The Milk of Human Kindness Casualty

Is it too late to pull a sickie?

I'm not sure if we'd get away with it.

We could just do a runner and go back to bed.

Shift started two minutes ago.

Sorry, paramedics are five minutes away. RTC. Little boy.

Great, thank you.

-You OK?

-Course. I'll be right there.

OK.

This is Jake Ellis, he's seven years old.

He's been knocked off his bike by a car.

He was wearing a helmet, but it's pretty damaged.

Possibly briefly KO'd.

I'm also concerned about a fracture to his left tib, fib.

We've immobilised the leg. Can we get him over, nice and gently?

One, two, three.

BOY SCREAMS

Sats are 99, GCS is 14, his pulse is 120, his BP is 100 over 60,

-and I've given him five of morphine.

-OK, thank you.

OK, Sam, are you all right with the primary survey?

OK, Jake, I'm Tom and this is Sam.

I know it hurts, but we're going to help with it, OK?

Brave lad, you're doing really well.

The airway's OK. Breathing is equal, with no sign of a chest injury.

OK, let's get the orthos down and get the radiographer

for a chest, c-spine and pelvis.

Pulse 110, BP 105 over 75.

-Not much circulation in the foot.

-OK, let's get the frac pac off.

BOY SCREAMS

BOY SCREAMS

SHE MAKES PHONE CALL

I need an emergency appointment.

My little girl's not well.

The Ortho Reg is on his way down.

He wants us to get some films before we do anything.

OK, well the circulation's not good. And the skin is critical.

-So, you're not going to wait?

-We need to just do it.

-OK.

We need to straighten his leg and put the bone back in position.

-Is it going to hurt?

-I'm going to give him medicine

that will make him seem out of it,

but he might make some noise when we do it.

-Jake, I need you to be brave for me. OK?

-Dad, don't let them!

-They've got to do it, Jakey.

-No, Dad it hurts too much.

It's going to be over before you know what's happened.

I just need you to relax.

20 of ketamine going in.

OK, let's do this.

On me.

One, two...

BOY SCREAMS

-There we go.

-Good job.

-Let's get a backslab on this.

-(I am so proud of you.)

Hello, Fi.

-How did you find me?

-You've not made it easy for me.

-I was going to write to you.

-Yeah?

-Once we got settled.

-Really?

-I promise you.

Why are you lying to me? You were going to disappear, weren't you?

Let her grow up not even remembering who I am!

Please. She's not very well. I've got to get her to the doctor.

I'm her dad! She NEEDS me!

She's better off without you. We both are.

I'm sorry, darling. I'm sorry.

Do you remember me? It's your daddy.

Can you say Daddy?

She's very pale. Pops?

I don't think she's breathing!

You're going to have to be in hospital for a while.

The orthopaedic surgeons will come and talk to you about the operation.

Don't worry, you're going to be back on your feet in no time.

And, don't tell the adults,

but the children's wards have computer games.

-Thanks, Doctor.

-No worries.

-How's he doing?

-Going up to theatre now.

Great, well, I've got a meeting upstairs till 12,

-so if you need me...

-Uh-huh.

Allan. Morning. Is one of those for...

-One sugar, yeah?

-You're a lifesaver.

-I can't function without my latte.

-No problem.

-Sorry, I should have got you one.

-No, no, it's fine.

Yep?

-Right.

-Haven't you got a meeting now?

-OK.

-Yeah.

-Thanks.

Paramedics on the way, ten-month-old baby girl with breathing problems.

OK, thanks. I'm on it.

SIREN BLARES

All right, darling. Not too far now, OK?

Come on! Out of the way, fellas!

-Two minutes.

-Jeff, could really do with getting a move on, please.

Are you serious? Two minutes? I've got a child in the back here!

Sats are 85.

Move your van!

You OK?

Sorry. I'm sorry, I'm sorry.

Move the van, now!

Come on, let's go! LET'S GO!

-OK, over here.

-Right, Tom.

This is Poppy Myerscough, she's one year old.

She's in respiratory distress. She's not very responsive

and I think she's got really tired on the way in.

Not pyrexia. We've had to occasionally support her with a BVM.

-OK, let's get her into Paeds and straight onto the trolley.

