Seeing in the Dark Casualty


Seeing in the Dark

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-He's been off school with a bug.

-How did he end up like this?

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-This could be an infectious bacteria.

-What is it? Tell me!

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It's E. coli. My wife is eight months pregnant.

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I don't want to close the department.

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You think it's right to keep this from the public?

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We're doing everything we can.

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Are you mad?

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We're looking for the hospital - my wife's a bit under the weather.

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SHE WAILS

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We had a baby!

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I'm going to miss you, Agnes.

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Not sure I have any energy left for this Halloween do.

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Nah, night of the living dead?

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You'll fit right in.

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If anyone thinks they've been affected by E. coli,

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can you to come to the front, please?

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-Hey, hey, hang on!

-I'm sorry, sir, but they might be infectious.

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-I could bleed to death.

-If you would, that'd be incredibly helpful.

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-Dylan!

-Be one less patient to treat, wouldn't it? Mr Nolan, please?

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Someone's in a good mood, I see.

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-I don't see any great reason for joy. Do you?

-Right.

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Bethan's going to look after you.

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Bye-bye, sweetheart.

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You've got all my numbers, haven't you?

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-In triplicate.

-All right. OK.

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-See you later.

-See you.

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PHONE VIBRATES

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-I didn't mean to intrude.

-I don't want you near my family.

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Look, Rob, I know it's tough but I had to report it to the Health Protection Unit. You know I did.

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You seen this?

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-Someone leaked it.

-Why would

-I

-do that?

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Heard I'd made a complaint against you. It's vindictive.

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-I don't know what you're on about.

-We've lost the supermarket order.

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Without that, the bank'll foreclose. We'll lose the farm.

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-That has got nothing to do with me.

-How can you say that?!

-Be...

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I think I'd better leave.

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Yeah, I think you'd better had.

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HE SPEAKS POLISH DOG WHINES

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HE SPEAKS POLISH

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BABY CRIES

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Come on, Nathan.

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Where's my happy boy, eh?

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CRYING CONTINUES

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CRYING CONTINUES

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Here y'are. Look!

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Take it.

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HORN HONKS

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HORNS HONK TYRES SCREECH

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I've got it. Here you are.

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-There you go, Mr.

-SHE SCREAMS

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Nurse Andrews, this is our infection control officer.

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Can you talk us through, please?

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Yeah, we take a history. Immediate stool and bloods.

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IV fluids for those who need them. But mostly, we're sending them home within two hours.

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That's cos most of them are neurotics with absolutely nothing wrong with them.

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-Thank you, Dr Keogh.

-That's a pleasure, Dr Hanna.

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Can I just say what an enormous debt of gratitude we all owe you for today?

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We've admitted three patients - all elderly, none critical.

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Thanks, Tom, I need you back in the department. We're stacking up with non-related admissions.

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-I'll make a start.

-Thank you.

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-Will you cut it out?

-Just to make your life easier?

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-I thought we were a team.

-We were until you blabbed to the press.

-Blabbed?!

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It's common sense. You don't talk to the press.

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Do you think, maybe, that this could wait?

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Grow up!

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-I wouldn't take too much notice of Dylan.

-Oh, it's not him.

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-Rob Arkwright issued some complaint to the Trust board.

-Could it lead to disciplinary action?

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Who knows? I broke every rule by speaking to the press, didn't I?

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They're covering their backs. That's all.

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Can I have some help here, please?

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I need to stabilise his neck, so will you hold it like that for me?

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I'll be back in a minute. Thank you.

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-Baby's in the blue car.

-OK.

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You need to get his neck stabilised.

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BABY YELLS

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-Hey. Hello, little fella.

-OK, Airbag's caught her.

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Hello, sweetheart. My name's Dixie. I'm a paramedic.

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-Can you tell me your name?

-Bethan. The baby, Nathan...

-Jeff?

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-No, he's fine. Temperature's good - it's all good.

-All right.

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-Your baby's seems to be doing OK.

-He's not my baby.

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-Jeff?

-Yep?

-Could you hold her neck for me, please?

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Right, Bethan. Airbag seems to have done its job, love.

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Jeff's just going to hold your neck for a bit. I'm going to run to the ambulance and get a board.

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We're going to pop you on it, just as a precaution till we get you to hospital. OK?

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OK.

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Zoe.

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-Hi.

-I need you to sign off on a transfer to Paeds. It's that three-year-old.

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The parents heard about the E. coli on the news. It's lucky we got it early.

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-There might be SOME good to come out of the press coverage.

-It's why they brought her in.

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Caring parents, are they? Responsible parents?

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They would have brought her in anyway. Thought I'd just get that in before you.

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-Shouldn't we be backing her?

-We're here, aren't we?

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We're working our insides out. Doesn't mean we have to be happy about it.

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Jeff.

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This is Nathan. He's a year old.

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He was secured on a back seat of a car during an RTC

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-but he's fine - all his obs are normal.

-OK. Tom's waiting for him in Resus.

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OK. Come on, then.

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-OK. What have we got?

-Unidentified male, came off his bike.

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On arrival GCS 12 - is now 14.

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He's got severe bruising to the right-hand side of his rib cage.

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Pulse is 95, sats 97, BP 110 systolic. He's had 500 of saline.

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OK. We got no name?

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No, he's been out of it the whole time and got no ID.

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Let's get our mystery man straight to CT. Fletch!

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This is Bethan, 18. She was driving. Car hit another car. Airbag caught her.

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GCS was 15 on arrival. She's become breathless en route and she's getting worse.

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She's developed an urticarial rash and some swelling to her lips.

