Out of the Blue Casualty

VOICES ARGUE

ENGINE REVS

TYRES SCREECH

Jay!

Jay!

Stupid, stupid!

Oh, you little belter! I love you.

Get your mitts off.

Oh. Oh, I get it.

You all right? Oh, what've you got?

-Sprinkles - you remembered! Love you, Jeff. Want one, Dix?

-Thank you, darling.

What a sweetheart.

Well, she deserves a treat. She's been puked on twice this morning.

And I've only been here an hour.

I must admit, I've never seen anyone take it with such grace.

Patience of a saint. Unlike some.

'Holby Control to 3006.'

3006 received, over.

'Emergency call on London Road,

'northbound after Edwalton interchange.

'Female patient found in a collapsed state on hard shoulder.'

I bet you're gutted, aren't you? Being stuck with me,

disrupting the dream team.

-Don't be daft, you're doing really well.

-Really? Tell my mum that.

She thinks I need a sign. "Warning - clumsy-clogs. Stay away."

Yeah? Well, what does she know?

Cheers, Jeff.

BELL RINGS

Morning.

Erm... Sorry about last night.

Time just got away from me and I should have called.

No, it's fine. You're just "living the dream".

You know it! Tonight?

-You reckon?

-I've got to make it up to you.

-Ow!

-Better be good.

-What's that?

Morning, Dylan.

Hi. You OK?

Sorry, was it something I said? Or just me, just my presence?

Hey.

Hey, Amanda.

Hello.

Hello. Erm...

What are you doing here?

Oh, it's my first day. I'm volunteering in the shop.

Oh. OK. Um, great.

-I'll see you later.

-Yeah.

Talk about freezing her out, Dylan.

I wasn't freezing her out.

Just cos I don't live in perpetual spring.

SIREN WAILS

All right. OK, sweetheart, look at me, OK?

He's going to have an accident, I know he is.

-Who's going to have an accident?

-No, please, call him!

I don't have my mobile phone, I don't have his number!

Right, calm down, look at me.

I need you to slow your breathing down, OK? Look at me, it's fine.

What's happened?

It's my boyfriend, Jay. He was upset because they got beat.

Who got beat, princess?

-Holby United. He's a footballer.

-Jay Kemble?

They weren't beat - they were murdered.

Jeff! So what, he's taken it out on you?

When he has a drink he can't stop

and he got paranoid

and then he thought that I was flirting, but I wasn't,

-and I didn't mean this to happen!

-All right, OK, calm down.

He sounds lovely, doesn't he? Come on, let's get you inside.

What the...

HORN BLARES

No. No. No, no, no, no!

Get back! Get out of the way!

You all right? You all right?

You OK, mate?

You OK? Can you do me a favour,

could you stop the traffic there for me, please?

Quick as you can.

Jay!

3006 to Control, urgent backup required

at the incident on the London Road. We've got an RTC...

-Jay, I'm Tamzin, I'm a paramedic.

-Two ambulances, the police and the fire service.

-Shut up! I was coming back for you!

-You left me on the side of the road!

I'm not going to tell you again, shut your mouth!

-What's his name?

-Niall.

-Niall!

-Oh, my God.

-OK, Niall? Niall, can you hear me, mate?

Niall? Niall, say something.

Say something, sweetheart, please.

Stand back, please, give me a little bit of room.

The GP notes you were after.

Good man.

Now, how come I feel like... And you - good man!

-Tough guy, me.

-That is the last time

you drag me out on a drinking session.

Told you - lightweight!

Lightweight?! I don't remember you drinking any whisky bombs.

So, living the dream, are we?

I did try to get away,

but you know what it's like with those two.

You get caught up in, like, a weird time vortex.

No, no, it's fine.

I know I could never compete with the likes of Big Mac and Noel.

I'll make it up to you.

Ah, erm, Doc, just in case you thought

I regretted anything I said in the pub last night,

I want you to know that my sponsorship drive

is about to hit Holby like a tsunami.

What's that then?

I have decided to run a Marathon.

-Jeff, What's happening?

-Male driver, female passenger,

we've got a toddler as well.

Looks like they've been to the match too.

-A toddler.

-It's all your fault!

-Don't you dare talk to me like that!

-I'll talk to you anyway I like!

-You would, wouldn't you?

