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Casualty Season 41 Episode 10
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 gonna ask you for a divorce.
00:02He looks good in his uniform, doesn't he?
00:04He's not just married to Ian, he's married to Siobhan.
00:06He's just told me they've been together for 25 years.
00:08This thing, whatever it was, it's done.
00:10Eyes on the prize, Dr. Keir.
00:12Sorry?
00:14Are you blushing?
00:16I knew there was a spark there.
00:18What are they doing? Looting.
00:20Hey lads, come on! Ian, don't antagonise.
00:22Come on, come on!
00:24Come on, come on!
00:26Ian, get off!
00:30Paramedics!
00:32Paramedics, we're here!
00:34Can you open up, please?
00:36Maybe I should go around the back.
00:38Is everything okay?
00:40We were given an emergency call to this address.
00:42Suspective stroke?
00:44I haven't runke.
00:46Is anyone else home?
00:48My son.
00:50Control, this is 3007.
00:52Can you confirm the address?
00:54I haven't runke.
00:56Control, this is 3007.
00:58Can you confirm the address you've given us, please?
01:00Yeah, it's 26 Riley Stone Road.
01:04Patient is a 20-something white male.
01:06Look, he spends most of his time in his room nowadays.
01:10Playing all hours.
01:12I just wish it.
01:14Get out and exercise more.
01:16Brett?
01:22Brett!
01:24Open up, love.
01:26Brett, can you open up, mate?
01:28Yeah, come and stand back here.
01:34Brett?
01:36Can you squeeze my hand, mate?
01:38Yeah, come on.
01:40Can you look at me?
01:42Yeah, what's wrong?
01:44You should be right.
01:46We should be right.
01:48If you look at me, I'll see you next time.
01:50Good luck.
01:52No, no, no.
01:54No, no, no.
01:56No, no, no.
01:58No, no, no.
02:00No, no, no, no.
02:02No, no, no.
02:04No, no, no, no.
02:06No, no, no.
02:08No, no, no.
02:10This is Rhett McCormack, the stroke pre-alert, 23 years old, fast positive with a right-side
02:26deficit in dysphagia, unknown onset time.
02:29His hypertensive at 195 over 104, BM 6.2, GCS 13, 18 gauge in his right ACF.
02:35We haven't got any medical history and no obvious medication found in this house.
02:39Thanks, Jacob.
02:40Lovely.
02:41OK.
02:42Ready, steady.
02:43Slide.
02:45Hello, Brett.
02:46I'm Dr. Paper.
02:47Nicole.
02:48Can you squeeze my hands there?
02:49Lovely stuff.
02:51Right, let's get an initial assessment and neurological work up, please.
02:52It does have right-sided hamiplasia.
02:54Fast positive.
02:55Can, can you chase the stroke team up?
02:57No.
02:58No.
02:59No.
03:00No.
03:01No.
03:02No.
03:03No.
03:04No.
03:05No.
03:06No.
03:07Fast positive.
03:08Can, can you chase the stroke team for me?
03:09Yeah.
03:11We need CT angio organised, then blood, glucose, ECG, anal, sort the NIH SS thing.
03:20Great lady.
03:21Right.
03:22There we go.
03:23Go on, mate.
03:24You need to be desperate to get yourself into double maths.
03:25I don't have maths today.
03:26Well, even better.
03:27I feel sick.
03:28What?
03:29Like, you're gonna be sick right now sick, or you don't wanna go into school sick.
03:35About now we're still having a go.
03:36Come on mate, you can't fake illness just because it's me and not your mum, I'm not a soft touch.
03:49Look, next time he does it, just, just laugh at him.
03:50You'll soon get fed up.
03:51I tried that.
03:52He just got angrier.
03:53Right, well, like I've told you, you are allowed to stick up for yourself.
03:56Sometimes bullies need a taste of their own medicine.
03:57You know?
03:58Yeah.
03:59Yeah.
04:00Yeah.
04:01Yeah.
04:02Yeah.
04:03Yeah.
04:04Yeah.
04:05Yeah.
04:06Yeah.
04:07Yeah.
04:08Yeah.
04:09Yeah.
04:10Yeah.
04:11Yeah.
04:12Yeah.
04:13Yeah.
04:14Yeah.
04:15Yeah.
04:16Yeah.
04:17Sometimes bullies need a taste of the wrong medicine.
04:19Give it back, it will stop.
04:21You don't get it.
04:23But fingers crossed it will have a little celebration for your mum tonight.
04:29I bet you won't feel sick when there's pizza on the table, will you?
04:35Go on, get yourself in.
04:38See you later.
04:43All right, mate!
05:09I can't find any bloody keys anywhere.
05:13We're going to have to work out what we're telling the kids,
05:15if we're telling them.
05:16Yeah, yeah, yeah. We can work it out.
