The Blame Game

Download Subtitles

Transcript

0:00:38 > 0:00:40Nicole - ambulance is here.

0:00:40 > 0:00:42Please, just ring me when you get this.

0:00:46 > 0:00:48I don't know what happened.

0:00:48 > 0:00:49OK, let's have a look.

0:00:51 > 0:00:52What's her name?

0:00:52 > 0:00:54Milly.

0:00:54 > 0:00:55Milly?

0:00:55 > 0:01:00OK. Milly, I'm Jeff. I'm a paramedic. Can you hear me?

0:01:02 > 0:01:05Airway's clear. She's breathing.

0:01:05 > 0:01:08And I think I got a good pulse.

0:01:08 > 0:01:10Can I have the ear thermometer, please?

0:01:10 > 0:01:12Can you tell us what happened?

0:01:12 > 0:01:14I just came in and she was groaning.

0:01:16 > 0:01:18Where were you? Did you see her collapse?

0:01:18 > 0:01:21I was out the back - I'm sorry, I needed a cigarette.

0:01:21 > 0:01:23She was doing my head in!

0:01:23 > 0:01:26It's all right, we're just trying to find out what happened, OK?

0:01:26 > 0:01:29- She's done this before, when she gets hot.- OK.

0:01:29 > 0:01:31Temperature's 38, so low fever, just.

0:01:31 > 0:01:35I think we should give her some paracetamol just to be sure, though.

0:01:35 > 0:01:37Milly?

0:01:37 > 0:01:41Her eyes are still dead. Why won't she look at me?

0:01:41 > 0:01:44She's breathing and she's got a strong heartbeat.

0:01:44 > 0:01:45Just try and relax.

0:01:45 > 0:01:48I'll take her to hospital, let the doctor check her over.

0:01:50 > 0:01:54We've got a five-year-old collapsed with a seizure, ETA two minutes.

0:01:54 > 0:01:56- Sure.- A five-year-old? I'll get it.

0:01:56 > 0:01:58Of course... you're the paediatric expert.

0:02:00 > 0:02:02Looks like you're not the only one

0:02:02 > 0:02:04who got lucky at the Christmas party.

0:02:04 > 0:02:06That's more than a friendly dance.

0:02:06 > 0:02:08Can't you see the way she's looking at him?

0:02:08 > 0:02:09What, Dominic and Linda?

0:02:09 > 0:02:11He's got to be ten years older than her, surely.

0:02:11 > 0:02:14I know, but if you're into sugar daddies...

0:02:16 > 0:02:22- Zo?- Yeah?- Have you been called to this complaints meeting later?

0:02:22 > 0:02:24No, what's it for?

0:02:24 > 0:02:27The footballer who was paralysed in a car crash a few weeks back.

0:02:27 > 0:02:29Jay Kemble? No, no, I haven't.

0:02:29 > 0:02:33Right. I've just had a memo. His fiancee's on her way in.

0:02:33 > 0:02:35She wants to have a little "chat".

0:02:35 > 0:02:37That sounds ominous. Good luck.

0:02:37 > 0:02:40Rather you than me. When is it?

0:02:40 > 0:02:42Did you know that Louise was taking photos

0:02:42 > 0:02:44all through the Christmas party?

0:02:44 > 0:02:45No. What's the problem?

0:02:45 > 0:02:48- I got a bit carried away towards the end.- What did you do?

0:02:48 > 0:02:52- Well, I think I tried to do the caterpillar!- What, as in...?

0:02:52 > 0:02:54As in.

0:02:54 > 0:02:56OK, I'll check and see if she took any.

0:02:56 > 0:02:57Can you be a bit subtle!

0:02:57 > 0:03:01Of course. Who do you think you're talking to?

0:03:01 > 0:03:04Milly Clancy. History of febrile convulsions.

0:03:04 > 0:03:06Had a seizure about 30 minutes ago.

0:03:06 > 0:03:10BP 105 over 66, had 10ml of paracetamol at the scene.

0:03:10 > 0:03:12She's in safe hands now, don't worry.

0:03:12 > 0:03:16OK. Take her to Paeds. Hi, Milly. I'm Tom.

0:03:16 > 0:03:19MUSIC: "Last Christmas" by Wham!

0:03:46 > 0:03:47INAUDIBLE

0:03:55 > 0:03:57Oi! You two!

0:04:08 > 0:04:11Shoplifters - those kids that have been hanging about -

0:04:11 > 0:04:12on the upper concourse.

0:04:21 > 0:04:22Here!

0:04:22 > 0:04:24Come on!

0:04:30 > 0:04:31Danny!

0:04:31 > 0:04:34Just go! Now!

0:04:41 > 0:04:43Oi!

0:04:46 > 0:04:47Jodie!

0:04:49 > 0:04:51We need an ambulance at the south entrance now!

0:04:55 > 0:04:58He's paralysed from the waist down.

0:05:00 > 0:05:03I just have to look at him and it brings tears to my eyes.

0:05:05 > 0:05:09Whenever I think about all the things that he loved to do...

0:05:10 > 0:05:12..and he can't do them any more.

0:05:19 > 0:05:21This should never have happened to him.

0:05:24 > 0:05:27And this is why the top brass are getting twitchy.

0:05:27 > 0:05:30Oh, my God.

0:05:30 > 0:05:33All she seems to care about is holding someone else responsible

0:05:33 > 0:05:35and getting as much publicity as possible.

0:05:35 > 0:05:37"Justice for Jay"? Come on, are they serious?

0:05:37 > 0:05:42The geezer was drunk and crashed his car! Where's the injustice?

0:05:42 > 0:05:44They've got to take it seriously.

0:05:44 > 0:05:48Right, I've read your statements and I'm sure we're covered.

0:05:48 > 0:05:49Is there anything else I need to know?

0:05:52 > 0:05:55I'm assuming you're happy with everything you've written?

0:05:55 > 0:05:56Yeah, of course.

0:05:58 > 0:05:59Jeff?

0:06:00 > 0:06:02Yeah, yeah. Absolutely.

0:06:05 > 0:06:10RADIO: 'Control to 3006 - male with acute chest pains...'

0:06:10 > 0:06:12Do we have to stay here for this meeting?

0:06:12 > 0:06:13No, no, you take that.

0:06:13 > 0:06:15OK. 3006 to Control.

0:06:15 > 0:06:17Received, thank you, on our way.

0:06:18 > 0:06:20Jeff, she knows.

0:06:20 > 0:06:21You were a bit jumpy.

0:06:21 > 0:06:25- Because I've never done this before. - Neither have I!

0:06:25 > 0:06:27If I'd immobilised his neck straight away...

0:06:27 > 0:06:29- He'd still be in that rehab centre. - You don't know that.

0:06:29 > 0:06:31I know it's hard, I know you feel terrible,

0:06:31 > 0:06:33but we can't change what's happened, can we?

0:06:33 > 0:06:35The bloke was drunk and crashed his car.

0:06:35 > 0:06:37That's what caused his spinal injury.

0:06:37 > 0:06:40So if we're going to play the blame game, I know where I'd look.

0:06:47 > 0:06:51She smashed her head down the stairs, she's all dazed and that.

0:06:51 > 0:06:52This is all your fault for chasing us.

0:06:52 > 0:06:54- You were shoplifting!- What?

