Rogue Casualty

And he's back.

J Dog?

J Dog, uh...

On a scale of one to ten, how stupid did I just sound?

OK, his mum's just arrived. She says he's been Type 1 since he was 13, but refuses to check his blood sugar.

Cor! And here's the wake-up call.

Fourth time we've seen him this year with a hypo. His poor mum's at the end of her tether.

Says she's tried everything. But the kid just ignores her.

Tell her J Dog's going to be OK.

I'll let her know. And he's called James.

-Let this be a lesson to you, James.

-It's J Dog.

Yeah, whatever. I'm guessing you've heard that speech before.

Listen, J Dog.

You let your blood sugar get out of whack a few more times

and your extremities, that is to say you hands and your feet, are going to start to become necrotic.

That means, die.

We would then have to cut off those dead bits, leaving you with tiny stumps for hand and feet.

Oh, and you'd become blind as well.

Face like you, I'd want to be blind.

OK, what we're going to do now is what I like to call preventative medicine.

Kind of like removing your tonsils.

Only this time we'll be removing your feet. Let's prep for a distal amputation, please.

Morning!

-Oh, they are gorgeous!

-Do you like?

I'll be stealing them later on.

-Excuse me, Nurse.

-Linda.

Erm, my mum's in a bit of pain.

-She's been triaged?

-Er, think so. Look, how long before she's treated?

-About half an hour.

-Half an hour?

-If you take a seat, we'll be with you soon.

-How much of a lie did I just tell Mr...?

-McCaffrey?

Well, at this rate we'll be seeing his mum at about 12. Midnight.

-What?!

-Even if we wanted to transfer a patient, Linda, we can't.

-The hospital's packed to the gills.

-All right. OK. Excuse me, ladies and gentlemen.

As you may have noticed we're a little busy. So if your condition is non-acute,

say you've stubbed your toe or there's a clicking sound in your knee, go home, take some painkillers,

-watch the tennis and come back tomorrow.

-The woman's joking.

For everyone else there's a bit of a wait.

-Er, er... Half an hour you said.

-We'll do our best, Mr McCaffrey.

Er, Mum's a bit confused.

Linda?

Excuse me.

Have you seen this?

-Trust directive. Yeah.

-And you were planning to tell us...

-To be honest I forgot.

-Right. As if I'm not busy enough

with a full load of punters, I learn today that every time

the Emergency Department discharges a patient

I will be tasked with deep-cleaning their bed.

Now, that is a half-hour job, if I am lucky.

I don't mind the extra work, but if you look in my job description,

you will not find "deep-cleaning of trolleys" there!

Sorry, Big Mac...

What? And I'm supposed to lump it? Oh, right(!)

How about I get some agency HCAs in?

-We can afford it?

-Yeah, of course we can.

-Well, smashing.

-HUMMING

-Does that seem sharp enough to you?

Right, I'm going to make my incision just...

No, actually, no, I'm not, I'm going to make my incision up here, that's what I'm going to do. Right there.

Goggles, please, Wayne!

-Thank you.

-HE SNEEZES

Excuse me.

Ready?

-What's that?

-That's, er, a number 23 blade.

I'm going to use the palmar grip, which allows for a more powerful and controlled cut.

No.

-J Dog?

-Please.

-Does this mean you're going to check your blood sugars?

-Yes.

Daily?

HE SNIFFS

OK.

Sorry, folks, no amputation today.

TV PLAYS

What can I get you?

Bitter, whisky chaser. Large.

-Tennis fan?

-No.

Nah, me neither. I'm more into the football.

-Can't wait for it to get going again. You like the football?

-No.

There's your bitter.

Whisky chaser.

Oh, right.

Is that all for you?

HE GROANS

You OK, mate?

You don't even remember me. Do you?

Come on!

That kid calls your bluff, do you still make the incision?

He was always going to fold.

Preventative medicine. I thought you were Clark Kent, you've been Bruce Wayne all along, haven't you?

Not Popeye the Sailor Man? I am partial to spinach.

You think he'll forget to check his blood sugars again?

-That was kind of the idea.

-That was probably the most inspirational thing

I have seen in this department since...

All right, thank you, thank you, Lenny.

If you ever need a wingman... Me. Right?

-Thank you.

-James Dransfield.

-Sorry?

-J Dog, in CDU with his mum.

