Casualty Season 43 Episode 3
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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!
00:10Right, you'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 an suitable place, the whole office will revoke his visa.
00:18I've got to get back up for surgery, but...
00:20What 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,
00:28she asked me to give this to you.
00:30As a 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.
00:54Excuse me.
00:59I don't feel well.
01:01Okay, look, I have somewhere I need to be,
01:03but have you spoken to reception?
01:05Actually, I feel a bit wussy.
01:07Yeah.
01:07Okay, let's just get you sat down,
01:10and I will let someone know you're here.
01:12What's your name?
01:13The cave.
01:14Bezik.
01:15The cave Bezik.
01:16It's my arm, you see.
01:17Um, okay, let's have a look.
01:22Uh, right, okay.
01:23Um, can I get a wheelchair, please?
01:26Thanks, Lamorna.
01:27Right.
01:28Just take some nice deep breaths for me.
01:30Um, hey, Dylan.
01:32Um, do you mind taking over here?
01:33She needs recess.
01:35Oh, you have me.
01:40Right, I've got it.
01:47Hiya.
02:03I'm Nasty and Ash.
02:04I'm a few minutes late.
02:05Oh.
02:08But nothing in this life is real
02:10And time alone won't help to heal
02:13Getting to the hardest part
02:15Time is running out for us
02:19And all our dreams will turn to dust
02:21Never dream it'd be so hard
02:25It's tearing me apart
02:31Must be something that I can't do
02:36I'm through it chasing the scars
02:40And howling at the moon
02:43I'm down with E and Y
02:48I'm waiting for life to tide
02:52Because we are
02:54Stevie Nash
02:55I am
02:58Do you
03:00Do you
03:01Do you
03:01Do you
03:02Do you
03:03Do you
03:04Yes
03:04Do you
03:05Do you
03:05Do you
03:06Do you
03:07ako
03:08Do you
03:09Do you
03:11Do you
03:12Do you
03:12Do you
03:12Do you
03:12Do you
03:13okay so like whatever it is just i can do with it well you do have a mass on your ovary
03:38how big six centimeters it would explain the symptoms you've been experiencing the pelvic
03:46pain bloating irregular periods right yeah all of which i put down to stress it's easy to explain
03:53these things away uh so are we thinking um is it benign or i don't have any answers yet
04:01we'll have to remove it and send it for histology what about my bloods normal your ca125 test was
04:11normal as well which is a good sign yeah that's good um in terms of like wait time you know between
04:21getting this out and you know what are we what are we talking our guidelines say 62 days from referral
04:29okay our guidelines downstairs say it's a four-hour wait time but i'm yet to see a stick to it
04:35we try to stick to it as best we can have you got any support at home a partner family
04:42nope not just me well i'm happy to answer any other questions you can get in touch via my secretary
04:55any time great thank you thanks obviously not gonna waste any more of your time i know this is
05:03difficult but try not to worry if you can yeah thank you still bringing them in yeah i see that
05:13and uh so we are keeping them here for now are we no and if we don't have to triage admit transfer or
05:20discharge as quickly as possible okay i i hear that but i think listen if we crack on we can have this
05:26place clear by lunchtime okay well leave it with me good thank you fine if you need me
05:33good morning
05:36something i said rather something you did terex's cousin and a popular fellow with the rest of the
05:46staff so maybe bear that in mind
05:48anyway take home message was keep calm carry on all right you sure you're okay yeah absolutely
05:58good okay someone's looking better couldn't look any worse could i sorry about before i'm a panic
06:06i guess you can't be in this job yeah uh right so a few stitches uh we'll get that wound cleaned in
06:14theater and you should make a full recovery okay uh let's talk to dr q first but can we try and
06:19get miss bezig moved to cubicles ahead of plastics great thank you excuse me hey joe do you want to
06:25catch me up
06:25no no i got it no you're right no because you treat me all the time so i don't do it
06:31uh 3007 receiving
06:35hindi we're up one male shout out wyvern prison
06:39isn't that on the other side of town is there not a crew closer what it's your first time
06:44mate it's majesty's special yeah it's like any other show just keep your voice about you all
06:48right see what you write shotgun sort the kit in the back okay
06:52okay tell you what let's do we'll do five milligrams salvia mole and we'll do 500 micrograms
07:07epitronium okay are you okay there yeah okay it's all right guys yeah uh we think that this is a jack
