0:00:02 > 0:00:04- I'm stepping down as nurse manager. - Walk of shame, right?
0:00:04 > 0:00:07You'd have to be ashamed for it to be a walk of shame.
0:00:07 > 0:00:08Fair point.
0:00:08 > 0:00:09No obs...
0:00:09 > 0:00:12and no obs. Get the picture?
0:00:12 > 0:00:14- Who's she done today? - No obs, no organisation
0:00:14 > 0:00:17- and our phone bill is going to be enormous.- Charlie...- No.
0:00:17 > 0:00:21- I'm not going to do Tess's job. - You've left me no choice.
0:00:22 > 0:00:25He asked me to stay for a while. Covering for someone.
0:00:25 > 0:00:26Tess something?
0:00:26 > 0:00:30- It wasn't your fault!- I didn't stick the knife in, but this was my fault.
0:00:30 > 0:00:33- No, it was Hannah's fault! - This is what always happens.
0:00:33 > 0:00:36I can't get involved, I shouldn't get involved!
0:00:36 > 0:00:39- She's with me!- Dy...
0:02:11 > 0:02:12Why am I such a div?
0:02:12 > 0:02:15- What's the rush? - Have you seen my stuff, erm...
0:02:15 > 0:02:17Kevin.
0:02:17 > 0:02:19- What?- That's my name. Kevin.
0:02:19 > 0:02:21As in Keegan.
0:02:21 > 0:02:22Eugh!
0:02:23 > 0:02:26- SHE VOMITS - Are you all right?!
0:02:26 > 0:02:30Kevin as in Keegan, please, have you seen my stuff?
0:02:30 > 0:02:31Yeah. It's there.
0:02:37 > 0:02:39Can I see you again?
0:02:46 > 0:02:47Dylan!
0:02:47 > 0:02:49Hi!
0:02:49 > 0:02:51Hang on, wait!
0:02:53 > 0:02:54- Hello.- Hello.
0:02:54 > 0:02:56How are you?
0:02:56 > 0:02:57I'm fine, thank you.
0:02:57 > 0:02:59We miss you.
0:02:59 > 0:03:03- Well, the ED is not the same without you.- I'm touched.
0:03:03 > 0:03:05Um, anything else?
0:03:05 > 0:03:10I think that Jordan would still give you your job back. How do you feel about that?
0:03:10 > 0:03:14It's very kind of you to pay me a visit, but I don't find it necessary to talk about my feelings.
0:03:14 > 0:03:18- Oh, it's much better to disappear? Pretend that Polly never died?- Yes.
0:03:18 > 0:03:19That we don't exist?
0:03:19 > 0:03:24- On which note, excuse me, I have an interview to prepare for. - You're impossible. An interview?
0:03:24 > 0:03:27- Yes.- Private hospital in Harrogate.
0:03:27 > 0:03:30Ever such a nice brochure.
0:03:33 > 0:03:35Fine.
0:03:37 > 0:03:39Hey, Ronaldo!
0:03:39 > 0:03:42I think he's Rooney these days, aren't you, Joe?
0:03:42 > 0:03:46Not too long at the park, OK, you'll be late for school.
0:03:46 > 0:03:49And, Patrick, don't let him wear himself out.
0:03:56 > 0:03:59Excuse me...
0:03:59 > 0:04:01- What's going on?- 24/7 take.
0:04:01 > 0:04:03What?
0:04:03 > 0:04:0624/7 take. Started at midnight.
0:04:06 > 0:04:11The arrangement is that ED has to accept any GP referral at any time.
0:04:11 > 0:04:13This obviously doesn't ring any bells with you, does it?
0:04:13 > 0:04:15Well, where do you want me?
0:04:15 > 0:04:19- Cubicles? Resus?- In your office, sorting out this mess.- How?
0:04:19 > 0:04:22I don't know. You're the manager. Manage.
0:04:22 > 0:04:24Hello, am I speaking to Dr Simon Roper?
0:04:24 > 0:04:28Mr Nick Jordan's asked me to ask you if you'd be available to locum for us.
0:04:28 > 0:04:29Simon Roper?
0:04:29 > 0:04:32No way is he doing a locum here.
0:04:46 > 0:04:47Joe...?
0:04:49 > 0:04:51Joe!
0:04:51 > 0:04:53Please?
0:04:58 > 0:04:59All right then, big man.
0:04:59 > 0:05:02Only five minutes, OK?
0:05:02 > 0:05:04Otherwise we WILL be late.
0:05:05 > 0:05:08Don't worry, I won't tell your mum.
0:05:08 > 0:05:12Come on, we might get to see the 8.32 if we get a move on.
0:05:18 > 0:05:21Sister Andrews.
0:05:21 > 0:05:22Hangover, is it?
0:05:22 > 0:05:25Mr Jordan, I'm sorry. I just needed to get my head together.
0:05:25 > 0:05:27Don't worry, don't worry.
0:05:27 > 0:05:30I have no intention of taking any action against you.
0:05:30 > 0:05:32- Thank you.- With you at the wheel,
0:05:32 > 0:05:37- we can confidently expect this entire hospital to be on its knees by lunchtime!- Mr Jordan, I...
0:05:37 > 0:05:39If that's what it takes to convince the board
0:05:39 > 0:05:43that their treatment of Tess was profoundly stupid, that's what it'll take.
0:05:43 > 0:05:45- But I...- Oh, I almost forgot.
0:05:46 > 0:05:48I thought you'd have had enough on your plate
0:05:48 > 0:05:50without asking Noel to cancel the locum
0:05:50 > 0:05:52- that we are so patently in need of. - Well, I...
0:05:52 > 0:05:56In case you hadn't noticed, Linda, we're not in a position to be choosy.
0:05:56 > 0:05:58Or is it personal?
0:06:08 > 0:06:14We are actually playing football, so...you could just tell Mum that we played football.
0:06:14 > 0:06:15Just don't say where.
0:06:15 > 0:06:17PHONE RINGS It's your mother.
0:06:19 > 0:06:21Cath.
0:06:21 > 0:06:24Yeah, we're just about to head to school now.
0:06:24 > 0:06:26Playing football.
0:06:27 > 0:06:30He's doing fine. Aren't you, big man?
0:06:32 > 0:06:34Sorry, sorry...
