The Lies We Tell Casualty


The Lies We Tell

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-Ah!

-Where's Iain?

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He's got this insane idea that we're having an affair.

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What are you doing!?

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I'm simply re-examining!

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All right! That's enough! Out of the way! Out of the resus! Now!

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I said call him!

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The way you treat good people, it repulses me!

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How's Sally?

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Dead!

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I don't believe he was trying to make me a better doctor.

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He was trying to humiliate me.

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You can have your inheritance on one condition.

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You leave here and you don't come back.

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Hey!

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Big day today!

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Well, if you think

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coming back to work after a week's paternity is...

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is something to celebrate, right,

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after seven nights no sleep on the trot,

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you two are well mistaken.

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Yeah, but I bet you're loving it, though.

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Yeah, every minute of it!

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If I fall asleep, one of you bounce something off me head, will you?

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Yeah, how many photos do you reckon he's got?

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OK, don't dab it, put some firm pressure on it.

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Looking good, young lady!

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Have you never seen a woman in a suit before?

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Not this woman, exactly.

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How are you feeling?

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-Fine.

-Well, good luck.

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I don't need luck.

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MUSIC: "Take Me Out" by Franz Ferdinand

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What?

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Power to the people!

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Yes, I know you've had a long wait,

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someone will come and see you as soon as they can, OK?

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Oh, this is madness.

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Two doctors down and then Charlie is off to that hearing.

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Oi! Mac's been asking to see you.

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-Yeah?

-Oh, help us out here, mate.

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The man's driving us crazy with his requests for stuff.

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-He's complaining about the food, the...

-I'll see what I can do, yeah?

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Doctor Hanna, we're swamped in here.

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Louise, trust me, I'm doing everything I can.

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I'm on to management for a new consultant,

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and I have got a registrar locum covering today. Is he here yet?

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Well, then, I'm afraid in the meantime

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you're just going to have to grin and bear it.

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Tell me you're not going anywhere, any time soon.

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Not if I can help it.

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Oh, sorry. I forgot. Oh!

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How are you feeling? Have you got a good union rep?

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-I didn't ask for one.

-Why?

-I didn't do anything wrong.

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Besides, with Lily leaving us, I'm sure the Trust will see sense,

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let the whole thing blow over.

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MUSIC: "Can't Get Enough" by Bad Company

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PHONE RINGS

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Hello?

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'Where are you? Are you nearly there?'

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-Yeah. Yeah.

-'Frank's been on the phone already.'

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-No, don't worry. I'm nearly there.

-'..now come on.'

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I know, guys, you feel my pain.

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Erm, what's in the box?

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What do you think?

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-Huh!

-This should make 'em sit up and listen!

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Sally Jenks began to haemorrhage postpartum.

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Like any concerned doctor, I decided to investigate the cause.

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Doctor Ashford came back in the room, saw what I was doing,

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-and ordered me out.

-For what reason?

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He didn't want me to re-examine the patient.

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Why? Because you could have made the situation worse?

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-Yes, but that wasn't the case.

-In your opinion.

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What was I supposed to do, let her bleed to death?

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Let's just stick to what actually happened.

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Dr Ashford found me in the staff room afterwards

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and became quite verbally abusive.

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I asked him how Sally was doing, he told me she had died.

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With the implication that you were responsible?

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'OK.'

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Your new mantra, repeat after me,

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no more gunpowder cocktails in high heels!

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-Caleb?

-Nibbles!

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-What the hell are you doing?

-Well, err, locumming.

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Yeah, I can see that, genius.

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The point is, you said you'd go. I gave you that money so you'd leave.

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It's a case of needs must, I'm afraid.

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-There are so many other hospitals.

-But I quite like this place.

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I know my way around and the... natives are extremely friendly.

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Well, most of them.

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Listen to me, you're not doing this to me again, do you understand?

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-Doing what? What are you scared of?

-Stay out of my way.

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You swan off to the pub every night, you think everything's magically cleaned up around you,

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you leave your hair all over the sink when you've had a shave!

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-Will you back me up here?

-Er, um, I...

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I had noticed. a couple of times. Bit of scud.

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Yeah. See what I mean?

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And don't even get me started on the underneath of the toilet seat!

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Can't live with them, can't live without them.

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-Sorry?

-Robyn, when she gets that bit between her teeth!

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Right, let's get a few things clear. That's my stepsister you're talking about.

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-Oh, I'm sorry, I...

-Just...

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-There's got to be another way.

-Like what?

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Stand at the entrance waving a banner as they drive right past us?

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-No, of course not.

-If those lorries

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get onto the site today with their equipment, that is it.

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-It's game over. The frackers have won.

-I know. I...

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I am done with passive resistance.

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I want to get their attention, make them stop.

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Trust me, I can think of far worse ways than blowing a few tyres.

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Go! Eve, come on!

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OK!

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Rob!

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Can you help me?

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MUSIC: "Here I Go Again" by Whitesnake

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-Rob!

-What is he doing?

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-What are you doing?

-I'm going to see if he's all right.

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-Eve, Come now, quick, come on!

-Quick, we need to get out of here.

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Well, I can't just leave him. All right, it's OK, you go.

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Eve! HORN BEEPS

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Eve, come on! Get in the van!

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-You all right, mate?

-I can't move.

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It's all right, I'm going to get you out, all right?

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Ahh!

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Aahhhh!

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That's it. Just pull yourself up.

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There we go.

