Bad Timing Casualty

-Oh, hello.

-Take it things got worse then?

No, this was an accident.

I went onto the wing after they decided

they'd had enough, check the damage.

Water all over the floor and I slipped.

The nurse thinks it's broken, so here I am.

Do you fancy a drink some time?

Yeah, yeah, I'm up for that.

It's a date, I'll call you.

I finished it.

Oh, no, I like Carol.

She was a really nice woman and all, but it just wasn't right.

DOOR OPENS

Why are you still here?

The scintillating conversation.

-I thought you have an appointment at nine.

-I've got plenty of time.

You've got 15 minutes.

Go. He'll be here.

You obviously don't know my brother.

I don't like leaving her on her own.

She's not on her own.

If anything changes in her condition, we'll call you.

I'll call you.

What will you tell Jeff?

I won't tell him anything.

Won't he ask where you stayed?

Are you having second thoughts? Cos if you are...

I'm not, I'm not having second thoughts.

What is it, then, Dix?

Well, this is starting to feel serious.

-Yes.

-And by telling Jeff...

..it means telling him that our marriage could be over.

I will, I will tell him, but in my own time.

Out into the cold, then.

An entire day listening to someone banging on about

health and safety in prisons.

-Drink tonight?

-Yeah. See you later.

Seriously, where are you? You promised you'd be here.

I don't want to hear another excuse.

I don't care!

I can't do all of this by myself.

Our mother is dying.

There you are.

So who's the lucky girl, then?

It wasn't like that.

I know. It got late, you crashed on the sofa.

Three times in the same week. It does happen, I suppose.

I'm just saying, as your husband,

if I can't be pleased when you get a result then no-one can,

can they, hey?

-That's right, isn't it, Rita?

-Hey?

Dixie, I got us tickets for Love Notion.

It's that new romantics' revival gig you were telling me about.

-It's on tonight.

-Oh, mate, I'm so sorry.

Please tell me you're joking. They cost 55 quid each.

How much?!

Look, I'm really not feeling great. I'll give you the cash later, OK?

Don't worry about it.

Jeff?

Not really my thing, the '80s,

you know all that hairspray and ra-ra skirts -

and that was just the fellas.

-Hey, you should try Big Mac. Loves all that.

-Big Mac?

Yeah, bang into it.

Dresses up as Adam the Ant at weekends.

He's got the beauty spot, big boots and everything, hasn't he?

-Forget it.

-All right.

You can be a right idiot sometimes.

He does. I've seen the pictures.

-All right?

-Morning.

-It's your assessment today, isn't it?

Yeah. Bit nervous, to be honest.

It's Stanhope, isn't it?

He'll be all right, he's one of those firm-but-fair fellas, you know?

Just don't mention the war.

Get away from me! Help me! Help me, someone!

THEY STRUGGLE

GLASS SHATTERS

Hey, hey, stop. No, stop. Stop!

You OK?

SHE WHIMPERS

I thought she was going to kill me!

SIREN WAILS

Sorry to barge in, I've a 9am with Dr Hanna. My name...

Join the queue, please.

Yes, the thing is, I would be massively grateful

if you could give her a call.

(Scary lady.)

-You all right?

-No.

All right, let's have a seat, I'll have a look at you.

I just need to get this into a proper sling.

Excuse me. Just a thought, but I think it's probably best

she's treated by an actual doctor.

Sorry, I should introduce myself.

I'm Ethan Hardy, the new registrar.

Well, why didn't you say when you came to the desk?

I didn't really get the chance...

which was my fault entirely.

-Well, next time say who you are.

-I will.

Although it won't be necessary next time, will it?

-Zoe?

-Hang on. Lily, there you are.

I've got a special job for you.

There's a prolapsed haemorrhoid I want to have a look at.

That can wait. I've got a new doctor starting.

He's already here and he's a bit odd.

Oh. What time is it?

About 9.30.

-That's him.

-Dr Hardy.

Ethan. Dr Hanna?

