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Casualty Season 43 Episode 03
Show moreShow lessCasualty is a weekly television show broadcast on BBC One, and the longest running emergency medical drama television series in the world. Created by Jeremy Brock and Paul Unwin, it was first broadcast on 6 September 1986 and transmitted in the UK on BBC One. The producer was Geraint Morris. The programme is based around the fictional Holby City Hospital and focuses on the staff and patients of the hospital's Accident and Emergency Department.Year started: 1986
Country: UK
Creators: Jeremy Brock Paul Unwin
IMDB rating: 6.1
Categories: Drama
Show moreShow lessStars: Derek Thompson Suzanne Packer Ian Bleasdale Jane Hazlegrove Tony Marshall Charles Dale Sunetra
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Transcript
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!
00:10Alright, 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 a suitable place, the whole office will be bucking to me.
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, she asked me to give this to you.
00:29As 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 mess on your ovary.
00:54Excuse me. I don't feel well.
01:01Okay, look, I have somewhere I need to be, but have you spoken to reception?
01:04Actually, I feel a bit rosy.
01:07Yeah. Okay, let's get you sat down.
01:10And I will let someone know you're here.
01:12What's your name?
01:13The cave.
01:15Okay, okay, better success.
01:16It's my arm, you see.
01:18Okay, let's have a look.
01:21Right, okay.
01:23Can I get a wheelchair, please?
01:26Thanks, Elmorna.
01:28Right.
01:29Just take some nice deep breaths for me.
01:31Hey, Dylan.
01:32Do you mind taking over here?
01:33She needs recess.
01:34Oh, you have me.
01:35Great.
01:36I've got it.
01:38Awesome.
01:39Hiya, I'm Stevie Nash. I'm a few minutes late.
02:05Let's go.
02:35I'm through with chasing the stars and howling at the moon. I'm done with being young. I'm waiting for life to restart.
02:53Stevie Nash.
02:55Stevie Nash.
03:07Stevie Nash.
03:29Okay, so, like, whatever it is, I can deal with it.
03:36Well, you do have a mass on your ovary.
03:39How big?
03:40Six centimetres.
03:42It would explain the symptoms you've been experiencing,
03:45the pelvic pain, bloating, irregular periods.
03:48Right, yeah, all of which I put down to stress.
03:51It's easy to explain these things away.
03:54Uh, so are we thinking, um, is it benign or...?
03:59I don't have any answers yet.
04:01We'll have to remove it and send it for histology.
04:05What about my bloods?
04:08Normal.
04:09Your CA125 test was normal as well, which is a good sign.
04:14Yeah, that's good.
04:17Um, in terms of, like, wait time, you know,
04:21between getting this out and, you know, what are we talking?
04:26Our guidelines say 62 days from referral.
04:29Okay.
04:30Our 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?
04:42No.
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.
04:59Thanks.
05:00Obviously not gonna waste any more of your time.
05:02I know this is difficult,
05:04but try not to worry if you can.
05:07Yeah, thank you.
05:10We're still bringing them in.
05:12Yeah, I see that.
05:13And, er, so we are keeping them here for now, are we?
05:17No.
05:18And if we don't have to,
05:19we triage, admit, transfer or discharge as quickly as possible.
05:22Oh, okay, I hear that, but I think that might be...
05:24Listen, if we crack on,
05:25we can have this place clear by lunchtime.
05:27Okay, well, leave it with me.
05:30Good, thank you.
05:31Fine, if you need me.
05:36Morning.
05:37Something I said.
05:40Rather something he did.
05:42Terex's cousin.
05:43And a popular fellow with the rest of the staff,
05:46so maybe bear that in mind.
05:52Anyway, the take home message was keep calm. Carry on.
05:55Are you sure you're okay?
05:57Yeah, yeah, absolutely.
05:58Good, okay.
06:01Someone's looking better.
06:02Couldn't look any worse, could I?
06:04Sorry about before.
06:05I'm a panic.
06:07I guess you can't be in this job.
06:10Yeah.
06:11Er, right, so a few stitches.
06:13Er, we'll get that wound cleaned in theatre,
06:15and you should make a full recovery, okay?
06:17Er, let's talk to Dr Q first,
06:18but can we try and get Ms Bezik moved to cubicles ahead of plastics?
06:21Great.
06:23Excuse me.
06:24Hey, Joe, do you want to catch me up?
06:28No, no, I've got it.
06:29No, you all right?
06:30No, because you treat me all the time,
06:31so I can't do it.
06:32You can insist.
06:33Er, 3007 receiving.
