The Milk of Human Kindness

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0:00:46 > 0:00:48Is it too late to pull a sickie?

0:00:48 > 0:00:51I'm not sure if we'd get away with it.

0:00:51 > 0:00:54We could just do a runner and go back to bed.

0:00:55 > 0:00:57Shift started two minutes ago.

0:01:00 > 0:01:05Sorry, paramedics are five minutes away. RTC. Little boy.

0:01:05 > 0:01:06Great, thank you.

0:01:08 > 0:01:12- You OK?- Course. I'll be right there.

0:01:12 > 0:01:13OK.

0:01:24 > 0:01:26This is Jake Ellis, he's seven years old.

0:01:26 > 0:01:28He's been knocked off his bike by a car.

0:01:28 > 0:01:30He was wearing a helmet, but it's pretty damaged.

0:01:30 > 0:01:32Possibly briefly KO'd.

0:01:32 > 0:01:34I'm also concerned about a fracture to his left tib, fib.

0:01:34 > 0:01:37We've immobilised the leg. Can we get him over, nice and gently?

0:01:37 > 0:01:40One, two, three.

0:01:40 > 0:01:41BOY SCREAMS

0:01:41 > 0:01:46Sats are 99, GCS is 14, his pulse is 120, his BP is 100 over 60,

0:01:46 > 0:01:50- and I've given him five of morphine.- OK, thank you.

0:01:50 > 0:01:52OK, Sam, are you all right with the primary survey?

0:01:52 > 0:01:55OK, Jake, I'm Tom and this is Sam.

0:01:55 > 0:01:57I know it hurts, but we're going to help with it, OK?

0:01:57 > 0:02:00Brave lad, you're doing really well.

0:02:00 > 0:02:05The airway's OK. Breathing is equal, with no sign of a chest injury.

0:02:05 > 0:02:07OK, let's get the orthos down and get the radiographer

0:02:07 > 0:02:10for a chest, c-spine and pelvis.

0:02:10 > 0:02:13Pulse 110, BP 105 over 75.

0:02:13 > 0:02:17- Not much circulation in the foot. - OK, let's get the frac pac off.

0:02:17 > 0:02:19BOY SCREAMS

0:02:26 > 0:02:29BOY SCREAMS

0:02:53 > 0:02:55SHE MAKES PHONE CALL

0:02:55 > 0:02:58I need an emergency appointment.

0:02:58 > 0:03:01My little girl's not well.

0:03:03 > 0:03:05The Ortho Reg is on his way down.

0:03:05 > 0:03:08He wants us to get some films before we do anything.

0:03:08 > 0:03:11OK, well the circulation's not good. And the skin is critical.

0:03:11 > 0:03:16- So, you're not going to wait? - We need to just do it.- OK.

0:03:19 > 0:03:22We need to straighten his leg and put the bone back in position.

0:03:22 > 0:03:24- Is it going to hurt? - I'm going to give him medicine

0:03:24 > 0:03:26that will make him seem out of it,

0:03:26 > 0:03:28but he might make some noise when we do it.

0:03:28 > 0:03:31- Jake, I need you to be brave for me. OK?- Dad, don't let them!

0:03:31 > 0:03:34- They've got to do it, Jakey. - No, Dad it hurts too much.

0:03:34 > 0:03:37It's going to be over before you know what's happened.

0:03:37 > 0:03:38I just need you to relax.

0:03:40 > 0:03:4120 of ketamine going in.

0:03:43 > 0:03:44OK, let's do this.

0:03:48 > 0:03:49On me.

0:03:51 > 0:03:53One, two...

0:03:53 > 0:03:54BOY SCREAMS

0:03:54 > 0:03:57- There we go.- Good job.

0:03:57 > 0:04:00- Let's get a backslab on this. - (I am so proud of you.)

0:04:50 > 0:04:51Hello, Fi.

0:04:51 > 0:04:56- How did you find me? - You've not made it easy for me.

0:04:56 > 0:04:58- I was going to write to you.- Yeah?

0:04:58 > 0:05:00- Once we got settled. - Really?- I promise you.

0:05:00 > 0:05:03Why are you lying to me? You were going to disappear, weren't you?

0:05:03 > 0:05:06Let her grow up not even remembering who I am!

0:05:06 > 0:05:09Please. She's not very well. I've got to get her to the doctor.

0:05:09 > 0:05:11I'm her dad! She NEEDS me!

0:05:11 > 0:05:15She's better off without you. We both are.

0:05:23 > 0:05:26I'm sorry, darling. I'm sorry.

0:05:26 > 0:05:30Do you remember me? It's your daddy.

0:05:31 > 0:05:33Can you say Daddy?

0:05:35 > 0:05:38She's very pale. Pops?

0:05:39 > 0:05:41I don't think she's breathing!

0:05:43 > 0:05:45You're going to have to be in hospital for a while.

0:05:45 > 0:05:49The orthopaedic surgeons will come and talk to you about the operation.

0:05:49 > 0:05:52Don't worry, you're going to be back on your feet in no time.

0:05:52 > 0:05:55And, don't tell the adults,

0:05:55 > 0:05:57but the children's wards have computer games.

0:05:59 > 0:06:00- Thanks, Doctor.- No worries.

0:06:03 > 0:06:05- How's he doing? - Going up to theatre now.

0:06:05 > 0:06:08Great, well, I've got a meeting upstairs till 12,

0:06:08 > 0:06:10- so if you need me...- Uh-huh.

0:06:11 > 0:06:15Allan. Morning. Is one of those for...

0:06:15 > 0:06:17- One sugar, yeah? - You're a lifesaver.

0:06:17 > 0:06:20- I can't function without my latte. - No problem.

0:06:20 > 0:06:23- Sorry, I should have got you one. - No, no, it's fine.

0:06:23 > 0:06:25Yep?

0:06:27 > 0:06:31- Right.- Haven't you got a meeting now?- OK.

0:06:31 > 0:06:34- Yeah.- Thanks.

0:06:34 > 0:06:38Paramedics on the way, ten-month-old baby girl with breathing problems.

0:06:38 > 0:06:41OK, thanks. I'm on it.

0:06:41 > 0:06:42SIREN BLARES

0:06:46 > 0:06:50All right, darling. Not too far now, OK?

0:06:52 > 0:06:55Come on! Out of the way, fellas!

0:06:55 > 0:06:58- Two minutes.- Jeff, could really do with getting a move on, please.

0:06:58 > 0:07:01Are you serious? Two minutes? I've got a child in the back here!

0:07:01 > 0:07:03Sats are 85.

0:07:08 > 0:07:10Move your van!

0:07:12 > 0:07:13You OK?

0:07:13 > 0:07:16Sorry. I'm sorry, I'm sorry.