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Think its anaphylaxis. She's had 0.5 of adrenaline.

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Hello, Bethan, I'm Dr Hanna.

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You're having an allergic reaction to something. We're giving you an injection to help you to breathe.

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Can you give me some nice deep breaths?

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That's it.

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DIXIE SIGHS

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-God, I hate these.

-Yeah, me too.

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Fletch, let's get her into Resus. We'll give her 10mg of Piriton IM,

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200mg of Hydrocortisone,

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a nebuliser of Salbutamol and a chest, neck and pelvis X-ray.

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Tom...any worries?

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Obs are good.

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Great. Thank God for car seats, eh?

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Sam.

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You look whacked.

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Yeah, well, I've had better days.

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-Have you assessed?

-Yes.

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I'd say query of fractured ribs, and right ulna.

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Some sort of infection?

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Possibly conjunctivitis. Which would explain the lymphadenopathy.

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-Any relatives?

-Er, no.

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Mobile phone broken. No ID.

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But...he is carrying this.

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What is he - 18? 19 at most? That age, I was just happy to get a snog.

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Me too!

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How we feeling?

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-Oh, a little bit tired, if I'm honest!

-Ah, and how about her?

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Her BP's improving. It's 110/70, but she's a little bit worried about the baby.

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The baby's fine. Do you have a telephone number for his parents?

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Yeah, in my phone. His mum's Ally. Ally Orman.

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-Do you mind if I have a little look?

-No, go for it.

-You got that?

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So Bethan, you've had a reaction to something. That's why you couldn't breathe properly.

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-Are you allergic to anything?

-No.

-On any medication?

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Anything at all?

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Took a few anti-histamines. Got this rash.

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Right. When you say you took a few,

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how many is that?

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Two? Four? Six?

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More than six? Less than ten?

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Yeah. Yeah. I thought they'd help.

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Well, you should really stick to the dose.

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Is that what caused the breathing problems?

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Well, it would be extremely rare but if you did take that many...

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They still didn't cure the rash!

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No, that is strange - it still didn't cure the rash.

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-It's not your day, is it?

-Well, baby's mum is on her way.

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Is he scared? I should be with him.

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Seriously, he is the most un-scared baby I've ever seen, all right?

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Fletch.

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Keep a close eye on her.

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You worried?

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-More curious.

-OK.

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-Sam, how we doing with your query appendicitis?

-Waiting for a porter, then she'll be gone.

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Good. Tom?

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Man in six has an excruciating case of hypochondria. Convinced he's got cancer -

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-all I can see is mouth ulcers.

-Have we seen him before?

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-Six times in three months.

-Show him the door and you have my permission not to be nice about it.

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So, Sam, fastest turnaround seems to be your kidney stones in two.

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Tom, you take foot injury in one.

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I'll take the chest drain in four,

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and then once we've got that lot cleared we should all...

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-Start all over again.

-Exactly.

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Mystery man's making a bit more sense. I'm no expert but I think he might be Polish.

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Oh!

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-Witaj.

-I take it you don't speak Polish.

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-Means "hello". And I can count to five and order a beer, as well.

-So you're practically bilingual.

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-You're impressed, I can tell.

-Nie, nie jestem.

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-W-Was that rude?

-Use your imagination.

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Now, can I get you anything?

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-Can I see Nathan?

-No. Not until we know what's wrong with you.

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His mum's going to be here in a minute.

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The most important thing is that you two are both all right. Yeah?

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Yeah. Yeah, course.

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PHONE VIBRATES

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Er, shouldn't really have that on in here.

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My dad.

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-Do you want me to call him? Let him know where you are?

-We're not talking.

-Sounds serious.

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He hates my boyfriend.

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I was supposed to be meeting him.

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It's not that bad.

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Well, OK. Here y'are. I want you to pop this mask back on.

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OK? Relax.

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Deep breaths.

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There you go.

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Tess? The vending machine's broken.

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I fix humans, not machines.

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I know, but I need chocolate. Should be free on days like this!

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I just saw you scoffing a doughnut!

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That was from a relative. It would have been rude not to eat it.

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-Hey, I'm saving mine for later.

-You're making me jealous.

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I'm sure he'd like you to have one.

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How long has he been here?

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Not long. He just said he just wanted to say thanks.

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OK, Just try and breathe normally for me. That's it.

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So, is it an allergy?

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Well, your glands are really swollen.

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Have you been feeling run down?

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-Had diarrhoea, too. That was fun.

-I can imagine.

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We've been camping out - me and my boyfriend.

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Toilet only flushed when it felt like it, and then the pipe cracked.

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-Oh, it was really gross.

-Well, no wonder you're feeling run down if you're living like that.

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-That's why I got the au pair job.

-Well, that sounds like a good move.

-Not according to the boyfriend.

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-Thought I was leaving him, not the hellhole.

-Yeah, well, men can be very stupid.

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Bethan, Nathan's mum's here - she'd like to have a word.

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-I can tell her you're too ill, if you like.

-Oh, no. It's OK.

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Yeah? OK.

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Ally...

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I'd never hurt Nathan. You must know that.

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You said you'd stay inside.

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You'd only go out into the garden. That's what you said.

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I know. I should have told you, but you were so wound up...

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-So this is all my fault, is it?!

-No, but...

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Well, Nathan's OK, isn't he?

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I'm going to pack your bags. You can come and collect them whenever you're ready.

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You're sacking me?

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Can't I even say goodbye?

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After what you've done?

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Ally...

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OK. Lie back.

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Let's get this mask back on.

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There you go.

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Do you remember your name?

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Bart.

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Bart Nowak.

