
00:41Just make sure you don't either.
00:43I put my reputation on the line backing you for this job.
00:46I'm sure you'll want to create the best possible impression.
00:49Sorry, Stevie. There's no baby.
00:52There's a mass on your ovary.
00:58Excuse me. I don't feel well.
01:01OK, look, I have somewhere I need to be, but have you spoken to reception?
01:04No. Actually, I feel a bit woozy.
01:07Yeah, OK, let's get you sat down.
01:10And I will let someone know you're here. What's your name?
01:13OK, Bezic.
01:15OK, OK, Bezic, thanks. It's my arm, you see.
01:19OK, let's have a look.
01:21Ah, right, OK.
01:23Can I get a wheelchair, please?
01:26Thanks for the morning. Thank you.
01:28Right, just take some nice deep breaths, all right?
01:31Hey, Dylan, do you mind taking over here? She needs recess.
01:35Oh, yeah, OK.
01:40Right, I've got it. Thank you.
01:57OK.
02:03Hiya. I'm Stevie Nash. I'm a few minutes late.
02:09But nothing in this life is real
02:11And time alone won't help to heal
02:13Getting to the heart is part
02:17Time is running out for us
02:19And all our dreams will turn to dust
02:21Never dream it'd be so hard
02:27It's tearing me apart
02:32Must be something that I can't do
02:36I'm through with chasing stars
02:40And howling at the moon
02:44I'm done with being young
02:48I'm waiting for life to start
02:53Stevie Nash?
03:23OK, so, like, whatever it is, just...
03:26I can deal with it.
03:28Well, you do have a mass on your ovary.
03:31How big?
03:33Six centimetres.
03:35It would explain the symptoms you've been experiencing,
03:38the pelvic pain, bloating, irregular periods.
03:41Right, yeah, all of which I put down to stress.
03:44It's easy to explain, isn't it?
03:46Yeah.
03:48So, are we thinking...
03:50Is it benign, or...?
03:52I don't have any answers yet.
03:54We'll have to remove it and send it for histology.
03:57What about in my blood?
04:00Normal.
04:02Your CA-125 test was normal as well, which is a good sign.
04:06Yeah, that's good.
04:08Um...
04:10I don't know.
04:12I don't know.
04:14I don't know.
04:17Um...
04:18In terms of, like, wait time, you know,
04:21between getting this out and, you know,
04:24what are we...what are we talking?
04:26Our guidelines say 62 days from referral.
04:29OK.
04:31Our guidelines downstairs say it's a four-hour wait time,
04:34but I'm yet to see us stick to it.
04:36We try to stick to it as best we can.
04:38Have you got any support at home?
04:40A partner, family?
04:47Bill?
04:49No, just me.
04:51Well, I'm happy to answer any other questions.
04:53You can get in touch via my secretary any time.
04:58Great, thank you. Thanks.
05:00Obviously not going to waste any more of your time.
05:02I know this is difficult, but try not to worry if you can.
05:08Yeah, thank you.
05:10She's still bringing them in.
05:12Yeah, I see that.
05:14And so we are keeping them here for now, are we?
05:17No. Well, if we don't have to,
05:19we triage, admit, transfer or discharge as quickly as possible.
05:22OK, I hear that, but I think that might be a little...
05:24Listen, if we crack on, we can have this place clear by lunchtime.
05:28OK, well, leave it with me.
05:30Good, thank you.
05:32Fine, if you need me.
05:36Morning.
05:39Something I said?
05:41Er, rather something he did.
05:43Terrence's cousin and a popular fellow with the rest of the staff,
05:47so maybe bear that in mind.
05:53Anyway, take-home message was keep calm, carry on.
05:56Are you sure you're OK?
05:58Yeah, absolutely.
06:01Good, OK. Someone's looking better.
06:03Couldn't look any worse, could I?
06:05Sorry about before. I'm a panicker.
06:08Guess you can't be in this job.
06:10Yeah. Er, right, so a few stitches,
06:13we'll get that wound cleaned in theatre
06:15and you should make a full recovery, OK?
06:17Let's talk to Dr Keogh first,
06:19but can we try and get Miss Beswick moved to cubicles ahead of plastics?
06:22Great, thank you. Excuse me.
06:24Hey, Joe, do you want to catch me up?
06:28No, no, I've got it. Are you all right?
06:30No, cos you treat me all the time, so let me do it.
06:32You can assist.
06:343-0-0-7, receive it.
06:36Indy, we're up.
06:38Shout out Wyvern Prison.
06:40Isn't that on the other side of town? Is there not a crew closer?
06:43What? It's your first time, mate. It's Majesty's pleasure.
06:45Yeah. Nah, it's like any other show.
06:47Just keep your wits about you, all right?
06:49See you, you ride shotgun. I'll sort the kit in the back.
06:52OK.
06:58Right, let's get Miss Beswick, please.
07:00Yeah, that's the lowest weight, 32.
