System Error Casualty

Right, that's it. I'm calling the police.

Give it another half hour. She's probably staying with friends.

Yeah, or she could be lying in a ditch somewhere!

-Maureen.

-What?

Where the hell have you been?!

-Out.

-Er, don't walk away from me. Get back here now!

-Right. Just give her a second.

-No!

-Just calm down!

Look, you are 15 years old, you do not stay out all night!

-I was at Karen's, all right?

-Well, why didn't you phone?!

-It ran out.

-So you should've come home!

-Yeah?

Well, this isn't my home, is it?

Hey! We have not finished yet!

-Leave it, Maureen.

-No. This is not acceptable.

You won't get anywhere with her right now.

Just... Come on, you'll be late for work.

I can't deal with her any more.

We'll talk to her tonight.

Maybe we're rushing things moving in, the house...her playing up...

Hey. She'll get used to the idea.

Anyway, you can't back out, not now I've had these cut for you.

Are you sure you know what you're taking on here?

LOUD MUSIC BLASTS

Go. Or you'll miss your train.

Y'know, I love my job sometimes.

-Yeah, well, just remember you're here to DO your job!

-Oh! Easy...

Bit of a pain in my shoulder there, mate.

Might need to get that seen to!

-All right.

-S'cuse me, madam.

Can you tell us what happened?

I took a turn. I couldn't breathe.

-Get a little bit overexcited, did we, my old son?

-Let's get you out of here, eh?

I didn't know it was this kind of place.

The big sign outside didn't give you a clue?

-Just get me out of here, will you?

-OK, nice and gentle, I've got you.

What's happening?

Holby Comp and Edwalton High kicked off again.

-Running battle down the high street apparently.

-At eight in the morning?

Hey, d'you mind?

Not really.

So, first day back on clinical duties, eh? Exciting.

Try daunting. Feel a little bit rusty.

Well, that's why you'll be working with me today.

Mr Jordan, I appreciate the offer but you've enough to do without having to baby-sit me.

Who said anything about babysitting? I'm talking about joining forces.

-Forging a partnership.

-To do what, exactly?

I don't know. The usual. Treat patients, fight diseases, make the world a better place.

-Kelvin. What brings you down here?

-We need to have a conversation.

-Won't be long.

-OK.

Harry!

You sent me out with the wrong bag, you div.

-What's going on?

-Something's wrong with her.

-Well, what's happened to her?

-I don't know. She won't wake up.

-I'll call an ambulance.

No, no, no. We haven't got time.

-Let's go in the car.

-Emily!

Careful!

Get in the car!

Three of my juniors have made complaints. He practically bullied Dr Hemple.

Well, having worked with Dr Hemple...

This is serious. And it's not just my lot. The other surgical departments are saying the same.

I admit he can be brusque, but he has talent and he cares about his patients.

That's another thing you need to talk to him about. He has to stop misinforming them.

He's giving them unrealistic expectations. Telling them to demand procedures we can't provide.

Can't or won't?

If you want me to make a formal complaint...

Nobody wants that, Kelvin.

Then rein Trueman in.

Miss Lombard, cubicle eight. Needs to be signed off work.

I thought it was her son that was ill.

Yeah, he is. Inner ear infection. She needs to stay home to look after him.

-Are we faking a sick line here?

-Well, her boss won't give her leave.

Oh, by the way, Adam, ankle sprain's still waiting.

Yeah, I'll see her when she's sobered up.

Ruth. Back in the saddle again!

Sort of. Week's trial. Working with Mr Jordan.

That certainly sounds like a trial.

Ruth! Er, this is Arthur Cobb, 61.

He took a turn at the Sweet Tease Lounge this morning.

-I told you, it was a mistake.

-He didn't realise it was that kind of place.

Er, Mr Cobb's a little breathless. He refused all obs and declined to give us any medical history.

I'll take it from here. Thanks. OK, Mr Cobb. Bear with me for a minute, I'll take your details.

Just get me a doctor, will you?

Emily! Wake up. I don't think she's breathing.

She'll be OK. We're nearly there.

What the hell happened to her?!

I dunno!

