Desperate Remedies Casualty

HORN BLARES

PHONE RINGS

Archie Fitzpatrick, Archie Fitzpatrick?

Screw this. I'm going.

I'm not leaving now. We've been here for ages.

Anyway, do you want the good news?

I've finished with Carl.

You were straight round to his as soon as Mum threw you out.

I didn't think I had anywhere else to go, then when you called...

Why didn't you say anything when I picked you up?

I phoned him later when you were in bed.

I called him and ended it.

Stupid thing is I actually felt bad about dumping him.

But all he cares about is the seventy quid

he reckons I nicked off him.

I haven't got any money.

I wasn't asking you for any.

-Hi.

-Hiya.

Sorry...

SHE COUGHS VIOLENTLY

I'm so sorry.

I need the bathroom...

Yeah, down there.

Can you even imagine Carl having seventy quid to nick?

It's a joke.

Just tell him where to go.

Yeah, that's what I'm going to do.

I need some air.

Are you all right?

Yeah, I will be.

Miranda, if you're serious about getting clean

you know Mum will help you.

She's heard it too many times.

The thing is, Carl says if I don't get him his money...

..he'll hurt me.

He means it.

Look, I left my purse at home, so...

You really don't trust me, do you?

OK. I'll give you the money.

As soon as we're finished here we'll go back and get it.

When does he want it?

Half an hour ago.

OK, what about this one then, who's the best -

The Jam or The Style Council?

Style Council. It's obvious.

Oh, behave!

All right, here's one for you - Beatles or Wings?

Oh, I loved Wings. Band On The Run, Ebony And Ivory.

That's Paul McCartney and Stevie Wonder. And it was rubbish.

I'm losing all respect for you now, mate.

No, no, I meant the frog song.

3006 to Control, we are at the scene, over.

We're going some help with the lift up here I think.

All right, sweetheart.

3006 to control we've got a female who's fallen down the stairs.

We are going to need another crew to assist

getting her out, please, over.

Portable suction, please, mate.

All right, princess, I'm Jeff. I'm a paramedic, can you hear me?

I'm going to get you sorted, OK.

I thought you'd be off today. You know, to prepare for tomorrow?

Tomorrow, oh, you mean my fitness to practice hearing at the GMC?

-Thanks for reminding me.

-Sorry.

No, it's OK. Actually, I'm all prepared.

Good. Well, you should take the day off just to relax.

Relaxing is not really my style.

Sam, listen about tomorrow. There's something I need to...

-Dylan, a word.

-..tell you.

-I've got thrombosed

-haemorrhoids to deal with.

-You know you can get help?

How long does someone have to wait to be seen around here?

Someone will call your name as soon as possible.

Next one up.

Lauren Flynn, please, Lauren Flynn.

Good thing she's not dying.

No, I think the triage nurse might have picked up on that one!

Come in with me.

I just need to text Carl. Tell him I can, you know,

I can give him the money. I'll be right here.

All right, there are only four of us,

so we are going to take it nice and slowly

Anybody has any problems say stop, and we'll stop. OK?

Let's get ready to lift then? Ready, steady, lift.

OK.

-All right? Yeah.

-Nice and slowly there.

Oh, sweetheart, I need you to stay nice and still for us, please.

-Move down, OK.

-How you doing? You want to readjust?

OK.

OK, keep going then up, up, up.

You all right, guys? OK.

Keep going.

OK.

Right, how we doing? OK.

-Everybody happy?

-Yeah.

-All right, sweetheart, you're doing really well.

-OK.

I've got her bag here.

Can you just stick it by her feet please, love?

-Sure.

-Thank you.

All right, let's keep going.

Can you move your fingers? Good. Can you make a fist?

Have you got any pins and needles?

-No.

-Good.

SHE WINCES

Yeah, I'm sorry, I know that hurts.

-So, what's wrong with it?

-Well, it probably isn't broken,

there's just a bit of tenderness over the bone,

but we'll get an x-ray done to make sure.

It's going to mean more waiting around?

No, it shouldn't be too long. I'll show you the way.

I'll take you through for now,

but it's actually not really that hard to find your way back.

You all right? Something wrong?

