Keep on Running - Part 1 Casualty


Keep on Running - Part 1

Adam goes to great lengths to prove his patients come first. Jeff reaches out to a troubled teen, but will it be enough?


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Transcript


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

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

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"Greene always claimed that the experiment was not borne

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

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

-Mm-hmm?

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

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-19, been in a spot of bother.

-Mmm?

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

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

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-Has he got a name, this kid?

-Looks like rain. Karl.

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-Sorry, what was that?

-Karl. His name's Karl.

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

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

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-No.

-Oh, come on! Play the game!

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I am playing the game. Absolutely no way.

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Do you want to think about it?

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-Cheers for this, Dix.

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

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

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

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Let's hope he behaves himself...

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Trust me, Dix...

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

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Or an even worse one.

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Come on then, mate!

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Big yellow taxi.

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Half a dozen pegs, please.

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-Sorry?

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

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I don't know what you mean.

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What's with the scarf?

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-It's a hijab.

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

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-in aid of?

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

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Well, what's it called?

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

-Who's in it?

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Can't remember.

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What happens?

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Nothing, really.

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

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-Titanic, man!

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

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-Oh, yeah?

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

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

-Well, yeah.

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

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

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-Thank you.

-All right, take care now.

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-Dr Trueman.

-Oh, no...

-Why do you say that?

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

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

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

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I've been looking at the departmental figures.

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

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So, good work, keep it up.

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-Oh. Uh... Thanks.

-Credit where it's due.

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

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-Outrageous(!)

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

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-I'll start clamping right away.

-Good man.

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OK, so, airway, breathing, circulation.

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Let's try mouth to mouth.

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-No, thanks.

-What do you mean?

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

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

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-Oh. Sorry.

-I should think so, too.

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

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

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-Anything exciting?

-Apparently some old girl fell asleep on a bus.

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

-Oh, come on, chop chop!

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

-What's his name?

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

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

-Is it "spittle"?

-Er, no...

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

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-Carry On Doctor?

-No.

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

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

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

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

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

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

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OK, this is Mrs Winnie Bowen, 73.

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BP is 150 over 85, pulse 78.

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

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

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

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

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-Go to cubicles please.

-Cubicles.

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-All right.

-Rudie. Got a present for ya.

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Thank you.

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-You're looking very, um...

-Muslim.

-What's the word?

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-Muslim.

-Yeah. Yeah, that's it.

-I wonder how that could have happened(?)

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

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-Is that a problem?

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

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This is going to squeeze a little, OK?

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Dear, I'm fine. Really.

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Mrs Bowen.

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-Call me Winnie.

-Hi, Winnie. I'm Adam.

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

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I had to go shopping.

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You know how tiring shopping can be.

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-Hmm, not really.

-OK. BP normal.

-Right.

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

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

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Hasn't he got nice eyes?

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I've seen worse.

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No. He's handsome. Look at him.

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Like a young Victor Mature.

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

-You busy, Dr Lyons?

-Er...

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

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-Is that all?

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

-But what about what Mr Jordan said?

-What about it?

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

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

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

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# You've got the love... #

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Oh!

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

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

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

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-No. I was just worn out.

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

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-No.

-Does it hurt to pass water?

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No. Can I go now?

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

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But I need to get back to George.

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

-The, er...cat? Dog?

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

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

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

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

-Well, yeah. But...

-But, what?

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

-Did he, indeed(?)

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What the hell was I supposed to say?

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

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-I bet.

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

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Except black wasn't the word they used.

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But you were in love, Georgie.

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Correct. I stood by my girl.

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And she was a...

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-Oh...ooh...

-George?

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

-Tell me what's wrong.

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-God, it's embarrassing...

-How long have I lived next door?

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-Tell me.

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

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Haven't been able to go all day.

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-What's this?

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

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

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'How are we doing? Hi, Winnie.'

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Bloods and X-ray normal.

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

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

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-I need to go.