Harry, slow down!

HORN BEEPS

Watch out! HORN BLASTS

OK, OK!

Look, she just collapsed.

-Collapsed, how?

-I don't know!

-Mum?

-HISSING

-She's awake!

-What's happening?

It's all right, darling. You'll be all right.

-What's that noise?

-HARRY COUGHS

-Get down!

-SCREAMING

Gary!

Anything like this ever happened before, Mr Cobb?

-Not so you'd notice.

-Do you have a history of heart disease? Respiratory problems?

Does the student have to be here?

Well, actually, Dr Winters is fully qualified

and to prove it, she's going to give you an examination. Aren't you? When you're ready.

OK.

Do you have to be so clumsy?

Bear with us, Mr Cobb.

-I want someone who knows what they're doing.

-Sit forward.

Like one of the women down at the Sweet Tease, maybe?

I didn't mean to go in there.

-I see.

-You think I would choose to be in a place like that?

-Not for me to say.

Those places are evil. And the people working them are vile and diseased.

They should all be burnt down.

I don't think he reads the Guardian. What are your thoughts?

Well, breathless obviously. Tachycardic, peripheral oedema, hepatomegaly.

-Could be heart failure.

-Good. Excellent. So, what's next?

Well, he'll need an ECG, full bloods, chest X-ray and 40 milligrams of frusemide.

What are you thinking?

-That we should screen for hepatitis.

-Because...?

Hepatomegaly could suggest primary liver disease and given that he was picked up in a massage parlour...

STI is a strong possibility. Good. Well done, Ruth. You run the tests and, er, send it through to CDU.

Yeah.

-Dr Trueman?

-Yeah.

I just had a very interesting conversation with Kelvin Orr.

I find that hard to believe.

-Tells me you've been having some problems.

-A professional disagreement.

-A few of his juniors took it personally.

-He says this has been happening regularly.

-It wouldn't if they did their jobs properly.

-Adam, is this something I need to worry about?

Storm in a tea cup.

Yeah. OK, I'll have a word with her tonight.

OK, thanks for letting me know.

Cheers, bye-bye.

-Everything OK?

-No. Nita's playing up at school again.

Anything I can do to help?

-CRASHING

-Come on, then!

SHOUTING AND ARGUING

Oi! Can you get them out of here?

Break it up! Break it up! Oi!

Back off!

-Wait a minute. That wasn't me.

-Can I get some help in here?

Maureen? Maureen? Are you OK?

Harry, I can't see.

All right, come on, let's go.

Emily! Emily!

Oh. We've got to get out!

-I'm not leaving her!

-No, we'll come back for her in a minute, just wait.

-Ow! Ow! Emily!

Ow! Ow! Ow! No! Harry! SIRENS

-Stay over there! Stay there.

-No! Get her!

-Stay there! Emily!

-Come on, Emily, love!

-Get away from me.

-Why, I...

-Take my hand!

-Don't touch me!

-What?

-Please, help him! My daughter is trapped in there!

Jeff! Someone in the car, mate! All right, darling.

-Whoa! Whoa, whoa, whoa!

-Emily, please! I've got to get you out!

-Get away from me!

-I'm a paramedic, let me help you!

-Emily, this way! There's no time! Come here!

-No! Get off me!

-All right, all right, easy, easy.

You got her? You got her?

-I've got her. All right, nice and easy.

-You OK, Emily?

I got you.

-Arrrgh!

-Harry!

Why is it, of all my nurses, it's you I seem to patch up the most?

-Well, it doesn't look fractured.

-But I'll have to cancel the modelling gig.

-If you need to go home I'll find the cover.

-Don't be daft, it's not that bad.

Actually, I'm going to talk to Linda about arranging some leave for you.

You seem very stressed recently.

-Kirsty, are you all right?

-No permanent damage.

Good. The police are on their way. They'll want a statement.

No need for that. It was just an accident. Thanks.

Err... No, no, it's hardly an accident. Kirsty...

The guy started a brawl in reception.

And I was the idiot who jumped in the middle of it.

Why are you being so casual about this?

What do you want me to do? Burst into tears?