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OK. Can you look straight ahead for me, please, Bart?

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OK, Bart, your right eye's very red.

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Has it been bothering you long?

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It's, er... What you say?

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Conjunc-tiv-it-is.

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Conjunctivitis.

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Have you seen a doctor?

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My mother's a doctor. I called her.

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In Poland?

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I told her my eye - red.

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She said conjunctivitis.

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And I bet she said you should go and see someone about it.

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Didn't she?

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OK, how many fingers am I holding up?

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-Two.

-OK. How about this side?

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It's...blurred

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but I think two.

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OK, good. How we getting on with those results?

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Yeah, here we are.

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Ah, excellent.

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-If you take these, this will help with the pain.

-Then can I go?

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We need to see why your vision is blurred. I'm going to give someone a call from upstairs

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-to come down and take a better look.

-I have a chance of a ride.

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Free, home, but it's tonight.

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Back to Poland?

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I can't afford a ticket.

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This is the only way. Please.

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Lloyd will take you through to cubicles. And I'll get straight on to Opthalmics, OK?

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Then we'll talk afterwards.

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-Agreed?

-Thank you.

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Bethan, we've got some of your results back.

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You're pregnant.

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I'm on the pill.

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Well, because you had diarrhoea, that may have affected the pill. Do you know how late you are?

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-I thought it was just this bug.

-Have a think about when your last period was, cos that would really help us.

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OK?

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Fletch, I'm going to have to nip up to ICU. Can you try and persuade her to call someone?

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-I won't be long.

-OK.

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-So...

-HE CLEARS THROAT

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..it's turning out to be a bit of a day, innit?

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Sorry. Master of the obvious.

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-I have to find Bart.

-No, don't do that. Is Bart your boyfriend?

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-I've been such a cow. Please. He said he'd leave if I didn't meet him.

-We can't let you go yet.

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So let's get this back on.

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-Why don't you let me call someone for you? What about your mum?

-She died when I was a baby.

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OK.

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This argument with your dad. Is it just about your boyfriend?

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Dad hates him. Treats him like he's scum or something.

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-Well, if he let you live in that dump...

-That wasn't down to Bart!

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I can't make you call your dad, but have a little think about it, all right?

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You need someone with you.

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They've taken him off dialysis, then?

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-If his kidneys don't kick in...

-There's a good chance it'll work.

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They wouldn't be trying if there wasn't.

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Tell her.

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Tell me what?

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The CCDC called.

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They've finished testing the plant at the farm. We're clear.

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-Are you sure?

-We're not the source of the outbreak.

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-Well, that's good news, isn't it?

-You really don't get it, do you?

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Nobody's going to buy our produce now. Not for months.

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-Years, even.

-Leave it, Rob.

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SHE did this!

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What's more important?

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Bobby!

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-Can we get a trolley in here?

-Why's she like this? What's happened?

-Bobby?

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-It's all right. Bobby's OK.

-How do you know her?

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She's my daughter.

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OK, well, we need to get Bethan down to the ED.

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Mr Hearn? Ray?

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Are you feeling all right?

0:17:410:17:43

Oh.

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Just dropping off.

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-I can think of more comfortable places to have a snooze.

-Oh!

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I'm not allowed one at home.

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Why's that?

0:17:530:17:54

Agnes's sister's has decided she'll stay till the funeral.

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She's Methodist.

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Do they not nap in the afternoons, then?

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Chairs are for sitting in, apparently.

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Oh, er...

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Thought it'd be a nice gesture.

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Sort of thing Agnes would have done.

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Do you know what, Ray? This is perfect.

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Doughnuts are a tonic.

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You sorted a date for the funeral?

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Tuesday, apparently.

0:18:370:18:40

And how are you coping?

0:18:440:18:46

You sure you're all right?

0:18:480:18:50

Go on, I...

0:18:530:18:55

be in, in a bit.

0:18:550:18:57

Want to finish... giving these around.

0:18:580:19:01

-Dad, I'm all right. Really. Shouldn't you be with Bobby?

-No way am I leaving.

0:19:150:19:21

Seriously, Beth, why didn't you tell me you got a job?

0:19:210:19:24

-Even that halfwit Bart didn't know where you were.

-Don't call him that.

0:19:240:19:27

-Who was driving? Was it him?

-No.

0:19:270:19:30

One of his dodgy mates, then? Bet they were stoned.

0:19:300:19:33

-Dad, it was me. I was driving, all right?

-Do you think this could wait?

0:19:330:19:37

I'm sorry.

0:19:370:19:39

I'm sorry. Let's not argue.

0:19:390:19:41

We're down to a three-hour wait now.

0:19:450:19:47

Woo-hoo(!) Let's crack open the champagne.

0:19:470:19:49

-The boss did promise us a drink.

-Can't wait.

0:19:490:19:52

-Ah, you got to be kidding!

-Is there a problem?

-Yeah.

0:19:520:19:56

They're all scared they've got this E. coli bug.

0:19:560:19:59

Just tell them to come back when they're sober.

0:19:590:20:02

That's really helpful, Fletch, thank you(!)

0:20:020:20:04

Could you come with me, please? This way.

0:20:040:20:06

Look, and if any of you lot are sick you can clean it up yourselves, all right?

0:20:060:20:10

She's perfect.

0:20:100:20:12

Look at her fingers.

0:20:120:20:14

You came out like a boxer. Tight little fists.

0:20:150:20:18

Always ready for a fight.

0:20:180:20:20

I will never forget you looking up at me.

0:20:210:20:24

Big eyes staring.

0:20:250:20:26

I wasn't much older than you are now.

0:20:280:20:30

You all right?