-Goes in one ear and out the other!

-Could you just calm down, please?

-How are you supposed to talk to a slag?

-Oi! That's enough.

You, get in the ambulance - now. Go. Go.

Yeah, do one. Do one!

Relax. I need to put this on your neck.

The police are on their way,

-so I really wouldn't drink that if I was you.

-Oh, just shut it!

Can I remind you, you've just caused an accident with a child!

I said shut your mouth, you stupid cow!

Jeff!

Shut up! Where's she gone?

Nicole!

TODDLER CRIES

Listen, please. Just stand back. Just stand back!

This car isn't safe.

Nicole! Nicole!

-Jeff!

-Niall!

3009 to Control, approximately two minutes from destination. Over.

Jeff!

OK, Niall? Niall? Niall, it's Jeff, mate, it's Jeff. I'm with you, son.

Stupid slag!

You know what, Jay? Forget it.

Jeff!

-OK, Niall, just sit back for me.

-Argh!

-Please, please, can you just take him.

-All right, give him to me.

All right, sweetie, all right. Let's have a look at you.

OK, his airway's clear anyway. Hey, where are you going?

-I've got to see if he's all right.

-No, please. Just let him do his job.

-Hey, hey! Who's with the other fella?

-Jeff! I've got...

And you needed help here. He's well enough to shout abuse at me.

We need to immobilise his neck.

-Jeff, he won't let me near his neck, do you want to try?

-OK.

-SIRENS WAIL

-All right, sweetie. All right.

Can you go with the police?

Please?

Right, cavalry's here.

What the hell's going on? Are you going to help him, or what?

-Right, do you want me to go and...

-No, no, I'll do it.

Here, try and keep him warm. Help Jeff.

Tell him to come over when he's done.

OK.

Jay, she's coming, babe, everything's going to all right.

Yeah, yeah, yeah, whatever.

OK, I'll deal with it from here. Thank you.

Look, bog off!

-Just relax for me, OK?

-Hey.

-You stupid cow!

See what I mean?

I can't get near him, I'm not going to force it.

-Just makes it worse.

-Everything's going to be all right, isn't it?

I think he'll be just fine, love, yeah.

I'm Jeff, I'm a paramedic. You have to let us help you, do you understand?

-As long as you stop going on about it.

-Ha! Charming.

-I keep telling you to stop drinking, why won't you listen to me...

-Shut up!

Listen, mate, I'm going to have to put a collar on you.

You don't need to come with us, you can go in a police car.

-Of course I'm coming with you, I'm not going to leave him now.

-What's it got to do with you?

-Babe, you OK?

-Why do you let him speak to you like that?

-OK, Tamz.

If you come in the ambulance with us I can't have anything kicking off.

No. I promise I won't do anything.

It's my fault anyway,

we both kicked off at each other, I hit him first.

Look, I understand. True love, eh?

Yeah.

Right, this is Niall, 28, he's been involved in an RTC.

He was driving at about 60 miles an hour,

swerved to avoid oncoming car racing towards him.

Yes, we heard.

He's got a dislocated right shoulder, fracture right tib, fib,

abdominal bruising.

His GCS was 14, now 15. His BP is 120 systolic, his sats are 97.

-Hannah?

-I'm here, I'm right here.

-OK. This is his wife, Hannah,

two-year-old son, Owen.

There's a good chance she's got a fractured wrist,

but she's been too concerned with hubby.

I think you're going to have a job keeping her away.

-Hi. I'm Tom, I'm a paediatric specialist.

-Let's get him over on three.

One, two, three.

-Argh!

-OK, hello, Niall.

My name's Sam, I'm a doctor here at the ED,

we're going to take good care of you, OK?

Just go with him.

Go. He needs you more than me.

It's going to be OK. Right? Trust me.

Intoxicated, extremely uncooperative.

Complaining of general pain, dislocated two fingers,

police want him as soon as.

On three. One, two, three.

Thank you.

Hello, Jay. I'm Dr Hanna.

-Can we get a line in, please?

-Yeah.

-How are you feeling?

How do you think? I want out of this thing.

OK. We need to clear your neck first before we can do that. We have to monitor you.

Never mind my neck, my hand's killing me. Are any of you going to listen?

-We've got a real charmer.

-Can you believe he's not apologised once?

