0:01:01 > 0:01:03MUSIC PLAYS
0:01:03 > 0:01:05Lucy?
0:01:07 > 0:01:09Lucy, sweetheart, can you hear me?
0:01:11 > 0:01:14Come on, sweetheart, you need to wake up now.
0:01:17 > 0:01:19- Robert...- Morning.
0:01:19 > 0:01:22I've just been in to Lucy and I can't wake her.
0:01:22 > 0:01:24- She's really hot. - You mean she's got a fever?
0:01:24 > 0:01:26Yes! She's burning up.
0:01:28 > 0:01:30MUTED SPEECH
0:01:33 > 0:01:34HE GASPS
0:01:41 > 0:01:43RAZOR RASPS
0:01:43 > 0:01:44HE GASPS
0:01:56 > 0:01:58Bobby?
0:01:59 > 0:02:00Bobby.
0:02:01 > 0:02:04She needs intravenous antibiotics and steroids.
0:02:04 > 0:02:07Without them she could get very ill. We should get her to hospital.
0:02:06 > 0:02:07I'll call an ambulance.
0:02:07 > 0:02:13- No, it'll be quicker if we take her. Car keys?- Kitchen.- OK, get the car started. I'll bring her down.- Right.
0:02:13 > 0:02:15MOBILE PHONE RINGS
0:02:20 > 0:02:21OK, come on then.
0:02:23 > 0:02:28- Oh, Lenny, can you make sure Mr Chapman gets his referral?- OK.
0:02:32 > 0:02:34Mr Hammond, dislocated elbow, it's now reduced
0:02:34 > 0:02:37but he's going to need a fracture clinic appointment, OK.
0:02:37 > 0:02:39See the guy with Nick? He's from the GMC.
0:02:39 > 0:02:41- Morton.- Yeah.
0:02:41 > 0:02:42You OK about that?
0:02:42 > 0:02:45Sure. I always knew it was going to happen, so...
0:02:45 > 0:02:47What've we got?
0:02:47 > 0:02:49Lucy Wheldon. Age 8, taken ill overnight.
0:02:49 > 0:02:52This is Dr Carson, her GP and her mother Debbie.
0:02:52 > 0:02:55Her temperature was 39 at home. Pulse of 140 regular.
0:02:55 > 0:02:57She complained of a sore throat last night.
0:02:57 > 0:02:59OK, any medication?
0:02:59 > 0:03:02Yes, she's on 5mg of prednisolone each morning for nephrotic syndrome.
0:03:02 > 0:03:05She was fine till this morning, and then I couldn't wake her.
0:03:05 > 0:03:07When was she diagnosed with nephrotic syndrome?
0:03:07 > 0:03:08Six weeks ago.
0:03:08 > 0:03:11Six weeks ago, OK, well let's get her stabilised
0:03:11 > 0:03:14and we'll see what we can find.
0:03:14 > 0:03:18I feel like a new man already. No kidding.
0:03:18 > 0:03:20OK, Patrick - I just need to give you
0:03:20 > 0:03:22some leaflets on wound care and lifestyle.
0:03:22 > 0:03:24Not exactly wounds though, are they?
0:03:24 > 0:03:26Don't think the girls'll even notice them
0:03:26 > 0:03:28when I'm stretched out on the beach next summer.
0:03:28 > 0:03:30Probably not.
0:03:30 > 0:03:32Is there anything else you want to ask before you leave?
0:03:32 > 0:03:36Nah, I'm fine - except I haven't had the full English yet,
0:03:36 > 0:03:38that was included in the fee, right?
0:03:38 > 0:03:41A gastric by-pass isn't a get out of jail free card, you know.
0:03:41 > 0:03:45What, I can't just stuff myself as much as I like? I thought that was what I'd paid for.
0:03:45 > 0:03:48Patrick, you need to read...
0:03:48 > 0:03:52Very funny. No-one likes a smartarse - even when they're slim.
0:03:52 > 0:03:56You finished your shift? Off home to bed?
0:03:56 > 0:03:58Something like that. Well, good luck with everything.
0:03:58 > 0:04:01Maybe I'll see you on the beach next year.
0:04:01 > 0:04:03If you do, you won't recognise me.
0:04:03 > 0:04:04Of course I will.
0:04:04 > 0:04:08You'll be the twelve stone smartarse surrounded by girls, right?
0:04:08 > 0:04:11OK, let's get a canula in and blood for FBC, U&E,
0:04:11 > 0:04:13and CRP and a venous gas.
0:04:14 > 0:04:1910ml per kilo bolus of saline fluid and 50 milligrams of hydrocortisone.
0:04:19 > 0:04:20OK.
0:04:21 > 0:04:23- Tonsillitis?- That's my guess.
0:04:23 > 0:04:25Good thing you brought her in before she got more septic.
0:04:25 > 0:04:28I was just concerned it was going to become Addison's.
0:04:28 > 0:04:29Let's hope not.
0:04:29 > 0:04:34- Did you spot the kidney disorder, the nephrotic syndrome?- Yes.
0:04:34 > 0:04:36Good catch.
0:04:36 > 0:04:38Just lucky.
0:04:38 > 0:04:42- It's more than that. And you brought her in.- Yeah, well, it was quicker.
0:04:42 > 0:04:44They just live down the road from me.
0:04:44 > 0:04:46The perils of being a country GP?
0:04:46 > 0:04:48You do tend to get roped in a bit.
0:04:48 > 0:04:52Sam, have you got a sec to look at Mr Jevons in cubicle three?
0:04:52 > 0:04:56Yeah, sure. ..Do you want to bring the mother up to speed or have you got to shoot off?
0:04:56 > 0:04:58- No, no, that's fine. I'll tell her. - OK, cool.
0:05:01 > 0:05:03Do let me know if there's anything else you need.
0:05:03 > 0:05:04Thank you.
0:05:04 > 0:05:08I'll keep people away from their duties for as short a time as possible.
0:05:08 > 0:05:11So you're viewing it as pretty straightforward then, are you?
0:05:11 > 0:05:16- Which, of course, it is. - I couldn't say. The case examiners will make that decision.
0:05:16 > 0:05:19Perhaps I could start with Staff Nurse Conway?
0:05:19 > 0:05:23It was my understanding that she actually wasn't present when the incident took place.
0:05:23 > 0:05:26No, but she did treat Mr Parr subsequently
0:05:26 > 0:05:29and I need to get an insight into him as a patient.
0:05:29 > 0:05:31Righto. I'll see if she's available.
0:06:05 > 0:06:07CLASSICAL MUSIC PLAYS ON CAR RADIO, CAR REVS
0:06:10 > 0:06:12Thank you for coming, Staff Nurse Conway.
0:06:12 > 0:06:15I'm Jacob Morton, a lawyer from the GMC.
0:06:17 > 0:06:20This is Miss Kilby. She'll be keeping a record.
0:06:20 > 0:06:22If you'd like to sit there.
0:06:25 > 0:06:28Her temperature and pulse have settled
0:06:28 > 0:06:31and her lactate's only slightly raised now.
0:06:31 > 0:06:34- Does that mean she's going to be all right? - She's going to be fine.
0:06:34 > 0:06:37It's a good job Dr Carson brought her in right away.
0:06:37 > 0:06:39I knew!