07:15one two three left yeah he was found disorientated and confused after a fall in the street uh he's
07:26got a head injury and a suspected fractured left wrist uh he refused then refused to be monitored
07:33gcs 14 took one off a verbal and he's agitated and distressed so watch out okay is that him
07:41yeah do you want me to take a look at that no no fine i live thank you jan hi jack jack i'm dr nash
07:49oh no hiya jack i know there's a lot going on okay do you know where you are okay this is holby city
07:55hospital yeah jack do you know your full name by any chance do you name jack do you know your surname
08:01oh no no no try and stay nice and calm for me jack okay yeah okay all right let's get him on to your
08:09side please okay can you monitor airway please okay let's get a line in and we'll do four milligrams of
08:13razzle pump okay jack okay i'm with you okay witness vf you ready with the date
08:23nearer charge at the 150 stand clear shocking
08:28again charge at the 150 stand back shocking
08:36rhythm change
08:40got a pulse but no spontaneous breathing so yeah continue supporting these breathing with the bvm
08:47can we get repeat obs ecg and bbg thank you i'm sure he's been in before i recognize him
08:55yeah uh he's been in a few times apparently anorexia i take it he's been referred to the relevant services
09:01anybody well it's not my job i haven't been asked i'll check his records see if he's with a
09:07specialist good plan
09:08by the way obi's flight is on time he'll be arriving after work
09:17i told you i'd be there it's up to you whether you want me to meet
09:23uh time to check uh coming up to nine another dose of blood ice cream yeah let's prep four
09:34milligrams please okay hold on a second hold off hold off it's coming out a bit
09:41jack we're gonna get you onto your back okay
09:45you're in holby city ed and you're safe okay
09:47uh okay let's run bloods to pain relief and i want to get it booked in for ct okay you get the
09:54pain relief yeah he's um he's wearing a wedding band do you have anything else with him uh yeah
10:02you have the jackets for sarah can you take care of the bloods as well please
10:09isn't that one of these things that give to people with dementia they call it twitter
10:12them up that makes sense that he was so confused here we go okay there's something in the back of
10:18that peter and jacqueline garrett okay yeah so jack's not him must be the wife yeah there's a
10:25number here do you want to ring it and i'll get him booked into ct while he's stable you sure you've
10:30got a lot going on and get someone else to deal with it yeah it's fine okay okay
10:42so
11:04so
11:10Walk straight on the left side.
11:40Okay.
11:47Keep moving.
12:01Keep moving.
12:07Keep moving.
12:15Hello, mate.
12:16Is this the one?
12:17Yes, this is Samuel for the fire.
12:18He's been involved in North creation.
12:20Okay.
12:21Hello, Samuel.
12:22My name's Jacob.
12:26Okay.
12:27I'm gonna need more gauze.
12:29And I'll pack around the wound and keep the shank as still as possible.
12:32Okay.
12:33Let's do ups.
12:34She can't be doing anything.
12:36Assistant.
12:37She's training.
12:38Is that right?
12:39I don't know if I'd have a problem with it.
12:41Okay.
12:42Let's get a line in.
12:43Shall I scratch?
12:45Good girl.
12:50Okay.
12:51Okay.
12:52So these guys are all booked in.
12:53This guy needs priority though, yeah?
12:54Thanks.
12:55Okay.
12:56Okay.
12:57Careful.
12:58You look like a haven of organisation, innit?
12:59So glad I picked up a logam shift down here.
13:00You all right?
13:01Yeah.
13:02Sorry.
13:03Sorry.
13:04What room for one more?
13:05Where exactly?
13:06I said I'd find her a space, but I need to be in resource.
13:07I've got to go.
13:08No one's to be in the next attic.
13:09No, I hear that, but this is ambulance.
13:10Please, please, there's no one else.
13:12Thanks.
13:13Yeah.
13:14Okay.
13:15Um, okay, Oscar, can you check outside?
13:16Make sure no one's waiting.
13:18Hello.
13:19I'm reader.
13:20Oh, have you checked in at the reception?
13:21Yeah.
13:22Okay.
13:23Find you somewhere.
13:24Little bit more private.
13:25Okay.
13:26Okay.
13:27Okay.
13:28Yeah.
13:29Why don't you tell me what's going on?
13:31I need the morning after pill.
13:34It's all right, please.
13:36I'm just going to put your arm on the floor.
13:39Oh, I'm waiting.
13:41Hello, I'm reader.
13:42Oh, have you checked in at the reception?
13:43Yes.
13:44Okay.
13:45Because I'll find you somewhere.
13:47A little bit more private.
13:48Yeah, we'll go here.
13:49Okay.
13:50Okay.
13:51Yeah.
13:52Why don't you tell me what's going on?
13:53I need the morning after pill.
13:56I'm just going to put your arms down by your side so you can go in the seat.
13:59Can I get you okay?
14:00No, no, no.
14:01Don't do that.