05:19Oh, great.
05:24Look, I, er...
05:27I've spoken to Darren.
05:29I'm going to stay at theirs for a bit.
05:34Or we can discuss it tonight.
05:35Oh, what's the point?
05:37We've talked and talked,
05:39but you haven't managed to explain to me
05:41why 25 years of love and support
05:44and me finding your keys suddenly isn't enough.
05:48I've tried.
05:49Look, I don't know what else to say.
05:52Look, I'm going to have to go. I'm going to be late.
05:54Yep, go. Bye.
05:56You all right?
05:58Yeah, you're right.
06:03I'm doing quite.
06:05you all right yeah just a bit quiet that's all
06:26sound he's shown half a day well yeah brilliant two fillings
06:35hello hiya I'm Teddy this is Ian we're paramedics gonna tell us what
06:42happened he pushed me out the car you've been sick have you have you taken
06:51something come on let's get yourself okay we're not gonna hear ya we're here to
06:58help sure I put my coat on yeah and yourself there you go keep it nice and
07:10warm so they pushed you out of the car while it was moving who did that doesn't
07:17like that what's your name tell us just makes conversation a bit easier that's
07:30all tell you what shall we get you some privacy can we have a look at you on the back of the van
07:36feel like more comfortable okay would you like a hand yeah yeah come on in you want to talk yeah
07:48all right just watch your feet here's loads of glass crystal my name's crystal
07:58come on in you want to talk yeah I should apologize I am sorry I got so excited
08:25and thank you for not reporting me to HR there's nothing we were just confused yeah I wouldn't want you feeling so we can please just forget about it yes
08:52yeah exactly kiss or kiss
09:22ignore that
09:23ignore that he's the past have you made up with Geordie and Reedy
09:28well apparently they've found some hours to live
09:31oh well people don't hear each other when they're angry sit them down apologize properly
09:39you're pretty brutal
09:41you are doing great
09:48what's that sorry
09:50well I didn't mean you're doing great too
09:55okay
09:56Ruth would you mind is that okay thank you and I can leave you to rest in peace
10:00sorry I don't mean I don't mean rest in peace obviously
10:02I've got it from here
10:03okay thank you
10:04listen I'm supposed to be going out tonight
10:08okay
10:09your friend she's flaked out on me got back with her ex
10:12I will, them's the breaks
10:13quite like to go out though so I wondered if you fancy going out for a drink
10:17tonight after work
10:18tonight after work
10:19HR might kick off if we start before then yeah
10:20oh wow that that is enthusiasm no no no no yes yes I mean that would be lovely thank you yeah
10:24err
10:28hold on oh thanks
10:30er, I will see you later then
10:31hmm
10:32oh yeah
10:33could she just ask you out for a drink drink?
10:34oh thanks
10:35will she just ask you out for a drink drink?
10:37you fancy going out for a drink?
10:38you fancy going out for a drink?
10:39tonight after work?
10:40HR might kick off if we start before then yeah
10:43oh wow
10:45oh wow
10:47that
10:48that
10:49that is enthusiasm
10:50no no no no yes
10:52yes I mean that would be lovely thank you
10:53yeah
10:54When are you going to medical school?
10:56They're emailing this afternoon. Don't change the subject.
10:59Well?
11:00Yeah, she asked me out for a drink, but without the weird emphasis that you gave her.
11:04Mm-hm. OK.
11:11CT, hot report. No bleed.
11:17Erm, are you happy staying in here? Do you maybe want to...
11:19I've got going anywhere.
11:21OK.
11:23CT shows a proximal M1 clot.
11:26NIHSS is 19.
11:27He's had an ischemic stroke and a moderately severe one at that.
11:30Cam, can I have a word?
11:35Yeah, I didn't want to say in front of Mum, but the stroke team are in IR.
11:40Can't come for 40 minutes.
11:42That's too long.
11:43It is.
11:44Look, how do you feel about doing the thrombolysis yourself?
11:48You've done the course.
11:49I will make sure you've got as many nurses as possible.
11:53Oh, bloody hell. Erm...
11:56Yeah.
11:57That's a divot.
11:58Good.
11:59Right, let's get moving every second counts.
12:00Yep.
12:01I saw the scan shows there is a clot blocking the blood supply to Brett's breathing.
12:12Erm, we need to bust that clot, erm, with something called thrombolysis.
12:17OK.
12:18Erm, there is a small chance of bleeding.
12:20And occasionally that is serious.
12:23However, on balance, I think the benefits outweigh the risk here.
12:27So are you happy for us to go ahead with this procedure?
12:30Oh...
12:32Erm...
12:34Erm...
12:37Yeah.
12:38Anything.
12:39Just do whatever you need to do to help him, please.
12:42He's all I've got.
12:43Sorry, Jacob, carry on.
12:44No, no worries.
