Smoke and Mirrors

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0:00:34 > 0:00:37SIREN WAILS

0:00:37 > 0:00:39HORN BEEPS

0:00:39 > 0:00:41- Right, here's one.- Not now.

0:00:41 > 0:00:43What did the paramedic say to the patient

0:00:43 > 0:00:45who'd had a stroke on their left-hand side?

0:00:45 > 0:00:47BOTH: You're going to be all right!

0:00:47 > 0:00:49How do you know when a paramedic has entered the room?

0:00:49 > 0:00:51BOTH: Because he tells you so.

0:00:51 > 0:00:53I really don't need cheering up.

0:00:53 > 0:00:55What's the difference between God and a paramedic?

0:00:55 > 0:00:58I don't know. What is the difference between God and a paramedic?

0:00:58 > 0:01:01God doesn't have delusions he is a paramedic.

0:01:01 > 0:01:03Yeah? That's cos God hasn't met you yet, has he?

0:01:03 > 0:01:05Although you carry on with these gags,

0:01:05 > 0:01:07it might be sooner than you think.

0:01:12 > 0:01:14- Long time no see.- How is she?

0:01:14 > 0:01:16Not good. Quick as you can.

0:01:19 > 0:01:21- RADIO:- 'Preparations are underway for a memorial service

0:01:21 > 0:01:23'to be held later today commemorating victims

0:01:23 > 0:01:26'of the coach crash which killed two pupils at Holby City Academy.

0:01:26 > 0:01:30'Shadia Amreen speaking for the family of Ella Amson, 15.'

0:01:30 > 0:01:32What about you, Ally? What's on your wish list?

0:01:32 > 0:01:34I'm just wishing for a drama free day.

0:01:34 > 0:01:37I will. I promise. It can't be any worse than our first day.

0:01:37 > 0:01:39'Words cannot express the depth of our loss...'

0:01:39 > 0:01:41Seriously? Go on, give us a clue, then.

0:01:41 > 0:01:45- Yes! Where are we going? - What's Captain Awesome done now?

0:01:45 > 0:01:48Craig's taking me away next weekend! What do I need to pack?

0:01:48 > 0:01:50Message me details. I've got to go. I love you. Bye.

0:01:50 > 0:01:53Right, coffee's down. Shift starts in two minutes.

0:01:53 > 0:01:56'..survived the crash and her family issued a statement.'

0:01:56 > 0:01:58'We are eternally grateful for the entire team

0:01:58 > 0:02:02'at Holby City's Emergency Department, the fire crew...' SWITCHES RADIO OFF

0:02:02 > 0:02:05- Nice to know we are appreciated, eh? - Yeah. Yeah, it is.

0:02:06 > 0:02:10Listen, today's another day. Forget about yesterday.

0:02:10 > 0:02:12Just be prepared for whatever comes through that door.

0:02:12 > 0:02:16It doesn't mean you don't care. It just means you're a professional.

0:02:16 > 0:02:18Thanks, Charlie.

0:02:28 > 0:02:32Sorry about this. Nick insisted.

0:02:32 > 0:02:35I'm sure you're fine. I think he just missed our faces, that's all.

0:02:35 > 0:02:37She's had UTIs and chest infections,

0:02:37 > 0:02:40but I've been able to deal with those here, obviously.

0:02:40 > 0:02:44I think we should get her in. There is a good chance

0:02:44 > 0:02:46she may be suffering from autonomic dysreflexia.

0:02:46 > 0:02:49It's quite common with people with spinal cord injuries.

0:02:49 > 0:02:53BP's high, 180/110, and she has been suffering from a nasty headache

0:02:53 > 0:02:55- for the last 12 hours, haven't you? - Yeah.

0:02:55 > 0:02:58We'll get you in, administer some antihypertensives,

0:02:58 > 0:03:01and see what's causing it. OK? You are going to be fine.

0:03:01 > 0:03:03You are going to be fine.

0:03:08 > 0:03:10POP MUSIC PLAYS

0:03:18 > 0:03:19MOBILE RINGS

0:03:22 > 0:03:23'Hey, Hannah.'

0:03:23 > 0:03:25Neil. Hang on, I'm just getting dressed.

0:03:25 > 0:03:27'Don't go to any trouble on my account.'

0:03:37 > 0:03:39There you go. Looking lovely, princess.

0:03:39 > 0:03:41Why are you trying to be so disgustingly charming?

0:03:41 > 0:03:43Well, I've been called one or the other before,

0:03:43 > 0:03:46but never both at the same time. What's new?

0:03:46 > 0:03:50Same old. Starting rehearsals for our end-of-term production.

0:03:50 > 0:03:53I'd like to come see that. It's about time we caught up.

0:03:53 > 0:03:54It's three months away.

0:03:54 > 0:03:57Then we need to catch up sooner.

0:03:57 > 0:03:58Yeah, the thing is,

0:03:58 > 0:04:01you already sort of had your chance to catch up with me.

0:04:01 > 0:04:03I'm sorry. I've been busy with coursework.

0:04:03 > 0:04:07Let me make it up to you. Maybe we could go for a drink some night. Hannah...

0:04:07 > 0:04:09Yeah, I heard you. I don't know, Neil, I'm kind of busy.

0:04:09 > 0:04:12- Behind you.- Yeah, ha-ha.- Hannah!

0:04:12 > 0:04:13SHE SCREAMS

0:04:13 > 0:04:15THUDDING

0:04:16 > 0:04:18She's passed out!

0:04:18 > 0:04:19HE LAUGHS

0:04:19 > 0:04:23That's so cool! Take that stupid mask off.

0:04:23 > 0:04:26I can't hear you properly.

0:04:26 > 0:04:27Pick the camera up. I can't see her.

0:04:30 > 0:04:31What should I do?

0:04:31 > 0:04:34- It's just a faint. She'll be OK. - I think we should get help.

0:04:34 > 0:04:36- No, look, just get out of there. - But...

0:04:36 > 0:04:39Seriously, Richie. You want to be there when she wakes up?

0:04:44 > 0:04:47SIREN BLARES

0:04:54 > 0:04:58Grab that for me, please. Hi.

0:04:58 > 0:04:59You OK?

0:04:59 > 0:05:04Yeah. Autonomic dysreflexia, I think. Pulse 90, BP 200/110.

0:05:04 > 0:05:06OK, we've got it from here. Hi, Yvonne.

0:05:06 > 0:05:09I'm here. All right.

0:05:09 > 0:05:11- Let's get this on.- Thanks, guys.

0:05:24 > 0:05:27PHONE RINGS

0:05:35 > 0:05:38'Hey. This is Hannah. Please leave me a message.'

0:05:46 > 0:05:48'Which service do you require?'

0:05:48 > 0:05:50Ambulance, please.

0:05:50 > 0:05:52BP 190/107.

0:05:52 > 0:05:54- Good, good, that's coming down. - Temperature - 38.3.

0:05:54 > 0:05:57OK. Can we get Yvonne into a gown? She's a little pyrexial.

0:05:57 > 0:05:58She needs some Nifedipine, Zoe.

0:05:58 > 0:06:01Start with some tepid sponging to bring her temperature down.

0:06:01 > 0:06:04Could we irrigate this catheter?

0:06:04 > 0:06:06Nick, let me do this.

0:06:06 > 0:06:10Yvonne, have you got any pain in your lower abdomen?

0:06:10 > 0:06:12A little, just overnight.

