No Goodbyes

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0:00:34 > 0:00:37Hasn't anyone been keeping the pressure on?

0:00:37 > 0:00:39Course we have.

0:00:39 > 0:00:42Right. I need, er, lignocaine with adrenaline.

0:00:43 > 0:00:46Are you OK? Shall I get Zoe?

0:00:46 > 0:00:48Suction, please.

0:00:51 > 0:00:55Whoa, whoa, whoa! That's a nasty arterial bleed.

0:00:55 > 0:00:56Can you pass me the syringe?

0:01:00 > 0:01:03Ruth, are you with us? We've got to stem this.

0:01:03 > 0:01:06Right. Out, please.

0:01:06 > 0:01:08Come on! I'm not having it. Now, please!

0:01:08 > 0:01:10No, come on!

0:01:12 > 0:01:15Can we get some help here, please? Thank you.

0:01:19 > 0:01:22Right, what's going on?

0:01:22 > 0:01:23Thanks, Sam.

0:01:24 > 0:01:26If you'd just like to enter your PIN.

0:01:32 > 0:01:36I'm afraid your card's been declined. Sorry.

0:01:36 > 0:01:39Do you have another I could try?

0:01:39 > 0:01:40Yeah, I think so.

0:01:42 > 0:01:44Martin!

0:01:50 > 0:01:52- How did she do it?- She caught her head on a metal shelf.

0:01:52 > 0:01:55OK. Keep the swabs on while I take a bite.

0:01:55 > 0:01:58Can we get some better light in here, please?

0:02:01 > 0:02:03OK.

0:02:03 > 0:02:04Let the dog see the rabbit.

0:02:49 > 0:02:51And that...

0:02:52 > 0:02:54is how you do it.

0:02:54 > 0:02:55Good. Neatly done.

0:02:55 > 0:02:58Keep her under obs for a couple of hours, then send her home.

0:03:02 > 0:03:04Just a minute!

0:03:04 > 0:03:06What's the mechanism of injury?

0:03:06 > 0:03:09- She fell and cracked her head on a shelf.- She fell - exactly.

0:03:09 > 0:03:11And how did she fall?

0:03:11 > 0:03:13She tripped?

0:03:13 > 0:03:15Her potassium level is 2.0, she's underweight,

0:03:15 > 0:03:18so I would say she's got an eating disorder.

0:03:18 > 0:03:19She needs admitting,

0:03:19 > 0:03:21an ECG and a psych review.

0:03:22 > 0:03:24OK?

0:03:24 > 0:03:27Otherwise next time, it'll take more than clever stitching to fix her up.

0:03:27 > 0:03:29Right. OK.

0:03:29 > 0:03:32Some cases in the ED, Dr Nicholls, will be subtler than you're used to.

0:03:32 > 0:03:37Look at the whole person and don't be afraid to ask for help.

0:03:38 > 0:03:42It's like he's got a special power or something. It freaks me out.

0:03:42 > 0:03:45You know, I don't get it. I can salvage a limb under fire,

0:03:45 > 0:03:47THIS cannot be beyond me.

0:03:47 > 0:03:50Ah, don't worry about it. You'll get used to it.

0:03:50 > 0:03:52Um, listen, we're about to clean up Mrs Thorne,

0:03:52 > 0:03:54if you want to practise?

0:03:54 > 0:03:56You're all right, thanks.

0:03:56 > 0:03:57OK! Right then, buddy,

0:03:57 > 0:04:00what's the most important thing to remember about a patient like this?

0:04:00 > 0:04:02Neuro obs in case of head injury.

0:04:02 > 0:04:06Look, I was hoping we could cover fluid management in trauma today, actually.

0:04:06 > 0:04:09OK, I'll be testing you in five minutes, all right?

0:04:09 > 0:04:10Hey.

0:04:13 > 0:04:16- Look at the state of you. Come here. - No. People will see, Jay.

0:04:16 > 0:04:18So? Let them!

0:04:18 > 0:04:20Come here.

0:04:22 > 0:04:24So what was all that about in resus, eh?

0:04:26 > 0:04:30Well, I didn't have much breakfast, so...

0:04:30 > 0:04:33You're a rubbish liar, you know that? What's up?

0:04:33 > 0:04:35I've just been feeling...

0:04:35 > 0:04:37erm...

0:04:39 > 0:04:40..wrong.

0:04:40 > 0:04:43What kind of wrong?

0:04:46 > 0:04:49I think the lithium's stopped working.

0:04:52 > 0:04:56OK. Don't panic.

0:04:56 > 0:04:58Go and talk to Mr Jordan.

0:04:58 > 0:05:00Maybe get your levels checked again.

0:05:00 > 0:05:04I thought I got it under control, Jay.

0:05:04 > 0:05:07Hey, it's going to be all right.

0:05:11 > 0:05:14She has some kind of eating disorder.

0:05:14 > 0:05:17Well, how should I know? I'm a doctor, not a bloody agony aunt!

0:05:17 > 0:05:20- Who said you could move this patient?- I did.

0:05:20 > 0:05:22I'm in the middle of arranging a referral.

0:05:22 > 0:05:25Well, take it up with Jordan. I think he thought you could do with a hand.

0:05:25 > 0:05:29Well, I can take it from here, thanks. Let's get her upstairs.

0:05:29 > 0:05:31Don't be afraid to ask for help, Dr Nichols.

0:05:42 > 0:05:43Hello, babes!

0:05:45 > 0:05:46look what I got.

0:05:46 > 0:05:47I said I'd get it, didn't I?

0:05:50 > 0:05:52Hello, Debbie.

0:05:53 > 0:05:55How are you?

0:05:55 > 0:05:57All right. How are you?

0:05:57 > 0:05:59Not too shabby.

0:05:59 > 0:06:01Packed in the fags.

0:06:01 > 0:06:03You got a few minutes?

0:06:03 > 0:06:06Er, thought it might be good if we had a bit of a chat.

0:06:06 > 0:06:08Take a seat.

0:06:10 > 0:06:12So...

0:06:12 > 0:06:16- how have you both been getting on? - Good. We're both good.

0:06:16 > 0:06:19Has, er, Rhys seen anything of his dad lately?

0:06:19 > 0:06:21That's a lot to cope with on your own, isn't it?

0:06:21 > 0:06:23We're fine.

0:06:23 > 0:06:28I know you missed a few appointments with Rhys's health visitor recently?

0:06:28 > 0:06:29She got the times mixed up.

