Five Days Casualty


Five Days

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Transcript


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-Robyn, I'm a nurse.

-You are not a midwife and you are not well.

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New look, videos... Do I need to get a restraining order?

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You know... I just want to be a surgeon.

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-You're giving birth! Think about it!

-You think about it!

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Go on!

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-There's something wrong.

-Um...

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-There's something wrong.

-Robyn, no, don't. Robyn!

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Come on! Robyn!

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INDISTINCT CHATTER

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This has to be the best day of my life.

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I'm going to meet you for the very first time.

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-Hi! Thanks for coming.

-It's fine.

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I can't wait to meet her!

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I totally forgot. Did she have hair? Was she totally gorgeous?

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Well, let's go and find out. But should you be out of bed so soon?

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Oh, I'm fine. Come on, let's do this.

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Robyn, this unit... It's pretty full-on, you know?

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-You've got to be prepared.

-She's alive and she made it.

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That's all that matters.

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MONITORS BEEPING

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Is it Robyn? Have you got a name for her?

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-I was going to tell her first.

-Let me know.

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I'll just run through her chart. Her main problems are her sats.

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-They've been fluctuating.

-Can I just see her?

-Oh, I assumed you'd want...

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Wow!

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There she is.

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Oh, Duffy, she's lovely!

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My little girl!

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So sweet.

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Can I hold her?

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I'm sorry, it's only touching at the moment.

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You have scrub-washed to the elbow, removed all jewellery,

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no nail varnish? Good.

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This is Miriam Kelling. 84 years old, end-stage lung cancer.

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She is having palliative therapy after chemo and radiotherapy.

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Found in acute respiratory distress with haemoptysis and

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aspirated blood. GCS 14, BP 140 over 90, pulse 85. Sats 89%. 100% oxygen.

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And she's on a diamorph syringe driver.

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Her daughter changed her mind when we got there,

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but Miriam was so distressed, we had to bring her in.

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OK, can we get suction, please, Louise. OK, Miriam.

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You're in hospital, all right? Try to stay calm.

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Mum, I'm here with you!

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-It's OK.

-SHE COUGHS AND SPLUTTERS

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Nurse, stop, stop, please! Stop, now, please!

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Please, don't!

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It could sell really quickly.

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And they're sending us stuff to look at.

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-Are you sure you don't mind?

-We've waited long enough.

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Robyn's on cloud nine, Charlie.

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It's like she's pretending everything's normal.

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-That's her way of coping.

-Or not.

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That's what worries me.

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It's the first time I've been able to touch her.

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Hello, Charlotte.

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My little sweetheart.

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That's lovely, Robyn.

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Charlie for short, of course.

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Ring Max, would you?

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Tell him to bring some of her nice little dresses.

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-Oh, it's probably a bit early...

-I want them here.

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-Ready and waiting.

-You need to keep trying for your milk, Robyn.

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Your baby's tummy's so small that just

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a few drops would make all the difference.

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She's just so perfect.

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-Mum didn't want this.

-Has your mum made an end-of-life plan?

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Yes, to die at home with me, not here in a hospital.

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Did she formalise that in writing?

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Look, I've cared for her, I'm speaking for her.

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-Do you not believe me?

-SHOUTING

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Can you shut these animals up?

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Do you expect her to die here in this mayhem?

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-Pin point pupils. She's very knocked off.

-OK, here's what happens.

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She's not dying here with all these drunks and strangers in this madhouse.

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Please, I just need you to stabilise her and just let me take her home.

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OK, going home at this point, Neeve, is not an option.

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But she's dying! What's the risk?

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Just let an ambulance take her, please.

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Dying here is just an awful, stupid mistake.

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-I'm sorry, we can't move her.

-I tried to tell them.

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I begged them, but because I phoned them, they had to take her in.

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They couldn't just leave her. You must not blame them.

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It's not about them! It's not about you! It's about my mum!

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-It's about my mum!

-SHE SOBS

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KNOCKS ON DOOR

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Hey. I managed two meals. I'm just about to feed her now.

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That's great, Robyn.

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Hey.

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Hey, Charlie.

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-Did you bring the clothes?

-She'll have to pile on the pounds.

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-You are hopeless! You brought the wrong ones.

-I brought the blanket.

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Here we go, baby girl.

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Let's have some peace and quiet, shall we?

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-It's a bit early for visitors.

-Yeah.

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OK, Robyn, time to slowly put your colostrum into the feeding tube.

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-Take a photo, Max.

-Of that?

-Yeah.

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Do you want to wait until there's a bit less kit in the way?

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No. I want all the gang to see her.

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And start an album on Facebook, put a few pictures up.

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-Is her nursery finished yet?

-Nearly.

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We could have a little party to welcome her home.

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OK.

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SUCTION AND GURGLING

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She's drowning in her own blood, Neeve.