12:45Er, this is Don Burton, ten years old.
12:46Er, found at the bottom of five concrete steps, er, sixteen minutes ago.
12:47Haven't fallen top to bottom.
12:48Just outside his house.
12:49He has a laceration to his scalp and a boggy haematoma to his occiput with associated vomiting.
12:53Er, no other injuries.
12:54He has a BM of one.
12:55He was a GCS three, now GCS twelve.
12:57Er, tacky with a BP of one away over seventy-two.
13:00Sats a hundred percent on fifteen liters.
13:01We've given him a V.A.
13:02I've given him a V.A.
13:03Sorry, Jacob, carry on.
13:04No worries.
13:05Er, this is Don Burton, ten years old.
13:06Er, found at the bottom of five concrete steps, er, sixteen minutes ago.
13:07Haven't fallen top to bottom, just outside his house.
13:08He has a laceration to his scalp and a buggy hematoma to his occiput with associated vomiting.
13:13Er, no other injuries.
13:14Er, no other injuries.
13:15Sass 100% on 15 litres.
13:17We've given him two 6.5g boluses of 10% dextrose IV,
13:223mg of ondansetron and 500mg of IV paracetamol.
13:27His DM is now 3.8 and he's a type 1 diabetic.
13:30OK, good to know. Thank you. Thank you both.
13:34He's always been a bit clumsy. This one's the same.
13:36Never did anything like this.
13:38All right, OK. Dom?
13:40Hello, Dom. Can you hear me? I think just about.
13:43He felt sick and I told him to stay at home, but he insisted.
13:47Right, OK. Let's get full blood some clotting.
13:50And I think we should have a head CT as soon as we can.
13:52OK, I've got... You should have heard the noise.
13:55OK, well, let's see how bad the head injury is first
13:59and then we'll worry about how he felt, OK?
14:03Right, well, I best be getting off, OK?
14:05You can trust TV, I promise.
14:09Good luck.
14:10Cheers. Thanks, Ian.
14:12OK, Crystal, do you remember anything at all
14:15about what you might have been given?
14:16No.
14:17OK. And is this something you might want to pursue with the police?
14:20No.
14:22Right, so, I'm going to examine you now
14:24just to kind of get a sense of what's going on.
14:26I'm going to start by listening to your chest, OK?
14:27So if you just take your gown down every second.
14:29Crystal?
14:30Oh, babe.
14:32What's happened?
14:33Hey, excuse me. Can you just step back for a second?
14:36I'm the boyfriend, love.
14:38OK, and I'm the doctor, love.
14:39Do you know this guy?
14:40Yes, my boyfriend.
14:42Right, what's your name?
14:43I'm Sonny.
14:45Right, Sonny, can you just maybe step out, take five?
14:47There's a vending machine down there.
14:48I can see you're very agitated.
14:49Just take a breath.
14:50As soon as I examine your girlfriend, I will come and find you.
14:52Yeah, no, I'm not going anywhere till I find out what's happened to her.
14:55I was hit by a car.
14:56I was carrying the shop and it just plowed into me.
14:59What?
15:00OK, there you go. Now you know.
15:01They didn't even stop.
15:02Sonny.
15:03I've asked you to take five.
15:05Sonny.
15:09Are we all right, yeah?
15:10Yeah.
15:11All right.
15:16Everything okay there?
15:19It wasn't him.
15:20He didn't do this, I swear.
15:22OK, so why not just tell him what happened?
15:25I mean, come on, Crystal, it's not your fault if...
15:32I don't want him to know what I did to get back, OK?
15:37You OK?
15:40Understood. Right.
15:42OK, he's young, aren't you?
15:45Got him in quickly, so things are in our favour.
15:48Just be prepared for...
15:50Just be prepared, yeah?
15:53OK, thrombolysis. Here we go.
15:56Don't worry.
15:57Dr Piper knows what she's doing.
15:59Erm, 0.9mg per kg of alteplase, yeah?
16:02Yeah.
16:03Erm, it's OK. Go on, you can do it.
16:05Right.
16:06So, the big risks here are an allergic reaction
16:09or a massive internal haemorrhage.
16:11So, can we just keep all eyes on any changes to the BP, erm...
16:14or anything else?
16:15Yeah? Mm-hm.
16:16Yeah.
16:17OK.
16:18Let's start with, er, 10% for the first minute.
16:20Siobhan?
16:21Give it to Cam.
16:22I think we'll do the first one.
16:23Yeah?
16:24Oh.
16:25Yeah.
16:26Oh.
16:27Yeah.
16:28Yeah.
16:29I'm so sorry, baby. I guess your silly mum got the dose wrong. I don't know how.
16:48Does mum still do your injections for you?
16:50Well, yes, he's only ten.
16:51Don't worry, mum.
