The Quiet Man Casualty

-'So, I wasn't seeing things?

-No, she is back.'

Do we know what she is doing here?

A little undercover work, maybe?

-Oh, I take it you weren't expecting me?

-No, I wasn't.

Sorry, I don't know what else to say.

Sounds like the coup has already happened.

-I think it has just started.

-I just don't get it.

There is nothing to get, Zoe.

Connie wanted in on emergency medicine, so why not our ED?

Whoa!

CONNIE GASPS

Let's try and get over this lapse of judgment on your part.

Put it down to inexperience.

Tiny burger.

Look, I could only afford the 99p stuff. Have mine, all right? Go on.

Come on, eat up, we got to get going.

PHONE RINGS

Hello? Hello?

Oh, yeah! All right, Stuart. Yeah.

Yeah, yeah, I thought it went well, yeah.

Uh-huh.

What?

They don't want me? But I thought you said...

Hold on, Stuart. Yeah, all right, mate, hang on, hang on.

Hold on, I will be with you. I just... Hang on, mate.

Pheebs! Phoebe!

-Morning.

-Morning.

-You're in early.

-Admin. What's your excuse?

Oh, new girl and all that!

How was your break?

Oh, two days in Dudley. What's not to like?

Listen, if you ever need some assistance with the admin,

it's a thing of mine, I can make it disappear.

-Great. Go ahead.

-OK.

Sweetheart! I am so sorry.

Pheebs. I am really sorry.

Pheebs. Come on, darling, what are you doing?

Yeah, hang on, Stuart, hold on.

No, I didn't expect that.

Well, you basically made me think it would be a shoo-in!

Stuart, no, I...

I didn't... Oh, just forget it. Forget it!

Now, come on, sit down, eat up!

# It must have been that something lovers call fate

# Kept on saying, I had to wait

# I saw them all

# Just couldn't fall till we met

# It had to be you

# It had to be you

# I wandered around

# And finally found the somebody who

# Could make me be true

# Could make me feel blue

# And even be glad, just to be sad

# Thinking of you

# Some others I've seen... #

-That looks appetising!

-Hey!

It's my oatmeal, man. My body's a temple these days.

More of a circus, I would say, mate!

What a lovely place for a picnic, as well.

Tell you what, I'll bring a blanket

and a nice bottle of Gavi di Gavi next time.

Nah, you are all right. I don't really like them Italian lagers!

Oh, here's Sandra!

Oh no, another frequent flyer!

-Uh-huh!

-At least she has got her own transport with her this time.

San...

What am I shouting for, she is as deaf as a post!

SANDRA CHUCKLES

Sandra, Sandra, don't eat that, yeah?

I've told you before!

Look, have this.

You are welcome.

# Baby you're a firework

# Come on, let your colours burst

# Make them go, oh, oh, oh, oh

# You are going to leave them going, oh, oh, oh... #

-Bit fast, Dad.

-I cannot, cannot, cannot be late.

-I have to get you to school.

-Noooo!

Yes!

I have gone the wrong way!

What was that?

LEVEL CROSSING SIREN WAILS

What is it, Dad?

-What did we hit?

-Nothing!

-What did we hit?

There is nothing there, Dad!

There! What is it?

Dad! Stop.

-Dad, stop! Come back!

-What do you want, what do you want?

Leave us alone, leave us alone!

-TRAIN!

-GET OFF THE TRACK!

SIREN WAILS

GET OFF THE TRACK!

TRAIN HORN BLARES

MAN SCREAMS

MAN YELLS

What were you playing at?

MAN SCREAMS

You're bleeding. Stay there!

-Don't try and move. Call an ambulance!

-What's wrong with him?

-He's got a cable in his back!

-What's wrong? Please get up!

# It's oh so still, shh, shh

# You're all alone, shh... #

TANNOY ANNOUNCEMENT

'Dr Chao to cubicles, please. That's Dr Chao to cubicles.

'End of announcement.'

I knocked him out of the way.

It was that or... I don't know what he thought he was doing.

