Human Resources Casualty

Don't worry, Mum, I'll be fine.

My interview's this afternoon but I don't mind,

I'm kind of glad of the distraction.

Yeah, I know. I'll look up the cheap flights when I can.

Look, I've got to go.

Listen, I'll call you this evening, OK? OK, love you, Mum.

-Oh!

-Sorry, I wasn't looking.

-You trying to sabotage them or what?

-Why, who are they?

Other candidates for your jobs.

Can you see her changing a geriatric's nappy?

We must have some advantage over them?

It's not even an advantage knowing the interview panel.

Tess said there's always an HR suit in there to make sure there's no favouritism.

Where would we be without Human Resources(?)

You seen the opposition? We're in for a right kicking!

Happy birthday, innit?

Safe, Carlo.

Least I can do, bruv. GLASS SMASHES

Better than nothing.

-What are you doing, Dex?

-It's a party, innit?

We got enough stuff, man, let's go.

Relax, bruv. What's your problem, huh?

-What if somebody comes, man?

-There's nobody here.

It was supposed to be just for a laugh, man.

You'd better watch yourself.

All right. Nobody do nothing silly, yeah?

You don't tell us what to do.

That's my money. Give me it back and you can clear off!

You don't decide nothing...Danny.

How d'you know my name? You got one more chance.

Oof!

GLASS SMASHES

Aah!

-Get out of it, man!

-Move!

Yeah, an ambulance. Someone's got stabbed.

The corner shop on Lincoln Street. Hurry up!

You don't want to do that.

Cops come near us and you're dead!

You're one of us now, bruv. Many happy returns.

I just fancy somewhere a bit, you know, warmer.

No, you know what the heat does to me.

Yeah, good point, yeah.

-Need a change of scene though, don't we?

-Yep.

We'd be more at home in Caracas, wouldn't we?

Knife-crime capital of South America.

-Unbelievable.

-Unbelievable.

SIREN BLARES

All right there, mate? I'm Jeff. I'm a paramedic.

Can you tell me what happened?

I was asleep... I heard something downstairs.

-What's your name, darling?

-Danny. What's yours?

I'm Dixie.

We're going to get you patched up then we'll get you to hospital, OK?

-I have to open the shop.

-No, nice and still.

There's curved puncture wounds.

Looks deep. Looks like he's been bottled.

-Not much bleeding...

-How d'you get here before us?

-Plenty of practice.

How many was there? Did you see their faces?

-Leave me alone. I don't need no help.

-Wastin' your time there, princess. He's all confused. Later.

I'm afraid that information's strictly confidential

-on a need-to-know basis.

-Come on, Louise, just tell us how many candidates there are.

I could, but then I'd have to kill you, wouldn't I?

-About a dozen.

-For two jobs?

-The odds are getting longer.

I should have applied for the job in Bristol.

I did that, but I got another "Thanks, but no thanks."

This could be our last day in Holby.

Excuse me. I wonder if you could help me?

We'll do our best, sir.

She's off colour, you see. She's not well.

Who is that, exactly?

Well... Lulu, obviously.

Right. Maybe you should bring her in.

Oh, I did.

She's lovely. Hello, Lulu.

Something happened this morning. She's... She's out of sorts.

She looks in good shape to me.

-Yes, but you're not a doctor, are you?

-No, but...

So I'd like to see a specialist, please.

Ah, right. Well... Ah, yes.

There are three of our finest canine specialists there. Take your pick.

-Excuse me? I wonder... I...

-We're on.

-I'm afraid dogs aren't allowed in here, sir.

-Oh.

Would you look at Lulu for me?

I only deal with humans.

I consider myself a terrier specialist.

-Why don't you bring her into my clinic.

-Oh, thank you.

-What have we got, guys?

-This is Danny, mid-30s.

He interrupted some intruders trying to break into his shop.

A stab wound to the chest, one under the armpit,

possibly with a broken bottle.

Lost a fair amount of blood, I'd say about 300 ml.

He's also got a bump to the head.

GCS has been 14 throughout, although he seems a little bit confused.