Zoe's fine. I was expecting you at nine.

Yes, about that, I did try to...

I was held up by a patient, an art student, apparently.

She'd fallen from a step ladder staging some sort of happening.

I'm not sure what it was supposed to be about. Art students.

What are they for? I'm wittering, aren't I?

Just relax, take a deep breath. Come in.

Lily Chao, this is Ethan Hardy, he's our new SPR.

He's coming back to the shop floor after a sabbatical.

He was with HEMS in London for a year before taking

on the research role looking at coagulopathy in trauma patients

with his main focus being early platelet dysfunction.

Very impressive.

Oh, not really. I was more of a glorified copy boy.

He's also very modest.

So I'd like you to work with Ethan today, show him the ropes,

do the introductions.

-This is the special job?

-This is the special job.

That must be her.

Sarah? I'm Giles. David and Trudi's friend?

It's lovely to meet you.

Sorry.

-Oh, I'm so sorry.

-Sorry.

Shall we sit?

Good idea, before I wreck the place. Please sit down.

All right.

Do you mind if I ask what one eats for brunch?

Cornflakes and chips?

Interesting choice.

As you'll have guessed, it's been a while since I went on a date.

(Don't worry, me too.)

Reception is here. If you want coffee, it's over there.

Dr Ashford, Ethan Hardy, the new registrar.

Martin. Good to have you on board. We've been short-staffed lately.

-Sorry. Excuse me.

-MOBILE PHONE CHIMES

Sorry, what were...?

Sorry. I've got a bit of a situation going on. Domestic.

So it must have been exciting working on the HEMS team.

-Have you ever been up in a helicopter?

-Of course.

It's the most frightening feeling in the world, isn't it?

The worst bit - finding out it's the most frightening feeling

in the world and realising you've signed on for a whole year.

-Personally, I loved it.

-Course you did.

-Hi.

-Hi. Dr Hardy. Ethan. The new SPR.

I'm Jamie.

-Dr Hardy?

-Right, shall we?

Hi, Dr Ethan Hardy, what have we got?

Morning, this is Alice Seacroft, aged 54.

She's been knocked around quite badly, result of a street mugging.

Really, I'm absolutely fine. I just don't need to be here.

I need to go to work.

Query fractured nose,

she's got some shards of glass in her right elbow.

She wasn't KO'd, GCS 15, pulse 85, stats 97%, BP stable, 130 systolic.

Hey. You want a brew?

Yeah, cheers.

So how did the scoop go?

All right, I think.

A bit scary having someone looking over your shoulder, though.

You'll be all right.

There's actually nothing more depressing than a Christmas tree in January, is there?

I disagree. It's nice to keep the holiday spirit going.

Oh, by the way, I thought you handled yourself very well

-on that shout earlier.

-Thanks.

Although I did think that you were a bit timid in front of the assessor.

Timid?

RADIO: 'Holby Control to 3006.

'Emergency call for a woman aged approximately 40 years

'who's been involved in a fall.

'She's at the Quantum Conference Centre on Gardinia Road, over.'

OK, 3006 to Control, received that, we're on our way.

Quick as you like, eh, Jeff?

Jean passed away two years ago this April.

And your husband?

Philip died 18 months ago.

Doesn't get any easier, does it?

Anyway, Jean tells me you're involved in a local theatre group.

Are you all right? It looks a bit red.

Yes, fine. Thank you.

You should have cancelled if you were ill. We could have re-arranged.

Don't be silly. I'm all right.

-Would you excuse me?

-Yes, of course.

-Inside?

-Yeah, on the right.

-Thank you.

Sorry. I told them I didn't need an ambulance.

What the hell's happened?

I got a call from work asking me to get back there.

I slipped on the steps outside,

put my hands out to stop the fall and did this again.

Starting to think being round you is a bit of a jinx.

And I lost my scarf.

It's in my office.

Right.

Have you got any other injuries?

-You didn't knock your head?

-Just my arm.

Carol.

-What's happened to you, princess?

-Same again.