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We can't stand by and watch that happen.

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-OK, prep drugs for an RSI.

-Cal?

-Just a last resort.

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-I can't let her suffer.

-No! Don't put her on a machine!

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-Please, no, don't! Please!

-Cricoid pressure, if and when I say.

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-She doesn't want this!

-She's not breathing, Cal.

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I may still need to intubate.

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It's OK, Mum.

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It's OK.

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She's still not breathing.

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SWITCHES OFF MACHINE

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I'm really very sorry, Neeve. Take all the time you need.

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There's nothing more we can do.

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-Time of death, 22:36.

-I'm sorry.

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SHE SOBS

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It was your job to let her die. You had to put her through all this!

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Neeve...

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Cal.

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Make sure you write up the notes very carefully.

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Ah, there we go.

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-Good girl.

-MACHINE BEEPS, BABY WHIMPERS

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-Maybe I tweaked a wire, or something.

-What's wrong?

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-All babies cry, Max.

-Excuse me. Thank you.

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Sorry about meeting on the hoof, Robyn.

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Mr Barling. Jonathon.

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-Jude?

-Small temperature drop.

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-Could be environmental, or the beginning of an infection.

-What?

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-Since when?

-It happens. Very common in prems.

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They have very little immunity.

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I hoped we'd be going home soon.

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Probably best not to make too many plans.

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Wasn't supposed to be like this.

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After all we've been through, it just seems so awful,

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so wrong, so...unfair.

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(Come on.)

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Prems don't like being touched much.

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Just try speaking to her. She knows your voice from the womb.

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Except it's not my voice she's hearing now, is it?

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She's weak, Robyn. It may be best to leave her right now.

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So, what happens next? What sort of infection is it?

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We'll do some tests and reassess her in a few hours.

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-She's only just started feeding.

-Yeah, except now she's stopped.

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What about her sats, what about her resp rate? Come on, I'm an ED nurse.

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But not neo-natal. It's a very different discipline, Robyn.

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And strictly speaking, mums don't wear aprons.

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I'm sorry, but you know the score, it's just about who does what.

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Urgh!

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Urgh!

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MOBILE RINGS

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Robyn?

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All right, slow down.

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No, she's busy.

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Wait.

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I'll come up.

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-I'm going to use my break to go up to NICU.

-Course. Robyn OK?

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I think she feels they're not listening to her.

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-Does she want me to talk to them?

-No, it's fine.

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-Give me a minute and I'll go.

-No, no. You shower and change.

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I've got it.

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-She does need dealing with, Cal.

-Mm-hm, that's why she's here.

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-I called her in.

-Oh. Good. OK.

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Well, tread carefully. Finesse her, charm her, see her off.

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Patient complaints on an application for surgical training, Cal,

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not a beautiful thing.

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Yup.

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-They're all so up themselves.

-Well, Jonathon's a one-off.

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How many surgeons do you know who do ward rounds all day long?

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He paces himself, emotionally.

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He has to.

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And you have to try and do the same thing.

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And you have to stop fretting.

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Go and get some sleep.

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How can I? Things happen and they don't bother to tell me.

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Robyn, we've had an inquiry about your baby,

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but we need your permission before we can answer.

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-It's your friend, David Hide.

-No!

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-No, not my friend. He's not...

-All right, don't get upset.

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You don't tell him anything, OK? You tell her why, Charlie.

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-Robyn, don't do this.

-I need to see him. Where is he?

-No.

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-No, that's not a good idea.

-Charlie! I need you to stand by me!

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For once in your life, will you just stop being so reasonable!

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Look at them. Low level, suppressed rage.

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Everyone, everywhere, don't you feel it?

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Huh? We're all prisoners. Everyone's hostile. The anger simmers.

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Look at you.

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-I'm not angry.

-But you're one step away.

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-Worried to see me, under pressure.

-Right. Well, I called you in because you were angry.

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-No, you called me in because you thought I was going to make a complaint.

-I'd like to explain...

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You'll defend it till the end, don't you just long to be honest?

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Your mum was suffering, Neeve. We had to do what we could.

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My mum was 84, Cal. She had cancer.

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The doctors threw all they could at her.

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Chemo, more chemo, radiotherapy, drugs, and the false hope of what?

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Yes, but your mum knew her choices.

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Someone had to have the courage to say to her that life isn't always everything.

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You were the same, you were on autopilot.

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You tried to save a woman who was trying to die.

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No, no, I was trying to save her from further suffering. It was never an attempt to prolong her life.

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Cal!

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For goodness' sake!

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Ms Kelling, I just wondered if I could have a moment with you.

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Yes, well, enough of your passive aggressive, highly toxic charm.

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I'd like to make a complaint.

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-Robyn?

-Duffy, where's David?

-Robyn, stop.

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-Where is he?

