One Good Day Casualty


One Good Day

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Transcript


LineFromTo

-I'm stepping down as nurse manager.

-Walk of shame, right?

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You'd have to be ashamed for it to be a walk of shame.

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Fair point.

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No obs...

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and no obs. Get the picture?

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-Who's she done today?

-No obs, no organisation

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-and our phone bill is going to be enormous.

-Charlie...

-No.

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-I'm not going to do Tess's job.

-You've left me no choice.

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He asked me to stay for a while. Covering for someone.

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Tess something?

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-It wasn't your fault!

-I didn't stick the knife in, but this was my fault.

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-No, it was Hannah's fault!

-This is what always happens.

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I can't get involved, I shouldn't get involved!

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-She's with me!

-Dy...

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Why am I such a div?

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-What's the rush?

-Have you seen my stuff, erm...

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Kevin.

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-What?

-That's my name. Kevin.

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As in Keegan.

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Eugh!

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-SHE VOMITS

-Are you all right?!

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Kevin as in Keegan, please, have you seen my stuff?

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Yeah. It's there.

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Can I see you again?

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Dylan!

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Hi!

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Hang on, wait!

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-Hello.

-Hello.

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How are you?

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I'm fine, thank you.

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We miss you.

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-Well, the ED is not the same without you.

-I'm touched.

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Um, anything else?

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I think that Jordan would still give you your job back. How do you feel about that?

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It's very kind of you to pay me a visit, but I don't find it necessary to talk about my feelings.

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-Oh, it's much better to disappear? Pretend that Polly never died?

-Yes.

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That we don't exist?

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-On which note, excuse me, I have an interview to prepare for.

-You're impossible. An interview?

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-Yes.

-Private hospital in Harrogate.

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Ever such a nice brochure.

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Fine.

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Hey, Ronaldo!

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I think he's Rooney these days, aren't you, Joe?

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Not too long at the park, OK, you'll be late for school.

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And, Patrick, don't let him wear himself out.

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Excuse me...

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-What's going on?

-24/7 take.

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What?

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24/7 take. Started at midnight.

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The arrangement is that ED has to accept any GP referral at any time.

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This obviously doesn't ring any bells with you, does it?

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Well, where do you want me?

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-Cubicles? Resus?

-In your office, sorting out this mess.

-How?

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I don't know. You're the manager. Manage.

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Hello, am I speaking to Dr Simon Roper?

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Mr Nick Jordan's asked me to ask you if you'd be available to locum for us.

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Simon Roper?

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No way is he doing a locum here.

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Joe...?

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Joe!

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Please?

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All right then, big man.

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Only five minutes, OK?

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Otherwise we WILL be late.

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Don't worry, I won't tell your mum.

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Come on, we might get to see the 8.32 if we get a move on.

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Sister Andrews.

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Hangover, is it?

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Mr Jordan, I'm sorry. I just needed to get my head together.

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Don't worry, don't worry.

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I have no intention of taking any action against you.

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-Thank you.

-With you at the wheel,

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-we can confidently expect this entire hospital to be on its knees by lunchtime!

-Mr Jordan, I...

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If that's what it takes to convince the board

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that their treatment of Tess was profoundly stupid, that's what it'll take.

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-But I...

-Oh, I almost forgot.

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I thought you'd have had enough on your plate

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without asking Noel to cancel the locum

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-that we are so patently in need of.

-Well, I...

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In case you hadn't noticed, Linda, we're not in a position to be choosy.

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Or is it personal?

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We are actually playing football, so...you could just tell Mum that we played football.

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Just don't say where.

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PHONE RINGS It's your mother.

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Cath.

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Yeah, we're just about to head to school now.

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Playing football.

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He's doing fine. Aren't you, big man?

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Sorry, sorry...

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I thought with the 24/7 take, it was important we got together as a team.

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RINGTONE: "Jump" by Van Halen

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Sorry, is that someone's phone?

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Well, it really needs to be kept on silent.

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Look, I know you're all angry about Tess, and rightfully so, I'm sure. But I did some work in another ED...

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She did some work(!)

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I was a bed manager there. And they were using a special triage system, RAT.

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RINGTONE CONTINUES

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(Sorry...)

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Seems to be coming from here.

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Oh, right.

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-This isn't my phone...!

-You all right?

-Yeah, I'm fine.

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Look, will this take long? I've got a kid with a fracture in cubicle four,

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and we are backed up out there.

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-And that's why I want us to put this new system in place.

-Linda!

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Kevin, it's... It's Kevin.

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-Wait in reception.

-You took my clothes.

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-I know.

-I had to wear my costume.

-Five minutes.

-But my keys...

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And I need my phone, I need my phone.

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-Go.

-Er, excuse me, you were asked to wait. I am sorry, Linda. I assure you, he was asked to wait.

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-It's fine, really.

