A Pound of Flesh

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0:00:34 > 0:00:37SINGING

0:00:50 > 0:00:56# How great thou art How great thou art...#

0:00:59 > 0:01:04- Oh, no.- It's, ah, quite calm in here today so...

0:01:04 > 0:01:08if you want a bit of time to yourself, you know, it's fine.

0:01:08 > 0:01:12- You OK?- Not so bad.

0:01:26 > 0:01:29- Steady!- I'm knackered, and I'm starving.

0:01:29 > 0:01:34I only had toast for breakfast, and it's well past lunch. You know, it's not on sending us out on our break.

0:01:34 > 0:01:38Not unless they're going to pay us. Especially for a green call like this.

0:01:38 > 0:01:39Fond of him as I am.

0:01:42 > 0:01:44Oh! I need one of those.

0:01:44 > 0:01:48- You got one of those. - Don't be disgusting, Jeffrey.

0:01:48 > 0:01:51Right. Come on, you, let's get you out.

0:01:52 > 0:01:55I'm feeling a lot better now, actually.

0:01:55 > 0:01:58- I think I should discharge myself. - No, you know the rules -

0:01:58 > 0:02:03- if you call with chest pains, we've got to bring you to the hospital.- I don't want to waste anyone's time.

0:02:03 > 0:02:07- You should have thought of that before you called us.- I'm OK.

0:02:07 > 0:02:11And you people are under a lot of pressure. Tempus fugit and all that.

0:02:11 > 0:02:13- You what?- Latin.

0:02:13 > 0:02:18- Er, double first in Classics. Believe it or not.- Did you call your GP? Like you were told to?

0:02:18 > 0:02:20Well I-I-I, I was getting round to it...

0:02:20 > 0:02:24What good's a degree if you can't even organise your own life?

0:02:24 > 0:02:28I tell you what, university, it's overrated.

0:02:28 > 0:02:30I thought I was having a seizure!

0:02:30 > 0:02:34For which the well-known cure is a shopping trip into town?

0:02:34 > 0:02:36Well, it happened on the way out...

0:02:36 > 0:02:39Well, next time, just make sure it's when I'm not on a break.

0:02:39 > 0:02:43Let's get you out of here. Come on handsome, up we get.

0:02:46 > 0:02:48Go on.

0:02:48 > 0:02:52If someone answers, just say you're a friend of Jamal's.

0:02:52 > 0:02:53And when's he back?

0:03:01 > 0:03:02DOORBELL RINGS

0:03:10 > 0:03:11DOORBELL RINGS

0:03:46 > 0:03:48There you go.

0:03:48 > 0:03:50Thank you very much!

0:03:50 > 0:03:53- For you.- Wow.- Pakistani stamp.

0:03:53 > 0:03:55- Could be from Mads.- Who's Mads?

0:03:55 > 0:04:01- A nurse that used to work here. She's on a bit of a sabbatical, you know, break.- Photos.

0:04:01 > 0:04:06- Well, come on, share! Wow... - She's getting married in Pakistan.

0:04:06 > 0:04:09- Oh?- Does that mean she's not coming back?

0:04:09 > 0:04:11- Yeah.- Eh, we could go!

0:04:11 > 0:04:13I don't think we're invited.

0:04:13 > 0:04:17- She'd love it if we all turned up. You know, group trip to Pakistan! - Oh! look at this one!

0:04:17 > 0:04:19That's not a bad idea, you know, Mac.

0:04:19 > 0:04:21Who rattled his cage?

0:04:22 > 0:04:24I think he held a bit of a torch for her.

0:04:24 > 0:04:28..doctors' and nurses' time when I'm feeling as right as rain!

0:04:28 > 0:04:32Malcolm Stroud, 70. Complaining of chest pains. He's had Aspirin. His ECG's normal.

0:04:32 > 0:04:36He's been in several times in the past, but he's never been admitted.

0:04:36 > 0:04:38It's the second time this month, innit, Malc?

0:04:38 > 0:04:42Maybe I could just have some painkillers on prescription.

0:04:42 > 0:04:46Chest pains are a bit serious. We'll need to do some tests.

0:04:46 > 0:04:50Right, it's a bit busy in cubicles, let's get him to CDU,

0:04:50 > 0:04:54re-run his ECG, do some obs. And, um, standard bloods, please.

0:04:54 > 0:04:57I-I don't want to be a bother.

0:04:57 > 0:05:01- D'you know what, can I leave you with him? - The bloods and ECG you mean?

0:05:02 > 0:05:05Yes, is that a problem? I know Jay's not here

0:05:05 > 0:05:07so if you don't think you're up to it...

0:05:07 > 0:05:09That's fine, Dr Lyons. Leave it with me.

0:05:09 > 0:05:13Thank you. Ken, could you take him to CDU?

0:05:13 > 0:05:16Right, lovely, I'll go and get some grub.

0:05:16 > 0:05:19You say this is the second time this month?

0:05:19 > 0:05:23I wouldn't waste too much time on him. He's a regular - charming, but devious.

0:05:23 > 0:05:29- Maybe there's something else going on.- Maybe. Could be the company? A free lift into town? Who knows?

0:05:29 > 0:05:32- I'm a paramedic, not a social worker. - The voice of scepticism.

0:05:32 > 0:05:34The voice of experience.

0:05:34 > 0:05:39It's not the first time he's blagged a lift into town. A mini cab would have cost him, what, a fiver?

0:05:39 > 0:05:43- Instead, this trip's cost the tax payer £500 quid and me my lunch break.- That's a bit harsh.

0:05:43 > 0:05:48Because some poor soul in real danger might not get an ambulance on time.

0:05:48 > 0:05:50Look, you find out what the problem is and fix it

0:05:50 > 0:05:52and maybe he'll stop calling us up!

0:05:52 > 0:05:56And I bet ya, he discharges himself before you make a diagnosis.

