If Not for You Casualty


If Not for You

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TELEPHONE BEEPS

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How many's that, then?

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15 in the last two days.

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Well, you were engaged to the guy.

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'Were' being the operative word. It's past tense. Finished.

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Maybe you should get him over, we'll tell him what we think of him.

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In fact, let's send him an invite right now.

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Jamie!

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Jamie!

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-Come and get it.

-It's not funny. Give me the phone back.

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Come as soon as you can, kiss...

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BRAKES SQUEAL

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Sorry!

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Great.

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-I didn't really send it, it was a joke.

-Ha-ha(!)

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Never mind winding the boss up before the shift starts.

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-It's not going to be down here.

-Where do you suggest we go, then?

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I don't know, Tyler, why don't you surprise me again?!

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I'm tired and I'm hungry.

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And just to remind you, I'm doing this as a favour.

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-Tyler!

-BRAKES SQUEAL

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HE SCREAMS

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You got here, then?

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Huh, my car wouldn't start, today of all days.

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-Then, the taxi nearly broke my neck when it slammed on its brakes.

-Excuse me, hhh...

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Not good omens.

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Except, of course, that we are men and women of science,

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and we don't believe in omens.

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But there is always a case to be made.

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How's the new locum settling in?

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Ah, well, that's the thing, you see.

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Oh, Charlie, don't tell me he's not coming.

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We're are thinly stretched as it is and the flu bug's hitting...

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He just hasn't arrived yet.

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He will be here, trust me.

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Me and locums!

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HE MOANS

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-What's your name?

-Tyler.

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Hold his head stable like I showed you. Hands to the side.

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I need something to stem the blood.

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Hope this isn't your favourite T-shirt, Tyler.

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Stay nice and still.

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Try not to move.

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HE SCREAMS

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Is he going to be all right?

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Don't worry, I'm a doctor.

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Ah, here come the cavalry.

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OK, mate? Let the dog see the rabbit.

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Martin Ashford. Consultant, Holby City ED. First day today.

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Since when did consultants start combing the streets for patients?

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Since they were running late for work.

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Mum!

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DOG BARKS IN THE BACKGROUND

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Mum.

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Are you OK?

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Out there.

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DOG CONTINUES BARKING

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Oh, my God!

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HE SCREAMS

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DOG GROWLS

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Barney, get off him!

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Get it off! Make it stop!

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Get him off me!

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I'm trying. Barney, come on!

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HE SCREAMS

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Be careful!

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Get him off me!

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SHE SCREECHES

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Aaahh! Get off, Barney!

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SHE SCREECHES

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Barney! Aaah!

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DOG GROWLS

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Barney! Cease!

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SHE SCREECHES

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So you arrived late, almost caused an accident.

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And now Zoe's like a bear with a sore head.

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Yep.

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HE LAUGHS

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Vincent Mitchell?

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Wasn't the new locum supposed to be starting today?

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Yes, he'll be here, don't worry.

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He can't seem to shake this cold.

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It's on his chest now.

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OK, let's see what we can do.

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All right?

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-What are you doing?

-Stocking triage.

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Before the flu Tsunami hits.

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-Louise, can you get the relevant doctors to code these? None have been done.

-Right away, Dr Hanna.

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Still no sign of him?

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No. Something must have happened.

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Something's seriously going to happen to him

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if he's not here in the next half an hour without a decent excuse.

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I thought he was breaking in.

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I only wanted Barney to scare him off.

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He was doing his job.

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His job? He just attacked someone and then turned on me.

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He was a burglar. I'll find him, I'll kick his head in.

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What is it with you? Leave it.

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SHE BREATHES HEAVILY

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Oh, my chest feels really tight.

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It's all right, Mum, whoever he was, he's gone, OK.

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There's nothing to worry about.

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Robbie'll make you a nice cup of tea.

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Won't you, Robbie?

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Yeah.

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He's still losing a lot of blood.

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Gangway!

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All right, this way.

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Who the hell's that?

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I've no idea.

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OK, let's shift him across.

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That's great.

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OK. Nice and clean!

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OK, on three, please! One, two, three!

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Great. Can we sort U&E, FBC, glucose,

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cross match him for four units of blood and an ECG, please?

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Hang on. Who are you?

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Ash. Sorry. Martin Ashford.

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Locum Consultant.

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Tess.

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-Sam Nicholls.

-First day. First patient.

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This is Tyler McHugh, 20.

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RTC, motorbike versus car at about 40mph.

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Bruising and grazing to right shoulder,

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clinically fractured fibula

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and traumatic degloving to lower right leg.

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On arrival, GCS 15, not KO'd.

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Pulse 110, BP 115/70, sats 97%.

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He's had Entonox and ten mgs of morphine. About right, Jeff?

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Yep, spot on.

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OK, let's get him off the board,

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call the X-ray down and get hold of the orthopaedic surgeons.

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-OK.

-Any questions?

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There's a second casualty en route,

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the pillion rider, cuts and bruises.

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-Can you take that?

-Yeah.

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I'm Linda.

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'Control to 3006?'

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3006. Go ahead, over.

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You want to come on this one, Ash?

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Don't do anything I wouldn't do.

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HE LAUGHS

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Don't do anything I wouldn't do.

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What you on?

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What? It was funny.

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Eh, that man is cool.

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A bit flash for my taste.

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I think he's fit!

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Did you get a name?

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Hey!

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He is "the man with no name".

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He's like, uh...Clint Eastwood in that movie...High Plains Drifter,

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turning up to save the town.

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Ah, now, I think you'll find you're wrong there,

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because in High Plains Drifter,

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Eastwood played the part of avenging ghost of Marshall Jim Duncan.

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Whereas the man with no name only appeared

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in the films of Sergio Leone.

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I'm not even going to ask how you know all that.

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Who's this?

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The consultant with no name.

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Yeah, he's like me - tall, black, good-looking.

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Ah-ha. "They seek him here, they seek him there..."

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Good news.

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Surgeons all tied up in theatre

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and there's no ortho beds to transfer him to.

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So we may have to park him up until they're ready.

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Looks like you're stuck in a queue, Tyler.

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I'm not in a hurry.

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Still a good strong pulse in the ankle.

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Can we irrigate with saline and get some iodine soaks on the wound?

