Once in a Lifetime Casualty

-She's drunk.

-It's becoming quite a habit, this.

I know you were stealing.

No.

I don't know what is going to happen between us, Ella.

Ramin, he can't make it tonight,

-he's got to fill out paperwork for his visa.

-Oh.

Well, that's a brush-off if ever I saw one.

Well, you listen to music in your car, right?

Then why do you not listen to it in there?

Cos it's an ambulance, not a party bus!

Oh... I can see my lip now, it's getting bigger. How big's my lip?

Babes, you look gorgeous!

-Do you want to help me get her checked in?

-Uh, no, no!

Don't leave me alone with her.

Come on, Jeffrey, you can cope. You are a big lad now.

Ramin's leaving today, isn't he? Why don't you give him a call?

It was just a fling. The sooner I move on, the better.

Oh, then why the sad face?

It still hurts.

What still hurts? Oh, it still hurts!

Oh, my little baby boy, I'll look after you.

DRUNKEN SINGING

Jamie.

Robyn? Robyn? Can you take these two to cubicles, please?

Jamie... I know I rejected you, and I'm sorry I did that.

I always knew this had to end... But... But does it? Really?

-This probably isn't the best place to...

-Pushing you away felt easier than saying goodbye,

but I don't want to say goodbye. I loved the time we spent together.

Look, if I was staying,

I would be so excited about where this could go...

So I thought maybe it could go to Australia...

I want you to come with me.

What do you say?

Are you nuts?

Just having some fun!

Happy birthday...

Have I totally misread things here?

No, I'm not saying that, it's just... It's just a bit of a shock.

I've realised how much I like you.

Yeah, and I've had an amazing time.

Can you not delay your trip, for a few weeks? Months even?

No, my coach to the airport leaves this evening. Ticket's booked.

I have a job waiting, they're sponsoring my immigration -

this is my chance to finally live the life I've always wanted,

always dreamed of...

and I want you to be a part of that.

Jamie...

-You're not on a break.

-OK, OK...

What time are you leaving? Can I come and see you after work?

I...I don't want things to end like this.

OK. Got it - I shouldn't have come here. A stupid idea.

No, I wasn't saying that...

A holiday romance...

-..that's all this was.

-No...

Jamie?

Back off! Back off!

HE GROANS

HE MOANS

HE GROANS

Neil!

Neil!

I appreciate that people have lives, and sometimes that takes priority,

-but if you're on shift...

-Yes, I've...I've got it, Charlie.

Ah, the fact that you are still here means you said no, right?

He was so upset, but it caught me off guard.

It's not like I definitely said no.

But surely you are still saying no?

Well, I don't know, he's gone now, hasn't he?

You can't throw everything away, it'd be crazy.

I know, but I've never felt like this before, Robyn.

Hang on. Ten minutes ago, he was out of your life and you were moving on.

I know it's sad and hard, but break-ups are supposed to be.

-Maybe I should go after him.

-No, that would make things much, much harder.

You can't move to Australia, your whole life's here.

I get that part of you is tempted,

but you've got to listen to your head on this one, not your heart.

Your first instinct was right.

Now, throw yourself into work and then we'll get all sentimental

over a bottle of wine and a curry tonight, OK?

Yeah, you're right...

She was asking for a consultant, she's been waiting a while.

You'll probably do, though.

I'll give it a go!

Hi, I'm Dr Knight.

-As in shining armour?

-When the mood takes me. And you are...?

If you say damsel in distress, I'm going to slap you.

So let's start with patient in need of a doctor?

A consultant. Dr Ashford.

Ah, higher up the food chain, but no better at the job.

-Is that right?

-In my humble opinion.

-Ella!

-Dad!

-What?

-Sorry to keep you.

-All right.

-OK, let's get you sorted out.

-Did you know that was his daughter?

-Of course I did.

-And how old is she?

-17.

17...

When they look like that,

they should really wear a label, or something.

Your first shout as a qualified paramedic - how's it feeling?

Well, you know me, Mac. Straight in at the deep end, just how I like it.

Tell me about it!

Right, 3006 to control, we've arrived at the scene, over.

I backed off...

-You see to the boy.

-Will do.

