When You're Smiling

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0:00:40 > 0:00:41Whoa!

0:00:53 > 0:00:55Connor, come back and put your helmet on!

0:00:55 > 0:00:58Connor! You come back here and put your helmet on!

0:01:01 > 0:01:04Never cycle without your helmet, you got that?

0:01:06 > 0:01:09We need to look after each other, that's the deal now.

0:01:09 > 0:01:10OK?

0:01:10 > 0:01:13Remember to wait at the main road!

0:01:21 > 0:01:22Connor.

0:01:22 > 0:01:23Connor, slow down!

0:01:29 > 0:01:30S'cuse me.

0:01:37 > 0:01:38Dad!

0:01:46 > 0:01:48We're going to be late!

0:01:50 > 0:01:51Just got to make a call.

0:01:53 > 0:01:55Have you got a tummy ache?

0:01:55 > 0:01:56I'm fine, I'm fine.

0:01:56 > 0:01:58Be brave and it will be OK.

0:01:58 > 0:01:59Be a brave boy for me?

0:02:05 > 0:02:06Tell them where we are.

0:02:06 > 0:02:09PHONE RINGS

0:02:09 > 0:02:10'Which emergency service?'

0:02:10 > 0:02:11Ambulance.

0:02:16 > 0:02:18Where's my phone charger?

0:02:18 > 0:02:20I don't know. Did you leave it in your room?

0:02:20 > 0:02:22Bloody hell!

0:02:24 > 0:02:26Hey.

0:02:26 > 0:02:28We're going to be OK, you know.

0:02:28 > 0:02:29You and me.

0:02:31 > 0:02:34Yeah... See you later.

0:02:37 > 0:02:41# Pack up your troubles in your old kit bag... #

0:02:57 > 0:02:59GRUNTING

0:03:04 > 0:03:063009 to Holby ED.

0:03:06 > 0:03:10En route to you with a 35-year-old male, GCS 14, abdominal stab wound.

0:03:11 > 0:03:13ETA 15 minutes.

0:03:13 > 0:03:16All right, young man, you want to jump in with us?

0:03:16 > 0:03:17Is he going to be OK?

0:03:19 > 0:03:21Yeah, he's going to be fine.

0:03:21 > 0:03:23Can you sit there for me, love?

0:03:27 > 0:03:31OK, I need some space in here. We've got a stabbing coming through.

0:03:31 > 0:03:32So, go.

0:03:32 > 0:03:35So, young lad nicked a car, crashed into Sally. School-run mum.

0:03:35 > 0:03:38She came off worse. Bullseyed the windscreen.

0:03:38 > 0:03:40- Ooh, nasty.- No justice, eh?

0:03:40 > 0:03:42What did the primary survey show?

0:03:42 > 0:03:44It's all right, we've got it under control.

0:03:44 > 0:03:48C-Spine, chest and pelvis?

0:03:45 > 0:03:48Is this Bring a Stupid Question to Work Day?

0:03:49 > 0:03:51Mind if I stick around?

0:03:52 > 0:03:56Er, Zoe, can we get him up to the wards, let Orthos see him up there.

0:03:56 > 0:03:58Nick, mind if we step outside?

0:04:03 > 0:04:05OK, why are you breathing down my neck?

0:04:05 > 0:04:09- I'm interested in your work, that's all.- If this is about Harry Reynolds,

0:04:09 > 0:04:13- I did nothing wrong. The fracture was stable.- I've got the notes, I'm going through them.- What?

0:04:13 > 0:04:18- I don't have time for mind games, what's going on?- I've also asked for your notes for the last six months.

0:04:18 > 0:04:20Is this a witch hunt?

0:04:20 > 0:04:23I take absolutely no pleasure in getting flak for your behaviour!

0:04:26 > 0:04:28You're on my team. You're letting us down.

0:04:28 > 0:04:32And that is not a situation I will allow to continue.

0:04:32 > 0:04:34Do you understand?

0:04:34 > 0:04:36We're fine in here. I want you in CDU.

0:04:36 > 0:04:38I've done nothing wrong.

0:04:59 > 0:05:02MUSIC PLAYS SOFTLY

0:05:41 > 0:05:43PHONE RINGS

0:05:57 > 0:06:00Better than the older ones. They were unstable, volatile,

0:06:00 > 0:06:03looked like they'd been bashed about a bit, like.

0:06:05 > 0:06:08Morning.

0:06:09 > 0:06:12- Morning.- Morning.

0:06:12 > 0:06:15Can you just grab a seat for me, please, young man?

0:06:15 > 0:06:21OK. This is Paul Reaney, 35, appears to have been stabbed with a kitchen knife in the abdomen,

0:06:21 > 0:06:23tachy at 128, systolic at 110.

0:06:23 > 0:06:26OK, Paul, we're just going to move you to another bed, love.

0:06:26 > 0:06:30Dr Lyons, can we get a second access line in, please? And send off the usual bloods,

0:06:30 > 0:06:35cross match for four units. I'll do the primary survey.

0:06:35 > 0:06:37- Paul, can you hear me?- Yep.

0:06:37 > 0:06:41- Looks like his resps are up. - Just open your mouth for me.

0:06:41 > 0:06:43Good. Can you tell me what happened?

0:06:43 > 0:06:45I don't know. It hurts.

0:06:45 > 0:06:49Trachea mid-line. Right, just going to have a little listen to your chest.

0:06:49 > 0:06:51Yeah, that all sounds clear.

0:06:51 > 0:06:55OK, there's a 2cm stab wound to the left costal region,

0:06:55 > 0:06:57blood oozing at the site,

0:06:57 > 0:07:01rest of the belly doesn't feel too tender.

0:07:01 > 0:07:04Let's turn him over, so I can have a look at his back.

0:07:04 > 0:07:06Can someone get X-ray in, please?

0:07:06 > 0:07:09- Dad!- Hey, mate. Don't worry. I'll be OK.

0:07:09 > 0:07:10- Get him out, please.- Right.

0:07:10 > 0:07:13- We need to get hold of a next of kin. - Call Annie. Connor's got my phone.

0:07:13 > 0:07:15All right, Paul. Take it easy.

0:07:15 > 0:07:17- Can you take over from me?- Yeah.

0:07:17 > 0:07:19Come with me, big man.