16:52Well, I have to. You'll be back to uni tomorrow and then it's just me and Dom.
16:57It's no good if I can't look after him properly, is it?
17:02OK, well, you will have a little scar there, but it's comfortably above the hairline there,
17:07so it shouldn't be too distracting. OK, does that feel all right?
17:09Yeah, fine.
17:10You gave us all a scar there, but it's comfortably above the hairline there,
17:13so it shouldn't be too distracting. OK, does that feel all right?
17:15Yeah, fine.
17:16You gave us all a scare. When you get home, we'll make you a bed on the sofa.
17:22We'll all watch a film.
17:23Like we did when you were little.
17:25Can I have ice cream?
17:28Um, I don't want to throw a spanner in the works,
17:30but, um, I think we should probably keep Dom in for a couple of nights for Bob's.
17:34Well, uh, you said the scans were OK.
17:37Yeah, with a head wound, it's always better to be safe rather than sorry though.
17:41Aw, poor baby.
17:42I can go get the ice cream. Mint choc chip.
17:45And we could watch a film on my phone.
17:48Sphere?
17:49Sorry.
17:50Um, say I had FII concerns. It's nothing concrete at the moment. It's just a hunch, really.
18:00A child?
18:01Yeah, a ten-year-old boy. So he's got a bad cut to the head.
18:04Um, he fell, possibly induced by low blood sugar. It's difficult to know.
18:09But the mum is, I don't know, she's very well with me, seems to be enjoying the attention.
18:14It's, er, it's quite a big leap from that to fabricated or induced illness.
18:20Maybe she's just, you know, nervous.
18:23Yeah, I'm, I know, I'm...
18:26Oh, you've got that nagging feeling. Do you want me to step in?
18:31Yes, please, I do, yeah.
18:32Right, erm, tell me everything you know.
18:36Okay, local anaesthetic is in. Um, as soon as I put the chest ring in, there should be a release of pressure, okay?
18:45Within your mothorax, any air that you're taking in, it's squashing your lungs, and that's what's causing me the difficulty breathing, right?
18:51This is not something we normally do here, but it's, er, completely chocka, so...
18:55Okay.
18:56Okay? Right, can you feel this?
18:58No.
18:59Okay, good, right. I'm gonna start with the incision.
19:03Hang on.
19:05That's what you were wearing. For shopping.
19:09I'm... I'm...
19:11Sonny, can we just save this conversation till later, thanks?
19:14You're doing it again, aren't you?
19:19You're doing it again, aren't you, Crystal? Tell me the truth. You're doing it again.
19:22Sonny, if you continue like this, I'm gonna get security in here.
19:25We spoke about this.
19:28You said you'd never!
19:29I know, I'm sorry.
19:31Come on.
19:34I didn't wanna upset you.
19:35What?
19:36We need the money, you know, you know that.
19:38We need the money, we need the money.
19:39Ian!
19:40I saw smoke bar, is it?
19:42Can you give me your...
19:44Sonny, wait!
19:47I love you!
19:56Can you get some aspirin ready?
19:58Yeah.
19:59Nicole?
20:00What is that?
20:01Is it a bleed?
20:02A bleed?
20:03Oh.
20:04I don't know what I'd do without him, please!
20:06Thrombolysis can cause hypotension rate.
20:10There's no rash.
20:11It's not anaphylaxis.
20:13Er, Geordie, can you get his head down and his feet up for me, please?
20:17I've just been sitting in his room for years.
20:22Doing nothing.
20:24This is my fault.
20:25No, he's not responsive yet.
20:28Brett?
20:29Brett, can you squeeze my hands?
20:32Cole, a baby like that has got to be hemorrhage, right?
20:36Nobody panic.
20:37Just watch the trend, not the numbers themselves.
20:41It's just the blood reaper fusing the ischemic part of his brain.
20:43Right.
20:46It's levelling out.
20:51Brett?
20:52Hello.
20:53You're in Holby City Hospital.
20:54I'm just going to lift this off.
20:55Can you open your mouth for me?
21:00That's it, nice and wide.
21:02Lovely.
21:04Can you stick out your tongue?
21:06That's it, right out.
21:08Lovely.
21:10I'm right in love.
21:13I love you.
21:14Can you get in touch with the stroke team for me, please?
21:16Yeah.
21:18Well, that was tense, wasn't it?
21:29Looting.
21:30Hey, lads, come on.
21:31What are you doing?
21:32Agonised, aren't you?
21:33Sorry.
21:35Got something to say much?
21:38No problem, lads.
21:39It's all sorted.
21:40Everyone get in a car.
21:41Come with your family.
21:43Mum!
21:44Mum!
21:45Ian!
21:46Get off!
21:47Get off!
21:48Ian!
21:49Get off!
21:58Look at that.
21:59What's happening?
22:00My ear.
22:01Mine's always late.
