0:00:03 > 0:00:04Nice shoes. I noticed them
0:00:04 > 0:00:06when you were walking upstairs in front of me.
0:00:06 > 0:00:08I don't believe that if you were walking upstairs behind me
0:00:08 > 0:00:10you'd be looking at my shoes.
0:00:10 > 0:00:12No, we need to open him up and find the bleed. We can't do that.
0:00:12 > 0:00:13Zoe, I can.
0:00:13 > 0:00:16Things aren't any better with the others.
0:00:16 > 0:00:18To know would be to care.
0:00:18 > 0:00:21I believe you're edging closer to that advanced trauma nursing course.
0:00:21 > 0:00:25If you need any help with it, you can always ask me. Any time.
0:00:25 > 0:00:27Oh, Dr Hanna, this is my patient and I must disagree.
0:00:27 > 0:00:30And, Connie, this is my department, my responsibility.
0:01:07 > 0:01:09Guys, look, I wrote "freak".
0:01:11 > 0:01:12Shall we feed the freak, then?
0:01:18 > 0:01:20THEY GIGGLE
0:01:20 > 0:01:22Big deal. Uh...Laura!
0:01:22 > 0:01:24Where are you going?
0:01:24 > 0:01:26WHEEZING
0:01:26 > 0:01:29If you're so hard, why don't you go in there?
0:01:29 > 0:01:31Why don't you?
0:01:40 > 0:01:41Go on.
0:01:41 > 0:01:44I dare you to go in there and get a photo of him.
0:01:44 > 0:01:45On what?
0:01:46 > 0:01:48Use my phone.
0:01:48 > 0:01:50Are you actually going to do it?
0:01:50 > 0:01:52Yeah! I'm not afraid of the freakish freak.
0:01:52 > 0:01:54WHEEZING
0:01:54 > 0:01:56Taking a photo of the freak! Yeah, of the freak!
0:01:59 > 0:02:01Go on. Go in.
0:02:03 > 0:02:04All right.
0:02:07 > 0:02:10She's going to do it! She's actually going to do it! Come on!
0:02:33 > 0:02:36KNOCKING AT WINDOW
0:02:43 > 0:02:44Ah, cool.
0:02:47 > 0:02:50'We've got a dog bite in cubicles that's up to three hours.'
0:02:50 > 0:02:53Mm... Welder with spatter in his eyes...
0:02:53 > 0:02:57elderly lady with a suspected fractured hip,
0:02:57 > 0:02:59and a teenager with abdo pains.
0:02:59 > 0:03:01Right. Ah, Cal? Welder, cubicle two.
0:03:01 > 0:03:04Ah, no can do. I'm doing the trauma course assessments with Tess.
0:03:04 > 0:03:05Ah, since when?
0:03:05 > 0:03:07I called to let you know.
0:03:07 > 0:03:09Oh, my phone was switched off in the meeting. OK.
0:03:09 > 0:03:10Let's get started.
0:03:10 > 0:03:13Right, I'll deal with the welder. Erm, Ethan,
0:03:13 > 0:03:16can you make a little old lady's day a bit better?
0:03:16 > 0:03:17I will do my best.
0:03:17 > 0:03:19Thank you. And, Connie, abdo pains in four.
0:03:19 > 0:03:21Oh! Remind me to book you onto that trauma course.
0:03:21 > 0:03:24Oh, no need. I did the trauma course in the States.
0:03:24 > 0:03:26But this is England.
0:03:29 > 0:03:31CLOCK CHIMES
0:03:44 > 0:03:47GIRLS GIGGLE OUTSIDE
0:04:27 > 0:04:30THUMPING
0:04:38 > 0:04:40WHEEZING
0:04:48 > 0:04:50Oh!
0:04:50 > 0:04:52What are you doing? Give me that!
0:04:52 > 0:04:54SHE SCREAMS
0:05:00 > 0:05:02WHEEZING
0:05:07 > 0:05:10GLASS SMASHES
0:05:40 > 0:05:42Wait! What are you doing?
0:05:42 > 0:05:44ENGINE STARTS
0:05:45 > 0:05:48Just wait. Please. No, look, just wait.
0:05:51 > 0:05:54Get in the house. I said, get in!
0:05:59 > 0:06:01TYRES SCREECH
0:06:18 > 0:06:213006 to Control, patient's been treated at scene. Over.
0:06:21 > 0:06:23Did you see that letter I left on your desk?
0:06:23 > 0:06:25Yeah... Yeah, I did, thanks.
0:06:25 > 0:06:28Planning on having a bit of a holiday, are you?
0:06:28 > 0:06:29What, leave you to fend for yourself?
0:06:29 > 0:06:31No, I thought I might come with you.
0:06:31 > 0:06:35We can't both take leave at the same time, Jeff, you know that.
0:06:36 > 0:06:38Whoa!
0:06:38 > 0:06:42You're having a laugh. What's this, the Gumball Rally, or something?
0:06:50 > 0:06:52Oh, no... No, no, no, no, no.
0:06:52 > 0:06:563006 to Control, we've come across an RTC at Junction 5 on the A408.
0:06:56 > 0:06:58Looks like a single guy on a motorbike.
0:06:58 > 0:07:01No other casualties involved.
0:07:01 > 0:07:03Had to happen, didn't it? Had to happen!
0:07:03 > 0:07:05Can you book us on the scene and inform the police, please, over?
0:07:05 > 0:07:08OK, don't move, don't move, I'm Jeff, I'm a paramedic.
0:07:08 > 0:07:09Hello, love, can you hear me?
0:07:09 > 0:07:12I'm just going to lift your visor up, all right?
0:07:12 > 0:07:14He must have been doing at least 70. Whoa, whoa, whoa, whoa!
0:07:14 > 0:07:16OK... What's he playing at?
0:07:16 > 0:07:18Oh, he's only a kid, Jeff.
0:07:18 > 0:07:21All right, love, can you tell me your name and how old you are?
0:07:21 > 0:07:24Right, we need to get this lid off, don't we?
0:07:24 > 0:07:25Hey, mate! Do you know who he is?
0:07:27 > 0:07:29What? No, stay still, stay still!
0:07:29 > 0:07:30OK. Stay still, you've had an accident.
0:07:30 > 0:07:33It's all right, you've been in an accident.
0:07:33 > 0:07:36I'm Dixie, I'm a paramedic. Can you tell me your name? Ah! My leg!
0:07:36 > 0:07:38OK. I know.
0:07:38 > 0:07:40Just stay nice and still for me
0:07:40 > 0:07:42and we're going to get you into the ambulance
0:07:42 > 0:07:45and get you to the hospital as quick as we can, all right?
0:07:45 > 0:07:47Right, we've got a male, about 20 years old,
0:07:47 > 0:07:49came off a motorbike about 70 miles an hour,
0:07:49 > 0:07:53he was briefly KO'd at scene with a GCS of 8, query fractured
0:07:53 > 0:07:55pelvis, he's got a compound fracture to his left tib and fib.
0:07:55 > 0:07:57Which one, please? Thank you.
0:07:57 > 0:08:01GCS is now 15, his pulse is 95, his BP is 110 over 80,
0:08:01 > 0:08:04sats are 96 on O2.
0:08:04 > 0:08:08He's had Entonox, 10 of morphine and 500 of saline.
0:08:08 > 0:08:12OK, let's get him across, please, nice and gently, OK?
0:08:12 > 0:08:15On three - one, two three!