-Right, I'll get on to the wards.

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-They should be using their day rooms for some of this traffic.

-Wait...

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Um, Officer, I know you've got a very important job to do but then so has she. So could you, erm...

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-Please, wait.

-We've got work to do.

-We haven't finished.

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And my thong, Linda. Have you got my thong?

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Only...I've got a booking later.

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He was fine when he went to the toilet.

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I don't think he needs the pills...

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Yeah, he's got 'em.

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Of course I will.

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HORN, SCREECH OF BRAKES

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CRASH

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-'Patrick?'

-JOE!

-'Patrick...?'

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CONTINUOUS CAR HORN

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-JOE!

-'Patrick?

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'What's going on? Patrick?'

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JOE!

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'Patrick...? I thought you were at the park?

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'Patrick, is everything OK?

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'What's going on?!

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'Talk to me!'

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Joe...!

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Oh...

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Patrick!

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Joe...

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-I called an ambulance.

-Oh, thank God.

-'Patrick?'

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Cath... Yeah, he's fine.

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Cath, he's fine, yeah.

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My choice, Kirsty. My choice.

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We've got a bit of a backlog of patients with the 24/7 take.

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I need you to clear up some space...

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No, you listen to ME. You've got day rooms, use them.

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PHONE GOES DEAD

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I'm sending them up anyway now. Bye.

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It's ridiculous. The wards have got to pull their weight.

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We can't carry the whole hospital.

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Well, at least the locum's arrived.

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Hi, Simon.

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Staff Nurse Andrews.

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It's good to see you.

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Simon...

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-I think his spleen's gone.

-I don't like the look of that head injury either,

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so radio ahead and update them.

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Fire Brigade on their way? I can smell fuel.

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Patrick...aren't you going to ask me why I ran off when you were on the phone?

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It's funny you should mention that because, as it happens, I was.

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I thought I saw my dad.

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I keep seeing him.

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It's OK, I know he's dead. I know it's just my imagination.

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How long's this been going on for, big man?

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Couple of weeks, maybe.

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Before I was ill.

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SIREN

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He died because the fire was too hot.

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I think he ran back into the train even though it was burning,

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and there were little boys and girls, and they were all trapped.

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He was trying to drag them out, but the fire was too hot...

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-Hey...

-Can you tell me what you saw of the accident?

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Yeah, I didn't actually see what happened, but...

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Get that kid away from the car!

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Joe...!

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Joe!

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JOE...!

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-When did you first notice your symptoms?

-About three months ago...

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Linda... You know that bloke that came in earlier for you?

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I'm not sure he's a real policeman.

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Do you think HE'S a real doctor -

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-the locum?

-What?

-All that extra gear he's got on. Looks like Batman.

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Actually, yeah. He's discharged five patients in the past 15 minutes.

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I mean, there's efficient, and...

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If you know something, you should say.

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Don't worry. He's real.

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The question is - are you a real nurse?

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Straight through to resus, please! Could somebody deal with that trolley?

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OK, this is Joe Shawcross, nine years old.

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He's got minor flash burns to his hands and the back of his neck,

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airway's not compromised. Sats of 90, pulse of 97.

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He was walking at the scene, he's not complained of any neck pain or discomfort.

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Unable to gain IV access.

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He's had water gel pads and Entonox.

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OK, we're just going to move you over to the other bed.

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On three, please - one, two, three...

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He's a budding Superman, is our Joe.

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He saved a dog from a burning car.

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OK... Nine plus four times 226 times 0.1

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is 2.6 mg of nasal diamorphine - thank you, Staff Nurse Andrews.

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-You're all right, Joe...

-I just need you to open your mouth a minute.

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Airway is clear.

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-OK, soldier. I've got some magic drops...

-I'd like to do it, please.

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I do need you to keep still, mate. Just for a second...

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Joe...

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Joe, can you give me a really big sniff? Like this?

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Go on, you have a try.

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Simon...

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And even bigger this time.

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You're a brave soldier, aren't you?

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Rescuing a dog.

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-When you're finished, you can re-dress the burns.

-Excuse me...

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Dressings, discharge, outpatients appointment.

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The burns are superficial, partial thickness at worst. He's going to be fine.

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It's only what my dad would have done.

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-Is it?

-Oh, not me. I'm a coward.

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My dad died in a big train crash.

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Someone stopped their car on a level...

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Joe?

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'Brockwell. The next train on platform two is the 9.02 to Downton,

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'calling at Middlehill, Stokeville, Edwalton, Sowton and Downton...'

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RINGING TONE

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'Hi, this is Zoe. Leave me a message and I'll get back to you.'

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TRAIN HORN

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'The train now approaching is the 9.02 to Downton,

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'calling at Middlehill, Stokeville, Edwalton, Sowton and Downton.

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'This is Brockwell. The next train on platform two is the 9.09 fast train...

