Crush Syndrome Casualty

'So, I want some proper action - blue light chases,'

a big trauma case, the works...

And you're here as an observer?

Doesn't mean you can't put the kettle on from time to time!

You want to ask your wife about that, I don't make the tea!

Hello!

THRASH METAL MUSIC

Hello? Paramedics?

Hello! Jeff, he's in here. Yeah.

Ah, here we go. Hello, love.

OK, let's have a look. Can you hear me? OK.

Is he going to die? Please don't let him die.

Is it just heroin he's taken? (Yeah).

Has he got any medical conditions we should know about? No.

His airway's clear, he's well cyanosed, pupils are pinpoint.

Why isn't he breathing?

I'm Rita. What's your name?

Jenny. Jenny, I'm a nurse, why don't you come with me, eh?

Here we go, love.

All right, what bright spark is responsible for this?

What sort of an idiot does something like that?

That is so annoying!

I don't find it amusing! I've got to sort that out now.

If you delay the cleaners in their duties, it costs public funds!

Money well spent.

I'm having that as compensation! Are you sure? A moment on the lips.

There's no need to get personal!

You're called 'Big' Mac!

That's because I am a big man and I have a big personality.

That's a sugar-free coffee, is it?

MAC SHOUTS

Sorry! Oi! Get it cleaned up!

Mate! I owe you one... You owe me several, son!

You oversleep? EBay auction! Did you win? Outbid in the dying seconds.

Sorry, I'll give you a hand. No, I'm fine by myself!

Oh, come on, don't be like that!

Why is it always me, eh?

The butt of all the jokes? What is it with this place?

I can't be bothered!

I'm sorry, boss, but he refused to be conveyed

unless she came with him. I'm really concerned.

He's slurring his words, he's being sick

and he's got a suspected head injury. What was I supposed to do?

It's not THEIR fault. I let her in before they could say anything!

MAN RETCHES

DOG BARKS

Betsy! No! I've got to go!

Oi! I'm allergic! Keep it away!! I'm sorry!

You'll be popular. Tell me about it! Awwww!

You're cute, aren't you? Sam, it's getting busy in the cubicles,

do you need a hand? You branching out into a new specialism?

She's kind of special.

Right. When you're ready to play doctor again...

MAN RETCHES

Oh, brilliant! I'll get a mop. There you go.

Right, Well, I think the best thing we could do is get you in,

get you checked over... I'm not going anywhere!

Listen, mate, the antidote we gave you doesn't last that long.

There's a fair chance you may stop breathing again if we leave you.

I don't care - you ruined a hit!

Mate, you were going blue! You owe me fifty quid!

OK.

Your mum?

That's nice. Makes her feel better about herself.

How does it make you feel?

Do you know what you're having?

Didn't make it to the scan? Of course I did!

I didn't WANT to know. OK.

That's good, so the baby's all right? Yeah.

Are you bringing the baby back here? Where else am I going to go?

You've clearly got support around you... What do you want from me?

What do you want me to do?! To make sure that the baby's OK.

You are going to need some help for the first few weeks at least! No!

I don't know... Call your mum. No.

I've taken too much from her already.

To give your baby the best start in life, it has to be worth trying.

Jenny!

Jen! No, OK?

Just leave me alone!

I'm building up a collection of rare vinyl, limited edition stuff...

So, what...? Like old Beatles records and stuff like that?

All right, old man! No, it's dance music, mostly.

So you're bidding on something now? Yeah, this one.

The seller has no idea what they've got,

there's no reserve on it or anything...

Good luck with that! Cheers!

Right. Mr...

..Wardrobe? Or is it just Wardrobe?

I don't need another name. OK, fair enough.

If you're going to be sick, try doing it in there? I'm not drunk.

I believe you. It was the driving, on the brake,

always the brake... I'll tell you what.

I'll get you a passenger feedback form, all right? Where's my Betsy?

Don't worry about her, she's in good hands.

Sam, this guy in cubicle three. Is he your patient?

He was found lying on the pavement, possible injury from a fall.

Amnesia after 8am, GCS was 14 at the scene.

If it's nothing more than the drink we should turn him around quickly.

Yeah, just to get rid of the dog!

There's a dog?! Oh! Apparently...