-OK.

Right, Tom, she's fitting, mate.

OK. Get her onto the trolley.

Can I have some rectal diazepam and paracetamol,

-and then let's relax her a bit. Has this happened before?

-No.

-Has she had all her vaccinations?

-Yes.

-Do you want to bag her?

-Give her a minute. Come on, Poppy.

-Can't you do something?

-Just need to let the fit pass.

-We can't just stand here!

-Wait.

BABY BREATHES RAPIDLY

OK, breathing's improving. Tess, can you get onto PICU, please?

-So what's wrong with her?

-That's what we need to find out. You OK?

-OK, yeah, I'll let Dr Kent know.

-I'm off home.

-Morning.

-Oh. Hi. Didn't think you were on this shift.

-I needed my trainers.

-Right.

I've checked the off-duty for the next couple of weeks and...

we've haven't got a single shift together.

It's just the way it's worked out.

-You sure about that?

-Uh-huh.

Look, I want to see you, Tess.

I know you've got this RCN thing tonight.

Maybe I could come with you. As a colleague.

We could have the whole night together.

-Tess.

-Excuse me.

Mmmm!

Mmmmm! Oh my God!

That is so good!

That is better than sex.

WOMAN SIGHS DISGUSTEDLY

-More champagne?

-Oh!

I like you in this mood.

-Well, it's a special occasion.

-Is it?

-Well, every day should be a special occasion.

-I'll drink to that!

Enjoy.

-Holly...

-Hmm?

..the last couple of months have been the best time of my life.

-I feel like the luckiest guy in the world.

-Don't be daft.

Look, Holly...

Why don't we take the rest of this back to yours?

What?

Let's do a runner.

Let's not.

Oh, come on.

Holly...no, we can't.

Yes, we can.

Oi, you wait there!

CRASH AND MOAN

Holly!

SHE MOANS

Oh, my God.

PICU will be ready in an hour or so.

-Great, thanks.

-What do you think's wrong with her?

-We don't know yet.

There are a number of possibilities, all of which we'll investigate.

Could it be...meningitis?

She doesn't have a fever or a rash, so it's unlikely.

I still need to do a full history, though.

-You don't seem to be registered with a GP.

-I've just moved to the area.

OK. What's Poppy been like over the past few days?

Just very quiet. A bit pale.

I've not seen her much of here recently. We don't live together.

We're working some stuff through.

OK, well, the nurses need to get Poppy to the CT scanner now.

Don't you need to get back to work?

No. I'll come with you.

I'm OK here on my own with her.

I said I'll come with you.

Excuse me.

-How is she?

-I'm running a full set of bloods

and she's going for a CT now, to rule out an intracranial lesion.

If that's all clear, I am going to do a chest x-ray

and urine, to check for any source of sepsis.

PICU are on their way down now, but I want a better picture

of what's going on before she goes anywhere.

-Is there anything in her history?

-Not that I can see, no.

I spoke to Sam.

If you need an extra pair of hands, or someone to take over...

What do you mean?

There's no shame in it, Tom.

Is this about Tanya Thompson?

No-one blames you. No-one could have known it was meningitis.

I know what it's like to have your confidence knocked.

I'm fine. Thanks.

OK. Keep me posted, though.

What did you say to Zoe?

I just told her about Poppy. Everything OK?

Fine, thanks.

This is Holly Baddesley, 32.

Fell on broken glass while running away from a restaurant.

Penetrating glass wound to the abdomen.

GCS at 14, but improving to 15. BP 120 systolic, SATS 99 on O2.

Clearly intoxicated.

Her boyfriend sustained a minor cut to his hand.

Not boyfriend - lover. We're open to other people.

Right, let's get her across on my count, please. One, two, three.

Have you been drinking?

Just a little bit. Rich plied me with champagne.

It's barely the afternoon.

It was supposed to be a special occasion.

There was a strong smell of alcohol on the patient's breath and clothes.

You know, you remind me of my gran.

I do not pass judgement. I merely report the misfortunes of others.

Big deep breath for me, please.

SHE INHALES

Let's take a look at this.

Right, let's get another line in and run some fluids through her.

Zoe, you free?