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And give him 250 of Humotet to be on the safe side.

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Hey. Charlie.

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Sorry I'm late. Got delayed.

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Don't worry, even superheroes get stuck in traffic.

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Don't tell me you forgot your mask and cape this morning?

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Well, I only use them on special occasions.

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Well, last time is one you won't forget in a hurry.

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HE LAUGHS

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Sorry, this is Zoe.

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Doctor Hanna, Clinical Lead.

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Ah...

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I suggest you get yourself changed before you deal with any more patients, Doctor Ashford.

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The idea is to make them feel better, not scare them half to death.

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Have you got a spare shirt, Charlie?

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We'll find you something, yeah.

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THEY CHUCKLE

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SIRENS WAILING

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All right, mate?

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Hello, love. I'm Dixie. Can you hear me?

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Let's have you sat up a sec. Take your time.

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What's your name?

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Curtis... Curtis Pryce.

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This looks like a bite. What's happened?

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Arghhh. It was a dog.

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There's not a lot we can do for him here.

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Right, let's run his OBS and get him loaded.

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Curtis, we're going to take you into the hospital, sweet, OK?

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We'd been driving all night.

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The eejit was knackered, didn't see the car coming out.

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And beside that,

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Tyler and common sense are barely on nodding terms at the best of times.

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Yet, you let him drive you on a motorbike all night?

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Well, when it's matters of the heart,

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desperate circumstances call for desperate measures.

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-You're on a love quest, then?

-Every day...

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-Where have you been?

-Sorting out Aoife.

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Her pain-in-that-backside ex-fiance has been texting her.

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This Craig guy's got a lot to answer for.

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This is Robyn, one of our Student Nurses.

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Hiya. I'm..."the Craig guy".

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Right...

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Um... I'll be back in a minute.

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Robyn!

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Craig!

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-What?

-Craig's here! Triage!

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Now! No, don't look!

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Vincent's a diabetic in his late 60s.

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-Have you given him paracetamol?

-Yep.

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We'll start him on some fluids. I'll write him a prescription.

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He's always prided himself on fighting things off on his own so...

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-He didn't have a flu jab.

-Yeah, I know the feeling.

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SHE SNEEZES

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How are you doing?

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She didn't get a flu jab.

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Well, Flu Triage is all set up ready for the onslaught.

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Thank you.

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Anything for you, Tess.

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What was that for?

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That's for being insincere.

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Who's being insincere?

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You look awful.

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Yeah, and you're fired!

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I need a break.

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Craig's here.

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Craig?

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Oh, what? Craig, Craig?

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-I just need ten minutes to get my head together before I see him, is that all right?

-Yeah, go for it.

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You could have introduced me before I put my foot in it.

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She's having a bad day.

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Ditto.

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I knew I'd have my work cut out when I recommended you for this job.

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Why is that?

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Because you and Zoe Hanna are very similar in some ways.

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Charlie, can you double-check we're stocked up on everything

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that this flu bug is going to throw at us, please?

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Yes, don't worry - we're sorted.

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-Ash?

-Hey, Dixie, what have we got?

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This is Curtis Pryce.

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Mid-to-late 50s, we found him on the street,

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he's got dog bites to his right forearm, left thigh and right cheek.

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Very nasty.

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Right.

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Hi, Curtis. I'm Doctor Ashford.

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This is a box of his personal effects.

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-Thank you.

-Anyone with him?

-No.

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OK, Curtis, can you just wiggle your bum

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-over to the other bed, please, love.

-Take your time, sir.

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HE MOANS

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Can someone notify Plastics? Get his face wound seen too.

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I'll get him booked in straight away.

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Thank you.

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Oh, uh... Head of Reception. Noel Garcia.

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-Vital signs en route.

-OK.

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Pulse 78, BP 130/80, sats 97. Thank you.

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Curtis, are you normally fit and well?

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Any long-term conditions?

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No.

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Temperature 38.2.

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I was in a fight...

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Yeah, with a dog.

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Let's give him a gram of IV paracetamol and see how he goes...

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-Mum?

-I still feel shaky.

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Where did Robbie go?

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He took Barney for a quick walk, to calm him down.

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That flaming dog.

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What if the man comes back?

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I doubt it.

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Then Barney did his job.

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If the police find out he attacked someone, they'll take him away.

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No-one's taking Barney anywhere.

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I told you, you were making him too aggressive. He's dangerous.

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Only to scumbag burglars.

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How many burglars do you know that carry flowers with them on a job?

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So, who was he?

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I don't know, but what if he reports what happened to the police?

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You should get that seen too, love.

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Well, you're going to have to take me to the hospital.

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I'm getting Barney out of here.

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Like you said, if the bloke tells the police, they'll take him away.

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So Tyler's going to be fine?

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Yeah, looks that way.

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It's the first good news I've had all day, thank you, lovely.

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The day's still young.

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HE CHUCKLES

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-Hey, babe!

-What the hell are you doing here?

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-You weren't answering my messages.

-I wonder why.

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It was a mistake, the internet stuff.

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Tyler used my photo instead of his own.

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You've had weeks to think of an excuse and that the best you can come up with?!

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If you don't believe me, ask Tyler.

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Go home, Craig.

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I've come all this way here to put things straight.

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Well, you've wasted your time.

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Everything all right?

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Everything is dandy, thank you, mate.

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And any time spent with you is not time wasted.

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Are you back to work then, or what?

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We need to talk properly, Aoife.

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I'm back to work.

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HE SIGHS

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Still high.

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How are you feeling, Curtis?

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It's so hot in here.

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The paracetamols haven't brought his temperature down fast enough.

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Can we get a fan in here, please, Robyn?

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OK, no problem.

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I've got a headache too. Haven't felt good since I arrived.

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From Tunisia, I live there.

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-Got here a week ago.

-And have you been feeling bad all week?

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Yeah, a bit under the weather. Today, it got worse.

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In what way?

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I couldn't shake this headache and I felt a bit dizzy.

0:15:050:15:08

-So, are you over here on business or pleasure?

-A bit of both.

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I'm planning to move back to the UK.

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So, this trip's a sort of a recce?

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I'm...trying to catch up with some old friends.

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I'm sorry. I feel...worn out...

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You rest and we'll get this temperature down.

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You think there is an underlying infection?

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A tropical disease of some kind?

