Confidences Casualty

No. No, listen.

You've got to listen.

Look, I can get the money. I've got a job.

I can bring the rent...today.

This afternoon. I can do that.

I can... I can bring it this afternoon.

Right. One o'clock.

OK. Thanks.

I'll be there. And you'll call off the bailiffs?

Tracey?!

You can use your phone in the service areas,

but not in corridors and not in the rooms.

Yeah, I know. I'm sorry. I just forgot.

Well, forget again and we won't be needing you.

Can you put a bit more effort into the bathrooms, please, Tracey?

Oh! God, sorry. Sorry, it did say on the door...

My fault. I must have put the wrong one out.

-Right, I'll come back.

-I don't mind. I'd rather you did it now.

-I put the usual on the side for you?

-OK. Thanks.

BRUSHES TEETH

Don't change the view on my account.

You want me to apologise for protecting a colleague?

I didn't say apologise, that's not what I said.

Yeah, but that's what you meant.

Listen, Sam, we are all on your side,

but what we don't want is Keith Parr claiming you broke his neck!

And that's what he's going to do, is he?

-There's a distinct possibility, yes.

-Let him try.

If we have a group discussion on mutual ground,

get everyone sitting round a table,

then maybe we can halt any complaint he might be thinking of making.

Any complaint that he might be thinking of making?!

What about me? What about my complaint?

You've seen the CCTV footage. He attacked Dylan.

I want him charged for assault.

Sam, you're not thinking this through...

No, no, no. That's exactly what I'm doing,

and this discussion you and Mr Jordan have planned? I can see the outcome.

It'll turn into some witch hunt with me being burnt at the stake.

-That's not going to happen.

-And you can promise that, can you?

Mum, please. Look, I'm in a mess.

If I don't come up with the money by this afternoon they'll throw us out.

and if I got no place to live then they'll take my kids off me.

It's not his fault! He's been trying to get a job.

No, I've got to go.

-Everything all right?

-Yeah, fine. I won't be long.

-Money problems?

-Sorry. You weren't meant to hear that.

I'd be grateful if you didn't tell anyone,

cos I'm not meant to use my phone.

Hey, I won't say anything. You girls have it real tough.

-Thanks.

-You're pretty, you shouldn't have to do this.

Yeah, well, it's the only job I could get.

I can think of another job you could do.

Earn you a lot more money.

-What's that, then?

-What do you think?

Look, I think I should be going.

-I'll come back and do your bathroom later.

-How much do you need?

-400 quid.

-A fiver's not going to help very much.

Yeah, well, it's better than nothing, thanks.

Maybe I could help you out with a bit more.

But you'd have to make it worth my while.

-How do you mean?

-You know how I mean.

That uniform of yours has been getting shorter every day.

-No, it hasn't.

-I tell you what.

Whatever cash I've got in my wallet, you can have. Fair enough?

Well, that all depends on what you've got in your wallet

and something tells me it's not going to be enough.

£320. How about that?

-£320?

-What do you say?

-I, um...

-You need 400. You're almost there.

Right.

I tell you what, if you do what I ask

then afterwards, I'll go to the cash machine,

take out another 80, you'll have the lot.

Here. Take that as a down payment.

I just wanted an ordinary coffee.

Not a "chi latte" or a "skinny cappo",

just an ordinary coffee.

Are you lingering for a reason? Do you want a coffee?

-No, I'm OK for coffee.

-I don't mind.

-No, I'm fine. Fine.

Fine.

I need to...

Well, it's about our friend, Mr Parr.

Mr Parr. Mr Parr?

The man who tried to punch you in the staff room?

Fine, fine. I thought he'd fallen off the face of the earth.

-No, quite the reverse. Is it an all-right time to talk?

-Yes.

Well, there's a chance that he may try to sue the hospital.

Doctor Keogh, We have a patient expected.

His C spine fracture could be a result of Sam's assault.

Assault?! Sam's assault?! Right... Is this our patient?

Yeah, Mike Harrison, 49 years old.

Complaining of chest pains and vomiting.

ST elevation, GTN, 300 of Aspirin, 10 of Metoclopramide

and 10 of morphine, BP's 130 over 80,

pulse 80, stats are 95 per cent on air.

