Bedside Manner Casualty

ENGINE REVS

TYRES SCREECH

Look, maybe I should drive.

No. I'm fine. It keeps my mind occupied.

Susan. We've got to tell Georgia...

No. Not yet.

She's your sister. She needs to know.

She's still too fragile.

-What was that?

-What?

Looked like a baby in a buggy. On its own.

So we're still on for tonight, then?

-Definitely.

-And you remembered the tickets?

Tickets? Oh, that's tonight?

If you'd brought the tickets,

-then you'd have remembered it was tonight!

-HORN SOUNDS

-What's going...whoa!

-Slow it down!

I can see you on one of those, you know.

Riding through the Italian Riviera, wind in your hair.

Living la vida loca.

Dolce vita, Jeffery.

French Riviera, then. Who's that?

Carol.

-Oh, right, the prison officer bird?

-Mm-hm.

-You taking her out, then?

-Don't know. Let's see how today goes, eh?

-Oh, come on, mate.

I'll iron you a shirt. Hi, Ash.

You can't park there.

It's a bike. It's not in anybody's way.

There's a public car park round the corner. Just follow the signs.

You're awfully well dressed for a parking attendant.

Fine. It will be towed. So long as you know.

I don't think so.

Ah, Mac, there's a scooter just outside. Needs to be removed.

Right you are.

You'll need bolt-cutters.

Ah, I think we've got a set for emergency amputations.

Good morning! What can I do to you?

-I mean for you?

-I'm Dr Lily Chao.

-I have an appointment with Dr Hanna.

-Yes, of course.

We've been expecting you. One of our new F2s.

I'm Noel Garcia, head of reception.

Dr Hanna...?

Wait here.

Elliott!

HORN SOUNDS

Elliott!

Stop it, please!

Please...leave him alone!

No, please leave him alone!

Aargh!

Get down!

Get out!

Come out! Come on!

SHE SOBS

Check his pockets.

Stay still. Where's your money?

SHE SCREAMS

ENGINE STARTS

I got her bag. Come on, let's go!

TYRES SCREECH

No, no, no!

Tony!

He needs hospital.

Aargh!

It looks pretty nasty, but I'm sure with big muscles like this,

it'll heal in no time.

Interesting.

New junior doctor. A bit fierce, but I think I could tame her.

Neil, which way?

It's Noel, and it's...er...

Zoe? New F2, Dr...

Lily Chao.

Pleased to meet you, Dr Hanna.

Hello, Lily...this is Dr Ashford. He's one of our consultants.

We met earlier.

Yes, we did.

CRIES IN PAIN

Susan...?

Elliot?

Susan!

Are you OK?

Yeah.

All right, I've got you, I've got you. All right. OK. OK.

Are you OK?

Think so, just a bit battered.

Are you OK?

Yeah, I'm fine. Don't worry about me.

Look, can you walk?

No, not well.

Listen, Elliott, you need to go and get help, call in and go home.

No-one needs to know we were together.

No, no, no. No, I can't do that, it's ridiculous.

We have to do it this way, for Georgia.

If the ambulance finds you here, she'll know.

You really need to look after her.

The ambulance can take care of me.

Please, Elliott. Go.

Go!

So you've come to us after a six-month rotation in gerontology.

-Correct.

-How was it?

Old people are either very sweet or very rude.

How was it medically?

By the time they get to that age

you are not really curing them as much as maintaining them.

I trust you wouldn't say that to an elderly patient?

No. I'd be stuck talking to them for hours if I did.

Is this your first ED placement?

-Yes.

-What are you expecting?

All of human life.

You think you can cope with that?

Of course. A human body is a human body.

There's pretty much only so many ways it can be fixed

and so many ways it can break down.

That's not strictly true. Sometimes there's no right or wrong answer.

You'll find that out here.

Yes. But if one thing doesn't work, you try another.

And if nothing works, they die, absolute.

So, what do you hope to get out of your time here?

After completing my training and doing a couple of hospital jobs,

I'd like to be living in the countryside with my husband.

Oh, I'm sorry. I didn't realise you were married.

My future husband. Whoever that may be.

By then, I'll be specialising in dermatology.

-Why dermatology?

-It's where the money is.