0:06:39 > 0:06:41I knew I should have asked you to look at her last night.
0:06:41 > 0:06:44I just... I just thought she was tired.
0:06:44 > 0:06:45It wasn't your fault.
0:06:45 > 0:06:49The main thing is she's going to be all right, OK?
0:06:49 > 0:06:52Yeah. Thank you!
0:06:52 > 0:06:55It's what we're here for.
0:06:55 > 0:06:58I'll try to get her admitted as soon as there's a bed.
0:07:13 > 0:07:16CLASSICAL MUSIC CONTINUES
0:07:30 > 0:07:33ENGINE REVS
0:07:34 > 0:07:35HORN BLARES
0:07:40 > 0:07:41HISSING
0:07:50 > 0:07:52Hey, fella, you all right?
0:07:52 > 0:07:56Hey! You stay there, don't move, OK?
0:07:59 > 0:08:06So when you treated Mr Parr... what was his attitude?
0:08:08 > 0:08:12I don't know, um, normal.
0:08:12 > 0:08:14Just like any other patient?
0:08:14 > 0:08:16Yes.
0:08:16 > 0:08:19He wasn't troublesome or abusive?
0:08:19 > 0:08:22No, not at all. Not with me, anyway.
0:08:22 > 0:08:24OK.
0:08:26 > 0:08:29So let me ask you about Dr Nicholls.
0:08:29 > 0:08:32How would you characterise her as a doctor?
0:08:34 > 0:08:40Um, well I'm not really sure that's up to me to say, is it?
0:08:40 > 0:08:42You must have some opinion about, about her as a person.
0:08:44 > 0:08:47Well, I guess I'd say she's strong.
0:08:47 > 0:08:50Physically strong? Because of her army training?
0:08:50 > 0:08:53No, no, I didn't mean that. I mean strong personality.
0:08:57 > 0:08:59Well, she knows what she wants.
0:08:59 > 0:09:03Ah. So would you say she was headstrong -
0:09:03 > 0:09:05unwilling to take no for an answer?
0:09:05 > 0:09:09No, no - I just meant she's confident, that's all.
0:09:10 > 0:09:11I see.
0:09:17 > 0:09:22The car... It belongs to my son.
0:09:22 > 0:09:25Don't worry about the car, mate. You got any pain anywhere?
0:09:26 > 0:09:28In my arm.
0:09:28 > 0:09:31Rheumatism.
0:09:31 > 0:09:34Need some painkillers.
0:09:34 > 0:09:37OK, right, he's got good breath sounds.
0:09:37 > 0:09:39Still seems a bit disorientated to me.
0:09:39 > 0:09:42OK, sweetheart, we're going to get you into the ambulance,
0:09:42 > 0:09:45- then we'll get you sorted, all right?- Yeah.- Won't be a tick.
0:09:53 > 0:09:55Yeah, OK, great. Thank you.
0:09:58 > 0:09:59Morning.
0:09:59 > 0:10:00Oh...
0:10:00 > 0:10:03Just so you know - Jacob Morton from the GMC is here today.
0:10:03 > 0:10:05And I had such high hopes for today.
0:10:05 > 0:10:09He'll need a statement from you about the Keith Parr incident.
0:10:09 > 0:10:10Well, let's see how busy we are.
0:10:10 > 0:10:12We do need to cooperate with the enquiry -
0:10:12 > 0:10:15whatever our personal feelings.
0:10:15 > 0:10:17I'll certainly bear that in mind.
0:10:27 > 0:10:29I know, I know.
0:10:29 > 0:10:31I thought your mid-week partying days were over, Linda.
0:10:31 > 0:10:33It's a one-off.
0:10:34 > 0:10:39On three, please - one, two, three. No loss of consciousness.
0:10:39 > 0:10:42No obvious injury. Down on three - one, two, three.
0:10:42 > 0:10:46But he did seem a bit vague at the scene and he asked for painkillers.
0:10:46 > 0:10:50- We gave him five of morphine. - Great lovely. Thanks, Dixie.
0:10:50 > 0:10:52Hello, George, my name is Doctor Sam Nicholls.
0:10:52 > 0:10:56Do you have pain anywhere? Your neck, chest, head?
0:10:56 > 0:10:57My neck's a bit stiff.
0:10:57 > 0:11:00The paramedics said you seemed a bit dazed.
0:11:00 > 0:11:04- What do you remember from the accident?- I don't know. Just a bloody great bang.
0:11:04 > 0:11:07OK, I'm just going to give you the once-over, all right?
0:11:07 > 0:11:10It's just as well I've got clean grollies on, then.
0:11:10 > 0:11:12- Grollies?- Undies.- Pants.
0:11:17 > 0:11:20- Does that hurt?- No, it's nothing. It's just rheumatism.
0:11:22 > 0:11:25Can you tell me what it feels like?
0:11:25 > 0:11:26Yes, tingly, like...
0:11:28 > 0:11:33Lloyd, he's suffering from anterograde amnesia and paraesthesia in his arm.
0:11:33 > 0:11:38I think we should just skip the X-ray and jump straight to a CT scan of his brain and C-spine.
0:11:38 > 0:11:41- Right.- Listen, Doctor... - Try and keep still now.
0:11:41 > 0:11:44I told you, I'm OK.
0:11:44 > 0:11:47Old soldiers never die, eh, they just get stroppier?
0:11:47 > 0:11:48How did you know?
0:11:48 > 0:11:50We still call them "grollies".
0:11:51 > 0:11:55They won't let me wear my uniform round here -
0:11:55 > 0:11:57they say it intimidates the other scab lifters.
0:11:57 > 0:12:01"Scab lifters?" We used to call them "Medicos".
0:12:01 > 0:12:04Well, see, there's just no respect any more, George.
0:12:04 > 0:12:06All right.
0:12:06 > 0:12:09If you could lie nice and still for me try to relax, and I'll be back in a sec.
0:12:18 > 0:12:20- Everything OK?- Not really.
0:12:20 > 0:12:26I just spoke to the guy from the GMC about Sam. Pretty certain I messed up!
0:12:26 > 0:12:30In the end it's just going to be about what happened between Sam
0:12:30 > 0:12:31and that bloke and that's it.
0:12:31 > 0:12:33You think?
0:12:33 > 0:12:35Absolutely.
0:12:37 > 0:12:42Listen, the other day.
0:12:42 > 0:12:44I'm sorry.
0:12:44 > 0:12:47- I shouldn't have...- Kissed me?
0:12:47 > 0:12:50I mean, I just want to be sure we're OK.
0:12:50 > 0:12:53Yeah, yeah, course we are. It's fine.
0:12:53 > 0:12:54You sure?
0:12:54 > 0:12:56Mmm.
0:12:59 > 0:13:03Mr Statham, head-on collision with a car, was it, yeah?
0:13:03 > 0:13:06Yeah, an old boy. He was over my side of the road.
0:13:06 > 0:13:07Nothing I could do about it.
0:13:07 > 0:13:10- You feel that?- Yeah.
0:13:10 > 0:13:13Right, the other films came back fine.
0:13:13 > 0:13:15- Let's get an X-ray of that thumb. - OK.
0:13:16 > 0:13:18MOBILE PHONE RINGS
0:13:21 > 0:13:23Dr Carson.