0:07:19 > 0:07:21What are you doing to him?

0:07:22 > 0:07:24I'll tell you on the way.

0:07:24 > 0:07:26PHONE RINGS

0:07:26 > 0:07:29Here, Mads. This is Connor.

0:07:29 > 0:07:32Connor's dad's had a wee accident, but he'll be all right.

0:07:32 > 0:07:35So if I go back into that room and take a look after him,

0:07:35 > 0:07:39- you're all right to look after the big man?- Uh, yeah, sure.

0:07:39 > 0:07:42Hi, Connor. I'm Mads. How old are you?

0:07:42 > 0:07:45- Going to be eight. - Eight! So grown up.

0:07:45 > 0:07:50OK, I would like a lemonade from the machine over there

0:07:50 > 0:07:55and maybe, just maybe, you can get one for yourself.

0:07:56 > 0:07:58- Good boy.- All right, good lad.

0:07:58 > 0:08:00We need to get in contact with an Annie.

0:08:00 > 0:08:01Apparently, the kid has the number.

0:08:02 > 0:08:04OK. I can do that.

0:08:04 > 0:08:07You seem better.

0:08:07 > 0:08:10The hard part's done, just... The police will do the rest.

0:08:10 > 0:08:12It's fine. All over.

0:08:12 > 0:08:13Let's not mention it again.

0:08:46 > 0:08:49I need to phone someone to tell them that you're here.

0:08:49 > 0:08:52- Shall I call your mum? - She won't be there.

0:08:52 > 0:08:57- She doesn't answer her phone any more.- Oh. OK. Why not?

0:09:00 > 0:09:02I'm very brave.

0:09:03 > 0:09:10- I'm sure you are.- You should try my Auntie Annie.- Your auntie?

0:09:10 > 0:09:14- Her number's in here.- Great.

0:09:16 > 0:09:19Systolic 134 now and his tachycardia has come back down.

0:09:19 > 0:09:23- Looks like he's stabilised.- Good. That's good news, it means you're out of immediate danger.

0:09:23 > 0:09:26The stabbing doesn't seem to have compromised any major structures.

0:09:26 > 0:09:33- Do you want me to fetch your son in now?- Can it wait till I'm a bit more presentable?- Yeah, sure.

0:09:33 > 0:09:37Don't tell him I'm going to theatre. Just say I'm having a sleep.

0:09:37 > 0:09:44He lost his mum last year. He's been through a lot.

0:09:44 > 0:09:46So there's these three blokes going on a stag do,

0:09:46 > 0:09:50- a big one, a small one and one with a limp.- Uh-uh.

0:09:50 > 0:09:52You already told us this one last night.

0:09:52 > 0:09:53Wasn't funny then.

0:09:53 > 0:09:55No, this is a different one...

0:09:55 > 0:09:57Guys, you seen Mads and that little kid?

0:09:57 > 0:09:59Yep, they went that way.

0:09:59 > 0:10:03So the big one decides that they need to take an Ordnance Survey map with them

0:10:03 > 0:10:05so they don't get lost...

0:10:06 > 0:10:10Is this the one about the peanut butter and the binoculars?

0:10:10 > 0:10:13- Oh, go on, tell the rest, I love that joke!- Nah.

0:10:13 > 0:10:14What's the problem?

0:10:16 > 0:10:19What, can I not even join in a joke now, just because...

0:10:19 > 0:10:23Well, it's just inappropriate, you know, in front of a lady.

0:10:23 > 0:10:25I don't count, cos apparently, I'm not a lady.

0:10:25 > 0:10:30- No, no, no, it's not that, it's to do with...- With what?

0:10:30 > 0:10:34With the fact that we all know that your husband used to beat you up.

0:10:36 > 0:10:40Yeah... Yeah, he did.

0:10:42 > 0:10:46I know it's a juicy bit of gossip and you're all going to want to talk about it...

0:10:46 > 0:10:50- Not at all.- I don't blame you. I'd do exactly the same.

0:10:50 > 0:10:53You lot are meant to be my mates, so, yeah, talk about it,

0:10:53 > 0:10:58but please, don't be awkward with me.

0:10:58 > 0:10:59Of course we won't.

0:10:59 > 0:11:02Come on, no-one's got a problem with that, have they?

0:11:02 > 0:11:04Come here.

0:11:05 > 0:11:10Can we leave the team bonding until the next pointless paintballing day, please,

0:11:10 > 0:11:16- and get back on with some work? Shouldn't you be in CDU?- Yup.

0:11:16 > 0:11:18Hey, well done.

0:11:18 > 0:11:23- I thought you handled that brilliantly.- Thank you.

0:11:24 > 0:11:27All I want to do is get back to normal.

0:11:29 > 0:11:32Listen, I'm sorry about the other day.

0:11:32 > 0:11:35Yeah, I know. Me too. Shall we start again?

0:11:35 > 0:11:39OK. Hey, look, I've been banished to CDU for the day,

0:11:39 > 0:11:41why don't you come and work with me?

0:11:41 > 0:11:43Like we used to. Hm?

0:11:43 > 0:11:45- Partners?- Yeah, OK.

0:11:45 > 0:11:47- Partners?- Yeah.

0:11:47 > 0:11:50Yeah, I took some time off for personal reasons, but...

0:11:50 > 0:11:53I'd be more that happy to send a CV or come down for an interview.

0:11:55 > 0:11:56..Great...

0:11:56 > 0:11:57KNOCK AT DOOR

0:11:57 > 0:12:00..OK, thanks a lot, I'll see you then.

0:12:00 > 0:12:03KNOCKING CONTINUES

0:12:14 > 0:12:16Mr Berkely?

0:12:28 > 0:12:32What's all this, Matthew?

0:12:32 > 0:12:34I've got three interviews next week.

0:12:34 > 0:12:37That's good, that's good, man.

0:12:39 > 0:12:42Where were you last Friday?

0:12:42 > 0:12:46- Last Friday?- Mm.

0:12:46 > 0:12:49Give me a sec.

0:12:49 > 0:12:55This is Jenny Jones. She's 14.

0:12:55 > 0:13:00She was taken to the park the other day by a nice man who bought her cigarettes and vodka.

0:13:03 > 0:13:05She was assaulted, Matthew...

0:13:06 > 0:13:10..and her attacker matches your description.