0:06:37 > 0:06:41I thought with the 24/7 take, it was important we got together as a team.
0:06:41 > 0:06:43RINGTONE: "Jump" by Van Halen
0:06:44 > 0:06:46Sorry, is that someone's phone?
0:06:47 > 0:06:49Well, it really needs to be kept on silent.
0:06:50 > 0:06:57Look, I know you're all angry about Tess, and rightfully so, I'm sure. But I did some work in another ED...
0:06:57 > 0:06:59She did some work(!)
0:06:59 > 0:07:06I was a bed manager there. And they were using a special triage system, RAT.
0:07:06 > 0:07:07RINGTONE CONTINUES
0:07:07 > 0:07:09(Sorry...)
0:07:10 > 0:07:12Seems to be coming from here.
0:07:14 > 0:07:15Oh, right.
0:07:15 > 0:07:19- This isn't my phone...! - You all right?- Yeah, I'm fine.
0:07:22 > 0:07:25Look, will this take long? I've got a kid with a fracture in cubicle four,
0:07:25 > 0:07:27and we are backed up out there.
0:07:27 > 0:07:30- And that's why I want us to put this new system in place.- Linda!
0:07:32 > 0:07:35Kevin, it's... It's Kevin.
0:07:38 > 0:07:40- Wait in reception. - You took my clothes.
0:07:40 > 0:07:44- I know.- I had to wear my costume. - Five minutes.- But my keys...
0:07:44 > 0:07:45And I need my phone, I need my phone.
0:07:52 > 0:07:57- Go.- Er, excuse me, you were asked to wait. I am sorry, Linda. I assure you, he was asked to wait.
0:07:57 > 0:07:59- It's fine, really. - Right, I'll get on to the wards.
0:07:59 > 0:08:03- They should be using their day rooms for some of this traffic. - Wait...
0:08:03 > 0:08:07Um, Officer, I know you've got a very important job to do but then so has she. So could you, erm...
0:08:07 > 0:08:10- Please, wait.- We've got work to do. - We haven't finished.
0:08:10 > 0:08:12And my thong, Linda. Have you got my thong?
0:08:12 > 0:08:15Only...I've got a booking later.
0:08:19 > 0:08:22He was fine when he went to the toilet.
0:08:22 > 0:08:24I don't think he needs the pills...
0:08:34 > 0:08:36Yeah, he's got 'em.
0:08:37 > 0:08:38Of course I will.
0:08:39 > 0:08:40HORN, SCREECH OF BRAKES
0:08:40 > 0:08:42CRASH
0:08:44 > 0:08:48- 'Patrick?'- JOE!- 'Patrick...?'
0:08:48 > 0:08:50CONTINUOUS CAR HORN
0:08:50 > 0:08:51- JOE!- 'Patrick?
0:08:52 > 0:08:54'What's going on? Patrick?'
0:08:58 > 0:08:59JOE!
0:09:00 > 0:09:04'Patrick...? I thought you were at the park?
0:09:04 > 0:09:05'Patrick, is everything OK?
0:09:08 > 0:09:10'What's going on?!
0:09:11 > 0:09:13'Talk to me!'
0:09:13 > 0:09:15Joe...!
0:09:15 > 0:09:16Oh...
0:09:17 > 0:09:19Patrick!
0:09:19 > 0:09:20Joe...
0:09:20 > 0:09:23- I called an ambulance. - Oh, thank God.- 'Patrick?'
0:09:23 > 0:09:26Cath... Yeah, he's fine.
0:09:26 > 0:09:28Cath, he's fine, yeah.
0:09:40 > 0:09:43My choice, Kirsty. My choice.
0:09:43 > 0:09:46We've got a bit of a backlog of patients with the 24/7 take.
0:09:46 > 0:09:49I need you to clear up some space...
0:09:50 > 0:09:53No, you listen to ME. You've got day rooms, use them.
0:09:53 > 0:09:55PHONE GOES DEAD
0:09:58 > 0:10:02I'm sending them up anyway now. Bye.
0:10:02 > 0:10:05It's ridiculous. The wards have got to pull their weight.
0:10:05 > 0:10:07We can't carry the whole hospital.
0:10:07 > 0:10:09Well, at least the locum's arrived.
0:10:17 > 0:10:19Hi, Simon.
0:10:22 > 0:10:24Staff Nurse Andrews.
0:10:25 > 0:10:27It's good to see you.
0:10:29 > 0:10:31Simon...
0:10:39 > 0:10:42- I think his spleen's gone. - I don't like the look of that head injury either,
0:10:42 > 0:10:44so radio ahead and update them.
0:10:44 > 0:10:47Fire Brigade on their way? I can smell fuel.
0:10:47 > 0:10:51Patrick...aren't you going to ask me why I ran off when you were on the phone?
0:10:51 > 0:10:56It's funny you should mention that because, as it happens, I was.
0:10:58 > 0:10:59I thought I saw my dad.
0:11:00 > 0:11:02I keep seeing him.
0:11:02 > 0:11:06It's OK, I know he's dead. I know it's just my imagination.
0:11:07 > 0:11:10How long's this been going on for, big man?
0:11:10 > 0:11:12Couple of weeks, maybe.
0:11:12 > 0:11:14Before I was ill.
0:11:28 > 0:11:30SIREN
0:11:32 > 0:11:35He died because the fire was too hot.
0:11:37 > 0:11:41I think he ran back into the train even though it was burning,
0:11:41 > 0:11:44and there were little boys and girls, and they were all trapped.
0:11:44 > 0:11:47He was trying to drag them out, but the fire was too hot...
0:11:47 > 0:11:50- Hey...- Can you tell me what you saw of the accident?
0:11:50 > 0:11:52Yeah, I didn't actually see what happened, but...
0:11:56 > 0:11:58Get that kid away from the car!
0:12:01 > 0:12:02Joe...!
0:12:05 > 0:12:06Joe!
0:12:12 > 0:12:14JOE...!
0:12:14 > 0:12:18- When did you first notice your symptoms?- About three months ago...
0:12:18 > 0:12:23Linda... You know that bloke that came in earlier for you?
0:12:23 > 0:12:25I'm not sure he's a real policeman.
0:12:27 > 0:12:29Do you think HE'S a real doctor -
0:12:29 > 0:12:33- the locum?- What?- All that extra gear he's got on. Looks like Batman.