0:13:23 > 0:13:24Yes.
0:13:27 > 0:13:31What - my car? Where?
0:13:31 > 0:13:33Who was driving?
0:13:33 > 0:13:36Is he hurt?
0:13:36 > 0:13:38No, no, I'm there now. Yeah.
0:13:38 > 0:13:43Right, are you fit and well otherwise?
0:13:43 > 0:13:45- Apart from the asthma. Never used to have that.- Seen your GP?
0:13:45 > 0:13:48Yeah. He says it's just one of those things.
0:13:48 > 0:13:50Sometimes it can be, um...
0:13:50 > 0:13:53Right, well as far as the thumb's concerned you have an ulnar collateral injury.
0:13:53 > 0:13:55You mean it's broken?
0:13:55 > 0:13:58No, you've torn the ulnar collateral ligament.
0:13:58 > 0:14:01Basically what's happened is this went that way and this didn't,
0:14:01 > 0:14:04so this ligament here has been torn.
0:14:04 > 0:14:07No bony involvement but you will need to get it immobilised.
0:14:07 > 0:14:10For how long? I've got work. Emergency plumber.
0:14:10 > 0:14:14- I can't afford to be off.- It's going to be five or six weeks, I'm afraid.
0:14:14 > 0:14:17- Are you OK to get that in a cast? - Yeah.
0:14:17 > 0:14:21Right, well, I shall leave you in Linda's capable hands. If she can stay awake...
0:14:22 > 0:14:24PHONE BEEPS
0:14:26 > 0:14:28Can I?
0:14:28 > 0:14:30Good job you've still got one working thumb.
0:14:33 > 0:14:34Everything OK?
0:14:34 > 0:14:38- I need to get home. How long will it be?- Not too long.
0:14:38 > 0:14:42Once we get your thumb immobilised you should be able to go.
0:14:48 > 0:14:49Doctor Nicholls.
0:14:49 > 0:14:53- You still here? I thought you'd be gone by now.- I just wanted to make sure Lucy was settled.
0:14:53 > 0:14:56Has a George Carson been brought in?
0:14:56 > 0:14:58Yes, he's... Wait - Carson? Is he a relative of yours?
0:14:58 > 0:15:01My father. How is he?
0:15:01 > 0:15:03OK. Bit shaken up. He's just through here.
0:15:13 > 0:15:15Dad? What the hell happened?
0:15:17 > 0:15:19Someone drove into the car.
0:15:19 > 0:15:22Yeah, I know. The police called me.
0:15:22 > 0:15:23Where were you going?
0:15:23 > 0:15:27I was going to the shops. Now listen, about the car...
0:15:27 > 0:15:29I don't care about that.
0:15:29 > 0:15:32I just don't understand what you were doing.
0:15:32 > 0:15:34Well, you weren't at home were you, eh?
0:15:34 > 0:15:38All right, Dad, just give me one minute. ..Sam.
0:15:41 > 0:15:44The paramedics said he was unfocused at the scene
0:15:44 > 0:15:47and he has paraesthesia in his left arm.
0:15:47 > 0:15:50- Any loss of consciousness? - He says not.
0:15:50 > 0:15:52Mind you he wouldn't tell you if there was.
0:15:52 > 0:15:55If he'd broken his leg he'd try not to limp.
0:15:55 > 0:16:00I'm sorry about this. He's not the easiest man in the world to deal with.
0:16:00 > 0:16:01He lives with you?
0:16:01 > 0:16:03The last six weeks. His place has got subsidence.
0:16:03 > 0:16:05It should've been sorted years ago
0:16:05 > 0:16:07but he wouldn't ask anyone to look at it.
0:16:07 > 0:16:09Then the end wall started to fall down...
0:16:09 > 0:16:12- He's keen to hang on to his independence?- Putting it mildly.
0:16:16 > 0:16:17Dr Keogh?
0:16:17 > 0:16:19- Yes? - Mr Morton would like to see you.
0:16:19 > 0:16:23- I'm sorry. You'll have to tell him I'm busy.- Now Mr Jordan said if you said that...
0:16:23 > 0:16:25No. Not possible. I'm fully engaged.
0:16:27 > 0:16:31Let's not wear out the other thumb, too, shall we, Mr Statham?
0:16:31 > 0:16:33Will you sit forward for me, please.
0:16:33 > 0:16:35- Oi, listen...- That's exactly what I'm going to do.
0:16:38 > 0:16:39You told Dr Lyons you had asthma.
0:16:39 > 0:16:42Correct? Recent or since childhood?
0:16:42 > 0:16:44Just this last year.
0:16:44 > 0:16:46- OK. Good.- Good?
0:16:46 > 0:16:50- Linda, can we get a full blood count on Mr Statham, please. - But Dr Lyons didn't want that.
0:16:50 > 0:16:52I'm sure Doctor Lyons would want us to avail Mr Statham
0:16:52 > 0:16:54- of our full range of services. U&Es, too, please.- Right.
0:16:54 > 0:16:57- How long will this take? - As Einstein said,
0:16:57 > 0:16:59it's all relative. Now look up for me, please.
0:17:05 > 0:17:07- Hello.- Jacob Morton.
0:17:16 > 0:17:18Sam?
0:17:21 > 0:17:22I told you I was fine.
0:17:22 > 0:17:24You want me to pull rank on you?
0:17:24 > 0:17:29- I'd like to see you try. I go... Ah! - George? Talk to me.
0:17:29 > 0:17:31- Where's the pain?- Here.
0:17:31 > 0:17:32Move your fingers.
0:17:34 > 0:17:35I can't.
0:17:35 > 0:17:37- OK.- Ah!
0:17:39 > 0:17:40Is that better or worse?
0:17:43 > 0:17:45Oh, that's better.
0:17:48 > 0:17:50- It's going away now. - Have you had this pain before?
0:17:50 > 0:17:51Yeah. A few months.
0:17:51 > 0:17:54It comes and goes.
0:17:55 > 0:17:58What about earlier today? At the time of the accident?
0:17:58 > 0:18:01Yeah, I had it earlier today. I was going to get some painkillers, from the chemists.
0:18:01 > 0:18:07- Have you seen your doctor about this?- I wouldn't take up her time. Anyway, Robert gave me some pills.
0:18:08 > 0:18:13Tramadol, I think. It worked - least it used to.
0:18:14 > 0:18:17What do you mean "used to"?
0:18:17 > 0:18:22- When was the last time you took them?- The day before yesterday, it was the last one.
0:18:22 > 0:18:28Robert said he didn't have any more. I thought I could manage, but I needed something.
0:18:30 > 0:18:34- Have you been feeling rough, too - had the sweats?- How'd you know?
0:18:35 > 0:18:36Just a guess.
0:18:36 > 0:18:40OK, well I'm going to try and bump you up the list for that scan.
0:18:40 > 0:18:43- In the meantime, at ease, OK?- Yeah.
0:18:45 > 0:18:47So you'd tried to stop Mr Parr from entering the staff room
0:18:47 > 0:18:51but you couldn't, is that correct?
0:18:51 > 0:18:52Yes. He wouldn't calm down.
0:18:52 > 0:18:54When he saw Dr Keogh he went straight for him.