He's tachycardic... BP 140 over 90.

A pulse of 80. Sats are at 97%.

He's had a litre of saline, ten of morphine.

Let's get him over when we're ready then.

Lloyd, get that for us, love. Thank you.

On three, then. One, two and lift! Doing really well, son. And down.

Across on three, slowly. One, two, three. Well done, mate.

Thanks.

Just another day in Caracas(!)

South America here we come. You don't want to go in there, love.

Trust me.

I feel cold?

Not easy getting this line in, Ash, he's very shut down.

He's getting shocked. Let's give him...a unit of O neg

and cross-match four units, just in case.

We need to get some images to exclude glass FBs

and because of the location it might be better

to get a chest CT organised.

-What are you doing to me?

-His pulse is 104.

And look - that is all very venous in there.

It's still very brisk when the pressure is released.

-Can you get me some Celox?

-There's an awful lot of blood, Ash.

I don't feel so good.

Just stay as still as you can. He's getting more tachycardic.

-And combative.

-Get your hands off me!

It's a major venous bleed.

OK, let's give him the first unit of O neg stat

and we'll review after we've packed the wound.

-Right, I'm on it.

-Right about now would be good with that Celox.

Leave me alone. Get off me!

That's...good. Try and keep still. This won't take very long.

What's going on?

That's it, Danny, mate. That's right, just try and keep still.

-Just relax.

-You just bung that stuff in?

We can thank the US military for that.

Turns to a clotting gel in contact with blood.

What's happening? Has it stopped?

Yeah.

That should see him through the CT scan without blowing any clots.

Let the surgeons know when he's back from CT.

Her heart's going like a dinger, her lungs sound nice and clear.

Her coat's lovely and shiny and her nose is nice and wet.

But I'd recommend a worming tablet and a second opinion from a vet.

This is a hospital, isn't it?

-Yeah. Isn't that why you came here?

-No, no! I shouldn't be here.

I really must be going, I'm sorry to have troubled you.

No, no, no. There's no need to be sorry.

Listen, why don't we go back inside?

Let's get you that cup of tea. Come on. There we go.

Can you tell me your name?

How are you feeling? Are you all right?

What do you reckon?

I reckon that this is an emergency department

so get him out of here and stop wasting my time.

But he seems really upset.

Well, every other person out there's upset, but that's not what we do.

I see no sign of apparent injury and no illness.

What about some form of dementia?

He's hardly in a fit state to go on his own, is he?

I need to go to the toilet.

Fine, fine, just check him over, call his family,

but please, just get the dog out of here.

You and you have got me in trouble, thanks a bunch(!)

-Godfrey.

-Sorry?

-My name's Godfrey.

-Oh, great.

OK, Godfrey, come on then. Is there anyone I can call for you?

-I thought I was getting a cup of tea.

-All right, give me a chance!

First I've got to get rid of Lulu, she's not allowed in here.

-What about guide dogs?

-You're not blind!

How do you know?

Now, you were closely mentored during your training...

Can you tell us how you'd feel about working without supervision,

just using your own initiative in the ED?

Can't you tie it up outside?

Have a heart, it's cold out there.

Can't you just keep her out of sight so she doesn't get into any harm?

Hasn't got fleas, has it?

It's only till somebody comes for Godfrey.

Louise won't like this one little bit.

Right.

Come on, there we go.

Lou?

How did it go?

I feel like I've just bungee-jumped naked in front of my nan.

Don't knock it, mate.

What's that? I hope it's legal.

Camomile herbal remedy, helps calm me down.

You know there's not a shred of evidence that proves that any of that stuff works, right?

-It'll do until a vodka after work.

-Don't listen to him, I use it.

All right, OK. Who's up for a little experiment, then?

I know you are cos you'll try anything.

-Can I help you?

-No, I'm fine.

-Are you a relative?

-I'm looking for someone.

-Want me to look at that hand?

-No, I'm fine, man!

-I'm just trying to help.

-Just get off.

-Aah!

HE WINCES IN PAIN

Oh, get it off! Please, make it stop.

