When Love Breaks Down Casualty

Angel!

-Your face!

-Leave me alone, Christie!

-Where's my money?

-I don't owe you any money.

65 quid.

You'd better get it for me, yeah? Or you'll regret it! Big time.

Hang about, this isn't your normal

moody, borderline hostile expression. You must be in a good mood!

Well, what can I say? Today it is my turn.

-D'you know what? A tenner says it doesn't last a shift.

-A tenner?

All right, a fiver. All right, a pint.

-You, my friend, have got yourself a wager.

-Nice one.

Whoa! Looking a bit rough.

-What?

-Sorry, I meant tired. Is everything OK?

Timothy Connery?

All right, let me get you over into triage.

I'll get a cleaner for that. Lovely, the romance of medicine.

Is everything OK?

Yep. Five hours sleep, a bowl of sick,

life doesn't get much sweeter, does it?

Gran! Is uncle Spike here?

LOUD GRIME MUSIC PLAYS

You can't hear the music? Shouldn't you be in school, Angel?

Inset day.

Again? If I phone your mum she'll confirm that, will she?

She's at work, but yeah.

'Ere. Tell him to turn it down or he'll go deaf.

KNOCK ON DOOR

Hello, Angel.

How's it going, Unc?

Getting ready for work. I'm late.

Why do you need to wear a tie anyway?

Have to be smart for work.

It's just a pub, duh.

All you do is collect glasses and make sure the toilets are clean.

Not a pub. A hotel.

A hotel? Oh, that's different then.

Gran don't like me any more, does she?

Course she does. Doesn't like your friends, though.

Especially that Christie and all that lot. Bad influences.

You heard about the rave at The Roxy? It'll be wicked.

I'd love to go. Can't afford it, though.

Tickets are 65 quid.

I'll give you the money. I get my wages this Friday.

The rave's tonight. I need it now.

Well, that's all I've got, Angel.

Forget it then.

Oh, Miss Moody.

HE SCREAMS

-Me hand!

-Gran will blame me now! Won't she?

No, no, I'm not telling her. I need to work.

-Mr Blake'll sack me if I'm late again.

-Your finger's hanging off!

Oh! Spike!

HE GROANS

Are you all right?

I do all me own stunts. Superman.

You had me frightened there.

HE GROANS

God's sake!

-Jeff?

-Yeah?

Don't forget you still owe me that drink.

Yeah. How could I forget? It's Saturday, innit?

Yeah. Are we still on for Sunday, Dix?

-Yeah.

-Why? What's happening on Sunday?

-Nothing!

-Zumba. Classes at the gym.

'Holby Control to 3006, emergency call to 76 Besson Grove,

'pregnant woman, possible heart attack.'

3006 to control, message received and en route. Over.

Zumba, eh?

Yeah, I can just see you now.

Doing your chest isolations to the crazy Latin beat. Come on, Dixie!

Get those legs up! Oh, my God! I give you a ten!

Are you finished?

Look, if anyone hears about this and your life is over.

Is that how you see me, is it?

Some kind of gossip, ready to laugh at another's misfortune?

-Well, I'm crushed, Dixie. Crushed.

-One word, Jeffrey. One word.

You all right?

Oh, I'm so sorry!

I'll buy some more for you, I'm really sorry.

I need some help!

What's his name?

Spike. He's my uncle.

Spike, I'm a paramedic, OK? What's happened?

-He fell down the stairs.

-All right. Big Mac!

Try and relax for me.

Okey-dokey, sit back. That's it.

We'll have you feeling better soon.

You look tired.

So I've been told, repeatedly.

Late night. I was helping our Denise paint the new flat.

-How are you getting on without them?

-Yeah, I'm fine.

-Really?

I'm loving it. I've got me own space back.

I'd forgotten what quiet felt like.

Oh, I think I remember quiet.

My daughter's going on a gap year soon.

Part of me can't wait, no more mess,

no more phone calls at two in the morning to pick her up.

There you go then.

But the other part is really dreading it.

-Quiet is over-rated.

-Well, honestly, Tess, I'm fine.

What was all that about?

He was showing me an article in the EMJ about coagulation testing.

OK, then. He is being weird.