Do you know what? I was going to have a tenner on him in the Cup.

Make it a score if you really want to do your dough!

-See you later.

-Nicole, Nicole! You need to call Archie now.

Tell him what happened. He needs to save the deal.

There's no tenderness, you've got a full range of movement, so the neck's OK.

We'll get some sutures for that.

-HE CRIES

-Hey, it's all right.

Eh? We are cranky today. It's all right, Mummy's just there, eh?

That's a bit of a cough he's got, isn't it?

-He's had it for a while. GP says it's a viral infection.

-Oh, OK.

Well, he's a little bit hot.

OK, well, Lloyd, let's start with 120 milligrams of paracetamol, and then dip his urine.

-But judging by his volume, nothing too serious, I hope.

-I'd better go and check on my husband.

Hannah, your hand.

I'll be back in a minute, OK?

Argh! That hurts. You sure you know what you're doing?

Don't you worry about what I'm doing.

That car you ran off the road had a family in it.

Holby United fans, as it goes.

-With a little two-year-old boy in the back.

-They OK?

I hope so.

-Niall...

-What's happening?

His cold's got worse.

-Should never have taken him to the match.

-Right.

You'll need a C-spine X-ray before we can remove the collar.

You've dislocated your shoulder and you may have a fracture to your leg.

Again, we'll need X-rays to confirm.

Thank you. Thank you so much.

For a minute there, I thought...

Well, I don't know what I thought.

Hey, look at me. It's OK.

Everything's all right.

Listen. Go call your dad, all right? You know how he worries.

I'll be out of this bed as soon as I can.

We'll get you an X-ray, and we'll sort out getting Owen over to you.

OK? We'll try and find cubicles next to each other,

kind of like a deluxe family suite.

If it was her lying here, I'd be far worse.

-I'd go to pieces, me.

-We're going to get you in for an X-ray, OK?

-And then what?

-And then, once you're back,

we'll work on reducing the dislocation on your shoulder.

Don't worry, we'll give you enough sedation to have you seeing rabbits.

-What, you mean, you'll knock me out?

-As good as.

No, no, I don't want that.

-What else can you do?

-Well...

We can give you gas and air and move it slowly back into place,

but I have to warn you, it can be very uncomfortable.

I don't mind. I can't just leave her to it.

She needs me.

They need me.

OK.

So, the patient was very resistant,

refused to be immobilised, despite being warned.

That's fair enough, isn't it?

Yeah. 3006 to Control, we're now clear and available.

-Hang on a minute, mate, I'm trying to...

-What? We're finished here, aren't we?

'Control to Holby 3006,

'85-year-old male complaining of weakness and nausea.

'Flat 59, Warwick Close.'

On our way. It's your favourite - Mr Ogden.

Ah! Right. Could I beg a moment of your time?

Ta-dah! I know it's a bit of an old photo,

but it's from my rugby days. But it's still a sporty theme, like.

-Yeah. Have you seen the film - Marathon Man?

-Yeah, it's brilliant.

I've not got it on me, but put me down for a fiver.

-Ah! Jeffrey?

-Yeah. Put her down for a fiver.

Big Mac, could you take Mr MacCrimmon for an X-ray?

No, Archie, listen to me.

Just don't tell them, just...

Totally freaking out.

Says the charges are one thing, but injury can scupper the whole deal.

Well, is he coming over or what?

He's worried the tabloids will get hold of this.

The police are wanting to talk to me!

Can you stop freaking out on me, please?

I'm not the first person to be charged with drink-driving.

The club will get behind me. Get me a good lawyer.

Don't know if that'll do him much good once they see the CCTV.

Look at this. It's a bit dodgy.

Either he moved during X-ray...

Or?

I don't know. C-spine looks a bit suspicious.

Let's get a CT just in case.

-OK. Latest obs.

-OK. Thanks.

Doc!

-Doc!

-Yeah?

Doc, I can't handle this thing any more, it's making me feel weird.

You've got to let me out.

Well, I can't do that, I'm afraid, cos I'm sending you for a scan.

Scan? Why?

Your cervical spine X-ray shows an unclear area,

so I just want to make sure.

Oh, for...! Make sure what?

That you haven't fractured your neck.

But... But...I was totally fine.

This is typical NHS.

Well, say something, you stupid idiot!