That's just to check your oxygen and your pulse levels.

D'you want this cup of tea or not?

You have to tell me your full name first.

Or an address, even.

Please, we can't help you properly until you tell us, Godfrey.

-But don't you see?

-What?

I can't remember.

That's OK, no need to worry. Let's check your pockets. Might be something in your wallet.

Let's take your jacket off then I can do your blood pressure.

I don't know you. Why did you bring me here?

-SHOUTS:

-Why don't you leave me alone?!

Some help here, Aoife?

I don't need any help. I don't want to be here.

I have my rights.

There's no need to get upset now, is there?

I'm not getting myself upset, it's your doing.

-We're nurses, we're here to help.

-Now just lie back and relax.

Do you need some backup?

There's no need to get yourself in a tizz over nothing, is there?

I don't want to be a burden to anyone.

-You're not. I promise.

-I don't want to be any trouble.

You know, there's sick people here, they need you.

I just want to make sure you're OK, all right?

Now lie back, relax. Think of something lovely, like...

lying on a beach in the sunshine, listening to the waves...

Imagine like you're on holiday.

They're three good nurses.

You'd like to think that management would want to keep hold of all of them.

Out of our lot, Big Mac thinks the smart money's on Jamie.

Tess reckons it's going to be a tough call between Aoife and Robyn.

It's just getting harder to get into nursing, isn't it?

-Don't often hear about cutbacks in HR though, do you?

-No.

I just want to take a few details, OK?

You're not going to ask about my interview?

Yeah, right after you tell me if I'm scarred for life.

Why, what happened?

-Dunno. Some kid got a bit jumpy.

-A patient did this?

You've got to report this, Lloyd, you know what Tess is saying...

No, it's cool. He'll be long gone by now.

All right, come on.

I doubt it's actually broken, just needs a bit of a clean...

-As soon as my hands stop shaking!

-It's all right, I can do it myself.

No, I'm joking. Sit still. I'll do it.

Honestly, I leave you alone for five minutes. How are you going to manage without me?

Excuse me.

Oh...

Just tell her.

I was assaulted by a young lad.

I think he was a relative. He knocked me off balance.

I just slipped and fell.

-(I said it was cool.)

-Getting attacked is never "cool".

You must've got a good look at him? Maybe I can help.

In jeans and trainers. Dark hoodie and a snapback cap.

Brilliant. Narrows it down. Do you know who he was visiting?

You said he was a relative.

-Oh.

-Not sure... Think he may have been headed for Danny, but...

Danny Parker?

Are you sure you didn't notice anything about the kid?

I mean, he might be connected to the stabbing.

He had a gash on his hand that needs looking at.

Was he wearing gang colours? The red and black bandana...

Round his...wrist, yeah.

It's the HL6 crew. They're just kids but they're dangerous.

5-1 to control.

'Go ahead, 5-1.'

Yeah, put me through to CID.

I think I've got a possible lead on this corner shop stabbing.

Dunno how you get the time, I'd be running to the toilet all day.

-It's not for me, it's for Godfrey.

-That's nice.

-Atishoo!

-You all right?

If you've got a cold you should probably go home.

-I don't get colds.

-Scared of you, are they?

-I take echinacea, cod liver oil and vitamin C, actually.

-Right.

But I am allergic to animal hair.

I think there's a dog in here.

Now, don't tell everyone or they'll all want room service.

Godfrey.

HE SNORES LOUDLY

You had me there, Godfrey.

-How are you feeling, Danny?

-Hunky-dory(!)

Sarcasm reflex still working then?

The surgeons are happy, you won't need an op.

-But they still want to admit you for observation. You've been very lucky.

-My head still hurts.

We'll monitor the pain relief, but you'll have no more than a seriously

bad hangover and an impressive scar once we've stitched you up.

Ash, there's an inspector from CID here for you.

Keep on with the hourly obs. Hi, I'm Dr Ashford.

Funny how all the bosses get on with each other like that.

-The rest of us just do what we're told.

-Ash isn't my boss.

-Our jobs are totally different.