0:06:12 > 0:06:14Yvonne, why didn't you tell me?

0:06:14 > 0:06:16Headaches? Blurred vision?

0:06:16 > 0:06:17Headaches.

0:06:17 > 0:06:21OK, can we arrange a CSU, please? And let's irrigate the catheter.

0:06:22 > 0:06:24- Excuse me.- Sorry, Linda.

0:06:27 > 0:06:28All right.

0:06:31 > 0:06:33Right, does anyone want to accompany her to hospital?

0:06:33 > 0:06:38Any of her mates here? Best friend? What about her family?

0:06:38 > 0:06:39Does anybody know them?

0:06:39 > 0:06:42Right, well, we're going to be taking her to Holby Hospital

0:06:42 > 0:06:44if anyone wants to know.

0:06:52 > 0:06:55That's Nick Jordan in Resus? The big boss?

0:06:55 > 0:06:58- The one and only.- Who's the patient?

0:06:58 > 0:07:02His partner, Yvonne Rippon. Superintendent Yvonne Rippon.

0:07:02 > 0:07:04She's a policewoman?

0:07:04 > 0:07:08She was stabbed during the Holby riots. It left her paralysed.

0:07:08 > 0:07:12He's been on leave ever since, looking after her.

0:07:12 > 0:07:13Hell of a way to return to work.

0:07:19 > 0:07:20Right. This is Hannah Spence, 19,

0:07:20 > 0:07:23she was found collapsed in her room at Holby College.

0:07:23 > 0:07:27GCS was 13, rose to 14 en route. No known previous medical history.

0:07:27 > 0:07:32Pulse 60, BP 100/60, sats 98%, BM is six.

0:07:32 > 0:07:35OK, Hannah, can you just wiggle your bum over to the other bed

0:07:35 > 0:07:37- for me please, love? - Take your time, sweetheart.

0:07:37 > 0:07:40She appeared postictal and has been incontinent of urine.

0:07:40 > 0:07:41OK. Hello, Hannah.

0:07:41 > 0:07:44My name is Sam, I'm one of the doctors here at the ED.

0:07:44 > 0:07:46Can you tell me what happened?

0:07:46 > 0:07:47I don't know. I fainted.

0:07:47 > 0:07:50Can I get a full set of neuro obs and a repeat BM?

0:07:50 > 0:07:52- O2 sats?- 97%.

0:07:52 > 0:07:55Right, anything like this ever happened before?

0:07:55 > 0:07:58- No.- Right, you're going to feel a little prick.

0:07:58 > 0:08:01We let patients make up their own jokes.

0:08:01 > 0:08:03Any family history of collapse?

0:08:03 > 0:08:05No.

0:08:05 > 0:08:10OK, can I get FBC, U&E, LFTs, an arterial blood gas.

0:08:10 > 0:08:13Let's organise an ECG and get her started on a bag of Hartmann's.

0:08:13 > 0:08:15Hartmann's.

0:08:16 > 0:08:18I'm not happy with this CSU at all.

0:08:18 > 0:08:22If it's a UTI, Zoe, it's new, because I have been checking the bag myself

0:08:22 > 0:08:23Temperature is 38.8.

0:08:23 > 0:08:28- OK, she's gone up 0.5. Let's start her on some IV paracetamol.- OK.

0:08:28 > 0:08:29- Can I have the notes?- Yeah.- Thanks.

0:08:29 > 0:08:32Your body is just fighting an infection, that's all.

0:08:32 > 0:08:35Everything is going to be fine now you're in here.

0:08:35 > 0:08:39Nick, would you call my mother?

0:08:40 > 0:08:45Please, I want her to know I am in here.

0:08:45 > 0:08:48We can organise that for you.

0:08:48 > 0:08:50Are you absolutely certain? I mean...

0:08:50 > 0:08:53Is there anybody else we can contact for you?

0:08:53 > 0:08:59- No, just call my mother.- Ssh. - Please, just call her.- All right.

0:08:59 > 0:09:03Tell her that she should be here now.

0:09:05 > 0:09:08OK. I'll go and do it now.

0:09:12 > 0:09:14You'll be OK for a minute?

0:09:14 > 0:09:16Yep.

0:09:24 > 0:09:25Is everything OK?

0:09:25 > 0:09:27Hmm? Yeah, yeah.

0:09:28 > 0:09:30Just not like Yvonne.

0:09:31 > 0:09:33She hasn't seen her mother for ten years.

0:09:33 > 0:09:35Well, she's feeling vulnerable.

0:09:35 > 0:09:38I've been under strict orders not to even let her in at home.

0:09:38 > 0:09:40She probably wants all the support she can get.

0:09:40 > 0:09:42I don't want her upsetting her.

0:09:42 > 0:09:44Well, let's hope that doesn't happen.

0:09:44 > 0:09:46Plus, you could do with the support here now.

0:09:46 > 0:09:48Yes, but everything Yvonne has said about her -

0:09:48 > 0:09:50She's a difficult woman, apparently.

0:09:50 > 0:09:53She's a drinker. Well, not just a drinker,

0:09:53 > 0:09:56Yvonne says she's an alcoholic.

0:09:56 > 0:09:58I don't think she'll help the situation.

0:09:58 > 0:10:01But she's next-of-kin. She has to be informed.

0:10:01 > 0:10:04If it makes it easier, I can make the call for you.

0:10:05 > 0:10:09No, no. If it's what Yvonne wants...

0:10:11 > 0:10:12All right to use the office?

0:10:12 > 0:10:15Yeah. Of course. And it's still your office.

0:10:25 > 0:10:27- Hannah's been taken to hospital. - She'll be OK.

0:10:27 > 0:10:31- What are you doing? - I'm a film-maker. Film-makers film.

0:10:31 > 0:10:33No, film-makers tell stories.

0:10:33 > 0:10:35They don't shoot everything that's going on around them.

0:10:35 > 0:10:37People only take pictures of the happy stuff.

0:10:37 > 0:10:39I shoot real life, then I tell the story.

0:10:39 > 0:10:41Anything else is just smoke and mirrors.

0:10:41 > 0:10:43We have to tell Hannah the truth.

0:10:43 > 0:10:45HE LAUGHS

0:10:45 > 0:10:47You haven't really thought this through, have you?

0:10:47 > 0:10:49Do you really want to be the guy with a reputation

0:10:49 > 0:10:52for hiding in girl's closets while they're dressing?

0:10:52 > 0:10:53It was your idea.

0:10:53 > 0:10:56Look, I know you've got the hots for Hannah.

0:10:56 > 0:11:00- So what?- But she's really nothing special in bed.

0:11:03 > 0:11:05- I'm going to the hospital. - Don't be stupid.

0:11:05 > 0:11:08- I'm fixing this before it gets any worse.- I'm telling you...

0:11:09 > 0:11:11GLASS SHATTERS

0:11:11 > 0:11:14HE GROANS

0:11:14 > 0:11:16Richie?

0:11:18 > 0:11:19KNOCK ON DOOR

0:11:19 > 0:11:22- Is everything all right? - Yeah, he just fell over.

0:11:22 > 0:11:25- I'll get an ambulance - No, no, you don't have to...

0:11:34 > 0:11:35I wonder if Craig's messaged me yet.

0:11:39 > 0:11:42Aoife, do you mind helping me with this young lady?

0:11:42 > 0:11:45- She seems to have walked herself into a door.- Course.

0:11:47 > 0:11:49You know what you should never do?