22:02That's huge.
22:03Get another pair.
22:04No, I'll put them on now.
22:05It's a waste.
22:08Rita, Jodie.
22:11I said some really, really stupid things to you both.
22:13Right?
22:14And I want to say I'm sorry.
22:16Yeah?
22:17Go on then.
22:20Okay, this isn't a sorry, like, I feel sorry for myself and I want my mates back.
22:25And this is...
22:28I regret ever even thinking that way about the two of you.
22:33I know it sounded like it, but I don't hate you guys.
22:35I love you guys.
22:37We've been through so much together.
22:40I really, really think you're brilliant.
22:43And I miss you.
22:47But you're right to hate me.
22:48I've really messed up.
22:49I've really said some horrible things and I'm sorry.
22:55Yeah.
22:59Pretty good.
23:00I'd have gone with less self-pity, but...
23:02Yeah, you said some pretty harsh things, Cam.
23:05I know.
23:06And I can't defend them.
23:07I just...
23:09Lately I've had a really horrible time.
23:11Yeah, we know you've been struggling.
23:13But talk to us.
23:16I mean, what kind of mates are we otherwise?
23:22So we are still mates?
23:24Well...
23:25I think I'm just going to need a bit more time, to be honest, Cam.
23:28I don't... I don't want to stay fighting with you.
23:30But...
23:32You really stuck the knife in.
23:35Yeah.
23:36No, yeah, um...
23:38I understand.
23:40Um...
23:41Okay.
23:44How's it, Cam?
23:45Yeah.
23:46Stop.
23:48Tell them about Jamie.
23:49Hey, Megan.
23:50Then they don't understand.
23:52Go and come.
23:53Hey.
23:54Now Josie and say...
23:55Any homeowners in the world,
24:09with what I've ever seen.
24:11It won't have been awful,
24:12because I love you.
24:14I'm like, man, I'm sorry.
24:16Crystal's fella, innit?
24:18Yeah.
24:20They're not leaping around on her own, surely?
24:22Nah, I'm gonna go and get her stuff, actually.
24:24What's it to you?
24:26I'm the paramedic they brought her in.
24:28Right.
24:30You guys live on the press which is dead, aren't you?
24:32Yeah, we do.
24:36Well, I'm not in that way.
24:38I'm not in that way.
24:40I'm not in that way.
24:42I'm not in that way.
24:44I'm not in that way.
24:46If you want a lift.
24:48Yeah, alright.
24:58I agree.
25:00She's enjoying the attention, being in hospital,
25:02the sympathy that comes of having
25:04a sick kid. Thanks.
25:06Bart, you're gonna say Bart?
25:08But...
25:10it's hard caring for
25:12a loved one, being responsible for medications,
25:14worrying about them all the time.
25:16She's a single mum.
25:18Diabetes in kids can be difficult.
25:20Maybe she's just relieved
25:22to have a day where
25:24we're in charge and...
25:26not her.
25:28I think it's interesting
25:30that the mystery dizziness only started once the brother
25:32was about to leave home.
25:34Prior to that, the diabetes was well managed.
25:36If you need to go...
25:38I appreciate it.
25:39It's not much to go on.
25:40Well, maybe talk to the brother.
25:42See what he remembers.
25:44Yeah.
25:46Yeah, okay.
25:47Good idea.
25:50Hi.
25:52So, er...
25:54What are you wearing on your drink drink?
25:58Have you been kicked in the head by a horse?
26:00I'll be wearing whatever I wore on the way in.
26:04No, you have to make an effort.
26:06Come on, let me take care of it.
26:07What sort of effort did you have in mind?
26:09Surely she either takes me as I am, or she doesn't.
26:12You really like her, don't you?
26:14Well, I'll say that.
26:16I mean, she's an interesting, intelligent woman.
26:19I think we've got a couple of things in common, eh?
26:20Mm-hmm.
26:21Yeah, you like her.
26:34Cheers to the lift, mate.
26:35No problem.
26:38I've actually finished today, so...
26:40I can give you a lift back if you want.
26:42No, you don't have to do that.
26:46It's not a problem.
26:50All right.
26:52Well, son, there'll be five minutes.
26:54I'll just put that...
26:56Well, why don't I come inside and wait for you?
27:01All right, yeah.
27:02Yeah.
27:03Son.
27:04He's moving in with his brother.
27:21Sorry.
27:22You were married, weren't you?
27:24Yeah, for about 17 years.
27:26How did you deal with big issues?
27:29Eh, we didn't.
27:30That was the issue.
27:32No, the last few years, Lev,
27:34he just didn't want to talk about anything that worried him.
27:36He just shut down and he'd get really angry.
27:41I'm sorry.
27:42Sorry I shouldn't have brought it up.
27:43No, no, it's fine.
27:44Look, I wouldn't change a thing.