Not really, but what is it?

Sorry. I hate to interrupt.

This is Dan Adamson, he's taken a bang to the head.

The bleeding's not too bad I just thought he needed checking.

OK. Did you lose consciousness at all? Blurred vision, dizziness?

Follow my finger.

Smoker, eh? Girl after my own heart.

That just needs a bit of glue.

-Are you going to do it?

-No, it's a job for the nurse.

-And what are you?

-I'm the senior consultant.

Does that hurt?

We can give you some more pain relief, if you like.

Go on, then.

Another five of morphine, please.

I say yes to everything. It's my only rule in life.

I can see that. Wish I could drink champagne so early in the day.

-You'll have to come to one of our parties.

-Yeah?

We're both very independent. Don't keep each other under lock and key.

Well, that all sounds very fun,

but too much fun can be a dangerous thing.

Maybe you should ease up a bit.

"You must live in the present, launch yourself on every wave,

"find your eternity in each moment."

Hmm. Very profound.

There's no free fluid,

but we will need a plain abdo film, to see how deep it's gone.

Surgeons'll need to review her.

I don't think it's hit any major vessels.

Can't you just pull it out? I'll do it, if you like.

Don't you dare.

How long is all this going to take?

Why, you got somewhere to be?

Tess, can you speak to the on-call surgical Reg, please?

Have we met before?

Don't think so.

Well? Anything come up yet?

I'm afraid we're no further on, really.

Her bloods have all come back normal and her chest x-ray

and CT scan are clear.

I need you to think.

Is there anything in her behaviour, her day-to-day life,

however small, is there anything different in the last few weeks?

I've been a bit distracted recently. I've just moved.

Everything's all over the place.

I just thought she was just a bit unsettled by the move.

Maybe you should move back home, after all this.

I can keep an eye on both of you, then, yeah?

-We've been fine on our own.

-I don't think so.

Right, well, we need to get some consent forms signed.

So perhaps you could show Mr Myerscough the way?

I want to stay here.

It's important that we get them done.

Is everything OK at home?

Any difficulties you'd like to talk to someone about?

No. Thank you, but no.

I did notice, it's probably nothing, but I did notice her hands and feet

were very cold this morning. I put some extra socks on her.

Really?

Has she been irritable? Restless?

She's been waking up more often than usual in the night.

-What do you think it is?

-I hope it's nothing,

but it could be something more serious.

Can we start her on some fluid and some IV ceftriaxone

-and I think we're going to have to do a lumbar puncture.

-A lumbar puncture?

She's not running a temperature,

but we would like to rule out meningitis.

I can wait till she's up in PICU, if you'd prefer, or I can do it now.

I don't want to wait. You can do it now.

Everything OK?

Apparently, three's a crowd.

Zoe, I need you, please! It's Dan.

-OK. What is it?

-I need your help. Please, doctor.

-OK, what's wrong?

-I'm in desperate need of a fag.

-Jamie!

-He said he was in pain.

If you were a smoker, you'd understand.

You've got some, I know you have. Let's sneak out now. Five minutes.

For goodness sake. This department's full of people with real problems.

-Have you glued the wound yet?

-I was just about to.

-You look like you could use one.

-I have not got time for this, I'm...

A very important doctor. Yeah, you did mention it.

I reckon you're wilder than you let on. What do you think?

I reckon she was the one smoking behind the bike shed

and getting off with all the bad lads. Am I right?

Jamie, would you close Mr Adamson's wound

-and then would you discharge Mr Adamson?

-Yeah.

OK. Can you take that to the lab, please?

CSF sample's going upstairs. I'm hopeful.

-You did a lumbar puncture?

-Yeah.

-Based on what symptoms?

She had cold hands and feet.

Plus the breathing problems, and restlessness.

-Fever or rash?

-No.

Tom, you can't just do a lumbar puncture on any child

with some generic symptoms. It's a very risky procedure.

We can't afford not to know.

There's being cautious and there's being paranoid.

Belt and braces medicine, Zoe.

Don't do anything like that again without checking with me first.

Zoe, I got Dan Adamson's medical records through.

Something you might want to see.

As you can see, it's pretty deep.

I think you're going to have to have it removed in theatre.