0:11:49 > 0:11:52Leave yourself logged into a personal site on a work computer.

0:11:52 > 0:11:55All right, let's take a look at Captain Awesome, then.

0:11:55 > 0:11:57The way Aoife talks about him,

0:11:57 > 0:11:59it's like he's Ireland's answer to Brad Pitt.

0:12:01 > 0:12:04- I've seen him somewhere before. - Don't tell me you've...?- No.

0:12:04 > 0:12:07- OMG.- He's not that special.

0:12:07 > 0:12:12No, I remember. He's on a dating website that I use.

0:12:12 > 0:12:16There, Studmuffin89. I knew I recognised him.

0:12:16 > 0:12:18It says he's single

0:12:18 > 0:12:21and that his last long-term relationship ended a year ago!

0:12:21 > 0:12:23He's not just on this one.

0:12:23 > 0:12:24He's on at least two others that I use.

0:12:24 > 0:12:26How many dating sites does one person need?

0:12:26 > 0:12:28I like options, what can I say?

0:12:28 > 0:12:30Anyway, the point is, he's cheating on Aoife!

0:12:30 > 0:12:33- Shh! Keep your voice down. - We have to tell her.

0:12:33 > 0:12:37And say what? Maybe she knows. Maybe she lets him do it.

0:12:37 > 0:12:39Yeah, right(!)

0:12:44 > 0:12:47The autonomic dysreflexia seems to have been relieved.

0:12:47 > 0:12:50But temperature and LFT are rising. Her BP's dropped more than

0:12:50 > 0:12:54I'd like, and her renal function and urine output are deteriorating.

0:12:54 > 0:12:56- I can read obs for myself, Zoe. - Oh, come on, Nick.

0:12:56 > 0:12:58Sorry. I'm sorry.

0:12:58 > 0:13:02She's increasingly pyrexial, her Us and Es are abnormal.

0:13:02 > 0:13:04She's clearly becoming more septic.

0:13:04 > 0:13:07She's got a UTI and we can't ignore what's going on in her chest.

0:13:07 > 0:13:10- She's getting hypoxic. - I accept that, Zoe.

0:13:10 > 0:13:13But I've already prescribed broad spectrum antibiotics.

0:13:13 > 0:13:15And I agree with that, but, please,

0:13:15 > 0:13:19Yvonne is my patient and you're the relative here.

0:13:19 > 0:13:22I can handle this. Don't work against me.

0:13:22 > 0:13:24Let us do our job.

0:13:24 > 0:13:28I will. Unless I can think of something else.

0:13:33 > 0:13:35This is Richard Baxter, he's 19.

0:13:35 > 0:13:38Found collapsed with a deep laceration to his forehead

0:13:38 > 0:13:39and facial injuries.

0:13:39 > 0:13:43On arrival, GCS 13, BP 120/80, pulse 80, sats are at 97%.

0:13:43 > 0:13:47This is his friend Neil. He was with him when he fell.

0:13:47 > 0:13:48What happened, Neil?

0:13:48 > 0:13:51- I don't know. He just keeled over. - Has it happened before?

0:13:51 > 0:13:53No. Not that I've seen.

0:13:53 > 0:13:56How did he manage to bang the front and the back of his head?

0:13:56 > 0:13:57He sort of went backwards first,

0:13:57 > 0:14:00cracked it on the corner of a shelf, then forward.

0:14:00 > 0:14:02Landed on his face.

0:14:02 > 0:14:04Do you know where you are?

0:14:04 > 0:14:05Is it the lab?

0:14:05 > 0:14:07OK, mate. No, you're in hospital.

0:14:07 > 0:14:10OK, let's have him over on three, please. One, two, three.

0:14:10 > 0:14:13- That's the way. Thank you. - Fletch.- Cheers.

0:14:13 > 0:14:15OK, does he prefer Richard, Rick, Richie?

0:14:15 > 0:14:17Richie.

0:14:17 > 0:14:21OK, Richie. Can you squeeze my hand for me?

0:14:21 > 0:14:23OK, do you know what day it is?

0:14:23 > 0:14:2511.30.

0:14:25 > 0:14:28Let's do a 12-lead, a BM, send off the usual bloods

0:14:28 > 0:14:30and let's get a head CT.

0:14:30 > 0:14:33Has he been drinking? Is he on anything? It's important.

0:14:33 > 0:14:36- I don't know. I don't think so. He might have.- Which is it?

0:14:36 > 0:14:38- Tell Hannah I came to see her.- No.

0:14:38 > 0:14:4115 minute neuros. Let's get that scan ASAP,

0:14:41 > 0:14:44and then we are going to move him to cubicles.

0:14:46 > 0:14:48So it was Ryan's birthday yesterday

0:14:48 > 0:14:50and the celebrations have only just come to an end.

0:14:50 > 0:14:52Belated happy Birthday.

0:14:52 > 0:14:54You're gorgeous. Hello! He is massive.

0:14:54 > 0:14:57Put his fist through a window during a heated discussion

0:14:57 > 0:15:01with a barman as to whether he should have any more to drink.

0:15:01 > 0:15:04- Police found him sleeping it off. - Hey, give me a little snog.

0:15:04 > 0:15:08We'll get him some IV fluids, regular obs, do a BM stick.

0:15:08 > 0:15:11When he's sobered up enough, we'll get him up to X-ray.

0:15:11 > 0:15:16- Check for any fractures or retained FBs.- Hang on.

0:15:16 > 0:15:18- Oi, listen.- Sorry, yes?

0:15:18 > 0:15:22Can she look after me, please? I am not being bad, yeah,

0:15:22 > 0:15:25but she's much better looking than you.

0:15:25 > 0:15:28That may not be such a bad idea

0:15:28 > 0:15:30because I'm sure Nurse Hunter, at her age,

0:15:30 > 0:15:33has got plenty of experience of dealing with drunken young men.

0:15:33 > 0:15:35How do you feel about that?

0:15:35 > 0:15:38OK. So where were you when this happened?

0:15:38 > 0:15:43I was at Belinda's. Do you know it?

0:15:43 > 0:15:44No, never been.

0:15:44 > 0:15:48It's wicked. Nice place to get little drinky-poos.

0:15:48 > 0:15:50- We should go.- We?

0:15:50 > 0:15:53- Yeah. You're gorgeous.- You're drunk.

0:15:53 > 0:15:55All right, all right. Enough is enough.

0:15:55 > 0:15:57What's your name?

0:15:57 > 0:16:01- Ally.- Ally. Ally, Ally, Ally, let's get pally.

0:16:01 > 0:16:05- HE BARKS - All right. Ally, why don't you fetch a gown for Mr Tavistock?

0:16:05 > 0:16:09- Where you going? Wait! Hey, where you going?- Calm down.

0:16:09 > 0:16:10I'll wait for you!

0:16:10 > 0:16:13Take it easy. Let me have a proper look at this.

0:16:16 > 0:16:19Zoe, ITU are still waiting to clear a bed.

0:16:19 > 0:16:22Her BP's still dropping, practically in her boots.

0:16:22 > 0:16:25We're going to have to start her on pressors. OK.

0:16:25 > 0:16:28I want to change the treatment regime. Activated protein C.

0:16:28 > 0:16:30I don't think that's appropriate.

0:16:30 > 0:16:32I know we have stocks. I know they're expensive.

0:16:32 > 0:16:34I know they only qualify in extreme cases.

0:16:34 > 0:16:35But I think this counts, don't you?

