Appropriate Force Casualty


Appropriate Force

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MUSIC: "Spanish Sahara" by Foals

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BLENDER BUZZES, FOOD GRINDS LOUDLY

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# So I walked through

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# To the haze... #

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GRINDING CONTINUES, BLADE THUDS

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# And a million dirty waves

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# Now I see you lying there... #

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SHE PANTS LOUDLY

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# Like a lilo losing air

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# Black rocks and shoreline sand... #

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HELICOPTER WHIRRS, EXPLOSIONS ECHO

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# Still dead summer I cannot bear... #

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VOICES ON RADIOS, RAPID GUNFIRE # And I wipe the sand from my arms

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EXPLOSIONS CONTINUE

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# The Spanish Sahara The place that you'd wanna... #

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VOICES ECHO # Leave the horror there

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# Forget the horror there... #

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EXPLOSIONS # Forget the horror here

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# Leave it all down here

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SHE PANTS, RAPID GUNFIRE ECHOES # It's future rust and future dust

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# Forget the horror there. #

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SIREN BLARES

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I'm not late.

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No, I know, Sam is. She arranged to meet her legal team here first thing and they're waiting.

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-You're worried about how she'll get on today.

-Just professional concern for a colleague. Aren't you?

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-Come on, Sam, you're late!

-Morning.

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Excuse me a moment, please.

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-They Sam's legal teams?

-Uh-huh.

-The ones who'll question me later on

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-when I'm giving evidence against a colleague?

-It's not giving evidence against, Zoe! How many more times?

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The fact is, she broke Keith Parr's neck, right?

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-How do I put a positive spin on that?

-Say what you saw calmly and clearly

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and let the facts speak for themselves, OK? See you later.

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Here we are.

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I just can't believe you'd be late, today of all days.

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Good luck.

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I'm aware I was late! This won't take long, OK.

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Don't forget you've got football practice after school today.

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So I'll pick you up at the main gate at four, then we'll go for a treat.

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You know, Dad, I'm big enough to get the bus to school myself now

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-and home.

-Well... I like spending time with you.

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CAR BRAKES SCREECH, HORN BLARES

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-WOMAN SCREAMS:

-Mark!

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I've had enough, Keeley! For once in your life,

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-you'll listen to me.

-There's no need to be so aggressive!

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-Aggressive? Aggressive?! You think this is aggressive?!

-Let me out!

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I want to get out of the car! ENGINE REVS

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WHEELS SQUEAL

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Why was that man shouting at that woman?

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I don't know, son. But it's none of our business.

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-Should you not be in that meeting with Sam's lawyers?

-Afraid not.

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-I've been called for the other team.

-Eh?!

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-You're a witness on Keith Parr's side?! You turncoat!

-Excuse me!

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I'm an impartial observer, simply there to give the facts, OK?!

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The fact is you saw Sam restrain a patient.

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Yeah, but... Well, it's just not as simple as that, is it?

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Nice of the system to turn people on the same team against each other.

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-I haven't turned against Sam.

-Well, they're not going to let you

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say anything to help her case, though, are they?

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The thing is, if you didn't have to pick me up from school,

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-you could get a proper job again.

-I have a proper job.

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Working part-time in a shop? You used to have an office and everything.

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-Lots of people have no job at all these days. We're lucky.

-CAR ENGINE RUNNING

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That's not very good parking.

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Maybe we should call the police. I think that woman was in trouble.

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I don't think we should get involved.

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Oi! get away from my car!

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-Dad!

-Go on, sod off!

-I don't want any trouble!

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-ENGINE REVS

-Jake! Hey, slow down! Jake!

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-THUD! Agh!

-Jake!

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BRAKES SCREECH, ENGINE REVS

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-JAKE MOANS

-Idiot!

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It'll be all right, mate!

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CAR HORN BLARES

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All right, Jake, listen, I'll get an ambulance or something, yeah?!

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-Trust me, I know what I'm doing.

-Sam, exactly, they're...

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I, er... Biggest apologies.

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You've gone completely mad, have you, Sam?

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I know you like a challenge, and you like a secret

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but unless you got law degree you're not telling me about,

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-you've just committed professional suicide.

-Thanks for your support(!)

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Don't be so damned self-righteous!

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I'm about to embarrass myself in an open hearing for you today.

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Embarrass yourself? By telling the truth?

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No! By admitting in public that you had to protect me

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from being lamped by a little oik like Keith Parr.

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Well, I'm sorry about that. See you in court.

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-JAKE CRIES

-I promise! I promise, right?

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The ambulance is here now. Listen, take some deep breathes, mate, yeah?

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For the pain, all right. Please hurry, it's my son!

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-What's his name, mate?

-Jake!

-OK.

-Jake, how you doing, me old son?

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-Can you do me a favour? Can you hold his head?

-Yeah!

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-Try to keep it still.

-Jake? Jake, can you hear me, sweetheart?

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-You're doing really well.

-What happened?

-Er...hit and run!

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There was a man... he was covered in blood...

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-JAKE RETCHES

-Jeff! Jeff! All right, darling!

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Good lad. Just let it all out.

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-HE COUGHS

-Let it all out. Good lad!

-Was he knocked unconscious at all?