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You can see why I didn't want him watching the trains.

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He's so intense the way he obsesses about the disaster.

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He just wants to be able to talk about his dad.

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He thinks he's been seeing him.

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Seeing William?

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That's why he ran off in the first place.

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-It's all right...

-No, it's not all right.

-He knows it's not real, he knows he's dead.

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Why can't you see? He imagined him when he was watching the trains.

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He just needs to be able to talk about his dad.

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What, and I stop him?

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Do you know how you react when he so much as mentions William?

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-And the photos...

-I was going to put some up.

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When?

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Even I don't know what he looks like.

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It's as if his dad's been erased from his life. Is it any wonder the boy's imagination runs wild?

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It's Clinical Nurse Manager.

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What?

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-Not Staff Nurse Andrews.

-Are you sure?

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Of course I'm sure, Simon.

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I did try to stop this happening, when I heard they were getting you in.

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I'm sorry, it must be really...

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-I'm sorry.

-How long?

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-What?

-Clinical Nurse Manager.

-First day.

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You know me. New start, new Linda.

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Sorry, actually the queue's over there today, mate.

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It's just as well Henry's not down here. He'd think that 24/7 take makes no difference at all.

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-Queue's over there today.

-When we picked him up, he was clearly confused. Won't tell us his name...

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Henry! Bloody Henry! He thinks he can do what the hell he likes!

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24/7, 7/11, 9/11!

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Why can't he see these people need help?!

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You need to take your hands off him now. You need to let him go now, come on.

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-These people need help!

-Call Security.

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How can we help you, sir?

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How...

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how can you help me...?

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Help me!

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Why don't you come with me?

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We'll get you a cup of tea.

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Come on.

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Come on...

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Oi... Dylan!

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Boy brought into the ED about 40 minutes ago, with flash burns to exposed areas...

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-Hello! Yes. I was with the joy rider earlier...

-Name of Joe Shawcross.

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-Slow down a minute. I don't know. The locum saw him.

-Locum?

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-Yes, the locum. We have a locum now. because SOMEBODY disappeared off the face of the earth.

-Find out.

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Why?

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I was at the accident. The boy could have muscular dystrophy or any number of things...

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-Dylan, slow down.

-Are you familiar with Guillain-Barre Syndrome?

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Yes, I am familiar with Guillain-Barre Syndrome!

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-Onset often marked by diarrhoea!

-And, asymmetrical weakness usually affecting the lower limbs

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spreading in an upward fashion.

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This boy has a serious underlying condition.

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Yes, all right, Rain Man - I'll go and check.

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-Will you let me know?

-No!

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We'll send this to the lab,

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and we'll also get you a chest X-ray.

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And then if I can get a urine sample from you...

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But it would really help if you could give us a bit more information.

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A name?

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Is there anybody we could ring for you?

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It's OK. There's no rush.

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Are you dealing with a Joe Shawcross?

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-Lucky little fella.

-I wouldn't be so sure about that.

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Read this...

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-This is Dr Hanna.

-Hi.

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Bit of a strange one, this, but a colleague who used to work

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in the hospital happened to witness the accident, and he found these.

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-Oh, that's very good of him. Thank you.

-So, has Joe had diarrhoea?

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Yeah, he had a bit of a bug.

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Mmm. See, my colleague also noticed there was some weakness in Joe's legs before the accident.

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-His legs?

-Yeah.

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There's nothing wrong with them, he was playing football this morning.

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Well, still, I'd like to do some tests on them if that's OK.

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-What do you think's wrong with him?

-We'll know more after the tests.

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Now push against my hand...

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Don't let me move your leg.

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Hmm. OK, Joe...

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Yeah, his legs are unusually weak.

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And putting that together with the diarrhoea, he's showing signs of a more serious condition.

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But it was just a bug.

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He's fine now. He's fine.

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Yeah, well, to confirm it I'll have to do another test - which is called a lumbar puncture.

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Now, normally we'd send him up to paediatrics to have this done, but given that Joe's had diarrhoea

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we'll have to wait for a side room to become free, and I don't think we should wait that long.

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-Do you, Mrs Shawcross?

-Cath?

0:21:050:21:07

-Is he all right?

-Out now!

0:21:070:21:10

Is Joe all right?

0:21:100:21:11

You really can't be in here. Delusional, he should be in CDU.

0:21:110:21:14

-Well, can we get him back there?

-What's happening?

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-Will you get him out of here?!

-Joe...!

0:21:170:21:19

-Right, where was I? The lumbar puncture's a fairly safe procedure...

-JOE!

0:21:190:21:23

-What is going on in this place?!

-I'm sorry. That shouldn't have happened.

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-Everything all right?

-Yeah.

0:21:280:21:30

We've had a bit of an adventure...

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but we're fine now, aren't we, mister?

