Though Lovers be Lost Casualty

Sats are down to 84.

CO2's rising. Let's set up for an RSI.

OK, Mr Stevens, try and relax.

We're going to help your breathing.

Tess, could you apply cricoid pressure

while I prepare to intubate, please?

Ketamine going in.

Sux in.

Not much of a view, I need a bougie.

CLATTERING

-You all right?

-Yes, of course.

Thank you.

OK.

Get these two into cubicles three

and get the bays cleaned as soon as we can.

PEOPLE COUGH

SEAGULLS CRY

OK, come on, let's get him in.

We've got to be in by 11, anyway.

I'm sorry. Thought a bit of fresh air might help take his mind off things.

And yours.

What, in this weather?

Can we get a kite?

Not today. We've got to go now.

She said we were going on the beach.

We've been in the hospital every day

I know.

But today's different, isn't it?

Because today Kate has to come with us.

And we'd hate to waste her time, wouldn't we?

I'll go and get the van.

Keep her on half hourly obs and come and find me

if her BP drops at all.

The intubation went smoothly.

Great. I'm a bit worried about Mrs Parks.

We need to push for a bed.

OK.

Look, I don't know about you,

but I haven't been able to sleep all week.

Been coming in here every day

hoping that we're going to be on the same shift.

We can't do this now.

Your eyes are all shiny. Are you all right?

I'm running a temperature, must be coming down with this flu.

PHONE RINGS

Can you see about that bed, please?

Yes.

PHONE RINGS

Holby ED.

Where to next, Charlie?

Right, uh...

Charlie, Silver Firs Nursing Home. GP's sending two more over.

No. We've got no more beds.

He's already gone, mate, sorry.

-Hey.

-Yeah?

-Need more nurses in resus.

We're three down and Tess isn't far off.

They should be following my fitness regime,

then they wouldn't be dropping like flies.

You know, it's only taken me a few months to get fit enough

to do this half marathon next week.

How many agency have we got coming in?

You're looking at them. Whole region's overstretched.

-They've got no more nurses to send us.

-You're joking?

Ash, got Zoe on the phone, line one.

Thanks, Noel.

Sorry, young man, we'll sort you out somewhere in a moment.

Can we pop this jacket...?

Hi, Zoe.

Right you are, this way, sir.

No, you should stay at home till you're 100%.

No, absolutely. Goodbye.

What did she say?

Just wishing us the best of luck.

That's nice of her.

Where's Nathan?

I turned my back for two seconds.

Nathan!

Nathan!

ARCADE MUSIC PLAYS

Kate, I left you alone for five minutes!

Excuse me, have you see a little boy?

There he is.

Nathan!

Nathan!

Nathan!

Come away!

Nathan!

Nathan!

NATHAN COUGHS

Nathan!

Nathan!

Nathan!

SILENCE, WAVES CRASH

Nathan!

I'm serious.

Feel my forehead, I'm burning up.

You know what you've got, don't you, Jeffrey?

It's man flu.

I'm just praying you make it through the day.

RADIO: 'Emergency call to Beeson Bay. 10-year-old boy collapsed.

'Parents in attendance, no further information at this time.'

3006, we're on route, over.

SIRENS BLARE

How you feeling?

Only one thing for it.

It's piggyback time!

No, Bill, no!

Come on.

Chair over here, please.

OK, careful, you two.

Let's get you down.

There we go. That's it, take it easy.

Have you come from Silver Firs?

Yeah.

There's one, there's two.

-Off we go.

-I'll follow you in.

All right.

SIRENS BLARE

-Is he OK?

-I don't know!

Nathan, Nathan.

Spit it out. Come on, son.

He's down here! He's here.

Come on, wake up. Open your eyes.

He was only underwater for about ten seconds.

Right, what's his name?

-Nathan.

-Nathan. Nathan, can you hear me, love?

Nathan, can you hear me, sweetheart?

Right, what exactly happened to him?

He was just mucking about in the water, then he just went down.

-It happened....

-He's got leukaemia.

He's got ALL. He's been running a high temperature.

-It could have been a seizure.

-He's cyanosed.

He's gums are bleeding as well. He's had chemotherapy.

It could be neutropenia, couldn't it?

-We'll get him into the hospital.

-It could be, couldn't it?!