0:06:54 > 0:06:56OK, take it easy, let's just look at her, yeah?

0:06:56 > 0:06:59Are you all right? Is your chest hurting?

0:06:59 > 0:07:00It's just a stitch.

0:07:00 > 0:07:03I'm going to do an ECG just to be sure, OK?

0:07:03 > 0:07:04What's her name, mate?

0:07:04 > 0:07:06- Jodie.- Jodie what?

0:07:06 > 0:07:07Just Jodie.

0:07:07 > 0:07:10OK. Jodie, I'm Jeff, I'm a paramedic.

0:07:10 > 0:07:13Can you hear me? OK, just stay still, stay still.

0:07:13 > 0:07:15Can you tell me what happened?

0:07:15 > 0:07:16Blacked out, fell.

0:07:16 > 0:07:20- Do you feel sick at all? - A bit.

0:07:20 > 0:07:22And where's the pain, Jodie?

0:07:22 > 0:07:23All over.

0:07:23 > 0:07:26Your blood pressure's very high. I'm going to have to take you in.

0:07:26 > 0:07:28I'm not going anywhere. I'm just a bit out of shape.

0:07:28 > 0:07:29Why were you chasing them?

0:07:29 > 0:07:31He nicked a jacket.

0:07:31 > 0:07:34Well, he didn't get very far, did he? So job well done, I'd say.

0:07:34 > 0:07:36I'm OK, no worries.

0:07:37 > 0:07:40Tamz, give me a hand immobilising this neck.

0:07:40 > 0:07:42He doesn't want to come in, Jeff.

0:07:42 > 0:07:46Come on, mate. What harm's a little check-up going to do?

0:07:46 > 0:07:49OK, then you need to sign a form saying you refused to be conveyed.

0:07:49 > 0:07:51Just go home, put your feet up.

0:07:51 > 0:07:54Any pain, any twinges or anything, you dial 999, OK? I'm serious.

0:07:54 > 0:07:56Thank you.

0:07:57 > 0:07:59Jeff?

0:07:59 > 0:08:00What more can we do? We tried.

0:08:03 > 0:08:05Dominic? We've got a head injury coming in.

0:08:05 > 0:08:07A teenager fell down some stairs.

0:08:07 > 0:08:09ETA's ten minutes. Can you take it?

0:08:09 > 0:08:11- Absolutely.- I don't know how we coped without you.

0:08:11 > 0:08:14- It feels like I've been here all my life.- That bad already?

0:08:15 > 0:08:17Hey, are we expecting royalty or something?

0:08:17 > 0:08:20What? Oh, that is all I need.

0:08:23 > 0:08:26Nicole! Nicole, look at the camera.

0:08:28 > 0:08:29Excuse me.

0:08:29 > 0:08:32Look, this isn't about Jay or his accident.

0:08:32 > 0:08:34Or about my complaint.

0:08:34 > 0:08:37It's a completely separate, private family matter. Excuse me.

0:08:37 > 0:08:39Nicole, how's your baby sister doing?

0:08:39 > 0:08:42You probably know more than I do.

0:08:43 > 0:08:46- I'm sorry, it's been a difficult time.- Nicole!

0:08:46 > 0:08:50All right, let's be clear. You guys remain outside this building.

0:08:50 > 0:08:51No photos in reception.

0:08:51 > 0:08:54Follow those guidelines, and we'll all get on famously.

0:08:54 > 0:08:59Nicole? Hi, I don't know if you remember me, but...

0:08:59 > 0:09:02Dr Hanna, yes, of course.

0:09:02 > 0:09:05Would you like me to show you somewhere to wait before your meeting?

0:09:05 > 0:09:08No. Look, I've had a phone call from my mum.

0:09:08 > 0:09:11- My baby sister's collapsed. - And she's come here?- Yeah.

0:09:11 > 0:09:12- What's her name?- Milly Clancy.

0:09:12 > 0:09:17Louise, have we admitted a Milly Clancy?

0:09:17 > 0:09:20She's just been transferred to CDU - cubicle 5.

0:09:20 > 0:09:25Oh, very good. And can you let security know that I want the entrance cleared for emergencies.

0:09:25 > 0:09:27Could you follow me, please?

0:09:29 > 0:09:31It's just this way.

0:09:35 > 0:09:37Hey, Milly.

0:09:37 > 0:09:38Thank God you're here!

0:09:38 > 0:09:42Mum, don't. Hiya.

0:09:42 > 0:09:45Mum, why's she here? Look at her. She looks fine.

0:09:47 > 0:09:48I don't really know.

0:09:48 > 0:09:49Well, where's the doctor?

0:09:49 > 0:09:53Look, have you even asked what's wrong with her yet?

0:09:53 > 0:09:54I'll go and find that out for you.

0:09:54 > 0:09:56Thanks.

0:09:57 > 0:09:59Possible blackout. GCS was 13 at the scene,

0:09:59 > 0:10:03minor head injury with minimal bruising.

0:10:05 > 0:10:07Not bad for a 20 foot fall down some steps.

0:10:07 > 0:10:10- Could have been a lot worse, thanks. - A lot worse? You didn't see her fall!

0:10:10 > 0:10:13Mate, you need to calm down and you need someone to look at your hand.

0:10:13 > 0:10:17- You can't make me leave her.- He's got a cut on his hand that hasn't been looked at for a few days.

0:10:17 > 0:10:19- OK, why don't you come with me? - Danny!

0:10:19 > 0:10:23- Don't worry, you can see him as soon as the doctor's checked you over. - One, two, three.- Yep.

0:10:23 > 0:10:25I'm not leaving, Jodes.

0:10:25 > 0:10:29Listen, you can't do anything for her at the moment so don't start pushing, all right?

0:10:29 > 0:10:32Let's get you booked in and I'll have a look at your hand. Come on.

0:10:32 > 0:10:353006 to Control, received that. We're on our way, over.

0:10:35 > 0:10:37BP's 118 over 65.

0:10:37 > 0:10:39Happy with that. Pupils are equal and reactive.

0:10:39 > 0:10:41The light, get it out of my face.

0:10:41 > 0:10:43He needs to check your eyes.

0:10:43 > 0:10:45I've got a headache.

0:10:45 > 0:10:48Did that come on after the fall?

0:10:48 > 0:10:49Yeah. I don't know.

0:10:50 > 0:10:52And what about your fingers?

0:10:52 > 0:10:54Can you wiggle your fingers for me?

0:10:54 > 0:10:56That's good, and your toes?

0:10:56 > 0:10:58I know you must be frightened.

0:10:58 > 0:11:01Is there anyone we can call for you, your mum, maybe?

0:11:01 > 0:11:05No. I don't want you to call her. You can't call her.

0:11:05 > 0:11:07Don't worry, we won't.

0:11:07 > 0:11:10I'm satisfied that your neck's OK, so we can remove the collar.

0:11:12 > 0:11:14- I'm aching.- What, your neck?

0:11:14 > 0:11:15Everywhere.

0:11:15 > 0:11:18Well, you did take quite a tumble, young lady.

0:11:18 > 0:11:20The loss of consciousness

0:11:20 > 0:11:23and reduced GCS at the scene concerns me.

0:11:23 > 0:11:27- So I'd like a CT scan for reassurance, please.- OK.