06:36Indy, we're up.
06:38Shout out, Wyvern Prison.
06:40Isn't that on the other side of town?
06:41Is there not a crew closer?
06:42What?
06:43It's your first time, mate?
06:44It's Majesty's Special.
06:45Yeah.
06:46Ah, it's like in the other shower.
06:47Just keep your whistle about you, all right?
06:49See what?
06:50You right, show up, go on.
06:51I'll sort the kit in the back.
06:52Okay.
06:58All right, let's get...
06:59Let's get...
07:00Right, thank you, Tim.
07:03Okay, tell you what, let's do...
07:04We'll do five milligrams salbutamol
07:05and we'll do 500 micrograms epitronium, okay?
07:08Okay.
07:09Are you okay there?
07:10Yeah.
07:11Okay.
07:12It's all right, guys.
07:13Yeah, er, we think that this is, er, Jack.
07:16One, two, three, four.
07:18Yeah.
07:19He was found disorientated and confused after a fall in the street.
07:25Er, he's, er, got a head injury and a suspected fractured left wrist.
07:30Er, he refused to splint, he refused to be monitored.
07:34GCS 14, took one off a verbal, and he's agitated and distressed, so watch out.
07:40Okay, is that him?
07:41Yeah.
07:42Yeah.
07:43Do you want me to take a look at that?
07:44No, no, fine.
07:45I live.
07:46Thank you, Jan.
07:47Hi, Jack.
07:48Jack, I'm Dr. Nash.
07:49Oh, no.
07:50Hiya, Jack.
07:51I know there's a lot going on, okay?
07:53Do you know where you are?
07:54Mm-hmm.
07:55Okay, this is Holby City Hospital.
07:56Yeah.
07:57Jack, do you know your full name, by any chance?
07:59Oh, no.
08:00What's your name, Jack?
08:01Do you know your surname?
08:02No, no, no.
08:03Try and stay nice and calm for me, Jack, okay?
08:06All right, I'm starting to think.
08:07Yeah, okay.
08:08All right, let's get him onto his side, please.
08:10Okay, Karen, can you monitor airway, please?
08:12Okay, let's get a line in, and we'll get you four milligrams of razepam, okay?
08:15Jack?
08:16Okay, I'm with you.
08:18Okay?
08:20Witness for you.
08:22You ready with the day trip?
08:23Never.
08:25Charge it to 150, stand clear.
08:28Shocking.
08:29Rhythm change.
08:30We've got a pulse, but no spontaneous breathing, so, yeah, continue supporting his breathing
08:47with the BVM.
08:48Can we get, er, repeat obs, ECG, and VBG, thank you.
08:52I'm sure he's been in before.
08:54I recognise him.
08:55Yeah, er, he's been in a few times, apparently anorexia.
08:58I take it he's been referred to the relevant services.
09:01Anybody?
09:02Well, 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, Ubi's flight is on time.
09:16He'll be arriving after work.
09:20I told you I'd be there.
09:22It's up to you whether you want me to meet.
09:23It's up to me.
09:28Oh.
09:29Time to check, babe.
09:30Er, coming up to nine, another dose of blood isopam?
09:32Mmm, yeah, let's prep four milligrams, please.
09:35Okay.
09:37Hold on a second.
09:38Hold off, hold off.
09:39He's coming out a bit.
09:41All right.
09:42Jack, I'm just gonna get you onto your back, okay?
09:44Ooh!
09:45You're in Holby City, ED, and you're safe, okay?
09:48Ooh.
09:49Er, okay.
09:50Let's run bloods, do pain relief, and I want to get him booked in for CT.
09:54Okay, you get the pain relief?
09:56Yeah, he's, um, he's wearing a wedding band.
10:00Do you have anything else with him?
10:01Er, yeah, you have a jacket for...
10:04Sarah, can you take care of the bloods as well, please?
10:07Isn't that one of these things they give to people with dementia?
10:11They call it...
10:12I don't know if that makes sense that he was so confused.
10:15Here we go.
10:17Okay.
10:18There's something in the back of that.
10:20Peter and Jacqueline Garrett.
10:23Okay, yeah, so Jack's not him, it must be the wife.
10:25Yeah.
10:26There's a number here, do you wanna 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, then get someone else to deal with it.
10:33Yeah, that's fine, I'm good.
10:35Okay.
10:37Let's go.
10:38Let's go.
11:07Hey, darling!
11:08Walk straight on the left side.
11:09Mm-hm.
11:10Mm-hm.
11:11Walk straight on the left eye.
11:41Oh, fuck.
