S43 E07
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TVTranscript
00:00Oh, the line!
00:03Goddammit!
00:04I didn't have I asked you to look after her!
00:06She's gone, Flint!
00:07Take your hands off me!
00:13You should go home.
00:14Not sure you're any use to us here.
00:16If we continue to breach our response targets,
00:20then we will be back under a performance review by the directorate,
00:24and none of us want that.
00:28He just has high standards.
00:29And he's hard on the people who don't meet them.
00:34Oh, my God.
00:35Here, let me help you.
00:37The cyst has grown considerably,
00:39and it's blocking the bowel.
00:40I need to free it before it becomes necrotic.
00:49You've got to keep your emotions in check.
00:52The patient needs our best,
00:54and that starts the moment we scrub in.
01:03Stevie.
01:05Last check-in before we get going.
01:07How are you, Ferry?
01:09Soon you're going to knock me out the batter, okay?
01:11Understood.
01:12And do you have any questions or concerns?
01:14Um...
01:15Well, I need a... a stoma?
01:20I don't think that's likely.
01:22As I said, plan A is keyhole.
01:24Unfortunately, Miss Rowland isn't available, so...
01:27we have to act quickly.
01:29Restore the blood supply.
01:30Trust me, Stevie.
01:32We'll take excellent care of you.
01:34Rita, thank you.
01:36Okay.
01:37Stevie, when you're ready,
01:38the anaesthetist will get you off to sleep.
01:40Rita?
01:41Yeah?
01:42Do you mean a favour?
01:43Yeah.
01:44Just, um...
01:45Do not leave my side.
01:46Make sure I come back in one piece.
01:47Absolutely.
01:48Doctors are the worst patients.
01:49You'll do just great.
01:50Okay.
01:51Nice deep breaths for me.
01:52In.
01:53And out.
01:54Backwards from ten.
01:55Good.
01:56Good.
01:57Good night.
02:20Good night.
02:50Good night.
02:51Good night.
02:52Good night.
02:54You're up, everyone.
02:55Good night.
02:56Good night.
02:57Good night.
02:58Good night.
02:59Can you just follow me?
03:00Dylan?
03:01Head injury.
03:02Clearly loss of consciousness.
03:04Just the walking wounded left now.
03:06And the sitting ones.
03:07I'm finding my riding cubicles.
03:09I'll be down in a couple of minutes.
03:10Okay.
03:11was that leaner hasn't it yeah we did everything we could um how's stevie terrified i expect
03:24okay it's dead yeah how about some help here that's enough disrespect will not get you seen
03:30any quicker sorry i am fresh out of classitudes i need to go home get some sleep
03:36hey i heard things were bad but yeah i went from a vigil to a full-blown riot hell is she strong facing things i don't
04:06thank you very much just a bit of coffee with my sugar
04:11you okay more hoops to jump through they want details of every instance we breach our response
04:21times for each category brilliant just brilliant have i missed something performance review starts
04:28today what's that monitoring us our response times as well as rather dan they're not blaming jan are
04:37they management loves a scapegoat that's so unfair so when we put the patients in the right categories
04:44we need to get the ambulances there within the category times or it's jan's head on the block
04:47yeah i'm in at service it's patient breathing
04:53hold the camera please
04:58must be the johann's nurse man
05:01let's get a better angle
05:17it's more complicated than i anticipated
05:28we're going to have to convert
05:32prep for a midline incision
05:35can we not stick to keyhole
05:37i need a clearer view
05:39more light
05:40your morning coffee
05:51bit ahead of schedule
05:53thank you
06:02i really thought there would be an update by now
06:04yeah
06:05no news is good news
06:08i don't think that applies to emergency surgery
06:12yeah
06:13probably not
06:15what a weirdo
06:21it's going to be hours before she's awake
06:23no i'm not going to do that
06:24i won't leave her
06:26i can't
06:27the mass seems to involve the dome of the bladder and the sigmoid loop
06:33i'll transect the small bowel and colon
06:36get a better look
06:38linear stapler
06:40and fire
06:53thank you
06:56i need to consult miss roland
07:06how bad is it
07:09the mass is entangled with the pelvic organs
07:11it's very invasive and most likely cancerous
07:15i'll be right back