You lost control. This wasn't my fault.

Now she'll know what you're really like. Agh!

Whoa! Easy, son. Easy.

Hello, mate. I'm Iain, I'm a paramedic.

OK? This is Mac, we're here to help you, OK, so just try and stay calm.

-OK, come here, son. What's your name?

-Luca...

OK, I'm just going to have a check of your neck.

OK, come with me, let me have a look at you.

-Can you feel anything there?

-No.

-All right...

Come on, sit yourself down. Sit yourself down.

Now, this placement is your chance to get a genuine

insight into the life of the ED,

to see if a medical career could be for you.

Yeah, Dad, I read the same letter you did!

Martin, you haven't forgotten that we've got that board meeting. Hiya.

-Hi.

-In 15 minutes.

-Oh, right.

Erm...Lily.

This is my daughter, Ella. Ella, this is Lily, Dr Chao.

Erm... I'm double-booked. Can you help me out, please?

Officially, she is here to observe.

-Hang on a...

-But making tea, running errands...

Just give her a taste of what it's like to work in a busy hospital.

-I'm really...

-Catch you later?

Don't expect me to do anything that involves bodily fluids...

of any description.

You will do as I say when I say it. Follow me.

DOG BARKS

Pamela! Pamela, what are you doing?

Where are you going?

-Venice, like we planned.

-You can't go on your own.

Look, my throat is seizing up - my head's full of cold.

A pathetic excuse.

I'm not looking after Poppy, that's your dog.

-Mind the door.

-Pamela!

CAR ENGINE STARTS

PATIENT MOANS

OK.

Boney tenderness. I think we're looking at a sprain, but she's

Ottawa positive so we'll get some views to rule out a fracture.

-Let's transfer ASAP.

-What about my face?

We can clean the cuts, try to reduce the swelling with some ice

-and then it's just a matter of time.

-I...I've got a date tomorrow!

Let's hope he is one of those guys who puts personality first.

Like they exist.

Don't you need to do a bit more sort of patient chat, you know?

Detail about how it happened and that?

And how will that help with her treatment?

I don't know, I just thought...

She told me all the facts I needed.

She has bruises down her leg, grazes on her hands and face

from where she broke her fall,

and the stiletto that caused it is on the bed.

What she was doing beforehand, I don't need to know.

It's a severe ankle sprain or a possible fracture.

Right, so...what now?

Keep your opinions to yourself

and go and observe Captain Chaos over there.

Right, so how bad is this ankle pain on a scale of one to ten?

Like, a billion.

OK, I'll sort you out with a couple of co-codamols.

I'm, like, totally crashing now.

I think I need another drink or, like, a big cola and some chips.

Don't get too comfy.

If that X-ray comes back clear, you'll both be heading home.

We need sleep - I can't move, she can't move.

Just say you've got a head injury. Like, slur your words a bit.

She's had a fall, reduced GCS, they've got to keep you in.

I'll totally do that. Will it work?

No. No, it won't work.

Any more of that and you'll be spending the rest of the day in the staff room.

-OK, grumpy, what's your problem?

-Look, I'm not really in the mood to mess about.

-Man trouble - it's got to be.

-Let's drop it, yeah.

All right, I'm just trying to have a bit of fun.

Where do you go round here if you want to skive off?

PHONE RINGS

DOG BARKS

VOICEMAIL: 'Hello, this is Pamela Lynd.

'Please could you leave your name and your number and I'll call you back.'

Come, on love, don't do this, please...

All right!

All right, we'll go.

Right. You shouldn't be up here,

but there we go. Put your feet up, read a magazine.

-This is the on-call room.

-Where everyone comes to have sex?

Or pass out during back-to-back shifts, talking of which...

Heartbroken and distracting yourself with work?

Come on. Why are you being so moody? You keep checking your phone.

Now, what's this guy done?

He's emigrating, and he wants me to go with him.

Wicked! It's your ticket out of here.

I said no.

Why? Is he rubbish in bed?

Look. It's complicated, right? I've got responsibilities.

Oh, erm... Sorry. Are there three kids in this equation

I don't know about(?) And an ex-wife who needs her maintenance(?)

Of course not, but following someone halfway across the world...

