S43 E07
Category
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FunTranscript
00:00Hold the line!
00:03Goddammit!
00:04Did I ask you to look after her?
00:06She's gone!
00:07Flint, take 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.
00:30And he's hard on the people who don't meet them.
00:34Oh, my God.
00:36Here, 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.
01:04I'll just 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?
01:15Um...
01:18Well, I need a...
01:19a stomach.
01:20I don't think that's likely.
01:21As I said, plan A is keyhole.
01:24Unfortunately, Mr Rowland isn't available, so...
01:27we have to act quickly.
01:29Restore the blood supply.
01:30Trust me, Stevie.
01:33We'll take excellent care of you.
01:38Rita, thank you.
01:39Okay.
01:40Stevie, when you're ready,
01:41the anaesthetist will get you off to sleep.
01:45Rita?
01:46Yeah?
01:47Do you me a favour? Yeah?
01:48Just, um...
01:49Do you not leave my side?
01:50Make sure I come back in one piece.
01:52Absolutely.
01:53Doctors are the worst patients.
01:58You'll do just great.
02:01Okay.
02:02Nice deep breaths for me.
02:04In.
02:06And out.
02:07Backwards from ten.
02:08Good.
02:10Nine.
02:23lemon tea.
02:24I can see.
02:26Of course.
02:28сов sagtestist
02:29podcast
02:31is banco.
02:32We're a..
02:33You're a..
02:35You're a..
02:36After..
02:37you answer to
02:41saranulom
02:45for bottigues.
02:47Yes..
02:48Put wrong.
02:50You're a..
02:51Do you want to just follow me?
03:00Dylan, a head injury, clearly loss of consciousness.
03:03Okay.
03:04Just the walking wounded left now.
03:06And the sitting ones.
03:07Find your boboating cubicles. I'll be down in a couple of minutes, okay?
03:16Is that Lena Hassler?
03:19Yeah, I mean, we did everything we could.
03:20Um, how's Stevie?
03:23Terrified, I expect.
03:24I don't know.
03:25It's dead, yeah? How about some help here?
03:27That's enough. Disrespect will not get you seen any quicker.
03:31Sorry, I am fresh out of classitude. I need to go home, get some sleep.
03:38Hey, I heard things were bad, but...
03:41Yeah, I went from a vigil to a full-blown riot.
03:45How is she?
03:46Strong, facing things head on.
03:48Thank you very much.
04:10Just a bit of coffee with my sugar.
04:14You okay?
04:16More hoops to jump through.
04:18They want details of every instance we breach our response times for each category.
04:23Brilliant. Just brilliant.
04:25Have I missed something?
04:26Performance review starts today.
04:28What's that?
04:30Monitoring us.
04:31Our response times.
04:34As well as whether...
04:35Jan.
04:36They're not blaming Jan, are they?
04:38Management loves a scapegoat.
04:41That's so unfair.
04:42So when we've put the patients in the right categories, we need to get the ambulances there within the category times.
04:46Or it's Jan's head on the block.
04:47Mm-hmm.
04:51Amunance service is patient breathing.
04:56Hold the camera, please.
04:59I'll see the Johans, nurse man.
05:01Let's get a better angle.
05:26It's more complicated than I anticipated.
05:28It's more complicated than I anticipated.
05:28It's more complicated than I anticipated.
05:31We're going to have to convert.
05:34Prep for a midline incision.
05:36Can we not stick to Keyhole?
05:37I need a clearer view.
05:39More light.
05:49Your, er...
05:50Your morning coffee.
05:53Bit ahead of schedule.
05:57Oh!
06:00I really thought there would be an update by now.
06:05Yeah.
06:06No news is good news.
06:10I don't think that applies to emergency surgery.
06:13Yeah.
06:15Probably not.
06:16What a weirdo.
06:22It'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.
06:26The mass seems to involve the dome of the bladder and the sigmoid loop.
06:34I'll transect the small bowel and colon.
06:37Get a better look.
06:39Linear stapler.
06:40And fire.
06:53Fire.
06:56I need to consult Miss Rowland.
07:07How bad is it?
07:09The mass is entangled with the pelvic organs.