-Yeah.

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-Ah, my leg!

-All right, how long for?

-Just a couple of minutes, I think.

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I want you to take some big breaths on this, OK? Good boy.

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-Oh...

-It's all right, mate, he's going to be fine.

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Yeah, don't worry, he'll be fine, he'll be fine.

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TYRES SQUEAL

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HE PANTS

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CAR ALARM WAILS

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OK, Sam's fired her legal team.

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So she'll be representing herself at the hearing.

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So, if Sam's conducting her own defence,

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is she going to be cross-examining me about my GMC statement?

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-That's why I wanted to warn you.

-She'll be questioning me as well.

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I've been questioned by Sam before. It's not nice.

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Well, look, the hearing will be starting shortly.

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I can't be more than two doctors down today. Dylan, will you go?

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Show Sam some support and, when it's time for Zoe's testimony,

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-give us the heads up and come back and switch over, OK?

-OK.

-Thank you.

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BELL TOLLS

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Keith!

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I wanted to be here to support you, son.

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I told you I never want to see you again.

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Tom, this is Jake Fisher, 12 years old.

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He was involved in a slow fail-to-stop RTC, briefly KO'd.

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His GCS was 13, got a fractured left tibia.

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BP is 120 systolic, pulse 90 and sats are at 98% on O2.

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Hold that for me, please. Let's have him over on three when we're ready.

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-One, two, three...

-Ah!

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Resps 28, a bit of entonox, 2½ of morphine.

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-Your mum won't thank us for ruining your trousers.

-I live with Dad!

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Er, yeah. This is his dad Terry.

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-What happened?

-He was run over - some madman!

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-Hey, Jake, I'm Tom...

-ON RADIO: 'RTC on Stanley Road.

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-'Seriously injured driver. Over.'

-How you feeling?

-Sore!

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This is open clinically fractured. Call X-ray for a trauma series, then CT head and neck.

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If you take a seat and wait until you're called and, please remember,

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-don't discuss the case.

-Yes.

-Thank you.

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Dr Nicholls, would you follow me, please?

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Good luck, Sam.

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'We're here today'

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to determine Dr Samantha Nicholls' fitness to practise.

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I shall be asking for testimony from current and former colleagues

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and I will ask the panel to consider,

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in the light of their testimony, whether Dr Nicholls

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has a record of behaving inappropriately under pressure.

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We shall also consider whether she has breached good medical practice

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which sets out the standards that doctors must follow at all times.

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I'd like to bring in the first witness, Mr Chairman. Mr Keith Parr.

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Before Mr Parr testifies, I would like to show the panel

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CCTV footage from Holby City Hospital

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of the incident itself on January 8th.

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So, Mr Parr, we can quite clearly see Dr Nicholls restrain you there.

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Her senior colleague, Dr Zoe Hanna, seems quite horrified by what she's watching.

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-And Dr Nicholls has hold of you for quite some time.

-Yes.

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With consequent injury?

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To my neck, yes.

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Mr Parr suffered a hairline fracture of cervical vertebrae C4,

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as indicated on the original scans.

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Mr Fisher, CT scans and X-ray are back. Jake will be fine.

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-But unfortunately, he has fractured his tibia.

-What's my tibia?

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It's your shinbone, mate.

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It's right here. The car bumper must have cracked it. But I'm afraid

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-you'll need an operation.

-Will I need crutches after?

-You'll be in a plaster for about six weeks.

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-I'm afraid you won't play football for a couple of months.

-Good.

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-I hate football.

-Oh...

-Whoa!

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-You OK, Mr Fisher?

-Yeah, it's just, um...

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Just shock, I think. If anything happened to Jake, I wouldn't know what to do.

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Is there anyone we can call for you? Jake's mum?

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Jake's mum isn't around. She left a while ago.

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Doesn't have much to do with Jake any more.

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She ran off with my child minder.

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She was Polish.

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I would like to take Mr Parr through the CCTV footage again, Mr Chairman.

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As you can see here, Mr Parr appears very aggressive

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and Dr Keogh is forced backwards.

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Dr Hanna's horrified reaction is not, in fact, due to my actions.

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But it comes earlier when Mr Parr goes to strike Dr Keogh.

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-And here, you can see I'm talking very calmly to Mr Parr.

-You had me in a head-lock!

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I restrained you with appropriate force to prevent you injuring a colleague.

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But that does not excuse what you di... Ahem...

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It does not excuse what you did to me.

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HE COUGHS >

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Mr Parr, please understand you are under no pressure here.

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This panel is simply a professional investigation

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into Dr Nicholls' fitness to practise.

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It is not here to judge you in any way.

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Thank you.

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Dr Nicholls?

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No more questions, Mr Chairman.

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Thank you, Mr Parr. Your testimony is concluded. You are free

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to leave or you may sit in the public area

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and observe the rest of the proceedings, as you see fit.

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I would like to read to the panel a few comments

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from Dr Nicholls' colleagues and ask for her response to them.

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I understand it's a shock to see your child injured,

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but really, Jake will be fine. Children are surprisingly resilient.

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Thank you. I just can't believe I just stood there

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and let some thug mow my child down!

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Things like this, they happen very fast, out of nowhere.

