0:00:02 > 0:00:03Have a fantastic holiday.
0:00:03 > 0:00:06I've never even been on a plane before.
0:00:06 > 0:00:08I know about cutting.
0:00:08 > 0:00:10Is that why you don't want to go on holiday?
0:00:10 > 0:00:13Are you worried about being circumcised?
0:00:13 > 0:00:15It's meant.
0:00:17 > 0:00:19- FGM.- You think she is at risk?
0:00:19 > 0:00:21I asked her outright.
0:01:02 > 0:01:04LOUD CHATTERING, MUSIC
0:01:09 > 0:01:12Friday night special. The patient's Tamasha Kamil.
0:01:12 > 0:01:15She was so desperate not to go on holiday tonight
0:01:15 > 0:01:18she had a panic attack and tried to re-break her wrist.
0:01:18 > 0:01:20That's her family over there.
0:01:20 > 0:01:22Do we know why she didn't want to go?
0:01:22 > 0:01:24Tess thinks they were going to send her for an illegal operation.
0:01:24 > 0:01:27So you kept her in overnight to miss the flight?
0:01:27 > 0:01:28I wasn't satisfied she was fit to fly.
0:01:28 > 0:01:31It would have been negligent to let her go.
0:01:31 > 0:01:33We can't police patients' lives like that.
0:01:34 > 0:01:37But who is going to cover the costs of these? They're non-refundable!
0:01:37 > 0:01:39That's not our responsibility.
0:01:39 > 0:01:42This is incompetence. She could have been seen in half the time!
0:01:42 > 0:01:43Can I help?
0:01:43 > 0:01:46- Mum's upset about the tickets. - Can I go and see Tam again?
0:01:46 > 0:01:48SHE GROANS
0:01:48 > 0:01:49What's the matter?
0:01:49 > 0:01:53Your daughter has a urine infection. We've put her on antibiotics.
0:01:53 > 0:01:54Over here. Is the baby OK?
0:01:54 > 0:01:57Baby's fine. But she needs some rest.
0:01:57 > 0:01:58PHONE RINGS
0:01:58 > 0:02:03Sit down. No more worrying. Look after her. Look after Tamasha.
0:02:04 > 0:02:06This is good news!
0:02:06 > 0:02:07GLASS SHATTERS
0:02:07 > 0:02:10Right, girls! Out! Now!
0:02:21 > 0:02:25Thank you, ladies, this is a hospital, not a discotheque!
0:02:25 > 0:02:28Friday evening rush hour.
0:02:28 > 0:02:31Going to be a bit of a bit of a wait, I'm afraid.
0:02:31 > 0:02:33Resp rate is good. His O2 SATS are good.
0:02:33 > 0:02:36Your colour's good, think you are going to be fine, mate.
0:02:36 > 0:02:38See, I'm OK. Go.
0:02:40 > 0:02:43It's my birthday today. I'm late for my other half.
0:02:43 > 0:02:47Yeah? My birthday, too. She going to throw you a party?
0:02:47 > 0:02:49Dinner in, actually. Me and her.
0:02:49 > 0:02:52New bird. Likes to keep him to herself.
0:02:52 > 0:02:55Sounds like she knows what she wants! As, indeed, do I.
0:02:55 > 0:02:57So, Jeffrey, can I have my present, please?
0:02:57 > 0:03:00- No.- Oh, go on.- Fat chance.
0:03:00 > 0:03:03Right, I will go and find out what's happening.
0:03:04 > 0:03:06I'm in a spot of bother there, as it goes.
0:03:06 > 0:03:09Organised these tickets online for a concert. Moody website.
0:03:09 > 0:03:12Failed to deliver and it's sold out now.
0:03:12 > 0:03:13What's the gig?
0:03:13 > 0:03:15Oh, I don't know, some old German nonsense.
0:03:15 > 0:03:19Lieberdust or something, she likes them. Sell out theatre, it seems.
0:03:19 > 0:03:21I've still got a few connections.
0:03:21 > 0:03:24Right. It's going to be another ten minutes.
0:03:24 > 0:03:28OK, do you want to stay here and I'll just go and book us in?
0:03:28 > 0:03:29OK. Lovely.
0:03:29 > 0:03:31Mum's the word, fellas. Mum's the word.
0:03:31 > 0:03:33Shouldn't be too long.
0:03:33 > 0:03:35We'll move you to a cubicle as soon as we can.
0:03:36 > 0:03:39We need to get these beds turned round quicker.
0:03:39 > 0:03:40Yeah, I know.
0:03:41 > 0:03:44Hi, Tamasha, I'm Dr Ashford. How are you doing?
0:03:44 > 0:03:46Much better, thank you.
0:03:46 > 0:03:48Excellent, because the film shows
0:03:48 > 0:03:51your wrist fracture's in a good position. How's the headache?
0:03:51 > 0:03:54It's much better, too, thank you.
0:03:54 > 0:03:55Good, so all we need to look into
0:03:55 > 0:03:58is what caused your breathing difficulties earlier.
0:03:58 > 0:04:01Can you sit forward for me, please?
0:04:01 > 0:04:05Great. OK, nice deep breath.
0:04:05 > 0:04:07INHALES
0:04:07 > 0:04:09I hear you missed your flight.
0:04:09 > 0:04:12It's not her fault. Granny's trying to fix things anyway.
0:04:12 > 0:04:14- What do you mean?- It's a secret.
0:04:14 > 0:04:16Tell her you don't mind, tell her it's off for this year.
0:04:16 > 0:04:17Tell her you don't want it.
0:04:17 > 0:04:20But I do want it. I want to be like you.
0:04:20 > 0:04:22Safi. Quick. Come on!
0:04:23 > 0:04:25Safi!
0:04:26 > 0:04:27OK, back in a sec.
0:04:29 > 0:04:31- Think you've made a mistake. - I don't think so.
0:04:31 > 0:04:33We're wasting time and resources.
0:04:33 > 0:04:35And from what I've just heard, there's nothing...
0:04:35 > 0:04:37There's a backup of ambulances. And they are moaning.
0:04:37 > 0:04:40- Can you have a word?- Sure. - Zoe.- She stays here for now.
0:04:40 > 0:04:43So I tried that website for you. No luck, I'm afraid.
0:04:43 > 0:04:45OK, I'm going to have to switch to plan B, aren't I?
0:04:45 > 0:04:48You can't get us a corner of the staffroom, could you?
0:04:48 > 0:04:50- Bottle of bubbly, little bit of a cake.- Yeah. Why not?
0:04:50 > 0:04:52And can we get cubicle two up to Geriatrics,
0:04:52 > 0:04:56call Gynae for cubicle three and can we transfer cubicle seven to Paeds?
0:04:56 > 0:04:59- Jeff, how is it going out there? - You know, still backed up.
0:04:59 > 0:05:00What have you got?
0:05:00 > 0:05:0360-year-old male, collapsed at home with chest pains.
0:05:03 > 0:05:04Get him into Resus.
0:05:06 > 0:05:1336 Cloudsley Gardens. Like I said, it's just my granddaughter.
0:05:13 > 0:05:17She's 11. I'll be with her. Thank you.
0:05:17 > 0:05:19See you later.
0:05:19 > 0:05:22- Yes? Yes!- Mum!
0:05:22 > 0:05:24Here's the route.
0:05:24 > 0:05:27Stop worrying, Mum, he's got sat-nav!
