0:00:35 > 0:00:37Sats are down to 84.
0:00:37 > 0:00:40CO2's rising. Let's set up for an RSI.
0:00:40 > 0:00:43OK, Mr Stevens, try and relax.
0:00:43 > 0:00:45We're going to help your breathing.
0:00:45 > 0:00:47Tess, could you apply cricoid pressure
0:00:47 > 0:00:48while I prepare to intubate, please?
0:00:50 > 0:00:52Ketamine going in.
0:00:55 > 0:00:56Sux in.
0:00:58 > 0:01:00Not much of a view, I need a bougie.
0:01:00 > 0:01:02CLATTERING
0:01:02 > 0:01:04- You all right?- Yes, of course.
0:01:05 > 0:01:07Thank you.
0:01:10 > 0:01:11OK.
0:01:14 > 0:01:16Get these two into cubicles three
0:01:16 > 0:01:19and get the bays cleaned as soon as we can.
0:01:19 > 0:01:22PEOPLE COUGH
0:01:22 > 0:01:27SEAGULLS CRY
0:01:34 > 0:01:36OK, come on, let's get him in.
0:01:36 > 0:01:39We've got to be in by 11, anyway.
0:01:40 > 0:01:43I'm sorry. Thought a bit of fresh air might help take his mind off things.
0:01:43 > 0:01:45And yours.
0:01:45 > 0:01:46What, in this weather?
0:01:51 > 0:01:52Can we get a kite?
0:01:52 > 0:01:54Not today. We've got to go now.
0:01:54 > 0:01:56She said we were going on the beach.
0:01:56 > 0:01:58We've been in the hospital every day
0:01:58 > 0:01:59I know.
0:02:01 > 0:02:03But today's different, isn't it?
0:02:03 > 0:02:05Because today Kate has to come with us.
0:02:05 > 0:02:07And we'd hate to waste her time, wouldn't we?
0:02:10 > 0:02:11I'll go and get the van.
0:02:13 > 0:02:16Keep her on half hourly obs and come and find me
0:02:16 > 0:02:17if her BP drops at all.
0:02:20 > 0:02:22The intubation went smoothly.
0:02:22 > 0:02:25Great. I'm a bit worried about Mrs Parks.
0:02:25 > 0:02:27We need to push for a bed.
0:02:27 > 0:02:29OK.
0:02:29 > 0:02:30Look, I don't know about you,
0:02:30 > 0:02:32but I haven't been able to sleep all week.
0:02:33 > 0:02:35Been coming in here every day
0:02:35 > 0:02:37hoping that we're going to be on the same shift.
0:02:37 > 0:02:39We can't do this now.
0:02:39 > 0:02:41Your eyes are all shiny. Are you all right?
0:02:41 > 0:02:44I'm running a temperature, must be coming down with this flu.
0:02:44 > 0:02:45PHONE RINGS
0:02:45 > 0:02:47Can you see about that bed, please?
0:02:47 > 0:02:48Yes.
0:02:48 > 0:02:51PHONE RINGS
0:02:51 > 0:02:53Holby ED.
0:02:53 > 0:02:54Where to next, Charlie?
0:02:56 > 0:02:57Right, uh...
0:02:57 > 0:03:01Charlie, Silver Firs Nursing Home. GP's sending two more over.
0:03:01 > 0:03:02No. We've got no more beds.
0:03:02 > 0:03:04He's already gone, mate, sorry.
0:03:04 > 0:03:06- Hey.- Yeah? - Need more nurses in resus.
0:03:06 > 0:03:08We're three down and Tess isn't far off.
0:03:08 > 0:03:10They should be following my fitness regime,
0:03:10 > 0:03:12then they wouldn't be dropping like flies.
0:03:12 > 0:03:14You know, it's only taken me a few months to get fit enough
0:03:14 > 0:03:17to do this half marathon next week.
0:03:17 > 0:03:18How many agency have we got coming in?
0:03:18 > 0:03:21You're looking at them. Whole region's overstretched.
0:03:21 > 0:03:24- They've got no more nurses to send us.- You're joking?
0:03:24 > 0:03:27Ash, got Zoe on the phone, line one.
0:03:27 > 0:03:29Thanks, Noel.
0:03:29 > 0:03:31Sorry, young man, we'll sort you out somewhere in a moment.
0:03:31 > 0:03:33Can we pop this jacket...?
0:03:33 > 0:03:35Hi, Zoe.
0:03:35 > 0:03:36Right you are, this way, sir.
0:03:36 > 0:03:40No, you should stay at home till you're 100%.
0:03:41 > 0:03:44No, absolutely. Goodbye.
0:03:44 > 0:03:46What did she say?
0:03:46 > 0:03:48Just wishing us the best of luck.
0:03:48 > 0:03:49That's nice of her.
0:03:58 > 0:04:00Where's Nathan?
0:04:00 > 0:04:02I turned my back for two seconds.
0:04:11 > 0:04:13Nathan!
0:04:19 > 0:04:21Nathan!
0:04:21 > 0:04:24ARCADE MUSIC PLAYS
0:04:24 > 0:04:26Kate, I left you alone for five minutes!
0:04:28 > 0:04:30Excuse me, have you see a little boy?
0:04:33 > 0:04:34There he is.
0:04:42 > 0:04:44Nathan!
0:04:51 > 0:04:52Nathan!
0:04:54 > 0:04:56Nathan!
0:04:56 > 0:04:57Come away!
0:04:57 > 0:04:59Nathan!
0:05:00 > 0:05:01Nathan!
0:05:02 > 0:05:04NATHAN COUGHS
0:05:06 > 0:05:08Nathan!
0:05:14 > 0:05:16Nathan!
0:05:17 > 0:05:19Nathan!
0:05:22 > 0:05:27SILENCE, WAVES CRASH
0:05:34 > 0:05:36Nathan!
0:05:36 > 0:05:37I'm serious.
0:05:37 > 0:05:39Feel my forehead, I'm burning up.
0:05:42 > 0:05:44You know what you've got, don't you, Jeffrey?
0:05:44 > 0:05:46It's man flu.
0:05:46 > 0:05:48I'm just praying you make it through the day.
0:05:48 > 0:05:51RADIO: 'Emergency call to Beeson Bay. 10-year-old boy collapsed.
0:05:51 > 0:05:54'Parents in attendance, no further information at this time.'
0:05:54 > 0:05:573006, we're on route, over.
0:05:58 > 0:06:00SIRENS BLARE
0:06:00 > 0:06:02How you feeling?
0:06:03 > 0:06:05Only one thing for it.
0:06:05 > 0:06:08It's piggyback time!
0:06:09 > 0:06:11No, Bill, no!
0:06:11 > 0:06:12Come on.
0:06:12 > 0:06:14Chair over here, please.
0:06:14 > 0:06:17OK, careful, you two.
0:06:17 > 0:06:18Let's get you down.
0:06:18 > 0:06:20There we go. That's it, take it easy.