0:18:54 > 0:18:57He was physically threatening?
0:18:57 > 0:19:00Absolutely. He had him up against the wall.
0:19:00 > 0:19:03And because of that Dr Nicholls put him in a headlock.
0:19:03 > 0:19:07Yes, but only after Mr Parr pushed Dr Keogh against the lockers
0:19:07 > 0:19:10and went to punch him.
0:19:10 > 0:19:11I see.
0:19:13 > 0:19:15So in your opinion, Dr Hanna,
0:19:15 > 0:19:22was Dr Nicholls' action in restraining Mr Parr reasonable?
0:19:22 > 0:19:25Well it stopped him from further assaulting Dr Keogh, so yes.
0:19:25 > 0:19:29And if you were in her place would you have done the same thing?
0:19:31 > 0:19:33Personally?
0:19:33 > 0:19:36No, I don't think I would have tried to physically restrain him.
0:19:36 > 0:19:40But under the circumstances I don't think that what Dr Nicholls did was wrong.
0:19:40 > 0:19:42Even to the extent of breaking his neck?
0:19:42 > 0:19:45I'm sure that wasn't the intention.
0:19:45 > 0:19:47But it was the outcome.
0:19:57 > 0:19:58How's he doing?
0:19:58 > 0:20:01OK. Can I have a word with you?
0:20:01 > 0:20:03Yeah, sure. What about?
0:20:04 > 0:20:07George is complaining of pain in his left arm.
0:20:07 > 0:20:09He says he's had it before.
0:20:10 > 0:20:13His rheumatism. I think it bothers him more than he'll admit.
0:20:13 > 0:20:15This is acute.
0:20:17 > 0:20:19He said you gave him Tramadol?
0:20:19 > 0:20:22- Yes.- What was his dosage?
0:20:22 > 0:20:25- 100mg when needed. Look... - Was he sticking to that?
0:20:25 > 0:20:27As far as I know.
0:20:27 > 0:20:29- So why wouldn't you give him any more?- I...
0:20:29 > 0:20:33You do realise he's in withdrawal. At least, that's what it seems like to me.
0:20:33 > 0:20:36I don't know, I haven't seen him today.
0:20:36 > 0:20:38But you did think he was developing a dependency?
0:20:38 > 0:20:41I thought he might have been upping the dosage, yeah.
0:20:41 > 0:20:43A couple of weeks ago he came to me
0:20:43 > 0:20:47and said he'd lost some tablets, then he said he needed some more
0:20:47 > 0:20:52- because they hadn't been working as well as they had been before. - Did you examine him?
0:20:52 > 0:20:55- He wouldn't let me. You've seen what he's like. - Yet you still gave him Tramadol.
0:20:55 > 0:20:58Up until a couple of days ago, yes.
0:20:58 > 0:21:01I thought if I told him I'd run out it'd force him
0:21:01 > 0:21:05- to go to his own GP to be properly examined.- Instead he got in a car and went looking for a chemist.
0:21:05 > 0:21:08You must've have been aware of the dangers... KNOCK ON DOOR
0:21:08 > 0:21:12Dr Nicholls? Sorry. CT can take Mr Carson now.
0:21:12 > 0:21:13OK, thanks.
0:21:20 > 0:21:22Are you hiding?
0:21:22 > 0:21:24I don't hide. I may have been concealed.
0:21:24 > 0:21:27Looks like hiding to me. Anyway, it's your turn to give a statement.
0:21:27 > 0:21:29- Have you been in?- Mm-hm.
0:21:29 > 0:21:34- And?- We're not supposed to discuss it. Anyway, you'll find out when you get in there, go on.
0:21:34 > 0:21:36No, I'm busy.
0:21:36 > 0:21:38Dylan, you can run but you can't hide.
0:21:42 > 0:21:43Mr Statham's results.
0:21:43 > 0:21:44Excellent.
0:21:47 > 0:21:51Elevated eosinophil level and a slightly low HB. That's interesting.
0:21:53 > 0:21:55It could just be the asthma...
0:21:55 > 0:21:56Doc, can I go now?
0:21:56 > 0:21:59Patience, Mr Statham.
0:21:59 > 0:22:04I'd like a full rheumatoid screen, including ANCA and a urine sample.
0:22:04 > 0:22:05For a thumb injury?
0:22:06 > 0:22:09No, of course not. Well?
0:22:09 > 0:22:11OK.
0:22:40 > 0:22:42Janey!
0:22:42 > 0:22:45- Oh, God, are you OK? - Yeah, yeah, I told you, I'm fine.
0:22:45 > 0:22:50OK, so come on then, let's get home.
0:22:50 > 0:22:53No, I can't. There's this doctor running tests. Something to do with me asthma.
0:22:53 > 0:22:56Asthma? You've seen your own doctor about that.
0:22:56 > 0:23:00Anyway there are other things we should be doing right now.
0:23:00 > 0:23:02So come on, there's still time.
0:23:02 > 0:23:05Um, can he go? We need to get home.
0:23:05 > 0:23:08No, sorry, Dr Keogh needs to run a few more tests.
0:23:08 > 0:23:11- Can I have a urine sample please? - Is that really necessary?
0:23:11 > 0:23:12That's him.
0:23:12 > 0:23:14Sorry, is there a problem, Mr Statham?
0:23:14 > 0:23:18- Why can't he come home? - He can - once I have established there's nothing wrong with him.
0:23:18 > 0:23:24- But if his thumb's all right... - Sorry, why is it everyone keeps talking about his thumb?
0:23:24 > 0:23:26Nurse, could you show Mr Statham to the toilets, please?
0:23:26 > 0:23:29- Perhaps you'd like to wait over there?- This way.
0:23:34 > 0:23:37- OK, George, well the scan shouldn't take too long. - I'll go with you, Dad, OK?
0:23:37 > 0:23:40- You don't have to. - Dad. For God's sake...
0:23:40 > 0:23:41Can we get on with it?
0:23:50 > 0:23:52Right, the Med Reg has just phoned.
0:23:52 > 0:23:54He's reviewed her scans and it definitely a PE.
0:23:54 > 0:23:57He wants us to start treatment down here.
0:23:57 > 0:23:59OK, Linda, Will you set her up with a bolus of 5,000 units
0:23:59 > 0:24:03of unfractionated heparin. I'll repeat the FBCs and clotting.
0:24:03 > 0:24:06I'm just going to take some blood off you again, OK?
0:24:09 > 0:24:12Actually, I'm going to get another drugs chart.
0:24:12 > 0:24:14Can you give us a hand?
0:24:15 > 0:24:17What?
0:24:18 > 0:24:205,000 units, yeah?
0:24:20 > 0:24:22That's 50,000.
0:24:23 > 0:24:27- Oh, my God.- Yeah, right. Do you want to do it again?
0:24:28 > 0:24:29I'm so sorry.
0:24:43 > 0:24:47Listen, about what you were saying earlier. You were right.
0:24:47 > 0:24:50I should've made him have an exam before prescribing -
0:24:50 > 0:24:53or at least insisted he visit his own GP.
0:24:53 > 0:24:55If it had been anybody else I would have done.
0:24:55 > 0:24:57So why didn't you with him?
0:24:57 > 0:24:59Because I knew he wouldn't go.
