To Have and Have Not Casualty

Watch out!

Inspired form this morning.

Nice and still on this bit.

That's it, lovely.

Ugh! That's it, come on... Oh!

Prison rules, out the way, out the way, that's it, that's it.

Liking that, Neil, liking that. Nice and steady, this is the lap,

-this is the lap, we're there, come on, Neil, that's it, come on...

-DOORBELL

No! Erm...

Erm...

Yeah, coming!

I'm sorry, sir, it's returns only.

I'm looking for something for my wife.

-Well, I'm afraid we're closing down...

-Oh, forget it!

Excuse me!

Ah! Watch it, woman!

TYRES SCREEN, HORN HONKS

Hey! I don't know what to do with people.

-DOORBELL

-Yeah, I'm coming!

I was...

I was... in the shower...

He's not picking up, either.

-I'm going to kill him!

-Mum, don't!

-Hey! She doesn't mean it literally.

-Huh!

-He'll be here soon.

Of course he will.

-Oi!

-Get out of the way!

-Watch out!

-Move out of the way!

-What are you doing? Get out!

DOORBELL

Aaaah!

Yeah, I'm coming!

-Let's get you home, beautiful.

-Helen! Kevin! Jesse!

-Dad!

-Hey! Where you off to, eh?

-We rang the bell about ten times!

Sorry, radio was on a bit loud.

-You should see what I've got for you in the back garden.

-What?

A swimming pool?

You told him I won the lottery or something?

-Morning, Neil.

-We were hoping you'd had something for us, too.

-Did I forget someone's birthday?

-The adoption papers?

-You agreed you'd sign.

-Yeah, I've got them, all right.

-Come on!

I don't know why you just didn't sign them.

-You have to do it when a social worker's there anyway...

-All right! I said I'll do it, I'll do it.

I was in a rush. She'll be back next week.

What's a week between friends, eh?

Can we see it? Can we go into the garden? Please, Dad!

Yeah, all right. Later, all right?

-We said five, didn't we?

-Six.

OK. Six.

Behave yourselves!

Be OK.

Bloody mobility scooters! They're a right hazard.

I ever tell you about the worst RTC I ever went to?

93-year-old geezer, driving down the M4, wrong way, ten miles an hour,

-drives into a dirty great big...

-Over here!

-Here we are.

-OK, mate.

-Mr. O'Connor, cubicle three,

stapled his finger and thumb together.

Mary Neville, aged five, pea up her nose.

Mrs Shah, Mr Shah and their two little ones,

food poisoning, dehydration.

Where do they all come from? It's only 9:20!

And those are the ones flashing red. You could get Lloyd and Scarlett to muck in.

-Where are they?

-Observing in the plaster room.

I know you feel guilty about Lloyd being attacked, but you can't wrap him in cotton wool forever.

I know. Hopefully Scarlett's doing that - cotton wool, fibreglass, Plaster of Paris...

-I'm serious. If you have to invent things for them to do, you don't need them both today.

-What?

-Not if the offer of a day's hands-on training is elsewhere.

-No, no, no...

-Speak of the devils...

-Devils? Us?

Fancy going out with the paramedics? I'll arrange a day's observation on an ambulance for you.

Who's a lucky girl then, eh?

How come she gets to? Is this about last week?

Yeah. I'm sorry. I just still don't trust you, OK.

I'm only kidding, stupid. It's got nothing to do with your near-death experience with the nail gunner

or your strange inability to fib.

You'll get your chance next week, OK?

-For a moment, I thought...

-You see? Which one made you feel better,

more confident, more able to do your job?

-Which was kinder of me to tell you? The truth or the lie?

-Jay...

chest injury, ten minutes away, Sebastian Farrow,

-straight to resus.

-OK.

Anyway. You got your own top-notch mentor today, Lloydy - me.

Come on!

Cold, warmer...

-Come on!

-Warmer, warmer,

-boiling... You ready?

-Yes.

-Da-da!

-No way!

Yes, way! Last one on's a loser.

-Go on then, what's keeping ya?

-Urgh!

-Go on! Get in there. Go on, get in!

Whoa!

-Is it good?