It's a particular interest of mine.

I maintain a blog about skin care. What moisturiser do you use?

A very expensive one.

Dr Ashford, what moisturiser do you use?

You're looking a little dry. There are some excellent products out there

based around animal placenta.

I use them myself. I'll get you a sample.

How convenient, because Dr Ashford here is going to be your mentor.

I'm sure you'll learn a lot from him.

-Maybe she'll take a few years off you!

-Excellent.

Where can I get a uniform?

This way.

She's right mardy, this new doctor.

Mardy, or just doesn't fancy you?

She was rude to Robyn too.

Ah, see the trouble with doctors is they are a bit like women.

You never know what's going on in their heads,

and the younger they are, the more they expect you to guess.

She IS a young woman.

-I rest my case.

-What do you think you're doing?

-That's mine.

-Jolly good, but you still can't park it here.

It's not blocking access, it's not in anybody's way.

Tell you what, if you give me the keys,

I'll go and park it for you in the staff car park.

No way. You're too...

big. You'd break it.

Sorry, bruv. Come back when you're done.

Noel, mate. Go and get a doctor quick!

That chain's 12.5 millimetre solid steel cable,

so good luck with cutting it. And I am a doctor.

So, that's the new mardy one, is it?

Can we get a trolley, please? What's your name?

I wonder if you could help me. I have to find Warne Lane.

Next time, bring your glasses, you silly cow...

Excuse me. I have to... it's very important to find...

-This bed here, Tom.

-OK.

What have we got?

No idea. He's just been dumped outside.

Can you tell us your name?

No. OK. On three - one, two, three.

HE GROANS

Over on three.

One, two, three.

OK. Can you tell us what happened?

No way, mate.

Can we get him on entonox and 10 milligrams of morphine, please?

-He was thrown from the van?

-Yes.

Can you tell us your name?

Make things a lot easier for us if you could.

-The more you tell us, the better we can help you.

-Nah.

-Can you put a line in, please?

-On it.

Oh, this is our new F2, Lily Chao. This is Charlie.

-Good morning.

-Hi.

U's and E's, FBCs, LFTs, group and save.

Sats 97, heart rate 110.

OK. Resps 21.

Looks like a closed fracture of the ulna.

Let's get an X-ray to confirm. We should be able to reduce it here.

Are you going to tell us who you are?

Look, you heard the doctor, what's your name?

I mean, I can't just give you all these lovely free NHS drugs

willy-nilly, not without knowing a medical history.

What if you're allergic to, say, penicillin,

and your throat swells and your airways close and you die on us?

That's not a diagnosis, Doctor. That's speculation.

-I'm just taking all possibilities into account.

-Doctor Chao.

Tony.

Good boy. Tony what?

-Smith... Tony Smith.

-Seriously?

I am not trying to arrest you, I'm trying to help you.

-Lily.

-If he's Tony Smith, I'm Lady Gaga!

All right, love.

Hey, babe, I'm Jeff. This is Dixie.

We are paramedics, mate. What's your name?

Susan.

Susan. OK, silly question, I know, but where's the pain?

My chest and my head too.

Just have a little listen to your chest, then, OK?

All right.

There were these three men, and they made me stop the car...

OK, all right.

Did they hurt you?

No, I got away but I crashed.

All right.

OK, darling. Just stay nice and still for me.

3006 to control, over.

'Control, over.'

Yeah, request police, please,

at this incident in Stafford Woods. Over.

TOILET FLUSHES

I thought I heard you come in. How was the conference?

Never mind that. Have you done the test?

Yeah. I can't be sure of the results.

I'm going to have to do another one a bit later.

That's good news, isn't it? Better than a clear negative.

-Elliott, what happened?!

-Oh, I was mugged.

-What?!

In the walkway leading to the train station car park, you know?

The subway. Somebody jumped me. But I'm fine, I'm fine.

-Have you spoken to the police?

-No, no, no, it's nothing, honestly.

There's CCTV all over the station. They can probably see who followed you.

He was wearing a hoodie. I didn't see his face. I'm fine.

Elliot, you're not fine.

My God, you have a bad cut on the back of your head.

-Darling, I think you are going to need stitches.

-No, no, no.

It'll heal itself.

