System Error Casualty


System Error

Adam purposely mismanages the treatment of a patient accused of assaulting an underage girl, but does he have the right to be judge, jury, and executioner?


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Transcript


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

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

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

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-Maureen.

-What?

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Where the hell have you been?!

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-Out.

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

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-Right. Just give her a second.

-No!

-Just calm down!

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

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-I was at Karen's, all right?

-Well, why didn't you phone?!

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-It ran out.

-So you should've come home!

-Yeah?

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

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Hey! We have not finished yet!

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-Leave it, Maureen.

-No. This is not acceptable.

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You won't get anywhere with her right now.

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

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I can't deal with her any more.

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We'll talk to her tonight.

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

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Hey. She'll get used to the idea.

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

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

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LOUD MUSIC BLASTS

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Go. Or you'll miss your train.

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Y'know, I love my job sometimes.

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

-Oh! Easy...

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Bit of a pain in my shoulder there, mate.

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Might need to get that seen to!

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-All right.

-S'cuse me, madam.

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Can you tell us what happened?

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I took a turn. I couldn't breathe.

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

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

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

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

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-Just get me out of here, will you?

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

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What's happening?

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Holby Comp and Edwalton High kicked off again.

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-Running battle down the high street apparently.

-At eight in the morning?

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Hey, d'you mind?

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Not really.

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

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Try daunting. Feel a little bit rusty.

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

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

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

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-Forging a partnership.

-To do what, exactly?

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

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-Kelvin. What brings you down here?

-We need to have a conversation.

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-Won't be long.

-OK.

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Harry!

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

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-What's going on?

-Something's wrong with her.

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-Well, what's happened to her?

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

-I'll call an ambulance.

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

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-Let's go in the car.

-Emily!

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Careful!

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Get in the car!

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

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Well, having worked with Dr Hemple...

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

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

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

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

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Can't or won't?

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

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Nobody wants that, Kelvin.

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Then rein Trueman in.

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

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I thought it was her son that was ill.

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

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-Are we faking a sick line here?

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

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

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

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Ruth. Back in the saddle again!

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

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That certainly sounds like a trial.

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Ruth! Er, this is Arthur Cobb, 61.

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

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-I told you, it was a mistake.

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

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

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

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Just get me a doctor, will you?

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

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

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What the hell happened to her?!

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I dunno!

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Harry, slow down!

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HORN BEEPS

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Watch out! HORN BLASTS

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OK, OK!

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Look, she just collapsed.

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-Collapsed, how?

-I don't know!

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-Mum?

-HISSING

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-She's awake!

-What's happening?

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

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-What's that noise?

-HARRY COUGHS

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-Get down!

-SCREAMING

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Gary!

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Anything like this ever happened before, Mr Cobb?

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-Not so you'd notice.

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

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Does the student have to be here?

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Well, actually, Dr Winters is fully qualified

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

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OK.

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Do you have to be so clumsy?

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Bear with us, Mr Cobb.

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

-Sit forward.

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

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I didn't mean to go in there.

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-I see.

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

-Not for me to say.

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

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They should all be burnt down.

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

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

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-Could be heart failure.

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

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

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What are you thinking?

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-That we should screen for hepatitis.

-Because...?

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

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

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Yeah.

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-Dr Trueman?

-Yeah.

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I just had a very interesting conversation with Kelvin Orr.

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I find that hard to believe.

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-Tells me you've been having some problems.

-A professional disagreement.

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-A few of his juniors took it personally.

-He says this has been happening regularly.

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

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

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Storm in a tea cup.

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

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OK, thanks for letting me know.

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Cheers, bye-bye.

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-Everything OK?

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

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Anything I can do to help?

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-CRASHING

-Come on, then!

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SHOUTING AND ARGUING

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Oi! Can you get them out of here?

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Break it up! Break it up! Oi!

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Back off!

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-Wait a minute. That wasn't me.

-Can I get some help in here?

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Maureen? Maureen? Are you OK?

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Harry, I can't see.

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All right, come on, let's go.

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Emily! Emily!

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Oh. We've got to get out!

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-I'm not leaving her!

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

-Ow! Ow! Emily!

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Ow! Ow! Ow! No! Harry! SIRENS

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-Stay over there! Stay there.

-No! Get her!

-Stay there! Emily!

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-Come on, Emily, love!

-Get away from me.

-Why, I...

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-Take my hand!

-Don't touch me!