-Yeah!

Lo-ser! Dad, why are you such a lo-ser!

Lo-ser, lo-ser!

Lo-ser, lo-ser! Lo-ser!

Lo-ser, lo-ser!

Sebastian Farrow, seventy-eight.

He fell down a steep hill on his mobility scooter.

Blunt trauma to his chest. Ejected from the scooter and hit a tree.

..Came charging past me on their bikes, cut me up. No consideration. No bloody manners.

BP's 135 over 85, Sats are 98%.

He's got some obvious bruising to his chest,

-he's complaining of chest pain.

-ECG?

Minus T-segment and T-wave changes. OK, let's get him over on three, please.

-Everyone got a bit?

-Yup.

-One, two, three...

-Hello, I'm Doctor Keogh. Can you tell me where the pain is, please?

-She just told you, are you deaf?

-What's he doing, Lloydy?

-ATLS trauma assessment.

-Just the chest then?

-You don't look like a doctor.

-More like a tramp.

-Oh, good.

Tramp chic is exactly the look I'm going for. Um...

Lloyd...

Lloyd, we're going to need a full trauma X-ray series.

That's cervical spine, chest and pelvis. Better get a serial ECG, cardiac TNT, and a cardiac echo.

-Good.

-I'm Staff Nurse Asike. I'll be helping with your care...

I don't care if you're Florence bloody Nightingale. Sod off!

-How come I never get a friendly one?

-I heard that.

So, everything OK at home?

-It's a nightmare.

-Yeah?

Ella spends the whole time screaming the house down.

-And she pukes!

-Harry's not... giving you any grief, is he?

-Nope.

Huh. Bet he doesn't buy you stuff like this though, does he, eh?

He got me a new football last week.

-But it's not a trampoline, though, is it?

-Yeah.

Come on.

Way-hey! Yeah!

Mr Farrow, you're a lucky man.

Go to hell.

Your X-ray series has come back normal, initial bloods are normal,

still waiting on the echo, um, no abnormal neurological signs -

crankiness doesn't count.

Now, um, does the pain in your chest go up into your jaw

-or down your left arm?

-No.

-Does it hurt when you breathe in?

Yes.

-Ow-ooh, oof!

-This is probably just bruising.

We've got a three-vehicle RTC en route. Query four serious injuries.

-We need all the space in here we can muster.

-OK, I think it's safe enough to get you over to CDU.

-Can I leave you to organise the hand over?

-Yeah, sure.

Lloydy's more than capable.

Is there anyone I can contact for you?

What?

Any friends or family?

Seb...

-is there anyone I can call for you?

-It's Mr Farrow, and no.

Dad, Dad, watch me, I've been practising at home, just for you!

-Does your mum let you go that high?

-You mustn't tell. Promise?

-I can stand underneath, hold the bottom if you like.

-I'm not a baby!

I'm not like Ella.

You all right, son?

Jesse?

-Jesse! Jesse!

-JESSE GROANS

Oh, my God, are you all right?

Talk to me, what's ha...?

OK, OK, I'll call your mum, I'll call your mum.

It's OK, I'm here, I'm here.

Helen, pick up, pick up.

Helen, Jesse's had an accident!

What do I do? I don't know. His, er, his head's bleeding, he's...

I don't... No, no, I called you first, I don't know...! What? OK, OK.

It's all right, it's all right. I'm here. Daddy's here.

I only popped out to get something from the library.

Oh, a keen reader, then?

Wife is.

-You know they're closing it down.

-I'm afraid it doesn't surprise me.

-Wouldn't know what to do with herself without a book in her hand.

-You OK, mate?

I'm not your mate. Do I look OK?

-Right sir.

-Come on...

-Get off me!

They're, er, very expensive, these days, books.

-You can wave goodbye to a tenner for the average paperback.

-Should get yourself an e-reader.

-What?

-They're OK, but nothing like the real thing.

There's nothing like the smell of a new book.

My wife loves...Hemingway.

She was working her way through them all.

Now she won't get to read the last one on her list -

-To Have and Have Not.

-I love books.

Pah! Your generation...doesn't have the concentration for books.