0:24:59 > 0:25:01I knew he'd just suffer in silence.
0:25:01 > 0:25:05- Excuse me, they are ready for you now.- Great thanks.
0:25:05 > 0:25:07He's going to need help getting off that level of pain relief.
0:25:07 > 0:25:08I know.
0:25:11 > 0:25:14- Has he always been as stubborn? - Pretty much.
0:25:14 > 0:25:18He was always stiff and bull-headed - at least with me.
0:25:18 > 0:25:20The irony is, of course, he spent 40 years
0:25:20 > 0:25:22working at the probation service with young offenders.
0:25:22 > 0:25:25Got them to trust him, got a lot of them out of trouble.
0:25:25 > 0:25:29- Well, why don't you take a leaf out of his book.- How d'you mean?
0:25:29 > 0:25:32Well get him to trust you, at least talk to him.
0:25:32 > 0:25:34It'd be a start.
0:25:44 > 0:25:49I know. Rule one, day one - check the dosage and if in doubt, ask.
0:25:49 > 0:25:51I'm really sorry.
0:25:51 > 0:25:53A first-year trainee wouldn't have been that stupid.
0:25:53 > 0:25:57- Or that tired?- No.
0:25:57 > 0:26:02- Look, it happens, but... - Not with me, it doesn't. It hasn't before.- So, what was it, then?
0:26:02 > 0:26:06Is it just the partying, or is there something else keeping you up?
0:26:06 > 0:26:10I'm getting too old to be burning the candle at both ends.
0:26:10 > 0:26:12It won't happen again, I promise.
0:26:12 > 0:26:13Work comes first.
0:26:15 > 0:26:16Enough said, then.
0:26:17 > 0:26:19MOBILE PHONE VIBRATES
0:26:27 > 0:26:30BP's 120/60, he's tachycardic.
0:26:31 > 0:26:35His breathing's shallow and fast. He looks like he's vomited.
0:26:35 > 0:26:38He's got a high temperature, laceration to his head.
0:26:38 > 0:26:43- Could have been from the tumble. - Yeah, well, you know what they say - the bigger they are ...
0:26:43 > 0:26:44Right, let's get him in.
0:26:44 > 0:26:47You volunteering to get the spinal board?
0:26:47 > 0:26:48Thank you, Jeffrey!
0:26:48 > 0:26:50As it's you.
0:26:50 > 0:26:52Excuse me, love.
0:26:57 > 0:26:59BEEPING
0:27:06 > 0:27:07Mickey...?
0:27:09 > 0:27:11If we go in the disabled...
0:27:11 > 0:27:13What?! No!
0:27:13 > 0:27:16Look, we haven't got much time left.
0:27:16 > 0:27:18Come on...!
0:27:18 > 0:27:20Please?
0:27:20 > 0:27:22No. No way, I'm doing it in a hospital toilet.
0:27:27 > 0:27:29Zoe'll hit the roof if she finds out!
0:27:29 > 0:27:33Partying's one thing, but pulling another night shift before you come in.
0:27:33 > 0:27:36The Pennicott have just asked me to go full-time.
0:27:36 > 0:27:37Mmm, and?
0:27:39 > 0:27:41Oh, go on, you're not seriously considering it?
0:27:43 > 0:27:45Well, yeah, I am.
0:27:45 > 0:27:47You'll be a thermometer waitress?
0:27:47 > 0:27:49It's better pay, and regular hours.
0:27:49 > 0:27:51Right, but what about your principles?
0:27:51 > 0:27:56And you'll be prostituting all your experience and training for, what, the private sector?
0:27:56 > 0:27:57What, like the doctors, you mean?
0:27:57 > 0:27:59Not all of them, thanks.
0:28:00 > 0:28:02No, but then again, some aren't very bright.
0:28:04 > 0:28:05It's ridiculous.
0:28:05 > 0:28:08What sort of tests can he need for a sprained thumb?
0:28:08 > 0:28:11As I have previously indicated to you, Mrs Statham,
0:28:11 > 0:28:12this is not about his thumb.
0:28:12 > 0:28:13So what is it about?
0:28:13 > 0:28:15That's what I'm trying to find out.
0:28:19 > 0:28:22Be a lot easier if we just didn't let the relatives in, right?
0:28:22 > 0:28:24Yes, yes, it would.
0:28:26 > 0:28:29Sorry, Dylan, um, Mr Jordan wants you to...
0:28:31 > 0:28:35Mr Jordan wants you to go now. Um, you're the last one.
0:28:35 > 0:28:39Right, well at the moment I'm more interested in getting answers than giving them.
0:28:39 > 0:28:42Right, Mrs Jarvis...?
0:28:43 > 0:28:44Sorry.
0:28:49 > 0:28:52Pupils equal and reactive to light.
0:28:52 > 0:28:56Could be concussion compounded with alcohol but...
0:28:56 > 0:29:00He's got a severe metabolic acidosis - pH 7.15, lactate 6.4.
0:29:00 > 0:29:05Hmm, the high temperature and tachycardia - that would fit with sepsis, but where's the source?
0:29:05 > 0:29:07He had bariatric surgery a couple of days ago.
0:29:09 > 0:29:10A laparoscopic Roux-en-Y.
0:29:10 > 0:29:11What, here?!
0:29:11 > 0:29:15At the Pennicott Clinic. He was discharged this morning.
0:29:15 > 0:29:16Right.
0:29:18 > 0:29:21Yeah, there's the generalised guarding.
0:29:23 > 0:29:27We should have another chat later on. OK, I think this is a perforation.
0:29:27 > 0:29:30Let's get an erect chest, plenty of fluids, some Cef and Met ASAP.
0:29:30 > 0:29:34Lenny, will you get an art line in and you tell ITU? I'll speak to CT about an abdo scan.
0:29:36 > 0:29:37SHE SIGHS HEAVILY
0:29:39 > 0:29:43This is just stupid. There's nothing wrong with you.
0:29:43 > 0:29:44Come on, let's go.
0:29:44 > 0:29:47- What about the tests?- We can come back later - afterwards.- But...
0:29:47 > 0:29:52- Look! An hour. We can still get home.- Maybe we should wait.
0:29:52 > 0:29:56- I mean, we can still do it later. - If it's later, it's no good.
0:29:56 > 0:29:58But it's not as if we haven't tried, is it?
0:29:58 > 0:30:01- Are you saying you don't want us to have a baby? - No, no, of course not, but...
0:30:01 > 0:30:05I thought you wanted to try as much as me, but if you don't...
0:30:05 > 0:30:08Janey, don't. Jane...
0:30:13 > 0:30:16- You...?- Yeah, I get about a bit, me.
0:30:18 > 0:30:19Do you remember what happened?
0:30:19 > 0:30:23I was sick and then there was a terrible pain.
0:30:23 > 0:30:25I think I passed out.
0:30:25 > 0:30:27Yeah, you fell and gashed your head. You've got peritonitis
0:30:27 > 0:30:30because there's been a leak from one of the joins in your intestine.
0:30:30 > 0:30:32Is that bad?
0:30:32 > 0:30:33You're going to need surgery again.
0:30:33 > 0:30:37They won't undo it, will they - I'll still have the by-pass?
0:30:37 > 0:30:39I can't afford to pay for it again.