0:05:27 > 0:05:28Where are they going?
0:05:30 > 0:05:33It's not the way we planned it, but at least it'll be done.
0:05:33 > 0:05:34What, here?
0:05:34 > 0:05:37There's no way we could afford another plane ticket.
0:05:37 > 0:05:38SHE GASPS
0:05:38 > 0:05:40I need to go home.
0:05:40 > 0:05:41SHE MOANS
0:05:41 > 0:05:43I need to lie down.
0:05:43 > 0:05:46Oh, my God. Mum, you are bleeding.
0:05:46 > 0:05:49Help. Help!
0:05:51 > 0:05:54Mike Eaton, 60 years old, collapsed at home with chest pains.
0:05:54 > 0:05:56He's had 300mg aspirin and GTN.
0:05:56 > 0:05:59Pain has subsided now and his ECG is normal.
0:05:59 > 0:06:01She's 32 weeks pregnant.
0:06:01 > 0:06:04I'd rather not share my room with her.
0:06:05 > 0:06:10She's got women's business going on. Shouldn't we give her privacy?
0:06:10 > 0:06:11Chest pains, brought in by ambulance.
0:06:11 > 0:06:13You need to stay in Resus, I'm afraid.
0:06:13 > 0:06:15I'm feeling so much better now.
0:06:15 > 0:06:17It's often like this, isn't it, Andy?
0:06:17 > 0:06:20It often calms down when we get to hospital.
0:06:20 > 0:06:23Maybe the stuff they give him in the ambulance sorts him out.
0:06:23 > 0:06:25Look, we need to run some tests to can rule out
0:06:25 > 0:06:27the possibility of cardiac trouble, OK?
0:06:27 > 0:06:29She's 32 weeks. We need to do an internal examination.
0:06:29 > 0:06:32- Can we put up some screens, please? - Please. No.
0:06:32 > 0:06:34She didn't want to be examined before when I saw her.
0:06:34 > 0:06:36But things have changed now, Hannan.
0:06:36 > 0:06:39I don't want to have my baby in hospital.
0:06:39 > 0:06:41So, Hannan, we do need to examine you now.
0:06:41 > 0:06:44Let's give the labour ward a heads up
0:06:44 > 0:06:45and can we page the Obstetric Reg?
0:06:45 > 0:06:48OK, Hannan, is there anyone we can contact for you?
0:06:48 > 0:06:50My husband is abroad.
0:06:50 > 0:06:52I'll try Granny.
0:06:52 > 0:06:55No. Leave them. I'm OK. You're here.
0:06:55 > 0:06:57Give Mum some space. Robyn, can you get Tamasha out of here?
0:06:57 > 0:06:59We will let you know when she is ready.
0:06:59 > 0:07:01Come on. Let's go and get you a cup of tea.
0:07:01 > 0:07:03SHE MOANS
0:07:03 > 0:07:05Tess. How does she present?
0:07:05 > 0:07:08Can we get her notes, please? She had a UTI.
0:07:08 > 0:07:12Microscopic haematuria and dysuria and was given Trimethoprim.
0:07:12 > 0:07:14OK. Do we know about her antenatal care?
0:07:14 > 0:07:16She wasn't in the system.
0:07:16 > 0:07:18OK, Hannan.
0:07:18 > 0:07:21I'm going to give you a quick internal examination just to
0:07:21 > 0:07:24make sure your cervix is dilating.
0:07:24 > 0:07:27The first two weren't born in the UK and the third was a home birth
0:07:27 > 0:07:30delivered by a midwife from the community.
0:07:30 > 0:07:34You're OK, Hannan. The doctor will be very gentle.
0:07:37 > 0:07:40I can't examine her. She's closed.
0:07:45 > 0:07:50Hannan, you're going to have to help me out here.
0:07:50 > 0:07:54This isn't something that we deal with that often.
0:07:54 > 0:07:58I'm going to need to ask you a few questions.
0:07:58 > 0:08:01Sorry to interrupt, but Tamasha's going. I can't stop her.
0:08:01 > 0:08:05It's really important that she stays. We are OK here.
0:08:05 > 0:08:09Start on the first unit of blood, get an ultrasound sorted,
0:08:09 > 0:08:12keep her on half-hourly obs, Linda, and I'll be right back.
0:08:14 > 0:08:16I explained she can't just leave.
0:08:16 > 0:08:18Tamasha, where are you going?
0:08:18 > 0:08:20You need to be reviewed before you're discharged.
0:08:20 > 0:08:24Thanks, Robyn. I'll have a word with her alone.
0:08:24 > 0:08:26Why are you going? You're safe here. The flight's gone.
0:08:26 > 0:08:28You don't have anything to worry about.
0:08:28 > 0:08:30- I need a word.- Not now.- Urgently.
0:08:36 > 0:08:38She's already been circumcised.
0:08:38 > 0:08:39What?
0:08:39 > 0:08:41It's the little sister that's at risk.
0:08:41 > 0:08:44Looks like Tamasha was flying out as a chaperone.
0:08:44 > 0:08:46I tried to tell you earlier.
0:08:57 > 0:09:00Was it your sister who was due to have the operation?
0:09:00 > 0:09:04Are you worried that someone might take her on another flight?
0:09:10 > 0:09:13As long as you're a patient in this hospital,
0:09:13 > 0:09:15I can help you and your sister.
0:09:15 > 0:09:18In here, your wellbeing is my responsibility.
0:09:18 > 0:09:19But if you leave, I can't.
0:09:19 > 0:09:21How can you help?
0:09:21 > 0:09:24It's against the law for a girl to leave the country, if you know it's
0:09:24 > 0:09:28with the intention of having them circumcised for non-medical reasons.
0:09:28 > 0:09:31We'll tell the authorities to explain this to your family.
0:09:31 > 0:09:33- Change their minds. - It wouldn't work.
0:09:33 > 0:09:37Yes, it would. Because they would understand it was a criminal act.
0:09:44 > 0:09:47You've made the right decision.
0:09:47 > 0:09:50We'll give you something to eat. I'll be right back.
0:09:55 > 0:09:58- Tamasha's agreed to talk to Social Services.- Great.
0:09:58 > 0:10:00SHE MOANS LOUDLY
0:10:00 > 0:10:01Absolutely normal.
0:10:03 > 0:10:06She always behaves in front of uniforms.
0:10:06 > 0:10:09I just want to check you and the baby.
0:10:09 > 0:10:10I want to discharge myself.
0:10:10 > 0:10:13Seems you've a bit of a habit of doing that.
0:10:13 > 0:10:14St James' sent over his notes.
0:10:14 > 0:10:16Admitted four times in the last 12 months.
0:10:16 > 0:10:19And left before the second troponin tests.
0:10:19 > 0:10:20We can't give you a proper diagnosis
0:10:20 > 0:10:22if you don't see the treatment through.
0:10:22 > 0:10:25Really? No-one explained that, did they, Andy?
0:10:25 > 0:10:26I'm feeling better,
0:10:26 > 0:10:28so I thought I was doing you a favour, freeing up a bed.
0:10:28 > 0:10:30Shouldn't really be on that in here, mate.
0:10:30 > 0:10:32This test we've done on you, troponin,
0:10:32 > 0:10:34takes two hours to come through.
0:10:34 > 0:10:37Once we have the results, we need to run another similar test.