ECG is clear, but I am a little bit concerned

about the memory lapse so I would like to send you for a CT.

And I need something for my pain.

A specific pain? Or just general pain?

Stomach, very low.

Right, OK, we will get that looked at. When did it start?

It's there the whole time. Agony.

OK, we'll look at that for you. Also, can we take some bloods

and send them off for amylase and LFT?

HE BURPS

(Lovely).

I'm trying to help you. But I can see the way you're looking around.

Like, "I can't believe she lives here, like this".

I wasn't! And looking at my baby and my arms,

and thinking, "She's using and I know she's using..."

And who are you to think that I can't do this here, by myself?

If you could just let your mum help... No! Babe!

Tyson, you really need to rest... That's it, all right!

We're done. Right, if everyone just calms down for a minute...

Please, make them go.

I said, I want you out. You understand that? Get out!

No, we need to monitor you, Tyson... No! Nothing. You GET OUT!

DOG BARKS

Well, that went well.

See, it started as an army nickname.

I was fit as a butcher's dog back then and bigger than most,

so they called me Big Mac.

It was a compliment back in the day. But now...

makes me a bit of an easy target.

Get the jokes in first to shut them up.

That's one way of looking at it.

I bet you get some stick about the Wardrobe thing?

It started when I was a kid and carried on until I got married.

Then after that, it didn't seem right...

"I, Wardrobe, take thee..."

So she stopped it, she stopped everything.

She didn't think it was funny. Well, it wasn't...funny.

Right. This gentleman will be with you in a minute.

And I'll go and check on Betsy.

Make sure she's all right and I'll come back and see you in a bit.

If you could just...

Just get her a drop of milk. If you could just warm it up,

just for a few seconds in the microwave.

She'll love you forever. No worries.

Now this goes against all of my feminist principles...

Thanks, love. I took a punt on how you take it.

Milk, two sugars? Yeah.

I'm not saying you look like a builder or anything.

You do look a little bit like a builder. Ha!

It's one sugar. Thanks.

I don't like walking around on eggshells, Jeff.

If you've got something to say, just say it.

OK, well, I think we could have avoided it kicking off like that.

They were junkies. You never know what'll tip them over the edge!

Exactly, so we play it a bit safe, don't we?

In the hospital they'll take stick, but in their home, it's different.

You can't go in there hard, you have to show them a bit of respect. OK.

I'm sorry.

But that girl, her baby...

Yeah, I know. I just think if we'd kept it calm, got them to the ED,

we'd have had a better chance of getting them the help they needed...

Yeah, all right, Jeff. You've made your point. Good.

There you go, sweetheart. You get that down your neck

and then we'll sort out what we're going to do with you.

My patient, the one you took to the scanner.

He's still there as far as I know.

He did a runner before they could get to him!

Well, guarding patients is not strictly my responsibility.

And neither is looking after dogs! Good point, well made.

Take it outside and call the RSPCA.

She was looking dehydrated. Get her out now!

Right you are.

I pushed it too far, I know that.

But there was a moment there

when I started talking about her mum, I saw her change.

I believe you.

Jeff'll get over it. You can really walk away?

Yeah. Yeah, you have to.

If you carry one shout into the next, it would drive you mad.

Any tips on how to block it out?

Mindless chat about absolutely nothing.

I'm devising the perfect five-course dinner party menu

and Jeff is working on his best starting eleven of all time.

Schmeichel, Beckenbauer, Roberto Carlos

you'd have to have Bobby Moore in there...

You put John Terry in that back four and I'll slap you.

I'd slap myself, love, don't worry about that!

'Holby Control to 3006.

'Emergency call to an entrapment at Searle Street Breakers Yard.'

3006 to Control. Received and on our way, over.

SIREN WAILS

Oh, Mac!

She's not diseased! No, it's the dander! What?

Look, I have just had an email alert come through and I wanted to know

what you thought about being an Emergency Care Assistant?

It would get you out from behind that desk. I thought you liked your job.

Not for me, for you! I'm not going anywhere.

You seemed so fed up of this place. I'm trying to help, OK?

The Ambulance Trust are recruiting in the area...

I can't talk about this now. Come on, Betsy!

Come on, darling.

All right, Corp? How you doing?

Wardrobe's gone AWOL, we're being evicted

and management aren't exactly happy.