0:11:27 > 0:11:30As soon as the result of the scan comes back,

0:11:30 > 0:11:32- let me know, please, Linda. - OK.- Thanks.

0:11:32 > 0:11:36- Tom.- Mmm.- Milly Clancy, the five-year-old with a febrile convulsion.

0:11:36 > 0:11:39Suspected. Yeah, her temperature's barely registering a fever.

0:11:39 > 0:11:41It's completely normal now.

0:11:41 > 0:11:44Well, a febrile convulsion is about how quickly it spikes,

0:11:44 > 0:11:46not how high the temperature goes.

0:11:46 > 0:11:48I know, but the description isn't classic.

0:11:48 > 0:11:51Now, that could be just because the mother's being a bit vague - I don't know.

0:11:51 > 0:11:53But I'll wait and see what the bloods tell me.

0:11:53 > 0:11:57OK, but you should know there's a bit of a PR situation around this.

0:11:57 > 0:11:59The mother's eldest daughter's just arrived.

0:11:59 > 0:12:01Right, yep, she's been trying to call her.

0:12:01 > 0:12:04Yeah, she's Nicole Clancy - engaged to Jay Kemble.

0:12:04 > 0:12:06No pressure to be nice, then!

0:12:06 > 0:12:08No nicer than usual. Anything changes...

0:12:08 > 0:12:10Yeah, yeah, of course.

0:12:15 > 0:12:17Quick - it's my husband!

0:12:17 > 0:12:19- OK. This way?- Yeah.

0:12:22 > 0:12:24Oh, hello again, Brian!

0:12:26 > 0:12:30How are you feeling? Can you talk?

0:12:30 > 0:12:31Can you describe the pain for me?

0:12:31 > 0:12:34Tight pressure...around the chest.

0:12:34 > 0:12:35What, like this morning?

0:12:35 > 0:12:37All right.

0:12:39 > 0:12:40I'm just going to pop this on for you.

0:12:40 > 0:12:43Nice deep breaths for me, that's it.

0:12:44 > 0:12:46I'm still looking for signs of an infection.

0:12:46 > 0:12:49But she has come back with higher than usual sodium levels.

0:12:49 > 0:12:50What does that mean?

0:12:50 > 0:12:56Dehydration, most probably - but high levels of sodium can cause seizures.

0:12:56 > 0:12:59So how's she been over the last few days? Excessive sweating?

0:12:59 > 0:13:01Diarrhoea, vomiting?

0:13:04 > 0:13:08- I don't know...no. - So up until this morning's episode she's been quite healthy,

0:13:08 > 0:13:11doing her normal routine of eating and drinking?

0:13:11 > 0:13:14Surely this is just like the fits she's had before. We've been told

0:13:14 > 0:13:16to keep her cool when she's got a temperature.

0:13:16 > 0:13:20- Mum, you should have done that! - I understand this can be an emotional time.- You have no idea.

0:13:20 > 0:13:23It doesn't seem like there was anything your mother could have done

0:13:23 > 0:13:24to prevent the seizure.

0:13:24 > 0:13:28Milly doesn't have, or didn't have, an obvious fever.

0:13:28 > 0:13:30Well, then, what caused the fit?

0:13:30 > 0:13:33That's what we're trying to figure out.

0:13:33 > 0:13:34Did she even have one?

0:13:34 > 0:13:35Nicole!

0:13:35 > 0:13:39What? Is that what this is?

0:13:39 > 0:13:41The spotlight was off you for five minutes!

0:13:41 > 0:13:42She did collapse, I promise you.

0:13:42 > 0:13:44The paramedic's report confirmed that.

0:13:44 > 0:13:49I don't trust your paramedics, right. And I don't trust you.

0:13:49 > 0:13:51I'm sorry, Mum, this has happened too many times.

0:13:54 > 0:13:56OK, Brian.

0:13:56 > 0:13:59Is he on any medication for his heart?

0:13:59 > 0:14:01Beta-blockers for his blood pressure.

0:14:01 > 0:14:02OK, and does he take them?

0:14:02 > 0:14:07Not always. They made him less angry, which was good...

0:14:07 > 0:14:11but there were side effects that he don't like.

0:14:11 > 0:14:14OK, and did he complain of chest pains this morning -

0:14:14 > 0:14:17- or was it the chase that kicked them off?- The chase?

0:14:17 > 0:14:20Yeah. He chased some shoplifters.

0:14:20 > 0:14:23- We treated him for chest pains earlier.- Well, he didn't tell me.

0:14:23 > 0:14:26He's so...oh!

0:14:26 > 0:14:30Oh, no. Don't pull the labour trick on me now.

0:14:31 > 0:14:37Hey, it's all right. It's OK, love, we'll get it sorted. OK?

0:14:37 > 0:14:39You ready to transfer?

0:14:39 > 0:14:41- Are you all right to come with us? - Yeah.- Come on, then.

0:14:47 > 0:14:49Hiya.

0:14:51 > 0:14:53Sorry, I don't think we've been introduced.

0:14:53 > 0:14:56Nicole asked me along today to help.

0:14:56 > 0:14:58This is really difficult for her. So just to be clear,

0:14:58 > 0:15:01she thought it would be better if I talked about the nature of her complaint.

0:15:01 > 0:15:04OK. That makes sense to me.

0:15:06 > 0:15:09So the complaint that she wishes to raise

0:15:09 > 0:15:12is towards the Ambulance Trust and the care Jay received at the scene.

0:15:12 > 0:15:18Well, the paramedics who attended the accident are both very experienced.

0:15:18 > 0:15:20And having spoken to them,

0:15:20 > 0:15:24they're really very sorry for what's happened to Jay.

0:15:24 > 0:15:27So, is that an admission of liability?

0:15:28 > 0:15:31It's two professionals expressing their sympathy...

0:15:31 > 0:15:34sorry, who did you say you were again?

0:15:34 > 0:15:37I'm Anna Clifford - I represent Jay Kemble

0:15:37 > 0:15:38and Nicole Clancy on their legal matters.

0:15:38 > 0:15:41I didn't realise this had become a legal matter.

0:15:41 > 0:15:46It hasn't, yet. However sympathetic your paramedics may be,

0:15:46 > 0:15:48it doesn't excuse the fact that Nicole and Jay believe

0:15:48 > 0:15:52that they failed to treat his injuries in accordance with standard procedure.

0:15:52 > 0:15:57I'm sorry they think that... I'm sorry you think that.

0:15:58 > 0:16:03And personally, I am extremely sorry for what happened to Jay.

0:16:05 > 0:16:08For a young man in his profession...

0:16:08 > 0:16:11it must be especially difficult.

0:16:11 > 0:16:14But having been through the statements of the paramedics

0:16:14 > 0:16:16and having spoken to them,

0:16:16 > 0:16:19I really feel they did everything they could to help him.

0:16:20 > 0:16:23We have an independent witness who says that

0:16:23 > 0:16:25when the paramedics arrived and assessed Jay's injuries,

0:16:25 > 0:16:29the female paramedic turned her back and walked away.

0:16:30 > 0:16:32Jay was the highest priority casualty,

0:16:32 > 0:16:33and was abandoned for some time

0:16:33 > 0:16:36when he should have been immobilised immediately.