27:46I've got three amazing kids.
27:47Yeah.
27:48But, you know, if I could have fixed it, I would have done anything.
27:55Mm.
27:59Dylan?
28:00Yeah?
28:01I have left some outfit choices for you next to your locker.
28:05Is there suddenly something wrong with the clothes I wear every single day?
28:08Sorry, what do you want?
28:10If the boy with the head lacks blood sugar has been sorted, what is the delay?
28:15Well, I have safeguarding concerns.
28:18Dylan, in an ideal world, I would let you play detective to your heart's content.
28:22But, unfortunately, this isn't an ideal world.
28:25So, please, tell Pete your concerns and free up that bed.
28:29Yeah?
28:31Do you say a word like anything?
28:34Sorry, is everything okay in here?
28:36Yeah.
28:37I'm just talking to my brother.
28:39Okay, well, it...
28:41Can I ask you a very quick question?
28:44It's just the one.
28:45It's in your best interest.
28:47Um, when you came in, your mum said that you had been clumsy too.
28:52Now, what's that about?
28:53Were you ill as well?
28:54Uh, no.
28:55I mean, it wasn't the same.
28:57It was a stressful time and mum and dad were arguing.
29:02I mean, I just got tired a lot, so that's all.
29:05Tom has diabetes.
29:08I was there when he was diagnosed.
29:11Yes, he's got diabetes, but why is he having disease spells?
29:15Why is he not injecting himself?
29:16He's going to have to sooner or later, I think, isn't he?
29:18Just treat my brother and stop asking stupid questions.
29:21Yep.
29:22Okay.
29:39Got it, Tim?
29:40Yeah, nearly, mate.
29:42You can tell he had eggs, are you?
29:44What?
29:45Top notch stuff, this.
29:48Look, mate, they can find my own way back now.
29:52Yeah?
29:59You really don't recognise me, dear?
30:05Should I?
30:06Well, er, let's see.
30:12Probably the night you were nicking all this lot.
30:18Does that ring any bells?
30:21Eh?
30:22You were looting with all your pals.
30:26Coming back to you?
30:29Yeah.
30:30I was with my girlfriend and her little boy.
30:32Do you remember that?
30:33Because then you'd be the crap out of me.
30:35Do you remember that?
30:37Yeah.
30:38Sorry.
30:41You're sorry.
30:50What's the matter?
30:51You're scared of...
30:55You can't look after yourself now.
30:56You ain't got your little mates running around after you.
30:59Do you know what?
31:00I thought you were scum then.
31:01And that's before I saw how you cheated your girlfriend.
31:04I love her.
31:05Shut up!
31:07Crystal deserves better than a pathetic thieving little bunny like you!
31:16She does.
31:18She deserves better.
31:20So go on.
31:23Do it.
31:31Hey, Carrigan.
31:32Need you to resource.
31:33Er...
31:34I'm coming.
31:35Significant blunt force trauma to his abdomen.
31:36It's rigid and he was guarding it upon assessment.
31:37BP is 85 over 60.
31:39Yeah.
31:40He's tacky at 110.
31:41Satsa on 97% on 15 litres of oxygen.
31:44His GCS has been fluctuating between 14 and 15.
31:45He's had TXA and IV paracetamol.
31:46Okay.
31:47Great.
31:48Thank you, Jan.
31:49Cheers.
31:50Thanks, guys.
31:51Okay.
31:52Hi, Noah.
31:53My name's Dr Nash.
31:54I'm just going to give you a quick examination, okay?
31:55Can you just lift your head for me?
31:56I just want to have a little feel of your throat, okay?
31:58So, good.
31:59Airway is good.
32:00It's good.
32:01Okay.
32:02No, I'm not bad.
32:03I'm not bad.
32:04I'm not bad.
32:05I'm not bad.
32:07I'm sorry.
32:08It's good for you.
32:09No, I'm not bad.
32:10I'm not bad.
32:11I'm not bad.