07:17much worse than anyone could have predicted
07:23what happens now
07:25it's mr weightlough's call
07:26we just follow his lead and
07:29do our best for her
07:32ambulance service is patient breathing
07:41yeah he is
07:46and what's the address to the emergency
07:48uh his flat in silverton
07:50uh three riverstone buildings
07:52and becca
07:52okay
07:55is the patient conscious
07:56he's locked himself in the kitchen
07:58can you tell me exactly what's happened
08:00uh jay was supposed to cook me dinner
08:02and when i got here he was okay
08:04but then he got sweaty
08:06he started shouting
08:07seeing things that weren't there
08:09right does jay have any medical history
08:12we need to be aware of
08:13we just met a few weeks ago
08:14i can ask
08:15only if you think it's safe
08:17jay
08:20are you okay
08:21no no no no get back
08:22you can't come in here
08:24i don't know what to do
08:25what do i do
08:26so help has been arranged for you
08:29um do you think that jay could hurt himself
08:31or anyone else
08:31i don't know
08:32um
08:33what's wrong with him
08:35from what you described it sounds like
08:36you could be having a psychotic episode
08:38so we are sending the next available ambulance
08:40but if anything changes or gets worse
08:42you call us back immediately okay
08:43amulet services patient breathing
08:52miss roland is in agreement
08:55given the position of the mass
08:57and that it's infiltrating multiple structures
09:00we have to perform a hysterectomy
09:02no is there anything else we can try first
09:09i wish there was reader
09:11it's tough
09:13but this gives stevie
09:15her best chance
09:17indy
09:22it looks like your mental health cat 2
09:24is about to breach in 18 minutes
09:26seriously
09:26no i'm still miles away
09:28nothing we can do about it
09:30you say that
09:32mood change is out of nowhere
09:35hello i'm blue services at patient breathing
09:37hi becca
09:48this is the ambulance service calling back
09:50hey
09:51he's much calmer now
09:53i don't think he's gonna hurt himself
09:54great um
09:55just a quick question
09:56do you think you could have taken something
09:57it would explain the sudden onset
09:59i don't know
10:00i'll ask
10:01jay
10:07did you take anything earlier
10:09it's important
10:11um
10:15yeah
10:17steroids
10:18took some before you came round
10:20he's on steroids
10:26took some before our date
10:28okay cool
10:36thanks for checking
10:36if anything changes
10:38or gets worse
10:38you call 999
10:39and we'll be with you as soon as we can
10:41it's all good
10:46it's downgraded
10:47what's that
10:49um
10:49she called back
10:50accidental overdose
10:51another whole hour
10:54great save
10:55dr liva
11:01i want you to ease and squeeze
11:04swab
11:08you've caused a bleed
11:10so sorry
11:12it's easily done
11:13it's easily done
11:18a little tired
11:20on an edge
11:20still some oozing
11:25swab stick
11:26steady
11:30steady
11:30two ovicle
11:33dr piper
11:37you'll need a suture
11:46in the area where the clip was
11:50there
11:52three throats of vicaral
11:57keep you not square
11:58all right
12:02all right
12:02this is how we got a plastic surgeon on our hands
12:04learn to be fast now
12:07you can learn to be good later
12:08mistakes happen
12:22but we handle them together
12:24good work both of you
12:26thank you
12:28go ahead jody
12:35where have we got
12:35uh possible steroid induced psychosis
12:37with some embedded glass
12:38uh sorry
12:38can i have a quick word for you
12:40um i believe
12:41uh dr massoon's waiting for you
12:42i think i asked you very politely
12:47to go ahead
12:47yeah yeah you did
12:48um
12:49look i'm sorry dylan
12:51what i did in recess was completely on myself
12:53there was literally nothing more we could have done
12:54yeah i know
12:55i know
12:55it's really word on stevie
12:58no nothing for me i will text you
12:59okay
13:00listen we're taking some heat on social media
13:03it's just noise isn't it we're doing everything we can
13:05nonetheless i want to stick around
13:06okay just just help out the team
13:08okay well what they need is practicality rather than theatricality
13:11understood understood
13:12where do you want me
13:13stay out of resource
13:15yeah
13:16and certainly stay out of my way
13:17okay