0:13:10 > 0:13:11Well, it wasn't me.

0:13:13 > 0:13:15So where were you on Friday?

0:13:15 > 0:13:19I can tell you, I'll tell you. Hang on.

0:13:19 > 0:13:24The probation officer told me to keep a paper trail.

0:13:25 > 0:13:29Friday, Friday, Friday.

0:13:29 > 0:13:31Here we go.

0:13:31 > 0:13:359.15 newsagents, 10.20 supermarket,

0:13:35 > 0:13:3811.30 back to the newsagents, 11.52 back to the supermarket.

0:13:38 > 0:13:40I've got them mostly every half hour.

0:13:40 > 0:13:43And the bits in-between, I should be on CCTV,

0:13:43 > 0:13:47either at the front of the flat or the bank on the high street.

0:13:47 > 0:13:49You don't, you don't...

0:13:49 > 0:13:52It's a very strange life you lead.

0:13:56 > 0:14:02Matthew, I hope we won't be seeing each other any time soon.

0:14:15 > 0:14:17Wait, please! Wait!

0:14:20 > 0:14:24Everything's changed. I've changed!

0:14:24 > 0:14:26You don't have to worry about me any more.

0:14:38 > 0:14:41Romeo Hotel Sierra Zero to Control.

0:14:41 > 0:14:45Ambulance required at the Coppice Estate.

0:14:45 > 0:14:47MUSIC PLAYS

0:14:49 > 0:14:53- That's a lovely sight.- Hmm. Reminds me of the wallpaper

0:14:53 > 0:14:55my Aunt Didi had in her bedroom.

0:14:55 > 0:14:59- Interesting lady. - She was. Very artistic.

0:14:59 > 0:15:03- Shame we never met. - She'd have gobbled you up.

0:15:05 > 0:15:09- Is that so? - She had terrible taste in men.

0:15:12 > 0:15:15Right, er, we don't want this infection to spread,

0:15:15 > 0:15:21so let's give him some Ibuprofen and let's add Fluclox 500mg QDS.

0:15:21 > 0:15:25I shall go and see what other joys CDU has in store for us

0:15:25 > 0:15:28and we'll meet up in... I don't know...

0:15:28 > 0:15:32seven minutes, for another free and frank exchange of views.

0:15:33 > 0:15:37- Hurt himself while helping you with enquiries, did he?- Don't be clever.

0:15:37 > 0:15:39Just sort him out, will you?

0:15:39 > 0:15:41All right, let's have a look at you.

0:15:42 > 0:15:45Oh, hello. We've met before, haven't we?

0:15:45 > 0:15:51- Matthew, can you look at me, mate? - We'll get some saline up and take him in.

0:15:51 > 0:15:52To Holby City?

0:15:52 > 0:15:57- Yeah, why, is that a problem?- No.

0:15:58 > 0:16:02- There you go.- Thank you.

0:16:02 > 0:16:04Oh, that looks nasty. What happened?

0:16:04 > 0:16:07- You won't believe me.- Why not? - I walked into a wall.

0:16:07 > 0:16:11Can you follow the end of my finger with your eyes, please?

0:16:11 > 0:16:14It's ridiculous, isn't it? Like Laurel and Hardy,

0:16:14 > 0:16:19- except they always manage to do it without spilling quite as much blood.- And relax, thank you.

0:16:19 > 0:16:22- Has this sort of thing ever happened to you before?- No!

0:16:22 > 0:16:24First time for everything.

0:16:24 > 0:16:27OK, Donna, have you felt ill at all recently?

0:16:27 > 0:16:29Or nauseous?

0:16:29 > 0:16:31Dizzy, perhaps?

0:16:32 > 0:16:36No? Are you on any medication at the moment?

0:16:41 > 0:16:43What's wrong?

0:16:43 > 0:16:47Oh, it's bad timing, that's all. I'm going on an adventure holiday

0:16:47 > 0:16:50and I could do without a bump on my head.

0:16:50 > 0:16:52How's the backlog, Dr Trueman?

0:16:52 > 0:16:56Relishing taking a break from the thrills and spills of acute medicine, thanks for asking.

0:16:56 > 0:16:59Good. Glad to see you're keeping out of mischief.

0:17:04 > 0:17:07All right, Donna. We're going to keep you under observation

0:17:07 > 0:17:10for a little while to check for the concussion,

0:17:10 > 0:17:12but I'm sure you'll be out of here in no time.

0:17:12 > 0:17:15I shall leave you in the capable hands of Staff Nurse Clements.

0:17:21 > 0:17:24OK, this is Matthew Haddon, 26. GCS of 14.

0:17:24 > 0:17:26Collapsed and fell down the stairs,

0:17:26 > 0:17:29he has a laceration to his right cheek.

0:17:29 > 0:17:31Hypotensive at scene, was systolic at 95.

0:17:31 > 0:17:34Improved after 500 mls of saline.

0:17:34 > 0:17:37BP's 102 over 58, pulse is 104,

0:17:37 > 0:17:42resps 18, sats 98. OK, let's get him over, please.

0:17:42 > 0:17:43There we go.

0:17:43 > 0:17:46I've treated you before, Matthew.

0:17:47 > 0:17:49- I want to see Dr Trueman. - You're stuck with us.

0:17:49 > 0:17:52Nothing to fear. I've only had six espressos this morning.

0:17:52 > 0:17:54You've had a fall, and your blood pressure is a bit low,

0:17:54 > 0:17:57- have you been feeling unwell recently?- Not really.

0:17:57 > 0:18:01A most underrated drug, caffeine, should be Class A, class B at the very least.

0:18:01 > 0:18:06- I want to be treated by Dr Trueman. - I'd like Beyonce to give me a booty call, but it won't happen.

0:18:06 > 0:18:10- Any tightness in the chest, any pain on passing water?- No. No.

0:18:10 > 0:18:12- Any allergies?- Not really.

0:18:12 > 0:18:15You have to help us, we need to find out the cause of your collapse.

0:18:15 > 0:18:17Not until I speak to Dr Trueman.

0:18:17 > 0:18:20MUSIC PLAYS

0:18:23 > 0:18:26- How are we doing? - We're having a lovely time.

0:18:26 > 0:18:27Just can't shut him up.