Elliott, seriously, you can't see this.

I'm taking you to hospital. I am going to get my keys.

You've lost a tooth.

I banged my face. When I hit the floor.

There's some creps and consolidation.

Have you got any chest pain?

-A bit.

-Sharp, dull?

Sharp. When I breathe in.

Any particular side?

On the right.

Let's get a chest X-ray as well as the wrist,

and an ECG to be on the safe side.

Tony, are you going to tell us what happened?

Near miss.

I was just crossing the road and some geezer clipped me,

-sent me flying.

-The van that dropped you off?

-No.

Who were they, then? There were two men?

I dunno. Just... they saw what happened,

offered me a lift to hospital.

You'd never seen them before?

No.

We have CCTV all over the hospital.

I'm sure the police can identify the van.

Cos obviously you'll want to thank these good Samaritans yourself.

Dr Chao. Can I have a word?

He's hiding something.

Our job is to treat him, not treat him like a criminal.

That's someone else's job.

All the tattoos. And the man-made fibres.

Probably a drug deal gone wrong. Got beaten up.

HE SIGHS

Find a porter to fast-track his bloods to the lab

and get him moved to cubicles.

Reception will help you.

Now, please.

First impressions...?

Well, she's medically competent...

But...?

Just a bit scary.

Just a bit.

PREACHER: And when that terrible day of judgment arrives,

the only one who can save you is The Lord, Jesus Christ.

Ooh, officer!

Take him into your heart today...

Can anyone give me directions to Warne Lane, please?

Can you, sonny?

Thanks. May the lord go with you!

BELL RINGS Look out!

-Someone needs to get some help.

-Can you hear me?

Someone call an ambulance...

I need a porter.

Have we met?

Dr Lily Chao.

Ciao, Chao.

You're saying I can't have a porter?

No, I'm saying if you need a porter, all you have to do is look for one.

As opposed to ordering me to do it for you.

Mac, Dr Chao here needs a porter.

Excellent. Instead of trying to remove

a perfectly harmless parked scooter, maybe you could do some real work -

these bloods need to be turned around ASAP

and I need a patient transferred from resus to cubicles.

Interesting. Enter the Dragon Queen.

Don't worry, boys. I'll protect you.

This is Susan Bridger, 32 years old, rolled a car at 30mph,

no other vehicles involved. She wasn't KO'D,

-GCS has been 14, 15 on the way in.

-Right.

She's got a facial laceration, minor erythema to her face,

which is probably an airbag,

she's got a chest injury which I would say is the seat belt.

BP is 125, systolic pulse 80, and sats are at 97%.

-We've given her 5 of morphine.

-Thanks, Jeff.

Hi, Susan, I'm Zoe, one of the doctors here.

-Lily, can you give me a hand, please?

-My chest...

Let's have her over when we're ready. On three, please.

One, two, three. She was trying to escape from three men.

-Police are on their way.

-Did they hurt you?

-No.

I stayed in the car.

But I think I ran one of them over, trying to get away.

OK, don't worry. There'll be plenty of time to talk to the police later.

-I need to do a log roll, guys.

-OK.

-Yep.

OK, when I say. On three.

One, two, three.

Thanks, Dixie. OK, Susan. Does that hurt there?

-A bit, yeah.

-And there?

-Yeah.

-OK, let's get her back.

OK, on three again. One, two, three.

Start getting the monitoring on, please.

I just want to check your neck here, Susan.

Have you got it?

-Is that tender there?

-Yeah, yeah.

OK, I'm going to need a head and neck scan, please.

'Control to 3006, could you do a quick turnaround?

'Junction of Clipper Street and Schooner Avenue.'

3006 to Control, message received. We're on our way. Over.

This way, Mr Thomas. Nothing to worry about.

Mind your backs, please. Mind your backs.

OK, we'll soon get you sorted. What's your name?

-Agatha.

-I'm just going to check you over, Agatha. All right?

You're looking very glamorous, Agatha, if you don't mind me saying.

I do mind you saying. Is your partner always this lippy?

She always is, I'm afraid. Day and night, day and night.

Aargh, my hip!

OK, Agatha. I'm going to give you something for the pain, love, OK?

Will this take long? I've got somewhere to be.