Always on your phones, computers, what not.

No-one's looking out for...the people right in their back yard.

Everyone else gets a look in.

I'm...

..accosted, all the time,

to give to charities...

for Africa.

No offence.

I think I hear Tess calling.

Please hurry, it's my son Jesse.

He hit his head in the garden, I've put something on it, but I don't know...

Jesse!

Hiya, my name's Tamzin, this is Omar. We're here to help you.

Let's have a look, sweetheart. Ooh.

-Did you see what happened?

-He was on the rope ladder.

-How high was he?

-Um, six foot?

-And you moved him?

-Yeah.

-Should I have not done that?

-Not really, but we'll sort him.

-Just going to look into your eyes, sweetheart, OK?

-How long ago?

-20 minutes?

-OK, has he lost consciousness or been sick at all?

-No, no.

OK, without shaking your head, can you tell me if you feel any other pains or aches?

-No.

-All right, what we're going to do, put you on our special board, take you to hospital, all right?

Get you better.

-GCS of 14.

-What's that mean?

That's a code for a very brave boy.

Let's do it, Tamzin.

-It's going to be OK, mate, all right?

-All right, luvvie.

Hey! What's happening?

-Nothing.

-Erm, I don't think so, he's deteriorating badly!

Er, Dylan... we need you here now, please.

Look at him, he's pale, he's clammy, he's struggling to breathe.

-He was talking away a minute ago, I couldn't shut him up!

-Meaning?

How long's he been like this?

Pulse is rapid and thready, his heart sounds are muffled!

Why didn't you tell me his obs had changed?

-We're looking at a cardiac tamponade.

-You said the trauma series was normal?

He's deteriorated significantly since. We need a FAST scan ASAP. let's get him back to resus.

-Jay, a child with a head injury's due in any minute. I need you in Paeds Resus.

-Fine, we'll manage.

-Wayne, take over, please.

-Floyd, what are you waiting for?!

I-I have to get out of here.

I need get back to my wife.

It's tea and crossword time.

I'm sure she'll manage. She can read, right? You said she loved books.

You don't know anything, moron.

-There's no need to be rude. I know you've had a rough day...

-You don't know anything!

That's why you're a nurse, not a doctor.

And what did you do for a living, huh, rocket scientist?

OK, a word, please.

Yeah, I wouldn't bother.

Let's get some fresh air, shall we?

I'm only going to say this once, so listen up. You're a nurse.

-You're here to make people feel better.

-I know, but...

-No, no.

-No buts. You cool it.

-He was being so rude. He needed telling.

-I don't care if he killed his own grandmother, we have to be professional.

-How?

-OK, so you bite your tongue and you feel sorry for him.

-What?

Look, he's very ill, OK?

-And people like that are always lonely.

-I don't care!

It's your job to care.

I know, but...

-Sorry.

-It's not me who needs the apology.

OK, this is Jesse, fell six feet height, hit his head,

landed on grass, there's a possibility he was KO'd.

His dad did move him, and he is slightly confused.

GCS was 14 now 15, pulse 110.

-BP 120.

-Jesse!

-OK, Jesse, I'm Dr Winters.

-We're going to get you on a bed and have a look at you.

-Jesse, it's OK, love, Mum's here.

-Is he going to be all right?

-We just need to check him over first.

-You guys ready?

On three. One, two, three.

-Thanks, guys.

-See you later, Jesse.

-Jay, you got the trauma chart?

-Yes.

OK, airway clear and chest movements symmetrical.

Could you give us some space, please?

I see Harry's really worried(!)

-He's dropping Ella at his mum's. Where were you?

-Sorry?

-Where the hell were you?!

-It wasn't my fault.

-Nothing ever is.

-Vesicular breath sounds bi-laterally.

-Jesse, do you have any pain in your neck, or any tingling in your arms or legs?

-No.

-Where you are?

-Hospital.

You have no idea what it was like seeing him fall...

-Good. Can you remember what you had for breakfast?

-Apple crumble.

OK... Er, do you remember falling?

-No.

-I KNEW something would happen one day.

-That is not fair.

-The sooner the adoption goes through and you stop messing up our lives, the better.