0:12:33 > 0:12:37Actually, yeah. He's discharged five patients in the past 15 minutes.
0:12:37 > 0:12:39I mean, there's efficient, and...
0:12:39 > 0:12:41If you know something, you should say.
0:12:42 > 0:12:43Don't worry. He's real.
0:12:44 > 0:12:47The question is - are you a real nurse?
0:12:49 > 0:12:53Straight through to resus, please! Could somebody deal with that trolley?
0:12:53 > 0:12:55OK, this is Joe Shawcross, nine years old.
0:12:55 > 0:12:58He's got minor flash burns to his hands and the back of his neck,
0:12:58 > 0:13:03airway's not compromised. Sats of 90, pulse of 97.
0:13:03 > 0:13:07He was walking at the scene, he's not complained of any neck pain or discomfort.
0:13:07 > 0:13:09Unable to gain IV access.
0:13:09 > 0:13:12He's had water gel pads and Entonox.
0:13:12 > 0:13:14OK, we're just going to move you over to the other bed.
0:13:14 > 0:13:17On three, please - one, two, three...
0:13:17 > 0:13:20He's a budding Superman, is our Joe.
0:13:20 > 0:13:23He saved a dog from a burning car.
0:13:23 > 0:13:26OK... Nine plus four times 226 times 0.1
0:13:26 > 0:13:30is 2.6 mg of nasal diamorphine - thank you, Staff Nurse Andrews.
0:13:31 > 0:13:35- You're all right, Joe... - I just need you to open your mouth a minute.
0:13:35 > 0:13:37Airway is clear.
0:13:38 > 0:13:41- OK, soldier. I've got some magic drops...- I'd like to do it, please.
0:13:45 > 0:13:48I do need you to keep still, mate. Just for a second...
0:13:51 > 0:13:53Joe...
0:13:54 > 0:13:59Joe, can you give me a really big sniff? Like this?
0:13:59 > 0:14:01Go on, you have a try.
0:14:02 > 0:14:04Simon...
0:14:04 > 0:14:06And even bigger this time.
0:14:08 > 0:14:09You're a brave soldier, aren't you?
0:14:09 > 0:14:11Rescuing a dog.
0:14:11 > 0:14:15- When you're finished, you can re-dress the burns.- Excuse me...
0:14:15 > 0:14:18Dressings, discharge, outpatients appointment.
0:14:18 > 0:14:22The burns are superficial, partial thickness at worst. He's going to be fine.
0:14:22 > 0:14:24It's only what my dad would have done.
0:14:24 > 0:14:28- Is it?- Oh, not me. I'm a coward.
0:14:28 > 0:14:30My dad died in a big train crash.
0:14:30 > 0:14:33Someone stopped their car on a level...
0:14:34 > 0:14:36Joe?
0:14:42 > 0:14:47'Brockwell. The next train on platform two is the 9.02 to Downton,
0:14:47 > 0:14:52'calling at Middlehill, Stokeville, Edwalton, Sowton and Downton...'
0:14:57 > 0:14:59RINGING TONE
0:14:59 > 0:15:03'Hi, this is Zoe. Leave me a message and I'll get back to you.'
0:15:04 > 0:15:06TRAIN HORN
0:15:06 > 0:15:10'The train now approaching is the 9.02 to Downton,
0:15:10 > 0:15:15'calling at Middlehill, Stokeville, Edwalton, Sowton and Downton.
0:15:21 > 0:15:26'This is Brockwell. The next train on platform two is the 9.09 fast train...
0:15:28 > 0:15:31You can see why I didn't want him watching the trains.
0:15:31 > 0:15:33He's so intense the way he obsesses about the disaster.
0:15:33 > 0:15:35He just wants to be able to talk about his dad.
0:15:38 > 0:15:39He thinks he's been seeing him.
0:15:39 > 0:15:41Seeing William?
0:15:43 > 0:15:46That's why he ran off in the first place.
0:15:46 > 0:15:50- It's all right... - No, it's not all right.- He knows it's not real, he knows he's dead.
0:15:50 > 0:15:53Why can't you see? He imagined him when he was watching the trains.
0:15:53 > 0:15:55He just needs to be able to talk about his dad.
0:15:55 > 0:15:57What, and I stop him?
0:15:57 > 0:16:01Do you know how you react when he so much as mentions William?
0:16:01 > 0:16:05- And the photos... - I was going to put some up.
0:16:05 > 0:16:06When?
0:16:06 > 0:16:09Even I don't know what he looks like.
0:16:09 > 0:16:16It's as if his dad's been erased from his life. Is it any wonder the boy's imagination runs wild?
0:16:19 > 0:16:22It's Clinical Nurse Manager.
0:16:22 > 0:16:24What?
0:16:24 > 0:16:26- Not Staff Nurse Andrews. - Are you sure?
0:16:26 > 0:16:29Of course I'm sure, Simon.
0:16:33 > 0:16:38I did try to stop this happening, when I heard they were getting you in.
0:16:38 > 0:16:41I'm sorry, it must be really...
0:16:41 > 0:16:44- I'm sorry.- How long?
0:16:44 > 0:16:48- What? - Clinical Nurse Manager.- First day.
0:16:48 > 0:16:51You know me. New start, new Linda.
0:16:55 > 0:16:58Sorry, actually the queue's over there today, mate.
0:16:58 > 0:17:03It's just as well Henry's not down here. He'd think that 24/7 take makes no difference at all.
0:17:03 > 0:17:08- Queue's over there today.- When we picked him up, he was clearly confused. Won't tell us his name...
0:17:08 > 0:17:11Henry! Bloody Henry! He thinks he can do what the hell he likes!
0:17:11 > 0:17:1424/7, 7/11, 9/11!
0:17:15 > 0:17:18Why can't he see these people need help?!
0:17:18 > 0:17:22You need to take your hands off him now. You need to let him go now, come on.
0:17:22 > 0:17:24- These people need help! - Call Security.
0:17:24 > 0:17:27How can we help you, sir?
0:17:31 > 0:17:33How...
0:17:33 > 0:17:35how can you help me...?
0:17:40 > 0:17:41Help me!
0:17:41 > 0:17:44Why don't you come with me?
0:17:45 > 0:17:48We'll get you a cup of tea.