Sounds like a right laugh.

I guess.

Scrape together the cost of the ticket and get on that plane.

Unless, of course, he is rubbish in bed.

SHE CHUCKLES

You are not skiving off in here.

You have a pile of patients waiting for IV fluids, blood samples

and medication. And you...

are going to get me into so much trouble.

Yeah, all right.

Yeah, just hang on, all right? I won't be a minute.

Poppy!

Come back, you stupid, fluffy dog!

-The things Ella was saying...

-Yeah, but you made the right decision.

-Yeah, but she put this whole different spin on it!

-Oh, did she now?

Yeah, I'm young and if I were to go running off, what's the worst that could happen?

Yeah, it's a nice fantasy, but it's hardly real life.

Right, Jamie - you're with Ethan, we've got one coming in.

From the early warning, it sounds like a juicy one...

-I mean, you know, medically challenging.

-Do you get out much?

The odd industry conference, the occasional cookery course,

I like a good film, walking holidays.

Sorry, I am rambling. Oh!

Right, lads. This is Neil Hender, 39, he's fallen off his motorbike

and impaled his leg on a branch.

He wasn't KO'd, GCS 15, pulse 90, BP 95 over 60, sats 97%.

I've given him ten of morphine, 750ml of saline,

and his BP is now stable.

OK, thanks, Iain. Let's have a look.

Neil, I've been worried sick since they called me. That stupid bike!

Yeah, blame the bike.

Sweetie, what's happened to you?

-It's nothing.

-I'm the one on the trolley!

-Can you stay calm for me, please?

-Don't you think I'm trying?!

If you take a seat for us, we'll get you booked in. That arm needs looking at.

-OK, into resus.

-Donna...

If there was one time you could put me first...?

Sorry! OK.

Poppy!

Good dog.

Good dog, Poppy.

Good... Poppy!

Good dog.

Good dog.

There we are.

Move!

HE MOANS

I am happy with the views on his C-spine,

so we're good to remove the collar.

When are you going to get this thing out of my leg?

I'm not, sorry. That would be the job of a vascular surgeon.

Different skill set. I could give it a bit of a tug,

but I wouldn't be doing you any favours.

I'm fairly certain it's only involving the muscle,

but I wouldn't want to risk rupturing an artery.

Blood vessel tear.

As soon as a surgeon and theatre become available, we'll transfer you.

There's got to be a way of speeding this up!

Donna, go and speak to someone...

Honey, I really don't think...

Just get out there and make a noise. He's fobbing me off.

I assure you, Mr Hender, I've never fobbed anybody off.

-Fine.

-OK.

We'll keep him in here until we can transfer, so let's titrate

another ten of morphine and keep an eye on that dressing.

If I was there a second longer,

I would have pulled the branch out myself.

For what it's worth, you're probably better contacting

the Patient Advice and Liaison Service.

-I don't know what he wants me to do...

-Erm... Donna, isn't it?

If I were you, I would have a seat,

get a cup of tea and...just give him a bit of space to calm down.

Thank you.

Quite a way with vulnerable women.

I'm starting to believe we might actually be related.

-When did these headaches start?

-Well, I fell pretty hard,

so probably since then...

And you've just realised...now?

When I've just decided to discharge you?

Is she complaining of a reduced GCS following a head injury?

I think so. Why?

Cos Ella put her up to it.

Oh, and that's who you've been taking advice off!

She's winding you up.

No, I am not! My head's banging.

Ella told her to say it, right?

-She's just looking for somewhere to sleep it off.

-Is that true?

-No!

-Yes, it is. Come on, let's just go now,

I'm knackered and I feel sick...

Right, you need to rest your ankle, keep it elevated, use ice packs

on it for the next couple of days. Other than that, you're free to go.

Do you realise how irresponsible that was?

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

If we'd given her a CT scan, we could have exposed her

to unnecessary radiation, not to mention the drain on resources.

-Oh, my days, shut up!

-Excuse me?

Look, we both know what this is about.

You want to impress my dad, because...I don't know why.

You think it might help your career, you fancy him...

-Look, I can assure you...

-I don't really care!

So how about we strike a deal?