Tess, I've got the results...

Shall I inform Sister Bateman she has a squatter or is this just temporary?

-Sorry, I was...

-Slacking.

I know.

Come on, come on.

We're going to remove your collar. I need you to stay still for me.

You must have realised how dangerous it was. He's only little!

What, you saying he can't climb rope ladders now?

-Grow up!

-Can you feel any pain?

-No, I'm OK...

OK, buddy, just move your head from side to side for us.

And the other way. Good lad.

-Any pain?

-No.

-Good, let's try...

-He's my son too, you know.

Jesse Denton. Not Jesse Wilks.

-What are you saying?

-I'm saying maybe I'm not OK with the adoption thing after all.

OK, good news. Everything looks completely normal.

We'll keep him in for observation in our clinical decisions unit, and we'll treat the cut on his head.

-But he seems to have got off pretty unscathed from that one.

-Thank you.

See? He's going to be OK.

I'm not such a bad dad after all.

Maybe it was just as well this happened - it made me realise.

-I don't just want to sign my son over to another man.

-Neil!

But you know why this is important -

we want Jesse and Ella to go by the same name at school.

Let Harry pick him up, take him on holiday without the questions.

It's for Jesse's sake, you promised!

I've changed my mind.

Mr Farrow, I'm sorry, I shouldn't have spoken to you like that. I've got you something.

-It's my e-reader.

-Beautiful sentiment, appalling timing.

I downloaded that Hemingway you were after.

Leave book group until later and listen to me.

He has a traumatic pericardial effusion which is putting pressure on the heart.

-If he's going live, we need to drain it now. Now, are you assisting me or not?

-Yeah.

Jesse, we're just going to clean you up and then use

some glue to fix that nasty cut on your head. It might sting a bit.

-No, thank you.

-It'll make it feel better.

Right, do you want to shift over for us?

Hey, buddy!

Oh, I nearly didn't find you!

They had me chasing you all over this department.

Did you bring me any chocolate?

If he wants chocolate already he's clearly not that ill! (Maybe later.)

Looks like he was a very lucky little boy.

We're OK, you didn't need to come.

What?

Neil's decided he won't sign the adoption papers after all.

Er, I'm just going to get some glue. Jay?

Yeah, I'll give you a hand.

OK, so what's made you change your mind?

I just can't do it. He's my son. You want one, get your own.

-Please, Neil...

-You're wasting your breath.

Anyway, it's really up to Jesse, not you.

Don't you dare! Neil...

-It's not fair on him. He's too young.

-You don't have to do what Mum and Harry say.

You can stay Jesse Denton if you like. Yeah?

-OK...

-All good?

Well, we won't know yet. We have to...

wait and see whether the drain does its job - relieve the pressure.

Mr Farrow, I've popped a tube into the pericardium

-which is going to let the fluid drip out.

-Home.

Home.

-Will he be OK?

-He might need a thoracotomy. It's major surgery, but might be his only chance.

We just have to hope the drain does its job.

-Ow!

-Does that hurt?

-No.

-Good.

Hey, Jesse.

-Got your favourite.

-That's not his favourite. He hates that kiddy stuff.

This is my other favourite.

Yeah, he has them all the time at home.

Jesse?

Jesse, can you say something?

-What's happening?

-Excuse me, can we just lay you down?

Jesse, can you tell me when your birthday is?

-Pupils are reacting properly.

-Can you say something, anything at all?

-Even a rude word if you like?

-Oh, no, what's wrong with him?! Jesse? Are you OK, love?

-I'm fine.

-Just stay...

-What just happened? What wrong with him?

-You said he was all right.

-You said the fall wasn't bad.

-We don't know exactly what this is, or if it was caused by the fall...

Well, what would it be caused by?

Er, I want to take him for a head CT, just to check things over.

-And I would like a second opinion.

-OK, yeah. I'll see who's free.

Hey, buddy.

Phew, you gave us a scare then.

Get this thing off me. I want to go home.

It needs to stay in, Mr Farrow, to allow it to drain freely.

Let's move him over to HDC,

-keep him on 15 minute obs and close monitoring.

-You think he's still at that much risk?