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-Hurry!

-Give me a hand, he's trapped!

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Get the other arm. All right, move him out here.

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So what is it? Some kind of army thing?

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-Loyalty until death?

-Has Mac's not said anything?

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No, he's seems to think he's doing you a favour.

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Rita, meet Frankie.

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-I'd shake your hand but...

-Watch yourself with this one, Reet.

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-Oh, yeah?

-He's been complaining of abdo pain,

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and has had sickness and diarrhoea since the early hours.

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-'I fancy a day out of prison' disorder.

-What?

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RADIO: 'Holby Control to 3006, reports coming in of

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'a major incident on Old Mill Road. Any chance of a quick turnaround?'

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3006, on our way, over.

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Right, Rita, I'm going to have to love you and leave you.

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-No problem.

-Wait! I'm going to have to do a security check.

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-Are all the nurses as pretty as you?

-Do you know, I don't think they are.

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Both Charge Nurse Fairhead and myself,

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had told Doctor Chao not to attempt any kind of investigation.

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Why do you think she ignored you?

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She's headstrong, wants to prove herself.

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I'm guessing you're not big on someone challenging your authority?

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-That's not what this is about.

-No?

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I wanted her to know that her actions had consequences.

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-By telling her a patient had died?

-You adapt your style to your mentee.

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Doctor Chao is plain spoken, doesn't mince words.

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I found that subtle direction wasn't quite working.

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Lying to a junior doctor.

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That is a pretty big breach of trust, wouldn't you agree?

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Help! Please! Please, help him!

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OK!

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All right, darling, I'll take it from here.

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All right, love, I'm Dixie,

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I'm a paramedic. What's his name?

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-Paul. Paul Evans.

-Right. Have you hurt yourself anywhere?

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-Right. Have you got any pain in your neck?

-No.

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OK, that's good.

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Now I need you to stay nice and still,

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I'm just going to examine you, OK? Well done.

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-That looks nasty?

-It's fine, don't worry about me.

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This your boyfriend? What happened?

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We.... we were... we... just saw the crash.

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-Paul pulled him out.

-Bit of hero then, your man?

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Right, there's bruising to the chest wall, especially on the right.

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OK, Paul, I'm just going to have a little listen to your chest, my darling.

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I've only got a couple of months left on me sentence.

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-Yeah?

-HMP Stonebridge.

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Maybe you could write to us, get to know us better?

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I'm not a big letter-writer.

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So just send us your knickers then, that sort of thing.

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-I'm not fussed.

-Trust me, you are asking the wrong girl.

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Ah, why's that then? Got a husband or something?

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-Something.

-Either you have or you haven't.

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What did he do?

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-Run off with a younger model?

-He's dead, actually.

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Oh...

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-How's it going?

-Let's just say, I'm glad you're here.

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-That bad?

-Mmm.

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-You will get through this.

-I shouldn't be the one on trial.

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Lily has no self-awareness, she just doesn't get it.

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Right.

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Where's Zoe?

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Look, mate, she's asked me to help you out in resus.

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Boss's orders.

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After you.

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All right, this is Paul Evans, 32. He rescued the driver from a tanker

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involved in an RTC just before it exploded.

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We cleared his neck at the scene.

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He's got some bruising to his chest, suspected fractured ribs,

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GCS is 15, pulse is 80, BP is 120 over 60,

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-Anyone with him?

-His sats are 98.

-Can we get hold of his old notes?

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..and his resps are 28 and I've given him 5 of morphine.

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-Let's get some monitoring on and a set of obs.

-Can you wiggle your bum over here for me, darling?

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Right. Thanks, Dixie.

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OK.

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OK, Gordon, I see you've refused spinal care.

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Right, his sats were 98 en route, they're dropping now down to 97.

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Look after these two. They saved the bloke's life.

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All right. Can you open your mouth, please?

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Airway patent.

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Why don't we look at that wrist of yours? It may be fractured.

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No, I need to stay with Paul. I need to know he's OK.

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Oh...

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It's OK. I'll keep an eye on things.

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Let's get this top off so we can listen to your chest.

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Er...

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Breath sounds are down on the right, can we arrange an urgent chest X-ray, please?

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Sounds a bit dull. I think he may have a haemothorax.

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-Start prepping for a chest drain.

-On it.

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OK, Paul. We think you may have collapsed a lung,

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so we're going to do a couple of X-rays.

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Don't worry, you'll be fine. Can we increase the O2 a bit, Fletch?

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-Any medical problems I should know about?

-No.

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Is he going to make it?

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Let's hope so.

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She's overstepped the mark on numerous occasions,

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carried out procedures way beyond her capabilities,

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having been instructed not to.

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That may be so, but the purpose of this hearing is to examine

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Doctor Ashford's conduct, not Doctor Chao's.

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Do you think his behaviour was justified?

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-It was a difficult situation.

-You haven't answered my question.

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Ash is a good man, I expect in the heat of the moment...

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So you agreed with what he did, is that what you're saying?

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His reaction may have been a bit harsh.

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-Yes or no?

-Well...

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No.

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All right, just take care, Gordon. Relax, relax.

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-Do you have any history of heart problems?

-No.

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Are you taking any meds? Any beta-blockers or anything like that?

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-No.

-Pulse is 35.

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OK. Can you repeat the 12 lead?

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And I'll give him 500 micrograms of atropine.

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-You all right?

-Ah... Yeah. OK.

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I'll just go and get the doctor, all right?