0:06:20 > 0:06:22Have you come from Silver Firs?
0:06:22 > 0:06:23Yeah.
0:06:25 > 0:06:27There's one, there's two.
0:06:27 > 0:06:29- Off we go.- I'll follow you in.
0:06:30 > 0:06:32All right.
0:06:32 > 0:06:36SIRENS BLARE
0:06:36 > 0:06:38- Is he OK?- I don't know!
0:06:38 > 0:06:39Nathan, Nathan.
0:06:43 > 0:06:45Spit it out. Come on, son.
0:06:45 > 0:06:47He's down here! He's here.
0:06:47 > 0:06:50Come on, wake up. Open your eyes.
0:06:50 > 0:06:54He was only underwater for about ten seconds.
0:06:54 > 0:06:55Right, what's his name?
0:06:55 > 0:06:59- Nathan.- Nathan. Nathan, can you hear me, love?
0:07:00 > 0:07:02Nathan, can you hear me, sweetheart?
0:07:02 > 0:07:04Right, what exactly happened to him?
0:07:04 > 0:07:07He was just mucking about in the water, then he just went down.
0:07:07 > 0:07:09- It happened....- He's got leukaemia.
0:07:09 > 0:07:11He's got ALL. He's been running a high temperature.
0:07:11 > 0:07:13- It could have been a seizure. - He's cyanosed.
0:07:13 > 0:07:16He's gums are bleeding as well. He's had chemotherapy.
0:07:16 > 0:07:18It could be neutropenia, couldn't it?
0:07:18 > 0:07:21- We'll get him into the hospital. - It could be, couldn't it?!
0:07:21 > 0:07:22Yeah.
0:07:27 > 0:07:30We're going to get you through to a cubicle, Mr Hardy. Won't be long.
0:07:30 > 0:07:33Lizzie? Excuse me, is Lizzie Fisher here?
0:07:33 > 0:07:34Are you her husband?
0:07:34 > 0:07:37No, no, I'm a friend. I brought her in.
0:07:37 > 0:07:38She's just over here.
0:07:38 > 0:07:41Lizzie!
0:07:41 > 0:07:44- Shouldn't she be in a bed? - We're just trying to find her one.
0:07:44 > 0:07:46As you can see, we're a bit stretched.
0:07:46 > 0:07:48How long before she's treated?
0:07:48 > 0:07:50I'm sorry, I can't say at the moment.
0:07:50 > 0:07:51LIZZIE COUGHS
0:07:51 > 0:07:53Lizzie, Lizzie, deep breaths.
0:07:53 > 0:07:55Has the doctor seen her yet?
0:07:55 > 0:07:58Don't fuss, I've got to wait my turn.
0:07:58 > 0:08:01The doctor will be along as soon as she can
0:08:01 > 0:08:04But look at her. Look, she's not well.
0:08:04 > 0:08:05She can't breathe.
0:08:07 > 0:08:09I'll see what I can do.
0:08:10 > 0:08:13Tess, we got a kid with leukaemia coming in.
0:08:13 > 0:08:15Well, he can't come in here!
0:08:15 > 0:08:16They're already on their way.
0:08:20 > 0:08:23All right, Nathan, you're being really brave. Your mum's here.
0:08:23 > 0:08:27- She's going to hold your hand all the way.- That's Kate.
0:08:27 > 0:08:29Right. Kate, do you just want to take a little seat for me, love?
0:08:29 > 0:08:31No, no. I should be going with him. Me.
0:08:31 > 0:08:34What about the van? You follow us in.
0:08:36 > 0:08:38Just get him in, yeah?
0:08:42 > 0:08:46AMBULANCE BEEPS
0:08:46 > 0:08:49PEOPLE COUGH
0:08:49 > 0:08:51Well, I'm not very happy about her breathing.
0:08:51 > 0:08:53Let's see what the chest X-ray throws up.
0:08:53 > 0:08:55Get some fluids in and I'll do gases.
0:08:57 > 0:09:00Nurse, can she have a cuppa?
0:09:00 > 0:09:02Yeah, if she can manage it.
0:09:02 > 0:09:03There you go.
0:09:04 > 0:09:06I put a sugar in,
0:09:06 > 0:09:09even though you're sweet enough already.
0:09:09 > 0:09:11So you're both at Silver Firs?
0:09:11 > 0:09:13Yes, it's not as bad as everybody says it is.
0:09:13 > 0:09:16Maybe it's just the company that's nice.
0:09:16 > 0:09:18Well, we'll try and get you feeling better as soon as we can,
0:09:18 > 0:09:21- and get you back there. - Yes, of course.
0:09:21 > 0:09:24I've brought up her records, she's got a history of COPD.
0:09:24 > 0:09:26OK.
0:09:26 > 0:09:29Does she have relatives? Are they coming in?
0:09:29 > 0:09:31I think her son's away.
0:09:31 > 0:09:33It might be a good idea to let him know that she's here.
0:09:33 > 0:09:35I don't know where he lives.
0:09:35 > 0:09:39Look, he never comes to visit her. Never.
0:09:39 > 0:09:42Mrs Fisher, would you like us to call your son?
0:09:42 > 0:09:44She doesn't want him, OK?
0:09:44 > 0:09:46OK.
0:09:46 > 0:09:49Can you chase up that X-ray, please?
0:09:54 > 0:09:57And he's pyrexial with a low BP and a pulse of 120.
0:09:57 > 0:10:00He was submerged for about ten seconds.
0:10:00 > 0:10:04There's some bleeding from his gums and his sats are 99.
0:10:04 > 0:10:07OK, let's get a head CT soon as we can, get this wound sorted.
0:10:07 > 0:10:09When did his last round of chemo finish?
0:10:09 > 0:10:11- Last week.- Right.
0:10:12 > 0:10:15That's great.
0:10:15 > 0:10:16Where is he?
0:10:16 > 0:10:18He's stable. He's in good hands.
0:10:18 > 0:10:22- OK. Thank you.- David? Try and stay calm, will you?
0:10:22 > 0:10:24Kate told us about the transplant,
0:10:24 > 0:10:27that you're waiting to hear if she's a match?
0:10:27 > 0:10:29Sadly, she's the only option left.
0:10:29 > 0:10:31- We'll keep our fingers crossed for you.- Thank you.
0:10:32 > 0:10:34Jamie?
0:10:34 > 0:10:37Do me a favour. Can you keep an eye on that fella for me, please?
0:10:37 > 0:10:38Think he's in for a tough day.
0:10:40 > 0:10:41Hello, sunshine.
0:10:41 > 0:10:43- Dad...- How is he?
0:10:43 > 0:10:45He's running a bit of a fever, and, given his recent chemo,
0:10:45 > 0:10:49I'm a bit concerned we could be looking at a complication from that.
0:10:49 > 0:10:50OK, so what's next?
0:10:50 > 0:10:52We're doing some blood tests.