Tell me about it. They're insisting this thing is out of order

until it's had a thorough clean down.

So, it's the dog's home then until he comes back for her. Or, erm...?

What?

The ambulance station isn't exactly a clinical area, is it?

Surely there's somewhere in the staff room where we can put a blanket,

a bowl of water... well, hot milk she likes, actually.

You think top brass will say yes to that?

I'm not altogether sure if we need to tell them.

And I'll help you clean that on my break!

Go on, then. Beauty. Come on, dog, let's go.

Sam. Missing patient. Update me.

The security guys saw him wander outside.

Probably looking for a drink, which will make his injuries even worse.

And what are we talking?

At best, an alcoholic who needs to change his ways,

at worst a man with an undiagnosed intracranial haemorrhage.

And a dog that needs a good feed.

Right, well, we'll circulate a description to the police.

SIREN WAILS

OK, now we're talking. This is what you came for, yeah?

This is fun, but it's sort of how I drive when I'm late for work.

Don't criticise the driving, Rita. Well, we're in a built-up area!

Never criticise the driving.

I'm on the limit, really. We have to drive to arrive!

This is good, honestly.

You won't find many crews with better response times, you know.

Better local knowledge. I was joking!

This is fast, Jeff. This is really fast.

You are the fastest I've ever had.

SHE CHUCKLES

Come on, lighten up!

SHE CHUCKLES

SCREAMING Help me, please!

Help me! Please!

Is it all switched off? No guessing where he is, eh?

Help me, please! Help me, please!

I'm being crushed!

Thanks, mate. Help me, please!

Please help! All right, Dix? OK.

All right, darling, my name is Dixie.

Can you tell me your name? Robbie!

Right, Robbie. OK, love, I know you are in a lot of pain

but I need you to stay nice and calm for me. Can you give us room?

I can't! Come on! We're going to give you something strong for the pain

in a minute, but for the time being can you just breathe on this for me?

What can I do? IV lines, you can give me a hand, please.

Nice and easy, Robbie. HE SCREAMS

OK.

She seems quite settled in there.

If he's not back by the end of the day... He will be, right?

Cheers for helping, by the way. Not many people would give up a break

to clean out one of these things.

A change is as good as a rest, isn't it?

I heard that they're recruiting

for Emergency Care Assistants locally. Do you know about that role?

Pretty much like your job, but you get to drive an ambulance.

Why, you thinking of a career change?

No, no, no, I love my job.

Although I'm "just a porter", as people like to remind me.

Sometimes I think I'm just there to amuse people.

I know. I've heard the jokes. What jokes?

I don't know, something about a sheep called Monty

and the fact that you have a thing for Gareth Edwards.

I didn't want to ask too much after that.

Gareth Edwards is my tortoise. Ahh, right!

That would explain why you keep bringing in photos of him. What?!

It's just banter, Mac. Comes with the job.

Does it?

Or maybe it's just me? Hmmm?

That's it, keep breathing.

I know it's tricky, but just try and keep that hand nice and still...

That's it, in through the mouth, out through the nose.

Come on!

Give it a few seconds and you'll begin to feel the benefits.

Thank you.

All right. I'm so stupid!

Cutting a corner, the machine was jammed!

Shhh, it was an accident.

Dix...

You all right for a minute?

Listen, the boys have just told me that this crushing mechanism

is stuck in a forward gear.

They have to take it apart from the inside to release him.

That'll take time. They're going to let us know how they get on.

How is he?

She's doing a good job keeping his spirits up.

I'm going to stay with her, but let her do the talking on this one.

Just update me as and when then, kid? OK. Thank you. Yep.

Wardrobe!

Are you all right? I'm feeling, I'm feeling, I don't know...

Let's get you indoors. No, a drink, I just need a drink.

Being in there, seeing...

Whoa!

Come here, come here. All right, all right.

Can we have some help here, please?!

What would be your best starting eleven of all time?

Whoa! I don't know... You know what?

I can't do this. Even for a guy in your condition

it's scraping the bottom of the conversation barrel.

I didn't think you looked like a football fan.

I was a football widow every Saturday for a very long time.

Not for a while now, though.

I'm sure you were too good for him. I was. I absolutely was.

What are you, early twenties?