-Come to Charlie's office.

-I need to see him.

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-Is he here?

-He was ill, Robyn. You know, he was ill.

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And now, he's on the Psych ward.

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So, he's here in Holby? Thank you, that's all I need to know.

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-Don't even think about it!

-Tucked up nicely, is he? Being looked after?

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Tackling his anxiety, taking the edge off every stupid,

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dangerous, unforgiveable thing he's ever done?

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I need to see him. I need to tell him what a total and utter git he is.

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-No, Robyn.

-He doesn't give a second thought about me.

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-As for ringing about my baby...

-Robyn, please.

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-He doesn't even give a toss if I'm dead or alive!

-He'll be exhausted.

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He'll probably be fast asleep.

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Ah, lucky him!

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OK. Can we all get back to work, please?

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-Robyn, listen, you're OK. Charlotte's fine.

-Not fine, Charlie!

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Not fine! She's six weeks early and in intensive care, living on wires!

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Everything she's going through is because David stopped his

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meds and he knew how crazy that was!

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He lied to us all. He lied to me.

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And worse, I should have realised it.

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It wasn't your fault.

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Before him, I picked a bloke who thought it was OK to leave me at the altar.

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So when my little girl asks about her daddy, I can say,

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"Well, he didn't give a damn about us either! In fact, I don't even know if he's dead or alive!"

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Don't try and stop me!

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-Charlie!

-He's sedated! He won't be remotely himself.

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He may not even recognise you.

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-This is not the time.

-Robyn?

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The unit have called and they need you back up there. It's urgent.

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What's going on?

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We need to run tests to get on top of the source of the infection.

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We've been trying to take blood. I just need you to calm her for me.

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-What difference am I going to make?

-A great deal. Trust me.

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BABY CRIES

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# Hush, little baby, don't say a word

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# Mama's gonna buy you a mockingbird... #

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CRYING STOPS There. See how she responds?

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# And if that mockingbird don't sing

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# Mama's gonna buy you a diamond ring... #

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Her heart rate slows and her BP drops.

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That's special.

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Only a mum can do that.

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# And if that diamond ring turns brass

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# Mama's gonna buy you a looking glass. #

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(There we go.)

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(OK. Good girl.)

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Sh, good girl.

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OK, I'm going to make this work.

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Sod it, I'm a nurse and that's got to count.

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I'll work with them for my little girl. You'll be OK, Charlotte.

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I'll make a difference. I promise.

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This is no good, Robyn.

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Staying up all the time when your rest is so important.

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I've got to know how to ask the right questions.

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Be there for her. I'm all she's got.

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We feel so alone.

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Look...

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When you get out,

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why don't you come and live with me and Charlie for a bit,

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so you can get settled and have some extra support for Charlotte?

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-You've only just moved in together.

-Oh, come on. We're hardly teenagers.

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That's really kind. It helps me feel that this is all possible.

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-But don't you need to ask Charlie?

-Course not.

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Not for you.

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-OK.

-Yeah?

-Yeah.

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Good.

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-KNOCK ON DOOR

-Yeah.

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-Oh, Robyn, I'm so sorry, but...

-I won't keep you.

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But please, I need to know exactly what you're doing.

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If you're thinking sepsis, the source could be anywhere.

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Meningitis, pneumonia, gastroenteritis...

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We're not ruling anything out. The blood cultures may help.

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You must be thinking NEC's a possibility.

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Currently, there isn't any sign of necrosis of the gut on the

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X-rays or the scans.

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Now, I'm sorry, Robyn, but I'm due back in the unit.

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You do crazy hours, you doss down in your office. That's huge.

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No other surgeon does that.

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It tells me that you care.

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Please, include me.

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-Jude.

-You're needed for the handover review, Mr Barling.

-So what?

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-We just wait for her to get worse?

-Or better.

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At this stage, it's very much a waiting game.

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All right, don't give yourself a hernia. I'm going.

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Hi. Can I speak to Mrs Beauchamp, please?

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No, it has to be her.

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I'll wait.

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I was dealing with that man in a suit. Tell them.

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Neeve, tone it down a bit, will you, love?

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You tone it down, you jobsworth van driver.

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And here's me thinking we were getting on really well.

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Neeve? What happened?

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She's fallen approximately 4ft off a ladder at home and dislocated

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her left shoulder. We found her wandering around on a driveway.

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GCS 14. No other injuries.

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She's had 5mg of morphine and I reckon

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a fair amount of self medication prior to the fall.

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-SLURRING:

-I should have walked. Much less painful.

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Oh, Robyn.

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Poor you.

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How can I help?

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I'm worried they're not doing enough.

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OK. Um...

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Well, that's good. As a mother, you know, voice your concerns.

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But give yourself time to think.

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But as a medic,

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you have to consider when enough is enough and when to say no.