07:02OK, tell you what, let's do...
07:04OK, we'll do 5mg solbutamol and we'll do 500mcg epitonium, OK?
07:08OK. Are you OK there? Yeah.
07:10OK, start right, guys.
07:12Yeah, we think that this is Jack.
07:16One, two, three, left.
07:18Yeah.
07:20He was found disorientated and confused
07:23after a fall in the street.
07:26He's got a head injury and a suspected fractured left wrist.
07:31Refused to splint, refused to be monitored.
07:34GCS 14, took one off for verbal.
07:37He's agitated and distressed, so watch out.
07:41OK, is that him? Yeah.
07:43Do you want me to take a look at that? No, fine. I live.
07:46Thank you, Jan. Hi, Jack.
07:48Jack, I'm Dr Nash.
07:50Oh, no. Hiya, Jack.
07:52I know there's a lot going on, OK? Do you know where you are?
07:55OK, this is Holby City Hospital.
07:57Jack, do you know your full name, by any chance?
07:59What's your name, Jack? Do you know your surname?
08:02No, no, no. Try and stay nice and calm for me, Jack, OK?
08:06All right, are you starting to faint? Yeah, OK.
08:08Right, let's get him onto his side, please.
08:10OK, Karen, can you monitor airway, please?
08:12OK, let's get a line in and we'll give you four milligrams of razopam, OK?
08:16Jack? OK, I'm with you.
08:21Witness for you.
08:23Are you ready with the data? No, no.
08:25Charge at the 150, stand clear.
08:28Shocking.
08:32Right, again, charge at the 150, stand back.
08:35Shocking.
08:40Rhythm change.
08:43We've got a pulse but no spontaneous breathing,
08:45so, yeah, continue to support his breathing with the BVM.
08:48Can we get repeat orbs, ECG and VBG? Thank you.
08:52I'm sure he's been in before. I recognise him.
08:55Yeah, he's been in a few times, apparently anorexia.
08:57I take it he's been referred to the relevant services?
09:01Anybody? Well, it's not my job.
09:03I haven't been asked.
09:05I'll check his records, see if he's with a specialist.
09:07Good plan.
09:14By the way, Obi's flight is on time, he'll be arriving after work.
09:20I told you I'd be there. It's up to you whether you want me to meet him.
09:23It's up to me.
09:27Oh.
09:29Time check, please.
09:31Coming up to nine, another dose of the Raspam?
09:33Yeah, let's prep four milligrams, please.
09:35OK.
09:37Hold on a second, hold off, hold off.
09:39He's coming out a bit.
09:42Jack, I'm just going to get you onto your back, OK?
09:45You're in Holby City ED and you're safe, OK?
09:49OK, let's run bloods, do pain relief
09:52and I want to get him booked in for CT.
09:54OK, you get the pain relief?
09:56Yeah, he's wearing a wedding band.
10:00Do you have anything else with him?
10:02Yeah, he had a jacket.
10:04Sarah, can you take care of the bloods as well, please?
10:09Isn't that one of those things they give to people with dementia?
10:12I told him that makes sense, that he was so confused.
10:15Here we go.
10:18There's something in the back of that.
10:20Peter and Jacqueline Garrett.
10:22OK, yeah, so Jack's not him, it must be the wife.
10:25There's a number here, do you want to ring it?
10:27Yeah.
10:28And I'll get him booked into CT while he's stable.
10:30Are you sure? You've got a lot going on.
10:32I can get someone else to deal with it.
10:34No, it's fine, we're good. OK.
10:50HE SIGHS
11:20Hello, darling.
11:22Walk straight, don't look left or right.
11:24Mm-hm.
11:40Oh, fuck.
11:44Get out of here.
11:46You OK?
11:48You OK?
11:52Let's go.
12:01Keep moving.
12:15Hello, mate. Is this the one?
12:17Yes, this is Samuel, four to five. He's been involved in an altercation.
12:20OK, mate.
12:21Hello, Samuel. My name's Jacob.
12:27OK, I'm going to need more gauze,
12:29and I'll pack around the wound and keep the chancre as still as possible.
12:32OK, let's do ops.
12:34Is she going to be doing anything?
12:36Assisting. She's training. Is that all right?
12:39I don't know, I don't have a problem with it.
12:41OK, let's get a line in.
12:43Shall I scratch?
12:48Oh.
12:50Good girl.
12:55OK.
12:57So, these guys are all booked in. This guy is a priority, though, yeah?
13:00Thanks. OK.
13:02OK, we're all on the train.
13:04Big stage, you look like a haven of organisation, innit?
13:07I'm so glad I picked up a low-gum shift down here.
13:10You all right? Yeah, sorry.
13:12Rita, did you get the crate? What room for one more?
13:14Where, exactly?
13:15I said I'd find her a space, but I need to be in Riesel, so I've got to go.
13:18No-one wants to be the next Howick.
13:20No, I hear that, but this is an ambulance. Please, the Riesel's nowhere else.