-Oh, come on.

You're a boy in a girl's job, I'm a girl in a boy's job. You want to swap?

-Lloyd.

-Grace.

Any luck finding that gang?

We sent some cars over to the estate...

Knock on a few doors, try and flush them out, but...

it's a waste of time unless somebody can identify them in court.

You think Danny might?

That's CID's job to find out, isn't it?

My job's to stay here till he's ready to talk.

BP's a bit high. He's not going to like that.

Well, if this IS his insulin pen, he might be off his meds.

-We need to do a BM to see if he's diabetic.

-OK. Godfrey? Godfrey?

What? What is it? Who's that?

It's me, Robyn. We just need to take a teensy little blood sample if that's OK?

I don't mind. Do what you like.

OW! Ooh, God, that hurt!

Don't worry, we just need to check your sugar levels are OK.

Oh, but you don't understand. That's not why I came here.

All right. Just pop your head back and relax, OK?

I need to go to the toilet.

Maybe get a urine sample while you're at it.

Not with that needle!

-SHE LAUGHS

-No, don't worry. You won't feel a thing, I promise.

-Get off me.

-You were there, you were one of them!

You stay away from me, you hear? Get out!

-Get out!

-What are you doing? Hey, hey!

-There's no way out, mate.

-Don't even think it, Don't even think it.

-You want some more?

-I'm ready for you this time.

-Lloyd, he's just a kid.

-You stabbed Danny, didn't you?

-No, man. I didn't stab anybody, I swear.

-Then you know who did! You were there, weren't you?

-Lloyd. Lloyd!

We're not going to hurt you, all right?

I'm giving you the benefit of the doubt, OK? So don't mess me about, all right?

-Get him into triage and don't let him out of your sight, yeah?

-Yeah.

If you can let me know when Danny will be free,

I just need to ask him a couple of questions.

The urine sample's inconclusive - has traces of protein and blood

and a few leucocytes, but nothing to hang our hat on.

-What's wrong with him then?

-He might not have dementia.

He has urinary frequency and urgency,

a UTI can easily cause disorientation like that.

-Is it serious?

-It might be if we don't diagnose it quickly.

He's not diabetic, his blood sugar level's 100% normal.

-Who owns the insulin pen then?

-Somebody he knows maybe, a relative.

Most diabetics carry plenty of spares.

Godfrey, can you tell me where you got this pen?

I'd like some tea, please.

Because it's for insulin, it's important. Somebody might need it.

I can't write with that. Who are you anyway?

He's getting more and more confused. Get this sample off to the lab and tell them to hurry up with the MSU.

Meantime, let's get on to all the day-care centres

-and ask them if they're missing a pensioner with dementia and a small dog.

-On it.

Robyn, that's you on stand-by.

Tess is just doing her rounds and you're next up.

-What, now?

-Yes.

-I'll make the calls.

-Don't go!

-I have to.

I'll look after you.

And don't worry, Aoife's as good a nurse as I am.

-We'll soon see about that. Go on, good luck.

-Thanks.

-Grace. Danny's awake, he can talk now.

-Great, I'll call CID.

-No, I was thinking, there's nothing to stop you having a chat with him while you're waiting.

-OK.

I bet that hurt. How did you do it?

Broke a glass in the kitchen.

You can look away if you want.

So what's your name?

OK, then.

It's Joe.

Joe.

So how d'you know Danny, Joe? You know he got beaten up pretty badly.

Yeah, well, maybe he deserves it.

-So you do know him?

-Course I know him.

And he doesn't even remember my birthday.

Danny, this is Sergeant Preston. She just wants a quick word.

I can't... I don't remember nothing.

You've taken quite a beating. Do you remember how many there were?

-Six. Seven, maybe.

-What age were they?

-Dunno.

-Did you see their faces?

-They had scarves.

-Maybe you'd recognise their voices?

-I can't tell what I don't know, can I?

D'you know a guy called Dex?

-Never heard of him.

-In the HL6 crew? Tattoo of praying hands on his neck.

-A dab hand at GBH.