0:30:39 > 0:30:40No, you'll still have it.
0:30:43 > 0:30:44I'm just useless!
0:30:46 > 0:30:51I don't want to be like this, but I was going past this cafe and...
0:30:51 > 0:30:54The full English? Well, that didn't cause it.
0:30:54 > 0:30:57Look, weight loss isn't just about eating or surgery.
0:30:57 > 0:31:00It's about lifestyle and changing the habits you've had for years.
0:31:02 > 0:31:06- Hiya, they are ready for Mr Leyland upstairs now.- OK, there you go.
0:31:09 > 0:31:14Don't worry, you'll still get into your new clothes.
0:31:14 > 0:31:16Although the cords... they might be a mistake.
0:31:16 > 0:31:20Doesn't matter, they're a 36-inch waist.
0:31:23 > 0:31:25Ahh, good old private medicine.
0:31:25 > 0:31:28Great for elective surgery, bit crap if it all goes wrong
0:31:28 > 0:31:29and you need an ED.
0:31:29 > 0:31:33Still, don't suppose you'll be worrying about that for much longer.
0:31:36 > 0:31:40You've got some old scarring there, George. What's that from?
0:31:40 > 0:31:42An accident. The army.
0:31:42 > 0:31:44What kind of accident?
0:31:44 > 0:31:48What's that got to do with anything? It was 50 years ago. More.
0:31:48 > 0:31:53Dad, Dr Nicholls can't do her job if you don't tell her everything she needs to know.
0:31:53 > 0:31:55I did tell her - I told her it was an accident.
0:31:57 > 0:32:00George, your CT scan is showing a foreign body in your neck
0:32:00 > 0:32:03very close to your jugular vein
0:32:03 > 0:32:06and it's pressing on the brachial plexus, which is a large
0:32:06 > 0:32:09bundle of nerves - hence why you're getting the pain in your arm.
0:32:09 > 0:32:12I want you to see an ENT surgeon,
0:32:12 > 0:32:14OK, but first I really need to know what we're looking at.
0:32:14 > 0:32:17If you must know - it was a grenade.
0:32:17 > 0:32:20Malaya, 1955.
0:32:20 > 0:32:23What?! What happened?
0:32:23 > 0:32:25What do you think?
0:32:25 > 0:32:29- Were you treated at the time? - Some bandages. I didn't need anything else.
0:32:29 > 0:32:31You did, you just didn't think you did.
0:32:31 > 0:32:32OK, so more recently.
0:32:32 > 0:32:35When did you first start to get the pain in your arm?
0:32:35 > 0:32:38- It's been getting worse these last few months.- Why didn't you tell me?
0:32:38 > 0:32:42- Why did you pretend it was rheumatics?- You don't need to know everything about me.
0:32:42 > 0:32:45Even something would be nice.
0:32:48 > 0:32:51You know you could get him into a lot of trouble, don't you?
0:32:51 > 0:32:53Me? How?
0:32:53 > 0:32:56Lying about the pain in your arm, pressing him to give you
0:32:56 > 0:33:00painkillers, which family member GPs are not supposed to do.
0:33:00 > 0:33:04- He didn't tell me that. - Of course he didn't.
0:33:04 > 0:33:07You wouldn't go see your own GP, so what's he supposed to do -
0:33:07 > 0:33:11let you suffer? You're his dad, aren't you?
0:33:14 > 0:33:16BEEPING
0:33:21 > 0:33:24Janey? Come on, babe, don't be upset.
0:33:25 > 0:33:27Look, four weeks isn't that long.
0:33:27 > 0:33:30It doesn't matter, not if you've changed your mind.
0:33:30 > 0:33:32- No, it's not that. - It sounded like it.
0:33:32 > 0:33:33BEEPING
0:33:37 > 0:33:39We could still go into the disabled.
0:33:39 > 0:33:43What? No! Just - just stop. I'm sick of that bloody app.
0:33:43 > 0:33:45It's like Big Brother. We only ever do it when it says so.
0:33:45 > 0:33:48- No, we don't, it's... - Yes! Yes, we do!
0:33:48 > 0:33:50Its like - like it's taken over.
0:33:50 > 0:33:52It's just there to help.
0:33:52 > 0:33:54It doesn't though, does it! I hate it.
0:33:54 > 0:33:57- It's not fun anymore.- I don't want to have fun, I want to have a baby.
0:33:57 > 0:34:00- It's not... I can't...- Mick! Mick!
0:34:00 > 0:34:03Help! Someone help, please!
0:34:05 > 0:34:08- Hi, I'm Dr Hanna. What's happened? - I don't know! I think it's his asthma.
0:34:08 > 0:34:12OK, Scarlett, can we have a trolley and oxygen stat.
0:34:12 > 0:34:14It's OK.
0:34:16 > 0:34:17Blood results on a Mr Statham?
0:34:17 > 0:34:19Yes, mine. Thank you.
0:34:22 > 0:34:23Dr Keogh?
0:34:23 > 0:34:26Um, not a great time, actually.
0:34:26 > 0:34:27Now.
0:34:27 > 0:34:32Fine. Patient care versus pointless bureaucracy. No contest.
0:34:32 > 0:34:35Dr Keogh, thank you for coming.
0:34:35 > 0:34:37As I said, I hope this won't take very long.
0:34:37 > 0:34:39I know you're busy.
0:34:42 > 0:34:46So, perhaps I could start by asking you about your relationship
0:34:46 > 0:34:47with Dr Nicholls.
0:34:47 > 0:34:48You're married, I believe?
0:34:48 > 0:34:50No.
0:34:50 > 0:34:52Sorry? I thought...
0:34:52 > 0:34:54Separated.
0:34:54 > 0:34:57Ah. I see.
0:34:57 > 0:34:59I doubt that.
0:34:59 > 0:35:03In the interests of clarity and efficiency I have prepared a written statement.
0:35:03 > 0:35:07Which I'll think you'll find contains all the relevant information.
0:35:07 > 0:35:11- I am sure, but I'd prefer... - I have nothing to add to that, but I do have patients to treat,
0:35:11 > 0:35:12so if you'll excuse me...
0:35:16 > 0:35:19So why didn't you ever tell me you'd been in Malaya?
0:35:19 > 0:35:20It was before you were born.
0:35:20 > 0:35:22You didn't think I might be interested?
0:35:22 > 0:35:24It's in the past - it's gone.
0:35:24 > 0:35:25Not all of it.
0:35:28 > 0:35:30Listen, Dad, I know the past few weeks haven't been easy for you,
0:35:30 > 0:35:32I know you'd rather be in your own place.
0:35:32 > 0:35:33At least I'd be out of your way.
0:35:33 > 0:35:36You're not in my way, Dad. I wish you were.
0:35:36 > 0:35:39- What are you talking about?- You're in the house, but I hardly see you.
0:35:39 > 0:35:42We talk, but not about anything that matters.
0:35:42 > 0:35:44- And you tell me everything, do you? - What do you mean?
0:35:44 > 0:35:48Like how you could've got into trouble for giving me those pills.
0:35:48 > 0:35:50Yeah, well, if you hadn't have said that it's just rheumatism,
0:35:50 > 0:35:53or taken more tablets then I said you should...
0:35:53 > 0:35:55So we're both in the wrong, are we?
