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  • 2 days ago
Casualty Season 43 Episode 3

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Transcript
00:00I'm pregnant.
00:01I need you all to be free to do what you do best.
00:04If that means making some enemies, then so be it.
00:06This is the second time I've seen you buck responsibility.
00:08You're the one bucking responsibility!
00:10Alright, you're fired. Get out.
00:11You know what? Have your witch hunt without me.
00:13I quit.
00:14I can't put a roof over his head.
00:16If I can't find a suitable place, the whole office will revoke his visa.
00:18I've got to get back up for surgery, but...
00:20What about my place?
00:22My Nana passed away a couple of months ago, and she was the only family I had, so...
00:27The patient you brought in, Gloria Scott, she asked me to give this to you.
00:29As your nurse, I can only give you advice, and I'd say, go for it.
00:33I now know what sort of man you really are.
00:36I always knew that you were not good enough for my daughter.
00:39But don't worry, I don't want to break Claire's heart.
00:41Just make sure you don't either.
00:43I put my reputation on the line backing you for this job.
00:46I'm sure you'll want to create the best possible impression.
00:49Sorry, Stevie. There's no baby.
00:51There's a mass on your ovary.
00:54Excuse me. I don't feel well.
01:00Okay, look, I have somewhere I need to be, but have you spoken to reception?
01:04Actually, I feel a bit rosy.
01:07Yeah, okay, let's get you sat down, and I will let someone know you're here.
01:12What's your name?
01:13The cave basic.
01:15The cave basic.
01:16It's my arm, you see.
01:18Um, okay, let's have a look.
01:21Ah, right, okay.
01:23Um, can I get a wheelchair, please?
01:26Thanks, Lamorna.
01:28Right.
01:29Just take some nice deep breaths, right?
01:30Um, hey, Dylan.
01:32Um, do you mind taking over here?
01:33She needs recess.
01:34Oh, yeah, okay.
01:41Right, I've got it.
01:43Oh.
01:44Hi, I'm Stevie Nash. I'm a few minutes late.
02:04Oh.
02:14Time is running out for us and all our dreams will turn to dust. Never dream it'd be so hard.
02:29Tearing me apart. Must be something that I can do.
02:37I'm through it chasing the scars. And howling at the moon. I'm done with being yours. I'm waiting for life to restart.
02:54Stevie Nash.
03:07Okay, so, like, whatever it is, I can do with it.
03:35Well, you do have a mass on your ovary.
03:39How big?
03:40Six centimetres. It would explain the symptoms you've been experiencing. Pelvic pain, bloating, irregular periods.
03:48Right. Yeah. All of which I put down to stress.
03:51It's easy to explain these things away.
03:54Uh, so, are we thinking, um, is it benign or...?
03:59I don't have any answers yet. We'll have to remove it and send it for histology.
04:04Okay.
04:05What about in my bloods?
04:08Normal. Your CA125 test was normal as well, which is a good sign.
04:14Yeah, that's good.
04:17Um, in terms of, like, wait time, you know, between getting this out and, you know, what are we talking?
04:26Our guidelines say 62 days from referral.
04:29Okay. Our guidelines downstairs say it's a four hour wait time, but I'm yet to see us stick to it.
04:35We try to stick to it as best we can.
04:37Have you got any support at home? A partner? Family?
04:48Nope. Not just me.
04:51Well, I'm happy to answer any other questions. You can get in touch via my secretary any time.
04:56Great. Thank you. Thanks. Obviously not gonna waste any more of your time.
05:02I know this is difficult, but try not to worry if you can.
05:06Yeah. Thank you.
05:07We're still bringing them in.
05:08Yeah, I see that. And, er, so we are keeping them here for now, are we?
05:12No. And if we don't have to, we triage, admit, transfer or discharge as quickly as possible.
05:17Oh, okay. I hear that, but I think that might be...
05:19Listen, if we crack on, we can have this place clear by lunchtime.
05:21Okay. Well, leave it with me.
05:22Good. Thank you.
05:23Fine, if you need me.
05:24Morning.
05:25Something I said.
05:26Rather, something he did. Tarek's his cousin, and a popular fellow with the rest of the staff,
05:29so maybe bear that in mind.
05:30Oh, no.
05:31Oh, no.
05:32Oh, no.
05:33Oh, no.
05:34Oh, no.
05:35Oh, no.
05:36Oh, no.
05:37Oh, no.
05:38Oh, no.
05:39Oh, no.
05:40Oh, no.
05:41Oh, no.
05:42Oh, no.
05:43Oh, no.
05:44Oh, no.
05:45Oh, no.
05:46Oh, no.
05:47Oh, no.
05:48Oh, no.
05:49Oh, no.
05:50Oh, no.
05:51Oh, no.
05:52Oh, no.
05:53Anyway, take-home message was keep calm, carry on.
05:55All right.
05:56Are you sure you're okay?
05:57Yeah, yeah.
05:58Absolutely.
05:59Good.
06:00Okay.
06:01Someone's looking better.
06:02Couldn't look any worse, could I?
06:04Sorry about before.
06:05I'm a panic.
06:07I guess you can't be in this job.
06:10Yeah.
06:11Uh, right.
06:12So, a few stitches.
06:13We'll get that wound cleaned in theatre, and you should make a full recovery.
06:16Okay.
06:17Uh, let's talk to Dr. Q first, but can we try and get Ms. Bezik moved to cubicles ahead
06:20of plastics?
06:21Great.