Crying because he thought you were going to cut his feet off.

-Is that true?

-Er...

-Yeah.

-What were you thinking?

-Listen, that kid needed...

Lenny. We were trying to teach him to take responsibility for his health. I will deal with it.

-And if he makes a complaint?

-Tess, just leave it with me. All right?

Yeah.

-Oh. I thought we said five for our board meeting.

-I suppose you've heard about the Trust directive?

Yes, Henry mentioned it.

Well, it's really slowing us down. I was thinking about hiring some HCAs.

Let me guess. The staff are unhappy and Sister Bateman thinks you ought to do something.

Who's running this department, Linda? You are. Don't let her spook you.

We blow the budget - it's not her neck on the line.

Well, the HCAs were kind of my idea.

-I'm sorry. Really.

-What do I tell them?

-Putting a gloss on bad news is what we do.

-Thank you. A couple of bits for you there.

-Thank you.

-Sorry, this is Emily, my new PA.

Coffee?

-I was just going.

-Ah, ah, ah.

Just a minute.

I've been going over your preliminary figures. Sit down.

Now then.

This is Matthew Haddon, 26 years old, he's taken a severe beating to the head and the abdomen.

-Went through a pub window.

-Police will be arriving shortly.

OK. Number three, thanks, guys.

He's got a nasty cut to his head, it's given us problems controlling the bleeding.

GCS was nine, it's now 14, BP is 120/80, pulse 89, sats 97%.

-We've seen Matthew before, extradural haemorrhage.

-OK.

Sex Offenders' Register.

Keep an eye out for the attacker. The punter who called this in had to stop him finishing the job.

Thank you. All right, Matthew, I'm Dr Trueman.

Let's have a look at that head wound. Tash, if you stabilise for me.

Ooh, er, OK, we need to clip and tie that vessel off.

Lenny, would you keep some pressure on the wound for me, please?

Let's get a fast X-ray to exclude glass from the wound, and can we get

another line in, for a group and save in case we need to transfuse?

Hey, hey, come on. Mr Miyagi wouldn't stand for that.

-What?

-Wax on, wax off.

-No, no, see, "wax on, wax off" taught Karate Kid

how to do cool stuff. This ain't cool, man.

OK, I didn't sleep through two years of lectures to clean trolleys.

Er, excuse my lack of sympathy - you've got two days off in Bognor next week.

-Working, ALS course, thank you.

-Uh, uh. Working on that more like.

-Nah.

-Aye.

-Oh, hello! Finally.

-Ah! When are the HCAs arriving?

Well, um...

Should be done in a minute, Matthew.

Given his previous head injuries and his GCS I think we should get a CT.

I know you.

I was your doctor.

You should've let me die.

Not long, Matthew.

Even if it's just a few beds... We're struggling down here.

I wasn't looking forward to it... Well, I was, but...

Thank you. Hang on,

-the ALS course in Bognor Regis?

-Cancelled.

-Sorry?

-Budget overrun, according to Linda.

But we've booked accommodation, replacement staff...

This place has changed since you were in charge.

She's doing her best.

-Do you mind?

-It's for my complaint.

-Mr McCaffrey, isn't it?

There's a feedback form, we've got a box round the corner.

Oh, you'd like that. Put it in a box and forget about it.

-I'd prefer it if you didn't take photos of staff.

-I'm the one in the wrong here?

What is your major concern?

That nurse.

-And what is the nature...?

-False promises.

-Linda?

-Three hours we've been waiting now.

-Mr McGee...

-It's McCaffrey!

-We're busy...

-You said half an hour!

-I know.

-It's been three!

-You're wasting our time. Will you just sit down?

I'll sort it, Tess.

-Hi, um... Er, I'm sorry for disturbing you.

-What happened?

-This is Ani. Ani, Mads.

-Hi, Ani.

-Ani's got a sore tummy. Are you busy?

-Um...yeah.

It's OK, er... We'll try somewhere else, huh?

-Wait.

-Honestly, we don't want to put you out.

-You won't.

We just have to be a bit sneaky, that's all.

Call it a "boxer's fracture".

The metacarpal bone of the ring finger.

How'd you do it?

Slipped.

Mm-hmm.

OK, I'll book you into the fracture clinic.

Close your eyes.

Gary! Put it down. All right, all right, all right.

-He deserves this.