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Well, he's certainly pyrexial,

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but let's not go down the tropical diseases route.

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Remember there is a flu bug doing the rounds here

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and his symptoms started after he'd arrived in the UK.

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OK, I'll do an MSU, bloods and a chest X-ray.

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-OK.

-Here you go, Doc.

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Hot blackcurrant with honey and lemon and some paracetamol on the side.

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That's thoughtful of you, Mac.

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Nothing to do with me, I'm afraid, it's down to this gentleman here.

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-Thanks, Mac.

-Yeah, we aim to please.

-I thought you could do with a hot drink.

-Thank you.

0:16:000:16:03

Charlie, I'll be in my office for the next five minutes, yeah?

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Keep me posted.

0:16:060:16:08

What?

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Didn't say a word.

0:16:120:16:13

Oh, Robyn. When Curtis Pryce was brought in,

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did he have any pills or medication with him?

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Just a small bottle of eye drops, artificial tears.

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Anything else?

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A business card, some plastic, some cash and a letter.

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-I meant, anything medical.

-No.

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Sorry to be a nuisance,

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but is anyone coming back to look at Vincent Mitchell?

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-Lead the way, sir.

-Thank you.

0:16:360:16:39

Hi. Can I help?

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Actually, it's me who needs to see someone.

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Sorry, my mistake. What's your name?

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Ciara Clarkson.

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OK, Miss Clarkson.

0:16:520:16:55

If you take a seat, the Triage Nurse will see you shortly.

0:16:550:16:58

Need to report that dog bite, Noel, can you tell me where the patient was picked up?

0:16:580:17:02

Yep, um...it was a park in Spencer Street.

0:17:020:17:06

OK.

0:17:060:17:07

The person Barney attacked is here. We need to go.

0:17:070:17:10

-But, your arm...

-Now, Mum!

0:17:100:17:11

-Ms Clarkson?

-Yes?

0:17:110:17:13

The Triage Nurse will see you now.

0:17:130:17:16

Sit there and don't move.

0:17:160:17:18

I understand that a Curtis Pryce was brought in earlier.

0:17:320:17:36

-Minor flu patients are being...

-Or people with colds.

0:17:360:17:38

Yes, are being advised and discharged as quickly as possible.

0:17:380:17:42

Maybe you should think about going home.

0:17:420:17:45

Have you seen the paperwork I've got to get through?

0:17:450:17:47

Shut yourself away and get on with it. We'll call you if you're needed.

0:17:470:17:50

What does it look like on the new locum's first day if the boss pulls a sickie?

0:17:500:17:53

Now, that's an excuse he will understand.

0:17:530:17:56

No, Charlie.

0:17:560:17:58

I can't believe I was prepared to give up everything for Craig. What a sap.

0:17:580:18:02

Well, he does have a fairly plausible excuse for what happened.

0:18:020:18:05

If that had been me and I'd done something that bad,

0:18:050:18:08

I'd have stayed in Ireland.

0:18:080:18:11

You're not helping, Fletch.

0:18:110:18:12

HE CHUCKLES

0:18:120:18:14

Everything OK between you and your mentoree?

0:18:140:18:17

Her ex-fiance's turned up and she's just finding it a bit hard to deal with.

0:18:170:18:20

Because, in the meantime, she's found someone else

0:18:200:18:23

to focus her adoration on?

0:18:230:18:25

I'm a father figure.

0:18:250:18:27

What?

0:18:270:18:28

HE CHUCKLES

0:18:310:18:33

Pulse 75, 130/80, and sats are 94.

0:18:350:18:39

Keep an eye on his output and get another nebuliser.

0:18:390:18:41

OK.

0:18:410:18:44

Vincent? Can you hear me?

0:18:440:18:46

Try and slow down your breathing, OK?

0:18:460:18:49

Never known him knocked down like this.

0:18:510:18:53

He's usually the strong one.

0:18:530:18:55

How long have you been together?

0:18:550:18:57

49 years.

0:18:570:18:58

-Wow!

-50 next month.

0:18:580:19:01

If nothing should happen to him...

0:19:010:19:03

What are his chances?

0:19:040:19:07

It's up to him, really.

0:19:070:19:09

But if he's a fighter, like you say...

0:19:090:19:12

I need to call his son.

0:19:120:19:15

He has a son?

0:19:150:19:17

I can contact him. Do you have a number?

0:19:180:19:21

His name's Kyle Martin. He's a lawyer.

0:19:210:19:24

Meantime, Jacob here needs you to fight. Ain't that right, Jacob?

0:19:250:19:30

I just thought it'd get cleaned up, I'd get a Tetanus and be out.

0:19:340:19:37

The Triage Nurse was concerned there was something in the wound.

0:19:370:19:40

So I need to give you an X-ray and get you some antibiotics.

0:19:400:19:44

Am I keeping you up?

0:19:440:19:45

Sorry. Long day. Long days.

0:19:450:19:48

Yeah?

0:19:480:19:49

I take care of my mum. She has COPD.

0:19:490:19:53

Oh!

0:19:530:19:54

It's OK.

0:19:560:19:57

So there's no brothers or sisters to share the load?

0:19:580:20:01

A brother. Half-brother.

0:20:010:20:03

But he's...unreliable.

0:20:030:20:05

Unreliable meaning worse than useless?

0:20:050:20:08

He's young.

0:20:080:20:10

So are you. It's OK.

0:20:100:20:12

Inside, I feel 102.

0:20:120:20:14

OK, Curtis, I am just going to take your temperature.

0:20:180:20:21

Just keep nice and still.

0:20:210:20:23

There we go, OK.

0:20:230:20:24

I said I was coming...

0:20:240:20:26

Curtis?

0:20:260:20:27

I need to see her... I have to...

0:20:270:20:30

Do you mean your daughter, Curtis?

0:20:300:20:32

-Stop it, stop!

-OK.

0:20:320:20:34

Tyler McHugh's been waiting down here since just after nine o'clock.

0:20:340:20:37

OK, well, then can you let me know when you can fit him in? Thanks.

0:20:370:20:41

Surgeons! You wouldn't think we are on the same team.

0:20:410:20:44

Has anyone seen Aoife?

0:20:440:20:46

No, but she was meant to be changing my patient's dressing about ten minutes ago.