-Can't you just take it out here?

-No.

Let's give her another five of morphine

and prep her for theatre, please.

Holly, I've been looking through your old notes.

You were referred for an urgent neurological examination,

a brain scan, six months ago.

-It says you never attended the appointment.

-I cancelled it.

It's important not to miss these things.

-I could get you re-booked in.

-It's fine.

What were your symptoms? There's not much recorded on the notes.

I don't want to discuss it.

You might as well let us check it out while you are here.

They're ready for you in surgery.

-No. I just want to go home, OK.

-You have to have surgery.

You said it hadn't touched any blood vessels.

-Holly, no!

-YELLING

You really shouldn't have done that.

I need a suture set 2/0 and 4/0 Vicryl, please.

Can we get rid of this blood, please?

Try and stay still for us, Holly.

SHE GASPS AND MOANS

I need to put some deep sutures in there.

I can't see the vessel.

It's OK. Go steady.

It's in there, somewhere. try and keep still.

OK, I've got it. Clip.

It's OK, no rush. Get a big suture in there,

quick as you can.

SHE MOANS

That's got it.

Can we get some fluids into her, please?

Good work, Dr Nicholls.

A-ha! So you are sneaking out for one.

Just give us a minute. Why didn't you tell us about the op?

Didn't think it was important.

You're due to have a valve replacement in two days.

I've had all the lectures already.

All the things I like to do, doctors tell me not to.

It's a very serious operation, Dan, you should have told us.

Has your surgeon talked you through this all?

I know everything I need to know.

-Did you faint this morning? Is that how you banged your head?

-Maybe.

I think we need to get you back in, check you over.

We need to find out if this is related to your heart problem.

-I'm fine, I promise you.

-Let me just talk you through it all, then?

How about we go and get drunk instead?

There's a pub over the road. Come on, let's go and have a pint?

Oh, let me guess, vodka and tonic, with a twist of lime.

I'm being serious, Dan.

So am I. Might even get you a bag of peanuts.

You need to get back into bed now.

Come on, Zoe, just one drink!

Get hold of his cardiologist.

He might need some pre-operative counselling.

Yeah, course.

What's going on?

She was being a bit...stubborn.

She pulled the glass out?

She's fine. They need to finish dressing the wound.

One of these days she's going to hurt herself properly.

Have you had that looked at?

Thank you. Just jump on there for me, please.

It's typical Holly. She just does things without thinking.

She's very...spontaneous.

That's one word for it.

Freaks me out.

She climbed over a ten-foot spiked fence the other week.

Drunk out of her mind.

I tried to stop her, but she just doesn't...

What about her family? Her parents, are they around, at all?

Her dad's not around. Her mum died about ten years ago.

How?

Pneumonia, I think.

Pneumonia?

Hi, it's Tom Kent, down in the ED. I sent an urgent CSF sample up.

Really? OK, thanks.

-Tom!

-What's happened?

-She's going off again.

What happened?

Breathing's down. SATS are at 90. Need to bag her.

How long's she been on the ceftriaxone?

I spoke to the lab. No sign of bacteria in the sample.

-I knew it, Tom.

-We needed to rule it out.

And what does that leave us with, eh?

SATS are down to 88. She's barely breathing, at all.

-We need to do an RSI.

-Just give her a moment.

We've haven't got time, Tom.

She's in the best possible hands.

-We need to intubate, Tom.

-Just wait.

MACHINES BEEP

BEEPING EASES

OK, SATS are rising.

She's breathing on her own.

-Well?

-She's more stable. But she is still very poorly.

Is it meningitis, then?

No, it's not.

But what about the lumbar puncture?

Most of time we're just trying to rule things out.

-What is wrong with her, then?

-I don't know.

You don't know? Well, who does know?

Look, we can run some more investigations,

we can do some more tests.

You haven't got a clue, have you?

Your attitude isn't going to help Poppy.

My attitude? Mate, you haven't seen anything yet.

-Don't threaten me. I'm not as easy to bully.

-What?

-OK, I think that's enough, don't you?

-Sam, don't.

OK, you can see Poppy now.

Come on.

-Sorry.

-Tom, what was that?