13:21okay
13:22the mash is free from the bow
13:25let's get it out of her
13:29no visible disease remaining
13:38the hysterectomy is complete
13:41not our usual territory
13:46we've done well
13:48let's take a beat
13:50before we close
13:59we've got to make sure that there's no active bleeding
14:02you okay to retract
14:03yeah
14:04see what we got
14:09sorry
14:10no major bleeders
14:22no major bleeders
14:22cauterize the tissue margins
14:28and flush the area
14:32okay ready when you are
14:37okay team
14:41let's trenage strongly
14:43fiber
14:45so is this like
14:51breed rage
14:52it's more intense
14:54from the higher dosage
14:55excuse me
14:56we'll need to do a blood test
14:58and an exam to confirm
15:00plus we'll do an x-ray of jay's hand
15:02he smashed some stuff
15:03i didn't realize he was hurt
15:04right can you give us your surname
15:06date of birth
15:08we met online
15:12he's a pisces
15:14if that helps
15:15it's to access his medical records
15:19no that's private
15:21right so you can hear me
15:23jay can you tell us what steroids you took
15:25okay let's keep him calm
15:28repeat bp in 15 minutes
15:30let's do an ecg
15:31and take some floods
15:32um fbcs use an ease
15:33lfts and a ck
15:35okay
15:35keep steady
15:38i need to be precise
15:41we've nicked the iliac
15:45suction now
15:47swab
15:47swab
15:48another swab
15:54it isn't a minor bleed
15:55what are you doing
15:58i need to keep count
15:58sorry
15:59quiet
16:01quiet
16:02concentrate
16:04give me 4-0 proline
16:07now
16:08come on
16:12it's keeping
16:13look
16:17if you're going to faint
16:18fall backwards
16:19put your finger
16:21there
16:22next to mine
16:22okay
16:24pressure
16:25retractors
16:28yeah
16:32for christ's sake
16:36you're a liability
16:37sorry
16:37just get out
16:39out
16:40stevie
16:42promised her
16:43that i would stay here
16:44so
16:44promise to sabotage
16:45please now
16:46leave now
16:46it's okay
16:50i've got this
16:50go on
16:51yeah
16:53sorry
16:54get me a confident scrub
16:56nurse
16:57and a major
16:58and a major
16:58vesco
16:59to set
16:59yes
17:11i'm in a service
17:26it's a place you're breathing
17:26i'm in a service
17:40it's a place you're breathing
17:40yes
17:41but i feel really dizzy
17:43it's mary
17:45i work nights at the megamart on hazel road
17:49my manager says i'm a hypochondriac reckons i'm trying to skize
17:55i didn't know who else to ask
17:58okay
17:59is the dizziness constant or does it come and go
18:01pretty constant for the last hour or so
18:04what should i do
18:06i can't lose this job
18:08okay so i'm organising help for you now
18:11i just need to get through a couple more questions
18:13go on love
18:14okay
18:15do you have any other symptoms
18:17i'm tired
18:18even sitting down
18:21okay yeah night shifts are the worst aren't they
18:25you just hang in there okay
18:26um any other medical conditions we need to know
18:29i feel better already knowing you're on your way
18:32amazing
18:33um demand is high in your area
18:36but we do aim to be with you as soon as we can
18:38if anything gets worse or changes in any way just call us back yeah
18:41it's still bleeding
18:51one more go
18:53well that seems to have done it
19:05calm is restored
19:08it's amazing how quickly it all shifts
19:12well that's the nature of surgery
19:15it's all about finding balance
19:17your own calm
19:19in all the chaos
19:20yeah
19:28it's difficult
19:29knowing you put a patient through life-changing surgery
19:32which is not just a patient
19:34the position of the tumor
19:37added significant risk
19:38and you performed incredibly well
19:42under immense pressure
19:44brida
19:58uh i'm looking for jody
20:00is she around
20:01uh she's with a patient
20:03how'd it go
20:03stevie out of theater
20:05i had to leave
20:07uh are you
20:08are you okay
20:09look i i get it
20:12um treating someone you know it can be difficult
20:14i'm
20:15not that
20:17um
20:17do you want to go somewhere
20:22talk
20:23oh rash
20:24oh rida
20:25any news
20:26i uh
20:27need to get back guys
20:29mr whitelaw he's not making you stay on
20:30i'm just gonna um
20:32make sure that she's okay
20:34she um
20:35she had to step out
20:37i'm supposed to know
20:37stop stop
20:59stop
20:59I don't know.