OK. We're going to have to cut those gloves off.

They were a Christmas present.

I think she might need some pain relief.

Jeff, can you go to the ambo and get a splint, please, love?

Yeah, two ticks. Give you two time to catch up, eh?

-I loved these gloves.

-I'll buy you another pair.

OK, people, the show's over.

I'm going to give you some morphine.

I've still not found the right moment to tell him.

Why not tell him now?

-Just leave it, eh?

-I was joking.

Right, faster than Usain Bolt, me.

OK, Carol,

nice even breaths on that for me, and that will help with the pain.

Wish I could say it was great to see you again but...

Would have been nicer under better circumstances.

Exactly, yeah.

Any neck pain?

No.

And you remember what happened, where you'd been, where you were going?

I was passing through the market when someone tried to mug me.

Luckily for you, there are no broken bones

and all of the pieces of glass in your elbow are superficial.

Can I go, then?

Only we've got the Ofsted inspectors coming tomorrow

and I really need to be there.

You're a teacher?

Deputy head.

I'm afraid we can't let you go until we've removed

the shards of glass from your elbow and cleaned these grazes.

Also, I'd like to take a look at the bruising to your ribs,

which might be quite painful so...

let's check you over, shall we?

It's a bit cold.

Will this take long?

Shouldn't do. Let me get your bag out of the way.

DISTORTED SOUND

SHE GASPS

SHE WHIMPERS

Right, this is Carol Walcott, she's 43.

She's had a fall with an obvious fracture to her right wrist.

She's got no other injuries.

I've given her five of morphine and some entonox.

This cubicle here. Tess, this is Carol.

Let's get her into a gown first, then we can sort out an X-ray.

There you go.

Right, Jeff, I'll just be a second, all right?

OK, I'll pop back later to see how you are doing.

OK, thanks. Dixie? 43.

Carol's moved on, then.

-What do you mean?

-Think about it.

Last time you saw her, you were giving her the old Spanish archer,

she can't have been too chuffed with that.

See her today and she doesn't seem too angry.

-In fact, I'd say quite the opposite.

-You should be a copper.

I'd be a bit miffed. You definitely would be.

-Maybe she had other things on her mind.

-Yeah, like what?

Just a guess, but a fractured wrist?

Nah. She's moved on. Trust me.

I'm sorry I was so long.

I was beginning to get worried.

I really think you should go home.

-I'm so sorry. You must think I'm...

-Nonsense, you're not well.

I'm going to put you in a taxi and send you home.

That's an order.

Sorry, it's the army. Never leaves you.

It's nice.

Right, that's it. I can't let you go home on your own like this.

-Come on, up you come.

-I'm sorry.

No, no, it's perfectly all right. Here we go.

DOG BARKS SIREN BLARES

Always worth a try.

Sorry.

DOOR LOCK RATTLES

Hello! Anyone in there? It's the paramedics.

So what are you going to do now?

Well, that's one way of doing it.

She's alive, just. She's got pinpoint pupils.

She needs oxygen and naloxone.

-What dose?

-Start her with 400mcgs?

I recognise this one.

She's one of Charlie's waifs and strays.

She was in a lot last year.

I caught her trying to nick drugs but, eh,

Charlie took pity on her and got her into rehab.

Well, looks like she's fallen off the wagon.

SHE SHOUTS

-Whoa, whoa, whoa!

-OK, just try and relax there, darling.

My name is Iain, I'm a paramedic. Welcome back to reality.

Lily, I asked you to stick with Dr Hardy today.

-Yes, that's right.

-So where is he?

Right here.

That's great. Thank you.

-Thanks.

-Not enough sugar for me.

Jamie tells me you want to go into dermatology. Why?

Well, apart from the fact that it's a fascinating area,

if you set up in a private practice, which I intend to do,

the financial rewards are substantial.

Excellent.

Then, if you don't mind, could you tell me what you think of these?

My GP said it's eczema.

More like hyperpigmentation caused by overactive melanocytes?

Have they always been there?