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I don't even want to think about that.

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You have to. Things happen fast in neonates.

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And it's awful watching your child go to hell and back.

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Medicine's far from black and white. You've got to challenge it.

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-Right. Do you have her notes, then?

-Yeah, but, um...

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I'll speak to the team for you, shall I?

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They're trying to save her life. I don't want to fall out with them.

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Robyn, this is your life and your daughter's life.

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I know you've had...

0:21:110:21:13

Well, I know you're having a terrible time, Mrs Beauchamp...

0:21:130:21:17

Connie, please.

0:21:170:21:18

But this, my baby, is different.

0:21:200:21:24

Yeah.

0:21:290:21:31

Let's hope so.

0:21:310:21:33

-So, would you like me to read her notes?

-Maybe it's best if I do that.

0:21:360:21:41

I'm the one that's here all the time and it's the mum's job.

0:21:410:21:45

You've helped me see that.

0:21:450:21:48

I really am so sorry for you, Connie.

0:21:480:21:51

You take care.

0:21:540:21:56

She's over there.

0:22:090:22:12

-Neeve, you must not leave your cubicle.

-It's so tragic, dying here.

0:22:120:22:17

So crass. Stupid. Totally wrong.

0:22:170:22:21

Right. Well, one dislocated shoulder and too many whiskies.

0:22:210:22:24

Can we go back to the cubicles, please?

0:22:240:22:27

Just shove it back with gas and air. Just do it, please.

0:22:270:22:32

Call yourself a doctor?

0:22:320:22:33

Right. Well, you might have a fracture, so you need an X-ray.

0:22:330:22:37

Yeah, but you need a lawyer.

0:22:370:22:39

This used to happen all the time. I played rugby.

0:22:390:22:42

Right, fine. Let's get you back on the bed, then.

0:22:420:22:45

-Ah.

-Come on.

0:22:450:22:48

There we go.

0:22:480:22:52

Entenox, please.

0:22:520:22:54

Thanks.

0:22:570:22:59

Lie back down.

0:22:590:23:01

So, rugby, yeah?

0:23:030:23:05

Yeah.

0:23:050:23:07

I was the fastest, best-looking scrum half ever.

0:23:070:23:11

I've made a complaint, by the way.

0:23:110:23:14

Yeah, I'm aware. OK, deep breaths.

0:23:140:23:18

-Ride the pain.

-Just do it. Get on with it, please.

0:23:180:23:20

There you go. Well done.

0:23:280:23:30

That feels good.

0:23:310:23:33

Could Mum still hear me? Did she know that I was fighting for her?

0:23:370:23:41

Yeah. Yeah, she could. She would have known.

0:23:410:23:45

I thought I'd done enough.

0:23:470:23:49

How could I know what was going to happen?

0:23:490:23:53

What are you talking about, Neeve?

0:23:530:23:55

I did what I had to do.

0:23:560:23:58

Neeve.

0:23:580:24:00

Neeve, come on.

0:24:000:24:02

Neeve!

0:24:060:24:07

Neeve, come on!

0:24:100:24:12

Right, Mrs Fairhead. Take a look at this.

0:24:160:24:19

Sun room,

0:24:190:24:20

big garden,

0:24:200:24:23

-open-plan kitchen.

-Ah, Charlie. We might have to delay this.

0:24:230:24:27

-But you said it was important.

-It was.

0:24:270:24:31

It is. But listen,

0:24:310:24:33

I've suggested that Robyn brings Charlotte back to live with us,

0:24:330:24:37

just for the first stage, just for a few weeks.

0:24:370:24:40

You don't mind, do you?

0:24:400:24:42

-How many weeks?

-I don't know.

0:24:420:24:43

-Look, if you've got a problem, you'd better say.

-No, of course not.

0:24:450:24:50

-It's just, I mean...

-And you'll let the estate agents know?

0:24:500:24:55

-Yeah.

-Yeah. Thanks.

0:24:550:24:57

Yes, that's right. Miriam Kelling.

0:25:000:25:03

Yeah, it's on the 27th.

0:25:030:25:06

Right. So, are you her GP?

0:25:060:25:09

Great.

0:25:090:25:10

Well, she died here and I was just wanting to check on the

0:25:100:25:14

dosages of her diamorphine.

0:25:140:25:15

-Her breathing's got much worse.

-Her diaphragm's elevated.

0:25:170:25:20

It means her lungs are compromised.

0:25:200:25:22

-Will she need an operation?

-An op on a baby this small is a big deal.

0:25:220:25:26

We'd never subject her to that, unless we were certain.

0:25:260:25:30

But more immediately, Robyn, we may have to consider ventilating her.

0:25:300:25:33

What? Hang on, why would you?

0:25:330:25:36

I'm suggesting we do this electively, rather than...

0:25:360:25:38

But her blood gases, they've not been that bad.