All right, mate, his name is Jack, is that all right, mate?

Hi, Jack, how are you, mate?

I'm Jeff, I am a paramedic, how are you doing there, sir?

-What's he caught on?

-Old control wires, I think.

All right, sweetheart, do you want to come with me for a second?

-What's your name?

-Phoebe.

-Phoebe.

Listen, Phoebe, what was Daddy doing on the railway line?

Looked like he was chasing something.

-Chasing what?

-I don't know. A break?

He always says he can't catch a break.

Right, OK. Is there anyone that we could call for?

-Your mam or someone?

-No. It's just us.

OK.

No, umm, just let them get on with it, OK.

There's a good girl. Officer, could you? Lovely. Thank you.

-Has someone asked for the trains to be stopped?

-All done, yeah.

How long are these wires, do you know?

Think they go all the way in.

You don't want to be using a hacksaw or nothing.

No, I know, but if I lift him off...

we don't know if these are bent or barbed.

Don't want to start pulling lumps out of him. Sorry, mate.

-Just seeing what we're dealing with.

-Bolt croppers?

Yeah, we could do that, but...

if we cut them, they might splay back into him.

Think that is our best bet, though. Listen, Jack,

we are going to have to cut these wires to get you free.

OK? I can't pretend this won't hurt. I will do it as quickly as I can.

I will give you something for the pain and we'll get you in, OK?

Pupils are dilated.

OK. O2, Mac, please and can you draw me up some morphine.

Oi! You cannot stay there!

WOMAN PASSES WIND

Oh, and that's just disgusting! Come on!

-Get up!

-No, Lou, that's Sandra. She can't hear you.

-What, she's deaf?

-Yeah.

Look, I dealt with her last time she was here.

Oh! That's very nice of you, nurse!

Lofty's a nice chap.

-Yes, he's a very nice guy.

-Exactly. Right, Lofty, me old son!

-What?

-Your next patient.

Yeah, thank you, bye-bye.

Tess...

Hiya. How was the wedding?

Oh, miserable. Cold salmon, cold church...

the groom's father made a creepy pass.

'Cleaner to reception, please. It's quite urgent.'

What is this?

Oh, the tannoy was my idea.

With the agreement of the senior nursing staff, of course.

-For a limited trial.

-And you didn't think to notify me?

-Did you not get your e-mail?

-What, all 1,500?

It saves a lot of time.

Were we wasting time before, Tess?

Thanks.

Can't believe there's a bride who'd invite you to their wedding!

I didn't drink that much!

Nah, I was saying... there's a man in a marrying mood...

and then he sees you... bit risky, that, isn't it?

Pound says Lofty is going to throw up before he gets into cubicles.

You're on, but are you sure you can afford a pound, Doctor?

Well, I don't want to fleece you, Nurse.

Right, pound fifty it is.

JACK SCREAMS

OK, Jack hang in there, pal.

Right, Phoebe, we'll put you and your dad in the ambulance now.

-He's going to die!

-No, no. He's in good hands.

They're hurting him!

They're helping him, all right, sweetheart?

We'll take you to the hospital. I think Daddy's going to be fine.

-I hate hospitals!

-Mac...

OK, can you do the honours?

All right, Mac.

Grab his tootsies. We are going to scoop him up.

Watch yourself.

Three, two, one.

JACK SCREAMS

If she's putting it on, why is she so insistent?

I don't know. Double bluff?

Sandra?

That's not much help, is it?

Thank you.

Something more interesting next time?

All right, tenner says we treat more than ten bald patients today.

Totally bald, yeah?

-Absolutely.

-You're on.

-Very professional.

-What's wrong with you?

Knock, knock. You treating a patient for invisibility?

Perhaps they caught it off me?

Things aren't any better with the others?

To know would be to care.

So, you are not interested in the penetrating chest injury

that is due in resus?

-OK, mate, nearly there.

-All right, what have we got?

This is Jack Braydon, 35 years old.

Bungled over a railway crossing to try and stop him

-running into a train.

-No, that never ends well.