Actually, he's acting pretty normal.

Erm. No, no, no, no, no, you don't understand.

Dylan's normal is everyone else's weird.

When he's acting "normal", that means he's being weird Dylan.

-He knows about us.

-He doesn't.

-Yes. He does.

Sam? This is Spike.

Came in on foot with his niece after falling downstairs at home.

He's got a query fracture to his ribs and his fingers,

and he's got an avulsed nail.

OK, hi, Spike. I'm Sam, a doctor here at the ED.

We're going to get you a bit more comfortable, OK?

Please, come quickly! It's my daughter, Anna.

Straight up the stairs, on the left.

We were having a family gathering. And...well...

She started to feel faint and she went for a lie down.

-Which room, please?

-Left! At the left!

-Hello, sweetheart.

-I think she's had a heart attack.

Let's not jump to any conclusions, shall we? Go on.

I felt a pain in my chest. And...erm...I couldn't move.

Right. Shall we do an ECG, please, Jeff, and find out what's happening.

Are you in any pain now?

OK. And can you describe the pain for me?

-It's like a stabbing pain.

-Right, have you had any nausea?

-Oh! Shouldn't you just get her to hospital?

-Trust us,

-we do know what we are doing.

-What if she dies?

Mum, please just stop fussing!

I'm sorry.

Thanks for coming, but I think I'm fine now, really.

I just...

SHE GASPS AND MOANS

Oh, my God! They don't know what they're doing!

He's got a fracture of his middle finger.

Once you've re-located the nail, let's strap them

and I'll write him up for some TTAs.

It really hurts. I can't breathe properly.

It seems like you've cracked some ribs during the fall.

It might be painful breathing for a while.

You're not left handed, are you?

Unlucky. Things are going to be awkward for a while.

How did it happen?

It was an accident. I got it jammed in the door.

And then you fell down the stairs. That really is unlucky.

OK, let's get an X-ray, just as a precaution for the breathlessness.

OK? Thank you.

I'm going to anaesthetise it so I can re-locate the nail.

So I need you to stay very still for me.

This is called a ring block.

It'll deaden the finger so I can work on it.

I'm afraid this bit is going to hurt.

Are you ready?

HE SCREAMS

OK, not long now. Just one more. Just one more.

TEXT MESSAGE

OK, nearly there. There you go.

Well done. Well done. Well done.

I'm going to go now. This is making me feel sick.

Will you wait for me, then? Phone work, tell 'em why I'm late.

Tell 'em I'm sorry.

Any pain?

OK, this is Anna O'Shaunessy, 39, she's roughly 27 weeks pregnant.

She experienced chest pain lasting approximately five minutes.

Her mum found her collapsed. GCS is 14.

She's had Entonox and ECG showed no sign of ischaemia.

Anna, do you just want to wiggle your bum onto the other bed, please?

Thank you.

OK, Anna, I'm just going to listen to your chest, all right?

OK, can we repeat the ECG, please? I'll be back shortly.

OK. Hi, Anna, I'm Linda, and this is Lloyd.

Get her in a gown, full history. I'll set up the ECG.

She needs to be seen by a real doctor.

Yes, she will be. We just have to assess her first.

-Have you called Dad?

-Yes, of course I've called him.

Try and keep yourself relaxed so we can get a proper reading.

I tell you what, Jeff, over-anxious relatives,

they're going to cost me this job one day.

Here you go.

I hear you're going speed dating?

You know, I have always said there was too much gossip in this place.

-What are you going to wear?

-Chaps and a top hat.

What do you mean, what am I going to wear? Clothes!

That's the wrong attitude, right there.

-I don't like to say it...

-Well, then don't, love.

Impressive sprinting that before, Big Mac. You been training?

Ah, well, yes. You know, I've been putting the miles in.

Hi, erm, I think I need to see a nurse or a doctor.

You've come to the right place.

I am actually doing fartleks now.

So I heard. That'll be all the jogging.

Yeah, it's a training technique, Jeffrey.

You know, there's nothing as sad as a middle-aged man

trying to impress a woman half his age.

Very true that, Dixie.

Unless, of course, it's a middle-aged woman trying to impress her.

Is there anyone you'd like us to call for you? A carer?