21:29Man trouble.
21:45You all right?
21:46You look terrible.
21:49Rich coming from me, I know.
21:52It's been a very, very long shift.
21:56Must be new.
21:58I haven't seen you before.
21:59Are you here often?
22:01More stitches than a patchwork quilt, me.
22:05I'm Cara.
22:06I'm Rita.
22:07Is it OK to get me some more pain relief, Rita?
22:09My side's a bit tender.
22:12Have a look.
22:13OK, you had an acetic drainage.
22:16A before and after pics are pretty impressive.
22:19Lost £10 in one sitting.
22:21That's got to be a relief.
22:23Yeah.
22:24I almost feel human again.
22:27Mind if I have a look?
22:31All right, I'll try not to hurt.
22:33Mm-hmm.
22:36Yeah, I'm gonna speak to a doctor, see if we can't give you a bit more pain relief.
22:42Thanks.
22:43Appreciate it.
22:48Back in a sec.
22:50Don't go anywhere.
22:51Look, if you're feeling OK, we'll send you the results.
22:53We'll be good to go.
22:55Oi!
22:56I said all his nags.
22:58All right, Mr McIntyre, just take it easy, would you?
23:00We're waiting for the results of your x-ray, then we'll give you a shower.
23:02We'll take a seat.
23:05Charming.
23:06Charming.
23:07Anywhere on stage?
23:09Mr White, I wanted to let you know she is stable and in recovery.
23:13Great.
23:13That is great.
23:15I mean, kind of a straightforward process, right?
23:17Yeah, there was some challenges, but we navigated them well.
23:21OK.
23:21All right, I'm gonna let see you know.
23:23Thanks, Nicole.
23:25Dr Maston, thank you so much for staying on.
23:27I really appreciate it.
23:28Look, I'm back if you want to...
23:29I'm reviewing your patient.
23:30Yeah, sure.
23:32I mean, whenever you're ready.
23:33Listen to me, haven't I?
23:35Stevie's at a theatre.
23:37She did OK.
23:38So I was gonna get a card or something and leave it on the reception everyone could sign.
23:44Yeah, I'm not really buying it.
23:48Buying what?
23:50This.
23:50The whole compassionate leader act.
23:54You attacked Dr Keo.
23:57Rash.
23:58I...
23:59Look, I found Dr Keo and I apologised.
24:02You apologised.
24:03You...
24:03Great.
24:04Great.
24:04So, problem solved.
24:05Jay.
24:14Jay.
24:15Jay.
24:16Jay, can you hear me?
24:17Can you hear me?
24:18Jay, your blood results are back and your inflammatory markers are significantly raised.
24:23Can you please tell me what steroids you want?
24:26Does it matter?
24:27Yeah, it does.
24:28Your blood pressure's already high.
24:29The wrong treatment.
24:30It could be dangerous.
24:34Hey, come on.
24:35Don't make this harder.
24:36I'm sure you'll put Becca through enough tonight.
24:41Hmm.
24:43Prednis alone.
24:44I've been having a flare-up of my Crohn's.
24:49You can't tell her.
24:51Um, okay.
24:53Um, how many did you take?
24:56Um, a week's worth.
24:58I didn't want to give her a reason to cancel.
25:00I like her, like her, you know?
25:01Okay, well, we'll give you some diazepam for the agitation.
25:08We'll slowly tape you off the steroids.
25:11Thanks.
25:13You should talk to her.
25:19I hope your muscles relax.
25:21Then Lily Luck will just be able to slide it back into place.
25:24It's about time.