Exactly. And this is Phoebe, his daughter.

-You all right, lovely? You OK?

-What was he doing track side?

No idea. He has got some metal cable stuck up the right side of his back,

just below his scapula. He has got some breathing difficulties.

GCS has been 14 throughout. Pulse 120 and BP 110 over 55.

SATS are 95%. His pupils are dilated.

Let's have him over when we are ready.

One, two, three. And down and slide when I say.

One, two, gently slide.

If I didn't know any better I would think maybe he has taken something.

No, sorry, darling, you are going to have to step back for us, OK?

Thank you.

Jack, have you been drinking or taken anything? Any drugs?

My dad doesn't DO drugs.

Sorry, Tess, can you?

He is having problems communicating. We spoke to Phoebe.

-No next of kin, apparently.

-No mother?

-No.

Over there, sweetheart.

Sorry, I think you are going to have to keep an eye on the little girl.

She wouldn't settle in the ambulance all the way and...

She also said that her dad lost a big job in London

and had been acting "well weird" ever since, so...

Given where we found him...

Maybe he was going to do something silly.

All right, thanks, Mac.

OK, Lily, let's hold off on a chest drain until we get more pictures.

Can we have another IV access, please?

I would like a litre of Hartmann's.

-What?

-That's not our usual fluid protocol.

It is mine. Unless you have another suggestion?

OK, thank you.

All right, I think he's stable enough to bypass X-ray

and go straight for CT. Let's do a head and abdo as well, please.

Let's go.

# It's another big riot

# You blow a fuse... #

RECORD STARTS TO SKIP

I don't understand.

Any progress?

I don't think she can read or write.

Blimey, Sandra, man! What have you been eating?

-You can sign?

-Well, yeah, I'm pretty poor.

What, darling?

What? What's she saying?

She said they don't clean the bins properly...

Here you go, Darth Vader.

Oh, five years of medical school for this!

What is that?

-It looks like...oatmeal.

-And there we are.

Whoever said eating healthy was good for you, eh?

Can we discharge her then?

Sadly, no. Still got to wait for the bloods to come back.

Sorry. Admin...

Sit over there for me, Phoebe.

How we getting on then?

Hello, Dr Hanna.

Why hasn't he got a chest drain in?

Because Mrs Beauchamp wanted us to wait until AFTER he has been to CT.

Yeah. He's stable and CT said they would be 15 minutes.

Given an X-ray would take longer...

So we let him suffer for a quarter of an hour?

Well, I would prefer to do the drain

with the benefit of the extra imaging.

Theatre would ask for a CT in any case.

Our protocol is to get chest drains in as soon as possible.

-It's a simple enough procedure.

-Can I get past?

He needs surgery, not a half day in resus.

Excuse me?

Priority is to get him up to surgery.

With the benefit of a CT scan?

Rita? Can we get an X-ray done, please?

Tess, can we get the kit ready? Lily, let's get that bag down.

No, no, what are you doing?

Lily, you know the protocol.

We've moved away from the aggressive fluid boluses for trauma.

-Things have changed.

-Dr Hanna, this is my patient...

and I must disagree.

And, Connie, this is my department, my responsibility.

'Patient call. Could a Mrs Papadoulous

'please report to reception? Anyone else named Papadoulous,

'please ignore previous announcements. Thank you.'

Didn't seem very patient to me.

Is it just me or are her calls getting longer and longer?

I prefer the tannoy to the pagers. It's more publicly accountable.

Amen to that. No more, "I left it in my locker".

What's this do?

Darling, please don't touch that, all right? It is dangerous.

Good thing we're in a hospital then.

OK.

No, no, no, get away from me!

-It's all right, darling.

-Get away from me, get away from me.

My name is Dixie, I am a paramedic.

-I just want to have a little look at you, all right?

-No, no!

Rosie!

Do you know this woman, mate?

Yes, Rosie. This is my wife.

-Rob!

-I'm here.

She has dementia and diabetes, don't you, love?

-Yeah, all right.

-OK, Rosie, come on, darling.

-It's all right, love.