07:12It's very invasive and most likely cancerous.
07:14I'll be right back.
07:20Much worse than anyone could have predicted.
07:24What happens now?
07:25It's Mr Whitelaw's call.
07:28We just follow his lead and...
07:30do our best for her.
07:37I'm in service.
07:38It's patient breathing.
07:40I'm in service.
07:41It's patient breathing.
07:41Yeah, he is.
07:47And what's the address of the emergency?
07:49It's a flat in Silverton.
07:50Three Riverstone buildings.
07:52I'm Becker.
07:55OK.
07:55Is the patient conscious?
07:56He's locked himself in the kitchen.
07:59Can you tell me exactly what's happened?
08:01Jay was supposed to cook me dinner and when I got here...
08:03He was OK, but then he got sweaty, he started shouting,
08:07seeing things that weren't there.
08:08Right, does Jay have any medical history we need to be aware of?
08:13We just met a few weeks ago.
08:15I can ask.
08:16Only if you think it's safe.
08:19Jay?
08:20Are you OK?
08:21No, no, no, no, no, get back.
08:23You can't come in here.
08:24I don't know what to do.
08:25What do I do?
08:27So help has been arranged for you.
08:29Do you think that Jay could hurt himself or anyone else?
08:31I don't know.
08:33Um, what's wrong with him?
08:35From what you described, it sounds like you could be having a psychotic episode.
08:38So we are sending the next available ambulance,
08:40but if anything changes or gets worse, you'll call us back immediately, OK?
08:50Ambulance service is patient breathing.
08:52Miss Rowland is in agreement.
08:56Given the position of the mass and that it's infiltrating multiple structures,
09:00we have to perform a hysterectomy.
09:06No.
09:07Is there anything else we can try first?
09:10I wish there was, Rita.
09:12It's tough, but this gives Stevie her best chance.
09:16Indy, it looks like your mental health cap 2 is about to breach in 18 minutes.
09:26Seriously?
09:27I'm still miles away.
09:29Nothing we can do about it.
09:31You say that.
09:33Mood change is out of nowhere.
09:35Hello, Ambulance service is a patient breathing.
09:37Yeah.
09:37Yeah.
09:46Hi, Becca.
09:48This is the ambulance service calling back.
09:50Hey.
09:51He's much calmer now.
09:53I don't think he's going to hurt himself.
09:54Great.
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.
10:06Jay?
10:07That's good.
10:08Did you take anything earlier?
10:10It's important.
10:11Um, yeah.
10:18Steroids.
10:19Took some before you came round.
10:25He's on steroids.
10:27Took some before our date.
10:35Okay, cool.
10:36Thanks for checking.
10:37If anything changes or gets worse, you call 999 and we'll be with you as soon as we can.
10:41It's all good.
10:47It's downgraded.
10:48What's that?
10:49Um, she called back.
10:50Accidental overdose.
10:53Another whole hour.
10:55Great save.
11:00Dr. Liver, I want you to ease and squeeze.
11:08Swab.
11:09You've caused a bleed.
11:11So sorry.
11:12Yeah, yeah.
11:16That's easily done.
11:19We're all tired on an edge.
11:23Ah, still some oozing.
11:25Swap stick.
11:29Steady.
11:30Two o'vicryl.
11:36Dr. Piper.
11:44You need suture.
11:47Just in the area where the clip was.
11:50There.
11:52Three throats of o'vicryl.
11:57Keep your knot square.
12:02It looks as though we've got a plastic surgeon on our hands.
12:05Learn 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.
12:34Go ahead, Jodie.
12:35What have I got?
12:35Uh, possible surgery to do psychosis with some embedded glass.
12:38Uh, sorry.
12:39Can I have a quick word for you?
12:40Um, I believe, uh, Dr. Missoum's waiting for you, Jodie.
12:45I think I asked you very politely to go home.
12:47Hey, yeah, you did.
12:48Um, look, I'm sorry, Dylan.
12:51What I did in recess was completely unacceptable.
12:53There was literally nothing more we could have done.
12:54Yeah, I know.
12:55I know.
12:56Is there any word on Stevie?