-OK, over there.

-Thank you.

Oh, hello. He's arrested.

Right, better do something about that, yes?

-Yes, I will get defib.

-Yes, Mr Parr?

-Yeah, I'll talk to you later.

No, no, come on. I thought women were meant to be the multi-taskers.

-OK, VT, I'm doing to need to shock.

-DEFIBRILLATOR WHINES

OK, charging... Oxygen clear, everyone clear? Shocking.

-We've got a pulse.

-Good. Carry on.

And keep him under obs. If anything changes, do let me know,

and preferably before there's a crisis.

Whoa?!

Sorry.

Maybe you should wear scrubs.

Because of clumsy nurses, we all have to dress like lab technicians?

-So, Keith Parr...

-What about him?

There is a distinct possibility

that he may bring an action against the hospital and, maybe, Sam.

What, because HE tried to punch ME...?

So we want to try to get a group of us around a table,

including hospital management, yourself, Sam,

with representation if she wants it,

with this Parr chap around a table to discuss it, you know?

And Sam doesn't want to do this, presumably?

-Mm.

-Yes, discussion wasn't a strong point in our relationship...

Yeah, well...

I wouldn't really know about that, would I?

So, we'd like you to take her aside and maybe just have a word,

tell her that discussion's the best way forward.

No. I'm sorry, absolutely not.

Tracey? Tracey!

What the hell do you think you're doing?

You've got about another dozen rooms to do in there.

-TRACEY SOBS

-Fine, suit yourself.

Please, don't fire me!

Look I need the job. I'm sorry.

What's wrong with you? You look a right mess. Are you ill?

I, um... I, um...

I don't feel well, I'm so sorry.

-OK, let me call someone. Is there someone at home?

-No.

No, don't!

Look, I don't want Dean to know, please. Don't ring.

PHILIPPA SIGHS

Oh, no, no, I've got to get you looked at, Tracey.

I have to.

-Linda...

-Not now, Lenny.

You put the kids into care?!

-How d'you know...?

-Britney text me. What happened?

I wasn't coping.

Because you were late to pick them up from school, what? Once?

No, not just because of that. You saw what I was like.

-You had a bad day, Linda, get over it.

-They're better off.

Glad you think so.

They're with foster parents who can look after them better than I can.

And who told you that exactly? Listen to this,

"Why has she done this? We didn't do anything wrong."

That's... That's from Britney. Not exactly a happy bunny, right?

I had no choice...

Lenny, I had no choice.

You had the choice. They didn't have the choice.

-Hiya.

-Hello.

-My name's Dixie. This is Jeff.

-Hi.

-Can you tell us what happened?

Nothing. Nothing happened, honest.

Where does it hurt?

Right. Uh, want to come over here and have a little chat, love?

Well...

Right.

Shall we start again?

Yeah, I fell.

-What here?

-No. No, in the hotel.

And what made you fall?

I, um...

I mean did you feel faint or dizzy...

No, I tripped. In the room.

OK. And your chest hurts?

-I'm all right, I'm fine.

-Do you mind if I just take a look?

-No, really...

-Best make sure, eh?

OK. Right, you might want to put that somewhere safe, love.

-You don't want to lose it.

-It's mine.

-OK.

Does it hurt if I touch you there?

Right, we're going to have to take you in and get you checked over.

I can't. I really need to meet someone.

Well, better be safe than sorry, eh?

Come on. Let's take you for a little ride.

Good girl. Right...

I mean, we had, you know, a bit of a disagreement this morning,

something of nothing, but the next thing I know,

she's charging down the corridor in a right state.

-Right, this is straight after?

-No, no, she'd been doing a room.

And taking her time about it.

She says she fell.

-Where? I didn't see her fall.

-In a room.

-She's trying it on.

-What do you mean?

She's after the compensation. She's up to her eyes in debt,

always on the phone to someone or other trying to get money off them.

'Obviously, the death of a child under any circumstances

'is an emotive subject, but in the case of Kerry Fitzgerald,

'she believes if action isn't taken quickly,

'then it's only a matter of time before another child dies.'

'People have got to realise

'that even if we get absolutely everything we want,

'it's not going to bring Molly back.'

Sleep tight, sweetheart.