0:10:52 > 0:10:54We need to get some fluids into him, see if we can get
0:10:54 > 0:10:57his blood pressure up and he'll need IV antibiotics.
0:10:57 > 0:10:59You shouldn't have left him. Not even for one minute!
0:10:59 > 0:11:04I turned my back for a second, David. It could have happened to anyone!
0:11:04 > 0:11:08OK, I'll need any allergies he has, and what medication he's on.
0:11:09 > 0:11:10Well?
0:11:15 > 0:11:17- He doesn't have any allergies. - Right.
0:11:17 > 0:11:20There's a list of the medication he's on in here.
0:11:22 > 0:11:24You can go to the relatives' room, if you like.
0:11:24 > 0:11:27Gets a bit crowded in here, otherwise.
0:11:27 > 0:11:30I'll come and find you when it's time to talk to Dr Marsh.
0:11:30 > 0:11:32I can show you where it is.
0:11:34 > 0:11:37We're due to speak to the haematologist at 11 o'clock,
0:11:37 > 0:11:39find out if she's a haplo match.
0:11:41 > 0:11:42Ash?
0:11:46 > 0:11:48OK, he's going to need Taz and Gent.
0:11:48 > 0:11:51- Let's get him weighed and I'll write them up.- What is it?
0:11:51 > 0:11:53It's called neutropenic sepsis.
0:11:53 > 0:11:55It means he's got a very low white blood count.
0:11:55 > 0:11:56Yeah, I know what it is.
0:12:01 > 0:12:04Nathan? Oh, Nathan.
0:12:07 > 0:12:09Don't be so hard on yourself.
0:12:09 > 0:12:12Every boy needs his mum.
0:12:12 > 0:12:13I'm not his mum.
0:12:13 > 0:12:16Not any more.
0:12:16 > 0:12:18What do you mean?
0:12:19 > 0:12:21I walked out on them.
0:12:22 > 0:12:24Oh.
0:12:24 > 0:12:27No, don't bring her in here, love. We're really stretched, as it is.
0:12:28 > 0:12:29I'm going to be on till eight
0:12:29 > 0:12:31and I really don't think I can get away early.
0:12:33 > 0:12:35Give her some Calpol.
0:12:35 > 0:12:37- I've got to go. - It's not looking good.
0:12:37 > 0:12:39She's got right middle zone consolidation
0:12:39 > 0:12:40and a pleural effusion.
0:12:40 > 0:12:43- Someone needs to notify the husband. - He's not her husband.
0:12:43 > 0:12:46- Obviously wants to be, though. - How old is she?
0:12:46 > 0:12:4880. Good on 'em, eh?
0:12:48 > 0:12:51- I'll talk to them.- Thank you.
0:12:51 > 0:12:53Does anyone know a Bill Cartwright?
0:12:53 > 0:12:54What about him?
0:12:56 > 0:13:00Lizzie, your lungs aren't working very well.
0:13:00 > 0:13:01You've got an infection,
0:13:01 > 0:13:05which, on top of your COPD, is making it very difficult for you
0:13:05 > 0:13:09to breathe, so we need to admit you into hospital today.
0:13:09 > 0:13:11Couldn't you give us something to take away with us?
0:13:11 > 0:13:12I'm afraid not.
0:13:12 > 0:13:15What if I called a taxi and took her home?
0:13:15 > 0:13:16Could you stop me?
0:13:16 > 0:13:19Well, depending on what Lizzie's wishes were, yes, I could.
0:13:19 > 0:13:20She's very sick.
0:13:20 > 0:13:24The doctors have written you up some steroids and nebulisers
0:13:24 > 0:13:27and I'm going to give you some antibiotics and that'll help your breathing.
0:13:27 > 0:13:32Are you off on a world cruise, mate? We got your bags from reception.
0:13:32 > 0:13:33Where are you taking all this stuff?
0:13:33 > 0:13:36I just thought it would be stuff
0:13:36 > 0:13:38that Lizzie would need in hospital.
0:13:38 > 0:13:41You know, like, clean nighties... and stuff.
0:13:41 > 0:13:44Is there something we need to know about, Bill?
0:13:44 > 0:13:47I just want to look after her.
0:13:47 > 0:13:49Get your hands off my mother.
0:13:49 > 0:13:52- Calm down, calm down. - I don't want to fight you, Mark.
0:13:52 > 0:13:54You won't get away with it, you filthy old pervert.
0:13:54 > 0:13:57- You need to calm down. - No, no, no.- What's this about?
0:13:57 > 0:14:00Ask him. Ask him what he did to my mother!
0:14:00 > 0:14:02Can you find Mr Cartwright a seat in reception for now, please?
0:14:02 > 0:14:05And would you like to come with me, sir? Could you keep an eye...?
0:14:05 > 0:14:08It's all right, Mum.
0:14:08 > 0:14:11- I won't be long. I'll be back in a minute.- This way.
0:14:11 > 0:14:15LIZZIE WHEEZES
0:14:15 > 0:14:17I got a call from the home an hour ago.
0:14:17 > 0:14:19Both missing with all their things.
0:14:19 > 0:14:21He must have got a taxi.
0:14:21 > 0:14:23But where would they be trying to go?
0:14:23 > 0:14:25Mum's been going downhill for a while.
0:14:25 > 0:14:29I have power of attorney over her health and welfare.
0:14:29 > 0:14:31I'm trying to move her to a new home,
0:14:31 > 0:14:34- one that can protect her properly. - Protect her?
0:14:36 > 0:14:38When I came to visit her a few weeks ago...
0:14:41 > 0:14:43..he was in her bed.
0:14:43 > 0:14:46I found out they'd caught him more than once.
0:14:46 > 0:14:47They hadn't told me anything.
0:14:47 > 0:14:49- I see.- I should never have put her in that place.
0:14:49 > 0:14:53- I know it must be upsetting to see something like...- Upsetting?
0:14:53 > 0:14:56But a lot of older people do lead active lives.
0:14:56 > 0:14:57You don't understand.
0:14:57 > 0:15:00She couldn't remember it when we asked her about it.
0:15:00 > 0:15:04She doesn't know what he's doing to her.
0:15:05 > 0:15:08He's lucky not to be facing a rape charge.
0:15:08 > 0:15:11- Well, we'll... - Unless there is a good reason
0:15:11 > 0:15:15for him to be in this hospital, I want him gone,
0:15:15 > 0:15:19or I shall be filing an official complaint -
0:15:19 > 0:15:22failure to protect a vulnerable patient.
0:15:28 > 0:15:31I didn't hurt her. I'd never hurt her.
0:15:31 > 0:15:33Where were you taking her?
0:15:33 > 0:15:37He's moving her to another home. He just wants to keep us apart.
0:15:37 > 0:15:40She's a very sick lady. She needs constant care.
0:15:40 > 0:15:42I've got money. I can get her looked after.
0:15:42 > 0:15:45We just...
0:15:45 > 0:15:47We just want to be together.
0:15:47 > 0:15:50It probably sounds silly to you youngsters.