06:23Excuse me.
06:24Hey, Joe, do you want to catch me up?
06:28No, no.
06:29I got it.
06:30No, you all right?
06:31No, because you treat me all the time, so I don't do it.
06:32You can resist.
06:33Uh, 3-0-0-7, receive it.
06:35There's an incident of Y-Ven prison.
06:36Indy, we're up.
06:37One male.
06:38Shout out Y-Ven prison.
06:39Isn't that on the other side of town?
06:40Is there not a crew closer?
06:42What?
06:43It's your first time, mate.
06:44It's a majesty special.
06:45Yeah.
06:46Nah, it's like any other show.
06:47Just keep your voice about you, all right?
06:49See what?
06:50You write your gun.
06:51Sort the kit in the back.
06:52Okay.
06:53Okay.
06:54Tell you what, let's do...
06:55We'll do five milligrams salvia mole, and we'll do 500 micrograms epitronium, okay?
07:09Are you okay there?
07:10Yeah.
07:11Okay.
07:12It's all right, guys.
07:13Yeah, uh, we think that this is, uh, Jack.
07:16One, two, three, left.
07:17One, two, three, left.
07:18Yeah.
07:19Uh, he was found disorientated and confused after a fall in the street.
07:25Uh, he's, uh, got a head injury and a suspected fractured left wrist.
07:30Uh, he refused to splint.
07:32He refused to be monitored.
07:34GCS 14.
07:35He took one off a verbal, and he's agitated and distressed, so watch out.
07:40Okay.
07:41Is that him?
07:42Yeah.
07:43Do you want me to take a look at that?
07:44No.
07:45Fine.
07:46I live.
07:47Thank you, Jan.
07:48Hi, Jack.
07:49I'm Dr. Nash.
07:50Oh, no.
07:51Hiya, Jack.
07:52I know there's a lot going on, okay?
07:53Do you know where you are?
07:54Mm-hmm.
07:55Okay, this is Holby City Hospital.
07:56Yeah.
07:57Jack, do you know your full name, by any chance?
07:58I don't know.
07:59What's your name, Jack?
08:00Do you know your surname?
08:01No, no, no, no.
08:02Try and stay nice and calm for me, Jack, okay?
08:05All right.
08:06I start to pray.
08:07Yeah, okay.
08:08All right, let's get him onto his side, please.
08:09Okay, Karen, can you monitor airway, please?
08:11Okay, let's get a line in, and we'll do four milligrams of razepam, okay?
08:15Jack?
08:16Okay, I'm with you.
08:17No, no, no, no.
08:18Okay.
08:19I'm with you.
08:20Okay.
08:21Witness for you.
08:22You ready with the data?
08:23No.
08:24Charge it to 150, stand clear.
08:27Shocking.
08:28Again, charge it to 150, stand back.
08:34Shocking.
08:35Rhythm change.
08:40We've got a pulse, but no spontaneous breathing, so continue to support when he's breathing
08:47with the BVM.
08:48Can we get repeat obs, ECG, and VBG?
08:52I'm sure he's been in before.
08:53I recognize him.
08:54Yeah.
08:55Er, he's been in a few times, apparently anorexia.
08:57I take it he's been referred to the relevant services.
09:01Anybody?
09:02Well, it's not my job.
09:03For having me last.
09:05I'll check his records, see if he's with a specialist.
09:07Good plan.
09:14By the way, Ubi's flight is on time.
09:15He'll be arriving after work.
09:17I told you I'd be there.
09:18It's up to you whether you want me to meet.
09:19I just want to meet.
09:20I'm telling you to check, babe.
09:21Er, coming up to nine, another dose of that is a pound?
09:22Yeah, let's prep four milligrams, please.
09:23Okay.
09:24Hold on a second.
09:25Hold on.
09:26Hold on.
09:27It's coming out of it.
09:28I'm back.
09:29Jack, I'm just going to get you onto your back, okay?
09:30Ooh.
09:31You're in Holby City, ED, and you're sitting here.
09:32I'm back.
09:33I'm back.
09:34I'm back.
09:35I'm back.
09:36I'm back.
09:37I'm back.
09:38I'm back.
09:39I'm back.
09:40I'm back.
09:41Jack, I'm going to get you onto your back, okay?
09:42Ooh.
09:43Okay.
09:44Ooh.
09:45You're in Holby City, ED, and you're safe, okay?
09:48Ooh.
09:49Er, okay.
09:50Let's run bloods, do pain relief, and I want to get him booked in for CT.
09:54Okay.
09:55You get the pain relief?
09:56Yeah.
09:57He's wearing a wedding band.
09:59Do you have anything else with him?
10:01Er, yeah.
10:02He had a jacket.
10:03Sarah, can you take care of the bloods as well, please?
10:09Isn't that one of these things that give to people with dementia?
10:12They call it.
10:13I don't know if that makes sense that he was so confused.
10:15Here we go.
10:16Okay.
10:17There's something on the back of that.
10:19Peter and Jacqueline Garrett.
10:22Okay.
10:23Yeah, so Jack's not him.
10:24Must be the wife.
10:25Yeah.
10:26There's a number here.
10:27Do you want to ring it?
10:28Yeah.
10:29And I'll get him booked into CT while he's stable.
10:30Are you sure?
10:31You've got a lot going on.
10:32Then get someone else to deal with it.
10:33Yeah.
10:34It's fine.
10:35I'm good.
10:36Okay.
10:37Yeah.
10:38Where's the vehicle going?