0:16:36 > 0:16:40Both statements clearly state that Jay Kemble refused to be treated.

0:16:40 > 0:16:44No, he didn't! Jay didn't refuse!

0:16:44 > 0:16:46Why would he, eh?

0:16:46 > 0:16:49Why would anyone? They're lying! Do you hear me?

0:16:50 > 0:16:52That is an absolute lie.

0:16:55 > 0:16:57Try not to worry. We just want to make sure you're OK.

0:16:59 > 0:17:01I don't feel right.

0:17:01 > 0:17:02How do you feel?

0:17:02 > 0:17:05My neck hurts, my muscles ache - I feel funny inside...

0:17:05 > 0:17:08I'll speak to a doctor when we're done.

0:17:08 > 0:17:14- Are you sure there's not someone we can call for you?- No.

0:17:15 > 0:17:19- You're about to go viral, mate! - What?- I've seen the footage.

0:17:19 > 0:17:21I'm never going to drink again!

0:17:26 > 0:17:30Right, young man. I just wanted to let you know that I'm going to put a temporary dressing on that.

0:17:30 > 0:17:33Then the doctor's going to have a look at it for you, all right?

0:17:33 > 0:17:34Then can I see Jodie?

0:17:34 > 0:17:35When she's ready, yeah.

0:17:42 > 0:17:44Listen, are you two sleeping rough again tonight?

0:17:44 > 0:17:47- Don't know.- Look, whatever you're running away from,

0:17:47 > 0:17:50there's usually a way back, especially at this time of year.

0:17:50 > 0:17:51You don't know nothing.

0:17:53 > 0:17:55What about your parents?

0:17:55 > 0:17:57All right, what about her parents?

0:17:57 > 0:18:00They've got to be missing her, haven't they?

0:18:00 > 0:18:03Yeah, well, I can't phone them. I'll lose her.

0:18:03 > 0:18:07In my opinion, it might be worth the risk.

0:18:11 > 0:18:14I've been going over the descriptions you gave of the seizures.

0:18:14 > 0:18:15They sound like absent seizures,

0:18:15 > 0:18:18which can be common in young children with epilepsy.

0:18:18 > 0:18:20Oh, my God.

0:18:20 > 0:18:23Now, I know that can be a scary word but don't worry,

0:18:23 > 0:18:27it can be a very manageable condition that varies greatly in severity.

0:18:28 > 0:18:30My poor baby.

0:18:30 > 0:18:31Look, Marcia, it's quite common

0:18:31 > 0:18:34for children to grow out of these types of seizures,

0:18:34 > 0:18:36but if they increase in frequency,

0:18:36 > 0:18:39we might need to discuss medication to control them.

0:18:39 > 0:18:44I don't understand. Nicole - where's Nicole?

0:18:44 > 0:18:46- I want Nicole.- OK. Don't worry, I'll go find her.

0:18:53 > 0:18:56Zoe. Zoe, that PR situation you talking about is, um...

0:18:59 > 0:19:03Oh, no. Louise, can you get security on standby again, please?

0:19:08 > 0:19:12Following a complaints meeting with the Ambulance Trust

0:19:12 > 0:19:15and their failure to provide satisfactory answers as to why

0:19:15 > 0:19:19Jay Kemble was denied treatment at the scene of the accident,

0:19:19 > 0:19:21we have been left with no choice

0:19:21 > 0:19:23but to issue legal proceedings against them.

0:19:23 > 0:19:28And with regards to the family matter that brings Nicole to Holby City Hospital today,

0:19:28 > 0:19:31she asks that you kindly respect her privacy.

0:19:31 > 0:19:33OK, folks, you've had your statement.

0:19:33 > 0:19:36Stay away from the entrance, people are working here.

0:19:36 > 0:19:37You!

0:19:37 > 0:19:41CLAMOUR OF VOICES

0:19:48 > 0:19:54This is Brian Abel. He's had acute chest pain since this morning.

0:19:54 > 0:19:55His BP's 160 over 93.

0:19:55 > 0:20:00He's had two puffs of GTM, oxygen en route, 300mg of aspirin.

0:20:05 > 0:20:07You'll be all right.

0:20:07 > 0:20:10- Don't go yet.- OK.

0:20:10 > 0:20:15And don't make any further comment without my instruction.

0:20:15 > 0:20:17I hope you understand why I needed to take control of that situation.

0:20:17 > 0:20:21- Yeah, cos you didn't want the bad press you deserve!- Nicole!

0:20:21 > 0:20:25Your complaint's with the Ambulance Trust, not with me.

0:20:25 > 0:20:27Just take me to my sister, right?

0:20:27 > 0:20:28I want to see how she's doing.

0:20:28 > 0:20:31I've got that. You want to follow me?

0:20:31 > 0:20:32Thank you.

0:20:41 > 0:20:44Mum, what is it? What's wrong?

0:20:44 > 0:20:47Come here.

0:20:47 > 0:20:49It's all right.

0:20:49 > 0:20:53OK, Mr Abel. Obviously you have acute chest pains,

0:20:53 > 0:20:55but your ECG appears to be normal.

0:20:55 > 0:20:57I told you.

0:20:57 > 0:20:59But I'd like to run a troponin blood test

0:20:59 > 0:21:01to look for signs of damage to the heart.

0:21:01 > 0:21:04If that also comes back normal, then we'll observe you,

0:21:04 > 0:21:05take some more heart tracings

0:21:05 > 0:21:07and I'll do a further test at the end of the day.

0:21:07 > 0:21:10- I have to sit here all day? - We'll need to monitor you

0:21:10 > 0:21:12and make sure that you haven't had a heart attack.

0:21:12 > 0:21:15I thought the NHS were short of beds!

0:21:15 > 0:21:17I'm sure we'll squeeze you in.

0:21:17 > 0:21:19Jane? Jane, Jane!

0:21:19 > 0:21:21Sam!

0:21:24 > 0:21:26Thanks for the tip-off, by the way.

0:21:26 > 0:21:28Did you know the press were waiting for us?

0:21:28 > 0:21:31A tip-off? You heard yourself!

0:21:31 > 0:21:34- You two stitched me up!- Stitched you...? What are you talking about?

0:21:34 > 0:21:37- You didn't have a problem with your statement?- No!

0:21:37 > 0:21:40- And he refused treatment, did he? - Yeah.

0:21:41 > 0:21:42Don't lie to me, Jeff.

0:21:44 > 0:21:47They've got a third party witness saying Tamzin walked away!

0:21:47 > 0:21:49Yeah, only because he told her to go!

0:21:49 > 0:21:51Not according to Nicole!

0:21:51 > 0:21:54I sat in the meeting. I saw how emotional she was.

0:21:54 > 0:21:56Come on, she turns it on for the occasion.

0:21:56 > 0:21:58You should have seen her in front of the press.

0:21:58 > 0:22:02The stuff on the website, maybe, and carefully worded statements from her lawyers -

0:22:02 > 0:22:04but her sense of injustice, that came from somewhere real.

0:22:04 > 0:22:06Right, forget the job, forget the statements,

0:22:06 > 0:22:11this is just you and me now. Did he refuse treatment at the scene?

0:22:19 > 0:22:21Do you have pain anywhere else?

0:22:27 > 0:22:30- Does this hurt?- Is she OK? - Can you just calm down and let us treat her, please.