I don't need a carer. I live with my mum.

-Her then.

-I'll tell her myself. I don't want her to be upset.

What music do you like?

Oh, erm... Oasis. Kasabian. Arctic Monkeys.

She's a rock chick!

I'm afraid it's going to be a little bit painful

breathing over the next couple of weeks.

Just try and take nice easy breaths.

Me...me and Angel, we like grime.

It's music!

Oh.

There you go. Done.

Right. Let's get you through for that X-ray now.

-Can you tell Angel?

-Yeah.

Where you been?

At the hospital. With my uncle.

Oh, Uncle Doofus? I swear he fancies you.

-Don't be stupid.

-Yeah, he looks like a right dirty old man.

Are you going out with him?

You're sick.

SHE LAUGHS Uncle Pervert.

Oi! Where are you going, girl?

You threw 65 quid worth of MDMA down the grille.

The police were there!

-We'd have been arrested.

-I hadn't paid for it yet.

-That's your problem.

-Listen, yeah!

I've got to pay Louis the money back tonight.

Tell him to get lost.

Oh, hang on, you can't, cos you're too scared of him.

Yeah, well, you should be scared of him, too.

Just give me the money and we're straight, all right?

-He knows where you live.

-No, he doesn't.

And he's coming round with his friends.

Well, there's no ischaemia. Chest pain?

No, none at the moment.

Hello there, I'm Dr Keogh.

Erm, can you tell me when the chest pain started?

Erm...I don't know. Three...three or four hours ago.

-OK. And now?

-No.

-Good. Good, good.

But was it a heart attack?

Well, we've run a couple of ECGs, as I'm sure you know.

They came back clear.

We'll run some more test, but I think a heart attack is unlikely.

Now, you have to take this as a warning.

-You've been doing too much.

-Please, Mum. Not now.

Well, haven't you?

You've been running around, exercising, going to the office.

You have to look after yourself, Anna, you know that.

OK. Can you stop talking now, please?

Excuse me?

-Anna needs to be relaxed, so...

-Wha...?

To which end, I think it's better if we examine your daughter in private.

Just...just let them do their jobs, Mum.

Go and get a cup of tea or something. Wait for Dad, huh?

Can I get a STAT troponin, please.

Us and Es, FBCs and erm, a D-dimer to rule out a pulmonary embolism.

I'll be back shortly.

How are you feeling?

Same as the last time you asked me, erm...two minutes ago.

-THEY GIGGLE

-I'm fine.

Oh! Now he is an eight.

I've always had a thing for a man in a uniform.

Yeah. Soldiers, pilots...

bin men.

Oi!

I want to see my uncle. I brought him in before.

-Whoa, you need to see a doctor.

-No, I'm fine, I just...

No, believe you me, you need to get that eye looked at.

Hey! You're not going anywhere, lady. Come here.

So you made it, eh?

Have you seen her?

I can't imagine why you'd be remotely interested.

I want to see how he responds to that.

Excuse me, Doctor. How is my daughter?

-Well, still a little early to tell.

-I'm Anna's father.

I'm sorry I wasn't here.

Er, we...we're separated. Can I see her?

She's not really up to seeing anybody at the moment.

I will certainly tell her you are here.

Your mum was really worried about you.

Yeah, I just can't deal with it right now.

Is all this going to affect my baby?

Let's do a Doppler scan to ease your mind.

I'm not sure that I want one.

It's just a routine procedure like your other scans.

It lets us hear the baby's heart-beat.

So is this your first baby?

I had a little girl. Orla.

It's a lovely name.

She died. Um...she went to sleep and she didn't wake up.

I'm so sorry.

She was six months old.

So that's why my mum is so over-protective.

-It's understandable, but...

-And how about you?

Me? I just had to deal with it. Life goes on.

What is that?!

Can you speak to Dylan and see if we can move her somewhere quieter.

Yeah.

All right.

So you fell over, yeah? How?

I don't remember.

You probably tripped or slipped over?

Normally when you fall over, you get some cuts and grazes on your hands. But you haven't got any.

I don't know what you mean.

Well, when you fall over, you put your arms out like this.

It's a natural reaction. Just put your leg down for me.