10:40Where's the vehicle going?
10:41Come on.
10:42It's fine.
10:43Come on.
10:44I need you to get near the back of the car.
10:46Here's what I've got.
10:47Don't stay away.
10:48There he is.
10:49Hell, no.
10:50There's a way.
10:51Let's stay away.
10:53Wow.
10:54Come on.
10:55Come on, sir.
10:56I can't wait.
10:57Come on.
10:58Come on.
10:59Come on.
11:00Come on.
11:01Come on.
11:02Come on.
11:03Walk straight on the left side.
11:33Keep moving.
12:03I'm going to need more gauze, and I'll pack around the wound and keep the shank as still as possible.
12:32Okay.
12:33Anything else?
12:34Is she going to be doing anything?
12:37Assistant.
12:38She's training.
12:39Is that right?
12:40I don't know if I'd have a problem with it.
12:41Okay.
12:42Let's get a light in.
12:43Shall scratch?
12:45Good girl.
12:49Good girl.
12:50Okay.
12:51Okay.
12:52Okay.
12:53Okay.
12:54Okay.
12:55Okay.
12:56Okay.
12:57So these guys are all booked in.
12:58This guy in this priority though, yeah?
12:59Thanks.
13:00Okay.
13:01Okay.
13:02Okay.
13:03Careful.
13:04You look like a haven of organisation, innit?
13:07So glad I picked up a log on my shift down here.
13:08You all right?
13:09Yeah.
13:10Sorry.
13:11Uh, Rita?
13:12Yes.
13:13Sorry.
13:14What room for one more?
13:15Where?
13:16Exactly.
13:17I've got to go.
13:18No one wants to be the next Alec.
13:19No, I hear that, but this is ambulance.
13:20Please, please, please.
13:21There's nowhere else.
13:23Thanks.
13:24Yeah.
13:25Um, okay.
13:26Oscar, can you check outside?
13:27Make sure no one's waiting.
13:29Hello.
13:30I'm Rita.
13:31Oh, have you, um, checked in at the reception?
13:33Yeah.
13:34Okay.
13:35Thanks.
13:36Find you somewhere.
13:37A little bit more private.
13:39Yeah, we'll go here.
13:42Okay.
13:45Okay.
13:46Yeah.
13:47Why don't you tell me what's going on?
13:50I need them on and off the pill.
13:55It's all right, Peter.
13:56I'm just going to put your arms down by your side so you can go in this way.
13:59Can I get you okay?
14:00No, no, no, no.
14:01Don't do that.
14:02Don't do that.
14:03Please let go.
14:04Peter.
14:05Peter.
14:06Stop doing that, okay?
14:07Peter.
14:08I know you're scared, but can you just let go of her arm, please?
14:09There we go.
14:10Let go.
14:11That's it.
14:12Okay.
14:13You okay?
14:14Can I go and give his wife a call, see where she's at?
14:16Okay.
14:17All right, you around?
14:18Yeah.
14:19No, he seems to be calm with me.
14:20Okay.
14:21Look.
14:22I want you to take a nice deep breath for me, all right?
14:23Ah.
14:24Let's breathe in through your nose, nice and slow.
14:26Right through your mouth.
14:28Okay.
14:29Now look, I need to get you into this scanner so I can get you scanned and work out what medication
14:33to give you.
14:34I want Jack.
14:35Yeah, I know.
14:36I know.
14:37She's on her way.
14:38And she'll be here, okay?
14:39I promise you.
14:40But for now, can I just move you really slowly into the scanner?
14:45Really slow.
14:47Yeah.
14:48Yeah.
14:49Yeah.
14:50Yeah.
14:51Let's do that, okay?
14:52Good man.
14:53You're doing really well, all right?
14:55You're doing really well.
14:57So, why don't you tell me what's going on?
15:14I went to the pharmacy but I didn't have enough money and the woman there was really...
15:19I'm sorry.
15:21I'm not going to judge you.
15:23Promise.
15:24Can you tell me when it happened?
15:26Last night.
15:27Last night you had sex?
15:29And did you want it to happen?
15:35Yes.
15:36Yeah?
15:37This isn't...
15:38I'm not...
15:39It was with my boyfriend.
15:41Okay.
15:42Great.
15:43And I'm just trying to get all the information.
15:45I know the questions can feel a little bit personal.
15:48I'm really sorry about that.
15:50I have to check.
15:52Lola, how old are you?
15:5414.
15:55My boyfriend is too though.
15:56And we love each other.
15:57And we've been talking about doing it for ages.
15:58We just didn't know the condoms split that easily.
15:59So it was your first time?
16:00Yeah.
16:01Okay.
16:02Well, seeing as you are 14, I think it's best if we get a parent or guardian here for you.
16:03No.
16:04Please.
16:05My mum's just started working nights and I don't want to disturb her.
16:06And it's my body and my choice, right?
16:07Mm-hmm.
16:08I don't want a baby.
16:09Mm-hmm.
16:10I don't want a baby.
16:11Oh.
16:12Oh, okay.
16:13Get it out, my love.
16:14There we go.
16:15I don't want a baby.
16:16I don't want a baby.
16:17Oh.
16:18Oh, okay.
16:19Get it out, my love.
16:20There we go.
16:21I don't want a baby.
16:22I don't want a baby.
16:23Mm-hmm.
16:24I don't want a baby.
16:25Please.
16:26My mum's just started working nights and I don't want to disturb her.
16:29And it's my body and my choice, right?