0:18:29 > 0:18:33OK, now, listen, you need... Excuse me. Hello? Hello.

0:18:33 > 0:18:35You might want to change your tattooist.

0:18:35 > 0:18:37This is a course of antibiotics,

0:18:37 > 0:18:41there's also some pain relief. Make sure you follow it. All right.

0:18:46 > 0:18:48You're welcome.

0:18:48 > 0:18:51Er, sir. Excuse me. Hello, hello.

0:18:51 > 0:18:55Don't forget your medication and don't forget to take it.

0:18:59 > 0:19:02Bye now! Come and see us again soon.

0:19:02 > 0:19:04There's a patient asking for you in resus.

0:19:04 > 0:19:07What can I say? I'm a popular guy.

0:19:07 > 0:19:09It's Matthew Haddon.

0:19:09 > 0:19:14Er, Kirsty, can you hang in here, sort out Ms Sumpter, please?

0:19:18 > 0:19:22- He likes you.- Who?

0:19:25 > 0:19:26It's complicated.

0:19:27 > 0:19:29If you get the chance, you should go for it.

0:19:29 > 0:19:32Life's too short to mess about.

0:19:32 > 0:19:34Are you an agony aunt or something?

0:19:34 > 0:19:36No. Just jealous.

0:19:36 > 0:19:38Oh, really?!

0:19:38 > 0:19:41If you like him that much, you're welcome to have a try.

0:19:43 > 0:19:46I don't think that's a very good idea.

0:19:48 > 0:19:52- Why?- It's complicated.

0:19:56 > 0:20:00He wants to be treated by you, because you're his special friend.

0:20:00 > 0:20:03That's fine by me, I wasn't doing anything else.

0:20:03 > 0:20:05Hello, Matthew. OK, shall I take him off your hands?

0:20:05 > 0:20:07Be my guest.

0:20:07 > 0:20:10- Great, Tess, where are we at? - He's come in with a low BP,

0:20:10 > 0:20:12collapse query cause. He fell down the stairs.

0:20:12 > 0:20:18- All his X-rays are fine and we've cleared his neck.- Are the bloods back in?- We're still waiting.

0:20:18 > 0:20:19- Good.- Good?

0:20:20 > 0:20:22Great, thank you, Tess.

0:20:22 > 0:20:25We don't want any more security issues,

0:20:25 > 0:20:28so I'm going to take him through to HDC. I'll review him there.

0:20:34 > 0:20:36Have you said anything about the pills?

0:20:36 > 0:20:39Do you think I'll need some more? I finished them all.

0:20:39 > 0:20:42- You fi... - Do you need a hand there?

0:20:42 > 0:20:45- We're fine. Everything under control. - I'll help you anyway,

0:20:45 > 0:20:47because I can't stop giving today, for some reason.

0:20:51 > 0:20:54OK, what's your name, darling? I'm Kirsty.

0:20:54 > 0:20:59Matthew. Matthew Haddon.

0:20:59 > 0:21:03- What brings you here today, Matthew? - Matthew's feeling shy today.

0:21:03 > 0:21:08He had a vaso-vagal episode, low BP, I'm still trying to get to the underlying cause,

0:21:08 > 0:21:12but ECG is fine and everything's under control. So, thanks, but...

0:21:12 > 0:21:15we really don't really need any help.

0:21:15 > 0:21:19OK, thought you wanted me to work with you today.

0:21:19 > 0:21:21MACHINE BLEEPS

0:21:24 > 0:21:26- BM's 3. - Er, yeah, that's OK.

0:21:26 > 0:21:29He just needs, 30 of 50% dextrose and some Gelli.

0:21:29 > 0:21:31OK, do you want me to draw that up?

0:21:31 > 0:21:35- No, it's fine, I'll sort it. - I'm really cold.

0:21:36 > 0:21:39If you really want to help, you can grab me some blankets.

0:21:43 > 0:21:46- OK.- Thank you.

0:21:50 > 0:21:53Matthew, do you want to tell us what the hell is going on here?

0:21:53 > 0:21:55When did you finish the prescription?

0:21:55 > 0:21:57I don't know. A week ago.

0:21:57 > 0:22:02A... I gave you enough for 90 days!

0:22:02 > 0:22:06Well, I doubled the dose to make sure they worked.

0:22:06 > 0:22:08Well, now we know why you collapsed.

0:22:09 > 0:22:10But I'm cured!

0:22:10 > 0:22:12HE SIGHS

0:22:12 > 0:22:15- P?- No!

0:22:15 > 0:22:18- S?- Uh-uh.- Oh!

0:22:18 > 0:22:21Is my dad going to die?

0:22:22 > 0:22:25No, no, no, no, sweetheart. He'll be fine.

0:22:25 > 0:22:26- He'll be fine.- Yeah.

0:22:26 > 0:22:28And we've left a message for your auntie.

0:22:31 > 0:22:33You've got one guess left.

0:22:34 > 0:22:37Right, erm... U?

0:22:37 > 0:22:41- You're dead!- Ah, you won! What was it?

0:22:44 > 0:22:45Oh! Interesting choice.

0:22:45 > 0:22:48Very, er, biblical.

0:22:48 > 0:22:52Your... Your go. You choose one.

0:22:53 > 0:22:54Right.

0:23:00 > 0:23:03They keep coming through the door for Dad.

0:23:03 > 0:23:05Why would someone send him that?

0:23:05 > 0:23:08I think people at work are angry with him.

0:23:08 > 0:23:12Um, what does your father do?

0:23:12 > 0:23:15- You won't show him, will you? - No, no.

0:23:15 > 0:23:16He cries when I'm asleep.

0:23:18 > 0:23:20We have to get our stories straight.

0:23:20 > 0:23:25- Do you know what I did today?- If anyone asks what happened to you...

0:23:25 > 0:23:29- I stood near a playground...- What? - ..and watched the children.

0:23:30 > 0:23:31What did you do?

0:23:33 > 0:23:38Nothing! Absolutely nothing. You've cured me.

0:23:40 > 0:23:42The pills are not a cure.

0:23:42 > 0:23:46They just suppress the urges. They don't change who you are.

0:23:46 > 0:23:47I'll need some more then.

0:23:47 > 0:23:48One step at a time.

0:23:48 > 0:23:50When will you let me have some more?

