The Blame Game Casualty


The Blame Game

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LineFromTo

Nicole - ambulance is here.

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Please, just ring me when you get this.

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I don't know what happened.

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OK, let's have a look.

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What's her name?

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Milly.

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Milly?

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OK. Milly, I'm Jeff. I'm a paramedic. Can you hear me?

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Airway's clear. She's breathing.

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And I think I got a good pulse.

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Can I have the ear thermometer, please?

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Can you tell us what happened?

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I just came in and she was groaning.

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Where were you? Did you see her collapse?

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I was out the back - I'm sorry, I needed a cigarette.

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She was doing my head in!

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It's all right, we're just trying to find out what happened, OK?

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-She's done this before, when she gets hot.

-OK.

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Temperature's 38, so low fever, just.

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I think we should give her some paracetamol just to be sure, though.

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Milly?

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Her eyes are still dead. Why won't she look at me?

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She's breathing and she's got a strong heartbeat.

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Just try and relax.

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I'll take her to hospital, let the doctor check her over.

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We've got a five-year-old collapsed with a seizure, ETA two minutes.

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-Sure.

-A five-year-old? I'll get it.

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Of course... you're the paediatric expert.

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Looks like you're not the only one

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who got lucky at the Christmas party.

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That's more than a friendly dance.

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Can't you see the way she's looking at him?

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What, Dominic and Linda?

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He's got to be ten years older than her, surely.

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I know, but if you're into sugar daddies...

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-Zo?

-Yeah?

-Have you been called to this complaints meeting later?

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No, what's it for?

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The footballer who was paralysed in a car crash a few weeks back.

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Jay Kemble? No, no, I haven't.

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Right. I've just had a memo. His fiancee's on her way in.

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She wants to have a little "chat".

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That sounds ominous. Good luck.

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Rather you than me. When is it?

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Did you know that Louise was taking photos

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all through the Christmas party?

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No. What's the problem?

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-I got a bit carried away towards the end.

-What did you do?

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-Well, I think I tried to do the caterpillar!

-What, as in...?

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As in.

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OK, I'll check and see if she took any.

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Can you be a bit subtle!

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Of course. Who do you think you're talking to?

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Milly Clancy. History of febrile convulsions.

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Had a seizure about 30 minutes ago.

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BP 105 over 66, had 10ml of paracetamol at the scene.

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She's in safe hands now, don't worry.

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OK. Take her to Paeds. Hi, Milly. I'm Tom.

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MUSIC: "Last Christmas" by Wham!

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INAUDIBLE

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Oi! You two!

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Shoplifters - those kids that have been hanging about -

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on the upper concourse.

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Here!

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Come on!

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Danny!

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Just go! Now!

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Oi!

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Jodie!

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We need an ambulance at the south entrance now!

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He's paralysed from the waist down.

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I just have to look at him and it brings tears to my eyes.

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Whenever I think about all the things that he loved to do...

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..and he can't do them any more.

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This should never have happened to him.

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And this is why the top brass are getting twitchy.

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Oh, my God.

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All she seems to care about is holding someone else responsible

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and getting as much publicity as possible.

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"Justice for Jay"? Come on, are they serious?

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The geezer was drunk and crashed his car! Where's the injustice?

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They've got to take it seriously.

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Right, I've read your statements and I'm sure we're covered.

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Is there anything else I need to know?

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I'm assuming you're happy with everything you've written?

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Yeah, of course.

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Jeff?

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Yeah, yeah. Absolutely.

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RADIO: 'Control to 3006 - male with acute chest pains...'

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Do we have to stay here for this meeting?

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No, no, you take that.

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OK. 3006 to Control.

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Received, thank you, on our way.

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Jeff, she knows.

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You were a bit jumpy.

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-Because I've never done this before.

-Neither have I!

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If I'd immobilised his neck straight away...

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-He'd still be in that rehab centre.

-You don't know that.

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I know it's hard, I know you feel terrible,

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but we can't change what's happened, can we?

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The bloke was drunk and crashed his car.

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That's what caused his spinal injury.

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So if we're going to play the blame game, I know where I'd look.

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She smashed her head down the stairs, she's all dazed and that.

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This is all your fault for chasing us.

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-You were shoplifting!

-What?

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OK, take it easy, let's just look at her, yeah?

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Are you all right? Is your chest hurting?

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It's just a stitch.

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I'm going to do an ECG just to be sure, OK?

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What's her name, mate?

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-Jodie.

-Jodie what?

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Just Jodie.

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OK. Jodie, I'm Jeff, I'm a paramedic.

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Can you hear me? OK, just stay still, stay still.

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Can you tell me what happened?

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Blacked out, fell.

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-Do you feel sick at all?

-A bit.

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And where's the pain, Jodie?

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All over.

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Your blood pressure's very high. I'm going to have to take you in.

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I'm not going anywhere. I'm just a bit out of shape.

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Why were you chasing them?

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He nicked a jacket.

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Well, he didn't get very far, did he? So job well done, I'd say.

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I'm OK, no worries.

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Tamz, give me a hand immobilising this neck.

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He doesn't want to come in, Jeff.

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Come on, mate. What harm's a little check-up going to do?

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OK, then you need to sign a form saying you refused to be conveyed.

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Just go home, put your feet up.

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Any pain, any twinges or anything, you dial 999, OK? I'm serious.

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Thank you.

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Jeff?

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What more can we do? We tried.

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Dominic? We've got a head injury coming in.

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A teenager fell down some stairs.

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ETA's ten minutes. Can you take it?

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-Absolutely.

-I don't know how we coped without you.

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-It feels like I've been here all my life.