0:07:16 > 0:07:17Move the van, now!

0:07:20 > 0:07:23Come on, let's go! LET'S GO!

0:07:32 > 0:07:35- OK, over here.- Right, Tom.

0:07:35 > 0:07:38This is Poppy Myerscough, she's one year old.

0:07:38 > 0:07:41She's in respiratory distress. She's not very responsive

0:07:41 > 0:07:44and I think she's got really tired on the way in.

0:07:44 > 0:07:48Not pyrexia. We've had to occasionally support her with a BVM.

0:07:48 > 0:07:51- OK, let's get her into Paeds and straight onto the trolley.- OK.

0:07:51 > 0:07:53Right, Tom, she's fitting, mate.

0:07:53 > 0:07:55OK. Get her onto the trolley.

0:07:55 > 0:07:57Can I have some rectal diazepam and paracetamol,

0:07:57 > 0:08:00- and then let's relax her a bit. Has this happened before?- No.

0:08:00 > 0:08:03- Has she had all her vaccinations?- Yes.

0:08:03 > 0:08:06- Do you want to bag her? - Give her a minute. Come on, Poppy.

0:08:06 > 0:08:09- Can't you do something? - Just need to let the fit pass.

0:08:09 > 0:08:11- We can't just stand here!- Wait.

0:08:13 > 0:08:16BABY BREATHES RAPIDLY

0:08:18 > 0:08:21OK, breathing's improving. Tess, can you get onto PICU, please?

0:08:21 > 0:08:26- So what's wrong with her?- That's what we need to find out. You OK?

0:08:29 > 0:08:32- OK, yeah, I'll let Dr Kent know. - I'm off home.

0:08:42 > 0:08:45- Morning.- Oh. Hi. Didn't think you were on this shift.

0:08:45 > 0:08:48- I needed my trainers.- Right.

0:08:50 > 0:08:56I've checked the off-duty for the next couple of weeks and...

0:08:56 > 0:08:58we've haven't got a single shift together.

0:08:58 > 0:09:01It's just the way it's worked out.

0:09:01 > 0:09:05- You sure about that?- Uh-huh.

0:09:06 > 0:09:08Look, I want to see you, Tess.

0:09:09 > 0:09:13I know you've got this RCN thing tonight.

0:09:13 > 0:09:16Maybe I could come with you. As a colleague.

0:09:17 > 0:09:18We could have the whole night together.

0:09:20 > 0:09:23- Tess.- Excuse me.

0:09:30 > 0:09:32Mmmm!

0:09:32 > 0:09:34Mmmmm! Oh my God!

0:09:34 > 0:09:37That is so good!

0:09:39 > 0:09:41That is better than sex.

0:09:41 > 0:09:43WOMAN SIGHS DISGUSTEDLY

0:09:46 > 0:09:49- More champagne?- Oh!

0:09:49 > 0:09:51I like you in this mood.

0:09:51 > 0:09:55- Well, it's a special occasion. - Is it?

0:09:55 > 0:09:59- Well, every day should be a special occasion.- I'll drink to that!

0:10:09 > 0:10:11Enjoy.

0:10:13 > 0:10:14- Holly...- Hmm?

0:10:15 > 0:10:19..the last couple of months have been the best time of my life.

0:10:21 > 0:10:25- I feel like the luckiest guy in the world.- Don't be daft.

0:10:29 > 0:10:30Look, Holly...

0:10:30 > 0:10:33Why don't we take the rest of this back to yours?

0:10:34 > 0:10:35What?

0:10:37 > 0:10:39Let's do a runner.

0:10:39 > 0:10:40Let's not.

0:10:40 > 0:10:42Oh, come on.

0:10:42 > 0:10:46Holly...no, we can't.

0:10:46 > 0:10:49Yes, we can.

0:10:52 > 0:10:54Oi, you wait there!

0:10:57 > 0:10:58CRASH AND MOAN

0:10:58 > 0:11:00Holly!

0:11:00 > 0:11:01SHE MOANS

0:11:07 > 0:11:08Oh, my God.

0:11:12 > 0:11:14PICU will be ready in an hour or so.

0:11:14 > 0:11:18- Great, thanks.- What do you think's wrong with her?- We don't know yet.

0:11:18 > 0:11:21There are a number of possibilities, all of which we'll investigate.

0:11:21 > 0:11:24Could it be...meningitis?

0:11:24 > 0:11:27She doesn't have a fever or a rash, so it's unlikely.

0:11:27 > 0:11:29I still need to do a full history, though.

0:11:29 > 0:11:33- You don't seem to be registered with a GP.- I've just moved to the area.

0:11:33 > 0:11:35OK. What's Poppy been like over the past few days?

0:11:35 > 0:11:39Just very quiet. A bit pale.

0:11:41 > 0:11:45I've not seen her much of here recently. We don't live together.

0:11:47 > 0:11:49We're working some stuff through.

0:11:49 > 0:11:53OK, well, the nurses need to get Poppy to the CT scanner now.

0:11:54 > 0:11:57Don't you need to get back to work?

0:11:57 > 0:11:59No. I'll come with you.

0:11:59 > 0:12:01I'm OK here on my own with her.

0:12:01 > 0:12:03I said I'll come with you.

0:12:03 > 0:12:05Excuse me.

0:12:06 > 0:12:10- How is she? - I'm running a full set of bloods

0:12:10 > 0:12:13and she's going for a CT now, to rule out an intracranial lesion.

0:12:13 > 0:12:15If that's all clear, I am going to do a chest x-ray

0:12:15 > 0:12:17and urine, to check for any source of sepsis.

0:12:17 > 0:12:20PICU are on their way down now, but I want a better picture

0:12:20 > 0:12:21of what's going on before she goes anywhere.

0:12:21 > 0:12:25- Is there anything in her history? - Not that I can see, no.

0:12:25 > 0:12:27I spoke to Sam.

0:12:27 > 0:12:30If you need an extra pair of hands, or someone to take over...

0:12:30 > 0:12:31What do you mean?

0:12:31 > 0:12:33There's no shame in it, Tom.

0:12:35 > 0:12:36Is this about Tanya Thompson?

0:12:36 > 0:12:40No-one blames you. No-one could have known it was meningitis.

0:12:40 > 0:12:42I know what it's like to have your confidence knocked.

0:12:42 > 0:12:44I'm fine. Thanks.

0:12:45 > 0:12:47OK. Keep me posted, though.

0:12:49 > 0:12:51What did you say to Zoe?

0:12:51 > 0:12:54I just told her about Poppy. Everything OK?

0:12:54 > 0:12:55Fine, thanks.

0:13:01 > 0:13:02This is Holly Baddesley, 32.