0:23:50 > 0:23:53It doesn't work like that! You have to stick to the regime!

0:23:53 > 0:23:57One tablet, twice a day, they're not sweets, you have to be careful!

0:23:57 > 0:23:59Who has to be careful?

0:23:59 > 0:24:02Er, thank you, Staff Nurse Clements.

0:24:02 > 0:24:05Well, his BP is stable.

0:24:05 > 0:24:08Looks like the Dextrose and the Gelofosine have done the trick.

0:24:08 > 0:24:11Why've you given him Hydrocortisone?

0:24:11 > 0:24:15- Are we back at med school now? - Excuse me?

0:24:15 > 0:24:18His potassium was high, his sodium was low,

0:24:18 > 0:24:22he was mildly acidotic and is responding to the Hydrocortisone. Is there a problem?

0:24:22 > 0:24:24Can we have a word?

0:24:32 > 0:24:36What's going on? You're the one who wanted us to work together,

0:24:36 > 0:24:40but you're being shifty and evasive. One minute, we're good,

0:24:40 > 0:24:44- and the next, you're hiding your patient.- We are good! - Pushing me away.- We're good. I...

0:24:44 > 0:24:46I've treated him before. He's a little sensitive.

0:24:46 > 0:24:50- I thought it'd be best if I dealt with him on my own.- Did you?- Yeah.

0:24:51 > 0:24:56And besides, I thought you were in CDU covering for me.

0:24:56 > 0:24:59You're trying to get rid of me.

0:25:00 > 0:25:04- Now you're just being paranoid.- What?

0:25:04 > 0:25:07Kirsty, unless you have something sensible to say,

0:25:07 > 0:25:10I really need to get back to treating my patient.

0:25:21 > 0:25:24OK, Matthew, here's what we need to say.

0:25:24 > 0:25:28- You came in because you had an allergic reaction. - Is that not what happened?- No.

0:25:28 > 0:25:32You collapsed because you took too many Draxatel and didn't taper your withdrawal.

0:25:32 > 0:25:36These are powerful drugs, you can't mess around with the dose.

0:25:36 > 0:25:38When will you let me have some more?

0:25:38 > 0:25:41I have to have some more. They've set me free.

0:25:41 > 0:25:45First thing we need to do is organise a transfer to the wards,

0:25:45 > 0:25:50and once we've done that, we can talk about where we go from here.

0:25:50 > 0:25:53The results for you.

0:25:59 > 0:26:01What is it?

0:26:06 > 0:26:12Your liver has reacted adversely to the Draxatel.

0:26:13 > 0:26:16Your enzymes have skyrocketed.

0:26:16 > 0:26:19- You can't take it again. - What do you mean? I have to have those pills.

0:26:19 > 0:26:23You have no choice. The liver damage will kill you if you take the pills again.

0:26:23 > 0:26:26I can't go back out there.

0:26:27 > 0:26:28I'm not safe!

0:26:31 > 0:26:33Where are you going?

0:26:33 > 0:26:37I need to talk to the bed manager, we need to get you out of here.

0:26:37 > 0:26:39Don't move.

0:26:42 > 0:26:44Can I go home now, please?

0:26:54 > 0:26:58- I don't mean to be a pain, but can I?- Donna...

0:26:58 > 0:27:00did you really walk into a wall?

0:27:01 > 0:27:05I told you. I'd just done a climb. I wasn't looking where I was going...

0:27:05 > 0:27:09People our age don't just bump into things for no good reason.

0:27:09 > 0:27:16- It was an accident.- And have you had any other accidents recently?

0:27:16 > 0:27:19- Fallen downstairs? - Can I go home now, please?

0:27:20 > 0:27:22No. No, I'm sorry.

0:27:22 > 0:27:24I think you need a head scan.

0:27:24 > 0:27:28- That's not what the doctor said. - Yeah, well...

0:27:28 > 0:27:30I think we should check with another doctor.

0:27:38 > 0:27:40So, we've narrowed it down.

0:27:40 > 0:27:42There are three Paul Reaneys in the Holby area.

0:27:42 > 0:27:45There's a builder, a lawyer and an accountant.

0:27:45 > 0:27:49Which of them do you reckon is most likely to get stabbed in his line of work?

0:27:49 > 0:27:52Definitely the builder. The prices they charge!

0:27:54 > 0:27:56Oh, Noel, have you seen Dr Hanna?

0:27:56 > 0:27:59Afraid not. You couldn't do me a favour, could you?

0:27:59 > 0:28:01Same old problem, I'm afraid.

0:28:01 > 0:28:04None of us can read Dr Trueman's handwriting.

0:28:08 > 0:28:13- OK, um... Don't worry. I'll sort this.- Cheers.

0:28:18 > 0:28:19Donna!

0:28:19 > 0:28:23Where are you going? Donna!

0:28:27 > 0:28:28I hate hospitals.

0:28:31 > 0:28:33What are you running away from?

0:28:37 > 0:28:39What is it? Please, tell me.

0:28:41 > 0:28:44You're so kind. I hope I have you every time.

0:28:44 > 0:28:46Every time?

0:28:47 > 0:28:50I thought it was just an accident.

0:28:51 > 0:28:53It's called HERNS.

0:28:53 > 0:28:59Hereditary Endotheliopathy with Retinopathy, Nephropathy and Stroke.

0:28:59 > 0:29:03It killed my mother and my sister.

0:29:09 > 0:29:12Hi, is that the CT department?

0:29:20 > 0:29:24Can I sit next to you? I'm on a treasure hunt.

0:29:24 > 0:29:27There's five bags. I've got three already.

0:29:28 > 0:29:31Do you want to help me look for the rest?

0:29:32 > 0:29:35- You're just like me.- Am I?

0:29:35 > 0:29:39Yeah. Look.

0:29:39 > 0:29:42I fell off my bike the other day. Grazed my chin too.

0:29:42 > 0:29:44What happened to you?

0:29:45 > 0:29:47I fell over too.

0:29:47 > 0:29:50I'm always falling over,

0:29:50 > 0:29:53don't know what Dad will say when he sees me with all these bandages!

0:29:57 > 0:29:58Don't be sad.

0:30:00 > 0:30:02You'll feel better soon.

0:30:08 > 0:30:11- Have you had a diagnosis? - I never needed one.

