A Pound of Flesh Casualty


A Pound of Flesh

Medical drama. A boy is hurt after being caught in the cross-fire between two warring families, and Lloyd discovers an elderly timewaster has real health problems.


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Transcript


LineFromTo

SINGING

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# How great thou art How great thou art...#

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-Oh, no.

-It's, ah, quite calm in here today so...

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if you want a bit of time to yourself, you know, it's fine.

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-You OK?

-Not so bad.

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-Steady!

-I'm knackered, and I'm starving.

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

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Not unless they're going to pay us. Especially for a green call like this.

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Fond of him as I am.

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Oh! I need one of those.

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-You got one of those.

-Don't be disgusting, Jeffrey.

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Right. Come on, you, let's get you out.

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I'm feeling a lot better now, actually.

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-I think I should discharge myself.

-No, you know the rules -

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-if you call with chest pains, we've got to bring you to the hospital.

-I don't want to waste anyone's time.

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-You should have thought of that before you called us.

-I'm OK.

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And you people are under a lot of pressure. Tempus fugit and all that.

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-You what?

-Latin.

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-Er, double first in Classics. Believe it or not.

-Did you call your GP? Like you were told to?

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Well I-I-I, I was getting round to it...

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What good's a degree if you can't even organise your own life?

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I tell you what, university, it's overrated.

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I thought I was having a seizure!

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For which the well-known cure is a shopping trip into town?

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Well, it happened on the way out...

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Well, next time, just make sure it's when I'm not on a break.

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Let's get you out of here. Come on handsome, up we get.

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Go on.

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If someone answers, just say you're a friend of Jamal's.

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And when's he back?

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DOORBELL RINGS

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DOORBELL RINGS

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There you go.

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Thank you very much!

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-For you.

-Wow.

-Pakistani stamp.

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-Could be from Mads.

-Who's Mads?

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-A nurse that used to work here. She's on a bit of a sabbatical, you know, break.

-Photos.

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-Well, come on, share! Wow...

-She's getting married in Pakistan.

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-Oh?

-Does that mean she's not coming back?

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-Yeah.

-Eh, we could go!

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I don't think we're invited.

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-She'd love it if we all turned up. You know, group trip to Pakistan!

-Oh! look at this one!

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That's not a bad idea, you know, Mac.

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Who rattled his cage?

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I think he held a bit of a torch for her.

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..doctors' and nurses' time when I'm feeling as right as rain!

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Malcolm Stroud, 70. Complaining of chest pains. He's had Aspirin. His ECG's normal.

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He's been in several times in the past, but he's never been admitted.

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It's the second time this month, innit, Malc?

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Maybe I could just have some painkillers on prescription.

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Chest pains are a bit serious. We'll need to do some tests.

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Right, it's a bit busy in cubicles, let's get him to CDU,

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re-run his ECG, do some obs. And, um, standard bloods, please.

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I-I don't want to be a bother.

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-D'you know what, can I leave you with him?

-The bloods and ECG you mean?

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Yes, is that a problem? I know Jay's not here

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so if you don't think you're up to it...

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That's fine, Dr Lyons. Leave it with me.

0:05:070:05:09

Thank you. Ken, could you take him to CDU?

0:05:090:05:13

Right, lovely, I'll go and get some grub.

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You say this is the second time this month?

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I wouldn't waste too much time on him. He's a regular - charming, but devious.

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-Maybe there's something else going on.

-Maybe. Could be the company? A free lift into town? Who knows?

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-I'm a paramedic, not a social worker.

-The voice of scepticism.

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The voice of experience.

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

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-Instead, this trip's cost the tax payer £500 quid and me my lunch break.

-That's a bit harsh.

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Because some poor soul in real danger might not get an ambulance on time.

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Look, you find out what the problem is and fix it

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and maybe he'll stop calling us up!

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And I bet ya, he discharges himself before you make a diagnosis.

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# Some people think I'm bonkers

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# But I just think I'm free

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# I'm just living my life There's nothing crazy about me

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# Some people pay for thrills But I get mine for free

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# I'm just living my life. #

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SHE HUMS

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-What d'you think?

-Eh?

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Did you know her well?

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-Probably more that most, yeah.

-Oh, right, you mean you...?

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What?

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Nothing. She's just a pretty girl.

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Tea, doctor?

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Would you watch what you're doing, please?!

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For God's sake!

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-Come on, Ketzia, let's go!

-No...not yet.

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Ah, that is sick. He's going to be well afraid!

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Oh, my God.

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-There y'are. Grub's up!

-Oh! Caffeine and carbohydrates!

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Woo-hoo-hoo!

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I was right. Have a look at that.

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Champagne, mayonnaise, avocado, prawns. Blimey, I like a man who knows his prawn cocktail!

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Two steaks!? Bottle of red wine, bottle of white wine?

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Cheeky bugger!

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I know, a little dinner a deux on the NHS ambulance service.

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It's not on, Jeff. We're not Help the Aged!