If you'd just like to place your chin on the rest for me.

OK, let's take a look at your eye.

This allows me see if there's any damage to your actual eye.

Just look at this thing here.

OK. I'm just going to put some anaesthetic in your eye, all right?

Tilt your head back for me.

OK.

Now this is just a cotton bud with some saline.

Keep nice and still.

OK. All right.

There we go.

SHE GASPS

Now this is just fluorescein,

it just allows me to see your eye a bit better.

Keep still, tilt your head back. OK.

Put your chin back on the rest for me.

Anyway, the reason I asked how it happened is it's quite nasty

and if someone did this to you...

Look, I fell over, right?

I'm sorry I didn't hurt my hands as well.

I'll try harder next time.

OK, well, the good news is there's no abrasion to your cornea

so you'll just need some ointment.

But you're going to have quite a shiner though.

-So I can go now?

-No.

I'd like to have your facial bones X-rayed as well.

Is there anyone you'd like us to call for you? A partner, husband?

-We're not together.

-He wouldn't want to be here? At least know you're both OK?

-He doesn't know that I'm pregnant.

-You haven't told him?

Our daughter died and he left me. No, I haven't told him.

This will be cold.

-Is everything all right?

-Sometimes it's hard to pin down.

-Is something wrong?

-I'm just going to find Dr Keogh.

Please, tell me what's happening.

Try not to worry, Anna. I'll be back in a minute.

What's happening?

It's nothing.

-Just tell me!

-OK. Er, you...you've got to stay calm.

She said it was just routine.

It is. Machines, scanners, sometimes they can be temperamental.

-It's nothing sinister, honestly.

-You're lying.

-No, I'm really not.

-Then why did she go and get the doctor?

Tell me the truth. If there's even a possibility something's wrong,

just tell me, I have a right to know!

Well, I honestly don't think it's anything to worry about, but...

She couldn't find a heartbeat.

-If there's no heartbeat, it's dead.

-No, all it means is...

Oh, God!

Anna, please. Anna.

It's all my fault!

Anna, listen to me. Anna! Anna! Shall I get your mum?

Shall I get your mum, Anna? Yeah?

-Now there's the haunted look we've all come to know and love.

-Eh?

Just saying. Looks like you're buying the drinks tonight, sunshine.

Mrs O'Shaunessy. Have you seen her?

Yeah. I think I saw her go outside with an old guy, her husband.

Helen Wild?

Hi, sorry about the wait. Do you want to follow me?

Nine?

SHE LAUGHS

So what about tonight? Tonight it is then.

-Oh, by the way, Angel Hubbard? She brought her uncle in?

-Yeah, Spike.

I've just seen her for an eye FB and a query fractured zygoma.

I think she was in a fight. She denies it.

She wants to go see him while she waits for her X-ray.

-Is that OK?

-Yeah.

-Can you talk to her?

-Of course.

-Let me know if you get anything out of her.

-I will.

OK, she was here.

Where is she?

Wait here.

Wha...what's happening?

-Take it easy, just don't know.

-Maybe they know.

Erm... She wanted her parents.

Can somebody explain what's going on? Please!

I left her. I was only gone for a few minutes.

Oh, my God, they've lost her.

I'm sure there's a perfectly innocent explanation.

She's probably just gone to the bathroom.

-Take them to the relative's room.

-You're going to find her?

We'll find her. Of course.

I'll get someone to check all the bathrooms.

-OK. I'll check reception.

-Right.

Hello, security?

I told you, I don't take drugs, right?

-It's Christie and some of the others.

-But what about Louis?

He's the one she said I owe the money to.

-She says he knows where I live.

-I know where he lives.

-I'll sort him out.

-No! He's really dangerous.

He's been to prison and everything.

Can't you just lend me the money? I'll give it back, I swear.

He'll be sorry if he touches you.

If you give me the money, I'll...I'll...

Angel? What's happened?

-I fell over.

-She's being bullied.

Why you telling her for?

Angel, if you need to talk.

It's none of your business if I'm being bullied. Big mouth!

I'm sorry I told you now. What do you want?

You ready?

OK, Spike. I've got your results here. It's just like we thought.

There's no sign of pneumothorax, but you have cracked a few ribs.