-That bad already?

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Hey, are we expecting royalty or something?

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What? Oh, that is all I need.

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Nicole! Nicole, look at the camera.

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Excuse me.

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Look, this isn't about Jay or his accident.

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Or about my complaint.

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It's a completely separate, private family matter. Excuse me.

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Nicole, how's your baby sister doing?

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You probably know more than I do.

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-I'm sorry, it's been a difficult time.

-Nicole!

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All right, let's be clear. You guys remain outside this building.

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No photos in reception.

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Follow those guidelines, and we'll all get on famously.

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Nicole? Hi, I don't know if you remember me, but...

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Dr Hanna, yes, of course.

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Would you like me to show you somewhere to wait before your meeting?

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No. Look, I've had a phone call from my mum.

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-My baby sister's collapsed.

-And she's come here?

-Yeah.

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-What's her name?

-Milly Clancy.

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Louise, have we admitted a Milly Clancy?

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She's just been transferred to CDU - cubicle 5.

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Oh, very good. And can you let security know that I want the entrance cleared for emergencies.

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Could you follow me, please?

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It's just this way.

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Hey, Milly.

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Thank God you're here!

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Mum, don't. Hiya.

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Mum, why's she here? Look at her. She looks fine.

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I don't really know.

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Well, where's the doctor?

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Look, have you even asked what's wrong with her yet?

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I'll go and find that out for you.

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Thanks.

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Possible blackout. GCS was 13 at the scene,

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minor head injury with minimal bruising.

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Not bad for a 20 foot fall down some steps.

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-Could have been a lot worse, thanks.

-A lot worse? You didn't see her fall!

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Mate, you need to calm down and you need someone to look at your hand.

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-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.

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-OK, why don't you come with me?

-Danny!

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-Don't worry, you can see him as soon as the doctor's checked you over.

-One, two, three.

-Yep.

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I'm not leaving, Jodes.

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Listen, you can't do anything for her at the moment so don't start pushing, all right?

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Let's get you booked in and I'll have a look at your hand. Come on.

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3006 to Control, received that. We're on our way, over.

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BP's 118 over 65.

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Happy with that. Pupils are equal and reactive.

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The light, get it out of my face.

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He needs to check your eyes.

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I've got a headache.

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Did that come on after the fall?

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Yeah. I don't know.

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And what about your fingers?

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Can you wiggle your fingers for me?

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That's good, and your toes?

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I know you must be frightened.

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Is there anyone we can call for you, your mum, maybe?

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No. I don't want you to call her. You can't call her.

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Don't worry, we won't.

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I'm satisfied that your neck's OK, so we can remove the collar.

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-I'm aching.

-What, your neck?

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Everywhere.

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Well, you did take quite a tumble, young lady.

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The loss of consciousness

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and reduced GCS at the scene concerns me.

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-So I'd like a CT scan for reassurance, please.

-OK.

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As soon as the result of the scan comes back,

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-let me know, please, Linda.

-OK.

-Thanks.

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-Tom.

-Mmm.

-Milly Clancy, the five-year-old with a febrile convulsion.

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Suspected. Yeah, her temperature's barely registering a fever.

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It's completely normal now.

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Well, a febrile convulsion is about how quickly it spikes,

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not how high the temperature goes.

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I know, but the description isn't classic.

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Now, that could be just because the mother's being a bit vague - I don't know.

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But I'll wait and see what the bloods tell me.

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OK, but you should know there's a bit of a PR situation around this.

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The mother's eldest daughter's just arrived.

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Right, yep, she's been trying to call her.

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Yeah, she's Nicole Clancy - engaged to Jay Kemble.

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No pressure to be nice, then!

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No nicer than usual. Anything changes...

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Yeah, yeah, of course.

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Quick - it's my husband!

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-OK. This way?

-Yeah.

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Oh, hello again, Brian!

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How are you feeling? Can you talk?

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Can you describe the pain for me?

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Tight pressure...around the chest.

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What, like this morning?

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All right.

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I'm just going to pop this on for you.

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Nice deep breaths for me, that's it.

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I'm still looking for signs of an infection.

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But she has come back with higher than usual sodium levels.

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What does that mean?

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Dehydration, most probably - but high levels of sodium can cause seizures.

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So how's she been over the last few days? Excessive sweating?

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Diarrhoea, vomiting?

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-I don't know...no.

-So up until this morning's episode she's been quite healthy,

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doing her normal routine of eating and drinking?

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Surely this is just like the fits she's had before. We've been told

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to keep her cool when she's got a temperature.

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-Mum, you should have done that!

-I understand this can be an emotional time.

-You have no idea.

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It doesn't seem like there was anything your mother could have done

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to prevent the seizure.

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Milly doesn't have, or didn't have, an obvious fever.

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Well, then, what caused the fit?

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That's what we're trying to figure out.

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Did she even have one?

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Nicole!

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What? Is that what this is?

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The spotlight was off you for five minutes!

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She did collapse, I promise you.

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The paramedic's report confirmed that.

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I don't trust your paramedics, right. And I don't trust you.

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I'm sorry, Mum, this has happened too many times.

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OK, Brian.

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Is he on any medication for his heart?

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Beta-blockers for his blood pressure.

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OK, and does he take them?

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Not always. They made him less angry, which was good...

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but there were side effects that he don't like.

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OK, and did he complain of chest pains this morning -

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-or was it the chase that kicked them off?

-The chase?

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Yeah. He chased some shoplifters.

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-We treated him for chest pains earlier.

-Well, he didn't tell me.

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He's so...oh!

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Oh, no. Don't pull the labour trick on me now.