Yes, if the drain were to clog or fall out, or...

become suddenly overwhelmed by an increase in fluid... This drain must stay clear.

Hey, sorry, have you got a moment?

Give him ten minutes and then move him. I'll check on him shortly.

You had us worried there.

So, erm, let me get this straight. He had a fall from a height,

-he hit his head,

-Mm-hm.

-All the tests came back clear, then he had an odd episode?

-I sent him for a CT. I thought maybe

-I'd missed something. Or the fall caused some damage I hadn't seen.

-And?

-The CT came back clear.

No intracranial bleeding, ventricles normal, and no raised intracranial pressure.

-Whatever's going on, it wasn't caused by the fall. Maybe it predates it.

-What's happening?!

-Please, make him stop!

-Was he grinding his teeth like this before?

-No.

-This is serious, isn't it? What's wrong with him?

You said he was kind of vacant? Spaced out?

Yeah, but only briefly.

Then he returned to normal, like this?

-Yes!

-He was asking the doctor.

-It looks like myoclonic jerking.

-Are you thinking what I'm thinking?

-Er, Petit Mal.

It's a childhood form of epilepsy.

-It's not as terrifying as it sounds. It almost always disappears around puberty.

-And if it doesn't?

It can develop into adult epilepsy.

But we have to have the diagnosis confirmed by EEG, that can be done as an outpatient.

What's an EEG?

It's where they put electrodes on your head, like, um, in the TV.

-It's nothing for you to worry about.

-It could've been the Petit Mal that made him fall?

-Very likely.

-So it wasn't my fault after all.

-I'll see if I can get him an EEG in the next day.

-Is that all you care about?

-No!

I don't believe you.

Maybe it's a good thing that he came in.

Otherwise we wouldn't know about this Petit Mal thing.

-So you want me to thank him, do you?

-I know your game.

You're wasting your time being nice to me.

I don't care what you say, I'm not going to sign those papers.

BEEPING Can't you turn that bloody beeping off?

I can turn it down a little.

I thought Hemingway was English.

-American.

-But did he live in Cuba?

He was very fond of travel.

He lived in Cuba, Spain, Italy, France.

You know he won the Nobel Prize for Literature for his Old Man And The Sea.

If you can't at least open it and try the first page, you're a bigger fool than you look.

My wife said that about any new book.

-But that one, it's true.

-I'll check it out.

-Yeah.

Maybe... I will have a look at that machine.

Here.

How do you turn the page?

It's this button here.

Oh, yes, magic.

I need my glasses.

I left them in the other room. Go and get them.

I'm meant to stay with you.

You're meant to look after me.

OK. I'll be back in a sec.

Come on, young man.

Where are you going? Were you just going to take him out of here without even telling me, is that it?

He's restless, I was just going to take him for a walk... to the vending machine maybe...

I was just there. I could've taken him.

-This is my day!

-Oh, for heaven's sake!

What about the doctors? Are they all right with this?

Well, of course.

I've asked Dr Winters, as long as he stays within the department.

Stop doing that, all right? He's not your son to ask after.

Harry... Dad.

-It's a bit rich, asking now if his health is up to it.

-We've established this isn't my fault!

-If you hadn't let him go so high.

-Mum... Dad.

Do not blame me for this.

-Dad, stop it.

-Hey... come on.

-What?

-Please...

Sorry, Jesse.

Looks like you're the only grown-up round here, eh?

I think the rest of us need some time out.

I'm going to shoot off, OK?

I'll see you later though, yeah?

No...

Dad... no!

Make sure you call me, soon as you know any more.

He's right, it's not fair that he goes.

Look, Helen...

we're not going to get anywhere by shutting him out.

Hey, Jesse. I tell you what. I'll go and get him back for you, OK?

And then, I'll go spend some time with your sister.

Are you sure this is a good idea?

Well, he's angry, I know but...

But we're all grown-ups, aren't we?

And we will get this sorted, I promise.

OK?

Jesse, look after Mum.

-There you are.

-White, one sugar...

-Oh. Thank you.

-You're welcome.

Are they ready for Jesse upstairs yet?

Yeah, nearly...