14:02Don't do that.
14:03Please let go.
14:04Peter.
14:05Peter.
14:06Stop doing that, okay?
14:07Peter.
14:08I know you're scared, but can you just let go over arm, please?
14:09Okay.
14:10There we go.
14:11Let go.
14:12That's it.
14:13Okay.
14:14You okay?
14:15I'm going to go and give his wife a call, see where she's at.
14:16Okay.
14:17All right.
14:18You around?
14:19Yeah.
14:20No, he seems to be calm with me.
14:21Okay.
14:22Look.
14:23I want you to take a nice deep breath for me.
14:24All right?
14:25With your mouth.
14:26Okay.
14:27Now, look.
14:28I need to get you into the scanner so I can get you scanned and work out what medication
14:32to give you.
14:33I want Jack.
14:34Yeah.
14:35I know.
14:36I know.
14:37She's on her way and she'll be here.
14:38Okay?
14:39I promise you.
14:40But for now, can I just move you really slowly into the scanner?
14:45Really slow.
14:46Yeah.
14:47Yeah.
14:48Yeah.
14:49Yeah.
14:50Yeah.
14:51Let's do that.
14:52Okay.
14:53Good man.
14:54You're doing really well.
14:55All right?
14:56You're doing really well.
14:58Yeah.
14:59Yeah.
15:00Yeah.
15:01Yeah.
15:02Yeah.
15:03Yeah.
15:04Yeah.
15:05Yeah.
15:06Yeah.
15:07Yeah.
15:08Yeah.
15:09Yeah.
15:10Yeah.
15:11Why don't you tell me what's going on?
15:13I went to the pharmacy but I didn't have enough money and the woman there was really...
15:18I'm sorry.
15:20I'm not going to judge you.
15:22Promise.
15:23Can you tell me when it happened?
15:26Last night.
15:27Last night you had sex?
15:30And did you want it to happen?
15:34Yes.
15:35Yeah?
15:36This isn't...
15:37I'm not...
15:38It was with my boyfriend.
15:40Okay.
15:41Great.
15:42And 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?
15:54Fourteen.
15:56My boyfriend is two though.
15:59And we love each other.
16:01And we've been talking about doing it for ages.
16:04We just didn't know that condoms split that easily.
16:08So it was your first time?
16:10Yeah.
16:11Okay.
16:12Well, seeing as you are fourteen, I think it's best if we get a parent or guardian here for
16:20you.
16:21No.
16:22Please.
16:23My mum's just started working nights and I don't want to disturb her.
16:27And it's my body and my choice, right?
16:29Mm-hmm.
16:30Mm-hmm.
16:31I don't want a baby.
16:32Oh.
16:33Oh, okay.
16:34Get it out, my love.
16:35There we go.
16:36Good.
16:37Better.
16:38I had a drink before you did it.
16:39Only one though.
16:40This is what hangover's like.
16:41I don't think so.
16:42I'm just going to check your temperature.
16:43It's going to be a bit cold in your ear.
16:45Hey, what's going on?
16:46Not really bad cramped.
16:47Okay, lean back for me.
16:48There you go.
16:49Whereabouts exactly?
16:50All over.
16:51Okay.
16:52Okay.
16:53Okay.
16:54That parasite motion starts to take the udrop your pain.
16:55It's got this thing sticking around me.
16:57No, I don't think so.
16:58I don't think so.
16:59I'm just going to check your temperature.
17:00It's going to be a bit cold in your ear.
17:01Hey, what's going on?
17:02Not really bad cramped.
17:03Okay, lean back for me.
17:04There you go.
17:05Whereabouts exactly?
17:06All over.
17:07Okay.
17:08Okay.
17:09Okay, that parasite motion starts to take the udrop your pain.
17:13Look, I've just got this thing sticking around me.
17:19Can I help me?
17:20I'm afraid that needs to stay in until we get you to hospital.
17:23I need something to kick off sooner or later.
17:26There's a man that's the crown of this place.
17:28Right.
17:29That should hold.
17:30Uh, Indy, can you do another set of votes?
17:32Yep.
17:33I'm just stepping out, yeah?
17:37B, can you find out the best way out of it?
17:40So you're trying to know the job then?
17:42Okay.
17:43Yep.
17:44Yeah, man must be so proud.
17:46Don't.
17:47Stop!
17:48Ah!
17:49Ah!
17:50Ah!
17:51Ah!
17:52Ah!
17:53What happened?
17:54Ah!
17:55Ah!
17:56Ah!
17:57Ah!
17:58Ah!
17:59Peter, you're back in recess.
18:01Uh, Stevie.
18:02Yeah.
18:03These are Mrs. Sullivan's results.