0:16:35 > 0:16:37Nick, it's got nothing to do with money.

0:16:37 > 0:16:40It wouldn't matter who she is. I wouldn't be advocating those drugs.

0:16:40 > 0:16:41Why not? We're the NHS.

0:16:41 > 0:16:45Because I couldn't be sure they would work and neither would you.

0:16:45 > 0:16:49The likelihood of this drug having any therapeutic effect

0:16:49 > 0:16:50in Yvonne's case is minimal.

0:16:50 > 0:16:54Zoe, please, please, don't make this a personal favour.

0:16:54 > 0:16:58It's our job to try and save lives by all and any means necessary.

0:16:58 > 0:17:01We have the means, and they're necessary today.

0:17:05 > 0:17:08OK, I'll do it. But this is against my clinical judgement.

0:17:16 > 0:17:19CT can take us now, Fletch.

0:17:19 > 0:17:21What year it is, Richie?

0:17:21 > 0:17:222010.

0:17:22 > 0:17:25Richie's had quite a bang to the head.

0:17:25 > 0:17:27He's shaken up his frontal lobe, which is the part of the brain

0:17:27 > 0:17:30where your inhibitions and personality is stored.

0:17:30 > 0:17:33- Will he recover?- I want to see test results to be sure.

0:17:33 > 0:17:36But the chances are it'll fix itself over the next few hours.

0:17:36 > 0:17:38His brain's like a computer re-booting at the moment.

0:17:38 > 0:17:42So he needs lots of rest and we'll wait and see what the scan tells us.

0:17:46 > 0:17:48Hi, Hannah.

0:17:50 > 0:17:52How are your periods? Regular?

0:17:53 > 0:17:56No.

0:17:56 > 0:17:58Did you take anything? Drugs?

0:17:58 > 0:18:02I'm not like that. I don't smoke, I don't drink much alcohol.

0:18:02 > 0:18:04I think the other students think I'm a bit weird.

0:18:04 > 0:18:07Is there anyone you would like me to call? Parents? Friends?

0:18:07 > 0:18:09Not...really. I'll call them when I feel a bit better.

0:18:09 > 0:18:12OK. So what do you remember about the collapse?

0:18:12 > 0:18:17It seems like a dream. I remember I was getting dressed.

0:18:19 > 0:18:20Then something...

0:18:22 > 0:18:25I thought something touched me. Behind me.

0:18:25 > 0:18:27Like there was someone there. Then I don't remember anything

0:18:27 > 0:18:29until the ambulance got there.

0:18:29 > 0:18:32So you think there was someone in the room with you?

0:18:32 > 0:18:35I don't know. I don't know where they would have got in.

0:18:35 > 0:18:38My room's small. No-one could come in without me knowing.

0:18:38 > 0:18:40There doesn't seem to be any marks or bruising.

0:18:40 > 0:18:44Maybe I imagined it. Maybe there's something wrong with my brain.

0:18:44 > 0:18:46Well, that's what we're going to find out.

0:18:46 > 0:18:49I'll keep you under observation for a while, run more tests.

0:18:49 > 0:18:52Don't worry. We'll get to the bottom of this.

0:18:52 > 0:18:54Is there a bathroom I can use?

0:18:54 > 0:18:56I'll ask the nurse to get you a bed-pan.

0:18:56 > 0:18:59No, I'd really... I'd rather...

0:18:59 > 0:19:01OK. I'll take you off the monitor.

0:19:12 > 0:19:16Imagine the movies you could make if you could see inside people's heads.

0:19:17 > 0:19:20Hannah? Can I get some help here, please?

0:19:20 > 0:19:23- Hannah? Can you hear me? Hannah? - Can you get a chair?

0:19:23 > 0:19:26Can you hear me? Let's move her into cubicles.

0:19:26 > 0:19:28- She with us? - Yes, she is coming around.

0:19:28 > 0:19:30All right, darling. Let's get you up.

0:19:30 > 0:19:32There we go, into the chair, Hannah.

0:19:32 > 0:19:36That's it. Just behind you. There we go. OK. You with us?

0:19:36 > 0:19:38Right, we are doing fine.

0:19:38 > 0:19:40OK, guys, let's get her back on the bed, please.

0:19:40 > 0:19:43Right, let's get the monitors back on.

0:19:43 > 0:19:46OK, Hannah. Try and stay with us.

0:19:46 > 0:19:49I can't believe the only time she was off the monitor she collapses.

0:19:49 > 0:19:52- Hannah, stay with us, please. - Hannah!

0:19:52 > 0:19:54How are you feeling, Richie? You can rest a while now.

0:19:54 > 0:19:56- Look straight ahead for me, please. - Where's Hannah?

0:19:56 > 0:19:58Never mind Hannah, mate. You need rest.

0:19:58 > 0:20:02- You're in hospital, Richie. Just take it easy.- Tell me. Was I?

0:20:02 > 0:20:05Just try and relax for me. Nice deep breathes.

0:20:05 > 0:20:07Pulse 65, BP 110/70.

0:20:07 > 0:20:08What year is it again, Richie?

0:20:08 > 0:20:10- 2011.- It's getting closer.

0:20:10 > 0:20:13Hannah, when you fell, you hit your head.

0:20:13 > 0:20:15- Can you tell me where it hurts? - Hannah!

0:20:15 > 0:20:17It's too noisy. Can't you move him somewhere quieter?

0:20:17 > 0:20:20Once he's more stable. Look, why don't you go and get a coffee?

0:20:20 > 0:20:21There is a cafe at reception

0:20:21 > 0:20:24and we'll come and get you when we need you.

0:20:24 > 0:20:26- Come on. I'll show you.- Thanks.

0:20:28 > 0:20:30OK. Hannah, Hannah, try and stay awake for me.

0:20:30 > 0:20:32Right, I'll call the radiologist and, Charlie,

0:20:32 > 0:20:35can you see if CT has a slot for me?

0:20:35 > 0:20:37Hannah!

0:20:37 > 0:20:39- Hannah! Hannah.- Calm down for me.

0:20:39 > 0:20:41- Can we talk?- I know I can.

0:20:41 > 0:20:43About our patients.

0:20:47 > 0:20:49STEADY BEEPING

0:20:51 > 0:20:53Thanks.

0:20:57 > 0:21:02Yvonne, I've called Diana.

0:21:02 > 0:21:03She's on her way.

0:21:05 > 0:21:08We've got you on the very best medication.

0:21:08 > 0:21:11Pressors to keep your blood pressure up and plenty of antibiotics.

0:21:11 > 0:21:14And I've started you on activated protein C,

0:21:14 > 0:21:17which will help your body fight the infection.

0:21:17 > 0:21:23Well, look at those stats. Heart rate 80, BP 100/74,

0:21:23 > 0:21:25sats a beautiful 96%.

0:21:28 > 0:21:31Just relax and let me fix you.

0:21:34 > 0:21:37Everything is going to be OK.

0:21:40 > 0:21:44- Nick.- Hello, stranger. Look at you. I love your hair.

0:21:44 > 0:21:47- Ah, thank you.- Nice change.

0:21:48 > 0:21:50How is she doing?

0:21:50 > 0:21:52Needing pressors and broad spectrum antibiotics.

0:21:52 > 0:21:56But I think we're in the clear. I did say the protein C would help.

0:21:56 > 0:21:59I'm still not convinced this treatment is appropriate

0:21:59 > 0:22:00or doing Yvonne any good.