0:17:49 > 0:17:51Come on.
0:17:54 > 0:17:56Come on...
0:18:06 > 0:18:08Oi... Dylan!
0:18:08 > 0:18:12Boy brought into the ED about 40 minutes ago, with flash burns to exposed areas...
0:18:12 > 0:18:17- Hello! Yes. I was with the joy rider earlier...- Name of Joe Shawcross.
0:18:17 > 0:18:20- Slow down a minute. I don't know. The locum saw him.- Locum?
0:18:20 > 0:18:26- Yes, the locum. We have a locum now. because SOMEBODY disappeared off the face of the earth.- Find out.
0:18:26 > 0:18:28Why?
0:18:34 > 0:18:38I was at the accident. The boy could have muscular dystrophy or any number of things...
0:18:38 > 0:18:41- Dylan, slow down.- Are you familiar with Guillain-Barre Syndrome?
0:18:41 > 0:18:44Yes, I am familiar with Guillain-Barre Syndrome!
0:18:44 > 0:18:49- Onset often marked by diarrhoea! - And, asymmetrical weakness usually affecting the lower limbs
0:18:49 > 0:18:51spreading in an upward fashion.
0:18:51 > 0:18:53This boy has a serious underlying condition.
0:18:53 > 0:18:56Yes, all right, Rain Man - I'll go and check.
0:18:57 > 0:19:00- Will you let me know?- No!
0:19:06 > 0:19:08We'll send this to the lab,
0:19:08 > 0:19:11and we'll also get you a chest X-ray.
0:19:11 > 0:19:14And then if I can get a urine sample from you...
0:19:15 > 0:19:18But it would really help if you could give us a bit more information.
0:19:18 > 0:19:20A name?
0:19:26 > 0:19:29Is there anybody we could ring for you?
0:19:29 > 0:19:32It's OK. There's no rush.
0:19:48 > 0:19:50Are you dealing with a Joe Shawcross?
0:19:50 > 0:19:53- Lucky little fella. - I wouldn't be so sure about that.
0:19:53 > 0:19:54Read this...
0:19:55 > 0:19:58- This is Dr Hanna.- Hi.
0:19:58 > 0:20:00Bit of a strange one, this, but a colleague who used to work
0:20:00 > 0:20:04in the hospital happened to witness the accident, and he found these.
0:20:04 > 0:20:07- Oh, that's very good of him. Thank you.- So, has Joe had diarrhoea?
0:20:07 > 0:20:09Yeah, he had a bit of a bug.
0:20:09 > 0:20:13Mmm. See, my colleague also noticed there was some weakness in Joe's legs before the accident.
0:20:13 > 0:20:15- His legs?- Yeah.
0:20:15 > 0:20:18There's nothing wrong with them, he was playing football this morning.
0:20:18 > 0:20:22Well, still, I'd like to do some tests on them if that's OK.
0:20:22 > 0:20:26- What do you think's wrong with him? - We'll know more after the tests.
0:20:31 > 0:20:34Now push against my hand...
0:20:34 > 0:20:36Don't let me move your leg.
0:20:36 > 0:20:39Hmm. OK, Joe...
0:20:39 > 0:20:42Yeah, his legs are unusually weak.
0:20:42 > 0:20:47And putting that together with the diarrhoea, he's showing signs of a more serious condition.
0:20:47 > 0:20:48But it was just a bug.
0:20:48 > 0:20:50He's fine now. He's fine.
0:20:50 > 0:20:56Yeah, well, to confirm it I'll have to do another test - which is called a lumbar puncture.
0:20:56 > 0:21:01Now, normally we'd send him up to paediatrics to have this done, but given that Joe's had diarrhoea
0:21:01 > 0:21:05we'll have to wait for a side room to become free, and I don't think we should wait that long.
0:21:05 > 0:21:07- Do you, Mrs Shawcross?- Cath?
0:21:07 > 0:21:10- Is he all right?- Out now!
0:21:10 > 0:21:11Is Joe all right?
0:21:11 > 0:21:14You really can't be in here. Delusional, he should be in CDU.
0:21:14 > 0:21:17- Well, can we get him back there? - What's happening?
0:21:17 > 0:21:19- Will you get him out of here?! - Joe...!
0:21:19 > 0:21:23- Right, where was I? The lumbar puncture's a fairly safe procedure...- JOE!
0:21:23 > 0:21:27- What is going on in this place?!- I'm sorry. That shouldn't have happened.
0:21:28 > 0:21:30- Everything all right?- Yeah.
0:21:30 > 0:21:32We've had a bit of an adventure...
0:21:32 > 0:21:34but we're fine now, aren't we, mister?
0:21:35 > 0:21:38- You sure?- Yeah.
0:21:39 > 0:21:42Linda, do you want one of us to get onto psych?
0:21:42 > 0:21:46- No, it's fine, thanks.- It's not a problem.- Bloods aren't back yet.
0:21:48 > 0:21:49Have you even been onto psych yet?
0:21:51 > 0:21:53I think it could be medical.
0:21:55 > 0:21:58- (What's that?) - It's a psychiatric case.
0:21:58 > 0:22:01Psy-chi-atric. But if you think you've got time
0:22:01 > 0:22:04to deal with every loon who walks through your doors...
0:22:04 > 0:22:08It's your department bursting at the seams.
0:22:08 > 0:22:09Hey, come back!
0:22:09 > 0:22:11'OK, Joe...'
0:22:11 > 0:22:16This may sting a bit, but I need you to be a really brave boy, OK?
0:22:23 > 0:22:25Oh, love.
0:22:25 > 0:22:27You are so brave!
0:22:27 > 0:22:29You are so brave.
0:22:36 > 0:22:38So brave. It's almost over.
0:22:41 > 0:22:42That's great, Joe.
0:22:53 > 0:22:54I'm not a loon.
0:22:56 > 0:22:58I'm not.
0:22:59 > 0:23:01I'm dead.
0:23:01 > 0:23:03Come on, dead man.
0:23:03 > 0:23:05No...
0:23:05 > 0:23:07- Let's get you in.- Listen to me.
0:23:07 > 0:23:08Please!
0:23:08 > 0:23:11Before...
0:23:12 > 0:23:16..when I was angry, that wasn't me.
0:23:16 > 0:23:18I can't... I can't explain...