0:08:15 > 0:08:18OK, here we go. HE SCREAMS
0:08:18 > 0:08:20OK, try not to move.
0:08:20 > 0:08:21Dixie, have you got a name?
0:08:21 > 0:08:23He hasn't said.
0:08:23 > 0:08:25Hello, I'm Dr Hanna, this is Mrs Beauchamp,
0:08:25 > 0:08:27we're going to be looking after you. Can you tell me your name?
0:08:27 > 0:08:29Everything hurts!
0:08:29 > 0:08:33Yeah, well, we'll sort that out but it would be best if I knew who I was speaking to first.
0:08:33 > 0:08:36Is there anyone we can contact for you? Girlfriend or a parent?
0:08:36 > 0:08:38No. My dad's in America, working...
0:08:38 > 0:08:40Right. Anyone else?
0:08:40 > 0:08:42No. Aaah! There was a bloke at the scene.
0:08:42 > 0:08:44I think he knew him. You, shut it!
0:08:44 > 0:08:46Hey! It's not really in her repertoire, pal.
0:08:46 > 0:08:51All right, no sign of chest injury, good air intake throughout.
0:08:51 > 0:08:53Pulse 80 regular, BP cuff just inflating.
0:08:53 > 0:08:55OK. Full trauma CT, please.
0:08:55 > 0:08:57All right. When we get the results, let's prioritise the leg.
0:08:57 > 0:09:00I agree. We'll get the Orthopods down once I've seen the films
0:09:00 > 0:09:01and I know his pelvis is stable.
0:09:01 > 0:09:03Do you need anything else, Zoe?
0:09:03 > 0:09:05No. I'm all right. Thanks, Jeff.
0:09:07 > 0:09:08OK.
0:09:11 > 0:09:13Bet you anything that bike didn't belong to him.
0:09:13 > 0:09:14How did you work that out, Miss Marple?
0:09:14 > 0:09:17Well, he had no proper riding gear on, did he?
0:09:17 > 0:09:18He had a helmet on.
0:09:18 > 0:09:21Yeah. But...could've been with the bike when he stole it.
0:09:21 > 0:09:23We should tell the police that that bloke was trying to
0:09:23 > 0:09:25run him off the road. Yeah.
0:09:25 > 0:09:28Right. I'm clear. Where would you like me?
0:09:28 > 0:09:31RADIO: 'Holby Control to 3006. Are you clear for emergency call?
0:09:31 > 0:09:34'Female patient, no details. 19 Elizabeth Street. Over.'
0:09:34 > 0:09:383006, received and on our way. Over.
0:09:38 > 0:09:40Police are going to have to wait. After you, gentlemen.
0:09:40 > 0:09:44OK. Allow me. Airway's clear. Breathing's equal but shallow. She's not shifting much air.
0:09:44 > 0:09:46Don't forget, if the patient needs resuscitating due to
0:09:46 > 0:09:49blood loss... Yeah, I know. Erm... Right.
0:09:49 > 0:09:51She needs fluids and we need to get blood in
0:09:51 > 0:09:53until we find out where she's bleeding from. Good.
0:09:53 > 0:09:56And be confident in how many units you order.
0:09:56 > 0:09:57Can I get two units of O neg
0:09:57 > 0:10:00and can I get two large-bore peripheral lines in, please?
0:10:00 > 0:10:03How about log-rolling me to find out where I'm bleeding from?
0:10:03 > 0:10:04She's still bleeding heavily.
0:10:05 > 0:10:08OK. Erm... Can we call for the rest of the bloods, please?
0:10:08 > 0:10:12Robyn, you might want to cross-match that first. And you might want to stop putting me off!
0:10:15 > 0:10:16Lily? We're ready for you.
0:10:16 > 0:10:18And if the rest of you would like to get back to work.
0:10:18 > 0:10:20Odd time to be tested.
0:10:20 > 0:10:24People still get sick after hours, Max. That's why we have a night shift.
0:10:25 > 0:10:27Don't look so worried. You'll ace it, all right?
0:10:30 > 0:10:32SIREN BLARES
0:10:48 > 0:10:50HE KNOCKS ON DOOR
0:10:50 > 0:10:53Hello. Ambulance service!
0:10:54 > 0:10:57It's very quiet and dark, shall I have a look round the back?
0:10:57 > 0:10:59Yeah. This better not be a prank.
0:11:01 > 0:11:03Everything all right?
0:11:03 > 0:11:05Yeah. Yeah. I found this in the ambo.
0:11:05 > 0:11:08Gotta be our kid from the RTC.
0:11:08 > 0:11:10You need to hand that in to the Old Bill
0:11:10 > 0:11:11when we get back to the ED.
0:11:11 > 0:11:14Their problem now, isn't it? Yeah.
0:11:14 > 0:11:18Hello?! There... There was a window open round the back.
0:11:18 > 0:11:21There's nobody down here, I think they must be upstairs, but, erm...
0:11:21 > 0:11:23Well, there's no lights either.
0:11:25 > 0:11:28Hello? Paramedics!
0:11:28 > 0:11:30Ambulance service!
0:11:32 > 0:11:36Here we go, Jeff. Hello, darling.
0:11:36 > 0:11:39My name is Dixie, I'm a paramedic, what's yours?
0:11:40 > 0:11:42Is anyone else here with you?
0:11:42 > 0:11:44I don't know.
0:11:44 > 0:11:47OK. You just stay nice and still, don't move.
0:11:47 > 0:11:49Your head's bleeding, love.
0:11:50 > 0:11:52Lights not happening.
0:11:52 > 0:11:56Right, we're going to take you into hospital and get you checked over.
0:11:56 > 0:11:58THUMPING
0:11:58 > 0:11:59What was that?
0:11:59 > 0:12:01I don't know. I'll go and have a look.
0:12:01 > 0:12:04You stay here. OK.
0:12:04 > 0:12:06Mac, with me, please. Yep.
0:12:08 > 0:12:10All right, darling...
0:12:14 > 0:12:17Can you try the light for me, please? Yep.
0:12:17 > 0:12:18Nope.
0:12:22 > 0:12:26WHEEZING Bloody hell.
0:12:27 > 0:12:28OK. Erm...
0:12:29 > 0:12:33You all right there, mate? Ah, Zoe, the, erm... They've just come through.
0:12:33 > 0:12:36No intra-thoracic or intra-abdominal injury
0:12:36 > 0:12:38and we've cleared his neck radiologically.
0:12:38 > 0:12:41He has an open book pelvic fracture but it's stable.
0:12:41 > 0:12:43OK, let's fix the pelvic sling and keep it that way.
0:12:43 > 0:12:46He's more alert so I've asked Orthopods to come down to talk to him.
0:12:46 > 0:12:48That was my call.
0:12:48 > 0:12:50Ah...you said go ahead once we got the films.
0:12:50 > 0:12:52No, I wanted to be there.
0:12:52 > 0:12:53Well, that wasn't clear.
0:12:53 > 0:12:57There's a strong possibility that young man is facing amputation.
0:12:57 > 0:12:59What he needs is a bit of sensitivity.
0:12:59 > 0:13:01And you don't think I can do that?
0:13:01 > 0:13:04No, what I think is that he needs continuity of care
0:13:04 > 0:13:07and a clear sense of who is in charge and who's taking care of him.
0:13:13 > 0:13:17Is she your daughter? Well, do you know her?
0:13:17 > 0:13:18No. No. Is she all right?
0:13:18 > 0:13:20Barely conscious.
0:13:20 > 0:13:22Well, stop wasting time! Take her and go.