0:22:00 > 0:22:03Any changes could be purely coincidental.

0:22:03 > 0:22:06She's a fighter, Zoe. She'll get though it, I'm telling you.

0:22:06 > 0:22:09Why don't you take a break, go home, get some sleep?

0:22:09 > 0:22:13No, no. Her mother's on the way. I'll grab a coffee.

0:22:16 > 0:22:18How's she really doing?

0:22:19 > 0:22:21Her BP is still dependant on inotropes

0:22:21 > 0:22:24and we're having to keep increasing the infusion rates.

0:22:24 > 0:22:26I'm worried it might be fulminant sepsis

0:22:26 > 0:22:28and she's developing a lobar pneumonia.

0:22:28 > 0:22:31Her other organs are going to start to struggle soon.

0:22:31 > 0:22:33So we're managing everything for her with drugs

0:22:33 > 0:22:35- and Nick's not seeing it, is he?- No.

0:22:44 > 0:22:47- Your patient Hannah, is she from Holby College?- Why?

0:22:47 > 0:22:50Because mine is and I think he's talking about her.

0:22:50 > 0:22:54- Saying what?- Nothing much, just her name. What's her story?

0:22:54 > 0:22:57She's collapsed twice. I'm trying to get to the bottom of why. Yours?

0:22:57 > 0:23:00He's concussed, but nothing significant on the scan.

0:23:00 > 0:23:03What are you not telling me, Sam?

0:23:03 > 0:23:06She thinks someone was behind her when she collapsed the first time.

0:23:06 > 0:23:08You mean she was hit?

0:23:08 > 0:23:10There's no evident of a head injury. No marks, no scratches.

0:23:10 > 0:23:13Don't you think it's odd, two patients from the same halls?

0:23:13 > 0:23:14Yeah, I do.

0:23:14 > 0:23:18Keep the obs going, see what they say when they're more alert.

0:23:18 > 0:23:20Got any plans tonight?

0:23:20 > 0:23:21Yeah.

0:23:30 > 0:23:31Coursework?

0:23:31 > 0:23:36Yeah. I'm studying film. It's going to be up online soon.

0:23:36 > 0:23:38It's like nothing anyone has ever done before.

0:23:38 > 0:23:39What's it about?

0:23:39 > 0:23:42It's hard to explain. You'll have to wait and see.

0:23:42 > 0:23:44- I'm Neil Redd.- Dr Nicholls.

0:23:46 > 0:23:50Neil, your mate Richie, I thought I heard him asking about my patient.

0:23:50 > 0:23:52- I recognise her. Hannah Spence. - Yeah, do you know her?

0:23:52 > 0:23:56- Just to say hello to.- Do you know if Richie saw Hannah this morning?

0:23:56 > 0:23:58I don't know. He didn't say anything.

0:23:59 > 0:24:02Well, Richie does carry a bit of a torch for Hannah.

0:24:02 > 0:24:05Fancies her, I mean. Can I see her?

0:24:05 > 0:24:08Not just yet. I'll keep you posted.

0:24:17 > 0:24:21Ally. Ally.

0:24:21 > 0:24:24Ally, come on, man. Ally!

0:24:26 > 0:24:29- Ally, hello, here. Hi!- What's up?

0:24:29 > 0:24:31I want to have a little chat. Close the curtain.

0:24:31 > 0:24:33What do you need?

0:24:33 > 0:24:37- I'd like to have a little chat with you. Come in.- I'm busy.

0:24:37 > 0:24:38Well, take a little break.

0:24:38 > 0:24:41If you come in, no-one will know, will they? Shhhh! Come.

0:24:41 > 0:24:42Just rest and let the fluids work.

0:24:42 > 0:24:45You still need sobering up, Mr Tavistock.

0:24:45 > 0:24:47Mr Tavi...? Call me Ryan.

0:24:47 > 0:24:50Alcohol don't even touch me. I'm fine. Look at me!

0:24:50 > 0:24:53Ally, don't do me like that. Come here.

0:24:54 > 0:24:57Oh, come on, man.

0:24:57 > 0:24:59What kind of place is this? I'm going home.

0:25:10 > 0:25:12How are you feeling, Richie?

0:25:12 > 0:25:14Um... Yeah.

0:25:14 > 0:25:16- What year is it?- 2012.

0:25:16 > 0:25:18We're getting closer each time

0:25:18 > 0:25:20so that means you must be getting better.

0:25:20 > 0:25:22You're very pretty.

0:25:22 > 0:25:26Thanks very much. Neil's here. You know Neil, right?

0:25:26 > 0:25:28He's been looking after you.

0:25:28 > 0:25:29Neil?

0:25:29 > 0:25:32He's improving but we are going to keep monitoring.

0:25:37 > 0:25:39Where's Hannah? Hannah's here?

0:25:39 > 0:25:41Mate, you really have to let this go.

0:25:41 > 0:25:43I've been busting my butt protecting you here.

0:25:47 > 0:25:51You were just playing a joke, but Hannah got hurt.

0:25:51 > 0:25:53She's OK now. The doctors will fix her.

0:25:53 > 0:25:57But you can't tell anybody. They'd arrest you, man.

0:25:57 > 0:25:59Trust me, Richie.

0:26:04 > 0:26:07It'll all be OK. I'm looking after everything.

0:26:17 > 0:26:20We're need to make a decision on this. Do we tell her?

0:26:20 > 0:26:22- Tell who what? - BOTH: Nothing.

0:26:22 > 0:26:26Sorry. It's out there now. We have a responsibility as your mentors.

0:26:28 > 0:26:31Linda, your trainee has a secret that she will not share with me.

0:26:31 > 0:26:34And I'm concerned, deeply concerned, that this could have

0:26:34 > 0:26:36something to do with one of our patients.

0:26:36 > 0:26:39- No, it's not. I promise.- I won't know that until you tell me, will I?

0:26:39 > 0:26:41He does have a point.

0:26:43 > 0:26:45We think Aoife's boyfriend might be cheating on her.

0:26:45 > 0:26:47La-la-la! Didn't hear it.

0:26:47 > 0:26:50- Yeah, go on.- Her boyfriend's been using dating web sites.

0:26:50 > 0:26:54- Stay out of it. Say nothing. - I think you should tell her.

0:26:54 > 0:26:56Thanks. You've been a great help(!)

0:26:56 > 0:27:00- Fletch! Where's my ECG? I want a 12-lead.- Sorry.

0:27:00 > 0:27:02I'll sort that. Chance to show Jamie how it's done.

0:27:02 > 0:27:03- Ah, good man.- Jamie.

0:27:05 > 0:27:08You know your friend is here today. Richie.

0:27:08 > 0:27:12Richie? Richie Baxter? Is he OK?

0:27:12 > 0:27:14He's had an accident, but he's stable.

0:27:14 > 0:27:17He is suffering from concussion. Did you see him this morning?

0:27:17 > 0:27:18No.

0:27:21 > 0:27:24He was brought in by a friend. Neil. Neil...?

0:27:24 > 0:27:29Neil Redd. I was on the phone to him this morning when I collapsed.

0:27:29 > 0:27:31He must have called the ambulance.

0:27:33 > 0:27:35He didn't say.

0:27:35 > 0:27:38OK, well, let's sort you out for an ECG. Same as last time.

0:27:38 > 0:27:41And, hopefully, we will be able to see what's going on.

0:27:41 > 0:27:44Jamie and Lloyd will help set that up. OK? Thank you.

