The Kindness of Strangers Casualty

PHONE RINGS

PHONE RINGS

PHONE RINGS

PHONE BEEPS

-What have we got?

-ST elevation MI.

OK, can I get another line in, please?

Full bloods, chest X-ray, 600 clopidogrel.

OK, we'll need to fast bleep the cardiologist.

My wife, Rachel...

she's got Alzheimer's...

-OK, Lets just concentrate on you for a minute.

-BP's dropping.

MACHINE BEEPS ERRATICALLY

He's in complete heart block.

We need to externally pace him, can we get the defib?

CAR SLOWS

SHE PANTS

Ruby!

-I can't turn the current up any higher. Try a pacing wire?

-Hold on.

MACHINE BEEPS

OK, we have got capture.

He's stable for now but we'll still need the cardiologist.

Shall we bring his wife in?

Try and get his BP nice and steady before we send him up to the labs.

She's not out here.

RUBY PANTS

TEXT MESSAGE ALERT

MOUTHS WORDS

LOUD THUD

How far did you think you could get?

Get off me.

You're lucky I've got self-control.

Do it if you want.

-Just get in the car.

-No.

I won't ask you again.

I thought you might be struggling a bit without me.

Can you send Pat over to CDU please?

-Big Mac's back now.

-Where's Pat?

-He's gone.

-What?

-He's a liar and a thief.

Since when was moral turpitude a barrier to portering?

-Well he got the sack.

-They got rid of him?

He was so fast.

You'll still be wanting a porter though?

No thanks, I'll do it myself.

There must be something I can do.

There's a spillage in the long corridor

-and they're waiting for a domestic.

-There we are.

PHONE RINGS

PHONE RINGS

You going to answer it?

PHONE RINGS

Is it him?

Is that where you were going?

Answer me!

There is going to have to be a new system.

No going out.

If you want to see a girlfriend, you ask.

You want to go to the shop, YOU ASK.

You want to so much as to blow your nose, you ask.

But I swear to God, you have pushed me to my limit.

I'm sorry.

Why don't you pull over somewhere quiet?

Don't even try it.

Let me make it up to you.

You manipulative little...

CAR SKIDS

THUDS CAR HISSES

They're just treating another patient

but as soon as they are done we'll get you up there straight away, OK?

Dad.

Will.

How is he?

He's stable.

He's needs angioplasty to remove the blockage in his artery.

Right.

How are you...how are you feeling?

Better than you by the look of it.

Late night - client dinner.

-How's Mum?

-You can see for yourself in a minute.

She was asking after you the other day.

Well, I've had a busy few weeks at work.

It's been two months.

Where is she?

Minor problem.

GENERAL MURMURING PHONE RINGS

BIG MAC WHISTLES

Edward?

Yeah, Ashdown Lane. I don't know.

He's unconscious. I'm sorry, I've got to go.

RIPPING FLESH

Argh.

Yes, I'll hold. Anything?

We've done Darwin and Keller, paeds, X-ray, all the toilets - nothing.

Have you checked the grounds?

-Been round them all.

-Check again, I know you, Noel.

PHONE RINGS

Yeah, if you do see her, will you call me back please?

-Thank you.

-Hello, Linda Andrews speaking.

I'll just see if I can find her.

MOUTHS WORDS

Damn it.

WHISPERS: Tell him I'm in the loo.

She's in the loo, can she call you back?

Thanks?

You go and do your budget stuff. We can take care of things here.

-No, it's fine, I'm on top of it.

-Yeah, obviously.

Zoe, you can't spend all your time out on the floor.

You're going to kill yourself, or one of us.

-Eh, I'm a doctor, not an accountant.

-You were a doctor.

PHONE RINGS

Doctor Hanna. I'll take Mr Taylor up.

Oh, Mr Taylor...

We'll come and find you as soon as we find your wife, OK?

My neighbour can pick her up.

-I believe your son's here.

-That's no good.