-Like I said...I don't know anything.

It's a waste of time. Thanks anyway.

No, I can't call back, I need you to run the search now.

Yes, a senior citizen who's confused, incapable and can only remember his first name.

Maybe if it was your own dad you might be a bit quicker to cooperate.

Thank you. Yes. I'll hold.

What was all that about?

Turns out our Godfrey's more complicated than he first appeared.

-Good for you, Aoife.

-Sorry?

Plenty of others would have packed him off as a time-waster.

That's the kind of instinct we need around here.

Thanks, Tess.

-All right?

-Do I look all right?

-Dunno.

But I know what you did.

That kid, he's one of the gang, isn't he?

It's none of your business.

-But you know who did this to you?

-I can't say anything, you get me?

You must tell the police

if you're ever going to get these guys off your back!

Not when it's my boy!

What?

What kind of kid robs his own dad?

I dunno, he's... He's punishing me.

He's getting his own back.

His mum chucked me out and now I can't be nowhere near my boy.

-She must have a reason.

-Yeah, you've never made a mistake?

Never been tempted by another woman?

One time.

I made one mistake, I got caught and she's punishing me for it.

So, do you want to see your son or not?

He nearly got me killed, what d'you think?

-You still protected him from the police.

-Cos he's my son.

If the cops go after Carlo and Dex because of Joe,

they'll kill him.

Joe, Joe. You're safe here.

Take a seat and I'll book you in properly, yeah?

MOBILE BEEPS

Where's Joe?

Oi! It was you, wasn't it?

There's feds all over the estate looking for us.

-We can't go home cos somebody grassed us up.

-It wasn't me.

-Why you running then, huh?

-Danny's my dad. I didn't want him to die.

He's a waste of space. Like you said, he's done nothing for you.

-But we're your boys now, yeah?

-But you used us, didn't you?

-You got us to do him in, then you turned us to the feds.

-No!

Your old man ain't nothing but a piece of...

Joe?

JOE!

Joe! All right. Keep still. Don't move! It's going to be OK.

-All right.

-What's going on?

Don't move, stay still! Go and get a trolley.

-Oh, my God.

-Now! Faster than that, go!

-Help me, please.

-Take it easy. We're going to fix you up, OK?

-We need the trolley. Lloyd needs help in the car park.

-Get Ash, as quick as you can.

Do you want to give us a hand? Right, come on.

-Take it easy.

-Help me, please.

-We're going to help you, don't worry.

-I'm getting cold.

-We'll have you warm inside in a second, OK, Joe?

Come on, guys!

He's very shocked and I've got to keep this wound covered.

Don't worry, Joe, we're almost there. All right. You got him?

Right, on me - one, two, three.

-OK.

-Well done, Joe. You're nearly there.

Lift it up.

OK. Let's go, let's go.

Keep going, keep going.

Joe's a teenager with a femoral arterial stab wound.

He's lost a lot of blood. He'll need a unit of O-neg straight away.

OK. Everyone got a bit? After three. One, two, three.

Good. You heard the man. Let's get two large bore access

and give him ten of morphine.

Let's get the blood up in the rapid infuser

and give him a gram of tranexamic acid.

Pulse is 140 and thready. BP is over 90.

Hey, Joe. I'm Dr Ashford.

You've got a serious wound

but you're in the best hands in the business.

So what do you reckon, Lloyd?

Me? Well, he should cross-match for six or eight units.

We need to call the vascular surgeons, he needs theatre ASAP,

and Celox to stop the bleed.

Might not work if the arterial flow is too strong.

Might be better keep the area clear for surgery.

Then it needs immediate intervention. Both vessel ends need tying off.

-Right. Go for it.

-Are you serious?

You've seen it done before, haven't you? And I'm here.

Better get scrubbed up, quick.

Every nurse struggles to remain dispassionate sometimes,

so tell us about a time you found it hard

to keep an emotional distance and how you coped.

There's nothing. Godfrey's the invisible man.

His urine tested positive for infection.

Let's get him on amoxicillin, admit him and I bet you, by morning

he'll be 100% lucid.