-What?

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

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

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-Whoa! Whoa, whoa, whoa!

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

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-Get away from me!

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

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

-No! Get off me!

-All right, all right, easy, easy.

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You got her? You got her?

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

-You OK, Emily?

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I got you.

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-Arrrgh!

-Harry!

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

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-Well, it doesn't look fractured.

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

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

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

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

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You seem very stressed recently.

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-Kirsty, are you all right?

-No permanent damage.

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

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

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

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The guy started a brawl in reception.

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

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Why are you being so casual about this?

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

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No. I want you to take it seriously.

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

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

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

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

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Then they're going to be disappointed.

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Take him through to CDU, please, Linda.

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-This way.

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

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-He's being checked over, yeah.

-For a split lip?

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-He should be talking to the police.

-And he will. In the meantime...

-Welcome to punch someone else?

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-You seem a little wound up, Dr Trueman.

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

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RTC on Bridley Road. Two on their way in,

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possible prolonged entrapment,

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-serious leg injury. Paramedics requested a doctor.

-Dr Trueman can attend.

-Er, sorry? Why me?

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Because you clearly need some fresh air.

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

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

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

-They asked for it.

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

-So, a school pride thing was it?

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Just hold that firmly on your lip.

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Had to handle them.

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Just came to see if you needed anything.

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

-Defiant as ever.

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

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

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Number four.

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OK, this doesn't look good.

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

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Pulmonary fibrosis?

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Yes, but what's causing it?

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Well, the path results might tell us something.

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

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

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No, there's a trauma coming in.

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

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How's your day going?

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

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Ah. I thought I recognised him.

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-Is he a friend of yours?

-Well, I wouldn't say that.

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

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-Sorry. When you say "married" them?

-Reverend Cobb was the vicar.

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

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-How long?

-About 30 minutes.

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

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

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-if it gets any worse, OK?

-OK. Jake?

0:14:260:14:28

How long before we can move this?

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15 to 20.

0:14:300:14:32

-Where's Emily? Where is she?

-She's being taken care of.

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What's she saying? She said anything?

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-Ow.

-All right.

-Leave me...

-Yeah.

0:14:390:14:41

Diminished sounds on the left side. Possibly a pneumothorax.

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We'll need a full trauma series.

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Get off me. Don't touch me!

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-Emily? Can you hear me?

-I don't want him touching me.

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

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

0:14:540:14:57

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

-Ah!

0:14:570:15:01

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

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-OK.

-Where am I? What's going on?

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

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You were with your mum?

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

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Thank you.

0:15:230:15:24

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

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I need to see Emily.

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

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

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-Please. Let me see her.

-You will, she's just next door.

0:15:390:15:42

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

0:15:420:15:44

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

0:15:440:15:48

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

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And it's serious, is it?

0:15:530:15:55

It's a chronic condition, Reverend Cobb.

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

-He's with a patient.

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-He asked me to speak to you.

-Well, don't worry.

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Not going to break down.

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

0:16:070:16:10

-What, you were aware of this?

-Oh, I knew something was up.

0:16:100:16:15

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

0:16:150:16:18

-Don't bother. No point now.

-No, I don't think you understand.

0:16:180:16:20

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

0:16:200:16:22

I don't want any more tests.

0:16:220:16:24

-But Reverend Cobb...

-Are you deaf or stupid?

0:16:240:16:27

NO MORE TESTS.

0:16:270:16:30

Yeah, I'm through. OK...

0:16:340:16:36

Excellent, OK. Let's connect the drain.

0:16:380:16:41

Suture kit, please. Sister Bateman.

0:16:410:16:44

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

0:16:440:16:48

What was the problem, do we know?

0:16:480:16:50

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

0:16:500:16:54

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

0:16:560:17:02

Harry.

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

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He was hurting me.

0:17:120:17:15

How was he hurting you?

0:17:170:17:19

Holding my arms.

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I couldn't get him off.

0:17:230:17:25

He just wouldn't stop. All over me.

0:17:250:17:28

OK, lets get her up to CT, please.

0:17:330:17:35

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

0:17:350:17:37

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

0:17:370:17:40

-The girl seems genuine enough.

-She seems disorientated to me.

0:17:400:17:43

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

0:17:430:17:46

Look, you know the policy.

0:17:460:17:48

-I'll make the call.

-Thanks.

0:17:480:17:52

All right! I'm coming, man!