Yes, and every now and again, I get a new one.

-No itching or flaking?

-No.

Who's your GP?

Dr Springer. Vale Road health centre.

Although there's none on her face or her hands, which obviously

get the most exposure to the sun. What about a hormonal imbalance?

Not a bad theory. Better than mine.

You don't seem to have a theory.

Well, there you are. Go, Lily!

I think he was trying to make you smile there

but you should probably tell him you don't do smiles.

I smile all the time. Inwardly.

Did Lily Chao just make a joke?

-What?

-Do you fancy him?

Don't be ridiculous.

You do, don't you? Oh, be still, my beating heart.

Haven't you got any bedpans to empty?

Hello, my name's Dr Ethan Hardy.

I'm one of the registrars at Holby City Hospital.

I wonder, is Dr Springer available to talk?

Thank you.

I had an Aunt Lily.

Don't tell me, she was a monster.

No, no, she was lovely.

She used to buy me and my brother sweets all the time.

Mind you, now I have a mouth full of fillings.

She's not? OK, could I have some records faxed over, please?

Hi, my name's Robyn. Let's take you through to triage

and then we can check you over, OK?

This is Karen O'Grady,

she's 17 and we think she's roughly 36 weeks pregnant.

She was found unconscious from the effects of heroin.

GCS 8, resps of 8, sats 86%, IV O2 therapy and assisted ventilations.

She's had 400 micrograms of naloxone IM with good effect.

GCS is now 14, sats 96%, pulse 80.

OK, cubicle straight ahead, please.

-How you doing, Karen?

-I've messed up, Charlie.

OK, we're ready to inject the local anaesthetic into your vein

so we can straighten your wrist.

Hi. Can I have a quick word with Carol?

The more, the merrier.

Right, that's 40ml of Prilocaine going in.

How bad is it?

Well, it looks nasty but it's a common enough fracture.

It'll be in plaster, though, so it's going to slow you down.

Do you have anyone who can help at home?

Not really, no. Um...

Maybe. Um...

Right...I'd better get going.

Jeff's going to wonder where I've got to.

-Thanks for popping by.

-OK.

Dixie, if you need a bit of time...?

No, no, no, no, it's fine. I was just looking.

Is it that obvious?

Can you not tell Jeff I was here? It's just... It's a bit...

Complicated?

It's just best he hears it from me.

Thank you.

Right, that should be enough time for the anaesthetic to kick in.

OK, Carol, try to relax.

-Ready, Tess?

-Mm-hm.

On three. One, two, three.

Ohhhh.

Alice, I spoke to your GP practice and had your medical notes sent over.

You've been having a tough time with your health recently.

I'm fine now.

I mean, in the last three years, you've been seen for severe fatigue

and weakness, low blood pressure and painful muscles and joints.

You were on very strong painkillers for these.

For a while, yes.

Can you explain the weight loss?

I thought losing weight was meant to be a good thing.

Yes, but three stone in 18 months is quite drastic.

I do a very stressful job.

The school's been having problems but we're turning it around.

Stress, yes, and that's why Dr Springer

put you on anti-depressants?

Amongst other things.

My marriage broke up.

And no, I don't want to talk about it.

Anyway, she took me off the anti-depressants.

Look, what has this got to do with me being mugged?

Probably nothing.

In that case, do you mind if I get dressed

because I really do have to get back to work?

SHE EXCLAIMS

I just want to go.

HEARTBEAT PULSES

Is that him?

That's him.

Thanks, Helen.

I thought you'd got yourself clean. What happened?

I did.

I was doing really well, actually.

I had a place to stay and everything

but then Johnny started using again

and he's spent all the money I'd put aside for a pram.

I really tried, Charlie, honestly, but it's just too hard.

I'm sorry, I've been here for hours and I can get the cream

and dressing from the pharmacy myself, so if you don't mind...

She's getting agitated.

Alice, I'm so sorry to have kept you waiting. We are just trying to

-work out what's been happening to you.

-It was stress.