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Hey, it's all right. It's OK, love, we'll get it sorted. OK?

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You ready to transfer?

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-Are you all right to come with us?

-Yeah.

-Come on, then.

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Hiya.

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Sorry, I don't think we've been introduced.

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Nicole asked me along today to help.

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This is really difficult for her. So just to be clear,

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she thought it would be better if I talked about the nature of her complaint.

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OK. That makes sense to me.

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So the complaint that she wishes to raise

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is towards the Ambulance Trust and the care Jay received at the scene.

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Well, the paramedics who attended the accident are both very experienced.

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And having spoken to them,

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they're really very sorry for what's happened to Jay.

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So, is that an admission of liability?

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It's two professionals expressing their sympathy...

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sorry, who did you say you were again?

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I'm Anna Clifford - I represent Jay Kemble

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and Nicole Clancy on their legal matters.

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I didn't realise this had become a legal matter.

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It hasn't, yet. However sympathetic your paramedics may be,

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it doesn't excuse the fact that Nicole and Jay believe

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that they failed to treat his injuries in accordance with standard procedure.

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I'm sorry they think that... I'm sorry you think that.

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And personally, I am extremely sorry for what happened to Jay.

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For a young man in his profession...

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it must be especially difficult.

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But having been through the statements of the paramedics

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and having spoken to them,

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I really feel they did everything they could to help him.

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We have an independent witness who says that

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when the paramedics arrived and assessed Jay's injuries,

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the female paramedic turned her back and walked away.

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Jay was the highest priority casualty,

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and was abandoned for some time

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when he should have been immobilised immediately.

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Both statements clearly state that Jay Kemble refused to be treated.

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No, he didn't! Jay didn't refuse!

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Why would he, eh?

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Why would anyone? They're lying! Do you hear me?

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That is an absolute lie.

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Try not to worry. We just want to make sure you're OK.

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I don't feel right.

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How do you feel?

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My neck hurts, my muscles ache - I feel funny inside...

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I'll speak to a doctor when we're done.

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-Are you sure there's not someone we can call for you?

-No.

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-You're about to go viral, mate!

-What?

-I've seen the footage.

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I'm never going to drink again!

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Right, young man. I just wanted to let you know that I'm going to put a temporary dressing on that.

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Then the doctor's going to have a look at it for you, all right?

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Then can I see Jodie?

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When she's ready, yeah.

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Listen, are you two sleeping rough again tonight?

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-Don't know.

-Look, whatever you're running away from,

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there's usually a way back, especially at this time of year.

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You don't know nothing.

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What about your parents?

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All right, what about her parents?

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They've got to be missing her, haven't they?

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Yeah, well, I can't phone them. I'll lose her.

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In my opinion, it might be worth the risk.

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I've been going over the descriptions you gave of the seizures.

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They sound like absent seizures,

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which can be common in young children with epilepsy.

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Oh, my God.

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Now, I know that can be a scary word but don't worry,

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it can be a very manageable condition that varies greatly in severity.

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My poor baby.

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Look, Marcia, it's quite common

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for children to grow out of these types of seizures,

0:18:310:18:34

but if they increase in frequency,

0:18:340:18:36

we might need to discuss medication to control them.

0:18:360:18:39

I don't understand. Nicole - where's Nicole?

0:18:390:18:44

-I want Nicole.

-OK. Don't worry, I'll go find her.

0:18:440:18:46

Zoe. Zoe, that PR situation you talking about is, um...

0:18:530:18:56

Oh, no. Louise, can you get security on standby again, please?

0:18:590:19:03

Following a complaints meeting with the Ambulance Trust

0:19:080:19:12

and their failure to provide satisfactory answers as to why

0:19:120:19:15

Jay Kemble was denied treatment at the scene of the accident,

0:19:150:19:19

we have been left with no choice

0:19:190:19:21

but to issue legal proceedings against them.

0:19:210:19:23

And with regards to the family matter that brings Nicole to Holby City Hospital today,

0:19:230:19:28

she asks that you kindly respect her privacy.

0:19:280:19:31

OK, folks, you've had your statement.

0:19:310:19:33

Stay away from the entrance, people are working here.

0:19:330:19:36

You!

0:19:360:19:37

CLAMOUR OF VOICES

0:19:370:19:41

This is Brian Abel. He's had acute chest pain since this morning.

0:19:480:19:54

His BP's 160 over 93.

0:19:540:19:55

He's had two puffs of GTM, oxygen en route, 300mg of aspirin.

0:19:550:20:00

You'll be all right.

0:20:050:20:07

-Don't go yet.

-OK.

0:20:070:20:10

And don't make any further comment without my instruction.

0:20:100:20:15

I hope you understand why I needed to take control of that situation.

0:20:150:20:17

-Yeah, cos you didn't want the bad press you deserve!

-Nicole!

0:20:170:20:21

Your complaint's with the Ambulance Trust, not with me.

0:20:210:20:25

Just take me to my sister, right?

0:20:250:20:27

I want to see how she's doing.

0:20:270:20:28

I've got that. You want to follow me?

0:20:280:20:31

Thank you.

0:20:310:20:32

Mum, what is it? What's wrong?

0:20:410:20:44

Come here.

0:20:440:20:47

It's all right.

0:20:470:20:49

OK, Mr Abel. Obviously you have acute chest pains,

0:20:490:20:53

but your ECG appears to be normal.

0:20:530:20:55

I told you.

0:20:550:20:57

But I'd like to run a troponin blood test

0:20:570:20:59

to look for signs of damage to the heart.

