Saturday Night Fever Casualty


Saturday Night Fever

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Transcript


LineFromTo

Sure. Yeah, no problem,

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I can definitely manage. Yeah, I totally know the score. OK.

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OK, I'll see you there, in an hour.

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All right, cheers. Yes!

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Kira?

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Kira?

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Oh, my God.

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What happened?

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Are you OK?

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I think he's dead.

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Who?

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What happened?

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Who is it?

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-What did you do?

-It hurt. It hurt so much.

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OK. OK.

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Okey-doke. Nothing too serious here. Mainly minors. There you go.

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Thanks.

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Oh, Saturday night fever. PHONE BUZZES

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-Not tempted to stay?

-No, you enjoy.

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I don't want to be here.

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You shouldn't have been causing so much trouble, should you?

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-There's nothing wrong with me.

-There's nothing right.

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You've got a nasty cut on your head, we need to get it looked at.

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-Let go of me.

-No, I can't do that, I'm afraid.

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You're a liability to yourself and everyone else.

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I had a few drinks. So what? I had a few drinks.

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Is that a crime?

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If you gave us a name and an address,

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-you might make life easier on yourself.

-Let go of me.

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-Let go of me!

-No.

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You need to see a doctor. We need to get you looked at.

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I don't want to see a doctor.

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-I don't need to see a doctor.

-Lenny, can we have a bit of help here?

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-I don't want to see a doctor.

-What we got?

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-Male, no ID.

-There's nothing wrong with me.

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-Found hallucinating in a bar, causing a disturbance.

-Whoa.

-Whoa!

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Been drinking, some evidence of drug abuse as well.

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He fell over, hit a table, he's got a nasty cut on his head,

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no loss of consciousness.

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Let's get him to cubicles. I'm Dr Lyons.

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-Do you want to tell us your name?

-Get off me!

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PHONE BEEPS

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Ha!

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Will someone tell me why I'm here? Tell me why I'm here, then!

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SHOUTING

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-CRASH

-Get off me!

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All right, darling, all right.

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Come on, calm down, everyone. Do you know what's wrong with him?

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Drink, possibly drugs, he won't say.

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Mr Abusive has been pretty incompliant all the way in.

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-Is HDC free?

-Yeah.

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OK, let's isolate him in there. Thank you.

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I don't want to go back through there. Get off me!

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-Calm down.

-Get off my arms.

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Yeah, I understand that, I've filled that in.

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Well, I'm trying to sort my finances out,

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that's why I'm speaking to you.

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Hang on. Let me get the figures.

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I spoke to the bank and the...

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Hello? Hello?

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Everything OK?

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Yeah. Well, no.

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Without a deposit I can't get the flat.

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And if I don't get the flat,

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the social services won't let me get the kids back.

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Can't your family help you out?

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No.

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-Friends?

-I'm out of favours with everyone.

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It's not even that much.

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It's only two grand.

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-Oh, I'm sorry. I can't, but...

-No, I wasn't asking.

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-I would if I could.

-That is so embarrassing.

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-If there's anything else I can do to help.

-Honestly, I wasn't asking.

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BEEP

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How about a night out? On me.

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Yeah, OK.

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They just want to run some tests.

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We know you've been drinking,

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tell us if you have taken anything, any drugs, in the past 24 hours.

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Calm down.

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I'm not trying to hurt you, I just want to help, OK?

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Oi! You!

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Yeah, you.

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Don't ignore me.

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I know you, don't I?

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-Yeah, I do. You were in that movie.

-I don't think so.

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Yeah, you were. With Roger Moore.

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No, Sean Connery.

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-He thinks you're a Bond girl.

-No, Pierce Brosnan.

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There's only ever been three black Bond girls.

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So, it's either Trina Parks, Gloria Hendry or Halle Berry.

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-Die Another Day.

-Halle Berry.

-Yeah.

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Just play along with him. Make out, make out.

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You're not a nurse.

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When did you become a nurse?

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-It's what I do here.

-You should take care.

-Thank you.

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It's all right. It's all right, you can let go.

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OK.

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OK.

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You know, you should take care of yourself too.

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That's a pretty nasty cut you've got above your eyebrow.

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Why don't you let me take you to sit down?

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Yeah?

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OK. Nice and calm.

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If you just want to sit down here.

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Here we go.

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HE MOUTHS

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OK, show me. Look up.

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Yeah, that's superficial.

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Quite neat. I think glue is the best form of action here.

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Did he lose consciousness? No. OK, well, no need for a CT then.

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OK? Dr Lyons will look after you. Run the usual tests, please.

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BM and a Tox strip. Thank you.

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I'm meant to be working tonight.

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I'll be fine.

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I'll take you.

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It's just a few hours.

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You can sit by the bar, listen to some music.

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You shouldn't be alone.

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What are you going to do with it?

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Bury it.

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Why didn't you tell me?

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You'd have made me have an abortion. I wanted the baby.

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Who's the father?

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Did you tell anyone?

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The doctor?

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No-one.

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It's OK.

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It's all going to be OK now.

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I won't tell Dad.

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We won't tell anyone.

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Just pretend it never happened. It never happened, OK?

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If you can hold still a moment,

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-I'm just going to attach this drip to your arm.

-Get off me. Don't touch me.

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Whoa, whoa. No more needles, all right.

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Just going to attach the drip to the line.

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Keep on at him, will you, please?

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OK, look, it won't hurt and it'll only take a minute.

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It's so you can live to die another day, yeah?

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-All right? So, come on.

-Get off me.

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I said don't touch me. Don't touch me!

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Let go!

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-Ah!