For God's sake, Jay! This is your fault, right? No-one else's.

Just stop blaming everyone who's trying to help you!

Hey! Monkey!

Look who's perked up.

The wonders of paracetamol.

Hey, Mummy's here.

Can you take him from here?

Go on, Owen. I'll see you in a bit.

Now, his urine's a bit cloudy.

It's OK, it's quite common, it could be just an infection.

But not to worry, we're going to send it off anyway.

They're just sending the X-rays over now,

so I'm going to stitch that cut up, all right?

Listen, I'm... I'm sorry I went over the top like that before.

-Don't worry about it.

-It's just...

Two minutes before we were all singing Wheels On The Bus.

It's like your worst nightmare, isn't it?

OK. Sharp scratch.

And again.

I'm always saying to Niall, how lucky can two people be?

Something's bound to happen.

Such is life. Arbitrary, unfair and inconsistent.

-You should see him on a bad day.

-Well, it's true.

Take my mum. Never had a day off sick in her life.

About a year ago she had a mole tested.

Skin melanoma, stage three.

I'm sorry.

Makes you count your blessings.

I'd just about given up on love by the time I met Niall.

-I mean, what are the chances of meeting your perfect soul mate and it working out?

-Slim. I'd say.

Very slim.

All right. OK. All set?

Yeah. He's just been telling me how they met.

Mmm.

-So it was her dad's pub?

-Yeah.

I just went for a job on the off-chance.

My mum used to...

do his accounts before they left.

And she just opened the door.

Time stood still?

You're not far off.

Fireworks, eh?

Well, something went off in my brain for sure.

You keep breathing on that gas and air - it's pretty good.

I think it's lovely. Carry on.

I was just off a coach from Dundee.

-I can't believe she'd even looked once at me.

-Really?

Yeah, I was in a bad place. I mean, I had no-one.

Argh! Mum had just died.

Dad was long gone.

We just stood there together like idiots staring at each other.

What was she wearing?

Orange... Argh! ..Jumper...

Black...jeans. Argh!

OK. Well done.

Well done.

We moved in the next week. We haven't spent a night apart.

And the rest is history.

OK. Good job.

Keep breathing, I'm going to get you sorted out with a sling.

And I'll go find your family.

Thanks.

Hi. I've been told my daughter and her family are through here.

Hannah MacCrimmon. Just had a car accident.

Oh, right. Could you take this gentleman through to CDU for me?

Niall MacCrimmon is just getting his leg in a cast,

then can you move him next to his wife?

Just in case they combust from separation anxiety?

Oh, come on, Dylan. Love knows no boundaries.

Yes, that's right. And conquers all. Especially the age barrier.

-Ooh, ouch!

-What, just because she's older?

No. Because the concept of perfect true love is baloney, isn't it?

It's straight out of Schott's Miscellany, book of cliches.

You're very funny. I want one of you for Christmas.

-Trust me, he's the gift that just keeps on just giving.

-What's that?

-A Dylan.

Don't you think he's cute?

Well, I, erm...

Speaking of gifts, can I interest anyone in any of these?

-All proceeds go to the kids' ward.

-Who made them?

I did. I usually sell them at fairs and stuff, but, you know,

it's in a good cause.

That's amazing.

Isn't that amazing, Dylan?

Red's your colour, isn't it?

Erm...

I... I'm... I'm...

I'm allergic to wool.

Don't take it personal. He's like that with everyone.

Stone.

It's OK.

There's one thing that gets him talking, though.

Whoo-whoo!

Yes! That's it!

The Duracell bunny.

This little fella? Life and soul!

OK. So I've spoken to the orthopaedic surgeons

and it's as we thought - leg needs to be sorted out in theatre.

Don't you worry about a thing. I'll look after Owen.

Your granny's going to be in seventh heaven.

Isn't she just!

OK, you've been very lucky.

This is just a bad sprain.

So keep it in the sling, erm, you'll need regular pain relief.

Oh, hey, hey, there you go. There you go.

Have, erm... Have you ever been told he's got haziness of the eyes?

No. What does it mean?

It could be something or nothing.

Do you know what, on second thoughts I would like to run a few X-rays.

X-rays? What for?

Just to be on the safe side.

Now he's in a co-operative mood, we don't want any nasty surprises.