25:26My mate's finna lock it and I'll be playing serious catch-up.
25:29How'd you get the injury?
25:30No comment.
25:32It's like you were an individual, huh?
25:34That's not the word I'd use for it.
25:36No?
25:38Do you even know what it was for?
25:39Oh, does it matter?
25:41Message received, yeah?
25:45Well, we're nearly done here, so you might feel a bit of resistance.
25:49It's not my first rodeo.
25:50That's great.
25:51Okay, good man.
25:52One, three, one.
25:53Oh!
25:55Sorry.
25:57Can't you count?
25:58I'm sorry.
25:59This is not the only one they're paying attention today.
26:04Lena Haslip and Carly Wilson had the two girls that died, and the vigil was for them.
26:09I'm supposed to cry now.
26:11I've made my ways.
26:14One audience, mate.
26:15Yeah, we're not done here, buddy.
26:17You need an x-ray.
26:18Yeah, it seems fine to me.
26:21Look, I think we should get an x-ray.
26:22Just check everything's in the right place.
26:25My place is in the pub.
26:30Keep up the good work, Doc.
26:31Hey.
26:43You're awake.
26:46Can you take ops for me?
26:50Thanks.
26:50I'm...
26:52I'm gonna head off now.
26:55Take care, yeah?
26:56Um, is it okay if I, um...
27:00Can I call you later?
27:05Don't want to be harsh, but maybe not.
27:08I think you're great, but I'm just looking for something genuine.
27:12Me too.
27:14I don't...
27:16Um...
27:21I've...
27:23I've got Crohn's disease.
27:34They're not...
27:36Steroids, steroids.
27:37They're...
27:38They're prescribed by my doctor.
27:40I just, like...
27:42I took too many.
27:46I just...
27:46I...
27:47I wanted tonight to be different.
27:50Different how?
27:53The menu I planned...
27:54It was to stop my guts exploding.
27:59You didn't have to hide that from me.
28:02Tonight...
28:02I...
28:03I just wanted to be with you.
28:06I make everything awkward.
28:12Awkward's totally my vibe.
28:15Hey, his heart rate's normal now.
28:17Right, then we can move forward.
28:19Yeah.
28:20So...
28:21He can call you?
28:24Yeah.
28:26I'd like that.
28:26If you can use alternative transport or services, then we do advise that you do.
28:37I do have to disconnect the call now to take another one, okay?
28:43Ambulance services, patient breathing.
28:45It's you again.
28:47Sorry, love.
28:49Is this Mary?
28:50I got a bit more...
28:51More breathless.
28:54Called 111.
28:56They transferred me.
28:57You didn't mention feeling breathless.
28:59You said...
29:01The ambulance was coming.
29:02Has anything else changed or got worse?
29:04My chest hurts.
29:07And the bottom of my teeth.
29:09Is the pain spreading anywhere else?
29:11The last time.
29:12How long for the Megamart?
29:193006 is arriving on site.
29:21Okay, Mary.
29:21They are nearly with you.
29:22I'm going to stay on the phone until they get there, okay?
29:25Mary?
29:26Mary?
29:363006 from control.
29:38Have you guys made contact at the Megamart?
29:423006 to control.
29:44We have just pulled off.
29:45Yeah, I'm going to need to divert you to a backup.
29:48First crew is requesting assistance.
29:50All received.
29:50Over.
29:53So near yet, so far.
29:56So near yet, so far.
29:57So near yet.
29:58They're leaving.
29:58Why are they leaving?
29:59I'll contact the allocator.
30:00Yeah.
30:20You got that?
30:22Yep.