11:47You okay?
11:52Let's go.
12:01Keep moving.
12:11Hello, mate. Is this the one?
12:17Yes, this is Samuel, four to five.
12:18He's been involved in North creation.
12:20Okay, man.
12:21Hello, Samuel.
12:23My name's Jacob.
12:24Okay.
12:27Okay.
12:28I'm going to need more gauze.
12:30And I'll pack around the wound and keep the shank as still as possible.
12:32Okay.
12:33Let's do what's...
12:35She can't be doing anything.
12:37Assistant.
12:38She's training. Is that right?
12:39I don't have a problem with it.
12:41Okay.
12:42Let's get a line in.
12:44Shall I scratch?
12:50Good girl.
12:55You're in.
12:56So these guys are all booked in.
12:58This guy in this priority, though, yeah?
12:59Thanks.
13:01Okay.
13:02Okay.
13:03Careful.
13:03Careful.
13:05Big said you look like a haven of organisation, innit?
13:07I'm so glad I picked up a logon shift down here.
13:10You all right?
13:11Yeah.
13:11Sorry.
13:12Rita, did you get...
13:13Sorry, what room for one more?
13:14Oh, where?
13:14Exactly.
13:15I said I'd find her a space, but I need to be in Reese's or so I've got to go.
13:18No one's to be the next Eric.
13:19No, I hear that, but this is ambulance...
13:21Please, please, there is nowhere else.
13:23Thanks.
13:24Yeah.
13:24Um, okay, Oscar, can you check outside?
13:27Make sure no one's waiting.
13:29Hello, I'm Rita.
13:31Oh, have you, um, checked in at the reception?
13:33Yeah.
13:33Okay.
13:34Let's find you somewhere.
13:37A little bit more private.
13:39Yeah, we'll go here.
13:41Okay.
13:45Okay.
13:47Yeah.
13:48Why don't you tell me what's going on?
13:50I need that one and off the pill.
13:56It's all right, Rita.
13:56I'm just going to put your arms down by your side so you can go in this section.
13:59Kat again, you okay?
14:00No, no, no, no, no, don't do that.
14:01Don't do that.
14:02Please, let go.
14:03Peter, Peter, stop doing that, okay?
14:05Peter, I know you're scared, but can you just let go overarm, please?
14:08There we go.
14:09Let go.
14:11That's it.
14:12Okay.
14:13Okay.
14:13Okay?
14:14Can I go and give his wife a call, see where she's at?
14:16Okay, all right.
14:16You around?
14:17Yeah, no, he seems to be calm with me.
14:19Okay.
14:19Look.
14:20I want you to take a nice deep breath from me, all right?
14:23Let's breathe in through your nose, nice and slow.
14:26Right through your mouth.
14:28Okay.
14:29Now, look, I need to get you into this scanner so I can get you scanned and work out what medication to give you.
14:34I want Jack.
14:36Yeah, I know.
14:37I know.
14:37She's on her way and she'll be here, okay?
14:39I promise you.
14:42But for now, can I just move you really slowly into the scanner?
14:46Really slow.
14:49Yeah.
14:49Yeah.
14:50Yeah.
14:50Yeah.
14:51Let's do that, okay?
14:52Good man.
14:54You're doing really well, all right?
14:56You're doing really well.
14:57So, why don't you tell me what's going on?
15:09I 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?
15:27Last night.
15:27Last night, you had sex.
15:32And did you want it to happen?
15:35Yes.
15:36Yeah?
15:36This isn't...
15:37I'm not...
15:39It was with my boyfriend.
15:41Okay.
15:42Great.
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.
15:50I have to check.
15:52Lola, how old are you?
15:53Fourteen.
15:58My boyfriend is too, though, and we love each other.
16:03And we've been talking about doing it for ages.
16:06We just didn't know that condoms split that easily.
16:10So it was your first time?
16:12Yeah.
16:13Okay.
16:14Well, seeing as you are fourteen, I think it's best if we get a parent or guardian here for you.
16:21No.
16:22Please.
16:24My mum's just started working nights, and I don't want to disturb her.
16:28And it's my body and my choice, right?
16:30Mm-hmm.
16:31I don't want a baby.
16:34Oh.
16:35Oh, okay.
16:37Get it out, my love.
16:39There we go.
16:41Good.
16:42Better.
16:43I had a drink before we did it.
16:47But only one, though.
16:48This is what hangover's like.
16:51Don't think so.
16:52I'm just going to.
16:53Check your temperature.
16:56It's going to be a bit cold in your ear.