He's frightened.

Too frightened to face his own sick mother.

You should get back to work.

No, I'm staying.

-I'll take Mum home.

-I don't think so.

I'll take her out for lunch.

I'm sorry, Will.

She's past that, you're too late.

-We've found her.

-Great.

Oh, I know. What have we got here?

Ah, sorry - biscuits. Garibaldis - a bit healthy.

But I think you'll find...

there is half a broken custard cream in the bottom there somewhere

-Oh, great.

-There you go.

What have you got there now, hmm?

Oh! No, no, no, sweetheart.

No, no, you must keep that and you look after it, OK?

-There we go, let's have a nice cup of tea.

-Mum!

Mum! What you doing?

We're having a cup of tea.

We've been looking for her.

She needed a bit of a sit down.

-I've been out combing the grounds.

-Sorry, Lloyd.

-Come on, Mum.

-Would you like a cup of tea?

-No, it's time to go home.

We're having a cup of tea.

She can stay here for a bit if you like, it's no bother.

Sorry, what are you? A handyman?

No, I'm a porter. But my mam had the same...

Come on, Mum.

GROANS

Thanks. We're fine.

All right, mate?

-I'm Jeff.

-I'm just going to move your head mate.

-I'm a paramedic, can you hear me?

-There you go.

His airway is clear.

-Can I borrow your steth?

-Yeah.

That's wicked.

-That's weird.

-Good breath sounds.

This looks like a prolonged entrapment,

so we are going to need a doctor, the police and the fire service.

-I'll cut him out.

-There's no-one else around, is there?

-So?

-So, control said a girl called it in.

Well, it looks like she didn't want to hang around.

CHILDREN SHOUTING

Hello, yes, ambulance please.

Are you all right?

What do you fancy for dinner? Italian, maybe?

Nice bottle of Pinot?

That cooking show's on tonight, isn't it?

-I want to go home.

-We are going home.

-No.

-I want to go home.

-OK, Mum, car's just out there.

-No! NO!

-Mum.

SHE VOMITS

Something's wrong with my mum.

Help.

-Careful, where shall we take her?

-Sorry.

-Let's get her to cubicles.

-Come on.

SHE WRETCHES

OK, this is Katy Porter, 20.

Do you want to wiggle your bum over there for me please?

Query vasovagal, she was found by some passer-by.

She's got a nasty laceration to her right arm.

Gave her some entonox in the ambulance.

OK, my name's Sam, I'm a doctor here.

How's Tom getting on at that RTC?

They're just cutting a bloke out. Going to be another hour at least.

Let's take a look.

Want to tell me how you did this?

Caught it on barbed wire, it kills.

-OK, well, it's going to need debridement and suturing.

-All right.

How long is this going to take?

-Well, that depends.

-On what?

On how quickly you start telling me how you really did this.

I told you.

Well, unfortunately for you, I'm an Army medic

and I know exactly what barbed wire does.

Can't you just stitch me up, please?

Not until you tell me the truth.

Hey, if you want to fight about it, I've got all afternoon.

Katy.

-What's going on?

-Katy...

-Nothing, I have got to go.

We need to sort your arm out, it won't take long.

I need to get out of here.

You're not going to get very far without this.

Let us treat you first.

That's illegal,

you can't do that - give me my bag.

OK, give her the bag. You can go if you want.

But you're not going to get very far leaking blood, are you?

Not her then.

You.

All right, mate. I'm just going to have a feel of your leg, OK?

-Stay still.

-Argh.

OK, I'm really sorry, sorry.

All right. Yeah, it's an open fracture to the tib and fib

and let's be aware of a possible vascular compromise.

Fracture's badly displaced. What's he had so far?

O2, 10 of morphine, 250 of saline.

I'm going to give him some ketamine, then we need to get him out

quickly and smoothly. Get the frac pack ready, Jeff.

-OK, I'll grab a board.