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You did the right thing in not letting things get any worse.

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I hope they find that man. He was covered in blood.

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He can't get very far without being seen.

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Just tell the police everything you saw, like what type of car it was.

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Do you remember? You didn't get a bump to the head as well, did you?

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No, nothing like that. It's just, um...

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I don't drive. My wife used to do all that.

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I think it was...red.

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OK, well, look don't worry about it.

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Just look after yourself and Jake and we'll get him up to theatre as soon as we can.

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-Get off me!

-Mark Burton, 34, patient refused a collar. He's been involved in a RTC.

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His car versus a parked vehicle, no other persons involved.

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He's also got a wound on the right side of the neck,

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but how he got it at the scene, I don't know,

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and he's certainly not going to tell us. On three, please.

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-Everyone got a bit? Over on one...

-Wayne, can you cross match six units?

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-..three!

-Right, what's his name?

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-Mark.

-Hi, Mark, I'm Dr Hanna.

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-Can you tell me how you did this to your neck?

-I'm OK, I want to go now.

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Whoa...

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-You've been in the wars!

-I can look after myself! Just let me go home!

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Stay still!

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Let's listen to the chest. Scarlett, can we clean up some of this blood to see what we're dealing with?

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-Get your hands off me!

-OK, airway's patent, breath equal and symmetrical.

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-Circulation?

-Still systolic at 85

-Keep the pressure on there, Lloyd.

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-Got it.

-We need to get that BP up. Push the fluids, get another line in

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and get one unit of O-neg while we're waiting for the cross match.

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-Are we on that, Wayne?

-Yeah.

-Great.

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HE COUGHS

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Staff Nurse Scarlett Conway describes Dr Nicholls as strong.

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-Presumably meaning strong enough to break a man's neck?

-Um...

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I don't believe that that was the intention

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of Staff Nurse Conway's statement.

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-She meant... She meant strong personality.

-Either way,

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I think that we'll all agree that Dr Nicholls is clearly regarded

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as a forceful individual within her ED.

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Her Clinical Lead, Dr Niccolo Jordan...

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"Dr Nicholls' greatest strengths

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"her fearlessness in the face of physical threat or danger,

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"as evidenced by her arguably reckless actions

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"during the major incident on Silverton Estate,

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"may also turn out to be her greatest weakness."

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Would you like to comment on that, Dr Nicholls?

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I, um...

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I think the key phrase here is "arguably" reckless.

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I didn't endanger anyone else but myself.

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So you're impulsive? You have a tendency to extreme physical action?

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-Look, I did what I had to do to save lives.

-No more questions, Mr Chairman.

0:17:130:17:16

I suggest a 15-minute break before the next testimony.

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-If that's OK with both parties?

-Yes, Mr Chairman.

0:17:230:17:26

Then I'd like to call Corporal Ian Dean.

0:17:260:17:31

Can I get some help in here, please?

0:17:410:17:44

You're very lucky it wasn't an artery.

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OK. Right, I want his systolic above 100,

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and his tachy down to 90 before I'll be happy.

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Street-fighting man, by the looks of him.

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Some of those bruises are weeks old.

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It's not for us to judge, Lloyd.

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What?

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-Dylan, what?

-Don't panic, Sam, I...

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-I didn't touch him. I found him collapsed in the loo.

-Keith?!

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-Are you OK?

-He's obviously got some renal problem.

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He's obviously in some pain.

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I'm going to come with you, Keith.

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-I'll be with you. I'll come to the hospital.

-Get her away from me!

0:18:240:18:27

-Keep the mask on, Mr Parr!

-Get her away from me!

0:18:270:18:29

Hi, yes. This is, um, Dr Sam Nicholls.

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Is it possible to speak to, um...?

0:18:320:18:34

Sorry, yes, um, speak to Mr Jordan?

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OK. Thanks, bye. >

0:18:410:18:43

Yeah, so what you want to do is go around the corner there

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-and it's the second on your left.

-Thank you very much.

-All right.

0:18:470:18:50

Um, I'm looking for my fiance, Mark Burnton.

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I just had a call from the police to say he's been in an accident.

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-OK, um, if you take a seat, I'll get someone.

-All right

0:18:580:19:02

Dr Hanna to Reception, please.

0:19:020:19:05

Dr Hanna to Reception.

0:19:070:19:08

Mr Parr. Dr Nicholls phoned to say you were on your way.

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Dr Nicholls wants you to keep me here, I suppose?

0:19:120:19:14

No. Just to let us know your condition was acute.

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We're two doctors down today, so we needed an early warning.

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We'll need a physical examination, blood tests and an ultrasound.

0:19:200:19:23

What exactly are you looking for?

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Abnormalities. Although we don't quite know what yet.

0:19:250:19:29

-Noel.

-Yeah, um, Mark Burnton's fiancee here.

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-Look, is Mark OK? What's happened?

-Let's talk in the Relatives' Room.

0:19:400:19:44

Corporal, can you tell us how you know Dr Nicholls?

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We worked on a MERT team together in Camp Bastion.

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Medical Emergency Response Team.

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We deploy in Chinook helicopters with a 12-member team,

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eight military, four medical.

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Can you describe a typical MERT operation?