0:20:590:21:01

If that also comes back normal, then we'll observe you,

0:21:010:21:04

take some more heart tracings

0:21:040:21:05

and I'll do a further test at the end of the day.

0:21:050:21:07

-I have to sit here all day?

-We'll need to monitor you

0:21:070:21:10

and make sure that you haven't had a heart attack.

0:21:100:21:12

I thought the NHS were short of beds!

0:21:120:21:15

I'm sure we'll squeeze you in.

0:21:150:21:17

Jane? Jane, Jane!

0:21:170:21:19

Sam!

0:21:190:21:21

Thanks for the tip-off, by the way.

0:21:240:21:26

Did you know the press were waiting for us?

0:21:260:21:28

A tip-off? You heard yourself!

0:21:280:21:31

-You two stitched me up!

-Stitched you...? What are you talking about?

0:21:310:21:34

-You didn't have a problem with your statement?

-No!

0:21:340:21:37

-And he refused treatment, did he?

-Yeah.

0:21:370:21:40

Don't lie to me, Jeff.

0:21:410:21:42

They've got a third party witness saying Tamzin walked away!

0:21:440:21:47

Yeah, only because he told her to go!

0:21:470:21:49

Not according to Nicole!

0:21:490:21:51

I sat in the meeting. I saw how emotional she was.

0:21:510:21:54

Come on, she turns it on for the occasion.

0:21:540:21:56

You should have seen her in front of the press.

0:21:560:21:58

The stuff on the website, maybe, and carefully worded statements from her lawyers -

0:21:580:22:02

but her sense of injustice, that came from somewhere real.

0:22:020:22:04

Right, forget the job, forget the statements,

0:22:040:22:06

this is just you and me now. Did he refuse treatment at the scene?

0:22:060:22:11

Do you have pain anywhere else?

0:22:190:22:21

-Does this hurt?

-Is she OK?

-Can you just calm down and let us treat her, please.

0:22:270:22:30

How am I supposed to keep calm?

0:22:300:22:32

Did this happen today?

0:22:350:22:36

Somebody talk to me.

0:22:360:22:37

Brian, please...

0:22:370:22:38

Do you need me to clear?

0:22:380:22:40

It's not exactly helping.

0:22:400:22:41

We're going to take you over to the Clinical Decisions Unit.

0:22:410:22:44

I'd want to run this troponin test as soon as possible.

0:22:440:22:46

But my wife?

0:22:460:22:48

Dr Nicholls needs the space to treat her, doesn't she?

0:22:480:22:50

You can't do this.

0:22:500:22:51

Just go! I'm bleeding.

0:22:570:23:03

We're going to check the baby's heartbeat, OK?

0:23:050:23:07

What's happening?

0:23:070:23:09

Just try and keep calm. It will be fine.

0:23:090:23:11

Do you know why you could be bleeding?

0:23:110:23:13

I ran to help Brian. I might have hit myself on the stairs.

0:23:150:23:19

Did you fall down the stairs?

0:23:210:23:24

The banister - I fell into the banister.

0:23:240:23:26

Am I going to lose my baby because of that?

0:23:280:23:30

Just try and relax. We're going to locate the baby's heartbeat, OK?

0:23:300:23:33

I can't hear anything. Why can't I hear anything?

0:23:360:23:39

It's just because the baby's in a funny position, OK?

0:23:390:23:42

I've got a better chance if you can try and stay calm.

0:23:420:23:45

Jane? Jane, I want you to look at me. Nice, deep breaths.

0:23:450:23:48

OK? Nice and slow. That's it, just relax.

0:23:480:23:52

FOETAL HEARTBEAT FROM ULTRASOUND

0:23:590:24:01

Listen. Do you hear that? There you go.

0:24:010:24:07

That's great. Strong and steady,

0:24:110:24:13

which shows the baby's not in any distress.

0:24:130:24:15

You can let go now!

0:24:230:24:25

-I'm sorry.

-That's all right. Let's get you cleaned up.

0:24:250:24:29

You can't call it epilepsy if you haven't tested for it.

0:24:290:24:32

She's had four seizures without a specific cause. That's epilepsy.

0:24:320:24:36

Now, I've made a referral to a specialist.

0:24:360:24:38

They are going to be in contact with you by letter

0:24:380:24:41

regarding a specific date,

0:24:410:24:43

but if she has another episode in the meantime,

0:24:430:24:45

please bring her straight in.

0:24:450:24:47

I think I should also let you know I've made a referral to social services.

0:24:490:24:53

What?

0:24:530:24:56

I'm a little concerned about your ability to cope with Milly at the moment...

0:24:560:24:59

And I think you could do with a little bit of help.

0:24:590:25:03

-No, we're doing fine!

-They'll be in contact with you regarding an initial conversation...

0:25:030:25:07

Excuse me, are you not listening to me?

0:25:070:25:09

I said we're doing fine!

0:25:090:25:11

You're not going to take her away from us, do you hear me?

0:25:110:25:14

Us? We don't see you!

0:25:140:25:16

Mum, I have been looking after Jay all right.

0:25:160:25:19

He doesn't even see you!

0:25:190:25:21

I'm there every day!

0:25:210:25:23

For an hour at the most!

0:25:230:25:24

Guys, calm down.

0:25:240:25:25

All you care about is where the next interview is coming from -

0:25:250:25:29

who you can sell your sob story to.

0:25:290:25:32

No, it is nothing like that.

0:25:320:25:33

Did you call the press today? Is that why they're out there?

0:25:330:25:36

I do need someone to take her.

0:25:380:25:40

Mum! Please, look, you can't say that.

0:25:400:25:42

I've been ringing you, asking you to help me.