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

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

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

-How are things at home?

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Winnie?

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My husband has cancer.

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I'm his main carer.

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-And you're finding it difficult to cope?

-I made a vow, darling.

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"In sickness and in health..."

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Ahem.

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-Excuse me, for one second.

-So what's the problem?

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Uh, I think she's probably just exhausted.

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

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-Yeah.

-Make sure you do.

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

-Yeah, you will.

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

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-Could I ride in the ambulance with him?

-What do you reckon, George?

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

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

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Health and safety, mate.

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

-Hey, darling.

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-What's the matter?

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

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You look all right to me, sir.

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

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

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

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

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

-Yeah.

-Yeah?

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Ha ha!

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That means we're related.

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

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-She broke her arm...

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

-I like your style, sir!

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

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-Oi!

-What did he say!?

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

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

-OK.

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How did you do it, anyway?

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

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Quite muddy your kitchen floor, then, is it?

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-And how are you doing?

-Not bad.

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Thanks for asking.

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-And how do you like living on your own?

-Oh. Love it.

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

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Can't be bad. And are you well?

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

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Yeah.

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

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-Mrs Bowen?

-Hmm?

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Visitor for you.

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-Georgie? What are you doin' here?

-Bloody falling apart! Same as you.

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He started bleeding, Winnie...

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Never mind me... what happened to you?

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Oh, something and nothing...

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-I nodded off on the bus.

-What?

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

-Oh, hello, dear.

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

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-The doctor thinks your wife needs a long holiday.

-Ho! Don't we all?

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How about it, Georgie?

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

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-Well, you could wear your thong, George.

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

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-I'd like to see that.

-Yeah, me too.

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You'd go blind, the lot of yer.

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Mr Bowen?

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I'll go get the doctor, OK?

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Hey. I know what I meant to ask you.

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How's your old man getting on?

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

-Yeah?

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Yeah, they amputated his leg.

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Blimey. Bet he was happy about that...

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Yeah. He was hopping mad.

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-There we go, one with, one without.

-Thank you.

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

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

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I'll come and join ya in a minute.

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All right, come on then. What is it?

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-Nothing.

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

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So what is this? Children in Need?

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Now Polly tried the same thing with him already.

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-Look how far it got her!

-Yeah.

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

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-Don't I know you?

-No. But I know you.

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

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Ooh, ow.

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

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Just now, when the ambulance drove by the river.

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Georgie? The doctor's only trying to help.

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-Mr Bowen?

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

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Why didn't you tell me?

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

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

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

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And the good news is?

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

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make you a bit more comfortable.

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Whoopee.

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

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

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

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

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

-Erm... Nurse?

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-Yes?

-Could I talk to you?

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Yeah, of course.

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

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He wants to be at home, for...

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For when the time comes.

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

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OK, I'll talk to the doctor.

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So go on then. What happened to your hand?

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

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And he only managed to stab your hand?

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

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-I'm Vix, by the way.

-I know.

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Vix Clarkson, right?

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Fittest girl in Holby College.

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

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

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

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

-No, I don't!

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Yeah, you do. Don't worry,

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I don't blame ya...

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All right, come on then!

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Shake a leg.

0:16:200:16:22

-What?

-Got to go! Chop chop.

0:16:220:16:23

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

0:16:230:16:27

Ah. Right. OK.

0:16:270:16:29

Sounds like you're all sorted then.

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-Catch you later.

-See ya.

0:16:320:16:35

I don't remember you offering me a lift.

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Yeah, but you know you want to.

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Was that your dad?

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

0:16:430:16:46

-Ugh.

-Nah, he's all right, seriously.

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

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Question is:

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can you live up to it?

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-Only for a few days.

-He just wants to go home.

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

-Look.

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I'm just passing on the message.

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

0:17:240:17:26

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

0:17:260:17:31

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

0:17:310:17:34

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

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-True to life then...

-Oh.

0:17:370:17:39

Ho, ha ha, very funny.