0:27:57 > 0:27:59Mrs Rippon? Nick Jordan.

0:27:59 > 0:28:04Mrs Hart. I haven't been Mrs Rippon for a long time. Diana.

0:28:04 > 0:28:06- How do you do? Thanks for coming. - How is she?

0:28:06 > 0:28:09I've been trying to get in contact with her since the accident

0:28:09 > 0:28:11but she doesn't return my calls.

0:28:11 > 0:28:16Yes, I know that. It was Yvonne that actually asked me to call you today.

0:28:16 > 0:28:20It's been quite tough, you know. We've had good days, bad days.

0:28:20 > 0:28:23- What's happening?- Well, Yvonne's developed an infection

0:28:23 > 0:28:25which has to be treated here in the hospital.

0:28:25 > 0:28:28It's only a concern because of her particular form of paralysis.

0:28:28 > 0:28:30Paralysis? Is this permanent?

0:28:30 > 0:28:32We are managing it and she's putting up a fight.

0:28:32 > 0:28:34Are you treating her yourself?

0:28:34 > 0:28:38Yes and no, but the staff here are excellent.

0:28:38 > 0:28:39Can I see her?

0:28:39 > 0:28:42Of course you can, she's through here.

0:28:47 > 0:28:49Sam. Hannah's 12-lead.

0:28:49 > 0:28:51Thank you, Lloyd.

0:28:55 > 0:28:56You wanted me?

0:28:56 > 0:29:00Yeah, did you know that Richie's friend was the one

0:29:00 > 0:29:02who called the ambulance for Hannah?

0:29:02 > 0:29:04They were on the phone together when she collapsed.

0:29:04 > 0:29:06He didn't say anything.

0:29:06 > 0:29:10Doesn't that strike you as odd? Can I get a second opinion?

0:29:10 > 0:29:12Sinus rhythm.

0:29:12 > 0:29:15Rate 60, normal axis, normal PR interval.

0:29:15 > 0:29:18You think my patient had something to do

0:29:18 > 0:29:19with your patient's first collapse?

0:29:19 > 0:29:21Well, out of the three of them,

0:29:21 > 0:29:24I think at least one knows more than they're letting on.

0:29:24 > 0:29:26Look at this.

0:29:26 > 0:29:28QT interval, about 500 milliseconds.

0:29:28 > 0:29:30Long QT syndrome.

0:29:30 > 0:29:32We've not documented a tachyarrhythmia?

0:29:32 > 0:29:35No. She was off the monitor the second time she collapsed.

0:29:35 > 0:29:36That's a pity.

0:29:36 > 0:29:41You know, Neil's story about how Richie got his injuries,

0:29:41 > 0:29:44it doesn't quite square up.

0:29:44 > 0:29:46And there's something else.

0:29:52 > 0:29:54Thanks, Linda.

0:29:54 > 0:29:58Oh, Yvonne. Oh, darling. Mummy's here.

0:29:58 > 0:30:01There's no school today.

0:30:01 > 0:30:05It's just the infection. Diana, this is Dr Hanna.

0:30:05 > 0:30:09- This is Diana Hart, Yvonne's mother. - What time is it?

0:30:09 > 0:30:10It's 10.45, my love.

0:30:10 > 0:30:13There's no school on Saturday.

0:30:13 > 0:30:16Just rest now. Nick and I are right here. We'll talk later.

0:30:16 > 0:30:19- Sats have dropped.- It's minimal. She's maintaining a much better BP.

0:30:19 > 0:30:22Her vital signs are deteriorating. You must see that!

0:30:22 > 0:30:23There is not much change.

0:30:23 > 0:30:26You need to take her mum outside. I need to intubate.

0:30:26 > 0:30:28- No.- Yes, Nick.- Zoe, no. Zoe, she's fine.- Ketamine, sucs...

0:30:28 > 0:30:32- Can you fast bleep ITU consultant, please?- Mum...

0:30:32 > 0:30:34MACHINES BEEP RAPIDLY

0:30:34 > 0:30:36It's OK. Let them do their job.

0:30:36 > 0:30:40OK, sats are still falling, she's going into respiratory arrest.

0:30:42 > 0:30:44SHE GASPS FOR BREATH

0:30:48 > 0:30:49Ally!

0:30:51 > 0:30:52Ally, hello.

0:30:54 > 0:30:58Ally, hello. I'm over here. Can you come here?

0:30:58 > 0:31:01Ally! Hello! Oi!

0:31:01 > 0:31:04Ally, I got a problem.

0:31:04 > 0:31:10Ally, look, my thing has come out! Can you help me, please?

0:31:10 > 0:31:15Ally, hello! Oi, look, is this important or what?

0:31:15 > 0:31:19Ally, hello! Come on, man. I'm getting wet.

0:31:19 > 0:31:23Oh, fine, then. You know what? I'll do it.

0:31:23 > 0:31:25I thought you said she was improving.

0:31:25 > 0:31:28She is, she is, don't worry. It's entirely standard, Diana.

0:31:28 > 0:31:32- We do it all the time here.- I've got a good feel of her larynx. Tube.

0:31:32 > 0:31:35We just... It's controlling her breathing.

0:31:35 > 0:31:37Let's secure the tube, inflate the cuff

0:31:37 > 0:31:38and start the propofol infusion.

0:31:38 > 0:31:40Zoe's is a very good doctor.

0:31:40 > 0:31:42Tell ITU they're taking this patient now,

0:31:42 > 0:31:45even if I have to wheel her there myself.

0:31:45 > 0:31:47Excellent work, Zoe. Well done.

0:31:48 > 0:31:50Yvonne will be fine.

0:31:52 > 0:31:54- Ow!- Sorry.

0:31:54 > 0:31:57You don't know what you're doing, do you?

0:31:57 > 0:32:00Listen, listen, you are no good at this.

0:32:00 > 0:32:02You haven't got a clue.

0:32:02 > 0:32:04Yes, you just need to stay still.

0:32:04 > 0:32:07I don't want to get you in trouble, yeah. I tell you what,

0:32:07 > 0:32:09if you're really nice to me...

0:32:10 > 0:32:14All right, mate. Don't you worry, we have got this all in hand here.

0:32:14 > 0:32:16Can you close that off?

0:32:18 > 0:32:21I think he's sobered up enough now to do without the fluids.

0:32:21 > 0:32:24Why don't you take a little break? I'll sort this.

0:32:26 > 0:32:29Hey, listen, if you want my advice, yeah,

0:32:29 > 0:32:31you need to get this place sorted out.

0:32:31 > 0:32:33I've been here for I don't know how long. I want to go.

0:32:33 > 0:32:36I'm going to send you to X-ray now and depending on the results,

0:32:36 > 0:32:38we'll tell you when we think you should go.

0:32:38 > 0:32:42You want my advice? Learn to keep your hands to yourself.

0:32:42 > 0:32:45If you don't, I'll get two big 16-stone security guys in here

0:32:45 > 0:32:49- who will make sure that you do, all right?- All right.

0:32:57 > 0:32:59CAMERA BEEPS

0:33:07 > 0:33:08I came to see how you are.

0:33:08 > 0:33:10Don't. I look terrible.

0:33:10 > 0:33:13It's a hospital. You're allowed to look terrible.

0:33:13 > 0:33:15What happened?

0:33:16 > 0:33:20I don't know. Did you call the ambulance?

0:33:20 > 0:33:24Yeah. Then I came to look for you, but they'd already picked you up.