30:22it's Indy hey Indy Teddy's kind of busy right now you need to go back to the
30:30Megamart you're in the hub they're not supposed to contact us but I lost I lost
30:35contact this query loss of consciousness you have to go back we can't it's a cat
30:38one I just upgraded it we can't die there without being allocated by control
30:43you know this three zero zero six from control so I gotta go
30:51free zero zero six to control go ahead yeah that call at the Megamart now a cat
30:55one ineffective breathing if you could redirect me received over
31:01what is she doing this is chaos no more doctors please my daughter's on her way
31:08she'll ask a zillion questions can I clean and redress it there but car if this
31:13gets worse you have to let me know yeah okay this bit's gonna sting I'm afraid
31:20straight out of chemo again sir can I be cheeky and ask another favor and then my
31:31daughter Olive always manages to get lost tell her to wait by the coffee cart then be
31:38amazing thank you
31:46she woke up briefly in recovery but she went straight back to see her why why is there a
31:52wind drain I thought it was keyhole surgery yeah there was some unforeseen issues what do you mean unforeseen issues
32:03well I can't tell you
32:10look she was under anesthesia longer than we thought so she's gonna be out a while do you
32:13want us to just call you once you wake sir no thanks and I'll wait you sure yeah
32:18yeah yeah of course thank you
32:25I need to talk to you don't look so worried Steve is gonna be fine
32:45good no that's so good I'm it's not what I meant I know what you're gonna say
32:52you saw what happened everyone did
32:55don't beat yourself up pressure in there was intense
33:01no no you don't understand he's got high standards you said so yourself
33:09that's not what I meant I've been there Russell's temper no joke these procedures that
33:18they demand a lot of you you've got to believe in yourself believe in what you're capable of
33:24or you're not gonna succeed mr. Whitelaw look ask Sean because he'll be able to explain it a lot
33:31better than I can go home come back fresh tomorrow it's been a lot
33:40hello mate okay we'll take from here thank you hi Mary my name is Jacob and this is Teddy
33:46gonna tell us what happened I've been really dizzy okay now I'm just gonna put this on your finger
33:58and this cuff around your arm so we can run a few checks sorry how long have you been feeling like
34:04this Mary I'm gonna put these stickers on your chest so we can get a tracing of your heart
34:18well we'll find out hypertensive at 79 number 52 I'm on one of those zero-hours contracts
34:29we'll get rid of me yeah try not to worry about that for now okay okay um the tracing is showing
34:40that you are having a heart attack I know that's very alarming I'm gonna get into the hospital ASAP
34:44so they can remove the blockage
34:45hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang on hang
35:15Keep going with the pressure, sir. I won't shock you.
35:20Get off the chest.
35:24Clear.
35:25Shock it.
35:28Back on the chest.
35:32Oh, signs of life.
35:34Pulse checker.
35:40Got a pulse.
35:41All right.
35:42We need to make a move.
35:45Call the cath lab.
35:47And let's get the air safety.
35:51This should have been a cut one from the start.
36:16Are you okay?
36:27I'm Cara, by the way.
36:29I've been there.
36:30Literally.
36:31If you've got any questions, just...
36:35Oh, you're awake.
36:36Hey.
36:37I was just getting you some water in case you were thirsty.
36:39How you feeling?
36:40What have they done?
36:41They wouldn't give me any details until you woke up.
36:43So I'll just...
36:44I'll just...
36:45I'll go and get somebody for you, okay?
36:46Right, I'll be right back.
36:47Ask for more pain meds if you need them.
36:49Ask for more pain meds if you need them.
36:51Ask for more pain meds if you need them.
36:53Thanks.
36:54Thanks.
36:55Barma.
36:56But I'm a...
36:57I'm a doctor, so...
36:58Thanks, Barma.
36:59I'm a doctor, so...
37:00What have they done?
37:01What have they done?
37:02Doesn't make it hurt any less, right?
37:03I don't know.
37:04I don't know.
37:05How are you?
37:06How are you?
37:07Okay?
37:08I'm sorry.
37:09Are you okay?
37:10Right, I'll be right back.
37:11Ask for more pain meds if you need them.
37:13Thanks, Barma.
37:15I'm a...
37:16I'm a doctor, so...
37:17Doesn't make it hurt any less, right?
37:30Hi. Hi, Claire.
37:36Oh, finally. Where are you?
37:38You promised the girls you'd make pancakes on your day off.
37:41Mine are rubbish, apparently.
37:43Um, yeah, Claire, hold on. I've got to take this.
37:47Sorry, are you? Are you at work?
37:49Yeah, I am. Can you just give me half an hour, please?
37:52OBE.