0:22:30 > 0:22:32How am I supposed to keep calm?

0:22:35 > 0:22:36Did this happen today?

0:22:36 > 0:22:37Somebody talk to me.

0:22:37 > 0:22:38Brian, please...

0:22:38 > 0:22:40Do you need me to clear?

0:22:40 > 0:22:41It's not exactly helping.

0:22:41 > 0:22:44We're going to take you over to the Clinical Decisions Unit.

0:22:44 > 0:22:46I'd want to run this troponin test as soon as possible.

0:22:46 > 0:22:48But my wife?

0:22:48 > 0:22:50Dr Nicholls needs the space to treat her, doesn't she?

0:22:50 > 0:22:51You can't do this.

0:22:57 > 0:23:03Just go! I'm bleeding.

0:23:05 > 0:23:07We're going to check the baby's heartbeat, OK?

0:23:07 > 0:23:09What's happening?

0:23:09 > 0:23:11Just try and keep calm. It will be fine.

0:23:11 > 0:23:13Do you know why you could be bleeding?

0:23:15 > 0:23:19I ran to help Brian. I might have hit myself on the stairs.

0:23:21 > 0:23:24Did you fall down the stairs?

0:23:24 > 0:23:26The banister - I fell into the banister.

0:23:28 > 0:23:30Am I going to lose my baby because of that?

0:23:30 > 0:23:33Just try and relax. We're going to locate the baby's heartbeat, OK?

0:23:36 > 0:23:39I can't hear anything. Why can't I hear anything?

0:23:39 > 0:23:42It's just because the baby's in a funny position, OK?

0:23:42 > 0:23:45I've got a better chance if you can try and stay calm.

0:23:45 > 0:23:48Jane? Jane, I want you to look at me. Nice, deep breaths.

0:23:48 > 0:23:52OK? Nice and slow. That's it, just relax.

0:23:59 > 0:24:01FOETAL HEARTBEAT FROM ULTRASOUND

0:24:01 > 0:24:07Listen. Do you hear that? There you go.

0:24:11 > 0:24:13That's great. Strong and steady,

0:24:13 > 0:24:15which shows the baby's not in any distress.

0:24:23 > 0:24:25You can let go now!

0:24:25 > 0:24:29- I'm sorry.- That's all right. Let's get you cleaned up.

0:24:29 > 0:24:32You can't call it epilepsy if you haven't tested for it.

0:24:32 > 0:24:36She's had four seizures without a specific cause. That's epilepsy.

0:24:36 > 0:24:38Now, I've made a referral to a specialist.

0:24:38 > 0:24:41They are going to be in contact with you by letter

0:24:41 > 0:24:43regarding a specific date,

0:24:43 > 0:24:45but if she has another episode in the meantime,

0:24:45 > 0:24:47please bring her straight in.

0:24:49 > 0:24:53I think I should also let you know I've made a referral to social services.

0:24:53 > 0:24:56What?

0:24:56 > 0:24:59I'm a little concerned about your ability to cope with Milly at the moment...

0:24:59 > 0:25:03And I think you could do with a little bit of help.

0:25:03 > 0:25:07- No, we're doing fine! - They'll be in contact with you regarding an initial conversation...

0:25:07 > 0:25:09Excuse me, are you not listening to me?

0:25:09 > 0:25:11I said we're doing fine!

0:25:11 > 0:25:14You're not going to take her away from us, do you hear me?

0:25:14 > 0:25:16Us? We don't see you!

0:25:16 > 0:25:19Mum, I have been looking after Jay all right.

0:25:19 > 0:25:21He doesn't even see you!

0:25:21 > 0:25:23I'm there every day!

0:25:23 > 0:25:24For an hour at the most!

0:25:24 > 0:25:25Guys, calm down.

0:25:25 > 0:25:29All you care about is where the next interview is coming from -

0:25:29 > 0:25:32who you can sell your sob story to.

0:25:32 > 0:25:33No, it is nothing like that.

0:25:33 > 0:25:36Did you call the press today? Is that why they're out there?

0:25:38 > 0:25:40I do need someone to take her.

0:25:40 > 0:25:42Mum! Please, look, you can't say that.

0:25:42 > 0:25:44I've been ringing you, asking you to help me.

0:25:44 > 0:25:47If this was all for Jay, I would understand.

0:25:47 > 0:25:49But it's not - it's for you.

0:25:51 > 0:25:53I don't even know who you are any more.

0:26:00 > 0:26:04- When did she tell you she lied? - What does it matter?

0:26:04 > 0:26:06Was it before or after you wrote your statement?

0:26:06 > 0:26:09- After.- Well, you're going to have to tell them

0:26:09 > 0:26:13that since writing your statement, you've found out the truth and you want to change it.

0:26:13 > 0:26:16- It's too late now. - I know it seems disloyal to Tamzin,

0:26:16 > 0:26:17but you have to look out for yourself.

0:26:17 > 0:26:21Look, she told me after, OK? I had the chance to change my statement and I didn't.

0:26:21 > 0:26:24I didn't because I don't believe we caused his injuries.

0:26:24 > 0:26:26Bloke was drunk. He was driving like an idiot.

0:26:26 > 0:26:32It was a high-speed impact. They just they want a technicality cos they're after some compensation.

0:26:32 > 0:26:35- Which you've now given them! - I felt sorry for her.

0:26:35 > 0:26:40Don't blame yourself. It's her mistake - she walked away.

0:26:40 > 0:26:42No, mate, the mistake was lying, the cover-up.

0:26:42 > 0:26:46- We're both as guilty of that. - If you start talking like that, I can't do anything to protect you.

0:26:46 > 0:26:48Maybe I don't want protecting.

0:26:58 > 0:26:59What are you going to do?

0:27:01 > 0:27:03I don't know.

0:27:18 > 0:27:19I was just leaving.

0:27:21 > 0:27:25Jay would still be walking if it hadn't been for you.

0:27:28 > 0:27:31Nicole, I know you're looking for someone to blame

0:27:31 > 0:27:35and I understand why you went to the press

0:27:35 > 0:27:37and why you got the lawyers involved,

0:27:37 > 0:27:42but you saw how aggressive he was - I couldn't treat him.

0:27:43 > 0:27:45No, this wasn't his fault.

0:27:45 > 0:27:51You told me yourself that he hit you, that he emotionally abused you.

0:27:53 > 0:27:55You more than anybody should know what he's like.

0:27:58 > 0:28:02Yeah, well, I put up with it.

0:28:02 > 0:28:04I put up with that aggression and I stayed.

0:28:06 > 0:28:10You know, maybe if I had walked away years ago,

0:28:10 > 0:28:14I wouldn't be stuck with him now in that state that he's in,

0:28:14 > 0:28:16just desperately clinging on

0:28:16 > 0:28:20to anything that makes being with him bearable...

0:28:22 > 0:28:23You know, my family hate me.

0:28:25 > 0:28:30I put up with his abuse for years and I never walked away, not once!

0:28:32 > 0:28:33But you did!

0:28:35 > 0:28:37- No, I tried...- No!

0:28:39 > 0:28:42You had every chance to put that collar around his neck

0:28:42 > 0:28:44that could have saved his legs.

0:28:45 > 0:28:48No, I don't care how slim the chances were.