-I couldn't find you.

I had to go for a little ride, darling, that's all.

Right, Rosie, we are going to get you into the ambulance,

take you to Holby City and we are going to have a good look at you.

They're just going to check your sugar levels, love.

I think I owe you a pint for this one, Big Mac.

It's not actually my own invention,

but I'm never one to say no to a drink.

Sandra says, could she have a cup of tea?

Can you tell her this isn't a hotel?

Right. He says this isn't a hotel.

She hopes not, there's no mini bar.

Right, Mac, OK. Spot of lunch?

No, I am all right, I am going to stop here for a bit.

-Just give me a shout if you need me, OK?

-OK.

Tess. Mr Jones would prefer a male doctor.

Really!

-You really shouldn't be in here!

-I was bored!

Can you take her back to resus for me, please?

Of course. Come on, your dad will be worried about you.

Mr Jones.

OK, this is Rosie Cornwall, she is 68, she is Type 1 diabetes

and she is on insulin. She is hyperglycaemic with a BM over 28.

That's her first litre of saline. Rosie also has dementia.

This is her husband, Rob. I asked him to bring her meds in.

Hello, Rosie. I'm Dr Hardy...

-How are you feeling?

-I'm very hungry.

Can I have something to eat?

-You've had breakfast...

-'Patient announcement...'

Can anyone else hear that or has she finally burrowed into my brain?

Hear what?

Cubicle three.

-You still there, Rob?

-Yes, right behind you, darling.

So, you are responsible for Rosie's insulin?

Last few months, yeah.

Have you any idea what's caused this?

OK, Rosie.

I see you came in with a DKA, a keto acidosis, about two months ago?

That was an infection. Down below.

They think it brought on a fever. You think this could be that?

All right, Rosie, let's pop you into the bed, shall we?

No, this isn't quite as serious. Let's see. Charlie?

As well as bloods, cultures, arterial gases,

-can we arrange an MSU, please?

-Yes, sure.

You didn't know your name or your birthday, did you, love?

Don't be so rude! 26 April...

What did you ask me?

Clearly, he's a very lucky man.

Looking at his chest film, he's got good lung expansion now.

Quite clearly needed a chest drain.

Well, that's the big difference between us on the ground floor.

We don't get them wrapped and packaged.

-But I am on the ground floor.

-Exactly.

We deal with what we get, as we get it in

and we have to make the best guess and stick to protocol.

I think you and Guy are cut from the same cloth.

He said as much last night. What was it?

I should learn to accept unforeseen outcomes, that was it.

-You were with Guy Self?

-Yes, we had dinner last night.

And you discussed our ED?

Of course... He's a big fan, don't worry.

-Fletch!

-OK, all right, got it.

Zoe. Have a look.

Right, look.

OK, Jack. You have to tell us what you've taken.

OK, everyone, grab and hold, please.

Be careful that this cable doesn't move.

-Can we stand by with 4mg of lorazepam?

-Dad, Dad!

No, darling, you go and sit over there.

It's all right. Daddy is going to be all right.

Good news, Sandra. Bloods have come back clear.

Slightly elevated white blood count,

but that's to be expected

from someone who must be prone to infection.

Oh, you want me to be your full-time interpreter now? Well...

£100 an hour should sort it.

-How about a pint?

-Make it a nice bottle of red!

-Fine.

-Good.

He says you are fine.

I think you can go. I'll tell Lofty.

Probably just an upset stomach. No surprise given your diet.

Little bit of a bad tummy. Nothing for you to worry about.

Shower? I don't see why not.

How about some new clothes from the cupboard?

-Summer collection, very posh!

-Oh, well done.

You've given her every reason to come back and waste our time again.

No, I'm trying to show the woman with some respect.

She doesn't seem to show us any.

Come on, you.

Jack, Jack, can you hear me?

Something is affecting you and unless you tell us what it is,

we can't do anything for you.

My dad says drugs are bad.

That's why I stopped taking that Ritalin.

-For ADHD?

-Were those pills blue?

Never meant it to be like this.