0:13:02 > 0:13:06Fell on broken glass while running away from a restaurant.

0:13:06 > 0:13:08Penetrating glass wound to the abdomen.

0:13:08 > 0:13:14GCS at 14, but improving to 15. BP 120 systolic, SATS 99 on O2.

0:13:14 > 0:13:16Clearly intoxicated.

0:13:16 > 0:13:18Her boyfriend sustained a minor cut to his hand.

0:13:18 > 0:13:23Not boyfriend - lover. We're open to other people.

0:13:23 > 0:13:29Right, let's get her across on my count, please. One, two, three.

0:13:33 > 0:13:35Have you been drinking?

0:13:35 > 0:13:39Just a little bit. Rich plied me with champagne.

0:13:39 > 0:13:40It's barely the afternoon.

0:13:40 > 0:13:42It was supposed to be a special occasion.

0:13:42 > 0:13:46There was a strong smell of alcohol on the patient's breath and clothes.

0:13:46 > 0:13:49You know, you remind me of my gran.

0:13:49 > 0:13:53I do not pass judgement. I merely report the misfortunes of others.

0:13:55 > 0:13:56Big deep breath for me, please.

0:13:57 > 0:13:59SHE INHALES

0:13:59 > 0:14:01Let's take a look at this.

0:14:04 > 0:14:08Right, let's get another line in and run some fluids through her.

0:14:08 > 0:14:10Zoe, you free?

0:14:10 > 0:14:12Not really, but what is it?

0:14:12 > 0:14:14Sorry. I hate to interrupt.

0:14:14 > 0:14:17This is Dan Adamson, he's taken a bang to the head.

0:14:17 > 0:14:20The bleeding's not too bad I just thought he needed checking.

0:14:20 > 0:14:24OK. Did you lose consciousness at all? Blurred vision, dizziness?

0:14:24 > 0:14:26Follow my finger.

0:14:28 > 0:14:31Smoker, eh? Girl after my own heart.

0:14:31 > 0:14:33That just needs a bit of glue.

0:14:33 > 0:14:36- Are you going to do it? - No, it's a job for the nurse.

0:14:36 > 0:14:39- And what are you? - I'm the senior consultant.

0:14:42 > 0:14:44Does that hurt?

0:14:45 > 0:14:48We can give you some more pain relief, if you like.

0:14:48 > 0:14:49Go on, then.

0:14:49 > 0:14:51Another five of morphine, please.

0:14:51 > 0:14:54I say yes to everything. It's my only rule in life.

0:14:54 > 0:14:57I can see that. Wish I could drink champagne so early in the day.

0:14:57 > 0:15:00- You'll have to come to one of our parties.- Yeah?

0:15:00 > 0:15:05We're both very independent. Don't keep each other under lock and key.

0:15:05 > 0:15:08Well, that all sounds very fun,

0:15:08 > 0:15:10but too much fun can be a dangerous thing.

0:15:10 > 0:15:11Maybe you should ease up a bit.

0:15:11 > 0:15:16"You must live in the present, launch yourself on every wave,

0:15:16 > 0:15:19"find your eternity in each moment."

0:15:19 > 0:15:21Hmm. Very profound.

0:15:22 > 0:15:23There's no free fluid,

0:15:23 > 0:15:27but we will need a plain abdo film, to see how deep it's gone.

0:15:27 > 0:15:29Surgeons'll need to review her.

0:15:29 > 0:15:32I don't think it's hit any major vessels.

0:15:32 > 0:15:35Can't you just pull it out? I'll do it, if you like.

0:15:35 > 0:15:36Don't you dare.

0:15:41 > 0:15:43How long is all this going to take?

0:15:43 > 0:15:45Why, you got somewhere to be?

0:15:46 > 0:15:50Tess, can you speak to the on-call surgical Reg, please?

0:15:50 > 0:15:52Have we met before?

0:15:52 > 0:15:54Don't think so.

0:16:03 > 0:16:05Well? Anything come up yet?

0:16:05 > 0:16:08I'm afraid we're no further on, really.

0:16:08 > 0:16:11Her bloods have all come back normal and her chest x-ray

0:16:11 > 0:16:14and CT scan are clear.

0:16:14 > 0:16:15I need you to think.

0:16:15 > 0:16:19Is there anything in her behaviour, her day-to-day life,

0:16:19 > 0:16:23however small, is there anything different in the last few weeks?

0:16:23 > 0:16:27I've been a bit distracted recently. I've just moved.

0:16:27 > 0:16:29Everything's all over the place.

0:16:29 > 0:16:32I just thought she was just a bit unsettled by the move.

0:16:32 > 0:16:35Maybe you should move back home, after all this.

0:16:35 > 0:16:37I can keep an eye on both of you, then, yeah?

0:16:37 > 0:16:41- We've been fine on our own. - I don't think so.

0:16:45 > 0:16:48Right, well, we need to get some consent forms signed.

0:16:48 > 0:16:50So perhaps you could show Mr Myerscough the way?

0:16:53 > 0:16:55I want to stay here.

0:16:55 > 0:16:57It's important that we get them done.

0:17:08 > 0:17:10Is everything OK at home?

0:17:10 > 0:17:13Any difficulties you'd like to talk to someone about?

0:17:15 > 0:17:18No. Thank you, but no.

0:17:18 > 0:17:21I did notice, it's probably nothing, but I did notice her hands and feet

0:17:21 > 0:17:25were very cold this morning. I put some extra socks on her.

0:17:25 > 0:17:26Really?

0:17:27 > 0:17:31Has she been irritable? Restless?

0:17:31 > 0:17:33She's been waking up more often than usual in the night.

0:17:35 > 0:17:37- What do you think it is? - I hope it's nothing,

0:17:37 > 0:17:40but it could be something more serious.

0:17:40 > 0:17:43Can we start her on some fluid and some IV ceftriaxone

0:17:43 > 0:17:49- and I think we're going to have to do a lumbar puncture.- A lumbar puncture?

0:17:49 > 0:17:51She's not running a temperature,

0:17:51 > 0:17:53but we would like to rule out meningitis.

0:17:56 > 0:17:58I can wait till she's up in PICU, if you'd prefer, or I can do it now.

0:18:01 > 0:18:04I don't want to wait. You can do it now.

0:18:10 > 0:18:12Everything OK?

0:18:12 > 0:18:14Apparently, three's a crowd.

0:18:14 > 0:18:17Zoe, I need you, please! It's Dan.

0:18:20 > 0:18:22- OK. What is it? - I need your help. Please, doctor.

0:18:22 > 0:18:25- OK, what's wrong? - I'm in desperate need of a fag.

0:18:25 > 0:18:28- Jamie!- He said he was in pain.