They should sort themselves out in the next couple of weeks.

In the meantime, you need to take it easy.

-Can I go home now?

-Soon.

I'm going to get you some decent pain-killers from the pharmacy.

Has she turned up?

Not yet. Have you any idea why she might have bolted?

She was in a pretty bad way.

Oh, er...what does that mean?

I might have...actually, I did say something I shouldn't have.

I told her we couldn't find a heartbeat.

-I'd say that would probably do it, wouldn't you?

-Yeah.

We've got a missing woman who believes her baby is dead.

Right, I want the place swept.

I'll arrange it.

When Orla died, Anna fell apart.

For a while we didn't think she'd pull through. But she did.

She's a strong girl. Stronger than either of us.

She worked on it and she moved on.

Not that I'm saying that she forgot, but er...

That's when she decided that she wanted to have another child.

We told her to wait, but for some reason

she got it into her head that this was her last chance.

Look, as I said before,

there's absolutely no reason to assume the worst.

She told us all her previous scans had been fine.

-Obviously, things can change...

-She...she hasn't had any scans.

What?

She was terrified of being told there was something wrong,

some syndrome or condition or other.

She was scared she'd be forced into making a decision

she didn't want to make.

Didn't her doctors try and contact her?

Well, she went to the doctor for her pregnancy test,

but er...that was the last time she saw her.

I tried to persuade her to go back, but...but she wouldn't.

OK, thanks.

Anything?

No. They can't find her.

Right. Get them to do it again and tell them to check the roof as well.

-The roof? You think she's capable of suicide?

-A precaution.

After what I've just heard, I don't know what she's capable of.

All right.

BABY GURGLES

PHONE RINGS

BABY CRIES

SHE SOBS

What are you doing?

Sorry. Sorry. Sorry.

SHE INHALES SHARPLY

SHE MOANS

It's coming.

-I'll call an ambulance!

-No! No, no, no, no. It's coming.

Got a patient for you.

The moment you find out any news, please let me know.

She's constipated. And she's over there.

Right. And that's your considered opinion, is it?

Well, she's got low abdo pain, headaches,

mild lower back pain, she hasn't had a bowel movement in over a week,

plus she's got a low carb, high protein diet.

You've ruled out IBS, diverticular disease, haemorrhoids, bowel cancer...

I thought I'd leave all of the big stuff down to you.

Ah, right, OK.

Hello.

Oh, oh, I know you.

Erm...you're the cave girl.

Or you could call me Amanda.

Oh. Amanda.

-Hiya. Where's the pregnant lady?

-She went that way.

Thank you.

Excuse me. The toilets, please?

-Erm... Down there, I think.

-Thank you.

-Yeah.

Have you seen a pregnant lady?

Yeah, erm, she went that way. Err...second floor, I think.

Thank you!

Second floor. Come on! Use the stairs!

LIQUID SPLASHES ON THE FLOOR

SHE SOBS

SHE WINCES

OK, you can pop your top down. Erm, you're suffering from constipation.

Oh, how embarrassing. I can't believe I've wasted your time.

Well, there's no sign of obstruction, erm, that's a good thing.

Is there a cure?

A cure for constipation. There's a Nobel Prize waiting to happen.

No, you need to be eating more fibre,

and that's fruit, vegetables, cereals, that sort of thing.

You need to drink at least a litre of water a day.

And book an appointment to see your GP.

If it hasn't cleared up within a week,

they'll prescribe you some bulk-forming laxatives. OK?

He's a real charmer, isn't he?

I heard that, Adrian.

All right, sweetheart! Let's get her moved.

Looks like her waters have broken.

We're going to move you, OK?

On three. One, two, three.

SHE SOBS

All right, all right, sweetheart, can you hear me?

Are you booked in at the maternity ward?

No! I won't go there! I won't go!

All right, OK, we're going to take you in to the ED, all right?

-Do you have a second?

-Mm-hmm.

I wanted to thank you.

Oh, really, there's no need.

She'll be fine as long as she starts eating properly.

No, I...I meant what you did for me. You know, saving my life.

How have you been?

Fine.

Good, good.

Actually, it's been hard.

I'm having nightmares.