0:21:320:21:34

-You sure?

-Yeah.

0:21:350:21:38

Linda, do you want one of us to get onto psych?

0:21:390:21:42

-No, it's fine, thanks.

-It's not a problem.

-Bloods aren't back yet.

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Have you even been onto psych yet?

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I think it could be medical.

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-(What's that?)

-It's a psychiatric case.

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Psy-chi-atric. But if you think you've got time

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to deal with every loon who walks through your doors...

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It's your department bursting at the seams.

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Hey, come back!

0:22:080:22:09

'OK, Joe...'

0:22:090:22:11

This may sting a bit, but I need you to be a really brave boy, OK?

0:22:110:22:16

Oh, love.

0:22:230:22:25

You are so brave!

0:22:250:22:27

You are so brave.

0:22:270:22:29

So brave. It's almost over.

0:22:360:22:38

That's great, Joe.

0:22:410:22:42

I'm not a loon.

0:22:530:22:54

I'm not.

0:22:560:22:58

I'm dead.

0:22:590:23:01

Come on, dead man.

0:23:010:23:03

No...

0:23:030:23:05

-Let's get you in.

-Listen to me.

0:23:050:23:07

Please!

0:23:070:23:08

Before...

0:23:080:23:11

..when I was angry, that wasn't me.

0:23:120:23:16

I can't... I can't explain...

0:23:160:23:18

It's happened before? The way you were when they brought you in?

0:23:180:23:21

Yeah.

0:23:210:23:23

And the confusion?

0:23:230:23:25

Yes.

0:23:250:23:27

Is he going to die?

0:23:280:23:30

-Who?

-Who do you think? Joe.

0:23:300:23:34

My son! Joe...

0:23:340:23:37

Joe told me that his dad was dead.

0:23:370:23:39

Portwright! The train crash.

0:23:390:23:43

I walked away.

0:23:430:23:45

Please! Just tell me.

0:23:450:23:47

-Is he going to die?!

-It's possible that he may be very ill.

0:23:480:23:53

That man who stormed in before...

0:23:550:23:57

Your reaction...

0:23:570:23:59

I've never seen you like that before.

0:24:010:24:03

And the look on your face, it was like, I don't know...

0:24:070:24:10

Well, I have to say this, it was like you knew him.

0:24:110:24:14

Stop.

0:24:140:24:15

I just don't want to get carried away.

0:24:180:24:20

Joe might be seriously ill, he's been burnt badly. Please, just stop.

0:24:200:24:24

Er, have you got a light, please?

0:24:300:24:31

Thank you.

0:24:310:24:33

Lucky for us your nicotine habit's so severe.

0:24:420:24:45

Where have you been? I've been trying to page you.

0:24:450:24:47

I happen to work in an emergency department, Dylan.

0:24:470:24:50

Ha-ha, very good. You had an emergency, did you?

0:24:500:24:53

-Results back?

-No.

0:24:530:24:54

You know how long it takes.

0:24:540:24:56

I think you should test his FVC.

0:24:560:24:58

His obs are fine and his resps are fine.

0:24:580:25:01

You don't want to call upstairs for a spirometer?

0:25:010:25:04

What are you doing here, Dylan?

0:25:040:25:06

-If his FVC indicates Guillain-Barre...

-Yeah?

0:25:060:25:10

..you can start treatment straight away.

0:25:100:25:12

-You could have just called that in...

-I did try!

0:25:120:25:15

Fine. I'll tell you what - why don't you come in with me and examine him yourself(?)

0:25:150:25:20

Hmm? That's what you really want, isn't it? To come back?

0:25:200:25:23

But you can't.

0:25:230:25:25

You're scared.

0:25:250:25:27

Did I ever tell you about my son, Dr Hanna?

0:25:280:25:32

I didn't know you had a son.

0:25:320:25:34

-No, there's a lot you don't know about me.

-You don't say.

0:25:340:25:37

Have you ever witnessed a case of acute panautonomic neuropathy?

0:25:370:25:40

Dylan, I didn't know,

0:25:430:25:45

I'm...so sorry.

0:25:450:25:47

Did he survive?

0:25:470:25:48

Bobby was about the same age as the lad you've got in there.

0:25:480:25:52

He was...

0:25:520:25:54

he was a little fighter...

0:25:540:25:56

Oh, you need help. Really!

0:25:590:26:01

Zoe! Zoe...

0:26:010:26:03

Zoe...

0:26:040:26:06

Wait till you see this.

0:26:130:26:14

Watch, watch, watch...

0:26:220:26:24

You'd like this -

0:26:300:26:32

go on, take a look, take a look.

0:26:320:26:34

Ah, Linda.

0:26:360:26:38

I believe these need to be signed.

0:26:380:26:40

-Have you seen Zoe?

-Yeah, she's, er...