-Leave me alone.

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-Security! Now, please!

-I told you!

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Ah.

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BABY GURGLES

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Oh, my...

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'Emergency service.'

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Yvonne.

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I'm so sorry.

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I thought you'd stood me up.

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Well, I texted you. What are you drinking?

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Excuse me, two more of those, please.

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That's a Virgin Mary. I'm on call.

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-Yeah, two more, please.

-No problem, sir.

-Look.

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-I don't...I don't think you did.

-Look.

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Oh.

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I didn't press send.

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Oh, it's been a nightmare today.

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I should've left over an hour ago, I'm really sorry.

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I don't want to stop you drinking. You look like you could do with one.

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No, no, it's fine. Please, I'd rather be in sync with you.

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MUSIC: "Earthquake" by Labrinth ft. Tinie Tempah

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-Where were you?

-I'm so sorry I'm late.

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-I couldn't find a cab, so I had to drive.

-Oh.

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-Oh, you are joking.

-Oh, you're kidding.

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-You look fab.

-So do you.

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He was attacking me! He's the one.

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Obviously, we can't accept him at the cells if he's injured or ill.

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Is he fit to be detained?

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We have done all the necessary tests and they've all come back clear.

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There's nothing medically wrong with him.

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He just needs to sleep off all the alcohol, as you can see.

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So, yes, we're happy for him to be discharged.

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Do you want to make a statement, mate?

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-Can I sort myself out first, please?

-Sure. Just pop down to the station

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or call us and we'll head back later.

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You are under arrest for assault and causing criminal damage.

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-No. Get off!

-You do not have to say anything,

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but it may harm your defence if you do not mention,

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when questioned, something that you later rely on in court.

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Anything you say may be used in evidence.

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MUSIC: "Disturbia" by Rihanna

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Ah-ha-ha.

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-Cheers.

-Cheers.

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Oooh.

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Whoo! Two more of those, please.

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-Linda, I'm driving.

-Oh, come on!

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I need to find a man with a lot of love and a big, fat wallet.

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Well, you're not going to find him in here.

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-You need a rich consultant.

-Yeah.

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Where are all the sexy, rich doctors, when you need them?

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-Hmm. Tom?

-Brr, he's a bit gay.

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-D'you think?

-He's not rich enough.

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Erm. Nick?

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Nick Jordan. You are joking?

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He's sexy, he's definitely got money.

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Yeah, but...

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I think he's quite fit, actually.

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As long as he keeps his clothes on.

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No, you didn't?

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Oh, you did!

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How many times?

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A one-night stand?

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No, we went out properly for one year.

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-Are you serious?

-Yeah.

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-What is so funny?

-I just can't imagine it.

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No, well, neither can I any more, but...

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You and Nick Jordan.

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Yeah, go on, have a laugh.

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Do you know what, I'll get my car in the morning.

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Let's get some more shots. Can we have two more shots?

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-Oh, fantastic.

-Thank you.

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-You and Nick.

-OK.

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Whoever it was called us out for no reason, thank you very much!

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You just cost the tax payer 500 quid!

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# Another Saturday night And I ain't got nobody... #

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Please, no.

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# I've got some money Cos I just got paid

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Huh!

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# How I wish I had someone to talk to... #

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# That's all right for fighting

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# Saturday night's all right, all right, all riiiight. #

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-Why are you looking at me like that?

-Like what?

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Ah.

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You know, you look like that rapper guy.

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-What? Nelly?

-Yeah.

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I'll have the prime cheddar steak, please. No onions.

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Same.

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And no onions for me either.

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-Thank you very much.

-Thank you.

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PHONE BUZZES

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Sorry.

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It's work.

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Superintendent Rippon.

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Really?

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HE MOUTHS

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Yes.

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OK.

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Thanks.

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-A life-threatening episode in the cells.

-Do they need you?

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Could be half an hour. Could be all night. I'm sorry.

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Oh.

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But you could come with me.

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Could do.

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Could be a bit of an eccentric date,

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but why not?

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Hey-ho, let's go.

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Ah.

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Stay put here, OK? Settle back, enjoy the music. It's over.

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No worries.

0:15:380:15:39

What?

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Where did you bury it?

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Out the back, near the allotments.

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Will you take me there?

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Yeah, sure. I'll be right back.

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-Excuse me, can I have two beers, please?

-Yeah.

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Thanks.

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This is Stefan from Germany and this is his friend Joerg.

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-Zoe, Joerg. Joerg, Zoe.

-Joerg.

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-Hiya, how you doing?

-Sexy.

0:16:110:16:13

They want to dance.

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Ooh, cool moves.

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-What do you think?

-They don't speak English, do they?

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And? Come on.

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So, catch me up.

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Collapsed in the cells. Must be a hospital mess-up.

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HE GROANS Hang on. Hang on.

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I know this man, I treated him earlier.

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-What's happened?

-He assaulted a nurse in the ED.

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Mr Jordan is consultant at Holby City ED.

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-He very kindly came with me.

-Is the nurse OK?

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Superficial wound, bit of a shock, though.

0:16:450:16:46

Talk me through what's happened here.

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He was fine when he arrived. Aggressive and uncooperative.

0:16:490:16:52

The usual. Next thing we know, he's writhing in agony.

0:16:520:16:56

Looks like your lot let him go too soon.

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I left my team in complete control, running a series of necessary tests.

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They would not have discharged him, if they had any concerns.

0:17:050:17:07

Well, someone must have missed something.

0:17:070:17:10

Can you tell me what happened when you left the hospital?

0:17:120:17:14

There's been a mistake. There's been some mistake.