13:23Thank you. Thanks. Yeah.
13:25OK, Oscar, can you check outside, make sure no-one's waiting, thank you.
13:29Hello, I'm Rita.
13:31Oh, have you checked in at the reception?
13:33Yeah, OK. Thanks.
13:35Find you somewhere.
13:37A little bit more private.
13:39Yeah, we'll go here.
13:41OK.
13:45OK.
13:47Yeah.
13:48Why don't you tell me what's going on?
13:51I need the morning-after pill.
13:55It's all right, Peter.
13:57I'm just going to put your arms down by your side so you can go in this side.
14:00No, no, no, don't do that, don't do that.
14:02Please let go.
14:04Peter, Peter, stop doing that, OK? Peter.
14:06I know you're scared, but can you just let go of her arm, please?
14:09There we go. Let go.
14:11That's it. OK.
14:13Are you OK? Mm-hm.
14:15I'm going to go and give his wife a call, see where she's at.
14:17OK, all right, you all right? Yeah, no, he seems to be calm with me.
14:20OK, look, I want you to take a nice deep breath for me, all right?
14:24Let's breathe in through your nose, nice and slow.
14:27Right through your mouth.
14:29OK. Now, look, I need to get you into this scanner so I can get you scanned
14:32and work out what medication to give you.
14:35I want Jack.
14:37Yeah, I know, I know. She's on her way and she'll be here, OK?
14:40I promise you.
14:42But for now, can I just move you really slowly into the scanner?
14:45Ah. Really slow.
14:49Yeah. Yeah? Yeah.
14:51Let's do that, OK? Good man.
14:54You're doing really well, all right?
14:56You're doing really well.
15:07Sorry.
15:10Why don't you tell me what's going on?
15:13I went to the pharmacy but I didn't have enough money
15:16and the woman there was really...
15:19I'm sorry. I'm not going to judge you.
15:22I promise. Can you tell me when it happened?
15:25Last night.
15:27Last night you had sex?
15:31And did you want it to happen?
15:34Yes. Yeah? This isn't...
15:37I'm not...
15:39It was with my boyfriend.
15:41OK, great. And I'm just trying to get all the information.
15:44I know the questions can feel a little bit personal.
15:47I'm really sorry about that.
15:49I have to check.
15:51Lola, how old are you?
15:5514.
15:57My boyfriend is too, though, and...
16:00And we love each other.
16:02And we've been talking about doing it for ages.
16:05We just didn't know that condoms split that easily.
16:08So it was your first time?
16:10Yeah.
16:12OK, well...
16:14Seeing as you are 14,
16:16I think it's best if we get a parent or guardian here for you.
16:20No, please.
16:22My mum's just started working nights and I don't want to disturb her.
16:26And it's my body and my choice, right? Mm-hm.
16:30I don't want a baby.
16:32Ooh!
16:34OK.
16:36Get it out, my love.
16:38There we go.
16:40Good. Better.
16:42I had a drink before you did it.
16:45Only one, though.
16:47Is this what hangover's like?
16:49Don't think so.
16:51I'm just going to check your temperature.
16:54It's going to be a bit cold in your ear.
16:59Hey, what's going on?
17:01I've got really bad cramps.
17:03OK, lean back for me.
17:05There you go. Whereabouts, exactly?
17:08All over.
17:10OK.
17:14OK, that paracetamol should start to take the edge off your pain.
17:17It's got this thing sticking out of me.
17:19I'm afraid that needs to stay in until we get you to hospital.
17:22I'll do something to kick off some of it later.
17:25Come out of this, the cramp in this place.
17:27Right, that should hold.
17:29Er, Indy, can you do another set of ups?
17:31Yep.
17:33I'm just stepping out, yeah?
17:35OK.
17:37Bee, can you find out the best way out of here?
17:40Are you trying to do another job, then?
17:42Yep.
17:44I must be so proud.
17:46Don't. Stop!
17:48Ah!
17:50Ah!
17:53Wow. Indy.
17:55Ah!
17:57Ah!
17:59OK, Peter, you're back in recess.
18:02Er, Stevie? Yeah?
18:04These are Mrs Sullivan's results.
18:06OK. OK, that's good, yeah.
18:09Nebuliser's working. Ulcers stabilising.
18:11Can you call the ward and get her moved as soon as possible?
18:14Yeah. Cheers, thank you. Stevie? Yeah?
18:16That was Mr Garrett's wife on the phone.
18:18She's obviously been worried sick.
18:20Been to all his go-to places, including the day centre across town,
18:23so she's over an hour away in public transport.
18:25No, he might not even have an hour.
18:27The CT showed chronic subdural acute bleeding.
18:31If his ICP goes up, you know, he's going to come in
18:34and it's going to be game over.
18:36Unless there's another way. Like what?
18:38Well, if he was on any other medication, for example, like blood thinners...
18:41It's possible. Yeah, OK.