No. I want you to take it seriously.

Adam, I got a smack in the face from a kid.

-This is an ED. That sort of thing comes with the job.

-No it... It doesn't, Kirsty!

The rest of the staff will expect to see you pressing charges.

Then they're going to be disappointed.

Take him through to CDU, please, Linda.

-This way.

-Hey! Hang on a second! Are we treating this guy?

-He's being checked over, yeah.

-For a split lip?

-He should be talking to the police.

-And he will. In the meantime...

-Welcome to punch someone else?

-You seem a little wound up, Dr Trueman.

-You seem calm, given that one of your staff has been assaulted.

RTC on Bridley Road. Two on their way in,

possible prolonged entrapment,

-serious leg injury. Paramedics requested a doctor.

-Dr Trueman can attend.

-Er, sorry? Why me?

Because you clearly need some fresh air.

Ow! Aren't you supposed to numb me first?

Ow! All right. I'm sorry about your mate, yeah? I didn't know she was behind me.

-No, you were too busy thumping the other lot.

-They asked for it.

-They're the ones running round mouthing off about Edwalton.

-So, a school pride thing was it?

Just hold that firmly on your lip.

Had to handle them.

Just came to see if you needed anything.

-A baseball bat wouldn't go amiss. How's Kirsty doing?

-Defiant as ever.

Refusing to give a statement. You might want to have a word with her.

Yeah, of course. that's if she wants to chat.

Number four.

OK, this doesn't look good.

Yes, it doesn't look like heart failure either.

Pulmonary fibrosis?

Yes, but what's causing it?

Well, the path results might tell us something.

OK, you go and tell Mr Cobb the bad news.

Really? I think it'd be better if he hears if from you.

No, there's a trauma coming in.

He needs to be informed of his condition straightaway. Thank you.

How's your day going?

Good, yeah. Well, certainly better than Mr Cobb's.

Ah. I thought I recognised him.

-Is he a friend of yours?

-Well, I wouldn't say that.

He married a couple I know. Good ten years ago now.

-Sorry. When you say "married" them?

-Reverend Cobb was the vicar.

His name is Harry Reynolds. Car's pinned his left leg.

-How long?

-About 30 minutes.

Uh, he pulled his missus and her daughter out of the car.

Er, maxed out on morphine but you might want to sedate him

-if it gets any worse, OK?

-OK. Jake?

How long before we can move this?

15 to 20.

-Where's Emily? Where is she?

-She's being taken care of.

What's she saying? She said anything?

-Ow.

-All right.

-Leave me...

-Yeah.

Diminished sounds on the left side. Possibly a pneumothorax.

We'll need a full trauma series.

Get off me. Don't touch me!

-Emily? Can you hear me?

-I don't want him touching me.

It's probably concussion. She'll need a chest and a head scan.

Emily, we just need to make sure you're OK.

-I just want to have a check on your wrist.

-Ah!

Yeah. It's a definite fracture on the right distal radius. We'll get that X-rayed, please.

-OK.

-Where am I? What's going on?

You're in hospital. You had an accident in the car. Do you remember?

You were with your mum?

OK, you just rest there for a second. I'll get that X-ray.

Thank you.

OK, multiple lacerations to the face. But I don't think she's nicked anything serious.

I need to see Emily.

Tess, let's get some more pain relief and order some X-rays.

I'll need facial views before I can pick out the glass.

-Please. Let me see her.

-You will, she's just next door.

OK, could you keep still, please, Ms Firth?

No, something was wrong with her. Please! Will you listen to me!

Cor pulmonale is caused by restricted blood flow through the lungs putting a strain on the heart.

And it's serious, is it?

It's a chronic condition, Reverend Cobb.

-Oh. Your boss doesn't like the dirty jobs, then?

-He's with a patient.

-He asked me to speak to you.

-Well, don't worry.

Not going to break down.

Truth be known, this isn't exactly a surprise.

-What, you were aware of this?

-Oh, I knew something was up.

The condition is symptomatic of an underlying problem. We'll need to run more tests.

-Don't bother. No point now.

-No, I don't think you understand.

We need to work out what's caused your lung condition...