I never meant you to suffer, love.

There will be a bit of a delay in moving Rosie upstairs.

-I am sorry about that.

-Par for the course in this place.

Rob, I've been looking through Rosie's medication.

It seems you may have made a few mistakes.

Doubtless.

That's the way it is, isn't it? Late at night...

early mornings... Might dial in the wrong number.

Right, I was just thinking..

And we've been all on our own. No help.

No. Right.

We will need to do a urine sample soon if that is OK?

-Get off me! Get off me!

-Whoa, whoa, whoa, all right!

All right, I have got him, all right. You all right?

Yeah! Yes, oh, God!

Oh, God!

There we are, let me help you with that.

That's it, good man.

It's all right, Rosie, it's me, Rob, see?

It's Rob, see, it's all right.

There you are, Rosie, it's all right, come on.

Lie back, there you are. There you go.

Wow!

That's unusual.

Yeah, watch.

Interesting.

It's all the places we've been.

What else?

All the places we have been for 40 years.

We wanted to finish the cycle.

I know.

It's all right, it's all right, darling.

Can you give us a minute?

SHE SOBS

-It's all right, darling. Sweetheart. Come on.

-Yes, sure.

You've lost weight.

Flirting? Behave yourself, you!

Sandra?

Sandra, love. You all right?

Pretending? No.

No, not pretending.

'Staff announcement. Dr Hanna. Urgent telephone call.

'This is your second reminder. End of announcement.'

Yes, I know! I am on that call now! Sorry.

Certainly commands your attention.

Yes. That's the confirmation I was looking for. Thank you, bye.

I'm going to need a moment alone with him.

Right, Phoebe, come with me.

I want to stay with my dad!

No, it's OK, we need to step outside while the doctor talks to your dad.

Jack...

I don't think that this chest injury

is the greatest risk to your health at the moment.

I think you are.

All your symptoms, euphoria, hallucinations,

hypertension, dry mouth.

They all indicate that you took an overdose of Ritalin.

I just had it confirmed.

Do you want to talk to me about it?

Jack?

No?

Well, how about I call psych and get you sectioned,

because I've got enough evidence to say you are a risk to yourself

-and maybe to others.

-No, no, no.

Listen, Jack, I am concerned that you meant to take your own life.

What, in front of my own daughter?!

-Why would I do that?

-Can you explain the overdose? Because I can't.

It was a mistake, OK?

Sometimes I'm stupid like that.

-But why were you taking it at all?

-I want to see my dad!

Hang on, hang on. Phoebe, stop it.

Owww!

Phoebe. If we don't listen to the doctor, no-one gets better!

Phoebe. No.

'Staff announcement. Dr Hanna. Telephone call.'

And can somebody switch that damn thing off?!

Charlie?

Can you explain why Rosie Cornwall hasn't been moved to a ward yet

when I believe there was a bed about 20 minutes ago?

I've checked her medication and it seems it is not being used properly.

It looks like he's not giving her enough.

You think he is having trouble with the meds?

She's been brought dangerously close to a DKA...

Again... I say again because that is the second time in two months.

Well, yes, it could have been caused by insufficient insulin...

-although it's more likely a fever.

-Sure. OK.

But when her test results came back, there was no sign of infection.

Which is normally a good thing.

I've checked their notes.

He's been looking after her for two years,

with absolutely no problems.

Then, all of a sudden, after two years,

he starts messing up her medication. Why?

Her dementia's got worse.

You think he's doing this deliberately?

I'm just asking questions...

But hyperglycaemia can just set in.

So can despair. So can desperation.

No, Charlie, it's speculation.

What we do know is that there is a woman

who needs to be in a ward where she can receive specialist treatment.

Oh, yeah. New hobby?

No, no. There was no calls.

Jeff said he will call me if we're needed...

SINGING: "My Secret Love" by Doris Day

You OK?

I was just having a fag, if that's OK with you?

How did you do that? Did you fall over?

No! Did that in the garage!

I couldn't help noticing you got a few other cuts and bruises...