0:10:37 > 0:10:38HANNAN SCREAMS
0:10:38 > 0:10:39Two hours?
0:10:39 > 0:10:43- We might be able to move you after the tests.- You're a gem.
0:10:43 > 0:10:45Brilliant, Jimmi, nice one.
0:10:45 > 0:10:48Dad. Looks like Jimmi can sort something out.
0:10:48 > 0:10:50Do us a favour, will you?
0:10:50 > 0:10:53Tell that paramedic I can help him out. We need a little chat.
0:10:53 > 0:10:54Right.
0:10:54 > 0:10:56PHONE BEEPS
0:10:56 > 0:10:57It's Fiona.
0:10:57 > 0:10:59HE COUGHS
0:10:59 > 0:11:02Got him wrapped round his little finger.
0:11:02 > 0:11:04Seems nice enough to me.
0:11:04 > 0:11:07Come on. He's a world-class manipulator, that fella!
0:11:09 > 0:11:12Hannan, when I examined you, there was keloid scarring.
0:11:12 > 0:11:17As if you've been circumcised and resutured. Am I correct?
0:11:17 > 0:11:18Let's have a listen.
0:11:24 > 0:11:26ULTRASOUND TICKS
0:11:26 > 0:11:27Baby's fine.
0:11:27 > 0:11:29OK, let's have a look.
0:11:29 > 0:11:32I'm pretty sure you're in labour, Hannan,
0:11:32 > 0:11:35but because you're closed, I can't tell how dilated you are.
0:11:35 > 0:11:38Do we know what's causing the bleed?
0:11:38 > 0:11:41A placental abruption, maybe, but without an exam, I can't be certain.
0:11:41 > 0:11:43Can you call Obstetrics and update them?
0:11:43 > 0:11:46- They should be on their way down! - I don't understand.
0:11:46 > 0:11:49The placenta's meant to be fixed but yours is breaking away.
0:11:49 > 0:11:52My obstetric placement wasn't a waste of time, then?
0:11:52 > 0:11:54- Breaking?- Detaching.
0:11:54 > 0:11:57It means the placenta's maybe detaching earlier than it should.
0:11:57 > 0:11:59SHE MOANS
0:11:59 > 0:12:02OK, let's get more pain relief and then we'll transfer you upstairs
0:12:02 > 0:12:05to Gynae, where you'll get the specialist care that you need.
0:12:05 > 0:12:06I want my daughter.
0:12:06 > 0:12:10OK. Robyn, can you go and get Tamasha, please?
0:12:10 > 0:12:12What do you mean by "closed?"
0:12:12 > 0:12:16- FGM.- What?- Later. Get Tamasha.
0:12:18 > 0:12:20Sorry.
0:12:22 > 0:12:23Granny? Safi?!
0:12:23 > 0:12:25- What are you doing? - Where are they?
0:12:25 > 0:12:27Thought you were all going on holiday!
0:12:27 > 0:12:29- You've got to help me. - What happened to your arm?
0:12:29 > 0:12:33They're going to circumcise Safi. Here. Somewhere in Holby. Tonight.
0:12:33 > 0:12:34What?
0:12:36 > 0:12:40Can Tamasha Kamil come to reception, please?
0:12:40 > 0:12:42What does FGM stands for?
0:12:42 > 0:12:44Female Genital Mutilation. Why?
0:12:44 > 0:12:45Hiya!
0:12:45 > 0:12:48Before you ask, I've already ordered a cake. And balloons.
0:12:48 > 0:12:50- You lifesaver.- Jeff.- Yeah.
0:12:50 > 0:12:52Got a message from the bloke you brought in earlier
0:12:52 > 0:12:53- with chest pains.- Oh yeah?
0:12:53 > 0:12:56Listen, I wouldn't trust him. He's a dodgy old tout.
0:12:56 > 0:12:59- I know that.- If it's tickets you're after, I might know someone.
0:12:59 > 0:13:01I'm all right, thanks. All right.
0:13:02 > 0:13:05You can't just tip out Granny's stuff like that.
0:13:06 > 0:13:09Look for a doctor with a UK address.
0:13:10 > 0:13:12I didn't know you were against it.
0:13:12 > 0:13:14It's not something I talk about.
0:13:14 > 0:13:16When you were ill that time on holiday.
0:13:16 > 0:13:18Was that when you had it done?
0:13:22 > 0:13:23Did it hurt?
0:13:23 > 0:13:25It never stops hurting.
0:13:32 > 0:13:33Dr Abasi?
0:13:36 > 0:13:37- Let's go.- Wait. How?
0:13:37 > 0:13:40- Mum's car.- She'll kill me.
0:13:40 > 0:13:44Girls die from this operation! We've got to stop him.
0:13:44 > 0:13:45Look, Tamasha!
0:13:49 > 0:13:50Where's Tamasha?
0:13:50 > 0:13:52We'll get her sent up to you.
0:13:53 > 0:13:56Dr Hanna. I put out a call and I looked everywhere,
0:13:56 > 0:13:58but I can't find Tamasha. She's gone.
0:14:08 > 0:14:11Sara, up to bed, come on. Come on. Hi. Can I help?
0:14:11 > 0:14:14- I'm looking for Dr Abasi. - What do you want?
0:14:14 > 0:14:16He treats our community privately sometimes.
0:14:16 > 0:14:17You've got the wrong person.
0:14:17 > 0:14:19My husband doesn't work as a doctor in this country.
0:14:19 > 0:14:21- CAR LOCK BEEPS - Is that him?
0:14:23 > 0:14:24Dr Abasi?
0:14:24 > 0:14:28I'm the sister of one of the girls you're operating on tonight.
0:14:28 > 0:14:30Not now. Not here. Call me, eh?
0:14:30 > 0:14:31What's going on?
0:14:31 > 0:14:34Just a mix-up. See you later.
0:14:34 > 0:14:35I don't have your number!
0:14:39 > 0:14:40What's his number?
0:14:40 > 0:14:43You tell me what you want from him before I give you anything.
0:14:43 > 0:14:45Follow him!
0:14:45 > 0:14:46Stop or I'll call the police.
0:14:46 > 0:14:49Go on. You'll be doing me a favour.
0:14:49 > 0:14:50Quick.
0:14:59 > 0:15:02There he is! Quick, cut him off.
0:15:02 > 0:15:03Can't we just call the police?
0:15:03 > 0:15:05No, we can't. Go on.
0:15:06 > 0:15:08Accelerate! Go on.
0:15:11 > 0:15:13HORN BEEPS
0:15:17 > 0:15:19HORN BEEPS
0:15:23 > 0:15:25Pull over.
0:15:27 > 0:15:28HORN BEEPS
0:15:28 > 0:15:30Get ahead and cut him off.
0:15:30 > 0:15:33I can't find fifth gear. Come on, come on.
0:15:38 > 0:15:39I don't understand.
0:15:39 > 0:15:41She had just agreed for me to call Social Services.
0:15:41 > 0:15:43- Are you sure?- I called them.
0:15:43 > 0:15:46She didn't want what had happened to her to happen to her sister.
0:15:46 > 0:15:48Did she actively engage in the conversation
0:15:48 > 0:15:49or just passively agree?
0:15:49 > 0:15:51When my daughter goes into nodding mode
0:15:51 > 0:15:54- I know she's plotting something. - Same.