12:58No, nothing for me.
12:59I will text you.
13:00Okay.
13:01Listen, we're taking some heat on social media.
13:03That's just noise, isn't it?
13:04We're doing everything we can.
13:05Nonetheless, I want to stick around.
13:06Okay?
13:06Yeah, just, just help out the team.
13:08Okay, well, what they need is practicality rather than theatricality.
13:11I understand, I understand.
13:13Where do you want me?
13:14Stay out of recess.
13:15Yeah.
13:16And certainly stay out of my way.
13:21Okay.
13:23The mass is free from the bowel.
13:27Let's get it out of her.
13:29No visible disease remaining.
13:39The hysterectomy is complete.
13:45Not our usual territory.
13:47We've done well.
13:49Let's take a beat.
13:50Before we close,
14:00you've got to make sure that there's no active bleeding.
14:02You okay to retract?
14:03Yeah.
14:08Let's see what we got.
14:10Sorry.
14:10Sorry.
14:10Sorry.
14:10Sorry.
14:10Sorry.
14:20No major bleeders.
14:26Cauterize the tissue margins.
14:30And flush the area.
14:35Okay.
14:36Ready when you are.
14:40Okay, team.
14:42Let's finish strongly.
14:45Cliver, cauterize.
14:46So is this like
14:51breed rage?
14:52It's more intense
14:54from a higher dosage.
14:55Excuse me.
14:57We'll need to do a blood test
14:58and an exam to confirm.
15:00Plus we'll do
15:00an x-ray of Jay's hand.
15:02He smashed some stuff.
15:03I didn't realise he was hurt.
15:05Right.
15:05Can you give us your surname?
15:06Date of birth?
15:09We met online.
15:13He's a Pisces.
15:14If that helps.
15:17It's to access his medical records.
15:19Oh.
15:20No, that's private.
15:22Right, so you can hear me.
15:23Jay, can you tell us
15:24what steroids you took?
15:27Okay, let's keep him calm.
15:28Repeat BP in 15.
15:30Let's do an ECG
15:30and take some bloods.
15:32Um, FBCs,
15:33use an E's,
15:34LFTs and a CK.
15:35Okay.
15:37Keep steady.
15:39I need to be precise.
15:44Keep Nick the Iliac.
15:46Suction now.
15:47Swab.
15:48Swab.
15:53Another swab.
15:55It isn't a minor bleed.
15:57What are you doing?
15:58I need to keep count.
15:58Sorry.
16:00Quiet, quiet.
16:03Concentrate.
16:06Give me 4-O-proline now.
16:08Come on.
16:13It's keeping you.
16:16Look, if you're going to faint,
16:18fall backwards.
16:20Put your finger
16:21there, next to mine.
16:23Okay.
16:25Pressure.
16:28Retractors.
16:28Get out of here, next to mine.
16:29Yes.
16:30Yes.
16:31Get out of here, next to mine.
16:33Oh, my God.
16:34Oh, my God.
16:35Christ's sake, you're a liability.
16:36Sorry.
16:37I'm sorry.
16:38Just get out.
16:38Just get out.
16:40Out.
16:41Stevie, I promised her
16:43that I would stay here, so...
16:44I promised to sabotage her.
16:45Please, now, leave now.
16:46It's okay.
16:50I've got this.
16:51Go on.
16:53Yeah, sorry.
16:55Get me a confident scrub nurse.
16:58And a major basket of set.
17:11Yes.
17:11I'm in a service.
17:40It's a place you breathe in.
17:40Yes.
17:42But I feel really dizzy.
17:45It's Mary.
17:46I work nights at the Mega Mart on Hazel Road.
17:51My manager says I'm a hypochondriac.
17:53Reckons I'm trying to skize.
17:56I didn't know who else to ask.
17:59Okay, is the dizziness constant,
18:01or does it come and go?
18:02Pretty constant for the last hour or so.
18:05What should I do?
18:06I can't lose this job.
18:08Okay, so I'm organizing help for you now.
18:11I just need to get through a couple more questions.
18:13Go on, love.
18:15Okay, do you have any other symptoms?
18:18I'm tired.
18:19Even sitting down.