0:17:140:17:18

He's slurring. Something's not right here.

0:17:180:17:21

Could he have suffered a blow to the head while he was being transported?

0:17:210:17:25

Not possible.

0:17:250:17:26

My team operate according to very strict safety procedures.

0:17:260:17:29

Maybe he's taken something.

0:17:290:17:30

No, he would have been surveyed very closely.

0:17:300:17:32

No. He's tachycardic.

0:17:320:17:35

OK, I'm going to have a feel.

0:17:350:17:37

-Ah!

-Ooh, yeah. Yeah, he's rigid.

0:17:370:17:40

Guarding.

0:17:400:17:41

His abdomen is distended and tympanic.

0:17:420:17:45

He was not like this a couple of hours ago, when I checked him.

0:17:450:17:48

Can we get a couple of lines in?

0:17:480:17:50

Give him some fluid, pain relief. Call ahead.

0:17:500:17:54

He'll need a CT immediately on arrival. OK? Do we know any details?

0:17:540:17:57

Name's Frankie Joyce. We managed to get hold of his sister-in-law.

0:17:570:18:00

Caught her up with what had happened

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-and directed her straight to Holby ED.

-OK.

0:18:020:18:04

Sorry, I'm going to have to go back to the hospital.

0:18:070:18:09

Thank you for the ride, superintendent,

0:18:090:18:12

-I'll catch you later, yeah?

-Why don't I run you over there?

0:18:120:18:14

I think he's going to need a police escort.

0:18:140:18:16

'# Saturday night's all right for fighting

0:18:160:18:19

'# Get a little action in.'

0:18:190:18:21

# All right, all right

0:18:210:18:23

# Gonna get about as oiled as a diesel train

0:18:230:18:26

# Gonna set this place alight. #

0:18:260:18:29

May as well change the oxygen cylinders whilst we're at it.

0:18:290:18:32

Yeah, we need some new BM needles too.

0:18:320:18:34

# Gonna set this place alight

0:18:340:18:37

# Saturday night's all right. #

0:18:370:18:38

Is this yours?

0:18:380:18:40

No.

0:18:400:18:41

-Oh, my God.

-Bloody hell.

0:18:460:18:48

Is that alive?

0:18:480:18:49

Right, there's a pulse, but it's very weak, it's tiny.

0:18:530:18:56

Right, I'm going to start CPR, Jeff.

0:18:560:18:58

Come on.

0:19:030:19:05

-One, yeah?

-Yeah.

0:19:050:19:07

One, two, three.

0:19:070:19:09

One, two, three.

0:19:100:19:12

Come on, mate.

0:19:120:19:13

-Yeah, his colour's coming back.

-You got it?

-Yeah.

0:19:150:19:18

MUSIC: "Heaven" by DJ Sammy

0:19:180:19:21

Are you all right?

0:19:290:19:31

Are you OK?

0:19:310:19:33

How old are you?

0:19:340:19:35

18.

0:19:350:19:36

Yeah, me too(!) Let's get you into a toilet, eh?

0:19:370:19:40

This is Frankie Joyce, found collapsed in the police cells

0:19:450:19:49

-with extreme abdominal pain.

-I want to go home.

0:19:490:19:51

He's had ten of morphine, two lines in, first litre of saline.

0:19:510:19:55

-Did you run all the tests I asked you?

-Of course I did.

-All of them?

0:19:550:19:58

Of course and they all came back clear, Mr Jordan,

0:19:580:20:00

otherwise, I wouldn't have discharged him.

0:20:000:20:03

Are you the nurse he attacked?

0:20:030:20:04

-OK. One, two, three.

-HE GROANS

0:20:040:20:07

OK, go easy with him, he's in a lot of pain there.

0:20:070:20:09

My arm. Take that out, it hurts.

0:20:090:20:11

Let's get him comfortable. Hook him up and we'll do some obs.

0:20:110:20:14

-Ah.

-All right, Frankie.

0:20:140:20:16

Sorry, guys, this is Frankie Joyce's sister-in-law.

0:20:160:20:19

-Frankie? Frankie!

-Help me.

0:20:190:20:21

-No, he needs to be re-assessed urgently.

-No.

0:20:210:20:23

No, Frankie. Look, come on, if he doesn't cooperate,

0:20:230:20:25

-we'll have to sedate him.

-You won't have to. Just give me a minute with him.

0:20:250:20:28

He's learning disabled, he's registered special needs.

0:20:280:20:31

Its OK, Frankie. I'm here now. I've called Jamie, he's on his way.

0:20:310:20:34

OK, I apologise.

0:20:340:20:36

We had no idea.

0:20:380:20:39

Right, let's give him some space, please.

0:20:390:20:41

All right, we need to let Mr Jordan do his thing, OK?

0:20:410:20:43

-Please, this way. Outside, please.

-No, no, no, she's fine.

0:20:430:20:47

Can you get me his notes from earlier, please?

0:20:470:20:50

I knew something wasn't right.

0:20:500:20:52

We would have done exactly the same anyway, Mr Jordan.

0:20:520:20:55

Learning disabled or not, he attacked a nurse.

0:20:550:20:57

He was dangerous, he was violent, he was drunk. Let's not beat ourselves up about it.

0:20:570:21:01

-Well, perhaps we could have taken more time?

-What?

0:21:010:21:04

Because he would have listened? He was too far gone.

0:21:040:21:06

I don't think it could have worked any other way.

0:21:060:21:09

I want a full abdo exam.

0:21:090:21:10

We'll get him through to the CT and give him a scan.

0:21:100:21:12

Are you all right in there?