0:06:29 > 0:06:30Did she?

0:06:30 > 0:06:33I can, erm... check if she's free today?

0:06:33 > 0:06:38- I've got to go, actually. I said I'd meet a friend.- You know you can't miss these appointments.

0:06:38 > 0:06:42- It's important to check his development.- I know. I've just been really busy!

0:06:42 > 0:06:44- What's going on? - Nothing, I told you!

0:06:44 > 0:06:48- I thought you trusted me and you'd tell me if something was wrong.- I've not done anything.

0:06:48 > 0:06:51No-one suggested you'd done anything.

0:06:51 > 0:06:53Should I be worried, Debbie?

0:06:53 > 0:06:56I've got to go, sorry.

0:06:56 > 0:06:58Wait.

0:06:58 > 0:07:00Wait!

0:07:03 > 0:07:05And your levels are normal?

0:07:05 > 0:07:08Yeah, there's new symptoms. Erm...

0:07:08 > 0:07:10Nausea, my temperature's spiking.

0:07:10 > 0:07:13I think I might be reacting to the lithium.

0:07:15 > 0:07:16What's your appetite like?

0:07:16 > 0:07:19I can't really keep anything down.

0:07:19 > 0:07:20Erm...

0:07:21 > 0:07:23And I just feel...

0:07:23 > 0:07:24weepy.

0:07:24 > 0:07:26There is something else it could be.

0:07:33 > 0:07:35Debbie!

0:07:41 > 0:07:44Dr Patel's going to have your head on a spike.

0:07:44 > 0:07:45It's only one night.

0:07:47 > 0:07:49What shirt are you wearing?

0:07:52 > 0:07:55I bought you that on our honeymoon.

0:07:55 > 0:07:58I found it when I was sorting through the chest.

0:07:58 > 0:08:02- Remembered how much you used to fancy me in it.- Is that right?

0:08:02 > 0:08:04You're only human, love!

0:08:11 > 0:08:12I found a lot of old bits.

0:08:14 > 0:08:16Old photos and things.

0:08:16 > 0:08:18We could look through them together.

0:08:20 > 0:08:22I love this music.

0:08:22 > 0:08:24FRANK SINATRA PLAYS ON RADIO

0:08:30 > 0:08:33Debbie!

0:08:33 > 0:08:34Debbie!

0:08:34 > 0:08:36Debbie, please!

0:08:36 > 0:08:38- What's going on? - You won't believe me.

0:08:38 > 0:08:40What won't I believe, Debbie?

0:08:40 > 0:08:42I haven't hurt him. I swear.

0:08:42 > 0:08:44- Well, what's wrong with him? - I don't know!

0:09:00 > 0:09:02Oh! Someone's had an accident.

0:09:04 > 0:09:05What?

0:09:17 > 0:09:20Are you all right?

0:09:20 > 0:09:22Ow! It's my arm! It's my arm!

0:09:22 > 0:09:25I'm sorry. Is Rhys OK?

0:09:25 > 0:09:28- I think so. You'll look after him, won't you?- Why? Where are you going?

0:09:28 > 0:09:30I'm sorry.

0:09:30 > 0:09:33Can you tell me your name?

0:09:33 > 0:09:34Tom.

0:09:34 > 0:09:37I've got some medical things in the car.

0:09:38 > 0:09:41- You haven't got a cigarette, have you?- Sorry, no.

0:09:41 > 0:09:43Now just try and keep still, OK?

0:09:50 > 0:09:52David?

0:09:52 > 0:09:55I'm sorry, love.

0:09:55 > 0:09:58You'll be all right in a minute. Here.

0:09:59 > 0:10:01Spoken to Jordan?

0:10:01 > 0:10:03Er...no, I didn't have time.

0:10:03 > 0:10:05Ruth, this is important.

0:10:05 > 0:10:07Mm. Er... Did you, er...

0:10:07 > 0:10:10call Mrs Mason's GP about her prescription?

0:10:10 > 0:10:12- Um, yeah, I did.- Good.

0:10:12 > 0:10:15- Oh.- This is David Northwick, collapsed with shortness of breath,

0:10:15 > 0:10:16- known heart failure.- OK.

0:10:16 > 0:10:18You OK with this, Ruth?

0:10:18 > 0:10:21- Yeah, fine. Let's get him into HDC. - Dr Keogh, what do we have here?

0:10:21 > 0:10:24Dislocated shoulder, some superficial abrasions.

0:10:24 > 0:10:28- Straight through to Resus, please. - Have you found Debbie yet?

0:10:28 > 0:10:30- Who's Debbie? - Debbie, girl from the crash.

0:10:30 > 0:10:33- Her baby - something's wrong. - Right, let's deal with you first.

0:10:33 > 0:10:36Reports of a girl bleeding from her abdomen,

0:10:36 > 0:10:39last seen Brockwell Hill, name of Debbie.

0:10:39 > 0:10:433006 to Control, received, we're on our way.

0:10:43 > 0:10:46BABY CRIES

0:10:46 > 0:10:47OK.

0:10:47 > 0:10:48OK.

0:10:50 > 0:10:54Oh... Oh, no - what's mummy done?

0:10:56 > 0:10:58Silly mummy.

0:10:58 > 0:10:59Stupid mummy!

0:11:02 > 0:11:06Well, here we go. You want to do the honours?

0:11:06 > 0:11:10- Nah. You go.- All right, then - do us a favour, will you?

0:11:10 > 0:11:14You radio it in, please, make yourself useful.

0:11:19 > 0:11:213006 to Control.

0:11:22 > 0:11:23Debbie?

0:11:25 > 0:11:26You all right?

0:11:26 > 0:11:29Leave us alone. We're OK.

0:11:29 > 0:11:35Come on, sweetheart. We both know you're not, don't we? Eh?

0:11:35 > 0:11:37OK. He's bradycardic at 40.

0:11:37 > 0:11:40BP's 87 systolic.

0:11:40 > 0:11:44OK, let's try 50mg of Atropine.

0:11:44 > 0:11:48Staff nurse Asike, can you ask Noel to track down his hospital records, please?

0:11:48 > 0:11:51We're on our way to Plymouth. Sort of second honeymoon.

0:11:51 > 0:11:53I'm afraid he's not well enough to go anywhere.

0:11:53 > 0:11:56Dirty weekend might do him good?

0:11:56 > 0:12:01Could you call X-ray, please, and keep the oxygen on.

0:12:02 > 0:12:04I'm sure you'll get him up and running again.