0:25:380:25:41

They're borderline. It may be best to play it safe.

0:25:410:25:44

If we intubate her,

0:25:440:25:45

it'll give her less work to do and make her generally more stable.

0:25:450:25:49

If she's sedated, it's harder to monitor how she's coping.

0:25:490:25:52

It's a trade-off.

0:25:520:25:55

It's such a big decision. What if she never comes off it?

0:25:550:25:58

There are always worst-case scenarios. And nothing's definitive.

0:25:580:26:02

If it was essential, you wouldn't be asking me, would you?

0:26:020:26:05

We can review it shortly, Robyn. I'll go with your decision.

0:26:050:26:09

I want you to wait.

0:26:100:26:12

# This is to mother you

0:26:240:26:30

# To comfort you and get you through

0:26:300:26:35

# Through when your nights are lonely

0:26:360:26:42

# Through when your dreams are only blue

0:26:420:26:48

# This is to mother you. #

0:26:490:26:53

ALARM BEEPS

0:27:050:27:08

I just don't think...

0:27:350:27:39

I don't think I can do this.

0:27:390:27:41

SHE SOBS

0:27:440:27:47

FOOTSTEPS APPROACHING Robyn?

0:27:530:27:55

Robyn? KNOCKING

0:27:550:27:58

He's intubating her?

0:28:000:28:03

I need a smaller ET tube, 2.5, please, bag her.

0:28:030:28:06

This is all my fault. We should have done this earlier.

0:28:060:28:09

There's no fault, Robyn. We made a decision together.

0:28:090:28:12

Please, baby girl.

0:28:140:28:17

Come on, please.

0:28:170:28:19

Please.

0:28:190:28:21

Please.

0:28:210:28:23

Shouldn't you be researching a delightful ITU nurse who

0:28:340:28:37

showed a transparent interest in you only earlier today?

0:28:370:28:41

Advice noted.

0:28:410:28:43

With thanks.

0:28:430:28:44

Seriously, Cal, stay well away from this one.

0:28:460:28:49

Noted.

0:28:490:28:51

Goodnight, Maestro.

0:28:530:28:55

Good girl, baby Charlotte.

0:28:570:29:00

It's OK.

0:29:000:29:02

You're in.

0:29:020:29:05

It's OK, Robyn. Her breathing's safe again. She's back.

0:29:050:29:08

Right. No more delays.

0:29:100:29:12

Let's get her straight down to theatre.

0:29:120:29:15

If you could sign this, please?

0:29:150:29:17

You said surgery wasn't necessary.

0:29:170:29:19

It has to be NEC, Robyn. This confirms it. She went off so fast.

0:29:190:29:22

It'll perforate if we don't get there first.

0:29:220:29:25

I've researched this. Read your papers.

0:29:250:29:27

Nearly half of the babies that go to surgery don't make it.

0:29:270:29:30

And half live. You have to stay strong, Robyn.

0:29:300:29:33

-Robyn...

-Leave me alone!

0:29:480:29:50

-Duffy, we need to talk.

-MOBILE RINGS

0:29:550:29:58

Oh. Just a minute, sorry.

0:29:580:30:00

Hello?

0:30:000:30:03

Um, yeah, yeah. OK. I'll be right up.

0:30:040:30:07

They're prepping Charlotte for theatre. So I'm going up.

0:30:070:30:10

-You can spare me.

-Just, about Robyn. About her staying.

0:30:100:30:14

-Yeah?

-Well, don't get the wrong idea...

0:30:140:30:17

-I am trying really hard not to.

-OK.

0:30:170:30:20

KNOCKS ON DOOR

0:30:320:30:35

LOUD MUSIC PLAYS INSIDE

0:30:380:30:41

KNOCKS ON DOOR

0:30:410:30:44

Neeve?

0:30:450:30:48

Neeve, I know you're in there. Can you come and open the door, please?

0:30:490:30:53

Robyn?

0:31:060:31:07

Oh, love.

0:31:070:31:09

Please, don't. Thank you for your invitation.

0:31:090:31:12

-But I couldn't possibly accept.

-Hang on.

0:31:150:31:19

No, she's too ill and Max would be gutted.

0:31:190:31:22

# Since you went away

0:31:260:31:30

# The days grow long

0:31:300:31:35

# And soon I'll hear... #

0:31:350:31:39

You were trying to tell me something back at the hospital.

0:31:390:31:42

About your mum.

0:31:420:31:43

I want to help.

0:31:430:31:45

SWITCHES MUSIC OFF

0:31:470:31:50

Neeve. Your mum's behaviour didn't match the prescribed dosage.

0:31:500:31:56

She was too knocked off.

0:31:560:31:58

-Please, tell me what happened.

-So I don't sue you?

0:32:000:32:04

So you don't torture yourself for the rest of your life.