18:20Okay, yeah, night shifts are the worst, aren't they?
18:25You just hang in there, okay?
18:27Any other medical conditions we need to know?
18:29I feel better already, knowing you're on your way.
18:33Amazing.
18:34Demand 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,
18:40just call us back, yeah?
18:41It's still bleeding.
18:52One more go.
19:04Well, that seems to have done it.
19:07Calm is restored.
19:08It's amazing how quickly it all shifts.
19:13Well, that's the nature of surgery.
19:15It's all about finding balance.
19:17Your own calm in all the chaos.
19:20Yes, it's difficult
19:29knowing you put a patient through life-changing surgery.
19:33She's not just a patient.
19:35The position of the tumor added significant risk.
19:40And you performed incredibly well
19:42under immense pressure.
19:44Brida?
19:59I'm looking for Jodie.
20:00Is she around?
20:01She's with a patient.
20:03How'd it go?
20:04Steeding out of theatre?
20:05I had to leave.
20:08Are you okay?
20:09Look, I get it.
20:12Treating someone you know,
20:13it can be difficult.
20:15I...
20:15Not that.
20:19Do you want to go somewhere?
20:22Talk?
20:24Oh, Rash.
20:25Oh, Rida.
20:25Any news?
20:26I...
20:27I need to get back, guys.
20:29Mr Whitelaw,
20:29he's not making you stay on, is he?
20:31I'm just going to, um,
20:32make sure that she's okay.
20:35Did she, um,
20:36just have to step out?
20:37I suppose no.
20:57Stop!
20:58Stop!
20:59Stop!
21:01Stop!
21:25Stop!
21:27Stop!
21:27Don't be afraid.
21:29Stop!
21:29Man trouble.
21:45You all right?
21:46You look terrible.
21:49Rich coming from me, I know.
21:52It's been a very long shift.
21:56Must be new.
21:57I 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.
22:16The before and after pics are pretty impressive.
22:19Lost £10 in one sitting.
22:21That's got to be a relief.
22:23Yeah.
22:24Almost feel human again.
22:27Mind if I have a look?
22:29I'm going to try not to hurt.
22:33Mm-hmm.
22:36Yeah, I'm going to speak to a doctor, see if we can't give you a bit more pain relief.
22:42Thanks.
22:43Appreciate it.
22:44Back in a sec.
22:50Don't go anywhere.
22:51Look, if you're feeling OK, we'll send you the results.
22:53Please.
22:54Let's go.
22:55Oi!
22:56I said I was next.
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.
23:02Go take a seat.
23:03Charmant.
23:05Charmant.
23:07Any word on Stevie?
23:09Mr White, I wanted to let you know she is stable and in recovery.
23:13That's great.
23:13That is great.
23:14I 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 going to let you know.
23:23Thanks, Nicole.
23:24Dr Mastemann, thank you so much for staying on.
23:27I really appreciate it.
23:28Look, I'm back if you want to find us out.
23:29I'm reviewing the 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 going to get a card or something and leave it on the reception.
23:41Everyone 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.
23:56Rash.
23:58I...
23:59Look, I found Dr Keo and I apologised.
24:02You apologised.
24:03Great.
24:04Great.
24:04So, problem solved.
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're on?
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've put Becca through enough tonight.
24:37You...
24:38I've been having a flare-up of my Crohn's.
24:48You can't tell her.
24:52OK, how many did you take?
24:56A 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, slowly tape you off the steroids.
25:11Thanks.
25:12You should talk to her.
25:19I hope your muscles relax, then Lily Luck will just be able to slide it back into place.
25:23It's about time. My mate's finna lock it and I'll be playing serious catch up.
25:28How'd you get the injury?
25:30No comment.
25:32Looks like you were at the vigil on them.
25:34That's not the word I'd use for it.
25:36No?
25:37Do you even know what it was for?
25:39Does it matter? Message received, yeah?
25:45Well, we're nearly done here, so you might feel a bit of resistance.
25:48It's not my first rodeo.
25:50That's great. Okay, good man. One, three, one...
25:55Sorry.
25:56Can't you count?
25:58Sorry.