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I don't get it, why didn't he just stop? Why didn't he brake?

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I don't know. What have we done, Eve?!

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-I didn't want someone to end up like that but...

-What if he dies?

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What happens then? Have you thought about that?

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We need to get out of here.

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Soon as you're fit enough, we're leaving.

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OK, Paul, this is the repeat X-ray of your lungs.

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As you know you had a haemothorax but it appears to be settling well.

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Any news on the group specific blood yet?

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Um, it's just turned up.

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OK, great. Let's run a unit of blood over an hour.

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Any tenderness there?

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That's nice.

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I'll take that as a no.

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Just going to listen to your chest.

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His resps are a little high.

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I'll have to do a blood gas.

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HE GROANS

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Is it sore there?

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Any pain there before?

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No.

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Any alcohol, or drug dependency?

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Nope, clean as a whistle.

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Mmm. Let's hope so.

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I'll do a proper abdo examination now. Thank you.

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How we feeling, Gordon?

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Hate hospitals.

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OK, I've had a word with the cardiologist.

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They'll see you because your heart's been dropping

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its pace and going dangerously slow. Now, it says in your notes

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that your GP advised you to see a specialist over a year ago?

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-And doctors.

-Anything you do like?

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Pigs.

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You like pigs?

0:16:160:16:17

It was the pigs.

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What?

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Pigs. It was the pigs!

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OK, let's get this on top.

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I don't feel so good.

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What is it? What's wrong?

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Help him!

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You're allergic to something. Can you open your mouth, please, Paul?

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You're burning up. Any allergies, medical problems you haven't told me about?

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-Throat feel tight? Feel light-headed?

-Yeah.

0:16:390:16:41

Stop the transfusion, remove the blood and the giving set and send it back to the blood bank.

0:16:410:16:45

Right, let's get him some saline

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and give him 0.5 mills of 1 in 1,000 adrenaline,

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10 milligrams of chlorphenamine and 200 milligrams of hydrocortisone IV.

0:16:490:16:52

What's the problem?

0:16:520:16:54

Uh, he's having some sort of reaction to the blood.

0:16:540:16:56

What was it O negative? Group specific or cross-matched?

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-The cross-match wasn't ready.

-Who put the blood up?

-I did.

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-Don't tell me you put it up without checking with the nurses?

-What?

0:17:020:17:05

-Well, did you or didn't you?

-No. I don't know.

-You don't know?!

0:17:050:17:08

Look! Just get off my case, will you? I can't think straight, please!

0:17:080:17:11

Doctor Hardy! Doctor Knight!

0:17:110:17:13

-Zoe, sorry. It's under control.

-I don't want to hear it!

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I will not have my staff shouting in front of patients.

0:17:220:17:24

-Do I make myself clear?

-Yes.

-Crystal.

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If you two can't work together, I'll get another locum.

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It was just a misunderstanding. Right, Ethan?

0:17:290:17:33

Right.

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Thank you.

0:17:360:17:37

He has no faith in my abilities and puts up unnecessary boundaries.

0:17:390:17:43

A few months ago, he complained

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when I successfully removed a shard of wood from a patient.

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Without a surgical review,

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risking severing the patient's popliteal artery!

0:17:490:17:52

Let Doctor Chao finish, please.

0:17:520:17:54

He has this obsession with me being more empathetic with patients.

0:17:540:17:57

Is that something you find difficult, perhaps?

0:17:590:18:02

I'm a doctor, my role isn't to soft soap.

0:18:020:18:05

His blood gases show a high anion gap metabolic acidosis.

0:18:090:18:12

So he wasn't faking it?

0:18:120:18:14

No, no way. I just wish I knew what was causing it.

0:18:140:18:16

Some underlying condition?

0:18:160:18:18

He's not diabetic, and there's no sign of infection.

0:18:180:18:20

No, and there's no history of any solvent abuse.

0:18:200:18:22

Hmmm. Frankie?

0:18:220:18:24

Break it to me...gently, doc.

0:18:240:18:26

Is there something you haven't told us?

0:18:260:18:28

Anything you've taken that might have brought this on?

0:18:280:18:31

-No.

-Any previous illness in the past?

0:18:310:18:34

-Er, flu, the once.

-Oh, come on, Frankie.

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Any family history of kidney disease?

0:18:370:18:39

That'd be the... least of their problems.

0:18:390:18:41

Look, we haven't got time to mess about here.

0:18:410:18:43

Is there someone who might know? Can you call a family member?

0:18:430:18:45

The Governor won't allow something like that.

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I don't think you realise how serious Frankie's condition is.

0:18:470:18:50

We're going to have to keep him in and monitor him very closely.

0:18:500:18:53

Doc says you can call a friend, kidder. Who do you want to call?

0:18:560:18:59

Er, Ghostbusters?

0:18:590:19:00

It's just your mam, isn't it?

0:19:020:19:03

Suppose it'll have to be her then. Don't say I didn't warn yous.

0:19:050:19:08

-Right, can I leave that with you, Rita?

-Yes.

0:19:080:19:11

Good, the rash seems to be fading.

0:19:130:19:15

So, how long before we can leave?

0:19:150:19:17

-Leave?

-Yeah, I was just curious.

0:19:170:19:20

Um, sorry, Paul's not going anywhere for quite some time.

0:19:200:19:24

I've already paged cardiothoracics. As soon as he's stable enough

0:19:240:19:27

we're going to transfer him to a ward upstairs.