0:15:54 > 0:15:56I explained to her, as long as she was a patient at this hospital,
0:15:56 > 0:15:57we could help her.
0:15:57 > 0:16:00We could get the authorities involved. That it was a crime.
0:16:00 > 0:16:02And who were the criminals?
0:16:03 > 0:16:05Her family.
0:16:05 > 0:16:08Did she agree to turn her mother and grandmother over to the authorities?
0:16:08 > 0:16:12No, that is why we can't get involved.
0:16:12 > 0:16:16Until SHE talks to Social Services, there's nothing anyone can do.
0:16:16 > 0:16:19It's too culturally sensitive!
0:16:19 > 0:16:21That is such a liberal get-out clause.
0:16:21 > 0:16:23If a little, white, middle-class girl came back from her
0:16:23 > 0:16:25summer holiday with her fingertip cut off,
0:16:25 > 0:16:27would that be OK? We'd get involved then, wouldn't we?
0:16:27 > 0:16:30There's no cultural precedent for that, it's not comparable.
0:16:30 > 0:16:33- I'd call the Social. Straight up. - I'd call it abuse.
0:16:33 > 0:16:34And that is what the law calls this!
0:16:34 > 0:16:36So why do we stand by and do nothing?
0:16:36 > 0:16:39Because it's complex! Her mother wouldn't call it that.
0:16:39 > 0:16:41She'd call it tradition.
0:16:41 > 0:16:44I still think we had the chance to do something. And we missed it!
0:16:44 > 0:16:48We're medics. There's only so much we can do.
0:16:48 > 0:16:50This is one for the politicians.
0:16:57 > 0:16:58Quicker!
0:16:58 > 0:17:01HORN BEEPS
0:17:01 > 0:17:03Look what you are making me do.
0:17:07 > 0:17:09Accelerate, go on.
0:17:09 > 0:17:11Tamasha, what's wrong with you?
0:17:11 > 0:17:13TYRES SCREECH
0:17:17 > 0:17:18Quicker.
0:17:21 > 0:17:24CAR ACCELERATES
0:17:25 > 0:17:28- Go on, go on. - You are crazy.- It's for Safi, go on.
0:17:28 > 0:17:30Move your car.
0:17:31 > 0:17:33Criminal.
0:17:33 > 0:17:38No. Tamasha, what is wrong with you? Get off the steering wheel!
0:17:38 > 0:17:40No! What are you doing? Get off the wheel.
0:17:40 > 0:17:42Get off the wheel, Tamasha!
0:17:49 > 0:17:51Watch out!
0:17:58 > 0:18:01Well, Mr Eaton, in a few hours, we'll finally be able to give you
0:18:01 > 0:18:04the proper diagnosis you've been waiting for.
0:18:04 > 0:18:05All right, Jeff.
0:18:05 > 0:18:09All right. Hey, you all right? Apparently, you got a message.
0:18:09 > 0:18:12If you can get around my mate's before midnight, they're yours.
0:18:12 > 0:18:18'3009. Emergency call. RTC on southbound 8378.
0:18:18 > 0:18:21'Three casualties. Injuries unknown.'
0:18:21 > 0:18:23That's not going to happen.
0:18:23 > 0:18:26We'll pick them up for you, if you like, for a bit extra.
0:18:26 > 0:18:29I'll do you a deal. 200 quid, the lot.
0:18:29 > 0:18:31Daylight robbery, mate.
0:18:31 > 0:18:34You try and get them for less.
0:18:34 > 0:18:35You're on.
0:18:35 > 0:18:37Jeffery, we got a shout, love.
0:18:37 > 0:18:39OK, I'm on my way. It'll be at reception.
0:18:39 > 0:18:42You hear that, son? Can you get to Jimmi?
0:18:42 > 0:18:44I promised her I'd stop doing this.
0:18:44 > 0:18:46She doesn't approve of me.
0:18:46 > 0:18:48She just likes things legit.
0:18:48 > 0:18:50HE COUGHS
0:18:50 > 0:18:52She's very proper. You know, very la-di-dah.
0:18:52 > 0:18:54PHONE BEEPS
0:18:54 > 0:18:56It's Fiona. She's coming in.
0:19:01 > 0:19:03SIRENS WAIL
0:19:12 > 0:19:14- What's happened?- He can't move!
0:19:14 > 0:19:18OK. Let's have a look. Hello, darling, my name is Dixie.
0:19:18 > 0:19:20Can you tell me your name?
0:19:20 > 0:19:21Rashaad. He's my brother.
0:19:21 > 0:19:24OK, can you remember what happened, Rashaad?
0:19:24 > 0:19:26My neck. I can't move my neck.
0:19:26 > 0:19:30I'm Jeff, I'm a paramedic. Can you hear me? OK, easy.
0:19:30 > 0:19:32Can you tell me your name?
0:19:32 > 0:19:36Can you wiggle your fingers and toes for me? Right, good lad.
0:19:36 > 0:19:39Now I need you to stay nice and still, going to
0:19:39 > 0:19:42immobilise your neck, then we'll take you to hospital, OK?
0:19:42 > 0:19:44Dixie. We've got an entrapment here, mate.
0:19:44 > 0:19:47Right. We've got reinforcements on the way, sweet.
0:19:47 > 0:19:51Is he alive? I need to know. Is he still alive?
0:19:53 > 0:19:57OK, mate, let's have a little look at you. Listen to me.
0:19:57 > 0:19:59HE SOBS AND MOANS
0:19:59 > 0:20:02We're going to make you as comfortable as we possibly can.
0:20:02 > 0:20:04Try to work out the best way to get you out, right?
0:20:08 > 0:20:10We did it.
0:20:10 > 0:20:13He's alive, but there's no way he's going anywhere tonight.
0:20:15 > 0:20:18We've got an RTC coming through, can we clear Resus as quick as we can?
0:20:18 > 0:20:21- All right, Doc, is this the gentleman for Gellar?- Yeah.
0:20:21 > 0:20:23He's had normal chest X-ray, normal zero ECG.
0:20:23 > 0:20:26Normal bloods, just waiting on the second troponin results.
0:20:26 > 0:20:28- If they are good, he can go. - What about his abdo pain?
0:20:28 > 0:20:29He presented with chest pains.
0:20:29 > 0:20:32He can follow up the abdominal with his GP.
0:20:32 > 0:20:34He won't, though. And in a couple of months he'll be right back here.
0:20:34 > 0:20:37Give him some credence. I'm sure he wants to get better.
0:20:37 > 0:20:38I don't think so.
0:20:38 > 0:20:41He'd be lost without his ill health to control his family.
0:20:41 > 0:20:42Hey, I need my bag.
0:20:42 > 0:20:44- Move him somewhere near triage?- OK.
0:20:57 > 0:20:58Where you going?
0:20:58 > 0:21:00I don't want her to see me.
0:21:00 > 0:21:01PHONE RINGS
0:21:03 > 0:21:05Hello, sweetheart.
0:21:05 > 0:21:06Andy?
0:21:06 > 0:21:10Andy had to dash out. Left his phone.
0:21:10 > 0:21:14He'll be back if you wait in reception. I'm not allowed visitors.
0:21:14 > 0:21:16What are you like?
0:21:16 > 0:21:18I'm not a well man.
0:21:18 > 0:21:21I know. You need a check-up from the neck up!
0:21:21 > 0:21:23- Doors, please.- Number two.