0:20:460:20:50

Linda. Ash asked me to observe Curtis, and report any changes...

0:20:500:20:56

And is there any?

0:20:560:20:58

He still seems really restless.

0:20:580:21:00

-OK.

-How we getting on with the patients?

0:21:000:21:02

Plastics and Orthos have seen Tyler and we've moved him to a bay.

0:21:020:21:05

Vincent Mitchell was seen by Doctor Ashford

0:21:050:21:07

and he's just had another five of salbutamol.

0:21:070:21:09

OK, and Curtis Pryce?

0:21:090:21:11

His wounds are all sorted. We are just waiting on Plastics to review him.

0:21:110:21:15

OK, good, let's get him up to a ward.

0:21:150:21:17

SHE COUGHS

0:21:170:21:18

You OK?

0:21:180:21:19

Oh, no, just getting hot and cold all the time.

0:21:190:21:21

It's probably all this running around.

0:21:210:21:23

Then, go home and stop running around.

0:21:230:21:26

-Leave the department in the hands of the new locum?

-I wouldn't mind being in his hands.

0:21:260:21:29

Every new man that walks through that door, Linda.

0:21:290:21:32

You've got to get it where you can find it.

0:21:320:21:35

He's wearing a wedding ring so that's a definite no-no.

0:21:350:21:38

I didn't notice.

0:21:380:21:39

Yeah, right. I believe you.

0:21:390:21:42

The dressing will need to be reviewed in the morning.

0:21:420:21:45

And you could be run down because you're slightly anaemic.

0:21:450:21:48

Do you mind if I take a look in your eye?

0:21:480:21:50

Just stay still.

0:21:540:21:55

Have you got blurred vision in your left eye?

0:22:050:22:07

I went to a specialist in my teens.

0:22:070:22:10

Said I had some condition.

0:22:100:22:12

I remembered it as Kerry Katona.

0:22:120:22:15

Keratoconus?

0:22:150:22:16

I had lenses, but after a while they just started getting sore.

0:22:160:22:19

You should have been seeing that specialist regularly.

0:22:190:22:21

-I looked it up online and it said it was genetic.

-It can be, yeah.

0:22:210:22:25

But from what I can remember it's about one in ten,

0:22:250:22:27

so I can make an appointment here with our ophthalmologist, if you like.

0:22:270:22:31

What?

0:22:310:22:33

Just been a while since anyone took an interest in what was happening with me.

0:22:330:22:36

If you are that worried, you should speak to Tess.

0:22:390:22:42

Who are you talking about?

0:22:420:22:43

Curtis Pryce.

0:22:430:22:45

Zoe's asked for him to be moved out, but Robyn is concerned about him.

0:22:450:22:48

What concerns?

0:22:480:22:50

He keeps talking to himself, or to someone who isn't there.

0:22:510:22:55

And you didn't explain your observations to Tess or Zoe?

0:22:550:22:58

OK. Let's cover all bases and take him for a CT scan.

0:22:580:23:01

Is there anywhere we can move him after, away from other patients?

0:23:010:23:04

High Dependency Cubicle - that's quiet.

0:23:040:23:06

Check if it's free. If it is, let's set it up to take Curtis.

0:23:060:23:10

My mum was sat there. Did you see where she went?

0:23:140:23:17

Sorry, love, you got any idea

0:23:170:23:18

how many people pass through here each day?

0:23:180:23:21

I told you to stay away, didn't I?

0:23:400:23:42

But not you.

0:23:440:23:46

You were always selfish.

0:23:460:23:48

Now, look at you.

0:23:480:23:49

Excuse me? How did you get in here?

0:23:510:23:54

Do you know this man?

0:23:540:23:56

Yes...

0:23:560:23:57

How?

0:23:570:23:59

We're...

0:23:590:24:00

old friends.

0:24:000:24:02

-And you are?

-Meryl...Meryl Clarkson.

0:24:020:24:05

A couple of e-mails and he thinks he can just swan back into her life.

0:24:070:24:10

-Whose life?

-I shouldn't have come in here.

-No, it's just...

0:24:100:24:13

There was a letter in his pocket addressed to his daughter.

0:24:130:24:17

Oh, God!

0:24:180:24:19

It's OK, you're all right, come on, let's sit you down. Robyn, oxygen.

0:24:190:24:24

Sit here, that's it.

0:24:240:24:26

Let's calm yourself down.

0:24:260:24:28

Do you have a condition?

0:24:280:24:30

Pulmonary...fibrosis.

0:24:300:24:33

Had it for two years now.

0:24:330:24:34

Late stage.

0:24:340:24:36

You're pretty mobile for late stage.

0:24:360:24:38

You're an expert, are you?

0:24:380:24:39

Not specifically, no...

0:24:390:24:41

MACHINE BEEPS

0:24:410:24:43

-I just want to talk to her...

-Can you hear me, Curtis?

0:24:430:24:45

Why won't you let me talk to her?!

0:24:450:24:47

HE MOANS

0:24:470:24:50

What's wrong with him?

0:24:500:24:52

Let's hope we can keep him still in the scanner.

0:24:520:24:54

I'm reluctant to intubate at this stage.

0:24:540:24:57

Can you get Meryl out please, Robyn?

0:24:570:24:59

Leave me alone! I know where I'm going!

0:24:590:25:01

Now, please.

0:25:010:25:03

-What do you think it is?

-I don't know.

0:25:030:25:05

HE GROWLS

0:25:050:25:07

HE SCREAMS

0:25:080:25:10

For a second there, I thought it was Tess.

0:25:180:25:20

What? So you have kissed and made up, then?

0:25:200:25:22

Snogged and made up, actually.

0:25:220:25:24

It was all a big misunderstanding. You were right, Fletch.

0:25:260:25:29

Cheers, mate. It's good to have had someone on my side.

0:25:290:25:32

Us lads have to stick together, am I right?

0:25:320:25:35

I got work to do, so, er, sling your hook.

0:25:350:25:39

The course of true love, eh?

0:25:430:25:45

Yeah.

0:25:460:25:47

Mum? Where have you been?

0:25:490:25:51

-I've been scared to death.

-She was in Resus.

0:25:510:25:55

How did you get in there without your stick?

0:25:550:25:57

I want to go home.

0:25:570:25:58

And she had a panic attack.