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

0:17:490:17:52

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

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Like you for instance.

0:17:550:17:57

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

-It ain't nonsense.

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

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

0:18:050:18:08

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

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You've got cancer. Cancer of this.

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

0:18:130:18:18

Calm down, George.

0:18:180:18:20

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

0:18:200:18:23

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

-Oh, silly, am I?

0:18:230:18:27

This may surprise you, Doc.

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But I used to be big and stroppy,

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-just like you.

-All right, love.

-Well, you heard him.

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

0:18:360:18:40

You're my patient. My responsibility.

0:18:400:18:43

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

-Wha..? Pffft...

0:18:430:18:47

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

0:18:470:18:52

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

0:18:520:18:56

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

0:18:560:19:00

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

0:19:000:19:06

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

0:19:060:19:09

Doctor? Please...

0:19:110:19:14

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

0:19:140:19:18

Dr Kline?

0:19:200:19:21

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

0:19:210:19:26

I thought we'd agreed to admit him?

0:19:260:19:27

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

0:19:270:19:30

-Listen. Doctor...

-Trueman.

0:19:300:19:32

Erm, don't get me wrong.

0:19:320:19:34

You people play a vital role.

0:19:340:19:36

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

0:19:360:19:39

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

0:19:390:19:43

-No.

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

0:19:430:19:46

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

0:19:460:19:49

-Did I say that?

-You didn't have to.

0:19:490:19:51

I don't think I care for your attitude.

0:19:510:19:53

I'm not exactly thrilled by yours.

0:19:530:19:56

Don't like your tie much, either.

0:19:560:19:58

Violence and revolution are the only pure acts. Discuss.

0:19:580:20:03

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

0:20:030:20:06

-Don't you want to know?

-Well.

0:20:060:20:08

Nah, not really.

0:20:080:20:10

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

0:20:100:20:14

sometimes hitting back is the only rational response.

0:20:140:20:18

What, you mean like terrorism and that?

0:20:180:20:20

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

0:20:200:20:26

Anyway... Here's to you.

0:20:280:20:31

And to me.

0:20:310:20:33

Cheers.

0:20:330:20:34

-Karl?

-Yeah?

0:20:380:20:40

Have you got a girlfriend?

0:20:400:20:42

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

0:20:420:20:46

Want to add me to the list?

0:20:460:20:49

-Could do.

-See how it works out?

0:20:490:20:52

Yeah...

0:20:520:20:54

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

0:20:540:20:57

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

0:20:570:21:02

Nice to see that romance isn't dead.

0:21:020:21:06

This is my centre of operations.

0:21:120:21:14

What do you think of the wallpaper?

0:21:330:21:36

So, do you ever hear from your Jamie?

0:21:390:21:43

My Jamie? He's not my Jamie.

0:21:430:21:46

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

0:21:460:21:50

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

0:21:500:21:52

I mean, most of us just bear grudges and never

0:21:520:21:55

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

0:21:550:21:58

They didn't feel anything.

0:21:580:22:00

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

0:22:000:22:02

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

0:22:020:22:08

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

0:22:080:22:12

It was targeting the students.

0:22:120:22:15

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

0:22:160:22:19

it would have made perfect sense.

0:22:190:22:22

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

0:22:230:22:28

-What?

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

0:22:280:22:34

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

-You only just got here.

0:22:340:22:36

No, seriously, I've got...

0:22:360:22:38

You sure?

0:22:430:22:45

-Come on.

-Wh...

0:23:050:23:07

-Where're we going?

-I've got something amazing to show you.

-What?!

0:23:070:23:11

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

0:23:110:23:14

-Dr Trueman.

-Er.. Yeah.

-Dr Trueman.

0:23:140:23:16

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

0:23:160:23:18

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

0:23:180:23:22

-Did you increase his oxygen?

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

0:23:220:23:26

This is his ECG.

0:23:260:23:28

Well, it could be an embolism.