0:21:190:21:21

So, what do you think about yours? I like mine.

0:21:220:21:26

RETCHING

0:21:270:21:28

Hello? You all right?

0:21:280:21:31

Hello?

0:21:330:21:34

-Linda, quick, she's down.

-What?

0:21:380:21:40

Hello? Can you hear us?

0:21:410:21:44

Hello, can you hear me? I'm Zoe, I'm a doctor. We're going to get you out.

0:21:440:21:47

Can you say your name?

0:21:470:21:49

OK, have you got it? Can you tell me your name?

0:21:510:21:55

Can you hear me?

0:21:550:21:56

-OK. Have you got it?

-Nearly.

-OK, we're going to get you out.

0:22:000:22:04

OK, I know you've been drinking,

0:22:040:22:07

but is there anything else you've taken that we should know of?

0:22:070:22:10

-That just doesn't look like period.

-What?

-OK, babe.

0:22:100:22:15

OK, I'm going to pull your tracksuit down to check on this bleed.

0:22:150:22:18

-Can you hear use?

-It's fresh blood and clots.

0:22:180:22:20

I think it's a miscarriage. We need an ambulance.

0:22:200:22:23

I think the girl at the bar knows her.

0:22:230:22:25

OK, come on.

0:22:270:22:29

I reckon she must have lost, what, a couple of units.

0:22:290:22:32

We need to get some fluids in her or she's in big trouble.

0:22:320:22:34

-What are you doing?

-Your medical kit's in your car.

0:22:340:22:37

No, Linda, I've had too much to drink.

0:22:370:22:39

Linda!

0:22:390:22:41

OK. OK, let's get you on your side.

0:22:410:22:43

This is the sort of thing Q would come up with for Bond.

0:22:450:22:47

It's brand new, state-of-the-art technology.

0:22:470:22:50

007 never...007 never had any respect for Government property.

0:22:500:22:57

James Bond is one of his obsessions.

0:22:570:23:00

Well, 007 should have tried the NHS.

0:23:000:23:03

Is there anything I can do to make you more comfortable?

0:23:030:23:07

-Just keep my Martini cool.

-Yes, Mr Bond.

-Ha-ha.

0:23:070:23:10

OK, we're going to need to clear the room while the scan's being done.

0:23:110:23:16

Going to send you in now, OK?

0:23:170:23:19

Excuse me, officer.

0:23:220:23:24

I don't want to press charges.

0:23:240:23:25

OK, we've got a baby, found in the back of the ambulance in a bag.

0:23:320:23:35

He's a couple of hours old at most. Premature.

0:23:350:23:38

Bradycardic with a heart rate of 48. Started cardiac massage.

0:23:380:23:42

-OK, let's keep him warm.

-OK.

0:23:420:23:45

Come on, little fella. You've hung on this far, you can do it.

0:23:450:23:48

I don't like his jaundice.

0:23:480:23:49

Can we get him monitored and BM and temp ASAP?

0:23:490:23:51

Someone made a right mess of this, it's been torn out with a bread knife. Clamp please.

0:23:510:23:55

-We know who or where the mother is?

-It's been reported. I don't think she wants to be found.

0:23:550:23:59

-You're on your own, aren't you?

-Could you get a cap for him?

0:23:590:24:02

OK, let's run through a ten mil per kilo bolus of warm fluid.

0:24:020:24:05

He's in distress. He needs a line in urgently.

0:24:050:24:07

-Do you want to give that a shot?

-Yeah, we need a good vein. A paediatric cannula.

0:24:070:24:11

Come on, mate. Come on. You hang in there, sweetheart.

0:24:110:24:14

-Try that.

-OK.

0:24:140:24:15

Come on, then.

0:24:180:24:20

No, it's tissued. I don't think I can.

0:24:290:24:31

One more go, otherwise, we try intraosseous.

0:24:320:24:36

Here, try that.

0:24:400:24:42

All right, hold him steady.

0:24:420:24:43

-There you go.

-Oh, very nice.

0:24:510:24:53

OK, let's run some fluids in and get some bloods and cross match off.

0:24:560:24:59

He needs ventilation.

0:24:590:25:01

I think we've got a rhesus incompatibility here.

0:25:010:25:04

The mother's going to need medicating as well, isn't she?

0:25:040:25:08

-Where is it? We need an ambulance now.

-I don't know.

0:25:110:25:16

It's a massive PV bleed.

0:25:160:25:18

-Look, I can't.

-I will.

0:25:180:25:20

No way. You're more pissed than I am.

0:25:200:25:22

-Kira.

-Do you know this girl?

0:25:220:25:24

Do you know anyone we can contact for her?

0:25:240:25:26

-She's my sister.

-Could this be a miscarriage?

0:25:260:25:28

She's losing so much blood.

0:25:310:25:32

Call the ambulance. Find out how far away they are.

0:25:320:25:35

-My battery's dead.

-What?

0:25:350:25:38

Do you know if she has any problems with her periods?

0:25:380:25:40

-What are you doing?

-Saving her life. She needs fluids, we've got them.

0:25:420:25:46

No, you're too drunk, Linda. You'll get into serious trouble.

0:25:460:25:49

Zoe, if we don't do this, we could lose her.

0:25:490:25:51

What size? Grey or brown?

0:25:520:25:54

-Linda, you can't.

-No, please help her. Please help her.

0:25:540:25:58

She's too shut down. I'll have to go for the neck.

0:26:040:26:07

-You've been drinking too.

-Yeah, well, not as much as you

0:26:090:26:11

and you can't afford to get into trouble, not if you want to keep those kids.