I'm sorry I'm going to have to go. Sorry.

Excuse me.

Linda, what film are we taking Britney and Joe to see?

I don't know. They'll both want to see different things, won't they?

-What about paintball?

-Oh yeah, Britney will love that.

Scuba diving? Get off.

-Hey, bowling?

-Yeah, all right.

You all right, guys, what have we got?

Young lady, fell down a flight of stairs.

No sign of serious head injury, but she may have a haemoptysis.

Sats are 94 percent on air, up to 98 percent on O2.

Why didn't you wait for me?

-He said I had to meet him now.

-I still need to get my wrist sorted.

-He wouldn't wait.

I can't hear you, speak up.

Oh, God, he's here. How long will you be?

I've got to go home, get the money. Half an hour? I don't know.

I'm really scared he's going to do something violent.

'He looks really angry. I think he's going to do something.'

It's OK, Miranda. Listen. I'll go and get it straight away.

'Just stay where you are.'

And do me a favour, tell him if he lays a finger on you,

I'll go to the police. I am not scared of him.

Be as quick as you can, Lauren, please.

'Lauren's fetching it now. Stay away from me.'

Good girl.

Thanks guys. Any ID?

Her handbag must be in the ambulance. We'll go and get it.

Hello, I'm Dr Hanna. You're in Hospital. You've had a fall.

-Can you remember what happened?

-I can't.

-Can you tell me what your name is?

-It hurts.

-I know it hurts, we'll get some pain relief for you.

-Tash, can we get one gram IV paracetamol, please?

-We'll need FBC, U&E, and CRP.

-Could be a pulmonary embolism.

-OK, stand by with the quick ECHO,

we'll need a chest x-ray and a head CT.

-You were quick.

-I didn't go home.

Don't worry, I've got your money.

-Whose is this?

-I found it. Where is he?

Listen, I'm really grateful for this, Lauren.

I'll make it up to you, I promise.

Ahh, no sigh of a bag here, Dix.

You know what I reckon? I reckon someone's had that away.

Do you know what, Jeff? You should have joined the police.

You'd be Commissioner by now.

Right, I'll go and tell them, shall I?

-What are you doing?

-I'm going to give him the money.

This has to come from me. Please Lauren.

I've got to look him in the eye and tell him

to stay the hell out of my life.

Come on, you know I'm right.

-Is it 70?

-Thank you.

I'll be two minutes, tops.

Miranda!

Miranda, please, stop it. Get out of the car.

Will you drive the car? Where you going?

It's stalling, so what you want me to do about it?

Miranda, please, stop it...

She's fitting.

Lauren!

Stop the car!

Stop the car!

You just ran her over! You pig.

HORNS BLARE

So, have you spoken to Sam about tomorrow yet?

-What do you mean?

-Her GMC hearing.

Just thought, it might be nice she knows we're all backing her.

OK, right, um... So the head CT was fine.

No sign of right heart strain on the Echo,

no sign of tamponade physiology either.

Can you tell us your name yet?

Lenny wait until she is talking again

and then get a full history, yeah, and let me know.

Look, I'm just saying it's not your fault about the bag.

I know it's not my fault about the bag, thank you very much?

Well, it's not my fault! Mind your backs, please.

All right, sweetheart can you hear me? My name's Dixie, I'm a paramedic.

-You've been in an accident.

-Can you cut that?

Yeah, OK. Let's crack on, Jeff. OK.

Oh, dear. This looks nasty.

She's got a deep gravel rash, there's also some bony tenderness.

OK, let's immobilise, get some IV access and analgesia, eh.

-And 10 of morphine, yeah.

-Yeah, 10 of morphine.

Jessica.

OK, Jessica, can you hear me, sweetheart?

Right, I'll get the board kit.

Mum, why won't you answer the bloody phone?

Dunno why you're phoning her. There isn't enough for three.

-I need to tell her.

-Be careful what you say, yeah.

Mum...

..just listen, will you. Lauren's had an accident.

She got run over... What?

Yeah, yeah, somebody phoned me, somebody phoned me,

and told me that they saw...

-Hey, you've had more than me.

-Terrible, aren't I?