0:26:400:26:43

Oh, your friend the "policeman".

0:26:450:26:48

Have you given any more thought to alerting the authorities?

0:26:480:26:50

I'll bear it in mind.

0:26:500:26:52

Er, Zoe...? Quick word?

0:26:540:26:56

Yeah?

0:26:570:26:59

Do you remember our friend in CDU?

0:26:590:27:02

-No?

-The one who paid little Joe a visit?

0:27:020:27:04

Oh, the guy who burst into paeds resus?

0:27:040:27:06

Well, I think there might be more to him than meets the eye...

0:27:060:27:10

-Why?

-I think...

0:27:100:27:12

Lenny!

0:27:120:27:13

What's so funny?

0:27:140:27:15

-Linda...

-It doesn't matter.

-No, no, no, Linda...

0:27:220:27:24

It was a quiet night, you know? Just a bit of fun...

0:27:240:27:27

It's OK. What is it you wanted to say to me?

0:27:270:27:29

It's fine. Really.

0:27:290:27:31

-One more time...

-Switch that OFF!

0:27:320:27:35

What are you doing?

0:28:030:28:05

Is er...

0:28:200:28:22

..is Joe all right?

0:28:230:28:24

Wait, wait! Where are you going?

0:28:260:28:28

-Where am I going...? Where am

-I

-going?

0:28:280:28:32

Don't you want to know what happened?

0:28:320:28:33

Where I've been?

0:28:330:28:36

Where HAVE you been, William?

0:28:360:28:39

Ice skating(?)

0:28:390:28:41

How's the property empire? Only I'm still paying off

0:28:420:28:45

all those mortgages you never told me about,

0:28:450:28:47

so I think it's only fair you keep me in the loop.

0:28:470:28:49

Don't get me wrong, I'm sure they could have been inspired investments

0:28:510:28:54

for people with the money to pay for them in the first place!

0:28:540:28:57

I just wanted a... better life for you.

0:28:570:29:01

-For Joe...

-Me and Joe have a better life, thanks.

0:29:010:29:06

A steady, normal life, with a man we can rely on.

0:29:060:29:10

No black moods that last for weeks - just a steady, normal...

0:29:100:29:15

William?

0:29:150:29:16

William?!

0:29:170:29:19

PANIC ALARM ON

0:29:240:29:26

Just put him up here on the right, please. Right...

0:29:300:29:34

Let's see... Ah. Right.

0:29:340:29:35

If you could start with suction.

0:29:360:29:39

Four milligrams of lorazepam IV. Where are we up to?

0:29:390:29:41

He was becoming lucid. Bloods have all come back normal.

0:29:410:29:45

OK.

0:29:450:29:47

Oh, hang on, one sec.

0:29:470:29:49

Welcome back to us, good afternoon.

0:29:540:29:57

Looks like it's not just you that can come back from the dead, is it?

0:29:570:30:01

How's our big man?

0:30:220:30:24

Yeah, he's still sleeping.

0:30:240:30:27

Hey...

0:30:280:30:29

Hey.

0:30:290:30:31

He's going to be OK.

0:30:310:30:35

It is...him.

0:30:350:30:38

It's him.

0:30:380:30:40

William...

0:30:410:30:43

But he died. He's...he's dead.

0:30:430:30:46

I'm sorry.

0:30:460:30:48

I'm so sorry.

0:30:480:30:50

It's OK.

0:30:530:30:55

It's OK. There's nothing to be sorry for.

0:30:550:30:58

They never found his body, Patrick.

0:31:010:31:04

What was I meant to say to Joe?

0:31:060:31:09

Even if he was alive, he didn't want to be found. He just...

0:31:100:31:14

Joe...

0:31:140:31:15

My little Joe.

0:31:160:31:18

Cath...

0:31:190:31:20

Let's just get through this first.

0:31:210:31:23

He'd had some kind of fit.

0:31:240:31:27

I don't know what's wrong with him, he looks awful.

0:31:270:31:31

Cath...listen to me.

0:31:310:31:34

You can't deal with it all at once.

0:31:340:31:37

Let's just get through this first, and when you're ready, we'll work out the best way to tell Joe.

0:31:370:31:42

Tell him?

0:31:430:31:46

Yeah.

0:31:470:31:49

No...

0:31:500:31:52

No.

0:31:520:31:53

But Joe worships him.

0:31:540:31:56

He doesn't remember.

0:31:560:31:58

He can remember the lovely William, always making things, full of stories, plans.

0:31:590:32:05

Not the William who got rid of all of his favourite toys because he'd got it into his head

0:32:050:32:09

we were moving, and there wasn't going to be space...

0:32:090:32:12

-Cath, it's OK...

-The William who'd suddenly yell at him for no reason.

0:32:120:32:15

We don't have to think about this now.

0:32:170:32:19

You don't understand.