0:23:300:23:32

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

0:23:320:23:36

OK, thank you, thank you, Mads.

0:23:360:23:37

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

0:23:370:23:39

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

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

0:23:390:23:43

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

-Yep.

0:23:430:23:46

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

0:23:460:23:50

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

0:23:500:23:54

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

-Yeah, and a second rate tattle-tale.

0:23:540:23:57

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

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

0:23:570:24:01

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

0:24:010:24:04

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

0:24:040:24:09

-Karl?

-Yeah?

0:24:120:24:14

-Do you love me?

-Steady on, babe.

0:24:140:24:17

We only just met!

0:24:170:24:19

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

0:24:190:24:22

do you think it could happen?

0:24:220:24:24

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

0:24:240:24:26

Let's just take it as it comes.

0:24:260:24:29

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

0:24:290:24:32

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

0:24:320:24:36

But, look, I like you, yeah?

0:24:360:24:39

And you like me?

0:24:390:24:41

-Course.

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

0:24:410:24:43

Don't want to see anyone else.

0:24:430:24:45

-Me neither.

-Good.

0:24:450:24:47

That means we got the start of something. Yeah?

0:24:470:24:49

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

0:24:590:25:02

Nearly there.

0:25:020:25:04

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

0:25:070:25:12

It's not uncommon among cancer patients.

0:25:120:25:14

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

0:25:140:25:19

Now, it could be serious...

0:25:190:25:22

How long have I got, Doc?

0:25:220:25:24

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

0:25:240:25:27

it may not be very long...

0:25:270:25:29

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

0:25:290:25:33

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

0:25:330:25:37

-Here we go again...

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

0:25:370:25:41

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

0:25:410:25:44

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

0:25:440:25:47

What they mean is, easier for them.

0:25:470:25:50

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

0:25:500:25:53

All around you, fellas on their last legs.

0:25:530:25:56

Always someone coughing or groaning or getting confused.

0:25:560:26:00

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

0:26:000:26:04

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

0:26:040:26:08

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

0:26:080:26:12

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

0:26:120:26:18

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

0:26:180:26:21

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

0:26:210:26:26

OK... so I'm dying.

0:26:260:26:29

But I'm not complaining.

0:26:290:26:32

I'm an old man,

0:26:320:26:34

I had a good life.

0:26:340:26:37

But I want a good death as well.

0:26:370:26:41

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

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

0:26:420:26:47

No. I don't believe it is.

0:26:500:26:52

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

0:26:520:26:55

All right, let's make it happen then.

0:26:550:26:59

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

-Yes, I really do.

0:26:590:27:03

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

0:27:030:27:06

-He doesn't want to die in hospital.

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

0:27:060:27:09

So there's not a moment to lose.

0:27:090:27:11

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

-So, does the husband find out?

0:27:110:27:16

Well... No. Not exactly.

0:27:160:27:18

He's too busy doing his crossword.

0:27:180:27:20

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

-No...

-No wonder his wife leaves him!

0:27:200:27:24

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

0:27:240:27:28

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

0:27:280:27:33

Hey, guys.

0:27:330:27:34

So was the old boy all right?

0:27:340:27:36

-Sorry?

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

0:27:360:27:40

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

0:27:400:27:43

And we'll be taking some oxygen as well.

0:27:430:27:46

So how did you swing that?

0:27:460:27:49

I didn't.

0:27:490:27:51

So you're making us accessories to a robbery?

0:27:510:27:53

-This just gets better and better.

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

0:27:530:27:57

What do you reckon, Jeff?

0:27:570:27:59

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

0:28:010:28:03

I think he's worth it.

0:28:030:28:05

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

0:28:070:28:10

Dr Trueman. Mr Bowen's prescription.

0:28:100:28:12

Thanks, Mads. OK, Winnie.

0:28:120:28:15

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

0:28:150:28:18

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

0:28:180:28:20

-Thank you, Doctor.

-You done us proud, my son.