It is definitely a chocolate kind of afternoon.

-I thought your body was a temple.

-Yeah, but it's not a day of worship today.

May I?

Oh, yeah.

Thanks.

Hmm, you just got, er, something, it's just there.

Got it...

So...

you really think it's petit mal?

Yeah, I-I'm pretty sure the EEG results will confirm it.

I just had an inkling, you know, when the CT came back.

Why let Keogh take the credit? He'll look like he made the diagnosis.

You should never have asked for a second opinion.

Except that it's better for the patient if I do.

-Jay.

-Yeah?

-Mr Farrow.

-What about him?

-He's gone.

-Have you seen Seb Farrow?

-What?

-The old man.

You've lost a patient? Why didn't the monitor alarms go off?

He didn't like the noise, I thought it would be OK cos I was going to be with him the whole time.

-Did you upset him again?

-No! I went to get his glasses. I couldn't find them.

-Lloyd, man!

-I'll find him.

-Um, I have a patient in here, where is he?

-I don't know.

I told you to observe him closely.

This is life and death here!

"Gone to be with my wife". Imbecile.

Dr Keogh, please. That isn't helping anyone.

-I'll go look for him.

-Not in the middle of your shift. Alert the police and let them handle it.

-OK, can I take my lunch break then?

-All right, but don't be late back.

Go on your break - soon as you get back, we are going to talk about this.

-Cracking that whip a bit hard, aren't you?

-He needs to be told.

Like you did when you were new to the job?

Listen, I had to learn things the hard way too, all right.

-Ooh, Charlie was a right monster!

-I was not like Lloyd.

No, you were like Jay, and I can assure you, you were much worse.

-All right, mate. Clarence Road?

-Neil!

Neil, get out of the cab, please.

You can't tell me what to do, Harry.

-I'm not Helen.

-I'm just trying to do the right thing here.

-What by stealing my child?

-No, I'm trying to give you the rest of the day back, OK?

I'm going to go home.

Well, isn't that big of you. I bet Helen gave you a gold star for that.

D'you know... d'you know what? Do what you want, OK? I'm just trying to make your kid happy.

Pardon me.

-Excuse me, you free?

-Yeah, mate.

-OK.

So you admit it then?

You're doing everything you can to win Jesse off me. Chocolate, footballs...

You've got my wife, do you have to take my son, too?

I'm not taking anybody!

You got to use bribes, since you got no personality to win 'em round.

-That's right, throw a few insults.

-Why, you want some more?

Boring... predictable... She's only with you cos you've got a bit of cash.

Well, that's one way of putting it. Reliable... ambitious...

successful... There are others.

Self-satisfied, how's that? Smug?

You love yourself, don't you?

And you want my son to love you, too.

Well, of course I want him to love me, and so should you.

He's living in my house.

What kind of selfish dad would want his kid to live in a family that doesn't love him? Eh?

Answer me that!

Of course you love your dad, and he loves you.

But me, Harry and Ella, we want to make you officially one of our family, too.

It doesn't mean you see your dad less, as long as you promise not to climb any more rope ladders...

-Dad! What happened to your hand?

-It's nothing.

Erm, what have you done to Harry?

Neil, if you've hurt him... I...

Where's Jesse?

Harry!

Jesse!

Oh! Oh!

Jesse!

Cheers.

"It was a lovely, cool sub-tropical winter day...

"and the palm branches were sawing in a light North wind..."

Seb!

It's Lloyd, let me in!

"Some winter people rode by the house on bicycles... "

-Can you get out of the way, please?

-Mummy's here!

Right, Jesse, can you hear me?

SLURRED: Where...am...I?

-Why's he speaking like that?

-Pupils look OK, but it's another head injury.

-But he's not bleeding.

Maybe internally. We need to get him inside for an assessment.

Can we clear some space, please?

OK, Jesse, I need you to keep nice and steady for me, good boy.

OK, Jesse, what we want you to do is lie very still.

And it'll just take you very slowly in and then very slowly let you out again, OK?

Mum and Dad will watch through the window.

And we'll all be able to talk to you through the speakers in the room. OK?