0:18:28 > 0:18:30If you were a smoker, you'd understand.

0:18:30 > 0:18:34You've got some, I know you have. Let's sneak out now. Five minutes.

0:18:34 > 0:18:37For goodness sake. This department's full of people with real problems.

0:18:37 > 0:18:39- Have you glued the wound yet? - I was just about to.

0:18:39 > 0:18:42- You look like you could use one. - I have not got time for this, I'm...

0:18:42 > 0:18:45A very important doctor. Yeah, you did mention it.

0:18:45 > 0:18:48I reckon you're wilder than you let on. What do you think?

0:18:48 > 0:18:50I reckon she was the one smoking behind the bike shed

0:18:50 > 0:18:53and getting off with all the bad lads. Am I right?

0:18:53 > 0:18:56Jamie, would you close Mr Adamson's wound

0:18:56 > 0:18:59- and then would you discharge Mr Adamson?- Yeah.

0:19:32 > 0:19:34OK. Can you take that to the lab, please?

0:19:37 > 0:19:40CSF sample's going upstairs. I'm hopeful.

0:19:40 > 0:19:43- You did a lumbar puncture?- Yeah. - Based on what symptoms?

0:19:43 > 0:19:45She had cold hands and feet.

0:19:45 > 0:19:47Plus the breathing problems, and restlessness.

0:19:47 > 0:19:49- Fever or rash?- No.

0:19:49 > 0:19:51Tom, you can't just do a lumbar puncture on any child

0:19:51 > 0:19:54with some generic symptoms. It's a very risky procedure.

0:19:54 > 0:19:56We can't afford not to know.

0:19:56 > 0:19:58There's being cautious and there's being paranoid.

0:19:58 > 0:19:59Belt and braces medicine, Zoe.

0:19:59 > 0:20:02Don't do anything like that again without checking with me first.

0:20:05 > 0:20:08Zoe, I got Dan Adamson's medical records through.

0:20:08 > 0:20:10Something you might want to see.

0:20:10 > 0:20:13As you can see, it's pretty deep.

0:20:13 > 0:20:15I think you're going to have to have it removed in theatre.

0:20:15 > 0:20:18- Can't you just take it out here?- No.

0:20:18 > 0:20:21Let's give her another five of morphine

0:20:21 > 0:20:24and prep her for theatre, please.

0:20:25 > 0:20:27Holly, I've been looking through your old notes.

0:20:27 > 0:20:30You were referred for an urgent neurological examination,

0:20:30 > 0:20:32a brain scan, six months ago.

0:20:32 > 0:20:35- It says you never attended the appointment.- I cancelled it.

0:20:35 > 0:20:38It's important not to miss these things.

0:20:38 > 0:20:40- I could get you re-booked in. - It's fine.

0:20:42 > 0:20:45What were your symptoms? There's not much recorded on the notes.

0:20:45 > 0:20:46I don't want to discuss it.

0:20:46 > 0:20:49You might as well let us check it out while you are here.

0:20:49 > 0:20:51They're ready for you in surgery.

0:20:51 > 0:20:54- No. I just want to go home, OK. - You have to have surgery.

0:20:54 > 0:20:57You said it hadn't touched any blood vessels.

0:20:58 > 0:21:01- Holly, no! - YELLING

0:21:01 > 0:21:02You really shouldn't have done that.

0:21:02 > 0:21:05I need a suture set 2/0 and 4/0 Vicryl, please.

0:21:05 > 0:21:07Can we get rid of this blood, please?

0:21:08 > 0:21:09Try and stay still for us, Holly.

0:21:09 > 0:21:11SHE GASPS AND MOANS

0:21:15 > 0:21:18I need to put some deep sutures in there.

0:21:19 > 0:21:21I can't see the vessel.

0:21:21 > 0:21:22It's OK. Go steady.

0:21:22 > 0:21:25It's in there, somewhere. try and keep still.

0:21:26 > 0:21:29OK, I've got it. Clip.

0:21:29 > 0:21:32It's OK, no rush. Get a big suture in there,

0:21:32 > 0:21:34quick as you can.

0:21:35 > 0:21:37SHE MOANS

0:21:44 > 0:21:45That's got it.

0:21:45 > 0:21:48Can we get some fluids into her, please?

0:21:48 > 0:21:49Good work, Dr Nicholls.

0:21:56 > 0:21:58A-ha! So you are sneaking out for one.

0:21:58 > 0:22:01Just give us a minute. Why didn't you tell us about the op?

0:22:01 > 0:22:03Didn't think it was important.

0:22:03 > 0:22:05You're due to have a valve replacement in two days.

0:22:05 > 0:22:07I've had all the lectures already.

0:22:07 > 0:22:10All the things I like to do, doctors tell me not to.

0:22:10 > 0:22:13It's a very serious operation, Dan, you should have told us.

0:22:13 > 0:22:15Has your surgeon talked you through this all?

0:22:15 > 0:22:17I know everything I need to know.

0:22:17 > 0:22:20- Did you faint this morning? Is that how you banged your head?- Maybe.

0:22:20 > 0:22:23I think we need to get you back in, check you over.

0:22:23 > 0:22:26We need to find out if this is related to your heart problem.

0:22:26 > 0:22:29- I'm fine, I promise you.- Let me just talk you through it all, then?

0:22:29 > 0:22:31How about we go and get drunk instead?

0:22:31 > 0:22:33There's a pub over the road. Come on, let's go and have a pint?

0:22:33 > 0:22:37Oh, let me guess, vodka and tonic, with a twist of lime.

0:22:37 > 0:22:38I'm being serious, Dan.

0:22:38 > 0:22:42So am I. Might even get you a bag of peanuts.

0:22:42 > 0:22:44You need to get back into bed now.

0:22:44 > 0:22:47Come on, Zoe, just one drink!

0:22:47 > 0:22:48Get hold of his cardiologist.

0:22:48 > 0:22:50He might need some pre-operative counselling.

0:22:50 > 0:22:52Yeah, course.

0:22:54 > 0:22:56What's going on?

0:22:56 > 0:22:58She was being a bit...stubborn.

0:22:58 > 0:23:00She pulled the glass out?

0:23:00 > 0:23:03She's fine. They need to finish dressing the wound.

0:23:03 > 0:23:07One of these days she's going to hurt herself properly.

0:23:07 > 0:23:09Have you had that looked at?

0:23:11 > 0:23:14Thank you. Just jump on there for me, please.

0:23:16 > 0:23:19It's typical Holly. She just does things without thinking.

0:23:19 > 0:23:22She's very...spontaneous.

0:23:22 > 0:23:23That's one word for it.

0:23:23 > 0:23:25Freaks me out.