0:20:050:20:08

For security reasons, we only touch down on the ground for ten minutes at a time.

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My men secure the landing zone while the medics treat casualties.

0:20:110:20:15

Am I right in saying that all members of your unit,

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including the medical personnel, are armed?

0:20:190:20:22

-You are.

-What kind of weapon was Dr Nicholls armed with?

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Typically, an SA-80 standard issue British Army combat rifle,

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which would remain in the helicopter,

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and a Browning 9mm semi-automatic in a thigh holster.

0:20:330:20:37

Now...can you tell us the events of July 26th 2011?

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We were deployed to an incident in a neighbourhood caff a few kilometres from base.

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It been targeted by a suicide bomber.

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What happened next?

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Well, Dr Nicholls followed standard procedure,

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which is to triage the wounded and treat them in order of seriousness,

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regardless of whether they're our forces,

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enemy combatants or civilians.

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I understand that Dr Nicholls prioritised an Afghani local.

0:21:080:21:13

Yeah.

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And what happened next?

0:21:140:21:17

Look, these kind of attacks often come in two waves.

0:21:230:21:26

It's the initial bombing,

0:21:260:21:29

then, once we've arrived on the scene, a secondary attack.

0:21:290:21:32

Dr Nicholls was treating her patient on the ground, when he made a suspicious move.

0:21:330:21:37

It appeared he was going to trigger another device.

0:21:370:21:41

Dr Nicholls followed procedure and her training.

0:21:430:21:47

Go on.

0:21:470:21:49

She pulled her sidearm and shot the suspect.

0:21:520:21:54

She shot her patient?

0:22:000:22:02

THEY MURMUR

0:22:020:22:04

Correct.

0:22:040:22:06

-Fatally?

-Yes.

0:22:060:22:08

According to Army reports, Dr Nicholls discharged

0:22:100:22:13

three bullets from her weapon.

0:22:130:22:16

If you say so.

0:22:160:22:17

Are three bullets at point-blank range normal

0:22:180:22:21

-to completely neutralise a target?

-It's restrained.

0:22:210:22:25

Dr Nicholls succeeded in removing the threat.

0:22:270:22:29

By killing a man?

0:22:310:22:33

No more questions, Mr Chairman.

0:22:380:22:40

DOOR OPENS

0:22:460:22:47

-OK.

-Can I see him?

-No, not just yet. He's still undergoing treatment.

0:22:470:22:52

Sit down.

0:22:520:22:54

Mark had a very deep wound to his neck,

0:22:540:22:57

which needed ligation of a major blood vessel and a number of deep sutures.

0:22:570:23:00

Have you got any idea how he might have got them?

0:23:000:23:03

Er, no. Look, is it serious?

0:23:030:23:06

He might have a scar, but otherwise no.

0:23:060:23:10

A few inches either way, though, and it would've been a completely different story.

0:23:100:23:14

Please, will you make sure that he knows I'm here and will you just

0:23:140:23:17

tell him...tell him that everything's going to be all right?

0:23:170:23:20

-Tell him that.

-Of course I will.

0:23:200:23:23

Mark was a bit out of it when he came in, so would you mind filling in some paperwork for me? Just basic stuff.

0:23:230:23:28

Er, yeah, of course. Anything to help.

0:23:280:23:32

Can I ask you a question?

0:23:320:23:34

Mark seemed to have a number of old injuries on his body.

0:23:340:23:36

Do you know what might've caused them?

0:23:360:23:39

Does he have any medical problems that I should be aware of?

0:23:390:23:44

Um...

0:23:440:23:45

No. Um, I mean...

0:23:460:23:49

you know, he's a big, clumsy oaf, is Mark. He's always falling over

0:23:490:23:53

-and banging himself up.

-I just thought he might've been involved in some fights, you know.

0:23:530:23:57

Well...nothing serious.

0:23:570:24:00

He's a bloke.

0:24:000:24:02

You're thinking the same thing everyone else thinks.

0:24:040:24:07

-That he's my bit of rough?

-No.

0:24:070:24:10

-We've been together almost four years now, you know.

-Good for you.

0:24:100:24:14

Right, if you can wait here and fill that out,

0:24:140:24:17

I'll send somebody in when you can see him, OK?

0:24:170:24:20

Thanks. I appreciate it.

0:24:200:24:22

OK.

0:24:220:24:23

OK, usual bloods, please, Scarlett. Looking for inflammatory markers.

0:24:250:24:29

I'll need a neck head CT scan and an ultrasound.

0:24:290:24:32

-Then can we find Mr Parr a bed in CDU, please, until the results are back?

-What's wrong with me?

0:24:320:24:36

That's what we're going to find out.

0:24:360:24:39

I going to take some bloods, Mr Parr, OK?

0:24:390:24:43

-What's the story with Parr?

-He collapsed at the hearing.

0:24:440:24:48

-What, and?!

-I know! Listen, Zoe, you'd better get down there. They'll need you soon enough.

0:24:480:24:52

-Well, I've got to send this patient for some scans first.

-All right, OK.

0:24:520:24:55

OK, we're moving Jake to CDU now. He'll be more comfortable there before he goes to theatre.

0:24:580:25:02

Right, young man, you relax and, er, let me do the driving, eh?