18:43Bloods haven't come back yet.
18:45Tell you what, do a rodent test and call the lab, flag a surgeon.
18:48Thanks.
18:51I haven't got a lot of time.
18:53That's fine, it's not going to take a long time.
18:55So, she says it was congenital, boyfriend the same age.
18:58Sounds like it was an accident.
19:00OK, and you think she's guilt-competent?
19:02You're certain she has the capacity to make the decision herself?
19:05Yeah. I took her temperature.
19:07She said it was OK.
19:09OK, well, I'm going to go and get her.
19:11I'm going to go and get her.
19:13I'm going to go and get her.
19:15I'm going to go and get her.
19:17You're certain she has the capacity to make the decision herself?
19:20Yeah. I took her temperature. She seems mildly pyrexic as well.
19:23Say she's been drinking.
19:25She says she only had one.
19:27I think there's something else going on.
19:29Her abdomen seems especially sore.
19:31OK, where is she?
19:33Just there.
19:35Can I get a screen? Yep, absolutely.
19:37Hello, Laura. Hey.
19:38So, this is Dr Masum.
19:40Is he giving me the prescription?
19:42We're just going to make sure you're OK first.
19:45You look like you've been feeling sick. When did that start?
19:47When I woke up.
19:49And do you have a pain in your tummy?
19:51Is that right? OK. Do you mind if I examine you?
20:01There's no chance you could be pregnant already?
20:03No. Absolutely not.
20:05OK. Hello. Do you remember when I said we've got to check everything?
20:08Yeah. OK. Thanks.
20:10What about the emergency contraception?
20:13I looked it up and it said the sooner you take it,
20:15the more effective it is.
20:16Yeah. And I can sort your prescription?
20:18Yes, please.
20:20But I'd like to do some tests first.
20:25OK.
20:28Thanks. A reader? Yeah.
20:33You were right to be worried.
20:35Her abdomen is quite sore.
20:37Is she OK?
20:38Her abdomen is quite sore.
20:40She's showing clear signs of endocytus, right?
20:43Yes, but we need to do some tests before we diagnose her.
20:45Let's do some routine bloods, a urine dip, an ultrasound scan.
20:50Give her one gram of IV paracetamol for the pain, please.
20:54Well, I guess Dr Byron is sticking to his plan,
20:57even after last week.
20:59Yeah, looks like it for now.
21:01How's Tariq?
21:03He's in Dubai, planning his future while we are a doctor down.
21:06Look, I know it's difficult, but everyone's pitching in.
21:09We're a team. A team? Yeah.
21:17Some of us are.
21:19I've got to get to another patient.
21:21Reader, could you do a surgery referral on my behalf, please,
21:24for Lola, query appendicitis, and get her up as soon as we can?
21:27Trying my hardest.
21:28You OK? Yeah.
21:33OK.
21:37Hey, you OK?
21:39I didn't mean... I'm sorry. Is he all right?
21:41Yeah, he's all right. Look, he said it was his fault.
21:44He said his hand slipped.
21:47Is that right? Yeah.
21:49Well, is there something I need to know? No, absolutely not.
21:52Get off! I want the girl in here!
21:54I want the girl!
21:56No, you don't get to pick and choose.
21:58No, Jacob, it's fine. No, no, no.
21:59No, it's fine. Endy, I've got this. Endy.
22:01No, I just need as much gauze as possible.
22:03We need to stop this bleeding.
22:04Mate, you need to keep still so I can give you something to slow the bleeding.
22:07I can't! Will you listen to us?
22:09Cos we're trying to save your life.
22:11Lie still!
22:14Thank you, Darryl.
22:15Let's get pressure on this.
22:22There you are.
22:24Right, Peter, again, it's rotentest.
22:26You were right, prolonged clotting,
22:28which matches the clotting test we sent off with his bloods earlier.
22:30Yeah, yeah, yeah, he's on... He is on blood thinner as well.
22:33He is on blood thinner as a pixaban.
22:36You know?
22:37No, no, they won't operate with his condition.
22:40Um, is his wife on her way?
22:41I doubt it. I don't know.
22:43OK, look, tell you what, give her a call,
22:45get her to jump into your cab and I'll cover it with a gauze.
22:48That's really kind of you.
22:49I just want to buy him some time, get on top of this bleed.
22:53We need a reversal. Yep.
22:58Hey, Flynn. Yeah?
23:00I'm dexing at alpha.
23:02What about it? I need it for a patient.
23:05For whom, exactly?
23:07It's a subdural bleed in resus,
23:08but full disclosure, it's not looking good.
23:12Well, how long?
23:13I doubt he's going to last the shift,
23:15but that's why I need the reversal,
23:16because his wife is on her way and I want her to get here.
23:19Thousands of pounds to buy you time? I can't do it.
23:21Flynn, they need to say goodbye, that's important.
23:24Well, look, if it doesn't increase his chances of survival...