0:23:25 > 0:23:28She climbed over a ten-foot spiked fence the other week.

0:23:28 > 0:23:30Drunk out of her mind.

0:23:32 > 0:23:34I tried to stop her, but she just doesn't...

0:23:36 > 0:23:40What about her family? Her parents, are they around, at all?

0:23:40 > 0:23:43Her dad's not around. Her mum died about ten years ago.

0:23:43 > 0:23:45How?

0:23:45 > 0:23:47Pneumonia, I think.

0:23:47 > 0:23:48Pneumonia?

0:23:56 > 0:24:00Hi, it's Tom Kent, down in the ED. I sent an urgent CSF sample up.

0:24:01 > 0:24:05Really? OK, thanks.

0:24:05 > 0:24:08- Tom!- What's happened? - She's going off again.

0:24:10 > 0:24:11What happened?

0:24:11 > 0:24:14Breathing's down. SATS are at 90. Need to bag her.

0:24:14 > 0:24:16How long's she been on the ceftriaxone?

0:24:16 > 0:24:18I spoke to the lab. No sign of bacteria in the sample.

0:24:18 > 0:24:20- I knew it, Tom. - We needed to rule it out.

0:24:20 > 0:24:22And what does that leave us with, eh?

0:24:22 > 0:24:24SATS are down to 88. She's barely breathing, at all.

0:24:24 > 0:24:26- We need to do an RSI. - Just give her a moment.

0:24:26 > 0:24:29We've haven't got time, Tom.

0:24:29 > 0:24:31She's in the best possible hands.

0:24:38 > 0:24:40- We need to intubate, Tom.- Just wait.

0:24:40 > 0:24:42MACHINES BEEP

0:24:51 > 0:24:52BEEPING EASES

0:24:52 > 0:24:54OK, SATS are rising.

0:24:54 > 0:24:56She's breathing on her own.

0:25:01 > 0:25:05- Well?- She's more stable. But she is still very poorly.

0:25:05 > 0:25:06Is it meningitis, then?

0:25:06 > 0:25:08No, it's not.

0:25:08 > 0:25:10But what about the lumbar puncture?

0:25:10 > 0:25:13Most of time we're just trying to rule things out.

0:25:13 > 0:25:15- What is wrong with her, then? - I don't know.

0:25:15 > 0:25:18You don't know? Well, who does know?

0:25:18 > 0:25:20Look, we can run some more investigations,

0:25:20 > 0:25:21we can do some more tests.

0:25:21 > 0:25:23You haven't got a clue, have you?

0:25:23 > 0:25:25Your attitude isn't going to help Poppy.

0:25:25 > 0:25:27My attitude? Mate, you haven't seen anything yet.

0:25:27 > 0:25:29- Don't threaten me. I'm not as easy to bully.- What?

0:25:29 > 0:25:32- OK, I think that's enough, don't you?- Sam, don't.

0:25:34 > 0:25:36OK, you can see Poppy now.

0:25:36 > 0:25:38Come on.

0:25:44 > 0:25:46- Sorry.- Tom, what was that?

0:25:46 > 0:25:49Listen. We've run every test, OK, and I think we need to consider

0:25:49 > 0:25:51non-medical reasons for what's happening.

0:25:51 > 0:25:54- What's your evidence for this? - Something doesn't feel right.

0:25:54 > 0:25:57Tom, I know you struggled with Tanya Thompson,

0:25:57 > 0:26:00but I can't let you take out your own insecurities on this family.

0:26:00 > 0:26:01My insecurities?

0:26:01 > 0:26:03I'm not doubting your ability as a doctor.

0:26:03 > 0:26:05You are, and that worries me.

0:26:05 > 0:26:07Cos it means I can't trust your judgement.

0:26:07 > 0:26:10- I'll finish up here, you go and calm down.- Fine.

0:26:18 > 0:26:20- Are you, OK?- Tip top, thanks.

0:26:20 > 0:26:23- Tom, why don't you take a pill? - Why don't you keep your voice down?

0:26:23 > 0:26:25They are useful at times like this.

0:26:25 > 0:26:29The whole point of medication is you don't have to struggle on your own.

0:26:29 > 0:26:32Tom, there's no shame in getting a bit of help now and again.

0:26:32 > 0:26:35I don't need them any more. They didn't help.

0:26:37 > 0:26:442004? Sarah Baddesley? Yes, thanks, that's very helpful.

0:26:54 > 0:26:59I wanted to apologise. For my husband. Ex-husband.

0:26:59 > 0:27:03It's not your fault. I know his type. Throwing his weight around.

0:27:05 > 0:27:08He wants you and Poppy to move back in with him?

0:27:08 > 0:27:10Yeah.

0:27:10 > 0:27:12Are you going to?

0:27:14 > 0:27:16I don't know.

0:27:17 > 0:27:20It took me a long enough to get the courage to leave him.

0:27:20 > 0:27:23You didn't tell him where you were going?

0:27:26 > 0:27:32I didn't find it easy to be a wife...or a mother.

0:27:33 > 0:27:38But all I've ever wanted to do was keep Poppy safe.

0:27:39 > 0:27:41And now I can't even do that.

0:27:44 > 0:27:48Listen, I have to ask. Has Max ever hurt you or Poppy?

0:27:51 > 0:27:53He loves us both very much.

0:27:55 > 0:28:00If there's something I need to know, you must tell us.

0:28:00 > 0:28:02I can get help for you both.

0:28:02 > 0:28:04I'm not the one who's ill.

0:28:07 > 0:28:09Shouldn't you be inside with Poppy?

0:28:12 > 0:28:13Yeah.

0:28:21 > 0:28:25Louise. I need all the past records for Fiona Myerscough.

0:28:25 > 0:28:27Is she a patient?

0:28:27 > 0:28:31Relative. Do me a favour? Don't say anything to Zoe.

0:28:31 > 0:28:32Tom...

0:28:32 > 0:28:37I'll buy you a drink tonight. Drinks. Plural.

0:28:37 > 0:28:39All night. All week?

0:28:39 > 0:28:40All right.

0:28:40 > 0:28:43I can take it from here. Thank you.

0:28:45 > 0:28:48I got you some magazines. And some chocolate.

0:28:48 > 0:28:50I didn't know which one to get, so I got them all.

0:28:50 > 0:28:52Thanks. But we'll not be here much longer.

0:28:54 > 0:28:55Could we have a word, Holly?

0:28:57 > 0:28:59Will you give us five minutes.

0:29:01 > 0:29:03Have you fallen much recently?

0:29:04 > 0:29:08No. I've probably just been drinking a bit too much.

0:29:10 > 0:29:13I knew I remembered you from somewhere.