0:13:22 > 0:13:27Yeah, yeah, we will do, mate. We just need to find out what's happened here tonight. Nothing.
0:13:27 > 0:13:29But if you don't know who she is, what's she doing in your house?
0:13:29 > 0:13:31Well, ask her. She let herself in.
0:13:31 > 0:13:33HE WHEEZES
0:13:33 > 0:13:36You're asthmatic, aren't you? Right, where's your inhaler?
0:13:36 > 0:13:38All right...
0:13:38 > 0:13:41Just tell me where it is, mate, I'll find it for you, OK?
0:13:41 > 0:13:43Jeff? What's going on, mate?
0:13:43 > 0:13:44OK, easy, easy...
0:13:44 > 0:13:47Mac, can you get some oxygen, please, and grab a sats monitor?
0:13:47 > 0:13:49Listen, do you have any medical condition
0:13:49 > 0:13:52I should know about? Problems with the old jam tart? Jeffrey.
0:13:52 > 0:13:54I just want to be left alone! Everyone go!
0:13:54 > 0:13:57Mac, you're going to have to go with Dixie and take the girl in.
0:13:57 > 0:13:59He needs to come in as well. How are we going to do that, Jeff?
0:13:59 > 0:14:02You're going to call for a bariatric ambulance, OK, and the fire service.
0:14:02 > 0:14:05Go. Right, mate, nice, easy breaths on this for me,
0:14:05 > 0:14:07hold it in your hand. That's it - nice, easy breaths.
0:14:07 > 0:14:10Did you want to keep any of these?
0:14:10 > 0:14:13Nah. That's what Dad's credit card is for.
0:14:13 > 0:14:15And does Dad have a name?
0:14:15 > 0:14:17Mr Timberlake.
0:14:17 > 0:14:19And you are...? Justin.
0:14:19 > 0:14:23Well, maybe you can sing us a song later on.
0:14:23 > 0:14:25But for now, I really would like to know who I'm talking to.
0:14:30 > 0:14:33You have a very serious leg injury.
0:14:33 > 0:14:35I'm not sure you realise just how serious.
0:14:35 > 0:14:39The orthopaedic surgeons will be coming down to talk to you shortly,
0:14:39 > 0:14:41because it's not something we can deal with here.
0:14:41 > 0:14:44You're going to need skin grafts and an operation.
0:14:46 > 0:14:48Possibly more than one.
0:14:48 > 0:14:50They're going to try to realign the fractures in your leg.
0:14:50 > 0:14:52And they may use external fixators,
0:14:52 > 0:14:55which is when they put pins in the outside of your leg to try
0:14:55 > 0:14:58and hold it in place to see if it heals.
0:14:58 > 0:14:59Cool...
0:15:00 > 0:15:01It will take months.
0:15:02 > 0:15:05Well, you reckon I'll have a limp?
0:15:05 > 0:15:07Best-case scenario, yes.
0:15:09 > 0:15:11Best-case...?
0:15:11 > 0:15:12Mmm.
0:15:15 > 0:15:18What? You're not going to hack my leg off, are you?
0:15:18 > 0:15:20I'm afraid that it is a possibility.
0:15:23 > 0:15:26Why don't you tell us your name? Hm?
0:15:26 > 0:15:27Nah. You're wrong.
0:15:27 > 0:15:29Time is of the essence here.
0:15:29 > 0:15:32This is a lot to take on. Are there any questions?
0:15:35 > 0:15:39Nobody's touching my leg. Leave me alone!
0:15:40 > 0:15:41Let's give him a moment.
0:15:48 > 0:15:52All right, Jim, we're about ready to move you now, mate, OK?
0:15:52 > 0:15:54We'll do it as quickly and efficiently as we can, OK,
0:15:54 > 0:15:56I promise.
0:15:56 > 0:16:02OK. Everybody ready. We're going to lift him up. Ready? Brace and lift.
0:16:02 > 0:16:04HE MOANS OK, slowly...
0:16:04 > 0:16:07Stop, stop, stop. Get your breath, mate. Everyone OK?
0:16:07 > 0:16:11All right, let's begin. Ready, brace and lift.
0:16:11 > 0:16:14OK, Jim, well done, well done, mate.
0:16:14 > 0:16:16I can manage, I can manage. You got him? Can you manage?
0:16:16 > 0:16:20Yeah. OK, OK, everybody step back, give him a bit of room.
0:16:20 > 0:16:23Nice and slowly...
0:16:23 > 0:16:25OK, I've got you. All right, Jim,
0:16:25 > 0:16:28we're going to move you over to the bed, nice small steps for me, OK?
0:16:28 > 0:16:31Take your time. And just nice, easy breaths as well, mate, please.
0:16:36 > 0:16:39Now we're going to have you sat down on the bed now, mate, OK?
0:16:39 > 0:16:42Nice and slowly, Jim, One, two...
0:16:42 > 0:16:45HE MOANS
0:16:45 > 0:16:47Well done, well done...
0:16:47 > 0:16:49All right, take a breather, take a breather...
0:16:49 > 0:16:51Now, Jim, you're not going to like this bit.
0:16:51 > 0:16:53We have to lie you down now... What?
0:16:53 > 0:16:55OK? We'll be as quick as we can.
0:16:55 > 0:16:58Let's have him down then, please, OK, easy, gently...
0:16:59 > 0:17:01There we go, mate, look at me, look at me...
0:17:01 > 0:17:04Well done, eh? Hard work's over.
0:17:04 > 0:17:07We're going to get ready to move you out now, mate. Well done.
0:17:07 > 0:17:09How are you feeling, all right?
0:17:09 > 0:17:10Tiptop.
0:17:10 > 0:17:12OK.
0:17:12 > 0:17:15They're just going to clip you up
0:17:15 > 0:17:17and we'll move you towards the window.
0:17:17 > 0:17:19You're doing really well, mate.
0:17:19 > 0:17:21We're going to lift him. The command is going to be
0:17:21 > 0:17:23"ready, brace and lift", all right?
0:17:23 > 0:17:27When I say "lift". Ready? Brace...and lift.
0:17:27 > 0:17:31And down for me, down! One more time! OK. One more.
0:17:31 > 0:17:36Ready. Brace. And lift. Very good, well done, well done...
0:17:38 > 0:17:41All right, clip him on, let me know when you're ready.
0:17:42 > 0:17:46OK, I'm just going to climb over, be with you in a second, mate.
0:17:46 > 0:17:49You've got my arm, yeah? OK, that's it, OK, lovely.
0:17:49 > 0:17:54Here. Nice one, OK, ready when you are. Thank you.
0:17:54 > 0:17:58How are you doing, Jim, OK? You're doing really well, mate.
0:18:01 > 0:18:03Picked a lovely night for it, didn't we?
0:18:05 > 0:18:09Nothing to worry about now, mate, except a few nosy neighbours.
0:18:10 > 0:18:13They'll get tired and they'll go back to their tellies.
0:18:13 > 0:18:16The lady I live with, she says I watch too much sport on the TV.
0:18:16 > 0:18:18Do you like sport? Do you follow football at all?
0:18:18 > 0:18:21No? No team? Just as well, really.
0:18:21 > 0:18:24I wouldn't want to fall out with you.
0:18:24 > 0:18:25Not from up here, anyway.
0:18:29 > 0:18:31Stop fussing, would you?
0:18:31 > 0:18:33It's all right, Tash. I'll handle this.
0:18:37 > 0:18:40We found your wallet and ID in the ambulance, Leo.