32:12okay great thank you jan cheers thanks guys okay hi noah my name is dr nash i'm just going to give
32:17you a quick examination okay so can you just lift your head for me i just want to have a little feel
32:22of your throat okay so good airway is patent self-ventilating i'm going to listen to your
32:27chest all right it's going to feel a little bit cold can you get a nice breath for me good lad
32:32okay yeah chest sounds clear but he's very tachynaic so let's uh let's keep him on 15
32:42liters please a little feed of your pulse okay
32:45yeah radial pulse is thready so he's definitely bleeding from somewhere uh can we activate the
32:53major hemorrhage protocol please and let's get two units of one going through the rapid infuser
32:57right no i'm just gonna lift up your top for a second i just want a little look at your
33:00your abdomen okay and faith are you okay to get some more bloods off the back of that second
33:08line let's do fbc unis cross match group and safe nice deep breath man good lad and uh let's do a
33:15coag panel as well please thanks okay right okay let's uh swap just a little feel of your tummy noah okay
33:24okay yeah that's very rigid i'm thinking ruptured spleen yeah it could be okay uh right i will give
33:38the surgeons a shout to have them on standby and can we get them booked in for ct as soon as possible
33:43thank you guys cheers i want a new doctor i demand a new doctor looks after my son
33:52can i help that one's been interrogating my kids accusing me of all sorts i haven't accused you of
33:59anything i just don't understand why dom's blood sugar was so low how dare you i love my son
34:05men like you you always think you know better don't you you want to try a day in my shoes i have
34:13two jobs i cook i clean i never go out i do everything for my boys now you want to accuse
34:20me of something go on where's your proof i believe dom is being transferred to paediatrics
34:26there'll be a new consultant there okay a new doctor why don't we go and see dom while we get ready to take
34:33you know i should make a complaint about you this is like
34:37okay what what's happened look what's going on what's happened why i called didn't answer
35:00what my phone is in my locker can can somebody tell me what's happened he called me a loser
35:08oh look what have you done
35:10see i reckon they'll want to keep you in for a few nights and if i were you we just use that time
35:18rest cover okay there we go right thanks guys good luck thank you
35:24can i have a minute half a minute i thought you weren't coming back no chance babe
35:37i'm so sorry for everything i'm so sorry
35:43love i don't you feel like you have to do that
35:48i'm gonna make sure you don't have to okay okay i promise
35:55you staying in
35:59yep he's staying in thanks guys
36:03we're doing it back
36:07have you seen faith she's texting me something about loka
36:09no i haven't sorry
36:10um so i've um i've notified paediatrics and um i'll probably get in touch with social
36:23services but um ultimately you've done all you can
36:26yeah it seems a shame doesn't it just well discharge and hope for the best
36:32um before my dad left i i used to have these vitamin injections because i was tired all the
36:43time um and after he was gone when i was when i was older i asked my mum what the doctors
36:50thought was wrong with me
36:50but it was nothing you didn't need them
36:54thank you um i think you'd probably speak to social services
37:00i'm not breaking up my family no it's about getting the right support in place
37:02well i'm quitting uni
37:04it's a lot of hassle anyway
37:08and i'm gonna move back home
37:10your mum didn't want to lose you
37:13like she lost your dad
37:15i'll make sure he starts doing all the injections
37:20but if she has both her boys home
37:23then he might not get dizzy anymore
37:26no he might not i think i follow
37:28she does love us
37:44not much of a guarantee is it
37:51it's out of your hands now
37:54yeah
37:55how is he
38:04hey
38:05resting
38:07they say he's doing well
38:10considering
38:11and how are you
38:13oh
38:15i just allowed this to happen
38:18didn't i
38:19i should have forced him
38:22to get out
38:23and make friends
38:25no more video games
38:27you do know it was one of the young men
38:29who was playing against the gold 999 don't you
38:31and one of said men
38:33dropped this off at reception
38:35i don't know it might be
38:37good in rehab
38:38for his coordination
38:39he does have friends
38:43thank you
38:47for everything
38:48it's okay
38:49i wouldn't even know how to take this thing off
38:55good luck
38:57thanks
38:58can sort of give you top marks i hope
39:05he did actually
39:07thank you
39:09so much for today
39:10you really made us feel like i can do it
39:12because you can
39:14thank you
39:44sofia
39:46i'm so sorry i'm late
39:47i know
39:48not at all
39:50i just have to say straight away
39:52i didn't choose to wear any of this
39:54i don't know what this looks like
39:56i'm told it looks good
39:57but these were not
39:59well i didn't choose them
40:01they were they were foisted on me
40:02by
40:03faith
40:04faith
40:05yeah
40:05i mean she didn't physically put me in them
40:08but i was i was lent on quite heavily
40:10so it's not how i wanted to present myself
40:12do you want to go out and then