I wish! And that's a line if ever I heard one.

I'm on morphine here.

And you're still trying to chat me up?

I don't do that any more. It's got me in too much trouble.

You remind me of my daughter. I'm hoping she's a looker.

People tell me she is.

She's beautiful.

An emotional day?

I wasn't there.

My own fault.

Has she forgiven you?

Not for a lot of things.

OK, James, thanks. I think we know where this is headed.

He's not been trapped for that long. Long enough.

When they release the pressure, the toxins will flood his system...

Potential renal failure and cardiac arrest. Talking one minute, the next...

If we keep his fluids up, get him out quickly...

Come on, Dix. It's a long shot, mate.

All right, I just need you to keep that still for as long as possible.

He was coming back in, he was feeling dizzy, his head was hurting,

he'd been drinking again and he fell and smashed his hand on a bottle.

Let's get some views of that ASAP and then we can take the glass out.

Look straight ahead for me.

I'm just going to shine this torch in your eyes.

Follow my finger.

Pupils are responsive. I would like to get CT to rule out a bleed.

And how's that pain in your abdomen?

Still there.

Take a look at the stomach as well, then.

Crush syndrome? Yes, I've heard of it.

He's talking to me fine. I didn't think they could be that lucid.

While the pressure is on his legs, he will be...

How do you rate his chances? Too many variables.

You dealt with these before? Once or twice.

And?

Do we tell him? No way. That's not a rule that's meant to be broken.

You tell him everything is going to be all right.

You keep him calm and you keep him talking, OK?

Go on, squeeze my arm. That's what I'm here for.

Robbie, I'm just going to give you some more morphine, mate.

OK, Jeff. 5 of morphine, yeah? All right.

Now the amount you've had, I'm going to have to insist

that you don't operate any machinery, all right?

OK. You all right here, yeah? I'll be right back.

Can I ask what happened?

Nothing. I left her mum when she was little.

I did the weekend dad thing for a couple of years.

And I did it all right.

She was my little girl.

But her mum...

HE GASPS

It's OK, we can drop it if you like.

I had an ex-wife that made it hard, a new wife that made it harder.

But I can't blame them.

I could have been stronger.

It was easier to walk away... so that's what I did.

If I'd have known you'd get this soppy

I would have stuck to the football.

Robbie?

Have you got her number?

Call her.

Maybe...

one day.

The X-ray has shown that the glass is embedded

very superficially into your hand,

so I'm happy to remove it now and then when CT are ready for you...

Is it going to hurt? Just tell me if it's going to hurt.

It's all done. Well done.

You happy to dress the wound while we wait for CT?

I'm not going in there. You need to.

We've very concerned about the blow to your head

and we need to sort out what's causing your abdominal pains.

No way, that thing, and you can't make me. Mr Wardrobe.

No!

Easy! Easy, OK? Just relax, yeah?

Come on.

How about that phone call?

No, I can't!

They don't think I'm going to make it, do they?

But I do.

I believe in you.

That's it now. Just one minute.

Come on - bigger picture and all that. What have you got to lose?

Hey, it's me, Dad.

I've had a bit of an accident.

They're taking me to hospital. I'm all right...

Well...you know...

I'm not all right.

I miss you.

OK?

Keep that on for 24 hours and then try to keep it clean, all right?

Now, Wardrobe, the doctor will be back in a minute

and she's going to hassle you about the scan.

I'm guessing that's why you did a runner earlier?

Being inside that thing...

You don't like confined spaces, do you?

He'd lock me in there.

I never know when he was coming back. Who did?

My dad, while he went down to the pub.

Hoping to keep me out of trouble. He locked you in the wardrobe?

They'd laugh.

To make it easier, I'd join in.

If he passed out,

I could be in there all night.

Now, look, no-one's going to leave you in there today, all right?

And I'll be outside waiting for you.

You can do this.

They'll put him straight on the spinal board,

we do what we can for him here, then we will take him down.

OK, we've fixed it, let's go.

OK. You good to help? OK.

OK, mate, back soon, all right?

Ready, all clear.

HE SCREAMS

Here we go.

I need Betsy. She's fine, she's safe.

Betsy, my wife...I need her.

We can phone her after we're done.

No, she's gone.

Look, I'm sure she's with you, OK?