You get off my case and let me have a laugh

-and at the end of the day, I'll tell my dad how great you've been?

-Hang on!

You get the gold star you're looking for, and I get an easy life.

Hey.

-Sorry!

-Lily! You all right?

I'm sorry. She...

She's your daughter, but I can't control her.

She won't listen to a word I say and she doesn't respect me...

Lily, don't hold back on my account. She's here to learn.

If that means reading her the riot act,

then, Dr Chao, read her the riot act.

You've probably fractured your rib and you're slightly breathless,

which concerns me.

So I'd like to get your rib X-rayed along with your arm.

-You good to sort that out?

-Yep. OK, let's get these off.

How did you get those?

Are they cigarette burns?

My mates...

You pass out drunk, and they think it's a laugh.

-Nice mates.

-Yeah, well, I know how to handle them.

Hopefully, we'll get you out of here before too long.

I am just going to sort out your X-ray, all right? I'll be back in a minute.

Cal, the burns. And there's an atmosphere between him

and the guy with the tree in his leg, his step-dad?

There's something not right between them.

Look, unless you've got proof

of something you can't walk away from, I'd stay well out of it.

You're a nurse, not a social worker.

Hey... Umm...

-Sorry about the whole fake symptoms thing.

-Forget it.

You handed in your notice yet?

I've got a mate who works round here, he needs a room.

Oh. Jamie isn't leaving.

You're tempted, though, right?

I mean, he could move in straight away,

free up your deposit money - it would pay for the flight.

Thanks, but I'm staying put.

Can you stop encouraging him?

Please tell me you're not sitting around waiting for him

-to go straight?

-Of course not!

-So why are you blocking him?

-I don't want him to throw everything away.

-No.

You don't want to be left without a hug when you need it

or someone to tell you you're not being pathetic and useless

-when you so blatantly are...

-Huh!? Excuse me?

He's not your comfort blanket, yeah?

Be a grown-up and don't stop him living his life!

-You called the ambulance, right? Where's this guy?

-Down there.

-OK, you're all right, mate, you're not hurt?

-I'm fine.

OK, love, what's your name?

Richard.

Right, Richard, just try and keep nice and still.

Where does it hurt?

It's my arm, I can't move.

OK, just try and stay calm, Richard.

-I'm cold.

-I know, love. We'll be with you in a sec.

I'm just going to radio

for a fire crew.

Please, can you call my wife?

PHONE RINGS

Hello?

OK, here's the deal.

I don't need your daddy's approval or his gold stars because,

-guess what? I am damn good at what I do.

-Give me the phone!

And I would quite happily drop you in it with your father,

cos I don't like spoilt little girls with no work ethic

-and a sense of entitlement.

-I don't care what my dad thinks.

But he cares about what I think

and I'm guessing you're still completely reliant on his hand-outs

for clothes, phone, pocket money?

So if you really want a "great night, kiss, kiss" with Troy,

then you'll do exactly what I say when I say it.

Good, I will get you some health and safety procedure to read over.

Right, lads, are we good to go?

All right, Richard. On our way down to you now, mate.

All right, darling. Just need to have a look at that arm, OK?

Oh, no! Please, please, it hurts.

I'm going to give you some pain relief in a minute.

But first, I want to get your right arm strapped up

-and out the way, OK?

-OK.

-Please, it's so cold.

-All right, sweetheart, all right.

Once I have got the splint on him, Jeff,

and given him some pain relief,

-these lads are good to go, OK?

-OK.

-Oh...I can't do this...

-Richard!

Pamela?

I'm scared.

All right, when you are ready, fellas.

-OK, darling.

-OK, splints coming now, mate.

Give us the splints, sweetheart.

There's enough materials for the next few hours,

so have a seat and I'll quiz you later.

Look, I never asked to be brought in here,

it was a stupid sprained ankle,

so you lot should totally pay for my taxi home!

No, it doesn't really work like that, I'm afraid.

You are wasting your breath.

You're not going to get anything out of this lot.

Katie was supposed to be calling her mum, but she's totally crashed.

Katie? Are you all right?

No, I don't... My arm's aching...

Me face, I can't think straight...

Lily? Lily! I think you need to come and look at her.

-Katie, how are you feeling?