Yeah.

We're going to get you through to a cubicle, Mr Hardy. Won't be long.

Lizzie? Excuse me, is Lizzie Fisher here?

Are you her husband?

No, no, I'm a friend. I brought her in.

She's just over here.

Lizzie!

-Shouldn't she be in a bed?

-We're just trying to find her one.

As you can see, we're a bit stretched.

How long before she's treated?

I'm sorry, I can't say at the moment.

LIZZIE COUGHS

Lizzie, Lizzie, deep breaths.

Has the doctor seen her yet?

Don't fuss, I've got to wait my turn.

The doctor will be along as soon as she can

But look at her. Look, she's not well.

She can't breathe.

I'll see what I can do.

Tess, we got a kid with leukaemia coming in.

Well, he can't come in here!

They're already on their way.

All right, Nathan, you're being really brave. Your mum's here.

-She's going to hold your hand all the way.

-That's Kate.

Right. Kate, do you just want to take a little seat for me, love?

No, no. I should be going with him. Me.

What about the van? You follow us in.

Just get him in, yeah?

AMBULANCE BEEPS

PEOPLE COUGH

Well, I'm not very happy about her breathing.

Let's see what the chest X-ray throws up.

Get some fluids in and I'll do gases.

Nurse, can she have a cuppa?

Yeah, if she can manage it.

There you go.

I put a sugar in,

even though you're sweet enough already.

So you're both at Silver Firs?

Yes, it's not as bad as everybody says it is.

Maybe it's just the company that's nice.

Well, we'll try and get you feeling better as soon as we can,

-and get you back there.

-Yes, of course.

I've brought up her records, she's got a history of COPD.

OK.

Does she have relatives? Are they coming in?

I think her son's away.

It might be a good idea to let him know that she's here.

I don't know where he lives.

Look, he never comes to visit her. Never.

Mrs Fisher, would you like us to call your son?

She doesn't want him, OK?

OK.

Can you chase up that X-ray, please?

And he's pyrexial with a low BP and a pulse of 120.

He was submerged for about ten seconds.

There's some bleeding from his gums and his sats are 99.

OK, let's get a head CT soon as we can, get this wound sorted.

When did his last round of chemo finish?

-Last week.

-Right.

That's great.

Where is he?

He's stable. He's in good hands.

-OK. Thank you.

-David? Try and stay calm, will you?

Kate told us about the transplant,

that you're waiting to hear if she's a match?

Sadly, she's the only option left.

-We'll keep our fingers crossed for you.

-Thank you.

Jamie?

Do me a favour. Can you keep an eye on that fella for me, please?

Think he's in for a tough day.

Hello, sunshine.

-Dad...

-How is he?

He's running a bit of a fever, and, given his recent chemo,

I'm a bit concerned we could be looking at a complication from that.

OK, so what's next?

We're doing some blood tests.

We need to get some fluids into him, see if we can get

his blood pressure up and he'll need IV antibiotics.

You shouldn't have left him. Not even for one minute!

I turned my back for a second, David. It could have happened to anyone!

OK, I'll need any allergies he has, and what medication he's on.

Well?

-He doesn't have any allergies.

-Right.

There's a list of the medication he's on in here.

You can go to the relatives' room, if you like.

Gets a bit crowded in here, otherwise.

I'll come and find you when it's time to talk to Dr Marsh.

I can show you where it is.

We're due to speak to the haematologist at 11 o'clock,

find out if she's a haplo match.

Ash?

OK, he's going to need Taz and Gent.

-Let's get him weighed and I'll write them up.

-What is it?

It's called neutropenic sepsis.

It means he's got a very low white blood count.

Yeah, I know what it is.

Nathan? Oh, Nathan.

Don't be so hard on yourself.

Every boy needs his mum.

I'm not his mum.

Not any more.

What do you mean?

I walked out on them.

Oh.

No, don't bring her in here, love. We're really stretched, as it is.

I'm going to be on till eight

and I really don't think I can get away early.

Give her some Calpol.

-I've got to go.

-It's not looking good.

She's got right middle zone consolidation

and a pleural effusion.

-Someone needs to notify the husband.

-He's not her husband.

-Obviously wants to be, though.

-How old is she?

80. Good on 'em, eh?

-I'll talk to them.

-Thank you.