0:05:59 > 0:06:01# Some people think I'm bonkers

0:06:01 > 0:06:03# But I just think I'm free

0:06:03 > 0:06:07# I'm just living my life There's nothing crazy about me

0:06:07 > 0:06:11# Some people pay for thrills But I get mine for free

0:06:11 > 0:06:12# I'm just living my life. #

0:06:29 > 0:06:32SHE HUMS

0:06:57 > 0:07:00- What d'you think?- Eh?

0:07:01 > 0:07:03Did you know her well?

0:07:04 > 0:07:07- Probably more that most, yeah. - Oh, right, you mean you...?

0:07:07 > 0:07:09What?

0:07:09 > 0:07:12Nothing. She's just a pretty girl.

0:07:12 > 0:07:13Tea, doctor?

0:07:13 > 0:07:16Would you watch what you're doing, please?!

0:07:23 > 0:07:25For God's sake!

0:07:45 > 0:07:48- Come on, Ketzia, let's go! - No...not yet.

0:07:56 > 0:07:59Ah, that is sick. He's going to be well afraid!

0:08:04 > 0:08:06Oh, my God.

0:08:15 > 0:08:19- There y'are. Grub's up! - Oh! Caffeine and carbohydrates!

0:08:19 > 0:08:22Woo-hoo-hoo!

0:08:22 > 0:08:24I was right. Have a look at that.

0:08:26 > 0:08:31Champagne, mayonnaise, avocado, prawns. Blimey, I like a man who knows his prawn cocktail!

0:08:31 > 0:08:34Two steaks!? Bottle of red wine, bottle of white wine?

0:08:34 > 0:08:36Cheeky bugger!

0:08:36 > 0:08:41I know, a little dinner a deux on the NHS ambulance service.

0:08:41 > 0:08:44It's not on, Jeff. We're not Help the Aged!

0:08:44 > 0:08:48Holby Control to 3006. Emergency call

0:08:48 > 0:08:50'to 6 Rose Avenue. Elizabeth Estate.'

0:08:50 > 0:08:53- Injuries unknown at this stage. - I need a break.

0:08:53 > 0:08:58- Even if it's just for ten minutes I need a break.- Come on.- No, she's gotta get organised,

0:08:58 > 0:09:01she's got to make sure that the jobs are equally shared.

0:09:01 > 0:09:043006 to Holby Control. We're not available.

0:09:04 > 0:09:06We're on a disturbed meal break.

0:09:06 > 0:09:09You're going to have to find someone else. Over.

0:09:09 > 0:09:11I have looked, but I'll see what I can do.

0:09:14 > 0:09:16I've not got a problem if it's a red call.

0:09:16 > 0:09:20- But if it's non-life threatening... - You know it doesn't work like that.

0:09:20 > 0:09:24We don't know what we're going to get till we get there.

0:09:24 > 0:09:28Holby Control to 3006. You're the only vehicle available.

0:09:28 > 0:09:31Emergency call to 6 Rose Avenue, Elizabeth Estate updated.

0:09:31 > 0:09:36'A child with a head injury. Red 2 call. Reduced level of consciousness.'

0:09:36 > 0:09:41Can't ignore a call like that, can we? No, no, no! It'd be inhuman.

0:09:41 > 0:09:44They've got us, Jeffery, and they know it.

0:09:44 > 0:09:493006 to Holby Control. We're on our way. Over.

0:09:52 > 0:09:56OK...oh, they're not sticking!

0:09:56 > 0:10:00- This is all a bit more trouble than it's worth.- Not as much trouble as I'll be in

0:10:00 > 0:10:03if I don't provide the doctor with all the information he asked for.

0:10:03 > 0:10:08- Can you just stay still a moment, Mr Stroud?- We have to get this done before Doctor Lyons is back.- I know.

0:10:11 > 0:10:15OK, right. I'm going to have to ask you to get undressed and put this on, Mr Stroud.

0:10:15 > 0:10:20- We need your legs and chest exposed for better access. - Nemo liber est qui corpori servit.

0:10:23 > 0:10:25"No-one is free who is a slave to his body."

0:10:28 > 0:10:31I ma-massively appreciate the trouble you two are going to,

0:10:31 > 0:10:33but I'm going to call it a day.

0:10:34 > 0:10:37We have to run these tests, Mr Stroud. It's the rules.

0:10:43 > 0:10:47OK, er, how about I ask my colleague to step outside a moment?

0:10:47 > 0:10:48Sure. No problem.

0:10:48 > 0:10:51Ah. Thank you.

0:10:55 > 0:10:59- All right, let me give you a hand with these buttons?- No!

0:10:59 > 0:11:00Sorry!

0:11:02 > 0:11:06Leave me alone. One moment alone.

0:11:06 > 0:11:09- One moment, please. - I'm just trying to help.

0:11:22 > 0:11:26Why do they call them unpaid breaks? We're working.

0:11:26 > 0:11:30- Call them what they are - "management money-saving exercises."- Chillax!

0:11:32 > 0:11:37- Getting all aereated's not going to help, is it?- I'm not "aerated".

0:11:37 > 0:11:38I'm just knackered!

0:11:38 > 0:11:40It should be here.

0:11:42 > 0:11:44Yup, there!

0:11:55 > 0:12:00All right, young man. What's happened to you, then? Eh? Ooh.

0:12:00 > 0:12:03- What they doing? What is he doing? - I don't know!

0:12:03 > 0:12:06That's a nasty bump you got on your head there. How'd you do that?

0:12:06 > 0:12:11Excuse me! Can you help us? We're trying to work out what happened here?

0:12:11 > 0:12:13- Did you see anything? - Is he going to be OK?

0:12:13 > 0:12:17Do you know him? What, d'you live round here?

0:12:18 > 0:12:21Go away. Go! Go away.

0:12:21 > 0:12:25- Calm down, calm down! - Do you know this girl, sweetheart? - Go away!- Oh, no, you don't.

0:12:25 > 0:12:27All right, call the police, Dixie.

0:12:28 > 0:12:30Ah, argh! Ooh...