0:19:270:19:29

A reaction like this is pretty unusual. How did you get this?

0:19:290:19:32

I was, er, doing stunts on my bike.

0:19:340:19:37

-Bit of a daredevil as a kid!

-I was, er, showing off.

0:19:370:19:42

Eve? Can I take you away now so I can get that arm of yours sorted?

0:19:420:19:46

Won't be long.

0:19:480:19:50

Earlier on, I noticed another faint scar on the back of your pelvis.

0:19:560:19:59

Have you had a bone marrow aspirate?

0:19:590:20:02

Leukaemia.

0:20:100:20:11

-When I was eight.

-Uh, does she know?

0:20:130:20:16

If you've had multiple transfusions,

0:20:190:20:21

you'll be carrying all kinds of antibodies.

0:20:210:20:23

I'm going to need your medical notes and where you were treated.

0:20:230:20:26

I can't do that.

0:20:260:20:27

Look, whatever the problem is, whatever you're hiding,

0:20:300:20:34

you don't have a choice about this.

0:20:340:20:35

OK.

0:20:400:20:41

Can you, er...

0:20:430:20:44

Can you get my phone?

0:20:450:20:46

Thank you.

0:20:580:21:00

Understood.

0:21:000:21:01

Is that Frankie's mum?

0:21:010:21:02

Is she coming?

0:21:020:21:04

After that conversation, your guess is as good as mine.

0:21:040:21:07

According to the Governor, she's never once visited him in prison.

0:21:070:21:10

Not in two years since his trial.

0:21:100:21:12

What?

0:21:180:21:19

Uh, don't tell me, she's at the shops?

0:21:200:21:23

Getting her hair done?

0:21:230:21:25

-Wouldn't want me dying here putting her out.

-Give me the number.

0:21:250:21:29

I'm sorry. Have you Eve's X-ray, please?

0:21:390:21:41

We haven't done that yet. I've just got her hCG back.

0:21:410:21:45

-Do you need a moment?

-Please.

0:21:480:21:51

Today's not been exactly how I imagined it.

0:21:550:21:59

I kind of got that.

0:22:000:22:01

Did you know were pregnant?

0:22:030:22:05

I thought I might be. A couple of weeks.

0:22:080:22:11

Have you...told Paul?

0:22:110:22:13

No.

0:22:160:22:17

You...

0:22:170:22:19

You don't think he wants a baby?

0:22:190:22:20

I don't know.

0:22:220:22:24

I just got this feeling that he's holding something back.

0:22:240:22:28

I'll...

0:22:340:22:35

have someone sort your X-ray.

0:22:350:22:37

OK.

0:22:370:22:38

Excuse me?

0:22:490:22:50

Sorry, you can't be in here.

0:22:500:22:53

Right. If you need to interview him, you're going to have to wait.

0:22:560:22:59

-You're his doctor?

-Yes.

0:22:590:23:01

Well then, I suggest you let Rob decide.

0:23:010:23:04

Rob?

0:23:040:23:05

-What the hell happened?

-All I knew

0:23:170:23:19

is that the trucks were bringing in fracking equipment this morning.

0:23:190:23:22

-When, when did you hear?

-Late last night.

0:23:220:23:26

So you knew they were planning something?

0:23:260:23:28

No... Well, I had my suspicions.

0:23:280:23:32

Which is why we went down to the site, to find out what was going on.

0:23:320:23:37

-And what did you see?

-Nothing.

0:23:370:23:39

By the time we got there it was too late,

0:23:390:23:41

-the crash had already happened.

-You and Eve?

0:23:410:23:45

The woman who's dedicated her life to making things hell

0:23:460:23:48

for companies like Norova. You're telling me

0:23:480:23:50

-she was just some innocent bystander?

-Yes.

0:23:500:23:53

-That the driver?

-He's in a pretty bad way.

0:23:570:24:00

If he dies, Rob... I find out you've been lying to me...

0:24:020:24:05

-I haven't.

-I may not be able to protect you. Do you get that?

0:24:050:24:08

What that could mean for you?

0:24:080:24:10

The guys in blue are on their way. I'll do what I can,

0:24:140:24:17

-keep a lid on things.

-Thank you.

0:24:170:24:20

-Excuse me. You wanted these?

-Thank you.

0:24:210:24:24

You're a police officer?

0:24:300:24:32

What you just heard is strictly confidential.

0:24:350:24:38

It doesn't leave this room.

0:24:380:24:39

Lily has a lot of great qualities, huge energy,

0:24:510:24:54

drive,

0:24:540:24:56

but she lacks one important thing,

0:24:560:24:58

empathy.

0:24:580:24:59

I tried all different ways to encourage her to relate

0:25:010:25:04

better with patients, staff.

0:25:040:25:06

When I found her re-examining Sally, I thought...I've wasted my time.

0:25:070:25:11

Her need to prove she knew best, was more important than a patient's life.

0:25:120:25:15

Maybe I was wrong, but you had no right to do what you did.

0:25:170:25:21

Sally had just had a child!

0:25:210:25:23

She was vulnerable and she trusted me.

0:25:230:25:26

And you made me think I'd killed her.

0:25:260:25:29

Do you have any idea how that felt?!

0:25:290:25:31

You let me down.

0:25:310:25:34

I'm sorry.

0:25:370:25:39

I think we'll end things there.

0:25:420:25:44

We'll reconvene once we've made our decision.