0:21:23 > 0:21:25This is Muraya. He was involved in an RTC.
0:21:25 > 0:21:27Car collided with another car containing teenagers.
0:21:27 > 0:21:29He was pinned to his seat by the steering column.
0:21:29 > 0:21:32They intentionally drove me off the road.
0:21:32 > 0:21:33Large open wound to his groin.
0:21:33 > 0:21:36GCS has been 15 throughout. BP is 140 over 90, pulse 90,
0:21:36 > 0:21:39and SATS are at 95%.
0:21:39 > 0:21:41OK, let's cross match him for four units.
0:21:41 > 0:21:45- Ready one, two, three. - Can we get an abdo CT ASAP?
0:21:45 > 0:21:47Wait. I need to pee.
0:21:47 > 0:21:51OK, let's get a urine bottle over, please, and lose the clothes.
0:21:51 > 0:21:52No, I'm all right.
0:21:52 > 0:21:55HE SCREAMS
0:21:55 > 0:21:58No. You've got open wounds here. Careful. Careful, careful.
0:21:58 > 0:22:01You have got some trauma to your genital area.
0:22:01 > 0:22:04What is it? Tell me!
0:22:04 > 0:22:07We have to be systematic in our examination.
0:22:08 > 0:22:10Airway's good. All clear.
0:22:10 > 0:22:13My As and Bs are fine. Skip to the Cs!
0:22:13 > 0:22:16What's wrong with my pelvis? I'm a doctor. Be technical.
0:22:16 > 0:22:18- I can handle it. - Where do you practise?
0:22:18 > 0:22:22I don't. Not in the UK. Not yet. I'm waiting for my medical papers.
0:22:22 > 0:22:25Looks like your little friend got herself into more trouble.
0:22:25 > 0:22:28Can you finish off the initial assessments?
0:22:30 > 0:22:34This is Rashaad, he was a second driver in the road traffic accident.
0:22:34 > 0:22:36He's complaining of severe back pain
0:22:36 > 0:22:38and loss of sensation in both his arms.
0:22:40 > 0:22:42- Tamasha, are you OK? - That's my brother.
0:22:42 > 0:22:44She refused treatment at the scene,
0:22:44 > 0:22:47but we're checked her in anyway just to be on the safe side.
0:22:47 > 0:22:48Sam, go on.
0:22:48 > 0:22:50BP 120 over 80.
0:22:50 > 0:22:52He's been given ten of morphine and O2 therapy.
0:22:52 > 0:22:55He has got severe pain and swelling in the lower back
0:22:55 > 0:22:57and bruising and tenderness in the neck.
0:22:57 > 0:22:59We are going to need a CT of his head and neck.
0:22:59 > 0:23:01Great, go ahead with that. You come with me.
0:23:04 > 0:23:07Why did you go? I wanted to help.
0:23:07 > 0:23:10I know. I'm sorry. Thank you.
0:23:10 > 0:23:11How's your sister?
0:23:11 > 0:23:13She's fine, thank you. Everything is sorted.
0:23:13 > 0:23:15How is my mother?
0:23:15 > 0:23:16She's upstairs on Gynae.
0:23:16 > 0:23:21I can get someone to take you up to see her.
0:23:21 > 0:23:23I know you. You tell me. Why were you following my husband?
0:23:23 > 0:23:25Excuse me, please let go of her.
0:23:25 > 0:23:28I just need to know why she wanted to speak with my husband.
0:23:28 > 0:23:31- Watch her for a minute, please. - Stay with that child.
0:23:31 > 0:23:34What's been going on, Muraya?
0:23:34 > 0:23:35Excuse me, who are you?
0:23:35 > 0:23:38I'm his wife. The question is, who is she?
0:23:38 > 0:23:39Tell them.
0:23:39 > 0:23:42It was an interview for a medical-related job.
0:23:42 > 0:23:43Liar.
0:23:43 > 0:23:47- Hang on. OK. What was the job? - I'm don't know, I didn't get there.
0:23:47 > 0:23:49He was going to operate on my sister.
0:23:49 > 0:23:52- What are you talking about? - He was going to a cutting.
0:23:52 > 0:23:56If we hadn't stopped him, he would have circumcised my sister tonight.
0:24:10 > 0:24:14I got it all worked out.
0:24:32 > 0:24:35What time did the doctor tell you he was going to be here?
0:24:35 > 0:24:39He should have been here at least an hour ago.
0:24:39 > 0:24:43He is usually a very reliable man, he is usually very good.
0:24:43 > 0:24:45Always on time. OK.
0:24:51 > 0:24:53Which charity was that with?
0:24:56 > 0:25:01'Hi. I can't get to the phone, please leave me a message.'
0:25:01 > 0:25:04Tamasha, I'm scared.
0:25:06 > 0:25:08The real doctor hasn't come yet
0:25:08 > 0:25:11and Granny says they're going to do it anyway, the old-fashioned way.
0:25:11 > 0:25:14I don't want it. Please help me.
0:25:20 > 0:25:22PHONE BEEPS
0:25:23 > 0:25:25I'll be in in a moment.
0:25:30 > 0:25:32Hi, Hannan
0:25:32 > 0:25:35What's happened. Something's happened?
0:25:35 > 0:25:37No-one is seriously injured.
0:25:37 > 0:25:40But I'm afraid to say that she and your son had a car accident.
0:25:40 > 0:25:41What?
0:25:41 > 0:25:44Rashaad is in Resus. He's conscious and stable.
0:25:44 > 0:25:47He had some neck pain, so we're doing a CT scan.
0:25:47 > 0:25:51- I've got to go. I'm sorry, Mum. - Tamasha? What's going on?
0:25:51 > 0:25:54- Look, you need to stay on bed rest. - I need to see my son.
0:25:54 > 0:25:58He's in good hands. I'll go and see what's going on.
0:25:58 > 0:25:59You just stay up here.
0:25:59 > 0:26:02You need to look after yourself and the baby.
0:26:15 > 0:26:1820 minutes my father-in-law has been in the corridor
0:26:18 > 0:26:20- waiting for a cubicle! - Where can I find Zoe Hanna?
0:26:20 > 0:26:23- Excuse me! Can you wait your turn? - Cubicle seven is free.
0:26:23 > 0:26:25She is over there in CT.
0:26:25 > 0:26:27We've actually had the second troponin test results back
0:26:27 > 0:26:30and it's excluded the possibility of a cardiac trouble.
0:26:30 > 0:26:31So you're free to go.
0:26:31 > 0:26:34But it keeps happening. Something must be causing it.
0:26:34 > 0:26:35We want a diagnosis.
0:26:35 > 0:26:38History of indigestion, epigastric pain and he's sore over his liver.
0:26:38 > 0:26:40Don't you think it could all be booze-related?
0:26:40 > 0:26:42Blame it on the patient when you can't fix it.
0:26:42 > 0:26:46At best, it's gastritis or an ulcer. At worst, pancreatitis.
0:26:46 > 0:26:50Well, I'm not taking him home with that!
0:26:50 > 0:26:52Why don't I see if I can arrange an outpatient's OGD
0:26:52 > 0:26:55to rule out the ulcer and get an amylase done?
0:26:55 > 0:26:56Yeah, all yours, then.
0:26:56 > 0:27:01Right. This way.
0:27:05 > 0:27:07Nice and still for me now, Rashaad.
0:27:07 > 0:27:09Dr Hanna.