I don't want any more tests.

-But Reverend Cobb...

-Are you deaf or stupid?

NO MORE TESTS.

Yeah, I'm through. OK...

Excellent, OK. Let's connect the drain.

Suture kit, please. Sister Bateman.

Her mother says they were bringing her here when the car went off the road.

What was the problem, do we know?

Sounds like she collapsed and was semi-conscious BEFORE the accident happened.

Emily, do you remember why you were coming to hospital this morning?

Harry.

He was in my room. He was on top of me.

He was hurting me.

How was he hurting you?

Holding my arms.

I couldn't get him off.

He just wouldn't stop. All over me.

OK, lets get her up to CT, please.

We need to let Social Services know what's happening.

What, wait, hang on a minute. Are we sure we know what's happening?

-The girl seems genuine enough.

-She seems disorientated to me.

I'm just saying, I think we should hold off before we make anything official.

Look, you know the policy.

-I'll make the call.

-Thanks.

All right! I'm coming, man!

I hear you're not going to make a statement.

Grand scheme of things, it's no big deal.

Well, that's not what Dr Trueman seems to think.

Yeah? Well, Dr Trueman's sense of judgement isn't quite what it used to be.

-Would you care to expand on that?

-Sorry.

That was unprofessional of me. I'm going to speak to Emily's mum.

Harry wouldn't do that. She's making it up.

This is just her getting back at us.

-Stay still.

-OK. Maureen, try and keep calm, OK?

-No. Listen to me. You don't know what she is like.

-OK, nearly there.

Harry is a good man.

OK, last one.

OK, I think we're done here.

Can you clean up the wounds, please, Kirsty, before I examine the eyes?

-Maureen!

-Whoa!

-What are you playing at?

-Leave me alone.

-Maureen.

-Do you have any idea what this is going to do to him?!

-Who cares about him?!

-I do!

-OK, you need to come away now.

-And I won't have you wreck his life with lies.

-They're not lies!

He did it. He raped me!

OK, Tess this is Harry Reynolds.

31 years old. Trapped beneath a car for about 40 minutes.

Crush injury to his left leg. Open fracture to his left tib and fib.

His BP's been about 100 systolic.

Maureen? Are you OK? Where's Em?

OK, come on. Let's get you to cubicles and clean you up.

-How's the girl, is she OK?

-She's sustained some serious injuries.

But there's something you need to know about the boyfriend.

It's my fault. I mean, I should've persuaded him.

Well, Reverend Cobb doesn't strike me as a man who responds to reason.

Well, he would have listened to you. He just doesn't have any confidence in me. I'm not sure I blame him.

Let's put your insecurities to aside for one moment,

what do the path results give us?

Well, his hep screen came back negative.

White count is elevated and blood shows an eosinophilia.

Well, that could mean any number of things.

Yeah, none of which we can identify if he refuses to have more tests.

Well, if he won't have any more tests done, we will have to crack this by looking at the man himself.

-What do we actually know about him?

-Nothing.

-Other than that he's mean, old and...well, he's dying.

-Then you're just going to have to find out more.

-Well, how am I supposed to do that?

-You'll work it out.

Dr Trueman?

Er, yeah. His airway's OK, but let's get a C-spine, chest and pelvis done.

Where's Emily? Is she all right?

The scalp lac looks pretty superficial. We'll need to put a dressing on it, though.

-Wends, can you take over from me?

-I'm just a bit worried about her. That's all.

Let's have a look at this leg.

Can I see her? I want to talk to her.

OK, we've got a mid-shaft open fracture of the tibia and fibia.

It's badly displaced, but it doesn't look like there's any vascular compromise.

Er, we'll need some leg views after the trauma series.

Can I speak to her or not?

Not at the moment, Mr Reynolds.

I'm sorry, what is going on?

Maureen? Are you OK?

What's her mother saying?

She's adamant the girl's making it all up.

-Could she be?

-Well, if it was an act, it was a very good one.

-What does Kirsty think?

-Seems to be leaning towards the mother.

Hi, I'm looking for Arthur Cobb. I think they brought him here.

-Sorry, and you are?