0:28:200:28:23

All right, George. Let's go.

0:28:230:28:26

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

0:28:260:28:27

I'm making my own way home.

0:28:270:28:31

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

0:28:310:28:33

Is that my surprise?

0:28:460:28:48

Your surprise is a train.

0:28:480:28:51

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

0:28:510:28:55

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

0:28:550:28:57

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

0:28:570:29:02

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

0:29:020:29:04

The game we're about to play.

0:29:040:29:06

The object is to race the train through the tunnel.

0:29:060:29:08

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

0:29:080:29:11

I invented it. What's so funny?

0:29:110:29:13

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

0:29:130:29:17

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

0:29:170:29:19

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

0:29:190:29:21

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

0:29:210:29:25

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

0:29:250:29:27

-No. No way.

-Come on...

0:29:270:29:30

I said I'm not doing it.

0:29:300:29:31

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

0:29:310:29:36

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

0:29:360:29:39

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

0:29:390:29:41

Er... Fun?

0:29:410:29:43

Could this really be the big bad Karl Fontayne talking?

0:29:430:29:48

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

0:29:480:29:50

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

0:29:500:29:53

They got better things to do.

0:29:530:29:55

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

0:29:550:29:58

Other people play it safe.

0:29:580:30:00

Guess I'm not going to see George again.

0:30:080:30:11

Maybe not in this life.

0:30:110:30:13

You're religious, yeah?

0:30:140:30:17

I suppose this is a bit of a giveaway.

0:30:170:30:19

-You wear it all the time?

-First time at work...

0:30:200:30:23

Oh. Looks good.

0:30:230:30:25

-Well...

-No, I mean it.

0:30:250:30:27

-Really suits you.

-Thank you.

0:30:270:30:31

Look, I ain't even good at running.

0:30:350:30:37

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

0:30:370:30:39

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

0:30:390:30:42

you.. you got like the whole package.

0:30:420:30:44

-And you still...

-What?

0:30:440:30:46

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

0:30:460:30:49

-Yeah? Well, screw you.

-Oi!

-Yeah, that's right.

0:30:510:30:53

I'm mad! I'm a sociopath.

0:30:530:30:55

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

-Now Vix, just calm down.

0:30:550:30:58

Don't you tell me to calm down.

0:30:580:31:01

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

0:31:010:31:05

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

-No, I won't let you.

0:31:050:31:08

Yeah? Try and stop me.

0:31:080:31:10

What are you doing!?

0:31:100:31:11

Vix! Come back!

0:31:110:31:13

Come back!

0:31:180:31:19

Argh!

0:31:200:31:22

My foot's stuck!

0:31:240:31:26

It's stuck!

0:31:270:31:30

TRAIN HORN

0:31:300:31:32

Vix!

0:31:320:31:33

Get it out!

0:31:330:31:35

My foot's stuck!

0:31:350:31:36

-All right! Calm!

-I can't get it out!

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

0:31:360:31:40

Ah! Get it out!

0:31:440:31:47

Oh, no, no, no, no!

0:32:080:32:10

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

0:32:100:32:14

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

0:32:140:32:18

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

0:32:270:32:30

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

0:32:300:32:33

There you go, George.

0:32:340:32:36

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

0:32:360:32:40

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

0:32:400:32:42

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

0:32:420:32:45

-Thank you, Doctor.

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

0:32:450:32:48

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

0:32:480:32:51

-We're sorry to be so much trouble.

-You're not any trouble, princess.

0:32:510:32:54

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

0:32:540:32:58

And that's just him.

0:32:580:33:01

See you, Winnie.

0:33:010:33:03

Bye-bye, George.

0:33:030:33:04

Cheers, George.

0:33:040:33:07

OK. Er... Well. Winnie.

0:33:110:33:13

Just call me if you need me.

0:33:130:33:15

Dr Trueman.

0:33:150:33:16

Oh. Huh...

0:33:190:33:20

Hey, hey, hey, hey.