0:25:450:25:49

MACHINE BLEEPS

0:25:540:25:56

He's getting bradycardic again! Heart rate's 38.

0:25:560:25:58

There's changes on the monitor, they look a bit ischaemic.

0:25:580:26:01

All right, let's get him a bit flatter

0:26:010:26:03

-and repeat the 12 lead in a sec?

-It...it wasn't my fault!

0:26:030:26:06

Gordon, I'm gonna need you to stay calm for us, OK?

0:26:060:26:08

There was something...in the road.

0:26:080:26:10

Ask them! Oh...

0:26:100:26:13

OK, Let's get the external pacer on him.

0:26:130:26:15

Pulse rate's 36 and I still can't find a BP.

0:26:150:26:18

You need to level with me, how long was he trapped in the cab?

0:26:190:26:22

A couple of minutes. We got him out as soon as we could.

0:26:240:26:27

So you were there, when it happened? That's not what you told your boss.

0:26:280:26:32

Did he see you?

0:26:340:26:35

-OK, all connected.

-Not our faces, no.

0:26:350:26:38

-We were wearing masks.

-Did you cause the accident?

0:26:400:26:42

I tried to stop them. I didn't know they had a stinger.

0:26:420:26:45

Who's "they?"

0:26:460:26:48

Eve?

0:26:500:26:51

-So, what does that make you, a spy?

-You don't understand.

0:26:530:26:56

-You're lying to her and to your boss.

-But I have no option!

0:26:560:26:59

I can't lose Eve!

0:26:590:27:02

-What happens when she finds out?

-She won't.

0:27:020:27:05

So, what are you going to do?

0:27:070:27:09

The only thing I can do, stick to my story.

0:27:120:27:16

You've got to promise me you won't say anything to her.

0:27:210:27:23

Please?

0:27:250:27:26

What is it? What's wrong?

0:27:350:27:37

Give him 100% O2.

0:27:370:27:40

Robyn can you fast call the Med Reg and let him

0:27:400:27:42

know we've had to start externally pacing him.

0:27:420:27:44

Right, this is us. It's been lovely meeting you.

0:27:490:27:52

-Mrs MacFarland? I'm Rita.

-Will this take long?

0:27:560:28:00

I don't know. Frankie's condition is deteriorating and...

0:28:000:28:03

I just need to know if it's as serious

0:28:030:28:05

-as you said on the phone, so...

-Yes. This is very serious.

0:28:050:28:09

He's got to have further investigations,

0:28:090:28:12

-stomach X-rays, scans.

-Mum!

0:28:120:28:15

-Talk to me!

-You wanted me to speak to a Doctor.

0:28:160:28:19

-Dr Hanna...

-Mum!

0:28:190:28:22

FRANKIE COUGHS

0:28:220:28:24

All right, Frankie, all right...just slow your breathing down for me.

0:28:250:28:28

Just focus on your exhalation. Slow your breathing down...

0:28:280:28:33

So, what would have happened if the last patient needed oxygen?

0:28:330:28:36

They didn't.

0:28:360:28:37

If you knew the cylinder was empty, why didn't you replace it?

0:28:370:28:40

Look, I made a mistake. What's the big deal?

0:28:400:28:42

-I can't have you on the job like this.

-What's that mean?

0:28:420:28:45

Whatever's going on in your head, whatever happened

0:28:450:28:47

between you and Mac... sort it.

0:28:470:28:49

She's right, mate. You're all over the shop.

0:28:500:28:53

Ah, "thanks for the tea, Jeff".

0:28:570:28:58

She could barely bring herself to look at him.

0:29:000:29:03

What did Frankie do?

0:29:030:29:05

All I know is it was a vicious attack on someone he knew.

0:29:050:29:08

-A pensioner I think.

-How long was he in for?

0:29:080:29:11

Officially another year but he's up for parole next month.

0:29:110:29:13

Will he get it?

0:29:130:29:15

It depends, they look at stuff like whether he's shown remorse,

0:29:150:29:18

and what kind of support networks he's got on the outside.

0:29:180:29:22

Like his Mum? So it helps him, her being here today?

0:29:220:29:26

-Yeah.

-OK.

0:29:270:29:29

It's clear, Dr Ashford, you had valid concerns regarding Sally Jenks' care.

0:29:290:29:34

And the fact that you have shown remorse is commendable.

0:29:340:29:37

That said, the Trust cannot be seen to condone this kind of conduct.

0:29:380:29:44

Your behaviour on this occasion fell wide of the mark.

0:29:440:29:46

For this reason, I'm issuing you with a formal written warning.

0:29:460:29:50

Do you have anything to say, Dr Ashford, before we finish?

0:29:520:29:55

See those white areas there in your stomach?

0:30:030:30:06

That's a residue from tablets.

0:30:060:30:08

-The thing is, only certain tablets show up on X-rays like this.

-Yeah?

0:30:080:30:12

Yeah, and given your symptoms of severe vomiting, abdo pain,

0:30:120:30:16

I'm thinking they're iron tablets?

0:30:160:30:18

Frankie, I can run more tests to confirm it

0:30:210:30:24

but in the meantime you're going to feel a whole lot worse.

0:30:240:30:26

Did you take iron tablets?

0:30:260:30:28

Fine. Let's get him in to HDC and get a serum iron

0:30:310:30:35

and a total iron binding capacity.

0:30:350:30:37

And start him on Desferrioxamine 15 milligrams per kilo per hour.