Good man.

Hey, hey, hey, stop, stop, stop.

He's not breathing, got no pulse.

He's in PEA. Start compressions, let's get him in sharpish, yeah?

All right, Jeff. Intubate on the way in. Yeah. OK.

Nice one. OK, you are on.

Keep going, keep going.

OK, can you radio this in, Dixie, please?

On it, darling.

SIREN WAILS

You did very well in there.

Nobody would call me Wardrobe when she was there...they wouldn't dare.

I really miss her.

Sounds like she was a lovely lady.

You try and get some rest.

The doctor will be here to see you in five minutes, OK? OK, yeah.

Good work talking him round. Beyond the call of duty there, mate.

I didn't do anything. You did, honestly.

This hurts me to say it, but you're wasted as a porter.

Sucked in by the dog, the vulnerable old man, being nice to the porters...

it's like I don't know you.

Hey, I'm still combat-trained, so watch it!

I like the sound of that.

Stop CPR a sec. Stop, stop, stop.

He's in VF. We're going to have to shock him.

Charging.

Shocking.

OK. Sinus. Good signs.

Good.

MOBILE RINGS

OK, continue CPR.

I'm going to give him a shot of adrenaline.

I've had a pre-alert there's a post crush injury cardiac arrest coming.

Jamie! Sorry?

Bed 3 needs a dressing and Mr Williams's catheter bag

is about to explode. I shouldn't still be speaking!

I'm on it, I'm on it.

Cardiac arrest about 14 minutes ago, full ALS protocol followed,

shocked him four times on the way in. He's been in PEA ten minutes,

not responding to fluid or adrenaline. Thanks, Jeff. OK.

OK, can you get him straight on the ventilator, please, Tom? Got it...

Check for a femoral.

No, there is no pulse. Continue CPR.

Can we have another shot of adrenaline, please?

Louise, these e-mail job alerts,

is that something you have to sign up for?

You going to go for it?

Well, there's no harm having a look. See what's involved.

This is going to be brilliant for you.

It'll be like a sort of kick-start you need

to make a load of life changes. Hang on, I'm quite happy in most respects.

Yeah, you can always be happier.

PHONE RINGS

Hello, Holby City ED, Louise speaking?

Thank you for calling me back,

can I just put you on hold for one minute?

Sorry, it's the RSPCA. What, about Betsy?

Zoe told me to call. She thinks the dog's being neglected.

No, they can't take her away from him - she's all he's got, man.

Hi, yeah, sorry about that.

Hello, Iain? Yeah, mate, look,

we might have a bit of a problem here.

OK, guys, we know this was a witnessed cardio-respiratory arrest

with no return of spontaneous circulation at any point.

He has multiple injuries, severe crush injuries,

and he's been down for more than 30 minutes

without any response to CPR.

Rita, I don't think we're doing this guy any favours.

Are we all agreed?

Time of death, 13:36.

Oh!

Oh, it's all right, we'll pick them up(!)

How's the auction going?

Two bidders, three watching -

it's going to be a last-minute scramble.

And when does the auction end?

Ten minutes before my shift does.

Tell you what, why don't you give me your login details?

I'll watch it for you, we'll double-team 'em. Oh, nice.

What's your absolute limit? Say ?20, ?25. ?25, got it.

Sweet. Nice.

I can't do it.

I get that.

You don't have to.

You can? After that?

If we don't, who will?

Look, we're going to have to go back out in a minute.

I think it'll do you good. It's your call.

She wants to call it a day.

Well, probably for the best.

I just told her to come back out.

Twice in one day she's let it get personal.

Can you blame her?

That phone call. We don't know the situation with the daughter.

That could screw her up for life.

Or bring her a lot of comfort.

It's not our job to make the call, though, is it? Jeff...

Just uncomfortable with it, all right? That's all I'm saying.

You all right, love?

I clock off when you clock off.

RADIO: Holby control to 3006.

Maternity call at 6 Brackley Road. Over.

The radiologist's report shows no areas of concern

for the blow you took to your head this morning,

but do you have an extremely enlarged liver,

which would explains the abdominal pains.

Coupled with the bloods we took,

I'm afraid it's looking very likely that you're in the early stages

of cirrhosis of the liver.

What can you do?