0:18:40 > 0:18:41So hand it over.
0:18:41 > 0:18:42The police have got it.
0:18:42 > 0:18:44Nice one.
0:18:44 > 0:18:46They know the bike wasn't yours.
0:18:46 > 0:18:47Got what I deserved, then, didn't I?
0:18:47 > 0:18:49I don't make judgments like that.
0:18:49 > 0:18:52I know the bloke in the car was after you.
0:18:52 > 0:18:54I showed him. How?
0:18:54 > 0:18:55Bike's a write-off, isn't it?
0:18:55 > 0:18:56Do you know him?
0:18:59 > 0:19:02You shouldn't be dealing with this on your own.
0:19:02 > 0:19:05Are you sure there's nobody we can call for you? Is Mum around?
0:19:05 > 0:19:07No, I already told you she isn't.
0:19:07 > 0:19:10What about your dad? Surely he will want to come back from the States?
0:19:10 > 0:19:13When he finds out what's happened, he's going to sue.
0:19:13 > 0:19:15No-one's been negligent, Leo. You've had an accident.
0:19:15 > 0:19:18You need an operation.
0:19:18 > 0:19:20I'd rather die than lose my leg.
0:19:20 > 0:19:22I didn't bring you in here for that.
0:19:22 > 0:19:24Everything all right?
0:19:24 > 0:19:31Yeah, I am just leaving. Mrs Beauchamp, this is Leo Wren.
0:19:33 > 0:19:35Well done.
0:19:35 > 0:19:38We're down now, Jim, we are down now, mate.
0:19:40 > 0:19:43OK, well done, everybody, thank you. Next stop, Holby ED.
0:19:43 > 0:19:46Listen, I want to get him sat up as quickly as we can
0:19:46 > 0:19:48when he's on the stretcher, all right?
0:19:48 > 0:19:50OK, thanks.
0:19:50 > 0:19:53How did your talk with the orthopaedic surgeon go?
0:19:56 > 0:19:59Ah, Zoe, meet Leo.
0:19:59 > 0:20:01Leo.
0:20:01 > 0:20:03The distal perfusion is still poor.
0:20:04 > 0:20:07Leo, that means the blood isn't getting to this part of the leg.
0:20:07 > 0:20:08You're lying.
0:20:08 > 0:20:10No. She's not.
0:20:10 > 0:20:11Do something about it, then.
0:20:11 > 0:20:14If you agree to surgery, we've got a chance of saving it.
0:20:14 > 0:20:17I said no and I mean no.
0:20:17 > 0:20:19You put me under and I've got no choice.
0:20:19 > 0:20:21There must be something else you can do.
0:20:21 > 0:20:23We could pull the leg, put it in a back slab,
0:20:23 > 0:20:25that could improve the distal circulation.
0:20:25 > 0:20:27Whatever it is, just do it.
0:20:27 > 0:20:29OK, can we stand by with a back slab, please?
0:20:29 > 0:20:33Natasha, I need your help. The extra morphine should have kicked in by now.
0:20:33 > 0:20:35It may still hurt, though, Leo.
0:20:35 > 0:20:36OK, just get on with it.
0:20:36 > 0:20:41OK, on my count. One, two, three...
0:20:41 > 0:20:44HE SCREAMS Anything?
0:20:48 > 0:20:49No pulse at all.
0:20:49 > 0:20:52Can you hold him still, please?
0:20:52 > 0:20:54We are going to have to go again.
0:20:54 > 0:21:00No! Get in there. On my count... One, two, three.
0:21:00 > 0:21:02HE SCREAMS
0:21:02 > 0:21:04Well done. Well done, Leo.
0:21:08 > 0:21:09Yeah?
0:21:09 > 0:21:10Just.
0:21:10 > 0:21:13Can we hold off on the back slab until we have stabilised him?
0:21:16 > 0:21:19All right, well done. Well done, that is an improvement.
0:21:22 > 0:21:23Right.
0:21:23 > 0:21:26Dr Knight-In-Shining-Armour keeping you waiting, is he?
0:21:26 > 0:21:29I haven't been called for my assessment yet, no.
0:21:29 > 0:21:30Good luck.
0:21:30 > 0:21:31Thank you.
0:21:32 > 0:21:35Robyn, aren't you going to ask me how my moulage went?
0:21:35 > 0:21:37Go on, then. How did it go?
0:21:37 > 0:21:39It was brilliant.
0:21:42 > 0:21:46I'm starting to wish I'd never even signed up for this course now.
0:21:46 > 0:21:50Yes, madam? If you take a seat, someone will call your name.
0:21:50 > 0:21:52Thank you. Yes, sir? How can I help?
0:21:52 > 0:21:54I just wanted to check on a patient. Leo Wren?
0:21:54 > 0:21:56I think he was brought in earlier.
0:21:56 > 0:21:58Are you a relative?
0:21:58 > 0:22:00Can I help? I'm the paramedic who brought him in.
0:22:00 > 0:22:02Do you remember?
0:22:02 > 0:22:04Yeah. I just want to check how he is.
0:22:04 > 0:22:06Right, and you are?
0:22:07 > 0:22:10Andrew Jarman. I'm his father.
0:22:10 > 0:22:14Leo says his father's on business in America.
0:22:14 > 0:22:16He's said worse in the past.
0:22:16 > 0:22:19So what kind of dad drives off when his son could be dying, eh?
0:22:19 > 0:22:21Did he make it?
0:22:21 > 0:22:23Just. You practically chased him off the road.
0:22:23 > 0:22:25He trashed my house, he stole my bike.
0:22:25 > 0:22:28Two days ago, he threatened my pregnant wife.
0:22:28 > 0:22:30Better luck with your next child, eh?
0:22:30 > 0:22:34You don't know anything. All right. Do you want me to call security, Dixie?
0:22:34 > 0:22:37No, no, it's fine. You all right?
0:22:37 > 0:22:38Yeah, cool.
0:22:38 > 0:22:39Jeff, what do we have?
0:22:39 > 0:22:41This is Jim Marshall. 38 years old.
0:22:41 > 0:22:44Jim has severe breathing difficulties, also developed
0:22:44 > 0:22:47a bit of a wheeze, which has responded to a Salbutamol nebuliser.
0:22:47 > 0:22:49His legs are extremely oedematous
0:22:49 > 0:22:51and the ulcers on his leg will need attention.
0:22:51 > 0:22:54Resps 30, pulse 100, BP's 180 over 110.
0:22:54 > 0:22:56Right, Jim, nearly there, mate.
0:22:56 > 0:23:00OK, can we stop, please? Mr Marshall, I'm Dr Chao.
0:23:00 > 0:23:03I'm fascinated to find out how you got to this size.
0:23:03 > 0:23:06You must be...what? 34, 35 stone?
0:23:07 > 0:23:09I don't know.
0:23:09 > 0:23:12OK, boys, I think we can manage from here. Cheers.
0:23:12 > 0:23:14Let's get you through, shall we?
0:23:14 > 0:23:17Don't worry, Mr Marshall, we've got a nice, quiet cubicle lined up for you.
0:23:17 > 0:23:19For my benefit or others'?
0:23:22 > 0:23:23It's rude to stare.
0:23:26 > 0:23:28Whoa, rest, rest, rest.
0:23:28 > 0:23:31If you are uncomfortable, just say. We are going to rock you up
0:23:31 > 0:23:33and we are going to lift you across on three.
0:23:33 > 0:23:36So let's do it, let's rock him up, one, two, three...