We need to take you in and get you checked over properly.

Nonsense. The bones got rattled a bit, but I'm fine.

CRIES IN PAIN

-No, no, no.

-No, no, no. Stay where you are.

-I'll grab a board, all right?

-All right, darling.

-I'm not getting on one of those things.

-OK, all right.

Stretcher then, yeah? I'll be right back, sweetheart.

It's all right, darling.

So how did you do this?

He was mugged.

Sorry to hear that.

-Is anything else hurting apart from your head?

-No.

I just got a good whack to the back of the head.

That'll need stitches, I'm afraid.

HE WINCES

Sorry.

There seems to be something lodged in the wound.

Did you hit the ground with your head?

I don't remember. He just sort of grabbed me.

OK, I'll need to clean up the blood and get a doctor to come in

and take a look and tell us what we're dealing with, OK?

My self-proclaimed hit-and-run patient.

Cavitating lesions, ghon focus, right apex of lung.

No obvious consolidation, hilar lymphadenopathy.

You're not thinking pulmonary TB...?

I can't be 100%, but he shows all the signs of living

on the fringes of society, no BCG scar.

OK. I'll get the respiratory team down for a second opinion,

you check his sputum cultures for MC and S

and get some antibiotics into him.

-How many members of staff have been in contact with him?

-Me, Lily, Charlie.

We can presume you three are immune.

Make him top priority. We can't risk cross-contamination.

It'll shut the entire ED down.

Send me that X-ray and his history.

That's the tricky bit, getting his full medical history.

Ah, Dr Chao. Tony Smith. We need to move him to HDC.

I think he's got TB. We need to isolate him.

TB? Who gets TB any more?

Well, if I find out his real story, I'll let you know.

I thought you said our job isn't to play detective.

I was on my way to see a friend. I can't be very long.

I'm feeling much better now.

That's just the pain relief talking.

You're not going anywhere till we've checked you out thoroughly.

That's the problem with you young people.

It's all mind-the-gap and health and safety. No backbone.

You won't have any backbone left either

-if you don't let us look after you.

-Pop that on your finger, darling.

We think you may have fractured your hip.

MOBILE BEEPS

-Boyfriend?

-No. No, not a boyfriend.

Right, Jeffrey.

Nice and easy, please. No bone-shaking.

Hospital's not too far.

We'll have you there in a couple of minutes.

You didn't tell me your name.

I'm Dixie.

Dixie?

Dixie, what are you, an American showgirl?

You don't look a bit like a Dixie.

No? What do I look like, then?

Doris.

You look like a Doris.

Right, Jeffrey.

-When you're ready, please, love.

-Righto...Doris.

How are you feeling? You OK?

Oh, Elliott, I'm fine. I'm not the one lying in a hospital bed.

I'm OK. You do fuss.

Maybe you should nip out and give my mum and dad a call,

-let them know what's happened.

-Yeah.

OK, you're right.

I'll be right back.

COUGHS

Please try to keep this on, Mr Smith. We can't risk cross-infection.

Is there anyone we can call for you, Agatha?

-Get them to meet you at the hospital?

-No. I have no family.

Never married, no brothers or sisters.

And I know I don't look old enough, but both of my parents are dead too.

Oh, come on! Get on with it, mate!

The blue light's not just for show, you know.

Sorry, it's not always easy getting around in Holby traffic.

Try driving a makeshift ambulance in a war zone, dear,

and then you'll know what easy is.

You did that?

Spent most of my career working aid relief overseas.

Africa especially.

All those lovely hot war zones in the '60s and '70s,

Biafra, Uganda, Sierra Leone. Arghhh!

Whoa! Sorry!

Are you OK, Agatha?

I feel a little dizzy.

OK, Aggie, just stay with me, darling.

Jeff, she's deteriorating.

COUGHS

I thought I'd lost you.

You can't go wandering off, mate. Come on, let's take a look at you.

That bloke in there, do you know what's wrong with him?

No, he's not my patient.

If you've changed your mind about talking to the police,

they're here taking a statement from another patient.

I...yes, if they're here already.

That might be the best thing. You couldn't just point us

in the direction of the bathroom, could you? I'll only be a minute.