Well, right now, there's no immediate medical treatment.

You're giving up. Certainly not.

I don't blame you.

I can write a letter to your GP suggesting

he refer you to a liver specialist. Don't bother. I'm done.

Not even interested in what they have to say? No.

If you won't treat me, I just want to be discharged

and go home and...just sleep.

Fine. I'll start processing the paperwork.

SIRENS BLARE

Rita, hang on.

3006 to control,

we're at this incident now at 6 Brackley Road. Over.

SHE PANTS HEAVILY

Jenny!

I feel like I need to push.

The baby's down really low, I need to push.

OK, well, let's find you somewhere comfortable. Where's your bedroom? Through here.

No! You're not doing it.

I'm not letting you do it. No way, not to me.

She chose to come here. I didn't make her.

I didn't force her. She wanted to get away from you

Tyson. It's Tyson, yeah?

Listen, whatever's going on, mate, we can talk about this.

I don't talk, bruv. I'm not talking to you. I'm not talking to her!

We can sort this out, surely?

She's not going near you, not near those drugs.

She wants to stay clean and you won't let her!

I'm calling the police. No!

Hey, hey, easy. Take it easy! Back off! Back off! OK!

No police!

Get out.

Get out!

You're doing really well, Jenny. Just keep breathing.

I didn't tell him I was going.

You don't have to worry about that now.

Look, a few weeks, months, like you said.

Listen, the only thing you need to worry about right now

is giving birth to this baby.

You've got a much better chance of doing that

if you're calm and relaxed, OK?

But I'm scared! I'm really scared.

It's OK to be scared. If you trust me

and you trust your body, we'll have this baby out in no time. I promise.

OK. OK?

OK! OK, I can feel another one coming.

Do you feel like you want to push? Yeah!

That's it, get comfortable and we'll get this baby out.

My mum. Please get my mum. I really want my mum!

You steal my girl, steal my baby.

No-one's taking me nowhere.

OK, easy.

But your baby's coming, Tyson.

That's why we're here, love. We're here to deliver your baby.

Called the police on her own daughter, for nicking what?

Crappy old stuff we didn't even get much for.

I didn't have any choice!

A suspended sentence on one hit. Your own daughter?

You don't think that was hard for me? Come on, mate, put her down.

I'm not trying to take her away from you.

I won't stop you seeing your child.

When you tell me you love them both, I believe you. I do.

Just let her stay here for a bit, to keep her clean,

keep that baby safe.

Please!

Come on, mate, you heard her. You heard her, put it down now, eh?

Come on, put it down.

Good man.

Jeff!

Jeffrey! Come on, mate!

I've got your back!

Stop struggling! Stop struggling!

What? I had him!

3006 to Holby control -

police backup at Brackley Road. Over.

Enough, pal, enough.

I can't do it. I can't, I'm too tired.

Oh, no, darling, you can do it, you totally can. You're doing it.

Mummy's here, sweetie, Mummy's here.

Mum, I'm so sorry.

It's OK, it's OK.

You'll be the birth partner? You'll help her through this? Yes!

OK, are you good with that?

'Course, thank you.

You're going to be a mum.

Are you looking after the guy with the dog?

Yeah, I've just discharged him.

Well, the RSPCA are on their way and want to speak to him.

What you on about? Betsy? That's the last thing he needs!

How long until they get here? Any minute.

Can you delay them? I'll try my best.

SHE SCREAMS

OK, Jenny. Well done.

The head's out now, OK? OK.

Do you want to feel the baby's head?

OK! OK. OK.

That's my baby.

Mum, that's my baby!

OK, Jenny, this next contraction is going to bring the baby out, OK?

OK. It's going to be strong. Go with it. OK.

And push hard! OK.

OK, it's coming! OK.

SHE GRUNTS WITH EFFORT

SHE SCREAMS

Good girl!

Oh, Jenny, you've done it!

It's all right, sweetie.

BABY CRIES

Well done, well done.

BABY CRIES

Well done. Beautiful baby girl.

(She's beautiful.) A beautiful baby girl.

Oh, look.

THEY COO OVER THE BABY

(Nice one.)

They shouldn't be coming. She's fine with me.

She's fine with me.

They are coming because someone called

as they were concerned about Betsy's welfare.

She has a better life than I do.