0:30:11 > 0:30:12I assumed I'd get it, so...

0:30:12 > 0:30:17I pretended I was superwoman, dashing about, cramming things in,

0:30:17 > 0:30:21drinking to the bottom of every glass.

0:30:21 > 0:30:25But lately, I'd started to think I'd got away with it.

0:30:27 > 0:30:30Started planning a future.

0:30:30 > 0:30:31There's this man...

0:30:31 > 0:30:34I've never allowed anyone to get involved, but...

0:30:36 > 0:30:40He's so lovely... I'd begun to think I had a chance.

0:30:41 > 0:30:43Maybe you do.

0:30:43 > 0:30:45You're such a sweet girl.

0:30:45 > 0:30:47If you haven't even had a diagnosis.

0:30:47 > 0:30:52It affects the inner lining of the blood vessels in the brain, the retina, the kidneys.

0:30:52 > 0:30:55So the vision loss is a pretty big indicator.

0:30:56 > 0:30:57Let me get a doctor.

0:30:57 > 0:31:00There's nothing they can do. It's incurable.

0:31:00 > 0:31:05If you have it. But if you haven't...

0:31:05 > 0:31:07Isn't that worth finding out?

0:31:08 > 0:31:10Then at least you'd know.

0:31:19 > 0:31:22- Connor's auntie's on her way. - Thank goodness.

0:31:22 > 0:31:24- And we might know why his dad got stabbed.- How?

0:31:24 > 0:31:28- Well, I have an IQ of 150. - No, you haven't!

0:31:28 > 0:31:33Yes, I have. I did it online. I've got a certificate to prove it.

0:31:33 > 0:31:36- But why was he stabbed?- Ah, well, that's a bit juicy. Right...

0:31:36 > 0:31:39I did some detective work.

0:31:39 > 0:31:43Paul Reaney's a lawyer, and he's not always on the side of the angels.

0:31:43 > 0:31:46No. He got a boozed-up rich kid off a drink-drive case a month ago.

0:31:46 > 0:31:48Oh, my God.

0:31:48 > 0:31:50See, that's why I couldn't be a lawyer.

0:31:50 > 0:31:53- It would sit on my conscience. - Oh, is that the only reason?

0:31:53 > 0:31:55Nothing to do with the qualifications?

0:31:55 > 0:31:58You come up against a clever lawyer and you don't have a chance.

0:31:58 > 0:32:02- Why not?- Well, they twist the truth, you know.

0:32:02 > 0:32:04They attack your character, they call you a criminal...

0:32:04 > 0:32:07The next thing you know, night is day, day is night,

0:32:07 > 0:32:09the world's upside down and a guilty man walks away

0:32:09 > 0:32:13- because he can afford a better legal team than you or I. - I'm sure that's not how it works.

0:32:13 > 0:32:16Even if you've been caught with your hand in the cookie jar,

0:32:16 > 0:32:19a decent barrister will always find a loophole to wriggle through.

0:32:19 > 0:32:21- That's not fair.- Fair?

0:32:21 > 0:32:24Who ever told you the legal system in this country was fair?

0:32:27 > 0:32:30- What did I say?- I don't know.

0:32:32 > 0:32:35All right, just let me know if that changes. Thank you.

0:32:35 > 0:32:36Where have you been?

0:32:36 > 0:32:41- Trying to find a bed for my patient. - Matthew Haddon's notes. - Where did you get that?

0:32:41 > 0:32:45Anaphylaxis! Do you think I'm an idiot?

0:32:45 > 0:32:48- Matthew had an allergic reaction.- No.

0:32:48 > 0:32:52No way! He had no angio-oedema, no urticaria, no respiratory distress.

0:32:52 > 0:32:54What are you hiding?

0:32:54 > 0:32:56Look, Kirsty, just...

0:32:57 > 0:33:00..trust me. Please.

0:33:10 > 0:33:11- Mads?- Yeah?

0:33:11 > 0:33:14- Have you seen Matthew Haddon?- Who?

0:33:14 > 0:33:18- Six foot, brown hair, was in HDC. - Er, was he the man talking to Connor over there?

0:33:18 > 0:33:22- Er, Connor? Who's Connor? - My seven-year-old boyfriend.

0:33:29 > 0:33:32Why is everyone so worried?

0:33:32 > 0:33:34Matthew Haddon's a paedophile.

0:33:36 > 0:33:40- Jay?- Yeah?

0:33:43 > 0:33:45- Have you seen Connor? - Not recently. Why?

0:33:45 > 0:33:51- What's going on?- Erm... - You said he was being looked after!

0:33:51 > 0:33:53Mr Reaney! Stay where you are, please!

0:33:53 > 0:33:54No, don't, don't! BEEPING

0:33:54 > 0:33:57- Whoa, whoa, whoa, whoa!- Jay.

0:33:57 > 0:34:00- OK, let's get a second line back in here.- Oh..

0:34:00 > 0:34:03He's dropped his pressure, systolic 88,

0:34:03 > 0:34:07heart rate up again to 122, resps are 33.

0:34:07 > 0:34:11OK. Wayne! When the second line's back in, hang blood on both lines

0:34:11 > 0:34:17and put them through an infuser. And, Tash, could you please page Mr Jordan?

0:34:17 > 0:34:21Also ring theatre, tell them we might have a possible rebleed.

0:34:21 > 0:34:23Definite rebleed, we need him up there now!

0:34:23 > 0:34:26Connor, son? Are you in here?

0:34:26 > 0:34:28Er... No.

0:34:39 > 0:34:43- No.- Come on. - Paul, just try and relax, please.

0:34:43 > 0:34:46- Theatre's ready.- Right, Mr Jordan, his peripheries are now cold.

0:34:46 > 0:34:49- Thanks, Jay.- I think he's going into shock.- Right, Paul, lie still for us.

0:34:49 > 0:34:52- Where is he?- Paul! Lie still!- Should we sedate him?- No. Look, Paul...

0:34:52 > 0:34:56Paul! Lie still for us! Your spleen is bleeding, we need to treat you!

0:34:56 > 0:34:58Please get him up, quickly, guys.

0:34:58 > 0:34:59I'm going to go up with him, OK?

0:34:59 > 0:35:02This door's locked! They've got to be in here.

0:35:02 > 0:35:05Let's not overreact. We don't know if he's taken the boy.