-Esther Cobb. I'm his daughter.

-Really?

Erm, well, we checked his notes.

There was no next of kin and he didn't mention you.

-Yeah. That sounds about right.

-So, how did you know he was here?

He showed up at my work.

Erm... OK.

Follow me.

-She said I raped her?

-I tried to speak to her.

Well, then, you better try harder.

She's your daughter Maureen. You've got to make her take that back.

So, what happened this morning?

I told you. She collapsed.

-Yeah, but how, Harry?

-I dunno.

I found her on her bedroom floor.

I tried to wake her up and...and then you came back.

-Why was she half undressed?

-What?

-When I came back.

Wait a minute, you think I actually did it?

-I'm just trying to get my head around it all.

-I never touched her!

SHE SIGHS

You do believe me, don't you?

-Maureen?

-Of course I do.

So, did he mention why he came to the club?

He told us it was a mistake.

So what's wrong with him, then?

Well, we're still trying to find that out.

But he's sick, yeah? He's very poorly, yeah.

Look. We need some information about your dad.

Lifestyle, general health, anything really.

Don't ask me, I haven't seen him in 15 years.

-So you don't know anything about him?

-Last I heard he'd left the country.

I didn't say the girl was lying. I just wasn't convinced.

I'm not convinced by the boyfriend.

-So, we let social services sort it out.

-He'll just deny it.

Nothing we can do about that.

And that's it? Wow.

-I'd have thought you of all people would give her the benefit of the doubt.

-Why me, of all people?

Because...

-..you have a unique perspective here.

-Unique perspective?

Huh. Lovely way of putting it.

OK. Fine. You've been through a similar experience.

Our experiences are completely different.

And even if they were similar, it wouldn't change my opinion.

-Which is that she's lying?

-No!

I just think a lot of families have been torn apart because people have jumped to the wrong conclusions.

That's my unique perspective.

Ah, just, hold on a minute there, guys. Thanks.

Hi, Emily, my name's Dr Trueman.

I'm just going to check you over very quickly. Is that OK? Yeah?

Now, I know you've had a pretty traumatic day.

I want you to know I think you're being very brave.

It can't have been easy,

but we're going to take very good care of you here. All right?

Just...keep him away from me.

I will.

Thanks, Karen.

Hello, Dad.

-So, you came to see me today.

-I came to see what you'd become.

Well, you should've stayed. Booked yourself a session. You know,

-some of the girls are really good.

-No shame.

So, they tell me you're sick.

Nothing for you to worry about.

-Who said I was worried?

-Still as angry as ever I see.

I've got a lot to be angry about.

OK, you came looking for me, so if there's something you gotta say, then just...say it.

Fine. Well, it was nice seeing you, Dad.

I want to meet the boy.

-Where are we going?

-Just going for a CT scan, Emily. It's nothing to worry about.

I don't want to go.

Just stop a minute. Do you want me to get your mum for you?

-She hates me.

-No, she doesn't hate you.

She's just trying to make sense of all this.

Make sense of what?

Of what happened between you and Harry this morning.

Do you remember this morning, Emily?

Of course I do. I'm not stupid.

Do you remember what you told us?

Where are we going?

Adam. Something's not right with Emily Firth. Might need to speak to neurology or get psych down here.

Ah, I see so...ten minutes ago, you just weren't convinced,

now you're questioning the girl's mental health?

Well, I can't be sure, I mean she has got a head injury but, yeah,

I think there could be a psych issue here.

Right, because that would be preferable to this being an actual case of abuse?

Sorry? What's going on?

Look, just, step this way, please.

Look, it just seems to me that you want this girl to be lying.

-Why would I want that?

-I don't know.

-Maybe she reminds you of what happened with Warren and that upsets you.

-This is not about me and Warren.

Maybe you just don't think it's that big a deal. I mean, some guy hits you at work and you just shrug it off.

Oh, right, yeah. Because THERE'S a connection.

Has it occurred to you that maybe Warren did such a number on you

that you've come to see this as acceptable?

You think I accepted what Warren did to me?

I don't know.

Did you?

Don't walk away from me! Think I asked for it?!