-Mmmm...

OK, how long's she been like this?

I don't know, an hour maybe, before my X-ray.

Does she have any pre-existing medical conditions?

I don't know...

Yes, she's diabetic.

Guys, we need to book her in and straight through to resus.

OK.

What's happening? Is she going to be all right?

-Yeah, it's OK, they'll take care of her.

-We'll get you into this wheelchair,

put all your weight on me. It's all right, sweetheart, I've got you.

-Good girl. There we go.

-OK, let's go.

Good spot.

Are you all right?

Fine. Just get off my case!

Oh, why's it taking so long?

They're doing everything they can.

-OK, we nearly ready to go, fellas?

-Yeah, nearly.

-All right.

-Right, Richard, you stay nice and calm.

-Huh?

Try not to tense up if you can help it, OK?

HE GROANS

I am OK, I am OK.

Just give it time, give it time.

It's not working.

Yeah, mate, keep giving it time, Richard. Keep coming, mate.

There you go, there you go.

-That's it, that's it.

-There you go. Good lads.

-Come on, boys!

-Go on, fellas.

HE GROANS

OK, Richard. Well done, mate.

-Gently. Gently, please, boys.

-Good lad.

He said it's going all tingly.

Hello, Neil. How long has it been like this?

I don't know. It's going down my leg,

my foot's gone numb...my back...

OK, let's repeat the log roll.

If you could keep nice and still for us.

We're just going to drop your head down now, Neil, nice and easy.

HE MOANS

Everybody ready, on three. One, two, three.

HE GROANS

That's it.

OK, Neil, I want you to tell me when you feel any tenderness.

No, no...

Yeah! Right there.

Right.

-Have you felt this pain before?

-No.

-Is it a different type of pain?

-More painful. Please make it stop!

I think he's developed a haematoma around the lumber spine.

So let's immobilise him again, get him over to CT, please.

All right, we are just going to drop you back now, Neil.

On three - one, two, three.

-Aaargh...

-That's it. Well done.

This is because of him! What he did!

Excuse me?

Your son... Forcing me off the road.

You said it was an accident!

I didn't want to get him into trouble, so I lied.

OK, don't worry, this isn't going to hurt,

and it's not going to take very long, OK?

Is she OK?

We won't know until we get the results.

Lucky you were there.

You all right?

Yeah, yeah, I'm fine, it's just... We do this stuff all the time

-and when it changes in a split second...

-The adrenaline kicks in.

It still gets to you, though.

It's the buzz of the job. That's why we do it, right?

Come here.

Have you heard from Ramin?

-Yes, he texted me.

-Saying?

Saying he wants to see me, and I'm his everything.

His English still needs work.

Have you ever thought that maybe...

Jamie! That lad you were worried about. Come and look at this.

Ella, come on. Refreshment break.

You're making tea and then going back to the health and safety regulations.

Yeah, or... I've got a better idea.

-What?

-You can talk me through what just happened with that girl.

You know, medically speaking.

OK.

Well, there's nothing new on the X-rays,

but it's shown up what looks like a load of historical injuries.

Here we've got multiple healed rib fractures,

an old fractured ulna...

I tell you, this kid's been through it.

So is this what you were talking about before?

The sort of proof you can't walk away from?

On it's own, not really.

He could give you a reasonable excuse for every one of these.

And he was probably a minor when most of these happened,

so that's exactly what he would have done to the doctors back then.

-With his step-dad breathing down his neck.

-Yeah, maybe.

So what do we do? Ignore these?

We tread carefully.

If he doesn't say anything, there's nothing we can do.

You could've killed him.

I should have killed him.

Don't speak like that,

that's not you!

That's not my little boy.

Just tell me why...

please...

..just give me something to help me understand.

-Why didn't you tell her?

-Jamie.

Why didn't you tell her what he does to you?

I'm right, aren't I?

Thankfully, your erm...X-rays have revealed your arm's not fractured.

Instead, we're looking at a sprain

and some severe bruising to your ribs,

so with rest, you should be back to normal within a couple of weeks.

But, um, the X-rays have also shown some historical injuries...

..which concerns me.

If he hits me...

..he's not hitting her.