0:25:020:25:06

Going to tell me how you did this to your neck, then, Mark?

0:25:070:25:11

And don't tell me it's a shaving injury.

0:25:110:25:13

I hear that one about three times a week.

0:25:130:25:15

I've had me stitches. I want to go now.

0:25:150:25:18

You've been in a car accident, Mark. You're very lucky, you know.

0:25:180:25:21

X-rays shows there's no fractures,

0:25:210:25:24

but I'll send you for a CT scan just to be on the safe side. OK?

0:25:240:25:27

Just you relax, yeah.

0:25:320:25:33

MARK!

0:25:340:25:37

-I've been so worried about you!

-Oh, it's OK.

0:25:370:25:40

Have you talked to the police yet?

0:25:400:25:41

-He's got to go for a CT scan first, so sit down, please.

-You OK?

0:25:410:25:44

Yeah, it's nothing, um...

0:25:440:25:46

Come on.

0:25:460:25:48

All right, in we go. >

0:25:480:25:51

In my experience, Corporal...

0:25:550:25:57

..medical personal, when treating enemy combatants, can be fired upon.

0:25:580:26:04

Yes, Dr Nicholls.

0:26:040:26:07

It's a dangerous job.

0:26:070:26:09

And can you perhaps explain to the panel

0:26:100:26:13

some of the other differences between working on a MERT team

0:26:130:26:16

and in an ED back home?

0:26:160:26:18

Well, you have the Golden Hour in which to save a patient.

0:26:190:26:23

We have the Platinum Ten Minutes.

0:26:230:26:25

Decisions have to be made fast and in dangerous situations.

0:26:250:26:30

Thank you, Corporal.

0:26:340:26:37

No more questions.

0:26:370:26:39

Thank you, Corporal Dean. You're free to leave.

0:26:430:26:47

Can I say one more thing?

0:26:510:26:53

Go ahead.

0:26:540:26:56

There were 12 people in the helicopter that day.

0:26:560:27:01

Both the pilots and one of the nurses are still working at Camp Bastion.

0:27:010:27:05

Two of my infantry soldiers and both my gunners

0:27:060:27:08

have been invalided out with life-changing injuries.

0:27:080:27:11

Both paramedics and a third soldier are dead.

0:27:130:27:17

Dr Nicholls and I are here.

0:27:190:27:22

And the seven Afghan civilians

0:27:240:27:26

that Dr Nicholls worked on in the back of the helicopter that day

0:27:260:27:30

are all still alive.

0:27:300:27:33

-You can wait in here until Jake comes back from his X-rays.

-OK, thanks.

0:27:450:27:48

Is something wrong?

0:27:540:27:56

I think, that other couple earlier, that was them from this morning.

0:27:580:28:03

That was the man who ran Jake over.

0:28:030:28:06

Dr Hanna's patient? He'd been in an RTC.

0:28:060:28:09

Sorry, a Road Traffic Collision. A car crash?

0:28:090:28:13

The police are here already waiting to speak to him.

0:28:130:28:15

-We can tell them if you like.

-Nah, I don't really want to get involved.

0:28:150:28:19

Well, I understand that, but he could have killed Jake.

0:28:190:28:22

And if you don't do anything about this, some other father might not be so lucky.

0:28:220:28:25

That's not my responsibility. I've got Jake to look after.

0:28:250:28:29

I mean, a man like that! What if he comes after me?!

0:28:290:28:32

-I'm enquiring about my son, Keith Parr.

-Right, er...

0:28:340:28:39

Yeah, um, Keith's just been moved to CDU -

0:28:390:28:42

the Clinical Decisions Unit. They must've finished his tests.

0:28:420:28:46

-Would you like me to show you?

-No.

0:28:460:28:48

If you could just let him know I'm here?

0:28:480:28:50

Only if he needs me.

0:28:500:28:53

I'll wait here.

0:28:530:28:54

One long continuous breath.

0:29:000:29:02

Keep going, keep going.

0:29:030:29:05

Thanks, Tom.

0:29:050:29:07

Stop.

0:29:070:29:09

Hi.

0:29:140:29:15

I've just been talking to my colleague

0:29:150:29:18

and it looks like Mark was responsible

0:29:180:29:21

-for running over a 12-year-old boy earlier on today.

-What?

0:29:210:29:24

Well, it must've been an accident. Mark's not like that.

0:29:240:29:27

Well, there's a witness who says he saw Mark fighting with a woman beforehand.

0:29:270:29:32

He was fighting with you, wasn't he?

0:29:320:29:35

Look, it was nothing. It was just a domestic.

0:29:350:29:38

-What have you done to your hand?

-Nothing.

-The same witness said

0:29:380:29:42

that he saw Mark covered in blood before the car crash. Is that because you were trying to defend yourself?

0:29:420:29:47

-Pushing him away?

-Look, I just cut it when I was leaving the house in a hurry trying to get here!

0:29:470:29:52

-If Mark's abusing you, there are people that can help...

-No, I just want to be left alone with Mark!

0:29:520:29:57

What have you said to them?

0:30:020:30:04

-So, you and Dr Nicholls are husband and wife?

-Separated.