0:29:13 > 0:29:15Your mother was Sarah Baddesley?

0:29:15 > 0:29:19She was treated in here quite a few times before her diagnosis.

0:29:19 > 0:29:21Mainly for falls.

0:29:24 > 0:29:27Huntington's Disease can be a terrible burden.

0:29:27 > 0:29:30Obviously for the patients and for their families.

0:29:30 > 0:29:32And for their children, especially.

0:29:33 > 0:29:37Wondering every time they lose their balance, or forget a word...

0:29:40 > 0:29:42Is that why you wanted to see the neurologist?

0:29:42 > 0:29:45Because you were worried about yourself?

0:29:45 > 0:29:48If there's something you might be worried about,

0:29:48 > 0:29:49we can help get the referrals made.

0:29:49 > 0:29:53Or we could speak to the Neurology Department for you.

0:29:53 > 0:29:57If there was anything you or anybody else could do, then I'd say yes.

0:29:57 > 0:30:00We know much more than we did ten years ago.

0:30:00 > 0:30:02Still not enough.

0:30:08 > 0:30:10There's some more here.

0:30:10 > 0:30:12- There's a lot of them.- Yeah.

0:30:17 > 0:30:20- Jamie's patient.- Zoe.

0:30:20 > 0:30:21You OK?

0:30:21 > 0:30:24Yeah, has Poppy been taken up to PICU yet?

0:30:24 > 0:30:26- She's going up now. - I just want to check her again.

0:30:26 > 0:30:30- Tom!- Five minutes. Quick final check.- Five minutes.

0:30:32 > 0:30:34Is he OK?

0:30:34 > 0:30:35Hmm?

0:30:35 > 0:30:37Should I be worried, Sam?

0:30:37 > 0:30:40Tom, no, he's just tired. You know how he gets.

0:30:40 > 0:30:43- Right.- Bye, Zoe.

0:30:43 > 0:30:45Ah, Dan, I have been meaning to speak to you.

0:30:45 > 0:30:48I've arranged for someone to come up to the ward and talk you

0:30:48 > 0:30:50through the process, answer any questions you might have.

0:30:50 > 0:30:52Someone to come up? Like who?

0:30:52 > 0:30:54It's called pre-operative counselling.

0:30:54 > 0:30:56It's there to help you manage any anxieties

0:30:56 > 0:30:57you might have before the operation.

0:30:57 > 0:30:59Counselling? I don't need any counselling.

0:30:59 > 0:31:03You do, Dan. Every time I mention surgery, you change the subject.

0:31:03 > 0:31:05If I'd let you, you'd be in the pub now, drowning your sorrows.

0:31:05 > 0:31:08Zoe, the reason I haven't talked about it

0:31:08 > 0:31:10is because I'm fine about it. Really, I am.

0:31:10 > 0:31:13And the reason I wanted to go to the pub is that I wanted to go with you.

0:31:13 > 0:31:17Didn't you get that? I was asking you out.

0:31:17 > 0:31:20I just really fancy you.

0:31:20 > 0:31:22Oh. OK, you can take him up now.

0:31:26 > 0:31:28I think you're gorgeous, Zoe.

0:31:31 > 0:31:33Can you file that for me, please?

0:31:33 > 0:31:35HE WOLF WHISTLES

0:31:40 > 0:31:42How is she?

0:31:42 > 0:31:45She's doing fine. She is probably just a bit tired.

0:31:45 > 0:31:47Little love.

0:31:47 > 0:31:49The porter is on his way down now.

0:31:54 > 0:31:56How's her breathing?

0:31:56 > 0:31:57Better.

0:32:02 > 0:32:05Zoe? Are you free? Mr Morgan's back for an x-ray.

0:32:05 > 0:32:07- OK. I'm coming. - Can you ask Sam? OK.

0:32:09 > 0:32:11I was checking Poppy's airway.

0:32:11 > 0:32:13I found a tooth imprint on the underside of her lip.

0:32:13 > 0:32:16- What are you saying?- Don't know yet. But it could be suffocation.

0:32:16 > 0:32:19- We could have done that in the resus.- Maybe.

0:32:19 > 0:32:22But we can't rule it out until we know for sure.

0:32:22 > 0:32:24This is a very serious allegation you're making.

0:32:24 > 0:32:27I know. I checked Fiona's medical records.

0:32:27 > 0:32:29She's changed GPs five times in less than a year.

0:32:29 > 0:32:31That is a lot, but it doesn't prove anything.

0:32:31 > 0:32:34In her records there's a referral to a domestic violence charity.

0:32:34 > 0:32:36Looks like Fiona never followed it up.

0:32:36 > 0:32:39If she was trying to hide injuries to herself or Poppy...

0:32:39 > 0:32:41- What you saying it's the husband? - I don't know.

0:32:41 > 0:32:44But she's clearly terrified and I know for sure that she moved house

0:32:44 > 0:32:47and didn't tell him where she was going.

0:32:47 > 0:32:50There is something seriously wrong with that family.

0:32:50 > 0:32:54OK, I'll call Social Services, see if they know anything but...

0:32:54 > 0:32:56I just saw that patient of yours leaving with her baby.

0:32:56 > 0:33:00- What patient? - Fiona Myerscough?- What?

0:33:00 > 0:33:02- Where's her husband? - I think he went after her.

0:33:07 > 0:33:11Max, Max. Where are they?

0:33:11 > 0:33:14She just took off. I went after them, but she'd already gone.

0:33:14 > 0:33:17- Been trying to get hold of her. - Why would she run, Max?

0:33:17 > 0:33:18I don't know.

0:33:18 > 0:33:21Why would Fiona take Poppy out of the hospital when she is so sick?

0:33:21 > 0:33:23I don't know.

0:33:23 > 0:33:25I would like you to come inside, so I can discuss this.

0:33:25 > 0:33:28What? What is it?

0:33:29 > 0:33:33We found some injuries on Poppy that we don't think are accidental.

0:33:33 > 0:33:37What kind of injuries? What's wrong with Poppy?

0:33:37 > 0:33:40Well, we may need to discuss that with Social Services.

0:33:40 > 0:33:42You think I'm responsible?

0:33:42 > 0:33:46I don't think anything yet. Why don't you come inside?

0:33:50 > 0:33:53If you know what's going on, or why Fiona ran away,

0:33:53 > 0:33:55or why she is scared...

0:33:55 > 0:33:58I don't know. I wish I did.

0:33:58 > 0:34:00I haven't seen either of them for months.

0:34:00 > 0:34:03I wish I knew why she was doing this.

0:34:03 > 0:34:05Why haven't you seen them for months?

0:34:13 > 0:34:18We've not had a great year. We split up a few times.

0:34:18 > 0:34:20Argued a lot.