0:20:310:20:33

I'm sorry to interrupt. Bethan, your blood results are back.

0:20:350:20:38

You knew you told me earlier that where you were living's a bit grotty?

0:20:380:20:41

No hot water, working toilet?

0:20:410:20:43

What's this about?

0:20:430:20:45

-Well, are there any animals that live there? Like cats or dogs?

-A cross terrier.

0:20:450:20:49

Bart's obsessed with him. He's just a puppy.

0:20:490:20:52

-Why are you interested in the dog?

-I'm pretty confident it's toxocariasis.

0:20:520:20:56

-Isn't that what you get from excrement?

-Dad!

0:20:560:20:58

Kids get it from the grass in the park.

0:20:580:21:01

It's a parasite, yeah?

0:21:010:21:03

Yeah. Your breathing problems mean it's migrated down to your lungs.

0:21:030:21:07

-And because you've got a tender abdomen, makes me think it's in your liver, too.

-That's gross!

0:21:070:21:12

You get it from things like not washing your hands properly. They're just tiny eggs.

0:21:120:21:16

-It's easily treatable if I'm right.

-What about...?

0:21:160:21:19

Er, Rob, would you give us a minute, please?

0:21:210:21:24

-Why?

-Please, Dad.

0:21:240:21:27

No, come on!

0:21:270:21:29

I'm here for you, right?

0:21:290:21:31

Me and you.

0:21:310:21:33

We always said that.

0:21:330:21:35

I'm pregnant.

0:21:440:21:45

Hello, Ray. All right if I join you?

0:21:490:21:52

Would you like a doughnut?

0:21:540:21:56

No. No, thank you.

0:21:560:21:58

On a diet?

0:21:580:21:59

No. Why - d'you think I should be?

0:21:590:22:01

Oh! No, love. You're perfect.

0:22:010:22:04

I feel about a hundred today.

0:22:060:22:09

Do you know what? I think I will have a doughnut.

0:22:090:22:11

Agnes loved doughnuts.

0:22:150:22:18

We never had them.

0:22:180:22:19

Ray, you know the farm that we thought was the source of the outbreak of E. coli?

0:22:220:22:26

Well, it's been cleared. So it's not coming from there.

0:22:260:22:29

Oh.

0:22:300:22:31

Glad, really. That farmer's wife's a lovely lass.

0:22:320:22:37

I didn't realise that you knew them.

0:22:370:22:39

Oh, yeah. She, er...ran the stall.

0:22:390:22:43

There every week, she was.

0:22:430:22:46

Always standing - even when she was so pregnant.

0:22:460:22:50

Agnes was always worried about her ankles.

0:22:500:22:54

Wh-What stall?

0:22:540:22:56

Er...farmers' market over at Stanton.

0:22:560:23:00

Bit pricey, but...

0:23:010:23:04

I had this daft idea that...

0:23:040:23:07

if we ate fresher, we might live a bit longer. Ooh!

0:23:070:23:10

Are you OK, Ray?

0:23:100:23:12

I...keep getting this pain in my side. It'll pass.

0:23:120:23:17

OK. HE WINCES

0:23:170:23:18

OK, can I have some help over here, please? That bed over there.

0:23:180:23:22

Is that Mr Hearn?

0:23:220:23:24

-Yes. He collapsed in the waiting room.

-Why the hell was he kept waiting?

0:23:240:23:28

No-one knew he was sick.

0:23:280:23:29

I should have spotted something, Dylan. He just keeled over next to me.

0:23:290:23:33

Hello, Mr Hearn, it's me again.

0:23:330:23:35

-We'll have you right as rain in no time. Can I get a line in, please, and full bloods?

-Yeah, I'm on it.

0:23:350:23:40

I hope this isn't what I think it is. No, I'm not staying.

0:23:400:23:43

Zoe, Zoe, Zoe, Zoe... I'm on your side, you know.

0:23:430:23:46

-Was that an apology?

-No, no, I still think you're an idiot.

0:23:460:23:49

That's more like it.

0:23:490:23:50

Whoever the board are, I'm sure they won't have missed all this.

0:23:500:23:54

Don't think I don't know that, Dylan!

0:23:540:23:57

You sure you don't want these?

0:23:590:24:01

The pain is not too bad.

0:24:010:24:04

Where is the optom...?

0:24:050:24:07

-Ophthalmic surgeon?

-Surgeon?

0:24:090:24:10

-I need operation?

-We won't know until they examine you.

0:24:120:24:16

Can I get you anything?

0:24:160:24:19

Here.

0:24:260:24:27

How's Grandad?

0:24:360:24:37

Don't say that near him.

0:24:370:24:40

Do you think she's going to keep it?

0:24:400:24:42

-Suppose that depends on the boyfriend a bit, doesn't it?

-Hmm...

0:24:430:24:46

Will the toxocariasis harm the baby?

0:24:460:24:51

Well, I'm not sure. We will have to treat her very carefully.

0:24:510:24:54

Probably was the puppy. Had the runs and everything.

0:24:540:24:58

I think the main culprit's the place she was living.

0:24:580:25:01

-You should report the landlord. Bet he was still taking rent.

-Right.

0:25:010:25:05

Rob, there's another thing. There was an old man here today whose wife died.

0:25:050:25:09

He mentioned that she bought some veg from the farmers' market.

0:25:090:25:12

-Have you informed the inspectors about that?

-Yeah.

0:25:120:25:15

-Yeah, of course.

-Are you sure? Because they will need to check those crops.

0:25:150:25:19

The inspector's happy. All right?

0:25:190:25:22

Now, when can I take Bethan home?