0:27:09 > 0:27:10Your brother is very lucky.
0:27:10 > 0:27:13He only has a very small fracture to his neck.
0:27:13 > 0:27:16You said you would help me. Will you?
0:27:16 > 0:27:18Yes, let's get him back into Resus and admit him.
0:27:18 > 0:27:20Can we refer him to the Ortho's?
0:27:20 > 0:27:23- Do you have a car?- Why? - Can you take me to my sister?
0:27:23 > 0:27:26- Now? No.- Listen! - I'm mid shift.- Listen.
0:27:26 > 0:27:28'Tamasha. I'm scared.
0:27:28 > 0:27:30'The real doctor hasn't come yet
0:27:30 > 0:27:33'and Granny says they're going to do it anyway, the old-fashioned way.
0:27:33 > 0:27:36'I don't want it. Please help me.'
0:27:36 > 0:27:38Tamasha, I'm sorry.
0:27:38 > 0:27:42I had it done the old-fashioned way. Do you know what that is?
0:27:42 > 0:27:46They did it to me with a razor. No anaesthetic.
0:27:53 > 0:27:54SHE PANTS
0:28:13 > 0:28:15SHE MOANS
0:28:17 > 0:28:20I'm going to give you some analgesia and refer you to the urologist.
0:28:20 > 0:28:22The ultrasound confirms there has been bruising
0:28:22 > 0:28:24and damage to the urethra.
0:28:24 > 0:28:27That's where your wee comes from, isn't it?
0:28:27 > 0:28:29That's correct. It's part of the urinary tract.
0:28:29 > 0:28:31Can you fix that for him, then?
0:28:31 > 0:28:33It's really a matter for the urologist.
0:28:33 > 0:28:36Could I have an urgent word, please?
0:28:36 > 0:28:37Excuse me.
0:28:39 > 0:28:42I'm going to have to disappear for a bit. Can you cover for me?
0:28:42 > 0:28:45It's the busiest night of the week.
0:28:45 > 0:28:47This is well beyond your remit as a doctor.
0:28:47 > 0:28:50Maybe. But it's well within the spirit of the Hippocratic Oath.
0:28:50 > 0:28:52I really can't support you in this, Zoe.
0:28:52 > 0:28:53I'm not asking you to.
0:28:53 > 0:28:57I just need you to keep things running smoothly until I get back.
0:29:00 > 0:29:02What is the address?
0:29:02 > 0:29:04I don't know what you're talking about.
0:29:04 > 0:29:07Listen, Dr Abasi, I'm not going to shop you,
0:29:07 > 0:29:10because that's beyond my remit as a doctor.
0:29:10 > 0:29:13However, I do want to help this girl find her little sister.
0:29:13 > 0:29:14So tell me the address.
0:29:28 > 0:29:30Can we have that here now?
0:29:30 > 0:29:33Quick. Take her up in the service lift at the back, please.
0:29:33 > 0:29:35Can I have some help here, please?
0:29:35 > 0:29:37Hello, Hannan?
0:29:37 > 0:29:40Don't try to talk, but squeeze my hand if you can hear me.
0:29:43 > 0:29:46Pulse is 120 and thready, resps 30.
0:29:46 > 0:29:49We need to get some fluids into her. Can we get her into HDC, please?
0:29:49 > 0:29:53She has suspected placental abruption.
0:29:53 > 0:29:56- She's booked into theatre. - What's she doing down here?
0:29:56 > 0:29:58Shall I beep Zoe?
0:29:58 > 0:30:01No point. Just update the Gynae team.
0:30:01 > 0:30:04Let's get her out of here. Get that over here.
0:30:04 > 0:30:06OK.
0:30:06 > 0:30:08One, two, three.
0:30:08 > 0:30:10ALARM
0:30:10 > 0:30:12- That's all we need.- OK. Yeah.
0:30:12 > 0:30:15Lloyd, can you supervise the evacuation
0:30:15 > 0:30:17and wait for the fire service?
0:30:18 > 0:30:20OK, you've got a choice.
0:30:20 > 0:30:22Either I can drop you at the address,
0:30:22 > 0:30:25and you can sort it out with your Granny and your sister yourself...
0:30:25 > 0:30:28I couldn't. They wouldn't listen to me. Please come in with me.
0:30:28 > 0:30:31If I come, you have to agree that I can inform the police.
0:30:31 > 0:30:34We need a police escort or I can't get involved, Tamasha.
0:30:34 > 0:30:36It's up to you.
0:30:40 > 0:30:43Sorry. You can't be in here. All visitors outside!
0:30:43 > 0:30:45I can't find Mike. He's not in his bay.
0:30:48 > 0:30:51Hello. Hello. Are you all right in there?
0:30:51 > 0:30:53We are coming in.
0:30:55 > 0:30:57What are you like?!
0:30:57 > 0:30:58Right, come on.
0:30:58 > 0:31:01- What?- Out you go.
0:31:01 > 0:31:03We're using valuable resources to help you
0:31:03 > 0:31:05and you're not helping yourself.
0:31:05 > 0:31:07I'm missing the race.
0:31:07 > 0:31:10We'll refer him to an alcohol support worker to discuss
0:31:10 > 0:31:11getting him off the booze.
0:31:11 > 0:31:13Here you are. Go on.
0:31:13 > 0:31:17Victimisation, this is. Can't even have a quiet fag.
0:31:24 > 0:31:26What number was it?
0:31:26 > 0:31:2743.
0:31:30 > 0:31:31OK.
0:31:31 > 0:31:36Now, if your sister is in here, the police will join us. You OK?
0:31:40 > 0:31:42Yes?
0:31:42 > 0:31:46I'm so sorry to bother you. We're looking for Safi Camille.
0:31:46 > 0:31:49I don't know anyone of that name.
0:31:49 > 0:31:52Can you leave, please?
0:31:52 > 0:31:54He's a piece of work.
0:32:00 > 0:32:02I know who has it! It's in my mum's phone.
0:32:02 > 0:32:04- She typed it into her pathfinder. - Excellent.
0:32:04 > 0:32:06Baby's heart rate has dropped.
0:32:06 > 0:32:09BP still falling and she is tachycardic.
0:32:09 > 0:32:10Let's get her onto her side.
0:32:10 > 0:32:12I think we might be looking at foetal distress.
0:32:12 > 0:32:14PHONE RINGS
0:32:14 > 0:32:16Keep pushing those fluids through.
0:32:18 > 0:32:19- Hello.- Where are you?
0:32:19 > 0:32:22I'm with Tamasha. I need a favour.
0:32:22 > 0:32:24The doctor gave the wrong address.
0:32:24 > 0:32:27We think the right address is in her mum's phone, under maps.
0:32:27 > 0:32:30Can you take a look for me?
0:32:30 > 0:32:33Gloves. Can we prepare her, please?
0:32:33 > 0:32:35I want to do an internal examination.
0:32:35 > 0:32:37Hello? Hello?
0:32:45 > 0:32:50Hannan, we think your labour is progressing quickly.
0:32:54 > 0:32:58We need to get someone down here now. What about the registrar?
0:33:00 > 0:33:02I did explain, didn't I?
0:33:03 > 0:33:05This is a first for me.
0:33:05 > 0:33:08Obstetrics say the surgeon and the registrar are tied up with
0:33:08 > 0:33:12the triplets, but they can send down the F1, or we can wait ten minutes.