-I know its painful, sweetheart,

but we are going to give you something for the pain, all right?

Ruby, is she hurt?

Try and relax for me, I need you to stay still.

All right, mate, just take it easy.

-Who's Ruby?

-I don't know.

-Don't worry about Ruby, mate,

we'll sort that all that out when we get back to the ED.

OK, ketamine's going in now.

-Nice deep breathes

-OK, let's go!

MECHANICAL WHIRRING

I need to get an X-ray done to check there's nothing inside the wound.

Can't you just stitch it up?

-Why are you in such a hurry?

-Why do you care?

I'm not going to ask where you got these from.

Because I already know.

There's only one way you get bruises like that.

Is there anything you want to tell me in confidence?

There's nothing I want to tell you.

Well, do you want to speak to the police?

We can put you in touch with charities who can help...

I don't, I've managed on my own for five years.

I don't ask any thing off any one.

And I'm not dead yet.

I can see that.

And there are some people who think they will never really get hurt.

Sometimes they do.

I'll go and sort out that X-ray.

GI bleed.

She's on steroids or anti-inflammatories?

-No, spoke to the GP.

-Really?

And there's no history of gastritis.

How irritating. Can we chase up the X-rays and the bloods please?

Stay there, Mum.

-No. No, I need to go and...

-No, no, no.

-I need to go.

-This can't be normal.

-Just lie down and rest.

-We'll make you comfortable. Come on, Rachel.

-There you go.

Well done.

Just sit up a little.

There you go.

She's pyrexial.

Some sort of systemic infection?

Sepsis, perhaps?

You need to see this.

Oh right, that looks like a coin?

Must have lodged in her oesophagus.

-She's swallowed it?

-She might have thought it was a tablet, or a sweet

-which is not uncommon with dementia patients.

-Can you get it out?

Blood gas show's metabolic acidosis.

-What's that? Is that because of the coin?

-No.

Don't worry, we'll keep an eye on it.

The question is,

if she's easily confused, what else has she swallowed?

There is nothing under that name, no Catherines either.

-Can you check the local GPs?

-I have done and there is nothing.

Do you think she's given us a false ID?

Maybe, she's definitely hiding something.

Scared of someone finding her here?

-She doesn't want any help off any one.

-Stubborn.

Reminds me of me at that age.

-You get on with your paperwork, I'll keep digging.

-OK.

Ah, Dr Hanna, Tom has asked me to tell you,

-that they think that someone else was injured at the RTC.

-OK.

Pete Sawbridge, early 30s driver involved in an RTC - briefly KO'd.

Open fracture to the right tib and fib, possible circulatory...

GCS 14...

Katy? What are you doing?

Linda, find out who's in resus.

-I need to get out of here.

-What's going on?

You said I wouldn't have to talk to you.

And you don't HAVE to talk to me, I know you said you don't want help,

-but we both know you need it.

-I'm fine, OK? I just need...

Let me see that.

-I told you, "I'm fine."

-I don't think you are.

Please...let me see that.

Ruby...

Think there was a girl at the RTC.

She went AWOL but it looked like she was bleeding.

You might want to talk to Zoe.

She had a girl in earlier who was lying about her injuries.

-She OK?

-Yes, just arm laceration.

Did you hear that Pete?

We think she's here and safe.

Who did this to you?

You can trust me.

I can't trust anyone.

-Zoe?

-Yeah.

-It's Tom, I need to come in.

-OK.

Hi, sorry to disturb.

My RTC guy has been asking after someone called Ruby.

We think that they were injured too.

He's really keen to know that they are OK.

Sorry can't help you out there, Tom.

Sam thought...

Sam must have got mixed up because this is Katy,

she had an accident with a wine glass.

Right.

-OK, thanks.

-OK.

Now I can't help you until I know what's really going on.

Are you Ruby?

Come on.

Fine, I'm going to HAVE to go to the police then.

-VOICEMAIL:

-"If you come home now, I promise I'll say no more about it.