37:54OK. I'm just going to try and get things sorted.
38:06Stevie, how are you feeling?
38:08Yeah, you tell me.
38:11How far from plan A did we end up?
38:13To be completely open,
38:15the surgery was more complicated than we'd hoped.
38:19Your cyst had grown considerably,
38:22adhered to the bowel and the surrounding pelvic organs.
38:26So it was invasive?
38:29Cancerous?
38:31We need the pathology report to get a full diagnosis.
38:34But the important thing is that we removed everything we could see.
38:40What could you see? What did you remove?
38:42To ensure we removed all affected tissue,
38:45we had to perform a full hysterectomy.
38:51The mass involved your jejunum, sigmoid colon, left ovary,
38:57and the peritoneum over your bladder.
39:00So it was an extensive resection.
39:02Do you have any questions at this point?
39:07Why were there not more warning signs?
39:13Well, often there aren't.
39:15The abdomen would have accommodated the growth.
39:17Like a pregnancy?
39:19Of course, this must come as the most enormous shock.
39:23Surgical menopause can feel like a roller coaster,
39:27emotionally and physically.
39:29But the good news is that things will get better.
39:35Great.
39:37That's more than enough for me.
39:40Is there anything else you'd like to know?
39:41No.
39:43No, I just want to be on my own.
39:45Of course.
39:46That applies to you too, Fiat.
39:55I'm not going anywhere.
40:08How's Mary?
40:17She had a massive heart attack.
40:18Well done.
40:19No, Teddy, come on.
40:21This ain't nothing to me.
40:23Look, Mary's stable.
40:24She's a student paramedic.
40:25She should know the signs.
40:26Yeah, but do you notice symptoms present differently in women?
40:28That is exactly my point.
40:30Mary could hardly breathe when we got there.
40:32Did you even ask?
40:33Did you?
40:35I'm sorry.
40:38I can't believe I messed up so badly.
40:43Especially today.
40:45What's so special about today?
40:46It's Jan.
40:48She needs our help.
40:50Help with what?
40:53OK, so we've got an incoming trauma case.
40:55Multiple facial fractures.
40:57Dylan.
40:58It happened sometime.
40:59Nothing I can do about it.
41:00You gonna be OK?
41:01You'll be OK.
41:02OK.
41:03I hear this looks serious.
41:05Dylan, free alarm, mate.
41:06Flynn, I said it was fine.
41:08Hey, no, this looks nasty, man.
41:09Come on, I'm not going to leave you in the lurch.
41:10You're not.
41:11Dylan.
41:13Oh, I can't get a change, then.
41:15Your name is just like that.
41:16I'll call Max Max.
41:17Thanks.
41:19It's a performance review.
41:21We've been through it before.
41:22We just need to carry on as normal.
41:25Speaking of which...
41:26I, um, better get back to work.
41:35I just don't think it's fair that management's blaming you.
41:38Exactly what I said at the debrief.
41:40So they've agreed to monitor all our calls to see where we need more resources.
41:45Oh.
41:48Did you call Teddy on his mobile phone from the hub?
41:53Yeah.
41:55That's not ideal.
41:58I can explain.
41:59I also might have called a patient back to stop them breaching.
42:02And do you know we can't do that?
42:04Yeah, why, though?
42:06Because it disrupts the system, which could threaten patient safety.
42:10I'm sorry, I was only trying to help.
42:11No.
42:12Yeah, but you didn't, did you?
42:13You did the absolute opposite.
42:15Right, no more call handler shifts.
42:18You need to focus on your paramedic training.
42:20I really need the money.
42:22You've got your blue lights test next week.
42:24Ace that and then we'll talk.
42:31So, let's have the suction back again.
42:33Well, this guy's running on his own blood.
42:34Let's, uh, let's, let's have a hundred milligrams of Ketaline Tidium aden, please.
42:37Let's have a 1% propoly infusion and somatricurium in case we haven't to wait for MSF or something longer.
42:42Get weed, cottage bait.
42:43He's bleeding from one airways.
42:47Okay, I've seen similar injuries and blast signs.
42:49We're gonna have to move fast.
42:50Well, okay.