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Holby Control to 3006. Emergency call

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'to 6 Rose Avenue. Elizabeth Estate.'

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-Injuries unknown at this stage.

-I need a break.

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-Even if it's just for ten minutes I need a break.

-Come on.

-No, she's gotta get organised,

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she's got to make sure that the jobs are equally shared.

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3006 to Holby Control. We're not available.

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We're on a disturbed meal break.

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You're going to have to find someone else. Over.

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I have looked, but I'll see what I can do.

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I've not got a problem if it's a red call.

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-But if it's non-life threatening...

-You know it doesn't work like that.

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We don't know what we're going to get till we get there.

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Holby Control to 3006. You're the only vehicle available.

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Emergency call to 6 Rose Avenue, Elizabeth Estate updated.

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'A child with a head injury. Red 2 call. Reduced level of consciousness.'

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Can't ignore a call like that, can we? No, no, no! It'd be inhuman.

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They've got us, Jeffery, and they know it.

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3006 to Holby Control. We're on our way. Over.

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OK...oh, they're not sticking!

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-This is all a bit more trouble than it's worth.

-Not as much trouble as I'll be in

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if I don't provide the doctor with all the information he asked for.

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-Can you just stay still a moment, Mr Stroud?

-We have to get this done before Doctor Lyons is back.

-I know.

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OK, right. I'm going to have to ask you to get undressed and put this on, Mr Stroud.

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-We need your legs and chest exposed for better access.

-Nemo liber est qui corpori servit.

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"No-one is free who is a slave to his body."

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I ma-massively appreciate the trouble you two are going to,

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but I'm going to call it a day.

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We have to run these tests, Mr Stroud. It's the rules.

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OK, er, how about I ask my colleague to step outside a moment?

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Sure. No problem.

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Ah. Thank you.

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-All right, let me give you a hand with these buttons?

-No!

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Sorry!

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Leave me alone. One moment alone.

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-One moment, please.

-I'm just trying to help.

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Why do they call them unpaid breaks? We're working.

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-Call them what they are - "management money-saving exercises."

-Chillax!

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-Getting all aereated's not going to help, is it?

-I'm not "aerated".

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I'm just knackered!

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It should be here.

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Yup, there!

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All right, young man. What's happened to you, then? Eh? Ooh.

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-What they doing? What is he doing?

-I don't know!

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That's a nasty bump you got on your head there. How'd you do that?

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Excuse me! Can you help us? We're trying to work out what happened here?

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-Did you see anything?

-Is he going to be OK?

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Do you know him? What, d'you live round here?

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Go away. Go! Go away.

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-Calm down, calm down!

-Do you know this girl, sweetheart?

-Go away!

-Oh, no, you don't.

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All right, call the police, Dixie.

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Ah, argh! Ooh...

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-3006 to Control, can we have a police officer on the Elizabeth Estate, please?

-Little tyke!

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-You all right?

-Ohhh!

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-I think the chest pains are a red herring.

-Anything obvious on the 12 lead?

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-He wasn't co-operating very well. It was quite difficult for us to...

-So you didn't do it?

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-We think there must be other pain, he's desperate for painkillers.

-He's after the morphine.

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He's not a druggie. I'm sure of it.

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He's a sad lonely old man living out his last chapter

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in the back end of nowhere!

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Morphine is everyone's favourite reality softener.

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Ah, Lenny. Won't be a minute, have you looked at this?

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It's just a gesture, from the department.

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Actually, no, I'll er, sign it later.

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Yeah, well, don't forget.

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Cos I want to get it off by the end of the day, all right?

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You left him unattended?

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You had two simple tests to run on that guy - the ECG and the bloods.

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You managed to complete neither.

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That means the system has failed him. YOU have failed him.

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I know what it looks like, but I was actually making progress. I think he was ready to open up.

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This is a hospital, not a day care clinic! Our job is to patch up peoples' bodies, not their lives.

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If his heart packs up on him out there, then that is our fault.

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And me being the doctor in charge, that's my responsibility so thank you. Well done(!)

0:13:500:13:55

Don't take it personally. He's in a mood cos that nurse is getting married.

0:14:000:14:04

-I think they had a thing.

-What is this?

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Er, geriatric S and M?

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SHE LAUGHS

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Oh, God!

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Er, so sorry to be a bother, the, er, the doctor asked me to ask you

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if you could possibly fix me up with a lift home in an ambulance?

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I'm not too mobile.

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I'll be ready to go in an hour.

0:14:370:14:39

-Sure. I'll see what I can do.

-Much appreciated.

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-Just try and stay calm for us.

-We found him collapsed on his doorstep. We couldn't get a name.

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-Get off me! Get off...

-He's got an isolated head injury which we've treated. GCS was 14.

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-May have been KO'd. BP's 120, pulse 90. Sats are at 97%.

-OK, Paeds, please.

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-Police are on their way and we're trying to locate the parents.

-Get off!