Look, I am fine, OK?

I just think they might need looking at.

I said, I'm fine.

What?

Did that go how you wanted?

Not really, no.

I've been sat here for ten minutes.

And nobody has been in or out.

Don't change the subject. Someone was singing in there.

So, I know you can talk. What else can you do?

Don't tell them, will you?

Oh, Sandra, that is very wicked! Pretending all this time!

Why? People treat me like I'm deaf.

And it means they're a bit less keen to have a go at me.

-You know?

-There are people out there with genuine disabilities!

You won't say anything, will you?

I promise to go to St James' next time?

'Staff announcement.'

Will all security personnel please report to reception?

All security, call reception.

That's an urgent call for security personnel.

End of announcement.

And this year's award for the longest announcement goes to...

The jealous man in the corner.

Jealous!

-Hi. How can I help?

-Is this outpatients?

No, go through those double doors there first on your right.

Thank you

-Where's it gone?

-Where's what gone?

-My head set! I just left it there.

-Why are you making a mess?

-Give it back!

-Give what back?

-Oh, you have stolen it!

-Me? I have just tidied that!

-She wants the toilet. OK?

-A proper toilet.

OK, wait a minute, I'll get you a wheelchair.

No problem, mate, we've got the bike!

Hop on, love.

-Oh, dear!

-You all right, love?

-No, yes, I am fine.

HE IMITATES MOTORBIKE STARTING

He's going senile, I think!

The way I've seen her lash out.

She could kill him one of these days.

This med situation. Do you really think he'll admit it?

So, what do we do?

-Write it up and wait till one of them comes back dead?

-No, no.

Let's at least give social services a call.

-I am sure they can offer some support.

-Good.

Ah, Doc. Sandra.

Wow! She looks...

What? Like a human being?

Cleaner. Excuse me.

Doc, you did take her history?

Of course. Look...

Did you ask her about her rapid weight loss?

No. She failed to mention that.

Perhaps that is because she thought we wouldn't believe her.

Ah, Mac, there you are. Come on, son. We are back on.

OK, hang on a second.

Rapid weight loss, vomiting, flatulence,

and persistent unexplained abdo pain.

-Where was the pain?

-Lower left side.

No history of IBS in any of her old notes.

Could be diverticulitis...

I'll admit her for a scan. OK, I am just going to book you in.

Thank you, Doctor.

I know! Can't quite cure the lame and the blind yet...

but I'm working on it.

Sorry.

Follow me.

'Right, you lot! Hear me now.

'This is a shout going out to my dad.

'He's really been working hard. Harder than any of you lot.

'Perhaps he could get a job here.

'And, yeah, the two lady boss doctors looking after my dad.

'You need to be nicer. You are horrible.

-'Especially the old, witchy one.'

-Less of the old, darling.

'And the other one. She's even worse.

-'The frumpy one.'

-This has to stop.

'And there's only one decent doctor. The Chinese lady.

'It's all right for you. You all have good jobs.

'You can afford decent shoes and big burgers.

-'It's not been easy since my mum died.'

-Bit random.

'My dad, he's the best.

'Go away! You can't get in.'

Phoebe! We need the mic. Phoebe.

'I have already told you.

'This is my favourite song.

'I sing it with my dad in the car.

'# You don't have to feel Like a wasted space

'# You're original... #'

Jack. This is really disruptive. Does she have a phone?

Is there any way we can persuade her...

We have made every effort.

PHOEBE SINGS "Firework" by Katy Perry

Phoebe? Phoebe, it's time to come out, OK?

It's locked from the inside.

Lofty. Phoebe, it's Dr Chao.

You need to open this door now. Everyone is looking for you.

Phoebe!

Guys, don't be too aggressive, she is only ten.

PHOEBE CONTINUES SINGING

Phoebe?

-Where is she then?

-She's gone quiet at least.

She must be out of range.

-Yeah, there's no sign of her.

-OK, let's go and find her.

Fine, we'll have to call psych.

No, no, listen to me!

I didn't try to kill myself.

I wouldn't leave my daughter.