18:06Okay.
18:07Okay, that's good.
18:08Yeah.
18:09Nebulisers working.
18:10Alters stabilising.
18:11Can you call the ward and get her moved as soon as possible?
18:13Yep.
18:14Cheers.
18:15Yes.
18:16Right, that was Mr. Garrett's wife on the phone.
18:17Okay.
18:18Ah, she's obviously been worried sick.
18:19She's been to all his go-to places, including the D Centre across town, so she's over an hour away in public transport.
18:25Now, he may not even have an hour.
18:27Uh, the CT showed a chronic subdural, acute bleeding.
18:31If his ICP goes up, you know, he's gonna come in and, you know, he's gonna be game over.
18:36Unless there's another way.
18:38About what?
18:39Well, if he was on any other medication, for example, like blood thinners.
18:42It's possible.
18:43Yeah, okay.
18:44Bloods haven't come back yet.
18:45Uh, tell you what.
18:46Do a rotum test and call the lab.
18:48Flag of surgery.
18:49Thanks.
18:50Aw.
18:51Aw.
18:52Aw.
18:53Aw.
18:54Aw.
18:55Aw.
18:56Aw.
18:57Aw.
19:03I haven't got a lot of time.
19:05That's fine.
19:06It's not gonna take a long time.
19:07Alright, so, she says it was a consensual boyfriend, same age.
19:10Sounds like it was an accident, so.
19:12Okay.
19:13And you think she's going to be compensated?
19:14You're certain she has the capacity to make the decision herself?
19:16Yeah, I took her temperature.
19:18She seems mildly pirexic, as well.
19:20You say she's been drinking.
19:22Well, she says she only had one.
19:23I think there's something else going on.
19:25Her abdomen seems especially sore.
19:28Okay, where is she?
19:30Just there.
19:31Er...
19:31Right, can I get a screen?
19:32Yep.
19:34Lola.
19:35Hey.
19:36So this is Dr. Masson.
19:39Is he giving me the prescription?
19:41We're just going to make sure you're okay, Bert.
19:44Nurse, I'm going to say that you've been feeling sick.
19:46When did that start?
19:47When I woke up.
19:49And do you have a pain in your tummy?
19:51Is that right?
19:51Okay, do you mind if I examine you?
19:52Thanks.
20:01There's no chance you could be pregnant already?
20:03No, absolutely not.
20:05Hello, do you remember when I said we've got to check everything?
20:08Yeah.
20:09Okay, thanks.
20:13What about the emergency contraception?
20:16I looked it up and it said the sooner you take it, the more effective it is.
20:19Yeah, and I can sort your prescription?
20:21Yes, please.
20:23But I'd like to do some tests first.
20:28Okay.
20:31Thanks.
20:31Thanks, Rita.
20:32Yeah.
20:35You were right to be worried.
20:38Her abdomen is quite sore.
20:40She's showing clear signs of sinus, right?
20:43Yes, but we need to do some tests before we diagnose.
20:45So let's do some routine bloods, a urine dip, an ultrasound scan.
20:51Let's give her one gram of IV paracetal for the pain, please.
20:54Wow.
20:55I guess Dr. Byron is sticking to his plan, even after last week.
20:58Yeah, it looks like it for now.
21:01How's Tarrant?
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.
21:10A team?
21:11Yeah.
21:11Some of us are.
21:18I've got to get to another patient.
21:21Rita, could you do a surgery referral on my behalf, please, for Lola, query appendicitis,
21:26and get her up as soon as we can?
21:27Try and my hardest.
21:28You okay?
21:29Yeah.
21:33Okay.
21:33I didn't mean, I'm sorry, is he all right?
21:43Yeah, yeah, it's okay.
21:44Look, he said it was his fault.
21:46He said his hand slipped.
21:49Is that right?
21:50Yeah.
21:51What, is there something I need to know?
21:52No, absolutely not.
21:54Get off, I want the girl in here.
21:57I want the girl!
21:58No, you don't get to who you choose.
22:00No, Jacob, it's fine.
22:01No, no, no.
22:02No, it's fine.
22:02Endy, I've got this.
22:03Endy.
22:03No, I just need as much calls as possible.
22:05We need to stop this, please.
22:06Mate, you need to keep still so I can give you something to slow the bleed.
22:08I can't!
22:09Will you listen to us?
22:11Because we're trying to save your life.
22:12Lie still.
22:16Thank you, Daryl.
22:17Let's get pressure on this.
22:23There you are.
22:26Right, Peter Gaddits, Rotem Test.
22:27You were right.
22:28Prolonged clotting, which matches the clotting test we sent off with his bloods earlier.