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-Has he been like this all the way?

-Kicked off as we came in.

-Lenny, why don't you get this one?

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-I know him.

-You do?

0:15:100:15:13

Well, do you know his mum, or someone we can call?

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His mother is Denise Lewis.

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They live at 6 Rose Avenue, Elizabeth Estate.

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Brilliant. Look, do you think you might be able to calm him down?

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He could do with a friendly face. Cheers, thank you.

0:15:240:15:27

Lamorna, can you take this over to Paeds resus?

0:15:270:15:29

Listen, if you keep moving like this, you might make your injury worse!

0:15:290:15:34

-Let me go!

-One, two, three.

-Tyreece?

0:15:340:15:38

Would you just stop that? That is really not helping, OK!

0:15:380:15:42

Tyreece.

0:15:420:15:44

-Sorry, could you get out, please? We're a bit busy!

-OK, come on. Calm down!

-Tyreece!

0:15:440:15:49

You don't know me, but I am a friend of your mum.

0:15:510:15:53

And I am going to stay with you until she comes. Huh?

0:15:530:15:57

-Thank you...

-Rosa.

0:15:580:16:01

Rosa. Thank you, Rosa. Right. Let's get some IV access and start neuro obs.

0:16:010:16:06

Can I see?

0:16:080:16:10

Your brother is coming out today, is he?

0:16:110:16:15

"Welcome home, Jamal."

0:16:150:16:17

You must have missed him very much.

0:16:190:16:21

-Here you are.

-Thanks, darling.

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I've been desperate for that.

0:16:320:16:35

I reckon the docs are going to suggest a course of co-amoxiclav. Human bites can infect quickly.

0:16:350:16:40

Really? Thanks for that(!)

0:16:400:16:42

You should really take the rest of the shift off.

0:16:420:16:45

Chance would be a fine thing. We're short staffed and we haven't got any cover.

0:16:450:16:49

Well, definitely no more driving.

0:16:490:16:51

How'd you get on with my mate Malc?

0:16:510:16:54

-Did you sort him out?

-He legged it.

0:16:540:16:56

-I told ya.

-I would've got there. He knows saying chest pains will always get him a lift in,

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but I think he does actually need a lift in because he's in too much pain somewhere else to manage alone.

0:17:020:17:07

Well, why would he bother hiding something that we can fix?

0:17:070:17:10

Maybe he's scared, or shy, or ashamed?

0:17:100:17:14

-Where is he!? How did they find him?

-Someone called the police...

0:17:140:17:18

-Who?!

-I don't know. I can get a paramedic to talk to you and the police are on their way. Thank you.

0:17:180:17:22

He left this.

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Dirty old man.

0:17:290:17:31

Told you.

0:17:310:17:33

Dix, could you give us a hand, love? There's trouble in reception.

0:17:330:17:37

The mother of your patients wants the full story. And can they have another nurse in resus?

0:17:370:17:41

What kind of a world do we live in when you can't leave your eight-year-old son at home

0:17:410:17:46

without the house being attacked?!

0:17:460:17:48

It's like we're in bloody Afghanistan. I know who did it!

0:17:480:17:51

-Where are the police?

-They are on their way.

0:17:510:17:54

My son is coming out today. That's why they done this.

0:17:540:17:58

-As if he hasn't suffered enough for what he never did anyway.

-I see.

-No, I don't think you do.

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I don't think you people have any idea what it's like. If he hadn't of defended himself,

0:18:030:18:08

he'd have been the one in the grave now.

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-What was he meant to do?

-This is Dixie, she brought your son in.

0:18:100:18:13

-It's a brave little boy you've got there.

-Thanks. Was anyone hanging round there?

-Yeah, a girl.

0:18:130:18:18

Black? About 15, 16?

0:18:180:18:20

-Yeah.

-Staff Nurse Conway, could you take Mum through, please?

-This way. OK, then.

0:18:200:18:24

Jamal. Jamal, if you get this call me.

0:18:270:18:31

I'm at the hospital with Tyreece.

0:18:310:18:33

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

0:18:330:18:39

Show 'em. Welcome back.

0:18:390:18:41

ROSA HUMS THROUGHOUT

0:19:070:19:10

-I've got Tyreece's mum here. Is she OK to come in?

-Yeah.

0:19:350:19:39

What is SHE doing here?

0:19:410:19:43

She was just here to calm down your son.

0:19:430:19:45

-What are you doing with my son?!

-He was upset. I was helping.

0:19:450:19:48

You've got to be joking! Do you know who this woman is?!

0:19:480:19:52

Do you know what her family have done to mine?

0:19:520:19:54

-You have no right to talk about my family.

-Get out!

0:19:540:19:57

Get out of here right now!

0:19:570:19:59

If she stays in here, I can't trust myself!

0:19:590:20:02

-Let's leave Tyreece and his mum alone.

-Get away from my son. Get out!

0:20:020:20:06

You're not helping your son like this, come on.