You can go with him if you like. I'm going to go and set that up.

Won't be a moment.

Tom, if you're thinking what I think you are, then it's very rare.

Well, I'm sincerely hoping I'm wrong.

Would someone mind telling me what's going on?

-The X-rays, they'll be key, I suppose?

-Yeah.

Linda, can you get someone else to do the obs?

I need a neck, chest, and pelvis X-ray on Owen MacCrimmon, ASAP.

-What? But I thought he...

-Yeah, so did I. What's going on?

Corneal clouding, croupy cough, slight wrist-tilt. On their own they don't mean much,

-but together, they're all symptoms of Morquio Syndrome.

-What's Morquio Syndrome?

-It's a metabolic disorder. Manifests itself in stilted growth.

-But you're not a specialist.

-No. But I saw it in my paeds rotation in Birmingham with Professor Gorman.

-That's meant to mean something?

-He's pretty eminent.

-Anyway, I'm sure he'd be able to tell by looking at the X-rays.

-I'm going to give him a call.

-Oh.

Ah, Lloyd! You must remember Mr Ogden.

Ah! Mr Ogden, how've you been?

The first crew who called this morning gave him a clean bill of health.

I do have chest pains, you know.

-He said the magic words.

-Positive thinking, Mr Ogden!

Serious, Mum, the police are here.

Yeah, there's photographers all over the place.

No, they'll be coming down.

Zoe, has our celebrity calmed down yet?

Unfortunately not. He's just been told he might have a fractured neck. So, he's obviously upset.

Screaming blue murder and taking us all to court.

-Yeah, course he is.

-Well, he has to blame someone.

We get it all the time, don't we? Front line of abuse.

Yeah. Yes. They're still here. No, I haven't told them yet.

Well, I can ask one of the specialists if you prefer.

Ah, OK, OK. Thanks, Professor Gorman. Bye.

-Any news?

-Well, not quite yet.

How much longer till we're out of here?

It's just my wife's not very well and I need to arrange something.

We're going as fast as we can.

Is there anything wrong? With Owen?

I'll come and see you as soon as I can. I promise. OK?

Zoe, you're needed in resus.

-I... I can't feel my legs.

-Please, try and relax.

-Do something!

-When did this start?

-A little while ago. Reduced sensation in his right hand and now he can't feel his legs.

-What's happening? What's going on?

-OK. Tell me if you can feel this.

I can't feel it, I can't feel anything!

Can you squeeze my hands?

What's happening?

Do something!

-What is it? What are you looking at?

-Call radiology, we need an MRI right now, yeah?

And get back on to the spinal surgeons!

Thank you, Professor. Yeah, got that.

Yeah, I appreciate you getting back so quickly. Thanks.

Obviously, we'll need to send bloods off, but looking at these,

he says it's pretty conclusive. This is typical to Morquio's.

Hypoplasia of the odontoid process.

Skull thicker than normal, J-shaped sella tursica,

vertebras abnormally formed.

-And there's no treatment?

-No. No, none.

So. Why has no-one spotted this earlier?

Well, it can be pretty subtle until they reach this age.

So what do we do now?

We need to talk to them.

And how much do we tell them? When they ask?

What? Is there something I'm not getting?

Well, in every case of Morquio's that I've seen so far...

the parents were related.

Excuse me, miss. Hey, look, I...

I just wanted to say I'm sorry.

I know what you must think of us.

I don't think anything, love. I'm just doing my job.

Yeah, course. You know,

I don't understand how it's all gone off the rails like this.

If that's the case, maybe you should consider getting out.

Yeah. It's not that simple.

Jay and I have been together since we were 15.

We grew up on the same estate.

He used to meet me at the bus stop every day on the way to school.

Jay's... He's got a heart of gold. It's just his temper. He...

Temper? That's an understatement.

When I met Jay, his dad was in prison, right.

And his mum, she was too busy looking after his wee sister.

-He didn't stand a chance until he was scouted!

-Yeah, a lot of us have a tough upbringing.

We don't all end up like that.

I'm not making excuses...

We just seem to fight all the time.

He's so paranoid, he keeps thinking I'm coming on to his mates.

I don't understand why you'd stay with someone who treats you like that.

I dunno...

Maybe I do get a bit too friendly when I've had a drink.

I was going to leave him, you know.