17:00Hey, what's going on?
17:02I've got really bad cramped.
17:04Okay, lean back for me.
17:06There you go.
17:07Whereabouts exactly?
17:09All over.
17:10Okay.
17:11Okay.
17:12Okay.
17:16That paracetal motion starts to take the aid off your pain.
17:18I've still got this one sticking around me.
17:20I'm afraid that needs to stay in until we get you to hospital.
17:23I'll need something to kick off sooner or later.
17:27There's a man that's the crown at his place.
17:29Right.
17:29That should hold.
17:30Uh, Indy, can you do another set of ups?
17:32Yep.
17:33I'm just stepping out, yeah?
17:34Okay.
17:37Me.
17:38Can you, uh, find out the best way out of it?
17:41Are you trying to know the job, then?
17:43Okay, we'll find back.
17:44Yep.
17:44You're fair, man.
17:45Must be so proud.
17:47Don't.
17:48Stop it!
17:48Ah!
17:49Ah!
17:49Ah!
17:50Ah!
17:54Wow.
17:55Indy!
17:55Ah!
17:59Okay, Peter, you're back in recess.
18:02Uh, Stevie.
18:04Yeah.
18:04These are Mrs. Sullivan's results.
18:07Okay.
18:08Okay, that's good.
18:09Yeah.
18:10Nebuliser's working.
18:11Alters are stabilising.
18:12Can you call the ward and get her moved as soon as possible?
18:14Yeah.
18:14Cheers.
18:15All right, Stevie.
18:16Yeah.
18:16That was Mr. Garrett's wife.
18:18Okay.
18:18She's obviously been worried sick.
18:20She's been to all his go-to places, including the D Centre across town.
18:23So she's over an hour away in public transport.
18:26No, he may not even have an hour.
18:28The CT showed chronic subdural, acute bleeding.
18:32If his ICP goes up, you know, he's going to come in.
18:35You know, it's going to be game over.
18:37Unless there's another way.
18:39About what?
18:39Well, if he was on any other medication, for example, like blood thinners.
18:42It's possible.
18:44Yeah, okay.
18:45Bloods haven't come back yet.
18:46Tell you what, do your rodent test.
18:47And call the lab.
18:49Flag of a surgeon.
18:50Thanks.
18:50I haven't got a lot of time.
19:05That's for me.
19:06It's not going to take a long time.
19:08So, she says it was a conceptual boyfriend, same age.
19:11Sounds like it was an accident.
19:13So...
19:13Okay, and you think she's gimmick constant?
19:15You're certain she has the capacity to make the decision herself?
19:17Yeah.
19:18I took her temperature.
19:19She seems mildly pyrexic as well.
19:21So, she's been drinking?
19:23Well, she says she only had one.
19:24I think there's something else going on.
19:26Her abdomen seems especially sore.
19:29Okay.
19:29Where is she?
19:30Oh, just there.
19:31Uh, right, can I get a screen?
19:33Yeah.
19:33Absolutely.
19:35Lola.
19:36Hey.
19:37So, this is Dr. Massam.
19:39Is he giving me the prescription?
19:41We're just going to make sure you're okay first.
19:44Uh, nurse, I'm answered 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.
19:52Do you mind if I examine you?
20:01There's no chance you could be pregnant already?
20:03No.
20:04Absolutely not.
20:05Okay.
20:05Hello, do you remember when I said we've got to check everything?
20:08Yeah.
20:09Okay.
20:09Thanks.
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.
20:20And I can sort your prescription?
20:21Yes, please.
20:23But I'd like to do some tests first.
20:28Okay.
20:31Thanks.
20:31Uh, Rita?
20:32Yeah.
20:36You were right to be worried.
20:38Her abdomen is quite sore.
20:40She's showing clear signs of sinusitis, right?
20:42Uh, yes, but we need to do some tests before we diagnose.
20:45So, uh, let's do, uh, some routine bloods, um, a urine dip, an ultrasound scan.
20:50Just give her one gram of IV paracetal for the pain, please.
20:54Well, I guess Dr. Byron is sticking to his plan, even after last week.
20:58Yeah, looks like it for now.
21:00How's Tariq?
21:02Uh, he's in Dubai, planning his future while we are a doctor down.
21:06Look, I know it's difficult, but everyone's pitching in, we're a team.
21:10A team?
21:11Yeah.
21:17Some of us are.
21:18I've got to get to another patient.
21:21Um, uh, Rita, could you, uh, do a surgery referral on my behalf, please, for Lola,
21:24query appendicitis, and get her up as soon as we can?