0:35:05 > 0:35:06Come on, open this door!

0:35:06 > 0:35:09Matthew, this is Adam. Are you in there?

0:35:09 > 0:35:13OK. You need to think very carefully about what you're doing!

0:35:13 > 0:35:16I know this is a difficult time for you. But you have to believe me, I can help you.

0:35:16 > 0:35:19Enough of this woolly liberal nonsense, all right?

0:35:19 > 0:35:21On me. Three, two, one!

0:35:25 > 0:35:28- You lot are funny. What are you doing?!- Connor!

0:35:28 > 0:35:30Where have you been?!

0:35:30 > 0:35:32Your aunt is going to be here any minute,

0:35:32 > 0:35:35but until then, young man, you stick with me. Come on!

0:35:38 > 0:35:40Adam. Don't keep running away from me.

0:35:40 > 0:35:42I need to find my patient.

0:35:42 > 0:35:44Kirsty!

0:35:44 > 0:35:46Donna Sumpter's results are in.

0:35:50 > 0:35:52Your visual acuity is impaired,

0:35:52 > 0:35:54there's retinal damage at the back of your eyes.

0:35:54 > 0:35:58Your basic bloods, Us and Es, are showing abnormal levels of creatinine.

0:35:58 > 0:36:02I can also see a couple of microinfarcts on your brain

0:36:02 > 0:36:03from the CT scan.

0:36:03 > 0:36:06Now, nothing is absolute.

0:36:06 > 0:36:08You still need to have a proper gene test

0:36:08 > 0:36:11and a specialist diagnosis, do you understand?

0:36:11 > 0:36:14But when I put this together with your family history...

0:36:14 > 0:36:16I know.

0:36:16 > 0:36:17I've got it.

0:36:18 > 0:36:20I'll leave this with you, Kirsty, OK?

0:36:22 > 0:36:24Thank you, Dr Hanna.

0:36:24 > 0:36:26I'm so sorry.

0:36:26 > 0:36:27I'm such an idiot.

0:36:30 > 0:36:34I thought I'd be brave when this happened, but I'm not being very brave, am I?

0:36:34 > 0:36:35I'll be all right in a minute.

0:36:37 > 0:36:40Oh, it's OK.

0:36:40 > 0:36:42- You're allowed to be sad. - No, I'm not.

0:36:42 > 0:36:45People are always crying these days...

0:36:45 > 0:36:48but there are plenty worse things in the world than this.

0:37:04 > 0:37:05Math...

0:37:05 > 0:37:07KIRSTY!

0:37:07 > 0:37:09Matthew?

0:37:09 > 0:37:11Matthew, can you hear me?

0:37:13 > 0:37:15He's got a pulse.

0:37:15 > 0:37:17Sue! Can you get us a wheelchair in here?

0:37:18 > 0:37:20It's not your fault.

0:37:20 > 0:37:22What?

0:37:22 > 0:37:24Why's he saying it's not your fault?

0:37:24 > 0:37:27- Oh, come on, Adam, I'm not stupid! - Stay with us, Matthew...

0:37:27 > 0:37:30Abnormal LFTs, jaundice, low blood pressure,

0:37:30 > 0:37:33reluctant to give a history... I've worked with sex offenders before.

0:37:33 > 0:37:36What've you given him? Androgen suppressants?

0:37:36 > 0:37:39- We need some help in here. - Adam. Tell me!- OK. OK!

0:37:39 > 0:37:43I gave him some Draxatel. He doubled the dose, then he stopped taking it.

0:37:43 > 0:37:47- He's ended up with an Addisonian crisis and liver failure.- What?!

0:37:47 > 0:37:49The operation went very well, Mr Reaney.

0:37:49 > 0:37:52The surgeon managed to suture your spleen, and stop the bleed.

0:37:54 > 0:37:56- I just want to see Connor. - Yes. I'm sure you do.

0:37:56 > 0:38:01- Mr Jordan?- Mmm? - I need a quick word with Mr Reaney, if that's OK?- Yes. Fine.

0:38:01 > 0:38:03I'll pop up and see you later. OK? Excuse me.

0:38:07 > 0:38:11This was a revenge attack, wasn't it, because you got the driver off?

0:38:11 > 0:38:14Do you make a character assessment of each patient before you treat them?

0:38:16 > 0:38:17It's not the same.

0:38:17 > 0:38:20We do our jobs. It's not up to us to make moral judgements.

0:38:20 > 0:38:22Connor didn't want you to find these.

0:38:28 > 0:38:31You tell him that if he's brave, everything will be OK...

0:38:31 > 0:38:34so he puts on a happy face,

0:38:34 > 0:38:36but he hears you cry at night, nothing makes sense.

0:38:36 > 0:38:38This is none of your business.

0:38:38 > 0:38:42He stays strong and bad things still happen.

0:38:42 > 0:38:44- He's confused.- I'm protecting him.

0:38:44 > 0:38:45It's what parents do.

0:38:45 > 0:38:48Connor's a clever boy. He'd prefer the truth.

0:38:55 > 0:38:58- Straight through to resus, please. - Yeah, will do.

0:39:03 > 0:39:05Talk to me.

0:39:05 > 0:39:06I want to understand.

0:39:07 > 0:39:10You want to understand? OK.

0:39:10 > 0:39:12That guy is desperate.

0:39:12 > 0:39:16He's a time bomb for re-offending. All I did was...bypass the system.

0:39:16 > 0:39:18And falsify the notes?

0:39:19 > 0:39:21Can I get those back, please?

0:39:21 > 0:39:23No!

0:39:23 > 0:39:25What? Do you know what you're asking of me?

0:39:30 > 0:39:32What a mess.

0:39:34 > 0:39:37Yeah, it is, it is... It is a mess and I know it looks bad,

0:39:37 > 0:39:43- I know you might not want to trust me right now, Kirsty, but together, we can work this out.- Together?

0:39:43 > 0:39:44What do you mean?

0:39:44 > 0:39:47You seriously think I'd have anything to do with this?!

0:39:48 > 0:39:51- You tried to play God, Adam! - What? I had my reasons!

0:39:51 > 0:39:53Whatever your reasons, it's not what we do.

0:39:53 > 0:39:58And now it's gone wrong for you, so you're lying and covering up and expecting me to help you?!