"But if you don't and I find you, then I swear to God, Ruby,

"I will not be held responsible for my actions."

I will not.

He doesn't like me trying to leave.

Who is he?

I started working at his cafe a couple of years ago.

He was dead nice to me at first.

But then I moved in with him.

Banister.

Broken window.

Hot iron.

Pushed me down the stairs.

Can't remember them all.

Wait, I think this one...

was a kettle of boiling water after I'd come in late.

One of those people you were talking about.

-Excuse me, Zoe, can I have a word?

-Yeah.

Um, don't go anywhere, yeah?

Please.

Right. His name's Pete Sawbridge, he's got a compound leg fracture -

they can't find his next of kin.

But I did go on the Internet

and I found a Pete Sawbridge who runs a cafe near here.

-So I've left a message asking them to give us a call.

-Nice one.

-Any joy with Katy?

-Oh, it's not Katy, it's Ruby.

Tom, is your patient awake yet?

Not yet, what was all that about in there?

-I didn't want to freak her out.

-So it is Ruby then?

Yeah but I don't want him to know that, I've got some stuff

-to deal with first.

-He already knows.

-What?

-He came to briefly.

So he knows that she's here? Tom, what the hell were you thinking?

You should have checked with me first. Call me when he wakes up.

Whatever it is, I think she's ingested something pretty evil.

We've got ketones and protein in her urine, signs of sepsis...

BP's dropping and she's feverish.

-Edward, where's Edward?

-Could we take her to go and see him?

-Let's stabilise her first.

-I'm going to have a look in your mouth.

Will you open nice and wide for me? Nice and wide. There you go, great.

MONITOR BEEPS

What the hell have you done to yourself?

SHE BREATHES SHARPLY

Can we chase up the gastro on-call, please?

Edward.

-WHISPERS:

-Dr Keogh...

When she was in with Big Mac, he'd just been mopping a spillage.

-Right.

-The stuff they use was on the table.

What, the bleach granules?

-Mac?

-Hmm.

Can I have a word please?

-But you told him it wasn't me.

-I know.

When will he wake up?

I don't know but he has broken his leg.

He'll have to wait to go to surgery,

so there is not much he can do while he's here.

You have no idea what he can do.

Please stay, Ruby, just report this to the police.

I tried to tell them once.

When he found out, he did this.

He wouldn't let me see a doctor.

And then he poured vinegar in the wound.

Thanks for your help, I'm leaving.

Ruby wait.

Sodium hypochlorite, you know how much damage that stuff can do.

She wouldn't have eaten it, man.

She's confused, she put's things in her mouth.

We know she's eaten a coin.

Why wasn't it locked away in the sluice?

I was going to, right, that's when I found her.

She was lost, I was trying to help.

You've certainly been indispensable.

If she has swallowed this stuff, you will almost certainly lose your job.

The hospital will be dragged through a media inferno.

She'll suffer permanent damage to her digestive system.

For as long as you are here, I suggest you stick to emptying bins.

OK, here's the address of the refuge.

And there's the number of a counsellor in there - a good one.

I don't need that.

You might not think you do.

My telephone number's on there as well.

-Just give me a call if you need anything.

-Thanks.

Albion Crescent, please.

Take care.

Tom, how's Pete Sawbridge?

Leg's fine, admitting him now.

Let me know when he's moved because I need to call the police.

The police? About the crash?

Ruby spoke to me about Pete.

-Yeah, two secs.

-Just let me know when he wakes up.

-Dr Hanna?

-Yeah?

Sorry to interrupt, this is Roisin Sawbridge - Pete's wife.

Pete's wife?

Will you take her through to resus, or shall I?

Is he OK?

Yes, he's just broken his leg.

We did try to find a next of kin.

The cafe phoned me at work.

-Did I just hear you talking about Ruby?

-Ruby?

Our foster daughter.

Was she involved in the crash?

Can you pull up here, please?