0:33:24 > 0:33:26You didn't call the police?

0:33:26 > 0:33:28Police? No. Why?

0:33:28 > 0:33:31- The man behind me. - Oh, God. I'd forgot about that.

0:33:33 > 0:33:34Did you see him? Who was he?

0:33:34 > 0:33:36Hannah, I'm so, so sorry.

0:33:38 > 0:33:41That was a joke. There was no-one behind you.

0:33:41 > 0:33:44- I was just winding you up.- But...

0:33:46 > 0:33:47Ohh.

0:33:47 > 0:33:49I don't know what's happening to me.

0:33:50 > 0:33:52Is everything all right?

0:33:52 > 0:33:54Yes. Yes.

0:33:54 > 0:33:57- Could I have a word with Hannah alone, please?- Of course.

0:33:59 > 0:34:01We think we have a better idea of what's going on.

0:34:01 > 0:34:04I've got your results here.

0:34:04 > 0:34:06- Can we talk a minute? - This is your ECG trace...

0:34:06 > 0:34:09I need to ask you a few questions about Richie's injury.

0:34:09 > 0:34:12- For his records.- Yeah. Of course. - Follow me.

0:34:12 > 0:34:15And you have a long QT interval.

0:34:15 > 0:34:17Sometimes your heart beats too fast.

0:34:17 > 0:34:20You experience short bursts of tachycardia.

0:34:20 > 0:34:22All of these things could be causing these episodes.

0:34:23 > 0:34:26- How did I get that? - You were probably born with it.

0:34:26 > 0:34:28I've transferred you to the cardiologists,

0:34:28 > 0:34:32they'll get an echo and they will monitor you to try and catch an attack.

0:34:32 > 0:34:34If I'm right, and I'm pretty sure I am,

0:34:34 > 0:34:37this can all be treated with beta-blockers.

0:34:37 > 0:34:39Why has it come on now?

0:34:40 > 0:34:43Some people don't get an attack until they are in their 30s.

0:34:43 > 0:34:47But it can be triggered by stress or extreme emotion.

0:34:47 > 0:34:49Like finding someone in your room.

0:34:50 > 0:34:52SHE SIGHS

0:34:52 > 0:34:53What?

0:34:53 > 0:34:57I think...I think I imagined that.

0:34:59 > 0:35:01I was on the video call to Neil at the time.

0:35:01 > 0:35:03He didn't see anybody.

0:35:04 > 0:35:07There's also something else.

0:35:07 > 0:35:10You may not be aware, but you're pregnant.

0:35:12 > 0:35:18Pregnant? That's impossible. I haven't...

0:35:18 > 0:35:20It's been months.

0:35:20 > 0:35:21I couldn't...

0:35:21 > 0:35:23Nothing happened.

0:35:26 > 0:35:28Tell me.

0:35:28 > 0:35:30At Halloween. We were drunk.

0:35:32 > 0:35:34- But we just fell asleep.- We?

0:35:34 > 0:35:38Neil. Neil and I slept together.

0:35:38 > 0:35:39You and Neil?

0:35:39 > 0:35:44We just slept. It never happened again.

0:35:47 > 0:35:49Can I...can I speak to him?

0:35:49 > 0:35:52Yeah. I think that would be a good idea.

0:36:01 > 0:36:03Is this Neil's?

0:36:03 > 0:36:04I think so.

0:36:12 > 0:36:17Richie's going to be fine. In the next couple of days, he's going to remember everything

0:36:17 > 0:36:18that's happened to him.

0:36:18 > 0:36:23There is something I don't get. If he passed out falling backwards,

0:36:23 > 0:36:26even if he hit something on the way down,

0:36:26 > 0:36:28his body wouldn't change direction.

0:36:28 > 0:36:31His weight would still carry him back and down.

0:36:33 > 0:36:36- You're good with computers, aren't you?- Has it crashed?

0:36:36 > 0:36:39No, it's this web site. Does it link to anything?

0:36:39 > 0:36:43There might be a root directory hidden underneath. Let me.

0:36:49 > 0:36:50There you go.

0:36:50 > 0:36:53Great thanks. OK.

0:37:12 > 0:37:14Um...what are we watching?

0:37:21 > 0:37:24Oh, no, no, no, no, no.

0:37:36 > 0:37:41When she was a little girl, we used to play this game.

0:37:41 > 0:37:44She'd bring me my medicine.

0:37:44 > 0:37:47"More medicine for Mummy, darling."

0:37:47 > 0:37:51Of course, it wasn't medicine. It was vodka and tonic.

0:37:51 > 0:37:54She could mix one perfectly by the time she was ten.

0:37:54 > 0:37:57Diana, you don't have to explain this to me.

0:37:57 > 0:37:59No, I want you to know.

0:37:59 > 0:38:02What she never knew was how much I needed the medication

0:38:02 > 0:38:04to dull the pain.

0:38:05 > 0:38:08I think she was probably a lot wiser than you gave her credit for.

0:38:08 > 0:38:12I mean, the physical pain inflicted on me by her father.

0:38:15 > 0:38:21Gone by the time she was 16, but I still needed my "medicine".

0:38:21 > 0:38:24She left home by the time she was 17.

0:38:25 > 0:38:28It took a while but...

0:38:28 > 0:38:32I stopped drinking, I met Mr Hart,

0:38:32 > 0:38:37and my life has been very, very different since Yvonne last saw me.

0:38:39 > 0:38:43That's what I want her to know. That's why I kept calling you.

0:38:46 > 0:38:48She'll be OK, won't she?

0:38:48 > 0:38:49I promise.

0:38:57 > 0:38:59You all right?

0:39:03 > 0:39:06Hannah, when you were with Neil at Halloween,

0:39:06 > 0:39:08you had one of your episodes.

0:39:08 > 0:39:13You passed out. Neil didn't care. He just carried on.

0:39:13 > 0:39:18He filmed it all. I think you should talk to the police.

0:39:19 > 0:39:22That's what he does. He films everything.

0:39:23 > 0:39:25Richie.

0:39:25 > 0:39:29You look beautiful. You always do. Sorry. Bump to the head.

0:39:29 > 0:39:31Apparently the bit that normally controls inhibitions

0:39:31 > 0:39:33is down for a while.

0:39:33 > 0:39:35This morning, that was me in your wardrobe.

0:39:35 > 0:39:38- Neil said I imagined that! - It was only meant to be a joke.

0:39:38 > 0:39:40I didn't think he was going to film it.

0:39:41 > 0:39:43What?

0:39:43 > 0:39:46He's scopophilic - the love of watching things.

0:39:46 > 0:39:47Basically, a voyeur.

0:39:47 > 0:39:49I didn't mean to scare you.

0:39:49 > 0:39:54- Richie. Neil did that to you, right? - Where is he now?

0:39:54 > 0:39:55He just left.

0:39:56 > 0:39:58Where you off to?

0:39:58 > 0:40:01I want to talk to him while my inhibitions are still down.

0:40:01 > 0:40:03Fair enough.

0:40:03 > 0:40:04What?

0:40:11 > 0:40:13Shouldn't you be in bed?

0:40:13 > 0:40:15Shouldn't you be in therapy?

0:40:16 > 0:40:18You're a bit cocky for a bloke I have film evidence of

0:40:18 > 0:40:20hiding in girls' wardrobes.

0:40:20 > 0:40:25You're a bit cocky for a bloke who filmed himself committing rape.