0:12:30 > 0:12:35- 3006 to Control, can we have a police officer on the Elizabeth Estate, please?- Little tyke!

0:12:35 > 0:12:37- You all right?- Ohhh!

0:12:37 > 0:12:41- I think the chest pains are a red herring.- Anything obvious on the 12 lead?

0:12:41 > 0:12:46- He wasn't co-operating very well. It was quite difficult for us to... - So you didn't do it?

0:12:46 > 0:12:50- We think there must be other pain, he's desperate for painkillers. - He's after the morphine.

0:12:50 > 0:12:52He's not a druggie. I'm sure of it.

0:12:52 > 0:12:56He's a sad lonely old man living out his last chapter

0:12:56 > 0:12:58in the back end of nowhere!

0:12:58 > 0:13:01Morphine is everyone's favourite reality softener.

0:13:01 > 0:13:04Ah, Lenny. Won't be a minute, have you looked at this?

0:13:04 > 0:13:06It's just a gesture, from the department.

0:13:09 > 0:13:11Actually, no, I'll er, sign it later.

0:13:11 > 0:13:13Yeah, well, don't forget.

0:13:13 > 0:13:16Cos I want to get it off by the end of the day, all right?

0:13:23 > 0:13:25You left him unattended?

0:13:27 > 0:13:31You had two simple tests to run on that guy - the ECG and the bloods.

0:13:31 > 0:13:33You managed to complete neither.

0:13:33 > 0:13:36That means the system has failed him. YOU have failed him.

0:13:36 > 0:13:41I know what it looks like, but I was actually making progress. I think he was ready to open up.

0:13:41 > 0:13:46This is a hospital, not a day care clinic! Our job is to patch up peoples' bodies, not their lives.

0:13:46 > 0:13:50If his heart packs up on him out there, then that is our fault.

0:13:50 > 0:13:55And me being the doctor in charge, that's my responsibility so thank you. Well done(!)

0:14:00 > 0:14:04Don't take it personally. He's in a mood cos that nurse is getting married.

0:14:04 > 0:14:07- I think they had a thing. - What is this?

0:14:08 > 0:14:10Er, geriatric S and M?

0:14:12 > 0:14:13SHE LAUGHS

0:14:13 > 0:14:16Oh, God!

0:14:25 > 0:14:29Er, so sorry to be a bother, the, er, the doctor asked me to ask you

0:14:29 > 0:14:34if you could possibly fix me up with a lift home in an ambulance?

0:14:34 > 0:14:36I'm not too mobile.

0:14:37 > 0:14:39I'll be ready to go in an hour.

0:14:39 > 0:14:43- Sure. I'll see what I can do. - Much appreciated.

0:14:48 > 0:14:52- Just try and stay calm for us.- We found him collapsed on his doorstep. We couldn't get a name.

0:14:52 > 0:14:57- Get off me! Get off...- He's got an isolated head injury which we've treated. GCS was 14.

0:14:57 > 0:15:01- May have been KO'd. BP's 120, pulse 90. Sats are at 97%. - OK, Paeds, please.

0:15:01 > 0:15:05- Police are on their way and we're trying to locate the parents.- Get off!

0:15:05 > 0:15:10- Has he been like this all the way? - Kicked off as we came in. - Lenny, why don't you get this one?

0:15:10 > 0:15:13- I know him.- You do?

0:15:13 > 0:15:16Well, do you know his mum, or someone we can call?

0:15:16 > 0:15:18His mother is Denise Lewis.

0:15:18 > 0:15:20They live at 6 Rose Avenue, Elizabeth Estate.

0:15:20 > 0:15:24Brilliant. Look, do you think you might be able to calm him down?

0:15:24 > 0:15:27He could do with a friendly face. Cheers, thank you.

0:15:27 > 0:15:29Lamorna, can you take this over to Paeds resus?

0:15:29 > 0:15:34Listen, if you keep moving like this, you might make your injury worse!

0:15:34 > 0:15:38- Let me go!- One, two, three.- Tyreece?

0:15:38 > 0:15:42Would you just stop that? That is really not helping, OK!

0:15:42 > 0:15:44Tyreece.

0:15:44 > 0:15:49- Sorry, could you get out, please? We're a bit busy!- OK, come on. Calm down!- Tyreece!

0:15:51 > 0:15:53You don't know me, but I am a friend of your mum.

0:15:53 > 0:15:57And I am going to stay with you until she comes. Huh?

0:15:58 > 0:16:01- Thank you...- Rosa.

0:16:01 > 0:16:06Rosa. Thank you, Rosa. Right. Let's get some IV access and start neuro obs.

0:16:08 > 0:16:10Can I see?

0:16:11 > 0:16:15Your brother is coming out today, is he?

0:16:15 > 0:16:17"Welcome home, Jamal."

0:16:19 > 0:16:21You must have missed him very much.

0:16:30 > 0:16:32- Here you are.- Thanks, darling.

0:16:32 > 0:16:35I've been desperate for that.

0:16:35 > 0:16:40I reckon the docs are going to suggest a course of co-amoxiclav. Human bites can infect quickly.

0:16:40 > 0:16:42Really? Thanks for that(!)

0:16:42 > 0:16:45You should really take the rest of the shift off.

0:16:45 > 0:16:49Chance would be a fine thing. We're short staffed and we haven't got any cover.

0:16:49 > 0:16:51Well, definitely no more driving.

0:16:51 > 0:16:54How'd you get on with my mate Malc?

0:16:54 > 0:16:56- Did you sort him out?- He legged it.

0:16:56 > 0:17:02- I told ya.- I would've got there. He knows saying chest pains will always get him a lift in,

0:17:02 > 0:17:07but I think he does actually need a lift in because he's in too much pain somewhere else to manage alone.

0:17:07 > 0:17:10Well, why would he bother hiding something that we can fix?

0:17:10 > 0:17:14Maybe he's scared, or shy, or ashamed?

0:17:14 > 0:17:18- Where is he!? How did they find him? - Someone called the police...