I love you.

I'm going to go now.

HORN BLARES

OK, this is Tracey Monroe, 28. She says she fell.

She's got bruising to her chest, she's vomited once

but refused to let me examine her further.

BP's 120, sats 90%.

Dix? RTC on Rackton Road, I'm taking the RRV.

All right, mate. Um, can I have a quick word?

Yeah. Uh, Big Mac?

Could you look after Tracey for us?

The cubicles are a bit full at the moment, so...

-Uh, may I suggest CDU?

-Great, thanks.

My pleasure this way, my lovely.

Right. The bruising, to me, looks like she's been attacked

and I found a wad of notes shoved down her bra, maybe £200,

and her boss was saying how she was always complaining she was skint,

-so where that came from, I don't know. All right, darling?

-All right.

MUFFLED SIRENS

ENGINE ROARS

All right, mate?

I'm Jeff, I'm a paramedic.

-Listen...

-Have you got a name?

Uh... Yes, it's Vince. Vince Cartwright.

Vince, do us a favour, mate.

Come and stand over here for me, will you?

I'm just going to have a quick look at you. Nice and easy.

OK, do us a favour, hold it up against your nose.

-That'll stem some of the blood.

-It just... Just happened so quick.

-Yeah, it's OK. It's OK.

-No, it's not. It's not OK.

-I hit somebody.

-You what?

-I hit somebody, just...

They just walked out in front of me lorry.

You sure?

Look, I saw her. I mean, I... She looked straight at me.

I saw her eyes, she just walked out, I couldn't do anything.

OK, OK, Vince. Hold that up against your nose, mate.

I'll go and have a quick look around for you, OK?

Ach... Don't tell me she's dead, please.

Please don't tell me she's dead.

She refused a gown. She's got the cash in her hand.

Apparently, it was stuffed down her bra.

Always a safe place to keep cash(!)

Hi, Tracey. I'm Doctor Sam Nicholls. I understand that you fell.

-Yeah.

-All right if I take a look? Swing your legs up for me.

I've told the nurse it's nothing.

I just need to take a look. All right?

Can't you just give me some pills or something?

OK...

So, you have pain in the chest

and stomach area.

What about your arms?

Do they hurt? That's pretty nasty bruising you've got there.

Well, they do a bit.

-Do you mind if I take a look at your legs?

-Yeah.

Tracey...

Are you sure you fell?

DOORS CLUNK

There's Mummy.

God, that's my kids.

Dean? Dean, in here!

Trace? Trace?! What the hell happened?

-I just had an accident...

-You OK?

-Yes.

-They not keeping you in, are they?

-I hope not.

We just need to do a few X-rays. I'll arrange that for you now.

Thanks.

See what I mean?

The bruising and abrasions are classic sexual assault injuries

and she's wearing no underwear. You need to get her in a gown

and I need to talk to her again when her husband and kids have gone

-and if you see Charlie, can you tell him I want a word?

-Yes.

-Thanks.

Here.

-What's this?

-Rent.

-Where did you get it?

-Well, it's my wages

and they let me have some of next week's as well...

Look, there's 80 quid short,

but I've got 40 hidden under the bread bin.

It was for emergencies, so take that.

-Have you got anything?

-No.

Well, what about that money your mum gave us for Cheryl's Christening?

Well, that's for her Christening.

Yeah, I know, but we can pay it back. Just go home and pick it up.

-What's going on, Tracey?

-Nothing.

We're just paying our rent, that's all.

-You don't get paid till the end of the week. That's what you said.

-Please, Dean. Just do this, for me.

Car's parked at the hotel.

OK.

Right come on, you lot. Let's let your mum get better, yeah?

I will get a job soon, you know.

When I do, me and you, major night out, yeah?

I'm not bothered about nights out.

I just want us all to be happy.

Come on, guys. Let's leave your mum to it, shall we?

Come on. Say, "Bye-bye."

-Bye-bye. Come on.

-Bye.

-Come on.

-AGONISED WAILING OK, Kerry, you're doing really well.

-I wish I was dead ...

We'll have you out of here in no time, OK?

I promise. Can you get me a board, please? How's the pain?

-Still there!

-Nearly there, here comes the good stuff.