0:25:580:26:00

She was with a patient.

0:26:020:26:03

What patient?

0:26:030:26:05

Curtis Pryce. Dog bites...

0:26:050:26:08

Come on, we're going.

0:26:080:26:10

I can order you ambulance transport.

0:26:100:26:12

We came in a taxi, and we can leave in one, thanks.

0:26:120:26:16

Sorry, can I ask you something?

0:26:160:26:18

Mr Pryce was in the country looking for his daughter.

0:26:180:26:21

I don't suppose you know her?

0:26:210:26:23

Pryce? No...

0:26:230:26:25

If we're going, let's go.

0:26:250:26:27

Yeah, wait, Mum!

0:26:270:26:29

Did he ask for her by name?

0:26:290:26:31

His daughter?

0:26:310:26:33

There was a letter in his belongings that was addressed "To my daughter."

0:26:330:26:36

I know he was really hoping to see her, but I thought...

0:26:360:26:39

-I want to leave now.

-Why did you go in and see him?

0:26:390:26:42

Please...

0:26:420:26:43

He had flowers! Do you know this man?

0:26:430:26:46

I don't want to be left alone.

0:26:460:26:48

Does he...know me?

0:26:480:26:51

Her name's Ciara. C, I, A, R, A. Clarkson. Yeah.

0:26:560:27:01

All right. I'll get her to give you a call to make an appointment, thanks.

0:27:010:27:04

Tom. What was that about?

0:27:040:27:07

Ophthalmic appointment...

0:27:070:27:09

Uh... A patient came in with a dog bite but then, when I examined her,

0:27:090:27:13

I realised she had keratoconus.

0:27:130:27:15

I've just seen a Meryl Clarkson in Resus with Curtis.

0:27:150:27:19

What are the chances of two dog bites coming in at the same time that are not linked?

0:27:190:27:23

How old is this Ciara?

0:27:230:27:25

Late 20s, I'd guess. Why?

0:27:250:27:28

Curtis Pryce was prescribed artificial tears...

0:27:280:27:31

It's a long shot.

0:27:310:27:33

What is?

0:27:330:27:35

I need to examine Curtis again.

0:27:350:27:38

Have you an idea what he might have?

0:27:380:27:39

I'm working on a hunch, but I need somewhere quiet.

0:27:390:27:42

The High Dependency Cubicle's ready.

0:27:420:27:44

Great.

0:27:440:27:45

Can someone tell me why I have got Hansen raging

0:27:460:27:49

about the ED being compromised with a tropical disease?

0:27:490:27:53

I called the Tropical Disease Department

0:27:530:27:55

and the HPA to put a team on stand-by, just in case.

0:27:550:27:58

"Just in case"?

0:27:580:27:59

Yeah, he's working on a hunch.

0:27:590:28:00

I will have a more coherent answer once I've examined Mr Pryce again.

0:28:000:28:04

I've got Management threatening to lock us down!

0:28:040:28:06

Stall them, please!

0:28:060:28:08

Tom.

0:28:090:28:10

-CT scan.

-Thanks.

0:28:240:28:26

The CT brain scan shows NAD.

0:28:280:28:29

That's what I was afraid of.

0:28:290:28:32

He's been gulping, like he can't swallow.

0:28:320:28:34

Curtis, I am just going to shine a light in your eye.

0:28:340:28:36

HE GROWLS

0:28:360:28:37

-Oh! Help me hold him.

-Yeah.

0:28:370:28:39

OK, all right.

0:28:390:28:41

What are you looking for?

0:28:410:28:43

Why does someone use artificial tears?

0:28:430:28:45

For lubricating dry eyes.

0:28:450:28:46

And often as part of aftercare following eye surgery.

0:28:490:28:52

-And the end game with keratoconus, is...?

-Corneal eye surgery? But I don't see...

0:28:520:28:55

It's very small, but there is a chance of a direct genetic link.

0:28:550:28:59

-What genetic link?

-His daughter.

0:28:590:29:01

She insisted on seeing Mr Pryce.

0:29:010:29:03

And if she had keratoconus, she could have inherited it from her father,

0:29:030:29:07

as he had the eye drops in his belongings...

0:29:070:29:09

HE MOANS

0:29:130:29:15

There's definite puckering.

0:29:180:29:20

He's had a corneal transplant in the last year or so.

0:29:200:29:23

-I need to see that bottle of eye drops.

-Yeah.

0:29:250:29:27

-Should she come in?

-He won't know she's here.

0:29:290:29:31

After a lifetime of not knowing him, I think she'll probably take what she can get.

0:29:310:29:35

I'm sorry.

0:29:410:29:43

Mum never spoke about him,

0:29:430:29:45

so I didn't either,

0:29:450:29:47

except to curse him sometimes.

0:29:470:29:50

Will he be all right?

0:29:500:29:51

I can't say for sure until I know exactly what's wrong with him.

0:29:510:29:54

But it's not looking good.

0:29:540:29:56

Why am I so upset about someone I've never met?

0:29:560:29:59

-He's your father.

-And he abandoned me!

0:30:020:30:05

I'm 25, I spend my whole time looking after other people

0:30:060:30:10

instead of living my own life.

0:30:100:30:13

People can rise above these things.

0:30:130:30:15

-What people?

-Me.

0:30:150:30:17

I was adopted.

0:30:190:30:21

My family lied to me.

0:30:220:30:24

Your father came back to find you.

0:30:250:30:27

That's got to mean something.

0:30:290:30:31

What are you thinking?

0:30:470:30:48

I think he's contracted the disease

0:30:480:30:50

through the corneal operation he had in Tunisia.

0:30:500:30:52

What disease?

0:30:520:30:54

All the symptoms are pointing one way.

0:30:540:30:57

I think Curtis has rabies.

0:30:570:30:59

Eye drops.

0:31:060:31:07

Ah, thank you.

0:31:070:31:08

It has a pharmacy address.

0:31:100:31:11

-Could you set up for a lumber puncture, please, Tom?

-And then?

0:31:110:31:14

Then, if that rules out other causes of encephalitis,

0:31:140:31:16

we'll move on to a punch biopsy.

0:31:160:31:18

One step at a time.

0:31:180:31:19

Where's Craig now?

0:31:370:31:38

He's gone over to the pub.