21:27Try in my hardest.
21:28You okay?
21:29Yeah.
21:33Okay.
21:33I didn't mean, I'm sorry, is he all right?
21:43Yeah, yeah, yeah, it's all okay.
21:44Look, he said it was his fault.
21:46He said his hand slipped.
21:49Is that right?
21:50Yep.
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 where you choose.
22:00No, Jacob, it's fine.
22:01No, no, no.
22:01No, no, no, no, 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 bleed.
22:06Mate, you need to keep still so I can give you something to slow the bleed.
22:08I can't!
22:09Well, you listen to us.
22:10Because we're trying to save your life.
22:12Live still.
22:16Thank you, Daryl.
22:17Let's get pressure on this.
22:23There you are.
22:26Right, Peter, again, it's rotum test.
22:27You're right.
22:28Prolonged clotting, which matches the clotting test we sent off with this blood's earl.
22:31Yeah, yeah, yeah. He's on, uh, he is on blood thinners, a pixaban.
22:35You know?
22:36No, no, they won't operate with his condition.
22:39Um, is his wife on her way?
22:41I don't, I don't know.
22:42Okay, look, tell you what, uh, give her a call, get her to jump into your cab and I'll cover it, whatever you've got.
22:47That's really kind of you.
22:49I just want to buy him some time, get on top of this bleed.
22:52We need a reversal.
22:53Yep.
22:57Hey, Flynn.
22:58Yeah?
22:59I'm Dexanet Alpha.
23:01What about it?
23:02I need it for a patient.
23:04For whom, exactly?
23:06It's a subdural bleed in resus, but full disclosure, it's not looking good.
23:10Well, how long?
23:12I doubt he's gonna 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.
23:18Thousands of pounds to buy you time, I can't do it.
23:21They need to say goodbye, that's important.
23:23Well, look, if it doesn't increase his chances of survival...
23:25Oh, hold on a second.
23:26No, our job's not just about chances of survival, it's also about quality of care, you know that.
23:30Stevie, 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.
23:41No. No, we really don't, because this is not about my tough time, it's about their tough time.
23:46I thought you'd get it.
23:53Are you sure you're happy in the back?
23:54Absolutely.
23:55Now, you know we can put up at any point.
23:56Jacob, I've got this.
23:58Alright.
23:59I need to change that cannula.
24:03Indeed.
24:04No, Dad.
24:05I'll need you to keep that on.
24:08Yeah, well, can you get it here as soon as possible, because I can't stress how urgent this is.
24:20Okay, thanks.
24:26Guys, can I just grab you for a second?
24:27Look, I just wanted to make it clear that now this is just palliative management, so keep the pain relief going.
24:34He's getting close, so I think now's the time to move him.
24:38So let's clear next door, get it set up, and we'll make it as peaceful as we can.
24:42Yeah?
24:44Do you want to deal with it in the next door?
24:48Peter.
24:49Oh.
24:50Hey.
24:51I'm going to leave you somewhere quieter, okay?
24:53And Jacqueline's on our way.
24:55Yeah.
24:56Yeah, 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.
25:06Fingers crossed, eh?
25:07Our new boss might be right, you know.
25:09Could well have cleared this place by lunchtime.
25:11Only if it's a late lunch.
25:13I 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?
25:27Yep, they could not have been less helpful.
25:29Really?
25:30Some junior locum, Mr Leach, he queried possible gastroenteritis,
25:34and when I told him it's unlikely, given the symptoms she's presenting, I dismissed it completely.
25:39Do you want me to escalate it?
25:40Ah, no problem.
25:41We're gonna handle him.
25:42Okay.
25:43Why is it saying bloods are still pending?
25:46It's been ages.
25:48Come on!
25:51Okay, thank you.
25:53Yeah, what's up?
25:54Uh, could you just...
25:55Talk to Byron.
25:57Is everything all right down here?
25:59Yeah.
26:00Why wouldn't it be?
26:01Well, I've just received a call from haematology about an andexonate alpha request.
26:06Do you know about this?
26:07Uh, I know, I know the case.
26:10Yeah.
26:11Tough one.
26:12May I see the notes?
26:14Why?
26:15It has absolutely nothing to do with surgery.
26:17No, but any drug costing more than 10k requires a broad approval sign-off.
26:21It's not a small amount of money.
26:24I don't have the notes to hand.
26:26Right.
26:27Well, maybe then you could tell me what the patient prognosis is.
26:32Poor.
26:33Right.
26:34I'm glad I came down.
26:36We can't justify this kind of spend.
26:38What do you mean, we?