0:32:210:32:23

He's better off without him, Patrick.

0:32:230:32:25

He is. He really is.

0:32:260:32:29

'Hi, this is Zoe, leave me a message and I'll get back to you.'

0:32:380:32:42

Zoe. It's Dylan.

0:32:420:32:44

Again. Call me.

0:32:440:32:45

'Hi, this is Zoe, leave me a message and I'll get back to you.'

0:32:550:32:58

You are there, aren't you?! You are there!

0:32:580:33:00

'Hi, this is Zoe, leave me a message and I'll get back to you.'

0:33:060:33:09

How dare you?! You've switched me off!

0:33:090:33:11

How dare you switch me off?!

0:33:110:33:13

HE SNIFFS

0:33:190:33:21

Well, at least I don't appear to be suffering from trimethylaminuria.

0:33:230:33:28

Mrs Shawcross...

0:33:410:33:42

I thought you should know.

0:33:440:33:47

Joe's dad, he's OK.

0:33:470:33:50

He's been having seizures and he's been delusional, but we will get to the bottom of it.

0:33:500:33:54

Joe's dad is dead.

0:33:540:33:56

I know this must be unbelievably difficult, but...

0:33:560:33:59

Can you please just do your job?

0:33:590:34:02

I mean, how much longer do we have to wait for a simple test?

0:34:020:34:05

-I saw you.

-I'm asking you a question.

0:34:050:34:07

-You've been to see him.

-How much longer do we have to wait?!

0:34:070:34:11

Is everything OK here?

0:34:110:34:13

I just need this nurse to do her job.

0:34:130:34:15

I didn't...

0:34:160:34:17

You know what? You really don't have to explain yourself to me.

0:34:170:34:21

Sister Andrews?

0:34:210:34:23

What were you talking to Mrs Shawcross about?

0:34:230:34:26

You know that man who burst into paeds?

0:34:260:34:28

The...the delusional guy?

0:34:280:34:31

I think he's little Joe's dad.

0:34:310:34:32

-Why?

-He told me.

0:34:320:34:35

-Well, he's delusional.

-He was in the Portwright train crash.

0:34:350:34:38

His family thought he was dead, but he survived.

0:34:380:34:41

He faked his own death.

0:34:410:34:42

-And he told you this?

-He was lucid.

0:34:420:34:45

That's what you were telling Mrs Shawcross?! Linda!

0:34:450:34:48

He's Joe's dad and she won't acknowledge it!

0:34:480:34:50

Linda, we'll talk about this later.

0:34:500:34:52

Psychiatric.

0:34:560:34:58

This isn't you.

0:34:580:35:00

Can you do everyone a favour, and stop pretending before

0:35:000:35:02

someone gets hurt... Clinical Nurse Manager Andrews?

0:35:020:35:06

Kevin as in Keegan...

0:35:440:35:47

..what you doing tonight?

0:35:480:35:49

-What's wrong with him?

-I need your help in here, please!

0:35:490:35:52

OK, Joe, I'm just going to take a look at your tummy...

0:35:520:35:54

-Ah! Mummy!

-2.6 IV morphine. FBC, U and Es, LFTs.

0:35:540:35:59

-Any operations on his abdomen? Appendicitis?

-No.

0:35:590:36:01

-Nothing like this before?

-He's tachycardic. Heart rate 153.

0:36:010:36:05

CT abdo and let's get the surgeons down now.

0:36:050:36:07

Yeah, I'll be in resus in a minute...

0:36:090:36:12

Zoe!

0:36:120:36:14

I don't have time for this, Dylan.

0:36:190:36:21

-A modicum of gratitude would be appreciated.

-Hmm?

0:36:210:36:24

-So you could have diagnosed it without me?

-It's negative.

0:36:240:36:26

-No... No, no, that's ridiculous.

-But true.

0:36:260:36:28

Could be motor neuropathy.

0:36:290:36:31

You're not going to send him home?

0:36:310:36:33

Oh, don't worry, the poor kid's not going anywhere.

0:36:330:36:35

It turns out he didn't have Guillain-Barre, he had an internal abdo injury from the explosion. OK?

0:36:350:36:42

-Zoe...

-It's not my patient, Dylan!

0:36:420:36:44

Zoe...!

0:36:460:36:48

Zoe!

0:36:490:36:51

You...

0:36:520:36:54

Locum, yes?

0:36:540:36:55

Looking after Guillain-Barre boy?

0:36:550:36:57

Now complaining of severe abdominal pain?

0:36:570:37:00

-And you are?

-Pain disproportionate to tenderness, temperature normal, no peritoneal signs...

0:37:000:37:04

-We're going to get him up to theatre sharpish.

-No. Mistake.

0:37:040:37:07

-You could do him serious harm.

-I'm sorry, who are you?

0:37:070:37:10

-It doesn't matter who I am. Have you done a CT abdo?