0:12:04 > 0:12:09Um, no response to atropine. Heart rate's now 35.

0:12:11 > 0:12:15This is Debbie, 19, involved in an RTC.

0:12:15 > 0:12:18She wasn't hit by the vehicle but she fell. She's got abrasions to her abdomen.

0:12:18 > 0:12:21And this is Rhys, who's uninjured, which is good,

0:12:21 > 0:12:22cos he's a little cracker.

0:12:22 > 0:12:25- Give him to me.- We need to check him over first, OK?

0:12:25 > 0:12:29- If you take him, I'll batter you. - We need to find out if there's any injuries we can't see.

0:12:29 > 0:12:32- I'm not even joking!- All right, what's the commotion here?

0:12:32 > 0:12:34Paeds Resus, please, Jeff.

0:12:34 > 0:12:36Give him to me! Stealing him!

0:12:36 > 0:12:40It's all right. We're trying to help your baby. He's not far away.

0:12:40 > 0:12:43Zoe, can you find out what's going on here and deal with it quickly?

0:12:43 > 0:12:45I'll take her if you like.

0:12:46 > 0:12:48Fine.

0:12:48 > 0:12:50All yours. Dixie will fill you in.

0:12:50 > 0:12:52Great. I'm Dr Nicholls. Let's get you into a cubicle.

0:12:52 > 0:12:57- There's nothing wrong with me. - Hm. Someone else's blood, is it? - Whatever!

0:12:57 > 0:13:01Look, I don't think you realise but I'm trying to help you.

0:13:05 > 0:13:09Until you get me Rhys back, I'm. Not. Moving.

0:13:09 > 0:13:11All right?

0:13:11 > 0:13:15- I'm asking you nicely. - I told you I don't want your help.

0:13:15 > 0:13:17OK. Fine. You sit there.

0:13:17 > 0:13:20For all you know you could be suffering from some internal injury,

0:13:20 > 0:13:24and when you're in intensive care, who'll look after your baby then?

0:13:27 > 0:13:29- Woah! Easy! - She thinks we've kidnapped her baby.

0:13:29 > 0:13:32You HAVE kidnapped him, you stuck-up cow!

0:13:32 > 0:13:34I'm used to people doing what I tell them to do.

0:13:34 > 0:13:37Right. Go gently. She's frightened.

0:13:38 > 0:13:42Hey, he's just in there, OK? They just need to check him over.

0:13:42 > 0:13:43I want to stay with him.

0:13:43 > 0:13:45OK, I'm going to do you a deal.

0:13:45 > 0:13:49Give me three minutes to look over you and then we'll go and see Rhys.

0:13:49 > 0:13:52Two.

0:13:52 > 0:13:53Done.

0:13:56 > 0:13:59What about different drugs? Surely there are other things you can try?

0:13:59 > 0:14:03Well, we'll continue trying to get a response from the atropine.

0:14:03 > 0:14:05So he might pick up again?

0:14:05 > 0:14:07We've, er... We've got this hotel booked.

0:14:09 > 0:14:11Mrs Northwick, please, erm...

0:14:17 > 0:14:22Has your husband's prognosis been properly explained to you?

0:14:22 > 0:14:26They said it could be weeks, even months.

0:14:28 > 0:14:32Given his profound bradycardia, and shortness of breath,

0:14:34 > 0:14:36I don't think it will be weeks.

0:14:38 > 0:14:39I'm sorry.

0:14:41 > 0:14:45I've spoken to the cardiology team and they're of the same opinion.

0:14:45 > 0:14:48We can make him more comfortable.

0:14:51 > 0:14:52Comfortable?

0:14:53 > 0:14:57There's really not much to be gained from more invasive treatment.

0:14:58 > 0:15:01Palliative care is our main focus now.

0:15:09 > 0:15:10Dr Winters.

0:15:12 > 0:15:14I'm afraid that's not good enough.

0:15:17 > 0:15:18You've been lucky.

0:15:18 > 0:15:21Few abrasions and mainly superficial.

0:15:21 > 0:15:24We'll do a scan, though, just to make sure.

0:15:24 > 0:15:28I know you've obviously got stuff going on you don't want to talk to me about.

0:15:28 > 0:15:3030 seconds gone!

0:15:30 > 0:15:34It's OK, you don't have to tell me. I'm not very good at that anyway.

0:15:34 > 0:15:37But I do know a bit about fear.

0:15:37 > 0:15:41I know that your pupils dilate when you're frightened. Dead giveaway.

0:15:41 > 0:15:45It's an old fight or flight response. You can't hide it.

0:15:45 > 0:15:48Can't hide it any more than you can your heart rate,

0:15:48 > 0:15:50which is about 95 at the moment.

0:15:53 > 0:15:57- What are you frightened of? - What? Nothing!

0:15:57 > 0:16:00You might be able to lie but your body can't.

0:16:04 > 0:16:07- They're going to take him away from me!- What?

0:16:07 > 0:16:09Can I borrow you for a minute?

0:16:09 > 0:16:12- Can't it wait? - You need to see this now.

0:16:13 > 0:16:15Two minutes.

0:16:17 > 0:16:21- So, have you put me down for that ATNC course yet?- Hm?

0:16:21 > 0:16:23Come on, man! We've been in cubicles all week.

0:16:23 > 0:16:26We should be learning new skills every day.

0:16:26 > 0:16:29New skills. OK. Mac, you busy, mate?

0:16:29 > 0:16:31Lloyd here wants to extend his skill set.

0:16:31 > 0:16:34Do you mind if he hangs with you for a while?

0:16:34 > 0:16:38Well, yeah. Well, I'm, er, pretty busy, but I've always got time to, er...to teach.

0:16:38 > 0:16:40You are a gent.

0:16:40 > 0:16:41Right...

0:16:41 > 0:16:44Hey! Want to grab some lunch?

0:16:44 > 0:16:48Er, no, sorry, Jay. I'm going to try externally pacing Mr Northwick.

0:16:48 > 0:16:52- Erm, is that a good idea? - We'll need the pads front to back to give the best chance of capture.

0:16:52 > 0:16:55That's not what I... Listen, why don't we grab a...

0:16:57 > 0:17:01OK, this is going to hurt quite a bit so I'll give you something to take the edge off...

0:17:01 > 0:17:04Wait. What's going on in there?

0:17:04 > 0:17:07Er, don't know. Girl stuff.