0:17:520:17:55

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

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

0:17:580:18:01

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

0:18:010:18:03

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

0:18:030:18:07

-Would you care to expand on that?

-Sorry.

0:18:070:18:09

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

0:18:090:18:14

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

0:18:140:18:18

This is just her getting back at us.

0:18:180:18:20

-Stay still.

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

0:18:200:18:23

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

-OK, nearly there.

0:18:230:18:27

Harry is a good man.

0:18:290:18:30

OK, last one.

0:18:300:18:32

OK, I think we're done here.

0:18:320:18:35

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

0:18:350:18:40

-Maureen!

-Whoa!

0:18:420:18:44

-What are you playing at?

-Leave me alone.

0:18:460:18:48

-Maureen.

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

0:18:480:18:52

-Who cares about him?!

-I do!

-OK, you need to come away now.

0:18:520:18:55

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

-They're not lies!

0:18:550:18:58

He did it. He raped me!

0:18:580:19:01

OK, Tess this is Harry Reynolds.

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

0:19:040:19:07

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

0:19:070:19:11

His BP's been about 100 systolic.

0:19:110:19:14

Maureen? Are you OK? Where's Em?

0:19:140:19:17

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

0:19:210:19:24

-How's the girl, is she OK?

-She's sustained some serious injuries.

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

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

0:19:300:19:33

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

0:19:330:19:36

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

0:19:360:19:41

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

0:19:410:19:44

what do the path results give us?

0:19:440:19:45

Well, his hep screen came back negative.

0:19:450:19:48

White count is elevated and blood shows an eosinophilia.

0:19:480:19:51

Well, that could mean any number of things.

0:19:510:19:53

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

0:19:530:19:57

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

0:19:570:20:02

-What do we actually know about him?

-Nothing.

0:20:020:20:04

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

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

0:20:040:20:09

-Well, how am I supposed to do that?

-You'll work it out.

0:20:090:20:13

Dr Trueman?

0:20:240:20:27

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

0:20:270:20:31

Where's Emily? Is she all right?

0:20:310:20:35

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

0:20:380:20:43

-Wends, can you take over from me?

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

0:20:430:20:45

Let's have a look at this leg.

0:20:450:20:47

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

0:20:470:20:52

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

0:20:520:20:57

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

0:20:570:21:00

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

0:21:000:21:02

Can I speak to her or not?

0:21:020:21:05

Not at the moment, Mr Reynolds.

0:21:070:21:10

I'm sorry, what is going on?

0:21:100:21:13

Maureen? Are you OK?

0:21:160:21:18

What's her mother saying?

0:21:240:21:26

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

0:21:260:21:29

-Could she be?

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

0:21:290:21:32

-What does Kirsty think?

-Seems to be leaning towards the mother.

0:21:320:21:36

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

0:21:410:21:46

-Sorry, and you are?

-Esther Cobb. I'm his daughter.

-Really?

0:21:460:21:49

Erm, well, we checked his notes.

0:21:490:21:52

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

0:21:520:21:55

-Yeah. That sounds about right.

-So, how did you know he was here?

0:21:550:21:59

He showed up at my work.

0:21:590:22:00

Erm... OK.

0:22:020:22:05

Follow me.

0:22:050:22:06

-She said I raped her?

-I tried to speak to her.

0:22:090:22:12

Well, then, you better try harder.

0:22:120:22:13

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

0:22:130:22:17

So, what happened this morning?

0:22:170:22:19

I told you. She collapsed.

0:22:190:22:20

-Yeah, but how, Harry?

-I dunno.

0:22:200:22:23

I found her on her bedroom floor.

0:22:230:22:26

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

0:22:260:22:30

-Why was she half undressed?

-What?

-When I came back.

0:22:300:22:35

Wait a minute, you think I actually did it?

0:22:350:22:39

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

-I never touched her!

0:22:390:22:44

SHE SIGHS

0:22:440:22:45

You do believe me, don't you?

0:22:450:22:48

-Maureen?

-Of course I do.

0:22:480:22:52

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

0:22:560:22:59

He told us it was a mistake.

0:22:590:23:01

So what's wrong with him, then?

0:23:030:23:05

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

0:23:050:23:08

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

0:23:080:23:11

Look. We need some information about your dad.

0:23:110:23:14

Lifestyle, general health, anything really.

0:23:140:23:17

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

0:23:170:23:20

-So you don't know anything about him?