0:35:56 > 0:35:59And when I get out of here, I'll go back home.
0:35:59 > 0:36:02You can't. Your place isn't fixed yet.
0:36:02 > 0:36:03I can manage.
0:36:03 > 0:36:07At least we won't have to tell each other any more lies.
0:36:09 > 0:36:14Elevated eosinophil, rheumatoid screen, ANCA...
0:36:14 > 0:36:17Is your husband's asthma recent?
0:36:17 > 0:36:18Yes, just the last year or so.
0:36:18 > 0:36:21Oh, God, it's not connected with trying for a baby, is it?
0:36:21 > 0:36:25No, I don't think so. Is that how long you've been trying to conceive?
0:36:25 > 0:36:27It feels like forever.
0:36:28 > 0:36:31I just wanted to do it before I was 30
0:36:31 > 0:36:32but we can't seem to.
0:36:32 > 0:36:38Well research does show that the more pressure you put yourself under the harder it is to get pregnant.
0:36:38 > 0:36:42- Feeling better?- Yeah. Thanks. I've never had it like that before. Do you know what caused it?
0:36:42 > 0:36:45Well, I've just been looking at the tests Dr Keogh ordered.
0:36:45 > 0:36:49And the asthma and the ANCA and eosinophilia results all indicate
0:36:49 > 0:36:52- that you probably got something called Churg-Strauss Syndrome.- What?
0:36:52 > 0:36:57- What does that mean? - It's a form of vasculitis - inflammation of blood vessels.
0:36:57 > 0:37:00It's very rare but it can cause problems if it's not treated.
0:37:00 > 0:37:03- So, is it serious?- In extreme forms, yes, it can affect the heart,
0:37:03 > 0:37:07- the lungs, kidneys and yes, it can be fatal.- Oh God, Mick!
0:37:07 > 0:37:10But I don't think you got anything to worry about here because Dr Keogh
0:37:10 > 0:37:13spotted it early on enough so we can put you on a course of treatment.
0:37:13 > 0:37:17- In fact, if you've got time I could make an appointment with a clinic now.- Yes, please.
0:37:20 > 0:37:22You still feeling OK?
0:37:22 > 0:37:23Is Robert here?
0:37:23 > 0:37:26Try and keep still. I think he's getting a coffee.
0:37:26 > 0:37:28I can fetch him for you, if you like.
0:37:28 > 0:37:30No. No, it's OK.
0:37:30 > 0:37:33You won't get him into trouble over those tablets, will you?
0:37:33 > 0:37:37- It wasn't his fault.- No. From what I've seen Robert is a good doctor.
0:37:37 > 0:37:42You should have let him look after you properly.
0:37:42 > 0:37:47Listen, this operation. Could I die?
0:37:47 > 0:37:50With every operation there is always a risk,
0:37:50 > 0:37:52but I think it's a small one in this case.
0:37:54 > 0:37:56- Is that's what's bothering you? - Not that, no.
0:37:56 > 0:37:59What, then?
0:37:59 > 0:38:01You can tell me.
0:38:02 > 0:38:08I've been having nightmares. Ever since it started hurting.
0:38:10 > 0:38:11I was leading a platoon.
0:38:13 > 0:38:1717-year-olds. National Service lads.
0:38:19 > 0:38:21It was their first mission.
0:38:21 > 0:38:23We were clearing villages.
0:38:23 > 0:38:29When we cleared the last one, Burkit Chandu...
0:38:31 > 0:38:32..it was stinging hot.
0:38:32 > 0:38:38And all I wanted was a cold beer. I let the lads go ahead.
0:38:38 > 0:38:45And then this there's shout and I see it as soon as they do.
0:38:45 > 0:38:49A gold watch.
0:38:49 > 0:38:53But before I could stop them, there's a blinding flash and I'm on the ground.
0:38:56 > 0:38:58It was a booby-trap.
0:39:00 > 0:39:01Ten...
0:39:03 > 0:39:08Ten of our lads killed outright.
0:39:10 > 0:39:12And I walk away with only this.
0:39:14 > 0:39:16The painkillers helped.
0:39:17 > 0:39:19Stopped the pain...
0:39:19 > 0:39:21and the memories.
0:39:21 > 0:39:24- It was a war.- It was my fault.
0:39:24 > 0:39:27I should have gone in first.
0:39:30 > 0:39:31They were someone's sons.
0:39:34 > 0:39:36Have you ever told anyone?
0:39:38 > 0:39:40No.
0:39:40 > 0:39:42Not even Robert?
0:39:45 > 0:39:48How can I tell my own son...
0:39:49 > 0:39:52when I robbed so many families of theirs?
0:40:02 > 0:40:03I'll, um,
0:40:03 > 0:40:06check on ENT.
0:40:09 > 0:40:11If I see Robert I'll ask him to come in.
0:40:13 > 0:40:14You should tell him.
0:40:30 > 0:40:31Dr Nicholls?
0:40:31 > 0:40:33How's Lucy doing?
0:40:33 > 0:40:34She's going to be fine.
0:40:34 > 0:40:36They want to keep her in so I'm just going to nip home
0:40:36 > 0:40:38and get her some things.
0:40:38 > 0:40:41But I just wanted to say thanks again, for everything you did.
0:40:41 > 0:40:45Oh, no. You're welcome - it's really Robert you should be thanking.
0:40:47 > 0:40:48I know. He's just been great.
0:40:48 > 0:40:51Did he see Lucy at home or at the surgery?
0:40:51 > 0:40:54The surgery. I brought her in.
0:40:54 > 0:40:58- Why?- Oh, he just mentioned you lived close to him, so I just wondered.
0:40:58 > 0:41:03Is Robert your GP, too - I mean as well as Lucy's?
0:41:03 > 0:41:07- I never have time to be ill. - Lucky for you.
0:41:08 > 0:41:11- Debbie, I'm just...- Sam?
0:41:11 > 0:41:14ENT say they'll be ready for Mr Carson in a few minutes.
0:41:14 > 0:41:16OK, cool. Thanks, Lloyd.
0:41:16 > 0:41:18I'd better go. I don't want to leave Lucy too long.
0:41:18 > 0:41:20- But thanks again.- Fine.
0:41:23 > 0:41:26OK, George, five minutes and you're up.
0:41:26 > 0:41:28- Have you seen Robert?- Er, no.
0:41:30 > 0:41:33Don't worry, I don't think he's far away. I'll get one of the nurses to look, OK?
0:41:34 > 0:41:36Oh, no, don't bother.
0:41:36 > 0:41:38Just, eh...
0:41:38 > 0:41:39HE STRUGGLES FOR BREATH
0:41:41 > 0:41:44- George, George? Can I get some help here, please?- What's happened?
0:41:44 > 0:41:46His airway's occluded.
0:41:46 > 0:41:50He's had a piece of shrapnel imbedded in his neck for years and I think it's nicked his jugular.
0:41:50 > 0:41:52The bleeding's obstructing his airway.
0:41:54 > 0:41:59- I'm sorry I've been such a cow. - You haven't, not really.
0:41:59 > 0:42:02I know how bad you want it and I do too, but...
0:42:02 > 0:42:06No, you were right. It was like being taken over by it.