0:33:300:33:32

What's the matter with you?

0:33:320:33:35

What do you think?

0:33:350:33:38

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

0:33:380:33:40

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

0:33:400:33:43

they die. It's just...

0:33:430:33:45

That's the way it is.

0:33:450:33:46

You know that.

0:33:460:33:48

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

0:33:480:33:51

So in the words of the great Bob Marley,

0:33:510:33:54

-No woman, no cry.

-Oh, shut up, shut up, Jeffery.

-Come on.

0:33:540:33:58

Holby control to 3009. Availability for emergency.

0:34:040:34:08

Young female, possible electrocution, railway tunnel.

0:34:080:34:11

3009 receiving, over.

0:34:110:34:14

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

0:34:140:34:17

All right Victoria...

0:34:170:34:19

She's got a small full thickness entry burn

0:34:190:34:21

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

0:34:210:34:23

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

0:34:230:34:26

-Ah, ah, ah...

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

0:34:260:34:28

No, Dr Winters can handle this.

0:34:280:34:31

Ruth? But Miss Clarkson is my patient.

0:34:310:34:32

Well, she's not any more.

0:34:320:34:35

-All right, how's he doing?

-Superficial cut.

0:34:350:34:37

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

-You did well there, son.

0:34:370:34:42

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

-I'm a real hero(!)

0:34:420:34:45

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

0:34:450:34:48

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

0:34:480:34:50

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

0:34:500:34:53

Had you taken anything?

0:34:530:34:55

-Vodka.

-Yeah? Anything else?

0:34:550:34:58

-Orange?

-I'm not being funny, mate.

0:34:580:35:00

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

0:35:000:35:04

Yeah, we weren't on drugs.

0:35:040:35:06

-All right, fair enough...

-Look.

0:35:060:35:08

How is she?

0:35:080:35:10

Umm.. She's pretty poorly,

0:35:100:35:12

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

0:35:120:35:18

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

-Karl...

-Whoa! Hang on!

0:35:180:35:21

I haven't finished yet!

0:35:210:35:23

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

-Sure.

0:35:250:35:29

You do realise you were electrocuted?

0:35:290:35:32

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

0:35:320:35:36

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

0:35:360:35:40

Are you all right?

0:35:420:35:44

Awww... It's my Karl.

0:35:440:35:48

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

0:35:480:35:53

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

0:35:530:35:57

Karl? Will you promise me something?

0:35:590:36:03

What's that, babe?

0:36:030:36:04

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

0:36:060:36:08

Of course not, all right?

0:36:080:36:10

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

0:36:100:36:15

I'm right here, all right?

0:36:150:36:17

I'll make sure you're OK.

0:36:170:36:20

Victoria Clarkson's ECG results.

0:36:250:36:28

-Erm... Mr Jordan?

-Yep?

0:36:340:36:38

< THUD AND COUGHING

0:36:440:36:46

Georgie? What on earth are you doing?

0:36:520:36:55

I'm trying to catch up with him.

0:36:550:36:58

-Catch up with who?

-Dad.

0:36:580:36:59

We're going to the match...

0:36:590:37:01

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

0:37:010:37:05

Was I dreaming?

0:37:050:37:07

I think so.

0:37:070:37:09

Come on, me darling...

0:37:090:37:10

let's get you up.

0:37:100:37:12

HE COUGHS

0:37:120:37:13

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

0:37:170:37:19

-What about the potassium?

-4.9 on arrival.

0:37:190:37:22

Show me.

0:37:220:37:23

The other electrolytes were all normal.

0:37:260:37:27

Urea, 5.3. Sodium, 135...

0:37:270:37:29

Yes, 4.9. Good.

0:37:290:37:32

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

0:37:320:37:34

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

0:37:340:37:37

Yes. I think you may be right..

0:37:370:37:40

-Check her pulse, please!

-Yeah.

0:37:400:37:42

-Quickly!

-OK.