-That's not the man I am.

-So why did you take them?

I used her old prescription.

It gives you focus, right?

It's like a tonne of coffee... only cheaper.

Where on earth did you get that idea from?

It worked for me. Gave me an edge.

How long have you been doing this?

For the last few months. It's been fine.

Clearly!

Apart from this weekend... I needed to be on top of it.

I don't get any sleep some nights with her.

So you thought some old prescription drugs were the answer.

-Look, if I had the answers...

-Resus.

'# Make them go, oh, oh, oh. #'

Theatre's ready.

I'm not going anywhere until you find her.

I wonder what she will do next.

Charlie? Ethan? It's Rosie your patient. Now.

PHOEBE LAUGHS

Right, we have six security men looking for her.

There have been more... on one occasion.

-Really, doesn't it worry you?

-Of course it does.

Look, I don't know what your last hospital trust was like,

but I think there's a lot we can do for Phoebe.

Forget it. We're not going there.

If you deny her condition, you also deny her any help

and how will you cope with that?

Help? Do you know what kind of label ADHD is?

And you know how caring and motherly women are meant to be?

Yeah, forget that. Couple of days with Pheebs, they're gone...

Not all women.

Well, her own mother didn't stick around.

-What?

-You said she was dead.

What else would you tell a six-year-old girl

when her mother just disappears?

For the first week, I told her she'd been taken into hospital...

Then when she didn't come back...

-when it was obvious...

-No!

-Pheebs!

-She's alive?

-Pheebs!

-NO!

-Pheebs!

-NO!

-No, no, sit back.

-NO!

-Pheebs!

Sit back. Where's the oxygen?

Get away from me, you pervert! I'm a married woman.

-I'll tell my Rob on you!

-OK, Rosie.

-Get off me! Police! Help me!

-Leave it! I'll do it.

Leave her alone!

Rosie, love.

It's Rob.

It's me.

-She has pulled out her cannuala.

-We need to get her back to cubicles.

Sweetheart, you go off with them

and they will get you a nice cup of tea, there you go.

There you go, let's take a look at that arm for you.

All right? We've got you.

It's fine, don't fuss.

Well, I thought I would fuss...

So... I've fixed you up with some respite care. Some time off.

I will write some letters to your district nurse and your GP.

You think I've tried to do her in, don't you?

I didn't say that...

But she did ask for honey sandwiches earlier on....

So?

So, giving honey to a diabetic, even a small amount?

And then forgetting her insulin?

I don't want Rosie to die.

But?

But there are days when it's easier to keep her calm.

And I don't give her quite enough.

That's a very, very dangerous game to play.

You think?

Things have to change, Rob.

She will only get worse from now on.

-What's wrong?

-No, no, no, it's all right.

-Oww!

-Rob.

-Help me, please!

-All right, I will get help.

Dr Hanna. My shift is finished...

Is there anything I can do about Phoebe?

I really don't think your intervention improved matters, Lily.

No. We've got half the hospital looking for her.

Why don't you go home? You need to revise for your assessment, OK?

Zoe, she dropped this.

She cannot leave the building! she cannot leave the building!

Rest assured, we are doing everything we can do to find her.

It's all my fault.

Right, what have we got?

This is Rob, collapsed. Early 70s and a smoker.

I suspect he has sustained a blunt trauma

to his back on the left-hand side.

-OK, what is going on?

-It's fine. I got it covered.

His wife attacked him.

-His belly is rigid.

-A bleed?

Let's get on to the surgeons.

He needs to go up to theatre straightaway.

Class 1,

15%...

No, Class 1, 15% blood volume lost, that is ...

750 mls.

Class 1, 15% blood volume lost...

750ml.

Right, let's keep pushing the fluids...

Charlie, can we get two packs of O neg?

Theatre's delayed with a ruptured aneurysm.

-Can't take him for another 20 minutes.

-BP's down to 66.

Rob's heart can't take much more.

I'm guessing it's his spleen.

He is going to bleed out unless we get him to theatre.