16:30Mm-hmm.
16:31I don't want a baby.
16:32Oh.
16:33Oh, okay.
16:34Get it out, my love.
16:35There we go.
16:36Good.
16:37Better.
16:38I had a drink before we did it.
16:42But only one, though.
16:43Is this what hangover's like?
16:44I don't think so.
16:45I'm not gonna get her.
16:46I'm gonna want a baby.
16:47Oh, okay.
16:48Get it out, my love.
16:49There we go.
16:50Good.
16:51Better.
16:52I'm just going to check your temperature.
16:55It's going to be a bit cold in your ear.
17:00Hey, what's going on?
17:02I've got really bad cramped.
17:04Okay, lean back for me.
17:06There you go.
17:07Whereabouts exactly?
17:09All over.
17:11Okay.
17:15Okay, that paracet motion starts to take the ad hoc of your pain.
17:18Stop, it's going to stick around me.
17:20I'm afraid that needs to stay in until we get you to hospital.
17:24At least I'm going to kick off sooner or later.
17:27I'm out of this to cram into this place.
17:29Right, that should hold.
17:30Indy, can you do another set of moves?
17:32Yep.
17:33I'm just stepping out, yeah?
17:37B, can you find out the best without it?
17:41Are you training another job then?
17:42Okay, we've got a question.
17:43Yep.
17:44That man must be so proud.
17:46Don't.
17:48Stop!
17:50Well, Eddie.
17:55Ah!
17:59Okay, Peter, you're back in recess.
18:02Uh, Stevie.
18:03Yeah.
18:04These are Mrs. Sullivan's results.
18:07Okay.
18:08Okay, that's good.
18:09Yeah.
18:09Nebuliser's working.
18:10All of us are stabilising.
18:12Can you call the ward and get her moved as soon as possible?
18:14Yep.
18:14Cheers, Lincoln.
18:15Stevie.
18:15Yeah.
18:15Right, that was Mr. Garrett's wife.
18:17Okay.
18:18One of the fun.
18:18She's obviously been worried sick.
18:20Been to all his go-to places, including the D-centre of those towns.
18:23So she's over an hour away in public transport.
18:25He may not even have an hour.
18:27Uh, the CT showed, uh, chronic subdural, acute bleeding.
18:32If his ICP goes up, you know, he's going to come in and, you know, it's going to be game
18:36over.
18:37Unless there's another way.
18:38At what?
18:39Well, if he was on any other medication, for example, like blood thinners.
18:42It's possible.
18:43Yeah.
18:44Okay.
18:44Bloods haven't come back yet.
18:45And, uh, tell you what, do a rotum test and call the lab, flag of surgery.
18:49Thanks.
18:50Oh.
18:52Oh.
18:53Oh.
18:53Oh.
18:54Oh.
18:55Oh.
18:55Oh.
18:56Oh.
19:04Oh.
19:04I haven't got a lot of time.
19:05That's right.
19:06It's not going to take a long time.
19:08So, uh, she says it was consensual, boyfriend, same age.
19:11Sounds like it was an accident.
19:12So.
19:13Okay.
19:13And you think she's guilt constant?
19:15You're certain she has the capacity to make the decision herself?
19:17Yeah.
19:18I took her temperature.
19:19She seems mildly pyrexic as well.
19:21So she's been drinking?
19:22Well, she says she only had one.
19:24I think there's something else going on.
19:26Her abdomen seems especially sore.
19:28Okay.
19:29Where is she?
19:30Oh, just there.
19:31Uh, right.
19:31Can I get a screen?
19:33Yep.
19:33Absolutely.
19:35Lola.
19:36Hey.
19:36So this is Dr. Massam.
19:39Is he giving me the prescription?
19:41We're just going to make sure you're okay first.
19:43Uh, nurse him answered that you've been feeling sick.
19:45When did that start?
19:47When I woke up.
19:48And do you have a pain in your tummy?
19:50Is that right?
19:51Okay.
19:51Do you mind if I examine you?
19:52Thanks.
20:00There's no chance you could be pregnant already?
20:02No.
20:03Absolutely not.
20:05Hello.
20:05Do you remember when I said we've got to check everything?
20:07Yeah.
20:09Okay.
20:09Thanks.
20:12What about the emergency contraception?
20:16I looked it up and it said the sooner you take it, the more effective it is.
20:19Yeah.
20:20And I can sort your prescription?
20:21Yes.
20:22Please.
20:23But I'd like to do some tests first.
20:25Yes.
20:28Okay.
20:31Thanks.
20:31Uh, Rita?
20:32Yeah.
20:32You were, like, to be worried.
20:38Her abdomen is quite sore.
20:39She's showing clear signs of sinus, right?
20:42Uh, yes, but we need to do some tests before we diagnose, so, uh, let's do, uh, some routine
20:47bloods, um, uh, a urine dip, an ultrasound scan, just give her one gram of IV paracetal
20:52for the pain, please.
20:54Well, I guess Dr. Byron is sticking to his plan, even after last week.
20:58Yeah, looks like it for now.
21:01How's Tarrick?
21:03He's in Dubai, planning his future while we are a doctor down.
21:06Look, I know it's difficult, but everyone's pitching in.
21:09We're a team.
21:10A team?
21:11Yeah.
21:11Yeah.
21:11Some of us aren't.
21:18I've got to get to her on the patient.
21:20Um, uh, Rita, could you, uh, do a surgery referral on my behalf, please, for Lola, query appendicitis,
21:25and get her up as soon as we can?