0:20:060:20:09

-They trashed my house.

-Who? I don't know what you're talking about.

-Don't lie.

0:20:090:20:13

-Do not call me a liar.

-You tell her to do it, did ya?

0:20:130:20:17

Coward as well.

0:20:180:20:20

Happy to duck out and let your daughter take all the blame.

0:20:200:20:23

Ketzia has nothing to do with this.

0:20:230:20:26

-Ketzia did this!

-She is at school.

0:20:260:20:28

No, she's not. She never in school.

0:20:280:20:30

Oh, you don't know anything about her, do you?

0:20:320:20:35

Kids don't just raise themselves, you know.

0:20:350:20:38

No wonder she's turned out the way she has.

0:20:380:20:40

-Come back here!

-Hey, hey, hey, hey!

-You better get to your daughter quickly before someone else does!

0:20:460:20:52

My Jamal won't stand by and let this happen to his family!

0:20:520:20:56

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

0:21:260:21:31

We have rules here. You heard what my coll...

0:21:310:21:34

OK. Let's get him on his side and suction, please.

0:21:340:21:36

What's happening? Tyreece?

0:21:360:21:39

Could you back up, please, give us a bit of space?

0:21:390:21:42

-What's happening to him?

-I think we may have an internal head injury. We need to move fast. Get Mum outside.

0:21:420:21:47

-You have to wait outside, OK?

-Come on.

0:21:470:21:49

OK, let's intubate, and we need a CT scan ASAP.

0:21:490:21:53

Can I get you a cup of tea or anything?

0:21:580:22:00

MOBILE RINGS

0:22:040:22:07

Mum? Mum? Where are you? What's going on?

0:22:070:22:09

I'm in hospital. They hurt Tyreece. You got to get out 'ere, Jamal.

0:22:090:22:13

Well, is he going to be OK? What happened?

0:22:130:22:15

Your uncle and cousins are on their way over. I want you to join them.

0:22:150:22:20

-Jamal, are you there?

-'Mum....'

0:22:200:22:22

I-I've just come out.

0:22:230:22:25

I've done nine months. I'm on parole. I can't get involved. I'll be right back in there again.

0:22:250:22:30

They can't get away with this. Here's the doctor.

0:22:300:22:32

-He'll tell you what they done.

-Not now, I can't.

0:22:320:22:35

-Leave the doctor alone. He's busy.

-I'll come to the hospital.

0:22:350:22:38

-I don't need you here, I need you out there! Tell him, doctor.

-Would you let go of me?

0:22:380:22:43

'I don't know the medical terms. I want him to understand!'

0:22:430:22:46

Tell him. Tell his brother!

0:22:460:22:49

You deal with this, I'll take him through.

0:22:490:22:52

Tell him. Listen, Jamal. This is the doctor.

0:22:520:22:55

Your son suffered a blow to the head.

0:22:570:22:59

'He started to deteriorate whilst we were assessing him and now he needs an urgent brain scan.'

0:22:590:23:03

It's to determine whether there's bleeding inside the head or any internal damage.

0:23:030:23:08

-Did you get that, Jamal? What internal damage? What?!

-Would you get that phone out my face!

0:23:080:23:13

I'm sorry, you need to leave the doctor alone.

0:23:130:23:15

'Er, do we need a hand here?'

0:23:150:23:17

Mum. Mum, please!

0:23:170:23:19

WE DON'T KNOW YET! It's too early to tell.

0:23:190:23:21

What's the worst that could happen?!

0:23:210:23:24

'I'm sorry, I'm sorry, I know you're upset.'

0:23:240:23:26

But we cannot have you physically manhandling the staff, OK?

0:23:260:23:29

'D'you hear that, Jamal?'

0:23:290:23:31

They won't even say. So it's got to be bad.

0:23:310:23:34

'You get out there. Give them what they deserve.'

0:23:340:23:37

You did well, sir.

0:23:480:23:49

-Are you all right?

-Why don't you take a seat, take it easy.

-I'm fine!

0:23:490:23:54

Good afternoon. Holby City ED.

0:23:540:23:56

Er...

0:24:010:24:03

I found it in the bin. Sorry. Someone must have put it there by mistake.

0:24:030:24:06

Look, she clearly cared enough to write, so you ought to read it.

0:24:130:24:17

Even if you don't want to reply.

0:24:170:24:18

Holby Control to 3006.

0:24:230:24:25

Emergency call to Westmeadow Shopping Centre.

0:24:250:24:29

'Incident and injuries unknown at this stage. Will keep you updated.'

0:24:290:24:34

Come on then, Nelson, I'd better drive.

0:24:340:24:37

Remind me to do this more often, eh?

0:24:370:24:40

Thank you very much.

0:24:400:24:42

-What?

-We got a stowaway.

0:24:460:24:48

Afternoon.

0:24:520:24:53

The Emergency Department requested Transport After Treatment. But then no-one could find him.

0:24:570:25:02

Well, he's in our ambulance. And we're on a shout.