He's not going to make it to theatre...

-Right, let's get a general set, please...

-Hang on...

-We need to open him up and find the bleed.

-We can't do that here.

Zoe, I can!

And we have no choice.

Ladies and gentlemen, we're going for a rapid sequence induction.

Zoe? Can you lead? I'm going to scrub up.

We need to open up his abdomen and find a bleed.

PHOEBE SINGS SOFTLY

Phoebe!

LILY TOOTS HER HORN

Phoebe!

What are you doing here? Everyone's looking for you.

-Don't care!

-Where are you going?

Back to where I used to live! Away from him anyway!

He lied about my mum! She is alive!

Wait! Phoebe, look out!

Out of the way! Out of the way!

Phoebe,

your dad loves you very much and he needs you.

I want my mum.

She doesn't want you.

No!

Yes. You see, that's the truth.

And that's why your dad had to lie to you.

Phoebe, sometimes the world doesn't work the way it should.

Your dad was only trying to help you cope with that.

I don't know what happened,

but I know you need your dad and your dad needs you.

I can't find it.

Suction, Charlie.

That's the fifth bag of O neg going through.

Come on, come on! Where are you?

BP still falling.

I can't see a thing.

This is major blood loss.

We're going to lose him if I can't find it.

Cross-matched bloods ready.

It's coming out faster than we can get it in.

Tell me something I don't know.

Yes. Got it. Clamp.

BP's holding.

That should buy us some time.

Can I have a receipt, please? Thanks.

What? What?

Why are you a doctor?

Because you don't seem to like people very much...

-Or, they don't like you.

-You don't have to like someone to help them.

I suppose it's like having children.

You love them, but you can also dislike them.

So you care for money then?

I work for money. I care for nothing. I mean, for free.

I like making people better.

Come on.

I am sorry, I'm afraid he can't have visitors at the moment.

He is just on his way up to theatre.

I did that to him, didn't I?

It wasn't your fault, Rosie.

I will let you know as soon as he is back from theatre, all right?

He's on his way up to you now.

-Lily! Where did you find her?

-Conversation for a later time.

-I will let security know.

-Yes, please.

I am so sorry, Pheebs.

-I didn't want to hurt you.

-I know. Lily said.

Jack, are you ready for us to take you up now?

-Yeah.

-OK.

Come on, Phoebe, let the doctors get your dad ready.

Jack, you can't cope with Phoebe on your own like this.

I won't let social services get between us again...

-They'll just tell me I can't cope.

-You think you can now?

-I'll lose her.

-She nearly lost you.

We all have to accept some help, sometimes,

even if it reflects badly on us.

All that means is some know-it-all calling round

and looking down at me, pills that made her sick...

Made her angry.

ADHD, eh?

Great.

Labelled again.

We all have labels.

Yes, missy! Old and witchy?

Frumpy? Nice?

You're not frumpy...

Actually, you are quite frumpy.

Shut it, you.

-I think I'd like to be a doctor.

-Oh?

-You said you were good with admin?

-Yes. Just leave it on my desk.

You're sure this is OK?

Listen, let's just play to our strengths, eh?

Listen, about earlier, that patient would have almost certainly died.

No, it was your early detection.

Right, I am just on my way upstairs, so...

There are too many bald people in the world.

Lily? We heard you rescued the little girl. It's good work.

Yeah, look, some of us are going to go for a drink later...

so, if you fancied it?

Thank you, but I am going to revise for the trauma assessment.

Yes, course you are!

Lou?

Listen, we heard the terrible news about them taking away

the loud speaker and, um, well...

we made you that!

Thank you.

Right, I've made a few phone calls.

The wheels are in motion.

Oh, good!

Where are we going next, Rob?

-Thanks, love.

-Cheers, mate.

-What can I get you, Fletch?

-No, give it a moment.

Go on, go on!

Get in there! Yes! Go on! All right, who wants a drink?

-You're a bit late now, son!

-Thanks, love!

Couldn't you have won that five minutes ago?

-Then you just decided to celebrate!

-Perfect timing then!