0:25:420:25:44

If this was all for Jay, I would understand.

0:25:440:25:47

But it's not - it's for you.

0:25:470:25:49

I don't even know who you are any more.

0:25:510:25:53

-When did she tell you she lied?

-What does it matter?

0:26:000:26:04

Was it before or after you wrote your statement?

0:26:040:26:06

-After.

-Well, you're going to have to tell them

0:26:060:26:09

that since writing your statement, you've found out the truth and you want to change it.

0:26:090:26:13

-It's too late now.

-I know it seems disloyal to Tamzin,

0:26:130:26:16

but you have to look out for yourself.

0:26:160:26:17

Look, she told me after, OK? I had the chance to change my statement and I didn't.

0:26:170:26:21

I didn't because I don't believe we caused his injuries.

0:26:210:26:24

Bloke was drunk. He was driving like an idiot.

0:26:240:26:26

It was a high-speed impact. They just they want a technicality cos they're after some compensation.

0:26:260:26:32

-Which you've now given them!

-I felt sorry for her.

0:26:320:26:35

Don't blame yourself. It's her mistake - she walked away.

0:26:350:26:40

No, mate, the mistake was lying, the cover-up.

0:26:400:26:42

-We're both as guilty of that.

-If you start talking like that, I can't do anything to protect you.

0:26:420:26:46

Maybe I don't want protecting.

0:26:460:26:48

What are you going to do?

0:26:580:26:59

I don't know.

0:27:010:27:03

I was just leaving.

0:27:180:27:19

Jay would still be walking if it hadn't been for you.

0:27:210:27:25

Nicole, I know you're looking for someone to blame

0:27:280:27:31

and I understand why you went to the press

0:27:310:27:35

and why you got the lawyers involved,

0:27:350:27:37

but you saw how aggressive he was - I couldn't treat him.

0:27:370:27:42

No, this wasn't his fault.

0:27:430:27:45

You told me yourself that he hit you, that he emotionally abused you.

0:27:450:27:51

You more than anybody should know what he's like.

0:27:530:27:55

Yeah, well, I put up with it.

0:27:580:28:02

I put up with that aggression and I stayed.

0:28:020:28:04

You know, maybe if I had walked away years ago,

0:28:060:28:10

I wouldn't be stuck with him now in that state that he's in,

0:28:100:28:14

just desperately clinging on

0:28:140:28:16

to anything that makes being with him bearable...

0:28:160:28:20

You know, my family hate me.

0:28:220:28:23

I put up with his abuse for years and I never walked away, not once!

0:28:250:28:30

But you did!

0:28:320:28:33

-No, I tried...

-No!

0:28:350:28:37

You had every chance to put that collar around his neck

0:28:390:28:42

that could have saved his legs.

0:28:420:28:44

No, I don't care how slim the chances were.

0:28:450:28:48

That could have made the difference. And you know that.

0:28:500:28:53

So no matter what you decide to put on your statement, you know that.

0:28:530:28:59

I've spoken to my mate. Said we can stay on his floor tonight.

0:29:060:29:10

It'll be nice and warm and that.

0:29:100:29:13

But I don't feel good.

0:29:130:29:15

Yeah, but you still want to come with me, don't you?

0:29:150:29:18

What are you saying, Jodes? It's just you and me, yeah?

0:29:210:29:24

Like we said.

0:29:240:29:25

You were supposed to be waiting in your cubicle.

0:29:250:29:28

Yeah, and I wanted to come and see her.

0:29:280:29:30

It's OK, Fletch.

0:29:300:29:31

Right, I'll leave you to it.

0:29:310:29:34

Hello, mate. I'm Tom.

0:29:340:29:36

It's probably best I take a look at your hand.

0:29:360:29:39

I'm not leaving her.

0:29:390:29:40

You don't have to - just take a seat on the bed.

0:29:400:29:42

All right, then, what have we got here? Let's take a look.

0:29:460:29:50

Yep - that's definitely infected.

0:29:560:29:58

Let me get Staff Nurse Fletcher to do a new dressing.

0:29:580:30:01

Are you allergic to penicillin?

0:30:010:30:03

-No.

-OK, then I'll get you a prescription for Flucloxacillin to stop it getting any worse.

0:30:030:30:09

-Be quick, cos we're going.

-OK, but from the look of your friend,

0:30:090:30:12

it doesn't look like you're going anywhere fast.

0:30:120:30:14

Well, aren't we the special patient? Two doctors looking after you.

0:30:140:30:18

I was treating the patient's hand.

0:30:200:30:23

And I was joking.

0:30:230:30:24

I'll get that prescription.

0:30:250:30:27

The results of the CT scans are very encouraging,

0:30:270:30:29

so I'm happy to discharge you.

0:30:290:30:32

Are you all right?

0:30:320:30:33

I don't feel good.

0:30:330:30:35

I can't see anything as a result of the fall

0:30:350:30:37

to show any ongoing concern.

0:30:370:30:39

Give her some morphine or something for the pain. Then we'll go.

0:30:390:30:42

For the pain or the resale value?

0:30:420:30:44

I ache all over.

0:30:460:30:48

You have a cold, so as far as I'm concerned, you're free to go.

0:30:480:30:53

Some cold and flu remedy may help with your symptoms.

0:30:530:30:56

If they persist, see your doctor.

0:30:560:30:58

Yeah, like that's going to happen.

0:30:580:31:00

Take care.

0:31:020:31:04

You OK?

0:31:090:31:11

Yeah, he's just discharged that patient.

0:31:130:31:16

So?

0:31:160:31:17

Well, he doesn't care enough.