I was. I was...I was this close...

And then...

There you are. I'm afraid we're going to have to take Jay for another scan.

I think you should come inside.

What? OK.

-Why does he need another scan?

-He's just been incontinent of urine.

-Hang on, Tom, how much are you planning on saying?

-As much as I know.

This is a complex genetic disease. It needs to be handled by a metabolic specialist.

We're not...qualified to answer all their questions.

We answer what we can as sensitively as we can. If this was my kid, I'd want to know as soon...

-You're getting in too deep. It's pretty heavy stuff.

-Too deep? Why? Cos it would make OUR life harder?

That's not what I meant. Look... You're just going to

-bounce in there and announce they're all from the same family?

-Of course not!

OK, at ease, children! I'm just going to leave you to it. OK?

What's the address again?

5, Sycamore Drive.

-You all right?

-Yeah, I'm fine. Why?

You sure?

Yeah. It's just, er...Jay.

-He's not doing too good, is he?

-Yeah, so I heard.

We did everything we could though, didn't we?

Didn't we?

Yeah... By the book.

Good. We've got nothing to worry about, then, have we?

Let's do our job, eh?

Hey, er... I think you dropped this.

I...called you but, er...

Oh, oh, thank you. Thank you. Erm... It's erm... It's my lunch.

You're even quicker than Ziggy, and that's saying something.

My, er... My dog.

Oh. Oh, right, oh...

Yes, I'm... I've got a dog. Not quick, though.

Positively turned off by the smell of grass at the moment.

-What does it like?

-Toast.

Maybe we should get them together... tie some toast to Ziggy's tail.

Er... Yes, yes, maybe, maybe...

So, so sorry.

I know it's a shock... but I thought you'd want to know as soon as possible.

We are going to transfer you to a specialist in the field who'll be able to answer all your questions.

Why? Why him? I mean, is this just...

bad luck? Can this happen to anyone?

Like I said, it's a... It's a genetic condition.

So he got it from one of us?

(Tom...)

Well, yes...possibly.

"Possibly". What do you mean?

What?!

Is there something you're not saying? If it's one of us...

It's likely you're BOTH carriers.

Both of us? But you s... You said it was very rare, didn't you?

Yeah.

This is crazy. I mean, what are the chances of both of us carrying the same gene?

You don't mean...?

What?

Oh, my God...

You think...

You think we could somehow be related?

I am not at liberty to give you that information.

-Where is she?

-I don't know where she is! I'm serious! I don't know where she is!

So, erm...will I see you later?

Er, yes.

Yes, yes, I'll see you later.

-Hold on! That's not fair!

-I just don't believe it! We agreed.

-They wanted to know, they pushed me, I'm not going to lie!

-Plan backfired, did it?

You should've seen their faces. They had no idea.

Are you sure? People lie, don't they? Patients sometimes lie. In fact, patients quite often lie.

We missed a trick, should've sent you in, would've been the master stroke(!)

ALL SHOUTING AT ONCE

-CAMERA SHUTTER CLICKS

-No, no, no!

Have you ever heard of GSA? Genetic sexual attraction?

It's a syndrome in which two siblings meet after years,

sometimes their whole lives apart, they fall hopelessly in love with each other.

Think about it - "my soul mate", "my other half"...

Dylan, he came from Scotland! That's all. Her dad gave him a job.

But there must be some connection. Er, what made him take that job?

I don't know. Niall's mum did his accounts or...

I think a career in CID's out of the question.

Well, do you know what, Miss Marple? It's none of our business.

We've done enough. Let's just leave well alone.

(Right. The spinal surgeons are on their way down.)

Look, Jay's really going to need you.

I th-thought you'd left.

I've been such an idiot.

Nix...

talk to me.

Just...

Some things have to change, Jay...

starting from now.

Excuse me, mate?

Yeah?

This other family, in the other car...

How are they?

Erm... Th-They'll be OK.

(Right.)

You know that...paramedic woman?

I want to see her.

I want to say sorry. I want to say sorry to all of you.

It was my fault...

all of it.

That's the second one in. Took us all morning to get there...

-Hello, Elsie, love.

-Hiya.

-Hey.

-Can't believe she's here again.

-Well, you know how it is... Same old, same old.

No proper care in place, just a load of notes saying "don't call 999".