22:32Yeah, yeah, yeah.
22:32He's on, uh, he is on blood thinner as a pixabon.
22:36Hello?
22:38No, no, they won't operate with his condition.
22:40Um, is his wife on her way?
22:41I don't, I don't know.
22:43Okay, look, tell you what, uh, give her a call, get her to jump into a cab and I'll cover it, whatever you've got.
22:48That's really kind of you.
22:49And I just want to buy him some time, get on top of this bleed.
22:53We need a reversal.
22:54Yep.
22:54Hey, Flynn.
22:58Yeah.
23:00I'm Dexanet Alpha.
23:01What about it?
23:03I need it for a patient.
23:05For whom, exactly?
23:07It's a subdural bleed in resus, but full disclosure, it's not looking good.
23:12Well, how long?
23:13I doubt he's going to last the shift, but that's why I need the reversal, because his wife is on her way and I want her to get here.
23:19Thousands of pounds to buy you time?
23:21I can't do it.
23:22In fact, 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, look, our talk's not just about chances of survival, it'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, but if it's affecting your ability to make decisions, then we need to have a different conversation.
23:42No.
23:42No, we really don't, because this is not about my tough time, it's about their tough time.
23:47I thought you'd get it.
23:53Are you sure you're happy in the back?
23:55Absolutely.
23:55Now, you know we can put up at any point.
23:57Jacob, I've got this.
23:58All right.
24:03I need to change that cannula.
24:06Indeed.
24:08No, Dad.
24:10I need you to keep it on.
24:17Yeah, well, can you get it here as soon as possible?
24:19Because I can't stress how urgent this is.
24:23Okay, thanks.
24:25Guys, can I just grab you for a second?
24:29Look, I just wanted to make it clear that now this is just palliative management, so 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 your next door, get it set up, and we'll make it as peaceful as we can.
24:44Yeah?
24:45Do you want to deal with it in the next door?
24:49Peter.
24:49Hey, I'm going to move you somewhere quieter, okay?
24:54And Jacqueline's on our way.
24:58Yeah, X-Ray are expecting him.
25:00Oh, do you mind staying up there as soon as he's done?
25:03Bring him straight back down.
25:04Hopefully I'll have had a cubicle for him.
25:06Fingers crossed, eh?
25:08Our new boss might be right, you know.
25:10Could well have cleared this place by lunchtime.
25:12Only if it's a late lunch.
25:13I know it's challenging.
25:15At least he's got one thing right.
25:18He's put one of the best in charge.
25:20Not that I've got favourites, of course.
25:23What's the update on Lola?
25:25Still waiting for Bloods.
25:26Did he speak to surgery?
25:27Yep, they could not have been less helpful.
25:29Really?
25:30Who?
25:30Some junior locum, Mr Leach.
25:33He queried possible gastroenteritis, and when I told him it's unlikely, given the symptoms she's presenting,
25:39I dismissed it completely.
25:40Do you want me to escalate it?
25:41Nah, no problem.
25:42We're going to handle him.
25:43Okay.
25:44Why is it saying Bloods are still pending?
25:47It's been ages.
25:49Come on.
25:52Okay, thank you.
25:54Yeah, what's up?
25:55Uh, could you just...
25:57Uh, Dr Byron.
25:58Is everything all right down here?
26:00Yeah.
26:01Why wouldn't it be?
26:02Well, I've just received a call from haematology about an andexonate alpha request.
26:07Do you know about this?
26:09Uh, I know, I know the case, yeah.
26:12Tough one.
26:13May I see the notes?
26:15Why?
26:16It has absolutely nothing to do with surgery.
26:18Uh, no, but any drug costing more than 10k requires a broader approval sign-off.
26:22It's not a small amount of money.
26:23I don't have the notes to add.
26:27Well, maybe then you could tell me what the patient's prognosis is.
26:33Poor.
26:34Right, I'm glad I came down.
26:36We can't justify this kind of spend.
26:38What do you mean, we?
26:39What do you mean, we?
26:40This is my budget.
26:41You still have to answer to someone.
26:43Yeah, if this is about Mr Garrett, I can explain the problem.
26:45No, no, no.
26:46You 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, are doing the best they can by their patients, I can assure
26:56you of that.
26:57Now, if Dr Nash feels this drug provides the best possible care, then I agree.
27:00You might, but I don't.
27:03Then I am more than happy to go over your head if that's what it takes.
27:08This patient needs reversal immediately, and we are going to make sure that he gets it.
27:13Well, if this is the way you want to run your department, let's see how my fellow board members
27:18look upon this.
27:30Is this the pre-aligned?
27:34Yes.