What I'm trying to say is, which came first?

The stress, which is obviously completely real

and has been going on for ages,

or the weight loss and muscle pain and all the other things?

-I can't remember.

-How long have you been in pain?

Intolerable stress can contribute to someone developing all

kinds of conditions and ailments. I'm sure you know this, right?

But equally, all kinds of conditions can cause stress.

What are you talking about?

Jamie, what am I talking about?

Chicken and egg.

Yes, exactly! Chicken and egg.

Can I...?

Can I have a look at your gums?

-You see the discolouration?

-Mm-hm.

There goes the hyperpigmentation theory.

I discounted that myself. I said it was a hormonal imbalance.

But a hormonal imbalance wouldn't cause this.

Alice, one more thing. I want you to stay here for a while longer.

Actually, one more thing as well as that.

I want to take some blood from you. Not much.

-I'm not a vampire.

-I have to go.

One hour. I want to work out what's been going wrong for you

for so long that you can't remember when it started.

-You do want that, don't you?

-More than anything.

OK, so this is your choice.

We sort it out or you go on your way

and I'm just another in the long list of doctors who has

prescribed the wrong meds for the wrong problem.

SHE SIGHS

You know what's wrong with her, don't you?

God, no, but I've got a theory.

-The doctor's on his way back.

-You were telling me earlier about your acting.

-You're an actress?

-Hardly.

I go to an amateur drama group,

although my Mistress Quickly did get a nice write-up in the paper.

I wouldn't have the nerve.

Nonsense, you should come along.

Would you mind if I spoke to Sarah in private?

No, no, of course, I'll...

Thanks.

I need to ask a few questions, is that all right?

Yes, of course.

Have you noticed any unusual vaginal discharge or bleeding?

Sorry, I do need to ask.

Yes, yes, I have.

Not bleeding.

Some time ago, I had a discharge.

I assumed it was...

Well, I don't know what I assumed it was.

Can I ask when you last had sex?

It was with my late husband.

Do you mind if I ask how he died?

It was in a car crash.

OK, well, do you know if he had any...?

Venereal diseases? No, he didn't.

How about urinary infections? Do you remember anything like that?

Yes, um...

..a few weeks before he died,

he was having trouble passing urine. He said it was stinging.

He went to the doctor's, got some tablets, it cleared up all right.

Sarah, I don't want to jump to any conclusions before your tests

come back, but I'm concerned that you might have gonorrhoea.

-Right, what's going on?

-What do you mean, what's going on?

Something's bugging you, so we're going to go to the ambulance station,

sit down and have our lunch and you can tell me all about it.

Right, have you seen Big Mac?

You're not really going to ask him out, are you?

Well, not like that, no, but I need to sell these tickets.

Nobody else is interested.

Listen, I wanted to apologise about that, I'm really sorry.

Right, OK, I'm going to put the kettle on.

OK. OK.

The thing is, I've been seeing someone

and I'm meant to be meeting her tonight for a drink.

Who is it?

It's Carol.

Carol? Carol, as in...?

As in the woman that I dumped four months ago, yep.

Her electrolytes are abnormal.

Sodium's low at 110, potassium's high at 7.

Her PH is 7.25.

-PHONE RINGS

-I really need to take this call, sorry.

Can you double-check her gas potassium with the lab potassium results, please?

Please tell me you've arrived.

OK, your temperature's really high.

I'm going to get a doctor down to take a look at you

and then hopefully we can give you something to bring it down, OK?

Where's Ethan?

He had yet another phone call. Very important, apparently.

OK, well, Alice is pyrexial and she's got the shakes.

Where is she?

When me and Carol were together, before, I wanted us to be,

you know, together, a real couple.

-But she didn't?

-No, she did too.

So you dumped her?

I was scared I was going to have to choose between her and Jeff.

Jeff wouldn't have wanted you to give up on something real because of him.

Me and Jeff are real.

Not physically, but what we've got matters, you know, it really matters.

Of course.

Well, I missed her, she missed me too,

one thing lead to another...