You'll feel brand new in a few minutes, all right?

There we go, that's it. Good girl. I'm going to be right back, OK?

Morphine's going to kick in soon.

It's OK, Vince. They're getting ready to move her now,

so I'll keep you posted, OK? Can I have you in the ambulance, please?

Why me, eh?

D'you know? I'm a good driver. I've got a clean licence 100% no claims.

-You just didn't see her.

-That's right, I didn't.

One second the road was clear, the next, bang! There she was.

It's not like I drink or drive, or anything.

Listen, could you tell the police that, if they ask you?

Well, it's not really my job.

But you can see I haven't been drinking. You can smell my breath.

If you haven't been drinking you've nothing to worry about, have you?

Or have you...?

It just that...last night...

-You've had a skinful?

-No, I didn't have a skinful...

It was my wedding anniversary.

I mean, we don't normally celebrate, you know?

So, you have had a few?

Look, I swear, I don't normally drink at all.

In you go, mate.

Kerry, is there anyone you'd like us to call for you?

-My daughter.

-Sure. What's her name?

-Molly. Molly Fitzgerald.

-OK. Consider it done.

SHE SOBS

One, Two, Three.

This is Kerry Fitzgerald. 42 years old.

She was a hit by lorry and dragged underneath.

She's got a compound fracture to the right femur

and extensive soft tissue loss.

GCS was 14, BP's 150 over 65, she's tachycardic at 124.

She's had five of morphine, and that's the second litre of saline.

-Kerry, can you hear me?

-Yeah.

-You're in Holby City Hospital.

-OK, let's get another line in.

-On it.

And we'll need blood, cross match her for 4 units initially,

and we'll need trauma x-rays of neck, chest and pelvis,

then off to CT and we need to look at that femur.

We have a patient who has been making inquiries about her...

-Is he the husband?

-It's the driver of the lorry that hit her.

-Charlie?

-Yeah.

-A word.

-You say you're looking after the driver?

-He's in a cubicle...

I'll just give you the heads up.

He says he's had a drink, so he may be over the limit.

Right, thanks.

This is not a drill. Could you please assemble in the car park.

This is not a drill, sir. Can you please go to...

In here! It's in here! Is someone in here?!

There's someone in here. Come on, help!

Sir, you've got to sit up.

Sit up, please. Can you sit up, please?

Can someone help just get him out? Will you get him out?!

-It's OK, we've got him.

-THEY COUGH AND CHOKE

OK, FBCs, Us & Es, please.

-She was hit by a lorry?

-Yeah.

Actually, at the same place that her daughter was killed a year ago.

There was a demonstration about it. It was on the telly.

Doesn't bear thinking about, really, does it? Losing your kid like that.

You all right?

I just, um...

Take a break. Linda, take a break.

You OK?

-Do you want to tell me what's wrong?

-I let the kids go into care.

-Right...

-How could I do that?

You probably did what you thought was right.

But there's a woman in there who lost her child. You've seen her.

-They're not your children.

-I let them go.

You probably thought they'd have a better life that way.

Think about how many kids grow up unhappy because someone wasn't brave enough

to take the decision that you just took.

Twice in two hours. What do you reckon?

Well, it's unusual to say the least.

I'm getting a funny feeling about this joint, you know?

I'm growing quite fond of it.

I might get a non-smoking room next time.

-All right, princess

-Can you tell us anything?

Well, I mean, I just found him collapsed.

-Has he got a name?

-Mr Downing. James Downing.

He's a regular customer of ours,

he's been with us three days this time. He's a nice man.

OK. Mr Downing? James?

James? Can you hear me?

His sats are down about 90%.

He looks very flushed.

It could be the carbon monoxide.

James, we're going to take you to the Holby ED, mate.

Going to find out what's going on, OK?

Once you got my x-rays, I can go, right?

Just got to make sure you're all right, first.

SHE GASPS Do you know that guy?

No. No.

If Parr does try to sue, the chances are

that the trust will want to settle out of court.

-They shouldn't, they should fight it.

-I agree. I'm on your side.

-But I know you are, obviously.

-But the trust won't risk losing,

so we need to try and placate Parr, so he doesn't want to sue.