0:23:18 > 0:23:21It's happened before? The way you were when they brought you in?
0:23:21 > 0:23:23Yeah.
0:23:23 > 0:23:25And the confusion?
0:23:25 > 0:23:27Yes.
0:23:28 > 0:23:30Is he going to die?
0:23:30 > 0:23:34- Who?- Who do you think? Joe.
0:23:34 > 0:23:37My son! Joe...
0:23:37 > 0:23:39Joe told me that his dad was dead.
0:23:39 > 0:23:43Portwright! The train crash.
0:23:43 > 0:23:45I walked away.
0:23:45 > 0:23:47Please! Just tell me.
0:23:48 > 0:23:53- Is he going to die?!- It's possible that he may be very ill.
0:23:55 > 0:23:57That man who stormed in before...
0:23:57 > 0:23:59Your reaction...
0:24:01 > 0:24:03I've never seen you like that before.
0:24:07 > 0:24:10And the look on your face, it was like, I don't know...
0:24:11 > 0:24:14Well, I have to say this, it was like you knew him.
0:24:14 > 0:24:15Stop.
0:24:18 > 0:24:20I just don't want to get carried away.
0:24:20 > 0:24:24Joe might be seriously ill, he's been burnt badly. Please, just stop.
0:24:30 > 0:24:31Er, have you got a light, please?
0:24:31 > 0:24:33Thank you.
0:24:42 > 0:24:45Lucky for us your nicotine habit's so severe.
0:24:45 > 0:24:47Where have you been? I've been trying to page you.
0:24:47 > 0:24:50I happen to work in an emergency department, Dylan.
0:24:50 > 0:24:53Ha-ha, very good. You had an emergency, did you?
0:24:53 > 0:24:54- Results back?- No.
0:24:54 > 0:24:56You know how long it takes.
0:24:56 > 0:24:58I think you should test his FVC.
0:24:58 > 0:25:01His obs are fine and his resps are fine.
0:25:01 > 0:25:04You don't want to call upstairs for a spirometer?
0:25:04 > 0:25:06What are you doing here, Dylan?
0:25:06 > 0:25:10- If his FVC indicates Guillain-Barre...- Yeah?
0:25:10 > 0:25:12..you can start treatment straight away.
0:25:12 > 0:25:15- You could have just called that in...- I did try!
0:25:15 > 0:25:20Fine. I'll tell you what - why don't you come in with me and examine him yourself(?)
0:25:20 > 0:25:23Hmm? That's what you really want, isn't it? To come back?
0:25:23 > 0:25:25But you can't.
0:25:25 > 0:25:27You're scared.
0:25:28 > 0:25:32Did I ever tell you about my son, Dr Hanna?
0:25:32 > 0:25:34I didn't know you had a son.
0:25:34 > 0:25:37- No, there's a lot you don't know about me.- You don't say.
0:25:37 > 0:25:40Have you ever witnessed a case of acute panautonomic neuropathy?
0:25:43 > 0:25:45Dylan, I didn't know,
0:25:45 > 0:25:47I'm...so sorry.
0:25:47 > 0:25:48Did he survive?
0:25:48 > 0:25:52Bobby was about the same age as the lad you've got in there.
0:25:52 > 0:25:54He was...
0:25:54 > 0:25:56he was a little fighter...
0:25:59 > 0:26:01Oh, you need help. Really!
0:26:01 > 0:26:03Zoe! Zoe...
0:26:04 > 0:26:06Zoe...
0:26:13 > 0:26:14Wait till you see this.
0:26:22 > 0:26:24Watch, watch, watch...
0:26:30 > 0:26:32You'd like this -
0:26:32 > 0:26:34go on, take a look, take a look.
0:26:36 > 0:26:38Ah, Linda.
0:26:38 > 0:26:40I believe these need to be signed.
0:26:40 > 0:26:43- Have you seen Zoe? - Yeah, she's, er...
0:26:45 > 0:26:48Oh, your friend the "policeman".
0:26:48 > 0:26:50Have you given any more thought to alerting the authorities?
0:26:50 > 0:26:52I'll bear it in mind.
0:26:54 > 0:26:56Er, Zoe...? Quick word?
0:26:57 > 0:26:59Yeah?
0:26:59 > 0:27:02Do you remember our friend in CDU?
0:27:02 > 0:27:04- No? - The one who paid little Joe a visit?
0:27:04 > 0:27:06Oh, the guy who burst into paeds resus?
0:27:06 > 0:27:10Well, I think there might be more to him than meets the eye...
0:27:10 > 0:27:12- Why?- I think...
0:27:12 > 0:27:13Lenny!
0:27:14 > 0:27:15What's so funny?
0:27:22 > 0:27:24- Linda...- It doesn't matter. - No, no, no, Linda...
0:27:24 > 0:27:27It was a quiet night, you know? Just a bit of fun...
0:27:27 > 0:27:29It's OK. What is it you wanted to say to me?
0:27:29 > 0:27:31It's fine. Really.
0:27:32 > 0:27:35- One more time...- Switch that OFF!
0:28:03 > 0:28:05What are you doing?
0:28:20 > 0:28:22Is er...
0:28:23 > 0:28:24..is Joe all right?
0:28:26 > 0:28:28Wait, wait! Where are you going?
0:28:28 > 0:28:32- Where am I going...? Where am- I- going?
0:28:32 > 0:28:33Don't you want to know what happened?
0:28:33 > 0:28:36Where I've been?
0:28:36 > 0:28:39Where HAVE you been, William?
0:28:39 > 0:28:41Ice skating(?)
0:28:42 > 0:28:45How's the property empire? Only I'm still paying off
0:28:45 > 0:28:47all those mortgages you never told me about,
0:28:47 > 0:28:49so I think it's only fair you keep me in the loop.
0:28:51 > 0:28:54Don't get me wrong, I'm sure they could have been inspired investments
0:28:54 > 0:28:57for people with the money to pay for them in the first place!
0:28:57 > 0:29:01I just wanted a... better life for you.
0:29:01 > 0:29:06- For Joe...- Me and Joe have a better life, thanks.
0:29:06 > 0:29:10A steady, normal life, with a man we can rely on.
0:29:10 > 0:29:15No black moods that last for weeks - just a steady, normal...