Yeah, if you just want to close your eyes, we're just going to drive you into the scanner.

Why was he slurring his words?

What if he's got brain damage?

OK.

It's not his fault.

He's, um, going to be...

-OK?

-Isn't he?

-Is that what you were going to say?

Everything's always "OK" in Neil's world, isn't it?

No.

But what if it's not OK this time?

-Sorry.

-Excuse me.

Looks like a large extradural with midline shift of the brain.

-Which is?

-It's a large clot of blood inside the skull, which is pressing against his brain.

Seb!

"The house across the street..."

Seb!

"..a peacock squawked. Through the window, you could sea the sea, looking hard and new and blue

"in the winter light.

"A large white yacht was coming into the harbour.

"Seven miles out, on the horizon,

"you could see a tanker,

"small and neat...

"neat in profile against the blue sea.

"Hugging the reef as she made to the westward to keep..."

-JESSE MOANS

-Jay, how long before they can take him upstairs?

Two on the table, RTC this morning. They'll be down as soon as they can.

-OK, can you get Mr Jordan, please?

-Please no...

I'm sorry, Jesse. Son, don't do this. I'm so sorry.

Stop saying sorry. Please stop saying it!

-BP's up, pulse slowing.

-Excuse me.

Right, let's get him intubated, please.

Crash bleep the anaesthetist and let's give neuro another call.

JESSE MOANS

-When did she...?

-Last night.

In her sleep. I just - just wanted to read it to her.

She's so lovely.

I can't believe she married me.

I'm seeing a profound bradycardia and increasing hypertension.

-Tell them we need him upstairs, immediately.

-We need to relieve the pressure.

Give him 20% Mannitol, that should clear some space in the skull.

Yeah, when it kicks in in half an hour, maybe. Look, we need to do something now, Mr Jordan.

He'll cone at any minute, we cannot afford to wait for neuro.

-What's going on?

-We need to do a burr hole.

-What?

-What's a burr hole?

This is a very serious procedure.

-Can I ask you to leave and I'll explain more when we're outside.

-No!

Please?

-Come on.

-Please?

-Are you sure this is necessary?

-Dr Winters is right.

If we don't do a burr hole, he could cone at any moment. Do I have your backing?

-Yes, or no?

-Yes, yes, yes.

Get me the craniotomy set, please. Sterile gown and gloves, let's go.

-Thank you.

-37 Court Way.

And come round the back.

Cheers.

We've got to get you back to hospital as soon as possible.

I- I want... to be with Esther.

-There's plenty of life left in you yet.

-No.

I want to be with her.

I don't want surgery.

I'm ready to - to go now.

Don't do anything silly... Seb!

Seb! What are you doing?!

Ow! Agh!

Everyone ready?

I'm going to make a vertical incision to the bone, stand by with the self retaining retractors. Good, swab.

OK, right, retractors, OK.

Retracting the temporalis muscle, I'm going to make the burr hole

through the temporal bone to get to the extradural clot.

OK, another swab, please. Show me that.

Yeah, OK.

Right, drill.

Right, let's do this.

DRILL WHIRRS

It's getting more difficult to ventilate him.

DRILLING

Stop, stop, stop.

And again.

Good, good, good, good. Go on.

OK. I'm through. Thank you.

-Where's the clot?

-Swab, please.

It's not coming out.

Ooh, here it comes, here it comes, ready? Swab, swab! Quickly!

Good, good, good.

-OK, that's it.

-Pulse and BP returning to normal.

Good, that's the clot out. Another swab there, please, Dr Winters.

Yeah, I think the bleeding's stopped.

Right, Tess, will you get onto neuro for me, please?

Can you make sure that you tell them that we did all the hard work?

Thank you for your help, Ruth.

-Nice one.

-What did you expect, Jay?

-I'll leave you to tidy up there, Dr Winters, thank you very much.

-OK.

Thank you, Dr Keogh.

How is he?

It's too early to tell. He still needs to go up to theatre.

The procedure was successful and we have managed to remove the clot

and the pressure that otherwise would have killed him.

Come on.

It's all right. I've got you.

The veins on his neck are distended. What am I supposed to do?