Then the hospital doesn't have to cough up,

the department doesn't get a black mark

-and Sam's reputation stays intact.

-Doctor Keogh?

Sam's reputation? What...?

Well, they'll want to hold someone responsible if there's a settlement.

I don't make up the rules, that's the way it is.

OK, I'll think about it.

BP 120/60, pulse, 70. Never regained full consciousness.

So, did he pass out before the smoke or because of the smoke?

-Good question.

-Why don't you ask him?

-Very good answer. Mr...

-Downing. James Downing.

Can you hear me, Mr Downing?

-HE GROANS

-Right, can you tell me how you are feeling?

Not good, then. Let's get initial tests. We'll do bloods,

including a carboxyhaemogolobin, blood gases and a chest x-ray.

-Mr Downing, do you know what happened?

-We don't know anything?

-Anybody know? Any clues at all?

-Can you tell us your date of birth?

His stuff was in the hotel, it got damaged.

Well, we could do with more than that. Can we look for some history?

If his GCS drops below 10, will you let me know immediately?

-RADIO BLEEPS

-Are we the only crew working today?

It was Charlie's idea. Said I should get myself a wing man.

-And I'm it?

-Yup.

-So, if I do this for you,

-will you consider sitting down and talking with Mr Parr?

-Nope.

-Hi, Tracey. This is Doctor Hanna.

-Zoe.

I've told her about your injuries and she'd like to take a look.

But you've already seen them. I just want to get out of here.

I promise we'll get you out as soon as possible.

Well, can we go on a ward, then, away from here?

-Just waiting for your x-rays.

-We'll be moving you to cubicles soon so that'll be a change of scenery.

The man...that came in on the trolley...

-What about him?

-What's wrong with him?

Why? I thought you said you didn't know who he was?

Well, I don't.

Well, I didn't, but now I think I do.

-Who's this?

-The guy who's in resus.

-Why's he here?

-He passed out and they're trying to find out why.

-Will he be all right?

-I don't know, I'm not his doctor.

-Tracey, can I have a look at your chest and stomach, please?

-No.

-Well, I just want to double check...

-You've already taken the x-rays, you can look at them.

What are you scared of, Tracey?

Doctor Nicholls said that you got some bruising

that could have been caused from an assault.

That's not true.

Nobody touched me. Nobody!

Doctor Keogh? James Downing has had two heart attacks

and Sister Bateman is trying to trace down his medications...

So, why might he be feeling so woozy?

He's probably on blood pressure tablets, beta blockers,

angina tablets, it could be anything.

And why now? Why isn't he like this all the time?

Overdose?

Thank you. Any change? Is he any better?

No, BP's still low, heart rate's fast.

OK, um, Nurse Conway tells me he's got a dicky ticker.

He's a two heart attack man, but no zipper club membership,

so probably on quite a few meds.

Her current thinking is that he may have overdosed

-on one or more of these meds.

-HER current thinking?

Yes, doesn't she normally do "current thinking"?

-Uh...it's not that. I just wondered why he would suddenly OD.

-Nurse?

Stress? He could have been stressed about something.

I'll buy that. OK.

Let's run an ECG, a troponin, uh...

Keep him on the oxygen, increase IV fluids, let's see what we get.

Just one other thing, Doctor Keogh.

I noticed that his address is in Holby, so I was wondering...

Why would he be staying in a hotel less than two miles from his home?

She's on fire today. Who cares? I don't.

-Leave that to the council tax people.

-HE LAUGHS

Sorry, I mean... I'm not entirely sure where he was,

but I'm sure you can ask him when you get here.

Yep. Is... Is that OK? All right, then. Thank you, bye-bye.

Everything OK?

-I think I just made a huge mistake.

-Oh, it's probably nothing.

I've just told a patient's wife

that her husband wasn't where she thought he was.

You can't be held responsible for other people's lies.

But if I'd have just thought,

-I would have realised something wasn't right.

-How?

Paramedics picked him up from a hotel

less than two miles from his house.

-So?

-Well, he'd been staying there for three days.

It, kind of, doesn't take a genius to work out he was up to no good.

It's not your fault. You just gave her the facts.

What was the name of the hotel, again?

-Uh...The Edwalton.

-And name of the patient?

James Downing.