0:32:040:32:08

I ruined her life.

0:32:080:32:09

-We all have guilt about our parents somehow.

-No, I'm adopted.

0:32:110:32:15

I went looking for my birth mum.

0:32:150:32:19

I was really stupid, clumsy, hurtful,

0:32:190:32:22

and I just broke poor Miriam's heart.

0:32:220:32:25

We didn't speak for years.

0:32:260:32:28

And then, when I came back and found her dying...

0:32:280:32:32

Now, I just miss her beautiful soul.

0:32:340:32:36

Did you ever get to meet your real mum?

0:32:370:32:41

Yeah, I met her in a pub.

0:32:410:32:43

And I had her eyes and her smile and her laugh and she saw it too

0:32:430:32:48

and she... She said, "Nice to meet you.

0:32:480:32:52

"Spare me the long-lost daughter routine," and that was that.

0:32:520:32:56

I...

0:32:570:32:59

I went to look for my birth mum too.

0:32:590:33:02

And so the wounded find each other.

0:33:030:33:06

Yeah.

0:33:060:33:07

She was done, Cal. She wanted to die, she begged me.

0:33:090:33:13

It was the least I could do.

0:33:130:33:15

And I just massively upped her diamorphine and it killed her.

0:33:160:33:20

So just go on. Do your job.

0:33:210:33:25

Report me.

0:33:250:33:27

I don't care any more.

0:33:270:33:29

Hey.

0:33:310:33:33

MOBILE RINGS

0:33:350:33:38

FOOTSTEPS ON STAIRS

0:33:490:33:52

Hey.

0:33:520:33:54

Come up.

0:33:540:33:55

There you go.

0:33:570:33:59

Neeve, how much have you had?

0:34:010:34:02

Nothing. Nothing to drink.

0:34:020:34:05

HE SNIFFS

0:34:050:34:08

Squeeze my hand for me.

0:34:100:34:13

Neeve, try and squeeze my hand.

0:34:130:34:15

LULLABY PLAYS

0:34:170:34:20

Thank you.

0:34:340:34:36

-Where's Robyn?

-I don't know.

0:34:360:34:38

It may just be too much for her, so I'm scrubbing in to observe.

0:34:380:34:42

-That's really not appropriate.

-I don't care.

0:34:420:34:45

Forgive me. But I am a senior midwife.

0:34:450:34:49

And I can understand what you're doing and I need to be able

0:34:490:34:51

to tell Robyn exactly what is happening to Charlotte.

0:34:510:34:55

Thank you.

0:34:560:34:58

Have you taken these? Neeve, how many have you taken?

0:35:060:35:09

-SLURRED:

-Don't remember.

-Neeve.

0:35:090:35:12

Neeve?

0:35:120:35:13

Right, we need to get you to the hospital.

0:35:150:35:18

We need the antidote.

0:35:180:35:20

Stay with me.

0:35:200:35:21

Robyn...

0:35:250:35:27

It's OK, isn't it? Bringing her back here?

0:35:270:35:31

I mean, I know she'll need quiet and everything super clean, so...

0:35:310:35:34

I wouldn't worry about it. She... She might not even make it here.

0:35:340:35:37

Robyn.

0:35:370:35:39

When I first found out I was pregnant,

0:35:390:35:41

I thought about having an abortion, I really did.

0:35:410:35:45

And now I wish I had cos anything would have been easier than

0:35:450:35:49

-losing her like this.

-Don't say that. Come on.

0:35:490:35:52

No, sorry, cos mums aren't supposed to say things like that, are they?

0:35:520:35:56

Everything's supposed to be so wonderful and even when it's not,

0:35:560:35:59

they're still supposed to say the things that everybody wants to hear.

0:35:590:36:02

-Right, you get the wine.

-You get the glasses.

0:36:020:36:06

Robyn...

0:36:060:36:07

I can't go back, Max. I can't face it.

0:36:130:36:17

Yeah, but you have to.

0:36:170:36:19

You have to.

0:36:190:36:22

I can't. If she lives or dies,

0:36:220:36:24

I can't face any of it.

0:36:240:36:27

Great. So, you're doing what your mum did to you.

0:36:290:36:33

Don't you dare!

0:36:330:36:35

No, come on.

0:36:350:36:37

She left you when you needed her most.

0:36:370:36:40

And you said that hurt goes on and on.

0:36:400:36:42

And now, your little girl is fighting for her life and

0:36:420:36:46

you're doing exactly the same thing to her.

0:36:460:36:49

-She doesn't know if I'm there or not.

-So, be there,

0:36:490:36:53

when she pulls through.

0:36:530:36:55

Maybe my mum left because it was just too hard.

0:36:590:37:03

And maybe she went on regretting it for the rest of her life.

0:37:040:37:08

It's up to you, Robyn.