0:15:50 > 0:15:51No, it doesn't.
0:15:52 > 0:15:54But you can't just ignore what her family wants.
0:15:54 > 0:15:58They've written her off. All they see is an old woman -
0:15:58 > 0:16:00stick her in a home and forget about her.
0:16:02 > 0:16:04She's still a lovely lady.
0:16:05 > 0:16:10Look, if I give you some money, would you take her some flowers?
0:16:10 > 0:16:12There's no flowers allowed, I'm afraid.
0:16:12 > 0:16:16Then chocolates? I'm a bit rusty on all this.
0:16:16 > 0:16:18She's not really going to be able to eat much.
0:16:21 > 0:16:23Would you give her this?
0:16:32 > 0:16:34- All right, mate. - NATHAN COUGHS
0:16:34 > 0:16:36Blood pressure's dropped to 81 over 61.
0:16:36 > 0:16:37Carry on with the saline and can you get me
0:16:37 > 0:16:41a nasal tampon, please? You're doing really well, Nathan.
0:16:41 > 0:16:42Why is he bleeding so much?
0:16:42 > 0:16:44I think there's a problem with his clotting.
0:16:44 > 0:16:47It sometimes happens. Really well. Good lad.
0:16:47 > 0:16:49Well done.
0:16:49 > 0:16:53- That actually needs some lubrication jelly.- OK.
0:16:53 > 0:16:55Does he even know what he's doing?
0:16:55 > 0:16:59- He's under my supervision.- Charlie, I need you for a second, mate.
0:16:59 > 0:17:01We've got 16 new admissions and no beds.
0:17:01 > 0:17:03OK, I won't be long.
0:17:06 > 0:17:08Listen, do exactly what Ash tells you.
0:17:08 > 0:17:10If you need me, come and find me.
0:17:11 > 0:17:13How much experience does this boy have?
0:17:13 > 0:17:16I can guarantee he will receive the best possible treatment.
0:17:16 > 0:17:18I'm sorry, I'm sorry, that is not good enough.
0:17:18 > 0:17:20I want him moved to a ward with proper nurses, not children.
0:17:20 > 0:17:22He's a sick, vulnerable child!
0:17:22 > 0:17:23- We're doing our best. - It's not good enough!
0:17:23 > 0:17:25Look at him, for Christ's sake!
0:17:25 > 0:17:27- Try and relax, Nathan. - I'm sorry, son, I just want them
0:17:27 > 0:17:29to look after you as best as possible, OK?
0:17:29 > 0:17:32Just try and relax. You're doing really well, OK?
0:17:32 > 0:17:34There. OK, can we get him to CT?
0:17:34 > 0:17:36Angela, could you finish up with the nasal tampon?
0:17:36 > 0:17:39- I'll come with you, yeah? - The nurses will look after him.
0:17:39 > 0:17:41I think we need to speak to Dr Marsh.
0:17:41 > 0:17:44- Be brave, Nathan, OK? Be brave. - He'll be fine.
0:17:44 > 0:17:46I won't be long, I promise!
0:17:51 > 0:17:54MACHINE WHIRRS
0:17:57 > 0:18:01MACHINE BEEPS
0:18:09 > 0:18:10Shouldn't you be seeing Dr Marsh?
0:18:10 > 0:18:13They said they'd get me when they're ready.
0:18:16 > 0:18:17Can I talk to him?
0:18:17 > 0:18:20Yeah, just out here.
0:18:25 > 0:18:28You can talk to him just though this.
0:18:29 > 0:18:30Hi, Nathan.
0:18:30 > 0:18:32'How are you feeling?'
0:18:34 > 0:18:36Sorry. Stupid question.
0:18:36 > 0:18:39Do I have to go in this thing?
0:18:39 > 0:18:41Yeah, I'm afraid you do.
0:18:41 > 0:18:42'I don't want to.'
0:18:42 > 0:18:45I want to go home.
0:18:45 > 0:18:48You can't go home just yet, sweetheart.
0:18:50 > 0:18:52Talk to him. It'll help him relax.
0:18:56 > 0:18:57I don't know what to say.
0:18:57 > 0:18:59Come on, Kate.
0:19:04 > 0:19:07This is the hospital you were born in, Nathan.
0:19:08 > 0:19:11'I remember I was really scared too.'
0:19:11 > 0:19:14I didn't know what was going on.
0:19:15 > 0:19:18All the doctors rushing round,
0:19:18 > 0:19:20saying things I didn't understand...
0:19:22 > 0:19:24'..doing strange things to me.'
0:19:28 > 0:19:31I was confused for a long time.
0:19:33 > 0:19:35I was very ill.
0:19:43 > 0:19:46It took me a really long time to get better.
0:19:48 > 0:19:50But I did in the end,
0:19:50 > 0:19:52and I'm going to try and help you get better too.
0:19:54 > 0:19:56I know my dad forced you into this.
0:19:59 > 0:20:01You don't have to do it if you don't want to.
0:20:03 > 0:20:04I do want to.
0:20:06 > 0:20:10Never thought I'd want to have an operation so much.
0:20:10 > 0:20:12Are you going to stay here for a bit now?
0:20:13 > 0:20:14Yeah.
0:20:16 > 0:20:18Dr Ashford needs you in his office.
0:20:19 > 0:20:21- Thank you.- It's all right.
0:20:29 > 0:20:31It's a question of capacity. If the son's got power of attorney,
0:20:31 > 0:20:34then she's unlikely to be able to give her consent, isn't she?
0:20:34 > 0:20:36She's got vascular dementia, so who knows?
0:20:36 > 0:20:38She seems to have moments of lucidity, but...
0:20:38 > 0:20:41- How is she otherwise? - She's an elderly lady, hypoxic,
0:20:41 > 0:20:45with an infective exacerbation of COPD and flu.
0:20:45 > 0:20:48Excuse me. What are you doing?
0:20:48 > 0:20:51- He's not feeling that great. - Well, if he's symptomatic...
0:20:51 > 0:20:53Fletch told me to find him a bed.
0:20:53 > 0:20:56I asked him to find him a seat. We've got no beds.
0:20:56 > 0:20:59Go on, Tess. He's not very well.
0:20:59 > 0:21:01Here you are, sit down.
0:21:02 > 0:21:04Unless he's really ill, he can't stay here.
0:21:04 > 0:21:08I've already got the son breathing down my neck. We've got no beds as it is!
0:21:08 > 0:21:11The last thing I need is her son to fill a complaint.
0:21:11 > 0:21:14He loves her. We can't just chuck him out.
0:21:14 > 0:21:17Maybe I'm just an old romantic, eh?
0:21:17 > 0:21:19(Please, don't.)
0:21:21 > 0:21:23At least ask Lizzie how she feels.
0:21:26 > 0:21:28Another deep breath for me.
0:21:28 > 0:21:30LIZZIE WHEEZES
0:21:30 > 0:21:34- I think the effusion is getting worse.- Pleural tap maybe?