Does anyone know a Bill Cartwright?

What about him?

Lizzie, your lungs aren't working very well.

You've got an infection,

which, on top of your COPD, is making it very difficult for you

to breathe, so we need to admit you into hospital today.

Couldn't you give us something to take away with us?

I'm afraid not.

What if I called a taxi and took her home?

Could you stop me?

Well, depending on what Lizzie's wishes were, yes, I could.

She's very sick.

The doctors have written you up some steroids and nebulisers

and I'm going to give you some antibiotics and that'll help your breathing.

Are you off on a world cruise, mate? We got your bags from reception.

Where are you taking all this stuff?

I just thought it would be stuff

that Lizzie would need in hospital.

You know, like, clean nighties... and stuff.

Is there something we need to know about, Bill?

I just want to look after her.

Get your hands off my mother.

-Calm down, calm down.

-I don't want to fight you, Mark.

You won't get away with it, you filthy old pervert.

-You need to calm down.

-No, no, no.

-What's this about?

Ask him. Ask him what he did to my mother!

Can you find Mr Cartwright a seat in reception for now, please?

And would you like to come with me, sir? Could you keep an eye...?

It's all right, Mum.

-I won't be long. I'll be back in a minute.

-This way.

LIZZIE WHEEZES

I got a call from the home an hour ago.

Both missing with all their things.

He must have got a taxi.

But where would they be trying to go?

Mum's been going downhill for a while.

I have power of attorney over her health and welfare.

I'm trying to move her to a new home,

-one that can protect her properly.

-Protect her?

When I came to visit her a few weeks ago...

..he was in her bed.

I found out they'd caught him more than once.

They hadn't told me anything.

-I see.

-I should never have put her in that place.

-I know it must be upsetting to see something like...

-Upsetting?

But a lot of older people do lead active lives.

You don't understand.

She couldn't remember it when we asked her about it.

She doesn't know what he's doing to her.

He's lucky not to be facing a rape charge.

-Well, we'll...

-Unless there is a good reason

for him to be in this hospital, I want him gone,

or I shall be filing an official complaint -

failure to protect a vulnerable patient.

I didn't hurt her. I'd never hurt her.

Where were you taking her?

He's moving her to another home. He just wants to keep us apart.

She's a very sick lady. She needs constant care.

I've got money. I can get her looked after.

We just...

We just want to be together.

It probably sounds silly to you youngsters.

No, it doesn't.

But you can't just ignore what her family wants.

They've written her off. All they see is an old woman -

stick her in a home and forget about her.

She's still a lovely lady.

Look, if I give you some money, would you take her some flowers?

There's no flowers allowed, I'm afraid.

Then chocolates? I'm a bit rusty on all this.

She's not really going to be able to eat much.

Would you give her this?

-All right, mate.

-NATHAN COUGHS

Blood pressure's dropped to 81 over 61.

Carry on with the saline and can you get me

a nasal tampon, please? You're doing really well, Nathan.

Why is he bleeding so much?

I think there's a problem with his clotting.

It sometimes happens. Really well. Good lad.

Well done.

-That actually needs some lubrication jelly.

-OK.

Does he even know what he's doing?

-He's under my supervision.

-Charlie, I need you for a second, mate.

We've got 16 new admissions and no beds.

OK, I won't be long.

Listen, do exactly what Ash tells you.

If you need me, come and find me.

How much experience does this boy have?

I can guarantee he will receive the best possible treatment.

I'm sorry, I'm sorry, that is not good enough.

I want him moved to a ward with proper nurses, not children.

He's a sick, vulnerable child!

-We're doing our best.

-It's not good enough!

Look at him, for Christ's sake!

-Try and relax, Nathan.

-I'm sorry, son, I just want them

to look after you as best as possible, OK?

Just try and relax. You're doing really well, OK?

There. OK, can we get him to CT?

Angela, could you finish up with the nasal tampon?

-I'll come with you, yeah?

-The nurses will look after him.

I think we need to speak to Dr Marsh.

-Be brave, Nathan, OK? Be brave.

-He'll be fine.

I won't be long, I promise!

MACHINE WHIRRS

MACHINE BEEPS

Shouldn't you be seeing Dr Marsh?

They said they'd get me when they're ready.

Can I talk to him?

Yeah, just out here.

