Keep on Running - Part 1 Casualty

"As a student at Oxford, Graham Greene had a habit

"of holding a loaded gun to his head and playing Russian Roulette.

"Greene always claimed that the experiment was not borne

"of a wish for death, but a desire to make life more interesting."

-Dix? There's something I've been meaning to run past you.

-Mm-hmm?

There's this kid I know, on the estate.

-19, been in a spot of bother.

-Mmm?

He's a nice enough kid, and he's interested in what we do,

and he wants to know if he can come out on the ambulance with us.

-Has he got a name, this kid?

-Looks like rain. Karl.

-Sorry, what was that?

-Karl. His name's Karl.

Karl. Is that that mouthy toe-rag that Polly was trying to help out?

Yeah. Well, like I said, you can always say "No".

-No.

-Oh, come on! Play the game!

I am playing the game. Absolutely no way.

Do you want to think about it?

-Cheers for this, Dix.

-Never thought you'd want to set foot in this place after the shooting.

You should've arranged to pick him up somewhere else.

Well, it's my problem, innit? I'm the one who's got to deal with it.

Let's hope he behaves himself...

Trust me, Dix...

there's a good lad in there somewhere, trying to get out.

Or an even worse one.

Come on then, mate!

Big yellow taxi.

Half a dozen pegs, please.

-Sorry?

-Or you could read my fortune if you like. I'm not fussy.

I don't know what you mean.

What's with the scarf?

-It's a hijab.

-It doesn't matter what it's called. I'm asking what it's in...

-in aid of?

-Come on... It's a really famous film.

Well, what's it called?

-Well, that's it, see... I don't know.

-Who's in it?

Can't remember.

What happens?

Nothing, really.

Though, there is this scene where the two lovers are in a boat and the bloke falls in the water.

-Titanic, man!

-No, no. He doesn't drown. He just gets wet. And, while they're drying his clothes...

-Oh, yeah?

-They share a nice pot of tea and a biscuit.

-So this film, did people actually pay to see it?

-Well, yeah.

So, Kate. You need to take one of these as and when required,

and we'll see you at the next fracture clinic.

-Thank you.

-All right, take care now.

-Dr Trueman.

-Oh, no...

-Why do you say that?

When you say "Dr Trueman" in that voice, you complain about something.

On the contrary, I just wish more staff members would follow your example.

Sorry, I thought you said other staff members should follow my example.

I've been looking at the departmental figures.

And it seems that whenever you're on duty, our wait time, in minors, is lower than normal.

So, good work, keep it up.

-Oh. Uh... Thanks.

-Credit where it's due.

Unfortunately, there are offenders who continue to make chit-chat when they should be working.

-Outrageous(!)

-Now, we need to clamp down on this. Especially when we're busy like today.

-I'll start clamping right away.

-Good man.

OK, so, airway, breathing, circulation.

Let's try mouth to mouth.

-No, thanks.

-What do you mean?

I'd rather kiss your mate. And that's saying something.

Do you mind? That's my missus you're talking about.

-Oh. Sorry.

-I should think so, too.

No, I mean, you know, sorry you're married to her.

Oi! Grasshopper and Master Po! We've got a shout. When you're ready.

-Anything exciting?

-Apparently some old girl fell asleep on a bus.

-Oh, fantastic(!) Let's put the siren on.

-Oh, come on, chop chop!

-I recall that the bloke that wrote it was really famous.

-What's his name?

No, see, I can't remember, right?

-But it's on the tip of my tongue.

-Is it "spittle"?

-Er, no...

Oh, hey, Mr Jordan. We're trying to guess the name of this film...

-Carry On Doctor?

-No.

-No, it wasn't a suggestion, it was an order.

All of you. Have you seen how many patients we've got to get through today?

All non-urgent cases to be discharged as quickly as possible.

Attend to one person, move straight on to the next.

Now, move! All of you. That includes you two.

Yes, you two! It's always the same faces, isn't it?

OK, this is Mrs Winnie Bowen, 73.

BP is 150 over 85, pulse 78.

BM 7.4. She was found asleep on a bus when it got back to the depot.

The driver couldn't wake her, got worried and gave us a call.

I was tired. No law against that, is there?

Well, if there is, we'd all be in trouble.

-Go to cubicles please.

-Cubicles.

-All right.

-Rudie. Got a present for ya.

Thank you.

-You're looking very, um...

-Muslim.

-What's the word?

-Muslim.

-Yeah. Yeah, that's it.

-I wonder how that could have happened(?)