0:21:34 > 0:21:38- Yes, I think we're at that point. - What's that?
0:21:38 > 0:21:41The flu is making your mother's COPD a lot worse.
0:21:41 > 0:21:43There's fluid building up in her lungs.
0:21:43 > 0:21:47- We'll probably going to have to remove it. - Will that help the breathing?
0:21:47 > 0:21:49It will relieve her symptoms a bit,
0:21:49 > 0:21:51but we have to tell you, your mother is very sick.
0:21:51 > 0:21:55We just have to hope she's strong enough to fight off the infection.
0:21:55 > 0:21:57Bill asked me to give you that.
0:21:57 > 0:21:58What's that?
0:22:03 > 0:22:05- Dancing? Is this a joke? - It's harmless.
0:22:05 > 0:22:08- It's upsetting her. - She might actually want him here.
0:22:08 > 0:22:12- Have you thought of that?- Does she look like she needs a lover? - Hold on.
0:22:14 > 0:22:15Lizzie? Lizzie, can you hear me?
0:22:15 > 0:22:20Bill, Bill Cartwright from your nursing home...
0:22:20 > 0:22:23Do you want Bill here with you? Is he your boyfriend?
0:22:23 > 0:22:26He's my...
0:22:27 > 0:22:30He's...
0:22:30 > 0:22:32my friend.
0:22:32 > 0:22:37Did you want him to be in your bed,
0:22:37 > 0:22:41or did he do it anyway without asking?
0:22:41 > 0:22:43I'd never be...
0:22:45 > 0:22:47I'd never be with another man.
0:22:47 > 0:22:51- It is all right, Mum. It's all right.- Terry was my love.
0:22:51 > 0:22:55Of course he was. She was with my father for 50 years.
0:22:55 > 0:22:58Just get this back on and breathe deeply. Shall we get her into resus?
0:22:58 > 0:23:02- Do you think there's room? - We'll just have to double bay.
0:23:02 > 0:23:05Can we arrange for someone from the care home to collect Mr Cartwright?
0:23:05 > 0:23:06- Tess...- Now, please.
0:23:06 > 0:23:10- It's all right, just keep breathing. - Can I have some help here, please?
0:23:10 > 0:23:12- Ready?- Resus.
0:23:15 > 0:23:16Thanks.
0:23:21 > 0:23:25Bill, I'm really sorry but I am going to have to send you home.
0:23:25 > 0:23:30- What? How's Lizzie? - She's not too great.
0:23:30 > 0:23:33Well, she's not going to...?
0:23:33 > 0:23:35She's not going to die, is she?
0:23:35 > 0:23:38Listen, we are going to do everything that we can for her.
0:23:38 > 0:23:40Oh, please, don't send me home, mate.
0:23:40 > 0:23:43Look, if I could find you a bed somewhere out of the way, I would.
0:23:43 > 0:23:45What if she needs me?
0:23:48 > 0:23:51He hasn't responded to the chemotherapy as we'd hoped.
0:23:51 > 0:23:54His system has mounted an inflammatory response
0:23:54 > 0:23:57which is making it difficult for him to fight off the sepsis.
0:23:57 > 0:24:02His white blood count has fallen below what we would like.
0:24:02 > 0:24:08And the CT scan shows some leukaemia deposits in Nathan's brain.
0:24:08 > 0:24:11That's probably what caused his fall this morning.
0:24:11 > 0:24:14What about the transplant? Will that help?
0:24:14 > 0:24:17I've been in contact with the testing lab,
0:24:17 > 0:24:20and I'm afraid you're not going to be able to provide
0:24:20 > 0:24:24a good enough match to make the transplant viable.
0:24:24 > 0:24:26But I thought...
0:24:26 > 0:24:28DAVID SOBS
0:24:28 > 0:24:30It doesn't always happen.
0:24:30 > 0:24:32I'm so sorry.
0:24:33 > 0:24:35I know it's difficult news.
0:24:36 > 0:24:38But there'll be another donor, won't there...?
0:24:43 > 0:24:46- David!- Ash, we need you downstairs.- OK.
0:24:50 > 0:24:52You should just go.
0:25:00 > 0:25:01Is he still bleeding?
0:25:01 > 0:25:04No, I've removed the tampon and the epistaxis has stopped,
0:25:04 > 0:25:08- but we can't seem to get on top of this fever.- What's going on?
0:25:08 > 0:25:10He's not responding to the antibiotics.
0:25:10 > 0:25:13Can someone get me the PICU consultant on the phone, please?
0:25:13 > 0:25:16- I'm staying. - You're not needed here any more.
0:25:16 > 0:25:19Angela, could you do another set of blood cultures?
0:25:19 > 0:25:21And I'll get an arterial gas.
0:25:21 > 0:25:24No, no, that's the painful one in the wrist. Is that really necessary?
0:25:24 > 0:25:28- I'm afraid it is. I'll be as gentle as I can.- Kate?
0:25:30 > 0:25:31Hey.
0:25:31 > 0:25:33Hey, it's OK.
0:25:33 > 0:25:37Sorry, folks. All right, Nathan?
0:25:39 > 0:25:40Don't look.
0:25:42 > 0:25:43OK.
0:25:48 > 0:25:50Good man.
0:25:50 > 0:25:54Why don't you guys wait outside and let us do our jobs?
0:25:54 > 0:25:58Jamie, could you show them to the relatives' room, please? Thank you.
0:26:00 > 0:26:03I'll be right outside, OK?
0:26:15 > 0:26:20Dr Marsh is liaising with PICU about getting him upstairs. He's stable...
0:26:20 > 0:26:22- for now.- For now?
0:26:22 > 0:26:24His immune system is very damaged.
0:26:24 > 0:26:27It makes every problem that much harder to deal with.
0:26:27 > 0:26:29Well, we'll just have to keep waiting for another stem cell donor.
0:26:29 > 0:26:32Yes, I think that's his best hope now.
0:26:32 > 0:26:34Surely they'll bump a little boy up on the list?
0:26:34 > 0:26:36I mean, it's just a question of waiting.
0:26:36 > 0:26:38There isn't a donor, Kate.
0:26:38 > 0:26:42We've been waiting for two years. There's been nothing.
0:26:42 > 0:26:46Do you think I would have got in touch with you if there'd been a single alternative?
0:26:49 > 0:26:50We have to stay positive for Nathan.
0:26:50 > 0:26:52- Sorry, "we"? We?!- Yeah.
0:26:54 > 0:26:57You know nothing about what we've been through nothing. Nothing!
0:26:59 > 0:27:03When you've spent four years of your life sitting up with him
0:27:03 > 0:27:08as he throws his guts up, holding his hand as he cries out in pain,
0:27:08 > 0:27:10telling him everything's going to be all right
0:27:10 > 0:27:12when you know damn well it won't be,
0:27:12 > 0:27:16then you can talk to me about being positive!
0:27:18 > 0:27:20David...