You can talk to him just though this.

Hi, Nathan.

'How are you feeling?'

Sorry. Stupid question.

Do I have to go in this thing?

Yeah, I'm afraid you do.

'I don't want to.'

I want to go home.

You can't go home just yet, sweetheart.

Talk to him. It'll help him relax.

I don't know what to say.

Come on, Kate.

This is the hospital you were born in, Nathan.

'I remember I was really scared too.'

I didn't know what was going on.

All the doctors rushing round,

saying things I didn't understand...

'..doing strange things to me.'

I was confused for a long time.

I was very ill.

It took me a really long time to get better.

But I did in the end,

and I'm going to try and help you get better too.

I know my dad forced you into this.

You don't have to do it if you don't want to.

I do want to.

Never thought I'd want to have an operation so much.

Are you going to stay here for a bit now?

Yeah.

Dr Ashford needs you in his office.

-Thank you.

-It's all right.

It's a question of capacity. If the son's got power of attorney,

then she's unlikely to be able to give her consent, isn't she?

She's got vascular dementia, so who knows?

She seems to have moments of lucidity, but...

-How is she otherwise?

-She's an elderly lady, hypoxic,

with an infective exacerbation of COPD and flu.

Excuse me. What are you doing?

-He's not feeling that great.

-Well, if he's symptomatic...

Fletch told me to find him a bed.

I asked him to find him a seat. We've got no beds.

Go on, Tess. He's not very well.

Here you are, sit down.

Unless he's really ill, he can't stay here.

I've already got the son breathing down my neck. We've got no beds as it is!

The last thing I need is her son to fill a complaint.

He loves her. We can't just chuck him out.

Maybe I'm just an old romantic, eh?

(Please, don't.)

At least ask Lizzie how she feels.

Another deep breath for me.

LIZZIE WHEEZES

-I think the effusion is getting worse.

-Pleural tap maybe?

-Yes, I think we're at that point.

-What's that?

The flu is making your mother's COPD a lot worse.

There's fluid building up in her lungs.

-We'll probably going to have to remove it.

-Will that help the breathing?

It will relieve her symptoms a bit,

but we have to tell you, your mother is very sick.

We just have to hope she's strong enough to fight off the infection.

Bill asked me to give you that.

What's that?

-Dancing? Is this a joke?

-It's harmless.

-It's upsetting her.

-She might actually want him here.

-Have you thought of that?

-Does she look like she needs a lover?

-Hold on.

Lizzie? Lizzie, can you hear me?

Bill, Bill Cartwright from your nursing home...

Do you want Bill here with you? Is he your boyfriend?

He's my...

He's...

my friend.

Did you want him to be in your bed,

or did he do it anyway without asking?

I'd never be...

I'd never be with another man.

-It is all right, Mum. It's all right.

-Terry was my love.

Of course he was. She was with my father for 50 years.

Just get this back on and breathe deeply. Shall we get her into resus?

-Do you think there's room?

-We'll just have to double bay.

Can we arrange for someone from the care home to collect Mr Cartwright?

-Tess...

-Now, please.

-It's all right, just keep breathing.

-Can I have some help here, please?

-Ready?

-Resus.

Thanks.

Bill, I'm really sorry but I am going to have to send you home.

-What? How's Lizzie?

-She's not too great.

Well, she's not going to...?

She's not going to die, is she?

Listen, we are going to do everything that we can for her.

Oh, please, don't send me home, mate.

Look, if I could find you a bed somewhere out of the way, I would.

What if she needs me?

He hasn't responded to the chemotherapy as we'd hoped.

His system has mounted an inflammatory response

which is making it difficult for him to fight off the sepsis.

His white blood count has fallen below what we would like.

And the CT scan shows some leukaemia deposits in Nathan's brain.

That's probably what caused his fall this morning.

What about the transplant? Will that help?

I've been in contact with the testing lab,

and I'm afraid you're not going to be able to provide

a good enough match to make the transplant viable.

But I thought...

DAVID SOBS

It doesn't always happen.

I'm so sorry.

I know it's difficult news.

But there'll be another donor, won't there...?

-David!

-Ash, we need you downstairs.

-OK.

You should just go.

Is he still bleeding?

No, I've removed the tampon and the epistaxis has stopped,

-but we can't seem to get on top of this fever.