-Last I heard he'd left the country.

0:23:200:23:25

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

0:23:250:23:27

I'm not convinced by the boyfriend.

0:23:270:23:30

-So, we let social services sort it out.

-He'll just deny it.

0:23:300:23:32

Nothing we can do about that.

0:23:320:23:34

And that's it? Wow.

0:23:340:23:36

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

-Why me, of all people?

0:23:360:23:40

Because...

0:23:400:23:42

-..you have a unique perspective here.

-Unique perspective?

0:23:430:23:46

Huh. Lovely way of putting it.

0:23:460:23:48

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

0:23:480:23:51

Our experiences are completely different.

0:23:510:23:54

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

0:23:540:23:57

-Which is that she's lying?

-No!

0:23:570:23:59

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

0:23:590:24:05

That's my unique perspective.

0:24:050:24:08

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

0:24:090:24:13

Hi, Emily, my name's Dr Trueman.

0:24:130:24:16

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

0:24:160:24:20

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

0:24:200:24:23

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

0:24:240:24:28

It can't have been easy,

0:24:280:24:30

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

0:24:300:24:33

Just...keep him away from me.

0:24:350:24:40

I will.

0:24:460:24:48

Thanks, Karen.

0:24:480:24:50

Hello, Dad.

0:24:560:24:58

-So, you came to see me today.

-I came to see what you'd become.

0:25:020:25:06

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

0:25:060:25:10

-some of the girls are really good.

-No shame.

0:25:100:25:13

So, they tell me you're sick.

0:25:130:25:15

Nothing for you to worry about.

0:25:150:25:17

-Who said I was worried?

-Still as angry as ever I see.

0:25:170:25:21

I've got a lot to be angry about.

0:25:210:25:23

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

0:25:240:25:28

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

0:25:310:25:34

I want to meet the boy.

0:25:350:25:38

-Where are we going?

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

0:25:430:25:47

I don't want to go.

0:25:470:25:49

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

0:25:490:25:52

-She hates me.

-No, she doesn't hate you.

0:25:520:25:55

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

0:25:550:25:58

Make sense of what?

0:25:580:26:00

Of what happened between you and Harry this morning.

0:26:010:26:04

Do you remember this morning, Emily?

0:26:070:26:09

Of course I do. I'm not stupid.

0:26:090:26:11

Do you remember what you told us?

0:26:130:26:15

Where are we going?

0:26:180:26:20

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

0:26:220:26:29

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

0:26:290:26:32

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

0:26:320:26:34

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

0:26:340:26:38

I think there could be a psych issue here.

0:26:380:26:40

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

0:26:400:26:42

Sorry? What's going on?

0:26:420:26:44

Look, just, step this way, please.

0:26:440:26:47

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

0:26:500:26:53

-Why would I want that?

-I don't know.

0:26:530:26:55

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

-This is not about me and Warren.

0:26:550:27:00

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.

0:27:000:27:04

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

0:27:040:27:06

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

0:27:060:27:10

that you've come to see this as acceptable?

0:27:100:27:13

You think I accepted what Warren did to me?

0:27:130:27:17

I don't know.

0:27:170:27:18

Did you?

0:27:180:27:20

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

0:27:230:27:26

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

0:27:260:27:29

You think I asked for 15 years of that?!

0:27:290:27:33

Sorry, thank you.

0:27:410:27:43

Erm...

0:27:540:27:56

Social services came back to us.

0:27:580:28:00

Harry Reynolds is on the sex offenders' register.

0:28:000:28:04

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

0:28:330:28:36

-Where's he been?

-Look.

0:28:360:28:39

-It's a website.

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

0:28:390:28:45

Look at the photograph.

0:28:450:28:46

Oh, yes.

0:28:480:28:50

Reverend Arthur Cobb.

0:28:500:28:52

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

0:28:520:28:55

There were signs of eosinophilia in his blood.

0:28:550:28:57

Yeah, which suggest a parasitic infestation.

0:28:570:28:59

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

0:28:590:29:01

-First-rate detection work, Dr Winters.

-We're not there yet.

0:29:010:29:04

We still need to identify the exact type of infestation.

0:29:040:29:07

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

-Yep.

0:29:070:29:11

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

0:29:160:29:18

-Drove me insane.

-How dare you ask me for this?

0:29:180:29:22

-I just want to meet my grandson.

-No! It's not going to happen.

0:29:220:29:27

Isn't he curious about me?