0:27:27 > 0:27:30Look, I can't really talk right now, love.
0:27:30 > 0:27:34Yeah. Yeah. Listen, just keep taking her temperature.
0:27:34 > 0:27:37But if it gets any higher, give us another call, all right?
0:27:37 > 0:27:39OK, I've got to go. Bye.
0:27:39 > 0:27:42- Has he gone? - Care home woman just collected him.
0:27:42 > 0:27:45She brought the rest of Mrs Fisher's things and some paperwork.
0:27:45 > 0:27:48Asked if we can give them to her son as she's not going back there.
0:27:48 > 0:27:5180 years old and your life can fit into a box.
0:27:51 > 0:27:52Pretty. Bless her.
0:27:54 > 0:27:56Thanks. I'll take them to her.
0:28:01 > 0:28:02David?
0:28:13 > 0:28:16David, I know how much you've done for Nathan...
0:28:18 > 0:28:21..and how much pressure you've been under...
0:28:23 > 0:28:25..and how lonely it must have been.
0:28:29 > 0:28:32You've obviously been under a lot of strain.
0:28:32 > 0:28:34I want to help.
0:28:36 > 0:28:39And I want to make up the time I've missed with Nathan.
0:28:39 > 0:28:42I want to be a proper mum to him again.
0:28:45 > 0:28:47Dr Ashford's calling a family mediator.
0:28:47 > 0:28:50They'll help with all the medical stuff.
0:28:50 > 0:28:52And they can help us discuss the issue of access.
0:28:52 > 0:28:57You know, joint living arrangements,
0:28:57 > 0:29:00taking some of the weight off you.
0:29:00 > 0:29:03Did you not understand what the doctors said?
0:29:04 > 0:29:06He's dying, Kate.
0:29:12 > 0:29:13I'm not going to let you take him away
0:29:13 > 0:29:16for the last little bit of time that he has left.
0:29:20 > 0:29:24I can't change what I did, but I'm not abandoning him again now.
0:29:26 > 0:29:30And however long he's got left, I'm going to be there for him.
0:29:30 > 0:29:35And you may not like it, but I'm still his mum, David.
0:29:37 > 0:29:39You ruined his life.
0:29:41 > 0:29:43And mine.
0:29:45 > 0:29:47You do not deserve him.
0:30:13 > 0:30:18David? Are you OK?
0:30:26 > 0:30:29Hey, whatever happens,
0:30:29 > 0:30:31you're here for him. That's what matters.
0:30:37 > 0:30:40His whole life's been spent inside hospitals.
0:30:44 > 0:30:48This morning all he wanted to do was fly a kite and I didn't let him.
0:30:59 > 0:31:01He never even got the chance to be a little boy.
0:31:11 > 0:31:14I've attached a three-way tap and we are drawing off fluid.
0:31:14 > 0:31:18It's all right, Mum, try and relax, OK? I'm here.
0:31:18 > 0:31:21This should make you feel a bit better, Lizzie.
0:31:22 > 0:31:25Right, the care home sent over the things your mother left behind.
0:31:25 > 0:31:29And I asked them for their daily record sheets.
0:31:29 > 0:31:33And this one is from October. "Wouldn't eat breakfast today,
0:31:33 > 0:31:36"refused bathing, change of clothes. Eating meals in her room."
0:31:36 > 0:31:40Then six weeks later, "Eating meals in the main shared area.
0:31:40 > 0:31:43"Personal grooming much better, brushed hair every day,
0:31:43 > 0:31:45"wearing pearls and even asked for some lipstick."
0:31:45 > 0:31:49November 23rd, "Lizzie played piano and sang to the other residents."
0:31:49 > 0:31:52Bill had moved in just before that.
0:31:53 > 0:31:56Right, this is Bob Symonds, 73, query pneumonia,
0:31:56 > 0:31:58he has also got a known history of hypertension.
0:31:58 > 0:32:00Where do you want him, Tess?
0:32:00 > 0:32:03That's not been cleaned down yet, you're going to have to wait.
0:32:03 > 0:32:06- We got two more outside. - But there's nowhere for them to go.
0:32:11 > 0:32:13I'll be right back.
0:32:20 > 0:32:23I think we should be asking ambulances to divert to St James'.
0:32:23 > 0:32:26- Why?- I've got two critical patients waiting outside,
0:32:26 > 0:32:29and I've got no resus bays left and no staff.
0:32:29 > 0:32:31What are site management doing about this?
0:32:31 > 0:32:33- Shift some patients up to the wards. - They're all as full as we are.
0:32:33 > 0:32:36Look, I'm not known as someone who gives up easily,
0:32:36 > 0:32:38but there is a limit to what we can cope with.
0:32:40 > 0:32:42OK, listen up, everyone.
0:32:42 > 0:32:46From now on, walk-ins are to be seen where they are in reception.
0:32:46 > 0:32:50All new non-critical arrivals will be treated in their ambulances outside the ED.
0:32:50 > 0:32:54We'll set up a major incident tent in the car park as a triage area.
0:32:54 > 0:32:57I don't want anyone in this ED who doesn't absolutely need a bed.
0:32:57 > 0:32:59Everyone clear?
0:32:59 > 0:33:01- ALL: Yeah. - Good.
0:33:02 > 0:33:05Now, if I'm right, when you talked to Zoe this morning,
0:33:05 > 0:33:09she suggested that you close the ED if it got too busy.
0:33:09 > 0:33:11- ASH SIGHS - Am I right?
0:33:12 > 0:33:15I'm not going to send people away, Charlie.
0:33:31 > 0:33:34Tess, you're running around after all your patients,
0:33:34 > 0:33:37you're taking care of everyone else, and you're shattered.
0:33:40 > 0:33:43Don't you just want someone to take care of you for a bit?
0:33:43 > 0:33:44What if someone comes in?
0:33:47 > 0:33:49- Hello?- Yes, mate?
0:33:49 > 0:33:53I'm sorry, but Mum seems a bit distressed.
0:33:53 > 0:33:57Is there any way we can bring Bill back here?
0:34:05 > 0:34:09- Do you go to the hospital? - The other side of the road, mate.- Oh.
0:34:16 > 0:34:18BRAKES SQUEAL
0:34:22 > 0:34:25PEOPLE ALL TALK AT ONCE
0:34:32 > 0:34:35Dr Ashford! I love what you've done with the place.
0:34:35 > 0:34:39- Zoe.- Perhaps you would like to talk me through this new regime?
0:34:39 > 0:34:41Excuse me one sec, sorry.
0:34:43 > 0:34:46Kate, did you speak to David?
0:34:46 > 0:34:49SHE SOBS My poor little boy.
0:34:49 > 0:34:50Hey.
0:34:52 > 0:34:55They're waiting for him in paeds now.
0:34:55 > 0:34:57Oh, poor little thing.
0:34:59 > 0:35:01Oh.
0:35:03 > 0:35:05With a child, we never give up.
0:35:05 > 0:35:07There's always something more we can try.