0:29:15 > 0:29:16William?
0:29:17 > 0:29:19William?!
0:29:24 > 0:29:26PANIC ALARM ON
0:29:30 > 0:29:34Just put him up here on the right, please. Right...
0:29:34 > 0:29:35Let's see... Ah. Right.
0:29:36 > 0:29:39If you could start with suction.
0:29:39 > 0:29:41Four milligrams of lorazepam IV. Where are we up to?
0:29:41 > 0:29:45He was becoming lucid. Bloods have all come back normal.
0:29:45 > 0:29:47OK.
0:29:47 > 0:29:49Oh, hang on, one sec.
0:29:54 > 0:29:57Welcome back to us, good afternoon.
0:29:57 > 0:30:01Looks like it's not just you that can come back from the dead, is it?
0:30:22 > 0:30:24How's our big man?
0:30:24 > 0:30:27Yeah, he's still sleeping.
0:30:28 > 0:30:29Hey...
0:30:29 > 0:30:31Hey.
0:30:31 > 0:30:35He's going to be OK.
0:30:35 > 0:30:38It is...him.
0:30:38 > 0:30:40It's him.
0:30:41 > 0:30:43William...
0:30:43 > 0:30:46But he died. He's...he's dead.
0:30:46 > 0:30:48I'm sorry.
0:30:48 > 0:30:50I'm so sorry.
0:30:53 > 0:30:55It's OK.
0:30:55 > 0:30:58It's OK. There's nothing to be sorry for.
0:31:01 > 0:31:04They never found his body, Patrick.
0:31:06 > 0:31:09What was I meant to say to Joe?
0:31:10 > 0:31:14Even if he was alive, he didn't want to be found. He just...
0:31:14 > 0:31:15Joe...
0:31:16 > 0:31:18My little Joe.
0:31:19 > 0:31:20Cath...
0:31:21 > 0:31:23Let's just get through this first.
0:31:24 > 0:31:27He'd had some kind of fit.
0:31:27 > 0:31:31I don't know what's wrong with him, he looks awful.
0:31:31 > 0:31:34Cath...listen to me.
0:31:34 > 0:31:37You can't deal with it all at once.
0:31:37 > 0:31:42Let's just get through this first, and when you're ready, we'll work out the best way to tell Joe.
0:31:43 > 0:31:46Tell him?
0:31:47 > 0:31:49Yeah.
0:31:50 > 0:31:52No...
0:31:52 > 0:31:53No.
0:31:54 > 0:31:56But Joe worships him.
0:31:56 > 0:31:58He doesn't remember.
0:31:59 > 0:32:05He can remember the lovely William, always making things, full of stories, plans.
0:32:05 > 0:32:09Not the William who got rid of all of his favourite toys because he'd got it into his head
0:32:09 > 0:32:12we were moving, and there wasn't going to be space...
0:32:12 > 0:32:15- Cath, it's OK...- The William who'd suddenly yell at him for no reason.
0:32:17 > 0:32:19We don't have to think about this now.
0:32:21 > 0:32:23You don't understand.
0:32:23 > 0:32:25He's better off without him, Patrick.
0:32:26 > 0:32:29He is. He really is.
0:32:38 > 0:32:42'Hi, this is Zoe, leave me a message and I'll get back to you.'
0:32:42 > 0:32:44Zoe. It's Dylan.
0:32:44 > 0:32:45Again. Call me.
0:32:55 > 0:32:58'Hi, this is Zoe, leave me a message and I'll get back to you.'
0:32:58 > 0:33:00You are there, aren't you?! You are there!
0:33:06 > 0:33:09'Hi, this is Zoe, leave me a message and I'll get back to you.'
0:33:09 > 0:33:11How dare you?! You've switched me off!
0:33:11 > 0:33:13How dare you switch me off?!
0:33:19 > 0:33:21HE SNIFFS
0:33:23 > 0:33:28Well, at least I don't appear to be suffering from trimethylaminuria.
0:33:41 > 0:33:42Mrs Shawcross...
0:33:44 > 0:33:47I thought you should know.
0:33:47 > 0:33:50Joe's dad, he's OK.
0:33:50 > 0:33:54He's been having seizures and he's been delusional, but we will get to the bottom of it.
0:33:54 > 0:33:56Joe's dad is dead.
0:33:56 > 0:33:59I know this must be unbelievably difficult, but...
0:33:59 > 0:34:02Can you please just do your job?
0:34:02 > 0:34:05I mean, how much longer do we have to wait for a simple test?
0:34:05 > 0:34:07- I saw you. - I'm asking you a question.
0:34:07 > 0:34:11- You've been to see him. - How much longer do we have to wait?!
0:34:11 > 0:34:13Is everything OK here?
0:34:13 > 0:34:15I just need this nurse to do her job.
0:34:16 > 0:34:17I didn't...
0:34:17 > 0:34:21You know what? You really don't have to explain yourself to me.
0:34:21 > 0:34:23Sister Andrews?
0:34:23 > 0:34:26What were you talking to Mrs Shawcross about?
0:34:26 > 0:34:28You know that man who burst into paeds?
0:34:28 > 0:34:31The...the delusional guy?
0:34:31 > 0:34:32I think he's little Joe's dad.
0:34:32 > 0:34:35- Why?- He told me.
0:34:35 > 0:34:38- Well, he's delusional.- He was in the Portwright train crash.
0:34:38 > 0:34:41His family thought he was dead, but he survived.
0:34:41 > 0:34:42He faked his own death.
0:34:42 > 0:34:45- And he told you this?- He was lucid.
0:34:45 > 0:34:48That's what you were telling Mrs Shawcross?! Linda!
0:34:48 > 0:34:50He's Joe's dad and she won't acknowledge it!
0:34:50 > 0:34:52Linda, we'll talk about this later.
0:34:56 > 0:34:58Psychiatric.
0:34:58 > 0:35:00This isn't you.
0:35:00 > 0:35:02Can you do everyone a favour, and stop pretending before
0:35:02 > 0:35:06someone gets hurt... Clinical Nurse Manager Andrews?
0:35:44 > 0:35:47Kevin as in Keegan...
0:35:48 > 0:35:49..what you doing tonight?
0:35:49 > 0:35:52- What's wrong with him? - I need your help in here, please!