21:27Try in my hardest.
21:28You okay?
21:29Yeah.
21:33Okay.
21:39Hey, you okay?
21:40I didn't mean, I'm sorry.
21:42Is he all right?
21:43Hey, he's nice talking.
21:44Look, he said it was his fault.
21:45He said his hand slipped.
21:49Is that right?
21:50Yep.
21:51What, is there something I need to know?
21:52No, absolutely not.
21:53Get up, I want the girl in here.
21:56I want the girl!
21:58No, you don't get to where you choose.
22:00No, Jacob, it's fine.
22:01No, no, no, no, it's fine.
22:02Indy, I've got this.
22:03Indy.
22:03No, I just need as much calls as possible.
22:04We need to stop this, please.
22:06Mate, you need to keep still so I can give you something to slow the break.
22:08I can't!
22:09Well, you listen to us, because we're trying to save your life.
22:12Lie still!
22:15Thank you, Darrell.
22:16Let's get pressure on this.
22:23There you are.
22:25Right, Peter Gavits, rotum test.
22:27You were right.
22:28Prolonged clotting, which matches the clotting test we sent off with his bloods earlier.
22:31Yeah, yeah, yeah, he's on, uh, he is on blood thinner, he's a pixabon.
22:35Hello?
22:37No, no, they won't operate with his condition.
22:39Um, is his wife on her way?
22:41I don't, I don't know.
22:43Okay, look, tell you what, uh, give her a call, get her to jump into your cabin, I'll cover it,
22:47whatever you've got.
22:48That's really kind of you.
22:49I just want to buy him some time, get on top of this bleed.
22:52We need a reversal.
22:53Yep.
22:57Hey, Flynn.
22:59Yeah?
23:00I'm Dexon at Alpha.
23:02What about it?
23:03I need it for a patient.
23:04For whom, exactly?
23:06It's a subdural bleed in resus, but full disclosure, it's not looking good.
23:11Well, how long?
23:13I doubt he's going to last the shift, but that's why I need the reversal, because his
23:16wife is on her way, and I want her to get here.
23:19Thousands of pounds to buy you time, I can't do it.
23:21But, they, they need to say goodbye, that's important.
23:24Well, look, if it doesn't increase his chances of survival.
23:26Oh, hold on a second.
23:27No, but our talk's not just about chances of survival, it's also about quality of care,
23:30you know that.
23:31Stevie, come here.
23:34Look, I know you're going through a tough time at the moment, but if it's affecting
23:39your ability to make decisions, then we need to have a different conversation.
23:41No.
23:42No, we really don't, because this is not about my tough time, it's about their tough time.
23:47I thought you'd get it.
23:53Are you sure you're happy in the back?
23:55Absolutely.
23:55Now, you know we can pull up at any point.
23:57Jacob, I've got this.
23:58All right.
24:02I need to change that cannula.
24:04Ain't I.
24:08Now, Dad.
24:09I need you to keep it on.
24:17Yeah, well, can you get it here as soon as possible?
24:19Because I can't stress how urgent this is.
24:23Okay, thanks.
24:24Guys, can I just grab you for a second?
24:29Look, I just wanted to make it clear that now this is just palliative management, so keep
24:34the pain relief going.
24:35He's getting close, so I think now's the time to move him.
24:39So let's clear next door, get it set up, and we'll make it as peaceful as we can.
24:43Oh, yeah.
24:44Yeah, thank you.
24:45Do you want to deal with it in the next door?
24:47Peter.
24:50Oh.
24:50Hey.
24:51I'm going to move you somewhere quieter, okay?
24:54And Jacqueline's on our way.
24:56Oh.
24:56Yeah.
24:57Yeah, X-ray, I'm expecting him.
24:59Oh, do you mind staying up there?
25:01As soon as he's done, bring him straight back down.
25:04Hopefully I'll have found a cubicle for him.
25:06Fingers crossed, eh?
25:08Our new boss might be right, you know.
25:09Could well have cleared this place by lunchtime.
25:12Only if it's a late lunch.
25:13I know it's challenging.
25:15At least he's got one thing right.
25:18He's put one of the best in charge.
25:20Not that I've got favourites, of course.
25:23What's the update on Lola?
25:25Still waiting for Bloods.
25:26Did he speak to the surgeon?
25:27Yep, they could not have been less helpful.
25:29Really?
25:30Some junior local, Mr Leach.
25:32He queried possible gastroenteritis
25:35and when I told him it's unlikely
25:37given the symptoms she's presenting,
25:38I dismissed it completely.
25:40Do you want me to escalate it?
25:41Nah, no problem.
25:41We're going to handle him.
25:42Okay.
25:44Why is it saying Bloods are still pending?
25:46It's been ages.
25:48Come on.
25:52Okay, thank you.
25:54Yeah, what's up?
25:55I'll come to you just...
25:56Dr Byron, is everything all right, darling?
26:00Yeah.
26:01Why wouldn't it be?
26:02Well, I just received a call from hematology
26:04about an andexonate alpha request.
26:06Do you know about this?
26:09Ah, I know the case, yeah.
26:12Tough one.
26:13May I see the notes?
26:15Why?
26:16It has absolutely nothing to do with surgery.
26:18No, but any drug costing more than 10k
26:20requires a border-approval sign-off.
26:22It's not a small amount of money.
26:23I don't have the notes to add.
26:27Right.
26:27Well, maybe then you could tell me what the patient prognosis is.