0:35:07 > 0:35:09He said there was nothing more they could do.
0:35:09 > 0:35:11Did you ask somebody to move Nathan?
0:35:11 > 0:35:14- Big Mac's transferring him now. - He's not.
0:35:18 > 0:35:23- Nothing upstairs. - None of the other porters have seen him either, I'm afraid.
0:35:23 > 0:35:25- Where's the father?- I saw him in the gents' half an hour ago.
0:35:25 > 0:35:28- He was pretty stressed. - David's not answering his phone.
0:35:28 > 0:35:30There must be a logical explanation.
0:35:30 > 0:35:32This is still here - Nathan's drugs, everything he needs.
0:35:32 > 0:35:36David wouldn't have taken him anywhere without it.
0:35:36 > 0:35:39- OK, so who was monitoring him, then? - Robyn and Jamie.
0:35:39 > 0:35:41Well, they shouldn't have been working unsupervised!
0:35:41 > 0:35:44They weren't on their own for more than ten minutes.
0:35:44 > 0:35:46Well, we have to call the police, send out an ambulance.
0:35:46 > 0:35:48Yes, but where?
0:35:48 > 0:35:51Excuse me, have you got any idea where he may be?
0:35:51 > 0:35:53I just spoke to his neighbour, his van's not there.
0:35:53 > 0:35:57Sorry, when I saw him earlier, he said something about flying a kite.
0:35:57 > 0:35:59It could be nothing, but...
0:36:02 > 0:36:03Woo-hoo!
0:36:10 > 0:36:12Ah!
0:36:21 > 0:36:22How you doing?
0:36:25 > 0:36:27All right.
0:36:31 > 0:36:34You are one brave little man, you know that?
0:36:34 > 0:36:37We don't have to go back to the hospital, do we?
0:36:45 > 0:36:46No.
0:36:47 > 0:36:48No, we don't.
0:36:51 > 0:36:53Hey...
0:36:54 > 0:36:58..how about we go to a real kite-flying spot?
0:37:01 > 0:37:02Come on.
0:37:02 > 0:37:04Come on, buster, jump on.
0:37:14 > 0:37:17This is Bill Cartwright, 83. He's been clipped by a van
0:37:17 > 0:37:22- and banged his head.- Over there. - Lacerations to his face and his arm.
0:37:22 > 0:37:27GCS is 14, his BP's 160 over 90, and his sats are 95.
0:37:27 > 0:37:31OK, on three, please. One, two, three.
0:37:31 > 0:37:35- There we go.- Bill, you're in the hospital, we're going to look after you.
0:37:35 > 0:37:38OK, can we get X-rays of his chest and lateral C spine?
0:37:38 > 0:37:41- I'll order a CT brain. - Lizzie... How's Lizzie?
0:37:41 > 0:37:44Try and stay calm for me, Bill, OK? We're going to concentrate on you for now.
0:37:44 > 0:37:48- Lizzie... How's Lizzie? - Hey, are you guys free?- Yeah.
0:37:48 > 0:37:52The little boy, Nathan. We think his dad's taken him.
0:37:52 > 0:37:55- What was the last thing you said to him before he left? - We had a bit of a row.
0:37:55 > 0:37:59I was talking about who Nathan should live with, about access.
0:38:00 > 0:38:02I thought he needed a break.
0:38:04 > 0:38:06OK, do you want to have a seat, please?
0:38:06 > 0:38:08Put your seat belt on.
0:38:08 > 0:38:09After seven years?
0:38:09 > 0:38:12When the kid's having chemo for ALL? Nice(!)
0:38:20 > 0:38:23Do you see how beautiful it is, hey?
0:38:24 > 0:38:25Look at the sea.
0:38:27 > 0:38:30It goes on for miles and miles and miles.
0:38:32 > 0:38:34It's so peaceful.
0:38:41 > 0:38:45I reckon that's what heaven looks like.
0:38:46 > 0:38:47It's nice.
0:38:50 > 0:38:53I love you so, so much.
0:38:55 > 0:38:56I don't feel well, Dad.
0:39:06 > 0:39:07I'm so sorry.
0:39:10 > 0:39:13DAVID SOBS
0:39:13 > 0:39:16SIRENS BLARE
0:39:16 > 0:39:20SEAGULLS CRY
0:39:20 > 0:39:22- That's his van!- Yeah.
0:39:25 > 0:39:28He's there! He's on the rocks!
0:39:29 > 0:39:32Right, OK, come on, we'll drive round.
0:39:37 > 0:39:40The X-ray's just showing up a cracked rib.
0:39:42 > 0:39:46- Does that hurt? - It doesn't matter about me.
0:39:46 > 0:39:49OK, I'm going to remove the collar. Let's get some fluids through him.
0:39:49 > 0:39:51And can you give him some analgesia as well, please?
0:39:54 > 0:39:56Right, we are going to move your mum
0:39:56 > 0:40:00- so she's more comfortable when she wakes up.- What happened to him?
0:40:01 > 0:40:06- He was hit by a van when he tried to get on a bus, apparently.- A bus?
0:40:06 > 0:40:09Yeah. Paramedics seem to think he was trying to get back here.
0:40:14 > 0:40:16SEAGULLS CAW
0:40:23 > 0:40:25WAVES CRASH
0:40:25 > 0:40:26David!
0:40:28 > 0:40:29David!
0:40:32 > 0:40:34David!
0:40:37 > 0:40:39David!
0:40:40 > 0:40:42David!
0:40:42 > 0:40:44David!
0:40:44 > 0:40:45Look, just stay where you are.
0:40:45 > 0:40:47David! David...
0:40:47 > 0:40:49I don't want to talk to her!
0:40:49 > 0:40:51- Kate, just stay back a bit.- OK.
0:40:51 > 0:40:55He's had enough of it! So have I!
0:40:55 > 0:40:56OK, come on.
0:40:56 > 0:40:58Look in your arms, David.
0:40:58 > 0:41:00That's your little boy you got there.
0:41:00 > 0:41:02Don't give up on him now.
0:41:02 > 0:41:05I can't put him through this any more.
0:41:05 > 0:41:07We see a lot of sick people, mate,
0:41:07 > 0:41:08a lot of injured people,
0:41:08 > 0:41:11people who've been mashed up like you wouldn't believe.
0:41:11 > 0:41:13We never give up hope.
0:41:13 > 0:41:17This isn't about hope, OK? This is about reality.
0:41:17 > 0:41:21I can't watch him suffer. I can't put him through this any more.
0:41:21 > 0:41:23It's the hardest thing in the world, isn't it,
0:41:23 > 0:41:26watching your kid have to go through all that pain and suffering?
0:41:26 > 0:41:30You just want to take it away, make it stop. I know.
0:41:31 > 0:41:34But this isn't just about you and Nathan, though, is it?
0:41:34 > 0:41:37- It's about Kate too.- No, it's not.
0:41:37 > 0:41:38- Isn't it?- No!