0:28:50 > 0:28:53That could have made the difference. And you know that.

0:28:53 > 0:28:59So no matter what you decide to put on your statement, you know that.

0:29:06 > 0:29:10I've spoken to my mate. Said we can stay on his floor tonight.

0:29:10 > 0:29:13It'll be nice and warm and that.

0:29:13 > 0:29:15But I don't feel good.

0:29:15 > 0:29:18Yeah, but you still want to come with me, don't you?

0:29:21 > 0:29:24What are you saying, Jodes? It's just you and me, yeah?

0:29:24 > 0:29:25Like we said.

0:29:25 > 0:29:28You were supposed to be waiting in your cubicle.

0:29:28 > 0:29:30Yeah, and I wanted to come and see her.

0:29:30 > 0:29:31It's OK, Fletch.

0:29:31 > 0:29:34Right, I'll leave you to it.

0:29:34 > 0:29:36Hello, mate. I'm Tom.

0:29:36 > 0:29:39It's probably best I take a look at your hand.

0:29:39 > 0:29:40I'm not leaving her.

0:29:40 > 0:29:42You don't have to - just take a seat on the bed.

0:29:46 > 0:29:50All right, then, what have we got here? Let's take a look.

0:29:56 > 0:29:58Yep - that's definitely infected.

0:29:58 > 0:30:01Let me get Staff Nurse Fletcher to do a new dressing.

0:30:01 > 0:30:03Are you allergic to penicillin?

0:30:03 > 0:30:09- No.- OK, then I'll get you a prescription for Flucloxacillin to stop it getting any worse.

0:30:09 > 0:30:12- Be quick, cos we're going.- OK, but from the look of your friend,

0:30:12 > 0:30:14it doesn't look like you're going anywhere fast.

0:30:14 > 0:30:18Well, aren't we the special patient? Two doctors looking after you.

0:30:20 > 0:30:23I was treating the patient's hand.

0:30:23 > 0:30:24And I was joking.

0:30:25 > 0:30:27I'll get that prescription.

0:30:27 > 0:30:29The results of the CT scans are very encouraging,

0:30:29 > 0:30:32so I'm happy to discharge you.

0:30:32 > 0:30:33Are you all right?

0:30:33 > 0:30:35I don't feel good.

0:30:35 > 0:30:37I can't see anything as a result of the fall

0:30:37 > 0:30:39to show any ongoing concern.

0:30:39 > 0:30:42Give her some morphine or something for the pain. Then we'll go.

0:30:42 > 0:30:44For the pain or the resale value?

0:30:46 > 0:30:48I ache all over.

0:30:48 > 0:30:53You have a cold, so as far as I'm concerned, you're free to go.

0:30:53 > 0:30:56Some cold and flu remedy may help with your symptoms.

0:30:56 > 0:30:58If they persist, see your doctor.

0:30:58 > 0:31:00Yeah, like that's going to happen.

0:31:02 > 0:31:04Take care.

0:31:09 > 0:31:11You OK?

0:31:13 > 0:31:16Yeah, he's just discharged that patient.

0:31:16 > 0:31:17So?

0:31:17 > 0:31:19Well, he doesn't care enough.

0:31:19 > 0:31:23Some would see that as an asset, not letting it get personal.

0:31:23 > 0:31:26Bit of friendly advice - stay away from him, and don't get involved.

0:31:33 > 0:31:36Your first troponin test came back and it's normal.

0:31:37 > 0:31:40So can I go? See my wife?

0:31:40 > 0:31:43With your history, the first test is encouraging

0:31:43 > 0:31:46but I'm not fully reassured, so I would like to keep monitoring you.

0:31:46 > 0:31:48Can't I be monitored next to her?

0:31:48 > 0:31:49Well, she's having an x-ray on her wrist.

0:31:49 > 0:31:52That's stupid, it's just a sprain or something.

0:31:52 > 0:31:54What if I discharge myself?

0:31:56 > 0:31:59You would have to sign a self-discharge form

0:31:59 > 0:32:01but I'd caution against it...

0:32:01 > 0:32:02Just get me the form.

0:32:04 > 0:32:05Right.

0:32:12 > 0:32:15Now, these are the details of the woman from social services -

0:32:15 > 0:32:17she's going to be in touch.

0:32:17 > 0:32:19And like I said, keep an eye on the little one

0:32:19 > 0:32:22but try and get some rest yourself, OK?

0:32:22 > 0:32:24Thank you.

0:32:24 > 0:32:25OK.

0:32:25 > 0:32:28Nicole, I've spoken to Dr Kent about the referrals.

0:32:28 > 0:32:30If there's anything you want to discuss...?

0:32:30 > 0:32:32No, thanks.

0:32:32 > 0:32:34OK.

0:32:36 > 0:32:40Right, time to go home.

0:32:42 > 0:32:43Hey.

0:32:49 > 0:32:52Look, Mum, forget about the press, and the interviews.

0:32:53 > 0:32:55You were right. That was for me.

0:33:01 > 0:33:04I was hoping that you and Milly would like to come home

0:33:04 > 0:33:05and stay with me.

0:33:08 > 0:33:12You see, I've got this big, empty house...

0:33:13 > 0:33:15I can help you.

0:33:18 > 0:33:20And you can help me with Jay.

0:33:22 > 0:33:24I'm sorry.

0:33:26 > 0:33:27It's all right.

0:33:33 > 0:33:36It's all right.

0:33:36 > 0:33:38It's going to be fine, Jodes.

0:33:38 > 0:33:41- As soon as we get to my mate's, you can rest.- Wait up!

0:33:41 > 0:33:43If you don't take this course of antibiotics,

0:33:43 > 0:33:45that cut's going to go septic.

0:33:45 > 0:33:46Cool.

0:33:46 > 0:33:49Make sure you get it. Are you OK?

0:33:49 > 0:33:51Yeah, fine.

0:33:51 > 0:33:53The doctor said we can go, so...

0:33:53 > 0:33:55Do you feel well enough to go?

0:33:56 > 0:33:59Do you want me to take a look at you?

0:33:59 > 0:34:01No, she won't - we're going to go.

0:34:01 > 0:34:03I want my mum.

0:34:05 > 0:34:06I'm sorry.

0:34:08 > 0:34:11Listen, mate, I think she needs to be reassessed.

0:34:16 > 0:34:17Danny!

0:34:20 > 0:34:23It's OK. Come on, I'm going to find you a bed.

0:34:27 > 0:34:30Adrian, could you do me a self-discharge form

0:34:30 > 0:34:31for Brian Abel, please?

0:34:31 > 0:34:32Yeah, no worries.

0:34:34 > 0:34:35Dylan?

0:34:35 > 0:34:36Yes?

0:34:36 > 0:34:38Can I get your advice on these?

0:34:38 > 0:34:39Is there nobody else?

0:34:41 > 0:34:45I thought we were past all this. Surely we can work together.

0:34:45 > 0:34:49Is that why you were drinking at the Christmas party?

0:34:49 > 0:34:50What is this, an intervention?

0:34:50 > 0:34:52I was drinking because it was a party.

0:34:54 > 0:34:55I'm sorry. Give them to me.

0:34:55 > 0:34:57Thank you.

0:35:03 > 0:35:06Are you trying to wind Dominic up?