0:31:170:31:19

Some would see that as an asset, not letting it get personal.

0:31:190:31:23

Bit of friendly advice - stay away from him, and don't get involved.

0:31:230:31:26

Your first troponin test came back and it's normal.

0:31:330:31:36

So can I go? See my wife?

0:31:370:31:40

With your history, the first test is encouraging

0:31:400:31:43

but I'm not fully reassured, so I would like to keep monitoring you.

0:31:430:31:46

Can't I be monitored next to her?

0:31:460:31:48

Well, she's having an x-ray on her wrist.

0:31:480:31:49

That's stupid, it's just a sprain or something.

0:31:490:31:52

What if I discharge myself?

0:31:520:31:54

You would have to sign a self-discharge form

0:31:560:31:59

but I'd caution against it...

0:31:590:32:01

Just get me the form.

0:32:010:32:02

Right.

0:32:040:32:05

Now, these are the details of the woman from social services -

0:32:120:32:15

she's going to be in touch.

0:32:150:32:17

And like I said, keep an eye on the little one

0:32:170:32:19

but try and get some rest yourself, OK?

0:32:190:32:22

Thank you.

0:32:220:32:24

OK.

0:32:240:32:25

Nicole, I've spoken to Dr Kent about the referrals.

0:32:250:32:28

If there's anything you want to discuss...?

0:32:280:32:30

No, thanks.

0:32:300:32:32

OK.

0:32:320:32:34

Right, time to go home.

0:32:360:32:40

Hey.

0:32:420:32:43

Look, Mum, forget about the press, and the interviews.

0:32:490:32:52

You were right. That was for me.

0:32:530:32:55

I was hoping that you and Milly would like to come home

0:33:010:33:04

and stay with me.

0:33:040:33:05

You see, I've got this big, empty house...

0:33:080:33:12

I can help you.

0:33:130:33:15

And you can help me with Jay.

0:33:180:33:20

I'm sorry.

0:33:220:33:24

It's all right.

0:33:260:33:27

It's all right.

0:33:330:33:36

It's going to be fine, Jodes.

0:33:360:33:38

-As soon as we get to my mate's, you can rest.

-Wait up!

0:33:380:33:41

If you don't take this course of antibiotics,

0:33:410:33:43

that cut's going to go septic.

0:33:430:33:45

Cool.

0:33:450:33:46

Make sure you get it. Are you OK?

0:33:460:33:49

Yeah, fine.

0:33:490:33:51

The doctor said we can go, so...

0:33:510:33:53

Do you feel well enough to go?

0:33:530:33:55

Do you want me to take a look at you?

0:33:560:33:59

No, she won't - we're going to go.

0:33:590:34:01

I want my mum.

0:34:010:34:03

I'm sorry.

0:34:050:34:06

Listen, mate, I think she needs to be reassessed.

0:34:080:34:11

Danny!

0:34:160:34:17

It's OK. Come on, I'm going to find you a bed.

0:34:200:34:23

Adrian, could you do me a self-discharge form

0:34:270:34:30

for Brian Abel, please?

0:34:300:34:31

Yeah, no worries.

0:34:310:34:32

Dylan?

0:34:340:34:35

Yes?

0:34:350:34:36

Can I get your advice on these?

0:34:360:34:38

Is there nobody else?

0:34:380:34:39

I thought we were past all this. Surely we can work together.

0:34:410:34:45

Is that why you were drinking at the Christmas party?

0:34:450:34:49

What is this, an intervention?

0:34:490:34:50

I was drinking because it was a party.

0:34:500:34:52

I'm sorry. Give them to me.

0:34:540:34:55

Thank you.

0:34:550:34:57

Are you trying to wind Dominic up?

0:35:030:35:06

Of course not.

0:35:060:35:07

Would you kindly tell me why you're booking in my patient?

0:35:150:35:18

She was in reception with a fever, asking for help.

0:35:180:35:20

I'm reassessing her.

0:35:200:35:22

She came to you directly?

0:35:220:35:24

Does it matter?

0:35:240:35:26

Is this a deliberate and pathetic attempt to undermine me?

0:35:260:35:31

I'm doing my job. I need some assistance over here.

0:35:310:35:36

-Jodie, can you hear me? Jodie!

-She may be suffering an intracranial haemorrhage. We need another scan.

0:35:370:35:41

-She is my patient.

-Back off! I've got this.

0:35:410:35:44

Dr Kent! What happened?

0:35:460:35:49

When I examined her, there was no rash.

0:35:490:35:51

She's got a high fever, meningitis and a non-blanching, petechial rash.

0:35:510:35:55

She needs to go to resus now.

0:35:550:35:57

OK, let's go.

0:35:570:35:58

She needs two grams of cefotaxime now.

0:36:070:36:09

Jodie? Jodie? Can you hear me, Jodie?

0:36:090:36:12

Blood pressure is dropping.

0:36:160:36:18

Cefotaxime going in now.

0:36:190:36:21

Still dropping.

0:36:240:36:25

-Why was she discharged?

-I've just been checking my notes -

0:36:260:36:29

there were no discernible signs earlier

0:36:290:36:32

and the scans for the head injuries came back clear.

0:36:320:36:37

Please, take a look - tell me if you think I missed anything.

0:36:370:36:41

Tom's reaction suggests that I did, but I really can't see it.

0:36:430:36:46

She's been in our care all morning and nobody spotted meningitis?

0:36:480:36:52

Linda.

0:36:520:36:54

Her blood pressure and pulse is improving, so...

0:36:540:36:56

-Right. Tom?

-Stabilising.