That I went home every night and got in Warren's face and said, "Go on, hit me!"

You think I asked for 15 years of that?!

Sorry, thank you.

Erm...

Social services came back to us.

Harry Reynolds is on the sex offenders' register.

His daughter said that he'd been out of the country for a while, so I did a little digging...

-Where's he been?

-Look.

-It's a website.

-Yeah, it's the home page for Holby Christian Action, a missionary group who work in Malawi.

Look at the photograph.

Oh, yes.

Reverend Arthur Cobb.

He's been in Africa for the last five years.

There were signs of eosinophilia in his blood.

Yeah, which suggest a parasitic infestation.

And I'm guessing they're not short on the ground in Africa.

-First-rate detection work, Dr Winters.

-We're not there yet.

We still need to identify the exact type of infestation.

-Yes, and for that, you ARE going to need tests.

-Yep.

You used to do that when you were a girl. Up and down the living room.

-Drove me insane.

-How dare you ask me for this?

-I just want to meet my grandson.

-No! It's not going to happen.

Isn't he curious about me?

I told him you were dead.

Did you really think that I was going to let this happen?

-Like I'd forgotten everything?

-This is no time drag up the past.

This is the perfect time to drag it up.

What do you want me to do? Apologise? Beg your forgiveness?

-Would that make you feel better?

-I don't know. Why don't you try it?

Reverend Cobb.

We think we know what might be causing your condition.

-But we need to run more tests.

-Please, just hang on a minute.

Well, Dad?

Run the tests.

Well, that should give 'em something to talk about.

I didn't realise. I'm sorry, Kirsty.

Oh, don't be.

I kept it under my hat pretty good.

How bad was it?

Wasn't great.

Still, he's not here any more, is he?

So, problem solved.

Well, just because Warren's gone, it doesn't mean it's over.

Are you talking to anyone about this?

No.

Didn't think it'd be me needing therapy.

You don't need a therapist to talk.

It was ten years ago. I was just a kid.

You were 21 ten years ago.

-How's that?

-That's sore.

-OK.

-There was this girl.

I saw her a few times. I swear to God, she told me she was 17.

Oh, my God.

By the time I found out the truth, it was too late.

Her parents knew, they went to the police and that was me.

-What have we got?

-Mr Reynolds is complaining of pain in his foot, but it feels warm, the pulses are good.

But I think he might need a bit more analgesia.

I'll chase up theatre, yeah?

-Why didn't you tell me this?

-I was waiting for the right time.

The right time?

Harry, you just let me move my daughter into your house.

-We WERE going to start a family.

-We can still do that.

I don't get it.

Why isn't everything all right now?

You can't go through years of abuse

and expect everything to be normal right away.

15-year-old kid comes in here, pours her heart out

and I don't even believe her.

-You had your doubts. Any professional would.

-No.

No, no, no, Adam was right.

I was looking for a reason to doubt her.

I wanted her to be lying.

Why would you want that?

Because...she reminded me of how I used to feel.

Like a victim.

Whatever you think of me, Esther, I only wanted what was best for you.

Funny way of showing it.

What was I to do?

He was a married man. A member of my church.

-I was 16 years old.

-You should've know better.

No, Dad. HE should've know better. And you should've been there for me.

-I did whatever I could.

-Oh, yeah, I remember. I was crying in the kitchen,

I was scared out of my wits, I had a tiny little thing growing inside me and I was begging you for help.

I thought it was for the best. It was your choice.

Yeah, and when I told you I was going to keep him...

-Do you want to know what he did?

-It's really none of my business.

He drove me to a bus station, handed me money and a bag of clothes and said,

"God forgive you, Esther."

Then you walked off and left me.

Well, God gave me a beautiful little boy.

And you're never going to see him.

You know I'd never hurt her. You know that. Maureen, look at me.

I love you. OK?

And I haven't done anything wrong. I promise.

I believe you.

Good.

HE GASPS IN PAIN

You need to speak to Emily.

You've got to try and talk some sense into her.

-Look, let's just leave it...

-No. No, it has to be now.

Before she gets a chance to do any more damage. Argh!