0:25:020:25:05

-We can't take him with us!

-My Control Manager isn't here.

0:25:050:25:08

I haven't dealt with a case like this before.

0:25:080:25:12

I don't know the regulations. Can you hold on a moment, please?

0:25:120:25:15

Fine. Just get back to me as soon as you can please, thank you.

0:25:150:25:18

Er, couldn't you drop me off on the way? I promise I won't be a bother.

0:25:180:25:24

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

0:25:240:25:28

Previous call cancelled. Hooray! You CAN do it.

0:25:310:25:34

Holby Control to 3006.

0:25:350:25:38

Take Mr Stroud to 6 South Brewham Lane.

0:25:380:25:40

No! No way. He's not a shout and he's not a patient.

0:25:400:25:43

He didn't even finish his treatment. He just walked off.

0:25:430:25:46

Please. I don't know what else to do. Holby City ED requested it.

0:25:460:25:50

I'd be indebted to you.

0:25:510:25:53

You already are!

0:25:560:25:58

3006 to Holby Control, we'll take him, over.

0:25:580:26:02

Thank you. Thank you so much.

0:26:020:26:05

Omnia causa fiunt.

0:26:050:26:08

-Cut the classics!

-Carpe Diem.

0:26:080:26:11

Seize the day. I know that one. Sums him right up. Cheeky chancer.

0:26:110:26:16

MOBILE RINGS

0:26:230:26:25

Can't we go back to yours? Or mine? Inside somewhere.

0:26:330:26:37

Yeah, after.

0:26:370:26:39

-Can you see him?

-I ain't fighting.

0:26:400:26:43

-You ain't fighting either.

-I don't have a knife.

0:26:430:26:47

Have they got knives?

0:26:470:26:49

Distract them, yeah?

0:26:520:26:53

Get out there!

0:26:550:26:57

Go on!

0:27:060:27:07

-Where have you been?

-Nowhere.

-Haven't you been at school?

-Mum, I don't have time for this!

-What is going on?

0:27:530:27:59

Go away from here!

0:28:020:28:04

I don't want any trouble, you hear me!

0:28:040:28:07

-There will be no fighting, no fighting here.

-Get back inside, Mum!

0:28:080:28:11

-This is my business, it's not yours!

-Ketzia! Go back inside.

0:28:110:28:15

-Where is he?! Where's Jamal?!

-Give me this.

0:28:150:28:19

Hasn't there been enough?!

0:28:210:28:22

No! SKIN PUNCTURES

0:28:250:28:27

Go. Go!

0:28:290:28:32

CAR SPEEDS OFF

0:28:370:28:39

-Mum?

-SHE SOBS

0:28:440:28:48

Mum?!

0:28:510:28:53

How's Tyreece?

0:29:090:29:10

Er, it's not good news, I'm afraid.

0:29:120:29:15

Um, he has an extra dural haematoma.

0:29:150:29:17

-A what?!

-Right.

0:29:170:29:19

It's a blood clot compressing one side of the brain.

0:29:190:29:22

It's getting larger, it's going to exert more pressure on

0:29:220:29:25

the brain which unfortunately makes this a life-threatening injury. He needs an operation.

0:29:250:29:29

Surgeons will have to open up the skull

0:29:290:29:32

so that they can suction off the clots from the brain.

0:29:320:29:34

You should have turned left back there. There's a much more scenic route.

0:29:450:29:49

-You again! You are in big trouble.

-It's my mum!

0:29:520:29:55

She's been stabbed! I think she's dying!

0:29:550:29:57

-Jeff, call the police, please!

-All right, I'm on it.

0:30:010:30:03

3006 to control,

0:30:030:30:05

could we have a police officer down to All Saints Road, please?

0:30:050:30:09

Potential stabbing.

0:30:090:30:11

Right, you, you wait here.

0:30:110:30:13

Yeah. Don't worry...

0:30:130:30:15

Holby Control calling 3006...

0:30:240:30:28

Can I get an update on the delay to 6 South Brewham Lane?

0:30:280:30:31

Will she get off our case? Haven't we done enough?

0:30:310:30:34

3006 to Holby Control.

0:30:340:30:36

We've come across a running call, female patient with stab wounds.

0:30:360:30:40

We're taking her to Holby ED. ETA about 10 minutes.

0:30:400:30:42

-Mum, are you OK?

-All right, sweetheart.

0:30:420:30:45

We're just going to settle you in the ambulance.

0:30:450:30:47

Decision reversed. I'm sending another vehicle.

0:30:470:30:50

Stay put until it arrives then continue with your assigned job.

0:30:500:30:53

Negative, Holby Control. We're going to take her in now.

0:30:530:30:56

I have to overrule you. I think it's better you wait.

0:30:560:30:59

-It's in the best interests of the sector.

-Overrule?

0:30:590:31:01

How's about this for overrule? We're bringing her in now! Over!

0:31:010:31:05

Hello?