0:23:38 > 0:23:41Jim, can you turn around towards me? OK, got him?
0:23:41 > 0:23:45Keep going. And we are going back to the bed, me old son, all right?
0:23:45 > 0:23:47That's it.
0:23:51 > 0:23:54Let's move the legs.
0:23:54 > 0:23:56Try and swing you round this time.
0:23:56 > 0:23:58Let's go for it.
0:23:58 > 0:24:00THEY STRAIN
0:24:02 > 0:24:05Well done, well done, Jim.
0:24:05 > 0:24:07Jim, do you want to put the gown on or...?
0:24:07 > 0:24:08I'm not putting that on.
0:24:08 > 0:24:13Let's get him another nebuliser and 40 of Prendisolone, please?
0:24:13 > 0:24:17Jim, I am just going to have a listen to your chest, all right?
0:24:18 > 0:24:20Jeff, didn't you put a line in?
0:24:20 > 0:24:24Yeah, we had a go, but we had a few other things going on at the time, to be fair.
0:24:24 > 0:24:27HE WHEEZES
0:24:27 > 0:24:31I think you may have a chest infection as well as the asthma.
0:24:31 > 0:24:34We'll get an X-ray as soon as the asthma is under control.
0:24:34 > 0:24:37We'll pop by and see you later on, OK?
0:24:39 > 0:24:41Rita, can you also get a line in, please?
0:24:41 > 0:24:43Erm...yes.
0:24:43 > 0:24:46The girl? Is she OK?
0:24:46 > 0:24:48Yeah, she's being looked after.
0:24:48 > 0:24:50We are just going to concentrate on you now, Jim, OK?
0:24:51 > 0:24:54Martha? How are you feeling?
0:24:54 > 0:24:56All your tests are done now, all right?
0:24:56 > 0:24:58We're going to make you a little more comfortable
0:24:58 > 0:25:00and take this nasty old collar off, OK?
0:25:00 > 0:25:03No, get away! Leave me alone. Get him off me.
0:25:05 > 0:25:07Social services?
0:25:12 > 0:25:15I'm so sorry, Jim. I can't seem to find a vein.
0:25:15 > 0:25:17I'll do it. It's fine...
0:25:17 > 0:25:19But... I'm fine, Lily.
0:25:26 > 0:25:28How long have the sores been like this?
0:25:29 > 0:25:31Get in.
0:25:32 > 0:25:35I've been treating the ones I could reach.
0:25:35 > 0:25:38Not well enough. They're infected. I'll do some swabs.
0:25:38 > 0:25:40You'll need antibiotics. Excuse me.
0:25:40 > 0:25:42You need a larger one, that's never going to fit.
0:25:42 > 0:25:44Aware of that.
0:25:44 > 0:25:48I understand you're not registered with a doctor?
0:25:48 > 0:25:51How has a man with your problems managed to slip through the system?
0:25:51 > 0:25:53I didn't ask to come in here today.
0:25:53 > 0:25:56If my breathing's OK, I want to go home.
0:25:56 > 0:25:58I can take my antibiotics from there.
0:25:58 > 0:26:01I think they have boarded your house up now.
0:26:01 > 0:26:04May as well stay with us overnight, OK?
0:26:04 > 0:26:07Rita, FBC, U and E, LFT and glucose first round.
0:26:13 > 0:26:15Excuse me. The police need a word with Mr Marshall.
0:26:15 > 0:26:17OK. All right.
0:26:25 > 0:26:29Did they tell you? They've gone and made my leg worse.
0:26:31 > 0:26:33I'm no expert, Leo.
0:26:33 > 0:26:34But I do know that Dr Hanna
0:26:34 > 0:26:37and Mrs Beauchamp are doing their best to save your leg.
0:26:37 > 0:26:41Nah. They only want to move the problem on.
0:26:41 > 0:26:43Nobody here works like that.
0:26:43 > 0:26:46When my dad comes back, he is going to...
0:26:46 > 0:26:50I met your dad, Andrew. He's a nice bloke.
0:26:52 > 0:26:53What was he doing here?
0:26:53 > 0:26:59Not sure. There's a million and one bikes out there.
0:26:59 > 0:27:00Why steal his?
0:27:00 > 0:27:02Why not?!
0:27:02 > 0:27:03What was the plan?
0:27:04 > 0:27:10Don't know. Take off around Europe. Pick up some work.
0:27:11 > 0:27:12Maybe some girls.
0:27:12 > 0:27:14Sounds like a good plan to me.
0:27:14 > 0:27:16The travel or the girls?
0:27:16 > 0:27:17Maybe both.
0:27:19 > 0:27:24Who's going to be interested in a one-legged petrolhead with a death wish, anyway?
0:27:25 > 0:27:28With a face like that and your scintillating small talk,
0:27:28 > 0:27:31I'd say being one-legged is the least of your worries.
0:27:31 > 0:27:33This is serious, Leo.
0:27:37 > 0:27:38Yeah, I know.
0:27:41 > 0:27:44Hello. This is Tina Conolly, Martha's mum. This is Dr Hardy.
0:27:44 > 0:27:45This is Angela.
0:27:45 > 0:27:47I'm here. I'm here.
0:27:47 > 0:27:50We just went out for some chips.
0:27:50 > 0:27:53Is she all right? Physically, all her tests are fine.
0:27:53 > 0:27:54She has sprained her wrist
0:27:54 > 0:27:57and was concussed for a time, she's been very lucky.
0:27:59 > 0:28:01Why...why were you in that weirdo's house?
0:28:01 > 0:28:05He made us. We were so scared.
0:28:06 > 0:28:09I believe the police are talking to the owner of the house now.
0:28:09 > 0:28:11He was brought in after Martha.
0:28:11 > 0:28:13He's here? Why?
0:28:13 > 0:28:15He's in a different part of the hospital.
0:28:15 > 0:28:17The police will want to talk to Martha
0:28:17 > 0:28:18when she's feeling a bit better.
0:28:18 > 0:28:20I don't want to talk to them.
0:28:20 > 0:28:23Mum, I just want to get dressed and go home.
0:28:23 > 0:28:25What happened in that house tonight?
0:28:26 > 0:28:29It was awful. I don't want to talk about it.
0:28:30 > 0:28:31He didn't hurt you, did he?
0:28:34 > 0:28:38I tried to get away but he chased me down the stairs.
0:28:40 > 0:28:43Your blood sugar is significantly raised, Mr Marshall.
0:28:43 > 0:28:46It looks like you've given yourself diabetes.
0:28:46 > 0:28:48I think you know you only have yourself to blame.
0:28:50 > 0:28:53Perhaps a chat with our dietician would help.
0:28:53 > 0:28:55A social worker, if you're not coping.
0:28:57 > 0:28:59How do you get your food, Jim?
0:29:00 > 0:29:02Internet. Takeaways.
0:29:02 > 0:29:05I have an arrangement with the delivery people.
0:29:05 > 0:29:07I buzz them in. They bring the food up.
0:29:07 > 0:29:08Mr Marshall,
0:29:08 > 0:29:12you are morbidly obese. You need to adjust your diet otherwise
0:29:12 > 0:29:15you're slowly eating yourself to death.
0:29:15 > 0:29:17Can I have a word, Lily?
0:29:24 > 0:29:26He's not a naughty child.
0:29:26 > 0:29:27No.
0:29:27 > 0:29:31He's a naughty adult who cheats and lies to himself about his condition.