That the look you're going for, is it?

-Is that a problem?

-No, no, no, no. You carry on, mate.

This is going to squeeze a little, OK?

Dear, I'm fine. Really.

Mrs Bowen.

-Call me Winnie.

-Hi, Winnie. I'm Adam.

So, Winnie, do you have any idea why you might have fallen asleep?

I had to go shopping.

You know how tiring shopping can be.

-Hmm, not really.

-OK. BP normal.

-Right.

I think we need to give Mrs Bowen a full head-to-toe examination.

Do you mind taking your glasses off for me? Thanks.

Hasn't he got nice eyes?

I've seen worse.

No. He's handsome. Look at him.

Like a young Victor Mature.

-Ha, you got the "mature" part right anyway.

-You busy, Dr Lyons?

-Er...

I want bloods, postural blood pressures, a twelve lead ECG.

-Is that all?

-No. A chest X-ray and a full history.

-But what about what Mr Jordan said?

-What about it?

Mads, could you give me an FBC U&E and glucose?

And, er, let's get an MSU as well as long as Mrs Bowen can manage one. Thank you, I'll be back!

# You've got the love I need to see me through

# You've got the love... #

Oh!

So can you tell me what happened just before you fell asleep?

The same thing that always happens. I felt tired so I closed my eyes.

No, I mean did you experience any dizziness? Any headaches?

-No. I was just worn out.

-OK, and generally? Any coughs? Any tummy aches?

-No.

-Does it hurt to pass water?

No. Can I go now?

Well, no, I need to check your legs for any signs of swelling first and your results aren't back yet.

But I need to get back to George.

-My neighbour went in to feed him. They'll be wondering where I've got to.

-The, er...cat? Dog?

-Oh, no, dear! George is my husband!

-What's all this in aid of, Dr Lyons?

I'm...just doing what I was asked to.

-No. You're doing exactly the opposite of what you were asked.

-Well, yeah. But...

-But, what?

-Dr Trueman asked me to get a full history, so...

-Did he, indeed(?)

What the hell was I supposed to say?

When I married Winnie, there weren't that many mixed marriages, you know.

-I bet.

-Even people who'd been good friends wanted to know why I married a black.

Except black wasn't the word they used.

But you were in love, Georgie.

Correct. I stood by my girl.

And she was a...

-Oh...ooh...

-George?

-Nah, it's all right. I'll be all right in a minute...

-Tell me what's wrong.

-God, it's embarrassing...

-How long have I lived next door?

-Tell me.

-When I went to the loo just now, I couldn't pee.

Haven't been able to go all day.

-What's this?

-You don't like it, don't look.

George, you're bleeding. I need to phone for help.

'How are we doing? Hi, Winnie.'

Bloods and X-ray normal.

ECG normal. There's nothing obviously wrong with her.

Sorry. Winnie, I tried to call your husband but the line was engaged. I'll keep trying.

-I need to go.

-Whoa, hold on a sec, Winnie, just stay there for me. Just a couple more questions...

Are you sure you can't think of any reason at all why you might be so tired?

-I'm getting on, dear. I can't do as much as I used to.

-How are things at home?

Winnie?

My husband has cancer.

I'm his main carer.

-And you're finding it difficult to cope?

-I made a vow, darling.

"In sickness and in health..."

Ahem.

-Excuse me, for one second.

-So what's the problem?

Uh, I think she's probably just exhausted.

Right. Well, now you've established that, you can let her recuperate and move onto the next patient?

-Yeah.

-Make sure you do.

-If you take me to that place, I'll never get out again.

-Yeah, you will.

Holby ED's one of the best in the country.

-Could I ride in the ambulance with him?

-What do you reckon, George?

Yeah... Rani's no trouble...

Karl! You're an observer. You look but you don't touch.

Health and safety, mate.

-Oh, George, don't. You'll start me off...

-Hey, darling.

-What's the matter?

-Well, just look at me, for God's sake...

You look all right to me, sir.

In fact I hope I look half as good as you when I get to your age.

-You don't look as good as him now.

-Nah, I know, he's like a movie star.

Is that what you did before you retired George? Matinee idol?

-He used to drive an ambulance. Didn't you, George?

-Yeah.

-Yeah?

Ha ha!

That means we're related.

That's how you met your Winnie, wasn't it, George?

-She broke her arm...

-Yeah, and when we took her to hospital, I asked her out...

-I like your style, sir!

Winnie? Weren't that the name of that crinkly bird we picked up earlier?

-Oi!

-What did he say!?