0:36:580:37:02

That was fast work.

0:37:030:37:04

Thank you.

0:37:040:37:05

That outburst earlier.

0:37:070:37:08

Come and see me at the end of the day.

0:37:080:37:11

-You're kidding me!

-At the end of the day.

0:37:110:37:13

That's a very recent fracture.

0:37:190:37:20

These are hairline fractures that haven't healed properly - historic injuries.

0:37:200:37:24

A pattern of abuse? Repetitive injuries?

0:37:240:37:27

That's hard to prove.

0:37:270:37:28

Tom? Tom, is she OK?

0:37:310:37:35

Yeah. Zoe wants to see me.

0:37:360:37:39

About the way you spoke to Dominic?

0:37:390:37:41

Wasn't your finest professional moment.

0:37:410:37:43

Did I ask you?

0:37:430:37:44

If you need to follow him?

0:37:500:37:52

Why would I need to follow him?

0:37:520:37:55

It's fine.

0:37:550:37:57

Carry on.

0:37:570:37:59

Suffice to say, if she's not willing to make a complaint against her husband,

0:37:590:38:03

you're on dodgy ground.

0:38:030:38:04

-Police don't always need a statement.

-They need something. What proof have you got?

0:38:040:38:07

You've got bruising you can easily explain away,

0:38:070:38:09

plus a minor placental abruption, which could have any number of causes.

0:38:090:38:13

OK, so this isn't about a prosecution.

0:38:130:38:15

This is about getting her safe.

0:38:150:38:17

In which case you need her on board.

0:38:170:38:19

You can't make that decision for her, Sam.

0:38:190:38:21

And with her husband on the scene, it's going to difficult to convince her.

0:38:210:38:25

Well, her husband is in CDU.

0:38:250:38:27

He's just signed his self-discharge form, actually.

0:38:270:38:30

Great.

0:38:300:38:31

Hi, Louise. It's Sam. My patient, Jane Abel?

0:38:350:38:38

Could you do me a favour

0:38:390:38:41

and stop anyone from coming through to see her?

0:38:410:38:43

Especially her husband. Thanks.

0:38:430:38:45

That'll only work for so long.

0:38:460:38:48

You know, the biggest killer of unborn children is domestic violence.

0:38:480:38:52

She's one step away from adding to that statistic.

0:38:520:38:56

I have to try.

0:38:560:38:57

OK.

0:38:590:39:01

Her name is Jane Abel - she is my wife!

0:39:040:39:07

I have a right to know where she is.

0:39:070:39:09

I'm sorry, sir - she's not able to see visitors right now.

0:39:090:39:12

-I'm not a visitor, I'm her next of kin!

-If you wait in the family room,

0:39:120:39:15

I can speak to a nurse as soon as they become available.

0:39:150:39:17

I want to know what's happened to her.

0:39:170:39:19

Like I explained to you...

0:39:190:39:20

You can't stop me seeing her!

0:39:200:39:22

The family room is over there.

0:39:240:39:25

I'll wait right here - you pick up the phone and find out where she is.

0:39:250:39:31

You told the paramedic that your husband gets angrier

0:39:310:39:34

when he's not on medication for his blood pressure.

0:39:340:39:38

Is that what happened today? Did he do this to you?

0:39:380:39:43

I have to believe that he'll change before the baby's born.

0:39:470:39:51

I am in a position to help you.

0:39:550:39:57

I can't go to court - I can't send him to prison.

0:40:000:40:07

No-one's asking you to.

0:40:070:40:08

But you said help me. That's the police, right?

0:40:110:40:16

That's my way out?

0:40:180:40:19

Not the only way.

0:40:200:40:22

I can put you in touch with a domestic violence advocate.

0:40:220:40:25

They can get you set up in a women's refuge.

0:40:250:40:28

It will give you and your baby

0:40:280:40:30

the support you need until you can find permanent housing.

0:40:300:40:33

But he's here now. He won't let me go anywhere without him.

0:40:340:40:39

Well, look, I need to transfer you to obstetrics, OK,

0:40:420:40:45

and I have got an in-patient bed assigned to you.

0:40:450:40:48

Everyone in that ward will know of your situation.

0:40:480:40:51

Your anonymity would be guaranteed.

0:40:510:40:54

That might just give you the space and time

0:40:540:40:56

that you need to think about this.

0:40:560:40:58

But this decision has to come from you.

0:41:000:41:02

I'm not waiting any longer! I want to see someone in charge.

0:41:020:41:06

They would tell you exactly the same thing as me!

0:41:060:41:09

Tell me where she is.

0:41:090:41:10

Sir, I will call security!

0:41:100:41:12

Brian! What's going on?

0:41:120:41:13

Why aren't they letting me see her?

0:41:130:41:15

All right, just calm down for me.

0:41:150:41:17

-That's it. I've had enough!

-Brian.

-Jane!

0:41:170:41:20

-Jeff.

-Jane!

0:41:210:41:24

Get out of my way!

0:41:240:41:27

Jane!

0:41:270:41:28

Jane!

0:41:280:41:29

-Where is she? Where is she?

-Calm down.

0:41:320:41:35

You can't keep her away from me. Get off me.

0:41:350:41:38

Jeff, Brian...

0:41:380:41:40

-You can't do this to me. Get off!

-Just relax! Jeff! Stop!

0:41:400:41:44

-Brian! Brian! Can you hear me?

-There's no pulse. He's arrested.

0:41:450:41:49

-Can you get some help?

-Yes.

-Brian?

-Put him on a defib, please.

0:41:490:41:52

ALARM SOUNDS FROM MONITOR

0:42:080:42:10

He's in VF. Let's shock him. Clear!