-I thought you wanted Albion Crescent?

-Here's good.

I don't understand why she was with Pete.

What did she say to you?

Not much. We tried to keep her here, but she wouldn't listen.

Sounds like her(!)

She's had a bit of a rough time.

Yeah...

I saw some scars.

Well, her mum's bloke...

Well, let's just say prison was too good for him.

Ruby stood up to him and she got the worst of it.

He used to put vinegar in her wounds.

So she doesn't take kindly to being told what to do.

-What were you saying about the police?

-The police?

You were talking about Pete and Ruby, about police.

-Yes, just reporting Ruby's disappearance.

-Right.

-You can come in now. He's not totally with it.

-OK.

-Pete?

-I'm so sorry, love.

What happened?

Was clearing up breakfast, had a bit of a row.

I thought she'd gone to school...

..but all your jewellery had gone.

-I think she was going to meet that guy - Mark.

-Who's that?

Some horrible 25-year-old bloke.

She's 14.

HIP HOP MUSIC

All right.

Didn't think you'd turn up.

I got some shopping.

I know what men are like.

Thought I could cook us tea, celebrate our first night together.

I got some wine too.

Thought you were skint?

Whoa.

Where did you get that lot from?

We can get all new things for the flat.

Furniture and that. All nice stuff.

Maybe even move somewhere new.

Be like...a proper couple.

I've got a mate who deals in that sort of stuff.

-I'll get it valued.

-Right. I'll come with you.

-Nah.

Be back in a bit.

Social worker's getting onto it now. Dr Hanna's going to speak to them.

Do you know this man's surname or where he lives?

You think if I did I'd still be here?

I'd be round there with a baseball bat.

What were you rowing about?

The usual.

Her inability to behave like a decent human being.

Did you lose your temper?

A bit.

And then she took the stuff?

Well, how did the crash happen?

I went after her, got her back in the car.

Must have took my eye off the road.

Next thing I know, I'm in a ditch.

-It's just one of those things.

-Hardly.

-What?

If you hadn't lost your rag Pete none of this would have happened.

-Are you blaming me?

-You're the adult, Pete, she's a frightened kid.

She's a conniving little cow.

-She robbed us.

-She's doing what she thinks she needs to do to survive.

Children in care, they can be challenging

Yeah, I know, I went through eight years of it myself.

You can't make up for that with Ruby.

I just mean, there's only so much we can do for her.

Yeah, Pete, well, I'm sorry that if taking care of a troubled child

is such a waste of your time.

I know you feel for her.

And I know you went through stuff too.

But she's different to you.

She's messed up.

Whatever you do for her, she'll just chuck it back in your face.

OK, I think that's enough for now.

We need to prep you for a CT.

-What's that?

-What?

On your neck?

I told you. She's messed up.

Where did he drop her off?

I told him to take her to Albion Crescent. I...

Well, mate...

Right, OK, yeah, thank you.

Bye then.

That was Social Services.

If we don't find her soon, we will have to notify the police.

-You said you'd done that all ready.

-Not yet, no.

We need her mobile phone number off you first just to pass onto them.

If you don't mind?

Ruby didn't...She didn't tell you something, did she?

No.

Nothing important.

Something about her and Pete?

No, nothing.

-Is this something to do with confidentiality?

-No.

I don't like being kept in the dark, Dr Hanna.

I understand what you are saying

and I promise you there is really nothing to worry about.

I just wish she'd answer.

Shall we go and try her again?

I need anything else we've got on Rachel Taylor.

I'd like you to look me in the eye when you ask me for something

-and say please.

-I beg your pardon?

You heard me, manners cost nothing.

My time is worth a very great deal to this department.

Any wasted on social pleasantry is time lost to patients.

Have you swallowed something that looks like medicine perhaps?

-Medicine?

-Yes, what did it look like?

W-what do you want?

-Do you want your handbag?

-My handbag, yes.

-I have already checked in there.