-Yes.

0:37:100:37:13

And I'll bet you anything the results have come back normal, yeah?

0:37:130:37:17

But you still think there's an injury related to the accident?

0:37:170:37:19

-Presumably duodenal.

-Is there a problem here, Simon?

0:37:190:37:22

He doesn't work here.

0:37:220:37:24

Not any more.

0:37:240:37:25

Acute intermittent porphyria.

0:37:250:37:27

-Can you ask Security to get him out of here, please?

-On their way.

0:37:270:37:30

Differential diagnoses of motor neuropathy?

0:37:300:37:33

The polyneuropathy of acute porphyria is often mistaken for Guillain-Barre!

0:37:330:37:38

Common things are common. He doesn't have it either, it's related to the accident.

0:37:380:37:41

Google it, you moron!

0:37:410:37:43

Thank you, I'm quite capable of leaving on my own.

0:37:430:37:45

-You've got some nerve, pal!

-Delightful to see you all again too.

0:37:450:37:48

Oh, whoa, whoa! Jeffrey, hey, come on. Polly wouldn't want that.

0:37:480:37:52

No matter what happened. Yeah?

0:37:520:37:55

All right, all right!

0:37:550:37:57

I'm going, I'm going, I'm going.

0:37:570:37:58

Quickly as we can, theatre's waiting.

0:38:090:38:12

JOE GASPS IN PAIN

0:38:120:38:14

Tess...? Oh, you're not Tess. Um...the urine specimen from

0:38:170:38:21

the Guillain-Barre boy, I need you to chase the results.

0:38:210:38:25

Dylan Keogh, I used to work here.

0:38:250:38:26

Oh, you're Zoe's friend? The one who saw the accident?

0:38:260:38:29

-Shoes on, woman! This is a place of work!

-Excuse me?

0:38:290:38:33

Although I think some of your colleagues might follow

0:38:330:38:35

your example, given their spectacular lack of diagnostic skills.

0:38:350:38:38

-You're talking about the locum?

-Mmm.

0:38:380:38:41

Come on, let's go!

0:38:410:38:43

SHE MOUTHS

0:39:040:39:06

One of us is going to have to go to the lab.

0:39:120:39:13

They may only have done a dip.

0:39:130:39:15

This is it! Look at the colour - porphyria.

0:39:150:39:18

-You can't argue with that.

-That's not Joe's.

0:39:180:39:20

It has to be. The chances there being two unrelated cases of

0:39:200:39:24

-porphyria in the same ED in the same day? Practically impossible.

-But they're not unrelated.

0:39:240:39:29

Mental disturbance, seizures... they can be symptoms of porphyria in extreme cases.

0:39:290:39:34

This is his dad's urine sample.

0:39:340:39:36

-That's all we need!

-I tried to tell them!

0:39:360:39:38

What, that he had porphyria?

0:39:380:39:40

No, that he's his dad, but no-one would listen.

0:39:400:39:42

Because nothing quite says "Listen" so much as

0:39:420:39:44

kicking back with a magazine in the middle of a busy shift(!)

0:39:440:39:47

Oh, no, I tried, really.

0:39:470:39:49

Well, something tells me somebody like you might have to try a teensy bit harder.

0:39:490:39:53

You. Locum...?

0:39:550:39:57

It's porphyria. You need to cancel the surgery,

0:39:570:39:59

-set up a dextrose infusion and call down the paediatric registrar.

-This is Joe's?

-It's his father's.

0:39:590:40:04

-Father...?

-It's nothing, love. Please, leave us alone.

0:40:040:40:08

We are talking about a hereditary condition the boy is showing clear symptoms of.

0:40:080:40:12

-Simple enough for you?

-You just can't hack it, can you? Talk about the blind leading the blind!

0:40:120:40:16

Her loon is not this boy's father.

0:40:160:40:18

You have to tell them!

0:40:210:40:22

The surgeons have called for him, he needs surgery now.

0:40:220:40:24

No, no, this is new information, they don't know this!

0:40:240:40:27

-You're going to be all right...

-If you don't tell them, Joe'll have unnecessary surgery.

0:40:270:40:31

Unnecessary?! Linda, look at him!

0:40:310:40:33

You're going to be all right...

0:40:330:40:35

-Cath, I really think we should.

-Get off me!

0:40:350:40:37

Let's go!

0:40:370:40:38

-You don't want this.

-But he's the doctor.

-We need to go!

0:40:410:40:45

-Mummy!

-Come on! We need to go, now!

0:40:450:40:48

-'Doors closing.'

-No...

0:40:510:40:53

-No!

-What are you doing?

0:40:530:40:56

She's right.

0:40:590:41:00

I'm so sorry, Joe. He's your...

0:41:010:41:03

he's your daddy.

0:41:030:41:05

-Back to paeds resus?