-And she ended up here today?

-Yeah.

It looks like half the ED have worked it out.

-All right, Jeff?

-Hey.

Come on, then, where is he?

Big Mac?

Oh he's over there. Listen, Rita, everything OK?

Yeah, it's fine.

Just work stuff.

Mac, Jeff tells me you were a new romantic.

Does he indeed?

The bones are in a really good position

so it's just a matter of letting it heal.

Once we've got your painkillers,

we can arrange a follow-up appointment

at the fracture clinic and then you can be on your way.

-Is everything all right?

-You haven't seen Ethan about, have you?

What happened?

It could be nothing, but one of his patients has gone walkabout.

-I'll keep an eye out.

-Cheers, Tess.

Carol? Carol?

I'm fine.

OK.

Yeah, you can see the inflammation.

So that's it? I've got a problem?

I'm afraid so. Luckily, it's not severe.

You will need further scans, though.

It's what we call a tubal ovarian cyst.

What caused it?

Well, we got your results back from the blood and the swabs earlier.

He was right, wasn't he? That other doctor?

It is gonorrhoea, yes.

The cyst formation fits with the diagnosis.

SHE SOBS

What happens now?

Well, you'll have a course of antibiotics and then you'll

probably need a review at the sexual health clinic...

I can't go to one of those places.

It's not all just about STIs any more, Sarah.

They are the experts in women's health.

I would go there myself, they will really look after you.

Zoe, can I borrow you? It's important.

Yes. You'll be fine, honestly.

(Thank you.)

I know you're upset but...

There's only ever been Philip, my husband, in that way.

This was the man I grieved over.

The man who gave me gonorrhoea.

KNOCKS AT DOOR

Forgot your lunch.

Thank you.

Sorry about that, it looked quite tasty! I got a bit peckish.

Look, it's Carol, isn't it?

What's Carol?

Where you've been staying this last week?

No flies on you, is there?

You could have told me, you know?

I was going to tell you...

You've just gone back to what you know, haven't you?

It's like a comfy pair of shoes. We all do it, no harm in it.

Yeah.

Then you see that nice, new, shiny pair of shoes in the shop window and you want those instead.

Jeff, I'm sorry if I've been a bit

distracted these last couple of weeks.

But everything's back to normal now, OK?

Yeah, back to normal.

-Like me doing all the cooking and cleaning and...

-Absolutely.

Well, you can't have everything, I suppose.

When did she start vomiting?

-About ten minutes ago.

-Dixie...

Do you think she's had a reaction to the Prilocaine?

I don't think so.

Carol, do you remember if you hit your head when you fell?

SHE SPEAKS INCOMPREHENSIBLY

We need to get her for a CT scan now.

Right, I've talked to the clinic,

and they say if you turn up tomorrow morning at 9 o'clock,

they'll see what they can do.

But that still means you've got to make it through tonight.

Can you do that?

OK, and like I said, you can't stay here tonight so we'll try

and sort you out a place at a hostel,

somewhere away from Johnny anyway.

Right, leave it with me.

-Can I say something?

-Yeah.

-That's not very good for your baby, is it?

-No, I know.

But I'm going to pack it in anyway so...

OK.

-PHONE RINGS

-One sec.

Hello?

Charlie? We've lost a patient.

-Charlie!

->

-Charlie!

->

Miss? Miss, are you OK?

All right, all right, nice and easy.

-Let's give her some space.

-Can you hear me?

Can you tell me what happened?

Let's just get you upright, shall we?

-Let me take her bag.

-It's not hers.

Check it, if you don't believe me.

It's mine, she stole it from me.

-Pin-point pupils. Can we have a wheelchair?

-Yep.

How are you feeling?

Never better.

-Hello?

->

I bought you these. I hope you like them.

Sorry, are flowers allowed?

-I mean, I think somebody might have told me you...

-Giles,

I'm really not ready for another relationship.

In fact, it's the last thing I want right now, so you should go.

I'm sorry.

