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