0:31:380:31:40

I'm meeting him there when I get a break.

0:31:400:31:43

He gets all the luck.

0:31:430:31:44

So what do you think about the internet stuff now?

0:31:440:31:48

I think he was a prat.

0:31:480:31:49

I meant about what you did,

0:31:510:31:53

putting his picture online instead of your own?

0:31:530:31:56

Oh, that... Yeah, I feel bad.

0:31:570:32:02

Really bad.

0:32:020:32:03

Aoife...

0:32:080:32:09

If it's confirmed,

0:32:120:32:14

we're going to have to give pre-exposure prophylaxis to everyone.

0:32:140:32:17

I'll contact Central Pharmacy and get the vaccine sent over.

0:32:170:32:21

The dog bit Ciara too.

0:32:210:32:23

Before or after it'd bitten Curtis?

0:32:230:32:25

I'll ask her. Either way it has to found, it's high risk.

0:32:250:32:28

Yes. This is Doctor Ashford, Holby City ED.

0:32:280:32:32

Yes, I can hold.

0:32:320:32:34

So it was the Clarkson's dog that bite Mr Pryce?

0:32:340:32:36

Mmm. First time in history a human's given a dog rabies.

0:32:360:32:41

Rabies? That's what he's thinking?

0:32:410:32:44

Yes, please, thank you.

0:32:440:32:47

They're biking the vaccines over.

0:32:470:32:49

Doctor Ashford? I need answers and I want them now.

0:32:520:32:55

I've got Management going crazy. What is going on?

0:32:550:32:57

Ash...thinks Curtis has got rabies.

0:32:570:33:00

I'm just waiting for absolute confirmation.

0:33:000:33:02

It isn't confirmed and you're putting agencies on stand-by?!

0:33:020:33:05

-Yes.

-If you're wrong about this...

0:33:050:33:07

Then I'll take the consequences.

0:33:070:33:08

TELEPHONE RINGS

0:33:080:33:10

-Look, I think....

-Do you know what I think? I think he's a show boater

0:33:100:33:13

and we haven't got time for adrenaline junkies, Charlie. Hello.

0:33:130:33:17

Can you do a biopsy if we need it, please, Tom?

0:33:170:33:19

Yeah.

0:33:190:33:20

OK, are we all set?

0:33:200:33:22

No offence, Robyn, but is this really a place for a Student Nurse?

0:33:220:33:25

This is a teaching hospital.

0:33:250:33:27

The best place to lean is to be involved, right?

0:33:270:33:31

Good.

0:33:310:33:32

What are you going to do?

0:33:320:33:34

We're going to put a needle into the back to extract the spinal fluid.

0:33:340:33:37

Will it hurt him?

0:33:370:33:38

No. It'll help us determine

0:33:380:33:40

whether your father has any possible infections like encephalitis.

0:33:400:33:44

And if it's not that? What next?

0:33:440:33:46

We move on to a punch biopsy.

0:33:460:33:49

I don't understand.

0:33:490:33:51

The biopsy will tell us whether your father has rabies.

0:33:510:33:53

Oh, my God...

0:33:530:33:55

The prognosis is not good.

0:33:550:33:58

We may already be too late to save him.

0:33:580:34:02

OK.

0:34:020:34:04

You can talk to him if you like.

0:34:040:34:07

Come and hold his hand, take his mind off what's going on.

0:34:070:34:10

Hi, Curtis.

0:34:220:34:23

I'm Ciara...

0:34:250:34:27

and I'm your daughter.

0:34:270:34:29

I'm sorry we didn't meet properly today.

0:34:340:34:37

And I'm sorry you got hurt.

0:34:400:34:42

I thought I might spend a few days here, until Tyler's better.

0:34:480:34:52

I went to see him.

0:34:520:34:53

How is he? Has he had his operation yet?

0:34:530:34:56

He'll be all right. And so will we, I promise.

0:34:570:35:02

I asked Tyler what he thought about all the internet stuff

0:35:040:35:06

-and he said that he thought you were a prat.

-So?

0:35:060:35:09

Well, if Tyler was the one who put your picture online

0:35:090:35:12

and caused all this bad feeling,

0:35:120:35:13

wouldn't he have said that he was the prat?

0:35:130:35:15

Aoife, he's dosed up on painkillers, isn't he?

0:35:150:35:19

Tyler probably doesn't have a clue what he's saying half the time.

0:35:190:35:22

I knew exactly what he was saying.

0:35:220:35:23

So, what? You don't believe me?

0:35:230:35:26

I don't know what to believe.

0:35:280:35:29

It was a mistake, end of story.

0:35:290:35:31

-Maybe this was a mistake.

-What?

0:35:320:35:35

-We were 15 when we first got together.

-So?

0:35:350:35:39

So are we the same people, or are we just pretending we are?

0:35:390:35:41

Aoife, I'm the same.

0:35:410:35:44

Yeah, you are.

0:35:450:35:46

Trouble is, I'm not.

0:35:480:35:49

Safe journey home.

0:35:510:35:52

Central Pharmacy sent over these inoculations.

0:36:000:36:02

-What's happening?

-Nothing as yet.

0:36:020:36:05

Can we get the vaccines ready for use?

0:36:050:36:07

-Sam, can you write people up for vaccinations if they need them?

-Yep.

0:36:070:36:10

Is anyone going to tell us what's going on?

0:36:100:36:12

All will become clear. We hope.

0:36:120:36:15

Waiting on a call?

0:36:150:36:17

OK, sorry, folks, I'm trying to keep Hansen off our backs. What have I missed?

0:36:170:36:21

So we now need to compile a list of all those who had contact with Mr Pryce.

0:36:210:36:24

I've already made one.

0:36:240:36:26

OK, give it to the person in charge.

0:36:260:36:27

I think Doctor Hanna was referring to herself.

0:36:270:36:30

TELEPHONE RINGS

0:36:300:36:31

Hello. Yes, this is Doctor Ashford.

0:36:310:36:34

Tom, how we getting on with the lumbar puncture?

0:36:340:36:36

CFS looked clear. We did the punch biopsy and we're waiting on the Path Report.

0:36:360:36:40

Sent the results off to the lab

0:36:400:36:41

but we won't hear back for a couple of hours, at least.

0:36:410:36:43

Thank you.