0:29:31 > 0:29:34I can do all the tests in the world but if he isn't prepared to do the
0:29:34 > 0:29:38hard work then that's just a waste of my time and the NHS resources.
0:29:39 > 0:29:42I don't think we should make any judgments about this man
0:29:42 > 0:29:43until we know his full story.
0:29:43 > 0:29:47If you're talking about the questions the police were asking,
0:29:47 > 0:29:50I'm not interested. He's a patient to me, nothing more.
0:29:50 > 0:29:53Tip-toeing around him is probably half the reason he is the way he is.
0:29:53 > 0:29:55If we can't tell it to him straight, who will?
0:29:55 > 0:29:58He's not going to change just because you tell him to.
0:29:58 > 0:30:01Any more than you would if someone told you!
0:30:01 > 0:30:05I suggest you get him some food. He is used to 6,000-plus calories a day.
0:30:05 > 0:30:07He's probably starving right now.
0:30:11 > 0:30:13You all right, Jim?
0:30:15 > 0:30:19She's right. I think I'm...I'm just hungry.
0:30:20 > 0:30:23Dr Chao takes some getting used to.
0:30:23 > 0:30:25I don't expect anyone's sympathies.
0:30:25 > 0:30:28Don't worry about that. She's like that with all her patients.
0:30:28 > 0:30:32Especially the suspected... child-abusers.
0:30:34 > 0:30:36Jim, we know it was you who called 999.
0:30:36 > 0:30:39And ended up with half a dozen people in my house
0:30:39 > 0:30:43and being suspected of the worst crime possible.
0:30:43 > 0:30:45There are two sides to every story.
0:30:45 > 0:30:47And I wonder who they'll believe!
0:30:47 > 0:30:52The little girl, or the big, fat man she was taking photos of.
0:30:52 > 0:30:55Your breathing's beginning to sound a bit difficult.
0:30:55 > 0:30:57Let me just...
0:30:57 > 0:31:00HE WHEEZES
0:31:03 > 0:31:06OK. I'll get you something to eat.
0:31:08 > 0:31:11I don't know how you got him to agree to surgery
0:31:11 > 0:31:12but it's very impressive.
0:31:12 > 0:31:15That's a pleasure. Complicated fella, this one.
0:31:17 > 0:31:21He's going off. Pulse 120, resps 33, BP's in...
0:31:34 > 0:31:36He's bleeding from somewhere.
0:31:36 > 0:31:38It's not the leg. Could be the pelvis.
0:31:38 > 0:31:40Think we are looking at a retroperitoneal haemorrhage.
0:31:40 > 0:31:45OK, let's tighten this belt. Right, we will cross-match another six units, please.
0:31:45 > 0:31:46We'll get another line in.
0:31:46 > 0:31:48We will get bloods going on both, please.
0:31:48 > 0:31:50Any word from theatre, Charlie?
0:31:50 > 0:31:53Not free for another half an hour.
0:31:53 > 0:31:55His sats are coming back up.
0:31:55 > 0:31:58All right, Leo, you are still in the emergency department.
0:31:58 > 0:32:00We are still looking after you. It's OK.
0:32:00 > 0:32:05All right. You are all right, darling.
0:32:05 > 0:32:07That is looking a bit better. Yeah, well done.
0:32:07 > 0:32:09OK.
0:32:13 > 0:32:17Lily, I just listened to Jim's chest. There's a murmur there.
0:32:17 > 0:32:18It's not his asthma.
0:32:18 > 0:32:22I really can't work with the nursing staff continually telling me how to do my job.
0:32:27 > 0:32:28All right, Jim?
0:32:30 > 0:32:32I think I need the toilet.
0:32:32 > 0:32:37That's all right. That'll be all those fluids we're pushing into you. Urgently. OK.
0:32:37 > 0:32:40Can I get a bit of help?
0:32:40 > 0:32:42Gentleman needs to go to the loo.
0:32:44 > 0:32:46Happy to take this leg.
0:32:46 > 0:32:47That leg?
0:32:47 > 0:32:50So we will start with the left leg, moving it around slowly.
0:32:50 > 0:32:55OK, Jim? So left leg, right leg. Great, left leg. OK, Jim?
0:32:55 > 0:32:57So we are going to lift up now, lads.
0:32:57 > 0:33:01That's it, great, and we are going to gently lower to the floor.
0:33:02 > 0:33:09OK, OK, nearly there, Jim. Great. OK, just take a moment.
0:33:09 > 0:33:12I don't think I am going to make it.
0:33:12 > 0:33:15That's all right. We need to check your urine anyway, so we will use a bottle.
0:33:15 > 0:33:18Could you give us a moment? Thank you.
0:33:18 > 0:33:20OK.
0:33:25 > 0:33:27OK, Robyn, in your own time.
0:33:29 > 0:33:30OK. Hello...
0:33:31 > 0:33:34Do we have any name history? Any ID?
0:33:34 > 0:33:37Martin Dennison. Normally in good health.
0:33:37 > 0:33:40No known allergies.
0:33:40 > 0:33:42OK. Hello, Martin, my name is Robyn.
0:33:42 > 0:33:44You've been involved in an accident
0:33:44 > 0:33:46but it's OK, you're at Holby City emergency department.
0:33:46 > 0:33:50He's not making much sense. Strongly smells of alcohol.
0:33:50 > 0:33:52OK, let's check his ABCs.
0:33:57 > 0:33:58He appears shocked
0:33:58 > 0:34:00but his vitals are unaltered
0:34:00 > 0:34:03except for his pulse, which is now 110.
0:34:03 > 0:34:06He's agitated and uncooperative.
0:34:06 > 0:34:08And you have blood visible on the sheets.
0:34:08 > 0:34:12OK, he's bleeding from somewhere.
0:34:12 > 0:34:17So let's, erm, stabilise the neck and spine
0:34:17 > 0:34:19and let's do a log-roll, please.
0:34:19 > 0:34:22Let's assume time has passed
0:34:22 > 0:34:25and the team discover a rear-entry stab wound to his upper back.
0:34:27 > 0:34:31OK, let's get two units of O neg and cross-match six...
0:34:34 > 0:34:37No, let's cross-match eight units of blood,
0:34:37 > 0:34:39and can I check that someone's spoken to the lab?
0:34:39 > 0:34:42OK, let's try and get this bleed sorted.
0:34:46 > 0:34:48So you just take a minute
0:34:48 > 0:34:51and when you are ready we will get you back into the bed, OK?
0:34:51 > 0:34:52There is no rush.
0:34:52 > 0:34:55You know, Jim, I know things have got out of hand
0:34:55 > 0:34:58but in another way you have really tried to look after yourself.
0:34:58 > 0:35:02You know, those sores, they could have been a lot worse.
0:35:02 > 0:35:06I used leftover dressings and creams from when my wife was ill.
0:35:07 > 0:35:10I wasn't always this big, you know.
0:35:10 > 0:35:13Lucky, she didn't half take some chasing!
0:35:13 > 0:35:16How did you get your wife to go out with you, then?
0:35:16 > 0:35:19My natural wit and charm, she said. Did she?
0:35:20 > 0:35:24You could say I slayed her with a dragon.
0:35:24 > 0:35:25She like dragons, did she?
0:35:25 > 0:35:28House is still full of them.
0:35:28 > 0:35:29Is that where you nursed her?
0:35:31 > 0:35:35The last few months. She loved our home.
0:35:37 > 0:35:39Planned on filling it with kids.
0:35:40 > 0:35:43I could never do what that child is saying I did.
0:35:45 > 0:35:46I know.