0:42:100:42:13

MONITOR BEEPS REGULARLY

0:42:180:42:20

Get him down to resus and repeat the 12 lead ECG, please.

0:42:220:42:25

Get some lines in there. Porters, please.

0:42:260:42:29

You all right?

0:42:340:42:36

Yeah, yeah.

0:42:360:42:37

No, you're not. What's wrong?

0:42:400:42:41

I should have made you change your statement, you know.

0:42:410:42:44

and then I should have supported you through the fallout.

0:42:440:42:47

Who knows, maybe we could have both kept our jobs.

0:42:470:42:49

How do you mean? What are you saying?

0:42:490:42:52

You're a good person, Tamzin. You deserve a second chance.

0:42:520:42:55

You have got a great career ahead of you.

0:42:550:42:57

Jeff?

0:43:000:43:02

I saw you physically push him out of the way.

0:43:020:43:04

It was heat of the moment!

0:43:040:43:05

You should know better!

0:43:050:43:07

-So should he!

-I've spoken to Dominic and I've read through the notes.

0:43:070:43:10

He discharged a girl suffering from meningitis.

0:43:100:43:13

Yes, but the conclusive signs presented at a very late stage.

0:43:130:43:16

-So in my eyes, he did nothing wrong.

-Great.

0:43:160:43:18

So you take his side of the story before you've even heard mine.

0:43:180:43:21

I'm not taking sides. I've read a factual account of what happened.

0:43:210:43:26

The facts don't tell the whole story.

0:43:260:43:28

Tom, I'm not undermining what you did for that girl.

0:43:290:43:33

You went with your gut, you responded quickly - great.

0:43:330:43:37

But shouting at Dominic in front of patients and members of staff,

0:43:370:43:41

-it's not on.

-Oh, come on!

-You are holding a grudge from years ago.

0:43:410:43:45

So just wind your neck in,

0:43:450:43:46

or I'll have to put you on a verbal warning, OK?

0:43:460:43:49

-Where am I going?

-You're being transferred upstairs.

0:43:580:44:02

-Where's Danny?

-We haven't seen him since your collapse.

0:44:030:44:07

Just try and rest, OK?

0:44:070:44:08

-Jodie!

-Danny!

0:44:120:44:16

Mum.

0:44:160:44:18

You need her, yeah? I get that.

0:44:210:44:25

OK, after you.

0:44:270:44:29

Do I not even get a thank you for pulling you out of a hole today?

0:44:480:44:52

That's the way you see it, is it?

0:44:520:44:54

How else would you describe it?

0:44:540:44:56

I advised her to take some medication

0:44:560:44:59

-and come back if it got worse.

-After the way you treated her today,

0:44:590:45:02

you really think she would have come back?

0:45:020:45:04

I treated her calmly and professionally.

0:45:040:45:06

She could have ended up dead in a shop doorway somewhere.

0:45:060:45:09

That's melodramatic conjecture.

0:45:090:45:11

Are you really telling me that you suspected meningitis?

0:45:110:45:14

I was putting her on observation.

0:45:140:45:16

Yeah, because you wanted to wind me up

0:45:160:45:19

and felt sorry for a young girl living on the streets.

0:45:190:45:21

-She had a fever!

-It was a social concern, not a medical one.

0:45:210:45:25

That's rubbish.

0:45:250:45:26

We both missed the meningitis because at the time,

0:45:260:45:29

there were no obvious signs.

0:45:290:45:31

Now I'm man enough to admit that and move on,

0:45:310:45:34

but you're still slinging mud in all directions except your own.

0:45:340:45:38

Not once have you admitted even to yourself

0:45:380:45:41

that you let that girl down as well. Now, in my eyes,

0:45:410:45:45

that is the sign of a cowardly and incompetent doctor.

0:45:450:45:49

Tom, you OK? Tom, talk to me!

0:45:590:46:02

What happened to Tom?

0:46:040:46:05

I'd prefer not to comment.

0:46:060:46:08

Dylan, I need to know if there's a problem.

0:46:080:46:10

Hey, what's going on? What did she say?

0:46:160:46:18

Nothing. I asked to see her.

0:46:190:46:21

I know I walked away from Jay Kemble when he needed me.

0:46:230:46:26

I just didn't like his attitude. That's all it came down to.

0:46:270:46:31

I judged him, and I walked away.

0:46:310:46:34

What, and you told her that?

0:46:340:46:36

Yeah. I don't want you taking the blame for something I did, Jeff.

0:46:360:46:41

If this will help Nicole and her family

0:46:410:46:43

speed up the legal process, it's the least I can do.

0:46:430:46:46

I can get over this as a person...

0:46:490:46:52

..but I can't as a paramedic.

0:46:540:46:56

-You'll keep in touch, yeah?

-Yeah.

0:47:060:47:10

Take care of him, Dix.

0:47:140:47:15

She just dug you out of a hole.

0:47:230:47:24

I was prepared to hand my notice in, you know.

0:47:280:47:32

I was prepared to accept it.

0:47:320:47:33

-I let you down. I'm sorry.

-Just don't make a habit out of it, eh?

0:47:410:47:44

What the hell were you thinking?

0:47:590:48:00

That girl nearly died today because he's not a good enough doctor.

0:48:000:48:04

All he had to do was look in her eyes!

0:48:040:48:06

That's not the point. I told you to wind your neck in.

0:48:060:48:09

Assaulting a colleague is a disciplinary act. You've brought this all on yourself, Tom.

0:48:090:48:13

Go home. You're suspended.

0:48:130:48:15

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