0:29:270:29:29

I told him you were dead.

0:29:310:29:32

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

0:29:360:29:40

-Like I'd forgotten everything?

-This is no time drag up the past.

0:29:400:29:44

This is the perfect time to drag it up.

0:29:440:29:46

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

0:29:460:29:50

-Would that make you feel better?

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

0:29:500:29:55

Reverend Cobb.

0:29:560:29:58

We think we know what might be causing your condition.

0:29:580:30:01

-But we need to run more tests.

-Please, just hang on a minute.

0:30:010:30:04

Well, Dad?

0:30:040:30:07

Run the tests.

0:30:170:30:19

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

0:30:270:30:30

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

0:30:310:30:34

Oh, don't be.

0:30:340:30:36

I kept it under my hat pretty good.

0:30:360:30:38

How bad was it?

0:30:400:30:42

Wasn't great.

0:30:460:30:48

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

0:30:480:30:51

So, problem solved.

0:30:510:30:53

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

0:30:530:30:57

Are you talking to anyone about this?

0:30:570:31:00

No.

0:31:000:31:02

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

0:31:020:31:04

You don't need a therapist to talk.

0:31:040:31:07

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

0:31:070:31:10

You were 21 ten years ago.

0:31:100:31:14

-How's that?

-That's sore.

-OK.

-There was this girl.

0:31:140:31:19

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

0:31:190:31:23

Oh, my God.

0:31:230:31:24

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

0:31:240:31:27

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

0:31:270:31:30

-What have we got?

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

0:31:300:31:36

But I think he might need a bit more analgesia.

0:31:360:31:38

I'll chase up theatre, yeah?

0:31:380:31:40

-Why didn't you tell me this?

-I was waiting for the right time.

0:31:400:31:45

The right time?

0:31:450:31:47

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

0:31:470:31:51

-We WERE going to start a family.

-We can still do that.

0:31:510:31:55

I don't get it.

0:31:590:32:01

Why isn't everything all right now?

0:32:010:32:05

You can't go through years of abuse

0:32:050:32:07

and expect everything to be normal right away.

0:32:070:32:11

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

0:32:140:32:20

and I don't even believe her.

0:32:200:32:22

-You had your doubts. Any professional would.

-No.

0:32:230:32:26

No, no, no, Adam was right.

0:32:260:32:29

I was looking for a reason to doubt her.

0:32:300:32:33

I wanted her to be lying.

0:32:350:32:37

Why would you want that?

0:32:370:32:39

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

0:32:450:32:50

Like a victim.

0:32:550:32:57

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

0:32:590:33:03

Funny way of showing it.

0:33:030:33:05

What was I to do?

0:33:050:33:07

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

0:33:070:33:10

-I was 16 years old.

-You should've know better.

0:33:100:33:13

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

0:33:130:33:17

-I did whatever I could.

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

0:33:170:33:22

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

0:33:220:33:27

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

0:33:270:33:30

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

0:33:300:33:33

-Do you want to know what he did?

-It's really none of my business.

0:33:360:33:40

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

0:33:400:33:45

"God forgive you, Esther."

0:33:450:33:48

Then you walked off and left me.

0:33:480:33:51

Well, God gave me a beautiful little boy.

0:33:540:33:58

And you're never going to see him.

0:33:580:34:00

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

0:34:080:34:14

I love you. OK?

0:34:170:34:20

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

0:34:200:34:23

I believe you.

0:34:250:34:27

Good.

0:34:270:34:28

HE GASPS IN PAIN

0:34:280:34:30

You need to speak to Emily.

0:34:330:34:35

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

0:34:350:34:38

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

-No. No, it has to be now.

0:34:380:34:41

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

0:34:410:34:43

HE YELPS IN PAIN

0:34:430:34:46

Please, don't let her do this!

0:34:460:34:49

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

0:34:490:34:52

This is her way of breaking us up.

0:34:520:34:54

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

0:34:550:34:59

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

-Harry's right.

0:35:140:35:18

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

0:35:180:35:20

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

0:35:200:35:22

Harry would never do anything like this.

0:35:220:35:24

Why? Because he's such a nice guy?

0:35:240:35:26

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

-He said it was a misunderstanding.

0:35:260:35:30

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

0:35:300:35:33

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

0:35:330:35:35

But this is your daughter you're talking about.

0:35:350:35:38

-I'm aware of that.