# There she goes again... #

MOBILE PHONE RINGS

# Pulsing through my veins... #

This is Jessica Murray,

she's been involved in a hit and run RTC with a car.

She's got a deep, contaminated gravel rash. Query fractured fib.

OK, let's get her over, please, ladies and gents on three, one, two, three.

GCS was 12 at scene now 14.

BP 140/75, pulse 80, sats 97%.

Given her half a litre of saline and 10 of morphine.

Thank you. Jessica, can you hear me? Any sign of any relatives?

No, no-one at the scene, but her purse is there with contact details.

OK.

Let CT know we'll be needing them as soon as possible,

we'll do limb views later.

We should get some antibiotics in for this gravel rash.

Scarlett can you get hold of a relative for me.

We need to know about any allergies. OK.

Can I speak to a relative of Jessica Murray, please?

I'm afraid Jessica's been involved in a road accident.

We'll, she's not that badly injured

but she does have a few broken bones.

What we need to know is does she have any allergies?

-My daughter's been brought in.

-Excuse me, but there's a queue.

-She's been in a road accident.

-One sec. Name please?

Lauren Flynn. I'm her mother.

Sorry, there's no-one with that name been brought in I'm afraid.

-Excuse me, Have you seen Sam?

-In re-sus.

Check again. Please. I've checked St James's.

-She must be here.

-OK, Found her.

-Oh God.

-Yeah, she was in earlier,

But it wasn't a road accident it was a sprained wrist.

She discharged herself.

Sorry about that.

Right, so you go through those double doors

and you take the lift to the second...

Ah Sam, just spoke to Jessica Murray's husband on the phone and she's got no allergies.

-And, he'll be here in a couple of hours.

-Great.

Oh, Lloyd when she gets back from the scanner

can you give her 1.2 grams of co-amoxiclav?

Hey, everything OK? It's only, you've hardly spoken to me all week.

I wanted to say sorry, I was hoping we could...

-Put it all behind us and start again?

-Yeah.

Yeah, I don't think that's going to happen.

Mmm.

-What?

-Well, nothing.

No, come on, what?

Bit needy.

-Behave yourself.

-You asked my opinion.

-No, I didn't.

-I'm just calling it as I see it.

You really think I came across as needy?

What do you reckon?

Needy.

Sam, have you got a moment?

Yeah.

OK. listen, um... there's no easy way to say this.

-I've been called to speak at your hearing tomorrow.

-OK.

No, not as a character witness, for the GMC.

It's not what I wanted, believe me,

I've been worrying about it constantly since I found out.

When was that? Today? Yesterday? A week ago?

No, about a month ago. No, I know.

Hang on, Sam, let me explain.

Go on, give it your best shot.

Was that 1.2 grams of co-amoxiclav?

Yes.

Scarlett, you fancy going for a drink tonight?

She's having trouble breathing.

-Her sats are dropping.

-OK, get Sam.

We need some help in here.

SHE BREATHES WHEEZILY

That's it deep breathe. OK, good.

She's got stridor.

-How long have you had the rash?

-It's just come up.

It looks urticarial to me.

I've got this.

She's going into anaphylaxis.

OK, I need 0.5 mils of 1 in 1,000 adrenaline,

10 mg of chlorphenamine and 200 mgs of hydrocortisone.

I thought you said she had no allergies.

That's what her husband told me.

Well, can you explain what's happening?

Because either you misheard him or what?

He lied to you? Now why would he do that?

Just give me the purse.

Thank you.

-There was no need for her to blame you.

-Really?

It was an honest mistake.

It wasn't a mistake. I know what I heard, OK.

OK, I'm on your side.

You'll stand by me, even though you think I got it wrong?

Great? My hero?

Scarlett. It means I believe you, OK?

-Look, I know you're upset.

-I'm not upset.

OK, you're not upset. But was that really necessary?

Considering she could have killed my patient, I'm going to say yes.

You know as well as I do that there's any number of explanations.

-But the buck stops with me, right?

-That's not what I'm saying, no.

Why don't you make a note, bring it up tomorrow?

Sam.

What are you grinning at?

You two fighting over me again? I should arrange a mud-bath.

Gosh, Did I say that out loud?