HE YELPS IN PAIN

Please, don't let her do this!

You know she doesn't want us to be together.

This is her way of breaking us up.

This isn't for me. This is for us.

-So that's it, you'll just do what he wants?

-Harry's right.

I've got to put a stop to her lies.

What? And you know she's lying, do you?

Harry would never do anything like this.

Why? Because he's such a nice guy?

-They don't put you on the offenders' register for nothing, you know.

-He said it was a misunderstanding.

Well, of course he's going to say that.

Look, I know these things can be difficult to confront.

But this is your daughter you're talking about.

-I'm aware of that.

-Well, then, why aren't you protecting her?

Dr Trueman?

Ortho's called. Theatre's backed up,

surprise, surprise, so can you keep an eye on Mr Reynolds' leg?

-You believe that? She's still on his side.

-Back to Mr Reynolds?

Yeah? He's in pain. Might want to immobilise the leg with a back slab.

I mean, what chance has that girl got?

-Adam, did you hear me?

-Yeah.

Mr Reynolds is in pain.

Linda, would you contact the police for me?

Sure. Everything OK?

Yeah, yeah.

I'm going to make a statement about that kid this morning.

Good for you.

Do you think it was easy for me?

-Having to deal with a pregnant daughter?

-Just try and relax.

And one like Esther too. Wild.

No self-control. I knew she wouldn't be able to bring up a baby...

Put this on.

HE RETCHES AND COUGHS

BEEPING

And I was right, too. Look at her,

working in that place. Selling herself. What kind of a mother does that?

Your test results have come in. I'll be back soon.

I couldn't believe it when I met Harry.

Nice guy, good job, younger than me.

OK, keep still, we're nearly done.

And he did all the pushing.

Asked me and Emily to move in.

Not many guys would take on a teenage girl.

You've got a tiny corneal abrasion to your left eye, but if you keep taking this ointment it will help.

SHE SOBS

Maureen. Are you OK?

I've been a bloody idiot, haven't I?

He was just with me to get to her.

Try not to think like that.

And she tried to tell me.

I thought she was being stroppy, with mood swings and tantrums.

I hated her for trying to ruin my happiness.

It just...it never even crossed my mind for a second.

Come here, come on.

We can't always see what's in front of us.

Pulmonary schistosomiasis. It's a parasitical infection commonly found in Africa.

-They call it snail fever.

-Yes, they do.

It's the infestation that's caused the damage to your lungs and heart.

We've arranged for you to be admitted to cardiology.

How long have I got?

-It's really not for us to say.

-Excuse me.

I went back you know?

-Sorry?

-To the bus station. I went back.

But she'd gone.

Hey.

Who d'you need to kill to get a taxi round here?

Look, they've moved your dad upstairs.

If you want I could take you to see him.

No, thanks. Once in 15 years was quite enough.

Know what? It's quicker walking.

I've got a friend... Erm, his name's Jay.

Er...he works here. Well, actually, he's not in today, er, but he, er...

Well, he's so much better at this than me.

Better at what?

Well, if he was here, he would probably say that

you have every right to be angry.

Cos what your dad did was wrong. But...

He's dying.

And, well, even if what he did was unforgivable.

Doesn't mean that he can't be forgiven.

He's got quite a way with words, your friend.

Well, he'd probably spoil it at this point by asking for your phone number.

When he left me at that bus station, he didn't just write me off.

He wrote my son off too.

I can't forgive him for it.

It's not as simple as that.

What's happening with Harry?

You don't need to worry about him.

I'm so sorry, Emily. I'm just so sorry about everything.

I need to know.

This morning, was that the only time?

Lots of times?

Yeah.

When did it start, darling?

A year ago.

Emily, we didn't know Harry a year ago.

Why are you trying to confuse me?

-No, I'm not. I'm just trying to work out what's happened.

-You don't believe me do you?

MONITOR BEEPS It's OK, Emily.

HE GROANS

You've broken your leg, Mr Reynolds.

-You have to expect a little discomfort.

-This isn't discomfort. This is pain.

Can't you just give me something for it? I'm in agony here!