I'm sure she does. I'm really concerned about you.

I want you to understand how serious your condition is.

Oh, what will be, will be.

You can't think like that, man,

you've got years ahead of you yet. Doing what?

Well, to get off the drink for a start.

Look, it's not going to be easy,

but there's people there that can help you,

support you through all this. It doesn't hurt when I drink.

Nothing hurts.

If you continue drinking, your liver's going to pack in

and you'll die. They're the facts.

Doc, man! No, it's as simple as that.

I know I haven't got long to live.

I don't want long to live...

since Betsy's been taken away.

Well, Betsy's here, she's on her way over from the ambulance. No.

Betsy was my wife.

And she's waiting for me.

I know I'll see her again.

I will see her again.

Hey, look!

Someone's pleased to see you.

Now then. Oh, you're beautiful.

How about this little one, eh? If you don't look after yourself,

who's going to give her the care and attention she needs?

You're right.

I can't.

Wardrobe, what about Betsy?

Betsy's not here any more.

I know that now.

Five, four, three...

What?! You're kidding me!

Outbid again by... Hold on a minute. That's...

A steal at 26 quid!

Are you kidding me? You called me an old man,

so I thought I should find out what you youngsters are listening to.

I'll give you 30 quid for it. It's worth more than that! All right, 35, then!

Buy me a pint and I'll think about it.

Well, why don't we just leave our details and if no-one...

There's no way we can have a dog.

You couldn't get through to him?

He can't cope without his wife.

He was married? He didn't always look like that!

Yeah, it's more the smell.

A little sympathy goes a long way, do you know that?

A bit of soap would go further.

We could all end up like that.

All it takes is a couple of setbacks, a kick in the teeth

and before you know it you're wandering around in your slippers!

What, with a sheep and a tortoise for company?

That was obviously a joke.

I'm not having this. Oh, wait, Mac, come on!

Wardrobe! Wardrobe, stop there!

I'm am not having this!

I am not letting you give up, do you hear me?

You listen to me. Of course it's hard, but it's not too hard.

Oh... Don't!

You named this dog after your wife for a reason.

You just need to remember what that reason was.

I let her down. No.

Not yet. There's still time to change.

Here. There you go.

There you go, girls, nice and cosy, eh?

Thank you.

Jenny, I'm going to leave you with Dixie and Jeff. Is that OK? Yeah.

Your baby's beautiful. Thank you. Thank you

Are you Katie?

Katie, I'm Rita, I was with your dad when he called you.

When I saw his number, heard his voice...

That's all I'd wanted for so long and now...

SHE SOBS

Right, I've pulled up the job advert.

This is going to be so good for you, have a look.

You are brilliant at what you do, but why not stretch yourself?

"Three GCSEs." That's O-levels, isn't it?

Or relevant work experience, which you have.

There's no harm in sending them your CV.

Like I've got a CV!

OK.

Let's start by filling out the form, yeah?

All those questions! Yeah, it won't take long.

Oh, if ever there was a shift that should end with a pint!

Nah, I'm a bit whacked. I'm going to head home.

You're kidding me.

What's wrong?

Nothing's wrong, I just don't fancy it, that's all.

All right?

I'm not sure I'll be able to face it when I get there,

but the promise of a drink has kept me going all shift.

Are you going to let me buy the first one as a thank you?

You don't have to do that. I mean, I'll take the drink.

You did really well today.

Right, that's it. I'm off. Excuse me.

Hey, look, I don't think I was quite prepared.

Seeing his daughter...

I think the phone call was... probably a good thing for her.

Maybe.

I don't know.

You know, just...

Last lesson as a paramedic -

you never take a shift home with you.

And Jeffrey is going to buy the first round.

Oh! Only if you promise to take back what you said about my driving.

Come on then.

Are you boys up for a bit of inter-departmental bonding?

I'd rather go for a pint!

What about you two? Yeah, we'll catch you up.

Hey, you joining us?

Think we'll give it a miss. Date night.

Oh, spare us the details.

Come on, Big Mac, stop mucking about, let's get down the pub.

Yeah, look, I really appreciate what you're doing,

but it's been a heck of a day, so I'm...

Oh, no, come on. No. Thanks, another time, yeah?

Subtitles by Red Bee Media Ltd