0:17:07 > 0:17:10- Can you get Debbie in here, please? - Debbie? Who?

0:17:10 > 0:17:14- Debbie from the accident! Can you get her in here, please? - Oh. Are you her boyfriend?

0:17:14 > 0:17:16No. Social worker. Ah! Ah!

0:17:16 > 0:17:19We can do it with just the entonox, if you'd prefer.

0:17:19 > 0:17:21OK, right.

0:17:23 > 0:17:26If you just lie back and think of England.

0:17:26 > 0:17:30Wales. Argh! Ah-ha! Ah!

0:17:30 > 0:17:32OK. Thank you, Nurse.

0:17:38 > 0:17:41They're old bruises, sustained over a period of time.

0:17:41 > 0:17:47- He moves about a lot! He's started crawling.- You don't get bruises like that from just moving about.

0:17:47 > 0:17:48Tell me what's going on, Debbie.

0:17:50 > 0:17:51- I know it looks bad.- Yeah!

0:17:51 > 0:17:56I don't know if I'm holding him wrong or putting him in his cot funny.

0:17:56 > 0:17:59- Tom knows something's up. - And that's why you ran this morning?

0:17:59 > 0:18:02- He already thinks I'm rubbish. - I'm sure he doesn't.

0:18:02 > 0:18:04It's much harder than you think!

0:18:04 > 0:18:07I thought I'd just sort of know what to do.

0:18:07 > 0:18:12But I haven't done this on purpose. I swear on my life...

0:18:17 > 0:18:19(Please, you've got to help me.)

0:18:21 > 0:18:24OK, this is an external pacing machine.

0:18:24 > 0:18:29It will pass a current through your chest and stop your heart beating so slowly.

0:18:29 > 0:18:34- I thought maybe we could just go home?- No, not yet.- OK.

0:18:34 > 0:18:36Now, put your mask back on.

0:18:36 > 0:18:40I'm going to discuss your treatment plan with Dr Winters.

0:18:40 > 0:18:43I'm sorry, shouldn't we talk about this with Mr Northwick?

0:18:43 > 0:18:45Can you just get this started, please?

0:18:49 > 0:18:53- So what now?- Run some bloods, see if there's any reason for the bruising,

0:18:53 > 0:18:56- and if not, well, you have to call social services.- I'm on it.

0:18:56 > 0:18:59- Now, are you're OK doing this on your own?- Of course.

0:18:59 > 0:19:01These cases can be a nightmare. Trust me.

0:19:01 > 0:19:03If we get it wrong, God help us.

0:19:03 > 0:19:05- Just give me an hour.- OK.

0:19:07 > 0:19:09HE BREATHES ERRATICALLY

0:19:09 > 0:19:12Look at those...old man legs.

0:19:14 > 0:19:15I've seen worse.

0:19:15 > 0:19:17HE STRUGGLES TO BREATHE

0:19:17 > 0:19:19You should've seen me in my heyday.

0:19:20 > 0:19:22I'd have broken your heart.

0:19:24 > 0:19:25I'll give you a tip.

0:19:27 > 0:19:28Don't get old.

0:19:29 > 0:19:31HE BREATHES IN SHARPLY

0:19:31 > 0:19:35Is this too painful for you? Do you want some more pain relief?

0:19:35 > 0:19:37No, it's not...too bad.

0:19:37 > 0:19:40I...I'm sure it's doing me good.

0:19:40 > 0:19:41HE WINCES IN PAIN

0:19:41 > 0:19:44Argh! It's doing Caitlin good, anyway.

0:19:45 > 0:19:48How are you both coping?

0:19:48 > 0:19:50Oh, pretty well.

0:19:51 > 0:19:56Obviously...a few mixed feelings, you know.

0:19:56 > 0:19:58HE CONTINUES TO STRUGGLE TO BREATHE

0:19:58 > 0:20:03I've had...enough of it all now...really.

0:20:03 > 0:20:07But I'm afraid... Caitlin's finding it a bit...

0:20:09 > 0:20:11..tricky.

0:20:11 > 0:20:13She'd like me to hang on, I think.

0:20:13 > 0:20:15HE GASPS IN PAIN

0:20:15 > 0:20:16It's OK.

0:20:19 > 0:20:23Right, this isn't capturing and we've already gone up to the maximum current.

0:20:23 > 0:20:26- Can't you turn the blasted thing off?!- Yes.

0:20:29 > 0:20:30HE GASPS IN PAIN AGAIN

0:20:30 > 0:20:34I'd like to try a pacing wire. It involves inserting a wire into your groin

0:20:34 > 0:20:38- and feeding it up to your heart.- Can I talk to you for a minute, please?

0:20:45 > 0:20:49- Should we be doing all this? - There's a chance it could improve his output.

0:20:49 > 0:20:50Really? What sort of chance?

0:20:50 > 0:20:53Look, we have to show them we're doing everything we can.

0:20:53 > 0:20:58But he will die, probably in the next day or two, whether we do the wire or not. Isn't he?

0:20:58 > 0:21:00- It's hard to say.- Isn't he?

0:21:02 > 0:21:05OK, yes! But this is the only treatment option left. We can't just give up.

0:21:05 > 0:21:10Maybe more invasive intervention is not what he needs. Maybe there's better ways to spend the time.

0:21:10 > 0:21:14- It's what they want.- Is it? Or is it what Caitlin wants?

0:21:14 > 0:21:16Have you even spoken to David about this?

0:21:16 > 0:21:19Just get him to Resus and prep for the procedure, please.

0:21:23 > 0:21:25So, as I've shown you, nice straight back,

0:21:25 > 0:21:28bend the knees and lift.

0:21:28 > 0:21:31I've lifted boxes before, I promise you.

0:21:31 > 0:21:35Yeah, and don't forget, if you have to turn, don't twist but...

0:21:35 > 0:21:39- ..pivot. - Remember, don't twist...

0:21:39 > 0:21:40Pivot.

0:21:40 > 0:21:43Lloyd? Sorry to interrupt. Can I borrow you for a second?

0:21:43 > 0:21:45Ah, we are in the middle of a training session.

0:21:45 > 0:21:49- If she needs me.- Won't be long. - Oh, take as long as you want.

0:21:49 > 0:21:53So, has Dr Winters talked you through what's going to happen now?

0:21:53 > 0:21:57I think Caitlin's been through it with her.

0:21:57 > 0:22:00She seems pretty genned up on the medicine, eh?

0:22:00 > 0:22:03She likes...having something practical to do.