And the cigarette burns?

Was that him too?

And does your mum know anything about any of this?

She lives in the same house.

She should know.

Are you be prepared to talk to somebody about your step-dad?

Somebody who can help?

I just want to go.

This is Richard Lynd, he's fallen down an embankment

and was stuck in mud for approximately 50 minutes.

He has got a suspected fracture to his right arm,

and his temperature is 35.6, possibly KO'd.

He is complaining of nausea and dizziness,

GCS is 14, BP is 120 over 80.

Sats of 97. He's had entonox and five of morphine.

OK, on three. One, two, three.

-OK.

-OK, all right, darling.

Hi, Richard, I'm Dr Ashford.

Airway's clear.

We are going to take a look at your spine, OK?

OK, on three, please, folks.

Nice and gently. One, two, three.

All right, darling.

Yes, it's OK.

I'm satisfied with that.

OK, down nice and gently, please. Two, three.

All right, Richard.

HE MOANS

OK, can we remove the collar?

Query fractured radius and ulna.

Let's get some films done as soon as possible, please.

Let's get him warmed up and an ECG, please.

So how did you end up in this mess?

-What?

-A cyclist. He's deaf in one ear.

-I'm not deaf.

-Oh, Richard, please!

-You're not registered deaf?

-She's always going on.

I can't get him to see a doctor.

This is neither the time nor the place.

You see what I have to deal with?

-Pamela!

-OK. Was your hearing a factor in the accident?

Did the cyclist yell out a warning?

I don't know!

I didn't see him either - does that make me blind?

Oh, you're impossible!

Has your hearing got worse since the accident?

I can't hear anything in this ear.

Did this happen suddenly?

I don't know.

OK...

Well, there is no evidence of a perforated ear drum.

The paramedic said you blacked out after the impact,

so we'll send you for a CT scan, and that should give us an insight

-into your hearing loss as well.

-Oh, finally.

OK, Mrs Lynd, I'll take you to the waiting room, OK?

I needed you.

I'm sorry.

OK, as I said, when we first examined you,

you were moving freely,

the X-ray checked out, but that was only the C spine.

The CT scan shows that there's a definite fracture

of the lumber spine.

What does that mean? Have I broken my back?

Yes.

And our concern is it may be compromising your spinal cord,

hence the loss of feelings in the legs.

So what I'd like to do is an MRI scan as soon as possible

to assess the extent of the damage.

HE SOBS

Am I going to be paralysed?

It really is too early to say.

I need to talk to the police.

No...

They need to know what he did to me.

What do you make of their relationship?

Seriously, she's got to be off limits!

No, I'm dealing with her son.

He's got a load of historical injuries.

He's pretty much said his step-dad's been hitting him.

-What, has she not said anything to you?

-Victims of domestic violence tend not to.

They do if you ask the right questions.

What's that supposed to mean?

The CT scan confirmed an ischemic stroke with no bleed.

OK, let's start her on 0.5 milligrams of alteplase IV

and 300 aspirin stat and then

-we'll set up an alteplase infusion at 1.5 milligrams an hour.

-Yeah.

Erm... She was worried.

That's OK.

Was this from drinking?

No, she's had an ischemic stroke.

-A stroke?

-Uh-huh.

Come on, let's leave them to it.

There you go, Katie.

Now, once we've treated you here,

we're going to transfer you

up to the stroke unit, OK?

What shall I do?

Have you called her parents?

They should be down here.

My hangover is proper kicking in now.

I think I need some sugar.

-You're going to spew, aren't you?

-Mmm...

Come on!

Nurse boy, we need a mop and a bucket, like now!

Ugh....

-Thanks.

-Noel, we need a clean-up team back there

-and a change of clothes would come in handy!

-OK.

Here you go.

Four years he's been retired, we've done nothing.

Bit of a home boy, is he?

Work was always the excuse, he couldn't take the time off.

Then there was the money.

Too expensive to go abroad.

I left him for one afternoon.

Hey, it's OK...

He's never been able to look after himself.

I mean, I've always known that!

But why, why is that my responsibility?

Because you love him. Hopefully?

He's walked the dog, he's getting his hearing checked...

Small steps?