I keep, erm, dreaming, erm...

I'm back down that hole in the ground with David.

What do they call it, survivor guilt?

But I think coming here today, it's been therapeutic.

Erm...how have you been physically?

Oh, erm, let me see.

A bit of pain around my scar.

OK, well, we'll get you booked in and I'll have a look at it.

-Oh, you...you don't need to bother.

-No. No bother. Follow me.

No broken bones, so that's good.

Look, Angel, you need to talk to someone.

Your parents, teachers at school. Bullies are cowards.

Angel? It's important.

Yeah, I will. I'll tell my mum.

Is your cheek OK?

I've been thinking about the money. No, listen.

What if you took it from the pub? Come on, they'll never know.

I am not stealing! No!

I'll get the sack, I'll never get another job.

-What about me?

-Well, I'll stick up for you.

-A loony! Yeah, that'll help.

-Well, go away, then.

Come on, I didn't mean it.

If you don't get me the money,

I'll tell Gran you tried to touch me up.

She'll send you away to a home and you'll never see her again

and then everyone'll find out and they'll come

and paint stuff all over the house. Cos that's what happens to paedos.

-Nobody will believe you.

-That's why they call you Uncle Pervert.

-Spike?

-I want her to go.

-All right, OK, come on, let's go.

-Get your hands off me.

-I said, let's go.

-Why are you sticking up for him? He's a paedo!

Keep your voice down, please!

He's been trying it on with me and I'm going to the police!

-OK, OK, calm down.

-He's sick. I'm going to the pub right now.

I'm going to tell them you're a child molester.

-Oh, what the hell's going on?

-I don't know.

-I want to go.

OK, I need to find out what's going on.

-I'm not a paedo. I promise.

-I believe you.

Nobody else will!

Thank you for being my doctor.

You may get some pain for a while, but it's healing quite nicely.

Is your wife still here?

So you sorted things out between you?

Oh, we sorted things out, she's no longer my wife. So...

Oh, sorry, I didn't mean to pry.

No, no, no, it's fine. Pry away. Erm, no, erm, er...

That was a joke. Don't. Pry. THEY BOTH LAUGH

-A career in stand-up doesn't await.

-Oh, I don't know.

So have you...have you spoken to anybody about what happened to you?

I never stop. People are bored.

I'm no fan of the talking cure, as you'll have gathered.

But you can't just go through something like what happened to you

and walk away as if it never did.

I'm so grateful for this. I know how busy you are

and you still find the time to talk to me.

There's no need to be grateful, no need.

Would you like to go for a drink?

Me? With you?

Well, yes.

Erm...um...pubs aren't really my thing.

I'm not...not a big...

I just meant to talk. I mean, it doesn't matter, honestly. I...

Sorry I was so long.

You always take so long to finish up with a patient?

She wanted information about her diet.

Next time, give her a leaflet.

Dylan, we've found Anna! She's on her way in.

Waters have broken, contractions every two to three minutes.

SHE WAILS

OK, Anna, we're going give you more of the same.

Are you all right to shuffle yourself across? There you go? Great.

Take deep breaths for me. Take the edge off the pain. That's it.

Why am I having contractions if my baby is dead?

First thing to say is that we do not have any evidence

there's anything wrong with the baby, OK?

Right. Let's have a look at this belly.

Please, God, let my baby live.

This'll be a little bit cold.

I'll do anything you want, anything, just let my baby be alive.

Please, God. Please, God.

Is it...?

Something's not right here. Let's erm...let's move her up to CDU.

Why? Why are you moving us?

It's...it's just somewhere quieter.

Doctor. Where is it? Where's the baby?

Let's move her to CDU.

Tom. have you spoken to Angel?

No, I couldn't find her.

Spike's walked out.

We need to call social services.

Angel's lying.

I don't know why she's doing it but she's doing it.

I mean, do you really think he could manipulate her?

You've seen the two of them together.

Be honest, you think that Spike can manipulate anyone?

-Sam, she's 16. We don't have a choice.

-Don't we?

No. Because even though I think you're probably right,

the accusation's enough.

Seriously, imagine the consequences if she is telling the truth

and we could have helped, but didn't. SHE SIGHS

I'll make the call.

OK.