-What's he done?

-He took her away.

-Took who away?

Gary?

The things you've done.

-Police are on their way.

-Hear that? Police are coming.

-Let them sort this out.

-Too late.

I don't want anything happening to Gary.

-Shut up!

-He's a good man.

-You hear that? He thinks he's a human being.

You're scum. Absolute scum.

He has a right to be treated!

Argh!

Come on, mate! Come on!

Lenny, keep an eye on him.

All right, lads. Thank you. I'll take it from here.

Gary.

I still need to get you to the fracture clinic.

Another time.

Well, I'll schedule you an appointment.

What did he do?

Was it your daughter?

She was 12.

-Hi.

-No.

-What?

-No.

-You've got three spare beds!

-No.

I suppose a sexual favour is out of the question?

I'm Clinical Nurse Manager, I don't need to have this conversation.

You do not want to bring patients here.

-Why?

-Because the clock stops ticking.

Every other ward assumes these patients cease to exist.

I hear you, but I've got patients stacking up. I need a break.

-I'm bored.

-What's that got...?

-Send me something unusual.

Mystery allergy, tropical illness. Maybe...a fungus.

-I could do that.

-One bed.

I'm sorry about before. It shouldn't have happened.

I should've posted someone on the door. That hurt?

-Any breathing problems?

-No.

I hope it's just bruising.

-I'll tell CT you're ready.

-Are you a senior doctor?

-I'm a consultant.

-Is that senior?

I'm qualified to treat you, if that's what you mean.

-If I die...

-You're not going to die, Matthew.

They won't blame you.

-I'm sorry?

-They'll think you were just doing your job.

Please.

You don't know.

Every day... It's so hard.

Oh, is it?

After what you've done, it's hard for you.

It's hard to stop myself.

Help me.

Help me!

FLY BUZZES

Er, yeah. It's Adam Trueman in the ED here.

I'm after the CT report for...

..Matthew Haddon.

-Thanks.

-Have you spoken to James?

-Er, no. Not yet.

-Adam.

-Yeah, I'll do it. I will. I'll sort it.

Yup.

OK, let me know when you've got it. Thank you.

Er, Lenny, you say Matthew Haddon had an extradural haemorrhage last year -

was there any further treatment?

Neuro did a burr hole to evacuate the clot, then a craniotomy to clear.

Did Matthew assault Gary's daughter or something?

Would you say there's a risk of deterioration?

Er... I mean, without seeing the CT... anything is possible, I guess.

-What about the family?

-Nothing on file.

I kind of thought they'd washed their hands of him.

-Chase them up for me.

-How?

Improvise.

CLICK

Hear that click?

That, young man, is the sound of a nut being tightened to its appropriate setting.

Oh, for...

Look at that wheel. Take your hands out your pockets.

I do not want to spend my very hard-earned cash

so a refrigerated truck can lose a wheel halfway down the M4.

-Look, don't worry. Just make...

-PHONE RINGS

Hang on.

Hello?

Yes, it is.

You've got your wires crossed there, mate.

I don't have a son.

Rani is a good friend of mine, so can you please be nice to her?

-Rani's the sick one?

-No, her daughter.

-Which one am I being nice to?

-Both.

-Isn't there another doctor you could've got to have done this?

-They're all busy.

-Hello!

Welcome to Holby ED, a magical pleasure dome of rainbows and leprechauns.

-Ani has a sore tummy.

-Oh, excellent, a sore tummy.

Challenging medicine. OK. When did Ani last pass a stool?

-When did she last have a poo?

-Er. Three, four days.

-Right.

-I know what a stool is.

-Is the pain constant or in waves?

-Hello? Can you speak English?

-Excuse me!

-Constant or waves?

-Er...waves.

-Waves. Excellent. Pinch me. Go on.

Damn it, thought I was dreaming. Right.

Is this an accident or an emergency?

No, it is neither.

So my advice to you is go and see your GP and you, stop wasting my time.

Matthew's mother claims she doesn't have a son.

Are you sure it was her?

Pretty sure.

-Where are we going?

-Follow me.

James, hello again.

Mrs Dransfield, I'm Adam Trueman, ED consultant.

This is Lenny Lyons, CT-one doctor.

I'd like to apologise to both of you unreservedly for the incident earlier on.

I can assure you that at no stage was I or my colleague planning on amputating your leg.