OK, you need to raise him to a 45 degree angle and tilt him towards his injured side.

-OK.

-Can't - can't... breathe.

-He says he can't breathe.

-What shall I do?

-Yes, Lloyd, but I need you to stay calm.

Have you raised him to 45 degrees?

-Yes, but it's not helping.

-OK.

How far away are you guys?

Yeah, we're here, darlin'. We're right here, mate.

Seb, Seb, Seb, they're here, take it easy.

His wife's upstairs.

OK.

Nice one, kid. Right, need to run a drip through a normal saline, it's in my bag.

-Get off me.

-He just ripped it out. I didn't know what to do.

Seb. Sweetheart, I know this is upsetting, but I need you to stay

-nice and calm, we're just trying to help you, love.

-Lloyd...

Let... tell, tell them to leave me.

No, no, no, we're not going to leave you here.

Please...

Please.

Seb, I can tell you're in pain. Let's get you back to the hospital - we can take it away.

I want to be with Esther!

Listen to me,

I promise I won't let them touch you. Just let us take you back, so you're more comfortable.

OK, good man.

OK, Seb, I want you to breathe into this for me, love, good man...

Nice deep breaths, good lad.

Have you got a phone?

-What?

-Mine's run out of credit, I need to make a call.

There you go.

You're right.

He should love you.

And he does.

I guess I didn't properly realise until just now...

how much you love him, too.

Janine, um, it's Neil Denton.

About Jesse's adoption? Erm, I was hoping to make an appointment, get these papers signed.

Today, if possible.

Er... could you could call me back, please?

Cheers.

Neil, I don't know what to say.

I'm still his dad.

I'm Dad, he's Harry.

Of course.

But you deserve a family.

And so does he. A proper sister, all that stuff.

I'm just sorry it wasn't with me.

Look after 'em, won't ya?

OK, nice and gentle.

You've just had major surgery, should start feeling better soon, though.

Oi, well done. I'm serious, mate. If you hadn't got him back when you did who knows what could have happened.

-But he didn't want to come, though...

-So... How did you?

I told him we wouldn't touch him.

Oh, marvellous...

We aim to please, eh?

Oi, you.

Make a habit of lying to old men, do you?

Only if they're putting their lives at risk.

There are a load of cliches, right, about

turning over new leaves, starting new chapters.

About how difficult it is to start afresh, without a plan.

I like your wife's one, though.

About new books?

"If you don't at least open it, turn the first page,

"you're a bigger fool than you look."

Don't judge a book by its cover, eh?

Um, those erm,

e-book things.

D'you know where I can get one?

If you can just sign here.

Thank you.

I'll see myself out.

Bye, Neil.

And the stuff they can do is pretty cool - driving around with the blues and twos going.

And one of the paramedics was actually really hot...

-Is something wrong?

-No, it's fine. I'm just a bit...

-Knackered!

We're all straight out of one of the most high-octane procedures you're ever likely to see.

And Lloydy was out with the paramedics today too...

-saved a man's life.

-No way!

Will you, um, just give us a minute?

Thanks.

You did the right thing.

I lied.

First of many well intentioned and well-judged lies, I hope.

You're not a bad nurse, you know?

Thanks.

Ooh, hang, on, hang on, where do you think you're going?

I can stay a bit longer if you want?

Have you learnt nothing of nursing?

-Jay!

-No, Tess, this is serious. He's had a hard day and he thinks he's going home.

First lesson of nursing.

You've had a hard day,

you take your mentor to the pub and you buy him a drink. These are the rules, geez, come on!

-Anyone else?

-Go on then.

Get in! Dr Keogh?

-Erm, washing my hair.

-Thank you again for your work today.

Very nice. Same again tomorrow, please, team.

-Goodnight.

-Goodnight.

-Teacher's pet.

-Ah, he's just jealous!

So, er, what you doing? Fancy the pub?

Yeah, er, we'll catch you up.

OK, after you.

Er, pint o' lager, Lloydy!

Nice one.

-Thanks.

-What for?

Well, for your support today.

Really felt like you had faith in me, you know, had my back.

I've always got your back, girl.

Surely you know that by now?

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