No, absolutely, I understand.

But shall I...?

I mean, can I call you some time?

Can you get him out of here, please?

Yes, sure.

I thought she...

I mean, I don't know, I thought we got on.

I know I'm not... I'm probably not her type.

I'm not arty or...

I thought she liked me.

She does. Honestly, she does. Listen, why don't you stick around?

She'll be probably finished soon.

She made her feelings clear.

I hope, whatever it is,

I hope she's all right.

-Airway?

-Clear.

OK, Alice. Give her 400mg of naloxone IV.

She'll need another infusion later.

-Where's Ethan?

-I don't know. I haven't seen him for ages.

Martin, if you're free, we could do with another set of hands.

Stand by for an RSI, we need to intubate and sedate.

What's happening?

We're waiting for the neurosurgeons.

The CT scan came back with a large extradural haemorrhage.

The neurosurgeons can't take her for at least half an hour.

Tess, we need somebody here right now.

OK, Carol, try and take it easy. Let's draw up some Manitol.

We're still waiting.

OK, Carol.

She's under.

Cric on.

Cricod on.

Thank you. They're on their way.

Good. Right, let's get her ventilated. Yeah, cric off.

-Cric off.

-Thanks, Martin. We can take it from here.

We should try and contact Dixie before she goes to theatre.

Your patient is in resus. She was found outside unconscious.

She'd taken morphine.

Sorry, I wasn't here.

We'll discuss that later. Just deal with your patient.

Yes, of course. Sorry.

Thank you.

You think she's a morphine addict?

Definitely not, no.

She's only had one, an addict would want more.

Then what do you think is going on with your patient, Dr Hardy?

She has Addison's disease.

The morphine sparked an Addisonian crisis.

That's your theory?

Before the blood tests,

the Addison's was just an educated guess.

They more or less confirmed it.

OK, good work. Are you able to proceed?

-Yes.

-Good.

You didn't think to tell us?

Something came up. I'm really sorry.

Karen? All right, darling. Ash!

All right, let's get you sorted.

She's gone again.

We need more naloxone.

OK, I'll stay with her.

All right, Karen.

Thank you.

She barely made it to theatre.

It was no problem.

Hey, Zoe.

How's Carol doing?

What? What's wrong?

I'm so sorry.

It was an extradural haemorrhage.

We got her to theatre but they couldn't stop the bleed.

No.

No, no, no, it was just her wrist.

She was talking.

If she'd hurt her head, she would have told you.

She'd have told me.

She didn't know.

By the time we realised what was happening, it was too late.

Dixie!

Did we miss something?

No, we didn't miss anything.

That should do it.

All right, darling. All right, nice and easy.

-Let's make you more comfortable.

-Good girl.

What's happening?

-That means he's coming.

-Who?

Your baby's coming. You're about to become a mum.

Dix?

Dixie!

The human body uses hormones to regulate various functions.

These hormones are essential for a healthy life.

When you're not making enough of them, Addison's is the result.

Now, unless you know what you're looking for, it is incredibly

easy to misdiagnose.

It messes with the body's ability to absorb drugs, like morphine.

And you're sure this is what's wrong with me?

We did blood gas tests that confirmed Dr Hardy's initial diagnosis.

What happens now?

Well, Addison's can't be cured,

but it is manageable with cortisone supplements.

You can lead a relatively normal life.

Karen?

OK, get her through.

She's having her baby.

OK, the midwife and obstetrician are on their way.

It's too late, the baby's coming.

OK, Karen, when I say I want you to, push, OK?

All right?

OK, and push.

And push.

SHE WHIMPERS

That's good, keep coming.

Push.

That's it, push.

And stop.

OK, the head's delivered.

Well done, well done.

Charlie, I'm really going to sort myself out.

It's all right, don't you worry about that right now.

-But I am, I promise.

-OK, OK.

Push again.

OK, and push.

Push.

That's it.

Keep going.

Push.

That's it, well done.

You've done it, you've done it, all right? All right! Well done.