Tricky things, entrapments. I've seen quite a lot of them now.

Mostly RTCs, a few industrial accidents,

though we did once have a kid who was trapped down a drain.

-That was a little crazy.

-Will you just help me?

Mostly people ask if they're going to make it.

Sometimes they ask you to pass on messages to their loved ones

in case they don't. But you were different.

You asked if Emily had said anything.

What? I don't remember. I was trapped under a car for God's sake.

Exactly. Why would you care if Emily had said anything?

Unless of course, you had something to hide.

What? Well, you think I raped her?

What, is that why you're doing all this?

To try and get some sort of revenge?

Like I said. Leg fractures can be painful.

Then just give me something for it! I'm in agony here!

HE GASPS

Please, just help me!

SCREAMING

Can we get some help in here please?!

Emily?!

Argh!

-What happened?

-Started fitting. Came out of nowhere.

OK, what is she, about 40 kilos. Let's get 4 of Lorazepam stat.

-OK, I'm on this, Adam. Suction, please.

-Wait. What are you doing to her?

Your daughter's having a seizure. We're trying to protect the airway.

-Has Emily suffered from fits in the past?

-No. Never.

-MONITOR BEEPS

-Sats falling.

What's going on with her?

She's probably sustained a head injury from the accident.

-Are the CT results through yet?

-I'm on it.

All right, good.

-What are we looking at?

-Multiple, small cerebral abscesses.

Can you see? There. She'll need antibiotics and to go up to theatre.

-And this amount would definitely cause the seizures, yeah?

-Oh, yeah. And all the other symptoms as well.

Her Mum says she's been acting out of character lately.

-Mood swings, confusion, aggressive.

-All caused by the abscesses.

You seen Adam? Adam!

-Get to resus now.

-What the hell's he doing on the floor?

He must have tried to move. Get me some morphine, please, Tash.

OK the foot is cold, dusky, pulseless.

-Call theatre. He needs to go up now.

-Zoe?

-Don't look at me.

-Nick, it's fine. We got this, all right?

Adam, why didn't you try to immobilise his leg?

The vac pack was adequate. There was no need for a back slab.

Course there was. That's why I suggested it.

Argh!

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

I need Mr Orr down in theatre straight away, please.

Well, well, no, you're going to have to stop him... Hey. Hey wait!

-Adam...

-Get him prepped, I'll deal with Orr.

-Looking for Mr Orr.

-There.

CONVERSATION IS DROWNED OUT BY PHONES RINGING

..I need your help! Come on! Do me a favour! You have to try!

-How's she doing?

-Straight to Keller. She's had her first dose of antibiotics.

Shouldn't take more than a few weeks.

Simple as that, eh?

Still... Not sure how the family'll cope after this.

People can get through anything if they're strong enough.

Think it'll take more than a dose of Cef' to sort me.

First of all, I don't like coming to you like this behind Adam's back.

Yet, here you are!

-He's a good doctor, he's a good friend, he's...

-What do you want to tell me, Zoe?

He took his eye off the ball. It happens to all of us.

And now really what do you want to tell me?

I think we need to keep an eye on him.

Figured what the hell?

I'll take you up to him.

Hi.

They reckon she's had it for a while now.

Must have been that infection, remember?

The earache that she had over the holidays.

Anyway, they say she'll be all right now.

They'll have to investigate what she said, Harry,

-but hopefully...

-Hopefully what?

I don't know.

Once we sort it out, maybe we could take things from there.

Start over again.

Harry!

-What was I supposed to think?

-It's not your fault.

We just... rushed things, that's all.

Harry, please.

I'm sorry. SHE SIGHS

There will be fallout. Not just from Mr Reynolds but Kelvin Orr has made a formal complaint.

So things are going to be difficult for you, Adam.

You will need the support of the entire department.

But before I let your colleagues risk their reputations,

I need to ask you a question.

Is there anything else I need to know about?

-No.

-No?

No, there's nothing else you need to know about.

DIAL TONE

Valerie, it's Nick Jordan.

Listen, I need to go through Adam Trueman's patient notes.

Right, well will you just send down everything you have, please? Thank you.

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