It was foolish and for my part I deeply regret it. I'm sorry.

Dr Lyons?

Er, yeah, very sorry.

Good.

OK, thanks.

-What was that?

-An apology.

They should be thanking you.

We behaved inappropriately.

Oh, come on! What happened to Bruce Wayne, eh?

He's a cartoon character, Dr Lyons.

Yes, it is the tennis you can hear, it's how I convince myself I'm not working on a Saturday.

Now listen, how come that pallet didn't get to...

Rog, I'm going to have to call you back, something's come up.

All right, Gary... Now listen!

No. Your son. The paedo.

We made a deal.

-You remember our deal?

-Gave him a beating, did you?

-Why is he still in Holby?

-I haven't seen my son in ten years. I can't control where he lives!

-It's all ancient history, is it?

-Yes, it is.

Not for me!

-I didn't twist your arm. We agreed.

-It was a business deal, wasn't it?

We both agreed.

-Always were a good negotiator.

-You did all right out of it.

I gave you enough money to buy five trucks, maybe ten!

You got a nice home, you put Keeley through education.

I lost them.

Come for another handout?

I want to live, not thinking your son's around every corner.

-You have to take that up with him.

-Your son attacked my daughter.

I put it behind me.

You should do the same. You'd live longer.

Now get out.

I said, get out!

HE COUGHS

Gaz?

Rani! Where are you going?

-Home.

-Come back, please.

"Can you speak English?"?!

He can be a little...odd.

She isn't well. Please, Rani.

Well, it's not me you need to convince.

Ani, that doctor, he really isn't so bad.

He just, he just pretends like he is.

Now, listen. We're going to find out what's wrong with you or...

my name isn't Staff Nurse Madiha Durrani. Pinkie promise?

Good girl. OK.

Oi! What are you doing?

-Linda? Where you going?

-Budget.

-OK, I need to move Matthew Haddon to a side room.

-I want to keep an eye on him.

-Why not wait for a cubicle bed?

-We had an incident earlier, I think it'd be safer.

-You've got a security guard.

You're really going to argue? I'm trying to take a patient off your books.

-OK, whatever.

-Right, you'll do that?

-Yes.

-Thanks.

Can we get some help here, please?

Just let me grab that. Sit yourself on there.

I wasn't expecting to see you so soon. Thanks, Kirsty.

-How long's he been like this? Could you give us a hand please?

-I don't know. About 20 minutes.

OK, let's get him on the bed.

Can you tell me what he was doing before this happened?

Excuse me.

-What?

-You know him?

Ah...you're his mother.

Goldie.

I'm Dr Trueman, I've been treating Matthew.

Good for you.

Um...

-we tried calling you earlier.

-Did you?

Look, I hope this doesn't sound out of line but...

I think you should see him.

I don't want to shatter your illusions but

the only tearful reunion I'll be having tonight is with a bottle of Scotch.

I'm transferring him a private area.

Dr Trueman, I've made myself perfectly clear.

Now will you stop badgering me?

OK. I just wouldn't want you to have any regrets, that's all.

-Regrets? Why?

-Well, he's stable now...

Look, it could be nothing.

With his injuries, I can't rule out deterioration and...

these things can happen very suddenly.

-What's happening?

-He's tachycardic.

Gary, can you stay still for me, please?

All right, mate. Do you ever get a burning feeling about here?

Yeah? Are you a drinker at all?

Yeah.

In his 40s, violent exertion in the past few hours.

I'd say we're talking about a bleeding peptic ulcer.

Let's get a second line in, bloods, cross match four units.

-We need an urgent endoscopy to confirm, thank you.

-A what?

Um, I think you're bleeding from an ulcer in your intestine, mate.

-Relax, relax.

-How bad?

They should be able to fix you upstairs, the medics. You're going to be fine.

Best case, 30 minutes. They're swamped.

OK, Gary, you'll have to stay here and we'll do our best for you, OK?

Is there any family you'd like us to contact?

What about your daughter?

Justice.

He lives, I die... That's justice.

Where are they taking him?

Ah! Thanks very much!

-What's going on?

-Mr McCaffery, or "Tim"

has put us up on the net.

-I thought you were sorting it?

-Oh, no, no, no!

She did. Look, it's here somewhere.

Where is it? Er, 14:02,

"You're wasting our time. Sit down".