-What's going on?

He's not responding to the antibiotics.

Can someone get me the PICU consultant on the phone, please?

-I'm staying.

-You're not needed here any more.

Angela, could you do another set of blood cultures?

And I'll get an arterial gas.

No, no, that's the painful one in the wrist. Is that really necessary?

-I'm afraid it is. I'll be as gentle as I can.

-Kate?

Hey.

Hey, it's OK.

Sorry, folks. All right, Nathan?

Don't look.

OK.

Good man.

Why don't you guys wait outside and let us do our jobs?

Jamie, could you show them to the relatives' room, please? Thank you.

I'll be right outside, OK?

Dr Marsh is liaising with PICU about getting him upstairs. He's stable...

-for now.

-For now?

His immune system is very damaged.

It makes every problem that much harder to deal with.

Well, we'll just have to keep waiting for another stem cell donor.

Yes, I think that's his best hope now.

Surely they'll bump a little boy up on the list?

I mean, it's just a question of waiting.

There isn't a donor, Kate.

We've been waiting for two years. There's been nothing.

Do you think I would have got in touch with you if there'd been a single alternative?

We have to stay positive for Nathan.

-Sorry, "we"? We?!

-Yeah.

You know nothing about what we've been through nothing. Nothing!

When you've spent four years of your life sitting up with him

as he throws his guts up, holding his hand as he cries out in pain,

telling him everything's going to be all right

when you know damn well it won't be,

then you can talk to me about being positive!

David...

Look, I can't really talk right now, love.

Yeah. Yeah. Listen, just keep taking her temperature.

But if it gets any higher, give us another call, all right?

OK, I've got to go. Bye.

-Has he gone?

-Care home woman just collected him.

She brought the rest of Mrs Fisher's things and some paperwork.

Asked if we can give them to her son as she's not going back there.

80 years old and your life can fit into a box.

Pretty. Bless her.

Thanks. I'll take them to her.

David?

David, I know how much you've done for Nathan...

..and how much pressure you've been under...

..and how lonely it must have been.

You've obviously been under a lot of strain.

I want to help.

And I want to make up the time I've missed with Nathan.

I want to be a proper mum to him again.

Dr Ashford's calling a family mediator.

They'll help with all the medical stuff.

And they can help us discuss the issue of access.

You know, joint living arrangements,

taking some of the weight off you.

Did you not understand what the doctors said?

He's dying, Kate.

I'm not going to let you take him away

for the last little bit of time that he has left.

I can't change what I did, but I'm not abandoning him again now.

And however long he's got left, I'm going to be there for him.

And you may not like it, but I'm still his mum, David.

You ruined his life.

And mine.

You do not deserve him.

David? Are you OK?

Hey, whatever happens,

you're here for him. That's what matters.

His whole life's been spent inside hospitals.

This morning all he wanted to do was fly a kite and I didn't let him.

He never even got the chance to be a little boy.

I've attached a three-way tap and we are drawing off fluid.

It's all right, Mum, try and relax, OK? I'm here.

This should make you feel a bit better, Lizzie.

Right, the care home sent over the things your mother left behind.

And I asked them for their daily record sheets.

And this one is from October. "Wouldn't eat breakfast today,

"refused bathing, change of clothes. Eating meals in her room."

Then six weeks later, "Eating meals in the main shared area.

"Personal grooming much better, brushed hair every day,

"wearing pearls and even asked for some lipstick."

November 23rd, "Lizzie played piano and sang to the other residents."

Bill had moved in just before that.

Right, this is Bob Symonds, 73, query pneumonia,

he has also got a known history of hypertension.

Where do you want him, Tess?

That's not been cleaned down yet, you're going to have to wait.

-We got two more outside.

-But there's nowhere for them to go.

I'll be right back.

I think we should be asking ambulances to divert to St James'.

-Why?

-I've got two critical patients waiting outside,

and I've got no resus bays left and no staff.

What are site management doing about this?

-Shift some patients up to the wards.

-They're all as full as we are.

Look, I'm not known as someone who gives up easily,

but there is a limit to what we can cope with.

OK, listen up, everyone.

From now on, walk-ins are to be seen where they are in reception.

All new non-critical arrivals will be treated in their ambulances outside the ED.