Yeah, just through those doors to the left.

Right, thanks.

COUGHING

Susan?

Elliott?! What are you doing in here?

I was worried about you. Are you OK?

I think so. No-one said anything about any major surgery.

Is Georgia with you?

I need that bed changed fast. We've got an RTC coming in.

Yes. And the police are here. I'm going to tell them what happened.

No, Elliott, you can't! Not with Georgia here.

She already has bad memories of this hospital.

But I just think...

Also, the IVF might have worked.

Georgia might be pregnant.

That's great news!

-I should get back. We'll talk later, all right?

-OK. Thanks.

I spoke to your mum and dad. They send their love.

And I cancelled that reservation for tonight.

Ah, good.

Let's get you cleaned up, Mr Thomas.

On here?

Good news, Susan. Your scans have come back clear,

so we can take the collar off her now and sit her up.

We're going to transfer her to cubicles, Lily.

-Can you sort that out?

-Of course.

Should I have notified that gentleman?

No, he's just my brother-in-law.

He had an accident today too.

-Not a very lucky day for your family.

-No.

Agatha Kirkpatrick, 72, came off worst, pedestrian versus bike.

GCS 15 was at scene, dropped to 13 en route.

10 of morphine and entonox. OK, let's get her over, please.

One, two, three.

OK, Aggie, don't worry, darling.

And over. One, two, three.

There you go.

SATS 92%, her BP 110/60,

her pulse is 100, query pelvic fracture.

And she's complaining of lower back pain

and she's refused spinal care.

Do you hear me complaining?

Hello, Agatha, I'm Sam, one of the doctors here.

Could we get a portable X-ray down here, please,

-for the neck, chest and pelvis?

-Yeah, I'm on it.

Actually, can you give Dr Nicholls a hand, please?

Sam, new F2.

Sam Nicholls, hi. This is Robyn.

Lily Chao.

We've met.

Let's get bloods off, U's & E's, FBC,

and cross match six units.

Robyn, I want her on one gram IV paracetamol.

Oh.

Agatha, this is an awful lot of money you are carrying around.

Well, when you get to my age,

you don't care much about whether your bum looks big in this.

Do you know how much is here?

Two thousand, maybe.

OK, we'll get it counted and put it in a safe for you.

I want her to look after it.

No, I can't, love, I've got to go back on duty.

I trust you.

OK...

I'll get it put somewhere safe.

Are you on any medicines, Agatha?

Yes, I take warfarin. I had a couple of DVTs.

My yellow book's in my handbag.

Will this take long?

I was rather hoping to make a date I have later on.

A date? I haven't had a date for weeks.

Leave some for the rest of us, eh, Agatha?

I'm afraid you won't be going

anywhere for a while, Ms Kirkpatrick.

Robyn, can I have a quick word?

She's been on 2.5 for about 10 years.

Could you ask the lab to do an INR and clotting screen?

And we also need to get a warfarin reversal agent.

Could you also ask Dr Chao to cross-match

-four more units, and to write up the fluids?

-Yeah.

Sam asked if you could add four more units to the cross-match

-and write her up for some fluids.

-Of course. Can I suggest something?

You need to be less informal with the patients. Because this isn't a place for gossiping.

We need to prioritise their treatment, and anything else

is just a waste of NHS time and money.

Sorry all the doctors are backed up,

so I'm going to have to check the wound for infection.

Did you manage to test again?

No, not yet.

Is everything all right?

Yeah, we, erm... we might be pregnant.

-Oh, congratulations!

-We're not sure yet.

-If you want, I can refer you to the obstetrician?

-No, thank you.

-It's too early.

-OK, let's get your husband cleaned up.

I'll be back in a sec.

Globalnet.za?

Where's "za"? Is that New Zealand?

South Africa.

Right, so there is an old lady with a large sum of cash

and a hotel booking goes to meet a bloke from South Africa

she's met on the internet?

That almost never ends well.

Can you keep that somewhere safe for me?

And can you do me a favour?

Check out that e-mail address. Cheers, Louise.

Well, the neck's fine, but there's a significant pelvic fracture.

Let's get a CT and refer her to orthopods.

What's wrong?

I think that... Dr Chao, she's really bossy.