I suppose it's just a blog, eh, Linda?

I thought you were sorting this?

I am.

Let's see Tim's mum now.

It's not her turn.

There's no beds!

Treat her in Admin!

McCaffrey?

Dr Keogh.

-You need to give Ani another look.

-Unless a bus hit her on the way to her GP, I don't think so.

-She reported a sharp, repetitive colicky pain, so I palpated her abdomen.

-And?

-And I think I found a mass.

-You're sure it wasn't a rib?

Dr Keogh!

-Please.

-I've got my hands full here.

I'll put her into your spare bed.

No, no, no, no. Hang on!

I can feel something in Ani's epigastrium.

Has she lost weight recently?

-A little.

-Oh, good.

Does she ever put anything in her mouth?

-Toys, dolls, model cars, wooden blocks, religious implements?

-Nothing like that.

I treated an alcoholic priest once who swallowed his crucifix.

He pulled the chain back up and ripped out his vocal cords.

Let's find out what we're dealing with. Can I get an erect chest and a plain abdo?

-What could it be?

-Tumour? Let me know when the X-ray's back.

He was joking.

-Ah! Linda, erm...

-I'm busy.

-Have you seen Adam? Not

-in a while.

Do you know why Matthew Haddon's been moved?

-Adam wanted him secure.

-He was secure here.

-I said that.

-Did his condition change?

-I'm busy, Lenny.

Just take your time.

It's good to see you.

I'm not here by choice.

2003, Winmere.

11-year-old schoolgirl.

Her attacker pleaded guilty and got five years.

They never named the defendant. That was you, wasn't it?

I gave you the chance to turn your life around and look what you did.

Destroyed another family.

How's business, Mum?

I'll write a prescription for some antibiotics, that should clear up the infection.

In the future, try and keep up with the fluids. Cranberry juice is good.

Might want to add a little bit of something else with that if you're feeling adventurous, Mrs McCaffrey.

Er, but yes, try and keep up with the fluids, OK?

Cystitis.

-OK.

-Thank you, doctor.

-All sorted, then.

-Couple more hours, it would've turned into a kidney infection.

There's people out there who've been waiting eight hours.

Your mum was triaged on arrival and seen in five.

Listen, I did you a favour. Do me one. Take the blog down.

-The papers will love this.

-I'm sorry?

-Is this what the NHS is about nowadays?

-Oh, come on.

-No, you come on!

I spoke up, held you to account, and you tried to shut me up.

My mum, bless her, she was a nurse - a really good nurse.

Patients always came first. She'd have torn strips off you today.

-Where's Mr Jordan?

-Trust meeting. I can page him?

-Yes.

-What should I say it's about?

-Erm, it's all right. Forget it.

-Are you OK?

-Oh, yeah, yeah.

-Just apart from hating my job and the patients hating me and my staff.

-Oh.

-Mr Jordan likes you.

-Only because he walks all over me.

-I can't believe I actually thought I'd be good at this.

-Coffee?

No, thanks.

Erm, tell Mr Jordan I'll have those budget figures soon.

-I'm not going back in.

-No.

That business

put food in his mouth and clothes on his back.

And he blames ME for what he is?

That's hateful, that is.

It's hateful.

If something...

If something were to happen...

You're his next of kin.

Consent to turn off the machine. That's what you're asking, isn't it?

I'd be no kind of doctor.

Always do exactly what I want.

He was a breech birth - nearly killed me.

Sometimes I wish it had killed him.

Oh, God!

Listen to me, a mother talking like that about her own son, I'm going to burn in hell.

Probably see him there.

He was just so perfect as a baby, you know how they are?

When did he become...? Why?

Do you know what I wish, Dr Adam Trueman?

I wish that you could

cut him open

and take out whatever it is that's made him like this.

Cut it out like a cancer -

and give me back my son.

You have my consent.

-Not a tumour.

-Then what?

-The X-ray confirms an obstruction running from the stomach to the small bowel.

-So, what is it?

-I don't know.

Well, how can you not know? What sort of hospital is this?

That wasn't a definitive "I don't know". There's plenty of tests we can run. Erm...

-Ultrasound, endoscopy...

-Dr Keogh.

-I'm thinking. Er, gastrografin meal, maybe CT abdomen...

-Dr Keogh.

-Ani, what do I tell you?