42:51Okay, I think he's under.
42:52Yeah, let's roll him back.
42:53Let's roll him back.
42:54Good.
42:55Rush.
42:57Keep his head steady.
42:58Okay.
42:59Move his head face forward.
43:01Should slow the bleeding.
43:04Get the bite box in.
43:08I'm gonna paint the oral and nasal cavity.
43:12Great.
43:13Just get blood bank on the phone and get some group specific.
43:15For now, two liters of our necks should do.
43:17Then we're tubing.
43:19Good work.
43:20Good work.
43:25I can see mommy.
43:27Come on.
43:31I mean, we can transplant hearts and we can reattach limbs, but the only way to find out if a woman has cancer these days is to open her up and tear her insides out.
43:40It's medieval.
43:41You don't have the results yet.
43:43I just...
43:44I need you to drink some water.
43:46Come on.
43:49I know.
43:51Yeah.
43:53The priority is definitely hydration.
43:55Maybe we could try a wee walk for the pain or, you know, I could give you a back rub.
44:00You could try giving me my womb back.
44:02Stevie.
44:03What?
44:05What?
44:08It's gone.
44:10And is this the bit you're gonna tell me that everything's gonna be okay?
44:13That we're in this together?
44:14We are.
44:20I need some sleep.
44:25Yeah, me too.
44:26Shattered.
44:28I'll go home for a bit.
44:30Okay.
44:31It's...
44:32It's forgetty with ketchup.
44:33Dad calls it his masterpiece marinara.
44:34Shhh.
44:35Shhh.
44:36Sorry.
44:37Keep it down, Liv.
44:38There's people trying to sleep.
44:39It is morning.
44:40Yeah.
44:41Thanks for that.
44:42This is an hospital, remember?
44:43I hate hospitals.
44:44Shhh.
44:45Shhh.
44:46It's okay.
44:47I do too.
44:48Sit a bit closer.
44:49Come on.
44:50There we go.
44:51That's it.
44:52Oh yeah.
44:53Loving that ketchup stain.
44:54Maybe get your dad to put a wash on later here.
44:55Hmm.
44:56Neil, thank you very much for coming.
44:57And I look forward to the conference.
44:58Uh, Nessamon, a moment of your time, please.
45:01Yes.
45:02Yes.
45:03Yes.
45:04Yes.
45:05Yes.
45:06Yes.
45:07Yes.
45:08Yes.
45:09Yes.
45:10Yes.
45:11Yes.
45:12Yes.
45:13Yes.
45:14Yes.
45:15Yes.
45:16Yes.
45:17Yes.
45:18Yes.
45:19Yes.
45:20Yes.
45:21Yes.
45:22A moment of your time, please.
45:38Is there anything you'd like to say?
45:42Sorry?
45:43There.
45:44That wasn't so hard, was it?
45:47I'm surprised you didn't come and find me earlier to apologize.
45:50You're here on my personal recommendation. I take this sort of thing very seriously.
45:55But that's water under the bridge. Working a complicated case on a close
46:00colleague, you're allowed a wobble. But just the one.
46:09Oh, there, there. No, no tears. I still believe that there is a brilliant theatre
46:16nurse, just clawing her way out. Tell you what, I'll have a word with Dr. Piper and
46:21the others. Make sure that it's kept entre-nou, our secret.
46:30Better be off. My granddaughters are demanding pancakes of all things.
46:37Pure fluff and nonsense, if you ask me. Oh, I hope my outburst didn't alarm you.
46:43I know. I work my team hard. I always say, if you can't handle a little heat, then maybe
46:52surgery's not for you.
47:13Just not for you.
47:14Just not for you.
47:19I appreciate it.
47:20Yeah, I've got the most beautiful thing.
47:22My granddaughters don't miss anything, but I try to get you.
47:27Just not for you.
47:28I don't know.
47:29I just need to miss.
47:29Don't let me die.
47:30I just want you.
47:32And I know.
47:33I know.
47:35I know.
47:35I know.
47:36I know.
47:37I know.
47:38I know.
47:38I know.
47:39I know.
47:39I know.
47:40I know.
47:40I know.
47:41I know.