0:35:47 > 0:35:50If you were lured into someone's house, scared out of your wits,
0:35:50 > 0:35:53you're not going to take a souvenir, are you?
0:35:53 > 0:35:55I wouldn't but...I don't know, proof you were there?
0:35:55 > 0:35:58She's saying he chased her down the stairs. You've seen the size of the bloke.
0:35:58 > 0:36:00He's not going to chase anyone anywhere.
0:36:00 > 0:36:04The only way he was coming out of his gaff was out the window. My thoughts exactly. Thank you, Jeff.
0:36:04 > 0:36:05OK.
0:36:08 > 0:36:10What's that?
0:36:10 > 0:36:13Carol booked a holiday for us.
0:36:13 > 0:36:16Supposed to be a surprise, I guess. I had no idea.
0:36:17 > 0:36:19Walking up Machu Picchu.
0:36:22 > 0:36:25I think I told her I'd never been anywhere more adventurous
0:36:25 > 0:36:26than Blackpool.
0:36:26 > 0:36:28Nice.
0:36:32 > 0:36:34Hang on, isn't that the geezer from the accident?
0:36:34 > 0:36:37It's all right, it's all right, darling, I will deal with this.
0:36:38 > 0:36:41I'm sorry. It's been a rough few days.
0:36:42 > 0:36:45That's what I came to say. I wasn't thinking.
0:36:45 > 0:36:49Well, I provoked you for Leo's benefit. It doesn't matter now.
0:36:50 > 0:36:53He's not dead, is he?
0:36:53 > 0:36:57No. But his problems are only just beginning.
0:36:57 > 0:36:59I didn't mean for any of this to happen.
0:37:01 > 0:37:03I chased him earlier to explain.
0:37:05 > 0:37:08I've known about him, but I never knew him.
0:37:08 > 0:37:10That's the agreement me and his mother came to.
0:37:10 > 0:37:14I'd say, judging by the state of your bike and your house,
0:37:14 > 0:37:16Leo's found that harder to accept.
0:37:17 > 0:37:19I've changed a lot since I was his age.
0:37:19 > 0:37:21I am not that person any more.
0:37:21 > 0:37:22Then why are you still here?
0:37:25 > 0:37:27I don't know what I'm supposed to do.
0:37:28 > 0:37:29I would ask your son that one.
0:37:32 > 0:37:34This is all my fault.
0:37:34 > 0:37:36I work at the local pub a couple of nights a week.
0:37:38 > 0:37:39Are you on your own?
0:37:41 > 0:37:43I thought Martha would be all right with her friend.
0:37:43 > 0:37:46But she tells me she's a bit of a bully.
0:37:46 > 0:37:48I was worried about it, course I was.
0:37:49 > 0:37:50But I need the work.
0:37:52 > 0:37:54You OK? I'm Rita.
0:37:56 > 0:37:59I'll see if I can hurry the discharge papers. Excuse me.
0:38:00 > 0:38:02Will Martha have to be examined?
0:38:02 > 0:38:04That depends a lot on what she is saying happened?
0:38:04 > 0:38:06Social services have been informed.
0:38:06 > 0:38:07They'll take it from here.
0:38:07 > 0:38:10Will that freak go to jail?
0:38:10 > 0:38:12Erm, that's not up to us.
0:38:13 > 0:38:16I was going to get one of those phones.
0:38:16 > 0:38:18Do they take good photos?
0:38:20 > 0:38:21That's not your phone.
0:38:22 > 0:38:24Mum...
0:38:25 > 0:38:27PHONE: 'Weirdo!
0:38:27 > 0:38:29'Hey, guys, look, I wrote "freak".
0:38:29 > 0:38:33'I'm not afraid of the freakish freak.'
0:38:33 > 0:38:35Did that man hurt you or not?
0:38:41 > 0:38:44You've got really good instincts, Robyn.
0:38:44 > 0:38:46You've just got to learn how to trust them.
0:38:48 > 0:38:52Maybe he does like redheads after all.
0:38:52 > 0:38:57Don't be daft. Lily, I just wanted to say thank you.
0:38:57 > 0:38:59All your advice paid off. I got through it.
0:38:59 > 0:39:01I'm not the one who had doubts!
0:39:01 > 0:39:04Right, round up the troops. We might make last orders!
0:39:08 > 0:39:11There's more to this job than making friends, Lily.
0:39:13 > 0:39:14Mrs Beauchamp?
0:39:14 > 0:39:17Can I ask you to look at a patient for me?
0:39:17 > 0:39:19He's asthmatic but his breathing has changed.
0:39:19 > 0:39:22He's also morbidly obese so I suspect he's got a heart problem.
0:39:22 > 0:39:23Of course.
0:39:26 > 0:39:28You've got a visitor, if you're up for it?
0:39:28 > 0:39:30Family only, isn't it?
0:39:34 > 0:39:35You've been having a rough time, yeah?
0:39:35 > 0:39:37What gives you that idea?!
0:39:39 > 0:39:43I'm sorry for hassling you and your wife.
0:39:43 > 0:39:45I'm the one who should be saying sorry.
0:39:45 > 0:39:48Your mum gave me an easy out.
0:39:48 > 0:39:51Forget about it. I'd be the same.
0:39:54 > 0:39:58Right, they're ready for Leo in theatre now.
0:40:00 > 0:40:03I can hang around if you want.
0:40:05 > 0:40:11You know, I always used to pretend to people you existed.
0:40:13 > 0:40:16Always there when I needed you.
0:40:16 > 0:40:18Don't worry about it. I don't.
0:40:30 > 0:40:32Great timing, eh?
0:40:32 > 0:40:34Your dad?
0:40:34 > 0:40:36For me to learn to stand on my own two feet!
0:40:38 > 0:40:42They won't take your leg unless they absolutely have to.
0:40:44 > 0:40:45Will you be there when I wake up?
0:40:45 > 0:40:47I can be.
0:40:47 > 0:40:49Just can't shake you, can I?
0:40:49 > 0:40:53You're right. There's a soft murmur at the apex.
0:40:53 > 0:40:57Get a chest X-ray and an echocardiogram. Well spotted.
0:41:02 > 0:41:05Sorry, Jim, the girl who was at your house,
0:41:05 > 0:41:08she wanted to have a word with you.
0:41:08 > 0:41:09Keep it brief.
0:41:09 > 0:41:12OK. OK.
0:41:15 > 0:41:17I've told everyone the truth.
0:41:17 > 0:41:19That you didn't hurt me or anything.
0:41:21 > 0:41:23I'm sorry I made you sick.
0:41:23 > 0:41:25I did this. Not you.
0:41:25 > 0:41:27Will you get better?
0:41:31 > 0:41:33It's about time I tried.
0:41:35 > 0:41:37I'm deleting this photo.
0:41:37 > 0:41:38No. You keep it.
0:41:38 > 0:41:41If I break my promise, you show it to me.
0:41:41 > 0:41:42OK.
0:41:45 > 0:41:48Here you go, sorry.
0:41:48 > 0:41:49Thank you.
0:41:51 > 0:41:55OK? Wayne, would you mind taking Martha back to her mum, please?
0:41:55 > 0:41:59Jim. Don't let him fall on the floor.
0:41:59 > 0:42:01I can't hold him.
0:42:01 > 0:42:03Easy!
0:42:03 > 0:42:05This isn't asthma.
0:42:05 > 0:42:08Definitely cardiac. Let's get the crash trolley.