23:26Oh, hold on a second.
23:27No, our job's not just about chances of survival,
23:29it's also about quality of care, you know that.
23:31Stevie, come here.
23:35Look, I know you're going through a tough time at the moment,
23:38but if it's affecting your ability to make decisions,
23:40then we need to have a different conversation.
23:42No. No, we really don't,
23:43because this is not about my tough time,
23:45it's about their tough time.
23:47I thought you'd get it.
23:54Are you sure you're happy in the back? Absolutely.
23:56You know we can put her back at any point?
23:57Jacob, I've got this. All right.
24:02I need to change that cannula.
24:05You do?
24:07No, Dad. I need you to keep it on.
24:16Yeah, well, can you get it here as soon as possible?
24:18Because I can't stress how urgent this is.
24:23OK, thanks.
24:26Guys, can I just grab you for a second?
24:28Look, I just wanted to make it clear that
24:30now this is just palliative management,
24:33so keep the pain relief going.
24:35He's getting close, so I think now's the time to move him.
24:39So let's clear next door, get it set up,
24:41and we'll make it as peaceful as we can.
24:43Yeah? Thank you.
24:45Do you want to deal with it in the next door?
24:48Peter. Mm-hm?
24:50Hey, I'm going to move you somewhere quieter, OK?
24:53And Jacqueline's on her way.
24:55Oh. Yeah.
24:57Yeah, X-ray are expecting him.
24:59Oh, do you mind staying up there?
25:01As soon as he's done, bring him straight back down.
25:03Hopefully I'll have found a cubicle for him.
25:05Fingers crossed, eh?
25:07Aaron, you and boss might be right, you know.
25:09Could well have cleared this place by lunchtime.
25:11Only if it's a late lunch. I know it's challenging.
25:14At least he's got one thing right.
25:17He's put one of the best in charge.
25:19Not that I've got favourites, of course.
25:22What's the update on Lola?
25:24Still waiting for bloods.
25:25Did he speak to surgery?
25:26Yeah, they could not have been less helpful.
25:28Really? Who? Some junior locum, Mr Leach.
25:32He queried possible gastroenteritis,
25:34and when I told him it's unlikely,
25:36given the symptoms she's presenting,
25:37I dismissed it completely.
25:39Do you want me to escalate it?
25:40No, no problem. We can handle him. OK.
25:43Why is it saying bloods are still pending?
25:45It's been ages.
25:48Come on!
25:51OK, thank you.
25:53Yeah, well done.
25:54Can someone just check this out?
25:57Dr Byron, is everything all right down here?
26:00Yeah. Why wouldn't it be?
26:02Well, I've just received a call from haematology
26:04about an andexanate alpha request.
26:07Do you know about this?
26:09Ah, I know the case, yeah.
26:12Tough one. May I see the notes?
26:15Why? It has absolutely nothing to do with surgery.
26:18No, but any drug costing more than 10K
26:20requires a board-approval sign-off.
26:22It's not a small amount of money.
26:24I don't have the notes to hand.
26:27Right. Well, maybe then you could tell me
26:29what the patient prognosis is.
26:33Four.
26:34Right. I'm glad I can't...
26:36We can't justify this kind of spend.
26:39What do you mean, we? This is my budget.
26:41You still have to answer to someone.
26:42Yeah, if this is about Mr Garrett, I can explain the pathway...
26:45No, no, you do not need to justify your clinical decisions.
26:48In this case, she does.
26:50Not to me.
26:52The staff down here, my staff,
26:54are doing the best they can by their patients,
26:56I can assure you of that.
26:57Now, if Dr Nash feels this drug
26:58provides the best possible care, then I agree.
27:01Well, you might, but I don't.
27:03Then I am more than happy to go over your head
27:05if that's what it takes.
27:08This patient needs reversal immediately,
27:10and we are going to make sure that he gets it.
27:13Well, if this is the way you want to run your department,
27:16let's see how my fellow board members look upon this.
27:29Thanks.
27:32Is this the pre-alert? Yes.
27:34Is there anything else I need to know?
27:35OBS has deteriorated.
27:37Rest was 24, SAT's 97 on high flow.
27:40BP's dropped 84 over 56.
27:42He's tachy at 128, GCS 13.
27:45External breathing's controlled.
27:47Ready? Yep.
27:48One, two, three.
27:50No!
27:52He's had one gram of IV paracetamol,
27:54one gram of TXA and five milligrams of morphine.
27:56Thank you very much.
27:58OK, let's get that monitoring on as soon as we can.
28:02He has either large or cannula.
28:04Let's cross-match four units and have two units.
28:07Ready? Type specific.
28:08Can we put the emergency team in?
28:11So sorry about this.
28:14Do you know what?
28:15I'll have her promise me that these are going to be fast-tracked.
28:19OK?
28:23There we go.
28:26Look at that, you're doing so well.
28:29No, I'm not.
28:30I messed up.
28:32You didn't.