-And I don't think she likes me very much.

-Really?

She says all I do is waste NHS time and money.

Well, I know that's not true. I think you're a brilliant nurse.

Really?

Yeah.

Thank you.

You're welcome.

I'll go contact orthopods.

-Those bloods you wanted fast-tracked?

-Oh, great.

Could you open it up so I can read it, please?

Pretty much confirms it's TB.

-Thanks, Louise.

-You know,

that mask really shows off how lovely your eyes are.

Thank you.

"You look good in a mask." Idiot!

Thanks, Lamorna.

TONY COUGHS

How are you feeling?

Bit better, yeah.

I've prescribed antibiotics for the TB.

It's treatable, but it's contagious, so you'll have to stay in isolation.

I'm just arranging to have you admitted.

I can't stay here! I want to go home.

Not in your condition, I'm afraid. Now, Tony, where do you live?

I need to know how you caught it.

I need to know you haven't infected anyone else.

If you're trying to protect someone, you're going about it the wrong way.

Mostly, I sleep rough.

That's how I caught it.

So you were mugged?

-Yes.

-Yes, he was.

Would you mind giving us a moment alone?

Um, if it's possible, I'd quite like to stay, actually.

Coffee shop is in the reception.

OK. I'll get us some teas.

Now, where were you attacked?

At the train station.

The train station?

Yeah, I'd just got home. I...

-Stay still.

-I'd been away at a conference in London.

There's definitely something in there. I think I can get it.

I understand your sister-in-law is also the victim of an attack this morning.

Miles away from yours.

Says she ran one of her attackers over...

Ah!

Good for her.

Nurse.

I'll be a sec.

Can you get a suture kit ready for Mr Thomas?

And can you also find out

exactly who made the 999 call this morning about Susan Bridger?

Show me your teeth.

Do it.

Ah!

The tooth, the whole tooth and nothing but the tooth.

I have got two more patients out there, a man and a woman.

She says she was attacked by three men.

Let's say that was you and two men who dropped you off at hospital.

-I don't know what you're talking about.

-How's their health?

Are they coughing? You do realise

that TB is the second most common form of death from infectious disease

-after HIV?

-Death?!

If they've been around you, they need testing as well as treating.

Fine. I'll go file a report right now.

My brothers!

They're my brothers.

Where did you go?

He lives with his two brothers in a caravan in a field

down a single-track lane at Follybrook Farm.

We need to send the police to locate the brothers

because they're almost certainly infected.

-Any luck on that 999 call?

-He didn't leave his name.

-And you're sure it was a he?

-That's what I was told.

I wish people wouldn't lie to their doctors.

My job's difficult enough, you know.

What do you mean?

If people tell me they drink 20 units of alcohol a week,

I know they mean 40.

If they tell me they smoke ten cigarettes a day,

-I know they mean a pack.

-Dr Chao?

We might have to send him into isolation

-until he tells us the truth.

-Isolation?

You didn't get that at the railway station this morning, did you?

You were with your sister-in-law when she was attacked.

-No, that's not what happened!

-Mr Thomas, my concern here

is that the men who attacked you both this morning

were infected with pulmonary tuberculosis,

and since his tooth was embedded in your head, you may be infected.

If you want to be so melodramatic

as to be having an affair with your wife's sister,

that's your business. I need to know the truth,

-so I can treat you both...

-Hang on! It's not...

Yes, all right, we were together, OK?

But I don't want my wife to know yet.

We are about to send you to isolation so is there anything we don't know?

Mrs Thomas?

-Mrs Thomas, are you OK?

-Yes, I'm fine.

-Where are you going?

-I don't know. Home.

-Does Elliott know?

Um...

I don't think it matters any more.

Look, why don't you come and sit down for a moment?

Honestly, I'm fine.

I just feel...

I just feel a bit dizzy.

Can we get some help over here, please?

Can you grab a wheelchair?

-What happened?

-I don't know. She said she was feeling dizzy.

She told me earlier that she might be pregnant.

Can you get up and get onto the bed?

Take your time. That's good.

OK, put your head back. That's lovely.

-Georgia? What's going on? Is she all right?

-No, no, no!

It's OK. Has she collapsed like this before?

-Uh, no, I don't think so.