0:30:060:30:10

No-one's served divorce papers yet?

0:30:100:30:12

-No.

-And you work together at the same hospital?

0:30:130:30:16

It must be quite an amicable relationship.

0:30:160:30:19

Not really, no. We argue just about all day, every day.

0:30:200:30:24

Like an old married couple.

0:30:240:30:25

Like an estranged married couple.

0:30:250:30:28

Is Dr Nicholls in the habit of intervening when you have an argument with someone else?

0:30:280:30:33

Er...

0:30:340:30:36

She wouldn't have a minute to herself if she did.

0:30:380:30:42

Presumably, from experience, you know exactly

0:30:420:30:45

-how vigorously your wife...

-Estranged wife.

0:30:450:30:49

..can take action when called upon to do so.

0:30:490:30:52

Were you surprised by how she handled Mr Parr?

0:30:520:30:56

Dr Nicholls, er, does not suffer fools gladly.

0:30:560:30:59

-Um, so no.

-So I see.

0:30:590:31:02

-She's quick-tempered?

-That's not what I said.

0:31:020:31:05

How do you think her experience in Afghanistan affected her?

0:31:070:31:11

Um...

0:31:110:31:12

She's a strong, confident, resourceful woman.

0:31:140:31:18

-I don't think it affected her at all.

-Not at all?

0:31:180:31:22

Not even when she shot and killed a man?

0:31:220:31:24

Is that my test results?

0:31:380:31:40

Yes, Keith, they are.

0:31:400:31:42

Have I got cancer?

0:31:440:31:46

Yes. You have.

0:31:470:31:51

-I'm sorry.

-But you... But you can treat it, right?

0:31:510:31:56

Well, yes, we can, but, er... unfortunately, it's advanced.

0:31:560:32:01

It's spread to other parts of your body, including your lungs.

0:32:010:32:05

You'll need a complete full screening to determine

0:32:050:32:09

the rest of the spread, but, er...I'm very sorry.

0:32:090:32:13

What are my chances?

0:32:150:32:17

Honestly?

0:32:170:32:19

Yes.

0:32:190:32:21

50/50.

0:32:230:32:24

There's something else I need to, er, discuss with you.

0:32:250:32:29

Er, your neck scans.

0:32:290:32:32

I've known you for some time now, Dr Keogh,

0:32:350:32:39

and, in my experience, I wouldn't say you're a violent man.

0:32:390:32:45

You must have been terrified when Mr Parr attacked you.

0:32:450:32:50

-I was terrified.

-If I hadn't intervened...

0:32:500:32:55

who knows what could've happened?

0:32:550:32:58

I'm only glad you did. God only knows what might've happened.

0:32:580:33:02

-Thank you, Dr Keogh.

-I mean... Who knows?

0:33:020:33:05

Um, I might not even be here today if you hadn't have stepped in.

0:33:050:33:09

Very interesting and informative exercise it's been, too.

0:33:090:33:12

Great.

0:33:120:33:13

-No more questions...

-It's not every day

0:33:130:33:16

-you find out your wife killed a man and forgotten to tell you...

-Dylan!

0:33:160:33:19

..which only goes to prove that Dr Nicholls' treatment of Mr Parr

0:33:190:33:23

was in no way motivated by her relationship with me.

0:33:230:33:29

No more questions, Mr Chairman.

0:33:300:33:32

-I'll just check Mark's neck, so can you give us a couple of minutes, please?

-OK.

0:33:360:33:40

I don't want Jake anywhere near him.

0:33:470:33:49

It's OK. You're safe. The police were notified.

0:33:490:33:53

He's given a statement saying that he ran Jake over.

0:33:530:33:56

-Someone should show that man what he's done.

-Why don't you?

0:33:560:34:00

You did that. You ran my son down in front of me.

0:34:080:34:12

Let alone what you did to him, how do you think that makes me feel? I don't care how bad a day you had!

0:34:120:34:17

You had no right crashing into our lives on a normal school run day

0:34:170:34:20

and turning everything on its head for the next three months!

0:34:200:34:23

I'm sorry.

0:34:260:34:28

I'd like to say sorry to your little lad, too, when he's feeling a bit better.

0:34:300:34:34

OK, then.

0:34:390:34:40

Thank you.

0:34:450:34:47

Keeley was right. You are a big softie.

0:34:540:34:57

Mark...who did this to you?

0:34:590:35:02

Most of the injuries are on the right-hand side.

0:35:020:35:06

We thought you'd sustained it in the car crash.

0:35:060:35:08

But the boy's dad said you were covered in blood before that, so...

0:35:080:35:12

Keeley's left-handed, isn't she?

0:35:150:35:17

She's about six inches shorter than you.

0:35:170:35:20

She did this to you, didn't she?

0:35:200:35:23

I don't know what came over me.

0:35:270:35:29

You know, I've never hit her back before.

0:35:300:35:33

I mean, you don't, do you? A man doesn't hit a woman.

0:35:330:35:39

But today...

0:35:410:35:43

..she woke me up by whacking me straight back into last night's row.

0:35:460:35:51

Then in the car to work, same thing, punching me as we drove.

0:35:510:35:55

I just snapped.

0:35:560:35:58

Chased her out of there.