0:26:110:26:15

-Put her on her back.

-Yeah.

0:26:150:26:17

OK.

0:26:180:26:20

OK. OK. I've got it.

0:26:230:26:26

Yeah, OK, I've done it.

0:26:360:26:37

Well done.

0:26:430:26:45

OK. Run a unit of Geli on that line and I'll put another one off.

0:26:450:26:48

Where's that ambulance?

0:26:500:26:52

There's a ruptured intra-abdominal abscess,

0:26:530:26:56

probably secondary to diverticular disease.

0:26:560:26:58

He must have been in severe abdominal pain for quite some time.

0:26:580:27:01

Maybe that's why he was drinking so much. To self-medicate.

0:27:010:27:04

Has he complained of pain in the abdomen over the last few months?

0:27:040:27:07

-I gave him painkillers.

-Sit down, please.

0:27:070:27:09

-When was the last time he saw his GP?

-I can't remember.

0:27:090:27:13

-Had a medical checkup?

-I don't know.

0:27:130:27:15

He's only been with us a few months, after his mother died.

0:27:150:27:18

My brains not working. I will...

0:27:180:27:19

Well, this must have been going on for some time.

0:27:190:27:22

He is going to need an operation, I'm sorry to say.

0:27:220:27:24

Ah, Jamie. This is Frankie's brother.

0:27:240:27:28

-Oh.

-Mr Joyce, I'm afraid your brother collapsed in police custody.

0:27:280:27:31

They said. But what was he doing there?

0:27:310:27:33

He assaulted a nurse, here, in the ED.

0:27:330:27:36

He was violent, he was uncooperative and drunk.

0:27:360:27:39

-He was drinking to cope with the pain. He's going to need an operation.

-Don't cry, love.

0:27:390:27:43

-No, I should have spotted it.

-No, no, they should have spotted it.

0:27:430:27:46

How could you arrest and lock up a sick man?

0:27:460:27:48

He didn't present with abdominal pain,

0:27:480:27:51

otherwise, we would have run more tests.

0:27:510:27:53

He had, literally, drunk himself over the pain.

0:27:530:27:56

He asked me to go to the pub with him. I should've gone.

0:27:560:27:59

No, no, this is their muck-up, love, not ours.

0:27:590:28:01

They're just trying to pass the buck.

0:28:010:28:03

This is gross negligence from the police and the hospital.

0:28:030:28:06

You're not getting away with this, we're going to complain.

0:28:060:28:09

We should watch this together. I had the station send it over.

0:28:090:28:12

-OK. Have you already seen it?

-No, not yet.

0:28:120:28:16

But the custody sergeant assures me, the team didn't put a foot wrong.

0:28:160:28:19

There.

0:28:190:28:21

-Well, that looks pretty violent to me.

-It's not. It's under control.

0:28:290:28:33

The team are working totally to order.

0:28:330:28:36

That it?

0:28:590:29:01

Yeah, no harm done there. A perfect cell extraction.

0:29:010:29:07

None of my team were negligent.

0:29:070:29:08

Oh, you're suggesting my staff have been, are you?

0:29:100:29:13

What do you want to do, Yvonne? Land me with a BMA investigation?

0:29:130:29:16

No, Nick, I have a professional duty

0:29:160:29:19

to investigate where he slipped through the net.

0:29:190:29:21

She's over here, guys.

0:29:230:29:24

-Thanks, mate.

-Hey. I heard it was you two.

0:29:240:29:28

-You OK?

-Here name's Kira. She vomited,

0:29:280:29:31

we found her semi-conscious, she started haemorrhaging.

0:29:310:29:34

Possible miscarriage.

0:29:340:29:35

Kira. Kira, I'm Jeff, I'm a paramedic, can you hear me?

0:29:350:29:39

I'm just going to get some oxygen on you, it's going to help you breathe, OK?

0:29:390:29:43

-What fluids have you given her?

-500 saline, 300 Geli.

0:29:430:29:46

She's lucky you were here.

0:29:460:29:48

How much have you two had to drink?

0:29:500:29:52

Right, well, we'll take it from here. You go and have a break.

0:29:530:29:57

Good, well, you're doing very well, Frankie.

0:30:010:30:03

Hospitals and doctors, they're not so bad after all, are they?

0:30:030:30:05

I prefer nurses.

0:30:050:30:07

Now, I want to sort out your stomach pain

0:30:080:30:11

and that will involve a little operation.

0:30:110:30:13

-Are you OK with that?

-Of course he is, that's fine.

0:30:130:30:16

We need to be sure that Frankie knows what the operation is.

0:30:160:30:19

It's part of the duty of care. Got to get his consent.

0:30:190:30:22

What we'll do is, we will put you to sleep for a while.

0:30:220:30:25

Then, we'll cut out the little bit that's making you feel unwell.

0:30:250:30:28

-Will it hurt?

-No, no, you'll be asleep, you won't feel a thing.

0:30:280:30:31

Then, when you wake up, you will feel a bit different.

0:30:310:30:34

You'll feel tired and you'll need to stay in bed for a while.

0:30:340:30:36

You'll need a lot of looking after.

0:30:360:30:38

He will need a lot of post-op care

0:30:380:30:40

-and he'll need help with eating and going to the toilet, etc.

-That's fine.

0:30:400:30:43

-We can do that, can't we?

-Of course we can.

0:30:430:30:46

-The baby's coming soon.

-Don't worry about the baby.

0:30:460:30:49

Newborns are no trouble, apparently.

0:30:490:30:52

My sister just says they eat and sleep, the first few months.

0:30:520:30:55

I'll be fine looking after you.