0:37:080:37:10

We have a problem.

0:37:160:37:18

There's much more necrotic tissue than we thought.

0:37:180:37:21

It's extensive and close to perforation.

0:37:210:37:24

I'll have to cut that section out completely.

0:37:240:37:27

It means we have to abandon the laparoscopy and open her up.

0:37:270:37:32

'Please, please, please.

0:37:370:37:40

'Please, please, please.'

0:37:400:37:42

The ambulance delay's too long, so I'm going to get you in myself.

0:37:460:37:50

CAR UNLOCKS

0:37:500:37:52

Stay awake for me.

0:37:540:37:56

Take deep breaths.

0:37:560:37:57

As I'm driving... Listen, while I'm driving, I want you to count for me.

0:37:590:38:03

OK?

0:38:030:38:05

OK.

0:38:070:38:08

Baby has significant blood loss due to friable tissue.

0:38:080:38:12

Weigh those swabs, please.

0:38:120:38:14

This is why she's losing BP.

0:38:140:38:16

We'll need plasma. Quickly, please.

0:38:160:38:19

And IV dopamine to get the BP up.

0:38:190:38:21

Ah. Right. More swabs here, please.

0:38:230:38:25

We've got a much bigger problem. The bowel has just perforated.

0:38:250:38:29

Clamp, please.

0:38:290:38:31

Suction. Hold it closed. Quickly.

0:38:310:38:34

Try and stay awake for me, Neeve. Breathe, OK?

0:38:410:38:44

Charlie, I've got an opiate OD. She's very flat.

0:38:440:38:47

I'll get a trolley, a bag and an airway.

0:38:470:38:49

We need that BP up or I will have to stop this surgery.

0:38:490:38:52

Keep going with the plasma and blood.

0:38:520:38:56

That extra dopamine should have kicked in by now.

0:38:560:39:00

OK, we're there. We're good.

0:39:000:39:03

Good.

0:39:030:39:05

Ah. That's better.

0:39:050:39:07

Bleeding's slowed right down. OK.

0:39:070:39:11

Now the hard bit.

0:39:110:39:14

Charlotte has extensive necrosis,

0:39:140:39:16

so I've had to remove a lot of gut and I can't join the ilium

0:39:160:39:21

back together because the tissue needs time to recover.

0:39:210:39:24

So I'll have to fix a stoma and do an end-to-end anastomosis at

0:39:240:39:28

a later date.

0:39:280:39:30

It's gone as well as it could have.

0:39:340:39:36

We'll get her sewn up and back in recovery as soon as we can.

0:39:360:39:40

But...be realistic with her, Duffy.

0:39:420:39:45

Please.

0:39:450:39:47

Has it perforated?

0:39:550:39:57

She's going to get peritonitis?

0:39:570:40:00

She's on heavy-duty antibiotics already, Robyn.

0:40:000:40:03

And they've got to it right away. John Barling is the best.

0:40:030:40:08

And the stoma's only temporary.

0:40:080:40:10

She's going to be OK, though, right? I mean, she will be, right?

0:40:110:40:15

She has to get through the next few hours. She's through the worst.

0:40:170:40:21

And she's a little fighter.

0:40:230:40:25

I just want to hold her close.

0:40:260:40:29

-Has she vomited more than once?

-Yeah, twice on the way in.

0:40:310:40:35

Can we get 400 micrograms of Naloxone ASAP, please?

0:40:350:40:39

Come on, Neeve. Stay awake. Come on.

0:40:390:40:42

Come on, you mad Scottish person. Get angry! Sing!

0:40:420:40:45

Right, Neeve. This should wake you up.

0:40:480:40:50

SHE COUGHS AND SPLUTTERS

0:40:530:40:54

All right.

0:40:540:40:57

Am I dead?

0:40:570:40:59

-Not unless you've taken us with you.

-Ah, I made it to hell, then.

0:40:590:41:03

Look, Neeve, this is very important.

0:41:050:41:08

Charlie, can you give us a minute?

0:41:080:41:10

OK, you need to tell me the truth.

0:41:130:41:15

-Did you do this deliberately?

-No.

0:41:150:41:18

No, I'm too frightened of dying. I just needed to sleep.

0:41:180:41:22

I just needed to shut it all out.

0:41:220:41:24

I got it wrong again.

0:41:240:41:26

-So you weren't trying to...?

-No.

0:41:260:41:29

No, I need to... I need to see out my plight.

0:41:290:41:33

I need to face the consequences.

0:41:330:41:36

Neeve.

0:41:360:41:38

You've spent your whole life not knowing why the mother that

0:41:380:41:42

carried you gave you away.

0:41:420:41:45

I know what that does.

0:41:450:41:47

And of course you went looking.

0:41:470:41:50

Sometimes we get stuff wrong.