0:41:38 > 0:41:41I think you want to punish her for what she's done to you.
0:41:41 > 0:41:44Three years ago, my wife left me.
0:41:44 > 0:41:48She took my two kids, John and Sophia.
0:41:48 > 0:41:50Moved them away with her new fella.
0:41:51 > 0:41:54I see them once, maybe twice a year.
0:41:55 > 0:41:58There's not a day goes by I don't think about them...
0:41:58 > 0:42:00about her.
0:42:03 > 0:42:05At the time, mate, I hated her.
0:42:07 > 0:42:09I wanted to hurt her so badly.
0:42:09 > 0:42:13I know, in the middle of the night, those dark, dark thoughts.
0:42:13 > 0:42:16So don't tell me you're doing this for Nathan, mate.
0:42:16 > 0:42:17Cos I know you're not.
0:42:20 > 0:42:23It's a brave boy you've got in your arms there.
0:42:24 > 0:42:26He's braver than all of us.
0:42:26 > 0:42:29So if it's all right with you,
0:42:29 > 0:42:32I'd like to take him in now, please.
0:42:41 > 0:42:42Thank you.
0:43:00 > 0:43:04BP's 70 over 30 with no improvement after a fluid bolus.
0:43:04 > 0:43:06OK, into HDC, please.
0:43:06 > 0:43:09OK, let's start him on a noradrenalin infusion.
0:43:09 > 0:43:11Get someone from PICU down here, please.
0:43:11 > 0:43:15- Mum...- I'm here. I'm here.
0:43:15 > 0:43:17I'm not leaving you.
0:43:19 > 0:43:22One, two, three...
0:43:22 > 0:43:24OK. Good man.
0:43:31 > 0:43:32I love you.
0:43:33 > 0:43:35How's Lizzie?
0:43:35 > 0:43:38She's all right. She's fine.
0:43:40 > 0:43:42- See?- Lizzie!
0:43:44 > 0:43:46I thought you might want to say hello.
0:43:48 > 0:43:49Bill!
0:43:49 > 0:43:52Right, I'll be back in a bit. You two rest.
0:43:57 > 0:44:01Ah, there you are! Have you had your mobile switched off or something?
0:44:01 > 0:44:03No.
0:44:09 > 0:44:10How's our boy?
0:44:23 > 0:44:25I said we'd get him a new kite.
0:44:36 > 0:44:38Do you have any idea how close we came to disaster?
0:44:38 > 0:44:42- We came through it.- You should have closed this department hours ago
0:44:42 > 0:44:44and diverted all patients to St James's.
0:44:44 > 0:44:47The whole region's stretched. The city couldn't afford
0:44:47 > 0:44:49to lose an emergency department at a time like this.
0:44:49 > 0:44:51We can't afford to put our patients in danger.
0:44:51 > 0:44:55Those students are not ready to cope with what you gave them to do today.
0:44:55 > 0:44:56The rest of the staff look like zombies!
0:44:56 > 0:44:59It is a miracle we didn't lose anyone, to be honest.
0:45:01 > 0:45:02Sorry.
0:45:02 > 0:45:04They're moving Nathan upstairs.
0:45:04 > 0:45:06Thanks. Excuse me.
0:45:08 > 0:45:10Can you believe that, Charlie?
0:45:10 > 0:45:13I told him to close the department down, but, no.
0:45:13 > 0:45:18Instead, he goes and sets up a mass casualty tent outside the car park.
0:45:18 > 0:45:19What he did was
0:45:19 > 0:45:23he put patient care ahead of what the boss told him to do.
0:45:23 > 0:45:25Does that remind you of anyone?
0:45:25 > 0:45:27You just happen to be the boss now.
0:45:27 > 0:45:29Charlie, look, I know you two have history.
0:45:29 > 0:45:32If I can't trust him, I can't work with him.
0:45:33 > 0:45:34Everyone else trusts him.
0:45:48 > 0:45:51- She looks happier.- Yeah.
0:45:51 > 0:45:54They say she can go home in a couple of days.
0:45:54 > 0:45:56Back to the Silver Firs.
0:45:56 > 0:45:58With Bill?
0:45:58 > 0:45:59Yeah.
0:46:01 > 0:46:05I know she may only have a few good months left, but...
0:46:06 > 0:46:08You're right.
0:46:08 > 0:46:10He does seem to make her happy.
0:46:12 > 0:46:13Thanks for everything.
0:46:26 > 0:46:28Dr Ashford.
0:46:28 > 0:46:31I realise you've had a difficult time of it,
0:46:31 > 0:46:34and, considering the circumstances,
0:46:34 > 0:46:36it hasn't gone as badly as it could have done.
0:46:37 > 0:46:41So obviously there will be a probationary period first,
0:46:41 > 0:46:42just to see how we all get on...
0:46:45 > 0:46:49And so I'd like to offer you a permanent position on our team.
0:46:49 > 0:46:51You won't regret it. I can promise you that.
0:46:51 > 0:46:53We'll see.
0:46:55 > 0:47:00- WILL I regret this?- They say you only regret the things you don't do.
0:47:00 > 0:47:01Well, whoever came up with that
0:47:01 > 0:47:04clearly hasn't been to the same parties as me.
0:47:07 > 0:47:09Have you seen Staff Nurse Fletcher?
0:47:09 > 0:47:10No, sorry, Tess.
0:47:20 > 0:47:22I'll try to be as gentle as possible, darling.
0:47:22 > 0:47:24That didn't hurt a bit, did it, eh?
0:47:24 > 0:47:26- No.- You're so brave, Evie.
0:47:26 > 0:47:30You're Daddy's brave little girl, aren't you?
0:47:30 > 0:47:33I'm sorry. I know you said not to bring her in, but...
0:47:33 > 0:47:35NATALIE STARTS TO CRY
0:47:35 > 0:47:38It's fine. Natalie, look...
0:47:38 > 0:47:41you did the right thing. She's all right.
0:47:41 > 0:47:45And I'll stay home tomorrow and I'll look after her, all right?
0:47:54 > 0:47:57And he's off! Good luck, Mac.
0:47:57 > 0:48:00Big Mac T-shirts are now ready.
0:48:00 > 0:48:02EXPLOSION
0:48:02 > 0:48:04Chloe, where are you?
0:48:04 > 0:48:07- You don't mind me tagging along? - No, absolutely.
0:48:07 > 0:48:08- Hang on.- It's fine, we can manage.
0:48:08 > 0:48:10But there's things we need to talk through.
0:48:10 > 0:48:13You must be the oldest Bar Mitzvah boy I've seen.
0:48:13 > 0:48:15- We were OK until we came here. - He can't take care of himself.
0:48:15 > 0:48:17Why don't you involve yourself in Maurice's care more?
0:48:17 > 0:48:20Those are the notes I marked!
0:48:20 > 0:48:22Step outside and calm down.
0:48:47 > 0:48:50Subtitles by Red Bee Media Ltd