Thanks.

Lloyd, can you deliver a message to Doctor Lyons for me

and say that his lorry driver may be over the limit,

-so he might get a bit upset.

-Right.

You've got four broken ribs. Now, we can manage them with pain killers,

-but you will have to stay in overnight.

-But I have to get back to work.

-Sorry.

And we still need to identify how your injuries happened.

I told you a million times, I fell.

-But we know that's not true.

-It IS true.

We believe that something awful has happened to you

and if it did, then you need to tell us.

The bruising on your legs and inner thighs,

they couldn't have come from a fall

Well, it did. Well, that's what happened, that's how I got them.

I think that someone held you very tightly,

grabbed your wrists and pinned you down.

-No.

-Tracey, if someone did attack you,

then you need to report it to the police.

So they don't do it to someone else. Why won't you tell me what happened?

Because I can't.

Why not?!

Cos it's my fault.

SHE SIGHS

Doctor Keogh? This is from Mr Downing's GP of all his meds.

The usual ones, Bisoprolol, Candesartan,

GTN, Simvastatin, aspirin.

Thanks.

-Oh, um, Mr Downing, is there any improvement at all?

-Not really.

What's the matter with the man?

Lenny. Have the police spoken to your lorry driver yet?

No, they should be along any minute.

And he'll be good to go after that, I think.

Probably to the cop shop.

It seems he's had a few sherbets.

No wonder he's worried about the woman.

Right, Mr Cartwright, how you doing? Bleeding stopped yet?

-Uh, yeah, I think so.

-Excellent. Well, the scans came back clear,

so as soon as you've spoken to the police, you should be good to go.

Is there any news on the woman I hit?

No, they're looking after her just now...

-She'll be all right? She'll live?

-Yeah. You were lucky ...

Well, you know, she just stepped out right in front of me.

These things happen. Especially when you've had a skinful. That's the case, isn't it?

It was last night. I-I didn't even have that much...

-Just enough, eh?

-All right, Lloyd.

-I always think its best when driving not to get lathered...

-Out. Out!

-What're you playing at?

-I was just making a comment ...

No, mate. That was not a comment. Get down off the high horse!

Seriously, pull a stunt like that again

and I will personally make sure that that's the last one you pull.

Bye.

Is this about the money?

-Well, did you steal it?

-No, I didn't steal it.

-He gave me it.

-Why did he give you the money?

-So I would have sex with him.

-And that's what happened?

No, cos I couldn't do it.

I couldn't go through with it, I told him. I said I couldn't.

I couldn't cos I would never be able to face Dean again.

But he wouldn't stop.

-He wouldn't stop.

-SHE SOBS

I kept telling him. I kept telling him to stop, and then...

And then he held me...

He held my arms and then he punched me.

He punched me and I couldn't stop him,

I couldn't. I said stop.

-OUTSIDE:

-Trace?

-I said stop...

-Shh.

-Trace? Trace what's wrong? Are you in pain?

-It's just the shock.

Yeah, it often happens after accidents.

Look, I'm all right, I'm fine.

We're going to keep your wife in overnight

and I think by tomorrow she's going to be... She'll be good to go home.

Must have been a real bad fall.

I was so stupid, I wasn't looking what I was doing.

-So, did you pay the rent?

-Yeah, yeah, I paid him.

He's a bit of a creep, isn't he?

I told him there were 20 quid missing but he seemed all right about it.

-They were going to throw us out.

-Well, he can't now, can he?

I don't deserve you.

Don't be daft. It's me that doesn't deserve you.

-How we doing in here?

-Fine.

-Everything OK?

Uh, yes, I'm just running some tests, waiting for the results to come back...

OK. Hello, Mr Downing. How are you feeling?

Not... Not very good.

Doctor Keogh?

-Mrs Downing's just arrived.

-Oh. Uh, right, send her in.

-She might give us the clue as to what's wrong with him.

-OK.

The ortho's have seen the films and they aren't too happy with the reduction, so...

-So they want to swap the Donway for a Thomas splint, is that right?

-Mm.

Well, we have to be very careful with the de-gloving.

There's a strong risk of infection.

-OK.

-I'll set it up.

I'm so sorry about your little girl.

You must miss her so much.