This will secure your arm for now, you are to rest it overnight

and you'll be seen by orthopaedics first thing.

Now I'll make the necessary referrals.

Would you like me to get your wife?

I've been consulting with the radiologist about your CT scan.

You might want her here to discuss the findings.

No. No. Leave her.

OK.

Erm, in a way, we're fortunate the accident happened

because it's alerted us to a potential problem.

I'm going to refer you to an ear, nose and throat specialist

and they're going to do an MRI scan for further investigation.

What's wrong?

The sudden deafness in one ear, the tinnitus that you described -

a specialist will confirm this -

but I suspect it's an acoustic neuroma,

which is a benign, noncancerous tumour.

-Oh, God.

-A very treatable condition.

And a tumour of this nature grows very slowly

and won't spread from the original site.

-A brain tumour?

-At a very early stage.

There's the option of surgery to remove it

or radiotherapy to destroy it.

I thought you'd left.

Not yet.

Is this what he wanted?

I don't want you going to the police.

I've already told them I want to make a statement.

No! I won't let you.

Then I want him out.

Bags packed and gone

by tonight.

No...

They'll lock him up.

Please...

It's your choice.

Mum?

Are you going to let him do this?

Are you?!

Now is the time to stick your neck out for that woman.

It's not my place to get involved.

Just tell her the step-dad's been hitting her kid.

-Cal, that is a breach of...

-Just grow a pair, yeah?

..doctor-patient confidentiality.

Jamie, I need you.

OK. Mr Hender, our vascular surgeon is ready for you now,

-so we are going to get that leg sorted first.

-About time.

Mrs Hender,

could I just borrow you to look at some paperwork, please?

Hey, wait up!

Whatever he said, I didn't do it!

No wait, please! Just...

I'm sorry, I'm sorry, I didn't mean to.

We just want to talk, OK?

He said he's kicking me out or that he's going to go to the police.

No, you don't have to worry about the police.

He's got nothing on you.

He's got her.

Right where he wants her.

Which is why you have to tell her what he does to you.

She chose him.

Because she's scared. And if you leave now, she...

she will never get away from him.

I couldn't help noticing that you were very distressed earlier,

-which concerned me slightly.

-I was in shock, that's all.

Yes, of course.

I just wanted you to know that if you did want to talk to someone

in a confidential environment, about yourself or...

your husband or anything that you're struggling with...

Well, I...I could arrange that.

He doesn't hit me...

..not really.

He doesn't need to.

But it's called coercive control.

Any pattern or incident of threatening behaviour.

The law is on your side,

and there are people out there who are desperate to help you.

Don't let him break you in the way he has your son.

My son?

Ask him.

But you said...

When I was 14, the broken arm I never told you about...

He said that you'd hate me,

you'd hate me if I ever told you,

that you'd blame me...

I will NEVER let him hurt you again.

Thank you.

No worries.

-Tash, this is everything you need.

-Thanks.

If ever you needed a reminder that life is short...

-Or what a worthwhile job I'm doing here?

-Yawn.

Nice pyjamas, by the way.

At least they don't smell of vomit!

PHONE BEEPS

What happened? You've got blood on your hand!

What, my lip? It's nothing.

Right, come here.

-Ramin's been calling.

-To say what?

Well, I don't know, he left a message but I...

-I can't listen to it.

-All right. Hold still.

Will you listen to it?

No, it might be full of private stuff.

No, please just do it!

-RAMIN:

-'Hi. Erm... I guess this morning, I freaked you out.

'It was a bit full on and, uh...

'I want to tell you I realise I was being stupid,

'that I was still drunk.

'But I can't tell you that...

'..because although it's only been a few weeks...

'..I think I could really fall in love with you.'

What did he say?

You have to go after him.

-Really?

-Yeah.

OK... Uh... Charlie!

Wait a minute, let me work this out.

Right.

You are on a fortnight's notice.

With all the holiday that is owed you

and a very supportive line manager,

you could leave straight away.

-But how did you...?

-You think I don't know everything

that goes on in this department?

And you'd be OK with me leaving?

Yeah.

You don't think it's risky?

No.

There are plenty of good job opportunities in Australia

for a qualified nurse. Especially if you get a really glowing

reference from your line manager.