-Is this what you're after?

What are you looking for Mum?

-Is the medicine in there?

-There's nothing in there.

-Let me see.

Let me see in the bag, Mum.

What is all this stuff?

Do you know much about Alzheimer's?

Yeah...I know enough.

It's easy to ignore what's really happening.

You haven't seen her much recently, have you?

I've been busy.

She wouldn't want me to slack off work.

If I don't see her...

..it sort of feels like it's not really happening.

I just...I just get on with things

and it's like they're fine at home.

She's not though, is she?

Mum?

Do you know who I am?

SHE CHUCKLES

Don't be silly.

You're the doctor.

Ruby, it's Dr Hanna.

Please call me.

You won't be in trouble. We just want to know that you're safe, OK?

So just call, please.

Zoe?

What did Ruby tell you?

Nothing, nothing important.

Important enough to talk about calling the police?

I was being over cautious, OK?

This is a sensitive case and not just for our patients.

-It's under control, Tom.

-Is it?

-Yes.

If we've failed a vulnerable child, and we don't admit that mistake,

that's about as bad as it can get.

I don't have to remind you that I'm in charge here?

That's the point I'm making. You need to fix this now.

Life in the executive fast lane getting to you?

-No, I'm fine.

-Right, OK. Listen I'm due a break.

-I've a spare pot noodle, if you want it?

-No, I can't stop.

Dr Keogh, you're needed urgently in CDU - Mrs Taylor.

Oh, right.

BP's falling and she's tachycardic.

Confusion's worse and the pain seems to be increasing.

Right, let's speed up the fluids.

Five of morphine, let's get rid of this acidosis.

Any joy yet with Gastro at all?

They're coming down here to do the OGD.

Edward, where's Edward?

It's OK, Mum, I'm here, I'm with you.

No, I want Edward...

..you've kidnapped him

Pulse is 100.

Right, call the Poisons' Unit, let's get her over to resus.

-You've all taken him.

-What's wrong with her?

-You know, don't you?

-Why don't you wait outside, Will?

No!

I want to know what's going on.

-Oi, you, What's your name?

-Big Mac, how's your mum?

-Dr Keogh told me about the bleach.

-Look, I promise you...

I've read all about care staff like you.

Lazy, cutting corners.

This is a hospital.

If you don't do your job properly, vulnerable people get hurt.

I was only trying to help.

Then God help all the other patients here.

OK, they're just finishing up in theatre,

-be with you in about half an hour.

-Thank you.

No worries, see you in a bit.

Pete, what am I not being told?

Why did she scratch you?

You hit her, didn't you?

No, of course not.

-I don't think now's a good time.

-Of course now's the time.

I have to go and talk to the police, I need to know the truth.

-Pete, if you hurt her, you have to tell me.

-I didn't hurt her.

Then what happened?

She came on to me, OK?

What?

Sexually.

I tried to stop her.

Why would she come onto you?

I don't know.

Why didn't you say anything?

Because I know it sounds bad.

Yeah, it does, she's told the doctor something.

Well, whatever it was, was a lie.

You can't seriously believe that I'd...

..do anything to her?

Why didn't you tell me?

Pete, why didn't you tell me?

Because you have no understanding of what I've been going through.

It's a power thing,

she knows exactly what she's doing, she's a conniving little... Roisin!

DOOR OPENS

-You've been ages.

-Ran into a couple of mates.

What did he say?

What?

About the jewellery.

-The valuation.

-Oh, yeah, said it wasn't worth much.

-It is.

Nah, it's dead old.

Can I have it back now then?

Did you get any beers?

What you doing?

Give it here.

-What the hell do you think you're doing?

-Give it back!

-I said, "It's not worth anything."

-I know you're lying.

Argh. Little...

Now I have been nothing but nice to you.

I've taken you in off the street, let you crash here in my flat.

You think you can just take advantage of free hospitality?

-Now, are you going to behave?