25:59Guess you're not the only one they're paying attention today.
26:04Lena Haslip and Carly Wilson are the two girls that died and the vigil was for them.
26:09I'm supposed to cry now.
26:11I've met my ways.
26:14One guardians, mate.
26:15Yeah, we're not done here, buddy. You need an x-ray.
26:17Yeah, it seems fine to me.
26:20Look, I think we should get an x-ray. Just check everything's in the right place.
26:23Yeah.
26:25My place is in the pub.
26:26Keep up the good work, Doc.
26:30Hey. You're awake?
26:31Can you take ops for me?
26:32Thanks.
26:33Thanks.
26:34Um, I'm gonna head off now. Take care, yeah?
26:37Um, is it okay if I, um...
26:38Can I call you later?
26:39I don't wanna be harsh, but maybe not.
26:40I don't wanna be harsh, but maybe not.
26:41I don't wanna be harsh.
26:42I think you're great, but I'm just looking for something genuine.
26:45I love you...
26:46Don't wanna be harsh, but maybe not.
26:54I think you're great, but...
26:56All right, won't go away now.
27:02Can I call you later?
27:05If we're weep, I think good anything, are you real quick?
27:07Sounds crazy.
27:10How do you feel?
27:11something genuine. Me too. I don't, um, I've, I've got Crohn's disease, they're not
27:36steroids, steroids, they're, they're prescribed by my doctor, I just, I took too many. I just,
27:46I wanted tonight to be different. Different how? The menu I planned, it was to stop my guts exploding.
27:58You didn't have to hide that from me. Tonight, I just, I just wanted to be with you.
28:09I make everything awkward. Awkward's totally my vibe. Hey, his heart rate's normal now.
28:17Right, then we can move forward. Yeah, so he can call you? Yeah, I'd like that.
28:28If you can use alternative transport or services, then we do advise that you do.
28:36I do have to disconnect the call now to take another one, okay?
28:43Ambulance services, patient breathing. It's you again. Sorry, love.
28:48Is this Mary? I got a bit more, more breathless. Called 111. They transferred me.
28:57You didn't mention feeling breathless. You said the ambulance was coming.
29:02Has anything else changed or got worse? My chest hurts.
29:07And the bottom of my teeth. Is the pain spreading anywhere else?
29:11The last time.
29:16How long for the mega mark?
29:193006 is arriving on site.
29:21Okay, Mary, they are nearly with you. I'm going to stay on the phone until they get there, okay?
29:24Mary? Mary? Mary?
29:353006 from Control. Have you guys made contact at the mega mark?
29:42Uh, 3006 to Control. We have just pulled off.
29:45Yeah, I'm going to need to divert you to a backup. First crew is requesting assistance.
29:50All received. Over.
29:50So near and so far.
29:57So near and so far.
29:57So near and so far.
29:58They're leaving. Why are they leaving?
29:59I'll contact the allocator.
30:00I'll contact the allocator.
30:00It's Indie.
30:08Hey, Indie!
30:10It's Indy.
30:26Hey Indy.
30:27Teddy's kind of busy right now.
30:29You need to go back to the Mega Mart.
30:31Are you in the hub?
30:32They're not supposed to contact us.
30:34But I lost contact.
30:35There's query loss of consciousness.
30:36You have to go back.
30:37We can't.
30:38It's a cat one.
30:39We've upgraded it.
30:40We can't dive there without being allocated by control.
30:43You know this.
30:443-0-0-6 from control.
30:48Sorry, gotta go.
30:493-0-0-6 to control.
30:52Go ahead.
30:53Yeah, that call at the Mega Mart is now a cat one.
30:56Ineffective breathing.
30:57If you could redirect, please.
30:58Received.
30:59Over.
31:00What is she giving?
31:02This is chaos.
31:04No more doctors, please.
31:06My daughter's on her way.
31:08She'll ask a zillion questions.
31:10Can I clean and redress it, though?
31:12But Cara, if this gets worse, you have to let me know.
31:15Yeah?
31:16Okay.
31:17This bit's gonna sting, I'm afraid.
31:20Straight out of chemo again, son.
31:23Can I be cheeky and ask another favour?