0:30:550:30:57

Are you OK with that, Frankie?

0:30:570:30:58

No.

0:30:580:31:00

I don't want it.

0:31:000:31:02

-Yes, you do, Frankie.

-No. I don't want the operation.

0:31:020:31:05

-Yes, you do. You've got to get better. Just go for it.

-No.

0:31:050:31:08

It's fine. We're fine with it.

0:31:080:31:11

It's not fine. I'm not fine with it. I'm not.

0:31:110:31:13

Well, we can't proceed without your co-operation.

0:31:130:31:16

-He doesn't understand!

-I do understand. I do. I don't want it.

0:31:160:31:20

Why? Why don't you want the operation?

0:31:200:31:22

I don't want it.

0:31:230:31:25

He can't make decisions for himself. He needs help.

0:31:250:31:28

I can't deal with you any more. You're incompetent.

0:31:280:31:30

Well, you won't have to "deal" with me any more,

0:31:300:31:35

because I am getting the mental capacity advocate in here

0:31:350:31:38

as soon as possible to judge whether Frankie's capable of making his own decisions.

0:31:380:31:42

And I will run this absolutely by the book.

0:31:430:31:46

Let's set up an infusion, please.

0:31:460:31:49

He'll need catheterising and an NG tube on standby.

0:31:490:31:53

We don't want him deteriorating any further. OK, you two.

0:31:530:31:56

Can you get his GP records from the out-of-hours service?

0:31:560:31:59

I want to find out why it's gone undetected for so long.

0:31:590:32:02

And Scarlett, stay by his side.

0:32:020:32:04

Don't leave him, OK?

0:32:040:32:06

Thank you.

0:32:060:32:08

Jordan, this is Kira, 14 years old, collapsed in a toilet

0:32:140:32:18

with a massive PV bleed.

0:32:180:32:19

-Tom.

-Luckily, there was a doctor at the scene

0:32:190:32:21

-who was able to administer fluids.

-Lucky.

0:32:210:32:24

-Can you take over? I'm a bit busy.

-Yep.

-Two litres of saline, 500 Geli. OK, on three.

0:32:240:32:28

-One, two, three.

-What are you two doing here?

0:32:280:32:30

We were at the bar when she collapsed.

0:32:300:32:32

Please don't tell me that you were the "doctor present"?

0:32:320:32:36

My office, now.

0:32:360:32:38

Someone get me an ultrasound, so I can take a look at the uterus.

0:32:380:32:41

And call up to surgery. She's going to need an urgent D and C.

0:32:410:32:45

You can't treat when you've been drinking. You know that!

0:32:460:32:49

Those fluids probably saved her life. She was tachycardic, she would have gone into PEA.

0:32:490:32:53

What did you want us to do? Stand there and let her die?

0:32:530:32:56

We've got a GMC hearing coming up.

0:32:560:32:58

Tonight, I've been trying to clear the staff from an allegation of assault by an irate relative.

0:32:580:33:02

I don't need any more stress. What were you thinking of?

0:33:020:33:05

The last thing we need at this juncture is to be laid vulnerable

0:33:050:33:09

-to more investigations!

-I made the decision to cannulate. We did it successfully.

0:33:090:33:13

We saved her life. No-one can complain.

0:33:130:33:15

If she deteriorates, which she's very likely to do,

0:33:150:33:19

anyone can complain.

0:33:190:33:20

-Well, it was my fault, not hers.

-No, it wasn't.

-Yeah, it was.

0:33:200:33:23

-I made you do it.

-No, you didn't.

-I don't care!

0:33:230:33:26

She saved that girl's life. And you know what, Nick? You would have done the same,

0:33:260:33:29

-I know you would have.

-Mr Jordan to you.

0:33:290:33:31

I think she's still drunk.

0:33:310:33:32

No, I'm not. She deserves praise, not a telling off!

0:33:320:33:35

You should be proud of her.

0:33:350:33:37

I suggest you go and sober up, and clean up.

0:33:400:33:45

OK, well done.

0:33:470:33:48

Let's just hope this doesn't come back to bite us. OK?

0:33:480:33:53

Things have stabilised really well.

0:34:010:34:04

It's a little quieter and more comfortable in here while we wait for a gynae bed.

0:34:040:34:08

I understand Mum's not around.

0:34:080:34:12

-And Dad?

-He's on the rigs.

-So who looks after you two, then?

0:34:120:34:17

Me.

0:34:170:34:19

Excuse me. OK, Kira.

0:34:200:34:24

You're doing brilliantly.

0:34:240:34:25

We're going to send you upstairs soon for a D and C,

0:34:250:34:28

just so they can clean you up

0:34:280:34:30

and make sure everything's OK.

0:34:300:34:32

Who's looking after your baby?

0:34:320:34:35

Would you like me to give them a ring?

0:34:350:34:37

Maybe they could bring him or her in?

0:34:370:34:39

Kira?

0:34:390:34:41

Where's your baby?

0:34:410:34:43

Do you know?

0:34:490:34:53

You do know your sister gave birth tonight?

0:34:530:34:55

She didn't even tell me she was pregnant.

0:34:550:34:57

I didn't know she has a boyfriend.

0:34:570:34:59

Where do you live, Leila?

0:35:020:35:03

20 Lime House, Lowe Estate.

0:35:030:35:05

Lowe Estate? That's where the stork made its special delivery.

0:35:050:35:10

OK, Frankie, now, I want you to stay very calm.

0:35:210:35:23

I'm going to push this up your nose, and I want you to swallow.

0:35:230:35:27

-It's not going to happen.

-It has to.