The X-ray was clear, but this is really quite deep.

-We'll have to clean it out properly and then put in a few stitches.

-OK.

How did you do it, anyway?

I dropped a glass on the kitchen floor, then slipped and fell on it.

Quite muddy your kitchen floor, then, is it?

-And how are you doing?

-Not bad.

Thanks for asking.

-And how do you like living on your own?

-Oh. Love it.

No more arguments with Mum and Dad, and they pay all the bills.

Can't be bad. And are you well?

What, apart from nearly cutting my hand off, you mean?

Yeah.

Yeah, I feel like my life is finally getting back on track...

-Mrs Bowen?

-Hmm?

Visitor for you.

-Georgie? What are you doin' here?

-Bloody falling apart! Same as you.

He started bleeding, Winnie...

Never mind me... what happened to you?

Oh, something and nothing...

-I nodded off on the bus.

-What?

-Mr Bowen? Hello, my name is Mads. I'm your nurse.

-Oh, hello, dear.

Hello. I'll be taking your blood pressure and temperature, OK?

-The doctor thinks your wife needs a long holiday.

-Ho! Don't we all?

How about it, Georgie?

You, me and Winnie sipping pina coladas by a swimming pool somewhere?

-Well, you could wear your thong, George.

-Oh, don't make me laugh...

-I'd like to see that.

-Yeah, me too.

You'd go blind, the lot of yer.

Mr Bowen?

I'll go get the doctor, OK?

Hey. I know what I meant to ask you.

How's your old man getting on?

-Yeah, he's lost a bit of weight.

-Yeah?

Yeah, they amputated his leg.

Blimey. Bet he was happy about that...

Yeah. He was hopping mad.

-There we go, one with, one without.

-Thank you.

Am I all right to drink this or do you just want me to observe it?

Right, listen, uh... Grab yourself a seat.

I'll come and join ya in a minute.

All right, come on then. What is it?

-Nothing.

-Look, I know he's a bit rough around the edges but he hasn't had many chances in life, has he?

So what is this? Children in Need?

Now Polly tried the same thing with him already.

-Look how far it got her!

-Yeah.

I'm just trying to pick up where she left off...

-Don't I know you?

-No. But I know you.

Everyone's heard of the big, bad Karl Fontayne.

Ooh, ow.

When was the last time you actually passed water, George?

Just now, when the ambulance drove by the river.

Georgie? The doctor's only trying to help.

-Mr Bowen?

-Haven't had a wee since yesterday tea-time.

Why didn't you tell me?

Cos I knew I'd end up back in this place.

OK. George. Well, it looks to me like you've got clot retention -

the tumour in your bladder has been bleeding and the clot that's formed is stopping you pee.

And the good news is?

Well, we're gonna need to pop in a catheter to let you empty your bladder and hopefully

make you a bit more comfortable.

Whoopee.

We're also going to need to give your bladder a bit of a wash out.

Which means a slightly larger catheter than standard, I'm afraid.

Can't you just puncture me and catch it in a bucket?

I'll get onto the wards and see if I can't sort you out a bed for tonight.

-Uh... Ooh... God...

-Erm... Nurse?

-Yes?

-Could I talk to you?

Yeah, of course.

I don't think the doctor understands. George doesn't want to be admitted.

He wants to be at home, for...

For when the time comes.

It's what they both want... no more tubes or needles...

OK, I'll talk to the doctor.

So go on then. What happened to your hand?

Oh... An ex-boyfriend attacked me with a knife.

And he only managed to stab your hand?

Can't be much good with a knife then, can he?

-I'm Vix, by the way.

-I know.

Vix Clarkson, right?

Fittest girl in Holby College.

All the guys fancy you and all the girls want to slap ya.

Oh, yeah and your parents give you loads of money...

Yeah? Well, that's all they give me.

-And you think you're better than everyone else.

-No, I don't!

Yeah, you do. Don't worry,

I don't blame ya...

All right, come on then!

Shake a leg.

-What?

-Got to go! Chop chop.

Oh, I'm giving Karl a lift back to college.

Ah. Right. OK.

Sounds like you're all sorted then.

-Catch you later.

-See ya.

I don't remember you offering me a lift.

Yeah, but you know you want to.

Was that your dad?

Nah, he thinks he is. He's just some guy who thinks I can better myself.

-Ugh.

-Nah, he's all right, seriously.

Well, if you ask me, your bad reputation is the most interesting thing about you.

Question is:

can you live up to it?

-Only for a few days.

-He just wants to go home.