0:25:220:25:25

Well, I just need to keep her in for tonight.

0:25:250:25:27

Just for observation. I'm going to find her a bed for her now, actually. OK.

0:25:270:25:31

Thanks.

0:25:310:25:32

PHONE VIBRATES

0:25:380:25:41

Dad.

0:26:060:26:07

Where you going?

0:26:070:26:09

Er... Listen.

0:26:090:26:10

They want to keep you in.

0:26:100:26:13

So I thought I'd nip back and get you a few things.

0:26:130:26:17

You do know that I love you, don't you?

0:26:190:26:23

How's your pain now, Ray?

0:26:370:26:38

Lot better, thanks.

0:26:400:26:41

See. Told you we'd sort it.

0:26:410:26:43

It's the same as Agnes, isn't it?

0:26:430:26:46

I'd rather know.

0:26:480:26:49

You're still very much with us.

0:26:530:26:55

We'll do our best for you.

0:26:550:26:57

Don't.

0:26:570:26:59

What?

0:26:590:27:01

Oh...I've had my time, love.

0:27:010:27:03

Might be better like this.

0:27:030:27:05

Can't even cook an egg.

0:27:070:27:09

That's easily learnt.

0:27:090:27:10

Bart, I want...

0:27:130:27:14

-This is looking a lot clearer.

-Well, it's amazing what the threat of an enema will do.

0:27:300:27:34

-Why is your RTC guy still here?

-He's waiting on the ophthalmic surgeon.

0:27:340:27:38

-What you looking for?

-Well, CT and bloods are normal,

0:27:380:27:42

-but he's got partial vision loss in one eye.

-Hold on, Sam.

0:27:420:27:46

-Eosinophils they are very high, aren't they?

-Toxocariasis?

0:27:460:27:50

Mm-hm, probably. Do you know what's really weird? I've just had another case.

0:27:500:27:55

Is this is the ring guy, yeah? D'you mind if I have a word with him?

0:27:550:27:58

-Er, yeah. Be my guest.

-No, that's the thing. I just went to check his obs and he's gone.

0:27:580:28:03

"I have to go. Thank you."

0:28:050:28:07

Girlfriend's just dumped him. Poor guy's in pieces.

0:28:070:28:09

Bartok Nowak. D'you know? I think his girlfriend's in cubicle three.

0:28:090:28:12

Lloyd, you go and look for him, I'll go and speak to her.

0:28:120:28:17

-Bethan, is your boyfriend's name Bartok Nowak?

-Yeah.

0:28:170:28:21

-I think he's been in the ED the whole time.

-What? Is he OK?

0:28:210:28:24

-Came off his scooter. I think he's OK.

-Can I see him?

0:28:240:28:28

No, that's the thing - he's gone walkabout. Where is this dump he's living in?

0:28:280:28:32

-It's the workers' block. Bart and his mates who work for my dad all live there.

-What - on the farm?!

0:28:320:28:37

Right on the edge of Dad's land.

0:28:370:28:38

They get a cheap rent if they work for him. It was all right in the summer.

0:28:380:28:42

We used to light fires and stuff, and we grew loads of things. It was fun.

0:28:420:28:45

-You know these things that you grew. Did you sell them?

-No.

0:28:450:28:48

Jenny did, though. They were her crops, really.

0:28:480:28:51

And did she sell them at the farmers' market?

0:28:510:28:54

Think she's been doing quite well out of it.

0:28:540:28:56

Hello, is that Dr Hayton?

0:29:110:29:13

Hi, it's Dr Hanna again from Holby City.

0:29:130:29:16

Yeah, I just wanted to check if Rob Arkwright had mentioned

0:29:160:29:20

that they were selling produce at a market.

0:29:200:29:23

Completely separate to the processing plant.

0:29:230:29:26

No, he didn't?

0:29:260:29:29

-Yeah. I'm sure you weren't. That doesn't surprise me.

-Zoe?

0:29:290:29:34

I'm sorry. Dr Hayton? Could I call you back in maybe five minutes?

0:29:340:29:39

Be great. OK. Bye.

0:29:390:29:41

-Hiya.

-Hi.

0:29:410:29:43

Bobby's OK. He's passing water.

0:29:430:29:44

That's good news. At least it's some kidney function.

0:29:440:29:47

I know its early days.

0:29:470:29:49

-Where's Beth and Rob?

-Beth is just resting in the cubicle over there

0:29:490:29:52

and I'm not sure where Rob is.

0:29:520:29:54

-Zoe, Ray Hearn's just crashed. They've moved him to Resus.

-OK, let's go.

0:29:590:30:03

-DYLAN:

-He's in VF.

-Oh, no.

0:30:140:30:17

OK, charging. Everybody back, please. Shocking...now.

0:30:190:30:24

-He wanted to be with his wife, Zo.

-Not our decision.

-Can you do CPR, please?

0:30:240:30:29

He's back in sinus...

0:30:390:30:41

-..with an output!

-Good lord.

0:30:420:30:44

Just goes to show.

0:30:440:30:46

-OK, Linda?

-Yeah.

0:30:460:30:48

Are you crazy? What are you doing?

0:30:480:30:51

Get out! And you. Go on.

0:30:510:30:54

WORKERS SPEAK POLISH

0:30:540:30:56

-You the last?

-Yes, I am.

0:30:570:30:59

-What are you doing?

-Don't panic - your bag's out.

0:31:150:31:18

-This is our home!

-Not any more, it's not.

-What would Bethan say?

0:31:180:31:20

-Bethan doesn't want to see you again. She showed me that text.

-She showed you?