40:14come back
40:15i'm giving you a serious thought
40:17um let me get you a drink
40:19what would you like
40:19oh yeah another massive glass of white wine
40:22please
40:23all right
40:24so we're set
40:28good to go
40:29okay
40:29thanks guys
40:30good job
40:31what's the matter
40:40it was luca
40:41i've done that
40:42what
40:43are you serious
40:46i gotta go
40:48come over here now
40:55right
41:00i need you to tell me
41:01exactly what happened
41:02what's the matter
41:03what's the matter
41:05he
41:05you've trimmed me up
41:06and then what happened
41:08i
41:11i hit him
41:13look
41:15i told him to stick up for himself
41:17stick up for himself
41:17the kid was lying on the floor
41:18whilst he was kicking him
41:19the teachers had to pull look off him
41:21that
41:23that's not sticking up for yourself
41:25i
41:25i'm just
41:27i'll talk to these
41:28no
41:29i think you've done enough
41:30come on
41:32god
41:33because that original
41:41um that wasn't
41:42that wasn't
41:43um tom bernard
41:44until
41:44that was tom sellick
41:45of course
41:45well it's just nice
41:52just spending some time
41:54with you
41:55outside of work
41:57yeah
41:57i know it is
41:58i mean obviously
42:00we've spent quite a bit of time
42:02together at work
42:03today
42:04but it's different isn't it
42:06in here
42:06yeah
42:08yeah
42:08but there's times that we spend
42:11you know
42:11there's relationships
42:12that we
42:13that we form
42:14with
42:14with friends and colleagues
42:16with family
42:18and with pets
42:20um
42:20you know
42:22that's
42:22their relationships too
42:24right
42:24they count
42:25you want to talk about relationships
42:26do you
42:29i
42:29you know
42:30it was something that
42:30it was
42:31it was something that
42:32that faith said
42:33oh faith again
42:34i wanted to say thank you though
42:41for today
42:42because
42:42you know
42:43with the boy
42:43that was really
42:44that was invaluable
42:45thank you
42:45well that
42:46it's hard isn't it
42:47you know
42:47when it's
42:47when it's kids
42:48yeah
42:51is there a little bit of you
42:55that would rather be on your boat
42:56right now
42:57coloured up next to
42:59Dervler
42:59don't answer that
43:02do you want me to answer it
43:05um
43:07i must admit
43:08i don't know whether
43:09i'm ready for another
43:10relationship
43:11have i said too much
43:13i have
43:13i've said too much
43:14and then
43:14and that is cool
43:15okay well it's school night
43:18so
43:19yes
43:20cheers for the drink
43:21um
43:21you're all very welcome
43:22thank you
43:24then
43:25all right
43:26see you tomorrow
43:29i'll see you tomorrow
43:30all right
43:30it's a time
43:31hey mate
43:40come here
43:43you okay
43:44Luca can you go wait
43:47in the changing room please
43:48so
43:58so
43:59now we're still in theatre
44:01Luca might be charged with assault
44:04possibly expelled
44:05oh
44:07Faith i'm so sorry
44:09oh and i got into medical school
44:11oh that's great
44:14come to see
44:14yeah it's irrelevant now innit
44:16oh come on
44:18Faith i thought i was giving him the right advice
44:20okay i hated
44:22seeing him get bullied
44:23and yes
44:24okay
44:24it's my fault things have gone this far
44:26well i'll be honest with you
44:28i saw one of the lads that beat me up earlier
44:29and i wanted to do exactly the same
44:31i have felt so useless
44:34since that night
44:35they jumped me from behind
44:37i couldn't protect you
44:37i couldn't protect him
44:38i don't need protecting
44:40look i get it
44:42i get that your ego was damaged
44:43and i'm sorry that that happened
44:45you didn't talk to me about it
44:47you just
44:47you
44:48you shot me out
44:49and
44:49i can't have that
44:51i won't
44:52and i won't have that anger in front of my kids
44:54i don't want to be with someone like that
44:57i don't want the secrets
44:57i just i don't want
44:58i can't
44:59i won't do it again ian
45:00i won't
45:01i
45:01i won't
45:05hi
45:18hi
45:18hi love
45:19oh wow
45:21this is nice
45:23sit yourself down
45:24pour yourself a drink
45:27i've already started
45:28i thought you wanted to talk
45:31hmm
45:32i do
45:33we will
45:34two of my favourite things to do
45:37talking and eating
45:38as you know
45:39here
45:40pour you a drink
45:42this address from walter
45:48the letter
45:50blimey you remembered
45:52yeah
45:54a long time ago
45:55i mean
45:58i've not seen you in anything
46:00a long time
46:01a long time
46:03hmm
46:04let's not pretend otherwise
46:06and the years in between
46:08i've not made enough of an effort
46:11with you
46:12oh shit
46:13let's not
46:13now listen let me speak please
46:14we've settled into a pattern haven't we
46:19hmm
46:19we've never really got out of it
46:20it's just been kids and work and kids and
46:24all kids and it's never really been about us has it
46:27i'm sorry love
46:29i
46:29i should have seen what it was doing to you
46:32i know you have needs
46:35stop
46:50stop
46:51please don't do this
46:54stand up
46:57look
47:03i'm sorry i
47:05i can't tell you what you want to hear
47:08i'm sorry
47:10i love you
47:18i'll always love you
47:21and i'll always be there for you
47:24and the kids
47:26but i can't do this
47:32cheers
47:33cheers
47:34i said i need to daren
47:41yeah
47:42i'm going to
47:42i'll call you
47:43yeah
47:43yeah
47:44yeah
47:44mm-hmm
47:46Mm-hmm.