Listen. We've run every test, OK, and I think we need to consider

non-medical reasons for what's happening.

-What's your evidence for this?

-Something doesn't feel right.

Tom, I know you struggled with Tanya Thompson,

but I can't let you take out your own insecurities on this family.

My insecurities?

I'm not doubting your ability as a doctor.

You are, and that worries me.

Cos it means I can't trust your judgement.

-I'll finish up here, you go and calm down.

-Fine.

-Are you, OK?

-Tip top, thanks.

-Tom, why don't you take a pill?

-Why don't you keep your voice down?

They are useful at times like this.

The whole point of medication is you don't have to struggle on your own.

Tom, there's no shame in getting a bit of help now and again.

I don't need them any more. They didn't help.

2004? Sarah Baddesley? Yes, thanks, that's very helpful.

I wanted to apologise. For my husband. Ex-husband.

It's not your fault. I know his type. Throwing his weight around.

He wants you and Poppy to move back in with him?

Yeah.

Are you going to?

I don't know.

It took me a long enough to get the courage to leave him.

You didn't tell him where you were going?

I didn't find it easy to be a wife...or a mother.

But all I've ever wanted to do was keep Poppy safe.

And now I can't even do that.

Listen, I have to ask. Has Max ever hurt you or Poppy?

He loves us both very much.

If there's something I need to know, you must tell us.

I can get help for you both.

I'm not the one who's ill.

Shouldn't you be inside with Poppy?

Yeah.

Louise. I need all the past records for Fiona Myerscough.

Is she a patient?

Relative. Do me a favour? Don't say anything to Zoe.

Tom...

I'll buy you a drink tonight. Drinks. Plural.

All night. All week?

All right.

I can take it from here. Thank you.

I got you some magazines. And some chocolate.

I didn't know which one to get, so I got them all.

Thanks. But we'll not be here much longer.

Could we have a word, Holly?

Will you give us five minutes.

Have you fallen much recently?

No. I've probably just been drinking a bit too much.

I knew I remembered you from somewhere.

Your mother was Sarah Baddesley?

She was treated in here quite a few times before her diagnosis.

Mainly for falls.

Huntington's Disease can be a terrible burden.

Obviously for the patients and for their families.

And for their children, especially.

Wondering every time they lose their balance, or forget a word...

Is that why you wanted to see the neurologist?

Because you were worried about yourself?

If there's something you might be worried about,

we can help get the referrals made.

Or we could speak to the Neurology Department for you.

If there was anything you or anybody else could do, then I'd say yes.

We know much more than we did ten years ago.

Still not enough.

There's some more here.

-There's a lot of them.

-Yeah.

-Jamie's patient.

-Zoe.

You OK?

Yeah, has Poppy been taken up to PICU yet?

-She's going up now.

-I just want to check her again.

-Tom!

-Five minutes. Quick final check.

-Five minutes.

Is he OK?

Hmm?

Should I be worried, Sam?

Tom, no, he's just tired. You know how he gets.

-Right.

-Bye, Zoe.

Ah, Dan, I have been meaning to speak to you.

I've arranged for someone to come up to the ward and talk you

through the process, answer any questions you might have.

Someone to come up? Like who?

It's called pre-operative counselling.

It's there to help you manage any anxieties

you might have before the operation.

Counselling? I don't need any counselling.

You do, Dan. Every time I mention surgery, you change the subject.

If I'd let you, you'd be in the pub now, drowning your sorrows.

Zoe, the reason I haven't talked about it

is because I'm fine about it. Really, I am.

And the reason I wanted to go to the pub is that I wanted to go with you.

Didn't you get that? I was asking you out.

I just really fancy you.

Oh. OK, you can take him up now.

I think you're gorgeous, Zoe.

Can you file that for me, please?

HE WOLF WHISTLES

How is she?

She's doing fine. She is probably just a bit tired.

Little love.

The porter is on his way down now.

How's her breathing?

Better.

Zoe? Are you free? Mr Morgan's back for an x-ray.

-OK. I'm coming.

-Can you ask Sam? OK.

I was checking Poppy's airway.

I found a tooth imprint on the underside of her lip.

-What are you saying?

-Don't know yet. But it could be suffocation.