0:31:070:31:08

That's better, isn't it? A bit of peace and quiet.

0:31:080:31:11

Right, do you want to sit over here for me, love?

0:31:110:31:14

Can you tell us what happened to your mum?

0:31:140:31:17

Hey!

0:31:220:31:24

-Where d'you think you're going?

-You're very busy.

0:31:250:31:28

I don't want to cause any trouble.

0:31:280:31:30

Listen, you've come this far, son, you may as well stick around.

0:31:300:31:34

-I've got to get home! I've got an important guest coming.

-HE WINCES

0:31:340:31:38

You're in pain, aren't you?

0:31:380:31:40

Look, we need to get you looked at again. Come on!

0:31:400:31:43

We gotta get woman in sharpish!

0:31:430:31:46

Not good news?

0:32:190:32:21

She did what she had to do. She looked out for number one.

0:32:210:32:24

I'm looking for Tyreece Lewis. He's here with my mum. Where are they?

0:32:260:32:29

-Are you a relative?

-He's my brother.

-I'll get one of the doctors for you.

0:32:290:32:33

-Doctor Lyons, this is...

-Jamal Lewis.

-Tyreece Lewis' brother.

0:32:330:32:37

Oh, right.

0:32:370:32:38

Yeah, your mum tried to get me to talk to you on the phone, right?

0:32:380:32:41

-I want to see my brother.

-You can't, he's in an operation at the moment.

0:32:410:32:45

-They're fixing him up, yeah?

-He's in the best hands possible.

0:32:450:32:48

-Can I see my mum?

-Lenny, I need you in Resus. We've got a stabbing coming in.

0:32:480:32:51

Staff Nurse Conway, could you take Mr Lewis up to the relatives' room, please?

0:32:510:32:56

I'll find out what's happening and get in touch with you.

0:32:560:32:59

This is Rosa Onwukwe. Mid forties.

0:32:590:33:02

She's got a stab wound to the left side of her chest.

0:33:020:33:05

GCS was 14, BP stable at 100 systolic, tachy at 125,

0:33:050:33:08

she's had 500 of saline, 10 mgs of morphine

0:33:080:33:13

-and sats maintained 95%...

-Do you know her?

-What happened?

0:33:130:33:16

Can you find out what happened for me?

0:33:160:33:19

-Any idea how long the blade was?

-No.

-Rosa?

0:33:190:33:22

Rosa!

0:33:220:33:25

Um, you must be Ketzia?

0:33:250:33:27

-How do you know my name?

-Well, I'm a friend of your mum's.

0:33:270:33:30

-What's happened? What's going on?

-I don't know you.

0:33:300:33:34

Ah, Staff Nurse Asike. Mr Malcolm Stroud. I believe you two have met.

0:33:360:33:41

If you don't let him slip off this time, you might just win that bet.

0:33:410:33:45

Come again?

0:33:450:33:47

He's in pain and he's limping. Check out the groin area.

0:33:480:33:52

You know that "thing" you found.

0:33:520:33:55

That could have something to do with it.

0:33:550:33:57

Can we cross match bloods, please? I need a second IV, Lenny. Let's get on to X-ray ASAP.

0:33:590:34:04

-She's one of the cleaners.

-No, she's not a cleaner, no.

0:34:040:34:07

No, she is, I saw her in the staffroom.

0:34:070:34:09

-My mum don't work in this hospital!

-Ketzia!

0:34:090:34:12

She's right, you're not. You do it voluntary.

0:34:120:34:15

-Can we have some space here, please!

-Sorry.

0:34:150:34:17

I dunno if you remember, but about a year ago, we had a boy in?

0:34:180:34:21

A stab wound, didn't make it. Now, that was Ashley Onwukwe.

0:34:210:34:25

-That was her son.

-How do you know our business. You don't know us!

0:34:250:34:28

-Yeah, I do, I'm a good friend of your mum's.

-You're a liar!

0:34:280:34:32

-Ketzia, don't talk to Mac like that.

-It's all right.

0:34:320:34:34

Did they find whoever did the stabbing?

0:34:340:34:37

You mean the kid who killed my brother? Yeah. They did.

0:34:370:34:42

-But they didn't punish him enough.

-How are we getting on with the IV?

0:34:420:34:45

Jamal. Jamal Lewis!

0:34:450:34:48

OK, let's get you on the trolley and take a look at you.

0:34:550:34:58

I appreciate your professionalism, but I need to get home. I've got a guest tonight.

0:34:580:35:02

Ooh! You forgot this.

0:35:060:35:08

You're clearly in a great deal of pain, Mr Stroud.

0:35:090:35:14

We're nurses. There's...not much that shocks us.

0:35:140:35:18

-Why don't you let me take a look?

-No...it's, it's a private thing.

0:35:180:35:22

If you don't let me examine you, I'll have to refer you.

0:35:220:35:25

In which case, I doubt you'll get home tonight at all.