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

0:35:380:35:42

Dr Trueman?

0:35:440:35:46

Ortho's called. Theatre's backed up,

0:35:460:35:48

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

0:35:480:35:52

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

-Back to Mr Reynolds?

0:35:520:35:56

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

0:35:560:35:59

I mean, what chance has that girl got?

0:35:590:36:01

-Adam, did you hear me?

-Yeah.

0:36:010:36:04

Mr Reynolds is in pain.

0:36:040:36:06

Linda, would you contact the police for me?

0:36:090:36:12

Sure. Everything OK?

0:36:120:36:16

Yeah, yeah.

0:36:160:36:18

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

0:36:180:36:22

Good for you.

0:36:220:36:23

Do you think it was easy for me?

0:36:230:36:25

-Having to deal with a pregnant daughter?

-Just try and relax.

0:36:250:36:28

And one like Esther too. Wild.

0:36:280:36:32

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

0:36:320:36:37

Put this on.

0:36:370:36:38

HE RETCHES AND COUGHS

0:36:380:36:40

BEEPING

0:36:410:36:43

And I was right, too. Look at her,

0:36:460:36:50

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

0:36:500:36:54

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

0:36:540:36:58

I couldn't believe it when I met Harry.

0:37:000:37:03

Nice guy, good job, younger than me.

0:37:030:37:07

OK, keep still, we're nearly done.

0:37:070:37:10

And he did all the pushing.

0:37:100:37:13

Asked me and Emily to move in.

0:37:130:37:16

Not many guys would take on a teenage girl.

0:37:160:37:22

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

0:37:220:37:26

SHE SOBS

0:37:280:37:30

Maureen. Are you OK?

0:37:320:37:35

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

0:37:350:37:40

He was just with me to get to her.

0:37:400:37:43

Try not to think like that.

0:37:430:37:46

And she tried to tell me.

0:37:460:37:49

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

0:37:490:37:56

I hated her for trying to ruin my happiness.

0:37:580:38:02

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

0:38:050:38:08

Come here, come on.

0:38:120:38:15

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

0:38:170:38:21

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

0:38:210:38:26

-They call it snail fever.

-Yes, they do.

0:38:260:38:29

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

0:38:290:38:32

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

0:38:320:38:35

How long have I got?

0:38:350:38:38

-It's really not for us to say.

-Excuse me.

0:38:380:38:41

I went back you know?

0:38:420:38:44

-Sorry?

-To the bus station. I went back.

0:38:470:38:50

But she'd gone.

0:38:520:38:54

Hey.

0:39:000:39:02

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

0:39:020:39:05

Look, they've moved your dad upstairs.

0:39:050:39:08

If you want I could take you to see him.

0:39:080:39:10

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

0:39:100:39:13

Know what? It's quicker walking.

0:39:140:39:16

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

0:39:180:39:22

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

0:39:220:39:27

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

0:39:270:39:29

Better at what?

0:39:290:39:32

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

0:39:320:39:35

you have every right to be angry.

0:39:350:39:38

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

0:39:380:39:41

He's dying.

0:39:410:39:43

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

0:39:430:39:49

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

0:39:490:39:52

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

0:39:530:39:56

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

0:39:560:40:00

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

0:40:000:40:05

He wrote my son off too.

0:40:050:40:07

I can't forgive him for it.

0:40:070:40:10

It's not as simple as that.

0:40:110:40:13

What's happening with Harry?

0:40:160:40:19

You don't need to worry about him.

0:40:190:40:21

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

0:40:240:40:30

I need to know.

0:40:320:40:34

This morning, was that the only time?

0:40:340:40:38

Lots of times?

0:40:430:40:45

Yeah.

0:40:450:40:48

When did it start, darling?

0:40:480:40:51

A year ago.

0:40:510:40:53

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

0:40:530:40:58

Why are you trying to confuse me?

0:40:590:41:01

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

-You don't believe me do you?

0:41:010:41:07

MONITOR BEEPS It's OK, Emily.

0:41:070:41:10

HE GROANS

0:41:100:41:12

You've broken your leg, Mr Reynolds.

0:41:140:41:16

-You have to expect a little discomfort.

-This isn't discomfort. This is pain.

0:41:160:41:20

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

0:41:200:41:24

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

0:41:270:41:32

Mostly RTCs, a few industrial accidents,

0:41:320:41:36

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

0:41:360:41:38

-That was a little crazy.