-I take it this is a habit?

Mm-hmm.

Rapunzel syndrome.

Fairy tale, princess, lives in the tower, lets down her hair to the prince?

-I think what Ani probably has inside her is, erm, a trichobezoar, it's a mass of hair...

-Ow! Ow!

-..knotted together like this, like a rope.

-Ow!

-Sorry.

Is this good news?

-Good? It's fabulous!

-What does this mean for Ani?

Oh, she'll have to go to surgery to have it removed.

I'll go tell them now. They're going to love this! Oh! Thank you. Thank you so much.

Great. Thank you.

I appreciate you've been waiting a long time,

but so have these other people. Take a seat. I'll be with you when I can.

Yes, I'm still on hold! You're next in line, mate.

Yes?

-Can I do anything?

-Sorry?

Can I help?

I know I'm not a nurse.

Well, I used to wish I was.

If I'm being honest, needles have always freaked me out.

But I think what you all do is truly amazing.

I heard you were busy, so...I'm here to help.

Sorry, are there hidden cameras around or something? I don't...

No, Jay. I think she's serious.

So what were you doing up there?

What does it look like?

-Well, there's a pharmacy in the ED though.

-It's poorly stocked.

What did I do?

We were like this this morning.

I must have done something?

-Probably.

-Something wrong?

Newsflash, Lenny - I'm your boss, I'm not your friend. OK?

Why did you move Matthew?

-I wanted him secure.

-There was a guard in resus. Come on. What's in the bag?

I'm sure you have patients to attend to.

Lenny! They need you!

OK. Careful there!

OK, he's much worse. Shocked, cold and clammy, tachy at 120, BP 80/50.

-That's not an ulcer. That's...

-No kidding.

-Can we get that covered up?

-Variceal haemorrhage. How long till the medics...?

-Few minutes, at best.

He's going to bleed out before then!

Dr Lyons? Do you need help in here?

Sengstaken tube. Erm, oral insertion, inflate the balloon...

-Yeah.

-No more bleeding. On you go.

-OK, I'll get it.

-Hiya.

-Hi.

-Coffee?

Oh, er, yeah. Great, thanks.

Oh, she sent you, right? The nurse?

Does your mum want anything?

Er, no. She's fine, thanks.

-Emily - what are you doing out here?

-Helping.

KNOCK ON DOOR

-Yep?

-Sorry. For you.

-What is it?

-Don't know.

Are you sure you know what you're doing?

OK. Inflating...

It's OK, I'll be fine. Here, clamp the end of this off, Joe.

-ALARM BEEPS

-Lenny, what's going on?

Resps are up to 38, his breathing's very shallow.

Sats down to 89, he's getting cyanosed. Are you sure about the tube position?

-Yeah. Of course I am, yeah.

-Lenny...

I think so, yes. Yes.

-Where you going?

-You need help.

Fran, take over here, please.

Thank you.

Excuse me.

-You let him insert a Sengstaken?

-I thought he knew what he was doing.

I do know what I'm doing. Look, he's not bleeding, is he?

Lenny - the tube shows 30cm, it's meant to be 50cm down!

-FFPs and bloods please, Kirsty, I need to re-site the Sengstaken tube.

-Karen?

It's halfway down his oesophagus, which means it's pressing on his heart and lungs, do you understand?

-Yes...

-He is still bleeding, only now he can't breathe.

-Kirsty, we may need to intubate if he fails to oxygenate.

-Yeah.

This is what happens when junior doctors play God.

Give me an apron.

Pay attention, Dr Lyons.

Who knows, you might actually learn something.

-Claire, you seen Adam?

-Yeah, he's upstairs.

-Cheers!

Excuse me, excuse me.

Excuse me.

-Hold your arm.

-Lenny...

-I can't let you do this.

-What's going on?

-Step away.

-No.

-Step away, Dr Lyons!

See, if there was a choice to tube him, to shock him, then I wouldn't.

But this? No!

-Dr Trueman?

-Do you remember when you said that we don't play God, right?

-What's happened to you?

-Dr Trueman...

Junior doctor, needs to mind his own business.

-Do I have to order you?

-Yes.

Dr Lyons - will you please take a look at the infusion label.

-Read it!

-Fine.

Am I going to die?

No.

Ondansetron. Anti-emetic.

I should be able to eat my breakfast off that.