Do me a favour, Dylan, don't try and be witty.

A mud-bath?

Woo, blimey.

The rash is fading. Jessica?

Good to have you back with us.

Don't try to speak just yet. Your CT scan came back clear.

Your leg's probably fractured, but we'll know more after the x-ray.

Can I have a word?

What is it?

I think you were out of order, before.

I was. You're right.

Scarlett.

I had some unexpected news and I took it out on you.

I'd appreciate it if you stayed out of my business.

I was sticking up for you!

-I can fight my own battles. I'll chase x-ray.

-Great.

Good for her.

Mrs Flynn, hello, my name's Charlie.

My colleague has asked me to have a word with you about your daughter.

I saw Lauren earlier. She'd hurt her wrist.

She had another girl with her.

Lauren seemed to be a bit worried about her.

-Did she have black hair this other girl?

-Yes.

-Her sister, Miranda.

-OK.

I've been out of my mind with worry. Lauren's fragile.

In and out of hospital as a child.

Right, and why was that?

Epilepsy, allergies, eczema.

Her sister called me and told me Lauren had been

in a car accident, she was probably just trying to upset me.

-I'm sorry, I'm holding you up.

-No, don't worry.

-Thank you.

Miranda, I hope you can be bothered listening to this message...

-Did, she just say her daughter was involved in a car accident?

-Yeah.

-Can I have a second?

-Sure.

-Thank you.

Excuse me, sorry to bother you.

Is your daughter allergic to penicillin?

Sam.

Yeah.

Do you mind if I have a look at your patient?

Of course not.

Hello, Lauren. Remember me?

Her name's Lauren Flynn. Her mother's outside.

Lauren?

She's allergic to penicillin and she's epileptic.

Well, would explain the drowsiness

if she'd had a fit either as a result of the RTC or beforehand.

Bring the mother in.

OK.

Oh, my poor baby, what happened?

-How did you know I was here...?

-Miranda.

Miranda.

Is she going to be OK?

She has a fracture to her lower leg,

her forearm x-ray shows an undisplaced break.

They're both clean breaks. So, she's been very lucky.

The car, you didn't see the number plate?

Lauren, the purse you had that made them get your name mixed up.

They told me there's a man driving here,

who thinks his wife's been run down.

We've tried to call him back, but obviously he's still on the road.

Lauren, Lauren.

I stole it. It was in a bag outside, in an ambulance.

-I'm so sorry.

-An ambulance?

SIREN BLARES

PHONE RINGS

No, no, this isn't Jessica.

Who am I talking to please?

Right, Ben.

Yeah, no, my name is Big Mac and I am porter at Holby City Hospital.

Any change, Lenny?

No, still coughing up blood.

We've got nothing conclusive so far, so we'd better get a chest CT.

Doc, it's a bit smelly I'm afraid. Chilli sauce.

Can I have my purse, please?

Well, it's best that we get it cleaned up first. Yeah, Mac.

This belong to you?

Thank you.

Lenny, can we send her to the scanner when it's available?

Um, right, Jessica, when you're feeling up to it

I'll need your full medical history from you. All right?

PHONE BEEPS

Please tell me Miranda wasn't behind you taking that poor woman's bag?

I knew it.

She stays with you for one night and suddenly you're a thief.

-You've got to stay away from her.

-She said she wanted to get clean.

She's an addict, that's what she does.

She tells you what you want to hear. I've fallen for it a thousand times.

It killed your father.

-I'm not sure how much more of this I can take.

-Mum...

Listen to me, Lauren. You have to let her go.

We both do.

She's chosen her path.

Hi, I spoke to someone here on the phone. Big Mac?

He answered my friend's phone. I've been calling her for hours.

Her name's Jessica Murray? He said she was here, in hospital.

Jessica Murray you say. Yes, she was brought in earlier.

Lenny! Could you?

My name's Ben Shears, I'm a friend of Jessica Murray.

Is she OK?

Yeah, we're just about to take her for a scan...

-She was coming to meet me, but she never turned up.

-Right.

Can you call an ambulance? I need help...

GANG TAUNTS HIM

Seems Jessica Murray got a history of low-grade abdo pain.