We got back in the ambulance and she'd already called us.

-She's no idea where she is, bless her, so we couldn't leave her on her own.

-Take care, Elsie.

Really? More paperwork?

Well, you know how it is...

It's important these patient care forms are accurate.

Tamz? Jay Kimble wants to have a word with you.

Why?

He won't be giving you any grief.

You, erm...

You wanted to see me?

I'm really...sorry.

I've always been like that.

Red mist.

You were only trying to help.

Yeah, maybe today happened for a reason, eh?

It's the wake-up call that we needed.

Thank you, I appreciate it.

What is it?

The spinal surgeons have had a good look at your scan.

Why don't you take a seat?

Thank you.

You have a very serious spinal fracture, Jay.

And a haematoma's developed, that's like a bruise,

and it's putting pressure on your spinal cord.

Right...

So how long?

Till I can go back on the pitch?

It's a significant neurological injury. It's about as serious as it can get.

How do you mean?

It's early days, but the prognosis is poor.

What are you saying? I'm paralysed or something?

I can't say that, but you will need an operation on your neck...

to relieve the haematoma and to reduce the neck fracture.

The surgeons are in theatre, but when they come out they'll explain more in detail.

Cut it out. What do YOU think?

I'm going to be paralysed?

I think, unfortunately, it is a possibility.

Hey, Tamz.

Tamzin, you all right?

-Ah, gotcha! Any chance of that fiver?

-Not now, Big Mac!

-Ah, come on Tamz, cough up.

-Don't you understand?!

People are only giving you money cos they think you can't do it!

Not a good time, mate.

Tamzin!

Hey! Hey! Tamz!

Whoa, whoa, whoa! Come on.

What's the matter?

It's all my fault, Jeff!

He never refused treatment.

We didn't get that far because I gave up on him!

I wanted to tell you Jeff, I really did.

What am I supposed to do now?

Honesty's the best policy...

..so they say.

Jeff?

Please...

-Is he breathing?

-What's happened?

He was fine, he was just coughing really badly

-and then he went stiff and fell over.

-OK.

OK, OK, he's less and less responsive...

-He must be bleeding from inside.

-OK, can you page Dylan, now?

OK, Owen? Owen, can you hear me?

His GCS is falling.

Excuse me.

Yeah, he's tender in the upper right quadrant.

Fluid in Morrison's pouch.

With the Morquio's, he has hepato splenomegaly.

He has a concealed bleed somewhere.

We need to get the Paediatric surgeons and PICU down here now.

-You rang, my lord?

-OK. Intra-abdominal bleed.

GCS falling.

He needs intubating.

Can I have 25mg of ketamine and 25mg of sux,

and let's get some fluids up.

We should wait for Paeds.

He'll lose his airway before they get here.

Sam, I need you to hold his head for me.

-OK. Got it.

-And, Dylan, can you put a line in?

Yes. It's going to be tough, Tom. Are you ready, yeah?

-We can do this.

-Yes.

OK...line in.

Can I have the drugs, please?

Ketamine...

is in.

Can't see anything.

Can't even see the cords.

Sux is in.

-Dylan, I think I'm going to need an LMA.

-OK.

Oh, no, wait! It's all right. I can see something.

Could you pass me a smaller tube, a size three cuff, please?

SATS are dropping.

OK, Yeah. I'm in.

OK, let's bag it, please.

OK. Let's check the position.

-OK. Position is fine.

-Inflate the cuff.

-OK.

-Cricoid off.

Dylan, get on to the surgeons.

-Tell them he needs to go to theatre, now.

-OK.

Let's secure the tube.

We're going to be OK, Jay.

You and me, the...

we can sort through this together, all right?

We just, erm... We'll, erm...

We'll nothing.

-You should go.

-What?

You were going to leave sooner or later.

Just make it now.

I knew you were going to leave me.

-Two months ago.

-No, I...

Don't lie!

Heard you on the phone to your mum.

What stopped you going?

The money?

No...

Well, it's over.

End game. Nothing to keep you here any more.

Go!

-Jay, please...

-Get out!

He's stable.

The surgeons are going to come downstairs

and take him up to theatre.

He's going to be OK.

For now.

These are those complications

because of that syndrome, right?

That's what you meant?

Yes.

He's never going to be like other children.

PHONE RINGS

It's your mum.