0:42:06 > 0:42:08ALARM SOUNDS
0:42:13 > 0:42:15No more timers.
0:42:15 > 0:42:18I want to go back to it being fun, too.
0:42:19 > 0:42:22I still want a baby, you know that, don't you?
0:42:22 > 0:42:26It might be ages before it happens, though.
0:42:26 > 0:42:29So what? When it happens, it happens.
0:42:30 > 0:42:31I don't care when.
0:42:31 > 0:42:33Just as long as you're there to be its dad.
0:42:40 > 0:42:44Linda - difficult airway trolley.
0:42:44 > 0:42:45Sam? What happened?
0:42:45 > 0:42:47His airway's occluded. OK, we need to get ready for a Cricoid.
0:42:47 > 0:42:49Let's get him a tube in now.
0:42:49 > 0:42:51Sats at 90%. Oxygen not improving.
0:42:51 > 0:42:54You may struggle to get the tube down if he's that swollen
0:42:54 > 0:42:59- so be prepared to do a tracheostomy. - I'm going to try, OK. Lloyd 120mg of ketamine and 100 of sux.
0:43:02 > 0:43:03OK, Cricoid on.
0:43:05 > 0:43:08- The anatomy's so distorted, I can't...- Just take your time, Sam.
0:43:08 > 0:43:12- Sats at 65.- OK, I can see the cords.
0:43:14 > 0:43:16Got it, I'm in. OK, Bougie.
0:43:19 > 0:43:21OK.
0:43:25 > 0:43:2710ml.
0:43:27 > 0:43:29OK, bag on.
0:43:35 > 0:43:36Yeah, good breath sounds.
0:43:36 > 0:43:38Great, OK. Cricoid off.
0:43:38 > 0:43:42- Sats improving. - Let's get his tube secured, transfer him upstairs. ENT's expecting him.
0:43:42 > 0:43:44- Got it?- Yes.
0:43:46 > 0:43:48You should go with him.
0:43:48 > 0:43:50- No, he...- He'll want you to.
0:43:50 > 0:43:53- Let's go.- Thanks.- Good save.
0:43:53 > 0:43:55That's what we do, right?
0:44:01 > 0:44:03Mr Statham.
0:44:03 > 0:44:07Raised eosinophils, mild anaemia, elevated creatinine,
0:44:07 > 0:44:12proteinuria and microscopic haematuria - a raised ANCA.
0:44:12 > 0:44:17- Yes, I know.- Put it all together and you've got Churg-Strauss syndrome.
0:44:17 > 0:44:21- Yes, yes, I know that.- Ha! Easy to say when I've just told you.
0:44:21 > 0:44:23Er, no. Look.
0:44:26 > 0:44:29"Change socks"? In fact, it could say anything.
0:44:29 > 0:44:31Your handwriting's appalling.
0:44:31 > 0:44:33It clearly says Churg-Strauss.
0:44:33 > 0:44:37It's OK, can tell him all about the course of treatment. I've set it all up.
0:44:42 > 0:44:44Right, Mr Statham -
0:44:44 > 0:44:50- And Mrs Statham, um... Right. Er... - CREAKING, WOMAN LAUGHS
0:44:50 > 0:44:53If you'd like to pick up your appointment details from the desk.
0:44:53 > 0:44:55When you're ready.
0:44:55 > 0:44:56I said no.
0:44:56 > 0:45:01Why? The Pennicott's bound to have better pay and better hours,
0:45:01 > 0:45:03- and if it helps you get the kids, Linda...- You know me.
0:45:03 > 0:45:04What d'you think I'm going to say
0:45:04 > 0:45:07- when someone complains their pillow's too hard?- True.
0:45:07 > 0:45:11To be honest I was bored there. I prefer it here.
0:45:11 > 0:45:16- So you going to carry on moonlighting?- No, I've told them that's it, so you're stuck with me.
0:45:16 > 0:45:17Dammit(!)
0:45:18 > 0:45:22Tell you what, how about we go to the pub after shift for one drink?
0:45:22 > 0:45:24Yeah, sounds good.
0:45:30 > 0:45:31You finishing, then?
0:45:33 > 0:45:35Yeah.
0:45:38 > 0:45:41About today - the GMC thing.
0:45:41 > 0:45:42I'd rather not go into it.
0:45:43 > 0:45:47I know you held off from talking to them for as long as you could and...
0:45:48 > 0:45:50I just wanted to say thank you.
0:45:53 > 0:45:55It helped me feel - supported.
0:45:57 > 0:45:59You think I did that because...?
0:46:01 > 0:46:03You have no idea, do you?
0:46:04 > 0:46:07- I don't understand. - Don't.- Dylan?- Just don't!
0:46:09 > 0:46:12- After you. - Thank you.- Bye-bye again.
0:46:15 > 0:46:18- So the interrogations are over, then?- Until the final hearing.
0:46:18 > 0:46:21Oh, listen, you'll get a notification in writing,
0:46:21 > 0:46:25but he said that you'll be called as a witness.
0:46:25 > 0:46:27Well, I'm happy to do that for Dr Nicholls,
0:46:27 > 0:46:32- but I can only tell them what I told him. - No, you'll be a witness for the GMC.
0:46:32 > 0:46:33Oh. Right.
0:46:46 > 0:46:48- They said he's going to be all right.- Yeah.
0:46:48 > 0:46:50The brachial plexus was OK
0:46:50 > 0:46:53and they managed to repair the vascular damage.
0:46:55 > 0:46:57Doesn't look like much, does it,
0:46:57 > 0:46:59but I thought he might want it as a souvenir.
0:46:59 > 0:47:01It's been with him long enough.
0:47:01 > 0:47:03- He won't.- What did he tell you?
0:47:03 > 0:47:07Speak to him. He might be a different person now it's gone.
0:47:10 > 0:47:15I, um, managed to speak to Debbie a bit earlier.
0:47:15 > 0:47:18- She said you'd talked.- Yeah.
0:47:18 > 0:47:21We met in a pub - on a blind date, would you believe?
0:47:21 > 0:47:25I've never actually treated her for anything. She told you that, didn't she?
0:47:25 > 0:47:28Whether you have or you haven't it doesn't matter, you're having
0:47:28 > 0:47:31a relationship with a patient. If someone reports that to the GMC...
0:47:31 > 0:47:33Look, I wasn't trying to hide anything.
0:47:33 > 0:47:36I just didn't want to make a big deal of it - to Debbie -
0:47:36 > 0:47:39until I knew if it was serious or not.
0:47:39 > 0:47:40And is it serious?
0:47:42 > 0:47:43Yeah, I think so, yes.
0:47:45 > 0:47:47Look, I'll take her off my list, tomorrow.
0:47:47 > 0:47:50I should've done it before. But there is no... What I mean is...
0:47:50 > 0:47:54You know what? I'm not passing judgement on anyone today.
0:47:58 > 0:48:00Just sort your dad out, and sort your life out.
0:48:01 > 0:48:04And tell George he's entitled to some counselling,
0:48:04 > 0:48:06old soldier or not.
0:48:06 > 0:48:08It's a lot better than it used to be.
0:48:08 > 0:48:10And tell him that...
0:48:10 > 0:48:14no-one passes judgement there either.
0:48:14 > 0:48:16Is that personal experience?
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