0:40:25 > 0:40:29You're a strange, lonely little Peeping Tom with your stupid films.

0:40:29 > 0:40:33What you did to Hannah, that bit of film,

0:40:33 > 0:40:35that's going to the police.

0:40:50 > 0:40:52How's Yvonne doing?

0:40:52 > 0:40:57Not good. I just had to intubate. She's going to ITU shortly.

0:40:57 > 0:40:59So it's just the ventilator keeping her going.

0:40:59 > 0:41:02Poor Nick. How's he taking it?

0:41:02 > 0:41:04He's not.

0:41:04 > 0:41:07I just heard him promising Yvonne's mother that all is going to be fine.

0:41:07 > 0:41:11Not even Nick Jordan can bring people back from the dead.

0:41:13 > 0:41:15I would have let her go by now, Tess.

0:41:16 > 0:41:19Well, all you can do is tell him the truth.

0:41:19 > 0:41:22But what about Yvonne's mum? He's giving her false hope.

0:41:22 > 0:41:25It's like he doesn't understand it.

0:41:25 > 0:41:28If anyone can get through to him, it's you.

0:41:36 > 0:41:38Wait. Richie...

0:41:42 > 0:41:45Just tell them the truth.

0:41:45 > 0:41:49Tell them what you told me. It'll be OK.

0:41:49 > 0:41:52I will. I'm here for you.

0:41:52 > 0:41:55Ally? Could I have a word?

0:42:06 > 0:42:08You want to talk about it?

0:42:08 > 0:42:11I'm sorry. I should have found one of the other nurses.

0:42:11 > 0:42:13No, I didn't mean that.

0:42:13 > 0:42:19I meant, Mr Tavistock was trying to take advantage.

0:42:19 > 0:42:20How do you feel about that?

0:42:22 > 0:42:24Used.

0:42:24 > 0:42:28Well, the only mistake you made with this particular patient

0:42:28 > 0:42:33was not keeping a professional distance.

0:42:34 > 0:42:35I won't do that again.

0:42:35 > 0:42:40You have to decide case by case, really.

0:42:40 > 0:42:43The funny thing about being a nurse,

0:42:43 > 0:42:47you can come into this place one day full of the joys of spring

0:42:47 > 0:42:52and you meet a gentleman like Mr Tavistock

0:42:52 > 0:42:55and you go home heartbroken.

0:42:55 > 0:43:00And come in the next day feeling down in the dumps and you witness

0:43:00 > 0:43:04an act of profound human kindness

0:43:04 > 0:43:07and you go home on cloud nine.

0:43:07 > 0:43:10After three years, I know all that.

0:43:12 > 0:43:15My mum was a nurse.

0:43:15 > 0:43:16And my grandma.

0:43:18 > 0:43:22But that doesn't mean I have to be, does it?

0:43:22 > 0:43:24No, no, it doesn't.

0:43:24 > 0:43:30I can't...forget at the end of shift. It won't go away.

0:43:30 > 0:43:33Those kids in that coach crash last week...

0:43:36 > 0:43:39Ally, you're a good nurse.

0:43:39 > 0:43:43I think you could be a great nurse. That was one day.

0:43:43 > 0:43:45One bad day.

0:43:45 > 0:43:49It's not just that. It's just not me.

0:43:49 > 0:43:52Not only emergency nursing but nursing in general.

0:43:52 > 0:43:57I mean, I tried. It wasn't wrong of me to do that.

0:43:57 > 0:44:00I tried and that's the main thing

0:44:00 > 0:44:03because I wouldn't have known otherwise.

0:44:04 > 0:44:09Take some time. Think about it. Talk to me, talk to Tess.

0:44:11 > 0:44:15I have thought about it, it's all I've thought about.

0:44:17 > 0:44:18My mind's made up.

0:44:23 > 0:44:25I don't know how I'm going to tell the others.

0:44:35 > 0:44:38- Where's Ally got to?- Maybe she's still talking to Charlie.

0:44:38 > 0:44:40He's on her case a bit, isn't he?

0:44:40 > 0:44:42PHONES ALL VIBRATE

0:44:42 > 0:44:44Please, don't be work. I really need sleep.

0:44:44 > 0:44:46- Mine's from Ally.- Me too.- And me.

0:44:46 > 0:44:51"I've left. Don't worry, all good. Will call. Explain soon. xxx."

0:44:51 > 0:44:52What does she mean, she's left?

0:44:52 > 0:44:54Has Charlie kicked her off the department?

0:44:54 > 0:44:57He can't do that. She still has three months of placement left.

0:44:57 > 0:44:58Straight to voicemail.

0:44:58 > 0:45:01Hi, Ally. What happened? We're all here waiting for you. Are you OK?

0:45:01 > 0:45:03- We love you.- Call me.

0:45:03 > 0:45:06Give us a call as soon as you can. Bye.

0:45:06 > 0:45:08What a week.

0:45:08 > 0:45:11- I'm going to call Craig.- No! Wait.

0:45:11 > 0:45:13- I'll only be two minutes.- No.

0:45:13 > 0:45:17I... We... There's something we have to tell you. Well, me.

0:45:17 > 0:45:21- I found out.- Found out what?

0:45:21 > 0:45:23You know I do this internet dating?

0:45:23 > 0:45:25- Oh, no.- Yeah.

0:45:25 > 0:45:29Charlie's on it? Has he seen your profile?

0:45:29 > 0:45:31No, not Charlie, babe.

0:45:32 > 0:45:34Craig.

0:45:34 > 0:45:36I don't get it. What's the punch line?

0:45:40 > 0:45:43He's on dating websites. He says he's been single for a year.

0:45:43 > 0:45:47No, that's a mistake, we're getting married.

0:46:03 > 0:46:06I've had a word with ITU. They are going to move her now.

0:46:06 > 0:46:10- OK, thank you.- Where's Diana?

0:46:10 > 0:46:12She's gone to phone her husband.

0:46:14 > 0:46:19Nick, you know this is still very much touch and go.

0:46:19 > 0:46:21She's still alive, Zoe.

0:46:21 > 0:46:23You're going against everything you know.

0:46:23 > 0:46:26You're giving the mother false hope.

0:46:26 > 0:46:29- And you're giving up too easily. - What are you going to do?

0:46:29 > 0:46:33Keep Yvonne on a noradrenaline infusion 24 hours a day?

0:46:33 > 0:46:34If that's what it takes.

0:46:34 > 0:46:39Listen to yourself. How many times have you been in this position?

0:46:39 > 0:46:41How many times have you called it because you knew

0:46:41 > 0:46:44the patient's quality of life would be meaningless?

0:46:44 > 0:46:46- That was different. - No. It's not different.

0:46:46 > 0:46:50They were all human beings with sons and daughters and parents

0:46:50 > 0:46:53- and people who loved them too. - That's rich coming from you.

0:46:53 > 0:46:56The only reason we're standing here having this conversation

0:46:56 > 0:47:00is because you once forged my signature on a consent form for brain surgery.

0:47:02 > 0:47:06They had all given up on me. You didn't.

0:47:07 > 0:47:11This is exactly the same. I will not give up on Yvonne.

0:47:21 > 0:47:23Oh, God. I'm frightened, Zoe.

0:47:23 > 0:47:25I know.

0:47:27 > 0:47:31If she's still alive, I've got something.

0:47:32 > 0:47:34If I let her go...

0:48:04 > 0:48:07Subtitles by Red Bee Media Ltd