0:17:18 > 0:17:22- Who?!- I don't know. I can get a paramedic to talk to you and the police are on their way. Thank you.

0:17:25 > 0:17:26He left this.

0:17:29 > 0:17:31Dirty old man.

0:17:31 > 0:17:33Told you.

0:17:33 > 0:17:37Dix, could you give us a hand, love? There's trouble in reception.

0:17:37 > 0:17:41The mother of your patients wants the full story. And can they have another nurse in resus?

0:17:41 > 0:17:46What kind of a world do we live in when you can't leave your eight-year-old son at home

0:17:46 > 0:17:48without the house being attacked?!

0:17:48 > 0:17:51It's like we're in bloody Afghanistan. I know who did it!

0:17:51 > 0:17:54- Where are the police? - They are on their way.

0:17:54 > 0:17:58My son is coming out today. That's why they done this.

0:17:58 > 0:18:03- As if he hasn't suffered enough for what he never did anyway.- I see. - No, I don't think you do.

0:18:03 > 0:18:08I don't think you people have any idea what it's like. If he hadn't of defended himself,

0:18:08 > 0:18:10he'd have been the one in the grave now.

0:18:10 > 0:18:13- What was he meant to do?- This is Dixie, she brought your son in.

0:18:13 > 0:18:18- It's a brave little boy you've got there.- Thanks. Was anyone hanging round there?- Yeah, a girl.

0:18:18 > 0:18:20Black? About 15, 16?

0:18:20 > 0:18:24- Yeah.- Staff Nurse Conway, could you take Mum through, please? - This way. OK, then.

0:18:27 > 0:18:31Jamal. Jamal, if you get this call me.

0:18:31 > 0:18:33I'm at the hospital with Tyreece.

0:18:33 > 0:18:39They only smashed his head in, didn't they? The brick was probably meant for you. You get out there.

0:18:39 > 0:18:41Show 'em. Welcome back.

0:19:07 > 0:19:10ROSA HUMS THROUGHOUT

0:19:35 > 0:19:39- I've got Tyreece's mum here. Is she OK to come in?- Yeah.

0:19:41 > 0:19:43What is SHE doing here?

0:19:43 > 0:19:45She was just here to calm down your son.

0:19:45 > 0:19:48- What are you doing with my son?! - He was upset. I was helping.

0:19:48 > 0:19:52You've got to be joking! Do you know who this woman is?!

0:19:52 > 0:19:54Do you know what her family have done to mine?

0:19:54 > 0:19:57- You have no right to talk about my family.- Get out!

0:19:57 > 0:19:59Get out of here right now!

0:19:59 > 0:20:02If she stays in here, I can't trust myself!

0:20:02 > 0:20:06- Let's leave Tyreece and his mum alone.- Get away from my son. Get out!

0:20:06 > 0:20:09You're not helping your son like this, come on.

0:20:09 > 0:20:13- They trashed my house. - Who? I don't know what you're talking about.- Don't lie.

0:20:13 > 0:20:17- Do not call me a liar. - You tell her to do it, did ya?

0:20:18 > 0:20:20Coward as well.

0:20:20 > 0:20:23Happy to duck out and let your daughter take all the blame.

0:20:23 > 0:20:26Ketzia has nothing to do with this.

0:20:26 > 0:20:28- Ketzia did this!- She is at school.

0:20:28 > 0:20:30No, she's not. She never in school.

0:20:32 > 0:20:35Oh, you don't know anything about her, do you?

0:20:35 > 0:20:38Kids don't just raise themselves, you know.

0:20:38 > 0:20:40No wonder she's turned out the way she has.

0:20:46 > 0:20:52- Come back here!- Hey, hey, hey, hey! - You better get to your daughter quickly before someone else does!

0:20:52 > 0:20:56My Jamal won't stand by and let this happen to his family!

0:21:26 > 0:21:31You can't take any calls in here, you have to take it outside. Nurse Conway, could you show her the way?

0:21:31 > 0:21:34We have rules here. You heard what my coll...

0:21:34 > 0:21:36OK. Let's get him on his side and suction, please.

0:21:36 > 0:21:39What's happening? Tyreece?

0:21:39 > 0:21:42Could you back up, please, give us a bit of space?

0:21:42 > 0:21:47- What's happening to him?- I think we may have an internal head injury. We need to move fast. Get Mum outside.

0:21:47 > 0:21:49- You have to wait outside, OK? - Come on.

0:21:49 > 0:21:53OK, let's intubate, and we need a CT scan ASAP.

0:21:58 > 0:22:00Can I get you a cup of tea or anything?

0:22:04 > 0:22:07MOBILE RINGS

0:22:07 > 0:22:09Mum? Mum? Where are you? What's going on?

0:22:09 > 0:22:13I'm in hospital. They hurt Tyreece. You got to get out 'ere, Jamal.

0:22:13 > 0:22:15Well, is he going to be OK? What happened?

0:22:15 > 0:22:20Your uncle and cousins are on their way over. I want you to join them.

0:22:20 > 0:22:22- Jamal, are you there?- 'Mum....'

0:22:23 > 0:22:25I-I've just come out.

0:22:25 > 0:22:30I've done nine months. I'm on parole. I can't get involved. I'll be right back in there again.

0:22:30 > 0:22:32They can't get away with this. Here's the doctor.

0:22:32 > 0:22:35- He'll tell you what they done. - Not now, I can't.

0:22:35 > 0:22:38- Leave the doctor alone. He's busy. - I'll come to the hospital.

0:22:38 > 0:22:43- I don't need you here, I need you out there! Tell him, doctor. - Would you let go of me?

0:22:43 > 0:22:46'I don't know the medical terms. I want him to understand!'

0:22:46 > 0:22:49Tell him. Tell his brother!

0:22:49 > 0:22:52You deal with this, I'll take him through.

0:22:52 > 0:22:55Tell him. Listen, Jamal. This is the doctor.

0:22:57 > 0:22:59Your son suffered a blow to the head.