-Set up a dextrose infusion, let's put him on 15 minute obs for now.

0:41:050:41:11

Don't you think?

0:41:110:41:13

I don't quite know how we go about the two of you...

0:41:230:41:27

meeting.

0:41:270:41:29

He's still very little.

0:41:350:41:37

They think I may have had it...

0:41:390:41:42

I've been having these attacks for a long time.

0:41:420:41:45

I...could have been having an attack when I was on the train.

0:41:480:41:50

I'll speak a bit more with Joe and Patrick about it.

0:41:500:41:53

-But...

-The attacks don't last three years, William.

0:41:530:41:56

As we're going to be up against it with the 24/7 take,

0:42:090:42:11

I think we should use the rapid assessment triage system.

0:42:110:42:14

A senior doctor sees every patient on entry to the department. They give a provisional diagnosis,

0:42:140:42:20

order the bloods and any other investigations.

0:42:200:42:24

-CHARLIE:

-That's a pretty good idea.

0:42:260:42:28

Are you off?

0:42:290:42:31

-Simon...

-What?

0:42:330:42:35

-Three months, tops.

-What?

0:42:360:42:39

You. Here. In this job.

0:42:390:42:41

You really think you're going to be able to hack it when it all starts to feel a bit too ordinary?

0:42:410:42:45

When it starts to feel a bit too much like real life?

0:42:450:42:47

When you start to feel suppressed?

0:42:470:42:50

-Simon...

-Never mind.

0:42:510:42:53

You can always get hammered, shag a random stranger...

0:42:530:42:56

Simon, I'm sorry.

0:42:560:42:58

I wish there was something I could do to...

0:42:590:43:02

And then you can start all over again.

0:43:020:43:04

New start. New Linda.

0:43:050:43:09

Let me guess. He was Yin and you were Yang, till you discovered he was chalk and you were cheese.

0:43:170:43:22

Yeah.

0:43:220:43:24

Just've been nice if I'd realised sooner.

0:43:250:43:28

Like more than 48 hours before we were meant to get married.

0:43:280:43:32

You were so little when it all happened.

0:43:410:43:44

You still are.

0:43:440:43:46

No...

0:43:460:43:48

He's the big man. Aren't you, Joe?

0:43:480:43:51

I didn't want you to be forever thinking

0:43:540:43:56

that he might come back one day.

0:43:560:43:58

I wanted things to be clear.

0:43:580:44:00

But he has.

0:44:000:44:02

You understand that he's not well, don't you?

0:44:020:44:05

Like me.

0:44:050:44:07

-Well, yes, but...

-He's my daddy.

0:44:070:44:10

He's your daddy.

0:44:130:44:14

It's the look on that porter's face, that is hilarious... I'm going to watch it again when I get home.

0:44:200:44:25

-I'll catch you up.

-Hi, you all right?

0:44:250:44:28

Kevin, look. I'm really sorry, but...

0:44:290:44:32

Actually, Kevin...

0:44:360:44:38

Underrated crisp, your roast chicken.

0:44:410:44:43

-Erm, I think you'll find it's prawn cocktail, actually.

-Is it?

0:44:430:44:47

-MacKenzie Chalker?

-All right?

-You're under arrest.

0:44:470:44:51

Oh... All right, mate, we know you're not a real police officer.

0:44:510:44:54

You don't have to say anything, but it may harm...

0:44:540:44:57

Noel, Noel... can you please call the police?

0:44:570:44:59

He IS the police, Mac.

0:44:590:45:01

-MacKenzie?

-Yeah.

0:45:010:45:02

You've been a very...

0:45:020:45:05

very...very naughty...boy!

0:45:050:45:09

MUSIC: "You Can Leave Your Hat On"

0:45:090:45:11

She's certainly a breath of fresh air.

0:45:210:45:24

It's not about having ONE good day, Charlie.

0:45:240:45:27

She's got to manage this lot in the morning.

0:45:270:45:29

True.

0:45:290:45:31

Er...I, um, just wanted to say goodbye.

0:45:370:45:42

You waited all of what, an hour, just to say goodbye to me?

0:45:420:45:46

Listen, Dylan, I do realise how difficult it must have been to come in today.

0:45:490:45:53

I was with Jordan, actually, discussing the...

0:45:530:45:57

remedial diagnostic skills of one of his senior clinicians.

0:45:570:46:00

Who, between her cigarette breaks, it seems, has suggested that

0:46:000:46:04

there is only one way to rectify the gaping chasm,

0:46:040:46:09

the abyss created by my absence from the department.

0:46:090:46:13

-And?

-I said I'd think about it.

0:46:130:46:16

Did you want to say thank you, Dylan?

0:46:180:46:20

Thank you, Dylan.

0:46:200:46:22

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0:46:470:46:49

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0:46:490:46:52

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