Every single second of my life.

Do you have kids?

-No.

-No? Good, then you can't lose them.

-I'll do it again.

-Do what again?

Walk under a lorry. I'll do it again.

What?

I did it for my daughter.

I don't want to be here.

I want to be with her.

-I don't want to be here.

-SOBS

Thank you very much.

See that? Passed with flying colours. Didn't even register.

But he said it. It was him who said he'd been drinking.

Maybe he was worrying. You know, maybe he's a worrier. I don't know.

Point is, you jumped the gun, Lloyd.

Mirror, signal, manoeuvre. Back to basics, mate.

-I need to speak to him

-That's not a good idea

-Mr Cartwright.

-There was no alcohol in my system.

-I know, right? I know.

-I had a breathalyzer.

-One of our nurses, Staff Nurse Andrews,

just spoke to the woman you hit and there's something you need to know.

Kerry walked out in front of your lorry on purpose.

-She did what?!

-She wanted to be with her daughter.

-I thought it was my fault...

-It wasn't.

But if you hadn't told me? If you hadn't said something,

I would have carried on thinking it was my fault.

How could she do that to someone? I'd done nothing wrong to her.

If she'd have died then my life would have been over,

that would have been it.

Do you know what I'm going to do? Sue her.

That's what I'm going to do.

Calm down. The main thing is, you're OK and she's going to be OK.

You have to try and understand her state of mind.

What about my state of mind?

Mate, I've been going crazy since this thing happened.

What, and now you tell me she did it on purpose? Come on!

I'm sorry.

-Lloyd.

-How stupid was I?

At least you did the right thing though, eh?

But if Linda hadn't talked to her

he would have gone on thinking it was his fault.

How was Linda? What did she say?

Nothing. She was in shock. I guess with her situation,

you know, having the kids, things like that really hit home.

-Except she doesn't have them any more, does she?

-Since when?

Since she put them in care

Oh... That must have hurt.

OK. We'll move you somewhere a bit more private

while we're waiting for theatre.

I just assumed it was his heart again.

No, we've pretty much ruled that out.

Has he suffered from anything like this before?

-No.

-How is he doing? Is he up for talking?

Um... He seems a little confused at the moment.

-Um, this is his wife.

-I'm sorry, Jackie.

-Don't say anything, James.

-I'm sorry.

-This is not the time.

His BP's rising, but his pulse is falling.

Um, how are you feeling at the moment? Any headaches at all?

No, um...

Uh, yes. Yes, uh, it's getting worse.

Was there any sign of a head injury?

We did check, we didn't find anything. I'll call CT.

Mr Downing? Did you have a bang to your head at all?

-No. Nothing happened.

-What do you mean?

-Nothing happened. I swear to you.

-You promised me, James.

-Please don't leave me.

-You promised me.

-I was at a convention

-What convention?

Nothing happened, nothing happened!

STRANGLED GRUNT He's fitting!

OK, can we get him two milligrams of Lorazepam,

put him on 100% oxygen and let's get some blood gases off, please.

Nurse? Could you escort Mrs Downing?

-Mrs Downing? Do you want to step outside?

-Can we get the Guedel in?

-Is that better, Kerry?

-Thank you.

That was quite a shock, what you said. For us all.

I do apologise for shocking you.

I think maybe you should apologise to the driver of the lorry.

You want me to apologise to a lorry driver?

-He thought it must have been his fault.

-Tough.

But...if you'd have died...

..and he'd never have found out the truth,

you would have ruined his life.

Your daughter being knocked down and killed by a speeding lorry,

that's what ruins your life.

He felt guilty for something he had no control over.

Is that what you wanted?

No.

No, that's not what I wanted.

I wanted to be with Molly.

And I would do anything to be with her.

Excuse me.

-He told me he was in Stoke.

-Stoke?

He said he'd never do that again.

He promised.

After I stood by him.

-What, after his heart attack?

-No, not his heart attack.

Is there something you want to tell us?

18 months ago, after lying to me about where he was,

after taking a hotel room the other side of Holby,

he was accused of attacking a prostitute.

He picked her up in his car, took her to his room and,

according to her, things started to get violent.

He punched her so hard she was hospitalised.

-And did she tell you that?