0:30:370:30:40

See you in there.

0:30:400:30:41

Wait! I need to speak to them.

0:30:460:30:49

OK, it's gonna have to be quick, the medics want to do

0:30:490:30:52

an urgent echo and an angio to find out what's going on.

0:30:520:30:54

Did you see them? On the side of the road. The masks...

0:30:540:30:58

Freaked me out...

0:30:580:30:59

..made me crash.

0:31:000:31:02

Why doesn't anybody believe me?

0:31:020:31:04

I wish we could help, truly.

0:31:050:31:07

If they think it was my fault, if they think it was me heart

0:31:070:31:11

that caused the crash, I'm gonna lose my job.

0:31:110:31:14

That job's my life!

0:31:160:31:17

What is it?

0:31:350:31:37

Do they know something about the accident?

0:31:370:31:39

-Just...don't.

-There's a man in there who's just

0:31:390:31:42

cheated death and now he's terrified he's going to lose his job.

0:31:420:31:45

-I know!

-Well, so do something!

0:31:450:31:48

What I said before, about Robyn...

0:31:530:31:55

Yeah, it was erm...a bit of a side blow that.

0:31:550:31:57

Don't really know where it leaves us.

0:31:570:32:00

Ha-ha! Obviously, I'm joking. She drives me mad!

0:32:000:32:02

So what we need is a plan of action,

0:32:020:32:04

next time she fancies one of her rants.

0:32:040:32:06

Erm...how about a code, er...a signal which means "get out of dodge?"

0:32:060:32:09

Yeah, it could work.

0:32:090:32:11

-So, like, "gotta feed the tortoise".

-Bit cryptic.

0:32:110:32:14

-Happy time?

-Interesting.

0:32:140:32:15

Are you all right?

0:32:400:32:41

I know.

0:32:440:32:46

Poor guy, fights for his life and then finds out that...

0:32:460:32:51

well, that it's being taken away from him.

0:32:510:32:55

If I could change things. I...

0:32:550:32:57

I doubt you could get his job back.

0:32:570:33:00

I should get back.

0:33:000:33:02

Have you told Rob about the pregnancy yet?

0:33:020:33:05

No.

0:33:050:33:07

You know his name?

0:33:130:33:15

He had to tell me, with a complicated blood history like that.

0:33:150:33:20

What do you mean?

0:33:230:33:25

As I said, that kind of reaction to being given blood is pretty rare.

0:33:250:33:28

Which is why we were so grateful his friend dropped in

0:33:280:33:30

-and gave us everything we needed.

-What friend?

-Jackie.

0:33:300:33:34

Well, I don't know anyone called Jackie.

0:33:340:33:37

Right, um... Sorry, I probably shouldn't have said anything.

0:33:370:33:42

I should go.

0:34:030:34:04

You were right, there was no excuse for what I did.

0:34:090:34:12

I shouldn't have let it get this far.

0:34:120:34:15

Well, it's your last day, let's just leave it there. Yeah?

0:34:150:34:19

Deal.

0:34:220:34:24

This is where I should sit you down and do some kind of exit interview.

0:34:240:34:28

-I don't think we should.

-You're a very talented doctor, Lily.

0:34:280:34:31

I never doubted that, but maybe the ED just isn't for you.

0:34:310:34:35

What do you mean by that?

0:34:350:34:36

Well, your placement here hasn't been a great success.

0:34:360:34:38

Maybe you're more suited to dermatology,

0:34:380:34:40

-or whatever you decide to do.

-So you think I've failed?

0:34:400:34:43

Zoe, looks like you were right.

0:34:470:34:49

Well, his serum iron's greater than 100 micromols per litre.

0:34:490:34:52

He's severely iron toxic.

0:34:520:34:54

Frankie, no more jokes. How many tablets have you taken?

0:34:540:34:57

Where did you even get these tablets from?

0:34:570:34:59

Are you anaemic, is he anaemic?

0:34:590:35:01

-His cell mate, I think he might be.

-And typically how many would

0:35:010:35:04

-he have in his possession?

-I don't know. Maybe a week's worth?

0:35:040:35:06

I'm sure it's more than that.

0:35:060:35:08

Could he have kept some back, like stockpiling?

0:35:080:35:10

OK, BP's dropping. Come on Frankie. You've got to help us out here.

0:35:100:35:13

Frankie, how many have you taken? Ten? 15?

0:35:130:35:16

20? 20? 20.

0:35:160:35:19

OK, let's increase the Desferrioxamine

0:35:190:35:22

to two grammes per hour. And can I have a blood gas please?

0:35:220:35:25

Did you know this would happen to you, Frankie?

0:35:250:35:27

You could have serious gut problems for the rest of your life!

0:35:270:35:30

He wouldn't be the first to do something stupid

0:35:300:35:32

-to get a day out of prison.

-He did this on purpose?

0:35:320:35:34

It's not what you think. Mum, listen to me!

0:35:340:35:36

You haven't changed at all, have you?

0:35:360:35:38

You'll never grow up, you'll never accept responsibility.

0:35:380:35:41

-You wouldn't come!

-I'm done.

-BP is 80 over 55.

0:35:410:35:44

OK, he's in shock. Can we hang up another litre of saline?

0:35:440:35:48

Can you get those off please? I said, get them off!

0:35:480:35:52

They're going to uh...take me up to the cardiothoracic ward soon.