-Yeah, the point is, his wife's already worn out from the stress of looking after him.

-Look.

I'm just passing on the message.

I know you are, Mads. OK. I'll have a word with his oncologist.

There you go, sir, welcome to the party. Right? Jo, that's them.

Ah, Doc! Now, I've been thinking a bit about this film, right?

And there's a porter in it. And... he's a bit of an idiot.

-True to life then...

-Oh.

Ho, ha ha, very funny.

So what're we doing here then? I thought we were going to college.

Oh, I just need to pick up a few things on the way...

Like you for instance.

-Now then? What's all this nonsense about you not wanting to be admitted?

-It ain't nonsense.

Well, it's my job to look after you.

And I'm afraid I don't make home visits.

Every time I come in, you say the same thing.

You've got cancer. Cancer of this.

Cancer of that. There's a new cancer every time you look at me. I'm sick of hearing about it.

Calm down, George.

I'm warning ya, you try and keep me in... I'll do a runner.

-Well, that would be a bit silly, wouldn't it?

-Oh, silly, am I?

This may surprise you, Doc.

But I used to be big and stroppy,

-just like you.

-All right, love.

-Well, you heard him.

Just cos I look like some poor, shrivelled-up old sod don't give him the right to talk down to me.

You're my patient. My responsibility.

-What sort of doctor would I be if I didn't make sure you were taken care of?

-Wha..? Pffft...

Now, without regular irrigation the catheter might block up and we'll have this problem all over again.

Now, it'll just be for a couple of days so that we can monitor you and manage your pain relief.

Maybe put you back on the morphine driver. That's not so terrible, is it?

It'll take a while for us to get you the services you need at home so let's keep it simple, shall we?

Let's stop arguing and start making you feel better.

Doctor? Please...

I'll see what I can do. Erm... Dr Kline?

Dr Kline?

I was wondering if maybe you and I couldn't put our heads together and find a way to get Mr Bowen home?

I thought we'd agreed to admit him?

Well... you agreed... with yourself.

-Listen. Doctor...

-Trueman.

Erm, don't get me wrong.

You people play a vital role.

I worked in an ED myself when I was starting out.

But unless you're a specialist in urological malignancy, and I take it you're not?

-No.

-Then I think you should leave this couple to me.

In other words, you could do my job, but I couldn't do yours.

-Did I say that?

-You didn't have to.

I don't think I care for your attitude.

I'm not exactly thrilled by yours.

Don't like your tie much, either.

Violence and revolution are the only pure acts. Discuss.

I haven't got a clue what you're on about, babe.

-Don't you want to know?

-Well.

Nah, not really.

It means that in a world of hypocrisy, oppression and greed,

sometimes hitting back is the only rational response.

What, you mean like terrorism and that?

No. I'm talking about subverting, undermining and ultimately overthrowing the established order.

Anyway... Here's to you.

And to me.

Cheers.

-Karl?

-Yeah?

Have you got a girlfriend?

Yeah, ya know like... One or two.

Want to add me to the list?

-Could do.

-See how it works out?

Yeah...

Should warn you though, there's like a 14-day cooling off period where if for any reason

I do decide I'm unsatisfied, I do reserve the right to dump you.

Nice to see that romance isn't dead.

This is my centre of operations.

What do you think of the wallpaper?

So, do you ever hear from your Jamie?

My Jamie? He's not my Jamie.

He's my sicko cousin who deserves everything he gets.

Yeah, but it took a bit of nerve to do what they did. Don't you think?

I mean, most of us just bear grudges and never

act upon them but nobody was left in any doubt about how those two felt.

They didn't feel anything.

Look, Jamie's a loser. Seriously, he always has been.

And now people avoid me in the street, just cos I used to hang out with that psycho!

You know what their biggest mistake was though, don't you?

It was targeting the students.

I mean, if they'd gunned down all the teachers,

it would have made perfect sense.

Don't... look, I'm... I'm sorry... this ain't going to work out.

-What?

-Look... No offence, seriously, you are gorgeous and everything, but...

-I... I've got to go.

-You only just got here.

No, seriously, I've got...

You sure?

-Come on.

-Wh...

-Where're we going?

-I've got something amazing to show you.

-What?!

All right, just keep him on regular obs and I'll come down to check on you in a bit. Thank you.

-Dr Trueman.

-Er.. Yeah.

-Dr Trueman.

Mr Bowen's chest X-rays are back...

It appears that he's getting more and more short of breath and his sats have dropped to 92% on air.

-Did you increase his oxygen?