0:36:430:36:45

The clinic in Tunis recently received organs from a donor.

0:36:450:36:48

Curtis's donor.

0:36:480:36:50

Two of the other recipients have since died of zoonosis.

0:36:500:36:53

It is rabies.

0:36:550:36:56

OK, let's distribute this contact list

0:36:580:37:00

-and can we get the vaccinations administered now.

-Yep.

-OK.

0:37:000:37:04

And someone call the Tropical Disease Department and get them to mobilise their team.

0:37:040:37:08

I'll do that.

0:37:080:37:09

-Good call.

-Didn't doubt you for a second.

0:37:090:37:12

You know, I knew from the very first time I saw you, you're a top doc.

0:37:120:37:16

Thanks, Noel. I should be with Mr Pryce.

0:37:160:37:19

How thin is the line between brilliant and reckless?

0:37:200:37:23

That's a truly frightening question.

0:37:230:37:25

Of course, compromise has never been part of his vocabulary.

0:37:250:37:28

Never used to be in mine, either.

0:37:280:37:30

OK, all done. Take a seat here please, Mrs Clarkson.

0:37:420:37:45

I'm sorry, love.

0:37:520:37:53

For what?

0:37:530:37:55

Exaggerating how ill you are or keeping my dad away from me?

0:37:550:37:58

He's been here a week.

0:38:000:38:01

I could have seen him, talked to him.

0:38:010:38:05

Now...

0:38:050:38:06

I just didn't want him hurting you like he'd hurt me.

0:38:060:38:09

Can you forgive me?

0:38:090:38:12

I hope so.

0:38:120:38:14

We need to find your brother, and the dog.

0:38:140:38:17

What will happen to him?

0:38:170:38:18

The dog will be quarantined and assessed to determine how dangerous he is.

0:38:180:38:22

They'll put it down, you mean.

0:38:220:38:23

There's a real possibility that, after biting Mr Pryce,

0:38:230:38:26

the dog is carrying the infection.

0:38:260:38:28

You're making it up, to scare us into helping you.

0:38:280:38:31

Don't tell him anything.

0:38:310:38:33

Shut up, Mum. Just shut up!

0:38:330:38:35

Robbie always takes the dog to King's Park.

0:38:380:38:40

And what was Robbie wearing?

0:38:400:38:42

A hoodie and black trackies.

0:38:420:38:46

Barney's a black Alsatian.

0:38:460:38:47

Thanks.

0:38:480:38:50

Nice guy.

0:38:520:38:53

Understanding.

0:38:530:38:55

He has his moments.

0:38:570:38:58

Must be hard for him too.

0:38:580:39:00

Can you call my mum and dad, tell them what's happened?

0:39:030:39:06

And I'll visit you upstairs till you get better.

0:39:060:39:08

Hey, Tyler. So when did they say you'll be out?

0:39:080:39:12

They didn't.

0:39:120:39:13

I feel like I should hang around just until you're back on your feet, at least.

0:39:130:39:17

Don't bother.

0:39:170:39:18

That's no bother. You were doing me a favour, remember?

0:39:180:39:21

Yeah, the last one.

0:39:210:39:23

I don't want you to hang around, Craig.

0:39:230:39:27

-You're taking her side?

-There are no sides.

0:39:270:39:29

You're a selfish eejit and I was an even bigger eejit

0:39:290:39:32

for letting you talk me into lying for you.

0:39:320:39:35

Have a good life.

0:39:350:39:36

SHE SNEEZES

0:39:450:39:46

Oh!

0:39:460:39:48

You look like death warmed up.

0:39:510:39:53

You should seriously consider calling it a day.

0:39:530:39:55

With a crazy locum on the floor and Hansen threatening to send the SWAT team down?

0:39:550:39:59

Well, you're not going to be any good to anyone if you keel over, are you?

0:39:590:40:02

Oh! Keeling over. I dream of keeling over, Charlie.

0:40:020:40:07

Zoe, I cannot find Ash anywhere.

0:40:070:40:10

-Why, what do you want him for?

-To take another look at Vincent Mitchell.

0:40:100:40:13

I think it's time he went upstairs.

0:40:130:40:14

OK, I'll be right through.

0:40:140:40:16

Keep an eye on the Boy Wonder, will you?

0:40:160:40:18

What was it you said about calling it a day?

0:40:180:40:21

3006 to Control, received, over.

0:40:260:40:29

So a bloke goes to the doctor's, right?

0:40:290:40:31

Say's, "Doctor, I keep thinking I'm a kangaroo."

0:40:310:40:33

Doctor says, "Well, hop up on the couch."

0:40:330:40:35

THEY LAUGH

0:40:350:40:38

There he is.

0:40:380:40:39

Oh...

0:40:390:40:40

Robbie!

0:40:430:40:44

Jeff!

0:40:490:40:50

Hey!

0:40:530:40:54

Robbie! DOG BARKS

0:40:550:40:58

Keep away or I'll let him go.

0:40:580:41:00

Son, you have to come to hospital. Mate, you could be in serious danger.

0:41:000:41:03

No, you're the one in danger, mate.

0:41:040:41:06

Jeff, just leave it, let the police deal.

0:41:060:41:09

Yeah, well, they're not here, are they? Listen, Robbie.

0:41:090:41:12

I'm just someone who's trying to help, that's all.

0:41:120:41:14

The man your dog attacked has a serious illness.

0:41:140:41:17

It could be your dog has that illness, do you understand?

0:41:170:41:19

You're lying!

0:41:190:41:21

No, I'm telling the truth. Your dog could become seriously ill.

0:41:210:41:24

-You don't want that to happen, do you?

-Come on, mate.

0:41:240:41:27

Your mum and your sister are there.

0:41:270:41:29

You know it makes sense.

0:41:300:41:32

DOG BARKS AND WHIMPERS

0:41:320:41:35

Barney! Barney, cease. Cease!

0:41:350:41:37

OK, do you want to lie back down for me?

0:41:410:41:44

MAN COUGHS

0:41:440:41:45

You're right, it is time to admit him.

0:41:450:41:47

Is that bad?

0:41:470:41:48

We're just going to give him the best possible chance he can have.

0:41:480:41:52

No-one here's giving up, Jacob. So don't you.