26:32Poor.
26:33I'm glad it came down.
26:36We can't justify this kind of spend.
26:39You mean we.
26:40This is my budget.
26:41We still have to answer to someone.
26:42Yeah, if this is about Mr Garrett, I can explain the pathway.
26:45No, no.
26:45You do not need to justify your clinical decisions.
26:48In this case, she does.
26:49Not to me.
26:51The staff down here, my staff, are doing the best they can by their patients,
26:56I can assure you of that.
26:56Now, if Dr Nash feels this drug provides the best possible care, then I agree.
27:01You might, but I don't.
27:02Then I am more than happy to go over your head if that's what it takes.
27:07This patient needs reversal immediately, and we are going to make sure that he gets it.
27:13Well, if this is the way you want to run your department,
27:16let's see how my fellow board members look upon this.
27:26Thanks.
27:33Is this the pre-aligned?
27:34Yes.
27:35Is there anything else I didn't say?
27:36Obs is deteriorated.
27:38Rest was 24.
27:39Sat's 97 on high flow.
27:41BP's dropped 8.4 over 56.
27:43He's tacky at 128.
27:45GCS 13.
27:46External readings controlled.
27:49Ready?
27:50Yep.
27:50One, two, three.
27:51Lift!
27:53He's had one gram of IV paracetamol,
27:55one gram of TXA,
27:57and five milligrams of morphine.
27:58Thank you very much.
27:59Okay, let's get that monitor on as soon as we can.
28:03We have another large ball, cannula.
28:05Let's cross match four units.
28:07I have two units.
28:08Ready?
28:08Type specific.
28:09Can we put an OGCT?
28:11Yeah.
28:16So sorry about this.
28:18Do you know what?
28:20I promise me that these are going to be fast-strapped.
28:24You okay?
28:24There we go.
28:30Look at that.
28:31You're doing so well.
28:34No, I'm not.
28:35I messed up.
28:37You didn't.
28:39You know what's happening?
28:41You're feeling sick, the pain in your stomach.
28:44It's got nothing to do with last night.
28:45No.
28:47No.
28:47Well, we've got to wait for the results.
28:48But we think it might be appendicitis.
28:51That's serious, isn't it?
28:54Yeah, it can be, if it's not caught early.
28:57Well, I need an operation.
28:58Yeah, most likely, but I think let's just wait for the results to come through.
29:05I can't do this by myself.
29:10I know I said I could, but I can't.
29:12I want my mum.
29:13Can you call her, please?
29:15Yeah.
29:16Do you know what?
29:16I've actually got a little confession to make.
29:19I've already called her.
29:21I had to, as soon as we thought it was appendicitis.
29:23I'm sorry.
29:24It's okay.
29:26Is she angry?
29:27No.
29:28No, not at all.
29:29She just wants to make sure that you're okay.
29:32She's on her way now.
29:35Hey, I was expecting Mr. Leach.
29:37Now, he's already made his diagnosis, but seeing as you're so keen on a second opinion,
29:41is this the patient?
29:43Yes.
29:44Lola is presenting acute pain in her right iliac fossa.
29:47Lads?
29:48I'm resending now.
29:50Is everything okay?
29:51I don't know how you can expect us to do our jobs if you can't even do yours.
29:54Hang on a minute.
29:55I don't need the results to let you know it's definitely not gastroenteritis.
29:58It's appendicitis.
30:00Who says that nurses don't want to be doctors?
30:02With all due respect...
30:03I don't want to be a doctor, actually.
30:05I just want to be taken seriously when I tell you my patient is very sick.
30:10Well, go on then, Mr. Edmund.
30:11Let's give her some privacy.
30:23Hi, Lola.
30:24May I examine you?
30:26Okay.
30:29It shouldn't take long.
30:35Sorry, this might be sore, Lola.
30:37Yeah.
30:38Yeah.
30:41Guarding in right iliac fossa, maximal tenderness at McBurnie's point.
30:45Yeah.
30:45Like I said, she needs to be transferred upstairs because she needs surgery.
30:52Unless you're still not going to listen to me.
30:54Are you prepared for her to get sepsis down here in a very busy ED?
30:58Of course not.
31:01Make the necessary arrangements for the patient's transfer.
31:03All right, so 800 milligrams at a rate of 30 milligrams per minute.
31:12Then we'll step down to 8 milligrams per minute over 120 minutes.
31:17And we'll keep the hopes going.
31:18Make sure that there's no side effects.
31:20Are we good?
31:20Yeah.
31:21Ready?
31:21I'm just going to flush his cannula.
31:22Thanks.
31:23Okay?
31:24Yeah.
31:24Okay.
31:24Okay.
31:24Okay.
31:24Okay.
31:24Okay.
31:24Okay.
31:24Okay.
31:25Okay.
31:25Okay.
31:25Okay.
31:26Okay.
31:26Okay.
31:27Okay.
31:27Okay.
31:28Okay.
31:28Okay.
31:29Okay.
31:29Okay.
31:30Okay.
31:31Okay.
31:31Okay.
31:32Okay.
31:32All right.
31:45Hopefully this will buy us a bit more time.
31:50Surely she should be here by now.
31:54I can stay if you want.
31:56No, no, no.
31:56It's fine.
31:57I'd like to stay with him if that's okay.
31:59Yeah?
32:00Yeah.
32:00Okay.
32:01All right, Peter.
32:12Mr. Redman will look after you now, and I'll get your mum to meet you upstairs.