0:35:250:35:28

Why don't you call your "friend"

0:35:280:35:30

and explain that you're not going to be able to be there?

0:35:300:35:33

No, no, no. I haven't got his number.

0:35:330:35:36

No, no, it's complicated.

0:35:360:35:39

Er, he lives abroad. Well, it's not easy.

0:35:390:35:42

I don't know when I shall, when I shall see him again...

0:35:420:35:46

Eheu, fugaces labuntur anni.

0:35:550:35:59

-My son.

-THEY LAUGH

0:35:590:36:02

Oh, how the fleeting years slip away.

0:36:050:36:07

All right, let me examine you quickly.

0:36:090:36:12

There may be a short-term solution for the pain and discomfort.

0:36:120:36:15

OK. That is impressive.

0:36:220:36:25

That's the biggest inguinal hernia I have ever seen.

0:36:250:36:29

-HE WINCES

-I'll do a swab and see if I can get some antibiotics organised.

0:36:290:36:33

You can get medical versions, you know. There's no need to do a DIY.

0:36:410:36:45

-You should have said.

-Well...

0:36:450:36:47

it's not the sort of thing one would like to share now, is it?

0:36:470:36:50

Sorry to ask, but did you see which way the blade went in - up or down?

0:36:520:36:57

-Or how long the blade was?

-Do you know who the little boy is?

-Tyreece?

0:36:570:37:03

-The little boy from this morning?

-He's being operated on.

0:37:030:37:06

-Was some internal bleeding after the head injury.

-Will he be OK?

-They're doing their best.

0:37:060:37:11

Ketzia?

0:37:120:37:14

Was it you?

0:37:160:37:17

-What?

-Did you hurt that little boy? Tell me the truth.

0:37:180:37:23

Ketzia?

0:37:250:37:27

-No, no! Back down. Lie down.

-Lie back. Lie back.

0:37:270:37:30

That's ruptured.

0:37:330:37:35

Come here. SHE GASPS

0:37:360:37:39

You go upstairs now.

0:37:420:37:44

You find his mother,

0:37:440:37:47

or you find Jamal, and you apologise

0:37:470:37:50

for what you have done.

0:37:500:37:52

-You will ask forgiveness for your actions.

-But they killed Ashley!

0:37:530:37:57

-Have you forgotten?

-SHE SOBS

0:38:000:38:03

I don't need violence to help me remember!

0:38:030:38:07

What have I let you become?

0:38:090:38:12

I'm losing you, too.

0:38:140:38:16

-You're not, you're not losing me.

-MONITORS BEEP

0:38:160:38:19

You need to wait outside now, OK?

0:38:190:38:22

Get her down.

0:38:240:38:26

Just who I was looking for - I solved the Malc mystery.

0:38:310:38:35

A huge inguinal hernia! I was wondering if you could

0:38:350:38:38

-run him home if you're not busy.

-No way! Absolutely no way!

0:38:380:38:41

-You all right?

-You said you knew my mum. How do you know her?

0:38:450:38:48

Well, she's been coming here every day since your brother died.

0:38:480:38:52

She says it helps her feel closer to him.

0:38:520:38:55

Then one day she asked if she could make herself useful so I said fine.

0:38:560:39:00

And she does a bit of cleaning, tidying,

0:39:000:39:03

often brings flowers for the relatives' area.

0:39:030:39:06

And, er, and sometimes she prays there.

0:39:060:39:10

-Er...would you like to see?

-I don't think that's a good idea.

0:39:100:39:13

-Oh, er, fair enough.

-No, please.

0:39:130:39:16

I want to see.

0:39:160:39:17

Well, maybe it is a good idea. Come on.

0:39:220:39:25

-Let's take her together.

-Come on.

-OK.

0:39:250:39:27

She's tachycardic, her resps are up and her pressure's dropped.

0:39:270:39:31

-She's bleeding from somewhere.

-Well, it's not her chest.

0:39:310:39:34

-A left-sided haemothorax isn't big enough to explain the shock.

-Rosa?

0:39:340:39:38

Does your belly hurt?

0:39:380:39:41

Yeah. She's still dropping.

0:39:410:39:42

-OK, let's see what's going on in there.

-OK, Rosa.

0:39:420:39:46

-There's no free fluid.

-So where's she bleeding from then?

-Pericardium?

0:39:480:39:52

There. Cardiac tamponade.

0:39:550:39:57

Right, let's prep for a pericardiocentesis, please!

0:39:570:40:00

Rosa, you've got a collection of blood round your heart.

0:40:000:40:03

I'll need to drain it. I'll ask you to hold your breath briefly. I'll tell you when.

0:40:030:40:08

-So, pericardiocentesis when she's awake?

-It can be done.

0:40:080:40:12

Stand by with the Lignocaine. OK, thank you.

0:40:140:40:19

OK, Rosa, this is just a short, sharp scratch.

0:40:190:40:23

There you go.

0:40:280:40:30

OK, Rosa, I'm going to ask you to hold your breath.