0:35:52 > 0:35:54OK, Joe, I'm just going to take a look at your tummy...
0:35:54 > 0:35:59- Ah! Mummy! - 2.6 IV morphine. FBC, U and Es, LFTs.
0:35:59 > 0:36:01- Any operations on his abdomen? Appendicitis?- No.
0:36:01 > 0:36:05- Nothing like this before? - He's tachycardic. Heart rate 153.
0:36:05 > 0:36:07CT abdo and let's get the surgeons down now.
0:36:09 > 0:36:12Yeah, I'll be in resus in a minute...
0:36:12 > 0:36:14Zoe!
0:36:19 > 0:36:21I don't have time for this, Dylan.
0:36:21 > 0:36:24- A modicum of gratitude would be appreciated.- Hmm?
0:36:24 > 0:36:26- So you could have diagnosed it without me?- It's negative.
0:36:26 > 0:36:28- No... No, no, that's ridiculous. - But true.
0:36:29 > 0:36:31Could be motor neuropathy.
0:36:31 > 0:36:33You're not going to send him home?
0:36:33 > 0:36:35Oh, don't worry, the poor kid's not going anywhere.
0:36:35 > 0:36:42It turns out he didn't have Guillain-Barre, he had an internal abdo injury from the explosion. OK?
0:36:42 > 0:36:44- Zoe...- It's not my patient, Dylan!
0:36:46 > 0:36:48Zoe...!
0:36:49 > 0:36:51Zoe!
0:36:52 > 0:36:54You...
0:36:54 > 0:36:55Locum, yes?
0:36:55 > 0:36:57Looking after Guillain-Barre boy?
0:36:57 > 0:37:00Now complaining of severe abdominal pain?
0:37:00 > 0:37:04- And you are?- Pain disproportionate to tenderness, temperature normal, no peritoneal signs...
0:37:04 > 0:37:07- We're going to get him up to theatre sharpish.- No. Mistake.
0:37:07 > 0:37:10- You could do him serious harm. - I'm sorry, who are you?
0:37:10 > 0:37:13- It doesn't matter who I am. Have you done a CT abdo?- Yes.
0:37:13 > 0:37:17And I'll bet you anything the results have come back normal, yeah?
0:37:17 > 0:37:19But you still think there's an injury related to the accident?
0:37:19 > 0:37:22- Presumably duodenal. - Is there a problem here, Simon?
0:37:22 > 0:37:24He doesn't work here.
0:37:24 > 0:37:25Not any more.
0:37:25 > 0:37:27Acute intermittent porphyria.
0:37:27 > 0:37:30- Can you ask Security to get him out of here, please?- On their way.
0:37:30 > 0:37:33Differential diagnoses of motor neuropathy?
0:37:33 > 0:37:38The polyneuropathy of acute porphyria is often mistaken for Guillain-Barre!
0:37:38 > 0:37:41Common things are common. He doesn't have it either, it's related to the accident.
0:37:41 > 0:37:43Google it, you moron!
0:37:43 > 0:37:45Thank you, I'm quite capable of leaving on my own.
0:37:45 > 0:37:48- You've got some nerve, pal! - Delightful to see you all again too.
0:37:48 > 0:37:52Oh, whoa, whoa! Jeffrey, hey, come on. Polly wouldn't want that.
0:37:52 > 0:37:55No matter what happened. Yeah?
0:37:55 > 0:37:57All right, all right!
0:37:57 > 0:37:58I'm going, I'm going, I'm going.
0:38:09 > 0:38:12Quickly as we can, theatre's waiting.
0:38:12 > 0:38:14JOE GASPS IN PAIN
0:38:17 > 0:38:21Tess...? Oh, you're not Tess. Um...the urine specimen from
0:38:21 > 0:38:25the Guillain-Barre boy, I need you to chase the results.
0:38:25 > 0:38:26Dylan Keogh, I used to work here.
0:38:26 > 0:38:29Oh, you're Zoe's friend? The one who saw the accident?
0:38:29 > 0:38:33- Shoes on, woman! This is a place of work!- Excuse me?
0:38:33 > 0:38:35Although I think some of your colleagues might follow
0:38:35 > 0:38:38your example, given their spectacular lack of diagnostic skills.
0:38:38 > 0:38:41- You're talking about the locum?- Mmm.
0:38:41 > 0:38:43Come on, let's go!
0:39:04 > 0:39:06SHE MOUTHS
0:39:12 > 0:39:13One of us is going to have to go to the lab.
0:39:13 > 0:39:15They may only have done a dip.
0:39:15 > 0:39:18This is it! Look at the colour - porphyria.
0:39:18 > 0:39:20- You can't argue with that. - That's not Joe's.
0:39:20 > 0:39:24It has to be. The chances there being two unrelated cases of
0:39:24 > 0:39:29- porphyria in the same ED in the same day? Practically impossible. - But they're not unrelated.
0:39:29 > 0:39:34Mental disturbance, seizures... they can be symptoms of porphyria in extreme cases.
0:39:34 > 0:39:36This is his dad's urine sample.
0:39:36 > 0:39:38- That's all we need! - I tried to tell them!
0:39:38 > 0:39:40What, that he had porphyria?
0:39:40 > 0:39:42No, that he's his dad, but no-one would listen.
0:39:42 > 0:39:44Because nothing quite says "Listen" so much as
0:39:44 > 0:39:47kicking back with a magazine in the middle of a busy shift(!)
0:39:47 > 0:39:49Oh, no, I tried, really.
0:39:49 > 0:39:53Well, something tells me somebody like you might have to try a teensy bit harder.
0:39:55 > 0:39:57You. Locum...?
0:39:57 > 0:39:59It's porphyria. You need to cancel the surgery,
0:39:59 > 0:40:04- set up a dextrose infusion and call down the paediatric registrar. - This is Joe's?- It's his father's.
0:40:04 > 0:40:08- Father...?- It's nothing, love. Please, leave us alone.
0:40:08 > 0:40:12We are talking about a hereditary condition the boy is showing clear symptoms of.
0:40:12 > 0:40:16- Simple enough for you?- You just can't hack it, can you? Talk about the blind leading the blind!
0:40:16 > 0:40:18Her loon is not this boy's father.
0:40:21 > 0:40:22You have to tell them!
0:40:22 > 0:40:24The surgeons have called for him, he needs surgery now.