We'll set up a major incident tent in the car park as a triage area.

I don't want anyone in this ED who doesn't absolutely need a bed.

Everyone clear?

-ALL: Yeah.

-Good.

Now, if I'm right, when you talked to Zoe this morning,

she suggested that you close the ED if it got too busy.

-ASH SIGHS

-Am I right?

I'm not going to send people away, Charlie.

Tess, you're running around after all your patients,

you're taking care of everyone else, and you're shattered.

Don't you just want someone to take care of you for a bit?

What if someone comes in?

-Hello?

-Yes, mate?

I'm sorry, but Mum seems a bit distressed.

Is there any way we can bring Bill back here?

-Do you go to the hospital?

-The other side of the road, mate.

-Oh.

BRAKES SQUEAL

PEOPLE ALL TALK AT ONCE

Dr Ashford! I love what you've done with the place.

-Zoe.

-Perhaps you would like to talk me through this new regime?

Excuse me one sec, sorry.

Kate, did you speak to David?

SHE SOBS My poor little boy.

Hey.

They're waiting for him in paeds now.

Oh, poor little thing.

Oh.

With a child, we never give up.

There's always something more we can try.

He said there was nothing more they could do.

Did you ask somebody to move Nathan?

-Big Mac's transferring him now.

-He's not.

-Nothing upstairs.

-None of the other porters have seen him either, I'm afraid.

-Where's the father?

-I saw him in the gents' half an hour ago.

-He was pretty stressed.

-David's not answering his phone.

There must be a logical explanation.

This is still here - Nathan's drugs, everything he needs.

David wouldn't have taken him anywhere without it.

-OK, so who was monitoring him, then?

-Robyn and Jamie.

Well, they shouldn't have been working unsupervised!

They weren't on their own for more than ten minutes.

Well, we have to call the police, send out an ambulance.

Yes, but where?

Excuse me, have you got any idea where he may be?

I just spoke to his neighbour, his van's not there.

Sorry, when I saw him earlier, he said something about flying a kite.

It could be nothing, but...

Woo-hoo!

Ah!

How you doing?

All right.

You are one brave little man, you know that?

We don't have to go back to the hospital, do we?

No.

No, we don't.

Hey...

..how about we go to a real kite-flying spot?

Come on.

Come on, buster, jump on.

This is Bill Cartwright, 83. He's been clipped by a van

-and banged his head.

-Over there.

-Lacerations to his face and his arm.

GCS is 14, his BP's 160 over 90, and his sats are 95.

OK, on three, please. One, two, three.

-There we go.

-Bill, you're in the hospital, we're going to look after you.

OK, can we get X-rays of his chest and lateral C spine?

-I'll order a CT brain.

-Lizzie... How's Lizzie?

Try and stay calm for me, Bill, OK? We're going to concentrate on you for now.

-Lizzie... How's Lizzie?

-Hey, are you guys free?

-Yeah.

The little boy, Nathan. We think his dad's taken him.

-What was the last thing you said to him before he left?

-We had a bit of a row.

I was talking about who Nathan should live with, about access.

I thought he needed a break.

OK, do you want to have a seat, please?

Put your seat belt on.

After seven years?

When the kid's having chemo for ALL? Nice(!)

Do you see how beautiful it is, hey?

Look at the sea.

It goes on for miles and miles and miles.

It's so peaceful.

I reckon that's what heaven looks like.

It's nice.

I love you so, so much.

I don't feel well, Dad.

I'm so sorry.

DAVID SOBS

SIRENS BLARE

SEAGULLS CRY

-That's his van!

-Yeah.

He's there! He's on the rocks!

Right, OK, come on, we'll drive round.

The X-ray's just showing up a cracked rib.

-Does that hurt?

-It doesn't matter about me.

OK, I'm going to remove the collar. Let's get some fluids through him.

And can you give him some analgesia as well, please?

Right, we are going to move your mum

-so she's more comfortable when she wakes up.

-What happened to him?

-He was hit by a van when he tried to get on a bus, apparently.

-A bus?

Yeah. Paramedics seem to think he was trying to get back here.

SEAGULLS CAW

WAVES CRASH

David!

David!

David!

David!

David!

David!

Look, just stay where you are.

David! David...

I don't want to talk to her!

-Kate, just stay back a bit.