Coolant tank, quarter full.

What happens if one of my trucks breaks down on some highway outside Poznan?

How much of my hard-earned cash do you think I would have to spend? Eh?

This is a warning,

and I only give one warning, do you hear me? One.

That's how it works round here, and if you don't like then I suggest you find employment elsewhere.

You've let me down,

do you hear me?

You have totally let me down.

Now get out of my sight.

Go on, get out!

HE SNIFFS

(I'm sorry.)

I'm so sorry.

Surgeons, grown men, pillars of society, acting like excited teenagers.

Couldn't clear their lists fast enough for Ani. They love me.

Yeah? What about me?

-Sorry?

-Well, if it wasn't for me you'd still be poking Ani's stomach.

You found the straw - I turned it to gold.

You're sure it's not a rib?

Here she is.

Budget meeting?

Right on time.

Oh, Linda, that's very thoughtful of you. Thank you very much.

I was just saying to Emily how well I think you're doing.

-Here are my projected figures for July.

-Thank you.

OK, let's have a look...

Right.. This is not what we discussed!

-How so?

-There's a rise in your predicted agency staffing budget.

-Two HCAs.

Training budget! You promised to drop the ALS training course.

-Unacceptable, Linda. We can't afford it.

-According to your figures, we can.

How did you get these?

By my calculations, we're still in surplus.

It's a notional surplus, Linda.

-It's ringfenced for extra equipment.

-My staff need support. My staff need training. We can afford it, Nick.

Well, I'm sorry, but the trust will not go for this.

I can be very persuasive.

Hello, could you chase up his notes for me, please?

And shut the door.

What's happening?

-Do you want to change?

-What are they?

-Do you want to change?

-Yeah.

-Open your mouth.

-No.

-I don't have time to explain.

Just take it. Take the pill. Drink.

You'll start losing your hair, you'll have mood swings,

erectile dysfunction, breast growth, milk outflow. I've left dosage instructions.

Follow them strictly and you'll experience an almost total drop in your sex drive.

-Thank you.

-When you run out, you know where I am.

And I know where you are.

-I hope you're packed.

-Sorry?

ALS handbook, sunscreen, mankini...

Bognor?

-It's back on.

-What?

You know what, I always said you were good, didn't I, Noel?

Aw! The cheek of the guy!

Yeah, that's a... That's a cracking shot, man.

Look, if he'd have just asked me, I would've happily posed for a snap.

You know, I'd have given it...

Thanks, Noel.

-Mr McCaffrey.

-Waiting on an ambulance. Guess what - late.

Are you aware you've broken the law?

-Sorry?

-The people in your photographs.

You didn't get their consent - you certainly didn't get mine.

Didn't think I needed to.

-You'll have to take your blog down.

-I'm just about to.

-I'm sorry?

-There's no point keeping it up. I just spoke to the paper.

-What?

I told them that despite the wait, my mum received compassionate, first-rate treatment.

Doctor was excellent, I think my mum liked her.

The coffee was a very nice touch. Oh, your bedside manner -

could do with a little work.

Hey!

You OK?

Don't try and talk.

Now listen,

you know what I'm like.

That business was all I had, after all that.

Nice one, Goldie, hey?

Leaving a trail of destruction in me wake.

I lost my family,

but you don't have to lose yours.

You were my first employee, Gaz, and I should have treated you better.

You should have treated yourself better.

I've called Keeley.

She's on her way.

You should be in her life, Gary.

You're her dad.

-Early dart? Jordan must be going soft.

-Sacked.

Well, I'm sorry if I had anything...

-Temp contract. I think I want to be a nurse.

-Nice!

Hang on a sec.

Make sure you look me up when you graduate.

Keep fighting.

Thank you.

You all right?

You'll be fine.

Wow!

Turned into a proper little stunner, haven't you?

He's waiting for you.

Hi, Dad.

Draxatel, eh?

That's very clever.

If you're not going to kill him, change him, right?

If you're going to go rogue, you'll need to cover your tracks better.

Didn't think to do a liver function test, no? Refer him to a psychiatrist?

Lenny, that guy needs help.

He needs it now, not in a few months' time when some quack gives him the OK.

And believe me, I know, I'm... I'm breaking every rule in the book, but it's the only way I know how.

You can trust me, by the way.

-You always could.

-I can't bring you into this.

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