0:22:05 > 0:22:06Thanks, guys.

0:22:07 > 0:22:10While...she's not here...

0:22:12 > 0:22:15..it's not going to be long now, is it?

0:22:17 > 0:22:18No.

0:22:18 > 0:22:20I thought not.

0:22:21 > 0:22:23It's all right.

0:22:23 > 0:22:26You don't have to worry about upsetting me.

0:22:26 > 0:22:28HE BREATHES SHARPLY

0:22:28 > 0:22:33It's the sort of thing you wonder about all your life, isn't it?

0:22:35 > 0:22:38What you'll be doing...at the end.

0:22:38 > 0:22:40HE TAKES SHORT BREATHS

0:22:40 > 0:22:45It's looking a bit short on...champagne and dancing girls.

0:22:49 > 0:22:50You know what?

0:22:51 > 0:22:53You don't have to be in here.

0:22:53 > 0:22:56- Not if you don't want.- What?

0:22:57 > 0:23:00Has anyone actually discussed your treatment properly with you?

0:23:00 > 0:23:03Caitlin's looking after all that...

0:23:03 > 0:23:06I mean, what YOU want, David, and where YOU want to be.

0:23:06 > 0:23:11What treatment you want to receive and for exactly how long.

0:23:12 > 0:23:14You can make these decisions.

0:23:19 > 0:23:22- Have you sorted the local? - Can you just give us a minute?

0:23:22 > 0:23:24We haven't really got time for this.

0:23:26 > 0:23:27If you want to,

0:23:27 > 0:23:31you can agree with the hospital exactly when enough is enough.

0:23:34 > 0:23:38Caitlin...needs me to keep going.

0:23:39 > 0:23:40I know.

0:23:41 > 0:23:44You want to protect her.

0:23:46 > 0:23:49What do you think, Ruth?

0:23:54 > 0:23:56The clinical picture is...quite complex.

0:23:58 > 0:24:01We don't know how you'll respond to the pacing.

0:24:04 > 0:24:06Just talk to her.

0:24:11 > 0:24:15O-K. We'll transfer you over to cubicles for a couple of hours

0:24:15 > 0:24:17and then you can go home, chill out.

0:24:18 > 0:24:19Chill out?

0:24:20 > 0:24:24Yes, chill out. Have a long bath, listen to some Michael Buble.

0:24:24 > 0:24:26- Whatever it is people do.- Wha...?

0:24:26 > 0:24:31I've got a crisis brewing with an unpredictable teenage mother.

0:24:31 > 0:24:34- I'm not going to go home and have a bath.- Right.

0:24:34 > 0:24:37- I can see you're obviously of a delicate state of mind.- What?

0:24:37 > 0:24:40A-Are you always like this, yeah?

0:24:40 > 0:24:42Like what?

0:24:42 > 0:24:43So unengaged.

0:24:44 > 0:24:47Erm, I think you'll find it's "supremely unruffled".

0:24:47 > 0:24:51Mm. I've worked with a lot of people like you.

0:24:51 > 0:24:53I could give you a number, if you like.

0:24:55 > 0:24:57Right, OK. Done.

0:25:03 > 0:25:04OK, leukaemia.

0:25:06 > 0:25:07Doubtful, luckily.

0:25:07 > 0:25:09Anaemia?

0:25:09 > 0:25:11Liver failure?

0:25:11 > 0:25:14Low platelet count, idiopathic thrombocytopenic purpura.

0:25:15 > 0:25:19Could be. OK, let's get these off to the lab quickly.

0:25:20 > 0:25:21Well done.

0:25:25 > 0:25:27He must like you.

0:25:28 > 0:25:31Normally hates injections.

0:25:32 > 0:25:34We're being very gentle.

0:25:36 > 0:25:38Can I hold him?

0:25:43 > 0:25:45Yeah. Go on.

0:25:47 > 0:25:50BABY COOS

0:25:54 > 0:25:56BABY GRIZZLES

0:25:57 > 0:26:01- I got to go.- Yes, I can see you're a live-wire, aren't you?

0:26:01 > 0:26:05- Um, I need you to sign a disclaimer for me.- Yeah, fax it to me.

0:26:08 > 0:26:11- You were holding him during the crash, weren't you?- Yeah.

0:26:11 > 0:26:12Can I see your hands?

0:26:19 > 0:26:21Can I come in?

0:26:22 > 0:26:25Please don't say anything about the bruises.

0:26:25 > 0:26:26How are you both?

0:26:27 > 0:26:28Fine, we're both fine.

0:26:28 > 0:26:31Rhys wasn't hurt in the accident, was he?

0:26:31 > 0:26:33No, he got off very lightly.

0:26:33 > 0:26:34So what are you doing now?

0:26:34 > 0:26:39Er, I'm just taking some routine bloods.

0:26:40 > 0:26:41How's your arm?

0:26:41 > 0:26:44Oh, fine. My shot putting days are over.

0:26:45 > 0:26:49- So, er, what are the blood tests for?- A number of things, really.

0:26:49 > 0:26:51BABY CRIES

0:26:51 > 0:26:54- Sh-sh-sh, Rhys.- What's going on? - Nothing!

0:26:54 > 0:26:55BABY CONTINUES TO CRY

0:26:55 > 0:26:58If you could just step outside, I'll explain everything we're doing.

0:26:58 > 0:27:01OK, shall I have him? Whoa! Whoa...

0:27:06 > 0:27:08Just take him, all right!

0:27:08 > 0:27:10BABY SCREAMS

0:27:10 > 0:27:14- Debbie!- I think you'd better tell me what's going on.

0:27:14 > 0:27:17BABY CRIES

0:27:17 > 0:27:21OK, so the wire will go in through the femoral vein.

0:27:21 > 0:27:25- Can you get the Lignocaine ready? - Can you just...just wait a minute, OK?

0:27:27 > 0:27:28My darling...

0:27:30 > 0:27:33..when I...put that shirt on this morning...

0:27:34 > 0:27:38..I thought somehow I might feel more like myself.

0:27:40 > 0:27:41It didn't work.

0:27:42 > 0:27:45What do you mean?

0:27:45 > 0:27:49I'm taking 25 pills four times a-a day.

0:27:50 > 0:27:53They've thrown everything they've got at me.

0:27:54 > 0:27:59I think someone up there's... telling me to call it a day.

0:28:04 > 0:28:05(Not yet.)

0:28:06 > 0:28:09You! You put him up to this.