-Is she on any medication?

Yeah. Anti-depressants.

-What sort?

-I don't know.

Georgia... We lost a baby a few months ago.

-A still-birth at 20 weeks.

-OK.

How are you feeling, Georgia?

-Any pain anywhere?

-No.

Charlie, could you arrange a repeat HCG, check for a possible pregnancy?

Thanks. And I'm sorry,

but Elliott has had contact with a tuberculosis carrier

and while his chances of being infected are slim,

he, in turn, has had contact with you and your sister.

We can't risk cross-infection in the hospital,

so I'm going to have to isolate you all.

I heard what she said.

-About the affair.

-No, Georgia, it's not what you think.

Can you arrange for Elliott and Susan to be moved to HDC

as soon as possible, please?

Georgia will follow in a few minutes when she's recovered.

Hang on, hang on, let me explain, please.

Georgia, you've got it wrong. I can explain.

And please, I need you to stay in your cubicle until we move you.

LILY: Listen to the doctor, let her rest.

That email address belongs to an ex-pat living in South Africa.

Right. Maybe I had Agatha wrong.

He must be someone she knows from the old days.

Oh, poor old Freddy,

-he probably travelled thousands of miles just to get stood up.

-Yeah.

Yeah, thanks, Louise.

Jeffery, it's me, darling. I'm going on a break.

I'm going to be about 15 minutes.

All you need to do is relax for us, Agatha. We'll do all the work.

I don't care for enclosed spaces.

I've spent most of my life living in big, open ones.

It'll only be a few minutes.

I'll leave you in Jamie's capable hands.

-OVER INTERCOM:

-Try and stay nice and calm for me, Agatha.

Big, deep breaths.

I don't want to be in here.

I don't want to be in here!

I don't want to be in here!

ALARM BEEPS

Stop. Can I get some help in here, please?

OK, Jamie, go upstairs and get some bloods.

We'll give her a couple of units stat.

It's OK, Agatha, try and stay calm for me.

Where's the porter? The old man with the funny accent?

He is replacing a fuse.

-I have two patients in cubicles need transferring to HDC.

-Fine.

It's that way.

Excuse me, young lady, I was finding my own way to cubicles

before your mother was in need of a midwife.

You need to keep them better organised.

I've been here half a day and I can see that this area is central.

Everyone passes through here.

If they check in with you every time they finish their task,

you know exactly where they are at all times.

Yeah, that's brilliant. I'm going to issue a memo right away.

Ah, Dr Chao. Would you like to follow me, please?

Listen to me, and listen to me very carefully.

There is a great deal more to being a doctor

than just assessing and treating people's symptoms.

There's an old-fashioned phrase - bedside manner.

All the best doctors have a good bedside manner.

Right now, you don't.

Hang on. I thought I was doing a good job.

This ED is a team. We protect each other, work with each other,

rub along as best we can with each other.

The nursing staff are your friends

and trust me, you really want them on your side.

Also, you had no business talking to Elliott Thomas in the way you did.

But if I hadn't pushed him,

we may well have let him walk out of here infected with TB.

You made a judgement and offered an opinion on his personal life.

That's nothing to do with clinical decision-making.

Also, you did it in front of his wife.

Let's just try and get through the rest of the day

without repeating any of those mistakes.

Thank you, Mum.

I've got to go. Bye.

Sorry, I had to tell someone.

OK. Don't worry.

That other doctor, he said that Susan was here.

Yes, she was with your husband when they were attacked.

But she's OK, no serious injuries.

He told me he was at a conference and he was with Susan.

He lied to me. I really can't be here.

Sorry, that's not possible.

I can't be in isolation with Elliott and Susan, not after what happened.

At least isolate me somewhere away from them.

You're going to have to talk to them sometime.

In my world, sooner is always better than later.

Are those my pregnancy test results?

Yes.

Georgia? Georgia, you OK? We've been worried sick.

I'm fine.

Right. I'm afraid Georgia's repeat pregnancy test was negative.

I'm so sorry.

-But under the circumstances, it's probably for the best.

-Georgia...

Don't, Susie. I know, OK?

No, you don't.

I was with Elliott this morning.

But not the way that doctor thought.