-Yeah. His sats are up to 94% on eight litres a minute.

This is his ECG.

Well, it could be an embolism.

But with his haematuria, all we can really do is increase the oxygen...

OK, thank you, thank you, Mads.

Do you know how long you've spent with Mr and Mrs Bowen?

-Six months? A year? I haven't really been counting.

-Two hours. That's an hour a piece.

-At this rate, we'll still be treating today's patients in the middle of next week!

-Yep.

On top of which, you have insulted Mr Kline by implying he doesn't know what's best for his patient.

No. I implied that he was a pompous prig. That is something slightly different.

-He's a first rate doctor, you know.

-Yeah, and a second rate tattle-tale.

-Anyway. We have found a bed for Mr Bowen on oncology.

-What? Are you telling me how to treat my patient?

Well, judging by those ECG results, you're going to need round the clock care.

Someone will be down for him shortly and then perhaps we can both get on with some work!

-Karl?

-Yeah?

-Do you love me?

-Steady on, babe.

We only just met!

Yeah. Stupid question. I just meant... um...

do you think it could happen?

Well... ya know... What's the rush? Right.

Let's just take it as it comes.

You're right. Love is an outdated bourgeois concept.

No. It ain't. It's just not something I happen to feel yet.

But, look, I like you, yeah?

And you like me?

-Course.

-So we will... I just want to be with you.

Don't want to see anyone else.

-Me neither.

-Good.

That means we got the start of something. Yeah?

Come on then. What's this surprise you got to show me?

Nearly there.

George, I think you've developed a pulmonary embolus, now that's a clot on your lung.

It's not uncommon among cancer patients.

Unfortunately, with your bleeding, the only treatment available to us is oxygen.

Now, it could be serious...

How long have I got, Doc?

Well, at this stage it's very difficult to tell, but it...

it may not be very long...

As long as it happens at home, with Winnie beside me, I-I'll be happy.

Well, George, to be honest with you, er, I'm not even sure you're well enough to go home...

-Here we go again...

-From the moment we knew it was terminal, everyone...

our GP, the district nurse, the doctors here...

they tried to tell us that it was easier for George to be in hospital.

What they mean is, easier for them.

Do you know what it's like on that ward, do you?

All around you, fellas on their last legs.

Always someone coughing or groaning or getting confused.

God, even if you was well, you'd feel like dying...

They offered George a bed in a hospice. A very nice hospice, they said...

You can keep it. I want to die in me own poxy little house.

With me old telly and Winnie and a cup of tea when I want one.

Oh, you're smiling, but it's true.

It's these little things that make you feel like a human being.

OK... so I'm dying.

But I'm not complaining.

I'm an old man,

I had a good life.

But I want a good death as well.

-It's a lot for you to take on, Winnie.

-But not too much to ask, is it, Doctor?

No. I don't believe it is.

We'll need to send you home in an ambulance and I'll ride with you just to keep an eye on George.

All right, let's make it happen then.

-Dr Trueman? Do you really think this is a good idea?

-Yes, I really do.

But we haven't heard back from the GP or the district nurses.

-He doesn't want to die in hospital.

-But this way he'll die on a trolley or in the back of an ambulance?

So there's not a moment to lose.

-No, there aren't any car chases in it. It's the story of a love affair, man.

-So, does the husband find out?

Well... No. Not exactly.

He's too busy doing his crossword.

-So what? He spends the whole film doing a crossword?

-No...

-No wonder his wife leaves him!

Look, for the last time, she doesn't leave him!

It's er.. called... Arrgh...

Hey, guys.

So was the old boy all right?

-Sorry?

-Oh, he was convinced he'd never leave the hospital.

Actually, I'm discharging him. But he needs to go home in an ambulance.

And we'll be taking some oxygen as well.

So how did you swing that?

I didn't.

So you're making us accessories to a robbery?

-This just gets better and better.

-I won't be offended if you say no.

What do you reckon, Jeff?

He's one of us, ain't he?

I think he's worth it.

All right, come on, George. Let's see if we can beat the rush hour, eh?

Dr Trueman. Mr Bowen's prescription.

Thanks, Mads. OK, Winnie.

You know the drill, MST is the long-lasting morphine tablet.

The liquid is for breakthrough pain if the MST is not cutting it.

-Thank you, Doctor.

-You done us proud, my son.

All right, George. Let's go.

Well, I'll, er... see you later, George...

I'm making my own way home.

Give over. You don't know where I've been...

Is that my surprise?

Your surprise is a train.