0:31:200:31:24

-Beth wants you gone.

-You made her send it.

0:31:240:31:27

No need. She's seen through you. You used her.

0:31:270:31:31

No. I love her!

0:31:310:31:32

Eh? Eh?

0:31:390:31:41

DOG BARKS

0:31:440:31:46

BART YELLS DOG'S NAME

0:31:460:31:50

No! Leave it!

0:31:500:31:52

DOG BARKS ANXIOUSLY

0:31:520:31:54

Bart! Bart!

0:32:000:32:02

-Have we got a definite diagnosis?

-No, we're still waiting on the labs.

0:32:020:32:05

So we don't know for sure it's E. coli?

0:32:050:32:07

His wife's just died from it and we're in a middle of an outbreak.

0:32:070:32:10

Look at his nails.

0:32:100:32:12

OK. Yes, that wouldn't be caused by E. coli.

0:32:130:32:16

What are you thinking?

0:32:160:32:17

Metal poisoning has the same symptoms as E. coli.

0:32:170:32:20

-You think he's been poisoned?

-He was hyper-salivating.

0:32:200:32:23

It's arsenic, isn't it?

0:32:230:32:25

-Really?

-It's very rare.

0:32:250:32:27

-But treatable?

-Yes, if we move fast.

0:32:270:32:29

SIRENS WAIL

0:32:290:32:32

ROB GROANS

0:32:410:32:43

I hate burns.

0:32:490:32:51

Can't say they're my favourite, either.

0:32:510:32:53

Give me a hand.

0:32:580:32:59

OK, get him down.

0:32:590:33:01

Is there anyone else in there?

0:33:010:33:02

You have to save him. You have to!

0:33:020:33:05

Tamz! Can you help out, please, love?

0:33:050:33:09

Please! Please! You've got to save him. You've got to look after him. Please!

0:33:110:33:15

Nice and slowly, mate.

0:33:160:33:18

-OK, mate, pop yourself in the corner.

-Jeff I could do with a hand here, sweetheart.

0:33:250:33:29

-I need to get a line in.

-All right here? Yeah?

0:33:290:33:32

What's your name?

0:33:340:33:36

-Bart's got to be all right.

-Bart'll be fine. I'm going to sort you out.

0:33:360:33:39

Dix?

0:33:450:33:47

-Dix, I can't do this - I'm going to be sick.

-You can.

0:33:470:33:50

-I can't.

-You can, sweetheart. Come on. Deep breaths.

0:33:500:33:54

Look, check his airway and get some oxygen on him, OK?

0:33:540:33:56

I'm going to help you, OK?

0:33:590:34:01

How's that airway?

0:34:030:34:05

Tamz, airway?

0:34:060:34:08

-Tamzin?

-Yeah, it's clear, yeah.

0:34:120:34:15

Right, and what's next?

0:34:150:34:17

Er...ten of morphine. Steve!

0:34:170:34:19

Yeah, and you need some water gel pads and fluids, OK?

0:34:190:34:23

This is gonna help the pain, all right?

0:34:230:34:26

All right. Nice one. Line's in.

0:34:260:34:29

Cheers, Jeff. I'm OK now, love.

0:34:290:34:31

OK. How you getting on there, kid?

0:34:330:34:36

Yeah, you can. Yes, you can.

0:34:360:34:38

Wow! I've never seen that before.

0:34:380:34:41

It was a very good spot.

0:34:410:34:43

Finally, I've done something right, then?

0:34:430:34:47

Fowler's solution. Found it in his bag. It's a restorative tonic.

0:34:470:34:52

Been around for generations but it was banned decades ago.

0:34:520:34:55

Due to high arsenic content?

0:34:550:34:57

The skin lesions and the nails means it's built up.

0:34:580:35:02

So, what - was he having it with his cocoa?

0:35:020:35:04

-Either that or his wife's been trying to poison him.

-I highly doubt that.

0:35:040:35:09

Well, medics are on their way down. Pharmacy are looking into chelation.

0:35:090:35:13

-Great. At least he stands a chance now.

-Yes.

0:35:130:35:17

-You been mugging old men again?

-It's a shame to waste a good doughnut

0:35:190:35:23

but as I am watching my weight...

0:35:230:35:25

-How is he?

-He's still critical, but Dr Keogh's on it.

0:35:250:35:29

-Er...

-They're for Noel.

-I'm pulling rank.

0:35:290:35:33

Right, OK, guys, we've got a serious fire.

0:35:330:35:35

Two patients, with significant burns

0:35:350:35:37

and one more with compromised airway. ETA five minutes.

0:35:370:35:40

OK, Mac, will you get Ray out of Resus, please?

0:35:400:35:43

Last thing he needs to see is this. Fletch, you're with me.

0:35:430:35:46

Louise, save me that doughnut.

0:35:460:35:49

It's the RTC kid who came off his scooter earlier.

0:35:510:35:53

He's not having a good day - he's just got himself trapped in a house fire.

0:35:530:35:57

-Straight into Resus, Tom's waiting.

-Ten of morphine, first bag of saline.

0:35:570:36:00

Rob, what happened?!

0:36:000:36:02

He went in after the kid. I'll get his wife.

0:36:020:36:05

Rob, can you hear me? Will you let Bethan know we've found her boyfriend, as well?

0:36:050:36:08

One, two, three...

0:36:080:36:10

-Right, let's get another line in, please.

-Can I get five of morphine? Can you hear me?

0:36:100:36:15

Can you speak to me?

0:36:150:36:17

Bart.

0:36:170:36:19

Bart? We're going to concentrate on you for now.