0:35:06 > 0:35:07Of course not.

0:35:15 > 0:35:18Would you kindly tell me why you're booking in my patient?

0:35:18 > 0:35:20She was in reception with a fever, asking for help.

0:35:20 > 0:35:22I'm reassessing her.

0:35:22 > 0:35:24She came to you directly?

0:35:24 > 0:35:26Does it matter?

0:35:26 > 0:35:31Is this a deliberate and pathetic attempt to undermine me?

0:35:31 > 0:35:36I'm doing my job. I need some assistance over here.

0:35:37 > 0:35:41- Jodie, can you hear me? Jodie! - She may be suffering an intracranial haemorrhage. We need another scan.

0:35:41 > 0:35:44- She is my patient. - Back off! I've got this.

0:35:46 > 0:35:49Dr Kent! What happened?

0:35:49 > 0:35:51When I examined her, there was no rash.

0:35:51 > 0:35:55She's got a high fever, meningitis and a non-blanching, petechial rash.

0:35:55 > 0:35:57She needs to go to resus now.

0:35:57 > 0:35:58OK, let's go.

0:36:07 > 0:36:09She needs two grams of cefotaxime now.

0:36:09 > 0:36:12Jodie? Jodie? Can you hear me, Jodie?

0:36:16 > 0:36:18Blood pressure is dropping.

0:36:19 > 0:36:21Cefotaxime going in now.

0:36:24 > 0:36:25Still dropping.

0:36:26 > 0:36:29- Why was she discharged? - I've just been checking my notes -

0:36:29 > 0:36:32there were no discernible signs earlier

0:36:32 > 0:36:37and the scans for the head injuries came back clear.

0:36:37 > 0:36:41Please, take a look - tell me if you think I missed anything.

0:36:43 > 0:36:46Tom's reaction suggests that I did, but I really can't see it.

0:36:48 > 0:36:52She's been in our care all morning and nobody spotted meningitis?

0:36:52 > 0:36:54Linda.

0:36:54 > 0:36:56Her blood pressure and pulse is improving, so...

0:36:58 > 0:37:02- Right. Tom?- Stabilising.

0:37:03 > 0:37:04That was fast work.

0:37:04 > 0:37:05Thank you.

0:37:07 > 0:37:08That outburst earlier.

0:37:08 > 0:37:11Come and see me at the end of the day.

0:37:11 > 0:37:13- You're kidding me! - At the end of the day.

0:37:19 > 0:37:20That's a very recent fracture.

0:37:20 > 0:37:24These are hairline fractures that haven't healed properly - historic injuries.

0:37:24 > 0:37:27A pattern of abuse? Repetitive injuries?

0:37:27 > 0:37:28That's hard to prove.

0:37:31 > 0:37:35Tom? Tom, is she OK?

0:37:36 > 0:37:39Yeah. Zoe wants to see me.

0:37:39 > 0:37:41About the way you spoke to Dominic?

0:37:41 > 0:37:43Wasn't your finest professional moment.

0:37:43 > 0:37:44Did I ask you?

0:37:50 > 0:37:52If you need to follow him?

0:37:52 > 0:37:55Why would I need to follow him?

0:37:55 > 0:37:57It's fine.

0:37:57 > 0:37:59Carry on.

0:37:59 > 0:38:03Suffice to say, if she's not willing to make a complaint against her husband,

0:38:03 > 0:38:04you're on dodgy ground.

0:38:04 > 0:38:07- Police don't always need a statement.- They need something. What proof have you got?

0:38:07 > 0:38:09You've got bruising you can easily explain away,

0:38:09 > 0:38:13plus a minor placental abruption, which could have any number of causes.

0:38:13 > 0:38:15OK, so this isn't about a prosecution.

0:38:15 > 0:38:17This is about getting her safe.

0:38:17 > 0:38:19In which case you need her on board.

0:38:19 > 0:38:21You can't make that decision for her, Sam.

0:38:21 > 0:38:25And with her husband on the scene, it's going to difficult to convince her.

0:38:25 > 0:38:27Well, her husband is in CDU.

0:38:27 > 0:38:30He's just signed his self-discharge form, actually.

0:38:30 > 0:38:31Great.

0:38:35 > 0:38:38Hi, Louise. It's Sam. My patient, Jane Abel?

0:38:39 > 0:38:41Could you do me a favour

0:38:41 > 0:38:43and stop anyone from coming through to see her?

0:38:43 > 0:38:45Especially her husband. Thanks.

0:38:46 > 0:38:48That'll only work for so long.

0:38:48 > 0:38:52You know, the biggest killer of unborn children is domestic violence.

0:38:52 > 0:38:56She's one step away from adding to that statistic.

0:38:56 > 0:38:57I have to try.

0:38:59 > 0:39:01OK.

0:39:04 > 0:39:07Her name is Jane Abel - she is my wife!

0:39:07 > 0:39:09I have a right to know where she is.

0:39:09 > 0:39:12I'm sorry, sir - she's not able to see visitors right now.

0:39:12 > 0:39:15- I'm not a visitor, I'm her next of kin!- If you wait in the family room,

0:39:15 > 0:39:17I can speak to a nurse as soon as they become available.

0:39:17 > 0:39:19I want to know what's happened to her.

0:39:19 > 0:39:20Like I explained to you...

0:39:20 > 0:39:22You can't stop me seeing her!

0:39:24 > 0:39:25The family room is over there.

0:39:25 > 0:39:31I'll wait right here - you pick up the phone and find out where she is.

0:39:31 > 0:39:34You told the paramedic that your husband gets angrier

0:39:34 > 0:39:38when he's not on medication for his blood pressure.

0:39:38 > 0:39:43Is that what happened today? Did he do this to you?

0:39:47 > 0:39:51I have to believe that he'll change before the baby's born.

0:39:55 > 0:39:57I am in a position to help you.

0:40:00 > 0:40:07I can't go to court - I can't send him to prison.

0:40:07 > 0:40:08No-one's asking you to.

0:40:11 > 0:40:16But you said help me. That's the police, right?

0:40:18 > 0:40:19That's my way out?

0:40:20 > 0:40:22Not the only way.

0:40:22 > 0:40:25I can put you in touch with a domestic violence advocate.

0:40:25 > 0:40:28They can get you set up in a women's refuge.

0:40:28 > 0:40:30It will give you and your baby

0:40:30 > 0:40:33the support you need until you can find permanent housing.

0:40:34 > 0:40:39But he's here now. He won't let me go anywhere without him.

0:40:42 > 0:40:45Well, look, I need to transfer you to obstetrics, OK,

0:40:45 > 0:40:48and I have got an in-patient bed assigned to you.

0:40:48 > 0:40:51Everyone in that ward will know of your situation.

0:40:51 > 0:40:54Your anonymity would be guaranteed.

0:40:54 > 0:40:56That might just give you the space and time

0:40:56 > 0:40:58that you need to think about this.

0:41:00 > 0:41:02But this decision has to come from you.

0:41:02 > 0:41:06I'm not waiting any longer! I want to see someone in charge.

0:41:06 > 0:41:09They would tell you exactly the same thing as me!

0:41:09 > 0:41:10Tell me where she is.

0:41:10 > 0:41:12Sir, I will call security!

0:41:12 > 0:41:13Brian! What's going on?