0:33:12 > 0:33:15Are they still on the line?
0:33:15 > 0:33:17We can't wait ten minutes.
0:33:17 > 0:33:19We've have to get the baby out.
0:33:19 > 0:33:23This woman has severe anatomical complications due to FGM.
0:33:23 > 0:33:24She's haemorrhaging internally
0:33:24 > 0:33:26and we're struggling to keep her BP high enough.
0:33:26 > 0:33:29If we don't get the baby out now, neither of them will survive.
0:33:29 > 0:33:33She needs an emergency caesarean. Get someone down here. Now.
0:33:37 > 0:33:41Do me a favour. Get her phone out of her bag.
0:33:41 > 0:33:44Look up the last address on her pathfinder and text it to Zoe.
0:33:46 > 0:33:47Gloves.
0:33:56 > 0:34:00Tess, you are a star. We've got it. We've got it.
0:34:00 > 0:34:03Right, let's go.
0:34:13 > 0:34:16All right, folks, if you would like to step back inside.
0:34:16 > 0:34:18We have been given the all clear. Thank you.
0:34:18 > 0:34:20You can all go back in.
0:34:20 > 0:34:22- Sweetheart. Look, I am so sorry. - Where have you been?
0:34:22 > 0:34:24- Do you have the tickets? - What tickets?!
0:34:24 > 0:34:27He...he wanted double.
0:34:27 > 0:34:30Couldn't you get him down?
0:34:30 > 0:34:32- Oi.- You promised!
0:34:32 > 0:34:35Please. It's my birthday.
0:34:35 > 0:34:38I know. I've got a present for you.
0:34:38 > 0:34:42I've been waiting to give it to you all night.
0:34:44 > 0:34:45Open it!
0:34:55 > 0:34:58You're pregnant?
0:34:58 > 0:35:00Sweetheart.
0:35:01 > 0:35:03Congratulations, Grandad.
0:35:03 > 0:35:07Take your time. I'll sort your old man out.
0:35:07 > 0:35:09Is he going to be OK?
0:35:09 > 0:35:12Yeah. There's nothing wrong with him he can't sort out for himself
0:35:12 > 0:35:14with a bit of our help.
0:35:14 > 0:35:16The more you give him, the more he'll take. You know it.
0:35:16 > 0:35:18You've got enough on your plate.
0:35:18 > 0:35:20Best thing you can do for him is make him
0:35:20 > 0:35:22take responsibility for himself.
0:35:31 > 0:35:35Keep it. It's yours.
0:35:39 > 0:35:42That's not yours to give away, is it?
0:35:42 > 0:35:44Labour costs. Not that it's your business!
0:36:04 > 0:36:08I've come to see my sister Safi and my Granny.
0:36:08 > 0:36:10Try the back room.
0:36:13 > 0:36:15Have you seen a girl called Safi here?
0:36:15 > 0:36:19We believe there are children here who may be at risk of serious harm.
0:36:19 > 0:36:22We have located a girl in the living room.
0:36:22 > 0:36:24Oh, my God! I didn't know this was illegal.
0:36:24 > 0:36:27Right, let's have everyone in the living room.
0:36:27 > 0:36:28Wait there, madam. Thank you.
0:36:28 > 0:36:31- Is everything OK here? - Everything is fine.
0:36:31 > 0:36:33Check through there.
0:36:36 > 0:36:39- Bathroom's clear.- Kitchen's clear.
0:36:39 > 0:36:41I need somebody in here.
0:36:41 > 0:36:43You OK?
0:36:43 > 0:36:44Check the bin.
0:36:44 > 0:36:47- Don't go upstairs.- Safi. Safi.
0:36:47 > 0:36:49Dr Hanna.
0:36:51 > 0:36:54You are under arrest on suspicion of genital mutilation to this girl.
0:36:54 > 0:36:56Get my bag. And call an ambulance.
0:36:57 > 0:36:59What are their names?
0:36:59 > 0:37:01Jasmine and Nina.
0:37:01 > 0:37:04OK, Jasmine, Nina. I'm Zoe and I'm a doctor.
0:37:04 > 0:37:06I'm here to help you. Can you tell me what happened?
0:37:06 > 0:37:09The bed's wet. I think Nina's wet the bed.
0:37:12 > 0:37:14OK, can we get Jasmine out of here, please?
0:37:16 > 0:37:19Nina. I'm going to make you feel more comfortable.
0:37:19 > 0:37:23OK, can you wash this out and fill it with hot water?
0:37:31 > 0:37:33I found her.
0:37:33 > 0:37:36Tamasha. I thought you weren't coming.
0:37:36 > 0:37:40Of course I was. Are you OK?
0:37:40 > 0:37:44Can you check that the ambulance is en route? She's tachycardic.
0:37:44 > 0:37:46She's lost a lot of blood.
0:37:46 > 0:37:49I'm going to have to get some fluids into her.
0:37:49 > 0:37:52I want you to run some saline through here.
0:37:52 > 0:37:54- Can you pass me this when I ask for it?- Yeah.
0:37:54 > 0:37:57This wouldn't have happened if the doctor had turned up.
0:37:58 > 0:38:00OK, Nina.
0:38:02 > 0:38:03She's lost too much blood.
0:38:03 > 0:38:08I'm going to have to go for a femoral or try the neck.
0:38:08 > 0:38:10- Let's try the neck.- Will she be OK?
0:38:21 > 0:38:23OK, Nina.
0:38:23 > 0:38:25GRANNY PRAYS QUIETLY
0:38:25 > 0:38:29Yeah, I'm in. Can you take that?
0:38:29 > 0:38:31OK, Nina.
0:38:31 > 0:38:35OK. Hold this up here and let it run through.
0:38:35 > 0:38:37I'll try and get another line in.
0:38:39 > 0:38:41We good to go?
0:38:41 > 0:38:42Yeah.
0:38:42 > 0:38:44Have you done many of these?
0:38:44 > 0:38:47Not as many as I'd like to feel comfortable. You?
0:38:47 > 0:38:50I've assisted at enough to feel confident.
0:38:56 > 0:38:57Clamp.
0:39:00 > 0:39:02Protractor.
0:39:10 > 0:39:13I'm going to cut through the uterine wall.
0:39:13 > 0:39:14Suction.
0:39:19 > 0:39:23Can we be ready to receive the baby, please?
0:39:23 > 0:39:24HE PANTS
0:39:32 > 0:39:34HE GRUNTS
0:39:40 > 0:39:42Clamp. Another clamp.
0:39:47 > 0:39:50OK, let's take out the placenta.
0:39:55 > 0:39:57OK, that's the tricky bit done.
0:39:57 > 0:40:00Now to stop the bleeding and put her back together.
0:40:00 > 0:40:03Keep those packs coming. Cover those bleeding vessels.
0:40:03 > 0:40:05BABY CRIES
0:40:05 > 0:40:07I'm sorry for the delay. What have we got?
0:40:07 > 0:40:10Massive haemorrhage. I've done an emergency caesarean.
0:40:10 > 0:40:12Theatre are ready, so she's all yours.
0:40:12 > 0:40:15We've got an ambulance coming in any moment with a child
0:40:15 > 0:40:18suffering from trauma and haemorrhage from a circumcision.
0:40:25 > 0:40:29The urologist has found a type V urethral injury with
0:40:29 > 0:40:33extravasation of contrast material from the distal bulbous urethra.