0:34:20 > 0:34:25Then, about two months ago I came home from work, everything is gone.

0:34:25 > 0:34:31Poppy's room empty. Fiona doesn't really have any friends or family.

0:34:31 > 0:34:34I tracked her down, eventually.

0:34:34 > 0:34:37She's moved into this grotty flat on her own.

0:34:37 > 0:34:39What about your access to Poppy?

0:34:39 > 0:34:41She doesn't want me to be a part of her life.

0:34:41 > 0:34:44She's possessive about her. Neurotic.

0:34:46 > 0:34:48She wouldn't hurt her.

0:34:48 > 0:34:51She's changed her GP five times.

0:34:51 > 0:34:54Can you think of any reason why she would do that?

0:34:56 > 0:34:58She never told me that.

0:34:58 > 0:35:01You never took Poppy to the doctors?

0:35:01 > 0:35:05Fiona took care of all that. She had started training as a nurse.

0:35:07 > 0:35:08Really?

0:35:08 > 0:35:10A few years ago.

0:35:10 > 0:35:11Excuse me.

0:35:17 > 0:35:18Is it all right to come in now?

0:35:20 > 0:35:21Thank you.

0:35:21 > 0:35:23What were you guys talking about before?

0:35:23 > 0:35:25Don't worry about it.

0:35:25 > 0:35:29- It's nothing serious? - No. Nothing serious.

0:35:29 > 0:35:31I was so worried about you before.

0:35:32 > 0:35:34Seeing you in that room with all the doctors around you.

0:35:34 > 0:35:38- Blood everywhere.- Chalk it up as another life experience.

0:35:38 > 0:35:40I know we said we'd just take each day as it comes.

0:35:40 > 0:35:44That we wouldn't try to tie each other down and get old and boring,

0:35:44 > 0:35:46but I want us to get old together.

0:35:51 > 0:35:53Was a bit more romantic the way I planned it, but...

0:35:53 > 0:35:55Be a good story for the grandchildren, though.

0:35:55 > 0:35:57What?

0:36:00 > 0:36:05Holly Baddesley. Will you do me the honour of being my wife?

0:36:07 > 0:36:09If you don't like it, they said you can choose another one.

0:36:09 > 0:36:10Rich, don't.

0:36:12 > 0:36:17I'm sorry. I thought I was really clear.

0:36:17 > 0:36:19I don't want any of that.

0:36:19 > 0:36:23I don't want the marriage or the kids thing.

0:36:23 > 0:36:26But that's just what people say. They do, really.

0:36:26 > 0:36:28No, not me.

0:36:29 > 0:36:31Look, we don't have to get married.

0:36:31 > 0:36:34Maybe we could just move in together.

0:36:34 > 0:36:37- Holly, I just want to be with you.- I'm sorry.

0:36:39 > 0:36:42I can't give you all the stuff you want.

0:36:42 > 0:36:46What? What is it?

0:36:46 > 0:36:49Mum had Huntington's Disease.

0:36:49 > 0:36:50What's that?

0:36:50 > 0:36:53It's a neurodegenerative genetic disorder.

0:36:53 > 0:36:56There's a 50% chance I have it, too.

0:36:56 > 0:37:01Mum was 32 when it started. And 43 when she died.

0:37:01 > 0:37:03That's why she got pneumonia.

0:37:03 > 0:37:07So if you want to get old with someone, I'm not a very good bet.

0:37:09 > 0:37:11I just want to be on my own now, OK.

0:37:12 > 0:37:14Nurse.

0:37:18 > 0:37:20Is it true? What she just said?

0:37:22 > 0:37:24What does it do to you?

0:37:24 > 0:37:29It causes problems with muscle co-ordination.

0:37:29 > 0:37:32Psychiatric problems. Behavioural changes.

0:37:34 > 0:37:35Is she going to die?

0:37:35 > 0:37:37It's too soon to think about that.

0:37:39 > 0:37:44I knew something was up. She had a letter from some clinic.

0:37:44 > 0:37:47I thought maybe she was pregnant.

0:37:47 > 0:37:48A clinic?

0:37:56 > 0:37:59Poor little girl. We need to get you to a doctor.

0:37:59 > 0:38:01I spoke to her last GP.

0:38:01 > 0:38:03Fiona's taken Poppy in with suspected meningitis

0:38:03 > 0:38:06- six times this year. - Six times?- Think about it.

0:38:06 > 0:38:09Multiple repeat visits to the GP, anxiety, constantly changing doctors,

0:38:09 > 0:38:11now the breathing problems.

0:38:11 > 0:38:13- What you think it's...?- FII.

0:38:13 > 0:38:16She's got a professional link to the healthcare system.

0:38:16 > 0:38:18- It's all red flags, Zoe. - What's going on?

0:38:18 > 0:38:20- Would you mind waiting in the...? - No. Please tell me

0:38:20 > 0:38:22why she has taken my little girl.

0:38:24 > 0:38:26BABY CRIES

0:38:28 > 0:38:31Poppy, Poppy it's OK.

0:38:31 > 0:38:33'Fabricated and...what?'

0:38:33 > 0:38:39Fabricated and Induced Illness. It's a need to induce illness on others.

0:38:41 > 0:38:45- She's almost unconscious to it. It's a compulsion.- Why?

0:38:45 > 0:38:47It's a way of gaining nurturing and love from others,

0:38:47 > 0:38:50usually if they have had so little in their childhood.

0:38:52 > 0:38:55I haven't been very patient with her.

0:38:55 > 0:39:01We argued a lot about Poppy. Did I drive her to this?

0:39:01 > 0:39:05People who abuse, it usually comes deep within their own childhood.

0:39:05 > 0:39:07I doubt it's anything you did.

0:39:07 > 0:39:09Will she hurt her again?

0:39:12 > 0:39:13She might do.

0:39:14 > 0:39:17- Call the police. - There is no time.- No, Tom, no!

0:39:19 > 0:39:23Holly. Holly, are you in there?

0:39:23 > 0:39:26I'm fine. Please go away.

0:39:29 > 0:39:31I know about the genetics clinic.

0:39:31 > 0:39:35I know you had the test done. Did you get the result?

0:39:39 > 0:39:40Did you get the result?

0:39:42 > 0:39:44I was supposed to go in last week.

0:39:47 > 0:39:48And you didn't?

0:39:48 > 0:39:50I couldn't.

0:40:00 > 0:40:04Don't spend your life wondering about the future.

0:40:04 > 0:40:09Live in the present. Live each day as if it's your last.

0:40:09 > 0:40:12That's what they say, isn't it?

0:40:12 > 0:40:18They do. And for most people, it's hard advice to follow.

0:40:18 > 0:40:21Me, included.