0:28:12 > 0:28:15You should have told me sooner. I knew something was wrong.

0:28:15 > 0:28:18She's frightened. She knew we wouldn't believe her.

0:28:18 > 0:28:20She acts on impulse, OK. She's unpredictable.

0:28:20 > 0:28:23But lashing out like that? Well, what am I to think?

0:28:23 > 0:28:26Jordan's on the warpath. We have to sort this out now.

0:28:26 > 0:28:30I looked at her hands and wrists. When she fell she had a nasty knock to the abdomen

0:28:30 > 0:28:34but she didn't put her hand out to break her fall. She just clung onto Rhys.

0:28:34 > 0:28:38Her instinct is to protect him. I don't think she would try to hurt him.

0:28:38 > 0:28:42- But clearly she can't cope. I've got to think of Rhys' safety.- Mm.

0:28:43 > 0:28:45OK, well, we're running a lot of tests.

0:28:45 > 0:28:48Let's...hope they throw something up.

0:28:48 > 0:28:52I hope for both their sakes you're right. Keep me posted, OK?

0:28:52 > 0:28:55- If you could just prioritise it, please.- Ar-are you in charge here?

0:28:55 > 0:28:57Yes. Sorry, I'll call you back.

0:28:57 > 0:28:59Nick Jordan, Clinical Lead.

0:28:59 > 0:29:03- Your nurse is sabotaging my husband's treatment.- Sorry?

0:29:03 > 0:29:05He's putting ideas in his head.

0:29:05 > 0:29:08He's in a very suggestible, vulnerable state.

0:29:08 > 0:29:10What's going on?

0:29:10 > 0:29:14- We've got it under control. - Mr Northwick is considering whether or not

0:29:14 > 0:29:18- to continue aggressive intervention. - You are manipulating him.

0:29:18 > 0:29:22- Well, let's ask Mr Northwick, shall we?- I'm sorry.

0:29:23 > 0:29:28- I'm so tired.- Of course you're tired, because you need treatment!

0:29:29 > 0:29:31He's sick and confused. He doesn't know what he wants.

0:29:31 > 0:29:34He is capable of making his own decisions.

0:29:35 > 0:29:39You can't just give up! I'll sue you, I'll sue the hospital!

0:29:39 > 0:29:42You... I can't believe you'd give in so easily.

0:29:46 > 0:29:49Just try...for a little longer.

0:29:51 > 0:29:52For me.

0:29:58 > 0:30:01Continue...the treatment.

0:30:04 > 0:30:07You are aware that pacing may not have any long-term benefits?

0:30:10 > 0:30:11Ruth?

0:30:14 > 0:30:19The pacing wire will, er, stimulate the heart rate temporarily.

0:30:21 > 0:30:26But I'm afraid it won't help significantly... with the breathlessness...

0:30:28 > 0:30:29..or the pain.

0:30:29 > 0:30:31- HE CHUCKLES - That's all right.

0:30:31 > 0:30:34We knew that anyway, didn't we?

0:30:34 > 0:30:35Yes.

0:30:35 > 0:30:37I'm sorry.

0:30:38 > 0:30:41I'm really sorry.

0:30:43 > 0:30:45Ruth.

0:30:46 > 0:30:48Ruth, take a break please. Go on.

0:30:52 > 0:30:53Jay, go with her.

0:30:55 > 0:30:58Just talk to her, find out what's going on. Go on.

0:31:01 > 0:31:04Are you absolutely certain this is what you want?

0:31:09 > 0:31:12I want...to carry on.

0:31:23 > 0:31:26- Let's, er... Shall we get some lunch?- No!

0:31:26 > 0:31:28Come on, out with it.

0:31:29 > 0:31:31You spoke to Mr Jordan?

0:31:31 > 0:31:34Er! Six inches apart at all times, please!

0:31:38 > 0:31:40About that patient?

0:31:42 > 0:31:44Right.

0:31:45 > 0:31:47Ruth, what did he say?

0:31:48 > 0:31:51He said that...she needs further tests.

0:31:53 > 0:31:55What tests?

0:31:56 > 0:31:58Beta-HCG.

0:32:03 > 0:32:07OK, well...I think that as her nurse, I should take care of that.

0:32:12 > 0:32:17- Right. I'll, erm... I'll let you know when I get the results. - Great, thanks.

0:32:23 > 0:32:26- Did you tell Tom about the bruises? - I had to.

0:32:28 > 0:32:33God, I've messed everything up again! I am so rubbish at this!

0:32:33 > 0:32:37- I don't think you're rubbish. - Yeah, you do! Rhys'd be better off in care anyway.

0:32:38 > 0:32:41- Let me have a look at that. - Just leave it, would ya!

0:32:45 > 0:32:48I told Tom I don't think you're to blame for the bruises.

0:32:50 > 0:32:52I told him that I think you're a great mum.

0:32:53 > 0:32:55And that you love Rhys.

0:32:55 > 0:32:56Really?

0:32:57 > 0:32:59Promised I'd help, didn't I?

0:33:09 > 0:33:11Mate, you've got to help me out.

0:33:11 > 0:33:13Ah! There you are.

0:33:13 > 0:33:16We never finished your briefing on moving hazardous materials.

0:33:16 > 0:33:18Sorry, Mac, Jay here needed me.

0:33:19 > 0:33:24- Hm?- I was saying that you needed me for that...urgent case.

0:33:31 > 0:33:32Right, obviously not.

0:33:32 > 0:33:38Now then, clinical waste falls into three very distinct categories...

0:33:40 > 0:33:43Ruth, I've got the test results for that patient of yours.

0:33:45 > 0:33:46Oh?

0:33:48 > 0:33:49It's positive, Ruth.

0:33:52 > 0:33:53It's positive.

0:33:56 > 0:33:59That's great, I'll pass the news on. Thank you.

0:33:59 > 0:34:04- What, you've got to be kidding me, right?- Mr Jordan says to come. It's David.

0:34:06 > 0:34:10MACHINE BEEPS

0:34:10 > 0:34:12He's gone into VF. Standing by to shock.

0:34:12 > 0:34:15Charging to 150. Out of the way.

0:34:15 > 0:34:16Shocking.

0:34:16 > 0:34:18- Oh... - I'll take over.

0:34:22 > 0:34:27- (Should we be doing this?)- You heard what he said. The patient clearly wants to continue treatment.

0:34:29 > 0:34:31- HE GROANS - OK, OK.

0:34:32 > 0:34:34He's in heart block.