0:36:190:36:22

Can we get a full blood count, U&Es, LFTs, glucose, and carboxyhaemoglobin?

0:36:220:36:26

Burns chart.

0:36:260:36:28

Thank you.

0:36:280:36:29

HE GROANS

0:36:320:36:33

Sorry. We're going to be as gentle with you as possible, OK?

0:36:330:36:36

-Sam, are you OK here?

-All good here.

0:36:360:36:38

-Tom?

-Yeah?

0:36:380:36:40

-Talk to me.

-That's the line in.

0:36:400:36:42

BP's dropping. Pulse is 120.

0:36:420:36:45

-Resps are still high.

-Burns?

0:36:450:36:48

30%, full thickness on the left leg and upper torso.

0:36:480:36:50

-Bart!

-Bethan, you got to give us some space here.

0:36:540:36:58

-Stand there. Stay there.

-What happened?

0:36:580:37:00

Bart was in the building. Your dad pulled him out.

0:37:000:37:04

Dad saved him?

0:37:040:37:05

-Fletch, ten of morphine.

-Yeah.

0:37:050:37:07

Apparently so, yes, carried him out. He's over here.

0:37:070:37:10

-Is he OK?

-Well, his burns are nowhere near as bad.

0:37:100:37:14

Bethan, listen to me, Bart's very sick. His burns are extensive.

0:37:140:37:19

Do you understand?

0:37:190:37:20

You mean... Is he going to die?

0:37:200:37:23

We can't say that yet. We're going... WE'RE going to send him to a specialist burns unit.

0:37:230:37:28

Bethan, listen to me. We are going to transfer him

0:37:280:37:31

to a specialist burns unit, where they do amazing work, OK?

0:37:310:37:34

Try and stay calm.

0:37:340:37:36

That's in.

0:37:360:37:37

There you go.

0:37:490:37:51

You know, burns take ages to get used to.

0:37:570:38:00

We all hate them.

0:38:020:38:03

If you hadn't had been there today, Dixie...

0:38:050:38:09

It still happens to me.

0:38:090:38:11

Really?

0:38:130:38:14

We see each other through, yeah?

0:38:160:38:18

Yeah.

0:38:180:38:19

So how's the pain now, Rob?

0:38:270:38:30

OK, we're looking at 10% full-thickness burns on his arms and legs.

0:38:310:38:35

He's going to need grafts.

0:38:350:38:36

-Brave man.

-Thanks.

0:38:360:38:38

Good news, Rob.

0:38:410:38:42

Bobby's passing water, so his kidneys are kicking in again.

0:38:420:38:46

Thank you.

0:38:460:38:48

Is Jen...?

0:38:480:38:50

Yeah, she's on her way down.

0:38:500:38:52

What about Bart?

0:38:520:38:54

How bad is it?

0:38:540:38:57

It's not good. it's very serious.

0:38:570:38:59

Bethan's with him now.

0:38:590:39:01

What were you doing there, Rob?

0:39:010:39:03

You lied to me.

0:39:050:39:06

You hadn't told the HPU about the other fields. I checked.

0:39:060:39:10

You've told them?

0:39:100:39:12

Yes, I had to. Those workers had no hot water, no working toilet.

0:39:120:39:16

It doesn't take a genius to work out how the E. coli went from the workers into the soil.

0:39:160:39:21

If we caused the outbreak...

0:39:210:39:24

through neglect, we can't claim.

0:39:240:39:27

The farm is me. And the kids...

0:39:290:39:33

they need a home.

0:39:330:39:36

There's a boy over there, Rob, who could die.

0:39:400:39:42

Oh, Rob.

0:39:420:39:45

Are you...?

0:39:450:39:47

-Is he in any pain?

-Well, we're controlling it with morphine.

0:39:480:39:52

-Look at you.

-Dad, you saved Bart.

0:39:520:39:56

No.

0:39:560:39:58

They told me you went in to get him.

0:39:580:40:00

Bobby's going to be so proud of you.

0:40:000:40:03

Don't...

0:40:040:40:06

No, it's going to be OK.

0:40:060:40:09

We'll get through this. Darling, please don't cry.

0:40:090:40:14

Jen, Bart...

0:40:140:40:18

He's young.

0:40:180:40:19

-Strong.

-He could die.

0:40:190:40:21

I'm so sorry, Beth.

0:40:260:40:28

What is it?

0:40:290:40:30

-What are you not telling me?

-Zoe?

0:40:320:40:36

Is it Bart?

0:40:370:40:39

-Sats have really dropped and he's developed stridor.

-Tom?

0:40:390:40:43

Too much laryngeal oedema. I can't even see the cords. You can't do this.

0:40:430:40:47

-Sats are dropping.

-Lloyd, cricothyroidotomy.

0:40:470:40:49

-Let's go.

-What's happening?

0:40:490:40:51

Bart's having problems breathing. The fire must have burnt his throat. We need to help him breathe.

0:40:510:40:55

-He can't breathe?

-Tom, before you do that, let me try.

-Are you sure?

0:40:550:40:59

-Yes.

-Let her try.

0:40:590:41:01

Right, I need a McCoy blade, a 6.5 tube

0:41:010:41:04

and the smallest bougie you've got.

0:41:040:41:06

OK, Bart, let's see what you've got.

0:41:060:41:08

Thank you.

0:41:080:41:10

OK.

0:41:130:41:15

Tube.

0:41:320:41:33

Right, let's inflate the cuff.

0:41:400:41:42

Let's bag it.

0:41:420:41:44

Yeah, it's in.

0:41:490:41:51

Great. Good work, both of you.

0:41:510:41:54

-Very impressive. Sats are rising.