0:40:300:40:34

Now.

0:40:340:40:35

OK, you're doing really well, Rosa. Nearly there.

0:40:410:40:45

OK, you're doing really well, Rosa.

0:40:470:40:49

OK. You can breathe out now, Rosa.

0:40:520:40:55

SHE EXHALES

0:40:550:40:56

Yeah. Radial pulse back.

0:41:020:41:04

Your mum brought those roses in this morning.

0:41:060:41:08

We've got Jamal Lewis, in the relatives' area

0:41:310:41:34

and Ashley's Onwukwe's sister is...

0:41:340:41:36

-Noel and Ashley's Onwukwe's sister. Where is she?

-I believe that, er,

0:41:360:41:40

-Staff Nurse Conway took her to the relatives' area.

-She...?

0:41:400:41:43

This way.

0:41:440:41:45

-(What were you thinking?)

-(It's fine.)

0:41:520:41:55

Can you draw up some RSI drugs, Tess?

0:42:550:42:57

We'll intubate her here to save time, then get her up to theatre.

0:42:570:43:00

Erm, sorry to interrupt. We have a special request.

0:43:010:43:04

Can her daughter see her?

0:43:040:43:07

-I don't think that's such a good idea, Lenny.

-Please, Mum.

0:43:080:43:12

Mum!

0:43:130:43:15

They're going to take me away.

0:43:160:43:18

I told them the truth.

0:43:180:43:20

And I apologised!

0:43:210:43:24

OK.

0:43:260:43:27

-Is she going to be OK?

-She has to go upstairs to have an operation.

0:43:300:43:33

We're going to put her to sleep here first.

0:43:330:43:35

Oh, don't be scared.

0:43:370:43:39

Mum, don't be scared.

0:43:390:43:41

SHE HUMS HOW GREAT THOU ART

0:43:410:43:46

# And when I think

0:43:580:44:00

# That God his son not sparing

0:44:010:44:05

# Sent him to die

0:44:070:44:10

# I scarce can take it in

0:44:100:44:13

# That on the cross

0:44:160:44:18

-# My burden gladly bearing

-SHE SOBS

0:44:180:44:22

-# He bled and died to take away my sin... #

-SHE SOBS

0:44:240:44:31

We're going to put you under now, Rosa.

0:44:310:44:34

# ..Then sings my soul

0:44:340:44:37

# My saviour God to thee

0:44:370:44:40

# How great thou art

0:44:430:44:46

# How great thou art

0:44:480:44:52

# When Christ shall come

0:44:520:44:55

# With shouts of acclamation

0:44:550:45:00

# And take me home

0:45:000:45:03

# What joy shall fill my heart

0:45:060:45:10

# And I will bow

0:45:100:45:14

# In humble adoration

0:45:140:45:18

# And there proclaim

0:45:180:45:22

# "My God How Great Thou Art"... #

0:45:220:45:27

-How's it sounding, Lenny?

-Good equal air entry. Sounds good.

0:45:280:45:33

Great, let's change the vent.

0:45:330:45:36

# ..How great thou art

0:45:360:45:40

# How great thou art

0:45:400:45:43

# Then sings my soul

0:45:450:45:50

# My Saviour God to thee

0:45:500:45:55

# How great thou art

0:45:550:46:00

# How great thou art. #

0:46:000:46:07

-I can't accept this.

-Pay me back another time.

0:46:140:46:17

Come on. Let's get you a cab.

0:46:170:46:21

I think we deserve a drink.

0:46:260:46:28

Good idea. First round's on me.

0:46:280:46:31

Can it wait 15 minutes?

0:46:340:46:36

Oh, no, come on, we don't have to do that.

0:46:360:46:38

I know. I know, I know. But I want to.

0:46:380:46:41

Hey, Malcolm.

0:46:440:46:46

It's your lucky day, kid, do you fancy a ride?

0:46:460:46:49

Mac? Erm, I don't suppose you've got the card there?

0:46:540:46:58

-I forgot to sign it.

-Oh, right...

0:46:580:47:01

Er...let's look here.

0:47:030:47:05

What...have...we...got...here?

0:47:050:47:09

-Ah, well done.

-Cheers.

0:47:110:47:14

-Is Tyreece OK?

-Yeah. We got her. We got them both.

0:47:280:47:32

What they deserved. Oh!

0:47:320:47:34

Aw, welcome home, son! It's good to have you back!

0:47:450:47:48

-Tell him I'll be in touch soon.

-Where you going?

0:47:580:48:02

Jamal? Come back!

0:48:020:48:05

Jamal!

0:48:080:48:10

HE HUMS HOW GREAT THOU ART

0:48:140:48:17

Subtitles by Red Bee Media Ltd

0:48:560:48:59

Email [email protected]

0:48:590:49:02

A young boy is seriously hurt after being caught in the cross-fire between two warring families, and Lloyd's perseverance pays off when he discovers that an elderly timewaster has real health problems.


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