Should be here in three minutes. Soon as it comes into view, you and me start running.

Whoa... What... Start running where?

Through the tunnel. The rules of the game demand that we have to stick to the track, no matter what...

Whoa, yeah... hang on a second. What game?

The game we're about to play.

The object is to race the train through the tunnel.

I mean how cool is that? I call it the Train Game.

I invented it. What's so funny?

You should get that patented you know, babe? In case anyone steals it.

Well, look. The point is, is that we don't chicken out.

We stick to the track no matter how close the train's getting.

Vix. Babe. Look. Explaining it don't make it any less crazy.

But you'll get the biggest adrenalin rush you've ever had in your life.

-No. No way.

-Come on...

I said I'm not doing it.

Look. What's wrong with just doing like some normal stuff, you know? We could like... I don't know,

go and get a pizza or go see a film or something like that.

And be like everyone else? What's the point of that?

Er... Fun?

Could this really be the big bad Karl Fontayne talking?

Well, you're the one who mentioned love, yeah? And I know one thing.

Look, people in love, they don't bother with all this kamikaze stuff.

They got better things to do.

Yeah? Well, I don't want to be like other people.

Other people play it safe.

Guess I'm not going to see George again.

Maybe not in this life.

You're religious, yeah?

I suppose this is a bit of a giveaway.

-You wear it all the time?

-First time at work...

Oh. Looks good.

-Well...

-No, I mean it.

-Really suits you.

-Thank you.

Look, I ain't even good at running.

You'll be surprised how fast you can run with a train behind you.

Look, I don't get it with you. Look, you got looks, you got brains...

you.. you got like the whole package.

-And you still...

-What?

All right, I'll say it. You're a nutter.

-Yeah? Well, screw you.

-Oi!

-Yeah, that's right.

I'm mad! I'm a sociopath.

-Haven't you figured that out yet? That's why I'm always on my bloody own!

-Now Vix, just calm down.

Don't you tell me to calm down.

I'll shout if I want to shout. OK?

-If you won't come with me, I'll do it alone.

-No, I won't let you.

Yeah? Try and stop me.

What are you doing!?

Vix! Come back!

Come back!

Argh!

My foot's stuck!

It's stuck!

TRAIN HORN

Vix!

Get it out!

My foot's stuck!

-All right! Calm!

-I can't get it out!

-It's fine, just stay calm, easy!

Ah! Get it out!

Oh, no, no, no, no!

Come on, Vix, come on girl, it's all right!

Just roll over, just turn over, it's all right, that's it...

Talk to me. Just say something, come on, please...

Please, come on, that's it...

There you go, George.

OK. Er... Winnie, just make sure the oxygen stays at the same rate.

That should keep him comfortable. Any pain, give him a teaspoon

of morphine but keep up with the regular painkillers as well.

-Thank you, Doctor.

-Winnie, you know where we are if you need us...

we're on till late this evening and we'll tell the crew taking over what's been happening.

-We're sorry to be so much trouble.

-You're not any trouble, princess.

We spend most of our time dealing with time wasters, drunks... people with trapped wind...

And that's just him.

See you, Winnie.

Bye-bye, George.

Cheers, George.

OK. Er... Well. Winnie.

Just call me if you need me.

Dr Trueman.

Oh. Huh...

Hey, hey, hey, hey.

What's the matter with you?

What do you think?

Yeah, I know, I know... it's sad.

People get old, don't they? And...

they die. It's just...

That's the way it is.

You know that.

We did the best for them, didn't we?

So in the words of the great Bob Marley,

-No woman, no cry.

-Oh, shut up, shut up, Jeffery.

-Come on.

Holby control to 3009. Availability for emergency.

Young female, possible electrocution, railway tunnel.

3009 receiving, over.

OK, Victoria Clarkson, 18, high voltage electrocution...

All right Victoria...

She's got a small full thickness entry burn

to her left ankle, GCS was a ten on scene, now 15, BP is 120/60.

All right, come on mate, let's see to that cut.

-Ah, ah, ah...

-What are you doing, Nick? Let me by.

No, Dr Winters can handle this.

Ruth? But Miss Clarkson is my patient.

Well, she's not any more.

-All right, how's he doing?

-Superficial cut.

-Needs a bit of dressing... nothing serious.

-You did well there, son.

-She could have died if you hadn't kept her airway open.

-I'm a real hero(!)

No, seriously. Give yourself a pat on the back.

Although I'd like to know what you were doing there in the first place?

Just, the train driver said he saw a couple of kids running through a tunnel.