0:42:08 > 0:42:11We need Furosemide and a low dose of diamorphine for the pain, please.
0:42:14 > 0:42:16He's severely tachycardic.
0:42:16 > 0:42:17RSI and intubation?
0:42:17 > 0:42:19No, given his size, it's too much of a risk.
0:42:19 > 0:42:21Waste of NHS resources?
0:42:21 > 0:42:25I was talking about his attitude. He saved the NHS loads when he nursed his wife at home.
0:42:25 > 0:42:27Don't you think it's his turn?
0:42:27 > 0:42:30Sorry, Zoe, can you keep your staff under control, please? What's happening?
0:42:30 > 0:42:33Excuse me. Right, I think he is going to need surgery.
0:42:33 > 0:42:35Will you call up to Darwin and tell them I think
0:42:35 > 0:42:37the mitral valve has blown?
0:42:37 > 0:42:40They are going to need a pre-op cardiac catheter and a balloon pump.
0:42:40 > 0:42:42I didn't anticipate anything this serious.
0:42:42 > 0:42:43You got it. He just got there first.
0:42:43 > 0:42:46Right, can we get some help, please? We need to get him on the trolley.
0:42:46 > 0:42:49I don't know how we are going to do it. Can we roll him?
0:42:49 > 0:42:51Yeah, bring it in.
0:42:51 > 0:42:53Bring it over here.
0:42:58 > 0:43:02I am Hank Marvin. Fancy a takeaway or something, on me?
0:43:02 > 0:43:05Well, not actually ON me.
0:43:05 > 0:43:06Yeah, Jeff. I get it.
0:43:07 > 0:43:10No, you're all right, darling, you sort yourself out.
0:43:10 > 0:43:12I've got a few things I need to check up on.
0:43:14 > 0:43:18What's that? Is that the holiday you're booking?
0:43:18 > 0:43:20It's the insurance on it.
0:43:20 > 0:43:24They'll refund Carol's part of the ticket, but not mine.
0:43:24 > 0:43:26Well, I know it's not much of a consolation prize,
0:43:26 > 0:43:29but if you didn't fancy going alone...?
0:43:29 > 0:43:30Actually, I think I might.
0:43:32 > 0:43:35OK. I reckon she'd be with you in spirit, anyway.
0:43:35 > 0:43:38RADIO: 'Control to 3006.'
0:43:40 > 0:43:423006 received.
0:43:42 > 0:43:45'Possible broken collar bone at the sporting arena...'
0:43:45 > 0:43:47Come on, then, no rest for the wicked.
0:43:47 > 0:43:51I don't know. He was just really nice. Really encouraging.
0:43:51 > 0:43:54Sounds like you're in there. I don't mean it like that.
0:43:54 > 0:43:56But you'd like to! Ask him to join us.
0:43:56 > 0:43:58Yeah, go on. I can't.
0:43:58 > 0:44:01Sliding doors. Moments lost. Chances wasted. Go on.
0:44:01 > 0:44:04What's the worst that can happen? Let's find out. Go on.
0:44:05 > 0:44:07Right, follow my instincts.
0:44:11 > 0:44:13Hi, beautiful.
0:44:20 > 0:44:22Yeah, well, it is obviously his loss.
0:44:22 > 0:44:25Yeah. You've still got us.
0:44:25 > 0:44:26But not the guy.
0:44:29 > 0:44:33On a lighter note, you are halfway to getting your trauma course qualification,
0:44:33 > 0:44:36Which should help you deal with what just happened.
0:44:36 > 0:44:38LAUGHTER To Robyn!
0:44:38 > 0:44:40Cheers. You are so mean!
0:44:45 > 0:44:47Dr Hanna, flowers.
0:44:47 > 0:44:49For me? For you, yes.
0:45:02 > 0:45:05Oh, someone's popular.
0:45:05 > 0:45:07I thought they were for you. Probably some grateful patient.
0:45:07 > 0:45:08They are lovely.
0:45:11 > 0:45:14Mrs Beauchamp, Mr Marshall is in theatre now.
0:45:14 > 0:45:16And you were amazing. Oh.
0:45:16 > 0:45:19Yes, you did a great job today. I'm not sure
0:45:19 > 0:45:21I would have spotted the mitral valve had gone.
0:45:21 > 0:45:25Look, now I've got you both here, I was thinking,
0:45:25 > 0:45:27if Lily's agreeable,
0:45:27 > 0:45:30that I might take over from Ash as her educational supervisor?
0:45:30 > 0:45:32Fine by me.
0:45:32 > 0:45:34Well, I'll have to run it by Martin first
0:45:34 > 0:45:36but I'm sure it won't be a problem.
0:45:36 > 0:45:38Chat tomorrow.
0:45:41 > 0:45:44It's been such a long shift, I am going to go to the pub.
0:45:44 > 0:45:46Do you fancy a drink, joining me?
0:45:46 > 0:45:49Erm, I tend not to drink on a school night. But thank you.
0:45:49 > 0:45:52Fair enough. See you tomorrow.
0:45:56 > 0:45:57Good luck.
0:45:57 > 0:46:00Sorry?
0:46:00 > 0:46:03Well, I think I have worked out what you're doing back here.
0:46:03 > 0:46:06The adrenaline rush, isn't it?
0:46:06 > 0:46:08It makes us think we can do just about anything,
0:46:08 > 0:46:11even change an overstretched system for the good.
0:46:11 > 0:46:13You don't think it can be done?
0:46:13 > 0:46:17Probably not. But like I said, good luck.
0:46:24 > 0:46:26A-ha.
0:46:27 > 0:46:30Is there a problem? Not at all.
0:46:30 > 0:46:33Right. Well, they say there's safety in numbers.
0:46:50 > 0:46:51What are you having?
0:46:51 > 0:46:54I don't know yet but whatever it is, it's going to be a large one.
0:46:54 > 0:46:56We are still talking about the drink, yeah?
0:46:56 > 0:46:58Definitely.
0:46:58 > 0:47:02Listen, it's probably not my place - frankly, what would I know? -
0:47:02 > 0:47:06but don't let this new surgeon come in and knock your confidence.
0:47:06 > 0:47:09You're right, it isn't your place.
0:47:09 > 0:47:10But thank you.
0:47:10 > 0:47:12So, what can I get you?
0:47:12 > 0:47:15It may have to cost less than ?3.
0:47:15 > 0:47:19Really...you're not expected to buy the boss a drink.
0:47:19 > 0:47:23I didn't think I was. I thought I was buying you one.
0:47:23 > 0:47:27I've just had a really long day. Just don't.
0:47:28 > 0:47:29OK.
0:47:29 > 0:47:32Can I have a large gin and tonic, please?
0:47:32 > 0:47:34I'm off, I will see you later.
0:47:34 > 0:47:36See you later, mate. See you.
0:47:57 > 0:48:00Max, where are you going?
0:48:00 > 0:48:01Home.
0:48:01 > 0:48:03Alone?
0:48:04 > 0:48:09Yeah, you see, unfortunately, you're a doctor and I'm a porter.
0:48:09 > 0:48:11The gap is as gaping as the age.
0:48:11 > 0:48:13Shut up.
0:48:14 > 0:48:18I haven't been sent flowers since last...
0:48:18 > 0:48:20for ever.
0:48:21 > 0:48:24They're gorgeous. Thank you.
0:48:35 > 0:48:37Well, then, I guess they were worth it.
0:48:37 > 0:48:40I stole them from a graveyard, by the way.
0:48:40 > 0:48:42SHE LAUGHS