27:35Is there anything else I need to say?
27:37Observe's deteriorated.
27:38Rest was 24.
27:39Sat's 97 on high flow.
27:41BP's dropped 8.4 over 56.
27:44He's tacky at 128.
27:45GCS 13.
27:46External readings controlled.
27:49Ready?
27:50Yep.
27:50One, two, three.
27:52Lift!
27:54He's had one gram of IV paracetamol, one gram of TXA, and five milligrams a month.
27:58Thank you very much.
27:59Okay, let's get that monitor on as soon as we can.
28:03He has another large board, cannula.
28:06Let's cross match four units.
28:07I have two units.
28:08Ready?
28:09Type specific.
28:10Can we book an urgency?
28:11See?
28:12I'm so sorry about this.
28:19Do you know what?
28:20I promise me that these are going to be fast-strapped.
28:24Okay?
28:28There we go.
28:29Look at that.
28:32You're doing so well.
28:34No, I'm not.
28:35I messed up.
28:37You didn't.
28:39You know what's happening?
28:41You're feeling sick, the pain in your stomach.
28:44You've got nothing to do with last night.
28:46No.
28:47No.
28:47Well, we've got to wait for the results.
28:48But we think it might be appendicitis.
28:52That's serious, isn't it?
28:53Yeah, it can be, if it's not caught early.
28:56Well, I need an operation.
28:59Yeah, most likely.
29:02But I think let's just wait for the results to come through.
29:05I can't do this by myself.
29:10I know I said I could, but I can't.
29:13I want my mum.
29:14Can you call her, please?
29:15Yeah.
29:16Do you know what?
29:16I've actually got a little confession to make.
29:19I've already called her.
29:21I had to, as soon as we thought it was appendicitis.
29:24I'm sorry.
29:25It's OK.
29:26Is she angry?
29:27No.
29:28No, not at all.
29:30She just wants to make sure that you're OK.
29:33She's on her way now.
29:35Hey, I was expecting Mr. Leach.
29:38Now, he's already made his diagnosis,
29:39but seeing as you're so keen on a second opinion,
29:41is this the patient?
29:43Yes.
29:44Lola is presenting acute pain in her right iliac fossa.
29:48Luds?
29:48I'm resending now.
29:51Is 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.
29:55I 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?
30:02With all due respect...
30:04I don't want to be a doctor, actually.
30:06I just want to be taken seriously
30:07when I tell you my patient is very sick.
30:10Well, go on then, Mr. Evans.
30:12Let's give her some privacy.
30:13Hi, Lola.
30:24May I examine you?
30:26OK.
30:29Shouldn't take long.
30:35Sorry, this might be sore, Lola.
30:38Yeah.
30:41Guarding in right iliac fossa,
30:43maximal tenderness at McBurnie's point.
30:45Yeah.
30:46Like I said, she needs to be transferred upstairs
30:48because she needs surgery.
30:52Unless 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
31:02for the patient's transfer.
31:08Right, so 800 milligrams
31:09at a rate of 30 milligrams per minute.
31:13Then we'll step down to 8 milligrams per minute
31:15over 120 minutes.
31:17And we'll keep the obscenity going.
31:19Make sure there's no side effects.
31:20We good?
31:21Yeah, righty.
31:21I'm just going to flush this cannula.
31:23Thanks.
31:23OK?
31:24Yeah.
31:24Yeah.
31:28All right.
31:45And hopefully this will buy us a bit more time.
31:50Shirley, she should be here by now.
31:52I can stay if you want.
31:56No, no, no, it's fine.
31:57I'd like to stay with them if that's OK.
32:00Yeah?
32:00Yeah.
32:01OK.
32:04OK.
32:11All right, 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, you know, about the other thing?
32:20Nah.
32:21That bit's up to you.
32:26Mr. White Lord 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.
32:43What are you two together, then?
32:50Oh, we haven't got a label on it.
32:55Fuck.
32:58Just hang in there, Peter, OK?
32:59Not long.
33:01Peter, if you can hear me, just hold on a while longer, OK?
33:04She's on her way.
33:06Just...
33:06Just a wee while longer.
33:08Here we go.
33:16I'm so sorry.
33:18It took so long.
33:19It's just the traffic and...
33:20It's OK.
33:21Is he still?
33:22Yeah.
33:23Yeah.
33:24Oh, thank God.
33:26Um, his records show that he has a DNR in place?
33:31That's right.
33:33Will you be able to hear me?
33:35Yeah.
33:36Yeah, I'm sure he will.
33:40He did it.
33:42Hi, love.
33:44I'm here.
33:46We're together.
33:49You're not alone now.
33:52You don't have to worry about anything anymore.