26:39This is my budget.
26:40We still have to answer to someone.
26:42Yeah, if this is about Mr. Garrett, I can explain the problem.
26:44No, no.
26:45You do not need to justify your clinical decisions.
26:47In this case, she does.
26:49Not to me.
26:50The staff down here, my staff, are doing the best they can by their patients, I can assure
26:55you of that.
26:56And if Dr. Nash feels this drug provides the best possible care, then I agree.
27:00Well, you might, but I don't.
27:02Then I am more than happy to go over your head if that's what it takes.
27:06This patient needs reversal immediately, and we are going to make sure that he gets it.
27:12Well, if this is the way you want to run your department, let's see how my fellow board members look upon this.
27:19Thanks.
27:20Is this the pre-alert?
27:21Yes.
27:22Is there anything else I need to say?
27:23Obs is deteriorated.
27:24Rest was 24.
27:25Sat's 97 on high flow.
27:26BP's dropped 84 over 56.
27:27He's tacky at 128.
27:28GCS 13.
27:29External readings controlled.
27:30Ready?
27:31Yep.
27:32One, two, three.
27:33Lift!
27:34He's had one gram of IV paracetamol, one gram of TXA, and five milligrams of morphine.
27:37Thank you very much.
27:38Okay.
27:39Let's get that monitor as soon as we can.
27:40He has another large ball cannular.
27:41Let's cross match four units, and have two units.
27:42Ready?
27:43It's fine.
27:44It's fine.
27:45Okay.
27:46Let's get that monitor as soon as we can.
27:48Ready? Yep. One, two, three, lift!
27:53He's had one gram of IV paracetamol, one gram of TXA and five milligrams of morphine.
27:58Thank you very much. Okay, let's get that monitory on as soon as we can.
28:03He has another large ball cannula. Let's cross match four units.
28:07I have two units. Ready?
28:08Type specific. Can we book an urgent CT?
28:11So sorry about this. Do you know what? The lab promised me that these are going to be fast-tracked.
28:23Okay? There we go. Look at that! You're doing so well.
28:33No, I'm not. I messed up. You didn't.
28:38You know what's happening? Are you feeling sick? The pain in your stomach?
28:43It's got nothing to do with last night. No.
28:46No. Well, we've got to wait for the results, but we think it might be appendicitis.
28:51That's serious, isn't it?
28:53Yeah, it can be if it's not caught early.
28:56Will I need an operation?
28:59Yeah, most likely, but I think let's just wait for the results to come through.
29:05I can't do this by myself. I know I said I could, but I can't. I want my mum. Can you call her, please?
29:14Yeah. Do you know what? I've actually got a little confession to make.
29:18I've already called her. I had to, as soon as we thought it was appendicitis. I'm sorry.
29:24It's okay. Is she angry?
29:26No. No, not at all. She just wants to make sure that you're okay. She's on her way now.
29:34Hey, I was expecting Mr. Leach.
29:37He's already made his diagnosis, but seeing as you're so keen on her second opinion, is this the patient?
29:42Yes. Lola is presenting acute pain in her right iliac fossa.
29:47Bloods?
29:48Resending now.
29:50Is everything okay?
29:51I don't know how you can expect us to do our jobs if you can't even do yours.
29:53Hang on a minute.
29:54I don't need the results to let you know it's definitely not gastroenteritis. It's appendicitis.
29:59Who says that nurses don't want to be doctors?
30:01With all due respect...
30:03I don't want to be a doctor, actually. I just want to be taken seriously when I tell you my patient is very sick.
30:09Well, go on then, Mr. Evans.
30:11Let's give her some privacy.
30:22Hi, Lola. May I examine you?
30:25Okay.
30:28Shouldn't take long.
30:30Sorry, this might be sore, Lola.
30:36Yeah.
30:40Guarding in right iliac fossa, maximal tenderness at McBurnie's Point.
30:44Yeah.
30:45Like I said, she needs to be transferred upstairs because she needs surgery.
30:51Unless you're still not going to listen to me.
30:53Are you prepared for her to get sepsis down here in a very busy ED?
30:57Of course not.
30:59Make the necessary arrangements for the patient's transfer.
31:07Right, so 800 milligrams at a rate of 30 milligrams per minute.
31:11Then we'll step down to 8 milligrams per minute over 120 minutes.
31:16And we'll keep the old school and make sure that there's no side effects.
31:19Are we good?
31:20Yeah, righty. I'm just going to flush his counten your legs. Okay?
31:23Yeah.
31:32All right.
31:34Hopefully this will buy us a bit more time.