0:40:22 > 0:40:25But you're not doing that, are you?

0:40:25 > 0:40:28You're just trying to block it out.

0:40:30 > 0:40:32I think you're very brave.

0:40:32 > 0:40:38You cared for your mum full-time, all on your own,

0:40:38 > 0:40:41knowing it could happen to you.

0:40:41 > 0:40:45If you don't want to know the results, you don't have to,

0:40:45 > 0:40:47it's your choice.

0:40:47 > 0:40:50But don't shut down your future because of that.

0:40:50 > 0:40:52It'd be a terrible waste.

0:40:53 > 0:40:56I can't go in there and hear it.

0:40:56 > 0:40:58You don't have to do it on your own.

0:41:04 > 0:41:06BUZZER

0:41:09 > 0:41:12MOBILE RINGS

0:41:23 > 0:41:24Fi!

0:41:33 > 0:41:35Fi.

0:41:39 > 0:41:43She's gone. What's she going to do to her?

0:41:43 > 0:41:45She won't want to hurt her.

0:41:45 > 0:41:48You don't know what she'll do. She's sick.

0:41:48 > 0:41:51Listen, is there anywhere else she can go?

0:41:51 > 0:41:53No.

0:41:53 > 0:41:55I'll inform the police.

0:41:55 > 0:41:57BABY CRIES

0:42:12 > 0:42:14Give her to me.

0:42:14 > 0:42:16No.

0:42:18 > 0:42:21She needs to go back to the hospital.

0:42:21 > 0:42:23You don't know what she needs. You never have.

0:42:26 > 0:42:30Fiona. You're not thinking clearly. You're not well.

0:42:30 > 0:42:34I am her mother. I am the only one who knows what she needs.

0:42:34 > 0:42:36It's OK. It's OK.

0:42:38 > 0:42:42Fiona. I know the other doctors didn't believe you.

0:42:44 > 0:42:46They ran the tests

0:42:46 > 0:42:49and they didn't give Poppy the help you wanted for her.

0:42:49 > 0:42:51They sent you away.

0:42:54 > 0:42:58Nobody should have to cope with a sick child on their own.

0:42:58 > 0:42:59They wouldn't believe me.

0:42:59 > 0:43:03I know. They were wrong.

0:43:05 > 0:43:09I'm a doctor, Fiona. And I do believe you.

0:43:09 > 0:43:11Poppy is very sick now.

0:43:13 > 0:43:17She's not breathing strongly enough on her own.

0:43:17 > 0:43:19If I don't treat her, there is

0:43:19 > 0:43:22a possibility she could suffer permanent brain damage.

0:43:25 > 0:43:27Let me take care of you both.

0:43:39 > 0:43:42It's OK, it's all right.

0:43:42 > 0:43:44You're OK.

0:43:57 > 0:43:59You OK?

0:44:08 > 0:44:12Holly Baddesley, please.

0:44:12 > 0:44:14- Let's get the SATS monitor on her. - OK.

0:44:26 > 0:44:28MONITOR BEEPS

0:44:30 > 0:44:32She might just be cold.

0:44:32 > 0:44:36What's wrong? What's wrong with her?

0:44:36 > 0:44:38We need to find out what her oxygen levels are.

0:44:38 > 0:44:40Is she breathing OK?

0:44:40 > 0:44:42That's what I'm trying to find out.

0:44:42 > 0:44:44SATS at 99.

0:44:46 > 0:44:48She's going to be OK.

0:44:50 > 0:44:53I think we have to take you downstairs and have a little chat.

0:44:53 > 0:44:55If you would like to come with us.

0:44:58 > 0:45:00Right, they are here.

0:45:00 > 0:45:04Let's get her straight into Paeds. Let Tess and Sam take her.

0:45:09 > 0:45:12Tom. Well done.

0:45:42 > 0:45:44I'm going to grow old after all.

0:45:44 > 0:45:46That's great.

0:45:46 > 0:45:48I just wish Mum could have known.

0:45:54 > 0:45:57She's been taken to the Psych unit at St James'.

0:45:57 > 0:46:00- She went voluntarily. - What's going to happen to her now?

0:46:00 > 0:46:02I don't know yet.

0:46:02 > 0:46:04A psychiatrist and a social worker will assess her.

0:46:04 > 0:46:06But she could be there for a long time.

0:46:06 > 0:46:09Will she ever be able to have custody of Poppy again?

0:46:09 > 0:46:12Why don't you take things one step at a time.

0:46:18 > 0:46:21Thank you for what you did today.

0:46:21 > 0:46:26I'm sorry I was a bit aggro.

0:46:26 > 0:46:28Don't worry about it. Me too.

0:46:30 > 0:46:32Don't really know what to do with myself now.

0:46:32 > 0:46:34Be a dad to Poppy?

0:46:35 > 0:46:37That's all I ever wanted.

0:46:39 > 0:46:40Thanks, mate.

0:46:43 > 0:46:47Tom. I've been trying to call you. I was worried about you.

0:46:47 > 0:46:50- Did you have another attack? - I'm all right.

0:46:51 > 0:46:55Are you? Promise.

0:46:55 > 0:46:58I promise, I'm all right.

0:47:03 > 0:47:05Long day?

0:47:05 > 0:47:07Yeah.

0:47:07 > 0:47:09How about I buy you a drink?

0:47:09 > 0:47:11To make up for the coffee earlier?

0:47:11 > 0:47:13HE CHUCKLES

0:47:13 > 0:47:16Come on then, Ash. Coming?

0:47:16 > 0:47:19No, you go ahead.

0:47:19 > 0:47:20Sure?

0:47:22 > 0:47:24Let's get a move on, Big Mac's buying!

0:47:24 > 0:47:26I think you will find I bought a round last night!

0:47:26 > 0:47:28I think you'll find you didn't.

0:47:44 > 0:47:46PHONE RINGS

0:47:47 > 0:47:49Hi. It's Tess.

0:47:50 > 0:47:56I was wondering if you could pick up a shift on Wednesday.

0:47:56 > 0:47:59It would be a double. No, no, that's all.

0:47:59 > 0:48:01Yeah. Thank you.

0:48:11 > 0:48:13- Stop it.- I said back off.

0:48:13 > 0:48:14How you doing?

0:48:14 > 0:48:16Like I wish I had caught the bus this morning.

0:48:16 > 0:48:20- He could have really hurt you. - He is a patient in my department.

0:48:23 > 0:48:26- Well, at least I've been honest about my feelings.- Get out.

0:48:28 > 0:48:29Can I have that back?

0:48:29 > 0:48:33You told me my son was a disgrace.

0:48:46 > 0:48:49Subtitles by Red Bee Media Ltd