33:57How lucky we've been, eh?
34:00You made sure our life was full of joy.
34:03I love you.
34:08I always have.
34:12I always will.
34:13Oh, my God.
34:43Are you okay?
34:45Yeah. Can you put some music on?
34:48What's up, Indy?
34:50Hey!
34:51I thought you'd love it.
35:13I am so sorry.
35:20Is there anyone you want me to call for you? Is there any family you want to be here?
35:39Yeah.
35:40We met later in life. All we had was each other.
35:46Jacqueline, they're going to want to move him to a side room, but you're welcome to be with him there, to sit with him for as long as you need.
35:57Thank you. And thank you for everything you did today. I was terrified I wasn't going to make it. I don't know what I would have done if I didn't get to say goodbye. But you got me here. I'll never forget that.
36:16Oh, fast? Mm-hmm. Me too. Yeah. Yeah, I figured. I'll, erm, I'll let them know that you're happy to have him moved, okay?
36:31Ah, latest obs, please. Thank you.
36:44We should be in the ITU by now.
36:46There aren't any more beds.
36:48Let me give them a call.
36:49I've called them, and they're full.
36:53Erm, I checked his notes, but there isn't any more information. I'm going to have to make the referrals again.
36:58No, because that's going to push him to the back of the queue. Follow up with psychiatric and diet and nutrition directly, explain to them what's happened.
37:04And you think that'll make any difference?
37:05It's worth a try, isn't it?
37:07Look, I don't need to know the details, but if you two need to take five, then I can go...
37:12Oh, fine. It's okay.
37:13Yeah, yeah, and I'm Angelina Jolie. Go on, you probably haven't had a break all shift. It'll do you good.
37:35You okay?
37:42Yeah, yeah. Look, I really appreciate what you did, I do, but you do know I can fight my own battles.
37:49Yeah, we have met before, Stevie. Look, it's not about one patient anyway, it's about the whole department. I'm not going to let anybody just walk all over us.
37:58Okay, that's more like it. Hey, any word on our asthma patient, the one who went up to respiratory?
38:06No, not saying, but your patient with the wound on her arm, she had a cardiac arrest in there, apparently.
38:12What? But 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.
38:29Obi will be here tonight, what else could I do?
38:32You said, well, we're going to keep talking.
38:34Well, this isn't about us.
38:36Look, look, I just need, I want Obi to settle in properly.
38:40At home, at school, I want him to be happy.
38:43And he won't be if he finds out his mam's a rich and lesbian.
38:45Okay, look, I don't like having to pretend they were flatmates, but I...
38:50In Nigeria, that's how it would be.
38:52Look, I understand if you want us to move out in the meantime.
38:57I get it.
38:59Are you ever going to tell him?
39:01I hope so.
39:03When?
39:04Look, I just want us to get to know each other again.
39:09Then I can help him understand who I am.
39:14What makes me happy.
39:17That's you, by the way.
39:21Look, I just need to be mum again for a little while.
39:23Nothing has to change.
39:25I just...
39:29I never thought I'd be someone's guilty little secret.
39:34You never know.
39:36That might be fun.
39:39What, sneaking around?
39:41The flat doesn't have a bake shed.
39:43Have to meet us by the bins.
39:44Oh.
39:46Yeah, well, beggars can't be choosers.
39:48Come on.
39:49Better get back.
39:50Can't leave Angelina on her own for too long.
39:52All right, you win.
39:58Sneaking around might have its perks.
40:04How's it looking?
40:06Uh...
40:07Don't tell me, I can't help.
40:09Okay, it's still an uphill struggle taking patients upstairs.
40:13What about transfer services?
40:14I'm trying.
40:16The whole nursing team have been trying.
40:19Okay.
40:20Well, let's see what they say when the boss calls.
40:25Hi, yeah, Dr. Byron, ED clinical.
40:27Can I speak to the duty manager, please?
40:29You nearly done.
40:31Done.
40:33A few of us are heading to the anchor.
40:35How did it go with Lolly Cook?
40:37Oh, Nurse Oman.
40:39I take it you've heard?
40:40Uh, no.
40:41Nobody tells us anything down here.
40:43Acute appendicitis.
40:45Caught just in time.
40:47Any longer, it could have been very nasty indeed.
40:50And, you know, I can't remember the last time a nurse behaved in the way that you did.
40:55Yeah, um, about that, I really didn't mean to overstep.
40:58No, no, no, no.
40:59It took balls.
41:00I respect that.
41:02And, you know, I think we could do with someone like you on our team.
41:07Sorry?
41:08There's an opening for an advanced nurse practitioner.
41:11It's a trainee position.