32:17Did you tell her?
32:18You know, about the other thing?
32:20Nah.
32:21That bit's up to you.
32:25Mr. White Lord doesn't hold grudges, does he?
32:28Well, I hope not.
32:31Hey, come on.
32:32I'm just so fed up with having to prove myself, Danny.
32:35I just want to be able to do my job, you know?
32:37You just did.
32:38And if people don't appreciate that, then...
32:42Stop.
32:42Stop.
32:43Stop.
32:48Are you two together, then?
32:50Oh, we haven't got a label on it.
32:53Peter, if you can hear me, just hold on a while longer, okay?
33:04She's on her way.
33:05Just...
33:06Just a wee while longer.
33:10Here we go.
33:16Oh, I'm so sorry it took so long.
33:18It's just the traffic and...
33:20It's okay.
33:21Is he still?
33:22Yeah.
33:23Yeah.
33:23Oh, thank God.
33:26Um, his records show that he has a DNR in place?
33:31That's right.
33:33Will you be able to hear me?
33:35Yeah.
33:36Yeah, I'm sure he will.
33:39He did it.
33:40I love.
33:44I'm here.
33:46We're together.
33:49You're not alone now.
33:52You don't have to worry about anything anymore.
33:56How lucky we've been, eh?
34:00You made sure our life was full of joy.
34:05I love you.
34:08Always have.
34:10Always will.
34:13Always will.
34:13Always will.
34:40You okay?
34:46Yeah.
34:47Can you put some music on?
34:48What's an indie?
34:50Ay!
34:51I thought you'd love it.
34:52Yeah, I thought you'd love it.
34:54so
35:24I am so sorry.
35:35Is there anyone you want me to call for you?
35:38Is there any family you want to be here?
35:41We met later in life.
35:43All we had was each other.
35:50Jacqueline, they're going to want to move him to a side room,
35:53but you're welcome to be with him there,
35:56to sit with him for as long as you need.
36:00Thank you for everything you did today.
36:03I didn't...
36:04I was terrified I wasn't going to make it.
36:06I don't know what I would have done if I didn't get to say goodbye.
36:11But you got me here.
36:14I'll never forget that.
36:20Belfast?
36:22Mm-hmm.
36:23Me too.
36:25Yeah.
36:26Yeah, I figured.
36:30I'll, um...
36:30I'll let them know that you're happy to have him moved, OK?
36:33Our latest obs, please.
36:45We should be in the ITU by now.
36:46There aren't any more beds.
36:48Let me give them a call.
36:50I've called them, and they're full.
36:54Um, I checked his notes, but there isn't any more information.
36:57I'm going to have to make the referrals again.
36:59No, because that's going to push him to the back of the queue.
37:02Follow up the psychiatric and diet nutrition directly,
37:04explain to them what's happened.
37:05And you think I'll make any difference?
37:06It's worth a try, isn't it?
37:08Look, I don't need to know the details,
37:10but if you two need to take five, then I can...
37:12It's all fine.
37:13It's all OK.
37:13Yeah, yeah, and I'm Angelina Jolie.
37:16Go on, you probably haven't had a break all shift.
37:19It'll do you good.
37:20Are you OK?
37:42Yeah, yeah.
37:44Uh, look, I really appreciate what you did, I do,
37:47but you do know I can fight me on battles.
37:50Yeah, we have met before, Stephen.
37:53Look, it's not about one patient, anyway.
37:55It's about the whole department.
37:56I'm not going to let anybody just walk all over us.
38:00OK, that's more like it.
38:03Hey, any word on our asthma patient,
38:06the one who went up to her respiratory?
38:07No, not saying.
38:08But your patient with the wound on her arm,
38:11she had a cardiac arrest in there, apparently.
38:13What?
38:14But she wasn't showing any cardiac signs.
38:17Yeah, just one of those things, I guess.
38:20You moved your stuff out of our room.
38:28I sold before I came to work.
38:30Obi will be here tonight.
38:31What else could I do?
38:33You said, well, we're going to keep talking.
38:35Well, this isn't about us.
38:37Look, I just need...
38:38I want Obi to settle in properly.
38:41Our home, at school.
38:42I want him to be happy.
38:43And he won't be if he finds out his mum's rich and lesbian.
38:45OK, look, I don't like having to pretend they were flatmates, but...
38:48In Nigeria, that's how it would be.
38:53Look, I understand if you want us to move out in the meantime.
38:56I get it.
39:00Are you ever going to tell him?
39:02I hope so.
39:04When?
39:06Look, I just want us to get to know each other again.
39:10Then I can help him understand who I am.
39:14What makes me happy.
39:18That's you, by the way.
39:19Look, I just need to be mum again for a little while.
39:24Nothing has to change.
39:27I just...
39:28I never thought I'd be someone's guilty little secret.
39:34Never know.
39:36That might be fun.
39:39What, sneaking around?
39:41The flat doesn't have a bake shed.
39:43You have to meet us by the bins.
39:45Oh.
39:46Yeah, well, beggars can't be choosers.
39:49Come on, better get back.
39:50I can't leave Angelina on her own for too long.
39:56All right, you win.
39:58Sneaking around might have its perks.
40:04How's it looking?
40:06Don't tell me, I can't help.
40:09OK, it's still an uphill struggle taking patients upstairs.
40:13What about transfer services?
40:15I'm trying.
40:16The whole nursing team have been trying.
40:19OK.
40:21Well, let's see what they say when the boss calls.