In the past four years, she's had five ultrasounds, two CTs,

an OGD, she's had her appendix out, she's had a lap chole,

a flexi sig and an MRI scan.

And now her GP's put it all down to IBS. She's on Mebeverine PRN.

And two psychiatrists?

I know exactly what you're going to say,

-but her GP has just confirmed the entire thing.

-Really?

Yep.

Mind if I keep hold on of this?

She's having an affair though.

-Who, Zoe?

-No, a patient. Jessica Murray.

Why do you think she is having an affair?

Because her fancy man's waiting outside.

Also you saw the way she had her wedding ring in her purse?

Can't say I noticed. No.

I'd never put up with someone who cheated on me.

I mean, I know I haven't exactly been a saint in the past.

I don't know, fidelity feels important to me now,

especially with having the two kids to look after.

All kids need to know they're in a safe place,

with people they can rely on.

Without that trust they have not nothing right, so...

Aww, that's sweet.

You know workplace romances always end badly?

There has been extensive research into it.

Really? It's not like that.

No?

No.

PHONES RING

Sorry. It's Ben, isn't it? I'm Lawrence, Jessica's husband?

We met a few times.

You were at college with Jessica, sharing a house in...

Muswell Hill, yeah.

-So what's going on? I mean, why is Jessica here?

-An accident.

No, I mean here, in Holby? She's supposed to be in York with her work.

Look, mate, the thing is got to go, so...

Yes, mate?

There's a friend of yours here - a Ben Shears?

-Thanks.

-Apparently your husband's on his way in, too.

That's not going to be a problem is it,

-the two of them being here the same time?

-It's not what you think.

No need to explain anything to us.

All right, Britney and Joe looking forward to the bowling then?

-Yeah, they can't wait.

-Yeah, good, they gonna love it.

So, will you actually a proper chance to have a family night out.

Lenny, You've really been there for me with the kids.

Come here, I mean it. You've been great.

Ooh?

Nah, nah, It's all right. Sorry, sorry, I misread it.

Lenny, please don't leave.

-We're still on for tonight?

-No, no, I don't think so.

Look, could you get Noel to find her "friend", Ben Shears?

Lenny, Jessica's CT report. The good news is it's not a PE.

That's about as positive as it gets. See that?

Cystic structures in her right lung.

That'll explain why she was coughing up blood.

So, we need to get her reviewed by the respiratory team.

Warn her that she may need surgery.

SIREN BLARES

-So, what's going on, Ben?

-Nothing's going on.

Are you and Jessica having an affair?

No, look you really need to talk to Jessica.

I just want to know what my wife is doing here.

Is everything OK?

I want to see my wife.

Of course. Let's go inside.

What have we got?

Male collapsed in park, query overdose.

Please stand back, Mrs Flynn.

Are you all right?

I know him, he's Miranda's boyfriend.

Right, thanks.

GCS three. Looks like a heroin overdose.

Pupils are still pinpoint.

-How much Naloxone has he had?

-0.4, but his veins are shot

so the paramedics could only give it to him IM.

OK, we better give him another 400.

-Go straight for the bone-gun please, Charlie.

-Okey doke.

OK.

OK, we got a line in.

Let's keep going for a better one, please.

-ALARMS SOUND

-He's arrested.

Doctor Lyons. This is Mr Murray.

Jessica's husband.

-How long has it been going on?

-There's nothing going on.

-How long?

-Ben's gay, Lawrence.

He's in a relationship.

So, why lie about where you were?

What is it you're not telling me?

They told me you were hit by a car, now it's a fall...

-There you go.

-Sorry, you need to let her rest. Come on.

Sweetheart, try and drink some water.

ALARM SOUNDS There's still no result from that last adrenalin?

Still asystole.

Sam, Sam, Sam, Sam, stop, stop, stop.

He's pulseless and no respiratory effort since he came in.

Everybody agreed?

Thanks, everyone, time of death 17:55.

ALARM STOPS

Sorry.

Do you have kids?

No.

Jessica's always wanted kids.

So, what's stopped you?

Me. I've...

There are fertility issues.

Jessica knew about it when we got together.

She said she didn't care. So we been trying to but...

..it's never going to happen.