You'd do that for me?

I would do that.

Thanks, Charlie.

Go.

Ha! Come on!

-Your letter of referral and you're good to go.

-Thank you.

Quite a day. I suggest you get plenty of rest.

And maybe a dog walker.

I'm sorry I left you.

And I'm sorry I held you back for...for far too long.

Look... Look, as soon as we've beaten this,

when it is all sorted, I'll show you some beautiful canals.

Venice?

No, Birmingham.

Apparently, there are some fantastic canals in Birmingham.

It's a start. Oh, you...

Donna... Where is she...? My wife.

I want my wife!

Donna!

I didn't think you had it in you.

I just hope she's strong enough to stay away.

-I want my wife! Donna! >

-Ah, I think she will be.

Oh, you got the details about Mum's will-reading.

-You're going to be there?

-Of course!

Can I bring a date?

So am I going to see them again?

I'll send the scrubs back in with my dad.

Keep them overnight. They are really comfy to sleep in.

Erm, right, yeah, probably won't do that.

-But thanks for today.

-No problem.

From what I hear, you had quite a productive shift.

Yeah, I guess. What's this about?

Nothing. I just think we should talk about it, you know,

-your career...over dinner or something.

-Tonight?

No, sorry, I've got plans tonight, I'm seeing this guy

and he's having a nightmare at work, he wants to go out drinking.

Work? He's not at college, then?

No. He's, like, 30.

Anyway, I'll catch you later, Dad.

Lily, I owe you a drink for looking after Ella all day.

I would have settled for a gold star...but yeah, why not?

Great.

Jeff, Dixie! I'm going, I had to come to say goodbye.

Go...going? What? Where?

I'm going to Australia with Ramin, if he picks up his phone!

We're on the clock here, sweetheart.

-Where's the shout?

-GP call. Town centre?

-That's close enough.

-Nah, nah, hang on, what's...?

We'll explain on the way.

After everything you've worked for...

Yeah, it's not going to waste.

If it works out with Ramin, I'll look for a job as a nurse.

If not, I'll travel around for a bit and come back.

Now is the right time to go.

-Jamie, you're just getting settled, mate.

-Yes, so that's why it's the right time.

I've got the rest of my life to be sensible.

I want you to be happy for me.

I am, I am...

Well...you know. I'll get there.

I'm going to miss you, that's all.

Right, come on.

What time does his bus leave?

-Any minute.

-Then you'd better get your skates on, then, eh?

Yeah. See ya.

All right, good luck!

Why won't he pick up?

Jamie! Jamie!

OK, this really scares me, Ramin, OK?

I've never done anything like this before,

but I've been online and I've stuck a ticket on my credit card.

I've hardly got enough stuff.

I'm sorry, I had this whole romantic speech planned...

You're coming?

Well, if the offer's still open.

Yeah. Of course!

Here. Money, for your coach ticket.

Now go on.

I don't know what to say, Robyn.

That you'll e-mail me loads, you'll never forget me

and that you'll never, ever replace me as your best friend.

How could I do that?

All aboard!

Jamie!

I've got to go. Be good, all right?

You keeping that on all night?

I don't usually stay very long.

Well, it's a pub. Relax. It's a social situation.

What was I saying?

Ella... Yes.

I mean, it's not that I even mind her having a boyfriend,

-she has to grow up at some point, but...

-Totally.

It's the older man thing.

I mean...you're a young woman.

Would you be interested in an older man?

There are some circumstances in which...

I could be distinctly agreeable!

-Maybe if I had spent just a bit more time with him...

-You wouldn't have changed his mind.

-Well, I might have.

-He wouldn't have thanked you for it.

So stop moaning and get the champagne in.

-Champagne? Got a temperature?

-It's Jamie's leaving do.

So? I didn't come down with yesterday's shower?

-You'll have a pint of lager, a bag of nuts and you'll be grateful for it.

-Thank you.

-That is me told, innit?

-Champagne...

And then there was one.

I trained with him, I've worked almost every shift with him.

I don't know what I'm going to do.

You'll approach it with the same resilience and energy you always do.

And now you are going to let me buy you a drink. Come on.

Hiya!