40:25Hi, yeah, Dr. Byron, ED clinical.
40:27Can I speak to the duty manager, please?
40:30You nearly done.
40:30A few of us are heading to the anchor.
40:35How did it go with learning a book?
40:37Oh, nurse Oman.
40:39I take it you've heard?
40:40Uh, no.
40:41Nobody tells us anything down here.
40:43Acute appendicitis.
40:45Caught just in time.
40:47Any longer, it could have been very nasty indeed.
40:50And you know, I can't remember the last time a nurse behaved in the way that you did.
40:54Yeah, um, about that.
40:56I really didn't mean to overstep.
40:58No, no, no, no, no.
40:59It took balls.
41:00I respect that.
41:02And you know, I think we could do with someone like you on our team.
41:06Sorry?
41:08There's an opening for an advanced nurse practitioner.
41:11It's a trainee position.
41:12It would be advertised formally.
41:13But I'd be very happy to put in a personal recommendation.
41:17What do you think?
41:19I don't know.
41:20If you want to advance your career, this could be a very smart move.
41:25I realize that down here has its limitations.
41:27But with surgery, you get adrenaline and authority.
41:32Does that sound good?
41:33I don't know what to say.
41:35I don't believe that for a second.
41:41Yeah.
41:42Good.
41:46Right, prepare for movement in the corridor right away.
41:50What's all this about?
41:52I've just recruited one of your nurses, Dr. Byron.
41:55Sorry?
41:56You said yourself you have a cracking team down here.
41:58And I agree.
41:59It's just the caliber I need upstairs.
42:03Oh, and whilst I'm here,
42:05I had a word with the board about your decision earlier.
42:07And they're very keen to keep a close eye on your spending.
42:10Starting with a freeze on your agency nurse budget.
42:15What?
42:16Do feel free to contact the board if you have any issues.
42:19I look forward to your application.
42:21That's a man.
42:34Welcome to the dark side.
42:37busy once a day.
42:47Aren't they always?
42:48Fancy going to the anchor for a couple?
42:52Sorry, I promised Teddy I'd join him at the gym.
42:54Aww.
42:55Indy?
42:56Hmm?
42:57Well, it's either that or I'm home alone
42:59watching Sort Your Life Out with a Ping Meal.
43:01Make sure.
43:03I'm actually on the early tomorrow.
43:05Sorry.
43:06Stacey Solomon it is, then.
43:09You can make me a label maker for Christmas.
43:12Sorry, Jan.
43:13You know,
43:16you did well at the prison.
43:18Yeah?
43:19Yeah.
43:20You kept your cool.
43:21You focused on the job.
43:23And that isn't easy sometimes.
43:24You can say that again?
43:26Trust me,
43:26you will make a great power.
43:28No doubt about it.
43:29Just on over thinking.
43:31Hmm.
43:32All right?
43:32All right.
43:33All right, see you tomorrow.
43:34See ya.
43:54Maria, are you okay to let the porters know
43:55that he'll soon be ready for more tree?
43:59Thanks.
44:04Bye, Peter.
44:23I really hope you weren't scared.
44:34Hey.
44:48Hey.
44:50What you did was really thoughtful.
44:52Oh, yeah.
44:52I'm a little exeant.
44:53Hmm.
44:54We're going to have a takeaway tonight.
44:57There will be a lot of carbs.
44:58Hope you want to join us.
45:00Come on.
45:00We'll watch a film.
45:01You can join in the family debate.
45:04Porter versus Ronco.
45:05You know,
45:06it's always for a Ronco.
45:08Yeah, do you know what?
45:08I'm going to go for the get early night, actually.
45:10You?
45:10An early night?
45:12Yeah, well,
45:12I hear some people swear by them,
45:13so, you know,
45:14I'm going to try it.
45:15All right, well,
45:15you know,
45:16if you change your mind,
45:17you're always welcome.
45:19Yeah, I know.
45:20Not taking any chances with you,
45:32are they?
45:33Don't mean you get a private room.
45:34You all right, Dad?
45:40I didn't expect you to...
45:41No, me neither.
45:45Look at you,
45:46bossing all this medical malarkey.
45:49You're missing Anna's funeral.
45:51Well, no.
45:53I was all dressed to go,
45:55but when the time came,
45:56I just couldn't face it.
46:05Is that why you stopped visiting?
46:07I just didn't like being reminded
46:08that you chose that life over me.
46:10I didn't.
46:13I haven't.
46:14And even now,
46:14you're in there fighting.
46:16I mean,
46:16you should be keeping your nose clean.
46:18So what are you doing here, then,
46:18if you can't stay in me?
46:20I don't know.
46:21Honestly, I don't.
46:23I don't.
46:25I don't know if it's my job, like,
46:26just seeing what matters to people
46:28when they're sick.
46:32Yeah.
46:34You're all that matters to me, Indy.
46:40This isn't me excusing
46:41anything you've done,
46:43but
46:44if you want some company.
46:49Serious?
46:55Yeah.
46:56Yeah.
46:59I don't know.
47:02Yeah.
47:02I don't know.
47:07Yeah.
47:16I hope that helps.
47:18Yeah.
47:20Yeah.
47:21Yeah.
47:22Yeah.
47:23Yeah.
47:25See you out lying in the dark
47:38And hear the blood run in your heart
47:40When we're in each other's arms
47:43The stillness of the night is here
47:46With all the light above it
47:48Try and reopen our skies
47:50The stillness of the night is here
47:54I'm alive and happy here