0:41:520:41:54

Lloyd, get on to the ITU team ASAP, get him upstairs.

0:41:540:41:58

Any word from Kyle?

0:41:580:42:00

Not yet. But we'll keep on trying.

0:42:000:42:02

Thank you.

0:42:020:42:03

You know, most people would give their right arm for what you two have.

0:42:040:42:08

White, one sugar, please.

0:42:180:42:20

Do you regret anything in your life, Fletch?

0:42:220:42:24

Oh, right, the big questions straight off, eh?

0:42:240:42:27

Erm, a few things, yeah.

0:42:270:42:30

Not marrying my wife sooner, waiting to have kids.

0:42:300:42:33

Putting sugar in Tess's coffee that one time.

0:42:340:42:37

Craig's on his way back home.

0:42:380:42:40

Turns out he's still chancing his arm,

0:42:400:42:43

seeing what he can get away with.

0:42:430:42:44

It's funny when you're 15 but not when you're 21.

0:42:440:42:47

Sorry.

0:42:470:42:48

You look like you need a hug.

0:42:500:42:53

And as I just happen to give the best hugs in the whole department...

0:42:530:42:56

Oh.

0:43:000:43:02

Sorry.

0:43:020:43:04

-Thanks, Fletch.

-Listen, I'm here if you need me.

0:43:040:43:07

You're playing a very dangerous game.

0:43:120:43:14

-She's a kid.

-Stop it, Fletch.

0:43:160:43:18

No, you stop it, Tess.

0:43:190:43:21

Look, I'm a good mentor to Aoife, I'm a good colleague

0:43:210:43:24

to the rest of the department and there's no hidden agenda, so stop looking for one, OK?

0:43:240:43:29

OK.

0:43:290:43:30

SIRENS BLARE

0:43:410:43:44

I just wish he could talk to me.

0:43:470:43:49

Maybe he can.

0:43:500:43:52

Sort of.

0:43:530:43:55

I found this in his possessions.

0:43:550:43:57

It's addressed to you.

0:43:580:44:00

"To my daughter..."

0:44:050:44:07

I can't.

0:44:090:44:10

Come here.

0:44:120:44:13

"To my daughter.

0:44:190:44:21

"I'm writing this in case I don't get to see you this trip.

0:44:220:44:25

"Don't put any blame on your mum.

0:44:260:44:29

"I hurt her very badly a long time ago and she still feels that hurt.

0:44:290:44:33

"Not a day's gone by when I haven't thought about her

0:44:350:44:38

"and you and what could have been.

0:44:380:44:40

"Perhaps we could have been happy, who knows?

0:44:410:44:44

"I'm sorry for taking so long to come for you,

0:44:450:44:48

"but with age comes wisdom.

0:44:480:44:50

"Don't live with regrets, they'll eat you up.

0:44:510:44:54

"We will meet soon, I know it.

0:44:560:44:58

"Your ever loving father, Curtis Pryce."

0:44:580:45:01

The team are here to move Curtis to their own isolation unit.

0:45:060:45:09

How long does he have?

0:45:090:45:11

It's hard to say.

0:45:110:45:13

Until the test results are back, we can't be sure.

0:45:130:45:16

Can I have one more minute?

0:45:190:45:20

Sure.

0:45:200:45:21

Are you OK?

0:45:250:45:26

In a strange kind of way, yeah.

0:45:270:45:30

Here you go.

0:45:310:45:33

I'm going moving out of Mum's.

0:45:370:45:39

Maybe look for somewhere of my own.

0:45:390:45:41

Well, don't blame her.

0:45:420:45:44

She was just afraid of being on her own.

0:45:440:45:46

OK, take care.

0:45:470:45:49

Tom?

0:45:500:45:52

I just wanted to say thank you.

0:45:520:45:54

So, what's the story, mystery man?

0:46:080:46:11

What story?

0:46:110:46:12

Ciara said that you understood what was happening to her

0:46:120:46:14

because of what happened to you. What did she mean by that?

0:46:140:46:18

-Don't know.

-Oh, so you'll tell a complete stranger?

0:46:180:46:21

-It's no big deal.

-Well, then tell me.

0:46:210:46:23

Tom, in case you're wondering, I'm not going to drop this

0:46:230:46:26

until you give me some answers.

0:46:260:46:28

I was adopted. Mystery solved.

0:46:290:46:31

-Well, do you know who your real parents are?

-Nope.

0:46:340:46:37

You're not even curious?

0:46:370:46:39

They've never bothered looking for me,

0:46:390:46:41

so why should I be bothered to look for them?

0:46:410:46:43

Tom...

0:46:430:46:45

Zero to hero, eh?

0:46:450:46:47

I lost a patient in my first day, Charlie.

0:46:470:46:49

Well, he was beyond help before he arrived.

0:46:490:46:51

What you did do was save his daughter, and her brother.

0:46:510:46:55

And if the disease had remained undetected,

0:46:550:46:57

-who knows how many other people?

-Still feels like a hollow victory.

0:46:570:47:00

HACKING COUGH

0:47:000:47:03

Every time I see you today, you look worse.

0:47:030:47:06

Oh, you're full of compliments(!)

0:47:060:47:07

I'm very happy to cover for you, if you're not feeling great.

0:47:070:47:10

Tess and I are here.

0:47:100:47:12

-I want my ED back unscathed, do you understand?

-Understood.

0:47:140:47:18

Cheer up.

0:47:240:47:25

It's still early.

0:47:250:47:27

Welcome back to the NHS.

0:47:280:47:30

-I said no comment.

-Have you got enough beds?

0:47:310:47:34

They're stacking up in the corridors now.

0:47:340:47:36

Charlie, we've been here 25 minutes, Control are going mad.

0:47:360:47:38

Flippin' heck, it's like bed roulette in here.

0:47:380:47:41

This is horrendous.

0:47:410:47:42

-Did you send me that?

-Oh, you got it?

0:47:450:47:47

Still think she sees you as a father figure?

0:47:470:47:49

I tweeted about Mr Bailey dying, now there's journalists outside.

0:47:490:47:52

You don't know when to butt out, do you?

0:47:520:47:54

You're such a bigamist.

0:47:540:47:55

You'll get a torrent of abuse.

0:47:550:47:57

Water off a duck's back, Charlie.

0:47:570:47:59

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