31:28And then?
31:29My daughter, Olive, always manages to get lost.
31:34Tell her to wait by the coffee cart, then.
31:37You're amazing.
31:39She woke up briefly in recovery, but she went straight back to sleep.
31:50Look, why is there a wind drain?
31:53I thought it was keyhole surgery.
31:55Yeah.
31:56There was some unforeseen issues.
32:00What do you mean, unforeseen issues?
32:03Well, well...
32:04No, I can't tell you.
32:06Look, she was under anaesthesia longer than we thought, so she's gonna be out a while.
32:13Do you want us to just call you when she wakes up?
32:15No, thanks.
32:16Um, I'll wait.
32:17You sure?
32:18Yeah, yeah, of course.
32:40I need to talk to you.
32:41Don't look so worried.
32:43Stevie's gonna be fine.
32:45Good.
32:46No, that's...
32:47So good, I'm...
32:49It's not what I meant, though.
32:51I know what you're gonna say.
32:52You saw what happened.
32:54Everyone did.
32:57Don't beat yourself up.
32:59Pressure in there was intense.
33:04No, no, you don't understand.
33:06He's got high standards.
33:08You said so yourself.
33:10That's not what I meant.
33:12I've been there.
33:14Russell's temper?
33:15No joke.
33:16These...
33:17Procedures, they...
33:19They demand a lot of you.
33:21You've got to believe in yourself, believe in what you're capable of, or you're not gonna succeed.
33:26Mr Whitelaw.
33:27Look.
33:28Ask Sean.
33:29Cause he'll be able to explain it a lot better than I can.
33:32Go home.
33:33Come back fresh tomorrow.
33:34It's been a lot.
33:35Hello, mate.
33:36Okay, we'll take it from here.
33:38Hi, Mary.
33:39My name is Jacob and this is Teddy.
33:40Can you tell us what happened?
33:41I fell.
33:42I've been really dizzy.
33:44Okay, now I'm just gonna put this on your finger.
33:45And this cuff around your arm so we can run a few checks.
33:46All right?
33:47How long have you been feeling like this, Mary?
33:48I called her a sec ago.
33:49You spoke to the same girl.
33:50You're gonna put these stickers on your chest, so we can get a trace from your heart.
33:51I fell.
33:52I fell.
33:53I felt...
33:54I fell...
33:55I fell.
33:56I've been really dizzy.
33:58Okay, now I'm just gonna put this on your finger.
33:59And this cuff around your arm so it can run a few checks, all right?
34:02How long have you been feeling like this, Mary?
34:04I called a yearlle so go.
34:05Uh...
34:06It spoke to the same girl.
34:08I'm gonna put these stickers on your chest, so we can get a trace from your heart.
34:17Okay.
34:18It's nothing serious, is it?
34:21Well, we'll find out.
34:24Hypertensive at 79 over 52.
34:27I'm on one of those zero-hours contracts.
34:31They'll get rid of me.
34:33Yeah, yeah, try not to worry about that for now, OK?
34:37OK.
34:39The tracing is showing that you are having a heart attack.
34:42I know that's very alarming.
34:43We're going to get you to the hospital ASAP
34:45so they can remove the blockage.
34:48Hang on.
34:54He's in BF.
34:57Attach the pads so I start compressions.
35:00Yep.
35:11OK.
35:12I'm charging.
35:14Keep going with compressions.
35:16I'm going to shock you.
35:20Get off your chest.
35:24Clear.
35:26Shock it.
35:28Back on the chest.
35:32Oh.
35:33Signs of life.
35:34Pulse check.
35:35Pulse check.
35:40Got a pulse.
35:42Alright.
35:43We need to make a move.
35:46Pull the cap flap.
35:48And let's get the ASAP.
35:49Yes, I think.
35:52This should have been a cut one from the start.
35:53I don't want to stop.
35:54I don't want to stop.
35:55No.
35:56Do you know?
35:57No.
35:58Is it okay?
35:59No.
36:01I'm not sure
36:02you go.
36:03No.
36:04You will get up.
36:05No.
36:06It's a great deal.
36:07Are you okay?