41:12It would be advertised formally.
41:13But I'd be very happy to put in a personal recommendation.
41:17What do you think?
41:19I don't know.
41:21If you want to advance your career, this could be a very smart move.
41:24I realize that down here has its limitations.
41:27But with surgery, you get adrenaline and authority.
41:31Does that 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.
41:50What's all this about?
41:51I've just recruited one of your nurses, Dr. Byron.
41:55Sorry?
41:56You said yourself you have a cracking team down here.
41:58And I agree.
41:59Just the caliber I need upstairs.
42:03Oh, and whilst I'm here, I had a word with the board about your decision earlier.
42:07And they're very keen to keep a close eye on your spending.
42:10Starting with a freeze on your agency nurse budget.
42:15What?
42:16Do feel free to contact the board if you have any issues.
42:18I look forward to your application.
42:20That's a man.
42:35Welcome to the dark side.
42:36Busy once a day.
42:37Aren't they always?
42:38Fancy going to the anchor for a couple?
42:39Sorry, I promised Teddy I'd join him at the gym.
42:40Aww.
42:42Indy?
42:43Hmm?
42:44Well, it's either that or I'm home alone watching Sort Your Life Out With A Ping Meal.
42:45My shout!
42:46I'll match you on the early tomorrow.
42:47Sorry.
42:48Stacey Solomon it is, then.
42:49You can buy me a label maker for Christmas.
42:50Sorry, Jan.
42:51You know, I don't know.
42:52I don't know.
42:53I don't know.
42:54I don't know.
42:55I don't know.
42:56I don't know.
42:57I don't know.
42:58I don't know.
42:59You're making sure you're watching Sort Your Life Out With A Ping Meal.
43:00My shout!
43:01I'll match you on the early tomorrow.
43:05Sorry.
43:07Stacey Solomon it is, then.
43:08You can buy me a label maker for Christmas.
43:12Sorry, Jan.
43:15You know, you did well at the prison.
43:18Yeah?
43:19Yeah.
43:20You kept your cool, you focused on the job, and that isn't easy sometimes.
43:25You say that again?
43:26Trust me, you will make a great power.
43:28No doubt about it.
43:30Just don't know what to think.
43:31Mm.
43:32All right?
43:33All right.
43:33All right, see you tomorrow.
43:34See ya.
43:50Maria, are you okay to let the porters know that he'll soon be ready for mortuary?
43:59Thanks.
44:20Bye, Peter.
44:24I really hope you weren't scared.
44:47Hey.
44:49Hey.
44:50All you did was really thoughtful.
44:52Oh, yeah.
44:53I'm a little insane.
44:55We're going to have a takeaway tonight.
44:57There will be a lot of carbs if you want to join us.
45:00Come on.
45:01We'll watch a film.
45:02You can join in the family debate.
45:04Horror versus rom-com.
45:06You know, it's both for a rom-com.
45:08Yeah, do you know what?
45:08I'm going to go home and get an early night, actually.
45:10You?
45:11An 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.
45:19I know.
45:30Not taking any chances with you, are they?
45:33I mean, you get a private room.
45:36You all right, Dad?
45:40I didn't expect you to...
45:42No, me neither.
45:42Look at you, bossing all this medical malarkey.
45:49You missed Nana's funeral.
45:52I know.
45:53I was all dressed to go.
45:54But when the time came, I just couldn't face it.
46:05Is that why you stopped visiting?
46:06I just didn't like being reminded that you tried that life over me.
46:10I didn't.
46:13I haven't.
46:14And even now, you're in there fighting.
46:16I mean, you should be keeping your nose clean.
46:18So what are you doing here, then, hmm?
46:19If you can't stay in me?
46:20I don't know.
46:22Honestly, I don't.
46:25I don't know if it's my job, like, just seeing what matters to people when they're sick.
46:29You.
46:35You're what matters to me, Indy.
46:40This isn't me excusing anything you've done.
46:44But if you want some company.
46:50Serious?
46:55Yeah.
46:59Yeah.
46:59Not like that.
47:29I see you're out lying in the dark, and hear the blood run in your heart, when we're in each other's arms.
47:44Stillness of the night is here, with all the light above it.
47:48Try and reopen our skies.
47:51I see you're out lying in the dark, and hear the blood run in your heart, when we're in each other's arms.
47:55Holyrou 나, I'm happy.
47:56I see you're out lying in the dark.
47:58I see you're out lying in the dark.
48:00I know you're out lying about it.
48:00Are you outside huh?
48:05I see you're outside Onlyimmily, but no, I see you, but middle of your eyes can be blown away.
48:09Let's go.
48:39Let's go.