This is my second marriage.

Let's just say I've been through all this before.

Thing is, I think Jessica does care. In fact I know she does.

-And I think she blames me.

-It's not about blame, is it?

I'll come and get you if there is any news.

Ah, Doc, there's a police officer in reception

wants to talk to someone about the RTC.

OK, can you give me a second? Thanks. Dylan! You busy?

Um, well, I've just lost a patient, so no.

I'm footloose and fancy free. Thought I might go and have...

Great, I have got to speak to the police. Would you look at this?

Zoe, I was being sarcastic. Will you take it to someone else, please?

Oh, come on.

What's wrong with her?

We don't know, complex history, we ran a lot of tests

and all we could come up with were

cystic structure's in her right lung. Interested?

Mildly.

Was Miranda with Carl? You picked her up at Carl's last night.

Where does he live? Lauren, this is important.

-Where is she?

-I don't know.

Excuse me, I've just been chatting to a police officer

-and we were wondering whether you were...

-I don't remember anything.

Apparently there are several witnesses

who say they saw you arguing with the female passenger beforehand, so...

Lauren, if you're trying to protect your sister...

I'm not protecting HER.

This is about me and my mum.

Look what this is doing to her.

They ran me over and then they drove away.

She didn't give a damn whether I was dead or alive.

Why should we care about her? What you said, you were right.

She's going to end up like Carl sooner or later.

-Maybe it's better all-round if it happens now.

-I didn't mean it.

Lauren, if your sister took the same heroin as Carl, she could die too.

If you know where she is and you don't tell us, I promise you,

you'll never forgive yourself.

Trust me.

-You could be taking your sister's future away.

-She's a heroin addict!

And one day she might be an ex-heroin addict.

Lauren, please. What I said...

I was angry, I was tired.

Please, please, don't let her die.

Yeah. She's alive, just about.

Right, let's have some Naloxone, please, Jeff. OK.

400 mikes going in now.

Hiya, Miranda. How you doing, sweetheart?

Get away from me!

-It's all right, it's all right

-Get away from me!

It's all right. OK, all right, OK, all right.

-You're still here.

-I don't want any trouble.

Can I sit down?

Look, I'm sorry I accused you of...

Well, you know. I got the wrong end of the stick.

Jessica told me what was going on.

Really?

I'm glad. None of this was meant to hurt you.

That's why it was all so cloak and dagger.

I've always wanted to be a father.

I mean, it was just going to be a photo every now and then...

I'd be a family friend, I mean, I know the score.

It wasn't going to be like "Here's your uncle."

You'd be the father...

You were going to get my wife pregnant for me?

Well... We weren't going to have actual sex. It wasn't like that.

She didn't tell you, did she?

I need to get out of here!

-You need to be seen by a doctor.

-I'm IN agony.

You're in withdrawal, love.

Want a photo!? You freak!

-Naloxone?

-Oh yeah.

-Oh, Zoe.

-Yes.

This history you gave me for Jessica Murray, it's incomplete,

-and it only goes back four years.

-Well, how far do you want it to go?

So, I spoke to her GP again.

Got him to fax me a full medical history,

going back to when she was 14.

You don't do things by half, do you?

-Should I?

-No, Dylan. It's just a saying.

-Did you find anything useful?

-Possibly.

-Possibly? What does that mean?

-It means I'd like to have a word with her, if you've no objections.

-Be my guest, yeah.

I thought he knew. I thought you'd told him.

I took this off when I was going to meet you.

I thought if I wasn't wearing it then I wasn't betraying him.

How stupid is that?

Hello, I'm Doctor Keogh.

Before you collapsed you coughed up a little blood, is that right?

-OK, has this happened before?

-No.

-What about the abdominal pain?

-It's been getting worse.

It happens about the same time every month?

-Yeah.

-And when did you first go on the pill?

I was 16. I had terrible period pains.

And you came off it three years ago.

To start a family.

In which you haven't been successful

because of your husband's sperm count?

Has anybody ever suggested you might have endometriosis?

What is it?

Every month, a women's body releases hormones that cause

the lining of the womb to swell in preparation for a fertilised egg.

If pregnancy doesn't occur, then this wall is shed

and you bleed, that's your period.