0:40:00 > 0:40:02What, is that so crazy?

0:40:02 > 0:40:07I mean, I...I stood by you in the past, I thought we were friends. Maybe more? I don't know.

0:40:08 > 0:40:10Oh...

0:40:10 > 0:40:13Oh, right, so I owe you, do I?

0:40:14 > 0:40:15What? No...

0:40:21 > 0:40:23I'm not going to be your accomplice.

0:40:25 > 0:40:27So you're going to report me?

0:40:29 > 0:40:31What else can I do?

0:40:45 > 0:40:47Are you all right?!

0:40:50 > 0:40:53Of course I am. Back on my feet in no time!

0:40:53 > 0:40:56- Everything's going to be fine. - I thought he'd killed you!

0:40:57 > 0:40:59I tried to be brave.

0:41:07 > 0:41:08I've had an operation.

0:41:10 > 0:41:11I should be fine.

0:41:14 > 0:41:15I miss your mummy...

0:41:17 > 0:41:18..very much.

0:41:20 > 0:41:22And this hurts like hell.

0:41:22 > 0:41:24Ow, hey...

0:41:24 > 0:41:26OK. Easy there, easy.

0:41:28 > 0:41:29Easy.

0:41:31 > 0:41:34CHATTER AND LAUGHTER

0:41:42 > 0:41:48NOISES AMPLIFIED ALL AROUND

0:42:13 > 0:42:15You look lost.

0:42:18 > 0:42:19I think maybe I am.

0:42:40 > 0:42:42In my next life, I'd like to be an astronaut.

0:42:42 > 0:42:45There must be whole worlds out there for us to find.

0:42:47 > 0:42:48Thank you so much.

0:42:48 > 0:42:50I didn't do anything.

0:42:51 > 0:42:54- I've been fooling myself. - No-one would blame you for that.

0:42:56 > 0:42:57I feel better already.

0:42:59 > 0:43:04And I've got a huge list of things I'm going to do before I check out, so don't feel sad about me.

0:43:04 > 0:43:07Well, as a health care professional, I would advise strongly

0:43:07 > 0:43:11against you doing anything remotely adventurous or dangerous.

0:43:11 > 0:43:12I know you would.

0:43:12 > 0:43:15And I know you won't take the slightest bit of notice of what I'm saying.

0:43:15 > 0:43:18- I'll only do the skydiving.- Oh...

0:43:18 > 0:43:22You go so far above the clouds, it cleans your mind.

0:43:22 > 0:43:24You leave everything behind.

0:43:24 > 0:43:25And then you jump.

0:43:25 > 0:43:27And it all makes sense.

0:43:33 > 0:43:36I've always wanted to kiss a beautiful woman.

0:43:37 > 0:43:42You've only got one life. Promise me you'll make the most of yours.

0:43:51 > 0:43:53Kirsty...

0:43:53 > 0:43:57Erm, looks like Matthew's out of danger now, he's stable anyway.

0:44:02 > 0:44:04I'm not going to report you.

0:44:07 > 0:44:08This isn't who you are.

0:44:10 > 0:44:11Well, thank you.

0:44:11 > 0:44:14But you need to come clean.

0:44:14 > 0:44:16For your own sake.

0:44:22 > 0:44:23I know you'll do the right thing.

0:44:27 > 0:44:30I never meant things to...

0:44:33 > 0:44:35I know.

0:44:46 > 0:44:48We never stood a chance.

0:45:01 > 0:45:02Where are you going?

0:45:05 > 0:45:06I don't know!

0:45:23 > 0:45:27Your man Matthew is saying he got hold of some meds on the net.

0:45:27 > 0:45:28His own fault, apparently.

0:45:45 > 0:45:47CAR HORN BEEPS

0:45:50 > 0:45:53Mum! You're embarrassing me.

0:45:53 > 0:45:56- I know! Come 'ere!- Oh!

0:46:00 > 0:46:02Are you happy here?

0:46:02 > 0:46:04At home, at school?

0:46:04 > 0:46:06I guess.

0:46:06 > 0:46:08Me neither.

0:46:09 > 0:46:11It's time to move on.

0:46:12 > 0:46:16- Are you serious?- What's to stop us?

0:46:17 > 0:46:19Tess Bateman?

0:46:20 > 0:46:22Oh, my goodness!

0:46:22 > 0:46:24Huh!

0:46:24 > 0:46:27- Thank you!- Wow...

0:46:27 > 0:46:29Secret admirer?

0:46:29 > 0:46:31Well, the only 'K' I know is Kirsty.

0:46:31 > 0:46:33There's no other note.

0:46:33 > 0:46:37Oh... Gosh, look at these!

0:46:42 > 0:46:44MUSIC: "Rolling In The Deep" by Adele

0:46:47 > 0:46:48Take this off for me.

0:46:51 > 0:46:52Are you sure?

0:46:52 > 0:46:53Yeah.

0:46:53 > 0:46:59# ..Don't underestimate the things that I can do

0:46:59 > 0:47:03# There's a fire starting in my heart

0:47:03 > 0:47:07# Reaching a fever pitch and it's bringing me out the dark

0:47:08 > 0:47:13# The scars of your love remind me of us

0:47:13 > 0:47:17# They keep me thinking that we almost had it all

0:47:17 > 0:47:21# The scars of your love They leave me breathless

0:47:21 > 0:47:24# I can't help feeling

0:47:24 > 0:47:29- # We could have had it all - You're gonna wish you never had met me

0:47:29 > 0:47:34- # Rolling in the deep - Tears are gonna fall rolling in the deep

0:47:34 > 0:47:39# You had my heart and soul in your hand

0:47:39 > 0:47:41# And you played it

0:47:41 > 0:47:44# To the beat

0:47:44 > 0:47:48# Baby, I have no story to be told

0:47:48 > 0:47:53# But I've heard one on you and I'm gonna make your head burn

0:47:53 > 0:47:57# Think of me in the depths of your despair... #

0:47:57 > 0:47:59Woo-ooo!

0:48:02 > 0:48:07SHE LAUGHS

0:48:07 > 0:48:10Ha-ha-ha! Woo!

0:48:27 > 0:48:30Subtitles by Red Bee Media Ltd

0:48:30 > 0:48:33E-mail subtitling@bbc.co.uk