0:36:000:36:03

I turned the corner, she was waiting.

0:36:030:36:06

Bottled me...right there.

0:36:070:36:11

She ran away by the time I got back to my feet.

0:36:110:36:14

I went back to my car...

0:36:160:36:18

Well...you know the rest.

0:36:190:36:22

You're right, Mark.

0:36:230:36:25

Real men don't hit women and you're a decent man.

0:36:250:36:29

Yes, you made a mistake this morning, but you know that.

0:36:290:36:32

You can do a lot better than Keeley.

0:36:340:36:36

-Zoe, can I have a word, please?

-I've got to go to the hearing!

-It's important.

0:36:430:36:48

THEY LAUGH

0:36:480:36:51

This is Keith Parr's scan at the time of the incident with Sam

0:36:510:36:54

and this is his scan today.

0:36:540:36:56

-See what I see?

-Yes.

0:36:560:36:59

You need to get this in front of the GMC when you testify.

0:36:590:37:02

-Let's get this copied onto a memory stick.

-Quickly.

0:37:020:37:06

I promise it won't happen again!

0:37:060:37:09

I just get so mad sometimes and you...you're just...

0:37:090:37:12

-You're too laid-back!

-And we're too different.

0:37:120:37:16

I know it's not perfect, I know that, but it's ours.

0:37:160:37:20

I know I can be better, I can do it!

0:37:200:37:22

You cut me with a broken bottle this morning.

0:37:220:37:26

You did all this.

0:37:280:37:31

It's over.

0:37:310:37:33

No.

0:37:330:37:35

No, I'm not going to let you do this!

0:37:350:37:38

-You need to calm down.

-Don't you tell me to calm down!

0:37:380:37:41

It's something that doctor said, isn't it?

0:37:410:37:44

She's turned your head! God, Mark, you can be so stupid sometimes!

0:37:440:37:48

-Keeley...

-Where is she? Where's she gone? I'm going to find her?

-Keeley!

0:37:480:37:52

SIREN BURSTS

0:37:520:37:54

Oi! Oi!

0:37:560:37:58

-Yeah, you! What have you been saying to my fiance?

-I don't have time!

-That he can do better than me?

0:37:580:38:03

-Who do you think you are?

-I haven't got time!

-But you've time to bust up my relationship, but not face me!

0:38:030:38:08

-Don't walk away from me!

-Oww! Oww!

-Hey, hey, hey, easy!

-Get off me!

0:38:080:38:13

-Do this to all your male patients?!

-Security!

-Pick the ones you fancy?!

0:38:130:38:17

-Whoa, easy!

-Listen...

-Get off me!

-I don't think so!

-Listen to me!

0:38:170:38:20

Your boyfriend has told me exactly what you've done to him.

0:38:200:38:24

And if he chooses to tell the police, I'll be more than happy,

0:38:240:38:26

more than happy to give them a full report of all of his injuries!

0:38:260:38:30

And I'll be testifying that you assaulted Dr Hanna so, if I was you, I'd just shut it, eh, love!

0:38:300:38:34

Get off. I said get your hands off me!

0:38:340:38:37

-You all right, kid?

-Yeah, yeah.

0:38:370:38:39

-Shall we get you a cup of tea?

-No, I've...

0:38:390:38:43

I've got to get to Sam's hearing. Thank you.

0:38:430:38:45

Well, what was that about?

0:38:460:38:49

Don't know. She wants to try working with you(!)

0:38:490:38:51

Yeah, not my hair!

0:38:510:38:54

-New evidence?

-Medical information that came to light today. I believe it's highly relevant to the case.

0:38:540:39:00

A few hours ago, my colleague, Mr Jordan,

0:39:020:39:05

performed a number of medical tests on Mr Parr.

0:39:050:39:08

He may well have saved his life in doing so.

0:39:080:39:11

The results reveal that Mr Parr has cancer.

0:39:110:39:15

Because it's been developing in his body for quite some time,

0:39:160:39:19

it has spread. And the results show that, in simple terms,

0:39:190:39:24

it's weakened his bone structure.

0:39:240:39:27

He's susceptible to pathological fractures that otherwise wouldn't occur.

0:39:280:39:33

And because his bones are fragile,

0:39:330:39:35

it would take less force than normal to break his bones.

0:39:350:39:39

We know there are no absolutes. There's...no absolutely perfect diagnosis.

0:39:400:39:46

There's no absolutely perfect doctor.

0:39:460:39:49

If you were to strike off all the doctors

0:39:490:39:52

on the medical register that's ever made a questionable decision or an error of judgement, well,

0:39:520:39:58

there'd be no medical professionals left.

0:39:580:40:01

Thank you, Dr Hanna.

0:40:020:40:04

I suggest a 15-minute break before closing statements.

0:40:040:40:09

Ian.

0:40:120:40:14

I've got to be at Northolt by 1830 hours.

0:40:170:40:20

-Straight back to Afghanistan?

-Yeah, it's a living.

0:40:200:40:23

Look, um, about what you said in there.

0:40:240:40:28

-It's fine.

-Actually, it's about what you didn't say...

0:40:280:40:32

Like I said, it's fine.

0:40:320:40:35

The Army don't want such matters discussed in open court now, do they?