Endometriotic cells react in the same way, except they're located outside of the womb.

But there's no natural way of them leaving the body

so they cause inflammation, pain, sometimes chronic,

and scar tissues to build up in the infected areas.

This is normally the reproductive system,

but it can be anywhere, including the lungs.

And that's why I have been coughing up blood?

You'll need a laparoscopy to confirm the diagnosis,

but I've got no doubts.

I need to speak to my husband.

Let's set up a Naloxone infusion, 400 micrograms every hour for now.

-I'll speak to the medics.

-OK. All right, Lisa?

This is all your fault. I hate you.

I wouldn't get too upset by anything she says right know.

She's in a lot of pain.

Don't worry. I've heard it all before.

-Will she withdraw completely?

-Her body will.

But as I'm sure you know well, the real battle with heroin is up here.

-She's just going to walk out of here and find herself another dealer.

-Mummy dearest knows me so well.

She's alive. As long as she stays that way there's hope.

Mum, it just hurts so much...

Miranda, I have to talk to you about Carl.

Jessica's asking for you.

Mr Murray, your wife's very ill.

Do you think I don't know that?

Do you think I haven't been with her every step of the way?

We know what's wrong with her now. She has endometriosis.

-Is it serious?

-Yes.

She was going to let me bring up another man's child.

Pretend it was mine.

Is it worth saving? Your marriage?

And what would you do? Stay? Say it was all all right?

Yes.

It attaches itself to the fallopian tubes, which can...

Hello.

Which can make it difficult for the egg to become fertilised.

Is there a cure?

I'm so sorry I got you tangled up in all of this.

There is a school of thought

which says the only certain cure is a hysterectomy.

A hysterectomy? I'm only 29.

That's one of the reasons I wouldn't advise it.

You'd have a lifetime on HRT.

HRT releases oestrogen

and endometriosis feeds on oestrogen, so it would come back.

So, that's it? There's nothing I can do?

-There are lots of things you can do.

-Like what?

The first thing I'd suggest is you see a gynaecologist

with special knowledge of endometriosis.

I'll get your GP to refer you.

In the meantime, I would suggest that you go back on the pill.

It seems to be effective in halting the spread of endometriosis.

-And it will stop the pain.

-That means I'll never get pregnant.

You can have an operation to remove the endometriosis,

but it will come back, but it gives you a window of opportunity.

-How big a window?

-I'm not an expert.

-Your best guess.

-Maybe five years.

-I'll leave you too it.

-Thank you.

Five years.

That's long enough for us, me and you, to keep trying?

But if it fails, we can try IVF.

And if it doesn't work out...

adoption.

I just want to make you happy.

Long day.

Well, it's over now.

You were good today. Actually, you were better than good.

Very heartfelt the way you dealt with that girl.

Her name was Lauren.

Yeah, well, you handled her very well.

I didn't handle her. I tried to support her.

She was about to make a mistake under extreme circumstances.

-It happens.

-OK, OK, the hearing.

I didn't volunteer for it, OK,

and I won't be sticking the knife in. Why would I?

What's going on?

-Zoe?

-I got called.

Oh, you're speaking against her?

Dylan, I got called.

She's a colleague.

I GOT called.

Hey, thought I'd wait for you.

So I was thinking...

You want to watch yourself with that.

It's not good for me, I know.

But you know I asked you if you fancied a drink,

I was thinking we could go and...

I'm not interested in going to the pub with you.

All right, well, I'll see you tomorrow then.

-What you mean?

-You said you didn't fancy a drink.

No, I said I didn't fancy going to the pub.

But what I do fancy is a bottle of wine, a takeaway, and you.

And not necessarily in that order!

Back to mine?

Charlie, have you seen Lenny?

Yeah, he's just finishing up with a patient.

I thought you were with a patient.

I was. I'm not now.

Can't let the kids down.

-Look, Lenny...

-It's fine. Seriously. Seriously.

Friends?

Till we hit the lanes, yeah.

Oh, yeah, and why's that?

Cos then it's everyone for themselves.

But you're rubbish at bowling.

Oh, yeah? Just you wait.

It's going to be carnage.

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