0:34:34 > 0:34:36OK, Mrs Northwick,

0:34:36 > 0:34:40your husband will most likely suffer another cardiac arrest.

0:34:40 > 0:34:42Do you want us to resuscitate?

0:34:42 > 0:34:43Yes, I do.

0:34:43 > 0:34:46It will become increasingly distressing for him

0:34:46 > 0:34:49and you need to accept this might not be the best course of treatment.

0:34:51 > 0:34:53No, I don't accept it.

0:34:55 > 0:34:58He's barely maintaining his sats on oxygen,

0:34:58 > 0:35:01his latest Echo showed his injection fraction was dismal.

0:35:01 > 0:35:03His prognosis is poor.

0:35:05 > 0:35:07OK, just let me know, whatever you need.

0:35:07 > 0:35:11He doesn't need me any more. He needs nursing now. Good nursing.

0:35:11 > 0:35:13This patient needs you to be focused.

0:35:13 > 0:35:15Now, whatever else is going on...

0:35:15 > 0:35:17don't let him down.

0:35:30 > 0:35:33- Blood results came for you.- Thanks.

0:35:33 > 0:35:36- How's it all going? All right? - Wonderful.

0:35:36 > 0:35:39Trickier than you think, aren't they, patients?

0:35:39 > 0:35:42So unpredictable. Personally, I'd lobotomise the lot of them.

0:35:42 > 0:35:45It's all under control but thanks for the insight.

0:35:45 > 0:35:47We ran a thorough range of tests.

0:35:47 > 0:35:50Do they show anything that might be causing the bruising?

0:35:50 > 0:35:51They don't.

0:35:52 > 0:35:54And in your opinion...

0:35:54 > 0:35:57are the injuries accidental or non-accidental?

0:35:57 > 0:36:02I don't believe for a second that Debbie would hurt Rhys.

0:36:02 > 0:36:05But...I've got no other explanation.

0:36:07 > 0:36:13- I just feel like we must be overlooking something.- Debbie's been through a lot in her own life.

0:36:14 > 0:36:16So, what happens next?

0:36:16 > 0:36:20Admit Rhys to Paediatrics and get Debbie's consent to take him into care

0:36:20 > 0:36:22- while we investigate. - And if she doesn't consent?

0:36:22 > 0:36:24We go to court.

0:36:24 > 0:36:25Today.

0:36:25 > 0:36:28Er, yellow bags are for clinical waste only.

0:36:28 > 0:36:30We don't take them unless they're full.

0:36:30 > 0:36:33We have a saying. Er, if it's yellow let it mellow.

0:36:33 > 0:36:35- Right see, that's how we remember. - Look, mate...

0:36:35 > 0:36:38I know you mean well and everything but seriously,

0:36:38 > 0:36:40this is not a good use of my time.

0:36:40 > 0:36:42I'm just going to go now, OK?

0:36:43 > 0:36:44Right you are.

0:36:48 > 0:36:52He's deteriorated, so we'll hang onto him for the mean time. OK, thanks.

0:36:52 > 0:36:55That is two hours of my life I will never get back. Thanks(!)

0:36:55 > 0:37:00You wanted a challenge, you've got one. The doctors can't do much for David now but we can, OK?

0:37:00 > 0:37:04I want a bed prepped with a pressure mattress, hourly pressure area and mouth care.

0:37:04 > 0:37:08Ruth, make sure he's written up on fluids, decent analgesia and anti-emetics.

0:37:08 > 0:37:10And we'll need a syringe driver.

0:37:10 > 0:37:12- Where are you going? - To find Caitlin.

0:37:17 > 0:37:19BABY CRIES

0:37:23 > 0:37:24You told him I did it.

0:37:24 > 0:37:28- No, Debbie, I didn't. - You said you'd help me.

0:37:28 > 0:37:30- Look, I promise I tried. - You're a liar!

0:37:30 > 0:37:35- OK, come on. Come with me. - She said she'd help me!

0:37:35 > 0:37:39Let's talk about this outside. Come on, Debbie. Come on. Come on.

0:37:41 > 0:37:43If I could just talk to her calmly.

0:37:43 > 0:37:48- I really don't think that's a good idea.- But...I want to help her. - You've done your best.

0:37:58 > 0:38:00SHE CRIES

0:38:07 > 0:38:08Damn it!

0:38:12 > 0:38:13Are you going to ask nicely?

0:38:30 > 0:38:32Caitlin.

0:38:32 > 0:38:33Go away.

0:38:33 > 0:38:35No.

0:38:35 > 0:38:37No.

0:38:37 > 0:38:39Not unless you want to break my fingers.

0:38:39 > 0:38:41You need to be in there with him.

0:38:41 > 0:38:43We're not ready.

0:38:44 > 0:38:47What are you doing in here? What is all this stuff?

0:38:47 > 0:38:49They're always coming up with something.

0:38:52 > 0:38:54Again, like you mean it.

0:38:56 > 0:38:59Please, Dr Keogh, will you help me with my problem?

0:39:00 > 0:39:01And?

0:39:03 > 0:39:05I can't do it without you.

0:39:06 > 0:39:09What have you ruled out so far?

0:39:13 > 0:39:14No, I need everything.

0:39:14 > 0:39:17Every...every GP referral letter, every hospital record,

0:39:17 > 0:39:20- every PE sick note.- On the baby?

0:39:20 > 0:39:23No, on Debbie, you oaf!

0:39:23 > 0:39:25You've been looking in the wrong place!

0:39:27 > 0:39:29You've done all this yourself?

0:39:29 > 0:39:32I'm up most nights, on the internet.

0:39:32 > 0:39:34But he doesn't even bother with it now.

0:39:34 > 0:39:37I...I do all this and he won't even try new treatments.

0:39:37 > 0:39:41- Clinical trials aren't going to help him now.- You don't know that.

0:39:41 > 0:39:44They've got him back. They got return of circulation, got his heart going again.

0:39:44 > 0:39:48If they fitted a pacemaker, that would fix the bradycardia. We just need time...

0:39:48 > 0:39:50Caitlin...

0:39:51 > 0:39:55..his heart's reached the end of its natural course.

0:39:55 > 0:39:57It's going to stop beating soon.

0:39:59 > 0:40:02We'll move him to a really comfortable bed.

0:40:02 > 0:40:07Lots of pillows. No doctors rushing around him. It'll be quiet. OK?

0:40:07 > 0:40:11It'll be really quiet and he won't be in any pain.