0:41:13 > 0:41:15Why aren't they letting me see her?

0:41:15 > 0:41:17All right, just calm down for me.

0:41:17 > 0:41:20- That's it. I've had enough! - Brian.- Jane!

0:41:21 > 0:41:24- Jeff.- Jane!

0:41:24 > 0:41:27Get out of my way!

0:41:27 > 0:41:28Jane!

0:41:28 > 0:41:29Jane!

0:41:32 > 0:41:35- Where is she? Where is she? - Calm down.

0:41:35 > 0:41:38You can't keep her away from me. Get off me.

0:41:38 > 0:41:40Jeff, Brian...

0:41:40 > 0:41:44- You can't do this to me. Get off! - Just relax! Jeff! Stop!

0:41:45 > 0:41:49- Brian! Brian! Can you hear me? - There's no pulse. He's arrested.

0:41:49 > 0:41:52- Can you get some help?- Yes.- Brian? - Put him on a defib, please.

0:42:08 > 0:42:10ALARM SOUNDS FROM MONITOR

0:42:10 > 0:42:13He's in VF. Let's shock him. Clear!

0:42:18 > 0:42:20MONITOR BEEPS REGULARLY

0:42:22 > 0:42:25Get him down to resus and repeat the 12 lead ECG, please.

0:42:26 > 0:42:29Get some lines in there. Porters, please.

0:42:34 > 0:42:36You all right?

0:42:36 > 0:42:37Yeah, yeah.

0:42:40 > 0:42:41No, you're not. What's wrong?

0:42:41 > 0:42:44I should have made you change your statement, you know.

0:42:44 > 0:42:47and then I should have supported you through the fallout.

0:42:47 > 0:42:49Who knows, maybe we could have both kept our jobs.

0:42:49 > 0:42:52How do you mean? What are you saying?

0:42:52 > 0:42:55You're a good person, Tamzin. You deserve a second chance.

0:42:55 > 0:42:57You have got a great career ahead of you.

0:43:00 > 0:43:02Jeff?

0:43:02 > 0:43:04I saw you physically push him out of the way.

0:43:04 > 0:43:05It was heat of the moment!

0:43:05 > 0:43:07You should know better!

0:43:07 > 0:43:10- So should he!- I've spoken to Dominic and I've read through the notes.

0:43:10 > 0:43:13He discharged a girl suffering from meningitis.

0:43:13 > 0:43:16Yes, but the conclusive signs presented at a very late stage.

0:43:16 > 0:43:18- So in my eyes, he did nothing wrong. - Great.

0:43:18 > 0:43:21So you take his side of the story before you've even heard mine.

0:43:21 > 0:43:26I'm not taking sides. I've read a factual account of what happened.

0:43:26 > 0:43:28The facts don't tell the whole story.

0:43:29 > 0:43:33Tom, I'm not undermining what you did for that girl.

0:43:33 > 0:43:37You went with your gut, you responded quickly - great.

0:43:37 > 0:43:41But shouting at Dominic in front of patients and members of staff,

0:43:41 > 0:43:45- it's not on.- Oh, come on!- You are holding a grudge from years ago.

0:43:45 > 0:43:46So just wind your neck in,

0:43:46 > 0:43:49or I'll have to put you on a verbal warning, OK?

0:43:58 > 0:44:02- Where am I going? - You're being transferred upstairs.

0:44:03 > 0:44:07- Where's Danny?- We haven't seen him since your collapse.

0:44:07 > 0:44:08Just try and rest, OK?

0:44:12 > 0:44:16- Jodie!- Danny!

0:44:16 > 0:44:18Mum.

0:44:21 > 0:44:25You need her, yeah? I get that.

0:44:27 > 0:44:29OK, after you.

0:44:48 > 0:44:52Do I not even get a thank you for pulling you out of a hole today?

0:44:52 > 0:44:54That's the way you see it, is it?

0:44:54 > 0:44:56How else would you describe it?

0:44:56 > 0:44:59I advised her to take some medication

0:44:59 > 0:45:02- and come back if it got worse. - After the way you treated her today,

0:45:02 > 0:45:04you really think she would have come back?

0:45:04 > 0:45:06I treated her calmly and professionally.

0:45:06 > 0:45:09She could have ended up dead in a shop doorway somewhere.

0:45:09 > 0:45:11That's melodramatic conjecture.

0:45:11 > 0:45:14Are you really telling me that you suspected meningitis?

0:45:14 > 0:45:16I was putting her on observation.

0:45:16 > 0:45:19Yeah, because you wanted to wind me up

0:45:19 > 0:45:21and felt sorry for a young girl living on the streets.

0:45:21 > 0:45:25- She had a fever!- It was a social concern, not a medical one.

0:45:25 > 0:45:26That's rubbish.

0:45:26 > 0:45:29We both missed the meningitis because at the time,

0:45:29 > 0:45:31there were no obvious signs.

0:45:31 > 0:45:34Now I'm man enough to admit that and move on,

0:45:34 > 0:45:38but you're still slinging mud in all directions except your own.

0:45:38 > 0:45:41Not once have you admitted even to yourself

0:45:41 > 0:45:45that you let that girl down as well. Now, in my eyes,

0:45:45 > 0:45:49that is the sign of a cowardly and incompetent doctor.

0:45:59 > 0:46:02Tom, you OK? Tom, talk to me!

0:46:04 > 0:46:05What happened to Tom?

0:46:06 > 0:46:08I'd prefer not to comment.

0:46:08 > 0:46:10Dylan, I need to know if there's a problem.

0:46:16 > 0:46:18Hey, what's going on? What did she say?

0:46:19 > 0:46:21Nothing. I asked to see her.

0:46:23 > 0:46:26I know I walked away from Jay Kemble when he needed me.

0:46:27 > 0:46:31I just didn't like his attitude. That's all it came down to.

0:46:31 > 0:46:34I judged him, and I walked away.

0:46:34 > 0:46:36What, and you told her that?

0:46:36 > 0:46:41Yeah. I don't want you taking the blame for something I did, Jeff.

0:46:41 > 0:46:43If this will help Nicole and her family

0:46:43 > 0:46:46speed up the legal process, it's the least I can do.

0:46:49 > 0:46:52I can get over this as a person...

0:46:54 > 0:46:56..but I can't as a paramedic.

0:47:06 > 0:47:10- You'll keep in touch, yeah?- Yeah.

0:47:14 > 0:47:15Take care of him, Dix.

0:47:23 > 0:47:24She just dug you out of a hole.

0:47:28 > 0:47:32I was prepared to hand my notice in, you know.

0:47:32 > 0:47:33I was prepared to accept it.

0:47:41 > 0:47:44- I let you down. I'm sorry.- Just don't make a habit out of it, eh?

0:47:59 > 0:48:00What the hell were you thinking?

0:48:00 > 0:48:04That girl nearly died today because he's not a good enough doctor.

0:48:04 > 0:48:06All he had to do was look in her eyes!

0:48:06 > 0:48:09That's not the point. I told you to wind your neck in.

0:48:09 > 0:48:13Assaulting a colleague is a disciplinary act. You've brought this all on yourself, Tom.

0:48:13 > 0:48:15Go home. You're suspended.

0:48:39 > 0:48:43Subtitles by Red Bee Media Ltd