28:35You know what's happening?
28:36I'm not going to be able to do it.
28:38I'm not going to be able to do it.
28:39Do you know what's happening?
28:41Are you feeling sick, the pain in your stomach?
28:44It's got nothing to do with last night.
28:46No.
28:47No? Well, we've got to wait for the results,
28:49but we think it might be appendicitis.
28:52That's serious, isn't it?
28:54Yeah, it can be, if it's not caught early.
28:58Will I need an operation?
29:01Yeah, most likely, but I think let's just wait
29:04for the results to come through.
29:06I can't do this by myself.
29:09I know I said I could, but I can't.
29:11I want my mum.
29:13Can you call her, please?
29:14Yeah. Do you know what?
29:15I've actually got a little confession to make.
29:18I've already called her.
29:20I had to as soon as we thought it was appendicitis.
29:22I'm sorry.
29:23It's OK.
29:25Is she angry?
29:26No.
29:27No, not at all.
29:29She just wants to make sure that you're OK.
29:31She's on her way now.
29:34Hi.
29:36I was expecting Mr Leach.
29:38No, he's already made his diagnosis.
29:39But seeing as you're so keen on a second opinion...
29:42Is this the patient?
29:43Yes. Lola is presenting acute pain in her right iliac fossa.
29:48Bloods? I'm resending now.
29:50Is everything OK?
29:52I don't know how you can expect us to do our jobs
29:53if you can't even do yours.
29:54Hang on a minute. I don't need the results to let you know
29:57it's definitely not gastroenteritis.
29:58It's appendicitis.
30:00Who says that nurses don't want to be doctors?
30:03With all due respect...
30:04I don't want to be a doctor, actually.
30:06I just want to be taken seriously when I tell you
30:07my patient is very sick.
30:10Go on, then, Mr Robbins.
30:12Let's give her some privacy.
30:23Hi, Lola.
30:24May I examine you?
30:26OK.
30:29Shouldn't take long.
30:36Sorry, this might be sore, Lola.
30:38Yeah.
30:41Guarding in right iliac fossa.
30:43Maximal tenderness at McBurney's Point.
30:45Yeah. Like I said, she needs to be transferred upstairs
30:48cos she needs surgery.
30:53Unless you're still not going to listen to me.
30:55Are you prepared for her to get sepsis down here
30:57in a very busy ED?
30:59Of course not.
31:01Make the necessary arrangements for the patient's transfer.
31:07Right, so 800mg at a rate of 30mg per minute.
31:11Then we'll step down to 8mg per minute over 120 minutes.
31:16And we'll keep the old-school one.
31:17Make sure there's no side effects.
31:19We good?
31:20Yeah, ready.
31:21I'm just going to flush his cannula.
31:22Thanks. OK?
31:23Yeah.
31:32Right.
31:33Mm-hm.
31:36Mm-hm.
31:37Mm-hm.
31:39Mm-hm.
31:45Hopefully this will buy us a bit more time.
31:50Surely she should be here by now.
31:54I can stay if you want.
31:56No, no, no, it's fine.
31:57Mm-hm.
31:58I'd like to stay with him if that's OK.
32:00Yeah? Yeah.
32:01OK.
32:04OK.
32:06OK.
32:11Right, Peter.
32:12Mr Redman will look after you now.
32:14And I'll get your mum to meet you upstairs.
32:17Did you tell her?
32:18You know, about the other thing?
32:20Nah, that bit's up to you.
32:25Mr Whitelord doesn't hold grudges, does he?
32:28I hope not.
32:31Hey, come on.
32:32I'm just so fed up with having to prove myself down here.
32:35I just want to be able to do my job, you know?
32:37You just did.
32:38And if people don't appreciate that, then...
32:42Stop!
32:43Stop.
32:49Are you two together, then?
32:50Oh, we haven't put a label on it.
32:53SHE LAUGHS
32:58Just hang in there, Peter, OK? Not long.
33:01Peter, if you can hear me, just hold on a while longer, OK?
33:04She's on her way.
33:05Just...
33:07Just a wee while longer.
33:08Uh...
33:11Uh...
33:15Here we go.
33:16I'm so sorry it took so long.
33:19It's just the traffic and...
33:20It's OK.
33:21Is he still...?
33:22Yeah. Yeah.
33:24Oh, thank God.
33:26Um, his records show that he has a DNA in place?
33:31That's right.
33:33Will you be able to hear me?
33:34Yeah. Yeah, I'm sure he will.
33:39He did it.
33:41My love.
33:43I'm here.
33:46We're together.
33:49You're not alone now.
33:52You don't have to worry about anything any more.
33:56How lucky we've been, eh?
33:59You made sure our life was full of joy.
34:03I love you.
34:06Always have.
34:10Always will.
34:33CAR ENGINE RUMBLES
34:44You OK?
34:46Yeah. Can you put some music on?
34:49Want some indie?
34:50Hey!