-WEAKLY:

-Yeah.

-What's her pulse like?

-Still very tachy and getting worse.

She should have responded to the fluids by now.

Is it time to get ITU involved?

Sorry, Doc, this is Mrs Taylor's. There's no battery in it.

Mmm-hmm?

Lithium battery, looks like a small coin, very corrosive.

It might do a lot of damage if she swallowed it?

Alkaline production, yes, it could have caused the burns.

-Is the OGD kit down here?

-Yeah, but we're waiting for the on-call guy.

Not any more we're not.

Can you set it up, please - five minutes. I'll do it myself.

Well done.

I pushed so hard for us to become foster carers.

It was a lot for Pete to cope with, maybe too much.

Do you trust him?

I don't know any more.

I feel like I'm in a fog.

Have you been sleeping properly?

She hasn't been easy to live with.

But...

I thought I understood her, I thought I got her.

But what if I've been missing the real problem?

What if it's stuff she's going through now, in her own home?

She's so naive. She thinks she's an adult.

She's only a child.

HIP HOP MUSIC

RUBY SOBS

RUBY CRIES

(PHONE) 'You have five new messages.

'Message one.'

'Hi, This is Emily in Mr Hanssen's office.

'We were expecting your budget projections by one today.

'If you have e-mailed...'

MOBILE PHONE RINGTONE

Hi.

Where's Roisin?

She's gone to get a coffee.

I didn't touch Ruby, I swear.

Please.

I just want to explain to her.

I'm sure she'll come back in when she's ready.

I'm going to go talk to her now.

Oi, oi, oi.

Aargh.

Can we have some help in here?

One, two, three.

Aargh.

OK, lie back, lie back. I've got you.

-OK, all right.

-Aargh.

OK, OK. OK.

-Can I have some Etinox?

-Yeah.

All right, Pete, just stay there.

PETE SHOUTS IN PAIN

-Have you seen Zoe?

-No, I haven't.

Hanssen's just called me, She's just missed her meeting.

Oh, come on, just change.

Come on, come on.

Very still please.

It's all right, I think I can see it.

-Got ya.

-Nice work.

I'm wasted on this department, absolutely wasted.

-What's happening, Tom?

-Just get the cast off, Sam.

OK, scissors, thank you.

PETE SCREAMS

OK, Pete, all right.

-He's torn an artery.

-OK, Linda, can we get some ketamine prepped?

Call orthos and get two more units of blood.

We need to clip it before we do anything.

-The blood supply's already compromised.

-We've got no choice.

PETE PANTS

PETE GROANS

OK, Pete, all right.

-I can't find it.

-It's in there somewhere.

I know, it's just... OK, I've got it, I've got it.

Everyone is going to think I've done this to your arm.

-How is that going to make me look, hey?

-It's...

-Hello.

-Shut your mouth, shut your mouth?

-Hello?

DOORBELL RINGS

Who's that?

-WHISPERING:

-Sit down there.

HIP HOP MUSIC

-Yeah.

-Hi, yeah, I'm looking for 16B?

It's the next floor up.

I was just wondering, could I use your phone?

Oh, it's not working, sorry.

-Where is she?

-You've got the wrong address, love.

I don't think I have.

Ruby?

-Are you all right?

-My arm.

I didn't do that to her. And who is she?

-You going to introduce us or what?

-Hold that.

-He's got my jewellery.

Come on, have you got her jewellery?

I don't want to have to fight about this.

-Dunno what you're talking about.

-Right, wait over here.

Do you know how old she is?

Hm? She's 14.

Do you know what they do to men like you in prison?

Where's the rest?

-It was a load of old junk, all right?

-Come on.

You ever touch another girl like her again

and I'll come back and castrate you myself.

Let me see your arm.

Did he hurt you anywhere else apart from here?

I'm sorry.

Pedal pulse is practically nil.

Theatre can take him in 15 minutes.

Leg hasn't got that long. We need to put the bone back in now.