0:40:24 > 0:40:27No, no, this is new information, they don't know this!
0:40:27 > 0:40:31- You're going to be all right... - If you don't tell them, Joe'll have unnecessary surgery.
0:40:31 > 0:40:33Unnecessary?! Linda, look at him!
0:40:33 > 0:40:35You're going to be all right...
0:40:35 > 0:40:37- Cath, I really think we should. - Get off me!
0:40:37 > 0:40:38Let's go!
0:40:41 > 0:40:45- You don't want this. - But he's the doctor.- We need to go!
0:40:45 > 0:40:48- Mummy!- Come on! We need to go, now!
0:40:51 > 0:40:53- 'Doors closing.'- No...
0:40:53 > 0:40:56- No!- What are you doing?
0:40:59 > 0:41:00She's right.
0:41:01 > 0:41:03I'm so sorry, Joe. He's your...
0:41:03 > 0:41:05he's your daddy.
0:41:05 > 0:41:11- Back to paeds resus? - Set up a dextrose infusion, let's put him on 15 minute obs for now.
0:41:11 > 0:41:13Don't you think?
0:41:23 > 0:41:27I don't quite know how we go about the two of you...
0:41:27 > 0:41:29meeting.
0:41:35 > 0:41:37He's still very little.
0:41:39 > 0:41:42They think I may have had it...
0:41:42 > 0:41:45I've been having these attacks for a long time.
0:41:48 > 0:41:50I...could have been having an attack when I was on the train.
0:41:50 > 0:41:53I'll speak a bit more with Joe and Patrick about it.
0:41:53 > 0:41:56- But...- The attacks don't last three years, William.
0:42:09 > 0:42:11As we're going to be up against it with the 24/7 take,
0:42:11 > 0:42:14I think we should use the rapid assessment triage system.
0:42:14 > 0:42:20A senior doctor sees every patient on entry to the department. They give a provisional diagnosis,
0:42:20 > 0:42:24order the bloods and any other investigations.
0:42:26 > 0:42:28- CHARLIE:- That's a pretty good idea.
0:42:29 > 0:42:31Are you off?
0:42:33 > 0:42:35- Simon...- What?
0:42:36 > 0:42:39- Three months, tops.- What?
0:42:39 > 0:42:41You. Here. In this job.
0:42:41 > 0:42:45You really think you're going to be able to hack it when it all starts to feel a bit too ordinary?
0:42:45 > 0:42:47When it starts to feel a bit too much like real life?
0:42:47 > 0:42:50When you start to feel suppressed?
0:42:51 > 0:42:53- Simon...- Never mind.
0:42:53 > 0:42:56You can always get hammered, shag a random stranger...
0:42:56 > 0:42:58Simon, I'm sorry.
0:42:59 > 0:43:02I wish there was something I could do to...
0:43:02 > 0:43:04And then you can start all over again.
0:43:05 > 0:43:09New start. New Linda.
0:43:17 > 0:43:22Let me guess. He was Yin and you were Yang, till you discovered he was chalk and you were cheese.
0:43:22 > 0:43:24Yeah.
0:43:25 > 0:43:28Just've been nice if I'd realised sooner.
0:43:28 > 0:43:32Like more than 48 hours before we were meant to get married.
0:43:41 > 0:43:44You were so little when it all happened.
0:43:44 > 0:43:46You still are.
0:43:46 > 0:43:48No...
0:43:48 > 0:43:51He's the big man. Aren't you, Joe?
0:43:54 > 0:43:56I didn't want you to be forever thinking
0:43:56 > 0:43:58that he might come back one day.
0:43:58 > 0:44:00I wanted things to be clear.
0:44:00 > 0:44:02But he has.
0:44:02 > 0:44:05You understand that he's not well, don't you?
0:44:05 > 0:44:07Like me.
0:44:07 > 0:44:10- Well, yes, but...- He's my daddy.
0:44:13 > 0:44:14He's your daddy.
0:44:20 > 0:44:25It's the look on that porter's face, that is hilarious... I'm going to watch it again when I get home.
0:44:25 > 0:44:28- I'll catch you up. - Hi, you all right?
0:44:29 > 0:44:32Kevin, look. I'm really sorry, but...
0:44:36 > 0:44:38Actually, Kevin...
0:44:41 > 0:44:43Underrated crisp, your roast chicken.
0:44:43 > 0:44:47- Erm, I think you'll find it's prawn cocktail, actually.- Is it?
0:44:47 > 0:44:51- MacKenzie Chalker?- All right? - You're under arrest.
0:44:51 > 0:44:54Oh... All right, mate, we know you're not a real police officer.
0:44:54 > 0:44:57You don't have to say anything, but it may harm...
0:44:57 > 0:44:59Noel, Noel... can you please call the police?
0:44:59 > 0:45:01He IS the police, Mac.
0:45:01 > 0:45:02- MacKenzie?- Yeah.
0:45:02 > 0:45:05You've been a very...
0:45:05 > 0:45:09very...very naughty...boy!
0:45:09 > 0:45:11MUSIC: "You Can Leave Your Hat On"
0:45:21 > 0:45:24She's certainly a breath of fresh air.
0:45:24 > 0:45:27It's not about having ONE good day, Charlie.
0:45:27 > 0:45:29She's got to manage this lot in the morning.
0:45:29 > 0:45:31True.
0:45:37 > 0:45:42Er...I, um, just wanted to say goodbye.
0:45:42 > 0:45:46You waited all of what, an hour, just to say goodbye to me?
0:45:49 > 0:45:53Listen, Dylan, I do realise how difficult it must have been to come in today.
0:45:53 > 0:45:57I was with Jordan, actually, discussing the...
0:45:57 > 0:46:00remedial diagnostic skills of one of his senior clinicians.
0:46:00 > 0:46:04Who, between her cigarette breaks, it seems, has suggested that
0:46:04 > 0:46:09there is only one way to rectify the gaping chasm,
0:46:09 > 0:46:13the abyss created by my absence from the department.
0:46:13 > 0:46:16- And?- I said I'd think about it.
0:46:18 > 0:46:20Did you want to say thank you, Dylan?
0:46:20 > 0:46:22Thank you, Dylan.
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0:46:49 > 0:46:52E-mail subtitling@bbc.co.uk