34:51THEY LAUGH
34:52We can have it.
34:55HEAVY METAL MUSIC
35:03SIREN WAILS
35:05HEAVY METAL MUSIC CONTINUES
35:32I am so sorry.
35:35Is there anyone you want me to call for you?
35:38Is there any family you want to be here?
35:40Yeah.
35:41We met later in life.
35:43All we had was each other.
35:50Jacqueline, they're going to want to move him to a side room,
35:53but you're welcome to be with him there,
35:56to sit with him for as long as you need.
36:00And thank you for everything you did today.
36:03I didn't... I was terrified I wasn't going to make it.
36:06I don't know what I would have done if I didn't get to say goodbye.
36:11But you got me here.
36:14I'll never forget that.
36:20Belfast?
36:22Mm-hm.
36:23Me too.
36:26Yeah. Yeah, I figured.
36:30I'll let them know that you're happy to have him moved, OK?
36:34HEAVY METAL MUSIC CONTINUES
36:42Our latest obs, please.
36:45He should be in the ITU by now.
36:47There aren't any more beds.
36:49Let me give them a call.
36:50I've called them, and they're full.
36:54Um, I checked his notes, but there isn't any more information.
36:57I'm going to have to make the referrals again.
36:59No, cos that's going to push him to the back of the queue.
37:02Follow up with psychiatric and diet and nutrition directly.
37:04Explain to them what's happened.
37:06You think they'll make any difference? It's worth a try, isn't it?
37:08Look, I don't need to know the details,
37:10but if you two need to take five, then I can...
37:12No, I'm fine. It's OK.
37:14Yeah, yeah, and I'm Angelina Jolie.
37:16Go on, you probably haven't had a break all shift.
37:19It'll do you good.
37:33You OK?
37:34Yeah. Yeah.
37:36Uh, look, I really appreciate what you did, I do,
37:39but you do know I can fight my own battles.
37:42Yeah, we have met before, Stevie.
37:45Look, it's not about one patient, anyway.
37:47It's about the whole department.
37:48I'm not going to let anybody just walk all over us.
37:52OK. That's more like it.
37:54I'm going to go and get a drink.
37:56I'll be back.
38:02Hey, any word on our asthma patient,
38:05the one who went up to her respiratory?
38:06No, nothing.
38:08But your patient with the wound on her arm?
38:10Yeah. She had a cardiac arrest and therapy, apparently.
38:12What?
38:14But she wasn't showing any cardiac signs.
38:16Yeah, it's just one of those things, I guess.
38:23You moved your stuff out of our room?
38:27I saw before I came to work.
38:29Obie will be here tonight. What else could I do?
38:32You said we were going to keep talking.
38:34Well, this isn't about us.
38:36Look, I just need... I want Obie to settle in properly.
38:40Our home, our school, I want him to be happy.
38:42And he won't be if he finds out his mam's a rich and lesbian.
38:45OK, look, I don't like having to pretend that we're flatmates, but I...
38:49In Nigeria, that's how it would be.
38:52Look, I understand if you want us to move out in the meantime.
38:56I get it.
38:58Are you ever going to tell him?
39:00I hope so.
39:02When?
39:04Look, I just want us to get to know each other again.
39:08Then I can help him understand who I am.
39:12What makes me happy.
39:15That's you, by the way.
39:19Look, I just need to be mum again for a little while.
39:22Nothing has to change.
39:25I just... I just want to be with you.
39:29I never thought I'd be someone's guilty little secret.
39:34You never know.
39:36That might be fun.
39:37Hm.
39:39What, sneaking around?
39:41My flat doesn't have a bake shed.
39:43You'll have to meet us by the bins.
39:44Oh. Mm.
39:46Yeah, well, beggars can't be choosers.
39:48Come on, we'd better get back.
39:50Can't leave Angelina on her own for too long.
39:52All right, you win.
39:54Sneaking around might have its perks.
40:00How's the looking?
40:01Um...
40:03Don't tell me, I can't help.
40:05OK, it's still an uphill struggle taking patients upstairs.
40:08What about transfer services?
40:10I'm trying.
40:12The whole nursing team have been trying.
40:14OK, well, let's see what they say when they get back.
40:18OK.
40:20Well, let's see what they say when the boss calls.
40:24Hi, yeah, Dr Byron, ED clinical.
40:26Can I speak to the duty manager, please?
40:29You nearly done?
40:32A few of us are heading to the anchor.
40:34How did it go in Lollapalook?
40:36Oh, Nurse Oman.
40:38I take it you've heard?
40:39Er, no, but maybe she tells us anything down here.
40:42Acute appendicitis.
40:43Caught just in time.
40:46Any longer, it could have been fatal.
40:47Any longer, it could have been very nasty indeed.
40:50And, you know, I can't remember the last time a nurse
40:53behaved in the way that you did.
40:55Yeah, um, about that, I really didn't mean to overstep...
40:58No, no, no, no, no, no. It took balls.