Blood supply's already shot. We're risking the leg if we move it.

And we risk it more if we don't.

Ruby?

How's Pete?

They're going to have to operate on his leg.

What?

Tom, what's going on?

We got an ischaemic foot

with a grossly-displaced compound tib and fib.

-We're waiting for theatre, 15 minutes.

-We need to do it now, here.

There's no guarantee it will restore circulation, it could make it a whole lot worse.

We got ten minutes before we lose his foot. We'll do it here.

-OK?

-OK.

OK, nice and smooth.

On three. Three.

PETE GROANS

Ruby...

Pete?

Nothing happened between you two?

He didn't hurt you at all?

No.

You've told the doctor's he did?

I'm sorry.

I just wanted to help you.

Come on.

-Should be returning by now.

-Just give it a chance.

There it is.

We've got circulation back.

-Let's get him over to theatre. Good work guys.

-Thank you.

-Thanks.

-What?

-You've got...

Come here.

Shouldn't you be off grovelling to Hanssen?

Probably.

I've got time for that pot noodle now.

Yes, it's in the staff room, top cupboard.

Right. Thanks.

How is he?

It's a very serious injury, but we're hopeful the leg can be saved.

You know he was trying to get out of bed to come and find you?

-Silly fool.

-He was in a bit of a state.

You all right?

-Ah.

-I'm fine.

It must be tough...

seeing her like that.

There's just a lot of stuff I didn't say to her when I had the chance.

Now it's like she's not even there any more.

She's just gone.

Well, she can't think rationally any more

and words don't mean a lot to her now.

But she can still feel.

You know the little things she keeps, they're not random,

they mean a lot to her.

She...

She dropped that earlier.

I made that for her...

in primary school.

She's still there.

She's just different.

I best be getting back in.

Big Mac?

I'm sorry...

for what I said earlier.

Thanks.

-You know, for helping her.

-Just doing my job.

You know you can go up with him if you like?

I...

No, I've got to wait on the social worker.

She's coming to take Ruby.

Is she not going back with you? I think she's genuinely sorry.

-I know she is.

-I'm sure your husband will understand, if you just explain.

I've asked far too much of him all ready.

He's going to need a lot of looking after, I HAVE to put him first.

Listen, this was my fault.

I tried to help, I was wrong.

We all tried.

She's just going to have to do it by herself now.

Here you go, Mum.

SHE CHUCKLES

Why the hell have you got this little fork?

Dad's underpants?

At least they're clean.

Shall we go and see Dad?

Yes.

Come on, Lloyd, you've got to come for one, it's Mac's first day back!

He's buying as well, apparently.

Steady on, you don't want him having another heart attack.

How about you, doctor, coming for a pint?

Fond though I am of weak lager and idle gossip, maybe next time.

Haven't you forgotten something? You owe Big Mac an apology.

Err...

Yes, yes, right.

No, a proper one.

I'm-I'm sorry about earlier and...

..for accusing you.

And for being horrible to him this morning.

Um...and for being horrible to you this morning.

And I promise to be nicer in future.

And I promise to be nicer in future.

Now shake on it.

Well done.

Well, not too shabby for a first day back in work, is it?

Shall we?

-Right, come on, get your wallet out, you're buying!

-Eh?

She's a piece of work that one.

-Tell me about it.

-You know if it all gets too much,

-you could always come out with us for the day.

-No, I couldn't.

-Really?

-Yeah, as long as you buy the bacon butties.

I shouldn't be packing her off like this.

I know what she's been through.

Those new people just aren't going to have a clue.

Well, maybe that's not such a bad thing.

She needs a chance to forget her past.

Maybe you couldn't have given her that.

Thanks for everything.

Take care.

-Have you seen Zoe?

-No, I haven't.

I thought she was coming to the pub.

-Will I do?

-Yeah, all right.

ZOE SIGHS

Subtitles by Red Bee Media Ltd