31:48Charlie, she should be here by now.
31:52I can stay if you want.
31:55No, no, no, it's fine.
31:56I'd like to stay with them if that's okay.
31:58Yeah?
31:59Yeah.
32:00Okay.
32:01Mr. Redman will look after you now.
32:13And I'll get your mum to meet you upstairs.
32:15Did you tell her?
32:17You know, about the other thing?
32:19Nah.
32:20That bit's up to you.
32:25Mr. White Lord doesn't hold grudges, does he?
32:27I hope not.
32:30Hey, come on.
32:31I'm just so fed up with having to prove myself, Danny.
32:34I just want to be able to do my job, you know?
32:36You just did.
32:37And if people don't appreciate that, then...
32:41Stop.
32:42Stop.
32:48Are we two together, then?
32:49Um, we haven't put a label on it.
32:54Fuck.
32:57Just hang in there, Peter, okay? Not long.
32:59Peter, if you can hear me, just hold on a while longer, okay?
33:03She's on her way.
33:04Just...
33:06Just a wee while longer.
33:07Uh...
33:10Uh...
33:14Here we go.
33:15I'm so sorry it took so long.
33:17It's just the traffic and...
33:18It's okay.
33:20Is he still?
33:21Yeah.
33:22Yeah.
33:23Oh, thank God.
33:25Um, his records show that he has a DNR, please?
33:29That's right.
33:32Will you be able to hear me?
33:34Yeah.
33:35Yeah, I'm sure he will.
33:39He did it.
33:41Hi, love.
33:43I'm here.
33:45We're together.
33:48You're not alone now.
33:50You don't have to worry about anything anymore.
33:57How lucky we've been, eh?
33:59You made sure our life was full of joy.
34:05I love you.
34:08Always have.
34:12Always will.
34:13Bye.
34:15Bye.
34:16Oh, my God.
34:46Yeah, can you put some music on?
34:49What's up, Mindy?
34:50Hey!
34:52I thought you'd love it.
35:16I 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,
35:57to sit with him for as long as you need.
35:59And thank you for everything you did today.
36:03I didn't...
36:04I 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.
36:16Oh, fast.
36:22Mm-hm.
36:23Me too.
36:26Yeah.
36:27Yeah, I figured.
36:30I'll, um...
36:31I'll let them know that you're happy to have him moved, OK?
36:32Our latest obs, please.
36:45We 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, because that's going to push them to the back of the queue.
37:02Follow up with psychiatric and diet nutrition directly,
37:04explaining them what's happened.
37:05And you think that'll make any difference?
37:06It'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...
37:13Oh, 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.
37:29You OK?
37:43Yeah.
37:44Yeah.
37:44Uh, look, I really appreciate what you did, I do.
37:47But you do know I can fight me on battles.
37:50Yeah, we have met before, Stevie.
37:53Look, it's not about one patient, anyway.
37:55It's about the whole department.
37:56I'm not going to let anybody just walk all over us.
38:00OK.
38:01That's more like it.
38:03Hey.
38:04Any word on our asthma patient,
38:06the one who went up to her respiratory?
38:07No, not saying.
38:09But your patient with the wound on her arm...
38:11Yeah.
38:11She had a cardiac arrest in there, apparently.
38:13What?
38:15But she wasn't showing any cardiac signs.
38:17Yeah, it's just one of those things, I guess.
38:24You moved your stuff out of our room.
38:28I saw before I came to work,
38:30Obi will be here tonight, what else could I do?
38:33You said, well, we're going to keep talking.
38:35Well, this isn't about us.
38:37Look, I just need...
38:38I want Obi to settle in properly.
38:41At home, at school.
38:42I want him to be happy.
38:43And he won't be if he finds out his mum's a rich and lesbian.
38:46OK, look, I don't like having to pretend they were flatmates, but...
38:49In Nigeria, that's how it would be.
38:54Look, I understand if you want us to move out in the meantime.
38:58I get it.
39:00Are you ever going to tell him?
39:02I hope so.
39:04When?
39:07Look, I just want us to get to know each other again.
39:09If I can help him understand who I am.
39:15What makes me happy?
39:18That's you, by the way.
39:22Look, I just need to be mum again for a little while.
39:24Nothing has to change.
39:27I just...
39:28I never thought I'd be someone's guilty little secret.
39:32I never know.
39:36That might be fun.
39:39What, sneaking around?
39:41The flat doesn't have a bake shed.
39:44You'll have to meet us by the bins.
39:45Oh.
39:45Hmm.