0:40:11 > 0:40:14- You don't know that.- Yes, I do.

0:40:19 > 0:40:22UTIs, dodgy tooth extraction...

0:40:23 > 0:40:25There's nothing.

0:40:25 > 0:40:30Low birth weight, kept in for three days with post-partum bleed. What was that about a tooth extraction?

0:40:30 > 0:40:35Er, attended St James' ED with post-op bleeding.

0:40:35 > 0:40:38Er, tendency to mucosal haemorrhage.

0:40:38 > 0:40:43- Von Willebrand's! Didn't she arrive with an abdominal injury? - Yeah, but the scan was clear.

0:40:43 > 0:40:47- It won't be now. Tess, where's Debbie?- I was about to ask you the same thing.

0:40:47 > 0:40:49We need to find her. She'll be bleeding.

0:40:53 > 0:40:55Let's get you up.

0:40:59 > 0:41:01- I wish we could do more.- I know.

0:41:09 > 0:41:11- How are they doing? - Really well, yeah.

0:41:14 > 0:41:17Look, I'm sorry about freaking out earlier.

0:41:17 > 0:41:20It's OK. It's a bit of a shock for me too.

0:41:20 > 0:41:22Yeah.

0:41:22 > 0:41:26I mean, obviously it's a ridiculous idea.

0:41:27 > 0:41:28Obviously.

0:41:30 > 0:41:32Well, we've not been back together that long and...

0:41:32 > 0:41:35we're hardly ideal parent material.

0:41:36 > 0:41:39As if we could ever be a normal couple.

0:41:39 > 0:41:40Don't know what I was thinking.

0:41:49 > 0:41:51Voicemail.

0:41:51 > 0:41:52Someone left this.

0:41:58 > 0:41:59Debbie,

0:41:59 > 0:42:04look, we think we might have found the reason for Rhys' bruising.

0:42:04 > 0:42:05You've got to tell us where you are.

0:42:12 > 0:42:15PHONE BLEEPS

0:42:23 > 0:42:27- Can you, er, help me with something, please?- Yeah.

0:42:33 > 0:42:35We need Big Mac.

0:42:37 > 0:42:40PHONE RINGS

0:42:40 > 0:42:41Debbie?

0:42:42 > 0:42:44OK, Debbie, where are you?

0:42:48 > 0:42:49Debbie!

0:42:49 > 0:42:52Debbie. OK, Debbie, Debbie, wake up!

0:42:52 > 0:42:55- She's tachycardic and shut down. - We'll need a central line.

0:42:55 > 0:42:58I think there's free fluid in the abdomen.

0:42:58 > 0:43:02OK, Tess, give me the fast scanner, please, and four units of O neg?

0:43:02 > 0:43:06I don't see why I should. You couldn't escape from me quick enough earlier.

0:43:06 > 0:43:08- Ah, don't think I didn't notice. - Sorry, Mac.

0:43:08 > 0:43:11I just wanted to, you know, be getting on with the big stuff.

0:43:11 > 0:43:14Ah, right, the big stuff. Well, don't let me hold you up.

0:43:14 > 0:43:16Oh... Look, please?

0:43:18 > 0:43:21You're the only one who'll be able to do it and we really need your help.

0:43:24 > 0:43:26She's shocked.

0:43:26 > 0:43:29Pulse 120, rest 30.

0:43:29 > 0:43:33- Yes, free fluid in the abdomen. - Ten mils 1% lignocaine?- I've got it.

0:43:33 > 0:43:35It's OK.

0:44:06 > 0:44:08OK.

0:44:08 > 0:44:10Let's get her a chest X-ray, push through the O neg

0:44:10 > 0:44:13- and get her up to theatre.- Great.

0:44:13 > 0:44:15Has she spiked his coffee?

0:44:19 > 0:44:21It's a hereditary bleeding disorder.

0:44:21 > 0:44:24- And that would cause Rhys' bruising? - Yup.

0:44:26 > 0:44:28Though it's not confirmed yet.

0:44:28 > 0:44:31We do need to run a few specialist blood tests first.

0:44:31 > 0:44:34Well, I'll have to arrange foster care while we wait for the results.

0:44:34 > 0:44:39- Really? I-I thought... - Thank you for all your help.

0:44:50 > 0:44:52Can I give you a hand with that?

0:44:55 > 0:44:58What have you got? Oh. Nicotine patches.

0:44:58 > 0:45:00There are better ways of relaxing, you know.

0:45:00 > 0:45:04- Have you tried meditation? Or yoga? - Thank you. Thank you very much.

0:45:05 > 0:45:10- It is Von Willebrand's, you know. - Thought you had to do a test?- It's not the sort of thing I get wrong.

0:45:12 > 0:45:16- Debbie should be with her baby. - I can't take the risk.

0:45:17 > 0:45:19You can, and you should.

0:45:23 > 0:45:25Not such a cynic as you make out, are you?

0:45:26 > 0:45:28A momentary lapse.

0:45:31 > 0:45:34I've still got that number if you want it!

0:45:45 > 0:45:48What's going on?

0:45:48 > 0:45:53- You'll see.- Ah, could someone get the lights for me, please?

0:45:56 > 0:45:58I remember that party.

0:45:58 > 0:46:02Ha! You got so drunk you were sick in next door's rose bed.

0:46:02 > 0:46:05They didn't speak to us for a month.

0:46:07 > 0:46:10Look at those boots! Those ridiculous Cuban heels!

0:46:13 > 0:46:17I told...Scarlett here I was a heartbreaker.

0:46:32 > 0:46:34There we go.

0:46:34 > 0:46:35Very smart.

0:46:35 > 0:46:38I have to go and have a scan done.

0:46:39 > 0:46:42Can you look after him for a bit?

0:46:43 > 0:46:44Course I can.

0:47:03 > 0:47:06How's the pain relief? Is there anything else I can do?

0:47:06 > 0:47:09No, I think we've got it covered.

0:47:09 > 0:47:12Thank you both so much for trying to help him.

0:47:15 > 0:47:18He's a lovely boy.

0:47:18 > 0:47:19Treasure him.

0:47:19 > 0:47:23Oh, no, we're not, erm... I mean we're...

0:47:30 > 0:47:33Actually, we're having a baby.

0:47:38 > 0:47:39Wonderful.

0:47:57 > 0:48:00Subtitles by Red Bee Media Ltd

0:48:00 > 0:48:03E-mail subtitling@bbc.co.uk