-Will you just help me?

0:41:380:41:41

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

0:41:430:41:46

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

0:41:460:41:49

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

0:41:490:41:53

You asked if Emily had said anything.

0:41:540:41:56

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

0:41:560:42:00

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

0:42:000:42:04

Unless of course, you had something to hide.

0:42:050:42:08

What? Well, you think I raped her?

0:42:080:42:11

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

0:42:110:42:14

To try and get some sort of revenge?

0:42:140:42:16

Like I said. Leg fractures can be painful.

0:42:160:42:19

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

0:42:190:42:22

HE GASPS

0:42:220:42:25

Please, just help me!

0:42:250:42:27

SCREAMING

0:42:270:42:30

Can we get some help in here please?!

0:42:300:42:33

Emily?!

0:42:350:42:36

Argh!

0:42:410:42:43

-What happened?

-Started fitting. Came out of nowhere.

0:42:430:42:46

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

0:42:460:42:50

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

-Wait. What are you doing to her?

0:42:500:42:53

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

0:42:530:42:56

-Has Emily suffered from fits in the past?

-No. Never.

0:42:560:42:58

-MONITOR BEEPS

-Sats falling.

0:42:580:43:01

What's going on with her?

0:43:010:43:03

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

0:43:030:43:06

-Are the CT results through yet?

-I'm on it.

0:43:060:43:09

All right, good.

0:43:090:43:13

-What are we looking at?

-Multiple, small cerebral abscesses.

0:43:140:43:18

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

0:43:180:43:23

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

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

0:43:230:43:29

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

0:43:290:43:32

-Mood swings, confusion, aggressive.

-All caused by the abscesses.

0:43:320:43:36

You seen Adam? Adam!

0:43:380:43:40

-Get to resus now.

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

0:43:400:43:43

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

0:43:430:43:46

OK the foot is cold, dusky, pulseless.

0:43:460:43:49

-Call theatre. He needs to go up now.

-Zoe?

0:43:490:43:53

-Don't look at me.

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

0:43:530:43:56

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

0:43:560:43:59

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

0:43:590:44:01

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

0:44:010:44:04

Argh!

0:44:040:44:05

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

0:44:050:44:09

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

0:44:090:44:12

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

0:44:120:44:17

-Adam...

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

0:44:170:44:19

-Looking for Mr Orr.

-There.

0:44:230:44:25

CONVERSATION IS DROWNED OUT BY PHONES RINGING

0:44:290:44:34

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

0:44:340:44:38

-How's she doing?

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

0:44:410:44:46

Shouldn't take more than a few weeks.

0:44:460:44:48

Simple as that, eh?

0:44:480:44:50

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

0:44:500:44:54

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

0:44:540:44:58

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

0:45:000:45:04

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

0:45:040:45:07

Yet, here you are!

0:45:070:45:08

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

-What do you want to tell me, Zoe?

0:45:100:45:14

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

0:45:140:45:20

And now really what do you want to tell me?

0:45:200:45:23

I think we need to keep an eye on him.

0:45:230:45:25

Figured what the hell?

0:45:320:45:35

I'll take you up to him.

0:45:380:45:41

Hi.

0:45:410:45:42

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

0:45:530:45:55

Must have been that infection, remember?

0:45:550:45:58

The earache that she had over the holidays.

0:45:580:46:02

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

0:46:020:46:06

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

0:46:080:46:11

-but hopefully...

-Hopefully what?

0:46:110:46:15

I don't know.

0:46:160:46:19

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

0:46:190:46:22

Start over again.

0:46:220:46:26

Harry!

0:46:260:46:28

-What was I supposed to think?

-It's not your fault.

0:46:280:46:33

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

0:46:330:46:36

Harry, please.

0:46:360:46:40

I'm sorry. SHE SIGHS

0:47:000:47:02

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

0:47:130:47:17

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

0:47:190:47:23

You will need the support of the entire department.

0:47:230:47:26

But before I let your colleagues risk their reputations,

0:47:280:47:31

I need to ask you a question.

0:47:310:47:34

Is there anything else I need to know about?

0:47:340:47:37

-No.

-No?

0:47:400:47:44

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

0:47:450:47:49

DIAL TONE

0:48:080:48:10

Valerie, it's Nick Jordan.

0:48:100:48:13

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

0:48:130:48:17

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

0:48:180:48:22

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0:48:380:48:42

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0:48:420:48:45

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