I'll just take this outside.

Erm, Andy.

Listen, I hope I'm not speaking out of turn,

but you knew Niall's mother, didn't you?

She was your accountant.

What are you suggesting?

She worked for me for a month in 1981.

Niall was born in 1979.

That's two years before I even met her!

OK, I'm sorry.

-I had to ask.

-I'm going to call my wife.

-Tom?

-Mmm?

Niall MacCrimmon's notes.

Thank you.

I won't be a sec.

Couldn't tell her.

She's so unwell as it is.

What is it?

Look, I don't know if I'm doing the right thing,

I really don't.

And, well...

if I'm barking up the wrong tree,

-it doesn't matter anyway.

-Just spit it out!

Niall.

It says here he wasn't born in 1979.

It says he was born in 1981.

HE GASPS

Oh, my God!

SHE SNIFFLES

Well, it really is over now.

He worked it out.

That I was going to leave him. He's...

..he's told me to get lost.

Oh.

And I can't blame him.

I mean, all this time that I said that...

it'd all just gone to his head.

The money, lifestyle, the cars.

Really, I couldn't walk away from it either, could I?

We all lose our way sometimes.

I'm not one to judge.

Do you love him?

I love the boy I met at the bus stop.

I'm sure he's still in there somewhere.

He's probably looking for that girl, too.

But I knew my Dad! He died when I was three!

He died of a heart attack! But you and my mum?!

It was one lapse! I met you as a baby! If I'd known...

That would have been my brother, Gary.

For God's sake, why did you lie about your age!?

Cos you had to be 18 to work behind the bar!

Are you saying we're brother and sister?

I'm sorry.

I'm so sorry.

I'm so sorry. HE SOBS

-THEY WHISPER

-I love you.

-I love you.

I'll just be outside.

-Dr Kent?

-Yes?

Er...

..it's just...

we were trying for another baby.

Could you be pregnant?

I don't know.

Well, we'd better get you tested.

LIFT: 'Doors opening.'

'Lift going up.'

That's the terrible thing about the quest for truth. You find it.

Well, I gave her the pregnancy tester. Just...

-Oh, what a mess...

-Tom.

You did everything you could.

Yeah, well sometimes the truth is overrated.

Mrs MacCrimmon?

Mrs MacCrimmon?

Negative. Thank you.

I just wanted to say that, erm,

you two did nothing wrong.

I don't often say this, but

if you need anything, any advice,

-any help with genetic testing...

-Thank you, but...

I'm not sure we're going to find out.

I mean, we won't have any more children, but...

that little guy there, he's going to need us.

Both of us.

Maybe just leave it at that.

OK.

Take care.

I didn't realise you were such a romantic.

Yes, you did.

She doesn't just kiss anyone, Tom.

-Oh! Noel! You be careful now!

-Sorry, Mac. You all right?

Oh, Mac, Mac, Mac, Mac, Mac! How the hell did you manage that?!

-Doing his fartlets...

-FARTLEKS! It's a training injury.

I just hope it's not broken.

-It's probably just a strain.

-What's all this about?

Erm, I...I dunno.

Bonhomie at the end of an otherwise depressing day.

-Dylan?

-Yeah?

-I'd go for it.

-Go for what?

Puppy love?

Can't you tell when someone fancies you?

Well, there goes the marathon. Maybe I should start with a fun run.

Or the walkathon.

-For OAP's.

-HE LAUGHS

Shall we? We still have an hour of light left.

Uh, I wouldn't want to waste your time.

-I have to take Ziggy out anyway.

-Look, it's never going to happen.

You and me. It's never going to happen.

Amanda?

Don't let him get to you.

You know what you need?

A drink.

On me.

What's that?

My pre-emptive statement.

Jeff, you know if there was

anything I could change from today then I would.

He's a footballer, Tamzin.

Paralysed from the waist down.

Unlikely to recover.

I know.

I just wanted to prove to you that we're a good team.

I just didn't want to disappoint you, Jeff.

HE SIGHS

Well...

it's possible the haematoma would have formed anyway.

But there's a possibility I could have prevented it.

Yeah.

So what are you going to write, then?

Jay Kemble was an aggressive idiot at the scene.

He refused all treatment

and he put you in a tough position.

Thank you.

Thank you so much, Jeff.

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