He's going to need a lot of additional support.

Charlie, why isn't he crying?

That because the heroin has crossed the placental barrier

but we'll sort him out, don't worry.

We'll sort your baby out, all right?

You did well today. Everything was spot on.

That's great, cheers.

But I have to give you a referral.

You'll pass next time, I'm sure.

-What was it? Kicking the door in?

-It's your management style.

You have to be led by your professionalism,

not have anyone whispering in your ear.

It's all about confidence, Iain.

I'll see you again.

-Hey! Congratulations, Iain...

-Mac...

I always knew you'd do it, boy.

Mac, I failed.

Oh.

Right, the door, was it?

Yeah, it was the door.

Well, I would take you for a pint but I'm a bit busy tonight.

Date night, is it?

Wouldn't exactly call it a date.

You enjoy yourself, you deserve it.

Cheers.

Hey, you'll pass next time.

-That's what he said.

-Ah, well, see...

You all right, Dix?

The holiday's over.

Recently, the pain in my joints has been so bad,

I started buying tramadol off the internet.

But these last few days, even they've stopped working.

I knew Karen had some boxes of morphine.

I'd seen her trying to sell them outside the sixth form...

so when I ran into her on my way to work...

You stole them from her?

She wanted £500 for them.

I said I didn't have that kind of money on me

but she wouldn't take any less - said she needed it for the baby.

I just need to get through this week,

get this Ofsted inspection out of the way.

That's all I was thinking.

This is a support group for people with Addison's.

And Karen's baby has been delivered.

-I thought you'd like to know.

-Are they OK?

That's all I know.

PHONE RINGS

Dix?

You haven't seen Dixie anywhere, have you?

No, sorry.

-If you do, can you tell her I'm looking for her?

-Of course I can.

Thank you.

Look at him.

He looks like...a little sad puppy,

all eager for someone to scratch his tummy.

After you finish your antibiotics, of course.

Look, you like him, don't you?

Go on, then.

INAUDIBLE

Nurse?

We'd both like you to have them.

Thank you.

Have you two not got any work to do?

Actually, we're discussing why Ethan's gone.

You were discussing it, you mean.

And what did you conclude?

I said you'd sent him home because of his mistake in not

telling us about his patient's diagnosis.

And also, he's not a team player.

Well, I think he's a team player.

He answers every single question with a stupid joke

that weren't even funny.

It's not my fault if you haven't got a sense of humour.

OK, you two.

Ethan and Dr Ashford both came to see me to tell me

what happened and, yes, I gave him a rollicking.

He's been distracted because his mother's in a hospice.

You can't bring your personal problems to work.

-It's unprofessional...

-..and she died this afternoon.

I didn't know.

That's because he didn't want to bring his personal problems to work.

And that's what the call was about when he went missing

and that is why I let him go before the end of his shift today.

Go, Lily.

We've been looking all over for you.

Jeff's really worried.

Tess told him what had happened.

I can't believe I've lost her.

She's dead, Rita.

And she didn't know what I thought about her, not...

not properly.

I know what it's like to lose someone.

The worst thing you can do is go over the what-ifs.

It doesn't solve anything, just ties you up in knots.

But the closest I came was telling her it was starting to get serious.

Get serious?!

It's a big commitment.

The worst part is, I was going to end it all over again.

Really?

I don't know...

I'd thought about it, though.

Oh, come here.

SHE SOBS

Life is complicated.

DIXIE WHIMPERS

You OK?

Yeah...I'll be fine.

Honestly.

Well, I don't know about you two, but I need a drink.

Yeah, absolutely.

I'll see you out front? Thank you.

Good-looking boy, eh?

Guess what I'm going to call him?

Not Charlie, please.

No.

I'm going to call him Stanley, after my grandad.

Good choice.

PHONE VIBRATES

It was very peaceful.

She never regained consciousness.

There was no pain.

I should have been here, shouldn't I?

You've been here every day for months.

And then on the day that matters...

Your brother was with her.

He's with her now.

Ready?