-OK.

He's had enough of it! So have I!

OK, come on.

Look in your arms, David.

That's your little boy you got there.

Don't give up on him now.

I can't put him through this any more.

We see a lot of sick people, mate,

a lot of injured people,

people who've been mashed up like you wouldn't believe.

We never give up hope.

This isn't about hope, OK? This is about reality.

I can't watch him suffer. I can't put him through this any more.

It's the hardest thing in the world, isn't it,

watching your kid have to go through all that pain and suffering?

You just want to take it away, make it stop. I know.

But this isn't just about you and Nathan, though, is it?

-It's about Kate too.

-No, it's not.

-Isn't it?

-No!

I think you want to punish her for what she's done to you.

Three years ago, my wife left me.

She took my two kids, John and Sophia.

Moved them away with her new fella.

I see them once, maybe twice a year.

There's not a day goes by I don't think about them...

about her.

At the time, mate, I hated her.

I wanted to hurt her so badly.

I know, in the middle of the night, those dark, dark thoughts.

So don't tell me you're doing this for Nathan, mate.

Cos I know you're not.

It's a brave boy you've got in your arms there.

He's braver than all of us.

So if it's all right with you,

I'd like to take him in now, please.

Thank you.

BP's 70 over 30 with no improvement after a fluid bolus.

OK, into HDC, please.

OK, let's start him on a noradrenalin infusion.

Get someone from PICU down here, please.

-Mum...

-I'm here. I'm here.

I'm not leaving you.

One, two, three...

OK. Good man.

I love you.

How's Lizzie?

She's all right. She's fine.

-See?

-Lizzie!

I thought you might want to say hello.

Bill!

Right, I'll be back in a bit. You two rest.

Ah, there you are! Have you had your mobile switched off or something?

No.

How's our boy?

I said we'd get him a new kite.

Do you have any idea how close we came to disaster?

-We came through it.

-You should have closed this department hours ago

and diverted all patients to St James's.

The whole region's stretched. The city couldn't afford

to lose an emergency department at a time like this.

We can't afford to put our patients in danger.

Those students are not ready to cope with what you gave them to do today.

The rest of the staff look like zombies!

It is a miracle we didn't lose anyone, to be honest.

Sorry.

They're moving Nathan upstairs.

Thanks. Excuse me.

Can you believe that, Charlie?

I told him to close the department down, but, no.

Instead, he goes and sets up a mass casualty tent outside the car park.

What he did was

he put patient care ahead of what the boss told him to do.

Does that remind you of anyone?

You just happen to be the boss now.

Charlie, look, I know you two have history.

If I can't trust him, I can't work with him.

Everyone else trusts him.

-She looks happier.

-Yeah.

They say she can go home in a couple of days.

Back to the Silver Firs.

With Bill?

Yeah.

I know she may only have a few good months left, but...

You're right.

He does seem to make her happy.

Thanks for everything.

Dr Ashford.

I realise you've had a difficult time of it,

and, considering the circumstances,

it hasn't gone as badly as it could have done.

So obviously there will be a probationary period first,

just to see how we all get on...

And so I'd like to offer you a permanent position on our team.

You won't regret it. I can promise you that.

We'll see.

-WILL I regret this?

-They say you only regret the things you don't do.

Well, whoever came up with that

clearly hasn't been to the same parties as me.

Have you seen Staff Nurse Fletcher?

No, sorry, Tess.

I'll try to be as gentle as possible, darling.

That didn't hurt a bit, did it, eh?

-No.

-You're so brave, Evie.

You're Daddy's brave little girl, aren't you?

I'm sorry. I know you said not to bring her in, but...

NATALIE STARTS TO CRY

It's fine. Natalie, look...

you did the right thing. She's all right.

And I'll stay home tomorrow and I'll look after her, all right?

And he's off! Good luck, Mac.

Big Mac T-shirts are now ready.

EXPLOSION

Chloe, where are you?

-You don't mind me tagging along?

-No, absolutely.

-Hang on.

-It's fine, we can manage.

But there's things we need to talk through.

You must be the oldest Bar Mitzvah boy I've seen.

-We were OK until we came here.

-He can't take care of himself.

Why don't you involve yourself in Maurice's care more?

Those are the notes I marked!

Step outside and calm down.

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