0:41:510:41:54

It's your job to report me.

0:41:540:41:56

Look, Miriam was on big doses of morphine.

0:41:590:42:03

And will have developed a very high tolerance.

0:42:030:42:07

So, the truth is, we'll never know the exact cause of death.

0:42:070:42:13

She asked me to make it stop, Cal.

0:42:130:42:15

And you've put yourself through hell because of it and probably

0:42:150:42:19

always will. What good would it do if I made that worse?

0:42:190:42:23

Forgive yourself.

0:42:250:42:27

Forgive yourself for all of it.

0:42:280:42:30

So the wounded heal each other, eh?

0:42:320:42:34

Maybe you'll stop telling me what a useless doctor I am.

0:42:350:42:39

Maybe.

0:42:390:42:41

Maybe that's another thing I got wrong.

0:42:410:42:44

MONITORS BEEP

0:42:550:42:58

Hey. You OK?

0:43:200:43:21

Yeah.

0:43:210:43:23

Ms Kelling, she's obviously slightly bonkers, so you don't need to

0:43:230:43:26

worry about that one, even though you completely ignored my advice.

0:43:260:43:30

-I acted on pure instincts and as it happened...

-Instinct and audacity,

0:43:300:43:33

all well and fine in the chaos department,

0:43:330:43:36

but reckless line crossing - sorry, no room for that in surgery.

0:43:360:43:40

She's waking up, Duffy.

0:43:490:43:52

-She's fighting the tube. What do I do?

-I'll get Jonathon.

0:43:520:43:56

She's fighting it.

0:43:560:43:58

It must be her gag reflex.

0:43:580:44:01

Yes, that's good.

0:44:010:44:03

She's really alert, already.

0:44:100:44:12

All right.

0:44:120:44:14

Let's just see if we can manage without this, eh?

0:44:140:44:18

Shall we?

0:44:180:44:19

Right. Gently.

0:44:190:44:22

-She's deciding for herself.

-She's rejecting it.

0:44:220:44:25

She's rid of it.

0:44:280:44:30

Oh, my darling girl! That's it!

0:44:300:44:32

-You have a big, big cry.

-Her BP's back up.

-She's going to make it.

0:44:320:44:37

-Charlie.

-Charlie, she's through the worst of it.

0:44:370:44:42

She's breathing by herself and her BP's stable.

0:44:420:44:44

That's really wonderful.

0:44:440:44:46

Listen, Robyn.

0:44:480:44:49

Please.

0:44:490:44:52

Duffy and I would really love for you and little Charlotte to

0:44:520:44:55

come and stay.

0:44:550:44:57

It's as important for us as it is for you.

0:44:590:45:02

We mean it.

0:45:020:45:04

When she woke up, I realised how much I...absolutely love her.

0:45:050:45:09

I hadn't dare to before,

0:45:100:45:13

but I've finally let myself.

0:45:130:45:16

Thank you.

0:45:310:45:33

Really.

0:45:330:45:35

-So much.

-Hey.

0:45:350:45:37

It's my job.

0:45:370:45:40

No, it's my daughter, it's my whole life.

0:45:400:45:44

So much more than your job, yet you push this away, don't you?

0:45:530:45:57

It's what makes what we do worthwhile.

0:45:570:46:00

It's what makes what I do so hard.

0:46:000:46:02

This department, Robyn. We're on the edge of life itself.

0:46:040:46:08

There are so many deaths, so many grieving parents, it's easier...

0:46:080:46:12

No, it's essential that I just work with my patients.

0:46:120:46:18

With the babies, but...thank you. You were right

0:46:180:46:23

to remind me.

0:46:230:46:25

Why this job?

0:46:250:46:28

It was the challenge at first. The medicine.

0:46:280:46:31

And then it got real.

0:46:330:46:35

But there's another reason.

0:46:360:46:40

They were all prem babies and, yeah,

0:46:400:46:44

that's me.

0:46:440:46:47

Duffy, I love you. And I want what you want.

0:46:500:46:56

Because our love is not just the romantic thing.

0:46:560:47:01

It's bigger, it's more grown-up than that.

0:47:010:47:05

You are the sweetest man alive.

0:47:050:47:07

So bring on the sleepless nights.

0:47:110:47:14

They're family, aren't they?

0:47:140:47:17

Our family.

0:47:170:47:19

Hey, guys!

0:47:210:47:22

I'm sorry you can't come up to see us,

0:47:220:47:25

but she's doing really well...now.

0:47:250:47:29

My brave little daughter. Charlotte.

0:47:290:47:31

There she is. Having a little sleep.

0:47:350:47:38

-Cos it's hard work having an uncle like Max.

-Aw!

-She's beautiful.

0:47:380:47:43

She can't wait to meet you all, guys.

0:47:450:47:49

ALL: Aw!

0:47:490:47:50

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