-No. The police came to our house

and James said the girl was lying and that he was with me all night.

You gave him an alibi.

He said he wouldn't do it again, he promised...

-SHE SIGHS

-Can you open your eyes for me, James?

Can you squeeze your fingers for me, James?

-He raped her.

-HE did?

-Yup. He's done it before.

That's not the problem at the moment, we're losing him.

There has to be something, what are we missing?

Just... Just give me a minute.

You better go soon. Don't want to leave the kids too long

I'll go when they move you to a ward.

Dean? Is it all right if I have a word with Tracey alone?

Sure. I'll be in the waiting room, yeah?

We know who he is. James Downing.

He has a history of sexual assault. His wife has just admitted it.

Now, if he is the man who raped you,

then you need to report him to the police

-I took money from him

-But you said no.

I took money for sex.

No-one's going to care that I said no,

they'll just think I'm a slut. The police, everybody.

Tracey, he's in a really bad way.

If he dies the police are going to be all over this.

I'll deny everything. I'll say I don't know anything about it.

And you really think they're going to accept that?

Tracey, your boss saw you walking out of his room!

When you were alone with him,

what happened?

What was it?

I hit him. With a lamp.

-Where?

-On the back of the head.

Look, I thought he was going to do it again so I hit him.

OK. OK, thank you.

GCS is falling. I think we should intubate.

BP 190/120. Pulse, 35.

What's does this look like to you?

She hit him on the back of the head with a lamp.

But we examined... It must be a traumatic intracranial bleed.

Drop the sequence induction, propofol, sux, get the cric on.

-OK.

-I'll set up a manatol infusion. We need to get him to theatre, will you sort that?

Kerry? This is Vince Cartwright.

He was the driver of the lorry.

I wanted to be with Molly.

That's all I was thinking of. I'm sorry.

-Sorry?

-Yeah.

Sorry? Yeah, well, somehow that's not enough.

-I'm sorry.

-What?

You all right?

-As all right as I can be.

-Good.

Look, you know why I react the way I do, don't you?

And that's why I didn't want to tell you.

Fair enough.

Um...

Listen, if you want any company or anything later on,

get some food, just give me a buzz, OK?

I don't think I'll be much fun tonight.

-Get some other time, yeah?

-Sure.

Lenny? Thanks for offering.

-We're just going to take him up to theatre if you want to wait outside.

-Uh, no, thank you. I'm going home.

-OK, we'll give you a call when we know more.

-Don't bother. I won't be there.

What was wrong with him in the end?

He had had a bang on the back of the head.

Hmm. Shame it didn't kill him.

Will he live?

You know, if he isn't stopped, he'll do it again.

I know that, but I can't do it.

It's Dean. He'll never be able to take it.

Well, then, isn't it better if he hears it from you?

Look at me. He loves you.

He'll hurt for you. My God, he will want to protect you.

Together...

..you'll get through it.

Is it all right if I come in?

Yeah.

Dean...

There's something I need to tell you.

If you're thinking to yourself,

"Did I do the right thing," just remember this...

At some point, the police would have found out and all this would have come out.

Just...

I can't get past the idea he raped her and yet she's the guilty party.

Keith Parr attacked me. I know it, you saw it,

and some things just don't work out for the best

And everybody would hate it if it worked out badly for you.

And how would that work out badly for me?

A tribunal COULD find against you

and, believe it or not, nobody wants to see that happen.

This is crazy.

-Well, welcome to the 21st century.

-Dylan...

-Look, we could...

get together, sit down, work it out.

At least this way, there's a chance he'll believe her.

Mr Parr.

Doctor Nicholls.

I have come to apologise

-for the incident that happened at the hospital.

-OK.

-I reacted instinctively...

-Things did get a bit heated.

Which is what's going to happen if someone attacks my colleagues.

Attacked?

You think I attacked him? I just reacted to the situation.

And so did I. And it's a good job that I did because, well, who knows what would have happened.

-What happened was you broke my neck.

-I would obviously dispute that.

-Anyway, um...thanks for your time.

-And that's it?

-Yeah. That's it.

-You're saying you didn't break my neck?

-That's exactly what I'm saying.

-If that's your story...

..that's fine by me.

OK.

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