Had you taken anything?

-Vodka.

-Yeah? Anything else?

-Orange?

-I'm not being funny, mate.

It's just, you know, running through train tunnels isn't your normal everyday behaviour, is it?

Yeah, we weren't on drugs.

-All right, fair enough...

-Look.

How is she?

Umm.. She's pretty poorly,

but she's sitting up and she's talking, which is amazing really, when you think about it.

-I've.. I've got to see her.

-Karl...

-Whoa! Hang on!

I haven't finished yet!

-I'm amazed you're doing so well. You've been very lucky...

-Sure.

You do realise you were electrocuted?

Yeah, wouldn't it be luckier not to be electrocuted?

Tash, can you run another ECG please and, er, Wayne, can you chase those bloods? Thank you.

Are you all right?

Awww... It's my Karl.

Last time I saw you, you looked like you'd just popped out of a toaster.

Yeah... My amazing idea wasn't that amazing, was it?

Karl? Will you promise me something?

What's that, babe?

Don't give up on me like everyone else does.

Of course not, all right?

Listen, sorry to break up the party, but I need to see to that cut, yeah?

I'm right here, all right?

I'll make sure you're OK.

Victoria Clarkson's ECG results.

-Erm... Mr Jordan?

-Yep?

< THUD AND COUGHING

Georgie? What on earth are you doing?

I'm trying to catch up with him.

-Catch up with who?

-Dad.

We're going to the match...

Georgie, your dad isn't here any longer. You know that.

Was I dreaming?

I think so.

Come on, me darling...

let's get you up.

HE COUGHS

See those tall symmetrical T waves? She must have hyperkalaemia.

-What about the potassium?

-4.9 on arrival.

Show me.

The other electrolytes were all normal.

Urea, 5.3. Sodium, 135...

Yes, 4.9. Good.

So, what can we conclude from this, Dr Winters?

That the electrical charge may have caused muscle death and rhabdomyolysis.

Yes. I think you may be right..

-Check her pulse, please!

-Yeah.

-Quickly!

-OK.

-Charlie!

Yeah, there's a weak radial.

-What's happening?

-She's gone into a broad complex tachycardia.

Right. Let's cardiovert her. 10mg of midazolam in ten of saline?

I'm just going to drop your head down now.

Start on three and we can titrate up...

We're going to put you to sleep so that we can get your heart back to its normal rhythm. OK?

Charlie? Would you get Karl for me?

This is not a good time, Vix.

There's a book in my jacket.

-Could you make sure he gets it?

-Sure.

-BEEPING

-She's gone into VF.

-Ok, let's shock that.

-Charging.

OK... blood gas shows a pH of 7.2, pCO2 of 4.6,

pO2 of 12, bicarbonate of 17 and base excess of -3.

Her potassium is at 7.3.

OK. All clear. Shocking!

OK, we'll need 50mls of 50% dextrose, 10 units of actrapid and a bolus of bicarb.

If she comes through this, ITU may want to dialyse her.

But it's not looking good, is it?

No. I'll fast call the on-call anaesthetist.

Right... So it's an old black and white film with a sex scene in?

No... Nothing happens, man. They get to the flat and before they 'd

even had a chance to kiss, the woman has second thoughts and takes off.

-Oh.. Story of my life.

-This woman... she's American, yeah?

Umm, no.. English, I think...

Though, given her horror of physical intimacy, she could have been any

one of the Welsh women that I went out with when I was a young man.

So this woman, where does she run off to?

-The train station, of course.

-You never mentioned a train station, man!

-There's trains all the way through it!

-So we've got an English film featuring trains, it's a love story,

it's in black and white, there's no-one really famous in it, and nothing really happens.

Brief Encounter.

-That's it!

-Oh! Brilliant!

-Thank God for that.

Do you know that was going to keep me awake all night?

-How the hell did you get that?

-It's my mum's favourite film.

-Oh, she's a little cracker, ain't she?

Oh, oh, fabulous!

-You still here?

-Yeah, just waiting for news.

Well, anyone know you're waiting?

Son. How'll anyone tell you anything if they don't know you're here?

-You eaten anything?

-Nah.

Here.

-Ah, that's OK...

-Here's a tenner, get yourself a hot dog.

Ta.

I'll find out what's going on for you.

Victoria Clarkson... you got any news, mate?

-We just lost her...

-Eh?

The muscle death from her burns caused rhabdomyolysis and hyperkalaemia.

Yeah, but she was breathing for herself.

We couldn't get her potassium down.