-Charlie!

0:37:420:37:45

Yeah, there's a weak radial.

0:37:450:37:46

-What's happening?

-She's gone into a broad complex tachycardia.

0:37:460:37:49

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

0:37:490:37:51

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

0:37:510:37:54

Start on three and we can titrate up...

0:37:540:37:56

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

0:37:560:38:01

Charlie? Would you get Karl for me?

0:38:010:38:03

This is not a good time, Vix.

0:38:030:38:05

There's a book in my jacket.

0:38:050:38:06

-Could you make sure he gets it?

-Sure.

0:38:060:38:09

-BEEPING

-She's gone into VF.

0:38:250:38:27

-Ok, let's shock that.

-Charging.

0:38:270:38:30

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

0:38:300:38:34

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

0:38:340:38:37

Her potassium is at 7.3.

0:38:370:38:40

OK. All clear. Shocking!

0:38:400:38:42

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

0:38:440:38:48

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

0:38:480:38:51

But it's not looking good, is it?

0:38:510:38:53

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

0:38:530:38:55

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

0:38:580:39:02

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

0:39:020:39:05

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

0:39:050:39:08

-Oh.. Story of my life.

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

0:39:080:39:11

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

0:39:110:39:14

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

0:39:140:39:16

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

0:39:160:39:20

So this woman, where does she run off to?

0:39:200:39:23

-The train station, of course.

-You never mentioned a train station, man!

0:39:230:39:26

-There's trains all the way through it!

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

0:39:260:39:32

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

0:39:320:39:37

Brief Encounter.

0:39:370:39:39

-That's it!

-Oh! Brilliant!

-Thank God for that.

0:39:390:39:43

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

0:39:430:39:45

-How the hell did you get that?

-It's my mum's favourite film.

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

0:39:450:39:49

Oh, oh, fabulous!

0:39:490:39:52

-You still here?

-Yeah, just waiting for news.

0:39:580:40:01

Well, anyone know you're waiting?

0:40:010:40:04

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

0:40:040:40:08

-You eaten anything?

-Nah.

0:40:080:40:11

Here.

0:40:110:40:13

-Ah, that's OK...

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

0:40:130:40:17

Ta.

0:40:170:40:19

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

0:40:190:40:21

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

0:40:240:40:27

-We just lost her...

-Eh?

0:40:270:40:30

The muscle death from her burns caused rhabdomyolysis and hyperkalaemia.

0:40:300:40:35

Yeah, but she was breathing for herself.

0:40:350:40:37

We couldn't get her potassium down.

0:40:370:40:40

She went into shock-resistant VF.

0:40:400:40:42

Sorry, mate.

0:40:420:40:44

Nice to see I haven't lost my touch.

0:40:480:40:49

What's that supposed to mean?

0:40:520:40:54

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

0:40:540:40:57

Listen.

0:40:590:41:00

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

0:41:000:41:04

-you have no reason to reproach yourself.

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

0:41:040:41:08

Wouldn't have made any difference.

0:41:080:41:10

Damage was already done.

0:41:100:41:13

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

0:41:130:41:17

Thank you.

0:41:170:41:19

Pretty girl.

0:41:190:41:21

I gather she had some troubles...

0:41:210:41:23

Do you know her mother's a Lady?

0:41:230:41:25

-Often the case.

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

0:41:250:41:28

Lady Marianna Clarkson.

0:41:280:41:30

I'm just about to call her.

0:41:310:41:33

Poor little rich girl, eh?

0:41:350:41:37

I met her when I worked on the psych ward.

0:41:410:41:43

Was she one of your patients?

0:41:430:41:46

Yeah... Borderline personality disorder.

0:41:460:41:49

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

0:41:490:41:54

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

0:41:540:41:57

Had a sort of bleak obsession.

0:41:570:41:59

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

0:41:590:42:03

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

0:42:030:42:06

I quite liked her, really.

0:42:060:42:08

But you know how it is.