39:46Yeah, well, beggars can't be choosers.
39:49Come on.
39:50Better get back.
39:50Can't leave Angelina on her own for too long.
39:52All right.
39:57You win.
39:59Sneaking around might have its perks.
40:04How's it looking?
40:06Ah.
40:07Don't tell me.
40:08I can't help.
40:10Okay.
40:10It's still an uphill struggle taking patients upstairs.
40:13What about transfer services?
40:15I'm trying.
40:16The whole nursing team have been trying.
40:18Oh, okay.
40:21Well, let's see what they say when the boss calls.
40:26Hi.
40:26Yeah, Dr. Byron, ED clinical.
40:28Can I speak to the duty manager, please?
40:30You nearly done.
40:33Few of us are heading to the anchor.
40:35How did it go with Lully Cook?
40:38Oh, 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.
40:46Any 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.
41:03And, you know, I think we could do with someone like you on our team.
41:08Sorry?
41:08There's an opening from 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.
41:25I realise that down here has its limitations.
41:28But with surgery, you get adrenaline and authority.
41:32Does that sound good?
41:33I don't know what to say.
41:35I don't believe that for a second.
41:41Yeah.
41:43Good.
41:46Right.
41:47Prepare for movement in the corridor right away.
41:51What's all this about?
41:52I'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.
41:59It's just the calibre I need upstairs.
42:03Oh, and whilst I'm here,
42:05I had a word with the board about your decision earlier.
42:07And they're very keen to keep a close eye on your spending.
42:11Starting with a freeze on your agency nurse budget.
42:15What?
42:16Do feel free to contact the board if you have any issues.
42:19I look forward to your application, nurse Oman.
42:21Welcome to the dark side.
42:46Busy once a day.
42:47Aren't they always?
42:49Fancy going to the anchor for a couple.
42:52Sorry, I promised Teddy I'd join him at the gym.
42:54Aww.
42:56Indy?
42:57Hmm?
42:57Well, it's either that or I'm home alone
42:59watching Sort Your Life Out with a Ping Meal.
43:02My shout!
43:03I'm actually on the early tomorrow.
43:05Sorry.
43:07Stacey Solomon it is, then.
43:09You can buy me a label maker for Christmas.
43:12Sorry, Jan.
43:15You know, you did what at the present?
43:18Yeah.
43:19Yeah.
43:19You kept your cool.
43:21You focused on the job.
43:23And that isn't easy sometimes.
43:25You say that again?
43:26Trust me.
43:27You will make a great power.
43:28No doubt about it.
43:30Just don't overthink it.
43:31Hmm.
43:32Alright?
43:33Alright.
43:33See you tomorrow.
43:34See ya.
43:34Um, Maria, are you okay to let the porters know that he'll soon be ready for mortuary?
43:53Maria, are you okay to let the porters know that he'll soon be ready for mortuary?
43:58Thanks.
44:20Bye, Peter.
44:24I really hope you weren't scared.
44:49Hey.
44:50All you did was really thoughtful.
44:52Oh, yeah. I'm a little insane.
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. You can join in the family debate.
45:03Horror versus rom-com.
45:05Ain't always sports for a rom-com.
45:06Ain't always sports for a rom-com.
45:07Yeah, 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.
45:18Yeah, I know. Thank you.
45:19Not taking any chances with you, are they?
45:32Not many get a private room.
45:36You all right, Dad?
45:40I didn't expect you to...
45:41No, me neither.
45:42Look at you. Bossing all this medical malarkey.
45:48You missed Nala's funeral.
45:51I know.
45:53I was all dressed to go.
45:55But when the time came...
45:58I just couldn't face it.
46:05Is that why you stopped visiting?
46:07I just didn't like being reminded that you chose 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.
46:17So what are you doing here, then, hmm?
46:19If you can't stand me?
46:20I don't know.
46:22Honestly, I don't.
46:25I don't know if it's my job, like,
46:27just seeing what matters to people when they're sick.
46:32You.
46:35You're all that matters to me, Indy.
46:40This isn't me excusing anything you've done.
46:44But...
46:45If you want some company...
46:49Serious?
46:55Yeah.
46:59Yeah, I'd like that.
47:00You're alone.
47:02I'm all here.
47:04I don't know.
47:06I love you.
47:08You're too.
47:10I'm sorry.
47:12I don't know men.
47:13I'm sorry.
47:14You're too.
47:15I'm sorry.
47:17I'm sorry.
47:19I'm sorry.
47:21You're too late.
47:22You're too late.
47:24You're too late.
47:25I'm sorry.