36:27I'm Kara, by the way.
36:35I've been there.
36:37Literally.
36:39If you've got any questions, just...
36:48Oh, you're awake.
36:50Hey.
36:51I was just getting you some water, in case you were thirsty.
36:54How are you feeling?
36:56What have they done?
36:59They wouldn't give me any details until you woke up,
37:01so I'll just... I'll go and get somebody for you, okay?
37:04Right, I'll be right back.
37:05I'll be right back.
37:14Ask for more pain meds if you need them.
37:22Thanks, but I'm...
37:24I'm a doctor, so...
37:27doesn't make it hurt any less, right?
37:35Hi. Hi. Claire.
37:37Oh, finally. Where are you?
37:39You promised the girls you'd make pancakes on your day off.
37:41Mine are rubbish, apparently.
37:42Yeah. Claire, hold on. I've got to take this.
37:47Sorry, are you... Are you at work?
37:50Yeah, I am. Can you just give me half an hour, please?
37:53I'll be easy.
37:53I'll be easy.
37:55Okay.
37:56I understand when I are. We'll try and get things sorted.
38:07Stevie, how are you feeling?
38:09Yeah, you tell me.
38:12How far from plan A did we end up?
38:14To be completely open,
38:15the surgery was more complicated than we'd hoped.
38:20Your cyst had grown considerably,
38:22adhered to the bowel
38:24and the surrounding pelvic organs.
38:27So it was invasive?
38:30Cancerous?
38:31We need the pathology report to get a full diagnosis.
38:34But the important thing is
38:35that we removed everything we could see.
38:38What could you see?
38:42What did you remove?
38:43To ensure we removed all affected tissue,
38:46we had to perform a full hysterectomy.
38:52The mass involved your jejunum,
38:55sigmoid colon,
38:56left ovary,
38:57and the peritoneum over your bladder.
39:01So it was an extensive resection.
39:03Do you have any questions at this point?
39:11Why were there not more warning signs?
39:14Well, often there aren't.
39:16The abdomen would have accommodated the growth.
39:19Like a pregnancy?
39:22Of course, this must come as the most enormous shock.
39:25Surgical menopause can feel like a roller coaster,
39:29emotionally and physically.
39:30But the good news is
39:31that things will get better.
39:36Great.
39:38That's more than enough for me.
39:41Is there anything else you'd like to know?
39:42No.
39:44No, I just want to be on my own.
39:46Of course.
39:52That applies to you too, Fyath.
39:56I'm not going anywhere.
39:57Okay.
40:15How's Mary?
40:18She had a massive heart attack.
40:19Well done.
40:20Yeah, Teddy, come on.
40:21This ain't nothing to me.
40:23Look, Mary's stable.
40:24She's a student paramedic.
40:26She should know the signs.
40:27Yeah, but do you know how to symptoms present differently in women?
40:29That is exactly my point.
40:31Mary could hardly breathe when we got there.
40:32Did you even ask?
40:34Did you?
40:34I'm sorry.
40:40I can't believe I messed up so badly.
40:44Especially today.
40:45What's so special about today?
40:47It's Jan.
40:49She needs our help.
40:50Help with what?
40:51Okay, so we've got an incoming trauma case, multiple facial fractures.
40:57Dylan, I've been summoned home.
40:59Nothing I can do about it.
41:00You're going to be okay?
41:01You'll be okay.
41:01Okay.
41:03Okay.
41:04This looks serious.
41:05Here we go.
41:06Dylan, pre-alert, mate.
41:07Flynn, I said it was fine.
41:09Hey, no, this looks nasty, mate.
41:10Come on, I'm not going to leave you in the lurch.
41:11You're not.
41:12Dylan.
41:14Oh, okay.
41:15Go and get changed, then.
41:16Your name is just like that.
41:17I'll call Max Braxton.
41:18Thanks.
41:20It's a performance review.
41:22We've been through it before.
41:23We just need to carry on as normal.
41:26Speaking of which...
41:28I, um, better get back to work.
41:36I just don't think it's fair that management's blaming you.
41:39Exactly what I said at the debrief.
41:41So they've agreed to monitor all our calls to see where we need more resources.