41:01I respect that.
41:03And, you know, I think we could do with someone like you on our team.
41:08Sorry?
41:09There's an opening for an advanced nurse practitioner.
41:11It's a trainee position, to be advertised formally.
41:14But I'd be very happy to put in a personal recommendation.
41:18What do you think?
41:19I don't know.
41:21If you want to advance your career,
41:23this could be a very smart move.
41:25I realise that down here has its limitations.
41:28But with surgery, you get adrenaline and authority.
41:32That sound good?
41:33I don't know what to say.
41:35I don't believe that for a second.
41:41Yeah.
41:43Good.
41:45Right, prepare for movement in the corridor right away.
41:49What's all this about?
41:51I've just recruited one of your nurses, Dr Byron.
41:54Sorry?
41:55You said yourself you have a cracking team down here.
41:57And I agree.
41:58It's just the calibre I need upstairs.
42:02Oh, and whilst I'm here,
42:04I had a word with the board about your decision earlier.
42:06And they're very keen to keep a close eye on your spending,
42:09starting with a freeze on your agency nurse budget.
42:12What?
42:13Do feel free to contact the board if you have any issues.
42:16I look forward to your application, Nurse Man.
42:33Welcome to the dark side.
42:35Welcome to the dark side.
42:45Busy once a day?
42:46Aren't they always?
42:48Fancy going to the anchor for a couple?
42:51Sorry, I promised Teddy I'd join him at the gym.
42:53Aw.
42:55Indy?
42:56Hmm?
42:57Well, it's either that or I'm home alone
42:58watching Sort Your Life Out with a ping-meal.
43:01Nice shout.
43:02I'll match you on the early tomorrow.
43:04Sorry.
43:05Oh, Stacey Solomon it is, then.
43:08You can buy me a label-maker for Christmas.
43:11Sorry, Jan.
43:14You know, you did well at the prison.
43:17Yeah? Yeah.
43:19You kept your cool, you focused on the job.
43:22And that isn't easy sometimes.
43:23You say that again.
43:25Trust me, you will make a great parent, no doubt about it.
43:29Just don't overthink it.
43:30Mm.
43:31All right? All right.
43:32I'll see you tomorrow.
43:33All right, see you tomorrow. See you.
43:54Maria, are you OK to let the porters know
43:56that he'll soon be ready for mortuary?
43:59Thanks.
44:03Bye, Peter.
44:27Bye, Peter.
44:30I really hope you weren't scared.
44:33Yeah.
44:47Hey.
44:49Hey.
44:50What you did was really thoughtful.
44:52Oh, yeah. I'm a living saint.
44:53Mm.
44:54We're going to have a takeaway tonight.
44:57There will be a lot of carbs if you want to join us.
45:00Come on. We'll watch a film.
45:02You can join in the family debate.
45:04Porter versus Ronco.
45:06You know, it's Porter-Ronco.
45:08Yeah, do you know what? I'm going to go home and get an early night, actually.
45:10You? An early night?
45:12Yeah, well, I hear some people swear by them, so, you know, I'm going to try it.
45:15All right, well, you know, if you change your mind, you're always welcome.
45:19Yeah, I know. Thank you.
45:21Not taking any chances with you, are they?
45:23Not many get a private room.
45:27You all right, Dad?
45:31I didn't expect you to...
45:32No, me neither.
45:36Look at you.
45:37Bossing all this medical malarkey.
45:39You missed Nana's funeral.
45:40Yeah, I did.
45:41Yeah.
45:42Yeah.
45:43Yeah.
45:44Yeah.
45:45Yeah.
45:46Yeah.
45:48Yeah.
45:49Yeah.
45:50Oh, no.
45:52I was all dressed to go,
45:54but when the time came...
45:58I just couldn't face it.
46:04Is that why you stopped visiting?
46:06You just didn't like being reminded that you chose that life over me.
46:09I didn't.
46:12I haven't.
46:13And even now, you're in there fighting.
46:15You should be keeping your nose clean.
46:16So what are you doing here, then, hm?
46:18What are you doing here, then, hmm? You can't stay here with me.
46:21I don't know! Honestly, I don't.
46:23I don't...
46:25I don't know if it's my job, like,
46:28just seeing what matters to people when they're sick.
46:33You.
46:35You're all that matters to me, ain't you?
46:41This isn't me excusing anything you've done,
46:44but if you want some company...
46:49I'm serious.
46:55Yeah.
46:59Yeah, I'd like that.
47:18MUSIC PLAYS
47:36I see your outline in the dark
47:38And hear the blood run in your heart
47:40When we're in each other's arms
47:44The stillness of the night is here
47:46And all the light above it
47:48Try and reopen our scars
47:52And I swear that I know that I won't have to hear the...
47:56PHONE VIBRATES
48:02DOG BARKING
48:05PHONE VIBRATES
48:16MUSIC CONTINUES
48:46MUSIC CONTINUES