0:35:550:36:00

Have you told them your real name?

0:36:040:36:07

No, of course not.

0:36:090:36:11

And Jackie? Who is she?

0:36:150:36:19

Ah. Jackie?

0:36:230:36:24

The doctor said that she came to see you.

0:36:240:36:27

-Wow, then the doctor is lying.

-Why would he do that?

0:36:280:36:32

Because he thinks we might have had something to do with the accident.

0:36:340:36:39

I don't know. What is it? What's wrong?

0:36:390:36:42

Wait. Where are you going? Ah! Eve!

0:36:500:36:53

Eve, wait!

0:36:530:36:55

All right there, mate? You OK?

0:36:550:36:57

GASPS FOR AIR

0:36:570:37:00

-He's dislodged the chest drain.

-Do you need to do another one?

0:37:000:37:03

No, it's not fully out.

0:37:030:37:05

I'll try and re-insert it by advancing the tube. Hang on.

0:37:050:37:09

-It's OK, can I get a suture? Caleb?

-Yep. On it!

0:37:140:37:17

That's not looking too smart.

0:37:210:37:24

Can you call the blood bank,

0:37:240:37:25

and request two units of cross matched blood urgently?

0:37:250:37:28

Pulling the tube must have exacerbated the haemothorax.

0:37:280:37:31

He's still losing a fair bit from the drain.

0:37:310:37:33

I'm really reluctant to clamp the tube.

0:37:330:37:35

Let's get him a gram of tranexamic acid.

0:37:350:37:37

-Robyn? How are we doing?

-They're struggling.

0:37:370:37:39

They've done the cross match but there's a risk of reaction.

0:37:390:37:43

Well, just tell them to get it down here now!

0:37:430:37:45

He's at risk of anaphylaxis. We shouldn't do another transfusion

0:37:450:37:48

-unless we absolutely have to.

-He's already had a big bleed,

0:37:480:37:51

the chances are this will turn into another.

0:37:510:37:53

He's stable enough for us to hang on a few moments,

0:37:530:37:55

give the TXA a chance to work, trust me, Ethan.

0:37:550:37:58

OK. Ten minutes. But let's keep a close eye on him, please.

0:38:010:38:04

Maggie? Maggie, wait!

0:38:070:38:10

Frankie didn't make himself ill to get out of prison,

0:38:130:38:16

he did it to see you.

0:38:160:38:18

Come on, if you don't come back with me now,

0:38:180:38:21

there may not be another chance.

0:38:210:38:23

I can't tell him it's OK, I can't.

0:38:250:38:31

-That would be like saying the last two years were for nothing.

-Maggie.

0:38:310:38:35

I thought by turning him away I could help him

0:38:390:38:41

to understand what he'd done, you know?

0:38:410:38:44

But seeing him in there, it's the same old Frankie.

0:38:440:38:46

It's all about him, it's all about what HE'S suffered.

0:38:460:38:49

You don't think you could be the one to change it?

0:38:490:38:52

He's never shown a shred of remorse.

0:38:520:38:55

Not when the police came knocking, not in court,

0:38:550:38:58

when he couldn't even look Alan in the eye.

0:38:580:39:00

Alan Chadwick is in his 80s now.

0:39:020:39:05

Frankie broke into Alan's house...

0:39:050:39:09

..and he fractured his skull.

0:39:110:39:13

He frightened him to death.

0:39:150:39:18

All for what? A couple of quid.

0:39:180:39:19

I assume for drugs, or whatever it was for.

0:39:190:39:22

What do you say to someone who's capable of that, eh?

0:39:220:39:25

I don't know.

0:39:250:39:28

But I do know he risked his health, his life, to get you here.

0:39:280:39:33

Eve Devereux?

0:39:400:39:44

I'd like to ask you a few questions about what happened today.

0:39:440:39:49

DCI Jackie Prior.

0:39:490:39:51

Jackie?

0:39:510:39:53

How could you do this to me, Rob?

0:40:030:40:06

Eve, please.

0:40:060:40:08

You've shared my flat. My bed. You made promises!

0:40:080:40:12

-And I meant them.

-I don't even know who you are.

0:40:120:40:14

-I love you.

-So many lies. I can't even bear to look at you.

0:40:140:40:18

-Look, just give it time, just...

-I'm pregnant!

0:40:180:40:20

It's early days, but he's stable.

0:40:290:40:32

-Mum?

-Tell me why, Frankie?

0:40:410:40:43

-I don't know.

-I shouldn't have come here.

0:40:430:40:48

No. Wait! Wait! Come on, Frankie.

0:40:480:40:53

You brought your mum all this way.

0:40:530:40:57

You can do better than that.

0:40:570:40:59

I needed money, I er...

0:40:590:41:03

I knew he had his pension.

0:41:060:41:08

He was just some old bloke, I thought it would be easy.

0:41:080:41:11

But he wouldn't hand it over. He started shouting at us.

0:41:110:41:18

I needed him to stop, to shut up.

0:41:190:41:22

And then he goes all quiet.

0:41:220:41:24

And he's just staring at us, all this blood over him.

0:41:270:41:31

Just looking at us with this look on his face, like he was...

0:41:320:41:35

I don't know, disappointed.

0:41:380:41:40

And I felt sick.

0:41:450:41:46

You want me to apologise,

0:41:510:41:52

but it's not enough! It doesn't change anything!

0:41:520:41:57

It's something.

0:42:000:42:01

I'm not putting in for parole. I won't harass you no more.