0:22:59 > 0:23:03'He started to deteriorate whilst we were assessing him and now he needs an urgent brain scan.'

0:23:03 > 0:23:08It's to determine whether there's bleeding inside the head or any internal damage.

0:23:08 > 0:23:13- Did you get that, Jamal? What internal damage? What?!- Would you get that phone out my face!

0:23:13 > 0:23:15I'm sorry, you need to leave the doctor alone.

0:23:15 > 0:23:17'Er, do we need a hand here?'

0:23:17 > 0:23:19Mum. Mum, please!

0:23:19 > 0:23:21WE DON'T KNOW YET! It's too early to tell.

0:23:21 > 0:23:24What's the worst that could happen?!

0:23:24 > 0:23:26'I'm sorry, I'm sorry, I know you're upset.'

0:23:26 > 0:23:29But we cannot have you physically manhandling the staff, OK?

0:23:29 > 0:23:31'D'you hear that, Jamal?'

0:23:31 > 0:23:34They won't even say. So it's got to be bad.

0:23:34 > 0:23:37'You get out there. Give them what they deserve.'

0:23:48 > 0:23:49You did well, sir.

0:23:49 > 0:23:54- Are you all right?- Why don't you take a seat, take it easy.- I'm fine!

0:23:54 > 0:23:56Good afternoon. Holby City ED.

0:24:01 > 0:24:03Er...

0:24:03 > 0:24:06I found it in the bin. Sorry. Someone must have put it there by mistake.

0:24:13 > 0:24:17Look, she clearly cared enough to write, so you ought to read it.

0:24:17 > 0:24:18Even if you don't want to reply.

0:24:23 > 0:24:25Holby Control to 3006.

0:24:25 > 0:24:29Emergency call to Westmeadow Shopping Centre.

0:24:29 > 0:24:34'Incident and injuries unknown at this stage. Will keep you updated.'

0:24:34 > 0:24:37Come on then, Nelson, I'd better drive.

0:24:37 > 0:24:40Remind me to do this more often, eh?

0:24:40 > 0:24:42Thank you very much.

0:24:46 > 0:24:48- What?- We got a stowaway.

0:24:52 > 0:24:53Afternoon.

0:24:57 > 0:25:02The Emergency Department requested Transport After Treatment. But then no-one could find him.

0:25:02 > 0:25:05Well, he's in our ambulance. And we're on a shout.

0:25:05 > 0:25:08- We can't take him with us! - My Control Manager isn't here.

0:25:08 > 0:25:12I haven't dealt with a case like this before.

0:25:12 > 0:25:15I don't know the regulations. Can you hold on a moment, please?

0:25:15 > 0:25:18Fine. Just get back to me as soon as you can please, thank you.

0:25:18 > 0:25:24Er, couldn't you drop me off on the way? I promise I won't be a bother.

0:25:24 > 0:25:28You ARE a bother. You don't get it, do you, Malc? We're not a new form of public transport!

0:25:31 > 0:25:34Previous call cancelled. Hooray! You CAN do it.

0:25:35 > 0:25:38Holby Control to 3006.

0:25:38 > 0:25:40Take Mr Stroud to 6 South Brewham Lane.

0:25:40 > 0:25:43No! No way. He's not a shout and he's not a patient.

0:25:43 > 0:25:46He didn't even finish his treatment. He just walked off.

0:25:46 > 0:25:50Please. I don't know what else to do. Holby City ED requested it.

0:25:51 > 0:25:53I'd be indebted to you.

0:25:56 > 0:25:58You already are!

0:25:58 > 0:26:023006 to Holby Control, we'll take him, over.

0:26:02 > 0:26:05Thank you. Thank you so much.

0:26:05 > 0:26:08Omnia causa fiunt.

0:26:08 > 0:26:11- Cut the classics!- Carpe Diem.

0:26:11 > 0:26:16Seize the day. I know that one. Sums him right up. Cheeky chancer.

0:26:23 > 0:26:25MOBILE RINGS

0:26:33 > 0:26:37Can't we go back to yours? Or mine? Inside somewhere.

0:26:37 > 0:26:39Yeah, after.

0:26:40 > 0:26:43- Can you see him?- I ain't fighting.

0:26:43 > 0:26:47- You ain't fighting either. - I don't have a knife.

0:26:47 > 0:26:49Have they got knives?

0:26:52 > 0:26:53Distract them, yeah?

0:26:55 > 0:26:57Get out there!

0:27:06 > 0:27:07Go on!

0:27:53 > 0:27:59- Where have you been?- Nowhere.- Haven't you been at school?- Mum, I don't have time for this!- What is going on?

0:28:02 > 0:28:04Go away from here!

0:28:04 > 0:28:07I don't want any trouble, you hear me!

0:28:08 > 0:28:11- There will be no fighting, no fighting here.- Get back inside, Mum!

0:28:11 > 0:28:15- This is my business, it's not yours! - Ketzia! Go back inside.

0:28:15 > 0:28:19- Where is he?! Where's Jamal?! - Give me this.

0:28:21 > 0:28:22Hasn't there been enough?!

0:28:25 > 0:28:27No! SKIN PUNCTURES

0:28:29 > 0:28:32Go. Go!

0:28:37 > 0:28:39CAR SPEEDS OFF

0:28:44 > 0:28:48- Mum? - SHE SOBS

0:28:51 > 0:28:53Mum?!

0:29:09 > 0:29:10How's Tyreece?

0:29:12 > 0:29:15Er, it's not good news, I'm afraid.

0:29:15 > 0:29:17Um, he has an extra dural haematoma.

0:29:17 > 0:29:19- A what?!- Right.

0:29:19 > 0:29:22It's a blood clot compressing one side of the brain.

0:29:22 > 0:29:25It's getting larger, it's going to exert more pressure on

0:29:25 > 0:29:29the brain which unfortunately makes this a life-threatening injury. He needs an operation.