-OK, let's secure this tube.

0:41:540:41:58

-He's OK?

-He's on a ventilator. That's going to help him breathe.

0:41:580:42:01

We still need to transfer him up to ITU, but you can go up with him if you want.

0:42:010:42:04

Do you think he'd want me there?

0:42:060:42:08

-He wouldn't have sent that text if he didn't.

-What text?

0:42:080:42:11

-You told him to get lost.

-What are you talking about?

0:42:110:42:14

-Isn't that from you?

-I never sent that.

0:42:180:42:20

These are Bart's belongings. You might want to look after them.

0:42:200:42:25

That's got to tell you something, ain't it?

0:42:400:42:42

Kocham cie.

0:42:490:42:51

OK, Mr Hearn. The porters'll be along soon, just to take you up to the ward.

0:42:560:43:01

We'll have you up and running in no time.

0:43:010:43:04

Long time since I ran anywhere!

0:43:040:43:09

Are you sure you're right about this stuff?

0:43:090:43:12

Yes. Absolutely positive.

0:43:120:43:14

Your father-in-law might have prescribed it for his patients.

0:43:140:43:17

I think if he did it nowadays, he'd be struck off.

0:43:170:43:20

Agnes has been giving it me for years.

0:43:200:43:24

Really? How much, exactly?

0:43:240:43:26

Well, had it in me fruit juice at breakfast.

0:43:260:43:30

Never took any notice.

0:43:300:43:32

Been taking a swig now and then since she's gone.

0:43:330:43:37

Well, that's what's brought you here.

0:43:370:43:40

-Sorry. Sorry, Doc.

-Please don't apologise. We like a challenge.

0:43:400:43:43

We also like our patients to walk out of here alive.

0:43:430:43:45

You've got to live your life, Ray, while there's still time.

0:43:450:43:49

Not without Agnes.

0:43:490:43:51

We did everything together.

0:43:510:43:54

-She must have stopped you doing things, too.

-Dylan!

0:43:540:43:56

All marriages are a compromise, aren't they? Usually one person compromises far more than the other.

0:43:560:44:02

Proper little ray of sunshine, isn't he?

0:44:020:44:05

-What did Agnes stop you doing?

-We were happy for 60 years.

0:44:050:44:08

Come on - there must be something.

0:44:080:44:10

Flying. She wouldn't fly.

0:44:130:44:16

Where did you want to go?

0:44:160:44:18

Well, I've got a brother in Australia. My twin, George.

0:44:190:44:26

Haven't seen him for 30 years.

0:44:260:44:29

I can't go now.

0:44:290:44:31

Why ever not? We don't save people's lives so they can dribble away their days in a bath chair.

0:44:310:44:36

I'm nearly 80!

0:44:370:44:40

You might live to be a hundred.

0:44:400:44:42

What - you really think I could?

0:44:420:44:45

-Just buy a ticket?

-Be an adventure.

0:44:450:44:49

You're not serious.

0:44:590:45:01

Suppose the queen of intubation is far too grand to dress up.

0:45:010:45:05

Well, I reckon we're about even.

0:45:050:45:08

I did miss the toxocariasis.

0:45:080:45:11

Yeah, I would have got that.

0:45:110:45:13

You wouldn't dare.

0:45:180:45:19

SHE SQUEALS

0:45:190:45:20

Hey!

0:45:210:45:22

Barely seen you all day, mate.

0:45:360:45:39

Well, here I am.

0:45:400:45:43

Are you, er, coming to the Halloween party tonight?

0:45:430:45:48

I'd rather eat my own arm.

0:45:480:45:50

-He didn't see.

-He...

-He didn't see, he didn't see.

0:45:520:45:56

I made sure there was no-one in there.

0:45:560:45:58

Told the others to check,

0:46:000:46:02

but they forgot the dog.

0:46:020:46:05

He's telling the truth. He didn't mean for anyone to get hurt.

0:46:050:46:09

Please, Beth.

0:46:090:46:12

I know about the text.

0:46:130:46:14

-What text?

-He sent Bart a text from my phone, saying I didn't want to see him again.

0:46:180:46:22

Oh, Rob!

0:46:220:46:24

He was ruining her life.

0:46:240:46:26

I love him, Dad. I'm having a baby with him!

0:46:260:46:30

I'm so sorry. Bart's ready to be transferred.

0:46:300:46:33

Beth...

0:46:330:46:35

Dr Hanna?

0:46:380:46:39

I'll ask Rob to drop the complaint. He should never have made it.

0:46:410:46:45

I think he was just lashing out.

0:46:460:46:49

Oh, what time do you call this? There you go.

0:47:160:47:18

-No, do I have to?

-Forfeit if you don't.

-Oh, OK.

0:47:180:47:22

-There you go.

-Well done!

0:47:220:47:23

-Where did you get these bandages from?

-Er, none of your business.

0:47:230:47:28

-Dylan.

-Dylan...

0:47:280:47:31

we're all right, you and me, aren't we?

0:47:310:47:34

Yes. Yes, of course we are. What I was trying to say earlier on...

0:47:360:47:41

-I-It's fine...

-No, It's all right. I know I screwed up outside with the press. I just let my guard down.

0:47:410:47:46

We all screw up from time to time. The way you held it together... Well, held US together today...

0:47:460:47:51

I couldn't have done that.

0:47:510:47:53

Come on - let me buy you a drink.

0:47:530:47:55

Some other time.

0:47:550:47:56

Oh, come on, you two - let's get out of here.

0:47:560:47:58

OK, come on. Let's go.

0:47:580:48:00

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0:48:010:48:04

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