Well, the good news is, there's no pulmonary embolus.

The bad news is, she has pseudocyesis.

That's why we couldn't get a heartbeat with the Doppler.

So how do we tell them?

Gently.

Hello. Erm...I'm afraid I've some very bad news.

Erm...there's no easy way of saying this. There's no baby.

Oh.

It's God's will. It's God's will.

Er, no. Perhaps you don't understand.

What...what are you saying?

Anna isn't pregnant. She never was.

-Of course she's pregnant!

-It's a phantom pregnancy.

Anna, do you understand what we're telling you?

SHE SOBS

OK, that's it, well done, deep breaths.

Look at that! She's not imagining that!

No, no, it's a...it's a real condition. Psychological condition.

It normally starts with a false positive pregnancy test,

which is what it seems happened with Anna.

But the contractions are real.

And the paramedics said her waters had broken.

She lost control of her bladder, that's all.

The contractions, we'll give her something to stop those.

But she looks pregnant!

The abdominal distension can be due to any number of factors,

dietary changes, irritable bowel springs to mind.

You believe that you're pregnant, so your body acts like it's pregnant.

In some cases,

this goes right through to the experience of actually giving birth.

Except...

There is no baby.

No.

You made a good impression on her.

Amanda Franks.

Oh. She asked me out.

So hugely unlikely, is it?

Mmm. You should go.

-Why on earth would I want to do that?

-To move on.

And that's important to you, is it, that I move on?

All that I'm saying is that she's nice, she's good looking,

and she seems to like you.

Well, for a start, it wouldn't be ethical.

Dylan, there's no ethical issue involved. She's not your patient.

You'll regret it if you don't go.

Well, you know me, Sam. I feast on regret.

Besides, even if I wanted to, I...I couldn't.

I don't even have her number.

Ah, well, luckily for you, she asked me to give it you.

Yeah, I...I don't think so.

She's sleeping.

What...what caused it? I mean, what made this happen?

I don't know. I'm not an expert.

Your best guess.

In some cases,

it's a desire to be pregnant. In others, it's a fear of pregnancy.

Anna did lose a child, so maybe that's...

Stop worrying. No-one'll know.

What time does it open, the bar bit?

-Seven.

-So how do we get in?

Angel! Angel!

Where's the money?

They don't bring it down till they open.

Why didn't you tell me? Idiot!

Shh! Someone'll hear.

-Like I care!

-What are you doing?

I'm going to sell these.

Put them back. You're not nicking them.

I'll get the sack.

Stay back. I need this stuff.

Put that down. You're not going to stab me! I'm your uncle.

Spike...

Get off!

HE GASPS

SHE PANTS

Spike! Spike!

Get up!

Hi.

At least now you know how much Anna is suffering.

And that there is a way forward.

Maybe you should put your differences aside,

for Anna's sake.

Have you got any kids?

No.

No offence, then, but you don't know what you're talking about.

I know what grief looks like.

Do you know how Orla died? Did Anna tell you?

It was a cot death.

It was because of me. I was looking after her.

I was watching TV. And I...I know I should have checked on her.

She was crying a bit. Then finally she...she went to sleep.

So Anna and Grainne blame you?

Grainne did what she always does. She prayed.

Anna blamed herself.

And then when me and her mum separated, when I walked out,

she blamed herself for that, too. But it was me.

You've got to get through this.

And what if I can't?

Well, then pretend,

because your daughter and your wife need you

if they're going to stand a chance of getting through it themselves.

Help him, please!

-What's his name?

-Spike.

OK, Spike, can you tell me what happened, love?

-Take it out!

-OK, no, no, no!

I need you to stay nice and still, OK? Good lad.

I'm going to give you something for the pain.

I'll give you some oxygen and we're going to get a line in.

Listen, we're going to need to move him sharpish, aren't we?

And we're not going to get a trolley up here.

Maybe we could do it on a board?

-Yeah.

-Go and get it?

-Yeah, I'll grab it.

OK, Spike? Jeff's just gone to get a board

so we can lift you out of here, sweetheart, all right?

OK. We'll...we'll just wait, then.

Yeah. Yeah. We'll just wait, darling. OK.

I'm so sorry, Spike.