-We could have done that in the resus.

-Maybe.

But we can't rule it out until we know for sure.

This is a very serious allegation you're making.

I know. I checked Fiona's medical records.

She's changed GPs five times in less than a year.

That is a lot, but it doesn't prove anything.

In her records there's a referral to a domestic violence charity.

Looks like Fiona never followed it up.

If she was trying to hide injuries to herself or Poppy...

-What you saying it's the husband?

-I don't know.

But she's clearly terrified and I know for sure that she moved house

and didn't tell him where she was going.

There is something seriously wrong with that family.

OK, I'll call Social Services, see if they know anything but...

I just saw that patient of yours leaving with her baby.

-What patient?

-Fiona Myerscough?

-What?

-Where's her husband?

-I think he went after her.

Max, Max. Where are they?

She just took off. I went after them, but she'd already gone.

-Been trying to get hold of her.

-Why would she run, Max?

I don't know.

Why would Fiona take Poppy out of the hospital when she is so sick?

I don't know.

I would like you to come inside, so I can discuss this.

What? What is it?

We found some injuries on Poppy that we don't think are accidental.

What kind of injuries? What's wrong with Poppy?

Well, we may need to discuss that with Social Services.

You think I'm responsible?

I don't think anything yet. Why don't you come inside?

If you know what's going on, or why Fiona ran away,

or why she is scared...

I don't know. I wish I did.

I haven't seen either of them for months.

I wish I knew why she was doing this.

Why haven't you seen them for months?

We've not had a great year. We split up a few times.

Argued a lot.

Then, about two months ago I came home from work, everything is gone.

Poppy's room empty. Fiona doesn't really have any friends or family.

I tracked her down, eventually.

She's moved into this grotty flat on her own.

What about your access to Poppy?

She doesn't want me to be a part of her life.

She's possessive about her. Neurotic.

She wouldn't hurt her.

She's changed her GP five times.

Can you think of any reason why she would do that?

She never told me that.

You never took Poppy to the doctors?

Fiona took care of all that. She had started training as a nurse.

Really?

A few years ago.

Excuse me.

Is it all right to come in now?

Thank you.

What were you guys talking about before?

Don't worry about it.

-It's nothing serious?

-No. Nothing serious.

I was so worried about you before.

Seeing you in that room with all the doctors around you.

-Blood everywhere.

-Chalk it up as another life experience.

I know we said we'd just take each day as it comes.

That we wouldn't try to tie each other down and get old and boring,

but I want us to get old together.

Was a bit more romantic the way I planned it, but...

Be a good story for the grandchildren, though.

What?

Holly Baddesley. Will you do me the honour of being my wife?

If you don't like it, they said you can choose another one.

Rich, don't.

I'm sorry. I thought I was really clear.

I don't want any of that.

I don't want the marriage or the kids thing.

But that's just what people say. They do, really.

No, not me.

Look, we don't have to get married.

Maybe we could just move in together.

-Holly, I just want to be with you.

-I'm sorry.

I can't give you all the stuff you want.

What? What is it?

Mum had Huntington's Disease.

What's that?

It's a neurodegenerative genetic disorder.

There's a 50% chance I have it, too.

Mum was 32 when it started. And 43 when she died.

That's why she got pneumonia.

So if you want to get old with someone, I'm not a very good bet.

I just want to be on my own now, OK.

Nurse.

Is it true? What she just said?

What does it do to you?

It causes problems with muscle co-ordination.

Psychiatric problems. Behavioural changes.

Is she going to die?

It's too soon to think about that.

I knew something was up. She had a letter from some clinic.

I thought maybe she was pregnant.

A clinic?

Poor little girl. We need to get you to a doctor.

I spoke to her last GP.

Fiona's taken Poppy in with suspected meningitis

-six times this year.

-Six times?

-Think about it.

Multiple repeat visits to the GP, anxiety, constantly changing doctors,

now the breathing problems.

-What you think it's...?

-FII.

She's got a professional link to the healthcare system.

-It's all red flags, Zoe.

-What's going on?

-Would you mind waiting in the...?

-No. Please tell me

why she has taken my little girl.

BABY CRIES

Poppy, Poppy it's OK.