0:42:080:42:10

Some people just

0:42:100:42:12

won't be helped...

0:42:120:42:14

All right?

0:42:270:42:29

Do you, erm, fancy a chip?

0:42:290:42:32

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

0:42:320:42:33

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

0:42:350:42:37

-It's not good, mate.

-What, she need an operation or something?

0:42:390:42:44

No...

0:42:480:42:49

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

0:42:510:42:54

Afraid not.

0:42:540:42:55

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

0:42:550:42:58

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

0:42:580:43:01

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

-I know.

0:43:030:43:06

I'm sorry.

0:43:060:43:07

She asked me to give you this.

0:43:090:43:11

Let me know if you need anything...

0:43:110:43:13

Yeah... thanks, Charlie.

0:43:130:43:15

Look, the odds were against her, son.

0:43:210:43:24

Most high voltage electrocutions are fatal.

0:43:250:43:28

You could've warned me.

0:43:300:43:33

Well, she might have got lucky.

0:43:330:43:34

It does happen.

0:43:360:43:38

Not to me.

0:43:400:43:43

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

0:43:430:43:45

Yeah, so did we.

0:43:450:43:47

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

0:43:470:43:50

But what about all you did for George and Winnie?

0:43:500:43:52

Dignity in death is so important.

0:43:540:43:57

# Love is the sweetest thing

0:44:020:44:05

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

0:44:050:44:09

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

0:44:090:44:11

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

0:44:110:44:21

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

0:44:210:44:24

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

0:44:240:44:27

-I'm sorry?

-Jamie.

0:44:270:44:29

-Jamie who?

-Jamie Fraser.

0:44:310:44:34

Jamie Fraser is your cousin?

0:44:340:44:37

-I thought you knew.

-We had no idea.

0:44:370:44:39

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

0:44:420:44:44

No, no, don't be silly!

0:44:440:44:46

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

0:44:460:44:49

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

0:44:490:44:52

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

0:44:520:44:55

-Karl, just leave it, eh?

-Calm down...

0:44:550:44:57

Don't tell me what to do!

0:44:570:44:59

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

0:45:020:45:06

OK! That's enough!

0:45:060:45:09

You're a liar, mate.

0:45:090:45:12

Just like everyone else I've ever met.

0:45:120:45:15

And you know what the worst part about it is?

0:45:150:45:19

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

0:45:190:45:21

What's that supposed to mean?

0:45:240:45:26

Jeff! Jeff, come back!

0:45:390:45:42

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

0:45:490:45:54

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

0:45:540:45:56

-He was mouthing off.

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

0:45:560:46:00

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

-Then you call the police.

0:46:000:46:02

-It's not your problem.

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

0:46:020:46:05

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

0:46:050:46:08

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

0:46:080:46:11

Jeff, please, I'm asking you nicely.

0:46:110:46:13

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

0:46:130:46:17

-Dr Trueman...

-Oh, not again.

0:46:200:46:22

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

0:46:220:46:24

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

0:46:240:46:27

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

0:46:270:46:30

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

0:46:300:46:35

-Oh, I'd noticed.

-And you could have treated five patients in the time

0:46:350:46:38

-you spent with them.

-They were old and they were vulnerable.

0:46:380:46:41

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

0:46:410:46:44

-Get over it.

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

0:46:440:46:50

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

0:46:500:46:53

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

0:46:530:46:56

-Then we're letting them down.

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

0:46:560:46:59

-Maybe they're the wrong targets.

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

0:46:590:47:01

-You just did.

-You know the rules.

0:47:010:47:03

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

0:47:030:47:06

-Yeah.

-Good.

0:47:080:47:10

# Maybe I'm wrong Dreaming of you

0:47:130:47:18

# Dreaming the lonely night through

0:47:180:47:23

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

0:47:230:47:29

# Guilty of dreaming of you... #

0:47:290:47:34

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0:47:560:47:59

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0:47:590:48:02

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