-It was an accident.

-I wouldn't have done it, you know.

I wouldn't have lied about you to Gran.

OK, folks. If you stand by here for me.

Thanks. Mind yourself, sweetheart.

All right, Spike. We're going to get you to hospital. Good lad.

What's going to happen to me now?

I don't know. But I think that, I hope, this is as bad as it gets.

-One, two, three!

-HE SCREAMS

He's had 10 of morphine, his BP is 120 over 65, his resps are 30,

his sats are 95, his pulse is 120.

Right, OK, let's get another line in, please. Airway's clear.

And can I cross-match six units,

ten of morphine, and get X-ray down here.

OK, you just stay still for me, please, Spike. Stay still!

-No, no, no! Spike!

-Spike!

No, no, let it go!

HE SCREAMS

-OK, get her out of here!

-You need to wait outside.

I'm not leaving!

Contact his mum. She needs to be here.

OK. Just stay still now, Spike. Stay still!

Gran, it's Angel. Something's happened to Uncle Spike.

There's been an accident.

Stay still!

He's losing a lot of blood. We may have to stem it.

Can you fast bleep the vascular surgeons, please?

-Sam, we need to sedate him.

-OK. He needs ketamine.

The bleeding's all venous, but because of the injury site,

I'm worried it may have affected the brachial plexus.

HE SCREAMS

Even though it's venous, it doesn't mean we have control over it.

Give me some Celox, please. OK, that's it, Spike. Calm down.

Calm down.

Thank you.

OK. OK.

Phantom pregnancies, family stabbings,

I'm not sure I can still handle the stress. Thank you.

Come here, Jeffrey. You see, your shoulders are like boards.

You need to relax, you know, loosen up a bit.

Not getting any younger, are you?

She's right.

An old codger like you, you need to take it easy.

No, he needs exercise. Use it or lose it, kid.

In fact, start running with Big Mac.

Me and Big Mac, eh? Two old gits together.

That makes three of us, kid.

Yeah.

What's wrong with him?

Is he all right?

Ah, nothing. Just a long day.

That's all.

Tamzin?

Yeah?

You know about these erm...these Zumba classes.

Well, I think I might give it a miss. It's not really my scene.

Oh. How is he?

They're bringing him down to the ward now.

The surgeons have confirmed that there's no major nerve damage,

so they're optimistic for a full recovery.

Thank you for what you did.

You're very welcome.

Uncle Spike.

I'm so sorry.

Superman.

SHE LAUGHS

How much do you owe that girl?

65 quid.

And the drugs?

I didn't take any. Honest.

Well, I'll give you the money.

But you'll pay me back every single penny, you understand?

And you'll stay away from that crowd. No more bunking off school.

No more lies. Is that clear?

SHE SOBS

Yeah, yeah, I know. The fizzy drinks are on me.

-Damn right. I fancy a bag of chips, as well.

-Chips?

Yeah, chips. Curry sauce. Maybe a spring roll.

Nah, nah, that wasn't part of the bet.

-Oh, come on, man. You've got seniority.

-And?

And with great power comes a great responsibility.

HE LAUGHS

-Bye.

-See ya.

Ah, that was a long day.

You know, you were right, what you said earlier.

Really? What did I say?

-About quiet being overrated? I really miss them.

-You're bound to.

I know they're not my kids and I didn't have them for long but...

It doesn't matter how long they were there.

They still leave a hole when they go. It's like grief.

You can't bottle it up.

Thanks. For this.

Oh, you're welcome.

Oh, oh, sorry, right, yes, well, must have sounded a bit odd.

-SHE LAUGHS

-A bit formal, maybe.

What I mean is, I'm glad you called me.

Surprised, but glad.

Yes, I was a little surprised myself.

It's, erm...it was an impulse. I'm not erm...normally an impulse person.

I can see that.

That's, erm...a lovely jacket you're wearing.

It looks very comfortable. Sorry, did I just say that?

I'm afraid you did.

Sorry, I'm a little out of practice at all this.

You're doing fine.

Hmm.

It must be really fulfilling, being a doctor, helping all those people.

I imagine it's like being a hero in a film or something,

knowing what you do every day is just so important and exciting.

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