41:45Oh.
41:49Did you call Teddy on his mobile phone from the hub?
41:54Yep.
41:55That's not ideal.
41:58I can explain.
41:59I also might have called a patient back to stop them breaching.
42:03And 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.
42:12Yeah, but you didn't, did you?
42:13You did the absolute opposite.
42:15Right, no more call handler shifts.
42:19You need to focus on your paramedic training.
42:21I really need the money.
42:23You've got your blue lights test next week.
42:25Ace that and then we'll talk.
42:27So let's have the suction back in.
42:34Oh, this guy's running on his own blood.
42:35Let's, let's, let's have a hundred milligrams of ketamine tumor then, please.
42:38Let's have a one percent profile infusion and somaticurium in case we haven't to wait for
42:42an assessment any longer.
42:43Get weak, cottage, but he's bleeding from one airways.
42:45Okay, I've seen similar injuries in bar signs.
42:50We're going to have to move fast.
42:51Well, okay.
42:52Okay, I think he's under.
42:53Yeah, let's roll him back.
42:54Let's roll him back.
42:54Good.
42:55Rush.
42:58His head's steady.
42:59Okay.
43:01His mid face forward.
43:02I should slow the bleeding.
43:05Get the white box in.
43:08I'm going to paint the oral nasal cavity.
43:13Great.
43:14Just get blood bank on the phone and get some groups specific.
43:16For now, two liters of our necks should do.
43:19Then we're tubing.
43:20Good work.
43:26I can see mommy.
43:28Come on.
43:29I mean, we can transplant hearts and we can reattach limbs, but the only way to find
43:36out if a woman has cancer these days is to open her up and tear her insides out.
43:41It's medieval.
43:42You don't have the results yet.
43:43I just, I need you to drink some water.
43:47Come on.
43:49Yeah.
43:50I know.
43:52Yeah.
43:53The priority is definitely hydration.
43:56Maybe we could try a wee walk for the pain.
43:58Or, you know, I could, I could give you a back rub.
44:00You could try giving me my whim back.
44:03Stevie.
44:04What?
44:06What?
44:08It's gone.
44:10And is this the bit you're going to tell me that everything's going to be okay?
44:14That we're in this together?
44:15We are.
44:21I need some sleep.
44:21Yeah, me too.
44:27Shadowed.
44:28I'll go home for a bit.
44:37It's forget it with ketchup.
44:39Dad calls it his masterpiece marinara.
44:41Shhh.
44:42Shhh.
44:42Shhh.
44:43Shhh.
44:43Shhh.
44:43Sorry.
44:44Keep it down, Liv.
44:46There's people trying to sleep.
44:48It is morning.
44:50Yeah.
44:51Thanks for that.
44:52This is an hospital, remember?
44:54I hate hospitals.
44:56Shhh.
44:58It's okay.
45:00I do too.
45:02Sit a bit closer.
45:04Come on.
45:05There we go.
45:06That's it.
45:07Oh, yeah.
45:08Loving that ketchup stain.
45:11Maybe get your dad to put a wash on later, eh?
45:16Neil, thank you very much for coming.
45:18And I look forward to the conference.
45:22Er, Nessa Mayan, a moment of your time, please.
45:24Is 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 apologise.
45:51You're here on my personal recommendation.
45:52I take this sort of thing very seriously.
45:55But that's water under the bridge.
45:58Working a complicated case on a close colleague,
46:01you're allowed a wobble.
46:04But just the one.
46:09Oh, there, there.
46:10No, no tears.
46:13I still believe that there is a brilliant theatre nurse
46:16just clawing her way out.
46:19Tell you what.
46:20I'll have a word with Dr. Piper and the others.
46:21Make sure that it's kept entre-new.
46:25Our secret.
46:30Better be off.
46:32My granddaughters are demanding pancakes, of all things.
46:37Pure fluff and nonsense, if you ask me.
46:39Oh, I hope my outbursts didn't alarm you.
46:45I work my team hard.
46:47I always say,
46:48if you can't handle a little heat,
46:51then maybe surgery's not for you.
46:53Yeah.
46:54Thank you for coming.