He'd taken me to a private clinic out of town.

I've been having some tests.

Tests? Tests for what?

I got the results this morning.

Georgia, I've got cancer.

I'm sorry. I probably should have told you sooner.

That's all right. Do you need a referral to a specialist?

No, Elliott's sorted all of that out for me. He's been a rock, Georgia.

Excuse us for a moment.

Why didn't...

Why weren't you going to tell me?

We were. Just...didn't want to tell you while you were having IVF.

I didn't think it would...be fair.

Fair? You're my sister! Of course I want to know!

I can handle it. I may not be happy about it, but I can handle it.

-Sorry.

-You don't have to pretend you don't have cancer for my sake.

You can't go giving me all your money, then popping your clogs.

Imagine the paperwork I'd have to fill out.

How are you feeling?

Old.

You're not that old.

From what I hear, you had a dirty weekend planned.

Who's Fred, then?

A chum from the old days in Africa.

His wife was still alive the last time I saw him.

But we found each other online a few months ago.

What's the time?

12.25.

Oh... Fred's only here for a few days.

I was supposed to meet him at one.

I wanted to get there early to get a seat with a flattering light.

I was going to use that money to run off with Fred to Africa.

There was still 200 in my handbag.

I was afraid to go in your bag, knowing you were going on a date.

Quite right.

They're going to take you up to theatre now, Aggie.

Have you returned that text yet?

That one from someone who's "not a boyfriend"?

As if I didn't know what that meant.

DIXIE LAUGHS

It's all right for you to laugh.

You've still got a date tonight if you want it.

But what's poor Fred going to think about my not turning up?

Actually, he'd quite like to tell you himself.

-Fred!

-Hello, my dear.

-I've been waiting for you.

-Thank you.

I hadn't planned for him to see me in bed until after the third date.

Good luck, Aggie.

Thanks, Doris. You're a star.

You go well.

I thought you were getting the tea.

I couldn't leave poor Fred waiting in the cafe, could I?

-Nah.

-He'd come thousands of miles.

Yeah. Poor old Fred.

I wonder what would've happened if they'd got together years ago.

Oh, I don't know. Getting on with it now, though, aren't they?

No time like the present and all that.

-You never know till you try, eh?

-Exactly.

Cheers, kid.

I'll make the tea.

SHE DIALS

Carol?

Hi, love, it's Dixie. Sorry it's been a bit of a mad day.

She accused a man of having an affair in front of his wife?!

Then planned to write her own glowing report of her day's work

and have me sign off on it.

She's the first doctor I've ever met who's keen on doing her own paperwork.

Tess is going to love her.

Yeah, good luck with this one.

Just try and get her to stop being so rude to everyone,

then we can wave her off to her Harley Street skin care clinic.

I don't know...

What, seriously? You like her?

Like is a very strong word. Very strong.

But I think she's got something.

If she had a little personal charm,

she could be a brilliant ED doctor.

OK, Michelin-starred dinner says you'll ask me to get rid of her

before her time's up.

Charlie, you're my witness.

Actually, I'll have a slice of that action.

You know she's right.

OK, Michelin-starred dinner says

I'll have her committed to being an ED doctor

by the end of her attachment.

How long's she going to be here for?

F2's usually six months, isn't it?

She can't go treating people like that for six months.

I don't think she's that bad. You two are just scared of strong women.

Look at how you treated me at first.

Oh, no, I'm not liking this.

Louise and Lily becoming pals?

That's like crossing the proton streams in Ghostbusters.

Quick, stop! Stop!

Hey, come on!

You were right about those bolt cutters, though, love.

Oh! That's not a very good end to the day.

The way my day's gone, it's the perfect end.

Pub?

I don't think I'm going to fit in there tonight.

Another time. See you.

I'm Rita Freeman, new ED nurse at Holby City. This is Jane.

Jeffery!

I'm not having treatment. I don't want any.

-Stan.

-I don't want any fuss.

I think he's an illegal.

Overstayed a visa, failed asylum-seeker.

We get them all the time.

He's gay. He's a failed asylum seeker.

Look what's waiting for him if he has to go back.

I'm just going to ask this,

but are you always this much of a pain in the arse?

I could say no, but I'd be lying.

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