0:35:270:35:30

-Not Mr Big.

-Mr Big?

-No!

-OK. Fine. Whatever.

0:35:310:35:36

What, Sex And The City?

0:35:360:35:38

-Yaphet Kotto. Live And Let Die. Only black Bond villain.

-Yeah.

0:35:380:35:43

Lloyd's a very good friend and colleague of mine. I can assure you he's not a villain.

0:35:460:35:50

Shall we have another go with the tube?

0:35:500:35:53

-You need it to make you better.

-You do want to get better, don't you?

0:35:550:35:58

I don't want to be any trouble.

0:35:580:36:01

I can't imagine you being any trouble.

0:36:010:36:04

I'm trouble for Nina. I wasn't trouble for Mum.

0:36:040:36:09

Is Nina the reason you don't want the operation, Frankie?

0:36:100:36:14

I don't want her to look after me. I want...

0:36:140:36:19

to live by myself. I'm grown up. I can manage.

0:36:190:36:24

I managed with Mum. When Mum was ill, I looked after her.

0:36:240:36:31

I made her soup. I want to live by myself.

0:36:310:36:37

I don't want an operation.

0:36:370:36:41

Frankie, having the operation doesn't mean that you can't live by yourself. Does it?

0:36:410:36:46

Of course not. We can talk to Social Services.

0:36:460:36:49

-We can find you another living arrangement.

-So you can have the operation.

0:36:490:36:53

You can get better.

0:36:530:36:55

-And we'll help find somewhere else to live.

-My brother wants me to live with him.

0:36:550:36:59

Well, we'll talk to your brother.

0:36:590:37:02

I'm sure if he understands what you want,

0:37:020:37:05

then he'll help you make other plans.

0:37:050:37:07

OK, Kira, you're doing really well.

0:37:120:37:15

You've been through a tough night, but I need you

0:37:150:37:20

to be brave just a bit longer. Do you think you can that for me?

0:37:200:37:24

Have you seen this before?

0:37:320:37:33

Can you tell me what happened?

0:37:390:37:41

Can you help her?

0:37:460:37:48

I know I'm young, but I wanted a baby.

0:37:480:37:51

-I just really wanted a baby.

-What happened?

0:37:510:37:56

It was born dead.

0:37:560:37:59

I'm sorry. So then what did you do?

0:37:590:38:03

She put it in there.

0:38:030:38:05

I buried it.

0:38:060:38:09

Are you sure?

0:38:120:38:13

You girls have told me the beginning of a story.

0:38:220:38:25

I'm going to tell you the end.

0:38:250:38:27

Then together, we need to work out the middle.

0:38:270:38:30

Urgently.

0:38:300:38:31

A baby was found in this bag,

0:38:310:38:33

wrapped in a towel in the back of one of our ambulances this evening.

0:38:330:38:37

A little baby boy.

0:38:370:38:38

-What was your baby, Kira?

-My baby was dead.

0:38:400:38:44

This baby is unwell, but it's still alive.

0:38:440:38:47

The baby also has a very unusual blood condition

0:38:470:38:50

which can make Mum very unwell. Dangerously unwell.

0:38:500:38:53

And I need to make sure the baby's mum

0:38:530:38:55

gets the treatment she needs urgently.

0:38:550:38:57

-Why don't you just give her the treatment in case?

-It's not my baby.

0:38:570:39:01

Well, yeah, but it doesn't matter. Just give it to her. Have it!

0:39:010:39:04

-Just give her the treatment.

-Then why don't you tell us, Leila?

0:39:040:39:07

-Tell us what you did with the baby.

-What did you do?

0:39:070:39:10

Did you leave the baby in the ambulance?

0:39:130:39:15

She buried it.

0:39:160:39:18

Leila? Did you bury the baby?

0:39:180:39:20

I couldn't.

0:39:260:39:28

Why?

0:39:280:39:30

Because...it was still alive.

0:39:350:39:38

My baby? My baby's still alive?

0:39:410:39:45

-Mr Jordan. Frankie Joyce's medical notes.

-Oh, great.

0:39:500:39:53

I've had a flick through.

0:39:530:39:55

They may help build a defence against the brother

0:39:550:39:57

and the allegations.

0:39:570:39:58

According to the notes, he'd suffered from abdominal cramping,

0:39:580:40:01

altered bowel habit, and passage of mucus rectally for some time. His GP got him an outpatient's appointment.

0:40:010:40:06

But he missed it and it was never followed up.

0:40:060:40:08

Good, well done. Thank you.

0:40:080:40:11

Have you been putting ideas in his head?

0:40:110:40:14

No. Any concerns raised about the post-operative care came from Frankie.

0:40:140:40:17

-My colleague can confirm that.

-It's true.

0:40:170:40:20

He'd be happy to go ahead with the operation

0:40:200:40:22

if duty of care didn't lie with you and your wife,

0:40:220:40:25

and we can help facilitate this.

0:40:250:40:26

-Have you been talking to him?

-No. I'm happy to look after you, Frankie.

0:40:260:40:30

I want to. I'm sorry if I've been a bit snappy sometimes,

0:40:300:40:35

-I'm just a bit tired, you know?

-Mum didn't look after me.

0:40:350:40:38

We looked after each other.

0:40:380:40:40

-I don't want to be any trouble.

-Please, Frankie, stop saying that. You're doing my head in.

0:40:400:40:44

-You are no trouble.

-Aah!

0:40:440:40:46

Mr Jordan!

0:40:460:40:48

MACHINE BEEPS RAPIDLY

0:40:480:40:51

Frankie? Look at his obs.