Great. But how am I supposed to get him to take the IV?

That'll take a nurse with great skill and gentleness.

Is there anything else I can get for you, Godfrey?

There's no ration on the ginger nuts.

I don't blame you.

I don't like me half the time either, especially not today.

I think I've done something really bad.

You'd make it so much better

if I could just pop this needle into your arm.

It's only a small needle, you'll hardly feel a thing, I promise.

-That's my job.

-What is?

"You'll not feel a thing. Maybe a little prick."

-HE CHUCKLES

-Always makes her laugh.

Who?

What is it, Godfrey?

I did something bad too.

About the syringe, with the insulin pen?

It's a secret. I promised not tell.

What did you do?

I gave too much.

Who did you give too much to?

I've been so much trouble already.

You know, look at all those sick people.

Think hard, Godfrey. Who did you give the injection to?

I don't like needles.

If you've given someone too much insulin they can get very sick, do you understand?

-She told me not to tell.

-Who?

-Millie.

-Who's Millie? Is she your wife?

Look, you're busy. Please, I don't want to be any bother.

Come on, Godfrey, tell me where you live.

I told you, I don't know!

I know the dog is hidden in here somewhere, just tell me where it is.

The dog!

-Lulu!

-SHE SNEEZES

Can you swab this, please?

Good.

Can I have some suction down here?

OK, Joe, not long now.

Pulse is still 140. BP's 80 systolic.

Right.

That's both ends isolated.

That's achieved an effective haemostasis. Well done.

-That's it, Joe. All good this end.

-Nice one, mate.

Where's the vascular surgeon? Let's get him prepped for theatre

and stick a big bottle in the fridge with Lloyd's name on it.

Did you see who did it?

It was the same crew, wasn't it?

You're not being straight with me, Lloyd. Why won't you tell me what you saw?

Because look what happens when I do.

Come on, guys, this is important.

You lying little... I'm telling Tess about this, I swear.

Yes! 9 Marblehill Road.

Louise, if anyone asks for me, I won't be long.

-You can't just walk out. Aoife!

-SHE SNEEZES

CLASSICAL MUSIC PLAYS FROM INSIDE

First check it's safe to approach.

Hello? Hello, can you hear me?

Open the airways.

Check that she's breathing. Yes.

And put her in the recovery position.

Then call for help.

-Did I miss anything good?

-You've got to be kidding.

How was your interview?

It started off like being in a car crash, then I kind of went numb.

Is that good or bad?

I haven't got a clue. But now it's over I feel fantastic.

So the camomile didn't do it for you then?

Are you joking me? I couldn't have got into the room without it.

I need to get me a bucket-load of that stuff.

See?

I emptied that and I filled it with cold tea.

It's a placebo. Never mind.

So how long's she been out?

I don't know, I just got here.

If you want a ride in the ambulance,

you've only got to ask, you know that, don't you?

Blood sugar's 0.5.

She's severely hypoglycaemic. OK, let's start her on some glucagon

and 10% glucose, please, Jeffery.

OK. So what are you doing here?

It doesn't matter. Is she going to be all right?

Yeah. Yeah, you did really well, kid.

Glucagon.

-Here is the file you requested.

-Thanks.

He needs emergency surgery to repair the damage.

He lost a lot of blood, but I...

We think he's got every chance.

How could they do that to him? Look at him, he's just a kid!

He hasn't been in a hospital since the day he was born.

I knew he'd need looking after.

-What's the date?

-It's the 4th.

It's his birthday!

We think it was the same guys that stabbed you, Danny.

Maybe now you'll tell us what you really heard?

I'm not telling you anything!

His kid's seriously ill here

and you see it as a chance to further your career?

I am trying to make a difference.

Any good news, Dix?

Not really. This is Millie, mid-70s, she's type 1 diabetic.

Severely hypoglycaemic at the scene.

We have given her 10% of glucose but her blood sugars keeps crashing.

Don't know how you did it, but well done.

Aoife, you can't leave the ED like that.

-I might have saved her life.

-But you might not have.