0:29:29 > 0:29:32Surgeons will have to open up the skull

0:29:32 > 0:29:34so that they can suction off the clots from the brain.

0:29:45 > 0:29:49You should have turned left back there. There's a much more scenic route.

0:29:52 > 0:29:55- You again! You are in big trouble. - It's my mum!

0:29:55 > 0:29:57She's been stabbed! I think she's dying!

0:30:01 > 0:30:03- Jeff, call the police, please! - All right, I'm on it.

0:30:03 > 0:30:053006 to control,

0:30:05 > 0:30:09could we have a police officer down to All Saints Road, please?

0:30:09 > 0:30:11Potential stabbing.

0:30:11 > 0:30:13Right, you, you wait here.

0:30:13 > 0:30:15Yeah. Don't worry...

0:30:24 > 0:30:28Holby Control calling 3006...

0:30:28 > 0:30:31Can I get an update on the delay to 6 South Brewham Lane?

0:30:31 > 0:30:34Will she get off our case? Haven't we done enough?

0:30:34 > 0:30:363006 to Holby Control.

0:30:36 > 0:30:40We've come across a running call, female patient with stab wounds.

0:30:40 > 0:30:42We're taking her to Holby ED. ETA about 10 minutes.

0:30:42 > 0:30:45- Mum, are you OK? - All right, sweetheart.

0:30:45 > 0:30:47We're just going to settle you in the ambulance.

0:30:47 > 0:30:50Decision reversed. I'm sending another vehicle.

0:30:50 > 0:30:53Stay put until it arrives then continue with your assigned job.

0:30:53 > 0:30:56Negative, Holby Control. We're going to take her in now.

0:30:56 > 0:30:59I have to overrule you. I think it's better you wait.

0:30:59 > 0:31:01- It's in the best interests of the sector.- Overrule?

0:31:01 > 0:31:05How's about this for overrule? We're bringing her in now! Over!

0:31:07 > 0:31:08Hello?

0:31:08 > 0:31:11That's better, isn't it? A bit of peace and quiet.

0:31:11 > 0:31:14Right, do you want to sit over here for me, love?

0:31:14 > 0:31:17Can you tell us what happened to your mum?

0:31:22 > 0:31:24Hey!

0:31:25 > 0:31:28- Where d'you think you're going? - You're very busy.

0:31:28 > 0:31:30I don't want to cause any trouble.

0:31:30 > 0:31:34Listen, you've come this far, son, you may as well stick around.

0:31:34 > 0:31:38- I've got to get home! I've got an important guest coming. - HE WINCES

0:31:38 > 0:31:40You're in pain, aren't you?

0:31:40 > 0:31:43Look, we need to get you looked at again. Come on!

0:31:43 > 0:31:46We gotta get woman in sharpish!

0:32:19 > 0:32:21Not good news?

0:32:21 > 0:32:24She did what she had to do. She looked out for number one.

0:32:26 > 0:32:29I'm looking for Tyreece Lewis. He's here with my mum. Where are they?

0:32:29 > 0:32:33- Are you a relative?- He's my brother. - I'll get one of the doctors for you.

0:32:33 > 0:32:37- Doctor Lyons, this is... - Jamal Lewis.- Tyreece Lewis' brother.

0:32:37 > 0:32:38Oh, right.

0:32:38 > 0:32:41Yeah, your mum tried to get me to talk to you on the phone, right?

0:32:41 > 0:32:45- I want to see my brother.- You can't, he's in an operation at the moment.

0:32:45 > 0:32:48- They're fixing him up, yeah? - He's in the best hands possible.

0:32:48 > 0:32:51- Can I see my mum?- Lenny, I need you in Resus. We've got a stabbing coming in.

0:32:51 > 0:32:56Staff Nurse Conway, could you take Mr Lewis up to the relatives' room, please?

0:32:56 > 0:32:59I'll find out what's happening and get in touch with you.

0:32:59 > 0:33:02This is Rosa Onwukwe. Mid forties.

0:33:02 > 0:33:05She's got a stab wound to the left side of her chest.

0:33:05 > 0:33:08GCS was 14, BP stable at 100 systolic, tachy at 125,

0:33:08 > 0:33:13she's had 500 of saline, 10 mgs of morphine

0:33:13 > 0:33:16- and sats maintained 95%... - Do you know her?- What happened?

0:33:16 > 0:33:19Can you find out what happened for me?

0:33:19 > 0:33:22- Any idea how long the blade was? - No.- Rosa?

0:33:22 > 0:33:25Rosa!

0:33:25 > 0:33:27Um, you must be Ketzia?

0:33:27 > 0:33:30- How do you know my name? - Well, I'm a friend of your mum's.

0:33:30 > 0:33:34- What's happened? What's going on? - I don't know you.

0:33:36 > 0:33:41Ah, Staff Nurse Asike. Mr Malcolm Stroud. I believe you two have met.

0:33:41 > 0:33:45If you don't let him slip off this time, you might just win that bet.

0:33:45 > 0:33:47Come again?

0:33:48 > 0:33:52He's in pain and he's limping. Check out the groin area.

0:33:52 > 0:33:55You know that "thing" you found.

0:33:55 > 0:33:57That could have something to do with it.

0:33:59 > 0:34:04Can we cross match bloods, please? I need a second IV, Lenny. Let's get on to X-ray ASAP.

0:34:04 > 0:34:07- She's one of the cleaners. - No, she's not a cleaner, no.

0:34:07 > 0:34:09No, she is, I saw her in the staffroom.

0:34:09 > 0:34:12- My mum don't work in this hospital! - Ketzia!

0:34:12 > 0:34:15She's right, you're not. You do it voluntary.

0:34:15 > 0:34:17- Can we have some space here, please! - Sorry.

0:34:18 > 0:34:21I dunno if you remember, but about a year ago, we had a boy in?

0:34:21 > 0:34:25A stab wound, didn't make it. Now, that was Ashley Onwukwe.

0:34:25 > 0:34:28- That was her son.- How do you know our business. You don't know us!