'Fabricated and...what?'

Fabricated and Induced Illness. It's a need to induce illness on others.

-She's almost unconscious to it. It's a compulsion.

-Why?

It's a way of gaining nurturing and love from others,

usually if they have had so little in their childhood.

I haven't been very patient with her.

We argued a lot about Poppy. Did I drive her to this?

People who abuse, it usually comes deep within their own childhood.

I doubt it's anything you did.

Will she hurt her again?

She might do.

-Call the police.

-There is no time.

-No, Tom, no!

Holly. Holly, are you in there?

I'm fine. Please go away.

I know about the genetics clinic.

I know you had the test done. Did you get the result?

Did you get the result?

I was supposed to go in last week.

And you didn't?

I couldn't.

Don't spend your life wondering about the future.

Live in the present. Live each day as if it's your last.

That's what they say, isn't it?

They do. And for most people, it's hard advice to follow.

Me, included.

But you're not doing that, are you?

You're just trying to block it out.

I think you're very brave.

You cared for your mum full-time, all on your own,

knowing it could happen to you.

If you don't want to know the results, you don't have to,

it's your choice.

But don't shut down your future because of that.

It'd be a terrible waste.

I can't go in there and hear it.

You don't have to do it on your own.

BUZZER

MOBILE RINGS

Fi!

Fi.

She's gone. What's she going to do to her?

She won't want to hurt her.

You don't know what she'll do. She's sick.

Listen, is there anywhere else she can go?

No.

I'll inform the police.

BABY CRIES

Give her to me.

No.

She needs to go back to the hospital.

You don't know what she needs. You never have.

Fiona. You're not thinking clearly. You're not well.

I am her mother. I am the only one who knows what she needs.

It's OK. It's OK.

Fiona. I know the other doctors didn't believe you.

They ran the tests

and they didn't give Poppy the help you wanted for her.

They sent you away.

Nobody should have to cope with a sick child on their own.

They wouldn't believe me.

I know. They were wrong.

I'm a doctor, Fiona. And I do believe you.

Poppy is very sick now.

She's not breathing strongly enough on her own.

If I don't treat her, there is

a possibility she could suffer permanent brain damage.

Let me take care of you both.

It's OK, it's all right.

You're OK.

You OK?

Holly Baddesley, please.

-Let's get the SATS monitor on her.

-OK.

MONITOR BEEPS

She might just be cold.

What's wrong? What's wrong with her?

We need to find out what her oxygen levels are.

Is she breathing OK?

That's what I'm trying to find out.

SATS at 99.

She's going to be OK.

I think we have to take you downstairs and have a little chat.

If you would like to come with us.

Right, they are here.

Let's get her straight into Paeds. Let Tess and Sam take her.

Tom. Well done.

I'm going to grow old after all.

That's great.

I just wish Mum could have known.

She's been taken to the Psych unit at St James'.

-She went voluntarily.

-What's going to happen to her now?

I don't know yet.

A psychiatrist and a social worker will assess her.

But she could be there for a long time.

Will she ever be able to have custody of Poppy again?

Why don't you take things one step at a time.

Thank you for what you did today.

I'm sorry I was a bit aggro.

Don't worry about it. Me too.

Don't really know what to do with myself now.

Be a dad to Poppy?

That's all I ever wanted.

Thanks, mate.

Tom. I've been trying to call you. I was worried about you.

-Did you have another attack?

-I'm all right.

Are you? Promise.

I promise, I'm all right.

Long day?

Yeah.

How about I buy you a drink?

To make up for the coffee earlier?

HE CHUCKLES

Come on then, Ash. Coming?

No, you go ahead.

Sure?

Let's get a move on, Big Mac's buying!

I think you will find I bought a round last night!

I think you'll find you didn't.

PHONE RINGS

Hi. It's Tess.

I was wondering if you could pick up a shift on Wednesday.

It would be a double. No, no, that's all.

Yeah. Thank you.

-Stop it.

-I said back off.

How you doing?

Like I wish I had caught the bus this morning.

-He could have really hurt you.

-He is a patient in my department.

-Well, at least I've been honest about my feelings.

-Get out.

Can I have that back?

You told me my son was a disgrace.

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