We've got procedures for that. We could've sent the police round there.

I didn't have time. I didn't think.

Exactly, and that's your problem right there, you didn't think.

What if there was a major incident? We were a man down.

This is a team sport, there's no room for show-boating.

You've got big questions to answer, Aoife. I will be reporting you to Tess.

-I said she could go.

-What?

Yeah. Tell Tess I said she could have an extra break

to prepare for her interview.

So how come she miraculously ended up finding that patient then?

I don't know. Just shocking coincidence.

Just popped round and saw the neighbour.

Sam, we've got one very worried district nurse out here.

Well, I would be, if I was her.

OK. Millie was recently diagnosed

with end-stage motor neurone disease.

The DN goes round twice a day to give her insulin injections.

-What about Godfrey?

-He was her main career, but his dementia took a downturn.

I thought he had a urinary infection?

The test can give a false positive.

The lab are taking a second look. We can't always be right.

The social have decided they can't look after themselves properly.

They're due to be taken into care tomorrow.

This would have been their last day at home together.

It seems like an overdose.

Let's try 50ml of 50% and I'll phone the on-call medics.

You don't think it could have been a suicide attempt?

No, it can't have been suicide.

She hasn't been able to use her hands for over a year.

Godfrey.

Godfrey, I need to talk to you about Millie.

Millie?

Your wife. You gave her insulin, didn't you?

Oh, yes. That used to be my job.

But this morning, you gave her too much.

-On purpose.

-I don't remember.

I did something bad.

You knew it was wrong and regretted it,

that's why you came here, isn't it?

Sam. It's from the district nurse It's a DNR form.

Millie's declared her legal right not to be resuscitated.

-Dr Nicholls, you're needed.

-OK.

Stats are down to 93, pulse is up to 140.

There's something not right. Can I get an ECG, please, right away?

-Is she going to make it?

-She shouldn't die from insulin, not now.

She should be making a full recovery,

but she's got broad QRS complexes and ectopics.

Heart rate is abnormal, it's like she's taken something else.

The DN did say she was on anti-depressants, amitriptyline.

Oh, Millie, Millie, tell me you didn't.

It's a tricyclic overdose. Can I get a sodium bicarbonate IV, please?

But she didn't want resuscitating.

I'm just normalising the effects of the overdose,

that's not the same thing. 50ml at 8.4%, please.

-Should we intubate?

-Not right now, but can we get on the phone to ITU

and tell them we'll need a bed?

I've already spoken to them. Half an hour.

We might not have that long.

It shouldn't have happened.

Damn right. Kids shouldn't carry blades.

It was my fault. I got the police involved.

Were you holding the knife?

Then it wasn't your fault.

It's not all about you, you know?

You think you should be able to do everything, don't you?

And you see it as your own failure when you can't.

I used to be like that.

I loved being a nurse, but it was never enough.

I loved helping people, but I wanted to save their lives more,

know what I mean?

But being a doctor's learning about your limitations -

knowing that you can't save everyone.

So you do your best.

You did everything you could for that kid.

I couldn't have done better myself.

She's still tachycardic and her ECG's unchanged.

Millie, I'm Dr Nicholls.

You're in Holby City Emergency Department.

You're here because you swallowed too many tablets, didn't you?

You've also had too much insulin.

Do you know why that might be?

Millie, do you know who gave you the injection?

Me. I did.

We both know that's not possible, Millie.

Do you think it might have been Godfrey?

He wouldn't. Godfrey's like a ch...child.

But he could have done it if you'd told him how.

I can't be apart from him, even like he is.

My idea. What I wanted.

Let me see him, please.

Come on, Godfrey. Millie wants to see you now.

-Millie?

-BP's 80 over 40.

Godfrey.

Yes!

My love.

I can barely feel a radial.

Do something.

-Godfrey.

-What is it, dear?

Thank you.

(She's in VF.)

She's DNR.

MONITORS BEEP CONTINUOUSLY

MILLIE EXHALES

Bye-bye.

Come on, Godfrey. Let's go and get you a cup of tea, eh?