0:34:28 > 0:34:32- Yeah, I do, I'm a good friend of your mum's.- You're a liar!

0:34:32 > 0:34:34- Ketzia, don't talk to Mac like that. - It's all right.

0:34:34 > 0:34:37Did they find whoever did the stabbing?

0:34:37 > 0:34:42You mean the kid who killed my brother? Yeah. They did.

0:34:42 > 0:34:45- But they didn't punish him enough. - How are we getting on with the IV?

0:34:45 > 0:34:48Jamal. Jamal Lewis!

0:34:55 > 0:34:58OK, let's get you on the trolley and take a look at you.

0:34:58 > 0:35:02I appreciate your professionalism, but I need to get home. I've got a guest tonight.

0:35:06 > 0:35:08Ooh! You forgot this.

0:35:09 > 0:35:14You're clearly in a great deal of pain, Mr Stroud.

0:35:14 > 0:35:18We're nurses. There's...not much that shocks us.

0:35:18 > 0:35:22- Why don't you let me take a look? - No...it's, it's a private thing.

0:35:22 > 0:35:25If you don't let me examine you, I'll have to refer you.

0:35:25 > 0:35:28In which case, I doubt you'll get home tonight at all.

0:35:28 > 0:35:30Why don't you call your "friend"

0:35:30 > 0:35:33and explain that you're not going to be able to be there?

0:35:33 > 0:35:36No, no, no. I haven't got his number.

0:35:36 > 0:35:39No, no, it's complicated.

0:35:39 > 0:35:42Er, he lives abroad. Well, it's not easy.

0:35:42 > 0:35:46I don't know when I shall, when I shall see him again...

0:35:55 > 0:35:59Eheu, fugaces labuntur anni.

0:35:59 > 0:36:02- My son. - THEY LAUGH

0:36:05 > 0:36:07Oh, how the fleeting years slip away.

0:36:09 > 0:36:12All right, let me examine you quickly.

0:36:12 > 0:36:15There may be a short-term solution for the pain and discomfort.

0:36:22 > 0:36:25OK. That is impressive.

0:36:25 > 0:36:29That's the biggest inguinal hernia I have ever seen.

0:36:29 > 0:36:33- HE WINCES - I'll do a swab and see if I can get some antibiotics organised.

0:36:41 > 0:36:45You can get medical versions, you know. There's no need to do a DIY.

0:36:45 > 0:36:47- You should have said.- Well...

0:36:47 > 0:36:50it's not the sort of thing one would like to share now, is it?

0:36:52 > 0:36:57Sorry to ask, but did you see which way the blade went in - up or down?

0:36:57 > 0:37:03- Or how long the blade was?- Do you know who the little boy is?- Tyreece?

0:37:03 > 0:37:06- The little boy from this morning? - He's being operated on.

0:37:06 > 0:37:11- Was some internal bleeding after the head injury.- Will he be OK? - They're doing their best.

0:37:12 > 0:37:14Ketzia?

0:37:16 > 0:37:17Was it you?

0:37:18 > 0:37:23- What?- Did you hurt that little boy? Tell me the truth.

0:37:25 > 0:37:27Ketzia?

0:37:27 > 0:37:30- No, no! Back down. Lie down. - Lie back. Lie back.

0:37:33 > 0:37:35That's ruptured.

0:37:36 > 0:37:39Come here. SHE GASPS

0:37:42 > 0:37:44You go upstairs now.

0:37:44 > 0:37:47You find his mother,

0:37:47 > 0:37:50or you find Jamal, and you apologise

0:37:50 > 0:37:52for what you have done.

0:37:53 > 0:37:57- You will ask forgiveness for your actions.- But they killed Ashley!

0:38:00 > 0:38:03- Have you forgotten? - SHE SOBS

0:38:03 > 0:38:07I don't need violence to help me remember!

0:38:09 > 0:38:12What have I let you become?

0:38:14 > 0:38:16I'm losing you, too.

0:38:16 > 0:38:19- You're not, you're not losing me. - MONITORS BEEP

0:38:19 > 0:38:22You need to wait outside now, OK?

0:38:24 > 0:38:26Get her down.

0:38:31 > 0:38:35Just who I was looking for - I solved the Malc mystery.

0:38:35 > 0:38:38A huge inguinal hernia! I was wondering if you could

0:38:38 > 0:38:41- run him home if you're not busy. - No way! Absolutely no way!

0:38:45 > 0:38:48- You all right?- You said you knew my mum. How do you know her?

0:38:48 > 0:38:52Well, she's been coming here every day since your brother died.

0:38:52 > 0:38:55She says it helps her feel closer to him.

0:38:56 > 0:39:00Then one day she asked if she could make herself useful so I said fine.

0:39:00 > 0:39:03And she does a bit of cleaning, tidying,

0:39:03 > 0:39:06often brings flowers for the relatives' area.

0:39:06 > 0:39:10And, er, and sometimes she prays there.

0:39:10 > 0:39:13- Er...would you like to see? - I don't think that's a good idea.

0:39:13 > 0:39:16- Oh, er, fair enough.- No, please.

0:39:16 > 0:39:17I want to see.

0:39:22 > 0:39:25Well, maybe it is a good idea. Come on.

0:39:25 > 0:39:27- Let's take her together. - Come on.- OK.

0:39:27 > 0:39:31She's tachycardic, her resps are up and her pressure's dropped.

0:39:31 > 0:39:34- She's bleeding from somewhere. - Well, it's not her chest.

0:39:34 > 0:39:38- A left-sided haemothorax isn't big enough to explain the shock.- Rosa?

0:39:38 > 0:39:41Does your belly hurt?

0:39:41 > 0:39:42Yeah. She's still dropping.

0:39:42 > 0:39:46- OK, let's see what's going on in there.- OK, Rosa.

0:39:48 > 0:39:52- There's no free fluid.- So where's she bleeding from then?- Pericardium?

0:39:55 > 0:39:57There. Cardiac tamponade.