0:42:030:42:06

No more letters, no more phone calls.

0:42:060:42:08

All right. We'll see, OK?

0:42:130:42:16

I thought we were heading for a massive haemothorax. Good call.

0:42:270:42:31

-So how long have you known?

-Long enough.

0:42:340:42:38

Well, your sats are right back up there, resps and pulse are normal.

0:42:380:42:40

So, we're good to move him as soon as the ward gives us the call.

0:42:400:42:43

Dr Hanna, can I have a word?

0:42:430:42:45

Can you just give me a minute? Everything OK in here?

0:42:450:42:47

Right. OK, now.

0:42:530:42:55

Mac.

0:43:200:43:22

Ah! I wondered how long it would take.

0:43:220:43:26

-I was going to come.

-Yeah, were you?

0:43:270:43:31

I've had Noel and Louise driving me mad with their gossiping.

0:43:310:43:34

Yeah? It should have been me, Mac.

0:43:340:43:38

Come on, that would make you feel better, would it?

0:43:380:43:41

I'm starting to see a pattern here, boy.

0:43:440:43:46

The bloke who won't wait for fire crews or back-up?

0:43:490:43:53

That goes charging in no matter how dangerous it is,

0:43:530:43:55

as long as he can save somebody?

0:43:550:43:58

To play the hero?

0:43:580:44:00

-That's the last thing I am.

-Mmm, I know.

0:44:010:44:04

Cos it's not about that, is it?

0:44:060:44:08

It's about trying to redeem yourself.

0:44:100:44:12

But the trouble is, if you put yourself at risk,

0:44:160:44:19

-other people can get hurt.

-I know, if I could change anything...

0:44:190:44:25

Yeah, well you can, OK?

0:44:250:44:27

You go see Dixie, you get some time off,

0:44:290:44:31

you get help and you get sorted.

0:44:310:44:34

All right?

0:44:360:44:37

Cheers, pal.

0:44:390:44:41

I'm taking Eve to the station.

0:45:030:45:05

She's been remarkably unhelpful of course,

0:45:050:45:08

but your testimony will make the case.

0:45:080:45:10

There's not going to be one.

0:45:110:45:13

What?

0:45:150:45:17

I was there, Jackie. I planted it. The stinger.

0:45:170:45:22

-It was me.

-Don't do this, Rob. I won't protect you.

0:45:220:45:27

You'll be thrown to the wolves.

0:45:270:45:29

Your life is gone. It's over.

0:45:330:45:37

Hey. How are you feeling?

0:45:470:45:49

You know I've just had her in here, asking if she could stay on longer.

0:45:490:45:54

-Really?

-I couldn't believe it either.

0:45:540:45:56

-After everything that's happened.

-What did you say?

0:45:560:45:59

I said I'd think about it.

0:45:590:46:01

But I'm just making her suffer really.

0:46:010:46:03

And then I had Cal in here asking for a permanent position.

0:46:030:46:05

I don't know how that's going to shape up with Ethan.

0:46:050:46:08

-I think you should say yes.

-What, to Cal?

0:46:080:46:10

-To Lily.

-Are you joking?!

0:46:100:46:13

This is the same woman who got you a written warning today!

0:46:140:46:17

-I think I misjudged her.

-Then in that case so has everyone else in the ED.

0:46:170:46:21

You know there's talk of a big bash in the pub tonight,

0:46:210:46:24

-to celebrate her leaving?

-I know she's still got a lot to learn.

-You serious?

0:46:240:46:28

-You really want me to agree to this?

-Yes. Yes, I do.

0:46:280:46:32

So who am I going to get to make the tea now?

0:46:400:46:42

-I'm sure you'll find some other skivvy.

-Come here.

0:46:420:46:45

Group hug.

0:46:490:46:51

-Ah, nah, nah.

-Ah, come on! Come on!

0:46:510:46:54

Your tea's rubbish! Your tea's rubbish!

0:46:540:46:57

Good luck, mate.

0:46:570:46:59

Thanks for everything.

0:46:590:47:02

How about we spend an hour cleaning up the place

0:47:090:47:11

and then I rent us a DVD?

0:47:110:47:12

There's a great new rom-com I want to watch.

0:47:120:47:14

-Happy time?

-Yeah.

-What?

0:47:140:47:16

I'm seeing a friend tonight.

0:47:160:47:18

I've got tickets for a gig, so um... Yeah.

0:47:180:47:21

Yeah, I can't say it's been a massive pleasure.

0:47:250:47:27

Ah, that's what I was going to tell you.

0:47:270:47:29

there's a permanent position,

0:47:290:47:31

I'm going to be sticking around for a while.

0:47:310:47:33

-I had a horrible feeling you were going to say that.

-Ah, come on.

0:47:330:47:36

From the looks of today, I reckon you need me here.

0:47:360:47:39

I reckon I saved your skin back there.

0:47:390:47:41

-Oh, are you that delusional?

-Come on, I'll keep you on track.

0:47:410:47:45

Charlie.

0:47:450:47:47

Ash. I...

0:47:470:47:49

Ancient history.

0:47:490:47:50

Just so you know, we probably won't be losing our favourite F2 just yet.

0:47:500:47:55

Tell me you're joking! Who's responsible for that?

0:47:550:48:01

Me, actually. Long day. Drink?

0:48:010:48:05

Yeah, I think so. The first two are on you.

0:48:060:48:10

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