She went into shock-resistant VF.

Sorry, mate.

Nice to see I haven't lost my touch.

What's that supposed to mean?

Well, that maybe patients should hide when they see me coming?

Listen.

I don't like losing patients any more than you do. But on this occasion,

-you have no reason to reproach yourself.

-But if I'd spotted the T waves sooner...

Wouldn't have made any difference.

Damage was already done.

You're a good doctor... when you allow yourself to be.

Thank you.

Pretty girl.

I gather she had some troubles...

Do you know her mother's a Lady?

-Often the case.

-No, I mean she's got a title.

Lady Marianna Clarkson.

I'm just about to call her.

Poor little rich girl, eh?

I met her when I worked on the psych ward.

Was she one of your patients?

Yeah... Borderline personality disorder.

She had a bit of a thing for those shootings at the college.

Yeah. The day it happened, she was off sick.

Had a sort of bleak obsession.

Most exciting thing that ever happen in Holby and she missed it...

Don't get me wrong. She wasn't a bad kid.

I quite liked her, really.

But you know how it is.

Some people just

won't be helped...

All right?

Do you, erm, fancy a chip?

No, thanks, mate, you're all right.

What's the, er... latest on Vix?

-It's not good, mate.

-What, she need an operation or something?

No...

Don't, no, you're winding me up.

Afraid not.

I.. I... I've got to see her, I want to see her now!

Not just at the moment, all right? In a little while, maybe.

-She was... she was fine, though!

-I know.

I'm sorry.

She asked me to give you this.

Let me know if you need anything...

Yeah... thanks, Charlie.

Look, the odds were against her, son.

Most high voltage electrocutions are fatal.

You could've warned me.

Well, she might have got lucky.

It does happen.

Not to me.

Oh. I really thought she was going to make it.

Yeah, so did we.

I wish there was something more I could have done for her.

But what about all you did for George and Winnie?

Dignity in death is so important.

# Love is the sweetest thing

# What else on earth could ever bring... #

All right, love... all right...

# Such happiness to everything As love's old story... #

Well, for what it's worth, I think she really liked you.

You ask me, she was more interested in my cousin...

-I'm sorry?

-Jamie.

-Jamie who?

-Jamie Fraser.

Jamie Fraser is your cousin?

-I thought you knew.

-We had no idea.

What? So now what, you don't even want to know me?

No, no, don't be silly!

Jamie was a different kettle of cod, weren't he? Not well.

And you're a good lad, we just want what's best for you, that's all.

What's best for me? How do you know what's best for me?

-Karl, just leave it, eh?

-Calm down...

Don't tell me what to do!

What is this anyway? You say you're married to her but she's a lezzer, so what's that about?

OK! That's enough!

You're a liar, mate.

Just like everyone else I've ever met.

And you know what the worst part about it is?

I'm beginning to think maybe Jamie had a point...

What's that supposed to mean?

Jeff! Jeff, come back!

Is he gone? Good. Right, now we can clock off.

Nah, you heard him. "Maybe Jamie had a point."

-He was mouthing off.

-Well, what if he wasn't? Eh?

-What if he does know where to get a gun?

-Then you call the police.

-It's not your problem.

-I'll tell you what my problem is, shall I?

Last year when those kids were getting murdered, I did nothing!

If I do nothing again, what kind of man does that make me, eh?

Jeff, please, I'm asking you nicely.

He'll do something stupid, Dix. I need to find him.

-Dr Trueman...

-Oh, not again.

Believe you me, I find these conversations as tedious as you do.

Well, let's stop having them then, Nick.

Not only do you ignore my advice and send Mr Bowen home,

but you add insult to injury by going home with him! If you hadn't noticed, the health service is struggling.

-Oh, I'd noticed.

-And you could have treated five patients in the time

-you spent with them.

-They were old and they were vulnerable.

Yes, well so are many of the other people who come through those doors.

-Get over it.

-Get... get over it? Hang on a sec, Nick, what part of NHS guidelines is "get over it"?

Adam. If you want to play Mother Teresa, do it on your time.

We simply do not have the money or resources to spend so much time with patients.

-Then we're letting them down.

-Not if we're hit our targets, we don't.

-Maybe they're the wrong targets.

-I'm not going to argue with you...

-You just did.

-You know the rules.

Are you going to play by them or not? Yes or no?

-Yeah.

-Good.

# Maybe I'm wrong Dreaming of you

# Dreaming the lonely night through

# If it's a crime Then I'm guilty

# Guilty of dreaming of you... #

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