Good work.

So, let me get this straight -

a terminally-ill woman was given an overdose by her husband?

Yeah... Well, yes.

And he suffers from dementia.

I have witnesses that she said she did it herself.

So, have him arrested or let him go and say nothing?

I have no doubt in my mind it's what Millie wanted.

I've got myself into legal mine-fields before,

I've played it both ways in the past,

but there's no easy answer. It's your call.

But from what you've said,

it's highly unlikely they'd have enough evidence to prosecute.

Lulu! I've been looking for you all over.

Well, I don't know how they've managed it,

but they're letting you take Lulu to your new home.

-Home?

-They'll look after you there. I bet you'll really love it.

And here's a little something for the journey.

Ah, lovely.

I bet he doesn't even remember what happened half an hour ago.

Wish I could do that sometimes.

-Poor old thing.

-He didn't even look back.

You're forgetting punctuality's an essential quality, Aoife.

-You what?

-Your meeting started two minutes ago.

Oh, what?!

It was you, wasn't it?

You organised for Godfrey to take Lulu with him.

Some things just take a little gentle persuasion.

Thanks, Louise.

Can you give us an example of when you feel your insight or empathy

with patients has had a direct effect on their treatment?

I probably shouldn't help here, but why don't you tell us

how you noticed that older man in distress today when no-one else did?

-Thanks, Tess, but that wasn't me.

-Sorry?

It was Robyn who took the initiative at the start.

I just took the credit for what she did.

You're going to be OK, son.

Dad.

I don't care what you've done. I'm here for you now.

The people who did this to you are dangerous, Joe.

And you can help us stop them.

You can trust her, mate. Give her a chance.

I promise, she only wants the best for you.

He's the guy that saved your life.

I have to trust him.

Do the right thing and we'll make sure you're both safe, I promise.

You and me, we can fight this.

Just the two of us, eh?

Dex.

It was Dex.

He stabbed me too.

I saw the tattoo on his neck, the praying hands.

Happy birthday, son.

You all right?

-You too?

-Yeah! With a mentor like Linda, why wouldn't I?

So where's Aoife?

-Drink?

-Yeah.

Hope I didn't let you down, Fletch.

I was going to say the same thing.

Nah, you were great. Thanks for everything.

-Maybe next time, eh?

-Whatever.

Come on then. I know just the thing.

I'll meet you over there.

I need to speak to you, Tess.

Appointing people's one of the hardest parts of my job.

-Don't you dare complain about who we've chosen.

-No, nothing like that. I just need some advice.

-Is it good or bad?

-Good. It's good, I think.

I've always liked being a nurse.

And you're an excellent one.

Thanks, but...I was wondering.

What do you think about me re-training...

as a doctor?

-Well done, you guys.

-Lucky, that's all. Toss of a coin.

They said it was a nearly impossible decision.

You must be really brilliant to get through.

It could have easily gone the other way.

-So, what are you going to do?

-I don't know yet.

I'm sure something will turn up.

You can try again next time, right?

Yeah. But this is your party, we should be celebrating.

-Well, this round is on you.

-Excellent.

-Right, there you go.

-Top man. Thank you very much.

-What are you having?

-A lager.

-Yes, mate.

-Are you enjoying that?

-Nectar of the gods, this stuff.

Always hits the spot after a long day.

Good, because that's a placebo.

You what?

It's a non-alcoholic beer. PHONE VIBRATES

What a nasty thing to do!

Hi, Mum.

Yeah, I think it went OK.

No, I haven't heard yet. They haven't made a decision.

Listen, I was wondering if I could come home for a few days. Is that all right?

Great. I'll see you tomorrow.

Yeah, you too.

Watch out!

You've got to step it up. You are not little helpers any more.

Mate, you still stink of booze.

-It's my baby.

-Can you hear me, darling?

She is not presenting any other symptoms, so you can stop worrying about it being anything serious.

Hold your nerve because if you don't...

She went into respiratory arrest on the way in.

Re-admitted from when?

-Earlier on this evening, I believe.

-It's my daughter.

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