0:39:57 > 0:40:00Right, let's prep for a pericardiocentesis, please!

0:40:00 > 0:40:03Rosa, you've got a collection of blood round your heart.

0:40:03 > 0:40:08I'll need to drain it. I'll ask you to hold your breath briefly. I'll tell you when.

0:40:08 > 0:40:12- So, pericardiocentesis when she's awake?- It can be done.

0:40:14 > 0:40:19Stand by with the Lignocaine. OK, thank you.

0:40:19 > 0:40:23OK, Rosa, this is just a short, sharp scratch.

0:40:28 > 0:40:30There you go.

0:40:30 > 0:40:34OK, Rosa, I'm going to ask you to hold your breath.

0:40:34 > 0:40:35Now.

0:40:41 > 0:40:45OK, you're doing really well, Rosa. Nearly there.

0:40:47 > 0:40:49OK, you're doing really well, Rosa.

0:40:52 > 0:40:55OK. You can breathe out now, Rosa.

0:40:55 > 0:40:56SHE EXHALES

0:41:02 > 0:41:04Yeah. Radial pulse back.

0:41:06 > 0:41:08Your mum brought those roses in this morning.

0:41:31 > 0:41:34We've got Jamal Lewis, in the relatives' area

0:41:34 > 0:41:36and Ashley's Onwukwe's sister is...

0:41:36 > 0:41:40- Noel and Ashley's Onwukwe's sister. Where is she?- I believe that, er,

0:41:40 > 0:41:43- Staff Nurse Conway took her to the relatives' area.- She...?

0:41:44 > 0:41:45This way.

0:41:52 > 0:41:55- (What were you thinking?) - (It's fine.)

0:42:55 > 0:42:57Can you draw up some RSI drugs, Tess?

0:42:57 > 0:43:00We'll intubate her here to save time, then get her up to theatre.

0:43:01 > 0:43:04Erm, sorry to interrupt. We have a special request.

0:43:04 > 0:43:07Can her daughter see her?

0:43:08 > 0:43:12- I don't think that's such a good idea, Lenny.- Please, Mum.

0:43:13 > 0:43:15Mum!

0:43:16 > 0:43:18They're going to take me away.

0:43:18 > 0:43:20I told them the truth.

0:43:21 > 0:43:24And I apologised!

0:43:26 > 0:43:27OK.

0:43:30 > 0:43:33- Is she going to be OK?- She has to go upstairs to have an operation.

0:43:33 > 0:43:35We're going to put her to sleep here first.

0:43:37 > 0:43:39Oh, don't be scared.

0:43:39 > 0:43:41Mum, don't be scared.

0:43:41 > 0:43:46SHE HUMS HOW GREAT THOU ART

0:43:58 > 0:44:00# And when I think

0:44:01 > 0:44:05# That God his son not sparing

0:44:07 > 0:44:10# Sent him to die

0:44:10 > 0:44:13# I scarce can take it in

0:44:16 > 0:44:18# That on the cross

0:44:18 > 0:44:22- # My burden gladly bearing - SHE SOBS

0:44:24 > 0:44:31- # He bled and died to take away my sin... # - SHE SOBS

0:44:31 > 0:44:34We're going to put you under now, Rosa.

0:44:34 > 0:44:37# ..Then sings my soul

0:44:37 > 0:44:40# My saviour God to thee

0:44:43 > 0:44:46# How great thou art

0:44:48 > 0:44:52# How great thou art

0:44:52 > 0:44:55# When Christ shall come

0:44:55 > 0:45:00# With shouts of acclamation

0:45:00 > 0:45:03# And take me home

0:45:06 > 0:45:10# What joy shall fill my heart

0:45:10 > 0:45:14# And I will bow

0:45:14 > 0:45:18# In humble adoration

0:45:18 > 0:45:22# And there proclaim

0:45:22 > 0:45:27# "My God How Great Thou Art"... #

0:45:28 > 0:45:33- How's it sounding, Lenny? - Good equal air entry. Sounds good.

0:45:33 > 0:45:36Great, let's change the vent.

0:45:36 > 0:45:40# ..How great thou art

0:45:40 > 0:45:43# How great thou art

0:45:45 > 0:45:50# Then sings my soul

0:45:50 > 0:45:55# My Saviour God to thee

0:45:55 > 0:46:00# How great thou art

0:46:00 > 0:46:07# How great thou art. #

0:46:14 > 0:46:17- I can't accept this. - Pay me back another time.

0:46:17 > 0:46:21Come on. Let's get you a cab.

0:46:26 > 0:46:28I think we deserve a drink.

0:46:28 > 0:46:31Good idea. First round's on me.

0:46:34 > 0:46:36Can it wait 15 minutes?

0:46:36 > 0:46:38Oh, no, come on, we don't have to do that.

0:46:38 > 0:46:41I know. I know, I know. But I want to.

0:46:44 > 0:46:46Hey, Malcolm.

0:46:46 > 0:46:49It's your lucky day, kid, do you fancy a ride?

0:46:54 > 0:46:58Mac? Erm, I don't suppose you've got the card there?

0:46:58 > 0:47:01- I forgot to sign it.- Oh, right...

0:47:03 > 0:47:05Er...let's look here.

0:47:05 > 0:47:09What...have...we...got...here?

0:47:11 > 0:47:14- Ah, well done.- Cheers.

0:47:28 > 0:47:32- Is Tyreece OK?- Yeah. We got her. We got them both.

0:47:32 > 0:47:34What they deserved. Oh!

0:47:45 > 0:47:48Aw, welcome home, son! It's good to have you back!

0:47:58 > 0:48:02- Tell him I'll be in touch soon. - Where you going?

0:48:02 > 0:48:05Jamal? Come back!

0:48:08 > 0:48:10Jamal!

0:48:14 > 0:48:17HE HUMS HOW GREAT THOU ART

0:48:56 > 0:48:59Subtitles by Red Bee Media Ltd

0:48:59 > 0:49:02Email subtitling@bbc.co.uk