0:40:540:40:58

-He needs the operation urgently.

-Please, Frankie. For me. Have the operation.

0:40:580:41:02

I don't want to be any trouble.

0:41:020:41:04

You are no trouble. It's no trouble.

0:41:040:41:07

We'll get you your own place if that's what you want, OK?

0:41:070:41:10

Do you understand that?

0:41:100:41:12

So you'll have the operation?

0:41:120:41:15

Yes.

0:41:150:41:17

Excellent. Call theatre. Good man.

0:41:170:41:20

You're going up for your operation soon. And I'll come and visit you on the ward afterwards.

0:41:200:41:26

Hiya. Just thought I'd pop by and see how you were doing.

0:41:260:41:31

-You look better.

-Can I see my baby?

0:41:320:41:37

I'd really love to, but it's not possible yet.

0:41:370:41:41

I want to see my baby.

0:41:410:41:43

I'll ask the team up in SCUBU for you,

0:41:430:41:46

but it's probably better to wait. Things are going to be complicated after what's happened tonight.

0:41:460:41:51

But I'm his mum. Why did you give him away?

0:41:510:41:55

I want to see him.

0:41:550:41:58

Get him here. Bring him for me. You have to. I need to see him.

0:41:580:42:03

Can we? Please.

0:42:030:42:05

I can't. I'm sorry.

0:42:050:42:07

Will you? Can you?

0:42:070:42:10

I believe the baby's up in SCUBU, fifth floor, ward C.

0:42:120:42:18

Kira's waiting to be moved up to gynae.

0:42:190:42:23

I'll be right back.

0:42:290:42:31

You sure you're OK to go with him?

0:42:430:42:45

I think he'd rather have Halle Berry.

0:42:450:42:47

Well done, both of you. Thanks.

0:42:470:42:49

Would you both like to come through to the office, and we'll discuss Frankie's care with you.

0:42:490:42:54

-Don't try and manipulate us.

-Jamie.

0:42:540:42:56

They've mishandled this all the way, and now they're trying to get my brother taken into care.

0:42:560:43:00

We just want what's best for Frankie.

0:43:000:43:03

-We're family. We're what's best for him.

-I'm don't think Social Services will agree with that,

0:43:030:43:08

based on the evidence of the last 24 hours.

0:43:080:43:10

What have they got to do with it?

0:43:100:43:11

I think you need to rethink your allegation against the hospital.

0:43:130:43:16

Is that a threat?

0:43:160:43:18

No. Advice. That's all.

0:43:180:43:21

Because if this does go to the authorities,

0:43:210:43:24

I will have to present the case that Frankie's collapse today could have been prevented,

0:43:240:43:28

had his family helped him attend his various medical appointments.

0:43:280:43:33

I'm sure we've done all that, haven't we?

0:43:330:43:36

-You've dealt with that, haven't you?

-I don't know. I've been preoccupied...

0:43:360:43:39

-Have we missed an appointment, Nina?

-We may have done. I'm sorry.

0:43:390:43:44

I've been doing my best but...I tried to tell you.

0:43:440:43:48

You should still have diagnosed this when he first came in.

0:43:480:43:51

Well, no, we couldn't have done that because Frankie's abscess

0:43:510:43:54

in his bowel didn't perforate until he was in the police cells. It was then that it became acute,

0:43:540:43:59

so wee had no way of predicting that.

0:43:590:44:01

It's my fault. I should have kept on top of it all.

0:44:010:44:03

It's not your fault. It's no-one's fault.

0:44:030:44:05

It's a difficult situation.

0:44:050:44:07

It's very easy to underestimate the amount of care that he is going to need.

0:44:070:44:14

I promised Mum. I promised I'd take care of him.

0:44:140:44:17

We can. You will. But it doesn't necessarily mean

0:44:170:44:19

-he has to live with us.

-Well, he's made it very clear that he wants

0:44:190:44:23

to be independent,

0:44:230:44:24

so I think the best thing that you can do is help him achieve that.

0:44:240:44:28

I'm sorry. I asked too much of you, didn't I?

0:44:300:44:33

I'm sorry. I've let you down.

0:44:330:44:35

HE CLEARS HIS THROAT

0:44:360:44:38

Thank you for your help, doctor. I'll drop the complaint.

0:44:400:44:44

Go on.

0:45:020:45:04

He is your nephew.

0:45:090:45:11

Stop beating yourself up, Nick.

0:45:520:45:54

The team ran all the tests that you asked for.

0:45:540:45:58

They handled it totally professionally.

0:45:580:46:00

MOBILE BEEPS

0:46:000:46:03

Do you know what you need?

0:46:070:46:09

-What's that?

-You need a bit of time out. Bit of downtime.

0:46:090:46:14

Bit of TLC. Don't be so hard on yourself.

0:46:140:46:18

And don't play so hard to get.

0:46:180:46:21

LLOYD HUMS JAMES BOND THEME

0:46:350:46:38

HE LAUGHS

0:46:420:46:44

You make a good Bond girl.

0:46:450:46:48

Thanks, but I'd rather make a good nurse.

0:46:480:46:52

You're not a good nurse.

0:46:520:46:54

You're brilliant.

0:46:550:46:56

Really?

0:46:580:47:00

You're looking at me like that again.

0:47:050:47:07

I know.

0:47:070:47:11

Don't flirt with me unless you've got serious intentions.

0:47:110:47:14

MOBILE PHONE BEEPS

0:47:330:47:35

-Hi.

-Hi, morning.

0:48:390:48:42

Come in. I'll get changed, we'll go out for breakfast.

0:48:420:48:47

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0:49:140:49:17

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