0:40:350:40:39

No.

0:40:390:40:40

-I'm sorry I can't stay to hear the decision, but I'm sure you'll be all right.

-Thank you.

0:40:420:40:46

-Nearly over, Sam.

-Yeah.

0:41:050:41:08

I think, now we know about Keith's illness, that should help you.

0:41:080:41:13

I shouldn't have laid a finger on him.

0:41:130:41:15

That's what this is really about. His illness may account for nothing.

0:41:150:41:19

Dylan...

0:41:210:41:23

About that man I... killed in Afghanistan...

0:41:240:41:28

Mm-hm?

0:41:280:41:29

I thought he was reaching for a bomb trigger.

0:41:290:41:32

-He had this device with a button on...

-It was war, Sam.

0:41:320:41:36

You, far more than I, know that changes things.

0:41:360:41:40

Come here.

0:41:440:41:46

There is just one more thing I'd like to say to the panel before you retire to make your decision.

0:41:570:42:02

It's a name.

0:42:040:42:06

Saleh Al-Rangur.

0:42:120:42:14

Saleh Al-Rangur was 28 years old.

0:42:180:42:22

He was there that day in the cafe with his young son.

0:42:230:42:27

Saleh Al-was not the most healthy of young men.

0:42:300:42:32

He suffered severely with asthma.

0:42:340:42:36

The hospital at Camp Bastion had given him an inhaler.

0:42:360:42:40

Saleh Al-Rangur was the young man I shot three times.

0:42:440:42:50

He was not trying to trigger an explosive device.

0:42:530:42:59

He was trying to show me the...

0:43:010:43:04

inhaler in his hand, because he couldn't breathe properly.

0:43:040:43:08

And in a room full of dust and pain...

0:43:110:43:15

..I made a mistake.

0:43:160:43:18

And I killed an innocent man.

0:43:200:43:23

The Army reprimanded me and, er,

0:43:260:43:29

they didn't make a note of it on my record.

0:43:290:43:34

They said, at times of war, things like this happen and...

0:43:340:43:39

..perhaps they do.

0:43:410:43:43

I killed Saleh Al-Rangur...

0:43:470:43:51

..and I will live with that for ever.

0:43:540:43:57

The panel shall now retire to consider its decision.

0:44:120:44:16

Have you heard anything yet about the verdict on Dr Nicholls?

0:44:250:44:28

Yes, the panel have retired to, er, to make their decision.

0:44:280:44:34

But you told them about this, right? My cancer. They need to know.

0:44:340:44:38

Yes, Keith, we told them.

0:44:380:44:40

The other thing I wanted to talk about is your treatment and it

0:44:420:44:46

-looks like we can get going on that next week, if that's OK.

-OK, good.

0:44:460:44:50

Thank you.

0:44:500:44:52

I don't know what to say.

0:44:540:44:56

I really hope that you get better.

0:44:590:45:02

One of the key elements to a successful recovery

0:45:040:45:06

is the support that you get from your friends and your family.

0:45:060:45:10

You'd be surprised what a difference it can make. Talk to your mother.

0:45:110:45:16

OK, they're back. Fingers crossed, eh?

0:45:560:46:00

Cleared.

0:46:080:46:10

CHEERING NICK: I'm really pleased.

0:46:100:46:12

-Aw, fantastic.

-Right, let's hit the boozer.

0:46:120:46:16

I want to hear these war stories.

0:46:160:46:18

-Well done, babes.

-Good to hear.

-Thank you.

-Congratulations.

0:46:180:46:21

-Well done, babe.

-Congratulations.

-Well done, yeah.

-Thank you.

0:46:210:46:25

Why didn't you tell me you'd killed a man?

0:46:360:46:39

We're doctors. We see people dying every day.

0:46:390:46:42

On the whole, not ones we've shot ourselves.

0:46:420:46:45

-Would you have listened if I had?

-Of course.

0:46:450:46:47

No, I mean, actually listened, not just made some dry remark,

0:46:470:46:50

patted me on the back, and got out of there as quick as you could?

0:46:500:46:54

When do I ever do that? OK, OK, I do do that.

0:46:540:46:56

But there's only so many times I can hear extreme sports experiences.

0:46:560:46:59

Anyway, if you'd wanted to talk so much, why didn't you tell me about your affair?

0:46:590:47:04

I told you in just about every other way conceivable.

0:47:040:47:06

-Oh, does everybody know?

-SHE SIGHS

0:47:080:47:09

-About Afghanistan?

-Well, if they don't, they will after the first drink.

0:47:090:47:13

What?

0:47:150:47:17

It was quite interesting today, wasn't it? Our moment in court.

0:47:190:47:24

Neither of us could storm out and slam a door.

0:47:240:47:27

It's a shame we never tough it out more in the past.

0:47:270:47:31

Yes. Yes, it is.

0:47:320:47:34

Thanks, Dylan.

0:47:360:47:38

I know you have a unique way of going about it.

0:47:380:47:41

-Zoe, I'm getting another round in. Do you want one?

-G & T, please.

0:47:560:48:01

Do you, um, do you want to come for one?

0:48:010:48:04

Er, no.

0:48:040:48:06

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