0:40:33 > 0:40:35Does that make sense?
0:40:35 > 0:40:37Can you put that in English?
0:40:37 > 0:40:40Look, I'm your wife. It's going to affect me too.
0:40:40 > 0:40:43Tell her.
0:40:43 > 0:40:46- In the worst case scenario... - Which this may not come to.
0:40:46 > 0:40:48We are looking at possible incontinence.
0:40:48 > 0:40:50And possible erectile dysfunction.
0:40:50 > 0:40:52Except your husband may make a full recovery.
0:40:52 > 0:40:54Unlike the girls he was going to operate on.
0:40:54 > 0:40:57Your hospital allows a woman to choose an operation
0:40:57 > 0:40:59to kill their five-month-old foetus.
0:40:59 > 0:41:02Why won't it allow let the same women to choose
0:41:02 > 0:41:05to circumcise her child?
0:41:07 > 0:41:10Where's the logic?
0:41:10 > 0:41:12You can't compare the two things.
0:41:12 > 0:41:15I have, and people do.
0:41:15 > 0:41:17It's not the same thing.
0:41:27 > 0:41:33This is Nina, she's 11 years old, she's sustained a significant bleed.
0:41:33 > 0:41:35Luckily, there was a doctor at the scene that was able to
0:41:35 > 0:41:38administer fluids, so she'd had 500 of saline so far.
0:41:38 > 0:41:40OK. Thank you. Let's get her in.
0:41:40 > 0:41:43Can we get some O-Neg into her urgently, please?
0:41:43 > 0:41:46Bleeding's subsided now. She's got good venous access.
0:41:46 > 0:41:50OK, can we call surgeons and theatre, please?
0:41:50 > 0:41:53I'm serious though, Ash, if Zoe hadn't been there,
0:41:53 > 0:41:56I don't think she would have made it.
0:41:56 > 0:41:59- Tess. Thank you for the address. - I was only doing what I was asked.
0:41:59 > 0:42:03Hi, Nina. I'm Dr Ashford. I am just going to check you over, OK.
0:42:07 > 0:42:08He's walked!
0:42:09 > 0:42:11With my money!
0:42:11 > 0:42:12I did warn you, mate.
0:42:12 > 0:42:14HE SIGHS
0:42:16 > 0:42:18Got his results. Mild pancreatitis.
0:42:18 > 0:42:20That's what you get if you run for half a century
0:42:20 > 0:42:22on fags and booze, right.
0:42:22 > 0:42:24He said you'd given him the all clear.
0:42:24 > 0:42:25He didn't want a diagnosis.
0:42:25 > 0:42:28Would mean leaving the whole lifestyle behind, wouldn't it?
0:42:28 > 0:42:31At least we know for next time. Good job.
0:42:35 > 0:42:38The police want to talk to you, Dr Abasi.
0:42:40 > 0:42:45You would have done it, wouldn't you? If you hadn't crashed.
0:42:45 > 0:42:47All the women in my family have had it done.
0:42:47 > 0:42:49Not your sisters?
0:42:51 > 0:42:52But they are not religious.
0:42:52 > 0:42:54It's not about religion.
0:42:56 > 0:42:59It's about our culture. For them, it is a positive thing.
0:42:59 > 0:43:02It might not be for us, but it does not mean it is wrong.
0:43:02 > 0:43:04Of course it is wrong. Look...
0:43:04 > 0:43:06Would you do it to her?
0:43:18 > 0:43:20HE SOBS
0:43:20 > 0:43:22I would like a taxi, please.
0:43:22 > 0:43:24Yeah.
0:43:33 > 0:43:35Dixie. All right.
0:43:35 > 0:43:38Yeah. Hi...um...look, I've got a bit of a confession to make.
0:43:38 > 0:43:40- I know I promised to...- You haven't got the tickets, have you?
0:43:40 > 0:43:43- Well...- Jeff, sorry for the late delivery, mate.
0:43:43 > 0:43:45Happy birthday, princess.
0:43:47 > 0:43:49I love you, kid.
0:43:49 > 0:43:50Cheers, mate.
0:43:52 > 0:43:54Hey, Mac, look at this!
0:43:54 > 0:43:55You owe me £100.
0:43:55 > 0:44:00Eh? Oh, great. You've saved my marriage, but broke the bank!
0:44:00 > 0:44:02There you are! A skinny bloke came by earlier.
0:44:02 > 0:44:05- Left this for you.- Happy days.
0:44:05 > 0:44:08Looks like the son came good, didn't it?
0:44:08 > 0:44:10Five of those are mine, aren't they?
0:44:10 > 0:44:13Come on, then. Five minutes!
0:44:13 > 0:44:15Come on, five minutes.
0:44:15 > 0:44:17Cheers, mate.
0:44:27 > 0:44:30This way, she's just through there.
0:44:31 > 0:44:32Look, there's Tamasha.
0:44:40 > 0:44:42- Go on.- Come with me.
0:44:44 > 0:44:47I have to get back down to the ED.
0:44:49 > 0:44:52Thank you. I'm so glad she's not like me.
0:44:53 > 0:44:57If I was your sister, I'd want to be just like you.
0:44:57 > 0:45:02I'm so glad, she's still...intact.
0:45:04 > 0:45:09Tamasha. Your spirit is intact. And that's what counts.
0:45:09 > 0:45:11You're a survivor.
0:45:11 > 0:45:15You have strength and beauty, and determination.
0:45:15 > 0:45:18You're a very special young woman.
0:45:39 > 0:45:42Right, looks like it's just me and you for my birthday breakfast.
0:45:42 > 0:45:46Yeah, sorry about that. Do us a favour, will you?
0:45:46 > 0:45:48I've left my keys in the back of the ambo.
0:45:48 > 0:45:50- You couldn't grab them for me, could you?- Oh, Jeffery!
0:45:53 > 0:45:56THEY CHEER
0:45:56 > 0:45:59# Happy birthday to you
0:45:59 > 0:46:03# Happy birthday to you
0:46:03 > 0:46:09# Happy birthday, dear Dixie
0:46:09 > 0:46:13# Happy birthday to you. #
0:46:13 > 0:46:15THEY CHEER
0:46:15 > 0:46:16Thank you very much.
0:46:26 > 0:46:29- How is she?- Stable. But a mess.
0:46:29 > 0:46:31She'll get the specialist care she needs on Paeds.
0:46:31 > 0:46:34You shouldn't have left me mid-shift like that.
0:46:34 > 0:46:35Listen, after everything that's gone on...
0:46:35 > 0:46:37What if we'd lost Hannan Kamil?
0:46:37 > 0:46:39We didn't, did we? And at the end of the day...
0:46:39 > 0:46:42Let me finish! I was going to say, despite all that,
0:46:42 > 0:46:46you did an extraordinary thing tonight.
0:46:46 > 0:46:48I'm really proud to be working with you.
0:46:58 > 0:47:00HORN BEEPS
0:47:00 > 0:47:01All right.
0:47:11 > 0:47:13SHE SCREAMS
0:47:14 > 0:47:17Dix! Dixie, I need some help here.
0:47:17 > 0:47:20He's my dad. It's my dad.
0:47:20 > 0:47:23Jeffery, I'm standing you down. You are no longer on duty.
0:47:34 > 0:47:37Subtitles by Red Bee Media Ltd